diff --git "a/medical.info" "b/medical.info" new file mode 100644--- /dev/null +++ "b/medical.info" @@ -0,0 +1,23458 @@ +audio/MSK0042.mp3[0.000,2.800] HOW MAY I HELP YOU +audio/MSK0042.mp3[2.800,31.080] UH I IM UH JUST COMING INTO THE CLINIC UH TODAY UH MY PARENTS TOLD ME TO COME TODAY I DONT KNOW WHAT THIS THING IS JUST MASS RIGHT BELOW OR KIND OF LIKE A LUMP OR MASS BELOW MY RIGHT KNEE AND ITS NOT PAINFUL OR ANYTHING ITS A LITTLE BIT UNCOMFORTABLE BUT I JUST WANT TO CHECK OUT AND SEE WHAT IT MIGHT BE +audio/MSK0042.mp3[31.080,40.880] YEAH CERTAINLY OKAY WHEN WHEN DID YOU FIRST UM NOTICE THIS MASS +audio/MSK0042.mp3[40.880,55.680] SO I THINK I NOTICED IT UM FOR THE FIRST TIME UM PROBABLY A COUPLE WEEKS AGO I WOULD SAY LIKE TWO WEEKS AGO I I NOTICED IT +audio/MSK0042.mp3[55.680,62.080] OKAY AND UH WHERE SPECIFICALLY IS IT IS IT LOCATED +audio/MSK0042.mp3[62.080,76.920] SO ITS ITS UH BELOW MY KNEE UH RIGHT ON LIKE UH I FEEL IT ON THE BIG BIG BONE RIGHT BELOW THE KNEE ITS UM YEAH I JUST FEEL LIKE UH LIKE A HARD LUMP +audio/MSK0042.mp3[76.920,89.600] OKAY AND UH OKAY UM AND UH IS IT IS IT ASSOCIATED WITH ANY PAIN +audio/MSK0042.mp3[89.600,109.800] NO ITS NOT REALLY UH THAT PAINFUL ITS UH ITS IF I PRESS ON IT ITS A LITTLE BIT UNCOMFORTABLE BUT ITS NOT LIKE I WOULDNT CALL IT PAIN +audio/MSK0042.mp3[109.800,116.560] OKAY AND HAVE YOU HAD ANY TRAUMA TO THE TO THE KNEE OR AREA OR ANY INJURIES THERE +audio/MSK0042.mp3[116.560,142.040] UH NO NOT THAT I CAN REMEMBER I DONT THINK IVE HAD ANY INJURIES THERE AND THIS LUMP IS LIKE PROBABLY LIKE 2 TO 3 CENTIMETRES ITS I DONT EVEN KNOW LIKE WHEN IT APPEARED OR WHY IT APPEARED I HAVENT REALLY INJURED MYSELF OR ANYTHING +audio/MSK0042.mp3[142.040,145.840] OKAY UM AND HAVE YOU HAD ANY UH ANY FEVERS OR CHILLS +audio/MSK0042.mp3[147.440,151.800] OKAY HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0042.mp3[151.800,155.320] UH NO NOT THAT I CAN REMEMBER +audio/MSK0042.mp3[155.320,166.560] OKAY UH AND HOW ABOUT UM ANY NEUROLOGICAL SYMPTOMS LIKE NUMBNESS TINGLING SENSORY LOSS +audio/MSK0042.mp3[166.560,169.320] NO I HAVENT FELT ANY OF THOSE +audio/MSK0042.mp3[169.320,177.200] OKAY AND HOW ABOUT UH ANY MUSCLE WEAKNESS IN THE LOWER EXTREMITY OR UPPER EXTREMITY +audio/MSK0042.mp3[177.200,181.960] NO NO WEAKNESS +audio/MSK0042.mp3[181.960,189.560] OKAY UM HAVE YOU HAD ANY UH LIKE FEVERS OR CHILLS +audio/MSK0042.mp3[190.880,194.200] UH HOW ABOUT NIGHT SWEATS +audio/MSK0042.mp3[194.200,196.680] UH NO NIGHT SWEATS +audio/MSK0042.mp3[196.680,204.680] OKAY AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE UH LIKE A RUNNY NOSE OR A SORE THROAT +audio/MSK0042.mp3[205.920,211.440] OKAY HAVE YOU HAD UH HAD A COUGH OR SHORTNESS OF BREATH +audio/MSK0042.mp3[211.440,213.920] NO IVE BEEN PRETTY WELL RECENTLY +audio/MSK0042.mp3[213.920,218.920] OKAY THATS GOOD AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION +audio/MSK0042.mp3[218.920,221.280] NO NOTHING LIKE THAT +audio/MSK0042.mp3[221.280,231.080] OKAY AND ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SMELL OR TASTE +audio/MSK0042.mp3[231.080,233.680] UH NO NOTHING LIKE THAT +audio/MSK0042.mp3[233.680,236.680] OKAY HAVE YOU HAD ANY CHEST PAIN +audio/MSK0042.mp3[237.520,242.800] HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/MSK0042.mp3[243.880,248.320] OKAY HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0042.mp3[248.320,252.320] NO NOTHING LIKE THAT +audio/MSK0042.mp3[252.320,260.080] OKAY UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0042.mp3[260.080,262.720] UM NO NO NAUSEA OR VOMITING +audio/MSK0042.mp3[262.720,269.080] OKAY UH HAVE YOU HAD ANY CHANGES OR LOSS TO APPETITE +audio/MSK0042.mp3[269.440,272.800] HOW ABOUT ANY ABDOMINAL PAIN +audio/MSK0042.mp3[272.800,274.880] NO NO ABDOMINAL PAIN +audio/MSK0042.mp3[274.880,284.000] ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR UH BLOOD IN THE STOOL +audio/MSK0042.mp3[284.000,284.880] UM NO +audio/MSK0042.mp3[284.880,296.080] OKAY AND HOW ABOUT ANY CHANGES TO YOUR URINARY PATTERNS LIKE PAIN OR OR FREQUENCY +audio/MSK0042.mp3[296.080,299.040] NO NO CHANGES AT ALL +audio/MSK0042.mp3[299.040,307.560] OKAY AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN LIKE SUCH AS RASHES OR OR ANY CHANGES TO YOUR HAIR OR NAILS +audio/MSK0042.mp3[307.560,310.920] NO NOT ANYTHING THAT IVE NOTICED +audio/MSK0042.mp3[310.920,317.640] ALRIGHT SO THEN HOW ABOUT YOUR ENERGY HAVE YOU HAD ANY FATIGUE +audio/MSK0042.mp3[317.640,322.240] UM NO MY ENERGYS BEEN FINE +audio/MSK0042.mp3[322.240,330.560] OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR UH ANY JOINT PAINS +audio/MSK0042.mp3[330.560,357.760] NO I MEAN LIKE ALL THE OTHER JOINTS AND OTHER LIKE BONES AND MUSCLES HAVE BEEN FINE ITS JUST EVEN I WOULDNT DESCRIBE THIS AS PAIN ITS JUST UH I THINK MY PARENTS GOT A BIT CONCERNED UM SINCE THERE WAS LIKE A LUMP THEY WERE SCARED AND I WAS A LITTLE BIT SCARED TOO SO I JUST CAME IN TO CHECK IT OUT +audio/MSK0042.mp3[357.760,368.880] YEAH CERTAINLY OKAY UM AND UH HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR SEE A DOCTOR FOR ANY REASON +audio/MSK0042.mp3[368.880,375.240] UM NO IVE BEEN PRETTY HEALTHY UP UNTIL NOW +audio/MSK0042.mp3[375.240,382.360] OKAY UH AND DO YOU TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED +audio/MSK0042.mp3[382.360,386.320] UH NO NO MEDICATIONS +audio/MSK0042.mp3[386.320,391.160] OKAY UH AND DO YOU HAVE ANY ALLERGIES +audio/MSK0042.mp3[392.800,397.240] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0042.mp3[397.240,402.600] YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE +audio/MSK0042.mp3[402.600,407.560] OKAY UH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/MSK0042.mp3[407.560,413.880] NO I HAVENT HAD UH ANY HOSPITALIZATIONS OR SURGERIES +audio/MSK0042.mp3[413.880,423.200] OKAY UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND UH WHERE +audio/MSK0042.mp3[423.200,440.560] YEAH SO IM LIVING UM WITH MY PARENTS AND OLDER BROTHER UM AND WE LIVE IN A JUST A HOUSE UM RIGHT OUTSIDE OF THE CITY +audio/MSK0042.mp3[440.560,447.120] OKAY AND ARE YOU CURRENTLY IN SCHOOL AND WORKING OR OR WORKING +audio/MSK0042.mp3[447.120,459.840] NO I I DONT WORK IM CURRENTLY IN SCHOOL RIGHT NOW SO YEAH TOO BUSY WITH SCHOOL AND THEN JUST EXTRACURRICULAR ACTIVITIES +audio/MSK0042.mp3[459.840,467.400] YEAH ABSOLUTELY OKAY UM AND UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0042.mp3[469.720,473.920] OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0042.mp3[473.920,477.920] NO WEVE ALL JUST BEEN AT HOME +audio/MSK0042.mp3[477.920,492.320] OKAY UM AND UH AND DO YOU SMOKE CIGARETTES OR UH OR USE ANY CANNABIS PRODUCTS +audio/MSK0042.mp3[492.320,499.760] NO I HAVENT TRIED UM ANY DRUGS OR ANYTHING LIKE THAT +audio/MSK0042.mp3[499.760,505.720] OKAY WELL THATS GOOD AND UM ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0042.mp3[506.720,510.040] NO OKAY HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST +audio/MSK0042.mp3[510.040,513.680] NO I HAVENT +audio/MSK0042.mp3[513.680,526.960] OKAY UM AND UH ANY CONCERNS FOR SAFETY AT HOME WITH EITHER PHYSICAL VIOLENCE OR UM VERBAL ABUSE EITHER TO YOURSELF OR ANYBODY IN THE HOME +audio/MSK0042.mp3[526.960,552.200] UH NO WE LIKE UM ME AND MY BROTHER FEEL SAFE AT HOME SCHOOL IS GOING WELL TOO UM IM PRETTY PRETTY ATHLETIC AT SCHOOL LIKE UH I HAVE GOOD FRIENDS SO NO BULLYING OR ANYTHING LIKE THAT FEELS PRETTY SAFE OVERALL +audio/MSK0042.mp3[552.200,568.440] OKAY NOW THATS GOOD IM HAPPY TO HEAR THAT AND UH IS THERE ANY UM CONDITIONS IN THE IN THE FAMILY UH EITHER LIKE MUSCULOSKELETAL OR NEUROLOGICAL THINGS THAT YOU CAN THINK OF +audio/MSK0042.mp3[568.440,585.560] UM I DONT THINK ANYTHING RELATED TO THIS BUT UM I KNOW MY MY DAD HAS DIABETES UM AND MY MOM HAS UH SOME ANXIETY +audio/MSK0042.mp3[585.560,601.520] OKAY AND ANYBODY IN THE FAMILY EVER UM HAVE ANY CANCERS OR OR ANY BONE TUMOURS OR SOFT TISSUE UM TUMOURS OR GROWTHS +audio/MSK0042.mp3[601.520,625.480] UM I DONT THINK ANYONES HAD LIKE A BONE TUMOUR OR ANYTHING LIKE THAT I I KNOW MY UNCLE UM HE HE DOES HAVE A HE HAD LIKE MELANOMA WHICH HE HAD TO GET SURGICALLY REMOVED +audio/MSK0042.mp3[625.480,632.000] OKAY UM AND ANY GENETIC DISEASES IN THE FAMILY OR OR CONGENITAL DISEASES +audio/MSK0042.mp3[632.000,636.640] UM NOT THAT IVE BEEN TOLD NO +audio/MSK0042.mp3[636.640,649.200] OKAY UM SO UM NEXT I JUST WANTED TO MOVE ON TO THE PHYSICAL EXAM COMPONENT AND UM FIRSTLY ARE YOU HAVING ANY ISSUES WITH UH WALKING +audio/MSK0042.mp3[649.200,660.560] NO IVE BEEN LIKE UH NO NO PAIN NO I CAN WALK JUST FINE NO ISSUES THERE +audio/MSK0042.mp3[660.560,673.680] OKAY EXCELLENT SO NO ANTALGIC GAIT AND WHEN LOOKING AT UM THE AREA ARE YOU SEEING ANY SWELLING OR OR REDNESS OR SKIN DISCOLOURATION +audio/MSK0042.mp3[673.680,686.320] NO NO NOTHING LIKE THAT ITS JUST UH I CAN TELL THERES LIKE A LUMP THERE AND IF I PRESS IT I CAN FEEL LIKE THE HARD LUMP BUT UM NO CHANGES IN THE SKIN ABOVE IT +audio/MSK0042.mp3[686.320,693.560] OKAY AND ARE YOU SEEING ANY UM MUSCLE ATROPHY AROUND THE AREA +audio/MSK0042.mp3[693.560,697.240] NO UM NOTHING LIKE THAT +audio/MSK0042.mp3[697.240,707.520] OKAY AND ARE YOU SEEING ANY UH LIKE JOINT DEFORMITIES OR OR ANYTHING LIKE THAT +audio/MSK0042.mp3[707.520,716.400] UM NO NOT THAT I CAN TELL +audio/MSK0042.mp3[716.400,725.000] OKAY UM AND UH YOU DONT HAVE ANY ANY PAIN SO IF YOU PRESS ON THE AREA OR ON THE THE KNEE JOINT YOU CAN JUST FEEL THE MASS AND NO PAIN THERE +audio/MSK0042.mp3[725.000,742.880] YEAH IT JUST FEELS WEIRD I DONT IM NOT IN ANY PAIN OR ANYTHING BUT ITS LIKE ITS WEIRD TO LOOK AT AND THEN WEIRD TO FEEL UH AS WELL +audio/MSK0042.mp3[742.880,751.240] OKAY UM AND UM UH OKAY THEN NO LIMITATIONS WITH UH WITH LIKE RANGE OF MOTION OF ANY OF YOUR JOINTS INCLUDING LIKE UH KNEE AND ANKLE +audio/MSK0042.mp3[751.240,754.360] YEAH NO I CAN MOVE EVERYTHING JUST FINE +audio/MSK0042.mp3[754.360,775.840] OKAY AWESOME AND SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY AND UH UH CHECK ON THE PHYSICAL AS WELL UM SO WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR ANYTHING YOU WANTED TO ADD +audio/MSK0042.mp3[775.840,805.160] YEAH NO I UM NOTHING ELSE I WANTED TO ADD BUT I I THINK MY PARENTS AND I WERE JUST SCARED ABOUT IT BEING LIKE UH CANCER OR LIKE A TUMOUR UM SO I JUST DONT KNOW WHAT I SHOULD DO IF I NEED TO GET ANY TESTS DONE OR XRAYS OR ANYTHING LIKE THAT +audio/MSK0042.mp3[805.160,856.520] OKAY UM YEAH WE SO UM THE FIRST THING WE WILL WANT TO GET UH AN XRAY UM OF THE KNEE AND ALSO OF THE UH LONG BONES SO OF YOUR FEMUR UM AS WELL AS YOUR LEG TOO UH AND BECAUSE RIGHT NOW WE UM MOST LIKELY THINK IS CALLED SOMETHING UM AN OSTEOCHONDROMA UM WHICH IS THE MOST COMMON UH PRIMARY BENIGN BONE TUMOUR UM HOWEVER THERE ARE OTHER THINGS THAT IT IT COULD BE UM AND SO SUCH AS LIKE AN OSTEOMA OR UM AN ENDOCHONDROMA UM SO WELL WELL WANT TO UM GET THAT XRAY AND UM KIND OF GO GO FROM THERE +audio/MSK0042.mp3[856.520,860.360] OKAY UH YEAH THAT THAT SOUNDS GOOD +audio/MSK0042.mp3[860.360,868.760] ALRIGHT SO WELL GET THAT WELL GET THAT ORDERED +audio/MSK0042.mp3[868.760,873.320] ALRIGHT PERFECT THANK YOU SO MUCH +audio/RES0193.mp3[0.000,2.160] WHAT BRINGS YOU HERE TODAY +audio/RES0193.mp3[2.160,18.840] HI I BRING YOU MY SON TODAY BECAUSE IVE NOTICED HES HAD BEEN HAVING THIS COUGH SOMETIMES HE’LL HAVE IT AT NIGHT AND AND HELL HAVE SOME WHEEZING AND DIFFICULTIES BREATHING AS WELL +audio/RES0193.mp3[18.840,22.120] OK AND WHEN DID THIS ALL START +audio/RES0193.mp3[22.120,41.080] SO I IVE BEEN NOTICING IT OVER THE LAST SEVERAL MONTHS ITS BEEN HAPPENING UM A COUPLE OF TIMES PER WEEK WHERE HELL GET THIS COUGH AND THAT AT NIGHT TIME AND YEAH SO OVER THE LAST SEVERAL MONTHS +audio/RES0193.mp3[41.080,50.320] OK AND WHAT DID IT START WITH COUGHING OR LIKE THE SHORTNESS OF BREATH WHAT WOULD IT KIND OF START WITH +audio/RES0193.mp3[50.320,76.840] ARE MORE THE UH THE COUGHING YEAH HE JUST GET IT AT NIGHT TIME AND THEN SOMETIMES HE WOULD GET IT UM LIKE IT AT AT SCHOOL AS WELL OR EVEN IF YOU WENT OVER TO ONE OF US HIS FRIENDS HOUSES SOMETIMES HE WOULD COME HOME AND OR AFTERWARDS HE WOULD HAVE A COUGH AND WHEEZE AND AND BE SHORT OF BREATH +audio/RES0193.mp3[76.840,86.440] OK AND SO IS IT USUALLY AFTER HES WORKED HIMSELF UP AND LIKE EXERCISE OR LIKE JUST BEEN REALLY ACTIVE +audio/RES0193.mp3[86.440,91.960] YEAH THAT DEFINITELY I NOTICED THAT AFTER THOSE TIMES FOR FOR SURE +audio/RES0193.mp3[91.960,100.320] OK AND ARE THESE LIKE THE COUGHING IS IT WET OR DRY +audio/RES0193.mp3[100.320,102.240] ITS ITS A DRY COUGH +audio/RES0193.mp3[102.240,109.120] DRY COUGH OK SO NO YELLOW GREEN MATERIAL OR BLOOD COUGHED UP +audio/RES0193.mp3[109.120,112.120] NO NOTHING LIKE THAT UH COUGHED UP +audio/RES0193.mp3[112.120,117.160] OK AND YOURE SAYING YOU ALSO HEAR WHEEZING RIGHT +audio/RES0193.mp3[117.160,126.800] YEAH ILL HEAR A WHEEZE HE HAS THIS LIKE HIGH PITCHED WHISTLING SOUND WHEN HE EXHALES +audio/RES0193.mp3[126.800,135.600] OK AND HAS HE AT ALL HAD THIS HAPPEN BEFORE OR IS THIS THE FIRST TIME THIS IS HAPPENING +audio/RES0193.mp3[135.600,154.880] UM LIKE WHEN HE WAS REALLY YOUNG I THINK LIKE TWO HE HAD LIKE BRONCHIOLITIS OR SOMETHING LIKE THAT I THINK IT WAS CALLED YOU HAD A COUGH AND UM LIKE A WHEEZE AT THAT TIME BUT I THINK IT WAS BECAUSE OF A LIKE AN INFECTION OR VIRAL A VIRAL ILLNESS +audio/RES0193.mp3[154.880,162.480] I SEE UM HAS HE HAD ANY UH SORE THROAT RUNNY NOSE COLD LIKE SYMPTOMS AT ALL RECENTLY +audio/RES0193.mp3[162.480,166.520] NO HE HASNT HAD ANYTHING LIKE THAT +audio/RES0193.mp3[166.520,177.840] OK OK SO HIS SYMPTOMS MAINLY OCCUR WHEN HES VERY ACTIVE UM SO THEY KIND OF COME AND GO AND HAVE YOU TRIED IT AT ALL ANYTHING THAT HAS HELPED WITH THE SYMPTOMS +audio/RES0193.mp3[177.840,180.960] NO I HAVENT TRIED ANYTHING +audio/RES0193.mp3[180.960,191.320] OK ANY KIND OF DIZZINESS CHANGES IN HIS BEHAVIOR AT ALL FROM BEING VERY IRRITABLE TO VERY FATIGUED ANYTHING LIKE THAT +audio/RES0193.mp3[191.320,194.520] NO NOTHING LIKE THAT +audio/RES0193.mp3[194.520,197.920] OK UM ANY FEVERS OR CHILLS +audio/RES0193.mp3[199.080,203.760] OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK +audio/RES0193.mp3[205.840,208.920] OK ANY NAUSEA OR VOMITING +audio/RES0193.mp3[210.400,213.360] OK ANY CHANGES IN HIS BOWEL MOVEMENTS +audio/RES0193.mp3[213.360,219.560] NO HE HASNT HAD ANY DIARRHEA SO NO DIARRHEA NO CONSTIPATION +audio/RES0193.mp3[219.560,223.840] OK AND UM ANY CHANGES IN HIS APPETITE AT ALL +audio/RES0193.mp3[223.840,227.880] UM NO HES BEEN EATING AND GROWING WELL +audio/RES0193.mp3[227.880,232.960] OK ANY CHANGES IN HIS WEIGHT +audio/RES0193.mp3[232.960,239.120] YEAH YEAH HES BEEN GAINING WEIGHT UH OVER THE LAST OVER THE LAST LITTLE WHILE I THINK HES BEEN GAINING +audio/RES0193.mp3[239.120,242.840] WEIGHT APPROPRIATELY +audio/RES0193.mp3[242.840,251.240] OK UM DO YOU FIND THAT HIS SYMPTOMS GET WORSE IN ANY PARTICULAR SEASON LIKE THE WINTER OR ANYTHING LIKE THAT +audio/RES0193.mp3[251.240,270.960] UM I YEAH I MEAN SOMETIMES I GUESS LIKE IN THE IN THE FALL OR WHEN THE SEASONS CHANGE SHE DOES GET LIKE ITCHY EYES AND LIKE A RUNNY NOSE I THINK HE DOES HAVE MAYBE SOME ENVIRONMENTAL ALLERGIES +audio/RES0193.mp3[270.960,279.200] OK OK AND AT HOME OR AT SCHOOL ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS +audio/RES0193.mp3[279.200,290.480] UM NO ANIMALS AT AT HOME BUT THE FRIENDS HOUSE HE GOES OVER TO SOMETIMES THEY HAVE UM A CAT THERE +audio/RES0193.mp3[290.480,294.280] OK AND DOES DOES HE GET THOSE SYMPTOMS AT HIS FRIENDS HOUSE +audio/RES0193.mp3[294.280,314.960] YEAH SOMETIMES HELL COME HELL UM HELL HAVE A BIT OF A COUGH AND YOU CAN HEAR A WHEEZE SOMETIMES THAT AFTER IT GOES AWAY UHH RELATIVELY QUICKLY WE LIKE WITHIN 30 TO 60 MINUTES AND BUT UM YEAH +audio/RES0193.mp3[314.960,319.680] OK ANY PAST MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH +audio/RES0193.mp3[319.680,329.120] NO HE JUST HAD THAT YEAH THE EPISODE OF I THINK BRONCHIOLITIS WHEN HE WAS YOUNG BUT THAT WAS IT +audio/RES0193.mp3[329.120,334.360] OK ANY UM MEDICATIONS THAT HE HAS TO TAKE REGULARLY +audio/RES0193.mp3[336.360,339.720] NO ANY ALLERGIES TRAINING MEDICATIONS +audio/RES0193.mp3[339.720,342.920] UHM NO +audio/RES0193.mp3[342.920,348.400] NO OR ANY ALLERGIES TO ANY ENVIRONMENTAL OR FOOD FACTORS +audio/RES0193.mp3[348.400,351.360] UHM NO I DONT THINK SO +audio/RES0193.mp3[351.360,357.120] OK HAVE YOU HAD ANY RASHES AT ALL PREVIOUSLY +audio/RES0193.mp3[357.120,363.800] UHM NO YEAH HE HASNT HAD ANY RASHES +audio/RES0193.mp3[363.800,369.600] OK AND UM ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0193.mp3[369.600,374.440] UH NOPE +audio/RES0193.mp3[374.440,381.480] OK AND ANY FAMILY HISTORY OF ANY HEART LUNG CONDITIONS ANY HISTORY OF ASTHMA AT ALL +audio/RES0193.mp3[381.480,393.200] UM YEAH HIS MOM HAS A HAS ASTHMA UM AND SHE USES A AN INHALER LIKE DAILY FOR IT +audio/RES0193.mp3[393.200,401.440] OK HAS WHEN DID UM THE MOM GET DIAGNOSED WITH ASTHMA WAS IT DURING CHILDHOOD +audio/RES0193.mp3[401.440,420.440] YEAH SHE WAS YOUNGER UM EVER SINCE IVE KNOWN HER SHE SAID SHES HAD SHES HAD ASTHMA IT HASNT HAD ANY LIKE REAL I GUESS EXACERBATIONS THAT THAT IVE NOTICED OR BEEN ABLE TO CONTROL HER SYMPTOMS WITH WITH UM INHALERS +audio/RES0193.mp3[420.440,427.240] AND UM FOR HIM HOW MANY TIMES WOULD YOU SAY HES HAVING THESE EPISODES IN AN AVERAGE WEEK NOW +audio/RES0193.mp3[427.240,429.160] UH I WOULD SAY 2 +audio/RES0193.mp3[429.160,434.680] 2 AND IS HE GETTING ANY OF THESE SYMPTOMS AT NIGHT TIME LIKE HIM WAKING UP +audio/RES0193.mp3[434.680,438.800] HE IS YEAH ITS IT IT IS HAPPENING AT NIGHT +audio/RES0193.mp3[438.800,445.120] OK AND THEN AS HE MISSED ANY DAYS OF SCHOOL DUE TO THIS +audio/RES0193.mp3[445.120,466.120] YEAH UM HES MISSED A COUPLE OF DAYS IN THE PAST MONTH BECAUSE UH HE JUST DIDNT SLEEP WELL AND THEN NOT FEELING GOOD THE NEXT DAY SO UM YEAH HE HAS +audio/RES0193.mp3[466.120,471.760] OK YEAH SO AND ANY ISSUES WITH THE MOTHERS PREGNANCY WITH HIM AT ALL +audio/RES0193.mp3[471.760,485.240] NO SHES HEALTHY AND THE DELIVERY WAS AT TERM WITH A NORMAL BODY WEIGHT OR BIRTH WEIGHT RATHER AND HE HE WAS HEALTHY WHEN HE WAS BORN +audio/RES0193.mp3[485.240,491.400] SO NO PROLONGED STAY IN THE ICU OR HOSPITAL AFTER THAT +audio/RES0193.mp3[491.400,495.240] NO HE WAS ABLE TO GO HOME LUCKILY +audio/RES0193.mp3[495.240,509.560] OK AND AFTERWARDS HAS HE BEEN MEETING ALL HIS MILESTONES LIKE HIS MOTOR GROSS MOTOR FINE MOTOR SOCIAL SKILLS AND GROWTH AND ALL OF THOSE HAVE BEEN MEETING THEM WELL +audio/RES0193.mp3[509.560,515.200] HE HAS YEAH YEAH HES BEEN MEETING ALL OF HIS MILESTONES AND GROWING WELL +audio/RES0193.mp3[515.200,523.600] OK AND UM ANY AT ALL ISSUES FROM THE SCHOOL IN TERMS OF LEARNING DIFFICULTIES OR ANYTHING LIKE THAT +audio/RES0193.mp3[523.600,526.320] NO HES BEEN DOING WELL UH IN SCHOOL +audio/RES0193.mp3[526.320,531.960] OK THATS GOOD UM DOES HE HAVE ANY SIBLINGS +audio/RES0193.mp3[531.960,535.560] UM NO HES A IT ITS JUST HIM HES OUR ONLY CHILD +audio/RES0193.mp3[535.560,541.920] AND WHATS THE HOME SITUATION LIKE WHO DOES HE LIVE WITH +audio/RES0193.mp3[541.920,554.320] SO ITS MYSELF AND MY WIFE WHICH HIS MOM AND SO ITS JUST US THREE AND WE LIVE IN A UM IN A HOUSE +audio/RES0193.mp3[554.320,558.800] OK UH AND ANYONE IN THE HOUSEHOLD UH DOES ANYONE SMOKE AT ALL +audio/RES0193.mp3[558.800,562.600] NO THERE ARENT ANY SMOKERS IN THE HOME +audio/RES0193.mp3[562.600,571.840] OK AND ANY NEW CARPETS OR ANY DUST RUNNING OR MOLD OR ANYTHING LIKE THAT IN THE HOUSE +audio/RES0193.mp3[571.840,581.440] THAT THERE IS A CARPET AND IN THE BASEMENT THAT HE USES THAT AS HIS PLAYROOM SOMETIMES +audio/RES0193.mp3[581.440,586.880] OK OK YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS AT ALL +audio/RES0193.mp3[586.880,595.640] YEAH I WAS JUST WONDERING LIKE IF THIS COULD BE MAYBE ASTHMA AS WELL +audio/RES0193.mp3[595.640,638.400] YEAH SO DEFINITELY THATS SOMETHING THATS AT THE TOP OF OUR HEAD RIGHT NOW ESPECIALLY DUE TO HIS AGE AND THE SYMPTOMS THAT HES BEEN HAVING AFTER EXERTION IN PARTICULAR AND THE FAMILY HISTORY OF ASTHMA AS WELL SO DEFINITELY THATS SOMETHING THAT WE WANT TO INVESTIGATE SO WHAT WELL DO FOR HIM IS FIRST WELL DO LIKE A FULL PHYSICAL EXAMINATION LISTEN TO HIS ALONGS AND JUST ASSESS HIS BREATHING AND THEN AFTERWARDS WE WILL ORDER SOME TESTS FOR HIM SO HES SIX YEARS OLD RIGHT +audio/RES0193.mp3[638.400,639.720] HE IS YES +audio/RES0193.mp3[639.720,647.160] OK SO WELL SEE IF WE CAN DO SOMETHING CALLED A PULMONARY FUNCTION TEST SOMETIMES IT DEPENDS ON THE CHILD +audio/RES0193.mp3[647.160,690.320] IF THEYRE ABLE TO FOLLOW INSTRUCTIONS AND SO THAT TEST REQUIRES A COMPLETELY BREATHING OUT AND FOLLOWING SOME INSTRUCTIONS DURING THE TEST SO SINCE HES SIX HE MIGHT BE ABLE TO DO THAT WE WE CAN TRY THAT AND THEN AFTERWARDS WELL SEE IF HE REQUIRES ANYTHING LIKE AN ALLERGY TESTING OR WE WILL WE MIGHT NEED TO HELP MANAGE HIS SYMPTOMS WITH A PUFFER FOR EXAMPLE LIKE VENTILIN AND AN INHALED CORTICO STEROID BUT THOSE ARE JUST SOME DISCUSSIONS WILL HAVE IN THE NEAR FUTURE AFTER WEVE DONE ALL THESE INVESTIGATIONS +audio/RES0193.mp3[690.320,692.320] OK GREAT THANK YOU +audio/RES0193.mp3[692.320,694.640] YOURE WELCOME ALRIGHT TAKE CARE +audio/RES0137.mp3[0.000,2.720] SO WHAT UH BRINGS YOU HERE TODAY +audio/RES0137.mp3[2.720,14.200] I AM HERE WITH UH WITH MY DAUGHTER WHO HAS JUST BEEN HAVING A COUGH FOR THE PAST UM TWO WEEKS +audio/RES0137.mp3[14.200,29.080] OKAY UM AND CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT A DRY COUGH OR IS SHE BRINGING ANYTHING UP +audio/RES0137.mp3[29.080,61.440] UM IT IS A IT IS A DRY COUGH UM BUT SHE JUST KEEPS COUGHING AND COUGHING AND AND THEN SHE JUST YOU KNOW ONCE SHELL START COUGHING SHE JUST DOESNT STOP AND THEN UM THERES BEEN TIMES WHEN SHE JUST TURNS BLUE SHES COUGHING SO MUCH UM AND THEN IT JUST GETS GETS BETTER UM ON ITS OWN BUT YEAH ITS A DRY COUGH +audio/RES0137.mp3[61.440,76.960] OKAY AND UM WHAT DOES THE COUGH SOUND LIKE IS IT LIKE A HARSH COUGH A BARKY COUGH +audio/RES0137.mp3[76.960,86.760] UM ITS JUST SHE JUST MAKES THIS NOISE WHEN SHES LIKE BREATHE TRYING TO TAKE A BREATH IN ITS ITS YEAH +audio/RES0137.mp3[86.760,90.760] OKAY IS IT KIND OF A WHEEZE +audio/RES0137.mp3[90.760,94.920] YEAH SURE +audio/RES0137.mp3[94.920,101.680] OKAY UM AND SO THERES EPISODES WHERE SHE ALSO TURNS BLUE +audio/RES0137.mp3[101.680,104.880] WHEN SHES COUGHING A LOT YEAH SHE DOES +audio/RES0137.mp3[105.520,109.640] SHES ALSO VOMITED ONCE OR TWICE +audio/RES0137.mp3[109.640,117.440] OH I SEE OKAY UM ANY BLOOD IN THE VOMIT OR IS SHE COUGHING UP ANY BLOOD +audio/RES0137.mp3[118.840,133.320] NO OKAY UM ANY SO THIS STARTED TWO WEEKS AGO ANY KIND OF SYMPTOMS OF RUNNY NOSE OR UM COLDLIKE SYMPTOMS BEFORE THEN +audio/RES0137.mp3[133.320,168.440] YEAH YEAH SHE DID HAVE A BIT OF A RUNNY NOSE IT WAS JUST UH WATERY UH SINCE DISCHARGE AND AT THAT TIME HER COUGH SHE HAD A COUGH AS WELL UM BUT I THOUGHT IT WAS YOU KNOW ITS NOTHING IT WAS JUST LIKE ANOTHER FLU AND IT WOULD GET BETTER BUT THEN SHE JUST THE RUNNY NOSE GOT BETTER WITHOUT IN A COUPLE OF DAYS BUT THE COUGH STAYED AND IT GOT GOT PRETTY WORSE UH IT GOT WORSE +audio/RES0137.mp3[168.440,174.800] OKAY UM OTHER THAN THE COUGH UH ANY ANY FEVERS OR CHILLS +audio/RES0137.mp3[174.800,179.480] NO I DONT THINK SHES HAD FEVERS I HAVENT CHECKED THOUGH +audio/RES0137.mp3[179.480,184.360] OKAY AND THE COUGH IS PRETTY CONSTANT OR IS IT DOES IT COME AND GO +audio/RES0137.mp3[184.360,202.960] YEAH SHE JUST HAS THESE EPISODES WHERE SHE JUST COUGHS AND COUGHS AND COUGHS AND THEN SHELL EITHER VOMIT OR JUST TURN BLUE OR JUST UM GET BETTER IN A COUPLE COUPLE MINUTES THIS KIND OF COMES AND GOES LIKE THAT +audio/RES0137.mp3[202.960,209.640] OKAY AND IS THERE ANYTHING THAT HAS HELPED HER AT ALL LIKE ANY OVER THE COUNTER MEDICATIONS OR ANYTHING LIKE THAT +audio/RES0137.mp3[209.640,224.080] I HAVENT TRIED ANYTHING IM JUST WORRIED ABOUT YOU KNOW SHES MY FIRST CHILD AND I DONT KNOW WHAT TO GIVE HER AND WHAT NOT TO GIVE HER AT THIS AGE SO I JUST DECIDED TO COME IN AND NOT TRY ANYTHING OVER THE COUNTER +audio/RES0137.mp3[224.080,229.000] OKAY UM AND SO HAS THIS HAPPENED BEFORE AT ALL +audio/RES0137.mp3[230.120,244.720] NO THIS IS THE FIRST TIME OKAY UM ANY SO SHE SHE IS VOMITING UM IS THE VOMIT LIKE GREEN IN COLOUR OR IS SHE JUST VOMITING UP WHAT SHE HAS EATEN WHATS THE CONTENT OF THE MOMENT +audio/RES0137.mp3[244.720,248.520] ITS USUALLY JUST WHAT SHES EATEN +audio/RES0137.mp3[248.520,253.320] OKAY UM ANY SICK CONTACTS RECENTLY OR ANY TRAVEL +audio/RES0137.mp3[253.320,258.920] NO I DONT THINK SO NOT NOTHING REALLY +audio/RES0137.mp3[258.920,265.200] UM AND HOW ABOUT HER BEHAVIOUR DOES SHE SEEM LIKE UH VERY TIRED OR FATIGUED OR MORE IRRITABLE +audio/RES0137.mp3[265.200,274.960] SHE DOES GET TIRED ESPECIALLY AFTER AND THEN SHES IRRITABLE AND CRYING AFTER YOU KNOW SHE HAS THESE FITS OF COUGHS +audio/RES0137.mp3[278.560,284.560] OKAY UM ANY SYMPTOMS OF DIARRHEA OR CONSTIPATION +audio/RES0137.mp3[286.640,293.000] OKAY ANY UM ANY TROUBLE WITH URINATING AT ALL +audio/RES0137.mp3[293.720,296.320] NO HOWS HER SLEEPING LIKE +audio/RES0137.mp3[296.320,315.240] UH NOT GREAT ITS JUST THE COUGH KEEPS UH WAKING HER UP AND SHE JUST DOESNT CANT FALL ASLEEP +audio/RES0137.mp3[315.240,323.600] OKAY ANY UH EXPOSURE TO DUST OR FUMES OR ANIMALS OR PETS AT HOME +audio/RES0137.mp3[323.600,337.760] WE WE DID GET A CAT UM ABOUT A MONTH AGO +audio/RES0137.mp3[337.760,341.480] OKAY UM AND ANY HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0137.mp3[344.600,349.320] UM AND ANY ALLERGIES THAT YOU KNOW OF +audio/RES0137.mp3[349.320,353.000] UM NO +audio/RES0137.mp3[353.000,358.080] AND UM ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0137.mp3[360.160,365.800] AND HOW WAS YOUR PREGNANCY YOUR PREGNANCY WITH HER LIKE ANY COMPLICATIONS AT ALL +audio/RES0137.mp3[365.800,371.440] NO NO COMPLICATIONS IT WAS UH IT WAS VERY YEAH IT WENT WELL +audio/RES0137.mp3[371.440,374.520] AND WAS SHE AT TERM OR PREMATURE +audio/RES0137.mp3[374.520,377.440] SHE WAS AT TERM SHE WAS BORN AT TERM +audio/RES0137.mp3[377.440,380.920] WAS IT A VAGINAL DELIVERY OR UH A CSECTION +audio/RES0137.mp3[380.920,383.720] UH VAGINAL +audio/RES0137.mp3[383.720,389.440] AND DID SHE HAVE TO STAY IN THE NICU AT ALL AT THE HOSPITAL AFTERWARDS +audio/RES0137.mp3[390.680,395.640] OKAY AND IS SHE FEEDING WELL LIKE WHAT DOES SHE USUALLY EAT +audio/RES0137.mp3[395.640,408.160] SHES FEEDING WELL SHES DOING UH SHE EATS EVERYTHING YEAH +audio/RES0137.mp3[408.160,411.160] UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0137.mp3[414.840,422.400] UM AND DOES ANYONE SMOKE IN THE HOUSE +audio/RES0137.mp3[422.400,429.920] UM HER DAD BUT HE HE DOESNT SMOKE IN FRONT OF HER +audio/RES0137.mp3[429.920,440.360] AND WHATS HER LIVING SITUATION LIKE WHO DOES SHE LIVE WITH AND DO YOU LIVE IN A HOUSE APARTMENT +audio/RES0137.mp3[440.360,449.240] OH YEAH WE LIVE IN AN APARTMENT ITS UH ME MY PARTNER HER AND THE CAT +audio/RES0137.mp3[449.240,457.400] OKAY AND ANY DIFFICULTIES OR COMPLICATIONS WITH HER GROWTH LIKE IN TERMS OF HER WEIGHT OR HER HEIGHT +audio/RES0137.mp3[457.400,461.160] NO NO COMPLICATIONS SHES DOING OKAY +audio/RES0137.mp3[461.160,464.920] OKAY AND IN TERMS OF HER MILESTONES HAS SHE BEEN MEETING ALL OF THEM ON TIME +audio/RES0137.mp3[467.840,474.120] OKAY ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0137.mp3[474.120,479.480] UH NO +audio/RES0137.mp3[479.480,489.320] YEAH SO BASED ON THE SYMPTOMS OH YEAH SORRY I FORGOT TO ASK ONE OTHER QUESTION HAS SHE ARE HER IMMUNIZATIONS ALL UP TO DATE +audio/RES0137.mp3[489.320,511.840] OH NO NO I DONT I DONT GET THOSE MY FRIENDS MY FRIENDS DAUGHTER DEVELOPED AUTISM AND IM JUST I DONT WANT THAT YOU KNOW SO NO I DONT VACCINATE MY KIDS OR I DONT VACCINATE MY DAUGHTER AND I HAVENT BEEN YEAH UH NO I WONT BE DOING THAT +audio/RES0137.mp3[511.840,516.840] AND HAVE YOU BEEN VACCINATED THROUGHOUT YOUR LIFE +audio/RES0137.mp3[516.840,525.240] UM MAYBE WHEN I WAS YOUNG BUT I YEAH I DONT I JUST DONT BELIEVE IN VACCINATIONS I YEAH NO I DONT I DONT GET THOSE +audio/RES0137.mp3[525.240,628.400] YEAH SO THERE IS DEFINITELY UH THERES A LOT OF RESEARCH DONE BESIDE BEHIND VACCINATIONS AND A LOT OF PREVENTION GOES INTO THEM BUT DEFINITELY THERE IS SOME ANECDOTAL EVIDENCE OF VERY LOOSE ASSOCIATIONS TO AUTISM THAT HAVE BEEN FOUND TO BE INVALID AND LIKE THEY HAVE BEEN INVALIDATED BY THE RESEARCH SO DEFINITELY ITS VERY IMPORTANT TO GET YOUR CHILD VACCINATED IN FACT THE SUM OF THE SYMPTOMS THAT YOUR CHILD MAY BE HAVING RIGHT NOW CAN BE CAUSED BY SOMETHING CALLED PERTUSSIS AND UM THERES USUALLY A VACCINATION FOR THAT LIKE AFTER PREGNANCY AS WELL SO THATS SOMETHING THAT IS DEFINITELY ON THE DIFFERENTIAL AND AT THIS TIME WE DEFINITELY NEED TO MAKE SURE SHES OKAY AND GET HER VITALS DONE SEE HER OXYGENATION SATURATION AND JUST DO SUPPORTIVE CARE WHILE SHES IN THE HOSPITAL AND WE MAY NEED TO ADMIT HER BUT WELL DO THE FULL PHYSICAL EXAMINATION TODAY GET A COVISWAB DONE AS WELL AND USUALLY IT SHES CURRENTLY IN THE IT SEEMS TO BE THE SECOND PHASE WHERE SHES VOMITING AND COUGHING A LOT AND THEN IT USUALLY AFTER THAT PHASE TWO OR THREE MORE WEEKS OF JUST COUGHING AND SO WERE GOING TO DO SOME SUPPORTIVE CARE FOR HER RIGHT NOW BUT YEAH DEFINITELY YOU SHOULD CONSIDER VACCINATING YOUR CHILD WE RECOMMEND THAT TO EVERY PARENT AS THERES A LOT OF DISEASES OUT THERE THAT CAN BE COMPLETELY PREVENTED IF YOU VACCINATE YOUR CHILD +audio/RES0137.mp3[628.400,633.120] OKAY ILL THINK ABOUT IT +audio/RES0137.mp3[633.120,637.440] ALRIGHT SO SO FOR NOW WERE GONNA JUST MAKE SURE THAT SHES DOING WELL OKAY +audio/RES0137.mp3[638.560,640.560] ALRIGHT TAKE CARE +audio/RES0122.mp3[0.000,2.800] WHAT BRINGS YOU IN TODAY +audio/RES0122.mp3[2.800,24.960] UH YEAH SO I I JUST CAME IN BECAUSE IVE BEEN HAVING FOR THE LAST I WOULD SAY 2 WEEKS JUST A LOT OF CONGESTION IN MY NOSE AND THEN IVE ALSO BEEN FEELING A LOT OF PRESSURE IN MY HEAD AS WELL AS JUST AROUND MY JAWS AND MY FACE OVERALL +audio/RES0122.mp3[24.960,35.280] OKAY AND UM YOU SAID IT STARTED TWO WEEKS AGO HAS IT GOTTEN BETTER OR WORSE OR BEEN THE SAME SINCE THEN +audio/RES0122.mp3[35.280,42.400] UM ID SAY ITS PRETTY MUCH BEEN THE SAME EXCEPT LIKE THE PRESSURES GETTING WORSE +audio/RES0122.mp3[42.400,59.880] OKAY AND DO YOU FIND THAT THE PRESSURE IS WORSE WHEN YOURE BENDING DOWN OR UM YEAH WHEN YOURE LIKE SQUATTING OR SITTING DOWN +audio/RES0122.mp3[59.880,72.440] UM WHEN IM SITTING DOWN I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL LIKE FOR EXAMPLE WHEN IM LYING ON ONE SIDE IT GETS REALLY BAD ON THAT ONE SIDE AND I HAVE TO KIND OF SWITCH OVER TO THE OTHER SIDE +audio/RES0122.mp3[72.440,77.360] OKAY ALRIGHT AND UH WHEN DID YOUR HEADACHES START +audio/RES0122.mp3[77.360,101.560] UM ITS I GUESS ITS NOT SO MUCH AS A HEADACHE AS JUST KIND OF UM JUST PAIN IN AND AROUND THE CHEEKS AND JUST GOING UP TO MY HEAD AND IT STARTED ABOUT I WOULD SAY AROUND 2 WEEKS AGO +audio/RES0122.mp3[101.560,105.320] UM AND DO YOU HAVE A STUFFY NOSE +audio/RES0122.mp3[105.320,114.920] YEAH I DEFINITELY HAVE A STUFFY NOSE AND IT STARTED UM IT SOMETIMES GETS LIKE LIKE A RUNNY NOSE AS WELL +audio/RES0122.mp3[114.920,119.120] YEAH OKAY AND WHATS THE DISCHARGE LIKE +audio/RES0122.mp3[119.120,122.040] UH ITS USUALLY CLEAR +audio/RES0122.mp3[122.040,125.800] OKAY AND DO YOU HAVE A COUGH +audio/RES0122.mp3[125.800,126.880] NO NO COUGHS +audio/RES0122.mp3[126.880,128.640] SORE THROAT +audio/RES0122.mp3[130.400,135.680] UM AND DO YOU HAVE ANY DIFFICULTIES BREATHING +audio/RES0122.mp3[135.680,143.720] UM NO NOT THAT IVE NOTICED SOMETIMES WHEN IT GETS REALLY STUFFY I UH HAVE TO BREATHE THROUGH MY MOUTH +audio/RES0122.mp3[143.720,147.680] YEAH I SEE DO YOU HAVE ANY DIFFICULTY SWALLOWING +audio/RES0122.mp3[147.680,148.760] UH NO +audio/RES0122.mp3[148.760,154.440] ANY CHEST PAIN OR ANY HEART UM PALPITATIONS +audio/RES0122.mp3[155.680,159.080] UM ANY PAIN IN YOUR BELLY +audio/RES0122.mp3[159.080,160.040] UH NOPE +audio/RES0122.mp3[160.040,161.840] NAUSEA OR VOMITING +audio/RES0122.mp3[162.040,165.920] CHANGES IN YOUR BOWEL MOVEMENT +audio/RES0122.mp3[166.560,169.240] ANY URINARY SYMPTOMS +audio/RES0122.mp3[170.000,172.120] ANY MUSCLE ACHES +audio/RES0122.mp3[173.120,176.960] UM ANY FEVERS OR CHILLS +audio/RES0122.mp3[176.960,178.920] NO NOT THAT IVE NOTICED +audio/RES0122.mp3[178.920,183.640] ANY WEIGHT CHANGES IN YOUR WEIGHT RECENTLY +audio/RES0122.mp3[183.640,185.160] NO NO CHANGES +audio/RES0122.mp3[185.160,188.440] ANY UH NIGHT SWEATS +audio/RES0122.mp3[188.440,189.360] UH NO +audio/RES0122.mp3[189.360,200.640] OKAY UM ALRIGHT SO HAVE YOU HAD ANY CONTACT WITH ANYONE WHO COULD HAVE BEEN SICK IN THE PAST TWO WEEKS OR BEFORE THAT +audio/RES0122.mp3[200.640,206.160] NO NO IM VERY LIKE CAREFUL UM I BARELY GO OUT +audio/RES0122.mp3[206.160,211.280] GOOD THATS VERY GOOD UM ARE YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +audio/RES0122.mp3[212.000,219.160] OKAY AND UM DO YOU CURRENTLY WORK +audio/RES0122.mp3[219.160,223.200] I WORK FROM HOME RIGHT NOW UM IM AN ACCOUNTANT +audio/RES0122.mp3[223.200,227.840] OKAY AND DO YOU LIVE WITH ANYONE ELSE OR DO YOU LIVE ALONE +audio/RES0122.mp3[227.840,234.840] UH SO I LIVE WITH MY FAMILY I LIVE WITH MY HUSBAND AND UM TWO DAUGHTERS +audio/RES0122.mp3[234.840,238.360] HAVE ANY OF THEM BEEN SICK RECENTLY +audio/RES0122.mp3[238.360,239.920] NO THEYVE BEEN FINE +audio/RES0122.mp3[239.920,244.080] OKAY GOOD UM AND DO YOU SMOKE +audio/RES0122.mp3[244.080,245.480] NO NOT AT ALL +audio/RES0122.mp3[245.480,249.520] DO YOU SMOKE MARIJUANA OR CONSUME ANY RECREATIONAL DRUGS +audio/RES0122.mp3[249.520,254.640] PROBABLY THE LAST TIME WAS IN COLLEGE UM FOR MARIJUANA +audio/RES0122.mp3[254.640,258.320] I SEE UM WHAT ABOUT ALCOHOL +audio/RES0122.mp3[258.320,262.720] ALCOHOL ILL PROBABLY HAVE A GLASS OF RED WINE A DAY +audio/RES0122.mp3[262.720,278.440] ALRIGHT OKAY AND UM HAVE YOU DO YOU HAVE ANY UM I GUESS CARPETS OR OR UM CURTAINS OR ANY SORT OF ANIMALS AROUND ANYTHING THAT MIGHT CAUSE ANY KIND OF ENVIRONMENTAL ALLERGIES +audio/RES0122.mp3[278.440,281.440] UH NO NOTHING LIKE THAT +audio/RES0122.mp3[281.440,289.600] OKAY UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0122.mp3[289.600,291.880] NO IVE BEEN COMPLETELY HEALTHY +audio/RES0122.mp3[291.880,294.960] ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0122.mp3[294.960,300.640] I DID HAVE A UM CSECTION WITH BOTH MY BOTH MY CHILDREN +audio/RES0122.mp3[300.640,303.800] I SEE ANY COMPLICATIONS AFTER +audio/RES0122.mp3[303.800,308.240] NO COMPLICATIONS AFTER THEY WERE BOTH HEALTHY I I DIDNT HAVE TO STAY IN THE HOSPITAL +audio/RES0122.mp3[308.240,316.880] GREAT GREAT UM AND ANY ALLERGIES UH TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES +audio/RES0122.mp3[316.880,318.280] NOPE NOT THAT I KNOW OF +audio/RES0122.mp3[318.280,322.800] ANY MEDICATIONS INCLUDING OVER THE COUNTER HERBAL MEDICATIONS +audio/RES0122.mp3[322.800,331.320] I HAVE UH I DO TAKE UH TYLENOL COLD IN BED SOMETIMES TO RELIEVE SOME OF THE PAIN AND PRESSURE +audio/RES0122.mp3[331.320,339.600] THATS GOOD THATS GOOD IS THERE ANYTHING ELSE THAT MAKES THE THE PRESSURE AND THE PAIN BETTER +audio/RES0122.mp3[339.600,349.360] UM I HAVE DONE THOSE LIKE KIND OF THOSE STEAM UM THERAPIES THAT SOMETIMES HELPS +audio/RES0122.mp3[349.360,362.440] OKAY GOOD GOOD GOOD UM ANY UH ANYTHING THAT MAKES THE THAT MAKES IT WORSE I KNOW THAT LYING ON ONE SIDE YOU SAID MAKES THINGS WORSE FOR YOU ANYTHING ELSE THATS MADE THE PRESSURE WORSE +audio/RES0122.mp3[362.440,364.480] UM NO I WOULD SAY THATS THATS ABOUT IT +audio/RES0122.mp3[364.480,370.120] OKAY ANY CHANGES IN YOUR SENSE OF SMELL +audio/RES0122.mp3[370.120,375.320] YEAH DEFINITELY UH WHEN I GET REALLY STUFF STUFFY LIKE I DONT REALLY SMELL ANYTHING +audio/RES0122.mp3[375.320,378.360] WHAT ABOUT SENSE OF TASTE +audio/RES0122.mp3[378.360,394.200] UM TASTE I GUESS LIKE WITH THE SMELL GONE SOMETIMES LIKE THE TASTE FEELS WEIRD TOO BUT LIKE NOT NOT REALLY +audio/RES0122.mp3[394.200,400.160] I SEE OKAY UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0122.mp3[400.160,410.600] UM MY MY FATHER DID HAVE A HEART ATTACK IN HIS UH I THINK IT WAS LATE 50S BUT HES WELL AND ALIVE RIGHT NOW SO HES FINE +audio/RES0122.mp3[410.600,500.360] GOOD ALRIGHT WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THE SYMPTOMS THAT YOUVE SHARED WITH ME IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED UM RHINOSINUSITIS UH WHICH IS BASICALLY INFLAMMATION OF THE SINUSES AND OF THE UH OF THE NASAL CAVITY OR THE AREA INSIDE YOUR NOSE AND UH OFTEN ITS JUST TREATED WITH CONSERVATIVE MANAGEMENT SO JUST CONTINUE TO TAKE UM TYLENOL IF THAT SEEMS TO HELP YOU AND DO THE STEAM THERAPY IT WILL TAKE TIME TO GET BETTER UM BUT IF YOU FEEL THAT ITS UM ITS NOT GETTING BETTER IN THE NEXT WEEK OR SO GIVE US A CALL AGAIN AND WE CAN MAYBE SEE IF ITS A BACTERIAL INFECTION AND SEE IF UM IF ANTIBIOTICS MIGHT BE NEEDED BUT OFTENTIMES ITS USUALLY A VIRAL INFECTION AND ANTIBIOTICS ARE NOT NEEDED AND SORT OF JUST RESTING AND TAKING CARE OF YOURSELF UM AND TRYING TO MANAGE THE SYMPTOMS THAT WAY CAN HELP UM BUT ALSO CHECK YOUR TEMPERATURE HERE TO SEE IF YOU HAVE ANY FEVERS AND UH GO FROM THERE WELL ALSO I GUESS WELL ALSO DO A COVISWAB BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SOME OF THOSE SYMPTOMS UM AND WED RECOMMEND THAT YOU QUARANTINE UNTIL AT LEAST UH SWABS SWAB RESULTS ARE OUT AND THEN PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO +audio/RES0122.mp3[500.720,503.040] DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0122.mp3[503.040,505.560] UH NO THATS ALL THANK YOU SO MUCH +audio/RES0122.mp3[505.560,506.120] YOURE WELCOME +audio/RES0089.mp3[0.000,3.760] CAN YOU TELL ME WHAT BROUGHT YOU IN HERE TODAY +audio/RES0089.mp3[3.760,25.160] SURE IVE BEEN FEELING VERY SHORT OF BREATH FOR THE PAST UH TWO WEEKS BUT EVEN BEFORE THAT I STARTED FEELING A LITTLE BIT SHORT OF BREATH AND I CANT STOP COUGHING AND IT JUST FEELS LIKE ITS REALLY HARD FOR ME TO BREATHE +audio/RES0089.mp3[25.160,28.000] OK SO THIS STARTED TWO WEEKS AGO +audio/RES0089.mp3[28.000,30.480] YEAH IT STARTED TWO WEEKS AGO +audio/RES0089.mp3[30.480,32.520] OK AND YOURE ALSO COUGHING +audio/RES0089.mp3[35.120,38.720] OK AND HOW LONG HAVE YOU BEEN COUGHING FOR +audio/RES0089.mp3[38.720,44.800] THE SAME AMOUNT OF TIME IT STARTED ABOUT MAYBE THREE WEEKS AGO I STARTED COUGHING MORE UM BUT NOW ITS WORSE +audio/RES0089.mp3[44.800,54.960] OK AND WHAT KIND OF COUGH ARE YOU HAVING IS IT A WET COUGH OR A DRY COUGH +audio/RES0089.mp3[54.960,61.320] ITS DEFINITELY WET MY PHLEGM LOOKS GREEN +audio/RES0089.mp3[61.320,63.960] OK AND HOW LONG HAVE YOU NOTICED IT BEING GREEN +audio/RES0089.mp3[63.960,71.520] ITS BEEN LIKE THAT FOR THE PAST TWO WEEKS +audio/RES0089.mp3[71.520,80.000] OK AND BEFORE THAT WERE YOU HAVING COUGHING AS WELL +audio/RES0089.mp3[80.000,85.800] YEAH BEFORE THAT I WAS STILL COUGHING BUT NOT AS MUCH +audio/RES0089.mp3[85.800,96.680] OK UHM AND WAS THERE ANYTHING THAT HAPPENED UH DID YOU GET SICK AT ALL RECENTLY OR WERE YOU IN CONTACT WITH ANYONE WHO WAS SICK +audio/RES0089.mp3[96.680,100.120] NO NOT THAT I KNOW OF +audio/RES0089.mp3[100.120,104.160] OK ANY KIND OF FEVERS AT ALL +audio/RES0089.mp3[104.160,109.520] NO NO FEVERS +audio/RES0089.mp3[109.520,116.960] OK HAVE YOU NOTICED ANY KIND OF UH COUGHING UP BLOOD OR BLOOD TINGED SPUTUM AT ALL +audio/RES0089.mp3[116.960,121.840] UHM NO NOT THAT NO BLOOD +audio/RES0089.mp3[121.840,128.240] OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP IN AN AVERAGE DAY NOW +audio/RES0089.mp3[128.240,145.040] UHM IM BRINGING UP ABOUT ID SAY IT WOULD FILL LIKE TWO TWO OF MY PALMS LIKE THE INSIDE OF MY PALM +audio/RES0089.mp3[145.040,152.000] OK ALRIGHT AND IS YOUR COUGHING LIKE CONSTANT OR DOES IT COME AND GO +audio/RES0089.mp3[152.000,157.720] ITS PRETTY CONSTANT NOW +audio/RES0089.mp3[157.720,162.040] OK AND HAVE YOU HAD AT ALL ANY KIND OF UH FEVERS OR ANYTHING LIKE THAT +audio/RES0089.mp3[162.040,165.680] NO FEVERS +audio/RES0089.mp3[165.680,183.240] OK AND HOW ABOUT YOUR SHORTNESS OF BREATH IS THAT WHEN DOES THAT HAPPEN IS IT MAINLY WITH EXERCISE AND EXERTION OR CAN IT HAPPEN EVEN WHEN YOURE JUST GOING ON ABOUT YOUR DAY +audio/RES0089.mp3[183.240,192.920] UHM ITS UH OK ITS MORE WITH EXERTION BUT RIGHT NOW EVEN AT REST IM COUGHING AND FEELING SHORT OF BREATH +audio/RES0089.mp3[192.920,200.680] OK AND ARE YOU FEELING AT ALL ANY KIND OF UH CHEST TIGHTNESS OR PAIN +audio/RES0089.mp3[200.680,204.280] UH YEAH SOME CHEST TIGHTNESS +audio/RES0089.mp3[204.280,215.160] AND IS THAT MAINLY WHEN YOURE COUGHING AND SHORT OF BREATH OR UHM AT OTHER TIMES AS WELL +audio/RES0089.mp3[215.160,218.840] UHM OTHER TIMES AS WELL +audio/RES0089.mp3[218.840,232.400] OK ARE YOU HAVING ANY OTHER ANY OTHER LIKE CAN YOU DESCRIBE YOUR CHEST PAIN A LITTLE BIT IS IT KIND OF A PRESSURE PAIN OR IS IT A SHARP PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT +audio/RES0089.mp3[232.400,240.840] UHM I WOULD SAY ITS A UH ITS A TIGHTNESS IN MY CHEST AND IT FEELS I GUESS THROBBING OR ACHY +audio/RES0089.mp3[240.840,251.640] OK AND DOES THIS PAIN UHM MOVE TO ANYWHERE ELSE OR DOES IT JUST STAY IN YOUR CHEST +audio/RES0089.mp3[251.640,254.480] UH IT JUST STAYS IN MY CHEST +audio/RES0089.mp3[254.480,259.280] OK HAVE YOU BEEN FEELING DIZZY OR HAVE YOU FAINTED AT ALL +audio/RES0089.mp3[259.280,260.360] UH NO +audio/RES0089.mp3[260.360,266.800] HAVE YOU BEEN FEELING INCREASED SWEATING AND CONFUSION ANYTHING LIKE THAT +audio/RES0089.mp3[269.920,277.040] OK HAVE YOU FELT YOUR HEART RACING AND ANYTHING LIKE THAT +audio/RES0089.mp3[278.520,288.280] OK ALRIGHT AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +audio/RES0089.mp3[288.280,301.880] UHM I GUESS ACTIVITY MAKES IT WORSE UN AND LIKE COLD AIR THINGS LIKE THAT +audio/RES0089.mp3[301.880,311.720] OK AND OTHER THAN THAT HAVE YOU RECENTLY AT ALL TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE +audio/RES0089.mp3[311.720,314.600] UH NO NO NOT RECENTLY +audio/RES0089.mp3[314.600,321.640] OK NOW ARE YOU HAVING ANY WHEEZING AT ALL +audio/RES0089.mp3[321.640,326.160] UHM SOME WHEEZING YEAH +audio/RES0089.mp3[326.160,333.320] OK AND ANY KIND OF HEADACHES OR NAUSEA OR VOMITING +audio/RES0089.mp3[333.320,336.240] NO NOTHING LIKE THAT +audio/RES0089.mp3[336.240,341.200] OK AND ANY FEVERS OR CHILLS +audio/RES0089.mp3[341.200,344.040] AH NOPE NOTHING LIKE THAT +audio/RES0089.mp3[344.040,346.560] ANY NIGHT SWEATS +audio/RES0089.mp3[346.560,353.120] AH SOMETIMES I FEEL SWEATY BUT THATS JUST WITH THE SHORTNESS OF BREATH +audio/RES0089.mp3[353.120,357.400] OK AND HOW LONG DOES YOUR SHORTNESS OF BREATH USUALLY LAST +audio/RES0089.mp3[357.400,377.240] IT LASTS ABOUT UH I DONT KNOW I KIND OF FEEL SHORT OF BREATH ALL THE TIME BUT WHEN ITS REALLY BAD IT LASTS ABOUT FIVETEN MINUTES AND THEN IT GOES BACK TO LIKE MY NORMAL SHORTNESS OF BREATH +audio/RES0089.mp3[377.240,382.440] OK AND HAS THIS HAPPENED TO YOU BEFORE +audio/RES0089.mp3[382.440,386.360] UHM NO I DONT THINK SO +audio/RES0089.mp3[387.600,392.800] LIKE NOT NOT THIS BAD IVE ALWAYS HAD SOME SHORTNESS OF BREATH BUT NOTHING LIKE THIS +audio/RES0089.mp3[392.800,401.720] OK AND UH DO YOU HAVE ANY KIND OF DIARRHEA OR CONSTIPATION +audio/RES0089.mp3[401.720,405.480] UHM NO NOTHING LIKE THAT +audio/RES0089.mp3[405.480,408.040] OK HOW ABOUT FATIGUE +audio/RES0089.mp3[408.040,411.400] YEAH I FEEL FATIGUED +audio/RES0089.mp3[411.400,422.720] OK AND IS THAT JUST ABOUT TODAY OR IS IT DO YOU THINK ITS BECAUSE OF YOUR SHORTNESS OF BREATH +audio/RES0089.mp3[422.720,425.520] YEAH ITS PROBABLY CAUSE OF MY SHORTNESS OF BREATH +audio/RES0089.mp3[425.520,430.600] ARE YOU HAVING ANY OF THESE SYMPTOMS WHEN YOURE TRYING TO SLEEP +audio/RES0089.mp3[430.600,446.640] UH YEAH I THINK ITS YEAH WHEN IM LAYING DOWN SOMETIMES I FEEL MORE SHORT OF BREATH THAN USUAL BUT ONCE I SHIFT POSITIONS IT GOES BACK TO ITS NORMAL +audio/RES0089.mp3[446.640,452.840] OK IS IT DO YOU EVER HAVE TO WAKE UP AT NIGHT TO CATCH A BREATH OR ANYTHING LIKE THAT +audio/RES0089.mp3[452.840,456.560] AH NO IT DOESNT WAKE ME UP +audio/RES0089.mp3[456.560,467.040] AND HAVE YOU NOTICED ANY KIND OF UH SIGNIFICANT WEIGHT LOSS OR ANYTHING LIKE THAT RECENTLY +audio/RES0089.mp3[467.800,480.840] OK AND HAVE YOU AT ALL HAD ANY CHANGES IN YOUR APPETITE OR ANYTHING LIKE THAT +audio/RES0089.mp3[480.840,486.320] NO NO CHANGE IN APPETITE +audio/RES0089.mp3[486.320,492.840] OK ANY EXPOSURES TO ANY LIKE DUST FUMES OR ANY IRRITANTS RECENTLY +audio/RES0089.mp3[494.440,501.720] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0089.mp3[501.720,508.480] UHM JUST COPUHM AND I ALSO HAVE SOME CONGESTIVE HEART FAILURE +audio/RES0089.mp3[508.480,512.960] OK AND WHEN WERE YOU DIAGNOSED WITH BOTH OF THEM +audio/RES0089.mp3[512.960,523.680] COPIVE BEEN I GOT DIAGNOSED ABOUT SEVEN YEARS AGO CHF ABOUT TWO YEARS AGO +audio/RES0089.mp3[523.680,535.000] OK AND UH RIGHT NOW DO YOU HAVE ANY SYMPTOMS OF ANY SWELLING IN YOUR EXTREMITIES LIKE LEGS HANDS OR ANYTHING LIKE THAT +audio/RES0089.mp3[535.000,540.880] SOME SWELLING IN SOME SWELLING IN MY LEGS YEAH +audio/RES0089.mp3[540.880,550.200] OK AND DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH WHEN YOURE LYING DOWN AT ALL +audio/RES0089.mp3[550.200,559.560] UH A LITTLE BIT YEAH A LITTLE BIT I WOULD SAY +audio/RES0089.mp3[559.560,562.760] OK AND ANY OTHER MEDICAL CONDITIONS +audio/RES0089.mp3[562.760,564.760] NOPE NO OTHERS +audio/RES0089.mp3[564.760,566.440] ANY ALLERGIES +audio/RES0089.mp3[567.040,571.560] ANY MEDICATIONS YOURE ON RIGHT NOW +audio/RES0089.mp3[571.560,600.120] YEAH IM ON UH AN ACE INHIBITOR IM ON UH SPIRONOLACTONE UHM IM ON I HAVE SOME PUFFERS FOR MY COPI BELIEVE WHAT DO I HAVE I HAVE UM I HAVE A LONG ACTING BETA AGONIST AND I GUESS I HAVE A SHORT ACTING AS WELL FOR WHEN I NEED IT +audio/RES0089.mp3[600.120,612.720] OK AND DO YOU HAVE SO IS IT JUST THE TWO TWO PUFFERS +audio/RES0089.mp3[618.560,635.640] OK AND ARE YOU USING LIKE THE BLUE ONE THE BLUE ONE MORE AT ALL ARE YOU HAVING TO USE THE SHORT ACTING ONE MORE +audio/RES0089.mp3[635.640,642.600] IM DEFINITELY USING THE SHORT ACTING MORE LIKE IM USING IT ALMOST EVERY DAY +audio/RES0089.mp3[642.600,646.720] AND DOES IT HELP AT ALL +audio/RES0089.mp3[646.720,651.720] UH I4 THINK SO +audio/RES0089.mp3[651.720,658.320] OK YEAH SO OTHER THAN THAT ARE YOU ON ANY OTHER MEDICATIONS +audio/RES0089.mp3[659.360,665.760] NO OK AND HAVE YOU BEEN TAKING YOUR SPIRONOLACTONE +audio/RES0089.mp3[665.760,669.640] YEAH IVE BEEN TAKING ALL MY MEDICATIONS +audio/RES0089.mp3[669.640,674.600] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0089.mp3[674.600,686.040] I WAS HOSPITALISED TWO YEARS AGO FOR SHORTNESS OF BREATH AND SOME LOW OXYGEN THATS WHEN THEY DIAGNOSED ME WITH CHF +audio/RES0089.mp3[686.040,703.240] I SEE OK AND DID THEY SAY AT ALL IT WAS CAUSED BY LIKE YOUR COPOR WHAT WAS IT CAUSED BY DO YOU REMEMBER +audio/RES0089.mp3[703.240,717.120] UHM I GUESS JUST YEAH IM NOT REALLY TOO SURE THEY SAID I HAD SOME HEART CONDITION AND MY HEART ISNT FUNCTIONING AS WELL AS IT SHOULD BE THEY DID AN ECHO ON ME +audio/RES0089.mp3[717.120,723.360] OK AND HAVE YOU AT ALL HAD ANY KIND OF HEART ATTACKS OR ANYTHING LIKE THAT +audio/RES0089.mp3[724.120,741.000] NO OK AND DID THEY WHEN YOU WERE HAVING SHORTNESS OF BREATH DID YOU HAVE A LIKE A PNEUMONIA OR INFECTION THAT YOU HAD TO GET ANTIBIOTICS FOR ANY OR ANYTHING LIKE THAT +audio/RES0089.mp3[741.000,752.680] UHM NO ACTUALLY I MIGHT HAVE GOTTEN SOME ANTIBIOTICS AT ONE POINT BUT NOT DURING THAT VISIT +audio/RES0089.mp3[752.680,757.600] OK OK AND CURRENTLY RIGHT NOW DO YOU SMOKE +audio/RES0089.mp3[757.600,765.360] NO I STOPPED SMOKING TWO YEARS AGO +audio/RES0089.mp3[765.360,785.800] YEAH NO THATS REALLY GOOD AND DEFINITELY WITH THESE SYMPTOMS AND YOUR CONDITION THAT DEFINITELY HELPS TO QUIT SMOKING WHENEVER YOU CAN SO CONGRATULATIONS FOR THAT ANY ALCOHOL AT ALL +audio/RES0089.mp3[785.800,789.320] I DRINK SOME ALCOHOL I DRINK MAYBE ONCE A WEEK +audio/RES0089.mp3[789.320,795.160] OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0089.mp3[795.160,802.640] I SMOKE ONCE IN A WHILE +audio/RES0089.mp3[802.640,805.680] OK HOW OFTEN WOULD YOU SAY YOU SMOKE MARIJUANA +audio/RES0089.mp3[805.680,820.840] I SMOKE ABOUT A JOINT A WEEK +audio/RES0089.mp3[820.840,831.120] OK AND UH DO YOU USE A LIKE THE PROVINCIAL MARIJUANA OR DO YOU HAVE ANY OTHER SOURCE WHAT WOULD YOU SAY YOU USE +audio/RES0089.mp3[831.120,839.760] I USE UHM PARDON ME WHAT WAS THAT DO I USE +audio/RES0089.mp3[839.760,846.000] LIKE UH DO YOU GET IT FROM A STORE THAT SELLS THE JOINT +audio/RES0089.mp3[846.000,852.240] YEAH I GET IT FROM LIKE A MEDICAL DISPENSARY +audio/RES0089.mp3[852.240,865.080] OK OK I SEE YEAH I JUST WANT TO MAKE SURE BECAUSE SOME IF YOU GET IT FROM OTHER SOURCES THERE MIGHT BE MORE IRRITANTS IN THERE THAT CAN CAUSE SOME OF YOUR SYMPTOMS AND FOR THEM TO GET WORSE AS WELL SO YEAH +audio/RES0089.mp3[865.080,867.720] OH I SEE I SEE OK +audio/RES0089.mp3[867.720,877.120] YEAH AND OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL +audio/RES0089.mp3[877.120,879.920] NO WHAT DO YOU THINK I SHOULD DO FROM FOR NOW +audio/RES0089.mp3[879.920,974.520] YEAH SO RIGHT NOW WHAT WERE GOING TO DO IS BECAUSE YOURE HAVING THE COUGHING SHORTNESS OF BREATH AND YOU HAVE A HISTORY OF COP CHF WE DEFINITELY WANT TO MAKE SURE THAT YOURE NOT HAVING UHM WHAT I THINK YOU MIGHT BE HAVING ISNT JUST AN EXACERBATION OF YOUR COPAND ESPECIALLY WITH THE GREEN SPUTUM IT MIGHT BE LIKE A BACTERIAL INFECTION THATS CAUSING YOUR SYMPTOMS TO GET WORSE SO WELL DO ALL THE APPROPRIATE TESTING WELL DO A CHEST XRAY WELL GET SOME BLOOD WORK DONE AS WELL WELL GIVE YOU SOME UH VENTOLIN AS WELL WHILE YOURE HERE AND WE MIGHT GIVE YOU LIKE A STEROID MEDICATION AS WELL SO WELL DO SOME OF THOSE THINGS RIGHT NOW FOR YOU TO KIND OF HELP YOU RIGHT NOW AS WELL AS DO SOME OF THOSE TESTS THAT I MENTIONED DEPENDING ON WHAT COMES BACK YOU MIGHT REQUIRE AN ADMISSION TO THE HOSPITAL JUST BECAUSE WE WANT TO MAKE SURE YOU DONT GO HOME WITH AN EXACERBATION ESPECIALLY WITH THE CHF AS WELL WE NEED TO WE WILL NEED TO GET THAT UNDER CONTROL BECAUSE THAT CAN GET WORSE WITH YOUR COPEXACERBATION AS WELL SO WE NEED TO MAKE SURE SOME OF THAT SWELLING GOES DOWN IF WE NEED TO ADJUST YOUR MEDICATIONS WHILE YOURE HERE SO YEAH LETS JUST ILL GET BACK TO YOU WELL DO SOME OF THOSE TESTING AND THEN SEE WHERE TO GO FROM THERE IS THAT OK +audio/RES0089.mp3[974.520,976.720] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0089.mp3[976.720,981.840] YOURE WELCOME +audio/MSK0038.mp3[0.000,1.800] WHAT BRINGS YOU IN +audio/MSK0038.mp3[1.800,37.280] HI IVE IVE HAD UM THIS PAIN IN MY LEFT KNEE THATS BEEN GOING ON NOW FOR THE LAST UH THREE OR FOUR MONTHS UM BUT ITS GOTTEN A BIT A BIT WORSE IT USED TO ONLY REALLY BUG ME WHILE I WAS DOING ACTIVITY AND NOW ITS STARTED TO UH HURT EVEN MORE UM AFTERWARDS AS WELL SO IM GETTING THE PAIN AT AT REST AND SO I WANTED TO COME AND GET THAT CHECKED OUT +audio/MSK0038.mp3[37.280,46.160] OK YEAH FOR SURE UM AND YOU SAID IT STARTED A FEW WEEKS AGO +audio/MSK0038.mp3[46.160,62.720] UH WELL I THINK IT FIRST STARTED A FEW MONTHS AGO BUT IN THE PAST COUPLE OF WEEKS IT HAS STARTED TO UM KINDA LIKE LAST LONGER AND AND HAPPEN AT REST AS WELL +audio/MSK0038.mp3[62.720,79.480] YEAH AND SO DOES ANYTHING MAKE IT WORSE OR BETTER I ASSUME DOING ANY SORT OF PHYSICAL ACTIVITY MAKES IT WORSE AND REST MAKES IT BETTER BUT HOW ABOUT ANYTHING OTHER THAN THAT +audio/MSK0038.mp3[79.480,98.240] UHM NOT REALLY YEAH ITS MOSTLY JUST THE THE ACTIVITY IF IM GOING UPSTAIRS OR UM DOWNSTAIRS OR UH DURING RUNNING IS REALLY WHERE IT HURTS THE MOST AND THATS WHATS BUGGED ME THE UM YEAH THE MOST RUNNING +audio/MSK0038.mp3[98.240,107.400] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY SHARP DULL ACHY CRAMPY +audio/MSK0038.mp3[107.400,123.240] UH ITS A SHARP PAIN UH ALMOST LIKE EVERY TIME MY FOOT HITS THE GROUND I GET LIKE A SHARP STABBING PAIN AND WHILE IM AT AT REST IT FEELS A BIT MORE DULL WHILE YEAH YEAH WHILE IM AT REST +audio/MSK0038.mp3[123.240,130.600] OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN +audio/MSK0038.mp3[130.600,132.960] A SIX +audio/MSK0038.mp3[132.960,139.200] OK ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +audio/MSK0038.mp3[139.200,180.000] UH I DID HAVE SOMETHING SIMILAR LIKE MANY YEARS AGO I USED TO BE A ROWER UH IN UNDERGRAD AND I GOT SOME SIMILAR PAINS BEFORE AND I MEAN WITH SOME STRETCHING AND UM OTHER I DONT KNOW KIND OF STRENGTHENING STUFF IT IT KIND OF HELPED BUT I DIDNT GO SEE ANYBODY FOR IT AT THAT TIME BECAUSE IT IT KIND OF WENT AWAY AFTER A LITTLE WHILE +audio/MSK0038.mp3[180.000,183.920] OK OK UM AND YOU SAID YOU WERE ARE YOU STILL ROWING +audio/MSK0038.mp3[183.920,187.280] NO NO THE ONLY ACTIVITY THAT IM DOING NOW IS IS RUNNING +audio/MSK0038.mp3[187.280,201.360] RUNNING OK AND FROM WHEN IT STARTED TO NOW IN THE PAST COUPLE OF WEEKS HAS IT CHANGED LIKE DRAMATICALLY UM IS IT AFFECTING YOUR DAY TO DAY LIFE +audio/MSK0038.mp3[201.360,216.320] UH A LITTLE BIT YEAH LIKE EVEN NOW JUST WALKING I CAN I CAN FEEL IT UM THE PAINS NOT AS SEVERE BUT LIKE AS WHEN IM RUNNING BUT I CAN IM STARTING TO NOTICE IT UH DAILY +audio/MSK0038.mp3[216.320,224.160] OK ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY UM SYMPTOMS LIKE FEVERS OR CHILLS +audio/MSK0038.mp3[224.160,227.400] NO NOTHING LIKE THAT +audio/MSK0038.mp3[227.400,232.240] NO ANY WEIGHT LOSS +audio/MSK0038.mp3[232.240,233.760] UH NO WEIGHT LOSS +audio/MSK0038.mp3[233.760,237.240] NO ANY RASHES +audio/MSK0038.mp3[237.240,240.120] UH NO RASHES +audio/MSK0038.mp3[240.120,247.160] NO UH CHANGES TO YOUR UH VISION HEARING TASTE OR SMELL +audio/MSK0038.mp3[247.160,251.280] UH NO CHANGES THERE +audio/MSK0038.mp3[251.280,257.520] OK HOW ABOUT A COUGH SHORTNESS OF BREATH OR UM WHEEZING +audio/MSK0038.mp3[257.520,259.600] NOTHING LIKE THAT +audio/MSK0038.mp3[259.600,265.480] OK HOW ABOUT UH CHEST PAIN HEART PALPITATIONS +audio/MSK0038.mp3[265.480,269.240] NO I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0038.mp3[269.240,273.720] OK UM ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/MSK0038.mp3[273.720,278.240] NO I HAVENT HAD ANY DIARRHEA OR YEAH EVERYTHINGS BEEN NORMAL THERE +audio/MSK0038.mp3[278.240,281.120] OK NAUSEA OR VOMITING +audio/MSK0038.mp3[283.080,286.120] NO UM HOW ABOUT ABDOMINAL PAIN +audio/MSK0038.mp3[286.120,293.240] NO I HAVENT HAD ANY UH ANY ABDOMINAL PAIN NOTHING LIKE THAT +audio/MSK0038.mp3[293.240,296.880] OK ANY CHANGES TO YOUR URINE +audio/MSK0038.mp3[296.880,299.840] NO UH NO I HAVENT HAD ANY ISSUES WITH THAT +audio/MSK0038.mp3[299.840,301.080] OK HOW ABOUT UH HEADACHES +audio/MSK0038.mp3[301.080,307.320] NO I HAVENT HAD ANY HEADACHES +audio/MSK0038.mp3[307.320,311.640] OK UM ANY PAIN ELSEWHERE ON YOUR BODY +audio/MSK0038.mp3[311.640,316.440] UH NOPE IVE ITS JUST MY YEAH JUST MY KNEE +audio/MSK0038.mp3[316.440,320.960] OK ANY NUMBNESS OR TINGLING IN THE AREA +audio/MSK0038.mp3[320.960,325.880] NO I HAVENT HAD ANYTHING LIKE THAT ITS JUST THE UH SHARP PAIN +audio/MSK0038.mp3[325.880,331.320] OK HOW ABOUT CONFUSION OR MEMORY LOSS +audio/MSK0038.mp3[331.320,334.840] NO I HAVENT HAD THAT +audio/MSK0038.mp3[334.840,348.840] OK UM ANY UM MUSCLE ACHES AROUND THE KNEE LIKE SO JUST ABOVE YOUR KNEE WHERE YOUR QUADS ARE OR JUST BELOW +audio/MSK0038.mp3[348.840,351.040] UM NO NOTHING NOTHING LIKE THAT +audio/MSK0038.mp3[351.040,358.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0038.mp3[358.480,366.360] UM YEAH IM OTHERWISE HEALTHY I ITS NOTHING THAT I SEE THE DOCTOR FOR IVE NEVER BEEN DIAGNOSED WITH ANYTHING +audio/MSK0038.mp3[366.360,374.840] OK UM HOW ABOUT HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0038.mp3[374.840,377.160] UM NOTHING LIKE THAT NO +audio/MSK0038.mp3[377.160,382.480] NO OK UM ANY MEDICATIONS THAT YOURE ON +audio/MSK0038.mp3[382.480,391.080] UM NOPE I I DONT TAKE ANYTHING JUST WELL NO MEDICATIONS BUT I DO TAKE A LIKE A MULTIVITAMIN +audio/MSK0038.mp3[391.080,396.560] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/MSK0038.mp3[396.560,401.840] I AM YEAH ILL GET THE FLU SHOT EACH YEAR +audio/MSK0038.mp3[401.840,405.040] OK HOW ABOUT ALLERGIES DO YOU HAVE ANY +audio/MSK0038.mp3[405.040,406.120] UM NO I I DONT +audio/MSK0038.mp3[406.120,414.200] NO OK UM ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +audio/MSK0038.mp3[414.200,416.600] UH NOPE I DONT THINK SO +audio/MSK0038.mp3[416.600,420.640] HOW ABOUT UM HEART OR LUNG CONDITIONS +audio/MSK0038.mp3[420.640,433.840] UH I THINK MY DAD HAS LIKE HIGH BLOOD PRESSURE UM AND HIGH CHOLESTEROL BUT UH NOBODYS HAD A HEART ATTACK OR AND NO CANCER +audio/MSK0038.mp3[433.840,444.600] OK UM HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0038.mp3[444.600,450.000] UH NO I DONT THINK SO +audio/MSK0038.mp3[450.000,454.600] NO OK UM ANY UM DO YOU DO YOU DO ANY SMOKING +audio/MSK0038.mp3[454.600,465.520] UH NO IVE TRIED UH LIKE SMOKING MARIJUANA IN THE PAST BUT DIDNT REALLY LIKE IT SO IVE STAYED AWAY FROM THAT +audio/MSK0038.mp3[465.520,468.920] OK HOW ABOUT UM OTHER RECREATIONAL DRUGS +audio/MSK0038.mp3[468.920,473.720] UH NO NO I I I HAVENT USED ANYTHING LIKE THAT BEFORE +audio/MSK0038.mp3[473.720,478.200] OK UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +audio/MSK0038.mp3[478.200,493.480] SO UM RIGHT NOW I JUST LIVE ON MY OWN ACTUALLY IM UM JUST FINISHING UP MY MY MY MASTERS UM AND JUST LIVE IN A SMALL APARTMENT +audio/MSK0038.mp3[493.480,506.320] OK ALRIGHT AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/MSK0038.mp3[506.320,511.080] NO I DONT BELIEVE SO +audio/MSK0038.mp3[511.080,516.720] OK UM HOW ABOUT UM TRAVEL +audio/MSK0038.mp3[516.720,523.680] UH NO IVE JUST BEEN YEAH FINISHING UP THE THE THESIS AND RUNNING +audio/MSK0038.mp3[523.680,542.880] OK ALRIGHT UM THOSE WERE ALL THE QUESTIONS I HAD FOR YOU UM WELL MOVE ON TO THE PHYSICAL EXAM COMPONENT OF THIS UM SO IF YOU CAN TAKE A LOOK AT BOTH YOUR KNEES UM DO YOU SEE ANY VISIBLE REDNESS OR SWELLING IN THE AREA +audio/MSK0038.mp3[542.880,551.280] UH NO NO SWELLING OR YEAH NOTHING VISIBLE THAT I CAN SEE +audio/MSK0038.mp3[551.280,554.640] OK SO NO BRUISES +audio/MSK0038.mp3[554.640,557.280] UH NO NO NO BRUISES +audio/MSK0038.mp3[557.280,565.880] OK DO YOU NOTICE ANY LIKE MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES OTHERWISE +audio/MSK0038.mp3[565.880,568.880] NO EVERYTHING LOOKS LOOKS NORMAL +audio/MSK0038.mp3[568.880,585.200] OK AND IF YOU CAN JUST UM PLACE YOUR HAND JUST KINDA AT THE TOP OF YOUR ON TOP OF YOUR KNEECAP ON BOTH SIDES DO YOU NOTICE ANY TEMPERATURE CHANGES FROM YOUR UH BETWEEN YOUR RIGHT KNEE TO YOUR LEFT KNEE +audio/MSK0038.mp3[585.200,590.000] NO NO TEMPERATURE CHANGES THEY THEY FEEL THE SAME +audio/MSK0038.mp3[590.000,604.680] OK UM AND THEN WHEN YOU PALPATE YOUR KNEE CAP AS WELL AS UM YEAH JUST IF YOU COULD PALPATE JUST AT THE CENTER OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE +audio/MSK0038.mp3[604.680,607.720] NO PAIN OVER THE KNEECAP THAT FEELS FINE +audio/MSK0038.mp3[607.720,615.920] OK HOW ABOUT WHEN YOU PALPATE KIND OF LIKE THE MEDIAL LIGAMENTS OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE +audio/MSK0038.mp3[615.920,621.360] NO EVERYTHING ON THE MEDIAL SIDE FEELS FEELS NORMAL AND FINE +audio/MSK0038.mp3[621.360,625.280] HOW ABOUT WHEN YOU PALPATE THE LATERAL LIGAMENTS OF YOUR KNEECAP +audio/MSK0038.mp3[625.280,639.000] YEAH THE LIGAMENTS FEEL FEEL OK ON THE LATERAL SIDE THOUGH I I DO GET SOME PAIN ALONG THE UM LIKE ABOVE THE JOINT LINE +audio/MSK0038.mp3[639.000,644.680] ABOVE THE JOINT LINE +audio/MSK0038.mp3[646.720,656.720] OK OK AND HOW ABOUT WHEN YOU PALPATE UH THAT BIG MUSCLE GROUP ON YOUR THIGHS LIKE THE QUADRICEPS +audio/MSK0038.mp3[656.720,659.840] THAT FEELS OK NO PAIN IN THE MUSCLES +audio/MSK0038.mp3[659.840,662.600] OK HOW ABOUT LIKE THE PATELLAR TENDON +audio/MSK0038.mp3[662.600,665.360] UH NO PAIN THERE +audio/MSK0038.mp3[665.360,678.360] OK AND THEN WHEN YOU GO LOWER BELOW YOUR KNEECAP UM WHEN YOU PALPATE LIKE THE TOP PART WHERE THE PROXIMAL PARTS OF YOUR TIBIA AND FIBULA ARE DO YOU FEEL ANY PAIN THERE +audio/MSK0038.mp3[678.360,680.440] UH YEAH NO PAIN THERE +audio/MSK0038.mp3[680.440,689.600] OK AND NOW LETS DO SOME UM MOVEMENTS WITH YOUR LEG UM ARE YOU SITTING DOWN +audio/MSK0038.mp3[689.600,692.280] UH YEAH I AM +audio/MSK0038.mp3[692.280,700.240] OK IM GONNA GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT IS THAT PAINFUL +audio/MSK0038.mp3[700.240,711.440] IT IS YEAH ITS I GET A SHARP PAIN IF WHEN DOING THAT +audio/MSK0038.mp3[711.440,719.400] OK YEAH UHM HOW ABOUT WHEN YOU UM SIT BACK DOWN DOES THAT HURT +audio/MSK0038.mp3[719.400,722.080] UM YEAH THAT HURTS TOO +audio/MSK0038.mp3[722.080,736.840] THAT HURTS TOO OK UM AND THEN HOW ABOUT WHEN YOU FLEX YOUR KNEE INWARDS UM SO THAT YOUR HEEL IS TOUCHING YOUR BUM LIKE DOES THAT HURT +audio/MSK0038.mp3[736.840,742.080] UH LIKE I ILL GET UP UH NO THAT DOESNT HURT THAT FEELS OK +audio/MSK0038.mp3[742.080,752.400] OK HOW ABOUT WHEN YOU EXTEND YOUR KNEE BACK OUT STRAIGHTEN IT ALL THE WAY +audio/MSK0038.mp3[752.400,763.240] YEAH THAT FEELS OK TOO IF IM JUST SITTING AND DOING THAT I CAN UM I CAN DO THAT OK +audio/MSK0038.mp3[763.240,787.880] OK UM HOW ABOUT WHEN YOU SO YOURE STANDING AND THEN YOU UH YOU ABDUCT YOUR HIP SO YOU BASICALLY UM YOU FLEX YOUR HIP BUT LATERALLY AND YOU KIND OF BRING IT UPWARDS SO THAT ITS ALMOST SO THAT YOUR YOUR THE ACTION IS LIKE YOURE UH TRYING TO TOUCH THE CEILING +audio/MSK0038.mp3[787.880,809.320] OK YEAH I UM IT IF IT DOES FEEL IT FEELS LIKE ITS KIND OF PULLING UM LIKE IT FEELS TIGHT WHEN I DO THAT UH LIKE ON THAT SIDE ITS I DONT GET THE SAME SHARP PAIN BUT ITS UNCOMFORTABLE +audio/MSK0038.mp3[809.320,827.200] OK UHM SO IM GONNA TRY A SPECIAL TEST ITS CALLED THE OBER TEST SO CAN I GET YOU TO LIE ON THE SIDE UM WITH THE INJURED KNEE +audio/MSK0038.mp3[830.160,860.000] OK AND THEN IM GONNA GET YOU TO FLEX YOUR KNEE AT 90 DEGREES AND UM ABDUCT AND EXTEND THE HIP UH WHILE YOUR THIGHS MAINTAIN IN LINE WITH YOUR TRUNK UM SO IM GONNA GET YOU TO ADDUCT YOUR THIGH SO BRING IT BACK TOWARDS YOU THE THE MEDIAN UM AS FAR AS POSSIBLE +audio/MSK0038.mp3[860.000,873.880] OH YEAH I CANT REALLY ITS KIND OF LIKE STUCK OUT THERE IT FEELS REALLY TIGHT IF IM TRYING TO LIKE BRING IT BRING IT BACK DOWN MY LEG ALMOST LIKE FLOATS UP IF I JUST LEAVE IT THERE +audio/MSK0038.mp3[873.880,1027.000] OK SO THAT IS A POSITIVE OBER TEST UM OK SO WHAT IT SOUNDS LIKE IS YOU IT SOUNDS LIKE YOU HAVE SOMETHING CALLED UM ILIOTIBIAL UM BAND SYNDROME SO ITB SYNDROME AND BASICALLY THAT HAPPENS IN UM ATHLETES SO DEPENDING ON YOUR LIKE POSITION LIKE HOW MUCH YOURE USING THOSE JOINTS UM AND LIKE REPETITIVE ACTIONS UM OF LIKE KNEE FLEXION EXTENSION UM KIND OF TRIGGERS THAT AND TO TREAT IT UH WE CAN TRY SOME CONSERVATIVE UM THINGS FIRST SO THE FIRST THING WOULD BE UM FOR YOU UM TO HAVE SOME SORT OF ACTIVITY MODIFICATION TO PREVENT AGGRAVATING THAT JOINT EVEN MORE SO YOURE DOING A LOT OF RUNNING SO MAYBE UH SWITCHING TO THINGS LIKE SWIMMING UM FOR THE TIME BEING CAN HELP WITH THAT AND THEN OTHER THINGS INCLUDE ICE OR HEATING PADS UH TAPING AND STRETCHING UM AND THEN IF THE PAIN IS IF THE PAIN UH PERSISTS YOU CAN TRY SOME LIKE IBUPROFEN FOR TEMPORARY RELIEF UM WE CAN TALK ABOUT OTHER TREATMENTS AS WELL LIKE PHYSIOTHERAPY BECAUSE UM ITLL BE IMPORTANT TO KIND OF STRENGTHEN THOSE MUSCLES AROUND THAT JOINT AS WELL AS UM INCREASE YOUR RANGE OF MOTION SO WE CAN DO WE CAN PUT IN A REFERRAL FOR THAT UM AND IF NONE OF THOSE WORK WE CAN ALSO DISCUSS UM SOME OTHER THINGS LIKE ULTRASOUND THERAPY OR LIKE MUSCLE STIMULATION UM SHOCKWAVE THERAPY AND THEN EVENTUALLY IF NONE OF THOSE OTHER THINGS WORK WE CAN DISCUSS SURGICAL MANAGEMENT BUT UH ITS RARE THAT IT EVER GETS TO THAT POINT DOES THAT SOUND OK +audio/MSK0038.mp3[1027.000,1028.920] IT DOES YEAH THANK YOU SO MUCH +audio/MSK0038.mp3[1028.920,1031.040] OK YEAH NO WORRIES +audio/RES0156.mp3[0.000,2.240] WHAT BRINGS YOU HERE TODAY +audio/RES0156.mp3[2.240,40.000] YEAH SO IM BRINGING MY UM DAUGHTER BECAUSE UH OVER THESE LAST UH SEVERAL MONTHS SHES HAD THIS UH THIS COUGH THAT THAT COMES ON UM ITLL BE AT NIGHT TIME OR SOMETIMES UH AFTER IN GYM CLASS UM AND I KNOW DURING THESE EPISODES SHELL HAVE A REALLY HARD TIME KIND OF CATCHING HER BREATH AND AND SOMETIMES WILL HAVE A WHEEZE AS WELL AND AND ITS JUST GONE AWAY QUICKLY IN THE PAST BUT BEEN NOTICING IT HAPPENING MORE OFTEN RECENTLY +audio/RES0156.mp3[40.000,45.240] OK SO ITS BEEN GOING ON FOR THE LAST FEW MONTHS BUT ITS KIND OF GETTING WORSE +audio/RES0156.mp3[45.240,47.520] YEAH EXACTLY YEAH +audio/RES0156.mp3[47.520,55.680] AND HOW ABOUT THE THE COUGHING AND THE WHEEZING AND THE DOES SHE HAVE ANY KIND OF SHORTNESS OF BREATH +audio/RES0156.mp3[55.680,62.560] UM YEAH SHE WILL LIKE WHEN IT COMES ON UH YEAH SHE SHE HAS SOME SHORTNESS OF BREATH +audio/RES0156.mp3[62.560,73.360] OK AND UM DOES THIS HAPPEN AT ALL LIKE WHEN SHES EXPOSED TO DUST OR KIND OF AFTER EXERTING HERSELF +audio/RES0156.mp3[73.360,87.400] YEAH IT DOES YEAH I THINK THE LIKE THE FIRST TIME THAT UM THAT I WAS MADE AWARE OF IT WAS YEAH IN IN GYM CLASS SO IT WOULDVE BEEN AFTER SOME EXERCISE UM AND DUST UH IM IM NOT SURE +audio/RES0156.mp3[87.400,97.880] OK UM DOES SHE HAVE A DRY COUGH OR WET COUGH WHEN SHE GETS THESE SPELLS +audio/RES0156.mp3[97.880,100.400] UH DRY +audio/RES0156.mp3[100.400,106.760] DRY OK UM DID SHE BRING UP ANY SPUTUM OR BLOOD AT ALL +audio/RES0156.mp3[108.800,116.080] OK AND ARE HER SYMPTOMS AT ALL CONSTANT OR DO THEY COME AND GO BASED ON HOW MUCH SHES EXERTING HERSELF +audio/RES0156.mp3[116.080,133.360] THEY COME AND GO YEAH LIKE MOST OF THE TIME SHES BEEN OK BUT UH AND SOMETIMES SHELL GET A COUGH AT NIGHT TIME TOO +audio/RES0156.mp3[133.360,139.640] OK UM SO AND THEN HAS DOES ANYTHING MAKE HELP YOU WITH YOUR SYMPTOMS AT ALL OR HER SYMPTOMS +audio/RES0156.mp3[139.640,143.360] UH UM NOT REALLY NO +audio/RES0156.mp3[144.360,149.560] JUST RESTING I GUESS SORRY YEAH JUST JUST TRYING TO RELAX +audio/RES0156.mp3[149.560,158.520] OK AND ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS OR SORE THROAT CHEST PAIN ANYTHING LIKE THAT +audio/RES0156.mp3[158.520,164.360] NO NOTHING LIKE THAT UM YEAH JUST THE WHEEZE +audio/RES0156.mp3[164.360,169.800] OK ANY LOSS OF HER SENSE OF TASTE OR SMELL +audio/RES0156.mp3[173.000,176.640] OK UM ANY RECENT TRAVEL +audio/RES0156.mp3[176.640,179.440] UH NO +audio/RES0156.mp3[179.440,184.040] UM ANY CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0156.mp3[184.040,199.000] UH SHE HAS A UH A YOUNGER BROTHER THAT GOES TO DAYCARE UH AND I KNOW UM THOSE KIDS CAN BE SICK ALL THE TIME BUT UM HER BROTHERS BEEN OK +audio/RES0156.mp3[199.000,206.680] OK UM DOES SHE COMPLAIN OF ANY KIND OF HEADACHES OR UH NAUSEA OR VOMITING +audio/RES0156.mp3[206.680,213.120] NO SHE DOESNT +audio/RES0156.mp3[213.120,216.640] OK UM ANY HAVE YOU NOTICED ANY FEVERS OR CHILLS +audio/RES0156.mp3[219.040,221.960] OK UM ANY NIGHT SWEATS +audio/RES0156.mp3[223.920,231.160] OK UM ANY CHANGES IN HER BOWEL MOVEMENTS LIKE CONSTIPATION OR DIARRHEA +audio/RES0156.mp3[231.160,236.880] NOPE SHE HASNT HAD ANY CHANGE CHANGES LIKE THAT +audio/RES0156.mp3[236.880,244.480] OK AND ANY KIND OF UH CHANGES IN HER SLEEP OR APPETITE +audio/RES0156.mp3[244.480,250.320] NO SHES BEEN EATING WELL AND AND GAINING WEIGHT +audio/RES0156.mp3[250.320,267.520] OK UM ANY UH SO SHES BEEN GAINING WEIGHT UM ANY EXPOSURE TO ANY MOLD DUST UM NEW RUGS OR ANIMALS AT HOME +audio/RES0156.mp3[267.520,273.360] YEAH WE DO HAVE UM 2 CATS AT HOME +audio/RES0156.mp3[274.800,278.600] YEAH THERE ARE ANIMALS AT HOME +audio/RES0156.mp3[278.600,282.320] OK HOW LONG HAVE YOU HAD THEM +audio/RES0156.mp3[282.320,291.320] UM FOR FOR ABOUT UM YEAH JUST UNDER A YEAR SO YEAH JUST UNDER A YEAR +audio/RES0156.mp3[291.320,298.560] OK UM HAS SHE BEEN DIAGNOSED AT ALL WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0156.mp3[298.560,316.680] UM NO NO AND WHEN SHE WAS BORN SHE HAD TO UH GO IN THE JUST BE OBSERVED FOR A FEW UM A COUPLE OF DAYS FOR JAUNDICE SHE DIDNT NEED TO HAVE ANY THERAPY FOR IT IT WENT AWAY ON ITS OWN BUT THATS ABOUT IT +audio/RES0156.mp3[316.680,323.000] OK AND ANY UM COMPLICATIONS DURING THE PREGNANCY WITH HER +audio/RES0156.mp3[323.000,331.480] NO EVERYTHING WAS WAS NORMAL AND IT WAS A VAGINAL DELIVERY AT AT TERM +audio/RES0156.mp3[331.480,341.320] OK UM ANY ISSUES WITH THE DEVELOPMENT UH IS SHE MEETING HER MILESTONES IN HER GROWTH UM MEETING HER MILESTONES ON HER GROWTH CHART AS WELL +audio/RES0156.mp3[341.320,344.800] YEAH ALL OF THAT HAS BEEN HAS BEEN NORMAL +audio/RES0156.mp3[344.800,352.800] OK UM ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL FACTORS THAT YOU KNOW OF +audio/RES0156.mp3[352.800,375.080] NOT TO UM ANY MEDICATIONS THAT IM AWARE OF BUT UM SHE HASNT BEEN TESTED BUT SHE DOES GET SYMPTOMS THAT UH KIND OF CHANGE WITH UM SEASONS LIKE SHELL GET A RUNNY NOSE AND SOME ITCHY EYES UM AT DIFFERENT TIMES THROUGHOUT THE YEAR +audio/RES0156.mp3[375.080,379.520] OK UM ANY MEDICATIONS THAT SHE HAS BEEN ON AT ALL +audio/RES0156.mp3[379.520,399.880] SO WHEN THAT HAPPENS WE JUST USE UM LIKE SHELL JUST TAKE A UH LIKE REACTINE OR LIKE I DONT KNOW SOMETHING LIKE THAT BUT JUST AN ALLERGY PILL UM BUT ITS YEAH THATS IT +audio/RES0156.mp3[399.880,404.200] OK UM AND ANY HOSPITALIZATIONS OR PAST SURGERIES +audio/RES0156.mp3[404.200,410.960] NO LUCKILY SHES BEEN HEALTHY THAT WAY +audio/RES0156.mp3[410.960,416.680] OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0156.mp3[416.680,424.600] I THINK UH YEAH YEAH HER GRANDFATHER HAS DIABETES BUT UM THATS IT +audio/RES0156.mp3[424.600,431.480] OK UH AND CURRENTLY WHATS HER HOME SITUATION LIKE WHO DOES SHE LIVE WITH +audio/RES0156.mp3[431.480,443.880] YEAH SO SHE LIVES WITH UM MYSELF AND UH HER FATHER AND THEN YOUNGER YOUNGER BROTHER THATS IT YEAH THATS FOUR +audio/RES0156.mp3[443.880,449.440] OK UM OK AND DOES ANYONE SMOKE IN THE HOUSEHOLD +audio/RES0156.mp3[449.440,452.520] UM NO THEY DONT +audio/RES0156.mp3[452.520,461.880] OK UM OK SO THOSE WERE ALL THE QUESTIONS I HAD UM DO YOU HAVE ANY QUESTIONS +audio/RES0156.mp3[461.880,468.280] UH NO I JUST UH YEAH JUST WANTED TO FIGURE OUT WHATS GOING ON WITH THIS COUGH +audio/RES0156.mp3[468.280,533.800] OK YEAH SO IT SEEMS LIKE THE SYMPTOMS HAVE BEEN GOING ON FOR A FEW MONTHS NOW IT SEEMS THAT SHE GETS THEM ON EXERTION AND UM THEYRE WORSENED BY EXERTION UM AT THIS AGE ONE THING THAT DEFINITELY WE WANT TO CHECK IS IF SHE HAS ASTHMA UM SHE DOES HAVE SOME OTHER SYMPTOMS THAT UM ARE ASSOCIATED WITH ASTHMA LIKE IT SEEMS THAT SHE GETS UM SOME IRRITATION THROUGH ENVIRONMENTAL FACTORS AS WELL SO WHAT WELL DO UH FOR HER IS GET SOMETHING CALLED A PULMONARY FUNCTION TEST FOR HER TO SEE THATLL TEST IF SHE IN FACT HAS ASTHMA OR NOT AND THEN BASED ON THAT WE WILL UH SEE IF SHE NEEDS ANY PUFFERS UM THAT CAN HELP RELIEVE SOME OF HER SYMPTOMS UH AND LASTLY SINCE SHES HAVING A COUGH WELL ALSO DO A LIKE A COVID TEST JUST IN CASE AS WELL +audio/RES0156.mp3[533.800,537.400] OK YEAH THAT THAT SOUNDS GOOD THANK YOU +audio/RES0156.mp3[537.400,541.400] YEAH AND NO WORRIES AND THEN WELL ALSO DO LIKE A FULL PHYSICAL EXAMINATION +audio/RES0156.mp3[541.400,546.800] THAT SOUNDS GREAT +audio/RES0182.mp3[0.000,2.440] HOW MAY I HELP YOU +audio/RES0182.mp3[2.440,27.200] HI YEAH IM HERE BECAUSE IM OVER THE PAST LIKE COUPLE OF MONTHS IVE BEEN LOSING A LOT OF WEIGHT UHM BUT I DIDNT REALLY HAVE ANY OTHER SYMPTOMS BUT SINCE LIKE 2 WEEKS AGO IVE BEEN COUGHING UP SOME BLOOD AND NOW I HAVE A FEVER AS WELL +audio/RES0182.mp3[27.200,34.360] OK SO YOU MENTIONED YOU NOTICE THE WEIGHT LOSS FIRST HOW MUCH WEIGHT HAVE YOU LOST OR ROUGHLY +audio/RES0182.mp3[34.360,41.080] IVE LOST ABOUT 30 POUNDS IN THE PAST PAST LIKE 8 MONTHS +audio/RES0182.mp3[41.080,47.560] OK SO AND HAVE YOU BEEN TRYING TO LOSE WEIGHT +audio/RES0182.mp3[49.560,53.880] OK AND ANY LIKE ANY CHANGES TO YOUR DIET OR EXERCISE +audio/RES0182.mp3[53.880,57.200] NO NOTHING LIKE THAT +audio/RES0182.mp3[57.200,64.160] OK AND MORE RECENTLY YOU STARTED TO HAVE A COUGH WHEN DID THAT START +audio/RES0182.mp3[64.160,67.520] THE COUGH STARTED TWO WEEKS AGO +audio/RES0182.mp3[67.520,73.320] OK AND PRIOR TO THIS DID YOU HAVE A COUGH +audio/RES0182.mp3[76.280,80.480] NO AND ARE YOU BRINGING BRINGING UP ANY SPUTUM OR PHLEGM +audio/RES0182.mp3[80.480,88.280] UH YEAH ITS YEAH THERES SPUTUM FOR SURE AND IT LOOKS BLOODY +audio/RES0182.mp3[88.280,92.760] OK SO YOURE YOURE YOURE COUGHING UP BLOOD AS WELL +audio/RES0182.mp3[92.760,94.920] YES THATS RIGHT +audio/RES0182.mp3[94.920,101.160] OK UH AND THATS BEEN GOING GOING ON FOR THE LAST TWO WEEKS TOO +audio/RES0182.mp3[102.560,114.400] OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP ROUGHLY IF YOU CAN THINK OF IT IN LIKE TERMS OF TABLESPOONS OR TEASPOONS +audio/RES0182.mp3[114.400,121.240] LIKE EVERY TIME I COUGH ITS ABOUT THE SIZE OF A TEASPOON +audio/RES0182.mp3[121.240,127.240] OK AND ARE THERE ANY TRIGGERS FOR YOUR COUGH THAT YOU CAN THINK OF +audio/RES0182.mp3[127.240,134.680] UHM I DONT THINK SO THEY JUST HAPPEN THROUGHOUT THE DAY +audio/RES0182.mp3[134.680,139.240] OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH +audio/RES0182.mp3[139.240,158.400] I TRIED THIS COUGH SUPPRESSANTS I TRIED LIKE SALT WATER RINSES LIKE JUST LIKE AT HOME REMEDIES AND OVER THE COUNTER PRODUCTS BUT NOTHING IS HELPING +audio/RES0182.mp3[158.400,174.160] OK AND SO HAVE YOU HAD ANY LIKE VIRAL INFECTIOUS TYPE SYMPTOMS SUCH AS LIKE EYE EYE DISCHARGE OR RED EYES OR RUNNY NOSE OR EVEN A SORE THROAT +audio/RES0182.mp3[174.160,181.560] NO NOTHING LIKE THAT +audio/RES0182.mp3[181.560,188.320] OK AND AND HAVE YOU HAD ANY ANY HEADACHES +audio/RES0182.mp3[188.320,192.040] NO NO HEADACHES +audio/RES0182.mp3[192.040,199.360] OK HAVE YOU HAD ANY HAVE YOU HAD A RUNNY NOSE +audio/RES0182.mp3[201.000,208.200] OK HOW ABOUT ANY HAVE YOU HAD ANY LOSS OF SMELL OR OR TASTE +audio/RES0182.mp3[210.440,215.480] OK HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0182.mp3[215.480,217.200] UH NO +audio/RES0182.mp3[217.200,219.880] HAVE YOU HAD ANY WHEEZING +audio/RES0182.mp3[219.880,222.840] UHM NO NO WHEEZING +audio/RES0182.mp3[222.840,227.160] OK HAVE YOU HAD ANY CHEST PAIN +audio/RES0182.mp3[228.960,232.960] OK HAVE YOU HAD ANY DIZZINESS OR FAINTING +audio/RES0182.mp3[232.960,235.320] UHM NO NOTHING LIKE THAT +audio/RES0182.mp3[235.320,237.480] HEART PALPITATIONS +audio/RES0182.mp3[240.920,250.000] OK AND HAVE YOU HAD ANY ANY NAUSEA OR VOMITING +audio/RES0182.mp3[251.440,253.840] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0182.mp3[255.120,260.680] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0182.mp3[261.200,265.320] HAVE YOU HAD ANY PAIN WITH URINATION OR OR FREQUENCY +audio/RES0182.mp3[265.320,266.920] UH NO +audio/RES0182.mp3[266.920,269.880] OK HAVE YOU HAD ANY RASHES +audio/RES0182.mp3[270.480,274.880] HOW ABOUT MUSCLE ACHES OR BODY PAINS +audio/RES0182.mp3[274.880,281.800] UHM MUSCLE ACHES YEAH YEAH THATS BEEN HAPPENING +audio/RES0182.mp3[281.800,286.200] ANY PARTICULAR MUSCLES OR IS IT MORE GENERAL +audio/RES0182.mp3[286.200,288.520] ITS MORE GENERAL +audio/RES0182.mp3[288.520,297.080] HAVE HAVE YOU BEEN HAVING ANY BONE PAIN LIKE ANY IN YOUR BACK OR ANYTHING LIKE THAT +audio/RES0182.mp3[301.400,304.240] OK AND UH HOW HAS YOUR ENERGY BEEN +audio/RES0182.mp3[304.240,307.240] AH PRETTY LOW +audio/RES0182.mp3[307.240,310.680] OK AND HOW IS YOUR APPETITE BEEN +audio/RES0182.mp3[310.680,316.800] UHM ALSO PRETTY LOW +audio/RES0182.mp3[316.800,321.760] OK AND IN THE IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0182.mp3[321.760,328.320] UHM NO IVE BEEN PRETTY HEALTHY SO FAR +audio/RES0182.mp3[328.320,333.920] OK UHM SO DO YOU TAKE ANY MEDICATIONS REGULARLY FOR ANYTHING +audio/RES0182.mp3[336.600,342.880] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OR ANYTHING ENVIRONMENTAL +audio/RES0182.mp3[342.880,345.280] UH NO +audio/RES0182.mp3[345.280,351.760] OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES +audio/RES0182.mp3[351.760,355.280] UHM NO +audio/RES0182.mp3[355.280,367.200] OK AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN AH WHEREABOUTS YOURE LIVING +audio/RES0182.mp3[367.200,375.400] UHM I LIVE ALONE BY MYSELF I LIVE IN AN APARTMENT DOWNTOWN +audio/RES0182.mp3[375.400,380.760] OK AND ARE YOU WORKING CURRENTLY OR IN SCHOOL OR +audio/RES0182.mp3[380.760,386.000] UM IM WORKING FROM HOME RIGHT NOW +audio/RES0182.mp3[386.000,389.600] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0182.mp3[391.280,394.800] HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0182.mp3[394.800,398.320] NO NOT SINCE I MOVED HERE +audio/RES0182.mp3[398.320,402.960] OK WHEN DID YOU MOVE HERE AND WHERE DID YOU MOVE FROM +audio/RES0182.mp3[402.960,414.000] I MOVED HERE A YEAR BACK FROM SRI LANKA +audio/RES0182.mp3[414.000,424.920] OK AND AND IN SRI LANKA WERE ANY OF YOUR FAMILY MEMBERS OR PEOPLE THAT YOU SPENT TIME AROUND EVER DIAGNOSED WITH TUBERCULOSIS +audio/RES0182.mp3[424.920,431.800] I MEAN ITS PRETTY COMMON IN SRI LANKA NONE OF MY IMMEDIATE FAMILY MEMBERS WERE +audio/RES0182.mp3[431.800,437.560] OK AND DO YOU SMOKE CIGARETTES +audio/RES0182.mp3[439.520,447.960] AND AH DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +audio/RES0182.mp3[451.280,456.000] OK AND DO YOU DRINK ALCOHOL +audio/RES0182.mp3[456.000,456.800] I DONT +audio/RES0182.mp3[456.800,461.040] OK HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS +audio/RES0182.mp3[461.040,466.680] UH NO +audio/RES0182.mp3[466.680,472.480] OK AND UH ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS +audio/RES0182.mp3[472.480,475.640] HEART OR LUNG UH NO NOT THAT I KNOW OF +audio/RES0182.mp3[475.640,485.200] OK AND HOW ABOUT ANY CANCERS IN THE FAMILY +audio/RES0182.mp3[485.200,486.960] NO NO CANCERS +audio/RES0182.mp3[486.960,497.400] I SEE ALRIGHT DID YOU HAVE ANY OTHER QUESTIONS FOR ME TODAY I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT FOR NOW +audio/RES0182.mp3[497.400,504.000] AH NO WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE AND HOW DO YOU THINK I SHOULD TREAT IT +audio/RES0182.mp3[504.000,557.560] SO UH YEAH ITS SOUNDING LIKE LIKE IT COULD BE TUBERCULOSIS BASED ON THE KIND OF TIMELINE OF YOUR SYMPTOMS AND SO AND COUGH AND HEMOPTYSIS AND SO WELL DO A TEST FOR THAT LIKE AN ACID FAST TEST OF THE SPUTUM GET A CHEST X RAY AND IF IT IS TUBERCULOSIS IT WILL REQUIRE A PROLONGED COURSE OF ANTIBIOTICS SO THAT ILL BE OVER SEVERAL MONTHS UMM AND SO I WELL GET THE INFECTIOUS DISEASE TEAM INVOLVED TO HELP KIND OF GUIDE OUR MANAGEMENT WITH THE APPROPRIATE ANTIBIOTIC CHOICE IF IT DOES COME BACK TO BE TUBERCULOSIS +audio/RES0182.mp3[557.560,566.200] OK OK THAT SOUNDS GOOD THANK YOU +audio/GAS0005.mp3[0.000,5.080] WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN TODAY +audio/GAS0005.mp3[5.080,47.720] YEAH SO IM JUST COMING IN WITH MY SON HES SIX YEARS OLD AND YEAH JUST OVER THE LAST FEW DAYS HES NOT BEEN HIMSELF AND HES BEEN HAVING THIS STOMACH ACHE UH SO IT STARTED AROUND LIKE I WOULD SAY 3 DAYS AGO AND THEN HES ALSO HAVING VOMITING FOR THE LAST TWO DAYS HES VOMITED IN TOTAL SIX TIMES OVER THE LAST TWO DAYS AND THEN YESTERDAY HE ALSO DEVELOPED A FEVER AS WELL I MANAGED TO MEASURE IT AND IT WAS 383 DEGREES CELSIUS +audio/GAS0005.mp3[47.720,69.160] OK I SEE SO I JUST SO THAT I UNDERSTAND THE TIMELINE SO HE STARTED TO HAVE ABDOMINAL PAIN ABOUT 3 DAYS AGO STARTED WITH HAVING VOMITING AND DIARRHEA TWO DAYS AGO AND YOU CHECKED HIS TEMPERATURE HE HAD A FEVER AS OF YESTERDAY +audio/GAS0005.mp3[70.360,80.840] OK AND UH WAS THERE ANYTHING THAT THAT HE ATE THAT WAS DIFFERENT OVER OVER THESE LAST FEW DAYS +audio/GAS0005.mp3[80.840,90.960] NO WEVE BEEN STRICTLY HOME FOOD DURING LIKE A PANDEMIC LIKE NO NO REAL CHANGES +audio/GAS0005.mp3[90.960,99.120] OK AND WHATS HIS KIND OF BEHAVIOR BEEN LIKE OVER THESE LAST COUPLE OF DAYS +audio/GAS0005.mp3[99.120,117.600] YEAH SO AT FIRST WITH THE STOMACH PAIN HE WAS A BIT JUST IRRITABLE AND JUST NOT HIMSELF BUT ESPECIALLY YESTERDAY WITH THE FEVER JUST BEEN VERY QUIET AND JUST KIND OF SLEEPING PRETTY MUCH THE WHOLE DAY +audio/GAS0005.mp3[117.600,123.640] OK I SEE AND UH COULD YOU DESCRIBE THE VOMIT +audio/GAS0005.mp3[123.640,146.440] YES SO VOMIT LIKE IT STARTED TWO DAYS AGO THE FIRST DAY IT WAS JUST LIKE HE PUKED UP THE THINGS THAT HE HAD EATEN BUT YESTERDAY IT WAS IT WAS MAINLY JUST LIKE UH JUST YELLOWISH MATERIAL I COULDNT REALLY TELL IF IT WAS FOOD OR NOT +audio/GAS0005.mp3[146.440,152.520] OK HAVE YOU NOTICED ANY BILE OR BLOOD IN THE VOMIT +audio/GAS0005.mp3[152.520,164.120] UH NO I DIDNT NOTICE ANY BLOOD AND I DIDNT NOTICE ANY GREEN MATERIAL IT WAS MAINLY JUST LIKE LIKE NORMAL VOMIT LIKE YELLOWISH COLOR +audio/GAS0005.mp3[164.120,177.120] OK I SEE AND HAS THE WHAT WAS THE VOMITING TRIGGERED BY ANYTHING THAT YOURE AWARE OF LIKE EATING OR DRINKING +audio/GAS0005.mp3[177.120,193.240] UHM YEAH TWO DAYS AGO IT WAS IT WAS AFTER AFTER LUNCH WHEN HE FIRST VOMITED BUT AFTER THAT ITS JUST BEEN KIND OF RANDOM +audio/GAS0005.mp3[193.240,199.440] I SEE OK AND UH AND WITH REGARDS TO HIS DIARRHEA HAS THERE BEEN ANY ANY BLOOD OR OR ANY COLOR CHANGES +audio/GAS0005.mp3[199.440,216.360] NO NO I DIDNT NOTICE ANY BLOOD AT ALL ITS DEFINITELY JUST VERY VERY WATERY AND HES HAD TO GO PROBABLY EVEN JUST IN THE LAST DAY PROBABLY AROUND LIKE SIX OR SEVEN TIMES +audio/GAS0005.mp3[216.360,221.120] OK UM AND HES VOMITED HOW MANY TIMES +audio/GAS0005.mp3[221.120,226.240] SO IN TOTAL I CAN COUNT 6 TIMES +audio/GAS0005.mp3[226.240,235.000] OK AND HAS HE BEEN COMPLAINING OF ANY HEADACHES AT ALL +audio/GAS0005.mp3[235.000,237.880] NO NOT THAT I KNOW +audio/GAS0005.mp3[237.880,242.800] NO OK AND HOW ABOUT ANY EAR PAIN OR OR EYE PAIN +audio/GAS0005.mp3[242.800,245.360] NO NOT THAT HES MENTIONED TO ME +audio/GAS0005.mp3[245.360,248.280] OK AND ANY EYE REDNESS +audio/GAS0005.mp3[249.440,253.280] OK AND AS HE HAD A RUNNY NOSE +audio/GAS0005.mp3[253.280,254.880] NO NOT REALLY +audio/GAS0005.mp3[254.880,263.080] OK AND HAS HE HAD A SORE THROAT OR ANY PAIN WITH SWALLOWING +audio/GAS0005.mp3[264.200,271.200] OK HAVE YOU HAD ANY LOSS OF TASTE OR LOSS OF SMELL +audio/GAS0005.mp3[271.200,275.920] UH NO NOT THAT HE HAS MENTIONED TO ME NOW +audio/GAS0005.mp3[275.920,279.360] OK AND HAS HE HAD A COUGH +audio/GAS0005.mp3[279.360,281.840] UH NO NOT REALLY +audio/GAS0005.mp3[281.840,288.520] OK AND HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING +audio/GAS0005.mp3[289.600,296.040] OK AND HAS HE HAD ANY ANY PAIN ANYWHERE ANY CHEST PAIN +audio/GAS0005.mp3[296.040,307.080] UM HE DID HE DID POINT TO HIS STOMACH LIKE IT SEEMS LIKE HE WAS HAVING WITH ALL THE VOMITING LIKE HE WAS HAVING SOME STOMACH PAIN AS WELL +audio/GAS0005.mp3[307.080,314.440] OK IS THERE ANY SPECIFIC LOCATION THAT THAT HES FEELING THE PAIN +audio/GAS0005.mp3[314.440,328.240] WELL ITS HARD TO SAY HE WAS JUST POINTING AT THE CENTER OF HIS BELLY LIKE I DONT KNOW IF ITS LIKE I TRIED PRESSING ON IT AND HE DIDNT FEEL ANY PAIN THEN BUT I THINK ITS JUST KIND OF ALL OVER HIS STOMACH +audio/GAS0005.mp3[328.240,337.920] OK AND HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL VOIDING OR BEEN PEEING MORE OFTEN +audio/GAS0005.mp3[337.920,341.880] NO THATS BEEN OK +audio/GAS0005.mp3[341.880,347.400] HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES +audio/GAS0005.mp3[347.400,352.960] UH NO NOT NOT REALLY NO +audio/GAS0005.mp3[352.960,360.960] OK AND HAS HE HAD ANY MUSCLE ACHES OR UH OR JOINT PAINS THAT THAT HES MENTIONED +audio/GAS0005.mp3[360.960,364.600] NO NO HE HASNT MENTIONED ANYTHING LIKE THAT +audio/GAS0005.mp3[364.600,369.800] OK AND HES HAD A FEVER HAS HE HAD THE CHILLS +audio/GAS0005.mp3[369.800,390.360] YEAH SO THATS THATS WHAT I THAT PROMPTED ME TO TAKE HIS TEMPERATURE YESTERDAY AROUND THE AFTERNOON LIKE WE HAD TO WRAP HIM UP WITH LIKE MORE THAN TWO BLANKETS AND HE WAS STILL FEELING COLD SO YEAH DEFINITELY WAS HAVING CHILLS +audio/GAS0005.mp3[390.360,397.000] OK AND AND HAS THERE BEEN ANY CONCERNS WITH HIS GROWTH EITHER WEIGHT OR OR HEIGHT +audio/GAS0005.mp3[397.000,407.600] SO HES BEEN GOING ALONG THE CHARTS PRETTY WELL LIKE NO CONCERNS DURING HIS GROWTH OTHERWISE HES A VERY HEALTHY CHILD +audio/GAS0005.mp3[407.600,412.760] OK SO NO MEDICAL DIAGNOSIS PREVIOUSLY +audio/GAS0005.mp3[412.760,414.760] NO NOTHING LIKE THAT +audio/GAS0005.mp3[414.760,428.080] OK AND UH YEAH IS HE MEETING ALL DEVELOPMENTAL MILESTONES OK LIKE GROSS MOTOR FINE MOTOR DOING WELL AT SCHOOL +audio/GAS0005.mp3[428.080,440.960] YEAH YEAH HE DIDNT HAVE ANY ISSUES WITH WALKING RUNNING HES PRETTY SOCIAL WITH ALL HIS PEERS HES DOING WELL AT SCHOOL NO COMPLAINTS +audio/GAS0005.mp3[440.960,453.160] OK EXCELLENT AND YOU KNOW NO MEDICAL CONDITIONS BUT HAS THERE BEEN ANY REASONS FOR BEING IN THE HOSPITAL BEFORE +audio/GAS0005.mp3[453.160,463.600] NO NOT AT ALL WE YEAH WE HAVENT REALLY GONE TO THE DOCTOR WITH HIM AFTER LIKE ALL THOSE VACCINATIONS THAT HE HAD TO DO SO HES BEEN GOOD +audio/GAS0005.mp3[463.600,467.520] OK GREAT SO IMMUNIZATIONS ARE UP TO DATE +audio/GAS0005.mp3[467.520,470.040] YEAH IMMUNIZATIONS ALL UP TO DATE +audio/GAS0005.mp3[470.040,473.120] EXCELLENT AND DOES HE HAVE ANY ALLERGIES +audio/GAS0005.mp3[473.120,478.320] UH NO UH NOT NOT ANYTHING THAT WE KNOW OF YET +audio/GAS0005.mp3[478.320,494.440] OK AND I JUST WANTED TO ASK ABOUT HIS BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT THROUGHOUT PREGNANCY EITHER MOM BEING SICK OR HAVING ANY ANY ISSUES HERSELF +audio/GAS0005.mp3[494.440,514.000] NO SO IT WAS A NORMAL VAGINAL DELIVERY UH NO ISSUES UH HE WAS BORN AT 39 WEEKS DIDNT NEED TO STAY IN THE HOSPITAL AT ALL YEAH IT WAS A PRETTY SMOOTH PREGNANCY COMPARED TO SOME OF THE OTHER ONES +audio/GAS0005.mp3[514.000,523.720] OK OH THATS THATS GREAT DO YOU REMEMBER THE APGAR SCORE OR HIS BIRTH WEIGHT +audio/GAS0005.mp3[523.720,549.640] UHM I DONT EXACTLY REMEMBER HIS APGAR SCORES I THINK THEY WERE LIKE JUST JUST THEY THEY WERE NORMAL LIKE THERE WAS NOTHING CONCERNING ABOUT THEM AND BIRTH WEIGHT I THINK HE WAS PROBABLY AROUND 3 KILOGRAMS +audio/GAS0005.mp3[549.640,560.280] OK GREAT SO YEAH HEALTHY BIRTH WEIGHT AT TERM IT SOUNDS LIKE AND SO HEALTHY DOES HE TAKE ANY MEDICATIONS REGULARLY +audio/GAS0005.mp3[560.280,563.040] NO NO MEDICATIONS +audio/GAS0005.mp3[563.040,571.880] OK AND COULD YOU TELL ME ABOUT WHO IS LIVING WITH CURRENTLY AND THEN WHOS LOOKING AFTER HIM +audio/GAS0005.mp3[571.880,592.440] YEAH SO HES LIVING WITH MYSELF HIS MOTHER AND AND THEN MY HUSBAND AND HE HAS TWO OLDER SIBLINGS ONE IS A BOY SEVEN YEARS OLD AND ANOTHER ONE LIKE A 10 YEAR OLD GIRL +audio/GAS0005.mp3[592.440,596.280] OK AND HAS ANYBODY IN THE HOUSE BEEN SICK +audio/GAS0005.mp3[596.280,613.480] UH NO NO ONE HAS BEEN SICK RECENTLY HOWEVER HE DOES THEY DID LET THEM GO BACK INTO SCHOOL AT ONE POINT SO I DONT KNOW I DONT KNOW SO THAT WAS JUST LAST WEEK SO I DONT KNOW IF HE CAUGHT SOMETHING FROM SCHOOL +audio/GAS0005.mp3[613.480,617.600] OK BUT NOBODY THAT YOU KNOW THATS HAD SIMILAR SYMPTOMS +audio/GAS0005.mp3[618.920,624.400] OK AND HAVE YOU TRAVELED ANYWHERE +audio/GAS0005.mp3[624.400,630.920] NO WEVE BEEN WEVE BEEN AT HOME +audio/GAS0005.mp3[630.920,636.480] OK UH AND THEN YOU KNOW RECENT CHANGES TO ANYTHING IN THE DIET YOUVE MENTIONED +audio/GAS0005.mp3[636.480,640.920] NO THATS BEEN FINE +audio/GAS0005.mp3[640.920,653.320] OK AND ANY CONCERNS FOR SAFETY IN THE HOME WHETHER PHYSICAL OR OR VERBAL ABUSE +audio/GAS0005.mp3[653.320,655.760] NO NO CONCERNS LIKE THAT +audio/GAS0005.mp3[655.760,665.280] OK YEAH A QUESTION THAT WE HAVE TO ASK EVERYBODY AND IS THERE ANY SMOKING IN THE HOME +audio/GAS0005.mp3[665.280,667.720] NO NO WE DONT SMOKE +audio/GAS0005.mp3[667.720,672.720] OK GREAT THEN ARE THERE ANY PETS +audio/GAS0005.mp3[672.720,676.200] NOPE NO PETS +audio/GAS0005.mp3[676.200,685.800] ALRIGHT AND UH AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY HEART PROBLEMS OR ANY LUNG PROBLEMS +audio/GAS0005.mp3[685.800,695.600] UH WE ARE GETTING THE 10 YEAR OLD TESTED FOR JUST UH ASTHMA +audio/GAS0005.mp3[696.640,701.680] BUT NOTHING DIAGNOSED YET NO +audio/GAS0005.mp3[701.680,710.800] OK ANYBODY IN THE FAMILY HAVE ANY CONGENITAL DISEASES OR ANY GENETIC DISEASES +audio/GAS0005.mp3[710.800,715.360] NO NOT THAT I KNOW OF +audio/GAS0005.mp3[715.360,720.960] OK UH ANYBODY IN THE FAMILY HAVE CELIAC DISEASE OR CROHNS DISEASE +audio/GAS0005.mp3[720.960,727.960] NO NO UH NO HISTORY OF ANY KIND OF BOWEL DISEASES +audio/GAS0005.mp3[727.960,742.040] OK SO I THINK THATS UH EVERYTHING I WANT I WANTED TO ASK ABOUT TODAY UH WAS THERE ANYTHING THAT MAYBE I I FORGOT TO ASK OR OR THAT I MISSED THAT YOU WANTED TO TELL ME +audio/GAS0005.mp3[742.040,756.880] UH YEAH NO ITS ITS ALSO JUST LIKE I WAS JUST READING UP LIKE CAN IT BE LIKE I DONT KNOW IF IT CAN BE COVIAS WELL IF IT CAN IT CAN DO THIS AS WELL +audio/GAS0005.mp3[756.880,824.920] IT IS POSSIBLE UH ITS UH ESPECIALLY WITH NONSPECIFIC SYMPTOMS COVICAN CAUSE A VARIETY OF DIFFERENT PRESENTATIONS AND THERE FOR SOME PEOPLE IT CAN BE MORE GASTROINTESTINAL ISSUES LIKE LIKE YOUR SON HAS WITH VOMITING AND DIARRHEA AND BELLY PAIN BUT IT ALSO COULD BE WELL UH ANOTHER TYPE OF GASTROINTESTINAL VIRUS ITSELF OR OR A VIRAL ILLNESS LIKE THE COMMON COLD WHICH CAN ALSO END UP CAUSING SYMPTOMS LIKE THIS AS WELL SO WE WILL I WILL GO AHEAD AND DO A COVITEST TODAY ALONG WITH SOME OTHER BLOOD WORK AND MAYBE INCREASE THE HYDRATION AS WELL BECAUSE IT SOUNDS LIKE HE HAS LOST A LOT OF FLUID OVER THESE LAST COUPLE OF DAYS SO WE WILL CHECK ELECTROLYTES AND GO FROM THERE ON THE TEST RESULTS +audio/GAS0005.mp3[824.920,828.840] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +audio/MSK0016.mp3[0.000,1.600] WHAT BRINGS YOU IN +audio/MSK0016.mp3[1.600,16.600] IVE UM IVE BEEN HAVING THIS NUMBNESS AND TINGLING AND I GUESS KIND OF BURNING SENSATION THAT WELL UH ITS BEEN HAPPENING MORE OFTEN IN MY UH LEFT HAND +audio/MSK0016.mp3[16.600,20.560] ON YOUR LEFT HAND OK AND SORRY WHEN DID YOU SAY THIS STARTED +audio/MSK0016.mp3[20.560,26.080] UH ITS BEEN GOING ON FOR PROBABLY FOUR OR FIVE MONTHS UM +audio/MSK0016.mp3[27.040,47.200] YEAH IT FIRST UH IT WOULD ONLY BUG ME FOR A COUPLE OF MINUTES AT A TIME AND I COULD KIND OF SHAKE MY HAND OUT LIKE FLICK LIKE FLICK MY WRIST AND UM AND IT WOULD GO AWAY AFTER A FEW MINUTES BUT NOW IM STARTING TO GET UH LIKE SYMPTOMS AT NIGHT SOMETIMES AS WELL +audio/MSK0016.mp3[47.200,53.640] OK SO UM ITS GOTTEN WORSE THEN YOU SAID OVER THE PAST FEW WEEKS +audio/MSK0016.mp3[53.640,54.800] YEAH IT HAS +audio/MSK0016.mp3[54.800,62.400] OK UM AND IS IT ALWAYS THERE IS IT PERSISTENT OR DOES IT COME AND GO +audio/MSK0016.mp3[62.400,63.880] IT COMES AND GOES +audio/MSK0016.mp3[63.880,68.160] OK AND WHAT MAKES IT BETTER OR WORSE +audio/MSK0016.mp3[68.160,90.840] UH BETTER UH IVE TRIED SOME UM ADVIL UM AND TYLENOL AND ITS KIND OF THE HASNT DONE MUCH UM FOR THE PAIN REALLY UH I THINK ONLY THE THING THAT KIND OF HELPS IT IS JUST NOT USING IT AS MUCH UM YEAH +audio/MSK0016.mp3[90.840,100.680] YEAH ALRIGHT UM HAVE YOU TRIED ANY LIKE COLD COMPRESSES UM TOPICAL CREAMS ANYTHING LIKE THAT +audio/MSK0016.mp3[101.560,118.960] NO OK AND UHM IF YOU WERE TO DESCRIBE THE QUALITY OF HOW IT FEELS LIKE DOES IT DOES IT IS IT PAINFUL IS IT TENDER OR IS IT JUST NUMB AND TINGLING KIND OF LIKE WHEN YOUR FOOT GOES TO SLEEP +audio/MSK0016.mp3[118.960,127.920] UH I GUESS I HAVE IT IS A BIT PAINFUL AS WELL YEAH I HAVE UM LIKE A BURNING KIND OF PAIN +audio/MSK0016.mp3[127.920,134.480] OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN +audio/MSK0016.mp3[134.480,140.760] UH WHEN IT GETS TO ITS WORST I WOULD SAY ABOUT A 6 +audio/MSK0016.mp3[140.760,149.000] OK OK UM AND HAVE YOU EVER EXPERIENCED THIS BEFORE OR IS THIS KIND OF LIKE THE FIRST TIME YOURE EXPERIENCING THIS +audio/MSK0016.mp3[149.000,165.600] YEAH THIS IS THE FIRST UH REALLY LIKE OVER THESE LAST THREE MONTHS THE FIRST TIME IVE BEEN EXPERIENCING IT I THINK UH THE FIRST TIME THAT IT STARTED IT STARTED TO WAKE ME UP AT NIGHT THOUGH HAS BEEN LIKE ABOUT A COUPLE OF WEEKS AGO +audio/MSK0016.mp3[165.600,177.760] OH I SEE OK UM ALRIGHT AND DO YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE OVER THE PAST FEW WEEKS OR IS IT KIND OF THE SAME +audio/MSK0016.mp3[177.760,185.160] UH OVER THESE PAST COUPLE OF WEEKS ABOUT THE SAME ITS WOKEN ME UP UH LIKE TWO OR THREE TIMES AT NIGHT +audio/MSK0016.mp3[185.160,190.800] OK ALRIGHT AND DO YOU HAVE ANY NUMBNESS OR TINGLING ELSEWHERE ON YOUR BODY +audio/MSK0016.mp3[190.800,199.200] NO ITS JUST UM JUST KIND OF THE THE OUTSIDE OF MY HAND HERE ITS REALLY ONLY THE FIRST LIKE 3 FINGERS +audio/MSK0016.mp3[199.200,211.800] OK FIRST THREE FINGERS SO YOUR UM THUMB INDEX FINGER AND UH MIDDLE FINGER OR YOUR PINKY TO MIDDLE FINGER +audio/MSK0016.mp3[211.800,217.040] YEAH ITS JUST THE UH MY THUMB INDEX FINGER AND RING FINGER +audio/MSK0016.mp3[217.040,220.600] AND RING FINGER OK +audio/MSK0016.mp3[220.600,232.000] AND MAYBE JUST LIKE A LITTLE BIT OF THE UM LIKE OF THE RING FINGER TOO BUT NOT ALL OF IT +audio/MSK0016.mp3[232.000,240.400] OK UM ALRIGHT SO UM ANY WEAKNESS IN YOUR ARMS OR DO YOU FEEL LIKE YOU CAN STILL USE YOUR ARMS OK +audio/MSK0016.mp3[240.400,263.920] UH YEAH I HAVENT HAD ANY UH ANY MUSCLE UM WEAKNESS I GUESS I MAY BE A BIT MORE CLUMSY UM WITH UH WITH MY LEFT HAND LIKE IVE DROPPED A FEW THINGS IVE HAD IT A LITTLE BIT MORE DIFFICULT TIME LIKE OPENING JARS OR LIKE CAR DOORS AND STUFF LIKE THAT +audio/MSK0016.mp3[263.920,270.440] OK OK AND ANY CONFUSION OR MEMORY LOSS +audio/MSK0016.mp3[274.600,278.000] OK UM HOW ABOUT WEIGHT LOSS +audio/MSK0016.mp3[278.000,279.960] NO I HAVENT HAD ANY WEIGHT LOSS +audio/MSK0016.mp3[279.960,282.880] UH FEVERS OR CHILLS +audio/MSK0016.mp3[283.960,286.360] UH RASHES +audio/MSK0016.mp3[286.360,287.320] NO RASHES +audio/MSK0016.mp3[287.320,291.920] CHANGES IN YOUR VISION HEARING SMELL OR TASTE +audio/MSK0016.mp3[291.920,293.360] NO THATS BEEN NORMAL +audio/MSK0016.mp3[293.360,296.880] OK HOW ABOUT UM A COUGH +audio/MSK0016.mp3[296.880,300.720] UH NO I HAVENT HAD A COUGH +audio/MSK0016.mp3[300.720,303.960] OK UM WHEEZING OR SHORTNESS OF BREATH +audio/MSK0016.mp3[303.960,305.560] NOPE NEITHER OF THOSE +audio/MSK0016.mp3[305.560,310.840] OK CHEST PAIN OR HEART PALPITATIONS +audio/MSK0016.mp3[310.840,313.280] UM NOPE I HAVENT HAD THAT +audio/MSK0016.mp3[313.280,318.720] OK HOW ABOUT UM CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0016.mp3[318.720,326.240] UH NOPE I HAVENT HAD ANY DIARRHEA AND NO NO CONSTIPATION AND NO BLOOD EITHER +audio/MSK0016.mp3[326.240,330.360] OK GOOD ANY NAUSEA OR VOMITING +audio/MSK0016.mp3[330.360,333.640] NO I HAVENT HAD ANY OF THAT +audio/MSK0016.mp3[333.640,337.240] OK ANY CHANGES IN YOUR VOIDING +audio/MSK0016.mp3[337.240,343.920] UH NO I I UM HAVENT HAD ANY PROBLEMS WITH URINATION +audio/MSK0016.mp3[343.920,349.880] OK UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0016.mp3[349.880,367.040] UM I HAVE HYPOTHYROIDISM SO I TAKE UM LIKE UH THYROXINE FOR THAT AND UM I AM OVERWEIGHT AS WELL OR IN OBESITY CLASS ONE I THINK +audio/MSK0016.mp3[367.040,378.040] OK AND UM DO YOU TAKE ANY MEDICATIONS FOR THE HYPOTHYROID +audio/MSK0016.mp3[378.040,385.040] YEAH I DO I TAKE UM I TAKE UH SYNTHROID I THINK +audio/MSK0016.mp3[385.040,389.680] OK ALRIGHT AND ARE YOU ON ANY WEIGHT LOSS MEDICATIONS +audio/MSK0016.mp3[389.680,409.800] NO IVE JUST BEEN TRYING TO UH CHANGE DIET AROUND WHEN I CAN AND UM AND TRYING TO UM EXERCISE A BIT MORE BUT UH ITS BEEN ITS BEEN TOUGH ESPECIALLY NOW WITH MY WRIST OR MY HAND BUGGING ME +audio/MSK0016.mp3[409.800,418.040] YEAH FOR SURE UM ALRIGHT AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/MSK0016.mp3[418.040,421.640] I AM YEAH AND I GET THE FLU SHOT EVERY YEAR +audio/MSK0016.mp3[421.640,431.760] OK THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0016.mp3[431.760,436.040] UM I I NO I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0016.mp3[436.040,439.880] NO OK UM ANY ALLERGIES +audio/MSK0016.mp3[439.880,442.800] UH NO ALLERGIES +audio/MSK0016.mp3[442.800,447.680] OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/MSK0016.mp3[447.680,459.840] UM MY GRANDFATHER HAD A STROKE WHEN HE WAS IN HIS UH 70S UM AND MY DAD HAS HIGH CHOLESTEROL +audio/MSK0016.mp3[459.840,466.480] HAVE YOU BEEN WORKED UP FOR ALL OF THAT LIKE HIGH BLOOD PRESSURE DIABETES CHOLESTEROL +audio/MSK0016.mp3[466.480,480.760] UH YEAH I THINK MY FAMILY DOCTOR CHECKED A FEW YEARS AGO BUT IVE BEEN HEALTHY BESIDES THIS UM UH THIS THIS PAIN UM SO MAYBE THAT YEAH MAYBE THAT COULD BE INVESTIGATED AS WELL +audio/MSK0016.mp3[480.760,489.680] OK UM ANY NEURAL NEUROLOGICAL OR MUSCULOSKELETAL ISSUES IN THE FAMILY +audio/MSK0016.mp3[489.680,498.960] UM I THINK OSTEOARTHRITIS A FEW FEW PEOPLE HAVE THAT +audio/MSK0016.mp3[498.960,506.240] OK UM HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0016.mp3[506.240,513.120] UH NO I THINK IM THE ONLY ONE WITH THE THYROID +audio/MSK0016.mp3[513.120,516.520] OK UM HOW ABOUT CANCERS +audio/MSK0016.mp3[516.520,518.400] UH NO CANCER +audio/MSK0016.mp3[518.400,528.160] NO CANCERS OK UM ALRIGHT AND THEN DO YOU SMOKE +audio/MSK0016.mp3[528.160,539.280] I DO YEAH I SMOKE ABOUT UM 5 TO 10 CIGARETTES PER DAY +audio/MSK0016.mp3[539.280,542.960] OK AND UM FOR HOW LONG HAVE YOU BEEN DOING THAT +audio/MSK0016.mp3[542.960,554.560] UH PROBABLY YEAH ABOUT THE LAST 10 YEARS IT WAS KIND OF AROUND WHEN I STARTED WORKING UM IN THE WAREHOUSE HERE UM YEAH +audio/MSK0016.mp3[554.560,562.200] OK AND HAVE YOU EVER THOUGHT ABOUT QUITTING +audio/MSK0016.mp3[562.200,580.200] I HAVE YEAH IVE TRIED ITS JUST SUCH UH I MEAN PEOPLE JUST GO OUT AND I MEAN HAVE THEIR COFFEE AND CIGARETTES AND ITS SORT OF A SOCIAL THING WHILE AT WORK IT ITS KIND OF WHAT PEOPLE DO SO I HAVE BEEN TRYING TO CUT DOWN THOUGH +audio/MSK0016.mp3[580.200,592.840] OK OK THATS GOOD IF YOU NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO UM AND DO YOU CONSUME MARIJUANA IN ANY FORM +audio/MSK0016.mp3[592.840,594.640] UM NO I DONT +audio/MSK0016.mp3[594.640,600.840] NO OK ANY RECREATIONAL DRUGS +audio/MSK0016.mp3[600.840,603.640] UM NOPE I DONT USE ANYTHING LIKE THAT +audio/MSK0016.mp3[603.640,606.720] OK HOW ABOUT ALCOHOL DO YOU DRINK +audio/MSK0016.mp3[606.720,616.440] UM ILL HAVE WINE EVERY ONCE IN AWHILE ON THE WEEKENDS MAYBE MAYBE A DRINK PER WEEK SOMETHING LIKE THAT +audio/MSK0016.mp3[616.440,623.600] OK UM AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/MSK0016.mp3[623.600,627.840] UH NO I DONT BELIEVE SO +audio/MSK0016.mp3[627.840,631.080] OK HOW ABOUT TRAVEL +audio/MSK0016.mp3[631.080,638.120] NO IVE BEEN IVE BEEN AT HOME AND AND JUST GOING TO WORK +audio/MSK0016.mp3[638.120,642.480] OK UM AND AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH +audio/MSK0016.mp3[642.480,648.880] SO I LIVE WITH MY HUSBAND AND OUR TWO DAUGHTERS AND WE LIVE AND WE LIVE IN A HOUSE +audio/MSK0016.mp3[648.880,657.440] OK UM ANY CONCERNS FOR STIS +audio/MSK0016.mp3[657.440,669.840] NO IM JUST UM IVE BEEN MONOGAMOUS WITH MY PARTNER NOW FOR UH OVER 10 YEARS AND UM NO CONCERNS FOR UH AN STI AT THIS TIME +audio/MSK0016.mp3[669.840,694.280] OK ALRIGHT GOOD UM SO NOW WERE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART UM OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR ARMS HANDS AND WRISTS UM SIDE BY SIDE DOES YOUR LEFT ONE SEEM AT ALL MORE RED SWOLLEN UH OR HOT +audio/MSK0016.mp3[694.280,702.400] NO NO SYMPTOMS LIKE THAT +audio/MSK0016.mp3[702.400,717.960] NO OK AND UM DO YOU DOES THAT ONE SEEM TO BE MORE ATROPHIED OR ARE THERE ANY DEFORMITIES OR SKIN CHANGES ON THAT ONE +audio/MSK0016.mp3[717.960,726.800] UM MAYBE UH A LITTLE LESS MUSCLE BULK ON THE LIKE WHERE MY THUMB IS +audio/MSK0016.mp3[726.800,756.920] OK OK UM AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS OF THAT ARM SO LETS START UM AT THE TOP WHEN YOU WHEN YOU PRESS DOWN ON YOUR SHOULDER BLADES OR JUST AT THE VERY TOP OF YOUR UM ARM WHERE YOUR OR AT THE VERY TOP WHERE YOUR ARM CONNECTS TO YOUR SHOULDER DOES IT HURT OVER THERE +audio/MSK0016.mp3[756.920,758.600] NO NO PAIN THERE +audio/MSK0016.mp3[758.600,768.880] OK SO NO PAIN ON THE ACROMION PROCESS OR THE SCAPULA UM ANY PAIN WHERE YOUR BICEPS ARE +audio/MSK0016.mp3[769.280,772.080] NO OK HOW ABOUT AT YOUR ELBOWS +audio/MSK0016.mp3[772.080,784.800] UH NO PAIN AT THE ELBOWS AND FULL I CAN MOVE MY ELBOWS AND SHOULDERS UH NO PROBLEM EITHER AND MY NECK DOESNT HURT AT ALL EITHER I CAN MOVE MY NECK AROUND +audio/MSK0016.mp3[784.800,792.360] HOW ABOUT WHEN YOU UM PALPATE YOUR WRISTS BOTH SIDES MEDIAL AND LATERAL +audio/MSK0016.mp3[792.360,800.080] UH YEAH NO NO PAIN IF IM JUST PRESSING OR PALPATING THE WRIST +audio/MSK0016.mp3[800.080,812.680] OK UM AND IM GOING TO GET YOU TO UM STRAIGHTEN OUT YOUR ARM AND FLEX AT YOUR SHOULDER AND EXTEND AT YOUR SHOULDER DOES THAT HURT +audio/MSK0016.mp3[814.360,818.720] HOW ABOUT WHEN YOU FLEX YOUR ELBOW AND EXTEND YOUR ELBOW +audio/MSK0016.mp3[819.520,823.200] UM HOW ABOUT WHEN YOU FLEX YOUR WRIST AND EXTEND YOUR WRIST +audio/MSK0016.mp3[823.560,877.680] OK SO IM GOING TO DO A SPECIAL TEST FOR SOMETHING CALLED CARPAL TUNNEL SYNDROME UM SO UM IM GONNA GET YOU TO STRAIGHTEN OUT YOUR LEFT ARM AGAIN UM AND RIGHT WHERE UM ALRIGHT HOW DO WE DO THIS OK SO WITH YOUR RIGHT HAND OR WITH YOUR YEAH WITH YOUR RIGHT INDEX FINGER AND MIDDLE FINGER YOURE GOING TO TAP UM JUST BELOW UH WHERE THE BULK OF YOUR THUMB MUSCLES ARE UM CONNECTING TO YOUR WRIST IM JUST GOING TO GET YOU TO TAP THAT AREA DO YOU FEEL TINGLING LIKE AN ELECTRIC SHOCK SENSATION IN YOUR HAND OR ANYTHING LIKE THAT +audio/MSK0016.mp3[877.680,879.520] I DO YEAH +audio/MSK0016.mp3[879.520,914.960] YOU DO OK SO THATS A POSITIVE TINELS SIGN UM AND THEN WERE GOING TO DO ONE MORE TEST SO IM GOING TO OK SO MAKE LIKE A PRAYER MOTION WITH YOUR HANDS LIKE UM PUTTING YOUR 2 PALMS TOGETHER AND THEN UM AND THEN INSTEAD INVERT YOUR HAND SO THAT THE OUTER PARTS ARE TOUCHING AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND +audio/MSK0016.mp3[916.240,941.080] SO KIND OF LIKE UPSIDE DOWN BUT WITH YOUR OUTER PARTS OF YOUR HANDS TOUCHING UM AND THEN IM GOING TO GET YOU TO UH JUST HOLD YOUR ARMS LIKE THAT UM FOR ABOUT 60 SECONDS DO YOU FEEL ANY TINGLING NUMBNESS OR PAIN IN THOSE FINGERS +audio/MSK0016.mp3[941.080,946.800] YEAH I GET A BIT OF UH NUMBNESS AND TINGLING WHEN WHEN I DO THAT +audio/MSK0016.mp3[946.800,962.840] OK SO THATS A POSITIVE PHALENS SIGN TEST UM ALRIGHT SO THAT BRINGS ME TO THE END OF UM THIS INTERVIEW DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP +audio/MSK0016.mp3[962.840,967.600] UH JUST WONDERING ABOUT UM WHAT THIS COULD BE +audio/MSK0016.mp3[967.600,1095.280] OH YEAH SO UM IT SEEMS LIKE YOU HAVE SOMETHING CALLED CARPAL TUNNEL SYNDROME UM AND THAT IS ITS PRETTY COMMON UM SO IT CAN BE CAUSED BY UM A LOT OF THINGS BUT BASICALLY YOUR MEDIAN NERVE RUNS THROUGH YOUR FOREARM INTO YOUR WRIST AND ANYTHING THAT SQUEEZES OR IRRITATES THAT MEDIAN NERVE CAN LEAD TO CARPAL TUNNEL SYNDROME UM AND SOME THINGS INCLUDE UM LIKE REPETITIVE MOVEMENTS AT WORK UM OBESITY UM ANY NERVE DAMAGING CONDITIONS LIKE DIABETES UM INFLAMMATORY CONDITIONS BUT MOSTLY JUST LIKE WORKPLACE FACTORS CAN CAN DO IT UM ESPECIALLY IF YOURE WORKING WITH LIKE VIBRATING TOOLS OR ON AN ASSEMBLY LINE THAT REQUIRES LIKE REPETITIVE AND PROLONGED FLEXING OF THE WRIST UM SO UH DIAGNOSIS WE JUST DO THAT THROUGH LIKE SYMPTOMS PHYSICAL EXAM UM WE DONT REALLY NEED TO DO ANY IMAGING AT THIS AT THIS POINT AND TO TREAT IT UM BASICALLY WORK MODIFICATION SO TAKING FREQUENT BREAKS UH NOT DOING THOSE REPETITIVE MOVEMENTS UM AS OFTEN UM AND THEN YOU CAN DO THINGS AT HOME LIKE APPLY COLD PACKS UM AND THEN WE ALSO HAVE SOME LIKE NONSURGICAL TREATMENTS WHERE WE CAN UH SPLINT WE CAN PUT LIKE A WRIST SPLINT UM WHILE YOU SLEEP TO RELIEVE THOSE NIGHTTIME SYMPTOMS UH YOU CAN TAKE SOME NSAIDS TO RELIEVE PAIN UM AND IF THOSE DONT WORK WE CAN TRY CORTICOSTEROIDS UM AND IF THAT DOESNT WORK THEN WE CAN ALSO DISCUSS SURGERY SOMETIME DOWN THE LINE DOES THAT SOUND OK +audio/MSK0016.mp3[1095.280,1098.400] IT DOES YEAH THANK YOU +audio/MSK0016.mp3[1098.400,1100.160] YEAH NO PROBLEM +audio/RES0117.mp3[0.000,2.480] WHAT BRINGS YOU IN +audio/RES0117.mp3[2.480,19.800] YEAH SO I JUST CAME IN TODAY UH A BIT CONCERNED UH IVE BEEN JUST HAVING THIS NASTY COUGH FOR LIKE THE LAST WEEK AND THEN TODAY MORNING UH LIKE I THOUGHT THE COUGH WOULD JUST GO AWAY BUT TODAY MORNING I ALSO NOTICED IM COUGHING UP SOME BLOOD +audio/RES0117.mp3[19.800,21.320] OH OK +audio/RES0117.mp3[22.080,25.560] SO WHEN DID YOU FIRST START COUGHING +audio/RES0117.mp3[25.560,43.040] UM SO LET ME THINK UH I JUST RETURNED FROM A MISSION TRIP UH TO THE PHILIPPINES 2 WEEKS AGO THIS COUGH STARTED UH JUST LAST WEEK SO I WOULD SAY AROUND SIX TO SEVEN DAYS +audio/RES0117.mp3[43.040,50.960] OK AND THAT AND THE BLOOD IN YOUR COUGH UM THAT WAS ABOUT YESTERDAY YOU SAID OR +audio/RES0117.mp3[50.960,54.680] YEAH TODAY UH +audio/RES0117.mp3[54.680,61.240] TODAY OK OK UM ARE YOU BRINGING UP ANY PHLEGM AT ALL BESIDES THE BLOOD +audio/RES0117.mp3[61.240,73.440] UH NO ITS JUST UH LIKE I SAW IT ON MY HAND LIKE THERE WASNT ANYTHING LIKE MY COUGH IS LIKE PRETTY DRY +audio/RES0117.mp3[73.440,77.480] OK ARE YOU SHORT OF BREATH AT ALL +audio/RES0117.mp3[77.480,81.480] NO IM NOT SHORT OF BREATH UM JUST ITS JUST THE COUGH +audio/RES0117.mp3[81.480,85.040] OK AND ARE YOU HAVING ANY WHEEZINESS +audio/RES0117.mp3[85.040,87.560] UH NO WHEEZINESS +audio/RES0117.mp3[87.560,91.760] OK UM ANY RUNNY NOSE OR STUFFY NOSE +audio/RES0117.mp3[91.760,94.040] NO NO UH RUNNY OR STUFFY NOSE +audio/RES0117.mp3[94.040,98.600] CHANGES IN VISION HEARING SMELL OR TASTE +audio/RES0117.mp3[99.640,104.000] UH WEIGHT LOSS +audio/RES0117.mp3[104.000,127.560] UM I HAVE NOTICED UH WEIGHT LOSS OVER THE LAST UH I WOULD SAY FEW MONTHS SO IVE BEEN IVE BEEN DOING LIKE LIKE I I CAME BACK FROM PHILIPPINES LAST WEEK BUT UM I HAD GONE EARLIER LIKE DURING THIS YEAR OR TWO AND IVE KIND OF NOTICED THIS WEIGHT CHANGE PROBABLY LOST AROUND 15 POUNDS WITHIN THE LAST FEW MONTHS +audio/RES0117.mp3[127.560,133.760] 15 POUNDS OK WOW THATS A LOT YEAH UM ANY NIGHT SWEATS +audio/RES0117.mp3[133.760,136.160] UM NO I DONT THINK SO NO +audio/RES0117.mp3[136.160,139.720] ANY FEVERS OR CHILLS +audio/RES0117.mp3[139.720,146.320] I DID HAVE A I DID HAVE SOME CHILLS OVER THE LAST WEEK UM BUT I DIDNT REALLY THINK TOO MUCH OF IT +audio/RES0117.mp3[146.320,152.120] OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY RASHES +audio/RES0117.mp3[153.160,155.280] ANY CHEST PAIN +audio/RES0117.mp3[155.280,156.640] NO CHEST PAIN +audio/RES0117.mp3[156.640,158.840] UH SWELLING IN YOUR LIMBS +audio/RES0117.mp3[159.760,162.560] FAINTING SPELLS OR DIZZINESS +audio/RES0117.mp3[162.560,163.520] NO NOTHING LIKE THAT +audio/RES0117.mp3[163.520,167.080] CONFUSION OR MEMORY LOSS +audio/RES0117.mp3[169.960,171.080] NO HEADACHES +audio/RES0117.mp3[171.080,173.320] UH JOINT PAIN +audio/RES0117.mp3[177.000,178.200] UH NO +audio/RES0117.mp3[178.200,182.240] UM CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0117.mp3[182.240,183.920] UH NO NOT AT ALL +audio/RES0117.mp3[183.920,186.480] NO CHANGES IN YOUR URINE +audio/RES0117.mp3[187.400,190.120] UH NAUSEA OR VOMITING +audio/RES0117.mp3[190.120,191.560] NO NAUSEA OR VOMITING +audio/RES0117.mp3[191.560,194.480] OK HOW ABOUT ABDOMINAL PAIN +audio/RES0117.mp3[194.480,196.320] NO NOTHING LIKE THAT +audio/RES0117.mp3[196.320,201.720] OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0117.mp3[201.720,211.520] YEAH NO IM OTHERWISE I UM I DONT IM REALLY HEALTHY I DONT TAKE ANY MEDICATIONS SO THIS WAS SOMETHING THAT HAPPENED OUT OF THE BLUE +audio/RES0117.mp3[211.520,216.640] OK ANY UM HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0117.mp3[218.720,223.280] NO UM MEDICATIONS ARE YOU ON ANY +audio/RES0117.mp3[223.280,227.240] NO I HAVENT UM TRIED ANY MEDICATIONS +audio/RES0117.mp3[227.240,232.240] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0117.mp3[232.240,237.800] UH I IVE BEEN YEAH PRETTY UP TO DATE WITH ALL MY IMMUNIZATIONS +audio/RES0117.mp3[237.800,241.800] OK UH ALLERGIES DO YOU HAVE ANY +audio/RES0117.mp3[242.920,247.680] SORRY FORGOT TO ASK IMMUNIZATIONS DID YOU GET THE FLU SHOT THIS YEAR +audio/RES0117.mp3[247.680,248.840] YEAH I DID +audio/RES0117.mp3[248.840,253.520] OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0117.mp3[253.520,254.880] NO NOT AT ALL +audio/RES0117.mp3[254.880,257.600] NO ANY LUNG CANCERS +audio/RES0117.mp3[258.600,261.480] NO OK DO YOU SMOKE +audio/RES0117.mp3[261.480,263.480] NO I HAVE NEVER SMOKED A DAY IN MY LIFE +audio/RES0117.mp3[263.480,266.760] OK RECREATIONAL DRUGS +audio/RES0117.mp3[266.760,269.760] NO I WOULD NEVER TAKE DRUGS +audio/RES0117.mp3[269.760,272.800] OK DO YOU DRINK ALCOHOL +audio/RES0117.mp3[272.800,274.880] NO NO NOT AT ALL +audio/RES0117.mp3[274.880,277.960] OK UM WHERE DO YOU LIVE RIGHT NOW +audio/RES0117.mp3[277.960,286.240] SO I I JUST LIVE IN A SMALL APARTMENT BY MYSELF UH JUST BEEN MOVING AROUND A LOT +audio/RES0117.mp3[286.240,296.280] OK FOR SURE UM ANY LIKE ASBESTOS MOLD OR LIKE OLD CARPETS DUST ANYTHING LIKE THAT AT YOUR APARTMENT +audio/RES0117.mp3[296.280,297.920] NO I DONT THINK SO +audio/RES0117.mp3[297.920,300.080] NO ANY SICK CONTACTS RECENTLY +audio/RES0117.mp3[300.080,318.640] UM NOT UH I DONT THINK SO LIKE WE UM MAYBE IN THE PHILIPPINES WE DO PROVIDE A SO I GO ON LIKE THESE MISSION TRIPS WITH THE CHURCH AND UM WE DO SOMETIMES GO TO THE HOSPITAL AS WELL +audio/RES0117.mp3[320.200,323.680] SOMETIMES YEAH WE WE DO SEE SOME SICK PEOPLE +audio/RES0117.mp3[323.680,324.360] MHMM OK +audio/RES0117.mp3[324.360,329.000] BUT OTHER THAN THAT NOT SINCE IVE BEEN HERE NO +audio/RES0117.mp3[329.000,333.680] ANY TRAVEL OUTSIDE THE PHILIPPINES RECENTLY +audio/RES0117.mp3[333.680,350.200] UHM SO I THINK SO THIS YEAR HAS JUST BEEN THE PHILIPPINES BEFORE I USED TO GO TO INDIA AS WELL UM BUT RECENTLY NOTHING OUTSIDE OF THE PHILIPPINES +audio/RES0117.mp3[350.200,354.920] OK OK UM THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0117.mp3[354.920,369.560] YEAH I I WAS VERY WORRIED UM UH ABOUT THE BLOOD I WAS JUST READING SOME THINGS UP AND UH ABOUT TUBERCULOSIS SO I WAS REALLY STRESSED OUT TODAY +audio/RES0117.mp3[369.560,440.200] YEAH SO UM THATS DEFINITELY HIGH ON OUR DIFFERENTIAL SO WELL DO A COUPLE OF THINGS WELL DO A COVID SWAB ON YOU UM JUST TO RULE THAT IN OR OUT YOU SHOULD HEAR BACK FOR ABOUT THOSE RESULTS IN 24 TO 48 HOURS WHILE YOURE HERE IN THE HOSPITAL WERE ALSO GOING TO DO A CHEST XRAY AND OR LIKE AN AFB SMEAR TO SEE IF YOU HAVE ACTIVE TB OR LATENT TB IF THOSE COME BACK POSITIVE UM WE WILL REQUIRE YOU TO ISOLATE BECAUSE THIS UH BECAUSE TB IS HIGHLY INFECTIOUS AND ITS AIRBORNE UM SO WE HAVE A COUPLE OF UH WE HAVE LIKE A REGIMEN THAT WED PUT YOU ON ITS CALLED THE RIPE MEDICATIONS THAT WE KEEP YOU ON FOR TWO MONTHS AND THEN WE CONTINUE A COUPLE OF THOSE FOR ANOTHER FOUR MONTHS UM BUT WE WILL UH KEEP YOU HERE UNTIL WE HAVE MORE ANSWERS ON UM LIKE FROM THIS TB STANDPOINT HOW DOES THAT SOUND +audio/RES0117.mp3[440.200,447.320] YEAH THAT SOUNDS GOOD UM YEAH IM REALLY WORRIED BUT HOPEFULLY ITS NOT TB +audio/RES0117.mp3[447.320,460.520] YEAH HOPEFULLY ITS NOT UM BUT IF IT IS ITS ITS OK LIKE UM WELL GET INFECTIOUS DISEASE INVOLVED UH WELL GET THE ISOLATION GOING AND WELL GET YOU ON THE CORRECT TREATMENT +audio/RES0117.mp3[460.520,462.960] OK THANK YOU SO MUCH +audio/RES0117.mp3[462.960,464.360] YEAH NO PROBLEM +audio/RES0113.mp3[0.000,3.760] WHAT CAN I DO FOR YOU TODAY +audio/RES0113.mp3[3.760,21.040] UM YEAH SO IM HERE BECAUSE IVE HAD THIS FEVER THIS COUGH AND NOW MY HEAD HURTS THATS BEEN GOING ON FOR ABOUT THE PAST FOUR DAYS AND I JUST WANT TO MAKE SURE UM ITS NOTHING TOO SERIOUS +audio/RES0113.mp3[21.040,28.280] YEAH YEAH THATS GREAT SO CAN YOU TELL ME HAVE YOU DID YOU MEASURE YOUR TEMPERATURE +audio/RES0113.mp3[28.280,32.400] UH NO I HAVENT ACTUALLY MEASURED IT I JUST FEEL HOT AND FEEL CHILLS +audio/RES0113.mp3[32.400,43.680] OK BUT WE CAN TAKE YOUR VITALS HERE UM AND UH YOU YOU SAID THAT YOUVE HAD A COUGH FOR THE PAST FOUR DAYS DRY COUGH OR WET COUGH +audio/RES0113.mp3[43.680,51.560] UM ITS BEEN PRETTY DRY +audio/RES0113.mp3[51.560,57.360] UM ANY UH NO BLOOD OR ANY UM SPUTUM UM COMING UP RIGHT +audio/RES0113.mp3[57.360,58.800] NO NO +audio/RES0113.mp3[58.800,68.200] OK AND HAS THE THE COUGH GOTTEN WORSE OR BETTER OR THE SAME HAS IT BEEN THE SAME SINCE THE PAST FOUR DAYS +audio/RES0113.mp3[68.200,70.840] UM ITS ITS ACTUALLY GETTING WORSE +audio/RES0113.mp3[70.840,78.160] OK IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE +audio/RES0113.mp3[78.160,80.640] UH NO I DONT THINK SO +audio/RES0113.mp3[80.640,85.240] OK UH HAVE YOU TRIED ANYTHING FOR YOUR COUGH +audio/RES0113.mp3[85.240,95.440] IVE TRIED LIKE DECONGEST LIKE COUGH SUPPRESSANTS BUT IT DOESNT SEEM TO HAVE HELPED +audio/RES0113.mp3[95.440,101.640] OK OK AND THEN TELL ME ABOUT YOUR HEADACHE THAT STARTED FOUR DAYS AGO AS WELL +audio/RES0113.mp3[103.280,106.760] AND UH WHERE EXACTLY IS IT +audio/RES0113.mp3[106.760,112.440] SO ITS LIKE JUST ON THE FRONT PART OF MY HEAD +audio/RES0113.mp3[112.440,124.520] AND DOES IT FEEL LIKE UH WHAT DOES IT FEEL LIKE IS IT LIKE A THROBBING SENSATION A BAND LIKE SENSATION UM IS IT SHARP IS IT DULL +audio/RES0113.mp3[124.520,129.240] UH IT FEELS PRETTY THROBBING RIGHT NOW +audio/RES0113.mp3[129.240,133.280] IS IT BOTH SIDES OR ON THE UH LEFT OR RIGHT +audio/RES0113.mp3[133.280,137.360] UH ITS IT SEEMS LIKE ITS BOTH SIDES +audio/RES0113.mp3[137.360,144.000] IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE MOST SEVERE PAIN EVER WHAT NUMBER WOULD YOU GIVE IT +audio/RES0113.mp3[144.000,148.320] UH I WOULD GIVE IT ABOUT LIKE A SEVEN +audio/RES0113.mp3[148.320,152.560] OH WOW OK AND HOWS IT CHANGED OVER THE PAST FOUR DAYS +audio/RES0113.mp3[152.560,155.120] UH ITS JUST GOTTEN A LITTLE BIT WORSE +audio/RES0113.mp3[155.120,163.920] UM IS IT UH IS IT WHAT WAS I GONNA SAY IS IT CONSTANT OR DOES IT COME AND GO +audio/RES0113.mp3[163.920,168.160] UM IT SEEMS PRETTY IT SEEMS PRETTY CONSTANT +audio/RES0113.mp3[168.160,171.440] HAVE YOU TAKEN ANYTHING FOR IT +audio/RES0113.mp3[171.440,179.200] I TRIED LIKE SOME TYLENOL FOR IT AND IT SEEMS TO HELP A LITTLE BIT +audio/RES0113.mp3[179.200,188.480] DOES IT IS THERE A CERTAIN TIME OF THE DAY WHEN ITS WORSE BEFORE GOING TO BED AT THE END OF THE DAY WAKING UP ANYTHING LIKE THAT +audio/RES0113.mp3[188.480,190.080] NO NOTHING LIKE THAT +audio/RES0113.mp3[190.080,194.840] HAVE YOU HAD A SIMILAR HEADACHE IN THE PAST +audio/RES0113.mp3[194.840,202.560] UH YEAH I GUESS I HAVE A LITTLE BIT IN THE PAST BUT THAT WAS ALSO WHEN I WAS LIKE SICK +audio/RES0113.mp3[202.560,207.320] SURE UM DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT +audio/RES0113.mp3[207.320,211.160] UH NO IT HASNT WOKEN ME UP +audio/RES0113.mp3[211.160,222.600] OK UM I GUESS OTHER THAN THE HEADACHE ILL ASK YOU ABOUT AND THE COUGH AND FEVER ILL ASK YOU IF YOUVE HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD ANY CONFUSION +audio/RES0113.mp3[222.600,224.560] UH NO NO CONFUSION +audio/RES0113.mp3[224.560,227.800] ANY CHANGES IN YOUR VISION OR YOUR HEARING +audio/RES0113.mp3[232.360,234.920] UM ANY UM REDNESS IN YOUR EYES +audio/RES0113.mp3[235.920,240.560] ANY LOSS OF TASTE OR LOSS OF SMELL +audio/RES0113.mp3[241.880,246.400] UM ANY RUNNY NOSE OR STUFFY NOSE +audio/RES0113.mp3[246.400,247.840] UH NOPE +audio/RES0113.mp3[247.840,250.080] OK ANY SORE THROAT +audio/RES0113.mp3[251.800,255.960] OK ANY CHEST PAIN OR DIFFICULTIES BREATHING +audio/RES0113.mp3[257.640,261.080] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0113.mp3[262.160,265.240] OK ANY BELLY PAIN +audio/RES0113.mp3[265.240,266.400] NO BELLY PAIN +audio/RES0113.mp3[268.560,271.880] OK ANY ACHES OR PAINS IN YOUR BODY +audio/RES0113.mp3[273.000,276.560] UH ANY RASHES THAT YOUVE NOTICED +audio/RES0113.mp3[276.560,278.120] NO NO RASHES +audio/RES0113.mp3[278.120,281.520] ANY DISCOLOURATION OF YOUR FINGERS OR TOES +audio/RES0113.mp3[281.520,283.200] UH I DONT THINK SO +audio/RES0113.mp3[283.200,290.960] OK ALRIGHT UM AND DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0113.mp3[290.960,293.880] NO I THINK IM HEALTHY OTHERWISE +audio/RES0113.mp3[293.880,299.280] OK ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0113.mp3[299.280,300.120] UH NO +audio/RES0113.mp3[300.120,308.280] OK UM WHAT ABOUT MEDICATIONS ARE YOU TAKING ANY OVER THE COUNTER OR OTHERWISE +audio/RES0113.mp3[308.280,311.800] UH I TAKE SOME MULTIVITAMINS THATS IT THOUGH +audio/RES0113.mp3[311.800,318.400] OK ANY FAMILY HISTORY OF LUNG OR HEART PROBLEMS UH OR ANYTHING ELSE OR CANCERS +audio/RES0113.mp3[319.400,325.080] AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH SOMEONE ELSE OR WITH OTHER PEOPLE +audio/RES0113.mp3[325.080,328.320] I LIVE WITH UM MY HUSBAND AND OUR OUR DAUGHTER +audio/RES0113.mp3[328.320,333.760] OK HAVE YOU HAD ANY HAVE YOU TRAVELED ANYWHERE +audio/RES0113.mp3[333.760,335.880] NO NOT RECENTLY +audio/RES0113.mp3[335.880,343.240] HAVE YOU UH WHAT DO YOU MEAN BY RECENTLY +audio/RES0113.mp3[343.240,346.280] UH LIKE I HAVE TRAVELED IN THE PAST TWO YEARS +audio/RES0113.mp3[346.280,357.600] OK THATS FINE THATS FINE HAVE YOU HAD ANY CONTACT WITH ANYONE WHO MIGHT BE SICK EITHER YOU OR YOUR HUSBAND OR YOUR DAUGHTER +audio/RES0113.mp3[357.600,359.000] UH NO I DONT THINK SO +audio/RES0113.mp3[359.000,361.920] HAVE YOU GONE OUT OF THE HOME AT ALL +audio/RES0113.mp3[361.920,367.320] UH JUST TO DO LIKE ESSENTIAL THINGS LIKE GROCERIES AND THE BANK AND THINGS LIKE THAT +audio/RES0113.mp3[367.320,370.480] DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING +audio/RES0113.mp3[373.440,379.400] OK UM ALRIGHT UH DO YOU DRINK ALCOHOL +audio/RES0113.mp3[379.400,383.720] I DRINK LIKE ONCE ONCE IN A WHILE HAVE A GLASS OF WINE +audio/RES0113.mp3[383.720,387.280] OK HOW I GUESS HOW OFTEN WOULD YOU SAY +audio/RES0113.mp3[387.280,388.640] UH ONCE A WEEK +audio/RES0113.mp3[388.640,392.120] OK AND DO YOU SMOKE +audio/RES0113.mp3[392.120,393.680] UM NO NOT ANYMORE +audio/RES0113.mp3[393.680,397.160] UH HOW MUCH DID YOU SMOKE IN THE PAST +audio/RES0113.mp3[397.160,405.960] I ID HAVE LIKE HALF A PACK UM BUT I ONLY SMOKED BETWEEN LIKE THE AGE OF 20 TO LIKE 25 +audio/RES0113.mp3[405.960,412.360] OK DO YOU SMOKE MARIJUANA OR HAVE ANY EDIBLES WITH MARIJUANA IN IT +audio/RES0113.mp3[413.400,415.120] ANY RECREATIONAL DRUGS +audio/RES0113.mp3[415.920,424.920] OK UM ALRIGHT WELL UH AND YOU SAID THAT YOU DONT HAVE A FAMILY HISTORY OF ANY PROBLEM +audio/RES0113.mp3[425.400,506.120] YEAH OK ALRIGHT I THINK THATS ALL THE QUESTIONS I HAD FOR YOU SO UH LOOKS LIKE YOUVE HAD A FEVER COUGH AND A UM AND A HEADACHE THATS GOTTEN WORSE IN THE PAST FOUR DAYS AND YOUR HEADACHES PRETTY BAD A SEVEN OUT OF TEN UM AND UH IT COULD BE THAT YOU HAVE UH SOME SORT OF AN INFECTION UH INCLUDING UM WITH COVID BEING ONE OF THE POSSIBILITIES AND SO UM CONTINUE TO TAKE TYLENOL AND AND UM MONITOR YOUR UH FEVER IF IT CONTINUES TO GET WORSE OR YOU UM NOTICE THAT YOUR SYMPTOMS ARE JUST NOT GETTING BETTER UM YOU SHOULD COME BACK YOU SHOULD UH WELL ALSO DO A COVID WELL ALSO SEND IN A REQUEST FOR A COVID SWAB UM AND UH WELL ASK YOU TO QUARANTINE FOR THE FOR THE NEXT 14 DAYS AND TRY TO STAY AWAY FROM YOUR HUSBAND AND DAUGHTER AS WELL IF YOU CAN AT HOME UM AND UH I GUESS A COUPLE OF OTHER QUESTIONS THAT I WANTED TO ASK AND I SHOULD HAVE ASKED EARLIER DO YOU HAVE ANY UM ANY STIFFNESS IN YOUR NECK OR ANY DIFFICULTIES MOVING YOUR NECK +audio/RES0113.mp3[506.120,513.120] UH NO NOTHING LIKE THAT +audio/RES0113.mp3[513.120,518.640] OK ALRIGHT AND UM DO YOU HAVE ANY QUESTIONS +audio/RES0113.mp3[518.640,521.040] UH NO THATS IT THANK YOU SO MUCH +audio/RES0014.mp3[0.000,3.440] WHAT BRINGS YOU IN TODAY +audio/RES0014.mp3[3.440,11.480] THIS AFTERNOON IM JUST HERE BECAUSE IVE BEEN EXPERIENCING SOME BREATHLESSNESS AS WELL AS A BIT OF COUGH +audio/RES0014.mp3[11.480,14.640] OK WHEN DID IT START +audio/RES0014.mp3[14.640,25.440] SO I THINK ITS A IT STARTED AROUND THREE MONTHS AGO AND I BELIEVE ITS JUST BEEN GETTING WORSE +audio/RES0014.mp3[25.440,32.120] OK UM HOW OFTEN ARE YOU EXPERIENCING THE SHORTNESS OF BREATH +audio/RES0014.mp3[32.120,44.600] I FEEL IT LIKE A LOT OF THE TIME ESPECIALLY OUTSIDE WHEN IM IN THE COLD OR AT AT NIGHT WHEN I GO OUTSIDE AT NIGHT MY CHEST FEELS A LITTLE TIGHT TOO AT THE SAME TIME +audio/RES0014.mp3[44.600,49.040] OK AND HOW LONG DOES IT LAST +audio/RES0014.mp3[49.040,59.600] I WOULD SAY IT LASTS UP TO AN HOUR EVERY TIME IM OUT IN THE COLD AND THEN ONCE I COME BACK IN SO ID SAY IT LASTS AT LEAST ONE HOUR +audio/RES0014.mp3[59.600,70.040] OK DOES ANYTHING ELSE MAKE IT WORSE LIKE DUST YOU KNOW LAYING DOWN ANYTHING LIKE THAT +audio/RES0014.mp3[70.040,81.600] SOMETIMES WHEN IM NEAR DUST SOMETIMES WHEN IM RUNNING DURING GYM CLASS INCREASED ACTIVITY DOES MAKE IT WORSE +audio/RES0014.mp3[81.600,98.080] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHING DIFFICULTIES IS IT MORE LIKE A BURNING KIND OF FEELING IS IT LIKE YOU CANT CATCH YOUR BREATH WHAT DOES IT FEEL LIKE +audio/RES0014.mp3[98.080,111.640] I THINK ITS MORE JUST A I CANT CATCH MY BREATH AND IT FEELS LIKE MY MY THROAT IS JUST KIND OF LIKE CLOSING OFF AND I CANT TAKE DEEP BREATHS +audio/RES0014.mp3[111.640,121.320] OK YEAH THATS SCARY AND ONE TO 10 10 BEING THE WORST HOW BAD IS YOUR SHORTNESS OF BREATH +audio/RES0014.mp3[121.320,135.000] IT CAN GET UP TO I WOULD SAY LIKE AN 8 AT TIMES IT CAN GET PRETTY SCARY AND SOMETIMES LIKE I FEEL LIKE HEAVINESS IN MY CHEST TOO WHEN IT HAPPENS +audio/RES0014.mp3[135.000,143.120] YEAH AND THE COUGHING HAS IT BEEN GOING ON FOR AS LONG AS YOUR BREATHLESSNESS +audio/RES0014.mp3[143.120,150.680] I WOULD SAY AROUND THE SAME SAME TIME FRAME LIKE 3 MONTHS BUT IM NOT ALWAYS COUGHING IT COMES AND GOES +audio/RES0014.mp3[150.680,160.240] OK AND FOR YOUR COUGHING IS IT KIND OF LIKE THE SAME TRIGGERS THE COLD DUST THINGS LIKE THAT +audio/RES0014.mp3[160.240,161.880] YEAH I WOULD SAY SO +audio/RES0014.mp3[161.880,165.400] AND DO YOU EVER HAVE DO YOU EVER COUGH UP BLOOD +audio/RES0014.mp3[165.400,171.120] NO I DONT ITS MOSTLY JUST A DRY COUGH I DONT COUGH UP ANYTHING +audio/RES0014.mp3[171.120,181.520] OK SO NO SPUTUM OR PHLEGM NO OK DO YOU EVER FEEL WHEEZY +audio/RES0014.mp3[181.520,192.760] I I I DO HEAR LIKE A LIKE A WEIRD SOUND WHEN I BREATHE OUT SOMETIMES I I THINK IT MIGHT BE WHEEZINESS +audio/RES0014.mp3[192.760,197.880] OK OK DO YOU HAVE A SORE THROAT +audio/RES0014.mp3[197.880,200.960] UH NO I DONT HAVE A SORE THROAT NO +audio/RES0014.mp3[200.960,205.520] NO UM HOW ABOUT A RUNNY NOSE OR STUFFY NOSE +audio/RES0014.mp3[205.520,207.920] NO NOTHING LIKE THAT +audio/RES0014.mp3[207.920,211.880] ANY CHANGES IN YOUR SMELL +audio/RES0014.mp3[211.880,214.640] NO NO CHANGES IN MY SMELL NO +audio/RES0014.mp3[214.640,220.080] OK HOW ABOUT HEARING +audio/RES0014.mp3[220.080,222.600] UH NO HEARING IS FINE +audio/RES0014.mp3[222.600,228.120] OK AND LIKE NO PUS OR LIQUIDS COMING OUT OF YOUR EAR OR ANYTHING LIKE THAT RIGHT +audio/RES0014.mp3[228.880,230.480] NO EAR PAIN +audio/RES0014.mp3[231.280,234.840] OK AND HOW ABOUT YOUR VISION EVERYTHING OK THERE +audio/RES0014.mp3[234.840,236.600] YEAH EVERYTHING IS OK +audio/RES0014.mp3[236.600,240.080] OK ANY FEVERS +audio/RES0014.mp3[240.080,251.320] I DONT KNOW ABOUT A FEVER I HAVENT CHECKED BUT SOME NIGHTS I DO ESPECIALLY IN THE LAST WEEK I HAVE WOKEN UP FEELING A BIT CHILLY I HAVENT REALLY CHECKED +audio/RES0014.mp3[251.320,255.160] OK SO YOU WOKE UP FEELING CHILLY ANY NIGHT SWEATS +audio/RES0014.mp3[255.160,256.640] UH NO +audio/RES0014.mp3[256.640,259.200] OK ANY WEIGHT LOSS +audio/RES0014.mp3[259.200,260.160] NO NO +audio/RES0014.mp3[260.160,266.280] HOW ABOUT CHANGES IN YOUR SKIN LIKE HAVE YOU NOTICED A RASH ANYWHERE +audio/RES0014.mp3[266.280,271.240] UH NOT THAT IVE REALLY NOTICED NO NO RASHES +audio/RES0014.mp3[271.240,276.000] OK AND ANY CHEST PAIN AT ALL +audio/RES0014.mp3[276.000,289.120] NO JUST SOMETIMES WHEN I IM COUGHING A LOT I FEEL A LITTLE BIT OF JUST TENSION AND HEAVINESS IN THERE BUT THATS JUST WHEN IM LIKE REALLY COUGHING A LOT +audio/RES0014.mp3[289.120,294.360] YEAH OK AND ANY ANY FEELINGS LIKE YOUR HEARTS RACING +audio/RES0014.mp3[295.280,303.640] NO OK AND HOW ABOUT SWELLING HAVE YOU NOTICED SWELLING ANYWHERE IN YOUR BODY +audio/RES0014.mp3[303.640,308.520] NO NOTHING LIKE THAT +audio/RES0014.mp3[308.520,317.520] NO OK UM OK HOW ABOUT UM DOES YOUR SHORTNESS OF BREATH GET WORSE WHEN YOURE FALLING ASLEEP +audio/RES0014.mp3[317.520,327.160] NO NOTHING LIKE THAT I THINK ITS MAINLY JUST WORSE IF I GO OUT IN THE COLD OR IM LIKE RUNNING AROUND DOING MORE ACTIVITIES +audio/RES0014.mp3[327.160,330.520] DOES IT EVER WAKE YOU UP AT NIGHT +audio/RES0014.mp3[330.520,332.040] NO NEVER +audio/RES0014.mp3[332.040,337.480] OK AND ANY NAUSEA OR VOMITING +audio/RES0014.mp3[337.480,339.160] NO NO NAUSEA OR VOMITTING +audio/RES0014.mp3[339.160,344.120] OK HOW ABOUT CHANGES IN YOUR IN YOUR BOWEL MOVEMENT +audio/RES0014.mp3[344.120,346.280] NO BOWEL MOVEMENTS ARE NORMAL +audio/RES0014.mp3[346.280,351.280] HOW ABOUT IN TERMS OF URINATING ANY CHANGES THERE +audio/RES0014.mp3[351.280,351.760] NO NO +audio/RES0014.mp3[351.760,354.520] OK ANY HEADACHES +audio/RES0014.mp3[355.600,359.320] NO ANY DIZZINESS OR FAINTING SPELLS +audio/RES0014.mp3[359.560,363.360] CONFUSION MEMORY LOSS +audio/RES0014.mp3[363.360,366.200] NO NOTHING LIKE THAT +audio/RES0014.mp3[366.200,370.160] OK GOOD ARE YOU OTHERWISE HEALTHY +audio/RES0014.mp3[370.160,381.080] YEAH I DONT HAVE ANY OTHER CONDITION I I DO REMEMBER MY DOCTORS SAYING I HAVE HAY FEVER BEFORE BUT THATS ABOUT IT +audio/RES0014.mp3[381.080,383.040] WHEN WAS THAT +audio/RES0014.mp3[383.040,386.880] I THINK THAT WAS LIKE MORE THAN THREE YEARS AGO +audio/RES0014.mp3[386.880,391.480] OK UM ANY RECENT SURGERIES +audio/RES0014.mp3[392.440,396.480] NO ARE YOU ON ANY MEDICATIONS +audio/RES0014.mp3[396.480,407.840] I JUST TAKE SOME TYLENOL SOMETIMES FOR THE LIKE TYLENOL COLD SOMETIMES FOR THE SYMPTOMS I DONT THINK IT HAS REALLY HELPED +audio/RES0014.mp3[407.840,415.080] NO OK DO YOU HAVE ANY ALLERGIES NOT JUST TO MEDICATIONS BUT TO ANYTHING ELSE +audio/RES0014.mp3[415.080,421.520] UH JUST LIKE HAY FEVER BUT NOTHING NOTHING ELSE THAT I CAN THINK OF NO +audio/RES0014.mp3[421.520,428.440] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0014.mp3[428.440,431.560] AS FAR AS I KNOW YEAH EVERYTHINGS UP TO DATE +audio/RES0014.mp3[431.560,436.600] OK ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0014.mp3[436.600,450.040] UH DONT THINK SO MY SISTER I THINK SHE THEY WERE SAYING SHE MIGHT HAVE ASTHMA AND SHE ALSO HAS ECZEMA NO ONE ELSE IN THE FAMILY HAS ANY OTHER CONDITIONS +audio/RES0014.mp3[450.040,456.160] NOT NOT EVEN LIKE HEART CONDITIONS CANCER +audio/RES0014.mp3[456.160,458.400] NO UH NO NOT THAT I KNOW +audio/RES0014.mp3[458.400,464.560] OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0014.mp3[466.600,470.320] NO OK AND ANY TRAVEL RECENTLY +audio/RES0014.mp3[470.320,476.160] NO IVE BEEN HERE IN ONTARIO +audio/RES0014.mp3[476.160,477.920] OK AND WHERE DO YOU LIVE +audio/RES0014.mp3[477.920,491.360] SO I CURRENTLY LIVE IN LONDON BUT I JUST RECENTLY MOVED INTO A NEW FLAT AROUND TWO MONTHS AGO +audio/RES0014.mp3[491.360,497.880] TWO MONTHS AGO OK UM IS IT MORE IS IT AN OLDER FLAT +audio/RES0014.mp3[497.880,514.440] UH NO ITS FAIRLY NEW BUT ONE THING I DID NOTICE I DONT KNOW IF THIS HAS ANYTHING TO DO WITH IT BUT MY FLATMATE ACTUALLY SMOKES SOMETIMES THAT CAN REALLY IRRITATE AND MAKE ME COUGH MORE SOMETIMES AT NIGHT +audio/RES0014.mp3[514.440,519.560] YEAH ANY ANY PETS +audio/RES0014.mp3[519.560,522.240] OH NO I DONT HAVE ANY PETS +audio/RES0014.mp3[522.240,523.680] OK AND AND DO YOU SMOKE +audio/RES0014.mp3[523.680,525.680] NO I DONT SMOKE NO +audio/RES0014.mp3[525.680,528.560] OK AND DO YOU SMOKE MARIJUANA +audio/RES0014.mp3[528.560,531.600] NOPE NEVER TRIED MARIJUANA +audio/RES0014.mp3[531.600,535.160] OK ANY RECREATIONAL DRUGS +audio/RES0014.mp3[535.160,541.320] NO I DONT SMOKE MARIJUANA OR CIGARETTES +audio/RES0014.mp3[541.320,544.320] OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0014.mp3[544.320,552.880] UM JUST LIKE MAYBE SOMETIMES AT PARTIES BUT VERY RARELY MAYBE I WOULD SAY ONCE A MONTH +audio/RES0014.mp3[552.880,562.720] OK OK UM AND IS THERE ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED +audio/RES0014.mp3[562.720,575.680] UH SO NO I THINK THAT THAT WAS ALL LIKE JUST THE SHORTNESS OF BREATH WAS SCARING ME A LOT BUT YEAH JUST THE COUGHING BUT OTHER THAN THAT I JUST WANT TO KNOW WHATS GOING ON +audio/RES0014.mp3[575.680,584.360] OK YEAH AND YOU MENTIONED YOU ARE OTHERWISE HEALTHY SO YOU DONT HAVE ANY HISTORY OF ASTHMA OR ANYTHING LIKE THAT RIGHT +audio/RES0014.mp3[584.360,594.200] NO NO ONES EVER TOLD ME THAT BUT MY SISTER HAS ASTHMA SO I WAS WONDERING MAYBE +audio/RES0014.mp3[594.200,599.720] UM HAVE YOU EVER EXPERIENCED SHORTNESS OF BREATH WHEN YOU WERE YOUNGER WITH LIKE EXERCISE +audio/RES0014.mp3[599.720,613.640] UH NOT REALLY JUST MAYBE LIKE THE NORMAL AMOUNT LIKE IF IM RUNNING AROUND TOO MUCH I FEEL SHORTNESS OF BREATH BUT I THINK IT JUST GOT WORSE OVER THE LAST FEW MONTHS +audio/RES0014.mp3[613.640,623.240] OK AND THEN HAVE YOU EVER HAD ANY IMAGING DONE IN THE PAST LIKE A CHEST XRAY OR INVESTIGATIONS LIKE A PULMONARY FUNCTION TEST +audio/RES0014.mp3[623.240,625.640] NO I DONT RECALL HAVING ANY OF THAT DONE +audio/RES0014.mp3[625.640,684.480] OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU IF YOU DIDNT HAVE ANYTHING ELSE TO ADD I GUESS WE WILL CONCLUDE BY SAYING THAT WHAT YOU HAVE WE HAVE A DIFFERENTIAL DIAGNOSIS FOR THIS UM IT SOUNDS LIKE WHAT YOU HAVE IS ASTHMA SINCE YOUR SYMPTOMS STARTED THREE MONTHS AGO WHEN YOU MOVED INTO A FLAT WITH YOUR FRIENDS AND IT SEEMS LIKE THIS SMOKING AND COLD IS TRIGGERING THAT AND SO WELL WORK YOU UP WITH A PULMONARY FUNCTION TEST TO START AND WELL SEE IF BRONCHODILATORS WILL HELP WITH YOUR SYMPTOMS AND IF IT DOESNT WELL ALSO RULE OUT OTHER THINGS LIKE PNEUMONIA OR LIKE ALLERGIC RHINITIS HOW DOES THAT SOUND +audio/RES0014.mp3[684.480,685.440] YEAH THAT SOUNDS GOOD +audio/RES0014.mp3[685.440,689.360] OK SOUNDS GREAT WELL WELL SEE YOU SOON THEN +audio/RES0014.mp3[689.360,691.360] ALRIGHT THANK YOU +audio/RES0014.mp3[691.360,692.320] TAKE CARE +audio/RES0014.mp3[692.320,696.120] YOU TOO +audio/RES0185.mp3[0.000,1.840] WHAT BRINGS YOU IN +audio/RES0185.mp3[1.840,19.600] IVE I IVE HAD A AH REALLY RUNNY NOSE AND KIND OF FEELING LIKE LIKE MY NOSE HAS BEEN OBSTRUCTED AND IVE KIND OF HAD THIS LIKE SORE THROAT AS WELL OVER THE LAST SEVERAL DAYS +audio/RES0185.mp3[19.600,27.160] OK SO DID THE RHINO START FIRST OR THE NASAL OBSTRUCTION +audio/RES0185.mp3[27.160,30.760] YEAH THEY THEY KIND OF STARTED IT AROUND THE SAME TIME +audio/RES0185.mp3[30.760,33.320] OK AND WHEN WAS THAT +audio/RES0185.mp3[33.320,35.760] ABOUT FOUR DAYS AGO +audio/RES0185.mp3[35.760,39.880] FOUR DAYS AGO AND THEN WHEN DID THE SORE THROAT START +audio/RES0185.mp3[39.880,45.480] UH YEAH THAT STARTED ABOUT TWO DAYS AGO +audio/RES0185.mp3[45.480,54.920] TWO DAYS AGO OK AND AND THE UH DISCHARGE IS IT IS IT CLEAR OR ARE YOU SEEING COLORS +audio/RES0185.mp3[54.920,58.600] ITS PRETTY CLEAR AND WATERY +audio/RES0185.mp3[58.600,62.400] SO YOURE NOT SEEING ANYTHING YELLOW GREEN OR BLOODY +audio/RES0185.mp3[62.400,66.840] NO NOT NOTHING LIKE THAT I HAVENT SEEN ANY YELLOW GREEN OR OR BLOODY +audio/RES0185.mp3[66.840,75.800] OK AND THEN YOUR SORE THROAT IS IT MAKING IT HARD FOR YOU TO SWALLOW SOLIDS AND FLUIDS +audio/RES0185.mp3[75.800,80.320] NO PAIN WITH SWALLOWING JUST CAN KIND OF FEEL IT THERE +audio/RES0185.mp3[80.320,84.520] YEAH ANY COUGHING +audio/RES0185.mp3[84.520,94.480] YEAH ACTUALLY I STARTED TO HAVE A BIT OF A COUGH UH JUST THIS PAST DAY ITS ITS JUST STARTED +audio/RES0185.mp3[94.480,98.880] IS IT A DRY COUGH OR IS IT A WET COUGH +audio/RES0185.mp3[98.880,100.200] ITS DRY +audio/RES0185.mp3[100.200,105.840] ITS DRY OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD +audio/RES0185.mp3[105.840,107.680] NO SPUTUM OR OR BLOOD +audio/RES0185.mp3[107.680,113.200] OK GOOD AND AND THEN ANY SHORTNESS OF BREATH +audio/RES0185.mp3[114.360,116.920] NO ANY WHEEZING +audio/RES0185.mp3[118.120,122.520] NO WHEEZING OK ANY CHEST PAIN +audio/RES0185.mp3[124.320,129.120] NO UM ANY FAINTING SPELLS OR DIZZINESS +audio/RES0185.mp3[131.240,135.120] NO OK AND THEN ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0185.mp3[135.920,141.040] ANY CHANGES TO YOUR SMALLER TASTE +audio/RES0185.mp3[142.200,145.960] OK AND ANY WEIGHT LOSS +audio/RES0185.mp3[145.960,148.400] NO ITS BEEN STABLE +audio/RES0185.mp3[148.400,153.360] OK HOW ABOUT FEVERS +audio/RES0185.mp3[153.360,156.640] NO I DONT THINK IVE HAD A FEVER +audio/RES0185.mp3[156.640,160.760] NO OK UH CHILLS OR NIGHT SWEATS +audio/RES0185.mp3[164.480,168.720] NO OK UHM ANY RASHES +audio/RES0185.mp3[171.760,177.840] NO OK UHM AND THEN ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0185.mp3[177.840,183.400] NO I HAVENT HAD ANY DIARRHEA OR OR CONSTIPATION NOTHING LIKE THAT +audio/RES0185.mp3[183.400,187.280] OK AND NAUSEA OR VOMITING +audio/RES0185.mp3[188.880,196.200] NO OK AND THEN HOW ABOUT ABDOMINAL PAIN +audio/RES0185.mp3[196.200,198.680] NO ABDOMINAL PAIN +audio/RES0185.mp3[198.680,201.840] OK ANY CHANGES IN YOUR URINE +audio/RES0185.mp3[201.840,206.160] NO NO PAIN WITH URINATION +audio/RES0185.mp3[206.160,212.240] OK HOW ABOUT UHM GASSINESS OR BLOATING +audio/RES0185.mp3[212.240,215.360] NO I HAVENT FELT ANYTHING LIKE THAT +audio/RES0185.mp3[215.360,217.680] OK HEADACHES +audio/RES0185.mp3[217.680,229.520] YEAH I HAVE HAD A BIT OF A HEADACHE I FELT KIND OF LIKE A A PRESSURE OF WELL I FELT KIND OF LIKE A PRESSURE IN MY FACE AND A HEADACHE +audio/RES0185.mp3[229.520,240.120] OK UHM PRESSURE IN YOUR FACE AND A HEADACHE OK AND DO YOU NORMALLY GET THESE +audio/RES0185.mp3[240.120,260.000] WAIT NO I THINK I GET HEADACHES WHEN IM SICK OR I DONT DONT SLEEP WELL AND I MEAN I I HAVE BEEN FEELING PRETTY FATIGUED THE LAST FEW DAYS AND UH YEAH +audio/RES0185.mp3[260.000,265.960] YEAH IS IT THE WORST HEADACHE YOUVE EVER HAD +audio/RES0185.mp3[265.960,272.200] NO THERE ITS PRETTY MILD ITS JUST KIND OF ANNOYING CAUSE ITS STILL THERE +audio/RES0185.mp3[272.200,282.000] YEAH FOR SURE UHM ALRIGHT AND THEN ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0185.mp3[282.000,287.480] NO NOTHING LIKE THAT +audio/RES0185.mp3[287.480,297.680] NO OK GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0185.mp3[297.680,302.400] IM HEALTHY I HAVENT HAD ANY ANY CONDITIONS +audio/RES0185.mp3[302.400,310.440] OK THATS GOOD HAVE YOU BEEN HOSPITALIZED FOR ANYTHING HAVE YOU EVER NEEDED SURGERIES +audio/RES0185.mp3[310.440,312.520] NO I HAVENT +audio/RES0185.mp3[312.520,318.600] OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS +audio/RES0185.mp3[318.600,321.680] NO MEDICATIONS +audio/RES0185.mp3[321.680,328.680] ALRIGHT THATS GOOD AND THEN IM ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0185.mp3[328.680,331.080] THEY ARE YES +audio/RES0185.mp3[331.080,333.520] OK ANY ALLERGIES +audio/RES0185.mp3[333.520,334.920] NO ALLERGIES +audio/RES0185.mp3[334.920,339.520] OK ANY OF YOUR FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0185.mp3[339.520,344.960] NO NO EVERYONE IN THE FAMILY IS HEALTHY +audio/RES0185.mp3[344.960,348.080] OK DO YOU SMOKE +audio/RES0185.mp3[348.080,349.960] NOPE I DONT +audio/RES0185.mp3[349.960,352.920] HOW ABOUT RECREATIONAL DRUGS +audio/RES0185.mp3[352.920,367.400] NO WELL I I USE LIKE ILL HAVE A JOINT EVERY ONCE IN AWHILE LIKE SOCIALLY WITH FRIENDS BUT UH THATS I MEAN MAYBE A COUPLE OF TIMES PER MONTH +audio/RES0185.mp3[367.400,371.360] OK OK HOW ABOUT ALCOHOL DO YOU DRINK +audio/RES0185.mp3[371.360,385.280] YEAH ILL HAVE UHM LIKE I DONT KNOW A FEW BEERS ON THE WEEKEND MAYBE SO I DONT KNOW MAYBE LIKE FOUR OR FIVE DRINKS PER WEEK +audio/RES0185.mp3[385.280,394.040] OK AND THEN HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0185.mp3[394.040,408.520] NO I AM I DONT I DONT THINK SO I LIVE UH IN A STUDENT HOUSE THOUGH WITH THAT LIKE FOUR OTHER PEOPLE +audio/RES0185.mp3[408.520,409.800] OH I SEE +audio/RES0185.mp3[409.800,415.000] YEAH JUST FINISHING UP SOME SCHOOL HERE IN TOWN +audio/RES0185.mp3[415.000,421.720] OK AND HAD THEY BEEN SICK AT ALL OR HAD SIMILAR SYMPTOMS +audio/RES0185.mp3[421.720,434.920] I THINK ONE OF THE GUYS LAST WEEK HAD I HAD A LITTLE BIT OF A COUGH AND I DONT KNOW THAT YEAH SAID HE WASNT WASNT FEELING WELL +audio/RES0185.mp3[434.920,441.760] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0185.mp3[441.760,448.240] NO BEEN BEEN JUST AT HOME +audio/RES0185.mp3[448.240,453.840] OK ALRIGHT NO TRAVEL AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0185.mp3[453.840,457.520] SO I I JUST LIVE IN A STUDENT HOUSE WITH A +audio/RES0185.mp3[457.520,459.880] OH YEAH SORRY YOU SAID THAT +audio/RES0185.mp3[459.880,461.920] OH NO PROBLEM +audio/RES0185.mp3[461.920,475.680] I GUESS IM TRYING TO GET AT UH ARE THERE ANY OLD CARPETS YOU KNOW REASONS FOR YOU TO BELIEVE THAT THERE MAY BE A LOT OF MOLD OR ASBESTOS OR ANYTHING LIKE THAT IN THE HOUSE THAT MAY BE MAKING YOUR SYMPTOMS WORSE +audio/RES0185.mp3[475.680,488.200] ITS MOSTLY LIKE HARDWOOD OR LIKE KIND OF CERAMIC FLOORING SO THERE ARENT MANY CARPETS AND THINGS LIKE THAT SO I GUESS NO +audio/RES0185.mp3[488.200,506.240] NO OK ALRIGHT AND THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING TO ADD OR ANYTHING YOU WANTED TO DISCUSS TODAY +audio/RES0185.mp3[506.240,513.120] NO I WAS JUST I WONDERING WHAT MIGHT BE GOING ON ITS BEEN A FEW DAYS +audio/RES0185.mp3[513.120,559.520] YEAH FOR SURE UHM SO IT SOUNDS LIKE YOU MAY HAVE A VIRAL INFECTION AND BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A COVID SWAB ON YOU JUST TO RULE THAT OUT UHM BUT FROM THE SOUNDS OF WHAT YOUR SYMPTOMS ARE IT IT IS MOST LIKELY TO BE A COMMON COLD IN WHICH CASE YOU CAN JUST MANAGE IT WITH A LOT OF HYDRATION NUTRITION GOOD SLEEP BUT IF YOUR SYMPTOMS GET WORSE OR THEYRE NOT GOING AWAY AFTER A COUPLE OF WEEKS OR YOURE HAVING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES YOU SHOULD GET HELP FROM THE ER DOES THAT SOUND OK +audio/RES0185.mp3[559.520,566.360] YEAH FOR SURE I HAVENT HAD ANY ANY SYMPTOMS LIKE THAT SO SO FAR SO THATS GOOD +audio/RES0185.mp3[566.360,569.080] YEAH FOR SURE ALRIGHT TAKE CARE +audio/RES0185.mp3[569.080,574.600] TAKE CARE THANK YOU +audio/CAR0001.mp3[0.000,2.040] WHAT BROUGHT YOU IN TODAY +audio/CAR0001.mp3[2.040,11.320] SURE IM IM JUST HAVING A LOT OF CHEST PAIN AND AND SO I THOUGHT I SHOULD GET IT CHECKED OUT +audio/CAR0001.mp3[11.320,20.520] OK BEFORE WE START COULD YOU REMIND ME OF YOUR GENDER AND AGE +audio/CAR0001.mp3[20.520,24.560] SURE 39 IM A MALE +audio/CAR0001.mp3[24.560,30.800] OK AND SO WHEN DID THIS CHEST PAIN START +audio/CAR0001.mp3[30.800,39.160] IT STARTED LAST NIGHT BUT ITS BECOMING SHARPER +audio/CAR0001.mp3[39.160,42.560] OK AND WHERE IS THIS PAIN LOCATED +audio/CAR0001.mp3[42.560,46.800] ITS LOCATED ON THE LEFT SIDE OF MY CHEST +audio/CAR0001.mp3[46.800,55.520] OK AND SO HOW LONG HAS IT BEEN GOING ON FOR THEN IF IT STARTED LAST NIGHT +audio/CAR0001.mp3[55.520,62.560] SO I GUESS IT WOULD BE A COUPLE OF HOURS NOW MAYBE LIKE 8 +audio/CAR0001.mp3[62.560,71.600] OK HAS IT BEEN CONSTANT THROUGHOUT THAT TIME OR UH OR CHANGING +audio/CAR0001.mp3[71.600,76.360] I WOULD SAY ITS BEEN PRETTY CONSTANT YEAH +audio/CAR0001.mp3[76.360,86.400] OK AND HOW WOULD YOU DESCRIBE THE PAIN PEOPLE WILL USE WORDS SOMETIMES LIKE SHARP BURNING ACHY +audio/CAR0001.mp3[86.400,90.400] ID SAY ITS PRETTY SHARP YEAH +audio/CAR0001.mp3[90.400,99.080] SHARP OK UH ANYTHING THAT YOU HAVE DONE TRIED SINCE LAST NIGHT THATS MADE THE PAIN BETTER +audio/CAR0001.mp3[99.080,103.600] UM NOT LAYING DOWN HELPS +audio/CAR0001.mp3[103.600,108.680] OK SO DO YOU FIND LAYING DOWN MAKES THE PAIN WORSE +audio/CAR0001.mp3[108.680,111.080] YES DEFINITELY +audio/CAR0001.mp3[111.080,117.760] OK DO YOU FIND THAT THE PAIN IS RADIATING ANYWHERE +audio/CAR0001.mp3[121.000,127.280] OK AND IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE BESIDES LAYING DOWN +audio/CAR0001.mp3[127.280,130.720] NOT THAT IVE NOTICED NO +audio/CAR0001.mp3[130.720,136.040] OK SO NOT LIKE TAKING A DEEP BREATH OR ANYTHING LIKE THAT +audio/CAR0001.mp3[136.040,140.040] MAYBE TAKING A DEEP BREATH YEAH +audio/CAR0001.mp3[140.040,151.840] OK AND WHEN THE PAIN STARTED COULD YOU TELL ME UH COULD YOU THINK OF ANYTHING THAT YOU WERE DOING AT THE TIME +audio/CAR0001.mp3[151.840,160.160] I MEAN I WAS MOVING SOME FURNITURE AROUND BUT THAT IVE DONE THAT BEFORE +audio/CAR0001.mp3[160.160,166.600] OK SO YOU DIDNT FEEL LIKE YOU HURT YOURSELF WHEN YOU WERE DOING THAT +audio/CAR0001.mp3[168.040,182.160] OK AND IN REGARDS TO HOW SEVERE THE PAIN IS ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW SEVERE WOULD YOU SAY THE PAIN IS +audio/CAR0001.mp3[182.160,186.480] ID SAY ITS LIKE A SEVEN OR EIGHT ITS PRETTY BAD +audio/CAR0001.mp3[186.480,193.560] OK AND WITH THE PAIN DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS +audio/CAR0001.mp3[193.560,199.920] I FEEL A LITTLE LIGHTHEADED AND IM HAVING SOME TROUBLE BREATHING +audio/CAR0001.mp3[199.920,211.120] OK HAVE YOU HAD ANY LOSS OF CONSCIOUSNESS +audio/CAR0001.mp3[212.440,223.240] OK UH HAVE YOU BEEN EXPERIENCING ANY LIKE RACING OF THE HEART +audio/CAR0001.mp3[223.240,226.880] UM A LITTLE BIT YEAH +audio/CAR0001.mp3[226.880,232.640] OK AND HAVE YOU BEEN SWEATY AT ALL +audio/CAR0001.mp3[232.640,237.080] JUST FROM THE FROM HAVING ISSUES BREATHING +audio/CAR0001.mp3[237.080,242.560] OK HAVE YOU BEEN HAVING ISSUES BREATHING SINCE THE PAIN STARTED +audio/CAR0001.mp3[248.120,264.720] OK UM RECENTLY HAVE YOU HAD ANY PERIODS OF TIME WHERE YOU LIKE HAVE BEEN IMMOBILIZED OR OR YOU HAVENT BEEN LIKE ABLE TO MOVE AROUND A LOT +audio/CAR0001.mp3[264.720,266.120] NO NO +audio/CAR0001.mp3[266.120,271.840] OK AND HAVE YOU BEEN FEELING SICK AT ALL ANY INFECTIOUS SYMPTOMS +audio/CAR0001.mp3[273.680,276.600] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/CAR0001.mp3[277.840,280.680] ANY FEVERS OR CHILLS +audio/CAR0001.mp3[281.880,286.120] OK HOW ABOUT ANY ABDOMINAL PAIN +audio/CAR0001.mp3[287.680,290.320] ANY URINARY PROBLEMS +audio/CAR0001.mp3[291.320,293.160] OR BOWEL PROBLEMS +audio/CAR0001.mp3[294.520,298.000] OK HAVE YOU HAD A COUGH +audio/CAR0001.mp3[299.080,303.000] OK YOU HAVENT BROUGHT UP ANY BLOOD +audio/CAR0001.mp3[305.320,310.440] OK HAVE YOU HAD A WHEEZE WITH YOUR DIFFICULTY BREATHING +audio/CAR0001.mp3[310.440,312.920] NO NOT THAT IVE HEARD +audio/CAR0001.mp3[312.920,320.320] OK ANY CHANGES TO THE BREATH SOUNDS AT ALL LIKE ANY NOISY BREATHING +audio/CAR0001.mp3[320.320,326.000] NO WELL I GUESS IF WHEN IM REALLY HAVING TROUBLE BREATHING YEAH +audio/CAR0001.mp3[326.000,331.440] OK HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE +audio/CAR0001.mp3[335.080,340.920] NO OK AND HAVE YOU HAD ANY NIGHT SWEATS +audio/CAR0001.mp3[342.160,347.120] ALRIGHT AND THEN HOW ABOUT ANY RASHES OR SKIN CHANGES +audio/CAR0001.mp3[347.120,354.280] NO RASHES BUT I GUESS LIKE MY NECK SEEMS TO BE A LITTLE SWOLLEN +audio/CAR0001.mp3[354.280,357.680] OK DO YOU HAVE ANY NECK PAIN +audio/CAR0001.mp3[359.200,369.880] OK HAVE YOU HAD ANY LIKE ACCIDENTS LIKE A CAR ACCIDENT OR ANYTHING WHERE YOU REALLY JERKED YOUR NECK +audio/CAR0001.mp3[371.160,380.560] OK UM ANY ANY TRAUMA AT ALL TO THE CHEST OR OR BACK +audio/CAR0001.mp3[381.720,391.200] OK SO JUST IN REGARDS TO PAST MEDICAL HISTORY DO YOU HAVE ANY PRIOR MEDICAL CONDITIONS +audio/CAR0001.mp3[392.440,395.520] OK ANY RECENT HOSPITALIZATIONS +audio/CAR0001.mp3[397.040,400.520] OK ANY PRIOR SURGERIES +audio/CAR0001.mp3[401.840,407.840] OK DO YOU TAKE ANY MEDICATIONS REGULARLY ARE THEY PRESCRIBED OR OVER THE COUNTER +audio/CAR0001.mp3[409.240,413.640] ALRIGHT HOW ABOUT ANY ALLERGIES TO MEDICATIONS +audio/CAR0001.mp3[414.800,419.040] ALRIGHT ANY IMMUNIZATIONS OR ARE THEY UP TO DATE +audio/CAR0001.mp3[419.040,420.760] THEY ARE ALL UP TO DATE +audio/CAR0001.mp3[420.760,431.480] EXCELLENT ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY +audio/CAR0001.mp3[431.480,443.640] SURE I LIVE IN AN APARTMENT BY MYSELF I UH YEP THATS ABOUT IT +audio/CAR0001.mp3[443.640,449.440] OK AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY +audio/CAR0001.mp3[449.440,452.560] IM AN ACCOUNTANT +audio/CAR0001.mp3[452.560,461.320] OK SOUNDS LIKE A PRETTY STRESSFUL JOB OR THAT IT CAN BE DO YOU SMOKE CIGARETTES +audio/CAR0001.mp3[461.320,463.080] I DO +audio/CAR0001.mp3[463.080,464.440] OK AND HOW MUCH DO YOU SMOKE +audio/CAR0001.mp3[464.440,469.800] I SMOKE ABOUT A PACK A DAY +audio/CAR0001.mp3[469.800,472.520] OK HOW LONG HAVE YOU BEEN SMOKING FOR +audio/CAR0001.mp3[472.520,476.840] FOR THE PAST 10 TO 15 YEARS +audio/CAR0001.mp3[476.840,480.880] OK AND DO YOU SMOKE CANNABIS +audio/CAR0001.mp3[480.880,482.920] UH SOMETIMES +audio/CAR0001.mp3[482.920,487.960] UH HOW MUCH MARIJUANA WOULD YOU SMOKE PER PER WEEK +audio/CAR0001.mp3[487.960,493.120] PER WEEK MAYBE ABOUT 5 MILLIGRAMS NOT THAT MUCH +audio/CAR0001.mp3[493.120,504.720] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OPIOIDS +audio/CAR0001.mp3[505.280,509.880] OK HAVE YOU USED IV DRUGS BEFORE +audio/CAR0001.mp3[510.400,514.400] OK AND DO YOU DRINK ALCOHOL +audio/CAR0001.mp3[514.400,514.880] I DO +audio/CAR0001.mp3[514.880,522.160] OK HOW MUCH ALCOHOL DO YOU DRINK EACH WEEK +audio/CAR0001.mp3[522.160,529.880] UHM ABOUT I WOULD SAY I HAVE LIKE ONE OR TWO DRINKS A DAY SO ABOUT 10 DRINKS A WEEK +audio/CAR0001.mp3[529.880,541.880] OK UH YEAH AND UM ALRIGHT AND THEN BRIEFLY COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIKE DIET AND EXERCISE +audio/CAR0001.mp3[541.880,561.720] SURE I TRY TO EAT HEALTHY FOR DINNER AT LEAST BUT MOST OF MY LUNCHES ARE UH I EAT OUT AND THEN IN TERMS OF EXERCISE I TRY TO EXERCISE EVERY OTHER DAY I RUN FOR ABOUT HALF AN HOUR +audio/CAR0001.mp3[561.720,573.640] OK WELL THATS GREAT THAT YOUVE BEEN WORKING ON THE THE ACTIVITY AND THE DIET AS WELL SO HAS ANYTHING LIKE THIS HAPPENED IN YOUR FAMILY BEFORE +audio/CAR0001.mp3[575.640,579.000] OK HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE +audio/CAR0001.mp3[579.000,585.600] ACTUALLY YES MY FATHER HAD A HEART ATTACK WHEN HE WAS 45 +audio/CAR0001.mp3[585.600,593.720] OK AND ANYBODY IN THE FAMILY HAVE CHOLESTEROL PROBLEMS +audio/CAR0001.mp3[593.720,595.240] I THINK MY FATHER DID +audio/CAR0001.mp3[595.240,600.720] I SEE OK AND HOW ABOUT ANYBODY IN THE FAMILY HAVE A STROKE +audio/CAR0001.mp3[600.720,602.880] NO STROKES +audio/CAR0001.mp3[602.880,610.440] OK AND THEN ANY CANCERS IN THE FAMILY +audio/CAR0001.mp3[611.760,619.320] OK AND IS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT TODAY THAT THAT I ON ON HISTORY +audio/CAR0001.mp3[619.320,625.760] NO I DONT THINK SO I THINK YOU ASKED ME EVERYTHING +audio/MSK0044.mp3[0.000,3.280] WHAT BRINGS YOU HERE TODAY +audio/MSK0044.mp3[3.280,36.240] I JUST HAD UH WELL IT WAS JUST UH I CAME FROM FOOTBALL PRACTICE I UH JUST FELT LIKE SOMEBODY FELL ON ME WHILE LIKE WHILE I WAS ON THE GROUND AND ITS LIKE IVE HAD THIS SHOULDER PAIN IMMEDIATELY AFTERWARDS AND I CAN SEE A LIKE LUMP UM KIND OF POINTING OUT LIKE IN MY SKIN HERE ON MY ON MY UM CLAVICLE OR SHOULDER BONE +audio/MSK0044.mp3[36.240,39.960] OKAY IS IT THE RIGHT SIDE OR THE LEFT SIDE +audio/MSK0044.mp3[39.960,43.520] UH ITS THE RIGHT SIDE +audio/MSK0044.mp3[43.520,50.200] THE RIGHT SIDE OKAY UM OKAY AND HOW LONG AGO DID THIS HAPPEN +audio/MSK0044.mp3[50.200,58.360] IT HAPPENED ABOUT JUST A COUPLE OF HOURS AGO YEAH JUST ABOUT 2 HOURS AGO +audio/MSK0044.mp3[58.360,73.160] OKAY UM UM DID SOMEONE DID SOMEONE FALL ONTO YOUR SIDE OKAY UH SO YOUR MAIN ARE YOU HAVING MAINLY PAIN IN THAT IN THAT AREA OR IS IT GOING TO OTHER PLACES +audio/MSK0044.mp3[73.160,80.640] ITS MOSTLY JUST THE PAIN LIKE RIGHT IN THAT AREA IM NOT FEELING IT ANYWHERE ELSE +audio/MSK0044.mp3[80.640,87.560] OKAY AND UM WHAT KIND OF PAIN ARE YOU FEELING IS IT SHARP STABBING OR IS IT ACHING +audio/MSK0044.mp3[87.560,93.200] ITS REALLY SHARP IT FEELS LIKE IM IM GETTING STABBED IN THE SHOULDER +audio/MSK0044.mp3[93.200,100.120] OKAY I SEE AND ON A SCALE OF 0 TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT +audio/MSK0044.mp3[100.120,103.880] UH THIS IS LIKE A 10 IT HURTS REALLY BAD +audio/MSK0044.mp3[103.880,112.960] OKAY AND UM ARE ABLE TO DO ANY MOVEMENTS OR ARE YOU JUST KIND OF HOLDING YOUR ARM UP WITH YOUR OTHER OTHER ARM +audio/MSK0044.mp3[112.960,136.480] I YEAH IVE JUST BEEN HOLDING MY ARM UP BY UH I KIND OF MADE A SLING OUT OF YEAH LIKE THE COACHES HELPED MAKE A SLING OUT OF ONE OF THE UH WHAT WE LIKE A SHIRT OR SOMETHING LIKE THAT AT THE PRACTICE AND SO IVE BEEN JUST KIND OF HOLDING MY ARM AGAINST MY CHEST WITH MY ELBOW FLEXED I HAVENT REALLY MOVED IT AT ALL +audio/MSK0044.mp3[136.480,148.200] I SEE OKAY UM AND IF YOU WERE TO DESCRIBE JUST WHAT IT LOOKS LIKE RIGHT NOW DOES YOUR SHOULDER KIND OF SEEM LIKE ITS SAGGING +audio/MSK0044.mp3[148.200,150.560] YEAH IT DOES +audio/MSK0044.mp3[150.560,167.320] OKAY AND DO YOU NOTICE ANY POINT NEAR YOUR SHOULDER LIKE CLAVICLE AREA THAT HAS ANY BRUISING SWELLING LOOKS LIKE RED ANYTHING LIKE THAT +audio/MSK0044.mp3[167.320,182.400] UM LIKE MAYBE A LITTLE BIT OF BRUISING AND SWELLING LIKE OVER THE AREA WHERE I CAN SEE LIKE MY MY SKIN POINTING UP BUT UM YEAH THATS THE ONLY AREA +audio/MSK0044.mp3[182.400,191.320] OKAY I SEE OKAY ANY OTHER SYMPTOMS LIKE ANY PAIN IN ANY OTHER JOINTS MUSCLES +audio/MSK0044.mp3[191.320,200.560] NO JUST THE PAIN RIGHT THERE +audio/MSK0044.mp3[200.560,206.720] OKAY ALRIGHT UM AND UH OTHER THAN THAT HAVE YOU PREVIOUSLY HAD ANY POPPED JOINTS BEFORE +audio/MSK0044.mp3[206.720,208.280] UH I NO I HAVENT +audio/MSK0044.mp3[208.280,214.720] OKAY AND NO OTHER TRAUMA OR ANYTHING IN THE SAME REGION +audio/MSK0044.mp3[214.720,222.720] NO I HAVENT HAD ANY PAINS THERE BEFORE OR ANYTHING LIKE THAT +audio/MSK0044.mp3[222.720,230.720] OKAY I SEE OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0044.mp3[230.720,231.920] UH NO I HAVENT +audio/MSK0044.mp3[231.920,246.360] OKAY ALRIGHT AND DID YOU HURT YOURSELF ANYWHERE ELSE LIKE DID YOU HURT YOUR HEAD AT ALL UM SUFFER ANY LOSS OF CONSCIOUSNESS OR ANYTHING LIKE THAT +audio/MSK0044.mp3[246.360,256.640] NO NO I I DIDNT I WAS KIND OF JUST LIKE LAYING ON MY SIDE AND THEY FELL LIKE ON MY LEFT SHOULDER AND I I JUST GOT SQUISHED +audio/MSK0044.mp3[256.640,263.640] OKAY AND DID IT HAVE ANY IMPACT ON YOUR CHEST LIKE YOU DO YOU FEEL SHORT OF BREATH OR ANYTHING LIKE THAT +audio/MSK0044.mp3[263.640,271.800] NO SHORTNESS OF BREATH KIND OF KNOCKED THE WIND OUT OF ME AT AT FIRST BUT IM OKAY NOW +audio/MSK0044.mp3[271.800,285.880] OKAY I SEE THATS GOOD UM OKAY AND OTHER THAN UH SO NO MEDICAL CONDITIONS DO YOU TAKE ANY MEDICATIONS AT ALL +audio/MSK0044.mp3[285.880,299.720] UM YEAH ILL TAKE LIKE UH JUST SOME ALLERGY MEDICATION EVERY ONCE IN A WHILE WHEN ITS LIKE JUST SEASONAL ALLERGIES I THINK TO JUST SOME ENVIRONMENTAL TRIGGERS IS ALL +audio/MSK0044.mp3[299.720,306.120] OKAY AND AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/MSK0044.mp3[306.120,309.560] UH NO I DONT BELIEVE SO +audio/MSK0044.mp3[309.560,315.400] OKAY ANYTHING THAT YOUVE TRIED THAT HAS HELPED OR MADE YOUR PAIN WORSE +audio/MSK0044.mp3[315.400,325.560] NO I HAVENT I HAVENT TAKEN ANYTHING YET I JUST UH LIKE BASICALLY CAME RIGHT FROM PRACTICE TO THE TO THE HOSPITAL +audio/MSK0044.mp3[325.560,332.040] OKAY UM HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS +audio/MSK0044.mp3[333.000,336.120] ANY SKIN CHANGES LIKE RASHES +audio/MSK0044.mp3[336.120,339.840] NO I HAVENT HAD ANY RASHES +audio/MSK0044.mp3[339.840,349.360] OKAY ANY WEAKNESS IN YOUR UPPER OR LOWER EXTREMITIES BESIDES LIKE THE AREA THATS AFFECTED +audio/MSK0044.mp3[351.200,355.360] NO OKAY UM ANY DIZZINESS FAINTING EPISODES +audio/MSK0044.mp3[355.360,358.160] UH NO NOTHING LIKE THAT +audio/MSK0044.mp3[358.160,361.280] OKAY AND YOUR HEARING AND VISION IS ALRIGHT RIGHT NOW +audio/MSK0044.mp3[361.280,364.800] IT IS YEAH I HAVENT HAD ANY PROBLEMS WITH THAT +audio/MSK0044.mp3[364.800,369.040] OKAY AND HAVE YOU HAD ANY KIND OF CONCUSSIONS OR ANYTHING IN THE PAST +audio/MSK0044.mp3[369.040,373.640] UM NO I HAVENT HAD ANY +audio/MSK0044.mp3[373.640,382.560] ALRIGHT UH HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/MSK0044.mp3[382.560,385.320] UM NO NOT NOT EVER +audio/MSK0044.mp3[385.320,389.840] OKAY ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/MSK0044.mp3[389.840,398.600] UH NO NO NOTHING THAT I CAN THINK OF EVERYBODYS PRETTY HEALTHY +audio/MSK0044.mp3[398.600,403.000] OKAY UM AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/MSK0044.mp3[403.000,416.720] SO I LIVE WITH BOTH OF MY PARENTS AND UM I HAVE A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL WE LIVE IN A IN A HOUSE +audio/MSK0044.mp3[416.720,420.760] OKAY ALRIGHT AND UM DO YOU WORK CURRENTLY OR ARE YOU A STUDENT +audio/MSK0044.mp3[420.760,442.760] YEAH IM IN HIGH SCHOOL AND UM I I WORK PARTTIME AT THE GROCERY STORE AS WELL BUT UH ITS NOT THAT OFTEN THOUGH BECAUSE IVE JUST BEEN BEEN PLAYING SPORTS ON THE FOOTBALL TEAM WE HAVE A LOT OF PRACTICES AND GAMES AND STUFF +audio/MSK0044.mp3[442.760,448.880] OKAY UM DO YOU DRINK ALCOHOL +audio/MSK0044.mp3[448.880,470.080] UH I SOMETIMES I WITH FRIENDS UM WEVE HAD A COUPLE OF BEERS HERE AND HERE AND THERE BUT I MEAN ITS ITS NOT SOMETHING THAT IVE DONE VERY OFTEN YEAH WEVE BEEN PRETTY SAFE I FEEL LIKE +audio/MSK0044.mp3[470.080,475.600] OKAY AND DO YOU SMOKE CIGARETTES OR MARIJUANA OR USE ANY RECREATIONAL DRUGS +audio/MSK0044.mp3[475.600,478.200] NO NOTHING LIKE THAT +audio/MSK0044.mp3[478.200,548.800] OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION OF THE AREA UM WE WE WILL DEFINITELY GET AN XRAY OF THE SHOULDER AND CLAVICLE TO SEE WHAT KIND OF IT SEEMS LIKE YOU HAVE A CLAVICULAR FRACTURE FROM JUST THE MECHANISM OF THE INJURY AS WELL AS EVERYTHING YOU WERE DESCRIBING UM BUT IT IS IMPORTANT TO UNDERSTAND HOW LIKE WHAT KIND OF CLAVICLE INJURY IT IS AND WHERE ITS AFFECTED IF ITS IN THE MIDDLE AREA ON LIKE THE OUTER AREAS OF THE CLAVICLE UM AND HOW MUCH ITS DISPLACED BECAUSE THAT WILL DETERMINE IF WE JUST NEED TO REDUCE IT HERE AND THEN GIVE YOU A SLING AND THEN YOU CAN GO HOME THATS USUALLY THE CASE BUT SOMETIMES YOU MAY REQUIRE SURGERY AS WELL AND WE WOULD NEED TO REFER YOU TO AN ORTHOPAEDIC SURGEON SO YEAH WELL WELL GET THE XRAY DONE AND IF YOU NEED ANYTHING FOR PAIN CURRENTLY WE WILL GIVE YOU SOME MEDICATIONS HERE UM AND THEN WELL GO FROM THERE +audio/MSK0044.mp3[548.800,550.800] ALRIGHT THANK YOU +audio/MSK0044.mp3[550.800,555.200] YOURE WELCOME UM ILL BE HERE WITH YOU SHORTLY +audio/MSK0044.mp3[555.200,557.120] THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0085.mp3[0.000,2.440] WHAT BRINGS YOU IN +audio/RES0085.mp3[2.440,43.800] YEAH SO I JUST BROUGHT MY SON WENT TO THE HOSPITAL IVE JUST BEEN GETTING VERY CONCERNED BECAUSE HES MAKING LIKE THESE LIKE GRUNTING NOISES FOR THE LAST DAY AND LIKE ITS ITS REALLY WORRYING ME I DONT KNOW IF HES LIKE NOT BREATHING AND I ALSO JUST DID LIKE A TEMPERATURE ON HIM JUST THIS MORNING AND IT CAME UP TO LIKE LIKE A HIGH 38 SO I DONT KNOW WHATS GOING ON AND THEN HES JUST VERY LIKE IRRITABLE AND JUST NOT HIMSELF I THINK +audio/RES0085.mp3[43.800,47.640] OK SO ALL OF THIS STARTED A DAY AGO YOU MENTIONED +audio/RES0085.mp3[47.640,66.120] YEAH IT STARTED YESTERDAY BUT THE GRUNTING STARTED TODAY LIKE I THINK HE WAS A BIT ON THE WARMER SIDE LAST NIGHT AS WELL MORE IRRITABLE LAST NIGHT BUT THE GRUNTING STARTED THIS MORNING +audio/RES0085.mp3[66.120,70.040] OK UHM AND YOU MENTIONED HIS FEVER WAS 38 CORRECT +audio/RES0085.mp3[70.040,74.960] YEAH I THINK IT WAS LIKE 38 7 OR SOMETHING LIKE THAT +audio/RES0085.mp3[74.960,79.720] OK IS HE COUGHING AT ALL +audio/RES0085.mp3[79.720,89.560] UHM YEAH I WOULD SAY WITH THE GRUNTING THERE IS SOME COUGHING IN BETWEEN AS WELL +audio/RES0085.mp3[89.560,92.920] OK AND IS HE BRINGING UP ANY PHLEGM +audio/RES0085.mp3[92.920,110.080] UHM HES BEEN HAVING SOME SPIT UPS AS WELL THEYRE MAINLY LIKE CLEAR AND WHITISH BUT YEAH I DONT KNOW IF HES BRINGING ANYTHING ELSE UP THERES NO GREEN OR YELLOW MATERIAL THOUGH +audio/RES0085.mp3[110.080,115.120] OK ANY BLOOD IN THERE +audio/RES0085.mp3[115.120,117.680] NO I HAVENT NOTICE ANY BLOOD +audio/RES0085.mp3[117.680,120.640] DOES HE SOUND WHEEZY +audio/RES0085.mp3[120.640,127.640] UH NO ITS MAINLY JUST THE GRUNTING +audio/RES0085.mp3[127.640,131.280] OK OK DOES HE LOOK SWOLLEN TO YOU +audio/RES0085.mp3[131.280,135.960] UH SWOLLEN AS IN JUST UH LIKE IN HIS +audio/RES0085.mp3[135.960,140.400] IN HIS UH LIKE UH LEGS ARMS OR BELLY AREA +audio/RES0085.mp3[140.400,148.200] NO I DONT THINK SO +audio/RES0085.mp3[148.200,154.600] NO OK AND UH DOES HE HAVE A RUNNY NOSE OR A STUFFY NOSE +audio/RES0085.mp3[154.600,156.360] NO I DONT THINK SO +audio/RES0085.mp3[156.360,160.880] NO OK HOW IS HIS FEEDING +audio/RES0085.mp3[160.880,176.840] YEAH ITS ITS BEEN DIFFICULT SO RIGHT NOW LIKE HIS MOM IS AT HOME BUT SHE WAS HAVING DIFFICULTY FEEDING HES MAINLY BREASTFED RIGHT NOW +audio/RES0085.mp3[177.680,186.040] AND HES NOT REALLY BEEN FEEDING TOO MUCH EITHER +audio/RES0085.mp3[186.040,190.960] OK AND HOW ABOUT LIKE THE NUMBER OF WET DIAPERS HE HAS +audio/RES0085.mp3[190.960,197.320] JUST THE NORMAL LIKE THAT HASNT CHANGED HE HAS LIKE THREE OR FOUR IN A DAY +audio/RES0085.mp3[197.320,203.280] OK OK GOOD HAVE YOU NOTICED ANY CHANGES TO HIS BOWEL MOVEMENTS OR URINE +audio/RES0085.mp3[203.280,205.920] NO PRETTY MUCH BEEN THE SAME +audio/RES0085.mp3[205.920,209.560] OK IS HE THROWING UP AT ALL +audio/RES0085.mp3[209.560,220.520] NOPE JUST SOME SPIT UPS I DONT KNOW IF THATS JUST BECAUSE OF THE COUGHING OR IF THEYRE JUST SPIT UPS LIKE BUT NOTHING AFTER EATING +audio/RES0085.mp3[220.520,224.840] OK OK HAVE YOU NOTICED ANY RASHES ON HIM +audio/RES0085.mp3[224.840,230.640] NO NO RASHES +audio/RES0085.mp3[230.640,237.960] OK UHM HAS HE HAD ANY FAINTING SPELLS OR SEIZURES +audio/RES0085.mp3[237.960,250.920] UH NO IVE BEEN REALLY TRYING TO MAKE SURE LIKE I WAS WORRIED IF HE GETS BLUE OR SOMETHING THAT WE WOULD RUSH TO THE EMERGENCY DEPARTMENT BUT I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0085.mp3[250.920,258.520] OK OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0085.mp3[258.520,266.560] NO I DONT THINK SO WEVE BEEN TRYING TO BE VERY CAREFUL WITH THE PANDEMIC AND EVERYTHING GOING ON +audio/RES0085.mp3[266.560,275.160] FOR SURE ANY TRAVEL TO ANYWHERE RECENTLY +audio/RES0085.mp3[277.000,281.200] OK AND IS HE AN OTHERWISE HEALTHY BABY +audio/RES0085.mp3[281.200,289.240] YEAH SO UH HEALTHY BUT HE WAS BORN PREMATURE AT 36 WEEKS +audio/RES0085.mp3[290.600,300.440] AND NO COMPLICATIONS REALLY WITH THE PREGNANCY OR AFTER HE WAS BORN BUT YEAH HE WAS PREMATURE +audio/RES0085.mp3[300.440,311.000] OK AND SO HE DIDNT NEED ANY HOSPITALIZATIONS RIGHT AFTER BIRTH RIGHT +audio/RES0085.mp3[311.000,314.680] NO HE WAS FINE AFTER BIRTH +audio/RES0085.mp3[314.680,318.920] AND NO LONGSTANDING MEDICAL CONDITIONS AFTER BIRTH +audio/RES0085.mp3[320.600,326.840] HAS HE NEEDED HOSPITALIZATIONS FOR ANYTHING IN THE PAST OR SURGERIES +audio/RES0085.mp3[326.840,328.520] NO NOTHING LIKE THAT +audio/RES0085.mp3[328.520,334.440] OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0085.mp3[334.440,343.000] YEAH THE TWO MONTHS VACCINATIONS ARE ALL UP TO DATE +audio/RES0085.mp3[343.000,347.480] OK GOOD MEDICATIONWISE IS HE ON ANYTHING +audio/RES0085.mp3[347.480,349.360] NO NO MEDICATIONS +audio/RES0085.mp3[349.360,352.360] OK ANY ALLERGIES +audio/RES0085.mp3[353.920,357.720] ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0085.mp3[357.720,361.080] NO NOT THAT WE KNOW OF +audio/RES0085.mp3[361.080,364.920] OK ANY CANCERS IN THE FAMILY +audio/RES0085.mp3[368.400,373.200] AND WHO DOES HE LIVE WITH AT HOME +audio/RES0085.mp3[373.200,376.440] JUST ME AND MY WIFE +audio/RES0085.mp3[376.440,382.160] OK UHM IN A HOUSE APARTMENT +audio/RES0085.mp3[382.160,385.920] IN A HOUSE +audio/RES0085.mp3[385.920,393.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING LIKE THAT AT HOME +audio/RES0085.mp3[393.640,395.840] NO NOTHING LIKE THAT +audio/RES0085.mp3[395.840,400.040] OK AND DOES ANYONE AT HOME SMOKE +audio/RES0085.mp3[403.640,410.640] OK WELL THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0085.mp3[410.640,422.400] YEAH NO I WAS JUST REALLY WORRIED LIKE THE GRUNTING IS JUST REALLY SCARING US SO DO YOU I WAS JUST WONDERING IF YOU KNOW WHAT IT COULD BE +audio/RES0085.mp3[422.400,480.800] YEAH SO THE GRUNTING IS WORRISOME HE COULD HAVE ANYTHING FROM BRONCHIOLITIS TO PNEUMONIA SO WHAT WELL DO IS WELL FIRST GET HIS TEMPERATURE WELL GET HIS O2 SAT AND WE WILL GET SOME IMAGING DONE AS WELL TO SEE IF ITS MORE IN LINE WITH BRONCHIOLITIS OR PNEUMONIA IF ITS BRONCHIOLITIS IT WILL BE SUPPORTIVE TREATMENT SO WE CAN KEEP HIM HERE AT THE HOSPITAL BECAUSE HE IS IN SOME DISTRESS AND WELL KEEP HIM HYDRATED AND GIVE HIM SOME OXYGEN AND IF ITS PNEUMONIA WELL PRESCRIBE HIM SOME ANTIBIOTICS HOW DOES THAT SOUND +audio/RES0085.mp3[480.800,486.200] YEAH AND WILL HE NEED TO STAY IN THE HOSPITAL AT ALL +audio/RES0085.mp3[486.200,512.480] YEAH SO FOR NOW BECAUSE IF HE IS IN ANY DISTRESS AND IF HE NEEDS OXYGEN AND IV HYDRATION HELL NEED TO STAY IN THE HOSPITAL UNTIL HES BETTER FROM THAT STANDPOINT I SHOULD ALSO MENTION WE SHOULD DO A COVID SWAB ON HIM AS WELL BECAUSE HIS SYMPTOMS ARE IN LINE WITH COVID AS WELL SO WELL HAVE TO DO THAT TO RULE IT OUT +audio/RES0085.mp3[512.480,517.600] OK YEAH THAT SOUNDS GOOD UH UH YEAH THANK YOU SO MUCH +audio/RES0085.mp3[517.600,523.040] YEAH NO WORRIES +audio/MSK0024.mp3[0.000,1.960] WHAT BRINGS YOU HERE TODAY +audio/MSK0024.mp3[1.960,17.960] HI IVE BEEN HAVING THIS BACK PAIN FOR THE PAST MONTH SO ID JUST LIKE SOMETHING FOR IT AN AND YOU KNOW IMAGE IT IF POSSIBLE JUST TO FIGURE OUT WHAT IT IS +audio/MSK0024.mp3[17.960,24.320] YOUVE BEEN HAVING IT FOR THE LAST MONTH IS THIS THE FIRST TIME YOURE HAVING THIS BACK PAIN +audio/MSK0024.mp3[24.320,25.440] YEAH YES +audio/MSK0024.mp3[25.440,29.880] OK AND WHERE EXACTLY ARE YOU HAVING THE BACK PAIN +audio/MSK0024.mp3[29.880,32.480] ITS IN MY LOWER BACK +audio/MSK0024.mp3[32.480,40.720] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A SHARP STABBING PAIN OR IS THAT A DULL ACHING PAIN +audio/MSK0024.mp3[40.720,52.280] ITS KIND OF DULL AND ACHY BUT SOMETIMES I FEEL LIKE I HAVE LITTLE SPASMS IN MY BACK +audio/MSK0024.mp3[52.280,55.360] OK AND HOW OFTEN ARE YOU GETTING THESE SPASMS +audio/MSK0024.mp3[55.360,60.720] UM ID SAY LIKE TWO TO THREE TIMES A WEEK +audio/MSK0024.mp3[60.720,66.560] OK AND IT IS THIS BACK PAIN CONSTANT OR DOES IT COME COME AND GO +audio/MSK0024.mp3[66.560,72.680] ITS PRETTY CONSTANT BUT IT GETS WORSE WITH CERTAIN THINGS +audio/MSK0024.mp3[72.680,87.280] SO ONE MONTH AGO WHEN IT STARTED BEFORE THEN DID YOU INJURE YOURSELF AT ALL OR WERE YOU DOING ANYTHING THAT BROUGHT ON THE PAIN OR DID THE PAIN COME ON GRADUALLY +audio/MSK0024.mp3[87.280,107.600] SO I WORK IN THIS FACTORY WHERE I MOVE A LOT OF BOXES AND I THINK I MAY HAVE LIKE LIFTED A REALLY HEAVY BOX OR LIFTED IT IN AN IMPROPER POSITION BECAUSE THATS WHEN THAT NIGHT IS WHEN MY BACK STARTED HURTING +audio/MSK0024.mp3[107.600,112.360] OK I SEE AND HOW LONG HAVE YOU WORKED IN THIS ROLE +audio/MSK0024.mp3[112.360,115.280] FOR THE PAST 30 YEARS +audio/MSK0024.mp3[115.280,124.720] OK ALRIGHT AND HAS THE PAIN BECOME WORSE AT ALL OR HAS IT STAYED THE SAME SINCE IT STARTED +audio/MSK0024.mp3[124.720,129.280] ID SAY ITS PRETTY ITS BEEN PRETTY SIMILAR TO THE START +audio/MSK0024.mp3[129.280,143.840] OK AND DOES THE BACK PAIN MOVE ANYWHERE LIKE FOR EXAMPLE DOES IT SHOOT DOWN YOUR LEGS AT ALL +audio/MSK0024.mp3[143.840,148.320] NO OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU +audio/MSK0024.mp3[148.320,165.960] IVE TRIED SOME TOPICAL ANALGESICS AND YOU KNOW THOSE FIRE AND ICE GELS AND I THINK SOMETIMES THAT HELPS BUT ITS ALWAYS TEMPORARY +audio/MSK0024.mp3[165.960,174.960] OK AND WHAT KIND OF THINGS MAKE YOUR PAIN WORSE LIKE BENDING DOWN AS OPPOSED TO STRETCHING BACKWARDS +audio/MSK0024.mp3[174.960,183.160] YEAH BENDING DOWN LIKE IT WHEN I FLEX MY BACK THAT HURTS MORE THAN IF I STRAIGHTEN IT OUT +audio/MSK0024.mp3[183.160,188.840] OK IS A BENDING HURTS MORE AND WHAT ABOUT BENDING TOWARDS THE SIDES +audio/MSK0024.mp3[188.840,196.600] UM A LITTLE BIT MORE TOWARDS MY RIGHT SIDE +audio/MSK0024.mp3[196.600,204.440] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE NUMBNESS OR TINGLING IN YOUR EXTREMITIES OR BACK AT ALL +audio/MSK0024.mp3[206.200,219.320] AND ANY KIND OF NUMBNESS OR LOSS OF SENSATION IN YOUR BUTTOCKS AREA OR JUST BELOW YOUR LOWER BACK +audio/MSK0024.mp3[219.320,222.160] UM NO +audio/MSK0024.mp3[222.160,227.480] OK AND ANY FEVERS OR CHILLS +audio/MSK0024.mp3[230.200,232.960] ANY NIGHT SWEATS +audio/MSK0024.mp3[235.400,239.640] ANY UM SKIN CHANGES OR RASHES +audio/MSK0024.mp3[243.200,249.640] ANY HAVE YOU BEEN ILL RECENTLY AT ALL WITH COUGH COLD SYMPTOMS AT ALL +audio/MSK0024.mp3[252.080,257.720] DO YOU FEEL PAIN IN ANYWHERE ELSE IN ANY OTHER MUSCLES OR JOINTS AT ALL +audio/MSK0024.mp3[257.720,260.360] UM NO +audio/MSK0024.mp3[260.360,265.120] HAVE YOU RECENTLY HAD ANY CHANGES TO YOUR WEIGHT +audio/MSK0024.mp3[266.920,278.600] OK AND ANY KIND OF CHANGES TO YOUR BOWEL MOVEMENTS +audio/MSK0024.mp3[279.760,284.560] OK ANY KIND OF ISSUES WITH URINATION AT ALL +audio/MSK0024.mp3[286.360,292.640] AND ANY URINARY OR FECAL RETENTION OR INCONTINENCE +audio/MSK0024.mp3[297.800,315.600] RIGHT SO ITS JUST THIS PAIN THATS BEEN THERE FOR THE LAST MONTH STAYED AROUND THE SAME IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH THE HAVE ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0024.mp3[315.600,323.480] I HAVE A HIGH BLOOD PRESSURE WHICH I TAKE SOME RAMIPRIL FOR +audio/MSK0024.mp3[323.480,326.280] OK ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0024.mp3[329.600,333.560] OK AND HAVE YOU ARE USING ANY OTHER MEDICATIONS AT ALL +audio/MSK0024.mp3[336.640,341.000] HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/MSK0024.mp3[344.080,349.640] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITION +audio/MSK0024.mp3[351.200,356.040] ANY CANCERS IN THE FAMILY +audio/MSK0024.mp3[356.680,361.120] AND SO CURRENTLY ARE YOU WORKING OR DID YOU HAVE TO TAKE TIME OFF WORK +audio/MSK0024.mp3[361.120,370.800] IM TAKING SOME TIME OFF WORK UNTIL I FIGURE OUT WHAT THIS BACK PAIN IS +audio/MSK0024.mp3[370.800,373.520] OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE +audio/MSK0024.mp3[373.520,384.440] I LIVE IN AN APARTMENT WITH MY WIFE AND OUR TEENAGE SON +audio/MSK0024.mp3[384.440,387.200] OK AND DO YOU SMOKE AT ALL +audio/MSK0024.mp3[387.200,394.640] I USED TO SMOKE I HAVENT SMOKED IN OVER 10 YEARS +audio/MSK0024.mp3[394.640,400.560] OK AND DO YOU DRINK ALCOHOL AT ALL +audio/MSK0024.mp3[400.560,410.240] I DRINK OCCASIONALLY ILL HAVE LIKE A BEER ON THE WEEKEND +audio/MSK0024.mp3[410.240,414.240] ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0024.mp3[417.640,423.560] OK ALRIGHT SO IM JUST GONNA ASK A FEW QUESTIONS MAYBE GET YOU TO DO SOME MOVEMENTS AND SEE WHAT HURTS THE MOST +audio/MSK0024.mp3[424.640,436.280] SO WHEN YOU PRESS YOUR HAND DOWN DOWN YOUR SPINE IS IT HURT AT ALL IN THE LOWER BACK WITH PALPATION +audio/MSK0024.mp3[436.280,449.880] UM IT KINDA HURTS RIGHT IN THE MIDDLE UH JUST ABOVE THE BUTTOCKS AREA AN WHERE LIKE MY TAILBONE ALMOST IS +audio/MSK0024.mp3[449.880,462.960] I SEE AND UH ANY KIND OF PAIN WITH LYING DOWN AND THEN RAISING YOUR LEGS STRAIGHT UP WITHOUT BENDING THE KNEES +audio/MSK0024.mp3[462.960,470.240] I CAN TRY THAT UM THAT HURTS A LITTLE BIT YEAH +audio/MSK0024.mp3[470.240,474.320] AND DOES IT HURT IN THE LOWER BACK OR NEAR THE FRONT OF YOUR HIPS +audio/MSK0024.mp3[474.320,478.120] THAT HURTS IN MY LOWER BACK +audio/MSK0024.mp3[478.120,488.720] AND ANY KIND OF REDNESS OR SWELLING THAT YOUVE NOTICED AT ALL I KNOW ITS IN THE BACK SO IT MIGHT BE MORE DIFFICULT TO SEE +audio/MSK0024.mp3[488.720,494.000] UM NO I DONT SEE ANYTHING LIKE THAT +audio/MSK0024.mp3[494.000,501.400] OK AND ARE YOU HAS YOUR GAIT CHANGED AT ALL OR IS IT ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING +audio/MSK0024.mp3[501.400,505.560] IM ABLE TO WALK WITHOUT A LIMP +audio/MSK0024.mp3[505.560,514.080] OK ALRIGHT SO AND THEN UH BENDING DOWN YOU SAID HURTS MORE THAN STANDING UP OR EXTENDING YOUR BACK RIGHT +audio/MSK0024.mp3[515.560,522.920] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +audio/MSK0024.mp3[522.920,528.400] NO JUST LIKE HOW CAN I TREAT THIS +audio/MSK0024.mp3[528.400,631.480] YEAH FOR SURE SO THIS HAS BEEN GOING ON FOR THE LAST MONTH IT SOUNDS MORE LIKE WHATS CALLED MECHANICAL BACK PAIN AND DUE TO THE NATURE OF YOUR WORK HAVING BEEN LIFTING HEAVY OBJECTS FOR THE LAST 30 OR SO YEARS ITS USUALLY SOMETHING THAT OCCURS WITH REPETITIVE REPETITIVE WORK AND STRENUOUS WORK LIKE THAT THAT AFFECTS YOUR BACK AND WHAT YOURE DESCRIBING WITH THE FLEXION SEEMS MORE PAIN COMING FROM THE DISCS THEMSELVES INSTEAD OF THE FACETS AT THE BACK SO EVERY TIME YOU FLEX YOU HAVE SOME COMPRESSION OF YOUR DISCS SO WHAT WE WHAT WE NEED TO DO RIGHT NOW IS ITS BEEN ONE MONTH ALMOST AND THEN USUALLY WE GET IMAGING IF THE PAIN DOES NOT IMPROVE AFTER SIX WEEKS OF CONSERVATIVE MANAGEMENT SO WHAT WE CAN TRY IS TO GIVE YOU SOME PAIN MANAGEMENT FIRST AND SOME ANTIINFLAMMATORY MEDICATION AND THEN AS WELL AS TRY SOME PHYSIOTHERAPY SOME EXERCISES TO HELP YOU WITH THE BACK PAIN AND THEN IF THE PAIN DOES NOT IMPROVE AND SINCE THERE IS NO RED FLAGS THAT WERE TOO WORRIED ABOUT RIGHT NOW WITH YOUR BACK PAIN WE CAN WAIT TO GET SOME IMAGING BUT FIRST WE WOULD JUST LIKE TO TRY SOME OF THE CONSERVATIVE MANAGEMENT IS THAT OK WITH YOU +audio/MSK0024.mp3[631.480,633.200] YEAH THAT SOUNDS GREAT THANK YOU +audio/MSK0024.mp3[633.200,635.720] YOURE WELCOME ALRIGHT TAKE CARE +audio/RES0021.mp3[0.000,4.800] I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU IN +audio/RES0021.mp3[4.800,16.240] SURE YOU KNOW IVE BEEN FEELING A LITTLE HOT FOR THE PAST TWO DAYS IVE HAD THIS AWFUL COUGH AND I JUST FEEL SO TIRED +audio/RES0021.mp3[16.240,21.280] OK AND THIS STARTED TWO DAYS AGO +audio/RES0021.mp3[21.280,24.440] AH YES TWO DAYS AGO +audio/RES0021.mp3[24.440,32.240] OK YEAH YOUVE BEEN FEELING HOT HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0021.mp3[32.240,40.800] UM NO I HAVENT ACTUALLY CHECKED MY TEMPERATURE I JUST KIND OF PUT MY HAND ON MY FOREHEAD AND I JUST FEEL REALLY REALLY HOT +audio/RES0021.mp3[40.800,66.560] OK SO WELL WELL CHECK IT RIGHT NOW AND OK SO WERE SEEING THAT ITS YOUR TEMPERATURE IS ELEVATED AT 383 RIGHT NOW SO IT DOES SOUND LIKE YOU YOU HAVE A FEVER OK AND YOU MENTIONED THAT YOU HAD YOU HAVE A COUGH +audio/RES0021.mp3[66.560,74.000] YEAH I DO ITS ITS A DRY COUGH AND ITS AWFUL IVE BEEN HACKING FOR THE PAST TWO DAYS +audio/RES0021.mp3[74.000,82.560] OH NO THAT DOESNT SOUND VERY NICE HAS IT BEEN ANY BLOOD OR ANY SPUTUM +audio/RES0021.mp3[82.560,88.160] NO BLOOD AND NO DEFINITELY NO SPUTUM OK +audio/RES0021.mp3[88.160,94.040] ANYTHING THATS LIKE TRIGGERED THE COUGH +audio/RES0021.mp3[94.040,100.880] UM I DONT I DONT THINK SO UM NO I DONT THINK SO +audio/RES0021.mp3[100.880,108.080] NO OK HAVE YOU HAD A COUGH LIKE THIS BEFORE +audio/RES0021.mp3[108.080,121.680] MAYBE LIKE 10 YEARS AGO WHEN I HAD SOME SORT OF VIRAL INFECTION THEY SAID UM I HAD A DRY COUGH BUT NOTHING TO THIS EXTENT +audio/RES0021.mp3[121.680,138.440] OK UM HAVE YOU HAD ANY INFECTIONS RECENTLY LIKE IN THE LAST MONTH OR SO LIKE A VIRAL ILLNESS UM LIKE WHERE YOU HAD MAYBE LIKE A RUNNY NOSE SORE THROAT AND AND A COUGH +audio/RES0021.mp3[138.440,142.080] NO NO NOT NOT RECENTLY +audio/RES0021.mp3[142.080,149.280] OK SO YOUVE BEEN FEELING WELL RECENTLY +audio/RES0021.mp3[150.760,164.240] OK AND YOUVE YOU BEEN FATIGUED CAN YOU TELL ME A LITTLE BIT ABOUT ABOUT HOW YOU BEEN FEELING +audio/RES0021.mp3[164.240,168.720] AH YEAH LIKE YOU MEAN IN TERMS OF MY FEVER OR COUGH +audio/RES0021.mp3[168.720,172.240] OH SORRY I MEAN IN TERMS OF YOUR ENERGY +audio/RES0021.mp3[172.240,185.960] OH MY ENERGY YEAH IVE JUST BEEN FEELING SO TIRED IT SEEMS LIKE I CANT DO NORMALLY WOULD BE I WOULD NORMALLY HAVE NO ISSUES DOING +audio/RES0021.mp3[185.960,196.600] I SEE OK AND ANY CHANGES TO SLEEP OR ANY KIND OF STRESSFUL EVENTS HAPPEN IN THE LAST FEW DAYS THAT MIGHT BE CAUSING YOU TO BE MORE TIRED +audio/RES0021.mp3[196.600,203.200] I DONT THINK SO NOTHING NOTHING BIG HAS HAPPENED IN MY LIFE NO BIG CHANGES +audio/RES0021.mp3[203.200,219.200] OK UM AND SO YOUVE HAD A FEVER COUGH AND BEING TIRED HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS THESE LAST FEW DAYS +audio/RES0021.mp3[219.200,229.360] UM YEP FEVER COUGH FATIGUE BUT UM I DONT HAVE ANYTHING ANY OTHER SYMPTOMS BESIDES THOSE +audio/RES0021.mp3[229.360,233.000] OK SO YOU YOU DO YOU HAVE ANY HEADACHES +audio/RES0021.mp3[233.000,235.960] OH HEADACHES NO NO +audio/RES0021.mp3[235.960,243.520] OK HOW ABOUT ANY EYE OR OR EAR SYMPTOMS LIKE DISCHARGE OR PAIN +audio/RES0021.mp3[243.520,247.480] NO NOTHING LIKE THAT +audio/RES0021.mp3[247.480,251.960] OK HAVE YOU HAD A LOSS OF TASTE OR A LOSS OF SMELL +audio/RES0021.mp3[254.160,258.320] ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/RES0021.mp3[261.120,265.320] OK HAVE YOU HAD ANY CHEST PAIN +audio/RES0021.mp3[265.320,268.480] NOPE NO CHEST PAIN +audio/RES0021.mp3[268.480,274.080] AND HOW ABOUT DIFFICULTY BREATHING OR SHORTNESS OF BREATH +audio/RES0021.mp3[274.080,276.440] NOPE NO +audio/RES0021.mp3[276.440,283.160] OK AND ANY WHEEZING OR WHISTLING NOISES WHILE YOURE BREATHING +audio/RES0021.mp3[285.120,289.240] OK AND HAVE YOU FELT LIKE YOUR HEARTS RACING AT ALL +audio/RES0021.mp3[289.240,291.680] AH NO +audio/RES0021.mp3[291.680,297.760] HAVE YOU HAD ANY LIKE FAINTING SPELLS OR FEELING AS THOUGH YOU MIGHT PASS OUT +audio/RES0021.mp3[297.760,298.640] UM NOPE NO +audio/RES0021.mp3[298.640,304.080] ALRIGHT AND HOW ABOUT ANY DIZZINESS +audio/RES0021.mp3[304.080,307.560] OH NO NO DIZZINESS EITHER +audio/RES0021.mp3[307.560,313.360] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0021.mp3[314.920,320.000] ALRIGHT AND HOW ABOUT ANY DIARRHEA OR CONSTIPATION +audio/RES0021.mp3[321.560,325.360] ALRIGHT UM ANY ABDOMINAL PAIN +audio/RES0021.mp3[326.920,336.080] AND ANY LIKE PAINFUL URINATION OR OR LIKE GOING TO THE BATHROOM FREQUENTLY +audio/RES0021.mp3[337.760,339.800] ALRIGHT ANY NIGHT SWEATS +audio/RES0021.mp3[341.000,344.360] AND HOW ABOUT ANY CHILLS OR RIGORS +audio/RES0021.mp3[345.800,349.960] HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0021.mp3[351.320,356.520] ALRIGHT HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES OVER THIS PAST WEEK +audio/RES0021.mp3[359.080,364.440] ALRIGHT AND HOW ABOUT ANY MUSCLE ACHES OR OR JOINT PAINS +audio/RES0021.mp3[364.440,368.520] UM NO +audio/RES0021.mp3[368.520,379.000] ALRIGHT SO IS THERE ANY REASON THAT YOU SEE A PHYSICIAN REGULARLY FOR OR BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0021.mp3[379.000,382.720] MMM I HAVE RHEUMATOID ARTHRITIS +audio/RES0021.mp3[382.720,387.800] OK UH ARE YOU TAKING MEDICATIONS FOR THAT +audio/RES0021.mp3[387.800,395.360] UM YEAH YOU KNOW THEY PUT ME ON SOME SORT OF DMARD +audio/RES0021.mp3[395.360,399.920] OK SO YOURE YOURE SEEING A RHEUMATOLOGIST FOR THAT +audio/RES0021.mp3[399.920,400.760] MMM I AM +audio/RES0021.mp3[400.760,406.600] OK GREAT UM ANY OTHER DIAGNOSES +audio/RES0021.mp3[408.360,418.280] OK AND SO UH ARE THERE ANY OTHER MEDICATIONS THAT YOU THAT YOU TAKE EITHER OVER THE COUNTER OR PRESCRIPTION BESIDES THE DMARD +audio/RES0021.mp3[418.280,426.440] I TAKE IRON AND VITAMIN AS WELL AS BIOTIN +audio/RES0021.mp3[426.440,431.040] OK UH WHATS THE REASON FOR TAKING IRON +audio/RES0021.mp3[431.040,445.000] UHH AT ONE POINT OR ANOTHER THEY SAID MY IRON LEVELS WERE LOW BUT IT WENT BACK TO BEING NORMAL BUT I JUST TAKE IT NOW TO MAINTAIN THOSE LEVELS +audio/RES0021.mp3[445.000,450.000] OK UM DO YOU HAVE LIKE HEAVY MENSTRUAL PERIODS +audio/RES0021.mp3[452.840,465.720] OK AND HAVE YOU NOTICED ANY BLOOD IN THE STOOL EITHER EITHER BEING RED OR OR YOUR STOOL BEING REALLY DARK KIND OF LIKE A BLACK COLOUR +audio/RES0021.mp3[468.920,473.840] OK UM AND DO YOU HAVE ANY ALLERGIES +audio/RES0021.mp3[473.840,475.760] NO ALLERGIES +audio/RES0021.mp3[475.760,485.120] ALRIGHT UH AND THEN CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0021.mp3[485.120,497.240] I LIVE WITH TWO OF MY CHILDREN THEY ARE FIVE AND THREE AS WELL AS MY NEW BOYFRIEND +audio/RES0021.mp3[497.240,507.000] OK GREAT AND FOR EITHER OF YOUR PREGNANCIES WERE THERE ANY COMPLICATIONS +audio/RES0021.mp3[507.640,515.680] OK GREAT UM AND ARE THERE ANY CONCERNS FOR SAFETY IN THE HOME +audio/RES0021.mp3[516.680,521.480] OK EXCELLENT AND WHAT DO YOU DO FOR WORK +audio/RES0021.mp3[521.480,527.720] I WORK AS A SECRETARY FOR AN ACCOUNTING FIRM +audio/RES0021.mp3[527.720,536.960] OK THAT SOUNDS LIKE A GREAT JOB AND UH DO YOU SMOKE CIGARETTES +audio/RES0021.mp3[536.960,539.760] I USED TO I QUIT FIVE YEARS AGO +audio/RES0021.mp3[539.760,544.840] ALRIGHT AND DO YOU SMOKE MARIJUANA +audio/RES0021.mp3[545.480,552.840] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0021.mp3[553.680,563.640] OK UM AND HAS ANYBODY IN THE HOUSE BEEN SICK EITHER YOUR BOYFRIEND OR OR YOUR CHILDREN +audio/RES0021.mp3[564.400,571.440] OK ARE THEY GOING TO LIKE DAYCARE RIGHT NOW OR IN SCHOOL +audio/RES0021.mp3[571.440,574.560] THEY ARE IN DAYCARE YEAH +audio/RES0021.mp3[574.560,580.520] OK UM ANY KIDS IN THEIR DAYCARE THAT HAVE BEEN SICK +audio/RES0021.mp3[580.520,582.920] NO I CHECKED NO ONES BEEN SICK +audio/RES0021.mp3[582.920,588.040] ALRIGHT EXCELLENT IS THAT ANYBODY IN THE OFFICE WHERE YOU WORK BEEN SICK +audio/RES0021.mp3[588.680,590.800] AND HAVE YOU TRAVELED ANYWHERE +audio/RES0021.mp3[593.120,603.200] OK AND THEN ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR OR LUNG CONDITION +audio/RES0021.mp3[603.880,608.480] OK NO AN ANY CANCER THAT THATS RUNS IN THE FAMILY +audio/RES0021.mp3[608.480,615.080] UM ONE OF MY AUNTS HAD PANCREATIC CANCER +audio/RES0021.mp3[615.080,618.480] OK ANY RELATIVES HAVE BREAST CANCER +audio/RES0021.mp3[619.120,628.080] HOW ABOUT ANY RELATIVES WITH OVARIAN OR COLON CANCER +audio/RES0021.mp3[628.800,642.920] OK AND SO I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ACTUALLY I JUST REMEMBERED ONE HAVE YOU HAD ANY PRIOR SURGERIES +audio/RES0021.mp3[642.920,647.040] NO NO PRIORS +audio/RES0021.mp3[647.040,662.520] OK SORRY SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT ON ON HISTORY UM WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I MAYBE I DIDNT ASK ABOUT +audio/RES0021.mp3[662.520,666.000] NO I THINK YOU COVERED IT ALL +audio/RES0021.mp3[666.000,733.480] OK EXCELLENT SO WITH YOUR SYMPTOMS OF HAVING A KIND OF A FEVER COUGH AND BEING TIRED DEFINITELY CONCERNED OF VIRAL INFECTION AND POSSIBLY COVID19 OR SOMETHING MORE COMMON LIKE THE COMMON COLD LIKE AN ADENOVIRUS AND SO WILL DO SOME TESTING FOR FOR COVID19 WITH A NASAL PCR SWAB AS WELL AS RUN SOME BLOOD WORK UM BECAUSE THERE IS A POSSIBILITY THAT THERES A BACTERIAL INFECTION SUCH AS LIKE A PNEUMONIA OR LOWER RESPIRATORY TRACT INFECTION THAT WOULD BE TREATED WITH ANTIBIOTICS SO WE UH YEAH WELL ORDER THOSE INVESTIGATIONS ALONG WITH A CHEST X RAY AND WE WILL GO FROM THERE +audio/RES0021.mp3[733.480,735.960] OK THAT SOUNDS GREAT THANK YOU SO MUCH +audio/RES0021.mp3[735.960,736.760] YOURE WELCOME +audio/RES0055.mp3[0.000,2.360] WHAT BRINGS YOU IN +audio/RES0055.mp3[2.360,20.200] HI YES I JUST CAME IN TODAY BECAUSE IVE BEEN A BIT CONCERNED ABOUT SOME BREATHING DIFFICULTIES OVER THE LAST FEW DAYS IT ALL STARTED OUT WITH LIKE A COUGH OVER THE LAST WEEK BUT NOW IM HAVING TROUBLE BREATHING AS WELL +audio/RES0055.mp3[20.200,32.760] OH OK WELL IM SORRY TO HEAR THAT SO YOU SAID A COUGH AS WELL SO THE COUGH AT LEAST A WEEK BACK AND THE SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN DID THAT START +audio/RES0055.mp3[32.760,66.760] SO YEAH THE COUGH I USUALLY HAVE A COUGH IVE HAD COPFOR A LONG TIME BUT THIS PAST WEEK THE COUGHING HAS BEEN MUCH WORSE WITH A LOT OF MORE SPUTUM AND OTHER THAN THAT IT STARTED I WOULD SAY TWO TO THREE DAYS AGO THE COUGH GOT WORSE AND THEN EVERY TIME IM MOVING AROUND I LIKE HAVE TO SIT DOWN AND CATCH MY BREATH WHICH IS PRETTY ABNORMAL FOR ME +audio/RES0055.mp3[66.760,75.800] OK YEAH SO ALRIGHT SO LETS FOCUS ON THE COUGH FIRST YOU SAID ITS A WET COUGH +audio/RES0055.mp3[75.800,80.960] YES I AM PRODUCING A LOT OF SPUTUM +audio/RES0055.mp3[80.960,84.200] OK WHAT COLOR IS YOUR SPUTUM +audio/RES0055.mp3[84.200,89.200] ITS MAINLY LIKE CLEAR WHITE +audio/RES0055.mp3[89.200,96.720] OK YEAH SO YOU DONT SEE YELLOW PUS OR ANYTHING GREEN OR BLOODY IN THERE +audio/RES0055.mp3[96.720,104.440] NO I DONT THINK SO BUT THERES DEFINITELY LIKE A LOT MORE THAN WHAT I USUALLY PRODUCE +audio/RES0055.mp3[104.440,116.200] OK UMM THIS COUGH DOES IT SOUND HARSH BARKY OR DOES IT SOUND MUFFLED +audio/RES0055.mp3[116.200,129.760] I WOULD SAY ITS A BIT HARSH AT TIMES I WOULDNT SAY ITS BARKY OR MUFFLED I DO FIND MYSELF WHEEZING A LITTLE OVER THE LAST FEW DAYS AS WELL +audio/RES0055.mp3[129.760,137.400] OK DO YOU FIND YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THE SHORTNESS OF BREATH +audio/RES0055.mp3[137.400,140.920] OH NO I DONT REALLY HAVE ANY PAINS +audio/RES0055.mp3[140.920,147.840] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE +audio/RES0055.mp3[147.840,155.320] I DID A COUPLE OF YEARS AGO I HAD TO BE ADMITTED BECAUSE I HAD SOME SHORTNESS OF BREATH +audio/RES0055.mp3[157.320,161.600] BUT THAT WAS I THINK TWO YEARS AGO +audio/RES0055.mp3[161.600,174.120] OK AND WHEN YOU WERE ADMITTED TWO YEARS AGO DID THEY TELL YOU WHAT YOU HAD +audio/RES0055.mp3[174.120,184.560] YEAH THEY SAID I HAD SOME KIND OF LUNG INFECTION AT THAT TIME SO THEY GAVE ME SOME ANTIBIOTICS WHILE I WAS IN THE HOSPITAL +audio/RES0055.mp3[184.560,194.040] OK DID THEY EVER SAY TO YOU THAT YOU HAD ANYTHING ELSE LIKE ASTHMA COPANY LONGSTANDING CONDITIONS +audio/RES0055.mp3[194.040,204.480] YEAH SO IVE HAD COPFOR MORE THAN I GUESS MORE THAN 10 YEARS NOW SO I THINK IT JUST GOT A LOT WORSE WITH THE INFECTION +audio/RES0055.mp3[204.480,211.080] OK YEAH ALRIGHT SO THIS TIME AROUND HAVE YOU HAD ANY FEVERS +audio/RES0055.mp3[211.080,223.400] IVE BEEN HAVING A COUPLE OF CHILLS BUT LIKE THEY WOULD COME AND GO I DIDNT REALLY THINK IT WAS A FEVER +audio/RES0055.mp3[223.400,226.000] OK ANY WEIGHT LOSS +audio/RES0055.mp3[227.200,236.080] OK HOW ABOUT CHANGES IN YOUR HAIR OR NAILS LIKE OR OR SKIN LIKE RASHES +audio/RES0055.mp3[236.080,237.600] UMM NO +audio/RES0055.mp3[237.600,241.280] ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0055.mp3[243.200,247.200] AND HOW ABOUT SMELL OR TASTE +audio/RES0055.mp3[247.200,250.440] UMM NO I THINK THEYRE THE SAME +audio/RES0055.mp3[250.440,256.480] OK HAVE A STUFFY NOSE OR RUNNY NOSE +audio/RES0055.mp3[256.480,266.680] I DO FEEL A BIT STUFFY BUT ITS NOT TOO BAD +audio/RES0055.mp3[266.680,272.520] OK AND ANY SWELLING IN YOUR IN YOUR LEGS OR UPPER LIMBS +audio/RES0055.mp3[272.520,275.080] NO NOT THAT I KNOW +audio/RES0055.mp3[275.080,278.040] HOW ABOUT CALF PAIN +audio/RES0055.mp3[280.120,284.960] DIZZINESS OR FAINTING SPELLS +audio/RES0055.mp3[288.760,290.480] NO HEADACHES +audio/RES0055.mp3[290.480,293.400] MEMORY LOSS OR CONFUSION +audio/RES0055.mp3[294.080,303.600] CHANGES IN YOUR BOWEL MOVEMENT OR ABDOMINAL PAIN +audio/RES0055.mp3[305.320,310.880] CHANGES TO URINATING +audio/RES0055.mp3[310.880,316.280] NO THATS ALL FINE +audio/RES0055.mp3[316.280,324.280] OK SO BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING CONDITIONS +audio/RES0055.mp3[324.280,337.280] I DO HAVE SOME HIGH BLOOD PRESSURE WHICH I TAKE I THINK I TAKE ONE OF THESE MEDICATIONS CALLED METOPROLOL +audio/RES0055.mp3[337.280,343.200] OK AND WHEN WAS THE LAST TIME YOU HAD YOUR BLOOD PRESSURE CHECKED +audio/RES0055.mp3[343.200,360.400] UMM PROBABLY LIKE A MONTH AGO AND IT WAS PRETTY GOOD IVE BEEN CHECKING BY MYSELF AT HOME TOO AND IT HASNT BEEN CHANGING TOO MUCH I THINK THE LAST ONE I TOOK WAS PROBABLY LIKE 135 80 +audio/RES0055.mp3[360.400,369.040] OH I SEE OK ANY HOSPITALIZATIONS BESIDES THE ONE THAT YOU HAD FOR COPA YEAR BACK +audio/RES0055.mp3[369.040,374.320] UMM BACK WHEN I WAS A KID I HAD MY TONSILS REMOVED +audio/RES0055.mp3[374.320,382.320] OK ARE YOU ON ANY MEDICATIONS BESIDES THE METOPROLOL +audio/RES0055.mp3[382.320,395.400] I DO TAKE MULTIVITAMINSI THINK THATS YEAH THATS ABOUT IT +audio/RES0055.mp3[395.400,399.120] DO YOU TAKE ANY PUFFERS FOR YOUR COPD +audio/RES0055.mp3[399.120,425.480] YEAH SO I DO HAVE THREE LIKE DIFFERENT PUFFERS I TAKE I CANT REMEMBER THE NAME I DO HAVE SOME PUFFERS I DONT TAKE IVE BEEN USING THEM RIGHT NOW IT HAS BEEN HELPING WITH SOME OF MY SHORTNESS OF BREATH BUT IVE DEFINITELY BEEN HAVING TO USE THEM WAY MORE THAN I USED TO +audio/RES0055.mp3[425.480,430.160] OK DO YOU KNOW WHICH PUFFER YOURE ON +audio/RES0055.mp3[430.160,443.360] YEAH SO I THINK ONE OF THEM IS CALLED VENTOLIN OK AND THEN I THINK THE SECOND ONE IS CALLED THE SPIRIVA +audio/RES0055.mp3[443.360,444.400] OK SURE YEP +audio/RES0055.mp3[444.400,460.400] SO ONE OF THEM SHOULD BE A SHORT ACTING BETA AGONIST +audio/RES0055.mp3[460.400,475.160] JUST WANNA MAKE SURE THAT YOU HAVE ONE WITH A LONG ACTING AND THEN THE OTHER ONE IS A LONG ACTING BETA AGONIST OK GOOD ALRIGHT ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0055.mp3[475.160,478.680] YEAH I THINK SO +audio/RES0055.mp3[478.680,481.960] AND ARE YOU ALLERGIC TO ANYTHING +audio/RES0055.mp3[481.960,485.160] NO NOT THAT I KNOW +audio/RES0055.mp3[485.160,488.840] ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0055.mp3[488.840,497.080] UMM NO I DONT THINK SO YEAH NO I DONT THINK SO +audio/RES0055.mp3[497.080,501.880] OK HOW ABOUT HEART CONDITIONS +audio/RES0055.mp3[501.880,507.920] YEAH MY FATHER DIED OF A HEART ATTACK IN HIS 60S +audio/RES0055.mp3[507.920,512.040] OK ALRIGHT ANY CANCERS +audio/RES0055.mp3[512.040,515.520] MY UNCLE HAD SKIN CANCER +audio/RES0055.mp3[515.520,526.080] OK DO YOU KNOW WHAT TYPE OF SKIN CANCER LIKE MELANOMA BASAL CELL SQUAMOUS CELL +audio/RES0055.mp3[526.080,540.920] NO I THINK IT WASNT THE BAD ONE IT WAS LIKE THE ONE THEY CAN REMOVE RIGHT AWAY +audio/RES0055.mp3[540.920,546.480] OH I SEE OK OK THATS GOODDO YOU SMOKE +audio/RES0055.mp3[546.480,557.320] YEAH IVE BEEN SMOKING FOR AROUND I WOULD SAY THE LAST 20 YEARS +audio/RES0055.mp3[557.320,559.280] OK HOW MUCH DO YOU SMOKE +audio/RES0055.mp3[559.280,565.840] PROBABLY I WOULD SAY PACK A DAY FOR THE LAST 20 YEARS +audio/RES0055.mp3[565.840,569.520] UMM HAVE YOU EVER THOUGHT ABOUT QUITTING +audio/RES0055.mp3[569.520,580.920] YEAH I DID I DID ONCE AND THEN WENT BACK ONTO IT I DEFINITELY DO SMOKE LESS THAN BEFORE THOUGH OK BUT YEAH I DONT THINK IM READY TO QUIT YET +audio/RES0055.mp3[580.920,586.520] OK YEAH NO PROBLEM DO YOU DRINK ALCOHOL +audio/RES0055.mp3[586.520,593.280] UMM YEAH MAYBE ONCE A WEEK I WOULD HAVE A SMALL CUP OF WHISKEY +audio/RES0055.mp3[593.280,604.160] OK SURE THATS FINE AND ANY OTHER DRUGS +audio/RES0055.mp3[604.160,608.320] NO NO MARIJUANA NO OTHER DRUGS +audio/RES0055.mp3[608.320,611.760] OK AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0055.mp3[611.760,617.560] RIGHT NOW I LIVE IN A SMALL BUNGALOW IN LONDON +audio/RES0055.mp3[617.560,629.840] OK ANY REASONS TO BELIEVE THERE ARE CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING YOUR COPD +audio/RES0055.mp3[629.840,633.800] UMM I DONT THINK SO EVERYTHING IS PRETTY UP TO DATE +audio/RES0055.mp3[633.800,639.640] OK HAVE YOU HAD ANY CONTACT WITH ANYONE THATS BEEN SICK RECENTLY +audio/RES0055.mp3[639.640,647.880] NO IVE BEEN MOSTLY TRYING TO ISOLATE AND LIKE JUST BE IN MY OWN HOME +audio/RES0055.mp3[647.880,653.360] OK HOW ABOUT TRAVEL TO ANYWHERE +audio/RES0055.mp3[653.360,659.880] NOPE IVE BEEN IN ONTARIO SINCE THE BEGINNING OF THE PANDEMIC +audio/RES0055.mp3[659.880,670.880] YEAH OK THAT MAKES SENSE WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0055.mp3[670.880,682.200] YEAH I WAS JUST WORRIED IF IT CAN BE COVIOR IF ITS JUST LIKE ANOTHER INFECTION THAT I HAD LIKE BEFORE +audio/RES0055.mp3[682.200,755.320] YEAH SO WERE DEFINITELY GOING TO DO A COVISWAB ON YOU AND THOSE RESULTS SHOULD TAKE ABOUT 24 TO 48 HOURS TO COME BACK TO YOU AND IN THE MEANTIME BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVIYOU SHOULD ISOLATE FOR 14 DAYS PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE TO DO SOME CONTACT TRACING IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND DURING THIS TIME OF YEAR WHICH IS LIKELY BECAUSE YOU HAVE COPSINCE YOURE ALREADY COUGHING MORE THAN YOU USUALLY ARE AND SEEING MORE SPUTUM WE WILL REASSESS TO SEE WHETHER YOUR PUFFERS ARE WORKING IF WE NEED TO ADD ANY ADDITIONAL THINGS LIKE INHALED CORTICOSTEROIDS AS WELL AS ANTIBIOTICS AND SO JUST KEEP AN EYE ON YOUR SYMPTOMS FOR NOW AND WILL ALSO WANT TO DO PROBABLY A CHEST X RAY AND POSSIBLY A PULMONARY FUNCTION TEST HOW DOES THAT SOUND +audio/RES0055.mp3[755.320,756.560] THANK YOU +audio/RES0055.mp3[756.560,761.840] OK YEAH NO PROBLEM +audio/RES0003.mp3[0.000,2.320] ITS NICE TO MEET YOU WHATS YOUR NAME +audio/RES0003.mp3[2.320,17.840] ITS NICE TO MEET YOU AS WELL MY NAME IS JENN AND IM HERE WITH MY SON JOEY HERE WHO HES HAD A SORE THROAT NOW FOR THE LAST COUPLE OF DAYS +audio/RES0003.mp3[17.840,20.680] OK HOW OLD IS HE JOEY +audio/RES0003.mp3[20.680,24.080] UH HE IS 3 YEARS OLD +audio/RES0003.mp3[24.080,30.920] HES THREE YEARS OLD OK AND YOU SAID FOR THE PAST COUPLE DAYS SO ABOUT 23 DAYS +audio/RES0003.mp3[30.920,50.480] YEAH PROBABLY YEAH ABOUT 3 DAYS AGO HE HE DIDNT GO TO SCHOOL FOR THE LAST TWO DAYS BECAUSE OR I MEAN DAYCARE I SHOULD SAY BECAUSE THE PAINS BUT WAS BUGGING HIM SO BAD +audio/RES0003.mp3[50.480,56.320] OK YEAH UM SO HOW LONG HAS HE BEEN GOING TO DAYCARE FOR +audio/RES0003.mp3[56.320,64.880] HE STARTED THIS YEAR SO UM HES BEEN GOING FOR ABOUT SIX MONTHS +audio/RES0003.mp3[64.880,71.120] OK IS HE HAVING ISSUES SWALLOWING FOOD DOES IT HURT WHEN HE SWALLOWS FOOD +audio/RES0003.mp3[71.120,88.800] YEAH HES UH HES DEFINITELY THE LAST COUPLE OF DAYS HASNT BEEN EATING AS MUCH LIKE SOLID FOOD HES DRINKING COLD LIQUIDS OKAY BUT YEAH HE HASNT BEEN EATING AS MUCH +audio/RES0003.mp3[90.200,95.080] HE SAYS ITS HARD TO HE DOES SAY IT HURTS TO SWALLOW AS WELL +audio/RES0003.mp3[95.080,103.160] OK AND DOES DOES HE EVER CLUTCH TO HIS NECK LIKE HIS NECK HURTS +audio/RES0003.mp3[103.160,107.160] NO HE HASNT SAID ANYTHING LIKE THAT I MEAN NOTHING ABOUT HIS NECK +audio/RES0003.mp3[107.160,113.360] OK UM HAVE YOU TAKEN HIS TEMPERATURE AT ALL +audio/RES0003.mp3[113.360,120.400] YEAH WE DID AND ITS UH ITS PRETTY HIGH ACTUALLY IT WAS LIKE 394 +audio/RES0003.mp3[120.400,126.280] OK WOW YEAH THATS PRETTY HIGH HAVE YOU NOTICED ANY SWOLLEN AREAS ON HIS NECK +audio/RES0003.mp3[126.280,132.680] NO NOT I HAVENT NOTICED ANYTHING ON HIS NECK +audio/RES0003.mp3[132.680,135.840] OK ANY RASHES THAT YOUVE NOTICED +audio/RES0003.mp3[135.840,137.600] NO RASHES +audio/RES0003.mp3[137.600,146.160] NO OK AND HAS HE BEEN HAVING CHILLS OR NIGHT SWEATS +audio/RES0003.mp3[146.160,152.520] UM NOTHING LIKE THAT THAT WEVE NOTICED NO SHAKING OR OR SWEATY BED +audio/RES0003.mp3[152.520,157.560] OK AND HOW ABOUT LIKE A STUFFY NOSE OR RUNNY NOSE +audio/RES0003.mp3[157.560,159.760] UH NO NOTHING LIKE THAT +audio/RES0003.mp3[159.760,161.720] OK AND COUGHING +audio/RES0003.mp3[161.720,162.960] NO COUGH +audio/RES0003.mp3[162.960,169.200] NO AND HOW ABOUT IS HE COMPLAINING OF ANY BODY ACHES +audio/RES0003.mp3[169.200,176.320] NO ITS MOSTLY JUST BEEN IS HIS THROAT HIS THROAT THAT HES COMPLAINING ABOUT +audio/RES0003.mp3[176.320,179.360] OK HOW ABOUT HEADACHES +audio/RES0003.mp3[179.360,182.600] UH HE HASNT MENTIONED ANYTHING WITH HIS HEAD +audio/RES0003.mp3[182.600,189.120] OK AND HAS HE BEEN AROUND ANYONE WHOS BEEN SICK MAYBE AT HIS DAYCARE +audio/RES0003.mp3[189.120,202.720] I I MEAN HIS SISTER HAS HAD HAD SOME COLDS SHES ALSO IN HIS DAYCARE SO I MEAN MAYBE HER +audio/RES0003.mp3[202.720,205.200] OK HOW OLD IS SHE +audio/RES0003.mp3[205.200,209.200] UM SHES 2 +audio/RES0003.mp3[209.200,212.480] SHES TWO OK SO SHES YOUNGER +audio/RES0003.mp3[213.600,218.000] OK ANY NAUSEA OR VOMITING +audio/RES0003.mp3[218.000,221.040] AH NO VOMITING +audio/RES0003.mp3[221.040,227.880] OK HOW ABOUT UM DIARRHEA CONSTIPATION +audio/RES0003.mp3[227.880,232.120] HAVENT NOTICED ANYTHING LIKE THAT HIS HIS BOWEL MOVEMENTS HAVE BEEN NORMAL +audio/RES0003.mp3[232.120,238.160] HOW ABOUT URINATING HAS THAT BEEN NORMAL +audio/RES0003.mp3[238.160,243.920] HIS USUAL AMOUNT IS AS AS FAR AS I KNOW +audio/RES0003.mp3[243.920,254.200] OK AND OK ANY ISSUES WITH HIS EYES ANY LIKE PUS OR BLEEDING OR REDNESS +audio/RES0003.mp3[254.200,257.040] NO HIS EYES OF HAVE LOOKED NORMAL TO ME +audio/RES0003.mp3[257.040,258.720] OK HOW ABOUT HIS EARS +audio/RES0003.mp3[258.720,261.960] THOSE HAVE ALSO BEEN NORMAL +audio/RES0003.mp3[261.960,267.160] OK ANY SORES ON HIS MOUTH OR INSIDE +audio/RES0003.mp3[267.160,279.280] UM NO IT DOES KINDA LOOK LIKE THERE ITS PRETTY RED IN THE BACK OF HIS THROAT WHEN I WAS ABLE TO LOOK BUT YEAH +audio/RES0003.mp3[279.280,287.120] OK AND HAS HE EVER EXPERIENCED ANY OF THESE SYMPTOMS BEFORE +audio/RES0003.mp3[287.120,299.400] UM HES HAD SORE THROATS BEFORE BUT I THINK THIS ONE IS A BIT MORE SEVERE HE HASNT COMPLAINED THIS BAD BEFORE +audio/RES0003.mp3[299.400,306.440] OK OK UM HAS HE TRIED ANYTHING FOR IT HAVE YOU GIVEN HIM ANY OVER THE COUNTER MEDICATIONS +audio/RES0003.mp3[306.440,329.320] YEAH WE WE DID USE SOME TYLENOL AND IT BROUGHT THE FEVER DOWN SO THAT WAS PART OF THE REASON WHY WE WE DIDNT COME IN CAUSE HES HAD SORE THROATS BEFORE BUT THE FEVER BOUNCED BACK AND AND THE PAIN SEEMS TO HAVE CONTINUED SO WE CAME IN +audio/RES0003.mp3[329.320,336.320] OK OK AND IS HE OTHERWISE HEALTHY DOES HE HAVE ANY MEDICAL CONDITIONS +audio/RES0003.mp3[336.320,344.720] UH YEAH HES OTHERWISE HEALTHY NO MEDICAL CONDITIONS UM HASNT BEEN HAD A REASON TO SEE A DOCTOR BEFORE +audio/RES0003.mp3[344.720,354.840] NO OK AND THEN JUST HOW WAS PREGNANCY WITH HIM WAS IT NORMAL ANY COMPLICATIONS +audio/RES0003.mp3[354.840,374.800] UM YEAH THERE SO HAD UM GESTATIONAL DIABETES BUT IT WAS TREATED IT WAS TREATED WITH DIET UM AND BLOOD SUGARS HAVE BEEN FINE NOW BUT NO COMPLICATIONS TO THE PREGNANCY FROM THAT REGARD AS FAR AS I KNOW +audio/RES0003.mp3[374.800,380.880] OK ANY ALCOHOL OR RECREATIONAL DRUGS USED DURING THE PREGNANCY +audio/RES0003.mp3[380.880,385.800] NO NOTHING LIKE THAT NO NO SMOKING EITHER +audio/RES0003.mp3[385.800,394.840] OK OK GOOD UM AND HOW FAR ALONG WERE YOU WHEN WHEN YOU DELIVERED HIM +audio/RES0003.mp3[394.840,402.040] UM IT WAS A VAGINAL DELIVERY JUST AFTER 38 WEEKS OK SO HE WAS FULL TERM +audio/RES0003.mp3[402.040,407.840] AND YOU SAID VAGINAL DELIVERY DID THEY HAVE TO INDUCE YOU AT ALL +audio/RES0003.mp3[407.840,409.400] UM NO NO +audio/RES0003.mp3[409.400,412.920] OK AND WAS HE A NORMAL BIRTH WEIGHT +audio/RES0003.mp3[412.920,419.560] YEAH HE WAS YEAH I THINK HE WAS LIKE JUST OVER 3 KILOGRAMS +audio/RES0003.mp3[419.560,430.000] OK GOOD AND WAS HE HEALTHY AFTER BIRTH DID HE HAVE ANY BREATHING ISSUES JAUNDICE ANYTHING LIKE THAT +audio/RES0003.mp3[430.000,437.440] UM NO BREATHING ISSUES OR OR JAUNDICE HE CAME HOME WITH US RIGHT AWAY +audio/RES0003.mp3[437.440,450.760] OK OK AND THEN AFTER THAT POINT TO NOW HAS HE BEEN NORMAL IN TERMS OF HIS WEIGHT HEIGHT HEAD CIRCUMFERENCE +audio/RES0003.mp3[450.760,460.400] YEAH YEAH HES BEEN GROWING NORMALLY AND EATING WELL UP UP TO THIS POINT +audio/RES0003.mp3[460.400,472.720] OK AND I SHOULD ASK UM HAS HE BEEN HITTING ALL HIS MILESTONES LIKE IS HE DOING THE THINGS THAT HIS PEERS ARE DOING +audio/RES0003.mp3[472.720,479.320] YEAH I WOULD SAY HES KEEPING UP WITH HIS HIS PEERS IN DAYCARE AND NO CONCERNS WITH HIS DEVELOPMENT +audio/RES0003.mp3[479.320,483.280] OK GOOD IS HE ON ANY MEDICATIONS +audio/RES0003.mp3[483.280,484.920] NO MEDICATIONS +audio/RES0003.mp3[484.920,488.480] NO OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0003.mp3[488.480,492.000] HE IS YES +audio/RES0003.mp3[492.000,495.560] OK AND ANY ALLERGIES +audio/RES0003.mp3[495.560,499.480] NOT THAT WERE AWARE OF +audio/RES0003.mp3[499.480,505.920] OK ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0003.mp3[505.920,509.120] UM NO NO FAMILY HISTORY OF ANY LUNG CONDITIONS +audio/RES0003.mp3[509.120,516.760] OK AND SO WHO DOES WHO DOES HE LIVE WITH AT HOME +audio/RES0003.mp3[516.760,528.600] SO HE LIVES WITH MY MYSELF AND HIS FATHER AND THEN SISTER SO THERES JUST THE FOUR OF US AT HOME +audio/RES0003.mp3[528.600,541.640] OK AND WHATS THE RELATIONSHIP LIKE BETWEEN ALL OF YOU ANY DOMESTIC ISSUES OR ARE THINGS OK +audio/RES0003.mp3[541.640,546.160] OH THINGS ARE ARE GREAT AT HOME ITS A REALLY SUPPORTIVE ENVIRONMENT +audio/RES0003.mp3[546.160,549.840] OK GOOD AND DOES ANYONE SMOKE AT HOME +audio/RES0003.mp3[549.840,553.560] NO ONE SMOKES AT HOME +audio/RES0003.mp3[553.560,557.440] NO OK UM ANY CARPETS AT HOME OLD CARPETS +audio/RES0003.mp3[557.440,563.880] I THINK THERES THERES A FEW AREA RUGS AROUND BUT MOST OF THE CARPETS ARE GONE +audio/RES0003.mp3[563.880,584.720] OK OK UM ALRIGHT SO IT SOUNDS LIKE UM GROM WHAT YOURE TELLING ME HE OHH SORRY I SHOULD HAVE ASKED YOU THIS EARLIER HAS HE HAD ANY ISSUES BREATHING +audio/RES0003.mp3[584.720,593.120] UM NO PROBLEMS BREATHING BUT HIS VOICE DOES SOUND A BIT A LITTLE BIT OFF A BIT HUSKY +audio/RES0003.mp3[593.120,600.640] A BIT HUSKY OK UM ALRIGHT AND NOTHING LIKE A SEIZURE LIKE A FEBRILE SEIZURE RIGHT +audio/RES0003.mp3[600.640,605.200] NO I HAVENT SEEN ANY LIKE LIMB JERKING OR ANYTHING LIKE THAT +audio/RES0003.mp3[605.200,646.080] OK SO UM JUST ROUGHLY DOING FROM THE SOUNDS OF IT IT SOUNDS LIKE HE HAS A SORE THROAT THATS BEEN PERSISTENT AND WE DO THIS THING CALLED THE CENTOR SCORE SO IT SOUNDS LIKE HES HAD A FEVER NO COUGH A SORE THROAT SO THE FIRST THING THAT WE WANT TO CHECK TO SEE OR TO RULE OUT WOULD BE A STREP THROAT AND THEN WELL IF THAT COMES BACK NEGATIVE WE WILL GO FROM THERE AND THINK ABOUT OTHER VIRAL CAUSES VERSUS STREP THROAT AS WELL +audio/RES0003.mp3[646.080,651.480] DID YOU HAVE ANY QUESTIONS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY +audio/RES0003.mp3[651.480,658.680] UM NO WE WERE THINKING THAT IT COULD BE UH MAYBE STREP THROAT SO UM YEAH THANK YOU +audio/RES0003.mp3[658.680,660.360] OK GREAT THANK YOU +audio/RES0197.mp3[0.000,2.480] WHAT BRINGS YOU IN HERE TODAY +audio/RES0197.mp3[2.480,29.480] YEAH HI IM SO I HAVE BEEN VERY WHEEZY FOR THE PAST WEEK UM AND IM ALSO LIKE CONSISTENTLY COUGHING ALL THE TIME AND ITS NOT GETTING ANY BETTER UM I DO HAVE ASTHMA AND I THINK ITS ITS ACTING UP +audio/RES0197.mp3[29.480,36.680] OK AND HOW LONG HAVE YOU HAD ASTHMA FOR +audio/RES0197.mp3[36.680,40.960] SINCE I WAS LIKE 5 +audio/RES0197.mp3[40.960,44.120] OK AND ARE YOU USING ANY PUFFERS +audio/RES0197.mp3[44.120,54.920] YES SO I AM ON A SHORT ACTING AS WELL AS AN INHALED CORTICO STEROID AND I ONLY TAKE THE SHORT ACTING LIKE WHEN I HAVE THE SYMPTOMS +audio/RES0197.mp3[54.920,61.840] OK AND SO HOW HOW LONG HAVE YOU BEEN SYMPTOMS WORSENING FOR +audio/RES0197.mp3[61.840,65.240] FOR THE PAST WEEK I WOULD SAY +audio/RES0197.mp3[65.240,69.080] OK AND HOW HOW OFTEN HAVE YOU USED THE VENTILIN +audio/RES0197.mp3[69.080,73.920] THE VENTILIN THAT I USE IS ALMOST EVERY DAY LIKE A COUPLE TIMES A DAY +audio/RES0197.mp3[73.920,77.960] OK SO WOULD YOU SAY MORE THAN 10 TIMES +audio/RES0197.mp3[78.960,86.720] OK AND HAVE YOU HAD TO DO YOU HAVE Y TO MISS ANY SCHOOL OR ANYTHING LIKE THAT OVER THE PAST WEEK +audio/RES0197.mp3[86.720,88.360] I MISSED TWO DAYS +audio/RES0197.mp3[88.360,97.400] TWO DAYS OK AND ARE YOU JUST GETTING DAYTIME SYMPTOMS OR ARE YOU WAKING UP FROM SLEEP OR NOT BEING ABLE TO SLEEP BECAUSE OF YOUR SYMPTOMS +audio/RES0197.mp3[97.400,104.160] I WOKE UP TWICE LAST WEEK +audio/RES0197.mp3[104.160,115.480] OK OK SO YEAH DEFINITELY SEEMS LIKE YOUR SYMPTOMS ARE REALLY ACTING UPON AND SO YOURE GETTING SOME WHEEZING AND YOU SAY YOURE ALSO GETTING A COUGH +audio/RES0197.mp3[115.480,116.880] YES THATS RIGHT +audio/RES0197.mp3[116.880,133.560] OK AND WHAT KIND OF THINGS WOULD YOU BE DOING THAT YOU GET THESE SYMPTOMS IS IT MOSTLY EXERTION OR IS IT EXPOSURE TO DUST OR ANY OTHER ENVIRONMENTAL FACTORS +audio/RES0197.mp3[133.560,139.480] UH BUT ITS MOSTLY EXERTION BUT THINGS LIKE COLD AIR CAN TRIGGER IT TOO +audio/RES0197.mp3[139.480,152.720] OK I SEE OK ANY HAVE YOU BEEN EXPOSED TO ANY NEW ENVIRONMENTS WHERE THERE IS YOU KNOW DUSTY CARPETS MOLD NEW ANIMALS ANYTHING LIKE THAT +audio/RES0197.mp3[152.720,156.200] UH NO NOTHING LIKE THAT +audio/RES0197.mp3[156.200,162.800] OK OK AND HOW WOULD YOU DESCRIBE THE COUGH IS IT WET OR DRY +audio/RES0197.mp3[162.800,163.320] ITS DRY +audio/RES0197.mp3[163.320,174.400] OK AND AND HOW ABOUT THE WHEEZING ARE YOU GETTING IT LIKE FREQUENTLY EVERY TIME YOU HAVE AN EPISODE OR JUST SOMETIMES +audio/RES0197.mp3[174.400,184.760] I IM GETTING AN ON AND OFF BUT BASICALLY EVERY TIME I COUGH AFTER THAT ILL BE WHEEZY FOR A LITTLE BIT +audio/RES0197.mp3[184.760,197.680] OK OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE SHORTNESS OF BREATH ANYTHING LIKE THAT +audio/RES0197.mp3[197.680,200.440] NO NOTHING LIKE THAT +audio/RES0197.mp3[200.440,204.800] OK AND ANY BLOOD IN YOUR SPUTUM AT ALL +audio/RES0197.mp3[204.800,205.840] NO NO BLOOD +audio/RES0197.mp3[205.840,214.920] OK OK AND HAS THE VENTILIN BEEN HELPING AT ALL OR DO YOU FIND THAT ITS LESS EFFECTIVE +audio/RES0197.mp3[214.920,221.720] VENTILIN UM ITS BEEN HELPING TEMPORARILY BUT IT DEFINITELY DOESNT HELP AS MUCH AS IT USED TO +audio/RES0197.mp3[221.720,230.960] OK UM AND HAVE YOU TRAVELED AT ALL RECENTLY OR BEEN IN TOUCH WITH ANYONE WHOS BEEN SICK +audio/RES0197.mp3[230.960,237.040] UHM NO NOTHING LIKE THAT +audio/RES0197.mp3[237.040,241.360] OK AND AND ANY HEADACHES NAUSEA OR VOMITING +audio/RES0197.mp3[241.360,243.840] HE NO NOTHING LIKE THAT +audio/RES0197.mp3[243.840,247.320] NOTHING LIKE THAT OK ANY DIZZINESS OR FAINTING +audio/RES0197.mp3[249.160,251.280] NO OK ANY FEVERS OR CHILLS +audio/RES0197.mp3[252.960,255.880] NO ANY FATIGUE +audio/RES0197.mp3[255.880,262.840] UM A LITTLE BIT BECAUSE I HAVENT BEEN SLEEPING TOO WELL +audio/RES0197.mp3[262.840,268.680] OK ANY SENSATION OF CHEST PAIN OR RACING OF YOUR HEART +audio/RES0197.mp3[269.560,272.440] NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0197.mp3[272.440,274.480] UH NO +audio/RES0197.mp3[274.480,277.880] ANY CHANGES IN YOUR APPETITE OR WEIGHT +audio/RES0197.mp3[279.520,286.440] NO ANY CHANGES IN YOUR SENSE OF SMELL OR TASTE +audio/RES0197.mp3[287.640,297.640] OK OK AN OTHER THAN ASTHMA SINCE YOU WERE FIVE AN DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL +audio/RES0197.mp3[297.640,307.240] OK DO YOU TAKE SO YOU TAKE THE VENTILIN AND THEN DO YOU TAKE THE INHALED CORTICO STEROID PUFFER AS WELL +audio/RES0197.mp3[307.240,308.520] I DO +audio/RES0197.mp3[308.520,311.200] OK AND YOU TAKE THAT DAILY +audio/RES0197.mp3[311.200,313.600] UM YES +audio/RES0197.mp3[313.600,317.440] ANY OTHER MEDICATIONS THAT YOU TAKE +audio/RES0197.mp3[317.440,322.560] NO JUST SOME MULTI VITAMINS THATS ABOUT IT +audio/RES0197.mp3[322.560,327.120] OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW +audio/RES0197.mp3[327.120,333.680] NOT TO MEDICATION I’M ALLERGIC TO LIKE STRAWBERRIES AND KIWIS +audio/RES0197.mp3[333.680,337.280] OK AND WHAT KIND OF REACTION DO YOU GET +audio/RES0197.mp3[337.280,342.000] I JUST BREAK OUT IN HIVES +audio/RES0197.mp3[342.000,346.720] OK AND HAVE YOU BEEN PREVIOUSLY HOSPITALIZED FOR ANY REASON +audio/RES0197.mp3[347.320,352.120] OK ANY PAST SURGERIES +audio/RES0197.mp3[352.120,354.600] AH NOPE +audio/RES0197.mp3[354.600,359.200] OK AND CURRENTLY LIKE WHO DO YOU LIVE WITH +audio/RES0197.mp3[359.200,364.000] I LOVE WITH BOTH MY PARENTS AND TWO OF MY SIBLINGS +audio/RES0197.mp3[364.000,366.520] OK AND ARE ANY OF THEM SICK AT ALL +audio/RES0197.mp3[366.520,369.320] NO EVERYONES PRETTY HEALTHY +audio/RES0197.mp3[369.320,390.280] OK AND SO CURRENTLY RIGHT NOW YOURE 16 THIS IS AN AGE WHERE SOMETIMES YOUR PEERS OR YOURSELF MIGHT EXPERIMENT WITH ALCOHOL SMOKING OR RECREATIONAL DRUGS HAVE YOU HAVE YOU TRIED ANYTHING AT ALL +audio/RES0197.mp3[390.280,392.800] NO I HAVEN’T +audio/RES0197.mp3[392.800,398.800] OK DO YOU HAVE ANY FRIENDS OR PEERS THAT HAVE TRIED ALCOHOL OR RECREATIONAL DRUGS +audio/RES0197.mp3[398.800,402.040] I DONT THINK SO +audio/RES0197.mp3[402.040,413.840] OK AND IN TERMS OF JUST YOUR HOME ENVIRONMENT SCHOOL DO YOU FEEL SAFE OR DO YOU FIND YOURSELF FEELING UNSAFE OR HAVING BEEN BULLIED AT ALL +audio/RES0197.mp3[413.840,417.760] OH IM PRETTY I FEEL PRETTY SAFE +audio/RES0197.mp3[417.760,423.760] OK THATS GOOD AND ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS AT ALL +audio/RES0197.mp3[427.160,432.920] NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS +audio/RES0197.mp3[432.920,443.400] YEAH SO WHAT CAN I DO ABOUT THESE THESE SYMPTOMS SHOULD I CONTINUE TAKING MY PUFFERS +audio/RES0197.mp3[443.400,490.040] YEAH SO WHAT WELL HAVE TO DO IS RE ASSESS SO RIGHT NOW WE WILL NEED TO ALLEVIATE SOME OF YOUR SYMPTOMS SO WE WILL GET YOU GET YOU SOME VENTILIN AND YOU MATE WILL DO LIKE A FULL PHYSICAL EXAMINATION AND GET YOUR OXYGEN SATURATION AND EVERYTHING AN YOU MIGHT NEED SOME CORTICO STEROIDS AS WELL AND THEN WELL TALK ABOUT CHANGING YOUR REGIMENT FOR YOUR PUFFERS AS WELL AND WHETHER OR NOT WE NEED TO ADD SOMETHING ELSE INTO YOUR THERAPY SO WELL DO A FULL PHYSICAL EXAMINATION AND THEN GO ON FROM THERE DOES THAT SOUND GOOD +audio/RES0197.mp3[490.040,491.600] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0197.mp3[491.600,493.680] YOURE WELCOME +audio/RES0061.mp3[0.000,1.880] HOW ARE YOU +audio/RES0061.mp3[1.880,11.680] IM NOT SO GOOD THESE LAST FEW DAYS I HAVENT BENN ABLE TO REALLYKEEP ANYTHING DOWN AND NOT FEELING SO GOOD +audio/RES0061.mp3[11.680,20.800] OK IM SORRY TO HEAR THAT UM WHEN YOU SAY LAST FEW DAYS DID YOU MEAN THE PAST TWO DAYS 3 DAYS +audio/RES0061.mp3[20.800,37.440] WELL I FEEL LIKE MAYBE THE LAST FIVE DAYS I JUST HAVENT BEEN FEELING SO GOOD AND I HAVENT REALLY FELT LIKE EATING BUT THESE LAST TWO DAYS IVE BEEN REALLY NAUSEOUS AND IVE THROWN UP A FEW TIMES +audio/RES0061.mp3[37.440,50.280] OK WHEN YOU SAY YOU HAVENT BEEN FEELING GOOD FOR THE PAST FIVE DAYS IS IT THAT YOU FEEL ACHY DO YOU FEEL HOT LIKE YOU HAVE A FEVER OR DO YOU FEEL WEAK +audio/RES0061.mp3[50.280,57.680] YEAH I DO FEEL HOT AND UM YEAH MAYBE A BIT TIRED +audio/RES0061.mp3[57.680,67.520] TIRED OK AND NAUSEA AND VOMITING ARE YOU THROWING UP OR JUST FEELING NAUSEOUS +audio/RES0061.mp3[67.520,80.240] MOSTLY NAUSEOUS BUT YEAH YESTERDAY I THREW UP LIKE THREE OR FOUR TIMES AND THEN AGAIN TODAY I THREW UP LIKE TWO OR THREE TIMES +audio/RES0061.mp3[80.240,84.960] OK ARE YOU THROWING UP ANY BLOOD +audio/RES0061.mp3[84.960,102.760] NO I DIDNT SEE ANY RED IT WAS MOSTLY LIKE YELLOW AND UMM LIQUIDY BEACUSE I HAVENT BEEN EATING MUCH SOLIDS OR LIKE JUST LIKE FOOD IVE BEEN MOSTLY JUST HAVING DRINKS +audio/RES0061.mp3[102.760,107.920] OK UM AND SO MOSTLY FLUID YOU SAID +audio/RES0061.mp3[108.760,111.760] OK AND WHAT COLOR IS IT +audio/RES0061.mp3[111.760,121.520] UHH YEAH USUALLY USUALLY KIND OF LIKE YELLOWISH CLEAR +audio/RES0061.mp3[121.520,127.640] OK ARE YOU HAVING ANY ABDOMINAL PAIN +audio/RES0061.mp3[127.640,141.760] MAYBE LIKE AFTER I VOMIT IT KIND OF FEELS LIKE SQUEEZING A LITTLE BIT BUT I THINK YEAH I THINK YEAH THATS JUST REALLY JUST WITH WHEN IM HEAVING +audio/RES0061.mp3[141.760,149.680] RIGHT UM ARE YOU DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0061.mp3[149.680,154.720] UMM NO I HAVENT NOTICED ANYTHING THERE +audio/RES0061.mp3[154.720,159.560] OK AND SO NO DIARRHEA NO CONSTIPATION +audio/RES0061.mp3[159.560,161.800] NO NOTHING LIKE THAT +audio/RES0061.mp3[161.800,164.640] OK NO BLOOD IN YOUR STOOL +audio/RES0061.mp3[164.640,168.200] PNO BLOOD I HAVENT SEEN ANY RED +audio/RES0061.mp3[168.200,173.320] OK AND HOW ABOUT ISSUES SWALLOWING FOOD +audio/RES0061.mp3[173.320,178.320] OH YEAH NO PROBLEM SWALLOWING JUST HAVENT FELT HUNGRY +audio/RES0061.mp3[178.320,182.440] OK SO YOU DONT HAVE MUCH OF AN APPETITE THEN +audio/RES0061.mp3[182.440,186.640] NO NOT NOT REALLY +audio/RES0061.mp3[186.640,193.160] OK ALRIGHT SO UM ANY CHANGES IN IN TASTE +audio/RES0061.mp3[193.160,202.640] UM MAYBE I MEAN YEAH I THINK I MIGHT NOT BE REALLY TASTING THINGS THE SAME +audio/RES0061.mp3[202.640,205.320] OK HOW ABOUT SMELL +audio/RES0061.mp3[205.320,215.640] NOW THAT YOU SAY IT I MIGHT UH YEAH I THINK MY SMELL HAS BEEN IMPACTED AS WELL I CANT REALLY SMELL ANYTHING +audio/RES0061.mp3[216.560,224.080] I THOUGHT THAT WAS KIND OF WEIRD BUT DIDNT THINK ANYTHING OF IT ACTUALLY UNTIL YOU JUST ASKED ME +audio/RES0061.mp3[224.080,231.920] YEAH FOR SURE AND HOW ABOUT ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0061.mp3[231.920,235.880] NO CHANGES TO VISION OR HEARING +audio/RES0061.mp3[235.880,240.200] OK ANY DISCHARGE +audio/RES0061.mp3[240.200,248.520] UH NOTHING LIKE THAT THAT BUT I MEAN MY EYES WERE A BIT THEYVE BEEN A BIT RED THESE LAST TWO DAYS +audio/RES0061.mp3[248.520,253.640] OK HAVE THEY BEEN IN ANY PAIN +audio/RES0061.mp3[253.640,271.400] NOPE NO PAIN AND IVE BEEN ABLE TO SEE EVERYTHING OK ITS JUST I JUST NOTICED THEY WERE A LITTLE BIT MORE RED I JUST THOUGHT MAYBE I DONT KNOW I WAS IVE JUST BEEN TIRED +audio/RES0061.mp3[271.400,274.960] YEAH FOR SURE ANY COUGHING +audio/RES0061.mp3[274.960,290.440] UHH YEAH I HAVENT HAD A COUGH BUT UM IVE HAD A COUGH FOR A FEW YEARS NOW SO YEAH THATS NOT REALLY A CHANGE FOR ME +audio/RES0061.mp3[290.440,296.680] ALRIGHT SO NO CHANGE IN YOUR COUGH IS IT A DRY COUGH OR A WET COUGH +audio/RES0061.mp3[296.680,303.200] ITS UH OH A DRY COUGH USUALLY +audio/RES0061.mp3[303.200,308.800] DRY COUGH OK ANY BLOOD THAT YOU PRODUCE +audio/RES0061.mp3[308.800,310.560] NO BLOOD NO BLOOD +audio/RES0061.mp3[310.560,315.440] OK ANY SHORTNESS OF BREATH +audio/RES0061.mp3[315.440,321.960] IM NOT REALLY ABLE TO EXERCISE AND STUFF LIKE THAT +audio/RES0061.mp3[321.960,326.200] OK HAVE ANY WHEEZINESS +audio/RES0061.mp3[326.200,331.520] UM NO I HAVENT HAD A A WHEEZE +audio/RES0061.mp3[331.520,337.360] OK HOW ABOUT ANY FATIGUE OR TIREDNESS +audio/RES0061.mp3[337.360,349.840] YEAH IVE DEFINITELY FELT A LITTLE BIT MORE KIND OF GROGGY AND TIRED THIS LAST WEEK REALLY +audio/RES0061.mp3[349.840,353.760] OK AND MUSCLE ACHES TO GO ALONG WITH THAT +audio/RES0061.mp3[353.760,362.680] YEAH BIT IN MY LIKE KIND OF UPPER ARMS AND LEGS A LITTLE BIT +audio/RES0061.mp3[362.680,369.400] OK YOU SAID YOUVE BEEN FEELING GROGGY DO YOU FEEL DIZZY AT ALL +audio/RES0061.mp3[369.400,374.160] NOT DIZZY JUST MAYBE THAT IM LIKE MOVING IN SLOW MOTION +audio/RES0061.mp3[374.160,378.640] OK YEAH ANY CONFUSION OR MEMORY LOSS +audio/RES0061.mp3[378.640,382.880] NO I THINK IVE BEEN OK +audio/RES0061.mp3[382.880,385.840] OK ANY RASHES +audio/RES0061.mp3[385.840,388.840] NO I HAVENT NOTICED ANY RASHES +audio/RES0061.mp3[388.840,392.560] OK HOW ABOUT HEADACHES +audio/RES0061.mp3[392.560,405.440] YEAH THESE LAST FEW DAYS IVE HAD A BIT OF A HEADACHE AS WELLIT HASNT BEEN VERY INTENSE SO UM IM NOT WORRIED ABOUT IT TOO MUCH +audio/RES0061.mp3[405.440,414.400] RIGHT OK IT HASNT BEEN INTENSE YOU SAID SO HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST +audio/RES0061.mp3[414.400,432.200] YEAH I HAD SIMILAR HEADACHES BEFORE I THINK THEY COME LIKE THIS LIKE IF I DIDNT GET A GOOD SLEEP OR FROM NOT DRINKING ENOUGH WATER OR SOMETHING ILL KIND OF GET A HEADACHE LIKE THIS KIND OF FEELS LIKE ITS SQUEEZING +audio/RES0061.mp3[432.200,441.680] YEAH THATS UNDERSTANDABLE BUT ITS NOT LIKE THE WORST HEADACHE YOUVE EVER HAD +audio/RES0061.mp3[441.680,446.600] NO NO ITS PRETTY SIMILAR TO HEADACHES THAT IVE HAD BEFORE +audio/RES0061.mp3[446.600,452.600] OK OK GOOD AND ARE YOU OTHERWISE HEALTHY +audio/RES0061.mp3[452.600,469.760] YEAH WELL I HAVE HIGH BLOOD PRESSURE AND ALSO HIGH CHOLESTEROL SO I DO TAKE MEDICATIONS FOR BOTH OF THOSE SO YEAH I TAKE A STATIN AND AMLODIPINE I THINK +audio/RES0061.mp3[469.760,482.760] DOK OK GOOD ITS GOOD THAT YOURE ON BOTH OF THOSE DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS +audio/RES0061.mp3[482.760,494.960] YEAH IVE BEEN TAKING VITAMIN AND ALSO A MULTIVITAMIN I HEARD THAT THAT WE DONT GET ENOUGH VITAMIN THROUGHOUT THE WINTER +audio/RES0061.mp3[494.960,522.800] YEAH ITS A GREAT IDEA TO TAKE THAT ESPECIALLY AS WE GET OLDER AND IF WE LIVE IN A COUNTRY WHERE WE DONT GET A LOT OF SUN EXPOSURE LIKE CANADA SO THATS GOOD AND SORRY BEFORE I MOVE ON I FORGOT TO ASK YOU EARLIER IF YOU HAVE EXPERIENCED ANY WEIGHT LOSS OR NIGHT SWEATS RECENTLY +audio/RES0061.mp3[522.800,533.680] NO MY WEIGHTS BEEN UH ABOUT THE SAME UNFORTUNATELY AND I HAVENT HAD ANY NIGHT SWEATS BUT I MEAN NOW THAT YOU ASKED IF I FELT MORE HOT THAN THAN USUAL MAYBE +audio/RES0061.mp3[533.680,537.840] OK AND DID YOU TAKE YOUR TEMPERATURE +audio/RES0061.mp3[537.840,555.560] UH I DID AND THE LAST TIME I CHECKED IT WAS A FEW DAYS AGO AND AT THAT TIME I DIDNT HAVE A FEVER BUT I MEAN IM STILL FEELING HOT SO IM NOT SURE +audio/RES0061.mp3[555.560,568.600] YEAH OK ALRIGHT SO ILL GO BACK TO YOUR PAST MEDICAL HISTORY HAVE YOU BEEN HOSPITALIZED OR HAVE YOU EVER NEEDED SURGERIES IN THE PAST +audio/RES0061.mp3[568.600,578.720] UM NO LIKE THE LAST TIME I WAS IN THE HOSPITAL WITH IT WAS FOR A COLONOSCOPY A FEW YEARS AGO WHICH CAME BACK NORMAL +audio/RES0061.mp3[578.720,586.360] OK THATS GOOD UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0061.mp3[586.360,591.000] UH YEAH ACTUALLY GOT THE SHINGLES VACCINE A FEW MONTHS AGO +audio/RES0061.mp3[592.040,596.400] PROBABLY CLOSER TO A YEAR AGO NOW ACTUALLY +audio/RES0061.mp3[596.400,605.680] OH GREAT OK THATS AWESOME AND ARE YOU ALLERGIC TO ANYTHING +audio/RES0061.mp3[605.680,608.000] JUST PEANUTS +audio/RES0061.mp3[608.000,622.960] PEANUTS OK DO YOU KNOW IF YOU HAVE A FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0061.mp3[622.960,637.840] YEAH MY SON HAS ASTHMA BUT NOBODY IN MY FAMILYS HAD A HEART PROBLEM THOUGH +audio/RES0061.mp3[637.840,648.560] OK HOW ABOUT ANY STOMACH PROBLEMS OR LIVER PROBLEMS COLON PROBLEMS +audio/RES0061.mp3[648.560,671.360] YEAH MY DAD ACTUALLY HAD COLON CANCER HE WAS 70 AND SO THATS WHY WE WENT AND DECIDED TO GET A COLONOSCOPY INSTEAD OF JUST DOING THE IMMUNOHISTOCHEMISTRY TEST +audio/RES0061.mp3[671.360,685.280] OK YEAH THATS A GOOD IDEA UM SO IT SOUNDS LIKE YOURE YOU KNOW PREEMPTIVE WITH YOUR HEALTH WHICH IS GOOD ANY OTHER CANCERS THAT RUN IN THE FAMILY +audio/RES0061.mp3[685.280,691.440] NO JUST MY DAD HAD COLON CANCER +audio/RES0061.mp3[691.440,695.280] OK AND DO YOU SMOKE AT ALL +audio/RES0061.mp3[695.280,696.440] NO I DONT +audio/RES0061.mp3[696.440,700.440] DOK HOW ABOUT MARIJUANA +audio/RES0061.mp3[700.440,703.160] UM NO I DONT SMOKE MARIJUANA +audio/RES0061.mp3[703.160,707.080] OK HOW ABOUT OTHER RECREATIONAL DRUGS +audio/RES0061.mp3[707.080,720.640] I MEAN I BRIEFLY LIKE DABBLED IN THE PAST AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE IN IN MY COLLEGE YEARS +audio/RES0061.mp3[720.640,723.560] OK WHAT KIND OF DRUGS +audio/RES0061.mp3[723.560,737.480] I THINK MAYBE WE USED COCAINE A FEW TIMES AND MDMA UH BUT THAT WAS LIKE A LONG TIME PROBABLY LIKE 30 YEARS AGO +audio/RES0061.mp3[737.480,744.680] OK WERE ANY OF THESE DRUGS INJECTED IV +audio/RES0061.mp3[744.680,746.680] NO NO IVE NEVER DONE THAT +audio/RES0061.mp3[746.680,754.440] OK OK THATS GOOD DO YOU DRINK ALCOHOL +audio/RES0061.mp3[754.440,761.800] PI HAVE LIKE MAYBE I DONT KNOW A COUPLE OF DRINKS A WEEK +audio/RES0061.mp3[761.800,769.920] OK THATS GOOD WHAT KIND OF DRINKS DO YOU HAVE AND HOW MUCH OF IT DO YOU HAVE +audio/RES0061.mp3[769.920,777.760] USUALLY ITLL JUST BE ONE OR TWO GLASSES OF WINE AT A TIME AND MAYBE TWO NIGHTS A WEEK +audio/RES0061.mp3[779.160,782.520] AND I USUALLY STICK WITH RED WINE +audio/RES0061.mp3[782.520,786.080] OK GREAT AND WHO DO YOU LIVE WITH +audio/RES0061.mp3[786.080,792.200] SO UM ITS JUST ME AND MY SON +audio/RES0061.mp3[792.200,795.360] HOW OLD IS YOUR SON +audio/RES0061.mp3[795.360,800.080] UH HES 18 +audio/RES0061.mp3[800.080,804.960] OK AND DO YOU LIVE IN A HOUSE OR AN APARTMENT +audio/RES0061.mp3[804.960,814.680] UM YEAH WE LIVE IN AN APARTMENT YEAH ON THE 8TH FLOOR +audio/RES0061.mp3[814.680,822.680] ON THE 8TH FLOOR OK ANY ISSUES IN TERMS OF LIKE OLD CARPET OR MOLD OR ASBESTOS IN THE APARTMENT +audio/RES0061.mp3[822.680,835.400] ITS A NEWISH BUILDING SO THERE ISNT REALLY ANY CARPET ACTUALLY IN THE UNIT SO YEAH ITS PRETTY CLEAN THAT WAY +audio/RES0061.mp3[835.400,848.040] OK GOOD THATS GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE ENDED THE INTERVIEW +audio/RES0061.mp3[848.040,857.360] WELL IM JUST HOPING TO TO GET THIS SORTED OUT AND FEEL BETTER +audio/RES0061.mp3[857.360,946.600] YEAH FOR SURE SO YOU KNOW RIGHT NOW WERE THINKING IT COULD BE A VIRAL GI VIRAL INFECTION BECAUSE OF YOUR COMPLAINTS OF NAUSEA VOMITING LOSS OF APPETITE AND FEVER BUT IT COULD ALSO BE COVIAND WE ARE GOING TO HAVE TO DO A SWAB FOR YOU AND RUN THAT TEST BECAUSE YOU HAVE A LOT OF SYMPTOMS THAT OVERLAP WITH THOSE SYMPTOMS UM AND THEN SO JUST GOING OFF OF THAT WELL WAIT FOR THE SWABS TO COME BACK IF THEY COME BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL DO A TRACE TO SEE WHERE YOU COULD HAVE GOTTEN THIS INFECTION FROM AND THEN MEANWHILE WE DO SUGGEST THAT YOU ISOLATE FOR TWO WEEKS SO THAT YOU DONT SPREAD THE ILLNESS AND EVEN IF THE SWAB COMES BACK NEGATIVE THERE IS STILL A CHANCE THAT YOU MAY HAVE COVIAND ITS A FALSE NEGATIVE TEST SO WELL START THERE IF IT TURNS OUT YOU DONT HAVE ANY OF THOSE VIRAL ILLNESSES AND YOU HAVE MORE OF A YOU KNOW BACTERIAL PICTURE WE CAN WORK YOU UP FOR THAT AND PRESCRIBE ANTIBIOTICS SO THATS WHERE WE WILL START HOW DOES THAT SOUND +audio/RES0061.mp3[946.600,950.560] YEAH THAT SOUNDS LIKE A GREAT START THANK YOU +audio/RES0061.mp3[950.560,963.960] ALRIGHT GREAT +audio/RES0128.mp3[0.000,2.320] HOW CAN I HELP YOU +audio/RES0128.mp3[2.320,19.640] HI SO I BROUGHT MY 6 YEAR OLD SON IN TODAY BECAUSE YESTERDAY DURING SOCCER PRACTICE HE HE DEVELOPED THIS PRETTY SEVERE COUGH AND HE COULDNT CATCH HIS BREATH +audio/RES0128.mp3[19.640,23.240] OK SO THIS HAPPENED YESTERDAY YOU MENTIONED +audio/RES0128.mp3[23.240,28.400] YEAH IT HAPPENED YESTERDAY AFTERNOON +audio/RES0128.mp3[28.400,37.720] OK UHM SO YOU MENTIONED A COUGH IS IT A HARSH BARKY COUGH OR IS IT MORE LIKE A MUFFLED COUGH +audio/RES0128.mp3[37.720,40.000] I WOULD SAY ITS MORE MUFFLED +audio/RES0128.mp3[40.000,45.400] OK AND IS IT A DRY COUGH OR IS IT BRINGING UP ANY PHLEGM +audio/RES0128.mp3[46.400,50.720] DRY OK SO NO BLOOD IN THE WITH THE COUGHING +audio/RES0128.mp3[50.720,52.680] NO BLOOD +audio/RES0128.mp3[52.680,55.480] AND DOES HE SOUND WHEEZY TO YOU +audio/RES0128.mp3[55.480,66.000] HE DOES YEAH HES STILL SOUNDING A LITTLE BIT WHEEZY NOW ITS ITS BETTER THAN LAST NIGHT HE WAS A BIT MORE WHEEZY LAST NIGHT +audio/RES0128.mp3[66.000,73.640] OK UHM HOW ABOUT SHORTER BREATH DOES HE SOUND SHORT OF BREATH AT ALL +audio/RES0128.mp3[73.640,88.920] NO THAT THATS GOTTEN A BIT BETTER THAT RESOLVED ABOUT AN HOUR LIKE AFTER HE STOPPED PLAYING BUT HE WAS HE WAS SHORT OF BREATH YESTERDAY +audio/RES0128.mp3[88.920,101.000] OK AND HAVE YOU TRIED ANYTHING FOR HIS COUGH FOR HIS SHORTNESS OF BREATH OR WHEEZING +audio/RES0128.mp3[101.000,102.480] NO WE HAVENT +audio/RES0128.mp3[102.480,108.480] NO OK DOES HE HAVE A FEVER AT ALL +audio/RES0128.mp3[108.480,114.120] NO HE DOESNT MENTION ANYTHING ABOUT FEELING HOT OR OR OR HAVING CHILLS EITHER +audio/RES0128.mp3[114.120,119.080] NO OK AND ANY RASHES THAT YOUVE NOTICED +audio/RES0128.mp3[119.880,123.440] NO WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0128.mp3[123.440,125.480] NO HES BEEN GAINING WEIGHT WELL +audio/RES0128.mp3[125.480,131.240] OK GOOD HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +audio/RES0128.mp3[131.240,151.640] WELL SOMETIMES HE WILL GET A RUNNY NOSE HE TAKES LIKE REACTIN OR CLARITIN OR SOME SORT OF ALLERGY PILL FOR THAT SOMETIMES BUT THATS USUALLY LIKE THE CHANGING OF SEASONS THAT WILL HAPPEN MORE OFTEN +audio/RES0128.mp3[151.640,155.800] OK OK DOES HE HAVE ANY ALLERGIES +audio/RES0128.mp3[155.800,167.840] YEAH TO MOSTLY ENVIRONMENTAL TRIGGERS IM NOT SURE IF THE SPECIFIC THINGS ARE BUT I JUST KNOW IT GETS WORSE MAYBE IN THE SPRING SPRINGTIME +audio/RES0128.mp3[167.840,171.600] OK AND DOES HE HAVE ASTHMA +audio/RES0128.mp3[171.600,181.600] HES NEVER BEEN DIAGNOSED BUT HE HAS HAD UHM OR HIS SISTER HAS ASTHMA +audio/RES0128.mp3[181.600,188.720] OK OK AND HAS HE HAVE YOU NOTICED ANY CHANGES IN HIS VISION OR HEARING +audio/RES0128.mp3[190.440,194.920] NO OK HOW ABOUT CHANGE IN HIS SMELL OR TASTE +audio/RES0128.mp3[196.960,202.400] NO HOW ABOUT LIKE DOES HE SEEM LIKE HE HAS ANY CHEST PAIN +audio/RES0128.mp3[202.400,205.960] NO HE HASNT MENTIONED ANYTHING LIKE THAT +audio/RES0128.mp3[205.960,209.880] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0128.mp3[210.880,214.440] NO CONFUSION OR MEMORY LOSS +audio/RES0128.mp3[216.200,221.760] OK UHM HOW ABOUT CONFUSION OR SORRY YOU SAID NO HEADACHES +audio/RES0128.mp3[221.760,223.320] NO HEADACHES +audio/RES0128.mp3[223.320,228.920] NO OK ANY JOINT PAINS MUSCLE ACHES +audio/RES0128.mp3[231.920,238.560] OK AND HOW ABOUT CHANGES TO HIS BOWEL MOVEMENTS +audio/RES0128.mp3[238.560,242.480] NO EVERYTHINGS BEEN NORMAL THERE +audio/RES0128.mp3[242.480,247.040] OK HOW ABOUT NAUSEA OR VOMITING +audio/RES0128.mp3[247.040,249.120] NOTHING LIKE THAT +audio/RES0128.mp3[249.120,263.720] OK OK SO YOU MENTIONED HE HAS ASTHMA HE MIGHT HAVE ASTHMA HE WAS NEVER FORMALLY DIAGNOSED DOES IS HE OTHERWISE HEALTHY OR DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0128.mp3[263.720,278.680] HES BEEN HEALTHY YEAH I KNOW HE DID HAVE LIKE HE WOULD GET SOME ITCHY SKIN WHEN HE WAS A BIT WHEN HE WAS LIKE A BABY BUT HE HASNT NEEDED ANY CREAMS FOR THAT FOR A LONG TIME +audio/RES0128.mp3[278.680,283.560] OK SO HE MIGHT HAVE SOMETHING LIKE ECZEMA YOU THINK +audio/RES0128.mp3[283.560,287.000] YEAH YEAH I THINK HE DID +audio/RES0128.mp3[287.000,293.240] OK OK AND IS HE ON ANY MEDICATIONS RIGHT NOW +audio/RES0128.mp3[293.240,296.120] NO HE DOESNT TAKE ANYTHING RIGHT NOW +audio/RES0128.mp3[296.120,304.440] OK UHM DURING HIS MOMS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS +audio/RES0128.mp3[304.440,317.960] NO SHE WAS UHM HEALTHY AND HE WAS BORN AT TERM WITH A NORMAL WEIGHT AND ABLE TO GO HOME RELATIVELY QUICKLY SO THERE WERENT ANY CONCERNS +audio/RES0128.mp3[317.960,326.560] OK THATS GOOD AND WAS HE HEALTHY LIKE AFTER BIRTH +audio/RES0128.mp3[326.560,336.240] YEAH SO HES HES DONE WELL THERE WERENT REALLY ANY CONCERNS WITH DEVELOPMENT OR OR GROWTH AND HES DOING WELL IN SCHOOL +audio/RES0128.mp3[336.240,344.280] OK OK GOOD HOW ABOUT UHM SO WAS HE A FULL TERM BABY AND WAS IT A VAGINAL DELIVERY +audio/RES0128.mp3[344.280,346.600] YES YES FOR BOTH +audio/RES0128.mp3[346.600,350.240] OK ANY COMPLICATIONS DURING THE DELIVERY +audio/RES0128.mp3[351.080,357.880] OK AND HE DIDNT NEED ANY HOSPITALIZATIONS LIKE RIGHT AFTER BIRTH AS AN AS A NEWBORN +audio/RES0128.mp3[358.800,363.560] NO OK GOOD UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0128.mp3[363.560,367.760] HE IS YEAH +audio/RES0128.mp3[367.760,373.400] OK AND YOU MENTIONED THAT HE MAY HAVE SOME SEASONAL ALLERGIES ANY OTHER ALLERGIES THAT YOU KNOW OF +audio/RES0128.mp3[373.400,375.680] NOT THAT I KNOW OF +audio/RES0128.mp3[375.680,388.720] NO OK YOU MENTIONED THAT HIS SISTER HAS ASTHMA ANY OTHER LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +audio/RES0128.mp3[388.720,395.960] NO NOTHING LIKE THAT +audio/RES0128.mp3[395.960,399.560] NO OK OK UHM AND DOES ANYONE AT HOME SMOKE +audio/RES0128.mp3[399.880,407.600] NO OK ANY OLD CARPETS DOES MOLD ASBESTOS ANYTHING LIKE THAT AT HOME +audio/RES0128.mp3[407.600,417.080] WE WE TOOK OUT THE CARPETS AND STUFF WHEN HIS SISTER WAS DIAGNOSED WITH ASTHMA SO ITS GOOD FROM THAT PERSPECTIVE +audio/RES0128.mp3[417.080,423.040] OK GOOD AND WHO LIVES AT HOME WITH HIM +audio/RES0128.mp3[423.040,427.600] SO ITS MYSELF HIS MOM AND THEN HIS SISTER +audio/RES0128.mp3[427.600,433.160] OK OK ANY PETS AT HOME +audio/RES0128.mp3[433.160,439.840] HES GOT A FISH +audio/RES0128.mp3[439.840,446.400] A FISH OK AND HAS HE HAS COME INTO CONTACT WITH ANYONE SICK RECENTLY +audio/RES0128.mp3[446.400,465.120] NO I DONT THINK SO I MEAN WHEN AT SCHOOL THEYVE BEEN PRETTY DILIGENT WITH I MEAN COVID AND EVERYTHING RIGHT NOW SO I THINK HES BEEN OK +audio/RES0128.mp3[465.120,468.840] OK UHM HAS HE TRAVELED ANYWHERE RECENTLY +audio/RES0128.mp3[472.080,478.920] NO OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +audio/RES0128.mp3[478.920,491.200] YEAH I WAS JUST WONDERING IF IF MY SON HAD ASTHMA AS WELL AND IF LIKE YOU NEED A PRESCRIPTION FOR INHALERS +audio/RES0128.mp3[491.200,563.360] YEAH SO WERE GONNA SINCE HES NEVER BEEN DIAGNOSED BEFORE WERE GONNA DO SOME INVESTIGATIONS FOR HIM JUST TO START SO WE CAN DO WE CAN START BY DOING A PULMONARY FUNCTION TEST FOR HIM TO SEE WHAT HIS LUNG ACTIVITY IS LIKE UHM SO WELL START THERE AND THEN WELL ALSO BECAUSE YOURE SAYING HES SHORT OF BREATH WELL TAKE HIS OXYGEN SATURATION AS WELL AND MAYBE EVEN DO SOME LIKE SOME BASIC BLOOD WORK FOR HIM AND IF IT TURNS OUT HE HAS ASTHMA WHICH IN THIS CASE I DO STRONGLY SUSPECT WELL PRESCRIBE HIM SOME BRONCHODILATORS LIKE A SHORT ACTING BETA AGONIST AS WELL AS AN INHALED CORTICOSTEROID BECAUSE HIS SYMPTOMS DO SEEM SOMEWHAT SEVERE THIS TIME AROUND AND THEN I SHOULD ALSO MENTION BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THAT OF COVIHE WILL ALSO GET A COVID SWAB AND YOU SHOULD HEAR BACK ABOUT THAT IN 24 TO 48 HOURS HOW DOES THAT SOUND +audio/RES0128.mp3[563.360,566.360] THAT SOUNDS GOOD THANK YOU +audio/RES0128.mp3[566.360,568.000] ALRIGHT GREAT THANK YOU +audio/MSK0003.mp3[0.000,11.240] MY BACK IT JUST REALLY HURTS I FEEL REALLY STIFF IN THE MORNING AND UM YEAH ITS JUST BEEN GOING ON FOR A FEW MONTHS NOW +audio/MSK0003.mp3[11.240,20.200] OK SO FOR A FEW MONTHS STIFFNESS IN THE MORNING SO YOUR BACK HURTS WHERE EXACTLY WOULD YOU SAY IT HURTS +audio/MSK0003.mp3[20.200,34.600] IT KINDA HURTS ALL OVER I CANT REALLY PINPOINT ANY SPECIFIC LOCATIONS THAT HURTS MOST KIND OF HURTS LIKE ALL DOWN MY MY BACK +audio/MSK0003.mp3[34.600,41.880] OK ALL THE WAY UP TO I GUESS YOUR NECK AND ALL THE WAY DOWN TO YOUR LOWER BACK +audio/MSK0003.mp3[41.880,50.400] SO I WOULDNT REALLY SAY THE NECK AND I GUESS MORE OF THE THE LOWER PARTS MAYBE LIKE THE MIDDLE OF MY BACK AND +audio/MSK0003.mp3[50.400,50.960] I SEE +audio/MSK0003.mp3[50.960,52.600] AND DOWN +audio/MSK0003.mp3[52.600,60.600] OK AND WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A DULL ACHING PAIN IS IT A SHARP STABBING PAIN HOW WOULD YOU DESCRIBE IT +audio/MSK0003.mp3[60.600,63.040] ITS A DULL PAIN +audio/MSK0003.mp3[63.040,72.360] DULL PAIN OK OK AND ON A SCALE OF 0 TO 10 WITH 0 BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT +audio/MSK0003.mp3[72.360,81.440] ITS ABOUT A FOUR OR FIVE I MEAN SOME DAYS IT CAN BE BETTER BUT YEAH SOME DAYS IT CAN BE WORSE +audio/MSK0003.mp3[81.440,85.960] OK AND WHEN DID THIS START +audio/MSK0003.mp3[85.960,94.880] I THINK THIS STARTED ABOUT LIKE FOUR OR FIVE MONTHS AGO ITS BEEN GOING ON YEAH FOR PROBABLY ABOUT HALF A YEAR NOW +audio/MSK0003.mp3[94.880,109.200] OK AND WHEN IT FIRST STARTED UP WAS THERE ANYTHING THAT CAUSED THE BACK PAIN LIKE ANY KIND OF TRAUMA OR INJURY ANYTHING THAT YOU CAN THINK OF THAT MIGHT HAVE LED TO THIS +audio/MSK0003.mp3[109.200,130.040] NO NOTHING THAT ITS I I CAN THINK OF ITS SORT OF ITS COME ON SO SLOWLY LIKE WHEN I FIRST STARTED NOTICING THE BACK PAIN IT IT WAS MAYBE LIKE A 0 TO A ONE I DIDNT REALLY NOTICE IT TOO MUCH BUT OVER THESE LAST 5 6 MONTHS IT HAS GOTTEN HAS GOTTEN A BIT WORSE +audio/MSK0003.mp3[130.040,137.480] OK SO IT KIND OF CAME ON PROGRESSIVELY DIDNT JUST COME ON SUDDENLY AT SOME POINT +audio/MSK0003.mp3[137.480,139.640] RIGHT YEAH ITS BEEN GETTING WORSE +audio/MSK0003.mp3[139.640,145.560] OK AND HAVE YOU EVER HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO THIS +audio/MSK0003.mp3[145.560,159.600] UH NOT NOT IN MY BACK PAIN I DO GET PAIN IN MY RIGHT KNEE AND IN MY HANDS SOMETIMES BUT THOSE PAINS JUST KIND OF COME AND GO +audio/MSK0003.mp3[159.600,164.360] OK AND WHEN DID THOSE PAINS START +audio/MSK0003.mp3[164.360,174.160] UHM THOSE ONES STARTED PROBABLY SIMILAR TIMELINE AROUND SIX MONTHS AGO +audio/MSK0003.mp3[174.160,180.960] OK OK AND IN THE BACK PAIN THAT YOURE HAVING DOES IT RADIATE OR MOVE TO ANY OTHER PART OF YOUR BODY +audio/MSK0003.mp3[180.960,183.080] NO I DONT FEEL IT ANYWHERE ELSE +audio/MSK0003.mp3[183.080,192.240] OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED RELIEVE SOME OF THE PAIN ANY MEDICATIONS OR ANYTHING +audio/MSK0003.mp3[192.240,207.440] YEAH IVE TRIED SOME TYLENOL AND ADVIL AND THAT THE ADVIL IS ACTUALLY HELPED TAKING THE EDGE OFF A LITTLE BIT BUT THE NEXT MORNING I I HAVE THE STIFFNESS AND AND PAIN AGAIN +audio/MSK0003.mp3[207.440,223.640] OK AND FOR YOUR PAIN ARE THERE ANY KIND OF FACTORS THAT MAKE THE PAIN WORSE LIKE BENDING DOWN OR STANDING STRAIGHT UP OR LAYING DOWN ANYTHING THAT MAKES YOUR PAIN WORSE +audio/MSK0003.mp3[223.640,229.360] UH NO NOTHING THAT I CAN THINK OF THAT REALLY MAKES IT ANY WORSE +audio/MSK0003.mp3[229.360,238.080] OK AND IS YOUR PAIN WORSE WHEN YOU WAKE UP IN THE MORNING OR IS IT WORSE AS THE DAY PROGRESSES +audio/MSK0003.mp3[238.080,254.880] ITS WORSE IN THE MORNING IT GETS A BIT BETTER AS THE DAY GOES ON I ASKED ABOUT IT AN HOUR INTO THE DAY I FEEL MY BEST IT TAKES A LITTLE BIT OF TIME TO TO MOVE AROUND A LITTLE BIT FIRST +audio/MSK0003.mp3[254.880,262.280] OK APPROXIMATELY HOW MUCH TIME WOULD YOU SAY AFTER YOU WAKE UP THE STIFFNESS AND PAIN GOES AWAY +audio/MSK0003.mp3[262.280,266.760] I WOULD SAY MAYBE 30 TO 60 MINUTES +audio/MSK0003.mp3[266.760,274.520] OK ALRIGHT AND NO YOU HAVENT HAD ANY TRAUMA INJURIES IN RECENTLY RIGHT +audio/MSK0003.mp3[274.520,276.760] NO TRAUMA OR INJURIES +audio/MSK0003.mp3[276.760,279.840] OK AND NO FEVERS OR CHILLS +audio/MSK0003.mp3[281.040,283.560] OK ANY NIGHT SWEATS +audio/MSK0003.mp3[285.360,288.280] ANY FATIGUE OR MALAISE +audio/MSK0003.mp3[288.280,299.320] YEAH I HAVE BEEN A BIT MORE FATIGUED THAN USUAL AND YEAH I IVE HAD SOME MALAISE AS WELL +audio/MSK0003.mp3[299.320,303.120] OK AND FOR HOW LONG HAVE YOU HAD THIS +audio/MSK0003.mp3[303.120,324.000] ITS BEEN SIMILARLY GETTING A LITTLE BIT MORE PROGRESSIVE I MEAN SOME DAYS IM JUST FEELING LIKE I JUST WANT TO LAY AROUND AND REST CAUSE IM FEELING JUST SO BURNT OUT AND OTHER DAYS IM OK BUT IM CERTAINLY MORE TIRED THAN USUAL +audio/MSK0003.mp3[324.000,334.920] OK I SEE OTHER THAN THAT HAVE YOU NOTICED ANY KIND OF RASHES OR SKIN CHANGES OR CHANGES IN YOUR NAILS AT ALL +audio/MSK0003.mp3[334.920,346.040] UHM NO I HAVENT NOTICED ANY ANY RASHES OR ANY NAIL CHANGES +audio/MSK0003.mp3[346.040,349.040] OK ANY SHORTNESS OF BREATH +audio/MSK0003.mp3[350.640,355.000] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS +audio/MSK0003.mp3[355.000,361.160] NO I HAVENT HAD ANY DIARRHEA OR ANY ANY URINARY PROBLEMS +audio/MSK0003.mp3[361.160,366.360] OK HAVE YOU NOTICED ANY CHANGES IN YOUR APPETITE OR YOUR WEIGHT +audio/MSK0003.mp3[366.360,370.240] NO MY APPETITES BEEN NORMAL AND MY WEIGHTS BEEN STABLE +audio/MSK0003.mp3[370.240,382.280] OK AND HAVE YOU NOTICED ANY DIFFICULTIES OR CHANGES WITH YOUR VISION OR ANY EYE PROBLEMS +audio/MSK0003.mp3[382.280,386.640] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/MSK0003.mp3[386.640,398.000] OK HAVE YOU NOTICED ANY KIND OF NUMBNESS OR TINGLING SENSATION IN YOUR LIMBS SPECIFICALLY LIKE YOUR BACK AND YOUR LEGS +audio/MSK0003.mp3[398.000,401.800] NO NO TINGLING OR NUMBNESS +audio/MSK0003.mp3[401.800,404.440] OK ANY MUSCLE WEAKNESS AT ALL +audio/MSK0003.mp3[404.440,407.040] NOPE I HAVENT NOTICED ANY MUSCLE WEAKNESS +audio/MSK0003.mp3[407.040,416.760] OK AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH ANY VIRAL OR BACTERIAL INFECTIONS +audio/MSK0003.mp3[416.760,434.320] UM I HAD A UH AND THEN I WAS DIARRHEA LIKE SEVERAL MONTHS AGO AND I HAD SOME ANTIBIOTICS BUT THAT WAS A YEAH SO A FEW MONTHS AGO +audio/MSK0003.mp3[434.320,440.960] OK AND OTHER THAN THAT CURRENTLY ARE YOU SEXUALLY ACTIVE +audio/MSK0003.mp3[440.960,454.920] YES I AM UH I I HAVE A GIRLFRIEND THEN WEVE UH WE STARTED DATING ABOUT ABOUT UH SIX MONTHS AGO +audio/MSK0003.mp3[454.920,460.880] OK AND DO EITHER OF YOU HAVE ANY HISTORY OF ANY STIS AT ALL +audio/MSK0003.mp3[460.880,464.960] UH NO HISTORY OF STIS +audio/MSK0003.mp3[464.960,470.720] OK ALRIGHT AND IS YOUR PARTNER FINE OR IS SHE HAVING ANY SYMPTOMS AT ALL +audio/MSK0003.mp3[470.720,482.800] NO SHE SHE HASNT BEEN HAVING ANY SYMPTOMS THEN WE WEVE BEEN USING A CONDOM MOSTLY +audio/MSK0003.mp3[482.800,495.600] OK ALRIGHT AND OTHERWISE ARE YOU GENERALLY HEALTHY OR DO YOU HAVE ANY MEDICAL CONDITIONS +audio/MSK0003.mp3[495.600,513.960] UHM YEAH IM IM GENERALLY ALRIGHT I DO HAVE ASTHMA ACTUALLY AND JUST I HAD DIARRHEA A FEW MONTHS AGO AFTER EATING AT A BUFFET SO I THINK MAYBE IT YEAH IT WAS FOOD POISONING OR MAYBE SOMETHING LIKE THAT +audio/MSK0003.mp3[514.440,518.040] BUT YEAH SO ASTHMA AND THATS IT +audio/MSK0003.mp3[518.040,521.400] OK AND DO YOU USE ANY MEDICATIONS FOR YOUR ASTHMA +audio/MSK0003.mp3[521.400,530.400] YEAH USE THAT BLUE INHALER SOMETIMES I GUESS THAT JUST WHEN I WHEN I NEED IT BUT THAT HASNT BEEN VERY OFTEN +audio/MSK0003.mp3[530.400,536.680] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL FACTORS +audio/MSK0003.mp3[536.680,546.960] I DO HAVE ENVIRONMENTAL ALLERGIES I IM NOT SURE IF ITS LIKE RAGWEED OR OR POLLEN BUT SOMETHING LIKE THAT +audio/MSK0003.mp3[546.960,553.440] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +audio/MSK0003.mp3[553.440,556.000] UHM NEVER +audio/MSK0003.mp3[556.000,570.720] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY AUTOIMMUNE CONDITIONS OR ANY MUSCULOSKELETAL CONDITIONS +audio/MSK0003.mp3[570.720,576.480] YEAH MY MOTHER HAS A UH PSORIASIS +audio/MSK0003.mp3[580.200,588.400] YEAH AND SO SHES HAD TO I KNOW USE LIKE LIKE CREAMS AND STUFF LIKE THAT FOR HER SKIN +audio/MSK0003.mp3[588.400,593.080] OK AND CURRENTLY RIGHT NOW DO YOU WORK +audio/MSK0003.mp3[593.080,601.080] I DO YEAH I WORK UH AT A BANK +audio/MSK0003.mp3[601.080,610.240] OK AND YOUR MOTHER SO SHE HAD PSORIASIS DID SHE EVER HAVE ANY JOINT PAINS ALONGSIDE THE PSORIASIS +audio/MSK0003.mp3[610.240,616.800] I DONT BELIEVE SO I THINK SHE HAD JUST MORE ISSUES WITH HER WITH HER SKIN +audio/MSK0003.mp3[616.800,625.200] OK AND SO YOU WORK AND THEN WHATS YOUR LIVING SITUATION LIKE +audio/MSK0003.mp3[625.200,632.840] YEAH SO I LIVE WITH MY GIRLFRIEND IN A CONDO IN THE CITY HERE +audio/MSK0003.mp3[632.840,639.280] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0003.mp3[639.280,651.480] YES SOMETIMES YEAH ILL SMOKE LIKE ONCE OR TWICE PER WEEK WITH THAT WITH A FRIEND OR SOMETHING LIKE THAT +audio/MSK0003.mp3[651.480,654.720] OK AND DO YOU SMOKE +audio/MSK0003.mp3[654.720,657.520] NO CIGARETTES NO NEVER +audio/MSK0003.mp3[657.520,662.560] OK AND YOU DRINK ALCOHOL +audio/MSK0003.mp3[662.560,667.920] SOMETIMES YEAH ILL HAVE A BEER OR TWO ON WEEKENDS OR OR A COCKTAIL WITH FRIENDS +audio/MSK0003.mp3[667.920,691.240] OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD NOW IM JUST GOING TO QUICKLY UH ASK SOME SPECIFIC QUESTIONS SO HAVE YOU NOTICED ANY KIND OF SWELLING IN THE AREAS THAT YOU ARE HAVING PAIN OR REDNESS OR ANYTHING LIKE THAT +audio/MSK0003.mp3[691.240,701.080] UHM NO I HAVENT NOTICED REALLY ANY ANY UH REDNESS OR OR SWELLING +audio/MSK0003.mp3[701.080,724.280] OK AND NO SO ARE YOU ABLE TO BEND DOWN AND STAND UP STRAIGHT OR EXTEND BACKWARDS SO WITHOUT PAIN OR ARE YOU IN ANY PAIN +audio/MSK0003.mp3[724.280,745.040] UHM I DO GET IT ITS A BIT STIFF UHM I UH YEAH IM NOT REALLY TOO SURE ITS LIKE NOT REALLY ITS MORE MORE MORE STIFF +audio/MSK0003.mp3[745.040,753.160] OK AND YEAH OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/MSK0003.mp3[753.160,763.280] UHM YEAH I WAS JUST WONDERING YEAH LIKE LIKE WHAT WHAT THIS COULD BE POSSIBLY +audio/MSK0003.mp3[763.280,779.160] YEAH SO DEFINITELY WHAT SO THIS THIS SEEMS LIKE IT STARTED OFF LIKE 3 MONTHS OR SIX MONTHS AGO AND ITS BEEN GOING ON AND ITS HAPPENING IN THE MORNING AND HOW OLD DID YOU SAY YOU WERE +audio/MSK0003.mp3[779.160,783.000] UHM IM 26 +audio/MSK0003.mp3[783.000,909.480] OK YEAH SO UH IT SEEMS PROGRESSIVE AND YOURE GETTING SOME PAIN IN YOUR OTHER JOINTS AS WELL AND ITS MAINLY FROM YOUR MIDDLE TO LOWER BACK IT CAN BE MULTIPLE THINGS THAT WE WOULD HAVE TO RULE OUT SO YOU FIRST YOU HAVE A FAMILY HISTORY OF PSORIASIS SO IT CAN BE PSORIATIC ARTHRITIS YOU DONT HAVE ANY OTHER SKINS CHANGES OR ANY OTHER SYMPTOMS IT CAN ALSO BE SINCE YOU HAVE HAD A YOU WERE SICK FOR MONTHS AGO WITH A WHAT MIGHT BE GASTROENTERITIS IT CAN BE SOMETIMES A FEW MONTHS AFTERWARDS YOU CAN GET SOMETHING CALLED REACTIVE ARTHRITIS WHERE YOU GET THIS PROGRESSIVE PAIN IN YOUR JOINTS AND STIFFNESS AND OTHERWISE IT CAN ALSO BE SOMETHING CALLED ANKYLOSING SPONDYLITIS WHICH CAN PRESENT IN MEN YOUR AGE AND ITS KIND OF LIKE A PROGRESSIVE DULL BACK PAIN AND THAT HAS SOME MORNING STIFFNESS AS WELL SO YEAH THERES DEFINITELY MULTIPLE THINGS THAT IT CAN BE SO FIRST WE WOULD NEED TO DO A FULL PHYSICAL EXAMINATION AND BOOK AN APPOINTMENT OR FOR THAT IN PERSON AND WE WILL GET SOME LAB WORK DONE AS WELL AS WELL AS A X RAY OF THE OF THE SPINE AND YOUR SACROILIAC JOINTS AND WELL ALSO GET SOME BLOOD WORK WITH CBC CRAND ESR SO THOSE ARE JUST INFLAMMATORY MARKERS AS WELL AS THE RHEUMATOID FACTOR ANTINUCLEAR ANTIBODIES THOSE ARE JUST SOME THINGS THAT WILL TEST FOR DIFFERENT KIND OF RHEUMATOLOGICAL ISSUES AND TO SEE IF YOU HAVE ANY ARTHRITIS SO YEAH THOSE ARE AND THEN WILL ALSO GET AN X RAY OF YOUR HANDS AND KNEES SINCE YOURE HAVING PAIN THERE AS WELL SO YEAH THOSE ARE SOME STEPS THAT WELL TAKE DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/MSK0003.mp3[909.480,914.560] NO THAT THAT SOUNDS THAT SOUNDS GREAT THANK YOU +audio/MSK0003.mp3[914.560,919.760] ALRIGHT YEAH SO I WILL GET IN TOUCH WITH YOU SHORTLY +audio/MSK0003.mp3[919.760,921.720] SOUNDS GREAT THANK YOU +audio/MSK0003.mp3[921.720,923.080] ALRIGHT TAKE CARE +audio/MSK0045.mp3[0.000,1.760] WHAT BRINGS YOU HERE TODAY +audio/MSK0045.mp3[1.760,17.360] UM SO IM HERE BECAUSE MY SHOULDER HAS BEEN REALLY PAINFUL FOR THE PAST WEEK UM AND ANY MOVEMENT OF THAT SHOULDER OF MY RIGHT SHOULDER CAUSES A LOT OF PAIN +audio/MSK0045.mp3[17.360,21.080] OK AND HOW LONG HAVE YOU BEEN HAVING UH THIS PAIN FOR +audio/MSK0045.mp3[21.080,23.040] FOR THE PAST WEEK +audio/MSK0045.mp3[23.040,32.040] PAST WEEK OK UM AND DID YOU INJURE YOUR SHOULDER AT ALL RECENTLY ANY TRAUMA TO THE AREA OR ANYTHING LIKE THAT +audio/MSK0045.mp3[32.040,63.440] UM SO ABOUT LIKE A COUPLE OF MONTHS AGO I UM WAS DO I I WORK IN CONSTRUCTION SO UM I WAS MOVING AROUND SOME HEAVY OBJECTS AND UM I GUESS LIKE THE REPETITIVE MOTIONS CAUSED SOME SORT OF ROTATOR CUFF INJURY BUT I HAD THAT UM LIKE I GOT THAT TREATED AND EVERYTHING WAS FINE FOR A COUPLE OF MONTHS BUT THIS PAIN JUST STARTED A WEEK AGO +audio/MSK0045.mp3[63.440,67.440] OK AND WHERE IS THIS PAIN LOCATED EXACTLY +audio/MSK0045.mp3[67.440,78.280] UM ITS ITS JUST LIKE IN MY SHOULDER LIKE AT THE JOINT BETWEEN MY UPPER ARM AND UM SHOULDER +audio/MSK0045.mp3[78.280,84.600] OK AND UH IS IT AN ACHING PAIN OR IS IT A SHARP STABBING PAIN +audio/MSK0045.mp3[84.600,101.000] SO AT REST IT SEEMS TO BE LIKE ACHY AND STIFF BUT UM BUT WHEN I MOVE MY SHOULDER WHEN I TRY TO MOVE IT IT IT CAUSES MORE OF A SHARP PAIN +audio/MSK0045.mp3[101.000,113.120] SHARP PAIN OK AND WHAT KIND OF MOVEMENTS CAUSE THE SHARP PAIN OR IS IT JUST ANY MOVEMENT +audio/MSK0045.mp3[113.120,116.280] UH ANY MOVEMENT +audio/MSK0045.mp3[116.280,122.040] OK ARE THERE ANY UH MOVEMENTS THAT ARE WORSE IN PARTICULAR +audio/MSK0045.mp3[122.040,126.240] UM I THINK UM LIKE NO ANYTHING HURTS +audio/MSK0045.mp3[126.240,136.320] OK OK AND HOW MUCH WOULD YOU RATE THIS PAIN OUT ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE +audio/MSK0045.mp3[136.320,138.720] ID GIVE IT ABOUT A 7 +audio/MSK0045.mp3[138.720,140.360] SEVEN OK +audio/MSK0045.mp3[141.200,147.920] AND ARE YOU HAVING UH IS THIS PAIN MOVING TO ANY OTHER UH JOINTS OR ANY OTHER PART OF YOUR BODY +audio/MSK0045.mp3[149.240,152.920] OK SO JUST JUST IN THE AREA THAT YOU DESCRIBED +audio/MSK0045.mp3[154.800,162.560] OK AND DO YOU NOTICE ANY KIND OF UM JUST LOOKING AT YOUR SHOULDER OUTSIDE FROM THE OUTSIDE ANY SWELLING REDNESS ANY MASSES OR DEFORMITIES +audio/MSK0045.mp3[162.560,171.800] NO I DONT SEE ANYTHING LIKE THAT +audio/MSK0045.mp3[171.800,175.960] OK ALRIGHT AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED WITH YOUR PAIN +audio/MSK0045.mp3[175.960,183.160] UM IVE TRIED SOME IBUPROFEN SOME ICE IT SEEMS TO HELP TEMPORARILY +audio/MSK0045.mp3[183.160,188.720] OK AND EARLIER WHEN YOU HAD THE ROTATOR CUFF INJURY DID YOU GET PHYSIOTHERAPY +audio/MSK0045.mp3[188.720,204.920] UM I DID BUT NOT BUT I DIDNT FINISH THE FULL COURSE I JUST WENT FOR A WEEK OR SO AND THEN UM I HAD TO GO BACK TO WORK UM SO I STOPPED DOING THAT +audio/MSK0045.mp3[204.920,220.400] I SEE UM YEAH SO THATS SOMETHING DEFINITELY UH ITS VERY IMPORTANT AND WELL NEED TO CONSIDER GOING FORWARD AS WELL OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF ANY FEVERS OR CHILLS +audio/MSK0045.mp3[220.400,223.720] UH NO NOTHING LIKE THAT +audio/MSK0045.mp3[223.720,229.200] OK AND HAVE YOU BEEN SICK RECENTLY AT ALL OR MET WITH SOMEONE WHO WAS SICK +audio/MSK0045.mp3[231.760,240.680] OK ANY ANY WEIGHT LOSS UM OR LOSS OF APPETITE ANYTHING LIKE THAT +audio/MSK0045.mp3[240.680,243.280] UH NO NOTHING LIKE THAT +audio/MSK0045.mp3[243.280,246.720] OK ANY NUMBNESS OR TINGLING +audio/MSK0045.mp3[249.040,251.920] ANY WEAKNESS IN YOUR EXTREMITIES +audio/MSK0045.mp3[253.720,262.160] ANY UM ANY JUST SYMPTOMS OR ANYTHING ELSE LIKE DIARRHEA CONSTIPATION URINARY CHANGES ANYTHING ELSE IS GOING ON +audio/MSK0045.mp3[264.000,267.600] NO OK SO ITS MAINLY JUST THE SHOULDER PAIN +audio/MSK0045.mp3[270.000,281.720] OK UM ALRIGHT AND DOES REST HELP AT ALL LIKE WHEN YOURE LYING DOWN JUST NOT MOVING YOUR SHOULDER DOES THAT HELP WITH YOUR PAIN +audio/MSK0045.mp3[281.720,285.840] UH YEAH I WOULD SAY SO +audio/MSK0045.mp3[285.840,293.920] OK AND IS IS THIS STIFFNESS THERE JUST THROUGHOUT THE DAY OR IS IT THERE IN THE MORNING AND THEN GETS BETTER DURING THE DAY +audio/MSK0045.mp3[293.920,298.640] ITS PRETTY MUCH THERE ALL DAY +audio/MSK0045.mp3[298.640,309.560] OK ALRIGHT UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0045.mp3[309.560,317.040] UH I HAVE UM I HAVE DIABETES BUT THATS ABOUT IT +audio/MSK0045.mp3[317.040,319.920] OK AND DO YOU TAKE ANY MEDICATIONS +audio/MSK0045.mp3[319.920,323.400] IM ON METFORMIN +audio/MSK0045.mp3[323.400,328.160] OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0045.mp3[328.160,332.160] NO NO ALLERGIES TO MEDICATIONS +audio/MSK0045.mp3[332.160,338.120] HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/MSK0045.mp3[339.360,344.280] NO OK UM ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGICAL CONDITIONS +audio/MSK0045.mp3[345.840,352.560] OK AND CURRENTLY RIGHT NOW SO YOU SAID YOU WORK AS A CONSTRUCTION WORKER RIGHT +audio/MSK0045.mp3[353.640,362.920] AND ARE YOU OFF OF WORK RIGHT NOW OR HAVE YOU BEEN OFF WORK UM DUE TO YOUR PREVIOUS INJURY AND PAIN OR ARE YOU STILL WORKING +audio/MSK0045.mp3[362.920,374.720] IM STILL WORKING BUT MODIFIED UM SO I AM NOT UH LIFTING ANY HEAVY OBJECTS OR ANYTHING LIKE THAT IM JUST DOING SOME LIKE GROUNDWORK +audio/MSK0045.mp3[374.720,394.280] OK THATS GOOD YEAH I MEAN UM WE MIGHT ALSO NEED TO IF YOURE DOING ANY KIND OF OVERHEAD LIKE WORK WHERE YOURE RAISING YOUR ARMS ABOVE YOUR SHOULDERS THAT MIGHT UH CAUSE FURTHER PROBLEMS AS WELL SO WELL LOOK INTO SOME OF THOSE MODIFIED DUTIES AS WELL +audio/MSK0045.mp3[395.600,400.120] UM YEAH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW WHO DO YOU LIVE WITH +audio/MSK0045.mp3[400.120,402.840] UM I LIVE BY MYSELF RIGHT NOW +audio/MSK0045.mp3[402.840,407.120] DO YOU LIVE IN A HOUSE OR APARTMENT +audio/MSK0045.mp3[407.120,410.760] UM I LIVE IN AN APARTMENT +audio/MSK0045.mp3[410.760,416.800] AND UH UH IN TERMS OF YOUR DAILY LIFE DO YOU SMOKE AT ALL +audio/MSK0045.mp3[416.800,423.400] UM I DONT SMOKE I USED TO SMOKE BEFORE BUT THAT WAS LIKE 20 YEARS AGO +audio/MSK0045.mp3[423.400,430.560] OK THATS GOOD AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY OTHER DRUGS +audio/MSK0045.mp3[430.560,431.400] UH NO NO +audio/MSK0045.mp3[431.400,441.080] HOW ABOUT SMOKING YOU SMOKE CIGARETTES SORRY YOU SAID YOU YOU QUIT UM DO YOU DRINK ALCOHOL +audio/MSK0045.mp3[441.080,450.360] ILL DRINK LIKE A GLASS OF WINE HERE AND THERE +audio/MSK0045.mp3[450.360,466.080] OK ALRIGHT UM YEAH AND THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU IN TERMS OF JUST A PHYSICAL EXAMINATION UH WHEN YOU PRESS ON THE AREA THAT YOU DESCRIBE UM WHEN YOU PRESS AROUND THE AREA DOES IT HURT +audio/MSK0045.mp3[466.080,469.240] I HAVE TO PRESS PRETTY HARD FOR IT TO HURT +audio/MSK0045.mp3[469.240,472.720] OK BUT OTHERWISE ITS NOT TENDER +audio/MSK0045.mp3[473.120,479.520] OK AND AGAIN NO SWELLING REDNESS OR ANYTHING LIKE THAT JUST ITS MAINLY JUST ON THE INSIDE +audio/MSK0045.mp3[481.080,498.640] OK AND UM AND ANY KIND OF MOVEMENT HURTS RIGHT THERES NO PARTICULAR MOVEMENT THAT LIKE IF YOU WERE INSTEAD OF UM TRYING TO RAISE THAT SHOULDER BY ITSELF IF YOU WERE TO JUST MOVE IT WITH THE OTHER ARM DOES IT HURT +audio/MSK0045.mp3[498.640,503.160] THE OTHER ARM THE OTHER ARM DOESNT HURT AT ALL +audio/MSK0045.mp3[503.160,517.880] OR LIKE IF YOU WERE TO USE YOUR LEFT ARM TO TO PASSIVELY MOVE YOUR RIGHT ARM AND SHOULDER DOES THAT HURT OR IS IT WHEN YOU JUST TRY TO MOVE THE RIGHT ARM BY ITSELF +audio/MSK0045.mp3[517.880,525.160] ITS OH IT STILL HURTS ANY ANY MOVING OF THE SHOULDER HURTS +audio/MSK0045.mp3[525.160,573.040] OK ALRIGHT SO YEAH SO BASED ON WHAT UM YOUVE TOLD ME SO FAR IN YOUR RECENT SHOULDER CUFF INJURY WHAT CAN SOMETIMES HAPPEN IS UH WITH THOSE INJURIES YOU MIGHT GET SOME UM INFLAMMATION AND WHAT MIGHT HAPPEN IS SOMETHING CALLED UH ADHESIVE CAPSULITIS OR JUST COMMONLY KNOWS AS KNOWN AS A FROZEN SHOULDER AND THERES DIFFERENT STAGES SO THAT MIGHT HAPPEN SO IN THE INITIAL STAGES LIKE FREEZING UM AND THEN THERES STIFFENING IN STAGE TWO AND THEN USUALLY AFTER 6 TO 12 MONTHS IT STARTS UH GETTING BETTER +audio/MSK0045.mp3[573.640,662.040] UM AND IT MIGHT ALSO AFFECT YOUR OTHER SHOULDER AS WELL SO WHAT WELL UM END UP DOING TODAY IS SEE IF UM WE CAN GET SOME UM IMAGING DONE SO WE CAN DO AN XRAY OF YOUR SHOULDER IM SURE YOUVE HAD X RAYS BEFORE SO WELL KIND OF COMPARE THEM TO YOUR SHOULDER X RAYS FROM BEFORE WE IF WE NEED TO WE CAN ALSO GET AN ULTRASOUND IF UM WE DONT UH WE CANT REALLY TELL FROM THE X RAYS AND THEN FROM THERE UM WE CAN GET SOME BLOOD WORK AS WELL UM JUST YOUR NORMAL BLOOD WORK AS WELL AS INFLAMMATION MARKERS AND THEN UM FROM THERE WELL NEED TO UH REALLY UM DISCUSS SOME MANAGEMENT STRATEGIES SO YOUVE ALREADY TRIED SOME PHYSIOTHERAPY BUT NOW WE NEED TO MAKE SURE THATS UH ITS ITS CONSISTENT BECAUSE THIS IS SOMETHING THAT HAS A HIGH RECURRENCE RATE AND WE WILL DEFINITELY NEED TO FINISH THE FULL COURSE OF PHYSIOTHERAPY WHATEVER IT MAY BE UM BECAUSE IF PHYSIOTHERAPY DOESNT WORK WE MAY HAVE TO CONSIDER LIKE OTHER OPTIONS LIKE UM CORTICOSTEROID INJECTIONS RIGHT INTO YOUR SHOULDER +audio/MSK0045.mp3[663.240,673.840] FOR SOME RELIEF BUT YEAH SO FIRST WELL JUST TRY SOME CONSERVATIVE METHODS LIKE PHYSIOTHERAPY PAIN MANAGEMENT UH AND THEN GO FROM THERE HOW DOES THAT SOUND +audio/MSK0045.mp3[673.840,675.840] THAT SOUNDS PRETTY GOOD THANK YOU +audio/MSK0045.mp3[675.840,681.240] WELCOME ALRIGHT SO WELL CALL YOU FOR THE XRAYS AND THEN WELL GO FROM THERE +audio/MSK0045.mp3[681.240,682.600] OK SOUNDS GOOD +audio/RES0153.mp3[0.000,4.120] UH HOW MAY I HELP YOU TODAY +audio/RES0153.mp3[4.120,14.840] HI IVE BEEN UM JUST HAVING THIS JUST SORE THROAT FOR THE LAST UH LETS SAY THREE OR FOUR DAYS +audio/RES0153.mp3[14.840,19.240] OK AND UM ARE YOU HAVING PAIN WITH SWALLOWING +audio/RES0153.mp3[19.240,30.400] UM YEAH A LITTLE BIT IVE NOTICED UH WITH SWALLOWING ESPECIALLY SOLIDS AS WELL +audio/RES0153.mp3[30.400,44.680] OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE LIKE HAVING A HOT POTATO VOICE OR OR FEELING AS THOUGH YOUR UM YOUR THROAT IS KIND OF CLOSING OFF +audio/RES0153.mp3[44.680,62.120] UM NOT CLOSING OFF BUT LIKE I DEFINITELY DO UH MAYBE A LITTLE BIT OF HOARSENESS BUT NOT NOT TOO MUCH MAINLY ITS JUST THE PAIN THATS CONCERNING ME +audio/RES0153.mp3[62.120,68.760] OK AND HAVE YOU HAD UH A COUGH +audio/RES0153.mp3[68.760,74.760] UH NO I HAVENT HAD A COUGH AT ALL +audio/RES0153.mp3[74.760,80.240] OK UM AND HAVE YOU HAD ANY UM ANY NECK SWELLING +audio/RES0153.mp3[80.240,95.760] UM I I I HAVE ACTUALLY NOTICED LIKE A LITTLE BIT OF NECK SWELLING JUST RIGHT AT THE FRONT ON BOTH UM YEAH JUST AT THE FRONT +audio/RES0153.mp3[95.760,103.440] OK UM IS IT IS IT ON BOTH SIDES OF YOUR NECK OR KIND OF IN THE MIDDLE +audio/RES0153.mp3[103.440,110.560] UM I WOULD SAY ITS MORE UH ON BOTH SIDES +audio/RES0153.mp3[111.480,116.280] AND JUST KIND OF LIKE AT THE FRONT FRONT OF MY NECK +audio/RES0153.mp3[116.280,124.840] OK AND YOUVE NOTICED THAT UM WITHIN THE LAST THREE FOUR DAYS AS WELL +audio/RES0153.mp3[126.320,134.960] OK UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS +audio/RES0153.mp3[134.960,156.080] UHM I HAVE HAD A FEVER IN THE LAST DAY LIKE IVE BEEN FEELING WARM I DIDNT GET A CHANCE TO TAKE MY TEMPERATURE UM AND ALSO UH JUST TO CORRECT MYSELF I ITS MORE SO THE SWELLING IS JUST ON ONE SIDE IVE NOTICED LIKE THIS LUMPINESS ON ONE SIDE OF MY NECK +audio/RES0153.mp3[156.080,167.240] OK THANK YOU YEAH WELL CERTAINLY UH ILL LOOK AT IT DURING THE IN THE PHYSICAL EXAM RIGHT SO SO YEAH YOUVE HAD A FEVER FOR THE LAST TWO DAYS +audio/RES0153.mp3[167.240,170.680] YEAH I WOULD SAY SO +audio/RES0153.mp3[170.680,177.960] OK UM AND HAVE YOU HAD ANY HEADACHES +audio/RES0153.mp3[177.960,180.240] UM NO NO HEADACHES +audio/RES0153.mp3[180.240,186.680] ALRIGHT AND HAVE YOU HAD ANY UM LIKE EYE REDNESS OR EYE DISCHARGE +audio/RES0153.mp3[186.680,188.440] NO NOTHING LIKE THAT +audio/RES0153.mp3[188.440,190.800] HAVE YOU HAD A RUNNY NOSE +audio/RES0153.mp3[192.440,202.960] OK AND ANY UM LOSS OF UH SMELL OR OR LOSS OF TASTE +audio/RES0153.mp3[202.960,206.080] NO NOTHING LIKE THAT +audio/RES0153.mp3[206.080,211.920] OK UM AND HAVE YOU HAD ANY ANY SHORTNESS OF BREATH OR DIFFICULTIES BREATHING +audio/RES0153.mp3[211.920,214.760] UH NO NO SHORTNESS OF BREATH +audio/RES0153.mp3[214.760,217.880] HAVE YOU HAD ANY WHEEZE +audio/RES0153.mp3[217.880,219.920] NO NO WHEEZE +audio/RES0153.mp3[219.920,224.240] OK HAVE YOU HAD ANY UM ANY CHEST PAIN +audio/RES0153.mp3[224.240,225.760] NO CHEST PAIN +audio/RES0153.mp3[225.760,230.120] ALRIGHT ANY DIZZINESS OR FEELING LIKE YOU WERE GONNA FAINT +audio/RES0153.mp3[231.760,237.160] OK DO YOU FEEL LIKE YOURE BREATHING FASTER OR YOUR HEARTS BEATING FASTER +audio/RES0153.mp3[237.160,244.200] UH NO I HAVENT REALLY FELT THAT NO +audio/RES0153.mp3[244.200,248.520] OK UM AND HAVE YOU HAD ANY UH ANY BELLY PAIN +audio/RES0153.mp3[250.080,253.760] HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0153.mp3[253.760,258.040] UM NOT NO I HAVENT FELT THAT AT ALL +audio/RES0153.mp3[258.040,261.040] OK HAVE YOU HAVE YOU HAD ANY DIARRHEA +audio/RES0153.mp3[262.600,265.000] HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0153.mp3[266.400,272.040] OK HAVE YOU HAD ANY ANY UM SKIN CHANGES OR RASHES ANYWHERE +audio/RES0153.mp3[272.040,275.440] UH NO NOT THAT IVE NOTICED +audio/RES0153.mp3[275.440,279.920] ALRIGHT HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS +audio/RES0153.mp3[281.880,290.120] OK HAVE YOU HAD ANY UM ANY SYMPTOMS LIKE THIS BEFORE +audio/RES0153.mp3[290.120,305.800] UH NO NOT THAT I CAN RECALL UM MAYBE WHEN I WAS LIKE LIKE 7 YEARS OLD LIKE I MAY HAVE HAD LIKE A SORE THROAT +audio/RES0153.mp3[305.800,315.760] OK SO QUITE A WHILE AGO YEAH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0153.mp3[316.920,322.520] OK UM AND UH SO DO YOU TAKE ANY MEDICATIONS OR ANYTHING OVER THE COUNTER +audio/RES0153.mp3[322.520,328.840] UM IVE TRIED LIKE TYLENOL COLD BUT IT DIDNT REALLY WORK +audio/RES0153.mp3[328.840,333.720] OK AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT +audio/RES0153.mp3[334.080,337.480] ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0153.mp3[337.480,340.520] UH YEAH THEYRE ALL UP TO DATE +audio/RES0153.mp3[340.520,346.840] OK EXCELLENT AND UM HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES +audio/RES0153.mp3[346.840,351.760] UM NO IVE BEEN PRETTY HEALTHY +audio/RES0153.mp3[351.760,357.080] ALRIGHT EXCELLENT AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0153.mp3[357.080,363.640] NO I IVE MAINLY STAYED AT HOME I IM MAINLY DOING VIRTUAL SCHOOL +audio/RES0153.mp3[363.640,371.440] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN BEEN SICK +audio/RES0153.mp3[371.440,382.400] UM MY MY SISTER SHE SHE JUST GOT BACK FROM COLLEGE AND SHE SHE WAS COMPLAINING OF LIKE A SORE THROAT UH TWO WEEKS AGO +audio/RES0153.mp3[382.400,386.560] OK I SEE UM UH WHO ARE YOU LIVING WITH CURRENTLY AND WHERE ARE YOU LIVING +audio/RES0153.mp3[386.560,400.000] SO IM LIVING WITH MY PARENTS AND MY SISTER AT IN A IN A HOUSE JUST OUTSIDE OF THE CITY +audio/RES0153.mp3[400.000,406.440] OK UM AND IS YOUR SISTER DOING BETTER NOW OR UM WHAT HAPPENED WITH HER +audio/RES0153.mp3[406.440,422.640] YEAH YEAH IM NOT SURE I THINK SHE DID GO TO THE DOCTOR NOW SHES DOING BETTER SHE DID GET SOME MEDICATIONS BUT I DONT KNOW WHAT THEY WERE +audio/RES0153.mp3[422.640,433.480] OK I SEE UM AND UH I KNOW SOME PEOPLE IN YOUR AGE GROUP WILL SOMETIMES EXPERIENCE WITH UH LIKE SMOKING OR ANYTHING LIKE THAT DO YOU UM DO YOU SMOKE CIGARETTES OR ANY OF YOUR FRIENDS +audio/RES0153.mp3[433.480,438.360] NO I HAVENT I HAVENT DONE THAT +audio/RES0153.mp3[438.360,450.720] OK THIS SAME TYPE OF QUESTIONING FOR UH CANNABIS AND ALCOHOL UM HAVE YOU EXPERIMENTED WITH ANY OF THOSE SUBSTANCES OR ANY RECREATIONAL DRUGS +audio/RES0153.mp3[450.720,452.720] NO NOT AT ALL +audio/RES0153.mp3[452.720,459.040] OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0153.mp3[460.200,464.960] OK UM AND HOWS SCHOOL GOING +audio/RES0153.mp3[464.960,478.720] UH SCHOOL IS GOING WELL LIKE UH IT WAS UH IT WAS WEIRD ADJUSTING TO ALL THE ONLINE STUFF BUT NOW I FEEL LIKE I KIND OF GOT THE HANG OF IT +audio/RES0153.mp3[478.720,492.680] OK EXCELLENT UM AND UM ANY CONCERNS FOR UM LIKE SAFETY AT HOME ANYTHING THAT WE TALK ABOUT IS UH IS CONFIDENTIAL +audio/RES0153.mp3[492.680,496.040] NO I HAVE A PRETTY PRETTY LOVING FAMILY +audio/RES0153.mp3[496.040,510.280] OK WELL THATS GREAT UM AND I JUST WANTED TO FINISH HERE WITH YOUR FAMILY HISTORY UM DOES ANYBODY IN THE FAMILY HAVE HEART OR LUNG CONDITIONS +audio/RES0153.mp3[510.280,515.800] UH NO THEY THEYRE PRETTY HEALTHY MY MOM AND DAD +audio/RES0153.mp3[515.800,522.240] OK AND ANY UH OTHER CONDITIONS THAT RUN IN THE FAMILY +audio/RES0153.mp3[522.240,527.000] UH NO I DONT THINK SO +audio/RES0153.mp3[527.000,540.600] OK UM UH SO THAT WAS EVERYTHING I WANTED TO ASK UM ON THE HISTORY TODAY DID YOU HAVE ANY OTHER QUESTIONS FOR ME OR ANYTHING THAT THAT I DIDNT ASK ABOUT YOU WANTED TO MENTION +audio/RES0153.mp3[540.600,550.480] UH NO NOTHING THAT I WANTED TO ASK JUST UH WAS JUST WONDERING IF I NEED ANY MEDICATIONS +audio/RES0153.mp3[550.480,605.840] OK YEAH SO UM ITS POSSIBLE SO BASED ON YOUR SYMPTOMS CURRENTLY IT DOES SUGGEST THAT UH IT IT IS A BACTERIAL CAUSE WITH UH SINCE YOU DONT HAVE A COUGH AND YOU HAVE UM LIKE IT SOUNDS LIKE SOUNDS LIKE LYMPH NODE ENLARGEMENT UM WELL WELL LOOK AND SEE IF THERES EXUDATES OR OR PURULENCE ON YOUR UM THAT WE CAN SEE IN YOUR IN YOUR THROAT AS WELL AS CHECKING TEMPERATURE AND DO A RAPID STREP TEST UM SEE IF UM IF THATS THE CAUSE AND IF SO UM THEN YEAH THERE WILL BE A COURSE OF ANTIBIOTICS UM WILL BE REQUIRED BUT UM WE WILL UH WAIT FOR UM THE PHYSICAL EXAM AND THEN THE UH THE RAPID TEST +audio/RES0153.mp3[605.840,610.480] ALRIGHT SOUNDS GOOD +audio/RES0132.mp3[0.000,4.360] I WAS UH WONDERING WHAT I COULD HELP YOU WITH TODAY +audio/RES0132.mp3[4.360,22.400] YEAH HI UM I HAVE BEEN COUGHING NONSTOP FOR THE PAST THREE DAYS AND TODAY I HAVE BEEN FEELING VERY SHORT OF BREATH SO I JUST WANTED TO GET IT ALL CHECKED OUT +audio/RES0132.mp3[22.400,33.240] YEAH FOR SURE AND SO YOU SAID THE COUGH STARTED UH THREE DAYS AGO WERE THERE ANY TRIGGERS TO THE COUGH OR ANYTHING THAT UH THAT CHANGED THREE DAYS AGO +audio/RES0132.mp3[33.240,58.560] NO NOTHING THAT I CAN THINK OF UM I HAVE LIKE THE ONLY THING THAT IVE BEEN DOING IS GOING TO THE GROCERY STORES UH THE BANK AND LAUNDROMAT UM AND ONCE I RAN ALL THESE ERRANDS LIKE I JUST STARTED HAVING THIS COUGHING FIT THAT HASNT STOPPED +audio/RES0132.mp3[58.560,66.920] OKAY UH HAS THE COUGH GOTTEN ANY BETTER OR STAYED THE SAME OR GOTTEN WORSE THESE PAST THREE DAYS +audio/RES0132.mp3[66.920,70.960] UH IT SEEMS LIKE ITS GETTING WORSE +audio/RES0132.mp3[70.960,75.600] OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR PHLEGM +audio/RES0132.mp3[75.600,80.320] UM YES ITS YELLOW +audio/RES0132.mp3[80.320,92.480] OKAY IS THIS UM ANY DIFFERENT FROM BEFORE LIKE HAVE YOU HAD A COUGH IN THE PAST AND AND BROUGHT UP PHLEGM OR IS THIS ENTIRELY NEW FOR YOU +audio/RES0132.mp3[92.480,112.200] UM NO THIS HAS HAPPENED TO ME BEFORE UM LIKE I DONT KNOW LIKE MAYBE A YEAR OR TWO YEARS BACK UH AND IT KIND OF FEELS THE SAME BUT JUST A LITTLE BIT WORSE +audio/RES0132.mp3[112.200,115.480] OKAY UM AND UH HAVE YOU SEEN ANY BLOOD IN THE SPUTUM +audio/RES0132.mp3[115.480,120.400] NO NO BLOOD +audio/RES0132.mp3[120.400,127.640] OKAY UM AND YOU MENTIONED YOUVE BEEN SHORT OF BREATH AS WELL UH HOW HAS THAT COME ON +audio/RES0132.mp3[127.640,137.920] UM IT WAS I I DONT KNOW IF ITS BECAUSE OF ALL THE COUGHING THAT IVE BEEN DOING BUT IT JUST STARTED THIS MORNING +audio/RES0132.mp3[137.920,148.480] OKAY UM AND HAVE YOU BEEN EXPERIENCING UH SHORTNESS OF BREATH UM ON EXERTION OTHERWISE LIKE PRIOR TO THIS +audio/RES0132.mp3[148.480,152.840] UM NO NO +audio/RES0132.mp3[152.840,160.280] OKAY AND HAVE YOU HAD ANY SHORTNESS OF BREATH AFTER LIKE IF YOU LIE DOWN FLAT +audio/RES0132.mp3[160.280,163.720] UM NO NOT THAT IVE NOTICED +audio/RES0132.mp3[163.720,167.160] ALL RIGHT AND HAVE YOU HAD A WHEEZE +audio/RES0132.mp3[167.160,173.200] A LITTLE BIT YEAH +audio/RES0132.mp3[173.200,184.360] OKAY UM UH AND HAVE YOU HAD ANY UM INFECTIOUSLIKE SYMPTOMS SUCH AS LIKE RED EYES RUNNY NOSE OR OR A SORE THROAT +audio/RES0132.mp3[184.360,187.200] NO NOTHING LIKE THAT +audio/RES0132.mp3[187.200,192.240] OKAY UM HAVE YOU HAD ANY ANY CHEST PAIN +audio/RES0132.mp3[192.240,194.600] NOPE NOTHING LIKE THAT +audio/RES0132.mp3[194.600,198.560] HAVE YOU HAD ANY LIGHTHEADEDNESS OR OR FEELING DIZZY +audio/RES0132.mp3[200.000,206.240] OR FEELING LIKE YOUR HEARTS RACING OR OR BEATING REALLY FAST +audio/RES0132.mp3[208.080,213.760] OKAY AND UM HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0132.mp3[213.760,216.320] NO NOT THAT IVE NOTICED +audio/RES0132.mp3[216.320,220.280] HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0132.mp3[221.520,226.800] AND HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS OR GAIN +audio/RES0132.mp3[226.800,231.120] UH NO ITS BEEN PRETTY STABLE +audio/RES0132.mp3[231.120,235.600] OKAY UM AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0132.mp3[235.600,237.960] UM NO +audio/RES0132.mp3[237.960,240.760] ANY DIARRHEA +audio/RES0132.mp3[242.000,243.840] OR ANY URINARY PROBLEMS +audio/RES0132.mp3[247.200,256.160] OKAY UM AND IN THE PAST UM OH SORRY BEFORE THAT HAVE YOU HAD ANY NAUSEA OR OR VOMITING +audio/RES0132.mp3[259.160,264.200] OKAY UH AND ANY CONFUSION OR OR CHANGES TO UM UM MEMORY +audio/RES0132.mp3[265.000,273.480] OKAY UH OR LOSS OF TASTE OR SENSE OF SMELL +audio/RES0132.mp3[273.480,274.440] UH NO +audio/RES0132.mp3[274.440,287.720] OKAY UH SO THE YOUVE BEEN EXPERIENCING THIS COUGH THATS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AS BRINGING UP SOME YELLOW SPUTUM UM AND BEEN SHORT OF BREATH HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0132.mp3[287.720,290.360] NO THATS PRETTY MUCH IT +audio/RES0132.mp3[290.360,298.440] OKAY UM AND IN THE PAST HAVE YOU UM BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0132.mp3[298.440,305.720] UM I HAVE DIABETES I HAVE HIGH BLOOD PRESSURE AND I HAVE HIGH CHOLESTEROL +audio/RES0132.mp3[305.720,312.080] I SEE ALRIGHT AND DO YOU TAKE UH MEDICATIONS FOR THOSE THINGS +audio/RES0132.mp3[312.080,323.440] YES SO I AM ON RAMIPRIL FOR THE HIGH BLOOD PRESSURE ROSUVASTATIN FOR THE CHOLESTEROL AND INSULIN FOR THE DIABETES +audio/RES0132.mp3[323.440,335.080] OKAY THANK YOU AND UH YOU MENTIONED YOU HAD A SIMILAR EPISODE IN THE PAST UM WHAT UH WERE YOU DIAGNOSED WITH COPBEFORE +audio/RES0132.mp3[335.080,340.760] I WAS I WAS DIAGNOSED WITH COPABOUT FIVE YEARS BACK +audio/RES0132.mp3[340.760,347.480] OKAY DID YOU HAVE PULMONARY FUNCTION TESTS FOR THIS THE TEST WHERE YOU HAD TO BREATHE INTO A TUBE +audio/RES0132.mp3[347.480,352.000] UM YEAH I HAD THAT DONE LIKE FIVE YEARS AGO +audio/RES0132.mp3[352.000,370.760] OKAY UM ALRIGHT UM JUST WANTED TO SEE IF IT WAS UH LIKE FORMALLY DIAGNOSED SOMETIMES PEOPLE UH UM YEAH ITS IMPORTANT TO HAVE THAT UH THOSE TESTS DONE UM AND DO YOU HAVE ANY ALLERGIES +audio/RES0132.mp3[370.760,374.640] UM NO NONE NONE YEAH +audio/RES0132.mp3[374.640,380.720] OKAY UM AND UH ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0132.mp3[380.720,384.840] YES I BELIEVE SO +audio/RES0132.mp3[384.840,392.000] OKAY UM AND HAVE YOU HAD ANY SURGERIES OR OR UM HOSPITALIZATIONS +audio/RES0132.mp3[392.000,406.280] UM I HAD MY GALLBLADDER REMOVED WHEN I WAS IN MY 50S UM AND I HAD A HIP FRACTURE THREE YEARS AGO +audio/RES0132.mp3[406.280,410.480] OKAY AND HOW IS YOUR MOBILITY NOW +audio/RES0132.mp3[410.480,419.720] UM PRETTY GOOD MY HIPS STILL GIVE ME SOME ISSUES ONCE IN AWHILE BUT UM FOR THE MOST PART ITS BEEN OKAY +audio/RES0132.mp3[419.720,424.360] OKAY THATS GOOD IT SOUNDS LIKE THE REHAB WENT WELL +audio/RES0132.mp3[425.080,433.320] AND UH RIGHT NOW CAN YOU TELL ME UM A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0132.mp3[433.320,440.040] UM I LIVE BY MYSELF IN AN APARTMENT ON THE 1ST FLOOR +audio/RES0132.mp3[440.040,445.200] OKAY UM AND DO YOU SMOKE CIGARETTES +audio/RES0132.mp3[445.200,448.720] UH NO I QUIT TWO YEARS AGO +audio/RES0132.mp3[448.720,455.560] OKAY AND THATS THATS GREAT UM PRIOR TO THAT HOW LONG DID YOU SMOKE FOR AND HOW MUCH +audio/RES0132.mp3[455.560,462.960] OH FOR LIKE 40PLUS YEARS UM I USED TO SMOKE A PACK A DAY +audio/RES0132.mp3[462.960,467.800] OKAY WELL THATS GREAT THAT UH THAT YOU QUIT SO CONGRATULATIONS +audio/RES0132.mp3[467.800,469.720] THANK YOU +audio/RES0132.mp3[469.720,472.640] AND DO YOU DRINK ALCOHOL +audio/RES0132.mp3[472.640,479.080] I DRINK ONCE IN A WHILE LIKE MAYBE EVERY OTHER DAY ILL HAVE A GLASS OF WINE +audio/RES0132.mp3[479.080,488.520] OKAY AND UM UH ANYBODY OR SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/RES0132.mp3[488.520,490.000] UH NO +audio/RES0132.mp3[490.000,492.840] YOU SAID YOU WENT TO THE STORES AND STUFF LIKE THAT +audio/RES0132.mp3[492.840,497.240] YEAH MAYBE FROM THERE YEAH +audio/RES0132.mp3[497.240,503.960] OKAY AND HAVE YOU TRAVELED ANYWHERE ELSE OUTSIDE OF THE CITY +audio/RES0132.mp3[503.960,508.360] UM NOT RECENTLY NO +audio/RES0132.mp3[508.360,516.240] ALRIGHT UM AND ANY EXPOSURES TO ANY LIKE DUST CHEMICALS THINGS LIKE THAT +audio/RES0132.mp3[516.240,523.280] UM I LIVE IN AN OLD BUILDING SO MAYBE UM BUT IT HASNT BUGGED ME BEFORE +audio/RES0132.mp3[523.280,528.520] OKAY UH AND ARE YOU WORKING CURRENTLY OR OR RETIRED +audio/RES0132.mp3[528.520,531.040] IM RETIRED +audio/RES0132.mp3[531.040,533.000] OKAY WELL WHAT DID YOU DO BEFORE +audio/RES0132.mp3[533.000,539.440] I USED TO WORK UH ON THE ASSEMBLY LINE FOR CHRYSLER +audio/RES0132.mp3[539.440,547.400] OKAY WERE THERE ANY EXPOSURES UH THERE THAT YOU WERE AWARE OF LIKE THINGS THAT YOU WERE BREATHING IN +audio/RES0132.mp3[547.400,557.320] UH NOT THAT I WAS AWARE OF BUT THEY WERE ALWAYS LIKE SMOKE AND FUMES AND THINGS LIKE THAT BECAUSE IT WAS LIKE A FACTORY SO MAYBE +audio/RES0132.mp3[557.320,569.880] RIGHT OKAY THAT MAKES SENSE UM AND IN THE FAMILY ARE THERE ANYBODY WHO WHOS HAD PROBLEMS WITH THEIR HEARTS OR LUNGS +audio/RES0132.mp3[569.880,586.360] UM MY MOM HAD LUNG CANCER WHEN SHE WAS 50 AND LIKE ALL THE LIKE DIABETES HYPERTENSION AND HIGH CHOLESTEROL RUNS ON MY RAN ON MY FATHERS SIDE OF THE FAMILY +audio/RES0132.mp3[586.360,591.720] I SEE DID ANYBODY HAVE UH HEART ATTACKS OR OR STROKE +audio/RES0132.mp3[591.720,605.120] UH YEAH SO MY FATHER HAD A HEART ATTACK WHEN HE WAS 49 UH STROKE IM NOT TOO SURE ABOUT +audio/RES0132.mp3[605.120,616.200] OKAY THANK YOU AND UM SO THAT WAS ALL I WANTED TO ASK ABOUT UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT +audio/RES0132.mp3[616.200,624.680] UM NO THATS ABOUT IT BUT I HOW CAN I TREAT MYSELF NOW HOW DO I MAKE THIS COUGH GO AWAY +audio/RES0132.mp3[624.680,699.680] FOR SURE SO UM WE WILL FIRST GET YOUR VITALS HERE AND WELL SEE IF YOUR OXYGEN LEVELS UM ARE LOW THEN IT WOULD BE IMPORTANT TO PUT ON SOME OXYGEN FIRST UM JUST TO MAKE SURE THAT THATS STABLE UM AND FROM THERE WE WILL UM GET A CHEST XRAY UM AND UH RUN SOME LAB WORK TO TO TRY TO HELP FIGURE OUT THE THE DIAGNOSIS BETTER BUT IN THE MEANTIME WELL USE UM SOME INHALERS BECAUSE ITS POSSIBLE THAT THIS IS A COPEXACERBATION SIMILAR TO UH LAST YEAR UM AND THE INHALERS SHOULD HELP OPEN UP THE AIRWAYS AND DILATE SO MAKE BREATHING EASIER AND THEN UM ALSO IF IT IS A COPEXACERBATION IT WILL LIKELY REQUIRE ANTIBIOTICS AS WELL AS SOME STEROIDS FOR THE THE INFLAMMATION FOR FIVE DAYS UH BUT SINCE YOUR SYMPTOMS CURRENTLY OVERLAP WITH UH COVIAS WELL YOULL HAVE TO GET A A COVINASAL SWAB +audio/RES0132.mp3[699.680,701.520] OKAY OKAY FOR SURE +audio/RES0132.mp3[701.520,705.840] OKAY SO UH WELL GET THAT STARTED +audio/RES0132.mp3[705.840,707.160] OKAY THANK YOU SO MUCH +audio/RES0164.mp3[0.000,3.120] WHAT BRINGS YOU IN HERE TODAY +audio/RES0164.mp3[3.120,15.280] HEY IM IM THE MOM OF OF THE PATIENT HES HES A KID HE HAS HAD HE JUST HAD A COUGH AND STUFFY NOSE FOR THE PAST THREE DAYS +audio/RES0164.mp3[15.280,25.680] OK AND SO DID THEY BOTH START AROUND THE SAME TIME OR ONE STARTED BEFORE THE OTHER +audio/RES0164.mp3[25.680,39.400] THEY STARTED THE SAME TIME HES ALSO HAD LIKE THESE THESE HIS EYES HAVE BEEN LIKE KIND OF RED AND WATERY AS WELL +audio/RES0164.mp3[39.400,44.800] OK AND IS HE WHAT KIND OF COUGH IS HE HAVING A DRY COUGH OR WET COUGH +audio/RES0164.mp3[44.800,46.760] ITS A DRY COUGH +audio/RES0164.mp3[46.760,54.240] DRY COUGH OK AND AND SO WITH THE CONGESTION IS HE ALSO HAVING ANY KIND OF NASAL DRAINAGE +audio/RES0164.mp3[54.240,57.920] YEAH ITS ITS LIKE WATERY +audio/RES0164.mp3[57.920,65.760] WATERY OK SO NOW ARE YOU NOTICING ANY KIND OF YELLOW OR GREENISH MATERIAL +audio/RES0164.mp3[66.920,73.760] OK AND HE HASNT IS HE COUGHING UP ANY BLOOD AT ALL AT ANY POINT +audio/RES0164.mp3[73.760,74.720] NO NO NO +audio/RES0164.mp3[74.720,82.200] AND SO THIS STARTED JUST RECENTLY THREE DAYS AGO WAS HE IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY +audio/RES0164.mp3[82.200,94.280] I DONT THINK SO BUT HE HAS BEEN LIKE PLAYING OUTSIDE QUITE A BIT AND SOMETIMES HES JUST PLAYING WITH THE NEIGHBOURS KIDS +audio/RES0164.mp3[94.280,97.960] OK HAS THIS HAPPENED BEFORE +audio/RES0164.mp3[97.960,111.280] YEAH IT HAS BUT I GUESS WHAT IM CONCERNED ABOUT IS THE RASH THAT HE HAS NOW THAT HES NEVER HAD BEFORE +audio/RES0164.mp3[111.280,113.960] OK AND WHERE IS THE RASH EXACTLY +audio/RES0164.mp3[113.960,117.800] ITS ON HIS FACE IT STARTED THIS MORNING +audio/RES0164.mp3[117.800,127.520] OK AND CAN YOU DESCRIBE THE RASH FOR ME LIKE ITS COLOR SHAPES AND WHAT KIND OF LOOKS LIKE +audio/RES0164.mp3[127.520,142.200] SMALL REALLY SMALL DOTS LIKE KIND OF UHM LIKE ID SAY LIKE BROWN IN COLOR LIKE BROWNISH DARK REDDISH +audio/RES0164.mp3[142.200,145.800] OK LETS JUST ARE THEY JUST LOCATED ON HIS FACE +audio/RES0164.mp3[145.800,153.240] YEAH LIKE IT WAS ON HIS FACE AND ITS KIND OF A LITTLE BIT ON HIS NECK +audio/RES0164.mp3[153.240,159.240] OK UH AND IS HE SCRATCHING AT THEM AT ALL +audio/RES0164.mp3[164.800,170.800] OK UM OK AND SO THEY JUST STARTED TODAY HAVE YOU HAD THESE RASHES BEFORE AT ALL +audio/RES0164.mp3[170.800,174.000] NO NO HE HASNT +audio/RES0164.mp3[174.000,189.520] OK ANYTHING NEW AT ALL THAT HE HAS EITHER EATEN OR ANY NEW CLOTHING OR NEW LAUNDRY DETERGENT OR SOAP SO ANYTHING AT ALL +audio/RES0164.mp3[189.520,190.520] NO NO +audio/RES0164.mp3[190.520,198.000] OK OK AND HAS HE HAD ANY FEVERS OR CHILLS ANYTHING LIKE THAT +audio/RES0164.mp3[198.000,209.520] UH HE HAS BEEN FEELING A LITTLE BIT WARM I DIDNT REALLY CHECK HIS TEMPERATURE +audio/RES0164.mp3[209.520,220.760] AND AND BUSY SO IT STARTED THREE DAYS AGO ANYTHING HAPPENED BEFORE 3 DAYS AT ALL THAT MIGHT HAVE CAUSED THE SYMPTOMS +audio/RES0164.mp3[220.760,231.120] I DONT THINK SO AS I SAID HE HAS BEEN PLAYING AROUND WITH OTHERS SO COULD HAVE CAUGHT SOMETHING +audio/RES0164.mp3[231.120,241.440] OK AND OK ANY KIND OF AH HAVE YOU TRIED ANYTHING THAT HAS HELPED HIM AT ALL ANY MEDICATIONS +audio/RES0164.mp3[241.440,246.480] UHM I HAVENT TRIED ANYTHING YET NO +audio/RES0164.mp3[246.480,257.160] OK AND HOW OFTEN IS HE COUGHING IS HE COUGHING THROUGHOUT THE DAY OR IS IT MORE SO WITH EXERTING HIMSELF +audio/RES0164.mp3[257.160,271.600] UM ITS JUST KIND OF ALL THROUGH THE DAY ITS ACTUALLY GOTTEN A LITTLE BIT BETTER UHM THE COUGH HAS GOTTEN BETTER BUT WHAT IM CONCERNED ABOUT IS THE THE RASH +audio/RES0164.mp3[271.600,279.120] OK COUGHS GOTTEN BETTER YEAH DOES HE HAVE VISIT RUSH IT SO IS IT MAINLY JUST ON HIS FOREHEAD OR ALSO ON HIS CHEEKS +audio/RES0164.mp3[279.120,296.120] ITS ON HIS CHEEKS ON HIS CHIN ITS KIND OF ON HIS NECK ITS KIND OF LIKE THIS BLOTCHY REDDISH BROWNISH LIKE LITTLE DOTS KIND OF ITS NOT LIKE ITS NOT RAISED ITS LIKE FLAT +audio/RES0164.mp3[296.120,305.640] OK AND UH IS IT KIND OF JUST A BIT LIKE A BRIGHT RED RASH THATS KIND OF COVERING THE CHEEKS OR LITTLE LITTLE DOTS EVERYWHERE +audio/RES0164.mp3[305.640,309.280] KIND OF LITTLE DOTS +audio/RES0164.mp3[309.280,313.120] OK ANY ANYTHING ON HIS NOSE +audio/RES0164.mp3[313.120,319.840] YEAH YEAH ITS ON HIS NOSE AS WELL +audio/RES0164.mp3[319.840,322.040] OK UM OK BUT NO FEVERS RIGHT +audio/RES0164.mp3[322.040,331.000] HE I GUESS HE MIGHT HAVE HAD A FEVER HE WAS FEELING WARM +audio/RES0164.mp3[331.000,339.040] OK AND ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT ANYTHING LIKE THAT +audio/RES0164.mp3[339.040,342.280] NO NO NOTHING LIKE THAT +audio/RES0164.mp3[342.280,353.360] OK AND OTHERWISE ANY OTHER SYMPTOMS LIKE JUST NOT LIKE BEHAVIOURAL CHANGES NOT BEING HIMSELF BEING MORE IRRITABLE AT ALL +audio/RES0164.mp3[353.360,360.040] SO YEAH HES JUST BEEN TIRED HE HASNT BEEN DOING ANYTHING HES JUST BEEN LYING IN BED HASNT EATEN +audio/RES0164.mp3[360.040,370.800] OK ANY AT ALL IS HE HAVING ANY NAUSEA OR VOMITING +audio/RES0164.mp3[371.160,375.640] ANY DIARRHEA OR CONSTIPATION +audio/RES0164.mp3[379.640,383.280] ANY CHANGES IN HIS URINATION +audio/RES0164.mp3[384.480,390.560] ANY CHANGES IN HIS SLEEP OR APPETITE +audio/RES0164.mp3[390.560,396.080] NO WELL HE HAS BEEN EATING LITTLE LESS BUT NOTHING LIKE NOTHING ELSE +audio/RES0164.mp3[396.080,405.760] OK AND HAS HE BEEN COMPLAINING AT ALL OF ANY ABDOMINAL PAIN OR ANYTHING LIKE THAT +audio/RES0164.mp3[411.200,418.760] OK OTHERWISE THAT HAS HE BEEN HEALTHY OR IF HE HAD ANY MEDICAL CONDITIONS DIAGNOSED +audio/RES0164.mp3[418.760,422.840] HES BEEN HEALTHY +audio/RES0164.mp3[422.840,430.040] OK AND AND ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS +audio/RES0164.mp3[431.080,437.640] ANY MEDICATIONS THAT HE TAKES REGULARLY +audio/RES0164.mp3[439.480,443.160] AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0164.mp3[444.280,453.840] CONCURRENTLY OR LIKE DURING YOUR PREGNANCY WITH HIM ANY COMPLICATIONS AT ALL +audio/RES0164.mp3[456.440,468.440] AND DID WAS HE MEETING HIS MILESTONES THAT DEVELOPMENTALLY IN TERMS OF ALSO WITH GROWTH AND HEIGHT AND EVERYTHING LIKE THAT +audio/RES0164.mp3[468.440,476.320] YEAH HE SEEMS TO BE DOING OK COME WHEN HES DOING AS WELL AS HIS OTHER BROTHER HIS TWO BROTHERS +audio/RES0164.mp3[476.320,482.560] OK AND DOES HE GO TO SCHOOL AT ALL WHAT GRADE IS HE IN +audio/RES0164.mp3[482.560,487.680] HES GOING TO SCHOOL UM ONLINE +audio/RES0164.mp3[487.680,495.280] ONLINE RIGHT NOW OK YEAH AND ANY ISSUES AT SCHOOL AT ALL ANY COMPLAINTS THAT WEVE BEEN TOLD +audio/RES0164.mp3[499.880,506.840] OK GREAT SO UH AND HOW IS THE HOUSES OR YOUR LIVING SITUATION LIKE +audio/RES0164.mp3[506.840,516.520] ITS UH THINGS ARE GOOD SO ITS HIM HIS TWO OLDER BROTHERS MY HUSBAND AND ME +audio/RES0164.mp3[516.520,521.680] OK AND HAS ANYONE BEEN SICK RECENTLY OR HAD SIMILAR SYMPTOMS +audio/RES0164.mp3[527.560,536.760] OK ALRIGHT HAS ANYONE IN THE FAMILY EVER HAD ANY DIAGNOSIS OF ASTHMA ECZEMA ALLERGIC RHINITIS +audio/RES0164.mp3[537.960,545.920] NO NOTHING LIKE THAT OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0164.mp3[549.960,581.440] OK SO YEAH SO WELL WELL BE DOING A COUPLE WELL DO A PHYSICAL EXAMINATION I WANT TO SEE EXAMINED WITH THE RASH LOOKS LIKE AND THERES MANY THINGS THAT CAN CAUSE A RASH THERES UH VIRAL INFECTIONS THAT CAN CAUSE SOME OF THE SYMPTOMS THE SYMPTOMS HES HAVING MAINLY SEEN VIRAL WITH A DRY COUGH AND RUNNY NOSE AND THEN YOU CAN WE HAVE A RASH AS WELL ONE THING I FORGOT TO ASK ACTUALLY IS IS HE FULLY IMMUNIZED +audio/RES0164.mp3[581.440,608.760] UM HE I GUESS HE DIDNT GET ALL HIS IMMUNIZATIONS DONE EARLIER HE DID GET THEM A LITTLE BIT LATER SO WE CAME FROM SYRIA AS REFUGEES BUT I IM THINKING HE GOT ALL HIS IMMUNIZATIONS WHEN HE UH CAME TO WHEN WE MOVED TO CANADA +audio/RES0164.mp3[608.760,613.600] OK AND IS HE COMPLAINING OF JOINT OR MUSCLE ACHES AT ALL +audio/RES0164.mp3[615.240,654.120] NO NOTHING LIKE THAT OK ALRIGHT SO YEAH WELL DO IT LIKE A FULL PHYSICAL EXAMINATION AND IF ITS MORE JUST A VIRAL ITLL BE SOMETHING THAT WELL JUST HAVE TO MONITOR AND DO SUPPORTIVE CARE FOR BUT IF ITS ANYTHING ELSE WE MIGHT NEED TO DO FURTHER INVESTIGATIONS OK AND WELL JUST DO A COVISWAB FOR HIM TODAY AS WELL AS SOME OF THE SYMPTOMS OVERLAP WITH COVISYMPTOMS AND YOU WILL GET THE RESULTS BACK IN 24 HOURS TO 48 HOURS AND THEN FURTHER INSTRUCTION FROM PUBLIC HEALTH +audio/RES0164.mp3[654.120,659.800] SOUNDS GREAT +audio/RES0164.mp3[659.800,662.000] ALRIGHT WELL TAKE CARE TALK TO YOU SOON +audio/RES0049.mp3[0.000,2.280] WHAT BRINGS YOU IN +audio/RES0049.mp3[2.280,22.880] YEAH NICE TO MEET YOU I IVE BEEN HAVING JUST OVER THE LAST WEEK MY COUGH THATS BEEN GETTING WORSE AND I HAD A FEVER A COUPLE OF NIGHTS AND JUST YESTERDAY I NOTICED THAT I STARTED HAVING A LOSS OF TASTE AND SMELL SO THAT GOT ME REALLY WORRIED +audio/RES0049.mp3[22.880,32.880] OK SO YEAH LETS REWIND A LITTLE BIT THE COUGH YOU SAID STARTED A COUPLE OF WEEKS AGO SO WOULD THAT BE ABOUT 2 WEEKS THREE WEEKS +audio/RES0049.mp3[32.880,37.000] I WOULD SAY LAST WEEK SO LIKE 7 SEVEN DAYS AGO +audio/RES0049.mp3[37.000,44.240] SEVEN DAYS AGO OK SO THAT STARTED SEVEN DAYS AGO AND THEN WHEN DID THE FEVER START +audio/RES0049.mp3[44.240,61.640] THE FEVER I HASNT BEEN CONSTANT BUT IVE LIKE HAD SOME NIGHTS WHERE I JUST FEEL REALLY CHILLY AND THEN DURING THE DAY SOMETIMES EVEN GETTING THESE CHILLS IVE BEEN RECORDED AT A TEMPERATURE BUT I THINK IVE HAD A FEVER AT LEAST THREE TIMES IN THE LAST WEEK +audio/RES0049.mp3[61.640,67.600] OK SO YOU HAVENT ACTUALLY TAKEN YOUR TEMPERATURE BUT IT YOU JUST FEEL LIKE YOU HAVE CHILLS +audio/RES0049.mp3[68.800,79.400] OK WE COULD TAKE YOUR TEMPERATURE TODAY AND THEN THE LOSS OF SMELL AND TASTE DO THEY BOTH HAPPEN AT THE SAME TIME +audio/RES0049.mp3[79.400,96.120] I THINK THE TASTE HAPPENED LIKE BEFORE BUT THAT WAS JUST YESTERDAY AND THEN YESTERDAY MORNING LIKE AT BREAKFAST I COULDNT REALLY TASTE ANYTHING AND THEN CONTINUED DURING LUNCH AND DINNER BUT SMELL I KIND OF LOST AROUND THE EVENING +audio/RES0049.mp3[97.840,100.920] YEAH ALL JUST STARTED YESTERDAY +audio/RES0049.mp3[100.920,112.120] OK UM ALRIGHT SO LETS GO BACK TO THE COUGH AND HAS IT BEEN CONSTANT SINCE IT STARTED +audio/RES0049.mp3[112.120,127.360] YEAH ITS BEEN PRETTY CONSTANT ITS BEEN GETTING WORSE ESPECIALLY LIKE IN THE LAST FEW DAYS IM MAINLY COUGHING LIKE BEFORE I WAS COUGHING MAINLY AT NIGHT BUT NOW IM COUGHING THROUGHOUT THE DAY +audio/RES0049.mp3[127.360,145.200] OK UM SO YEAH YOU MENTIONED POSSIBLY A TRIGGER WOULD BE LIKE TIME OF DAY AT NIGHT OR DID YOU NOTICE ANY OTHER TRIGGERS LIKE YOU KNOW THE COLD AIR OR DUST OR ANYTHING AT HOME THAT COULD BE POTENTIALLY TRIGGERING YOUR COUGH +audio/RES0049.mp3[145.200,157.280] UH NO NOT REALLY LIKE IVE LIVED IN THE SAME PLACE FOR AWHILE NO NEW CHANGES AND IVE BEEN BARELY GOING OUTSIDE SO I DONT THINK THERE ARE ANY TRIGGERS +audio/RES0049.mp3[157.280,167.440] OK AND IN TERMS OF THE QUALITY OF YOUR COUGH IS THAT WOULD YOU SAY ITS HARSH BARKY +audio/RES0049.mp3[167.440,181.280] UHM I WOULD JUST SAY ITS LIKE KIND OF HARSH AT TIMES BUT MAINLY ITS A DRY COUGH LIKE IM NOT BRINGING ANYTHING UP +audio/RES0049.mp3[181.280,189.440] OK OK AND THEN YOU SAID DRY COUGH SO NO SPUTUM OR BLOOD RIGHT +audio/RES0049.mp3[190.520,196.320] OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0049.mp3[196.320,211.760] NOT THE LOSS OF TASTE AND SMELL BUT LIKE THE OTHER STUFF WHEN I JUST HAD A COLD OR FLU LIKE SYMPTOMS PREVIOUSLY BUT THE TASTE AND SMELL IS SOMETHING COMPLETELY NEW +audio/RES0049.mp3[211.760,218.640] OK AND THEN UM HAVE YOU EXPERIENCED ANY SHORTNESS OF BREATH +audio/RES0049.mp3[218.640,221.880] UM NOT REALLY NO +audio/RES0049.mp3[221.880,225.000] NO OK HOW ABOUT WE WHEEZINESS +audio/RES0049.mp3[225.320,228.280] CHEST PAIN +audio/RES0049.mp3[228.280,233.880] NO CHEST PAIN +audio/RES0049.mp3[233.880,238.000] OK UH EXPERIENCED ANY WEIGHT LOSS RECENTLY +audio/RES0049.mp3[238.000,239.600] NO NOT THAT I KNOW +audio/RES0049.mp3[239.600,243.880] OK HOW ABOUT FATIGUE +audio/RES0049.mp3[243.880,257.520] I HAVE BEEN A BIT TIRED IN THE LAST FEW DAYS THE FEVERS AT NIGHT AND MORNING JUST FEELING A LITTLE BIT CRUMMY JUST NOT REALLY ENERGETIC ENERGETIC TO DO ANYTHING +audio/RES0049.mp3[257.520,258.800] YEAH FOR SURE +audio/RES0049.mp3[258.800,263.040] JUST BEEN PLANNER JUST SITTING ON THE COUCH +audio/RES0049.mp3[263.040,269.280] OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0049.mp3[269.280,272.480] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0049.mp3[272.480,279.080] OK YOU MENTIONED LOSS OF SMELL DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE +audio/RES0049.mp3[279.080,293.360] I DID HAVE A RUNNY NOSE EARLIER THIS WEEK BUT THATS KIND OF SUBSIDED OTHER THAN THAT I DONT REALLY FEEL TOO MUCH CONGESTION IVE BEEN TAKING TYLENOL THE TYLENOL COLD SO I DONT KNOW IF THAT HELPED +audio/RES0049.mp3[293.360,299.680] OK HOW OFTEN ARE YOU TAKING THE TYLENOL COLD +audio/RES0049.mp3[299.680,309.200] I JUST TOOK IT LIKE FOR FOUR DAYS JUST BEFORE GOING TO SLEEP IN THE LAST WEEK +audio/RES0049.mp3[309.200,316.200] OH I SEE OK OK AND THEN ANY I DO HAVE A SORE THROAT +audio/RES0049.mp3[317.720,323.240] NO OK HOW ABOUT ANY CHANGES TO YOUR VISION OR HEARING +audio/RES0049.mp3[323.240,324.560] NO NOTHING LIKE THAT +audio/RES0049.mp3[324.560,328.880] ANY PAIN OR DISCHARGE IN THE EYES OR EARS +audio/RES0049.mp3[329.800,333.920] OK DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0049.mp3[333.920,335.480] UH NO NOT REALLY +audio/RES0049.mp3[335.480,340.760] NO OK AND ANY SWELLING IN YOUR LIMBS +audio/RES0049.mp3[340.760,343.160] UH NO I DONT THINK SO +audio/RES0049.mp3[343.160,347.800] OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0049.mp3[349.200,353.000] OK CONFUSION OR MEMORY LOSS +audio/RES0049.mp3[353.000,355.480] NO NOT THAT I CAN TELL +audio/RES0049.mp3[355.480,363.560] OK ANY CHANGES IN YOUR BOWEL HABITS LIKE CONSTANT CONSTIPATION OR DIARRHEA +audio/RES0049.mp3[363.560,365.040] OH NO NOT REALLY +audio/RES0049.mp3[365.040,367.520] NO NO BLOOD IN THE STOOL RIGHT +audio/RES0049.mp3[368.680,372.760] OK ANY CHANGES TO YOUR APPETITE +audio/RES0049.mp3[372.760,382.720] UM JUST MAYBE IN LIKE A LITTLE BIT WITH THE LOSS OF SMELL AND TASTE THE FOOD IS NOT REALLY THE SAME IN THE LAST DAY LAST FEW DAYS +audio/RES0049.mp3[382.720,388.320] YEAH YEAH THAT MAKES SENSE ANY NAUSEA OR VOMITING +audio/RES0049.mp3[389.480,397.240] NO OK AND ANY CHANGES IN TERMS OF URINE +audio/RES0049.mp3[397.240,401.720] NO IVE BEEN PEEING ALRIGHT +audio/RES0049.mp3[401.720,408.280] OK GOOD ANY MAJOR OR A LONGSTANDING MEDICAL CONDITIONS OR ARE YOU OTHERWISE HEALTHY +audio/RES0049.mp3[408.280,418.680] NO IVE BEEN FORTUNATE OTHERWISE HEALTHY I HAD ASTHMA AS A KID BUT LIKE I HAVENT HAD TO USE THE PUFFERS FOR MORE THAN A DECADE +audio/RES0049.mp3[418.680,425.400] OH OK OK AND WHAT TRIGGERS YOUR ASTHMA +audio/RES0049.mp3[425.400,436.400] I THINK BACK THEN IT WAS JUST WHEN I DID SPORTS AND I WAS RUNNING AROUND A LOT IVE BEEN FINE FOR THE LAST 10 YEARS AT LEAST +audio/RES0049.mp3[436.400,443.000] OK OK THATS GOOD AND ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST +audio/RES0049.mp3[444.440,449.320] NO OK ANY ARE YOU ON ANY MEDICATIONS +audio/RES0049.mp3[449.320,457.760] CURRENTLY JUST THE OTHER THING TYLENOL COLD BUT OTHER THAN THAT NO OTHER MEDICATIONS +audio/RES0049.mp3[457.760,462.760] OK NOT EVEN OTHER OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS +audio/RES0049.mp3[462.760,465.960] NO NOTHING LIKE THAT +audio/RES0049.mp3[465.960,471.560] OK DO YOU HAVE ANY ALLERGIES +audio/RES0049.mp3[471.560,482.080] UM SOMETIMES IN THE FALL LIKE I GET A BIT SNIFFLY AND BUT OTHER THAN THAT I DONT KNOW OF ANY ALLERGIES TO ANY FOODS OR MEDICATIONS +audio/RES0049.mp3[482.080,490.120] OK AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +audio/RES0049.mp3[490.120,493.240] YEAH THEYRE ALL UP TO DATE +audio/RES0049.mp3[493.240,501.560] ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +audio/RES0049.mp3[501.560,516.800] UH MY FATHER DID RECENTLY HAVE A HEART ATTACK AT AGE OF 58 I THINK HE WAS HE HES FINE THOUGH BUT THATS THATS ABOUT IT +audio/RES0049.mp3[516.800,521.880] OK UM ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0049.mp3[521.880,527.440] UM NO I DONT THINK SO +audio/RES0049.mp3[527.440,530.960] OK AND AND DO YOU SMOKE +audio/RES0049.mp3[530.960,534.120] UH YEAH YEAH I DO +audio/RES0049.mp3[534.120,535.800] OK HOW MUCH DO YOU SMOKE +audio/RES0049.mp3[535.800,539.960] PROBABLY I WOULD SAY A PACK A DAY +audio/RES0049.mp3[539.960,542.360] PACK A DAY OK FOR HOW LONG +audio/RES0049.mp3[542.360,550.680] AH PROBABLY SINCE IN MY 20S SO AT LEAST 10 YEARS NOW +audio/RES0049.mp3[550.680,553.640] OK HAVE YOU EVER THOUGHT ABOUT CUTTING DOWN +audio/RES0049.mp3[553.640,572.400] YEAH ESPECIALLY WITH THIS PANDEMIC GOING ON ITS BEEN IVE BEEN TRYING TO CUT DOWN JUST BECAUSE LIKE I DONT WANT TO GET THE GET COVIAND THEN YOU KNOW MY LUNGS ARE PROBABLY ALREADY WEAKER BECAUSE OF THE SMOKING SO IVE BEEN TRYING TO CUT DOWN +audio/RES0049.mp3[572.400,578.880] YEAH FOR SURE ITS GOOD THAT YOURE TRYING TO CUT DOWN WE HAVE RESOURCES TO HELP YOU IF YOU EVER NEED THEM +audio/RES0049.mp3[578.880,581.480] YEAH FOR SURE +audio/RES0049.mp3[581.480,584.880] DO YOU DO MARIJUANA +audio/RES0049.mp3[584.880,588.480] NO NO IVE NEVER TRIED MARIJUANA +audio/RES0049.mp3[588.480,590.840] OK HOW ABOUT OTHER RECREATIONAL DRUGS +audio/RES0049.mp3[590.840,596.280] NO UM BESIDES ALCOHOL NOTHING ELSE +audio/RES0049.mp3[596.280,604.680] OK AND THEN UM I GUESS ILL ASK YOU ABOUT THE ALCOHOL UHM HOW MUCH DO YOU DRINK +audio/RES0049.mp3[604.680,616.760] UM UM NOT THAT MUCH ID PROBABLY SAY LIKE A FEW TIMES A WEEK WHEN THERES A GAME ON I JUST GRAB A COUPLE OF BEERS BUT THATS ABOUT IT +audio/RES0049.mp3[616.760,623.040] OK UHM AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0049.mp3[623.040,632.560] YES I JUST LIVE JUST OUTSIDE OF LONDON WITH MY WIFE AND DAUGHTER IN A SMALL TOWNHOUSE +audio/RES0049.mp3[632.560,636.160] OK AND ANYONE ELSE AT HOME SICK +audio/RES0049.mp3[636.160,651.280] NO I IVE KIND OF STAYED AWAY ONCE I NOTICED SOME SYMPTOMS IM JUST KIND OF JUST STAYING IN MY ROOM NOT GETTING OUT I DONT WANNA MAKE ANY OF MY FAMILIES LIKE +audio/RES0049.mp3[651.280,656.040] YEAH THAT MAKES SENSE AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY +audio/RES0049.mp3[656.040,675.640] NO UMM I HAVENT REALLY TRAVELED I DO I DO GO TO WORK THOUGH I HAVENT IN THE LAST LAST WEEK IVE TOLD THEM THAT IVE BEEN HAVING THESE SYMPTOMS BUT OTHER THAN THAT NO TRAVELING +audio/RES0049.mp3[675.640,686.400] OK UHM OK THATS GOOD THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY WAS THERE ANYTHING THAT YOU WANTED TO ASK ME OR ANYTHING ELSE THAT YOU WANTED TO DISCUSS THAT I MAY HAVE MISSED +audio/RES0049.mp3[686.400,702.760] UH YEAH I I THAT IM JUST WONDERING LIKE I COULD IT BE COVII I DONT KNOW I DONT KNOW IF SOMEONE IN THE OFFICE HAD IT OR YEAH IT WAS JUST BASICALLY WORRIED ABOUT IF I HAD COVID +audio/RES0049.mp3[702.760,747.840] YEAH FOR SURE THATS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WE WILL BE DOING A COVISWAB ON YOU AND AND YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS BUT REGARDLESS BECAUSE YOUR SYMPTOMS OVERLAP WITH SYMPTOMS OF COVIESPECIALLY UMM THE LOSS OF SMELL AND TASTE WE DO RECOMMEND THAT YOU ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM FAMILY MEMBERS AS WELL SO WELL THATS WHERE WELL START IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR BUT WELL START WITH WELL START WITH THESE COVISWABS HOW DOES THAT SOUND +audio/RES0049.mp3[747.840,759.800] YEAH THAT SOUNDS GOOD ILL ILL LET MY WORK KNOW AND YEAH HOPEFULLY IT COMES BACK NEGATIVE BUT ILL STAY AWAY FROM EVERYONE TILL THEN +audio/RES0049.mp3[759.800,762.480] OK SOUNDS GREAT THANK YOU +audio/RES0049.mp3[762.480,766.440] ALRIGHT THANK YOU SO MUCH +audio/RES0051.mp3[0.000,3.760] WOULD YOU MIND STARTING WITH TELLING ME WHAT BROUGHT YOU IN +audio/RES0051.mp3[3.760,23.160] SURE I HAVE HAD THIS COUGH FOR THE PAST FIVE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO IM JUST HERE TO ASK YOU WHAT IT WHAT IT POSSIBLY COULD BE +audio/RES0051.mp3[23.160,28.800] HAS THE COUGH BEEN GETTING ANY BETTER STAYING THE SAME OR GETTING WORSE OVER THESE LAST FIVE DAYS +audio/RES0051.mp3[28.800,33.520] I THINK ITS GETTING WORSE +audio/RES0051.mp3[33.520,41.400] ARE YOU BRINGING UP ANY ANY PHLEGM +audio/RES0051.mp3[42.840,46.240] OKAY ARE YOU BRINGING UP ANY BLOOD +audio/RES0051.mp3[48.440,56.800] OK HAVE YOU BEEN COUGHING AT NIGHT TIME AS WELL IS IT INTERFERING WITH YOUR SLEEP OR IS THE COUGH JUST DURING THE DAY +audio/RES0051.mp3[56.800,63.920] UM IT IS MOSTLY DURING THE DAY AND IN THE EVENINGS IT DOESNT WAKE ME UP FROM SLEEP +audio/RES0051.mp3[63.920,74.240] OK AND ANY TRIGGERS THAT YOUVE NOTICE 5 DAYS AGO OR ANYTHING THAT CHANGED AT THAT TIME TO BRING ON THE COUGH +audio/RES0051.mp3[74.240,78.240] NO NOTHING +audio/RES0051.mp3[78.240,85.840] OK AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS WITH THE COUGH +audio/RES0051.mp3[85.840,93.640] I HAVE A SORE THROAT AND I FEEL LIKE I CANT TASTE THINGS THE SAME +audio/RES0051.mp3[93.640,102.760] OK UM ARE YOU HAVING ANY PAIN WITH SWALLOWING EITHER LIQUIDS OR FOOD +audio/RES0051.mp3[102.760,104.960] UM MOSTLY WITH FOODS +audio/RES0051.mp3[104.960,112.280] OK AND WHEN DID THE SORE THROAT START +audio/RES0051.mp3[112.280,118.800] IT STARTED UP AROUND THE SAME TIME AS MY COUGH +audio/RES0051.mp3[118.800,125.960] OK AND YOU CANT TASTE YOUR FOOD AS WELL AND WHEN DID YOU NOTICE THAT +audio/RES0051.mp3[125.960,129.000] THAT WAS TWO DAYS AGO +audio/RES0051.mp3[129.000,133.920] OK HAVE YOU NOTICED ANY ANY LOSS OF SMELL +audio/RES0051.mp3[133.920,138.200] NO NO I DONT THINK SO +audio/RES0051.mp3[138.200,145.320] OK AND HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORT OF BREATH +audio/RES0051.mp3[147.040,153.000] OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE +audio/RES0051.mp3[153.000,157.680] NO NOTHING LIKE THIS +audio/RES0051.mp3[157.680,164.160] OK AND HOW HAS YOUR ENERGY LEVEL BEEN HAVE YOU BEEN FATIGUED +audio/RES0051.mp3[164.160,167.840] A LITTLE BIT YES +audio/RES0051.mp3[167.840,173.440] OK HAVE YOU HAD ANY CHANGES TO YOUR VISION OR OR HEARING +audio/RES0051.mp3[174.680,180.680] ANY MUCOUS OR PAIN OR DISCHARGE FROM EITHER YOUR EARS OR NOSE +audio/RES0051.mp3[182.360,192.520] OK SO YOUR NOSE HASNT BEEN RUNNY BUT HAS IT FELT CONGESTED +audio/RES0051.mp3[192.520,193.840] UMM NO +audio/RES0051.mp3[193.840,198.440] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0051.mp3[198.440,209.040] I DONT KNOW ABOUT FEVERS I GUESS I WAS FEELING A LITTLE BIT HOT LAST NIGHT BUT I DIDNT TAKE MY TEMPERATURE +audio/RES0051.mp3[209.040,222.920] OK SO POSSIBLY A FEVER I WILL CERTAINLY CHECK YOUR TEMPERATURE TODAY TO INVESTIGATE THAT HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0051.mp3[222.920,225.960] UMM NO NIGHT SWEATS +audio/RES0051.mp3[225.960,234.080] ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST FEW MONTHS +audio/RES0051.mp3[236.240,241.200] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0051.mp3[241.200,243.440] NO CHEST PAIN +audio/RES0051.mp3[243.440,248.680] HAVE YOU NOTICED ANY HEART PALPITATIONS OR HEART RACING +audio/RES0051.mp3[250.120,257.360] RIGHT OK HAVE YOU HAD ANY WHEEZING +audio/RES0051.mp3[259.440,263.960] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0051.mp3[265.440,267.840] ANY NAUSEA OR VOMITING +audio/RES0051.mp3[269.280,273.240] OK HOW ABOUT ANY URINARY PROBLEMS +audio/RES0051.mp3[273.960,280.280] PROBLEMS LIKE DIARRHEA OR CONSTIPATION +audio/RES0051.mp3[281.160,286.720] OK AND ANY MUSCLE ACHES OR OR BODY PAINS +audio/RES0051.mp3[287.640,291.200] HAVE YOU HAD ANY RASHES +audio/RES0051.mp3[294.320,307.320] OK SO THE COUGH STARTED 5 DAYS AGO YOU HAD A SORE THROAT YOUVE BEEN FEELING A BIT MORE TIRED AND HAVENT BEEN ABLE TO TASTE YOUR FOOD FOR THE LAST COUPLE OF DAYS +audio/RES0051.mp3[308.440,314.640] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0051.mp3[314.640,318.000] UM NO I DONT THINK SO +audio/RES0051.mp3[318.000,321.920] OK NOTHING YOU SEE A PHYSICIAN REGULARLY FOR +audio/RES0051.mp3[323.840,327.800] ALRIGHT DO YOU TAKE ANY MEDICATIONS +audio/RES0051.mp3[328.520,335.120] ALRIGHT DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0051.mp3[335.120,339.240] UMM POSSIBLY PENICILLIN +audio/RES0051.mp3[339.240,342.280] OK DO YOU KNOW WHAT THE REACTION WAS +audio/RES0051.mp3[342.280,345.240] I THINK I HAD A RASH +audio/RES0051.mp3[345.240,349.920] OK ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0051.mp3[349.920,352.840] I THINK YEAH I THINK SO +audio/RES0051.mp3[352.840,357.840] EXCELLENT AND ANY SURGERIES BEFORE +audio/RES0051.mp3[357.840,359.880] UMM NO +audio/RES0051.mp3[359.880,363.600] AND HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON +audio/RES0051.mp3[363.600,367.280] UMM NO NO +audio/RES0051.mp3[367.280,369.720] OK AND ARE YOU IN SCHOOL NOW +audio/RES0051.mp3[369.720,371.840] IM IN GRADE 6 +audio/RES0051.mp3[371.840,380.320] OK COOL WHATS YOUR FAVORITE CLASS +audio/RES0051.mp3[380.320,382.760] I WOULD SAY ITS MATH +audio/RES0051.mp3[382.760,389.560] AWESOME AND HAS THERE BEEN ANYBODY IN YOUR CLASS WHOS BEEN SICK +audio/RES0051.mp3[389.560,392.400] NO EVERYTHINGS VIRTUAL RIGHT NOW +audio/RES0051.mp3[392.400,397.760] OK COOL SO HAVE YOU TRAVELED ANYWHERE +audio/RES0051.mp3[397.760,401.360] UMM NO +audio/RES0051.mp3[401.360,406.280] ALRIGHT AND WHO ARE YOU LIVING WITH +audio/RES0051.mp3[406.280,414.600] I LIVE WITH TWO OF MY YOUNGER SIBLINGS AND MY MOM AND DAD +audio/RES0051.mp3[414.600,418.720] OK AND IS THERE ANY PHYSICAL OR VERBAL ABUSE IN THE HOME +audio/RES0051.mp3[419.280,423.920] OK SO YOU DO FEEL SAFE IN THE HOME +audio/RES0051.mp3[423.920,426.280] YES YES +audio/RES0051.mp3[426.280,431.640] OK AND DO YOU SMOKE CIGARETTES +audio/RES0051.mp3[431.640,433.160] I DONT +audio/RES0051.mp3[433.160,452.480] OK AND I KNOW SOME PEOPLE IN YOUR AGE GROUP MIGHT EVEN START USING OTHER TYPES OF SUBSTANCES HAVE YOU NOTICED ANYTHING LIKE THAT OR HAVE YOU USED ANYTHING LIKE THAT +audio/RES0051.mp3[452.480,453.520] UMM NO +audio/RES0051.mp3[453.520,460.960] OK AND SO DO YOU DRINK DO YOU DRINK ALCOHOL +audio/RES0051.mp3[460.960,467.680] I HAVE HAD A SIP OF WINE BUT THATS THATS ABOUT IT +audio/RES0051.mp3[467.680,478.600] OK GREAT AND HAS ANYBODY IN YOUR FAMILY HAD HAD SIMILAR SYMPTOMS +audio/RES0051.mp3[478.600,484.240] NO I DONT THINK SO +audio/RES0051.mp3[484.240,492.640] OK UM AND ANYBODY IN THE FAMILY HAVE ASTHMA OR LUNG CONDITIONS +audio/RES0051.mp3[492.640,507.520] I THINK MY AUNT HAS ASTHMA BUT I WAS I WAS CHECKED FOR ASTHMA WHEN I WAS YOUNGER AND IT TURNS OUT I DONT HAVE IT +audio/RES0051.mp3[507.520,515.840] OK AND ANY DISEASES THAT RUN IN THE FAMILY LIKE GENETIC OR CONGENITAL +audio/RES0051.mp3[515.840,517.560] I THINK CROHNS DISEASE +audio/RES0051.mp3[517.560,523.880] OK AND UMM WHO IN THE FAMILY HAS THAT +audio/RES0051.mp3[523.880,526.360] MY FATHER +audio/RES0051.mp3[526.360,538.840] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE YOU WANTED TO TELL ME +audio/RES0051.mp3[538.840,544.760] NO THATS IT WHAT DO YOU THINK I HAVE +audio/RES0051.mp3[544.760,592.400] WELL IT IS SOUNDING LIKE IT COULD BE MOST LIKELY AN INFECTIOUS TYPE OF PROCESS GOING ON WITH THE POSSIBILITY OF HAVING A FEVER WITH A COUGH AND SORE THROAT SO WELL DO A PHYSICAL EXAM AND ALSO SOME INVESTIGATIONS WHICH WILL INCLUDE A COVID TEST TODAY BECAUSE SOME OF THESE SYMPTOMS DO OVERLAP BUT IT COULD BE SOMETHING LIKE THE COMMON COLD I DONT KNOW THE VIRUS THATS BRINGING THIS ON BUT ITS NOT NECESSARILY COVID BUT BECAUSE WERE DOING THE TEST IT WILL REQUIRE 14 DAYS OF SELF ISOLATION WELL GET BACK TO YOU WITH THE RESULTS AS QUICKLY AS WE CAN +audio/RES0051.mp3[592.400,596.440] OK SOUNDS GREAT THANK YOU +audio/RES0190.mp3[0.000,1.480] HOW MAY I HELP YOU +audio/RES0190.mp3[1.480,17.720] YES I JUST CAME IN HERE TODAY I IVE JUST BEEN REALLY GETTING LIKE THE SORENESS IN MY THROAT FOR THE PAST I WOULD SAY FOUR DAYS AND I ALSO HAD A FEVER FOR THE LAST TWO DAYS AS WELL +audio/RES0190.mp3[17.720,26.600] OK SO THE SORE THROAT HAVE YOU BEEN HAVING PAIN WITH SWALLOWING FOODS OR LIQUIDS +audio/RES0190.mp3[26.600,38.400] UHM MAYBE A LITTLE BIT WITH SOLIDS NOT SO MUCH WITH LIQUIDS BUT YEAH I DEFINITELY BEEN FEELING MORE SORE +audio/RES0190.mp3[38.400,43.480] OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE +audio/RES0190.mp3[43.480,51.440] UHM NO NOT REALLY NOT I HAVENT REALLY NOTICE ANY CHANGES +audio/RES0190.mp3[51.440,58.000] OK UH HAVE YOU NOTICED ANY REDNESS IN THE BACK OF YOUR MOUTH +audio/RES0190.mp3[58.000,71.840] YEAH IVE NOTICED SOME REDNESS AND THEN I ALSO FEEL LIKE THERES LIKE SOME MATERIAL LIKE WHITISH MATERIAL COMING UP FROM THE BACK OF MY THROAT +audio/RES0190.mp3[71.840,87.960] OK THIS COULD BE A UH WHAT THEY CALL A TONSILLAR EXUDATE POSSIBLY WELL LOOK ON PHYSICAL EXAM OK DOES IT LOOK LIKE THERES SWELLING IN THE BACK OF YOUR MOUTH +audio/RES0190.mp3[87.960,92.600] YEAH IT DEFINITELY LOOKS ANGRY +audio/RES0190.mp3[92.600,101.960] OK HAVE YOU NOTICED ANY SWELLING IN YOUR NECK AS WELL LIKE EITHER ON ON THE SIDES LIKE OR ANY LUMPS THERE +audio/RES0190.mp3[101.960,114.920] YEAH DEFINITELY LIKE MORE ON THE FRONT SIDE OF MY NECK ON BOTH SIDES I FEEL KIND OF LIKE SOME SWELLING AND LUMPS +audio/RES0190.mp3[114.920,122.680] OK AND YOUVE HAD A FEVER AS WELL THESE LAST COUPLE OF DAYS SO HAVE YOU HAD ANY CHILLS +audio/RES0190.mp3[122.680,137.280] YEAH IVE HAD CHILLS AND THEN ALSO BEEN FEELING WARM DURING THE DAY I THINK YESTERDAY I TOOK A TEMPERATURE AT NIGHT AND IT WAS 384 DEGREES CELSIUS +audio/RES0190.mp3[137.280,145.160] OK SO YEAH CERTAINLY A FEVER HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0190.mp3[147.080,149.880] OK UHM AND HAVE YOU HAD ANY HEADACHES +audio/RES0190.mp3[149.880,151.440] NO HEADACHES +audio/RES0190.mp3[151.440,155.240] HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE +audio/RES0190.mp3[155.960,158.520] ANY CHANGES TO YOUR VISION OR HEARING +audio/RES0190.mp3[159.880,163.640] OK ANY EAR PAIN +audio/RES0190.mp3[164.160,167.840] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +audio/RES0190.mp3[167.840,181.920] LAST WEEK I DID HAVE A LITTLE BIT OF A RUNNY NOSE AND A LITTLE BIT OF A COUGH AS WELL BUT THIS WEEK IM NOT REALLY HAVING ANY COUGH OR RUNNY NOSE ITS JUST A SORE THROAT +audio/RES0190.mp3[181.920,186.040] OK SO THE RUNNING NOSE AND COUGH HAVE GONE AWAY COMPLETELY +audio/RES0190.mp3[187.360,190.360] OK AND HOW LONG DID THOSE LAST FOR +audio/RES0190.mp3[190.360,201.120] UHM PROBABLY LIKE 5 DAYS SO ITS I THINK IT STARTED TWO WEEKS AGO +audio/RES0190.mp3[201.120,205.200] OK AND YOURE AN ARE YOU HAVING A COUGH NOW +audio/RES0190.mp3[205.200,210.600] NO NO COUGH RIGHT NOW +audio/RES0190.mp3[210.600,218.240] OK UHM AND UH OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +audio/RES0190.mp3[218.240,221.240] UH NO THEYVE BOTH BEEN THE SAME +audio/RES0190.mp3[221.240,226.600] OK AND HAVE YOU HAD ANY LOSS OF APPETITE +audio/RES0190.mp3[226.600,242.120] UHM NO MY APPETITES BEEN PRETTY MUCH THE SAME I I STILL TRY AND I I DO GET HUNGRY AND I TRY TO MAKE SURE EVEN THOUGH IT HURTS A LITTLE BIT TO KEEP EATING +audio/RES0190.mp3[242.120,251.600] OK UHM AND WHEN YOU DID HAVE A COUGH OR DURING THIS TIME AS WELL HAVE YOU COUGHED UP ANY SPUTUM OR ANY BLOOD +audio/RES0190.mp3[251.600,255.360] NO NOTHING LIKE THAT +audio/RES0190.mp3[255.360,260.000] OK UH HAVE YOU HAD ANY WHEEZING +audio/RES0190.mp3[260.000,262.200] UHM NO WHEEZING +audio/RES0190.mp3[262.200,266.280] OK NOW HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0190.mp3[266.280,268.640] NO NO SHORTNESS OF BREATH +audio/RES0190.mp3[268.640,274.160] OK AND THEN HOW ABOUT ANY CHEST PAIN +audio/RES0190.mp3[274.160,276.080] NO NO CHEST PAIN +audio/RES0190.mp3[276.080,282.080] ALRIGHT SO HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +audio/RES0190.mp3[284.240,288.720] OK HAVE YOU HAD ANY HEART PALPITATIONS +audio/RES0190.mp3[288.720,290.880] UH NO +audio/RES0190.mp3[290.880,295.600] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0190.mp3[295.880,299.840] HAVE YOU HAD ANY DIARRHEA +audio/RES0190.mp3[300.440,304.240] HAVE YOU HAD ANY CONSTIPATION +audio/RES0190.mp3[304.240,305.480] AH NO +audio/RES0190.mp3[305.480,313.320] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN WITH VOIDING OR URINARY FREQUENCY +audio/RES0190.mp3[313.320,316.000] NO NOTHING LIKE THAT +audio/RES0190.mp3[316.000,322.000] OK AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0190.mp3[323.000,327.640] OK UHM HAVE YOU HAD ANY RASHES +audio/RES0190.mp3[329.440,334.280] HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS +audio/RES0190.mp3[334.280,339.240] UH NO NOT THAT I KNOW OF +audio/RES0190.mp3[339.240,344.840] OK UHM HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS +audio/RES0190.mp3[346.360,352.360] OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY LIKE ANY FATIGUE OR MALAISE +audio/RES0190.mp3[352.360,360.360] UHM NO I DONT THINK SO IM STILL I STILL FEEL LIKE PRETTY ENERGETIC +audio/RES0190.mp3[360.360,365.960] OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0190.mp3[365.960,369.520] NO NO IVE BEEN PRETTY HEALTHY +audio/RES0190.mp3[369.520,379.120] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED +audio/RES0190.mp3[381.040,384.680] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0190.mp3[384.680,387.080] NO NOT THAT I KNOW OF +audio/RES0190.mp3[387.080,392.480] OK AND DO YOU HAVE ANY ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0190.mp3[392.480,397.840] YEAH AS FAR AS I KNOW +audio/RES0190.mp3[397.840,407.600] OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION SO LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0190.mp3[407.600,418.680] YEAH I I LIVE WITH MY PARENTS RIGHT NOW IN A IN A HOUSE JUST IN THE CITY AND I ALSO LIVE WITH MY OLDER BROTHER +audio/RES0190.mp3[418.680,421.640] OK HAVE YOU BEEN GOING TO SCHOOL +audio/RES0190.mp3[421.640,431.160] YEAH RIGHT NOW ITS ONLINE SCHOOL RIGHT NOW DUE TO THE PANDEMIC +audio/RES0190.mp3[431.160,437.440] OK AND HAS ANYBODY AT HOME BEEN SICK OR HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0190.mp3[437.440,452.160] MY BROTHER DID HAVE LIKE SIMILAR SORE THROAT SYMPTOMS I THINK MAYBE TWO WEEKS AGO AND HE DID GET SOME MEDICATIONS FROM THE DOCTOR +audio/RES0190.mp3[452.160,458.040] OK SO DID HE GET ANTIBIOTICS +audio/RES0190.mp3[458.040,461.280] I THINK SO I THINK HE GOT SOME ANTIBIOTICS +audio/RES0190.mp3[461.280,469.360] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0190.mp3[469.360,471.560] UH NO +audio/RES0190.mp3[471.560,488.120] ALRIGHT AND I KNOW IF SOME PEOPLE IN YOUR AGE GROUP MIGHT EXPERIENCE WITH SMOKING OR OR ALCOHOL HAVE YOU OR ANY OF YOUR FRIENDS TRIED ANYTHING LIKE THAT BEFORE +audio/RES0190.mp3[488.120,492.840] NO NO NOTHING LIKE THAT +audio/RES0190.mp3[492.840,509.720] OK AND EVERYTHING THAT WE TALK ABOUT IS ALWAYS CONFIDENTIAL SO YOU CAN FEEL SAFE SHARING WITH ME AND SO HAS THERE BEEN ANY CONCERNS WITH PHYSICAL OR EMOTIONAL VIOLENCE AT HOME +audio/RES0190.mp3[509.720,515.720] NO I FEEL PRETTY SAFE MY PARENTS ARE PRETTY CARING AND LOVING +audio/RES0190.mp3[515.720,521.800] OK WELL THATS EXCELLENT AND ARE YOU SEXUALLY ACTIVE +audio/RES0190.mp3[524.360,527.320] OK HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST +audio/RES0190.mp3[527.320,534.480] NO NOT AT ALL +audio/RES0190.mp3[534.480,544.200] OK AND NOW IN THE FAMILY ARE THERE ANY CONDITIONS SUCH AS HEART PROBLEMS OR LUNG PROBLEMS THAT RUN IN THE FAMILY +audio/RES0190.mp3[544.200,548.160] UH NO LIKE MY PARENTS ARE PRETTY HEALTHY +audio/RES0190.mp3[548.160,556.160] OK UHM AND ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0190.mp3[557.400,559.680] OK AND HOWS SCHOOL GOING +audio/RES0190.mp3[559.680,572.640] SCHOOL IS GOING PRETTY WELL NO REAL ISSUES IT TOOK SOME TIME AND ADJUSTING TO THE NEW ONLINE CURRICULUM BUT ITS GOING PRETTY WELL NOW +audio/RES0190.mp3[572.640,588.280] OK WELL THATS GOOD IM GLAD THAT YOU BEEN ABLE TO UH ADJUST SO I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANYTHING ELSE THAT YOU MAYBE WANTED TO ADD OR THAT I MAYBE FORGOT TO ASK ABOUT +audio/RES0190.mp3[588.280,596.880] NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD +audio/RES0190.mp3[596.880,674.240] OK SO WITH YOUR CURRENT SYMPTOMS RIGHT NOW WITH NO COUGH TONSILLAR EXUDATE A FEVER ALSO YOUR AGE AND THE LIKE SWELLING AND REDNESS THAT YOU NOTICE IN THE BACK OF YOUR THROAT IS LIKELY A GROUP A STREP PHARYNGITIS THATS CAUSING THIS AND WITH YOUR EXPOSURE TO YOUR BROTHER WHO ALSO RECEIVED ANTIBIOTICS COULD BE POTENTIALLY BE A SICK CONTACT FOR YOU THAT YOU WERE AROUND SO THIS WOULD REQUIRE ANTIBIOTICS AS WELL FOR YOURSELF AND WELL DO A RAPID STREP ANTIGEN TEST TO CHECK FOR THIS AND WAIT ON THE RESULT FOR THAT BECAUSE IT IT STILL COULD POSSIBLY BE A VIRAL ILLNESS AND SO THAT PASSES NEGATIVE AND WERE THINKING ITS A VIRAL ILLNESS THEN WE MIGHT HOLD OFF ON ANTIBIOTICS FOR NOW AND MONITOR SYMPTOMS AND IF AT ANY POINT THINGS GET WORSE LIKE YOU START TO GET SHORTNESS OF BREATH OR YOUR FEVERS GETTING WORSE AND ITS NOT NOT BEING CONTROLLED THEN WELL REEASSESS THE SITUATION +audio/RES0190.mp3[674.240,677.880] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0190.mp3[677.880,681.160] THANK YOU +audio/MSK0009.mp3[0.000,8.840] HOW MAY I HELP YOU +audio/MSK0009.mp3[8.840,35.880] SO IVE JUST BEEN HAVING THIS PAIN IN MY KNEE SINCE I UM JUST FELL UH JUST THREE DAYS AGO SLIPPING ON THE STAIRS SINCE THEN IVE BEEN HAVING A LOT OF PAIN +audio/MSK0009.mp3[35.880,45.400] I SEE UH SO DID THIS PAIN START RIGHT AFTER LIKE FALLING ON THE STAIRS +audio/MSK0009.mp3[45.400,50.360] YEAH YEAH IVE BEEN HAVING THE PAIN SINCE THEN +audio/MSK0009.mp3[51.040,55.400] AND THAT WAS THREE DAYS AGO +audio/MSK0009.mp3[55.400,62.480] THREE DAYS AGO OK AND YOURE FEELING THE PAIN IN YOUR IN YOUR RIGHT KNEE +audio/MSK0009.mp3[62.480,67.960] YEAH IN MY RIGHT KNEE +audio/MSK0009.mp3[67.960,76.640] OK UH AND WHAT WOULD YOU SAY THE CHARACTER OF THE PAIN IS OR HOW WOULD YOU DESCRIBE THE PAIN +audio/MSK0009.mp3[76.640,82.880] ITS KIND OF LIKE A DULL ACHING PAIN +audio/MSK0009.mp3[82.880,91.840] OK AND HAS THE PAIN BEEN GETTING UM ANY BETTER OR ANY WORSE +audio/MSK0009.mp3[91.840,102.160] UHM ITS KIND OF GETTING WORSE ACTUALLY JUST IN MY RIGHT KNEE AS WELL AS MY WHOLE RIGHT CALF AS WELL +audio/MSK0009.mp3[102.160,111.080] OK OK UH WHAT IS THE INTENSITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT +audio/MSK0009.mp3[111.080,115.840] PROBABLY AROUND 6 +audio/MSK0009.mp3[115.840,126.320] OK UM AND DID YOUR KNEE HURT BEFORE THIS AT ALL OR DID YOU HAVE ANY TRAUMA TO THE LEG BEFORE +audio/MSK0009.mp3[126.320,137.600] NO NO BEFORE 3 DAYS AGO BEFORE MY SLIP I WAS FINE +audio/MSK0009.mp3[137.600,142.600] OK ARE YOU FEELING THE PAIN ANYWHERE ELSE BESIDES YOUR RIGHT KNEE +audio/MSK0009.mp3[142.600,149.600] IN MY CALF IM GETTING A LOT OF PAIN AS WELL IN MY RIGHT CALF +audio/MSK0009.mp3[149.600,154.600] OK HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE +audio/MSK0009.mp3[154.600,173.040] YEAH IF I AM IF IM WALKING OR IF IM MOVING THAT LEG AND PUTTING WEIGHT ON IT ITS DEFINITELY WORSE SO ITS DEFINITELY LIKE BETTER IF I JUST STAY SEATED AND STAY RESTING +audio/MSK0009.mp3[173.040,179.720] OK IS THERE ANYTHING SHE SAID RESTING THAT HELPS IS THERE ANYTHING ELSE THATS HELPED +audio/MSK0009.mp3[179.720,192.960] I DID TAKE SOME ADVIL WHICH DID HELP FOR A FEW HOURS BUT THEN IT JUST KIND OF WENT BACK TO THE SAME +audio/MSK0009.mp3[192.960,206.320] OK UHM AND YEAH HAVE YOU HAD ANY OTHER UH LIKE ASSOCIATED SYMPTOMS WITH THE RIGHT KNEE AND CALF PAIN +audio/MSK0009.mp3[206.320,216.360] YES I ALSO THINK THERES SOME SWELLING IN MY RIGHT CALF AS WELL SINCE YESTERDAY +audio/MSK0009.mp3[216.360,222.720] OK OK THERES SOME SWELLING THERE +audio/MSK0009.mp3[223.800,231.720] HAVE NOTICED IF YOUR CALF WAS RED OR IF THERE WAS A RASH OVER IT +audio/MSK0009.mp3[231.720,243.640] I DONT SEE ANY RASHES OR REDNESS BUT IT DEFINITELY DOES SEEM SWOLLEN AND THEN IT HURTS AS WELL WHEN I MOVE IT OR PRESS IT +audio/MSK0009.mp3[243.640,253.560] OK UH OK AND WHEN YOU FELL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR YOUR HANDS OR WRISTS +audio/MSK0009.mp3[253.560,258.840] UM JUST A FEW SCRATCHES ON MY HANDS BUT NOTHING TOO BAD +audio/MSK0009.mp3[258.840,264.320] AND HOW ABOUT YOUR HEAD DID YOU LOSE CONSCIOUSNESS OR OR HIT YOUR HEAD +audio/MSK0009.mp3[264.320,272.600] NO NO I DIDNT HIT MY HEAD AT ALL I CAUGHT MYSELF BEFORE THEN AND NO I DIDNT LOSE ANY CONSCIOUSNESS +audio/MSK0009.mp3[272.600,279.280] OK OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0009.mp3[280.760,285.760] OK HAVE YOU HAD ANY CHEST PAIN +audio/MSK0009.mp3[286.360,289.360] HAVE YOU HAD ANY COUGH +audio/MSK0009.mp3[289.360,292.680] NO COUGH +audio/MSK0009.mp3[292.680,297.480] HAVE YOU HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/MSK0009.mp3[298.680,304.400] OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS +audio/MSK0009.mp3[306.080,314.600] OK AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING +audio/MSK0009.mp3[314.600,319.000] NO NOTHING LIKE THAT +audio/MSK0009.mp3[319.000,330.560] OK UH AND HAVE YOU HAD ANY LIKE INFECTIOUS SYMPTOMS SUCH AS LIKE LIKE A RUNNY NOSE OR SORE THROAT +audio/MSK0009.mp3[330.560,334.080] NO NOTHING LIKE THAT +audio/MSK0009.mp3[334.080,342.160] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0009.mp3[343.160,345.400] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0009.mp3[347.080,354.520] OK HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR OR CONSTIPATION +audio/MSK0009.mp3[354.520,356.800] NO NOTHING LIKE THAT +audio/MSK0009.mp3[356.800,361.240] ALRIGHT SO HAVE YOU HAD ANY URINARY PROBLEMS +audio/MSK0009.mp3[362.000,367.160] ALRIGHT SO HAVE YOU HAD ANY RECENT WEIGHT CHANGES +audio/MSK0009.mp3[367.160,376.520] NO NOTHING LIKE THAT +audio/MSK0009.mp3[376.520,383.680] OK UHM AND UM HAVE YOU HAVE YOU NOTICED ANY ANY RASHES ANYWHERE ELSE OVER YOUR WHOLE BODY +audio/MSK0009.mp3[383.680,386.600] NO NOT THAT IVE NOTICED +audio/MSK0009.mp3[386.600,392.760] ALRIGHT HAVE YOU NOTICED ANY MUSCLE WEAKNESS +audio/MSK0009.mp3[394.880,399.280] HAVE YOU HAD ANY NUMBNESS TO THE SKIN +audio/MSK0009.mp3[399.280,403.240] NOT THAT IVE NOTED NO +audio/MSK0009.mp3[403.240,407.320] AND HAVE YOU HAD ANY TINGLING +audio/MSK0009.mp3[407.320,416.720] NO OK +audio/MSK0009.mp3[416.720,423.760] AND UM SO IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0009.mp3[423.760,429.400] I DO HAVE SOME HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE +audio/MSK0009.mp3[429.400,433.040] I SEE AND DO YOU TAKE ANY MEDICATIONS +audio/MSK0009.mp3[433.040,444.080] YEAH SO CHOLESTEROL IM TAKING A LIKE A CRESTOR MEDICATION AND THEN FOR HIGH BLOOD PRESSURE IM TAKING A RAMIPRIL +audio/MSK0009.mp3[444.080,456.360] OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES BEFORE +audio/MSK0009.mp3[456.360,471.360] UM JUST A NO I I DONT UM JUST BESIDES A CSECTION FOR ONE OF MY CHILDREN I DONT HAVE ANY OTHER SURGERIES +audio/MSK0009.mp3[471.360,485.840] OK IM AND HAVE YOU HAD ANY THROMBOSIS BEFORE OR A BLOOD CLOT IN THE PAST +audio/MSK0009.mp3[485.840,491.440] NO IVE NEVER HAD ANYTHING LIKE THAT +audio/MSK0009.mp3[491.440,503.480] OK AND UH HAVE YOU BEEN SO YOU YOUVE HAD THE BIRTH OF YOUR YOU PREGNANT AT OTHER TIMES IN THE PAST +audio/MSK0009.mp3[503.480,508.240] UM NO THAT WAS THAT WAS IT +audio/MSK0009.mp3[508.240,511.760] OK SO HAVE YOU HAD A MISCARRIAGE BEFORE +audio/MSK0009.mp3[513.400,517.080] OK ANY ALLERGIES TO MEDICATIONS +audio/MSK0009.mp3[517.080,518.800] NO ALLERGIES +audio/MSK0009.mp3[518.800,534.880] OK AND UHM COULD YOU TELL ME A LITTLE BIT ABOUT YOUR UHM LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS YOURE LIVING +audio/MSK0009.mp3[534.880,547.760] YEAH I LIVE WITH MY HUSBAND AND OUR DAUGHTER AND ITS JUST IN A SMALL TOWNHOUSE JUST IN THE CITY +audio/MSK0009.mp3[547.760,553.200] OK AND ARE YOU WORKING CURRENTLY +audio/MSK0009.mp3[553.200,566.600] I I DO WORK FROM HOME IM ACTUALLY JUST AN ACCOUNTING CLERK BUT I MOST OF MY WORK IS FROM HOME RIGHT NOW +audio/MSK0009.mp3[566.600,570.600] OK AND ANY EXPOSURES TO ANYBODY WHOS BEEN SICK +audio/MSK0009.mp3[572.080,575.120] HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0009.mp3[575.120,578.960] UM NOPE +audio/MSK0009.mp3[578.960,591.480] OK UH AND OVER THE LAST COUPLE OF DAYS WITH THAT WITH THE LEG PAIN DO YOU FEEL AS THOUGH YOUVE BEEN LIKE IMMOBILIZED +audio/MSK0009.mp3[591.480,605.440] YEAH IVE BEEN TRYING TO JUST LIKE STAY RESTED JUST STAY SEATED OTHERWISE IT HURTS A LOT ESPECIALLY AFTER MY FALL SO IVE TRIED TO STAY IMMOBILIZED +audio/MSK0009.mp3[605.440,612.800] OK FOR THE LAST COUPLE OF DAYS OK UH AND UH DO YOU DRINK ALCOHOL +audio/MSK0009.mp3[612.800,624.240] JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS OR RELATIVES LIKE A GLASS OF WINE +audio/MSK0009.mp3[624.240,633.080] OK AND DO YOU USE RECREATIONAL DRUGS LIKE MARIJUANA OR OR OTHER THINGS SUCH LIKE COCAINE +audio/MSK0009.mp3[633.080,637.360] NO IVE NEVER TRIED THAT +audio/MSK0009.mp3[637.360,641.240] OK AND DO YOU SMOKE CIGARETTES +audio/MSK0009.mp3[641.240,648.880] UHM NO I DONT +audio/MSK0009.mp3[648.880,660.080] OK IM OK SO OH AND UH IN THE FAMILY ARE THERE ANY HISTORY OF HEART OR LUNG CONDITIONS +audio/MSK0009.mp3[660.080,675.840] UM SO I DONT KNOW ABOUT HEART OR LUNG CONDITIONS BUT UH MY MOTHER HAD A STROKE IN HER LATE 60S AND MY FATHER IS PRETTY HEALTHY +audio/MSK0009.mp3[675.840,683.840] OK HAS THERE BEEN ANY BLOOD CLOTS IN THE FAMILY BEFORE +audio/MSK0009.mp3[683.840,695.240] IM NOT SURE ABOUT BLOOD CLOTS BUT MY MOTHER HAD A STROKE THATS IS THAT KIND OF LIKE A BLOOD CLOT +audio/MSK0009.mp3[695.240,710.760] 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 WOULDNT BE ABLE TO SAY FOR SURE +audio/MSK0009.mp3[711.760,717.080] JUST BECAUSE YEAH THERE ARE SO MANY DIFFERENT TYPES OR REASONS FOR FOR HAVING A STROKE +audio/MSK0009.mp3[717.080,721.480] I SEE OK +audio/MSK0009.mp3[721.480,739.920] SO YEAH SO YOU MENTIONED YOUR LEG HAS SOME SWELLING UM DO YOU FEEL AS THOUGH THERES ANY ANY LIKE TEMPERATURE CHANGE TO YOUR CALF LIKE IS IT HOT +audio/MSK0009.mp3[739.920,748.320] UHM I THINK I I DONT KNOW IF ITS MAYBE A LITTLE BIT WARM BUT DEFINITELY SWOLLEN +audio/MSK0009.mp3[748.320,760.080] OK AND DO YOU FEEL IS THERE ANY PAIN TO PALPATION LIKE IF YOU TOUCH YOUR CALF OR SOMETHING LIKE THAT IS THERE PAIN +audio/MSK0009.mp3[760.080,780.600] YEAH IF I TOUCH MY RIGHT CALF ITS PAINFUL AND THEN IF I PRESS DOWN ON ITS REALLY PAINFUL AND THEN JUST ON THE OUTSIDE OF MY RIGHT KNEE IF I TOUCH OR PRESS DOWN IT REALLY HURTS AS WELL +audio/MSK0009.mp3[780.600,794.080] 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 +audio/MSK0009.mp3[794.080,807.160] YEAH YEAH ILL TRY THAT AND YEAH I THINK IT DEFINITELY HURTS WHEN I WHEN I MOVE MY OR POINT MY TOES TOWARDS MY NOSE +audio/MSK0009.mp3[807.160,823.280] 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 +audio/MSK0009.mp3[823.280,832.360] NO I THINK THATS ALL +audio/MSK0009.mp3[832.360,921.360] OK YEAH ALRIGHT SO WITH THE I FALL 2 DAYS AGO THINGS THAT IM THINKING ABOUT RIGHT NOW WOULD BE POSSIBLY A MUSCLE STRAIN SO THIS COULD BE A GASTROCNEMIUS STRAIN TO THE CALF MUSCLE ITSELF FROM FROM THE FALL WHICH COULD HAVE PAIN WHEN YOU TOUCH IT THERE COULD BE SOME SWELLING AND SAID IT WOULD BE AGGRAVATED BY MOVEMENTS ALSO COULD BE LIKE INJURIES TO SOME OF THAT THE LIGAMENTS THERE AS WELL AND HOWEVER WITH THIS THE SWELLING IMMOBILIZATION FOR THE LAST TWO DAYS AS WELL AS THE PAIN KIND OF BEING A BIT PROGRESSIVE THAT WITH SWELLING AND A POSITIVE HOMAN IN TEST AND YOUR TEMPERATURE IS A LITTLE BIT ELEVATED TODAY NOT QUITE A FEVER BUT FEVERISH IT DOES INCREASE THE SUSPICION FOR DEEP VEIN THROMBOSIS AND SO I THINK THE MOST LIKELY THING RIGHT NOW IS ACTUALLY A DVT OR DEEP VEIN THROMBOSIS AND SO WE WILL ORDER SOME DIAGNOSTIC STUDIES GET AN ULTRASOUND OF YOUR RIGHT CALF AS WELL AS AN X RAY OF THE RIGHT KNEE TO TO START OK +audio/MSK0009.mp3[921.360,925.600] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0129.mp3[0.000,2.160] WHAT BRINGS YOU IN +audio/RES0129.mp3[2.160,22.040] I JUST BRINGING MY SON IN TODAY BECAUSE HES HAD THIS COUGH THATS BEEN GOING ON FOR A FEW DAYS NOW AND FOR THESE PAST TWO DAYS IVE NOTICED THAT HES BEEN JUST TUGGING AT HIS EAR MORE AS WELL +audio/RES0129.mp3[22.040,28.040] OK SO YOU SAID THE RUNNY NOSE STARTED TWO DAYS AGO +audio/RES0129.mp3[28.040,34.080] YEAH YEAH HE HAD A COUGH YEAH COUGH AND RUNNY NOSE STARTED ABOUT YEAH 23 DAYS AGO +audio/RES0129.mp3[34.080,40.240] OKAY THE RUNNY NOSE WHAT COLOR IS THE DISCHARGE +audio/RES0129.mp3[40.240,43.360] PRETTY CLEAR AND WATERY +audio/RES0129.mp3[43.360,49.000] OK AND THE COUGHING IS IT DRY OR IS IT BRINGING UP ANY PHLEGM +audio/RES0129.mp3[49.000,50.640] ITS BEEN DRY +audio/RES0129.mp3[50.640,56.880] ITS BEEN DRY OK AND DOES IT SOUND HARSH +audio/RES0129.mp3[56.880,58.520] NOT REALLY +audio/RES0129.mp3[59.840,65.520] I DONT KNOW IT SOUNDS KINDA LIKE A TYPICAL COUGH +audio/RES0129.mp3[65.520,70.360] OK HAS HE LOST HIS SENSE OF TASTE OR SMELL +audio/RES0129.mp3[70.360,76.720] HES BEEN A BIT MORE IRRITABLE AND NOT EATING AS MUCH BUT IM NOT SURE +audio/RES0129.mp3[76.720,83.240] OK HOW ABOUT CHANGES IN HIS VISION OR HEARING +audio/RES0129.mp3[85.560,90.120] OK ANY FEVERS +audio/RES0129.mp3[90.120,99.560] UHM I DONT THINK SO BUT HE WE HAVENT CHECKED AND HES BEEN YEAH AS I SAID KINDA A LITTLE BIT IRRITABLE +audio/RES0129.mp3[99.560,103.520] OK ANY WEIGHT LOSS RECENTLY +audio/RES0129.mp3[103.520,118.360] UHM NO HES BEEN GAINING WEIGHT ACTUALLY SORRY I THINK IT YEAH HE HAS HAD A FEVER THE FEVER YEAH THE FEVER STARTED LIKE YESTERDAY +audio/RES0129.mp3[118.360,122.960] OH OK DID YOU TAKE HIS TEMPERATURE +audio/RES0129.mp3[122.960,132.800] YEAH MY MY WIFE JUST TEXTED ME AND TOLD ME THAT SHE CHECKED IT CHECKED IT AND SAID IT WAS OVER 38 +audio/RES0129.mp3[132.800,144.360] OH OK YEAH WELL DEFINITELY TAKE A TEMPERATURE HERE AS WELL JUST TO MAKE SURE HAS HE HAD ANY RASHES +audio/RES0129.mp3[145.560,151.440] NO RASHES OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +audio/RES0129.mp3[151.440,156.000] NO I HAVENT HEARD THAT +audio/RES0129.mp3[156.000,163.440] NO OK AND THEN HAVE YOU ACTUALLY TAKEN A LOOK INTO HIS EARS +audio/RES0129.mp3[163.440,166.680] NO I HAVENT HE HAS JUST BEEN TUGGING AT THE RIGHT ONE +audio/RES0129.mp3[166.680,170.600] IS HE ITCHING IT AT ALL +audio/RES0129.mp3[170.600,177.120] UH YEAH I GUESS JUST KIND OF LIKE REALLY RUBBING IT AROUND THE OUTSIDE AND PULLING ON THE LOBE A LITTLE BIT +audio/RES0129.mp3[177.120,180.520] OK ANY DISCHARGE OH SORRY GO AHEAD +audio/RES0129.mp3[180.520,186.400] SORRY IM JUST GONNA SAY YEAH HES BEEN KIND OF FUSSY AND POINTING AT IT AND NO DISCHARGE FROM THE EAR +audio/RES0129.mp3[186.400,192.320] NO DISCHARGE OK DOES IT LOOK SWOLLEN +audio/RES0129.mp3[192.320,195.960] NO THE OUTSIDE OF THE EAR LOOKS NORMAL +audio/RES0129.mp3[195.960,202.360] OK OK AND HOW HAVE HIS BOWEL MOVEMENTS BEEN +audio/RES0129.mp3[202.360,203.640] THATS BEEN NORMAL +audio/RES0129.mp3[203.640,206.880] NORMAL ANY CHANGES IN HIS URINE +audio/RES0129.mp3[206.880,208.800] NO ITS BEEN NORMAL +audio/RES0129.mp3[208.800,211.400] NAUSEA OR VOMITING +audio/RES0129.mp3[212.960,215.640] UHM HEADACHES +audio/RES0129.mp3[215.640,217.680] NO I DONT THINK SO +audio/RES0129.mp3[217.680,222.160] OK HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0129.mp3[223.280,227.440] NO ANY CONFUSION OR MEMORY LOSS +audio/RES0129.mp3[227.440,230.720] NO I DONT THINK SO +audio/RES0129.mp3[230.720,236.120] NO OK IS HE AN OTHERWISE HEALTHY CHILD +audio/RES0129.mp3[236.120,253.440] YEAH HE HE IS I MEAN HE UHM ABOUT SIX MONTHS AGO HE HAD UHM CROUP I THINK BUT HE RECOVERED QUICKLY FROM THAT AND HE DIDNT NEED TO BE HOSPITALIZED OR ANYTHING +audio/RES0129.mp3[253.440,260.160] OK AND HIS MOTHERS PREGNANCY WITH HIM WAS IT COMPLICATED IN ANY WAY +audio/RES0129.mp3[260.160,274.080] SHE HAD GESTATIONAL DIABETES BUT IT WAS DIET CONTROLLED AND SHES HEALTHY NOW FROM THAT PERSPECTIVE +audio/RES0129.mp3[274.080,280.520] OK OK THATS GOOD UHM AND THEN WAS HE BORN AT TERM +audio/RES0129.mp3[280.520,285.640] HE WAS YEAH HE WAS BORN OVER LIKE 38 WEEKS I THINK +audio/RES0129.mp3[285.640,290.080] OH OK GOOD AND WAS IT A CSECTION OR A VAGINAL DELIVERY +audio/RES0129.mp3[290.080,291.280] UHH VAGINAL +audio/RES0129.mp3[291.280,296.480] OK ANY COMPLICATIONS DURING THE DELIVERY +audio/RES0129.mp3[296.480,301.280] UHH NO +audio/RES0129.mp3[301.280,309.200] NO OK HOW ABOUT UHM AFTER BIRTH WAS HE HOSPITALIZED FOR ANY REASON +audio/RES0129.mp3[309.200,313.360] NO HE WASNT HE WAS ABLE TO GO HOME +audio/RES0129.mp3[313.360,330.440] OK THATS GOOD UHM AND HAS HE BEEN DEVELOPING NORMALLY IN TERMS OF HIS MOTOR MOVEMENTS LIKE BEHAVIOR WISE SOCIAL WISE LIKE IS HE ON PAR WITH HIS PEERS IN TERMS OF MILESTONES +audio/RES0129.mp3[330.440,335.520] YEAH HE IS YEAH EVERYTHINGS BEEN NORMAL THAT WAY AND HES BEEN GROWING WELL TOO +audio/RES0129.mp3[335.520,343.080] OK GOOD GROWING WHILE GAINING WEIGHT WELL OK IS HE ON ANY MEDICATIONS +audio/RES0129.mp3[343.080,345.280] NO HES NOT +audio/RES0129.mp3[345.280,350.120] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0129.mp3[350.120,357.680] HE IS YEAH WEVE BEEN FOLLOWING ALONG WITH WITH THAT +audio/RES0129.mp3[357.680,361.960] OK DOES HE HAVE ANY ALLERGIES +audio/RES0129.mp3[361.960,363.840] I DONT THINK SO +audio/RES0129.mp3[363.840,369.440] NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0129.mp3[369.440,370.360] UH NO +audio/RES0129.mp3[370.360,377.120] NO OK DOES ANYONE AT HOME SMOKE +audio/RES0129.mp3[377.120,388.680] UHM I DO BUT NOT LIKE IN THE HOUSE OR ANYTHING LIKE THAT USUALLY JUST WELL IT WILL ALWAYS BE EITHER OUTSIDE OR WHEN IM AT WORK +audio/RES0129.mp3[388.680,396.280] OK OK ANY OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT IN YOUR HOME +audio/RES0129.mp3[397.480,399.560] NO OK WHO DOES HE LIVE WITH +audio/RES0129.mp3[399.560,404.880] SO YEAH HE LIVES WITH ME ITS JUST ME AND MY WIFE +audio/RES0129.mp3[404.880,409.720] OK ANY PETS AT HOME +audio/RES0129.mp3[409.720,410.760] WE HAVE A A DOG +audio/RES0129.mp3[410.760,420.680] OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0129.mp3[420.680,423.240] UH NOT THAT I CAN THINK OF +audio/RES0129.mp3[423.240,427.680] OK IS HE IN LIKE DAYCARE +audio/RES0129.mp3[427.680,440.160] NO NO MY WIFES BEEN BEEN LOOKING LOOKING AFTER HIM AT HOME SHES THE PRIMARY CAREGIVER WELL WHILE IM AT WORK +audio/RES0129.mp3[440.160,443.080] OK ANY TROUBLE RECENTLY +audio/RES0129.mp3[443.080,446.120] NO NO +audio/RES0129.mp3[446.120,455.080] NO OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0129.mp3[455.080,461.600] UHH NO JUST WAS WONDERING WHAT WHAT MIGHT BE GOING ON +audio/RES0129.mp3[461.600,545.280] YEAH FOR SURE SO RIGHT NOW IT SOUNDS LIKE A VIRAL PICTURE IT SOUNDS LIKE HE HAS A COLD AND POSSIBLY AN EAR INFECTION ID HAVE TO TAKE A LOOK INTO HIS EAR TO BE ABLE TO TELL MORE UHM BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WELL PROBABLY DO A SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UHM AND SO AFTER I TAKE A LOOK INTO HIS EARS WE CAN DO ONE OF A COUPLE OF THINGS SO IF HIS TYMPANIC MEMBRANE LOOKS LIKE ITS BEEN PERFORATED OR IF THERES PUS IN THERE THEN WELL PRESCRIBE HIM A 10 DAY COURSE OF ANTIBIOTICS AND IF I SEE LIKE MIDDLE EAR EFFUSION OR HIS TYMPANIC MEMBRANES BULGING AND HE SEEMS REALLY SICK LIKE HE HAS A HIGH FEVER WHAT SHE DOES I WILL AGAIN PRESCRIBE HIM 10 DAYS OF ANTIBIOTICS AND IF HE HAS A MIDDLE EAR EFFUSION OR A BULGING TYMPANIC MEMBRANE JUST ONE OF THOSE TWO AND HE DOESNT SEEM TO BE TOO SICK WE CAN REASSESS HIM IN 24 TO 48 HOURS UHM AN ANTIBIOTIC THAT WE USUALLY PRESCRIBE IS AMOXICILLIN UHH HOW DOES THAT SOUND +audio/RES0129.mp3[545.280,547.120] THAT SOUNDS REALLY GOOD THANK YOU +audio/RES0129.mp3[547.120,548.760] OK NO WORRIES TAKE CARE +audio/RES0140.mp3[0.000,2.200] UM WHAT BRINGS YOU IN TODAY +audio/RES0140.mp3[2.200,20.400] HI I JUST CAME IN UH I JUST HAD THIS SUDDEN JUST THIS MORNING AFTER I WOKE UP THIS SUDDEN SHORTNESS OF BREATH AND LIKE EACH TIME I TAKE A DEEP BREATH IM GETTING THIS CHEST PAIN +audio/RES0140.mp3[20.400,24.680] OKAY AND THIS JUST STARTED THIS MORNING YOU SAID +audio/RES0140.mp3[28.840,31.440] WERE YOU ABSOLUTELY FINE LAST NIGHT +audio/RES0140.mp3[31.440,37.920] YEAH I DIDNT HAVE ANY TROUBLE LAST NIGHT +audio/RES0140.mp3[37.920,43.400] I SEE I SEE OKAY UM ANY OTHER DOES THE CHEST PAIN ONLY OCCUR WHEN YOURE TAKING A DEEP BREATH IN +audio/RES0140.mp3[43.400,46.320] YEAH MAINLY ITS DURING THAT TIME +audio/RES0140.mp3[46.320,56.040] OKAY UM HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS A HEADACHE OR COUGH OR RUNNY NOSE CONGESTION SORE THROAT +audio/RES0140.mp3[56.040,58.480] UM NO NO NOTHING LIKE THAT +audio/RES0140.mp3[58.480,62.200] AND CHANGES IN YOUR BOWEL MOVEMENT ANY PAIN IN YOUR BELLY +audio/RES0140.mp3[62.680,66.120] ANY URINARY SYMPTOMS +audio/RES0140.mp3[67.800,71.040] ANY UM ANY PAIN IN YOUR LEGS +audio/RES0140.mp3[71.040,88.400] UM I DID NOTICE LAST LAST NIGHT AND FOR THE LAST FEW DAYS THAT MY RIGHT CALF LIKE JUST FEELS UM PAINFUL AND IT SEEMS A BIT MORE SWOLLEN +audio/RES0140.mp3[88.400,105.920] UM WAS THERE ANYTHING THAT YOU WERE DOING A COUPLE OF DAYS AGO ANY SAY ANY FLIGHTS OR PERIODS UM WHERE YOU MIGHT BE SITTING STILL OR LYING STILL FOR AWHILE ANY SURGERIES ANYTHING LIKE THAT +audio/RES0140.mp3[105.920,119.440] I WAS I WAS JUST DISCHARGED FROM THE HOSPITAL UM LAST WEEK AFTER A HIP SURGERY +audio/RES0140.mp3[119.440,125.480] UM OKAY WERE YOU MOVING AROUND AT HOME AFTER THE HIP SURGERY +audio/RES0140.mp3[125.480,139.320] UM NOT NOT REALLY LIKE I WAS I WAS TOLD I SHOULD MOVE AROUND A BIT BUT ITS BEEN QUITE HARD +audio/RES0140.mp3[139.320,146.080] UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0140.mp3[146.080,160.280] YES I HAVE UH HIGH BLOOD PRESSURE AND UM I ALSO HAVE THIS THING LIKE LIKE VARICOSE VEINS +audio/RES0140.mp3[160.280,164.080] UM DO YOU TAKE ANY MEDICATIONS +audio/RES0140.mp3[164.080,176.680] I I TAKE THIS MEDICATION CALLED UM LISINOPRIL +audio/RES0140.mp3[176.680,182.520] AND ANY NEW MEDICATIONS THAT WERE STARTED AFTER YOUR HOSPITAL STAY +audio/RES0140.mp3[182.520,201.360] UM NO THEY GAVE ME LIKE SOME PAIN MEDICATIONS I SEEM TO UH UM I GOT HYDROMORPHONE MEDICATION IVE BEEN TRYING TO STAY AWAY FROM IT THOUGH JUST TAKING TYLENOL INSTEAD +audio/RES0140.mp3[201.360,204.640] IS YOUR PAIN CONTROLLED WELL WITH TYLENOL +audio/RES0140.mp3[204.640,210.920] YEAH I TRIED TO SUCK IT UP I JUST DONT WANNA GO ON THOSE OTHER MEDICATIONS IVE HEARD LIKE YOU CAN GET ADDICTED TO THEM +audio/RES0140.mp3[210.920,238.600] YEAH THATS FAIR THATS A FAIR POINT BUT ITS ALSO I GUESS ITS IMPORTANT THAT YOU MOVE AROUND AT HOME UM SO MAYBE TRY TO MAYBE WE CAN INCREASE YOUR TYLENOL DOSE OR MAYBE UM SEE IF THERES ANOTHER PAIN MED THAT YOU CAN BE STARTED ON IF YOURE NOT INTERESTED IN OPIOIDS JUST TO MAKE SURE THAT YOURE MOVING AROUND CAUSE THATS VERY IMPORTANT AT THE HOSPITAL DID YOU RECEIVE AN INJECTION IN YOUR IN YOUR TUMMY +audio/RES0140.mp3[238.600,240.880] AN INJECTION IN MY TUMMY UM +audio/RES0140.mp3[240.880,242.960] EVERY DAY ONCE A DAY +audio/RES0140.mp3[242.960,244.720] I THINK SO YEAH I DID +audio/RES0140.mp3[244.720,250.440] OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY ALLERGIES +audio/RES0140.mp3[250.440,252.040] UH NO ALLERGIES +audio/RES0140.mp3[252.040,257.040] OKAY UM AND WHO DO YOU LIVE WITH +audio/RES0140.mp3[257.040,264.080] I LIVE ALONE YEAH RIGHT NOW I LIVE ALONE IN AN APARTMENT +audio/RES0140.mp3[264.080,267.000] WERE YOU DISCHARGED WITH ANY SUPPORT +audio/RES0140.mp3[267.000,281.360] YEAH I DO HAVE A NURSE COMING IN LIKE EVERY EVERYDAY BUT I DONT THEY THEY DIDNT COME LIKE YESTERDAY +audio/RES0140.mp3[281.360,287.960] OKAY OKAY UM AND DO YOU SMOKE OR DID YOU EVER SMOKE IN THE PAST +audio/RES0140.mp3[287.960,295.920] I USED TO SMOKE IN PROBABLY IN MY 20S AND 30S BUT THEN I STOPPED WHEN I HAD KIDS AND STUFF +audio/RES0140.mp3[295.920,300.280] DO YOU DRINK ALCOHOL +audio/RES0140.mp3[300.280,305.080] UM YEAH PROBABLY UH A GLASS ONCE OR TWICE UM EVERY COUPLE DAYS +audio/RES0140.mp3[305.080,313.320] UM AND SORRY JUST GOING BACK HOW MUCH DID YOU SMOKE IN YOUR 20S AND 30S AND FOR HOW MANY YEARS +audio/RES0140.mp3[313.320,323.320] PROBABLY SMOKED FOR PROBABLY 15 15 YEARS PROBABLY LIKE LIKE HALF A PACK A DAY +audio/RES0140.mp3[323.320,332.600] ALRIGHT UM AND DO YOU CONSUME ANY MARIJUANA OR ANY RECREATIONAL DRUGS +audio/RES0140.mp3[335.680,385.640] OKAY ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WITH THE WITH THE SWELLING AND THE PAIN IN THE RIGHT CALF AND THE DIFFICULTIES BREATHING ITS VERY LIKELY THAT YOU HAVE UM AND YOUR RECENT HOSPITALIZATION AND HIP INJURY UM IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED OR PULMONARY EMBOLISM BASICALLY WHICH IS A BLOOD CLOT INSIDE YOUR LUNGS AND SO WELL DO A SCAN OF YOUR LUNGS TO SEE WHATS GOING ON WELL ALSO DO AN ULTRASOUND OF YOUR LEG AND THEN UM WE MIGHT HAVE TO TREAT UH THIS WITH BLOOD THINNERS AND WE DEFINITELY HAVE TO HOSPITALIZE YOU AND WELL BE MEASURING YOUR VITALS AND SEEING IF YOU NEED ANY OXYGEN TO HELP YOU OUT +audio/RES0140.mp3[385.640,389.920] OKAY ILL BE ILL BE HERE FOR A WHILE THEN +audio/RES0140.mp3[389.920,401.160] WELL WELL KEEP YOU FOR A BIT AT LEAST THE NEXT COUPLE OF DAYS UNTIL YOUR YOUR BREATHING GETS BETTER AND YOUVE YOUVE BEEN STARTED ON ANTI ON BLOOD THINNERS +audio/RES0140.mp3[401.920,436.120] AND WE CAN BE SURE THAT YOURE YOURE DOING OKAY WELL ALSO CONTINUOUSLY MONITOR YOUR VITAL SIGNS UM TO MAKE SURE THAT YOURE DOING WELL AND THEN WELL MAKE SURE THAT YOURE DISCHARGED WE WILL ALSO GET YOU SOME PHYSIOTHERAPY HERE WHILE IN THE HOSPITAL TO HELP YOU UM MOBILIZE BETTER WHEN YOU GET HOME UM AND WELL ALSO DO A COVISWAB JUST IN CASE DID YOU HAVE ANY EXPOSURES TO ANYONE IN THE PAST COUPLE OF DAYS BEFORE YOU CAME AT HOME AFTER YOU CAME HOME +audio/RES0140.mp3[436.120,440.080] NO IVE BEEN JUST AT HOME JUST THE NURSE +audio/RES0140.mp3[440.080,449.440] I SEE I SEE OKAY WELL WELL DO A COVISWAB JUST IN CASE AND GO FROM THERE DO YOU HAVE ANY QUESTIONS +audio/RES0140.mp3[449.440,452.200] NO UM YEAH THAT THAT SOUNDS GOOD +audio/RES0140.mp3[452.200,454.000] OKAY GREAT +audio/RES0053.mp3[0.000,23.600] I WAS JUST BRINGING MY SON AND HES JUST HAD COUGH FOR THE LAST COUPLE OF DAYS I THOUGHT ABOUT A DAY AND A HALF AGO IT DOESNT FEEL LIKE A COLD HE HASNT BEEN TOO SICK BUT I WAS A LITTLE BIT WORRIED AND I WANTED TO GET HIM SEEN TO SEE IF THERES ANYTHING WE COULD DO +audio/RES0053.mp3[23.600,33.080] YEAH FOR SURE ITS A GOOD THING THAT YOU BROUGHT HIM IN SO THE COUGH IS IT CONSISTENT OR DOES IT COME AND GO +audio/RES0053.mp3[33.080,58.280] IT SEEMS TO BE A LITTLE BIT WORSE AT NIGHT HELL HAVE THIS COUGH DURING THE DAY SOMETIMES ILL NOTICE WHEN HES PLAYING HES HAD THESE COUGHING FITS THAT LAST FOR UP TO A MINUTE BUT USUALLY RECOVERS FROM HE HASNT BEEN TOO ACTIVE TO BE HONEST HES BEEN A LITTLE BIT SLOWED DOWN THESE LAST COUPLE OF DAYS BUT IN REGARDS TO CONSISTENCY ID SAY ITS A LITTLE BIT WORSE AT NIGHT +audio/RES0053.mp3[58.280,64.720] OK ANY OTHER TRIGGERS LIKE DUST OR THE COLD AIR ANYTHING LIKE THAT +audio/RES0053.mp3[64.720,86.760] I HAVENT REALLY NOTICED ANYTHING WEVE BEEN MAINLY KEEPING INSIDE DUE TO COVID RIGHT I THINK MY WIFE LEFT A WINDOW OPEN THE OTHER NIGHT AND MAYBE THE COUGH WAS A LITTLE BIT BETTER IM NOT SURE ITS KIND OF HARD TO TELL WHEN WE SLEEP +audio/RES0053.mp3[86.760,93.280] YEAH HAVE YOU TRIED ANYTHING FOR IT LIKE HAVE YOU GIVEN HIM ANY OVER THE COUNTER COUGH MEDICATIONS +audio/RES0053.mp3[93.280,100.640] NO WERE A LITTLE SCARED TO GIVE HIM ANYTHING HES SO YOUNG HES 2 12 WE HAVENT BEEN REALLY GIVING HIM ANY MEDICATIONS TO BE HONEST +audio/RES0053.mp3[100.640,110.640] OK GOOD AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS BARKY IS IT HARSH +audio/RES0053.mp3[110.640,130.480] BARKY MIGHT BE A GOOD WORD TO DESCRIBE IT LIKE HES HAD COLDS BEFORE HIS COUGHS WERE QUIET BUT THIS SOUNDS HARSH IT SOUNDS LIKE HES REALLY TRYING TO COUGH HARD THERE VERY VIOLENT SOMETIMES +audio/RES0053.mp3[130.480,134.680] OK OK AND HAS HE EVER HAD A COUGH LIKE THIS IN THE PAST +audio/RES0053.mp3[134.680,137.480] NO NEVER +audio/RES0053.mp3[137.480,144.640] OK AND THEN IN TERMS OF THE TIMELINE IS IT GETTING WORSE HIS COUGH +audio/RES0053.mp3[144.640,169.920] I THINK IT HAS BEEN TO BE HONEST HE WAS A LITTLE ILL LIKE HE HAD A RUNNY NOSE A COUPLE OF DAYS AGO MAYBE TWO DAYS AGO AND THEN THE COUGH STARTED BUT IT ONLY REALLY STARTED GETTING NOTICEABLY DIFFERENT ABOUT THE NIGHT OF THE FIRST DAY ABOUT TWO DAYS AGO SO NOW ITS BEEN MORE PRESENT I SUPPOSETHAN IT WAS WHEN HE JUST FIRST HAD IT +audio/RES0053.mp3[169.920,177.240] OK AND IS IT A DRY COUGH OR DOES HE BRING UP SPUTUM +audio/RES0053.mp3[177.240,183.800] SPUTUM LIKE PHLEGMNO HE DOESNT BRING ANYTHING UP REALLY SO DRY +audio/RES0053.mp3[183.800,187.160] OK SO NO BLOOD AS WELL RIGHT +audio/RES0053.mp3[187.160,189.840] NO BLOOD +audio/RES0053.mp3[189.840,195.120] OK DOES HE HAVE ANY SHORTNESS OF BREATH WITH HIS COUGH +audio/RES0053.mp3[195.120,212.720] I FEEL LIKE WHEN HE HAS THE COUGHING FITS HES WINDED HES WEAK AFTER THEM SOMETIMES HE CRIES AFTER THEM OR BEFORE THE MIDDLE CAN BE A TRIGGER FOR IT BUT JUST RESTING NORMALLY HE DOESNT SEEM THAT OUT OF BREATH NO +audio/RES0053.mp3[212.720,214.520] OK ANY WHEEZINESS +audio/RES0053.mp3[214.520,235.280] NO NOT REALLY HES ABLE TO BREATHE I CANT REALLY HEAR HIM BREATHING THAT MUCH SOMETIMES AT NIGHT AFTER A BAD COUGH HELL BE REALLY WINDED AND YEAH IT DOES SOUND LIKE A LITTLE DIFFERENT WHEN HES BREATHING BUT JUST RIGHT NOW HE SOUNDS NORMAL +audio/RES0053.mp3[235.280,242.680] OK AND ANY REASON FOR YOU TO THINK HE HAS CHEST PAIN +audio/RES0053.mp3[242.680,255.640] HE HASNT ANY SORT OF CHEST PAIN HE SAYS HIS THROAT HURTS BUT I DONT THINK ITS HIS CHEST +audio/RES0053.mp3[255.640,258.520] HAS HE HAD ANY FEVERS +audio/RES0053.mp3[260.800,266.200] ANY CHANGE IN HIS HAIR NAILS OR SKIN LIKE RASHES +audio/RES0053.mp3[266.200,268.600] NO NO RASHES +audio/RES0053.mp3[268.600,271.880] HOW ABOUT WEIGHT LOSS +audio/RES0053.mp3[271.880,276.120] NO WEIGHT LOSS HES A FAIRLY HEALTHY KID +audio/RES0053.mp3[276.120,280.920] AND HIS VISION AND HEARING ARE NORMAL +audio/RES0053.mp3[280.920,296.960] YOU KNOW I HAVENT GOTTEN HIM FORMALLY ASSESSED YET BUT SEEMS TO BE ABLE TO READ PRETTY WELL FROM A DISTANCE HES NOT IN SCHOOL YET BUT I HAVENT NOTICED ANYTHING AND HE CAN HEAR FINE I THINK HE RESPONDS WHEN I CALL +audio/RES0053.mp3[296.960,301.320] OK HAS HE HAD A STUFFY OR RUNNY NOSE +audio/RES0053.mp3[301.320,311.040] YEAH YEAH THATS KIND OF HOW IT FIRST STARTED THREE DAYS AGO MAYBE HAD A RUNNY NOSE OK YEAH +audio/RES0053.mp3[311.040,316.280] DOES HE STILL HAVE A RUNNY NOSE +audio/RES0053.mp3[316.280,323.440] UMM A LITTLE BIT LESS NOW NO NOT AS MUCH NOW +audio/RES0053.mp3[323.440,331.800] OK AND HIS TASTE ANY REASON TO BELIEVE THERE ARE ANY CHANGES THERE +audio/RES0053.mp3[331.800,343.320] WELL WEVE BEEN KIND OF SPOILING HIM A BIT JUST GIVING HIM ICE CREAM HIS THROAT HURTS A LITTLE BIT AND HE SEEMS TO STILL LIKE IT SO ITS HARD TO TELL +audio/RES0053.mp3[343.320,347.600] OK SO HE HAS A LITTLE BIT OF A SORE THROAT AS WELL +audio/RES0053.mp3[350.400,359.680] OK OK AND THEN ANY DIZZINESS OR FAINTING SPELLS THAT YOUVE NOTICED +audio/RES0053.mp3[359.680,375.040] NO FAINTING OR DIZZY SPELLS BUT HES REALLY GASSED AFTER HE HAS LIKE A COUGHING FIT AND HE DOESNT WANT TO STAND UP HELL JUST BE SITTING DOWN OR HE WANTS TO BE HELD +audio/RES0053.mp3[375.040,377.880] OK IS HE MORE IRRITABLE THAN USUAL +audio/RES0053.mp3[377.880,388.360] YEAH AFTER HE HAS A BAD COUGHING FIT HE WANTS TO BE SOOTHED AND HELL BE CRYING BUT ITS JUST MORE OF BECAUSE HES WORN OUT I BELIEVE HES TIRED +audio/RES0053.mp3[388.360,393.800] YEAH OK AND THEN ANY CONFUSION OR MEMORY LOSS +audio/RES0053.mp3[394.480,404.440] OK AND THEN IN TERMS OF HIS BOWEL MOVEMENTS HAVE THINGS BEEN NORMAL FROM THAT STANDPOINT +audio/RES0053.mp3[404.440,410.480] OH YEAH PROCESS OF POTTY TRAINING HIM BUT NO NO REAL CHANGES +audio/RES0053.mp3[410.480,414.320] OK SO NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +audio/RES0053.mp3[416.120,417.720] OK AND HES PASSING GAS +audio/RES0053.mp3[417.720,421.560] OK YEAH ID SAY SO +audio/RES0053.mp3[421.560,426.240] ANY NAUSEA OR VOMITING +audio/RES0053.mp3[426.240,439.800] NO WE HAVENT BEEN REALLY FEEDING HIM SOLID MEALS ITS BECAUSE HES BEEN SICK WEVE BEEN TRYING TO GIVE HIM SOUP AND LIQUIDS FOR THE MOST PART BECAUSE HIS THROAT HURTS BUT HES ABLE TO KEEP THEM DOWN SO NO NO NAUSEA NO VOMITING +audio/RES0053.mp3[439.800,445.200] OK AND THEN HOW ABOUT CHANGES IN HIS APPETITE +audio/RES0053.mp3[445.200,462.000] YEAH HES NOT EATING AS MUCH BUT STILL WERE TRYING TO FORCE FOOD INTO HIM TO KEEP HIS ENERGY UP MOST OF TIME HE ALWAYS WILL BE ASKING FOR SNACKS IN THE AFTERNOON BUT NOW NOT SO MUCH +audio/RES0053.mp3[462.000,474.480] OK ALRIGHT AND ANY ANYTHING ELSE THAT I MISSED THAT HES BEEN EXPERIENCING OVER THE PAST FEW DAYS +audio/RES0053.mp3[474.480,479.080] NO JUST THE COUGH +audio/RES0053.mp3[479.080,487.600] OK AND THEN HE OTHERWISE HEALTHY DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0053.mp3[487.600,503.320] NO LONGSTANDING MEDICAL CONDITIONS YEAH NOTHING REALLY WE HAD A LITTLE BIT OF STAY IN THE NICU JUST BECAUSE HE WAS A LITTLE BIT UNDERWEIGHT BUT NO NOTHING REALLY +audio/RES0053.mp3[503.320,511.360] OK AND THEN HIS MOTHERS PREGNANCY WITH HIM ANY COMPLICATIONS AT THAT POINT +audio/RES0053.mp3[511.360,515.240] YEAH HES A LITTLE PRE TERM 34 WEEKS I THINK +audio/RES0053.mp3[515.240,521.240] OK WAS HE ALSO UNDERWEIGHT TOO YOU MENTIONED JUST A LITTLE BIT +audio/RES0053.mp3[522.640,526.600] OK AND ANY COMPLICATIONS DURING THE ACTUAL DELIVERY +audio/RES0053.mp3[526.600,544.120] YEAH NOT THAT I REMEMBER LIKE SHE STARTED GOING TO LABOR EARLY LIKE EARLIER THAN WE EXPECTED WE THOUGHT IT WAS JUST A REGULAR CONTRACTION AND THAT IT WILL JUST RESOLVE BUT SHE WOUND UP PROCEEDING WHEN WE SHOWED UP AT THE HOSPITAL +audio/RES0053.mp3[544.120,557.880] OK AND THEN IN TERMS OF GROWTH WEIGHT AND HEAD CIRCUMFERENCE HAS HE BEEN HITTING ALL THOSE MILESTONES FOR THE PAST 2 12 YEARS +audio/RES0053.mp3[557.880,568.320] YEAH WE WE BRING HIM TO THE FAMILY DOCTOR EVERY COUPLE OF MONTH FOR HIS REGULAR CHECKUPS AND NOTHING HAS BEEN BROUGHT UP TO BE CONCERNING FOR HIS VACCINES HE HAS BEEN DOING WELL +audio/RES0053.mp3[568.320,581.400] OK AND THEN HOW ABOUT OTHER MILESTONES LIKE SPEECH MOVEMENT FINE MOVEMENT ALL OF THAT LIKE HAVE THOSE BEEN NORMAL IS HE ON PAR WITH HIS PEERS +audio/RES0053.mp3[581.400,592.760] YEAH THIS IS OUR FIRST KID BUT COMPARED TO HIS COUSINS HE SEEMS TO BE DOING WELL HES SPEAKING HES GOT LITTLE SENTENCES NOW HE HAS GOOD EYE CONTACT HES A GOOD KID +audio/RES0053.mp3[592.760,598.240] OK GOOD GOOD ANY HOSPITALIZATIONS OR SURGERIES ASIDE FROM WHEN HE WAS BORN +audio/RES0053.mp3[598.240,599.160] NO NO +audio/RES0053.mp3[599.160,603.560] OK GOOD AND IS HE ON ANY MEDICATIONS +audio/RES0053.mp3[603.560,607.200] NO OK WE GIVE HIM LIKE A FLINTSTONE GUMMY +audio/RES0053.mp3[607.200,614.520] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0053.mp3[615.640,617.200] ANY ALLERGIES +audio/RES0053.mp3[617.200,619.040] NOT THAT WE KNOW OF +audio/RES0053.mp3[619.040,622.880] ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0053.mp3[622.880,643.720] SO MY GRANDFATHER SO HIS GREATGRANDFATHER I SUPPOSE PASSED AWAY FROM LUNG CANCER HE WAS A HEAVY SMOKER THOUGH ON MY MOMS SIDE THERES SOME BREAST CANCER NO NOTHING REALLY THAT COMES TO MIND FOR LUNGS +audio/RES0053.mp3[643.720,645.880] AND ANY HEART CONDITIONS +audio/RES0053.mp3[645.880,649.440] NO NOT THAT WE KNOW OF +audio/RES0053.mp3[649.440,655.240] AND HOW ABOUT OTHER CANCERS +audio/RES0053.mp3[655.240,658.360] NO NOT THAT I KNOW OF +audio/RES0053.mp3[658.360,666.960] OK HOW ABOUT ASTHMA ECZEMA OR ALLERGIES IN THE FAMILY +audio/RES0053.mp3[666.960,679.280] YOU KNOW I THINK MY SISTER IS ALLERGIC TO PEAS BUT SHE WAS NEVER SICK FROM THEM LIKE GO TO THE HOSPITAL I DONT THINK THERE ARE ANY ALLERGIES IN THE FAMILY +audio/RES0053.mp3[679.280,686.240] OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0053.mp3[686.240,699.800] YOU KNOW LIKE 5 DAYS AGO WE HAD A PLAYDATE WITH HIS COUSIN AND WE KIND OF THOUGHT THAT THATS WHERE HE GOT THE COLD FROM LIKE THE RUNNY NOSE BUT IT JUST TURNED WEIRD YOU KNOW +audio/RES0053.mp3[699.800,702.880] OK AND HOWS THIS COUSIN DOING +audio/RES0053.mp3[702.880,710.320] LAST TIME I TALKED TO CHARLOTTE HANK SEEMS TO BE DOING WELL SO +audio/RES0053.mp3[710.320,717.000] ALRIGHT AND HAS HE TRAVELED TO ANYWHERE RECENTLY HAVE YOU ANY OF YOU TRAVELED ANYWHERE RECENTLY +audio/RES0053.mp3[717.000,724.400] NO WITH COVID AND EVERYTHING WE HAVE JUST BEEN KEEPING TO OURSELVES +audio/RES0053.mp3[724.400,726.720] AND WITH WHO AND WHERE DOES HE LIVE +audio/RES0053.mp3[726.720,729.120] HE LIVES WITH ME AND HIS MOTHER IN A HOUSE +audio/RES0053.mp3[729.120,737.760] OK ANY OLD CARPETS OR MOLD OR CONCERNS FOR ASBESTOS ANYTHING LIKE THAT AT HOME +audio/RES0053.mp3[737.760,745.960] I DONT KNOW WHEN THIS HOUSE IS BUILT I DONT THINK THERES ANY ASBESTOS IN IT AND ITS ALL HARDWOOD SO NO +audio/RES0053.mp3[745.960,750.560] OK GOOD ANYONE AT HOME SMOKE +audio/RES0053.mp3[750.560,755.720] NO NO +audio/RES0053.mp3[755.720,764.520] OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0053.mp3[764.520,768.400] NO NO THATS IT NO +audio/RES0053.mp3[768.400,871.440] OK WELL FROM THE SOUNDS OF IT HE MOST LIKELY HAS SOME SORT OF VIRAL INFECTION WE WILL DO A COVISWAP TO RULE THAT OUT BECAUSE SOME SYMPTOMS DO SEEM TO OVERLAP WITH COVIAND WE WANT TO MAKE SURE TO RULE THAT OUT SO WELL TAKE A SWAB THOSE PCR RESULTS SHOULD COME BACK IN ABOUT 24 TO 48 HOURS IN THE MEANTIME HE SHOULD ISOLATE FOR 14 DAYS AT HOME AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION LIKE PARAINFLUENZA ALSO KNOWN AS CROUP SO FOR THAT FOR ANY OF THESE VIRAL INFECTIONS ACTUALLY THE BEST TREATMENT IS TO STAY AT HOME AND MAKE SURE THAT HES VERY WELL HYDRATED AND EATING WELL IF HIS SYMPTOMS PERSIST FOR THREE TO FIVE DAYS OR MORE OR IF HIS SYMPTOMS WORSEN ESPECIALLY IF HE HAS LIKE A SEIZURE OR UROLOGICAL ISSUES HE SHOULD GO TO THE ER AND IF HIS SYMPTOMS DO BECOME WORSE WE CAN ALSO PRESCRIBE HIM SOME STEROIDS OR EPINEPHRINE JUST TO OPEN UP HIS AIRWAYS AND IF ITS REALLY REALLY BAD HE MIGHT BE HOSPITALISED AS WELL SO JUST KEEP AN EYE ON ON THAT FOR NOW AND IF YOU HAVE ANY +audio/RES0053.mp3[871.440,878.640] QUESTIONS OR CONCERNS JUST GIVE US A CALL HOW DOES THAT SOUND +audio/RES0053.mp3[878.640,888.280] A LITTLE SCARY SOUNDS GOOD OK ILL JUST KEEP AN EYE ON HIM FOR THE NEXT FIVE DAYS +audio/RES0053.mp3[888.280,914.360] GIVE US A CALL IF HIS SYMPTOMS ARE BECOMING WORSE OR IF THEYRE NOT RESOLVING AND WE WILL TRY TO DO AN ASSESSMENT ON HIM OF COURSE WE WILL DO A PHYSICAL EXAM TODAY AND WILL LET YOU KNOW HOW SEVERE HIS SYMPTOMS ARE MOST CHILDREN WILL GET OVER THEIR INFECTION ON THEIR OWN AND HE LIKELY WONT NEED ANY ADDITIONAL TREATMENTS +audio/RES0053.mp3[914.360,915.880] OK SOUNDS GOOD +audio/RES0053.mp3[915.880,917.160] ALRIGHT TAKE CARE +audio/RES0053.mp3[917.160,921.520] THANK YOU +audio/RES0167.mp3[0.000,2.280] WHAT BRINGS YOU IN +audio/RES0167.mp3[2.280,30.440] IVE JUST HAD A REAL LIKE A REAL BAD COUGH UMM ITS BEEN GOING ON FOR 4 OR 5 DAYS NOW UMM AND IM JUST IM HAVING SOME TROUBLE BREATHING IM COUGHING UP LIKE GUNKY GREEN STUFF UHM YEAH ITS JUST REALLY BAD I HAVENT HAD ANYTHING LIKE THIS BEFORE +audio/RES0167.mp3[30.440,34.160] OK SO WHEN DID THE COUGH START +audio/RES0167.mp3[34.160,38.560] ABOUT FOUR OR FIVE DAYS AGO +audio/RES0167.mp3[38.560,50.640] FOUR OR FIVE DAYS AGO OK AND UHM OK SO FOR 5 DAYS DID YOU DO HAVE ANY SHORTNESS OF BREATH WITH THAT +audio/RES0167.mp3[50.640,61.600] YEAH ITS UH IM JUST I FEEL LIKE I CANT CANT QUITE LIKE BREATHE FULLY +audio/RES0167.mp3[61.600,72.840] OK UHM YOU CANT QUITE BREATHE FULLY SO LIKE WHEN YOU TAKE A DEEP BREATH IN YOU CANT EXPAND YOUR LUNGS FULLY IS THAT WHAT YOU MEAN +audio/RES0167.mp3[72.840,79.520] YEAH YEAH I JUST OVERALL I JUST FEEL LIKE YEAH IM IM SHORT OF BREATH I GUESS THATS THE BEST WAY TO PUT IT +audio/RES0167.mp3[79.520,87.960] OK SO YOURE SHORT OF BREATH AND HOW ABOUT WHEEZING DO YOU HAVE ANY OF THAT +audio/RES0167.mp3[87.960,89.920] I DONT THINK SO +audio/RES0167.mp3[89.920,96.400] OK SO WHEN DID THIS START AGAIN YOU SAID IF A COUPLE DAYS AGO OR A FEW WEEKS AGO +audio/RES0167.mp3[96.400,98.880] I THINK IT WAS FOUR DAYS AGO +audio/RES0167.mp3[98.880,106.280] FOUR DAYS AGO OK AND DID YOU HAVE LIKE A RUNNY NOSE OR STUFFY NOSE AT THAT POINT +audio/RES0167.mp3[106.280,116.600] MAYBE A LITTLE BIT I WASNT REALLY THINKING ABOUT IT TOO MUCH +audio/RES0167.mp3[116.600,118.360] OK UHM SORE THROAT +audio/RES0167.mp3[118.360,122.120] NO NOT A SORE THROAT +audio/RES0167.mp3[122.120,129.360] NOT A SORE THROAT OK UHM HOW ABOUT CHANGES IN YOUR TASTE OR SMELL +audio/RES0167.mp3[129.360,134.640] NO NONE OF THOSE +audio/RES0167.mp3[134.640,139.480] OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +audio/RES0167.mp3[139.480,141.160] UH NO +audio/RES0167.mp3[141.160,144.320] FEVER WEIGHT LOSS +audio/RES0167.mp3[144.320,153.200] I FEEL LIKE IVE IVE PROBABLY HAD A FEVER THE LAST COUPLE NIGHTS IVE JUST BEEN REALLY HOT IN THE EVENINGS +audio/RES0167.mp3[154.320,160.000] YEAH I FEEL LIKE IVE HAD A FEVER I DONT KNOW BOUT MY WEIGHT I DONT WEIGH MYSELF ALL THE TIME +audio/RES0167.mp3[161.800,165.360] BUT NOTHING LIKE MAJOR +audio/RES0167.mp3[165.360,169.440] ANY CHEST PAIN +audio/RES0167.mp3[169.440,176.440] FEELS A LITTLE LIKE IT HURTS A LITTLE BIT LIKE WHEN I WHEN I BREATHE IN +audio/RES0167.mp3[176.440,185.440] OK UHM DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0167.mp3[185.440,188.320] NO I DONT THINK SO +audio/RES0167.mp3[188.320,194.040] ALRIGHT AND ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0167.mp3[194.040,196.440] NO NO THATS ALL THE SAME +audio/RES0167.mp3[196.440,198.800] NO BELLYACHES +audio/RES0167.mp3[203.440,205.040] NO BELLYACHES +audio/RES0167.mp3[206.560,209.920] OK HOW ABOUT CHANGES TO YOUR URINE +audio/RES0167.mp3[209.920,211.920] UH NO +audio/RES0167.mp3[211.920,216.240] NO ANY DIZZINESS OR CONFUSION +audio/RES0167.mp3[216.240,224.640] NO UH NO NOT DIZZINESS OR CONFUSION BUT I HAVE JUST BEEN FEELING VERY WEAK AND TIRED +audio/RES0167.mp3[224.640,232.160] WHEN YOU SAY WEAK HAVE YOU LIKE LOST ANY OF YOUR LIKE MOTOR MOVEMENTS LIKE YOUR ARMS LEGS +audio/RES0167.mp3[232.160,238.160] NO NO NOT LIKE THAT KIND OF WEAK I JUST HAVE FELT LIKE VERY RUNDOWN +audio/RES0167.mp3[239.320,245.880] JUST LIKE JUST FATIGUED LIKE MORE THAN USUAL YEAH +audio/RES0167.mp3[245.880,253.160] OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0167.mp3[253.160,264.680] UHM I DONT I DONT HAVE TOO MUCH LUCKILY KNOCK ON WOOD UHM I I TAKE A MEDICATION FOR MY REFLUX +audio/RES0167.mp3[267.880,277.640] AND I DID I DID HAVE A KNEE REPLACEMENT FIVE YEARS AGO +audio/RES0167.mp3[278.800,285.320] OTHER THAN THAT LIKE I DONT I HAVENT REALLY BEEN TO THE DOCTOR FOR MUCH +audio/RES0167.mp3[285.320,295.320] OK UHM ALRIGHT DO YOU HAVE SOMETHING CALLED COPD +audio/RES0167.mp3[295.960,299.720] NO OK UHM ARE YOU ON ANY MEDICATIONS +audio/RES0167.mp3[299.720,304.960] JUST THAT ONE FOR THE REFLUX ITS UHM OH IT STARTS WITH AN R UHM RABEPRAZOLE +audio/RES0167.mp3[308.520,317.040] ALRIGHT AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0167.mp3[317.040,318.960] UH YEAH +audio/RES0167.mp3[318.960,325.040] INCLUDING LIKE THE PNEUMOVAX VACCINE AND THE SHINGRIX +audio/RES0167.mp3[325.040,334.800] I HAD THE SHINGRIX THE PNEUMO I THINK THE DOCTOR SAID WE WERE GOING TO LOOK AT THAT THE NEXT TIME I CAME IN +audio/RES0167.mp3[334.800,336.600] OK SURE +audio/RES0167.mp3[336.600,351.800] SO I IM NOT SURE I I KNOW THAT I ALWAYS SAY YES TO THESE THINGS BUT IM NOT SURE BECAUSE OF COVID AND STUFF IF IVE BEEN GETTING EVERYTHING EXACTLY ON TIME +audio/RES0167.mp3[351.800,361.160] MHMM OK AND HOW ABOUT UH HOW ABOUT ALLERGIES DO YOU HAVE ANY ALLERGIES +audio/RES0167.mp3[361.160,370.360] OH LIKE UH JUST SEASONAL NOT TO ANY MEDICATIONS OR ANYTHING +audio/RES0167.mp3[370.360,376.680] OK UHM HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY AROUND YOU +audio/RES0167.mp3[376.680,405.040] NO LIKE THE ONLY PERSON I SEE IS MY HUSBAND I GUESS HIM AND SO HE HAS A PSW THAT COMES IN TO TAKE CARE OF HIM HE HAS A COUPLE MORE PROBLEMS THAN I DO SO BASICALLY WE SEE I SEE HIM AND HER AND WE SEE WE SEE OUR KIDS BUT JUST LIKE OUTSIDE +audio/RES0167.mp3[405.040,412.960] OK OK AND ALRIGHT AND THEN UHM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0167.mp3[412.960,413.560] NO NO +audio/RES0167.mp3[413.560,422.440] NO OK DIETARY WISE ARE YOU LIKE EATING HEALTHY +audio/RES0167.mp3[422.440,445.520] YEAH YEAH I THINK SO I TRY TO YOU KNOW COOK YOU KNOW WHOLE FOODS FOR US LIKE LOTS OF VEGGIES AND YOU KNOW FISH AND GOOD MEAT ALTHOUGH IN THE PAST YOU KNOW FEW DAYS I JUST CAUSE I FELT REALLY RUNDOWN AND FATIGUED I HAVENT BEEN EATING AS MUCH AS I NORMALLY DO +audio/RES0167.mp3[446.560,455.960] OTHERWISE I THINK WE PRETTY HEALTHY I TRY TO YOU KNOW FOLLOW HEALTHY RECIPES AND FIND THEM ONLINE +audio/RES0167.mp3[455.960,460.360] YEAH FOR SURE YEAH THATS GOOD DO YOU DO YOU SMOKE +audio/RES0167.mp3[460.360,461.640] NO NO +audio/RES0167.mp3[461.640,467.040] NO OK AND ANY OTHER RECREATIONAL DRUGS +audio/RES0167.mp3[467.040,467.440] NO NEVER +audio/RES0167.mp3[467.440,472.240] OK DO YOU DRINK ALCOHOL +audio/RES0167.mp3[472.240,481.520] ILL HAVE THE OCCASIONAL GLASS OF WINE ON A SPECIAL OCCASION BUT NOT FREQUENTLY AND NOT NOT HEAVILY +audio/RES0167.mp3[481.520,485.480] OK AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RIGHT NOW +audio/RES0167.mp3[485.480,493.120] UH JUST ME AND MY HUSBAND WE LIVE OUTSIDE OF TOWN WE LIVE IN THE COUNTRY ON A LITTLE FARM +audio/RES0167.mp3[493.120,503.960] OK ANY OLD CARPETS OR DUST OR MOLD OR ASBESTOS IN THE IN THE HOME +audio/RES0167.mp3[503.960,515.880] NO NO WE RENOVATED PROBABLY 15 YEARS AGO AND THERES NO NO MORE CARPET AND THERE WERE NEVER ANY ASBESTOS PROBLEMS OR ANYTHING +audio/RES0167.mp3[515.880,523.160] OK OK WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS FOR MYSELF +audio/RES0167.mp3[523.160,529.600] I DONT THINK SO I JUST I HOPE YOU KNOW WE CAN GET THIS FIGURED OUT +audio/RES0167.mp3[529.600,572.280] YEAH FOR SURE SO WELL START WITH DOING A COVID SWAB BECAUSE YOU HAVE SOME SYMPTOMS THAT OVERLAP WITH IT SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS BUT IT DOES SOUND LIKE WHAT YOURE TELLING ME WITH THE WET COUGH AND YOU KNOW A LITTLE BIT OF SHORTNESS OF BREATH I THINK ITS WORTHWHILE TO GET A CHEST XRAY TO SEE IF YOU MIGHT POSSIBLY HAVE A PNEUMONIA AND IF YOU DO IF THERE IS SOME CONSOLIDATION WELL PROBABLY PRESCRIBE SOME ANTIBIOTICS FOR THAT UMM HOW DOES THAT SOUND TO YOU +audio/RES0167.mp3[572.280,577.560] SOUNDS GREAT TO ME YEAH I JUST YOU KNOW HOPE THERES NOTHING SERIOUS GOING ON +audio/RES0167.mp3[577.560,595.240] YEAH YEAH AND IT SHOULDNT BE ITS PROBABLY 1 SOMETHING THATS BEEN GOING AROUND IN THE COMMUNITY AND YOU HAVENT HAD ANY RECENT HOSPITALIZATIONS OR SURGERY SO I WOULDNT WORRY ABOUT LIKE ANY OF THOSE ATYPICAL BUGS JUST YET +audio/RES0167.mp3[595.240,600.600] OK OK THATS GOOD TO HEAR +audio/RES0167.mp3[600.600,602.960] YEAH FOR SURE WELL UHM THANK YOU +audio/RES0167.mp3[602.960,608.560] OK THANK YOU +audio/RES0088.mp3[0.000,3.360] UH WHAT BRINGS YOU IN HERE TODAY +audio/RES0088.mp3[3.360,24.840] YEAH SO MY DAUGHTER SHES HAD THIS HOARSE VOICE FOR THE PAST LIKE TWO OR THREE DAYS IT DOESNT SEEM TO BE GETTING BETTER IN FACT ITS GETTING WORSE AND SHE JUST DOESNT SOUND LIKE HERSELF ANYMORE AND SHES NOT SPEAKING AS MUCH +audio/RES0088.mp3[24.840,27.480] OK AND WHEN DID THIS START +audio/RES0088.mp3[27.480,51.440] OK SO SHE HAD A COUGH LIKE FOUR DAYS AGO AND SHES STILL COUGHING A LITTLE BIT BUT NOT AS MUCH AS SHE WAS BEFORE BUT ITS MORE HER VOICE THAT IM CONCERNED ABOUT IT SOUNDS VERY HOARSE AND HARSH +audio/RES0088.mp3[51.440,58.440] OK AND SO HOW MANY DAYS HAS SHE HAD THE HOARSE VOICE FOR +audio/RES0088.mp3[58.440,61.440] ID SAY ABOUT TWO OR THREE DAYS NOW +audio/RES0088.mp3[61.440,75.600] 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 +audio/RES0088.mp3[75.600,77.720] IT WAS MORE OF A DRY COUGH +audio/RES0088.mp3[77.720,83.640] AND THE COUGH HAS PRETTY MUCH RESOLVED BY NOW +audio/RES0088.mp3[83.640,91.280] YEAH SHE STILL GETS THEM ONCE IN A WHILE BUT YEAH ITS PRETTY MUCH GONE +audio/RES0088.mp3[91.280,99.200] OK AND WHEN SHE WAS COUGHING DID SHE AT ALL BRING UP ANY KIND OF BLOOD OR ANY GREEN OR YELLOWISH MATERIAL +audio/RES0088.mp3[100.480,106.360] NO OK DID SHE HAVE ANY FEVERS AT ALL RECENTLY +audio/RES0088.mp3[106.360,110.080] UH NO NO FEVERS +audio/RES0088.mp3[110.080,119.240] OK AND DOES SHE HAVE ANY KIND OF UH ALONG WITH A HOARSE VOICE DOES SHE HAVE ANY PAIN WITH TALKING +audio/RES0088.mp3[119.240,122.360] YES I THINK SO +audio/RES0088.mp3[122.360,130.400] OK AND DOES SHE HAVE ANY PAIN WITH SWALLOWING ANY FOODS OR LIQUIDS +audio/RES0088.mp3[130.400,137.120] SHES EATING AND DRINKING OK BUT I SUSPECT THERE IS SOME PAIN +audio/RES0088.mp3[137.120,146.000] OK SO HOW LONG HAS SHE SO SHE HAS A SORE THROAT HOW LONG HAS SHE HAD THAT FOR +audio/RES0088.mp3[146.000,153.200] THE SORE THROAT UHM I WOULD SAY FOR THE PAST TWO OR THREE DAYS AS WELL +audio/RES0088.mp3[153.200,172.200] 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 +audio/RES0088.mp3[172.200,181.160] NO NOT THAT I KNOW OF I DONT THINK SHES HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY +audio/RES0088.mp3[181.160,189.480] OK ARE THERE ANY HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER THAT HAS HELPED HER +audio/RES0088.mp3[189.480,206.640] 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 DIDNT SEEM TO HELP +audio/RES0088.mp3[206.640,215.800] OK AND HAVE HER SYMPTOMS BEEN JUST CONSTANT OR DO THEY COME AND GO +audio/RES0088.mp3[215.800,218.120] THEYVE BEEN PRETTY CONSTANT +audio/RES0088.mp3[218.120,222.560] OK AND YOU THINK HER SYMPTOMS ARE GETTING WORSE +audio/RES0088.mp3[222.560,234.320] UH NO THEYVE BEEN PRETTY CONSISTENT BUT MAYBE THE HARSH VOICE IS GETTING WORSE +audio/RES0088.mp3[234.320,246.560] OK AND OTHER THAN THE SYMPTOMS THAT YOUVE MENTIONED HAS SHE HAD ANY KIND OF SHORTNESS OF BREATH WHEEZING CHEST PAIN OR ANYTHING LIKE THAT +audio/RES0088.mp3[246.560,249.600] NO NOTHING LIKE THAT +audio/RES0088.mp3[249.600,252.280] OK AND NO FEVERS RIGHT +audio/RES0088.mp3[254.600,262.920] OK HAS SHE TRAVELED AT ALL RECENTLY OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE +audio/RES0088.mp3[262.920,265.480] NO NO NOTHING LIKE THAT +audio/RES0088.mp3[265.480,272.400] OK AND ANY HEADACHES AT ALL +audio/RES0088.mp3[272.400,273.080] UHM NO +audio/RES0088.mp3[273.080,277.920] NO ANY NAUSEA OR VOMITING +audio/RES0088.mp3[277.920,280.960] UH NO NOTHING LIKE THAT +audio/RES0088.mp3[280.960,285.000] OK ANY RUNNY NOSE OR CONGESTION +audio/RES0088.mp3[289.760,302.680] 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 +audio/RES0088.mp3[302.680,317.680] I HAVENT LOOKED IN THERE TOO MUCH LIKE JUST AN INSPECTION THE OTHER DAY IT LOOKED A LITTLE BIT RED BUT I DIDNT SEE ANY DISCHARGE +audio/RES0088.mp3[317.680,326.240] OK AND HAVE YOU NOTICED ANY KIND OF SWELLING AROUND HER NECK EARS LIKE AROUND HER LYMPH NODES +audio/RES0088.mp3[326.240,331.680] UHM I HAVENT ACTUALLY TAKEN A LOOK THERE +audio/RES0088.mp3[331.680,347.000] 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 +audio/RES0088.mp3[347.000,352.320] UM SHE HAS SEEMED A LITTLE BIT MORE TIRED THAN USUAL +audio/RES0088.mp3[352.320,361.080] OK AND RIGHT NOW IS SHE GOING TO SCHOOL OR IS RIGHT NOW ALL LIKE VIRTUAL IS SHE AT HOME +audio/RES0088.mp3[361.080,364.520] UHM SHES AT HOME RIGHT NOW +audio/RES0088.mp3[364.520,372.840] OK AND DOES SHE HAVE ANY SYMPTOMS OF ANY CHEST PAIN AT ALL +audio/RES0088.mp3[372.840,374.200] NO CHEST PAIN +audio/RES0088.mp3[374.200,378.800] OK ANY CHANGES IN HER BOWEL MOVEMENTS ANY CONSTIPATION DIARRHEA +audio/RES0088.mp3[380.160,383.160] OK ANY URINARY PROBLEMS +audio/RES0088.mp3[385.120,392.800] OK HAS SHE BEEN ABLE TO SLEEP WELL OR DOES SHE WAKE UP A LOT MORE AT NIGHT +audio/RES0088.mp3[392.800,395.360] UHM SHES BEEN ABLE TO SLEEP WELL YEAH +audio/RES0088.mp3[395.360,399.480] OK HOW ABOUT HER APPETITE +audio/RES0088.mp3[399.480,408.560] ITS BEEN PRETTY NORMAL SHES NOT EATING AS MUCH AS SHE USED TO BUT SHES STILL EATING AND DRINKING OK +audio/RES0088.mp3[408.560,415.040] OK AND HAVE YOU NOTICED ANY KIND OF WEIGHT CHANGES AT ALL RECENTLY HAS SHE LOST ANY WEIGHT +audio/RES0088.mp3[419.520,431.600] OK AND HAS SHE HAD ANY LOSS OF TASTE OF SMELL OR SORRY LOSS OF SENSE OF TASTE OR SMELL AT ALL +audio/RES0088.mp3[431.600,433.200] UH NO +audio/RES0088.mp3[433.200,437.840] ANY MUSCLE ACHES OR ANYTHING LIKE THAT +audio/RES0088.mp3[437.840,440.960] UH NO NOTHING LIKE THAT +audio/RES0088.mp3[440.960,446.760] OK ANY EXPOSURE TO FUMES DUST ANIMALS OR PETS AT HOME +audio/RES0088.mp3[446.760,449.280] UH NO NOTHING LIKE THAT +audio/RES0088.mp3[449.280,455.400] OK HAS THIS HAPPENED AT ALL IN THE PAST +audio/RES0088.mp3[455.400,459.440] UHM NO +audio/RES0088.mp3[459.440,467.160] NO OK DOES SHE HAVE ANY MEDICAL CONDITIONS AT ALL THAT SHES BEEN DIAGNOSED WITH IN THE PAST +audio/RES0088.mp3[467.160,469.280] UHM NO NOTHING LIKE THAT +audio/RES0088.mp3[469.280,475.440] ANY LIKE ASTHMA OR ANY OTHER CONDITIONS +audio/RES0088.mp3[477.320,479.880] OK ANY ALLERGIES THAT YOU KNOW OF +audio/RES0088.mp3[479.880,486.520] I KNOW SHE HAS SEASONAL ALLERGIES BUT THATS ABOUT IT +audio/RES0088.mp3[486.520,491.760] OK AND DOES SHE TAKE ANY MEDICATIONS AT ALL ON A DAILY BASIS +audio/RES0088.mp3[491.760,497.000] UH NO SHE JUST TAKES MULTI VITAMINS +audio/RES0088.mp3[497.000,507.600] OK AND CURRENTLY OR PREVIOUSLY HAS SHE HAD ANY SURGERIES OR HOSPITALIZATIONS +audio/RES0088.mp3[512.160,518.080] NO OK ARE THERE ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0088.mp3[518.080,519.520] UH NO +audio/RES0088.mp3[519.520,522.920] ANY CANCERS +audio/RES0088.mp3[522.920,530.240] THERES SOME COLON CANCER ON HER DAD SIDE OF THE FAMILY +audio/RES0088.mp3[530.240,544.240] OK AND IS THERE ANY SO DO YOU REMEMBER WHO THE PERSON IS AND ALSO LIKE WHEN THEY GOT DIAGNOSED WITH THE COLON CANCER +audio/RES0088.mp3[544.240,554.680] SO IT WAS HER UNCLE HE WAS DIAGNOSED WHEN HE WAS FORTY FIVE +audio/RES0088.mp3[554.680,568.360] 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 +audio/RES0088.mp3[568.360,574.960] P NO CONCERNS SHE WAS MEETING ALL HER MILESTONES FROM WHAT I REMEMBER +audio/RES0088.mp3[574.960,587.840] 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 +audio/RES0088.mp3[587.840,592.240] NO NO COMPLICATIONS +audio/RES0088.mp3[592.240,596.280] AND RIGHT NOW WHERE DOES SHE LIVE AND WHO DOES SHE LIVE WITH +audio/RES0088.mp3[596.280,605.520] SHES AT HOME WITH MYSELF MY HUSBAND AND SHE HAS ONE YOUNGER SIBLING +audio/RES0088.mp3[605.520,610.160] OK AND IS EVERYONE AT HOME WELL DOES ANYONE HAVE ANY OF THESE SYMPTOMS +audio/RES0088.mp3[610.160,615.080] NO OK +audio/RES0088.mp3[615.080,621.800] RIGHT SO AND IN TERMS OF THE HOME ENVIRONMENT DOES ANYONE SMOKE IN THE HOUSE +audio/RES0088.mp3[624.800,632.840] NO OK ALRIGHT SO I THINK THATS ALL THE QUESTIONS I HAD RIGHT NOW DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0088.mp3[632.840,640.960] NO NO QUESTIONS BUT UHM ACTUALLY WHAT DO YOU THINK SHE HAS AND HOW CAN WE TREAT HER +audio/RES0088.mp3[640.960,720.280] YEAH SO IT SEEMS LIKE THAT THE HOARSENESS OF VOICE AND THE SORE THROAT AND HER SYMPTOMS MOSTLY ALIGN WITH WHATS 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 WELL 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 WELL SEE WHAT WE CAN DO IT DOESNT SEEM LIKE IT CAN ALSO BE A BACTERIAL INFECTION IN WHICH CASE WE WOULD NEED TO GIVE HER ANTIBIOTICS BUT USUALLY ITS 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 +audio/RES0088.mp3[720.280,723.640] UH NO THAT SOUNDS GREAT THANK YOU +audio/RES0088.mp3[723.640,729.840] YOURE WELCOME AND YEAH WELL JUST DO A FULL EXAMINATION AND THEN GO FROM THERE +audio/RES0088.mp3[729.840,732.000] OK SOUNDS GREAT THANKS +audio/RES0088.mp3[732.000,733.120] YOURE WELCOME TAKE CARE +audio/RES0088.mp3[733.120,740.160] YOU TOO +audio/MSK0022.mp3[0.000,1.840] WHAT BRINGS YOU HERE TODAY +audio/MSK0022.mp3[1.840,16.880] I HAVE BEEN HAVING THIS PAINS IN MY IN MY JOINTS THATS BEEN ONGOING NOW FOR THE LAST SEVERAL MONTHS AND ITS BEEN GETTING WORSE OVER THIS PERIOD OF TIME +audio/MSK0022.mp3[16.880,25.040] OK SO SEVERAL MONTHS IS THE PAIN SO WHERE WHERE EXACTLY IS THE PAIN +audio/MSK0022.mp3[25.040,36.280] SO I GET IT IN SOME OF THE JOINTS IN MY HANDS AND THEN ALSO MY FEET AS WELL SO YEAH MY YEAH REALLY IN MY FEET AND MY HANDS +audio/MSK0022.mp3[36.280,55.080] OK AND WHAT KIND OF PAIN IS IT IS IT LIKE AN ACHING PAIN IS IT SHARP PAIN +audio/MSK0022.mp3[55.080,69.160] ITLL BE A BIT AT ACHEY WHEN ITS THERE BUT I IF I MOVE THE JOINTS AT ALL WHEN ITS REALLY SORE I CAN GET A SHARP PAIN AS WELL +audio/MSK0022.mp3[69.160,76.160] OK AND IS THIS PAIN WORSE AT ALL AT ANY PARTICULAR TIME OF THE DAY +audio/MSK0022.mp3[76.160,94.560] YEAH I WOULD SAY IN THE MORNING TIME OR IF THERES ANY PERIOD OF TIME WHERE I IM LIKE SITTING AND RESTING FOR AWHILE AND I GET UP TO MOVE I HAVE A LOT OF STIFFNESS AND IT TAKES ME OVER AN HOUR SOMETIMES TO JUST GET MOVING +audio/MSK0022.mp3[94.560,111.720] OK UM SO SO IF I UNDERSTAND IT CLEARLY ITS YOU GET DO YOU GET LIKE MORNING YOU GET MORNING STIFFNESS AND THEN WHEN YOURE NOT VERY ACTIVE OR NOT DOING THINGS BUT THEN IT GETS BETTER WITH MOVEMENT +audio/MSK0022.mp3[111.720,118.920] YEAH EXACTLY YEAH THERES MORNING STIFFNESS AND IT DOES GET A LITTLE BIT BETTER WITH WITH MOVEMENT +audio/MSK0022.mp3[118.920,130.160] OK DO YOU HAVE ANY OF THIS PAIN OR STIFFNESS IN THE BIGGER JOINTS IN YOUR BODY LIKE THE HIPS OR THE KNEES OR YOUR SHOULDERS +audio/MSK0022.mp3[130.160,134.880] UH NO NOTHING NO JUST REALLY THE SMALL JOINTS +audio/MSK0022.mp3[134.880,140.520] OK IN THE MORNING STIFFNESS LASTS MORE THAN 30 MINUTES YOU SAID +audio/MSK0022.mp3[140.520,142.760] IT DOES YEAH +audio/MSK0022.mp3[142.760,157.720] YES OK IS IS IT SYMMETRICAL LIKE IS THE PAIN SYMMETRICAL AS IN IS IT HAPPENING IN BOTH HANDS IN THE SAME AREAS AND BOTH FEET IN THE SAME AREAS +audio/MSK0022.mp3[157.720,172.360] YEAH IT IS ACTUALLY NOW THAT YOU MENTIONED THAT IT IS SYMMETRICAL IM NOTICING THAT ITS THE SAME ITS THE SAME JOINTS ON BOTH SIDES OF MY BODY THAT IM SEEING THAT ARE AFFECTED +audio/MSK0022.mp3[172.360,201.200] OK NOW YEAH I I JUST HAVE YEAH THIS ONE PARTICULAR QUESTION ITS PRETTY SPECIFIC SO WHEN YOU LOOK AT YOUR HANDS IN WHICH JOINTS ARE PAINFUL IN YOUR FINGERS IS DO YOU DO YOU HAVE ANY PAIN OR SWELLING IN THE LAST JOINTS LIKE SO JUST UM JUST BELOW THE TIP OF YOUR FINGERS +audio/MSK0022.mp3[201.200,216.200] NO ACTUALLY LIKE THE THOSE JOINTS ARE ALL HAVE BEEN FINE I CAN MOVE THE TIPS OF MY FINGERS NO PROBLEM AND I HAVENT HAD ANY JOINT SWELLING OR PAIN IN THE TIPS OF MY FINGERS +audio/MSK0022.mp3[216.200,233.040] OK AND HOW ABOUT HAVE YOU HAD ANY PAIN AT ALL IN THE I GUESS THE FIRST JOINTS OF THE FINGER SO WHEN YOU MAKE A FIST LIKE THE FIRST JOINT THAT BENDS +audio/MSK0022.mp3[233.040,235.400] OH YEAH LIKE MY KNUCKLES YOU MEAN +audio/MSK0022.mp3[235.400,236.960] YEAH THAT YOUR KNUCKLES +audio/MSK0022.mp3[236.960,256.040] YEAH YEAH THOSE ACTUALLY THOSE ARE THE WORST I CAN NOTICE THOSE KIND OF ON THE LIKE ON MY INDEX FINGER MIDDLE FINGER AND AND RING FINGER ON BOTH SIDES THEY THEY ALL LOOK LIKE THEYRE SWOLLEN AND AND THOSE HURT HURT REALLY BAD +audio/MSK0022.mp3[256.040,263.240] OK AND IN YOUR FEET WHICH JOINTS WOULD YOU SAY ARE HURTING THE MOST +audio/MSK0022.mp3[263.240,282.560] I I WOULD SAY THE LIKE THE BIG TOE JOINT ON BOTH OF MY FEET THOSE BOTHER ME YEAH BUT MY BIG MY BIG TOE ON ON BOTH FEET BUT MY RIGHT FOOTS WORSE THAN THE OTHER +audio/MSK0022.mp3[282.560,290.120] OK I SEE OK AND ARE YOU GETTING ANY PAIN IN ANY OTHER JOINTS +audio/MSK0022.mp3[290.120,315.120] UM ACTUALLY YEAH MY MY RIGHT ANKLE BUGS ME A LITTLE BIT IM SORRY IF THATS CONSIDERED A LARGE JOINT BUT YEAH MY ANKLE HURTS AND THEN ALSO MY IN MY HANDS I HAVE LIKE THE MIDDLE ONE NOT PROXIMAL INTERPHALANGEAL JOINT YEAH THOSE ONES HURT TOO +audio/MSK0022.mp3[315.840,321.520] I THINK I HAVE LIKE MORE THAN 10 JOINTS THAT ARE SWOLLEN AND PAINFUL +audio/MSK0022.mp3[321.520,330.840] OK I SEE AND HAS THIS PAIN BEEN PRETTY CONSTANT OR HAVE THERE BEEN DAYS THAT YOU DONT HAVE THE PAIN +audio/MSK0022.mp3[330.840,352.920] YEAH THERE ARE DAYS THAT ARE BETTER THAN OTHERS FOR SURE IT JUST IM NOT REALLY TOO SURE WHAT THE REASON IT IS LIKE MAYBE IM JUST MORE RESTED OR SOMETHING LIKE THAT BUT THERE ARE DAYS THAT THAT ARE BETTER BUT OVER THE LAST SEVERAL MONTHS ITS BEEN GETTING GETTING WORSE +audio/MSK0022.mp3[352.920,360.560] OK AND HOW MUCH WOULD YOU RATE THE PAIN FROM ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE +audio/MSK0022.mp3[360.560,364.800] I WOULD SAY ITS PROBABLY A 6 +audio/MSK0022.mp3[364.800,371.640] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL TO HELP WITH YOUR HELP RELIEVE YOUR SYMPTOMS +audio/MSK0022.mp3[371.640,389.200] YEAH IVE BEEN TRYING UM ACETAMINOPHEN AND DIFFERENT TYPES OF ANTIINFLAMMATORIES LIKE IBUPROFEN OR ADVIL AND IVE TRIED CREAMS AND STUFF TOO BUT IT IT DOESNT SEEM TO HELP +audio/MSK0022.mp3[389.200,397.080] OK ARE YOU FEELING ANY OTHER SYMPTOMS AT ALL LIKE FEVERS OR CHILLS +audio/MSK0022.mp3[397.080,401.120] UM I DO I HAVE FELT A BIT WARM +audio/MSK0022.mp3[401.120,406.000] A BIT WARM OK AND HOW LONG HAS THAT BEEN GOING ON FOR +audio/MSK0022.mp3[406.000,424.000] SO IT THAT VARIES AS WELL LIKE SOME DAYS ILL GET ILL FEEL LIKE FEVERISH FOR A LITTLE BIT AND IT WILL KIND OF GO AWAY I HAVENT CHECKED MY TEMPERATURE BUT IT I HAVE FELT WARM AT TIMES +audio/MSK0022.mp3[424.000,432.280] OK AND HAVE YOU LOST ANY MOVEMENT IN ANY OF THESE JOINTS AT ALL +audio/MSK0022.mp3[432.280,442.200] UH IT IS HARDER TO TO MAKE A FIST YEAH I CANT FULLY CLOSE MY MY FINGERS ALL THE WAY DOWN TO MAKE A FIST +audio/MSK0022.mp3[442.200,451.800] I SEE OK ANY KIND OF A UM NIGHT SWEATS AT ALL +audio/MSK0022.mp3[453.680,456.840] ANY WEIGHT LOSS +audio/MSK0022.mp3[456.840,468.600] UM WELL I THINK A FEW POUNDS I JUST HAVENT REALLY BEEN AS AS HUNGRY NOW YEAH MY APPETITE HASNT BEEN BEEN AS GOOD RECENTLY +audio/MSK0022.mp3[468.600,473.040] OK ANY SKIN CHANGES OR RASHES +audio/MSK0022.mp3[473.040,485.680] I OVER A COUPLE OF THE JOINTS I DO NOTICE SOME SOME REDNESS BUT JUST OVER THE THE JOINTS ON MY HAND I CAN HAVE SOME REDNESS +audio/MSK0022.mp3[485.680,489.440] OK BUT YOU DONT NOTICE ANY CHANGES ANYWHERE ELSE +audio/MSK0022.mp3[489.440,491.600] NO NOWHERE ELSE +audio/MSK0022.mp3[491.600,495.520] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/MSK0022.mp3[495.520,499.400] NO CHANGES TO VISION OR HEARING +audio/MSK0022.mp3[499.400,502.640] OK ANY SHORTNESS OF BREATH CHEST PAIN +audio/MSK0022.mp3[504.200,507.400] ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0022.mp3[507.400,509.280] NO THATS BEEN NORMAL +audio/MSK0022.mp3[509.280,512.880] OK ANY CHANGES IN YOUR URINARY PATTERNS +audio/MSK0022.mp3[512.880,516.560] NOPE I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT +audio/MSK0022.mp3[516.560,522.600] OK ANY NUMBNESS OR TINGLING SENSATION ANYWHERE ANYWHERE IN YOUR BODY +audio/MSK0022.mp3[522.600,524.920] NOPE I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0022.mp3[524.920,532.440] OK HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH LIKE COLD SYMPTOMS OF ANY VIRAL SYMPTOMS +audio/MSK0022.mp3[532.440,534.680] NO I FELT OK +audio/MSK0022.mp3[534.680,539.400] OK AND ANY MUSCLE WEAKNESS +audio/MSK0022.mp3[539.400,557.200] I I DONT THINK SO IVE JUST I I HAVE HAD TROUBLE LIKE OPENING JARS AND VARIOUS THINGS BUT I THINK THATS PART OF THE UM LIKE PAIN THAT IM HAVING IN MY IN MY HANDS IT MAKES IT HARD TO GRIP +audio/MSK0022.mp3[557.200,571.400] OK UHM AND IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS +audio/MSK0022.mp3[571.400,591.880] UH YEAH I HAVE A LOW THYROID AND OR OR HYPOTHYROIDISM I THINK ITS CALLED I AND I ALSO HAVE UH HIGH BLOOD PRESSURE SO I TAKE MY MEDICATION FOR HIGH BLOOD PRESSURE AND AND SOMETHING FOR THE THYROID AS WELL +audio/MSK0022.mp3[591.880,596.360] OK AND WHEN WERE YOU DIAGNOSED WITH THE HYPOTHYROIDISM +audio/MSK0022.mp3[596.360,601.360] UM THIS WAS ABOUT I LIKE FOUR YEARS AGO +audio/MSK0022.mp3[601.360,607.640] OK TODAY TELL YOU WHAT IT WAS CAUSED BY IT AT ALL +audio/MSK0022.mp3[607.640,612.800] OH I THINK I WAS I THINK THEY SAID HASHIMOTOS +audio/MSK0022.mp3[612.800,617.600] OK OK OK AND SINCE THEN YOUVE BEEN ON THE THYROID MEDICATION +audio/MSK0022.mp3[617.600,623.440] YEAH I THINK ITS LIKE SYNTHROID OR OR SOMETHING LIKE THAT YEAH I THINK SYNTHROID +audio/MSK0022.mp3[623.440,627.360] ALRIGHT ANY OTHER MEDICATIONS AT ALL THAT YOU TAKE REGULARLY +audio/MSK0022.mp3[627.360,634.560] YEAH I THINK IT IM TAKING AN ACE INHIBITOR FOR THE BLOOD PRESSURE +audio/MSK0022.mp3[634.560,638.440] OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW +audio/MSK0022.mp3[638.440,640.880] UH NO +audio/MSK0022.mp3[640.880,647.800] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0022.mp3[652.000,659.440] OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS +audio/MSK0022.mp3[659.440,669.640] MY MOM HAD HYPOTHYROIDISM AS WELL AND UH AND THATS IT +audio/MSK0022.mp3[669.640,682.200] OK SO ANYTHING ELSE LIKE RHEUMATOID ARTHRITIS ULCERTAIVE COLITIS CROHNS DISEASE TYPE ONE DIABETES ANYTHING LIKE THAT +audio/MSK0022.mp3[682.200,696.560] I I THINK MY COUSIN ACTUALLY HAS TYPE ONE DIABETES HES A LIKE HES MUCH YOUNGER THAN ME BUT YEAH I THINK HE I HAVE A COUSIN WITH TYPE ONE DIABETES AS WELL +audio/MSK0022.mp3[696.560,702.080] OK ALRIGHT AND UM CURRENTLY DO YOU WORK +audio/MSK0022.mp3[702.080,717.000] YEAH IVE BEEN WORKING AS A ADMINISTRATOR SO ITS BEEN TOUGH ON THE COMPUTER WITH WITH HOW MY HANDS HAVE BEEN CAUSING ME PAIN +audio/MSK0022.mp3[717.000,719.960] OH SO FROM THE TYPING ALSO GIVES YOU SOME PAIN +audio/MSK0022.mp3[719.960,735.240] YEAH I CAN IT CAN GIVE ME A LITTLE BIT OF PAIN BUT ONCE MY HANDS START MOVING ITS ITS OK ITS JUST IM A BIT SLOWER AT MY JOB WITH WITH HOW IT IS ESPECIALLY STARTING IN THE MORNING +audio/MSK0022.mp3[735.240,740.680] OK I SEE OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE +audio/MSK0022.mp3[740.680,751.200] SO I LIVE WITH MY HUSBAND AS WELL AS OUR UH OUR DAUGHTER SHES 4 +audio/MSK0022.mp3[751.200,759.080] OK AND ARE YOU CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL +audio/MSK0022.mp3[759.080,775.440] I I DONT I QUIT SMOKING FOUR YEARS AGO WHEN MY DAUGHTER WAS BORN AND BEFORE THAT I DIDNT SMOKE MUCH TO ME ANYWAY IT WAS I WAS ONLY SMOKING LIKE YOU LIKE MAYBE FOUR OR FIVE CIGARETTES A DAY SO I JUST STOPPED THEN +audio/MSK0022.mp3[775.440,779.000] OK THATS REALLY GOOD UH UH CONGRATULATIONS +audio/MSK0022.mp3[779.000,781.200] THANK YOU +audio/MSK0022.mp3[781.200,786.800] YEAH AND OTHER THAN THAT DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0022.mp3[786.800,793.280] UH NO I DONT OK HOW ABOUT ALCOHOL +audio/MSK0022.mp3[793.280,801.200] ILL HAVE A GLASS OF WINE SOMETIMES BUT VERY RARELY +audio/MSK0022.mp3[801.200,822.720] OK UM YEAH SO THOSE ARE JUST SOME OF THE QUESTIONS I HAD FOR YOU NOW I JUST WANTED TO ASK A FEW QUESTIONS REGARDING JUST PHYSICALLY EXAMINING THE JOINTS THAT HURT SO WHEN YOU LOOK AT THOSE JOINTS DO YOU NOTICE ANY KIND OF SWELLING REDNESS OR WHEN YOU FEEL ANY WARMTH TO THEM +audio/MSK0022.mp3[822.720,828.400] YES I YEAH I DO I FEEL SWELLING WARMTH AND REDNESS +audio/MSK0022.mp3[828.400,853.600] OK AND DO YOU NOTICE ANY KIND OF DEFORMITIES FOR EXAMPLE LIKE YOURE NOT ABLE TO BEND YOUR FINGER OR ANY KIND OF DEFORMITIES THAT YOU DIDNT SEE BEFORE OR LIKE FOR EXAMPLE YOUR WRIST IS TURNED UH OUTWARDS A LITTLE BIT ANYTHING LIKE THAT +audio/MSK0022.mp3[853.600,856.880] UH NO NOTHING LIKE THAT NO DEFORMITY +audio/MSK0022.mp3[856.880,869.400] NO DEFORMITIES OK WHEN YOU GO OVER YOUR JOINTS DO YOU NOTICE ANY KIND OF LIKE NODULES OR HARDER MATERIALS THAT DONT SEEM TO BE YOUR BONES +audio/MSK0022.mp3[869.400,878.840] NOT REALLY NO NO I DONT NOTICE ANYTHING LIKE THAT THEY JUST SHARE A BIT LARGER FROM THE SWELLING IT FEELS LIKE +audio/MSK0022.mp3[878.840,885.120] OK I SEE ARE YOU ABLE TO MAKE A FIST WITH BOTH BOTH HANDS +audio/MSK0022.mp3[885.120,895.440] NOT COMPLETELY I CAN CLOSE MY HANDS PART OF THE WAY BUT I CANT MAKE A FULL FIST +audio/MSK0022.mp3[895.440,901.800] I SEE OK AND ARE YOU ABLE TO COMPLETELY EXTEND YOUR FINGERS AND SHOW YOUR PALMS +audio/MSK0022.mp3[901.800,907.360] YEAH I CAN DO I CAN DO THAT +audio/MSK0022.mp3[907.360,915.040] OK AND ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING LIKE THAT +audio/MSK0022.mp3[915.040,916.200] UM YES I CAN +audio/MSK0022.mp3[916.200,924.920] OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/MSK0022.mp3[924.920,929.640] UM NO IM JUST WONDERING WHAT WHAT THIS COULD BE +audio/MSK0022.mp3[929.640,1036.680] YEAH SO FROM WHAT YOURE DESCRIBING TO ME YOU DO FIT INTO THE AGE RANGE AND ALL THE SYMPTOMS ARE KIND OF POINT TOWARDS ARTHRITIS AND IN THIS CASE IT SOUNDS MORE LIKE RHEUMATOID ARTHRITIS DDEFINITELY IT CAN BE DIFFERENT TYPES OF ARTHRITIS THAT WE WILL INVESTIGATE JUST IN CASE AS WELL BUT GIVEN THAT ITS SYMMETRICAL YOU HAVE THE MORNING STIFFNESS THAT DOESNT GO AWAY FOR MORE THAN 30 MINUTES AND JUST THE PATTERN OF WHERE THOSE WHERE THE STIFFNESS AND PAIN IS OCCURRING ITT SOUNDS MORE LIKELY TO BE RHEUMATOID ARTHRITIS ESPECIALLY SINCE YOUVE ALSO YOU ALSO HAVE ANOTHER AUTOIMMUNE CONDITION WITH HYPOTHYROIDISM ITS MORE LIKELY TO BE ANOTHER AUTOIMMUNE CONDITION SO WHAT WE WILL DO IS GET A FEW TESTS DONE THIS WILL INVOLVE SOME BLOOD WORK AS WELL AND WE WILL ALSO GET SOME IMAGING DONE SO WE WILL GET LIKE THE CRAND ESR FOR INFLAMMATORY MARKERS WE WILL GET LIKE YOUR FULL CBC BLOOD COUNT WE WILL GET RHEUMATOID FACTOR TEST DONE AS WELL AS ANTINUCLEAR ANTIBODY AND A LOT OF OTHER DIFFERENT JUST MARKERS TO RULE OUT ANYTHING ELSE BESIDES RHEUMATOID ARTHRITIS AND THEN WE WILL ALSO GET JUST XRAYS OF YOUR HANDS AND FEET AS WELL SO DOES THAT SOUND GOOD +audio/MSK0022.mp3[1036.680,1039.200] IT DOES YEAH THANK YOU +audio/MSK0022.mp3[1039.200,1057.160] YOURE WELCOME AND THEN IF IT DOES COME OUT TO BE RHEUMATOID ARTHRITIS ARTHRITIS WHICH SEEMS LIKELY YOU WILL NEED A REFERRAL TO A RHEUMATOLOGIST TO MANAGE AND TREAT YOUR UH TREAT YOU WITH MEDICATIONS +audio/MSK0022.mp3[1057.160,1060.280] OK THANK YOU ALRIGHT YOURE WELCOME TAKE CARE +audio/RES0024.mp3[0.000,3.800] COULD YOU START BY TELLING ME WHAT BROUGHT YOU IN +audio/RES0024.mp3[3.800,42.040] SO LIKE I DONT REALLY FEEL SICK I JUST I LOST I CANT I FOR THE PAST TWO DAYS I CANT SMELL ANYTHING I CANT TASTE ANY OF MY FOOD ITS SUPER WEIRD I LIKE LIVE WITH MY BOYFRIEND AND HE WAS LIKE HERE TAKE A BITE OF THIS ONION AND I LIKE BIT INTO IT AND I LITERALLY DIDNT TASTE ANYTHING OTHERWISE LIKE I FEEL TOTALLY FINE I JUST HEARD THAT THIS HAPPENS SOMETIMES LIKE WITH COVIAND IM JUST KIND OF WORRIED THAT I HAVE COVID +audio/RES0024.mp3[42.040,72.680] OK FOR SURE I WILL WE WILL UM DEFINITELY LOOK INTO THAT TODAY AND YOU ARE RIGHT IT IS A SYMPTOM THAT CAN OCCUR WITH WITH COVID BUT WE WILL WANT TO MAKE SURE THAT IT ISNT SOMETHING ELSE AND SO I WANTED TO JUST ASK YOU A FEW MORE QUESTIONS ABOUT HOW YOUVE BEEN FEELING SO YOU SAID YOU HAVENT FELT SICK SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0024.mp3[72.680,86.920] I MEAN I MAY BE EVEN A BIT TIRED BUT REALLY OTHERWISE NO I GUESS MAYBE I FELT LIKE A LITTLE DRY BUT I HAVENT ACTUALLY BEEN COUGHING +audio/RES0024.mp3[86.920,92.280] OK SO NO COUGH HAVE YOU FELT A LIKE SHORT OF BREATH AT ALL +audio/RES0024.mp3[93.800,99.480] OK AND HAVE YOU BROUGHT UP ANY LIKE SPUTUM OR ANY BLOOD +audio/RES0024.mp3[101.400,107.920] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0024.mp3[108.800,113.960] OK ANY FEELING LIKE YOUR HEART IS READY RACING +audio/RES0024.mp3[115.760,120.160] ALRIGHT UM ANY NAUSEA OR VOMITING +audio/RES0024.mp3[121.160,125.680] ANY DIARRHEA OR CONSTIPATION +audio/RES0024.mp3[126.120,135.000] OK ANY CHANGES TO URINARY HABITS ANY PAINFUL URINATION OR NEEDING TO GO MORE OFTEN +audio/RES0024.mp3[136.920,139.720] ALRIGHT AND HAVE YOU HAD ANY HEADACHES +audio/RES0024.mp3[139.720,141.920] MMM NO +audio/RES0024.mp3[141.920,145.240] UH HOW ABOUT ANY FEVERS +audio/RES0024.mp3[145.240,154.960] I DONT LIKE I DONT HAVE A THERMOMETER I LIKE MAYBE FELT A LITTLE HOT BUT LIKE LIKE I DONT REALLY KNOW +audio/RES0024.mp3[154.960,159.640] OK AND HAVE YOU HAD ANY CHILLS +audio/RES0024.mp3[159.640,162.000] UH NO +audio/RES0024.mp3[162.000,167.040] ALRIGHT OR HOW ABOUT ANY NIGHT SWEATS +audio/RES0024.mp3[168.960,176.560] AND RECENTLY OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT +audio/RES0024.mp3[176.560,178.160] UH NO +audio/RES0024.mp3[178.160,184.760] OK AND IN THE LAST SEVERAL DAYS HAVE YOU HAD A SORE THROAT +audio/RES0024.mp3[184.760,189.880] LIKE I SAID IT FELT LIKE DRY BUT I DONT THINK ITS BEEN SORE +audio/RES0024.mp3[189.880,195.800] OK UM AND HAVE YOU HAD A RUNNY NOSE +audio/RES0024.mp3[197.400,201.720] OR FELT CONGESTED AT ALL +audio/RES0024.mp3[203.120,207.920] OK AND THEN ANY EYE PAIN OR EAR PAIN +audio/RES0024.mp3[209.320,212.200] OK AND THEN ANY RASHES ON YOUR SKIN +audio/RES0024.mp3[212.200,218.040] LIKE I HAVE ECZEMA BUT NOTHING NEW +audio/RES0024.mp3[218.040,227.480] OK AND IN REGARDS TO YOUR PAST HEALTH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOURE FOLLOWED FOR +audio/RES0024.mp3[227.480,238.120] LIKE THE ECZEMA LIKE I HAVE LIKE A PEANUT ALLERGY THATS IT +audio/RES0024.mp3[238.120,241.880] I SEE OK DO YOU HAVE AN EPIPEN +audio/RES0024.mp3[243.720,246.280] OK DO YOU KEEP THAT WITH YOU REGULARLY +audio/RES0024.mp3[246.280,250.640] YEAH YEAH ALWAYS +audio/RES0024.mp3[250.640,256.240] OK EXCELLENT UM AND DO YOU TAKE ANY OTHER MEDICATIONS OR +audio/RES0024.mp3[256.240,271.800] I TAKE BIRTH CONTROL AN LIKE SOMETIMES LIKE I HAD I HAD LIKE ECZEMA CREAM LIKE THE THE STEROID ONE FOR WHEN ITS REALLY BAD +audio/RES0024.mp3[271.800,277.480] OK AND WHEN DID YOU START BIRTH CONTROL +audio/RES0024.mp3[277.480,281.920] MAYBE LIKE THREE YEARS +audio/RES0024.mp3[281.920,287.840] OK AND HOW OFTEN ARE YOU USING THE CREAM +audio/RES0024.mp3[287.840,301.320] ITS KIND OF LIKE GOES IN LIKE FLARES SO LIKE THIS CAUSE ITS WINTER IVE BEEN USING IT LIKE MAYBE A COUPLE TIMES A WEEK +audio/RES0024.mp3[301.320,306.320] OK UM AND ANY ALLERGIES TO MEDICATIONS +audio/RES0024.mp3[307.640,310.920] AND HAVE YOU HAD ANY SURGERIES IN THE PAST +audio/RES0024.mp3[312.520,317.840] OK ANY REASON REASON FOR HOSPITALIZATION +audio/RES0024.mp3[320.480,331.080] SORRY I WENT TO THE EMERGENCY DEPARTMENT LIKE WHEN I HAD MY PEANUT LIKE THE FIRST TIME I REALIZED I WAS ALLERGIC TO PEANUTS BUT THAT WAS IT +audio/RES0024.mp3[331.080,335.320] OH DID YOU HAVE AN ANAPHYLACTIC REACTION +audio/RES0024.mp3[335.320,345.640] YEAH LIKE I WAS A KID SO I DONT REALLY REMEMBER THAT MUCH BUT THATS WHEN THEY TOLD ME I WAS ALLERGIC +audio/RES0024.mp3[345.640,351.800] I SEE OK SO IMPORTANT TO HAVE THE EPIPEN THEN FOR SURE +audio/RES0024.mp3[353.360,357.160] AND SO YOU MENTIONED THAT YOURE LIVING WITH YOUR BOYFRIEND +audio/RES0024.mp3[358.360,360.960] OK ANYBODY ELSE +audio/RES0024.mp3[360.960,362.720] NO JUST US +audio/RES0024.mp3[362.720,368.120] OK AND AS YOUR BOYFRIEND BEEN SICK AT ALL +audio/RES0024.mp3[369.720,379.680] OK AND AT LIKE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK AT WORK OR SCHOOL +audio/RES0024.mp3[379.680,393.000] UM NO LIKE ALL MY CLASSES ARE ONLINE SO I DONT REALLY SEE ANYONE BESIDES HIM RIGHT NOW LIKE WE DONT EVEN OFFICIALLY LIKE TOGETHER HES JUST BEEN ESSENTIALLY STAYING AT MY APARTMENT CAUSE LIKE WE DONT SEE ANYONE ELSE +audio/RES0024.mp3[393.000,398.640] OK UM AND DO YOU SMOKE CIGARETTES +audio/RES0024.mp3[399.000,402.440] DO YOU SMOKE MARIJUANA +audio/RES0024.mp3[402.440,411.240] LIKE OCCASIONALLY WE WILL LIKE DO AN EDIBLE OR SOMETHING BUT I DONT SMOKE IT +audio/RES0024.mp3[411.240,418.760] OK AND ANY OTHER RECREATIONAL DRUGS LIKE COCAINE MDMA +audio/RES0024.mp3[420.240,425.160] OK UM AND UH ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0024.mp3[425.160,427.800] YEAH JUST LIKE WITH MY BOYFRIEND +audio/RES0024.mp3[427.800,436.320] OK AND UM ANY SEXUALLY TRANSMITTED INFECTIONS IN THE PAST +audio/RES0024.mp3[437.440,442.880] OK UM AND THEN DO YOU DRINK ALCOHOL +audio/RES0024.mp3[442.880,448.480] LIKE MAYBE A COUPLE OF BEERS ON THE WEEKEND +audio/RES0024.mp3[448.480,455.240] OK AND IN YOUR FAMILY HAS ANYBODY EVER LOST THEIR SMELL BEFORE +audio/RES0024.mp3[455.240,457.800] I DONT THINK SO +audio/RES0024.mp3[457.800,463.280] OK ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR A LUNG CONDITION +audio/RES0024.mp3[463.840,473.800] ALRIGHT AND THEN I HAVE ANYBODY IN THE FAMILY HAD CANCER BEFORE +audio/RES0024.mp3[473.800,483.000] LIKE MY LIKE MY UNCLE UM HAD LIKE PROSTATE CANCER +audio/RES0024.mp3[483.000,489.520] OK DO YOU KNOW BREAST CANCER OVARIAN CANCER +audio/RES0024.mp3[491.280,504.480] OK SO THAT THAT WAS ALL I WANTED TO ASK ABOUT ON UH THE HISTORY TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT +audio/RES0024.mp3[504.480,508.760] MMM I DONT KNOW THATS IT +audio/RES0024.mp3[508.760,552.520] OK SO UH YEAH WITH UH THE SYMPTOMS OF LOSING YOUR SMELL OVER THE LAST DAY OR SO WE WILL CERTAINLY LOOK INTO WHETHER OR NOT THIS IS CAUSED BY COVIAND SO THAT WILL REQUIRE A NASAL SWAB TEST FOR THAT USUALLY THE RESULTS ARE COMING BACK NOW WITHIN 48 HOURS HOPEFULLY BUT STILL WILL BE REQUIRED TO SELF ISOLATE NOW FOR THE NEXT 14 DAYS AFTER YOUR SYMPTOMS ARE GONE SO WE WILL LET YOU KNOW WHEN THE RESULTS COME BACK FROM THIS TEST THOUGH +audio/RES0024.mp3[552.520,559.040] OK OK GEEZ OK THANK YOU +audio/RES0024.mp3[559.040,562.800] ALRIGHT YOURE WELCOME +audio/RES0126.mp3[0.000,2.800] WHAT BRINGS YOU HERE TODAY +audio/RES0126.mp3[2.800,11.640] HI I AM HAVING DIFFICULTIES BREATHING AND IVE JUST HAD THIS COUGH AND ITS ITS BEEN TWO MONTHS NOW +audio/RES0126.mp3[11.640,21.520] TWO MONTHS SO DID THE TWO MONTHS OF THE DIFFICULTY BREATHING OR THE COUGH +audio/RES0126.mp3[21.520,33.880] TWO MONTHS OF DIFFICULTY BREATHING AND THE COUGH IS GOTTEN WORSE IVE HAD A COUGH FOR A COUPLE YEARS NOW IM A SMOKER +audio/RES0126.mp3[33.880,37.280] OK AND IS IS THIS COUGH DIFFERENT AT ALL +audio/RES0126.mp3[37.280,42.920] ITS JUST IT JUST DOESNT GO AWAY +audio/RES0126.mp3[42.920,46.920] OK AND WHEN DID THE SHORTNESS OF BREATH START +audio/RES0126.mp3[46.920,50.600] ABOUT TWO MONTHS AGO +audio/RES0126.mp3[50.600,52.160] OK AND IS IT GETTING WORSE +audio/RES0126.mp3[52.160,55.720] OH YEAH +audio/RES0126.mp3[55.720,60.720] OK ARE YOU BRINGING UP ANY SPUTUM AT ALL WITH YOUR COUGH +audio/RES0126.mp3[60.720,67.240] UHM I SOMETIMES UHM YEAH I DO +audio/RES0126.mp3[67.240,70.560] OK AND IS IS THERE ANY COLOR TO IT OR IS IT CLEAR +audio/RES0126.mp3[70.560,72.920] ITS PINK IN COLOR +audio/RES0126.mp3[72.920,74.560] ITS PINK IN COLOR +audio/RES0126.mp3[75.680,79.120] OK HAVE YOU COUGHED UP ANY BLOOD AT ALL +audio/RES0126.mp3[82.640,85.320] STREAKS OF BLOOD HERE AND THERE +audio/RES0126.mp3[85.320,100.800] LITTLE STREAKS OF BLOOD OK AND HAVE YOU EVER COUGHED UP ANY JUST WITHOUT WITHOUT IT BEING IN THE SPUTUM JUST ONTO A TISSUE OR ANYTHING LIKE THAT JUST COUGHING UP ANY BLOOD +audio/RES0126.mp3[102.280,110.520] OK SO AN ARE YOUR SYMPTOMS JUST CONSTANT OVER THE LAST TWO MONTHS OR DO THEY COME AND GO +audio/RES0126.mp3[110.520,116.200] SHORTNESS OF BREATH JUST KIND OF STAYS +audio/RES0126.mp3[116.200,123.160] OK AND IS THERE ANYTHING THAT HELPS WITH YOUR SHORTNESS OF BREATH LIKE TAKING A REST OR ANY POSITIONS IN PARTICULAR +audio/RES0126.mp3[123.160,129.800] YEAH SOMETIMES RESTING DOES HELP I FIND THAT ITS WORSE WHEN IM MOVING AROUND IM HUFFING AND PUFFING MORE +audio/RES0126.mp3[129.800,136.000] OK AND IS IT WORSE AT ALL WHEN YOU LAY DOWN +audio/RES0126.mp3[136.720,143.800] NO AND DO YOU FIND YOURSELF EVER HAVING TO WAKE UP AT NIGHT AND GASP GASPING FOR AIR +audio/RES0126.mp3[143.800,159.080] NO IT HASNT GOTTEN THAT FAR BUT SEEING HOW BAD ITS BEEN OVER THE PAST TWO MONTHS AND HOW FAST IS PROGRESSING I WONT BE SURPRISED IF I CANT EVEN SLEEP ITS BEEN QUITE DIFFICULT I I DONT EVEN KNOW WHY I WAITED SO LONG I SHOULD HAVE COME IN EARLIER +audio/RES0126.mp3[159.080,170.440] WELL IM GLAD YOU CAME IN TODAY WE CAN DEFINITELY TRY AND HELP YOU WITH WHATS GOING ON DO YOU AT ALL USE ANY KIND OF MEDICATIONS TO HELP YOU WITH YOUR SYMPTOMS +audio/RES0126.mp3[170.440,178.200] IVE JUST BEEN USING MY INHALERS A BIT MORE BUT THEY DONT ALWAYS HELP +audio/RES0126.mp3[178.200,182.200] OK AND WHAT ARE YOU USING THE INHALERS FOR +audio/RES0126.mp3[182.200,183.640] OH I HAVE COPD +audio/RES0126.mp3[183.640,187.000] COPOK AND WHEN WERE YOU DIAGNOSED +audio/RES0126.mp3[187.000,188.440] ITS BEEN 15 YEARS NOW +audio/RES0126.mp3[188.440,195.120] 15 YEARS AND DO YOU KNOW THE HOW MANY PUFFERS ARE YOU TAKING +audio/RES0126.mp3[195.120,201.240] UHM IM TAKING UHM IM TAKING TWO PUFFERS +audio/RES0126.mp3[201.240,209.640] OK AND DO YOU HAVE ONE THAT THAT YOU TAKE WHEN YOU WHEN YOU ABSOLUTELY NEED IT +audio/RES0126.mp3[209.640,217.040] YEAH YEAH I DO THATS THE ONE THAT IVE BEEN TRYING TO USE BUT +audio/RES0126.mp3[217.040,224.040] HAS IT BEEN LESS EFFECTIVE AT ALL RECENTLY +audio/RES0126.mp3[224.040,232.200] YEAH IT HASNT BEEN HELPING THE BLUE ONE I TRIED TO KEEP TAKING THE BLUE ONE AND ITS JUST YOU KNOW ITS NOT HELPING +audio/RES0126.mp3[232.200,240.400] HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS LIKE RUNNY NOSE ANY COLD LIKE SYMPTOMS +audio/RES0126.mp3[241.560,245.600] NO NOTHING LIKE THAT HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0126.mp3[245.600,251.120] OH NO IVE BEEN STAYING AT HOME IVE BEEN VERY CAREFUL THESE DAYS +audio/RES0126.mp3[251.120,262.560] YEAH FOR SURE ANY SO THIS STARTED TWO MONTHS AGO ARE YOU HAVING SO YOU HAVE NOT TRAVELED THEN IM ASSUMING +audio/RES0126.mp3[264.200,269.600] OK ARE YOU HAVING ANY KIND OF DIZZINESS OR FAINTING SPELLS +audio/RES0126.mp3[269.600,271.920] OH NO NO NO +audio/RES0126.mp3[271.920,280.800] NO OK ANY KIND OF SWELLING IN YOUR LEGS OR HANDS THAT YOUVE NOTICE +audio/RES0126.mp3[282.040,285.920] OK ANY HEADACHES AT ALL +audio/RES0126.mp3[285.920,297.120] NO WELL SOMETIMES I DO BUT ITS NOT BEEN SEVERE ITS BEEN THERE FOR THE PAST UHM ALWAYS WHEN IM STRESSED OUT I GET THESE HEADACHES ITS NOTHING NEW +audio/RES0126.mp3[297.120,303.520] OK ANY NAUSEA OR VOMITING +audio/RES0126.mp3[304.720,309.720] NO ANY DIARRHEA OR CONSTIPATION +audio/RES0126.mp3[310.840,317.120] NO OK ANY FEVERS OR CHILLS RECENTLY +audio/RES0126.mp3[317.120,322.120] I HAVE A MILD FEVER IT JUST ITS BEEN THERE +audio/RES0126.mp3[322.120,325.320] WHEN DID YOU NOTICE +audio/RES0126.mp3[325.320,334.280] UHM I WAS JUST CHECKING MY TEMPERATURE ABOUT A MONTH AGO AND NOTICED THAT I HAD A FEVER +audio/RES0126.mp3[334.280,337.960] OK THIS WAS A MONTH AGO +audio/RES0126.mp3[338.840,342.360] HAVE YOU HAD IT RECENTLY AT ALL +audio/RES0126.mp3[342.360,347.320] I HAVENT CHECKED IT RECENTLY BUT I DO FEEL A LITTLE HOT +audio/RES0126.mp3[347.320,350.160] OK ARE YOU GETTING NIGHT SWEATS AT ALL +audio/RES0126.mp3[352.080,360.600] SOMETIMES OK AND ARE YOU GETTING ANY KIND OF SIGNIFICANT WEIGHT LOSS +audio/RES0126.mp3[361.240,363.080] NO THEN YOUR WEIGHTS BEEN FINE +audio/RES0126.mp3[363.080,374.560] ITS BEEN THE SAME ALTHOUGH I HAVE BEEN EATING QUITE A LOT MORE NOW WITH THE PANDEMIC AND BEING HOME YOU KNOW THAT MIGHT BE STILL IN THE SAME +audio/RES0126.mp3[374.560,381.040] AND SO ARE YOU HAVING DO YOU FEEL LIKE TIRED THROUGHOUT THE DAY OR INCREASED FATIGUE +audio/RES0126.mp3[381.040,393.840] OH MY GOD SO TIRED I CAN YOU KNOW WITH THE DIFFICULTY BREATHING I FEEL LIKE ALL MY ENERGY SPENT JUST TRYING TO TRYING TO GET TO THE BATHROOM +audio/RES0126.mp3[393.840,406.120] OK AND HOW IS THERE LIKE HOW MUCH DO YOU WALK OR MOVE AROUND THAT YOU GET SHORT OF BREATH OR ARE YOU SHORT OF BREATH AT REST AS WELL +audio/RES0126.mp3[406.120,415.320] UHM IM SHORT OF BREATH ALL THE TIME YEAH ITS JUST ITS ITS WORSE WHEN I AM MOVING +audio/RES0126.mp3[415.320,423.000] AND SO YOUVE BEEN DIAGNOSED WITH COPHAVE YOU HAD TO USE OXYGEN AT HOME AT ALL +audio/RES0126.mp3[425.440,432.480] NO OK HOW ABOUT HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST FOR YOUR COPD +audio/RES0126.mp3[432.480,436.560] YEAH I HAD A HAD A COUPLE LAST YEAR +audio/RES0126.mp3[436.560,438.200] A COUPLE OF HOSPITALIZATIONS +audio/RES0126.mp3[438.200,442.680] YEAH YEAH ABOUT FOUR HOSPITALIZATIONS LAST YEAR +audio/RES0126.mp3[442.680,448.560] OH I SEE AND AND DID YOU HAVE TO USE ANY OXYGEN IN THE HOSPITAL +audio/RES0126.mp3[448.560,450.880] YEAH YEAH I DID I DID +audio/RES0126.mp3[450.880,457.000] THEY NEVER SENT YOU HOME WITH ANY LIKE OXYGEN TANK OR ANYTHING LIKE THAT OK +audio/RES0126.mp3[457.000,466.800] ALTHOUGH THEY TOLD ME MY COPWAS PRETTY BAD THAT I MIGHT NEED TO GET OXYGEN AT SOME POINT +audio/RES0126.mp3[466.800,473.400] I SEE AND HAVE YOU WHEN YOU IN HOSPITAL DID THEY GIVE YOU ANTIBIOTICS OR WHEN YOU WENT HOME +audio/RES0126.mp3[473.400,475.840] YEAH YEAH THEY DID THEY DID +audio/RES0126.mp3[475.840,480.320] DID THEY TELL YOU YOU HAD PNEUMONIA AT ALL AT ANY POINT +audio/RES0126.mp3[480.320,484.280] I DONT THINK SO +audio/RES0126.mp3[484.280,487.800] NO OK OK ANY ANY CHANGES OR DO YOU GET ANY CHEST PAIN AT ALL +audio/RES0126.mp3[487.800,493.880] UHM SOMETIMES WHEN I BREATHE IN VERY DEEP +audio/RES0126.mp3[493.880,504.160] I SEE ANY ANY KIND OF SENSATION THAT YOUR HEART IS RACING +audio/RES0126.mp3[504.640,515.240] NO OK ANY KIND OF ISSUES WITH YOUR SLEEP OR APPETITE +audio/RES0126.mp3[515.240,524.520] UMM WELL NO NOT REALLY ITS JUST THE DIFFICULTY BREATHING SOMETIMES ITS BEEN HARD TO SLEEP +audio/RES0126.mp3[524.520,532.840] OK ANY ANY EXPOSURE TO ANY FUMES OR ALLERGENS IN YOUR HOUSEHOLD ANY ANIMALS PETS +audio/RES0126.mp3[533.080,539.560] OK AND OTHER THAN COPHAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0126.mp3[539.560,542.640] NO IM PRETTY HEALTHY OTHERWISE +audio/RES0126.mp3[542.640,548.400] OK DO YOU HAVE ANY ALLERGIES AT ALL TO MEDICATIONS OR ENVIRONMENTAL ALLERGIES +audio/RES0126.mp3[548.400,551.320] IM ALLERGIC TO CATS +audio/RES0126.mp3[551.320,557.400] TO CATS OK DO YOU HAVE A CAT +audio/RES0126.mp3[558.200,561.560] NO OK HAVE YOU BEEN AROUND ANY CATS RECENTLY +audio/RES0126.mp3[562.440,566.000] NO OK ARE YOU ON ANY MEDICATIONS BESIDES THE PUFFERS +audio/RES0126.mp3[568.800,573.760] OK AND SO YOU USE THE VENTOLIN AND THEN WHATS THE OTHER PUFFER THAT YOU USE +audio/RES0126.mp3[573.760,579.960] UHM I DONT REMEMBER THE NAME +audio/RES0126.mp3[579.960,583.240] DO YOU KNOW THE COLOR AT ALL +audio/RES0126.mp3[583.240,584.240] ITS ORANGE +audio/RES0126.mp3[584.240,593.520] ORANGE OK SO YOUVE HAD FOUR HOSPITALIZATIONS IN THE PAST YEAR ANY SURGERIES IN THE PAST +audio/RES0126.mp3[593.520,598.480] I HAD A KNEE REPLACEMENT ON MY RIGHT SIDE +audio/RES0126.mp3[598.480,601.000] OK AND WHEN WAS THAT +audio/RES0126.mp3[601.000,606.320] 10 YEARS AGO +audio/RES0126.mp3[606.320,611.200] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS +audio/RES0126.mp3[611.200,615.640] MY DAD HAD COPAS WELL +audio/RES0126.mp3[615.640,621.240] OK AND ANY LUNG CANCERS IN THE FAMILY +audio/RES0126.mp3[624.880,626.720] NO SO CURRENTLY DO YOU WORK AT ALL +audio/RES0126.mp3[626.720,629.440] IM RETIRED +audio/RES0126.mp3[629.440,633.040] OK AND WHAT DID YOU DO BEFORE YOU RETIRED +audio/RES0126.mp3[633.040,636.120] I WAS I WAS A MECHANIC AT CHRYSLERS +audio/RES0126.mp3[636.120,647.880] OK AND DURING YOUR WORK WERE YOU EVER EXPOSED TO ANY CHEMICALS OR ANY KIND OF IN YOUR +audio/RES0126.mp3[647.880,652.000] WORKPLACE OR HOME EXPOSED TO ANY ASBESTOS OR ANYTHING LIKE THAT +audio/RES0126.mp3[652.000,655.480] NOT THAT IM AWARE OF +audio/RES0126.mp3[655.480,662.000] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0126.mp3[662.000,665.600] OH YEAH I WAS A TEENAGER WHEN I STARTED +audio/RES0126.mp3[665.600,669.720] OK AND HOW MUCH DO YOU SMOKE ON A ON A DAILY BASIS +audio/RES0126.mp3[669.720,673.080] I SMOKE I SMOKE A PACK A DAY +audio/RES0126.mp3[673.080,680.520] OK HAVE YOU AT ALL TRIED TO QUIT BEFORE +audio/RES0126.mp3[680.520,696.920] I CANT QUIT ITS NOT GONNA HAPPEN A LOT OF PEOPLE HAVE TOLD ME TRY TO QUIT BUT I I JUST CANT LIVE WITHOUT IT AND IM 75 NOW YOU KNOW LIKE IM NOT GONNA LIVE A LOT LONGER ANYWAY +audio/RES0126.mp3[696.920,719.160] YEAH YEAH BUT ALSO EVEN IF YOU TRY TO CUT DOWN SOME OF YOUR SYMPTOMS MIGHT GET BETTER LIKE EVEN THOUGH YOURE 75 YOU CAN DEFINITELY HAVE IMPROVEMENT IN SOME OF YOUR SYMPTOMS THAT YOURE HAVING LIKE THE SHORTNESS OF BREATH AND COUGHING SO IF AT ALL THAT YOU YOU WANT TO CONSIDER CUTTING DOWN AND GRADUALLY WE CAN TALK ABOUT THAT MORE AS WELL +audio/RES0126.mp3[721.040,724.320] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0126.mp3[725.360,727.360] DO YOU DRINK +audio/RES0126.mp3[730.160,735.520] NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0126.mp3[735.520,749.200] NO I JUST I GUESS I NEED TO BE ADMITTED RIGHT JUST LIKE THOSE OTHER COPEXACERBATIONS IM THINKING THIS IS EXACTLY THAT AND ILL HAVE TO STAY IN THE HOSPITAL RIGHT FOR A COUPLE OF DAYS +audio/RES0126.mp3[749.200,800.400] YEAH SO WE DEFINITELY BEFORE DECIDING ON WHETHER OR NOT YOU SHOULD BE ADMITTED SINCE YOU SAID THE VENTOLIN IS NOT WORKING FOR YOU WE WILL DEFINITELY GIVE YOU SOME SOME VENTILATION AND PERHAPS STEROID FOR JUST TO GET RID OF SOME OF YOUR SYMPTOMS RIGHT NOW AND WE WANT TO ALSO MAKE SURE SINCE YOURE HAVING LIKE COUGH AS WELL AS SHORTNESS OF BREATH TO DO A COVID SWAB ON YOU JUST IN CASE I KNOW YOUVE BEEN LIKE ISOLATING AND EVERYTHING BUT JUST IN CASE I WILL DO THAT AND WELL GET LIKE A CHEST X RAY ON YOU AS WELL JUST TO SEE IF THERES ANY KIND OF PNEUMONIA GOING ON AND THEN FROM THERE WELL ALSO GET YOUR BLOOD WORK AND THEN FROM THERE WELL SEE WHETHER OR NOT YOU WILL REQUIRE ANOTHER ADMISSION +audio/RES0126.mp3[802.080,818.320] OK AND THERE YOU MIGHT IM NOT 100 SURE BUT YOU MIGHT REQUIRE HOME OXYGEN IF LIKE WE TAKE YOUR VITALS AND EVERYTHING AND YOUR OXYGENATION IS VERY LOW HAVE YOU HAVE YOU BEEN TALKED ABOUT THAT AT ALL IN THE PAST +audio/RES0126.mp3[818.320,823.880] YEAH THEY TALKED ABOUT IT LAST TIME IVE BEEN TRYING TO AVOID IT BUT IF IT HAS TO HAPPEN IT HAS TO HAPPEN +audio/RES0126.mp3[823.880,843.920] HMM YEAH AND IT MIGHT JUST SOMETIMES JUST YOU KNOW YOUVE HAD FOUR ADMISSIONS IN THE PAST AND IT MIGHT ACTUALLY JUST HELP YOU STAY AT HOME IF YOU ARE ON OXYGEN ANYWAYS YEAH WE CAN TALK ABOUT THAT WELL DO LIKE A FULL PHYSICAL EXAMINATION EVERYTHING AND GO FROM THERE +audio/RES0126.mp3[845.120,851.440] GREAT ILL BE WITH YOU SHORTLY +audio/MSK0031.mp3[0.000,1.960] HOW CAN I HELP YOU +audio/MSK0031.mp3[1.960,30.640] HI I JUST WAS BROUGHT IN HERE TODAY I HAD A FALL JUST WAKING UP COMING DOWN THE STAIRS I FELL OFF THE LAST FEW STAIRS AND JUST FELL ONTO THE RIGHT SIDE AND ON RIGHT ONTO MY HEAD AND NOW UH I COULDNT EVEN I COULD BARELY STAND UP AND PUT ANY WEIGHT ON MY HIP ITS THE RIGHT HIP +audio/MSK0031.mp3[30.640,37.520] OK UHM SO WHAT CAUSED YOU TO FALL IN THE 1ST PLACE DID YOU JUST LOSE BALANCE WERE YOU DIZZY +audio/MSK0031.mp3[37.520,46.560] I THINK I JUST I MISSED I WASNT DIZZY OR ANYTHING I JUST MISSED ONE OF THE STEPS AND JUST SLIPPED SLIPPED DOWN THE STAIRS +audio/MSK0031.mp3[47.120,52.520] BUT IT WAS JUST THE LAST FEW STAIRS I DIDNT HAVE LIKE I DIDNT HIT MY HEAD OR ANYTHING LIKE THAT +audio/MSK0031.mp3[52.520,54.840] OK AND WHEN WAS THIS +audio/MSK0031.mp3[54.840,58.200] THIS WAS A SO I GUESS NOW TWO HOURS AGO +audio/MSK0031.mp3[58.200,64.240] TWO HOURS AGO OK HAS A PAIN BEEN CONSTANT SINCE +audio/MSK0031.mp3[64.240,68.240] YEAH ITS ITS REALLY EXCRUCIATING +audio/MSK0031.mp3[68.240,73.440] OK DOES ANYTHING MAKE IT BETTER OR WORSE +audio/MSK0031.mp3[73.440,79.320] NO ITS IM JUST IN EXTREME PAIN LIKE I I I CANT EVEN PUT ANY WEIGHT ON IT +audio/MSK0031.mp3[79.320,88.360] OK SO YOU CANT OK SO YOU CANT WEIGHT BEAR AND YOU CANT WALK ON ON THAT LEG I GUESS +audio/MSK0031.mp3[89.760,95.200] OK IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHY +audio/MSK0031.mp3[95.200,110.120] ITS UH ITS PRETTY SHARP LIKE IF IM NOT PUTTING ANY WEIGHT ON IT RIGHT NOW ITS LIKE REALLY ACHY BUT IF I PUT ANY WEIGHT ON ITS REALLY SHARP +audio/MSK0031.mp3[110.120,121.920] OK AND WHERE IS THIS PAIN EXACTLY IS IT JUST IN YOUR RIGHT HIP OR IS IT RADIATING UP INTO YOUR UPPER ANTERIOR LOWER BACK OR DOWN TO YOUR LEG +audio/MSK0031.mp3[121.920,133.080] ITS IN THE RIGHT HIP MOSTLY JUST ON THE SIDE BUT THE PAIN IS KIND OF LIKE ALL OVER THE RIGHT SIDE OF MY GROIN AND I FEEL LIKE THERES SOME SWELLING THERE AS WELL +audio/MSK0031.mp3[133.080,142.560] OK AND ONE TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS YOUR PAIN +audio/MSK0031.mp3[142.560,146.640] I WOULD SAY 10 LIKE IVE NEVER EXPERIENCED PAIN LIKE THIS +audio/MSK0031.mp3[146.640,157.320] 10 OK AND DO YOU HAVE YOU EVER HAD PAIN LIKE THIS BEFORE LIKE HAVE YOU EVER HAD A FALL IN THE PAST +audio/MSK0031.mp3[157.320,160.960] NO THIS ISNT THIS IS THE FIRST TIME IVE HAD A FALL +audio/MSK0031.mp3[160.960,164.520] OK ANY NUMBNESS OR TINGLING +audio/MSK0031.mp3[164.520,168.200] UHM NO NOT THAT I CAN TELL NO +audio/MSK0031.mp3[168.200,171.440] DIZZINESS OR FAINTING SPELLS +audio/MSK0031.mp3[171.440,185.600] UHM AFTER THE FALL OUT LIKE THIS I I DONT KNOW IF ITS DUE TO THE PAIN BUT EVEN IN THE AMBULANCE COMING OUT OF THE AMBULANCE I WAS FEELING A LITTLE BIT DIZZY BUT I DONT KNOW IF THATS JUST CAUSE OF THE PAIN +audio/MSK0031.mp3[185.600,188.920] OK ANY HEADACHES +audio/MSK0031.mp3[189.440,193.560] CONFUSION OR MEMORY LOSS +audio/MSK0031.mp3[194.160,198.080] UH JOINT PAINS OR MUSCLE ACHES ELSEWHERE +audio/MSK0031.mp3[199.560,201.760] WEIGHT LOSS RECENTLY +audio/MSK0031.mp3[202.640,206.440] FEVERS OR CHILLS +audio/MSK0031.mp3[209.080,212.720] UHM AND RASHES +audio/MSK0031.mp3[212.720,213.880] UH NO +audio/MSK0031.mp3[213.880,217.360] ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE +audio/MSK0031.mp3[218.640,226.280] ANY UH YOU EXPERIENCING ANY COUGH UHM SHORTNESS OF BREATH OR WHEEZING +audio/MSK0031.mp3[228.240,232.960] OK HOW ABOUT CHEST PAIN OR HEART PALPITATIONS +audio/MSK0031.mp3[232.960,237.600] NO NOT THAT I HAVE EXPERIENCED +audio/MSK0031.mp3[237.600,242.360] OK AND HOW ABOUT CHANGES YOUR BOWEL MOVEMENTS +audio/MSK0031.mp3[244.080,251.480] OK HOW ABOUT CHANGES TO URINE +audio/MSK0031.mp3[251.480,256.760] NO NOTHING +audio/MSK0031.mp3[256.760,261.880] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0031.mp3[261.880,282.880] YEAH SO I JUST HAVE A UHM I DO HAVE SOME OSTEOARTHRITIS AND THEN I HAVE I TAKE THIS MEDICATION FOR BLOOD PRESSURE ITS CALLED UH RAMIPRIL +audio/MSK0031.mp3[282.880,287.280] OK OK AND IS THAT THE ONLY MEDICATION THAT YOURE ON +audio/MSK0031.mp3[287.280,296.400] UH YEAH AND THEN IM JUST ON VITAMINS LIKE VITAMIN CALCIUM AND JUST MULTIVITAMINS +audio/MSK0031.mp3[296.400,304.360] OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/MSK0031.mp3[305.880,308.880] YEAH OK ANY ALLERGIES +audio/MSK0031.mp3[308.880,313.120] UH NO NOT THAT I KNOW OF +audio/MSK0031.mp3[313.120,319.560] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/MSK0031.mp3[319.560,328.600] UHM I THINK UH MY FATHER HE DIED OF A HEART ATTACK IN HIS 60S +audio/MSK0031.mp3[328.600,334.320] OK OK ANY MUSCULOSKELETAL ISSUES +audio/MSK0031.mp3[334.320,339.080] UHM NO I DONT THINK SO +audio/MSK0031.mp3[339.080,344.880] NO UHM HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0031.mp3[344.880,350.320] NO NOT THAT I KNOW OF +audio/MSK0031.mp3[350.320,353.320] ANY CANCERS +audio/MSK0031.mp3[353.320,369.480] UH I THINK MY MY MOTHER HAD SOME SKIN CANCER BUT THE ONES THAT SHE DIDNT NEED ANY SURGERY THEY JUST ZAPPED THEM OFF +audio/MSK0031.mp3[369.480,372.080] OK UHM AND DO YOU SMOKE +audio/MSK0031.mp3[372.080,373.560] NO IVE NEVER SMOKED +audio/MSK0031.mp3[373.560,378.080] OK UHM DO YOU DRINK ALCOHOL +audio/MSK0031.mp3[378.080,386.440] JUST MAYBE LIKE A WINE WHAT EVERY OTHER DAY A GLASS OF OF WINE +audio/MSK0031.mp3[386.440,391.560] OK AND THEN DO YOU CONSUME MARIJUANA IN ANY FORM +audio/MSK0031.mp3[394.520,402.400] OK AND HOW ABOUT IN TERMS OF WHERE YOU LIVE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE +audio/MSK0031.mp3[402.400,414.040] I LIVE WITH UHM JUST MY HUSBAND AND AND WE JUST LIVE IN A SMALL APARTMENT +audio/MSK0031.mp3[414.040,419.880] OK AND HAVE YOU BEEN IN TOUCH WITH ANY ANYONE SICK RECENTLY +audio/MSK0031.mp3[419.880,430.120] UH NO IVE IVE BEEN LIKE AT HOME WITH MY HUSBAND WE HAVENT REALLY LEFT +audio/MSK0031.mp3[430.120,434.920] OK AND HAVE YOU DONE ANY TRAVEL RECENTLY +audio/MSK0031.mp3[434.920,437.240] UHM NO IVE JUST STAYED AT HOME +audio/MSK0031.mp3[437.240,457.280] OK ALRIGHT SO LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW SO IF YOU CAN IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR HIPS AS WELL AS YOUR LEGS DO YOU NOTICE ANY REDNESS OR SWELLING IN THE AREA +audio/MSK0031.mp3[457.280,466.600] I DO NOTICE SOME SWELLING ITS A LITTLE BIT RED I CANT REALLY SEE TOO MUCH RED +audio/MSK0031.mp3[466.600,479.000] OK OK ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES LIKE BRUISES +audio/MSK0031.mp3[479.000,489.040] UH MAYBE SOME BRUISING BUT I I DONT NOTICE ANYTHING ELSE +audio/MSK0031.mp3[489.040,496.760] OK ALRIGHT AND THEN WHEN YOU PLACE THE BACK OF YOUR HAND ON BOTH HIPS DO YOU NOTICE ANY TEMPERATURE CHANGES IS ONE SIDE WARMER THAN THE OTHER +audio/MSK0031.mp3[496.760,500.680] ITS A LITTLE BIT WARMER THE RIGHT SIDE THAN THE LEFT +audio/MSK0031.mp3[500.680,518.480] OK AND DOES ONE LIKE APPEAR TO BE SHORTER OR DOES DOES IT APPEAR TO BE MISALIGNED OR IN ANY SORT OF LIKE STRANGE POSITIONS LIKE OUTWARD TURNING OF YOUR LEG ONE COMPARED TO THE OTHER +audio/MSK0031.mp3[518.480,529.360] I THINK ITS A BIT BUT LOOK AT IT A BIT LIKE OUTWARD TURNING AND THEN YEAH I WOULD SAY ITS MORE OUTWARD TURNS +audio/MSK0031.mp3[529.360,533.800] OK AND IF ARE YOU SITTING DOWN RIGHT NOW +audio/MSK0031.mp3[533.800,534.760] UH YEAH +audio/MSK0031.mp3[534.760,539.440] OK ARE YOU ABLE TO STAND UP FROM A SITTING POSITION +audio/MSK0031.mp3[539.440,541.960] I CAN TRY BUT ITS VERY PAINFUL +audio/MSK0031.mp3[544.760,546.400] YES SHOULD I GO AHEAD AND TRY +audio/MSK0031.mp3[546.400,547.640] YES PLEASE +audio/MSK0031.mp3[547.640,557.720] YEAH SO I YEAH I CAN BARELY STAND UP I CANT ITS KIND OF JUST IM JUST SUPPORTING MYSELF WITH MY LEFT LIKE +audio/MSK0031.mp3[557.720,568.640] OK AND SO I I GUESS YOU CANT DO ANY OF THE LIKE HIP FLEXION OR HIP EXTENSION HIP ABDUCTION OR ADDDUCTION CORRECT +audio/MSK0031.mp3[568.640,572.680] NO I CAN BARELY MOVE IT +audio/MSK0031.mp3[572.680,577.400] OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/MSK0031.mp3[577.400,583.520] NO I THINK I I JUST DONT KNOW IF I NEED SURGERY OR SOMETHING +audio/MSK0031.mp3[583.520,654.720] YEAH SO IT SOUNDS LIKE YOU HAVE A HIP FRACTURE FROM YOUR FALL UHM SO THE WAY TO TREAT THIS IS A COMBINATION OF SURGERIES AND REHAB AND MEDICATION SO WE WILL DEFINITELY LOOK INTO THE SURGICAL OPTION FIRST WHICH IS DONE USING SOME INTERNAL REPAIR WITH SCREWS OR YOU CAN DO A TOTAL HIP REPLACEMENT OR A PARTIAL HIP REPLACEMENT THE ORTHOPAEDIC SURGEON WILL UH DECIDE LIKE WHICH OPTION IS BEST FOR YOU AFTER WE REFER YOU FOR A CONSULT WITH THEM AND THEN AFTER THAT SURGERY THEYLL LIKELY REFER YOU TO SOME REHAB SO PHYSIOTHERAPY WILL FOCUS ON IMPROVING YOUR RANGE OF MOTION AND STRENGTHENING THE MUSCLES IN THAT AREA UHM AND FOR MANAGEMENT OF PAIN YOU CAN TAKE IBUPROFEN OR ANY OVER THE COUNTER PAIN MEDICATIONS FOR NOW DOES THAT SOUND OK +audio/MSK0031.mp3[654.720,656.400] YEAH THAT SOUNDS GOOD THANK YOU SO MUCH +audio/MSK0031.mp3[656.400,662.560] OK GREAT NO PROBLEM +audio/RES0207.mp3[0.000,4.120] WELL CAN YOU TELL ME WHAT BROUGHT YOU IN TODAY +audio/RES0207.mp3[4.120,20.440] YEAH I WOKE UP THIS MORNING AND I WAS JUST FEELING SUDDENLY FEELING VERY SHORT OF BREATH AND I JUST WASNT SURE WHAT WAS GOING ON SO I THOUGHT I WOULD COME IN +audio/RES0207.mp3[20.440,32.000] OK THIS THIS MORNING SUDDENLY FEELING SHORT OF BREATH OK AND THIS COUGH WAS NOT ALSO SOMETHING THAT HAPPENS SUDDENLY THIS MORNING +audio/RES0207.mp3[35.520,39.880] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0207.mp3[39.880,48.840] UM NO NOT I MEAN IF I I GET A CALL FROM TIME TO TIME WHEN I GET SICK BUT IVE NEVER REALLY FELT SHORT OF BREATH +audio/RES0207.mp3[48.840,55.480] OK IS THIS COUGH A DRY COUGH OR ARE YOU BRINGING UP ANY SPUTUM +audio/RES0207.mp3[55.480,59.720] UM ITS A DRY COUGH +audio/RES0207.mp3[59.720,64.600] OK OK HAVE YOU HAD ANY FEVERS +audio/RES0207.mp3[64.600,79.680] UM YEAH I CHECKED IT THIS MORNING I WAS LIKE IT WAS KIND OF MILD SO 374 I THINK +audio/RES0207.mp3[79.680,83.680] OK THAT WAS JUST THIS MORNING +audio/RES0207.mp3[87.000,91.200] OK OK UH HAVE YOU HAD ANY CHEST PAIN +audio/RES0207.mp3[92.480,100.120] OK UM HAVE YOU FELT AT ALL LIKE YOURE GOING TO FAINT +audio/RES0207.mp3[100.120,124.640] NO NO ALTHOUGH I I SHOULD LET YOU KNOW AND MAYBE I DONT KNOW IF ITS RELATED UM BUT I HAD A SEIZURE LAST NIGHT AND I WAS FINE AFTER AND THEN I WENT TO BED UM I DONT KNOW IF THATS RELATED BUT I THOUGHT I SHOULD LET YOU KNOW I DO HAVE A SEIZURE DISORDER I HAVE EPILEPSY +audio/RES0207.mp3[124.640,139.520] OK OK THANK YOU FOR SHARING THAT WITH ME HAVE YOU EVER HAD ANY ISSUES LIKE THIS FOLLOWING SEIZURES IN THE PAST +audio/RES0207.mp3[139.520,154.360] NO I USUALLY DONT GET SEIZURES VERY OFTEN UM I KIND OF FORGOT TO TAKE MY MED I THINK THAT MIGHT HAVE YEAH +audio/RES0207.mp3[154.360,166.960] ALRIGHT OK NO WORRIES UM OK IS THERE ANYTHING IN TERMS OF THIS SHORTNESS OF BREATH AND THIS COUGH IS THERE ANYTHING THAT MAKES IT FEEL WORSE +audio/RES0207.mp3[166.960,168.200] UM I +audio/RES0207.mp3[168.200,170.840] IN ANY POSITION +audio/RES0207.mp3[170.840,184.640] YEAH I I MEAN I HAVENT REALLY BEEN IN A LOT OF POSITIONS LIKE IT JUST STARTED THREE HOURS AGO OR SO SO I HAVENT REALLY +audio/RES0207.mp3[184.640,185.920] THATS A HARD QUESTION +audio/RES0207.mp3[185.920,190.040] YEAH I HAVEN’T DONE MUCH SINCE THEN +audio/RES0207.mp3[190.040,193.320] HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0207.mp3[194.600,197.560] ANY BELLY PAIN +audio/RES0207.mp3[197.560,199.080] UH NO +audio/RES0207.mp3[199.080,201.240] OK ANY DIARRHEA +audio/RES0207.mp3[201.240,207.520] UH NO NO I DONT +audio/RES0207.mp3[207.520,211.720] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY +audio/RES0207.mp3[211.720,214.880] UH NO I HAVENT +audio/RES0207.mp3[214.880,220.400] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0207.mp3[220.400,226.160] NO IVE JUST BEEN AT HOME +audio/RES0207.mp3[226.160,236.240] OK ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT +audio/RES0207.mp3[236.240,238.960] UM NO NO I +audio/RES0207.mp3[238.960,242.720] HAVE LOST ANY OF YOUR SENSE OF TASTE OR SMELL +audio/RES0207.mp3[242.720,245.480] NO I HAVENT +audio/RES0207.mp3[245.480,249.960] HAVE YOU HAD ANY SORE THROAT +audio/RES0207.mp3[251.440,254.480] RUNNY NOSE +audio/RES0207.mp3[256.400,266.360] OK UHM SO IN TERMS OF YOUR OVERALL HEALTH YOU SAID THAT YOU HAVE EPILEPSY ANY OTHER CHRONIC CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0207.mp3[266.360,268.880] NO THATS IT +audio/RES0207.mp3[268.880,274.160] YOU SAID YOU TAKE A MEDICATION WHAT MEDICATION OR MEDICATIONS ARE YOU CURRENTLY TAKING +audio/RES0207.mp3[274.160,278.080] UM IM TAKING KEPPRA +audio/RES0207.mp3[278.080,285.240] OK AND NORMALLY ARE YOU HAVING ANY DIFFICULTY REMEMBERING TAKING IT OR WAS IT JUST KIND OF A BRAIN FART +audio/RES0207.mp3[285.240,307.560] NO IT JUST KIND OF HAPPENED IT WAS IT WAS MY DAUGHTERS BIRTHDAY AND WE KIND OF JUST I USUALLY SORT OF HAVE IT WITH DINNER TIME BUT WE DID THINGS A LITTLE BIT DIFFERENTLY AND HAD LIKE A CELEBRATION EARLIER ON AND SO I COMPLETELY FORGOT BECAUSE I DIDNT HAVE DINNER LATER +audio/RES0207.mp3[307.560,319.080] OH YEAH THAT MAKES SENSE IT HAPPENS FOR SURE K DO YOU HAVE ANY ALLERGIES +audio/RES0207.mp3[319.440,326.040] DO YOU HAVE ANY FAMILY HISTORY ANY ANY DISEASES THAT RUN IN YOUR FAMILY +audio/RES0207.mp3[326.040,331.680] YEAH EPILEPSY RUNS IN THE FAMILY MY MOM HAD IT +audio/RES0207.mp3[331.680,344.720] OK AND IN TERMS OF YOUR LIFESTYLE YOU SAID THAT YOU HAVE A DAUGHTER SO DO YOU LIVE WITH YOUR FAMILY DO YOU LIVE WITH YOUR DAUGHTER +audio/RES0207.mp3[344.720,349.240] YEAH YEAH I LIVE WITH MY DAUGHTER AND MY WIFE +audio/RES0207.mp3[349.240,350.920] HOW OLD IS YOUR DAUGHTER +audio/RES0207.mp3[350.920,352.640] PARDON ME +audio/RES0207.mp3[352.640,354.040] HOW OLD IS YOUR DAUGHTER +audio/RES0207.mp3[354.040,356.880] SHES 16 YEARS OLD +audio/RES0207.mp3[356.880,359.160] OH WOW SWEET 16 +audio/RES0207.mp3[361.680,368.160] RIGHT OK SO ARE YOU CURRENTLY WORKING +audio/RES0207.mp3[368.160,370.760] I I AM YEAH +audio/RES0207.mp3[370.760,373.560] WHAT DO YOU DO FOR WORK +audio/RES0207.mp3[373.560,375.440] I’M AN ACCOUNTANT +audio/RES0207.mp3[375.440,379.640] OK COOL ARE YOU WORKING FROM HOME OR STILL WORKING OUT +audio/RES0207.mp3[379.640,382.800] I’M WORKING FROM HOME YEAH +audio/RES0207.mp3[382.800,385.160] NICE AND THATS SOUNDS GREAT OK AND UH DO YOU SMOKE +audio/RES0207.mp3[385.160,391.640] I DON’T NO +audio/RES0207.mp3[391.640,397.440] DO YOU DRINK ALCOHOL +audio/RES0207.mp3[397.440,401.520] ON THE WEEKENDS ONE OR TWO CLASS SAYS A WINE +audio/RES0207.mp3[401.520,405.080] OK AND DID YOU USE ANY OTHER SUBSTANCES +audio/RES0207.mp3[405.080,408.880] NO I DONT +audio/RES0207.mp3[408.880,429.120] OK I THINK THAT ABOUT COVERS MY QUESTIONS FOR NOW SO IM GONNA TAKE EVERYTHING WE TALKED ABOUT IM GOING TO GO OVER IT WITH THE DOCTOR WAS WORKING TODAY AND NOW WELL COME BACK SHORTLY AND TALK TO YOU ABOUT THE NEXT STEPS IF THERES ANY TESTS WE WANT TO DO OR HOW WE WANT TO MOVE FORWARD WITH THIS SO +audio/RES0207.mp3[429.120,431.040] YEAH THATS GREAT +audio/RES0207.mp3[431.040,434.320] OK SURE SEE YOU SHORTLY +audio/RES0186.mp3[0.000,1.000] WHAT BRINGS YOU IN +audio/RES0186.mp3[1.000,28.560] HI THERE IVE BEEN HAVING THIS UHM COUGH THATS BEEN ONGOING FOR THE PAST TWO DAYS AND IVE STARTED TO BECOME SHORT OF BREATH AS WELL EVEN WITH JUST A LITTLE BIT OF EXERTION IVE ALSO BEEN FEELING FEVERISH AND I CHECKED MY TEMPERATURE AND IT WAS 38 POINT UH POINT 5 +audio/RES0186.mp3[28.560,36.480] OK WELL THATS DEFINITELY A FEVER CAN YOU TELL ME A LITTLE BIT ABOUT WHEN THE COUGHING STARTED +audio/RES0186.mp3[36.480,48.920] YEAH I FIRST NOTICED IT TWO DAYS AGO AND ITS BEEN KIND OF JUST GETTING A LITTLE BIT WORSE OVER THESE LAST TWO DAYS TO THE POINT NOW WHERE IM IM SHORT OF BREATH AS WELL +audio/RES0186.mp3[48.920,57.160] OK SO THATS SORT OF TWO DAYS AGO AND THEN WHEN DO THE SHORTNESS OF BREATH START +audio/RES0186.mp3[57.160,61.360] UH THE SHORTNESS OF BREATH HAS BEEN WITHIN THE LAST DAY WITHIN THE LAST DAY +audio/RES0186.mp3[61.360,68.360] WITHIN THE LAST DAY OK AND THE COUGHING IS THAT I DRY COUGH OR IS IT A WET COUGH +audio/RES0186.mp3[68.360,70.280] ITS A DRY COUGH +audio/RES0186.mp3[70.280,74.200] OK UHM SO NO SPUTUM OR BLOOD +audio/RES0186.mp3[74.200,77.760] NO SPUTUM OR BLOOD IN THE COUGHING +audio/RES0186.mp3[77.760,84.600] OK THATS GOOD AND ALRIGHT ANY CHEST PAIN +audio/RES0186.mp3[84.600,89.040] NO I HAVENT HAD ANY CHEST PAIN +audio/RES0186.mp3[89.040,93.000] OK ANY PALPITATIONS OF YOUR HEART +audio/RES0186.mp3[93.000,98.400] NO NO HEART PALPITATIONS +audio/RES0186.mp3[98.400,104.240] OK AND ANY HAVE YOU NOTICED LIKE A RUNNY NOSE OR A STUFFY NOSE +audio/RES0186.mp3[104.240,110.400] NO I HAVENT REALLY HAD A RUNNY NOSE NO RUNNY NOSE +audio/RES0186.mp3[110.400,116.560] OK NO RUNNY NOSE THATS GOOD AND THEN ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0186.mp3[116.560,118.920] NO CHANGES TO VISION OR HEARING +audio/RES0186.mp3[118.920,123.240] HOW ABOUT CHANGES TO YOUR SMELL OR TASTE +audio/RES0186.mp3[123.240,126.880] NO CHANGES TO SMELL OR TASTE THATS BEEN BEEN NORMAL +audio/RES0186.mp3[126.880,136.200] BEEN NORMAL OK THATS GOOD AND HOW ABOUT OF HOW ABOUT WEIGHT LOSS +audio/RES0186.mp3[136.200,141.080] NO I HAVENT HAD ANY UH ANY WEIGHT LOSS +audio/RES0186.mp3[141.080,145.760] OK THATS GOOD ANY RASHES +audio/RES0186.mp3[145.760,146.480] UH NO RASHES +audio/RES0186.mp3[146.480,151.360] CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0186.mp3[151.360,161.040] NO I I HAVENT HAD ANY NO DIARRHEA I HAVE HAD A LITTLE BIT OF UH LIKE BELLY PAIN THOUGH +audio/RES0186.mp3[161.040,165.880] OK OK WHEN DID THE BELLY PAIN START +audio/RES0186.mp3[165.880,178.560] THATS JUST BEEN UH YEAH WITHIN THE LAST DAY UH AS WELL IT JUST FEELS A BIT UNCOMFORTABLE KIND OF ALL OVER +audio/RES0186.mp3[178.560,187.160] OK YEAH ALRIGHT UHM AND YOU DONT FEEL GASSY OR OR BLOATED +audio/RES0186.mp3[190.040,194.160] OK UHM AND NO NAUSEA OR VOMITING +audio/RES0186.mp3[194.160,204.280] NO I HAVENT HAD ANY AH ACTUALLY I HAVE BEEN A BIT IVE HAD SOME NAUSEA AS WELL LIKE THATS WHAT I FEEL LIKE WITH THAT WITH THE ABDOMINAL PAIN +audio/RES0186.mp3[204.280,212.640] MHMM OK AND ANY CHANGES IN YOUR SMELL OR TASTE +audio/RES0186.mp3[212.640,221.880] UHM SO I ACTUALLY YEAH WITH THE SENSE OF SMELL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL NOW THAT YOU ASK AGAIN YEAH SORRY +audio/RES0186.mp3[221.880,227.320] OK NO WORRIES AND ANY APPETITE CHANGES +audio/RES0186.mp3[227.320,234.600] YEAH I HAVENT IVE HAD A LOSS OF APPETITE +audio/RES0186.mp3[234.600,240.600] OK ALRIGHT ALRIGHT AND ARE YOU STILL EATING THE SAME OR A LITTLE BIT LESS +audio/RES0186.mp3[240.600,247.720] A BIT LESS SO I GUESS I HAVENT BEEN IS HUNGRY I SAY SIMILAR AMOUNT OF TIME JUST REALLY THESE LAST TWO DAYS +audio/RES0186.mp3[247.720,254.560] YEAH HAVE YOU HAD ANY DIZZINESS OR FAINTING SPELLS +audio/RES0186.mp3[254.560,255.880] NO I HAVENT +audio/RES0186.mp3[255.880,259.360] NO ANY MEMORY LOSS OR CONFUSION +audio/RES0186.mp3[260.240,263.520] NO JOINT ACHES OR MUSCLE ACHES +audio/RES0186.mp3[263.520,280.520] YEAH IVE HAD LIKE MUSCLE ACHES I GUESS I FEEL LIKE WEVE BEEN GETTING OLDER BUT NO YEAH IVE HAD MUSCLE ACHES THESE LAST COUPLE OF DAYS AS WELL KIND OF GENERALLY ACHY +audio/RES0186.mp3[280.520,287.880] OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0186.mp3[287.880,296.480] I HAVE DIABETES TYPE 2 DIABETES AND I HAVE HIGH BLOOD PRESSURE AS WELL +audio/RES0186.mp3[297.720,300.720] YEAH MY WEIGHTS A BIT A BIT HIGH +audio/RES0186.mp3[300.720,307.080] OK UHM AND DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS +audio/RES0186.mp3[307.080,315.400] YEAH SO I TAKE METFORMIN AND I ALSO TAKE AN ACE INHIBITOR AND THATS IT +audio/RES0186.mp3[315.400,322.960] OK ALRIGHT AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0186.mp3[322.960,324.560] I BELIEVE SO YES +audio/RES0186.mp3[324.560,329.320] YEAH OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY +audio/RES0186.mp3[329.320,336.600] NO I DONT THINK NO NO ALLERGIES +audio/RES0186.mp3[336.600,342.040] OK ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +audio/RES0186.mp3[342.040,345.720] UH NO NOTHING LIKE THAT +audio/RES0186.mp3[345.720,352.800] OK UHM ALRIGHT ANY HISTORY OF LIKE CANCERS IN THE FAMILY +audio/RES0186.mp3[352.800,355.160] NO HISTORY OF CANCER IN THE FAMILY +audio/RES0186.mp3[355.160,358.600] OK DO YOU SMOKE AT ALL +audio/RES0186.mp3[358.600,360.560] NO NOT I DONT SMOKE +audio/RES0186.mp3[360.560,367.720] YOU DONT SMOKE OK HOW ABOUT RECREATIONAL DRUGS +audio/RES0186.mp3[367.720,370.360] NO I DONT USE ANYTHING LIKE THAT +audio/RES0186.mp3[370.360,375.760] NO OK DO YOU DRINK ALCOHOL +audio/RES0186.mp3[375.760,382.920] YEAH ILL HAVE LIKE ONE BEER EACH DAY SO YEAH ABOUT YEAH ONE BEER A DAY +audio/RES0186.mp3[382.920,389.400] ONE BEER A DAY OK AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0186.mp3[389.400,395.560] UMM SO I LIVE IN A HOUSE WITH WITH MY WIFE AND AH AND OUR SON +audio/RES0186.mp3[395.560,401.120] OK AND ANYONE AT HOME SICK +audio/RES0186.mp3[401.120,405.920] UH NOBODYS BEEN SICK AT HOME +audio/RES0186.mp3[405.920,412.280] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN SICK +audio/RES0186.mp3[412.280,433.960] UH I DONT THINK SO I MEAN IVE 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 IM NOT SURE +audio/RES0186.mp3[433.960,438.440] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0186.mp3[438.440,445.040] UH NO TRAVEL JUST BEEN GOING TO WORK AND DOING THE ESSENTIALS AND HOME +audio/RES0186.mp3[445.040,457.000] OK THATS GOOD AND ANY REASONS TO BELIEVE YOU HAVE OLD CARPET MOLD ASBESTOS PETS ANYTHING AT HOME THAT COULD BE MAKING YOUR CONDITION WORSE +audio/RES0186.mp3[457.000,463.480] I DONT BELIEVE SO NO WE YEAH ITS A NEW A NEWER HOME AND WEVE DONE SOME RENOVATIONS +audio/RES0186.mp3[463.480,471.800] OK THATS GOOD UHM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/RES0186.mp3[471.800,477.960] NO I WAS JUST WORRIED THAT MAYBE I COULD HAVE COVID +audio/RES0186.mp3[477.960,525.960] YEAH FOR SURE SO THATS 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 YOURE EXPERIENCING THINGS LIKE WEAKNESS SEIZURES LIKE AND YOURE 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 +audio/RES0186.mp3[525.960,527.640] YEAH IT DOES THANK YOU +audio/RES0186.mp3[527.640,532.960] OK YEAH NO PROBLEM +audio/RES0083.mp3[0.000,4.880] WHAT CAN I DO FOR YOU +audio/RES0083.mp3[4.880,21.480] IVE BEEN FEELING REALLY JUST BAD THESE LAST COUPLE OF DAYS IVE HAD THESE UH MUSCLE ACHES AND HEADACHE AND COUGH THAT HAVE BEEN REALLY BOTHERING ME +audio/RES0083.mp3[21.480,23.880] WHEN DID ALL THIS START +audio/RES0083.mp3[23.880,41.480] SO YEAH ABOUT 3 DAYS AGO I WOKE UP IN THE MORNING WITH UH AND YEAH I STARTED HAVING THESE LIKE MUSCLE ACHES AND A COUGH STARTED KIND OF THAT DAY +audio/RES0083.mp3[41.480,48.320] OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH IS IT A DRY COUGH OR WET COUGH +audio/RES0083.mp3[48.320,56.320] ITS A DRY COUGH I HAVENT BROUGHT UP ANY ANY SPUTUM AND NO BLOOD +audio/RES0083.mp3[56.320,64.760] AND THE MUSCLE ACHES IS IT ALL OVER IS IT SPECIFIC PART OF YOUR BODY +audio/RES0083.mp3[64.760,74.360] YEAH ITS JUST KINDA ALL OVER JUST FEELS KIND OF ICKY +audio/RES0083.mp3[74.360,81.960] OK AND HAS THE COUGH GOTTEN BETTER OR WORSE OVER THE PAST THREE DAYS +audio/RES0083.mp3[81.960,94.600] ITS GOT A LITTLE WORSE I THINK I WOULD SAY ITS A BIT MORE FREQUENT BUT THE COUGH ISNT THAT BAD BUT ITS GOTTEN WORSE +audio/RES0083.mp3[94.600,100.400] OK AND YOU MENTIONED HEADACHES WHEN DID THOSE START +audio/RES0083.mp3[100.400,121.400] SO WITHIN THE LAST COUPLE OF DAYS YEAH IVE HAD A HEADACHE WANT TO SAY MOST OF THE TIME AND IVE BEEN USING TYLENOL OR ACETAMINOPHEN TO HELP WITH THOSE ITS TAKEN THE EDGE OFF OF THE HEADACHES FOR SURE +audio/RES0083.mp3[121.400,124.640] DO YOU USUALLY GET HEADACHES +audio/RES0083.mp3[124.640,132.280] EVERY ONCE IN A WHILE MAYBE ONCE OR TWICE A MONTH MAYBE EVEN LESS THAN THAT +audio/RES0083.mp3[132.280,137.720] IS YOUR CURRENT HEADACHE SIMILAR TO THE HEADACHES THAT YOU USUALLY GET +audio/RES0083.mp3[137.720,152.920] IT IS YEAH ITS YEAH IT FEELS LIKE MY HEAD IS BEING SQUEEZED AND I KIND OF HAVE A PRESSURE WHERE YEAH THAT KIND OF SQUEEZING SENSATION ON MY FOREHEAD +audio/RES0083.mp3[152.920,156.040] THAT FRONT PART BOTH SIDES LEFT AND RIGHT +audio/RES0083.mp3[156.040,159.200] YEAH KIND OF BOTH SIDES +audio/RES0083.mp3[159.200,168.320] IS IT ACCOMPANIED WITH UH SO IS THE HEADACHE WORSE WHEN YOURE IN BRIGHT LIGHT +audio/RES0083.mp3[169.600,183.440] NO OK IS IT WORSE WHEN ARE YOU TRYING TO STAY IN A DARK ROOM WITH NO SOUND IS IT WORSE WHEN YOURE WHEN PEOPLE ARE TALKING OR THERES LOUD NOISES AROUND YOU +audio/RES0083.mp3[184.320,187.160] NO ANY NAUSEA OR VOMITING +audio/RES0083.mp3[188.920,195.600] ANY STIFFNESS IN YOUR NECK ANY DIFFICULTIES MOVING YOUR NECK +audio/RES0083.mp3[195.600,211.920] NO THATS OK I MEAN A BIT LIKE I DONT KNOW LIKE KIND OF ACHY I GUESS WITH MY UPPER BACK AND SHOULDERS FEEL A BIT SORE BUT YEAH I CAN MOVE MY HEAD AROUND OK +audio/RES0083.mp3[211.920,222.200] ALRIGHT OK AND UHM LETS SEE SO HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0083.mp3[222.200,226.320] I DONT THINK SO +audio/RES0083.mp3[226.320,233.720] OK AND ANY SORE THROAT +audio/RES0083.mp3[234.800,237.720] RUNNY NOSE CONGESTION +audio/RES0083.mp3[244.040,248.280] OK UHM ANY OTHER I GUESS ANY DIFFICULTIES BREATHING +audio/RES0083.mp3[248.280,250.760] NO NO +audio/RES0083.mp3[250.760,253.920] ANY CHEST PAIN +audio/RES0083.mp3[255.360,260.000] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0083.mp3[260.880,262.560] ANY PAIN YOUR BELLY +audio/RES0083.mp3[262.880,269.120] CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY FUNCTION +audio/RES0083.mp3[269.120,275.120] NO I HAVENT HAD ANY DIARRHEA THINGS HAVE BEEN NORMAL +audio/RES0083.mp3[275.120,295.200] OK GOOD OK I SUPPOSE OK SO YOUVE HAD THIS COUGH AND YOUVE HAD MUSCLE ACHES AND THIS HEADACHE HOW HAS UH SO YOUVE TRIED TYLENOL HAVE YOU TRIED ANYTHING ELSE +audio/RES0083.mp3[295.200,310.160] NO I JUST USE THE TYLENOL AND I TOOK A TYLENOL COLD AND SINUS AT NIGHT WHICH HELPED WITH THE SLEEPING +audio/RES0083.mp3[310.160,317.720] OK CAN YOU TELL ME IF YOU HAVE ANY MEDICAL PROBLEMS ANY MEDICAL CONDITIONS +audio/RES0083.mp3[317.720,324.880] YEAH I HAVE UH HIGH CHOLESTEROL AND YEAH I JUST HAVE HIGH CHOLESTEROL +audio/RES0083.mp3[324.880,337.680] ANY MEDICATIONS THAT YOURE ON +audio/RES0083.mp3[337.680,343.880] YEAH I TAKE A STATIN +audio/RES0083.mp3[343.880,348.560] AND ANY ALLERGIES +audio/RES0083.mp3[348.560,359.000] UH MAYBE PENICILLIN I THINK I GOT HIVES WHEN I WAS A KID OR SOME SORT OF RASH +audio/RES0083.mp3[359.000,367.160] I SEE OK AND ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +audio/RES0083.mp3[367.160,380.000] I KNOW MY DAD HAD A STROKE WHEN HE WAS IN HIS LATE 70S AND MY MOM HAD HIGH CHOLESTEROL AS WELL +audio/RES0083.mp3[380.000,391.040] OK OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED +audio/RES0083.mp3[391.040,402.840] NO I QUIT SMOKING WHEN I HAD MY FIRST KID SO THAT WAS ABOUT YEAH THAT WAS 17 YEARS AGO +audio/RES0083.mp3[402.840,405.880] OK AND HOW MUCH DID YOU SMOKE BEFORE THAT +audio/RES0083.mp3[405.880,408.120] I SMOKED ABOUT A HALF A PACK PER DAY +audio/RES0083.mp3[408.120,409.920] FOR HOW MANY YEARS +audio/RES0083.mp3[409.920,413.360] FOR ABOUT 12 YEARS I GUESS +audio/RES0083.mp3[413.360,417.200] OK AND DO YOU CONSUME ALCOHOL +audio/RES0083.mp3[417.200,423.280] YEAH ILL HAVE THREE OR FOUR GLASSES OF WINE OVER THE WEEKEND +audio/RES0083.mp3[423.280,428.560] ALRIGHT AND WHAT ABOUT ANY MARIJUANA +audio/RES0083.mp3[428.560,430.040] UH NO +audio/RES0083.mp3[430.040,434.120] ANY RECREATIONAL DRUGS +audio/RES0083.mp3[435.280,446.480] OK DO YOU TAKE ANY HERBAL MEDICATIONS OR ANY VITAMINS OR ANYTHING ELSE OVER THE COUNTER +audio/RES0083.mp3[446.480,463.400] YEAH I DO TAKE MAGNESIUM AND LIKE VITAMIN AND UH A MULTI VITAMIN +audio/RES0083.mp3[463.400,470.600] AND DO YOU HAVE YOU HAD ANY CONTACT WITH ANYONE WHO IS SICK OR YOU THINK MIGHT BE SICK +audio/RES0083.mp3[470.600,478.000] I DONT THINK SO UM EVERYBODY IN MY FAMILY HAS BEEN BEEN OK +audio/RES0083.mp3[478.000,487.480] HAVE YOU HAD EXPOSURE TO ANYONE OR MET ANYONE WHO YOU THINK MIGHT HAVE HAD COVID +audio/RES0083.mp3[487.480,503.280] UH WELL I DID GO TO A FAMILY PARTY JUST LAST WEEKEND IT WAS OUTSIDE AND WE WERE MAINTAINING DISTANCING BUT YEAH +audio/RES0083.mp3[503.280,512.000] ARE YOU VACCINATED +audio/RES0083.mp3[512.000,513.600] NO NOT YET +audio/RES0083.mp3[513.600,585.800] NO OK ALRIGHT OK SO YOUVE HAD THIS DRY COUGH AND MUSCLE ACHES AND HEADACHE FOR THE PAST THREE DAYS OR SO AND YOUR SYMPTOMS ARE GETTING A LITTLE BIT WORSE OR YOUR COUGHS GETTING WORSE FOR THE PAST THREE DAYS WERE GONNA IT COULD BE THAT YOU HAVE SOME SORT OF A VIRAL INFECTION LIKE AN UPPER RESPIRATORY INFECTION BUT YOU MIGHT ALSO OR YOU COULD POSSIBLY HAVE COVID SO WELL DO A COVID TEST AND I JUST RECOMMEND THAT YOU STAY HYDRATED AND CONTINUE TO EAT AND DRINK WELL AND AND MONITOR YOUR SYMPTOMS TAKE TYLENOL IT SOUNDS LIKE TYLENOL HAS BEEN HELPING A LITTLE BIT CONTINUE TO TAKE TYLENOL GET LOTS OF REST AND IF YOU HAVE ANY SHORTNESS OF BREATH OR IF YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE CALL 911 FOR HELP IF YOUR CONCERNED ABOUT YOUR HEALTH AT ALL AND WELL GET A COVID TEST SET UP FOR YOU +audio/RES0083.mp3[585.800,591.720] OK THANK YOU +audio/RES0072.mp3[0.000,2.720] SO WHAT BRINGS YOU IN HERE +audio/RES0072.mp3[2.720,16.160] YEAH IVE HAD THIS SORE THROAT IT STARTED REALLY YESTERDAY AND IVE BEEN HAVING PROBLEMS WITH EATING AND DRINKING +audio/RES0072.mp3[16.160,22.240] OK SO IT JUST STARTED YESTERDAY HAS IT OCCURRED BEFORE +audio/RES0072.mp3[22.240,25.480] NOT THIS PAINFUL BEFORE +audio/RES0072.mp3[25.480,31.960] OK ARE YOU WERE HAVING ANY TROUBLE SWALLOWING JUST SOLIDS OR LIQUIDS AS WELL +audio/RES0072.mp3[31.960,42.760] IT HURTS TO SWALLOW BOTH WHEN I HAVE SOMETHING REALLY COLD IT HELPS I MEAN ITS EASIER TO DRINK BUT IT STILL HURTS +audio/RES0072.mp3[42.760,50.080] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT +audio/RES0072.mp3[50.080,57.440] YEAH IVE BEEN NAUSEOUS AND I VOMITED A COUPLE OF TIMES +audio/RES0072.mp3[57.440,59.840] OK JUST WITHIN THE LAST DAY +audio/RES0072.mp3[59.840,70.400] YEAH THIS IS OVER THE LAST DAY I VOMITED THREE TIMES YESTERDAY AND ONCE TODAY +audio/RES0072.mp3[70.400,81.280] OK AND UH WHAT WAS THE COLOR OF THE VOMIT WAS IT JUST FOOD THAT YOU HAD EATEN OR WAS IT GREEN CAN YOU DESCRIBE IT A LITTLE BIT +audio/RES0072.mp3[81.280,99.160] YEAH SO THE FIRST TWO TIMES IT WAS MORE OF WHAT LIKE THE FOOD THAT I HAD EATEN AND THEN THE LAST TWO TIMES ITS BEEN MORE YELLOWISH GREEN CAUSE I HAVENT REALLY EATEN MUCH SINCE YESTERDAY AFTERNOON +audio/RES0072.mp3[99.160,106.800] OK AND DID YOU NOTICE ANY BLOOD IN IT AT ALL +audio/RES0072.mp3[106.800,108.480] NO BLOOD +audio/RES0072.mp3[108.480,118.200] OK AND DO YOU HAVE ANY IDEA WHAT CAUSED THE NAUSEA OR VOMITING WAS IT AFTER EATING OR LIKE WERE THERE ANY TRIGGERS +audio/RES0072.mp3[118.200,128.240] I THINK THE FIRST TIME WAS ASSOCIATED WITH LIKE AFTER EATING BUT IM NOT SURE ABOUT THE OTHER ONES +audio/RES0072.mp3[128.240,135.040] OK AND WITH YOUR SORE THROAT ARE YOU HAVING ANY KIND OF LIKE A GAG REFLEX OR ANYTHING LIKE THAT +audio/RES0072.mp3[135.040,142.280] YEAH MAYBE A LITTLE BIT MAYBE THATS WHAT PROMPTED IT +audio/RES0072.mp3[142.280,152.120] OK AND HAS YOUR SORE THROAT BEEN JUST CONSTANT OR DOES IT COME COME AND GO +audio/RES0072.mp3[152.120,156.760] ITS BEEN PRETTY CONSTANT YEAH +audio/RES0072.mp3[156.760,164.040] AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 1 TO 10 1 BEING THE LEAST PAIN YOUVE FELT IN YOUR LIFE 10 BEING THE WORST +audio/RES0072.mp3[164.040,171.800] UH I WOULD SAY UH A 6 ITS PRETTY PAINFUL +audio/RES0072.mp3[171.800,181.520] OK UM HAVE YOU NOTICED ANY KIND OF LIKE SWELLING AROUND YOUR NECK OR ANY REDNESS IN YOUR THROAT +audio/RES0072.mp3[181.520,190.520] YEAH I FELT MY NECK THIS MORNING IN THE FRONT OF IT IT DOES FEEL SWOLLEN +audio/RES0072.mp3[190.520,195.360] OK AND ARE YOU COUGHING AT ALL +audio/RES0072.mp3[195.360,197.960] NO I HAVENT HAD A COUGH +audio/RES0072.mp3[197.960,206.800] OK SO NO COUGH BUT ARE YOU PRODUCING ANY SPUTUM OR YELLOW MATERIAL +audio/RES0072.mp3[206.800,209.840] NO NOTHING LIKE THAT +audio/RES0072.mp3[209.840,212.720] OK ARE YOU COUGHING UP ANY BLOOD AT ALL +audio/RES0072.mp3[214.800,221.640] IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE THAT YOU HAVE TRIED +audio/RES0072.mp3[221.640,228.960] JUST COLD DRINKS +audio/RES0072.mp3[228.960,237.080] OK AND UH SO YOUVE ALSO HAD NAUSEA AND VOMITING ARE YOU HAVING ANY KIND OF DIARRHEA OR CONSTIPATION +audio/RES0072.mp3[237.080,243.200] NO BUT IVE HAD A SORE STOMACH +audio/RES0072.mp3[243.200,248.600] OK AND DID THAT ALSO START YESTERDAY +audio/RES0072.mp3[248.600,257.080] YEAH ITS JUST BEEN LIKE FAIRLY GENERALIZED FEELS SORE +audio/RES0072.mp3[257.080,261.960] OK SO NOT IN ANY PARTICULAR AREA JUST KIND OF ALL OVER YOUR STOMACH +audio/RES0072.mp3[261.960,274.800] YEAH LIKE I MEAN I GUESS SORT OF LIKE IN THE CENTER MORE SO BUT I CANT REALLY PUT ONE FINGER ON THE SPOT +audio/RES0072.mp3[274.800,279.160] OK AND IS IT CONSTANT OR DOES IT COME AND GO +audio/RES0072.mp3[279.160,283.280] IT KIND OF COMES AND GOES +audio/RES0072.mp3[283.280,298.960] OK AND UH IS IT ASSOCIATED WITH EATING FOOD AT ALL OR DOES IT GET BETTER WHEN YOU DEFECATE +audio/RES0072.mp3[298.960,307.960] I HAVENT NOTICED ANYTHING LIKE THAT MAYBE ITS WORSE AFTER VOMITING THOSE FEW TIMES +audio/RES0072.mp3[307.960,324.960] I SEE OK YEAH SO YEAH SOMETIMES WITH THE VOMITING YOU CAN ALSO GET SOME SOME DISCOMFORT SO NO DIARRHEA OR CONSTIPATION THOUGH RIGHT +audio/RES0072.mp3[325.840,338.960] UH SO ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN OR LIKE A RUNNY NOSE ANY ANY OF THOSE SYMPTOMS +audio/RES0072.mp3[338.960,348.080] NO NOTHING LIKE THAT IVE JUST HAD A HEADACHE AS WELL BUT ITS PRETTY MILD +audio/RES0072.mp3[348.080,353.680] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER +audio/RES0072.mp3[353.680,368.000] YEAH I TOOK A TYLENOL CAUSE I STARTED FEELING A LITTLE BIT HOT AS WELL TO HELP ME SLEEP LAST NIGHT +audio/RES0072.mp3[368.000,371.800] OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0072.mp3[371.800,377.840] YEAH I FELT HOT BUT NO CHILLS +audio/RES0072.mp3[377.840,382.640] AND DID YOU MANAGE TO GET LIKE A TEMPERATURE AT ALL +audio/RES0072.mp3[383.760,390.160] OK WE CAN DO THAT HERE TODAY SO YOU JUST FELT LIKE A BIT HOT LAST NIGHT +audio/RES0072.mp3[390.160,395.280] YEAH LAST NIGHT I FELT PRETTY HOT SWEATY +audio/RES0072.mp3[395.280,405.000] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK OR ANY RECENT TRAVEL AT ALL +audio/RES0072.mp3[405.000,413.360] I MEAN NOT THAT I CAN THINK OF +audio/RES0072.mp3[413.360,421.640] OK UHM SO IM JUST GOING TO LIST A FEW SYMPTOMS JUST LET ME KNOW IF YOU HAVE ANY OF THEM DO YOU DO YOU FEEL FATIGUED +audio/RES0072.mp3[425.360,437.040] DO YOU FEEL THAT YOU HAVE ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANY RASHES OR SKIN CHANGES +audio/RES0072.mp3[437.040,440.840] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0072.mp3[440.840,445.040] OK ANY CHANGES IN YOUR URINARY PATTERN +audio/RES0072.mp3[447.000,451.960] OK ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0072.mp3[454.640,460.160] OK ANY SIGNIFICANT WEIGHT LOSS OVER THE LAST MONTH +audio/RES0072.mp3[460.160,463.520] NO MY WEIGHT HAS BEEN THE SAME +audio/RES0072.mp3[463.520,476.960] OK AND HAVE YOU BEFORE THIS ALL STARTED HAVE YOU HAD ANY LIKE CONGESTION RUNNY NOSE OR ANY OTHER COLD LIKE SYMPTOMS +audio/RES0072.mp3[476.960,480.720] NO IVE FELT WELL OTHERWISE +audio/RES0072.mp3[480.720,492.280] OK UHM DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE ASTHMA OR ANYTHING ELSE +audio/RES0072.mp3[492.280,496.160] UH NO +audio/RES0072.mp3[496.160,497.720] OK SO YOURE HEALTHY +audio/RES0072.mp3[499.760,502.680] OK DO YOU HAVE ANY ALLERGIES +audio/RES0072.mp3[502.680,505.440] NO I DONT +audio/RES0072.mp3[505.440,511.520] OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS REGULARLY +audio/RES0072.mp3[512.160,516.600] ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0072.mp3[518.200,526.680] ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS OR ANY CANCERS +audio/RES0072.mp3[526.680,530.040] NO NOTHING LIKE THAT +audio/RES0072.mp3[530.040,534.280] OK AND CURRENTLY DO YOU WORK +audio/RES0072.mp3[534.280,540.360] NO IM JUST GOING TO SCHOOL +audio/RES0072.mp3[540.360,548.400] OK AND SO CURRENTLY WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH +audio/RES0072.mp3[548.400,564.560] YEAH SO WE LIVE IN A HOUSE WITH MY PARENTS AND YOUNGER BROTHER AND WEVE BEEN BOTH BACK AT SCHOOL NOW PART TIME AND DOING SOME OF IT AT HOME ONLINE AS WELL +audio/RES0072.mp3[564.560,573.400] OK SO ANYONE AT ALL THAT YOU NOTICE AT SCHOOL THAT WAS SICK AROUND YOU +audio/RES0072.mp3[573.400,578.960] NO NOT THAT I AM AWARE OF +audio/RES0072.mp3[578.960,590.240] OK SO YEAH THIS IS JUST A QUESTION THAT WE ASK EVERYONE DO YOU DRINK ALCOHOL OR SMOKE CIGARETTES OR USE ANY RECREATIONAL DRUGS +audio/RES0072.mp3[590.240,596.040] UH NO +audio/RES0072.mp3[596.040,605.280] OK SO THOSE ARE ALL THE QUESTIONS I HAD TO ASK YOU ANYTHING THAT I MAY HAVE MISSED OR ANYTHING YOU WANT TO TELL ME +audio/RES0072.mp3[605.280,615.560] NO THATS EVERYTHING THATS BEEN HAPPENING OVER THE LAST COUPLE OF DAYS +audio/RES0072.mp3[615.560,672.560] OK ALRIGHT SO YEAH IT SEEMS THAT FROM YOUR AGE AND SOME OF YOUR SYMPTOMS WE WILL DEFINITELY DO A TESTING FOR STREP THROAT IT SEEMS THAT YOU MEET THAT CRITERIA AND WE ALSO WANT TO MAKE SURE THAT SINCE YOURE HAVING OTHER SYMPTOMS AS WELL JUST TO DO A COVID TEST JUST IN CASE WELL TAKE YOUR TEMPERATURE AS WELL AND WE MIGHT GIVE YOU SOME ANTIBIOTICS AS WELL TO TREAT YOU AND RELIEVE SOME OF THOSE SYMPTOMS SO YEAH JUST HANG TIGHT WELL GET THE SWAB DONE FOR YOU FOR THE COVID TEST AS WELL AS STREP THROAT AND THEN WELL GO FROM THERE +audio/RES0072.mp3[672.560,675.080] GREAT THANK YOU +audio/RES0072.mp3[675.080,681.200] YOURE WELCOME TAKE CARE +audio/RES0170.mp3[0.000,3.680] HOW MAY I HELP YOU TODAY +audio/RES0170.mp3[3.680,28.440] IM JUST BRINGING MY SON TODAY BECAUSE HES BEEN HOW MANY EPISODES WHERE IM EAT HELL GETS ALL THIS COUGHING FIT AND BECOME WHEEZY AND BECOME SHORTER BREATH AND I MEAN AFTER A PERIOD OF TIME IT GOES AWAY BUT ITS BEEN HAPPENING EVERY SO OFTEN +audio/RES0170.mp3[28.440,31.720] DOES HE STILL HAVE THESE SYMPTOMS +audio/RES0170.mp3[31.720,78.120] LIKE RIGHT NOW HES OK WHEN THE SYMPTOMS COME ON THEY LAST FOR I DONT KNOW MAYBE 30 MINUTES 60 MINUTES OR OR EVEN LESS BUT YEAH IT HAPPENS MAYBE ONCE OR TWICE A WEEK WHERE AND ITS BEEN GOING ON FOR A A COUPLE OF MONTHS NOW YEAH HE ACTUALLY HAD A VIRAL INFECTION LIKE A FEW MONTHS AGO AND I THOUGHT IT WAS JUST THAT IT LEARED UP AND THEN HES JUST HAD A FEW MORE OF THESE EPISODES BUT WITHOUT THOSE KIND OF SYMPTOMS SO +audio/RES0170.mp3[78.120,81.280] HM SO ALL THIS STARTED A COUPLE MONTHS AGO +audio/RES0170.mp3[82.440,96.200] DO YOU FIND THAT THERE AND YOU MENTIONED THAT IT HAPPENS ABOUT ONE TO TWO TIMES A WEEK IS THERE ANYTHING SPECIFIC HAPPENING AT THAT TIME ANY TRIGGERS THAT RESULT IN THESE SYMPTOMS +audio/RES0170.mp3[96.200,126.640] WELL I WILL SAY I THINK I LIKE EXERCISE I FIND YEAH LIKE SOCCER PRACTICE YEAH AFTER MAYBE OR EVEN DURING A GAME LIKE WHEN THINGS ARE REALLY INTENSE YEAH I THINK DURING SOCCER IVE IVE KIND OF NOTICED IT AND THEN AT NIGHT TIME AS WELL IT KIND OF RANDOMLY HELL HAVE THIS COUGH +audio/RES0170.mp3[126.640,140.560] OK SO I GUESS ITS DO YOU FEEL LIKE ITS AFFECTED BY COLD WEATHER AS WELL OR NO +audio/RES0170.mp3[140.560,157.320] UM MAYBE YEAH LIKE IF HE YEAH COMPLETELY IN THE WINTER TIME LIKE I KNOW WHEN HE GOES OUTSIDE IF HE YEAH HE TAKES LIKE A DEEP BREATH OR SOMETHING LIKE THAT HELL TALK ABOUT HAVING SHORTNESS OF BREATH OR DIFFICULTY BREATHING IN THE COLD WEATHER +audio/RES0170.mp3[157.320,166.760] OK OTHER THAN THE AND I GUESS THE COUGH IS HE COUGHING UP ANYTHING OR IS IT KIND OF A DRY COUGH +audio/RES0170.mp3[166.760,169.120] ITS DRY +audio/RES0170.mp3[169.120,178.280] OK DOES HE HAVE ANY LIKE CHEST PAIN DURING THESE EPISODES +audio/RES0170.mp3[178.280,181.680] NO HE HASNT SAID ANYTHING LIKE THAT +audio/RES0170.mp3[181.680,185.520] ALRIGHT ANY FEVERS +audio/RES0170.mp3[185.520,203.360] NO HE HAD A LITTLE BIT OF A FEVER AT THE THAT ONE TIME A FEW MONTHS AGO BUT HE HASNT SO THATS RIGHT I THINK HE HAD A SOME SORT OF ILLNESS THEN BUT HE HASNT HAD ANY FEVERS +audio/RES0170.mp3[203.360,206.080] I SEE OK ANY HEADACHES +audio/RES0170.mp3[206.080,213.680] NO HE HASNT SAID ANYTHING LIKE THAT +audio/RES0170.mp3[213.680,229.440] OK AND HOW HAS HE HAD ANY OTHER SYMPTOMS SO ANYTHING LIKE RACING HEART OR BELLY PAIN OR MUSCLE ACHES OR ANY CHANGES IN HIS BOWEL MOVEMENTS OR URINARY SYMPTOMS +audio/RES0170.mp3[229.440,239.800] UH NO I HAVENT HEARD HIM UH I COMPLAIN ABOUT ANYTHING LIKE THAT I THINK ILL EVERYTHING LIKE THATS BEEN NORMAL +audio/RES0170.mp3[239.800,248.720] OK SO WHEN HE HAS THESE EPISODES HOW LIKE HOW SEVERE ARE THEY SO HOW DIFFICULT IS IT FOR HIM TO BREATHE +audio/RES0170.mp3[248.720,277.960] AH WELL YOU CERTAINLY WHEN IT FIRST STARTS I MEAN FOR THE FIRST MINUTE OR TWO YEAH HE THAT WHEN I THINK PARTICULARLY AT SOCCER PRACTICE SCHOOL HAVE A REALLY HARD TIME CATCHING HIS BREATH BUT LIKE HE WOULD HE STOPS PLAYING AND RESTS AND REALLY TRIES TO MAKE SURE THAT HE IS I DONT KNOW JUST TRYING TO TO BREATHE AND IT KIND OF GOES AWAY HES BEEN ABLE TO MANAGE IT OK +audio/RES0170.mp3[277.960,294.040] OK ALRIGHT AND I HAVE THESE SYMPTOMS THAT HAVE INTERFERED WITH HIS DAILY ACTIVITIES DOES HE FOR INSTANCE TRY TO AVOID SOCCER PRACTICE OR DOES HE HAVE DIFFICULTIES FALLING ASLEEP AT NIGHT +audio/RES0170.mp3[294.040,312.400] YEAH DEFINITELY WAKES HIM UP A FEW AND EVERY ONCE IN AWHILE AT NIGHT AND HE DOES HAVE TO TAKE IT A LITTLE EASIER AT SOCCER FOR SURE SO YEAH I AM THINKING IT IS AFFECTING HIM +audio/RES0170.mp3[312.400,324.880] OK AND OTHERWISE HAS HE BEEN HAS HE HAD ANY MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH +audio/RES0170.mp3[324.880,336.880] UH NO WELL HE HAD SOME RASHES WHEN HE WAS YOUNGER THAT HE WOULD GET SOME SOME CREAMS FOR BUT THATS MOSTLY RESOLVED NOW +audio/RES0170.mp3[336.880,341.200] OK ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0170.mp3[341.200,347.320] NO HE HASNT HAD ANYTHING LIKE THAT +audio/RES0170.mp3[347.320,358.760] OK UHM AND JUST GOING BACK TO HIS BIRTH AND YOUR PREGNANCY WERE THERE ANY COMPLICATIONS AT THE TIME OF PREGNANCY +audio/RES0170.mp3[358.760,368.680] UM THERE WAS A PROLONGED LABOR I THINK BUT HE WAS DELIVERED VAGINALLY AND AT TERM +audio/RES0170.mp3[368.680,370.840] OK OK THATS GREAT +audio/RES0170.mp3[370.840,378.000] AND HE OH SORRY I WAS JUST GOING TO SAY NORMAL WEIGHT AS WELL +audio/RES0170.mp3[378.000,384.800] OK GOOD HAS WAS HE KEPT IN THE IN ICU FOR A COUPLE OF DAYS AFTER WAS HE SENT HOME +audio/RES0170.mp3[384.800,410.680] I THINK THEY LIKE HE WAS KEPT FOR NOT AN ICU HE WAS KEPT FOR ONE DAY I THINK SO JUST MONITOR FOR INFECTION BECAUSE IT WAS LIKE PROLONGED LABOR BUT HE WAS OK OK SO YEAH WE WERE ABLE TO GO HOME +audio/RES0170.mp3[410.680,424.600] OK AND I WHAT WAS I GOING TO SAY FORGOT WHAT I WAS GOING TO SAY HOW YEAH HOW HAS THIS GROWTH AND DEVELOPMENT BEEN HAS HE BEEN SEEING HIS DOCTOR REGULARLY ANY CONCERNS THERE +audio/RES0170.mp3[424.600,435.480] YEAH HES BEEN GOOD WITH WITH GROWTH NO CONCERNS FOR THAT AND HIS DEVELOPMENTS BEEN NORMAL AS WELL HES REACHED ALL OF HIS MILESTONES +audio/RES0170.mp3[435.480,439.560] OK AND IS HE GOING TO SCHOOL +audio/RES0170.mp3[439.560,464.120] YEAH YEAH HES BEEN GOING TO SCHOOL HE HASNT REALLY BEEN HE HASNT MISSED WELL HES MISSED ONE OR TWO DAYS ACTUALLY BECAUSE OF THE COUGH LIKE ON NIGHTS THAT HE JUST DIDNT SLEEP WELL SO IN THE MORNING HES JUST WELL NOT NOT FEELING GOOD FOR SCHOOL SO HE HAS MISSED A COUPLE OF DAYS OVER THE LAST FEW MONTHS +audio/RES0170.mp3[464.120,478.560] OKAY AND DOES HE IS THERE ANY OTHER ANY CONDITIONS THAT RUN IN THE FAMILY INCLUDING THINGS LIKE ASTHMA OR ECZEMA OR ALLERGIC RHINITIS OR ALLERGIES +audio/RES0170.mp3[478.560,501.800] YEAH SISTER DOES HAVE SOME BAD ALLERGIES HER NOSE RUNS ALL THE TIME AND SHE ALSO HAS THAT ASTHMA HIS SISTER USES AND A DAILY INHALER AND THEN ALSO W1 +audio/RES0170.mp3[501.800,515.800] I SEE OK AND UH HOW ARE THINGS AT HOME IS HE IS HE DOING WELL OTHERWISE LIKE AT SCHOOL AND THINGS LIKE THAT ANY STRESSORS IN HIS LIFE +audio/RES0170.mp3[515.800,524.760] NO HES BEEN DOING UH HES BEEN DOING WELL AT SCHOOL HE LIKES MATH AND THAT THATS BEEN GOING WELL +audio/RES0170.mp3[524.760,530.480] OK GREAT HAS HE EVER TRIED ANY PUFFERS +audio/RES0170.mp3[530.480,532.880] NO HE HASNT ACTUALLY +audio/RES0170.mp3[532.880,538.200] HAS HE BEEN ON ANY MEDICATIONS +audio/RES0170.mp3[538.200,539.920] UM HE HE HAS NOT +audio/RES0170.mp3[539.920,543.600] ANY ALLERGIES THAT HE HAS +audio/RES0170.mp3[543.600,564.880] NOT THAT IM AWARE OF BUT I I THINK HE MIGHT I MEAN SO LIKE ENVIRONMENTAL OR I DONT KNOW SOMETHING HE DOES GET SYMPTOMS LIKE A RUNNY NOSE AND ITCHY EYES SOMETIMES BUT USUALLY GO AWAY PRETTY PRETTY QUICKLY AND HE DOESNT FUSS ABOUT IT TOO MUCH SO YEAH SO +audio/RES0170.mp3[564.880,620.600] FROM THE SYMPTOMS THAT YOUVE DESCRIBED SO FAR IT SOUNDS LIKE HE MIGHT ALSO HAVE ASTHMA BUT WE WILL OBVIOUSLY HAVE TO DO SOME TESTING AND CONFIRM THAT UHM AND ALSO ITS GIVEN SORT OF THE RESULTS OR EVEN JUST LIKE GIVING HIS SYMPTOMS PRESCRIBE SOME BUFFERS TO HELP WITH THOSE SYMPTOMS CLEARLY ITS AFFECTING HIS LIFE HE CANT GO TO SCHOOL OR CANT PARTICIPATE IN SOCCER OR SOMETIMES WAKES UP IN THE MIDDLE OF THE NIGHT AND THATS NOT GOOD SO WELL WE CAN BE PRESCRIBED SOME PUFFERS AND SEE IF THOSE HELP AND ALSO GET SOME TESTING DONE DO YOU HAVE ANY OTHER QUESTIONS FOR ME +audio/RES0170.mp3[620.600,630.400] UHM NO YEAH I WAS JUST WONDERING ABOUT SO LIKE THE WHEEZING AND ALL OF THAT COULD BE WITH FROM ASTHMA TOO +audio/RES0170.mp3[630.400,644.720] UHM YEAH I WOULD THINK SO BUT AGAIN WELL GET THE TESTING DONE AND SEE IF THERE ARE ANY OTHER ANY OTHER CAUSES +audio/RES0170.mp3[645.000,650.240] YOU SAID THE WHEEZING SORT OF LASTS ONLY 30 TO 30 MINUTES TO AN HOUR AND THEN GETS BETTER +audio/RES0170.mp3[650.240,655.040] YEAH I DONT NOTICE THAT ANY OTHER TIMES +audio/RES0170.mp3[655.040,662.240] YES ITS POSSIBLY I MEAN I WOULD THINK ITS ASTHMA BUT THEN WELL GET THE TESTING DONE AND SEE +audio/RES0170.mp3[662.240,667.560] OK GREAT THANK YOU +audio/RES0205.mp3[0.000,11.760] IM GOING TO BE HAVING A CHAT WITH YOU TODAY GET AN IDEA OF HOW THINGS ARE GOING AND THEN ILL GO OVER IT WITH THE OPPOSITION THAT IM WORKING WITH AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS THAT SOUND GOOD TO YOU +audio/RES0205.mp3[12.880,19.280] I KNOW THAT YOUVE BEEN HAVING EXPERIENCING A COUGH CAN YOU TELL ME A LITTLE BIT ABOUT THAT +audio/RES0205.mp3[19.280,30.120] YEAH I UM IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT JUST DOESNT GO +audio/RES0205.mp3[30.120,34.200] OK HAVE NEVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0205.mp3[34.200,48.440] I’M I USUALLY GET A COLD ONCE A YEAR OR SO BUT THE COUGH DOESNT LAST THIS LONG LIKE ITS USUALLY OVER IN A WEEK OR WEEK AND A HALF OR SO +audio/RES0205.mp3[48.440,51.760] MM AND ITS ITS NOT LETTING UP +audio/RES0205.mp3[52.080,68.200] OK UM IM GONNA ASK YOU A FEW QUESTIONS ABOUT THE COUGH ITSELF IS THIS A DRY COUGH THAT YOURE EXPERIENCING OR ARE YOU PRODUCING LIKE ANY ANY MUCUS OR COUGHING UP ANYTHING +audio/RES0205.mp3[68.200,76.320] THERE WAS SOME MUCUS UM EARLIER ON BUT NOW ITS ITS ALL IT’S A DRY COUGH +audio/RES0205.mp3[76.320,82.680] NOW ITS DRY OK HOW LONG WHAT WAS THE TIMELINE FOR THAT I GUESS HOW LONG +audio/RES0205.mp3[82.680,94.400] YEAH SO MAYBE FOR THE FIRST FOUR OR FIVE DAYS THERE WAS THIS LIKE WHITISH CLEAR KIND OF MUCUS THAT WAS COMING UP AND THEN AFTER THAT WAS A A DRY COUGH +audio/RES0205.mp3[94.400,105.960] OK OK AND DO YOU FEEL LIKE THE INTENSITY OF THE COUGH GOT WORSE OVER THE LAST TWO WEEKS OR HAS IT GOTTEN ANY BETTER +audio/RES0205.mp3[105.960,110.600] KIND OF THE SAME I WOULD SAY +audio/RES0205.mp3[110.600,116.640] AND HAS THE COUGH GOTTEN MORE FREQUENT OVER THIS TIME AS WELL +audio/RES0205.mp3[118.360,123.840] HOW OFTEN WOULD YOU SAY THAT YOURE COUGHING +audio/RES0205.mp3[123.840,133.800] UHM ITS HARD FOR ME TO QUANTIFY MAYBE A COUPLE OF TIMES AN HOUR MAYBE THREE OR FOUR TIMES AN HOUR OR SO +audio/RES0205.mp3[133.800,140.280] IS THERE ANYTHING YOU CAN THINK OF THAT TRIGGERS THE COUGH OR IS IT SPONTANEOUS +audio/RES0205.mp3[140.280,148.160] IT’S KINDA SPONTANEOUS UM CANT REALLY THINK OF ANYTHING +audio/RES0205.mp3[148.160,154.000] OK AND ALONG WITH THE COUGH ARE YOU EXPERIENCING ANY DIFFICULTY BREATHING +audio/RES0205.mp3[156.000,159.080] OK HAVE YOU NOTICED ANY FEVERS +audio/RES0205.mp3[159.080,162.600] UHM NO +audio/RES0205.mp3[162.600,167.160] OK UM HAVE YOU HAD ANY SORE THROAT +audio/RES0205.mp3[167.160,177.320] UM I DID INITIALLY UM FOR THE FIRST TWO OR THREE DAYS AND THEN THAT GOT BETTER +audio/RES0205.mp3[177.320,180.040] OK UM HAVE YOU HAD ANY RUNNY NOSE +audio/RES0205.mp3[180.040,196.800] I DID INITIALLY YEAH I HAVE LIKE HAD ALL THOSE FLU SYMPTOMS FOR THE FIRST COUPLE OF DAYS BUT THE COUGH JUST KINDA STAYED EVERYTHING ELSE RESOLVED IN THE FIRST UHM THREE OR FOUR DAYS I WOULD SAY +audio/RES0205.mp3[196.800,205.360] OK THANK YOU FOR SHARING THAT HAVE YOU HAD DID YOU HAVE ANY CHEST PAIN AT ANY POINT +audio/RES0205.mp3[205.360,211.120] NO BUT I GUESS LIKE SOMETIMES WHEN IM COUGHING TOO MUCH MY CHEST HURTS A LITTLE BIT +audio/RES0205.mp3[211.120,215.880] OK SO IT FEELS KIND OF SORE AFTER ALL THAT +audio/RES0205.mp3[216.480,230.480] OK OK HAVE YOU BEEN IN CONTACT I GUESS ITS HARD TO SAY BECAUSE IT STARTED A WHILE AGO BUT BEFORE IT STARTED BRINGING CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0205.mp3[230.480,241.280] I I WORK AT THE HOSPITAL BUT UM IM WEARING PPE ALL THE TIME AND IM VERY CAREFUL SO +audio/RES0205.mp3[241.280,245.920] OK HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE +audio/RES0205.mp3[250.120,254.560] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0205.mp3[255.600,258.600] OK ANY BELLY PAIN +audio/RES0205.mp3[258.600,259.760] UHM NO +audio/RES0205.mp3[259.760,272.240] OK UM SO IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH HAVE YOU HAD ANY RESPIRATORY PROBLEMS IN THE PAST +audio/RES0205.mp3[273.440,282.080] OK OR DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULAR THING +audio/RES0205.mp3[282.080,290.120] I’VE GOT ACID REFLUX AND UH I ALSO HAVE ANXIETY +audio/RES0205.mp3[290.120,295.440] ARE YOU CURRENTLY TAKING ANY MEDICATIONS +audio/RES0205.mp3[295.440,299.360] UM I I USED TO NOT ANYMORE +audio/RES0205.mp3[299.360,304.440] UH WAS THERE ANY PARTICULAR MEDICATION THAT YOU STOPPED RECENTLY +audio/RES0205.mp3[304.440,311.880] NO NO I USED TO TAKE I USED TO TAKE SOMETHING FOR ANXIETY TWO THREE YEARS AGO +audio/RES0205.mp3[311.880,315.120] OK AND WHAT DO YOU DO FOR YOUR REFLUX +audio/RES0205.mp3[315.120,332.800] I JUST AVOID RIGHT NOW IM JUST TRYING TO AVOID THE FOODS THAT MAKE THINGS WORSE FOR ME AND I FEEL LIKE THATS HELPED ME QUITE A BIT UHM SO YEAH I QUITE LIKE ACIDIC FOODS AND CHOCOLATES AND THINGS LIKE THAT +audio/RES0205.mp3[332.800,334.320] SURE THATS NO FUN +audio/RES0205.mp3[337.520,340.600] DO YOU HAVE ANY ALLERGIES +audio/RES0205.mp3[340.600,344.080] JUST HAY FEVER +audio/RES0205.mp3[344.080,349.840] AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS OR HEART PROBLEMS +audio/RES0205.mp3[355.120,361.880] OK AND THIS IS IN TERMS OF YOUR LIFESTYLE DO YOU LIVE WITH FAMILY ALONE +audio/RES0205.mp3[361.880,368.280] I I LIVE WITH MY PARTNER +audio/RES0205.mp3[368.280,373.680] OK AND DO YOU HAVE ANY KIDS OR PETS LIVING WITH YOU +audio/RES0205.mp3[376.440,378.560] DO YOU SMOKE +audio/RES0205.mp3[378.560,380.920] UH I DON’T NO +audio/RES0205.mp3[380.920,382.880] DRINK ALCOHOL +audio/RES0205.mp3[382.880,387.680] UM OCCASIONALLY ON CHRISTMAS +audio/RES0205.mp3[387.680,393.920] OH OK I SEE AND DO YOU USE ANY OTHER SUBSTANCES +audio/RES0205.mp3[395.000,397.720] OK UHM AND WHAT DO YOU DO FOR WORK +audio/RES0205.mp3[397.720,401.320] I’M A CLERK AT THE HOSPITAL +audio/RES0205.mp3[401.320,424.480] OK RIGHT YOU JUST SAY YOU WORKING AT THE HOSPITAL AND UH I CANT THINK I THOUGHT I HAD ANOTHER QUESTION FOR YOU BUT I CANT REMEMBER IT ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT THAT I DIDNT ASK YOU +audio/RES0205.mp3[424.480,447.840] UM NO I GUESS I WAS JUST WONDERING WHY I STILL HAVE A COUGH ITS BEEN SUCH A LONG TIME UM YEAH AND I WAS WONDERING IF I COULD GET ANY MEDICATIONS JUST TO HELP WITH THAT ITS NOT REALLY YEAH ITS EVERYONES LIKE SCARED AT WORK WHEN I COUGH I HAVE I HAVE HAD THE COVID TEST AND I DONT HAVE IT UM SO YEAH +audio/RES0205.mp3[447.840,450.320] WHEN WE GOT THE LAST TEST DONE +audio/RES0205.mp3[450.320,468.960] UM I HAD THE TEST DONE WHEN I FIRST STARTED HAVING SYMPTOMS ABOUT TWO WEEKS AGO SINCE THEN IVE BEEN AT HOME AND IM JUST WAITING FOR MY SYMPTOMS TO GET BETTER BUT I YOU KNOW I KIND OF LIKE GET BACK AND I DONT WANT TO BE COUGHING WHEN I GET BACK UM YEAH +audio/RES0205.mp3[468.960,482.800] OK WELL IM GONNA HAVE A QUICK LISTEN TO YOUR HEART AND LUNGS ILL DO A QUICK PHYSICAL EXAM AND THEN I WILL GO GET THE DOCTOR THAT IM WORKING WITH ALL KIND OF GO OVER EVERYTHING YOU TALKED ABOUT AND THEN WELL COME BACK AND TALK TO YOU ABOUT WHERE TO GO FROM HERE +audio/RES0205.mp3[482.800,484.280] SOUNDS GREAT +audio/RES0205.mp3[484.280,486.400] OK WELL THANKS FOR CHATTING WITH ME +audio/RES0205.mp3[486.400,489.000] YOUR WELCOME +audio/RES0100.mp3[0.000,1.600] HOW MAY I HELP YOU TODAY +audio/RES0100.mp3[1.600,49.320] UMM YEAH SO I JUST CAME IN TODAY WITH IVE BEEN HAVING A FEW SYMPTOMS FOR THE LAST I WOULD SAY 5 DAYS SO IVE HAD IT STARTED WITH A SORE THROAT JUST FIVE DAYS AGO KIND OF JUST VERY IRRITATING SORE THROAT SENSATION THATS KIND OF GOTTEN WORSE OVER THE LAST FEW DAYS AND THEN I STARTED GETTING A FEVER FOUR DAYS AGO AND IT HAS BEEN GOING ON FOR THE LAST COUPLE OF DAYS AS WELL AND THE HIGHEST TEMPERATURE I MEASURED ON MYSELF WAS 388 DEGREES CELSIUS AND YEAH SO THAT THATS THATS MY MAIN CONCERN RIGHT NOW +audio/RES0100.mp3[49.320,57.920] OK AND SINCE THE SORE THROAT STARTED 5 DAYS AGO HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME +audio/RES0100.mp3[57.920,71.240] I WOULD SAY ITS GETTING WORSE I HAVE SOME PAIN WITH SWALLOWING FOOD AS WELL AS LIKE NOW EVEN WHEN IM TALKING A LITTLE IM GETTING SOME PAIN AS WELL +audio/RES0100.mp3[71.240,77.680] OK HAVE YOU BEEN ABLE TO MAINTAIN YOUR APPETITE +audio/RES0100.mp3[77.680,85.000] I DO FEEL LIKE IVE LOST A BIT OF MY APPETITE OVER THE LAST THREE TO FOUR DAYS +audio/RES0100.mp3[85.000,89.840] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE +audio/RES0100.mp3[89.840,100.160] UHM I DONT THINK SO NOT YET I BUT I THINK LIKE THE WAY ITS HURTING RIGHT NOW I FEEL LIKE ITS COMING +audio/RES0100.mp3[100.160,105.240] ALRIGHT SO HAVE YOU NOTICE ANY LIKE NECK SWELLING +audio/RES0100.mp3[105.240,117.560] YEAH NOW THAT YOU MENTION IT I I DO HAVE LIKE THESE TWO LUMPS ON THE RIGHT SIDE OF MY NECK LIKE KIND OF RIGHT BELOW THE JAW +audio/RES0100.mp3[117.560,120.960] OK ARE THEY PAINFUL +audio/RES0100.mp3[120.960,131.000] UHM NOT NOT REALLY LIKE WHEN IM PRESSING ON THEM THEY DONT REALLY HURT BUT I DEFINITELY HAVE TWO LUMPS +audio/RES0100.mp3[131.000,146.880] I SEE OK WELL CERTAINLY LOOK INTO THAT ON THE PHYSICAL EXAM OK AND UH AND YOU MENTIONED THAT YOUVE ALSO BEEN REALLY TIRED OVER THESE LAST FEW DAYS +audio/RES0100.mp3[146.880,160.200] YEAH IVE I HAVENT REALLY HAD MUCH OF AN APPETITE KIND OF JUST IVE SKIPPED WORK JUST TRYING TO TAKE IT EASY LIKE JUST NAPPING THE WHOLE DAY AS MUCH AS I CAN +audio/RES0100.mp3[160.200,172.000] OK AND SO YOUVE BEEN EXPERIENCING FATIGUE HAVE YOU HAD ANY ANY HEADACHES +audio/RES0100.mp3[172.000,174.560] NO HEADACHES NO +audio/RES0100.mp3[174.560,180.920] ALRIGHT HOW ABOUT ANY EYE REDNESS OR RUNNY NOSE OR +audio/RES0100.mp3[180.920,191.280] UH NO NO RUNNY NOSE OR SO I I DONT HAVE HEADACHES BUT I I I THINK I WAS HAVING SOME BODY ACHES JUST YESTERDAY +audio/RES0100.mp3[191.280,196.440] OK SO ANY PARTICULAR AREA THAT THATS ACHING +audio/RES0100.mp3[196.440,210.840] UHM NOT REALLY ITS KIND OF JUST LIKE A GENERAL LIKE I DONT KNOW IF IT WAS IT WAS BECAUSE I WAS LYING AROUND THE WHOLE DAY BUT JUST KIND OF A GENERAL PAIN THROUGHOUT THE BODY +audio/RES0100.mp3[210.840,219.840] OK AND HAVE YOU BEEN EXPERIENCING ANY DIFFICULTIES OR SORRY HAVE YOU BEEN EXPERIENCING ANY COUGH +audio/RES0100.mp3[219.840,222.320] NO NOT REALLY +audio/RES0100.mp3[222.320,226.320] OK HOW ABOUT ANY SHORTNESS OF BREATH OR TROUBLE BREATHING +audio/RES0100.mp3[228.560,232.400] OK HAVE YOU HAD ANY WHEEZING +audio/RES0100.mp3[232.400,234.720] NO WHEEZING +audio/RES0100.mp3[234.720,237.560] ALRIGHT AND HOW ABOUT ANY CHEST PAIN +audio/RES0100.mp3[237.560,240.080] NO NO NO CHEST PAIN +audio/RES0100.mp3[240.080,250.360] HAVE YOU HAD ANY HEART PALPITATIONS OR OR FEELING LIKE YOUR HEARTS RACING +audio/RES0100.mp3[252.120,256.560] OK UHM AND MAYBE YOU HAD ANY LIGHTHEADEDNESS OR OR DIZZINESS +audio/RES0100.mp3[256.560,259.240] UH NO NOT REALLY +audio/RES0100.mp3[259.240,262.640] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0100.mp3[262.640,281.920] UHM ACTUALLY YEAH YESTERDAY WHEN I WAS UHM LIKE WHEN I WAS HAVING THE BODY PAIN I ALSO NOTICED A LITTLE BIT OF ABDOMINAL PAIN JUST LIKE ON THE UPPER I WOULD SAY UPPER LEFT SIDE +audio/RES0100.mp3[281.920,290.200] OK AND AND HOW WOULD YOU DESCRIBE THIS PAIN AND HOW LONG HAS IT BEEN GOING ON FOR +audio/RES0100.mp3[290.200,302.640] JUST SINCE YESTERDAY ITS ITS NOT REALLY LIKE I WOULD SAY ITS MORE OF A DISCOMFORT THAN A PAIN BUT I DEFINITELY DO FEEL LIKE LIKE SOMETHINGS JUST NOT RIGHT IN THAT AREA +audio/RES0100.mp3[302.640,311.000] I SEE IS THERE ANYTHING THAT YOU DO THAT THAT MAKES THAT THAT FEELING WORSE OR MAKE THAT MAKE IT BETTER +audio/RES0100.mp3[311.000,317.200] YEAH LIKE I I TRY NOT TO LIE ON THAT SIDE I HAVE TO GO ON TO THE OTHER SIDE +audio/RES0100.mp3[317.200,320.880] ALRIGHT DID YOU NOTICE THIS IN THE LAST COUPLE OF DAYS AS WELL +audio/RES0100.mp3[320.880,323.800] YEAH THAT THAT JUST STARTED YESTERDAY +audio/RES0100.mp3[323.800,328.400] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0100.mp3[329.720,332.680] HOW ABOUT ANY DIARRHEA +audio/RES0100.mp3[334.440,345.480] ALRIGHT AND HAVE YOU HAD ANY FEVERS OR OR SORRY YEAH YOU MENTIONED YOU HAD A FEVER OF 382 AND HAVE YOU HAD ANY CHILLS +audio/RES0100.mp3[345.480,362.640] UHM NO CHILLS WELL YEAH I WOULD SAY A COUPLE NIGHTS AGO I MIGHT HAVE HAD SOME CHILLS BUT MAINLY ITS JUST BEEN IVE BEEN FEELING MORE HOT AND I HAVE BEEN KIND OF GETTING LIKE NIGHT SWEATS +audio/RES0100.mp3[362.640,367.720] OK YOUVE BEEN HAVING NIGHT SWEATS THIS WEEK OR HAVE THEY BEEN GOING ON LONGER +audio/RES0100.mp3[367.720,370.720] NO JUST JUST THIS WEEK +audio/RES0100.mp3[370.720,375.680] ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS +audio/RES0100.mp3[375.680,378.600] NO ITS BEEN PRETTY STEADY +audio/RES0100.mp3[378.600,386.800] ALRIGHT AND THE FEVER THIS WEEK HAS IT BEEN THERE THE WHOLE TIME OR HAS IT COME AND GONE +audio/RES0100.mp3[386.800,413.880] IT KIND OF COMES AND GOES IVE PROBABLY TAKEN TEMPERATURES LIKE EVERY DAY BUT I WOULD SAY ITS DEFINITELY FOR THE LAST FEW DAYS ITS BEEN MORE OF A FEVER LIKE THE NIGHTSWEATS SENSATION BEFORE IT WAS A BIT FINE LIKE BUT THE HIGHEST TEMPERATURES HAVE BEEN IN THE LAST FEW DAYS +audio/RES0100.mp3[413.880,418.320] OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +audio/RES0100.mp3[418.320,434.480] UHM JUST LIKE I I DONT KNOW LIKE I DONT THINK THERE ARE ANY CHANGES BUT I DID NOTICE SOME LIKE KIND OF JUST PINK PINK SPOTS ON MY ARM THE OTHER DAY +audio/RES0100.mp3[434.480,438.120] OK WELL UH WERE THEY ITCHY +audio/RES0100.mp3[438.120,447.920] NO THEY WERENT REALLY ITCHY JUST LIKE A COUPLE I WOULD SAY LIKE RAISED NOT RAISED SPOTS JUST LIKE FLAT KIND OF PINKISH SPOTS +audio/RES0100.mp3[447.920,457.160] OK AND HAS THAT HAS THAT SPREAD ANYWHERE OR HAS IT GONE AWAY +audio/RES0100.mp3[457.160,467.320] NO HASNT REALLY STARTED SPREADING YET I JUST NOTICED IT ON ON MY ARM AND I I DONT THINK IT HAS REALLY SPREAD AT ALL +audio/RES0100.mp3[467.320,472.520] OK THIS IS ON ON ONE ARM +audio/RES0100.mp3[473.800,482.160] OK AND YOUVE HAD SOME BODY ACHES UH HAVE YOU HAD ANY JOINT PAINS +audio/RES0100.mp3[482.160,484.520] NO JOIN PAINS NO +audio/RES0100.mp3[484.520,488.200] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0100.mp3[489.600,498.280] ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNERS OR OR PARTNER AND I AND I WAS WONDERING IF YOU USE CONDOMS +audio/RES0100.mp3[498.280,528.480] YEAH SO I I JUST HAVE ONE PARTNER RIGHT NOW MY FIANCE AND WE UH I ACTUALLY LIKE HAVE IN AN IUSO LIKE WE WE DONT USE CONDOMS BUT LIKE WERE PRETTY HONEST AND SAFE WITH EACH OTHER I FULLY TRUST HIM LIKE HE DOESNT HAVE ANY PARTNERS OR ANYTHING LIKE THAT AND I ONLY HAVE I DONT HAVE ANY OTHER PARTNERS AS WELL +audio/RES0100.mp3[528.480,531.160] OK HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0100.mp3[531.160,533.000] NO NEVER +audio/RES0100.mp3[533.000,539.240] OK ANY CONCERNS CURRENTLY ANY VAGINAL DISCHARGE OR ITCHINESS OR OR PAIN +audio/RES0100.mp3[539.240,542.080] NO NOTHING LIKE THAT +audio/RES0100.mp3[542.080,547.640] OK AND HAVE YOU BEEN PREGNANT BEFORE +audio/RES0100.mp3[547.640,550.080] NO I HAVENT NO +audio/RES0100.mp3[550.080,555.160] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0100.mp3[555.160,569.200] UHM JUST UH I HAVE HAD JUST ECZEMA IN THE PAST BUT THAT THATS FAIRLY STABLE ITS BEEN TREATED I DONT REALLY HAVE IT ANYMORE +audio/RES0100.mp3[569.200,571.840] OK DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/RES0100.mp3[571.840,575.880] CURRENTLY NO NO +audio/RES0100.mp3[575.880,577.960] ANY ALLERGIES TO MEDICATIONS +audio/RES0100.mp3[579.160,585.480] ALRIGHT UHM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0100.mp3[587.320,598.000] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU LIVE WITH AND AND WHERE +audio/RES0100.mp3[598.000,612.560] YEAH SO IM JUST LIVING WITH MY FIANCE AND THATS WERE LIVING IN LIKE A SMALL APARTMENT AND RIGHT NOW WERE NOT REALLY SEEING ANYONE ELSE REALLY DURING THE PANDEMIC +audio/RES0100.mp3[612.560,616.480] OK SO HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0100.mp3[616.480,637.280] I JUST HAD TO GO INTO WORK LIKE ONE DAY LAST WEEK JUST TO GRAB SOME OF MY STUFF BUT DIDNT REALLY COME INTO CONTACT WITH ANYONE MY FIANCE DOES GO TO HIS WORK LIKE A COUPLE LIKE THREE OR FOUR TIMES DURING THE WEEK SO I DONT KNOW IF HE GOT INTO CONTACT WITH ANYONE ITS ITS HARD TO SAY +audio/RES0100.mp3[637.280,645.800] HAS HE BEEN SICK AT ALL LIKE ANY ANY COUGH SORE THROAT ANYTHING LIKE THAT +audio/RES0100.mp3[645.800,656.280] HE DID HAVE A SORE THROAT LAST WEEK BUT IT KIND OF JUST WENT AWAY ON ITS OWN IN A COUPLE OF DAYS AND COMPARED TO ME LIKE HIS WAS NOTHING REALLY +audio/RES0100.mp3[656.280,664.120] OK UH AND HAVE YOU TRAVELED ANYWHERE +audio/RES0100.mp3[666.080,668.000] AND DO YOU SMOKE CIGARETTES +audio/RES0100.mp3[668.200,672.760] HOW ABOUT DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +audio/RES0100.mp3[672.760,682.800] UH PROBABLY SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH +audio/RES0100.mp3[682.800,685.160] OK SO IT SOUNDS LIKE SOCIALLY +audio/RES0100.mp3[685.480,688.840] DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0100.mp3[688.840,691.880] NO NOTHING ELSE +audio/RES0100.mp3[691.880,696.560] OK AND DO YOU DRINK ALCOHOL +audio/RES0100.mp3[696.560,704.760] YEAH I PROBABLY HAVE SOME RED WINE EVERY OTHER DAY I WOULD SAY +audio/RES0100.mp3[704.760,708.480] OK AND THIS IS LIKE ONE GLASS OR TWO +audio/RES0100.mp3[708.480,718.000] YEAH NO ITS JUST LIKE A NORMAL GLASS OF WINE MAYBE LIKE WE PROBABLY GO THROUGH LIKE A BOTTLE BETWEEN BOTH OF US LIKE EVERY TWO WEEKS MAYBE +audio/RES0100.mp3[718.000,726.680] OK AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY CANCERS +audio/RES0100.mp3[726.680,730.120] NO NO NO CANCER IS IN THE FAMILY +audio/RES0100.mp3[730.120,736.240] OK HOW ABOUT ANY GENETIC DISEASES OR ANYTHING CONGENITAL THAT RUNS IN THE FAMILY +audio/RES0100.mp3[736.240,739.360] NOT THAT I KNOW OF +audio/RES0100.mp3[739.360,758.240] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY AND SO NEXT WELL GO AHEAD AND GET VITALS AND DO A PHYSICAL EXAM BUT DID YOU HAVE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR ANY OTHER SYMPTOMS MAYBE +audio/RES0100.mp3[758.240,763.480] NO I DONT THINK SO DO YOU THINK IT CAN BE COVID AT ALL +audio/RES0100.mp3[763.480,832.120] UHM SO COVID DOES PRESENT IN A VARIETY OF NON SPECIFIC WAYS AND SO IT CERTAINLY COULD BE ON THE DIFFERENTIAL FOR CAUSING A SORE THROAT AND ABDOMINAL PAIN AND AS WELL AS A FEVER HOWEVER IT COULD BE CAUSED BY OTHER THINGS AS WELL UHM CURRENTLY YOUR CONSTELLATION OF SYMPTOMS WITH THE ENLARGED LYMPH NODES IN THE NECK SORE THROAT IT SOUNDS LIKE YOU MAY HAVE UHM AN INFLAMED SPLEEN AS WELL WHICH COULD ALL BE SIGNS AND SYMPTOMS OF SOMETHING CALLED EBV OR OR MONO AND IT SOUNDS LIKE YOU MIGHT HAVE HAD AN EXPOSURE LIKE YOUR HUSBAND OR FIANCE RATHER MAY HAVE HAD THIS LAST WEEK WITH THE SORE THROAT ALL THAT BEING SAID TODAY WELL DO THE MONOSPOT TEST TO CHECK FOR THAT AS WELL AS SOME BLOOD WORK AND WE WILL DO A COVID SWAB AS WELL JUST IN CASE +audio/RES0100.mp3[832.120,835.240] OK THAT SOUNDS GOOD THANK YOU +audio/RES0100.mp3[835.240,838.680] THANK YOU +audio/RES0064.mp3[0.000,1.760] WHAT BRINGS YOU IN +audio/RES0064.mp3[1.760,7.720] MY CHILD HAS BEEN HAVING A SORE THROAT AND CHILLS YESTERDAY AS WELL +audio/RES0064.mp3[7.720,25.880] OK SO YOU MENTIONED THE SORE THROAT STARTED THREE TO FOUR DAYS AGO AND THE CHILLS STARTED YESTERDAY AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +audio/RES0064.mp3[25.880,34.640] YEAH IT SEEMS LIKE APPETITES GONE DOWN LIKE A LOT OF PAIN IN HIS THROAT ESPECIALLY WHEN SWALLOWING SOLID FOODS +audio/RES0064.mp3[34.640,45.080] HAVE YOU TAKEN A LOOK INTO HIS THROAT IS IT RED DO YOU SEE ANY YELLOW STREAKING WHITE STUFF ANYTHING LIKE THAT +audio/RES0064.mp3[45.080,55.960] I DEFINITELY DID TAKE A LOOK YESTERDAY AND DEFINITELY SAW A LOT OF REDNESS I DONT KNOW IF I SAW ANY WHITE OR YELLOW STREAKS BUT DEFINITELY LOOKS VERY RED IN THERE +audio/RES0064.mp3[55.960,60.320] OK DO HIS TONSILS LOOK ENLARGED +audio/RES0064.mp3[60.320,68.280] UH EVERYTHING LOOKS SWOLLEN IN THERE I DONT KNOW WHATS WHAT BUT IT DOES LOOK VERY ANGRY IN THERE +audio/RES0064.mp3[68.280,76.560] OK OK AND HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +audio/RES0064.mp3[76.560,78.800] NO NOT REALLY NO +audio/RES0064.mp3[78.800,82.560] ANY LOSS OF TASTE OR SMELL +audio/RES0064.mp3[82.560,84.640] NO NOTHING LIKE THAT +audio/RES0064.mp3[84.640,93.720] OK HOW ABOUT CHANGES IN VISION OR HEARING ANY CHANGES IN HER NAILS OR SKIN LIKE RASHES +audio/RES0064.mp3[93.720,95.080] NO NO RASHES +audio/RES0064.mp3[95.080,101.040] OK HAVE YOU TAKEN HIS TEMPERATURE AT HOME +audio/RES0064.mp3[101.040,110.600] NO I THINK HE MIGHT HAVE HAD A FEVER YESTERDAY BUT WE DIDNT REALLY TAKE A TEMPERATURE +audio/RES0064.mp3[110.600,119.040] OK AND ANY FATIGUE OR EXHAUSTION +audio/RES0064.mp3[119.040,124.880] ENERGYS PRETTY MUCH THE SAME JUST REALLY COMPLAINING A LOT ABOUT THE THROAT +audio/RES0064.mp3[124.880,131.240] OK OK HAVE YOU NOTICED ANY SWELLING IN IN THE NECK AREA +audio/RES0064.mp3[131.240,146.080] UHM I THINK THERE MIGHT BE LIKE A FEW LUMPS NEAR HIS NECK SO I DONT KNOW IF THATS SWELLING BUT DEFINITELY THERE IS THERES A FEW THAT I FELT OVER THE LAST FEW DAYS +audio/RES0064.mp3[146.080,149.240] OK COUGHING +audio/RES0064.mp3[149.240,155.720] NO HASNT BEEN COUGHING AT ALL +audio/RES0064.mp3[155.720,162.600] OK UM AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +audio/RES0064.mp3[162.600,164.800] NO NOTHING LIKE THAT +audio/RES0064.mp3[164.800,168.200] CHEST PAIN +audio/RES0064.mp3[169.440,172.440] FEELING LIKE HIS HEART IS RACING +audio/RES0064.mp3[173.760,177.160] SWELLING IN HIS LIMBS +audio/RES0064.mp3[177.160,178.800] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0064.mp3[178.800,184.600] OK DIZZINESS OR FAINTING SPELLS +audio/RES0064.mp3[190.680,200.080] HE WAS COMPLAINING OF A HEADACHE A FEW DAYS AGO BUT IT KIND OF WENT AWAY ON ITS OWN +audio/RES0064.mp3[200.080,202.440] OK SO THE HEADACHES GONE COMPLETELY NOW +audio/RES0064.mp3[202.440,203.040] YEAH YEAH +audio/RES0064.mp3[203.040,208.920] OK HAVE ANY CONFUSION OR MEMORY LOSS +audio/RES0064.mp3[208.920,209.880] NO NOT THAT I KNOW +audio/RES0064.mp3[209.880,212.880] JOINT PAIN OR MUSCLE ACHES +audio/RES0064.mp3[214.120,218.840] OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL +audio/RES0064.mp3[218.840,224.840] YEAH THEYVE BEEN NORMAL NO DIARRHEA OR CONSTIPATION +audio/RES0064.mp3[224.840,228.280] OK HOW ABOUT IN NAUSEA OR VOMITING +audio/RES0064.mp3[228.280,232.800] NO NO HE HASNT TOLD ME ANYTHING ABOUT THAT +audio/RES0064.mp3[232.800,236.360] ANY APPETITE CHANGES +audio/RES0064.mp3[236.360,251.480] YEAH JUST WITH THE TROUBLE SWALLOWING IM TRYING TO MAKE SURE THAT HE GETS LIKE LIQUIDS BECAUSE OVER THE LAST FEW DAYS HE CANT TOLERATE LIKE SOLID FOODS AT ALL +audio/RES0064.mp3[251.480,258.320] YEAH HOW ABOUT A WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0064.mp3[258.320,267.800] NO NOT REALLY TS JUST BEEN OVER THE LAST FEW DAYS THAT HE HASNT BEEN EATING LIKE HIMSELF +audio/RES0064.mp3[267.800,272.720] OK ALRIGHT AND HAS HE BEEN HEALTHY OTHERWISE +audio/RES0064.mp3[272.720,283.160] YEAH OTHERWISE HES A VERY HEALTHY CHILD WE HAVE RARELY GONE TO A DOCTOR FOR HIM BEFORE SO YEAH NOTHING NOTHING ELSE WITH HIM +audio/RES0064.mp3[283.160,289.480] OK HAVE YOU TRIED ANYTHING FOR HIS SORE THROAT ANYTHING OVER THE COUNTER +audio/RES0064.mp3[289.480,302.800] WE DID TRY UH LIKE TYLENOL COLD IT HELPED WITH THIS HEADACHE BUT IT DIDNT REALLY HELP WITH HIS SORE THROAT +audio/RES0064.mp3[302.800,307.840] OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0064.mp3[307.840,310.520] NO NOT THAT I KNOW OF +audio/RES0064.mp3[310.520,316.600] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0064.mp3[317.640,320.800] ANY MEDICATIONS THAT HES ON +audio/RES0064.mp3[320.800,322.120] NO NO MEDICATION +audio/RES0064.mp3[322.120,326.040] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0064.mp3[326.040,329.200] YEAH ALL HIS IMMUNIZATIONS ARE UP TO DATE +audio/RES0064.mp3[329.200,332.320] OK ANY ALLERGIES +audio/RES0064.mp3[332.320,334.080] NO NOT THAT I KNOW +audio/RES0064.mp3[334.080,339.240] OK FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0064.mp3[339.240,345.680] NO NO LUNG OR HEART CONDITIONS HIS FATHER DOES HAVE DIABETES THOUGH +audio/RES0064.mp3[345.680,350.040] OK HOW OLD WAS HE WHEN HE WAS DIAGNOSED WITH DIABETES +audio/RES0064.mp3[350.040,357.360] I THINK PROBABLY IN HIS LATE 30S WITH TYPE 2 DIABETES +audio/RES0064.mp3[357.360,370.080] TYPE 2 OK AND THEN ANY SICK CONTACTS RECENTLY THAT HE MAY HAVE HAD +audio/RES0064.mp3[370.080,386.240] I DONT THINK AT HOME AT LEAST UH BUT MAYBE AT SCHOOL LIKE YOU NEVER KNOW WHO THEY ARE IN CONTACT WITH SO IM WONDERING IF HE JUST PICKED IT UP SOMEWHERE FROM SCHOOL +audio/RES0064.mp3[387.720,394.400] YEAH YEAH THEYRE ALL WEARING MASKS RIGHT NOW BUT I DONT KNOW IF HE PICKED SOMETHING SOMETHING UP FROM HIS CLASSMATES +audio/RES0064.mp3[394.400,401.480] YEAH FOR SURE OK AND THEN ANY TRAVEL TO ANYWHERE RECENTLY +audio/RES0064.mp3[401.480,408.920] NO WEVE BEEN AT HOME HAVENT LEFT EVEN TO GO TO LIKE A DIFFERENT CITY HAVE BEEN IN LONDON THE WHOLE TIME +audio/RES0064.mp3[408.920,414.560] OK YEAH AND WHO DOES HE LIVE WITH AT HOME +audio/RES0064.mp3[414.560,419.480] SO HE LIVES WITH MYSELF AND HIS DAD +audio/RES0064.mp3[419.480,422.600] ANY SIBLINGS +audio/RES0064.mp3[422.600,425.160] NO HES AN ONLY CHILD +audio/RES0064.mp3[425.160,435.240] OK ANY REASON TO BELIEVE YOU HAVE OLD CARPETS MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING HIS SYMPTOMS +audio/RES0064.mp3[435.240,447.280] YOU KNOW WE DONT HAVE ANY PETS WE DONT HAVE ANY LIKE OLD CARPETS ITS A FAIRLY NEW APARTMENT SO I DONT THINK ANY OF THAT SHOULD BE AN ISSUE +audio/RES0064.mp3[447.280,457.240] OKAY WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR HIM ANYTHING THAT YOU WANTED TO ADD OR ANYTHING THAT I MISSED TODAY +audio/RES0064.mp3[457.240,471.960] UH NO I THINK THOSE ARE EVERYTHING I WANTED TO TALK ABOUT BUT I JUST WAS WONDERING IF HE NEEDS TO GET TESTED OR LIKE IF THERES ANYTHING WE CAN DO TODAY FOR HIM +audio/RES0064.mp3[471.960,542.560] YEAH SO HE DOES SEEM TO BE CHECKING OFF SOME OF THE CRITERIA FOR STREP THROAT SO JUST TO MAKE SURE BECAUSE HE DOES HAVE A SCORE OF RIGHT NOW AT LEAST THREE OR FOUR OR MAYBE EVEN FIVE DEFINITELY OVER FOUR WE CAN PRESCRIBE HIM SOME ANTIBIOTICS BUT WE WILL DO A RAPID STREP TEST FIRST IN THE CLINIC HERE TODAY JUST TO RULE OUT IN OR RULE THAT OUT IF IT COMES BACK POSITIVE AND I GUESS EVEN IF IT ISNT POSITIVE BECAUSE HE CHECKED OFF A LOT OF THE BOXES FOR STREP THROAT WE WILL GIVE HIM A PRESCRIPTION FOR PENICILLIN OR AMOXICILLIN FOR 10 DAYS AND THEN YOU CAN TAKE THAT IF HIS SYMPTOMS DONT GO AWAY IN A DAY OR TWO BECAUSE HIS SYMPTOMS ALSO OVERLAP WITH COVIWE WILL DO A SWAB FOR THAT AS WELL AND YOU SHOULD HEAR BACK WITHIN 24 TO 48 HOURS AND THEN YOU SHOULD ISOLATE FOR 14 DAYS DOES THAT SOUND GOOD +audio/RES0064.mp3[542.560,543.640] YEAH THAT SOUNDS GOOD +audio/RES0064.mp3[543.640,546.280] OK GREAT THANK YOU +audio/RES0064.mp3[546.280,551.960] THANK YOU +audio/RES0050.mp3[0.000,4.720] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN +audio/RES0050.mp3[4.720,14.600] SURE UM I HAVE BEEN COUGHING A LOT IVE BEEN FEELING SHORT OF BREATH AND I JUST FEEL REALLY WHEEZY SO I THOUGHT I SHOULD COME CHECK IT OUT +audio/RES0050.mp3[14.600,18.480] OK WHEN DID THE COUGH START +audio/RES0050.mp3[18.480,31.360] IVE ALWAYS HAD A COUGH WELL I GUESS IVE HAD A COUGH FOR THE PAST FIVE YEARS BUT OVER THE PAST THREE DAYS ITS GOTTEN A LOT WORSE +audio/RES0050.mp3[31.360,39.840] OK DID ANYTHING HAPPEN 3 DAYS AGO THAT HAS BROUGHT THE COUGH ON +audio/RES0050.mp3[39.840,52.080] UHM NO I WAS I DID GROCERIES I CAME HOME AND THEN I STARTED COUGHING A LITTLE BIT MORE AND I HAVENT BEEN ABLE TO STOP SINCE +audio/RES0050.mp3[52.080,59.400] OK IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE LIKE MORNING NIGHT +audio/RES0050.mp3[59.400,64.960] UHM IT SEEMS TO BE WORSE IN THE MORNING +audio/RES0050.mp3[64.960,70.760] OK AND ARE YOU BRINGING UP ANY SPUTUM +audio/RES0050.mp3[70.760,78.000] I AM UMM AND IT LOOKS YELLOW AND SOMETIMES EVEN GREEN +audio/RES0050.mp3[78.000,84.880] OK WITH YOUR COUGH PRIOR TO THREE DAYS AGO WERE YOU BRINGING UP SPUTUM WITH THAT +audio/RES0050.mp3[84.880,89.840] I GUESS SOME BUT IT WAS CLEAR +audio/RES0050.mp3[89.840,99.720] OK AND ARE YOU BRINGING UP MORE SPUTUM NOW THE SAME OR LESS +audio/RES0050.mp3[99.720,103.760] UM MORE SPUTUM AND SPUTUM JUST LOOKS DIFFERENT +audio/RES0050.mp3[103.760,107.240] OK HAVE YOU NOTICED ANY BLOOD +audio/RES0050.mp3[107.240,110.040] NO BLOOD +audio/RES0050.mp3[110.040,118.640] OK AND YOU MENTIONED YOUVE BEEN YOUVE HAD A WHEEZE WHEN YOU DO YOU NOTICE THAT +audio/RES0050.mp3[118.640,124.800] UHM I ALSO I GUESS I NOTICE THAT MOSTLY LAST NIGHT YEAH +audio/RES0050.mp3[124.800,135.080] OK UM AND WHAT TYPES OF ACTIVITIES HAVE YOU HAD SHORTNESS OF BREATH +audio/RES0050.mp3[135.080,147.400] UHM I GUESS WALKING DOING DAY TO DAY THINGS HAS MADE ME FEEL A LITTLE BIT MORE SHORT OF BREATH THAN I USED TO FEEL +audio/RES0050.mp3[147.400,155.280] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE COUGH WHEEZE AND SHORTNESS OF BREATH +audio/RES0050.mp3[155.280,163.800] UM I FEEL A LITTLE BIT MORE TIRED BUT OTHER THAN THAT NO +audio/RES0050.mp3[163.800,169.920] OK SO A BIT MORE TIRED HOW HAS YOUR SLEEP BEEN +audio/RES0050.mp3[169.920,181.680] MY SLEEP HAS BEEN UM PRETTY NORMAL ITS BEEN YEAH ITS BEEN THE SAME I GUESS ITS THE COUGHING THATS MAKING ME TIRED +audio/RES0050.mp3[181.680,187.720] OK HAVE YOU HAD ANY EAR PAIN OR EYE PAIN +audio/RES0050.mp3[187.720,190.120] EAR PAIN OR EYE PAIN NO +audio/RES0050.mp3[190.120,195.680] ANY DISCHARGE FROM EITHER EITHER YOUR EARS OR EYES +audio/RES0050.mp3[196.640,199.360] OK HAVE YOU HAD A RUNNY NOSE +audio/RES0050.mp3[201.120,203.280] OR FELT CONGESTED +audio/RES0050.mp3[204.600,207.480] OK HAVE YOU HAD A SORE THROAT +audio/RES0050.mp3[207.480,209.160] UH NO +audio/RES0050.mp3[209.160,212.800] OR ANY DIFFICULTY SWALLOWING +audio/RES0050.mp3[212.800,213.680] UHM NO +audio/RES0050.mp3[213.680,219.320] CHANGES TO YOUR SENSE OF SMELL OR TASTE +audio/RES0050.mp3[220.720,227.400] OK HAVE YOU HAD ANY CHANGES IN APPETITE +audio/RES0050.mp3[227.400,229.400] UH NO I DONT THINK SO +audio/RES0050.mp3[229.400,234.800] ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0050.mp3[234.800,236.680] WEIGHT LOSS NO +audio/RES0050.mp3[236.680,241.600] OK HOW ABOUT HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0050.mp3[241.600,247.800] FEVERS OR CHILLS AH NO NO NOTHING LIKE THAT +audio/RES0050.mp3[247.800,249.480] NIGHTS HOW ABOUT NIGHT SWEATS +audio/RES0050.mp3[250.400,253.000] HAVE YOU HAD ANY CHEST PAIN +audio/RES0050.mp3[253.000,265.640] AH NO NO CHEST WELL MY CHEST FEELS I GUESS SOMETIMES I IT FEELS PAINFUL BECAUSE IM COUGHING SO MUCH BUT NOTHING MORE THAN THAT +audio/RES0050.mp3[265.640,272.960] OK DO YOU GET CHEST PAIN WHEN YOU EXERT YOURSELF PHYSICALLY +audio/RES0050.mp3[272.960,274.360] UHM NO +audio/RES0050.mp3[274.360,278.560] OK SO ITS JUST AFTER THE COUGHING +audio/RES0050.mp3[279.760,288.000] OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THE CHEST PAIN SOME PEOPLE WILL SAY SHARP DULL ACHY +audio/RES0050.mp3[288.000,292.520] UM I WOULD SAY DULL +audio/RES0050.mp3[292.520,304.120] OK AND HAVE YOU HAD ANY LIKE HEART PALPITATIONS FEELING LIKE YOUR HEARTS RACING +audio/RES0050.mp3[305.440,314.560] AND HOW ABOUT ANY EPISODES WHERE YOU FELT LIKE YOU WERE GOING TO FAINT OR YEAH PASS OUT +audio/RES0050.mp3[316.880,325.840] OK UHM AND HAVE YOU HAD ANY SWELLING IN YOUR FEET ANKLES HANDS +audio/RES0050.mp3[325.840,328.000] NO NOTHING LIKE THAT +audio/RES0050.mp3[328.000,333.040] OK AND THEN HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0050.mp3[333.040,335.080] UM NO +audio/RES0050.mp3[335.080,336.600] ANY BOWEL PROBLEMS +audio/RES0050.mp3[338.040,343.720] OK AND THEN ANY JOINT PAINS OR MUSCLE ACHES +audio/RES0050.mp3[343.720,345.960] NO NOTHING LIKE THAT +audio/RES0050.mp3[345.960,350.520] AND HOW ABOUT ANY RASHES ANYWHERE +audio/RES0050.mp3[352.080,357.440] OK AND THEN SORRY HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0050.mp3[357.440,358.920] UH NO +audio/RES0050.mp3[358.920,363.960] OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE +audio/RES0050.mp3[363.960,369.960] UHM I HAVE HIGH BLOOD PRESSURE AND DIABETES +audio/RES0050.mp3[369.960,373.400] I SEE ARE YOU ON ANY MEDICATIONS FOR THOSE +audio/RES0050.mp3[373.400,389.720] UM FOR THE BLOOD PRESSURE THE HIGH BLOOD PRESSURE IM ON A BETA BLOCKER AND THEN FOR MY DIABETES IM ON METFORMIN +audio/RES0050.mp3[389.720,395.840] OK UH DO YOU ARE YOU TAKING ANY OTHER MEDICATIONS +audio/RES0050.mp3[395.840,400.360] UM JUST SOME CALCIUM AND VITAMIN D +audio/RES0050.mp3[400.360,404.000] ANY SURGERIES IN THE PAST +audio/RES0050.mp3[406.400,408.080] ANY ALLERGIES TO MEDICATIONS +audio/RES0050.mp3[410.640,414.120] OK ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0050.mp3[414.120,427.360] I BELIEVE SO BUT I RECENTLY LEARNED THAT I SHOULD GET SOMETHING CALLED THE PNEUMOCOCCAL VACCINE I HAVENT GOTTEN THAT YET +audio/RES0050.mp3[427.360,458.440] YEAH YOURE YOURE RIGHT SO FOR UM IN CANADA OR ANYBODY OR IN ONTARIO AT LEAST ANYBODY WHOS OLDER THAN 65 ITS RECOMMENDED TO GET THIS VACCINE TO PROTECT AGAINST CERTAIN TYPES OF BACTERIAL INFECTIONS TYPE WHICH CAN CAUSE PNEUMONIA SO IT WOULD BE GOOD SOMETHING THAT YOU CAN SET UP WITH YOUR FAMILY DOCTOR +audio/RES0050.mp3[459.080,461.840] YEAH AND SO ARE YOU SO DO YOU SMOKE CIGARETTES +audio/RES0050.mp3[461.840,465.960] I USED TO +audio/RES0050.mp3[465.960,470.800] OK AND HOW MUCH DO YOU SMOKE OR HOW MUCH DID YOU USE TO SMOKE +audio/RES0050.mp3[470.800,479.680] UM I SMOKED A PACK A DAY AND I SMOKED FOR 45 YEARS BUT I STOPPED TWO YEARS AGO +audio/RES0050.mp3[479.680,489.560] OK THATS GREAT THAT YOU WERE ABLE TO STOP DO YOU DRINK ALCOHOL +audio/RES0050.mp3[489.560,492.800] UHM OCCASIONALLY LIKE ONCE EVERY TWO WEEKS +audio/RES0050.mp3[492.800,509.160] OK AND ANY TRIGGERS THAT YOU CAN THINK OF YOU WERE EXPOSED TO EITHER AT WORK OR HOME LIKE CHEMICALS OR THINGS THAT YOU WERE EXPOSED TO THAT YOU HAD TO BREATHE THAT YOU BREATHE IN +audio/RES0050.mp3[509.160,511.840] NO NOTHING LIKE THAT +audio/RES0050.mp3[511.840,515.240] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0050.mp3[515.880,522.400] ALRIGHT AND HAVE YOU BEEN NEAR ANYBODY WHOS BEEN SICK OR HAS SIMILAR SYMPTOMS +audio/RES0050.mp3[522.400,523.960] UHM NO +audio/RES0050.mp3[523.960,530.200] ALRIGHT AND ANYBODY IN THE FAMILY HAVE A HEART OR LUNG CONDITION +audio/RES0050.mp3[530.200,532.040] UM NO +audio/RES0050.mp3[532.040,533.440] ANY CANCERS IN THE FAMILY +audio/RES0050.mp3[533.440,541.720] UM THERE WAS A LIVER CANCER +audio/RES0050.mp3[541.720,556.400] OK AND I THINK THAT OK AND THAT WAS ALL I WANTED TO ASK ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME TODAY +audio/RES0050.mp3[556.400,571.520] UM NO JUST UM WHAT DO YOU THINK THE PROBLEM IS IVE NEVER FELT THIS BAD WITH MY SHORTNESS OF BREATH BEFORE +audio/RES0050.mp3[571.520,623.240] YEAH CERTAINLY SO UMM IT IT SOUNDS LIKE IT COULD BE MAYBE A VIRAL INFECTION THAT I BROUGHT ON THIS COUGH AND WORSEN THE SPUTUM THIS COULD BE A BACTERIAL INFECTION IT COULD BE A COPEXACERBATION AND ALSO ONE OF THE OTHER THINGS THAT WE WOULD HAVE TO CONSIDER RIGHT NOW IS COVID AS WELL AND SO WE WILL DO A PCR NASAL SWAB FOR COVID AND A CHEST XXRAY AND SOME OTHER INVESTIGATIONS AS WELL AND UHM WE WILL TRY TO GET TO THE BOTTOM OF WHATS CAUSING YOUR YOUR SHORTNESS OF BREATH +audio/RES0050.mp3[623.240,628.440] OK THAT SOUNDS GOOD THANK YOU +audio/MSK0035.mp3[0.000,4.400] HOW MAY I HELP YOU +audio/MSK0035.mp3[4.400,24.400] IM SO I WAS SKIING YESTERDAY AND I FELL ON MY ARM AND NOW AND ITS ITS MY HANDS VERY PAINFUL AND IT LOOKS SWOLLEN AND BRUISED SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT +audio/MSK0035.mp3[24.400,42.040] YEAH CERTAINLY ALRIGHT AND SO YOU FELL WHILE WHILE YOURE SKIING SO DID YOU USE YOUR HAND TO BRACE THE FALL LIKE WITH YOUR HAND KIND OF WITH YOUR WRIST EXTENDED BACKWARDS +audio/MSK0035.mp3[42.040,52.080] YEA YEAH SO I KIND OF YEAH HAD MY ARM STRETCHED OUT AND I FELL RIGHT ON IT +audio/MSK0035.mp3[52.080,56.640] OK AND DID YOU FEEL PAIN RIGHT AWAY +audio/MSK0035.mp3[59.320,69.760] OK UM AND DURING THE FALL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR ELBOW OR SHOULDER OR EVEN YOUR HEAD +audio/MSK0035.mp3[69.760,78.400] NO I DONT THINK SO I DIDNT HAVE I DONT HAVE ANY PAIN ANYWHERE ELSE +audio/MSK0035.mp3[78.400,86.520] OK UHM AND LIKE ARE YOU ABLE TO MOVE YOUR WRIST CURRENTLY +audio/MSK0035.mp3[86.520,92.280] I CAN BUT ITS VERY PAINFUL +audio/MSK0035.mp3[92.280,99.640] OK AND SO WHEN DID THIS HAPPEN WAS IT YESTERDAY +audio/MSK0035.mp3[99.640,102.520] AH YES IT WAS YESTERDAY +audio/MSK0035.mp3[102.520,109.400] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS ITS A SHARP PAIN DULL PAIN ACHY +audio/MSK0035.mp3[109.400,112.080] ITS PRETTY SHARP +audio/MSK0035.mp3[112.080,120.280] SHARP OK AND ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE LIKE DOWN INTO YOUR HAND OR UP INTO YOUR ARM +audio/MSK0035.mp3[120.280,136.640] UHM NO ITS PRETTY LOCAL THE PAIN YEAH ITS PRETTY ITS RIGHT BELOW THE THUMB AREA AND JUST KIND OF ON MY WRIST AN ON THE RIGHT SIDE +audio/MSK0035.mp3[136.640,147.880] OK IS THERE ANYTHING YOUVE DONE THATS MADE IT THAT MADE IT BETTER LIKE HAVE YOU TRIED ANY MEDICATIONS OR ANY ICE OR TOPICAL CREAMS +audio/MSK0035.mp3[147.880,157.960] IVE BEEN TAKING IBUPROFEN FOR THE PAIN AND TRY NOT TO MOVE IT TOO MUCH AND THATS BEEN HELPING A LITTLE BIT +audio/MSK0035.mp3[157.960,166.360] OK AND IS THE PAIN CONSTANT OR INTERMITTENT +audio/MSK0035.mp3[166.360,171.440] ITS CONSTANT +audio/MSK0035.mp3[171.440,178.320] OK AND HAVE YOU DONE ANYTHING THATS THATS MADE THE PAIN WORSE +audio/MSK0035.mp3[178.320,184.480] UM I GUESS MOVING IT +audio/MSK0035.mp3[184.480,191.640] OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 WITH 10 BEING THE WORST PAIN YOUVE EVER FELT +audio/MSK0035.mp3[191.640,197.240] I GIVE IT LIKE A FIVE OR SIX +audio/MSK0035.mp3[197.240,202.080] OK HAVE YOU HAD AN INJURY LIKE THIS TO YOUR WRIST OR YOUR HAND BEFORE +audio/MSK0035.mp3[203.960,216.080] ALRIGHT AND ARE YOU HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS TINGLING OR OR SENSORY LOSS OVER ANY AREAS +audio/MSK0035.mp3[219.320,226.000] OK AND HOW ABOUT MUSCLE WEAKNESS +audio/MSK0035.mp3[227.720,232.760] ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/MSK0035.mp3[232.760,234.360] NOTHING LIKE THAT +audio/MSK0035.mp3[234.360,237.360] UM HAVE YOU BEEN HAVING ANY HEADACHES +audio/MSK0035.mp3[238.680,247.640] HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR HEARING OR LOSS OF SMELL OR LOSS OF TASTE +audio/MSK0035.mp3[247.640,251.800] NO NOTHING LIKE THAT +audio/MSK0035.mp3[251.800,255.480] OK HAVE YOU HAD A RUNNY NOSE OR OR FELT CONGESTED +audio/MSK0035.mp3[256.840,259.360] HAVE YOU HAD A SORE THROAT OR A COUGH +audio/MSK0035.mp3[260.680,264.680] HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING +audio/MSK0035.mp3[265.760,267.760] HAVE YOU HAD ANY CHEST PAIN +audio/MSK0035.mp3[269.040,273.560] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/MSK0035.mp3[273.560,274.600] UH NOPE +audio/MSK0035.mp3[274.600,277.640] HAVE YOU HAD ANY DIZZINESS OR FAINTING +audio/MSK0035.mp3[279.480,286.920] OK YEAH AND SO DID YOU LOSE CONSCIOUSNESS AT ALL DURING THE FALL +audio/MSK0035.mp3[288.680,294.160] OK AND AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0035.mp3[296.360,299.400] ANY ABDOMINAL PAIN +audio/MSK0035.mp3[300.680,306.440] ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL +audio/MSK0035.mp3[306.440,308.000] UHM NOPE +audio/MSK0035.mp3[308.000,313.680] OK AND HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/MSK0035.mp3[313.680,316.000] UH NO NOTHING LIKE THAT +audio/MSK0035.mp3[316.000,325.720] ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR LIKE ANY OTHER MUSCULOSKELETAL PAINS BESIDES THE WRIST +audio/MSK0035.mp3[330.640,337.320] OK AND HAVE YOU HAD ANY APPETITE LOSS OR OR FATIGUE +audio/MSK0035.mp3[338.840,341.360] ALRIGHT AND HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0035.mp3[342.120,349.880] AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/MSK0035.mp3[349.880,351.600] UHM NO +audio/MSK0035.mp3[351.600,358.480] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR DO YOU SEE A PHYSICIAN REGULARLY FOR ANY REASON +audio/MSK0035.mp3[358.480,360.320] UH NO +audio/MSK0035.mp3[360.320,367.600] OK SO UH DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER +audio/MSK0035.mp3[367.600,368.560] UH NOPE +audio/MSK0035.mp3[368.560,376.080] ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0035.mp3[377.000,379.680] OK AND YOU HAVE ANY ALLERGIES +audio/MSK0035.mp3[382.640,385.560] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0035.mp3[385.560,392.880] UM I THINK SO I THINK I JUST NEED TO GET THE GARDASIL +audio/MSK0035.mp3[392.880,401.880] OK HAVE YOU GOTTEN LIKE THE FIRST DOSE OF THAT YET OR ARE YOU STILL STILL WAITING TO GET THAT +audio/MSK0035.mp3[401.880,404.280] IM STILL WAITING TO GET THAT +audio/MSK0035.mp3[404.280,414.920] OK AND COULD YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND AND WHEREABOUTS +audio/MSK0035.mp3[414.920,418.240] I LIVE BY MYSELF IN AN APARTMENT DOWNTOWN +audio/MSK0035.mp3[418.240,425.120] OK IM AN ARE YOU IN SCHOOL OR ARE YOU WORKING RIGHT NOW +audio/MSK0035.mp3[425.120,428.600] IM IN SCHOOL +audio/MSK0035.mp3[428.600,432.320] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0035.mp3[432.320,438.760] UH NO NO ONES BEEN SICK AROUND ME I HAVENT REALLY BEEN LEAVING MY HOME +audio/MSK0035.mp3[438.760,446.400] I SEE OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0035.mp3[446.400,448.960] UH NOPE +audio/MSK0035.mp3[448.960,458.440] ALRIGHT AND JUST STAYING ACTIVE WHICH IS GOOD DO YOU DO ANY OTHER ACTIVITIES BESIDES THE SKIING +audio/MSK0035.mp3[458.440,470.400] I DO I LIKE I GO SNOWBOARDING IN THE WINTER I GO CAMPING I LIKE PLAYING TENNIS AND VOLLEYBALL +audio/MSK0035.mp3[470.400,476.000] OK COOL YEAH IT SOUNDS FUN AND LIKE DO YOU SMOKE CIGARETTES +audio/MSK0035.mp3[476.000,477.200] NO I DONT +audio/MSK0035.mp3[477.200,482.880] OK UH DO YOU DRINK ALCOHOL +audio/MSK0035.mp3[482.880,486.800] ILL HAVE A BEER ONCE IN AWHILE +audio/MSK0035.mp3[486.800,489.200] OK HOW OFTEN IS ONCE IN AWHILE LIKE HOW MANY DRINKS PER WEEK +audio/MSK0035.mp3[489.200,496.440] OH NOT THAT MANY ILL MAYBE HAVE LIKE 2 EVERY OTHER WEEK +audio/MSK0035.mp3[496.440,502.640] I SEE OK AND YOU USE CANNABIS OR OR ANY CANNABIS PRODUCTS +audio/MSK0035.mp3[502.640,508.800] ILL TAKE AN EDIBLE ONCE IN AWHILE AS WELL LIKE MAYBE ONCE A MONTH +audio/MSK0035.mp3[508.800,515.200] OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS +audio/MSK0035.mp3[515.760,523.040] ALRIGHT AND IN THE FAMILY ARE THERE ANY HISTORY OF NEUROLOGICAL OR MUSCULOSKELETAL PROBLEMS +audio/MSK0035.mp3[524.920,531.120] HOW ABOUT ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM +audio/MSK0035.mp3[531.600,545.160] OK SO NEXT I WILL ASK YOU TO JUST HAVE A LOOK AT THE WRIST FOR THE PHYSICAL EXAM PORTION ARE YOU SEEING ANY SWELLING OR REDNESS +audio/MSK0035.mp3[545.160,547.640] UHM NO I DONT SEE ANYTHING LIKE THAT +audio/MSK0035.mp3[547.640,556.800] OK AND IF YOU TOUCH THE JOINTS AROUND THE WRIST ON BOTH SIDES IS THE RIGHT WRIST DOES IT FEEL HOT +audio/MSK0035.mp3[556.800,565.880] NO ACTUALLY YES IT DOES +audio/MSK0035.mp3[565.880,569.800] OK ALRIGHT AND BUT THERES NO SWELLING THERE +audio/MSK0035.mp3[569.800,576.400] UHM THERES MAYBE A LITTLE BIT OF SWELLING COMPARED TO MY LEFT +audio/MSK0035.mp3[576.400,584.280] OK AND ARE YOU NOTICING ANY MUSCLE ATROPHY OR OR ANY DEFORMITY AT THE WRIST +audio/MSK0035.mp3[584.280,588.880] UH I GUESS THERES LIKE A SLIGHT BRUISE +audio/MSK0035.mp3[588.880,598.200] OK AND ARE THERE ANY LIKE RAISED BUMPS IF YOU PUT YOUR FINGER OVER IT OVER THE BONY EDGES +audio/MSK0035.mp3[598.200,605.000] UHM NO BUMPS BUT JUST A GENERAL KIND OF SWELLING IN THE AREA THAT MAKES IT LOOK RAISED +audio/MSK0035.mp3[605.000,622.880] ALRIGHT AND AND IF YOU PALPATE OR PRESS ON SOME AREAS OF THE WRIST ARE THERE ANY AREAS THAT YOURE FEELING PAIN LIKE AT THE DISTAL RADIAL HEAD THE DISTAL ULNA UH OR ANY AREAS OF THE WRIST +audio/MSK0035.mp3[622.880,628.960] UHM THERES SOME PAIN AT THE DISTAL RADIUS FOR SURE +audio/MSK0035.mp3[628.960,641.400] OK UH ALRIGHT AND IS THIS ON THE BACK OF THE HAND OR THE THAT THE PALM SIDE +audio/MSK0035.mp3[641.400,645.160] ITS ON THE PALM SIDE +audio/MSK0035.mp3[645.160,666.440] OK DO YOU FEEL ANY PAIN IF YOU PUSH IN THE WHATS CALLED THE ANATOMICAL STUFF BOX SO ITS AT THE BASE OF THE THUMB UM ON YEAH THE BASE OF THE THUMB ON THE BACK OF YOUR HAND +audio/MSK0035.mp3[666.440,676.360] BASE OF THE THUMB UM NO I DONT FEEL ANY PAIN THERE +audio/MSK0035.mp3[676.360,687.320] OK AND OK SO NO PAIN AT THE THE DORSAL ANATOMICAL SNUFFBOX AND IN TERMS OF RANGE OF MOTION ARE YOU ABLE TO FLEX AND EXTEND YOUR WRIST +audio/MSK0035.mp3[687.320,689.280] I AM +audio/MSK0035.mp3[689.280,695.320] OK AND THEN HOW ABOUT MOVE IT LIKE SIDE TO SIDE KIND OF DEVIATING IT +audio/MSK0035.mp3[695.320,701.680] UHM I CAN DO ALL OF THESE THINGS IT JUST HURTS A LOT +audio/MSK0035.mp3[701.680,705.920] OK ARE YOU ABLE TO MAKE A FIST +audio/MSK0035.mp3[706.520,714.480] ALRIGHT AND DO YOU HAVE ANY PROBLEMS AT THE ELBOW OR ARE YOU ABLE TO FLEX AND EXTEND THE ELBOW OK +audio/MSK0035.mp3[714.480,716.840] I CAN FLEX AND EXTEND OK +audio/MSK0035.mp3[716.840,727.240] OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO CHECK TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS +audio/MSK0035.mp3[727.240,743.520] UHM NO JUST DO I NEED ANY SORT OF SURGERY FOR THIS AND DO I NEED AN X RAY HOW DO I GO ABOUT TRYING TO TREAT THIS +audio/MSK0035.mp3[743.520,817.520] YEAH SO I THINK I IT XRAY WOULD BE THE FIRST STEP HERE BECAUSE FROM WHAT YOURE DESCRIBING AND PARTICULARLY WITH THE MECHANISM OF THE INJURY AND WHERE YOURE FEELING PAIN CAN BE A COMMON CAUSE OF A DISTAL RADIAL RADIAL FRACTURE WHICH IS ONE OF THE FOREARM BONES AND SO YEAH WE WILL NEED AN XRAY TO LOOK TO SEE IF THERE IS A DISTAL RADIAL FRACTURE AND ITS NOT SOUNDING LIKE THIS RIGHT NOW BUT ANOTHER THING THAT WILL LOOK FOR ON ON THE X RAY OF THE HANDS TOO IS A SCAPHOID FRACTURE TO MAKE SURE THAT THATS OK BUT YOU DIDNT HAVE ANY PAIN IN THE AREA OF THE SCAPHOID WHICH IS REASSURING BUT WE STILL WANT TO IMAGE AND MAKE SURE ALTHOUGH THAT MOST LIKELY THING WOULD BE THE DISTAL RADIAL FRACTURE AN IF THATS THE CASE THEN THERE WILL BE LIKE WE WILL HAVE TO GO INTO A CAST FOR A PERIOD OF TIME AND DEPENDING ON HOW MUCH JOINT INVOLVEMENT THERE IS THERE MIGHT BE THE POSSIBILITY OF SURGERY BUT CANNOT COMMENT TOO MUCH ON ON THAT JUST YET WE WILL NEED TO GET THE IMAGING FIRST +audio/MSK0035.mp3[817.520,821.680] OK OK THAT SOUNDS GOOD THANK YOU +audio/MSK0027.mp3[0.000,1.800] HOW MAY I HELP YOU +audio/MSK0027.mp3[1.800,21.480] HI IM HERE WITH MY 3 YEAR OLD DAUGHTER AND SHES BEEN HOLDING HER ELBOW AWKWARDLY AND UM SHE SEEMS LIKE SHES IN PAIN AND SO I WAS JUST WONDERING IF LIKE SOMETHING HAPPENED TO HER ELBOW AND IF YOU CAN FIX IT +audio/MSK0027.mp3[21.480,37.960] 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 +audio/MSK0027.mp3[37.960,48.120] ITS IT SEEMS KIND OF FLEX IS HOLDING IT AWKWARDLY AND SHE CANT SHE SHES NOT SHES NOT STRETCHING IT +audio/MSK0027.mp3[48.120,54.960] OK UHM AND WHEN DID THIS START WHEN DID YOU FIRST NOTICE +audio/MSK0027.mp3[54.960,60.760] I NOTICE THIS YESTERDAY +audio/MSK0027.mp3[60.760,66.720] OK AND AND I HAD SHE BEEN HOLDING HER HER ARM KIND OF LIKE THIS THE WHOLE TIME +audio/MSK0027.mp3[66.720,84.640] YEAH THERES JUST LIKE A SLIGHT BEND TO IT ITS NOT FULLY STRAIGHTENED ITS NOT FULLY LIKE FULLY FLEXED ITS JUST KIND OF HANGING OUT HER SIDE +audio/MSK0027.mp3[84.640,94.200] OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE +audio/MSK0027.mp3[94.200,106.520] UHM NO I DONT THINK SO I THINK NO I THINK SHE SHES JUST BEEN HOLDING IT AWKWARDLY LIKE THAT I IM ASSUMING SO IT DOESNT CAUSE MORE PAIN +audio/MSK0027.mp3[106.520,112.880] OK AND IS THE PAIN SHARP BURNING OR ACHY +audio/MSK0027.mp3[112.880,117.760] I THINK ITS ITS ITS SHARP +audio/MSK0027.mp3[117.760,128.760] 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 +audio/MSK0027.mp3[128.760,132.160] I DONT THINK SO +audio/MSK0027.mp3[132.160,154.320] 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 +audio/MSK0027.mp3[154.320,164.520] UM I KNOW HER FATHER WAS SWINGING HER ARMS YESTERDAY THEY WERE PLAYING IN THE PARK SO MAYBE +audio/MSK0027.mp3[164.520,178.240] OK SO JUST UH SHES SWINGING FROM ARMS YESTERDAY OK AND HAS SHE TALKED ABOUT HAVING ANY NUMBNESS OR TINGLING +audio/MSK0027.mp3[179.720,185.080] OK AND ANY MUSCLE WEAKNESS THAT YOUVE NOTICED +audio/MSK0027.mp3[185.080,191.200] AH NO NO MUSCLE WEAKNESS +audio/MSK0027.mp3[191.200,195.760] OK AND HAS SHE HAD ANY +audio/MSK0027.mp3[195.760,197.800] FEVERS OR CHILLS +audio/MSK0027.mp3[199.440,202.200] OK AND IT HAS SHE HAD ANY HEADACHES +audio/MSK0027.mp3[203.360,209.040] HAS SHE HAD ANY SENSORY CHANGES LIKE ANY ISSUES WITH VISION OR HEARING +audio/MSK0027.mp3[209.040,210.200] UHM NO +audio/MSK0027.mp3[210.200,213.360] ANY ISSUES WITH SENSE OF SMELL OR TASTE +audio/MSK0027.mp3[214.360,217.440] HOW SHE HAD A COUGH OR SORE THROAT +audio/MSK0027.mp3[219.120,223.080] OK HAS SHE HAD ANY NIGHT SWEATS +audio/MSK0027.mp3[224.320,226.960] AND HAS SHE HAD ANY WEIGHT LOSS +audio/MSK0027.mp3[229.400,236.800] OK AND YOU HAS SHE HAD A RUNNY NOSE OR SORE THROAT +audio/MSK0027.mp3[237.960,240.080] HOW ABOUT A COUGH OR SHORTNESS OF BREATH +audio/MSK0027.mp3[241.520,245.320] HAS SHE HAD ANY WHEEZING OR CHEST PAIN +audio/MSK0027.mp3[246.880,250.040] ALRIGHT AND ANY ABDOMINAL PAIN +audio/MSK0027.mp3[250.920,252.840] ANY NAUSEA OR VOMITING +audio/MSK0027.mp3[253.880,258.360] ANY DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL +audio/MSK0027.mp3[259.960,262.880] ANY CHANGES TO HER URINARY PATTERNS +audio/MSK0027.mp3[262.880,264.600] UM NO +audio/MSK0027.mp3[264.600,267.920] OK AND AS YOU HAD ANY APPETITE LOSS +audio/MSK0027.mp3[268.840,270.680] HOW IS YOUR ENERGY BEEN +audio/MSK0027.mp3[270.680,278.000] ITS BEEN THE SAME SHES JUST NOT DOING AS MUCH BECAUSE HER ARM IS IN PAIN +audio/MSK0027.mp3[278.000,282.800] OK BUT NO FATIGUE +audio/MSK0027.mp3[284.440,289.640] I SEE OK AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION +audio/MSK0027.mp3[289.640,292.680] NO NOTHING LIKE THAT +audio/MSK0027.mp3[292.680,298.360] DOES SHE HAVE ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE +audio/MSK0027.mp3[298.680,308.320] OK AND HOW ABOUT SKIN CHANGES SUCH AS RASHES OR ANY CHANGES TO HER HAIR OR NAILS +audio/MSK0027.mp3[308.320,311.280] NO NOTHING LIKE THAT +audio/MSK0027.mp3[311.280,321.880] OK AND IN THE PAST HAS SHE HAD ANY MEDICAL PROBLEMS OR HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/MSK0027.mp3[321.880,325.880] NO SHES BEEN PRETTY HEALTHY OTHERWISE +audio/MSK0027.mp3[325.880,328.760] OK DOES SHE TAKE ANY MEDICATIONS +audio/MSK0027.mp3[330.040,333.360] DID SHE HAVE ANY ALLERGIES +audio/MSK0027.mp3[334.520,340.120] AND HAS SHE BEEN HOSPITALIZED FOR ANY REASON OR HAS SHE HAD ANY SURGERIES +audio/MSK0027.mp3[342.600,353.960] OK ANY CONCERNS FOR REACHING DEVELOPMENTAL MILESTONES SUCH AS WALKING TALKING AND LIKE SOCIAL INTERACTIONS +audio/MSK0027.mp3[353.960,355.080] NO NO ISSUES THERE +audio/MSK0027.mp3[355.080,356.000] NO PROBLEMS +audio/MSK0027.mp3[356.360,363.720] OK AND THEN HOW ABOUT LIKE JUST GROWTH AND AND DEVELOPMENT IS SHE GETTING TALLER AND IM GAINING WEIGHT +audio/MSK0027.mp3[363.720,367.800] YEAH LIKE THATS BEEN PRETTY GOOD +audio/MSK0027.mp3[367.800,378.400] OK WELL THATS GOOD AND WERE THERE ANY CONCERNS WITH THE PREGNANCY WITH HER ANY LIKE GESTATIONAL DIABETES HIGH BLOOD PRESSURE OR INFECTIONS +audio/MSK0027.mp3[378.400,383.480] NO EVERYTHING WENT SMOOTHLY +audio/MSK0027.mp3[383.480,387.280] OK WAS SHE AT TERM OR WHERE SHE PRE TERM +audio/MSK0027.mp3[387.280,394.360] SHE WAS AT TERM SHE WAS LIKE A 37 12 WEEKS OR SOMETHING LIKE THAT +audio/MSK0027.mp3[394.360,397.160] OK AND WAS IT VAGINAL DELIVERY OR CSECTION +audio/MSK0027.mp3[397.160,401.680] IT WAS VAGINAL +audio/MSK0027.mp3[401.680,406.600] OK AND WAS THERE ANY REASON FOR HER TO STAY IN HOSPITAL AFTERWARDS +audio/MSK0027.mp3[407.240,421.640] 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 SHES LIVING WITH THEN WHEREABOUTS +audio/MSK0027.mp3[421.640,438.560] AND SHES 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 +audio/MSK0027.mp3[438.560,444.280] I SEE OK AND IS SHE GOING TO DAYCARE RIGHT NOW OR ANYTHING LIKE THAT +audio/MSK0027.mp3[444.280,449.640] UMM NO SHES SHES AT HOME WITH ME +audio/MSK0027.mp3[449.640,452.200] OK SHE BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0027.mp3[452.840,454.920] AND HAVE YOU TRAVELED ANYWHERE +audio/MSK0027.mp3[457.520,465.320] OK AN ANY CONCERN FOR LIKE PHYSICAL OR EMOTIONAL VIOLENCE IN THE HOME +audio/MSK0027.mp3[465.320,469.000] NO NOTHING LIKE THAT +audio/MSK0027.mp3[469.000,470.960] OK AND IS THERE ANYBODY WHO SMOKES IN THE HOME +audio/MSK0027.mp3[470.960,478.920] UHM NO NO ONE SMOKES AT HOME +audio/MSK0027.mp3[478.920,486.560] OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +audio/MSK0027.mp3[486.560,489.040] UHM NO +audio/MSK0027.mp3[489.040,493.280] HOW ABOUT ANY HEART OR LUNG CONDITIONS +audio/MSK0027.mp3[493.920,503.480] OK SO I ASK YOU TO JUST HAVE A LOOK AT HER ELBOW NOW AND +audio/MSK0027.mp3[505.080,513.760] LET ME KNOW THE IF YOURE SEEING ANY SWELLING OR REDNESS +audio/MSK0027.mp3[513.760,521.120] OK AND SO THE ELBOWS LOOK FINE NEITHER ELBOW APPEARS RED OR SWOLLEN +audio/MSK0027.mp3[521.120,535.080] OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY JOINT DEFORMITY OR OR MALALIGNMENT +audio/MSK0027.mp3[535.080,550.320] NO I DONT SEE THAT I ALSO ACTUALLY IT MIGHT BE SLIGHTLY IT LOOKS A LITTLE BIT AWKWARD THE WAY SHES HOLDING IT SO I CANT TELL IF ITS MISALIGNED +audio/MSK0027.mp3[550.320,557.240] OK AND ANY SKIN CHANGES OVER THE ELBOW +audio/MSK0027.mp3[559.200,577.680] 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 +audio/MSK0027.mp3[577.680,584.200] IT HURTS SHES IN PAIN WHENEVER I TOUCH ANYWHERE NEAR THE ELBOW AREA +audio/MSK0027.mp3[584.200,593.400] OK AND UM IS THERE ANY PAIN WITH WITH MOVEMENT +audio/MSK0027.mp3[593.400,605.960] YES WHENEVER I TRIED TO BEND IT OR STRAIGHTEN IT OUT ALL THE WAY SHE SHE COMPLAINTS OF PAIN +audio/MSK0027.mp3[605.960,610.400] OK HOW ABOUT MOVING THE REST OR SHOULDER +audio/MSK0027.mp3[610.400,613.800] NO THATS FINE +audio/MSK0027.mp3[613.800,629.760] 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 +audio/MSK0027.mp3[629.760,637.520] UHM NO THAT WAS KIND OF IT I JUST WAS WONDERING HOW WE CAN FIX HER ELBOW +audio/MSK0027.mp3[637.520,676.320] 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 IM THINKING THIS COULD BE A LIKE A RADIAL HEAD SUBLUXATION AND POSSIBLY A RADIAL HEAD FRACTURE BUT MOST LIKELY I RADIAL HEAD SUBLUXATION WHERE THERES A MECHANISM OF PULLING ON A CHILDS ARM AND ITS JUST THAT THE WHAT COULD HAPPEN IS THE PART OF THE RADIUS WHICH IS THAT A FOREARM BONE CAN PULL OUT OF THE LIGAMENT THATS HOLDING IT DOWN +audio/MSK0027.mp3[676.800,733.720] AN JUST BECAUSE OF THE STRUCTURES THERE NOT YET FULLY MATURED AND STRONG AND SOMEBODY WHOS THAT YOUNG AND SO IT WILL CAUSE PAIN REDUCED RANGE OF MOTION AT THE ELBOW AND YOU WONT 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 XRAY 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 +audio/MSK0027.mp3[733.720,738.000] OK THAT SOUNDS GOOD THANK YOU +audio/RES0029.mp3[0.000,5.000] I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU INTO THE EMERGENCY DEPARTMENT +audio/RES0029.mp3[5.000,10.640] SO I CAME TO THE EMERGENCY DEPARTMENT BECAUSE IVE BEEN HAVING PAIN IN MY CHEST +audio/RES0029.mp3[10.640,13.960] OK WHERE IS THE PAIN LOCATED +audio/RES0029.mp3[13.960,20.680] I WOULD SAY ITS LIKE THE WHOLE PRETTY MUCH THE LEFT SIDE OF MY CHEST +audio/RES0029.mp3[20.680,23.400] OK AND WHEN DID THIS PAIN START +audio/RES0029.mp3[23.400,48.600] SO I THINK IT STARTED JUST AROUND 2 HOURS AGO I ACTUALLY WAS RIDING MY BICYCLE AND JUST FELL OFF ON KIND OF JUST SLIPPED AND I THINK I FELL ON THAT SIDE LIKE WHEN I THE IMPACT WAS RIGHT ON MY CHEST AND SINCE THEN ITS BEEN REALLY PAINFUL +audio/RES0029.mp3[48.600,57.240] OK I AM HOW WOULD YOU DESCRIBE THE PAIN SOMETIMES PEOPLE WILL USE WORDS LIKE BURNING DULL ACHY +audio/RES0029.mp3[57.240,63.520] I THINK ITS MORE LIKE SOMEONE IS JUST STABBING ME AND THEN WHOLE LEFT SIDE AREA +audio/RES0029.mp3[63.520,75.800] OK AND UM ANYTHING THAT YOUVE BEEN DOING THATS THATS MADE THE PAIN WORSE +audio/RES0029.mp3[75.800,89.840] IF I THINK I HAVE TO TAKE REALLY REALLY SLOW AND SHALLOW BREATHS IF I TRY TO TAKE A DEEP BREATH IT JUST REALLY HURTS LIKE TAKING THOSE SMALL SMALLER BREATHS HELPS +audio/RES0029.mp3[89.840,97.840] OK AND DO YOU FEEL THE PAIN ANYWHERE ELSE OR IS IT JUST ON THE LEFT SIDE OF YOUR CHEST +audio/RES0029.mp3[97.840,104.480] NO I WOULD SAY JUST ON THE LEFT SIDE +audio/RES0029.mp3[104.480,111.480] OK AND HAS THE PAIN BEEN GETTING WORSE STAYING THE SAME OR GETTING BETTER +audio/RES0029.mp3[111.480,115.600] ID SAY OVER THE LAST TWO HOURS ITS BEEN GETTING WORSE +audio/RES0029.mp3[115.600,123.120] OK AND DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS +audio/RES0029.mp3[123.120,134.840] UH LIKE I THINK I IM HAVING ALSO MAYBE ITS JUST BECAUSE IM TRYING TO BREATHE SLOWLY BUT I FEEL LIKE I CANT CATCH MY BREATH +audio/RES0029.mp3[134.840,140.560] OK UM HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE +audio/RES0029.mp3[140.560,146.320] NO NO I MEAN IVE NEVER HAD ANY PAIN IN MY CHEST BEFORE +audio/RES0029.mp3[146.320,151.680] OK ARE YOU DID YOU HAVE A LOSS OF CONSCIOUSNESS WHEN YOU FELL OFF YOUR BIKE +audio/RES0029.mp3[151.680,155.520] NO I GOT RIGHT BACK UP I JUST JUST HAD THE PAIN +audio/RES0029.mp3[155.520,159.800] OK SO ANY INJURIES TO THE HEAD +audio/RES0029.mp3[161.720,164.280] THATS FINE I WAS WEARING A HELMET +audio/RES0029.mp3[164.280,169.320] OK EXCELLENT AND ANY HEADACHE RIGHT NOW +audio/RES0029.mp3[170.080,174.960] OK HOW ABOUT ANY FEVER CHILLS +audio/RES0029.mp3[174.960,176.440] NO I FEEL IM FINE +audio/RES0029.mp3[176.440,180.480] ANY NAUSEA OR VOMITING +audio/RES0029.mp3[180.960,185.680] DO YOU FEEL AS THOUGH YOUR HEARTS RACING +audio/RES0029.mp3[185.680,193.120] I WOULD SAY LIKE IN THE LAST HOUR A LITTLE BIT MORE SO THAN USUAL +audio/RES0029.mp3[193.120,199.640] OK ANY SKIN CHANGES OR OR RASHES YOUVE NOTICED +audio/RES0029.mp3[199.640,207.440] BESIDES JUST I GOT SOME SCRAPES HERE AND THERE ON MY HANDS BUT NOTHING ELSE +audio/RES0029.mp3[207.440,211.480] OK AND DO YOU HAVE A COUGH +audio/RES0029.mp3[212.880,216.720] OK AND ANY RECENT INFECTIONS +audio/RES0029.mp3[216.720,222.960] NO IVE BEEN PRETTY PRETTY HEALTHY RECENTLY NO NO COUGH OR NO INFECTIONS +audio/RES0029.mp3[222.960,226.880] OK AND UH ANY DIZZINESS +audio/RES0029.mp3[226.880,228.720] UM NO +audio/RES0029.mp3[228.720,235.680] ALRIGHT AND I KNOW YOU MENTIONED THE FEW SCRATCHES ON YOUR HANDS BUT ANY OTHER INJURIES +audio/RES0029.mp3[235.680,241.520] OH NO I I THINK I GOT A PRETTY LUCKY +audio/RES0029.mp3[241.520,247.920] OH OK AND ANY ALCOHOL OR DRUG INTAKE PRIOR TO FALLING OFF YOUR BIKE +audio/RES0029.mp3[247.920,252.960] OH NO NO I WAS COMPLETELY SOBER NO NO DRUGS OR ALCOHOL +audio/RES0029.mp3[252.960,260.680] OK AND ANY WEAKNESS OR NUMBNESS OR TINGLING THAT YOU NOTICED +audio/RES0029.mp3[260.680,263.200] UM NO NOTHING LIKE THAT +audio/RES0029.mp3[263.200,268.560] ALRIGHT AND WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT OR DRINK +audio/RES0029.mp3[268.560,279.400] I JUST HAD SOME CEREAL AND UM JUST SOME CHOCOLATE MILK AROUND BREAKFAST TIME BUT NOTHING ELSE +audio/RES0029.mp3[279.400,283.120] OK AND HOW MANY HOURS AGO WAS THAT +audio/RES0029.mp3[283.120,287.640] I WOULD SAY AROUND 3 HOURS AGO +audio/RES0029.mp3[287.640,294.240] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0029.mp3[294.240,303.680] UH NOT OTHER THAN JUST A HAY FEVER BUT NOTHING NOTHING ELSE I HAVE LIKE A LOT OF ALLERGIES +audio/RES0029.mp3[303.680,306.640] ANY ALLERGIES TO MEDICATIONS +audio/RES0029.mp3[306.640,323.240] OH JUST SOMETIMES WHEN I TAKE LIKE A NASAL SPRAY I THINK I MIGHT HAVE AN ALLERGY TO THE STEROIDS THAT THEY GIVE ME AND SOMETIMES ALSO SOME OF THE ANTIHISTAMINES I THINK I GET SOME ALLERGIES FROM THEM +audio/RES0029.mp3[323.240,328.560] OK UH AND ANY HOSPITALIZATIONS +audio/RES0029.mp3[328.560,330.080] NO NEVER +audio/RES0029.mp3[330.080,331.880] ANY SURGERIES +audio/RES0029.mp3[333.240,336.400] OK ANYBODY IN THE FAMILY WHO HAVE ANY ILLNESSES +audio/RES0029.mp3[336.400,344.800] JUST MY FATHER HE HAS TYPE 2 DIABETES BUT NOTHING ELSE +audio/RES0029.mp3[344.800,349.800] OK AND HOW DO YOU SUPPORT YOURSELF CURRENTLY FINANCIALLY +audio/RES0029.mp3[349.800,363.360] OH SO I WORK JUST AS LIKE A MECHANIC JUST IN THE CITY AND CURRENTLY I JUST HAVE MYSELF TO SUPPORT I LIVE ALONE IN AN APARTMENT SO IM DOING FAIRLY WELL +audio/RES0029.mp3[363.360,367.240] OK AND DO YOU SMOKE +audio/RES0029.mp3[367.240,381.040] I SMOKE AROUND LIKE ID SAY 2 AND A HALF TO 3 PACKS PER DAY I KNOW ITS YEAH I HAVE TRIED QUITTING BEFORE BUT I WOULD SAY IVE BEEN SMOKING SINCE I WAS 18 +audio/RES0029.mp3[381.040,384.800] OK AND DO YOU SMOKE MARIJUANA +audio/RES0029.mp3[384.800,388.080] NO NO NO MARIJUANA NO OTHER DRUGS +audio/RES0029.mp3[388.080,392.160] OK AND DO YOU DRINK ALCOHOL +audio/RES0029.mp3[392.160,401.680] YEAH ITS JUST LIKE SOMETIMES ON THE WEEKEND ILL JUST HAVE A BEER OR TWO WHILE WATCHING THE GAME BUT NOT NOTHING REGULAR +audio/RES0029.mp3[401.680,404.040] OK THANK YOU +audio/CAR0003.mp3[0.000,2.920] WHAT BRINGS YOU IN HERE TODAY +audio/CAR0003.mp3[2.920,12.960] YEAH IVE JUST BEEN FEELING BREATHLESS AND ITS GETTING WORSE SO I WANTED TO CHECK IT OUT +audio/CAR0003.mp3[12.960,16.920] OK AND WHEN DID YOU FIRST START FEELING BREATHLESS +audio/CAR0003.mp3[16.920,19.920] ABOUT TWO MONTHS AGO +audio/CAR0003.mp3[19.920,27.720] OK AND DID IT COME ON ABOUT LIKE GRADUALLY THROUGH TIME OR SUDDENLY JUST HAPPENED +audio/CAR0003.mp3[27.720,34.640] I GUESS GRADUALLY YEAH +audio/CAR0003.mp3[34.640,40.080] OK AND DO YOU FEEL UH HOW OFTEN DO YOU FEEL BREATHLESS +audio/CAR0003.mp3[40.080,52.720] ID SAY ITS WORSE WHEN I WHEN I WALK MORE THAN 50 METERS THATS KIND OF THE MAIN LIKE THATS KIND OF THE MAIN TRIGGER JUST EXERTION +audio/CAR0003.mp3[52.720,60.160] OK AND WERE YOU ABLE TO WALK NORMALLY MORE THAN 50 METERS BEFORE TWO MONTHS +audio/CAR0003.mp3[60.160,63.280] YEAH THREE MONTHS AGO I WAS FINE +audio/CAR0003.mp3[63.280,70.440] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE COUGH OR CHEST PAIN +audio/CAR0003.mp3[70.440,73.560] I HAVE A COUGH SOMETIMES YEAH +audio/CAR0003.mp3[73.560,77.320] OK BUT NOTHING LIKE CONSTANT +audio/CAR0003.mp3[80.080,90.800] OK AND DO YOU HAVE ANY WET COUGH OR ANY PRODUCTIVE COUGH OR ARE YOU PRODUCING LIKE SPUTUM OR PHLEGM +audio/CAR0003.mp3[90.800,98.040] YEAH I GUESS ID SAY I HAVE THIS FROTHY SPUTUM +audio/CAR0003.mp3[98.040,104.760] OK AND HAS YOUR BREATHLESSNESS BEEN GETTING ANY WORSE AT ALL OVER THE LAST TWO MONTHS +audio/CAR0003.mp3[104.760,108.720] I WOULD SAY SO YES +audio/CAR0003.mp3[108.720,121.560] OK AND YOU MENTIONED LIKE EXERTION MAKES IT WORSE BUT ANYTHING ELSE LIKE GOING OUTSIDE OR EXPOSURE TO ANY CHEMICALS THAT MAKES IT WORSE +audio/CAR0003.mp3[121.560,123.680] UH I DONT THINK SO +audio/CAR0003.mp3[123.680,129.800] OK AND HOW ABOUT A POSITIONAL CHANGES DOES LYING FLAT AT ALL MAKE IT WORSE +audio/CAR0003.mp3[129.800,136.720] I WOULD SAY SO YES YEAH IM BASICALLY GASPING FOR AIR WHEN I LAY DOWN +audio/CAR0003.mp3[136.720,142.600] OK AND DO YOU EVER FIND YOURSELF WAKING UP AT NIGHT IN THE MIDDLE OF THE NIGHT TO CATCH YOUR BREATH +audio/CAR0003.mp3[146.240,154.480] NO OK AND WHEN DO YOU FEEL THE BREATHLESSNESS THE MOST IS IT MORE SO DURING THE DAY OR AT NIGHT +audio/CAR0003.mp3[154.480,158.680] I GUESS ITS WORSE AT NIGHT BECAUSE IM LAYING DOWN +audio/CAR0003.mp3[158.680,173.640] OK GREAT AND IN TERMS OF HOW MANY FLIGHTS OF STAIRS YOU CAN CLIMB BEFORE YOU START FEELING BREATHLESS DO YOU HAVE A NUMBER +audio/CAR0003.mp3[173.640,178.960] I WOULD SAY LIKE 34 +audio/CAR0003.mp3[178.960,200.240] THREE OR FOUR STEPS OK AND WAS THERE ANYTHING NEW THAT HAPPENED IN YOUR LIFE RECENTLY ANY NEW MEDICAL DIAGNOSIS RECENTLY OR ANY TRAVEL THAT HAPPENED BEFORE YOU STARTED HAVING THESE SYMPTOMS +audio/CAR0003.mp3[200.240,203.800] NO NOTHING LIKE THAT +audio/CAR0003.mp3[203.800,208.040] OK AND PRIOR TO TWO MONTHS HAVE YOU EVER HAD ANY SIMILAR EXPERIENCES +audio/CAR0003.mp3[208.040,211.520] PRIOR TO 2 MONTHS NO +audio/CAR0003.mp3[211.520,224.120] OK AND DOES ANYTHING MAKE IT BETTER LIKE ANY POSITIONAL CHANGES MAKES THE BREATHLESSNESS GO AWAY +audio/CAR0003.mp3[224.120,237.320] I GUESS WHEN I IM NOT LAYING DOWN OR WHEN IM LAYING DOWN I TRY TO ADD PILLOWS STACK PILLOWS SO THAT IT GETS BETTER +audio/CAR0003.mp3[237.320,247.840] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE CHEST PAIN DIZZINESS ANYTHING LIKE THAT +audio/CAR0003.mp3[251.960,255.960] OK HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY +audio/CAR0003.mp3[258.280,261.480] HAVE YOU RECENTLY HAD ANY SURGERIES +audio/CAR0003.mp3[261.480,265.080] NO RECENT SURGERIES NO +audio/CAR0003.mp3[265.080,268.240] OK ANY HEADACHE NAUSEA OR VOMITING +audio/CAR0003.mp3[268.240,271.440] UM NO +audio/CAR0003.mp3[271.440,275.000] OK ANY FEVERS OR CHILLS OR NIGHT SWEATS +audio/CAR0003.mp3[276.880,283.960] OK DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY +audio/CAR0003.mp3[283.960,287.960] UH I WOULD SAY SO YEAH +audio/CAR0003.mp3[287.960,293.320] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +audio/CAR0003.mp3[295.960,302.880] OK AND ANY CHEST PAIN AT ALL WITHIN THE LAST TWO MONTHS +audio/CAR0003.mp3[302.880,306.280] NO NO CHEST PAIN +audio/CAR0003.mp3[306.280,314.880] OK ANY SWELLING IN YOUR IN YOUR LEGS ANKLES OR IN YOUR HANDS AND ARMS +audio/CAR0003.mp3[314.880,318.120] THERE IS SOME SWELLING +audio/CAR0003.mp3[318.120,321.880] OK AND UH WHERE DO YOU WHERE ARE YOU GETTING THIS SWELLING +audio/CAR0003.mp3[321.880,324.920] AROUND MY LEGS +audio/CAR0003.mp3[324.920,328.240] OK AND HOW WHEN DID YOU FIRST NOTICE THIS +audio/CAR0003.mp3[328.240,333.920] AROUND THE SAME TIME ACTUALLY TWO MONTHS AGO +audio/CAR0003.mp3[333.920,337.640] OK HAVE YOU NOTICED ANY KIND OF FEVERS AT ALL +audio/CAR0003.mp3[339.720,345.960] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS BEEN ILL RECENTLY +audio/CAR0003.mp3[345.960,346.800] NO NO +audio/CAR0003.mp3[346.800,352.760] OK AND HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL +audio/CAR0003.mp3[355.120,356.160] OK ANY WEIGHT LOSS +audio/CAR0003.mp3[359.200,363.400] ANY NIGHT SWEATS OR CHILLS +audio/CAR0003.mp3[365.800,371.920] OK APART FROM THE BREATHLESSNESS WHEN LAYING DOWN ANY OTHER ISSUES WITH YOUR SLEEP +audio/CAR0003.mp3[374.200,376.960] ANY CHANGES IN YOUR APPETITE +audio/CAR0003.mp3[378.920,384.160] OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD AT ALL +audio/CAR0003.mp3[385.040,391.040] OK ANY EXPOSURE TO TUBERCULOSIS IN THE PAST +audio/CAR0003.mp3[391.040,393.600] NOT THAT I KNOW OF +audio/CAR0003.mp3[393.600,400.960] OK ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR HOME OR WORK ENVIRONMENT +audio/CAR0003.mp3[401.640,406.240] OK ANY ANIMALS OR PETS IN THE HOUSE +audio/CAR0003.mp3[406.240,411.280] NO NO +audio/CAR0003.mp3[411.280,426.920] OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAS ANYONE TOLD YOU THAT YOU HAVE ANYTHING LIKE COPOR ANY CARDIOVASCULAR ISSUES LIKE HIGH BLOOD PRESSURE CHOLESTEROL +audio/CAR0003.mp3[426.920,435.880] UM SO YEAH SO I HAVE HIGH BLOOD PRESSURE DIABETES AND HIGH CHOLESTEROL +audio/CAR0003.mp3[435.880,439.440] OK AND DO YOU TAKE ANY MEDICATIONS FOR THIS +audio/CAR0003.mp3[439.440,444.800] YEP SO I TAKE ASPIRIN RAMIPRIL AND SIMVASTATIN +audio/CAR0003.mp3[444.800,451.160] OK AND HAVE YOU EVER HAD ANY CHEST PAIN OR HEART ATTACK IN THE PAST +audio/CAR0003.mp3[451.160,455.280] YEAH ACTUALLY I HAD A HEART ATTACK FOUR YEARS AGO +audio/CAR0003.mp3[455.280,462.240] OK AND DO YOU REMEMBER WHAT THEY DID FOR YOUR HEART ATTACK +audio/CAR0003.mp3[462.240,467.240] SOMETHING LIKE A STENT OR SOMETHING +audio/CAR0003.mp3[467.240,469.360] OK AND SINCE THEN YOUVE BEEN ON THESE MEDICATIONS +audio/CAR0003.mp3[473.040,483.920] OK AND AFTER THEY MANAGED YOUR HEART ATTACK HAVE YOU EVER HAD SIMILAR SYMPTOMS TO WHEN YOU HAD YOUR HEART ATTACK +audio/CAR0003.mp3[483.920,486.760] NO NO +audio/CAR0003.mp3[486.760,489.400] NOTHING LIKE THAT OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/CAR0003.mp3[491.720,494.120] ANY ENVIRONMENTAL ALLERGIES +audio/CAR0003.mp3[494.600,505.120] OK AND HAVE YOU PREVIOUSLY HAD ANY SURGERIES IN THE PAST +audio/CAR0003.mp3[505.120,508.720] UM I GUESS THE STENTING +audio/CAR0003.mp3[508.720,515.480] JUST THE STENTING AND APART FROM THAT HAVE YOU HAD ANY OTHER PREVIOUS HOSPITALIZATIONS +audio/CAR0003.mp3[516.000,525.080] OK AND ANY FAMILY HISTORY OF ANY CANCERS OR HEART ATTACKS +audio/CAR0003.mp3[525.080,531.480] UM MY FATHER DIED OF A HEART ATTACK WHEN HE WAS 60 +audio/CAR0003.mp3[531.480,536.680] OK AND CURRENTLY DO YOU WORK AT ALL +audio/CAR0003.mp3[536.680,543.240] I DO UM I WORK AS A CASHIER +audio/CAR0003.mp3[543.240,550.240] OK AND HAS THE SHORTNESS OF BREATH BEEN AFFECTING YOUR DAILY ROUTINE AT HOME OR AT WORK AT ALL +audio/CAR0003.mp3[550.240,564.480] YEAH I WOULD SAY SO ITS BEEN HARD TO MAKE IT TO WORK AND THEN STANDING AROUND ALL DAY OR IF I HAVE TO GO HELP OUT WITH SOMETHING AND EXERT MYSELF TOO MUCH I GET SHORT OF BREATH +audio/CAR0003.mp3[564.480,571.360] OK AND AT HOME DO YOU CURRENTLY LIVE WITH ANYONE OR DO YOU LIVE BY YOURSELF +audio/CAR0003.mp3[571.360,574.440] I LIVE BY MYSELF +audio/CAR0003.mp3[574.440,577.880] OK AND DO YOU LIVE IN AN APARTMENT OR HOUSE +audio/CAR0003.mp3[577.880,580.480] I LIVE IN AN APARTMENT +audio/CAR0003.mp3[580.480,589.120] OK AND ARE THERE ANY EXPOSURES LIKE DUST OR MOLD OR ASBESTOS IN YOUR HOME ENVIRONMENT +audio/CAR0003.mp3[590.280,594.240] OK AND CURRENTLY DO YOU SMOKE +audio/CAR0003.mp3[594.240,605.440] NOT RIGHT NOW I USED TO SMOKE I USED TO SMOKE 10 A DAY FOR LIKE 40 YEARS +audio/CAR0003.mp3[605.440,609.080] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/CAR0003.mp3[612.640,614.720] OK ANY ALCOHOL +audio/CAR0003.mp3[618.840,631.720] OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET 3 MEALS A DAY A WELL BALANCED DIET +audio/CAR0003.mp3[631.720,638.880] I WOULDNT SAY WELL BALANCED IM TRYING TO EAT HEALTHIER BUT DOESNT ALWAYS HAPPEN +audio/CAR0003.mp3[638.880,645.960] OK AND HOW ABOUT EXERCISE DO YOU FIND THAT YOUR EXERCISE LEVELS OR ACTIVITY LEVELS HAVE GONE DOWN IN THE LAST TWO MONTHS +audio/CAR0003.mp3[647.360,659.520] OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAVE OR SOMETHING I MAY HAVE MISSED TO ASK YOU TODAY +audio/CAR0003.mp3[659.520,663.680] NO I DONT THINK SO +audio/CAR0003.mp3[663.680,714.000] OK SO BASED ON WHAT WE TALKED ABOUT FROM YOUR SWELLING AS WELL AS BREATHLESSNESS WHILE LAYING DOWN AND YOUR PAST HISTORY OF A HEART ATTACK AND HIGH CHOLESTEROL IT MAY BE LIKELY WITH THE MEDICATIONS YOU ARE ON AS WELL AS YOUR HISTORY THAT YOU MIGHT BE HAVING WHATS CALLED CONGESTIVE HEART FAILURE SO WE WILL NEED TO DO FURTHER INVESTIGATIONS TO DETERMINE IF THAT IS WHAT IT IS AND IF WE NEED TO GET YOU ON SOMETHING LIKE LASIX OR A DIURETIC TO GET RID OF SOME OF THE FLUID THATS BUILDING UP IN YOUR BODY WHICH MAY BE CAUSED BY HEART FAILURE SO WELL DO SOME INVESTIGATIONS AND THEN GO FROM THERE +audio/RES0168.mp3[0.000,2.160] WHAT BRINGS YOU IN +audio/RES0168.mp3[2.160,45.680] SO IVE JUST I HAD SOME SINUS PROBLEMS IN THE PAST IVE 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 IVE DONE ALL THE THINGS THAT IVE BEEN TOLD TO DO IN THE PAST LIKE IVE BEEN DOING LIKE SALINE RINSES AND JUST DOESNT FEEL LIKE ITS HELPING VERY MUCH RIGHT NOW WHEN I RINSE IM GETTING LIKE THIS GREENIE GROSS KIND OF MUCUS COMING OUT AND ITS JUST LIKE GIVING ME THIS LIKE HEADACHE IT JUST FEELS CRAPPY +audio/RES0168.mp3[45.680,58.680] YEAH IM SORRY YOURE FEELING THAT WAY SO THIS RUNNY NOSE OK DO YOU HAVE A COUGH AT ALL +audio/RES0168.mp3[58.680,63.640] UH NO I DONT HAVE A COUGH +audio/RES0168.mp3[63.640,66.560] ANY SHORTNESS OF BREATH +audio/RES0168.mp3[66.560,75.200] UHM I DONT HAVE A REAL LIKE SHORTNESS OF BREATH BUT IT DOES FEEL CONGESTED +audio/RES0168.mp3[75.200,80.160] OK HOW ABOUT WHEEZINESS +audio/RES0168.mp3[80.160,81.480] UH NO WHEEZINESS +audio/RES0168.mp3[81.480,94.600] NO WHEEZINESS OK AND HOW ABOUT HOW ABOUT LIKE SORE THROAT OR LOSS OF TASTE +audio/RES0168.mp3[94.600,115.000] 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 ITS LIKE ITS SORE IN THAT WAY BUT ITS NOT LIKE YOU KNOW IF YOU HAVE LIKE STREP THROAT OR SOMETHING +audio/RES0168.mp3[115.000,119.400] OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +audio/RES0168.mp3[119.400,122.160] NO NOTHING LIKE THAT +audio/RES0168.mp3[122.160,124.000] WEIGHT LOSS +audio/RES0168.mp3[125.400,128.120] FEVERS OR CHILLS +audio/RES0168.mp3[128.120,145.400] I I TOOK MY TEMP LAST NIGHT IT WAS PRETTY HIGH IT WAS LIKE 99 POINT LIKE SOMETHING UHM 99 LIKE 7 OR SOMETHING +audio/RES0168.mp3[145.400,147.120] AH OK +audio/RES0168.mp3[147.120,154.120] SO MY THERMOMETER SAID THATS HIGH I DONT I DONT REALLY KNOW BUT YEAH +audio/RES0168.mp3[154.120,163.520] OK AND HOW ABOUT LIKE FACIAL PAIN OR PRESSURE OR FEELING LIKE ITS FULL +audio/RES0168.mp3[163.520,169.440] OH YEAH I HAVE THAT ITS LIKE YEAH ALL ON THE FRONT PART OF MY FACE +audio/RES0168.mp3[169.440,179.080] OK AND THEN YOU MENTIONED SOME NASAL OBSTRUCTION SOME DISCHARGE AND YOU SAID NO LOSS OF SMELL RIGHT +audio/RES0168.mp3[179.080,184.080] NO I DIDNT LOSE ANY SMELL LIKE SOMETIMES ITS KIND OF HARD TO SMELL BECAUSE ITS SO PLUGGED UP +audio/RES0168.mp3[185.080,193.160] I STILL HAVE LIKE IM ABLE TO SMELL LIKE ESPECIALLY AFTER I DO THE RINSES IT HELPS A LITTLE BIT +audio/RES0168.mp3[193.160,197.040] OK HOW ABOUT LIKE A CHEST PAIN +audio/RES0168.mp3[197.040,202.280] UHM NO I HAVENT HAD ANY CHEST PAIN +audio/RES0168.mp3[202.280,208.760] NO OK ANY ISSUES WITH BOWEL MOVEMENTS OR HAVE THOSE BEEN NORMAL +audio/RES0168.mp3[208.760,212.040] THOSE HAVE BEEN NORMAL +audio/RES0168.mp3[212.040,215.600] OK ANY CHANGES IN YOUR URINE +audio/RES0168.mp3[218.160,221.520] NO OK ANY HEADACHES +audio/RES0168.mp3[221.520,236.320] YEAH LIKE I GET THAT LIKE SINUSY HEADACHE THAT YOU KNOW ITS 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 +audio/RES0168.mp3[236.320,241.680] HOW ABOUT UMM HOW ABOUT LIKE DIZZINESS OR FAINTING +audio/RES0168.mp3[245.200,250.080] NO OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0168.mp3[250.080,270.440] 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 IM HEALTHY +audio/RES0168.mp3[270.440,275.680] OK OK UHM AND ARE YOU ON ANY MEDICATIONS +audio/RES0168.mp3[275.680,282.720] NO LIKE I I SOMETIMES LIKE I USED THIS SALINE RINSE +audio/RES0168.mp3[284.240,306.840] FOR A BIT I USED TO USE THE NASAL STEROID SPRAY AND I I HADNT HAD AN INFECTION FOR AWHILE AND THINGS WERE FEELING OK SO I HAVENT BEEN USING IT RECENTLY UMM AND THEN I OCCASIONALLY WILL USE LIKE LIKE AN ADVIL IF MY KNEES SORE +audio/RES0168.mp3[306.840,311.560] OK OK AND NO HOSPITALIZATIONS OR SURGERIES +audio/RES0168.mp3[311.560,315.840] UH SO I HAD AN ACL REPAIR SURGERY +audio/RES0168.mp3[315.840,317.360] OH RIGHT YEAH OK +audio/RES0168.mp3[317.360,330.680] AND LIKE I WENT TO THE EMERGENCY DEPARTMENT ONCE WHEN I HAD A BAD SINUS INFECTION BUT I DIDNT LIKE STAY OVER AT THE HOSPITAL +audio/RES0168.mp3[330.680,336.240] OK OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +audio/RES0168.mp3[336.240,340.840] I THINK SO I NEVER REALLY DIDNT GET ANY +audio/RES0168.mp3[340.840,343.760] OK ANY ALLERGIES +audio/RES0168.mp3[343.760,349.120] UH LIKE A LITTLE BIT TO CATS BUT NOTHING ELSE +audio/RES0168.mp3[349.120,355.600] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0168.mp3[355.600,359.720] NO NOT THAT I KNOW OF +audio/RES0168.mp3[359.720,366.520] OK HOW ABOUT SMOKING DO YOU SMOKE +audio/RES0168.mp3[366.520,368.760] NO NO +audio/RES0168.mp3[368.760,373.880] NO OK DO YOU DRINK ALCOHOL +audio/RES0168.mp3[373.880,377.920] I DRINK A FEW BEERS ON THE WEEKEND +audio/RES0168.mp3[379.200,382.560] YOU KNOW FIVE OR SIX PER WEEKEND +audio/RES0168.mp3[382.560,390.800] OK AND THEN FIVE OR SIX FOR WEEKEND OK AND ANY RECREATIONAL DRUGS +audio/RES0168.mp3[390.800,400.000] I WILL OCCASIONALLY TAKE LIKE A CANNABIS LIKE A CAPSULE LIKE THE OIL IN THE CAPSULE +audio/RES0168.mp3[400.000,402.440] OK AND WHAT IS THAT FOR +audio/RES0168.mp3[402.440,410.520] JUST LIKE RECREATIONAL ALSO LIKE I MEAN MY KNEE MY KNEE PAIN SOMETIMES IT HELPS +audio/RES0168.mp3[410.520,411.760] MHMM OK +audio/RES0168.mp3[411.760,420.800] BUT ESSENTIALLY THAT THAT MIGHT BE LIKE ONCE LIKE PER MONTH OR SOMETHING +audio/RES0168.mp3[420.800,429.640] OK OK ALRIGHT AND ANY SICK CONTACTS RECENTLY +audio/RES0168.mp3[429.640,431.840] NO NO IVE BEEN WORKING FROM HOME +audio/RES0168.mp3[431.840,439.040] OK OK AND ANY TRAVEL RECENTLY +audio/RES0168.mp3[440.120,444.080] NO OK AND WHERE DO YOU LIVE +audio/RES0168.mp3[444.080,453.800] I LIVE HERE IN TOWN WITH MY WIFE AND OUR TEENAGE SON +audio/RES0168.mp3[453.800,456.520] OK IS ANYONE AT HOME SICK +audio/RES0168.mp3[456.520,458.360] NO THEYRE FINE +audio/RES0168.mp3[458.360,463.280] THEYRE FINE OK AND WHAT ABOUT SORRY +audio/RES0168.mp3[463.280,475.320] THEYRE BOTH WORKING FROM HOME LIKE DOING SCHOOL FROM HOME TOO SO WE RARELY DONT GO ANYWHERE LIKE MY WIFE GOES TO GET GROCERIES AND THATS ABOUT IT +audio/RES0168.mp3[475.320,483.520] OK I SEE AND ANY OLD CARPETS SMOKE ASBESTOS MOLD ANYTHING LIKE THAT AT HOME +audio/RES0168.mp3[483.520,485.600] NO NO ITS A PRETTY NEW HOUSE +audio/RES0168.mp3[485.600,490.320] OK ALRIGHT ANY PETS AT HOME +audio/RES0168.mp3[490.320,494.160] WE HAVE A DOG ITS A LABRADOODLE +audio/RES0168.mp3[494.160,495.240] OK YEAH +audio/RES0168.mp3[495.240,500.560] AND THATS IT YEAH +audio/RES0168.mp3[500.560,504.520] HOW LONG HAVE YOU HAD HIM +audio/RES0168.mp3[504.520,514.640] OH LIKE HES LIKE 3 NOW LIKE MY SINUS INFECTIONS AND THAT HAVE BEEN GOING ON FOR LONGER THAN WEVE HAD HIM +audio/RES0168.mp3[514.640,521.920] OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +audio/RES0168.mp3[521.920,542.480] I DONT 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 DOESNT SEEM LIKE ITS GETTING BETTER ITS BEEN LIKE FEW WEEKS SO I THOUGHT IT WAS PROBABLY TIME TO COME SEE YOU +audio/RES0168.mp3[542.480,548.960] YEAH SORRY WHAT HAVE YOU TRIED AT HOME AGAIN +audio/RES0168.mp3[548.960,569.200] SO I USE THE THE RINSES THE SALINE RINSES I USED A LITTLE BIT OF NASAL DECONGESTANT BUT I KNOW LIKE I KNOW IVE BEEN TOLD IM NOT SUPPOSED TO DO THAT FOR MORE THAN A FEW DAYS SO I DONT YEAH THATS I THINK THATS PRETTY WELL IT CAUSE THEY SAID THERES NOT MUCH WE CAN REALLY DO +audio/RES0168.mp3[569.200,647.160] OK YEAH SO YOUR SYMPTOMS OK BECAUSE SOME SOME OF THESE THINGS OVERLAP WITH COVID WERE GOING TO HAVE TO SWAB YOU AND THEYLL NOTIFY YOU OF YOUR RESULTS IN LIKE 24 TO 48 HOURS BUT WHAT IT SOUNDS LIKE IS SOMETHING CALLED SINU SINUSITIS AND IT SOUNDS LIKE ACUTE BACTERIAL RHINOSINUSITIS BECAUSE OF SOME F THE SYMPTOMS THAT YOU HAVE AND ITS BEEN GOING ON FOR MORE THAN A WEEK AND ITS ITS NOT GOING AWAY WITH THE RINSE SALINE RINSES AND THESE DECONGESTANTS SO WE WILL PRESCRIBE SOME ANTIBIOTICS FOR YOU PROBABLY AMOXICILLIN TAKE THOSE FOR FIVE TO SEVEN DAYS AND SEE IF SOME OF YOUR SYMPTOMS CLEAR UP IF THEY CONTINUE TO BE SEVERE UMM ACTUALLY AT THIS WILL ALSO PRESCRIBE YOU SOME INHALED CORTICOSTEROIDS BECAUSE I THINK THOSE CAN HELP AS WELL SO WILL GIVE YOU BOTH OF THOSE FOR NOW AND THEN JUST FOLLOW UP WITH US IN A WEEK AFTER YOUVE TRIED BOTH THINGS AND WELL SEE HOW YOUR SYMPTOMS ARE HOLDING UP AT THAT POINT DOES THAT SOUND LIKE A GOOD PLAN TO YOU +audio/RES0168.mp3[647.160,650.560] YEAH I THINK THAT SOUNDS THAT SOUNDS FAIR YEAH THANK YOU +audio/RES0168.mp3[650.560,653.040] OK YEAH NO PROBLEM +audio/RES0068.mp3[0.000,3.920] SO WHAT BRINGS YOU IN HERE TODAY +audio/RES0068.mp3[3.920,25.160] SO IVE HAD THIS STUFFY NOSE FOR THE PAST THREE DAYS IM GETTING SOME YELLOW DISCHARGE FROM THE NOSE I CANT SEEM TO SMELL WELL AND I HAVE HAD THIS TERRIBLE HEADACHE FOR THE PAST TWO DAYS AS WELL +audio/RES0068.mp3[25.160,33.560] OK SO JUST TO KIND OF GET A TIMELINE WHAT KIND OF STARTED FIRST +audio/RES0068.mp3[33.560,60.040] SO FIRST MY NOSE WAS KIND OF STUFFY AND AND THEN I STARTED HAVING THIS YELLOW DISCHARGE FROM THE NOSE AND THEN I KIND OF LOST SOME OF MY SMELL AND THEN NOW MY HEAD HURTS ITS NOT EVEN LIKE ITS NOT LIKE A HEADACHE ITS LIKE A FACIAL PRESSURE +audio/RES0068.mp3[60.040,63.360] OK AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE +audio/RES0068.mp3[63.360,67.360] NO NEVER +audio/RES0068.mp3[67.360,74.920] OK ALRIGHT HAVE YOU NOTICEDSO YOU SAID LIKE THE DISCHARGE IS YELLOW HOW MUCH OF THE DISCHARGE ARE YOU HAVING LIKE IN A DAY +audio/RES0068.mp3[74.920,84.240] LIKE PROBABLY ENOUGH TO FILL THE INSIDE OF MY PALM +audio/RES0068.mp3[84.240,89.160] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0068.mp3[89.160,99.480] UH NO NOTHING LIKE THAT I DID HAVE WHAT THEY THOUGHT WAS A VIRAL INFECTION A WEEK BACK +audio/RES0068.mp3[99.480,105.280] OK AND DID YOU RECOVER FROM IT LIKE ON YOUR OWN +audio/RES0068.mp3[105.280,107.800] YEAH IT WENT AWAY ON ITS OWN +audio/RES0068.mp3[107.800,112.080] OK SO IT WAS JUST YOU JUST HAD SOME COLDLIKE SYMPTOMS +audio/RES0068.mp3[112.080,113.720] YEAH THATS RIGHT +audio/RES0068.mp3[113.720,118.600] OK ALRIGHT HAVE YOU BEEN COUGHING AT ALL +audio/RES0068.mp3[118.600,120.600] UH NO +audio/RES0068.mp3[120.600,123.120] OK ANY SORE THROAT +audio/RES0068.mp3[124.560,127.400] ANY TROUBLE BREATHING +audio/RES0068.mp3[129.000,134.200] ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0068.mp3[134.200,137.160] I GUESS LOSS OF SMELL +audio/RES0068.mp3[137.160,142.920] OK AND DID THAT COME AFTER THE CONGESTION OR WAS IT PRESENT BEFORE +audio/RES0068.mp3[142.920,146.240] THE LOSS OF SMELL CAME AFTER THE CONGESTION +audio/RES0068.mp3[146.240,150.080] OK AND WOULD YOU SAY YOURE STILL PRETTY CONGESTED +audio/RES0068.mp3[150.080,152.920] I THINK SO YEAH +audio/RES0068.mp3[152.920,161.920] OK AND HAS IT BEEN GETTING WORSE WOULD YOU SAY OR DO YOU FEEL THAT ITS GETTING BETTER +audio/RES0068.mp3[161.920,167.640] UM I WOULD SAY ITS GETTING WORSE +audio/RES0068.mp3[167.640,179.640] OK AND RIGHT NOW WHAT WOULD YOU SAY IS THE MOST TROUBLING SYMPTOM FOR YOU IS IT THAT PRESSURE IN YOUR FACE OR IS IT THE CONGESTION +audio/RES0068.mp3[179.640,183.480] ITS THEITS THE PRESSURE IN MY FACE IT HURTS +audio/RES0068.mp3[183.480,191.040] YEAH HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER MEDICATIONS AT ALL +audio/RES0068.mp3[191.040,204.680] I TRIED SOME NASAL SPRAYS AND LIKE DECONGESTIONS BUT ITS NOT REALLY HELPING +audio/RES0068.mp3[204.680,213.640] OK AND SO YOUVE TRIED NASAL SPRAYS HAVE YOU TRIED ANY OF THOSE LIKE NASAL RINSES OR ANYTHING LIKE THAT +audio/RES0068.mp3[213.640,217.480] YEAH AND THEY DONT SEEM TO BE HELPING +audio/RES0068.mp3[217.480,225.480] I SEE OK ANY RECENT CONTACT WITH ANYONE WHOS BEEN ILL OR ANY RECENT TRAVEL +audio/RES0068.mp3[225.480,228.160] UH NO +audio/RES0068.mp3[228.160,231.040] OK ANY NAUSEA OR VOMITING +audio/RES0068.mp3[231.040,233.120] UH NO +audio/RES0068.mp3[233.120,235.960] ANY FEVERS OR CHILLS +audio/RES0068.mp3[237.600,239.440] ANY FATIGUE +audio/RES0068.mp3[239.440,242.360] YEAH IVE BEEN FEELING TIRED +audio/RES0068.mp3[242.360,247.880] OK AND HOW MANY DAYS WOULD YOU SAY YOUVE BEEN FEELING TIRED FOR +audio/RES0068.mp3[247.880,253.560] UH I WOULD SAY FOR THE PAST THREE DAYS +audio/RES0068.mp3[253.560,265.080] OK AND DO YOU FEEL THAT YOU KNOW YOURE HAVING SOME DISCHARGE BUT DO YOU FEEL THAT THERE IS MUCOUS BUILDING UP AND DRIPPING DOWN YOUR THROAT OR ANYTHING LIKE THAT +audio/RES0068.mp3[265.080,269.400] YEAH NOW THAT YOU MENTION IT IT DOES FEEL LIKE THAT +audio/RES0068.mp3[269.400,278.800] OK AND HAVE YOU NOTICED AT ALL OR HAS SOMEONE TOLD YOU THAT YOUR BREATH MIGHT SMELL BAD OR HAVE YOU NOTICED IT YOURSELF +audio/RES0068.mp3[278.800,282.200] OH GOSH I HOPE NOT NO NO ONE SAID THAT +audio/RES0068.mp3[282.200,295.480] OK YEAH SOMETIMES WITH LIKE MUCOUS BUILDUP IT CAN AFFECT LIKE YOUR BREATH AS WELL SO YEAH JUST WONDERING ANY CHEST PAIN AT ALL +audio/RES0068.mp3[295.480,296.880] NO NO CHEST PAIN +audio/RES0068.mp3[296.880,301.000] CONSTIPATION OR DIARRHEA +audio/RES0068.mp3[302.520,306.360] ANY ISSUES WITH URINATING +audio/RES0068.mp3[306.360,308.960] NO NO ISSUES THERE +audio/RES0068.mp3[308.960,314.360] ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0068.mp3[314.360,323.480] WELL I GUESS SLEEPING IS A LITTLE BIT HARDER NOW BECAUSE OF THE PRESSURE IN MY FACE BUT OTHER THAN THAT NO +audio/RES0068.mp3[323.480,328.080] OK IS THERE ANYTHING THAT HELPS YOU AT ALL THAT YOUVE TRIED +audio/RES0068.mp3[328.080,338.800] LIKE JUST THE POSITIONS OF HOW IM SLEEPING SOMETIMES HELPS YEAH +audio/RES0068.mp3[338.800,346.000] OK SO THIS HAS BEEN GOING ON FOR JUST REMIND ME AGAIN LIKE THE LAST FOUR DAY +audio/RES0068.mp3[346.000,351.880] YEAH THE LAST THREE DAYS LAST THREE DAYS +audio/RES0068.mp3[351.880,356.920] OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST +audio/RES0068.mp3[356.920,364.880] NO NOT THAT I CAN THINK OF +audio/RES0068.mp3[364.880,373.160] OK ALRIGHT SO HAVE YOU NOTICED AT ALL ANY WEIGHT CHANGES +audio/RES0068.mp3[376.720,387.960] OK AND HAVE YOU BEEN EXPOSED TO LIKE FUMES OR DUST OR HOW DO YOU HAVE ANY ANIMALS OR PETS AT HOME +audio/RES0068.mp3[387.960,391.120] NO NOTHING LIKE THAT +audio/RES0068.mp3[391.120,397.400] OK AND DO YOU TAKE ANY MEDICATIONS OR ANYTHING REGULARLY +audio/RES0068.mp3[397.400,401.040] UM NO I JUST TAKE SOME MULTIVITAMINS +audio/RES0068.mp3[401.040,404.720] OK AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES +audio/RES0068.mp3[404.720,410.720] I JUST HAVE SOME I JUST HAVE SOME SEASONAL ALLERGIES +audio/RES0068.mp3[410.720,415.280] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0068.mp3[415.280,425.280] UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS 12 +audio/RES0068.mp3[425.280,436.720] OK RIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS LIKE ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS +audio/RES0068.mp3[436.720,444.920] UM I KNOW THAT THERES SOME ASTHMA THAT RUNS IN THE FAMILY +audio/RES0068.mp3[444.920,448.080] OK AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA +audio/RES0068.mp3[450.200,457.480] OK WHERE CURRENTLY WHERE DO YOU LIVE +audio/RES0068.mp3[457.480,467.280] I LIVE IN A HOUSE WITH MY HUSBAND AND MY 3 YEAR OLD DAUGHTER +audio/RES0068.mp3[467.280,470.600] OK AND DO YOU CURRENTLY SMOKE CIGARETTES +audio/RES0068.mp3[475.320,477.880] DO YOU DRINK ALCOHOL +audio/RES0068.mp3[477.880,480.920] I DONT +audio/RES0068.mp3[480.920,484.880] ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0068.mp3[484.880,491.440] UM ILL SMOKE A JOINT OR TWO ONCE A WEEK +audio/RES0068.mp3[491.440,501.040] OK A JOINT OR TWO OK AND IS THAT IS THAT JUST RECREATIONALLY OR HAS IT BEEN HELPING AT ALL WITH YOUR SYMPTOMS +audio/RES0068.mp3[501.040,505.000] UH THATS JUST RECREATIONALLY +audio/RES0068.mp3[505.000,514.440] OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +audio/RES0068.mp3[514.440,520.720] UH NO WHAT WAS LIKE WHAT DO YOU THINK I HAVE +audio/RES0068.mp3[520.720,569.800] YEAH SO FROM THE SYMPTOMS THAT YOURE DESCRIBING IT DOES SEEM MORE LIKE SINUS ISSUES THERES A SINUS BEHIND YOUR FACE AND WHAT CAN HAPPEN IS IF YOU GET AN INFECTION LIKE ALL THE THE MUCOUS AND EVERYTHING CAN BUILD UP AND INCREASE THE PRESSURE THATS THE PRESSURE YOURE FEELING UNDERNEATH YOUR FACE ITS BECAUSE OF A SINUS INFECTION MOST LIKELY AND USUALLY LIKE ITS USUALLY LIKE A VIRAL INFECTION THAT CAN GO AWAY ON ITS OWN WE USUALLY ASK PATIENTS TO TRY THE NASAL RINSES AND THEN SOME ORAL DECONGESTENTS OR HAVE YOU TRIED ANY ANTI HISTAMINES +audio/RES0068.mp3[569.800,572.320] NO I HAVENT +audio/RES0068.mp3[572.320,601.040] OK SO NO ANTIHISTAMINES IT SEEMS MOST LIKELY THAT YOU HAVE A SINUS INFECTION IT CAN BE BACTERIAL WITH THE YELLOW DISCHARGE THAT YOURE HAVING AS WELL SO WE CAN GIVE YOU SOME ANTIBIOTICS SO WILL GIVE YOU SOME AMOXICILLIN +audio/RES0068.mp3[602.560,618.280] SO ITS ONLY BEEN THREE DAY SINCE YOURE HAVING THESE SYMPTOMS RIGHT AND YOU HAVENT HAD ANY HIGH FEVER OR ANYTHING LIKE THAT HAVE YOU MEASURED YOUR TEMPERATURE +audio/RES0068.mp3[618.280,621.880] I HAVENT I HAVENT NO +audio/RES0068.mp3[622.160,624.640] I DONT FEEL HOT THOUGH +audio/RES0068.mp3[624.640,648.280] OK SINCE ITS BEEN THREE DAYS WHAT IM GOING TO DO IS STILL GIVE YOU SOME ANTIBIOTICS SO AMOXICILLIN AND THEN WELL SEE LIKE AFTER YOU FINISH THAT DOSE HOW YOU FEEL AND WILL SET UP ANOTHER APPOINTMENT FOR WHEN WE CAN DO LIKE A PHONE APPOINTMENT AND OR CLINIC APPOINTMENT WHEN YOUR DOSES ARE DONE DOES THAT SOUND GOOD +audio/RES0068.mp3[648.280,649.840] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0068.mp3[649.840,654.840] OK YOURE WELCOME AND HOPEFULLY YOU FEEL BETTER +audio/RES0068.mp3[654.840,656.080] THANK YOU +audio/RES0068.mp3[656.080,661.360] TAKE CARE +audio/RES0068.mp3[661.360,664.960] YOU TOO +audio/RES0131.mp3[0.000,2.120] WHAT BRINGS YOU IN +audio/RES0131.mp3[2.120,18.760] HI THERE I IVE HAD THIS COUGH THAT STARTED UM THREE DAYS AGO AND OVER THESE PAST COUPLE OF DAYS IVE JUST BEEN REALLY ACHY ALL OVER AND SO IVE HAD A HEADACHE AS WELL +audio/RES0131.mp3[18.760,25.760] OKAY WELL IM SORRY TO HEAR THAT YOURE NOT FEELING WELL UM THE COUGH WHEN DID THAT START +audio/RES0131.mp3[25.760,30.120] YEAH SO THAT ABOUT THREE OR FOUR DAYS AGO UM IT STARTED TO COME ON YEAH +audio/RES0131.mp3[30.120,33.880] OKAY AND THEN HOW ABOUT THE HEADACHE +audio/RES0131.mp3[33.880,36.000] THATS BEEN MORE IN THE LAST TWO DAYS +audio/RES0131.mp3[36.000,41.960] TWO DAYS OKAY AND THEN THE UH MUSCLE ACHE +audio/RES0131.mp3[41.960,53.240] YEAH ITS BEEN THERE FOR ABOUT TWO YEAH ABOUT TWO OR THREE DAYS I WAKE UP IN THE MORNING AND IVE BEEN FEELING LIKE REALLY FATIGUED AND ACHY +audio/RES0131.mp3[53.240,57.680] UM THE COUGH IS IT DRY OR YOURE BRINGING UP PHLEGM +audio/RES0131.mp3[57.680,66.520] ITS ITS DRY BUT ITS GOTTEN A LITTLE BIT WORSE SINCE IT STARTED ITS JUST BEEN HAPPENING MORE OFTEN +audio/RES0131.mp3[66.520,71.360] OKAY AND DOES IT SOUND HARSH +audio/RES0131.mp3[71.360,74.120] UH MAYBE A LITTLE BIT YEAH +audio/RES0131.mp3[74.120,78.880] OKAY IS IT GETTING WORSE DO YOU THINK +audio/RES0131.mp3[78.880,81.680] YEAH I THINK SO +audio/RES0131.mp3[81.680,86.880] OKAY ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH THE COUGH +audio/RES0131.mp3[86.880,98.280] UH A LITTLE BIT AFTER UM IF I HAVE LIKE A COUGHING FIT THATS BAD ENOUGH BUT UM FOR THE MOST PART IVE BEEN OKAY +audio/RES0131.mp3[98.280,102.440] OKAY ANY WHEEZINESS +audio/RES0131.mp3[102.440,104.960] UM NO +audio/RES0131.mp3[104.960,107.440] NO CHEST PAIN +audio/RES0131.mp3[109.160,113.320] OKAY DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0131.mp3[113.320,116.920] NO I HAVENT FELT LIKE THAT +audio/RES0131.mp3[116.920,121.880] OKAY UM ANY DIZZINESS OR FAINTING SPELLS +audio/RES0131.mp3[123.040,126.440] UH NUMBNESS OR TINGLING +audio/RES0131.mp3[128.040,132.160] UH CONFUSION OR MEMORY LOSS +audio/RES0131.mp3[134.200,138.760] THIS HEADACHE IS IT ALWAYS THERE +audio/RES0131.mp3[138.760,162.280] THESE PAST COUPLE OF DAYS YEAH ITS KIND OF IT ITS BEEN THERE ITS BEEN A LITTLE BIT MORE MILD AFTER USING SOME TYLENOL OR ADVIL TO HELP SETTLE IT DOWN BUT I JUST HAVE THIS YEAH ACHINESS IN THE FRONT FRONT OF MY FOREHEAD AND KIND OF SIDES OF MY HEAD +audio/RES0131.mp3[162.280,172.200] YEAH UM SIDES OF YOUR HEAD OKAY AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW HOW WOULD YOU RATE IT +audio/RES0131.mp3[172.200,173.400] A 4 +audio/RES0131.mp3[173.400,178.600] A 4 OKAY SO ITS NOT THE WORST HEADACHE YOUVE EVER HAD IN YOUR LIFE +audio/RES0131.mp3[178.600,185.480] NO ITS NOT THAT BAD ITS JUST BEEN PRETTY ANNOYING +audio/RES0131.mp3[185.480,190.920] YEAH UM OKAY AND HAVE YOU LIKE DO YOU USUALLY GET HEADACHES +audio/RES0131.mp3[190.920,204.360] NOT REALLY IT YEAH I DONT GET THEM THAT OFTEN I GUESS THEY COME WHEN I I WELL GET SICK +audio/RES0131.mp3[204.360,211.760] OKAY YEAH THAT MAKES SENSE UM HAVE YOU HAD ANY FEVERS RECENTLY +audio/RES0131.mp3[211.760,225.360] UM I HAVE FELT A BIT HOT UM AND BUT I I DIDNT CHECK MY TEMPERATURE AND UM YEAH +audio/RES0131.mp3[225.360,234.400] OKAY HOW ABOUT WEIGHT LOSS HAVE YOU EXPERIENCED ANY WEIGHT LOSS RECENTLY +audio/RES0131.mp3[234.400,238.960] NO IVE BEEN MY WEIGHTS BEEN PRETTY STABLE +audio/RES0131.mp3[238.960,242.000] OKAY UM ANY RASHES +audio/RES0131.mp3[242.000,245.400] NO I HAVENT NOTICED ANY RASHES +audio/RES0131.mp3[245.400,253.120] OKAY UM AND ANY CHANGES IN YOUR HEARING OR VISION +audio/RES0131.mp3[254.320,257.800] RUNNY NOSE OR STUFFY NOSE +audio/RES0131.mp3[258.800,262.000] SORE THROAT +audio/RES0131.mp3[262.000,281.520] UM YEAH NOW THAT YOU MENTION IT I HAVE HAD A LITTLE BIT OF A SORE THROAT AS WELL HASNT BEEN TOO PAINFUL WITH UM LIKE SWALLOWING UH FOODS OR ANYTHING LIKE THAT ITS KIND OF WORSE IN THE MORNING AND ITS NOT SO BAD LATER ON +audio/RES0131.mp3[281.520,288.440] OKAY UM ALRIGHT HOW ABOUT CHANGES IN YOUR SMELL OR TASTE +audio/RES0131.mp3[288.440,290.280] NO NOTHING LIKE THAT +audio/RES0131.mp3[290.280,294.200] UM CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0131.mp3[294.200,297.280] NO IVE BEEN UH REGULAR +audio/RES0131.mp3[297.280,303.600] OKAY UM AND THEN NAUSEA OR VOMITING +audio/RES0131.mp3[303.600,307.640] NOPE I HAVENT HAD ANYTHING LIKE THAT +audio/RES0131.mp3[307.640,311.400] OKAY UM CHANGES IN YOUR URINE +audio/RES0131.mp3[311.400,320.320] NO IVE HAD UTIS LIKE ONE OR TWO IN THE PAST UM SO I KNOW WHAT THATS LIKE SO YEAH EVERYTHINGS BEEN NORMAL +audio/RES0131.mp3[320.320,328.280] OKAY GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0131.mp3[328.280,347.080] UH I HAVE ASTHMA WHICH I WILL LIKE ASTHMA AND ALLERGIES AND ILL USE UM JUST VENTOLIN FOR THAT EVERY LIKE ONCE IN AWHILE BUT IT HASNT BUGGED ME TOO FREQUENTLY +audio/RES0131.mp3[347.080,354.720] OKAY UM DO YOU ALSO TAKE ANYTHING ELSE FOR THAT ASTHMA OR IS IT JUST THE VENTOLIN THAT USE +audio/RES0131.mp3[354.720,356.200] YEAH JUST VENTOLIN +audio/RES0131.mp3[356.200,362.240] OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0131.mp3[362.240,372.400] NO WELL I IVE HAD MY MY WISDOM TEETH TAKEN OUT AND ACTUALLY YEAH I HAD MY TONSILS OUT AS WELL WHEN I WAS 12 +audio/RES0131.mp3[372.400,376.840] OKAY UM ARE YOU ON ANY MEDICATIONS BESIDES VENTOLIN +audio/RES0131.mp3[376.840,380.080] YEAH I I CURRENTLY I THINK A BIRTH CONTROL +audio/RES0131.mp3[380.080,385.000] OKAY HOW LONG HAVE YOU BEEN ON THAT FOR +audio/RES0131.mp3[385.000,390.800] UH SINCE HIGH SCHOOL SO I YEAH SINCE I WAS 18 SO EIGHT YEARS +audio/RES0131.mp3[390.800,395.760] OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0131.mp3[395.760,398.600] I AM YEAH I GET THE FLU SHOT EVERY YEAR +audio/RES0131.mp3[398.600,402.440] OKAY OKAY GOOD ANY ALLERGIES +audio/RES0131.mp3[402.440,413.320] UH YEAH TO CATS AND UM LIKE I THINK ENVIRONMENTAL TRIGGERS NO MEDICINES +audio/RES0131.mp3[413.320,420.000] NO MEDICINES OKAY ANY FAMILY HISTORY OF LUNG OR HEART DISEASES +audio/RES0131.mp3[420.000,439.760] UM MY GRANDFATHER HAD HAD A STROKE WHEN HE WAS IN HIS 70S AND UM BUT HE WAS LIKE A SMOKER AND A DRINKER AND DIDNT REALLY LOOK AFTER HIMSELF VERY WELL UNFORTUNATELY AND UH BUT THATS ABOUT IT +audio/RES0131.mp3[439.760,442.280] OKAY UM AND DO YOU SMOKE +audio/RES0131.mp3[442.280,443.320] NO I DONT +audio/RES0131.mp3[443.320,449.640] NO OKAY ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN OR ANYTHING LIKE THAT +audio/RES0131.mp3[449.640,451.680] NO I DONT USE ANYTHING LIKE THAT +audio/RES0131.mp3[451.680,455.360] OKAY HOW ABOUT UM ALCOHOL DO YOU DRINK +audio/RES0131.mp3[455.360,464.080] YEAH SOMETIMES ILL HAVE A OR MAYBE A COCKTAIL ON THE WEEKEND OR UM A GLASS OF WINE WITH DINNERS +audio/RES0131.mp3[464.080,468.080] OKAY ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0131.mp3[468.080,474.640] I AM YEAH WITH UH WITH MY BOYFRIEND UM WE USE UH CONDOMS AS WELL +audio/RES0131.mp3[474.640,486.640] OKAY SO YOU USE BOTH CONDOMS AND YOURE ON BIRTH CONTROL SO OKAY GOOD THATS A LOT OF PROTECTION UM HOW LONG HAVE YOU TWO BEEN TOGETHER +audio/RES0131.mp3[486.640,489.840] UM UH SIX MONTHS +audio/RES0131.mp3[489.840,501.280] OKAY OKAY GOOD AND UM ANY SICK CONTACTS RECENTLY +audio/RES0131.mp3[501.280,504.840] UM NOT THAT IM AWARE OF +audio/RES0131.mp3[504.840,508.760] NO OKAY ANY TRAVEL RECENTLY +audio/RES0131.mp3[508.760,519.800] NOPE JUST BEEN UM GOING TO OR JUST BEEN DOING ONLINE UH CLASSES IM FINISHING UP MY MASTERS RIGHT NOW +audio/RES0131.mp3[519.800,521.840] OKAY OKAY WOW CONGRATS +audio/RES0131.mp3[521.840,524.080] THANK YOU +audio/RES0131.mp3[524.080,527.120] UM AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH +audio/RES0131.mp3[527.120,537.880] YEAH SO I LIVE IN AN APARTMENT DOWNTOWN HERE UM JUST WITH UH ONE OF ONE OF MY FRIENDS WHOS A ROOMMATE +audio/RES0131.mp3[537.880,541.040] OKAY AND IS EVERYONE AT HOME HEALTHY +audio/RES0131.mp3[541.040,548.200] YEAH SHE HASNT HAD ANY ANY SYMPTOMS ANY SYMPTOMS EITHER +audio/RES0131.mp3[548.200,559.360] OKAY OKAY WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS UM OR ANYTHING THAT YOU WANTED TO BRING UP THAT I HAVENT COVERED +audio/RES0131.mp3[559.360,572.520] NO THATS IT I WAS JUST UH I MEAN CONCERNED ABOUT COVIIVE BEEN HEARING ABOUT THIS NEW VARIANT AND STUFF ON THE NEWS SO A LITTLE BIT WORRIED +audio/RES0131.mp3[572.520,631.760] YEAH FOR SURE WE WILL DEFINITELY UM TAKE A SWAB FROM YOU TODAY AND WELL SEE UM WHAT THE RESULTS ARE YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR 14 DAYS UM AND IF ITS NOT COVIIF THAT COMES BACK NEGATIVE AND UM YEAH SOME OF YOUR SYMPTOMS ALSO SOUND LIKE OTHER TYPICAL VIRAL SYMPTOMS SO YOU COULD HAVE ONE OF THE COMMON STRAINS THATS GOING AROUND THIS TIME OF YEAR SO FOR THAT JUST ITS UM YOU SHOULD JUST UM DO SOME SUPPORTIVE CARE YOU KNOW STAYING HYDRATED EATING WELL AND IF YOUR SYMPTOMS BECOME WORSE UH YOURE RUNNING A REALLY HIGH FEVER YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES THEN YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +audio/RES0131.mp3[631.760,634.200] THAT SOUNDS GOOD THANK YOU +audio/RES0131.mp3[634.200,636.520] OKAY GREAT THANK YOU +audio/RES0212.mp3[0.000,2.320] SO WHAT BRINGS YOU IN THE CLINIC TODAY +audio/RES0212.mp3[2.320,7.640] HEY UH I JUST HAD THIS COUGH THATS BEEN LIKE REALLY BOTHERING ME +audio/RES0212.mp3[7.640,10.200] OK HOW LONG HAVE YOU HAD THAT FOR +audio/RES0212.mp3[10.200,32.880] UH LIKE IN THE PAST FEW DAYS ITS BEEN REALLY LIKE GROSS AND IVE BEEN COUGHING UP THIS LIKE GUNK BUT IVE HAD IT FOR IVE HONESTLY HAD A COUGH FOR LIKE THREE MONTHS ITS JUST LIKE SOMETIMES ITS LIKE THERE AND SOMETIMES IT KIND OF GOES AWAY IT FEELS LIKE IT KEEPS COMING BACK +audio/RES0212.mp3[32.880,36.440] OK HAVE YOU HAD ANY CHEST PAIN +audio/RES0212.mp3[36.440,48.800] UM NO LIKE IT KINDA HURTS WHEN I COUGH NOW BUT NOT NOT LIKE ON ITS OWN +audio/RES0212.mp3[48.800,54.720] OK HAVE YOU NOTICED ANY FEVERS AT HOME OR FEVERS AT ALL IN THE LAST COUPLE DAYS +audio/RES0212.mp3[54.720,64.160] UH IVE BEEN FEELING LIKE HOT AT NIGHT IN THE PAST COUPLE DAYS UH BUT LIKE I DIDNT ACTUALLY TAKE MY TEMP +audio/RES0212.mp3[64.160,69.200] OK HAVE YOU HAD ANY NIGHT SWEATS YOU WAKE UP THE SHEETS ARE SOAKED +audio/RES0212.mp3[69.200,71.040] UH NO NOT THAT +audio/RES0212.mp3[71.040,78.040] NOTHING LIKE THAT OK HAVE YOU NOTICED ANY UNEXPLAINED WEIGHT LOSS OVER THE LAST LITTLE WHILE +audio/RES0212.mp3[78.040,79.120] UM NO +audio/RES0212.mp3[79.120,84.760] SO SO YOU GO ON THE SCALE YOU LOST A FEW POUNDS BUT YOU HAVENT BEEN TRYING TO BASICALLY +audio/RES0212.mp3[84.760,88.400] NO LIKE I I DONT REALLY WEIGH MYSELF BUT I DONT THINK SO +audio/RES0212.mp3[88.400,93.320] SO YOU HAVENT BEEN NOTICING CLOTHES HAVE BEEN FITTING LOOSE OR ANYTHING LIKE THAT +audio/RES0212.mp3[93.320,95.840] NO NO LIKE I WISH BUT NO +audio/RES0212.mp3[95.840,101.760] GOT IT GOT IT NOW LETS TALK ABOUT WHAT YOURE BRINGING UP WITH YOUR COUGH WHAT COLOUR IS IT +audio/RES0212.mp3[101.760,105.320] ITS REALLY GROSS ITS KIND OF LIKE GREENISH +audio/RES0212.mp3[105.320,110.600] GREENISH OK AND ALSO ANY RED OR ANY BLOOD WITH IT +audio/RES0212.mp3[112.040,118.520] OK AND DOESNT SMELL AT ALL SMELL FUNKY +audio/RES0212.mp3[118.520,122.480] I HAVENT NOTICED +audio/RES0212.mp3[122.480,129.560] OK SO YOUVE JUST BEEN BRINGING THIS STUFF UP FOR THE LAST COUPLE OF DAYS WHEN SPECIFICALLY TWO DAYS AGO THREE DAYS AGO +audio/RES0212.mp3[129.560,134.360] LIKE MAYBE MAYBE THREE DAYS +audio/RES0212.mp3[134.360,144.880] THREE DAYS AGO AND YOU SAID BEFORE THAT YOU KIND OF HAD THIS DRY COUGH BEFORE UH WHEN DID YOU FIRST NOTICE THAT THREE MONTHS AGO YOU SAID +audio/RES0212.mp3[144.880,165.360] YEAH I WAS UH I I DO LIKE UM IT LIKE SOUNDS SILLY BUT I DO LIKE A POLE DANCING CLASS JUST FOR EXERCISE AND I WAS LIKE AT MY CLASS AND I KIND OF JUST STARTED TO LIKE FEEL LIKE I WAS LIKE A LITTLE COUGHY AND LIKE I DONT THINK THERES ANYTHING SPECIAL THAT WAS JUST LIKE WHEN I NOTICED IT +audio/RES0212.mp3[165.360,169.440] OK ANYONE AT THE CLASS SICK AT THAT TIME +audio/RES0212.mp3[169.440,172.440] I DONT THINK SO LIKE ITS A REALLY LONG TIME AGO I DONT REALLY REMEMBER +audio/RES0212.mp3[172.440,181.360] GOT IT GOT IT ANYONE SICK NEAR YOU OR AROUND YOU IN THE LAST COUPLE OF WEEKS +audio/RES0212.mp3[181.360,185.640] NO NO NOT THAT I CAN THINK OF +audio/RES0212.mp3[185.640,193.720] OK AND REGARDING OTHER ANY WE ALREADY TALKED ABOUT CHEST PAIN UH YOUVE BEEN ABLE TO EAT FOOD ALRIGHT +audio/RES0212.mp3[193.720,198.000] UH YEAH LIKE UH YEAH ITS LIKE PRETTY NORMAL +audio/RES0212.mp3[198.000,200.680] SO NO NAUSEA NO VOMITING +audio/RES0212.mp3[200.680,204.440] UH NO NONE OF THAT +audio/RES0212.mp3[204.440,207.800] YOU DONT HAVE A STIFF NECK AT ALL DO YOU +audio/RES0212.mp3[207.800,209.720] NO NO I DONT +audio/RES0212.mp3[209.720,218.760] OK BUT HOW ABOUT OTHER PARTS OF YOUR BODY ANY PAIN TENDERNESS ANYWHERE +audio/RES0212.mp3[218.760,237.960] I DONT THINK SO NO LIKE IM IM A LITTLE TIRED NOW UM LIKE THE COUGH IS LIKE MAYBE FOR LIKE A MONTH ITS BEEN KIND OF WAKING ME UP A LITTLE BIT SO MY MY SLEEP HASNT BEEN GREAT BUT I DONT THINK ITS LIKE I HAVE LIKE PAIN IM JUST LIKE TIRED +audio/RES0212.mp3[237.960,241.160] OK SO THE COUGH DOES WAKE YOU UP AT NIGHT +audio/RES0212.mp3[242.120,247.600] DOES IT WAKE YOU UP EVERY NIGHT +audio/RES0212.mp3[247.600,253.560] YEAH LIKE PRETTY WELL FOR LIKE THE LAST NOT LIKE ALL THREE MONTHS BUT PROBABLY THE LAST MONTH +audio/RES0212.mp3[253.560,268.160] OK ALRIGHT IM JUST GONNA MOVE ON TALK A LITTLE BIT ABOUT YOU AND THE PAST UH SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE +audio/RES0212.mp3[268.160,271.640] UH JUST LIKE ECZEMA +audio/RES0212.mp3[271.640,276.880] OK AND DO YOU TAKE ANYTHING FOR THAT +audio/RES0212.mp3[276.880,295.160] JUST LIKE MOISTURIZING CREAMS UM LIKE MY FAMILY DOCTOR BACK HOME SAID LIKE A COUPLE TIMES WHEN IT WAS REALLY BAD SHE WOULD GIVE ME ONE LIKE TO GO GET AT LIKE SHOPPERS BUT RIGHT NOW ITS NOT BAD SO I JUST HAVE JUST LIKE A REGULAR CREAM +audio/RES0212.mp3[295.160,298.040] GOT IT EVER BEEN HOSPITALIZED BEFORE +audio/RES0212.mp3[298.040,299.520] UH NO +audio/RES0212.mp3[299.520,302.280] OK ANY SURGERIES +audio/RES0212.mp3[303.640,308.880] OK SO ASIDE FROM THE ECZEMA IT SOUNDS LIKE YOURE PRETTY HEALTHY EH +audio/RES0212.mp3[309.840,311.960] OK DO YOU HAVE ANY ALLERGIES +audio/RES0212.mp3[311.960,323.480] UH I THINK MAYBE UM MAYBE CATS BECAUSE I I DONT HAVE ONE BUT SOMETIMES IVE NOTICED STUFF BUT IVE NEVER LIKE ITS NEVER REALLY BEEN TOO BIG OF AN ISSUE +audio/RES0212.mp3[323.480,330.120] OK SO YOUVE NEVER TAKEN ANY MEDICATIONS OR GOT STUNG BY A BEE AND HAD ANY TROUBLE BREATHING OR EVEN A CERTAIN FOOD +audio/RES0212.mp3[330.920,340.080] NOTHING LIKE THAT OK ARE YOU TAKING ANY MEDICATIONS RIGHT NOW +audio/RES0212.mp3[340.080,340.880] UH NO +audio/RES0212.mp3[340.880,344.240] OK AND YOU JUST GO TO WESTERN +audio/RES0212.mp3[345.120,348.360] DO YOU LIVE UH NEAR CAMPUS WITH ANYONE +audio/RES0212.mp3[348.360,355.360] UH I HAVE LIKE A ROOMMATE YEAH WE I LIVE IN AN APARTMENT WITH A ROOMMATE +audio/RES0212.mp3[355.360,357.960] OK HAVE THEY BEEN SICK AT ALL IN THE LAST LITTLE WHILE +audio/RES0212.mp3[360.400,363.840] OK AND LAST LITTLE WHILE HAVE YOU DONE ANY TRAVELING +audio/RES0212.mp3[365.280,370.560] SO YOU HAVENT BEEN OUTSIDE THE COUNTRY OR ANY EXOTIC LOCALES IN THE LAST LITTLE WHILE +audio/RES0212.mp3[370.560,375.160] NO LIKE IM PLANNING TO ON MARCH BREAK BUT I HAVENT GONE ANYWHERE +audio/RES0212.mp3[375.160,380.720] GOT IT GOT IT SO YOU LIVE IN TOWN UH WITH YOUR ROOMMATE AND YOURE CURRENTLY A FULL TIME STUDENT +audio/RES0212.mp3[382.640,385.720] OK AND JUST REGARDS TO ANYTHING DO YOU SMOKE +audio/RES0212.mp3[385.720,398.760] NO LIKE I DONT UM I DONT SMOKE CIGARETTES LIKE I SOMETIMES SOMETIMES SMOKE MARIJUANA BUT USUALLY UM USUALLY ITS LIKE THE VAPE +audio/RES0212.mp3[398.760,401.960] OK HOW OFTEN WE SAY YOU DO THAT A WEEK +audio/RES0212.mp3[401.960,407.120] OH LIKE MAYBE LIKE ONCE EVERY LIKE 2 WEEKS OR SOMETHING +audio/RES0212.mp3[407.120,411.120] GOT IT ANY OTHER SUBSTANCES SLASH DRUGS +audio/RES0212.mp3[411.120,414.360] NO LIKE ALCOHOL SOMETIMES LIKE +audio/RES0212.mp3[414.360,417.440] OK SO NO COCAINE NO HEROIN +audio/RES0212.mp3[418.520,422.200] AND HAVE YOU EVER UM INJECTED DRUGS INTO YOUR BODY +audio/RES0212.mp3[422.520,429.200] GOT IT GOT IT JUST COMING BACK TO ALCOHOL UH HOW OFTEN WOULD YOU SAY YOU DRINK +audio/RES0212.mp3[429.200,432.760] MAYBE LIKE ONE ONE NIGHT LIKE ON THE WEEKEND +audio/RES0212.mp3[432.760,436.600] OK AND WHAT DO YOU DRINK HOW MUCH DO YOU DRINK +audio/RES0212.mp3[436.600,441.520] I DONT KNOW MAYBE LIKE 5 OR 6 BEERS I GUESS IT JUST DEPENDS ON THE NIGHT +audio/RES0212.mp3[441.520,449.520] GOT IT GOT IT AND OTHER QUESTIONS WHEN WAS YOUR LAST MENSTRUAL PERIOD +audio/RES0212.mp3[449.520,450.680] MAYBE LIKE 2 WEEKS AGO +audio/RES0212.mp3[450.680,455.120] TWO WEEKS AGO OK ARE YOU SEXUALLY ACTIVE +audio/RES0212.mp3[455.120,458.520] UH YEAH JUST WITH MY BOYFRIEND +audio/RES0212.mp3[458.520,462.920] OK SO DO YOU TWO USE CONTRACEPTION BIRTH CONTROL +audio/RES0212.mp3[462.920,465.920] YEAH WE USE UH LIKE CONDOMS +audio/RES0212.mp3[465.920,474.400] OK ANY CHANCE YOU COULD BE PREGNANT RIGHT NOW THAT WAS A STRANGE QUESTION TO ASK IF YOURE SEXUALLY ACTIVE BUT ANY UNPROTECTED SEX IN THE LAST TWO WEEKS +audio/RES0212.mp3[474.760,507.760] GOT IT ALRIGHT AND WERE JUST KIND OF GOING OVER THINGSSO IT SOUNDS LIKE YOUVE HAD THIS COUGH OR A COUGH FOR A LITTLE WHILE BUT ITS ONLY BECOME BAD IN THE LAST THREE DAYS YOURE WAKING UP AT NIGHT AND YOURE KIND OF BRINGING UP THIS FOUL OR NOT THIS FOUL BUT THIS KIND OF GREENISH SPUTUM BUT ITS NO BLOOD IN IT AND OTHERWISE YOU DONT HAVE ANY CONSTITUTIONAL SYMPTOMS SO I WILL GO REVIEW YOUR STORY WITH THE DOCTORS ANYTHING ELSE YOUD LIKE TO BRING UP WITH THEM BEFORE I GO +audio/RES0212.mp3[507.760,518.840] I DONT THINK SO I JUST LIKE I LIKE I HOPE I JUST CAN FEEL BETTER CAUSE IVE BEEN MISSING LIKE MY EXERCISE STUFF CAUSE I FEEL LIKE ITS JUST LIKE COUGHING AND IT MAKES IT HARD TO LIKE DO WELL +audio/RES0212.mp3[518.840,523.800] GOT IT GOT IT WELL SEE WHAT WE CAN DO OK THANK YOU VERY MUCH +audio/RES0212.mp3[523.800,524.800] OK THANKS +audio/RES0006.mp3[0.000,3.360] WHAT BRINGS YOU IN TO SEE US +audio/RES0006.mp3[3.360,14.440] SO IVE JUST BEEN HAVING THIS COUGH THAT I FEEL HAS JUST BEEN GETTING WORSE AND IVE ALSO BEEN FEELING A BIT SHORT OF BREATH FOR THE LAST FEW MONTHS +audio/RES0006.mp3[14.440,18.680] OK COULD YOU TELL ME WHEN THE COUGH STARTED +audio/RES0006.mp3[18.680,25.760] SO I WOULD SAY IT STARTED AROUND TWO MONTHS AGO +audio/RES0006.mp3[25.760,32.440] OK AND HAS THE COUGH BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM +audio/RES0006.mp3[32.440,45.560] UH ITS USUALLY ALWAYS UH PRODUCES LIKE THE SPUTUM AND ITS USUALLY WHITE OR YELLOWISH IN COLOUR +audio/RES0006.mp3[45.560,56.640] OK AND HOW MUCH SPUTUM ARE YOU PRODUCING EACH DAY SOME SOMETIMES ITS USEFUL TO THINK ABOUT LIKE TEASPOONS OR TABLESPOONS +audio/RES0006.mp3[56.640,68.520] I WOULD SAY EVERY TIME I COUGH LIKE A TEASPOON I PROBABLY HAVE LIKE I DONT KNOW MAYBE 5 TO 10 TEASPOONS A DAY +audio/RES0006.mp3[68.520,75.200] UH OK AND IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE +audio/RES0006.mp3[75.200,93.520] UM NOT REALLY ITS PRETTY PRETTY MUCH THE SAME SOMETIMES IT IS WORSE IN THE MORNING YEAH AND SOMETIMES IT GETS BETTER WHEN I GO OUT FOR A SMOKE +audio/RES0006.mp3[93.520,99.080] OK UM AND HAVE YOU NOTICED ANY BLOOD +audio/RES0006.mp3[99.080,103.080] NO UM I HAVENT NOTICED ANY BLOOD +audio/RES0006.mp3[103.080,111.360] OK AND HAVE YOU HAD SO YOU HAD SHORTNESS OF BREATH WHEN DID THAT START +audio/RES0006.mp3[111.360,118.720] ITS AROUND TWO MONTHS AGO AROUND THE SAME TIME +audio/RES0006.mp3[118.720,126.360] OK AND IS THIS DO YOU HAVE SHORTNESS OF BREATH AT REST OR IS IT WHEN YOU EXERT YOURSELF +audio/RES0006.mp3[126.360,134.320] UH ITS IT CAN HAPPEN LIKE AT ANYTIME BUT WORSE WHEN I AM EXERTING MYSELF +audio/RES0006.mp3[134.320,142.400] OK AND THEN HAVE YOU HAD A COUGH BEFORE +audio/RES0006.mp3[142.400,148.680] UH NOT AS FREQUENTLY I WOULD SAY NOT REALLY IT JUST STARTED IN THE LAST TWO TO THREE MONTHS +audio/RES0006.mp3[148.680,153.200] OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE +audio/RES0006.mp3[153.200,165.840] JUST THROUGHOUT MY LIFE IVE HAD ASTHMA SO WHEN I AM EXERCISING TOO MUCH OR GET EXPOSED TO LIKE DUST SOMETIMES GET SHORTNESS OF BREATH +audio/RES0006.mp3[165.840,177.680] OK HAS THERE BEEN ANYTHING UM BESIDES EXERTING YOURSELF THATS MADE THAT EITHER THE COUGH OR OR SHORTNESS OF BREATH WORSE +audio/RES0006.mp3[177.680,193.880] UH OVER THE LAST YEAR LIKE IVE HAD A COUPLE OF CHEST INFECTIONS AFTER GOING TO THE ER THEY GAVE ME SOME ANTIBIOTICS BUT YEAH WHEN THAT HAPPENS IT USUALLY GETS WORSE THE SHORTNESS OF BREATH AND THE COUGH +audio/RES0006.mp3[193.880,202.080] OK AND UH DO YOUR SYMPTOMS FEEL LIKE ANY OF THOSE TIMES RIGHT NOW +audio/RES0006.mp3[202.080,211.960] NO I I DONT FEEL LIKE I HAVE A FEVER AND NO OTHER SYMPTOMS JUST THE SHORTNESS OF BREATH AND COUGH +audio/RES0006.mp3[211.960,217.600] OK AND HAVE YOU BEEN DOING ANYTHING THATS MADE IT BETTER +audio/RES0006.mp3[217.600,235.360] IVE BEEN TAKING SOME TYLENOL COLD HASNT REALLY HELPED TOO MUCH IVE TRIED MY INHALERS THEY SOMETIMES HELP BUT IVE NEVER HAD HAVE THIS FREQUENT OF COUGHING AND SHORTNESS OF BREATH BEFORE +audio/RES0006.mp3[235.360,243.280] OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING FATIGUE +audio/RES0006.mp3[243.280,253.440] UM WHEN IT GETS REALLY BAD THEN I CANT REALLY STEP OUT OF THE HOUSE BUT OTHER THAN THAT I FEEL LIKE MY ENERGYS STILL THERE +audio/RES0006.mp3[253.440,258.520] OK AND YOU HAVE IT HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0006.mp3[259.840,264.200] OK HOW ABOUT AT A LOSS OF SMELL +audio/RES0006.mp3[265.400,267.680] UM A LOSS OF TASTE +audio/RES0006.mp3[269.400,272.640] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0006.mp3[272.640,283.160] NO JUST SOMETIMES WHEN IM LIKE COUGHING A LOT IT GETS A LITTLE BIT UNCOMFORTABLE BUT OTHER THAN THAT NO +audio/RES0006.mp3[283.160,289.280] OK UM HAVE YOU HAD ANY INSTANCES WHERE YOU FELT LIKE YOUR HEART WAS RACING +audio/RES0006.mp3[290.280,294.640] OK HOW ABOUT BEING LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT +audio/RES0006.mp3[296.200,301.960] OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT +audio/RES0006.mp3[303.600,307.480] OK AND HOW ABOUT HEADACHES +audio/RES0006.mp3[307.480,308.880] NO HEADACHES +audio/RES0006.mp3[308.880,314.280] ALRIGHT AND HAVE YOU HAD ANY WHEEZING +audio/RES0006.mp3[314.280,325.000] UM SOMETIMES IVE NOTICED IT BUT I HAD IT BEFORE LIKE WITH ASTHMA AS WELL BUT NOT NOT THAT MUCH +audio/RES0006.mp3[325.000,329.520] OK AND HOW ABOUT ABDOMINAL PAIN +audio/RES0006.mp3[329.520,331.160] NO ABDOMINAL PAIN +audio/RES0006.mp3[331.160,334.040] ALRIGHT THEN ANY URINARY PROBLEMS +audio/RES0006.mp3[335.040,338.280] ANY BOWEL PROBLEMS +audio/RES0006.mp3[339.320,341.680] ANY RASHES +audio/RES0006.mp3[342.880,350.200] OK AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR JOINT ACHES OR OR BODY ACHES +audio/RES0006.mp3[350.200,353.160] NO NOTHING LIKE THAT +audio/RES0006.mp3[353.160,360.040] ALRIGHT AND YOU MENTIONED ASTHMA BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +audio/RES0006.mp3[360.040,363.160] NO JUST ASTHMA +audio/RES0006.mp3[363.160,371.360] OK AND DO YOU USE INHALERS ARE THERE ANY OTHER MEDICATIONS YOURE CURRENTLY USING +audio/RES0006.mp3[371.360,377.600] OH NO JUST THE SALBUTAMOL AND LIKE THE STEROID INHALER +audio/RES0006.mp3[377.600,383.960] OK YEAH AND HOW OFTEN ARE YOU USING BOTH OF THOSE +audio/RES0006.mp3[383.960,402.440] SO THE STEROID ONE I AM USING PRETTY MUCH EVERY DAY BUT THE SALBUTAMOL I FOUND IVE BEEN USING A LOT MORE RECENTLY I WOULD SAY PROBABLY AT LEAST SIX TO 10 TIMES IN A WEEK +audio/RES0006.mp3[402.440,411.960] OK UM THAT REMINDED ME I I FORGOT TO ASK HAVE YOU NOTICE ANY CHANGES TO YOUR VOICE +audio/RES0006.mp3[411.960,415.640] UM NO NOT REALLY +audio/RES0006.mp3[415.640,421.920] OK UM AND I WAS WONDERING IF YOU HAD ANY ALLERGIES TO MEDICATIONS +audio/RES0006.mp3[421.920,424.600] NO NOT THAT I KNOW OF +audio/RES0006.mp3[424.600,428.240] ALRIGHT AND HAVE YOU BEEN IN THE HOSPITAL RECENTLY +audio/RES0006.mp3[429.600,433.360] ALRIGHT SO WHEN WAS THE LAST TIME THAT YOU HAD ANTIBIOTICS +audio/RES0006.mp3[433.360,437.240] I WOULD SAY LIKE SIX MONTHS AGO +audio/RES0006.mp3[437.240,441.400] OK AND ANY SURGERIES +audio/RES0006.mp3[442.640,447.320] OK AND DID YOU GET THE FLU SHOT THIS YEAR +audio/RES0006.mp3[448.520,458.080] OK GREAT UM AND I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0006.mp3[458.080,465.360] SO I LIVE IN LONDON UM IN A SMALL APARTMENT WITH MY WIFE +audio/RES0006.mp3[465.360,470.360] OK DO YOU HAVE ANY PETS AROUND +audio/RES0006.mp3[470.360,473.040] NO NO PETS +audio/RES0006.mp3[473.040,483.680] ALRIGHT AND UM ANY EXPOSURES AT WORK TOO LIKE DUST OR ANY TYPES OF LIKE CHEMICALS LIKE THAT +audio/RES0006.mp3[483.680,492.520] NO NOT REALLY MY WORK IS PRETTY MUCH A DESK JOB SO NOTHING LIKE THAT +audio/RES0006.mp3[492.520,496.600] OK AND DO YOU SMOKE CIGARETTES +audio/RES0006.mp3[496.600,503.960] YEAH YEAH I SMOKE A LOT OF CIGARETTES JUST LIKE I WOULD SAY 30 CIGARETTES A DAY +audio/RES0006.mp3[503.960,510.960] OK AND HOW LONG HAVE YOU SMOKED FOR +audio/RES0006.mp3[510.960,517.040] ID SAY PROBABLY AT LEAST 25 YEARS +audio/RES0006.mp3[517.040,519.640] OK AND SORRY COULD YOU REMIND ME OF YOUR YOUR AGE AGAIN +audio/RES0006.mp3[519.640,523.920] SO I AM 60 YEARS OLD NOW +audio/RES0006.mp3[523.920,528.800] OK SO YOU STARTED SMOKING UM AROUND 35 +audio/RES0006.mp3[528.800,529.160] YEAH YEAH +audio/RES0006.mp3[529.160,535.000] OK HAVE YOU TRIED TO QUIT +audio/RES0006.mp3[535.000,545.000] YEAH TRIED TO QUIT IVE EVEN QUITE A COUPLE TIMES BUT THEN JUST GOT BACK ONTO IT YEAH NOT NOT REALLY READY TO QUIT +audio/RES0006.mp3[545.000,557.920] OK THATS FAIR ENOUGH IF THERES SOMETHING THAT YOU WANTED TO TALK ABOUT QUITTING SMOKING AT ANOTHER APPOINTMENT WE CAN ARRANGE FOLLOW UP FOR THAT +audio/RES0006.mp3[558.160,560.120] DO YOU DRINK ALCOHOL +audio/RES0006.mp3[560.120,565.800] NOT MUCH JUST OUT SAY ONE OR TWO BEERS ON THE WEEKEND +audio/RES0006.mp3[565.800,574.840] ALRIGHT AND YOU USE ANY RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OR IV DRUGS +audio/RES0006.mp3[574.840,576.920] NO NOTHING LIKE THAT +audio/RES0006.mp3[576.920,582.600] ALRIGHT AND HAS ANYTHING SIMILAR LIKE THIS HAPPENED IN YOUR FAMILY BEFORE +audio/RES0006.mp3[582.600,601.920] UH I THINK MY UM SISTER HAS A COPLIKE SHE SMOKES A LOT TOO BUT THATS THATS ABOUT I DONT KNOW IF THATS GENETIC +audio/RES0006.mp3[601.920,606.400] OH OK UM I SO I MEAN ANYBODY IN THE FAMILY HAVE CANCERS +audio/RES0006.mp3[606.400,613.160] UM NO NOT THAT I KNOW OF +audio/RES0006.mp3[613.160,625.440] ALRIGHT UM SO THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON HISTORY WAS THERE ANY UH ANY OTHER QUESTIONS THAT YOU HAD +audio/RES0006.mp3[625.440,633.560] NO NOT REALLY JUST WANTED TO GET TO THE BOTTOM OF THIS +audio/RES0006.mp3[633.560,666.680] OK FOR SURE SO UM WE WILL RUN SOME INVESTIGATIONS AND LIKELY GET A CHEST X RAY BECAUSE ITS BEEN A COUPLE OF MONTHS THAT THESE SYMPTOMS HAVE BEEN GOING ON FOR BUT I THINK IT COULD BE RELATED TO YOUR SMOKING AND MOST LIKELY UM BRONC CHRONIC BRONCHITIS BUT WE CAN DEFINITELY WILL BE LOOKING INTO THIS AND THEN ALSO WITH POSSIBLY SOME PULMONARY FUNCTION TESTS AS WELL +audio/RES0006.mp3[666.680,668.520] OK SOUNDS GOOD +audio/RES0163.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY +audio/RES0163.mp3[2.640,35.320] HEY I JUST UM I JUST KIND OF CAME IN TO TALK ABOUT MY STUFFY NOSE ITS YEAH ITS BEEN A PROBLEM FOR I DONT EVEN KNOW HOW MANY YEARS ITS ALWAYS BEEN THERE AND NOW THAT SCHOOL IS A LITTLE LESS BUSY AND THINGS ARE VIRTUAL AND HAVE MORE TIME I DECIDED ILL GET SOMETHING DONE UM TO GET IT FIXED +audio/RES0163.mp3[35.320,39.840] OK AND HOW LONG HAS THIS BEEN GOING ON FOR +audio/RES0163.mp3[39.840,47.640] SINCE I WAS YOUNG UM LIKE MAYBE YEARS COUPLE YEARS +audio/RES0163.mp3[47.640,63.160] OK AND THEN DO YOU LIKE HOW OFTEN ARE YOU GETTING THE STUFFINESS IS IT LIKE EVERY DAY IS IT DURING THE DAY AT NIGHT WHEN DO YOU USUALLY GET IT +audio/RES0163.mp3[63.160,92.360] ITS KIND OF UHM ITS KIND OF ALL THE TIME TO THE POINT THAT IVE SOMEWHAT GOTTEN USED TO IT AND ITS JUST MY ITS ONLY ON THE LEFT SIDE AND ITS JUST ALWAYS KIND OF STUFFY INITIALLY I WOULD HAVE TROUBLE FALLING ASLEEP CAUSE IT WOULD I WOULD JUST FIND IT A LITTLE BIT BOTHERSOME BUT NOW IM KIND OF JUST USED TO IT +audio/RES0163.mp3[92.360,97.520] OK AND SO ITS JUST ON THE LEFT SIDE IT NEVER MOVES TO THE RIGHT SIDE +audio/RES0163.mp3[97.520,104.440] WELL LIKE SOMETIMES WHEN I GET ILL ITS ON BOTH SIDES BUT USUALLY ITS ON THE LEFT SIDE +audio/RES0163.mp3[104.440,111.240] OK AND SO YOU HAVE STUFFINESS BUT DO YOU EVER GET ANY KIND OF DISCHARGE OR DRAINAGE FROM YOUR NOSE +audio/RES0163.mp3[111.240,121.120] SOMETIMES I GET A LITTLE BIT BLEEDING +audio/RES0163.mp3[121.120,126.600] ARE YOU OK UM BLEEDING IS IT BLOOD MIXED INTO THE DISCHARGE OR DRAINAGE OR IS IT LIKE YOU GET NOSEBLEEDS +audio/RES0163.mp3[126.600,143.240] I GET NOSEBLEEDS LIKE MAYBE YEAH LIKE MAYBE WHEN IM EXERCISING OR SOMETHING IM LIKE AT THE GYM UHM FOM DOING THE GYM CLASS YEAH YEAH WHEN PLAYING WITH MY FRIENDS +audio/RES0163.mp3[143.240,149.880] OK AND HOW OFTEN DO YOU GET THESE NOSE BLEEDS +audio/RES0163.mp3[149.880,159.240] UHM MAYBE ONCE A MONTH OR ONCE IN TWO MONTHS +audio/RES0163.mp3[159.240,167.160] OK AND UMM AND IS THERE ANY DO YOU HAVE ANY OTHER SYMPTOMS SO LIKE DO YOU HAVE ANY PRESSURE SENSATION IN YOUR FACE AROUND YOUR JAW CHEEKS FOREHEAD +audio/RES0163.mp3[169.600,180.880] NO SO OK AND DO YOU FIND YOURSELF HAVING MORE CONGESTION WHEN YOU WAKE UP +audio/RES0163.mp3[180.880,184.080] UHM NOT REALLY MAYBE A LITTLE BIT +audio/RES0163.mp3[184.080,191.280] OK SO ITS NOT WORSE WHEN YOURE LYING FLAT OR ANYTHING LIKE THAT +audio/RES0163.mp3[193.040,205.400] OK UM AND DO YOU FIND THAT YOU HAVE TO CONSTANTLY CLEAR YOUR THROAT AT ALL THROUGHOUT THE DAY +audio/RES0163.mp3[205.400,206.560] UHM NO +audio/RES0163.mp3[206.560,216.200] OK AND DO YOU AT ALL FEEL THAT SOME STUFFINESS DRAINS BACK INTO YOUR THROAT AT ALL ANYTIME DURING THE DAY +audio/RES0163.mp3[216.200,220.400] I DONT THINK SO NO +audio/RES0163.mp3[220.400,227.960] SO ITS JUST THE CONGESTION THATS BEEN GOING ON FOR QUITE SOME TIME AND DOES IT CHANGE WITH THE SEASONS AT ALL +audio/RES0163.mp3[227.960,241.920] NO ITS JUST THERE ALL THE TIME LIKE I CANT EVEN TELL THIS IS LIKE MY NORMAL NOW BUT MY MOM SAID I SHOULD GET IT CHECKED OUT +audio/RES0163.mp3[241.920,256.760] OK UHM HAVE YOU TRIED ANYTHING FOR IT LIKE EITHER MEDICATIONS OR THE NETI POT OR STEAMING AND HAS ANYTHING HELPED YOU AT ALL +audio/RES0163.mp3[256.760,268.240] I TRIED STEAMING BUT IT DIDNT DO MUCH IT KIND OF GOT BETTER MAYBE FOR AN HOUR MAYBE BUT THEN YEAH IT DIDNT DO MUCH +audio/RES0163.mp3[268.240,277.480] OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVER CHILLS COUGH SORE THROAT ANYTHING LIKE THAT +audio/RES0163.mp3[278.280,284.960] ARE YOU HAVING ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0163.mp3[284.960,285.680] UHM NO +audio/RES0163.mp3[285.680,291.280] ANY SHORTNESS OF BREATH AT ALL +audio/RES0163.mp3[293.720,305.400] OK UH AND OTHERWISE ANY RECENT TRAVEL OR IN CONTACT WITH ANYONE WHOS BEEN SICK +audio/RES0163.mp3[305.400,307.960] UHM NO +audio/RES0163.mp3[307.960,312.080] HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0163.mp3[312.080,315.880] NO IM PRETTY HEALTHY +audio/RES0163.mp3[315.880,320.200] AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO ANY MEDICATION +audio/RES0163.mp3[320.200,325.040] UHM NO NO ALLERGIES TO MEDICATIONS +audio/RES0163.mp3[325.040,337.920] OK AND ANY ALLERGIES TO ANY ENVIRONMENTAL ISSUES LIKE FACTORS THAT CAUSE MORE STUFFINESS SNEEZING ITCHING RED EYES RUNNY NOSE ANYTHING LIKE +audio/RES0163.mp3[337.920,339.560] IM ALLERGIC TO CATS +audio/RES0163.mp3[339.560,340.640] CATS OK +audio/RES0163.mp3[340.640,345.920] BUT I HAVENT BEEN AROUND ONE FOR AWHILE +audio/RES0163.mp3[345.920,359.280] OK UH ANYTHING ELSE LIKE IN YOUR HOUSE OR ENVIRONMENT LIKE CARPETS DUST LIKE ANYTHING THAT MIGHT IRRITATE GIVE ME MORE IRRITATION +audio/RES0163.mp3[359.280,360.200] NO NOT REALLY +audio/RES0163.mp3[360.200,366.560] OK SO ITS JUST A CAT THAT YOU KNOW BUT YOU HAVENT BEEN AROUND DO YOU HAVE ANY OTHER ANIMALS AT HOME +audio/RES0163.mp3[366.560,373.160] UH NO I DONT +audio/RES0163.mp3[373.160,379.840] NO OK DO YOU HAVE ANY HEADACHES AT ALL +audio/RES0163.mp3[380.320,383.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0163.mp3[385.520,388.720] ANY URINARY PROBLEMS +audio/RES0163.mp3[390.080,393.320] HAS THIS AFFECTED YOUR SLEEP OR APPETITE +audio/RES0163.mp3[393.320,399.360] I SNORE AT NIGHT SOMETIMES BUT THATS THATS ABOUT IT +audio/RES0163.mp3[399.360,409.560] OK AND DO YOU SNORE WOULD YOU SAY MOST NIGHTS OR IS THAT SOMETHING LIKE HAS SOMEONE TOLD YOU THAT +audio/RES0163.mp3[409.560,417.400] MY MOM TOLD ME AND SOMETIMES I I SLEEP WITH MY MOUTH OPEN +audio/RES0163.mp3[417.400,424.480] I SEE OK AND DO YOU KNOW HOW LONG YOUVE BEEN DOING THIS FOR +audio/RES0163.mp3[424.480,429.080] UHM AGAIN ITS BEEN LIKE MONTHS OR YEARS +audio/RES0163.mp3[429.080,438.920] OK AND DO YOU EVER GET DO YOU EVER WAKE UP AT NIGHT TRYING TO TAKE A BREATH LIKE JUST GASPING FOR AIR +audio/RES0163.mp3[440.120,450.520] OK HAVE YOU EVER HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE +audio/RES0163.mp3[452.000,458.720] YEAH OK ON ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +audio/RES0163.mp3[458.720,462.000] UHM JUST HEART DISEASE +audio/RES0163.mp3[462.000,464.480] OK THEN WHO HAS IT OR WHO HAD IT +audio/RES0163.mp3[464.480,470.440] MY MY DAD MY DAD HAS HAD A HEART ATTACK AND MY MOM HAS HIGH BLOOD PRESSURE +audio/RES0163.mp3[470.440,474.840] OK AND HOW OLD WAS YOUR DAD WHEN HE HAD A HEART ATTACK +audio/RES0163.mp3[474.840,479.680] HE WAS 50 YEARS OLD +audio/RES0163.mp3[479.680,489.400] 50 YEARS OLD OK AND IM CURRENTLY RIGHT NOW UH ARE YOU A STUDENT DO YOU WORK +audio/RES0163.mp3[489.400,493.320] IM A STUDENT +audio/RES0163.mp3[493.320,495.440] AND WHATS YOUR LIVING SITUATION LIKE +audio/RES0163.mp3[495.440,498.760] I LIVE WITH MY PARENTS +audio/RES0163.mp3[498.760,503.400] OK AND DO YOU SMOKE AT ALL +audio/RES0163.mp3[506.560,508.480] OK HAVE YOU EVER SMOKED +audio/RES0163.mp3[508.480,510.200] NO NO NO +audio/RES0163.mp3[510.200,511.920] UH ANY ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0163.mp3[511.920,514.320] OH GOD NO NEVER +audio/RES0163.mp3[514.320,517.680] NO OK AND DO YOU DRINK ALCOHOL +audio/RES0163.mp3[520.680,528.720] OK AND HOW HOWS YOUR HOME ENVIRONMENT DO YOU GENERALLY FEEL SAFE IN YOUR HOME ENVIRONMENT AS WELL AS OUTSIDE OF YOUR HOME +audio/RES0163.mp3[528.720,533.920] OH YEAH ITS GREAT +audio/RES0163.mp3[533.920,544.160] OK SO YEAH SO MAINLY YEAH SO THERES ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERN +audio/RES0163.mp3[546.080,614.240] OK SO THERE CAN BE MANY DIFFERENT REASONS FOR THIS CHRONIC CONGESTION AND WELL DO A FULL PHYSICAL EXAMINATION FOR YOU TODAY UH AND SOME OF THE POSSIBLE THINGS THAT CAN BE HAPPENING IS YOU MIGHT BE HAVING A SINUS ISSUE LIKE A CHRONIC SINUSITIS YOU CAN BE HAVING AN ALLERGIC RHINITIS OR WITH THE SNORING AND JUST THE CHRONIC CONGESTION YOU MAY BE ALSO HAVING SOMETHING CALLED OBSTRUCT OBSTRUCTIVE SLEEP APNEA AND THERE CAN BE STRUCTURES IN YOUR MOUTH THROATS THAT CAN CAUSE YOU TO KIND OF OBSTRUCT AND SNORE AT NIGHT AS WELL AND THAT EVEN THE CONGESTION MIGHT CAUSE THAT AS WELL SO YEAH WELL DO A COUPLE TEST FIRST AND THEN IF REQUIRED WE MIGHT NEED TO DO SOME IMAGING AND EVEN PERHAPS SEND YOU TO AN EMT SPECIALIST IF WE THINK ITS OBSTRUCTIVE SLEEP APNEA THERE FOR NOW WELL JUST DO THE PHYSICAL EXAMINATION TO GO FROM THERE +audio/RES0163.mp3[614.240,616.320] GREAT THANK YOU +audio/RES0163.mp3[616.320,618.000] WELCOME TAKE CARE +audio/MSK0023.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY +audio/MSK0023.mp3[2.280,32.280] HI HI THERE IVE BEEN HAVING THIS KNEE PAIN IT STARTED ALMOST IMMEDIATELY AFTER I WAS I WAS PLAYING BASKETBALL ON THE HIGH SCHOOL TEAM AND IT WAS DURING PRACTICE I JUMPED UP FOR A REBOUND AND I WHEN I LANDED I HEARD A POP OF MY MY LEFT KNEE AND I IMMEDIATELY FELT PAIN I JUST WENT OFF TO THE OFF TO THE SIDELINE +audio/MSK0023.mp3[32.280,35.320] OK AND WHEN DID THIS HAPPEN +audio/MSK0023.mp3[35.320,45.800] UH THIS HAPPENED ABOUT PROBABLY LIKE 6 HOURS AGO MAYBE LIKE A FEW HOURS AGO +audio/MSK0023.mp3[45.800,59.480] OK OK I SEE AND SINCE THEN HAVE YOU BEEN ABLE TO WALK AT ALL OR HAVE YOU BEEN JUST HAS IT BEEN VERY DIFFICULT +audio/MSK0023.mp3[59.480,72.840] AT FIRST I WAS ABLE TO KIND OF LIMP OFF THE COURT BUT SINCE THEN I I HAVENT REALLY BEEN ABLE TO WALK ITS GOTTEN PRETTY SWOLLEN SINCE THEN AND IT LOOKS BRUISED AS WELL +audio/MSK0023.mp3[72.840,79.000] OK ITS SWOLLEN AND BRUISED IN WHAT KIND OF PAIN ARE YOU HAVING IS IT LIKE SHARP OR IS IT ACHING +audio/MSK0023.mp3[79.000,86.880] ITS PRETTY SHARP IT FEELS LIKE THERES PEOPLE JUST STABBING ME IN THE KNEE +audio/MSK0023.mp3[86.880,100.360] OK UHM AND UM DO YOU HAVE ANY SO YOURE HAVING PAIN IN YOUR KNEE HAS IT GONE WORSE THAN WHEN IT STARTED +audio/MSK0023.mp3[100.360,120.320] UM YEAH ITS YEAH IT FEELS A BIT MORE PAINFUL THAN IT DID EARLIER I THINK MAYBE THE ADRENALINE WAS PUMPING A LITTLE BIT BUT YEAH NOW ITS ITS PRETTY PRETTY PAINFUL +audio/MSK0023.mp3[120.320,126.640] OK OK UHM AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE +audio/MSK0023.mp3[126.640,133.360] OH ID SAY THIS IS LIKE A 9 OR A 10 THIS IS ITS REALLY PAINFUL +audio/MSK0023.mp3[133.360,138.680] OK ARE YOU HAVING PAIN ANYWHERE ELSE OR IS IT JUST YOUR LEFT KNEE +audio/MSK0023.mp3[138.680,141.920] JUST MY LEFT KNEE +audio/MSK0023.mp3[141.920,149.440] OK ALRIGHT ARE YOU HAVING OTHER SYMPTOMS LIKE FAINTING DIZZINESS +audio/MSK0023.mp3[149.440,156.720] NO I I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0023.mp3[156.720,161.480] OK AND ARE YOU HAVING ANY FEVERS CHILLS OR ANYTHING LIKE THAT +audio/MSK0023.mp3[161.480,164.680] NO FEVERS OR CHILLS +audio/MSK0023.mp3[164.680,171.120] OK ANY KIND OF NUMBNESS OR TINGLING AT ALL +audio/MSK0023.mp3[171.120,175.280] NO NO MR TINGLING +audio/MSK0023.mp3[175.280,181.280] OK IS THE PAIN MOVING ANYWHERE ELSE FROM YOUR KNEES +audio/MSK0023.mp3[181.280,185.080] UH NO I JUST FEEL LIKE PRETTY LIKE JUST RIGHT IN MY IN MY KNEE +audio/MSK0023.mp3[185.080,192.840] OK AND WHAT KIND OF MOTIONS ARE HURTING YOU RIGHT NOW THE MOST +audio/MSK0023.mp3[192.840,225.520] I WOULD SAY JUST LIKE BENDING MY KNEE LIKE YEAH FLEXING MY KNEE UP AS WELL AS LIKE IF I TRY TO PUT ANY WEIGHT ON IT LIKE I CANT WALK ON IT RIGHT NOW I CANT PUT ANY WEIGHT ON MY KNEE RIGHT NOW AND ALSO EVEN STRAIGHTENING IT OUT HURTS AS WELL IF IM REALLY FLEXING THE MUSCLE SO JUST TRYING TO STAY PRETTY IMMOBILE RIGHT NOW +audio/MSK0023.mp3[225.520,234.440] OK I SEE OK AND IN TERMS OF OTHER SYMPTOMS ANY KIND OF CHEST PAIN SHORTNESS OF BREATH +audio/MSK0023.mp3[234.440,236.360] NO NOTHING LIKE THAT +audio/MSK0023.mp3[236.360,239.520] OK ANY RASHES OR SKIN CHANGES +audio/MSK0023.mp3[239.520,251.560] NO THE ONLY SKIN CHANGE THAT I THAT I HAVE IS THE LIKE BRUISING OR LOOKS LIKE YOU LIKE BLOOD AROUND MY KNEE +audio/MSK0023.mp3[251.560,255.840] OK YOU SEE IS IT WARM TO TOUCH +audio/MSK0023.mp3[255.840,265.840] UM NO NO ITS NOT WARM +audio/MSK0023.mp3[265.840,273.040] OK IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH IN THE PAST +audio/MSK0023.mp3[273.040,276.680] NO IVE BEEN HEALTHY +audio/MSK0023.mp3[276.680,281.200] OK ANY MEDICATIONS THAT YOU TAKE REGULARLY +audio/MSK0023.mp3[281.200,285.120] NO I DONT I DONT THINK ANYTHING REGULARLY +audio/MSK0023.mp3[285.120,288.880] OK ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0023.mp3[288.880,290.880] NO I DONT +audio/MSK0023.mp3[290.880,295.200] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +audio/MSK0023.mp3[295.200,299.200] NO NOTHING LIKE THAT +audio/MSK0023.mp3[299.200,308.760] OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +audio/MSK0023.mp3[308.760,329.120] UM NO NO NOTHING LIKE THAT I I I MEAN I THINK MY DAD I HAD A ROTATOR CUFF INJURY OR SOMETHING LIKE THAT BUT I MEAN HES IN HIS 50S NOW SO I THINK THAT HAPPENED AT WORK OR SOMETHING I DONT KNOW +audio/MSK0023.mp3[329.120,335.240] OK UHM OK AND OTHER THAN THAT DO YOU SO ARE YOU AT SCHOOL RIGHT NOW +audio/MSK0023.mp3[335.240,347.040] I AM YEAH IM IN GRADE GRADE 10 AND PLAYING WELL PLAYING ON THE THE HIGH SCHOOL BASKETBALL TEAM AND THATS HOW I GOT THIS INJURY HERE +audio/MSK0023.mp3[347.040,351.480] AND HAVE YOU HAD A SIMILAR INJURY AT ALL IN THE PAST +audio/MSK0023.mp3[351.480,369.880] NO I MEAN IM IVE IVE SPRAINED MY ANKLES IN THE PAST WHICH WOULD GO WOULD HEAL WITH SOME REST AFTER A FEW DAYS I NEVER GOT THOSE CHECKED OUT BECAUSE THEYRE THEY WERENT SO BAD BUT IVE NEVER INJURED MY KNEE BEFORE +audio/MSK0023.mp3[369.880,376.000] OK AND CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE +audio/MSK0023.mp3[376.000,395.360] SO I LIVE WITH BOTH OF MY PARENTS AND I ALSO HAVE A YOUNGER SIBLING A SISTER SHES 8 YEARS OLD AND WE HAVE A DOG AS WELL +audio/MSK0023.mp3[395.360,404.600] OK UHM ALRIGHT AND HAVE YOU EXPERIMENTED AT ALL WITH ANY RECREATIONAL DRUGS ALCOHOL OR SMOKING CIGARETTES +audio/MSK0023.mp3[404.600,415.040] NO NOTHING LIKE THAT I SEE KIDS AT SCHOOL UM SMOKING AND STUFF BUT YOU KNOW AS AN ATHLETE I TRY TO STAY AWAY FROM THAT KIND OF STUFF AS MUCH AS POSSIBLE +audio/MSK0023.mp3[415.040,430.360] OK NO YEAH THATS REALLY THATS REALLY GOOD THAT YOURE THINKING LIKE THAT ANY ISSUES AT SCHOOL LIKE BULLYING OR DO YOU FEEL UNSAFE EITHER AT HOME AROUND YOUR HOME ENVIRONMENT OR AT SCHOOL +audio/MSK0023.mp3[430.360,441.320] NO I DONT FEEL UNSAFE I MEAN I KNOW THERES ALWAYS THOSE KIDS AT SCHOOL WHO ARE MEAN TO OTHERS BUT I MEAN I I GENERALLY FEEL SAFE +audio/MSK0023.mp3[441.320,458.320] OK ALRIGHT SO IM JUST GOING TO ASK A FEW QUESTIONS ABOUT JUST THE EXAMINATION PART OF PART OF THIS DO YOU SO YOU MENTIONED YOU CANT FLEX YOUR KNEES AT ALL CAN YOU EXTEND THEM +audio/MSK0023.mp3[458.320,470.720] YEAH IT IT CAN UH STRAIGHTEN IT OUT ALL LIKE MOST OF THE WAY IT SEEMS LIKE ITS BENT A LITTLE STILL MAYBE FROM LIKE THE SWELLING AND ONLY I CANT STRAIGHTEN IT OUT THE FULL WAY +audio/MSK0023.mp3[470.720,478.000] OK AND THEN YOU SAID YOU NOTICED LIKE BRUISING AND KIND OF LIKE THERES BLOOD ACCUMULATING IN THAT AREA +audio/MSK0023.mp3[478.000,488.240] YEAH EXACTLY YEAH IT LOOKS LIKE IT CAUSE ITS A BIT LIKE BROWN I GUESS I CAN LIKE SEE OR ON MY KNEE I GUESS LIKE THE LIKE A BIG BRUISE +audio/MSK0023.mp3[488.240,576.480] OK I SEE OK AND YEAH SO THOSE ARE KIND OF LIKE ALL THE QUESTIONS I HAD FOR YOU IT SEEMS THAT BASED ON THE DESCRIPTION OF HOW THE INJURY HAPPENED AN THE MECHANISM AND WHAT YOURE FEELING RIGHT NOW AND IN TERMS OF THE EXAMINATION ITS POSSIBLE THAT YOU HAD KNEE LIGAMENT INJURY MOST LIKELY IN THIS CASE THE ANTERIOR CRUCIATE LIGAMENT BUT JUST TO MAKE SURE WE WILL NEED TO DO AN MRI OF YOUR KNEE AND SEE WHICH LIGAMENT IS AFFECTED AND TO WHAT EXTENT UH AND USUALLY WITH THE WITH THE DEPENDING ON WHAT WE FIND ON THE MRI SOMETIMES IT CAN BE JUST CONSERVATIVE MANAGEMENT BUT HOWEVER OFTENTIMES YOU DO REQUIRE SURGERY SO IT WOULD BE JUST A SURGERY WHERE WE PUT KIND OF LIKE A SCOPE IN INTO YOUR KNEE AND THROUGH THE SCOPE WE TRY TO FIX THE LIGAMENT SO YEAH FIRST WELL JUST DO THE MRI AND SEE TO WHAT EXTENT YOUR KNEE INJURY IS AND HOW HOW AFFECTED THE LIGAMENTS ARE AND THEN WELL GO FROM THERE DOES THAT SOUND OK +audio/MSK0023.mp3[576.480,579.880] IT DOES YEAH YEAH THANK YOU +audio/MSK0023.mp3[579.880,582.240] WELCOME ALRIGHT TAKE CARE +audio/RES0200.mp3[0.000,1.640] WHAT CAN I DO FOR YOU +audio/RES0200.mp3[1.640,32.360] HEY I I CAME IN HERE TODAY I I JUST WAS FEELING JUST A BIT SHORT OF BREATH OVER THE LAST FEW DAYS AND IVE HAD A SO I NORMALLY HAVE A COUGH BUT IVE JUST BEEN COUGHING A LOT MORE OVER THE LAST WEEK AND I DONT KNOW IF ITS IF ITS SOMETHING ELSE I I DO HAVE A COPDIAGNOSIS WHICH I WAS DIAGNOSED WITH LIKE A COUPLE YEARS AGO BUT THIS IS THIS SEEMS TO BE MUCH WORSE +audio/RES0200.mp3[32.360,40.400] OK YOU SAID YOU WERE DIAGNOSED WITH COPCOUPLE YEARS AGO WAS THAT TWO YEARS AGO THREE YEARS AGO +audio/RES0200.mp3[40.400,42.960] IT WAS ALMOST PROBABLY FIVE YEARS AGO +audio/RES0200.mp3[42.960,50.640] FIVE YEARS AGO OK AND HAVE YOU ALWAYS HAD THIS COUGH SINCE THEN +audio/RES0200.mp3[50.640,55.280] YEAH I’VE PROBABLY HAD A COUGH FOR THE LAST 10 YEARS I THINK +audio/RES0200.mp3[57.360,62.520] AND YOU YOU’VE MENTIONED THAT THIS COUGH HAS GOTTEN WORSE OVER THE LAST WEEK +audio/RES0200.mp3[62.520,76.440] YEAH IVE BEEN COUGHING A LOT MORE EVEN JUST WALKING DOWN THE STAIRS FROM MY BEDROOM TO EVEN THE KITCHEN I JUST HAVE TO TAKE A LITTLE BIT OF A BREATHER JUST START COUGHING +audio/RES0200.mp3[76.440,81.680] OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEM +audio/RES0200.mp3[81.680,96.960] NO IM BRINGING UP LIKE THIS ITS USUALLY BEFORE THIS WEEK IT WAS LIKE KIND OF A CLEAR TO YELLOW SORRY CLEAR TO WHITE MATERIAL BUT THIS PAST WEEK ITS BEEN MORE YELLOW IN COLOR +audio/RES0200.mp3[96.960,99.520] OK ANY BLOOD IN THERE +audio/RES0200.mp3[99.520,101.680] NO I MEAN NOTICE ANY BLOOD +audio/RES0200.mp3[101.680,108.280] OK AND YOU SAID YOU WERE ALSO SHORT OF BREATH UHM WHEN DID THAT START +audio/RES0200.mp3[108.280,130.320] SO THATS JUST IN THE LAST FEW DAYS BUT JUST TO CLARIFY I DO GET SHORT OF BREATH HERE AND THERE SOMETIMES I HAVE TO USE PUFFERS BUT THE LAST FEW DAYS IVE JUST BEEN REALLY SHORT OF BREATH EVEN EVEN IF I WALK A LITTLE BIT AFTER LIKE SIT DOWN AND CANT REALLY CATCH MY BREATH +audio/RES0200.mp3[130.320,138.920] OK ALRIGHT AND DO YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN +audio/RES0200.mp3[138.920,144.760] UHM NO NOT REALLY ITS MAINLY JUST WHEN IM MOVING AROUND AND DOING STUFF +audio/RES0200.mp3[144.760,150.520] OK HOW ABOUT WHEN YOURE ASLEEP DOES IT WAKE YOU UP AND KIND OF MAKE YOU GASP FOR AIR +audio/RES0200.mp3[153.320,166.560] NO OK SO NO ORTHOPNEA OR PNALRIGHT AND THE PUFFERS THAT YOURE ON CAN YOU REMIND ME WHICH ONES YOURE ON AGAIN +audio/RES0200.mp3[166.560,181.960] SO IM ON THIS ONE CALLED VENTILIN FOR THE WHICH I’VE BEEN USING A LOT MORE RECENTLY JUST FOR RELIEF AND THEN IM ON THIS OTHER PUFFER THING ITS CALLED SPIRIVA +audio/RES0200.mp3[181.960,189.640] OK HOW OFTEN HOW HOW MANY TIMES THIS WEEK HAVE YOU HAD TO USE YOUR VENTILIN +audio/RES0200.mp3[189.640,199.120] UHM VENTILIN ARE PROBABLY USED PROBABLY ALMOST LIKE 10 TIMES THIS PAST WEEK +audio/RES0200.mp3[199.120,204.280] OK ALRIGHT ANY CHEST PAIN +audio/RES0200.mp3[204.280,215.160] UHM JUST WHEN IM HAVING LIKE THOSE COUGHING FITS IN WITH THE BREATHING I FEEL SOME DISCOMFORT BUT THATS IT +audio/RES0200.mp3[215.160,222.080] OK OK ALRIGHT AND THEN ANY PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/RES0200.mp3[222.080,226.240] UH NO +audio/RES0200.mp3[226.240,233.520] OK ALRIGHT AND DO YOU EVER FEEL LIKE YOUR CALVES HURT AFTER YOU WALK AWHILE +audio/RES0200.mp3[233.520,236.200] NO NOT REALLY +audio/RES0200.mp3[236.200,241.120] NO OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0200.mp3[241.120,245.640] UHM NO NO NOT THAT I KNOW +audio/RES0200.mp3[245.640,249.920] OK NUMBNESS OR TINGLING +audio/RES0200.mp3[250.520,254.560] CONFUSION OR MEMORY LOSS +audio/RES0200.mp3[257.560,260.760] CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0200.mp3[262.120,265.160] UHM NAUSEA OR VOMITING +audio/RES0200.mp3[265.160,266.120] UH NO +audio/RES0200.mp3[266.120,270.240] CHANGES IN YOUR APPETITE +audio/RES0200.mp3[270.240,272.560] NO NOT REALLY EATING ABOUT THE SAME +audio/RES0200.mp3[272.560,275.320] OK CHANGES IN YOUR URINE +audio/RES0200.mp3[276.400,280.680] RUNNY NOSE OR STUFFY NOSE +audio/RES0200.mp3[280.680,283.160] UH NO I DON’T HAVE THAT +audio/RES0200.mp3[283.160,285.440] OK SORE THROAT +audio/RES0200.mp3[286.360,289.560] ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0200.mp3[289.880,293.640] CHANGES IN YOUR SMELL OR TASTE +audio/RES0200.mp3[293.640,295.040] NO NOT REALLY +audio/RES0200.mp3[295.040,299.080] OK HOW ABOUT WEIGHT LOSS +audio/RES0200.mp3[299.080,301.760] NO MY WEIGHTS BEEN PRETTY STEADY +audio/RES0200.mp3[301.760,306.120] OK CHILLS +audio/RES0200.mp3[306.120,318.320] UHM MAYBE A FEW TIMES THIS LIKE FROM THAT LAST COUPLE DAYS IVE BEEN FEELING A BIT CHILLY BUT I I DONT KNOW IF I HAVE A FEVER OR ANYTHING LIKE THAT +audio/RES0200.mp3[318.320,323.160] OK SO YOU HAVENT ACTUALLY MEASURED YOUR TEMPERATURE RIGHT +audio/RES0200.mp3[324.520,330.080] OK WE CAN DO THAT TODAY ANY RASHES +audio/RES0200.mp3[330.080,331.280] UH NO +audio/RES0200.mp3[335.960,344.680] OK UM AND BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS +audio/RES0200.mp3[344.680,351.080] UHM I I HAVE A LIKE HIGH CHOLESTEROL +audio/RES0200.mp3[354.440,363.800] AND JUST I I USED TO TAKE BLOOD PRESSURE MEDICATIONS BUT I DONT RIGHT NOW +audio/RES0200.mp3[363.800,369.160] OK AND WHAT KIND OF BLOOD PRESSURE MEDICATIONS DID YOU USE TO TAKE AND HOW COME YOU STOPPED +audio/RES0200.mp3[369.160,381.600] I WAS ON LIKE A DIURETIC THEN THE DOCTOR SAID LIKE MY BLOOD PRESSURE WAS REALLY WELL UNDER CONTROL SO I JUST STOPPED TAKING IT +audio/RES0200.mp3[381.600,387.080] OK OK AND THE DOCTOR WAS OK WITH THAT +audio/RES0200.mp3[387.080,395.240] UH NO I JUST STOPPED TAKING IT I DIDNT REALLY LIKE ASK THE DOCTOR +audio/RES0200.mp3[395.240,407.480] OK WELL WELL KEEP CHECKING YOUR BLOOD PRESSURE AND THATS SOMETHING YOU SHOULD KEEP AN EYE ON AS WELL JUST IN CASE OU HAVE COMPLICATIONS WITH YOUR KIDNEYS DOES THAT SOUND OK +audio/RES0200.mp3[409.600,417.160] OK UHM AND ARE YOU ON ANY MEDICATIONS OTHER THAN THE PUFFERS +audio/RES0200.mp3[417.160,420.200] JUST A TORVA STATEN +audio/RES0200.mp3[420.200,424.920] FOR YOUR CHOLESTEROL OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0200.mp3[424.920,429.200] YEAH NOT EVEN A VACCINE +audio/RES0200.mp3[429.200,431.520] PARDON ME +audio/RES0200.mp3[431.520,434.400] I EVEN GOT THE CORONAVIRUS VACCINE +audio/RES0200.mp3[434.400,441.840] OK GOOD CONGRATS DID YOU ALSO GET THE SHINGLES VACCINE AND THE PNEUMOCOCCAL VACCINE +audio/RES0200.mp3[441.840,444.320] YEAH I GOT THEM +audio/RES0200.mp3[444.320,447.480] OK OK GOOD ANY ALLERGIES +audio/RES0200.mp3[447.480,450.360] UH NO NOT THAT I KNOW +audio/RES0200.mp3[450.360,456.880] HOW ABOUT A FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0200.mp3[456.880,474.960] UHM MY FATHER HAD LUNG CANCER BUT HE SMOKED A LOT I ALSO SMOKE SO I SOMETIMES WORRY ABOUT THAT BUT HE HAD CANCER AND MY MOTHER SHE WAS PERFECTLY HEALTHY YEAH SO JUST MY FATHER +audio/RES0200.mp3[474.960,478.080] JUST YOUR FATHER OK HOW MUCH DO YOU SMOKE +audio/RES0200.mp3[478.080,491.920] PROBABLY HALF A PACK A DAY IT USED TO BE ONE PACK EVEN 2 PACKS AT ONE POINT IN TIME BUT RIGHT NOW ITS HALF THE PACKAGING +audio/RES0200.mp3[491.920,512.720] OK ALRIGHT WELL ITS GOOD THAT YOURE CUTTING DOWN AND IF YOU NEED MORE RESOURCES TO HELP YOU DO THAT WE HAVE SOME AVAILABLE THAT WE CAN REFER YOU TO DO YOU TAKE ANY OTHER RECREATIONAL DRUGS LIKE CANNABIS HEROIN COCAINE +audio/RES0200.mp3[512.720,516.520] NO NOTHING LIKE THAT NO +audio/RES0200.mp3[516.520,521.320] OK AND DO YOU DRINK ALCOHOL +audio/RES0200.mp3[521.320,529.760] UM JUST PROBABLY MAYBE LIKE A COUPLE TIMES A MONTH +audio/RES0200.mp3[529.760,536.240] COUPLE TIMES A MONTH OK AND ARE YOU CURRENTLY MARRIED +audio/RES0200.mp3[536.240,542.200] YEAH I CURRENTLY LIVE WITH MY SORRY WIFE IN AN APARTMENT +audio/RES0200.mp3[542.200,553.280] OK AND ANY REASON FOR YOU TO BELIEVE YOU HAVE OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS +audio/RES0200.mp3[553.280,558.160] NO NOTHING LIKE THAT WE LIVE IN LIKE A FAIRLY NEW APARTMENT +audio/RES0200.mp3[558.160,565.600] OK OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY +audio/RES0200.mp3[565.600,572.720] NO NOT NOT REALLY WIE’VE BEEN JUST TO OURSELVES +audio/RES0200.mp3[572.720,576.800] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0200.mp3[576.800,580.120] NO JUST BEEN ON OUR HOUSE +audio/RES0200.mp3[580.120,588.320] OK ALRIGHT WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0200.mp3[588.320,593.400] UH YEAH I WAS JUST WONDERING WHAT THIS CAN BE +audio/RES0200.mp3[593.400,674.480] YEAH YOU KNOW IT SOUNDS LIKE YOU HAVE A COUGH AND SHORTNESS OF BREATH AND BOTH OF THESE THINGS YOUVE HAD FOR A WHILE BUT NOW THEYRE GETTING WORSE AND BASED ON YOUR PAST HISTORY OF COPI WOULD SAY THIS SOUNDS LIKE A COPEXACERBATION SO FOR THAT WE WILL START OFF WITH SOME BASIC BLOOD WORK LIKE CBC ELECTROLYTES YOUR KIDNEY FUNCTION ABG’S AS WELL AS LIKE A CHEST X RAY AND BASICALLY WE SHOULD TREAT IT WERE GOING TO TAKE YOUR OXYGEN SATURATION AN GIVE YOU SOME EXTRA OXYGEN IF YOU NEED WE’LL CONTINUE TO USE YOUR BRONCHODILATORS AN AND IN ADDITION TO BOTH OF THAT WILL ALSO GIVE YOU SOME STEROIDS AS WELL AS ANTIBIOTICS AND JUST TO PREVENT ANY INFECTIONS OR IF YOU ALREADY HAVE IT THEN IT CAN HELP WITH THAT AS WELL AND BECAUSE YOUR SYMPTOMS SOMEWHAT OVERLAP WITH THOSE OF COVID WILL ALSO DO A COVID SWAB JUST TO MAKE SURE ITS NOT THAT AND YOU SHOULD HEAR BACK ABOUT THOSE RESULTS IN 24 TO 48 HOURS HOW DOES THAT SOUND +audio/RES0200.mp3[674.480,676.320] THAT SOUNDS GOOD THANK YOU +audio/RES0200.mp3[676.320,679.360] OK YEAH NO PROBLEM +audio/MSK0011.mp3[0.000,2.120] WHAT BRINGS YOU HERE TODAY +audio/MSK0011.mp3[2.120,37.000] YEAH I HAD LAST NIGHT UM SO IM HAVING THIS PAIN IN MY RIGHT WRIST YEAH BUT LAST NIGHT I I TRIPPED OVER SOMETHING AND I I ENDED UP LIKE LANDING ON MY HAND TO HELP BREAK THE FALL AND THIS MORNING I WOKE UP AND I HAVE SOME LIKE BRUISING ON MY HAND AND ITS ITS REALLY SORE TO TOUCH IT +audio/MSK0011.mp3[37.000,40.560] OK AND WHICH RIGHT WHICH HAND IS THIS +audio/MSK0011.mp3[40.560,43.120] ITS MY RIGHT HAND +audio/MSK0011.mp3[43.120,47.200] OK AND WHEN YOU HAD YOUR FALL WHEN WAS YOUR FALL +audio/MSK0011.mp3[47.200,60.720] SO IT WAS LAST NIGHT PROBABLY LIKE AT 1000 PM SOMETHING LIKE THAT WENT OUT WITH A FEW FRIENDS FOR DINNER AND DRINKS +audio/MSK0011.mp3[60.720,67.880] OK AND DO YOU REMEMBER HOW HIGH YOU FELL FROM OR WHAT WHAT YOU FELL ONTO +audio/MSK0011.mp3[67.880,83.720] YEAH I WAS STANDING HEIGHT WE WERE JUST KIND OF WALKING DOWN THE STREET AND I TRIPPED OVER SOMETHING ON THE CURB I THINK THERE IS THAT YEAH MAYBE LIKE A POTHOLE OR SOMETHING LIKE THAT AND SO I FELT RIGHT ONTO THE CONCRETE WITH MY HAND +audio/MSK0011.mp3[83.720,88.080] OK DID YOU HIT YOUR HEAD AT ALL OR LOSE CONSCIOUSNESS +audio/MSK0011.mp3[88.080,90.480] NO NOTHING LIKE THAT +audio/MSK0011.mp3[90.480,95.200] OK SO IT WAS IT WAS MAINLY YOUR HAND THAT GOT INJURED +audio/MSK0011.mp3[95.200,98.560] YEAH IT WAS JUST IT MOSTLY RIGHT MY HAND +audio/MSK0011.mp3[98.560,107.120] OK AND ARE YOU HAVING ANY PAIN ON MOVEMENT OR IF YOU PRESS ON IT +audio/MSK0011.mp3[107.120,117.240] UM YEAH I DO GET SOME PAIN PAIN IF IM TRYING TO MOVE THE WRIST AROUND AND IT HURTS HER TO PRESS ON IT AS WELL +audio/MSK0011.mp3[117.240,121.040] OK AND DO YOU NOTICE ANY KIND OF SWELLING OR BRUISING +audio/MSK0011.mp3[121.040,124.120] I DO YES THERES SOME SWELLING AND BRUISING +audio/MSK0011.mp3[124.120,132.680] OK AND IF YOU HAD TO DESCRIBE WHERE THE SWELLING AND BRUISING IN THE PAIN ARE HOW WOULD YOU DESCRIBE IT +audio/MSK0011.mp3[132.680,152.240] UM SO I HAVE A SHARP PAIN RIGHT AT MY WRIST I KIND OF I FEEL IT MOSTLY AT THE BASE OF MY THUMB KIND OF RIGHT AT THE WRIST AND THATS WHERE THE SWELLING AND BRUISING IS AS WELL +audio/MSK0011.mp3[152.240,161.920] OK AND IS IT RIGHT UNDER YOUR PALM OR UH AT THE BACK OF YOUR HAND ON THE WRIST +audio/MSK0011.mp3[161.920,166.360] AT THE BACK OF THE HAND AT THE WRIST AND BASE OF THE THUMB +audio/MSK0011.mp3[166.360,173.920] OK OK ALRIGHT AND WHAT KIND OF PAIN ARE YOU FEELING IS THIS SHARP IS IT A DULL ACHING +audio/MSK0011.mp3[173.920,180.040] OH YEAH ITS REALLY SHARP IT FEELS LIKE SORRY JUST STABBING ME IN THE HAND +audio/MSK0011.mp3[180.040,188.160] OK AND HOW HOW MUCH WOULD YOU RATE THE PAIN ON A SCALE OF ZERO TO 1010 BEING THE WORST PAIN YOU FELT IN YOUR LIFE +audio/MSK0011.mp3[188.160,197.720] IF IM NOT MOVING IT AROUND ITS A THREE BUT IF I MOVE IT IT GOES UP TO LIKE A 9 OUT OF 10 +audio/MSK0011.mp3[197.720,203.000] OK AND IS IT RADIATING OR MOVING ANYWHERE ELSE ONTO YOUR HAND +audio/MSK0011.mp3[203.000,205.920] NO I DONT FEEL IT ANYWHERE ELSE +audio/MSK0011.mp3[205.920,213.520] OK AND DO YOU HAVE ANY KIND OF PINS AND NEEDLES SENSATION TINGLING OR NUMBNESS ANYWHERE IN YOUR HANDS +audio/MSK0011.mp3[213.520,217.360] NO NOTHING LIKE THAT +audio/MSK0011.mp3[217.360,221.960] OK ANYTHING THAT MAKES THE PAIN WORSE OR BETTER +audio/MSK0011.mp3[221.960,244.120] UM YEAH I TRIED SOME ANTIINFLAMMATORIES THAT DID HELP WITH TAKING THE EDGE OFF A LITTLE BIT AND BUT THE PAIN JUST CAME RIGHT BACK AND THEN ALSO LIKE JUST MOVING IT AT ALL HURTS EVEN TEXTING ON MY PHONE WAS REALLY BUGGING ME +audio/MSK0011.mp3[244.120,251.360] OK YEAH SO WE DEFINITELY UH YOU WENT SO YOU HAD THE FALL YESTERDAY OR +audio/MSK0011.mp3[251.360,255.560] YEAH IT WAS YESTERDAY +audio/MSK0011.mp3[255.560,267.320] OK OK ALRIGHT SO WHEN DID IT START HURTING DID IT START HURTING RIGHT AWAY OR HAS IT GOTTEN WORSE AT ALL +audio/MSK0011.mp3[267.320,276.720] YEAH IT STARTED HURTING RIGHT AWAY AND ITS WELL THIS MORNING ITS A A BIT WORSE YEAH +audio/MSK0011.mp3[276.720,286.200] OK DO YOU HAVE ANY OTHER SYMPTOMS AT ALL LIKE FEVER CHILLS HEADACHE ANYTHING LIKE THAT +audio/MSK0011.mp3[287.160,288.960] ANY DIZZINESS OR FAINTING +audio/MSK0011.mp3[291.160,295.280] OK ANY DIARRHEA CONSTIPATION +audio/MSK0011.mp3[296.520,300.520] ANY CHANGES IN YOUR VISION HEARING A BALANCE +audio/MSK0011.mp3[300.520,302.760] NOPE NOTHING LIKE THAT +audio/MSK0011.mp3[302.760,309.040] OK BUT YEAH SO YOUR MAIN CONCERN TODAY IS THIS PAIN IN YOUR WRIST +audio/MSK0011.mp3[309.040,311.560] YEAH EXACTLY +audio/MSK0011.mp3[311.560,326.320] OK ALRIGHT AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH +audio/MSK0011.mp3[326.320,334.840] YEAH I DO I HAVE A ASTHMA AND I USE AN ORANGE INHALER DAILY ITS BEEN WELL CONTROLLED ILL USE I HAVENT USED THE BLUE ONE IN AWHILE +audio/MSK0011.mp3[334.840,342.360] OK SO ITS PRETTY WELL CONTROLLED YEAH AND DO YOU TAKE ANY OTHER MEDICATIONS AT ALL +audio/MSK0011.mp3[342.360,345.440] JUST A MULTI VITAMIN +audio/MSK0011.mp3[346.320,349.680] AND VITAMIN AS WELL +audio/MSK0011.mp3[349.680,358.040] OK ALRIGHT AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES +audio/MSK0011.mp3[358.040,373.880] YEAH I HAD MY MY TONSILS OUT AND MY WISDOM TEETH OUT WHEN I WAS A TEENAGER AND OR TONSILS WHEN I WAS A KID ACTUALLY UM AND A CSECOND FOR MY SON +audio/MSK0011.mp3[373.880,378.480] OK ANY COMPLICATIONS AT ALL WITH THAT AT ALL +audio/MSK0011.mp3[378.480,383.480] NO NO EVERY EVERY THAT WAS OK +audio/MSK0011.mp3[383.480,390.600] OK OK AND HAVE YOU INJURED YOUR RIGHT HAND OR BROKEN ANY BONES BEFORE +audio/MSK0011.mp3[390.600,391.600] NO I HAVENT +audio/MSK0011.mp3[391.600,396.720] OK SO THIS IS THE FIRST INJURY ON YOUR RIGHT HAND +audio/MSK0011.mp3[398.040,404.520] OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS AT ALL +audio/MSK0011.mp3[404.520,423.600] YEAH MY MY UNCLE DIED OF A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY GRANDFATHER ALSO HAD HAD A HEART ATTACK AS WELL UM YEAH THATS ABOUT IT +audio/MSK0011.mp3[423.600,438.560] OK AND IN TERMS OF YOUR WORK DO YOU WORK CURRENTLY +audio/MSK0011.mp3[438.560,457.280] UM YEAH I DO I I WORK UM IN A RESTAURANT AND SO AND THIS WILL BE A DIFFICULT FOR MY JOB COMING UP WITH AN INJURED WRIST I AND HAND I I JUST RESTARTED AND ILL HAVE TO BE CARRYING A LOT OF DIFFERENT THINGS AND SO I JUST HOPE ITS NOT BROKEN +audio/MSK0011.mp3[457.280,482.080] OH I SEE YEAH IT MIGHT DEFINITELY THATS THAT MIGHT BE CONCERNING IF YOU KNOW WELL WELL GET THAT CHECK THOUGH ON X RAY AND EVERYTHING BUT WE JUST NEED TO DO A FEW FEW MORE QUESTIONS AND SOME EXAMINATION AS WELL HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW +audio/MSK0011.mp3[482.080,492.440] OH SO IM LIVING ON ON MY OWN ACTUALLY IN AN APARTMENT +audio/MSK0011.mp3[492.440,498.560] OK AND DO YOU CURRENTLY SMOKE +audio/MSK0011.mp3[498.560,506.280] UM NO IVE I IVE NEVER SMOKED I COULDNT WITH HAVING ASTHMA SO I JUST STAYED AWAY FROM ALL OF THAT +audio/MSK0011.mp3[506.280,511.920] OK OK AND DO YOU DRINK ALCOHOL +audio/MSK0011.mp3[511.920,522.000] YEAH I DO I I HAVE A COUPLE OF BOTTLES OF WINE PER WEEK +audio/MSK0011.mp3[522.000,529.200] OK ALRIGHT UH A COUPLE OF BOTTLES A WEEK SO HOW MUCH WOULD YOU HAVE IN AN AVERAGE DAY +audio/MSK0011.mp3[529.200,533.680] ILL PROBABLY I GUESS PROBABLY LIKE TWO OR THREE GLASSES OF WINE A DAY +audio/MSK0011.mp3[533.680,571.960] OK YEAH SO WE DEFINITELY RECOMMEND FOR WOMEN UH TO LIMIT THEMSELVES TO AN MAYBE ONE TO TWO MAX 2 GLASSES OF WINE A DAY AS IT CAN HAVE HEALTH EFFECTS IN THE FUTURE IN TERMS OF DRINKING AND ON YOUR LIVER OK AND OTHER THAN THAT I JUST HAD A FEW QUESTIONS DO ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0011.mp3[571.960,577.040] NO STAYED AWAY FROM THAT AS WELL +audio/MSK0011.mp3[577.040,590.280] OK OK SO IM JUST GOING TO ASK YOU QUESTIONS ABOUT SPECIFICALLY TO EXAMINE YOUR WRIST SO YOU NOTICE SO CAN YOU ARE YOU ABLE TO MOVE YOUR WRIST AROUND ARE YOU ABLE TO MAKE A FIST +audio/MSK0011.mp3[590.280,600.400] I I CAN BUT IT I CANT REALLY BAD MY THUMB AND IT IT IT HURTS A LOT SO I CAN BEND MY FINGERS BUT MY THUMB IS KINDA OUT +audio/MSK0011.mp3[600.400,608.800] OK DUE TO THE JOINTS IN YOUR THUMB HURT AT ALL +audio/MSK0011.mp3[608.800,610.080] UM NO +audio/MSK0011.mp3[610.080,616.800] OK AN ANY PAIN ANYWHERE ELSE LIKE ON YOUR FINGERS OR YOUR ELBOW +audio/MSK0011.mp3[618.800,631.120] OK AND WHAT MOVEMENT WOULD YOU SAY HURTS THE MOST +audio/MSK0011.mp3[631.120,636.840] I I PROBABLY JUST MOVING THE THE WRIST LIKE FLEXING AND EXTENDING THE WRIST +audio/MSK0011.mp3[636.840,643.560] OK AND WHERE THE SWELLING YOU SAID IS AT THE BASE OF THE THUMB RIGHT +audio/MSK0011.mp3[643.560,649.480] YEAH EXACTLY AT THE BASE OF THE THUMB ON THE ON THE BACK OF THE HAND THERE ARE SOME BAD BRUISING AND SWELLING THERE +audio/MSK0011.mp3[649.480,652.840] OK IS IT WARM AT ALL TO TOUCH +audio/MSK0011.mp3[652.840,658.040] NO IT DOESNT FEEL WARM +audio/MSK0011.mp3[658.040,665.400] OK OK AND IF YOU PRESS ON ARE YOU GETTING ANY BONY PAIN IN THAT AREA LIKE IF YOU PRESS ON A BONE +audio/MSK0011.mp3[665.400,681.160] YEAH LIKE I MEAN IF I THERES ONE SPOT THAT IF I PRESS DOWN ON IT ITS LIKE 10 OF THE 10 PAIN IT HURTS REALLY BAD IF I PRESS AT THE BASE OF MY THUMB THERE +audio/MSK0011.mp3[681.160,741.880] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE DEFINITELY NEED TO SINCE YOURE HAVING PAIN ON JUST TELL PALPATE PALPATING THE AREA THERE SWELLING REDNESS AND YOU DID HAVE A FALL AND YOU LANDED ON YOUR YOU CAUGHT YOURSELF WITH YOUR HAND THERE IS A COMMON FRACTURE THAT CAN HAPPEN IN THOSE CIRCUMSTANCES TO YOUR WRIST AND SO WE NEED TO DO AN XRAY AND WE WILL SEE IF YOU HAVE A FRACTURE OR NOT BUT WE ALSO NEED TO SEE IF WE NEED TO GET A CAST FOR YOU OR IF IF WE CAN MANAGE YOUR INJURY WITH A SPLINT OR AND THEN BASED ON WHAT WE SEE AND IF YOUR PHYSICAL EXAMINATION WE WILL DETERMINE HOW LONG YOU NEED TO BE IN A CAST OR SPLINT AND THEN WELL GO FROM THERE +audio/MSK0011.mp3[741.880,745.640] OK THAT SOUNDS GOOD THANK YOU +audio/MSK0010.mp3[0.000,1.360] HOW MAY I HELP YOU +audio/MSK0010.mp3[1.360,16.520] I JUST CAME IN HERE TODAY IVE BEEN HAVING A LOT OF SHOULDER PAIN THATS JUST KIND OF LEFT ME NOT DOING ANY OF MY ACTIVITIES RECENTLY JUST IN MY LEFT SHOULDER +audio/MSK0010.mp3[16.520,20.600] OK AND WHEN WHEN DID THIS PAIN START +audio/MSK0010.mp3[20.600,38.640] IT STARTED 5 DAYS AGO BUT IT BECAME PRETTY BAD AND IVE BEEN KIND OF HAVING LIKE A SOMEWHAT OF A PAIN FOR THE LAST COUPLE WEEKS BUT IT GOT REALLY BAD JUST THIS WEEK +audio/MSK0010.mp3[38.640,46.680] OK DID YOU HAVE ANY TRAUMA TO THE SHOULDER LIKE ANY ANY INJURIES OR TRIGGERS THAT COULD HAVE CAUSED THE PAIN +audio/MSK0010.mp3[46.680,64.720] UHM I HAVE BEEN JUST GOING TO THE GYM MORE FREQUENTLY OVER THE LAST FEW MONTHS AND LIFTING WEIGHTS AND THINGS LIKE THAT BUT JUST THIS WEEK I WASNT EVEN REALLY ABLE TO DO THAT EITHER +audio/MSK0010.mp3[64.720,79.120] OK WHEN YOU WERE LIFTING WEIGHTS LIKE A FEW DAYS AGO LIKE WAS THERE AN EPISODE WHERE THERE WAS AN ACUTE ONSET OF THE PAIN WHERE IT GOT WORSE KIND OF LIKE RIGHT AWAY +audio/MSK0010.mp3[79.120,101.640] I THINK IT WAS MORE PROGRESSIVE BUT FIVE DAYS AGO I DO FEEL THAT THERE WAS LIKE JUST I WAS HAVING SOME PAIN BEFORE THAT BUT THEN I JUST NOTICED WHILE WORKING ON I I STARTED HAVING MORE PAIN BUT YEAH I DONT THINK THERE WAS ANYTHING LIKE SUDDEN THAT HAPPENED THOUGH +audio/MSK0010.mp3[101.640,112.400] OH OK BUT IT YEAH IT WAS PROGRESSING AND THEN IT GOT ACUTELY WORSE WITH THE WEIGHT LIFTING IT SOUNDS LIKE +audio/MSK0010.mp3[112.400,124.400] MAYBE LIKE I DID INCREASE MY WEIGHT LIKE IN THE LAST TWO WEEKS SO I DID FEEL LIKE A LITTLE BIT MORE PAIN WITH THE INCREASE LAST WEEK +audio/MSK0010.mp3[124.400,134.320] OK I SEE AN IN THE LEFT SHOULDER DO YOU FEEL THE PAIN AT THE FRONT AT THE SIDES OR OR BACK +audio/MSK0010.mp3[134.320,141.160] IT HURTS PARTICULARLY LIKE IN THE FRONT PART OF THE SHOULDER +audio/MSK0010.mp3[141.160,148.480] OK DO YOU FEEL THAT ITS RADIATING ANYWHERE ELSE +audio/MSK0010.mp3[148.480,154.520] JUST MY WHOLE LEFT SHOULDER NOTHING ELSE REALLY +audio/MSK0010.mp3[154.520,163.800] OK AND COULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN IS IT SHARP OR IS IT A KEY +audio/MSK0010.mp3[163.800,167.080] ITS MORE ACHY +audio/MSK0010.mp3[167.680,176.920] BUT BUT CERTAIN LIKE SOME MOVEMENTS SO IT CAN GET LIKE KIND OF SHARP +audio/MSK0010.mp3[176.920,186.480] OK AND HAS THERE BEEN ANYTHING THAT HAS MADE THE PAIN WORSE +audio/MSK0010.mp3[186.480,198.120] UHM IF I JUST IF I CARRY ANYTHING WITH MY LEFT ARM OR IF I HAVE TO LIFT ANYTHING OR PLACE IT ON MY SHOULDER LIKE IT REALLY HURTS +audio/MSK0010.mp3[198.120,203.760] OK AND HAVE YOU DONE ANYTHING THATS MADE IT BETTER +audio/MSK0010.mp3[203.760,214.320] I JUST LIKE RESTING IT NOT CARRYING ANYTHING AND TRYING NOT TO LIE ON MY SHOULDER +audio/MSK0010.mp3[214.320,217.520] OK SO YOURE SLEEPING ON THE OTHERS ON THE RIGHT SIDE THEN +audio/MSK0010.mp3[219.360,226.800] OK ALRIGHT HOW WOULD WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF 1 TO 10 +audio/MSK0010.mp3[226.800,241.880] UHM IF IM NOT DOING IT DOING ANYTHING OR NOT DOING MUCH ITS PROBABLY LIKE A TWO OR THREE BUT IF I TRY TO CARRY ANYTHING IT GOES UP TO LIKE PROBABLY LIKE A 7 +audio/MSK0010.mp3[241.880,258.800] OK UH AND UM DO YOU DO ANY REPETITIVE KIND OF LIKE OVERHEAD ACTIVITIES THINGS LIKE PLAYING BASKETBALL OR JUST LIFTING THINGS LIKE ABOVE YOUR HEAD AT THE GYM +audio/MSK0010.mp3[258.800,292.720] UM NOT RECENTLY JUST JUST LIKE NORMAL WEIGHT EXERCISE MAYBE WITH THE BANDS I DO SOME OVERHEAD EXERCISES BUT IN TERMS OF SPORTS I I PLAY OR I USED TO PLAY A LOT OF TENNIS I DID HAVE SOME ISSUES WITH THE SAME SHOULDER WHICH IS WHY I KIND OF STOPPED PLAYING TENNIS MY DOCTOR SAID IT I MIGHT HAVE OVERUSED THAT SHOULDER BUT THATS THAT WAS LIKE A COUPLE OF YEARS BACK SO I THOUGHT IT MUST HAVE HEALED BY NOW +audio/MSK0010.mp3[292.720,297.280] OK SO PREVIOUS OVERUSE INJURY OF THE LEFT SHOULDER +audio/MSK0010.mp3[299.040,305.480] OK AND UH IM HAVE YOU HAD ANY TRAUMA TO THE SHOULDER +audio/MSK0010.mp3[305.480,310.760] UM NO NOT THAT I KNOW OF +audio/MSK0010.mp3[310.760,315.800] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0010.mp3[317.160,321.800] HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0010.mp3[322.600,327.600] OK HAVE YOU HAD ANY SKIN RASHES OR OR SKIN CHANGES +audio/MSK0010.mp3[329.200,334.000] OK SO EVEN OVER THE AREA YOU HAVENT NOTICED ANY REDNESS OR LIKE SOFT TISSUE SWELLING +audio/MSK0010.mp3[334.560,339.280] OK HAVE YOU HAD ANY CHEST PAIN +audio/MSK0010.mp3[340.320,345.040] OK HOW ABOUT ANY SHORTNESS OF BREATH +audio/MSK0010.mp3[345.040,349.080] NO NOT THAT IVE NOTICED +audio/MSK0010.mp3[349.080,355.560] OK HAVE YOU HAD PAINS AND ANY OTHER JOINTS +audio/MSK0010.mp3[355.560,359.200] NO JUST MY SHOULDER +audio/MSK0010.mp3[359.200,371.880] OK AND UM HAVE YOU HAD ANY RECENT INFECTIONS OR OR SYMPTOMS SUCH AS LIKE A RUNNY NOSE OR SORE THROAT OR EVEN A COUGH +audio/MSK0010.mp3[371.880,376.280] NO NOTHING LIKE THAT +audio/MSK0010.mp3[376.280,384.600] OK AND HOW ABOUT ANY NAUSEA OR VOMITING +audio/MSK0010.mp3[384.600,389.160] UM NOPE +audio/MSK0010.mp3[389.160,397.240] OK AND UM HOW HAS YOUR SLEEP BEEN THESE PAST COUPLE OF NIGHTS SO YOU MENTIONED YOU HAVENT BEEN ABLE TO LAY ON YOUR LEFT SIDE +audio/MSK0010.mp3[397.240,408.280] YEAH ITS BEEN PRETTY PAINFUL LIKE I KIND OF WAKE UP EVERY TIME I ACCIDENTALLY GO ON TO MY LEFT SIDE +audio/MSK0010.mp3[408.280,412.000] OK SO YOURE GETTING WORSE THING A PAIN AT NIGHT +audio/MSK0010.mp3[412.520,425.760] OK HAVE YOU HAD ANY WEAKNESS DO YOU FEEL LIKE YOU HAVE LESS STRENGTH IN YOUR ARM +audio/MSK0010.mp3[425.760,438.840] UM I DO YOU FEEL THAT THERE MIGHT BE SOME LESS STRENGTH IN MY LEFT ARM BUT ITS IM NOT REALLY USING IT MUCH SO ITS HARD TO TELL +audio/MSK0010.mp3[438.840,453.080] OK AND HOW ABOUT A RANGE OF MOTION DO YOU FEEL AS THOUGH YOU COULD LIFT YOUR LEFT ARM UP TO LIKE SCRATCH YOUR HEAD AND BACK +audio/MSK0010.mp3[453.080,459.840] IT DOES HURT LIKE WHEN I TRY TO LIFT MY ARM UP +audio/MSK0010.mp3[459.840,464.960] OK SO IT SOUNDS LIKE A RANGE OF MOTION IS DECREASED +audio/MSK0010.mp3[466.480,478.600] OK AND HAVE YOU HAD ANY ALTERED SENSATION OF YOUR ARMS BEING LIKE NUMBNESS OR TINGLING +audio/MSK0010.mp3[478.600,482.720] NO I HAVENT FELT ANY OF THAT +audio/MSK0010.mp3[482.720,488.720] OK UM AND HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE CONSTIPATION OR DIARRHEA +audio/MSK0010.mp3[488.720,490.560] NOPE NOTHING LIKE THAT +audio/MSK0010.mp3[490.560,492.840] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0010.mp3[493.960,498.760] AND HAVE YOU HAD ANY URINARY PROBLEMS +audio/MSK0010.mp3[500.160,505.320] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0010.mp3[505.320,514.440] UH NO IVE BEEN A PRETTY HEALTHY ACTUALLY JUST JUST THAT OVERUSE INJURY LIKE TWO YEARS AGO +audio/MSK0010.mp3[514.440,518.240] OK GREAT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0010.mp3[519.880,522.320] OK DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/MSK0010.mp3[522.320,531.560] JUST RECENTLY IVE BEEN TAKING A LOT MORE OF THE ADVIL BUT THATS ABOUT IT +audio/MSK0010.mp3[531.560,537.000] OK I AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +audio/MSK0010.mp3[537.000,541.440] NO NO PRIOR SURGERIES OR HOSPITALIZATIONS +audio/MSK0010.mp3[541.440,551.120] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS +audio/MSK0010.mp3[551.120,562.720] YEAH SO IM LIVING WITH WITH MY WIFE IN A SMALL CONDOMINIUM IN DOWNTOWN +audio/MSK0010.mp3[562.720,565.160] OK AND ARE YOU WORKING CURRENTLY +audio/MSK0010.mp3[565.160,570.640] YEAH IM WORKING AS A REAL ESTATE AGENT +audio/MSK0010.mp3[570.640,577.720] OK UH AND DO YOU DRINK ALCOHOL +audio/MSK0010.mp3[577.720,583.400] RARELY JUST ON SOME OCCASIONS BUT NOT REGULARLY +audio/MSK0010.mp3[583.400,588.760] NO OK HOW ABOUT SMOKING CIGARETTES OR CANNABIS +audio/MSK0010.mp3[588.760,591.040] NO IVE NEVER SMOKED +audio/MSK0010.mp3[591.040,597.120] DO YOU USE ANY RECREATIONAL DRUGS OR HAVE YOU IN THE PAST +audio/MSK0010.mp3[601.040,611.600] OK UM AND SO SO THE NEXT PART JUST FOR THE PHYSICAL EXAM SO DO YOU HAVE PAIN WITH SHOULDER AB DUCTION +audio/MSK0010.mp3[611.600,629.200] UHM YES SO JUST TO YEAH I DO HAVE SOME PAIN ESPECIALLY FROM YEAH YEAH PAIN THROUGHOUT AB DUCTION +audio/MSK0010.mp3[629.200,638.520] OK IS THERE ANY LIKE PAIN THATS LIKE PARTS OF THAT THAT RANGE OF MOTION THAT ARE MORE PAINFUL FOR YOU +audio/MSK0010.mp3[638.520,652.440] YEAH SO PROBABLY FROM 60 DEGREES TO 120 DEGREES IS MORE PAINFUL +audio/MSK0010.mp3[652.440,665.200] OK AND IF YOUR ARM IS OUTSTRETCHED AND YOUR THUMB POINTING DOWN SO YOUR ARM IS INTERNALLY ROTATED DOES THAT GIVE YOU PAIN +audio/MSK0010.mp3[665.200,682.840] YEAH IF YEAH NOT NOT JUST LIKE THAT BUT IF YOU WERE TO LIKE PRESS DOWN ON IT IT THE INTERNAL ROTATION DOES CAUSE A LITTLE BIT OF PAIN +audio/MSK0010.mp3[682.840,695.160] OK OK SO IT SOUNDS LIKE A POSITIVE JOBES TEST AND A POSITIVE NEERS TEST AS WELL AS A PAINFUL ARC FOR YOUR SHOULDER AND IS THERE PAIN TO PALPATION +audio/MSK0010.mp3[695.160,713.560] UH JUST TO YEAH DEFINITELY JUST AT THE FRONT OF THE SHOULDER THERE IS SOME SOME PAIN OVER WITH PALPATION +audio/MSK0010.mp3[713.560,741.720] OK THAT SENSATION IS NORMAL REFLEXES ARE NORMAL AND STRENGTH IS SLIGHTLY REDUCED AS WELL OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK ON THE PHYSICAL EXAM AS WELL WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY THAT I MAYBE FORGOT +audio/MSK0010.mp3[741.720,744.280] NO I THINK THATS IT +audio/MSK0010.mp3[744.280,808.880] OK UM SO BASED ONI KNOW THAT THE SYMPTOMS TODAY ALONG WITH YOUR AGE AND PRIOR HISTORY OF AN OVERUSE INJURY OF THE LEFT SHOULDER IT CERTAINLY RAISES CONCERN OF HAVING A ROTATOR CUFF TEAR OR UM A ROTATOR CUFF IMPINGEMENT SYNDROME AND WHERE THERE IS INFLAMMATION THERE NOT NECESSARILY ACTUALLY A FULL TEAR OF THE MUSCLE THATS CAUSING THE PAIN SO UH THOSE WOULD BE THE TWO MOST LIKELY THINGS YEAH THEIR ROTATOR CUFF TEAR OR SUBACROMIAL IMPINGEMENT SYNDROME AND SO WE WERE GOING TO GET AN ULTRASOUND OF THE LEFT SHOULDER TO EVALUATE THE STRUCTURES AND POSSIBLY SOME OTHER IMAGING SUCH AS AN X RAY OR MRI TO DETERMINE THE EXTENT OF THE INJURY IN THE LEFT SHOULDER +audio/MSK0010.mp3[808.880,815.200] OK SOUNDS GOOD THANK YOU +audio/RES0194.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY +audio/RES0194.mp3[2.280,20.160] HI I’VE COME IN TODAY BECAUSE I HAD THIS COUGH IT STARTED THREE DAYS AGO AND SINCE THAT TIME IVE ALSO STARTED TO HAVE UM THESE HEADACHES AND BEEN FEELING REALLY KINDA ACHY ALL OVER +audio/RES0194.mp3[20.160,24.280] OK SO WHAT WHAT KIND OF STARTED FIRST TO COUGH OR THE ACHES +audio/RES0194.mp3[24.280,27.760] THE COUGH STARTED FIRST +audio/RES0194.mp3[27.760,30.440] OK AND IS IT DRY COUGH OR A WET COUGH +audio/RES0194.mp3[30.440,31.840] ITS DRY +audio/RES0194.mp3[31.840,37.640] OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD OR ANYTHING LIKE THAT +audio/RES0194.mp3[37.640,42.920] NO IM NOT COUGHING UP ANY SPUTUM OR OR BLOOD +audio/RES0194.mp3[42.920,59.800] OK THATS GOOD AND THE MUSCLE ACHES UH SO WERE YOU DOING ANYTHING RECENTLY LIKE ANYTHING STRENUOUS INCREASED EXERCISE LIFTING ANYTHING OR ANY INJURIES AT ALL RECENTLY +audio/RES0194.mp3[59.800,64.800] NO NOT NOTHING I CAN THINK OF LIKE THAT +audio/RES0194.mp3[64.800,68.720] OK AND WHERE ARE YOU GETTING YOUR MUSCLE ACHES +audio/RES0194.mp3[68.720,74.320] ITS LIKE KIND OF ALL OVER THE FEEL JUST GENERALLY ACHY +audio/RES0194.mp3[74.320,84.040] OK GENERALLY ACHE OK AND ARE YOU GETTING ANY KIND OF HEADACHES OR ANYTHING LIKE THAT +audio/RES0194.mp3[84.040,94.800] YEAH IVE HAD THIS HEADACHE AS WELL ITS KIND OF COME AND GONE A LITTLE BIT OVER THE LAST COUPLE OF DAYS BUT HAD A LITTLE BIT OF A HEADACHE EACH DAY +audio/RES0194.mp3[94.800,99.360] OK AND THE HEADACHE WHERE WHERE IS IT EXACTLY LOCATED +audio/RES0194.mp3[99.360,114.200] I FEEL IT RIGHT AT THE FRONT OF MY MY FOREHEAD KIND OF ON BOTH SIDES OF MY HEAD IT FEELS LIKE A BAND JUST SQUEEZING AROUND +audio/RES0194.mp3[114.200,122.680] OK AND UM IS IT WHAT KIND OF PAIN IS IT IS IT LIKE ACHING PAIN IS IT KIND OF LIKE A PULSATING PAIN PRESSURE LIKE PAIN HOW WOULD YOU DESCRIBE IT +audio/RES0194.mp3[122.680,125.520] ITS MORE LIKE PRESSURE +audio/RES0194.mp3[125.520,133.440] PRESSURE OK AND HAVE YOU DO YOU ARE YOU ARE YOU SOMEONE THAT USUALLY HAS HEADACHES +audio/RES0194.mp3[133.440,142.680] EVERY ONCE IN AWHILE BUT I MEAN I DONT GET THEM THAT OFTEN MAYBE WHEN IM SICK OR DONT SLEEP VERY WELL +audio/RES0194.mp3[142.680,147.040] OK HAVE YOU TRIED ANYTHING FOR YOUR PAINS OR HEADACHES +audio/RES0194.mp3[147.040,161.320] UH YEAH I DID TAKE SOME TYLENOL AND IT IT HELPS TAKE THAT THE EYE DROP A BIT I TRIED SOME ADVIL TOO ITS SO MEAN THAT THE HEADACHES KIND OF COME AND GONE A LITTLE BIT BUT I THINK ONCE THAT WEARS OFF IT THE HEADACHES COME BACK +audio/RES0194.mp3[161.320,166.800] OK AND HAVE YOU TRIED ANYTHING FOR YOUR COUGH +audio/RES0194.mp3[166.800,170.760] UM NO I HAVENT TRIED ANYTHING FOR THE COUGH +audio/RES0194.mp3[170.760,177.320] OK HAVE YOU HAD ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS +audio/RES0194.mp3[177.320,183.800] UM I HAVE I I HAVE FELT A LITTLE BIT FEVERISH YEAH I HAVENT HAD ANY CHILLS THOUGH +audio/RES0194.mp3[183.800,188.720] OK AND UM WHEN DID YOU START FEELING FEVERISH +audio/RES0194.mp3[188.720,195.880] UM YEAH MAYBE WITHIN THE LAST COUPLE OF DAYS AS WELL +audio/RES0194.mp3[195.880,199.480] AND DID YOU MANAGE TO GET A TEMPERATURE AT ALL +audio/RES0194.mp3[199.480,204.320] UH NO IVE JUST FELT REALLY HOT +audio/RES0194.mp3[204.320,213.320] OK UH ANY OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT UH CHEST PAIN ANYTHING LIKE THAT +audio/RES0194.mp3[213.320,220.880] UM NO I HAVEN’T UH HAD ANY ANY SORE THROAT OR CHEST PAIN NO RUNNY NOSE EITHER +audio/RES0194.mp3[220.880,223.640] OK ANY SHORTNESS OF BREATH +audio/RES0194.mp3[225.880,230.920] OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN ILL +audio/RES0194.mp3[230.920,242.920] UM YEAH I DONT I DONT THINK SO I MEAN I I HAVENT TRAVELED ANYWHERE IM IN IN MY NOBODY IN MY FAMILYS BEEN SICK AT HOME +audio/RES0194.mp3[242.920,246.400] OK UM ANY NAUSEA OR VOMITING +audio/RES0194.mp3[247.720,253.240] OK ANY LOSS OF TASTE OR SMELL +audio/RES0194.mp3[253.240,255.520] UM AH NO +audio/RES0194.mp3[255.520,264.560] NO ANY NIGHT SWEATS OR FATIGUE +audio/RES0194.mp3[264.560,267.440] I NO NO NO +audio/RES0194.mp3[267.440,272.920] OK UM ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION +audio/RES0194.mp3[272.920,284.760] UH YEAH I HAVE HAD I ACTUALLY HAD UM YOU MENTIONED DIARRHEA FOR THE PAST A DAY AS WELL +audio/RES0194.mp3[284.760,294.440] OK A DIARRHEA FOR SO JUST FOR THE PAST DAY HAVE YOU NOTICE ANY CHANGES IN COLOR OR HAVE YOU NOTICED ANY BLOOD IN IT +audio/RES0194.mp3[294.440,301.360] NO BLOOD IN THE STOOL IM JUST ITS JUST BEEN REALLY LOOSE +audio/RES0194.mp3[301.360,315.120] OK UM HAVE YOU HAD ANY FOODS RECENTLY THAT A THAT YOUVE TRIED MAYBE LIKE FOR THE FIRST TIME OR HAVE YOU EATEN OUTSIDE AT ALL +audio/RES0194.mp3[315.120,324.000] NO ITS BEEN PRETTY STABLE SO YEAH I HAVENT HAD ANY CHANGES LIKE THAT +audio/RES0194.mp3[324.000,329.320] OK ANY CHANGES IN YOUR APPETITE OR WEIGHT +audio/RES0194.mp3[329.320,341.880] UHM IVE BEEN LESS HUNGRY FOR SURE YEAH SO I IVE HAD A DECREASED APPETITE BUT MY WEIGHTS BEEN STABLE RECENTLY SO NO CHANGES IN WEIGHT +audio/RES0194.mp3[341.880,349.640] OK AND ANY EXPOSURE TO FUMES OR DUST OR ANIMALS WITHIN YOUR HOME ENVIRONMENT OR WORK ENVIRONMENT +audio/RES0194.mp3[349.640,352.960] NO NOTHING LIKE THAT +audio/RES0194.mp3[352.960,358.880] UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0194.mp3[358.880,361.800] NO IVE BEEN HEALTHY +audio/RES0194.mp3[361.800,366.160] OK UH DO YOU TAKE ANY MEDICATIONS +audio/RES0194.mp3[366.160,371.520] NO JUST I IM A MULTI VITAMIN AND VITAMIN D +audio/RES0194.mp3[371.520,376.320] OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/RES0194.mp3[376.320,379.880] NO NO ALLERGIES +audio/RES0194.mp3[379.880,387.120] OK ANY ALLERGIES TO ANY ENVIRONMENTAL FACTORS OR FOODS +audio/RES0194.mp3[387.120,400.040] I I DO HAVE AN ALLERGY TO PEANUTS AND SO I CARRY AN EPIPEN FOR THAT BUT UH THATS THE ONLY FOOD +audio/RES0194.mp3[400.040,405.760] OK UM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0194.mp3[405.760,419.680] UM I DID HAVE SURGERY LIKE AN ACL REPAIR AND REPAIRED KNEE AND KNEE SURGERY ABOUT 10 YEARS AGO AND BUT THAT YEAH THATS THE ONLY SURGERY +audio/RES0194.mp3[419.680,423.960] OK ANY FAMILY HISTORY OF ANY LONGER HEART CONDITIONS +audio/RES0194.mp3[423.960,442.600] UH MY DAD HAD HIGH HIGH BLOOD PRESSURE AND MY YEAH MY GRANDFATHER I HAD HAD LUNG CANCER ACTUALLY WHEN HE WAS IN HIS 80S WHEN HE PASSED AWAY FROM THAT AND HE WAS A SMOKERS WHOLE LIFE +audio/RES0194.mp3[442.600,446.600] OK CURRENTLY DO YOU WORK AT ALL +audio/RES0194.mp3[446.600,463.560] YEAH I I HAVE BEEN WORKING I WORK FOR A A PHARMACY COMPANY SO IVE BEEN HAVING TO GO INTO THE OFFICE SOMETIMES TO HELP KIND OF PREPARE STUFF +audio/RES0194.mp3[463.560,469.280] OK AND IN YOUR WORKPLACE HAVE YOU NOTICE ANYONE SICK AT ALL +audio/RES0194.mp3[469.280,482.520] UM NO I DONT THINK I DON’T HAVENT NOTICED ANYBODY BEEN WHOS BEEN SICK BUT WEVE BEEN THERE HAVE BEEN OTHER PEOPLE WHO HAVE BEEN GOING INTO THE OFFICE AS WELL +audio/RES0194.mp3[482.520,487.240] OK AND DO YOU USUALLY WEAR MASKS AROUND OTHER PEOPLE +audio/RES0194.mp3[487.240,499.040] YEAH WEVE BEEN WEARING MASKS AND AND THERE ARE CLEANING PROTOCOLS AND DISTANCING PROTOCOLS AS WELL TRYING TO KEEP EVERYBODY SAFE +audio/RES0194.mp3[499.040,504.440] OK AND SINCE YOUVE HAD THESE SYMPTOMS HAVE YOU GONE INTO WORK AT ALL +audio/RES0194.mp3[504.440,509.520] NO NO IVE ACTUALLY IVE BEEN OFF FOR THE THE LAST COUPLE OF DAYS +audio/RES0194.mp3[510.280,514.040] YEAH IVE JUST BEEN BEEN DOING WHAT I CAN FROM HOME +audio/RES0194.mp3[514.040,518.120] OK AND WHATS YOUR HOME SITUATION LIKE WHO DO YOU LIVE WITH +audio/RES0194.mp3[518.120,529.000] YEAH SO I LIVE WITH MY I LIVE WITH MY WIFE AND WE LIVE IN A TOWNHOUSE JUST RIGHT IN THE CITY HERE +audio/RES0194.mp3[529.000,534.040] OK AND HAS SHE BEEN DISPLAYING ANY SYMPTOMS AT ALL +audio/RES0194.mp3[534.040,537.440] UH NO SHE HASNT SHES BEEN BEEN FEELING GOOD +audio/RES0194.mp3[537.440,542.200] OK THATS GOOD AND CURRENTLY DO YOU SMOKE +audio/RES0194.mp3[542.200,543.640] NO IM NOT A SMOKER +audio/RES0194.mp3[543.640,549.680] OK ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0194.mp3[549.680,558.040] I WILL SOMETIMES USE LIKE THE CBOR YEAH LIKE THE OILS BUT THAT THATS IT +audio/RES0194.mp3[558.040,562.520] OK AND DO YOU DRINK ALCOHOL +audio/RES0194.mp3[562.520,573.800] YEAH ILL HAVE A FEW BEERS ON THE WEEKEND SOMETIMES LIKE BUT THAT THATS THATS ABOUT IT MAYBE LIKE 3 OR 4 BEERS A WEEK +audio/RES0194.mp3[573.800,582.920] ALRIGHT OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL +audio/RES0194.mp3[582.920,591.640] YEAH I WAS JUST WORRIED THAT IT COULD BE COVID WITH HOW EVERYTHINGS GOING ON AND THATS JUST SORT OF WHAT I WAS WONDERING ABOUT TODAY +audio/RES0194.mp3[591.640,636.560] YEAH SO THATS SOMETHING WE DEFINITELY WANT TO RULE OUT YOUR SYMPTOMS DEFINITELY OVERLAP WITH THE CLUSTER OF SYMPTOMS THAT SOMEONE MAY GET WITH COVID SO WE WILL DO A SWAB ON YOU TODAY AND RECOMMEND THAT YOU ISOLATE FOR TWO WEEKS UNTIL YOUR SYMPTOMS HAVE GONE AND THE TEST RESULT YOU WILL GET YOU WILL GET BACK IN THE NEXT 24 TO 48 HOURS AND ALONGSIDE YOUR TEST RESULTS SO YOU WILL ALSO GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH ABOUT WHETHER OR NOT YOU NEED ANOTHER SWAB LATER ON AND WHEN TO RETURN TO WORK +audio/RES0194.mp3[636.560,639.680] OK THAT YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0194.mp3[639.680,656.000] YEAH NO WORRIES AND IT CAN DEFINITELY ALSO BE ANOTHER VIRAL INFECTION AS WELL EVEN IF ITS NOT COVID IN WHICH CASE IT JUST YOU JUST NEED TO GET SOME REST STAY HYDRATED AND LET IT TAKE ITS COURSE +audio/RES0194.mp3[656.000,662.160] OK NOW THAT SOUNDS THAT SOUNDS GOOD SO IT COULD BE COVID OR LIKE ANOTHER VIRAL ILLNESS +audio/RES0194.mp3[663.160,664.520] OK THANK YOU +audio/RES0194.mp3[664.520,667.120] WELCOME TAKE CARE TAKE CARE +audio/RES0020.mp3[0.000,2.840] COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY +audio/RES0020.mp3[2.840,17.360] SURE YOU KNOW IVE BEEN HAVING THIS CHEST PAIN FOR THE SINCE LAST NIGHT UM AND IM ALSO HAVING A HARD TIME BREATHING SO THOUGHT I SHOULD CHECK IT OUT +audio/RES0020.mp3[17.360,29.240] OK UM AND SO THE CHEST PAIN CAME ON LAST NIGHT WERE YOU DOING ANYTHING BEFORE BEFORE IT COMING ON +audio/RES0020.mp3[29.240,37.480] NO I WAS JUST ABOUT TO HEAD TO BED AND SUDDENLY I FELT THIS CRAMPY PAIN IN MY CHEST +audio/RES0020.mp3[37.480,43.880] OK AND WHERE IS THIS PAIN LOCATED +audio/RES0020.mp3[43.880,48.880] ID SAY LIKE THE CENTER OF MY CHEST +audio/RES0020.mp3[48.880,56.000] OK UH HAS THE PAIN BEEN GOING ON CONSTANTLY SINCE LAST NIGHT +audio/RES0020.mp3[56.000,58.640] YEAH I WOULD SAY SO +audio/RES0020.mp3[58.640,65.560] OK HAS IT CHANGED IN CHARACTER AT ALL YOU SAID IT WAS CRAMPY BUT HAS IT FELT LIKE ANYTHING ELSE +audio/RES0020.mp3[65.560,70.920] UM NO JUST JUST CRAMPY YEAH +audio/RES0020.mp3[70.920,79.320] I SEE DID YOU FEEL THE PAIN ANYWHERE ELSE OR DO YOU FEEL IT JUST IN THE CENTER OF YOUR CHEST +audio/RES0020.mp3[79.320,87.320] AH YES CENTER OF MY CHEST GOING UP TO AROUND MY THROAT AREA MAYBE +audio/RES0020.mp3[87.320,100.680] OK I SEE AND ANYTHING THAT YOUVE DONE THATS MADE THE PAIN WORSE +audio/RES0020.mp3[100.680,105.560] UM I GUESS TAKING IN A DEEP BREATH +audio/RES0020.mp3[105.560,116.200] OK AND HOW ABOUT CHANGING POSITIONS DOES THE PAIN GET WORSE IF YOU LIE FLAT OR OR IF YOU LEAN FORWARD +audio/RES0020.mp3[118.280,123.280] OK UM AND HAVE YOU EVER HAD A PAIN LIKE THIS IN YOUR CHEST BEFORE +audio/RES0020.mp3[125.600,132.280] OK AND AND HAS THE PAIN GET BEEN GETTING WORSE GETTING BETTER STAYING THE SAME +audio/RES0020.mp3[132.280,136.120] ITS BEEN THE SAME +audio/RES0020.mp3[136.120,142.520] OK HAVE YOU TAKEN ANYTHING FOR IT TO HELP WITH THE PAIN +audio/RES0020.mp3[144.400,151.960] OK AND THE SHORTNESS OF BREATH YOU MENTIONED UH WHEN DID THAT START +audio/RES0020.mp3[151.960,156.160] AROUND THE SAME TIME +audio/RES0020.mp3[156.160,165.680] OK AND IS THIS TROUBLE BREATHING LIKE AFTER WALKING A CERTAIN DISTANCE OR EXERTING YOURSELF +audio/RES0020.mp3[165.680,172.880] NO IT IT IT ITS JUST ALWAYS THERE +audio/RES0020.mp3[172.880,182.880] OK AND HAVE YOU NOTICED ANY CHANGES TO THE SOUNDS OF YOUR BREATHING LIKE A WHEEZE OR WHISTLING SOUND +audio/RES0020.mp3[182.880,186.840] YEAH MAYBE MAYBE A SLIGHT WHEEZE +audio/RES0020.mp3[186.840,193.280] OK DO YOU THINK THAT YOURE BREATHING MORE QUICKLY +audio/RES0020.mp3[195.520,198.600] OK UM HAVE YOU HAD A COUGH +audio/RES0020.mp3[198.600,202.880] NO COUGH NO +audio/RES0020.mp3[202.880,211.320] ALRIGHT AND SO YOU HAVENT BEEN BRINGING UP ANY SPUTUM OR OR ANY BLOOD +audio/RES0020.mp3[212.760,217.600] OK AND HAVE YOU HAD A SORE THROAT +audio/RES0020.mp3[217.600,220.640] NO SORE THROAT +audio/RES0020.mp3[220.640,234.680] ALRIGHT SO YOUVE HAD THIS CHEST PAIN SINCE LAST NIGHT AND SHORTNESS OF BREATH THAT STARTED AROUND A SIMILAR TIME LAST NIGHT HAVE YOU HAD ANY OTHER SYMPTOMS +audio/RES0020.mp3[234.680,239.880] JUST JUST SOME FATIGUE SOME TIREDNESS +audio/RES0020.mp3[239.880,244.000] ALRIGHT AND DID THAT START AROUND THE SAME TIME +audio/RES0020.mp3[244.000,250.480] THAT STARTED A FEW DAYS BEFORE LIKE MAYBE TWO DAYS BEFORE +audio/RES0020.mp3[250.480,262.760] OK HAS THERE BEEN ANY CHANGE TO YOUR SLEEP OR ANY STRESSFUL EVENTS HAPPEN THAT MIGHT BE TIRING YOU OUT +audio/RES0020.mp3[266.200,270.560] OK AND HAVE YOU HAD ANY HEADACHES +audio/RES0020.mp3[270.560,273.080] NOPE NO HEADACHES +audio/RES0020.mp3[273.080,278.960] HOW ABOUT ANY EYE SYMPTOMS LIKE DISCHARGE OR OR EYE PAIN +audio/RES0020.mp3[278.960,281.760] NO NOTHING LIKE THAT +audio/RES0020.mp3[281.760,284.480] ANY ANY REDNESS OF YOUR EYE +audio/RES0020.mp3[286.080,289.320] ALRIGHT SO HAVE YOU HAD A RUNNY NOSE +audio/RES0020.mp3[290.960,298.800] ALRIGHT AND UH HAVE YOU FELT LIKE YOUR HEART IS RACING AT ALL +audio/RES0020.mp3[301.720,307.000] OK HAVE YOU HAD A LOSS OF TASTE OR SMELL +audio/RES0020.mp3[308.880,314.600] AND HAVE YOU HAD A DECREASE IN YOUR APPETITE +audio/RES0020.mp3[314.600,316.320] UM NO +audio/RES0020.mp3[316.320,324.480] I SEE OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS +audio/RES0020.mp3[325.160,329.760] ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0020.mp3[331.320,337.600] ALRIGHT AND HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0020.mp3[337.600,341.040] UH NONE +audio/RES0020.mp3[341.040,344.760] ANY ABDOMINAL PAINS +audio/RES0020.mp3[346.480,356.040] ALRIGHT AND HOW ABOUT ANY CONFUSION OR OR CONCERNS AROUND MEMORY +audio/RES0020.mp3[357.440,361.080] ALRIGHT AND ANY MUSCLE ACHES OR PAINS +audio/RES0020.mp3[361.080,364.480] MAYBE SLIGHT MUSCLE ACHES +audio/RES0020.mp3[364.480,366.680] HAVE YOU HAD ANY WEAKNESS +audio/RES0020.mp3[368.800,373.440] OK AND ANY RASHES YOU NOTICED ANYWHERE +audio/RES0020.mp3[373.440,375.400] NO NONE +audio/RES0020.mp3[375.400,379.480] OK AND HAVE YOU HAD A FEVER +audio/RES0020.mp3[379.480,381.000] UM NOPE +audio/RES0020.mp3[381.000,384.800] HOW ABOUT ANY ANY CHILLS +audio/RES0020.mp3[384.800,386.480] NO CHILLS +audio/RES0020.mp3[386.480,388.640] ALRIGHT AND THEN ANY NIGHT SWEATS +audio/RES0020.mp3[391.760,399.440] ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN REGULARLY FOR +audio/RES0020.mp3[399.440,404.520] NO ACTUALLY SORRY I HAVE DIABETES +audio/RES0020.mp3[404.520,406.000] OK IS THAT TYPE 2 +audio/RES0020.mp3[406.000,409.160] TYPE 2 +audio/RES0020.mp3[409.160,417.200] OK AND ARE YOU TAKING ANY MEDICATIONS FOR THAT OR IS IT KIND OF DIET OR LIFESTYLE CONTROLLED +audio/RES0020.mp3[417.200,423.080] IM ON INSULIN FOR THAT +audio/RES0020.mp3[423.080,428.360] OK AND YOU USE A SLIDING SCALE OR DO YOU HAVE A REGIMEN YOU USE +audio/RES0020.mp3[428.360,441.400] UM I HAVE SO I HAVE LIKE A LONG ACTING AND SHORT ACTING SO I JUST TAKE THE LONG ACTING BEFORE I GO TO BED AND THEN THE SHORT ACTING BEFORE MEALS +audio/RES0020.mp3[441.400,451.280] I SEE OK SO THAT SOUNDS LIKE A GREAT A GREAT PLAN DO YOU TAKE ANY OTHER MEDICATIONS +audio/RES0020.mp3[451.280,459.400] YES I TAKE SOME VITAMINS AND YOU KNOW LIKE VITAMIN AND CALCIUM BUT THATS IT +audio/RES0020.mp3[459.400,460.960] OK ANY ALLERGIES +audio/RES0020.mp3[460.960,466.000] IM ALLERGIC TO PENICILLIN +audio/RES0020.mp3[466.000,472.760] OK HAVE YOU HAD ANTIBIOTICS RECENTLY FOR ANY REASON +audio/RES0020.mp3[473.360,477.360] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0020.mp3[477.360,487.440] I THINK SO I THINK THE ONLY THING IS I HAVE TO SEE IF IM UP TO DATE WITH MY PNEUMOVAX +audio/RES0020.mp3[487.440,499.600] OK GREAT YEAH I WAS WONDERING ABOUT THAT ONE SO WE CAN LOOK INTO THAT CERTAINLY AND DO YOU KNOW IF YOUVE HAD THE ZOSTER OR THE SHINGLES VACCINE +audio/RES0020.mp3[499.600,502.080] YES I HAD THAT ONE +audio/RES0020.mp3[502.080,512.840] OK GREAT UM AND UM NEXT COULD YOU I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0020.mp3[512.840,526.280] SURE I LIVE WITH MY HUSBAND WE LIVE IN A 3 BEDROOM TOWNHOUSE ITS A FAIRLY NEW HOME +audio/RES0020.mp3[526.280,529.120] OK GREAT DID YOU RECENTLY MOVE THERE +audio/RES0020.mp3[529.120,532.280] YES WE DID +audio/RES0020.mp3[532.280,547.600] OK COOL AND SO THERES NO CONCERNS WITH LIKE OLD CARPETS OR BEING EXPOSED TO KIND OF LIKE DUST OR OR MOLDS OR ANYTHING LIKE THAT IN THE HOME +audio/RES0020.mp3[547.600,549.560] NO NOTHING LIKE THAT +audio/RES0020.mp3[549.560,556.280] OK AND UM HAS YOUR HUSBAND BEEN SICK AT ALL +audio/RES0020.mp3[556.280,558.320] NO HES BEEN FINE +audio/RES0020.mp3[558.320,560.520] OK AND DO YOU HAVE ANY PETS IN THE HOME +audio/RES0020.mp3[560.520,563.720] WE HAVE A CAT +audio/RES0020.mp3[563.720,568.480] OK AND DO YOU HAVE ANY ALLERGIES TO PETS +audio/RES0020.mp3[574.400,579.720] ALRIGHT UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY RIGHT NOW +audio/RES0020.mp3[579.720,585.000] UM WERE BOTH RETIRED BUT WE HAVE OUR RESSAVINGS +audio/RES0020.mp3[585.000,602.680] OH EXCELLENT OK AND FOR YOUR PREVIOUS OCCUPATION WERE YOU EXPOSED TO ANY CHEMICALS OR LIKE ASBESTOS OR INHALANTS THAT YOURE AWARE OF +audio/RES0020.mp3[602.680,606.680] UH NO NO NOTHING LIKE THAT +audio/RES0020.mp3[606.680,608.920] OK AND YOU SMOKE CIGARETTES +audio/RES0020.mp3[608.920,610.880] I DONT +audio/RES0020.mp3[610.880,612.920] DO YOU DRINK ALCOHOL +audio/RES0020.mp3[612.920,619.200] I HAVE MAYBE A GLASS OR TWO GLASSES OF WINE OVER THE WEEKENDS +audio/RES0020.mp3[619.200,626.560] OK AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +audio/RES0020.mp3[626.560,628.800] NO I DONT +audio/RES0020.mp3[628.800,635.200] OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS +audio/RES0020.mp3[635.200,637.480] NO NO NOTHING LIKE THAT +audio/RES0020.mp3[637.480,645.600] OK AND AND HAS ANYBODY IN YOUR FAMILY HAD A HEART CONDITION BEFORE +audio/RES0020.mp3[645.600,654.160] MY MOTHER PASSED AWAY WHEN SHE WAS 80 SHE HAD SOME VALVULAR ISSUES +audio/RES0020.mp3[654.160,664.440] OK UM UH OK AND HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE +audio/RES0020.mp3[664.440,668.720] NO NOT THAT I KNOW OF +audio/RES0020.mp3[668.720,672.600] ALRIGHT AND ANYBODY HAVE ANY LUNG CONDITIONS +audio/RES0020.mp3[675.280,679.760] ALRIGHT AND THEN ANY CANCER THAT RUNS IN THE FAMILY +audio/RES0020.mp3[679.760,684.320] CANCER NO NO +audio/RES0020.mp3[684.320,699.080] OK UM I THINK THATS ALL I WANTED TO COVER ON THE THE HISTORY TODAY WAS THERE ANYTHING ELSE YOUD LIKE TO TELL ME THAT I WAS THAT I MAYBE DIDNT ASK ABOUT +audio/RES0020.mp3[699.080,706.320] UH NO I THINK YOU ASKED ME ALL THOSE OTHER QUESTIONS IM JUST WONDERING WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE +audio/RES0020.mp3[706.320,819.200] YEAH CERTAINLY UH SO IT COULD POSSIBLY BE SOMETHING RELATED TO THE HEART I DONT AND SOMETIMES ESPECIALLY PEOPLE IN YOUR AGE GROUP WHO HAVE DIABETES CAN HAVE CHEST PAIN AND SYMPTOMS THAT COULD BE NONSPECIFIC AND SO WE WILL WE WILL CHECK THAT FOR SURE WELL GET AN ECG AND SOME LAB WORK WITH THE TROPONIN AND ALSO A CHEST X RAY SO THAT WE CAN INVESTIGATE FOR THAT AND ALSO THE CHEST X RAY COULD HELP US LOOK TO SEE IF YOU HAVE SOMETHING GOING ON IN YOUR LUNGS LIKE A POSSIBLE PNEUMONIA OR MAYBE A VIRAL INFECTION AS WELL WHICH COULD INCLUDE SOMETHING LIKE COVID19 SO WELL BE ORDERING A PCR NASAL SWAB AS WELL TO TEST FOR THAT AND SO IN THE MEANTIME BECAUSE WELL BE DOING THAT TEST IT REQUIRES SELF QUARANTINE FOR 14 DAYS SO IF POSSIBLE THAT WOULD MEAN DISTANCING FROM YOUR HUSBAND IN THE HOME AS WELL FOR THAT 14 DAY PERIOD BUT THE RESULTS SHOULD COME BACK FROM THAT TEST WITHIN THE NEXT SEVERAL DAYS AND AND SORRY ALSO IF IT IS POSITIVE WE WILL HAVE TO NOTIFY PUBLIC HEALTH AS WELL SO THAT THE APPROPRIATE CONTACT TRACING CAN BE DONE +audio/RES0020.mp3[819.200,820.960] OK OK WELL THANK YOU VERY MUCH +audio/RES0020.mp3[820.960,826.640] NOW YOURE VERY WELCOME WELL GET THE INVESTIGATIONS STARTED NOW +audio/RES0020.mp3[826.640,831.800] SURE SOUNDS GOOD +audio/RES0199.mp3[0.000,1.960] WHAT BRINGS YOU IN +audio/RES0199.mp3[1.960,27.040] HI I JUST CAME IN TODAY I HAVE BEEN HAVING JUST BEEN FEELING REALLY SICK OVER THE LAST THREE OR FOUR DAYS IT STARTED WITH JUST LIKE A HEADACHE AND COUGH FOUR DAYS AGO AND THEN I STARTED GETTING SOME NAUSEA AND VOMITING FEW DAYS BACK AS WELL AS DIARRHEA +audio/RES0199.mp3[27.040,30.960] OK SO THE HEADACHE AND COUGH STARTED FIRST YOU SAID RIGHT +audio/RES0199.mp3[32.240,42.080] OK LETS TALK ABOUT THE HEADACHE FIRST THAT CAME ON FOUR DAYS AGO HAS IT BEEN PERSISTENT OR DOES IT COME AND GO +audio/RES0199.mp3[42.080,47.160] ITS BEEN PRETTY PERSISTENT BESIDES WHEN I TAKE SOME TYLENOL +audio/RES0199.mp3[47.160,51.080] OK AND DOES ANYTHING MAKE IT BETTER OR WORSE +audio/RES0199.mp3[51.080,57.120] JUST A TYLENOL NOTHING REALLY YEAH ITS PRETTY CONSTANT +audio/RES0199.mp3[57.120,67.440] OK AND HAVE A AN AND SORRY WHERE EXACTLY IS IT IS IT ON ITS LIKE AT THE TOP OF YOUR HEAD TEMPLES FOREHEAD +audio/RES0199.mp3[67.440,72.240] ITS KIND OF LIKE MY FOREHEAD IN THE TOP OF MY HEAD ON BOTH SIDES +audio/RES0199.mp3[72.240,77.800] OK AND DOES IT RADIATE YOUR NECK OR ANYWHERE ELSE +audio/RES0199.mp3[77.800,82.000] NO I THINK IT’S IT DOESNT GO TO MY NECK OR ANYWHERE ELSE +audio/RES0199.mp3[82.000,87.520] OK AND DO YOU HAVE NECK STIFFNESS OR NECK PAIN WITH THAT +audio/RES0199.mp3[87.520,90.360] NO NOT REALLY +audio/RES0199.mp3[90.360,96.240] AND ONE TO TEN TEN BEING THE WORST PAIN YOUVE EVER HAD HOW BAD IS IT +audio/RES0199.mp3[96.240,101.760] UH THE HEADACHE PROBABLY LIKE 7 +audio/RES0199.mp3[101.760,109.160] OK UHM AND TIMELINE WISE HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS +audio/RES0199.mp3[109.160,112.640] ITS KIND OF STAYED AROUND THE SAME ACTUALLY +audio/RES0199.mp3[112.640,118.400] OK OK AND HAVE YOU EVER HAD A HEADACHE LIKE THIS IN THE PAST +audio/RES0199.mp3[118.400,125.640] NOT REALLY I DONT REALLY GET TOO MANY HEADACHES +audio/RES0199.mp3[125.640,140.480] OK SO THIS ISNT YOU ALRIGHT AND LETS GO ON TO THE COUGH THE COUGH STARTED AROUND THE SAME TIME YOU SAID HAS THAT GOTTEN BETTER OR WORSE OVER THE PAST FOUR DAYS +audio/RES0199.mp3[140.480,145.600] ITS THE COUGH IS AROUND THE SAME AS WELL +audio/RES0199.mp3[145.600,150.680] OK AND IS IT A DRY COUGH OR ARE YOU BREAKING UP ANY FLEM +audio/RES0199.mp3[150.680,152.760] ITS MOSTLY A DRY COUGH +audio/RES0199.mp3[152.760,155.160] OK SO NO SPUTUM OR BLOOD +audio/RES0199.mp3[155.160,156.080] NO NO +audio/RES0199.mp3[156.080,165.920] OK GOOD ALRIGHT AND ARE YOU SHORT OF BREATH AT ALL +audio/RES0199.mp3[165.920,169.200] UHM NO NOT REALLY +audio/RES0199.mp3[169.200,173.160] NO OK AND HOW ABOUT WHEEZING +audio/RES0199.mp3[173.160,174.480] UHM NO NO WHEEZING +audio/RES0199.mp3[174.480,184.160] OK ONLY SAYING AN AND ANY CHEST PAIN +audio/RES0199.mp3[186.960,193.040] NO OK AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS +audio/RES0199.mp3[193.040,194.800] NO I HAVENT +audio/RES0199.mp3[194.800,197.400] ANY FEVERS OR CHILLS +audio/RES0199.mp3[198.680,202.720] NO OK UHM HOW ABOUT FATIGUE +audio/RES0199.mp3[202.720,212.920] I GUESS JUST A LITTLE BIT TIRED OVER THE LAST FEW DAYS BUT I DONT KNOW THATS JUST JUST FROM THE DIARRHEA AND JUST BEING SICK +audio/RES0199.mp3[212.920,216.400] UM OK AND HOW ABOUT RASHES +audio/RES0199.mp3[217.720,220.600] NO OK CHANGES IN YOUR VISION OR HEARING +audio/RES0199.mp3[221.720,227.040] UH ITCHY EYES DISCHARGE ANYTHING LIKE THAT +audio/RES0199.mp3[227.040,229.440] NO NOTHING LIKE THAT +audio/RES0199.mp3[229.440,233.200] ABOUT A STUFFY OR RUNNY NOSE +audio/RES0199.mp3[233.200,235.200] NO NOTHING LIKE THAT +audio/RES0199.mp3[235.200,239.840] OK HOW ABOUT CHANGES IN YOUR SMELL OR TASTE +audio/RES0199.mp3[239.840,253.520] UHM SMELL I FEEL LIKE A LITTLE BIT IVE BEEN KIND OF LOSING MY SMELL OVER THE LAST I WOULD SAY ONE DAY +audio/RES0199.mp3[253.520,259.520] OK OK ALRIGHT AND ANY DIZZINESS OR FAINTING SPELLS +audio/RES0199.mp3[259.520,261.480] NO NOTHING LIKE THAT +audio/RES0199.mp3[261.480,264.960] CONFUSION OR MEMORY LOSS +audio/RES0199.mp3[266.200,273.880] UHM ALRIGHT AND JOINT PAINS OR MUSCLE ACHES +audio/RES0199.mp3[273.880,275.320] UH NO +audio/RES0199.mp3[275.320,283.080] ALRIGHT YOU MENTIONED YOU ALSO HAVE HAD DIARRHEA WHEN DID THAT START +audio/RES0199.mp3[283.080,295.000] SO PROBABLY LIKE 2 DAYS AGO I STARTED GETTING SOME LIQUID STOOLS AND I JUST HAD TO GO LIKE PROBABLY FIVE OR SIX TIMES A DAY +audio/RES0199.mp3[295.000,300.680] OK ALRIGHT AND UHM ARE YOU NOTICING ANY BLOOD IN THERE +audio/RES0199.mp3[300.680,304.320] NO I HAVENT SEEN ANY BLOOD +audio/RES0199.mp3[304.320,308.880] OK DO YOU FEEL DEHYDRATED +audio/RES0199.mp3[308.880,313.280] NO IVE BEEN TRYING TO KEEP HYDRATED +audio/RES0199.mp3[313.280,317.520] OK GOOD ANY CHANGES IN YOUR APPETITE +audio/RES0199.mp3[317.520,318.880] UH NO +audio/RES0199.mp3[318.880,322.040] NO ANY NAUSEA OR VOMITING +audio/RES0199.mp3[322.040,333.160] YEAH I WAS HAVING SOME IM HAVING SOME NAUSEA TODAY BUT I HAD SOME VOMITING YESTERDAY I VOMITED TWO TIMES +audio/RES0199.mp3[333.160,336.560] OK AND ARE YOU THROWING UP ANY BLOOD +audio/RES0199.mp3[337.640,339.960] WHAT COLOR IS IT +audio/RES0199.mp3[339.960,347.400] UHM ITS USUALLY I FEEL LIKE WHATEVER I EAT YEAH CONTENTS FOOD CONTENTS +audio/RES0199.mp3[347.400,354.920] OK DO YOU THINK ANYTHING TRIGGERED THAT EPISODE OF VOMITING +audio/RES0199.mp3[354.920,364.280] NO I HAVENT REALLY ATE ANYTHING NEW IM JUST IN MY HOUSE YEAH I I DONT KNOW WHAT TRIGGERED IT +audio/RES0199.mp3[364.280,371.120] OK ALRIGHT ANY FEELINGS OF LIKE FEELING LIKE YOURE BLOATED OR GASSY +audio/RES0199.mp3[371.120,374.240] UHM NO NOTHING LIKE THAT +audio/RES0199.mp3[374.240,377.200] OK ANY CONSTIPATION +audio/RES0199.mp3[379.560,385.520] OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0199.mp3[385.520,390.960] NO IM IM PRETTY HEALTHY I DONT REALLY I DONT REALLY EVEN TAKE ANY MEDICATIONS +audio/RES0199.mp3[390.960,395.520] OK AND ARE YOU UP TO DATE WITH HER IMMUNIZATIONS +audio/RES0199.mp3[397.280,400.600] UHM DO YOU HAVE ANY ALLERGIES +audio/RES0199.mp3[400.600,402.520] NO NOT THAT I KNOW +audio/RES0199.mp3[402.520,406.880] NO ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0199.mp3[406.880,409.040] UH NO NOT THAT I KNOW OF +audio/RES0199.mp3[409.040,411.240] OK DO YOU SMOKE +audio/RES0199.mp3[412.840,422.440] NO OK HOW ABOUT MARIJUANA OR YEAH HOW ABOUT MARIJUANA DO YOU EITHER TAKE EDIBLES OR SMOKE IT +audio/RES0199.mp3[422.440,430.560] I’VE TRIED A COUPLE TIMES BUT IT WAS NOT REALLY MY THING +audio/RES0199.mp3[430.560,438.600] OK AND HOW ABOUT OTHER RECREATIONAL DRUGS LIKE COCAINE HEROIN AND OPIOIDS +audio/RES0199.mp3[438.600,439.800] NO NOTHING LIKE THAT +audio/RES0199.mp3[439.800,449.120] OK UHM AND WHERE DO YOU CURRENTLY LIVE +audio/RES0199.mp3[449.120,455.800] I LIVE JUST IN AN APARTMENT JUST IN THE CITY SO YEAH JUST BY MYSELF THOUGH +audio/RES0199.mp3[455.800,467.000] OK ANY LIKE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS +audio/RES0199.mp3[467.000,469.400] NO NOT REALLY +audio/RES0199.mp3[469.400,473.000] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0199.mp3[473.000,493.280] NO IVE BEEN AND KIND OF AT HOME THE ONLY PLACES I MAYBE HAVE BEEN IN CONTACT WITH SOMEONE IS MAYBE AT WORK IN LIKE THE LUNCH ROOM AND THINGS LIKE THAT +audio/RES0199.mp3[493.280,496.680] OK OK AND SORRY WHERE DO YOU WORK +audio/RES0199.mp3[496.680,500.920] I WORK AT A CAR DEALERSHIP +audio/RES0199.mp3[500.920,504.520] OK OK AN ANY TRAVEL RECENTLY +audio/RES0199.mp3[504.840,508.240] OK HAS ANYONE AT YOUR WORK BEEN SICK AS WELL +audio/RES0199.mp3[508.240,511.840] NO I HAVENT REALLY NOTICED ANYONE BEING SICK +audio/RES0199.mp3[511.840,521.640] OK OK WELL THOSE WERE THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +audio/RES0199.mp3[521.640,524.560] NO I I WAS JUST WONDERING WHAT THIS CAN BE +audio/RES0199.mp3[524.560,581.440] UM YEAH SO THE FIRST THING WE WANT TO RULE OUT AS COVID BECAUSE A LOT OF YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID SO WELL TAKE A SWAB AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND IF YOUR RESULTS ARE POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING BUT IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND THIS TIME OF YEAR THAT COULD BE CAUSING SIMILAR SYMPTOMS AS WELL BUT EITHER WAY THE MANAGEMENT KIND OF IS SUPPORTIVE SO MAKING SURE YOURE WELL HYDRATED EATING NUTRITIOUS FOOD SLEEPING WELL TAKING ANTIPYRETICS LIKE TYLENOL FOR FEVERS IF YOU GET ANY AND YOU CAN ALSO TAKE TYLENOL OR ANSEADS FOR MUSCLE ACHE JOINT PAINS ANYTHING LIKE THAT DOES THAT SOUND OK +audio/RES0199.mp3[581.440,583.280] YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0199.mp3[583.280,586.280] OK GREAT NO PROBLEM +audio/RES0181.mp3[0.000,2.280] HOW MAY I HELP YOU +audio/RES0181.mp3[2.280,18.240] HI UMM SO IVE HAD A SORE THROAT FOR THE PAST THREE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER AND IVE ALSO HAD A FEVER SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU +audio/RES0181.mp3[18.240,26.320] YEAH FOR SURE SO YOU SAID THAT THE SORE THROAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE +audio/RES0181.mp3[26.320,30.520] NEITHER ITS BEEN THE SAME +audio/RES0181.mp3[30.520,35.840] OK IS IT PAINFUL TO SWALLOW FOOD OR LIQUIDS +audio/RES0181.mp3[35.840,43.720] ITS PAINFUL TO SWALLOW SOLIDS YEAH +audio/RES0181.mp3[43.720,56.160] OK UH AND HOW IS YOUR UMM HAVE YOU HAD ANY VOICE CHANGES LIKE A HOT POTATO VOICE OR SOUND LIKE MUFFLED OR ANY VOICE CHANGES AT ALL +audio/RES0181.mp3[56.160,60.560] NO NOT REALLY NO +audio/RES0181.mp3[60.560,65.360] OK AND HAVE YOU NOTICED ANY LIKE NECK SWELLING +audio/RES0181.mp3[69.880,75.040] OK AND HOW ABOUT YOUR APPETITE HAS THAT CHANGED +audio/RES0181.mp3[75.040,80.960] UHM IM STILL HUNGRY I JUST DONT EAT AS MUCH CAUSE MY THROAT IS SORE +audio/RES0181.mp3[80.960,88.880] RIGHT OK THAT MAKES SENSE AND SO YOU MENTIONED THAT YOU ALSO HAD A FEVER WHEN DID THAT START +audio/RES0181.mp3[88.880,92.400] THAT STARTED TWO DAYS AGO +audio/RES0181.mp3[92.400,96.120] OK OK AND DID DID YOU CHECK IT +audio/RES0181.mp3[96.120,100.120] IT WAS 388 +audio/RES0181.mp3[100.120,110.640] OK ALRIGHT SO YEAH CERTAINLY A FEVER OK AND HAVE YOU HAD ANY UH LIKE ANY RUNNY NOSE +audio/RES0181.mp3[110.640,115.440] NO NOT THAT IVE NOTICED +audio/RES0181.mp3[115.440,119.720] HOW ABOUT ANY RED EYES OR ITCHY EYES OR EYE DISCHARGE +audio/RES0181.mp3[121.280,130.400] OK HOW ABOUT ANY LOSS OR CHANGES TO YOUR SENSE OF SMELL OR TASTE +audio/RES0181.mp3[131.720,134.840] OK HAVE YOU HAD ANY ANY HEADACHES +audio/RES0181.mp3[134.840,138.440] UM NO HEADACHES NO +audio/RES0181.mp3[138.440,143.280] OK HOW ABOUT ANY COUGH +audio/RES0181.mp3[143.280,144.440] NO COUGH +audio/RES0181.mp3[144.440,151.800] NO COUGHING OK AND HOW ABOUT ANY SHORTNESS OF BREATH +audio/RES0181.mp3[153.680,156.360] OK HAVE YOU HAD ANY WHEEZING +audio/RES0181.mp3[157.880,160.640] HOW ABOUT ANY CHEST PAIN +audio/RES0181.mp3[160.640,162.240] NO CHEST PAIN +audio/RES0181.mp3[162.240,164.240] ANY FAINTING OR DIZZINESS +audio/RES0181.mp3[165.840,173.800] OK AND HAVE YOU HAD ANY HEART PALPITATIONS +audio/RES0181.mp3[173.800,175.320] UH NO +audio/RES0181.mp3[175.320,184.720] OK AND SO YOU DONT YOU HAVENT HAD ANY COUGH BUT HAVE YOU HAD ANY INSTANCES OF BRINGING UP ANY SPUTUM OR OR ANY BLOOD +audio/RES0181.mp3[184.760,190.000] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0181.mp3[191.040,195.920] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0181.mp3[196.960,201.520] YOU HAD ANY DIARRHEA OR OR CONSTIPATION +audio/RES0181.mp3[201.520,203.440] UH NO +audio/RES0181.mp3[203.440,208.040] OK HOW ABOUT ANY URINARY PROBLEMS +audio/RES0181.mp3[208.040,210.840] UM NO NOTHING LIKE THAT +audio/RES0181.mp3[210.840,216.120] I SEE OK AND ANY SKIN CHANGES OR RASHES +audio/RES0181.mp3[217.640,220.880] ALRIGHT ANY MUSCLE ACHES OR BODY PAINS +audio/RES0181.mp3[222.400,228.200] AND ANY AND HOWS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE +audio/RES0181.mp3[228.200,231.320] I HAVE BEEN YEAH IVE BEEN TIRED +audio/RES0181.mp3[231.320,240.960] OK AND HAVE YOU HAD ANY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0181.mp3[240.960,246.800] UM I HAVE TYPE ONE DIABETES +audio/RES0181.mp3[246.800,255.440] OK AND UH INSULIN WISE DO YOU USE A PUMP OR IS IT LIKE HOW DO YOU MANAGE DIABETES +audio/RES0181.mp3[255.440,259.520] I USE AN INSULIN PUMP YEAH +audio/RES0181.mp3[259.520,263.520] OK EXCELLENT AND DO YOU SEE AN ENDOCRINOLOGIST FOR THAT +audio/RES0181.mp3[263.520,265.000] I DO +audio/RES0181.mp3[265.000,273.200] OK WELL THATS GOOD AND HAVE YOU HAD ANY COMPLICATIONS OR HAVE THINGS BEEN STABLE +audio/RES0181.mp3[273.200,285.040] THINGS HAVE BEEN PRETTY STABLE I HAD WHEN I WAS YOUNGER I HAD A FEW EPISODES OF LIKE HYPOGLYCEMIA BUT NOW THINGS ARE PRETTY STABLE +audio/RES0181.mp3[285.040,294.320] OK AND YOU CAN RECOGNIZE THOSE SIGNS LIKE FEELING JITTERY AND SWEATY MIGHT MAYBE A LITTLE ANXIOUS WHEN THAT COMES ON +audio/RES0181.mp3[294.320,297.240] YES IM AN EXPERT NOW +audio/RES0181.mp3[297.240,306.920] OK THATS GREAT THAT YOU CAN RECOGNIZE THAT THOSE SIGNS ITS IMPORTANT AND HAVE YOU HAD ANY ALLERGIES +audio/RES0181.mp3[306.920,309.320] UHM NO ALLERGIES +audio/RES0181.mp3[309.320,315.280] ANY AND ALL YOUR IMMUNIZATIONS UP TO DATE +audio/RES0181.mp3[315.280,316.600] AH YES +audio/RES0181.mp3[316.600,322.480] OK UHM AND ANY HOSPITALIZATIONS OR SURGERIES BEFORE +audio/RES0181.mp3[325.280,330.200] OK UH AND UH CURRENTLY ARE YOU IN IN SCHOOL OR WORKING +audio/RES0181.mp3[330.200,336.840] IM IN SCHOOL IM IN GRADE 10 AND WERE DOING HALF DAYS NOW +audio/RES0181.mp3[336.840,339.520] OK ERR HALF DAYS LIKE IN PERSON +audio/RES0181.mp3[339.520,343.000] YEAH HALF IN PERSON AND HALF ONLINE +audio/RES0181.mp3[343.000,347.200] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0181.mp3[347.200,350.920] NO NO ONE AT SCHOOLS BEEN SICK ACTUALLY +audio/RES0181.mp3[350.920,357.400] OK UHM AND HAVE YOU TRAVELED ANYWHERE +audio/RES0181.mp3[357.400,361.440] AH NOPE NOT NOT SINCE COVID +audio/RES0181.mp3[361.440,363.720] OK I SEE AN ARE YOU AH WHO ARE YOU LIVING WITH +audio/RES0181.mp3[363.720,372.760] I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS +audio/RES0181.mp3[372.760,378.360] OK AND ANYBODY AT HOME HAVE ANY SORE THROAT OR COUGH OR OR ANYTHING LIKE THAT +audio/RES0181.mp3[378.360,392.480] UHM SO MY YOUNGER SISTER HAD A SORE THROAT LIKE A WEEK BACK BUT THATS ALL SHE HAD SHE NEVER HAD A FEVER AND HER SORE THROAT WENT AWAY IN LIKE 2 DAYS +audio/RES0181.mp3[392.480,400.200] OK UH OK AND DOES SHE NEED ANY TREATMENT +audio/RES0181.mp3[405.560,416.800] OK UH AND UH AND I I KNOW PEOPLE AROUND YOUR AGE MIGHT EXPERIMENT WITH DRUGS OR ALCOHOL HAVE YOU USED ANYTHING LIKE THAT OR YOUR FRIENDS +audio/RES0181.mp3[416.800,420.680] OH NO NO NOTHING LIKE THAT +audio/RES0181.mp3[420.680,424.440] OK AND DO YOU SMOKE CIGARETTES OR HAVE YOU TRIED +audio/RES0181.mp3[424.440,439.520] UHM I TRIED ONCE BUT I DONT EVER DO IT REGULARLY +audio/RES0181.mp3[439.520,444.600] OK AND UH AND DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS +audio/RES0181.mp3[444.600,448.920] UM NO I NEVER HAVE TRIED +audio/RES0181.mp3[448.920,459.480] OK AND AND IS THERE A FAMILY HISTORY OF ANY HEART OR OR LUNG CONDITIONS +audio/RES0181.mp3[459.480,466.320] UHM I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE USED TO SMOKE +audio/RES0181.mp3[466.320,470.000] OK I SEE HOW OLD WAS HE ROUGHLY +audio/RES0181.mp3[470.000,472.960] UHM HE WAS IN HIS LATE 60S +audio/RES0181.mp3[472.960,486.360] OK IM SORRY TO HEAR THAT AND THANK YOU AND OH SORRY I FORGOT TO ASK HER ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0181.mp3[488.280,492.040] OK HAVE YOU BEEN SEXUALLY ACTIVE BEFORE +audio/RES0181.mp3[492.040,493.960] UH NO +audio/RES0181.mp3[493.960,513.640] OK SO UMM OK UHM SO THAT WAS ALL THE QUESTIONS THAT UHM THAT THAT I WANTED TO ASK WAS THERE ANYTHING ELSE THAT YOU WANTED TO UMM MENTION TODAY +audio/RES0181.mp3[513.640,526.760] UH NO I DONT THINK SO IS IT WHEN YOU ASKED ME IF MY NECK WAS SWOLLEN MY NECKS NOT SWOLLEN BUT I FEEL LIKE INSIDE THE BACK OF MY THROAT MY TONSILS FEEL A LITTLE BIT SWOLLEN +audio/RES0181.mp3[526.760,535.360] OK AND HAVE YOU LOOKED DOES IT LOOK LIKE YOU HAVE LIKE REDNESS IN THE BACK OF YOUR BACK OF YOUR MOUTH +audio/RES0181.mp3[535.360,538.960] YEAH IT LOOKS PRETTY RED AND ANGRY +audio/RES0181.mp3[538.960,540.920] OK AND ITS SORE +audio/RES0181.mp3[542.880,560.640] OK SO ITS JUST TO KIND OF SUMMARIZE THIS HAPPENS LIKE THIS SOMETIMES YOU BEEN HAVING SO THE SORE THROAT LIKE THE REDNESS AND SWELLING OF THE TONSILS IN THE BACK OF YOUR MOUTH AS WELL AS A FEVER AND BEING PRETTY TIRED OVER THESE LAST FEW DAYS +audio/RES0181.mp3[563.000,643.840] OK YEAH UM ALRIGHT SO ITS SOUNDING LIKE MOST LIKELY THIS WOULD BE STREP THROAT OR OR GROUP A STREP PHARYNGITIS WITH BECAUSE YOU HAVE NO COUGH AND WITH A HIGH FEVER AND SWELLING THAT YOUVE BEEN REDNESS THAT YOU NOTICE IN THE BACK OF YOUR MOUTH AND SO WELL DO A RAPID STREP ANTIGEN TEST AND IT WILL REQUIRE JUST A THROAT SWAB TO SEE TO TO DETECT FOR THAT HOWEVER WITH A UH UMM YEAH I GUESS THATS IT THATS WHAT I YEAH WELL WELL START WITH WITH THAT NOW AND IT COULD POTENTIALLY BE SOMETHING LIKE UHM A VIRAL ILLNESS BUT THATS LOWER ON THE ON THE DIFFERENTIAL THEN THE BACTERIAL INFECTION IS RIGHT NOW AND BECAUSE OF COVIIT WILL BE WELL DO A SWAB AS WELL BECAUSE PEOPLE CAN GET FEVER AND SORE THROAT WITH WITH COVIAS WELL +audio/RES0181.mp3[644.920,650.520] SO JUST TO MAKE SURE THAT WERE BEING COMPREHENSIVE +audio/RES0181.mp3[650.520,655.320] OK THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0181.mp3[655.320,658.160] THANK YOU +audio/RES0081.mp3[0.000,1.680] HOW CAN I HELP YOU +audio/RES0081.mp3[1.680,24.960] HI MY SON DAVE WHOS 5 YEARS OLD WHO COMES TO THE CLINIC QUITE OFTEN HAS UH HIS ASTHMA HAS BEEN REALLY BAD OVER THE PAST FEW DAYS IVE TRIED HIS PUFFERS BUT THEYRE NOT REALLY HELPING MUCH AND IM JUST WORRIED ABOUT HIM +audio/RES0081.mp3[24.960,28.160] SO WHAT SYMPTOM IS HE EXPERIENCING NOW +audio/RES0081.mp3[28.160,60.840] UHM SO HES JUST HAVING THIS WHEEZING THAT JUST DOESNT GO AWAY LIKE I CAN ACTUALLY HEAR IT ITS FRIGHTENING HES HAVING LIKE HES HAVING DIFFICULTIES FALLING ASLEEP HES JUST BEEN VERY IRRITABLE UHM HE DIDNT GO TO SCHOOL YESTERDAY ITS JUST YEAH ITS JUST IT SEEMS LIKE ITS JUST HES NOT EATING WELL EITHER +audio/RES0081.mp3[60.840,73.320] OK SO YEAH ITS BEEN AFFECTING UH SLEEP APPETITE HIS MOOD HAS HE BEEN SHORT OF BREATH +audio/RES0081.mp3[73.320,79.400] IF HE WAS LIKE HE SAID THAT HE WAS HAVING SOME DIFFICULTY BREATHING YEAH +audio/RES0081.mp3[79.400,91.080] OK HAS HE UH ABLE TO TALK LIKE IN FULL SENTENCES LIKE HOW IS HE RIGHT NOW +audio/RES0081.mp3[91.080,112.520] YEAH HES ABLE TO TALK IN FULL SENTENCES BUT HE JUST GETS A LITTLE BIT BREATHLESS WHEN HES EATING WHICH I THINK IS PROBABLY WHY HES NOT EATING MUCH BUT YEAH HES ABLE TO TALK HES NOT TALKING MUCH EITHER JUST BEEN LIKE JUST BEEN IN A MOOD YOU KNOW HE GETS A LITTLE BIT BREATHLESS WHEN HES CRYING +audio/RES0081.mp3[112.520,117.920] OK I SEE AND HAS HE HAD A COUGH +audio/RES0081.mp3[117.920,121.720] YEAH HE DOES HE DOES HAVE A COUGH YEAH +audio/RES0081.mp3[121.720,125.040] OK AND WHEN DID THE COUGH START +audio/RES0081.mp3[125.040,128.680] I WANT TO SAY ABOUT TWO DAYS AGO +audio/RES0081.mp3[128.680,132.240] OK AND HAS HE BEEN BRINGING UP ANY SPUTUM +audio/RES0081.mp3[133.200,136.200] OR ANY BLOOD +audio/RES0081.mp3[136.200,137.480] NO NO NO +audio/RES0081.mp3[137.480,142.160] OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE +audio/RES0081.mp3[142.160,143.960] ITS BEEN THE SAME +audio/RES0081.mp3[143.960,153.720] OK UHM AND HAS HE COMPLAINED OF HAVING A SORE THROAT OR PAINFUL EARS +audio/RES0081.mp3[153.720,156.880] NO HE HASNT COMPLAINED OF THOSE +audio/RES0081.mp3[156.880,168.680] OK AND HAVE YOU NOTICED ANY EYE REDNESS OR OR ANY DISCHARGE FROM HIS EYES OR NOSE +audio/RES0081.mp3[170.040,180.960] OK AND HAS HE BEEN HAVING ANY CHEST PAIN +audio/RES0081.mp3[180.960,181.880] UH NO +audio/RES0081.mp3[181.880,189.360] OK AND YOU MENTIONED UH A WHEEZE HAVE YOU BEEN ABLE TO HEAR A WHEEZE LIKE THIS BEFORE +audio/RES0081.mp3[189.360,192.960] ITS USUALLY NOT THIS BAD +audio/RES0081.mp3[192.960,198.280] OK HAS HE BEEN HAVING ANY ABDOMINAL PAIN +audio/RES0081.mp3[199.400,202.040] ANY NAUSEA OR VOMITING +audio/RES0081.mp3[203.200,208.280] HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL WHEN HES GOING TO THE BATHROOM +audio/RES0081.mp3[208.280,213.840] NO HE HASNT COMPLAINED OF ANYTHING LIKE THAT +audio/RES0081.mp3[213.840,220.160] I SEE OK AND HAS HE HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0081.mp3[221.080,226.280] OK HAS HE HAD ANY SKIN CHANGES OR RASHES +audio/RES0081.mp3[226.280,237.560] NO NO I CHECKED FOR THOSE VERY CAREFULLY HE USED TO GET RASHES WHEN HE WAS A CHILD BUT NO HE DOESNT HE DOESNT HAVE ANYTHING RIGHT NOW +audio/RES0081.mp3[237.560,242.400] ALRIGHT AND HAS HE HAD ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0081.mp3[242.400,259.400] UH HES JUST BEEN HES JUST BEEN NOT HES NOT BEEN AS ACTIVE AS HE USUALLY IS SO I DONT HE HASNT SAID THAT ANY ANYTHING IN PARTICULAR ABOUT MUSCLE PAINS BUT I DONT KNOW IF HE KNOWS HOW TO YOU KNOW HES JUST BEEN YEAH +audio/RES0081.mp3[259.400,274.440] OK AND TWO DAYS AGO CAN YOU THINK OF ANY TRIGGERS LIKE WAS THERE ANY EXPOSURE TO DUST OR SMOKE OR MAYBE EVEN PETS THAT COULD HAVE BROUGHT THIS ON +audio/RES0081.mp3[274.440,291.400] YEAH YOU KNOW IF I THINK ABOUT IT HE DID GO OUTSIDE TO PLAY WITH HIS BROTHER AND I DONT KNOW HE MIGHT HAVE GOT SOMETHING OUT THERE MAYBE +audio/RES0081.mp3[291.400,301.000] YEAH UH CERTAINLY POSSIBLE AND WAS IT LIKE A PARTICULARLY COLD DAY +audio/RES0081.mp3[301.000,306.440] YEAH IT WAS A VERY WINDY LITTLE BIT CHILLY TOO +audio/RES0081.mp3[306.440,312.360] AND WHEN LIKE DURING THE WINTER TIME DOES COLD AIR TRIGGER ATTACKS FOR DAVE +audio/RES0081.mp3[312.360,313.120] OH YEAH +audio/RES0081.mp3[313.120,317.440] OK AND HOW ABOUT EXERCISE +audio/RES0081.mp3[317.440,335.360] NO I DONT THINK WELL THEY WENT OUTSIDE TO PLAY SO I MEAN HE WAS UHM EXERCISE DOES MAKE IT WORSE SOMETIMES SO IT COULD BE THAT TOO +audio/RES0081.mp3[335.360,351.280] OK AND SO HAS DAVE BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE THE WHEEZING AND THE IRRITABILITY AND WHAT YOUVE DESCRIBED SO FAR +audio/RES0081.mp3[351.280,356.520] NO I DONT THINK SO THATS I THINK THATS IT +audio/RES0081.mp3[356.520,363.280] OK YOU TRIED SOME INHALERS HOW OFTEN HAVE YOU BEEN USING THEM +audio/RES0081.mp3[363.280,377.680] YEAH WE USED HIS BLUE INHALER ABOUT FIVE TIMES YESTERDAY AND ANOTHER TWO OR THREE TIMES EARLIER TODAY +audio/RES0081.mp3[377.680,382.040] OK AND DO YOU USE A SPACER +audio/RES0081.mp3[382.040,389.680] UHM NO WE DONT I HAVE TO GO GET THAT AND LEARN HOW TO USE IT +audio/RES0081.mp3[389.680,400.800] OK FOR SURE WE CAN GO THROUGH UH THE PROPER TECHNIQUE THROUGHOUT THIS VISIT AS WELL JUST TO REVIEW THAT AGAIN +audio/RES0081.mp3[400.800,404.040] I WOULD LOVE THAT +audio/RES0081.mp3[404.040,413.440] THATS GREAT AND HAS HE BEEN USING ANY OTHER MEDICATIONS TO HELP OVER THESE LAST COUPLE OF DAYS BESIDES THE INHALERS +audio/RES0081.mp3[413.440,424.440] NO JUST THE INHALERS WEVE ALSO KEPT IT THE USUAL ONE THE ONE THAT HE TAKES THE OTHER INHALER +audio/RES0081.mp3[424.440,430.120] OK DOES HE HAVE ONE THAT HE USES ONCE LIKE HE USES DAILY +audio/RES0081.mp3[430.120,434.360] YEAH YEAH THE ONE THAT HE USES I THINK THE ORANGE ONE +audio/RES0081.mp3[434.360,439.720] OK SO HE DOES USE A STEROID INHALER +audio/RES0081.mp3[440.720,447.000] OK AND DOES HE HAVE ANY ALLERGIES +audio/RES0081.mp3[447.000,450.240] UHM NO HE DOESNT +audio/RES0081.mp3[450.240,456.640] OK AND DOES HE HAVE ANY MEDICAL CONDITIONS THAT HAVE DIAGNOSED PREVIOUSLY +audio/RES0081.mp3[456.640,460.640] JUST THE DERMATITIS AND ASTHMA +audio/RES0081.mp3[460.640,468.360] OK AND WHEN WAS HIS LAST ASTHMA EXACERBATION +audio/RES0081.mp3[468.360,470.640] LAST YEAR +audio/RES0081.mp3[470.640,474.400] OK HAS HE EVER NEEDED TO BE HOSPITALIZED FOR ONE +audio/RES0081.mp3[474.400,479.240] OH NO NO NOTHING LIKE THAT HES A HEALTHY KID +audio/RES0081.mp3[479.240,485.840] OK THATS GOOD HAS HE HAD ANY SURGERIES BEFORE +audio/RES0081.mp3[486.920,496.160] OK AND IN REGARDS TO BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR WITH DELIVERY +audio/RES0081.mp3[496.160,508.280] OH NO EVERYTHING WAS NORMAL HE WAS BORN VIA VAGINAL DELIVERY AND NO COMPLICATIONS HE WAS A HEALTHY BABY +audio/RES0081.mp3[508.280,516.640] OK AND HAVE YOU HAD ANY CONCERNS WITH GROWTH OR DEVELOPMENTAL MILESTONES +audio/RES0081.mp3[516.640,526.760] NO NO THE DOC WAS PRETTY HAPPY WHEN HE DID THE REGULAR THE CHECKUP AND YEAH THINGS ARE GOOD WITH HIM HES A GOOD KID +audio/RES0081.mp3[526.760,536.200] AWESOME OK AND COULD YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION LIKE WHOS THE MAIN CAREGIVER AND WHO HES LIVING WITH +audio/RES0081.mp3[536.200,567.320] YEAH SO HE LIVES WITH ME HIS DAD AND HIS BROTHER WHO IS 2 YEARS OLDER AND HES NOT GOING TO SCHOOL RIGHT NOW WERE JUST KEEPING HIM AT HOME DUE TO COVID AND TRYING TO DO SOME HOME SCHOOLING IM A HOMEMAKER SO I DO HAVE ENOUGH TIME TO SPEND TIME WITH HIM AND HIS OLDER BROTHER AND YEAH +audio/RES0081.mp3[567.320,572.440] OK HAS ANYBODY IN THE HOME BEEN SICK EITHER HIS BROTHER YOURSELF OR FATHER +audio/RES0081.mp3[572.440,573.080] UH NO +audio/RES0081.mp3[573.080,587.480] OK AND ANYBODY AT WORK OR ANY OTHER PLACES THAT YOU MAYBE TRAVELED TO THAT UH BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0081.mp3[587.480,600.680] UHM NO I DONT THINK SO I DONT THINK THERE WAS ANYONE THAT WAS SICK +audio/RES0081.mp3[600.680,603.360] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0081.mp3[603.360,607.960] NO NO WERE JUST STAYING AT HOME +audio/RES0081.mp3[607.960,610.440] OK AND ARE THERE ANY PETS IN THE HOME +audio/RES0081.mp3[611.960,620.560] ALRIGHT ANY CARPETS OR LIKE UH CURTAINS OR ANYTHING LIKE THAT COVERING THE WINDOWS +audio/RES0081.mp3[620.560,627.840] NO WE GOT ALL THOSE REMOVED WHEN HE HAD HIS BIG EXACERBATION LAST YEAR +audio/RES0081.mp3[627.840,634.000] I SEE OK AND DOES ANYBODY SMOKE IN THE HOME EITHER CIGARETTES OR MARIJUANA +audio/RES0081.mp3[634.000,639.760] UHM MY HUSBAND SMOKES BUT HE SMOKES OUTSIDE HE NEVER SMOKES IN FRONT OF THE KIDS +audio/RES0081.mp3[639.760,648.600] OK I SEE AND UH DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +audio/RES0081.mp3[648.600,657.640] NO UHH I HAVE SOME I HAVE HIGH BLOOD PRESSURE BUT THATS IT +audio/RES0081.mp3[657.640,662.800] OK ANY LIKE CONGENITAL DISEASES THAT RUN IN THE FAMILY +audio/RES0081.mp3[667.240,669.560] OR HOW ABOUT ANY GENETIC DISEASES +audio/RES0081.mp3[670.920,674.640] CYSTIC FIBROSIS OR ANYTHING LIKE THAT +audio/RES0081.mp3[674.640,675.480] NO NO NO +audio/RES0081.mp3[675.480,691.720] OK UHM SO WAS THERE ANY OTHER ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR IM MISSING THAT YOUD LIKE TO ADD TODAY +audio/RES0081.mp3[691.720,706.600] NO IM JUST WORRIED THAT HES GOING TO HAVE A BIG ASTHMA ATTACK LIKE LAST YEAR I JUST ALSO WANT TO MAKE SURE NOTHING ELSE IS GOING ON AND IF HE CAN BE TAKEN CARE OF AND HES JUST HES FEELING AWFUL +audio/RES0081.mp3[706.600,769.040] FOR SURE YEAH WELL UH CHECK HIS HIS VITAL SIGNS AND DO A PHYSICAL EXAM AND IT DOES SOUND LIKE IT COULD BE AN ASTHMA EXACERBATION AND SO WE CAN TRIAL SOME INHALER MEDICATIONS A LITTLE BIT DIFFERENT THAN WHAT YOU USE AT HOME BUT ALSO USING VENTOLIN AS WELL AND WELL ASSESS THE NEED FOR POTENTIAL UH ANTIBIOTICS AND ALSO STEROID IF NECESSARY AND IF HIS BREATHING GETS WORSE OR YOURE STARTING TO HEAR THAT THE WHEEZING IS GETTING WORSE OR HIS WORK OF BREATHING IS BECOMING MORE INTENSE THEN CERTAINLY WELL NEED TO ADD ON SOME OXYGEN AND POSSIBLY SOME OTHER THERAPIES +audio/RES0081.mp3[769.040,779.520] THANK YOU SO MUCH DOC +audio/RES0081.mp3[779.520,781.880] ALRIGHT THANK YOU +audio/RES0067.mp3[0.000,2.840] SO WHAT BRINGS YOU HERE TODAY +audio/RES0067.mp3[2.840,42.840] YEAH I HAVE MY 2 YEAR OLD DAUGHTER HERE WITH ME I DONT KNOW WHATS HAPPENING WITH HER BUT SHE SEEMS TO BE GETTING REALLY SICK SO ILL GIVE YOU THAT KIND OF TIMELINE SO TWO DAYS AGO SHE WAS FEELING HOT AND HER FEVER HASNT BROKEN WEVE BEEN GIVING HER TYLENOL BUT SHE STILL SEEMS TO HAVE A FEVER THE LAST TIME I CHECKED HER TEMPERATURE WAS 385 AND SHE SEEMS TO HAVE ISSUES SWALLOWING FOOD SHES DROOLING AND SHE SEEMS SHORT OF BREATH +audio/RES0067.mp3[42.840,47.800] OK AND WHEN DID SHE START GETTING SHORT OF BREATH +audio/RES0067.mp3[47.800,51.440] THAT STARTED YESTERDAY +audio/RES0067.mp3[51.440,56.480] HAS HER FEVER BEEN GETTING WORSE OR HAS IT STAYED AROUND THE SAME +audio/RES0067.mp3[56.480,65.040] SO I JUST CHECKED THE FIRST DAY IT WAS LIKE 38 385 +audio/RES0067.mp3[65.040,70.240] OK AND WHEN DID THE TROUBLE SWALLOWING START +audio/RES0067.mp3[70.240,73.760] THAT STARTED YESTERDAY AS WELL +audio/RES0067.mp3[73.760,77.600] OK AND HAS IT BEEN GETTING WORSE AT ALL +audio/RES0067.mp3[77.600,82.120] I THINK SO NOW SHES BARELY EVEN DRINKING FLUIDS +audio/RES0067.mp3[82.120,98.160] OK SO ITS BOTH SOLIDS AND FLUIDS OK HAVE YOU NOTICED ANY SWELLING IN HER NECK AREA OR REDNESS OR SWELLING IN HER THROAT +audio/RES0067.mp3[98.160,101.480] YEAH IVE NOTICED SOME OF THAT +audio/RES0067.mp3[101.480,105.720] OK YOU SEE A LOT OF REDNESS IN THERE +audio/RES0067.mp3[105.720,110.440] I SEE YEAH I SEE QUITE A BIT OF REDNESS IN THERE +audio/RES0067.mp3[110.440,114.760] AND HAS SHE BEEN DROOLING AT ALL +audio/RES0067.mp3[114.760,120.240] YEAH A LITTLE BIT TODAY +audio/RES0067.mp3[120.240,122.800] OK ALRIGHT ANY COUGHING +audio/RES0067.mp3[122.800,126.240] NOT HAT I NOTICED +audio/RES0067.mp3[126.240,139.240] NO COUGHING OK AND DO YOU NOTICE THAT SHES INCREASINGLY FATIGUED OR JUST NOT HERSELF OR IS SHE IRRITABLE +audio/RES0067.mp3[139.240,143.720] YEAH SHES VERY IRRITABLE +audio/RES0067.mp3[143.720,149.680] OK DO YOU NOTICE ANY KIND OF PALENESS OR BLUENESS IN HER SKIN ANYTHING LIKE THAT +audio/RES0067.mp3[149.680,155.360] SHES NOT BLUE SHES LOOKING A LITTLE PALE THOUGH +audio/RES0067.mp3[155.360,162.360] OK AND SORRY WHEN DID THE SHORTNESS OF BREATH START IS IT GETTING WORSE AT ALL +audio/RES0067.mp3[162.360,169.680] SHORTNESS OF BREATH STARTED YESTERDAY AS WELL MORESO TODAY WHICH IS WHY I BROUGHT HER IN +audio/RES0067.mp3[169.680,177.000] OK ANY OTHER SYMPTOMS LIKE NAUSEA OR VOMITING OR DIARRHEA OR CONSTIPATION +audio/RES0067.mp3[177.000,180.520] UM NO NOTHING LIKE THAT +audio/RES0067.mp3[180.520,187.240] OK AND HOWS HER APPETITE AND SLEEP +audio/RES0067.mp3[187.240,198.560] ITS BEEN ITS BEEN NOT GREAT SHES NOT EATING WELL I GUESS BECAUSE SHES IN A LO OF PAIN AND SHE DIDNT SLEEP WELL FOR THE PAST TWO NIGHTS EITHER +audio/RES0067.mp3[198.560,205.520] OK UHM HAS SHE HAD ANY RECENT INFECTIONS AT ALL LIKE A COLD OR ANYTHING LIKE THAT +audio/RES0067.mp3[205.520,211.080] SHE DID HAVE A COUGH 2 WEEKS AGO YEAH +audio/RES0067.mp3[211.080,218.840] OK AND DID IT JUST GO AWAY ON ITS OWN OR DID SHE NEED ANY ANTIBIOTICS OR ANY OTHER MEDICATIONS +audio/RES0067.mp3[218.840,227.960] I THINK NO SHE DIDNT NEED ANY ANTIBIOTICS IT KIND OF WENT AWAY ON ITS OWN +audio/RES0067.mp3[227.960,232.840] OK ANY SICK CONTACTS WITHIN THE LAST WEEK OR TWO WEEKS +audio/RES0067.mp3[232.840,250.080] I MEAN SHE GOES TO DAYCARE SO SHE MIGHT HAVE PICKED SOMETHING UP FROM THERE YEAH LAST I CHECKED NO ONE AT DAYCARE WAS SICK LIKE RIGHT NOW BUT THREE WEEKS AGO THERE WAS SOMEONE WHO WAS SICK +audio/RES0067.mp3[250.080,253.440] OK ANY PAST MEDICAL HISTORY +audio/RES0067.mp3[253.440,257.800] UM NO SHES BEEN PRETTY HEALTHY OTHERWIS +audio/RES0067.mp3[257.800,265.040] ANY ISSUES DURING PREGNANCY OR AFTER BIRTH AT ALL +audio/RES0067.mp3[265.520,270.600] ARE HER IMMUNIZATIONS ARE UP TO DATE +audio/RES0067.mp3[270.600,275.160] UM YES SHE DIDNT GET THE H FLU VACCINE THOUGH +audio/RES0067.mp3[275.160,280.840] OK OK ANY HOSPITALIZATIONS OR ANYTHING LIKE THAT IN THE PAST +audio/RES0067.mp3[280.840,282.720] UM NO +audio/RES0067.mp3[282.720,286.880] OK AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0067.mp3[286.880,288.720] UM NO +audio/RES0067.mp3[288.720,292.520] AND CURRENTLY WHO DOES SHE LIVE WITH AT HOME +audio/RES0067.mp3[292.520,301.920] IM SHE LIVES WITH MYSELF AS WELL AS HER OLDER BROTHER +audio/RES0067.mp3[301.920,305.640] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS THAT I HAVE +audio/RES0067.mp3[305.640,310.960] DO YOU THINK THIS IS LIKE AN URGENT MATTER +audio/RES0067.mp3[310.960,383.280] BECAUSE SHE HAS NOT BEEN VACCINATED WITH THE HFLU VACCINE AND SOME OF THE SYMPTOMS THAT SHES DISPLAYING LIKE THE DROOLING AND TROUBLE SWALLOWING AND NOW ESPECIALLY THE SHORTNESS OF BREATH ARE VERY CONCERNING I REALLY THINK WE SHOULD GO TO THE EMERGENCY DEPARTMENT ILL GIVE THEM A CALL TO LE THEM KNOW THAT YOURE COMING YEAH AND WHAT THEY WILL MOST LIKELY DO THERE IS GET A TEST DONE TO SEE IF SHE HAS H FLU AND ALSO THEY MIGHT DO PERHAPS LIKE A COVISWAB AS WELL THEY MIGHT GET AN X RAY OF HER NECK AS WELL TO SEE IT SO WHAT I THINK MIGHT BE GOING ON IS WITH H FLU YOU CAN GET SWELLING OF YOUR EPIGLOTTIS AND IT CAN KIND OF OBSTRUCT YOUR THROAT ITS VERY URGENT MATTER SO THATS WHY WE WILL MAKE SURE YOU GET TO THE ER AND UH YOU KNOW WELL GO FROM THERE DOES THAT SOUND I KNOW IT MAY BE VERY WORRYING RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL +audio/RES0067.mp3[383.280,387.800] YEAH DO YOU KNOW HOW LONG WILL SHE HAVE TO BE IN THE HOSPITAL +audio/RES0067.mp3[387.800,425.120] SO RIGHT NOW WE JUST NEED TO MAKE SURE THAT SHES STABLE LIKE ALL HER VITALS YOU KNOW WHEN SHE GETS TO THE ER THEY CAN GIVE HER THE APPROPRIATE ANTIBIOTICS AS WELL AND BASED ON THAT WE NEED TO MAKE SURE HER BREATHING GET STABILIZED SO SHE MIGHT BE IN THE ER FOR ONE DAY IF THEY THINK SHE NEEDS TO BE ON IV ANTIBIOTICS IN THE HOSPITAL SHE MIGHT BE IN THE HOSPITAL FOR A FEW MORE DAYS OR EVEN A WEEK SO ITS REALLY HARD TO SAY RIGHT NOW BUT OUR PRIORITY RIGHT NOW IS TO MAKE SURE SHES STABILIZED IN THE ER +audio/RES0067.mp3[425.120,428.560] OK OK YEAH THAT SOUNDS GOOD +audio/RES0067.mp3[428.560,437.480] SO ILL GIVE THEM A CALL RIGHT NOW AND UH YOU CAN HEAD OVER TO THE ER OR IF YOU NEED A RIDE WE CAN ARRANGE TO DO THAT FOR YOU TOO +audio/RES0067.mp3[437.480,438.880] OK GREAT THAT SOUNDS GREAT +audio/RES0067.mp3[438.880,443.040] THANK YOU +audio/RES0067.mp3[443.040,448.720] YOU TOO +audio/RES0160.mp3[0.000,2.920] WHAT CAN I DO FOR YOU TODAY +audio/RES0160.mp3[2.920,20.280] HI YES THANK YOU FOR SEEING ME I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING FOR THE LAST WEEK THIS COUGH AND RECENTLY ALSO STARTED NOTICING THAT IVE BEEN HAVING SOME DIARRHEA AS WELL +audio/RES0160.mp3[20.280,22.560] HM WHEN DID THE COUGH START +audio/RES0160.mp3[22.560,38.120] THE COUGH STARTED AROUND 5 DAYS AGO AND ITS IT GOT WORSE BUT NOW I THINK ITS A LITTLE BIT BETTER +audio/RES0160.mp3[38.120,39.200] WHAT ABOUT THE DIARRHEA +audio/RES0160.mp3[39.200,50.160] THE DIARRHEA STARTED JUST TWO DAYS AGO AND IM HAVING TO GO LIKE ALMOST 8 TO 10 TIMES IN THE LAST TWO DAYS +audio/RES0160.mp3[50.160,60.480] AND WHAT IS WHAT DOES YOUR STOOL LOOK LIKE IS IT COMPLETELY WATERY +audio/RES0160.mp3[60.480,63.560] YEAH ITS MOSTLY WATERY +audio/RES0160.mp3[63.560,66.480] AND WHAT COLOUR IS IT +audio/RES0160.mp3[66.480,73.080] JUST NORMAL COLOUR NO ITS NOT DARK OR ANYTHING LIKE THAT +audio/RES0160.mp3[73.080,77.680] OK ANY BLOOD THAT YOUVE NOTICED ANYTHING RED +audio/RES0160.mp3[77.680,78.840] NO BLOOD +audio/RES0160.mp3[78.840,90.800] AND YOUVE HAD THIS COUGH BUT YOUR COUGH IS GETTING BETTER WHATS THE COUGH LIKE IS IT A DRY COUGH OR WET COUGH +audio/RES0160.mp3[90.800,99.040] ITS UH ITS MORE OF A DRY COUGH +audio/RES0160.mp3[99.040,102.720] HAVE YOU COUGHED UP ANYTHING AT ALL LIKE BLOOD OR ANY ANY MUCUS +audio/RES0160.mp3[102.720,108.000] NO NO I HAVENT COUGHED UP ANYTHING +audio/RES0160.mp3[108.000,129.000] OK AND OTHER THAN THE COUGH HAVE YOU HAD ANY OTHER LIKE FLU LIKE SYMPTOMS HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE SORE THROAT ANY OF THOSE SYMPTOMS +audio/RES0160.mp3[129.000,138.320] NO NONE OF THOSE BUT I I HAVE ALSO BEEN HAVING LIKE A LITTLE BIT OF A HEADACHE AS WELL IN THE LAST FEW DAYS +audio/RES0160.mp3[138.320,141.360] WHERE IS WHERE IS YOUR HEADACHE +audio/RES0160.mp3[141.360,146.320] JUST IN THE LIKE ON MY FOREHEAD ON BOTH SIDES +audio/RES0160.mp3[146.320,147.840] WHAT DOES IT FEEL LIKE +audio/RES0160.mp3[147.840,150.640] ACHING SENSATION +audio/RES0160.mp3[150.640,156.360] AND HOW BAD IS YOUR HEADACHE FROM 1 TO 10 WITH 10 BEING THE WORST HEADACHE EVER +audio/RES0160.mp3[156.360,161.880] RIGHT NOW PROBABLY A 5 BUT IT WAS PROBABLY LIKE A 7 YESTERDAY +audio/RES0160.mp3[161.880,166.040] SO DO YOU FEEL LIKE YOUR HEADACHES GETTING BETTER +audio/RES0160.mp3[166.040,172.880] RIGHT NOW LIKE TODAY I TOOK TYLENOL SO I DONT KNOW IF ITS JUST BETTER BECAUSE OF THAT +audio/RES0160.mp3[172.880,177.200] I SEE AND HAVE YOU TAKEN ANY OTHER MEDICATIONS TO HELP WITH YOUR SYMPTOMS +audio/RES0160.mp3[184.320,189.400] OK UHM HAVE YOU HAD A FEVER OR CHILLS +audio/RES0160.mp3[189.400,193.400] UHM I KNOW I HAVENT FELT ANY FEVER CHILLS +audio/RES0160.mp3[193.400,199.640] OK AND HAVE YOU HAD ANY CHEST PAIN OR ANY DIFFICULTIES BREATHING +audio/RES0160.mp3[205.000,209.080] OK UHM HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0160.mp3[209.080,211.800] UH NO NOTHING LIKE THAT +audio/RES0160.mp3[211.800,215.160] OK ANY PAIN IN YOUR BELLY +audio/RES0160.mp3[215.160,225.360] UM JUST LIKE A LITTLE DISCOMFORT WITH GOING TO THE WASHROOM SO MUCH +audio/RES0160.mp3[225.360,229.880] AND ANY MUSCLE ACHES IN YOUR BODY +audio/RES0160.mp3[231.320,233.800] OK ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET +audio/RES0160.mp3[233.800,238.520] UH NO NOTHING LIKE THAT +audio/RES0160.mp3[238.520,245.400] ANY CHANGE IN YOUR SENSE OF SMELL +audio/RES0160.mp3[245.400,257.400] UHM MAYBE A LITTLE BIT I HAVENT REALLY YEAH I WOULD SAY IN THE LAST FEW DAYS MAYBE A LITTLE LIKE IVE BEEN ABLE TO SMELL LESS +audio/RES0160.mp3[257.400,260.600] ANY CHANGE IN YOUR SENSE OF TASTE +audio/RES0160.mp3[260.600,262.440] UH NO +audio/RES0160.mp3[262.440,270.400] OK HAVE YOU HAVE YOU BEEN IN CONTACT WITH SOMEONE WHO YOU THINK COULD POTENTIALLY BE SICK +audio/RES0160.mp3[270.400,285.000] UH NO NOT THAT I KNOW OF I DO I DO GO TO WORK IN LIKE IN PERSON UNFORTUNATELY IM I CANT WORK FROM HOME BUT IVE BEEN NOTICING ANYONE SICK AROUND ME THOUGH +audio/RES0160.mp3[285.000,287.560] AND WHAT DO YOU DO FOR WORK +audio/RES0160.mp3[287.560,291.680] SO I WORK AT LIKE A CAR SHOP +audio/RES0160.mp3[291.680,296.360] OK AND DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING +audio/RES0160.mp3[296.360,322.720] YEAH MOST OF THE TIMES I WOULD SAY WERE PRETTY STRICT STRICT WITH THAT UHM SOMETIMES WHEN WERE IN OUR OFFICE I TAKE OFF MY MASK BUT USUALLY WHEN WERE SEEING OTHER PEOPLE OR WITHIN CLOSE PROXIMITY WE KEEP THE MASKS ON +audio/RES0160.mp3[322.720,327.720] OK AND UH DO YOU I I GUESS WHO DO YOU LIVE WITH AT HOME +audio/RES0160.mp3[327.720,329.520] I JUST LIVE WITH MY WIFE +audio/RES0160.mp3[329.520,335.520] DO YOU THINK SHE MIGHT HAVE HAD ANY EXPOSURES +audio/RES0160.mp3[335.520,347.200] NO SHES BEEN FINE AND SHE DOESNT HAVE ANY SYMPTOMS AND SHES SHES A SCHOOL TEACHER RIGHT NOW THAT SHE IS WORKING FROM CANADA +audio/RES0160.mp3[347.200,354.640] OK AND DO YOU SMOKE AT ALL OR HAVE YOU SMOKED IN THE PAST +audio/RES0160.mp3[354.640,362.800] OH YEAH I DO OR I USED TO SMOKE IN MY 20S AND 30S BUT I QUIT SMOKING +audio/RES0160.mp3[362.800,367.000] HOW MUCH DID YOU SMOKE BACK THEN +audio/RES0160.mp3[367.000,374.280] PROBABLY HALF A PACK A DAY +audio/RES0160.mp3[374.280,378.200] AND FOR HOW MANY YEARS +audio/RES0160.mp3[378.200,380.640] ONLY LIKE 15 15 YEARS +audio/RES0160.mp3[380.640,387.200] OK DO YOU DO YOU SMOKE MARIJUANA OR HAVE YOU SMOKED IN THE PAST +audio/RES0160.mp3[387.200,391.640] UH IVE TRIED IT A COUPLE TIMES I DONT REALLY LIKE IT SO NO +audio/RES0160.mp3[391.640,394.280] ANY RECREATIONAL DRUGS +audio/RES0160.mp3[397.320,400.680] UH I PROBABLY HAVE A BEER EVERY DAY +audio/RES0160.mp3[400.680,406.560] DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0160.mp3[406.560,414.760] UHM I I TAKE UH MEDICATIONS FOR BLOOD PRESSURE AND HIGH CHOLESTEROL +audio/RES0160.mp3[414.760,417.240] WHAT DO YOU TAKE +audio/RES0160.mp3[417.240,436.080] UHM I TAKE THIS MEDICATION CALLED I THINK ITS ITS LIKE A LIPITOR AND THEN I TAKE UH RAMIPRIL FOR THE BLOOD PRESSURE +audio/RES0160.mp3[436.080,444.040] ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY MEDICATION ALLERGIES TO MEDICATIONS +audio/RES0160.mp3[444.040,445.720] NOT THAT I KNOW OF NO +audio/RES0160.mp3[445.720,452.080] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0160.mp3[452.080,477.720] UHM SO I THINK UH DIABETES AND FOR MY FAMILY BUT I I I DONT HAVE IT SO AND I THINK THATS PRETTY MUCH ABOUT IT ON MY DADS SIDE ON MY MOMS SIDE AND THERE WAS SOMEONE LIKE MY AUNT DID HAVE OVARIAN CANCER +audio/RES0160.mp3[477.720,486.720] OK AND HAVE YOU I GUESS HAVE YOU I FORGOT TO ASK EARLIER HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS +audio/RES0160.mp3[486.720,500.600] UHM I HAD A SURGERY TO REMOVE MY APPENDIX IN MY 20S AND SINCE THEN NO NO SURGERIES OR HOSPITALIZATIONS +audio/RES0160.mp3[500.600,515.440] OK ALRIGHT AND I GUESS THATS ALL THE QUESTIONS I HAVE FOR YOU YOU HAVENT HAD ANY DIFFICULTIES BREATHING RIGHT +audio/RES0160.mp3[516.440,532.040] NO OK DO YOU OK AND YOUVE HAD DIARRHEA FOR TWO DAYS HOWS YOUR APPETITE AND HAVE YOU BEEN EATING AND DRINKING OK +audio/RES0160.mp3[532.040,542.880] UHM APPETITES PRETTY OK LIKE I FEEL LIKE IVE BEEN MORE HUNGRY WITH THE CARRY I FEEL LIKE I NEED TO EAT MORE +audio/RES0160.mp3[542.880,607.560] UHM ITS ALSO IMPORTANT WITH THE DIARRHEA TO DRINK LOTS OF FLUIDS AND TO MAKE SURE THAT YOURE NOT LOSING IMPORTANT MINERALS AND YOURE NOT LOSING LIKE SODIUM OR POTASSIUM IN DIARRHEA AND OTHER THINGS LIKE CALCIUM THAT COULD CREATE PROBLEMS SO CONTINUE TO EAT WELL AND CONTINUE TO DRINK LOTS OF WATER I GUESS SO WHAT WELL DO IS WELL DO A COVISWAB JUST TO JUST TO CHECK IF YOU HAVE COVIOR NOT WELL ALSO DO A FEW LABS TO SEE HOW YOUR ELECTROLYTES ARE DO YOUR VITALS TO SEE IF YOU HAVE FEVER MEASURE YOUR HEART RATE AND DO A PHYSICAL EXAM AND THEN GO FROM THERE AND ILL OFF ILL TALK TO MY ATTENDING AS WELL AND WELL COME BACK AND DISCUSS THE MANAGEMENT PLAN WITH YOU +audio/RES0160.mp3[607.560,613.560] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0136.mp3[0.000,3.840] WHAT BRINGS YOU IN HERE TODAY +audio/RES0136.mp3[3.840,20.960] I JUST STARTED HAVING UM DIFFICULTY WITH BREATHING UM STARTING YESTERDAY AND I ALSO DEVELOPED THIS COUGH UM YESTERDAY MORNING +audio/RES0136.mp3[20.960,24.800] OKAY SO DID DID THE COUGH COME FIRST OR THE BREATHING DIFFICULTY BREATHING +audio/RES0136.mp3[24.800,31.440] KIND OF AROUND THE SAME TIME WHEN I WOKE UP IN THE MORNING +audio/RES0136.mp3[31.440,38.240] AND DID IT WAKE YOU UP FROM SLEEP AT ALL LIKE DID YOU WAKE UP TRYING TO CATCH A BREATH OR ANYTHING +audio/RES0136.mp3[40.320,59.840] OKAY SO IT HAPPENED AFTER YOU HAD WOKEN UP AND GOTTEN OUT OF BED AND UM SO CAN YOU DESCRIBE YOUR COUGH A LITTLE BIT IS IT WET OR IS IT DRY +audio/RES0136.mp3[59.840,68.240] UM ITS JUST UM ITS JUST A DRY COUGH +audio/RES0136.mp3[68.240,79.160] OKAY YOURE NOT BRINGING UP ANY SPUTUM OR ANY OTHER MATERIAL +audio/RES0136.mp3[80.640,83.320] AND UH ARE YOU COUGHING UP ANY BLOOD BY ANY CHANCE +audio/RES0136.mp3[85.480,95.120] FOR THE SHORTNESS OF BREATH CAN YOU DESCRIBE IT A LITTLE BIT IS IT ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU BREATHING FASTER CAN YOU DESCRIBE IT +audio/RES0136.mp3[95.120,119.080] YEAH I JUST FEEL LIKE UM IM GETTING OUT OF BREATH REALLY EASILY JUST LIKE UM WALKING EVEN WALKING TO THE KITCHEN FROM MY BEDROOM IM GETTING SHORT OF BREATH AND IT IT JUST STARTED YESTERDAY MORNING ITS SO ODD +audio/RES0136.mp3[119.080,125.080] OKAY AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE TO YOU +audio/RES0136.mp3[126.000,138.360] NO WERE YOU DOING ANYTHING BEFORE IT STARTED LIKE WERE YOU DOING ANY ANY ACTIVITIES OR ANY ARE WERE YOU DOING ANY EXERTIONS AT ALL +audio/RES0136.mp3[138.360,176.880] NO I WAS JUST UH I I SLEPT IN I SLEPT IN A BIT MORE THAN USUAL UM AND I WAS FEELING QUITE UM DROWSY MY MY DOC INCREASED MY PAIN MEDS AND I TOOK THE FIRST DOSE UM YESTERDAY NIGHT UM I ACTUALLY TOOK AN EXTRA PILL UM UM OF THE MORPHINE UM AND YEAH I DONT KNOW MAYBE IT ITS AN ALLERGIC REACTION TO THE MORPHINE +audio/RES0136.mp3[176.880,180.960] HAVE YOU HAD ANY ALLERGIC REACTIONS BEFORE +audio/RES0136.mp3[182.840,192.320] AND SO YOU TOOK AN EXTRA MORPHINE LAST NIGHT AND THEN WENT TO SLEEP UM DID YOU WAKE UP COUGHING OR CATCHING YOUR BREATH OR ANYTHING LIKE THAT +audio/RES0136.mp3[192.320,217.040] NO I ACTUALLY I ENDED UP WAKING UP AT 100 PM OR 200 PM I WAS JUST VERY DROWSY AND UH I THINK I I THINK I MIGHT HAVE TAKEN A BIT TOO MUCH I DONT KNOW THE THE ARTHRITIS PAIN WAS JUST KILLING ME LAST NIGHT AND I THOUGHT TAKING AN EXTRA PILL WOULD HELP +audio/RES0136.mp3[217.040,222.000] AND IS THIS ARE YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO +audio/RES0136.mp3[222.000,232.840] THEYRE CONSTANT FOR THE PAST TWO DAYS IVE ALSO NOTICED THAT I HAVE MY BREATH JUST SMELLS REALLY BAD I DONT KNOW WHY +audio/RES0136.mp3[232.840,237.880] IS THAT SOMETHING YOU NOTICED RECENTLY OR IN THE LAST TWO DAYS +audio/RES0136.mp3[237.880,243.920] YEAH SINCE YESTERDAY ACTUALLY NOT EVEN YESTERDAY THIS MORNING I WOULD SAY +audio/RES0136.mp3[243.920,257.120] THIS MORNING OKAY UM AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE LIKE DOES LYING DOWN MAKE YOUR SYMPTOMS WORSE +audio/RES0136.mp3[257.120,259.520] NOT REALLY +audio/RES0136.mp3[259.520,263.360] NO HOW ABOUT EXERTING YOURSELF DOES IT MAKE YOUR SYMPTOMS WORSE +audio/RES0136.mp3[264.560,270.920] OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY FEVERS OR CHILLS +audio/RES0136.mp3[270.920,279.360] I CHECKED MY FEVER LAST NIGHT IT WAS UM 372 +audio/RES0136.mp3[279.360,292.200] OKAY SO YOU DIDNT HAVE A FEVER LAST NIGHT OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE DIZZINESS UH ANY FAINTING SPELLS +audio/RES0136.mp3[293.320,300.640] OKAY HOW ABOUT SORE THROAT HEADACHES MUSCLE PAIN ANYTHING LIKE THAT +audio/RES0136.mp3[302.080,305.080] OKAY ANY CHEST PAIN +audio/RES0136.mp3[305.080,308.920] NO I DONT +audio/RES0136.mp3[308.920,313.640] AND UM HAVE YOU BEEN TRAVELING AT ALL RECENTLY +audio/RES0136.mp3[314.360,325.680] ANY CONTACT WITH ANYONE WHO HAS BEEN SICK RECENTLY +audio/RES0136.mp3[326.360,329.560] NO UH ANY NAUSEA OR VOMITING +audio/RES0136.mp3[331.360,333.920] OKAY ANY NIGHT SWEATS +audio/RES0136.mp3[336.000,340.000] OKAY ANY SWELLING IN YOUR LEGS OR ARMS HANDS +audio/RES0136.mp3[340.000,345.560] NO NO I HAVENT NOTICED ANY OF THAT +audio/RES0136.mp3[345.560,350.120] ANY FATIGUE JUST FEELING MORE TIRED TODAY +audio/RES0136.mp3[350.120,355.240] MAYBE A LITTLE BIT +audio/RES0136.mp3[355.240,363.000] OKAY HAVE YOU BEEN HAVING ANY COLDLIKE SYMPTOMS BEFORE THE TWO DAYS LIKE IN THE LAST WEEK LIKE RUNNY NOSE SORE THROAT +audio/RES0136.mp3[363.000,369.520] NO I WAS LIKE I WAS ABSOLUTELY FINE +audio/RES0136.mp3[369.520,376.720] OKAY UM HOW ABOUT DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA +audio/RES0136.mp3[377.120,381.400] NO ANY TROUBLE WITH URINATING +audio/RES0136.mp3[381.880,385.160] OKAY ANY SLEEP OR APPETITE ISSUES +audio/RES0136.mp3[387.480,394.960] OKAY HAVE YOU LOST UH SIGNIFICANT WEIGHT IN THE LAST FEW MONTHS +audio/RES0136.mp3[395.520,403.880] OKAY UM HAVE YOU BEEN EXPOSED TO ANYONE WHO MAY HAVE HAD TUBERCULOSIS +audio/RES0136.mp3[403.880,410.840] I DONT THINK SO +audio/RES0136.mp3[410.840,414.280] NO AND UH DO YOU HAVE ANY PETS OR ANIMALS AT HOME +audio/RES0136.mp3[414.280,417.600] UM I HAVE A DOG +audio/RES0136.mp3[417.600,422.840] HAVE YOU EVER HAD ANY ALLERGIES TO ANY PETS OR ANIMALS +audio/RES0136.mp3[423.520,428.600] ANY EXPOSURE TO FUMES OR DUST UH WITH WHERE YOU LIVE +audio/RES0136.mp3[430.440,434.280] OKAY AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY DIAGNOSES +audio/RES0136.mp3[434.280,439.960] I UM I JUST HAVE THE OSTEOARTHRITIS +audio/RES0136.mp3[439.960,444.320] OSTEOARTHRITIS OKAY IS THAT WHY YOURE TAKING THE +audio/RES0136.mp3[444.320,447.280] YEAH YEAH +audio/RES0136.mp3[447.280,450.320] AND ARE YOU TAKING ANY OTHER MEDICATIONS +audio/RES0136.mp3[450.320,452.960] I TAKE UH ADVIL +audio/RES0136.mp3[452.960,456.440] ADVIL OKAY ANY ALLERGIES THAT YOU KNOW OF +audio/RES0136.mp3[456.440,460.920] UM NO +audio/RES0136.mp3[460.920,465.360] OKAY ANY PREVIOUS HOSPITALIZATIONS +audio/RES0136.mp3[465.360,472.160] UM I HAD MY WISDOM TEETH REMOVED BUT NO I WASNT I WASNT HOSPITALIZED +audio/RES0136.mp3[472.160,475.440] OKAY IS THAT THE ONLY SURGERY THAT YOUVE HAD OR HAVE YOU HAD ANYTHING ELSE +audio/RES0136.mp3[475.440,477.280] YEAH NO THATS IT +audio/RES0136.mp3[477.280,479.680] ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0136.mp3[479.680,482.840] UH NO +audio/RES0136.mp3[482.840,483.920] ANY CANCERS +audio/RES0136.mp3[483.920,493.680] UM BREAST CANCER MY GRANDMA HAD IT +audio/RES0136.mp3[493.680,500.800] UM ANY UH AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH SOMEONE +audio/RES0136.mp3[500.800,503.840] UM I LIVE WITH MY HUSBAND +audio/RES0136.mp3[504.760,506.680] AND MY DOG +audio/RES0136.mp3[506.680,515.440] AND YOUR DOG OKAY AND DID YOUR HUSBAND TELL YOU ANYTHING LIKE THAT HAS CHANGED IN YOUR BEHAVIOUR AT ALL UH RECENTLY +audio/RES0136.mp3[515.440,523.400] HE JUST SAID THAT I WAS I WAS JUST EXTREMELY DROWSY YESTERDAY AND I WAS VERY HARD TO WAKE UP +audio/RES0136.mp3[523.400,527.080] OKAY OKAY UM DO YOU SMOKE CURRENTLY +audio/RES0136.mp3[527.680,534.520] HAVE YOU SMOKED IN THE PAST +audio/RES0136.mp3[534.920,538.800] OKAY AND DO YOU WORK CURRENTLY +audio/RES0136.mp3[538.800,545.760] UH I I DO +audio/RES0136.mp3[545.760,549.600] AND UH HOW WOULD YOU SORRY DIS YOU SAY YOU DONT WORK OR DO YOU WORK +audio/RES0136.mp3[549.600,557.840] IM A BANKER BUT IM WORKING VIRTUALLY UH REMOTELY RIGHT NOW +audio/RES0136.mp3[557.840,566.480] OKAY AND UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0136.mp3[566.480,578.120] I UM NO WELL SOMETIMES ILL USE MARIJUANA FOR THE PAIN BUT I HAVENT BEEN DOING THAT RECENTLY FOR THE PAST TWO MONTHS +audio/RES0136.mp3[578.120,582.280] OKAY UM HOW HOW OFTEN WOULD YOU SAY YOU USE IT +audio/RES0136.mp3[582.280,591.040] ONLY WHEN THE PAIN GETS UH TOO BAD SO MAYBE UM THREE OR FOUR TIMES A MONTH +audio/RES0136.mp3[591.040,601.600] OKAY AND DO YOU USE ANY ALCOHOL +audio/RES0136.mp3[601.600,613.560] UM YEAH ILL UH ILL DRINK ONCE A WEEK TWO GLASSES TWO OR THREE GLASSES OF WINE +audio/RES0136.mp3[613.560,620.040] UM ANY ALRIGHT SO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS FOR ME +audio/RES0136.mp3[620.040,624.480] UM NO +audio/RES0136.mp3[624.480,682.720] OKAY SO YEAH DEFINITELY WITH THE COUGHING AND SHORTNESS OF BREATH WE WILL DEFINITELY GET A COVISWAB TEST DONE UM THAT SHOULD COME BACK IN THE NEXT 24 TO 48 HOURS AND THEN PUBLIC HEALTH WILL CONTACT YOU UM YEAH BASED ON WHAT YOURE TELLING ME SO FAR WE WILL DEFINITELY DO A PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION AND EVERYTHING DONE BUT I ALSO THINK SINCE YOU WERE VERY DROWSY AND WERE HAD FALLEN ASLEEP AND WERE REALLY DIFFICULT TO WAKE UP SOMETIMES YOU CAN GET WHATS CALLED ASPIRATION PNEUMONIA UM AND THATS THAT CAN ALSO BE A POSSIBILITY AND WHAT WE WILL DO IS GET A CHEST XRAY GET SOME BLOOD WORK DONE AS WELL TODAY UM NOW WE MAY REQUIRE ANTIBIOTICS AND IF YOUR VITALS UNSTABLE WE MIGHT ACTUALLY ADMIT YOU AS WELL UM DOES THAT SOUND GOOD +audio/RES0136.mp3[683.360,691.600] ALRIGHT SO YEAH WELL GET THOSE TESTS DONE AND WELL BE THERE WITH YOU SHORTLY WELL ALSO GET LIKE AN EKG DONE AS WELL +audio/RES0136.mp3[692.200,694.200] ALRIGHT OKAY +audio/RES0102.mp3[0.000,2.400] WHAT BRINGS YOU IN HERE TODAY +audio/RES0102.mp3[2.400,17.520] I IVE HAD THIS COUGH THATS BEEN ONGOING AND AND GETTING WORSE AND AND NOW IVE BEEN HAVING THIS LIKE SHARP PAIN IN MY IN MY CHEST +audio/RES0102.mp3[17.520,21.760] OK AND WHEN DID THE COUGH FIRST START +audio/RES0102.mp3[21.760,27.520] SO YEAH LIKE THE COUGH STARTED UH STARTED MAYBE A COUPLE OF WEEKS AGO +audio/RES0102.mp3[27.520,44.960] A COUPLE WEEKS AGO OK AND HAS IT GOTTEN WORSE SINCE THEN OR HAS IT STAYED ABOUT THE SAME +audio/RES0102.mp3[44.960,58.400] UH IT IT GOT WORSE INITIALLY BUT ITS BEEN ABOUT THE UH WELL ACTUALLY YEAH ITS BEEN GETTING WORSE CAUSE NOW IVE IVE STARTED TO NOTICE BLOOD IN THE SPUTUM THAT WASNT THERE AT FIRST +audio/RES0102.mp3[58.400,61.240] OK AND WHEN DID YOU FIRST NOTICE THAT +audio/RES0102.mp3[61.240,86.240] SO I I FIRST SAW SOME BLOOD UHM TWO DAYS AGO IT WAS A REALLY SMALL AMOUNT SO I DIDNT WORRY TOO MUCH BUT I I BROUGHT UP BLOOD YESTERDAY AND AGAIN THIS MORNING ITS BEEN JUST ABOUT ENOUGH TO COVER A TISSUE SO ITS NOT A LOT OF BLOOD EACH TIME BUT ITS PRETTY RED +audio/RES0102.mp3[86.240,97.840] OK AND BEFORE THAT WERE YOU GETTING ANY PRODUCTION THROUGHOUT YOUR COUGHS FOR THE LAST FEW WEEKS LIKE WERE YOU PRODUCING ANY SPUTUM +audio/RES0102.mp3[97.840,101.360] UH NO +audio/RES0102.mp3[101.360,112.080] NO OK CAN YOU JUST DESCRIBE YOUR COUGH CURRENTLY IS IT MORE OF A WET COUGH OR DRY COUGH +audio/RES0102.mp3[112.080,120.520] UH IT YEAH ITS ITS DRY MOSTLY WITH THE EXCEPTION OF BRINGING UP SOME OF THE BLOOD +audio/RES0102.mp3[120.520,132.600] AND IS THE BLOOD JUST IN LIKE SPUTUM THAT YOURE BRINGING UP OR ARE YOU COUGHING UP BLOOD INTO THE TISSUE FOR EXAMPLE +audio/RES0102.mp3[132.600,138.160] BLOOD IS IM COUGHING THAT UP INTO THE TISSUE +audio/RES0102.mp3[138.160,154.960] OK AND DO YOU REMEMBER 2 WEEKS AGO PRIOR TO THAT WERE THERE ANY FACTORS THAT MIGHT HAVE CAUSED THIS LIKE FOR EXAMPLE DID YOU TRAVEL ANYWHERE OR SEE OR WAS IN CONTACT WITH ANYONE THAT WAS SICK +audio/RES0102.mp3[154.960,169.400] NO I HAVENT UH TRAVELED ANYWHERE I HAVE BEEN DOING VOLUNTEERING AND AND THINGS AT THE HOMELESS SHELTER HERE IN IN TOWN ITS BEEN REALLY COLD OUT +audio/RES0102.mp3[169.400,174.680] OK UH AND HOW LONG HAVE YOU BEEN VOLUNTEERING THERE +audio/RES0102.mp3[174.680,182.760] UH I STARTED THIS WINTER SO THE LAST THREE THREE OR FOUR MONTHS +audio/RES0102.mp3[182.760,193.480] OK AND WERE YOU IN CONTACT WITH ANYONE THERE THAT WAS SICK OR WAS HAVING SIMILAR SYMPTOMS AT ALL +audio/RES0102.mp3[193.480,218.120] THERE ARE CERTAINLY SOME PEOPLE AROUND THAT THAT HAD SOME THAT WOULD HAVE A COUGH OR WERE NOT FEELING VERY WELL BUT UH AND SOMETIMES I WOULD SEE PEOPLE WHO WOULD EVEN HAVE A HOSPITAL GOWN ON THAT THAT THAT UH CAME FROM THE HOSPITAL SO YEAH THERE WERE DEFINITELY SOME PEOPLE WHO WERENT FEELING WELL +audio/RES0102.mp3[218.120,228.480] OK AND DO YOU KNOW IF ANYONE AT THE HOMELESS SHELTER OR ANYWHERE ELSE AROUND YOUR SURROUNDING HAS HAD TUBERCULOSIS +audio/RES0102.mp3[228.480,234.600] NO NOT THAT IM AWARE OF I HAVENT HEARD OF THAT +audio/RES0102.mp3[234.600,246.680] OK ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE THE COUGHING AND THE BLOOD LIKE COUGHING UP BLOOD AS WELL +audio/RES0102.mp3[246.680,262.000] YEAH IVE BEEN UH STARTING TO GET LIKE THIS SHARP CHEST PAIN AS WELL I KIND OF FEEL IT ON THE LEFT SIDES AND IN CENTER I GUESS KINDA MORE SO +audio/RES0102.mp3[262.000,271.960] OK AND YOUR CHEST PAIN WHEN DID THAT START +audio/RES0102.mp3[271.960,279.880] SO UH THIS STARTED YEAH BOUT A FEW DAYS AGO AS WELL ITS BEEN WITHIN THE LAST WEEK +audio/RES0102.mp3[279.880,290.120] OK AND UH WOULD YOU DESCRIBE IT AS SO YOU SAID ITS KIND OF A SHARP PAIN DOES IT MOVE AROUND ANYWHERE +audio/RES0102.mp3[290.120,298.080] NO THE PAIN I FEEL IT ABOUT IN THE SAME SPOT EACH TIME +audio/RES0102.mp3[298.080,311.800] OK AND ARE YOU FEELING THE PAIN WHEN YOURE COUGHING OR IS IT WHEN YOURE EXERTING YOURSELF LIKE WHEN DO YOU FEEL THE PAIN AND HOW LONG DOES IT LAST +audio/RES0102.mp3[311.800,338.120] I YEAH I WILL FEEL IT WHEN I COUGH I ALSO FEEL IT UH IF IM MAYBE MOVING AROUND AS WELL LIKE CHANGING POSITIONS OR THINGS LIKE THAT IT HURTS FOR A FEW MINUTES AND THEN IT IT WILL KIND OF SETTLE DOWN IF IF IM IF I STAY STATIONARY AND SORT OF LEAN FORWARD A LITTLE BIT IT WILL IT WILL START TO FEEL BETTER +audio/RES0102.mp3[338.120,351.000] SORT OF FEELS BETTER OK AND BESIDES BESIDES LIKE LEANING FORWARD HAS ANYTHING HELPED REDUCE THAT PAIN AT ALL +audio/RES0102.mp3[351.000,370.760] YEAH WELL IF I LIE FLAT UHM IT ITS UH OR SORRY NO ACTUALLY THE PAIN GETS WORSE IF I I LIE FLAT OR IF IM IF IM TAKING A DEEP BREATH IN BUT REALLY THE ONLY THING THAT HELPS THE PAIN IS IF I TRY TO LEAN FORWARD WHEN IM SITTING DOWN +audio/RES0102.mp3[370.760,375.800] OK I SEE AND DO YOU HAVE ANY PAIN WHEN BREATHING IN OR OUT +audio/RES0102.mp3[375.800,394.640] I DO YEAH IT IT GETS WORSE IF I IF IM TAKING A DEEP BREATH IN AND EVEN MORE SO AFTER I AFTER I COUGH IF IM TRYING TO CATCH MY BREATH ILL FEEL IT THEN TOO +audio/RES0102.mp3[394.640,406.360] OK AND UHM OTHER THAN THESE SYMPTOMS DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH DO YOU HAVE ANY DIZZINESS OR INCREASED SWEATING ANY OF THOSE SYMPTOMS +audio/RES0102.mp3[406.360,412.080] I HAVE BEEN SWEATING AT NIGHT BUT UH YEAH THATS IT +audio/RES0102.mp3[412.080,415.400] AND HOW ABOUT ANY FEVERS OR CHILLS +audio/RES0102.mp3[415.400,424.480] I I HAVE FELT A BIT HOT THATS MORE SO YEAH MAYBE WHEN IVE BEEN HAVING NIGHT SWEATS BUT I FEEL OK NOW +audio/RES0102.mp3[424.480,431.840] OK AND WHEN YOU SAY NIGHT SWEATS ARE YOUR SHEETS AND BLANKETS LIKE SOAKED YOUR PILLOWS +audio/RES0102.mp3[431.840,444.800] YEAH THERE THERE HAVE BEEN A FEW FEW NIGHTS FOR SURE BUT IT DOESNT HAPPEN EVERY NIGHT BUT OVER THESE LAST SEVERAL MONTHS ITS BEEN WEIRD IVE WOKEN UP SOAKED +audio/RES0102.mp3[444.800,451.320] OK UH DO YOU HAVE ANY OTHER SYMPTOMS LIKE A HEADACHE OR NAUSEA VOMITING +audio/RES0102.mp3[453.040,457.120] HAVE YOU MEASURED A TEMPERATURE AT ALL +audio/RES0102.mp3[457.120,458.560] UHM NO I HAVENT +audio/RES0102.mp3[458.560,469.840] OK WE CAN DO THAT TODAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEELING LIKE POUNDING YOUR CHEST RACING HEART ANYTHING LIKE THAT +audio/RES0102.mp3[469.840,471.760] NO NOTHING LIKE THAT +audio/RES0102.mp3[471.760,478.160] HAVE YOU NOTICED ANY SWELLING IN YOUR EXTREMITIES LIKE YOUR LEGS AND HANDS +audio/RES0102.mp3[480.440,486.040] OK AND DO YOU HAVE ANY ISSUES WITH YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +audio/RES0102.mp3[487.440,490.640] ANY URINARY ISSUES +audio/RES0102.mp3[491.880,497.680] OK ANY ISSUES WITH YOUR SLEEP AND APPETITE +audio/RES0102.mp3[497.680,517.000] UH NO SLEEPS BEEN OK AND IVE BEEN EATING WELL BUT I HAVE UHM LOST SOME WEIGHT AND AND IVE BEEN MORE FATIGUED OVER THE LAST COUPLE MONTHS +audio/RES0102.mp3[517.000,530.240] OK BEFORE THE TWO WEEKS OR A COUPLE OF WEEKS THAT YOU HAD THIS WERE YOU SICK AT ALL RECENTLY LIKE WITH A COLD OR ANY FLU LIKE SYMPTOMS +audio/RES0102.mp3[530.240,543.760] NO I I UH I GUESS IVE BEEN FATIGUED OVER THE LAST COUPLE OF MONTHS BUT I HAVENT HAD ANY FLU LIKE SYMPTOMS +audio/RES0102.mp3[543.760,552.920] OK AND DO YOU HAVE ANY EXPOSURE TO DUST FUMES ANIMALS ANYWHERE IN YOUR SURROUNDING +audio/RES0102.mp3[552.920,568.800] I DO HAVE UH TWO CATS AT HOME BUT IVE HAD THEM FOR SEVEN YEARS NOW AND IVE BEEN TESTED FOR ALLERGIES AND AND IM CLEAR THERE +audio/RES0102.mp3[568.800,572.960] OK DO YOU LIVE WITH ANYONE RIGHT NOW +audio/RES0102.mp3[572.960,580.760] YEAH I LIVE WITH MY HUSBAND AND WE HAVE THREE DAUGHTERS AS WELL +audio/RES0102.mp3[580.760,589.000] OK AND ARE ANY OF THEM SICK AT ALL OR HAVE ANY SIMILAR SYMPTOMS +audio/RES0102.mp3[589.000,602.320] YEAH MY MY HUSBANDS HAD A COUGH UH AS WELL HE HASNT BROUGHT UP ANY BLOOD OR ANYTHING THOUGH BUT MY MY DAUGHTERS HAVE FELT OK +audio/RES0102.mp3[602.320,610.160] OK AND DO YOU HAVE ANY PAST MEDICAL DIAGNOSIS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA ANYTHING LIKE THAT +audio/RES0102.mp3[610.160,629.560] YEAH I DO HAVE UH TYPE 2 DIABETES AS WELL AS HIGH BLOOD PRESSURE IVE BEEN DIAGNOSED WITH DEPRESSION BEFORE AS WELL I DO TAKE A FEW MEDICATIONS FOR DIABETES AND BLOOD PRESSURE IM NOT ON INSULIN THOUGH +audio/RES0102.mp3[629.560,632.640] OK AND DO YOU KNOW WHAT MEDICATIONS YOU TAKE +audio/RES0102.mp3[632.640,643.760] I THINK AN ACE INHIBITOR AND AND I THINK RAMIPRIL AND UH METFORMIN +audio/RES0102.mp3[643.760,650.440] OK AND DO YOU TAKE ANYTHING FOR DEPRESSION +audio/RES0102.mp3[650.440,659.560] I USED TO TAKE A A CITALOPRAM BUT I STOPPED AND AND THINGS HAVE BEEN BEEN STABLE +audio/RES0102.mp3[659.560,663.200] THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0102.mp3[663.200,670.840] I HAD TWO C SECTIONS FOR MY SECOND DAUGHTER AND AND 3RD +audio/RES0102.mp3[670.840,676.560] OK ANY COMPLICATIONS AT ALL WITH THOSE C SECTIONS +audio/RES0102.mp3[676.560,679.640] NO EVERYTHING WAS WAS GOOD +audio/RES0102.mp3[679.640,683.120] OK ANY OTHER SURGERIES OR HOSPITALIZATIONS +audio/RES0102.mp3[683.480,691.480] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS +audio/RES0102.mp3[691.480,704.200] MY DAD HAD A STROKE WHEN HE WAS IN HIS LATE 60S BUT THATS THE ONLY THING I CAN THINK OF +audio/RES0102.mp3[704.200,711.240] OK AND I KNOW YOU SAID YOU VOLUNTEER AT THE HOMELESS SHELTER BUT DO YOU DO ANYTHING ELSE FOR WORK AT ALL +audio/RES0102.mp3[711.240,724.000] YEAH IVE BEEN DOING SOME ADMINISTRATIVE WORK FROM FROM HOME BECAUSE OF COVID SO WITH THE EXTRA TIME IVE BEEN TRYING TO TO DO SOME EXTRA VOLUNTEERING +audio/RES0102.mp3[724.000,737.080] THATS REALLY GOOD AND SO BESIDES SO YOU LIVE WITH YOUR HUSBAND AND THREE KIDS DOES ANYONE IN SMOKE IN THE HOUSE OR DO YOU SMOKE AT ALL +audio/RES0102.mp3[737.080,739.720] NO I DONT NO ONE SMOKES IN THE HOUSE +audio/RES0102.mp3[739.720,745.520] OK DOES UH DO YOU TAKE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0102.mp3[747.280,748.280] AND HOW ABOUT ALCOHOL +audio/RES0102.mp3[748.280,759.360] SOMETIMES ILL HAVE SOME LIKE RED WINE WITH DINNER BUT THATS ONLY ON LIKE CHRISTMAS OR AN OCCASION +audio/RES0102.mp3[759.360,774.840] OK YEAH ALRIGHT SO UH OTHER THAN THAT SORRY I THINK I MIGHT HAVE FORGOTTEN TO ASK YOU A COUPLE QUESTIONS SO NO FAINTING SPELLS NO SHORTNESS OF BREATH NOTHING LIKE THAT +audio/RES0102.mp3[774.840,781.640] NO I HAVENT HAD ANYTHING LIKE THAT JUST A STERN COUGH +audio/RES0102.mp3[781.640,784.600] OK AND NO CHEST PAIN ON EXERTION +audio/RES0102.mp3[784.600,808.560] NO ITS THE CHEST PAIN WELL I GUESS IF IM LIKE MOVING AROUND A LOT BUT ITS NOT IT DOESNT COME ON UH LIKE BECAUSE OF LIKE PHYSICAL ACTIVITY I JUST FEEL IT LIKE ANYTIME IM LIKE WHEN IM BREATHING IN OR EVEN JUST MOVING MY BODY AROUND IN THE CHAIR +audio/RES0102.mp3[808.560,812.440] AND ANY LIKE FATIGUE OR INCREASED TIREDNESS +audio/RES0102.mp3[812.440,814.040] YEAH IVE HAD SOME FATIGUE FOR SURE +audio/RES0102.mp3[814.040,819.600] OK AND HAVE YOU LOST ANY WEIGHT RECENTLY +audio/RES0102.mp3[819.600,831.920] YEAH I I HAVE ACTUALLY IM IM DOWN 20 POUNDS I THOUGHT THAT WAS GREAT I I WAS 200 POUNDS JUST TWO MONTHS AGO +audio/RES0102.mp3[831.920,842.560] AND HAVE YOU BEEN TRYING TO LOSE WEIGHT OR THAT 20 POUNDS JUST WENT AWAY SPONTANEOUSLY +audio/RES0102.mp3[842.560,856.560] UH I MEAN I I GUESS IVE TRIED TO MAKE CHANGES TO MY DIET HERE AND THERE BECAUSE OF THE DIABETES BUT I DONT REALLY THINK THAT IT WOULD BE ENOUGH TO LOSE 20 POUNDS +audio/RES0102.mp3[856.560,865.200] OK I SEE YEAH SO DO YOU HAVE ANY QUESTIONS THOSE ARE ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0102.mp3[865.200,869.640] NO I WAS JUST I GUESS JUST CONCERNED ABOUT THE THE BLOOD IN THE IN THE COUGH +audio/RES0102.mp3[869.640,904.560] YEAH SO DEFINITELY THATS SOMETHING CONCERNING WE WANT TO MAKE SURE THERE WAS NO SO YOU WORK AT A HOMELESS SHELTER WHERE THERE MAY BE A TUBERCULOSIS CASE AND YOUR SYMPTOMS OF COUGHING UP BLOOD AS WELL AS LOSING A SIGNIFICANT WEIGHT RECENTLY AND SOME OF THE OTHER SYMPTOMS THAT YOU DESCRIBED AS WELL POINT TOWARDS UH TB AS ONE OF THE CAUSES NO LUNG CANCER HISTORY RIGHT IN YOUR FAMILY +audio/RES0102.mp3[905.440,975.920] OK UHM SO WE DEFINITELY WANT TO DO TESTING FOR TB WILL DO US A SMEAR TODAY OF YOUR SPUTUM AND WE WILL SINCE YOU HAVE BEEN IN CONTACT WITH YOUR FAMILY WE WILL HAVE TO CONTACT A PUBLIC HEALTH IF THE TESTS COME BACK POSITIVE AND IT SEEMS THAT WELL ALSO DO SOME OTHER TESTING SOMETIMES WITH TUBERCULOSIS YOU CAN GET SOMETHING CALLED PERICARDITIS AND SOME OF THE SYMPTOMS YOU ARE HAVING MAY POINT TO PERICARDITIS AS WELL SO WE MIGHT HAVE TO DO AN EKG WE MIGHT HAVE TO FURTHER DO AN ULTRASOUND AN XRAY FOR EXAMPLE SO FIRST WELL JUST GET THE TB TEST DONE AND THEN IF IT COMES BACK POSITIVE YOU WILL NEED TO ISOLATE BE ADMITTED TO THE HOSPITAL AS WELL AND BE ON A COURSE OF ANTIBIOTICS SO I KNOW THIS IS A LOT TO TAKE IN DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL +audio/RES0102.mp3[975.920,984.960] NOT RIGHT NOW GUESS WILL WAIT UNTIL SOME OF THE RESULTS COME BACK AND YEAH GET STARTED +audio/RES0102.mp3[984.960,989.480] YEAH SO WELL JUST DO THE TB TEST FIRST ALRIGHT +audio/RES0102.mp3[989.480,992.000] ALRIGHT THANK YOU +audio/RES0102.mp3[992.000,995.000] WELCOME TAKE CARE +audio/MSK0012.mp3[0.000,1.760] WHAT BRINGS YOU IN HERE TODAY +audio/MSK0012.mp3[1.760,24.480] IVE HAD THIS PAIN IN MY BACK THATS KIND OF LIKE IN MY LOWER BACK AND MY BUTTOCKS AND ITS NOW RADIATING DOWN TO MY RIGHT LEG IVE HAD THIS FOR AWHILE NOW BUT ITS GETTING WORSE AND I JUST WANT TO COME GET IT CHECKED OUT +audio/MSK0012.mp3[24.480,27.560] OK AND HOW LONG HAVE YOU HAD THIS PAIN FOR +audio/MSK0012.mp3[27.560,30.720] ABOUT A MONTH +audio/MSK0012.mp3[30.720,39.480] OK AND HAS GONE WORSE AT ALL LIKE DID YOU HAVE THE IT RADIATING THROUGH YOUR LEG BEFORE OR IS THAT SOMETHING THAT HAPPENED AFTER +audio/MSK0012.mp3[39.480,46.480] THATS SOMETHING THAT HAPPENED AFTER THAT HAPPENS THAT THATS BEEN GOING ON FOR THE PAST WEEK +audio/MSK0012.mp3[46.480,50.400] OK AND IS THIS PAIN CONSTANT OR DOES IT COME AND GO +audio/MSK0012.mp3[50.400,64.720] AND ITS PRETTY MUCH ALWAYS THERE BUT CERTAIN THINGS CAN MAKE IT WORSE LIKE IF IM WALKING OR DOING CERTAIN ACTIVITIES IT CAN IT CAN MAKE IT WORSE +audio/MSK0012.mp3[64.720,70.520] OK AND DID YOU HAVE ANY BACK PAIN BEFORE THIS MONTH +audio/MSK0012.mp3[70.520,75.960] NO NOT I MEAN NO NOT REALLY +audio/MSK0012.mp3[75.960,86.240] OK AN WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A SHARP STABBING PAIN OR IS IT MORE SO A DULL ACHING PAIN +audio/MSK0012.mp3[86.240,98.920] UM USUALLY OR WELL BEFORE IT WAS LIKE A MILD ACHY PAIN BUT NOW IT CAN BE ITS SHARP AND IT FEELS LIKE A BURNING SENSATION +audio/MSK0012.mp3[98.920,104.360] OK A BURNING SENSATION WHERE WOULD YOU SAY THAT BURNING SENSATION IS +audio/MSK0012.mp3[104.360,110.240] ITS LIKE DOWN MY BUTTOCKS TO THE RIGHT LEG +audio/MSK0012.mp3[110.240,115.520] OK AND DO YOU FEEL ANY KIND OF NUMBNESS OR TINGLING WITH IT +audio/MSK0012.mp3[115.520,124.440] UM A LITTLE A LITTLE BIT OF TINGLING YEAH A LITTLE BIT OF TINGLING +audio/MSK0012.mp3[124.440,133.080] OK AND HOW WOULD YOU RATE THE PAIN FROM A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE HAD IN YOUR LIFE +audio/MSK0012.mp3[133.080,143.480] SO USUALLY ITS ABOUT LIKE A 5 TO 6 OUT OF 10 BUT WHEN IT GETS BAD AND UM SHARP ID GIVE IT AN 8 OUT OF 10 +audio/MSK0012.mp3[143.480,152.920] OK AND ARE THERE ANY KIND OF MOTIONS OR POSITIONS THAT CAUSE YOU MORE PAIN +audio/MSK0012.mp3[152.920,161.960] YEAH SO ID SAY LIKE JUST ANY SORT OF PHYSICAL ACTIVITY LIKE IF IM ON MY FEET A LOT IT HURTS +audio/MSK0012.mp3[164.480,169.040] YEAH THATS PRETTY MUCH THE ONLY THING THAT I CAN THINK OF RIGHT NOW +audio/MSK0012.mp3[169.040,181.080] OK DID ANYTHING HAPPEN ONE MONTH AGO OR BEFORE THIS PAIN STARTED LIKE ANY INJURIES OR FALLS THAT MIGHT HAVE CAUSED THIS PAIN +audio/MSK0012.mp3[181.080,197.320] UM NO LIKE A LONG TIME AGO LIKE 67 YEARS AGO I INJURED MY BACK AT WORK BUT I JUST DID SOME CONSERVATIVE TREATMENTS FOR THAT AND IT WENT AWAY +audio/MSK0012.mp3[197.320,199.520] OK WAS IT YOUR LOWER BACK +audio/MSK0012.mp3[200.520,204.640] OK AND WHAT DO YOU DO FOR WORK +audio/MSK0012.mp3[204.640,219.800] I USED TO WORK ON AN ASSEMBLY LINE SO I USED TO LIKE CARRY HEAVY OBJECTS AND THINGS LIKE THAT LIKE CAR PARTS +audio/MSK0012.mp3[219.800,222.880] OK AND DO YOU STILL WORK THERE +audio/MSK0012.mp3[222.880,224.800] NO I DONT +audio/MSK0012.mp3[224.800,227.640] OK WHEN DID YOU STOP WORKING THERE +audio/MSK0012.mp3[227.640,230.040] ABOUT THREE YEARS BACK +audio/MSK0012.mp3[230.040,234.080] OK AND IS THERE ANY OTHER WORK YOU DO CURRENTLY +audio/MSK0012.mp3[234.080,241.400] UM I WORK FROM HOME NOW I DO DAYCARE AT HOME +audio/MSK0012.mp3[241.400,254.320] OK OK AND JUST GETTING BACK TO THE PAIN SO ITS KIND OF IN YOUR LOWER BACK YOUR BUTTOCKS AND THEN IT GOES TO YOUR RIGHT UPPER LEG +audio/MSK0012.mp3[255.200,260.600] DOES IT MOVE ANYWHERE ELSE BESIDES THAT OR THOSE ARE THE REGIONS THAT IT STAYS IN +audio/MSK0012.mp3[260.600,266.880] NO THOSE ARE KIND OF THE ONLY REGIONS THAT IM EXPERIENCING IT RIGHT NOW +audio/MSK0012.mp3[266.880,276.200] OK AND DO YOU GET MORE PAIN LEANING BENDING FORWARD OR WOULD YOU SAY EXTENDING YOUR BACK +audio/MSK0012.mp3[276.200,280.320] I WOULD SAY EXT EXTENDING MY BACK HURTS MORE +audio/MSK0012.mp3[280.320,287.600] OK AND YOU GET PAIN WITH SITTING DOWN +audio/MSK0012.mp3[287.600,290.680] UM SOMETIMES +audio/MSK0012.mp3[290.680,294.200] OK HOW ABOUT LYING DOWN +audio/MSK0012.mp3[294.200,310.160] UM LYING DOWN I GUESS IT DEPENDS ON THE POSITION IF I AM STRAIGHT ON MY BACK ITS ITS NOT TOO BAD BUT IF I LIKE IM HUNCHED OVER OR SOMETHING LIKE THAT IT HURTS +audio/MSK0012.mp3[310.160,319.800] OK I SEE OK AND HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER AND PAINKILLERS THAT HAVE HELPED +audio/MSK0012.mp3[319.800,336.720] I TRIED SOME IBUPROFEN AND SOME LIKE TOPICAL UM LIKE OINTMENTS BUT IT HELPS TEMPORARILY AND THEN THE PAIN COMES BACK +audio/MSK0012.mp3[336.720,347.120] OK LETS SEE AND OTHER THAN THAT SO OTHER THAN THIS PAIN THATS BEEN GOING ON DO YOU HAVE ANY FEVERS OR CHILLS +audio/MSK0012.mp3[347.120,349.760] UHM NO NO FEVERS OR CHILLS +audio/MSK0012.mp3[349.760,354.200] OK NO NIGHT SWEATS +audio/MSK0012.mp3[354.360,356.680] ANY INCREASED FATIGUE +audio/MSK0012.mp3[356.680,358.080] NO NO +audio/MSK0012.mp3[358.080,360.120] ANY RASHES OR SKIN CHANGES +audio/MSK0012.mp3[360.720,368.120] ANY UH ANY COUGH OR COLD SYMPTOMS RECENTLY +audio/MSK0012.mp3[368.120,371.280] UM NO NOTHING LIKE THAT +audio/MSK0012.mp3[371.280,380.400] OK AND APART FROM YOUR BACK ANY KIND OF JOINT OR MUSCLE PAIN ANYWHERE ELSE IN YOUR BODY +audio/MSK0012.mp3[381.160,386.360] ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0012.mp3[387.840,391.840] OK ANY URINARY PROBLEMS +audio/MSK0012.mp3[393.920,400.680] ANY STOOL INCONTINENCE FOR YOUR URINARY INCONTINENCE +audio/MSK0012.mp3[402.520,416.040] OK AND ANY KIND OF NUMBNESS OR PARESTHESIA LIKE AROUND JUST YOUR LOWER BACK AND BUTTOCKS +audio/MSK0012.mp3[416.040,421.320] NO NO NUMBNESS JUST LIKE THAT TINGLING BURNING FEELING +audio/MSK0012.mp3[421.320,428.800] OK OK ANY RECENT WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS +audio/MSK0012.mp3[431.560,433.600] OK ANY MUSCLE WEAKNESS AT ALL IN THAT AREA +audio/MSK0012.mp3[433.600,440.440] IM FINDING IT HARD TO WALK +audio/MSK0012.mp3[440.440,444.120] HARDER TO WALK OK ARE YOU LIMPING AT ALL +audio/MSK0012.mp3[444.120,449.280] YEAH IM PUTTING MORE WEIGHT ON MY LEFT LEG +audio/MSK0012.mp3[449.280,459.360] OK AND DO YOU FEEL SO YOU MENTION YOU FEEL TINGLING GOING DOWN YOUR RIGHT LEG DO YOU FEEL ANY KIND OF NUMBNESS AT ALL +audio/MSK0012.mp3[462.240,471.960] NO OK ALRIGHT DO YOU HAVE ANY KIND OF URINARY OR FECAL RETENTION LIKE AT ALL +audio/MSK0012.mp3[471.960,476.680] NO IM GOING IM USING THE WASHROOM OK +audio/MSK0012.mp3[476.680,486.000] OK UH DO YOU HAVE ANY HISTORY OF ANY CANCERS AT ALL +audio/MSK0012.mp3[487.880,494.760] NO OK ARE YOU ON ANY SO DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH +audio/MSK0012.mp3[495.440,498.600] NO DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/MSK0012.mp3[498.600,506.360] NO I DONT I JUST TAKE CALCIUM AND VITAMIN AND OTHER BUT MULTI VITAMINS +audio/MSK0012.mp3[506.360,510.200] OK ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0012.mp3[511.160,517.880] HAVE YOU HAD ANY PREVIOUS SURGERIES OR HAVE YOU BEEN HOSPITALIZED FOR ANY REASON +audio/MSK0012.mp3[518.880,529.360] NO OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS ANY HEART OR LUNG CONDITIONS +audio/MSK0012.mp3[529.360,534.080] UM NO NOT THAT I KNOW OF +audio/MSK0012.mp3[534.080,544.520] OK AN AND CURRENTLY YOU SAID YOU WORK FROM HOME HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION LIKE +audio/MSK0012.mp3[544.520,553.280] I WOULD SAY I ITS ITS OK I LIVE IN AN APARTMENT WITH MY HUSBAND +audio/MSK0012.mp3[553.280,556.480] OK AND CURRENTLY DO YOU SMOKE +audio/MSK0012.mp3[558.320,562.400] OK AND DO YOU DRINK ALCOHOL +audio/MSK0012.mp3[562.400,567.520] ILL HAVE A GLASS OF WINE LIKE ONCE A WEEK +audio/MSK0012.mp3[567.520,571.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/MSK0012.mp3[571.040,581.360] UM SO IVE IVE BEEN USING CANNABIS OIL FOR THE PAST MONTH JUST TO SEE IF IT HELPS WITH THE PAIN +audio/MSK0012.mp3[581.360,585.960] OK AND HAS THAT BEEN WORKING FOR YOU AT ALL +audio/MSK0012.mp3[585.960,588.120] A LITTLE BIT I THINK +audio/MSK0012.mp3[588.120,617.200] OK OK SO THOSE ARE SOME OF THE QUESTIONS I HAD AND IM JUST GONNA ASK A FEW QUESTIONS ABOUT JUST EXAMINING THE AREAS THAT ARE GIVING YOU TROUBLE SO ALONG YOUR BACK IF YOU IF YOU WERE TO PRESS DOWN ON FROM THE MIDDLE TO YOUR LOWER BACK ANY KIND OF PAIN WHEN YOU PRESS DOWN +audio/MSK0012.mp3[617.200,619.960] UM LOWER BACK YES +audio/MSK0012.mp3[619.960,627.680] OK SO WHAT KIND OF PAIN IS IT LIKE SHARP OR IS IT KIND OF A DULL ACHING PAIN +audio/MSK0012.mp3[627.680,631.000] WHEN I PRESS DOWN IT FEELS SHARP +audio/MSK0012.mp3[631.000,645.800] OK AND DO YOU HAVE YOU NOTICE ANY KIND OF SWELLING IN YOUR LEGS OR NEAR THE AREAS WHERE YOU HAVE PAIN SWELLING OR REDNESS OR ANY WARMTH +audio/MSK0012.mp3[645.800,655.320] UM IT SEEMS TO ACTUALLY NO ITS NOT ITS NOT WARM +audio/MSK0012.mp3[655.320,663.640] OK AND IN TERMS OF JUST MOVEMENT ARE YOU ABLE TO BEND DOWN +audio/MSK0012.mp3[663.640,670.600] I CAN BEND DOWN ITS JUST HARD FOR ME TO GET BACK UP +audio/MSK0012.mp3[670.600,675.320] OK SEE AND HOW ABOUT LIKE BEND SIDEWAYS +audio/MSK0012.mp3[675.320,677.200] I CAN DO THAT +audio/MSK0012.mp3[677.200,690.920] OK ND HOW ABOUT IF YOURE LAYING FLAT ARE YOU ABLE TO RAISE YOUR LEGS WITHOUT BENDING YOUR KNEES +audio/MSK0012.mp3[690.920,698.600] I CAN DO THAT YEAH ACTUALLY NO I CANT SORRY THAT THAT HURTS +audio/MSK0012.mp3[698.600,701.480] SO YOUR RIGHT LEG HURTS WHEN YOU DO THAT +audio/MSK0012.mp3[703.080,715.360] OK GREAT AND OTHER THAN THAT LIKE WHEN YOU WHEN YOU DO ANY OF THOSE MOVEMENTS CAN YOU DO YOU GET LIKE THAT TINGLING AGAIN +audio/MSK0012.mp3[715.360,717.240] YEAH IT DOES YEAH +audio/MSK0012.mp3[717.240,726.280] OK ALRIGHT AND WHEN YOU STAND UP AND WALK HOW WOULD YOU DESCRIBE ARE YOU HAVING ANY KIND OF LIMPING AT ALL +audio/MSK0012.mp3[726.280,733.720] UM A LITTLE BIT OF LIMP YEAH IM PUTTING MORE WEIGHT ON THE LEFT LEG +audio/MSK0012.mp3[733.720,745.200] OK ALRIGHT SO YEAH THOSE ARE JUST SOME OF THE QUESTIONS I I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL +audio/MSK0012.mp3[745.200,753.520] UM NO WHAT CAN I DO ABOUT THIS BACK PAIN AND HOW LONG DO YOU THINK ILL HAVE IT FOR +audio/MSK0012.mp3[753.520,806.480] YEAH SO ITS BEEN HAPPENING FOR ONE MONTH RIGHT AND YOURE GETTING SOME SYMPTOMS IN IN YOUR LOWER LEG SO NORMALLY WE WOULD WAIT BEFORE WE DO ANY KIND OF DIAGNOSTIC IMAGING BUT SINCE YOURE ALSO HAVING THESE OTHER SYMPTOMS WE WE WERE WORRYING ABOUT SOMETIMES LOWER BACK PAIN CAN LEAD TO SOMETHING CALLED SCIATICA ITS JUST WHEN ONE OF THE NERVES GET PINCHED AND THEN THATS WHY YOURE GETTING THE TINGLING AROUND YOUR RIGHT UPPER LEG SO WHAT WE CAN DO IS WE CAN DO IF YOU HAVENT HAD AN X RAY WE CAN DO AN X RAY OF YOUR LOWER BACK AND THEN WE CAN ALSO DO AN MRI +audio/MSK0012.mp3[809.000,847.920] AND BASED ON WHAT RESULTS COME BACK AT THE SAME TIME WE WILL I WILL GIVE YOU SOME INFORMATION ABOUT SOME ANTI INFLAMMATORY MEDICATIONS YOU COULD TAKE TO HELP RELIEVE SOME OF YOUR PAIN BUT OTHER THAN THAT I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL HELP YOU DO SOME EXERCISES AT HOME JUST WAYS TO PROTECT YOUR BACK AS WELL AS STRENGTHEN SOME OF YOUR MUSCLES TO HELP DEAL WITH SOME OF THAT PAIN YEAH SO WELL GET THE RESULTS BACK AND THEN WELL GO FROM THERE +audio/MSK0012.mp3[847.920,850.240] OK SOUNDS GOOD THANK YOU +audio/MSK0012.mp3[850.240,852.080] YOURE WELCOME TAKE CARE +audio/RES0001.mp3[0.000,2.360] WHAT BRINGS YOU IN TODAY +audio/RES0001.mp3[2.360,12.840] I SO IVE JUST HAD THIS PAIN IN MY CHEST FOR JUST OVER A WEEK NOW AND ITS CAUSED ME TO HAVE TROUBLE BREATHING +audio/RES0001.mp3[12.840,16.320] OK UM HOW OLD ARE YOU JEN +audio/RES0001.mp3[16.320,19.080] UM 52 +audio/RES0001.mp3[19.080,23.480] OK WHEN DID THIS PAIN START YOU SAID A WEEK BACK +audio/RES0001.mp3[23.480,27.640] UH YEAH JUST ABOUT THAT I I THINK MAYBE 8 DAYS AGO +audio/RES0001.mp3[27.640,32.840] OK AND IS IT A CONSTANT PAIN IS IT ALWAYS THERE +audio/RES0001.mp3[32.840,48.200] AHH IT IT IS BUT ITS DEFINITELY WORSE THAT UM ITS THE BREATHING THATS BEEN BOTHERING ME A LOT MORE WHEN I TAKE A DEEP BREATH THAT THE PAIN IS A LOT WORSE +audio/RES0001.mp3[48.200,59.760] OK OK UM AND WHEN YOU DO GET THAT GET THAT PAIN HOW LONG DOES IT LAST +audio/RES0001.mp3[59.760,68.200] UM I WOULD SAY UH AROUND 1520 MINUTES ITS IT GOES AWAY OVER OVERTIME +audio/RES0001.mp3[68.200,74.040] OK AND THE SHORTNESS OF BREATH DO YOU HAVE THAT AT REST AS WELL +audio/RES0001.mp3[74.040,97.160] UH NO IF I IF I TAKE A BREAK OR SIT DOWN TO REST THEN I CAN USUALLY CATCH MY BREATH BUT IF EVEN IF IM DOING A LITTLE BIT OF EXERTION LIKE WALKING A FEW A FEW BLOCKS OR SOMETHING LIKE THAT IM FINDING IT IM IM SHORT OF BREATH +audio/RES0001.mp3[97.160,110.200] OK UM DO DID ANYTHING TRIGGER THIS A WEEK BACK ANY TRAUMA TO THE CHEST AREA ANYTHING LIKE THAT +audio/RES0001.mp3[110.200,120.640] UH NO NO ONE ELSE HAS BEEN SICK I I HAD A COUGH ABOUT A WEEK AGO SO I THOUGHT IT MIGHT BE A +audio/RES0001.mp3[120.640,128.280] CHEST INFECTION BUT IM NOT FEVERISH SO IM NOT SURE +audio/RES0001.mp3[128.280,131.720] OK THE COUGH IS IT STILL THERE +audio/RES0001.mp3[131.720,136.600] YEAH ITS UM I STILL HAVE A COUGH +audio/RES0001.mp3[136.600,139.600] OK AND ARE YOU COUGHING UP ANY BLOOD +audio/RES0001.mp3[139.600,145.680] NO I HAVENT I HAVENT NOTICED ANY ANY BLOOD +audio/RES0001.mp3[145.680,149.200] OK HOW ABOUT SPUTUM +audio/RES0001.mp3[149.200,151.480] UM NO SPUTUM +audio/RES0001.mp3[151.480,156.160] NO OK AND DO YOU FEEL LIKE YOURE WHEEZING +audio/RES0001.mp3[156.160,159.120] OH NO WHEEZING +audio/RES0001.mp3[159.120,171.280] NO WHEEZING OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST THE MOST SEVERE HOW BAD IS YOUR SHORTNESS OF BREATH +audio/RES0001.mp3[171.280,178.600] I WOULD SAY WHEN IM EXERTING MYSELF IT COULD GET UP TO LIKE A 7 OR 8 +audio/RES0001.mp3[178.600,185.920] OK AND YOU MENTIONED HOW HOW FAR CAN YOU WALK BEFORE YOU NEED TO REST +audio/RES0001.mp3[185.920,200.240] I I WOULD SAY MAYBE 100 METERS BUT BEFORE I WAS ABLE TO RUN UH LIKE I WAS RUNNING A FEW DAYS PER WEEK SO SO THIS IS NOT LIKE ME +audio/RES0001.mp3[200.240,208.800] OK AND THE CHEST PAIN IS IT SHARP OR IS A DULL CRAMPY WHAT DOES IT FEEL LIKE +audio/RES0001.mp3[208.800,211.000] I SAY ITS SHARP +audio/RES0001.mp3[211.000,215.320] OK HAVE YOU EVER EXPERIENCED THIS BEFORE +audio/RES0001.mp3[215.320,223.480] NO NOTHING LIKE LIKE THIS BEFORE AT ALL I I HAVE NEVER HAD ANY ANY PROBLEMS LIKE THIS BEFORE +audio/RES0001.mp3[223.480,234.760] OK UM AND HAS IT CHANGED SINCE IT STARTED A WEEK BACK OR HAS HAVE YOUR SYMPTOMS BEEN PRETTY MUCH THE SAME +audio/RES0001.mp3[234.760,239.360] THEYVE BEEN PRETTY MUCH THE THE THE SAME +audio/RES0001.mp3[239.360,249.360] OK OK UM DO YOU HAVE ANYTHING LIKE COPCONGESTIVE HEART FAILURE ANYTHING LIKE THAT +audio/RES0001.mp3[249.360,262.680] NO IVE NEVER HAD ANY HEART PROBLEMS UH IN THE PAST IVE BEEN HEALTHY UP TO THIS POINT THOUGH NOTHING I SEE A DOCTOR REGULARLY FOR +audio/RES0001.mp3[262.680,274.440] OK OK THIS YOU MENTIONED NO FEVERS NO CHILLS AND NO NIGHT SWEATS TOO I GUESS +audio/RES0001.mp3[274.440,276.280] YEAH NO NIGHT SWEATS +audio/RES0001.mp3[276.280,280.160] OK AND HOW ABOUT WEIGHT LOSS ANY WEIGHT LOSS +audio/RES0001.mp3[280.160,282.480] NO WEIGHT LOSS +audio/RES0001.mp3[282.480,290.760] NO OK UM HAVE YOU EXPERIENCED ANY CHANGES IN YOUR VISION +audio/RES0001.mp3[290.760,295.360] YEAH NO MY VISIONS BEEN BEEN BEEN FINE +audio/RES0001.mp3[295.360,297.920] OK HEARING +audio/RES0001.mp3[297.920,299.680] HEARING HAS BEEN OK +audio/RES0001.mp3[299.680,302.120] OK HOW ABOUT SMELL +audio/RES0001.mp3[302.120,303.680] NO CHANGES IN SMELL +audio/RES0001.mp3[303.680,310.200] NO UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE IN THE PAST WEEK OR SO +audio/RES0001.mp3[310.200,314.240] NO ITS JUST THAT THE DRY COUGH +audio/RES0001.mp3[314.240,319.800] OK DRY COUGH ANY CHANGES IN YOUR SKIN LIKE RASHES +audio/RES0001.mp3[319.800,321.720] NO RASHES +audio/RES0001.mp3[321.720,331.880] OK AND YOU MENTIONED SOME CHEST PAIN ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0001.mp3[331.880,344.960] UH ACTUALLY I DID FEEL LIKE THAT A LITTLE BIT ESPECIALLY WHEN I WAS MOVING A LITTLE BIT MORE I FELT LIKE MY HEART WAS RACING +audio/RES0001.mp3[344.960,351.400] OK UM ANY CALF PAIN +audio/RES0001.mp3[351.400,356.000] UM YEAH MY LEFT MY LEFT LEGS ACTUALLY A LITTLE BIT SORE +audio/RES0001.mp3[356.000,360.960] OK ANY SWELLING IN THE AREA +audio/RES0001.mp3[360.960,369.960] UM UH NOPE I DONT SEE ANY SWELLING THERE +audio/RES0001.mp3[369.960,372.080] OK NO +audio/RES0001.mp3[372.080,373.840] UM YEAH WELL SAY THAT THERE IS SWELLING +audio/RES0001.mp3[373.840,385.040] OH OK AND AND YOU MENTIONED SHORTNESS SOME SHORTNESS OF BREATH ON EXERTION HOW ABOUT WHEN YOURE LAYING DOWN +audio/RES0001.mp3[385.040,387.000] NOT WHEN IM LAYING DOWN +audio/RES0001.mp3[387.000,395.080] NO OK AND NOT WHEN YOURE OK NOT WHEN YOURE LAYING DOWN OK UM ALRIGHT AND IN TERMS OF LIKE +audio/RES0001.mp3[395.080,403.200] YOUR STOOL SO BOWEL MOVEMENTS AND URINATION LIKE ALL OF THATS NORMAL +audio/RES0001.mp3[403.200,405.160] YEAH ALL THATS BEEN NORMAL +audio/RES0001.mp3[405.160,407.920] OK ANY HEADACHES +audio/RES0001.mp3[407.920,410.200] UM NO HEADACHES +audio/RES0001.mp3[410.200,413.200] NO NO CONFUSION +audio/RES0001.mp3[413.200,415.280] NO CONFUSION +audio/RES0001.mp3[415.280,419.480] OK HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0001.mp3[419.480,422.880] UM NO FAINTING SPELLS +audio/RES0001.mp3[422.880,431.600] OK OK AND HAVE YOU ALREADY RECEIVED ANY SORT OF IMAGING OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT FOR THIS RECENTLY +audio/RES0001.mp3[431.600,434.520] OH NO I I I HAVENT +audio/RES0001.mp3[434.520,445.800] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY PAST MEDICAL HISTORY OF ANY CONDITIONS REALLY +audio/RES0001.mp3[445.800,463.120] NO LIKE IVE BEEN UM PREVIOUSLY HEALTHY BUT I I GUESS I DID HAVE A HYSTERECTOMY A FEW WEEKS AGO I KNOW IT WAS I I DIDNT BRING IT UP BEFORE CAUSE ITS JUST A DAY PROCEDURE BUT I WAS DEFINITELY +audio/RES0001.mp3[463.120,471.280] SPENDING A LOT MORE TIME UM RELAXING AT HOME AFTER THAT A FEW WEEKS AGO +audio/RES0001.mp3[471.280,478.720] OK OK SO YOU HAVENT BEEN MOVING AROUND AS MUCH I GUESS SINCE THE HYSTERECTOMY +audio/RES0001.mp3[478.720,492.560] YEAH EXACTLY ITS STARTING TO IT WAS STARTING TO GET THE PAIN WAS STARTING TO IMPROVE BUT IT WAS KEEPING ME ON THE COUCH A LOT OF DAYS +audio/RES0001.mp3[492.560,497.640] OK YEAH UM ARE YOU ON ANY MEDICATIONS +audio/RES0001.mp3[497.640,513.600] UM NO I TRY IVE TRIED SOME TYLENOL AND ADVIL FOR THE PAIN THROUGHOUT THIS WEEK AND IT DIDNT REALLY HELP MUCH BUT OTHER THAN THAT DONT TAKE ANY ANY MEDICATIONS NOTHING FOR BLOOD PRESSURE OR ANYTHING LIKE THAT +audio/RES0001.mp3[513.600,520.960] OK AND SORRY WHAT WAS THE HYSTERECTOMY FOR +audio/RES0001.mp3[520.960,525.840] UM I I WAS HAVING A LOT OF BLEEDING +audio/RES0001.mp3[525.840,532.320] OK SO WERE THEY THINKING IT WAS LIKE A CANCER OR SOMETHING +audio/RES0001.mp3[532.320,539.280] UM I THINK IT WAS UM IT WAS FROM FIBROIDS +audio/RES0001.mp3[539.280,548.280] OK OK AND THEN SO YOU MENTIONED NO MEDICATIONS ANY ALLERGIES +audio/RES0001.mp3[548.280,551.840] UM NO ALLERGIES TO MEDICATIONS +audio/RES0001.mp3[551.840,557.240] NO AND ARE YOU UP TO DATE WITH ANY WITH ALL YOUR IMMUNIZATIONS +audio/RES0001.mp3[557.240,559.960] UM I AM YEAH +audio/RES0001.mp3[559.960,566.440] YOU ARE OK ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0001.mp3[566.440,568.400] NO LUNG CONDITIONS +audio/RES0001.mp3[568.400,570.120] BUT HOW ABOUT HEART +audio/RES0001.mp3[570.120,578.400] YEAH ITS JUST MY MOM HAD A HEART ATTACK WHEN SHE WAS 56 +audio/RES0001.mp3[578.400,594.160] OK OK IM SORRY TO HEAR THAT AND ANY HISTORY OF FAMILY HISTORY OF SOMETHING CALLED PULMONARY EMBOLISM OR DVTS +audio/RES0001.mp3[594.160,600.160] UH NO I HAVENT HEARD OF A HEARD OF PULMONARY EMBOLISM BEFORE +audio/RES0001.mp3[600.160,612.800] OK SO ITS BASICALLY BLOOD CLOTS IN YOUR LUNG AND THEN DVTS ARE DEEP VEIN THROMBOSIS SO ALSO BLOOD CLOTS BUT IN DIFFERENT PARTS OF YOUR BODY +audio/RES0001.mp3[614.000,617.800] YEAH ANYTHING LIKE THAT THAT YOU KNOW OF +audio/RES0001.mp3[617.800,631.960] UH NO I I HAVE MIGHT HAVE HEARD OF SOMETHING LIKE THAT HAPPENING IN MY MOM ACTUALLY IT MIGHT HAVE BEEN RELATED TO HER HEART ATTACK BUT IM NOT SPECIFICALLY SURE +audio/RES0001.mp3[631.960,634.440] OK SURE UM AN THEN DO YOU SMOKE +audio/RES0001.mp3[634.440,655.280] UM I I SMOKE I MAY BE ABOUT HALF A PACK OF CIGARETTES PER DAY IVE SMOKED EVER SINCE I WAS A TEENAGER IVE TRIED TO QUIT MULTIPLE TIMES I I WAS SMOKING ABOUT A PACK PER DAY BEFORE SO I HAVE +audio/RES0001.mp3[655.280,660.480] CUT IT DOWN BUT STILL SOMETHING THAT IM WORKING ON +audio/RES0001.mp3[660.480,666.880] OK GOOD IM GLAD YOURE TRYING TO CUT DOWN UM WE HAVE RESOURCES AVAILABLE IF YOURE INTERESTED +audio/RES0001.mp3[666.880,673.400] IN SOME MORE HELP AND YOU SMOKE UM MARIJUANA +audio/RES0001.mp3[673.400,675.800] NO I DONT +audio/RES0001.mp3[675.800,679.640] OK ANY USE OF OTHER RECREATIONAL DRUGS +audio/RES0001.mp3[679.640,681.560] NO NO +audio/RES0001.mp3[681.560,686.040] OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0001.mp3[686.040,693.240] UH MAY BE A GLASS OF WINE ON THE WEEKENDS BUT OTHER THAN THAT NO +audio/RES0001.mp3[693.240,702.520] OK I MEAN HAVE YOU HAD ANY SICK CONTACTS RECENTLY PEOPLE AROUND YOU PEOPLE YOU LIVE WITH AT WORK +audio/RES0001.mp3[702.520,706.080] I CANT THINK OF ANY ANYBODY WHOS BEEN SICK NO +audio/RES0001.mp3[706.080,711.280] OK OK AND AND WHAT DO YOU DO FOR WORK JENN +audio/RES0001.mp3[711.280,718.880] I WORK AS AN ADMINISTRATOR AT AT A BANK +audio/RES0001.mp3[718.880,723.640] OK OK IM AND I HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0001.mp3[723.640,728.960] UM NO I I CANT REMEMBER THE LAST VACATION +audio/RES0001.mp3[728.960,744.320] OK ALRIGHT AND SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD ANYTHING THAT I HADNT TOUCHED ON +audio/RES0001.mp3[744.320,747.480] UM NO I THINK YOU COVERED EVERYTHING THANK YOU +audio/RES0001.mp3[747.480,769.000] OK YEAH NO WORRIES SO I GUESS AT THIS POINT WE WOULD DO A PHYSICAL EXAM JUST TAKE A LISTEN TO YOUR LUNGS AND YOUR CHEST AFTER THAT SO RIGHT NOW IT SOUNDS LIKE IT COULD BE SOMETHING VASCULAR YOU KNOW LIKE A PULMONARY EMBOLISM LIKE WE TALKED ABOUT THATS KIND OF HIGH ON MY LIST OF THINGS TO +audio/RES0001.mp3[769.000,776.960] WORK UP FOR BUT ALSO WE DONT WANT TO MISS OTHER THINGS YOU KNOW LIKE +audio/RES0001.mp3[776.960,783.560] CANCER INFECTION AUTOIMMUNE THINGS THAT COULD AFFECT YOUR LUNGS SO WELL JUST DO A +audio/RES0001.mp3[783.560,786.480] WORK UP FOR ALL OF THAT HOW DOES THAT SOUND +audio/RES0001.mp3[786.480,792.000] YEAH WHATEVER WHATEVER YOU THINK WE NEED TO DO +audio/RES0001.mp3[792.000,794.960] OK SOUNDS GOOD THANK YOU FOR YOUR TIME +audio/RES0001.mp3[794.960,798.960] YEAH THANKS +audio/RES0176.mp3[0.000,5.280] HOW MAY I HELP YOU +audio/RES0176.mp3[5.280,38.120] I UM I JUST HAVENT BEEN FEELING VERY WELL OVER THE PAST COUPLE MONTHS AND I HAVE DECIDED I JUST COME IN AND SEE WHATS HAPPENING SO IVE JUST IVE BEEN FEELING SHORT OF BREATH AND I KIND OF PASSED OUT SOMETIMES AND IM REALLY WORRIED ABOUT IT +audio/RES0176.mp3[38.120,44.560] OK UH SO WHEN THE SHORTNESS OF BREATH START +audio/RES0176.mp3[44.560,49.080] I SAY ABOUT FIVE OR SIX WEEKS AGO +audio/RES0176.mp3[49.080,56.520] OK AND AND DO YOU GET SHORT OF BREATH AT REST +audio/RES0176.mp3[57.440,62.640] AND HAS IT BEEN GETTING WORSE OR STAYING THE SAME +audio/RES0176.mp3[62.640,73.640] UHM KIND OF THE SAME MAYBE A LITTLE BIT WORSE BUT I YEAH MAYBE THE SAME DEFINITELY NOT GETTING BETTER +audio/RES0176.mp3[73.640,80.440] OK HOW FAR ARE YOU ABLE TO WALK OR EXERT YOURSELF BEFORE YOURE SHORT OF BREATH +audio/RES0176.mp3[80.440,98.680] I CAN WALK QUITE A BIT UM BUT I I GUESS LIKE WHEN I GO FOR MY MY RUNS IN THE MORNING I START FEELING SHORT OF BREATH ITS MAYBE LIKE TWO BLOCKS OR THREE BLOCKS +audio/RES0176.mp3[98.680,110.360] OK AND ANY ANY SYMPTOMS WHERE YOU GET SHORT OF BREATH AT NIGHT AND WHERE YOU HAD TO GET UP AND AND PUT YOUR FEET OVER THE BED +audio/RES0176.mp3[112.000,120.680] ARE YOU ABLE TO LAY FLAT WITHOUT BEING SHORT OF BREATH +audio/RES0176.mp3[120.680,122.800] UHM YEAH +audio/RES0176.mp3[122.800,133.800] OR DOES IT OK AND EVERY HAD ANY SWELLING IN YOUR FEET OR ANKLES +audio/RES0176.mp3[135.560,145.000] OK AND YOU MENTIONED THAT YOU YOU PASSED OUT AS WELL CAN YOU TELL ME A LITTLE BIT ABOUT A LITTLE BIT ABOUT THAT +audio/RES0176.mp3[145.000,173.000] YEAH UH IT JUST HAPPENED TWO OR THREE DAYS AGO AND I WAS JUST I WASI WASNT REALLY DOING MUCH I WAS I GUESS JUST LIKE GOING UP THE STAIRS AND WHEN I GOT TO THE TOP I JUST KIND OF SUDDENLY COLLAPSED AND THEN I GOT BACK UP +audio/RES0176.mp3[173.000,176.640] WERE YOU REALLY SHORT OF BREATH AT THE TOP OF THE STAIRS +audio/RES0176.mp3[176.640,186.240] I FELT LIKE MY HEART WAS LIKE BEATING KIND OF FAST AND I FELT LITTLE BIT DIZZY +audio/RES0176.mp3[186.240,192.720] OK SEE WHERE YOU SWEATY AT THE TIME AS WELL +audio/RES0176.mp3[192.720,195.960] I DONT REMEMBER MAYBE +audio/RES0176.mp3[195.960,204.560] OK DID YOU FEEL LIKE YOU WERE GOING TO PASS OUT +audio/RES0176.mp3[208.560,215.840] OK HAS ANYTHING LIKE THAT HAPPENED TO YOU BEFORE +audio/RES0176.mp3[215.840,217.720] NO NO +audio/RES0176.mp3[217.720,224.240] OK AND DID YOU BITE YOUR TONGUE DURING THIS OR +audio/RES0176.mp3[225.800,233.560] OK AND DID YOU WET YOURSELF AT ALL LIKE PEE YOUR PANTS OR ANYTHING LIKE THAT +audio/RES0176.mp3[235.240,240.440] OK AND HOW LONG DID IT LAST FOR +audio/RES0176.mp3[240.440,253.800] MAYBE A COUPLE OF SECONDS ITS YEAH I DONT KNOW I I CANT REALLY TELL I WAS ALONE AT HOME AT THE TIME AND ID LIKE I COULDNT TELL HOW LONG IT TOOK FOR ME TO GET BACK UP +audio/RES0176.mp3[253.800,263.200] OK YOU PICTURE THAT YOUR HEART WAS RACING DID IT FEEL LIKE IT WAS LIKE DID YOU HAVE HEART PALPITATIONS OR IS YOUR HEART BEATING REALLY FAST +audio/RES0176.mp3[263.200,269.400] YEAH IT WAS +audio/RES0176.mp3[269.400,280.800] OK AND DID YOU HIT YOUR HEAD OR OR HURT YOURSELF WHEN YOU FELL +audio/RES0176.mp3[280.800,282.480] NO NO +audio/RES0176.mp3[282.480,296.160] OK AND RECENTLY HAVE YOU BEEN OTHERWISE FEELING WELL OR IF YOU HAD ANY VIRAL INFECTIOUS SYMPTOMS LIKE RED EYES OR ITCHY EYES OR RUNNY NOSE SORE THROAT +audio/RES0176.mp3[297.280,304.000] OK NOTHING LIKE THAT AND HAVE YOU HAD A COUGH +audio/RES0176.mp3[305.400,309.720] OK AND HAVE YOU HAD ANY WHEEZING +audio/RES0176.mp3[311.880,314.440] AND IF YOU HAD ANY CHEST PAIN +audio/RES0176.mp3[316.280,329.280] OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOU WERE HAVING HEART PALPITATIONS AT ANY OTHER TIMES AND NOT JUST DURING THE TIME THAT YOU HAD THE FAINTING EPISODE +audio/RES0176.mp3[329.280,339.200] UM I KIND OF DID WHEN I WAS WHEN I WAS LIKE RUNNING OUTSIDE BUT I JUST THOUGHT MAYBE MAYBE I WAS EXERTING MYSELF TOO MUCH +audio/RES0176.mp3[339.200,347.200] I SEE ALRIGHT AND ANY CHEST PAIN +audio/RES0176.mp3[349.880,353.640] AND UH OK HAVE YOU HAD ANY ANY NAUSEA OR VOMITING +audio/RES0176.mp3[354.840,358.280] ANY ABDOMINAL PAIN +audio/RES0176.mp3[361.720,365.480] ANY URINARY PROBLEMS +audio/RES0176.mp3[365.680,369.800] OK ANY MUSCLE ACHES OR BODY PAINS +audio/RES0176.mp3[371.560,373.400] ANY FEVERS OR CHILLS +audio/RES0176.mp3[374.720,378.560] HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS +audio/RES0176.mp3[379.400,382.560] HAVE YOU HAD ANY CHANGES TO YOUR APPETITE +audio/RES0176.mp3[383.160,391.880] AND HAVE YOU NOTICE ANY SKIN CHANGES LIKE RASHES OR OR ANYTHING LIKE THAT +audio/RES0176.mp3[393.640,401.560] OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0176.mp3[401.560,404.960] NO IVE BEEN VERY HEALTHY +audio/RES0176.mp3[404.960,412.120] OK I DO YOU SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +audio/RES0176.mp3[412.120,433.640] UHM I JUST TAKE SOME PUFFERS FOR ASTHMA BUT I HAVENT HAD ASTHMA IN AWHILE I ACTUALLY THOUGHT MAYBE MY ASTHMA WAS GETTING WORSE OVER THE PAST TWO THREE MONTHS I DIDNT REALLY I JUST I DIDNT THINK TOO MUCH OF IT BUT THEN WHEN I FAINTED I WAS JUST KIND OF SCARED +audio/RES0176.mp3[433.640,442.640] YEAH FOR SURE UMM CERTAINLY WOULD BE FRIGHTENING OK AND DO YOU USE THE INHALER EVERYDAY +audio/RES0176.mp3[442.640,455.120] NO I USED TO WHEN I WAS YOUNG I DIDNT HAVE ASTHMA FOR A COUPLE OF YEARS FOR LIKE ID SAY 20 YEARS OR SO SO THEN I STOPPED TAKING INHALERS +audio/RES0176.mp3[455.120,459.240] OK SO YOU HAVENT USED THEM RECENTLY +audio/RES0176.mp3[460.280,463.760] AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENTAL +audio/RES0176.mp3[464.840,473.800] OK AND IF YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0176.mp3[475.360,479.720] OK AND HAVE YOU BEEN PREGNANT IN THE PAST +audio/RES0176.mp3[479.720,489.960] UHM I I WAS YEAH I HAVE A SON ABOUT EIGHT YEARS AGO HE WAS BORN EIGHT YEARS AGO +audio/RES0176.mp3[489.960,495.960] OK WAS THIS A VAGINAL DELIVERY OR A CSECTION +audio/RES0176.mp3[497.520,505.440] AND ANY COMPLICATIONS EITHER DURING PREGNANCY OR DELIVERY OR AFTERWARDS +audio/RES0176.mp3[505.440,508.040] OH NO EVERYTHING WAS GOOD NO PROBLEMS +audio/RES0176.mp3[508.040,518.400] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH +audio/RES0176.mp3[518.400,527.080] YEAH IM LIVING WITH MY HUSBAND AND MY SON WE LIVE IN A HOUSE ABOUT 30 MINUTES FROM HERE +audio/RES0176.mp3[527.080,530.160] OK UH HAS ANYBODY BEEN SICK IN THE HOUSE +audio/RES0176.mp3[530.160,534.160] NO EVERYONES BEEN WELL +audio/RES0176.mp3[534.160,536.200] ALRIGHT HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0176.mp3[538.640,546.800] OK ANY EXPOSURES IN THE HOUSE LIKE CARPETS OR RUGS OR ITS LIKE LIKE THINGS LIKE THAT +audio/RES0176.mp3[546.800,558.920] WE DO HAVE CARPETS BUT I MEAN I I DONT THINK THATS A PROBLEM LIKE WEVE HAD IT FOR LIKE YEARS AND WEVE HAD THE SAME CARPETS FOR YEARS AND YEARS +audio/RES0176.mp3[558.920,568.120] OK I SEE AND ARE YOU WORKING CURRENTLY OR OR AT HOME +audio/RES0176.mp3[568.120,574.560] YEAH IM AT HOME BUT I WORK FROM HOME IM A WRITER +audio/RES0176.mp3[574.560,578.120] OK COOL YEAH I DO YOU SMOKE CIGARETTES +audio/RES0176.mp3[578.480,583.680] DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +audio/RES0176.mp3[584.640,587.560] OK AND DO YOU DRINK ALCOHOL +audio/RES0176.mp3[587.560,594.600] I DO ILL JUST DRINK ON THE WEEKENDS +audio/RES0176.mp3[594.600,598.800] OK AND I LIKE HOW MANY DRINKS WOULD YOU TYPICALLY HAVE IN A WEEK +audio/RES0176.mp3[598.800,603.520] UHM NOT MUCH ID SAY ONE OR TWO GLASSES OF WINE +audio/RES0176.mp3[603.520,606.040] OK DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0176.mp3[613.440,628.360] OK AND LIKE YOU SAID YOURE A WRITER CURRENTLY IN THE PAST DID YOU WORK ANY JOBS WHERE YOU WERE EXPOSED TO ASBESTOS OR LIKE ANY CHEMICALS OR FUMES IN THE AIR +audio/RES0176.mp3[628.360,631.440] NO NO I HAVENT +audio/RES0176.mp3[631.440,636.560] OK AND IN THE FAMILY IS THERE IS THERE ANYBODY WHO HAS ANY HEART OR LUNG CONDITIONS +audio/RES0176.mp3[637.120,640.760] HOW ABOUT ANY CLOTTING DISORDERS OR OR CANCERS +audio/RES0176.mp3[640.760,651.360] UHM PROSTATE CANCER MY UNCLE HAD IT +audio/RES0176.mp3[651.360,674.240] I SEE OK SO IT SOUNDS LIKE OVER THE LAST LITTLE MONTH YOUVE BEEN HAVING SOME MORE SHORT SHORTNESS OF BREATH AS WELL AS WELL THIS FAINTING EPISODE MORE RECENTLY SO WE WILL WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD +audio/RES0176.mp3[674.240,679.080] HUM NO +audio/RES0176.mp3[679.080,723.080] ALRIGHT SO WE WILL DO SOME PULMONARY FUNCTION TESTING AND GET SOME IMAGING OF YOUR LUNGS TODAY AS WELL AS AN ECG AND MAYBE A MONITOR FOR YOUR HEART AS WELL TO JUST CHECK YOUR HEART RACING FOR THE NEXT 48 HOURS MENTIONING THAT YOUR HEART WAS RACING AND SO TO RULE OUT THAT ANY ABNORMAL RHYTHMS OF YOUR HEART OR TO CHECK FOR THAT AND WE WILL KIND OF GO FROM THERE DID YOU HAVE ANY QUESTIONS +audio/RES0087.mp3[0.000,2.480] WHAT BRINGS YOU IN +audio/RES0087.mp3[2.480,25.040] YEAH IM JUST COMING IN WITH MY SON HES BEEN HAVING HES BEEN COMPLAINING OF JUST SEEMS LIKE PAIN IN HIS RIGHT EAR FOR THE LAST I WOULD SAY THREE TO FOUR DAYS AND IT SEEMS LIKE HES JUST MORE IRRITABLE JUST NOT HIMSELF RIGHT NOW +audio/RES0087.mp3[25.040,30.280] YEAH OK SO HOW LONG DID YOU SAY HES HAD THIS EAR PAIN +audio/RES0087.mp3[30.280,31.720] I WOULD SAY FOUR DAYS NOW +audio/RES0087.mp3[31.720,39.920] FOUR DAYS OK HAVE YOU NOTICED ANY HEARING LOSS +audio/RES0087.mp3[39.920,43.840] UH NO HE STILL RESPONDS WHEN I CALL HIS NAME +audio/RES0087.mp3[43.840,50.360] OK AND HAVE YOU NOTICED ANY FLUID COMING OUT OF HIS EARS +audio/RES0087.mp3[50.360,54.320] UH NO I DONT THINK SO +audio/RES0087.mp3[54.320,59.360] IS IT MORE LIKE ONE SIDE OF HIS EARS OR IS IT BOTH EARS +audio/RES0087.mp3[59.360,61.080] ITS JUST HIS RIGHT EAR +audio/RES0087.mp3[61.080,68.200] JUST HIS RIGHT EAR OK AND HAVE YOU NOTICED THAT ITS LIKE SWOLLEN RED OR WARM +audio/RES0087.mp3[68.200,73.960] UH NO I DONT SEE ANY SWELLING OR REDNESS AT ALL +audio/RES0087.mp3[73.960,79.840] OK OK GOOD AND HAVE YOU TAKEN A LOOK INSIDE HIS EARS +audio/RES0087.mp3[79.840,88.520] YEAH I TRIED TO TAKE A LOOK WITH A FLASHLIGHT I COULDNT REALLY SEE TOO MUCH +audio/RES0087.mp3[88.520,95.440] OK YEAH THATS FAIR AND YOU MENTIONED HES HAD A RUNNY NOSE TOO WHEN DID THAT START +audio/RES0087.mp3[95.440,117.680] YEAH SO THAT KIND OF LIKE LAST WEEK HE WAS RECOVERING FROM I THINK IT WAS JUST A COLD AND HE HAD A RUNNY NOSE AND JUST WAS A BIT CONGESTED BUT THEN OVER THE LAST WEEK IT KIND OF JUST RESOLVED BUT THEN THIS WEEK HE STARTED HAVING JUST THIS EAR PAIN +audio/RES0087.mp3[117.680,123.000] OK ANY FEVERS +audio/RES0087.mp3[123.000,131.960] UH NO NOT THAT I I HAVENT MEASURED ANYTHING AND HE HASNT MENTIONED ANY LIKE HE HASNT FELT COLD OR ANYTHING LIKE THAT +audio/RES0087.mp3[131.960,135.600] OK ANY WEIGHT LOSS OVER THE PAST MONTH OR SO +audio/RES0087.mp3[136.560,142.560] NO ANY CHANGE IN HIS HAIR OR NAILS LIKE RASHES OR SORRY OR SKIN +audio/RES0087.mp3[142.560,146.040] YEAH NO I HAVENT SEEN ANY CHANGES IN THE SKIN +audio/RES0087.mp3[146.040,151.760] OK ANY CHANGES IN HIS VISION OR SMELL OR TASTE +audio/RES0087.mp3[153.400,155.600] NO OK HIS RUNNY NOSE WHAT COLOR IS IT +audio/RES0087.mp3[155.600,169.240] IT WAS MAINLY UH IT SEEMED TO ME LIKE IT WAS MAINLY CLEAR WHEN IT WAS HAPPENING LIKE HE WASNT BRINGING UP ANY YELLOW OR GREEN MATERIAL +audio/RES0087.mp3[169.240,178.960] OK GOOD DOES HE HAVE A SORE THROAT AT ALL +audio/RES0087.mp3[178.960,187.920] NO NOT THAT HES TOLD ME HES STILL EATING THINGS AND I DONT THINK HES HAVING ANY TROUBLE WITH EATING ANYTHING SO I DONT THINK SO +audio/RES0087.mp3[187.920,192.920] OK THATS GOOD HAS HE HAD A COUGH +audio/RES0087.mp3[192.920,214.960] UHM ACTUALLY HE DID HE DID START COUGHING LIKE YESTERDAY BUT JUST A FEW TIMES A DAY I DONT KNOW IF ITS BECAUSE OF THIS OR LIKE WHAT ELSE MIGHT BE GOING ON +audio/RES0087.mp3[214.960,219.880] OK AND YOU SAID FOR THE PAST FEW DAYS HES HAD THE COUGH +audio/RES0087.mp3[219.880,222.680] YEAH I THINK JUST MAYBE STARTED YESTERDAY +audio/RES0087.mp3[222.680,228.360] STARTED YESTERDAY OK IS IT A DRY COUGH OR IS IT IS HE BRINGING UP ANY PHLEGM +audio/RES0087.mp3[228.360,237.320] NO IT SEEMS TO BE JUST DRY I THINK I JUST NOTICED IT LIKE THREE OR FOUR TIMES DURING THE DAY YESTERDAY +audio/RES0087.mp3[237.320,240.560] OK SO NO BLOOD THAT HES BRINGING UP RIGHT +audio/RES0087.mp3[240.560,242.160] NO NO +audio/RES0087.mp3[242.160,246.440] OK AND DOES HE HAVE ANY SHORTNESS OF BREATH +audio/RES0087.mp3[246.440,247.120] NO NO +audio/RES0087.mp3[247.120,250.600] NO OK ANY WHEEZING +audio/RES0087.mp3[250.600,251.960] NO NO WHEEZING +audio/RES0087.mp3[251.960,254.480] NO CHEST PAIN +audio/RES0087.mp3[255.520,260.200] OK UHM ANY NAUSEA OR VOMITING +audio/RES0087.mp3[260.200,262.400] NO NAUSEA OR VOMITING +audio/RES0087.mp3[262.400,265.880] ANY CHANGES TO HIS BOWEL MOVEMENTS +audio/RES0087.mp3[268.400,274.200] NO OK AND HOW ABOUT URINE IS THAT NORMAL +audio/RES0087.mp3[274.200,276.880] YEAH UH NO CHANGES AT ALL +audio/RES0087.mp3[276.880,279.640] ANY HEADACHES +audio/RES0087.mp3[279.640,283.560] NOT THAT HES TOLD ME ABOUT +audio/RES0087.mp3[283.560,286.760] OK DIZZINESS OR FAINTING SPELLS +audio/RES0087.mp3[287.000,292.800] FEELING LIKE HES OFF BALANCE OR LOST COORDINATION +audio/RES0087.mp3[292.800,294.680] NO I DONT THINK SO +audio/RES0087.mp3[294.680,298.280] NO OK NO NUMBNESS NO TINGLING +audio/RES0087.mp3[299.640,306.240] HAS HE HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY +audio/RES0087.mp3[306.240,312.320] UHM NO I DONT THINK ANYONES BEEN SICK AROUND HIM +audio/RES0087.mp3[312.320,316.560] OK AND HAS HE TRAVELED TO ANYWHERE RECENTLY +audio/RES0087.mp3[316.560,321.160] UH NO LIKE HES MAINLY JUST BEEN INSIDE HIS HOME +audio/RES0087.mp3[321.160,325.160] OK HAS HE EVER HAD EAR PAIN BEFORE +audio/RES0087.mp3[325.160,339.720] HE DID HAVE A SIMILAR PAIN I THINK WHEN HE WAS LIKE AROUND THREE YEARS OLD BUT IT HAPPENED WITH HIS LEFT LEFT EAR NOT THE RIGHT ONE +audio/RES0087.mp3[339.720,346.120] OK WAS HE PRESCRIBED ANY MEDICATIONS +audio/RES0087.mp3[346.120,370.000] UH YEAH HE WAS GIVEN A LIKE A COURSE OF ANTIBIOTICS AT THAT TIME I FORGOT WHAT IT WAS CALLED BUT I THINK AT THAT TIME IT WAS MUCH WORSE LIKE HE I DONT KNOW IF HE WAS JUST YOUNGER AND COULDNT TOLERATE IT BUT I THINK HE ALSO HAD A FEVER AT THAT TIME +audio/RES0087.mp3[370.000,376.760] OK OK AND THEN ANY OTHER EAR INFECTIONS OUTSIDE OF THAT ONE TIME +audio/RES0087.mp3[376.760,383.640] NO I THINK THAT ONLY THAT ONE I CAN RECALL +audio/RES0087.mp3[383.640,388.000] OK ALRIGHT IS HE OTHERWISE HEALTHY +audio/RES0087.mp3[388.000,393.800] YEAH OTHERWISE HES HEALTHY NO OTHER CONDITIONS OR ANYTHING LIKE THAT +audio/RES0087.mp3[393.800,397.120] NO HOSPITALIZATIONS OR SURGERIES +audio/RES0087.mp3[397.440,402.280] AND IS HE ON ANY MEDICATIONS +audio/RES0087.mp3[402.280,404.360] NO MEDICATIONS +audio/RES0087.mp3[404.360,409.200] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0087.mp3[409.200,412.320] YEAH ALL HIS IMMUNIZATIONS ARE GOOD +audio/RES0087.mp3[412.320,413.760] OK ANY ALLERGIES +audio/RES0087.mp3[413.760,418.400] NOT THAT WE KNOW OF SO FAR +audio/RES0087.mp3[418.400,424.120] AND ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0087.mp3[424.120,436.680] NO LUNG OR HEART CONDITIONS JUST HIS FATHER DOES HAVE LIKE CELIAC DISEASE SO I DONT KNOW IF THATS RELATED AT ALL +audio/RES0087.mp3[436.680,439.600] OK HOW OLD WAS HE WHEN WAS DIAGNOSED WITH CELIAC +audio/RES0087.mp3[439.600,446.200] FAIRLY YOUNG I WOULD SAY IN HIS 20S +audio/RES0087.mp3[446.200,470.240] OK OK UHM ALRIGHT WELL KEEP AN EYE ON IT IN HIM LIKE IF HE HAS ANY CHANGES IN HIS BOWEL MOVEMENTS OR IF HES GETTING SEVERE ABDOMINAL PAIN AFTER EATING CERTAIN FOODS WITH GLUTEN YOU CAN GET HIM CHECKED UP FOR THAT AS WELL +audio/RES0087.mp3[473.480,480.320] YEAH AND THEN IN TERMS OF WHERE HE LIVES DOES HE LIVE WITH YOU AND YOUR PARTNER +audio/RES0087.mp3[480.320,490.640] YEAH SO ITS JUST HES AN ONLY CHILD LIVES WITH ME AND MY HUSBAND AND ALSO WE HAVE LIKE A PET DOG +audio/RES0087.mp3[490.640,497.120] OK DO YOU LIVE IN AN APARTMENT OR IN A HOUSE +audio/RES0087.mp3[497.120,502.440] WE LIVE IN A ITS LIKE A CONDOMINIUM +audio/RES0087.mp3[502.440,510.600] OK OK ANY OLD CARPET MOLD OR ASBESTOS IN THE BUILDING +audio/RES0087.mp3[510.600,519.680] NO NO NOTHING LIKE THAT ITS FAIRLY WELL KEPT +audio/RES0087.mp3[519.680,531.880] OK AND IS HE OTHERWISE LIKE DEVELOPMENTALWISE HES OK THERES NO PAST HISTORY OF LIKE DEVELOPMENTAL DISORDERS ANYTHING LIKE THAT +audio/RES0087.mp3[531.880,543.760] NO NO ISSUES FROM LIKE WHEN HE WAS YOUNGER LIKE NO COMPLAINTS AT ALL I THINK HE WAS DOING THE SAME AS EVERY OTHER CHILD +audio/RES0087.mp3[543.760,552.960] OK NO COMPLICATIONS DURING YOUR PREGNANCY WITH HIM NO COMPLICATIONS DURING THE ACTUAL DELIVERY AND THEN WHEN HE WAS A NEWBORN +audio/RES0087.mp3[552.960,566.600] UH NO NO COMPLICATIONS IT WAS JUST A VAGINAL BIRTH AT 39 WEEKS AND WE DIDNT NEED TO STAY IN THE HOSPITAL AT ALL AFTERWARDS +audio/RES0087.mp3[566.600,577.560] OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0087.mp3[577.560,588.480] YEAH I DONT KNOW IF UH LIKE LAST TIME WE DID GET SOME ANTIBIOTICS I DONT KNOW IF HE NEEDS THEM RIGHT NOW OR WHAT WOULD YOU RECOMMEND +audio/RES0087.mp3[588.480,667.680] YEAH UHM SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE I CAN COME UP WITH LIKE A MANAGEMENT PLAN FOR HIM SO ONCE I DO IF I SEE UHM IF HIS TYMPANIC MEMBRANE HAS BEEN PERFORATED OR I SEE PUS IN THERE WELL PRESCRIBE HIM LIKE 10 DAYS OF ANTIBIOTICS WE CAN GIVE HIM EITHER AMOXICILLIN OR IF HE HAS BAD REACTIONS TO PENICILLINS WE CAN GIVE HIM CEFUROXIME AND THEN IF UH IT DOESNT SEEM TO HAVE ANY SYSTEMIC SYMPTOMS SO IF HE HAS SYSTEMIC SYMPTOMS LIKE FEVER WHICH WELL CHECK FOR TODAY AND IF HES LIKE BEEN REALLY ILL AND HE HAS LIKE A MIDDLE EAR EFFUSION OR BULGING TYMPANIC MEMBRANE AGAIN WELL GIVE HIM ANTIBIOTICS FOR 10 DAYS BUT IF HIS TYMPANIC MEMBRANE IS JUST BULGING A LITTLE BIT OR IF HE HAS SOME MIDDLE EAR EFFUSION BUT NO SYSTEMIC SYMPTOMS LIKE NO FEVERS AND HE SEEMS TO BE FINE OTHERWISE WELL REASSESS HIM IN 24 TO 48 HOURS TO SEE IF HES BETTER AND IF HES NOT AGAIN WILL PRESCRIBE HIM ANTIBIOTICS HOW DOES THAT SOUND +audio/RES0087.mp3[667.680,668.960] YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0087.mp3[668.960,675.640] OK YEAH NO WORRIES +audio/RES0011.mp3[0.000,4.120] COULD YOU START WITH TELLING ME WHAT BROUGHT YOU IN TODAY +audio/RES0011.mp3[4.120,32.280] HI IVE JUST BEEN BEEN SO LIKE WEAK AND SO TIRED I JUST I CANT I CANT SEEM TO LIKE GET OFF THE COUCH LIKE ILL GET UP FROM MY BED AND GO LAY ON THE COUCH AND THEN YOU KNOW I MIGHT BE ABLE TO GET SOMETHING TO EAT BUT I JUST I GET SO TIRED SO FAST AND I DONT KNOW I DONT KNOW WHATS WRONG +audio/RES0011.mp3[32.280,36.160] OK WHEN DID THESE SYMPTOMS START +audio/RES0011.mp3[36.160,48.320] UM LIKE IVE BEEN FEELING PRETTY TIRED FOR LIKE A WEEK BUT LIKE THIS BAD FOR LIKE MAYBE FOUR DAYS +audio/RES0011.mp3[48.320,62.440] OK UM AND SO IT SOUNDS LIKE YOU HAVENT BEEN GOING TO WORK OR LIKE ANYTHING LIKE THAT BECAUSE YOU HAVE BEEN SO KIND OF TIRED AND WEAK +audio/RES0011.mp3[62.440,86.040] YEAH I MEAN AT FIRST I WAS ALREADY KIND OF WORKING IM IM A TRUCK DRIVER SO YOU KNOW ONCE YOU START THE JOB YOU KIND OF HAVE TO FINISH THAT I WAS SUPPOSED TO GO ON ANOTHER ANOTHER TRIP LIKE 4 DAYS AGO AND I JUST COULDNT I HAD TO CALL MY BOSS AND SAY THAT I CANT +audio/RES0011.mp3[86.040,97.480] OK UM HAVE YOU HAD ANY LIKE SPECIFIC MUSCLE WEAKNESS LIKE IN YOUR LEGS OR OR IN YOUR ARMS OR WOULD YOU SAY ITS OVERALL LIKE A GENERAL WEAKNESS +audio/RES0011.mp3[97.480,105.120] ITS JUST EVERYWHERE ITS ITS NOT LIKE I CANT MOVE IM JUST REALLY REALLY TIRED +audio/RES0011.mp3[105.120,110.640] OK AND HOW HOW HAVE YOU BEEN SLEEPING +audio/RES0011.mp3[110.640,122.400] I MEAN IVE JUST BEEN SLEEPING LIKE ALL THE TIME I HAVE BEEN SLEEPING ALL NIGHT AND THEN LIKE I SAID I GET UP AND I GO TO THE COUCH AND LIKE JUST FALL BACK ASLEEP +audio/RES0011.mp3[122.400,128.880] OK UH HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS +audio/RES0011.mp3[128.880,135.320] I MEAN MY MY THROAT IS MAYBE A LITTLE SORE BUT NOTHING NOTHING ELSE +audio/RES0011.mp3[135.320,143.120] OK UH WHEN WHEN DID THE SORE THROAT FIRST START +audio/RES0011.mp3[143.120,153.840] PROBABLY PROBABLY ABOUT A WEEK AGO ITS NOT REALLY BAD ITS JUST KINDA THERE +audio/RES0011.mp3[153.840,163.200] OK SO ITS IT STARTED JUST BEFORE UH THE WEAKNESS AND FATIGUE +audio/RES0011.mp3[163.200,165.640] YEAH AROUND THE SAME TIME +audio/RES0011.mp3[165.640,175.000] OK UM AND HAVE YOU BEEN HAVING ANY PAIN WITH SWALLOWING +audio/RES0011.mp3[175.000,176.440] UH I MEAN MAYBE A LITTLE BIT +audio/RES0011.mp3[176.440,182.600] OK LIKE WITH UH LIKE SOLID FOODS OR LIQUIDS OR BOTH +audio/RES0011.mp3[182.600,197.160] IT ITS JUST LIKE ITS JUST LIKE ITS A LITTLE A LITTLE TENDER ITS NOT LIKE REALLY ITS NOT LIKE HARD TO SWALLOW OR ANYTHING IT JUST FEELS LIKE ITS LIKE MY THROATS KINDA TIRED +audio/RES0011.mp3[197.160,202.480] OK HAVE YOU HAD ANY CHANGES TO YOUR VOICE +audio/RES0011.mp3[202.480,210.240] UH NO I DONT THINK SO I MEAN I LIVE I LIVE ALONE SO I CANT REALLY ASK SOMEONE ELSE IF I HAVE +audio/RES0011.mp3[210.240,214.480] OK BUT YOUR VOICE SOUNDS THE SAME TO YOU +audio/RES0011.mp3[214.480,217.920] YEAH I THINK SO +audio/RES0011.mp3[217.920,224.440] ALRIGHT UM AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0011.mp3[224.440,229.840] UM IVE BEEN IVE BEEN FEELING REALLY COLD +audio/RES0011.mp3[229.840,236.920] OK HAVE YOU HAD ANY UH LIKE SHAKES OR OR RIGORS +audio/RES0011.mp3[236.920,240.840] IVE BEEN LIKE KIND OF KIND OF SHIVERING +audio/RES0011.mp3[240.840,245.320] OK HOW ABOUT ANY NIGHT SWEATS +audio/RES0011.mp3[245.320,270.600] UM YEAH COME TO THINK OF IT LIKE I WAS I WAS WHEN I WAS LAST TRAVELING WITH WHEN I WAS LAST ON IT BECAUSE IM A TRUCK DRIVER I I WAS IN THE STATES I I HAD TO BRING SOMETHING TO OHIO AND I HAD TO CHANGE MY CLOTHES IN THE NIGHT THEY WERE JUST LIKE SO DRENCHED IN SWEAT +audio/RES0011.mp3[270.600,277.520] OK HAS THAT HAPPENED MORE THAN THAT THAT ONE TIME +audio/RES0011.mp3[277.520,289.840] MAYBE A COUPLE TIMES THAT IT WASNT AS BAD THAT ONE TIME WAS REALLY BAD BUT HERE AND THERE LIKE I IVE BEEN FEELING PRETTY SWEATY AT NIGHT IN GENERAL +audio/RES0011.mp3[289.840,298.720] OK AND HAVE YOU HAD ANY UH LIKE DIFFICULTIES BREATHING OR SHORTNESS OF BREATH +audio/RES0011.mp3[298.720,308.480] NOT REALLY JUST LIKE KIND OF TIRED BUT ITS NOT LIKE HARD TO BREATHE +audio/RES0011.mp3[308.480,313.560] OK UM HAVE YOU HAD A COUGH +audio/RES0011.mp3[313.560,315.920] UH NO +audio/RES0011.mp3[315.920,320.920] OK HOW ABOUT A RUNNY NOSE +audio/RES0011.mp3[320.920,326.760] MAYBE MAYBE A LITTLE BIT BUT NOT LIKE TOO NOTICEABLE +audio/RES0011.mp3[326.760,331.080] OK AND WHEN DID THE RUNNY NOSE START +audio/RES0011.mp3[331.080,334.600] OH ITS ALL LIKE AROUND THE SAME TIME +audio/RES0011.mp3[334.600,340.760] OK AND HAVE YOU BEEN HAVING ANY HEADACHES +audio/RES0011.mp3[340.760,344.600] A LITTLE +audio/RES0011.mp3[344.600,352.960] OK AND THEN HOW ABOUT ANY CHEST PAIN +audio/RES0011.mp3[352.960,357.200] NO NO NO CHEST PAIN +audio/RES0011.mp3[357.200,361.760] ALRIGHT AND HOW ABOUT ANY WHEEZING +audio/RES0011.mp3[361.760,366.160] NO NO I DONT THINK SO +audio/RES0011.mp3[366.160,371.880] ALRIGHT THEN ANY HEART PALPITATIONS +audio/RES0011.mp3[373.880,380.840] OK HAVE YOU FELT LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT OR FAINT +audio/RES0011.mp3[380.840,392.560] UH NOT LIKE IVE BEEN FEELING REALLY TIRED BUT ITS NOT BEEN LIKE I DONT THINK ITS BEEN LIKE FAINTING +audio/RES0011.mp3[392.560,406.600] OK SO KIND OF LIKE YOU ARE FATIGUED THAT YOUVE BEEN EXPERIENCING UM HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0011.mp3[406.600,411.840] I MEAN IM NOT REALLY EATING A LOT SO ITS KIND OF LIKE GURGLING +audio/RES0011.mp3[411.840,416.840] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0011.mp3[416.840,419.560] UH NO +audio/RES0011.mp3[419.560,424.320] OK AND HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0011.mp3[426.520,430.720] ANY BOWEL PROBLEMS +audio/RES0011.mp3[430.720,439.800] NO I MEAN YOU KNOW I HAVENT BEEN EATING THAT MUCH SO I HAVENT BEEN GOING AS MUCH AS NORMAL BUT ITS I DONT THINK THERES PROBLEMS +audio/RES0011.mp3[439.800,447.280] OK SO YOU HAVENT HAD ANY DIARRHEA +audio/RES0011.mp3[448.600,454.000] OK UM AND HAVE YOU HAD ANY SKIN RASHES +audio/RES0011.mp3[454.000,456.280] NO NOT THAT IVE NOTICED +audio/RES0011.mp3[456.280,464.040] OK AND UM HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR JOINT ACHES +audio/RES0011.mp3[464.040,471.600] I MEAN I FEEL KIND OF ACHY ALL OVER BUT NOT IN LIKE ONE PARTICULAR SPOT +audio/RES0011.mp3[471.600,480.920] OK AND IN TERMS OF YOUR PAST HEALTH HAVE YOU BEEN IS THERE ANY REASON YOU YOU SEE A DOCTOR REGULARLY +audio/RES0011.mp3[480.920,499.400] OH OH YEAH LIKE I HAVE I HAVE HIGH BLOOD PRESSURE AND DIABETES YEAH THATS THATS PRETTY WELL IT BUT YEAH THOSE TWO THINGS OH AND I TAKE A MEDICATION FOR MY PROSTATE +audio/RES0011.mp3[499.400,509.640] OH OK UM AND DO YOU TAKE MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES +audio/RES0011.mp3[509.640,547.040] I YEAH YEAH I UM OH GEEZ WHATS IT CALLED I TAKE RAMIPRIL AND I TAKE METFORMIN I WAS ON INSULIN BUT I PRETTY WELL I JUST HAVE BEEN ABLE TO EAT WELL SO IM NOT TAKING IT NOW AND THEN UH I CANT REMEMBER THE UH THE PROSTATE ONE LIKE TAM TAM SOMETHING +audio/RES0011.mp3[547.040,550.480] OK MAYBE TAMSULOSIN +audio/RES0011.mp3[550.480,552.320] THAT SOUNDS RIGHT YEAH +audio/RES0011.mp3[552.320,561.520] OK I CAN CHECK ON THE CHART AS WELL TO CONFIRM UM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0011.mp3[563.240,568.880] ALRIGHT AND ANY RECENT HOSPITALIZATIONS +audio/RES0011.mp3[568.880,572.360] NO NO IVE BEEN PRETTY GOOD +audio/RES0011.mp3[572.360,577.600] OK AND ANY SURGERIES +audio/RES0011.mp3[577.600,590.880] UH NOT FOR A REALLY LONG TIME I I HAD MY GALLBLADDER OUT LIKE 20 YEARS AGO YEAH THATS IT +audio/RES0011.mp3[590.880,601.000] OK UM AND HAS ANYTHING LIKE THIS HAPPENED TO YOU OR ANY OF YOUR FAMILY MEMBERS BEFORE SUDDENLY THEY START STARTED TO FEEL FATIGUE LIKE THIS +audio/RES0011.mp3[601.000,616.760] I DONT THINK SO I MEAN WEVE ALL LIKE YOU KNOW CAUGHT COLDS AND YOU KNOW STUFF LIKE BUGS AND STUFF BUT NOT NOT QUITE LIKE THIS LIKE I CAN BARELY GET UP +audio/RES0011.mp3[616.760,625.480] OK ANYBODY IN THE FAMILY HAVE A HISTORY OF HEART DISEASE OR CARDIOVASCULAR DISEASE +audio/RES0011.mp3[625.480,634.080] MY DAD HAD HIGH BLOOD PRESSURE THATS IT +audio/RES0011.mp3[634.080,640.440] OK ANYBODY IN THE FAMILY HAVE CANCER +audio/RES0011.mp3[640.440,645.040] MY MOM MY MOM HAD BREAST CANCER +audio/RES0011.mp3[645.040,659.360] OK AND YOU TOLD ME THAT THAT YOU WORK AS A TRUCKER SO YOU WERE OVER IN THE STATES IT SOUNDS LIKE HOW RECENTLY WERE YOU IN THE UNITED STATES +audio/RES0011.mp3[659.360,668.000] THAT WAS LIKE ABOUT A WEEK AGO I PROBABLY GOT BACK FIVE OR SIX DAYS AGO +audio/RES0011.mp3[668.000,670.400] OK DO YOU TRAVEL THERE OFTEN +audio/RES0011.mp3[670.400,676.000] OH YEAH YEAH I MEAN THATS YOU KNOW THE ROUTE THAT I USUALLY TAKE +audio/RES0011.mp3[676.000,687.720] OK UH ANY ANYBODY YOU INTERACTED WITH THAT WAS SICK DO YOU BELIEVE +audio/RES0011.mp3[687.720,718.320] I DONT I DONT REALLY INTERACT WITH WITH MANY PEOPLE I KIND OF JUST GO THERE AND UM AND THEN YOU KNOW I STAYED IN A HOTEL BUT YOU KNOW I DIDNT REALLY SEE ANYONE BESIDES LIKE THE LADY THAT WORKS THERE AND MAYBE YOU KNOW THE PEOPLE AT THE MCDONALDS LIKE COUNTER I DIDNT I DIDNT LIKE SEE ANYONE THAT I KNOW THAT I SAT WITH FOR A LONG TIME OR ANYTHING +audio/RES0011.mp3[718.320,727.400] OK BUT YOU GOT HOME ABOUT FIVE OR SIX DAYS AGO UM YEAH AND WHO ARE YOU LIVING WITH CURRENTLY +audio/RES0011.mp3[727.400,729.680] JUST ME +audio/RES0011.mp3[729.680,736.920] OK AND DO YOU DRINK ALCOHOL +audio/RES0011.mp3[736.920,741.440] OH NO NO I USED TO A LITTLE BIT BUT NOT NOT ANYMORE +audio/RES0011.mp3[741.440,748.120] OK AND HOW ABOUT CIGARETTES DO YOU SMOKE CIGARETTES +audio/RES0011.mp3[748.120,750.640] I QUIT UM 10 YEARS AGO +audio/RES0011.mp3[754.000,763.960] I SMOKED I SMOKED PROBABLY LIKE 12 A PACK A DAY FOR FOR A WHILE MAYBE 20 YEARS +audio/RES0011.mp3[763.960,768.160] OK BUT YOU QUIT OVER 10 YEARS AGO +audio/RES0011.mp3[768.160,770.920] UH ABOUT 10 YEARS AGO YEAH +audio/RES0011.mp3[770.920,773.920] OK AND DO YOU SMOKE MARIJUANA +audio/RES0011.mp3[773.920,776.400] NO NO +audio/RES0011.mp3[776.400,784.080] ALRIGHT AND HOW ABOUT ANY OTHER RECREATIONAL DRUG USE INCLUDING THE USE OF IV DRUGS +audio/RES0011.mp3[784.080,787.960] NO NOTHING LIKE THAT +audio/RES0011.mp3[787.960,792.720] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0011.mp3[792.720,798.360] NO NO +audio/RES0011.mp3[798.360,807.320] OK UM AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0011.mp3[807.320,808.440] NO NO +audio/RES0011.mp3[808.440,820.640] OK UH AND ARE YOU CURRENTLY IN A IN A RELATIONSHIP +audio/RES0011.mp3[820.640,831.040] UH NO UH LIKE I HAVE I HAVE A FRIEND THAT I SEE AND WE BOTH UM WE BOTH LOST OUR SPOUSES UM SEVERAL YEARS AGO AND I +audio/RES0011.mp3[831.040,841.320] MEAN WE WE SEE EACH OTHER AND LIKE WE LIVE IN THE SAME APARTMENT BUILDING AND OFTEN HAVE MEALS TOGETHER BUT WERE JUST LIKE FRIENDS +audio/RES0011.mp3[842.120,847.080] BUT THATS THE PERSON THAT WOULD CHECK ON ME IF I NEEDED IT +audio/RES0011.mp3[847.080,891.960] OK THATS GREAT IT SOUNDS LIKE YOU HAVE SOME GOOD SUPPORT NEARBY IM SORRY TO HEAR ABOUT YOUR WIFE BUT I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ON THE THE HISTORY TODAY SO NEXT I WERE GONNA ORDER SOME SOME LAB WORK FOR SURE TO START WITH THEN AND MAYBE WELL GO FROM THERE SO WELL GIVE YOU SOME FLUIDS AND MAYBE SOME TYLENOL AND WE WILL SEE WHAT THE LAB WORK SHOWS +audio/RES0011.mp3[891.960,895.640] OK THANK YOU +audio/RES0011.mp3[895.640,905.680] OH YOURE WELCOME +audio/RES0026.mp3[0.000,5.600] I WAS WONDERING IF WE COULD START WITH YOU TELLING US WHAT BROUGHT YOU IN +audio/RES0026.mp3[5.600,25.880] SURE IVE HAD THIS TERRIBLE HEADACHE FOR THE PAST FOUR DAYS DOESNT SEEM TO BE GETTING ANY BETTER AND I FEEL HOT LIKE I HAVE A FEVER IVE BEEN COUGHING A LOT SO I AM IM WORRIED I HAVE COVISO IM HERE +audio/RES0026.mp3[25.880,33.520] OK SO ILL START WITH THE HEADACHES WHEN DID WHEN DID THAT EXACTLY STARTED +audio/RES0026.mp3[33.520,55.240] UH THE HEADACHE STARTED OK SO THE COUGHING STARTED FOUR DAYS AGO THE HEADACHE STARTED SHORTLY AFTER SO I WOULD SAY LATER ON DURING THAT DAY AND THEN THE FEVER IVE HAD FOR FEVER I THINK IVE HAD FOR THE PAST TWO DAYS I HAVENT ACTUALLY TAKEN MY TEMPERATURE THOUGH +audio/RES0026.mp3[55.240,64.760] OK UM SO UH THE COUGH IS STARTED FOUR DAYS AGO HAS THE COUGH GOTTEN BETTER WORSE OR STAYED THE SAME +audio/RES0026.mp3[64.760,67.560] THE COUGH HAS STAYED THE SAME +audio/RES0026.mp3[67.560,74.120] OK ARE YOU BRINGING UP ANY PHLEGM OR SPUTUM WITH THE COUGH +audio/RES0026.mp3[74.120,90.520] UM ITS NOT REALLY PHLEGM BUT SOMETIMES I COUGH UP LIKE BITS OF LIKE YOU KNOW LITTLE BITS THAT LOOK LIKE BLOOD OR SOMETHING +audio/RES0026.mp3[90.520,98.880] OK SO YOURE SEEING SOME LIKE RED WHEN WHEN YOURE COUGHING UP +audio/RES0026.mp3[99.440,109.200] OK AND HOW MUCH OF THIS ARE YOU SEEING LIKE IS IT LIKE A TEASPOON AMOUNT OR OR MORE +audio/RES0026.mp3[109.200,120.040] OH ITS ITS VERY LITTLE ITS LIKE MAYBE A LITTLE BIT BIGGER THAN LIKE THE TIP OF A PENCIL +audio/RES0026.mp3[120.040,129.040] OH OK ARE YOU OK ARE YOU SEEING THIS ON LIKE KIND OF TISSUES AFTERWARDS SORT OF THING +audio/RES0026.mp3[130.640,136.720] OK UM AND ANY TRIGGERS FOR THE COUGH YOU CAN THINK OF +audio/RES0026.mp3[136.720,145.600] NO IT JUST SEEMS TO BE THERE ALL DAY UM DOESNT REALLY GET BETTER WITH ME TRYING TO REST OR NOT +audio/RES0026.mp3[145.600,150.440] OK AND IS THE COUGH THERE AT NIGHT TIME TOO +audio/RES0026.mp3[150.440,153.400] YES IT IS DEFINITELY THERE AT NIGHT +audio/RES0026.mp3[153.400,157.640] OK UM IS IT INTERFERING WITH SLEEP +audio/RES0026.mp3[157.640,162.320] AH YES I HAVENT BEEN SLEEPING WELL +audio/RES0026.mp3[162.320,169.240] OK UM AND WITH YOUR COUGH HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING +audio/RES0026.mp3[169.240,171.560] UM NO +audio/RES0026.mp3[171.560,175.520] ALRIGHT AND NOW HOW ABOUT ANY WHEEZING +audio/RES0026.mp3[175.520,177.120] NO WHEEZING +audio/RES0026.mp3[177.120,190.400] OK AND WITH THIS HEADACHE WHEN IT FIRST CAME ON DID YOU EXPERIENCE A LIKE WORST HEADACHE OF YOUR LIFE OR A THUNDER CLAP SENSATION +audio/RES0026.mp3[190.400,197.800] NO ITS ITS NOT THAT BAD BUT IT JUST SEEMS TO BE THERE ALL DAY LONG +audio/RES0026.mp3[197.800,203.720] OK UM HAVE YOU HAD HEADACHES LIKE THIS BEFORE +audio/RES0026.mp3[203.720,208.840] NO IVE NEVER GOTTEN HEADACHES IN THE PAST +audio/RES0026.mp3[208.840,213.480] OK UH IS THE HEADACHE ASSOCIATED WITH ANY NAUSEA OR VOMITING +audio/RES0026.mp3[215.280,222.680] OK AND IS THE HEADACHE WORSE IN THE MORNING WHEN YOU FIRST WAKE UP +audio/RES0026.mp3[224.520,230.160] OK AND DOES IT HAVE TO GET WORSE IF YOU LIE FLAT +audio/RES0026.mp3[232.280,240.120] OK AND HAS THIS HEADACHE BEEN GETTING WORSE STAYING THE SAME GETTING BETTER +audio/RES0026.mp3[240.120,243.960] ITS ITS ABOUT THE SAME +audio/RES0026.mp3[243.960,256.080] OK UM AND UM AND YOU HAVENT CHECKED THE TEMPERATURE YET YOU SAID BUT YOU FELT HOT +audio/RES0026.mp3[256.080,257.760] YES THATS RIGHT +audio/RES0026.mp3[257.760,261.720] OK ANY OTHER SYMPTOMS THAT YOUVE BEEN EXPERIENCING +audio/RES0026.mp3[261.720,265.480] NOT THAT I CAN THINK OF +audio/RES0026.mp3[265.480,275.680] OK THERES JUST A FEW OTHERS THAT I WANTED TO ASK ABOUT TO BE COMPREHENSIVE HAVE YOU HAD ANY EYE PAIN OR EAR PAIN +audio/RES0026.mp3[276.960,280.400] HOW ABOUT ANY DISCHARGE FROM EITHER YOUR EYES OR EARS +audio/RES0026.mp3[280.400,283.280] NO NOTHING LIKE THAT +audio/RES0026.mp3[283.280,290.920] ALRIGHT HAVE YOU HAD ANY CHANGES TO EITHER YOUR SENSE OF SMELL OR YOUR SENSE OF TASTE +audio/RES0026.mp3[293.000,296.360] ALRIGHT AND HAVE YOU HAD A RUNNY NOSE AT ALL +audio/RES0026.mp3[296.360,298.160] UM NO +audio/RES0026.mp3[298.160,302.360] AND HOW ABOUT A SORE THROAT +audio/RES0026.mp3[303.920,309.400] OK AND UM HAVE YOU HAD ANY CHILLS +audio/RES0026.mp3[309.400,310.360] UM NO CHILLS +audio/RES0026.mp3[310.360,314.160] HOW ABOUT NIGHT SWEATS +audio/RES0026.mp3[314.160,317.600] UM NO NOTHING LIKE THAT +audio/RES0026.mp3[317.600,323.240] I SEE OK AND OVER THE LAST FEW MONTHS HAS YOUR WEIGHT CHANGED +audio/RES0026.mp3[323.240,326.320] AH NO NOT THAT I NOTICED +audio/RES0026.mp3[326.320,333.680] OK UM HAVE YOU BEEN FEELING TIRED OR FATIGUED +audio/RES0026.mp3[334.960,340.000] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0026.mp3[340.000,340.680] UM NO +audio/RES0026.mp3[340.680,348.440] ALRIGHT AND HOW ABOUT ANY HEART PALPITATIONS +audio/RES0026.mp3[350.240,354.880] ALRIGHT IN ANY EPISODES OF FEELING REALLY DIZZY OR LIGHTHEADED +audio/RES0026.mp3[356.440,363.680] OK AND HOW ABOUT ANY FAINTING SPELLS OR FEELING LIKE YOU MIGHT FAINT +audio/RES0026.mp3[363.680,368.080] NO NOTHING LIKE THAT +audio/RES0026.mp3[368.080,374.080] OK AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0026.mp3[374.080,377.040] UM NO NO ABDOMINAL PAIN +audio/RES0026.mp3[377.040,379.360] ANY DIARRHEA OR CONSTIPATION +audio/RES0026.mp3[382.240,389.240] HOW ABOUT ANY PAINFUL URINATION OR FEELING AS THOUGH YOU NEED TO URINATE REALLY FREQUENTLY +audio/RES0026.mp3[389.240,393.120] AH NO NOTHING LIKE THAT +audio/RES0026.mp3[393.120,401.480] OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT +audio/RES0026.mp3[402.320,409.360] OK AND HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES OR JUST OVERALL LIKE BODY PAINS +audio/RES0026.mp3[409.360,417.040] MMM NO NOT THAT I THAT NOT NOT THAT IVE NOTICED NO +audio/RES0026.mp3[417.040,422.440] OK IS THERE ANYTHING IN REGARDS TO YOUR PAST HEALTH THAT YOU SEE A PHYSICIAN REGULARLY FOR +audio/RES0026.mp3[422.440,447.360] UM NO AH ACTUALLY I I THINK AT ONE POINT UM I WAS WORKED UP FOR SOMETHING CALLED FAMILIAL HYPERCHOLESTEROLEMIA BECAUSE IT RAN IN THE FAMILY BUT I THINK THOSE RESULTS WERE NORMAL +audio/RES0026.mp3[447.360,452.200] OK SO DO YOU UM DO YOU TAKE A STATIN MEDICATION THEN +audio/RES0026.mp3[452.200,457.560] YEAH I TAKE A LOW DOSE STATIN +audio/RES0026.mp3[457.560,465.240] OK AND WHEN WAS YOUR LAST LIPID PANEL CHECKED +audio/RES0026.mp3[465.240,468.120] I THINK IT WAS TWO YEARS AGO +audio/RES0026.mp3[468.120,477.160] I SEE AND UM DO YOU REMEMBER IF THE LDL WAS NORMAL AT THAT TIME +audio/RES0026.mp3[477.160,481.240] AH YES IT WAS NORMAL +audio/RES0026.mp3[481.240,500.280] OK BUT SINCE THE IT WAS ABOUT TWO YEARS AGO IT MIGHT BE WORTHWHILE TODAY JUST TO ALSO CHECK A LIPID PANEL JUST TO BE SAFE BUT THATLL BE SOMETHING WE CAN TALK ABOUT THAT MORE SO AT THE END IF THATS OK +audio/RES0026.mp3[500.280,503.440] SURE YEAH THAT WOULD BE GREAT +audio/RES0026.mp3[503.440,508.680] OK AND ANY OTHER MEDICAL CONDITIONS +audio/RES0026.mp3[511.560,513.600] OK HAVE YOU HAD ANY SURGERIES BEFORE +audio/RES0026.mp3[519.640,521.400] HOW MANY CHILDREN DO YOU HAVE +audio/RES0026.mp3[521.400,524.120] AH JUST THE ONE +audio/RES0026.mp3[524.120,528.360] OK AND WERE THERE ANY COMPLICATIONS WITH THE CSECTION +audio/RES0026.mp3[528.360,531.200] UM NO NO COMPLICATIONS +audio/RES0026.mp3[531.200,536.240] OK ANY REASONS FOR HOSPITALIZATIONS +audio/RES0026.mp3[538.440,542.760] OK ANY ALLERGIES TO MEDICATIONS +audio/RES0026.mp3[543.480,551.040] ALRIGHT ANY MEDICATIONS BESIDES THE STATIN THAT YOU TAKE +audio/RES0026.mp3[554.040,564.120] OK AND IN REGARDS TO YOUR FAMILY HISTORY HAVE THERE BEEN PEOPLE WHOVE HAD EARLY HEART ATTACKS OR STROKES IN THE FAMILY +audio/RES0026.mp3[565.600,572.440] OK BUT YOU DO HAVE FAMILIAL HYPERCHOLESTEROLEMIA DO YOU HAVE FAMILY MEMBERS WHO HAVE THAT +audio/RES0026.mp3[572.440,582.680] YES OK SO MY AUNTS HAD IT AS WELL AS MY MOTHER +audio/RES0026.mp3[582.680,589.800] OK UM AND HAS THERE BEEN ANY LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0026.mp3[589.800,592.720] UM NO LUNG CONDITIONS +audio/RES0026.mp3[592.720,598.760] HOW ABOUT ANY MALIGNANCYS OR OR CANCERS +audio/RES0026.mp3[598.760,606.840] AH THERE WAS COLON CANCER ON MY DAD SIDE OF THE FAMILY BUT IM NOT TOO SURE WHO HAD IT +audio/RES0026.mp3[606.840,610.160] OK HAVE YOU HEARD OF ANYBODY HAVING BREAST CANCER +audio/RES0026.mp3[610.160,613.440] BREAST CANCER NO +audio/RES0026.mp3[613.440,618.920] ALRIGHT AND HOW ABOUT OVARIAN CANCER +audio/RES0026.mp3[618.920,621.080] NO OVARIAN CANCER +audio/RES0026.mp3[621.080,634.960] OK AND NEXT I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PERSONAL AND LIFESTYLE HABITS BUT FIRST COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW +audio/RES0026.mp3[634.960,642.640] I LIVE WITH MY HUSBAND AND MY ONE SON +audio/RES0026.mp3[642.640,646.040] OK AND SORRY HOW OLD IS YOUR SON +audio/RES0026.mp3[646.040,648.640] HE IS 10 +audio/RES0026.mp3[648.640,654.600] OK UM IS ANYBODY IN THE HOME BEEN SICK RECENTLY +audio/RES0026.mp3[657.320,661.880] OK AND HOW ABOUT IS THERE ANYBODY AT WORK +audio/RES0026.mp3[661.880,668.120] AT WORK NO NO ONES BEEN SICK +audio/RES0026.mp3[668.120,672.080] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0026.mp3[672.080,702.640] WE WENT UP TO WE JUST WENT TO UM LIKE A WE WENT ON A HIKING TRAIL THAT WAS OUTSIDE THE CITY RECENTLY AND THERE WERE A LOT OF PEOPLE THERE AND AND WE WERENT WEARING MASKS BUT WE IT SEEMED LIKE WE WERE KEEPING A GOOD DISTANCE BETWEEN EACH OTHER SO THAT THAT WOULD BE MY ONLY CONCERN +audio/RES0026.mp3[702.640,709.640] OK FOR SURE WERE PEOPLE PRETTY CLOSE TO EACH OTHER ON THE PATHS WHEN WALKING BY ON THE HIKE +audio/RES0026.mp3[709.640,719.600] AHH NOT LIKE THE WHOLE TIME BUT THERE WOULD BE TIMES WHEN YOU KNOW PEOPLE JUST KIND OF BRUSHED BY YOU TO TRY TO GET AHEAD OF YOU OR SOMETHING LIKE THAT +audio/RES0026.mp3[719.600,725.960] I SEE OK AND DO YOU SMOKE CIGARETTES +audio/RES0026.mp3[727.200,729.480] UM DO YOU SMOKE MARIJUANA +audio/RES0026.mp3[729.480,731.800] UM NO +audio/RES0026.mp3[731.800,733.840] OK AND DO YOU DRINK ALCOHOL +audio/RES0026.mp3[733.840,736.000] I DONT +audio/RES0026.mp3[736.000,738.880] DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0026.mp3[738.880,742.480] UM NO +audio/RES0026.mp3[742.480,764.560] OK SO THAT WAS ALL I WANTED TO ASK ABOUT OH ACTUALLY ONE THING THAT I I DID WANT TO I FORGOT TO ASK WAS DO YOU HAVE ANY NECK STIFFNESS +audio/RES0026.mp3[764.560,766.880] NO NOT THAT I NOTICED +audio/RES0026.mp3[766.880,780.440] OK SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I I MAYBE FORGOT +audio/RES0026.mp3[780.440,788.920] NO I THINK YOU COVERED IT ALL IM JUST WONDERING DO YOU DO YOU THINK ITS COVIOR SOMETHING ELSE +audio/RES0026.mp3[788.920,861.400] WELL ITS DEFINITELY A POSSIBILITY WITH THE SYMPTOMS THAT YOURE HAVING SINCE THEY CAN BE SO NON SPECIFIC FOR COVID IT CAN BE A LOT OF SYMPTOMS THAT OVERLAP SO WITH HAVING HEADACHE WHAT SOUNDS LIKE YOU MIGHT HAVE A FEVER AND AND THIS COUGH THAT SOUNDS LIKE ITS PRETTY BAD IF YOURE BRINGING UP SOME BLOOD IT SOUNDS LIKE YOU MIGHT HAVE IRRITATED SOME OF THE BRONCHIOLES WITH THE THE COUGHING SO WE WILL TEST FOR THAT AND CHECK A PCR NASAL SWAB FOR COVIIM NOT BUT WE WILL ALSO TEST FOR OTHER VIRAL ILLNESSES AND BACTERIAL ILLNESSES AS WELL IT DOESNT SOUND LIKE YOU HAVE MENINGITIS RIGHT NOW JUST BASED ON THE SYMPTOMS WHERE YOU DONT HAVE NECK STIFFNESS BUT ITLL BE CERTAINLY SOMETHING THAT WE KEEP KEEP IN MIND WHILE WE ARE DOING OUR INVESTIGATIONS +audio/RES0026.mp3[861.400,864.680] OK GREAT THANK YOU +audio/RES0026.mp3[864.680,867.720] ALRIGHT YOURE WELCOME WELL GET THOSE STARTED +audio/RES0026.mp3[867.720,870.760] OK SOUNDS GREAT +audio/RES0152.mp3[0.000,2.320] HOW HOW MAY I HELP YOU +audio/RES0152.mp3[2.320,26.360] HI UH NICE TO MEET YOU IVE JUST UH BEEN EXPERIENCING UM A COUGH FOR THE LAST FEW WEEKS AND UH I ALSO RECENTLY STARTED NOTICING THAT IM COUGHING UP SOME BLOOD AS WELL LIKE ITS MIXED INTO LIKE SPUTUM +audio/RES0152.mp3[26.360,33.560] I SEE ALRIGHT SO YOU SAID A FEW WEEKS FOR THE COUGH IS THIS MORE THAN THREE WEEKS MORE THAN FOUR WEEKS OR A FEW MONTHS +audio/RES0152.mp3[33.560,39.000] I WOULD SAY ITS ALMOST I WOULD SAY ALMOST LIKE THREE WEEKS NOW +audio/RES0152.mp3[39.000,49.080] OK WHEN THE COUGH STARTED UH WERE YOU BRINGING UP UM WERE YOU BRINGING UP SPUTUM OR PHLEGM AT THAT TIME +audio/RES0152.mp3[49.080,63.280] UH YEAH INITIALLY IT WAS JUST LIKE UM KIND OF WHITE TOO SOMETIMES YELLOWISH PHLEGM BUT NOW OVER THE LAST WEEK IVE BEEN ALSO NOTICING UM SOME BLOOD IN IT AS WELL +audio/RES0152.mp3[63.280,76.880] OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP UM JUST TRYING TO THINK IN MAYBE UH TEASPOON SIZES IF YOU CAN +audio/RES0152.mp3[76.880,86.040] UH YEAH I WOULD SAY MAYBE HALF A HALF A TEASPOON +audio/RES0152.mp3[86.040,92.200] OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH +audio/RES0152.mp3[92.200,105.240] UM NO I DONT THINK SO BUT KIND OF LIKE I DO FEEL SOME DISCOMFORT IN MY CHEST LIKE I JUST ASSOCIATED IT WITH THE COUGH +audio/RES0152.mp3[105.240,109.560] I SEE HAVE YOU HAD ANY UH ANY CHEST PAIN +audio/RES0152.mp3[109.560,115.680] UH NO ITS MORE OF JUST THE DISCOMFORT WITH THE COUGHING +audio/RES0152.mp3[115.680,125.320] OK AND UM HAVE YOU HAD ANY CHANGES TO YOUR BREATHING LIKE LIKE WHEEZING +audio/RES0152.mp3[125.320,131.440] UH NO NOTHING LIKE THAT +audio/RES0152.mp3[131.440,143.240] ALRIGHT UM AND HAVE YOU HAD ANY INFECTIOUS OR VIRAL TYPE SYMPTOMS LIKE ITCHY EYES OR RUNNY RUNNY NOSE SORE THROAT +audio/RES0152.mp3[143.240,147.840] UH NO NOTHING LIKE THAT +audio/RES0152.mp3[147.840,151.040] OK AND UM HOW HAS YOUR ENERGY BEEN ANY ANY FATIGUE +audio/RES0152.mp3[151.040,165.200] UM ITS KIND OF BEEN A BIT LOW OVER THE LAST FEW WEEKS JUST I FEEL MORE TIRED UM YEAH I HAD TO MISS A FEW DAYS OF WORK AS WELL +audio/RES0152.mp3[165.200,171.640] I SEE ALRIGHT UM HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0152.mp3[171.640,180.240] UH DEFINITELY I FEEL LIKE I HAVE HAD SOME CHILLS OVER THE LAST WEEK UM I HAVENT HAD A CHANCE TO MEASURE MY TEMPERATURE THOUGH +audio/RES0152.mp3[180.240,185.240] OK HAVE YOU FELT FEVERISH OR HAVE YOU FELT HOT AT ANY POINT +audio/RES0152.mp3[185.240,193.560] UM YEAH I WOULD SAY LIKE A FEW TIMES THIS WEEK IVE ALSO FELT LIKE HOT +audio/RES0152.mp3[193.560,198.880] ALRIGHT HAVE YOU HAD ANY UM LIKE NIGHT SWEATS +audio/RES0152.mp3[198.880,216.720] UHM NOW THAT YOU MENTION IT LIKE I I WOULD SAY TWO TWO DAYS OUT OF THE LAST WEEK IVE HAD NIGHT SWEATS WHERE MY SHEETS WERE KIND OF JUST DRENCHED WHEN I AND THEN I WOKE UP NOTICING THAT +audio/RES0152.mp3[216.720,226.800] ALRIGHT AND HOW ABOUT YOUR UM YOUR WEIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS +audio/RES0152.mp3[226.800,234.280] YEAH I THINK IVE LOST MAYBE 10 POUNDS IN THE LAST COUPLE MONTHS +audio/RES0152.mp3[234.280,242.560] OK THAT SOUNDS LIKE SOME UH SOME WEIGHT LOST SIGNIFICANT WEIGHT LOSS HAVE YOU BEEN TRYING TO LOSE WEIGHT +audio/RES0152.mp3[242.560,248.520] NO NOT REALLY +audio/RES0152.mp3[248.520,256.240] OK UHM AND HAVE YOU FELT AS THOUGH UM LIKE YOUR HEARTS RACING OR BEATING REALLY FAST +audio/RES0152.mp3[256.240,258.080] NO NOTHING LIKE THAT +audio/RES0152.mp3[258.080,264.920] HAVE YOU HAD ANY UH LIKE FAINTING OR DIZZINESS +audio/RES0152.mp3[264.920,268.840] NO NOTHING LIKE THAT +audio/RES0152.mp3[268.840,274.080] OK UM AND HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0152.mp3[274.080,276.640] NO NO NO NAUSEA OR VOMITING +audio/RES0152.mp3[276.640,279.920] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0152.mp3[280.960,283.560] ANY DIARRHEA +audio/RES0152.mp3[284.720,290.720] ANY URINARY PROBLEMS LIKE PAIN OR OR GOING OFTEN +audio/RES0152.mp3[290.720,295.520] UH NO NOTHING LIKE THAT +audio/RES0152.mp3[295.520,299.440] OK UH HAVE YOU NOTICED ANY RASHES ANYWHERE +audio/RES0152.mp3[299.440,302.680] NO NO RASHES +audio/RES0152.mp3[302.680,307.960] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0152.mp3[307.960,314.280] UM NO NOTHING LIKE THAT +audio/RES0152.mp3[314.280,321.600] OK AND UM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0152.mp3[321.600,328.040] NO UM IVE BEEN FAIRLY HEALTHY +audio/RES0152.mp3[328.040,336.200] OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES OR ANY REASONS TO BE HOSPITALIZED BEFORE +audio/RES0152.mp3[338.440,343.840] DO YOU TAKE ANY MEDICATIONS OR ANY OVER THE COUNTER SUPPLEMENTS +audio/RES0152.mp3[343.840,345.840] UM NO +audio/RES0152.mp3[345.840,349.080] ALRIGHT ANY ALLERGIES THAT YOURE AWARE OF +audio/RES0152.mp3[349.080,352.200] NOT THAT I KNOW NO +audio/RES0152.mp3[352.200,357.440] OK AND UM ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0152.mp3[357.440,363.640] UM IMMUNIZATIONS ARE ALL UP TO DATE YEAH +audio/RES0152.mp3[363.640,371.800] ALRIGHT AND CURRENTLY UM CAN YOU TELL ME A LITTLE BIT ABOUT WHO YOURE LIVING WITH AND UH WHERE YOURE LIVING +audio/RES0152.mp3[371.800,408.320] YEAH CURRENTLY IM LIVING UH JUST IN UM ITS KIND OF LIKE A A HOME WITH JUST A I DONT REALLY KNOW THE PEOPLE TOO WELL JUST KIND OF LIKE A HOME WHERE UM A BUNCH OF GUYS ARE JUST LIVING AND WORKING SEPARATELY I JUST ACTUALLY RECENTLY MOVED HERE FROM UM THE PHILIPPINES SIX MONTHS AGO +audio/RES0152.mp3[408.320,417.360] I SEE OK UM DO YOU INTERACT WITH MANY OF THE PEOPLE IN THE HOUSE AND AND HAS ANYBODY ELSE BEEN SICK +audio/RES0152.mp3[417.360,428.520] UHM I DONT KNOW IF ANYONE ELSE HAS BEEN SICK I HAVENT REALLY NOTICED THAT I DONT REALLY SEE THEM TOO MUCH +audio/RES0152.mp3[428.520,442.920] OK AND SIX MONTHS AGO PRIOR TO UM YEAH COMING FROM THE PHILIPPINES WAS ANYBODY SICK THERE OR DID YOU HEAR OF ANYBODY THAT YOU SPENT TIME WITH HAVING UM TUBERCULOSIS +audio/RES0152.mp3[442.920,459.960] UM YEAH THERES BEEN NOT ANYONE THAT I KNOW OF BUT THERES DEFINITELY LIKE EVEN WHERE I WORKED AND THINGS LIKE THAT THERES DEFINITELY PEOPLE WHO HAVE HAD TUBERCULOSIS IN THE PAST +audio/RES0152.mp3[459.960,468.800] I SEE OK UM AND UH DO YOU SMOKE CIGARETTES +audio/RES0152.mp3[469.720,474.560] AND UH HOW ABOUT SMOKING CANNABIS OR USING ANY PRODUCTS +audio/RES0152.mp3[474.560,477.000] NO NOTHING LIKE THAT +audio/RES0152.mp3[477.000,480.560] OK AND YOU USE ANY RECREATIONAL DRUGS +audio/RES0152.mp3[480.560,481.480] UH NO +audio/RES0152.mp3[481.480,488.400] OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0152.mp3[488.400,491.560] UH CURRENTLY NO +audio/RES0152.mp3[491.560,498.080] OK UM SO NO CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME +audio/RES0152.mp3[499.240,507.000] OK UM AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0152.mp3[507.000,513.440] UM NOT RECENTLY NO +audio/RES0152.mp3[513.440,517.400] OK BUT UH AND ANYBODY IN THE FAMILY UM HAVE UH HEART OR LUNG CONDITIONS +audio/RES0152.mp3[519.920,527.680] OK UM AND ANY CANCER THAT RUN IN THE FAMILY +audio/RES0152.mp3[527.680,533.600] NOT THAT I KNOW OF +audio/RES0152.mp3[533.600,573.240] OK UM SO UH I THINK THATS EVERYTHING I WANTED TO ASK ON ON HISTORY TODAY SO IT SOUNDS LIKE YOUVE BEEN HAVING THIS COUGH UM THATS BEEN GOING ON FOR JUST OVER THREE WEEKS NOW AND STARTING WITH SOME UM WHITISH CLEAR SPUTUM AND MORE RECENTLY EVEN STARTED TO BE COUGHING UP SOME BLOOD AS WELL AND YOUVE ALSO BEEN REALLY UM FATIGUED AND HAVE HAD SOME MALAISE OVER THE LAST SEVERAL WEEKS UM AND ANY OTHER SYMPTOMS OR OH AND ALSO YEAH YOUVE HAD SOME NIGHT SWEATS CHILLS AND UH BEEN FEELING FEVERISH AS WELL SO WELL CERTAINLY CHECK YOUR TEMPERATURE TODAY TOO OK SO ANYTHING I MISSED +audio/RES0152.mp3[573.240,578.920] UH NO I THINK THAT THAT SOUNDS GREAT THANK YOU SO MUCH +audio/RES0152.mp3[578.920,591.360] OK SO WELL GET THE UM TESTING STARTED FOR UH FOR THE INVESTIGATIONS AND YEAH IF UH AT ANY POINT SYMPTOMS GET WORSE WELL REEVALUATE +audio/RES0152.mp3[591.360,595.000] YEAH SOUNDS GOOD THANK YOU SO MUCH +audio/RES0216.mp3[0.000,3.920] SO I UNDERSTAND YOURE HAVING SOME CHEST TIGHTNESS +audio/RES0216.mp3[3.920,38.360] YEAH ITS UH FOR THE LAST MAYBE THREE DAYS UM ITS NOT REALLY PAIN NOT IN ANY SPECIFIC SPOT IT JUST FEELS A BIT TIGHT IN MY CHEST AREA WHEN I BREATHE IN ESPECIALLY AND IT JUST GETS A BIT HARDER TO BREATHE AND IT FEELS MORE TIGHT LIKE ESPECIALLY WHEN I GO FOR MY WALKS WHICH I DO EVERYDAY UH I TRY TO WALK MY DOG SO I WAS JUST YOU KNOW WORRIED THAT IT COULD BE SOMETHING SERIOUS AND I WANTED TO COME AND GET CHECKED OUT +audio/RES0216.mp3[38.360,47.760] OK FOR SURE SO YOU SAID IT STARTED ABOUT 3 DAYS AGO HAVE YOU NOTICED ITS BEEN GETTING BETTER WORSE OR ABOUT STAYING THE SAME +audio/RES0216.mp3[47.760,51.680] I THINK ITS STAYING THE SAME +audio/RES0216.mp3[51.680,61.480] OK WAS THERE ANYTHING THAT HAPPENED 3 DAYS AGO THAT YOU CAN RECALL WHERE YOU FIRST NOTICED IT +audio/RES0216.mp3[61.480,70.880] NO NOTHING IN PARTICULAR UM YEAH IT JUST KIND OF CAME ON AND NOW ITS BEEN PRETTY STEADY +audio/RES0216.mp3[70.880,76.200] OK AND WHEN IT CAME ON THREE DAYS AGO WHAT WERE YOU DOING +audio/RES0216.mp3[76.200,82.400] UH I THINK I FIRST NOTICED IT WHEN I WAS GONE FOR MY WALK +audio/RES0216.mp3[82.400,89.080] OK NOW WHEN YOURE WALKING YOU SAY YOU HAVE SOME CHEST TIGHTNESS DO YOU HAVE ANY CHEST PAIN +audio/RES0216.mp3[89.080,96.000] NO THERES NOT THERES NOT PAIN IT JUST FEELS LIKE WHEN I BREATHE IN IT FEELS TIGHT +audio/RES0216.mp3[96.000,102.920] OK DID YOU FEEL ANXIOUS OR SWEATY OR THE FEELING OF IMPENDING DOOM AT ALL +audio/RES0216.mp3[102.920,105.520] UH NO I CANT SAY THAT I DID +audio/RES0216.mp3[105.520,112.040] NOTHING LIKE THAT OK AND DID YOU FEEL YOURSELF BECOMING OUT OF BREATH AT ALL +audio/RES0216.mp3[112.040,120.320] UH I I FEEL LIKE IT WAS KIND OF HARDER TO GET A WHOLE BREATH UM SO YEAH YEAH I GUESS +audio/RES0216.mp3[120.320,125.920] OK AND WAS THIS TIGHTNESS ALL ACROSS YOUR CHEST OR WAS IT IN ONE PARTICULAR AREA +audio/RES0216.mp3[125.920,132.320] KIND OF JUST ALL OVER +audio/RES0216.mp3[132.320,140.720] OK AND SINCE THEN THAT HAPPENED WHEN YOU WERE OUT FOR A WALK HOW MANY TIMES DOES IT HAPPEN A DAY WOULD YOU SAY +audio/RES0216.mp3[140.720,165.120] WELL I FEEL LIKE ITS KIND OF ALWAYS THERE BUT IT GETS WORSE WHEN I GO FOR MY WALK UM AND WELL SOMETIMES I GO FOR MORE THAN ONE WALK RIGHT CAUSE I WALK MY DOG ITS ALWAYS KIND OF THERE AND ESPECIALLY WHEN IM LIKE GETTING UP OUT OF THE CHAIR I CAN FEEL IT MORE OR WHEN I TAKE A BIG LIKE A BIG BREATH IN AS I SAID +audio/RES0216.mp3[165.120,173.200] OK SO ITS BEEN THERE PRETTY CONSTANTLY FOR THE PAST THREE DAYS BUT ITS MORE NOTICEABLE IF NOT WORSE WHEN YOURE GOING FOR A WALK +audio/RES0216.mp3[174.760,179.800] OK HAVE YOU HAD ANY COUGH AT ALL IN THE LAST LITTLE WHILE +audio/RES0216.mp3[179.800,191.120] UH NO LIKE I FEEL A LITTLE MORE HOARSE AND LIKE THERES MAYBE SOME MORE PHLEGM LIKE IM CLEARING MY THROAT MORE BUT I HAVENT ACTUALLY BEEN COUGHING +audio/RES0216.mp3[191.120,194.560] OK ANY FEVERS +audio/RES0216.mp3[194.560,197.840] NO CANT SAY THAT NO +audio/RES0216.mp3[197.840,202.760] OK ANY NIGHT SWEATS SO WAKING UP AND THE SHEETS ARE SOAKED +audio/RES0216.mp3[204.120,206.200] ANY CHILLS +audio/RES0216.mp3[207.200,210.080] ANY UNEXPLAINED WEIGHT LOSS AT ALL +audio/RES0216.mp3[213.080,217.840] OK AND HAVE YOU EVER HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE +audio/RES0216.mp3[217.840,242.880] UHM I MEAN I HAVE ASTHMA UM SO IVE HAD SOME TROUBLE BREATHING BEFORE IT THIS FEELS FEELS UH DIFFERENT THAN OTHER TIMES I I GUESS IT COULD BE RELATED BUT UH I DONT KNOW THIS THIS FEELS A BIT DIFFERENT THATS WHY I WANTED TO COME IN AND GET IT CHECKED OUT +audio/RES0216.mp3[242.880,247.360] OK SO YOU HAVE ASTHMA DO YOU USE ANY PUFFERS AT THE MOMENT +audio/RES0216.mp3[247.360,262.000] YEAH I JUST USE THE ONE THAT UM I TAKE EVERY DAY I DONT REALLY USE THE UHM THE ONE THATS AS NEEDED BECAUSE I JUST HAVENT HAD TO IN A REALLY LONG TIME SO I DIDNT REFILL MY LAST ONE +audio/RES0216.mp3[262.000,268.160] OK SO YOU DONT HAVE ANY ANYMORE OF THE AS NEEDED BUT YOU HAVE USED IT IN THE PAST +audio/RES0216.mp3[268.160,276.960] YEAH EXACTLY LIKE ITS BEEN A COUPLE OF YEARS SINCE I NEEDED THAT BUT I STILL I STILL TAKE THE DAILY ONE +audio/RES0216.mp3[276.960,282.520] OK AND YOU HAVENT STOPPED TAKING THE DAILY ONE IN LAST THREE DAYS EITHER +audio/RES0216.mp3[282.520,300.560] NO I ALWAYS TAKE IT UM SO IM SUPPOSED TO ACTUALLY TAKE IT MORNING AND NIGHT UM FOR A WHILE THOUGH SOMETIMES I WAS SKIPPING THE NIGHT ONE BECAUSE I DIDNT FEEL THAT I WAS NEEDING IT UM SO SO LATELY IVE BEEN TAKING IT EVERYDAY BUT IVE JUST BEEN TAKING IT IN THE MORNING +audio/RES0216.mp3[300.560,309.800] OK UH WHAT MAKES YOU SAY YOU HAVENT REALLY NEEDED THE ONE AT NIGHT HAVE YOU JUST BEEN DOING WELL WITHOUT IT +audio/RES0216.mp3[309.800,322.000] EXACTLY LIKE I HAVENT NEEDED THE RESCUE ONE IN A FEW YEARS AND EVEN WHEN I WAS JUST TAKING IT IN THE MORNING I I HAVENT HAD ANY PROBLEMS +audio/RES0216.mp3[322.000,328.880] OK UNDERSTOOD AND THEN HAVE YOU HAD I SHOULD HAVE ASKED DO YOU WORK CURRENTLY +audio/RES0216.mp3[328.880,335.880] UH I I IM A FINANCIAL ADVISOR IM LIKE SEMI RETIRED SO I DO SOME STUFF FROM HOME +audio/RES0216.mp3[335.880,346.960] OK GOT IT I SUPPOSE JUST HAS THIS KIND OF CHEST TIGHTNESS STOPPED YOU FROM DOING ACTIVITIES THAT YOU NORMALLY WOULD DO ANY MISSED TIME FROM WORK +audio/RES0216.mp3[346.960,376.760] I HAVENT MISSED ANY WORK BUT IM NOT IM NOT DOING A TON OF WORK RIGHT NOW I DONT THINK IT WOULD STOP ME IT JUST WOULD MAKE ME UNCOMFORTABLE UM DURING WORK AND IT KEEPS ME MAYBE THIS THE LAST FEW DAYS ITS KEPT ME FROM I USUALLY GO ON A COUPLE OF WALKS A DAY THE LAST COUPLE DAYS IVE JUST GONE ON ONE USUALLY SO YEAH ITS A LITTLE BIT YEAH +audio/RES0216.mp3[376.760,381.280] SO ITS REALLY NOT STOPPING TOO MUCH OF YOUR DAY TO DAY FUNCTIONING BUT ITS NOTICEABLE +audio/RES0216.mp3[381.280,384.160] EXACTLY YEAH +audio/RES0216.mp3[384.160,391.960] OK NOW IS THERE ANY OTHER ISSUE THAT YOU SEE YOUR DOCTOR REGULARLY FOR ASIDE FROM THE ASTHMA +audio/RES0216.mp3[391.960,402.480] UHM I HAVE UH HIGH BLOOD PRESSURE I DONT REALLY SEE MY DOCTOR VERY MUCH I JUST AM ON UM MEDICATION +audio/RES0216.mp3[402.480,410.520] OK HOW ABOUT WE JUST TALK ABOUT YOUR MEDICATIONS A LITTLE BIT WHAT ARE YOU TAKING CURRENTLY +audio/RES0216.mp3[410.520,413.280] UH I TAKE THE UH SALBUTAMOL +audio/RES0216.mp3[414.720,421.640] THAT WE TALKED ABOUT AND I TAKE UM RAMIPRIL +audio/RES0216.mp3[423.080,430.240] AND UH SOMETIMES A TYLENOL IF YOU KNOW IF I HAVE A HEADACHE OR SOMETHING BUT NOT VERY OFTEN +audio/RES0216.mp3[430.240,436.040] OK UNDERSTOOD SO ASIDE FROM THE HIGH BLOOD PRESSURE YOURE REALLY NOT TAKING MEDICATIONS FOR MUCH ELSE +audio/RES0216.mp3[436.040,437.640] NO NO +audio/RES0216.mp3[437.640,443.360] OK DO YOU HAVE ANY OTHER LUNG ISSUES OR ANY TROUBLE WITH YOUR LUNGS IN THE PAST +audio/RES0216.mp3[443.360,450.640] NO NOTHING MAJOR JUST THE ASTHMA BUT YOU KNOW LIKE I SAID ITS BEEN A FEW YEARS SINCE IT HAS BOTHERED ME +audio/RES0216.mp3[450.640,459.040] OK GOT IT AND JUST IN TERMS OF YOUR LIFE ITSELF SO DO YOU SMOKE AT ALL +audio/RES0216.mp3[459.040,459.760] NO NEVER +audio/RES0216.mp3[459.760,465.240] OK SO NO SMOKING ANY OTHER RECREATIONAL SUBSTANCES DRUGS +audio/RES0216.mp3[465.240,476.760] OH NO NO I MEAN I I HAVE UM YOU KNOW A FEW BEERS ON THE WEEKEND BUT I DONT DO VERY I DONT DO ANY DRUGS AND I DONT DRINK MUCH OTHER THAN THAT +audio/RES0216.mp3[476.760,485.120] OK GOT IT ANY ALLERGIES THAT YOU HAVE +audio/RES0216.mp3[485.120,507.160] UHM NO NO LIKE I UH WHEN I WAS YOUNGER I GOT SOME SEASONAL ALLERGIES SOMETIMES IN THE SPRINGTIME BUT OTHER THAN THAT I I LIKE I ITS REALLY BEEN UH MANY YEARS SINCE IVE NOTICED THAT +audio/RES0216.mp3[507.160,516.040] OK AND SO NOTHING NEW IN THE ENVIRONMENT YOU HAVENT CHANGED WHERE YOUVE BEEN LIVING OR YOU HAVENT INTRODUCED A NEW PET OR A NEW DOG +audio/RES0216.mp3[517.520,538.680] OK SO SOUNDS LIKE YOURE PRETTY MUCH STAYING THE COURSE LAST LITTLE WHILE JUST KIND OF A NEW ONSET OF THIS NEW CHEST TIGHTNESS AND ASIDE FROM THAT SEEMS THAT IT COMES ON MAINLY ON WALKS OUTDOORS BUT YOUVE KIND OF BEEN LIMITING THE SOME OF THE MEDICATION YOURE TAKING FOR ASTHMA THE LAST COUPLE OF YEARS BECAUSE YOU HAVENT REALLY FELT THAT YOU NEEDED IT AS MUCH +audio/RES0216.mp3[538.680,542.920] YEAH LIKE JUST THE MORNING WAS IT WAS ENOUGH +audio/RES0216.mp3[542.920,587.600] OK ALRIGHT JOHN I THINK IVE GOT MOST OF THE INFORMATION I NEED JUST TO GO TALK TO THE DOC AND TALK ABOUT YOUR STORY NEXT OF COURSE WERE GOING TO DO A QUICK PHYSICAL EXAM GOING TO TAKE A LISTEN TO YOUR LUNGS AND SEE WHAT ELSE WE MIGHT WANT TO DO IN TERMS OF INVESTIGATIONS I HAVE A FEELING THAT THIS ACTUALLY MIGHT BE YOUR ASTHMA REOCCURRING IN SOME CAPACITY OR THAT WOULD BE ON THE TOP OF THE DIFFERENTIAL FOR NOW BARRING ANY OTHER NEW FINDINGS SO I THINK MAYBE WHAT WE WOULD LIKE TO DO IS WED LIKE TO TRY HAVING THOSE RESCUE PUFFERS AVAILABLE TO SEE IF THAT HELPS AT ALL WHEN YOU ARE ON WALKS AND IF THEY DONT HELP THEN WELL COME BACK TO THE TABLE AND SEE WHAT OTHER POSSIBLE DIRECTIONS WE COULD HEAD IN IN ORDER TO HELP YOU NEXT DOES THAT SOUND GOOD JOHN +audio/RES0216.mp3[587.600,594.680] SOUNDS GREAT IM JUST YOU KNOW GLAD TO KNOW THAT ITS PROBABLY NOT MY HEART +audio/RES0216.mp3[594.680,618.520] NO IT SOUNDS WELL I SUPPOSE YOU SAID THAT YOU DIDNT REALLY GET OUT OF BREATH WITH EXERCISE MORE SOUNDS LIKE A CHEST TIGHTNESS AND YOU HAVENT HAD ANY PAIN ASSOCIATED WITH IT SO THAT PUTS MORE CARDIAC ISCHEMIC PICTURES KIND OF LOWER ON THE DIFFERENTIAL BUT OF COURSE WERE GOING TO TRY ONE THING AT A TIME AND THEN WELL COME BACK TO THE TABLE UM DEPENDING ON HOW YOURE FEELING AFTER THAT OK +audio/RES0216.mp3[618.520,621.080] SOUNDS GREAT THANK YOU +audio/RES0216.mp3[621.080,624.960] NO PROBLEM OK ILL GO TALK TO THE DOCTOR ILL BE BACK WITH YOU IN A MOMENT +audio/RES0216.mp3[624.960,627.640] THANK YOU +audio/RES0173.mp3[0.000,5.400] HOW MAY I HELP YOU +audio/RES0173.mp3[5.400,16.440] IM IM HERE BECAUSE I IVE ODDLY BEEN FEELING REALLY SHORT OF BREATH AND HAVE A FEVER OR AND A COUGH +audio/RES0173.mp3[16.440,22.480] OK WHEN DID THE SHORTNESS OF BREATH START AND ARE YOU SHORT OF BREATH NOW +audio/RES0173.mp3[22.480,30.320] IT STARTED ABOUT UH I GUESS I COULD START YESTERDAY AND A LITTLE BIT BUT ITS GETTING BETTER +audio/RES0173.mp3[30.320,40.840] STARTED YESTERDAY OK WELL IM GLAD ITS GETTING BETTER WHEN DID THE COUGH START +audio/RES0173.mp3[40.840,46.480] IT STARTED AROUND THE SAME TIME +audio/RES0173.mp3[46.480,50.200] OK IT IS IT A DRY COUGH OR OR WET COUGH +audio/RES0173.mp3[50.200,51.720] ITS A DRY COUGH +audio/RES0173.mp3[51.720,56.520] OK IS IT IS THIS COUGH NEW OR IF YOU HAD A COUGH BEFORE +audio/RES0173.mp3[56.520,59.440] NO ITS ITS KIND OF NEW +audio/RES0173.mp3[59.440,64.760] ALRIGHT HAVE YOU BROUGHT UP ANY I KNOW YOU SAID ITS BEEN BUT HAVE YOU BROUGHT UP ANY BLOOD +audio/RES0173.mp3[66.480,72.800] OK AND HAVE YOU HAD ANY WHEEZING +audio/RES0173.mp3[74.360,82.400] OK AND YOU MENTIONED A FEVER AS WELL HAVE YOU CHECKED YOUR YOUR TEMPERATURE TODAY OR YESTERDAY +audio/RES0173.mp3[82.400,87.600] YEAH IT WAS AT 38 LAST NIGHT +audio/RES0173.mp3[87.600,92.480] ARE YOU FEELING FEVERISH TODAY AS WELL +audio/RES0173.mp3[92.480,94.600] YEAH A LITTLE BIT +audio/RES0173.mp3[94.600,106.640] OK AND UH SO HAVE YOU HAD ANY ANY INFECTIOUS SYMPTOMS LIKE RUNNY OR RED EYES +audio/RES0173.mp3[107.640,111.680] HOW ABOUT A RUNNY NOSE OR FEELING CONGESTED +audio/RES0173.mp3[111.680,115.520] NO NO ITS JUST A COUGH +audio/RES0173.mp3[115.520,130.720] COUGH OK AND WHAT WHAT WERE YOU AROUND ANY TRIGGERS YESTERDAY OR LIKE AROUND ANY ANYTHING THAT WAS OUT OF THE NORMAL FOR YOU +audio/RES0173.mp3[130.720,177.800] I GOT A NOTICE THAT THIS HAPPENS TO ME EVERY TIME I GO TO MY BOYFRIENDS PLACE SO I STARTED DATING I STARTED DATING SOMEONE NEW ABOUT SIX MONTHS AGO AND EVERY TIME I GO TO HIS PLACE A COUPLE HOURS LATER I JUST LIKE DEVELOP THESE SYMPTOMS JUST KIND OF ODD I THOUGHT THAT I WAS JUST GETTING A COLD BUT NOW THAT ITS HAPPENED LIKE THREE TIMES IM THINKING MAYBE YOU HAVE SOME SORT OF AN ALLERGY LIKE MAYBE I DONT KNOW MAYBE ITS LIKE YEAH IM JUST ALLERGIC TO SOMETHING MAYBE HIS PLANTS OR SOMETHING I DONT KNOW +audio/RES0173.mp3[177.800,182.480] OK AND IT DOES THIS HAPPEN EACH TIME THAT YOU GO GO TO HIS HOUSE +audio/RES0173.mp3[182.480,200.920] UM YEAH YEAH KIND OF ALMOST YEAH THATS LIKE YOU HAVENT LIKE I HAVENT BEEN TO HIS PLACE VERY OFTEN BECAUSE OF THE PANDEMIC BUT YEAH EVERY TIME I GO KINDA FEEL REALLY CRAPPY AFTER +audio/RES0173.mp3[200.920,214.280] I SEE OK AND UH ARE THERE ANY OTHER ENVIRONMENTS YOU CAN THINK OF WHERE THIS HAPPENS OR HAVE THESE SYMPTOMS HAPPEN AT ANY OTHER POINT +audio/RES0173.mp3[214.280,220.520] NO I DONT THINK SO +audio/RES0173.mp3[220.520,227.760] OK AND HAVE YOU HAD A SORE THROAT +audio/RES0173.mp3[228.920,235.640] HOW ABOUT ANY LOSSES OF SMELL OR OR TASTE +audio/RES0173.mp3[236.080,242.440] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0173.mp3[242.440,243.720] NO NO I HAVENT +audio/RES0173.mp3[243.720,248.960] K AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0173.mp3[250.400,253.160] ALRIGHT AND ANY ABDOMINAL PAIN OR DIARRHEA +audio/RES0173.mp3[255.760,260.200] ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY +audio/RES0173.mp3[261.640,264.840] HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS +audio/RES0173.mp3[264.840,275.400] YEAH YEAH JUST ACT DIFFERENT FEELING ACHY AND KINDA TIRED THESE PAST WELL LIKE 12 TO 14 HOURS +audio/RES0173.mp3[275.400,284.280] I SEE OK SO IT HAS BEEN KIND OF LIKE ALL OVER OR THERE ARE PARTICULAR MUSCLES SORE OR OUR BODY PART +audio/RES0173.mp3[284.280,287.760] NO ITS ITS LIKE ALL OVER +audio/RES0173.mp3[287.760,292.080] OK AND YOUVE BEEN FATIGUED AS WELL +audio/RES0173.mp3[292.080,293.600] OH YEAH +audio/RES0173.mp3[293.600,297.000] OK HAVE YOU HAD ANY HEADACHES +audio/RES0173.mp3[298.040,302.840] ANY SKIN CHANGES OR RASHES +audio/RES0173.mp3[302.840,304.320] UH NO +audio/RES0173.mp3[304.320,310.560] ALRIGHT AND THEN HOW ABOUT ANY NIGHT SWEATS OR CHILLS I KNOW YOU MENTIONED FEVERS +audio/RES0173.mp3[310.560,315.200] NO IVE JUST BEEN FEELING HOT +audio/RES0173.mp3[315.200,324.240] OK I MEAN HOW WAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS IS IT LIKE HAVE YOU LOST WEIGHT OR GAINING WEIGHT OR IS UP IN THE SAME +audio/RES0173.mp3[324.240,328.160] KIND OF IN THE SAME +audio/RES0173.mp3[328.160,334.440] OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0173.mp3[334.440,338.080] NO IM PRETTY HEALTHY +audio/RES0173.mp3[338.080,347.560] OK YOU SEE YEAH YOU HAVENT HAD ASTHMA IN THE PAST OR OR ANYTHING LIKE THAT +audio/RES0173.mp3[348.320,357.520] OK ANY ALLERGIES TO MEDICATIONS YOURE AWARE OF OR OR ENVIRONMENTAL THINGS LIKE OR DUST OR POLLEN +audio/RES0173.mp3[357.520,370.960] NO NO WHICH IS WHY I WAS KIND OF SURPRISED IM USUALLY FINE AND I SPEND A LOT OF TIME OUTDOORS SO I DONT KNOW YEAH I WAS SURPRISED WHEN THIS HAPPENED WHEN I WENT TO HIS PLACE +audio/RES0173.mp3[370.960,388.040] OK DID YOU EVER GET THESE KIND OF SYMPTOMS IF YOU ARE LIKE YEAH OR AROUND SMOKE OR OR ANYTHING LIKE THAT YOU COULD MAYBE BE INHALING OR OR EVEN IF YOU ARE OUTSIDE IN THE COLD +audio/RES0173.mp3[389.280,400.040] OK AND YOU GET SEASONAL SYMPTOMS LIKE THROUGHOUT THE YEAR YOU GET LIKE ITCHY RUNNY EYES OR LIKE LIKE A RUNNY NOSE +audio/RES0173.mp3[400.040,403.920] NO NO THAT HASNT HAPPENED TO ME +audio/RES0173.mp3[403.920,406.720] OK AND DO YOU TAKE ANY MEDICATIONS +audio/RES0173.mp3[406.720,411.040] I JUST TAKE A BIRTH CONTROL PILL +audio/RES0173.mp3[411.040,417.480] AND WHEN HOW LONG HAVE YOU BEEN ON THAT FOR +audio/RES0173.mp3[417.480,420.560] ABOUT THREE YEARS +audio/RES0173.mp3[420.560,427.720] OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/RES0173.mp3[427.720,428.520] OH NO +audio/RES0173.mp3[428.520,438.840] ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND TWO YOURE LIVING WITH +audio/RES0173.mp3[438.840,445.840] I LIVE ALONE UH I HAVE AN APARTMENT NEXT TO THE UNIVERSITY +audio/RES0173.mp3[445.840,453.440] OK AND ANY POTENTIAL FOR BEING AROUND ANYBODY WHOS BEEN SICK LIKE YOUR BOYFRIEND OR HIS FAMILY OR OR ANYWHERE ELSE +audio/RES0173.mp3[453.440,475.760] NO IVE JUST BEEN VISITING HIM AND I JUST GO GROCERY SHOPPING IVE JUST IVE BEEN DOING SCHOOLING ONLINE YEAH I DONT THINK SO IM USUALLY VERY CAREFUL IM NOT YEAH IM NOT MAINTAINING SOCIAL DISTANCING WITH MY BOYFRIEND HES IN MY SOCIAL CIRCLE BUT YEAH OTHER THAN THAT NO ONE I THINK YEAH +audio/RES0173.mp3[475.760,477.680] OK AND HAVE YOU TRAVELED ANYWHERE +audio/RES0173.mp3[479.080,483.640] ALRIGHT THEN ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL +audio/RES0173.mp3[483.640,486.360] IM GOING TO SCHOOL +audio/RES0173.mp3[486.360,492.720] OK COOL AND UH AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0173.mp3[494.240,501.760] OK AND ARE YOU USING BIRTH CONTROL ARE YOU USING CONDOMS +audio/RES0173.mp3[501.760,507.160] YEP OK ANY CONCERN FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME +audio/RES0173.mp3[507.160,510.440] NO NO IM VERY CAREFUL +audio/RES0173.mp3[510.440,513.160] OK AND DO YOU SMOKE CIGARETTES +audio/RES0173.mp3[514.360,517.480] DO YOU DRINK ALCOHOL +audio/RES0173.mp3[517.480,525.680] SOMETIMES IF LIKE DURING LIKE PARTIES AND STUFF BUT I HAVENT REALLY BEEN DRINKING MUCH CAUSE THERES NOTHING GOING ON +audio/RES0173.mp3[525.680,531.840] OK YEAH I SEE AND UH DO USE ANY RECREATIONAL DRUGS +audio/RES0173.mp3[532.920,539.880] ALRIGHT THEN UMM IN THE FAMILY IS THERE A HISTORY OF ANY LUNG PROBLEMS OR ANY ANY HEART PROBLEMS +audio/RES0173.mp3[539.880,546.160] UM JUST HIGH BLOOD PRESSURE MY MOM AND DAD HAVE IT +audio/RES0173.mp3[546.160,558.240] OK AND SO I WANTED TO ASK ABOUT THE BOYFRIENDS HOUSE AS WELL IS THERE ANY PETS IN THE HOME THERE +audio/RES0173.mp3[558.240,567.000] OH YEAH YEAH HE HAS THIS CUTE LITTLE PARROT AND HE ALSO HAS A CAT +audio/RES0173.mp3[567.000,571.960] OK AND DO YOU HAVE ANY PETS AT YOUR HOUSE +audio/RES0173.mp3[571.960,574.520] NO NO I DONT +audio/RES0173.mp3[574.520,585.400] OH OK SO THAT I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON ON HISTORY TODAY WAS THERE ANYTHING ELSE I FORGOT TO MENTION OR YOU WANTED TO TO BRING UP +audio/RES0173.mp3[585.400,589.800] I DONT THINK SO NO +audio/RES0173.mp3[589.800,640.480] OK SO IT SOUNDS LIKE THERES POTENTIALLY COULD BE CAUSED BY AN ALLERGEN SUCH AS WHICH COULD BE FROM AN ANIMAL LIKE A PARROT OR A CAT THAT IS CAUSING JUST A REACTION AND ITS BRINGING THESE SYMPTOMS ON LIKE CALLED HYPERSENSITIVITY PNEUMONITIS BUT ALSO WE CANT RULE OUT ASTHMA AS WELL AS BEING A TRIGGER OF KIND OF THE COUGH AND SHORTNESS OF BREATH IS BEING AROUND ALLERGENS AS WELL SO WELL ORDER PULMONARY FUNCTION TEST AND MAYBE SOME UH UH IMAGING AND CHEST XRAY AND WE WILL GO FROM THERE +audio/RES0173.mp3[640.480,646.040] GREAT THANK YOU +audio/MSK0008.mp3[0.000,2.320] HOW MAY I HELP YOU +audio/MSK0008.mp3[2.320,27.440] UM SO I WAS PLAYING SOCCER THE OTHER DAY AND I GOT KICKED IN THE KNEE AND SINCE THEN MY KNEE HAS BEEN HURTING AND IT LOOKS A LITTLE BIT RED AND A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT OF MY RIGHT KNEE +audio/MSK0008.mp3[27.440,36.720] OK AND AND THIS STARTED RIGHT AFTER THE KICK AT SOCCER +audio/MSK0008.mp3[38.800,41.880] OK AND HOW MANY DAYS AGO WAS THIS +audio/MSK0008.mp3[41.880,45.080] THIS WAS TWO DAYS AGO +audio/MSK0008.mp3[45.080,51.440] OK SINCE THEN HAS THE PAIN BEGIN GETTING ANY BETTER OR WORSE OR STAYING THE SAME +audio/MSK0008.mp3[51.440,58.360] NO ITS STAYING THE SAME OR A LITTLE BIT WORSE +audio/MSK0008.mp3[58.360,63.480] OK COULD YOU DESCRIBE THE PAIN IS IT SHARP ACHY +audio/MSK0008.mp3[63.480,68.800] ID SAY ITS PRETTY SHARP +audio/MSK0008.mp3[68.800,76.840] OK UHM AND DO YOU FEEL THE PAIN RADIATE ANYWHERE LIKE DOWN THE LEG OR OR UP INTO THE THIGH +audio/MSK0008.mp3[76.840,79.720] UM NO +audio/MSK0008.mp3[79.720,89.520] OK ANY PAIN IN THE POSTERIOR ASPECT OF THE KNEE OR THE LATERAL ASPECT +audio/MSK0008.mp3[90.880,98.920] OK UM AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE +audio/MSK0008.mp3[98.920,112.960] I GUESS IF I PRESS ON THAT AREA OR I TRY TO AND I DONT KNOW FLEX OR EXTEND MY KNEE TOO MUCH +audio/MSK0008.mp3[112.960,121.960] OK AN ANYTHING THAT YOUVE TRIED TO MAKE THE PAIN BETTER +audio/MSK0008.mp3[121.960,127.560] UM SOME ICE HELPS +audio/MSK0008.mp3[127.560,134.040] OK UH AND HAVE YOU NOTICED SWELLING OVER THE AREA +audio/MSK0008.mp3[134.040,136.400] JUST A LITTLE BIT +audio/MSK0008.mp3[136.400,138.320] OK AND REDNESS AS WELL +audio/MSK0008.mp3[141.440,154.600] OK UHM AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS A 10 BEING THE WORST PAIN THAT YOUVE EVER FELT AND 1 BEING LOW INTENSITY PAIN +audio/MSK0008.mp3[154.600,159.600] UM ID GIVE IT ABOUT A 5 +audio/MSK0008.mp3[159.600,167.320] OK AND HAVE YOU HAD ANY INJURIES OR ANY KNEE PAIN BEFORE +audio/MSK0008.mp3[170.160,178.600] OK AT THE TIME OF THE INJURY DID YOU HEAR A POP SOUND OR OR ANY KIND OF SOUNDS LIKE THAT +audio/MSK0008.mp3[178.600,182.400] I DONT RECALL +audio/MSK0008.mp3[182.400,191.920] OK AND HOW ABOUT ANY DIFFICULTIES WALKING OR HAVING ANY KNEE INSTABILITY +audio/MSK0008.mp3[191.920,205.280] UM A LITTLE BIT ONLY WHEN I LIKE TRY TO EXTEND OR FLEX MY KNEE TOO MUCH +audio/MSK0008.mp3[205.280,214.000] OK UM AND UH UM ALRIGHT SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/MSK0008.mp3[215.360,228.760] ALRIGHT SO JUST TO BE COMPREHENSIVE SO ILL RUN THROUGH A REVIEW SO HAVE YOU BEEN HAVING ANY ANY HEADACHES +audio/MSK0008.mp3[229.880,235.280] ANY SENSORY CHANGES LIKE CHANGES TO VISION HEARING SMELL OR TASTE +audio/MSK0008.mp3[237.080,240.640] OK ANY EYE SYMPTOMS OR YOUR SYMPTOMS +audio/MSK0008.mp3[242.000,245.120] HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/MSK0008.mp3[246.040,247.800] HAVE YOU HAD A COUGH +audio/MSK0008.mp3[248.640,250.240] ANY SHORTNESS OF BREATH +audio/MSK0008.mp3[251.400,253.960] HAVE YOU HAD ANY WHEEZING +audio/MSK0008.mp3[254.560,256.760] HAVE YOU HAD ANY CHEST PAIN +audio/MSK0008.mp3[257.600,260.560] ANY HEART PALPITATIONS OR HEART RACING +audio/MSK0008.mp3[261.600,264.920] OK HAVE YOU HAD ANY FAINTING OR DIZZINESS +audio/MSK0008.mp3[264.920,266.400] UM NO +audio/MSK0008.mp3[266.400,272.680] ALRIGHT HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0008.mp3[273.600,278.640] HAVE YOU HAD ANY CHANGES TO YOUR APPETITE LIKE LOSS OF APPETITE +audio/MSK0008.mp3[279.600,283.080] HAVE YOU HAD ANY WEIGHT LOSS UNEXPECTEDLY +audio/MSK0008.mp3[284.520,289.240] OK HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0008.mp3[289.240,290.040] UM NO +audio/MSK0008.mp3[290.040,295.120] ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA CONSTIPATION +audio/MSK0008.mp3[296.800,301.480] OK HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/MSK0008.mp3[302.920,311.480] ALRIGHT AND HAVE YOU HAD ANY SKIN CHANGES SUCH AS RA RASHES OR ANYTHING LIKE THAT +audio/MSK0008.mp3[313.160,318.800] OK ANY JOINT PAINS ANYWHERE ELSE +audio/MSK0008.mp3[318.800,320.000] UM NO +audio/MSK0008.mp3[320.000,326.400] OK AND ANY FATIGUE +audio/MSK0008.mp3[328.240,336.320] OK AND IN THE PAST HAVE YOU HAD OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0008.mp3[336.320,338.120] UM NO +audio/MSK0008.mp3[338.120,343.120] OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0008.mp3[343.120,345.000] NO NO NOT THAT I KNOW OF +audio/MSK0008.mp3[345.000,347.200] ARE YOU CURRENTLY TAKING ANY MEDICATIONS +audio/MSK0008.mp3[348.760,353.040] ALRIGHT AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE +audio/MSK0008.mp3[355.280,367.000] OK AND UM CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE YOU YOURE LIVING WITH AND WHEREABOUTS +audio/MSK0008.mp3[367.000,373.760] SURE I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS +audio/MSK0008.mp3[373.760,376.120] OK AND ARE YOU GOING TO SCHOOL +audio/MSK0008.mp3[376.120,381.600] I AM IM IN MY LAST YEAR OF GRADE 12 +audio/MSK0008.mp3[381.600,383.520] OK WELL THATS GOOD HOW IS THAT BEEN GOING +audio/MSK0008.mp3[383.520,393.200] ITS BEEN GOING OK WEVE BEEN DOING PART ONLINE PART INPERSON +audio/MSK0008.mp3[393.200,396.120] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0008.mp3[398.160,403.000] ALRIGHT THEN AND YOU PLAY SOCCER DO YOU PLAY ANY OTHER SPORTS +audio/MSK0008.mp3[403.000,407.920] AND I PLAY FOOTBALL +audio/MSK0008.mp3[407.920,416.240] OK COOL AND ANY INJURIES BEFORE TO YOUR KNEE OR ANYTHING LIKE THAT +audio/MSK0008.mp3[416.240,419.600] UM NOT THAT IN THE PAST +audio/MSK0008.mp3[419.600,422.480] ALRIGHT AND DO YOU SMOKE CIGARETTES +audio/MSK0008.mp3[424.840,427.960] UM DO YOU DRINK ALCOHOL +audio/MSK0008.mp3[428.760,434.080] OK DID YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING ELSE +audio/MSK0008.mp3[435.320,440.320] OK ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0008.mp3[440.320,442.960] I AM +audio/MSK0008.mp3[442.960,445.320] OK ARE YOU IN A RELATIONSHIP +audio/MSK0008.mp3[445.320,447.880] I AM WEVE BEEN TOGETHER FOR A YEAR +audio/MSK0008.mp3[447.880,454.640] OK IS THERE ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION +audio/MSK0008.mp3[454.640,459.280] NO WE WERE BOTH TESTED +audio/MSK0008.mp3[459.280,470.760] OK GREAT UM AND ANY CHANCE THAT YOU COULD BE PREGNANT +audio/MSK0008.mp3[471.560,478.920] OK AND UH IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS +audio/MSK0008.mp3[478.920,479.880] UM NO +audio/MSK0008.mp3[479.880,505.120] OK UM AND SO THAT I THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO FOR THE PHYSICAL EXAM WHEN INSPECTING THE KNEE ARE YOU SEEING ANY JOINT EFFUSIONS OR JOINT SWELLING OR ECCHYMOSIS OR BRUISING +audio/MSK0008.mp3[505.120,517.040] IT LOOKS OR IS THAT A BRUISE IT LOOKS RED AND I WOULD SAY ITS A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT ONLY +audio/MSK0008.mp3[517.040,520.400] OK IS THERE ANY MUSCLE ATROPHY +audio/MSK0008.mp3[520.400,524.480] UM NO +audio/MSK0008.mp3[524.480,532.320] OK AND IS THERE ANY MISALIGNMENT OR JOINT DEFORMITIES +audio/MSK0008.mp3[532.320,536.320] NO NOT THAT I NOTICE +audio/MSK0008.mp3[536.320,547.640] OK AND ALRIGHT ON GAIT OR WALKING IS THERE ANY LIMP OR ANTALGIA +audio/MSK0008.mp3[547.640,548.360] UM NO +audio/MSK0008.mp3[548.360,553.280] YOURE ABLE TO WALK NORMALLY +audio/MSK0008.mp3[553.280,562.640] I AM ABLE TO WALK NORMALLY AND IT HURTS BUT I THINK IM WALKING OK +audio/MSK0008.mp3[562.640,571.120] OK UHM AND NEXT IS THERE ANY CHANGES TO TEMPERATURE LIKE THE JOINT ITSELF FEEL HOT +audio/MSK0008.mp3[574.480,584.440] OK AND ARE THERE ANY AREAS OF THE JOINT LINE ITSELF OF THE KNEE THAT IS PAINFUL TO PALPATION +audio/MSK0008.mp3[584.440,592.520] AT JUST THE MEDIAL PART OF IT LIKE THE I GUESS WHERE THE LIGAMENT WOULD BE +audio/MSK0008.mp3[592.520,598.520] OK SO JUST LET ME OK AND ANY PAIN OVER THE PATELLA +audio/MSK0008.mp3[600.520,605.760] ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON +audio/MSK0008.mp3[607.000,613.520] ANY PAIN OVER YOUR OVER THE FIBULAR HEAD OR THE LATERAL PART OF THE KNEE +audio/MSK0008.mp3[614.400,619.400] ANY PAIN IN THE CALF OR THE THIGH MUSCLES +audio/MSK0008.mp3[620.040,625.720] ANY PAIN IN THE HAMSTRING MUSCLES +audio/MSK0008.mp3[626.640,637.840] OK AND IS THERE ANY PAIN TO A LIKE VARUS STRESS OF THE KNEE +audio/MSK0008.mp3[637.840,646.200] TO THE VARUS STRESS I GUESS IT WOULD BE THERE WILL BE PAIN IF I PRESS DOWN IN THAT AREA +audio/MSK0008.mp3[646.200,656.640] OK AND IS THERE ANY JOINT YEAH THE JOINT LAXITY OR PAIN TOO LIKE A VALGUS STRESS OF THE KNEE +audio/MSK0008.mp3[656.640,667.960] YEAH SO WHEN I PRESS WHEN I DO THAT IT HURTS ON THE MEDIAL ASPECT BUT NOT THE LATERAL ASPECT +audio/MSK0008.mp3[667.960,678.200] OK UHM AND DOES IT FEEL IS AS THOUGH THERES SOME LIKE THE JOINTS OPENING MORE WHEN YOU PUT THE VALGUS STRESS +audio/MSK0008.mp3[678.200,686.320] A LITTLE BIT YES +audio/MSK0008.mp3[686.320,695.680] OK UHM AND IS THERE ANY INSTABILITY MOVING THE TIBIA ANTERIORLY IF YOURE LIKE PULL IT OUTWARDS +audio/MSK0008.mp3[695.680,697.320] UM NO +audio/MSK0008.mp3[697.320,702.240] AND HOW ABOUT IF YOU PULL THE TIBIA POSTERIORLY ANY INSTABILITY +audio/MSK0008.mp3[706.600,712.360] OK UM AND THE IS THEIR FULL RANGE OF MOTION OF THE KNEE +audio/MSK0008.mp3[714.240,717.360] AND FULL RANGE OF MOTION OF THE HIP AND ANKLE +audio/MSK0008.mp3[718.480,729.080] OK UM AND DO YOU HAVE ANY LIKE NUMBNESS TINGLING OR MUSCLE WEAKNESS +audio/MSK0008.mp3[729.840,735.360] OK AND ANY SENSORY CHANGES TO THE SKIN +audio/MSK0008.mp3[735.360,737.680] NO NO +audio/MSK0008.mp3[737.680,744.560] OK AND REFLEXES ARE NORMAL +audio/MSK0008.mp3[745.760,758.680] OK SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND AND KIND OF GO THROUGH ON THE PHYSICAL EXAM DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT MAYBE I FORGOT TO MENTION TODAY +audio/MSK0008.mp3[758.680,766.720] AH NO THAT WAS IT JUST WHAT CAN I DO ABOUT MY MY KNEE +audio/MSK0008.mp3[766.720,819.920] YEAH SO RIGHT NOW ITS SOUNDING LIKE THIS COULD BE AN MCL OR MEDIAL COLLATERAL LIGAMENT STRAIN OR INJURY AND SO THESE TYPES OF INJURIES ARE USUALLY TREATED CONSERVATIVELY LIKE WITH THINGS LIKE NSAIDS OR ANTIINFLAMMATORIES TO HELP THAT PAIN AND SWELLING IF THE PAIN DEPENDING ON HOW SEVERE IT IS IT MIGHT BE USEFUL TO USE MAYBE CRUTCHES FOR A DAY OR TWO TO TRY TO HELP LET THE PAIN TO SUBSIDE AND ALLOW YOU TO BE ABLE TO DO SOME PHYSICAL THERAPY EXERCISES LIKE STRENGTHENING THE QUADRICEPS AND HAMSTRING MUSCLES +audio/MSK0008.mp3[820.960,871.920] BUT TYPICALLY INJURIES THAT ARE LOWER GRADE WILL HEAL WITHIN TWO WEEKS AND SO IF ITS MORE MORE SEVERE IT COULD TAKE A BIT LONGER AND ALTHOUGH THAT ITS MOST LIKELY AN MCL INJURY THAT YOURE DESCRIBING IT COULD BE A MEDIAL MENISCAL INJURY AS WELL OR POSSIBLY EVEN A BURSITIS AT THE MEDIAL ASPECT OF THE KNEE BUT THE TREATMENT TO START WITH WOULD BE THE SAME AND MAYBE WE WILL GET ANY XRAY IF THINGS ARENT IMPROVING +audio/MSK0008.mp3[871.920,874.200] OK THAT SOUNDS GOOD THANK YOU +audio/CAR0002.mp3[0.000,2.680] WHAT BRINGS YOU IN HERE TODAY +audio/CAR0002.mp3[2.680,7.120] YEAH I HAVE THIS PAIN IN MY CHEST +audio/CAR0002.mp3[7.120,10.480] OK AND WHERE IS THE PAIN EXACTLY +audio/CAR0002.mp3[10.480,14.600] ITS JUST RIGHT OVER ON THE ON THE LEFT SIDE +audio/CAR0002.mp3[14.600,18.400] OK AND WHEN DID THIS PAIN START +audio/CAR0002.mp3[18.400,21.560] IT STARTED JUST 30 MINUTES AGO +audio/CAR0002.mp3[21.560,27.480] OK AND DID IT JUST COME ON RANDOMLY OR WERE YOU DOING SOMETHING STRENUOUS +audio/CAR0002.mp3[27.480,34.640] I WAS JUST SHOVELLING THE DRIVEWAY AND IT CAME ON +audio/CAR0002.mp3[34.640,41.920] OK AND HAS THAT PAIN BEEN GETTING WORSE AT ALL OVER THE LAST HALF AN HOUR +audio/CAR0002.mp3[41.920,49.960] NO IT JUST CAME ON SUDDENLY AND ITS UH UH IM SORRY YEAH THE PAIN HAS BEEN THERE THIS WHOLE TIME AND ITS GOTTEN WORSE EVER SINCE IT STARTED +audio/CAR0002.mp3[49.960,62.120] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT KIND OF LIKE AN ACHING PAIN OR IS IT A SHARP OR TIGHT TIGHTNESS KIND OF PAIN HOW WOULD YOU DESCRIBE IT +audio/CAR0002.mp3[62.120,68.440] IT FEELS DULL I FEEL LIKE THERES A LOT OF PRESSURE ON MY CHEST +audio/CAR0002.mp3[68.440,78.040] AND HOW DO YOU RATE THE PAIN RIGHT NOW ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE 10 BEING THE WORST +audio/CAR0002.mp3[78.040,79.720] UH SEVEN +audio/CAR0002.mp3[79.720,84.760] SEVEN OK HAVE YOU HAD NY SIMILAR EPISODES BEFORE +audio/CAR0002.mp3[84.760,87.640] NO IVE NEVER HAD ANY CHEST PAIN BEFORE +audio/CAR0002.mp3[87.640,96.520] OK AND IS THE PAIN JUST STAYING IN THE REGION OF THE LEFT CHEST AREA THAT YOU MENTIONED OR IS IT TRAVELING TO ANY OTHER PART OF YOUR BODY +audio/CAR0002.mp3[96.520,101.080] NO IM KIND OF JUST FEELING IT RIGHT HERE ON THE LEFT SIDE +audio/CAR0002.mp3[101.080,110.520] OK UH IS THERE ANYTHING THAT YOU DO THAT MAKES THE PAIN EITHER GET WORSE OR GO AWAY OR LIKE GET BETTER +audio/CAR0002.mp3[110.520,123.960] UH I THINK ITS A BIT BIT WORSE IF IM MOVING AROUND OR WHEN I WAS WALKING IN HERE I THINK IT IT MADE IT A BIT WORSE BUT NOTHING HAS SEEMED TO MAKE IT ANY BETTER SINCE IT STARTING +audio/CAR0002.mp3[123.960,131.480] OK AND DOES IT CHANGE AT ALL FROM YOU CHANGING POSITIONS LIKE IF YOURE STANDING UP VERSUS SITTING DOWN OR LAYING DOWN +audio/CAR0002.mp3[131.480,137.560] I THINK ITS A LITTLE BIT WORSE WHEN I WHEN IM LAYING DOWN +audio/CAR0002.mp3[137.560,150.480] OK AND OTHER THAN THE PAIN THAT YOUVE BEEN HAVING HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR DIFFICULTY BREATHING OR ANY PAIN WHEN YOURE BREATHING IN OR OUT +audio/CAR0002.mp3[150.480,168.320] UH IVE FELT A LITTLE BIT UH SHORT OF BREATH OR HAVING DIFFICULTY BREATHING SINCE YESTERDAY WHEN THE SORRY SINCE THE PAIN STARTED BUT UH JUST THE DIFFICULTY BREATHING +audio/CAR0002.mp3[168.320,178.080] OK AND HAVE YOU RECENTLY INJURED YOUR CHEST OR SURROUNDING AREA AT ALL LIKE FROM A FALL OR ANYTHING LIKE THAT +audio/CAR0002.mp3[178.080,191.480] I DO I PLAY RUGBY AND WAS TACKLED BY ANOTHER PLAYER YESTERDAY BUT BUT MY CHEST FELT FINE AFTER THAT +audio/CAR0002.mp3[191.480,194.200] OK SO BUT THE PAIN JUST STARTED HALF AN HOUR AGO +audio/CAR0002.mp3[196.640,201.720] OK HAVE YOU HAVE YOU BEEN TRAVELING AT ALL RECENTLY +audio/CAR0002.mp3[201.720,204.440] NO BEEN AT HOME +audio/CAR0002.mp3[204.440,208.480] OK HAS ANYONE AROUND YOU BEEN SICK AT ALL +audio/CAR0002.mp3[209.800,216.880] OK HAVE YOU BEEN HAVING ANY SYMPTOMS LIKE NAUSEA OR VOMITING OR ANY FEVERS OR CHILLS +audio/CAR0002.mp3[216.880,226.560] NO NAUSEA OR VOMITING BUT I DO FEEL A LITTLE BIT HOT TODAY +audio/CAR0002.mp3[226.560,234.800] OK BUT HAVE YOU MEASURED YOUR TEMPERATURE AT ALL +audio/CAR0002.mp3[234.800,237.200] UH I DID AND IT WAS 38 DEGREES +audio/CAR0002.mp3[237.200,246.080] OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LEGS OR FEET +audio/CAR0002.mp3[246.080,251.600] UH NO SWELLING IN MY LEGS +audio/CAR0002.mp3[251.600,256.320] OK HAVE YOU BEEN FEELING TIRED AT ALL LIKE INCREASINGLY FATIGUED +audio/CAR0002.mp3[256.320,259.600] NO MY ENERGY HAS BEEN GOOD +audio/CAR0002.mp3[259.600,267.480] HAVE YOU BEEN HAVING ANY KIND OF THUMPING OR PALPITATIONS OR FEEL LIKE YOUR HEART HAS BEEN RACING AT ALL +audio/CAR0002.mp3[267.480,275.440] IT UHH IT DOES FEEL LIKE ITS BEATING FASTER RIGHT NOW IT USUALLY ONLY FEELS LIKE THIS WHEN IM PLAYING SPORTS +audio/CAR0002.mp3[275.440,282.600] OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR SKIN AT ALL ANY RASHES +audio/CAR0002.mp3[282.600,285.760] NO RASHES +audio/CAR0002.mp3[285.760,293.040] OK HAVE YOU HAD ANY COUGH OR RUNNY NOSE OR SORE THROAT ANY KIND OF THOSE SYMPTOMS AND IN THE PAST MONTH +audio/CAR0002.mp3[293.040,303.640] UH FEW WEEKS AGO I WAS A LITTLE RUNNY BUT THAT WENT AWAY ON ITS OWN I HAVENT HAD ANY COUGH +audio/CAR0002.mp3[303.640,309.440] OK AND HAVE YOU BEEN FEELING DIZZY AT ALL OR HAVE YOU FAINTED +audio/CAR0002.mp3[309.440,315.240] NO DIZZINESS AND UH NO I HAVENT FAINTED AT ALL +audio/CAR0002.mp3[315.240,327.600] OK JUST A FEW MORE QUESTIONS HAVE YOU HAD ANY DIAGNOSIS MADE BY ANY PHYSICIAN OR ANY ANYTHING LIKE DIABETES OR HIGH BLOOD PRESSURE +audio/CAR0002.mp3[327.600,334.760] YEAH IVE BEEN TOLD I HAVE HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE +audio/CAR0002.mp3[334.760,338.680] OK AND DO YOU TAKE ANY MEDICATIONS FOR THE THESE THINGS +audio/CAR0002.mp3[338.680,358.600] UM I DO TAKE MEDICATIONS FOR BOTH BLOOD PRESSURE AND CHOLESTEROL ROSUVASTATIN AND UM LISINOPRIL AND I TAKE A MULTI VITAMIN +audio/CAR0002.mp3[358.600,367.440] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/CAR0002.mp3[367.440,369.800] NO ALLERGIES +audio/CAR0002.mp3[369.800,375.480] OK HAVE YOU AT ALL IN THE PAST BEEN HOSPITALIZED FOR ANY REASON +audio/CAR0002.mp3[375.480,377.880] NO HOSPITALIZATIONS +audio/CAR0002.mp3[377.880,379.960] ANY PREVIOUS SURGERIES +audio/CAR0002.mp3[382.080,390.480] OK AND WITHIN YOUR FAMILY HAS ANYONE PASSED AWAY FROM A HEART ATTACK OR ANY CANCERS THAT RUN IN THE FAMILY +audio/CAR0002.mp3[393.400,401.960] OK AND CURRENTLY RIGHT NOW DO YOU LIVE ALONE DO YOU LIVE WITH SOMEONE AND WHERE DO YOU LIVE LIKE AN APARTMENT OR HOUSE +audio/CAR0002.mp3[401.960,408.840] I I LIVE IN A HOUSE WITH UM MY PARENTS +audio/CAR0002.mp3[408.840,412.200] OK AND DO YOU CURRENTLY WORK +audio/CAR0002.mp3[412.200,417.000] YEAH I I DRIVE A BUS FOR THE CITY +audio/CAR0002.mp3[417.000,426.520] OK AND IN YOUR DAILY ROUTINE WOULD YOU SAY YOU GET ENOUGH EXERCISE THROUGHOUT THE WEEK +audio/CAR0002.mp3[426.520,428.680] UHH YEAH USUALLY ON SUNDAYS ILL GO FOR A RUN +audio/CAR0002.mp3[428.680,440.320] OK AND HOW ABOUT YOUR DIET WELL HOWS YOUR DIET LIKE JUST REGULARLY +audio/CAR0002.mp3[440.320,454.320] UHH USUALLY I FEEL LIKE ITS FAIRLY BALANCED OVERALL I MIGHT I EAT OUT A LITTLE BIT TOO OFTEN BUT TRY TO EAT AS MANY VEGETABLES AS I CAN +audio/CAR0002.mp3[454.320,460.160] OK AND DO YOU SMOKE CIGARETTES AT ALL +audio/CAR0002.mp3[460.160,466.760] I DO YES BEEN SMOKING FOR THE LAST 20 YEARS ROUGHLY +audio/CAR0002.mp3[466.760,470.480] OK HOW MUCH DO YOU SMOKE ON AN AVERAGE DAY +audio/CAR0002.mp3[470.480,473.840] ABOUT A HALF A PACK TO A PACK A DAY +audio/CAR0002.mp3[473.840,478.160] OK AND DO YOU DRINK +audio/CAR0002.mp3[478.160,480.760] NO ALCOHOL +audio/CAR0002.mp3[480.760,485.680] OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/CAR0002.mp3[485.680,494.720] UM NO MARIJUANA BUT I HAVE USED CRYSTAL METH IN THE PAST +audio/CAR0002.mp3[494.720,498.920] OK AND WHEN WAS THE LAST TIME THAT YOU USED CRYSTAL METH +audio/CAR0002.mp3[498.920,503.880] UM SIX DAYS AGO +audio/CAR0002.mp3[503.880,510.240] SIX DAYS AGO OK AND HOW OFTEN DO YOU USE CRYSTAL METH +audio/CAR0002.mp3[510.240,515.120] UM I WOULD SAY A COUPLE OF TIMES A MONTH +audio/CAR0002.mp3[515.120,524.880] A COUPLE OF TIMES A MONTH OK ALRIGHT AND FOR HOW LONG HAVE YOU BEEN USING CRYSTAL METH +audio/CAR0002.mp3[524.880,526.000] UH FOR THE LAST SEVEN YEARS +audio/CAR0002.mp3[526.000,530.320] SEVEN YEARS OK +audio/MSK0036.mp3[0.000,1.920] HOW MAY I HELP YOU +audio/MSK0036.mp3[1.920,19.440] IVE JUST BEEN EXPERIENCING A SOME PAIN AND NUMBNESS AND TINGLING IN IN JUST MY WRIST AREA AND THUMB MIDDLE FINGER AND INDEX FINGER +audio/MSK0036.mp3[19.440,28.680] OK AND WHEN DID THIS PAIN START AND IS IT THE RIGHT HAND OR OR LEFT HAND +audio/MSK0036.mp3[28.680,79.000] HUM ITS THE RIGHT ITS A THE RIGHT HAND BUT I ALSO FIND IT SO STARTING TO HAPPEN IN THE LEFT HAND AS WELL BUT MORE SO ON THE RIGHT HAND I FEEL THIS KIND OF SENSATION OVER MY PALMS AND FINGERS IT STARTED I WOULD SAY PROBABLY 2 WEEKS AGO AND ITS BEEN I THINK ITS GRADUALLY BEEN GETTING WORSE IM HAVING MORE DIFFICULTY AT NIGHTTIME ESPECIALLY ITS ALSO WAKING ME UP FROM SLEEP AND ITS YEAH JUST AFFECTING MY DAILY ROUTINE MY WORK SO YEAH I JUST WANTED TO UNDERSTAND WHAT WAS GOING ON +audio/MSK0036.mp3[79.000,88.000] OK I SEE AND DID YOU HAVE ANY TRAUMA TO THE WRIST OR OR ANY INJURY OR HAVE YOU HAD AN INJURY IN THE PAST +audio/MSK0036.mp3[88.000,97.400] NO I HAVENT HAD ANY FALLS NO ACCIDENTS NOTHING LIKE THAT +audio/MSK0036.mp3[97.400,100.000] OK AND ARE YOU RIGHT OR LEFT HANDED +audio/MSK0036.mp3[100.000,103.000] IM RIGHT HANDED +audio/MSK0036.mp3[103.000,112.560] OK YEAH AND YOU MENTIONED IT WAS THE RIGHT HAND THAT STARTED TO HURT FIRST AND THEN THE LEFT ONE HAS STARTED SINCE THEN +audio/MSK0036.mp3[112.560,124.480] YEAH YEAH AND I DONT KNOW IF ITS JUST CAUSE I USE MY RIGHT HAND MORE THAT I FEEL MORE PAIN AND THE SYMPTOMS BUT YEAH I DEFINITELY WOULD SAY ITS WORSE +audio/MSK0036.mp3[124.480,134.280] OK AND WHERE ARE YOU FINDING THAT THE PAIN IS SPECIFICALLY LOCATED +audio/MSK0036.mp3[134.280,163.280] SO THE PAIN I FEEL LIKE ITS MORE LIKE A DISCOMFORT JUST OVER THE LIKE PALM LIKE NEAR THE WRIST AND THE LOWER PALM AREA IS WHERE THE DISCOMFORT IS AND THEN THE NUMBNESS AND TINGLING IS JUST LIKE IN THUMB AN THE 1ST 2 DIGITS +audio/MSK0036.mp3[163.280,174.440] OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THIS SENSATION IS IT BURNING IS IT SHARP ACHY OR OR STABBY +audio/MSK0036.mp3[174.440,199.120] UM I WOULD SAY ITS MORE OF KIND OF LIKE AN ACHING ACHING PAIN UM IT DOES SOMETIMES TURN INTO KIND OF LIKE A BURNING SENSATION WITH THE TINGLING BUT YEAH MORE SO ON THE PALMER LIKE ON THE PALM SIDE OF THINGS ITS MORE LIKE AN ACHING PAIN +audio/MSK0036.mp3[199.120,201.640] OK AND YOU HAVE SOME BURNING AS WELL +audio/MSK0036.mp3[202.960,210.840] OK AND IS THE DOES IT RADIATE ANYWHERE ARE YOU FEELING THIS IN IN YOUR NECK SHOULDER OR DOWN YOUR ARM AT ALL +audio/MSK0036.mp3[210.840,238.000] IT KIND OF GOES FROM THE PALM ALONG SO IT GOES FROM THE PALM IT GOES UPWARDS LIKE TO MY FINGERS BUT ALSO BACKWARDS LIKE INTO MY LOWER ARM AS WELL LIKE MY FOREARM +audio/MSK0036.mp3[238.000,244.840] OK AND DO YOU HAVE ANY PAIN IN THE NECK +audio/MSK0036.mp3[244.840,246.760] IN MY NECK +audio/MSK0036.mp3[248.640,255.120] OK AN ANYTHING THAT YOUVE DONE THAT MAKES THE PAIN WORSE +audio/MSK0036.mp3[255.120,282.240] UH I I JUST HAVE TO LIKE I WORK AS AN ACCOUNTANT THERES A LOT OF WORK I DO ON THE COMPUTER WITH A KEYBOARD MOUSE SO I FEEL LIKE ITS HARD TO REALLY DO THAT ALL DAY RIGHT NOW SO I THINK IF I DO THAT ILL MAKE IT WORSE BUT IF I TAKE A REST AND KIND OF JUST SHAKE MY HANDS A LITTLE BIT THEN IT GETS BETTER +audio/MSK0036.mp3[282.240,289.040] OK UM SO KIND OF LIKE FLICKING YOUR WRIST SORT OF THING SO KIND OF SHAKE OUT THE +audio/MSK0036.mp3[290.240,303.640] OK UM AN ANYTHING THAT YOU DO THAT MAKES IT BETTER BESIDES THOSE MOVES LIKE HAVE YOU TAKEN ANY MEDICATIONS OR TRIED ANY LIKE WRIST SPLINTS OR ANYTHING LIKE THAT +audio/MSK0036.mp3[303.640,309.000] NO I HAVENT TRIED ANY MEDICATIONS OR SPLINTS +audio/MSK0036.mp3[309.000,326.720] OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST YOUVE EVER FELT AND DO YOU FEEL THIS PAIN AT ANY PARTICULAR TIME OF DAY MORE THAN THAN OTHERS +audio/MSK0036.mp3[326.720,342.400] THE PAIN IS PROBABLY LIKE A A 5 AND I FEEL IT MORE DURING THE NIGHT AS WELL AS LIKE WHEN IM WORKING I FEEL ITS DEFINITELY MORE AS I CONTINUE TO DO MORE WORK +audio/MSK0036.mp3[342.400,357.200] I SEE OK AND HAVE YOU HAD ANY LIKE NUMBNESS AND AND THAT TINGLING IN THE HAND OR ANYWHERE ELSE +audio/MSK0036.mp3[357.200,361.360] NO JUST IN THE AREAS THAT I DESCRIBED NOWHERE ELSE +audio/MSK0036.mp3[361.360,365.440] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +audio/MSK0036.mp3[365.440,371.480] UHM NO I DONT THINK SO +audio/MSK0036.mp3[371.480,382.160] OK AND HOW ABOUT ANY ISSUES WITH LIKE GRIPPING OBJECTS DROPPING OBJECTS OR LIKE OPENING JARS +audio/MSK0036.mp3[382.160,400.400] YEAH I I DO I DO HAVE LIKE WHEN IM LIFTING THINGS AND OPENING JARS OPENING LIDS LIKE I DO HAVE THE SIMILAR DISCOMFORT PAIN AS WELL AS THE NUMBNESS AND TINGLING +audio/MSK0036.mp3[400.400,404.680] OK ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0036.mp3[405.600,407.960] HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0036.mp3[408.960,412.080] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0036.mp3[413.600,416.600] OK HAVE YOU HAD ANY HEADACHES +audio/MSK0036.mp3[417.800,425.920] HOW ABOUT ANY LIKE SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION OR HEARING +audio/MSK0036.mp3[425.920,427.880] NO NO NOTHING LIKE THAT +audio/MSK0036.mp3[427.880,433.440] HOW ABOUT A LOSS OF YOUR SENSE OF TASTE OR SENSE OF SMELL +audio/MSK0036.mp3[434.400,439.320] HAVE YOU HAD ANY RUNNY NOSE OR FEELING CONGESTED +audio/MSK0036.mp3[439.320,441.040] NO NOTHING LIKE THAT +audio/MSK0036.mp3[441.040,444.440] HOW ABOUT A SORE THROAT OR A COUGH +audio/MSK0036.mp3[444.440,446.640] NO OK +audio/MSK0036.mp3[446.640,454.080] HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING +audio/MSK0036.mp3[454.080,456.560] UHM NO NOTHING LIKE THAT +audio/MSK0036.mp3[456.560,462.240] HAVE YOU HAD ANY CHEST PAIN OR FEELING AS THOUGH YOUR HEARTS RACING +audio/MSK0036.mp3[463.080,470.040] OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS +audio/MSK0036.mp3[471.800,477.200] ALRIGHT AND HAVE YOU HAD ANY OF NAUSEA OR VOMITING +audio/MSK0036.mp3[478.640,481.200] AND ANY ABDOMINAL PAIN +audio/MSK0036.mp3[482.480,488.240] OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL +audio/MSK0036.mp3[489.560,495.040] ALRIGHT HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/MSK0036.mp3[496.760,502.240] ALRIGHT HAVE YOU NOTICED ANY SKIN CHANGES OR LIKE RASHES OR ANYTHING LIKE THAT +audio/MSK0036.mp3[504.040,515.480] OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR BODY PAINS +audio/MSK0036.mp3[517.120,520.080] OK AND ANY CONFUSION OR MEMORY LOSS +audio/MSK0036.mp3[522.640,527.160] OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0036.mp3[527.160,533.680] NO IVE BEEN FAIRLY HEALTHY +audio/MSK0036.mp3[533.680,542.680] OK AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER +audio/MSK0036.mp3[542.680,554.560] NO I IVE BEEN PRETTY HEALTHY SOMETIMES I TAKE SOME ADVIL FOR HEADACHES AND STUFF OR TYLENOL BUT THATS IT +audio/MSK0036.mp3[554.560,559.720] OK UHM AND DO YOU HAVE ANY ALLERGIES +audio/MSK0036.mp3[559.720,562.760] UHM NOPE +audio/MSK0036.mp3[562.760,569.400] AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES +audio/MSK0036.mp3[569.400,572.120] NO I HAVENT +audio/MSK0036.mp3[572.120,579.000] ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH +audio/MSK0036.mp3[579.000,586.920] IM LIVING WITH MY HUSBAND AND TWO KIDS IN A SMALL TOWNHOUSE +audio/MSK0036.mp3[586.920,595.120] I SEE AND YOU MENTIONED YOURE AN ACCOUNTANT ARE YOU WORKING RIGHT NOW +audio/MSK0036.mp3[595.120,614.920] YEAH I I AM IN IM AN ACCOUNTING TIME OFF AND JUST TAKING A LITTLE BIT EASY BEFORE I FIND OUT LIKE WHAT THIS IS AND HOW THIS WILL REALLY IMPACT MY WORK +audio/MSK0036.mp3[614.920,618.960] I SEE OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/MSK0036.mp3[621.200,623.320] HAVE YOU TRAVELED ANYWHERE +audio/MSK0036.mp3[623.640,625.600] DO YOU SMOKE CIGARETTES +audio/MSK0036.mp3[628.280,633.840] OK AND HOW ABOUT SMOKING MARIJUANA +audio/MSK0036.mp3[633.840,636.600] NO NO NO DRUGS +audio/MSK0036.mp3[636.600,638.600] OK SO NO RECREATIONAL DRUGS +audio/MSK0036.mp3[640.280,646.400] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0036.mp3[646.400,650.320] YES JUST JUST WITH MY HUSBAND +audio/MSK0036.mp3[650.320,655.120] OK UH AND ANY CONCERN FOR SEXUALLY TRANSMITTED INFECTION +audio/MSK0036.mp3[658.920,663.520] OK UM AND DO YOU DRINK ALCOHOL +audio/MSK0036.mp3[663.520,668.480] UH JUST MAYBE SOME WINE EVERY OTHER DAY +audio/MSK0036.mp3[668.480,678.720] OK UM AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR LIKE NEUROLOGICAL CONDITIONS +audio/MSK0036.mp3[679.760,694.240] OK AND HOW ABOUT AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR LIKE HYPOTHYROIDISM OR TYPE ONE DIABETES +audio/MSK0036.mp3[694.240,697.240] IN MY FAMILY HISTORY I THINK THERE IS +audio/MSK0036.mp3[697.440,718.120] SOME THERES DEFINITELY SOME DIABETES ON MY FATHERS SIDE BUT OTHER THAN THAT I THINK ONE OF MY AUNTS ON MY MOTHER SIDE HAD UM A HYSTERECTOMY FOR CANCER +audio/MSK0036.mp3[718.120,721.920] OK ALRIGHT AND WAS IT ENDOMETRIAL CANCER +audio/MSK0036.mp3[721.920,732.200] NOT SURE ACTUALLY BUT SHE I JUST KNOW THAT SHE HAD HER UTERUS REMOVED +audio/MSK0036.mp3[732.200,747.080] I SEE ALRIGHT AND UM SO NEXT I WANTED TO JUST MOVE TO THE PHYSICAL EXAM PORTION AND SO JUST FIRST INSPECTING THE HAND AND WRIST DO YOU SEE ANY SWELLING OR REDNESS +audio/MSK0036.mp3[748.240,754.240] HOW ABOUT ANY CHANGES TO TEMPERATURE DO ANY OF THE JOINTS FEEL WARM +audio/MSK0036.mp3[757.120,768.200] AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF THE JOINTS IN THE HAND +audio/MSK0036.mp3[768.200,780.480] UHM MAYBE LIKE JUST A LITTLE BIT LIKE I FEEL LIKE IVE LOST SOME OF LIKE THE FAT PAD JUST RIGHT NEAR MY THUMB +audio/MSK0036.mp3[780.480,792.640] I SEE OK AND IS THERE ANY AREAS OF YOUR HANDS OVER LIKE ANY OF THE JOINTS OR OVER THE REST THAT IF YOU PRESS YOU FEEL PAIN +audio/MSK0036.mp3[792.640,796.160] UM NO +audio/MSK0036.mp3[796.160,800.600] OK AND ARE YOU ABLE TO TO MOVE YOUR WRIST OR THE FULL RANGE OF MOTION +audio/MSK0036.mp3[800.600,803.520] YEAH I CAN MOVE IT +audio/MSK0036.mp3[803.520,829.400] OK UH AND IS THERE ANY UH SO THAT THEN THE NEXT TEST ILL JUST ASK YOU TO JUST TAP ON THE THE KIND OF BASE OF YOUR PALM THERE WITH YOUR INDEX FINGER AND MIDDLE FINGER OF YOUR LEFT HAND AND WHEN YOU DO THAT DO YOU FEEL ANY BURNING OR TINGLING +audio/MSK0036.mp3[829.400,832.360] YEAH YEAH I DEFINITELY DO +audio/MSK0036.mp3[832.360,857.480] OK SO THAT WOULD BE YEAH POSITIVE TINEL SIGN AND DO YOU GET ANY SO IF YOU FLEX BOTH OF YOUR WRISTS SO THAT THE BACK OF YOUR HANDS ARE PRESSING AGAINST EACH OTHER AND IF YOU HOLD THAT POSITION DO YOU START TO GET SYMPTOMS OF THE BURNING AND TINGLING +audio/MSK0036.mp3[857.480,864.600] UM YEAH I DO FEEL IT AS WELL THERE +audio/MSK0036.mp3[864.600,870.800] OK ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK TODAY UM DID YOU HAVE ANY QUESTIONS +audio/MSK0036.mp3[870.800,875.440] NO I JUST WANTED TO KNOW HOW I CAN FIX THIS +audio/MSK0036.mp3[875.440,949.560] YEAH CERTAINLY SO ITS SOUNDING LIKE A CARPAL TUNNEL SYNDROME WHICH THAT THE DIFFERENTIAL WOULD BE SOMETHING LIKE RADICULOPATHY COMING UP UP FROM THE NECK WHICH YOURE NOT HAVING ANY NECK SYMPTOMS AND THE POSITIVE TENEL SIGN AND POSITIVE PHALEN SIGN ARE HIGHLY SUGGESTIVE OF CARPAL TUNNEL SYNDROME ALONG WITH THE NIGHTTIME SYMPTOMS AND THE BURNING AND TINGLING SENSATION YOURE EXPERIENCING AND SO TO HELP WITH THIS ONE OF THE FIRST THINGS THAT THAT CAN BE DONE IS TRYING TO USE LIKE WRIST SPLINTS AT NIGHT TO TRY TO KEEP YOUR HAND IN A NEUTRAL POSITION BUT ALSO UH DEPENDING ON LIKE IF THERE IS INFLAMMATION THERE NSAIDS MIGHT HELP A LITTLE BIT LIKE IBUPROFEN OR OR THINGS LIKE THAT BUT THE MAJORITY OF THE THERAPY WILL BE KIND OF AN ACTIVITY MODIFICATION AND IF SYMPTOMS DONT IMPROVE OVER A PERIOD OF TIME THEN SURGERY COULD BE A POTENTIAL OPTION AS WELL +audio/MSK0036.mp3[949.560,952.000] OK SOUNDS GOOD +audio/RES0077.mp3[0.000,2.720] SO WHAT BRINGS YOU HERE TODAY +audio/RES0077.mp3[2.720,13.680] YEAH SO IVE HAD THIS COUGH ONGOING NOW FOR THE LAST THREE DAYS AND I FOUND IVE HAD A MORE DIFFICULT TIME BREATHING AS WELL +audio/RES0077.mp3[13.680,19.080] OK AND SO WHAT CAME FIRST DID THE COUGH COME FIRST +audio/RES0077.mp3[19.080,21.480] YEAH THE COUGH STARTED FIRST +audio/RES0077.mp3[21.480,23.720] OK AND SO IT STARTED THREE DAYS AGO +audio/RES0077.mp3[24.960,29.400] WHEN DID THE SHORTNESS OF BREATH START +audio/RES0077.mp3[29.400,36.760] THAT STARTED PROBABLY ABOUT TWO DAYS AGO +audio/RES0077.mp3[36.760,48.280] OK AND THE COUGH CAN YOU DESCRIBE IT A LITTLE BIT IS IT LIKE A WET COUGH A DRY COUGH HOW WOULD YOU DESCRIBE IT +audio/RES0077.mp3[48.280,72.280] YEAH I BROUGHT UP A LITTLE BIT OF SPUTUM ITS BEEN CLEAR MOSTLY CLEAR AND SOMETIMES DRY AS WELL THE COUGHS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AND HASNT REALLY STOPPED EITHER ITS JUST KIND OF ONGOING ALL DAY +audio/RES0077.mp3[72.280,75.400] OK SO ITS ITS PRETTY CONSTANT +audio/RES0077.mp3[75.400,78.000] YEAH ITS BEEN CONSTANT +audio/RES0077.mp3[78.000,82.840] OK AND HOW MUCH SPUTUM WOULD YOU SAY YOURE BRINGING UP +audio/RES0077.mp3[82.840,95.720] I WOULD SAY UH MAYBE LIKE TWO TEASPOONS A DAY ITS ONLY LIKE A LITTLE BIT IN THE TISSUES AND IM NOT BRINGING UP SPUTUM EVERY TIME +audio/RES0077.mp3[95.720,106.040] OK AND IS YOUR SPUTUM AT ALL YELLOW GREEN OR DOES IT HAVE ANY BLOOD TINGE CONTENT IN IT +audio/RES0077.mp3[106.040,108.760] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0077.mp3[108.760,112.800] OK SO ITS MAINLY JUST WHITE OR CLEAR +audio/RES0077.mp3[112.800,118.720] YEAH ITS MOSTLY YEAH LIKE WHITEISH OR CLEAR +audio/RES0077.mp3[118.720,125.400] OK UHM AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE +audio/RES0077.mp3[125.400,128.360] NO I HAVENT +audio/RES0077.mp3[128.360,140.520] OK AND HOW WOULD YOU DESCRIBE THE SHORTNESS OF BREATH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU HAVING TROUBLE BREATHING WHEN EXERTING YOURSELF LIKE HOW WOULD YOU DESCRIBE IT +audio/RES0077.mp3[140.520,154.080] YEAH I HAVE LIKE A CHEST TIGHTNESS I FIND WHEN I EXERT MYSELF IT GETS WORSE AND AFTER I COUGH I HAVE A LITTLE BIT OF TROUBLE CATCHING MY BREATH AS WELL +audio/RES0077.mp3[154.080,163.760] OK WHEN DO YOU HAVE THE CHEST TIGHTNESS WHEN DID THAT START +audio/RES0077.mp3[163.760,170.560] UH YEAH THATS STARTED WITHIN THE LAST TWO DAYS AS WELL WITH THE COUGH +audio/RES0077.mp3[170.560,176.720] OK SO IS IT JUST THE TIGHTNESS WHEN YOU COUGH OR IS IT THERE JUST THROUGHOUT +audio/RES0077.mp3[176.720,190.040] YEAH IF I TAKE LIKE A DEEP BREATH IN LIKE IT JUST FEELS TIGHT LIKE I CANT GET A DEEP BREATH +audio/RES0077.mp3[190.040,202.280] OK AND HAVE YOU HAD ANY KIND OF LIKE SWELLING IN YOUR CALVES OR PAIN IN YOUR CALVES AT ALL +audio/RES0077.mp3[202.280,204.920] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0077.mp3[204.920,214.160] OK AND HAVE YOU HAD ANY SURGERIES RECENTLY OR HAVE YOU BEEN IMMOBILIZED FOR A LONG TIME OR ADMITTED TO A HOSPITAL OR ANYTHING LIKE THAT +audio/RES0077.mp3[214.160,219.240] NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN HEALTHY +audio/RES0077.mp3[219.240,231.640] OK AND HAVE YOU HAD ANYTHING LIKE A BLOOD CLOT EITHER IN YOUR LEGS OR TRAVELING UP TO YOUR LUNGS IN THE PAST BEFORE +audio/RES0077.mp3[231.640,234.320] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0077.mp3[234.320,241.680] OK AND HAVE YOU BEEN DIAGNOSED WITH CANCER OR ANY OTHER MEDICAL CONDITIONS +audio/RES0077.mp3[241.680,244.800] NO I HAVENT +audio/RES0077.mp3[244.800,252.080] OK UHM SO WOULD YOU SAY THE COUGHING AND THE SHORTNESS OF BREATH IS GETTING WORSE OR ITS ABOUT THE SAME +audio/RES0077.mp3[252.080,258.880] ID SAY ITS GOTTEN A LITTLE BIT WORSE OVER THESE LAST COUPLE OF DAYS +audio/RES0077.mp3[258.880,264.440] OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +audio/RES0077.mp3[264.440,272.720] YEAH IF I EXERT MYSELF IT DOES MAKE IT A BIT WORSE ITLL BRING ON THE COUGH MORE AND SHORTNESS OF BREATH +audio/RES0077.mp3[272.720,282.960] OK AND HOW ABOUT ANY POSITIONAL CHANGES LIKE DOES LYING DOWN HELP DOES RESTING HELP RELIEVE SOME OF THAT TIGHTNESS COUGH AND SHORTNESS OF BREATH +audio/RES0077.mp3[282.960,286.240] NO NOTHING LIKE THAT HAS HELPED +audio/RES0077.mp3[286.240,291.040] OK AND HAVE YOU TRIED ANY KIND OF MEDICATIONS AT ALL OVER THE COUNTER +audio/RES0077.mp3[291.040,297.000] NO I HAVENT TRIED ANYTHING +audio/RES0077.mp3[297.000,313.520] OK ALRIGHT SO IT SEEMS THAT YOUR SHORTNESS OF BREATH IS IT UH MAINLY WHEN YOURE BREATHING IN OR BREATHING OUT OR ARE YOU HAVING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT +audio/RES0077.mp3[313.520,336.200] I WOULD SAY IT YEAH I KIND OF GO BACK TO THE CHEST TIGHTNESS IT JUST FEELS LIKE IM NOT ABLE TO LIKE BREATH IN ALL THE WAY AND CATCH MY BREATH AFTER I EXERT MYSELF OR COUGHING ITS EASY UH LIKE IF I REST IM NOT SHORT OF BREATH +audio/RES0077.mp3[336.200,341.480] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +audio/RES0077.mp3[341.480,347.760] UHM NOTHING LIKE THAT +audio/RES0077.mp3[347.760,354.080] OK AND ANY HEADACHES +audio/RES0077.mp3[354.080,364.680] I HAVE HAD A LITTLE BIT OF A HEADACHE OVER THE LAST DAY USUALLY I GET HEADACHES LIKE THIS WHEN I HAVENT SLEPT WELL +audio/RES0077.mp3[364.680,373.000] OK AND IS IT LIKE A DIFFERENT TYPE OF HEADACHE AND IS IT ON ONE SIDE OF YOUR HEAD OR BOTH +audio/RES0077.mp3[373.000,377.880] YEAH I FEEL IT ON BOTH KINDA LIKE RIGHT UP INTO MY FOREHEAD THERE +audio/RES0077.mp3[377.880,386.040] OK AND IS IT KIND OF LIKE A PRESSURE LIKE PAIN IS IT PULSATING PAIN HOW WOULD YOU DESCRIBE IT +audio/RES0077.mp3[386.040,392.240] I WOULD SAY ITS MORE OF A PRESSURE YEAH +audio/RES0077.mp3[392.240,395.880] OK UH HAVE YOU TRIED ANY MEDICATIONS FOR IT +audio/RES0077.mp3[395.880,406.120] UHM YEAH I TOOK AN ADVIL THIS MORNING ITS TAKEN THE EDGE OFF A LITTLE BIT I WILL USE THAT SOMETIMES WHEN I GET HEADACHES +audio/RES0077.mp3[406.120,410.880] ARE YOU HAVING ANY NAUSEA OR VOMITING +audio/RES0077.mp3[410.880,413.760] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0077.mp3[413.760,419.400] OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE AT ALL +audio/RES0077.mp3[419.400,421.880] NO I HAVENT +audio/RES0077.mp3[421.880,427.040] HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY +audio/RES0077.mp3[427.040,444.520] I DONT THINK SO I WORK AT THE TOYOTA FACTORY AND THERE HAVE BEEN A FEW PEOPLE THAT HAVE BEEN SICK WHO WORKED THERE BUT I DONT THINK IVE BEEN IN CONTACT WITH THEM +audio/RES0077.mp3[444.520,449.720] OK AND ARE YOU HAVING ANY FEVERS OR CHILLS AT ALL +audio/RES0077.mp3[449.720,460.200] I HAVE FELT PRETTY HOT YEAH I WAS SWEATY LAST NIGHT I DIDNT CHECK A TEMPERATURE BUT I FELT FEVERISH +audio/RES0077.mp3[460.200,463.160] OK WERE YOU HAVING NIGHT SWEATS +audio/RES0077.mp3[463.160,471.400] MY BED WASNT DRENCHED OR ANYTHING BUT I WAS SWEATING +audio/RES0077.mp3[471.400,482.600] OK ARE YOU FEELING LIKE YOU HAVE LOST ANY SENSE OF TASTE OR SMELL AT ALL +audio/RES0077.mp3[482.600,487.360] UHM YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL +audio/RES0077.mp3[487.360,491.240] OK AND WHEN DID THAT START +audio/RES0077.mp3[491.240,495.760] THAT MAY BE WITHIN THE LAST TWO DAYS AS WELL +audio/RES0077.mp3[495.760,506.360] OK AND ARE YOU CONGESTED AT ALL LIKE DO YOU HAVE A RUNNY NOSE OR ANYTHING LIKE THAT +audio/RES0077.mp3[506.360,509.520] NO I DONT HAVE ANYTHING LIKE THAT +audio/RES0077.mp3[509.520,518.360] OK YEAH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +audio/RES0077.mp3[518.360,521.560] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0077.mp3[521.560,526.920] OK ANY MUSCLE ACHES +audio/RES0077.mp3[526.920,532.000] YEAH I HAVE FELT A BIT SORE +audio/RES0077.mp3[532.000,534.320] WHERE WOULD YOU SAY YOU FEEL SORE +audio/RES0077.mp3[534.320,538.840] JUST KIND OF ALL OVER MY WHOLE BODY JUST KIND OF FEELS A BIT ACHY +audio/RES0077.mp3[538.840,543.040] OK AND WHEN DID THIS START +audio/RES0077.mp3[543.040,555.800] YEAH PROBABLY LIKE LAST NIGHT THIS MORNING WHEN I WAS LAYING DOWN AND JUST FELT A BIT TIRED AND ACHY +audio/RES0077.mp3[555.800,562.400] OK HAS YOUR SLEEP OR APPETITE CHANGED AT ALL +audio/RES0077.mp3[562.400,578.160] I DIDNT SLEEP VERY GOOD LAST NIGHT I JUST DONT FEEL VERY RESTED THIS MORNING AND YEAH I HAVENT FELT VERY HUNGRY EITHER +audio/RES0077.mp3[578.160,586.320] OK UHM ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU TAKE ANY MEDICATIONS FOR +audio/RES0077.mp3[586.320,589.440] NO I DONT TAKE ANY MEDICATIONS +audio/RES0077.mp3[589.440,599.640] OK AND HAVE YOU HAD ANY SURGERIES OR HAVE BEEN HOSPITALIZED BEFORE +audio/RES0077.mp3[599.640,608.360] I DID HAVE TUBES IN MY EARS WHEN I WAS LITTLE BUT THATS IT THOUGH +audio/RES0077.mp3[608.360,611.920] OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +audio/RES0077.mp3[611.920,633.800] YEAH MY DAD HAD A TRIPLE BYPASS SURGERY DONE LAST LAST YEAR HE WAS SIXTYTHREE AT THE TIME AND THATS ABOUT IT +audio/RES0077.mp3[633.800,639.680] OK AND YOU DONT HAVE ANY HIGH BLOOD PRESSURE OR ANYTHING LIKE THAT RIGHT +audio/RES0077.mp3[639.680,645.680] NO NOT THAT I KNOW OF +audio/RES0077.mp3[645.680,649.520] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0077.mp3[649.520,658.120] UHM JUST ENVIRONMENTAL STUFF I THINK JUST LIKE IN THE SPRINGTIME ILL GET ITCHY EYES OR A RUNNY NOSE +audio/RES0077.mp3[658.120,664.520] OK AND CURRENTLY DO YOU WORK +audio/RES0077.mp3[664.520,672.480] I DO YEAH I WORK AT A CAR FACTORY NEARBY JUST ON THE ASSEMBLY LINE +audio/RES0077.mp3[672.480,680.640] AND HAVE YOU BEEN OFF OF WORK RIGHT NOW WITH YOUR SYMPTOMS HOW IS THAT GOING +audio/RES0077.mp3[680.640,703.360] OH YEAH JUST LIKE THESE LAST TWO DAYS I CALLED IN AND I LET THEM KNOW AND I LEFT WORK EARLY YESTERDAY WHEN I REALIZED THAT I WAS FEELING SICK AND DIDNT GO IN THIS MORNING +audio/RES0077.mp3[703.360,710.360] OK UH AND WHATS YOUR LIVING SITUATION LIKE +audio/RES0077.mp3[710.360,718.040] SO I LIVE WITH MY GIRLFRIEND AND WE HAVE A SON WHOS FOUR YEARS OLD +audio/RES0077.mp3[718.040,721.320] OK AND ANY ONE OF THEM HAVING ANY SIMILAR SYMPTOMS +audio/RES0077.mp3[721.320,731.520] NO THEYVE BEEN GOOD MY WIFE WORKS FROM HOME AND MY SON HES BEEN HIS PLAYFUL SELF +audio/RES0077.mp3[731.520,741.640] OK THATS GOOD OK LAST FEW QUESTIONS DO YOU SMOKE AT ALL +audio/RES0077.mp3[741.640,742.840] NO I DONT +audio/RES0077.mp3[742.840,749.440] DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0077.mp3[749.440,750.920] UH NO I DONT +audio/RES0077.mp3[750.920,756.760] OK AND DO YOU DRINK ALCOHOL +audio/RES0077.mp3[756.760,764.640] ILL HAVE SOME WINE WITH DINNER MAYBE TWO OR THREE NIGHTS A WEEK +audio/RES0077.mp3[764.640,836.480] OK YEAH THOSE ARE ALL THE QUESTIONS I HAD TODAY AND IT SEEMS THAT DEFINITELY THERE ARE SOME CONCERNING SYMPTOMS LIKE THE SHORTNESS OF BREATH AND THE COUGH ESPECIALLY ALSO THE LOSS OF SMELL THAT YOURE HAVING WE DEFINITELY WANT TO MAKE SURE THAT YOU DONT HAVE CORONAVIRUS SO WE WILL DO A TEST FOR YOU TODAY AND WHAT WE RECOMMEND IN THE MEANTIME IS TO SELF ISOLATE EVEN IN YOUR HOME WEAR A MASK AROUND YOUR FAMILY IF YOU CAN LIKE EAT SEPARATELY DONT GO OUTSIDE AND BE OFF OF WORK UNTIL THE TEST RESULTS COME BACK AND THEN EVEN AFTER THAT YOU MIGHT NEED TO FOLLOW INSTRUCTIONS OF PUBLIC HEALTH AND SELF ISOLATE FOR 14 DAYS IF NOT CORONAVIRUS HOPEFULLY THEN IT CAN ALSO BE OTHER THINGS LIKE OTHER VIRUSES CAN CAUSE SIMILAR SYMPTOMS AS WELL BUT YEAH SO WELL JUST GET THAT TEST DONE AND THEN SEE WHERE TO GO FROM THERE +audio/RES0077.mp3[836.480,839.120] OK THAT SOUNDS GREAT THANK YOU +audio/RES0077.mp3[839.120,843.240] YOU WELCOME TAKE CARE BYE +audio/RES0175.mp3[0.000,1.800] HOW MAY I HELP YOU +audio/RES0175.mp3[1.800,25.200] HEY IVE JUST BEEN FEELING KIND OF ILL OVER THE PAST TWO DAYS AND UH I THOUGHT ID JUST COME IN TO SEE WHATS GOING ON SO IVE HAD UM UM I WAS FEELING VERY ACHY AND I HAD A COUGH AND THEN I THINK YESTERDAY NIGHT I DEVELOPED A FEVER +audio/RES0175.mp3[25.200,33.960] OK AND SO UM LAST NIGHT YOU DEVELOPED A FEVER WHAT UH DID YOU CHECK YOUR TEMPERATURE +audio/RES0175.mp3[33.960,38.960] UM I DIDNT BUT IM PRETTY SURE I HAVE A FEVER AND LIKE I CAN FEEL IT +audio/RES0175.mp3[38.960,43.040] OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS +audio/RES0175.mp3[43.040,46.960] I HAD CHILLS LAST NIGHT +audio/RES0175.mp3[46.960,51.200] OK UH SO YOU MENTIONED YOUVE HAD A COUGH AS WELL AND WHEN DID THAT START +audio/RES0175.mp3[51.200,53.880] TWO DAYS AGO +audio/RES0175.mp3[53.880,57.920] AND IS THE COUGH BEEN UM PRODUCING ANY PHLEGM OR SPUTUM +audio/RES0175.mp3[57.920,61.720] NO ITS KIND OF DRY COUGH NOTHING +audio/RES0175.mp3[61.720,65.800] ALRIGHT HOW ABOUT ANY ANY BLOOD +audio/RES0175.mp3[66.560,78.600] OK AND YOUVE HAD MUSCLE ACHES HAS THIS BEEN LIKE A WHOLE BODY TYPE OF FEELING OR IS IT ANY PARTICULAR MUSCLES THAT HURT +audio/RES0175.mp3[78.600,80.600] ITS ALL OVER +audio/RES0175.mp3[80.600,82.760] OK HAVE YOU HAD ANY HEADACHES +audio/RES0175.mp3[84.360,89.440] ALRIGHT AND HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH +audio/RES0175.mp3[89.440,93.640] ITS A NEW COUGH +audio/RES0175.mp3[93.640,97.840] HAVE YOU HAD ANY WHEEZING WITH THE COUGH +audio/RES0175.mp3[97.840,100.200] A LITTLE BIT +audio/RES0175.mp3[100.200,105.360] YEAH SO YOUVE HAD WHEEZING AS WELL ARE YOU ABLE TO TO HEAR IT +audio/RES0175.mp3[105.360,116.880] YEAH ITS JUST LIKE I CAN KIND OF LIKE TELL WHEN IM BREATHING LIKE IT JUST YEAH IT SOUNDS DIFFERENT I DONT KNOW WHAT A WHEEZE SOUNDS LIKE BUT IT JUST SOUNDS DIFFERENT +audio/RES0175.mp3[116.880,119.160] OK UM AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0175.mp3[119.160,124.320] UH UH SORRY CAN YOU SAY THAT AGAIN +audio/RES0175.mp3[124.320,129.760] SORRY UM DID YOU HAVE ANY CHEST PAIN +audio/RES0175.mp3[129.760,131.040] UH NO +audio/RES0175.mp3[131.040,140.640] OK UM HAVE YOU HAD ANY UH UM SYMPTOMS SUCH AS RED EYES OR OR ITCHY EYES OR RUNNY NOSE +audio/RES0175.mp3[142.040,144.600] OK HAVE YOU HAD A SORE THROAT +audio/RES0175.mp3[145.800,147.360] ANY NAUSEA OR VOMITING +audio/RES0175.mp3[152.280,158.240] OK HOW ABOUT A LOSS OF TASTE OR LOSS OF SMELL +audio/RES0175.mp3[158.240,167.960] UH YEAH I KIND OF JUST FOODS HAVE JUST BEEN TASTING LITTLE BLAND SINCE YESTERDAY +audio/RES0175.mp3[167.960,173.360] OK SO YEAH I LOST OF TASTE TODAY HAVE YOU HAD A RUNNY NOSE AT ALL +audio/RES0175.mp3[174.640,181.440] OK ANY ABDOMINAL PAIN OR DIARRHEA +audio/RES0175.mp3[182.960,187.920] ANY URINARY PROBLEMS LIKE UH PAIN OR FREQUENCY +audio/RES0175.mp3[187.920,204.520] UHM I UH I IVE HAD THAT FOR A WHILE LIKE ITS JUST I THINK MY PROSTATES KIND OF LARGE SO ITS ITS HARD FOR ME TO LIKE I PEE VERY FREQUENTLY +audio/RES0175.mp3[204.520,215.120] OK AND OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +audio/RES0175.mp3[217.120,220.000] UH AND HOW IS YOUR ENERGY BEEN +audio/RES0175.mp3[220.000,223.480] IVE BEEN FEELING A LITTLE TIRED +audio/RES0175.mp3[223.480,241.520] ALRIGHT SO YOUVE HAD THIS DRY COUGH THAT STARTED TWO DAYS AGO BEEN FEELING FEVERISH HAVE HAD SOME MUSCLE ACHES BEEN TIRED AND ALSO A LOSS OF TASTE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0175.mp3[241.520,245.560] NO THATS I THINK THAT COVERS IT ALL +audio/RES0175.mp3[245.560,259.080] OK OH SORRY I ASKED ABOUT CHEST PAIN BUT HAVE YOU HAD ANY LIKE DIZZINESS OR FEELING LIKE YOURE GOING TO FAINT OR EVEN LIKE YOUR HEARTS RACING REALLY FAST +audio/RES0175.mp3[260.320,264.120] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0175.mp3[264.120,269.760] UM JUST A LARGE PROSTATE ITS NOT CANCER OR ANYTHING ITS JUST KIND OF LARGE +audio/RES0175.mp3[269.760,274.680] OK SO I HAVE YOU HEARD OF BPH BEFORE +audio/RES0175.mp3[274.680,277.200] YEAH I THINK THATS WHAT THE DOCTOR SAID +audio/RES0175.mp3[277.200,282.120] OK AND DO YOU TAKE ANY MEDICATIONS FOR THAT OR FOR ANY OTHER REASON +audio/RES0175.mp3[282.120,294.880] YEAH I DO I DO TAKE A I THINK A MEDICATION FOR THAT UHM ITS CALLED TAMSULOSIN +audio/RES0175.mp3[294.880,303.440] OK YEAH CALL ME WHAT IS LIKE FLOMAX OR OR TAMSULOSIN BUT THERE ARE THERE ARE OTHERS FOR SURE +audio/RES0175.mp3[303.440,306.520] YEAH I THINK I THINK ITS CALLED FLOMAX +audio/RES0175.mp3[306.520,322.640] OK YEAH ITS THE BRAND NAME FOR IT BUT LOTS OF YEAH LOTS OF DIFFERENT NAMINGS CAN BE HARD FOR THE MEDICATION SOMETIMES AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS +audio/RES0175.mp3[323.760,328.160] DO YOU HAVE ANY ALLERGIES +audio/RES0175.mp3[332.000,340.000] OK UM AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0175.mp3[340.000,346.240] I JUST LIVE WITH WIFE IN AN APARTMENT +audio/RES0175.mp3[346.240,349.600] OK AND HAS SHE HAD ANY SYMPTOMS OR BEEN SICK AT ALL +audio/RES0175.mp3[349.600,351.520] OH NO SHES FEELING GOOD +audio/RES0175.mp3[351.520,357.200] HAVE YOU HAD ANY SICK CONTACTS +audio/RES0175.mp3[357.200,371.720] I DONT NO I HAVENT I DONT THINK SO I MEAN POTENTIALLY I WAS I WAS ACTUALLY OUT WITH MY FRIENDS BUT NO ONE WAS SICK +audio/RES0175.mp3[371.720,376.560] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0175.mp3[378.720,381.760] OK AND DO YOU SMOKE CIGARETTES +audio/RES0175.mp3[381.760,391.120] I USED TO I QUIT I QUIT 10 YEARS AGO I USED TO SMOKE ABOUT TWO OR THREE CIGARETTES A DAY FOR 20 YEARS +audio/RES0175.mp3[391.120,394.200] OK WELL CONGRATULATIONS ON QUITTING THATS GREAT +audio/RES0175.mp3[396.600,399.440] DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS +audio/RES0175.mp3[400.440,402.240] DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0175.mp3[404.320,407.480] AND DO YOU DRINK ALCOHOL +audio/RES0175.mp3[407.480,416.760] YEAH MAYBE SOMETIMES ONCE OR TWICE A MONTH MAYBE A GLASS OR TWO AT A TIME +audio/RES0175.mp3[416.760,421.640] OK UH AND ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +audio/RES0175.mp3[421.640,441.160] UHM YEAH I THINK ITS CALLED HYPERTROPHIC CARDIOMYOPATHY WHERE PEOPLE KIND OF DIE EARLY PEOPLE GET LIKE PEOPLE IN MY FAMILY GOT HEART ATTACKS VERY EARLY ON IN THEIR 30S MY BROTHER DIED AND WHEN HE WAS 15 +audio/RES0175.mp3[441.160,447.800] OH WOW SORRY TO HEAR THAT AND UH HAS THAT BEEN LOOKED INTO FOR YOURSELF +audio/RES0175.mp3[447.800,456.560] OH YEAH I SEE A CARDIOLOGIST I GET REGULAR CHECKUPS DONE +audio/RES0175.mp3[456.560,473.880] OK AND OK AND UH SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANY ANYTHING ELSE THAT YOU WANTED TO MENTION OR ANYTHING YOU WERE CONCERNED ABOUT +audio/RES0175.mp3[476.080,509.760] OK UM SO WITH YOUR YOUR SYMPTOMS TODAY THEY DO OVERLAP POTENTIALLY WITH COVID AND SO WHAT WELL NEED TO DO OR WILL WELL ITLL BE IMPORTANT TO DO A SWAB TO TEST FOR COVID IT COULD BE SOMETHING ELSE LIKE THE COMMON COLD LIKE ANOTHER TYPE OF VIRAL ILLNESS BUT BECAUSE OF THE PANDEMIC IT WILL BE IMPORTANT TO SELF ISOLATE INCLUDING FROM YOUR WIFE FOR THE NEXT 14 DAYS AND WELL GET BACK TO YOU WITH THE RESULTS AS SOON AS WE CAN +audio/RES0175.mp3[509.760,513.000] SURE THANK YOU +audio/RES0078.mp3[0.000,2.680] HOW MAY I HELP YOU +audio/RES0078.mp3[2.680,10.000] IVE BEEN HAVING DIFFICULTIES BREATHING OVER THESE LAST FEW DAYS +audio/RES0078.mp3[10.000,16.600] WHEN DID IT START +audio/RES0078.mp3[16.600,22.920] IT STARTED ABOUT LIKE THREE OR FOUR DAYS AGO +audio/RES0078.mp3[22.920,26.720] OK AND SINCE THEN HAS IT GOTTEN ANY BETTER OR WORSE +audio/RES0078.mp3[26.720,35.360] IT HAS MAYBE GOTTEN A LITTLE BIT WORSE BUT NOT MAYBE A LITTLE WORSE +audio/RES0078.mp3[35.360,47.840] AND ARE THERE CERTAIN TIMES WHEN YOU FEEL THAT YOURE MORE SHORT OF BREATH THAN OTHER TIMES ANYTHING IN PARTICULAR THAT YOURE DOING THAT MAKES IT WORSE +audio/RES0078.mp3[47.840,61.120] UHM NOT REALLY ITS KIND OF I JUST FEEL LIKE ITS JUST MORE DIFFICULT TO BREATHE UH MOST OF THE TIME +audio/RES0078.mp3[61.120,63.280] AND HAS THIS HAPPENED TO YOU BEFORE +audio/RES0078.mp3[63.280,73.880] UHM NOT LIKE NO NOTHING LIKE THIS HAS HAPPENED BEFORE +audio/RES0078.mp3[73.880,78.600] OK DO YOU HAVE A HISTORY OF ANY LUNG PROBLEMS +audio/RES0078.mp3[78.600,80.760] NO I DONT IVE BEEN HEALTHY +audio/RES0078.mp3[80.760,88.440] SO NO COPNO ASTHMA NOTHING LIKE THAT RIGHT +audio/RES0078.mp3[88.440,97.800] NO NOTHING LIKE THAT +audio/RES0078.mp3[97.800,112.200] OK SO YOURE JUST HAVING DIFFICULTIES BREATHING FOR THE PAST THREEFOUR DAYS DO YOU HAVE ANY UH DO YOU HAVE A COUGH +audio/RES0078.mp3[112.200,123.760] I DID HAVE A UH YEAH IVE HAD A COUGH AS WELL OVER THESE LAST FEW DAYS +audio/RES0078.mp3[123.760,127.280] AND HAS IT BEEN A DRY COUGH OR WET COUGH +audio/RES0078.mp3[127.280,138.480] IVE BEEN BRINGING UP SOME LIKE UH WHITISH SPUTUM ITS LIKE YEAH WHITISH OR CLEAR +audio/RES0078.mp3[138.480,144.680] AND YOU HAVENT SEEN BLOOD ANYTIME RIGHT IN YOUR SPUTUM +audio/RES0078.mp3[147.600,155.000] OK AND HAS THE COUGH GOTTEN ANY WORSE OVERTIME +audio/RES0078.mp3[155.000,162.920] UH ITS BEEN ABOUT THE SAME +audio/RES0078.mp3[162.920,167.040] AND HAVE YOU HAD FEVERS OR CHILLS +audio/RES0078.mp3[167.040,178.080] I HAVE FELT HOT BUT NO CHILLS +audio/RES0078.mp3[178.080,186.520] OK WHAT ABOUT ANY REDNESS IN YOUR EYES OR ANY CONGESTION IN YOUR NOSE +audio/RES0078.mp3[186.520,189.320] UH I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0078.mp3[189.320,193.080] OK HAVE YOU HAD A SORE THROAT +audio/RES0078.mp3[193.080,207.800] UH ITS FELT A LITTLE ITCHY I GUESS BUT NO PAIN WITH SWALLOWING +audio/RES0078.mp3[207.800,216.440] AND DO YOU HAVE ANY CHEST PAIN OR CHEST PRESSURE +audio/RES0078.mp3[216.440,225.680] YEAH WHEN I LIKE UH TAKE A DEEP BREATH OR AFTER AFTER I COUGH IVE BEEN HAVING SOME CHEST PAIN +audio/RES0078.mp3[225.680,239.160] TO GIVE IT A NUMBER FROM ONE TO TEN WHAT WOULD YOU SAY IN TERMS OF HOW SEVERE IT IS WITH TEN BEING THE WORST PAIN EVER +audio/RES0078.mp3[239.160,250.960] I WOULD SAY MAYBE SIX IT FEELS PRETTY SHARP WHEN IT HAPPENS AND IT GOES AWAY AFTER A FEW MINUTES +audio/RES0078.mp3[250.960,260.080] OK AND WHERE EXACTLY IS IT IS THE PAIN +audio/RES0078.mp3[260.080,266.160] UH YEAH I KIND OF FEEL IT YEAH JUST OVER ON THE RIGHT SIDE OF THE STERNUM +audio/RES0078.mp3[266.160,283.200] OK ALRIGHT AND DOES IT RADIATE ANYWHERE DOES IT GO ANYWHERE OTHER THAN THAT ONE LOCATION +audio/RES0078.mp3[283.200,292.000] NO I FEEL IT JUST IN THE ONE SPOT +audio/RES0078.mp3[292.000,298.560] OK UHM AND HAS THAT PAIN GOTTEN WORSE OVERTIME +audio/RES0078.mp3[298.560,310.240] NO THAT PAIN STARTED I GUESS LIKE TWO DAYS AGO MORE RECENT THAN THE COUGH OR SHORTNESS OF BREATH +audio/RES0078.mp3[310.240,324.000] I SEE I SEE OK AND SO YOU SAID THAT COUGHING MAKES IT WORSE AND SOMETIMES BREATHING IN SO IS IT JUST NORMAL BREATHING OR WHEN YOURE DOING LIKE DEEP BREATHING +audio/RES0078.mp3[324.000,325.840] DEEP BREATHING +audio/RES0078.mp3[325.840,334.120] DEEP BREATHING HURTS OK ALRIGHT AND YOUVE NEVER EXPERIENCED THIS BEFORE RIGHT +audio/RES0078.mp3[334.120,336.640] NO I HAVENT HAD A PAIN LIKE THIS BEFORE +audio/RES0078.mp3[336.640,344.720] OK WHEN YOU SORT OF TOUCH THAT AREA OVER YOUR CHEST DOES TOUCHING IT MAKE IT WORSE +audio/RES0078.mp3[344.720,357.440] UHM NO I HAVENT NOTICED THAT TOUCHING IT DOESNT MAKE IT WORSE +audio/RES0078.mp3[357.440,362.520] OK UHM ALRIGHT HAVE YOU HAD A HEADACHE +audio/RES0078.mp3[362.520,364.600] UH NO +audio/RES0078.mp3[364.600,371.960] NO OK WHAT ABOUT FATIGUE OR MUSCLE ACHES +audio/RES0078.mp3[371.960,378.240] IVE BEEN FATIGUED NO MUSCLE ACHES +audio/RES0078.mp3[378.240,380.720] OK ANY PAIN IN YOUR BELLY +audio/RES0078.mp3[382.200,385.280] ANY DIARRHEA +audio/RES0078.mp3[389.560,397.840] ANY CHANGES IN YOUR UH ANY CHANGES WHEN YOU PEE +audio/RES0078.mp3[397.840,400.640] UH NOTHING THERE +audio/RES0078.mp3[400.640,404.800] NO OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN +audio/RES0078.mp3[405.880,411.240] OK ANY CHANGES IN YOUR SENSE OF TASTE +audio/RES0078.mp3[411.960,415.440] CHANGES IN YOUR SENSE OF SMELL +audio/RES0078.mp3[420.080,444.960] OK ALRIGHT SO SOUNDS LIKE FOR THE PAST THREEFOUR DAYS YOUVE HAD DIFFICULTIES BREATHING AND A COUGH WITH THIS WHITISH SPUTUM WHITISH OR CLEAR SPUTUM YOUVE ALSO BEEN FEELING A LITTLE BIT FEVERISH HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0078.mp3[444.960,448.960] NO I HAVENT I DONT HAVE A THERMOMETER AT HOME +audio/RES0078.mp3[448.960,467.200] YEAH NO PROBLEM AND YOUR THROATS BEEN A LITTLE BIT ITCHY AND THEN TWO DAYS AGO YOU ALSO STARTED HAVING THIS PAIN IN YOUR CHEST IS THERE ANY OTHER SYMPTOM THAT I HAVE NOT MENTIONED THAT YOU HAVE BEEN EXPERIENCING OVER THE PAST COUPLE OF DAYS +audio/RES0078.mp3[467.200,469.560] NO THATS EVERYTHING +audio/RES0078.mp3[469.560,479.480] YEAH OK AND YOU MENTIONED THAT YOU DONT HAVE A HISTORY OF ASTHMA OR COPDO YOU HAVE ANY OTHER MEDICAL CONDITIONS +audio/RES0078.mp3[479.480,485.800] I HAVE HIGH BLOOD PRESSURE AND I TAKE AMLODIPINE FOR THAT +audio/RES0078.mp3[485.800,496.040] OK ANY OTHER OVER THE COUNTER MEDICATIONS OR ANY OTHER MEDICATION THAT YOURE ON +audio/RES0078.mp3[497.960,500.520] ANY ALLERGIES +audio/RES0078.mp3[500.520,502.200] NO ALLERGIES +audio/RES0078.mp3[502.200,509.760] OK AND WHERE DO YOU CURRENTLY LIVE +audio/RES0078.mp3[509.760,513.600] IN A TOWNHOUSE JUST OUTSIDE OF THE CITY HERE +audio/RES0078.mp3[513.600,515.480] I SEE DO YOU LIVE ALONE +audio/RES0078.mp3[515.480,523.600] NO I LIVE WITH MY WIFE AND DAUGHTER +audio/RES0078.mp3[523.600,540.600] AND HAVE YOUR WIFE AND DAUGHTER BEEN SICK RECENTLY OR HAVE EITHER OF YOU HAD CONTACT WITH SOMEONE WHOS BEEN SICK +audio/RES0078.mp3[540.600,561.440] IVE BEEN WORKING FROM HOME UHM BUT MY DAUGHTER HAS RECENTLY STARTED GOING BACK TO HIGH SCHOOL AND SHES HAD A RUNNY NOSE RECENTLY AND A SORE THROAT BUT THATS ABOUT IT +audio/RES0078.mp3[561.440,564.040] AND WHAT ABOUT YOUR WIFE +audio/RES0078.mp3[564.040,566.880] SHES BEEN FINE YEAH SHES BEEN HEALTHY +audio/RES0078.mp3[566.880,585.280] OK GOOD OTHER THAN YOUR DAUGHTER HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE WHO MIGHT HAVE WHO MIGHT BE SICK OR MIGHT HAVE SYMPTOMS SIMILAR TO WHAT YOUR DAUGHTER HAS +audio/RES0078.mp3[585.280,588.880] I DONT THINK SO +audio/RES0078.mp3[588.880,593.520] OK ALRIGHT AND DO YOU HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0078.mp3[593.520,597.760] NO IVE BEEN JUST UH WORKING FROM HOME +audio/RES0078.mp3[597.760,600.560] OK AND DO YOU SMOKE +audio/RES0078.mp3[603.640,605.400] EVER SMOKED IN THE PAST +audio/RES0078.mp3[605.400,607.920] NO IVE NEVER SMOKED BEFORE +audio/RES0078.mp3[609.760,617.480] I MEAN ILL HAVE A JOINT SOMETIMES WITH FRIENDS AT A PARTY OR SOMETHING BUT THATS MAYBE ONCE A MONTH +audio/RES0078.mp3[617.480,622.480] SURE AND ANY STREET DRUGS +audio/RES0078.mp3[622.480,625.240] NOPE NOTHING LIKE THAT +audio/RES0078.mp3[625.240,628.760] OK AND DO YOU DRINK ALCOHOL +audio/RES0078.mp3[628.760,636.280] I HAVE A BEER A COUPLE OF TIMES PER WEEK +audio/RES0078.mp3[636.280,647.120] ALRIGHT AND YOU TOLD ME ABOUT YOUR MEDICAL HISTORY BUT DO YOU HAVE HAVE YOU EVER HAD ANY SURGERIES OR ANY HOSPITALIZATIONS IN THE PAST +audio/RES0078.mp3[647.120,658.000] UH IVE HAD A HERNIA REPAIR ABOUT SEVEN YEARS AGO I HAVENT HAD ANY ISSUES SINCE +audio/RES0078.mp3[658.000,666.160] ALRIGHT OK UHM AND ARE THERE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +audio/RES0078.mp3[666.160,679.960] UHM MY GRANDFATHER HAD A HEART ATTACK IN HIS SEVENTIES AND I THINK MY DAD HAS HIGH BLOOD PRESSURE AS WELL BUT I THINK THATS IT +audio/RES0078.mp3[679.960,701.920] ALRIGHT WELL SO I THINK THATS ALL THAT I WANTED TO KNOW I CAN SEE THAT YOU HAVENT BEEN FEELING WELL OVER THE PAST COUPLE OF DAYS AND ILL GO BACK TO MY ATTENDING AND WE WILL COME BACK AND CHAT WITH YOU LITTLE BIT MORE AND DO A PHYSICAL EXAM AND GO FROM THERE +audio/RES0078.mp3[701.920,704.240] SOUNDS GOOD THANK YOU +audio/RES0078.mp3[704.240,712.880] YOURE WELCOME +audio/RES0208.mp3[0.000,2.800] WHAT BRINGS YOU IN TODAY +audio/RES0208.mp3[2.800,23.240] HEY SO I JUST FOR THE LAST COUPLE DAYS IVE JUST BEEN FEELING REALLY SHORT OF BREATH REALLY RUNDOWN JUST LIKE SUPER TIRED AND YOU KNOW NORMALLY REALLY ACTIVE AND IM JUST IM JUST HAVING A ROUGH GO +audio/RES0208.mp3[23.240,27.760] IS THERE IS THE SHORTNESS OF BREATH KNEW FOR YOU +audio/RES0208.mp3[27.760,50.920] YEAH YEAH ITS JUST LIKE JUST LIKE I CANT I DONT KNOW LIKE I CANT CATCH UP I KIND OF JUST FEEL I FEEL A BIT WEAK LIKE IVE JUST BEEN FEELING REALLY TIRED AND THEN BECAUSE OF THAT I HAVENT REALLY BEEN EATING A LOT SO YEAH I DONT KNOW +audio/RES0208.mp3[50.920,61.280] SO YOUVE JUST BEEN FEELING VERY TIRED CAN YOU I GUESS LIKE TELL ME A LITTLE BIT MORE ABOUT YOUR DIFFICULTY WITH BREATHING WHEN DOES IT HAPPEN +audio/RES0208.mp3[61.280,79.800] I THINK JUST LIKE OVERALL IM FINDING IT LIKE ITS HARD TO HARD TO GET LIKE SUPER DEEP BREATHS ITS NOT LIKE I I CANT I DONT GET THE FEELING THAT I CANT BREATHE ITS JUST THAT EVERYTHINGS A LITTLE BIT MORE LIKE LABORIOUS +audio/RES0208.mp3[79.800,98.600] OK AND YOU SAID THAT IT STARTED A FEW DAYS AGO HAVE YOU HAD ANY OTHER SYMPTOMS OTHER THAN THE DIFFICULTY BREATHING AND THE FATIGUE +audio/RES0208.mp3[98.600,125.120] I MEAN I FELT I THINK I FELT REALLY HOT YESTERDAY I DONT KNOW THE THERMOMETER BUT I HAD MY WIFE PUT HER PUT HER HAND ON MY FOREHEAD AND SHE GOT A I FELT PRETTY WARM AND COME TO THINK OF IT I THIS MORNING I I REALLY I DIDNT EAT MUCH BECAUSE I JUST HAVENT BEEN THAT HUNGRY BUT I DONT REALLY FEEL LIKE I COULDNT REALLY TASTE MY BREAKFAST +audio/RES0208.mp3[125.120,129.560] HAS THAT EVER HAPPENED TO YOU BEFORE +audio/RES0208.mp3[129.560,134.440] NO NEVER I LIKE I LIKE MY FOOD +audio/RES0208.mp3[134.440,147.800] ME TOO UM OK WHAT ABOUT YOUR SENSE OF SMELL DO YOU FEEL LIKE YOURE NOT YOU ARE NOT ABLE TO SMELL WELL EITHER +audio/RES0208.mp3[147.800,154.880] I HAVENT THOUGHT ABOUT IT TOO HARD BUT YEAH KIND OF +audio/RES0208.mp3[154.880,161.240] OK AND HAVE YOU HAD A COUGH +audio/RES0208.mp3[161.240,165.040] UH I DONT KNOW I I FEEL LIKE I MAYBE COULD BE STARTING STARTING ONE +audio/RES0208.mp3[166.000,171.440] LIKE ITS WHEN IT FEELS DRY LIKE ITS ON ITS WAY HAVENT REALLY BEEN COUGHING MUCH +audio/RES0208.mp3[171.440,175.480] I SEE WHAT ABOUT A SORE THROAT +audio/RES0208.mp3[175.480,184.560] I’M STARTING TO FEEL A LITTLE BIT LIKE THAT LIKE I DONT KNOW IF IM IMAGINING IT BUT YEAH I I THINK SO +audio/RES0208.mp3[184.560,191.280] I SEE OK HAVE YOU HAD A RUNNY NOSE OR ANY CONGESTION +audio/RES0208.mp3[192.760,195.520] ANY HEADACHES +audio/RES0208.mp3[195.520,210.280] UH GOOD QUESTION I I KIND OF I GET I GET HEADACHES FAIRLY OFTEN I DONT THINK IM GETTING ANY MORE THAN USUAL BUT I HAVE HAD A LITTLE BIT +audio/RES0208.mp3[210.280,219.720] OK IS THE HEADACHE THAT YOUVE HAD DIFFERENT IN QUALITY FROM THE HEADACHES THAT YOU USUALLY GET +audio/RES0208.mp3[219.720,228.320] I MEAN I DONT KNOW I DONT KNOW I USUALLY GET KIND OF DIFFICULT STRESS HEADACHE YOU KNOW +audio/RES0208.mp3[228.320,229.080] YEAH YEAH +audio/RES0208.mp3[229.080,236.360] PRETTY WELL I AM STRESSED JUST THAT I YOU KNOW MIGHT BE SICK +audio/RES0208.mp3[236.360,240.840] AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0208.mp3[240.880,246.760] IN THE PAST THREE FOUR DAYS NO OK ANY NAUSEA OR VOMITING +audio/RES0208.mp3[246.760,248.960] NO NO I HAVENT +audio/RES0208.mp3[248.960,256.120] HAVE YOU HAD ANY CHEST PAIN +audio/RES0208.mp3[256.120,260.120] UH LIKE ITS NO YEAH NO NO CHEST PAIN +audio/RES0208.mp3[260.120,265.240] ANY DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST +audio/RES0208.mp3[265.240,267.440] NO I WOULDNT SAY SO +audio/RES0208.mp3[267.440,273.400] OK HAVE YOU HAD ANY PAIN IN YOUR BELLY +audio/RES0208.mp3[273.400,282.160] NO CAUSE I I MEANT I HAVEN’T REALLY BEEN EATING BUT YEAH +audio/RES0208.mp3[282.160,286.520] OK ANY URINARY SYMPTOMS +audio/RES0208.mp3[286.520,289.320] NO I DONT THINK SO +audio/RES0208.mp3[289.320,300.960] OK AND YOU MENTIONED YOU HAVE MUSCLE ACHES IS IT SO ALL OVER YOUR BODY OR IS IT A SPECIFIC PART SPECIFIC AREA +audio/RES0208.mp3[300.960,304.040] I WOULD JUST SAY I FEEL KIND OF OVERALL ACHY +audio/RES0208.mp3[304.800,307.880] UM NOT ANY ONE SPOT +audio/RES0208.mp3[307.880,311.760] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS +audio/RES0208.mp3[311.760,318.200] UH NO +audio/RES0208.mp3[318.200,330.080] OK ALL RIGHT HAVE YOU HAD ANY EXPOSURE TO ANYONE WHO COULD POTENTIALLY BE SICK +audio/RES0208.mp3[330.080,358.920] WELL MY GRANDKIDS UH VISITED LAST WEEKEND AND MY GRANDSON HAS A COLD HE GOES TO DAYCARE YEAH SO IM NOT REALLY IM NOT REALLY SURE LIKE HES BEEN STAYING HOME AND THEY DIDNT THEY DIDNT REALLY KNOW THAT WHEN THEY CAME TO VISIT +audio/RES0208.mp3[358.920,370.160] OK THATS YEAH UHM OK AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +audio/RES0208.mp3[370.160,374.760] NO NO +audio/RES0208.mp3[374.760,384.760] OK ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0208.mp3[384.760,411.600] UHM IM PRETTY IM PRETTY HEALTHY I HAVE SOME UM LIKE REFLUX THAT I SEE MY DOCTOR FOR AND IVE HAD IVE HAD SOME DIFFICULTIES LIKE WITH LIKE URINATING A LITTLE BIT YEAH MY MY PROSTATES A LITTLE BIG LIKE ITS NOT CANCER BUT SO JUST THOSE TWO THINGS THAT ARENT THAT ARENT THERE THAT REALLY BIG DEAL THEY DONT AFFECT MY LIFE TOO MUCH +audio/RES0208.mp3[411.600,416.560] ARE YOU TAKING ANY MEDICATIONS FOR EITHER PROBLEM +audio/RES0208.mp3[416.560,422.880] I TAKE AVODART +audio/RES0208.mp3[424.360,438.240] AND FOR THE THE REFLUX I TAKE A TUMS HERE AND THERE I USED TO BE ON A MEDICATION BUT IT SEEMED LIKE I KIND OF FIGURED OUT THE FOODS THAT WERE GOING TO HELP SO I STOPPED +audio/RES0208.mp3[438.240,446.960] GREAT THATS GREAT ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES +audio/RES0208.mp3[446.960,448.800] UH NO NO +audio/RES0208.mp3[448.800,457.960] NO AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY SPECIFICALLY ANYTHING RELATED TO THE LUNGS +audio/RES0208.mp3[457.960,464.840] NO NOT THAT I CAN THINK OF +audio/RES0208.mp3[464.840,473.600] AND DO YOU YOU MENTIONED THAT YOUR GRANDKIDS HAVE CAME TO VISIT DO YOU LIVE ALONE +audio/RES0208.mp3[473.600,477.200] UH NO I LIVE WITH MY WIFE +audio/RES0208.mp3[477.200,485.840] AND ARE YOU CURRENTLY WORKING OR ARE YOU STAYING AT HOME +audio/RES0208.mp3[485.840,507.880] UH IM WORKING FROM HOME I I IVE GONE OUT A FEW TIMES TO SEE CLIENTS I WORK AS A FINANCIAL ADVISOR IVE GONE TO SEE A COUPLE CLIENTS THAT ARE REALLY OLD AND HAVE A HARD TIME DOING STUFF OVER THE PHONE OR OVER THE COMPUTER BUT IM LIKE 95 FROM HOME +audio/RES0208.mp3[507.880,514.240] HAVE YOU GONE TO SEE ANY CLIENTS IN THE PAST THREE OR FOUR DAYS OR IN THE PAST WEEK +audio/RES0208.mp3[514.240,517.640] NO NO ITS PROBABLY BEEN A COUPLE WEEKS SINCE I SAW ANYONE +audio/RES0208.mp3[517.640,525.240] SURE OK AND DO YOU SMOKE OR DID YOU EVER SMOKE AT THE PAST +audio/RES0208.mp3[525.240,538.800] NO I I MAYBE DID FOR MAYBE LIKE THREE YEARS IN MY 20S IT WASN’T HEAVILY YES +audio/RES0208.mp3[538.800,541.760] ANY MARIJUANA OR RECREATIONAL DRUGS +audio/RES0208.mp3[543.800,546.000] ANY ALCOHOL +audio/RES0208.mp3[546.000,552.040] I USUALLY HAVE A WHISKEY OR TWO ON THE WEEKENDS +audio/RES0208.mp3[552.040,585.720] OK ALRIGHT UH SO IT SOUNDS LIKE YOU HAVE SOME SORT OF AN INFECTION WITH THE FEVERS AND FATIGUE AND MUSCLE ACHES AND THEN THE DIFFICULTY BREATHING OF COURSE AND THEN YOUR SENSATION THAT SENSATION THAT YOU ARE HAVING A VERY COOL SORT OF A SORE THROAT AND COUGH THAT YOU MIGHT BE GETTING WE CANT NECESSARILY RULE OUT COVID JUST YET +audio/RES0208.mp3[585.720,589.240] THATS WHAT I WAS WORRIED ABOUT +audio/RES0208.mp3[589.240,645.280] YEAH AND GIVEN THAT YOURE HAVING DIFFICULTIES BREATHING WERE ALSO GOING TO HAVE A LOOK AT YOUR CHEST AND DO IT PHYSICAL EXAM BUT ALSO DO A CHEST X RAY JUST TO MAKE SURE OR JUST TO SEE IF THERES ANYTHING A INFECTION THAT IS SETTLING IN YOUR CHEST AND A COVID SWAB AND THEN UH GO FROM THERE WE’LL DECIDE WHETHER YOU NEED TO STAY IN THE YOU NEED TO STAY IN THE HOSPITAL AND IF YOU CAN GO HOME BASED ON THOSE RESULTS BUT IF YOU ARE TO GO HOME WE WOULD REQUEST THAT YOU STAY AWAY FROM FROM EVERYONE SO INCLUDING YOUR WIFE TRY TO SELF ISOLATE AS MUCH AS POSSIBLE AND YOUR RESULTS SHOULD COME OUT IN 24 TO 48 HOURS AND THEN THE PUBLIC HEALTH NURSE SHOULD TELL YOU WHAT TO DO IF YOUR RESULTS ARE POSITIVE +audio/RES0208.mp3[645.280,648.640] OK OK NO THAT SOUNDS FAIR +audio/RES0208.mp3[648.640,651.640] ALL RIGHT WELL LETS DO A PHYSICAL EXAM AND THEN GO FROM THERE +audio/RES0208.mp3[651.640,654.240] OK THANK YOU +audio/RES0208.mp3[654.240,656.320] YOURE WELCOME +audio/MSK0015.mp3[0.000,1.200] HOW MAY I HELP YOU +audio/MSK0015.mp3[1.200,44.920] YEAH SO IM IM GEORGE THE FATHER MY DAUGHTER IS 5 YEARS OLD AND I NOTICED JUST A FEW DAYS AGO THAT SHE WAS WALKING A LITTLE BIT FUNNY AND KIND OF HAVING A LIMP WHEN SHE CAME BACK FROM SCHOOL AND SINCE SINCE THAT THEN SHES BEEN SAYING THAT IT JUST HURTS TOO MUCH TO PUT ANY WEIGHT ON ON THAT LEG ON THE RIGHT LEG AND SINCE THEN IVE BEEN LIKE CARRYING HER AROUND ITS BEEN VERY PAINFUL FOR HER SO I JUST WANTED TO COME IN AND CHECK WHAT MIGHT BE GOING ON +audio/MSK0015.mp3[44.920,50.720] OK AND SO SO AND THIS WHEN DID THIS EXACTLY START +audio/MSK0015.mp3[50.720,53.880] SO JUST TWO DAYS AGO +audio/MSK0015.mp3[53.880,65.000] OK AN UM DID SHE HAVE ANY TRAUMA TO HER RIGHT HIP OR OR TO HURT YOUR RIGHT LEG LIKE A FALL OR ANY INJURIES +audio/MSK0015.mp3[65.000,86.680] SORRY UM NO NOT THAT I KNOW OF AT LEAST AND SHE HASNT TOLD ME ANYTHING LIKE THAT SHE DOES DO SOME ACTIVITIES SOME SPORTS BUT I HAVENT SEEN HER FALL ANYWHERE +audio/MSK0015.mp3[86.680,96.520] OK UM ALRIGHT AND UH HAS SHE HAS SHE NOT NOT BEEN ABLE TO WALK THEN +audio/MSK0015.mp3[96.520,133.480] YEAH SO IVE IVE BEEN CARRYING AROUND FOR AT LEAST LIKE SHES MISSED SCHOOL TOO BUT BEEN CARRYING HER AROUND FOR THE LAST 1 12 TO TWO DAYS AS SOON AS I HAD LIKE ASK HER TO WALK SHE STARTS KIND OF A HOPPING AND SAYING THAT THERES A LOT OF PAIN NEAR THE TOP OF HER LEG AND BY YOUR HIPS WHENEVER SHE PUTS HER FOOT LIKE A FOOT DOWN SO YEAH SHES IN PAIN CRYING SO I KIND OF HAVE TO CARRY HER +audio/MSK0015.mp3[133.480,143.680] OK AND UH HOW HAS HER BEHAVIOUR BEEN RECENTLY LIKE HER MOOD AND THINGS LIKE THAT +audio/MSK0015.mp3[143.680,170.040] SHES DEFINITELY BEEN MORE JUST A BIT ANXIOUS ABOUT THE PAIN VERY SCARED ABOUT PUTTING HER FOOT DOWN AND JUST OVERALL I THINK ALSO MORE IRRITABLE CRYING MORE BECAUSE OF THE PAIN SO BUT I I GUESS I UNDERSTAND IF THERES SOMETHING GOING ON IT MUST BE VERY PAINFUL +audio/MSK0015.mp3[170.040,175.000] OK AND ALRIGHT HAS SHE HAD ANY FEVERS OR CHILLS +audio/MSK0015.mp3[175.000,202.840] UHM I DID NOTICE A COUPLE OF DAYS AGO SHE FELT A BIT WARM BUT WE DIDNT REALLY MEASURE HER TEMPERATURE OVER THE LAST FEW WEEKS THOUGH SHE HAS HAD A KIND OF A RUNNY NOSE AND A COUGH AND I THINK SHE MIGHT HAVE HAD A FEVER LAST WEEK AS WELL SO SHE HAS BEEN SICK RECENTLY +audio/MSK0015.mp3[202.840,211.480] OK SO IT SOUNDS LIKE SHE MIGHT HAVE HAD A COLD LAST WEEK AND DID LIKE THE RUNNY NOSE AND COUGH GO AWAY +audio/MSK0015.mp3[211.480,222.120] YEAH THE RUNNY NOSE AND COUGH ARE GONE FEVER WAS GONE TOO BUT SHE DID FEEL A LITTLE BIT WARM YESTERDAY SO IM NOT SURE ABOUT THAT +audio/MSK0015.mp3[222.120,227.120] OK SO SHES AT A A BIT WARM NOW STILL OK +audio/MSK0015.mp3[228.240,231.960] HAS SHE HAD ANY ANY HEADACHES +audio/MSK0015.mp3[231.960,233.680] NO NO HEADACHES +audio/MSK0015.mp3[233.680,241.840] ANY SENSORY CHANGES LIKE THINGS TO HER VISION OR HEARING OR TASTE OR SMELL +audio/MSK0015.mp3[242.520,247.960] OK ANY UM SORE THROAT OR COUGH +audio/MSK0015.mp3[249.320,251.520] ALRIGHT ANY SHORTNESS OF BREATH +audio/MSK0015.mp3[252.320,255.400] ANY CHEST PAIN +audio/MSK0015.mp3[257.320,260.720] HAS SHE HAD A LOSS OF APPETITE +audio/MSK0015.mp3[262.360,267.480] OK AND HAS SHE HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0015.mp3[267.480,269.760] OH NO NOTHING LIKE THAT +audio/MSK0015.mp3[269.760,272.240] ANY NIGHT SWEATS +audio/MSK0015.mp3[273.520,277.080] ANY NAUSEA OR VOMITING +audio/MSK0015.mp3[278.160,282.320] ANY ABDOMINAL PAIN +audio/MSK0015.mp3[282.320,283.960] NO ABDOMINAL PAIN +audio/MSK0015.mp3[283.960,289.360] OK ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL +audio/MSK0015.mp3[289.360,292.560] NO NOTHING LIKE THAT +audio/MSK0015.mp3[292.560,299.320] ALRIGHT AND ANY PROBLEMS WITH URINATION LIKE PAIN OR FREQUENCY +audio/MSK0015.mp3[299.320,303.880] NO NOT THAT SHES MENTIONED NO +audio/MSK0015.mp3[303.880,307.720] OK AND ANY SKIN RASHES OR CHANGES +audio/MSK0015.mp3[310.160,317.000] OK AND ANY MUSCLE ACHES OR BODY PAINS OR ANY OTHER PAINS ANYWHERE ELSE +audio/MSK0015.mp3[317.000,323.360] NO ITS MAINLY JUST HER UPPER RIGHT LEG AND HIP +audio/MSK0015.mp3[323.360,327.920] OK I HAVE SHE HAD ANY NUMBNESS OR TINGLING +audio/MSK0015.mp3[327.920,330.760] NO NOT THAT SHES MENTIONED NO +audio/MSK0015.mp3[330.760,337.160] OK AND AND HOW ABOUT A MUSCLE WEAKNESS +audio/MSK0015.mp3[338.960,347.840] NO OK AND ANY CONFUSION OR OR MEMORY LOSS +audio/MSK0015.mp3[347.840,349.640] UM NO +audio/MSK0015.mp3[349.640,358.960] OK IM AND IN THE PAST HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0015.mp3[358.960,388.560] SHE DID HAVE THIS CONDITION WITH HER HIPS DYSPLASIA LIKE DEVELOPMENTAL DYSPLASIA OF THE HIP SO WHEN SHE WAS BORN SHE SHE WAS GETTING LIKE THIS CLICKING NOISE AND HER IN HER HIPS AND SO SHE WAS IN THIS SPLINT FOR PROBABLY ALMOST TWO MONTHS AT THE START LIKE AFTER SHE WAS BORN +audio/MSK0015.mp3[388.560,397.840] OK AND DID HER HIPS DID LIKE WAS SHE ABLE TO WALK AFTERWARDS +audio/MSK0015.mp3[397.840,410.880] YEAH YEAH AND WE WERE SEEING A SPECIALIST AN ORTHOPEDIC SURGEON AND THEY WERE MANAGING HER AND AFTER ONE YEAR THEY STOPPED FOLLOWING HER SHE WAS WELL LIKE SHE WAS WALKING NO ISSUES +audio/MSK0015.mp3[410.880,413.600] OK SO SHES WALKING AROUND ONE YEAR +audio/MSK0015.mp3[414.080,422.600] HAVE YOU HAD ANY OTHER CONCERNS ABOUT HER EITHER SOCIAL OR PHYSICAL DEVELOPMENT +audio/MSK0015.mp3[422.600,443.120] NO SHES BEEN REALLY GREAT SHES GOOD WITH PEOPLE SHES HAS GREAT SOCIAL SKILLS SHE HAS GROWN WELL MET ALL HER MILESTONES SHES DOING REALLY WELL AT SCHOOL AND GETS ALONG WELL WITH HER PEERS AS WELL +audio/MSK0015.mp3[443.120,458.040] OK EXCELLENT AND WERE THERE ANY CONCERNS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HYPERTENSION OR ANY EXPOSURES TO INFECTIONS +audio/MSK0015.mp3[458.040,486.840] NO HER MOMS PREGNANCY WAS PERFECTLY NORMAL SHE WAS BORN LIKE SHE WAS DELIVERED VAGINALLY AT 39 WEEKS SHE WAS BREECH AT THAT TIME WHICH THE DOCTOR SAID MIGHT HAVE TO DO WITH HER CLICKING HIPS BUT YEAH BUT SINCE THEN OR DURING PREGNANCY NO OTHER COMPLICATIONS +audio/MSK0015.mp3[486.840,499.960] OK THATS GREAT AND UH IN REGARDS TO YOU MENTIONED HER HURT HIP ANY OTHER PAST MEDICAL HISTORY +audio/MSK0015.mp3[499.960,503.520] UM NO OTHER THAN THAT SHES BEEN HEALTHY +audio/MSK0015.mp3[503.520,510.240] OK AND DOES SHE TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED +audio/MSK0015.mp3[510.240,514.680] NO NO NO MEDICATIONS +audio/MSK0015.mp3[514.680,518.120] OK ANY ALLERGIES TO MEDICATIONS +audio/MSK0015.mp3[518.120,519.760] NO NOT THAT I KNOW +audio/MSK0015.mp3[519.760,521.440] AND SORRY HAS SHE TAKING ANYTHING FOR THE THE PAIN +audio/MSK0015.mp3[521.440,527.080] NO I HAVENT REALLY GIVEN HER ANYTHING I DIDNT KNOW WHAT TO GIVE +audio/MSK0015.mp3[527.080,537.440] OK ALL RIGHT WELL TALK MORE ABOUT THAT HAS SHE HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/MSK0015.mp3[538.040,547.520] CAN YOU TELL ME ABOUT WHO SHES LIVING WITH AND WHEREABOUTS SHES LIVING +audio/MSK0015.mp3[547.520,566.520] YEAH SO SHES CURRENTLY LIVING AT HOME WITH ME MY WIFE AND SHE HAS AN OLDER BROTHER WE LIVE IN A SMALL HOUSE JUST NEAR NEAR THE CITY +audio/MSK0015.mp3[566.520,573.240] OK AND WHAT DO YOU GUYS DO FOR WORK +audio/MSK0015.mp3[573.240,583.480] YEAH SO IM A LAWYER AND MY WIFE IS A MUSIC TEACHER +audio/MSK0015.mp3[583.480,590.400] OK IS THERE ANYBODY WHO SMOKES IN THE HOME +audio/MSK0015.mp3[590.400,592.800] NO NONE OF US SMOKE +audio/MSK0015.mp3[592.800,597.920] OK UM OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +audio/MSK0015.mp3[597.920,606.400] UHM NO NO FAMILY HISTORY OUR FAMILY IS PRETTY HEALTHY +audio/MSK0015.mp3[606.400,614.400] OK HOW ABOUT ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM +audio/MSK0015.mp3[614.400,616.840] NO NOTHING LIKE THAT +audio/MSK0015.mp3[616.840,625.680] OK AND THEN ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS IN THE FAMILY +audio/MSK0015.mp3[628.600,640.120] OK SO NEXT ON UM JUST THE EXAM UM WHEN YOURE LOOKING AT THE RIGHT HIP ARE YOU SEEING ANY SWELLING REDNESS +audio/MSK0015.mp3[640.120,646.360] UH NO NOT THAT I SEE ANYTHING +audio/MSK0015.mp3[646.360,652.760] NO OK AND IS THERE ANY LIKE MUSCLE ATROPHY AROUND THE HIP +audio/MSK0015.mp3[652.760,656.160] NO NOT THAT I SEE AT ALL +audio/MSK0015.mp3[656.160,662.520] OK AND THEN IS THERE ANY MISALIGNMENT OR DEFORMITY OF THE JOINTS THAT YOU CAN SEE +audio/MSK0015.mp3[662.520,670.640] NO I CANT YEAH I DONT SEE ANYTHING IN THE HIPS OR LEGS THAT REALLY POINTS OUT TO ME +audio/MSK0015.mp3[670.640,678.200] OK UM AND IS THERE ANY PAIN TO PALPATION OVER THE HIP OR OR KNEE +audio/MSK0015.mp3[678.200,693.400] UH IF I IF I PRESS ON IT I DONT THINK SHES IN THAT MUCH PAIN ITS MAINLY JUST WHEN SHES TRYING TO WALK OR PUT PUT WEIGHT ON IT +audio/MSK0015.mp3[693.400,703.760] OK AND IS SHE ABLE TO MOVE THE HIP IN A FULL RANGE OF MOTION OF LIKE FLEXION AND EXTENSION ABDUCTION ADDUCTION +audio/MSK0015.mp3[703.760,721.840] UHM SO SHE DOES SHE IS ABLE TO MOVE IT IF SHE REALLY TRIES BUT ITS MAINLY JUST THE PUTTING HER WEIGHT ON IT AND ANYTIME SHE PUTS HER WEIGHT ON IT IS IS WHEN IT REALLY HURTS +audio/MSK0015.mp3[721.840,732.720] OK SO MORE ABOUT THE WEIGHT ON IT AND IS SHE ABLE TO MOVE THAT HER KNEE WITH A FULL RANGE OF MOTION +audio/MSK0015.mp3[733.720,742.240] OK AND ANY ANY MUSCLE WEAKNESS WHEN TESTING AROUND THE JOINT +audio/MSK0015.mp3[743.320,759.200] NO OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK WAS THERE ANYTHING I MAYBE FORGOT ABOUT YOU THOUGHT WOULD BE MORE IMPORTANT TODAY +audio/MSK0015.mp3[759.200,765.520] NO I THINK THATS ALL JUST JUST WAS WONDERING WHAT MIGHT BE GOING ON +audio/MSK0015.mp3[765.520,879.200] YEAH CERTAINLY SO A COUPLE OF THINGS THAT IT COULD BE ONE IS THAT IT CAN BE COMMON IN THIS AGE GROUP IS SOMETHING CALLED TRANSIENT SYNOVITIS WHERE WHICH CAN HAPPEN IN THE HIP WHERE THERES SOME INFLAMMATION AND IT CAUSES SOME PAIN FOLLOWING A VIRAL INFECTION AND IT SOUNDS LIKE SHE HAD A VIRAL INFECTION LAST WEEK WITH THE COUGH FEVER AND AND RUNNY NOSE AND HER SHE WAS FEELING A BIT WARM AND MAYBE FEVERISH TODAY AS WELL WHICH COULD BE A SIGN WITH THE LOWER KIND OF SLIGHTLY ELEVATED TEMPERATURE POINTING TOWARDS TRANSIENT SYNOVITIS WHICH IS A CONDITION THAT WILL BE SELF LIMITING AND CAN USE ANTI INFLAMMATORIES TO HELP WITH THE PAIN SUCH AS IBUPROFEN BUT ALSO SOMETHING THAT WOULD BE IMPORTANT TO RULE OUT WOULD BE IS SEPTIC ARTHRITIS BECAUSE IT COULD COULD LEAD TO DAMAGE OF THE JOINT BUT THIS WILL BE LOWER ON THE DIFFERENTIAL AND THEN FINALLY SOMETHING TO CONSIDER IS LEGGCALVEPERTHES DISEASE AND BUT THIS WOULD BE MORE OF PROGRESSIVE ONSET BUT IF SHES NOT GETTING ANY BETTER AND OR IF SHE BECOMES MORE SICK LIKE DEVELOPS A REALLY HIGH FEVER OR A RED HOT SWOLLEN JOINT THEN WED BE THINKING MORE ALONG THE LINES OF SEPTIC ARTHRITIS AND WE WANT TO REASSESS +audio/MSK0015.mp3[879.200,881.280] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0023.mp3[0.000,3.280] HOW ARE YOU DOING TODAY +audio/RES0023.mp3[3.280,10.800] IM DOING OK I JUST HAD THIS COUGH THATS REALLY STARTED TO BUG ME +audio/RES0023.mp3[10.800,20.920] 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 +audio/RES0023.mp3[20.920,24.400] UM ABOUT FIVE DAYS 5 DAYS +audio/RES0023.mp3[24.400,34.040] OK 5 DAYS AND HAS ANYTHING ELSE COME ON DURING THAT TIME ARE YOU HAVING ANY OTHER SYMPTOMS +audio/RES0023.mp3[34.040,42.880] YEAH IVE BEEN FEELING PRETTY PRETTY HOT AND JUST HAVENT BEEN REALLY FEELING VERY GOOD OVERALL IVE BEEN JUST EXHAUSTED +audio/RES0023.mp3[42.880,47.960] OH IM SAD TO HEAR THAT HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0023.mp3[47.960,54.320] YEAH MAYBE WHEN I WAS YOUNGER I DONT KNOW WHEN I HAD THE FLU OR SOMETHING LIKE THAT +audio/RES0023.mp3[54.320,64.880] OK OK SO ILL ASK YOU FEW MORE QUESTIONS ABOUT YOUR COUGH SO IT STARTED 5 DAYS AGO HAS IT GOTTEN ANY WORSE OR BETTER SINCE THEN +audio/RES0023.mp3[64.880,74.440] ITS BEEN GETTING WORSE FOR SURE ITS LIKE GOING ALL ALL THROUGHOUT THE DAY AND ITS BEEN EVEN INTERRUPTING SLEEP +audio/RES0023.mp3[74.440,84.640] OH GEEZ THATS TOO BAD DO YOU FIND THAT IT DOES IT FEEL REALLY DRY OR ARE YOU BRINGING UP LIKE GUNKY STUFF +audio/RES0023.mp3[84.640,88.960] IT ITS REALLY DRY +audio/RES0023.mp3[88.960,94.680] OK AND HE IS THERE ANYTHING THAT SEEMS TO MAKE IT WORSE OR BETTER +audio/RES0023.mp3[94.680,102.720] NOT REALLY ITS PRETTY CONSISTENT THROUGHOUT THE DAY +audio/RES0023.mp3[102.720,108.840] OK OK UM HAVE YOU HAD ANY CHEST PAIN +audio/RES0023.mp3[108.840,121.720] YEAH AFTER COUGHING IT CAN ITS ITS STARTING TO HURT IT DIDNT AT FIRST BUT NOW THAT IVE I THINK IVE COUGHED SO MUCH ITS STARTING TO FEEL PAIN THERE +audio/RES0023.mp3[121.720,128.000] OK WHAT WHAT PART SPECIFICALLY IN YOUR CHEST ARE YOU FEELING PAIN IN +audio/RES0023.mp3[128.000,138.200] UH ACTUALLY NOW THAT I THINK ABOUT OF IT ITS MORE MORE IN MY THROAT ACTUALLY WITH THE COUGH I WOULD SAY WITH THE COUGH YEAH YEAH MORE OF THE THROAT +audio/RES0023.mp3[138.200,141.680] WOULD YOU SAY YOU HAVE YOUVE HAD A SORE THROAT +audio/RES0023.mp3[141.680,154.760] YEAH I GUESS SO YEAH I WOULD LIKE NOW WITH THE COUGH THATS REALLY KIND OF WHAT I MEAN BY WHATS BEEN BUGGING ME +audio/RES0023.mp3[154.760,167.080] 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 +audio/RES0023.mp3[167.080,171.880] UM YEAH MY SMELL IS DEFINITELY BEEN OFF AHH WHICH IS KIND OF WEIRD MY TASTE HAS BEEN FINE THOUGH +audio/RES0023.mp3[171.880,179.120] OK OK UM AND WHEN DID THAT START +audio/RES0023.mp3[179.120,184.520] YEAH NOW THAT YOU SAY IT I MEAN WELL I GUESS THIS MORNING +audio/RES0023.mp3[184.520,196.400] OK MMM HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0023.mp3[196.400,203.240] UH NO NOTHING LIKE THAT +audio/RES0023.mp3[203.240,208.800] OK UM AND YOU SAID YOU FELT REALLY HOT HAVE YOU TAKEN YOUR TEMPERATURE AT ALL +audio/RES0023.mp3[208.800,219.480] NO I HAVENT THATS WHY BUT IVE BEEN FEELING PRETTY SWEATY SO THAT THATS WHERE I I FEEL LIKE I HAVE A FEVER SO I WANTED TO COME IN +audio/RES0023.mp3[219.480,227.480] OK OK HAVE YOU LOST ANY WEIGHT RECENTLY LIKE UNINTENTIONALLY +audio/RES0023.mp3[227.480,232.240] NO IVE ACTUALLY PUT ON PROBABLY 5 OR 10 POUNDS +audio/RES0023.mp3[232.240,245.200] OK OK UM HAVE YOU HAD FELT ANY ANY CHILLS OR SHAKES +audio/RES0023.mp3[245.200,248.960] MMMM NOTHING LIKE THAT +audio/RES0023.mp3[248.960,253.000] OK HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0023.mp3[253.000,263.800] UM YEAH ACTUALLY LIKE YEAH LAST NIGHT MY SHIRT WAS WAS SOAKED THROUGH WHEN I WHEN I GOT UP +audio/RES0023.mp3[263.800,267.280] OH NO OK AND WAS THAT JUST LAST NIGHT +audio/RES0023.mp3[267.280,272.560] YEAH YEAH THAT WAS JUST LAST NIGHT +audio/RES0023.mp3[272.560,285.160] OK OK UM SO IM JUST GOING TO ASK YOU SOME QUESTIONS OR SORRY FEW MORE QUESTIONS ON THIS AND THEN WELL MOVE ON TO JUST YOUR HEALTH IN GENERAL HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0023.mp3[285.160,289.360] UM NO IVE BEEN BEEN WELL JUST GOING TO WORK AN AN HOME +audio/RES0023.mp3[289.360,299.240] OK UM HAVE YOU BEEN IN CONTACT WITH ANYONE THAT MIGHT BE SICK +audio/RES0023.mp3[299.240,315.360] UM ITS WELL ITS 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 +audio/RES0023.mp3[315.360,318.000] SO YOU WORK AT THE GROCERY STORE +audio/RES0023.mp3[319.600,322.800] OK AND DO YOU LIVE ALONE OR WITH FAMILY +audio/RES0023.mp3[322.800,330.080] ALRIGHT YEAH I LIVE WITH FAMILY I I LIVE WITH MY WIFE AND TWO CHILDREN +audio/RES0023.mp3[330.080,336.280] OH NICE YEAH DO THEY WORK OUT OF THE HOME HAVE THEY BEEN IN CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0023.mp3[336.280,353.320] WELL THEYRE IN HIGH SCHOOL UM AND THEYVE ACTUALLY BEEN DOING A LOT OF THEIR COURSEWORK ON ONLINE SO YEAH I HAVENT REALLY BEEN AROUND TO ANY OTHER OTHER PEOPLE +audio/RES0023.mp3[353.320,354.360] AND YOUR WIFE +audio/RES0023.mp3[354.360,360.600] YEAH SHES BEEN SHES BEEN HOME AS WELL +audio/RES0023.mp3[360.600,370.320] OK SO IN TERMS YOUR OVERALL HEALTH DO YOU ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY +audio/RES0023.mp3[370.320,377.760] YEAH SO I HAVE A HIGH BLOOD PRESSURE AND TYPE 2 DIABETES +audio/RES0023.mp3[381.600,385.720] AND SO I I TAKE A RAMIPRIL AND METFORMIN +audio/RES0023.mp3[385.720,390.840] OK RAMIPRIL AND METFORMIN ANY OTHER MEDICATIONS +audio/RES0023.mp3[390.840,394.120] UMM VITAMIN D +audio/RES0023.mp3[394.120,398.200] OK AND HAVE YOU EVER HAD ANY SURGERIES +audio/RES0023.mp3[398.200,410.360] UM YEAH I HAD MY GALLBLADDER TAKEN OUT ABOUT 10 YEARS AGO OR SO +audio/RES0023.mp3[410.360,413.760] OK OK UM SO DO YOU HAVE ANY ALLERGIES +audio/RES0023.mp3[413.760,422.320] AHH JUST TOO LIKE ENVIRONMENTAL STUFF LIKE UM POLLEN I THINK +audio/RES0023.mp3[422.320,427.960] OK OK SO NOT ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0023.mp3[433.680,439.480] OK UM OK DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS +audio/RES0023.mp3[439.480,445.760] UM I THINK UM MY BROTHER HAS ASTHMA AND I THINK MY MOM HAS ASTHMA TOO +audio/RES0023.mp3[445.760,468.000] 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 +audio/RES0023.mp3[468.000,471.640] MAYBE ILL HAVE LIKE 3 OR 4 BEERS ON THE WEEKEND +audio/RES0023.mp3[471.640,474.760] OK SO THREE TO FOUR DRINKS PER WEEK +audio/RES0023.mp3[474.760,476.040] YEAH ABOUT THAT +audio/RES0023.mp3[476.040,479.560] DO YOU SMOKE +audio/RES0023.mp3[479.560,481.800] NO I DO NOT +audio/RES0023.mp3[481.800,487.120] DO YOU USE CANNABIS OR ANY OTHER SUBSTANCES +audio/RES0023.mp3[487.120,490.360] NO I DONT USE ANYTHING LIKE THAT +audio/RES0023.mp3[490.360,533.600] OK OK WELL I THINK THAT JUST ABOUT COVERS THE THINGS THAT I WANTED TO ASK YOU TODAY SO BASED ON THE SYMPTOMS YOURE EXPERIENCING IT SOUNDS LIKE IT COULD BE SOME KIND OF INFECTIVE PROCESS LIKE MAYBE SOME KIND OF VIRAL INFECTION THAT WERE CONCERNED ABOUT PARTICULARLY THIS YEAR ID REALLY LIKE TO GET A SWAB DONE ON YOU ITS NOT NECESSARILY COVID BUT IT POTENTIALLY COULD BE SO WHAT WERE 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 YOULL KNOW WHETHER YOUR COVITEST IS POSITIVE OR NOT +audio/RES0023.mp3[534.040,537.720] DOES THAT SOUND LIKE A GOOD PLAN TO YOU +audio/RES0023.mp3[537.720,539.600] YEAH THAT SOUNDS GOOD +audio/RES0023.mp3[539.600,544.400] OK WELL THANKS FOR CHATTING WITH ME WE WILL GET THAT SWAB DONE RIGHT AWAY +audio/RES0023.mp3[544.400,545.000] THANK YOU +audio/RES0025.mp3[0.000,8.480] SO I HEAR YOUVE BEEN HAVING SOME SOME NAUSEA VOMITING DIARRHEA CAN YOU TELL ME A LITTLE MORE ABOUT THAT +audio/RES0025.mp3[8.480,33.560] YEAH SO UH LIKE AROUND THREE OR FOUR DAYS AGO I STARTED UH TO GET REALLY NAUSEOUS AND SINCE THEN IVE BEEN VOMITING EVERY FEW HOURS AND REALLY I DONT KNOW JUST YESTERDAY STARTED TO STARTED TO HAVE SOME DIARRHEA AS WELL +audio/RES0025.mp3[33.560,40.200] OK SO THATS THREE OR FOUR DAYS AGO FOR THE NAUSEA AND VOMITING IS THAT CORRECT +audio/RES0025.mp3[40.200,55.920] UH YEAH YEAH THE NAUSEA START KIND OF STARTED THREE OR FOUR DAYS AGO AND THEN AFTER THAT THAT THE VOMITING CAME SO YEAH MAYBE THE VOMITING WAS MORE LIKE 2 DAYS AGO IT STARTED AND THEN DIARRHEA KIND OF THE LAST DAY +audio/RES0025.mp3[55.920,61.800] OK OK OK AND BEFORE THAT YOU WERE FEELING WELL +audio/RES0025.mp3[61.800,80.080] YEAH WELL I WAS FEELING MAYBE LIKE A LITTLE TIRED FOR A DAY OR TWO BEFORE BUT UM I DONT KNOW SOMETIMES YOU JUST FEEL LIKE THAT SO I DIDNT REALLY THINK MUCH OF IT BUT +audio/RES0025.mp3[80.080,90.880] SURE OK AND SINCE IT STARTED HAVE I KNOW THESE ALL KIND OF STARTED AT DIFFERENT TIMES BUT HAS HAVE YOUR SYMPTOMS GOTTEN WORSE OVERTIME +audio/RES0025.mp3[90.880,105.080] YEAH THEY THEY THEYVE GOTTEN WORSE AT FIRST THEY WERE KINDA REALLY SPREAD IT LIKE FAR ENOUGH APART THAT I WOULD THOUGHT IT WAS JUST GOING TO GO AWAY ON ITS OWN AND THEN IT IT HASNT SO HAS ME CONCERNED +audio/RES0025.mp3[105.080,114.000] OK IM JUST GOING TO ASK YOU A FEW MORE QUESTIONS ABOUT THE VOMITING HAVE YOU NOTICED ANY BLOOD IN YOUR VOMIT +audio/RES0025.mp3[114.000,117.120] NO ITS BEEN KIND OF YELLOWISH +audio/RES0025.mp3[117.120,127.400] OK AND JUST IF YOU NOTICE LIKE A LIKE A REALLY BRIGHT KIND OF YELLOW GREEN SUBSTANCE IN YOUR VOMIT +audio/RES0025.mp3[127.400,136.160] UMM NOT REALLY BRIGHT BUT I MEAN MAYBE MORE LIKE DARK GREEN OR YEAH NOTHING BRIGHT +audio/RES0025.mp3[136.160,143.240] OK AND YOU SAID NOW ITS ITS HAPPENING EVERY COUPLE HOURS FOR YOU +audio/RES0025.mp3[143.240,156.320] UM YEAH EVERY FEW EVERY FEW HOURS ITS BEEN AH IT SEEMS TO BE WHAT IM LIKE LIKE AFTER EATING IT IS JUST MAKING ME MAKING ME NAUSEOUS +audio/RES0025.mp3[156.320,163.480] OK OK SO HAVE YOU BEEN ABLE TO EAT ANYTHING WHENS THE LAST TIME YOU ACTUALLY HAD SOMETHING TO EAT +audio/RES0025.mp3[163.480,174.520] YESTERDAY I DID I HAD SOME SOUP AND WAS ABLE TO TO KEEP MOST OF IT DOWN BUT UM BUT ITS BEEN MOSTLY LIQUIDS IVE BEEN DRINKING +audio/RES0025.mp3[176.480,180.120] MY APPETITE REALLY HASNT BEEN THERE +audio/RES0025.mp3[180.120,192.480] OK UH IN TERMS OF DIARRHEA SO THAT STARTED A COUPLE DAYS AGO IF YOU ONLY HAD DIARRHEA SINCE THEN OR HAVE YOU HAD LIKE ANY FORM STOOLS +audio/RES0025.mp3[192.480,207.960] NO ITS IT IT WAS STARTED MORE LIKE YESTERDAY AND ITS REALLY ONLY BEEN DIARRHEA SINCE SO YEAH LIKE TWICE LAST NIGHT AND THEN LIKE THREE TO THREE TIMES THIS MORNING +audio/RES0025.mp3[207.960,213.520] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0025.mp3[213.520,221.120] NO I HAVENT BEEN SICK LIKE THIS BEFORE +audio/RES0025.mp3[221.120,226.280] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0025.mp3[226.280,232.120] I JUST GOT BACK FROM A TRIP IN THE US WAS THERE FOR WORK +audio/RES0025.mp3[232.120,235.920] OK AND HOW DID YOU TRAVEL THERE +audio/RES0025.mp3[235.920,240.160] I I TRAVELED BY A TRAIN +audio/RES0025.mp3[240.160,247.360] OK AND HOW LONG WERE YOU THERE FOR AND WHEN DID YOU GET BACK +audio/RES0025.mp3[247.360,259.800] I WAS THERE FOR ONE NIGHT AND GOT BACK FIVE DAYS AGO +audio/RES0025.mp3[259.800,267.240] OK UM OK FIVE DAYS AGO AND WHEN YOU WERE THERE WERE YOU IN CONTACT WITH ANYONE +audio/RES0025.mp3[267.240,277.320] I WELL I STAYED IN A HOTEL SO I I GUESS THAT THE PEOPLE UH THAT UM YEAH THE PEOPLE THAT WERE STAYING AT THE HOTEL +audio/RES0025.mp3[277.320,286.640] OK HAVE YOU BEEN IN CONTACT WITH ANYONE SINCE COMING BACK THATS BEEN SICK +audio/RES0025.mp3[286.640,292.480] UM NO I I I HAVENT BEEN IN CONTACT WITH ANYBODY ANYBODY WHOS BEEN SICK +audio/RES0025.mp3[292.480,303.960] OK IN ADDITION TO THE SYMPTOMS THAT YOURE DESCRIBING TO ME HAVE YOU HAD ANY FEVERS +audio/RES0025.mp3[303.960,308.280] IVE I STARTED TO FEEL HOT THIS MORNING +audio/RES0025.mp3[308.280,311.320] OK HAVE YOU HAD ANY CHILLS +audio/RES0025.mp3[311.320,313.800] NOTHING LIKE THAT +audio/RES0025.mp3[313.800,315.880] ANY SHAKES +audio/RES0025.mp3[316.320,319.720] K NIGHT SWEATS +audio/RES0025.mp3[319.720,322.880] UM NO NIGHT SWEATS +audio/RES0025.mp3[322.880,326.600] HAVE YOU HAD ANY COUGH +audio/RES0025.mp3[326.600,336.160] UMM NO I HAVENT REALLY HAD A COUGH BY MY THROATS FELT A LITTLE LIKE SCRATCHY THOUGH +audio/RES0025.mp3[336.160,340.680] OK SCRATCHY THROAT OK HAVE YOU HAD ANY SORE THROAT +audio/RES0025.mp3[340.680,354.000] NO I WOULDNT REALLY SAY ITS SORE BUT YEAH I MEAN WE JUST KINDA LIKE LIKE ITCHY +audio/RES0025.mp3[354.000,362.640] OK OK HAVE YOU NOTICED ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE +audio/RES0025.mp3[362.640,374.680] NO I HAVENT NOTICED ANY CHANGES TO THOSE +audio/RES0025.mp3[374.680,380.560] OK MMMM AND YOU LIVE DO YOU LIVE ALONE OR WITH FAMILY +audio/RES0025.mp3[380.560,387.120] I I LIVE WITH FAMILY I LIVE WITH MY WIFE AND TWO CHILDREN +audio/RES0025.mp3[387.120,393.480] OK THERE HOW ARE THEY FEELING RIGHT NOW +audio/RES0025.mp3[393.480,397.600] THEY WERE THEYVE BEEN FEELING FINE +audio/RES0025.mp3[397.600,410.360] OK OK UM SO JUST IN TERMS OF YOUR GENERAL HEALTH ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY +audio/RES0025.mp3[410.360,417.120] I HAVE ANXIETY AND BACK PAIN SO UH I DO GET AH SOME HYDROMORPHONE FOR FOR THAT +audio/RES0025.mp3[418.440,421.800] FOR THE BACK PAIN ANYWAY +audio/RES0025.mp3[421.800,427.240] OK UM AND WHAT MEDICATIONS DO YOU TAKE BESIDES THE HYDROMORPHONE +audio/RES0025.mp3[427.240,428.760] UH UH ESCITALOPRAM +audio/RES0025.mp3[429.880,446.080] AND THAT WEVE BEEN WORKING ON TRYING ON DECREASING THE HYDROMORPHONE NOW OVER THE LAST YEAR SO ITS A WORK IN PROGRESS THOUGH +audio/RES0025.mp3[446.080,451.360] OK AND HAVE YOU EVER HAD ANY SURGERIES +audio/RES0025.mp3[451.360,466.080] UH YEAH ON MY ON MY BACK I WAS IN AN ACCIDENT A FEW YEARS BACK SO UM WELL THATS WHERE THE PAIN IS FROM +audio/RES0025.mp3[466.080,471.560] OK SAD TO HEAR THAT DO YOU HAVE ANY ALLERGIES +audio/RES0025.mp3[471.560,476.720] UM YEAH TO PENICILLIN I HAD A HIVES WHEN I WAS A KID +audio/RES0025.mp3[476.720,504.800] OK UM OK UM LET ME SEE UH SO IN TERMS OF YOUR FAMILY HISTORY DO YOU HAVE ANY FAMILY HISTORY OF YOUR DIGESTIVE SYSTEM PROBLEMS OR RESPIRATORY PROBLEMS +audio/RES0025.mp3[504.800,524.760] UM YEAH NO ONE IN MY FAMILIES HAD ANY PROBLEMS WITH THEIR STOMACH OR I HAVENT HEARD OF ANY LIKE COLON CANCER I MEAN MY MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS LATE 60S BUT THATS KIND OF THE ONLY THING THAT I CAN THINK HAPPENED IN MY FAMILY IN TERMS OF HEALTH +audio/RES0025.mp3[524.760,535.120] OK AND IT SOUNDS SO IT SOUNDS LIKE YOU LIVE AT HOME WITH YOUR FAMILY DO YOU WHAT DO YOU DO FOR WORK +audio/RES0025.mp3[535.120,551.000] YEAH I I WORK FOR A TECH COMPANY SO I WAS GOING DOWN TO MEET A POTENTIAL BUYER FOR ONE OF OUR PRODUCTS +audio/RES0025.mp3[551.000,556.760] OK OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU DRINK ALCOHOL +audio/RES0025.mp3[556.760,563.080] UM YEAH I WILL HAVE WINE MAYBE ONE OR TWO GLASSES ON ON THE WEEKEND +audio/RES0025.mp3[563.080,566.280] OK DO YOU SMOKE CIGARETTES +audio/RES0025.mp3[566.280,576.560] UMM NO BUT I I USED TO I I QUIT ABOUT SEVEN YEARS AGO YEAH SO I QUIT ABOUT SEVEN YEARS AGO +audio/RES0025.mp3[576.560,592.920] UM OK SO DO YOU USE ANY OTHER SUBSTANCES LIKE CANNABIS +audio/RES0025.mp3[592.920,609.800] UM I WILL HAVE A JOINT EVERY ONCE IN AWHILE IF I WITH FRIENDS BUT THATS BEEN ITS BEEN AWHILE CAUSE OF THE PANDEMIC HAVENT REALLY BEEN HANGING OUT WITH ANYBODY +audio/RES0025.mp3[609.800,653.960] SURE UM OK I THINK THATS ALL THE QUESTIONS THAT I HAD FOR YOU TODAY SO IT SOUNDS LIKE THERES PROBABLY SOME KIND OF INFECTION GOING ON WHAT IT IS EXACTLY ITS HARD TO SAY THERE ARE SOME CASES OF COVID19 THAT THAT ARE MORE LIKE GI SYMPTOMS THEN THAN SIMPLY RESPIRATORY SYMPTOMS SO I THINK WE SHOULD PROBABLY GIVE YOU A COVISWAB AND THEN WE ASK THAT YOU AND EVERYONE IN YOUR HOUSE SELFISOLATES FOR A FEW DAYS UNTIL YOUVE GOT IT IN A NEGATIVE RESULT AND IN A FEW DAYS WITHOUT SYMPTOMS +audio/RES0025.mp3[653.960,656.800] OK THAT SOUNDS GOOD +audio/RES0025.mp3[656.800,702.080] SO YEAH WELL GET THAT STARTED FOR YOU AND OTHERWISE REALLY WE WANT TO KNOW IF ITS COVIIS JUST FOR INFECTION CONTROL PURPOSES BUT I THINK THAT ESSENTIALLY YOU SHOULD BE DRINKING LOTS OF FLUIDS AND GETTING A LOT OF REST AND ITS SOMETHING THAT LIKELY SHOULD GO AWAY ON ITS OWN I MEAN IF THINGS START TO BECOME A LOT WORSE AND YOU GET REALLY DEHYDRATED AND YOU HAVE FEVERS THAT YOU CANT CONTROL WITH TYLENOL THEN PLEASE COME BACK TO THE EMERGENCY DEPARTMENT BUT I THINK IN GENERAL IT WILL JUST BE KIND OF SUPPORTIVE TREATMENTS FOR WHAT YOURE EXPERIENCING +audio/RES0025.mp3[702.080,705.720] OK THAT SOUNDS GOOD ILL GET SOME GATORADE ON THE WAY HOME +audio/RES0025.mp3[705.720,714.120] PERFECT ACTUALLY DONT GO INTO THE STORE HAVE SOMEONE ELSE GET IT FOR YOU BUT +audio/RES0025.mp3[714.120,715.280] OK WILL DO THANK YOU +audio/RES0025.mp3[715.280,718.600] HAVE A GOOD HAVE A GOOD DAY THANKS FOR CHATTING WITH ME +audio/RES0025.mp3[718.600,721.760] THANK YOU +audio/RES0201.mp3[0.000,12.360] I’M JUST GOING TO HAVE A CHAT WITH YOU GET AN IDEA OF WHATS GOING ON AND THEN I CAN GO OVER IT WITH THE DOCTOR WILL COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS HOW DOES THAT SOUND TO YOU +audio/RES0201.mp3[12.360,15.360] THATS GREAT THANK YOU +audio/RES0201.mp3[15.360,21.720] AWESOME OK IT SAYS HERE THAT YOU HAVE BEEN HAVING A SORE THROAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT +audio/RES0201.mp3[21.720,41.560] SURE YEAH THE SORE THROAT IT STARTED ABOUT FOUR DAYS AGO AND ITS REALLY ITS ITS VERY SORE I CAN DRINK FLUIDS OK BUT IM EVEN HAVING SOME ISSUES SWALLOWING FOOD +audio/RES0201.mp3[41.560,45.720] OK SO YOU SAID FOUR DAYS AGO +audio/RES0201.mp3[45.720,48.400] YES FOUR DAYS AGO +audio/RES0201.mp3[48.400,61.720] OK SO ITS BEEN KIND OF SORE SOME ISSUES SWALLOWING FOOD OK AND OVER THE LAST FOUR DAYS HAS IT GOTTEN WORSE BETTER THAT IT STAYED THE SAME +audio/RES0201.mp3[61.720,68.400] UM THE SORE THROAT HAS ITS GOT ITS GETTING WORSE FOR SURE +audio/RES0201.mp3[68.400,73.040] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0201.mp3[73.040,85.200] I I I GUESS WHEN I WAS YOUNGER I HAD MONO AND I HAD A SORE THROAT WHEN I HAD THAT YEAH +audio/RES0201.mp3[85.200,92.760] OK IS THERE ANYTHING THAT MAKES IT WORSE OR LIKE ANYTHING THAT MAKES IT FEEL BETTER RIGHT NOW +audio/RES0201.mp3[92.760,111.720] NO NOT REALLY IVE TRIED YOU KNOW IVE TRIED GARGLING WITH SALT WATER IVE TRIED SOME PAINKILLERS LIKE NOTHING NOTHING SEEMS TO BE WORKING +audio/RES0201.mp3[111.720,115.040] UHM OK AND YOU SAID YOUVE ALSO HAD SOME DIFFICULTY BREATHING +audio/RES0201.mp3[115.040,117.320] YEAH THATS RIGHT +audio/RES0201.mp3[117.320,120.160] DID THAT START AROUND THE SAME TIME +audio/RES0201.mp3[120.160,128.480] THAT ACTUALLY STARTED YESTERDAY AND ITS GOTTEN ME VERY CONCERNED +audio/RES0201.mp3[128.480,145.000] OK YEAH I CAN UNDERSTAND HOW THAT WOULD BE CONCERNING WERE DEFINITELY GOING TO TRY TO GET TO THE BOTTOM OF IT TODAY UM OK SO STARTED YESTERDAY SAID THEN HAS IT GOTTEN ANY WORSE IS IT THE SAME WAY BETTER +audio/RES0201.mp3[145.000,149.480] UM THE WELL I GUESS ITS GETTING WORSE YEAH +audio/RES0201.mp3[149.480,154.800] DO YOU FEEL LIKE ITS ALL THE TIME OR IS IT ON AND OFF +audio/RES0201.mp3[154.800,159.760] ITS ITS JUST THERE ALL THE TIME +audio/RES0201.mp3[159.760,165.160] HAVE YOU EVER HAD ANY DIFFICULTY BREATHING IN THE PAST +audio/RES0201.mp3[165.160,166.680] UM NO NO NO NOT LIKE THIS +audio/RES0201.mp3[166.680,182.520] OK UH HAVE YOU HAVE YOU RECENTLY BEEN IN CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0201.mp3[182.520,195.560] UM I HAVE NO I DONT LEAVE THE HOUSE MUCH NOWADAYS I GO TO THE GROCERY STORE I GO TO THE BANK JUST ESSENTIAL THINGS +audio/RES0201.mp3[195.560,201.080] OK HAVE YOU TRAVELED RECENTLY +audio/RES0201.mp3[201.080,209.040] UM NO NO I HAVENT LEFT THE CITY FOR ANYTHING +audio/RES0201.mp3[209.040,216.280] OK DO YOU KNOW IF YOUR IMMUNIZATIONS ARE UP TO DATE +audio/RES0201.mp3[216.280,222.160] AH YES EVERYTHINGS UP TO DATE +audio/RES0201.mp3[222.160,234.640] OK THAT’S GOOD SEE YOU SO IM JUST GONNA ASK YOU ABOUT A FEW OTHER SYMPTOMS I JUST LIKE TO GET AN IDEA IF THERES ANYTHING ELSE YOU BEEN EXPERIENCING HAVE YOU HAD A COUGH AT ALL +audio/RES0201.mp3[237.240,241.040] HAVE YOU HAD A RUNNY NOSE +audio/RES0201.mp3[241.040,244.160] NO RUNNY NOSE +audio/RES0201.mp3[244.160,246.160] HAVE YOU HAD ANY HEADACHES +audio/RES0201.mp3[247.960,251.680] HAVE YOU HAD ANY CHEST PAIN +audio/RES0201.mp3[251.680,255.040] AH NOPE NO CHEST PAIN +audio/RES0201.mp3[255.040,261.040] HAVE YOU HAVE YOU LOST ANY OF YOUR SENSE OF SMELL OR TASTE +audio/RES0201.mp3[261.040,265.360] UM MAYBE TASTE A LITTLE BIT BUT NOT SMELL +audio/RES0201.mp3[265.360,270.320] OK OK WHEN DID THAT START +audio/RES0201.mp3[270.320,278.240] THE TASTE AH MAYBE TWO DAYS AGO +audio/RES0201.mp3[278.240,291.760] OK OK TASTE TWO DAYS AGO HAS IT BEEN ON AND OFF OR HAS IT BEEN KIND OF CONSTANTLY LIKE A REDUCED SENSE OF TASTE +audio/RES0201.mp3[291.760,296.160] ITS ITS ITS BEEN PRETTY CONSTANT +audio/RES0201.mp3[296.160,298.560] OK HAVE YOU HAD ANYTHING LIKE THAT BEFORE +audio/RES0201.mp3[302.880,306.600] HAVE YOU HAD ANY FEVERS +audio/RES0201.mp3[306.600,311.280] I DONT THINK SO +audio/RES0201.mp3[311.280,317.520] OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS +audio/RES0201.mp3[318.320,326.440] HAVE YOU FELT OVERALL REALLY TIRED AND WEAK +audio/RES0201.mp3[326.440,336.440] I I FELT TIRED MAYBE NOT WEAK BUT MY I FEEL LIKE MY MUSCLES ALL ACHE +audio/RES0201.mp3[336.440,342.240] OK OK AND WHEN DID THAT START +audio/RES0201.mp3[342.240,352.800] THAT STARTED LIKE IMMEDIATELY AFTER MY SORE THROAT +audio/RES0201.mp3[352.800,383.000] OK OK OK WELL WE MIGHT CIRCLE BACK I THINK THERE IS ANY MORE QUESTIONS YOU WANT TO ASK RIGHT NOW BUT JUST IN GENERAL IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU TAKE MEDICATIONS FOR OR SEE A DOCTOR FOR REGULARLY +audio/RES0201.mp3[383.000,387.840] UM I HAVE MILD COPD +audio/RES0201.mp3[387.840,396.120] OK AND WHAT MEDICATIONS ARE YOU CURRENTLY TAKING +audio/RES0201.mp3[396.120,403.600] UM IM ON A LONG ACTING BETA AGONIST +audio/RES0201.mp3[403.600,405.240] OK IS THAT THE ONLY MEDICATION YOU TAKE +audio/RES0201.mp3[405.240,408.000] PARDON ME +audio/RES0201.mp3[408.000,410.840] IS THAT THE ONLY MEDICATION THAT YOU TAKE +audio/RES0201.mp3[410.840,414.680] AND I ALSO TAKE A COUPLE OF VITAMINS +audio/RES0201.mp3[414.680,418.920] OK DO YOU HAVE ANY ALLERGIES +audio/RES0201.mp3[418.920,423.480] UM NO NO ALLERGIES +audio/RES0201.mp3[423.480,428.520] JUST GONNA ASK YOU FEW QUESTIONS ABOUT YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN +audio/RES0201.mp3[428.520,429.040] I DO +audio/RES0201.mp3[429.040,435.640] DO YOU AH LIVE ALONE OR WITH FAMILY +audio/RES0201.mp3[435.640,440.120] I LIVE ALONE +audio/RES0201.mp3[440.120,444.760] OK AND DO YOU SMOKE +audio/RES0201.mp3[444.760,448.320] I QUIT TWO YEARS AGO +audio/RES0201.mp3[448.320,455.600] OH CONGRATULATIONS BEFORE THAT DID YOU DID YOU SMOKE FOR MANY YEARS +audio/RES0201.mp3[455.600,461.680] I DID I SMOKED FOR 40 YEARS +audio/RES0201.mp3[461.680,465.680] OK DO YOU DRINK ALCOHOL +audio/RES0201.mp3[465.680,473.840] I DRINK OCCASIONALLY MAYBE LIKE ON THE WEEKENDS +audio/RES0201.mp3[473.840,482.160] OK UHM AND DO YOU USE CANNABIS +audio/RES0201.mp3[484.760,485.600] OK ANY OTHER DRUGS +audio/RES0201.mp3[485.600,487.040] NO NO OTHER DRUGS +audio/RES0201.mp3[487.040,495.680] OK AND ARE YOU RETIRED DO YOU WORK +audio/RES0201.mp3[495.680,500.520] I AM RETIRED YEAH +audio/RES0201.mp3[500.520,503.680] OK WHAT DID YOU DO FOR WORK BEFORE +audio/RES0201.mp3[503.680,505.120] I WORKED FOR GM +audio/RES0201.mp3[505.120,524.640] CROCK OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS HEART PROBLEMS AND +audio/RES0201.mp3[526.640,536.400] OK UHM OK I THINK THAT THAT ABOUT COVERS MY QUESTIONS FOR YOU RIGHT NOW IS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I DIDNT ASK YOU ABOUT +audio/RES0201.mp3[536.400,541.240] UM NO I DONT THINK SO +audio/RES0201.mp3[541.240,580.800] OK I’M GOING TO GO OVER THIS WITH THE DOCUMENT IM WORKING WITH TODAY IM GUESSING JUST BECAUSE SOME OF YOUR SYMPTOMS ARE IN LINE WITH COMMON SYMPTOMS OF COVID 19 THAT WILL PROBABLY DO A COVID SWAB AND WHAT HAPPENS WITH THAT IS SINCE WE DO HAVE SOME SYPTOMS WILL HAVE TO ISOLATE UNTIL THE RESULT COME BACK AND POTENTIALLY AFTER THAT IF YOU STILL HAVE SYMPTOMS EVEN IF IT IS NEGATIVE SO THATS JUST KIND OF A HEADS UP ON THAT MAYBE ONE OF THE NEXT THINGS THAT HAPPENS WE WILL PROBABLY GET YOU A CHEST XRAY CAUSE WE WANT TO GET AN IDEA OF WHATS GOING ON IN THERE DID YOU HAVE ANY OTHER QUESTIONS +audio/RES0201.mp3[580.800,583.040] NO THANK YOU VERY MUCH +audio/RES0201.mp3[583.040,591.640] OK WELL THANKS FOR CHATTING WITH ME WE SHOULD BE BACK SHORTLY TO KIND OF LET YOU KNOW WITH THE NEXT STEP +audio/RES0201.mp3[591.640,594.200] OK GREAT THANK YOU +audio/RES0118.mp3[0.000,2.400] WHAT BRINGS YOU IN HERE TODAY +audio/RES0118.mp3[2.400,19.440] HI IM COMING IN BECAUSE IVE HAD THIS LIKE ON AND OFF RUNNY NOSE AND STUFFY NOSE FOR THE PAST WEEK UM AND I JUST CAME TO MAKE SURE ITS NOT SOMETHING SERIOUS LIKE COVID +audio/RES0118.mp3[19.440,30.200] OK YEAH NO I COMPLETELY UNDERSTAND WHY YOU MIGHT BE WORRIED UM WITH EVERYTHING GOING ON SO JUST TO GET AN IDEA OF THE TIMELINE SO WHEN DID THIS START +audio/RES0118.mp3[30.200,34.680] SO IT STARTED ABOUT ID SAY SEVEN DAYS AGO +audio/RES0118.mp3[34.680,40.440] SEVEN DAYS AGO OK AND WAS IT JUST A RUNNY NOSE THAT STARTED OR DID YOU HAVE ANY OTHER SYMPTOMS +audio/RES0118.mp3[40.440,47.320] SO AT FIRST I FELT KIND OF STUFFY UM AND THEN NOW ITS MORE RUNNY UM AND NO OTHER SYMPTOMS +audio/RES0118.mp3[47.320,53.200] AND ARE YOU COUGHING AT ALL +audio/RES0118.mp3[55.680,62.760] ARE YOU BRINGING UP ANY DISCHARGE FROM LIKE YOUR NOSE OR ARE YOU COUGHING ANY MATERIAL UP +audio/RES0118.mp3[62.760,70.960] NO NO I MEAN THERES SOME DISCHARGE FROM MY NOSE LIKE ITS RUNNY BUT ITS ITS NOT YELLOW OR ANYTHING ITS CLEAR +audio/RES0118.mp3[70.960,78.440] OK AND DO YOU THINK THIS ISSUE HAS GONE WORSE OVER THE LAST SEVEN DAYS OR IS IT IMPROVING AT ALL +audio/RES0118.mp3[78.440,93.760] UM I DONT THINK ITS IMPROVING ITS CHANGED CAUSE IT USED TO BE STUFFY NOW ITS MORE OF A RUNNY NOSE UM BUT YEAH IT SEEMS TO BE RUNNY LIKE ITS THE SAME AMOUNT OF RUNNINESS FOR THE PAST COUPLE OF DAYS +audio/RES0118.mp3[93.760,98.360] AND ARE YOU HAVING ANY SYMPTOMS OF LOSS OF SMELL AT ALL +audio/RES0118.mp3[98.360,100.880] NO NO LOSS OF SMELL +audio/RES0118.mp3[100.880,102.880] HOW ABOUT LOSS OF TASTE +audio/RES0118.mp3[106.920,113.360] UM WERE YOU UH WITH ANYONE AROUND YOU SICK AT ALL BEFORE THOSE SEVEN DAYS +audio/RES0118.mp3[113.360,131.840] UH I DONT THINK SO I VISITED MY SISTER AND SHE HAS A NEPHEW WHO GOES TO DAYCARE BUT MY NEPHEWS BEEN OK NO NO RUNNY NOSE OR STUFFY NOSE +audio/RES0118.mp3[131.840,140.400] UHM AND IS IT JUST A CONSTANT ISSUE THAT GOES ON THROUGHOUT THE DAY OR IS IT WORSE AT NIGHT DURING THE DAY HOW WOULD YOU DESCRIBE IT +audio/RES0118.mp3[140.400,153.600] UM ITS ITS PRETTY CONSTANT THROUGHOUT THE DAY ITS JUST IT JUST FEELS BAD AT NIGHT BECAUSE IT UM MAKES IT HARD FOR ME TO FALL ASLEEP +audio/RES0118.mp3[153.600,159.680] OK UH HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER THAT WOULD HELP +audio/RES0118.mp3[159.680,170.720] UM I TRIED SOME ANTIHISTAMINES BECAUSE I DO HAVE SEASONAL ALLERGIES UH BUT THEY DONT SEEM TO BE HELPING +audio/RES0118.mp3[170.720,179.160] UM ANY ANYTHING THAT MAKES YOUR SYMPTOMS WORSE AT ALL LIKE ANY EXERTION OR ANY KIND OF UH POSITION +audio/RES0118.mp3[181.320,187.720] UM DO YOU HAVE ANY SHORTNESS OF BREATH OR CHEST PAIN AT ALL +audio/RES0118.mp3[187.720,189.560] UH NO +audio/RES0118.mp3[189.560,193.000] ANY SORE THROAT OR MUSCLE ACHES +audio/RES0118.mp3[194.320,195.920] ANY UH HEADACHES +audio/RES0118.mp3[197.960,200.080] HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0118.mp3[202.200,204.760] HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0118.mp3[204.760,206.960] UH NO +audio/RES0118.mp3[206.960,208.880] ANY FEVERS OR CHILLS +audio/RES0118.mp3[211.240,213.920] ANY NIGHT SWEATS OR FATIGUE +audio/RES0118.mp3[216.160,220.640] OK UM ANY KIND OF SENSATION THAT YOUR HEART IS RACING +audio/RES0118.mp3[220.640,223.480] UH NO NOTHING LIKE THAT +audio/RES0118.mp3[223.480,228.240] ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +audio/RES0118.mp3[229.600,233.080] ANY CHANGES IN YOUR URINARY PATTERN +audio/RES0118.mp3[235.480,238.560] UH ANY ISSUES WITH YOUR SLEEP OR APPETITE +audio/RES0118.mp3[240.360,248.000] HAVE YOU LOST ANY WEIGHT SIGNIFICANT WEIGHT UH RECENTLY IN THE LAST FEW MONTHS +audio/RES0118.mp3[249.280,261.640] AND UH DO YOU HAVE ANY EXPOSURE TO LIKE FUMES DUST OR LIKE UH CARPET PETS OR ANIMALS ANYTHING THAT YOU MIGHT HAVE AN ALLERGIC REACTION TO +audio/RES0118.mp3[261.640,264.600] UH NO NOTHING LIKE THAT +audio/RES0118.mp3[264.600,268.120] OK AND CURRENTLY ARE YOU SEXUALLY ACTIVE +audio/RES0118.mp3[268.120,270.040] I AM +audio/RES0118.mp3[270.040,279.000] AND UM CAN YOU JUST TELL ME A LITTLE A LITTLE BIT OF A DETAIL LIKE ABOUT LIKE A PARTNER UH AND IF YOUVE HAD ANY NEW PARTNERS RECENTLY AT ALL +audio/RES0118.mp3[279.000,283.320] NO IVE BEEN WITH THE SAME PARTNER FOR THE PAST FIVE YEARS +audio/RES0118.mp3[283.320,286.720] OK AND UH DO YOU HAVE ANY HISTORY OF ANY STIS +audio/RES0118.mp3[289.760,300.000] OK NICE UM IN TERMS OF YOUR UH PAST MEDICAL HISTORY DO YOU HAVE ANY UM DIAGNOSES OR ANYTHING ANY MEDICAL CONDITIONS AT ALL +audio/RES0118.mp3[300.000,305.440] UHM NO NO NOTHING NOTHING LONG STANDING +audio/RES0118.mp3[305.440,307.680] UM ANYTHING YOU TAKE MEDICATIONS FOR +audio/RES0118.mp3[308.360,313.480] ARE YOU ALLERGIC TO ANY MEDICATIONS +audio/RES0118.mp3[313.480,317.240] UH NOT MEDICATIONS +audio/RES0118.mp3[317.240,319.760] UH ANY ENVIRONMENTAL ALLERGIES +audio/RES0118.mp3[319.760,322.960] JUST YEAH SOME SEASONAL ALLERGIES +audio/RES0118.mp3[322.960,327.520] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0118.mp3[327.520,338.800] UM I WAS HOSPITALIZED FOR UM LIKE AN APPENDECTOMY WHEN I WAS YOUNGER UM BUT THATS ABOUT IT +audio/RES0118.mp3[338.800,340.680] AND WHEN WAS THAT +audio/RES0118.mp3[340.680,344.320] THAT WAS WHEN I WAS 18 +audio/RES0118.mp3[344.320,347.320] AND ANY COMPLICATIONS AFTER THAT +audio/RES0118.mp3[349.760,358.160] AND UH IN TERMS OF YOUR FAMILY HISTORY DOES ANYONE HAVE ANY LUNG CONDITIONS HEART CONDITIONS OR ANY CANCERS +audio/RES0118.mp3[358.160,361.840] UH NOPE NOTHING LIKE THAT +audio/RES0118.mp3[361.840,365.200] AND CURRENTLY UH DO YOU WORK +audio/RES0118.mp3[365.200,370.400] I DO I WORK FROM HOME THOUGH +audio/RES0118.mp3[370.400,379.480] OK AND HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW +audio/RES0118.mp3[379.480,386.800] UM I LIVE IN AN APARTMENT WITH UM MY PARTNER AND WE HAVE A DOG +audio/RES0118.mp3[386.800,392.440] UM AND CURRENTLY UH DO YOU SMOKE AT ALL +audio/RES0118.mp3[392.440,393.240] UH NO +audio/RES0118.mp3[393.240,396.000] DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0118.mp3[396.760,399.200] HOW ABOUT UH ANY ALCOHOL +audio/RES0118.mp3[399.200,406.400] UH I DRINK LIKE A GLASS OF WINE EVERY OTHER DAY +audio/RES0118.mp3[406.400,434.240] OK UM YEAH SO THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU I KNOW ITS A BIT CONCERNING BECAUSE OF THE PANDEMIC GOING ON AND UM A RUNNY NOSE CAN BE A SYMPTOM UH OF COVID AS WELL BUT UH IT CAN ALSO BE A SYMPTOM OF JUST THE COMMON COLD OR ANY OTHER VIRUS UM BUT SINCE YOURE HAVING UH YOURE SYMPTOMATIC RIGHT NOW WE WILL DEFINITELY GET LIKE A COVID SWAB TEST DONE FOR YOU +audio/RES0118.mp3[435.600,461.560] AND IF YOU START HAVING ANY JUST MONITOR FOR YOUR SYMPTOMS UM YOU SHOULD HAVE THE TEST BACK WITHIN 48 HOURS UNTIL THEN UH AT LEAST FOR 14 DAYS YOU SHOULD TRY TO ISOLATE IN YOUR OWN ROOM WEAR A MASK AROUND UH YOUR PARTNER UH AND NOT GO OUTSIDE SO JUST SELF ISOLATE +audio/RES0118.mp3[462.120,469.320] AND AND THEN YOU WILL GET THE TEST RESULTS BACK IN A HOPEFULLY IN A FEW DAYS SO DO YOU HAVE ANY QUESTIONS AT ALL +audio/RES0118.mp3[469.320,472.640] UH NO THANK YOU THAT WAS GOOD +audio/RES0118.mp3[472.640,474.840] TAKE CARE BYE +audio/RES0118.mp3[474.840,477.200] YOU TOO +audio/RES0210.mp3[0.000,4.360] SO CAN YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN HERE TODAY +audio/RES0210.mp3[4.360,13.120] YEAH IVE NOTICED IVE HAD THIS PRETTY BAD COUGH FOR LIKE THE LAST COUPLE OF DAYS A LITTLE BIT WORRIED WANNA TALK TO SOMEONE +audio/RES0210.mp3[13.120,16.120] OK SO STARTED TWO DAYS AGO +audio/RES0210.mp3[16.120,25.480] NO ABOUT WHAT DAY IS IT TODAY TODAY IS WEDNESDAY IT STARTED ON SUNDAY SUNDAY I NOTICED IT GETTING REALLY BAD +audio/RES0210.mp3[25.480,32.800] OK SO IT GOT REALLY BAD THEN IT WAS IT WAS IT STILL PRESENT BUT NOT AS BAD BEFORE THAT +audio/RES0210.mp3[32.800,43.240] YEAH I THINK I HAD LIKE A BIT OF LIKE A RASPY COUGH ON LIKE FRIDAY BUT SUNDAY IT WAS WHEN I STARTED GETTING NERVOUS ABOUT IT +audio/RES0210.mp3[43.240,52.160] OK SO ALMOST A WEEK IT SOUNDS LIKE AND WHAT EXACTLY CHANGED ON SUNDAY THAT YOU MADE IT WORSE IN YOUR OPINION +audio/RES0210.mp3[52.160,61.560] SO SUNDAY I STARTED BRINGING I NOTICED LIKE LITTLE SPOTS OF RED KIND OF THE THE GUNK I WAS BRINGING UP +audio/RES0210.mp3[62.200,70.760] AND I KIND OF IGNORED IT BUT THE NEXT DAY THEY WERE STILL THERE I STARTED GETTING FEVER JUST IN I FELT OFF YOU KNOW +audio/RES0210.mp3[70.760,85.520] OK OK SO THAT YOU FIRST NOTICE THAT ON SUNDAY WERE YOU BRINGING UP SPUTUM BEFORE THAT AND IT JUST DIDNT HAVE THESE SPOTS OR DID IT DID THAT PART JUST START ON SUNDAY +audio/RES0210.mp3[85.520,95.920] SPUTUM IS KIND OF LIKE THE GUNK UP AND BRING IT UP YEAH IT WAS ITS LIKE THIS YELLOW CUSTARD IT’S GOT LIKE WELL SPOTS ARE RED ON IT ON SUNDAY +audio/RES0210.mp3[95.920,102.520] OK AND BEFORE THAT DID YOU HAVE LIKE THE YELLOW CUSTARD WITHOUT RED OR IT ALL STARTED AT ONCE ALL KIND OF STARTED +audio/RES0210.mp3[102.520,106.440] IT ALL STARTED AT ONCE TO BE HONEST +audio/RES0210.mp3[106.440,115.520] SORRY I KNOW THESE ARE TRICKY QUESTIONS AND YOU SAID THAT YOUVE HAD SOME FEVERS CAN YOU TELL ME A LITTLE BIT ABOUT THAT WHEN DID THAT START +audio/RES0210.mp3[115.520,126.440] SO THAT STARTED THE MONDAY REALLY IS WHEN I FIRST STARTED I NEVER TOOK MY TEMPERATURE I JUST FELT HOT YOU KNOW THATS BEEN GOING ON PRETTY MUCH UNTIL TODAY +audio/RES0210.mp3[126.440,129.880] OK DID YOU EVER FEEL LIKE YOU WERE REALLY SHAKY +audio/RES0210.mp3[129.880,136.600] YEAH IVE BEEN GETTING THE CHILLS ESPECIALLY LAST TWO DAYS +audio/RES0210.mp3[136.600,144.960] OK SO OVER THIS TIME YOUVE HAD THIS COUGH HAVE YOU FELT LIKE YOUVE HAD DIFFICULTY BREATHING +audio/RES0210.mp3[144.960,159.080] NOT REALLY I FEEL A LITTLE BIT WINDED DOING THINGS I USED TO DO LIKE I TAKE THE STAIRS UP TO MY APARTMENT BUT I HAVE JUST HAPPENED REALLY TRYING TO EXERT MYSELF THATS BEEN TAKING IT EASY SO I HAVENT REALLY NOTICED BEING OUT OF BREATH +audio/RES0210.mp3[159.080,167.160] OK SO PROBABLY IF YOU WERE TO GET UP AND DO A LOT OF PHYSICAL ACTIVITY YOU WOULD FEEL WORSE +audio/RES0210.mp3[167.160,176.400] YEAH I COULD PROBABLY I CAN STILL TAKE THE TWO STAIRS UP TO MY APARTMENT BUT AFTER THAT I STARTED TO FEEL PRETTY CRUMMY +audio/RES0210.mp3[176.400,183.120] OK IS THERE ANYTHING ELSE THAT YOU CAN THINK OF THAT MAKES IT FEEL WORSE +audio/RES0210.mp3[185.240,190.440] HAS ANYTHING HELPED IT TO FEEL BETTER AT ALL +audio/RES0210.mp3[190.440,195.200] BRINGING UP GUNK MAKES IT FEEL BETTER FOR A LITTLE WHILE +audio/RES0210.mp3[195.200,198.440] SO YOU KIND OF JUST CLEAR IT UP AND THAT FEELS A LITTLE BIT BETTER +audio/RES0210.mp3[198.440,203.520] YEAH I HAVENT TAKEN SOME TYLENOL AT HOME AND THAT HELPS A LITTLE BIT +audio/RES0210.mp3[203.520,207.720] OK HAVE YOU FELT A SORE THROAT AT THE SAME TIME +audio/RES0210.mp3[207.720,212.960] AFTER AN AWFUL LOT OF COUGHING YEAH IT STARTS TO FEEL A LITTLE RAW +audio/RES0210.mp3[212.960,216.280] HAVE YOU HAD A RUNNY NOSE +audio/RES0210.mp3[216.280,224.200] YEAH BIT OF 1 BACK IN THE DAY MAYBE A WEEK AGO BUT THAT KIND OF GONE AWAY BY NOW +audio/RES0210.mp3[224.200,228.440] HAVE YOU FELT ANY CHEST PAIN +audio/RES0210.mp3[228.440,232.960] YEAH YEAH I GOT PAIN KINDA ON THE RIGHT +audio/RES0210.mp3[232.960,241.640] OK HAVE YOU EVER HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0210.mp3[241.640,251.680] NO NEVER ACTUALLY DOC YOURE SAYING SOMETHING THAT MAKES IT FEEL WORSE TAKING A DEEP BREATH MAKES IT FEEL PRETTY BAD +audio/RES0210.mp3[251.680,266.640] OK AND IM JUST GOING TO CIRCLE BACK TO THIS CHEST PAIN YOU SAID YOU FEEL IT ON THE RIGHT SIDE IS IT ALWAYS THERE OR IS IT JUST WHEN YOU TAKE A DEEP BREATH OR IS IT KIND OF ON AND OFF +audio/RES0210.mp3[266.640,273.840] ITS KIND OF ALWAYS THERE IT GETS A LITTLE BIT WORSE WITH COUGHING AND WHEN I TAKE A PRETTY BIG DEEP BREATH +audio/RES0210.mp3[273.840,280.400] YEAH OK BUT IF YOU WERE JUST LAYING DOWN NOT COUGHING IS THAT PAIN THERE +audio/RES0210.mp3[280.400,283.400] YEAH YEAH SPECIALLY NOTICE OVER THE LAST DAY +audio/RES0210.mp3[283.720,287.960] KIND OF DULL +audio/RES0210.mp3[287.960,293.440] OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY +audio/RES0210.mp3[293.440,294.560] NO NOT REALLY +audio/RES0210.mp3[294.560,304.120] K HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0210.mp3[304.120,308.600] WENT TO SARNIA ABOUT A WEEK BACK FOR WORK BUT +audio/RES0210.mp3[308.600,314.280] OK WERE YOU IN CONTACT WITH ANYONE THAT THAT WAS SICK +audio/RES0210.mp3[314.280,319.760] NOPE JUST BEEN KEEPING TO MYSELF MOSTLY +audio/RES0210.mp3[319.760,329.760] OK SO IN TERMS OF YOUR OWN MEDICAL HISTORY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY +audio/RES0210.mp3[329.760,335.360] YEAH HE’S GIVEN ME A PILL FOR A CHOLESTEROL +audio/RES0210.mp3[335.360,342.200] OK AND DO YOU KNOW THE NAMES OF ANY MEDICATIONS THAT YOU TAKE +audio/RES0210.mp3[344.680,346.360] OK IS THAT THE ONLY ONE +audio/RES0210.mp3[347.560,351.960] OK HAVE YOU EVER HAD ANY SURGERIES +audio/RES0210.mp3[351.960,357.400] UH MY WISDOM TEETH OUT AS A AS A KID 15 OR SO I THINK +audio/RES0210.mp3[357.400,361.160] OK DO YOU HAVE ANY ALLERGIES +audio/RES0210.mp3[363.280,368.720] I’M JUST GOING TO ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE AND LIKE DO YOU LIVE HERE IN TOWN +audio/RES0210.mp3[368.720,371.680] YEAH I LIVE HERE IN TOWN GOT A GIRLFRIEND LIVING IN APARTMENT +audio/RES0210.mp3[371.680,373.640] OK YOU LIVE WITH YOUR GIRLFRIEND +audio/RES0210.mp3[377.320,380.360] DO YOU HAVE ANY PETS +audio/RES0210.mp3[380.360,384.960] CAT YEAH +audio/RES0210.mp3[384.960,388.920] DO YOU DO ANYTHING FOR WORK OR ARE YOU RETIRED +audio/RES0210.mp3[388.920,394.960] YEAH I STILL WORK A CONSULTANT FOR THE CHEMICAL PLANT SO WEST MAINLY IN SARNIA +audio/RES0210.mp3[394.960,403.320] SO HAVE YOU HAD A LOT OF EXPOSURE TO CHEMICALS THROUGHOUT YOUR CAREER +audio/RES0210.mp3[403.320,414.400] NOW THEYVE ALWAYS BEEN PRETTY GOOD FOR KEEPING US SAFE IM ON THE ENGINEERING SIDE OF THINGS SO I DONT REALLY WORK TOO MUCH IN THE PLANT DIRECTLY YOU KNOW +audio/RES0210.mp3[414.400,417.800] OK HERE WELL DO YOU DRINK ALCOHOL +audio/RES0210.mp3[417.800,420.280] ONCE IN A BLUE MOON +audio/RES0210.mp3[420.280,421.840] DO YOU SMOKE +audio/RES0210.mp3[422.360,427.360] HOW MUCH WOULD YOU SAY THAT YOU SMOKE +audio/RES0210.mp3[427.360,430.000] GOT A PACK A DAY +audio/RES0210.mp3[430.000,431.720] LONG IS THAT BEEN GOING ON FOR +audio/RES0210.mp3[431.720,435.640] GEEZ MUST HAVE PICKED IT UP WHEN I WAS 15 +audio/RES0210.mp3[435.640,442.360] OK DO YOU USE ANY OTHER SUBSTANCES +audio/RES0210.mp3[442.360,443.280] LIKE DRUGS +audio/RES0210.mp3[443.280,447.720] YEAH CANNABIS OR ANY OTHER RECREATIONAL DRUGS +audio/RES0210.mp3[447.720,455.040] SMOKE THE ODD JOINT FROM TIME TO TIME BUT HAVENT IN YEARS NOW +audio/RES0210.mp3[455.040,458.400] DO YOU HAVE ANY FAMILY HISTORY OF ANY RESPIRATORY ILLNESSES +audio/RES0210.mp3[458.400,461.600] RESPIRATORY ILLNESS LIKE LUNGS +audio/RES0210.mp3[461.600,463.200] YEAH EXACTLY +audio/RES0210.mp3[463.200,467.720] THINK MY GRANDPA DIED OF LUNG CANCER ACTUALLY HE WAS A PRETTY BIG SMOKER TOO THOUGH +audio/RES0210.mp3[467.720,483.400] OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME SO IM GOING TO GO OVER THIS WITH THE PHYSICIAN I’M WORKING WITH AND WE SHOULD BE BACK SHORTLY TOGETHER TO TALK TO YOU ABOUT THE NEXT STEPS +audio/RES0210.mp3[483.400,484.240] THANK YOU KINDLY +audio/RES0210.mp3[484.240,486.320] K THANKS +audio/RES0149.mp3[0.000,1.920] HOW MAY I HELP YOU +audio/RES0149.mp3[1.920,28.920] HI I UM I JUST DEVELOPED UH OR I GUESS I JUST STARTED HAVING DIFFICULTIES WITH UH BREATHING STARTING THIS MORNING IT WAS JUST VERY ODD I WAS FINE YESTERDAY NIGHT AND THEN JUST THIS MORNING IVE HAD A REALLY HARD TIME BREATHING UM AND YEAH I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT I DONT KNOW WHATS GOING ON +audio/RES0149.mp3[28.920,43.680] YEAH CERTAINLY AND SO UH LIKE DID THIS SHORTNESS OF BREATH WAKE YOU UH LIKE DID YOU WAKE UP UM LIKE JUST LIKE UH TO KIND OF SIT UP TO CATCH YOUR BREATH UM OR WHEN DID THE SHORTNESS OF BREATH START +audio/RES0149.mp3[43.680,62.720] UM IT WAS KIND OF AFTER I WOKE UP AND I WAS SORT OF UM JUST WALKING AROUND THAT I I NOTICED THAT I WAS FEELING SHORT OF BREATH JUST WALKING AROUND WHICH WAS SO WEIRD YOU KNOW THAT THAT DOESNT REALLY HAPPEN TO ME +audio/RES0149.mp3[62.720,71.720] OK UM AND WITH THIS WITH THE SHORTNESS OF BREATH HAVE YOU HAD HAD A COUGH +audio/RES0149.mp3[72.440,78.040] OK AND UM HAVE YOU HAD ANY WHEEZE +audio/RES0149.mp3[78.040,81.400] UM NO +audio/RES0149.mp3[81.400,86.840] OK AND HAVE YOU BEEN HAVING ANY UH ANY CHEST PAIN +audio/RES0149.mp3[86.840,93.120] YEAH I KIND OF I GUESS IT JUST HURTS A LITTLE BIT WHEN I TAKE A WHEN I BREATHE IN +audio/RES0149.mp3[93.120,97.800] OK IS IS THIS PAIN WHEN YOU TAKE A DEEP BREATH IN +audio/RES0149.mp3[97.800,102.000] YEAH I GUESS SO YEAH +audio/RES0149.mp3[102.000,105.640] AND WHERE DO YOU FEEL THE PAIN +audio/RES0149.mp3[105.640,112.000] UM ITS KIND OF ON MY UM RIGHT SIDE +audio/RES0149.mp3[112.000,119.680] OK DOES THE PAIN UH LIKE RADIATE ANYWHERE OR DO YOU FEEL IT JUST IN THAT ONE SPOT +audio/RES0149.mp3[119.680,152.080] ITS JUST UH ITS JUST IN THAT ONE SPOT ITS JUST THIS SUDDEN AND LIKE LIKE THIS STABBING SENSATION UM WHEN IM LIKE TAKING A BREATH IN UHM ACTUALLY NOW THAT I THINK ABOUT IT ITS ITS KIND OF THERE EVEN WHEN IM LIKE BREATHING NORMAL BUT ITS NOT AS BAD WHEN I TAKE A DEEP BREATH ITS LIKE REALLY REALLY BAD OR WHEN I UM YEAH WHEN I LIKE COUGH OR LIKE IM LAUGHING OR SOMETHING IT JUST GETS REALLY BAD +audio/RES0149.mp3[152.080,154.040] AND WHEN DID YOU FIRST NOTICE THIS PAIN +audio/RES0149.mp3[154.040,161.200] KIND OF UM LATE THIS MORNING +audio/RES0149.mp3[161.200,167.360] OK UH HAVE YOU TRIED ANYTHING FOR A FOR THE PAIN +audio/RES0149.mp3[167.360,186.960] UH I DONT KNOW ITS JUST I JUST TRY NOT TO TAKE DEEP BREATHS IM JUST TRYING TO JUST TAKE A NORMAL BREATH AND TRY NOT TO TALK TOO MUCH AND YEAH JUST LIKE NOT DOING ANYTHING THAT WORSENS THE PAIN +audio/RES0149.mp3[186.960,196.600] OK I SEE AND UM DID YOU HAVE ANY TRAUMA TO THAT TO THAT AREA RECENTLY LIKE A CAR ACCIDENT OR I DONT KNOW GETTING HIT IN THE RIBS OR ANYTHING LIKE THAT +audio/RES0149.mp3[196.600,200.480] NO NO I DIDNT +audio/RES0149.mp3[200.480,215.880] OK UM AND HAVE YOU HAD ANY EPISODES WHERE UM OR ACTUALLY RATHER LIKE DO YOU HAVE ANY ISSUES WITH LYING FLAT AND HAVING SHORTNESS OF BREATH +audio/RES0149.mp3[217.040,223.160] OK AND UM HAVE YOU HAD ANY HEADACHES +audio/RES0149.mp3[223.160,225.800] UHM NO +audio/RES0149.mp3[225.800,229.760] HAVE YOU HAD ANY UH FEVERS OR CHILLS +audio/RES0149.mp3[229.760,232.840] NO I DONT THINK SO +audio/RES0149.mp3[232.840,236.480] OK AND HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0149.mp3[238.080,246.360] HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY I MEAN LIKE OVER THE LAST SEVERAL MONTHS +audio/RES0149.mp3[246.360,248.120] UH NO +audio/RES0149.mp3[248.120,252.720] OK AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0149.mp3[253.960,259.040] HOW ABOUT ANY CHANGES TO YOUR SENSE OF UH TASTE OR YOUR SENSE OF SMELL +audio/RES0149.mp3[259.040,262.240] NO THOSE ARE OK +audio/RES0149.mp3[262.240,268.000] ALRIGHT AND HAVE YOU HAD UH A RUNNY NOSE OR A SORE THROAT +audio/RES0149.mp3[270.120,272.200] ALRIGHT UM AND HAVE YOU HAD ANY DIARRHEA +audio/RES0149.mp3[275.440,277.960] HOW ABOUT ANY URINARY PROBLEMS +audio/RES0149.mp3[279.320,285.120] AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +audio/RES0149.mp3[285.960,291.720] OK UM AND HOW ABOUT ANY UH MUSCLE ACHES OR BODY PAINS +audio/RES0149.mp3[291.720,303.080] UM YEAH I KIND OF HAVE UH ITS JUST MY LEFT LEG HURTS A LITTLE BIT IM NOT QUITE SURE WHY BUT YEAH NOTHING ELSE +audio/RES0149.mp3[303.080,308.480] OK WHEREABOUTS UH WHERE DOES IT HURT UM ON YOUR LEFT LEG +audio/RES0149.mp3[308.480,312.320] UM KIND OF IN THE CALF AREA +audio/RES0149.mp3[312.320,319.040] OK IS IT IS IT SWOLLEN OR HAVE YOU NOTICED ANY REDNESS OF THE SKIN THERE +audio/RES0149.mp3[319.040,328.120] YEAH IT IS IT IS SWOLLEN ACTUALLY COMPARED TO MY RIGHT LEG ITS A LITTLE BIT WARM TOO +audio/RES0149.mp3[328.120,342.200] OK UM HAVE YOU HAD ANY UH LIKE PERIODS OF TIME WHERE YOU WERE BEDRIDDEN OVER THE LAST SEVERAL DAYS OR OR LAST SEVERAL WEEKS +audio/RES0149.mp3[343.880,346.840] OK ANY SURGERIES RECENTLY +audio/RES0149.mp3[348.520,353.720] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OVER ANY LONG DISTANCES RECENTLY +audio/RES0149.mp3[353.720,370.000] OH YEAH YEAH I CAME BACK UM TWO DAYS AGO UM I WENT TO UM I WENT TO INDIA TO VISIT MY FAMILY THERE WAS A DEATH SO HAD TO TO GO I CAME BACK YEAH TWO DAYS AGO +audio/RES0149.mp3[370.000,382.080] OK YEAH THATS QUITE A LONG FLIGHT AND IM SORRY TO HEAR ABOUT UM THE LOSS OF THE FAMILY UM OK UM OH AND THAT REMINDS ME HAVE YOU COUGHED UP UH ANY BLOOD AT ALL +audio/RES0149.mp3[382.080,387.120] UH NO +audio/RES0149.mp3[387.120,409.600] OK UM AND UM I JUST WANTED TO SWITCH GEARS A LITTLE BIT AND ASK ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0149.mp3[409.600,422.120] UHM I IVE HAD UM ANXIETY AND UH YEAH THATS THATS ABOUT IT I HAD ASTHMA AS A CHILD BUT NOTHING SINCE THEN +audio/RES0149.mp3[422.120,431.400] I SEE AND DO YOU UH TAKE ANY MEDICATIONS FOR ANXIETY OR HAVE YOU +audio/RES0149.mp3[431.400,446.880] UH NO IM JUST TRYING TO UM JUST TRYING TO REDUCE MY STRESS AND AND TRYING OTHER OTHER WAYS TO SORT OF HANDLE MY ANXIETY BEFORE I IM JUST TRYING TO AVOID BUILDS ACTUALLY +audio/RES0149.mp3[446.880,454.560] I SEE OK SO DO YOU TAKE ANY MEDICATIONS LIKE EITHER PRESCRIBED OR OVER THE COUNTER +audio/RES0149.mp3[454.560,455.480] UH NO +audio/RES0149.mp3[455.480,462.840] DO YOU HAVE ANY ALLERGIES TO UM TO MEDICATIONS OR OR ENVIRONMENTAL +audio/RES0149.mp3[463.640,468.760] ALRIGHT AND UM HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS +audio/RES0149.mp3[468.760,476.560] UH I HAD MY APPENDIX REMOVED WHEN I WAS UH 30 YEARS OLD +audio/RES0149.mp3[476.560,483.520] OK UM AND ANY COMPLICATIONS WITH THAT +audio/RES0149.mp3[484.400,493.080] ALRIGHT AND CURRENTLY UH WHEREABOUTS ARE YOU LIVING AND UH WHO ARE YOU LIVING WITH +audio/RES0149.mp3[493.080,502.440] UM IM JUST LIVING WITH MY SISTER AND UH YEAH WE WE LIVE IN AN APARTMENT TOGETHER +audio/RES0149.mp3[502.440,509.840] OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN ANY AROUND ANYBODY WHOS BEEN SICK +audio/RES0149.mp3[510.720,518.600] OK UM AND UH ANY POTENTIAL EXPOSURES TO UH TB UH EITHER IN YOUR ON YOUR TRAVELS OR OR ANYBODY THAT YOU THAT YOU KNOW OF +audio/RES0149.mp3[518.600,521.840] I DONT THINK SO NO +audio/RES0149.mp3[521.840,532.080] OK UM AND DO YOU SMOKE CIGARETTES +audio/RES0149.mp3[534.080,538.960] AND DO YOU DRINK ALCOHOL +audio/RES0149.mp3[542.480,545.880] UH HOW ABOUT THE USE OF ANY UH RECREATIONAL DRUGS +audio/RES0149.mp3[548.720,558.000] OK UM AND IN THE FAMILY IS THERE A HISTORY OF ANY BLEEDING DISORDERS OR ANY UH CLOTTING DISORDERS +audio/RES0149.mp3[558.000,566.360] UHM NO I DONT THINK SO +audio/RES0149.mp3[566.360,571.600] OK UM AND ANY HEART CONDITIONS LUNG CONDITIONS +audio/RES0149.mp3[571.600,587.440] UM JUST A HEART ATTACK UHM BOTH MY GRANDPARENTS ON MY DADS SIDE UH HAD A HEART ATTACK AND UH DIABETES AS WELL UM I THINK BOTH MY PARENTS HAVE DIABETES +audio/RES0149.mp3[587.440,597.160] OK HAVE YOU BEEN TESTED FOR UH DIABETES AS WELL +audio/RES0149.mp3[597.160,606.320] UH YEAH YEAH YEAH I GO TO SEE MY FAMILY DOCTOR AND MY UH HE SAID MY SUGARS WERE GOOD +audio/RES0149.mp3[606.320,635.400] OK GREAT UM ALRIGHT SO UM YOUVE BEEN EXPERIENCING UH SO THIS THIS CHEST PAIN WHEN YOU BREATHE IN DEEPLY SINCE THIS MORNING UM AS WELL AS SOME MORE DIFFICULTY BREATHING AND SOME LEFT PAIN UH LEFT LEG PAIN WITH WITH SOME SWELLING UH HAVE YOU BEEN AFTER TRAVELS AS WELL HAVE YOU HAD ANY OTHER SYMPTOMS +audio/RES0149.mp3[635.400,637.480] NO I DONT THINK SO +audio/RES0149.mp3[637.480,683.160] OK SO THAT WAS ALL I WANTED TO ASK TODAY ON ON HISTORY AND BEFORE I WENT ON TO UH THE PHYSICAL EXAM WE WANT TO CHECK UH VITAL SIGNS AND HAVE A LISTEN TO YOUR HEART AND LUNGS AND UM MEASURE THE DIAMETER OF YOUR OF YOUR SHINS AS WELL UM BUT UM ITLL BE IMPORTANT TO GET UH SOME IMAGING OF YOUR OF YOUR LUNGS UM TO ASSESS WHETHER OR NOT THERES A PULMONARY EMBOLISM UM UH BECAUSE THAT WOULD BE ONE OF THE MORE UM LIFE THREATENING OR POTENTIALLY UM COMPLICATING UH CAUSES OF WHATS GOING ON RIGHT NOW +audio/RES0135.mp3[0.000,2.400] HOW CAN I HELP YOU TODAY +audio/RES0135.mp3[2.400,24.680] HI UM IM BRINGING MY ONE YEAR OLD DAUGHTER IN BECAUSE SHES HAD THIS FEVER UM THIS RUNNY NOSE AND THIS COUGH FOR THE PAST THREE FOUR DAYS UM AND NOW SHE SOUNDS PRETTY WHEEZY +audio/RES0135.mp3[24.680,33.600] OKAY AND UM AS SHE HAD A FEVER THE ENTIRE TIME OVER THE PAST THREE OR FOUR DAYS +audio/RES0135.mp3[33.600,48.760] YEAH I WOULD SAY SO LIKE ITS COME AND GONE BUT EVERY TIME I CHECKED HER TEMPERATURE I TRIED TO CHECK HER TWICE A DAY IT WOULD BE PRETTY HIGH LIKE 38 OR UH 39 +audio/RES0135.mp3[48.760,54.800] OKAY SO IT WAS BETWEEN 38 AND 39 EACH TIME YOU CHECKED IT +audio/RES0135.mp3[54.800,63.840] YEAH AND NOW I SHOULD MENTION LIKE UM I CHECKED TODAY AND SHE DIDNT HAVE A FEVER TODAY BUT SHE SOUNDS REALLY WHEEZY NOW +audio/RES0135.mp3[63.840,67.400] OKAY IS THE WHEEZE NEW TODAY +audio/RES0135.mp3[67.400,71.880] UH YEAH +audio/RES0135.mp3[71.880,76.920] OKAY UM AND THE COUGH THAT STARTED ABOUT THREE OR FOUR DAYS AGO AS WELL +audio/RES0135.mp3[76.920,78.160] YEAH THATS RIGHT +audio/RES0135.mp3[78.160,85.840] AND HOW HOW DOES THE COUGH SOUND DOES IT SOUND LIKE BARKY OR LIKE A SEALLIKE COUGH +audio/RES0135.mp3[85.840,92.080] UM IT SOUNDS PRETTY HARSH I DONT KNOW IF IT SOUNDS BARKY +audio/RES0135.mp3[92.080,99.000] OKAY AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE MORNING OR NIGHT +audio/RES0135.mp3[99.000,102.640] UH NO ITS ITS JUST ALWAYS THERE +audio/RES0135.mp3[102.640,108.760] OKAY UH IS SHE BRINGING UP ANY ANY PHLEGM OR SPUTUM +audio/RES0135.mp3[108.760,120.600] UM SHES BRINGING UP SOME UM SHES SHE ACTUALLY SHE USED TO BRING UP SOME PHLEGM BUT NOW ITS ITS PRETTY DRY +audio/RES0135.mp3[120.600,128.560] OKAY UM SO SHE WAS BRINGING UP PHLEGM INITIALLY AND IS NO LONGER WHAT COLOUR WAS IT +audio/RES0135.mp3[128.560,132.720] IT WAS CLEAR +audio/RES0135.mp3[132.720,141.000] OKAY ANY BLOOD THAT YOU NOTICED THERE +audio/RES0135.mp3[141.000,142.440] UH NO NO BLOOD +audio/RES0135.mp3[142.440,153.400] OKAY UM AND YEAH SHES SHES HAD A WHEEZE AS WELL UM HAVE YOU NOTICED UH ANY CHEST PAIN IF SHES LIKE POINTING TO HER CHEST OR ANYTHING +audio/RES0135.mp3[153.400,157.240] NO NOTHING LIKE THAT +audio/RES0135.mp3[157.240,164.840] OKAY AND HAS SHE HAD ANY ANY LIKE FAINTING SPELLS +audio/RES0135.mp3[166.200,173.120] OKAY UM AND YEAH SO SHES HAD A FEVER HAS SHE HAD ANY LIKE CHILLS OR NIGHT SWEATS LIKE WHERE SHES SHAKING +audio/RES0135.mp3[173.120,175.640] OH NO NO +audio/RES0135.mp3[175.640,177.920] AND HOW HAS HER MOOD BEEN +audio/RES0135.mp3[177.920,190.200] SHES BEEN PRETTY FUSSY UM YEAH SHES BEEN PRETTY FUSSY OVER THE PAST FEW DAYS BUT I JUST THOUGHT IT WAS BECAUSE OF HOW SHE WAS FEELING UM LIKE HER SYMPTOMS +audio/RES0135.mp3[190.200,194.720] YEAH CERTAINLY HAS SHE BEEN EATING AND DRINKING OKAY +audio/RES0135.mp3[194.720,204.960] YEAH WEVE MANAGED TO GET HER TO DRINK AND EAT OKAY UM SO IN THAT SENSE NO CHANGES THERE +audio/RES0135.mp3[204.960,209.720] OKAY HOW MANY DIAPERS IS SHE HOW MANY WET DIAPERS PER DAY +audio/RES0135.mp3[209.720,212.280] UH ABOUT FIVE +audio/RES0135.mp3[212.280,226.720] OKAY SO YEAH STILL BEEN TO MAINTAIN HYDRATION IT SOUNDS LIKE UM YEAH OKAY AND HAS SHE HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE +audio/RES0135.mp3[226.720,229.800] UH NO NOTHING LIKE THAT +audio/RES0135.mp3[229.800,235.960] ANY SUGGESTION THAT SHE MIGHT HAVE UM LIKE ANY EAR PAIN OR OR ANY EAR DISCHARGE +audio/RES0135.mp3[237.760,241.160] OKAY AND HAS SHE HAD A RUNNY NOSE +audio/RES0135.mp3[241.160,253.160] UM YEAH NOW THAT YOU MENTION IT YEAH SHE DID HAVE A RUNNY NOSE UM IT SEEMS TO BE LESS NOW BUT SHE DID HAVE A LOT A FEW DAYS AGO +audio/RES0135.mp3[253.160,259.320] OKAY AND DID THAT START AROUND THE SAME TIME AS THE COUGH AND AND FEVER +audio/RES0135.mp3[262.440,267.040] OKAY UM ITS STILL GOING ON BUT BUT JUST LESS +audio/RES0135.mp3[267.040,270.600] THATS RIGHT YEAH +audio/RES0135.mp3[270.600,277.040] OKAY ON FEEDS OR ANYTHING LIKE THAT DID YOU NOTICE LIKE ANY REDNESS IN HER IN THE BACK OF HER THROAT +audio/RES0135.mp3[277.040,293.400] UM I NOTICED SOME UM YEAH I NOTICED SOME REDNESS BUT I JUST THOUGHT IT WAS BECAUSE OF HER COUGHING A LOT +audio/RES0135.mp3[293.400,302.240] OKAY UM AND UM HAVE YOU NOTICED ANY SKIN CHANGES OR OR RASHES +audio/RES0135.mp3[304.240,309.960] ALRIGHT AND ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA +audio/RES0135.mp3[309.960,312.560] UH NO NO CHANGES THERE +audio/RES0135.mp3[312.560,318.880] OKAY THEN ANY CHANGES TO UM LIKE URINARY HABITS AS WELL +audio/RES0135.mp3[318.880,321.280] UH NO NO CHANGES THERE +audio/RES0135.mp3[321.280,330.240] OKAY AND HAVE YOU NOTICED ANY LIKE BULGING ON HER ON HER FOREHEAD OR ON THE ANTERIOR FONTANELLE +audio/RES0135.mp3[334.160,339.600] OKAY UM AND UH HAS SHE HAD ANY NAUSEA OR VOMITING +audio/RES0135.mp3[339.600,342.920] NO NOT THAT IVE NOTICED +audio/RES0135.mp3[342.920,360.840] ALRIGHT UM JUST YEAH SHES BEEN A LITTLE BIT MORE UM IRRITABLE AS WELL UM OKAY AND HAS SHE HAD ANY SYMPTOMS LIKE THIS BEFORE +audio/RES0135.mp3[360.840,377.680] I MEAN WHEN SHE WAS A FEW MONTHS OLD SHE HAD SIMILAR SYMPTOMS UM AND SHE WAS LIKE HOSPITALIZED FOR MAYBE A DAY OR TWO BUT SHE BECAME BETTER +audio/RES0135.mp3[377.680,383.080] OKAY DID SHE NEED LIKE ANTIBIOTICS OR INHALERS OR ANYTHING LIKE THAT +audio/RES0135.mp3[383.080,388.920] I THINK THEY JUST GAVE HER SOME OXYGEN AND THEN UM SOME FLUIDS +audio/RES0135.mp3[388.920,397.520] OKAY UM HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0135.mp3[399.520,406.880] OKAY AND BESIDES THAT ONE TIME GOING LIKE GOING TO THE HOSPITAL HAS SHE BEEN HOSPITALIZED OR HAD ANY SURGERIES +audio/RES0135.mp3[406.880,410.800] UH NO BEFORE THAT SHE WAS FINE +audio/RES0135.mp3[410.800,415.400] ALRIGHT UH ARE THE IMMUNIZATIONS UP TO DATE +audio/RES0135.mp3[415.400,418.360] YEAH EVERYTHINGS UP TO DATE +audio/RES0135.mp3[418.360,431.080] EXCELLENT UM AND IN TERMS OF THE PREGNANCY ITSELF WERE THERE ANY COMPLICATIONS THROUGHOUT UM WITH MOM +audio/RES0135.mp3[431.080,434.000] UH NO NO NO COMPLICATIONS +audio/RES0135.mp3[434.000,439.760] OKAY AND WAS IT A FULL TERM DELIVERY AND VAGINAL OR CSECTION +audio/RES0135.mp3[439.760,443.680] IT WAS UH FULL TIME AND IT WAS VAGINAL +audio/RES0135.mp3[443.680,453.000] OKAY ANY CONCERNS AT BIRTH LIKE JAUNDICE OR OR ANY TYPES OF DISTRESS +audio/RES0135.mp3[453.000,456.640] UH NO NOTHING LIKE THAT +audio/RES0135.mp3[456.640,461.440] AND HOW IS HER GROWTH AND DEVELOPMENT BEEN THUS FAR ANY CONCERNS +audio/RES0135.mp3[466.760,480.640] OKAY UM THATS GREAT AND IN TERMS OF UM THE HOME ENVIRONMENT WHOS LIVING WITH HER AND UM WHOS PRIMARILY LOOKING AFTER HER +audio/RES0135.mp3[480.640,487.000] UM SO ITS HER DAD AND I AS WELL AS HER UM HER GRANDMA +audio/RES0135.mp3[487.000,492.080] OKAY AND HAS ANYBODY IN THE HOME BEEN SICK RECENTLY +audio/RES0135.mp3[492.080,495.160] NO EVERYONES BEEN HEALTHY +audio/RES0135.mp3[495.160,499.240] OKAY UM AND HAS THERE BEEN ANY TRAVEL +audio/RES0135.mp3[499.240,506.960] UM NO WE HAVENT GONE ANYWHERE RECENTLY +audio/RES0135.mp3[506.960,515.120] OKAY UM AND DOES ANYBODY UH IN THE HOUSE SMOKE +audio/RES0135.mp3[515.120,517.400] UH NOPE +audio/RES0135.mp3[517.400,526.040] OKAY AND ARE THERE ARE THERE ANY PETS OR ARE THERE ANY LIKE CARPETS OR UM LINENS THAT CAN HOLD HOLD A LOT OF DUST OR DANDER +audio/RES0135.mp3[527.480,539.000] OKAY ANY OTHER EXPOSURES TO LIKE TRIGGERS OR POTENTIALLY THINGS THAT THAT COULD BE EXPOSED OR STUFF LIKE THAT COULD BE INHALED +audio/RES0135.mp3[539.000,551.120] NO I DONT HAVE ANYTHING LIKE THAT AT HOME ITS A FAIRLY NEW HOME AND UH ITS HARDWOOD FLOORS YEAH +audio/RES0135.mp3[551.120,556.320] OKAY UM AND UH ANY FAMILY HISTORY OF LUNG PROBLEMS OR HEART PROBLEMS +audio/RES0135.mp3[556.320,559.960] NO NO +audio/RES0135.mp3[559.960,566.560] OKAY HOW ABOUT A FAMILY HISTORY OF ANY CONGENITAL DISEASES OR UM ANY GENETIC DISEASES +audio/RES0135.mp3[566.560,571.200] NO NOTHING LIKE THAT +audio/RES0135.mp3[571.200,575.440] OKAY UM AND FAMILY HISTORY OF ANY CANCER +audio/RES0135.mp3[578.800,594.560] OKAY UM SO WERE THERE ANY OTHER UM SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY BEFORE I WENT ON TO THE PHYSICAL EXAM UM WAS THERE ANYTHING ELSE THAT YOU THAT YOU WANTED TO ADD OR WERE WONDERING ABOUT THAT I MAYBE FORGOT TO ASK +audio/RES0135.mp3[594.560,604.720] YEAH UM WHAT WHAT CAN WE DO FOR HER UM TO MAKE HER BETTER AND ARE YOU CONCERNED ABOUT HER BREATHING +audio/RES0135.mp3[604.720,617.560] UM SO THE THE PHYSICAL EXAM AND THE THE VITAL SIGNS WILL REALLY WILL HELP WITH UM TO ASSESS HER BREATHING AND TO SEE OXYGEN LEVELS +audio/RES0135.mp3[619.360,675.600] UM AND UM THIS COULD BE UH CAUSED BY UM A VIRAL INFECTION WHICH COULD BE SOMETHING ALONG THE LINES OF UH LIKE A COMMON COLD TYPE PICTURE AND WE CAN GET LIKE INFLAMMATION OF UH REALLY SMALL AIRWAYS UM AND IT CAN CAUSE THAT COUGH AND FEVER AND SOME OF THE SYMPTOMS THAT SHES EXPERIENCING AND ALSO UM THESE SYMPTOMS DO OVERLAP WITH COVIAS WELL UM AND SO ITLL BE IMPORTANT TO GET A COVISWAB JUST IN CASE UM BUT UM IF THAT IS THE THE SCENARIO THEN IT WILL BE UM SUPPORTIVE CARE WITH OXYGEN FLUIDS AND WELL MAKE SURE THAT UM THAT HER HER BREATHING IS UH OKAY AND POSSIBLY WELL NEED STEROIDS AND UM AND UH AN INHALER IF NECESSARY +audio/RES0135.mp3[675.600,684.280] OKAY OKAY THAT SOUNDS GOOD THANK YOU +audio/RES0035.mp3[0.000,4.160] MAY I JUST BEGIN WITH ASKING YOU WHAT BROUGHT YOU IN HERE TODAY +audio/RES0035.mp3[4.160,18.400] SURE UM IVE BEEN EXPERIENCING SOME ISSUES BREATHING UM AND JUST A LOT OF COUGHING OVER THE PAST YEAR OR SO +audio/RES0035.mp3[18.400,25.600] OK AND IS YOUR COUGH HAS IT BEEN A WET COUGH OR A DRY COUGH +audio/RES0035.mp3[25.600,30.000] UH BUT ITS BEEN A WET COUGH +audio/RES0035.mp3[30.000,33.400] OK YOU MENTIONED IT STARTED OVER A YEAR +audio/RES0035.mp3[33.400,35.920] WELL ABOUT ABOUT 8 MONTHS +audio/RES0035.mp3[35.920,39.480] 8 MONTHS AND HAS IT BEEN GETTING WORSE AT ALL +audio/RES0035.mp3[39.480,43.760] YEAH I THINK ITS BEEN GETTING WORSE +audio/RES0035.mp3[43.760,51.400] OK AND SO ITS BEEN A WET COUGH DO YOU RELEASE ANY KIND OF LIKE PHLEGM OR SPUTUM +audio/RES0035.mp3[51.400,59.640] UM YEAH ITS USUALLY CLEAR BUT SOMETIMES IT CAN LOOK YELLOW OR GREEN +audio/RES0035.mp3[59.640,64.800] OK AND HOW HOW MUCH WOULD YOU SAY YOU PRODUCE EVERY DAY +audio/RES0035.mp3[64.800,68.280] UM LIKE UM IN TOTAL PER DAY +audio/RES0035.mp3[68.280,72.680] OR JUST MAYBE EVERY TIME YOU COUGH +audio/RES0035.mp3[72.680,78.480] EVERY TIME I COUGH MAYBE LIKE THE SIZE OF MY THUMBPRINT +audio/RES0035.mp3[78.480,82.600] OK AND HAVE YOU NOTICE AT ALL COUGHING UP ANY BLOOD +audio/RES0035.mp3[84.080,87.480] IS THE BLOOD EVER MIXED INTO THE PHLEGM +audio/RES0035.mp3[90.000,97.040] OK AND UH HAS IT BEEN CONSTANT COUGHING OR DOES IT COME AND GO OVER THE LAST EIGHT MONTHS +audio/RES0035.mp3[97.040,106.960] UM IT COMES AND GOES BUT THERE THERE ITS ALWAYS LIKE I HAVE A TICKLE IN MY THROAT OR SOMETHING +audio/RES0035.mp3[106.960,117.640] OK AND WHEN IT FIRST STARTED HAD ANYTHING CHANGED IN YOUR LIFE UH HAD YOU MOVE TO A NEW PLACE OR STARTED SMOKING OR ANYTHING LIKE THAT +audio/RES0035.mp3[121.280,128.080] NO OK IS THERE ANYTHING YOU DO THAT MAKES THE COUGHING OR SHORTNESS OF BREATH WORSE +audio/RES0035.mp3[128.080,131.840] UM I GUESS WALKING +audio/RES0035.mp3[131.840,141.640] WALKING IS THERE ANYTHING THAT MAKES IT BETTER AT ALL +audio/RES0035.mp3[141.640,142.920] JUST RESTING +audio/RES0035.mp3[142.920,150.280] JUST RESTING OK HOW MUCH CAN YOU WALK OR RUN UNTIL YOU FEEL THE COUGHING OR SHORTNESS OF BREATH +audio/RES0035.mp3[150.280,155.680] ABOUT LIKE 200 METERS +audio/RES0035.mp3[155.680,159.200] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE THE EIGHT MONTHS +audio/RES0035.mp3[159.200,169.200] NO ACTUALLY I GET WHEEZY BECAUSE I HAVE ASTHMA BUT IT DOESNT ITS NOT AS BAD AS THIS +audio/RES0035.mp3[169.200,179.960] OK AND UM HOW OFTEN ARE YOU COUGHING ARE YOU COUGHING THROUGHOUT THE DAY OR IS IT MORE SO DURING THE DAY AND THEN OR MORE AT NIGHT +audio/RES0035.mp3[179.960,184.680] UH ITS JUST KIND OF ALWAYS THERE UM THROUGHOUT THE DAY +audio/RES0035.mp3[184.680,200.880] OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE DIFFICULTY BREATHING AND THE COUGH DO YOU HAVE A SORE THROAT RUNNY NOSE DIZZINESS ANYTHING LIKE THAT +audio/RES0035.mp3[203.320,208.480] OK SO JUST THE DIFFICULTY BREATHING AND THE COUGH +audio/RES0035.mp3[209.400,211.760] DO YOU GET ANY CHEST PAIN AT ALL +audio/RES0035.mp3[211.760,215.480] NO CHEST PAIN +audio/RES0035.mp3[215.480,220.840] GREAT HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE COUNTRY RECENTLY +audio/RES0035.mp3[220.840,223.520] UH NO NO +audio/RES0035.mp3[223.520,226.040] ANY HEADACHES NAUSEA OR VOMITING +audio/RES0035.mp3[227.680,230.400] ANY FEVER CHILLS OR NIGHT SWEATS +audio/RES0035.mp3[232.040,236.440] DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY +audio/RES0035.mp3[236.440,240.880] YEAH I GUESS COUGHING A LOT MAKES ME TIRED +audio/RES0035.mp3[240.880,244.920] OK DO YOU EVER FEEL THAT YOUR HEART IS RACING OR YOU HAVE ANY KIND OF CHEST PAIN +audio/RES0035.mp3[247.160,251.720] HAVE YOU NOTICED ANY ISSUES URINATING +audio/RES0035.mp3[253.200,256.640] ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +audio/RES0035.mp3[258.880,261.560] ANY ISSUES WITH YOUR SLEEP OR APPETITE +audio/RES0035.mp3[261.560,263.600] UH NO +audio/RES0035.mp3[263.600,266.720] ANY SIGNIFICANT CHANGES IN YOUR WEIGHT +audio/RES0035.mp3[268.760,271.880] HAVE YOU HAD ANY RECENT INFECTIONS THAT YOU KNOW OF +audio/RES0035.mp3[271.880,274.120] NOT THAT I KNOW OF +audio/RES0035.mp3[274.120,277.600] ANY ANTIBIOTICS THAT YOUVE HAD TO USE FOR ANY INFECTIONS +audio/RES0035.mp3[279.280,284.640] UM DO YOU THINK YOU HAVE HAD ANY EXPOSURE TO TUBERCULOSIS IN THE PAST +audio/RES0035.mp3[286.880,296.080] AND DO YOU HAVE EXPOSURE TO FUMES OR DUST OR ANIMALS OR PETS IN YOUR WORK OR HOME ENVIRONMENT +audio/RES0035.mp3[296.080,297.920] I HAVE A BIRD +audio/RES0035.mp3[297.920,301.920] A BIRD AND WHEN DID YOU GET THE BIRD +audio/RES0035.mp3[301.920,304.720] LIKE FIVE YEARS AGO +audio/RES0035.mp3[304.720,307.640] OK BUT NO ISSUES BEFORE THE EIGHT MONTHS +audio/RES0035.mp3[310.720,319.320] OK IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU MENTIONED ASTHMA BUT ANYTHING ELSE LIKE DIABETES HIGH BLOOD PRESSURE +audio/RES0035.mp3[319.320,325.760] I HAVE TYPE 2 DIABETES AND HIGH BLOOD PRESSURE +audio/RES0035.mp3[325.760,329.160] OK AND OR DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS +audio/RES0035.mp3[329.160,332.560] NO ITS JUST BEING CONTROLLED BY DIET +audio/RES0035.mp3[332.560,336.920] OK ANY MEDICATIONS FOR ANY OTHER REASONS +audio/RES0035.mp3[336.920,341.160] I TAKE SOME VITAMIN TABLETS +audio/RES0035.mp3[341.160,344.840] OK ANY ALLERGIES ENVIRONMENTAL OR TO MEDICATIONS +audio/RES0035.mp3[346.920,349.680] OK HAVE YOU EVER BEEN HOSPITALIZED +audio/RES0035.mp3[352.160,356.600] ANY ILL CONTACTS NEAR YOU AT HOME OR WORK +audio/RES0035.mp3[358.520,360.800] ANY PREVIOUS SURGERIES +audio/RES0035.mp3[360.800,363.320] NO PREVIOUS SURGERIES +audio/RES0035.mp3[363.320,371.240] OK DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA OR ANY OTHER LUNG CONDITION OR ANY CANCERS +audio/RES0035.mp3[371.240,376.400] NO LUNG CONDITIONS OR CANCERS +audio/RES0035.mp3[376.400,378.720] OK AND CURRENTLY DO YOU WORK +audio/RES0035.mp3[378.720,381.200] I DO +audio/RES0035.mp3[381.200,382.640] AND WHERE DO YOU WORK +audio/RES0035.mp3[382.640,386.120] I WORK AS AN ACCOUNTANT +audio/RES0035.mp3[386.120,391.960] OK AND DO YOU CURRENTLY LIVE IN AN APARTMENT OR A HOUSE +audio/RES0035.mp3[391.960,395.280] IN AN APARTMENT +audio/RES0035.mp3[395.280,399.360] OK AND DO YOU LIVE BY YOURSELF OR DO YOU LIVE WITH ANYONE ELSE +audio/RES0035.mp3[399.360,401.240] JUST BY MYSELF +audio/RES0035.mp3[401.240,411.040] OK ANY NEW CHANGES TO YOUR HOUSE UHM ANY NEW CARPETS OR ANYTHING LIKE THAT OR HAVE YOU MOVED INTO A NEW NEW PLACE RECENTLY +audio/RES0035.mp3[412.840,417.120] OK DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0035.mp3[417.120,422.080] NO I SMOKED WHEN I WAS YOUNGER BUT NOT ANYMORE +audio/RES0035.mp3[422.080,424.440] OK AND DO YOU SMOKE CIGARETTES +audio/RES0035.mp3[424.440,426.080] I DO +audio/RES0035.mp3[426.080,429.560] OK AND HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY +audio/RES0035.mp3[429.560,432.200] UHM ABOUT HALF A PACK A DAY +audio/RES0035.mp3[432.200,435.920] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0035.mp3[435.920,439.560] SINCE I WAS 18 +audio/RES0035.mp3[439.560,443.440] OK AND YOU DRINK ALCOHOL +audio/RES0035.mp3[443.440,446.520] UHM SOMETIMES +audio/RES0035.mp3[446.520,453.120] AND HOW OFTEN WOULD YOU SAY ON AN AVERAGE WEEK HOW MANY DRINKS OF ALCOHOL WOULD YOU SAY YOU HAVE +audio/RES0035.mp3[453.120,456.680] UHM MAYBE 2 GLASSES OF WINE A WEEK +audio/RES0035.mp3[456.680,465.640] OK AND IN TERMS OF YOUR DIET AND EXERCISE WOULD YOU SAY YOU GET 3 MEALS A DAY WELL BALANCE WELL BALANCED DIET +audio/RES0035.mp3[465.640,470.320] UM YEAH ID SAY SO +audio/RES0035.mp3[470.320,476.200] OK AND LASTLY IN TERMS OF EXERCISE WOULD YOU SAY YOURE FAIRLY ACTIVE THROUGHOUT THE WEEK +audio/RES0035.mp3[476.200,479.120] UHM YEP +audio/RES0035.mp3[479.120,484.960] AND WHAT KIND OF THINGS DO YOU DO FOR ACTIVITY +audio/RES0035.mp3[484.960,496.000] UM I TAKE WALKS WHEN I CAN UM BEFORE THIS WHOLE SHORTNESS OF BREATH THING I USED TO RIDE MY BIKE +audio/RES0004.mp3[0.000,2.600] ITS NICE TO MEET YOU WHATS YOUR NAME +audio/RES0004.mp3[2.600,6.320] IT MY NAME IS SCOTT ITS NICE TO MEET YOU TOO +audio/RES0004.mp3[6.320,10.360] ALRIGHT UM SO SCOTT HOW OLD ARE YOU +audio/RES0004.mp3[11.640,14.720] OK WHAT BRINGS YOU IN TODAY +audio/RES0004.mp3[14.720,22.760] UM IVE HAD A SORE THROAT NOW FOR A COUPLE OF WEEKS AND ITS JUST NOT GOING AWAY +audio/RES0004.mp3[22.760,27.920] COUPLE OF WEEKS OK SO ABOUT TWO WEEKS THREE WEEKS +audio/RES0004.mp3[27.920,29.960] YEAH ABOUT TWO TO THREE WEEKS +audio/RES0004.mp3[29.960,40.480] OK UM WHAT DOES IT FEEL LIKE IS IT IS IT KIND OF LIKE A BURNING FEELING IS IT MORE LIKE AN ITCHY FEELING WHAT DOES IT FEEL LIKE +audio/RES0004.mp3[40.480,47.840] UH I WOULD SAY ITS KINDA YEAH LIKE BURNIN OR BURNING OR SCRATCHY +audio/RES0004.mp3[47.840,53.000] OK AND DOES IT HURT WHEN YOU SWALLOW +audio/RES0004.mp3[53.000,66.960] IT DOES YEAH UH IF MY THROAT HURTS WHEN IM EATING OR UM UH OR SWALLOWING LIKE LIQUIDS AS WELL BUT COLD STUFF SEEMS TO MAKE IT FEEL A LITTLE BIT BETTER +audio/RES0004.mp3[66.960,70.640] OK GOOD AND DOES YOUR NECK HURT TOO +audio/RES0004.mp3[70.640,81.880] UM A LITTLE TENDER IVE NOTICED THE UM SOME LUMPS AT THE FRONT OF FRONT OF MY NECK THAT HAVE BEEN A BIT SORE +audio/RES0004.mp3[81.880,91.480] OK AND IS IT MOSTLY SORE KIND OF LIKE MIDLINE OR IS IT MORE SORTA ONE SIDE VERSUS THE OTHER +audio/RES0004.mp3[91.480,101.160] UM ID SAY MAYBE THE UH THE RIGHT SIDE IS A LITTLE BIT MORE SORE BUT I THINK I CAN FEEL IT ON BOTH SIDES OF MY NECK +audio/RES0004.mp3[101.160,109.600] OK AND HOW BAD WOULD YOU SAY YOUR DISCOMFORT IS 1 TO 10 10 BEING THE WORST +audio/RES0004.mp3[109.600,122.440] UM I WOULD SAY MAYBE A TWO OR THREE IF I MOVE MY NECK I I CAN FEEL IT MORE BUT OTHERWISE I CAN JUST BARELY NOTICE THAT ITS THERE +audio/RES0004.mp3[122.440,131.200] OK SO ITS NOT PREVENTING YOU FROM SLEEPING GOING TO SCHOOL PLAYING THINGS LIKE THAT +audio/RES0004.mp3[131.200,137.640] NO ITS MORE SO THE SORE THROAT WHEN SWALLOWING +audio/RES0004.mp3[137.640,143.280] OK OK UM HAVE YOU NOTICED A FEVER AT ALL +audio/RES0004.mp3[143.280,155.640] UM I HAVE YEAH I FELT HOT AND UM I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 387 I THINK IT WAS IS THAT A FEVER +audio/RES0004.mp3[155.640,160.440] YEAH ID SAY THATS A FEVER WE CAN ALSO DO ANOTHER TEMPERATURE CHECK TODAY +audio/RES0004.mp3[161.280,170.280] UM YEAH BUT THAT DEFINITELY SOUNDS LIKE A FEVER UM HAVE YOU NOTICED RASHES ANYWHERE +audio/RES0004.mp3[170.280,182.960] UM YEAH IVE HAD THIS UH THIS LIKE RED I GUESS PINK RASH THAT I HAVE NOTICED ITS COME OVER MY CHEST AND AND BELLY AREA +audio/RES0004.mp3[182.960,191.240] OK HOW BIG IS IT IS IT MORE THAN A CENTIMETER +audio/RES0004.mp3[191.240,210.360] UH HUH YEAH ITS PRETTY WELL I MEAN ITS KIND OF UM SPREAD OUT OVER OVER AN AREA LIKE ITS NOT ALL CONTINUOUS I GUESS YOU CAN KIND OF SEE PATCHES OR BLOTCHES +audio/RES0004.mp3[210.360,214.600] OK AND IS IT RAISED +audio/RES0004.mp3[214.600,218.200] NO ITS ITS NOT RAISED +audio/RES0004.mp3[218.200,221.840] OK OK IS IT ITCHY +audio/RES0004.mp3[221.840,223.720] UH NO ITS NOT ITCHY +audio/RES0004.mp3[226.600,228.080] NO NOT PAINFUL +audio/RES0004.mp3[228.080,232.920] OK AND IS IT BLEEDING OR OOZING ANYTHING LIKE PUS +audio/RES0004.mp3[232.920,251.520] UM NO ITS NOT NOTHING LIKE THAT ITS JUST PINK AND RED AND ITS JUST KIND OF SHOWN UP OVER THE LAST LITTLE WHILE IVE NOTICED IT ON MY UM LIKE HANDS A LITTLE BIT TOO +audio/RES0004.mp3[251.520,257.400] OK AND YOU SAID THIS STARTED WHEN LIKE WAS THIS BEFORE THE SORE THROAT OR AFTER +audio/RES0004.mp3[257.400,276.400] OH I CANT LIKE REMEMBER THE ONSET I I THINK THAT THE SORE THROAT STARTED FIRST AND MAYBE A RASH CAME A LITTLE BIT LATER +audio/RES0004.mp3[276.400,283.000] OK OK AND HAVE YOU NOTICED THAT YOUR THAT YOUR GLANDS ARE SWOLLEN +audio/RES0004.mp3[283.000,287.040] I THINK SO UM MAYBE THATS WHATS SWOLLEN IN MY NECK +audio/RES0004.mp3[287.040,290.280] OK OK UM HOW ABOUT COUGHING +audio/RES0004.mp3[290.280,295.000] NO I HAVENT HAD A COUGH NO +audio/RES0004.mp3[295.000,300.280] AND HOW ABOUT A STUFFY NOSE OR OR A RUNNY NOSE +audio/RES0004.mp3[300.280,301.760] NOTHING LIKE THAT +audio/RES0004.mp3[301.760,304.520] OK BODY ACHES +audio/RES0004.mp3[304.520,308.760] YEAH I FELT SO SOME MUSCLE ACHES FOR SURE +audio/RES0004.mp3[308.760,313.120] OK UPPER LIMBS OR LOWER LIMBS +audio/RES0004.mp3[313.120,321.440] I SAY I GOT A WHOLE BODY I JUST FEEL LIKE MY MUSCLES AND JOINTS ARE SORE +audio/RES0004.mp3[321.440,328.680] OK YEAH AND OR DO YOU HAVE ANY HEADACHES +audio/RES0004.mp3[328.680,332.200] UH NO I HAVENT REALLY HAD ANY HEADACHES +audio/RES0004.mp3[332.200,338.280] NO OK AND HOWS YOUR APPETITE ARE YOU STILL EATING WELL +audio/RES0004.mp3[338.280,353.520] UM IT MIGHT BE A LITTLE AH MIGHT HAVE BEEN A LITTLE BIT DOWN I JUST KIND OF HAVENT BEEN FEELING SO GREAT SO IM IVE PROBABLY EATING LESS THE LAST FEW WEEKS YEAH +audio/RES0004.mp3[353.520,361.120] HAVE YOU BEEN AROUND ANYONE WHO MAY HAVE BEEN SICK RECENTLY +audio/RES0004.mp3[361.120,375.600] YEAH ACTUALLY I THINK A FEW OF MY FRIENDS OR THERE WAS SOMEBODY IN MY GYM CLASS KNEW THAT I SOUNDED LIKE THEY HAD SIMILAR SYMPTOMS +audio/RES0004.mp3[375.600,378.360] OK OK AND WHEN WAS THIS +audio/RES0004.mp3[378.360,387.320] UM UH NOW THAT I THINK ABOUT IT PROBABLY ABOUT THREE OR FOUR WEEKS AGO +audio/RES0004.mp3[387.320,392.960] OK AND WERE THEY EVER TREATED FOR THAT DID THEY SEE A DOCTOR +audio/RES0004.mp3[392.960,395.040] UM IM NOT SURE +audio/RES0004.mp3[395.040,396.600] NO OK NO WORRIES +audio/RES0004.mp3[396.600,401.000] I JUST REMEMBER THEM BEING OFF FOR SCHOOL CAUSE THEY WERE THEY WERE SICK +audio/RES0004.mp3[401.000,407.000] OK YEAH ANY ISSUES WITH YOUR EYES +audio/RES0004.mp3[408.560,417.720] NO NOTHING LIKE CRUSTING OR PUS COMING OUT OF YOUR EYES RED EYE ANYTHING LIKE THAT +audio/RES0004.mp3[417.720,436.640] UM NO THAT WELL DID THEY MIGHT HAVE LOOKED MAYBE A LITTLE BIT MORE MORE RED RED THEN USUAL BUT I HAVENT NOTICED ANY ANYTHING IN TERMS OF ITCHINESS OR UM DISCHARGE +audio/RES0004.mp3[436.640,441.480] OK ANY NAUSEA OR VOMITING +audio/RES0004.mp3[441.480,443.320] UM NO NAUSEA OR VOMITING +audio/RES0004.mp3[443.320,452.600] OK HOW HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL HAVE YOU HAD DIARRHEA CONSTIPATION ANYTHING LIKE THAT +audio/RES0004.mp3[452.600,455.520] NO CHANGES TO BOWEL HABITS +audio/RES0004.mp3[455.520,458.440] OK HOW ABOUT URINE +audio/RES0004.mp3[458.440,461.040] UM THATS BEEN OK +audio/RES0004.mp3[461.040,466.680] OK OK UM HAVE YOU EVER HAD THESE SYMPTOMS BEFORE +audio/RES0004.mp3[466.680,476.760] UM I MEAN IVE HAD SORE THROATS IN THE PAST BUT NOT WHILE FEELING LIKE THIS THOUGH +audio/RES0004.mp3[476.760,479.640] YEAH OK WHEN WAS THE LAST TIME YOU HAD A SORE THROAT +audio/RES0004.mp3[479.640,484.400] UM I DONT KNOW MAYBE WHEN I WAS A KID +audio/RES0004.mp3[484.920,486.920] ITS BEEN AWHILE +audio/RES0004.mp3[486.920,492.120] YEAH LIKE A STREP THROAT KIND OF THING OR OR MORE VIRAL +audio/RES0004.mp3[492.120,497.240] YEAH I DO REMEMBER GETTING ANTIBIOTICS WHEN I WAS YOUNGER +audio/RES0004.mp3[497.240,504.560] OK OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0004.mp3[504.560,508.640] I WAS DIAGNOSED WITH UH WITH ASTHMA +audio/RES0004.mp3[508.640,515.920] OK AND ARE YOU ON ANY MEDICATIONS FOR THAT +audio/RES0004.mp3[515.920,531.240] UM YEAH SO I I JUST USE AH VENTOLIN AS NEEDED BUT OTHERWISE OH AND THEN I TAKE FLOVENT DAILY SO UM +audio/RES0004.mp3[531.880,540.040] I THINK THATS THE ONE THERES THERES A COUPLE INHALERS THAT THAT I TAKE +audio/RES0004.mp3[540.040,543.320] OK OK AND ANY OTHER MEDICATIONS +audio/RES0004.mp3[543.320,551.600] UH SOMETIMES ILL TAKE UM LIKE REACTINE OR SOME OTHER TYPE OF ALLERGY PILL BUT THATS IT +audio/RES0004.mp3[551.600,556.760] OK WHAT ARE YOU ALLERGIC TOO +audio/RES0004.mp3[556.760,568.000] UM MOSTLY SEASONAL ALLERGIES BUG ME LIKE UM YEAH LIKE SEASONAL ALLERGIES AND DUST MAYBE +audio/RES0004.mp3[568.000,571.600] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0004.mp3[571.600,575.880] YEAH MY MOM MAKES ME GET THE FLU SHOT EVERY YEAR +audio/RES0004.mp3[575.880,586.920] OK GOOD AND ITS OK HAVE YOU SEEN ANOTHER DOCTOR FOR THE SYMPTOMS AT ALL HAVE YOU BEEN WORKED UP FOR THAT ANY BLOOD WORK TESTING DONE FOR IT ALREADY +audio/RES0004.mp3[586.920,604.280] NO I THOUGHT I WOULD HAVE FELT BETTER BY NOW AND SO I HAVENT SEEN ANYBODY BUT ITS KIND OF JUST BEEN GOING ON NOW NOT SEEMING TO GET BETTER SO WANNA COME SEE SOMEBODY +audio/RES0004.mp3[604.280,611.440] YEAH FOR SURE HAVE YOU TRIED ANYTHING FOR YOUR SYMPTOMS ANY MEDICATIONS ANYTHING OVER THE COUNTER +audio/RES0004.mp3[611.440,629.480] UM YEAH IVE TRIED SOME TYLENOL AND ITS I I THINK WHAT IS IT ADVIL AND THAT DEFINITELY IS HELPED WITH SOME OF THE KIND OF ACHES AND PAINS BUT THEYVE COME RIGHT BACK +audio/RES0004.mp3[629.480,633.680] OK UM ANY FAMILY HISTORY OF LUNG ISSUES HEART ISSUES +audio/RES0004.mp3[633.680,642.880] UM NO NOTHING LIKE THAT UM NO +audio/RES0004.mp3[642.880,645.440] YEAH OK HOW ABOUT CANCERS +audio/RES0004.mp3[645.440,654.680] I I THINK MY GRANDFATHER HAD A LIKE PANCREATIC CANCER +audio/RES0004.mp3[654.680,659.640] OK OK UM ALRIGHT SO DO YOU LIVE AT HOME CORRECT +audio/RES0004.mp3[659.640,664.200] YEAH I LIVE WITH MY PARENTS AND MY YOUNGER SISTER SHES 12 +audio/RES0004.mp3[664.200,666.920] SHES 12 IS SHE HEALTHY +audio/RES0004.mp3[666.920,667.840] YEAH SHE IS +audio/RES0004.mp3[667.840,673.880] OK GOOD AND HAVE YOU GUYS TRAVELED RECENTLY +audio/RES0004.mp3[673.880,677.880] UM NO WEVE BEEN WEVE BEEN AT HOME +audio/RES0004.mp3[677.880,684.080] OK OK UM AND DO YOU SMOKE +audio/RES0004.mp3[684.080,685.000] NO I DONT SMOKE +audio/RES0004.mp3[685.000,687.440] NO HOW ABOUT MARIJUANA +audio/RES0004.mp3[687.440,698.120] I IVE TRIED IT ONCE OR TWICE BUT IT WAS JUST THOSE COUPLE TIMES NOTHING THAT I DO OR USED REGULARLY +audio/RES0004.mp3[698.120,706.680] OK AND HOW ABOUT ALCOHOL +audio/RES0004.mp3[706.680,709.960] NO NO ALCOHOL +audio/RES0004.mp3[709.960,713.680] NO ALCOHOL OK ARE YOU SEXUALLY ACTIVE +audio/RES0004.mp3[713.680,717.560] NO IM NOT +audio/RES0004.mp3[717.560,728.040] NO OK UM IS THERE A POSSIBILITY THAT OR ACTUALLY SORRY I SHOULD REPHRASE THAT HAVE YOU KISSED ANYONE RECENTLY +audio/RES0004.mp3[728.040,740.360] UM I WELL I I GUESS I KINDA HAVE A GIRLFRIEND NOW UM THAT WE THAT I STARTED HANGING OUT WITH ABOUT TWO MONTHS AGO +audio/RES0004.mp3[740.360,741.320] OK OK +audio/RES0004.mp3[741.320,743.640] AND SO I GUESS YES +audio/RES0004.mp3[743.640,752.840] OK ALRIGHT WELL THATS GOOD UM HAVE HAS SHE HAD ANY OF THESE SYMPTOMS +audio/RES0004.mp3[752.840,761.760] UH WELL SHE SHE WAS WASNT FEELING WELL FOR AWHILE BACK BUT I DONT THINK IT WAS THIS BAD FOR HER +audio/RES0004.mp3[761.760,766.400] OK ACTUALLY AND SHES BETTER NOW +audio/RES0004.mp3[766.400,770.560] YEAH SHES BETTER NOW +audio/RES0004.mp3[770.560,784.800] OK ALRIGHT SO YOU MENTIONED YOURE NOT SEXUALLY ACTIVE IF YOU WERE TO BE MAKE SURE YOU USE PROTECTION UM AND OK SO EVERYTHING AT +audio/RES0004.mp3[784.800,792.120] HOME IS OK THEN NO ONES NO ONES SICK AT HOME YOU MENTIONED RIGHT +audio/RES0004.mp3[792.120,796.640] YEAH NO ONES NO ONES SICK AT HOME +audio/RES0004.mp3[796.640,803.680] OK AND SCHOOL IS GOING OK +audio/RES0004.mp3[803.680,810.160] UM YEAH SCHOOLS BEEN BEEN GOING OK FOR THE MOST PART ITS BEEN TOUGH THESE LAST FEW WEEKS FEELING LIKE THIS THOUGH +audio/RES0004.mp3[810.160,820.840] YEAH FOR SURE AND ARE YOU AND YOUR GIRLFRIEND IN AN EXCLUSIVE RELATIONSHIP +audio/RES0004.mp3[820.840,821.880] UH I I THINK SO YEAH +audio/RES0004.mp3[821.880,845.440] OK I ASK BECAUSE THERES SOMETHING CALLED WHAT YOU MAY BE FAMILIAR WITH UM ITS CALLED THE KISSING DISEASE IN MEDICAL TERMINOLOGY ITS CALLED MONO AS CAUSED BY A VIRUS CALLED EBV AND SO IT COULD BE THAT SO WERE COVERING ALL OUR BASES +audio/RES0004.mp3[845.440,848.280] OH IVE HEARD OF MONO BEFORE +audio/RES0004.mp3[850.560,866.400] ITS ITS LIKELY IT COULD BE UP THERE IN TERMS OF WHAT YOU HAVE SO I THINK THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME ANYTHING YOU WANTED TO ADD +audio/RES0004.mp3[866.400,870.040] UM NO I THINK THATS YOU COVERED EVERYTHING +audio/RES0004.mp3[870.040,897.640] OK ALRIGHT SO I WILL WILL GO OFF A FEW WELL TRY TO COVER OUR BASIS AND GET YOU TESTED FOR MONO WHICH I WOULD HAVE TO DO LIKE A MONOSPOT TEST AND WE CAN DO RAPID STREP TEST AS WELL TO SEE IF HE HAS SOMETHING CALLED STREP THROAT BUT YEAH WELL SEE WHAT THOSE RESULTS COME BACK AS AND WELL GO FROM THERE DOES THAT SOUND GOOD +audio/RES0004.mp3[897.640,900.200] YEAH NO THAT SOUNDS GOOD +audio/RES0004.mp3[900.200,902.120] OK THANK YOU +audio/RES0098.mp3[0.000,1.320] HOW MAY I HELP YOU +audio/RES0098.mp3[1.320,41.000] SO I JUST CAME IN HERE BECAUSE FOR THE LAST DAY IVE BEEN JUST GETTING SHORTNESS OF BREATH I RECENTLY YESTERDAY ACTUALLY WAS JUST BUSY AT HOME CLEANING OUT MY BASEMENT AND LIKE THAT WAS YESTERDAY AFTERNOON I DID THAT FOR A COUPLE HOURS AND THEN AT NIGHT I JUST STARTED TO GET THE SHORTNESS OF BREATH ITS CONTINUED UNTIL TODAY IM ALSO GETTING SOME WHEEZING AND TIGHTNESS IN MY CHEST AS WELL AS SOME COUGH SO YEAH THATS ALL JUST BEEN HAPPENING OVER THE LAST DAY +audio/RES0098.mp3[41.000,48.520] OK AND UH IS THE SHORTNESS OF BREATH HERE NOW IS IT IS AT REST OR ARE YOU HAVING THAT WHEN YOURE EXERTING YOURSELF +audio/RES0098.mp3[48.520,67.600] P MORE SO WHEN IM LIKE EXERTING MYSELF IF IM SITTING DOWN ITS BETTER BUT I STILL HAVE I WOULD SAY LIKE MY BREATHING IS NOT NORMAL RIGHT NOW LIKE ITS I STILL HAVE TO TAKE DEEPER BREATHS AND I DO HAVE THAT CHEST TIGHTNESS WHEN I TAKE THOSE DEEP BREATHS +audio/RES0098.mp3[67.600,70.520] OK DO YOU HAVE ANY CHEST PAIN +audio/RES0098.mp3[70.520,77.360] NO ITS MORE SO JUST THE TIGHTNESS I WOULDNT CALL IT PAIN BUT I DO STILL HAVE A LITTLE BIT OF WHEEZING +audio/RES0098.mp3[78.800,81.760] SO YEAH THATS THATS THAT +audio/RES0098.mp3[81.760,91.640] AND YOU MENTIONED A COUGH AS WELL WITH THE COUGH IS IT HAS IT BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM +audio/RES0098.mp3[91.640,103.360] UHM IT WAS IT WAS MAINLY DRY YESTERDAY LIKE LIKE THE COUGH HAS KIND OF GONE AWAY BUT YESTERDAY NIGHT I WAS COUGHING A LOT AND IT WAS MOSTLY DRY +audio/RES0098.mp3[103.360,106.840] OK HAVE YOU BROUGHT UP ANY BLOOD +audio/RES0098.mp3[109.920,122.760] OK AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE EYE TEARING OR RED EYES MAYBE A RUNNY NOSE OR SORE THROAT +audio/RES0098.mp3[122.760,150.520] UHM NOT A SORE THROAT BUT IT DOES FEEL LIKE IT ITS KIND OF LIKE JUST CONSTRICTED IN THERE LIKE UHM I DONT KNOW IF ITS RELEVANT BUT I I DO HAVE ASTHMA UH LIKE I WAS DIAGNOSED TEN YEARS AGO BUT ITS BEEN PRETTY STABLE LIKE ITS LIKE JUST RIGHT NOW I HAVENT HAD SHORTNESS OF BREATH FOR A PRETTY LONG TIME +audio/RES0098.mp3[150.520,177.200] OK UH AND UH WELL GET BACK TO THE PAST MEDICAL HISTORY SHORTLY I JUST WANTED TO ASK A FEW MORE SYMPTOMS BUT CERTAINLY COULD BE RELEVANT TODAY UHM SO UHM SO YOU MENTIONED THAT YOU HAVE HAD SOME THROAT TIGHTNESS HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE +audio/RES0098.mp3[177.200,179.440] NO NOTHING LIKE THAT +audio/RES0098.mp3[179.440,184.280] OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0098.mp3[185.960,191.120] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0098.mp3[191.120,193.440] NO NO NAUSEA OR VOMITTING +audio/RES0098.mp3[193.440,197.800] HOW ABOUT ANY DIARRHEA OR CONSTIPATION +audio/RES0098.mp3[199.240,206.040] AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL OR FREQUENCY +audio/RES0098.mp3[207.000,212.600] OK AND HAVE YOU HAD ANY NIGHT SWEATS OVER THE LAST SEVERAL WEEKS TO MONTHS +audio/RES0098.mp3[212.600,214.480] NO NOTHING LIKE THAT +audio/RES0098.mp3[214.480,218.840] AND UHM HAVE YOU HAD ANY WEIGHT CHANGES OVER THE LAST LITTLE WHILE +audio/RES0098.mp3[220.600,226.680] OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES +audio/RES0098.mp3[226.680,238.080] UH NO I I DO HAVE JUST LIKE THE GENERAL LIKE ECZEMA THAT I USE A CREAM FOR BUT THATS JUST NORMAL FOR ME +audio/RES0098.mp3[238.080,244.240] OK AND ANY MUSCLE ACHES OR OR JOINT PAINS +audio/RES0098.mp3[245.920,249.040] HAVE YOU HAD ANY FATIGUE +audio/RES0098.mp3[250.520,259.520] OK ALRIGHT YOU MENTIONED ASTHMA AS PART OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY OTHER CONDITIONS +audio/RES0098.mp3[259.520,267.200] NO ITS JUST ASTHMA AND IT WAS DIAGNOSED I THINK WHEN I WAS LIKE PROBABLY 11 OR 12 YEARS OLD +audio/RES0098.mp3[267.200,271.480] OK AND DO YOU USE INHALERS FOR THAT +audio/RES0098.mp3[271.480,314.080] YEAH I HAVE TWO INHALERS UH LIKE ONE ONE IS LIKE A BLUE ONE ONE IS LIKE AN LIKE AN ORANGE ONE UH ITS SO I THINK ITS ONE OF THEM IS JUST LIKE I TAKE WHENEVER I REALLY NEED TO AND THE OTHER ONE I TAKE EVERY DAY UHM AND I HAVENT BEEN TAKING THE ONE UH I THINK ITS CALLED VENTOLIN BUT I TOOK IT LIKE UH HAD TO TAKE IT LIKE THREE OR FOUR TIMES LAST NIGHT AND LIKE THROUGHOUT THE DAY YESTERDAY AND IT IT DID HELP BUT IT DIDNT REALLY RELIEVE SOME OF MY SYMPTOMS +audio/RES0098.mp3[314.080,320.800] OK AND PRIOR TO THAT HOW OFTEN HAVE YOU BEEN USING UHM THE BLUE ONE +audio/RES0098.mp3[320.800,328.400] THE BLUE ONE BEFORE YESTERDAY PROBABLY THE LAST TIME I USED IT WAS PROBABLY LIKE A MONTH AGO +audio/RES0098.mp3[328.400,331.880] OK SO YOU DONT NEED IT THAT THAT OFTEN THEN +audio/RES0098.mp3[332.920,350.640] DO YOU HAVE ANY TRIGGERS FOR ASTHMA THAT YOURE AWARE OF LIKE EXERCISING OR GOING OUT INTO THE COLD OR EVEN LIKE ALLERGIES LIKE DUST OR OR OR POLLEN +audio/RES0098.mp3[350.640,372.320] UHM I DO HAVE ALLERGIES IN THE SPRING I THINK ITS TO POLLEN AND IN THE WINTER IT DOES LIKE MY SYMPTOMS DO GET A BIT WORSE AND I HAVE TO USE THE VENTIL MORE BUT RECENTLY FOR THE LAST FEW MONTHS AT LEAST ITS BEEN PRETTY STABLE I HAVENT REALLY HAD TO USE USE IT TOO MUCH +audio/RES0098.mp3[372.320,376.680] OK AND AND DO YOU USE ANY OTHER MEDICATIONS +audio/RES0098.mp3[376.680,384.000] UH JUST WHEN I HAVE ALLERGIES I I JUST USE OVER THE COUNTER ALLERGY MEDS +audio/RES0098.mp3[384.000,389.920] OK AND YOU USE A CREAM FOR FOR YOUR SKIN TOO LIKE YEAH +audio/RES0098.mp3[389.920,397.160] YEAH I USE LIKE ITS ITS I THINK ITS LIKE A MIXTURE OF LIKE A STEROID CREAM +audio/RES0098.mp3[397.160,402.440] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0098.mp3[402.440,404.560] NOT THAT I KNOW OF +audio/RES0098.mp3[404.560,409.400] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0098.mp3[411.040,420.400] ALRIGHT AND RIGHT NOW WHO ARE YOU LIVING WITH AND WHEREABOUTS ARE YOU LIVING +audio/RES0098.mp3[420.400,434.160] YEAH SO IM JUST LIVING WITH A COUPLE ROOMMATES I JUST GO TO COLLEGE AND IM LIVING WITH THREE OTHER ROOMMATES +audio/RES0098.mp3[434.160,436.600] OK AND HAS ANYBODY BEEN SICK +audio/RES0098.mp3[436.600,439.640] P NO EVERYONES BEEN FINE +audio/RES0098.mp3[439.640,442.960] AND HAVE YOU TRAVELED ANYWHERE +audio/RES0098.mp3[442.960,459.280] UHM I DECIDED LIKE I YESTERDAY I WENT HOME LIKE TO MY PARENTS HOUSE AND HELPED MY DAD THATS WHERE I WAS CLEANING THE BASEMENT BUT BESIDES THAT THAT WAS THAT WAS UH THAT WAS IT +audio/RES0098.mp3[459.280,470.480] OK AND SORRY JUST HAD TO BACKTRACK A LITTLE BIT HAVE YOU HAD ANY HOSPITALIZATIONS EITHER DUE TO ASTHMA OR FOR ANY OTHER REASON +audio/RES0098.mp3[470.480,480.640] UHM I THINK WHEN I WAS 15 I I HAD TO GO TO THE EMERGENCY DEPARTMENT BUT I I WASNT HOSPITALIZED +audio/RES0098.mp3[480.640,485.080] OK AND WAS THIS UH DID YOU HAVE SIMILAR SYMPTOMS AT THAT TIME +audio/RES0098.mp3[485.080,504.680] YEAH IT WAS UH IT WAS FOR ASTHMA AND LIKE UH THAT TIME IT WAS DEFINITELY MUCH MUCH WORSE AND I REMEMBER LIKE I WAS BREATHING A LOT UH THE SHORTNESS OF BREATH WAS REALLY BAD AND THE VENTOLIN LIKE PUFFERS WERENT EVEN HELPING ME AT THAT TIME +audio/RES0098.mp3[504.680,510.800] OK YEAH OK AND HAVE YOU HAD ANY SURGERIES BEFORE +audio/RES0098.mp3[511.800,523.800] ALRIGHT SO YEAH YOU MENTIONED THAT YOURE YOURE CLEANING UP THE BASEMENT YESTERDAY WAS THERE A LOT OF DUST DOWN THERE OR ANYTHING LIKE THAT THAT MIGHT HAVE TRIGGERED IT +audio/RES0098.mp3[523.800,539.240] YEAH WE WERE LIKE JUST MOVING BOXES THERE WERE BOOKS HERE AND THERE THAT DEFINITELY THERE WOULD HAVE BEEN DUST I SHOULD HAVE BEEN MORE CAREFUL LIKE WORE A MASK BUT I DIDNT THINK ABOUT IT AT THAT TIME +audio/RES0098.mp3[539.240,544.240] OK YEAH FOR SURE UH AND DO YOU SMOKE CIGARETTES +audio/RES0098.mp3[544.240,549.160] NO LIKE I CANT EVEN STAND CIGARETTE SMOKE +audio/RES0098.mp3[549.160,554.320] OK THATS GOOD AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +audio/RES0098.mp3[554.320,564.920] UH NO IF I IF I REALLY WANT MARIJUANA I WOULD HAVE TO GO WITH EDIBLES I I CANT TAKE THE SMOKE +audio/RES0098.mp3[564.920,569.720] OK I SEE AND DO YOU DRINK ALCOHOL +audio/RES0098.mp3[569.720,581.160] UH JUST I WOULD SAY PROBABLY ON THE WEEKENDS I MIGHT HAVE FOUR OR FIVE BEERS +audio/RES0098.mp3[581.160,591.880] OK AND ANYBODY ELSE IN THE FAMILY HAVE ASTHMA OR SKIN IRRITATION LIKE LIKE YOU HAVE +audio/RES0098.mp3[591.880,610.160] YEAH SO MY MY OLDER SISTER ACTUALLY ALSO WAS DIAGNOSED WITH ASTHMA SHE ALSO HAS THE ECZEMA THAT I HAVE AND MY MOM WAS ALSO DIAGNOSED WITH ASTHMA WHEN SHE WAS A CHILD BUT SHES BEEN COMPLETELY FINE SINCE THEN +audio/RES0098.mp3[610.160,621.840] OK WELL THATS GOOD THAT THAT SHES BEEN OK DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR OR LUNG CONDITIONS OR ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0098.mp3[621.840,631.200] MY GRANDFATHER DIED OF LUNG CANCER BUT HE WAS JUST JUST SMOKED ALL THROUGHOUT HIS LIFE +audio/RES0098.mp3[631.200,646.680] OK UHM ALRIGHT SO THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK TODAY SO THE NEXT PART WELL GO ON TO DO A PHYSICAL EXAM BUT DID YOU HAVE ANY THING ELSE THAT MAYBE I FORGOT TO ASK ABOUT TODAY +audio/RES0098.mp3[646.680,654.720] UH NO I I I THINK I KNOW WHAT THIS WAS CAUSED BY BUT YEAH LETS LETS SEE THANKS FOR YOUR HELP +audio/RES0098.mp3[654.720,677.360] OH YOURE WELCOME SO YEAH WELL WELL UHMTRIAL SOME MORE PUFFERS AND SEE WHAT WE COULD DO CAUSE CERTAINLY ITS SOUNDING LIKE AN ASTHMA EXACERBATION AND SO DEFINITELY LET SOMEBODY KNOW IF YOUR YOUR BREATHING IS GETTING MORE DIFFICULT +audio/RES0098.mp3[677.360,680.120] YEP SOUNDS GOOD +audio/RES0123.mp3[0.000,2.880] WHAT CAN I DO FOR YOU +audio/RES0123.mp3[2.880,32.640] SO IVE BEEN JUST OVER THE LAST WEEK IVE BEEN FEELING PRETTY SICK I HAVE THIS PRETTY BAD HEADACHE THAT STARTED LIKE PROBABLY A WEEK AGO AND THEN FOR THE LAST FEW DAYS IVE BEEN HAVING THESE CHILLS UM AND I DIDNT GET A CHANCE TO MEASURE MY TEMPERATURE AT ALL UM BUT THE WORST THING HAS BEEN JUST THESE MUSCLE ACHES ALL OVER MY BODY AND THATS BEEN GOING ON FOR THE LAST THREE TO FOUR DAYS +audio/RES0123.mp3[32.640,47.440] SORRY TO HEAR THAT YOURE FEELING SO UH HORRIBLE OVER THE PAST WEEK UM LETS UH LETS TRY TO UNDERSTAND THIS A LITTLE BIT BETTER SO YOUVE HAD THIS HEADACHE FOR THE PAST WEEK OR SO WHERE EXACTLY IS IT +audio/RES0123.mp3[47.440,55.520] ITS KIND OF JUST UH ALL ACROSS MY FOREHEAD ITS BEEN GOING TO THE SIDES LIKE INTO MY TEMPLES AS WELL +audio/RES0123.mp3[55.520,60.320] OKAY AND WHAT DOES IT FEEL LIKE HOW WOULD YOU DESCRIBE IT +audio/RES0123.mp3[60.320,74.520] UH YEAH IT FEELS LIKE KIND OF LIKE UH ACHING UM I I HAVE HAD HEADACHES WITH THROBBING BEFORE BUT ITS NOT SO MUCH THROBBING ITS MORE JUST CONSTANT ACHING PAIN +audio/RES0123.mp3[74.520,83.120] UM IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST UM PAIN EVER WHAT NUMBER WOULD YOU GIVE IT +audio/RES0123.mp3[83.120,86.080] UH PROBABLY LIKE A 7 +audio/RES0123.mp3[86.080,91.880] OH WOW YEAH THAT SOUNDS SEVERE HOW LONG HAVE YOU HOW LONG HAS IT BEEN A 7 FOR +audio/RES0123.mp3[91.880,100.000] UM ITS ACTUALLY A BIT BETTER NOW BUT YEAH LIKE OVER THE LAST WEEK ITS BEEN A 7 I WOULD SAY NOW ITS PROBABLY AROUND 5 +audio/RES0123.mp3[100.000,106.320] OKAY UM ANYTHING THAT MAKES THE HEADACHE BETTER +audio/RES0123.mp3[106.320,115.280] UM I I TAKE LIKE TYLENOL THEN LIKE IT GETS RELIEVED FOR A BIT FOR LIKE A FEW HOURS AND THEN COMES BACK +audio/RES0123.mp3[115.280,126.680] ANYTHING THAT YOU FEEL MAKES THE HEADACHES WORSE ANY POSTURES OR POSITIONS OR ACTIVITY OR UM ANY KIND OF EXPOSURE TO LIGHT OR SOUNDS +audio/RES0123.mp3[126.680,132.400] UH NO ITS ITS JUST KIND OF THERE NOTHING MAKES IT WORSE +audio/RES0123.mp3[132.400,136.000] DO YOU HAVE NAUSEA OR VOMITING +audio/RES0123.mp3[136.000,138.200] UH NO NO NAUSEA OR VOMITING +audio/RES0123.mp3[138.200,142.720] NO ANY SENSITIVITY TO LIGHT OR SOUNDS +audio/RES0123.mp3[143.840,151.440] OKAY UH AND IS IT ONLY IS IT ONLY ON ONE ON ONE SIDE OF YOUR HEAD OR FOREHEAD OR IS IT ON BOTH SIDES +audio/RES0123.mp3[151.440,156.480] UH IT IT SEEMS LIKE ITS ON BOTH SIDES +audio/RES0123.mp3[156.480,164.960] AND HAVE YOU NOTICED ANY VISUAL CHANGES ANY BLURRY VISION WITH THE HEADACHES +audio/RES0123.mp3[166.960,174.480] ANY OTHER VISUAL CHANGES NO OKAY UM AND YOUVE ALSO HAD CHILLS BUT YOU SAID YOU HAVENT CHECKED YOUR TEMPERATURE RIGHT +audio/RES0123.mp3[174.480,178.160] NO I HAVENT UH IVE BEEN HAVING CHILLS FOR THE LAST FEW NIGHTS +audio/RES0123.mp3[178.160,193.720] YEAH WE CAN DEFINITELY CHECK YOUR TEMPERATURE HERE IN THE UM HERE UM AND YOU MENTIONED THAT THE MUSCLE ACHES HAVE BEEN QUITE BOTHERSOME FOR YOU IS IT ALL OVER YOUR BODY OR ANYONE UH IN ANY ONE MUSCLE GROUP +audio/RES0123.mp3[193.720,198.720] IT SEEMS LIKE ITS ALL OVER +audio/RES0123.mp3[198.720,214.280] OKAY OKAY AND UM ILL ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST TO RULE OUT UM ANY OTHER ISSUES THAT YOU MIGHT BE HAVING SO HAVE YOU NOTICED THAT YOUVE BEEN CONFUSED AT ALL OVER THE PAST FEW DAYS +audio/RES0123.mp3[214.280,216.040] UH NO I DONT THINK SO +audio/RES0123.mp3[216.040,221.760] HAVE YOU HAD ANY LIKE STIFFNESS OR RIGIDITY IN YOUR NECK +audio/RES0123.mp3[221.760,227.840] MAYBE A LITTLE BIT OF A STIFFNESS IN IN MY NECK +audio/RES0123.mp3[228.360,234.320] THEN LIKE I I DONT KNOW IF THATS JUST THE MUSCLE PAIN ITS LIKE KIND OF ON MY UPPER BACK LOWER NECK AREA +audio/RES0123.mp3[234.320,253.240] WE CAN DEFINITELY UM EXAMINE THAT UM WHEN IM DOING PHYSICAL EXAMINE AND SEE HOW THAT IS UM OKAY AND UH HAVE YOU HAD ANY UM REDNESS IN YOUR EYES OR ANY TEARY EYES +audio/RES0123.mp3[253.240,254.560] NO NOTHING LIKE THAT +audio/RES0123.mp3[254.560,259.320] DO THE HEADACHES COME AND GO OR IS IT ALWAYS THERE +audio/RES0123.mp3[259.320,269.840] UH THEYRE PRETTY MUCH LIKE CONSTANT THROUGHOUT THE DAY +audio/RES0123.mp3[269.840,273.760] UM AND DO YOU HAVE A RUNNY NOSE OR STUFFY NOSE +audio/RES0123.mp3[273.760,280.640] UH NO NO I DONT I I THINK IM KIND OF IM DEVELOPING A LITTLE COUGH THOUGH +audio/RES0123.mp3[280.640,283.280] OKAY WHEN DID THAT START +audio/RES0123.mp3[283.280,287.000] PROBABLY JUST YESTERDAY I NOTICED MYSELF COUGHING +audio/RES0123.mp3[287.000,289.640] IS IT LIKE A DRY COUGH OR WET COUGH +audio/RES0123.mp3[289.640,292.040] UH A DRY COUGH +audio/RES0123.mp3[292.040,295.400] ANY SPUTUM OR ANY BLOOD COME OUT +audio/RES0123.mp3[296.360,298.560] ANY SORE THROAT +audio/RES0123.mp3[299.760,302.120] UH ANY CHEST PAIN +audio/RES0123.mp3[302.880,306.040] ANY DIFFICULTIES WITH BREATHING +audio/RES0123.mp3[306.040,307.480] UH NO +audio/RES0123.mp3[307.480,311.800] ANY PALPITATIONS OR FEEL LIKE YOUR HEARTS BEATING VERY FAST +audio/RES0123.mp3[312.800,315.520] OKAY ANY BELLY PAIN +audio/RES0123.mp3[317.080,319.600] ANY UH NAUSEA OR VOMITING +audio/RES0123.mp3[320.480,324.360] ANY UH DIARRHEA OR CONSTIPATION +audio/RES0123.mp3[324.360,326.560] NO NOT THAT IVE NOTICED +audio/RES0123.mp3[326.560,330.240] ANY WEAKNESS IN ANY ONE SIDE OF YOUR BODY +audio/RES0123.mp3[330.880,333.120] ANY NUMBNESS OR TINGLING +audio/RES0123.mp3[334.320,340.920] NO OKAY UM ANY EXPOSURES UH TO ANYONE WHO COULD BE SICK +audio/RES0123.mp3[340.920,357.320] UM I HAVENT NOTICED BUT I I DO GO TO WORK UM AND WE RECENTLY SWITCHED TO LIKE IN PERSON INSTEAD OF I I USED TO DO UM HOME WORK BUT FOR THE LAST MONTH IVE BEEN GOING INTO THE OFFICE +audio/RES0123.mp3[357.320,360.280] I SEE AND HAVE YOU BEEN WEARING A MASK +audio/RES0123.mp3[360.280,370.960] YEAH WELL I TRY TO WEAR THE MASK SOMETIMES LIKE UH IN THE IN THE STOCK LIKE LOUNGE WE LIKE TAKE TAKE OFF THE MASK TO EAT AND STUFF BUT THATS ABOUT IT +audio/RES0123.mp3[370.960,375.480] ARE YOU MAINTAINING SOCIAL DISTANCING WHEN YOURE TAKING YOUR MASK OFF +audio/RES0123.mp3[375.480,390.200] YEAH ITS UH MOST OF THE TIMES WERE PRETTY SOCIALLY DISTANCED WHEN WERE EATING BUT SOMETIMES ITS LIKE HARD TO CONTROL WHEN YOU KNOW WHEN YOURE GOING NEAR THE MICROWAVE TO HEAT UP YOUR FOOD AND SOMETIMES IT GETS HARD ITS A ITS A FAIRLY SMALL ROOM SO +audio/RES0123.mp3[390.200,416.600] YEAH WELL I WOULD I WOULD RECOMMEND THAT YOU TRY TO EAT WHEN PEOPLE ARE NOT IN THE ROOM IF POSSIBLE BECAUSE YOU ARE PUTTING YOURSELF AT RISK LIKE IF ITS A SMALL ROOM I THINK YOU SHOULD ALSO TALK TO MANAGEMENT OR TRY TO LIMIT THE NUMBER OF PEOPLE WHO CAN BE IN THE ROOM AT A TIME UM FOR YOUR OWN SAFETY YOU KNOW AND FOR THE SAFETY OF OTHERS UH WORKING WITH YOU UM OKAY AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0123.mp3[416.600,418.840] NO WEVE BEEN UH AT HOME +audio/RES0123.mp3[418.840,423.880] OKAY GOOD UM AND WHO DO YOU LIVE WITH +audio/RES0123.mp3[423.880,429.920] I LIVE WITH MY YOUNG LIKE UH DAUGHTER AND THEN MY WIFE AS WELL +audio/RES0123.mp3[429.920,435.120] OKAY AND YOU DO YOU THINK THEY MIGHT HAVE GOT ANY CONTACTS TO ANYONE WHO IS SICK +audio/RES0123.mp3[435.120,445.440] UH NO THEYVE BEEN COMPLETELY FINE UH MY DAUGHTER IS LIKE IS UH DOING SCHOOL FROM HOME RIGHT NOW SO SHES NOT REALLY SEEING ANYONE +audio/RES0123.mp3[445.440,450.440] OKAY THATS GOOD AND UM DO YOU CURRENTLY SMOKE +audio/RES0123.mp3[450.440,456.320] I DO I DO SMOKE UM PROBABLY HALF A PACK A DAY +audio/RES0123.mp3[456.320,457.320] FOR HOW LONG +audio/RES0123.mp3[457.320,462.160] UM FOR PROBABLY THE LAST 20 YEARS +audio/RES0123.mp3[462.160,466.600] OKAY AND DO YOU UH CONSUME MARIJUANA +audio/RES0123.mp3[466.600,469.560] JUST UM MAYBE ONCE OR TWICE A MONTH +audio/RES0123.mp3[470.320,474.800] JUST UH SOMETIMES IT HELPS ME SLEEP SOMETIMES +audio/RES0123.mp3[474.800,481.960] SURE DO YOU TAKE ANY RECREATIONAL DRUGS LIKE COCAINE AMPHETAMINE LSECSTASY ETC +audio/RES0123.mp3[481.960,485.720] NO NOTHING LIKE THAT +audio/RES0123.mp3[485.720,486.840] ANY ALCOHOL +audio/RES0123.mp3[486.840,492.840] YEAH I DRINK PROBABLY UH A BEER OR TWO EVERY COUPLE DAYS +audio/RES0123.mp3[492.840,499.640] ALRIGHT AND UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0123.mp3[499.640,511.880] UH YEAH SO I DO THEYRE SAYING I MIGHT HAVE UM HIGH BLOOD PRESSURE UM THEY LIKE IT ITS STILL ONGOING UM THEYRE TESTING TESTING ME FOR THINGS +audio/RES0123.mp3[511.880,518.320] SURE YEAH AND HAVE YOU UH TAKEN ANY MEDICATIONS FOR IT +audio/RES0123.mp3[518.320,521.480] NO NOT YET I HAVENT BEEN PUT ON ANY MEDICATIONS +audio/RES0123.mp3[521.480,526.000] HAVE YOU DO YOU TAKE ANYTHING OVER THE COUNTER ANY HERBAL PILLS VITAMINS MINERALS ETC +audio/RES0123.mp3[527.800,531.040] OKAY AND DO YOU HAVE ANY ALLERGIES +audio/RES0123.mp3[531.040,532.640] NO ALLERGIES +audio/RES0123.mp3[532.640,539.760] OKAY GOOD UM AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS +audio/RES0123.mp3[539.760,547.480] UM I WAS PRETTY YOUNG I HAD MY TONSILS REMOVED UM BUT OTHER THAN THAT NO NO OTHER SURGERIES OR HOSPITALIZATIONS +audio/RES0123.mp3[547.480,552.760] GOOD ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0123.mp3[552.760,560.400] UM SO I THINK MY MOTHER SHE SHE HAS LIKE TYPE 2 DIABETES +audio/RES0123.mp3[561.840,566.600] AND UH MY FATHER HAS BEEN PRETTY HEALTHY LIKE NO ISSUES WITH HIM +audio/RES0123.mp3[566.600,578.160] GOOD UM OKAY HAVE YOU HAD ANY UM HAVE YOU HAD MIGRAINES IN THE PAST +audio/RES0123.mp3[578.160,589.480] UM YEAH SOMETIMES I WHEN IM LIKE STRESSED AT WORK AND LIKE I UH ITS NOT LIKE ANYTHING REGULAR THAT HAPPENS TO ME I PROBABLY HAVE HAD MIGRAINES IN THE PAST +audio/RES0123.mp3[589.480,596.280] OKAY OKAY AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA OR UM WITH UH COPD +audio/RES0123.mp3[597.680,622.680] OKAY ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A HEADACHE FOR THE PAST WEEK WHICH HAS BEEN KIND OF CONSTANT ABOUT 7 OUT OF 10 AND THEN YOUVE ALSO DEVELOPED A FEVER BUT YOU HAVENT OR I GUESS YOUVE BEEN FEELING YOUVE BEEN HAVING CHILLS UH AND WE CAN MEASURE TEMPERATURE HERE AND YOU ALSO HAD A COUGH THAT STARTED YESTERDAY WHAT ABOUT UM SENSE OF TASTE HAVE YOU NOTICED ANY CHANGES THERE +audio/RES0123.mp3[622.680,627.800] UH NO NOT THAT IVE REALLY NOTICED +audio/RES0123.mp3[627.800,632.920] WHAT ABOUT YOUR SENSE OF SMELL +audio/RES0123.mp3[632.920,647.520] UM MY SMELL I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL A BIT LIKE STUFFY AS WELL LIKE NOT NOT RIGHT NOW BUT BEFORE WHEN I FELT STUFFY I LOST MY SENSE OF SMELL +audio/RES0123.mp3[647.520,666.880] SURE YEAH OKAY UM OKAY WELL THATS ALL THE QUESTIONS I HAVE FOR YOU WELL DO A PHYSICAL EXAM UM GET A CHEST XRAY DONE ALSO EXAMINE YOUR NECK AS WELL A LITTLE BIT JUST TO MAKE SURE THERES NO STIFFNESS OR RIGIDITY HAVE A LOOK INSIDE YOUR MOUTH UM LISTEN TO YOUR CHEST +audio/RES0123.mp3[668.880,735.560] WE WILL ALSO GET A COVISWAB DONE SIMPLY BECAUSE YOUR SYMPTOMS SOUND VERY SIMILAR TO UM OR I GUESS A LOT OF THESE SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVISO WELL DO THAT AND UM I WOULD REQUIRE WOULD REQUEST THAT YOU CONTINUE TO UH STAY AT HOME IF YOU HAVENT BEEN DOING SO SO FAR UM TAKE A LEAVE FROM WORK TRY TO DO WORK FROM HOME AND QUARANTINE AT HOME AS MUCH AS POSSIBLE AND STAY AWAY FROM YOUR WIFE AND YOUR DAUGHTER AS WELL AT LEAST UNTIL THE SWAB IS BACK AND YOU GET SOME MORE GUIDANCE FROM UH PUBLIC HEALTH IF IT IS POSITIVE THEY WILL GIVE YOU A CALL UM THERE ARE LOTS OF GUIDELINES ON HOW TO SELF ISOLATE AND I I CAN SHARE THAT WITH YOU UM ITS BEST THAT YOU DO THAT FOR NOW UM WE WILL RUN A COUPLE OF TESTS DO LABS AND BASED ON THOSE RESULTS UH WELL DECIDE IF YOU NEED TO STAY IN THE ER OR IF WE CAN UM IF YOU CAN BE DISCHARGED LATER TODAY DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0123.mp3[735.560,740.160] UH NO THAT THAT ALL SOUNDS GREAT THANKS FOR EXPLAINING IT TO ME +audio/RES0123.mp3[740.160,741.960] YOURE WELCOME +audio/RES0044.mp3[0.000,2.480] WHAT BRINGS YOU IN +audio/RES0044.mp3[2.480,21.600] UM I JUST UH I HAVE I HAVE A COUGH THAT IVE HAD FOR A COUPLE OF DAYS AND LIKE NORMALLY IF I HAD A COUGH OR COLD I WOULD JUST LIKE STAY HOME AND REST BUT JUST BECAUSE YOU KNOW THERES LIKE COVID I I WANTED TO MAKE SURE LIKE I WANTED TO GET CHECKED OUT +audio/RES0044.mp3[21.600,30.600] YEAH OF COURSE THAT THAT WAS A GREAT IDEA THANKS FOR COMING IN UM HOW LONG HAVE YOU HAD THIS COUGH FOR +audio/RES0044.mp3[30.600,43.920] UH ITS LIKE 2 DAYS LIKE MAYBE THREE DAYS AGO I STARTED TO FEEL LIKE MY THROAT WAS DRY AND I WAS LIKE OH MAYBE I NEED TO DRINK MORE WATER OR SOMETHING AND THEN THE NEXT DAY I STARTED LIKE ACTUALLY COUGHING +audio/RES0044.mp3[43.920,48.400] OK IS IT A DRY COUGH OR A WET COUGH +audio/RES0044.mp3[48.400,50.520] YEAH ITS REALLY DRY +audio/RES0044.mp3[50.520,54.160] REALLY DRY OK SO NO SPUTUM NO BLOOD THAT YOURE BRINGING UP +audio/RES0044.mp3[54.160,58.480] NO NOTHING LIKE THAT ITS JUST KIND OF ANNOYING +audio/RES0044.mp3[58.480,64.920] YEAH UM DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH YOUR COUGHING +audio/RES0044.mp3[64.920,66.560] I DONT THINK SO +audio/RES0044.mp3[66.560,70.440] NO OK NO SHORTNESS OF BREATH +audio/RES0044.mp3[70.440,80.280] NO NO IVE BEEN I FEEL LIKE IVE BEEN TIRED BUT I DONT THINK ITS BEEN ACTUALLY HARD TO BREATHE I JUST FEEL OVERALL LIKE REALLY TIRED +audio/RES0044.mp3[80.280,90.520] OK OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH LIKE UM OVER THE COUNTER COUGH SYRUP OR ANYTHING LIKE THAT +audio/RES0044.mp3[90.520,101.160] UH LIKE I HAVE IVE JUST BEEN DRINKING TEA AND JUST LIKE TEA WITH HONEY JUST TO LIKE MAKE IT FEEL BETTER I I DIDNT LIKE TAKE ANY MEDICINE +audio/RES0044.mp3[101.160,112.000] OK AND DO YOU HAVE YOU NOTICED THAT THERE ARE ANY TRIGGERS FOR YOUR COUGH LIKE THE COLD OR DUST OR ANY LIKE ENVIRONMENTAL TRIGGERS +audio/RES0044.mp3[112.000,116.600] I MEAN IVE BEEN JUST BECAUSE OF COVID AND STUFF IVE BEEN STAYING HOME EVER SINCE I HAD IT +audio/RES0044.mp3[116.600,121.000] UH SO I DONT I CANT THINK OF ANYTHING BUT I DONT THINK SO +audio/RES0044.mp3[121.000,131.960] OK AND DO YOU FIND THAT ITS CONSTANTLY THERE OR UM IS IT WORSE DURING A PARTICULAR TIME OF DAY LIKE MORNING AFTERNOON OR EVENING +audio/RES0044.mp3[131.960,133.520] ITS KIND OF JUST BEEN THERE +audio/RES0044.mp3[133.520,135.200] ALL THE TIME RIGHT NOW +audio/RES0044.mp3[135.200,139.120] OK AND UM IS IT GETTING WORSE DO YOU THINK +audio/RES0044.mp3[139.120,154.840] I THINK SO I THINK LIKE TODAY IS WORSE THAN YESTERDAY AND THE DAY BEFORE THAT IT JUST FELT LIKE DRY AND THEN AND THEN LIKE THE NEXT DAY I STARTED COUGHING SO YEAH +audio/RES0044.mp3[154.840,161.640] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0044.mp3[161.640,172.280] I MEAN IVE HAD COUGHS BEFORE UM THIS ONE FEELS LIKE PARTICULARLY DRY BUT UH LIKE IT ITS NOT TOO DIFFERENT THAN LIKE WHEN IM JUST LIKE LIKE HAD A COUGH IN OTHER YEARS +audio/RES0044.mp3[172.280,178.000] OK OK UM AND YOU MENTIONED THAT YOUR THROAT WAS ALSO DRY DO YOU HAVE A SORE THROAT +audio/RES0044.mp3[178.000,199.440] MAYBE A LITTLE BIT THIS MORNING YEAH LIKE AT FIRST IT JUST FELT DRY LIKE I WAS THINKING LIKE OH ITS LIKE YOU KNOW I NEED TO TAKE A SIP OF WATER OR SOMETHING AND NOW IT JUST FEELS NOW ITS STARTING TO THINK I FEEL A LITTLE BIT SORE I THINK +audio/RES0044.mp3[199.440,206.280] OK UM IS IT HARD FOR YOU TO SWALLOW FOODS OR FLUIDS +audio/RES0044.mp3[206.280,213.760] OH SORRY COULD YOU REPEAT THAT I JUST MISSED THE LAST PART +audio/RES0044.mp3[213.760,220.680] OH NO WORRIES IS IT HARD FOR YOU TO SWALLOW FOOD OR FLUIDS +audio/RES0044.mp3[220.680,226.800] UH NO ITS NOT HARD ITS NOT HARD TO SWALLOW THINGS +audio/RES0044.mp3[226.800,235.160] OK UM AND THEN HAVE YOU HAD A RUNNY NOSE OR A STUFFY NOSE +audio/RES0044.mp3[235.160,238.240] NO NOT PARTICULARLY +audio/RES0044.mp3[238.240,246.080] NO OK HOW ABOUT ANY CHANGES TO YOUR HEARING OR VISION +audio/RES0044.mp3[247.320,254.560] NO HOW ABOUT CHANGES IN SMELL OR TASTE +audio/RES0044.mp3[254.560,265.840] UH NO THATS LIKE A COVID THING RIGHT LIKE I WAS HOPING BECAUSE I COULD STILL I COULD STILL LIKE TASTE MY COFFEE THIS MORNING I WAS HOPING THAT THAT MEANS I DONT HAVE COVID BUT YEAH I DONT REALLY KNOW +audio/RES0044.mp3[265.840,281.640] I MEAN YEAH SOME PEOPLE HAVE IT SOME PEOPLE DONT UM I GUESS PEOPLE WITH COVID PRESENT IN DIFFERENT WAYS YEAH YEAH DO YOU HAVE A FEVER AT ALL +audio/RES0044.mp3[281.640,299.560] UM LIKE WHEN I CAME IN HERE WHEN THE NURSE TOOK MY TEMPERATURE SHE SAID I HAD UM LIKE SHE SAID I HAD A FEVER UH I DONT HAVE A THERMOMETER AT HOME UM BUT LIKE IVE BEEN FEELING REALLY HOT SO WOULD PROBABLY IVE PROBABLY BEEN HAVING IT FOR A COUPLE OF DAYS +audio/RES0044.mp3[299.560,306.600] OK OK WE CAN TAKE YEAH WE CAN TAKE YOUR TEMPERATURE SORRY DID YOU SAY YOU ALREADY TOOK YOUR TEMPERATURE TODAY AND +audio/RES0044.mp3[306.600,312.440] THE NURSE TOOK IT YEAH I DONT KNOW WHAT IT WAS BUT THE NURSE KEPT COMING IN AND SHE SAID IT WAS A +audio/RES0044.mp3[312.440,318.280] LITTLE HIGH LIKE I DONT KNOW IF IT WAS LIKE A FEVER BUT IVE BEEN FEELING HOT SO +audio/RES0044.mp3[318.280,332.560] OK OK YEAH SO YEAH WELL DOUBLE CHECK TO MAKE SURE THAT UM YOU EITHER DO OR DONT HAVE A FEVER UM HAVE YOU EXPERIENCED ANY CHILLS OR NIGHT SWEATS OVER THE PAST FEW DAYS +audio/RES0044.mp3[332.560,335.000] UH NO +audio/RES0044.mp3[335.000,339.680] NO OK OK HOW ABOUT UM ANY WEIGHT LOSS +audio/RES0044.mp3[339.680,348.520] NO LIKE I DONT WEIGH MYSELF REGULARLY BUT I DONT THINK SO +audio/RES0044.mp3[348.520,357.920] OK UM ANY CHANGES TO YOUR HAIR OR UH NAILS OR SKIN LIKE RASHES +audio/RES0044.mp3[357.920,359.640] UH NO +audio/RES0044.mp3[359.640,366.120] NO OK HOW ABOUT UM CHEST PAIN +audio/RES0044.mp3[366.120,368.040] UH NO +audio/RES0044.mp3[368.040,374.640] NO CHEST PAIN OK UM SWELLING IN YOUR LIMBS +audio/RES0044.mp3[374.640,376.200] UH NO +audio/RES0044.mp3[376.200,381.960] NO DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0044.mp3[381.960,384.600] UH NO +audio/RES0044.mp3[384.600,398.640] NO OK UM HOW ABOUT UM HOW ABOUT ANY DIZZINESS OR OR FAINTING SPELLS +audio/RES0044.mp3[398.640,404.160] UM NO LIKE IVE BEEN JUST TIRED +audio/RES0044.mp3[404.160,405.640] JUST TIRED OK +audio/RES0044.mp3[405.640,409.880] YEAH I DONT I DONT I HAVENT FAINTED OR ANYTHING +audio/RES0044.mp3[409.880,414.000] OK ANY HEADACHES +audio/RES0044.mp3[416.080,422.760] NO OK UH HOW ABOUT CONFUSION OR MEMORY LOSS +audio/RES0044.mp3[422.760,424.680] UM NO I DONT THINK SO +audio/RES0044.mp3[424.680,433.320] OK UM ANY CHANGES TO YOUR BOWEL HABITS +audio/RES0044.mp3[433.320,435.800] UM NO +audio/RES0044.mp3[435.800,442.800] NO OK SO NO CONSTIPATION OR DIARRHEA OR BLOOD IN YOUR STOOL +audio/RES0044.mp3[442.800,444.600] YEAH EXACTLY +audio/RES0044.mp3[444.600,448.960] OK ANY CHANGES TO YOUR URINE +audio/RES0044.mp3[450.800,455.360] OK ANY NAUSEA OR VOMITING +audio/RES0044.mp3[456.320,462.680] NO OK AND UM NO ABDOMINAL ACHES +audio/RES0044.mp3[467.360,472.320] NO OK UM ARE YOU OTHERWISE HEALTHY +audio/RES0044.mp3[472.320,495.920] UM LIKE I HAVE UM I HAVE UH LIKE SOME UM LIKE DIGESTIVE PROBLEMS GENERALLY LIKE I HAVENT HAD ANY CHANGES TO THAT BUT THEY THINK IT MIGHT BE LIKE CROHNS OR SOMETHING UM BUT OTHER THAN THAT NO +audio/RES0044.mp3[495.920,502.440] UM YOU SAID YOU HAD DIGESTIVE PROBLEMS DID YOU SAY IT MIGHT BE CROHNS +audio/RES0044.mp3[502.440,513.520] YEAH LIKE I IVE BEEN SEEING MY FAMILY DOCTOR AND THEY THEY SAID THEY THOUGHT IT MIGHT BE UM BUT WE DONT REALLY KNOW JUST LIKE IN GENERAL I GUESS THEYVE BEEN CALLING IT IBS +audio/RES0044.mp3[513.520,516.080] OH I SEE OK UM OK +audio/RES0044.mp3[516.080,520.040] I WISH I KNEW EXACTLY BUT THEY JUST SAID YEAH THEY DONT REALLY KNOW +audio/RES0044.mp3[522.800,527.160] BUT THERE HAVENT BEEN ANY CHANGES RIGHT NOW +audio/RES0044.mp3[527.160,537.200] OH YEAH I SEE OK UM HAVE YOU EVER HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0044.mp3[537.760,547.360] NO OK UM ARE YOU ON ANY MEDICATIONS +audio/RES0044.mp3[550.040,555.000] OK AND HOW ABOUT UM ANY ALLERGIES +audio/RES0044.mp3[555.000,563.800] UM JUST UH PINEAPPLE LIKE NOT ANY MEDICATIONS OR ANYTHING +audio/RES0044.mp3[563.800,570.520] PINEAPPLE OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0044.mp3[570.520,577.080] UH YEAH YEAH +audio/RES0044.mp3[577.080,586.760] OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0044.mp3[586.760,592.120] UM LIKE MY MY UNCLE HAD A HEART ATTACK +audio/RES0044.mp3[593.040,599.000] I DONT LIKE NOT MY PARENTS +audio/RES0044.mp3[599.000,602.640] OK I SEE UM ANY CANCERS IN THE FAMILY +audio/RES0044.mp3[602.640,608.080] UH NO +audio/RES0044.mp3[608.080,613.640] OK UM AND DO YOU SMOKE +audio/RES0044.mp3[614.120,621.800] NO OK HOW ABOUT MARIJUANA +audio/RES0044.mp3[622.920,627.440] NO OK UM ANY OTHER RECREATIONAL DRUGS +audio/RES0044.mp3[627.440,631.360] UM NO NO +audio/RES0044.mp3[631.360,637.200] OK HOW ABOUT ALCOHOL +audio/RES0044.mp3[637.200,650.000] UH LIKE I DRINK I DONT KNOW MAYBE ILL DRINK LIKE A BOTTLE OF WINE ON LIKE A WEEKEND LIKE OVER A WHOLE WEEKEND OR SOMETHING SO LIKE I DONT KNOW MAYBE LIKE 3 OR 4 DRINKS OVER THE WEEKEND +audio/RES0044.mp3[650.000,653.320] THREE OR FOUR DRINKS A WEEKEND OK +audio/RES0044.mp3[653.320,655.760] YEAH SOMETHING LIKE THAT +audio/RES0044.mp3[655.760,657.520] SURE OK +audio/RES0044.mp3[657.520,658.600] IM NOT AT ALL LIKE +audio/RES0044.mp3[658.600,663.880] OK SO OCCASIONALLY +audio/RES0044.mp3[666.680,668.240] OK AND WHERE DO YOU LIVE +audio/RES0044.mp3[668.240,672.760] UH I LIVE IN TOWN HERE +audio/RES0044.mp3[672.760,675.560] OK DO YOU LIVE IN A HOUSE IN AN APARTMENT +audio/RES0044.mp3[675.560,681.040] UM MY FIANCÉ AND I LIVE IN A TOWNHOUSE +audio/RES0044.mp3[681.040,691.200] IN A TOWNHOUSE OK UM ANY UM CONCERNS FOR LIKE OLD CARPETS OR MOLD OR ASBESTOS ANYTHING LIKE THAT +audio/RES0044.mp3[691.200,696.640] UH NO ITS LIKE A NEW A NEW BUILDING +audio/RES0044.mp3[696.640,703.880] OK OK AND DO YOU THINK YOU MAY HAVE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0044.mp3[703.880,747.640] WELL SO UM I WORK UH IN LIKE I WORK IN AN OFFICE THATS ATTACHED TO A FACTORY UM AND I SO LIKE I HAVE TO ACTUALLY BE THERE I HAVENT BEEN ABLE TO WORK FROM HOME UM AND THERE WAS SOMEONE ELSE IN MY OFFICE THAT I THINK WAS COUGHING IN THAT LIKE LAST WEEK AND I I DONT KNOW I QUESTIONED IT BUT I I DIDNT ACTUALLY GET TO TALK TO THEM AND ASK THEM OR LIKE I DONT KNOW IF THEY WERE ACTUALLY SICK OR SOMETHING SO I MIGHT HAVE BEEN AND WE WEAR MASKS AND EVERYTHING LIKE WERE REALLY GOOD BUT I DONT KNOW I FEEL LIKE THE OFFICES ARENT LIKE SUPER LIKE THE AIR FLOWS NOT THAT GREAT +audio/RES0044.mp3[747.800,757.480] SO YEAH I THINK THATS ANOTHER REASON I WAS CONCERNED THAT I I FEEL LIKE SOME PEOPLE MIGHT HAVE BEEN SICK AND I DIDNT REALLY KNOW THE WHOLE STORY +audio/RES0044.mp3[757.480,763.200] RIGHT OK SO POTENTIALLY FROM FROM THE WORKPLACE THEN OK +audio/RES0044.mp3[764.680,767.800] AND OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0044.mp3[772.000,782.920] NO OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY WAS THERE UM ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY +audio/RES0044.mp3[782.920,786.240] UH NOT THAT I CAN THINK OF +audio/RES0044.mp3[786.240,883.080] NO OK SO RIGHT NOW IT SEEMS LIKE IF IM GOING THROUGH MY DIFFERENTIAL DIAGNOSIS LIST FOR YOU AT THE TOP IS THE THING THAT WE HAVE TO RULE OUT IS COVID SO WELL TAKE A SWAB AND SEND IT OFF FOR THOSE PCR RESULTS AND YOULL HEAR BACK EITHER TOMORROW OR THE DAY AFTER ABOUT THE RESULTS BUT IN THE MEAN TIME AND I GUESS EVEN IF THE TEST IS NEGATIVE UM AND YOURE STILL HAVING SYMPTOMS PLEASE DO ISOLATE FOR 14 DAYS UM AND IF YOUR SYMPTOMS GET WORSE UM LIKE YOU KNOW YOURE HAVING TROUBLE BREATHING UH YOUR FEVER YOUR TEMPERATURE IS OFF THE CHARTS UM OR YOURE HAVING ANY SORT OF NEUROLOGICAL SYMPTOM PLEASE DO UM GO TO THE ER AND SEEK OUT HELP UM IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT DURING THIS TIME OF YEAR UM AND USUALLY THE TREATMENT FOR THAT KIND OF STUFF IS SUPPORTIVE SO MAKE SURE YOURE STAYING WELL HYDRATED YOURE EATING NUTRITIOUS FOODS UH YOURE GETTING GOOD SLEEP UM AND IF NOT AND YOUR SYMPTOMS YOU KNOW YOURE HAVING A PRODUCTIVE COUGH UM YOURE REALLY SHORT OF BREATH UH WE CAN TEST YOU TO SEE IF YOU HAVE SOME SORT OF BACTERIAL PNEUMONIA AND THOSE ARE USUALLY TREATED WITH ANTIBIOTICS SO THATS KIND OF THE PLAN RIGHT NOW UM SO WELL JUST START WITH THAT COVID SWAB FOR NOW HOW DOES THAT SOUND +audio/RES0044.mp3[883.080,889.800] YEAH THAT THAT SOUNDS GREAT THATS REALLY WHAT IT LIKE I I DONT FEEL SUPER SICK I JUST REALLY WANNA KNOW IF I HAVE COVID OR NOT +audio/RES0044.mp3[889.800,892.360] YEAH FOR SURE AND I AND I THINK ITS GOOD THAT YOU CAME IN +audio/RES0044.mp3[894.440,896.160] ALRIGHT THANK YOU +audio/RES0044.mp3[896.160,898.200] OK THANKS +audio/RES0213.mp3[0.000,6.320] YEAH SO YOURE A 26 YEAR OLD GENERALLY HEALTHY AND WITH SORRY BACK PAIN +audio/RES0213.mp3[6.320,7.320] CHEST PAIN +audio/RES0213.mp3[7.320,11.000] CHEST PAIN OK WHEN DID THE CHEST PAIN START +audio/RES0213.mp3[11.000,23.680] UM SO I I GUESS I I DONT KNOW IF ID REALLY CALL IT PAIN ITS ITS BEEN JUST VERY UNCOMFORTABLE LIKE IT JUST FELT A LITTLE ODD FOR LIKE A WEEK AND A HALF ITS KIND OF +audio/RES0213.mp3[23.680,25.240] A WEEK AND A HALF +audio/RES0213.mp3[25.240,32.120] YEAH ITS KIND OF LIKE A VERY SHARP STRONG PAIN UH WHEN I TAKE A DEEP BREATH +audio/RES0213.mp3[33.680,47.360] BUT I DONT NOTICE IT ALL THE TIME ITS JUST ITS OFTEN WHEN UM IM SITTING AND STUDYING OR WHEN IM WALKING WHEN IM WALKING TO SCHOOL +audio/RES0213.mp3[47.360,53.280] OK DID YOU HAVE ANY ACCIDENTS OR INJURIES AROUND THAT TIME +audio/RES0213.mp3[53.280,55.960] UH NO NOTHING THAT I CAN THINK OF +audio/RES0213.mp3[55.960,61.000] OK DID IT COME ON SUDDENLY OR IS IT MORE GRADUAL +audio/RES0213.mp3[61.000,83.920] YEAH ITS UH NO ITS ITS PRETTY ITS PRETTY WELL IT SEEMS THE SAME EACH TIME IT KIND OF LASTS LIKE 20 MINUTES OR SO UM AND IVE TRIED TYLENOL AND IVE TRIED ADVIL UM AND IVE EVEN TRIED LIKE A LIKE AN ALKASELTZER AND IT HASNT REALLY HELPED VERY MUCH +audio/RES0213.mp3[83.920,90.920] OK SO ITS PRETTY ITS NOT CONSISTENT THROUGHOUT THE DAY IT ONLY HAPPENS AT CERTAIN TIMES OF THE DAY +audio/RES0213.mp3[90.920,98.160] YEAH ITLL COME ON FOR LIKE 20 MINUTES LIKE HERE AND THERE +audio/RES0213.mp3[98.160,104.240] OK ANYTHING THAT YOU THINK TRIGGERS IT +audio/RES0213.mp3[104.240,130.080] I DONT I DONT REALLY KNOW UH I WAS KIND OF WORRIED UM I WAS KIND OF WORRIED THAT IT COULD BE A HEART THING I I FEEL LIKE IT MIGHT IT MIGHT BE IT COULD BE STRESS UHM BUT IM IM NOT REALLY SURE MY DAD HAD A HEART ATTACK LAST YEAR HE WAS PRETTY YOUNG HES LIKE IN HIS 50S AND IT IT JUST KIND OF SCARES ME BECAUSE NOW HES HAVING THESE HEART PROBLEMS +audio/RES0213.mp3[130.080,144.760] OK SO THESE CHEST PAINS LAST FOR ABOUT 20 MINUTES IT ONLY HAPPENS WHEN YOU TAKE A DEEP BREATH IN AND AFTER THE 20 MINUTES DO THEY COME AND GO IS IT SOMETHING THAT GRADUALLY WEANS OFF OR IS IT FAIRLY SHARP +audio/RES0213.mp3[144.760,163.240] IT SEEMS LIKE IT KIND OF GOES AWAY ONCE I ONCE IM AT SCHOOL AND LIKE TALKING TO PEOPLE AND DOING OTHER THINGS ITS KIND OF WHEN IM I NOTICE IT WHEN IM ON MY WALKS WHEN IM ALONE OR LIKE WHEN IM STUDYING ALONE MORE LIKE MAYBE I HAVE IT WHEN IM TALKING TO OTHER PEOPLE BUT I DONT REALLY NOTICE IT +audio/RES0213.mp3[163.240,167.320] OK DOES IT GET WORSE WITH EXERCISE +audio/RES0213.mp3[167.320,180.360] UH I DONT THINK SO IT JUST KIND OF LIKE WHEN IM WALKING TO SCHOOL IT KIND OF STAYS THE SAME I HAVENT DONE ANY STRENUOUS EXERCISE LATELY CAUSE IVE JUST HAD SO MUCH UH SCHOOLWORK PILING UP +audio/RES0213.mp3[180.360,184.880] SO YOU MAINLY GET IT AT SO YOU CAN GET IT AT REST I SHOULD SAY +audio/RES0213.mp3[184.880,188.200] EXACTLY YEAH LIKE WHEN IM STUDYING +audio/RES0213.mp3[188.200,193.440] OK ANY FEVERS SICK AT ALL LAST LITTLE WHILE +audio/RES0213.mp3[193.440,196.720] UH NO NO I DONT THINK SO +audio/RES0213.mp3[196.720,199.960] NO YOUVE BEEN FEELING WELL OTHERWISE +audio/RES0213.mp3[199.960,217.040] YEAH I MEAN BESIDES JUST KIND OF FEELING STRESSED I UH LIKE I IVE BEEN TRYING TO QUIT SMOKING AND THATS BEEN THATS BEEN KIND OF HARD AND SCHOOLS JUST VERY VERY BUSY RIGHT NOW +audio/RES0213.mp3[217.040,222.520] WHEN DID YOU STOP SMOKING +audio/RES0213.mp3[222.520,233.840] UM SO LIKE I GUESS IM TRYING TO QUIT IM SMOKING LESS THAN I USED TO I PROBABLY SMOKED 5 CIGARETTES A DAY BUT IT USED TO BE A LITTLE BIT MORE +audio/RES0213.mp3[233.840,240.440] OK COMING BACK TO THE STRESS IS THERE ANYTHING RECENTLY THATS CAUSING YOU MORE WORRIES +audio/RES0213.mp3[240.440,258.680] UM ITS JUST THAT IM IM DOING MY MASTERS OF SOCIAL WORK AND IM GETTING TOWARDS THE END AND ITS JUST ITS VERY SCARY BECAUSE IM WORKING ON MY FINAL UH THESIS AND THERES JUST A LOT INVOLVED AND ITS ITS JUST MAKING ME VERY NERVOUS +audio/RES0213.mp3[258.680,265.680] OK IS THERE ANYTHING SPECIAL ABOUT THE LAST COUPLE OF WEEKS THATS MADE YOU MORE STRESSED THAN PREVIOUSLY +audio/RES0213.mp3[265.680,273.200] UH I THINK JUST THE THE TIME CRUNCH OF HAVING TO TO FINISH THIS IVE NEVER FELT LIKE SO LIKE THERE IS SO LITTLE TIME TO DO THE WORK THAT I NEED TO DO +audio/RES0213.mp3[273.200,278.080] GOT IT HAVE YOU EVER FELT THIS PAIN BEFORE ANYTIME IN YOUR LIFE +audio/RES0213.mp3[278.080,282.840] NO NO NOT BEFORE THIS +audio/RES0213.mp3[282.840,298.920] OK SO IT COMES ON SEVERAL TIMES A DAY NOT NECESSARILY TRIGGERED BY ANYTHING AND YOU SAID YOU SMOKE WHEN DID YOU START SMOKING +audio/RES0213.mp3[298.920,316.200] UM LIKE WHEN I WAS PROBABLY 18 I I SOMETIMES SMOKED A LITTLE AND THEN I SMOKED A LITTLE MORE UM MAYBE LIKE 10 CIGARETTES A DAY FOR UH LIKE THE LAST TWO YEARS BUT THEN A FEW MONTHS AGO IVE BEEN IVE BEEN CUTTING IT IN HALF +audio/RES0213.mp3[316.200,323.360] OK NOW WHEN YOU GET THIS THIS CHEST PAIN DO YOU EVER FEEL SHORT OF BREATH +audio/RES0213.mp3[323.360,339.960] UM I I THINK I I MAKE MYSELF NERVOUS WITH IT AND THEN I KIND OF START BREATHING FASTER BUT I DONT HAVE A HARD I DONT HAVE A HARD TIME BREATHING OTHERWISE AND ITS HARD TO GET A DEEP BREATH CAUSE IM IT MAKES ME REALLY NERVOUS +audio/RES0213.mp3[339.960,348.480] DOES YOUR HEART EVER FLUTTER FEEL LIKE ITS SKIPPING A BEAT +audio/RES0213.mp3[348.480,360.200] UHM NO ONLY IF I ONLY IF I IF I IF IM HAVING KIND OF AN ANXIETY ATTACK THATS FELT LIKE THAT BEFORE BUT NOT ANY OTHER TIME +audio/RES0213.mp3[360.200,375.080] OK DONT GET ANY CHEST PAIN ALL RIGHT AND JUST IN TERMS OF OTHER THINGS SO ANYTHING ELSE YOUVE SEEN A DOCTOR FOR IN THE PAST YOU MENTIONED ANXIETY ATTACKS +audio/RES0213.mp3[375.080,389.040] YEAH UM LIKE I TALKED TO MY FAMILY DOCTOR ABOUT THAT WHEN I WAS A TEENAGER BUT I REALLY HAVENT YOU KNOW SEEN MY DOCTOR FOR IT ANYTIME IN THE LAST LIKE EIGHT YEARS OR SO +audio/RES0213.mp3[389.040,391.680] ANYTHING ELSE YOU SEE YOUR FAMILY +audio/RES0213.mp3[391.680,405.000] I DONT OH SORRY NO NOTHING ELSE I JUST I THOUGHT I WAS KIND OF WHEN I WAS IN HIGH SCHOOL I HAD THOSE AND THEN I REALLY HAVENT FOR A LONG TIME BUT UM LATELY I FELT LIKE THIS LIKE I COULD MAYBE GET THEM AGAIN +audio/RES0213.mp3[405.000,407.040] SO YOUVE NEVER HAD ASTHMA AS A CHILD +audio/RES0213.mp3[407.040,408.160] UH NO +audio/RES0213.mp3[408.160,412.360] AND YOU DONT HAVE ASTHMA NOW +audio/RES0213.mp3[413.440,417.200] OK DO YOU TAKE ANY MEDICATIONS RIGHT NOW +audio/RES0213.mp3[417.200,422.600] UH NO LIKE I TAKE LIKE A MULTI VITAMIN BUT THATS IT +audio/RES0213.mp3[422.600,424.800] OK AND YOU LIVE IN LONDON +audio/RES0213.mp3[424.800,427.160] MHMM LIKE FOR SCHOOL +audio/RES0213.mp3[427.160,433.360] GOT IT YOURE DOING A MASTERS IN SOCIAL WORK ANYONE AROUND YOU BEEN SICK AT ALL LAST LITTLE WHILE +audio/RES0213.mp3[433.360,438.080] NO LIKE I LIVE ALONE I HAVENT REALLY SEEN VERY MANY PEOPLE LATELY +audio/RES0213.mp3[438.080,443.080] OK AND HOW DO YOU MANAGE STRESS WHEN YOU DO GET IT +audio/RES0213.mp3[443.080,465.600] UM I TRY TO I TRY TO LIKE SET SOME TIME ASIDE JUST TO READ BOOKS THAT LIKE I LIKE TO READ INSTEAD OF LIKE SCHOOL BOOKS UH AT NIGHT TIME AND UH I DO REALLY ENJOY RUNNING ITS IVE BEEN A LITTLE BIT NERVOUS TO DO IT LATELY BUT USUALLY I RUN LIKE A FEW TIMES A WEEK +audio/RES0213.mp3[465.600,471.840] OK AND WHEN YOURE PRETTY PREOCCUPIED DO YOU EVER GET THE CHEST PAIN +audio/RES0213.mp3[471.840,494.360] UM LIKE WHEN IM REALLY WHEN IM WORK LIKE WORKING WITH CLASSMATES OR UH LIKE THINKING REALLY LIKE IF IM TALKING TO SOMEONE ELSE I DONT REALLY GET IT OR IF I IF IM LIKE WORKING ON A TASK WITH MY HANDS BUT ITS WHEN IM WALKING AND I AM ALONE KIND OF WITH MY THOUGHTS OR WHEN IM STUDYING THATS WHEN I WHEN I GET IT +audio/RES0213.mp3[494.360,502.920] UNDERSTOOD AND YOU SAID YOUR FATHER PASSED EARLY FROM A HEART ATTACK IM SORRY BUT ANYONE ELSE IN YOUR FAMILY EITHER YOUR PARENTS OR MUM HAVE ANY HEALTH ISSUES +audio/RES0213.mp3[502.920,526.880] OH HES UH HES ALIVE LIKE HE HAD A HEART ATTACK AND JUST NOW HE HAS TO SEE A LOT OF HEART DOCTORS UM NO THERES NOTHING ELSE IN MY FAMILY LIKE THAT I DONT REALLY KNOW LIKE ABOUT MY GRANDPA LIKE MY DADS DAD BUT LIKE HE MIGHT HAVE ALSO UM HE JUST KIND OF HE JUST PASSED AWAY YOUNG FROM UM LIKE AN ACCIDENT SO YEAH IM NOT REALLY SURE +audio/RES0213.mp3[526.880,535.960] GOT IT SO NO ONE HAS DIED SUDDENLY WITH NO EXPLANATION WHEN THEY WERE YOUNG OR WHILE THEY WERE SWIMMING +audio/RES0213.mp3[536.800,541.560] NO ONES EVER TALKED ABOUT ARRHYTHMIAS OR IS THAT A WORD FAMILIAR TO YOU +audio/RES0213.mp3[541.560,547.280] NO NO JUST MY DAD AND HIS HEART ATTACK THATS LIKE THE ONLY THING I KNOW OF +audio/RES0213.mp3[547.280,556.440] OK SOUNDS GOOD I THINK IVE GOT ALL THE INFORMATION I NEED AND ILL PASS IT ON TO THE DOCTOR WHOLL TAKE A LOOK AT YOU OK HAVE A GOOD ONE +audio/RES0213.mp3[556.440,558.320] OK THANK YOU +audio/RES0065.mp3[0.000,7.560] SO WHAT BRINGS YOU INTO THE FAMILY CLINIC TODAY +audio/RES0065.mp3[7.560,21.600] YEAH IVE HAD THIS SORE THROAT FOR THE PAST THREE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER AT ALL I FEEL SORT OF FEVERISH SO I JUST THOUGHT I SHOULD COME IN AND GET THIS CHECKED OUT +audio/RES0065.mp3[21.600,26.880] OK AND WHEN DID YOU START HAVING THIS SORE THROAT +audio/RES0065.mp3[26.880,29.960] THREE DAYS AGO +audio/RES0065.mp3[29.960,34.680] OK AND HOW ABOUT THE FEVER +audio/RES0065.mp3[34.680,38.240] THE FEVER I NOTICED MAYBE A DAY BACK +audio/RES0065.mp3[38.240,47.440] OK AND DID YOU GET ANY TEMPERATURE MEASUREMENTS +audio/RES0065.mp3[47.440,57.960] I DIDNT TAKE ANY MYSELF BUT I FELT HOT AND I FELT CHILLS +audio/RES0065.mp3[57.960,67.240] OK AND HAVE YOUR SORE THROAT OR FEVER GONE WORSE AT ALL +audio/RES0065.mp3[67.240,71.880] I THINK ITS GETTING WORSE YEAH +audio/RES0065.mp3[71.880,82.000] AND DOES IT USUALLY HAPPEN DURING THE DAY THROUGHOUT THE NIGHT OR DOES IT HAVE ANY SORT OF PATTERN +audio/RES0065.mp3[82.000,99.640] I WOULD SAY THAT IT DOESNT REALLY HAVE A PATTERN THE SORE THROAT IS ALWAYS THERE AND THE FEVER STARTED A DAY BACK AND IT SEEMS TO BREAK SOMETIMES BUT RIGHT NOW THERE IS NO REAL PATTERN TO IT +audio/RES0065.mp3[99.640,104.160] OK AND BESIDES THAT DO YOU HAVE ANY COUGH +audio/RES0065.mp3[104.160,108.240] NO NO COUGH +audio/RES0065.mp3[108.240,116.920] OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU AT ALL +audio/RES0065.mp3[116.920,133.600] I TRIED JUST LIKE THOSE LOZENGES AND SEEMS TO BE HELPING JUST SOOTHE MY THROAT BUT ITS A TEMPORARY RELIEF +audio/RES0065.mp3[133.600,137.760] OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE +audio/RES0065.mp3[137.760,141.920] NO NOTHING LIKE THIS +audio/RES0065.mp3[141.920,143.920] AND IS THE SORE THROAT CONSTANT OR DOES IT COME AND GO +audio/RES0065.mp3[143.920,152.600] I WOULD SAY ITS PRETTY CONSTANT NOW +audio/RES0065.mp3[152.600,160.320] OK AND HAVE YOU BEEN AROUND ANYONE THAT HAS BEEN SICK RECENTLY +audio/RES0065.mp3[160.320,164.840] NOT THAT I KNOW OF +audio/RES0065.mp3[164.840,172.120] ANYTHING THAT MAKES YOUR SORE THROAT WORSE +audio/RES0065.mp3[172.120,178.760] I GUESS SWALLOWING FOODS MAKES IT WORSE OR AT LEAST ITS PAINFUL +audio/RES0065.mp3[178.760,189.400] OK AND HAVE YOU AT ALL NOTICED ANY LIKE SWELLING AROUND YOUR NECK REGION LIKE SWELLING OF YOUR LYMPH NODES +audio/RES0065.mp3[189.400,200.200] SO YEAH NOT SWELLING OF MY ENTIRE NECK BUT I HAVE FELT SOME LUMPS IN MY NECK +audio/RES0065.mp3[200.200,204.760] OK AND HOW ABOUT ANY SWELLING ANYWHERE ELSE ON YOUR BODY +audio/RES0065.mp3[204.760,205.720] NOWHERE ELSE +audio/RES0065.mp3[205.720,211.240] OK HAVE YOU NOTICED ANY KIND OF SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT +audio/RES0065.mp3[215.960,219.720] OK AND HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0065.mp3[219.720,223.040] NO NOWHERE +audio/RES0065.mp3[223.040,227.920] OK DO YOU HAVE ANY HEADACHES OR NAUSEA OR VOMITING +audio/RES0065.mp3[227.920,231.840] NO NOTHING LIKE THAT +audio/RES0065.mp3[231.840,235.120] OK AND ANY NIGHT SWEATS +audio/RES0065.mp3[237.160,242.120] AND DO YOU FEEL FATIGUED LIKE INCREASED TIREDNESS AT ALL +audio/RES0065.mp3[242.120,246.480] UMM YEAH IVE BEEN FEELING REALLY TIRED +audio/RES0065.mp3[246.480,253.560] OK ANY CHEST PAIN OR FEELING THAT YOUR HEART IS RACING +audio/RES0065.mp3[253.560,259.040] NO NOTHING LIKE THAT +audio/RES0065.mp3[259.040,263.680] OK ANY ISSUES WITH BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION +audio/RES0065.mp3[263.680,266.040] NO NO THATS BEEN NORMAL +audio/RES0065.mp3[266.040,269.160] OK ANY CHANGES IN YOUR URINATION +audio/RES0065.mp3[269.160,270.720] NO NO CHANGES +audio/RES0065.mp3[270.720,280.080] HAVE YOU BEEN GETTING SLEEP AT NIGHT OR DO YOU HAVE TO KEEP WAKING UP +audio/RES0065.mp3[280.080,286.320] UM IVE BEEN GETTING OK I SLEEP LIKE IVE BEEN SLEEPING ABOUT 7 TO 8 HOURS +audio/RES0065.mp3[286.320,290.920] OK AND HOW ABOUT YOUR APPETITE +audio/RES0065.mp3[290.920,301.400] I WOULD SAY THATS BEEN OK AS WELL ITS JUST HARD TO EAT A LOT OF FOOD BECAUSE OF THIS SORE THROAT +audio/RES0065.mp3[301.400,307.920] AND IS IT JUST WITH SOLIDS OR DO YOU GET THE SORENESS WITH LIQUIDS TOO +audio/RES0065.mp3[307.920,318.440] I WOULD SAY MOSTLY WITH SOLIDS SOMETIMES WITH LIQUID IF ITS LIKE REALLY COLD OR SOMETHING +audio/RES0065.mp3[318.440,332.160] OK DO YOU HAVE ANY KIND OF ALLERGIES TO ANYTHING IN YOUR HOUSE LIKE CARPETS PETS OR ANYTHING LIKE THAT +audio/RES0065.mp3[333.600,339.920] OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD +audio/RES0065.mp3[340.960,347.080] NO OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS +audio/RES0065.mp3[347.080,350.960] UM I HAVE CROHNS DISEASE +audio/RES0065.mp3[350.960,355.600] AND WHEN DID YOU GET DIAGNOSED WITH CROHNS +audio/RES0065.mp3[355.600,360.600] THAT WOULD HAVE BEEN LAST YEAR +audio/RES0065.mp3[360.600,368.920] LAST YEAR OK AND ARE YOU TAKING ANY MEDICATIONS FOR YOUR CROHNS DISEASE +audio/RES0065.mp3[368.920,378.000] I AM ON SOMETHING FOR IT I THINK ITS SULFASALAZINE OR SOMETHING LIKE THAT +audio/RES0065.mp3[378.000,383.360] OK AND ANY OTHER MEDICATIONS BESIDES THAT +audio/RES0065.mp3[383.360,388.320] UHM NO I DONT THINK SO +audio/RES0065.mp3[388.320,394.120] ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0065.mp3[394.120,403.440] UM I HAD A COLONOSCOPY DONE I JUST NEEDED HOSPITALIZATION FOR JUST THE DAY I GUESS +audio/RES0065.mp3[403.440,405.240] OK AND WHEN WAS THAT +audio/RES0065.mp3[405.240,409.560] THAT WAS ALSO LAST YEAR +audio/RES0065.mp3[409.560,423.600] LAST YEAR OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS THAT RUN IN THE FAMILY LIKE DO YOU HAVE ANY CROHNS DISEASE OR ULCERATIVE COLITIS THAT RUN IN THE FAMILY +audio/RES0065.mp3[423.600,424.400] YEAH BOTH DO +audio/RES0065.mp3[424.400,430.360] BOTH DO OK ANY ANYTHING ELSE THAT RUNS IN THE FAMILY +audio/RES0065.mp3[430.360,440.960] UHM I KNOW THERES SOME ASTHMA AND ECZEMA THAT RUN IN THE FAMILY TOO +audio/RES0065.mp3[440.960,451.640] OK AND YOU MENTIONED YOU HAVENT BEEN AROUND ANYONE THAT WAS SICK OR RECENTLY GOT SICK +audio/RES0065.mp3[454.560,457.800] OK AND WHERE DO YOU CURRENTLY LIVE +audio/RES0065.mp3[457.800,466.960] I LIVE IN AN APARTMENT BY MYSELF SORRY NOT BY MYSELF WITH MY PARENTS AND MY YOUNGER BROTHER +audio/RES0065.mp3[466.960,470.480] AND DO YOU AT ALL DRINK ALCOHOL +audio/RES0065.mp3[470.480,482.280] NO I DRANK ONCE OR TWICE IN THE PAST BUT I DIDNT LIKE IT IT MAKES MY CROHNS WORSE SO I STAY AWAY FROM IT +audio/RES0065.mp3[482.280,485.040] OK AND DO YOU SMOKE CIGARETTES +audio/RES0065.mp3[487.840,490.960] AND HOW ABOUT ANY OTHER DRUGS LIKE MARIJUANA +audio/RES0065.mp3[495.840,504.880] OK ALRIGHT SO DO YOU PARTAKE IN ANY LIKE SPORTS OR ACTIVITIES OR ANYTHING LIKE THAT +audio/RES0065.mp3[504.880,507.400] UM I SWIM +audio/RES0065.mp3[507.400,512.040] OK ANY CONTACT SPORTS +audio/RES0065.mp3[512.840,533.880] OK ALRIGHT SO YEAH OVERALL IT SEEMS THAT YOU HAD THIS SORE THROAT WHICH IS CONSTANT GETTING WORSE AND A BIT OF A FEVER IN TH LAST ONE OR TWO DAYS AND YOUVE ALSO HAD SWELLING IN YOUR NECK AND SO YEAH DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS +audio/RES0065.mp3[533.880,540.360] NO LIKE WHAT DO YOU THINK I HAVE DO YOU THINK ITS COVID +audio/RES0065.mp3[540.360,600.040] YEAH SO DEFINITELY AT THIS TIME YOU KNOW WHENEVER PEOPLE HAVE ANY RESPIRATORY SYMPTOMS WE ALWAYS WANT TO RULE OUT COVI SO WILL DEFINITELY GET A SWAB FOR COVITESTING DONE FOR YOU TODAY WHICH SHOULD COME BACK WITHIN 24 TO 48 HOURS AND IN THE MEANTIME YOU SHOULD SELF ISOLATE AND OTHER THAN THAT IT CAN ALSO BE DUE TO THIS SWELLING IN YOUR LYMPH NODES AND ALSO JUST THE OTHER SYMPTOMS IT CAN BE OTHER VIRAL INFECTIONS IT CAN BE MONO SO WE DEFINITELY HAVE TO DO A COUPLE OF TESTS AND THERES ONE TEST THAT WILL DO FOR MONO AS WELL WHICH IS CALLED EBV ANTIBODY TESTING SO WELL DO A COUPLE OF THESE TESTS TODAY AND THEN SEE WHAT WHAT COMES BACK AND IN THE MEANTIME YOU SHOULD DEFINITELY SELF ISOLATE IF YOU HAVENT BEEN DOING SO ALREADY +audio/RES0065.mp3[600.040,602.480] OK SURE I CAN DO THAT +audio/RES0065.mp3[602.480,604.480] YEAH DO YOU HAVE ANY QUESTIONS +audio/RES0065.mp3[604.480,607.040] NO THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0065.mp3[607.040,609.040] YOURE WELCOME TAKE CARE +audio/RES0065.mp3[609.040,612.960] YOU TOO +audio/RES0034.mp3[0.000,9.440] HI THERE I WAS JUST HOPING TO ASK YOU A FEW QUESTIONS TODAY BUT I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN TODAY +audio/RES0034.mp3[9.440,18.160] I AM JUST CALLING ABOUT MY DAUGHTER SHES BEEN SICK OVER THE LAST FEW DAYS SHE HAS FEVER AND A COUGH +audio/RES0034.mp3[18.160,24.520] I SEE OK WHEN DID THE FEVER AND COUGH START +audio/RES0034.mp3[24.520,39.080] SO THEY STARTED AROUND THREE TO FOUR DAYS AGO AND AROUND THE SAME TIME SHE WAS ALSO HAVING LIKE A RUNNY NOSE +audio/RES0034.mp3[39.080,44.720] OK AND HAS THE FEVER AND COUGH BEEN PRESENT THE WHOLE TIME +audio/RES0034.mp3[44.720,53.240] UH YEAH I WOULD SAY THEY STARTED AROUND THE SAME TIME AND AH THEY HAVE BEEN GOING ON FOR THE LAST THREE AND A HALF TO FOUR DAYS +audio/RES0034.mp3[53.240,60.000] OK SO HAS THERE BEEN A PERIOD WHEN SHE HASNT HAD A FEVER OR A COUGH +audio/RES0034.mp3[60.000,67.720] UH NO EVERY TIME IVE MEASURED IT SHE HAS HAD A FEVER AND SHES BEEN COUGHING FOR THE LAST FEW DAYS HASNT REALLY CHANGED +audio/RES0034.mp3[67.720,76.320] OK CAN YOU THINK OF ANYTHING LEADING UP TO THESE SYMPTOMS +audio/RES0034.mp3[76.320,91.680] UH NO SHE WAS SHE WAS FINE JUST THREE TO FOUR DAYS AGO LIKE BEFORE THAT SHE WAS HER PLAYFUL SELF NO ISSUES BUT YEAH ITS FOR THE LAST COUPLE OF DAYS JUST THIS NONSTOP COUGH AND THE FEVERS IS WHATS REALLY WORRYING ME +audio/RES0034.mp3[91.680,97.880] OK UH HAVE THE SYMPTOMS HAVE GOTTEN WORSE OR STAYED THE SAME +audio/RES0034.mp3[97.880,113.480] I WOULD SAY THE FEVER HAS BEEN GETTING A LITTLE BIT WORSE OVER THE LAST LIKE ESPECIALLY TODAY BUT THE COUGH COUGHING IS ABOUT THE SAME AS WHAT IT WAS WHEN IT FIRST STARTED THREE DAYS AGO +audio/RES0034.mp3[113.480,118.040] OK HAS SHE BEEN SICK LIKE THIS BEFORE +audio/RES0034.mp3[118.040,134.080] SHES SHE OFTEN GETS SICK LIKE HER BROTHER GOES TO DAYCARE AND HE BRINGS A LOT OF BUGS FROM THERE AND EVERY TIME HE GETS SICK SHE ALSO GETS SICK THE LAST TIME SHE HAD LIKE A SIMILAR COUGH WAS +audio/RES0034.mp3[134.080,144.480] AROUND TWO MONTHS AGO BUT AT THAT TIME I WASNT THAT WORRIED BECAUSE SHE DIDNT HAVE ANY FEVERS +audio/RES0034.mp3[144.480,149.120] OK UM HAVE YOU HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO HELP WITH THE COUGH OR FEVER +audio/RES0034.mp3[149.120,160.600] UH TYLENOL I GAVE HER TYLENOL IT DID HELP HER A LITTLE BIT BUT THEN THE FEVER CAME RIGHT BACK UHM SAY LIKE A FEW HOURS LATER +audio/RES0034.mp3[160.600,171.120] OK AND ANYTHING YOU NOTICE THATS MADE THE COUGH OR FEVER WORSE OVER THE LAST THREE OR FOUR DAYS +audio/RES0034.mp3[171.120,179.120] NOT ANYTHING THAT I KNOW OF HER FEVERS BEEN GETTING WORSE BUT I DONT REALLY KNOW WHY THAT IS +audio/RES0034.mp3[179.120,184.480] OK UH HAS SHE BEEN HAVING ANY OTHER SYMPTOMS +audio/RES0034.mp3[184.480,194.520] UM OTHER THAN LIKE YEAH SHE HAD THAT RUNNY NOSE WHEN IT FIRST STARTED AND THEN SHES ALSO BEEN HAVING SOME DIARRHEA +audio/RES0034.mp3[194.520,199.520] OK AND WHEN DID THE DIARRHEA START +audio/RES0034.mp3[199.520,221.360] I THINK I WOULD SAY IT STARTED AROUND TWO DAYS AGO SHES LIKE EVERY TIME I CHANGE HER DIAPER SHE WOULD HAVE LIKE 45 DIFFERENT DIAPER CHANGES THROUGHOUT THE DAY AND THEY THEY SEEM PRETTY LIQUID SO I +audio/RES0034.mp3[221.360,224.600] THINK YEAH SHES BEEN HAVING DIARRHEA FOR THE LAST TWO DAYS +audio/RES0034.mp3[224.600,234.320] OK UH YOU MENTIONED LIQUID APPEARING STOOL WHAT WOULD YOU SAY SAY SO I GUESS COULD YOU COMMENT ON THE CONSISTENCY AND COLOUR +audio/RES0034.mp3[234.320,247.040] CONSISTENCY ID SAY ITS PRETTY WATERY LIKE DIARRHEA AND COLOUR I DIDNT REALLY THINK THERES ANY CHANGES IN IN THE COLOUR +audio/RES0034.mp3[247.040,252.480] OK SO YOU DIDNT THINK THERE WAS ANY BLOOD IN THE STOOL +audio/RES0034.mp3[252.480,256.920] NO NO NO I DIDNT SEE ANY BLOOD +audio/RES0034.mp3[256.920,267.120] OK AS FOR THE FEVER WHAT WAS THE MAXIMUM TEMPERATURE THAT YOU NOTED AND HOW DID YOU CHECK IT +audio/RES0034.mp3[267.120,280.400] SO I USED WE HAVE JUST A REGULAR NON DIGITAL THERMOMETER IN HER EAR AND HER TEMPERATURE TODAY WAS AROUND 103 DEGREES FAHRENHEIT +audio/RES0034.mp3[280.400,288.560] OK UH DID YOU NOTICE ANY TUGGING OR PULLING AT HER EAR +audio/RES0034.mp3[288.560,293.360] NO NO SHE DOESNT SEEM TO HAVE ANY IRRITATION THERE +audio/RES0034.mp3[293.360,297.840] OK UH HOW ABOUT ANY VOMITING OR REGURGITATION +audio/RES0034.mp3[297.840,302.640] NO SHES BEEN KEEPING FOOD DOWN NO ISSUES THERE +audio/RES0034.mp3[302.640,308.400] OK AND NOTICE ANY DISCHARGE FROM EITHER EYE +audio/RES0034.mp3[308.400,309.920] UH NO +audio/RES0034.mp3[309.920,314.240] HOW ABOUT ANY DISCHARGE FROM EARS +audio/RES0034.mp3[314.240,317.200] NOT THAT IVE NOTICED NO +audio/RES0034.mp3[317.200,320.680] NOTICE ANY RASHES +audio/RES0034.mp3[320.680,327.360] UH NO I DIDNT NOT KNOW LIKE NEW RASHES NO +audio/RES0034.mp3[327.360,333.160] OK AND HOW IS SHE BEEN IN TERMS OF MOOD OR OR BEHAVIOUR +audio/RES0034.mp3[333.160,340.920] OH SHES BEEN PRETTY LIKE SHES NOT HERSELF OVER THE LAST FEW DAYS SHES BEEN CRYING A LOT MORE JUST VERY IRRITABLE +audio/RES0034.mp3[340.920,346.160] OK WOULD YOU SAY INCONSOLABLE AT TIMES +audio/RES0034.mp3[346.160,352.480] SOMETIMES LIKE YESTERDAY LIKE SHE I COULDNT GET HER TO STOP CRYING +audio/RES0034.mp3[352.480,361.000] OK AND UH I KNOW YOU SAID NO VOMITING BUT HAS SHE BEEN COUGHING UP ANY SPUTUM +audio/RES0034.mp3[361.000,374.680] YEAH I WOULD SAY UH THIS GREEN SLIMY CONTENT YEAH ITS LIKE GREEN AND SLIMY +audio/RES0034.mp3[374.680,381.160] OK UM HOW MUCH WOULD YOU SAY UHM LIKE A CUP OR MORE +audio/RES0034.mp3[381.160,392.440] I WOULD SAY PROBABLY LIKE AT LEAST AT LEAST A COUPLE SPOONFULS AT A TIME SHE WOULD COUGH UP +audio/RES0034.mp3[392.440,394.480] OK AND DID YOU NOTICE ANY BLOOD IN IT +audio/RES0034.mp3[394.480,400.360] NO I DIDNT NOTICE ANY BLOOD AT ALL +audio/RES0034.mp3[400.360,408.560] OK AND WITH THE COUGH HAVE YOU NOTICED ANY DIFFICULTIES BREATHING +audio/RES0034.mp3[408.560,419.680] UH I DONT KNOW IF ITS DIFFICULTY BREATHING BUT I HAVE NOTICED SOMETIMES SHES LIKE BREATHING FASTER THAN NORMAL LIKE TAKING A LOT MORE BREATHS +audio/RES0034.mp3[419.680,432.600] I SEE OK UH IS SHE HAVING TROUBLES WITH DROOLING OR YOUR TROUBLE SPEAKING +audio/RES0034.mp3[432.600,436.600] UH NO I HAVENT NOTICED THAT +audio/RES0034.mp3[436.600,441.720] OK AND DOES HER VOICE SOUND NORMAL TO YOU +audio/RES0034.mp3[441.720,447.400] YEAH I THINK HER NOTE HER VOICE HASNT REALLY CHANGED THAT MUCH +audio/RES0034.mp3[447.400,458.520] OK UM WITH THE NOTICING THE FASTER RATE OF BREATHING IS THE BREATHING NOISY AT ALL +audio/RES0034.mp3[458.520,461.560] UH NO LIKE SHES NOT WHEEZING OR ANYTHING +audio/RES0034.mp3[461.560,473.560] OK AND DO YOU NOTICE ANY LIKE RETRACTION OF THE SKIN BETWEEN HER RIBS WHEN BREATHING +audio/RES0034.mp3[473.560,477.760] UH SO LIKE UHM LIKE WHAT DO YOU MEAN BY THAT +audio/RES0034.mp3[477.760,496.520] LIKE JUST SO WHEN SHES BREATHING IN AND OUT IS SHE GENERATING A LOT OF FORCE AND EFFORT TO REALLY KIND OF SUCK IN AND BLOW OUT SO YOU CAN KIND OF SEE IMPRESSIONS OVER THE RIBS +audio/RES0034.mp3[496.520,500.640] UH NO I I DONT THINK IVE NOTICED THAT NO +audio/RES0034.mp3[500.640,507.080] OK AND AND HAVE YOU NOTICED ANY BLUEISH DISCOLOURATION AROUND HER LIPS OR MOUTH +audio/RES0034.mp3[507.080,508.840] UH NO +audio/RES0034.mp3[508.840,513.080] OK AND ANY URINARY PROBLEMS +audio/RES0034.mp3[513.080,516.280] UH NO SHES PEEING FINE +audio/RES0034.mp3[516.280,521.200] OK AND HOW HAS SHE BEEN SLEEPING THE LAST FEW DAYS +audio/RES0034.mp3[521.200,531.240] SHE HASNT REALLY BEEN SLEEPING IN BETWEEN THE CRYING AND LIKE JUST BEING SO IRRITABLE I THINK SHES JUST VERY UNCOMFORTABLE WHEN SHES TRYING TO GET TO SLEEP SO +audio/RES0034.mp3[531.240,537.280] I WOULD SAY NOT LIKE MAYBE A COUPLE HOURS FOR THE LAST FEW NIGHTS +audio/RES0034.mp3[537.280,542.880] OK ANY EVIDENCE OF SEIZURE OR LIMB JERKING +audio/RES0034.mp3[542.880,547.360] UH NO NOT THAT IVE NOTICED +audio/RES0034.mp3[547.360,557.800] NO OK AND AND HAVE YOU NOTICE AN HER BEING LIKE REALLY LETHARGIC AT ALL +audio/RES0034.mp3[557.800,569.400] UH SHES NOT HERSELF AND SHES STILL LIKE PRETTY ACTIVE LIKE SHES SHE JUST SEEMS REALLY UNHAPPY AND IRRITATED BUT NO SHE STILL HAS ENERGY +audio/RES0034.mp3[569.400,583.720] OK AND UH IS SHE DRINKING YEAH A LOT MORE FLUIDS OR OR A LOT LESS HOW IS SHE TOLERATING ORAL INTAKE +audio/RES0034.mp3[583.720,594.080] I WOULD SAY I THINK SHES MORE ON THE DRYER SIDE LIKE SHE HER MOUTH IS VERY DRY HER LIPS ARE LIKE ALL CRACKED AND SHE IT SEEMS THAT SHES DRINKING +audio/RES0034.mp3[594.080,596.640] LESS WATER TOO +audio/RES0034.mp3[596.640,603.680] I SEE OK AND UH HOW MANY WET DIAPERS WOULD YOU SAY IN THE LAST 24 HOURS +audio/RES0034.mp3[603.680,616.040] UM YEAH ITS DIFFICULT TO SAY I THINK I LIKE YESTERDAY CHANGED FOUR TO FIVE TIMES THEY WERE ALL DIARRHEA SO NOT REALLY SURE BUT MAYBE AROUND 5 +audio/RES0034.mp3[616.040,621.800] OK AND HAVE YOU GUYS TRAVELED ANYWHERE RECENTLY +audio/RES0034.mp3[621.800,624.360] NO NO WEVE BEEN HERE +audio/RES0034.mp3[624.360,635.360] OK SO NEXT JUST SOME QUESTIONS ABOUT PAST MEDICAL HISTORY UH HAS SHE HAD ANY MEDICAL PROBLEMS IN THE PAST +audio/RES0034.mp3[635.360,647.880] THE ONLY THING I COULD THINK OF WAS AFTER SHE WAS BORN SHE HAD TO BE GIVEN THE LIGHT TREATMENT FOR LIKE JAUNDICE BUT AFTER THAT NO OTHER PROBLEMS +audio/RES0034.mp3[647.880,651.200] OK AND ANY PRIOR SURGERIES +audio/RES0034.mp3[653.520,656.360] ANY PREVIOUS HOSPITALIZATIONS +audio/RES0034.mp3[656.360,660.640] NO JUST THE LIGHT TREATMENT BUT OTHER THAN THAT NOTHING +audio/RES0034.mp3[660.640,666.800] OK AND THROUGHOUT PREGNANCY WERE THERE ANY COMPLICATIONS +audio/RES0034.mp3[666.800,672.960] NO MY PREGNANCY WAS COMPLETELY NORMAL NO COMPLICATIONS DURING THE PREGNANCY +audio/RES0034.mp3[672.960,679.000] OK SO NO GESTATIONAL DIABETES OR HYPERTENSION +audio/RES0034.mp3[679.000,680.080] UH NO +audio/RES0034.mp3[680.080,687.560] OK AND UH WERE YOU SICK AT ALL AT ANY POINT WITH INFECTIOUS SYMPTOMS +audio/RES0034.mp3[687.560,691.440] NO EVERYTHING CAME BACK CLEAR ALL THE TESTS WERE NORMAL +audio/RES0034.mp3[691.440,697.240] OK AND UM ANY ALLERGIES TO MEDICATIONS +audio/RES0034.mp3[697.240,699.160] NO ALLERGIES +audio/RES0034.mp3[699.160,703.960] OK AND IS SHE CURRENTLY TAKING ANY MEDICATIONS +audio/RES0034.mp3[703.960,709.240] NO JUST TRIED THE TYLENOL BUT IT DIDNT REALLY SEEM TO WORK +audio/RES0034.mp3[709.240,713.280] OK AND HAS SHE BEEN AROUND ANYBODY SICK RECENTLY +audio/RES0034.mp3[713.280,735.240] JUST HER BIG BROTHER WHO GOES TO DAYCARE WAS ALSO LIKE A BIT SICK WITH A COUGH AND SOME RUNNY NOSE FOR THE LAST FOUR DAYS BUT UHM HE DIDNT HAVE A FEVER AND HE SEEMED TO RECOVER PRETTY FAST BUT SEEMS SHE MAY HAVE CAUGHT IT FROM HIM +audio/RES0034.mp3[735.240,742.040] OK AND ANYBODY IN THE FAMILY UM HAVE ANY SIMILAR SYMPTOMS RIGHT NOW I GUESS BESIDES HER BROTHER +audio/RES0034.mp3[742.040,746.080] NO JUST JUST HER AND HER BROTHER +audio/RES0034.mp3[746.080,757.320] OK AND AND IN REGARDS TO BIRTH BIRTH HISTORY WAS IT A VAGINAL DELIVERY OR CSECTION +audio/RES0034.mp3[757.320,770.440] IT WAS A NORMAL VAGINAL DELIVERY AT 38 WEEKS THERE WERE NO PROBLEMS AFTER THE DELIVERY OR BEFORE THE DELIVERY +audio/RES0034.mp3[770.440,771.920] OK AND UH ARE HER IMMUNIZATIONS UP TO DATE +audio/RES0034.mp3[771.920,778.160] YEAH UH ALL OUR IMMUNIZATIONS ARE UP TO DATE +audio/RES0034.mp3[778.160,783.680] OK AND UM IN REGARDS TO GROWTH AND DEVELOPMENT HAVE YOU HAD ANY CONCERNS +audio/RES0034.mp3[783.680,791.400] UH NO WEVE BEEN GETTING HER CHECKED REGULARLY IT SEEMS THAT SHES BEEN GROWING WELL AND DEVELOPING WELL +audio/RES0034.mp3[791.400,797.160] OK AND WHO IS THE PRIMARY CAREGIVER FOR AT HOME +audio/RES0034.mp3[797.160,807.840] PRIMARY CAREGIVER RIGHT NOW IM STAYING HOME WITH HER AND HER BROTHER GOES TO DAYCARE SO YEAH IT WOULD BE ME +audio/RES0034.mp3[807.840,816.280] OK UH AND COULD YOU TELL ME ABOUT HER EATING HABITS AND TYPICAL APPETITE +audio/RES0034.mp3[816.280,834.480] UH SO NOW LIKE SHE IS ABLE TO EAT LIKE EVERYTHING LIKE VEGETABLES FRUITS BREADS AND MEAT BUT OVER THE LAST FEW DAYS SHE HAS BEEN JUST IRRITABLE WITH EVERYTHING SO EVEN EATING FOOD HAS JUST NOT BEEN GREAT FOR THE LAST FEW DAYS +audio/RES0034.mp3[834.480,837.920] OK AND WHEN WAS HER LAST CHECKUP +audio/RES0034.mp3[837.920,848.280] SO IT WAS AROUND ONE MONTH AGO AND EVERYTHING WAS FINE THEN NO CONCERNS FROM THE DOCTOR +audio/RES0034.mp3[848.280,850.200] OK THANK YOU +audio/RES0119.mp3[0.000,2.600] SO WHAT BRINGS YOU IN HERE TODAY +audio/RES0119.mp3[2.600,33.040] UM YEAH SO I BROUGHT MY 7 YEAR OLD DAUGHTER HERE UM BECAUSE SHES BEEN COUGHING UH A LOT OVER THE PAST TWO WEEKS UM SHES SHE SOUNDS WHEEZY AND IM NOT TOO SURE WHATS GOING ON WITH HER SO SHES BEEN OFF SCHOOL UM CAUSE THEY THINK ITS COVID UH WE GOT HER SWAB BUT BECAUSE SHE STILL HAS SYMPTOMS SHE CANT GO BACK TO SCHOOL SO HERE SHE IS +audio/RES0119.mp3[33.040,38.160] OK UM AND WHEN DID THE COUGH START +audio/RES0119.mp3[38.160,41.800] IT STARTED TWO WEEKS AGO +audio/RES0119.mp3[41.800,45.120] OK AND WHEN DID THE WHEEZING START +audio/RES0119.mp3[45.120,66.560] UM THAT STARTED ABOUT THE SAME TIME LIKE I SHOULD I SHOULD MENTION SHE DOES HAVE LIKE EPISODES LIKE THIS UM SHES HAD EPISODES LIKE THIS FOR THE PAST LIKE 2 YEARS UH BUT THEY USUALLY GO AWAY IN A COUPLE OF DAYS BUT THIS TIME ITS ITS TAKING A LOT LIKE A LOT LONGER TO GO AWAY +audio/RES0119.mp3[66.560,70.920] OK SO ITS BEEN UH HAS BEEN MORE THAN A WEEK YOU SAID +audio/RES0119.mp3[70.920,73.040] YEAH ITS BEEN CLOSE TO TWO WEEKS NOW +audio/RES0119.mp3[73.040,87.760] TWO WEEKS OK AND UH WERE THESE SYMPTOMS BROUGHT ON BY ARE THEY USUALLY BROUGHT ON BY ANY KIND OF LIKE ACTIVITIES OR CAN THEY COME UP JUST BY THEMSELVES +audio/RES0119.mp3[87.760,105.720] I FIND ITS USUALLY WORSE IN THE WINTER UM AND IF SHES LIKE DOING SOME SORT OF UH LIKE EXTENSIVE PHYSICAL ACTIVITY SO IF SHES LIKE PLAYING TAG AND SHES RUNNING AROUND A LOT UM OR IF SHES LIKE AT HER GYM CLASS AND THEYRE RUNNING +audio/RES0119.mp3[105.720,114.960] OK AND THE COUGH THAT SHES HAVING IS IT LIKE A WET COUGH OR IS IT A IS IT A DRY COUGH +audio/RES0119.mp3[114.960,115.760] ITS A DRY COUGH +audio/RES0119.mp3[115.760,124.680] OK AND AT ALL IS SHE BRINGING UP ANY YELLOWISH OR WHITE UH OR GREEN MATERIAL OR ANY BLOOD AT ALL +audio/RES0119.mp3[124.680,130.400] UHM ITS NO NOTHING LIKE THAT +audio/RES0119.mp3[130.400,136.000] OK AND ARE HER SYMPTOMS UH CONSTANT OR DO THEY COME AND GO +audio/RES0119.mp3[136.000,143.680] HER SYMPTOMS I GUESS COME AND GO UM YEAH THEY COME AND GO +audio/RES0119.mp3[143.680,146.960] OK AND HOW MANY DAYS OF SCHOOL HAS SHE HAD TO MISS +audio/RES0119.mp3[146.960,152.520] SHES MISSED ALMOST TWO WEEKS NOW +audio/RES0119.mp3[152.520,159.600] WOW OK UM AND WHEN SHES AT HOME IS SHE IS SHE LIKE VERY TIRED IS SHE UM +audio/RES0119.mp3[159.600,175.560] YEAH YEAH SHES PRETTY TIRED OUT UM YEAH SHES PRETTY TIRED OUT SHES BEEN DOING A LOT OF LIKE RESTING AND UH YOU KNOW WATCHING TV SHES NOT REALLY VERY ACTIVE RIGHT NOW +audio/RES0119.mp3[175.560,183.840] OK UHM AND HAVE HER SYMPTOM SYMPTOMS BEEN GETTING WORSE OVER THE LAST TWO WEEKS OR ARE THEY GETTING BETTER AT ALL +audio/RES0119.mp3[183.840,198.240] UH I CANT YOU KNOW I CANT TELL IT COMES AND GOES SO IN THAT SENSE ITS BEEN PRETTY CONSTANT UM THERE HASNT BEEN A DAY WHEN SHE HASNT HAD THESE SYMPTOMS +audio/RES0119.mp3[198.240,204.320] OK AND DO THEY GET WORSE AT NIGHT AT ALL OR ARE THEY UM THE SAME THROUGHOUT THE DAY +audio/RES0119.mp3[204.320,212.080] UH YEAH NOW THAT I THINK ABOUT IT WHEN SHES LAYING DOWN SHE DOES HAVE A HARD TIME +audio/RES0119.mp3[212.080,221.360] OK AND IS SHE HAVING ANY OTHER SYMPTOMS AT ALL LIKE UH SHORTNESS OF BREATH UM OR SORE THROATANYTHING LIKE THAT +audio/RES0119.mp3[221.360,231.360] UH NO SORE THROAT SHE SOUNDS WHEEZY SO SHE MIGHT HAVE LIKE SOME DIFFICULTY BREATHING BUT SHE DOESNT SOUND SHORT OF BREATH +audio/RES0119.mp3[231.360,238.520] OK AND ANY KIND OF UH RUNNY NOSE OR ANY OTHER SYMPTOMS AT ALL +audio/RES0119.mp3[239.280,245.720] NO OK UH ANYTHING THAT HELPS HER OR MAKES HER SYMPTOMS BETTER +audio/RES0119.mp3[245.720,250.200] UM NO NOTHING THAT WEVE TRIED +audio/RES0119.mp3[250.200,252.480] ANY RECENT UH TRAVEL AT ALL +audio/RES0119.mp3[254.680,260.800] NO ANY FAINTING OR DIZZINESS SPELLS +audio/RES0119.mp3[262.080,264.440] OK UM ANY UH FEVERS OR CHILLS +audio/RES0119.mp3[267.800,273.360] ANY UM CHANGES IN HER BOWEL MOVEMENTS LIKE ANY CONSTIPATION DIARRHEA +audio/RES0119.mp3[275.080,277.440] ANY URINARY PROBLEMS +audio/RES0119.mp3[279.640,287.480] AND ANY UH ANY KIND OF DO THESE SYMPTOMS WAKE HER UP AT NIGHT AT ALL +audio/RES0119.mp3[287.480,294.440] UM NO NO IT DOESNT WAKE HER UP AT NIGHT IT JUST MAKES IT HARD FOR HER TO FALL ASLEEP +audio/RES0119.mp3[294.440,301.440] I SEE IS SHE GETTING ENOUGH SLEEP LIKE HOW HOW HOW MANY HOURS WOULD YOU SAY ON AVERAGE SHES GETTING PER DAY +audio/RES0119.mp3[301.440,311.160] ID SAY SHES GETTING ABOUT 6 TO 7 HOURS SHE USED TO SLEEP ABOUT 8 HOURS BEFORE +audio/RES0119.mp3[311.160,316.240] OK UM AND IS SHE HAVING ANY CHANGES IN HER APPETITE AT ALL +audio/RES0119.mp3[316.240,323.880] UM I DONT THINK SO NO +audio/RES0119.mp3[326.280,331.040] UM ANY KIND OF CHANGES IN HER WEIGHT AT ALL OVER THE PAST FEW MONTHS +audio/RES0119.mp3[331.040,336.520] I HAVENT CHECKED OVER THE PAST MONTH BUT BEFORE THAT NO NO CHANGES +audio/RES0119.mp3[336.520,347.200] NO CHANGES OK AND UM HAS SHE BEEN SHE HAD LIKE A COLD OR ANYTHING LIKE THAT RECENTLY +audio/RES0119.mp3[347.200,350.120] NO NOT THAT I CAN THINK OF +audio/RES0119.mp3[350.120,353.320] OK HAS SHE BEEN AROUND ANYONE THATS BEEN SICK RECENTLY +audio/RES0119.mp3[356.160,363.040] OK UM DOES SHE HAVE ANY PAST HISTORY OF ANY MEDICAL CONDITIONS AT ALL +audio/RES0119.mp3[363.040,369.280] UH NO NO NOTHING LIKE THAT +audio/RES0119.mp3[369.280,377.040] OK AND UM DOES SHE HAVE ANY UH ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +audio/RES0119.mp3[377.040,386.160] I THINK SHE MIGHT HAVE SOME ENVIRONMENTAL ALLERGIES WE HAVENT GOTTEN HER OFFICIALLY TESTED THOUGH +audio/RES0119.mp3[386.160,391.160] OK AND UM HAS SHE HAD ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0119.mp3[391.160,406.280] WHEN SHE WAS A BABY WHEN SHE WAS FIRST BORN SHE WAS HOSPITALIZED UM FOR SOMETHING ABOUT HAVING LIKE UH NOT FULLY DEVELOPED LUNGS +audio/RES0119.mp3[406.280,412.320] OK AND UHM WAS SHE PREMATURE AT ALL OR WAS SHE BORN AFTER UH AT TERM +audio/RES0119.mp3[412.320,415.880] SHE WAS SLIGHTLY PREMATURE I BELIEVE SHES 34 WEEKS +audio/RES0119.mp3[415.880,423.080] 34 WEEKS OK AND UM WAS IT A VAGINAL DELIVERY OR WAS IT A CSECTION +audio/RES0119.mp3[423.080,425.320] UH IT WAS VAGINAL +audio/RES0119.mp3[425.320,432.520] VAGINAL OK WERE THERE ANY UH COMPLICATIONS DURING THE PREGNANCY OR AFTER SHE WAS BORN C +audio/RES0119.mp3[432.520,443.000] UM NO COMPLICATIONS AFTER BESIDES THE HOSPITALIZATION FOR THE SMALL LUNGS +audio/RES0119.mp3[443.000,449.320] OK AND IS THERE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS +audio/RES0119.mp3[449.320,451.840] UH NOPE NOTHING LIKE THAT +audio/RES0119.mp3[451.840,462.400] HAS ANYONE IN THE FAMILY HAVE HAD ANY KIND OF ASTHMA ECZEMA ANYTHING LIKE THAT +audio/RES0119.mp3[462.400,463.560] UM NO +audio/RES0119.mp3[463.560,475.680] NO OK UM SO AND IN TERMS OF LIKE AT SCHOOL ARE THERE ANY KIND OF COMPLAINTS UH AND ANY UM ISSUES WITH HER DEVELOPMENT OVER THE LAST LAST FEW YEARS +audio/RES0119.mp3[475.680,478.120] NO NOTHING LIKE THAT +audio/RES0119.mp3[478.120,481.160] OK SO SHES BEEN GROWING WELL +audio/RES0119.mp3[481.160,491.720] YEAH SHES BEEN GROWING WELL SHES BEEN GAINING WEIGHT LIKE A NORMAL AMOUNT UM AND SHES DOING WELL SHE WAS DOING WELL AT SCHOOL +audio/RES0119.mp3[491.720,496.800] OK AND UM AT HOME UH WHAT IS THE ENVIRONMENT LIKE +audio/RES0119.mp3[496.800,506.400] UM SHE LIVES AT HOME WITH BOTH OF US LIKE UM HER MOM AND HER DAD AND UH SHE HAS A YOUNGER SIBLING WHO IS 4 YEARS OLD +audio/RES0119.mp3[506.400,514.560] OK AND UM DOES ANYONE SMOKE IN THE HOUSE AT ALL +audio/RES0119.mp3[514.560,516.360] UM NO NOT ANYMORE +audio/RES0119.mp3[516.360,522.640] OK UM HOW LONG AGO UH DID SOMEONE SMOKE +audio/RES0119.mp3[522.640,532.800] UM IT WAS UM SO HER DAD USED TO SMOKE UM AND HE STOPPED WHEN SHE WAS LIKE 3 +audio/RES0119.mp3[532.800,543.080] OK THATS GOOD UM ANY KIND OF UH DUST OR MOLD OR ANIMALS UH ANYTHING IN THE HOUSEHOLD +audio/RES0119.mp3[543.080,552.480] NO WE DONT HAVE ANY PETS AND UM THE PLACE IS JUST RENOVATED SO NOTHING LIKE THAT +audio/RES0119.mp3[552.480,560.760] OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS THAT I HAD FOR HER TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0119.mp3[560.760,568.560] UM YEAH SO WHAT CAN WE DO FOR HER RIGHT NOW TO MAKE THESE SYMPTOMS GO AWAY +audio/RES0119.mp3[568.560,583.440] YEAH SO WHAT WE SHOULD DO FOR HER RIGHT NOW IS SHES SEVEN YEARS OLD UM WHAT IM THINKING RIGHT NOW WITH HER SYMPTOMS ESPECIALLY COMING ON AFTER UH EXERTION BEING WORSE IN THE WINTER SHE MAY HAVE ASTHMA +audio/RES0119.mp3[584.320,611.760] AND ALTHOUGH SHE DOESNT HAVE ANY FAMILY HISTORY OF IT IT CAN HAPPEN WITHOUT FAMILY HISTORY AS WELL UM SO WE WOULD LIKE TO UH TRY AND DO UH WHATS CALLED A PULMONARY FUNCTION TEST THAT WILL HELP US KIND OF UNDERSTAND UH IF SHE HAS UM ASTHMA OR NOT AND THEN WE CAN TRY HER ON UM ITS CALLED A SHORT ACTING BETA AGONIST SO ITS A PUFFER +audio/RES0119.mp3[612.200,637.280] AND UH USUALLY WHEN SHE GETS THESE TYPES OF SYMPTOMS SHE CAN USE THE PUFFER TO HELP HER UH AND IF IT UM HELPS HER THEN ITS MOST LIKELY THAT SHE DOES HAVE ASTHMA AND SHE WILL NEED UM THAT PUFFER AND THEN SHE MIGHT ALSO NEED ANOTHER PUFFER WHICH IS AN INHALED CORTICOSTEROID UM FOR THE FUTURE TO DECREASE UM THE LIKELIHOOD THAT THIS ASTHMA GETS WORSE IN THE FUTURE +audio/RES0119.mp3[637.280,640.120] OK OK YEAH THANK YOU +audio/RES0119.mp3[640.120,644.520] YEAH NO WORRIES SO YEAH SO YEAH WELL GET THOSE TESTS DONE AND THEN GO FROM THERE +audio/RES0119.mp3[644.520,645.960] OK SOUNDS GREAT +audio/RES0119.mp3[645.960,647.280] TAKE CARE +audio/RES0119.mp3[647.280,649.960] YOU TOO +audio/RES0046.mp3[0.000,2.400] WHAT BRINGS YOU IN +audio/RES0046.mp3[2.400,14.800] IVE HAD THIS COUGH THAT STARTED FOUR DAYS AGO UH THAT THATS BEEN GETTING WORSE AND UM JUST STARTED HAVING SOME SOME DIARRHEA YESTERDAY AS WELL +audio/RES0046.mp3[14.800,21.920] OK UM SORRY HOW LONG DID YOU SAY YOUR COUGH HAS BEEN GOING ON FOR +audio/RES0046.mp3[21.920,23.040] LAST FOUR DAYS +audio/RES0046.mp3[23.040,31.520] LAST FOUR DAYS OK AND DO YOU FEEL THAT UM ITS GETTING WORSE BETTER OR STAYING THE SAME +audio/RES0046.mp3[31.520,35.280] UH ITS GETTING GETTING WORSE +audio/RES0046.mp3[35.280,40.080] GETTING WORSE OK AND HOW OFTEN ARE YOU COUGHING +audio/RES0046.mp3[40.080,48.800] OH NOW ITS UH WELL AT LEAST THE LAST TWO DAYS ITS BEEN HAPPENING ALL DAY UM YEAH AT LEAST EVERY HOUR IVE BEEN COUGHING +audio/RES0046.mp3[48.800,62.320] OK UM HAVE YOU NOTICED ANY TRIGGERS FOR YOUR COUGHING LIKE ENVIRONMENTAL CAUSES LIKE THE COLD UH TIME OF DAY WHETHER THATS MORNING OR NIGHT UM OLD CARPETS ANYTHING LIKE THAT +audio/RES0046.mp3[62.320,73.440] UM YEAH SMOKING DEFINITELY MAKES IT WORSE I I HAVENT SMOKED THE LAST FEW DAYS CAUSE EACH TIME I LIT A CIGARETTE IT IT BROUGHT IT ON +audio/RES0046.mp3[73.440,90.280] OK WELL THATS GOOD THAT YOURE TAKING A LITTLE BREAK FROM SMOKING UM HOW WOULD YOU DESCRIBE THE QUALITY OF YOUR COUGH IS IT DOES IT SOUND HARSH +audio/RES0046.mp3[90.280,93.600] YEAH THE COUGHS LIKE YEAH HARSH +audio/RES0046.mp3[93.600,102.840] HARSH OK AND IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST HOW BAD IS IT +audio/RES0046.mp3[102.840,109.040] UH ID SAY ITS A 7 I JUST CANT STOP COUGHING +audio/RES0046.mp3[109.040,114.800] YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0046.mp3[114.800,120.320] UH YEAH NOTHING LIKE THIS REALLY BEFORE +audio/RES0046.mp3[120.320,129.160] OK UH IS THE COUGH A DRY COUGH OR IS IT OR DO YOU HAVE SPUTUM COMING UP AS WELL +audio/RES0046.mp3[129.160,131.280] ITS ITS DRY +audio/RES0046.mp3[131.280,134.480] DRY OK SO NO BLOOD +audio/RES0046.mp3[134.480,139.680] YEAH NO NO BLOOD JUST YEAH ITS BEEN MOSTLY DRY +audio/RES0046.mp3[139.680,145.920] OK AND ANY SHORTNESS OF BREATH +audio/RES0046.mp3[145.920,152.160] UH NOT REALLY I MEAN I WELL I GUESS IVE BEEN SHORT OF BREATH AFTER I COUGH SO YEAH +audio/RES0046.mp3[152.160,158.840] OK UM ANY WHEEZINESS +audio/RES0046.mp3[158.840,160.560] UH NO +audio/RES0046.mp3[160.560,163.960] HOW ABOUT CHEST PAIN +audio/RES0046.mp3[163.960,167.240] NO CHEST PAIN +audio/RES0046.mp3[167.240,173.760] OK UM ANY FEELINGS OF UM FEELING LIKE YOUR HEARTS RACING +audio/RES0046.mp3[173.760,175.760] NO NOTHING LIKE THAT +audio/RES0046.mp3[175.760,178.800] UM SWELLING IN YOUR LIMBS +audio/RES0046.mp3[180.600,188.120] NO HOW ABOUT UH PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS +audio/RES0046.mp3[189.480,192.480] UM DIZZINESS OR FAINTING SPELLS +audio/RES0046.mp3[192.480,201.800] UH YEAH THIS MORNING I HAD IT I FELT DIZZY UM WHEN I WHEN I GOT WHEN I YEAH WHEN I GOT UP +audio/RES0046.mp3[201.800,205.000] OK BUT NO FAINTING RIGHT +audio/RES0046.mp3[206.440,213.120] NO FAINTING OK ANY UM PAIN IN YOUR THROAT +audio/RES0046.mp3[213.120,216.440] UH NO MY THROATS FELT OK +audio/RES0046.mp3[216.440,220.360] OK UM ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0046.mp3[223.200,228.640] OK UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE +audio/RES0046.mp3[228.640,230.520] UH NOTHING LIKE THAT +audio/RES0046.mp3[230.520,235.880] UM CHANGES IN YOUR TASTE OR SMELL +audio/RES0046.mp3[235.880,243.320] UH UEAH I FEEL LIKE IVE UM HAD PROBLEMS WITH BOTH TASTE AND SMELL +audio/RES0046.mp3[243.320,247.840] OK UM WHEN DID THAT START +audio/RES0046.mp3[247.840,267.520] UM I THINK THIS MORNING UM YEAH I REALLY NOTICED THAT WHEN I WAS I WAS TRYING TO HAVE SOME BREAKFAST BUT UM I THOUGHT IT WAS MY LACK OF APPETITE THAT WAS THAT WAS CAUSING ISSUES BUT I HAVENT REALLY BEEN ABLE TO SMELL OR TASTE FOOD +audio/RES0046.mp3[267.520,275.000] YEAH THATS UNFORTUNATE UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0046.mp3[275.000,277.640] NO WEIGHTS BEEN STABLE +audio/RES0046.mp3[277.640,281.400] OK HOW ABOUT FEVERS OR CHILLS +audio/RES0046.mp3[281.400,284.160] UM I I FELT HOT BUT NO CHILLS +audio/RES0046.mp3[284.160,290.400] NO CHILLS OK HAVE YOU TAKEN YOUR TEMPERATURE +audio/RES0046.mp3[290.400,292.520] NO I HAVENT +audio/RES0046.mp3[292.520,302.680] OK WELL WE CAN DO THAT TODAY IN THE CLINIC AND WELL LET YOU KNOW UM AND CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0046.mp3[302.680,304.080] UH NO +audio/RES0046.mp3[304.080,311.080] NO OK HOW ABOUT FATIGUE OR MUSCLE ACHES +audio/RES0046.mp3[311.080,319.760] UM UEAH I MEAN MAYBE IVE HAD A BIT OF UH MUSCLE ACHES UM AND FATIGUE +audio/RES0046.mp3[319.760,327.320] OK UM AND YOU MENTIONED YOUVE BEEN HAVING DIARRHEA HOW LONG HAS THAT BEEN GOING ON FOR +audio/RES0046.mp3[327.320,331.160] UH MAYBE THE LAST LIKE TWO DAYS +audio/RES0046.mp3[331.160,336.760] TWO DAYS OK AND HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT +audio/RES0046.mp3[336.760,345.720] UH EVERY WELL IT KIND OF CHANGES SO UM MAYBE EVERY FEW HOURS +audio/RES0046.mp3[345.720,352.600] OK AND IS IT MOSTLY FLUID OR IS IT SEMISOLID +audio/RES0046.mp3[352.600,359.280] UH I MOSTLY FLUID IT UM YEAH ITS BEEN PRETTY PRETTY LOOSE +audio/RES0046.mp3[359.280,378.040] PRETTY LOOSE OK AND HOW MUCH UM HOW HOW MUCH STOOL ARE YOU PRODUCING EVERY TIME YOU GO IS IT FILLING THE TOILET BOWL OR UM IS IT UH RELATIVELY LITTLE +audio/RES0046.mp3[378.040,389.800] UH AT FIRST IT WAS A LOT BUT UM NOW IT IT JUST HASNT BEEN MUCH ITS RELATIVELY UM LITTLE MY STOMACHS JUST BEEN KILLING ME +audio/RES0046.mp3[389.800,394.960] OK SO YOU HAVE SOME ABDOMINAL PAIN ASSOCIATED WITH THAT TOO +audio/RES0046.mp3[396.600,400.480] YEAH OK AND THEN ANY BLOOD IN YOUR STOOL +audio/RES0046.mp3[400.480,401.880] NO NO BLOOD +audio/RES0046.mp3[401.880,408.720] OK UM HAVE YOU NOTICED ANY MALODOURS WELL I GUESS UH OUT OF THE ORDINARY +audio/RES0046.mp3[408.720,414.800] UH NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0046.mp3[415.360,418.920] BUT I HAVENT BEEN ABLE TO SMELL SO WHO KNOWS +audio/RES0046.mp3[418.920,425.720] RIGHT OK TRUE UM IN TERMS OF YOUR ABDOMINAL PAIN WHEN DID THAT START +audio/RES0046.mp3[425.720,433.520] UH I I THINK AROUND THE SAME TIME AS THE DIARRHEA SO THE LAST TWO DAYS +audio/RES0046.mp3[433.520,437.600] OK UM ANY NAUSEA OR VOMITING +audio/RES0046.mp3[437.600,441.320] UM NO VOMITING BUT IVE I FELT NAUSEOUS +audio/RES0046.mp3[441.320,450.440] OK THE ABDOMINAL PAIN IS IT WHERE IS IT LOCATED IS IT PRETTY CENTRAL IS IT GENERAL +audio/RES0046.mp3[450.440,457.880] YEAH ITS PRETTY LIKE CENTRAL OR GENERAL I GUESS YOU COULD SAY THERE ISNT REALLY ONE SPECIFIC SPOT THAT I FEEL IT +audio/RES0046.mp3[457.880,465.920] OK AND WHAT MAKES IT WORSE WHAT MAKES IT BETTER +audio/RES0046.mp3[465.920,473.240] UH NOTHING IM NOT REALLY TOO SURE NOTHING REALLY MAKES IT BETTER OR WORSE +audio/RES0046.mp3[473.240,480.600] OK AND IF YOU WERE TO DESCRIBE THE PAIN IS IT SHARP DULL OR ACHY +audio/RES0046.mp3[480.600,483.320] UH ID SAY ITS PRETTY ACHY +audio/RES0046.mp3[483.320,490.000] OK AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS THE ABDOMINAL PAIN +audio/RES0046.mp3[490.000,493.200] UH PROBABLY LIKE 4 +audio/RES0046.mp3[493.200,501.200] OK UM AND IS YOUR ABDOMINAL PAIN GETTING WORSE STAYING THE SAME OR GETTING BETTER +audio/RES0046.mp3[501.200,505.600] ABOUT THE SAME +audio/RES0046.mp3[505.600,510.640] OK UM ANY MEMORY LOSS OR CONFUSION +audio/RES0046.mp3[511.040,516.720] NO OK ARE THINGS NORMAL WITH YOUR URINE +audio/RES0046.mp3[517.400,524.680] OK SO ARE YOU AN OTHERWISE HEALTHY PERSON +audio/RES0046.mp3[524.680,531.600] UH YEAH I HAVENT UM HAD ANYTHING ANY REASON TO SEE A DOCTOR FOR A WHILE +audio/RES0046.mp3[531.600,540.400] OK WELL THATS GOOD UH YOU DONT HAVE ANY LONGSTANDING MEDICAL CONDITIONS LIKE UH HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +audio/RES0046.mp3[540.400,542.960] UM NO NOTHING LIKE THAT +audio/RES0046.mp3[542.960,548.920] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0046.mp3[548.920,556.640] UM I DID HAVE A SURGERY UM YEAH I HAD MY MENISCUS REPAIRED BUT THAT WAS IT +audio/RES0046.mp3[556.640,557.920] OK AND WHEN WAS THAT +audio/RES0046.mp3[557.920,560.400] OH ABOUT 10 YEARS AGO +audio/RES0046.mp3[560.400,589.360] OK SO I JUST WANNA BEFORE WE MOVE ON IM JUST GONNA RECAP KIND OF THE SYMPTOMS THAT YOU HAVE YOUVE HAD UH FOR THE PAST FOUR DAYS MORE OR LESS YOUVE HAD UM A POSSIBLE FEVER UM THIS COUGH UM LOSS OF SMELL AND TASTE UM DIARRHEA UH ABDOMINAL PAIN AND NAUSEA IS THAT CORRECT +audio/RES0046.mp3[589.360,591.160] YEAH THATS CORRECT YEAH +audio/RES0046.mp3[592.080,601.680] THE COUGH STARTED FIRST AND THEN UH YEAH STARTED TO GET SOME MORE OF THE ABDOMINAL PAIN AND NAUSEA AND YEAH THE DIARRHEA THE LAST FEW DAYS +audio/RES0046.mp3[601.680,605.000] OK OK ARE YOU ON ANY MEDICATIONS +audio/RES0046.mp3[605.000,606.960] NO I DONT TAKE ANYTHING +audio/RES0046.mp3[606.960,613.480] OK NOT EVEN OVER THE COUNTER MEDICATIONS OR VITAMINS OR HERBAL SUPPLEMENTS +audio/RES0046.mp3[613.480,616.720] NO NOTHING LIKE THAT +audio/RES0046.mp3[616.720,617.640] OK ANY ALLERGIES +audio/RES0046.mp3[617.640,618.840] UH NO ALLERGIES +audio/RES0046.mp3[618.840,626.760] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0046.mp3[626.760,630.480] I AM YEAH +audio/RES0046.mp3[630.480,635.120] UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0046.mp3[635.120,638.720] UM NO NOTHING LIKE THAT +audio/RES0046.mp3[638.720,645.000] OK HOW ABOUT GI CONDITIONS LIKE STOMACH ISSUES COLON ISSUES LIVER +audio/RES0046.mp3[645.000,649.840] NO I HAVENT HEARD OF ANY ISSUES LIKE THAT IN MY FAMILY +audio/RES0046.mp3[649.840,652.920] OK ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0046.mp3[652.920,656.400] UH NO NO CANCERS +audio/RES0046.mp3[656.400,668.040] OK UM ANY UM OK WELL IM GOING TO ASK YOU UH DO YOU SMOKE YOU MENTIONED YOU DID +audio/RES0046.mp3[668.040,674.800] UH YEAH I I I DO UM I SMOKE MAYBE ABOUT A HALF A PACK OF CIGARETTES PER DAY PROBABLY LESS UM YEAH +audio/RES0046.mp3[674.800,681.960] OK HOW LONG HAVE YOU BEEN DOING THAT +audio/RES0046.mp3[681.960,686.560] UH FOR THE LAST UH 10 YEARS +audio/RES0046.mp3[686.560,690.360] OK HAVE YOU EVER THOUGHT OF QUITTING +audio/RES0046.mp3[690.360,698.240] YEAH IVE IVE BEEN SLOWLY CUTTING IT DOWN I WAS SMOKING A PACK A DAY BEFORE AND NOW UNDER HALF A PACK SO IM TRYING +audio/RES0046.mp3[698.240,717.560] OK WELL CONGRATS THATS A BIG FEAT UM IF YOU NEED ADDITIONAL RESOURCES TO TRY AND HELP YOU QUIT PLEASE DO LET US KNOW UM I WILL ASK YOU MY NEXT QUESTION THEN UM DO YOU DO MARIJUANA AT ALL +audio/RES0046.mp3[717.560,719.040] UH NO +audio/RES0046.mp3[719.040,723.000] NO OK HOW ABOUT OTHER RECREATIONAL DRUGS +audio/RES0046.mp3[723.000,727.920] UH NOPE NOTHING LIKE THAT +audio/RES0046.mp3[727.920,731.360] DO YOU DRINK ALCOHOL +audio/RES0046.mp3[731.360,740.160] YEAH ILL HAVE A GLASS OF UM WINE ON SUNDAYS BUT THATS ABOUT IT +audio/RES0046.mp3[740.160,743.120] OK HOW ABOUT UM WHERE DO YOU LIVE +audio/RES0046.mp3[743.120,750.480] UH SO I LIVE IN A TOWNHOUSE UM WITH MY WIFE UM AND DAUGHTER +audio/RES0046.mp3[750.480,754.400] OK ARE ANY OF THEM SICK +audio/RES0046.mp3[754.400,769.120] UM MY MY WIFE WAS TALKING ABOUT BEING REALLY FATIGUED AND UH SHE DID MENTION A COUGH COMING ON +audio/RES0046.mp3[769.120,773.400] OK UM HAVE YOU BEEN AROUND ANYONE ELSE WHOS BEEN SICK RECENTLY +audio/RES0046.mp3[773.400,775.800] UH NO +audio/RES0046.mp3[775.800,785.480] NO OK UM HAVE YOU TRAVELED TO ANYWHERE RECENTLY +audio/RES0046.mp3[785.480,788.840] UM NO I HAVENT +audio/RES0046.mp3[788.840,800.080] OK UM THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY CONCERNS ANY QUESTIONS ANYTHING THAT YOU WANTED TO DISCUSS THAT I UH POSSIBLY MISSED TODAY +audio/RES0046.mp3[800.080,805.520] UH NOPE THAT WAS THAT WAS EVERYTHING THEN THANK YOU +audio/RES0046.mp3[805.520,852.200] OK NO PROBLEM SO WELL WHAT WELL DO IS WELL GET A COVID SWAB ON YOU JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID UM SO WE WANT TO MAKE SURE THAT THATS NOT WHAT YOU HAVE SO WELL TAKE A SWAB YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS UM BUT IN THE MEANTIME YOU STILL SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR FAMILY MEMBERS AS WELL WHEN WHEN POSSIBLE AND UH PUBLIC HEALTH WILL BE IN TOUCH TO LET YOU KNOW UH TO DO SOME CONTACT TRACING IF ITS NOT COVID YOU YOU COULD POSSIBLY HAVE UM SOME SORT OF OTHER VIRAL INFECTION THATS GOING AROUND THESE DAYS UM HOW DOES THAT SOUND +audio/RES0046.mp3[852.200,855.120] YEAH IT SOUNDS GREAT THANK YOU +audio/RES0046.mp3[855.120,859.400] ALRIGHT NO WORRIES +audio/MSK0050.mp3[0.000,2.360] HOW MAY I HELP YOU +audio/MSK0050.mp3[2.360,15.160] UM IM HERE BECAUSE IVE HAD SOME NUMBNESS IN MY RIGHT HAND AND UH DOESNT SEEM TO BE GOING GOING AWAY SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU +audio/MSK0050.mp3[15.160,22.840] YEAH CERTAINLY SO SO WHEN DID THIS EXACTLY START +audio/MSK0050.mp3[22.840,40.280] UM SO ITS BEEN PRETTY GRADUAL I WOULD SAY OVER THE PAST MONTH OR TWO MONTHS UM IS WHEN I FIRST NOTICED IT BUT THE NUMBNESS IS DEFINITELY WORSE NOW THAN IT WAS AT THE START +audio/MSK0050.mp3[40.280,50.800] OK AND UH WHERE IS THIS UM THE PAIN AND NUMBNESS WHERE ARE YOU FEELING IT EXACTLY +audio/MSK0050.mp3[50.800,56.840] UM ITS PARTICULAR ITS THE WORST ON MY THUMB AND INDEX FINGER +audio/MSK0050.mp3[56.840,63.680] OK DO YOU FEEL IT ON YOUR RING FINGER OR UH OR SORRY OR YOUR MIDDLE FINGER +audio/MSK0050.mp3[63.680,73.120] UM THERE IS A LITTLE BIT ON MY MIDDLE AND RING FINGER BUT ITS LIKE ITS VERY VERY MILD +audio/MSK0050.mp3[73.120,83.160] OK UH AND UH LIKE HOW LONG IS ARE THE SYMPTOMS CONSTANT OR OR ARE THEY INTERMITTENT +audio/MSK0050.mp3[83.160,101.360] UM I WOULD SAY ITS SOMEWHAT CONSTANT BUT ITS WORSE WHEN UM WHEN IM TRYING TO LIKE HOLD THE STEERING WHEEL OR USING MY PHONE OR YOU KNOW READING A BOOK +audio/MSK0050.mp3[101.360,114.040] OK I SEE AND UM IS THERE ANYTHING THAT YOU DO UH AT THOSE TIMES TO TRY TO HELP GET THE SYMPTOMS TO GO AWAY +audio/MSK0050.mp3[114.040,125.760] UM I GUESS I LIKE SHAKE OUT MY HAND UM OR YEAH TRY TO PUT PRESSURE ON THOSE NUMB NUMB AREAS +audio/MSK0050.mp3[125.760,132.800] OK DOES FLICKING THE THE WRIST OR ANYTHING LIKE THAT DOES IT HELP +audio/MSK0050.mp3[132.800,135.080] UH MAYBE SLIGHTLY +audio/MSK0050.mp3[135.080,142.920] OK AND UH LIKE HOW WOULD YOU DESCRIBE THE THE PAINS IN YOUR HAND LIKE DULL ACHY SHARP +audio/MSK0050.mp3[142.920,172.040] I WOULD SAY THE PAIN IS MORE LIKE A TINGLING SENSATION UM SO I GUESS THE TINGLING IS IS LIKE A SHARP FEELING UM I WOULDNT CALL IT SO MUCH PAIN AS I WOULD JUST LIKE TINGLING AND NUMBNESS +audio/MSK0050.mp3[172.040,181.280] OK OK AND UH IS IS THERE ANYTHING SO YOU MENTIONED SORT OF THE DRIVING AND USING YOUR PHONE ARE THERE ANY OTHER ACTIVITIES THAT MAKE IT WORSE +audio/MSK0050.mp3[181.280,204.000] RECENTLY I FOUND ITS HARD FOR ME TO HOLD THINGS UM IN MY RIGHT HAND SO LIKE IF IM TRYING TO OPEN UP A JAR UM LIKE ITS HARD FOR ME TO HOLD IT AND SOMETIMES I FIND UH LIKE ITLL JUST FALL OUT OF MY HAND +audio/MSK0050.mp3[204.000,207.000] OK SO YOURE LIKE DROPPING ITEMS AND STUFF +audio/MSK0050.mp3[207.000,209.000] MHMM YES +audio/MSK0050.mp3[209.000,220.800] OK AND DO YOU FEEL ANY UH LIKE THE NUMBNESS OR TINGLING DOES IT RADIATE ANYWHERE LIKE TO YOUR FOREARM OR UP INTO YOUR LIKE UPPER ARM OR SHOULDER +audio/MSK0050.mp3[220.800,226.320] UH NO I DONT THINK SO NO +audio/MSK0050.mp3[226.320,231.840] OK AND DO YOU HAVE ANY NECK PAIN +audio/MSK0050.mp3[233.840,239.920] OK AND HAVE YOU HAD ANY TRAUMA OR INJURIES TO YOUR WRIST OR HAND +audio/MSK0050.mp3[239.920,244.280] NO NOTHING THAT I CAN THINK OF +audio/MSK0050.mp3[244.280,250.240] ALRIGHT UM AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY +audio/MSK0050.mp3[251.240,254.160] HOW ABOUT ANY FEVERS OR CHILLS +audio/MSK0050.mp3[255.400,257.720] HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0050.mp3[258.880,262.520] OK HAVE YOU HAD ANY CHANGES TO VISION OR HEARING +audio/MSK0050.mp3[263.600,268.720] HOW ABOUT OTHER SENSES LIKE ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +audio/MSK0050.mp3[270.200,274.520] ALRIGHT HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +audio/MSK0050.mp3[274.520,276.120] UH NO +audio/MSK0050.mp3[276.120,280.640] ALRIGHT HAVE YOU HAD A SORE THROAT OR A COUGH PERHAPS +audio/MSK0050.mp3[282.120,284.880] ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/MSK0050.mp3[286.040,292.240] HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOURE UH LIKE FEELING LIKE YOU HAVE HEART PALPITATIONS +audio/MSK0050.mp3[293.000,297.920] OK HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0050.mp3[297.920,299.720] UH NO +audio/MSK0050.mp3[299.720,303.200] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0050.mp3[304.440,310.760] HOW ABOUT ANY ABDOMINAL PAIN +audio/MSK0050.mp3[312.160,315.880] ALRIGHT HOW ABOUT ANY URINARY PROBLEMS +audio/MSK0050.mp3[315.880,317.400] UH NO +audio/MSK0050.mp3[317.400,322.200] HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA CONSTIPATION +audio/MSK0050.mp3[323.680,327.800] OK AND HAVE YOU HAD ANY CHANGES TO YOUR HAIR OR NAILS +audio/MSK0050.mp3[328.960,336.160] AND ANY SKIN RASHES OR UM ANYTHING LIKE THAT +audio/MSK0050.mp3[337.600,344.760] ALRIGHT AND UH HAVE YOU HAD ANY OTHER PAINS IN YOUR JOINTS OR ANY JOINT SWELLING +audio/MSK0050.mp3[347.120,354.320] OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/MSK0050.mp3[354.320,365.240] NO NOT THAT I CAN THINK OF YEAH NO WHEN I WAS YOUNGER I HAD LIKE CHILDHOOD ASTHMA BUT NOTHING SINCE +audio/MSK0050.mp3[365.240,368.200] OK DO YOU USE ANY INHALERS NOW +audio/MSK0050.mp3[368.200,370.880] NO NOT FOR A LONG TIME +audio/MSK0050.mp3[370.880,374.640] OK DO YOU TAKE ANY OTHER MEDICATIONS +audio/MSK0050.mp3[376.440,381.560] OK UM AND HOW ABOUT DO YOU HAVE ANY ALLERGIES +audio/MSK0050.mp3[383.280,388.040] OK AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS +audio/MSK0050.mp3[388.040,392.000] UH NO +audio/MSK0050.mp3[392.000,401.320] OK UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT UH WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/MSK0050.mp3[401.320,417.520] SO UM I LIVE WITH MY BOYFRIEND AND WE LIVE IN A RENTED BASEMENT APARTMENT DOWNTOWN +audio/MSK0050.mp3[417.520,422.680] OK UM AND ARE YOU WORKING CURRENTLY OR ARE YOU IN SCHOOL +audio/MSK0050.mp3[422.680,427.440] UM I AM A GRAD STUDENT +audio/MSK0050.mp3[427.440,433.400] OK EXCELLENT AND UM DO YOU SMOKE CIGARETTES +audio/MSK0050.mp3[433.400,435.240] I DONT +audio/MSK0050.mp3[435.240,440.080] OK AND UH DO YOU DRINK ALCOHOL +audio/MSK0050.mp3[440.080,445.000] UM ILL HAVE A GLASS OF WINE ONCE A WEEK +audio/MSK0050.mp3[445.000,453.480] ALRIGHT UM AND DO YOU USE ANY RECREATIONAL DRUGS +audio/MSK0050.mp3[453.480,454.520] UH NO +audio/MSK0050.mp3[454.520,466.880] OK AND IN THE FAMILY UH ARE THERE ANY IS THERE A HISTORY OF LIKE HYPOTHYROIDISM OR OTHER AUTOIMMUNE CONDITIONS +audio/MSK0050.mp3[466.880,474.200] UM THERES RHEUMATOID ARTHRITIS IN THE FAMILY BUT THATS ABOUT IT +audio/MSK0050.mp3[474.200,480.720] OK UM BUT YOU DONT HAVE ANY OTHER JOINT SWELLING OR PAINS RIGHT +audio/MSK0050.mp3[484.360,506.280] OK UH AND SO NEXT I WOULD LIKE TO JUST UM UH DO A PHYSICAL EXAM AND FOR THE FIRST PART ILL ASK YOU TO JUST HAVE A LOOK AT THE HAND AND WRIST AND ARE YOU SEEING ANY SWELLING ERYTHEMA OR REDNESS OR LIKE ANY MUSCLE WASTING OR OR ATROPHY +audio/MSK0050.mp3[506.280,532.480] UM SO IN MY RIGHT HAND UM I GUESS THE YOU KNOW THE FLESHY PART OF YOUR THUMB JUST ABOVE YOUR WRIST UM THAT SEEMS TO BE UM I GUESS ATROPHIED COMPARED TO MY LEFT HAND +audio/MSK0050.mp3[532.480,538.640] OK SO OK SO THE MUSCLE BULK IS UM REDUCED THERE +audio/MSK0050.mp3[541.920,551.720] OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES LIKE DOES THE ANY AREAS OF THE HAND OR WRIST FEEL WARM OR HOT +audio/MSK0050.mp3[551.720,553.280] UM NO +audio/MSK0050.mp3[553.280,564.520] ALRIGHT UM AND ARE THERE ANY AREAS IF YOU UH PALPATE THAT CAUSE PAIN LIKE OVER THE WRIST OR ANY OF THE JOINTS +audio/MSK0050.mp3[564.520,570.760] NO PAIN UM YEAH NO PAIN +audio/MSK0050.mp3[570.760,578.680] ALRIGHT UM AND ARE YOU ABLE TO UH FLEX AND EXTEND YOUR WRIST +audio/MSK0050.mp3[578.680,580.200] UH YEAH I CAN DO THAT +audio/MSK0050.mp3[580.200,586.640] ALRIGHT AND AND HOW ABOUT MAKING A FIST AND AND THEN ALSO EXTENDING YOUR FINGERS BACK OUT +audio/MSK0050.mp3[586.640,595.440] THAT HURTS OR LIKE THAT CAUSES THE TINGLING +audio/MSK0050.mp3[595.440,601.920] OK UM ARE THERE ANY ANY ISSUES WITH LIKE MOVING YOUR ELBOW OR YOUR SHOULDER +audio/MSK0050.mp3[602.640,628.600] OK AND IF YOU TAKE YOUR OPPOSITE HAND UM WITH JUST YOUR UH KIND OF POINTER FINGER AND MIDDLE FINGER AND JUST REALLY TAP UM RIGHT NEAR THE WRIST CREASE CALLED THE TINELS TEST YOU TAP THERE DO YOU FEEL ANY REPRODUCTION OF SYMPTOMS +audio/MSK0050.mp3[628.600,632.760] YEAH THAT THAT CAUSES THE TINGLING +audio/MSK0050.mp3[632.760,662.320] OK SO YOURE POSITIVE TINELS TEST AND UM IF YOU KIND OF PLACE YOUR WRIST SO THAT UM LIKE THE BACKS OF YOUR HANDS ARE FACING EACH OTHER SO THAT YOUR WRISTS ARE FLEXED DOWNWARDS AND YOUR UM YOUR WRISTS ARE FLEXED AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND AND YOU JUST HOLD THAT POSITION FOR A PERIOD OF TIME UM DO YOU FEEL ANY PAIN +audio/MSK0050.mp3[662.320,667.840] UH I GUESS A LITTLE BIT OF TINGLING +audio/MSK0050.mp3[667.840,678.720] OK SO THAT WOULD BE A POSITIVE PHALENS TEST AS WELL UM AND RANGE OF MOTION OF THE NECK DO YOU HAVE ANY PROBLEMS WITH THAT OR ANY PAIN THERE +audio/MSK0050.mp3[678.960,691.840] OK UM I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK ON THE EXAM DID YOU HAVE ANY QUESTIONS FOR ME +audio/MSK0050.mp3[691.840,694.880] UM NO NO QUESTIONS THANK YOU SO MUCH +audio/MSK0050.mp3[694.880,725.080] ALRIGHT YOURE WELCOME YEAH SO IT SOUNDS LIKE THIS COULD BE UH CARPAL TUNNEL SYNDROME AND UH SO WE WE MAY DEPENDING ON UH KIND OF LIKE NERVE STUDIES TO CONFIRM THE DIAGNOSIS AND UM THINGS THAT YOU CAN DO IN THE MEANTIME WOULD BE TO USE LIKE A SPLINT OR UM YEAH TRY TO USE LIKE NIGHTTIME SPLINTS AND ACTIVITY MODIFICATION AS WELL +audio/MSK0050.mp3[725.080,729.520] OK YEAH THAT SOUNDS GOOD +audio/MSK0029.mp3[0.000,2.280] WHAT BRINGS YOU IN +audio/MSK0029.mp3[2.280,30.720] HI YESTERDAY I WAS GROCERY SHOPPING AND YEAH JUST IN THE PARKING LOT SOMEBODY BUMPED INTO MY CAR AND THIS MORNING I WOKE UP AND MY NECK IS JUST REALLY PAINFUL IT HURT YESTERDAY A LITTLE BIT BUT I MEAN IT WAS SO MILD I DIDNT THINK MUCH OF IT BUT TODAY ITS ITS QUITE A BIT WORSE +audio/MSK0029.mp3[30.720,42.800] OK SO CAN YOU TELL ME HOW THIS ACCIDENT HAPPENED WERE YOU SITTING IN THE PASSENGER SEAT AND THE DRIVER AND WAS THE IMPACT FROM LIKE BEHIND AT THE BACK OF YOUR CAR OR AT THE FRONT +audio/MSK0029.mp3[42.800,69.560] IT WAS AT THE BACK SO I WAS THE DRIVER AND WAS JUST GOING OVER A SPEED BUMP IN THE PARKING LOT SO SLOWED DOWN QUITE A BIT AND THE PERSON BEHIND ME MUST NOT HAVE AND THEY BUMPED INTO ME THERES JUST SOME SCRATCHES ON THE BUMPER THEY DIDNT HIT TOO HARD BUT I I GUESS MAYBE HARD ENOUGH +audio/MSK0029.mp3[69.560,78.760] OK AND DID THE NECK PAIN START IMMEDIATELY AFTER +audio/MSK0029.mp3[78.760,91.160] UH NO ITS I LIKE NOT IMMEDIATELY YEAH I THINK IT STARTED A BIT LATER ON AND THEN WORSE A BIT A BIT TODAY +audio/MSK0029.mp3[91.160,97.560] OK ALRIGHT AND IS THERE PAIN ANYWHERE ELSE ON YOUR BODY +audio/MSK0029.mp3[97.560,104.960] UH REALLY LIKE MY NO JUST JUST REALLY MY NECK +audio/MSK0029.mp3[104.960,118.360] OK OK AND DOES ANYTHING FEEL BROKEN DO ARE THERE BRUISES ANYWHERE ANY OBVIOUS SIGNS OF TRAUMA +audio/MSK0029.mp3[118.360,132.240] NO I CAN’T I DIDNT NOTICE ANYTHING LIKE THAT AND I CAN MOVE MY NECK AROUND SO I DONT THINK ANY I DON’T I DONT THINK ANYTHING IS BROKEN JUST HURTS A LOT +audio/MSK0029.mp3[132.240,137.080] ALRIGHT AND IS A PAIN CONSTANTLY THERE OR DOES IT COME AND GO +audio/MSK0029.mp3[137.080,157.600] IT KIND OF COMES AND GOES IT JUST ITS WORSE WITH MOVEMENT IF I JUST KINDA SIT STILL I DONT NOTICE MUCH PAIN BUT IF IM BETTING MY HEAD FORWARD OR MOSTLY BACKWARDS SO ILL GET ILL GET PAIN +audio/MSK0029.mp3[157.600,162.320] OK AND YOU SAID THIS HAPPENED YESTERDAY RIGHT +audio/MSK0029.mp3[162.320,166.360] YEAH YEAH THIS HAPPENED YESTERDAY AFTERNOON +audio/MSK0029.mp3[166.360,179.040] OK UM AND DOES ANYTHING MAKE THIS BETTER LIKE HAVE YOU TRIED ICE SAY ANY TOPICALS ANY POSITIONS THAT THAT HELPS WITH THE PAIN +audio/MSK0029.mp3[179.040,195.600] I DID TRY SOME LIKE ADVIL LAST NIGHT BUT LIKE WHEN I WHEN THE PAIN WAS COMING ON AND IT MUSTVE HELPED ME SLEEP I GUESS BUT I HAVENT TRIED ANY ICE OR ANYTHING LIKE THAT JUST MOSTLY I GUESS RESTING +audio/MSK0029.mp3[195.600,212.000] OK SO YOU SAID THE PAIN IS AT THE BACK OF THE NECK DOES IT RADIATE ANYWHERE UP INTO YOUR HEAD OR DOWN INTO YOUR SHOULDERS OR LOWER OR UPPER BACK +audio/MSK0029.mp3[212.000,229.480] UHM MAYBE A LITTLE BIT TO THE UPPER BACK LIKE WHEN I LIKE TRAP TRAPEZIUS MUSCLE AREA OR THE TRAPS LIKE IT IF I PUSH ON THOSE MUSCLES AROUND THAT AREA I DO GET A LITTLE BIT OF TENDERNESS +audio/MSK0029.mp3[229.480,240.040] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBING UHM HOW WOULD YOU DESCRIBE IT +audio/MSK0029.mp3[240.040,250.240] I WOULD SAY ITS SHARP YEAH ESPECIALLY IF I DO ANY MOVEMENTS LIKE ITLL BE FEELS LIKE I MEAN IT STABBED IN THE NECK +audio/MSK0029.mp3[250.240,256.480] OK ALRIGHT AND HAVE YOU EVER HAD IT HAD PAIN LIKE THIS IN THE PAST +audio/MSK0029.mp3[256.480,261.400] NO THIS IS THE FIRST TIME +audio/MSK0029.mp3[261.400,267.520] OK AND DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN SINCE IT STARTED YESTERDAY +audio/MSK0029.mp3[267.520,280.240] YEAH IT COULD BE THAT AT FIRST I DIDNT EVEN HAVE ANY PAIN AT ALL MAYBE IT WAS JUST THE ADRENALINE PUMPING OR WHATEVER BUT NOW I CAN NOTICE THE PAIN +audio/MSK0029.mp3[280.240,288.000] OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN +audio/MSK0029.mp3[288.000,298.680] IT WOULD BE I WOULD SAY PROBABLY A 6 OR A 7 +audio/MSK0029.mp3[298.680,305.320] OK OK AND HAVE YOU HAD ANY TINGLING OR NUMBNESS +audio/MSK0029.mp3[305.320,307.400] NO I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0029.mp3[307.400,311.040] OK ANY DIZZINESS OR FAINTING SPELLS +audio/MSK0029.mp3[311.920,315.120] CONFUSION OR MEMORY LOSS +audio/MSK0029.mp3[316.360,318.800] ANY HEADACHES +audio/MSK0029.mp3[318.800,321.040] UM I NO +audio/MSK0029.mp3[321.040,332.880] NO OK AND IS THIS AFFECTING YOUR SLEEP AT ALL +audio/MSK0029.mp3[332.880,353.560] OH NO I GUESS LIKE LAST NIGHT IT WAS A LITTLE BIT MORE DIFFICULT BECAUSE I WAS JUST I SLEPT I JUST ON MY BACK SO THAT I WASNT MOVING AROUND AS MUCH SO THAT WAS A LITTLE BIT AWKWARD BUT I WAS ABLE TO SLEEP THOUGH +audio/MSK0029.mp3[353.560,362.000] OK I KNOW YOU SAID YOU HAVE SOME PAIN WITH CERTAIN MOVEMENTS BUT DO YOU FIND ITS HARD TO MOVE YOUR NECK AT ALL +audio/MSK0029.mp3[362.000,370.400] OH IT FEELS A BIT STIFF BUT LIKE IM ABLE TO MOVE IT BUT YEAH I FEEL STIFF +audio/MSK0029.mp3[370.400,376.640] OK ANY ISSUES WITH VISION LIKE IS IT BLURRY +audio/MSK0029.mp3[377.680,380.680] NO HOW ABOUT RINGING IN YOUR EARS +audio/MSK0029.mp3[381.760,395.080] NO ANY SORRY YES THAT ANY ISSUES CONCENTRATING ON ON TASKS +audio/MSK0029.mp3[395.080,408.320] UM YEAH THIS MORNING I I GUESS ITS BEEN A LITTLE BIT MORE DIFFICULT TO FOCUS ON THINGS BUT MAYBE I WAS JUST WORRIED LIKE FOCUSING ON THE PAIN IN MY NECK +audio/MSK0029.mp3[408.320,414.000] YEAH FOR SURE ANY FEVERS OR CHILLS +audio/MSK0029.mp3[415.440,419.920] ANY CHANGES IN YOUR WEIGHT +audio/MSK0029.mp3[419.920,423.720] NO MY WEIGHT ITS BEEN BEEN THE SAME +audio/MSK0029.mp3[423.720,428.360] ANY CHANGES TO YOUR HEARING +audio/MSK0029.mp3[428.360,430.360] NO THATS BEEN BEEN NORMAL +audio/MSK0029.mp3[430.360,433.320] SMELL OR TASTE +audio/MSK0029.mp3[433.320,434.680] THATS BEEN NORMAL +audio/MSK0029.mp3[434.680,439.720] UM CHEST PAIN OR HEART PALPITATIONS +audio/MSK0029.mp3[439.720,441.320] NO NOTHING LIKE THAT +audio/MSK0029.mp3[441.320,446.880] OK NO COUGH SHORTNESS OR BREATH SHORTNESS OF BREATH OR WHEEZING +audio/MSK0029.mp3[446.880,449.000] NO NONE OF THAT +audio/MSK0029.mp3[449.000,451.960] HOW ABOUT ISSUES WITH THEIR BOWEL MOVEMENTS +audio/MSK0029.mp3[451.960,457.520] NO I HAVENT HAD ANY DIARRHEA OR ANY ANY ANY CONSTIPATION NOTHING LIKE THAT +audio/MSK0029.mp3[457.520,461.400] OK ANY NAUSEA VOMITING +audio/MSK0029.mp3[461.400,462.800] NO NAUSEA OR VOMITING +audio/MSK0029.mp3[462.800,467.680] CHANGES IN YOUR APPETITE +audio/MSK0029.mp3[467.680,471.560] UH NO THAT MY APPETITES BEEN GOOD +audio/MSK0029.mp3[471.560,475.080] OK HOW ABOUT CHANGES IN URINE +audio/MSK0029.mp3[475.080,480.880] NO I HAVENT HAD ANY ANY CHANGES TO OR ANY URINARY SYMPTOMS AT ALL +audio/MSK0029.mp3[480.880,490.760] OK OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0029.mp3[490.760,503.480] UHM NO I AM OTHERWISE HEALTHY I JUST ID TAKE BIRTH CONTROL AND I AM A MULTI VITAMIN BUT THATS IT SO NO MEDICAL CONDITIONS +audio/MSK0029.mp3[503.480,512.160] OK ALRIGHT THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0029.mp3[512.160,516.640] UHM NO I HAVEN’T +audio/MSK0029.mp3[516.640,522.640] NO OK HOW ABOUT MEDICATIONS ARE YOU ON ANY +audio/MSK0029.mp3[522.640,530.440] JUST THE THE THE BIRTH CONTROL THAT IM IM TAKING IVE BEEN TAKING THAT FOR ABOUT FIVE YEARS NOW +audio/MSK0029.mp3[530.440,537.160] FIVE YEARS OK ANY SIDE EFFECTS OR ANY ISSUES WITH THAT +audio/MSK0029.mp3[537.160,546.160] NO ITS BEEN GOOD DAY I IVE BEEN REALLY HAPPY WITH IT OVERALL TOO THEY HELP REGULATE MY CYCLES +audio/MSK0029.mp3[546.160,554.000] OK OK GOOD AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/MSK0029.mp3[554.000,557.440] I AM YES ILL GET THE FLU SHOT EVERY YEAR +audio/MSK0029.mp3[557.440,561.560] OK THATS GOOD DO YOU HAVE ANY ALLERGIES +audio/MSK0029.mp3[561.560,573.120] I DO YEAH BUT ITS I THINK THEYRE JUST ALL ENVIRONMENTAL CAUSE ILL TYPICALLY GET ISSUES WITH SEASONAL CHANGES AND THEN THEN IT GOES AWAY +audio/MSK0029.mp3[573.120,579.560] OH I SEE OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/MSK0029.mp3[579.560,590.840] I THINK MY DAD HAS HIGH BLOOD PRESSURE AND DIABETES YEAH BUT NO HEART OR OR LUNG CONDITIONS +audio/MSK0029.mp3[590.840,595.160] OK HOW ABOUT A MUSCULOSKELETAL ISSUES +audio/MSK0029.mp3[595.160,600.880] I THINK MAYBE OSTEOARTHRITIS AND MY GRANDPA GRANDPARENTS BUT +audio/MSK0029.mp3[604.160,605.520] BUT YEAH +audio/MSK0029.mp3[605.520,609.120] HOW ABOUT AN AUTOIMMUNE CONDITIONS +audio/MSK0029.mp3[609.120,613.120] NO NOTHING LIKE THAT +audio/MSK0029.mp3[613.120,616.720] NO OK HOW ABOUT CANCERS +audio/MSK0029.mp3[616.720,621.080] UH NO CANCERS +audio/MSK0029.mp3[621.080,625.920] OK AND THEN DO YOU SMOKE +audio/MSK0029.mp3[625.920,630.040] NO I DONT NO IVE NEVER SMOKED BEFORE +audio/MSK0029.mp3[630.040,636.400] OK HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM +audio/MSK0029.mp3[636.400,641.480] NO I DONT +audio/MSK0029.mp3[641.480,646.040] OK AND THEN DO YOU DRINK ALCOHOL +audio/MSK0029.mp3[646.040,653.960] EVERY ONCE IN A WHILE ILL HAVE A GLASS OF WINE BUT ITS USUALLY A SOCIAL THING OR OR AT CHRISTMAS +audio/MSK0029.mp3[653.960,664.800] OK COME HAVE OUT IN TERMS OF SICK CONTACTS HAVE YOU HAD ANY RECENTLY +audio/MSK0029.mp3[664.800,686.400] I DONT BELIEVE SO UM IVE BEEN GOING TO WORK I WORK AS A BANK TELLER UM BUT EVERYBODY AT WORK HASNT BEEN SICK AND WEVE BEEN USING MASKS AND CLEANING OUR HANDS AND ALL OF THAT SORT OF THING +audio/MSK0029.mp3[686.400,692.600] OK OK THATS GOOD AND HOW ABOUT TRAVEL HAVE YOU HAD ANY RECENTLY +audio/MSK0029.mp3[692.600,701.760] NO IVE BEEN PUT AT HOME BUT LOOKING FORWARD TO A VACATION THOUGH +audio/MSK0029.mp3[701.760,709.120] YEAH FOR SURE AND THEN WHERE DO YOU WORK AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE +audio/MSK0029.mp3[709.120,717.800] YES I I WORK AT A BANK AND I LIVE WITH MY HUSBAND AND OUR TIME AND OUR SON HE’S HES SIX +audio/MSK0029.mp3[717.800,738.640] OK OK OK UM THOSE ARE ALL THE QUESTIONS I HAVE FOR HISTORY WE CAN MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS BEFORE WE DID THAT +audio/MSK0029.mp3[738.640,745.080] UH NO NO THAT SOUNDS GOOD +audio/MSK0029.mp3[745.080,760.160] OK SO IF YOU HAVE SOMEONE THERE WITH YOU OR IF YOU HAVE A MIRROR OR IF THERES ANY WAY YOU CAN TAKE A LOOK AT THE BACK OF YOUR NECK AS WELL AS THE FRONT OF YOUR NECK UM DO YOU SEE ANY REDNESS OR SWELLING IN THAT AREA +audio/MSK0029.mp3[760.160,762.160] NO I DON’T +audio/MSK0029.mp3[762.160,772.520] NO OK DO YOU SEE ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES +audio/MSK0029.mp3[772.520,773.760] NO NOTHING LIKE THAT +audio/MSK0029.mp3[773.760,789.080] OK AND THEN WHEN YOU KIND OF JUST WITH THE BACK OF YOUR HAND PLACE IT ON YOUR NECK IN THE FRONT AS WELL AS THE BACK DOES IT FEEL WARM AT ALL +audio/MSK0029.mp3[789.440,799.280] NO OK AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS SO WELL START WITH THE CHIN DOES THAT HURT WHEN YOU PRESS DOWN +audio/MSK0029.mp3[799.640,805.960] NO OK HOW ABOUT JUST WHERE THE THYROID WOULD BE +audio/MSK0029.mp3[805.960,809.880] NO PAIN OR YEAH NO PAIN THERE +audio/MSK0029.mp3[809.880,819.600] NO PAIN THERE OK HOW ABOUT TO THE SIDES KIND OF WHERE YOUR STERNOCLEIDOMASTOID MUSCLES ARE +audio/MSK0029.mp3[819.600,828.400] YEAH I THINK LIKE A LITTLE BIT OF TENDERNESS IN THE THE FRONT OF THE NECK MUSCLES THERE +audio/MSK0029.mp3[828.400,841.840] OK AND THEN HOW ABOUT WHEN YOU MOVE TOWARDS THE BACK AND THEN ON YOUR C SPINE CERVICAL SPINE JUST LIKE AT THE VERY BACK OF YOUR NECK +audio/MSK0029.mp3[841.840,859.360] YEAH SO THERES THERES NO PAIN WHEN I PUSH ON THE LIKE BONES I CAN FEEL LIKE SO ACTUALLY ON THAT THAT LIKE C SPINE ITSELF THERES NO PAIN BUT LIKE OH OFF TO THE SIDE SO ON THE MUSCLES TO THE SIDES OR THERES A BIT OF TENDERNESS +audio/MSK0029.mp3[859.360,870.840] OK SO KIND OF LIKE WHERE SO THERES PAIN ON THEIR TRAPEZIUS AND DELTOID MUSCLES +audio/MSK0029.mp3[870.840,883.840] UHM UH YEAH MORE TRAPEZIUS NOT SO NOT SO MUCH DELTOID AND THEN ALSO UM LIKE THE THE PERISPINAL MUSCLES +audio/MSK0029.mp3[883.840,909.560] OK I SEE ALRIGHT UHM OK AND THEN LETS MOVE ON TO SOME RANGE OF MOTION EXAM SO IM GONNA GET YOU TO FLEX YOUR NECK SO LOOK DOWN AT THE GROUND ALL THE WAY AS MUCH AS YOU CAN DOES THAT HURT +audio/MSK0029.mp3[909.560,911.720] IT DOES YEAH +audio/MSK0029.mp3[911.720,915.280] IT DOES BUT YOURE ABLE TO FULLY FLEX YOUR NECK +audio/MSK0029.mp3[915.280,923.960] YEAH I CAN TOUCH MY CHIN TO MY CHEST ALL ALMOST UH BUT YEAH ILL GET PAIN AT THE BACK OF MY NECK WHEN I DO THAT AND THE FRONT +audio/MSK0029.mp3[923.960,932.440] AND THE FRONT OK AND THEN HOW ABOUT WHEN YOU EXTEND YOUR HEAD ALL THE WAY BACK SO THAT YOURE LOOKING AT THE CEILING +audio/MSK0029.mp3[932.440,944.040] I’M ABLE TO DO IT STILL IS A BIT STIFF AND ITS SLOW TO GET THERE BUT AGAIN I I GET PAIN AT THE BACK IN THE FRONT OF MY NECK WHEN IM DOING THIS +audio/MSK0029.mp3[944.040,953.640] OK OK HOW ABOUT WHEN YOU FLEX YOUR NECK TO THE SIDE SO THAT YOUR RIGHT EAR IS TOUCHING YOUR RIGHT SHOULDER +audio/MSK0029.mp3[953.640,964.080] UM YEAH I GET THERES A LITTLE BIT OF A PAIN IN THE MUSCLES ON THE LEFT SIDE WHEN IM DOING THAT +audio/MSK0029.mp3[964.080,974.800] OK AND THEN HOW ABOUT WHEN YOU DO THE OPPOSITE TOUCH YOUR LEFT EAR TO YOUR LEFT SHOULDER SO THAT YOURE LATERALLY FLEXING YOUR NECK ON THE LEFT SIDE +audio/MSK0029.mp3[974.800,978.800] A LITTLE BIT OF PAIN THERE TOO BUT IM ABLE TO DO IT THOUGH +audio/MSK0029.mp3[978.800,985.440] OK SO YOURE ABLE TO DO ALL OF THESE ITS JUST THAT YOU HAVE SOME PAIN WHEN YOU DO THAT +audio/MSK0029.mp3[985.440,990.960] YEAH EXACTLY I COULD DO ALL OF THE MOVEMENTS BUT YEAH ITS PAIN AND STIFFNESS +audio/MSK0029.mp3[990.960,999.720] OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/MSK0029.mp3[999.720,1016.000] UH NO THAT I JUST WAS WONDERING IF I IF YOU THINK I I DON’T NEEDED AN X RAY OR LIKE YOU THINK THAT ANYTHING IS BROKEN KIND OF LIKE CONCERNED ABOUT TODAY BECAUSE OF THIS PAIN +audio/MSK0029.mp3[1016.000,1108.440] YEAH AND FOR SURE UM SO RIGHT NOW IT JUST TO ME IT SOUNDS LIKE A WHIPLASH INJURY AND SO KIND OF LIKE LOW IMPACT BUT JUST TO BE CERTAIN WE CAN ORDER AN X RAY TO RULE OUT ANY FRACTURES OR DISLOCATIONS AND IN TERMS OF LIKE THE MANAGEMENT PLAN FOR PAIN MANAGEMENT YOU CAN REST YOU CAN EITHER APPLY HEAT OR COLD PACKS TO YOUR NECK FOR 15 MINUTES EVERY COUPLE OF HOURS OR SO YOU CAN TRY SOME OVER THE COUNTER PAIN MEDICATIONS LIKE IBUPROFEN OR TYLENOL AND IF IT STILL DOESNT GET BETTER WE CAN TRY LIKE WE CAN TRY INJECTIONS TO THE AREA TO RELIEVE SOME OF THAT PAIN BUT SOMETHING ELSE IN CONJUNCTION WE CAN TRY AS PHYSIOTHERAPY AND THEYLL BASICALLY HELP YOU WITH RANGE OF MOTION EXERCISES AND TRY TO STRENGTHEN THE MUSCLES IN THAT AREA AND TO IMPROVE YOUR POSTURE AND NORMAL MOVEMENT AND THATS KIND OF WHERE WE CAN START FOR NOW AND IF IT DOESNT GET ANY BETTER WE CAN TALK ABOUT ALTERNATIVE MANAGEMENT PLANS DOES THAT SOUND OK +audio/MSK0029.mp3[1108.440,1111.000] IT DOES YEAH THAT THAT MAKES SENSE THANK YOU +audio/MSK0029.mp3[1111.000,1114.640] OK YEAH NO WORRIES +audio/RES0148.mp3[0.000,1.600] HOW MAY I HELP YOU +audio/RES0148.mp3[1.600,33.920] HI IVE HAD UM IVE HAD A COUGH FOR THE PAST UM THREE DAYS AND UH I ALSO DEVELOPED A FEVER UM I THINK SO I CHECKED IT YESTERDAY NIGHT IT WAS UM 38 AND UH I JUST DECIDED TO UH COME INTO THE WALK IN CLINIC JUST TO UM JUST TO GET MYSELF CHECKED OUT +audio/RES0148.mp3[33.920,49.320] YEAH CERTAINLY IT IT SOUNDS LIKE YOU UM HAVE HAD A FEVER AS WELL SO UH WITH THE COUGH YOU SAID THAT STARTED THREE DAYS AGO HAS IT BEEN GETTING UH ANY BETTER OR ANY WORSE +audio/RES0148.mp3[49.320,53.480] ITS GOTTEN A LITTLE BIT BETTER ID SAY +audio/RES0148.mp3[53.480,64.000] OK THATS GOOD UM AND AND PRIOR TO THREE DAYS AGO UM DID YOU HAVE A COUGH BEFORE OR WAS IT A NEW NEW COUGH +audio/RES0148.mp3[64.000,66.760] ITS A NEW COUGH +audio/RES0148.mp3[66.760,73.880] ALRIGHT AND UH ARE YOU BRINGING UP ANY SPUTUM +audio/RES0148.mp3[74.320,76.520] UM ARE YOU BRINGING UP ANY BLOOD +audio/RES0148.mp3[77.720,84.320] AND HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0148.mp3[84.320,87.200] UHM NO I HAVENT +audio/RES0148.mp3[87.200,91.760] OK UM HOW ABOUT ANY WHEEZING +audio/RES0148.mp3[91.760,101.200] YEAH I GUESS A LITTLE BIT +audio/RES0148.mp3[101.200,110.640] A BIT OK UM IS IT UH ARE YOU HAVING ANY CHEST PAIN +audio/RES0148.mp3[110.640,111.840] UHM NO +audio/RES0148.mp3[111.840,122.640] OK UM AND SO YOU MENTIONED UM WITH A FEVER HAVE HAVE YOU HAD ANY CHILLS +audio/RES0148.mp3[122.640,127.280] YEAH I DID UM I HAD THE CHILLS YESTERDAY +audio/RES0148.mp3[127.280,135.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0148.mp3[135.440,136.480] UHM NO +audio/RES0148.mp3[136.480,143.720] ALRIGHT AND UM HAVE YOU HAD ANY EYE REDNESS RUNNY NOSE OR EVEN A SORE THROAT +audio/RES0148.mp3[143.720,146.200] NO I HAVENT +audio/RES0148.mp3[146.200,153.320] ALRIGHT HAVE YOU HAD ANY UH NAUSEA OR VOMITING +audio/RES0148.mp3[153.320,154.360] UH NO +audio/RES0148.mp3[154.360,159.800] UH A LOSS OF TASTE OR LOSS OF SMELL +audio/RES0148.mp3[160.720,167.800] OK AND ANY UM ABDOMINAL PAINS +audio/RES0148.mp3[167.800,168.360] UHM NO +audio/RES0148.mp3[168.360,171.320] ANY UH DIARRHEA +audio/RES0148.mp3[172.200,173.800] YOU GOT ANY URINARY PROBLEMS +audio/RES0148.mp3[175.760,181.760] OK AND HAVE YOU HAD ANY SKIN CHANGES OR UH RASHES +audio/RES0148.mp3[183.200,186.960] AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE +audio/RES0148.mp3[186.960,189.520] UM A LITTLE BIT +audio/RES0148.mp3[189.520,196.200] ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY PAINS +audio/RES0148.mp3[196.200,219.800] UHM NOT MUCH NO BUT YEAH ITS JUST IVE BEEN FEELING YEAH I GUESS A LITTLE BIT I HAVE BEEN FEELING ACHY UHM BUT I JUST THOUGHT IT WAS MY FIBROMYALGIA ACTING ACTING UP BUT YEAH ITS ITS BEEN WORSE OVER THE PAST THREE DAYS +audio/RES0148.mp3[219.800,237.440] OK UH SO YOUVE HAD UM THIS COUGH A DRY COUGH A FEVER CHILLS AND UH BEEN MORE TIRED AND AND BEEN A LITTLE BIT MORE ACHY THESE PAST UH THREE DAYS HAVE YOU HAD ANY OTHER SYMPTOMS +audio/RES0148.mp3[237.440,242.320] I DONT THINK SO +audio/RES0148.mp3[242.320,248.320] OK AND HAVE YOU TRIED ANYTHING TO MAKE IT BETTER +audio/RES0148.mp3[248.320,265.840] UH I JUST TOOK A DAY OR TWO OFF OF WORK AND I JUST RESTED AND UM HAD A LOT OF UH HOT WATER IT HELPED ME UH IT HELPED WITH THE COUGH +audio/RES0148.mp3[265.840,273.760] OK GREAT AND UM HAVE YOU HAD ANY UH LIKE SYMPTOMS LIKE THIS BEFORE +audio/RES0148.mp3[273.760,290.040] YEAH UM YEAH I MEAN WHEN I I GUESS I GET SICK I DO GET SIMILAR SYMPTOMS LIKE WHEN I GET THE COLD OR THE FLU BUT I USUALLY HAVE LIKE A RUNNY NOSE UM OR LIKE A STUFFY NOSE BUT THATS KIND OF DIFFERENT THIS TIME A LITTLE BIT +audio/RES0148.mp3[290.040,298.560] OK AND IN THE PAST HAVE YOU BEEN UH DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0148.mp3[298.560,305.480] I HAVE FIBROMYALGIA AND UH I UM ALSO HAVE SCHIZOPHRENIA +audio/RES0148.mp3[305.480,310.280] OK AND ARE YOU TAKING MEDICATIONS CURRENTLY +audio/RES0148.mp3[310.280,331.120] UH YEAH UHM I TAKE UM QUETIAPINE AND UH I JUST I TAKE ADVIL UM WHEN MY UH JOINT PAINS ARE REALLY BAD +audio/RES0148.mp3[331.120,340.760] OK AND DO YOU HAVE A UM SOMEBODY THAT FOLLOWS YOU ALONG FOR EITHER UH FIBROMYALGIA OR OR SCHIZOPHRENIA +audio/RES0148.mp3[340.760,350.360] UM MY FAMILY DOC AND THEN UM YEAH ITS PRETTY MUCH JUST HIM UM HE YEAH +audio/RES0148.mp3[350.360,355.320] OK AND UH DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0148.mp3[357.480,363.400] ALRIGHT AND UM ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE +audio/RES0148.mp3[363.400,366.040] UM YEAH +audio/RES0148.mp3[366.040,377.160] ALRIGHT AND COULD YOU TELL ME ALRIGHT THEN SORRY ACTUALLY UH HAVE YOU HAD ANY HOSPITALIZATIONS OR UH PREVIOUS SURGERIES +audio/RES0148.mp3[377.160,392.480] UHM WELL I UH IVE BEEN HOSPITALIZED I I WAS KEPT IN THE PSYCH UNIT FOR A COUPLE OF DAYS UM TWO YEARS AGO BUT NOTHING OTHER THAN THAT +audio/RES0148.mp3[392.480,397.560] OK UM AND ITS BEEN STABLE SINCE THEN +audio/RES0148.mp3[399.400,420.400] OK GREAT AND I UM I JUST WANTED TO ASK A LITTLE BIT ABOUT UM YOUR PERSONAL HISTORY I WAS JUST WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT UH WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH +audio/RES0148.mp3[420.400,427.400] UH SURE SO IM LIVING WITH MY UM IM LIVING WITH MY HUSBAND AND UH WE LIVE IN AN APARTMENT +audio/RES0148.mp3[427.400,438.240] OK AND HAS HE BEEN SICK OR HAS ANYBODY YOUVE BEEN AROUND BEEN SICK +audio/RES0148.mp3[438.240,447.120] UHM HE WAS SICK LAST WEEK BUT HE GOT BETTER ON HIS OWN +audio/RES0148.mp3[447.120,452.200] OK AND WERE WERE HIS SYMPTOMS SIMILAR TO YOURS OR OR UH OR WERE THEY DIFFERENT +audio/RES0148.mp3[452.200,467.920] UM THEY WERE KIND OF DIFFERENT I WOULD SAY HE JUST HAD A UM HE HAD A SORE THROAT AND UH THAT KIND OF LASTED FOR THREE OR FOUR DAYS AND THEN HE JUST GOT BETTER +audio/RES0148.mp3[467.920,476.360] OK AND UM ARE YOU CURRENTLY WORKING OR UM +audio/RES0148.mp3[476.360,484.040] UM I UH NO IM A IM A STAY AT HOME I JUST STAY AT HOME I DONT WORK +audio/RES0148.mp3[484.040,493.240] OK AND SO AND HAVE YOU TRAVELED ANYWHERE OR ANY OTHER UH POTENTIAL EXPOSURES +audio/RES0148.mp3[493.240,494.920] UH NO +audio/RES0148.mp3[494.920,500.560] OK UM AND DO YOU SMOKE CIGARETTES +audio/RES0148.mp3[500.560,501.520] I DO +audio/RES0148.mp3[501.520,503.480] OK YEAH HOW MUCH +audio/RES0148.mp3[503.480,507.720] UH TWO OR THREE A DAY +audio/RES0148.mp3[507.720,512.280] AND AND FOR HOW LONG OR FOR WHEN DID YOU START SMOKING SORRY +audio/RES0148.mp3[512.280,520.960] UH SO IVE BEEN UH SMOKING SINCE I WAS UH 20 YEARS OLD SO ABOUT 30 YEARS AGO WAS WHEN I STARTED +audio/RES0148.mp3[520.960,527.040] OK AND AND HAVE YOU COULD HAVE YOU THOUGHT OF HAVE YOU TRIED TO QUIT BEFORE +audio/RES0148.mp3[527.040,536.720] UHM I DID BUT THEN I JUST DIDNT UH I JUST WENT BACK TO IT UM BUT IM TRYING TO CUT DOWN +audio/RES0148.mp3[536.720,555.040] OK UH ITS GOOD THAT YOUVE BEEN ABLE TO CUT DOWN SO CONGRATULATIONS ON THAT UM AND DO YOU DRINK ALCOHOL +audio/RES0148.mp3[555.040,581.120] UHM I I DO UH ILL DRINK UM SOMETIMES WITH MY FRIENDS MAYBE UH ONCE A MONTH OR ONCE IN TWO THREE MONTHS UM BUT I HAVENT BEEN GOING OUT WITH THEM SINCE THE PANDEMIC STARTED SO I HAVENT HAD MUCH TO DRINK I HAVENT HAD ANYTHING TO DRINK UM SINCE THE PAST YEAR +audio/RES0148.mp3[581.120,591.760] OK UM I SEE AND UH HAVE YOU HAD ANY UM HISTORY OF HEART OR LUNG CONDITIONS IN THE FAMILY +audio/RES0148.mp3[592.560,609.040] OK YEAH AND I THINK THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY TODAY BEFORE WE GO AHEAD ON TO THE PHYSICAL EXAM UH DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD MAYBE BEFORE UM THAT I FORGOT TO ASK ABOUT +audio/RES0148.mp3[609.040,614.920] UH NO +audio/RES0148.mp3[614.920,669.080] OK UM SO WE WILL START WITH UM SOME INVESTIGATIONS INCLUDING A A COVID SWAB TODAY JUST BECAUSE OF YOUR UH GENERAL SYMPTOMS WHICH DO OVERLAP WITH WITH COVID UM ALTHOUGH IT COULD AS YOU MENTIONED UH BE SOMETHING LIKE THE COMMON COLD UM AS WELL UM AND SO WE WILL UH BE SURE TO TEST FOR COVID AND IN THE MEANTIME WE ASK YOU TO SELF ISOLATE UM FOR FOR 14 DAYS UM AND WE WILL GET BACK THE RESULTS UM AS SOON AS WE CAN AND IF YOUR SYMPTOMS GET WORSE AT ANY POINT UM THEN WE WILL UH ACT ACCORDINGLY +audio/RES0171.mp3[0.000,3.320] WHAT BRINGS YOU IN TODAY +audio/RES0171.mp3[3.320,18.240] YEAH IVE HAD A SHORTNESS OF BREATH AND EVEN AT AT REST REALLY FEELING LIKE ITS DIFFICULT TO BREATHE AND WHEN I TAKE A DEEP BREATH I GET A CHEST PAIN +audio/RES0171.mp3[18.240,20.400] WHEN DID THIS START +audio/RES0171.mp3[20.400,30.320] THIS STARTED YESTERDAY +audio/RES0171.mp3[30.320,33.440] HOW BAD IS YOUR SHORTNESS OF BREATH +audio/RES0171.mp3[33.440,54.560] LIKE I DONT KNOW I FEEL LIKE IM OK LIKE N TERMS OF BEING ABLE TO BREATHE BUT I MEAN IF I EXERT MYSELF AT ALL THERES NO WAY I WOULD BE ABLE TO ITS I JUST FEEL LIKE EVEN AT REST ITS HARD TO BREATHE +audio/RES0171.mp3[54.560,61.560] OK HAS IT GOTTEN WORSE SINCE YESTERDAY OR BETTER OR KIND OF BEEN THE SAME +audio/RES0171.mp3[61.560,77.520] ITS MOSTLY BEEN THAT BEEN THE SAME OR ACTUALLY SORRY ITS GOT GOT A LITTLE BIT WORSE AT FIRST IT WAS MORE MORE WITH EXERTION AND NOW ITS AT REST AS WELL SO YEAH ITS GOT WORSE +audio/RES0171.mp3[77.520,87.480] I SEE OK ARE YOU ABLE TO TALK IN FULL SENTENCES OR DO YOU NEED TO TAKE A DEEP LIKE STOP TO TAKE A BREATH +audio/RES0171.mp3[87.480,90.880] I COULD TALK IN FULL SENTENCES +audio/RES0171.mp3[90.880,98.080] AND THE CHEST PAIN DOES IT ONLY OCCUR WHEN YOU TAKE A DEEP BREATH OR ARE THERE OTHER TIMES AS WELL +audio/RES0171.mp3[98.080,116.320] I PRETTY MUCH YEAH ONLY WHEN IM TAKING A DEEP BREATH AND SAY I MEAN MAYBE THATS WHY PART OF THE I CANT TAKE A DEEP BREATH SO ITS MAKING ME FEEL ITS MAKING THE BREATHING MORE DIFFICULT MAKING ME FEEL MORE SHORT OF BREATH +audio/RES0171.mp3[116.320,123.080] OK ANY OTHER SYMPTOMS THAT YOUVE HAD A FEVER OR HEADACHE +audio/RES0171.mp3[123.080,125.040] NO NOTHING LIKE THAT +audio/RES0171.mp3[125.040,127.600] ANY COUGH +audio/RES0171.mp3[127.600,134.640] YEAH I IVE HAD A COUGH AS WELL OVER THAT THE SAME SAME TIME PERIOD +audio/RES0171.mp3[134.640,138.920] IS IT A DRY COUGH ARE YOU BRINGING SOMETHING UP +audio/RES0171.mp3[138.920,144.240] ITS DRY YEAH I HAVENT BROUGHT UP ANY SPUTUM OR ANY ANY ANY BLOOD +audio/RES0171.mp3[144.240,154.760] OK ANY OTHER FLU LIKE SYMPTOMS RUNNY NOSE STUFFY NOSE SORE THROAT ANYTHING LIKE THAT +audio/RES0171.mp3[154.760,164.480] NO I JUST HAD UM YEAH THE SHORTNESS OF BREATH AND CHEST PAIN +audio/RES0171.mp3[164.480,181.920] OK UHM AND HAVE YOU I GUESS I JUST INVITED MORE GENERAL QUESTIONS ABOUT OTHERS POTENTIAL SYMPTOMS DO YOU FEEL LIKE YOUR HEART IS RACING OR DO YOU FEEL LIKE YOU HAVE UHM DO YOU HAVE ANY BELLY PAIN OR ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0171.mp3[181.920,193.480] NO BELLY PAIN OR CHANGES TO BOWEL MOVEMENTS BUT I DO FEEL LIKE MY HEART IS BEATING REALLY FAST REALLY FAST THOUGH +audio/RES0171.mp3[193.480,207.280] YEAH OK UHM YOU SAID THIS STARTED YESTERDAY WERE YOU LIKE COMPLETELY FINE THE DAY BEFORE +audio/RES0171.mp3[207.280,210.240] UH I WAS YEAH +audio/RES0171.mp3[210.240,215.160] ANYTHING THATS HAPPENED RECENTLY THATS DIFFERENT OR NEW +audio/RES0171.mp3[215.160,231.480] IM WELL IT LIKE UH ABOUT TWO WEEKS AGO I HAD A HYSTERECTOMY CAUSE I FOR ABNORMAL BLEEDING YEAH I HAD SURGERY 2 WEEKS AGO +audio/RES0171.mp3[231.480,242.520] WHAT HAVE YOU BEEN DOING THESE PAST TWO WEEKS IN TERMS OF SORT OF PHYSICAL ACTIVITY HAVE YOU BEEN MOVING AROUND OR NO +audio/RES0171.mp3[242.520,259.280] ITS ITS CERTAINLY BEEN LESS I IVE BEEN MOVING A LITTLE BIT BUT IVE HAD A LOT OF PAIN SO I JUST HAVENT BEEN DOING AS MUCH ACTIVITY THATS FOR SURE +audio/RES0171.mp3[259.280,274.760] I I SEE AND HAVE YOU HAD ANY I GUESS ANY PAIN IN YOUR LEGS OR SWELLING IN YOUR LEG ONE OR THE OTHER +audio/RES0171.mp3[274.760,281.040] YEAH I HAVE HAD ACTUALLY YEAH MY RIGHT MY RIGHT CALF IS PRETTY SORE +audio/RES0171.mp3[281.040,294.040] DEFINITELY HAVE A LOOK AT THAT HAVE YOU NOTICED THAT ITS BEEN BIGGER OR MORE RED OR WARM +audio/RES0171.mp3[294.040,301.880] UM NO I DONT NOTICE ANYTHING LIKE THAT JUST I JUST REALLY HURTS +audio/RES0171.mp3[301.880,313.920] UH OK ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0171.mp3[313.920,323.240] UM YEAH YEAH AND I HAVE A HIGH BMI TYPE 2 DIABETES AND ANXIETY +audio/RES0171.mp3[323.240,327.040] DO YOU HAVE ANY BLEEDING DISORDERS +audio/RES0171.mp3[327.040,337.080] UM OTHER YEAH NO I THINK YOURE RIGHT IT SAID FIBROIDS +audio/RES0171.mp3[337.080,348.240] OK OK AND DO YOU TAKE ANY MEDICATION +audio/RES0171.mp3[348.240,353.280] YEAH SO UH INSULIN WELL METFORMIN AND THEN THATS IT +audio/RES0171.mp3[359.600,368.560] IM SORRY AND THEN AN SSRI LIKE I SAID LOW PRAM FOR ANXIETY +audio/RES0171.mp3[368.560,373.560] ALRIGHT AND DO YOU HAVE ANY ALLERGIES +audio/RES0171.mp3[373.560,377.280] NO I DONT +audio/RES0171.mp3[377.280,383.400] AND WHO DO YOU DO YOU CURRENTLY LIVE ALONE +audio/RES0171.mp3[383.400,387.440] UH NO I LIVE WITH MY HUSBAND AND AND OUR TWO SONS +audio/RES0171.mp3[387.440,412.200] OK AND DO YOU HAVE ANYONE SORT OF COME IN TO HELP YOU OUT OVER THESE PAST TWO WEEKS ARE YOU GETTING ANY OUTSIDE HELP FROM NURSES ETC OR ARE YOUR ARE YOUR FAMILY MEMBERS BEING SUPPORTIVE AND HELPFUL +audio/RES0171.mp3[412.200,430.440] YEAH ITS BEEN MOSTLY THE THE FAMILY MEMBERS MY HUSBANDS BEEN WORKING FROM HOME AND THE KIDS HAVE BEEN HELPFUL AS WELL THEY ARE 10 AND 12 SO THEY ARE ABLE TO DO SOME THINGS ON THEIR OWN SO YEAH THEYVE BEEN SUPPORTIVE +audio/RES0171.mp3[430.440,436.680] THATS GREAT THATS GREAT OK AND YOU SMOKE AT ALL +audio/RES0171.mp3[436.680,445.160] I DO YES I I SMOKE ABOUT A HALF A PACK PER DAY +audio/RES0171.mp3[445.160,446.800] FOR HOW LONG +audio/RES0171.mp3[446.800,457.040] UM YEAH BUT I I STARTED IN MY YEAH AFTER THE KIDS WERE BORN ACTUALLY UH SO LIKE 10 YEARS AGO +audio/RES0171.mp3[457.040,461.160] OK HAVE YOU TRIED CUTTING IT DOWN AT ALL +audio/RES0171.mp3[461.160,473.880] YEAH I HAVE IVE KIND OF GONE THROUGH SPURTS OF QUITTING AND RESTARTING QUITTING AND RESTARTING SO YEAH IVE TRIED BEFORE +audio/RES0171.mp3[473.880,480.840] OK AND WHAT ABOUT MARIJUANA OR RECREATIONAL DRUGS +audio/RES0171.mp3[480.840,484.520] NO DONT USE ANYTHING LIKE THAT +audio/RES0171.mp3[484.520,487.640] AND ALCOHOL +audio/RES0171.mp3[487.640,496.640] YEAH ILL HAVE SOME WINE ON THE ON THE WEEKENDS BUT MAYBE THATS LIKE A GLASS OR TWO +audio/RES0171.mp3[496.640,503.120] OK OK UHM AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT LONG RUN IN THE FAMILY +audio/RES0171.mp3[503.120,513.560] JUST UH YEAH MY FATHER ACTUALLY HAD A STROKE WHEN HE WAS 68 AND THATS IT +audio/RES0171.mp3[513.560,526.440] OK OK UHM YOU HAVENT EVER HAD ONE HAVE YOU +audio/RES0171.mp3[526.440,530.360] NO I I HAVENT HAD ANYTHING LIKE THAT +audio/RES0171.mp3[530.360,552.880] OK ALRIGHT SO I GUESS COME TO IN TERMS OF SMOKING YOU SAID THAT YOUVE TRIED TO QUIT A COUPLE OF TIMES IN THE PAST DO YOU INTEND ON TRYING AGAIN I KNOW IT CAN BE VERY HARD TO TO QUIT SMOKING +audio/RES0171.mp3[552.880,558.440] YEAH ITS ONLY SOMETHING THAT IS ALWAYS KIND OF IN THE BACK OF MY MIND +audio/RES0171.mp3[558.440,591.320] OK IF THERES IM HAPPY TO ASSIST YOU AND SHARE RESOURCES AND PROBLEMS LIKE MEDICATIONS AND THINGS LIKE THAT THAT COULD HELP YOU IF YOURE INTERESTED SO WE CAN TALK MORE ABOUT THAT TALKING ABOUT YOUR I GUESS YOU MENTIONED THAT YOUR WEIGHT IS A LITTLE HIGHER THAN OR ITS OUTSIDE THE NORMAL RANGE IS THAT SOMETHING THAT YOU WOULD LIKE TO CUT DOWN +audio/RES0171.mp3[591.320,606.960] YEAH I REALLY TRY TO EAT MORE VEGETABLES AND HAVE BEEN TRYING TO DO THAT SORT OF THING IVE LOST A FEW POUNDS BUT NOT ENOUGH DEFINITELY WANT TO KEEP GOING +audio/RES0171.mp3[606.960,697.120] OK GOOD GOOD AS LONG AS YOU FEEL THAT YOU WHAT YOURE CURRENTLY DOING IS HELPING YOU AND IS HELPING YOU REDUCE WEIGHT THATS GREAT BUT ALSO IM HERE FOR YOU IF YOU NEED MORE EDUCATION OR GUIDANCE ON THAT SO GIVEN WHAT YOUVE TOLD ME SO FAR IT SOUNDS LIKE YOU MIGHT HAVE DEVELOPED A CLOT IN YOUR LEG SOMEWHERE SIMPLY BECAUSE YOU HAD A SURGERY AND YOU WERE NOT MOVING AROUND VERY MUCH SOMETIMES THAT CAUSES THE BLOOD TO KIND OF NOT MOVE AROUND YOUR BODY IS AS AS MUCH AS IT USUALLY DOES AND KIND OF STAYS IN ONE PLACE AND GET TURNED INTO A CLOT AND THAT CLOT CAN SOMETIMES GET DISLODGED AND SETTLE INTO YOUR LUNGS AND THAT CAN MAKE IT DIFFICULT FOR YOU TO BREATHE SO WELL DO SOME TESTS THAT THATS WHAT MY UNDERSTANDING IS GIVEN WHAT YOUVE TOLD ME SO FAR BUT WE DO HAVE TO CONFIRM IT USING A TEST ALSO THE FACT THAT YOU SMOKE AND YOUR WEIGHT AND YOUR BMI IS HIGH INCREASES YOUR RISK OF DEVELOPING A CLOT SO I WOULD DEFINITELY STRONGLY RECOMMEND THAT YOU CONTINUE TO TRY TO REDUCE BOTH AND TRY TO QUIT SMOKING AND SO WELL DO AN ULTRASOUND OF YOUR LEG AND WELL DO A SCAN OF YOUR CHEST AND SEE WHATS GOING ON AND THEN DECIDE IF WE NEED TO GIVE YOU ANY MEDICATIONS LIKE ANY BLOOD THINNING MEDICATIONS +audio/RES0171.mp3[697.120,700.680] OK YEAH THAT SOUNDS REALLY GOOD THANK YOU +audio/MSK0043.mp3[0.000,4.720] WHAT BRINGS YOU HERE TODAY +audio/MSK0043.mp3[4.720,17.800] IVE HAD THIS LIKE PAIN IN MY KNEE IT STARTED WITHIN THE LAST FEW HOURS AND MY KNEES SWOLLEN ITS PAINFUL UM I CAN BARELY MOVE IT +audio/MSK0043.mp3[17.800,28.120] OKAY WERE YOU UH DID YOU INJURE YOURSELF AT ALL BEFORE THE LAST FEW HOURS OR ANYTHING ANY TRAUMA TO UM IS IT THE RIGHT KNEE OR THE LEFT KNEE +audio/MSK0043.mp3[28.120,37.720] ITS THE LEFT KNEE AN NO NO TRAUMA UH OR ANYTHING LIKE THAT IVE NEVER HURT THIS KNEE BEFORE IN MY LIFE +audio/MSK0043.mp3[37.720,45.240] OKAY AND HAS THIS EVER HAPPENED TO YOU BEFORE +audio/MSK0043.mp3[45.240,57.760] UH UM NO NOTHING IN MY JOINTS IVE HAD OTHER INFECTIONS BEFORE LIKE IN MY SKIN UM LIKE CELLULITIS BUT I IVE NEVER HAD A KNEE KNEE PROBLEM LIKE THIS BEFORE +audio/MSK0043.mp3[57.760,63.400] OKAY I SEE AND HAVE YOU EVER HAD CELLULITIS IN THAT AREA +audio/MSK0043.mp3[63.400,70.360] UH I I HAD IT OVER KIND OF MY UH LIKE OVER MY FOOT BEFORE +audio/MSK0043.mp3[70.360,81.840] OKAY AND UM WHERE WOULD YOU DESCRIBE THE PAIN IS IS IT LIKE ON THE KNEECAP IS IT ABOVE THE KNEECAP BELOW WHERE WOULD YOU DESCRIBE IT +audio/MSK0043.mp3[81.840,90.760] I WOULD SAY ITS LIKE MY WHOLE KNEE ITS LIKE UH I DONT KNOW IT LOOKS LIKE ITS GOING TO EXPLODE +audio/MSK0043.mp3[90.760,95.520] OKAY IS IT LIKE UM SO ITS SWOLLEN IS IT RED AND WARM +audio/MSK0043.mp3[95.520,96.760] IT IS YEAH ITS REALLY RED +audio/MSK0043.mp3[98.640,100.800] AND WARM AS WELL +audio/MSK0043.mp3[100.800,108.520] OKAY AND HOW WOULD YOU DESCRIBE THE PAIN UM IS IT LIKE A SHARP STABBING PAIN OR IS IT AN ACHING PAIN +audio/MSK0043.mp3[108.520,112.200] ITS A A STABBING PAIN +audio/MSK0043.mp3[112.200,119.520] OKAY AND UH ARE YOU MAINLY HAVING THE PAIN WITH MOVEMENT OF YOUR KNEE OR UM WHEN YOURE PRESSING ON IT +audio/MSK0043.mp3[119.520,131.960] UH I WOULD SAY BOTH I CANT UM I CANT REALLY MOVE IT ITLL GIVE ME PAIN AND EVEN PRESSING ON IT ITS ITS QUITE PAINFUL +audio/MSK0043.mp3[131.960,140.520] OKAY AND ON A SCALE OF UH 1 TO 10 SORRY 0 TO 10 WITH 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS PAIN +audio/MSK0043.mp3[140.520,144.760] UH ITS A 9 +audio/MSK0043.mp3[144.760,152.560] A 9 OKAY UM SO IT JUST STARTED A FEW HOURS AGO IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE +audio/MSK0043.mp3[152.560,167.440] UM I MEAN JUST TRYING TO STAY AS STILL AS POSSIBLE IS ALL IVE BEEN BEEN DOING SO FAR UH BECAUSE UM LIKE ANY TYPE OF MOVEMENT IS REALLY BAD +audio/MSK0043.mp3[167.440,178.560] OKAY AND ARE YOU ABLE TO WEIGHT BEAR ARE YOU ABLE TO STAND AND WALK BY YOURSELF +audio/MSK0043.mp3[178.560,189.320] UH I I WAS PRETTY MUCH LIKE HOPPING ON ONE LEG TO TO GET IN HERE AND AS SOON AS I COULD I GOT IN A WHEELCHAIR JUST BECAUSE IT UH HURTS SO BAD +audio/MSK0043.mp3[189.320,201.200] OKAY AND UM DO YOU HAVE ANY PAIN OR SYMPTOMS IN ANY OTHER JOINTS OR MUSCLES OF YOUR BODY +audio/MSK0043.mp3[201.200,204.280] NO JUST ITS JUST MY LEFT KNEE +audio/MSK0043.mp3[204.280,215.360] JUST YOUR LEFT KNEE OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEVERS CHILLS NAUSEA OR VOMITING +audio/MSK0043.mp3[215.360,228.760] UM I HAVE FELT UH UH FEVERISH YEAH BUT THEN YEAH I I FELT FEVERISH AND UM BUT I HAVENT HAD ANY CHILLS THOUGH +audio/MSK0043.mp3[228.760,232.000] OKAY WHEN WERE YOU FEELING FEVERS +audio/MSK0043.mp3[232.000,240.280] UH JUST LIKE TODAY ITS KIND OF YEAH IT STARTED WITHIN THE LAST DAY +audio/MSK0043.mp3[240.280,249.000] OKAY AND UM DID YOU GET A CHANCE TO MEASURE YOUR TEMPERATURE AT ALL IF NOT WE CAN DO THAT HERE +audio/MSK0043.mp3[249.000,255.600] UM NO NO I DIDNT GET TO UH I I DIDNT CHECK IT +audio/MSK0043.mp3[255.600,270.240] OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH UM ANY COLDLIKE SYMPTOMS UH OR ANY GI SYMPTOMS LIKE DIARRHEA UM CONSTIPATION ANYTHING LIKE THAT +audio/MSK0043.mp3[270.240,275.960] UH NO I HAVENT HAD ANY ANYTHING LIKE THAT +audio/MSK0043.mp3[275.960,285.840] OKAY AND HAVE YOU RECENTLY HAD ANY UM SEXUALLY TRANSMITTED DISEASES OR EXPOSURES TO UH TICKS OR LYME DISEASE +audio/MSK0043.mp3[285.840,302.040] UH I DONT THINK SO IVE BEEN JUST IN WELL IN THE CITY I HAVENT TRAVELED ANYWHERE AND I UH I HAVENT BEEN SEXUALLY ACTIVE FOR FOR QUITE A WHILE NOW SO +audio/MSK0043.mp3[302.040,316.720] OKAY OKAY UH HAVE YOU RECENTLY AT ALL HAD UM ANY PROCEDURES DONE ON YOUR KNEE LIKE ANY SURGERIES OR ANY JOINT LIKE UM INJECTIONS OR ASPIRATIONS +audio/MSK0043.mp3[316.720,321.360] NO NOTHING DONE TO MY KNEE +audio/MSK0043.mp3[321.360,332.640] OKAY OKAY UM SO YEAH WELL TAKE A TEMPERATURE OF YOUR UH FEVER AND SO ARE YOU ABLE TO FLEX OR EXTEND YOUR KNEE AT ALL OR IS IT VERY PAINFUL +audio/MSK0043.mp3[332.640,337.720] ITS REALLY PAINFUL I UH THE MOVEMENTS REALLY LIMITED +audio/MSK0043.mp3[337.720,342.960] OKAY AND HAS THE PAIN BEEN CONSTANT SINCE IT STARTED A FEW HOURS AGO +audio/MSK0043.mp3[342.960,351.680] YEAH ITS GOTTEN UH LIKE ITS ITS GOTTEN SLIGHTLY WORSE +audio/MSK0043.mp3[351.680,358.200] OKAY I SEE OKAY UM ANY SKIN CHANGES OR RASHES ANYWHERE ON YOUR BODY +audio/MSK0043.mp3[358.200,361.960] NO ITS JUST THE RED KNEE +audio/MSK0043.mp3[361.960,366.560] OKAY UM ANY CHANGES IN YOUR WEIGHT OR APPETITE +audio/MSK0043.mp3[366.560,371.520] UH NO NO I HAVENT HAD ANY CHANGES THERE +audio/MSK0043.mp3[371.520,381.960] OKAY AND OTHERWISE ARE YOU HAVING UM ANY SYMPTOMS OF UH DIZZINESS FAINTING +audio/MSK0043.mp3[381.960,386.280] UH NO I HAVENT HAD ANY OF THOSE SYMPTOMS +audio/MSK0043.mp3[386.280,390.640] OKAY ANY WEAKNESS UM IN YOUR EXTREMITIES +audio/MSK0043.mp3[390.640,393.560] NO NO WEAKNESS +audio/MSK0043.mp3[393.560,403.280] OKAY UM DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH ANY DIABETES HIGH BLOOD PRESSURE +audio/MSK0043.mp3[403.280,412.000] UH IVE BEEN TOLD MY MY BLOOD SUGAR HAS BEEN LIKE IT HASNT BEEN CONTROLLED SO YEAH I THINK I HAVE DIABETES UM UH BUT THATS THATS IT +audio/MSK0043.mp3[412.000,422.200] OKAY UM DO YOU TAKE ANYTHING FOR MEDICATE MEDICATION FOR YOUR DIABETES +audio/MSK0043.mp3[422.200,444.280] UH YEAH I I TAKE METFORMIN AND UM AND UH YEAH THAT THATS ALL IVE BEEN TAKING BUT I MEAN ITS REALLY HARD FOR ME TO UH LIKE GET MY MEDICATION SOMETIMES AND SO UM I DONT ALWAYS TAKE IT +audio/MSK0043.mp3[444.280,454.760] OKAY I SEE UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0043.mp3[454.760,475.080] UH NOT THAT I NOT THAT I CAN THINK OF AND SO SOMETHING THAT I FORGOT TO MENTION IS UH LIKE IVE HAD HEPATITIS IN THE PAST AS WELL UM AND UH YEAH +audio/MSK0043.mp3[475.080,478.680] AND DO YOU KNOW HEPATITIS YOUVE HAD +audio/MSK0043.mp3[478.680,489.080] UM IVE HAD IT WAS UH HEPATITIS C AND UH I WAS UM TREATED I WAS TREATED FOR IT +audio/MSK0043.mp3[489.080,490.600] OKAY OKAY AND HOW LONG AGO WAS THAT +audio/MSK0043.mp3[490.600,494.560] THAT WAS ABOUT UH TWO YEARS AGO +audio/MSK0043.mp3[494.560,511.400] OKAY AND UH DID THEY TELL YOU LIKE HOW IT MAY HAVE BEEN TRANSMITTED AT ALL WAS IT UH SEXUALLY UM WAS IT THROUGH UM USE OF IV DRUG USE AND DID THEY TELL YOU WHAT THE LIKELY CAUSE WAS +audio/MSK0043.mp3[511.400,524.400] YEAH THE THE LIKELY CAUSE WAS UM I WAS TOLD IT WAS THROUGH IV UH DRUG USE IVE BEEN USING NOW FOR UH FOR ABOUT 10 YEARS +audio/MSK0043.mp3[524.400,529.240] OKAY AND HAVE YOU UM AND WHAT DO YOU USUALLY USE +audio/MSK0043.mp3[529.240,542.920] UH WELL LIKE ANY ANYTHING THAT I THAT I CAN USUALLY BUT I I GUESS LIKE UM VARIOUS TYPES OF OPIOIDS ARE KIND OF THE THE THE MAIN THING THAT ILL THAT ILL USE +audio/MSK0043.mp3[542.920,548.640] OKAY AND HAVE YOU UM INJECTED UH DRUGS RECENTLY AT ALL +audio/MSK0043.mp3[548.640,554.120] UH YEAH I ABOUT UH ABOUT TWO DAYS AGO WAS THE LAST TIME +audio/MSK0043.mp3[554.120,566.960] OKAY OKAY AND UM DO YOU USE ANY OTHER UH DRUGS ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY DO YOU INJECT ANY OTHER DRUGS AT ALL +audio/MSK0043.mp3[566.960,591.520] YEAH ILL SMOKE UH SMOKE MARIJUANA AS WELL AND UM LIKE ILL SOMETIMES LIKE ILL TAKE UH PILLS TOO LIKE DILAUDID IS UM IS SOMETHING THAT ILL ILL GET MY HANDS ON BUT IT CAN BE EXPENSIVE SO UM JUST JUST WHATEVER IS AVAILABLE +audio/MSK0043.mp3[591.520,597.520] OKAY UM HAVE YOU HAD UH WHEN WAS THE LAST TIME YOU HAD CELLULITIS +audio/MSK0043.mp3[597.520,602.080] UH HE LAST TIME WAS ABOUT SIX MONTHS AGO +audio/MSK0043.mp3[602.080,608.360] OKAY AND WERE YOU ADMITTED AT ALL OR WERE YOU TREATED AS AN OUTPATIENT +audio/MSK0043.mp3[608.360,621.160] UH I WAS TREATED AS AN OUTPATIENT FOR THAT AND IT DID CLEAR UP IT WASNT THE FIRST TIME THAT IVE IVE HAD CELLULITIS AND AND UM YEAH SO IT WAS TREATED +audio/MSK0043.mp3[621.160,627.320] OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0043.mp3[627.320,629.800] UM NO I HAVENT +audio/MSK0043.mp3[629.800,641.680] OKAY UH ANY FAMILY HISTORY OF ANY CONDITIONS UM MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS UH ANY RHEUMATOID ARTHRITIS ANYTHING LIKE THAT +audio/MSK0043.mp3[641.680,644.160] UH I DONT THINK SO +audio/MSK0043.mp3[644.160,650.520] OKAY AND CURRENTLY RIGHT NOW UM WHAT IS YOUR LIVING SITUATION LIKE +audio/MSK0043.mp3[650.520,667.840] UH SO UM I JUST LIVE WITH UH TWO OF MY UM OR ACTUALLY SORRY NO I LIVE WITH MY UH WITH MY PARENTS AND UH YEAH SO ITS JUST BOTH MY PARENTS +audio/MSK0043.mp3[667.840,671.680] OKAY AND UM DO YOU CURRENTLY WORK +audio/MSK0043.mp3[671.680,699.640] UH I WAS WORKING UNTIL LIKE I UM YEAH ABOUT UH ABOUT 15 YEARS AGO AND NOW I LIKE I GOT INJURED ON THE UH UM AT WORK AND IVE HAD LIKE CHRONIC BACK PAIN AND I DONT KNOW I THINK THATS KIND OF HOW THIS PARTLY ALL ALL STARTED SO IVE BEEN AT HOME RECEIVING UH IM ON DISABILITY +audio/MSK0043.mp3[699.640,706.720] OKAY AND DO YOU SMOKE CIGARETTES +audio/MSK0043.mp3[706.720,714.640] UH I DO YEAH I I I SMOKE UM ABOUT HALF A PACK UH TO A PACK A DAY +audio/MSK0043.mp3[714.640,718.480] OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/MSK0043.mp3[718.480,721.960] UH SO THIS HAS BEEN UH ABOUT 20 YEARS +audio/MSK0043.mp3[721.960,729.160] 20 YEARS OKAY AND DO YOU DRINK ALCOHOL +audio/MSK0043.mp3[729.160,739.200] UM SOMETIMES YEAH ILL ILL HAVE UH JUST A FEW BEERS MAYBE A FEW BEERS A WEEK +audio/MSK0043.mp3[739.200,748.560] OKAY AND YEAH WE WERE JUST TALKING ABOUT SOME OF UH LIKE THE MOVEMENT BUT YOURE SAYING YOU HAVE PAIN WITH ANY KIND OF MOVEMENT AT ALL RIGHT +audio/MSK0043.mp3[748.560,753.160] YEAH IT ITS REALLY PAINFUL I JUST I TRY NOT TO MOVE IT AT ALL +audio/MSK0043.mp3[753.160,757.080] AND ITS VERY RED AND SWOLLEN AND WARM AS WELL +audio/MSK0043.mp3[757.080,759.200] YEAH ALL OF THOSE +audio/MSK0043.mp3[759.200,761.600] ANY SYMPTOMS AT ALL IN YOUR HIPS OR ANKLE +audio/MSK0043.mp3[761.600,769.720] NO THOSE FEEL FINE I CAN MOVE MY HIP AND ANKLE OKAY AND NO PAIN +audio/MSK0043.mp3[769.720,860.760] OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WELL DO LIKE A FULL PHYSICAL EXAMINATION TAKE A LOOK AT YOUR KNEE UM AND MOST LIKELY WHAT THIS SOUNDS LIKE IS SOMETHING CALLED SEPTIC ARTHRITIS ITS UH ITS WHEN THERES LIKE AN INFECTION THAT UM CAN GO INTO YOUR JOINTS AND UH IT IS A PRETTY SERIOUS ISSUE THAT WE NEED TO UM ASSESS AND TREAT AS SOON AS POSSIBLE SO THE FIRST THING THAT WE WILL UM NEED TO DO WELL NEED TO DO SOME BLOOD WORK JUST TO GET SOME INFLAMMATION MARKERS AND JUST YOUR UH CBC AND SEE IF YOU HAVE UM AN INFECTION HOWEVER WELL ALSO NEED TO DO A JOINT ASPIRATION OF YOUR OF YOUR UM GO YOUR KNEE AND WELL BE TAKING SOME FLUID WITHIN YOUR JOINT CALLED THE SYNOVIAL FLUID AND ASSESS FOR UM WELL SEND IN FOR UM CULTURE AND LOOK FOR LIKE THESE CRYSTALS AND COUNT AND THEN BASED ON THAT WELL UNDERSTAND UM THE INFECTION YOU HAVE AND WHAT KIND OF INFECTION YOU HAVE WE WILL START YOU ON ANTIBIOTICS RIGHT AWAY UM TODAY AND SO YOU WILL BE UM HERE FOR A WHILE UNTIL WE GET ALL THOSE RESULTS BACK AND YOU MAY ALSO REQUIRE UM AN ADMISSION TODAY AS WELL +audio/MSK0043.mp3[860.760,866.360] OKAY UH THANK YOU YEAH THAT THAT SOUNDS GOOD +audio/MSK0043.mp3[866.360,873.560] ALRIGHT YEAH SO YEAH WELL GET ALL THAT DONE FOR YOU SHORTLY AND UH WELL GO FROM THERE +audio/MSK0043.mp3[873.560,875.240] RIGHT THANK YOU +audio/MSK0043.mp3[875.240,882.640] AND UM WE MIGHT ALSO NEED AN XRAY SO JUST SIT TIGHT WELL WELL COME CALL YOU +audio/MSK0043.mp3[882.640,883.040] OKAY THANK YOU +audio/MSK0043.mp3[883.040,884.960] ALRIGHT YOURE WELCOME +audio/MSK0019.mp3[0.000,4.040] WHAT BRINGS YOU IN +audio/MSK0019.mp3[4.040,33.760] IVE JUST BEEN HAVING UH THIS PAIN IN MY UM RIGHT RIGHT ELBOW AND ITS JUST BEEN GETTING WORSE OVER THE LAST FEW DAYS I STARTED HAVING IT AROUND THREE DAYS AGO UM AND ITS JUST BEEN GETTING WORSE WITH ANY KIND OF GRIPPING MOTION OR YEAH SO ITS ITS BEEN GETTING WORSE +audio/MSK0019.mp3[33.760,42.800] OKAY SO YOU SAID IT STARTED THREE DAYS AGO UM HAS IT BEEN PERSISTENT SINCE OR HAS IT BEEN LIKE ON AND OFF +audio/MSK0019.mp3[42.800,54.200] ITS BEEN PRETTY PERSISTENT UM BUT ITS MAINLY WHEN IM UH DOING SOME ACTIVITIES OR LIFTING ANYTHING UM AND YES IVE JUST BEEN TRYING TO REST IT MOSTLY +audio/MSK0019.mp3[54.200,62.720] OKAY OKAY THATS GOOD AND UM YOU SAID ITS WORSE WITH ACTIVITY AND BETTER WITH REST HAVE YOU TRIED ANYTHING ELSE FOR IT +audio/MSK0019.mp3[62.720,73.080] UM IVE TRIED SOME ADVIL IT IT SEEMED TO HELP A LITTLE BIT BUT UH IT JUST COMES BACK +audio/MSK0019.mp3[73.080,82.920] OKAY UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP BURNING THROBBING ACHY +audio/MSK0019.mp3[82.920,101.960] ITS MORE UM LIKE IF I DONT EXTEND MY WRIST ITS KIND OF LIKE ACHY BUT THEN IF I EXTEND MY WRIST I FEEL LIKE A SHARP PAIN AT UM ON THE UM JUST ON THE OUTSIDE OF MY ELBOW +audio/MSK0019.mp3[101.960,115.120] OKAY ALRIGHT UM ALRIGHT AND THEN UM IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THE PAIN +audio/MSK0019.mp3[115.120,120.400] UM PROBABLY LIKE A 6 OR 7 +audio/MSK0019.mp3[120.400,128.000] OKAY ALRIGHT UM AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +audio/MSK0019.mp3[128.000,136.320] NO I I IVE NEVER EXPERIENCED ANY KIND OF PAIN THERE AT LEAST +audio/MSK0019.mp3[136.320,145.400] OKAY UM HOW ABOUT UM IN TERMS OF LIKE TIMELINE IS IT GETTING WORSE +audio/MSK0019.mp3[145.400,172.080] UM JUST OVER THE PAST THREE DAYS I FEEL LIKE ITS I HAVE TRIED NOT TO USE IT THAT MUCH UH LIKE WHEN I WAS AT WORK I HAVE TO USE LIKE TOOLS A LOT UM AND I NOTICED THAT WHEN I WAS USING A SCREWDRIVER LIKE IT IT HURT A LOT SO IT HASNT BEEN GETTING WORSE BUT IF I TRY TO DO ANYTHING AT WORK IT DEFINITELY HURTS A LOT MORE +audio/MSK0019.mp3[172.080,179.000] OKAY UM ALRIGHT AND THEN HAVE YOU NOTICED ANY NUMBNESS OR TINGLING +audio/MSK0019.mp3[179.000,184.160] UM NO NO NOTHING LIKE THAT +audio/MSK0019.mp3[184.160,189.240] NO OKAY HOW ABOUT UM PAIN ELSEWHERE ON YOUR BODY +audio/MSK0019.mp3[189.240,189.960] SORRY WHAT WAS THAT +audio/MSK0019.mp3[189.960,192.560] PAIN ELSEWHERE ON YOUR BODY +audio/MSK0019.mp3[192.560,195.280] OH NO NO PAIN ELSEWHERE +audio/MSK0019.mp3[195.280,198.800] OKAY UM AND HAVE YOU NOTICED ANY MUSCLE WEAKNESS +audio/MSK0019.mp3[198.800,200.240] UH NO +audio/MSK0019.mp3[200.240,202.440] NO ANY HEADACHES +audio/MSK0019.mp3[206.080,208.200] UH WEIGHT LOSS +audio/MSK0019.mp3[209.440,211.240] FEVERS OR CHILLS +audio/MSK0019.mp3[215.440,218.960] UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE +audio/MSK0019.mp3[220.280,223.480] UH COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0019.mp3[223.800,228.440] CHEST PAIN OR HEART PALPITATIONS +audio/MSK0019.mp3[229.360,231.800] UH CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0019.mp3[233.040,235.040] NAUSEA OR VOMITING +audio/MSK0019.mp3[235.240,238.440] CHANGES IN YOUR VOIDING +audio/MSK0019.mp3[240.040,245.800] OKAY AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0019.mp3[245.800,251.880] YEAH NO IVE BEEN HEALTHY UH NO OTHER ISSUES IN MY LIFE +audio/MSK0019.mp3[251.880,259.720] OKAY THATS GOOD UM HOW ABOUT UM MEDICATIONS ARE YOU ON ANY +audio/MSK0019.mp3[259.720,263.880] NO NO MEDICATIONS IVE JUST BEEN TAKING SOME ADVIL FOR THIS PAIN +audio/MSK0019.mp3[263.880,268.520] OKAY I SEE AND HOW ABOUT IMMUNIZATIONS ARE YOU UPTODATE +audio/MSK0019.mp3[269.480,271.800] DO YOU HAVE ANY ALLERGIES +audio/MSK0019.mp3[271.800,272.280] UH NO +audio/MSK0019.mp3[272.280,277.440] FAMILY HISTORY OF ANY MUSCULOSKELETAL ISSUES +audio/MSK0019.mp3[277.440,288.560] NO JUST UH I GUESS MY DAD HES HES GETTING SOME KNEE PAIN AND HIP PAIN NOW STARTING NOW BUT LIKE THATS ABOUT IT +audio/MSK0019.mp3[288.560,290.480] HOW OLD IS HE +audio/MSK0019.mp3[290.480,293.360] MY DAD HES 60 +audio/MSK0019.mp3[293.360,296.840] OKAY AND ANY LUNG OR HEART CONDITIONS +audio/MSK0019.mp3[297.280,300.080] AUTOIMMMUNE CONDITION +audio/MSK0019.mp3[300.080,301.720] UH NOT THAT I KNOW OF +audio/MSK0019.mp3[301.720,306.520] OKAY AND HOW ABOUT CANCERS +audio/MSK0019.mp3[306.520,317.400] UM I THINK MY AUNT ON MY MOTHERS SIDE UM SHE SHE HAD UH UTERINE CANCER +audio/MSK0019.mp3[317.400,327.560] OKAY I SEE ALRIGHT UM ANY ALLERGIES OR SORRY YOU ANSWERED THAT DO YOU DO YOU SMOKE +audio/MSK0019.mp3[327.560,329.880] UH NO +audio/MSK0019.mp3[329.880,333.680] NO UM DO YOU CONSUME ANY MARIJUANA +audio/MSK0019.mp3[333.680,334.240] UH NO +audio/MSK0019.mp3[334.240,337.840] DO YOU DRINK ALCOHOL +audio/MSK0019.mp3[337.840,350.000] UM JUST LIKE MAYBE SOME WINE ON UH WINE BEER EVERY COUPLE DAYS +audio/MSK0019.mp3[350.000,356.280] OKAY UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +audio/MSK0019.mp3[356.280,365.720] UM I LIVE WITH MY WIFE AND UH FOUR YEAR OLD DAUGHTER +audio/MSK0019.mp3[365.720,370.240] OKAY UM ANY CONCERNS FOR STIS +audio/MSK0019.mp3[371.240,375.200] ANY SICK CONTACTS RECENTLY +audio/MSK0019.mp3[376.200,378.520] HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0019.mp3[380.000,406.280] OKAY WELL UM LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW THEN UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR UH ARMS AND HANDS AND YOU LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING IN UH YOUR RIGHT ARM COMPARED TO YOUR LEFT +audio/MSK0019.mp3[406.280,411.800] OKAY UM SO LIKE WITH MOVEMENT +audio/MSK0019.mp3[411.800,417.000] UH NO UH JUST ON INSPECTION DO YOU SEE ANY REDNESS OR SWELLING +audio/MSK0019.mp3[417.000,421.040] UM NO I DONT REALLY SEE ANYTHING THATS TOO DIFFERENT NO +audio/MSK0019.mp3[421.040,431.800] NO OKAY UH DO YOU SEE ANY DEFORMITIES ATROPHY OR SKIN CHANGES IN YOUR RIGHT COMPARED TO YOUR LEFT ARM OR HAND +audio/MSK0019.mp3[431.800,433.440] NO THEY LOOK PRETTY SIMILAR TO ME +audio/MSK0019.mp3[433.440,447.160] OKAY ALRIGHT AND THEN IM GONNA GET YOU TO PRESS DOWN ON CERTAIN AREAS OF YOUR RIGHT ARM SO YOU CAN START WITH THE BACK OF YOUR ELBOW DOES THAT HURT +audio/MSK0019.mp3[447.160,454.920] UH JUST LIKE RIGHT ON THE ELBOW IT DOESNT HURT BUT WHEN I GO ON THE OUTSIDE PART IT DOES HURT ON THE BACK +audio/MSK0019.mp3[454.920,458.040] OKAY SO LIKE THE LATERAL ASPECT OF YOUR ELBOW +audio/MSK0019.mp3[458.040,460.400] YEAH ITS LIKE SORE IF I PRESS DOWN +audio/MSK0019.mp3[460.400,463.360] OKAY HOW ABOUT THE MEDIAL ASPECT OF YOUR ELBOW +audio/MSK0019.mp3[463.360,470.560] UM SO YEAH ON THE INSIDE NOT SO MUCH MAYBE A LITTLE BIT NOT NOT THAT MUCH +audio/MSK0019.mp3[470.560,474.360] OKAY HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BICEPS OR TRICEPS +audio/MSK0019.mp3[474.360,475.920] UH NOTHING +audio/MSK0019.mp3[475.920,482.560] NOTHING HOW ABOUT WHEN YOU UM PRESS DOWN ON YOUR LIKE FOREARM EXTENSOR MUSCLE GROUP +audio/MSK0019.mp3[482.560,496.400] UM JUST YEAH SO JUST ON THE OUTSIDE OF MY FOREARM CLOSE TO WHERE THE ELBOW PAIN IS IF I GO DOWN A LITTLE BIT AND PRESS DOWN IT DOES DEFINITELY FEEL SORE +audio/MSK0019.mp3[496.400,505.840] OKAY AND THEN HOW ABOUT WITH YOUR FOREARM UH FLEXOR FLEXORS +audio/MSK0019.mp3[505.840,511.640] SO ON THE INSIDE UM NOT SO MUCH NO +audio/MSK0019.mp3[511.640,535.400] NO OKAY AND NOW IM GONNA GET YOU TO WALK THROUGH SOME MOVEMENTS WITH ME UM CAN YOU UH GET A PIECE OF PAPER AND ACTUALLY CAN YOU GET A PENCIL AND GRIP IT AS TIGHT AS YOU CAN UM DO YOU FIND THAT YOU FEEL WEAK WHEN YOU DO THAT +audio/MSK0019.mp3[535.400,548.600] UM NOT WEAK BUT IT DOES DEFINITELY LIKE UM WHEN I PICKED UP THE PENCIL AND MOVED MY WRIST UP IT DID IT DID UH CAUSE SOME SOME PAIN +audio/MSK0019.mp3[548.600,561.360] OKAY ALRIGHT SO WOULD YOU MIND EXTENDING OR LIKE STRAIGHTENING OUT YOUR ELBOW ALL THE WAY AND THEN ALSO STRAIGHTENING OUT YOUR WRISTS UM DOES THAT HURT +audio/MSK0019.mp3[561.360,566.000] UH STRAIGHTENING OUT NO IT DOESNT HURT +audio/MSK0019.mp3[566.000,570.840] EVEN WITH UH LIKE THE WRIST UM STRAIGHTENED OUT +audio/MSK0019.mp3[570.840,590.320] UM YEAH IF I IF I COMPLETELY STRAIGHTEN OUT MY WRIST UH THEN LIKE I JUST FEEL A BIT OF UH SORENESS BUT NOT AS MUCH PAIN AS WHEN I UM AM LIFTING SOMETHING WITH MY WRIST OR JUST RAISING MY WRIST UPWARDS +audio/MSK0019.mp3[590.320,597.320] OKAY OKAY HOW ABOUT WHEN YOU FLEX YOUR WRIST ALL THE WAY +audio/MSK0019.mp3[597.320,605.560] UM THAT HURTS A LITTLE BIT BUT NOT NEARLY AS MUCH AS WHEN I EXTEND IT +audio/MSK0019.mp3[605.560,613.800] OKAY OKAY UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY AND DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/MSK0019.mp3[613.800,622.320] UH YEAH I WAS JUST WONDERING WHAT THIS THIS MIGHT BE +audio/MSK0019.mp3[622.320,708.920] YEAH SO UM IT SOUNDS LIKE YOU HAVE SOMETHING CALLED TENNIS ELBOW OR LATERAL EPICONDYLITIS UM AND ITS USUALLY RELATED TO SOME OVERUSE UM INJURY SO WHETHER AT WORK OR IF YOU PLAY A LOT OF TENNIS OR SOME SORT OF SPORT THAT UM OVERUSES A CERTAIN MUSCLE GROUP UM PARTICULARLY LIKE THE FOREARM EXTENSORS UM AND SO BASICALLY FOR THIS UM WE SUGGEST A FEW THINGS WELL START WITH LIKE SOME CONSERVATIVE MANAGEMENT LIKE ACTIVITY MODIFICATION SO AT WORK IF YOURE DOING REPETITIVE MOVEMENTS MAYBE NOT DO THEM SO MUCH AND TAKE FREQUENT BREAKS YOU CAN TRY SOME LIKE IBUPROFEN WELL REFER YOU TO SOME UM PHYSIOTHERAPY TO HELP BUILD THOSE MUSCLES AROUND THAT THAT AREA AND IF THOSE STILL DO DONT WORK UM WE CAN TRY SOME UM OTHER THINGS LIKE OPERATIVE UM OPERATIVE MANAGEMENT BUT WELL WELL COME BACK TO THAT IN ABOUT 6 TO 12 MONTHS UM ONCE WE UH WE TRY ALL OF THE OTHER STUFF DOES THAT SOUND OKAY +audio/MSK0019.mp3[708.920,710.920] YEAH THAT SOUNDS GOOD THANK YOU +audio/MSK0019.mp3[710.920,712.520] YEAH NO WORRIES +audio/RES0091.mp3[0.000,3.080] UH WHAT BRINGS YOU IN HERE TODAY +audio/RES0091.mp3[3.080,19.840] UHM SO IVE HAD THIS RUNNY NOSE WELL FIRST IT WAS A STUFFY NOSE BUT NOW IVE HAD THIS RUNNY NOSE FOR THE PAST WEEK AND A HALF AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO I WAS JUST WONDERING IF YOU COULD GIVE ME SOMETHING FOR THAT +audio/RES0091.mp3[19.840,30.600] YEAH SO YEAH LETS JUST TRY TO FIRST SEE WHATS GOING ON SO YOUVE BEEN HAVING THIS SO WHEN DID IT START GETTING STUFFY +audio/RES0091.mp3[30.600,34.360] UHM IT STARTED GETTING STUFFY ABOUT TWO WEEKS AGO +audio/RES0091.mp3[34.360,40.480] TWO WEEKS AGO AND WHEN DID IT START GETTING LIKE JUST A RUNNY NOSE +audio/RES0091.mp3[40.480,44.720] YEAH THAT STARTED A WEEK AND A HALF AGO +audio/RES0091.mp3[44.720,50.720] OK AND HAVE YOUR SYMPTOMS HAVE THESE SYMPTOMS GOTTEN WORSE AT ALL +audio/RES0091.mp3[50.720,52.880] NO IT STAYED ABOUT THE SAME +audio/RES0091.mp3[52.880,56.800] OK AND DO YOU HAVE ANY COUGHING +audio/RES0091.mp3[56.800,58.240] NO NO COUGHING +audio/RES0091.mp3[58.240,62.800] NO COUGHING UHM ANY FEVERS OR CHILLS +audio/RES0091.mp3[66.880,74.760] NO UHM AND THE FROM THE RUNNY NOSE ARE YOU HAVING ANY YELLOW OR GREEN DISCHARGE +audio/RES0091.mp3[74.760,76.320] NO ITS CLEAR +audio/RES0091.mp3[76.320,84.800] ITS CLEAR OK HAVE YOU AT ALL COUGHED UP ANY BLOOD AT ALL +audio/RES0091.mp3[84.800,87.240] NO NOTHING LIKE THAT +audio/RES0091.mp3[87.240,92.560] OK AND DO THESE SYMPTOMS COME AND GO OR ARE THEY PRETTY CONSTANT +audio/RES0091.mp3[92.560,96.440] UHM THEY ARE PRETTY CONSTANT +audio/RES0091.mp3[96.440,105.000] OK AND IS THERE ANYTHING THAT YOU HAVE TRIED THAT HAS HELPED YOU WITH THESE SYMPTOMS ANY OVER THE COUNTER MEDICATIONS +audio/RES0091.mp3[105.000,115.120] NO I HAVENT TRIED ANYTHING IVE BEEN THINKING ABOUT USING SOME NASAL DECONGESTION BUT I DONT WANT TO MAKE MY RUNNY NOSE ANY WORSE +audio/RES0091.mp3[115.120,136.760] YEAH NO THATS A THATS A FAIR POINT AND YEAH THERES MULTIPLE THINGS THAT YOU CAN TRY OVER THE COUNTER BUT WE CAN GET INTO THAT MORE LATER ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE ANY SHORTNESS OF BREATH CHEST PAIN ANY KIND OF DIZZINESS ANYTHING LIKE THAT +audio/RES0091.mp3[136.760,147.360] NO DIZZINESS I FEEL LIKE SOMETIMES I HAVE A HEADACHE THOUGH BECAUSE I FEEL LIKE THERES A LOT OF FLUID OR SOMETHING BACKED UP INTO MY SINUSES +audio/RES0091.mp3[147.360,151.880] OK SO DO YOU ARE YOU FEELING THAT PRESSURE IN YOUR FACE AT ALL +audio/RES0091.mp3[151.880,155.920] MHM A LITTLE BIT YEAH +audio/RES0091.mp3[155.920,164.840] OK HAVE YOU AT ALL IN THE PAST COUPLE WEEKS TO A MONTH HAD CONTACT WITH ANYONE THAT WAS SICK +audio/RES0091.mp3[164.840,168.520] NO NOTHING LIKE THAT THAT I CAN THINK OF +audio/RES0091.mp3[168.520,171.800] OK AND ANY TRAVEL +audio/RES0091.mp3[171.800,174.560] UHM NO +audio/RES0091.mp3[174.560,183.160] OK AND ANY SYMPTOMS OF A LOSS OF TASTE OF SORRY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0091.mp3[185.320,188.880] NO ANY NAUSEA OR VOMITING +audio/RES0091.mp3[188.880,190.840] UH NOPE +audio/RES0091.mp3[190.840,193.880] ANY NIGHT SWEATS +audio/RES0091.mp3[195.400,197.880] HOW ABOUT FATIGUE OR DO YOU FEEL TIRED +audio/RES0091.mp3[197.880,200.120] A LITTLE BIT YEAH +audio/RES0091.mp3[200.120,203.040] OK ARE YOU DO YOU WORK AT ALL +audio/RES0091.mp3[203.040,205.040] I WORK FROM HOME RIGHT NOW +audio/RES0091.mp3[205.040,210.840] OK AND HAS THIS AFFECTED YOUR WORK IN ANY WAY +audio/RES0091.mp3[213.200,217.040] OK UHM WHERE WHERE DO YOU LIVE DO YOU LIVE IN AN APARTMENT A HOUSE +audio/RES0091.mp3[217.040,219.320] I LIVE IN AN APARTMENT +audio/RES0091.mp3[219.320,221.120] AND DO YOU LIVE WITH ANYONE +audio/RES0091.mp3[221.120,223.080] NO JUST BY MYSELF +audio/RES0091.mp3[223.080,229.720] OK AND ANY MOLD OR DUST OR FUMES ANYTHING IN YOUR HOUSEHOLD +audio/RES0091.mp3[229.720,235.120] I HAVE SOME OLD CARPETS BUT THATS ABOUT IT +audio/RES0091.mp3[235.120,242.200] OK HAVE YOU FELT ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0091.mp3[242.200,244.200] NO NOTHING LIKE THAT +audio/RES0091.mp3[244.200,248.960] OK ANY CHANGES IN YOUR BOWEL MOVEMENT LIKE DIARRHEA OR CONSTIPATION +audio/RES0091.mp3[250.280,252.600] ANY URINARY TROUBLE +audio/RES0091.mp3[254.360,256.320] ANY WEIGHT LOSS +audio/RES0091.mp3[259.640,265.440] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA OR ANYTHING ELSE +audio/RES0091.mp3[265.440,269.080] UHM NO IM HEALTHY OTHERWISE +audio/RES0091.mp3[269.080,271.560] OK ANY ALLERGIES THAT YOU KNOW OF +audio/RES0091.mp3[271.560,274.160] UH NOPE NO ALLERGIES EITHER +audio/RES0091.mp3[274.160,278.040] OK DO YOU TAKE ANY REGULAR MEDICATIONS +audio/RES0091.mp3[278.040,283.720] UH NO I DONT EVEN TAKE VITAMINS +audio/RES0091.mp3[283.720,289.520] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0091.mp3[289.520,294.520] I HAD AN ARM FRACTURE WHEN I WAS YOUNGER BUT THATS IT +audio/RES0091.mp3[294.520,297.720] OK BUT OTHER THAN THAT NOTHING ELSE +audio/RES0091.mp3[299.240,306.000] OK AND CURRENTLY RIGHT NOW DO YOU SMOKE CIGARETTES AT ALL +audio/RES0091.mp3[306.640,309.760] HAVE YOU SMOKED IN THE PAST +audio/RES0091.mp3[311.320,314.280] ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0091.mp3[316.720,317.880] OK AND DO YOU DRINK ALCOHOL +audio/RES0091.mp3[317.880,324.960] ONCE IN A WHILE ILL HAVE LIKE A GLASS OF WINE EVERY WEEK +audio/RES0091.mp3[324.960,333.200] OK AND YEAH THOSE ARE PRETTY MUCH ALL THE QUESTIONS I HAVE RIGHT NOW DO YOU HAVE ANY QUESTIONS +audio/RES0091.mp3[333.200,337.800] UH NO WHAT CAN I DO ABOUT THIS RUNNY NOSE +audio/RES0091.mp3[337.800,411.960] YEAH SO IT SEEMS LIKE ITS BEEN GOING ON FOR MORE THAN ONE AND A HALF WEEK WHAT WHAT IS REASSURING IS THAT YOURE NOT HAVING ANY OTHER SYMPTOMS THAT ARE CONCERNING LIKE YOURE NOT HAVING ANY COUGH YOURE NOT HAVING ANY GREEN OR YELLOW SPUTUM YOURE NOT HAVING ANY FEVERS SO IT SEEMS THAT YOU MIGHT JUST BE HAVING A COLD WHICH CAN BE CAUSED BY JUST A VIRAL UH INFECTION BUT IT SHOULD GO AWAY ON ITS OWN JUST MAKE SURE THAT YOURE GETTING SOME REST YOURE HYDRATING WELL UHM YOU CAN GET SOME OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD FOR EXAMPLE BUT FOR NOW I WOULD SAY WE SHOULD JUST WAIT AND WATCH BUT JUST IN CASE ALSO SINCE IT IS ONE OF THE SYMPTOMS THATS FOR COVID AS WELL IN THIS TIME PERIOD WE WILL JUST GET A COVID SWAB JUST IN CASE BUT MOST LIKELY ITS NOTHING TO BE WORRIED ABOUT UNTIL YOU GET YOUR TEST I WOULD RECOMMEND STAYING ISOLATED AND THEN WE CAN GO ON FROM THERE IS THAT DOES THAT SOUND GOOD TO YOU +audio/RES0091.mp3[411.960,414.920] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH +audio/RES0091.mp3[414.920,416.080] YOURE WELCOME TAKE CARE +audio/RES0091.mp3[416.080,417.200] YOU TOO +audio/MSK0017.mp3[0.000,1.760] WHAT BRINGS YOU IN +audio/MSK0017.mp3[1.760,18.960] HI YEAH SO IVE HAD THIS UH BACK PAIN THATS BEEN GOING ON NOW FOR THE LAST UH TWO WEEKS ITS JUST KIND OF RIGHT IN THE LOWER BACK AND IT JUST HASNT GONE AWAY +audio/MSK0017.mp3[18.960,25.200] OK UM LAST TWO WEEKS YOU SAID IS IT GETTING WORSE +audio/MSK0017.mp3[25.200,33.920] UH NO ITS NOT REALLY GETTING ANY WORSE UH ITS JUST BEEN UH LIMITING MY ABILITIES AT WORK +audio/MSK0017.mp3[33.920,42.240] RIGHT OK AND WHAT DO YOU DO FOR WORK +audio/MSK0017.mp3[42.240,46.920] SO I WORK UM AT A BUTCHER SHOP +audio/MSK0017.mp3[47.400,56.760] YEAH AND WERE LIKE ALWAYS LIKE CARRYING HEAVY THINGS AND YEAH ITS A LOT A LOT OF LIKE LIFTING AND STANDING +audio/MSK0017.mp3[56.760,65.480] OK DID ANYTHING TRIGGER THIS BACK PAIN TWO WEEKS AGO DID YOU HAVE SOME SORT OF INJURY OR TRAUMA TO THE AREA +audio/MSK0017.mp3[65.480,88.960] NO I CANT THINK OF ANYTHING UH LIKE SPECIFIC THAT HAPPENED BUT THERE WAS ONE NIGHT WHERE UM LIKE AFTER WORK I WAS SITTING DOWN AFTER DINNER AND UM I GOT PRETTY STIFF THAT NIGHT IT WAS PRETTY SORE AND KIND OF EVER SINCE THEN ITS BEEN BEEN SORE +audio/MSK0017.mp3[88.960,99.880] OK OK UM AND IS THIS A PERSISTENT KIND OF BACK PAIN OR DOES IT COME AND GO +audio/MSK0017.mp3[99.880,115.560] ITS UM I CAN KIND OF ALWAYS FEEL IT BUT IT CERTAINLY GETS WORSE IF I AM MOVING SO IF IM JUST KIND OF SITTING AT REST I DONT REALLY YEAH I DONT REALLY FEEL IT THAT MUCH +audio/MSK0017.mp3[115.560,128.520] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN UM WOULD YOU SAY ITS SHARP THROBBING ACHY CRAMPY +audio/MSK0017.mp3[128.520,135.200] ID SAY I GET KIND OF UH ITS A SHARP PAIN +audio/MSK0017.mp3[135.200,141.360] SHARP PAIN OK UM DOES ANYTHING MAKE IT BETTER OR WORSE +audio/MSK0017.mp3[141.360,146.280] UM BETTER WOULD JUST BE UH RESTING +audio/MSK0017.mp3[147.160,174.800] UM KIND OF JUST LYING DOWN OR UM YEAH JUST JUST TRYING TO UH REST BUT UM MAKING IT WORSE YEAH IF IM UH LIKE REALLY ANY MOVEMENT UM IF IM LIKE BENDING FORWARD OR UM KIND OF LIKE LEANING TO THE SIDE I START TO GET UM GET SOME PAIN IN THE LOWER BACK +audio/MSK0017.mp3[174.800,185.880] OK OK AND THEN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD OR UH HOW SEVERE WOULD YOU RATE IT +audio/MSK0017.mp3[185.880,187.920] I WOULD SAY 7 +audio/MSK0017.mp3[187.920,194.400] A 7 OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST +audio/MSK0017.mp3[194.400,202.160] UH YEAH IVE IVE HURT MY LOWER BACK BEFORE LIKE MANY YEARS AGO UM BUT ITS BEEN OK SINCE THEN +audio/MSK0017.mp3[202.160,214.880] OK UH DID YOU GET ANY SORT OF TREATMENT OR MANAGEMENT FOR THAT PAIN UM BACK IN THE DAY +audio/MSK0017.mp3[214.880,233.040] AT THAT TIME IT WAS JUST REST AND LIKE DID SOME STRETCHING AND I TOOK SOME UM ANTI INFLAMMATORIES AND IT WENT AWAY AFTER A COUPLE OF MONTHS +audio/MSK0017.mp3[233.040,241.160] OK OK UM AND ARE YOU HAVING ANY SORT OF LIKE NUMBNESS OR TINGLING ANYWHERE ON YOUR BODY +audio/MSK0017.mp3[241.160,243.440] NO NOTHING LIKE THAT +audio/MSK0017.mp3[243.440,247.320] ALRIGHT HOW ABOUT ANY MUSCLE WEAKNESS +audio/MSK0017.mp3[247.320,249.520] UH NO MUSCLE WEAKNESS +audio/MSK0017.mp3[249.520,257.120] NO OK ARE YOU STILL ABLE TO WALK AND DO THINGS THAT YOU NORMALLY WOULD DO IN A DAY +audio/MSK0017.mp3[257.120,263.520] UH YEAH IM ABLE TO WALK STILL +audio/MSK0017.mp3[263.520,267.840] OK UM ANY DIZZINESS OR FAINTING SPELLS +audio/MSK0017.mp3[267.840,269.760] NOPE NOTHING LIKE THAT +audio/MSK0017.mp3[269.760,274.000] OK ANY PAIN ELSEWHERE ON YOUR BODY +audio/MSK0017.mp3[274.000,277.360] NO JUST JUST THE LOWER BACK YEAH +audio/MSK0017.mp3[277.360,280.120] OK HEADACHES +audio/MSK0017.mp3[280.120,281.480] UH NOPE +audio/MSK0017.mp3[281.480,284.240] OK WEIGHT LOSS +audio/MSK0017.mp3[284.240,286.200] NO I HAVENT HAD ANY WEIGHT LOSS +audio/MSK0017.mp3[286.200,289.600] OK FEVERS OR CHILLS +audio/MSK0017.mp3[289.600,291.640] NOPE NO FEVERS OR CHILLS +audio/MSK0017.mp3[291.640,295.680] UM RASHES +audio/MSK0017.mp3[295.680,296.520] UH NO RASHES +audio/MSK0017.mp3[296.520,301.120] CHANGES IN YOUR VISION HEARING TASTE OR SMELL +audio/MSK0017.mp3[301.120,302.800] NO CHANGES LIKE THAT +audio/MSK0017.mp3[302.800,308.240] OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZINESS +audio/MSK0017.mp3[308.240,310.640] UM NOPE NOTHING LIKE THAT +audio/MSK0017.mp3[310.640,315.720] UM CHEST PAIN OR HEART PALPITATIONS +audio/MSK0017.mp3[315.720,317.720] NOPE NOTHING LIKE THAT +audio/MSK0017.mp3[317.720,321.960] OK ISSUES OR CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0017.mp3[321.960,329.040] UH NO CHANGES TO BOWEL MOVEMENTS NO DIARRHEA AND NO INCONTINENCE OR ANYTHING LIKE THAT +audio/MSK0017.mp3[329.040,334.640] OK UM AND THEN UH NAUSEA OR VOMITING +audio/MSK0017.mp3[334.640,338.280] NOPE NOTHING LIKE THAT +audio/MSK0017.mp3[338.280,343.600] OK HOW ABOUT UM CHANGES TO YOUR APPETITE +audio/MSK0017.mp3[343.600,348.400] UM NOPE IVE BEEN EATING UH IVE BEEN EATING WELL +audio/MSK0017.mp3[348.400,352.480] CHANGES IN YOUR VOIDING +audio/MSK0017.mp3[352.480,357.640] UH NOPE I HAVENT HAD ANY CHANGES TO URINATION +audio/MSK0017.mp3[357.640,365.840] OK UM AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0017.mp3[365.840,379.200] UH I IVE HAD A FEW SPORTS INJURIES WHEN I WAS YOUNGER UH LIKE TO MY MY KNEE BUT THATS IT IVE BEEN HEALTHY OTHERWISE +audio/MSK0017.mp3[379.200,385.320] OK AND UM THOSE INJURIES ARE THEY ALL HEALED +audio/MSK0017.mp3[385.320,398.880] UH SOMETIMES ILL GET UM LIKE A LITTLE ACHINESS IN MY KNEE FROM FROM DOING LIKE TOO MUCH ACTIVITY BUT I KNOW WHEN THOSE WHEN THAT HAPPENS +audio/MSK0017.mp3[398.880,401.640] OK ARE YOU ON ANY MEDICATIONS +audio/MSK0017.mp3[401.640,405.160] NO I I DONT UH TAKE ANY MEDICATIONS +audio/MSK0017.mp3[405.160,409.160] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/MSK0017.mp3[409.160,410.600] I AM YEP +audio/MSK0017.mp3[410.600,415.840] OK UM DO YOU HAVE ANY ALLERGIES +audio/MSK0017.mp3[415.840,418.320] UH NO ALLERGIES +audio/MSK0017.mp3[418.320,424.480] OK ANY FAMILY HISTORY OF UM MUSCULAR OR SKELETAL ISSUES +audio/MSK0017.mp3[424.480,427.200] UM NO NOTHING LIKE THAT +audio/MSK0017.mp3[427.200,432.840] OK HOW ABOUT UM HEART OR LUNG DISEASES +audio/MSK0017.mp3[432.840,436.720] UH NO NO HEART OR LUNG DISEASES +audio/MSK0017.mp3[436.720,442.160] OK UHM HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0017.mp3[442.160,444.040] UM NOPE NOTHING LIKE THAT +audio/MSK0017.mp3[444.040,446.920] OK CANCERS +audio/MSK0017.mp3[446.920,450.400] UH NO CANCERS +audio/MSK0017.mp3[450.400,454.240] OK UM AND DO YOU SMOKE +audio/MSK0017.mp3[454.240,456.760] UM NO I DONT SMOKE +audio/MSK0017.mp3[456.760,460.120] OK AND DO YOU CONSUME MARIJUANA +audio/MSK0017.mp3[460.120,475.760] UH SOMETIMES ILL HAVE LIKE UH EDIBLES LITTLE CANDY SOMETIMES AT NIGHTTIME THEY THEY HELP ME UH RELAX AND SLEEP BUT I DONT USE THAT VERY OFTEN +audio/MSK0017.mp3[475.760,478.240] OK HOW OFTEN DO YOU USE THEM +audio/MSK0017.mp3[478.240,482.120] I WOULD SAY MAYBE UH ONCE A WEEK +audio/MSK0017.mp3[482.120,493.280] ONCE A WEEK OK ALRIGHT UM AND THEN WHAT ELSE DID I WANNA ASK YOU UM DO YOU DO YOU TAKE ANY RECREATIONAL DRUGS +audio/MSK0017.mp3[493.280,497.440] NO AND I HAVENT USED ANY BEFORE +audio/MSK0017.mp3[497.440,502.320] OK AND HOW ABOUT ALCOHOL DO YOU CONSUME ALCOHOL +audio/MSK0017.mp3[502.320,510.560] YEAH ILL HAVE A COUPLE OF BEERS ON THE WEEKEND SO MAYBE LIKE TWO OR THREE +audio/MSK0017.mp3[510.560,515.120] OK UHM AND WHO AND WHERE DO YOU LIVE RIGHT WHO WITH AND WHERE DO YOU LIVE RIGHT NOW +audio/MSK0017.mp3[515.120,524.520] YEAH I LIVE WITH MY WIFE AND OUR UM AND OUR SON WHOS IN HIGH SCHOOL WE LIVE IN A IN A HOUSE +audio/MSK0017.mp3[524.520,537.400] OK OK UM ALRIGHT AND ANY CONCERNS FOR STIS AT ALL +audio/MSK0017.mp3[537.400,553.160] OH NO IVE BEEN WITH MY WIFE NOW FOR A LONG TIME AND WEVE BEEN MONOGAMOUS SO NO CONCERNS FOR UH SEXUALLY TRANSMITTED INFECTION RIGHT NOW +audio/MSK0017.mp3[553.160,560.600] OK HOW ABOUT UM SICK CONTACTS HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/MSK0017.mp3[560.600,561.680] NO I DONT THINK SO +audio/MSK0017.mp3[561.680,565.920] OK ANY TRAVEL RECENTLY +audio/MSK0017.mp3[565.920,573.480] UH NO I HAVENT TRAVELED ANYWHERE +audio/MSK0017.mp3[573.480,586.720] OK UM AND WELL LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT HURT YOUR BACK +audio/MSK0017.mp3[586.720,595.520] UM YEAH IT DOES I I DO FEEL A LITTLE BIT OF A A TWINGE THERE +audio/MSK0017.mp3[595.520,598.960] OK AND WHERE ABOUT SPECIFICALLY +audio/MSK0017.mp3[598.960,609.240] KIND OF JUST YEAH ON THE LOWER UH LOWER RIGHT SIDE LIKE MORE ON THE MORE ON THE RIGHT SIDE +audio/MSK0017.mp3[609.240,625.080] MORE ON THE RIGHT SIDE OK NOW IF YOU HAVE A MIRROR WITH YOU OR IF YOU HAVE SOMEONE THERE WITH YOU WHO CAN UM SPEAK TO THIS DOES YOUR RIGHT SIDE APPEAR MORE RED SWOLLEN OR HOT COMPARED TO YOUR LEFT SIDE OF THE LOWER BACK +audio/MSK0017.mp3[625.080,627.520] UH NO NOTHING LIKE THAT +audio/MSK0017.mp3[627.520,637.000] NO OK AND DOES IT SEEM LIKE ITS MORE ATROPHIED OR DO YOU SEE ANY DEFORMITIES OR SKIN CHANGES IN THAT AREA +audio/MSK0017.mp3[637.000,639.520] UH NOPE NO DEFORMITIES OR SKIN CHANGES +audio/MSK0017.mp3[639.520,651.800] OK UM ALRIGHT AND IM GONNA GET YOU TO UM BEND DOWN ALL THE WAY AND TOUCH YOUR TOES IF YOU CAN +audio/MSK0017.mp3[651.800,654.400] UM YEAH I I CAN GET PART PART WAY DOWN +audio/MSK0017.mp3[654.400,659.680] YOU CAN GET PARTWAY DOWN DOES IT HURT +audio/MSK0017.mp3[659.680,668.120] UM A LITTLE BIT I CAN FEEL IT PULLING AND STRETCHING YEAH +audio/MSK0017.mp3[668.120,687.080] OK UM ALRIGHT AND THEN IM GONNA GET YOU TO UH LIKE LATERALLY FLEX TO YOUR RIGHT SIDE SO KIND OF LIKE YOURE DOING AN EXERCISE UM AND YOURE JUST LIKE BENDING TOWARDS THAT SIDE +audio/MSK0017.mp3[687.080,688.360] YEAH THAT HURTS +audio/MSK0017.mp3[688.360,692.320] THAT HURTS OK HOW ABOUT THE OTHER SIDE THE LEFT SIDE +audio/MSK0017.mp3[692.320,695.560] YEAH THAT HURTS TOO +audio/MSK0017.mp3[695.560,710.520] OK UM AND NOW I WANNA GET YOU TO UH BRING YOUR KNEES UP TOWARDS THE CEILING DOES THAT HURT ONE AT A TIME LIKE YOUR RIGHT RIGHT KNEE AND YOUR LEFT KNEE +audio/MSK0017.mp3[710.520,713.520] UH NOT REALLY +audio/MSK0017.mp3[713.520,721.800] NO OK HOW ABOUT WHEN YOU UM FLEX YOUR KNEES BACKWARDS +audio/MSK0017.mp3[722.680,727.640] AND KIND OF POINT YOUR KNEES TOWARDS THE GROUND +audio/MSK0017.mp3[727.640,729.560] NO NO PAIN THERE +audio/MSK0017.mp3[729.560,738.560] OK SO NO PAIN ON KNEE EXTENSION OR FLEXION UM HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING +audio/MSK0017.mp3[738.560,741.440] UH NO PAIN THERE +audio/MSK0017.mp3[741.440,749.200] OK SO NO PAIN ON PLANTAR FLEXION HOW ABOUT WHEN YOU POINT YOUR UH TOES TO THE GROUND +audio/MSK0017.mp3[749.200,750.760] NO PAIN THERE +audio/MSK0017.mp3[750.760,760.680] OK SO NO PAIN ON DORSIFLEXION AND THEN SORRY I FORGOT TO ASK YOU EARLIER DO YOU HAVE ANY SORT OF NUMBNESS IN THE GROIN AREA +audio/MSK0017.mp3[760.680,764.320] NO NO NUMBNESS IN THE GROIN AREA +audio/MSK0017.mp3[764.320,778.360] OK SO NO NUMBNESS IN THE GROIN AREA NO WEAKNESS NO UM CHANGES IN YOUR BOWEL OR BLADDER HABITS INCLUDING NO INCONTINENCE SO UH NO RED FLAGS +audio/MSK0017.mp3[778.360,780.760] YEAH NOTHING LIKE THAT +audio/MSK0017.mp3[780.760,789.880] OK OK GOOD UM AND OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF +audio/MSK0017.mp3[789.880,796.840] UH NO I WAS JUST UH YEAH KIND OF WONDERING DO I DO I NEED ANY X RAYS OR LIKE WHAT WHAT WHATS GOING ON +audio/MSK0017.mp3[796.840,918.240] YEAH SO UM WHAT IT SOUNDS LIKE RIGHT NOW IS THAT YOU HAVE SOMETHING CALLED MECHANICAL BACK PAIN ITS PRETTY COMMON AND UM IT CAN BE ANYTHING FROM YOUR SPINAL JOINTS TO THE DISCS TO THE VERTEBRATE OR SOFT TISSUE OR MUSCLE UM AND A LOT OF THESE CAN BE CAUSED BY UM HARD ACTIVITY AT WORK UM LIKE CARRYING HEAVY THINGS UM AND THEN CARRYING THEM IN LIKE AN IMPROPER POSITION OR SOMETHING LIKE THAT UM AND WE DIAGNOSE THAT ON HISTORY AND PHYSICAL EXAM UM BUT IF AFTER WE TRY SOME MANAGEMENT AND TREATMENT PLANS IT DOESNT GO AWAY AND IT PERSISTS FOR MORE THAN EIGHT WEEKS WE DO RECOMMEND IMAGING INCLUDING AN MRI SO UH IN TERMS OF MANAGEMENT FOR RIGHT NOW UM MODIFIED ACTIVITY AT WORK UM SOME SHORT TERM BED REST UH VERY SHORT TERM THOUGH UM AND BED REST IS ONLY REALLY RECOMMENDED IF YOU HAVE SEVERE BACK PAIN AND MUSCLE SPASMS UM AND YOU DEFINITELY SHOULDNT BE DOING THAT FOR MORE THAN LIKE 24 TO 48 HOURS AND PHYSICAL ACTIVITY CAN HELP UM SO REFERRAL TO PHYSICAL THERAPY OR PHYSIOTHERAPY UM CAN HELP IN REHAB AND THEYLL GIVE YOU SOME EXERCISES THAT YOU CAN TRY AT HOME TO KIND OF UM STRENGTHEN THOSE MUSCLES AND THEN ICE AND HEATING PACKS UM TEMPORARILY CAN HELP UH MEDICATIONS LIKE NSAIDS CAN HELP AS WELL WITH THE INFLAMMATION UM SO WELL TRY THESE THINGS OUT AND THEN WELL CONTINUE TO FOLLOW UP UM YEAH DID YOU HAVE ANY QUESTIONS OR DOES THAT SOUND LIKE AN OK PLAN +audio/MSK0017.mp3[918.240,922.240] UH THAT SOUNDS LIKE A GOOD PLAN +audio/MSK0017.mp3[922.240,925.480] OK SOUNDS GOOD THANK YOU +audio/RES0105.mp3[0.000,2.400] SO WHAT BRINGS YOU IN TODAY +audio/RES0105.mp3[2.400,15.800] YEAH IVE HAD IVE HAD A COUGH FOR A NUMBER OF YEARS NOW BUT STORE THESE PAST LIKE DAY ITS GOTTEN A LOT QUITE A BIT WORSE AND IVE BEEN REALLY SHORT OF BREATH +audio/RES0105.mp3[15.800,21.360] OK AND SO HOW MANY DAYS WOULD YOU SAY YOUVE BEEN SHORT OF BREATH +audio/RES0105.mp3[21.360,32.520] LESS THAN A DAY MAYBE JUST REALLY KIND OF STARTED LAST NIGHT AND HAS CARRIED OUT THROUGHOUT THIS MORNING I I CALLED THIS MORNING TO GET AN APPOINTMENT +audio/RES0105.mp3[32.520,41.960] OK AND IT WAS IT BROUGHT ON BY ANY ACTIVITIES OR WERE YOU DOING ANYTHING AT THAT TIME BEFORE IT STARTED +audio/RES0105.mp3[41.960,64.800] NO LAST LAST NIGHT I WAS WELL I WAS JUST DOING MY REGULAR KIND OF ROUTINE AFTER DINNER CLEANING UP AND JUST THE COUGH STARTED FIRST AND OVER THE OVER THE NIGHT IT GOT WORSE I COULD JUST COULDNT CATCH MY BREATH AND THAT WAS SIMILAR THIS MORNING +audio/RES0105.mp3[64.800,67.880] OK SO YOUVE ALSO HAD A COUGH +audio/RES0105.mp3[67.880,78.840] YEAH I HAVE YEAH UH IVE HAD A COUGH FOR A LONG TIME NOW BUT ITS BEEN WORSE OVER THIS LAST DAY +audio/RES0105.mp3[78.840,82.800] YEAH IS IT LIKE A WET COUGH OR DRY COUGH +audio/RES0105.mp3[82.800,104.880] ITS WET I IM BRING UP SPUTUM MOST OF THE TIME BUT ITS BEEN ITS USUALLY LIKE WHITE OR CLEAR AND ITS A LOT MORE LIKE UH ITS A LOT MORE GREENISH YELLOW AND YEAH +audio/RES0105.mp3[104.880,111.720] OK AND ARE YOU HAVING ANY KIND OF FEVERS OR CHILLS ANYTHING LIKE THAT +audio/RES0105.mp3[111.720,119.040] UHM YEAH I I DID HAVE SOME CHILLS LAST NIGHT SO IM NOT SURE ABOUT A FEVER THOUGH +audio/RES0105.mp3[119.040,128.200] OK AND ARE YOUR SYMPTOMS AT ALL SO YOU DO HAVE A SHORTNESS OF BREATH BUT ANY KIND OF CHEST PAIN AT ALL +audio/RES0105.mp3[128.200,137.000] I DO HAVE SOME CHEST PRESSURE FOR SURE I JUST FEELS LIKE I CANT CANT AH CATCH MY BREATH +audio/RES0105.mp3[137.000,145.200] OK SO IS IT MOSTLY RELATED TO YOUR BREATHING OR DO YOU HAVE IT AT REST OR DO YOU HAVE IT WITH ANY EXERTION +audio/RES0105.mp3[145.200,159.520] YEAH I THINK IT ITS THERE KIND OF MOST OF THE TIME LIKE THE CHEST PRESSURE I KIND OF FEEL IT THROUGHOUT MY CHEST WHEN WHEN IM BREATHING BUT BUT ALSO JUST KIND OF SITTING HERE I CAN KIND OF FEEL IT +audio/RES0105.mp3[159.520,164.480] OK I SEE AND ARE ALL OF YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO +audio/RES0105.mp3[164.480,171.960] THEYVE BEEN CONSTANT AND THEYVE GOT BEEN GETTING WORSE SINCE SINCE LAST NIGHT +audio/RES0105.mp3[171.960,175.280] OK AND HAVE YOU HAD THIS HAPPEN TO YOU BEFORE +audio/RES0105.mp3[175.280,193.520] IT HAS YEAH I ACTUALLY LAST LAST WINTER I WAS HOSPITALIZED FOR A COPEXACERBATION FOR FOR A FEW DAYS I I KNOW I GOT SOME ANTIBIOTICS AND UMM I NEEDED SOME OXYGEN +audio/RES0105.mp3[193.520,201.120] I SEE AND DID YOU GO HOME ON HOME OXYGEN AT ALL LIKE DO YOU USE OXYGEN AT HOME +audio/RES0105.mp3[201.120,209.600] NO I WAS TOLD I DIDNT NEED ANY ANY YET BUT IF I DIDNT QUIT SMOKING I MIGHT IN THE FUTURE +audio/RES0105.mp3[209.600,213.520] OK AND ARE YOU USING ANY KIND OF PUFFERS AT ALL +audio/RES0105.mp3[213.520,236.080] YEAH I I DO I I USE I THINK ITS CALLED LIKE SPIRIVA OR SOMETHING LIKE THAT I USE THAT EVERY DAY AND THERES ANOTHER ONE THAT ILL USE LIKE IF MY SYMPTOMS ARE GETTING BAD MY BLUE ONE I DID TRY THAT ACTUALLY LAST NIGHT AND IT DIDNT IT HELPED A LITTLE BIT BUT NOT NOT ENOUGH +audio/RES0105.mp3[236.080,242.600] OK SO HAVE YOU JUST TRIED LIKE TRIED IT ONE TIME LAST NIGHT HAVE YOU TRIED IT AFTER THAT +audio/RES0105.mp3[242.600,244.880] YEAH WE JUST TRIED IT LAST NIGHT +audio/RES0105.mp3[244.880,247.160] OK SO NOTHING TODAY RIGHT +audio/RES0105.mp3[247.160,249.600] NO NOTHING TODAY +audio/RES0105.mp3[249.600,266.720] OK OTHER THAN THAT SO YOU DID HAVE AN ADMISSION BEFORE FOR THIS AND YOU HAVE COPDO YOU HAVE ANY OTHER SYMPTOMS RIGHT NOW LIKE RUNNY NOSE SORE THROAT ANY COLD LIKE SYMPTOMS +audio/RES0105.mp3[266.720,270.080] NO NO I I I DONT +audio/RES0105.mp3[270.080,274.000] DID YOU HAVE IT BEFORE THESE SYMPTOMS STARTED +audio/RES0105.mp3[274.000,280.440] UHM NO IVE BEEN FEELING IVE BEEN FEELING OK +audio/RES0105.mp3[280.440,284.600] OK AND HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0105.mp3[284.600,297.840] UH WELL I DID I JUST GO UP TO THE TRAILER NOT TOO LONG AGO TO VISIT SOME FAMILY BUT THATS JUST AN HOUR AWAY +audio/RES0105.mp3[297.840,303.080] OK ANYONE SICK AROUND YOU RECENTLY +audio/RES0105.mp3[303.080,311.280] NO I DONT I DONT THINK SO +audio/RES0105.mp3[311.280,316.600] AND IS THERE ARE YOU HAVING ANY HEADACHE OR NAUSEA OR VOMITING +audio/RES0105.mp3[316.600,321.080] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0105.mp3[321.080,328.360] OK AND BESIDES THE TIME YOU GOT HOSPITALIZED HAVE YOU HAD ANY EXACERBATIONS AFTER THAT +audio/RES0105.mp3[328.360,334.280] NO I JUST HAD THAT HAD THAT HAPPEN THE ONE TIME LAST YEAR +audio/RES0105.mp3[334.280,344.280] OK AND DO YOU FEEL THAT YOUR SYMPTOMS ARE SIMILAR WORSE OR HOW DO THEY COMPARE TO LAST TIME IF YOU REMEMBER +audio/RES0105.mp3[344.280,361.120] PRETTY SIMILAR I THINK LAST TIME I WAS WORSE BUT I WAITED LONGER LAST TIME AND SO THATS WHY I WAS CONCERNED AND AND WANTED TO COME IN EARLY +audio/RES0105.mp3[361.120,369.680] OK OK UH ALRIGHT SO UH HAVE YOU HAD ANY FEVERS AT ALL OR CHILLS +audio/RES0105.mp3[369.680,378.040] YEAH IVE IVE HAD SOME CHILLS LAST NIGHT LIKE I JUST COULDNT GET WARM I WAS LOADING UP ON BLANKETS AND IT DIDNT SEEM TO HELP +audio/RES0105.mp3[378.040,385.720] OK SO WELL GET A TEMPERATURE ON YOU TODAY AS WELL DO YOU FEEL THAT YOURE BREATHING FASTER AT ALL +audio/RES0105.mp3[385.720,394.000] UH NOT NECESSARILY IT JUST IT JUST HARDER TO TO FEEL LIKE I CANT CATCH MY BREATH +audio/RES0105.mp3[394.000,398.720] OK DO YOU FEEL FATIGUED AT ALL +audio/RES0105.mp3[398.720,413.840] AH YEAH I I HAVE A I MEAN I HAVE BEEN FEELING JUST TIRED THIS MORNING BUT I THINK THATS MORE TO DO WITH THE FACT THAT I JUST CANT REALLY DO A WHOLE LOT OF EXERTION BECAUSE AS SOON AS I MOVE AROUND IM I CANT BREATHE +audio/RES0105.mp3[413.840,421.960] I SEE UHM OK AND ARE YOU HAVING ANY KIND OF DIARRHEA CONSTIPATION OR ANY URINARY TROUBLES AT ALL +audio/RES0105.mp3[421.960,424.360] NO IM NOT +audio/RES0105.mp3[424.360,427.360] OK ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0105.mp3[427.360,432.120] THATS BEEN THATS BEEN NORMAL BEEN EATING WELL +audio/RES0105.mp3[432.120,439.840] OK ANY KIND OF CONFUSION OR ANY DO YOU FEEL LIKE YOURSELF +audio/RES0105.mp3[439.840,441.280] YEAH I DO +audio/RES0105.mp3[441.280,446.320] OK ANY CONFUSION AT ALL THAT ANYONES NOTICED +audio/RES0105.mp3[446.320,451.680] NO I DONT THINK SO I FEEL LIKE THATS BEEN OK +audio/RES0105.mp3[451.680,454.440] ANY WHEEZING +audio/RES0105.mp3[454.440,466.280] YEAH I I HAVE NOTICED SOME WHEEZING ITS USUALLY I USUALLY UH WELL IVE BEEN TOLD I HAVE A WHEEZE BUT I CAN ACTUALLY HEAR IT RIGHT NOW +audio/RES0105.mp3[466.280,480.680] OK YEAH WELL DO LIKE A FULL PHYSICAL EXAMINATION AS WELL AND WELL GET LIKE YOUR OXYGENATION LEVEL AND EVERYTHING LIKE THAT UMM DO YOU HAVE ANY BESIDES COPSO WHEN WERE YOU DIAGNOSED WITH YOU PLEASE +audio/RES0105.mp3[480.680,483.960] ABOUT 10 YEARS AGO +audio/RES0105.mp3[483.960,488.440] OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +audio/RES0105.mp3[488.440,508.120] I DO YEAH I HAVE A HIGH BLOOD PRESSURE TYPE TWO DIABETES AND LIKE AND THERES SOMETHING WRONG WITH MY WITH MY KIDNEYS AS WELL I THINK MY EGFR IS LOW OR SOMETHING LIKE THAT +audio/RES0105.mp3[508.120,514.960] OH I SEE OK AND DO YOU TAKE ANY MEDICATIONS BESIDES YOUR PUFFERS +audio/RES0105.mp3[514.960,538.200] YEAH I I DO I I TAKE ON AN ACE INHIBITOR METFORMIN SGLT2 INHIBITOR AND IM ALSO TAKING A UH A WATER PILL AS WELL CAUSE I OVER THESE LAST COUPLE OF YEARS IVE HAD SOME MORE SWELLING IN MY IN MY FEET +audio/RES0105.mp3[538.200,544.000] OK I SEE DO YOU HAVE ANY SWELLING INCREASED SWELLING RIGHT NOW +audio/RES0105.mp3[544.000,548.520] NO I THATS BEEN ABOUT THIS BEEN PRETTY CONSTANT +audio/RES0105.mp3[548.520,558.360] OK AND DO YOU FEEL RECENTLY AT ALL THAT YOURE SHORT OF BREATH WHEN LYING DOWN OR DO YOU HAVE TO WAKE UP TO TAKE A DEEP BREATH ANYTHING LIKE THAT +audio/RES0105.mp3[558.360,561.120] NO I HAVENT ONLY BROUGHT ISSUES LIKE THAT +audio/RES0105.mp3[561.120,567.320] OK ANY ANY KIND OF DIZZINESS OR FAINTING EPISODES +audio/RES0105.mp3[567.320,569.800] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0105.mp3[569.800,576.680] OK ANY INCREASED SWEATING ASSOCIATED WITH YOUR CHEST TIGHT OR PRESSURE OR ANYTHING LIKE THAT +audio/RES0105.mp3[576.680,579.800] NO NO I HAVENT BEEN SWEATY +audio/RES0105.mp3[579.800,587.840] OK YEAH AND OTHER THAN THAT ANY PREVIOUS SURGERIES IN THE PAST +audio/RES0105.mp3[587.840,599.200] UHM I YEAH I HAD A UTERINE PROLAPSE SO I HAD SURGERY FOR THAT I HAVE FIVE KIDS +audio/RES0105.mp3[599.200,603.000] OK ANY ANY COMPLICATIONS AFTER THAT SURGERY AT ALL +audio/RES0105.mp3[603.000,611.640] NO IT HELPED IT ACTUALLY FIXED THE LEAKING AT THE TIME I WAS HAVING SO WAS HAPPY WITH THAT +audio/RES0105.mp3[611.640,617.320] THATS GOOD CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR ARE YOU RETIRED +audio/RES0105.mp3[617.320,621.760] I AM RETIRED +audio/RES0105.mp3[621.760,627.480] OK UH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/RES0105.mp3[627.480,634.600] YES WE LIVE IN A HOUSE JUST OUTSIDE OF THE CITY WITH MY WITH MY HUSBAND +audio/RES0105.mp3[634.600,642.640] OK ANY EXPOSURES TO ANY DUST FUMES ASBESTOS OR ANYTHING LIKE THAT IN YOUR HOME +audio/RES0105.mp3[642.640,650.360] NO I DONT BELIEVE SO +audio/RES0105.mp3[650.360,654.600] OK UHM AND DO YOU CURRENTLY SMOKE +audio/RES0105.mp3[654.600,659.200] UHM I DO YEAH CURRENTLY YEAH MAYBE HALF A PACK TO A PACK PER DAY +audio/RES0105.mp3[659.200,663.360] OK AND HOW LONG HAVE YOU SMOKED FOR +audio/RES0105.mp3[663.360,675.720] OH I STARTED IN MY TEENS SO MOST OF MY LIFE IVE IVE SMOKED I GREW UP AROUND IT ITS JUST WHAT MY PARENTS DID AND EVERYBODY SMOKED +audio/RES0105.mp3[675.720,681.400] OK UHM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0105.mp3[681.400,682.160] NO I DONT +audio/RES0105.mp3[682.160,691.000] OK AND DO YOU DRINK ALCOHOL AT ALL +audio/RES0105.mp3[691.000,694.240] UH VERY RARELY DONT REALLY DRINK IT ANYMORE +audio/RES0105.mp3[694.240,708.880] OK ALRIGHT SO YEAH THOSE ARE SOME OF THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION DONE RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL +audio/RES0105.mp3[708.880,711.840] NO THAT THAT MAKES SENSE THANK YOU +audio/RES0105.mp3[711.840,745.960] YOURE WELCOME AND YEAH SO WELL WELL ALSO DO SOME LAB WORK AS WELL WELL GET SOME BLOOD WORK DONE WANT TO MAKE SURE WE DONT MISS ANY KIND OF INFECTION UMM YOURE IN LIKE YOUR YOU CAN BE HAVING ANOTHER COPEXACERBATION BUT WE ALSO WANT TO MAKE SURE YOU DONT HAVE LIKE PNEUMONIA OR ANYTHING LIKE THAT SO WE MIGHT HAVE TO DO A CHEST XRAY AS WELL BUT FOR NOW I WOULD SAY JUST SIT TIGHT WELL GET ALL YOUR VITALS DONE AND THEN GO ON FROM THERE DOES THAT SOUND GOOD +audio/RES0105.mp3[745.960,748.320] YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0105.mp3[748.320,767.000] ALRIGHT AND IF YOU FEEL AT ALL YOURE VERY SHORT OF BREATH AND WE CAN GIVE YOU SOME VENTIL IN HERE AS WELL AND THEN IF YOU NEED LIKE WE CAN GIVE YOU LIKE SYSTEMIC CORE STEROIDS AS WELL TO HELP SOME OF YOUR SYMPTOMS BUT YEAH LETS LETS DO SOME OF THAT PHYSICAL EXAMINATIONS FIRST +audio/RES0105.mp3[767.000,769.880] OK THAT SOUNDS GOOD THANK YOU +audio/RES0105.mp3[769.880,771.640] WELCOME TAKE CARE +audio/RES0204.mp3[0.000,19.760] I HEAR THAT YOU HAVE BEEN HAVING SOME COUGHING SO IM JUST GOING TO CHAT WITH YOU FOR A BIT GET AN IDEA OF HOW THINGS ARE GOING WELL HAVE A LISTEN TO YOUR LUNGS IN YOUR HEART AND THEN I WILL GO GRAB THE DOCTOR THATS WORKING TODAY AND WELL TALK ABOUT IT AND THEN WELL COME BACK AND LET YOU KNOW WHAT THE NEXT STEPS ARE GOING TO BE THAT DOES THAT SOUND GOOD TO YOU +audio/RES0204.mp3[19.760,22.680] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0204.mp3[22.680,29.080] CAN YOU TELL ME ABOUT WHAT BROUGHT YOU IN TODAY +audio/RES0204.mp3[29.080,41.040] YEAH IVE HAD THIS COUGH FOR THE PAST FOUR OR FIVE DAYS AND IT DOESNT SEEM TO BE GOING AWAY OR GETTING BETTER SO I THOUGHT I SHOULD GET IT CHECKED OUT +audio/RES0204.mp3[41.040,44.320] OK ARE YOU HERE WITH YOUR MOM TODAY +audio/RES0204.mp3[44.320,48.560] I AM +audio/RES0204.mp3[48.560,55.320] HI MUM UM OK YOU GOT A COUGH YOU SAID IM SORRY YOU SAID FOR FIVE DAYS +audio/RES0204.mp3[55.320,59.000] FOR YEAH FOUR TO FIVE DAYS ISH YEAH +audio/RES0204.mp3[59.000,65.600] OK AND UH HAS IT YOU SAID IT WAS A DRY COUGH IS THAT RIGHT +audio/RES0204.mp3[65.600,67.440] YEAH THATS RIGHT +audio/RES0204.mp3[67.440,75.120] OK SO AT NO POINT WERE YOU BRINGING UP ON GUNK WITH YOUR COUGH +audio/RES0204.mp3[75.120,77.720] YEAH NO NO NOTHING LIKE THAT +audio/RES0204.mp3[77.720,86.520] OK SINCE IT STARTED DO YOU THINK ITS GOTTEN WORSE OR HAS IT KIND OF STAYED THE SAME GOTTEN ANY BETTER +audio/RES0204.mp3[86.520,88.920] ITS KIND OF STAYED THE SAME +audio/RES0204.mp3[88.920,100.240] OK OK UHM ALONG WITH THE COUGH HAVE HAVE YOU BEEN HAVING ANY OTHER NEW SYMPTOMS +audio/RES0204.mp3[100.240,101.040] UH NO +audio/RES0204.mp3[101.040,103.880] OK HAVE YOU HAD A SORE THROAT +audio/RES0204.mp3[105.440,110.160] DO YOU FEEL LIKE YOU CAN TASTE AND SMELL THINGS NORMALLY +audio/RES0204.mp3[110.160,114.400] YEAH I THINK SO +audio/RES0204.mp3[114.400,118.640] OK OK HAVE YOU BEEN HAVING A RUNNY NOSE +audio/RES0204.mp3[118.640,126.320] OH YES I HAVE HAD THAT FOR THE PAST COUPLE OF DAYS AS WELL +audio/RES0204.mp3[126.320,137.480] AND IS IT A RUNNY NOSE WITH KIND OF CLEAR STUFF IS IT WATERY OR IS IT THICK DOES IT HAVE A COLOR TO IT A YUCKY THE COLOR +audio/RES0204.mp3[137.480,145.000] ITS PRETTY CLEAR +audio/RES0204.mp3[145.000,158.000] OK OK UHM AND UH HAVE YOU HAD ANY FEVERS YOUR MOM MIGHT BE ABLE TO ANSWER THAT ONE BETTER +audio/RES0204.mp3[158.000,165.880] YEAH UM HE HAS HAD UH LIKE HES HAD FEVERS IN THE PAST BUT I I DIDNT REALLY CHECK THIS TIME HE DIDNT SEEM HOT HE DIDNT HAVE ANY CHILLS +audio/RES0204.mp3[165.880,174.280] OK WELL THATS GOOD UHM OK HAVE YOU HAD ANY BACK OR MUSCLE PAIN +audio/RES0204.mp3[179.560,189.000] OK HAVE YOU HAD ANY CHEST PAIN +audio/RES0204.mp3[189.000,191.480] UH NO NO CHEST PAIN +audio/RES0204.mp3[191.480,194.400] OK ANY ANY NAUSEA OR VOMITING +audio/RES0204.mp3[194.400,197.280] UH NO NO NAUSEA OR VOMITING +audio/RES0204.mp3[197.280,200.600] HAVE YOU EVER HAD ANY PAIN IN YOUR BELLY +audio/RES0204.mp3[200.600,204.840] NO NOPE THAT NO PAIN IN MY BELLY +audio/RES0204.mp3[204.840,207.040] ANY HEADACHES +audio/RES0204.mp3[207.040,210.880] NO NO HEADACHES +audio/RES0204.mp3[210.880,215.960] OK HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK +audio/RES0204.mp3[215.960,221.720] NO NOT THAT NOT THAT I CAN REMEMBER +audio/RES0204.mp3[221.720,226.200] OK UHM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0204.mp3[226.200,229.360] UH NOPE +audio/RES0204.mp3[229.360,233.440] ARE YOU GOING TO SCHOOL RIGHT NOW OR STAYING HOME +audio/RES0204.mp3[233.440,241.520] I’M GOING TO SCHOOL AND THEYRE DOING THESE HALF DAYS +audio/RES0204.mp3[241.520,247.040] OK OK UHM AND HAS ANYONE IN YOUR SCHOOL BEEN SICK +audio/RES0204.mp3[247.040,249.640] AH NOPE NOT RECENTLY +audio/RES0204.mp3[249.640,251.760] AT LEAST NOT THAT WE KNOW OF OK +audio/RES0204.mp3[253.840,257.840] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0204.mp3[257.840,271.040] NO IVE BEEN PRETTY HEALTHY OTHERWISE IVE NEVER HAD LIKE IVE NEVER HAD LIKE A DRY COUGH LIKE THIS IVE HAD RUNNY NOSE IN THE PAST BUT THEY NEVER LASTED THIS LONG +audio/RES0204.mp3[271.040,274.520] OK HAVE YOU EVER BEEN IN THE HOSPITAL +audio/RES0204.mp3[277.600,284.840] OK DID YOU SEE YOUR FAMILY DOCTOR FOR ANYTHING ANY HEALTH PROBLEMS +audio/RES0204.mp3[284.840,286.360] NO NO +audio/RES0204.mp3[286.360,289.560] DO YOU TAKE ANY MEDICINES +audio/RES0204.mp3[291.080,307.040] OK THIS MAY BE A TRICKY ONE TO ANSWER SO MOM CAN DEFINITELY HELP US DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS +audio/RES0204.mp3[307.040,329.160] UM UH HIS GRANDPARENTS HAD UM ASTHMA BUT HES BEEN WORKED UP FOR THAT AND HE DOESNT GET SHORT OF BREATH OR WHEEZING OR ANYTHING LIKE THAT WITH EVEN WITH PHYSICAL ACTIVITY SO YEAH SO HE DOESNT HAVE THAT +audio/RES0204.mp3[329.160,330.480] AND WHAT ELSE +audio/RES0204.mp3[330.480,332.880] PARDON ME +audio/RES0204.mp3[332.880,335.560] I SAID JUST SOME SOME ASTHMA IN THE FAMILY +audio/RES0204.mp3[336.680,343.720] OK AND SO YOU LIVE YOU LIVE WITH YOUR MOM DO YOU LIVE WITH ANYONE ELSE IN YOUR FAMILY +audio/RES0204.mp3[343.720,349.360] I HAVE A FOUR YEAR OLD SISTER +audio/RES0204.mp3[349.360,352.400] OK DO YOU LIVE WITH YOUR DAD TOO +audio/RES0204.mp3[355.160,357.800] DO YOU GUYS HAVE ANY PETS +audio/RES0204.mp3[357.800,362.720] UM NO NO PETS +audio/RES0204.mp3[362.720,366.960] AND DOES ANYONE SMOKE IN THE HOME +audio/RES0204.mp3[366.960,368.120] NOPE NO +audio/RES0204.mp3[368.120,374.960] OK AND WHAT DO YOU LIKE TO DO FOR FUN +audio/RES0204.mp3[374.960,380.240] UM I LIKE PLAYING WITH MY FRIENDS I LIKE PLAYING VIDEO GAMES +audio/RES0204.mp3[380.240,383.000] OH COOL SO WHATS YOUR FAVORITE GAME +audio/RES0204.mp3[383.000,388.080] I AM PLAYING ROLLERCOASTER TYCOON +audio/RES0204.mp3[388.080,412.160] OH COOL THAT SOUNDS LIKE FUN OK WELL HOPEFULLY WE CAN GET YOU BACK TO FEELING HEALTHY SO YOU CAN CONTINUE TO PLAY LOTS OF ROLLER COASTER TYCOON SO I’M GOING TO GO GET THE DOCTOR THAT IM WORKING WITH IM UH IM WONDERING YOU KNOW HE MIGHT WANT TO DO A CHEST X RAY AND GET A BETTER LOOK AT WHATS GOING ON THERE HAVE YOU EVER HAD AN X RAY BEFORE +audio/RES0204.mp3[412.160,414.240] I DONT THINK SO NO +audio/RES0204.mp3[414.240,416.720] DO YOU KNOW WHAT AN X RAY IS +audio/RES0204.mp3[416.720,419.040] A LITTLE BIT YEAH +audio/RES0204.mp3[419.040,446.800] YEAH ITS LIKE TAKING PICTURE OF YOUR BODY ON THE INSIDE ITS PRETTY COOL SO IT GIVES US AN IDEA OF WHATS GOING ON IN THE INSIDE ALSO THIS REALLY THIS PART IS KIND OF NOT SO MUCH FUN BUT I THINK WE SHOULD PROBABLY DO A COVID SWAB BECAUSE WERE DOING THAT WITH ANYONE THAT COMES IN WITH THESE SYMPTOMS LATELY AND THATS NOT A LOT OF FUN WE GOTTA STICK SOMETHING UP YOUR NOSE BUT I THINK THAT YOURE REALLY BRAVE AND I THINK THAT YOULL BE JUST FINE WITH IT OK +audio/RES0204.mp3[447.840,455.200] SO WERE GOING TO ARRANGE FOR THESE THINGS AND THEN I WILL COME BACK WITH THE DOCTOR THAT IM WORKING WITH AND WELL KIND OF TALK ABOUT WHERE TO GO FROM HERE +audio/RES0204.mp3[455.200,456.480] OK THAT SOUNDS GOOD +audio/RES0204.mp3[456.480,459.920] THANK YOU GUYS FOR CHATTING WITH ME +audio/RES0204.mp3[459.920,461.680] YEAH THANK YOU +audio/RES0079.mp3[0.000,2.000] HOW MAY I HELP YOU TODAY +audio/RES0079.mp3[2.000,15.480] YEAH IVE HAD A FEVER AND A COUGH THAT STARTED JUST LIKE FOUR DAYS AGO +audio/RES0079.mp3[15.480,25.080] OK WHEN DID YOU WHEN DID YOU START HAVING YOUR SO THE COUGH STARTED FOUR DAYS AGO WHAT ABOUT THE FEVER +audio/RES0079.mp3[25.080,36.040] I THINK LIKE LAST NIGHT WAS WHEN I CHECKED IT WAS HIGH LIKE OVER THIRTY EIGHT +audio/RES0079.mp3[36.040,44.400] I SEE OK AND DID YOU CHECK YOUR FEVER BEFORE THAT THE NIGHT BEFORE +audio/RES0079.mp3[44.400,60.360] YEAH I JUST CHECKED IT LAST NIGHT I FELT HOT PREVIOUSLY BUT I DONT KNOW I THOUGHT I WAS GOING TO JUST GET BETTER BUT THIS MORNING STILL WELL FEELING A BIT A LITTLE BIT WORSE +audio/RES0079.mp3[60.360,69.400] OK AND THE COUGH THAT STARTED FOUR DAYS AGO HAS IT BEEN A DRY COUGH OR WET COUGH +audio/RES0079.mp3[69.400,71.440] ITS BEEN DRY +audio/RES0079.mp3[71.440,76.880] OK SO THERES BEEN NO SPUTUM OR ANY OR BLOOD +audio/RES0079.mp3[76.880,78.680] NO SPUTUM OR BLOOD +audio/RES0079.mp3[78.680,85.120] OK HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS +audio/RES0079.mp3[85.120,91.040] UH A LITTLE BIT YEAH +audio/RES0079.mp3[91.040,102.480] AND OTHER THAN THE FEVER AND THE COUGH DO YOU HAVE ANY FATIGUE +audio/RES0079.mp3[102.480,104.800] UHM YES +audio/RES0079.mp3[104.800,108.440] WE DO OK ANY MUSCLE ACHES +audio/RES0079.mp3[108.440,110.200] UH NO +audio/RES0079.mp3[110.200,113.840] OK SORE THROAT +audio/RES0079.mp3[114.960,118.760] ANY DIFFICULTIES BREATHING +audio/RES0079.mp3[120.720,123.000] ANY WHEEZING +audio/RES0079.mp3[128.560,131.640] ANY CHEST PAIN OR PRESSURE +audio/RES0079.mp3[133.520,139.560] OK ANY RUNNY NOSE +audio/RES0079.mp3[139.560,143.720] YEAH MY NOSE HAS BEEN A LITTLE BIT RUNNY +audio/RES0079.mp3[143.720,152.400] OK THAT STARTED OVER THE PAST FOUR DAYS AS WELL +audio/RES0079.mp3[154.080,158.480] OK WHAT ABOUT PAIN IN YOUR BELLY +audio/RES0079.mp3[158.480,160.280] NO PAIN +audio/RES0079.mp3[160.280,168.240] OK ANY DIARRHEA OR CONSTIPATION +audio/RES0079.mp3[168.240,169.600] UHM NO +audio/RES0079.mp3[169.600,173.400] ANY NAUSEA OR VOMITTING +audio/RES0079.mp3[175.000,179.840] ANY URINARY SYMPTOMS +audio/RES0079.mp3[184.360,190.800] OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN +audio/RES0079.mp3[192.680,198.040] ANY CHANGES IN YOUR SENSE OF TASTE OR YOUR SENSE OF SMELL +audio/RES0079.mp3[198.040,206.200] UH YEAH I HAVENT BEEN ABLE TO SMELL AS WELL +audio/RES0079.mp3[206.200,210.640] YOU FEEL LIKE YOU HAVE A RUNNY NOSE BUT IS IT SORT OF CONGESTED +audio/RES0079.mp3[210.640,217.920] NOT REALLY IT YEAH JUST KIND OF RUNNING AND YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL +audio/RES0079.mp3[217.920,227.240] OK AND DO YOU HAVE ANY PAST MEDICAL ANY CONDITIONS MEDICAL CONDITIONS +audio/RES0079.mp3[227.240,233.040] UH DEPRESSION AND ANXIETY +audio/RES0079.mp3[233.040,239.880] AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR HOSPITALIZATIONS +audio/RES0079.mp3[239.880,243.080] UHM NO +audio/RES0079.mp3[243.080,253.800] OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS +audio/RES0079.mp3[253.800,256.000] I DO TAKE A MULTIVITAMIN +audio/RES0079.mp3[256.000,257.600] AND UH +audio/RES0079.mp3[257.600,263.520] SORRY I DO TAKE UM I TAKE UH AN SSRI CITALOPRAM AS WELL +audio/RES0079.mp3[263.520,268.440] OK THATS GOOD OK ANY ALLERGIES +audio/RES0079.mp3[268.440,270.440] NO ALLERGIES +audio/RES0079.mp3[270.440,275.760] OK SPECIFICALLY ALLERGIES TO MEDICATIONS +audio/RES0079.mp3[275.760,278.880] UHM YEAH NO NO MEDICATIONS I DONT THINK SO +audio/RES0079.mp3[278.880,286.360] GOOD OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED IN THE PAST +audio/RES0079.mp3[286.360,298.280] UHM I SMOKED WHEN I WAS IN HIGH SCHOOL VERY BRIEFLY BUT I HAVENT SMOKED ANYTHING IN THE LAST TWENTY YEARS +audio/RES0079.mp3[298.280,302.840] ALRIGHT DO YOU CONSUME MARIJUANA +audio/RES0079.mp3[302.840,311.400] UH WELL USE EDIBLES EVERY ONCE IN A WHILE I BUY THEM FROM THE LIKE I GUESS GOVERNMENT STORE OCS +audio/RES0079.mp3[311.400,316.760] I SEE OK ANY RECREATIONAL DRUGS +audio/RES0079.mp3[318.080,324.560] OK AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHERS +audio/RES0079.mp3[324.560,332.600] I LIVE WITH OTHERS I LIVE WITH MY GIRLFRIEND AND A DOG +audio/RES0079.mp3[332.600,341.160] OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0079.mp3[341.160,358.200] UH SHE JUST CAME BACK FROM A WORK TRIP IVE BEEN WORKING FROM HOME BUT SHE WAS UHM IN SASKATCHEWAN AND JUST GOT BACK LAST WEEK +audio/RES0079.mp3[358.200,364.720] OK AND HAS SHE HAD ANY SYMPTOMS +audio/RES0079.mp3[364.720,375.120] SHES BEEN FATIGUED SINCE COMING BACK BUT I MEAN WE THOUGHT THAT WAS MAYBE JUST FROM THE TRAVELS BUT MAYBE NOT +audio/RES0079.mp3[375.120,379.760] HAS SHE BEEN QUARANTINING OR ARE YOU BOTH SPENDING TIME TOGETHER +audio/RES0079.mp3[379.760,389.760] WELL WEVE BEEN I MEAN TRYING TO DISTANCE IN THE HOME BUT I MEAN WEVE BEEN LIVING TOGETHER IN AN APARTMENT SO +audio/RES0079.mp3[389.760,396.120] FAIR ENOUGH FAIR ENOUGH OK HAVE YOU HAD ANY TRAVELS +audio/RES0079.mp3[396.120,408.280] NO IVE BEEN WORKING FROM HOME +audio/RES0079.mp3[408.280,412.160] OK ALRIGHT AND UH ANY YOU DONT HAVE ANY ASTHMA OR COPOR ANY LUNG CONDITIONS RIGHT +audio/RES0079.mp3[412.160,417.040] RIGHT I DONT HAVE ANYTHING LIKE THAT +audio/RES0079.mp3[417.040,422.920] OK AND ANY CONDITIONS THAT RUN IN YOUR FAMILY +audio/RES0079.mp3[422.920,427.240] UHM NO NOTHING THAT RUNS IN THE FAMILY +audio/RES0079.mp3[427.240,451.840] ALRIGHT OK SO IF I UNDERSTAND CORRECTLY YOUVE BEEN FEELING TIRED AND YOUVE HAD A COUGH AND A RUNNY NOSE AND CHANGES IN YOUR SENSE OF SMELL FOR THE PAST THREE OR FOUR DAYS AND YOU ALSO WERE FEELING A LITTLE BIT HOT AND YESTERDAY YOU NOTICED THAT YOU HAD SPIKED A HIGH FEVER IS THERE ANYTHING THAT IM MISSING +audio/RES0079.mp3[451.840,455.960] NO I THINK THAT COVERS ALL THE SYMPTOMS +audio/RES0079.mp3[455.960,491.520] AND YOU MIGHT HAVE POTENTIALLY HAD SOME EXPOSURE THROUGH YOUR GIRLFRIEND POTENTIALLY SO ITS POSSIBLE THAT WELL ITS POSSIBLE THAT YOU JUST HAVE A COLD BUT ITS ALSO WELL STILL HAVE TO RULE OUT COVID AS A CAUSE AND SO WELL HAVE TO DO A COVID SWAB AND GO FROM THERE AND WELL CHECK YOUR TEMPERATURE HERE AS WELL JUST UH I THINK SOMETHING THAT I FORGOT TO ASK HAVE YOU TAKEN ANY MEDICATIONS THAT HAS HELPED YOU WITH YOUR SYMPTOMS +audio/RES0079.mp3[491.520,496.720] UH NO I HAVENT TAKEN ANYTHING +audio/RES0079.mp3[496.720,504.680] OK ALRIGHT WELL THANK YOU ILL GO TALK TO MY ATTENDING AND WELL COME BACK AND DISCUSS THIS FURTHER WITH YOU +audio/RES0079.mp3[504.680,510.000] THAT SOUNDS GREAT THANK YOU +audio/GAS0001.mp3[0.000,3.520] WHAT BRINGS YOU IN TODAY +audio/GAS0001.mp3[3.520,20.840] IVE JUST BEEN FEELING LIKE VERY NAUSEATED FOR IT FEELS LIKE ALL THE TIME RIGHT NOW +audio/GAS0001.mp3[20.840,23.600] WHEN DID THIS START +audio/GAS0001.mp3[23.600,33.880] ITS BEEN OVER A WEEK MAYBE NOT QUITE TWO WEEKS BUT LIKE AROUND THEN YEAH MAYBE LIKE 9 DAYS +audio/GAS0001.mp3[33.880,44.760] AND UM IS IT DO YOU ALWAYS HAVE THE SENSATION OF NAUSEA OR IS IT RELATED OR DOES IT COME AND GO +audio/GAS0001.mp3[44.760,59.200] OH I THINK ITS LIKE WORSE WHEN I AM SMELLING SOMETHING REALLY BAD AND ITS WORSE IN THE MORNING BUT I FEEL LIKE ITS ALWAYS KIND OF THERE +audio/GAS0001.mp3[59.200,65.360] I SEE OK UM HAVE YOU HAD ANY VOMITING +audio/GAS0001.mp3[65.360,73.680] UH YEAH LIKE UM YEAH LIKE A LOT OF DAYS ILL THROW UP LIKE ONCE OR TWICE +audio/GAS0001.mp3[73.680,79.360] AND THIS HAS ALL BEEN OVER THE PAST WEEK WEEK TWO WEEKS OR SO +audio/GAS0001.mp3[82.000,91.920] OK UM ANY OTHER SYMPTOMS THAT YOU HAVE +audio/GAS0001.mp3[91.920,111.360] OH NO JUST WELL LIKE I FEEL LIKE IVE IVE HAD TO PEE A LOT MORE UM BUT I DONT I DONT THINK THATS LIKE RELATED I THINK MAYBE I HAVE JUST BEEN DRINKING A LOT OF WATER SO YEAH +audio/GAS0001.mp3[111.360,116.040] HOW OFTEN DO YOU HAVE TO PEE +audio/GAS0001.mp3[116.040,123.080] OH LIKE I FEEL LIKE EVERY COUPLE HOURS RIGHT NOW +audio/GAS0001.mp3[123.080,129.000] OK SO SAY EVERY TWO HOURS EVERY HOUR EVERY FIVE HOURS +audio/GAS0001.mp3[129.000,137.720] PROBABLY EVERY PROBABLY EVERY LIKE 2 MAYBE MAYBE EVERY HOUR I GET CERTAIN TIMES IN A DAY +audio/GAS0001.mp3[137.720,142.120] DO YOU WAKE UP AT NIGHT TO PEE +audio/GAS0001.mp3[142.120,151.360] OH LIKE IT DOESNT WAKE ME UP BUT ITS LIKE I WAKE UP BECAUSE I HEAR SOMETHING THEN ILL BE LIKE OH I THINK I SHOULD PROBABLY GO TO THE BATHROOM +audio/GAS0001.mp3[151.360,160.800] 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 +audio/GAS0001.mp3[160.800,165.240] OH I I I CAN CONTROL IT ITS JUST LIKE UNCOMFORTABLE RIGHT +audio/GAS0001.mp3[165.240,182.720] 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 DONT YOU DONT FEEL LIKE YOU NEED TO RUN TO THE BATHROOM OR YOULL PEE IN YOUR PANTS +audio/GAS0001.mp3[182.720,184.840] NO I DONT FEEL LIKE THAT +audio/GAS0001.mp3[184.840,188.320] OK DO YOU HAVE ANY PAIN WHEN YOURE PEEING +audio/GAS0001.mp3[189.680,200.920] NO OK ALRIGHT UM DO YOU FEEL LIKE YOUVE BEEN MORE THIRSTY RECENTLY WHY DO YOU FEEL YOUVE BEEN DRINKING MORE MORE WATER +audio/GAS0001.mp3[200.920,220.400] 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 +audio/GAS0001.mp3[220.400,235.240] 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 +audio/GAS0001.mp3[235.240,249.720] AH NO I DONT 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 IM NOT ON MY PERIOD +audio/GAS0001.mp3[249.720,255.720] WHEN DID YOU LAST HAVE YOUR PERIOD +audio/GAS0001.mp3[255.720,268.760] OH WELL LET ME THINK UM LIKE SIX WEEKS AGO I GUESS THAT WOULD BE I DONT KNOW I DONT REALLY LIKE KEEP TRACK +audio/GAS0001.mp3[268.760,276.000] OK OK DO YOU KNOW IF YOU GET YOUR PERIODS REGULARLY OR ARE YOUR PERIODS IRREGULAR +audio/GAS0001.mp3[276.000,282.640] I THINK THEYRE I THINK THEYRE USUALLY PRETTY REGULAR BUT I DONT I DONT LIKE I DONT +audio/GAS0001.mp3[282.640,286.520] CALCULATE IT LIKE TO THE DAY +audio/GAS0001.mp3[286.520,298.080] TRUE YEAH IS IT IS IT NORMAL FOR YOU TO GO SIX WEEKS WITHOUT A PERIOD +audio/GAS0001.mp3[298.080,306.520] OH COME TO THINK OF IT I DONT I DONT THINK SO +audio/GAS0001.mp3[306.520,323.200] ALRIGHT UM OK UH HAVE YOU ILL JUST ASK YOU A COUPLE MORE QUESTIONS ABOUT YOUR SYMPTOMS SO I KNOW THAT YOUVE 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 +audio/GAS0001.mp3[323.840,329.600] NOTHING LIKE THAT +audio/GAS0001.mp3[329.600,331.800] I DONT THINK SO +audio/GAS0001.mp3[331.800,335.800] ANY HEADACHES +audio/GAS0001.mp3[335.800,337.760] UH NO +audio/GAS0001.mp3[337.760,341.320] ANY FEVERS +audio/GAS0001.mp3[342.440,345.400] MUSCLE ACHES +audio/GAS0001.mp3[345.400,347.840] UH NO +audio/GAS0001.mp3[347.840,355.240] OK UM HAVE YOU HAVE YOU HAD A COUGH AT ALL +audio/GAS0001.mp3[355.240,356.120] OH NO +audio/GAS0001.mp3[356.120,364.840] OK AND HAVE YOU NOTICED ANY BLOOD IN YOUR STOOLS +audio/GAS0001.mp3[365.520,372.520] HAVE YOU YOU HAVENT HAD ANY PALPITATIONS OR CHEST PAIN OR ANYTHING OF THAT SORT +audio/GAS0001.mp3[373.320,385.200] ALRIGHT UM CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL ISSUES MEDICAL CONDITIONS THAT YOU HAVE +audio/GAS0001.mp3[385.200,389.520] UH NOTHING NOTHING REALLY +audio/GAS0001.mp3[389.520,396.240] OK HAVE YOU UM BEEN TAKING ANY MEDICATIONS +audio/GAS0001.mp3[396.240,409.440] NO I MEAN IVE BEEN TAKING LIKE LIKE IVE BEEN CHEWING LIKE THOSE GINGER THINGS THAT ARE SUPPOSED TO HELP WITH NAUSEA BUT THEY WERENT REALLY HELPFUL +audio/GAS0001.mp3[409.440,412.600] I SEE ANY ALLERGIES +audio/GAS0001.mp3[412.600,424.200] SO JUST LIKE NICKEL LIKE IN JEWELRY IF I WEAR NOT REAL JEWELLERY ITLL GIVE ME A RASH BUT ITS NOT FOOD OR LIKE OR MEDICATIONS OR ANYTHING +audio/GAS0001.mp3[424.200,441.080] UM AND UH A COUPLE OF QUESTIONS ABOUT YOUR SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH +audio/GAS0001.mp3[441.080,449.400] UM LIKE I I JUST I LIVE WITH ONE ROOMMATE +audio/GAS0001.mp3[449.400,456.640] UM AND DO YOU CURRENTLY SMOKE +audio/GAS0001.mp3[458.880,465.920] ALRIGHT YOU DONT SMOKE OK HAVE YOU DO YOU CONSUME ALCOHOL +audio/GAS0001.mp3[465.920,469.880] UH NO VERY RARELY BECAUSE I ALWAYS GET A HEADACHE +audio/GAS0001.mp3[469.880,473.720] OK WHEN WAS THE LAST DRINK THAT YOU HAD +audio/GAS0001.mp3[473.720,477.800] OH GOSH LIKE LIKE A MONTH AGO PROBABLY +audio/GAS0001.mp3[477.800,483.200] OK UM AND YOU CONSUME ANY ILLICIT DRUGS +audio/GAS0001.mp3[483.200,483.960] NO NO +audio/GAS0001.mp3[483.960,489.880] ALRIGHT ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/GAS0001.mp3[489.880,495.520] YEAH JUST LIKE WITH MY BOYFRIEND +audio/GAS0001.mp3[495.520,500.040] AND DO YOU USE PROTECTION WHILE HAVING SEX +audio/GAS0001.mp3[500.040,510.280] YEAH WE WE JUST USE CONDOMS I USED TO BE ON BIRTH CONTROL BUT IT ALWAYS MADE ME +audio/GAS0001.mp3[510.280,515.480] FEEL LIKE LIKE KIND OF SICK SO I DONT USE THAT ANYMORE +audio/GAS0001.mp3[515.480,530.200] MHM I SEE OK UH AND UM LETS SEE FAMILY HISTORY DO YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY +audio/GAS0001.mp3[530.200,543.000] UH LIKE I DONT I DONT THINK SO I GUESS MY DAD MY DAD HAS LIKE HIGH BLOOD PRESSURE YEAH I DONT THINK THERES ANYTHING ELSE +audio/GAS0001.mp3[543.000,560.480] ALRIGHT ALRIGHT WELL THANK YOU SO MUCH FOR SPENDING TIME WITH ME TODAY I THINK I HAVE GATHERED ALL THE INFORMATION THAT I WOULD HAVE LIKED I WILL GO TALK TO MY ATTENDING WELL COME BACK AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN SHARE THE PLAN WITH YOU +audio/GAS0001.mp3[560.480,563.520] OK THANK YOU +audio/GAS0001.mp3[563.520,570.760] YOURE WELCOME +audio/RES0032.mp3[0.000,2.760] WHAT BRINGS YOU IN HERE TODAY +audio/RES0032.mp3[2.760,7.640] YEAH IVE HAD THIS COUGH AND ITS JUST NOT GOING AWAY +audio/RES0032.mp3[7.640,11.720] OK AND HOW LONG HAVE YOU BEEN HAVING THIS COUGH FOR +audio/RES0032.mp3[11.720,15.480] I THINK IT STARTED ABOUT A MONTH AGO +audio/RES0032.mp3[15.480,20.680] OK AND IS IT A DRY COUGH OR IS IT A WET COUGH +audio/RES0032.mp3[20.680,23.640] I IM BRINGING UP SOME PHLEGM IF THATS WHAT YOU MEAN +audio/RES0032.mp3[23.640,27.160] YEAH SO YOURE BRINGING UP PHLEGM WHEN YOU COUGH +audio/RES0032.mp3[28.880,31.800] AND IS IT WHAT COLOR IS IT +audio/RES0032.mp3[31.800,37.080] I IT LOOKS PRETTY DARK AND AND SOMETIMES RED +audio/RES0032.mp3[37.080,41.280] OK SO DO YOU THINK THERES BLOOD IN YOUR PHLEGM +audio/RES0032.mp3[41.280,49.320] YEAH THE DARK IT DOES KIND OF LOOK LIKE BLOOD SO THATS WHAT SCARED ME AND WANTED ME TO COME IN TODAY +audio/RES0032.mp3[49.320,58.680] OK AND HOW MUCH PHLEGM WOULD YOU SAY YOURE PUTTING OUT LIKE PER EVERY TIME YOU COUGH +audio/RES0032.mp3[58.680,69.000] ID SAY EVERY TIME I COUGH IM BRINGING UP AT LEAST A TEASPOON OF OF THE DARK SPUTUM +audio/RES0032.mp3[69.000,78.760] OK AND SO THIS STARTED FOUR WEEKS AGO IT HAS IT BEEN A CONSTANT LIKE YOUVE BEEN CONSTANTLY COUGHING OR DOES IT COME AND GO +audio/RES0032.mp3[78.760,86.480] I IT ITS THERE PRETTY MUCH ALL THE TIME BUT ESPECIALLY BAD IN THE MORNING +audio/RES0032.mp3[86.480,97.320] OK AND DO YOU REMEMBER IF ANYTHING CHANGED OR YOU DID SOMETHING DIFFERENTLY OR ANYTHING THAT HAPPENED BEFORE YOU STARTED HAVING THIS COUGH +audio/RES0032.mp3[97.320,111.120] UH I HAD A COLD A FEW WEEKS BACK BUT IT WAS JUST A RUNNY NOSE AND IT SEEMS THAT THE COUGH HAS BEEN KIND OF LINGERING AROUND +audio/RES0032.mp3[111.120,115.560] OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL +audio/RES0032.mp3[115.560,119.840] YEAH THE COUGH HAS BEEN GETTING WORSE +audio/RES0032.mp3[119.840,123.680] AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS +audio/RES0032.mp3[123.680,137.160] I IVE HAD A SMOKERS COUGH NOW FOR SEVERAL FOR SEVERAL YEARS BUT ITS REALLY JUST THIS PAST MONTH THAT THAT ITS GOTTEN REALLY BAD AND I HAVE IT ALL DAY LONG +audio/RES0032.mp3[137.160,143.360] OK AND UH ARE YOU COUGHING EVERY DAY OR EVERY OTHER DAY LIKE HOW OFTEN WOULD YOU SAY YOURE COUGHING +audio/RES0032.mp3[143.360,144.480] UH DAILY +audio/RES0032.mp3[144.480,150.680] DAILY OK IS THERE ANYTHING THAT MAKES YOUR COUGH GO AWAY OR GET WORSE +audio/RES0032.mp3[150.680,155.600] UH NOTHING THAT SEEMS TO REALLY MAKE IT ANY WORSE OR BETTER +audio/RES0032.mp3[155.600,165.720] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +audio/RES0032.mp3[165.720,170.200] UH NOTHING I CAN THINK OF JUST JUST THIS COUGH THATS BEEN BUGGING ME +audio/RES0032.mp3[170.200,176.640] OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY +audio/RES0032.mp3[176.640,183.080] YES IVE BEEN WORKING IN THE PHILIPPINES FOR THE LAST THREE YEARS +audio/RES0032.mp3[183.080,189.240] AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS OR NIGHT SWEATS +audio/RES0032.mp3[189.240,197.320] I FELT LIKE UH A LITTLE BIT HOT I MIGHT HAVE A FEVER NOW SO YES NO CHILLS THOUGH +audio/RES0032.mp3[197.320,200.840] HOW ABOUT NIGHT SWEATS +audio/RES0032.mp3[200.840,213.520] I HAVE BEEN SWEATING MORE AT NIGHT TOO YEAH I HAVE TO GET UP AND CHANGE MY PAJAMAS SOMETIMES +audio/RES0032.mp3[213.520,215.880] OK AND HOW OFTEN HAS THIS BEEN HAPPENING +audio/RES0032.mp3[215.880,224.480] UM IM CHANGING MY PAJAMAS AND ITS SOMETIMES THE SHEETS UH MAYBE A COUPLE OF TIMES PER WEEK +audio/RES0032.mp3[224.480,229.840] OK AND HAVE YOU BEEN FEELING MORE MORE TIRED MORE FATIGUED AT ALL RECENTLY +audio/RES0032.mp3[229.840,237.040] YEAH MY ENERGY HAS JUST BEEN REALLY DOWN IVE BEEN REALLY FATIGUED +audio/RES0032.mp3[237.040,243.360] AND DO YOU FIND THAT YOU EVER HAVE ANY CHEST PAIN OR SHORTNESS OF BREATH +audio/RES0032.mp3[243.360,251.440] I SOMETIMES I DO HAVE SOME PAIN OVER ON THE RIGHT SIDE OF MY CHEST +audio/RES0032.mp3[251.440,258.560] IS THIS PAIN WHAT KIND OF PAIN IS IT +audio/RES0032.mp3[258.560,271.240] ID SAY ITS KIND OF LIKE A UH ITS A STABBING KIND OF UH UH PAIN AND I ONLY REALLY NOTICE IT WHEN I TAKE A DEEP BREATH +audio/RES0032.mp3[271.240,280.400] OK AND HOW ABOUT SHORTNESS OF BREATH HAVE YOU BEEN EXPERIENCING ANYTHING LIKE THAT +audio/RES0032.mp3[280.400,287.800] I ONLY REALLY GET SHORT OF BREATH WHEN IM GOING FOR A HIKE OR UP TO MY 4TH FLOOR APARTMENT +audio/RES0032.mp3[287.800,291.560] ANY CHANGES IN YOUR SKIN THAT YOUVE NOTICED LIKE ANY RASHES AT ALL +audio/RES0032.mp3[291.560,294.760] NO RASHES +audio/RES0032.mp3[294.760,298.880] AND HOW ABOUT YOUR SLEEP HAVE YOU BEEN GETTING ENOUGH SLEEP ON A DAILY BASIS +audio/RES0032.mp3[298.880,308.440] UH JUST THE UH SWEATING AT NIGHT HAS BEEN ANNOYING BECAUSE IT WAKES ME UP SOMETIMES BUT OTHER THAN THAT SLEEP HAS BEEN OK +audio/RES0032.mp3[308.440,310.920] OK AND HOW ABOUT YOUR APPETITE +audio/RES0032.mp3[310.920,315.640] I FEEL LIKE IVE BEEN EATING OK REGULAR DIET +audio/RES0032.mp3[315.640,320.360] AND HAVE YOU HAD ANY SIGNIFICANT WEIGHT CHANGES RECENTLY +audio/RES0032.mp3[320.360,334.600] UH YEAH IM DOWN LIKE 15 POUNDS OVER THE LAST FEW MONTHS AND I HAVENT REALLY MADE ANY CHANGES TO MY DIET OR EXERCISE SO I HAVENT REALLY BEEN TRYING +audio/RES0032.mp3[334.600,337.320] OK UM ANY RECENT INFECTIONS AT ALL +audio/RES0032.mp3[337.320,345.800] JUST THE COLD THAT I WAS TALKING ABOUT IT A FEW WEEKS AGO AND THATS WHERE THE RUNNY NOSE KINDA WENT AWAY +audio/RES0032.mp3[345.800,357.560] OK UM AND HAVE YOU AT ALL EITHER HERE OR WHEN YOU WERE WORKING IN THE PHILIPPINES HAVE BEEN EXPOSED TO SOMEONE WITH TUBERCULOSIS +audio/RES0032.mp3[357.560,368.800] I BELIEVE SOME OF THE UH PEOPLE I WAS HELPING OVER THERE DID IN FACT HAVE TUBERCULOSIS +audio/RES0032.mp3[368.800,373.960] OK AND HAVE YOU HAD A TB SKIN TEST DONE AT ALL +audio/RES0032.mp3[373.960,384.280] IVE HAD ONE IN THE PAST BUT I CANT REALLY REMEMBER THE LAST TIME AND IT WAS NORMAL THOUGH WHEN WHEN I HAD IT A FEW YEARS AGO +audio/RES0032.mp3[384.280,387.600] OK BUT NOTHING SINCE YOUVE BEEN BACK AT ALL +audio/RES0032.mp3[387.600,391.920] NO THE LAST TEST MUST BE AT LEAST A FEW YEARS AGO +audio/RES0032.mp3[391.920,400.640] OK AND IN TERMS OF JUST IN YOUR ENVIRONMENT AT WORK AND AT HOME ARE YOU EXPOSED TO ANY MOLD OR ANY PETS +audio/RES0032.mp3[400.640,406.680] NO PETS AT HOME AND UH I DONT THINK THERES ANY MOLD IN THE HOME EITHER +audio/RES0032.mp3[406.680,415.400] DO YOU NOTICE ANY KIND OF TINGLING OR NUMBNESS IN YOUR LIMBS OR ANY MUSCULAR WEAKNESS +audio/RES0032.mp3[415.400,425.160] I I I MEAN IM REALLY TIRED ALL THE TIME AND KIND OF FEEL WEAK THAT WAY BUT NO MUSCULAR WEAKNESS +audio/RES0032.mp3[425.160,435.800] AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING ELSE +audio/RES0032.mp3[435.800,441.280] UH JUST A CHRONIC BRONCHITIS WITH A SMOKERS COUGH +audio/RES0032.mp3[441.280,444.920] OK AND DO YOU TAKE ANY MEDICATIONS +audio/RES0032.mp3[444.920,462.760] YEAH I TAKE UH A BETA AGONIST INHALER AN INHALED CORTICOSTEROID AND ANOTHER TYPE OF ANTI MUSCARINIC INHALER +audio/RES0032.mp3[462.760,466.240] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0032.mp3[466.240,468.440] NO ALLERGIES +audio/RES0032.mp3[468.440,473.480] ANY ALLERGIES AT ALL TO ANY ENVIRONMENTAL EXPOSURES +audio/RES0032.mp3[473.480,476.520] I DONT THINK SO NO +audio/RES0032.mp3[476.520,478.240] ANY HOSPITALIZATION IN THE PAST +audio/RES0032.mp3[481.040,483.200] AND ANY SURGERIES IN THE PAST +audio/RES0032.mp3[483.200,485.840] NO SURGERIES +audio/RES0032.mp3[485.840,496.160] AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO IS ILL I KNOW YOU MENTIONED IN THE PHILIPPINES YOU WERE EXPOSED TO SOME PEOPLE WITH TB BUT ANYTHING SINCE THEN +audio/RES0032.mp3[496.160,504.760] NOT THAT I CAN THINK EVERYBODYS BEEN HEALTHY +audio/RES0032.mp3[504.760,515.120] OK AND AND IN YOUR FAMILY HAS THERE BEEN ANY HISTORY OF ANY CANCERS OR HEART ATTACKS ANY ANY MEDICAL CONDITIONS +audio/RES0032.mp3[515.120,525.200] NO HEART ATTACKS BUT UH MY FATHER DIED OF LUNG CANCER WHEN HE WAS 67 +audio/RES0032.mp3[525.200,532.560] AND CURRENTLY DO YOU LIVE IN AN APARTMENT BUILDING IS THERE ANYONE YOU LIVE WITH +audio/RES0032.mp3[532.560,538.880] YEAH I LIVE WITH MY GIRLFRIEND IN AN APARTMENT +audio/RES0032.mp3[538.880,541.640] OK AND DO YOU WORK CURRENTLY +audio/RES0032.mp3[541.640,551.480] YEAH IVE BEEN DOING SOME HOUSING WORK IN THE PHILIPPINES THE LAST SEVEN SEVERAL YEARS +audio/RES0032.mp3[551.480,554.120] OK AND DO YOU CURRENTLY DRINK +audio/RES0032.mp3[554.120,557.560] UH NO I DONT DRINK ALCOHOL +audio/RES0032.mp3[557.560,559.640] ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0032.mp3[562.600,565.640] UH ANY AND YOU SMOKE CIGARETTES AT ALL +audio/RES0032.mp3[565.640,581.320] YES I I DO SMOKE CIGARETTES I IVE SMOKED MOST OF MY LIFE SIMILAR TO MY MY FATHER PROBABLY 1 TO 2 PACKS PER DAY +audio/RES0106.mp3[0.000,1.560] WHAT BRINGS YOU IN +audio/RES0106.mp3[1.560,10.480] IVE HAD IVE HAD THIS COUGH FOR THE PAST TWO WEEKS I WAS JUST WORRIED ABOUT IT +audio/RES0106.mp3[10.480,20.280] OK PAST TWO WEEKS HAVE IS IT A DRY COUGH OR IS IT ARE YOU BRINGING UP PHLEGM +audio/RES0106.mp3[20.280,29.040] IM ITS MOSTLY DRY BUT JUST SOMETIMES THERES LIKE A LITTLE BIT I GUESS YEAH THE FLAT LITTLE BIT OF PHLEGM +audio/RES0106.mp3[29.040,31.160] OK WHAT COLOUR IS THE PHLEGM +audio/RES0106.mp3[31.160,35.160] ITS LIKE WHITISH SOMETIMES ITS CLEAR +audio/RES0106.mp3[35.160,38.920] OK IS IT EVER GREEN OR BLOODY +audio/RES0106.mp3[39.720,42.840] NO OK DO YOU HAVE ANY SHORTNESS OF BREATH +audio/RES0106.mp3[44.000,47.080] ANY WHEEZING +audio/RES0106.mp3[47.080,48.720] SOMETIMES YEAH +audio/RES0106.mp3[48.720,53.960] SOMETIMES OK WITH THE COUGH OR OUTSIDE THE COUGH AS WELL +audio/RES0106.mp3[53.960,55.280] WITH THE COUGH +audio/RES0106.mp3[55.280,58.880] ANY CHEST PAIN +audio/RES0106.mp3[58.880,70.640] UM NO NOT INITIALLY BUT LIKE SINCE THE PAST FEW DAYS ESPECIALLY AFTER IVE LIKE COUGHED A LOT IT JUST KIND OF HURTS ME A LITTLE BIT +audio/RES0106.mp3[70.640,75.640] OK OK ANY DO YOU EVER FEEL SO IT JUST HURTS AFTER COUGHING +audio/RES0106.mp3[75.920,81.400] SO IS IT KIND OF LIKE A SHARP PAIN OR LIKE A DULL ACHY PAIN +audio/RES0106.mp3[81.400,87.240] I DONT KNOW IT JUST FEELS LIKE LIKE MY MUSCLES ARE HURTING LIKE IM JUST LIKE COUGHING SO MUCH ITS JUST +audio/RES0106.mp3[88.560,92.280] DULL PAIN IN THE MIDDLE OF MY CHEST THEN IT GOES AWAY +audio/RES0106.mp3[92.280,97.040] OK OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0106.mp3[97.040,97.640] NO NO +audio/RES0106.mp3[97.640,103.120] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LEGS ARMS OR ABDOMEN +audio/RES0106.mp3[104.440,107.600] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0106.mp3[108.720,111.520] NO OK ANY HEADACHES +audio/RES0106.mp3[111.680,115.240] CONFUSION OR MEMORY LOSS +audio/RES0106.mp3[115.800,118.280] HAVE YOU NOTICED ANY FEVERS +audio/RES0106.mp3[119.360,122.200] ANY WEIGHT LOSS +audio/RES0106.mp3[122.840,128.200] NO EXCESSIVE FATIGUE OR TIREDNESS +audio/RES0106.mp3[128.200,135.840] UH NO NOT REALLY IVE HAVENT BEEN FATIGUED I THINK IM IM FINE AND FEEL NORMAL OTHER THAN THE COUGH OF COURSE +audio/RES0106.mp3[135.840,138.760] OK SURE ANY RASHES +audio/RES0106.mp3[140.440,143.880] HOW ABOUT CHANGES IN YOUR VISION OR HEARING +audio/RES0106.mp3[143.880,145.360] NO NO CONCERNS THERE +audio/RES0106.mp3[145.360,149.760] HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE +audio/RES0106.mp3[150.880,153.160] NO A SORE THROAT +audio/RES0106.mp3[153.160,155.440] UHM NO +audio/RES0106.mp3[155.440,158.120] OK CHANGES TO YOUR SMELL OR TASTE +audio/RES0106.mp3[159.880,163.640] NO HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL +audio/RES0106.mp3[164.320,166.440] YEAH HOW ABOUT URINE +audio/RES0106.mp3[166.440,169.320] YEP THEYVE BEEN NO CONCERNS +audio/RES0106.mp3[169.320,171.920] ANY NAUSEA OR VOMITING +audio/RES0106.mp3[171.920,173.440] UHM NO +audio/RES0106.mp3[173.440,179.200] NO OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0106.mp3[179.200,197.320] I KIND OF HAD THIS ABOUT I DONT KNOW THREE OR FOUR YEARS AGO I JUST HAD THIS COUGH BUT THEN IT KIND OF WENT AWAY ON ITS OWN IN ABOUT A WEEK BUT NOW ITS BEEN LIKE 2 WEEKS SO I DONT KNOW WHATS HAPPENING IF ITS SOMETHING I JUST WANT TO MAKE SURE ITS NOTHING SERIOUS +audio/RES0106.mp3[197.320,204.040] YEAH FOR SURE WHEN YOU HAD THIS IN THE PAST WERE YOU EVER DONE GIVEN A DIAGNOSIS +audio/RES0106.mp3[204.040,210.080] NO I DIDNT GO TO SEE A DOCTOR I JUST KIND OF STAY AT HOME +audio/RES0106.mp3[210.960,215.280] I THOUGHT IT WAS JUST LIKE A MILD INFECTION OR SOMETHING +audio/RES0106.mp3[215.280,220.720] MHMM HAVE YOU TRIED ANYTHING FOR THE COUGH THIS TIME AROUND +audio/RES0106.mp3[220.720,226.400] I HAD SOME LIKE LOZENGES AND I HAVENT AND THOSE HAVE BEEN HELPING ME +audio/RES0106.mp3[227.640,238.000] OK GOOD IF YOU WERE TO DESCRIBE YOUR COUGH IS IT BARKY HARSH MUFFLED LIKE WHAT WHAT WOULD YOU SAY THE SOUND OF IT IS +audio/RES0106.mp3[238.000,254.920] UHM I DONT KNOW ITS KIND OF LIKE LIKE A NORMAL COUGH YOU KNOW LIKE WHEN YOURE CLEARING YOUR THROAT OR SOMETHING OR WHEN YOURE LIKE WHEN SOMETHING GETS STUCK IN YOUR THROAT JUST LIKE LIKE A NORMAL COUGH I DONT THINK ITS BARKY +audio/RES0106.mp3[254.920,262.440] OK OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0106.mp3[262.440,265.720] NO I DONT I DONT +audio/RES0106.mp3[265.720,270.920] NO OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0106.mp3[270.920,274.080] I HAVE MY WISDOM TEETH REMOVED +audio/RES0106.mp3[274.080,276.160] OK WHEN WAS THAT +audio/RES0106.mp3[276.160,284.280] ABOUT 89 YEARS AGO WHEN I WAS 17 YEARS OF 16 YEARS OLD AH 17 YEARS OLD +audio/RES0106.mp3[284.280,289.000] OK OK AND ARE YOU ON ANY MEDICATIONS +audio/RES0106.mp3[289.000,292.720] IM JUST TAKING THIS BIRTH CONTROL PILL +audio/RES0106.mp3[292.720,296.840] OK WHICH ONE +audio/RES0106.mp3[296.840,303.640] UHM YEAH ITS CALLED UHM I FORGET THE NAME +audio/RES0106.mp3[303.640,308.320] AH NO WORRIES AND WHEN DID YOU START IT +audio/RES0106.mp3[308.320,309.600] I STARTED THREE YEARS AGO +audio/RES0106.mp3[309.600,315.800] THREE YEARS AGO OK AND NO SIDE EFFECTS NO ISSUES WITH IT +audio/RES0106.mp3[315.800,318.280] NO NO ITS ALL GOOD +audio/RES0106.mp3[318.280,321.200] AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0106.mp3[321.200,324.040] UH YEAH I THINK SO +audio/RES0106.mp3[324.040,327.760] OK DID YOU GET THE FLU SHOT THIS YEAR +audio/RES0106.mp3[327.760,330.760] NO I DIDNT +audio/RES0106.mp3[330.760,352.000] NO OK YEAH WE RECOMMEND GETTING IT OUT ONCE A YEAR JUST YEAH FOR YOUR SAFETY AND FOR EVERYONE ELSES AND EVEN IF YOU GET THE FLU MAYBE YOUR SYMPTOMS WONT BE AS SEVERE AND THEN DO YOU HAVE ANY ALLERGIES +audio/RES0106.mp3[352.000,355.720] UH I DONT NO +audio/RES0106.mp3[355.720,361.280] NO OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0106.mp3[361.280,365.600] UHM MY MOM HAS DIABETES +audio/RES0106.mp3[367.120,372.160] AND MY DAD HAS HIGH BLOOD PRESSURE +audio/RES0106.mp3[372.160,375.880] OK UHM AND THEN ANY CANCERS IN THE FAMILY +audio/RES0106.mp3[378.480,389.880] NO OK AND HAVE YOU BEEN IN CONTACT WITH ANY ANY SICK PEOPLE RECENTLY +audio/RES0106.mp3[389.880,393.280] NO IVE JUST BEEN STAYING AT HOME +audio/RES0106.mp3[393.280,397.640] OK UHM ANY TRAVEL RECENTLY +audio/RES0106.mp3[398.000,404.880] NO OK HOW ABOUT UMM SMOKING DO YOU SMOKE +audio/RES0106.mp3[404.880,406.200] UHM ONCE IN AWHILE +audio/RES0106.mp3[406.200,410.400] OK WHATS ONCE IN AWHILE +audio/RES0106.mp3[410.400,419.280] MAYBE WHEN IM OUT WITH MY FRIENDS I MIGHT SOMETIMES HAVE A CIGARETTE OR TWO I USED TO SMOKE A LOT MORE BUT IM TRYING TO CUT IT DOWN +audio/RES0106.mp3[419.280,422.520] OK HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0106.mp3[422.520,428.120] I STARTED SMOKING IN HIGH SCHOOL SO WHEN I WAS 18 YEARS OLD +audio/RES0106.mp3[429.560,450.440] AND AT THAT TIME I WOULD HAVE ABOUT 6 CIGARETTES A DAY BUT THEN I LIKE I I KNEW THAT SMOKING WASNT GOOD FOR ME SO IM TRYING TO CUT IT DOWN BUT MY FRIENDS STILL SMOKE SO SOMETIMES WHEN I GO OUT WITH THEM ILL JUST HAVE A CIGARETTE OR TWO MAYBE LIKE ONCE A MONTH I WOULD SAY +audio/RES0106.mp3[450.440,459.680] ONCE A MONTH OK OK AND THEN ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE OR ANYTHING LIKE THAT +audio/RES0106.mp3[459.680,466.240] I TRIED A FEW IN HIGH SCHOOL BUT NOT SINCE THEN I HAD YEAH I HAD COCAINE ONCE +audio/RES0106.mp3[466.240,470.920] OK AND DO YOU DRINK ALCOHOL +audio/RES0106.mp3[470.920,475.000] YEAH I HAVE A GLASS AT NIGHT +audio/RES0106.mp3[475.000,479.160] OK GLASS OF WINE OR BEER +audio/RES0106.mp3[479.160,481.880] GLASS OF WINE +audio/RES0106.mp3[481.880,484.840] AND AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0106.mp3[484.840,494.600] UH I LIVE I LIVE IN AN APARTMENT WITH MY BOYFRIEND ABOUT 20 MINUTES FROM HERE +audio/RES0106.mp3[494.600,504.280] OK ANY OLD CARPETS AT HOME DUST MOLD ASBESTOS ANYTHING THAT WOULD BE TRIGGERING YOUR COUGH +audio/RES0106.mp3[504.280,513.400] I DONT KNOW I HAVE NOT REALLY HAD A PROBLEM BUT BEEN HERE AT THIS PLACE FOR ABOUT A YEAR AND A HALF +audio/RES0106.mp3[514.040,520.040] IT IS AN OLD BUILDING BUT ITS BEEN OK SO FAR NO RECENT CHANGES +audio/RES0106.mp3[520.040,527.000] OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0106.mp3[527.000,534.240] NO I WAS JUST WORRIED THIS COUGH ISNT ISNT SERIOUS RIGHT YOU DONT THINK I HAVE COVID +audio/RES0106.mp3[534.240,602.440] SO BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WERE GOING TO GET A SWAB ON YOU DONE AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS AND IF ITS POSITIVE PUBLIC HEALTH WILL BE IN TOUCH UMM TO DO SOME CONTACT TRACING IN THE MEANTIME BECAUSE YOU HAVE A COUGH IT IS RECOMMENDED THAT YOU ISOLATE FOR 14 DAYS AND IF ITS NOT COVID BUT ITS PROBABLY SOMETHING LIKE ACUTE BRONCHITIS OR SOME OTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO FOR THAT WE CAN YOU CAN JUST TREAT IT WITH LIKE SUPPORTIVE TREATMENTS YOU KNOW LIKE STAYING HYDRATED UHM GOOD NUTRITION GOOD SLEEP AND JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR REALLY SEVERE LIKE YOURE HAVING NEUROLOGICAL SYMPTOMS AND JUST SEEK HELP FROM THE ER +audio/RES0106.mp3[602.440,605.240] FOR SURE THANK YOU +audio/RES0106.mp3[605.240,608.000] YEAH TAKE CARE +audio/RES0101.mp3[0.000,2.480] HOW MAY I HELP YOU +audio/RES0101.mp3[2.480,33.760] HI SO YEAH I IM REALLY WORRIED I STARTED COUGHING UP BLOOD THIS MORNING AND FOR THE LAST TWO DAYS IVE BEEN HAVING SOME LIKE ON MY RIGHT CALF JUST A LOT OF SWELLING AND TENDERNESS UHM I JUST ACTUALLY GOT OUT OF THE HOSPITAL JUST LAST WEEK I HAD A KNEE REPLACEMENT SURGERY ON MY RIGHT LEG SO YEAH I WAS JUST REALLY CONCERNED ABOUT THIS BLOOD THAT IM COUGHING UP +audio/RES0101.mp3[33.760,44.440] YEAH CERTAINLY SO WHEN SO YOU HAD A KNEE SURGERY LAST WEEK WERE YOU LIKE IMMOBILIZED AFTERWARDS FOR PERIODS OF TIME +audio/RES0101.mp3[44.440,60.320] PYEAH IVE BEEN JUST TAKING SOME REST NOT REALLY DOING TOO MUCH AND EVEN IN THE HOSPITAL LIKE I WAS THERE FOR A DAY AND WAS PRETTY IMMOBILIZED +audio/RES0101.mp3[60.320,69.560] OK AND HAVE YOU HAD ANY PAIN IN YOUR CALF AND IF SO WHICH WHICH ONE +audio/RES0101.mp3[69.560,79.240] ITS JUST THE RIGHT CALF AND ITS ITS PRETTY SWOLLEN RIGHT NOW AND I WAS HAVING A LOT OF PAIN OVER IT FOR THE LAST TWO DAYS +audio/RES0101.mp3[79.240,89.360] OK IS IT CAN YOU FEEL THE PAIN AT REST OR OR IS IT WITH UH LIKE WITH MOVEMENT OR IF YOU PRESS ON IT +audio/RES0101.mp3[89.360,112.760] ITS YEAH ITS PRETTY TENDER WHEN I PRESS ON IT I HAVENT REALLY BEEN MOVING AROUND AND ITS STILL LIKE PAINFUL RIGHT NOW BUT IT DOESNT REALLY HURT WHEN IM LIKE LIKE IVE BEEN TRYING TO KEEP MYSELF RESTED JUST BECAUSE OF THE SURGERY BUT WHEN I PRESS ON IT IT IS PRETTY TENDER +audio/RES0101.mp3[112.760,125.160] OK AND IS THE IS THE SWELLING IN KIND OF ONE SPOT OF YOUR LEG OR IS IT MOST OF THE OF THE LEG +audio/RES0101.mp3[125.160,131.400] ITS JUST THE CALF I WOULD SAY MORE LIKE JUST THE LOWER LEG AREA +audio/RES0101.mp3[131.400,140.560] OK HAVE YOU NOTICED ANY SKIN CHANGES LIKE REDNESS OR OR OR TEMPERATURE LIKE IT FEELS HOT TO TOUCH +audio/RES0101.mp3[140.560,144.720] MAYBE A LITTLE BIT I HAVENT REALLY NOTICED IT TOO MUCH +audio/RES0101.mp3[144.720,155.800] OK AND DO YOU HAVE A HISTORY OF LIKE VARICOSE VEINS OR ANYTHING LIKE THAT +audio/RES0101.mp3[155.800,159.240] NO NOTHING LIKE THAT +audio/RES0101.mp3[159.240,166.920] OK SO UHM WHEN DID THE COUGHING UP BLOOD START +audio/RES0101.mp3[166.920,175.360] JUST THIS MORNING ACTUALLY SO JUST UH LIKE I WOULD SAY A COUPLE HOURS AGO +audio/RES0101.mp3[175.360,179.160] OK AND HOW MUCH BLOOD ARE YOU COUGHING UP +audio/RES0101.mp3[179.160,198.440] JUST SOME ON LIKE I JUST NOTICE ON THE TISSUE LIKE JUST SOME SPOTS THAT I NOTICED EVERY TIME THAT IM LIKE I WOULD HAVE TO COUGH IT UP MAYBE LIKE IN THE LAST COUPLE HOURS IVE HAD THREE EPISODES OF THAT WHERE IVE NOTICED BLOOD ON THE TISSUE +audio/RES0101.mp3[198.440,202.760] I SEE AND DID YOU EVER COUGH PRIOR TO THIS +audio/RES0101.mp3[202.760,208.280] NO NOT REALLY +audio/RES0101.mp3[208.280,221.080] OK UHM AND HAVE YOU BEEN EXPERIENCING ANY INFECTIOUS SYMPTOMS LIKE RED OR RUNNY EYES RUNNY NOSE SORE THROAT +audio/RES0101.mp3[221.080,224.200] NO NOTHING LIKE THAT +audio/RES0101.mp3[224.200,234.160] HAVE YOU BEEN HAVING ANY CHEST PAIN OR OR SHORTNESS OF BREATH +audio/RES0101.mp3[234.160,248.680] NO CHEST PAIN BUT I DO FEEL LIKE I DO HAVE TO TAKE LIKE A DEEPER BREATH LIKE IVE JUST BEEN FEELING IT THIS MORNING A LITTLE BIT ITS JUST KIND OF A BIT OF UNEASY BREATHING +audio/RES0101.mp3[248.680,258.880] OK SO IT HAS BEEN MORE DIFFICULT TO BREATHE AND IS THAT IS THAT AT REST AS WELL DO YOU FEEL THAT KIND OF SENSATION +audio/RES0101.mp3[258.880,266.080] YEAH EVEN RIGHT NOW JUST A LITTLE BIT LIKE ITS ITS NOT ANYTHING THAT IM TOO WORRIED ABOUT BUT IT IS THERE +audio/RES0101.mp3[266.080,271.200] OK DO YOU HAVE ANY PAIN IF YOU HAVE IF IF YOU TAKE A DEEP BREATH IN +audio/RES0101.mp3[271.200,276.920] UH NO I DONT NO I DONT REALLY HAVE ANY PAIN +audio/RES0101.mp3[276.920,283.960] OK AND DO YOU FEEL LIKE YOUR YOUR HEARTS RACING OR BEATING REALLY FAST +audio/RES0101.mp3[283.960,295.120] I I DO FEEL LIKE MY HEART IS BEATING LIKE FASTER ESPECIALLY TODAY BUT YEAH I DONT KNOW +audio/RES0101.mp3[295.120,300.800] ALRIGHT AND HOW ABOUT YOUR BREATHING DO YOU FEEL LIKE YOURE BREATHING FASTER +audio/RES0101.mp3[300.800,308.080] NO BREATHING I FEEL LIKE ITS AROUND THE SAME +audio/RES0101.mp3[308.080,313.760] OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS OR OR FEELING LIKE YOURE GOING TO PASS OUT +audio/RES0101.mp3[316.040,321.800] OK AND HAVE YOU HAD ANY ANY WHEEZING +audio/RES0101.mp3[321.800,323.520] NO WHEEZING +audio/RES0101.mp3[323.520,327.920] ALRIGHT UH HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0101.mp3[327.920,330.520] UH NO NO ABDOMINAL PAIN +audio/RES0101.mp3[330.520,332.800] ANY NAUSEA OR VOMITING +audio/RES0101.mp3[334.040,337.000] HAVE YOU HAD ANY DIARRHEA +audio/RES0101.mp3[337.000,338.480] NO DIARRHEA NO +audio/RES0101.mp3[338.480,343.080] HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/RES0101.mp3[344.520,348.560] HAVE YOU HAD ANY SKIN CHANGES OR OR RASHES +audio/RES0101.mp3[348.560,351.240] UH NO +audio/RES0101.mp3[351.240,358.280] OK AND HOW ABOUT ANY OTHER LIKE JOINT PAINS MUSCLE ACHES +audio/RES0101.mp3[358.280,361.680] NO NOTHING LIKE THAT +audio/RES0101.mp3[361.680,367.800] ALRIGHT HAVE YOU EVER HAD A A DVT BEFORE +audio/RES0101.mp3[367.800,371.720] NO IVE NEVER HAD ANYTHING LIKE THAT +audio/RES0101.mp3[371.720,378.640] OK OR YEAH LIKE A DEEP VEIN THROMBOSIS OR HAVE YOU HAD A PULMONARY EMBOLISM BEFORE +audio/RES0101.mp3[378.640,383.400] NO IVE NEVER HAD ANYTHING LIKE THAT BEFORE +audio/RES0101.mp3[383.400,387.520] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0101.mp3[387.520,400.640] I DO HAVE UH SO WITH MY WITH MY KNEE AND THEN I DO HAVE HIGH BLOOD PRESSURE UH I HAVE DIABETES +audio/RES0101.mp3[400.640,403.680] OK THEN WAS IT A KNEE REPLACEMENT YOU HAD DONE +audio/RES0101.mp3[405.560,411.520] OK AND DO YOU TAKE ANY MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES +audio/RES0101.mp3[411.520,424.640] YEAH SO FOR THE BLOOD PRESSURE IM TAKING MEDICATION CALLED RAMIPRIL AND THEN FOR DIABETES IM TAKING METFORMIN +audio/RES0101.mp3[424.640,429.560] OK HAVE YOU NEEDED LIKE INSULIN FOR DIABETES BEFORE +audio/RES0101.mp3[429.560,433.240] NO IVE NEVER HAD TO USE INSULIN +audio/RES0101.mp3[433.240,439.440] OK AND AND DO YOU TAKE ANY OTHER MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +audio/RES0101.mp3[439.440,447.600] NO NOTHING ELSE I ACTUALLY I DO TAKE SOME MULTIVITAMINS BUT BESIDES THAT NOTHING +audio/RES0101.mp3[447.600,450.840] ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0101.mp3[450.840,453.120] NOT THAT I KNOW OF +audio/RES0101.mp3[453.120,460.560] OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST BESIDES THE THE KNEE SURGERY LAST WEEK +audio/RES0101.mp3[462.360,471.960] ALRIGHT SO YOUVE BEEN HEALTHY OTHERWISE I IM NOT SURE I I ASK THIS IM WONDERING IF YOU HAD ANY FEVERS OR CHILLS +audio/RES0101.mp3[471.960,474.480] NO NOT REALLY +audio/RES0101.mp3[474.480,477.600] OK AND UH HOW ABOUT ANY NIGHT SWEATS +audio/RES0101.mp3[479.120,485.520] ALRIGHT AND UHM HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS OR HAVE YOU HAD ANY CHANGES +audio/RES0101.mp3[485.520,487.480] YEAH ITS BEEN PRETTY STABLE +audio/RES0101.mp3[487.480,501.160] OK THANK YOU JUST WANTED TO CLARIFY A FEW THINGS THERE AND UHM CURRENTLY CAN YOU TELL ME ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0101.mp3[501.160,512.320] YEAH SO IM LIVING WITH MY WIFE IN A HOUSE I DO HAVE TWO KIDS BUT THEYRE OFF TO COLLEGE RIGHT NOW SO ITS JUST US 2 +audio/RES0101.mp3[512.320,517.080] OK AND AND WHAT WHAT DO YOU DO FOR UH FOR WORK +audio/RES0101.mp3[517.080,536.480] YES SO I ACTUALLY WORK AS A MECHANIC AND RIGHT NOW IM KIND OF OFF OF WORK WITH I JUST NEED TO RECOVER AND KIND OF GET THAT PHYSIOTHERAPY DONE AND THEN I CAN RETURN HOPEFULLY IN A MONTH OR TWO +audio/RES0101.mp3[536.480,547.160] OK YEAH WE NEED TO RECOVER AFTER THE KNEE SURGERY OK AND DO YOU SMOKE CIGARETTES +audio/RES0101.mp3[547.160,559.440] I USED TO BUT I QUIT WHEN I WAS IN MY THIRTIES I USED TO SMOKE LIKE PROBABLY A PACK A DAY BETWEEN MY 20S AND 30S +audio/RES0101.mp3[559.440,565.120] OK BUT IT SOUNDS LIKE YEAH YOU QUIT ABOUT 20 YEARS AGO THEN +audio/RES0101.mp3[566.320,569.760] OK AND DO YOU DRINK ALCOHOL +audio/RES0101.mp3[569.760,573.760] UH NO +audio/RES0101.mp3[573.760,577.320] OK HOW ABOUT USING ANY OTHER RECREATIONAL DRUGS +audio/RES0101.mp3[577.320,581.040] NO OTHER DRUGS +audio/RES0101.mp3[581.040,585.000] OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR OR LUNG CONDITIONS +audio/RES0101.mp3[585.000,589.440] NO NOT THAT I KNOW OF +audio/RES0101.mp3[589.440,599.760] OK AND ANYBODY IN THE FAMILY HAVE A BLEEDING DISORDER OR OR A CLOTTING DISORDER +audio/RES0101.mp3[599.760,601.680] NO NOT NOT THAT IM AWARE OF +audio/RES0101.mp3[601.680,613.720] OK HAVE YOU HEARD OF ANYBODY IN THE FAMILY HAVING I KNOW YOU SAID YOU HAVENT HAD HAD THIS BEFORE BUT ANYBODY IN THE FAMILY HAVING A DEEP VEIN THROMBOSIS OR OR PE +audio/RES0101.mp3[613.720,619.200] NOT THAT I KNOW NOT REALLY +audio/RES0101.mp3[619.200,649.800] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY WELL DO PHYSICAL EXAM AND ILL LISTEN TO YOUR CHEST AND HAVE A LOOK AT YOUR LEG WELL ALSO ORDER SOME IMAGING STUDIES WITH A CTPA ITS CALLED UH BUT BEFORE WE GO AHEAD WITH THAT WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD +audio/RES0101.mp3[649.800,653.320] NO I THINK THATS THATS ALL +audio/RES0101.mp3[653.320,688.160] OK SO WELL GET THE LAB WORK STARTED AS WELL AS THE IMAGING ORDERED IT WILL LOOK FOR TO SEE IF THERE IS ANY PULMONARY EMBOLISM PRESENT BECAUSE WITH THE SURGERY LAST WEEK AND BEING IMMOBILIZED FOR A PERIOD OF TIME IT IS A RISK FACTOR FOR IT AND LEG SWELLING WITH UHM COUGHING UP BLOOD CAN BE SYMPTOMS OF THIS SO WELL WANNA MAKE SURE TO TO DO TO INVESTIGATE FOR A PULMONARY EMBOLISM +audio/RES0101.mp3[688.160,691.240] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0101.mp3[691.240,693.880] SOUNDS GOOD THANK YOU +audio/RES0028.mp3[0.000,4.280] CAN YOU JUST TELL ME WHAT BRINGS YOU IN HERE TODAY +audio/RES0028.mp3[4.280,9.320] YEAH MY CHEST IS REALLY HURTING +audio/RES0028.mp3[9.320,12.880] OK AND WHERE WHERE DOES IT HURT EXACTLY +audio/RES0028.mp3[12.880,19.400] ITS HARD TO SAY THE EXACT LOCATION BUT MORE ON THE LEFT SIDE OF MY CHEST +audio/RES0028.mp3[19.400,29.440] OK AND IS IT LIKE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL ACHING PAIN OR IS IT AS SHARP OR STABBING PAIN +audio/RES0028.mp3[29.440,36.400] THE PAIN IS ITS STABBING BUT ALSO IT FEELS REALLY REALLY TIGHT IN MY CHEST +audio/RES0028.mp3[36.400,47.040] OK AND IF YOURE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT +audio/RES0028.mp3[47.040,50.280] I THINK AT 6 +audio/RES0028.mp3[50.280,55.920] SIX OK AND WHEN DID IT START +audio/RES0028.mp3[55.920,60.600] IT STARTED THIS MORNING JUST RIGHT AFTER I GOT OUT OF BED +audio/RES0028.mp3[60.600,66.400] OK SO YOU WERENT DOING ANYTHING LIKE YOU WERENT DOING ANY ACTIVITIES YOU JUST WOKE UP FROM SLEEP +audio/RES0028.mp3[66.400,79.120] YEAH I GOT OUTTA BED I WAS JUST TRYING TO GET DRESSED AND ALL OF A SUDDEN I GOT THIS TIGHTNESS AND AND STABBING PAIN ON THE LEFT SIDE OF MY CHEST +audio/RES0028.mp3[79.120,82.960] OK APPROXIMATELY HOW MANY HOURS AGO WAS THAT +audio/RES0028.mp3[82.960,89.040] I I WOULD SAY ABOUT SIX HOURS AGO +audio/RES0028.mp3[89.040,94.160] OK AND HAS IT BEEN AS A PAIN GETTING WORSE AT ALL +audio/RES0028.mp3[94.160,97.000] UH ITS ITS GETTING WORSE +audio/RES0028.mp3[97.000,104.160] ITS GETTING WORSE OK AND HAVE YOU HAD ANY SIMILAR SORT OF PAIN IN THE PAST BEFORE +audio/RES0028.mp3[104.160,108.880] UM NOTHING LIKE THIS BEFORE +audio/RES0028.mp3[108.880,116.520] NO OK AND IS THE PAIN GOING ANYWHERE ELSE OR IS IT JUST STAYING IN YOUR CHEST +audio/RES0028.mp3[116.520,120.520] THE PAIN IS JUST IN MY CHEST +audio/RES0028.mp3[120.520,126.400] OK AND DOES ANYTHING THAT YOU DO MAKE IT FEEL BETTER +audio/RES0028.mp3[126.400,131.080] SITTING UP TENDS TO MAKE IT FEEL A BIT BETTER +audio/RES0028.mp3[131.080,136.680] OK AND DOES ANYTHING YOU DO MAKE IT GET MAKE THE PAIN GET WORSE +audio/RES0028.mp3[136.680,140.080] IT GETS WORSE EVERY TIME I BREATHE IN +audio/RES0028.mp3[140.080,144.600] OK AND WHAT KIND OF PAIN DO YOU GET WHEN YOU BREATHE IN +audio/RES0028.mp3[144.600,149.680] ITS A SHARP STABBING PAIN +audio/RES0028.mp3[149.680,159.680] OK AND APART FROM THE PAIN ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR SHORTNESS OF BREATH AND ANYTHING LIKE THAT +audio/RES0028.mp3[159.680,168.400] YEAH WITH THE PAIN IM HAVING A HARD TIME BREATHING +audio/RES0028.mp3[168.400,176.320] OK OK I JUST HAVE A FEW OTHER QUESTIONS UH HAVE YOU RECENTLY HAD ANY KIND OF TRAUMA OR INJURY TO YOUR CHEST AT ALL +audio/RES0028.mp3[176.320,179.640] UM NO +audio/RES0028.mp3[179.640,183.040] OK HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0028.mp3[183.040,192.040] I WAS IN IN ITALY FOR THE PAST THREE WEEKS ACTUALLY JUST GOT BACK LAST NIGHT +audio/RES0028.mp3[192.040,203.600] OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF NAUSEA OR VOMITING OR FEVER OR CHILLS +audio/RES0028.mp3[203.600,216.960] NO NO NAUSEA OR VOMITING I DID TAKE MY TEMPERATURE NO SORRY I DID NOT TAKE MY TEMPERATURE BUT IVE BEEN HAVING CHILLS THE LAST FEW DAYS +audio/RES0028.mp3[216.960,227.120] OK UH AND UH YEAH JUST CURIOUS HAVE YOU BEEN HAVING ANY KIND OF SWELLING AT ALL IN YOUR FEET OR ANKLES +audio/RES0028.mp3[227.120,235.560] AH MY LEGS FELT A BIT SWOLLEN ON THE WAY BACK ON THE AIRPLANE BUT THEY TEND TO SWELL SO I DIDNT THINK ANYTHING OF IT +audio/RES0028.mp3[235.560,240.720] OK SO THEY HAVE SWOLLEN UP BEFORE BUT YOU SAW THEM SWOLLEN THIS TIME AS WELL +audio/RES0028.mp3[243.600,247.640] OK AND HAVE YOU BEEN FEELING AT ALL FATIGUED AT ALL +audio/RES0028.mp3[247.640,254.720] IVE BEEN REALLY TIRED WITH ALL OF THE TRAVELING SO I THINK MAYBE IM JUST JET LAGGED +audio/RES0028.mp3[254.720,263.000] OK HAVE YOU NOTICED THAT ALL YOUR HEART RACING LIKE ANY PALPITATIONS +audio/RES0028.mp3[263.000,269.640] YEAH SINCE THIS MORNING ITS FELT LIKE MY HEART IS IS RACING +audio/RES0028.mp3[269.640,274.880] OK HAVE YOU NOTICED ANY SKIN CHANGES AT ALL ANY RASHES +audio/RES0028.mp3[274.880,277.000] NO RASHES +audio/RES0028.mp3[277.000,281.920] OK HAVE YOU NOTICED ANY COUGH COUGHING AT ALL +audio/RES0028.mp3[281.920,287.360] IVE HAD A COUGH SINCE LAST WEEK BUT IT FEELS MUCH WORSE TODAY +audio/RES0028.mp3[287.360,295.920] OK AND HAS THERE BEEN ANY KIND OF GREEN SLIMY MUCUS IN YOUR COUGH AT ALL +audio/RES0028.mp3[295.920,299.800] NO ITS BEEN A DRY COUGH +audio/RES0028.mp3[299.800,305.000] DRY COUGH OK AND HAVE YOU NOTICED AT ALL COUGHING UP BLOOD +audio/RES0028.mp3[305.000,306.560] NO BLOOD +audio/RES0028.mp3[306.560,313.760] OK AND HAVE YOU RECENTLY HAD ANY INFECTIONS IN THE LAST MONTH +audio/RES0028.mp3[313.760,328.800] YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND SORE THROAT AND A LITTLE BIT OF A HEADACHE BUT I FEEL BETTER FROM THAT NOW +audio/RES0028.mp3[328.800,335.280] OK AND TO JUST GO AWAY BY ITSELF OR DID YOU HAVE TO TAKE ANY MEDICATIONS +audio/RES0028.mp3[335.280,338.600] IT JUST WENT AWAY ON ITS OWN +audio/RES0028.mp3[338.600,342.640] OK HAVE YOU BEEN FEELING ANY KIND OF DIZZINESS AT ALL +audio/RES0028.mp3[342.640,350.480] I HAVE A LITTLE BIT OF YEAH UM DIZZINESS WHEN I WHEN THE PAIN GETS REALLY BAD +audio/RES0028.mp3[350.480,360.480] OK AND I KNOW YOU MENTIONED SOME SWELLING IN YOUR LEGS AND YOUR ANKLES BUT HAVE HAS ANY OF YOUR LEGS BEEN HURTING AT ALL +audio/RES0028.mp3[360.480,370.920] MY LEFT LEG HURTS REALLY BAD RIGHT NOW BUT MY ENTIRE BODY HAS BEEN ACHY THESE PAST FEW DAYS +audio/RES0028.mp3[370.920,375.880] OK AND THEN YOURE RIGHT LIKE DO YOU KNOW WHERE IT HURTS +audio/RES0028.mp3[375.880,378.320] UM I THINK JUST LIKE IN THE CALF +audio/RES0028.mp3[378.320,392.400] IN THE CALF OK OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY LIKE HYPERTENSION THAT LIKE DIABETES SO ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0028.mp3[392.400,396.160] NO I IM HEALTHY +audio/RES0028.mp3[396.160,399.120] OK ANY ALLERGIES TO MEDICATIONS +audio/RES0028.mp3[399.120,401.880] NO ALLERGIES +audio/RES0028.mp3[401.880,409.280] OK DO YOU TAKE ANY BIRTH CONTROL OR MULTI VITAMINS +audio/RES0028.mp3[409.280,417.080] YEAH I TAKE A DAILY BIRTH CONTROL PILL AND ALSO A DAILY MULTI VITAMIN +audio/RES0028.mp3[417.080,424.360] OK AND HOW LONG HAVE YOU BEEN ON THE BIRTH CONTROL PILL +audio/RES0028.mp3[424.360,428.040] UM FOR TWO YEARS +audio/RES0028.mp3[428.040,430.960] OK ANY HOSPITALIZATIONS RECENTLY +audio/RES0028.mp3[430.960,434.920] UM NONE THAT I CAN THINK OF +audio/RES0028.mp3[434.920,437.680] ANY ILL CONTACTS +audio/RES0028.mp3[439.760,442.040] ANY SURGERIES IN THE PAST +audio/RES0028.mp3[442.040,445.160] NO SURGERIES +audio/RES0028.mp3[445.160,456.120] OK IN YOUR FAMILY HAS ANYONE HAD ANY CONDITIONS LIKE HAS ANYONE PASSED AWAY FROM A HEART ATTACK ANY CANCERS ANYTHING LIKE THAT +audio/RES0028.mp3[456.120,475.800] NO CANCER BUT MY MOTHER DIED OF A HEART ATTACK WHEN SHE WAS 43 AND MY GRANDMA ALSO HAD A HEART ATTACK WHEN SHE WHEN SHE WAS YOUNGER I WANNA SAY IN HER 50S BUT I DONT EXACTLY REMEMBER HOW OLD +audio/RES0028.mp3[475.800,484.280] AND CURRENTLY RIGHT NOW WHERE DO YOU LIVE DO YOU LIVE IN LIKE A HOUSE APARTMENT +audio/RES0028.mp3[484.280,490.080] YEAH I LIVE IN AN APARTMENT BY MYSELF +audio/RES0028.mp3[490.080,493.160] OK AND DO YOU CURRENTLY WORK +audio/RES0028.mp3[493.160,497.680] YEAH IM IN CHARGE OF UM A RETAIL STORE AS A MANAGER THERE +audio/RES0028.mp3[497.680,500.440] OK AND DO DRINK +audio/RES0028.mp3[500.440,509.280] SOMETIMES ON WEEKENDS OR IF IM SOCIALIZING WITH FRIENDS BUT NOT VERY OFTEN +audio/RES0028.mp3[509.280,513.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0028.mp3[515.840,518.520] OK AND DO YOU SMOKE +audio/RES0028.mp3[518.520,528.520] YES I SMOKE ABOUT 2 PACKS OF CIGARETTES PER DAY AND IVE BEEN SMOKING SINCE I WAS 12 +audio/RES0028.mp3[528.520,538.440] OK ALRIGHT AND IN TERMS OF YOUR DAILY ROUTINE LIKE DO YOU GET ANY EXERCISE +audio/RES0028.mp3[538.440,547.360] UH NOT REALLY LIFES A BIT TOO BUSY AND HECTIC RIGHT NOW RIGHT NOW UNFORTUNATELY +audio/RES0028.mp3[547.360,552.120] OK AND HOW ABOUT YOUR DIET LIKE WHAT IS YOUR REGULAR DIET LOOK LIKE +audio/RES0028.mp3[552.120,565.480] A LOT OF FAST FOOD I KNOW I COULD WORK ON THAT BUT AGAIN WITH THE BUSY LIFESTYLE WE TEND TO EAT A LOT OF FRIED FOODS AND FATTY FOODS I KNOW I COULD DO BETTER +audio/RES0028.mp3[565.480,569.360] OK GREAT THANK YOU +audio/RES0013.mp3[0.000,7.480] HI IM ROB AND I JUST FEEL LIKE I CANT CATCH MY BREATH +audio/RES0013.mp3[7.480,10.240] OK HOW OLD ARE YOU ROB +audio/RES0013.mp3[10.240,15.280] IM IM 50 IM GONNA BE 50 SOON +audio/RES0013.mp3[15.280,19.600] OK OK WHEN DID THIS START +audio/RES0013.mp3[19.600,70.880] WELL LIKE LAST NIGHT I KINDA HAD LIKE AN ACHE ON MY CHEST KIND OF LIKE HERE LIKE ON THE LEFT I JUST I DIDNT DO ANYTHING REALLY LAST NIGHT AND YOU KNOW I JUST WENT TO SLEEP AND I GOT TO SLEEP FINE LIKE I JUST THOUGHT MAYBE I PULLED A MUSCLE ON THIS SIDE BUT THEN I WOKE UP AND I WAS LIKE WALKING UP THE STAIRS AND I LIKE WAS KINDA HAVING A HARD TIME BREATHING AND I TOOK SOME TYLENOL IT DIDNT REALLY DO ANYTHING UM AND THEN IT JUST GOT WORSE AND THEN A FEW HOURS AGO IS LIKE I COULD BARELY WALK AND IF IM BREATHING DEEP ITS LIKE IT JUST HURTS AND I FEEL LIKE I CANT LIKE CATCH MY BREATH LIKE I CANT GET A GOOD LIKE A GOOD BREATH IN +audio/RES0013.mp3[70.880,98.600] UM OK SO I JUST WANT TO STATE AT THIS POINT I WOULD DO ABCS LIKE I WOULD DO THE VITALS AND MAKE SURE YOURE STABLE AND THEN DO AIRWAY BREATHING CIRCULATION IF YOU WERENT BEFORE I CONTINUE WITH THE HISTORY OK SO OK SO THATS HOW IT STARTED UM ARE YOU HAVING ANY CHEST PAIN AT ALL ASSOCIATED WITH THAT +audio/RES0013.mp3[98.600,108.000] LIKE WHEN I BREATHE IN I GET LIKE AND ITS LIKE AN ACHE AND THEN IF I BREATHE REALLY DEEP IT FEELS LIKE A LITTLE SHARP +audio/RES0013.mp3[110.400,113.240] I HAVE NEVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0013.mp3[113.240,124.200] NO OK THAT WAS GOING TO BE MY NEXT QUESTION ON A SCALE OF 1 TO 10 HOW SEVERE IS YOUR SHORTNESS OF BREATH 10 BEING THE WORST +audio/RES0013.mp3[124.200,137.400] UM I DONT I DONT KNOW UM LIKE I CAN BREATHE RIGHT NOW I CANT GET LIKE A DEEP BREATH LIKE +audio/RES0013.mp3[137.400,139.080] DOES IT OH SORRY GO AHEAD +audio/RES0013.mp3[139.080,145.760] MAYBE LIKE YOU KNOW FIVE OR SIX +audio/RES0013.mp3[145.760,149.400] OK OK DOES IT HURT WHEN YOU TAKE A DEEP BREATH IN +audio/RES0013.mp3[150.880,155.720] YEAH ITS LIKE ITS LIKE SHARP +audio/RES0013.mp3[155.720,165.200] OK SORRY SOUNDS LIKE YOURE HAVING SOME PLEURITIC CHEST PAIN DO YOU HAVE ANY COUGHING ASSOCIATED WITH THAT +audio/RES0013.mp3[165.200,166.120] NO NO +audio/RES0013.mp3[166.120,170.040] NO YOURE NOT COUGHING UP ANY BLOOD +audio/RES0013.mp3[171.320,174.280] ANY SWELLING IN YOUR LEGS +audio/RES0013.mp3[174.280,178.000] I I DONT THINK SO +audio/RES0013.mp3[178.000,189.880] NO OK HOW ABOUT ON EXERTION LIKE WHEN YOU WALK OR RUN OR YOU KNOW DOES IT HURT MORE OR DOES I MEAN SORRY DOES YOUR SHORTNESS OF BREATH GET WORSE +audio/RES0013.mp3[189.880,195.920] OH YEAH IT WAS LIKE GOING UP THE STAIRS CANT REALLY BREATHE IN AFTER +audio/RES0013.mp3[195.920,199.360] OK HOW ABOUT WHEN YOURE LAYING DOWN +audio/RES0013.mp3[199.360,215.400] I DONT KNOW I DONT THINK THATS ANY DIFFERENT NO I SLEPT FINE LAST NIGHT I GOT UP AND WHEN I WENT UP THE STAIRS I WAS LIKE HOLY +audio/RES0013.mp3[215.400,220.160] OK HOW ABOUT WHEEZING ARE YOU EXPERIENCING ANY WHEEZING +audio/RES0013.mp3[220.160,222.880] I DONT THINK SO +audio/RES0013.mp3[222.880,227.440] OK HOW ABOUT FEVERS OR CHILLS +audio/RES0013.mp3[227.440,231.520] NO NOT THAT IVE NOTICED NO +audio/RES0013.mp3[231.520,240.480] OK ANY ABDOMINAL PAIN +audio/RES0013.mp3[240.480,248.800] UH NO NO ITS LIKE IT ACHES KIND OF IT BUT ITS ALL UP HERE AND LIKE KIND OF IN MY BACK A LITTLE BIT +audio/RES0013.mp3[248.800,255.000] OK AND DO YOU THINK ANYTHING TRIGGERED THIS +audio/RES0013.mp3[255.000,257.600] I DONT KNOW +audio/RES0013.mp3[257.600,264.440] NO OK AND YOU SAID THIS HAS NEVER HAPPENED TO YOU BEFORE RIGHT +audio/RES0013.mp3[264.440,266.640] RIGHT YEAH +audio/RES0013.mp3[266.640,270.440] DOES IT GET BETTER WITH YOU SITTING FORWARD +audio/RES0013.mp3[270.440,286.320] I DONT KNOW LIKE I I FEEL LIKE THAT ITS STILL KIND OF ACHING LIKE IT DOESNT ITS NOT REALLY LIKE CHANGING VERY MUCH +audio/RES0013.mp3[286.320,298.960] OK OK OK ANY CHANGES IN YOUR VISION HEARING OR SMELL +audio/RES0013.mp3[301.200,303.880] NO ANY RASHES +audio/RES0013.mp3[304.800,307.680] NO WEIGHT LOSS +audio/RES0013.mp3[307.680,311.840] I I MEAN IVE BEEN TRYING TO TO LOSE WEIGHT +audio/RES0013.mp3[312.640,319.520] THEY TOLD ME A YEAR AGO I HAVE LIKE HIGH BLOOD PRESSURE SO IVE BEEN CUTTING OUT LIKE SALT AND TRYING TO WALK MORE +audio/RES0013.mp3[319.520,321.240] OK OK GOOD +audio/RES0013.mp3[321.240,330.400] SO IVE LOST LIKE 15 POUNDS BUT LIKE NOT LIKE IVE BEEN TRYING TO +audio/RES0013.mp3[330.400,341.000] OK OK 15 POUNDS THATS GOOD ARE YOU EXPERIENCING ANY DIZZINESS OR YOU FEELING FAINT +audio/RES0013.mp3[341.000,347.160] NO JUST LIKE A I CANT GET LIKE A GOOD BREATH +audio/RES0013.mp3[347.160,353.480] OK AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED YOU HAVE HIGH BLOOD PRESSURE ANYTHING ELSE +audio/RES0013.mp3[353.480,358.160] NO THATS THATS LIKE IT IVE NEVER HAD ANY LIKE CHEST PROBLEMS +audio/RES0013.mp3[358.160,368.440] OK HAVE YOU HAD ANY INVESTIGATIONS DONE FOR YOUR CHEST LIKE PULMONARY FUNCTION TESTS ECGS CHEST XRAYS +audio/RES0013.mp3[368.440,385.600] NO NO THEY JUST THEY JUST PUT THE THING ON MY ARM BUT MY DOCTORS OFFICE AND SAID THAT IT WAS HIGH SO THEY SAID TO YOU KNOW EAT BETTER AND I DONT I DONT WANNA START ANY DRUGS SO I DIDNT DO ANYTHING IVE BEEN FINE EVER SINCE +audio/RES0013.mp3[385.600,389.840] OK SO YOURE NOT ON ANY MEDICATIONS +audio/RES0013.mp3[389.840,397.920] NO JUST YEAH NO THATS IT I MEAN I YOU KNOW SOMETIMES TAKE LIKE A TYLENOL IF IM +audio/RES0013.mp3[397.920,404.960] NOT FEELING WELL BUT +audio/RES0013.mp3[404.960,408.040] AND DO YOU SMOKE +audio/RES0013.mp3[408.040,412.560] I LIKE I SMOKE A LITTLE BIT MAYBE LIKE A PACK A WEEK +audio/RES0013.mp3[412.560,415.440] A PACK A WEEK OK FOR HOW LONG +audio/RES0013.mp3[415.440,417.560] OH LIKE SINCE COLLEGE +audio/RES0013.mp3[417.560,424.360] OK OK UM DO YOU SMOKE MARIJUANA +audio/RES0013.mp3[424.360,443.600] UH NO NO AND I I SMOKE IM TRYING TO SMOKE LESS YOU KNOW SINCE THEY TOLD ME I HAVE THE HIGH BLOOD PRESSURE SO I USED TO SMOKE A LITTLE MORE BUT THIS IS THIS IS LESS BUT NOT SINCE IVE BEEN HAVING TROUBLE BREATHING IS IT YEAH +audio/RES0013.mp3[443.600,451.120] YEAH OK ANY OTHER RECREATIONAL DRUGS +audio/RES0013.mp3[451.120,453.080] NO NO +audio/RES0013.mp3[453.080,456.760] NO OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0013.mp3[456.760,460.720] OH LIKE MAYBE YOU KNOW A BEER ON THE WEEKEND +audio/RES0013.mp3[460.720,468.800] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0013.mp3[468.800,478.480] LIKE I DONT I THINK I GOT ALL THE ONES WHEN I WAS LIKE A KID WHAT ELSE SHOULD I HAVE +audio/RES0013.mp3[478.480,481.880] OK SO LIKE THE FLU VACCINE EVERY YEAR +audio/RES0013.mp3[481.880,485.720] OH I GET THAT LIKE MY WIFE MY WIFE MAKES ME GET THAT +audio/RES0013.mp3[485.720,492.000] OK THATS GOOD ANY FAMILY HISTORY OF LUNG OR HEART DISEASE +audio/RES0013.mp3[492.000,511.280] OH LIKE MY UH MY MOM AND DAD HAVE HIGH BLOOD PRESSURE TOO SO I WASNT SURPRISED WHEN I HEARD THAT I DID +audio/RES0013.mp3[511.280,519.280] OK OK UM OK SO ROB IS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I HAVENT ASKED YOU ALREADY TODAY +audio/RES0013.mp3[519.280,536.040] I AM REALLY LIKE NERVOUS CAUSE I HAVENT FELT ANYTHING LIKE THIS BEFORE UM LIKE ITS SCARY LIKE DO YOU THINK ITS LIKE CANCER OR SOMETHING LIKE I DONT I DONT REALLY KNOW +audio/RES0013.mp3[536.040,549.040] UM I MEAN ITS HARD TO TELL RIGHT NOW WHAT IT IS IT SOUNDS LIKE ITS IT STARTED PRETTY SUDDENLY UM LIKE IT STARTED A DAY AGO CORRECT +audio/RES0013.mp3[550.560,649.320] YEAH SO ITS UNLIKELY THAT CANCER WOULD PRESENT ITSELF LIKE THIS SO ACUTELY YOU KNOW AND BUT IT COULD IT COULD BE A NUMBER OF THINGS LIKE IT COULD BE SOMETHING LIKE A PULMONARY EMBOLISM BUT YOU SAID YOU DONT HAVE ANY SWELLING UM BUT YOU DID SAY YOU HAVE SOME CHEST PAIN WHEN YOURE BREATHING PRETTY WHEN YOU TAKE A DEEP BREATH IN SO I MEAN THATS A POSSIBILITY IT DOESNT SOUND LIKE ITS AN INFECTION BECAUSE YOU DONT HAVE A FEVER OR CHILLS OR ANY ANY OTHER SYMPTOM REALLY AND YOU MENTIONED THERE WERENT ANY TRIGGERS LIKE NO TRAUMA TO THE AREA AND THEN OTHER THINGS COULD BE LIKE COPBECAUSE YOU WHICH IS A CHRONIC OBSTRUCTIVE PULMONARY DISEASE BECAUSE YOU HAVE BEEN SMOKING SINCE COLLEGE AND THATS BASICALLY JUST INFLAMMATION IN YOUR LUNGS THAT CAUSES YOUR AIRWAYS TO NARROW AND SO YOU MAY HAVE A HARD TIME BREATHING SO FOR ALL OF THESE THINGS WE FIRST START BY DOING SOME BLOOD WORK AND THEN WELL DO SOME IMAGING LIKE A CHEST XRAY AND A PULMONARY FUNCTION TEST IF INDICATED AND SO THAT WILL GIVE US A BETTER IDEA OF WHAT YOU HAVE AND HOW WE CAN BEST HELP YOU SOUNDS GOOD +audio/RES0013.mp3[649.320,655.080] YEAH YEAH I JUST REALLY WANT TO GET A GOOD BREATH SO YEAH WHATEVER WE CAN DO +audio/RES0013.mp3[655.080,665.040] YEAH FOR SURE AND THEN IN THE MEANTIME WELL KEEP MONITORING YOU TO MAKE SURE YOUR VITALS ARE OK AND IF WE NEED TO GIVE YOU OXYGEN WE WILL +audio/RES0013.mp3[665.040,668.520] THATD BE GREAT +audio/RES0013.mp3[668.520,676.480] OK THANK YOU +audio/RES0150.mp3[0.000,5.080] HOW MAY I HELP YOU +audio/RES0150.mp3[5.080,27.280] HI UM MY SON HAS JUST BEEN SICK OVER THE PAST UH COUPLE OF DAYS HES JUST HAD THIS COUGH AND UH STUFFY NOSE AND UHM YEAH HES ALSO HAD THIS UH RASH THAT JUST STARTED +audio/RES0150.mp3[27.280,33.960] OK AND SO CAN YOU TELL ME A BIT MORE ABOUT THE COUGH SO IT STARTED UM +audio/RES0150.mp3[33.960,65.280] YEAH SO THE COUGH STARTED ABOUT A WEEK AGO AND UM HIS STUFFY NOSE HES SORT OF HAD A STUFFY NOSE SINCE AROUND THE SAME TIME AND THEN UM THOSE SYMPTOMS UM SO IT CONTINUED AND GOT A LITTLE BIT BETTER OVER THE PAST FEW DAYS AND THEN HE STARTED UM HAVING THIS RASH ON HIS FACE THAT THEN KIND OF WENT DOWN TO HIS NECK +audio/RES0150.mp3[65.280,70.560] OK AND IS THE RASH STILL UH THERE RIGHT NOW +audio/RES0150.mp3[77.280,85.920] OK UM AND IS THE COUGH UH PRODUCTIVE IS HE BRINGING UP SPUTUM +audio/RES0150.mp3[87.840,93.760] OK UM HAS HE BROUGHT UP UM ANY BLOOD +audio/RES0150.mp3[95.560,102.920] OK UM AND UH YOU TOLD ME ABOUT THE THE RUNNY NOSE WHAT UM CAN YOU DESCRIBE THE DISCHARGE +audio/RES0150.mp3[102.920,123.800] YEAH ITS JUST UH ITS JUST UH WATERY DISCHARGE HIS EYES ARE ALSO RED AND KIND OF UM HES BEEN TEARY OR I GUESS JUST YEAH ITS JUST BEEN LIKE VERY WATERY AND RED AND UH YEAH ITS CLEAR DISCHARGE +audio/RES0150.mp3[123.800,126.920] OK UM HAS HE HAD A SORE THROAT +audio/RES0150.mp3[126.920,129.520] UM NO +audio/RES0150.mp3[129.520,136.680] ALRIGHT UM HOW ABOUT ANY CHANGES TO HIS SENSE OF SMELL OR OR TASTE +audio/RES0150.mp3[136.680,143.160] UHM HE UH HE HASNT REALLY UH YEAH HE HASNT SAID ANYTHING ABOUT THAT +audio/RES0150.mp3[143.160,148.800] ALRIGHT AND HAS HE HAD ANY PROBLEMS WITH BREATHING +audio/RES0150.mp3[149.040,154.280] OK HAS HE MENTIONED ANYTHING ABOUT CHEST PAIN +audio/RES0150.mp3[154.280,156.200] UH NO +audio/RES0150.mp3[156.200,161.640] ALRIGHT UM HAS HE HAD ANY FEVERS OR CHILLS +audio/RES0150.mp3[161.640,168.280] UH YEAH HE DOES HAVE A FEVER UM 395 I CHECKED YESTERDAY +audio/RES0150.mp3[168.280,176.520] OK UH IS THAT IS THAT THE FIRST TIME THAT UM HE WAS NOTED TO HAVE A FEVER YESTERDAY +audio/RES0150.mp3[176.520,198.280] UM HE HAS HAD A FEVER FOR THE PAST FEW DAYS UM IT WAS AROUND IT WAS LESS BETWEEN 375 TO 385 UM BUT THEN YESTERDAY WAS JUST UH IT JUST KEPT GOING UP SO I GOT CONCERNED AND THOUGHT I SHOULD BRING HIM IN +audio/RES0150.mp3[198.280,205.760] OK I SEE YEAH WELL ITS GOOD THAT YOU BROUGHT HIM IN UM HAS HE BEEN HAVING ANY NIGHT SWEATS +audio/RES0150.mp3[207.040,213.040] AND UM HOW HAS HIS WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAS HE BEEN GAINING WEIGHT OK STILL +audio/RES0150.mp3[213.040,215.120] OH YEAH +audio/RES0150.mp3[215.120,222.520] ALRIGHT THATS GREAT UM AND HAS HE HAD ANY ANY ANY WHEEZING +audio/RES0150.mp3[226.480,232.560] UM HOW ABOUT ANY LIKE CHANGES TO HIS APPETITE +audio/RES0150.mp3[232.560,238.160] UM HES JUST BEEN EATING LESS SINCE HES BEEN FEELING UNWELL +audio/RES0150.mp3[239.360,249.000] YEAH BUT HE STILL HE STILL HE MANAGES TO EAT ABOUT UM HALF THE PLATE SO I GUESS ITS NOT TOO BAD +audio/RES0150.mp3[249.000,251.160] AND THATS BEEN THE LAST FEW DAYS +audio/RES0150.mp3[251.160,253.320] YEAH YEAH +audio/RES0150.mp3[253.320,260.480] OK AND UM HAS HE HAD ANY MUSCLE ACHES OR BODY PAINS +audio/RES0150.mp3[260.480,264.040] UH NO NOT REALLY +audio/RES0150.mp3[264.040,287.480] OK AND UM IS ARE THERE ANY EXPOSURES THAT UM COULDVE POSSIBLY CAUSED A SKIN RASH LIKE CHANGES IN LIKE LAUNDRY DETERGENT OR UM LIKE COMING INTO CONTACT WITH WITH ANYTHING ON HIS SKIN OR OR TAKING UM OR ANY ANYTHING THAT HE WAS ALLERGIC TO THAT HES BEEN AROUND +audio/RES0150.mp3[287.480,301.040] UM I DONT THINK SO HE WAS PLAYING OUTSIDE WITH THE NEIGHBOURS UM WITH THE NEIGHBOURS KIDS BUT I DONT THINK HE CAME INTO CONTACT IM NOT SURE +audio/RES0150.mp3[301.040,306.440] OK UH HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0150.mp3[306.440,310.280] NO HES PRETTY HEALTHY +audio/RES0150.mp3[310.280,320.160] OK AND SORRY JUST TO TO GO BACK TO THE SYMPTOMS I MISSED A FEW QUESTIONS HERE DID HE HAVE UH DOES HE HAVE ANY NAUSEA OR VOMITING +audio/RES0150.mp3[321.160,323.400] HOW ABOUT ANY DIARRHEA +audio/RES0150.mp3[323.400,324.960] UH NO +audio/RES0150.mp3[324.960,328.200] OK AND ANY ABDOMINAL PAIN +audio/RES0150.mp3[328.200,329.640] UM NOPE +audio/RES0150.mp3[329.640,336.000] OR OR ANY URINARY PROBLEMS +audio/RES0150.mp3[336.000,337.440] NO NO +audio/RES0150.mp3[337.440,350.480] OK UM AND AND SO HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE UM DOES HE TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIBED OR OVER THE COUNTER +audio/RES0150.mp3[350.480,353.320] UM NO HE DOESNT +audio/RES0150.mp3[353.320,362.520] ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENT THAT YOURE AWARE OF +audio/RES0150.mp3[362.520,364.200] UM NO +audio/RES0150.mp3[364.200,368.560] OK AND UM ARE HIS IMMUNIZATIONS UP TO DATE +audio/RES0150.mp3[368.560,382.840] UM WELL NO I DONT I DONT I DONT VACCINATE MY KIDS IM JUST IM IM WORRIED THAT THEYLL UH GET AUTISM +audio/RES0150.mp3[382.840,425.760] OK YEAH THATS UH WELL ITS IMPORTANT TO KNOW UM TODAY THAT HES NOT VACCINATED BECAUSE CERTAINLY THAT WILL INFLUENCE UM WHAT WERE THINKING ABOUT IN TERMS OF WHAT COULD BE CAUSING THE SYMPTOMS UM AND WE CAN UH DISCUSS THE I GUESS MORE ABOUT THE VACCINATION PROCEDURES AND WHAT NOT LATER UM BUT OK SO HES NOT CURRENTLY VACCINATED AND HAVE THERE BEEN ANY UM CONCERNS WITH HIS GROWTH AND OR DEVELOPMENT +audio/RES0150.mp3[426.680,429.960] HES MEETING ALL OF THE THE MILESTONES AND DOING WELL AT SCHOOL +audio/RES0150.mp3[432.040,445.520] OK UM AND IN TERMS OF THE PREGNANCY UH WERE THERE ANY COMPLICATIONS DURING THE PREGNANCY LIKE GESTATIONAL DIABETES OR OR UM HIGH BLOOD PRESSURE +audio/RES0150.mp3[445.520,448.320] UH I DID HAVE GESTATIONAL DIABETES +audio/RES0150.mp3[448.320,455.200] UH SORRY YEAH DID THAT REQUIRE INSULIN OR +audio/RES0150.mp3[455.200,468.000] UH YEAH I DID HAVE TO TAKE INSULIN UM HE WAS HE WAS ALSO A PRETTY BIG BABY WHEN HE WAS BORN UM WE HAD TO I HAD TO GIVE GET A CSECTION DONE +audio/RES0150.mp3[468.000,472.880] OK WERE THERE ANY COMPLICATIONS WITH THE WITH THE PROCEDURE WITH THE SURGERY +audio/RES0150.mp3[472.880,477.280] NO NO NO COMPLICATIONS AT ALL +audio/RES0150.mp3[477.280,490.160] OK DID HE HAVE ANY UM LIKE BREATHING PROBLEMS OR JAUNDICE OR ANY REASONS TO STAY IN THE HOSPITAL WHEN WHEN HE WAS BORN +audio/RES0150.mp3[490.160,493.000] NO HE DIDNT +audio/RES0150.mp3[493.000,502.200] OK UM THATS GOOD AND UH WHOS HE LIVING WITH AND WHOS THE PRIMARY CAREGIVER CURRENTLY +audio/RES0150.mp3[502.200,517.200] IM THE PRIMARY CAREGIVER UM HES GOT AN OLDER BROTHER WHOS SEVEN YEARS OLD AND HIS DAD ITS THE FOUR OF US AND WE ALSO HAVE A DOG +audio/RES0150.mp3[517.200,527.360] OK ANY ALLERGIES TO THE DOG OR TO PETS AT ALL +audio/RES0150.mp3[529.080,542.320] OK UM AND UM ANY REASONS OR CONCERNS FOR UM UH PHYSICAL OR EMOTIONAL ABUSE IN THE HOME +audio/RES0150.mp3[543.000,548.440] OK AND UM ANY FAMILY HISTORY OF ANY HEART OR OR LUNG PROBLEMS +audio/RES0150.mp3[550.680,562.080] HOW ABOUT A FAMILY HISTORY OF ANY BLEEDING DISORDERS OR OR CLOTTING DISORDERS OR CANCERS +audio/RES0150.mp3[562.080,564.240] UM NO +audio/RES0150.mp3[564.240,590.480] OK UM SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON HISTORY UM SO IT SOUNDS LIKE UM HES HAD A COUGH UM A RUNNY NOSE UM SOME RED EYE RED EYES THAT WITH SOME TEARING AS WELL AS A RASH THAT THAT STARTED AND AND A FEVER WAS THERE ANY OTHER SYMPTOMS +audio/RES0150.mp3[592.480,637.640] ALRIGHT UM SO NEXT WELL GO ON TO THE PHYSICAL EXAM WELL WANT TO HAVE A LOOK UM AT THE RASH AND GET THE VITALS UM BUT THERE IS A CONCERN THAT THIS IS COULD BE UH MEASLES AND SO UM ITLL BE IMPORTANT TO UM SUPPORTIVE MANAGEMENT AND UM ENSURE THAT UM ITS NOT PASSED ON TO UM ANYBODY ELSE THAT REMINDS ME YEAH HE WAS OUT PLAYING WITH OTHER CHILDREN WERE ANY OTHER KIDS EXPERIENCING SIMILAR SYMPTOMS +audio/RES0150.mp3[637.640,643.000] UM IM NOT SURE I I GUESS I NEED TO TALK TO THEIR THEIR PARENTS NOW +audio/RES0150.mp3[643.000,661.520] YEAH IT WOULD BE UM A GOOD IDEA TO UH YEAH CONTACT UM AND SEE JUST TO MAKE SURE THAT WERE TREATING EVERYBODY APPROPRIATELY +audio/RES0150.mp3[664.280,672.800] AND THEN UH WE COULD TALK MORE ABOUT THE VACCINATION UM LATER +audio/RES0030.mp3[0.000,5.760] CAN YOU JUST TELL ME A LITTLE BIT ABOUT WHAT BRINGS YOU IN HERE TODAY +audio/RES0030.mp3[5.760,7.960] YEAH I I HAVE A COUGH +audio/RES0030.mp3[7.960,17.040] OK AND UH WHAT KIND OF COUGH IS IT LIKE A DRY COUGH OR IS IT MORE LIKE PRODUCTIVE COUGH +audio/RES0030.mp3[17.040,22.040] I ALWAYS SEEM TO BRING UP SOME GUNK ON MY WHEN I COUGH +audio/RES0030.mp3[22.040,25.240] OK AND WHAT WHAT COLOUR IS THIS GUNK +audio/RES0030.mp3[25.240,30.440] ITS GREEN SOMETIMES YELLOWISH +audio/RES0030.mp3[30.440,37.080] OK AND HAVE YOU NOTICED AT ALL ANY KIND OF BLOOD IN THE COUGH +audio/RES0030.mp3[37.080,40.880] WELL NO BLOOD +audio/RES0030.mp3[40.880,47.600] NO OK AND HOW MUCH OF THE GUNK OR THE SPUTUM WOULD YOU SAY YOU BRING UP EVERY DAY +audio/RES0030.mp3[47.600,57.640] UH A COUPLE OF KLEENEXES UM ILL USE BUT SO NOT THAT MUCH +audio/RES0030.mp3[57.640,63.400] OK AN AND WHEN DID THIS START +audio/RES0030.mp3[63.400,73.520] ITS REALLY HARD TO SAY IVE HAD A COUGH FOR THE PAST FEW YEARS NOW BUT I FEEL LIKE ITS GETTING WORSE +audio/RES0030.mp3[73.520,80.800] OK AND IS YOUR COUGH JUST CONSTANT OR DOES IT COME AND GO +audio/RES0030.mp3[80.800,87.440] I DO COUGH THROUGHOUT THE DAY BUT I FIND ITS WORSE IN THE MORNING +audio/RES0030.mp3[87.440,92.800] OK AND IS THERE ANYTHING THAT BRINGS ON YOUR COUGH +audio/RES0030.mp3[92.800,100.280] I CANT THINK OF ANYTHING THAT TRIGGERS THE COUGH JUST WORSE WHEN I GET UP IN THE MORNING +audio/RES0030.mp3[100.280,108.760] OK AND YOU MENTIONED YOUVE BEEN HAVING THIS COUGH OVER THE PAST FEW YEARS HAS IT BEEN GETTING WORSE AT ALL +audio/RES0030.mp3[108.760,115.800] YEAH I WOULD SAY THE COUGHS WERE GETTING WORSE THE LAST FEW YEARS SLOWLY THOUGH +audio/RES0030.mp3[115.800,124.600] OK AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS COUGH WITH SPUTUM LIKE GUNK GUNKY MATERIAL BEFORE +audio/RES0030.mp3[124.600,130.120] YEAH IVE BEEN HAVING THIS ONGOING FOR THE LAST FEW YEARS +audio/RES0030.mp3[130.120,141.000] OK AND IS THERE ANYTHING THAT YOU DO OR HAVE TRIED THATS MADE YOUR COUGHING GET EITHER BETTER OR WORSE +audio/RES0030.mp3[141.000,154.200] IF I TAKE A DEEP BREATH THEN IT SEEMS TO MAKE THE COUGH WORSE AND UH NOTHING REALLY HELPS THE COUGH GO AWAY THOUGH +audio/RES0030.mp3[154.200,164.640] OK UM AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT DIFFICULTY BREATHING ANYTHING LIKE THAT +audio/RES0030.mp3[164.640,168.160] UH NO +audio/RES0030.mp3[168.160,174.560] OK AND HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY +audio/RES0030.mp3[174.560,177.760] I HAVENT TRAVELED ANYWHERE +audio/RES0030.mp3[177.760,182.560] OK AND HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS +audio/RES0030.mp3[182.560,186.600] NO FEVER AND NO CHILLS +audio/RES0030.mp3[186.600,188.880] OK ANY NIGHT SWEATS +audio/RES0030.mp3[188.880,190.760] NO NIGHT SWEATS +audio/RES0030.mp3[190.760,198.160] OK ANY INCREASED FATIGUE OR JUST FEELING TIRED OVERALL +audio/RES0030.mp3[198.160,207.640] YEAH THESE LAST FEW MONTHS BY ENERGY HAS BEEN LOW I IVE BEEN FEELING A LOT MORE TIRED THAN USUAL +audio/RES0030.mp3[207.640,213.160] OK AND HAVE YOU NOTICED AT ALL ANY KIND OF SWELLING IN YOUR HANDS FEET ANKLES +audio/RES0030.mp3[213.160,221.800] UH I THINK THEYRE ALWAYS A LITTLE SWOLLEN BUT I MIGHT HAVE JUST GAINED A FEW POUNDS OVER THE YEARS +audio/RES0030.mp3[221.800,228.600] OK AND HAVE YOU BEEN HAVING ANY PALPITATIONS LIKE A RACING HEART OR ANY CHEST PAIN AT ALL +audio/RES0030.mp3[228.600,231.160] UM NO CHEST PAIN +audio/RES0030.mp3[231.160,236.480] OK AND HOW ABOUT SHORTNESS OF BREATH +audio/RES0030.mp3[236.480,249.880] UM I ONLY HAVE TROUBLE BREATHING IF I WALK A FEW BLOCKS OR GO UP A FEW FLIGHTS OF STAIRS INTO MY APARTMENT +audio/RES0030.mp3[249.880,254.280] OK HAVE YOU BEEN HAVING ANY KIND OF URINARY ISSUES +audio/RES0030.mp3[254.280,261.960] UMMM ONLY AT NIGHT TIME I SEEM TO HAVE TO GET UP A LOT TO USE THE BATHROOM +audio/RES0030.mp3[261.960,266.720] OK AND HOW ABOUT YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +audio/RES0030.mp3[266.720,267.880] UM NO BOWEL ISSUES +audio/RES0030.mp3[267.880,274.560] OK AND HAVE YOU BEEN GETTING ENOUGH SLEEP +audio/RES0030.mp3[274.560,280.560] UH YEAH I WOULD SAY OR SORRY NO MY SLEEP HAS BEEN HAS BEEN POOR +audio/RES0030.mp3[280.560,290.720] OK AND DO YOU FIND THAT YOU WAKE UP DURING THE NIGHT TO TAKE A BREATH OR ANYTHING LIKE THAT +audio/RES0030.mp3[290.720,299.600] NO I HAVENT HAD TO WAKE UP IN THE MIDDLE OF THE NIGHT SHORT OF BREATH OR ANYTHING LIKE THAT +audio/RES0030.mp3[299.600,304.160] OK AND DO YOU EVER HAVE TO USE A MULTIPLE PILLOWS +audio/RES0030.mp3[304.160,307.160] UM NO I JUST USED ONE PILLOW +audio/RES0030.mp3[307.160,317.720] OK AND HAVE YOU NOTICED YOUVE HAD ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN IN THE LAST FEW FEW MONTHS +audio/RES0030.mp3[317.720,332.280] UM I MAYBE LOST 5 POUNDS IN THE LAST FEW MONTHS I WASNT EVEN I HAVENT BEEN TRYING TO LOSE WEIGHT BUT DOESNT HURT THOUGH AS IVE IVE GAINED A FEW POUNDS OVER THE YEARS SO I DONT MIND +audio/RES0030.mp3[332.280,336.960] AND HOW IS YOUR APPETITE BEEN LIKE +audio/RES0030.mp3[336.960,340.320] UH APPETITES BEEN GOOD I FEEL LIKE IVE BEEN EATING NORMALLY +audio/RES0030.mp3[340.320,346.200] OK AND HAVE YOU HAD ANY RECENT INFECTIONS AT ALL +audio/RES0030.mp3[346.200,349.800] NO RECENT INFECTIONS +audio/RES0030.mp3[349.800,358.280] OK AND I THINK I MENTIONED THIS BEFORE BUT ANY KNOW ANY RUNNY NOSE SORE THROAT ANY OF THOSE VIRAL SYMPTOMS +audio/RES0030.mp3[358.280,364.600] UM NO RUNNY NOSE NO SORE THROAT BEEN FEELING GOOD +audio/RES0030.mp3[364.600,375.080] AWESOME AND HAVE YOU HAD HAVE YOU BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST +audio/RES0030.mp3[375.080,383.320] UM NO I ACTUALLY HAD A TUBERCULOSIS TEST FOR WORK AND IT WAS NORMAL +audio/RES0030.mp3[383.320,392.840] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS AT ALL LIKE HIGH BLOOD PRESSURE DIABETES +audio/RES0030.mp3[392.840,402.080] UM MY BLOOD PRESSURE HAS BEEN HIGH AND THAT WAS DIAGNOSED IN THE LAST FEW YEARS +audio/RES0030.mp3[402.080,407.440] OK AND DO YOU TAKE ANY MEDICATIONS FOR YOUR BLOOD PRESSURE +audio/RES0030.mp3[407.440,410.560] YES I TAKE UM LISINOPRIL +audio/RES0030.mp3[410.560,416.520] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/RES0030.mp3[416.520,420.120] NOTHING I CAN THINK OF +audio/RES0030.mp3[420.120,426.360] OK AND HAVE YOU BEEN HOSPITALIZED AT ALL BEFORE +audio/RES0030.mp3[426.360,427.920] UH NO +audio/RES0030.mp3[427.920,434.040] AND DO YOU HAVE ANY ILL CONTACTS NEAR ANYONE THAT HAS BEEN SICK AROUND YOU RECENTLY +audio/RES0030.mp3[434.040,447.640] NO ILL CONTACTS AND SORRY I FOR HOSPITALIZATIONS I I DID HAVE A CSECTION FOR THE BIRTH OF MY DAUGHTER AND I WAS IN THE HOSPITAL FOR A FEW DAYS FOR THAT +audio/RES0030.mp3[447.640,449.840] OK BUT NOTHING ELSE +audio/RES0030.mp3[451.680,457.040] OK AND HAVE YOU HAD ANY OTHER SURGERIES OTHER THAN YOUR CSECTION +audio/RES0030.mp3[457.040,460.880] NO JUST THE CSECTION +audio/RES0030.mp3[460.880,469.720] OK IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CARDIOVASCULAR ISSUES OR ANY CANCERS +audio/RES0030.mp3[469.720,483.560] 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 +audio/RES0030.mp3[483.560,486.480] OK ANY LIKE ASTHMA IN THE FAMILY +audio/RES0030.mp3[486.480,489.920] NOT THAT I CAN THINK OF +audio/RES0030.mp3[489.920,495.720] OK AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN APARTMENT IN A HOUSE +audio/RES0030.mp3[495.720,499.520] I LIVE IN AN APARTMENT WITH MY HUSBAND AND OUR DAUGHTER +audio/RES0030.mp3[499.520,505.600] OK AND DO YOU CURRENTLY WORK +audio/RES0030.mp3[505.600,509.240] YEAH I I WORK AT THE LOCAL GROCERY STORE +audio/RES0030.mp3[509.240,518.960] OK AND JUST IN YOUR DAILY ROUTINE HOW WOULD YOU SAY HOW IS YOUR DIET AND EXERCISE LIKE +audio/RES0030.mp3[518.960,543.600] UM DIET ILL 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 DONT HAVE TIME FOR FOR THAT CURRENTLY +audio/RES0030.mp3[543.600,548.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0030.mp3[548.040,553.280] UM NOO I WOULD NEVER USE THAT +audio/RES0030.mp3[553.280,557.360] OK HOW ABOUT ALCOHOL +audio/RES0030.mp3[557.360,561.640] A GLASS OF WINE I HAVE THREE OR FOUR NIGHTS A WEEK +audio/RES0030.mp3[561.640,571.000] OK AND IS IT LIKE A FULL GLASS OF WINE OR LIKE JUST HOW MUCH WOULD YOU SAY +audio/RES0030.mp3[571.000,576.080] GLASS OF WINE IS FOR ME I WOULD SAY IS LIKE 5 OR 6 OUNCES LIKE A TYPICAL GLASS OF WINE +audio/RES0030.mp3[576.080,580.320] DO YOU SMOKE AT ALL +audio/RES0030.mp3[580.320,582.800] I DO SMOKE CIGARETTES YES +audio/RES0030.mp3[582.800,588.440] OK AND HOW MUCH ARE YOU SMOKING AN AVERAGE DAY +audio/RES0030.mp3[588.440,596.680] UM OVER A PACK ONE TO TWO PACKS OF CIGARETTES PER DAY FOR THE LAST NEARLY 40 YEARS +audio/RES0030.mp3[596.680,598.520] OK OK ALRIGHT +audio/RES0038.mp3[0.000,3.960] SO WHAT BRINGS YOU HERE TODAY AT THE FAMILY CLINIC +audio/RES0038.mp3[3.960,14.800] I HAVENT BEEN COUGHING THESE LAST TWO WEEKS SINCE I GOT BACK FROM MEXICO I THINK I GOT SICK THERE +audio/RES0038.mp3[14.800,19.280] OK SO JUST THE LAST COUPLE WEEKS YOUVE BEEN COUGHING +audio/RES0038.mp3[19.280,25.320] YEAH EVER SINCE I GOT BACK FROM MEXICO ITS BEEN YEAH SO ABOUT ABOUT TWO WEEKS +audio/RES0038.mp3[25.320,30.480] OK AND IS YOUR COUGH FOR A WET COUGH OR DRY COUGH +audio/RES0038.mp3[30.480,34.640] ITS DRY AND IM NOT BRINGING UP ANY ANY SPUTUM +audio/RES0038.mp3[34.640,38.200] OK AND ARE YOU COUGHING UP ANY BLOOD AT ALL +audio/RES0038.mp3[38.200,39.360] NO BLOOD +audio/RES0038.mp3[39.360,45.880] NO OK AND IS THE COUGH CONSTANT OR DOES IT COME AND GO +audio/RES0038.mp3[45.880,63.520] IT IT COMES AND GOES I WOULD SAY SOMETIMES IT CAN BE WORSE YEAH DEPENDING ON ON WHAT IM WHAT IM DOING I GUESS IF IM EXERCISING OR IF ITS IF ITS REALLY COLD OUTSIDE IT MIGHT GET WORSE +audio/RES0038.mp3[63.520,74.800] OK AND DO YOU FEEL THAT ITS BEEN GETTING WORSE AT ALL YOUR COUGH +audio/RES0038.mp3[74.800,81.000] UH NOT REALLY I THINK ITS ABOUT THE SAME +audio/RES0038.mp3[81.000,92.440] OK AND ANYTHING THAT YOU DID WHEN YOU WERE IN MEXICO THAT MIGHT YOU THINK MIGHT HAVE CAUSED YOUR COUGH +audio/RES0038.mp3[92.440,102.840] UH I DONT KNOW MAYBE I I WAS DRINKING A LITTLE BIT TOO MUCH AND PARTYING A LITTLE BIT TOO MUCH SO MIGHT HAVE GOT SICK WHILE I WAS THERE +audio/RES0038.mp3[102.840,113.120] I SEE DID YOU HAVE ANY COLD SYMPTOMS LIKE RUNNY NOSE SORE THROAT UM ANY ANYTHING LIKE THAT WHEN YOU WERE THERE OR AFTER YOU CAME BACK +audio/RES0038.mp3[113.120,118.800] NO SOMETIMES MY EYES CAN GET A LITTLE ITCHY BUT NO RUNNY NOSE OR SORE THROAT +audio/RES0038.mp3[118.800,127.680] OK HAVE YOU HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO HOW YOURE FEELING NOW +audio/RES0038.mp3[127.680,138.520] UH MAYBE YEARS AGO WHEN I LIKE WHEN I WAS IN ELEMENTARY SCHOOL BUT NOTHING FOR THE LAST FEW YEARS +audio/RES0038.mp3[138.520,150.640] OK AND HOW OFTEN ARE YOU COUGHING LETS SAY IN AN AVERAGE DAY +audio/RES0038.mp3[150.640,167.600] UM ITS UH ITS PRETTY VARIABLE I WOULD SAY SO IF IM EXERCISING IT WILL ITLL THROW ME INTO A COUGHING FIT AND AND SOMETIMES ITS REALLY BUGGING ME AT NIGHT TOO ITLL AFFECT ME ITS IMPAIRING MY SLEEP +audio/RES0038.mp3[167.600,180.000] OK AND SO EXERCISE MAKES IT WORSE ANYTHING THAT YOU DO THAT HELPS YOU RELIEVE THE COUGH +audio/RES0038.mp3[180.000,194.960] UHM I ACTUALLY I TRIED MY SONS INHALER AND IT SEEMED TO ACTUALLY HELP BUT ONE OF THE DAYS I JUST COULDNT SEEM TO STOP THE COUGH AND I WANTED TO SLEEP SO I GAVE IT A TRY AND IT IT SEEMED TO ACTUALLY HELP WITH THE COUGH +audio/RES0038.mp3[194.960,201.320] OK AND SO YOUR SON HAS INHALERS DOES HE HAVE ASTHMA +audio/RES0038.mp3[201.320,206.840] YEAH HE DOES YEAH HE WAS DIAGNOSED WITH ASTHMA A COUPLE OF YEARS AGO +audio/RES0038.mp3[206.840,210.320] OK AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ASTHMA +audio/RES0038.mp3[210.320,219.520] AH I THINK IF THEYVE SAID IT BEFORE WHEN I WAS YOUNG BUT I HAVENT HAD ANY SYMPTOMS FOR FOR FOR YEARS +audio/RES0038.mp3[219.520,230.640] OK AND BESIDES THE COUGH DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY COLD SYMPTOMS OF RUNNY NOSE SORE THROAT RIGHT NOW OR EVEN LIKE ANY CHEST PAIN +audio/RES0038.mp3[230.640,233.240] NO NOTHING LIKE THAT +audio/RES0038.mp3[233.240,242.400] OK AND DO YOU HAVE ANY SYMPTOMS LIKE A HEADACHE OR NAUSEA OR VOMITING +audio/RES0038.mp3[242.400,246.440] UH NOPE NO HEADACHE NAUSEA OR VOMITING +audio/RES0038.mp3[246.440,254.320] OK IS YOUR COUGH AT ALL WORSE DURING THE DAY OR AT NIGHT OR DOES IT JUST IS AT AROUND THE SAME THROUGHOUT THE DAY +audio/RES0038.mp3[254.320,258.880] I THINK THE COUGHS WORSE AT NIGHT +audio/RES0038.mp3[258.880,265.720] OK AND DO YOU EVER FEEL THAT YOURE SHORT OF BREATH AT ALL +audio/RES0038.mp3[265.720,274.760] WELL YEAH SO IT AFFECTS ME IF IM OUTSIDE AND THAT THATS ACTUALLY USUALLY WHEN MY EYES WILL GET ITCHY TOO +audio/RES0038.mp3[274.760,282.560] OK AND HAVE YOU HAD ANY ECZEMA IN THE PAST +audio/RES0038.mp3[282.560,293.200] UH YEAH I HAD I HAD ECZEMA WHEN I WAS I WAS YOUNGER I THINK THAT WAS IN IT WHEN I WAS IN ELEMENTARY SCHOOL AS WELL +audio/RES0038.mp3[293.200,296.600] OK HAVE YOU HAD ANY FEVERS OR CHILLS RECENTLY +audio/RES0038.mp3[297.640,299.480] ANY NIGHT SWEATS +audio/RES0038.mp3[300.600,304.480] HAVE YOU BEEN FEELING INCREASINGLY TIRED THROUGHOUT THE DAY +audio/RES0038.mp3[304.480,317.600] AH NO MY ENERGYS BEEN BEEN GOOD I JUST GET SHORT OF BREATH OR OR HAVE THESE COUGHING FITS IF I IF I EXERT MYSELF +audio/RES0038.mp3[317.600,321.160] OK HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR HANDS +audio/RES0038.mp3[322.680,325.120] ANY DIZZINESS +audio/RES0038.mp3[325.120,326.800] NO DIZZINESS +audio/RES0038.mp3[326.800,333.920] DO YOU EVER FEEL YOUR HEART IS RACING WHEN YOU GET LIKE THESE THUMPING LIKE HEART PALPITATIONS +audio/RES0038.mp3[333.920,336.120] UH NOTHING LIKE THAT +audio/RES0038.mp3[336.120,338.360] OK AND YOU SAID NO CHEST PAIN RIGHT +audio/RES0038.mp3[338.360,339.720] NO CHEST PAIN +audio/RES0038.mp3[339.720,345.840] OK HAVE YOU NOTICED ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +audio/RES0038.mp3[345.840,348.280] NO DIARRHEA +audio/RES0038.mp3[348.280,352.840] OK ANY CHANGES IN YOUR URINARY PATTERNS +audio/RES0038.mp3[352.840,355.080] NO EVERYTHINGS BEEN NORMAL +audio/RES0038.mp3[355.080,365.760] OK SO YOU MENTIONED LIKE THE COUGHS BEEN KEEPING YOU UP AT NIGHT HOW HOW OFTEN ARE YOU WAKING UP AT NIGHT IS IT PRETTY FREQUENT +audio/RES0038.mp3[365.760,376.880] I WOULD SAY ABOUT TWO OR THREE NIGHTS A WEEK OVER THESE LAST TWO WEEKS ITS BEEN ITS BEEN GETTING WORSE +audio/RES0038.mp3[376.880,381.320] OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR WEIGHT AT ALL +audio/RES0038.mp3[381.320,384.160] MY WEIGHTS BEEN ABOUT THE SAME +audio/RES0038.mp3[384.160,387.880] OK ANY CHANGES IN YOUR APPETITE +audio/RES0038.mp3[387.880,390.040] NO BEEN EATING WELL +audio/RES0038.mp3[390.040,398.920] OK ANY RECENT EXPOSURES TO ANYONE WITH TUBERCULOSIS THAT YOU KNOW OF +audio/RES0038.mp3[399.920,405.680] NO OK HAVE YOU LOST YOUR SENSE OF TASTE OR SMELL RECENTLY +audio/RES0038.mp3[405.680,410.400] NEITHER OF THOSE +audio/RES0038.mp3[410.400,420.600] OK AND HAVE YOU BEEN EXPOSED TO ANY FUMES OR DUST IN YOUR SURROUNDING AREA OR DO YOU HAVE ANY PETS OR ANIMALS AT HOME +audio/RES0038.mp3[420.600,429.040] UM YEAH WE HAVE A UH TWO CATS AND BUT NOTHING AT WORK +audio/RES0038.mp3[429.040,431.960] OK AND HOW LONG YOUVE HAD THOSE CATS FOR +audio/RES0038.mp3[431.960,436.320] WEVE HAD THEM FOR FOR ALMOST A YEAR +audio/RES0038.mp3[436.320,453.080] OK AND OTHER THAN ECZEMA AND REMOTE HISTORY OF PERHAPS ASTHMA WHEN YOU WERE YOUNGER ANY OTHER MEDICAL CONDITIONS LIKE DIABETES OR HIGH BLOOD PRESSURE THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0038.mp3[453.080,455.280] NO IVE BEEN HEALTHY THAT WAY +audio/RES0038.mp3[455.280,459.280] OK ANY MEDICATIONS THAT YOU ARE ON CURRENTLY +audio/RES0038.mp3[459.280,462.640] UH NO MEDICATIONS +audio/RES0038.mp3[462.640,471.080] OK DO YOU KNOW OF ANY ALLERGIES TO ANY ENVIRONMENTAL EXPOSURES OR ANY MEDICATIONS AT ALL +audio/RES0038.mp3[471.080,482.080] UHM YEAH I THINK I HAVE IM ALLERGIC TO POLLEN AND SOME OTHER ENVIRONMENTAL AND ALLERGIES AS WELL +audio/RES0038.mp3[482.080,488.200] OK AND WHEN YOU COUGH HAVE YOU EVER NOTICED LIKE WHEEZING NOISES AT ALL +audio/RES0038.mp3[488.200,494.760] UH OCCASIONALLY YEAH THERE THOUGH I DO NOTICE A WHEEZE +audio/RES0038.mp3[494.760,500.880] OK AND HAVE YOU EVER BEEN HOSPITALIZED BEFORE +audio/RES0038.mp3[500.880,502.360] NO I HAVENT +audio/RES0038.mp3[502.360,505.240] OK ANY PREVIOUS SURGERIES +audio/RES0038.mp3[505.240,506.560] NO SURGERIES +audio/RES0038.mp3[506.560,511.480] OK AND HAS ANYONE AROUND YOU BEEN ILL RECENTLY +audio/RES0038.mp3[511.480,512.960] EVERYBODYS BEEN HEALTHY +audio/RES0038.mp3[512.960,525.440] OK AND DO YOU HAVE ANY FAMILY HISTORY OF CANCERS OR ANYTHING RELATED TO THE LUNGS AT ALL +audio/RES0038.mp3[525.440,529.760] UH NO I MEAN MY SISTER HAD ECZEMA AS WELL BUT THATS IT +audio/RES0038.mp3[529.760,541.560] OK THATS IT OK UH ANY HEART ATTACKS IN YOUR FAMILY ANY OTHER MEDICAL CONDITIONS +audio/RES0038.mp3[541.560,544.000] UH NO EVERYONES HEALTHY +audio/RES0038.mp3[544.000,550.200] OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE +audio/RES0038.mp3[550.200,555.600] YEAH SO I LIVE IN AN APARTMENT NEARBY WITH MY BOYFRIEND +audio/RES0038.mp3[555.600,564.200] OK AND HAS THERE BEEN ANY HAVE YOU MOVED THERE RECENTLY OR HOW LONG HAVE YOU LIVED THERE FOR +audio/RES0038.mp3[564.200,568.640] UH WEVE LIVED THERE FOR ABOUT FOUR YEARS NOW +audio/RES0038.mp3[568.640,578.880] FOUR YEARS OK AND HAS ANYTHING CHANGED RECENTLY HAS THERE BEEN ANY MOLD OR NEW CARPETS THAT YOU GUYS GOT ANYTHING NEW IN THE HOUSE +audio/RES0038.mp3[578.880,582.400] UHM I DONT I DONT THINK SO +audio/RES0038.mp3[582.400,586.400] OK AND DO YOU CURRENTLY WORK +audio/RES0038.mp3[586.400,590.880] YEAH I WORK AS A A SCHOOL TEACHER +audio/RES0038.mp3[590.880,597.200] OK AND DO YOU SMOKE AT ALL +audio/RES0038.mp3[597.200,598.240] NO I DONT +audio/RES0038.mp3[598.240,601.720] HAVE YOU EVER SMOKED +audio/RES0038.mp3[601.720,613.400] I DID YEAH I I SMOKED A PACK A DAY UP UNTIL JUST ABOUT A MONTH AGO I MADE IT WAS A NEW YEARS RESOLUTION TO QUIT +audio/RES0038.mp3[613.400,630.600] OH WOW WELL CONGRATULATIONS THATS ITS DEFINITELY VERY DIFFICULT TO QUIT AND IF YOU NEED AT ALL ANY HELP AT ALL WITH YOUR TRANSITION AT ALL WE CAN ALWAYS BRING IT UP IN ANY APPOINTMENT +audio/RES0038.mp3[630.600,631.400] OK THANK YOU +audio/RES0038.mp3[631.400,641.560] YEAH AND IN TERMS OF RECREATIONAL DRUGS DO YOU USE MARIJUANA OR COCAINE OR ANY OTHER RECREATIONAL DRUGS +audio/RES0038.mp3[641.560,645.240] UM YEAH MAYBE ILL ILL SMOKE LIKE ONE OR TWO JOINTS A WEEK +audio/RES0038.mp3[645.240,650.240] OK AND DO YOU DRINK ALCOHOL +audio/RES0038.mp3[650.240,652.880] UH YEAH MAYBE A BOTTLE OF WINE ON THE WEEKENDS +audio/RES0038.mp3[652.880,659.000] OK UHM SO YOU GO THROUGH LIKE AROUND A BOTTLE EVERY WEEK +audio/RES0038.mp3[659.000,673.960] YEAH I WOULD SAY ABOUT A BOTTLE OF WINE ON THROUGHOUT THE WEEK BUT USUALLY DONT REALLY HAVE ANY DURING THE WEEK ILL USUALLY I GUESS SPLIT THE BOTTLE BETWEEN BETWEEN FRIDAY TO SUNDAY SORT OF THING +audio/RES0038.mp3[673.960,681.480] OK AND IN TERMS OF EXERCISE DO YOU FIND THAT YOURE GETTING ADEQUATE EXERCISE THROUGHOUT THE WEEK +audio/RES0038.mp3[681.480,689.960] I TRIED TO I TRIED TO RUN AND GO FOR WALKS BUT ALWAYS TRYING TO BE A LITTLE BIT MORE ACTIVE +audio/RES0038.mp3[689.960,700.080] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY UM DO YOU HAVE ANY OTHER QUESTIONS FOR ME +audio/RES0038.mp3[700.080,702.520] UHM NOPE THAT WAS IT +audio/RES0038.mp3[702.520,741.520] OK SO BASED ON WHAT WE TALKED ABOUT IT SEEMS THAT BASED ON YOUR PAST HISTORY AND THE COUGHING THAT YOURE HAVING RIGHT NOW ONE OF THE THINGS THAT WE DEFINITELY WANT TO LOOK AT IS IF YOU DO IN FACT HAVE ASTHMA UM IT CAN ALSO BE LIKE VIRAL UPPER RESPIRATORY TRACT INFECTION BUT WE WILL DO SOME PULMONARY FUNCTION TESTS FOR YOU AND SEE IF THE BRONCHODILATORS JUST LIKE YOU USE THE INHALER FROM YOUR SON IF THAT HELPS HELPS YOU WITH YOUR SYMPTOMS AND THEN WE CAN GO FROM THERE +audio/RES0038.mp3[741.520,744.200] THAT SOUNDS GREAT THANK YOU +audio/RES0038.mp3[744.200,749.800] YOURE WELCOME WELL TAKE CARE +audio/MSK0025.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY +audio/MSK0025.mp3[2.640,36.360] SO MY BACK HAS BEEN KILLING ME ITS BEEN HURTING FOR THE PAST TWO MONTHS BUT RECENTLY ITS GOTTEN WORSE ID SAY OVER THE PAST WEEK OR TWO WEEKS ITS GOTTEN REALLY BAD AND NO OVER THE COUNTER MEDICATION IS HELPING WITH THE PAIN ITS IM FINDING IT HARD TO WALK I CANT FEEL ANYTHING IN THE GROIN AREA AND IM HAVING SO MANY BLADDER ACCIDENTS +audio/MSK0025.mp3[36.360,42.440] OK AND SO THIS PAIN STARTED TWO MONTHS AGO BUT ITS PROGRESSED TO LIKE THESE OTHER SYMPTOMS AS WELL +audio/MSK0025.mp3[42.440,44.040] YES THATS RIGHT +audio/MSK0025.mp3[44.040,46.280] WHERE DID THE PAIN START +audio/MSK0025.mp3[46.280,49.240] UH IT STARTED IN MY LOWER BACK +audio/MSK0025.mp3[49.240,56.560] STARTED YOUR LOWER BACK OK AND DOES THE PAIN HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE ACHING SHARP +audio/MSK0025.mp3[56.560,60.240] ITS SHARP +audio/MSK0025.mp3[60.240,68.840] OK AND DID ANYTHING HAPPENED PRIOR TO THE PAIN ANY INJURIES AT ALL THAT YOU EXPERIENCED +audio/MSK0025.mp3[68.840,107.240] TWO MONTHS AGO I WAS IN A MOTOR VEHICLE ACCIDENT UM AN I THINK MY BACK STARTED HURTING THEN BUT THEY DID SOME IMAGING ITS AND TURNED OUT LIKE ONE OF THE DISCS THERE WAS A SLIP IN A DISC OR SOMETHING BUT AT THAT POINT THE PAIN WAS JUST ACHEY AND I DONT REALLY HAVE ANY IN ANY OF THESE OTHER ISSUES BUT OVER THE PAST TWO WEEKS ITS GOTTEN SHARP AND IM HAVING ALL THESE OTHER SYMPTOMS +audio/MSK0025.mp3[107.240,124.720] OK UM AND SO YOURE HAVING THE SET LIKE WHATS CALLED SOME NUMBNESS IN YOUR GROIN IS THAT UNILATERAL LIKE ON ONE SIDE OR BOTH SIDES +audio/MSK0025.mp3[124.720,129.680] UHM IT SEEMS LIKE ITS BOTH SIDES +audio/MSK0025.mp3[129.680,139.360] OK AND SO AND THEN YOURE ALSO HAVING THE URINARY INCONTINENCE HOW LONG IS THAT BEEN GOING ON FOR +audio/MSK0025.mp3[139.360,141.640] THE PAST WEEK +audio/MSK0025.mp3[141.640,145.800] OK AND WHAT ABOUT THE NUMBNESS IN YOUR GROIN AREA +audio/MSK0025.mp3[145.800,151.040] THATS BEEN GOING ON FOR THE PAST WEEK AS WELL +audio/MSK0025.mp3[151.040,159.800] OK AND OK AND HOW WOULD YOU DESCRIBE YOUR PAIN RIGHT NOW ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE FELT +audio/MSK0025.mp3[159.800,164.080] UM I WOULD SAY ITS LIKE AN 8 OR 9 +audio/MSK0025.mp3[164.080,172.120] EIGHT OR NINE OK AND DOES IT GET WORSE WITH ANY ANY MOTIONS AT ALL +audio/MSK0025.mp3[172.120,185.320] I THINK ITS WORSE WITH UM I DONT KNOW LIKE ITS WORSE WITH ANYTHING ANYTIME ANYTIME I TRIED TO MOVE IT IT HURTS +audio/MSK0025.mp3[185.320,190.480] OK SO YOU JUST IMPROVED WITH REST COMPLETE REST +audio/MSK0025.mp3[192.800,200.000] OK DOES IT TRAVEL IN DOES THE PAIN TRAVEL ANYWHERE ELSE DOES IT SHOOT DOWN YOUR LEGS AT ALL +audio/MSK0025.mp3[200.000,205.760] YEAH SO IT DOES SHOOT DOWN MY LEGS AND IM HAVING A HARD TIME WALKING BECAUSE OF THAT +audio/MSK0025.mp3[205.760,209.600] IS IT BOTH LEGS OR JUST ONE +audio/MSK0025.mp3[209.600,217.760] ITS MOSTLY ON MY RIGHT BUT THE LEFT ONE ISNT THE SAME AS IT USED TO BE EITHER +audio/MSK0025.mp3[218.520,226.160] YEAH IM HAVING A HARD TIME LIKE GETTING UP FROM A CHAIR AND THINGS LIKE THAT +audio/MSK0025.mp3[226.160,233.520] OK AND ANYTHING THAT YOUVE TRIED THAT HAS HELPED RELIEVE SOME OF YOUR SYMPTOMS +audio/MSK0025.mp3[233.520,249.280] IVE TRIED LIKE OVER THE COUNTER COUNTER AND IBUPROFEN IVE TRIED SOME TOPICAL ANALGESICS AND NOTHING SEEMS TO BE WORKING +audio/MSK0025.mp3[249.280,261.960] OK AND HAVE YOU EXPERIENCED ANY TRAUMA SO YOU MENTIONED YOU HAD A CAR ACCIDENT RATE TWO MONTHS AGO +audio/MSK0025.mp3[261.960,266.080] YES THAT WAS YEAH THAT WAS TWO MONTHS AGO +audio/MSK0025.mp3[266.080,276.200] OK AND THEN WERE YOU IN THE HOSPITAL ADMITTED TO THE HOSPITAL FOR FOR A WHILE OR HOW WHAT HAPPENED IN YOUR TREATMENT +audio/MSK0025.mp3[276.200,317.760] YEAH I WAS I WAS TAKEN TO THE ER THEY DID LIKE A FULL WORK UP ON ME THE ONLY THING ON MY BACK THAT THEY FOUND WAS A SLIPPED DISC AND THEN THEY SAID THAT SHOULD THAT SHOULDNT CAUSE ME TOO MUCH PAIN BUT IF I WAS HAVING ANY OF THESE SYMPTOMS THAT IM HAVING NOW I SHOULD GO BACK OR SEE A DOCTOR AT LEAST AND AND OTHERWISE I WAS FINE LIKE I DIDNT LOSE A LOT OF BLOOD OR I DIDNT NEED ANY SURGICAL INTERVENTIONS AT THAT POINT +audio/MSK0025.mp3[317.760,327.760] OK I SEE AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS OR ANY ANY PAIN IN ANY OTHER JOINTS OR MUSCLES +audio/MSK0025.mp3[327.760,331.320] UHM NO NO NOTHING LIKE THAT +audio/MSK0025.mp3[331.320,333.640] OK ANY FEVERS OR CHILLS +audio/MSK0025.mp3[335.480,339.480] ANY NIGHT SWEATS +audio/MSK0025.mp3[339.480,341.360] NO RASHES OR SKIN CHANGES +audio/MSK0025.mp3[342.760,348.400] ANY KIND OF CHEST PAIN SHORT OF AH SORRY SHORTNESS OF BREATH +audio/MSK0025.mp3[348.400,349.760] UM NO +audio/MSK0025.mp3[349.760,352.800] ANY COUGH OR COLD LIKE SYMPTOMS +audio/MSK0025.mp3[356.400,362.360] UHM ANY SO YOU HAVE SOME URINARY INCONTINENCE ANY FECAL INCONTINENCE +audio/MSK0025.mp3[364.040,368.320] OK HOWS AN ANY RECENT CHANGES IN YOUR WEIGHT +audio/MSK0025.mp3[369.320,372.960] HAVE YOU BEEN SICK AT ALL RECENTLY +audio/MSK0025.mp3[374.800,381.040] OK ANY TINGLING SENSATION EITHER IN YOUR BACK OR SHOOTING DOWN YOUR LEGS +audio/MSK0025.mp3[382.080,384.240] ANY BURNING SENSATION +audio/MSK0025.mp3[384.240,388.920] LITTLE BIT OF BURNING SENSATION +audio/MSK0025.mp3[388.920,393.120] YEAH OK DO YOU HAVE ANY NUMBNESS IN YOUR LOWER LIMBS OR JUST NUMBNESS AROUND THE GROIN +audio/MSK0025.mp3[393.120,399.120] JUST NUMBNESS AROUND THE GROIN AREA BUT MY LOWER LIMBS DO SEEM WEAK +audio/MSK0025.mp3[399.120,403.800] OK SO YOU HAVE MUSCLE WEAKNESS IS IT JUST ONE LIKE THATS AH WEAK OR BOTH LEGS +audio/MSK0025.mp3[403.800,414.960] SO BOTH LIKE SEEM WEAK BUT THE RIGHT MORE THAN THE LEFT +audio/MSK0025.mp3[414.960,424.400] OK I SEE UHM AND DOES THIS WEAKNESS SEEM TO GET WORSE OR IS IT AROUND THE SAME AS IT WAS WHEN IT STARTED +audio/MSK0025.mp3[424.400,427.720] ITS ITS IT FEELS LIKE ITS GETTING WORSE +audio/MSK0025.mp3[427.720,434.240] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU HAVE BEEN DIAGNOSED WITH +audio/MSK0025.mp3[434.240,443.840] I HAD HYPOTHYROID SO IVE BEEN TAKING SYNTHROID FOR THAT +audio/MSK0025.mp3[443.840,447.200] OK ANY OTHER MEDICATIONS +audio/MSK0025.mp3[448.840,453.760] OK ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0025.mp3[454.760,459.600] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +audio/MSK0025.mp3[461.560,467.720] ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +audio/MSK0025.mp3[467.720,470.680] UM NO +audio/MSK0025.mp3[470.680,473.840] OK CURRENTLY DO YOU WORK +audio/MSK0025.mp3[473.840,477.440] I DO I WORK FROM HOME RIGHT NOW IM A TEACHER +audio/MSK0025.mp3[477.440,495.160] OK UH AND DO YOU DID YOU DO ANY WORK PREVIOUSLY THAT REQUIRED HEAVY LIFTING OR STRENUOUS ACTIVITIES REGARDING YOUR BACK AT ALL +audio/MSK0025.mp3[495.160,496.600] UM NO NO NOTHING LIKE THAT +audio/MSK0025.mp3[496.600,507.120] AND WHATS YOUR HOME AND LIVING SITUATION LIKE RIGHT NOW +audio/MSK0025.mp3[507.120,513.000] I LIVE AT HOME WITH TWO OF MY CHILDREN +audio/MSK0025.mp3[513.000,529.880] OK AND ARE YOU ABLE TO DO THINGS AT HOME THAT YOU WERE BEFORE LOOK LIKE OR DO YOU NEED SOME EXTRA HELP FROM IT YOUR FAMILY MEMBERS OR EXTRA HELP FROM OTHER WORKERS ANYTHING LIKE THAT +audio/MSK0025.mp3[529.880,552.960] YEAH MY FAMILYS DEFINITELY BEEN HELPING ME OUT A LOT OVER THESE PAST FEW WEEKS BECAUSE YEAH LIKE I SAID LIKE IM HAVING SOME WEAKNESS IN MY LEGS I CANT MOVE AROUND AS MUCH BECAUSE IM IN SO MUCH PAIN UM AND THEN LIKE THERE ARE ALL THESE LIKE BLADDER ACCIDENTS SO YEAH THEYVE BEEN HELPING ME OUT WITH EVERYDAY THINGS +audio/MSK0025.mp3[552.960,557.800] OK I SEE AND CURRENTLY DO YOU SMOKE +audio/MSK0025.mp3[558.760,562.120] OK DO YOU DRINK ALCOHOL +audio/MSK0025.mp3[563.480,565.480] AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0025.mp3[569.400,577.520] OK IM JUST GETTING AT YOU TO DO A FEW THINGS ON JUST JUST AS PART OF THE PHYSICAL EXAMINATION +audio/MSK0025.mp3[578.080,585.080] ARE YOU ABLE TO BEND DOWN OR EXTEND YOUR BACK AT ALL OR IS IT TOO PAINFUL +audio/MSK0025.mp3[585.080,588.960] YEAH I CANT DO THAT ITS TOO PAINFUL +audio/MSK0025.mp3[588.960,594.480] DO YOU NOTICE ANY KIND OF REDNESS SWELLING IN AND AROUND YOUR BACK +audio/MSK0025.mp3[594.480,599.000] UM NOT THAT I CAN TELL +audio/MSK0025.mp3[599.000,604.720] OK AND HOW ABOUT IF YOU PRESS DOWN ON THE YOUR LOWER BACK DOES IT HURT +audio/MSK0025.mp3[604.720,606.760] YEAH THAT HURTS +audio/MSK0025.mp3[606.760,613.400] OK AND ARE YOU EXPERIENCING THE NUMBNESS RIGHT NOW AND IN YOUR GROIN AREA +audio/MSK0025.mp3[613.400,616.040] I AM +audio/MSK0025.mp3[616.040,628.320] ARE YOU ABLE TO RAISE YOUR LEGS WHEN IN A LYING POSITION WITH STRAIGHT LEGS KNEES NOT BENDING AT ALL THEY ARE ABLE TO RAISE WITHOUT ANY PAIN +audio/MSK0025.mp3[628.320,634.520] NO I CANT DO THAT ITS YEAH ITS TOO PAINFUL +audio/MSK0025.mp3[634.520,648.760] I SEE ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SEEMS ITS GREAT ITS GOOD THAT YOU CAME TO THE EMERGENCY DEPARTMENT DO YOU HAVE ANY QUESTIONS AT ALL +audio/MSK0025.mp3[648.760,653.160] NO JUST LIKE HOW CAN I FIX THIS +audio/MSK0025.mp3[653.160,770.480] YEAH SO BASED ON YOUR SYMPTOMS ITS SOMETHING THATS PRETTY URGENT ITS SEEMS LIKE YOU MAY BE HAVING SOMETHING CALLED CAUDA EQUINA SYNDROME THAT MAY BE CAUSED BY YOUR BACK PAIN AND THATS WHY YOURE FEELING THAT GROIN WOULD BE CALLED SADDLE ANESTHESIA AND THEN THE URINARY INCONTINENCE SO THIS MAY BE FROM THE INJURY THAT YOU HAD WITH THE CAR ACCIDENT AND IT MAY BE DUE TO SOME COMPRESSION OF WHAT WE CALL LIKE COMPRESSION OF THE NERVES IN THE AREA WHICH MIGHT BE GIVING YOU SOME OF THESE SYMPTOMS SO THE FIRST THING WE DO NEED TO DO IS GET AN MRI OF YOUR LOWER BACK JUST TO MAKE SURE THERES NOTHING GOING ON LIKE FOR EXAMPLE LIKE ANY MASSES IN THE AREA OR ANY KIND OF ABSCESSES THAT MIGHT BE WE MAY BE WORRIED ABOUT JUST TO MAKE SURE WELL JUST TO SEE WHATS GOING ON IN THERE THATS CAUSING THESE SYMPTOMS AND THEN BASED ON WHAT WE FIND UH WE WILL WE WILL TARGET LIKE THE CAUSE OF THE SYMPTOMS LIKE FOR EXAMPLE IF ITS AN INFECT INFECTION THATS CAUSING THIS YOU MIGHT NEED TO BE ADMITTED AND REQUIRE ANTIBIOTICS IF THERE IS ANY MASSES CAUSING IT YOU MAY REQUIRE SURGERY FOR EXAMPLE IF ITS MAINLY RELATED TO YOUR BACK IT IS SOMETHING THAT WE WILL HAVE TO TREAT WITH WITH AN ADMISSION SO ITS GOOD THAT YOU CAME IN HERE TODAY DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS +audio/MSK0025.mp3[770.480,775.640] NO THAT WAS IT THANK YOU SO MUCH FOR YOUR HELP +audio/MSK0025.mp3[775.640,778.480] YOURE WELCOME AND WILL GET BACK TO YOU SHORTLY +audio/RES0015.mp3[0.000,2.480] WHAT BRINGS YOU IN TODAY +audio/RES0015.mp3[2.480,16.120] SO IVE BEEN HAVING JUST A WORSENING BREATHLESSNESS IVE BEEN ALSO HAVING A COUGH AND I THINK I MIGHT HAVE ALSO HAD A FEVER IN THE LAST COUPLE WEEKS +audio/RES0015.mp3[16.120,23.040] OK UM SO THE BREATHLESSNESS STARTED SIX WEEKS AGO CORRECT +audio/RES0015.mp3[23.840,27.760] OK AND THEN WHEN DID THE COUGH START +audio/RES0015.mp3[27.760,32.640] ID SAY AROUND THE SAME TIME THE BREATHLESSNESS STARTED SO AROUND SIX WEEKS +audio/RES0015.mp3[32.640,35.440] OK AND THEN THE FEVER +audio/RES0015.mp3[35.440,46.480] THE FEVER IVE KIND OF HAD ON AND OFF IN THE LAST COUPLE WEEKS I WOULD SAY TWO TO THREE WEEKS +audio/RES0015.mp3[46.480,55.000] OK OK UM AND DO YOU HOW OFTEN ARE YOU HAVING THIS BREATHLESSNESS +audio/RES0015.mp3[55.000,77.000] UM I WOULD SAY ITS PRETTY MUCH THERE MOST OF THE TIME IT SOMETIMES GETS WORSE WHEN IM EXERTING MYSELF BUT I THINK JUST BASELINE I FEEL LIKE IVE BEEN ABLE TO BREATHE LESS HEAVILY THAN BEFORE +audio/RES0015.mp3[77.000,83.720] OK SO ALRIGHT AND HOW LONG DOES IT LAST WHEN YOU DO GET IT OR IS IT JUST ALWAYS THERE +audio/RES0015.mp3[83.720,100.240] UH ITS KIND OF JUST THERE BUT THEN WHEN ITS GETTING WORSE LIKE IT LASTS A COUPLE MINUTES TO I WOULD SAY LIKE 10 TO 15 MINUTES AND THEN IT GOES BACK TO LIKE JUST THE NORMAL BREATHLESSNESS +audio/RES0015.mp3[100.240,121.360] OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHLESSNESS WOULD YOU SAY THAT IT FEELS LIKE A KIND OF LIKE A BURNING FEELING LIKE YOURE HAVING A HARD TIME CATCHING YOUR BREATH OR DOES IT FEEL LIKE YOURE BREATHING TOO FAST +audio/RES0015.mp3[121.360,142.080] I THINK ITS MORE I JUST CANT SEEM TO TAKE LIKE DEEP BREATHS AND THEN WHEN I GET BREATHLESS I I REALLY TRY TO TAKE A DEEP BREATH BUT I JUST CANT FIND MYSELF CATCHING MY BREATH AT THAT TIME SO ITS JUST MORE NOT BEING ABLE TO CATCH MY BREATH +audio/RES0015.mp3[142.080,148.320] OK SURE AND ARE THERE THINGS THAT MAKE MAKE IT BETTER OR WORSE +audio/RES0015.mp3[148.320,160.520] UH NOT REALLY I THINK ITS SOMETIMES MOVING AROUND TOO MUCH BUT LIKE NOTHING NOTHING REALLY CAUSES IT +audio/RES0015.mp3[160.520,173.760] OK UM AND WAS THERE ANY SORT OF TRIGGER SIX WEEKS AGO THAT YOU THINK MAY HAVE LIKE CAUSED ALL OF YOUR SYMPTOMS +audio/RES0015.mp3[173.760,179.400] OH IM NOT SURE I I DONT THINK THERE WAS ANY TRIGGERS +audio/RES0015.mp3[179.400,184.440] OK HAS ANYONE AROUND YOU BEEN SICK +audio/RES0015.mp3[184.440,193.640] SO THERE THERE ARE SOME PEOPLE LIVING IN MY HOUSE THAT HAVE A BAD COUGH OVER THE LAST FEW WEEKS +audio/RES0015.mp3[194.880,196.160] SO YEAH +audio/RES0015.mp3[196.160,200.160] SO THEY HAVE SIMILAR SYMPTOMS TO YOU AS WELL THEN +audio/RES0015.mp3[200.160,205.120] YEAH SOME OF THEM LIKE DONT REALLY HAVE THE SHORTNESS OF BREATH AND ITS JUST LIKE A COUGH +audio/RES0015.mp3[206.320,213.480] BUT YEAH THERE ARE SOME OF THEM ALSO HAVE SOME SHORTNESS OF BREATH +audio/RES0015.mp3[213.480,218.360] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0015.mp3[218.360,229.600] SO I ACTUALLY CAME TO CANADA ONE YEAR AGO IM ORIGINALLY FROM INDIA AND I IM I CAME HERE TO STUDY +audio/RES0015.mp3[229.600,245.040] OK OK UM ALRIGHT IF YOU WERE TO RATE YOUR BREATHLESSNESS FROM ONE TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS +audio/RES0015.mp3[245.040,253.280] IT CAN GET PRETTY BAD LIKE I I WOULD SAY UP TO AN 8 SOMETIMES MAYBE A COUPLE TIMES A WEEK +audio/RES0015.mp3[253.280,258.280] OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE +audio/RES0015.mp3[258.280,262.440] NO THIS IS LIKE THE FIRST TIME IM HAVING THIS ISSUE +audio/RES0015.mp3[262.440,271.760] OK AND DO YOU FEEL LIKE ITS GETTING WORSE BETTER HAS IT CHANGED SINCE YOU STARTED HAVING THESE SYMPTOMS +audio/RES0015.mp3[271.760,279.720] I THINK ITS GETTING WORSE AND THATS WHY I WAS GETTING A BIT SCARED AND I CAME HERE +audio/RES0015.mp3[279.720,289.320] OK YEAH THAT WAS A GOOD CALL AND HAVE YOU HAD ANY CHANGES TO YOUR SMELL RECENTLY +audio/RES0015.mp3[289.320,291.960] NO NO CHANGES TO SMELL +audio/RES0015.mp3[291.960,297.040] ANY ANYTHING LIKE A RUNNY NOSE OR STUFFY NOSE +audio/RES0015.mp3[297.040,299.600] UH NO NOT REALLY NO +audio/RES0015.mp3[299.600,303.720] NO OK HOW ABOUT A SORE THROAT +audio/RES0015.mp3[303.720,305.400] NO NO SORE THROAT +audio/RES0015.mp3[305.400,309.120] NO SORE THROAT ANY CHANGES TO YOUR TASTE +audio/RES0015.mp3[310.520,313.080] ANY CHANGES IN HEARING +audio/RES0015.mp3[314.120,318.640] EAR PAIN OR DISCHARGE FROM YOUR EARS +audio/RES0015.mp3[318.640,320.320] NO NOTHING LIKE THAT +audio/RES0015.mp3[320.320,323.040] OK ANY EYE PAIN +audio/RES0015.mp3[323.240,326.120] CHANGES IN YOUR VISION +audio/RES0015.mp3[327.160,331.560] ANY DISCHARGE FROM YOUR EYES +audio/RES0015.mp3[333.600,346.080] OK AND YOU MENTIONED FEVER AND SOME NIGHT SWEATS HOW OFTEN ARE YOU GETTING THESE NIGHT SWEATS AND DO THEY FEEL LIKE CHILLS +audio/RES0015.mp3[346.080,371.640] I THINK IN THE LAST TWO WEEKS IVE BEEN GETTING IT MORE FREQUENTLY LIKE I WOULD SAY EVERY OTHER NIGHT I I FEEL I WOULD FEEL CHILLY AT ONE POINT AND THEN ILL BREAK OUT INTO NIGHT SWEATS OR HAVE TO TAKE OFF MY BLANKET I THINK I MEASURED IT ONCE OR TWICE OVER THE WEEK AND IT DID SHOW LIKE A FEVER OF 102 +audio/RES0015.mp3[371.640,379.560] OK OK OK AND ANY CHANGES TO YOUR SKIN LIKE RASHES +audio/RES0015.mp3[379.560,381.680] NO NOTHING LIKE THAT +audio/RES0015.mp3[381.680,385.000] ANY WEIGHT LOSS +audio/RES0015.mp3[385.000,396.760] I WOULD SAY I THINK IM LOSING A LITTLE BIT OF WEIGHT OVER THE LAST COUPLE WEEKS I HAVENT REALLY WEIGHED MYSELF BUT I FEEL THAT I HAVE LOST SOME WEIGHT +audio/RES0015.mp3[396.760,404.640] OK YEAH AND THE COUGHING ARE YOU COUGHING UP ANY BLOOD +audio/RES0015.mp3[404.640,427.520] UH I DONT THINK SO SOMETIMES LIKE WHEN I COUGH UP LIKE SPUTUM THERE IS LIKE A LITTLE BIT OF PINK PINK TINGED SPUTUM AS WELL SOMETIMES ITS LIKE BROWNISH IN COLOR AND SOMETIMES ITS GREEN BUT I HAVENT ACTUALLY COUGHED UP ANY BLOOD +audio/RES0015.mp3[427.520,440.400] OK UM AND YOU SAID THERES SOME SPUTUM LIKE PINK TINGED SPUTUM HOW MUCH SPUTUM WOULD YOU SAY YOU COUGH UP EVERY TIME YOU COUGH +audio/RES0015.mp3[440.400,448.320] MAYBE LIKE A LIKE A SPOONFUL I WOULD SAY +audio/RES0015.mp3[448.320,455.320] OK AND DO YOU EVER FEEL LIKE YOURE WHEEZING +audio/RES0015.mp3[455.320,464.720] UH NO I I DONT THINK SO I I DONT REALLY NOTICE ANY NOISES WHEN IM BREATHING +audio/RES0015.mp3[464.720,469.360] OK AND ALRIGHT SO ANY CHEST PAIN +audio/RES0015.mp3[469.360,472.040] NO NO CHEST PAIN AT ALL +audio/RES0015.mp3[472.040,480.280] OK HOW ABOUT SWELLING IN YOUR LEGS OR IN YOUR LIMBS +audio/RES0015.mp3[480.280,483.320] NO NO SWELL LEG SWELLING +audio/RES0015.mp3[483.320,492.600] NO LEG SWELLING OK UM HOW ABOUT DO YOU FEELING LIKE YOUR HEARTS RACING +audio/RES0015.mp3[494.720,498.120] NO OK OK AND ANY NAUSEA OR VOMITING +audio/RES0015.mp3[498.120,500.720] NO NO NAUSEA OR VOMITTING +audio/RES0015.mp3[500.720,503.360] HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0015.mp3[506.120,508.440] OK HOW ABOUT CHANGES IN URINATING +audio/RES0015.mp3[508.440,510.840] NO ITS BEEN FINE +audio/RES0015.mp3[510.840,515.080] ALRIGHT ANY HEADACHES +audio/RES0015.mp3[515.080,516.440] NO HEADACHES +audio/RES0015.mp3[516.440,520.600] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0015.mp3[520.600,522.240] NO NOTHING LIKE THAT +audio/RES0015.mp3[522.240,525.840] OK NO CONFUSION OR MEMORY LOSS +audio/RES0015.mp3[528.720,535.520] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0015.mp3[535.520,557.280] UM I THINK WHEN I WAS BACK IN INDIA A COUPLE YEARS AGO THEY DID GIVE ME SOME ANTIBIOTICS FOR LIKE A CHEST INFECTION BUT I COULDNT REALLY AFFORD THE MEDICATIONS AND DIDNT TAKE THEM I DIDNT FINISH THE COURSE BUT OTHER THAN THAT NOTHING ELSE +audio/RES0015.mp3[557.280,563.880] OK DID THEY MENTION WHAT TYPE OF CHEST INFECTION IT COULDVE BEEN +audio/RES0015.mp3[563.880,572.720] NO I DONT REALLY REMEMBER I THINK IT WAS SOME KIND OF PNEUMONIA +audio/RES0015.mp3[572.720,577.200] OK OK ARE YOU ON ANY MEDICATIONS +audio/RES0015.mp3[577.200,585.440] JUST UH I TAKE TYLENOL SOMETIMES LIKE IT HASNT REALLY BEEN HELPING +audio/RES0015.mp3[585.440,589.440] OK AND ARE YOU ALLERGIC TO ANYTHING +audio/RES0015.mp3[589.440,592.000] NO NOT THAT I KNOW +audio/RES0015.mp3[592.000,595.000] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0015.mp3[595.000,596.840] YEAH AS FAR AS I KNOW +audio/RES0015.mp3[596.840,605.720] OK AND AND IS THERE ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0015.mp3[606.040,609.760] NO OK HOW ABOUT CANCERS +audio/RES0015.mp3[609.760,615.760] NO CANCERS THAT RUN IN THE FAMILY NO +audio/RES0015.mp3[615.760,623.520] OK OK SO YOU MENTIONED YOU MOVED TO CANADA FROM INDIA ABOUT A YEAR BACK WHERE DO YOU LIVE NOW +audio/RES0015.mp3[623.520,637.160] SO I LIVE IN ITS WE HAVE LIKE A STUDENT HOUSE WITH SOME OF THE STUDENTS WHO CAME FROM INDIA AS WELL AND THERES SIX OF US LIVING TOGETHER IN IN A HOUSE +audio/RES0015.mp3[637.160,643.000] OK OK AND ARE THEY SICK AS WELL OR NO +audio/RES0015.mp3[643.000,650.000] YEAH SO THREE OF THEM ACTUALLY HAVE LIKE TWO OF THEM HAVE A COUGH AND ONE OF THEM HAS SOME SHORTNESS OF BREATH AS WELL +audio/RES0015.mp3[650.000,659.880] OK AND HAVE THEY BEEN TO A DOCTOR HAVE THEY BEEN INVESTIGATED WERE THEY EVER GIVEN A DIAGNOSIS +audio/RES0015.mp3[659.880,668.160] NO NOT THAT I KNOW OF I THINK I MIGHT BE THE FIRST ONE WHO ACTUALLY WENT TO A DOCTOR +audio/RES0015.mp3[668.160,670.320] OK OK UM DO YOU SMOKE +audio/RES0015.mp3[670.320,676.560] I SMOKE LIKE I WOULD SAY LIKE 5 CIGARETTES A DAY +audio/RES0015.mp3[676.560,678.800] OK HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0015.mp3[678.800,682.240] AROUND 10 YEARS +audio/RES0015.mp3[682.240,691.040] OK THATS ITS BEEN A WHILE THEN UM AND DO YOU DO YOU DRINK ALCOHOL +audio/RES0015.mp3[691.040,697.240] NO I I DONT DRINK AND I DONT DO ANY DRUGS EITHER +audio/RES0015.mp3[697.240,698.880] OK OK ARE YOU SEXUALLY ACTIVE +audio/RES0015.mp3[698.880,701.760] NOT CURRENTLY NO +audio/RES0015.mp3[701.760,708.200] NO OK HAVE YOU EVER HAD UNPROTECTED SEX +audio/RES0015.mp3[708.920,720.800] NO OK OK UM DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING YOU WANTED TO DISCUSS THAT I HADNT ASKED YOU ABOUT +audio/RES0015.mp3[720.800,735.360] UM SO YEAH THIS IS JUST LIKE MY FIRST TIME VISITING A DOCTOR IN THIS COUNTRY AND LIKE I WAS JUST VERY SCARED THAT IT MIGHT BE SOMETHING SERIOUS SO JUST WANTED TO KNOW WHAT IT CAN BE +audio/RES0015.mp3[735.360,803.520] YEAH FOR SURE SO THE FIRST THING WE WANT TO RULE OUT IS TB BECAUSE YOU HAVE RECENTLY MOVED TO CANADA FROM A COUNTRY WHERE IT IS I BELIEVE IT IS ENDEMIC SO AND SOME OF YOUR MOST OF YOUR SYMPTOMS FIT WITH TB AND HOW IT PRESENTS SO WE JUST WANT TO MAKE SURE ITS NOT THAT BECAUSE IT IS HIGHLY INFECTIOUS AND AND WE DONT WANT IT TO SPREAD SO WE CAN DO LIKE A AFB SMEAR OR I THINK THEY HAVE OTHER DIAGNOSTIC WORK UP FOR THAT TOO SO WELL DO THAT FIRST IF NOT WE CAN CHECK TO SEE IF ITS LIKE ANOTHER ANOTHER TYPICAL PNEUMONIA WE CAN DO A CHEST X RAY FOR THAT AS WELL IF BOTH OF THOSE TURN OUT TO BE NEGATIVES THEN WELL HAVE TO WORK YOU UP FURTHER FOR OTHER THINGS LIKE COPOR LUNG CANCER HOW DOES THAT SOUND +audio/RES0015.mp3[803.520,807.520] THAT SOUNDS GOOD THANK YOU +audio/RES0036.mp3[0.000,3.720] CAN WE JUST BEGIN WITH WHAT BRINGS YOU IN HERE TODAY +audio/RES0036.mp3[3.720,18.920] YEAH SO IVE BEEN PRETTY BREATHLESS FOR THE PAST SIX DAYS AND ITS ITS JUST WORSE I HAVE TO STOP FROM I HAD TO STOP SO MANY TIMES WALKING HERE FROM MY CAR +audio/RES0036.mp3[18.920,22.120] OK AND WHEN DID THIS FIRST START +audio/RES0036.mp3[22.120,24.640] SIX DAYS AGO +audio/RES0036.mp3[24.640,29.280] AND DID IT START LIKE GRADUALLY OR WAS IT ALL OF A SUDDEN +audio/RES0036.mp3[29.280,33.400] BAH PRETTY SUDDEN ACTUALLY +audio/RES0036.mp3[33.400,38.480] OK AND WERE YOU DOING ANYTHING BEFORE IT FIRST HAPPENED +audio/RES0036.mp3[38.480,45.000] NO JUST WORK AND SPENDING SOME TIME AT HOME +audio/RES0036.mp3[45.000,51.400] OK AND SO YOURE HAVING THE SHORTNESS OF BREATH BUT ARE YOU HAVING ANY LIKE COUGHING AT ALL +audio/RES0036.mp3[51.400,55.640] OH YEAH A LOT OF COUGHING TOO YEAH +audio/RES0036.mp3[55.640,62.120] OK AND IS IT A DRY COUGH OR A WET COUGH +audio/RES0036.mp3[62.120,73.040] UM SO IVE NOTICED THIS WEIRD RUSTY COLORED SPUTUM AND IVE NOTICED THAT LIKE A COUPLE TIMES A DAY +audio/RES0036.mp3[73.040,79.920] AND DID YOUR COUGH STARTED AROUND THE SAME TIME AS WHEN YOUR SHORTNESS OF BREATH STARTED +audio/RES0036.mp3[79.920,82.160] UHM YEAH ID SAY SO +audio/RES0036.mp3[82.160,84.960] OK SO AROUND SIX DAYS +audio/RES0036.mp3[84.960,86.840] YEAH AROUND THERE +audio/RES0036.mp3[86.840,95.640] AND HAS IT BEEN CONSTANT LIKE IVE BEEN CONSTANTLY HAVING A SHORTNESS OF BREATH EVERY DAY WITH THE COUGHING OR DOES IT COME AND GO +audio/RES0036.mp3[95.640,101.000] UM ITS PRETTY CONSTANT NOW +audio/RES0036.mp3[101.000,107.040] OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL +audio/RES0036.mp3[107.040,111.920] UHM YEAH ID SAY ITS GETTING ID SAY ITS GETTING WORSE +audio/RES0036.mp3[111.920,118.480] OK AND IS THAT BOTH THE COUGHING AND THE SHORTNESS OF BREATH OR ONE OR THE OTHER +audio/RES0036.mp3[118.480,120.120] ITS ITS BOTH +audio/RES0036.mp3[120.120,122.440] ITS BOTH OK +audio/RES0036.mp3[124.720,140.680] AND DO YOU REMEMBER IF YOU WERE DOING SOMETHING AT THE TIME WHEN THE SHORTNESS OF BREATH FIRST STARTED HAVE YOU RECENTLY HAD ANY INFECTIONS OR ANYTHING LIKE THAT PREVIOUSLY +audio/RES0036.mp3[140.680,155.000] I DONT KNOW BOUT AN INFECTION UM BUT I GUESS I HAVE BEEN FEELING A LITTLE FEVERISH I HAVENT TAKEN MY TEMPERATURE BUT IVE BEEN FEELING YOU KNOW KIND OF COLD +audio/RES0036.mp3[155.000,163.000] OK AND WHEN YOU FEEL THE BREATHLESSNESS HOW LONG DOES IT USUALLY LAST FOR +audio/RES0036.mp3[163.000,172.320] UM ITS KIND OF HARD TO SAY ITS ITS ALWAYS THEIR BASELINE BUT IT GETS WORSE WHEN I WHEN I WALK OR WHEN I EXERT MYSELF +audio/RES0036.mp3[172.320,182.280] OK AND BESIDES LIKE THE EXERTION DOES IT GET WORSE WITH ANY WHEN YOURE NEAR POLLEN WHEN YOURE OUTSIDE IN THE COLD ANYTHING LIKE THAT +audio/RES0036.mp3[182.280,192.400] UM IT GETS WORSE WHEN WHEN NO NO I WOULDNT SAY THAT NO NO +audio/RES0036.mp3[192.400,196.440] OK AND IS IT WORSE IN THE MORNING OR AT NIGHT +audio/RES0036.mp3[196.440,198.480] IT IT DOESNT MATTER +audio/RES0036.mp3[198.480,204.440] IT IS THERE ALL THE TIME +audio/RES0036.mp3[205.560,214.760] OK AND IS THERE ANYTHING THAT MAKES IT GO AWAY OR I MEAN OR ANYTHING YOUVE TRIED THAT MAKES IT BETTER +audio/RES0036.mp3[214.760,225.680] WELL I GUESS IVE TRIED SOME TAKING SOME TYLENOL AND THATS HELPING MY LIKE REGULATING MY TEMPERATURE +audio/RES0036.mp3[225.680,231.640] OK AND HAVE YOU EVER NOTICED ANY BLOOD IN THE COUGH +audio/RES0036.mp3[231.640,235.600] ITS RUSTY COLORED BUT I DONT KNOW IF THATS BLOOD +audio/RES0036.mp3[235.600,239.960] OK BUT YOUVE NEVER ACTUALLY COUGHED UP UHM RED BLOOD +audio/RES0036.mp3[243.680,252.600] OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE BESIDES EXERTION +audio/RES0036.mp3[252.600,259.400] UH NO +audio/RES0036.mp3[259.400,267.400] OK AND DO YOU NOTICE HAVING ANY WHEEZING OR ANY OTHER BREATHING SOUNDS +audio/RES0036.mp3[267.400,276.560] I NOTICE SOME WHEEZING YEAH ITS ITS ITS NOT THAT MUCH THOUGH +audio/RES0036.mp3[276.560,281.520] OK BEFORE THIS BEFORE THE SIX DAYS HAVE YOU EVER EXPERIENCED ANYTHING SIMILAR +audio/RES0036.mp3[281.520,284.080] UH NO +audio/RES0036.mp3[284.080,290.880] NO OK HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY +audio/RES0036.mp3[290.880,295.080] UH NO +audio/RES0036.mp3[295.080,303.560] YEAH OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CHEST PAIN ANYTHING LIKE THAT +audio/RES0036.mp3[303.560,310.880] I DO HAVE THIS SHARP CHEST PAIN THAT GETS WORSE WITH COUGHING +audio/RES0036.mp3[310.880,317.480] OK AND IS IS THAT ALWAYS THERE OR IS IT JUST WHEN YOURE COUGHING A LOT +audio/RES0036.mp3[317.480,320.200] I GUESS WHEN IM COUGHING A LOT +audio/RES0036.mp3[320.200,324.120] AND THAT STARTS SIX DAYS AGO TOO AS WELL OR IS THAT +audio/RES0036.mp3[327.240,339.640] OK AND DO YOU EVER FEEL ANY KIND OF IS IT SO YOU SAID MENTION IT WAS SHARP BUT DO YOU EVER FEEL LIKE INCREASED PRESSURE IN YOUR CHEST ANYTHING LIKE THAT +audio/RES0036.mp3[339.640,342.600] UH NO +audio/RES0036.mp3[342.600,352.360] AND HOW WOULD YOU RATE THIS PAIN WHEN IT OCCURS FROM A SCALE OF 1 BEING THE LEAST AMOUNT OF PAIN YOUVE FELT IN YOUR LIFE AND 10 BEING THE WORST +audio/RES0036.mp3[352.360,356.760] THE SHARP CHEST PAIN ID SAY MAYBE LIKE A 7 +audio/RES0036.mp3[356.760,362.960] OK AND DOES IT GO AWAY ON ITS OWN OR DOES IT SPREAD TO DIFFERENT AREAS OF YOUR BODY AT ALL +audio/RES0036.mp3[362.960,370.920] IT JUST STARTS GRADUALLY GOING AWAY AT WHEN I STOP COUGHING +audio/RES0036.mp3[370.920,374.880] OK HAVE YOU EXPERIENCED ANY KIND OF HEADACHES WITH NAUSEA OR VOMITING +audio/RES0036.mp3[374.880,379.080] UHM NO +audio/RES0036.mp3[379.080,383.640] OK SO YOU MENTIONED YOU HAD SOME CHILLS BUT YOU DONT KNOW IF YOU HAD A FEVER +audio/RES0036.mp3[386.360,391.160] OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS +audio/RES0036.mp3[391.160,395.640] UH NO +audio/RES0036.mp3[395.640,402.880] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY +audio/RES0036.mp3[402.880,405.960] NOT THAT I KNOW OF NO +audio/RES0036.mp3[405.960,410.680] OK HAVE YOU EXPERIENCED ANY NIGHT SWEATS +audio/RES0036.mp3[410.680,414.640] I FEEL CHILLY AT NIGHT BUT I DONT MAYBE YEAH +audio/RES0036.mp3[414.640,421.920] OK ANY SIGNIFICANT WEIGHT LOSS RECENTLY +audio/RES0036.mp3[424.240,433.440] AND HAVE YOU NOTICED ANY KIND OF SYMPTOMS LIKE YOUR HEART IS RACING OR ANYTHING LIKE THAT +audio/RES0036.mp3[435.040,440.200] OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE IN CONSTIPATION OR DIARRHEA +audio/RES0036.mp3[442.160,445.280] ANY CHANGES IN YOUR URINARY PATTERNS +audio/RES0036.mp3[445.280,448.680] UM NO +audio/RES0036.mp3[448.680,453.040] ANY ISSUES WITH YOUR SLEEP OR APPETITE AT ALL +audio/RES0036.mp3[453.040,457.120] UHM NO +audio/RES0036.mp3[457.120,465.640] OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD OR ANYTHING LIKE THAT RECENTLY +audio/RES0036.mp3[465.640,472.240] UM I GUESS I HAD A RUNNY NOSE A FEW DAYS BEFORE +audio/RES0036.mp3[474.400,479.520] HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST +audio/RES0036.mp3[481.720,489.680] ANY EXPOSURE AT YOUR WORKPLACE OR AT HOME TO ANY FUMES OR DUST IN PETS OR ANIMALS +audio/RES0036.mp3[489.680,499.320] AH WELL I HAVE BIRDS BUT IVE HAD THEM FOR AWHILE +audio/RES0036.mp3[499.320,503.520] OK HOW LONG HAVE YOU HAD THE BIRDS FOR +audio/RES0036.mp3[503.520,507.760] AH ABOUT THREE YEARS +audio/RES0036.mp3[507.760,510.280] OK AND NO THEY HAVENT CAUSED YOU ANY ISSUES BEFORE +audio/RES0036.mp3[512.720,516.600] OK AND DO YOU HAVE ANY ALLERGIES THAT YOU KNOW OF +audio/RES0036.mp3[516.600,518.920] NO ALLERGIES +audio/RES0036.mp3[518.920,526.760] OK ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA +audio/RES0036.mp3[527.520,531.720] ANY PREVIOUS SURGERIES +audio/RES0036.mp3[531.720,532.720] NO NONE +audio/RES0036.mp3[532.720,536.320] OK ANY HOSPITALIZATIONS FOR ANY REASON +audio/RES0036.mp3[539.200,541.360] OK ARE YOU ON ANY MEDICATIONS CURRENTLY +audio/RES0036.mp3[543.160,550.920] AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE CANCERS OR HEART ATTACKS OR ANY LUNG ISSUES +audio/RES0036.mp3[551.600,559.680] OK AND CURRENTLY DO YOU WORK +audio/RES0036.mp3[559.680,577.640] I DO THE PLACE I WORK IS VERY CROWDED AND ITS NOT THE BEST CONDITIONS TO WORK IN AND THERES AN AIR CONDITIONER WHICH I THINK IS BROKEN ITS QUITE HUMID ITS NEVER BEEN CHECKED YEAH +audio/RES0036.mp3[577.640,582.200] AND HOW LONG HAVE YOU BEEN WORKING THERE +audio/RES0036.mp3[582.200,583.600] FOR THE PAST YEAR +audio/RES0036.mp3[583.600,592.000] OK AND WHERE DO YOU LIVE CURRENTLY DO YOU LIVE IN A HOUSE OR AN APARTMENT +audio/RES0036.mp3[592.000,598.320] UHM I HAVE A SMALL APARTMENT ALSO NOT IN THE GREATEST LOCATION +audio/RES0036.mp3[598.320,606.200] OK DO YOU HAVE ANY EXPOSURE TO MOLD OR EXCESSIVE DUST IN YOUR HOUSEHOLD +audio/RES0036.mp3[606.200,615.520] UM MAYBE AH ITS A VERY BADLY KEPT APARTMENT SO ITS POSSIBLE +audio/RES0036.mp3[615.520,622.760] OK DO YOU HAVE ANY POTENTIAL EXPOSURE TO ASBESTOS IN YOUR HOUSE OR AT WORK +audio/RES0036.mp3[622.760,628.000] I MEAN YEAH PROBABLY BOTH BUILDINGS ARE VERY VERY OLD I DOUBT THEYRE BEING MAINTAINED +audio/RES0036.mp3[628.000,634.720] OK AND DO YOU CURRENTLY SMOKE AT ALL +audio/RES0036.mp3[634.720,638.400] I SMOKE 10 CIGARETTES A DAY +audio/RES0036.mp3[638.400,642.160] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0036.mp3[642.160,645.440] UM SINCE I WAS 20 +audio/RES0036.mp3[645.440,650.840] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0036.mp3[650.840,654.600] I SMOKE A LITTLE CANNABIS SOMETIMES +audio/RES0036.mp3[654.600,658.320] AND HOW OFTEN WOULD YOU SAY YOU SMOKE IN AN AVERAGE WEEK +audio/RES0036.mp3[658.320,663.720] MAYBE ABOUT 5 MILLIGRAMS +audio/RES0036.mp3[663.720,670.920] OK AND DO YOU DRINK ALCOHOL +audio/RES0036.mp3[670.920,672.200] I DO BUT NOT A LOT +audio/RES0036.mp3[672.200,674.840] HOW MUCH WOULD YOU SAY YOU DRINK IN A WEEK +audio/RES0036.mp3[674.840,678.280] AH MAYBE 5 DRINKS +audio/RES0036.mp3[678.280,686.880] OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU THINK YOU GET ENOUGH EXERCISE +audio/RES0036.mp3[686.880,690.280] PROBABLY NOT +audio/RES0036.mp3[690.280,699.360] OK UHM AND HOW ABOUT YOUR DIET DO YOU GET 3 MEALS A DAY OR IS IT WELL BALANCED +audio/RES0036.mp3[699.360,704.560] I EAT A LOT OF FAST FOOD AND JUNK FOOD +audio/RES0036.mp3[704.560,712.600] OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAD FOR US TODAY +audio/RES0036.mp3[715.960,751.560] OK SO YEAH BASED ON WHAT WE DISCUSSED TODAY IT SEEMS THAT YOU MAY HAVE AN UPPER RESPIRATORY TRACT INFECTION THE OTHER THINGS ON DIFFERENTIAL WOULD BE A COPEXACERBATION DUE TO YOUR SIGNIFICANT SMOKING HISTORY SO WE WILL DO SOME INVESTIGATIONS TI FIGURE OUT WHAT THIS IS AND THEN PERHAPS CAN GIVE YOU ANTIBIOTICS OR OTHER MEDICATIONS TO HELP YOU UNLESS ITS A VIRAL INFECTION +audio/MSK0037.mp3[0.000,1.520] HOW MAY I HELP YOU +audio/MSK0037.mp3[1.520,46.520] YEAH I JUST CAME IN HERE TODAY IVE BEEN EXPERIENCING SOME DIFFICULTIES WITH MY RIGHT HAND ESPECIALLY AT THE BASES OF THE 4TH AND 5TH DIGITS I NOTICE THIS HAPPENING OVER THE LAST ID SAY PROBABLY LAST FEW MONTHS ITS BEEN GETTING WORSE IVE BEEN HAVING TROUBLE JUST KIND OF EXTENDING THOSE TWO FINGERS AND I KIND OF SEE LIKE THIS LITTLE BUMP AT THE BASE OF THOSE TWO FINGERS SO YEAH OVERALL ITS JUST BEEN DIFFICULT WORKING IM A CONSTRUCTION WORKER AND I DONT KNOW IF THIS JUST KEEPS GETTING WORSE +audio/MSK0037.mp3[46.520,51.160] OK AND YOU NOTICED UM AND SORRY WHEN EXACTLY DID IT START +audio/MSK0037.mp3[51.160,58.840] PROBABLY TWO MONTHS AGO MONTHS AGO +audio/MSK0037.mp3[58.840,68.560] ABOUT TWO MONTHS AGO AND ITS THE 4TH AND 5TH DIGITS OR ANY OTHER FINGERS INVOLVED OR ANY PARTS OTHER PARTS OF YOUR HAND +audio/MSK0037.mp3[68.560,74.520] NO ITS JUST THOSE TWO +audio/MSK0037.mp3[74.520,89.320] OK UHM AND HOW WOULD YOU DESCRIBE THE THE PAIN THAT YOURE FEELING IS IT A SHARP PAIN AND AN ACHY PAIN OR A BURNING PAIN +audio/MSK0037.mp3[89.320,113.840] UHM ITS MORE A KIND OF LIKE A ACHING ACHING PAIN WHICH GETS WORSE WITH IF I TRY TO EXTEND THOSE FINGERS AND YEAH LIKE THAT I DO FEEL LIKE THE LITTLE NODULES BUT LIKE PRESSING ON THEM DOESNT HURT OR ANYTHING LIKE THAT +audio/MSK0037.mp3[113.840,123.920] OK UH AND DO YOU FEEL ANY RADIATION OF PAIN LIKE IN INTO YOUR HAND OR FOREARM +audio/MSK0037.mp3[123.920,128.360] UHM NO NOT REALLY +audio/MSK0037.mp3[128.360,137.520] OK AND ALRIGHT IS THERE ANYTHING THAT IS AGGRAVATING OR MAKING THE PAIN WORSE +audio/MSK0037.mp3[137.520,166.080] UHM I THINK JUST A EXTENDING ITS ITS I WOULD SAY MORE THAN THE PAIN ITS JUST LIKE DISCOMFORT AND JUST NOT BEING ABLE TO EXTEND THAT IS IS FRUSTRATING UH LIKE THE PAIN ISNT THAT BAD LIKE THERES LIKE MINIMAL PAIN +audio/MSK0037.mp3[166.080,176.240] OK AND IS THERE ANY LIKE LIKE CLICKING OR YEAH ANY ANY CLICKING OR CATCHING WHEN YOURE TRYING TO LIKE EXTEND THE FINGER +audio/MSK0037.mp3[176.240,188.840] UHM I WOULD SAY THERE IS A YEAH THERES SOME LIKE CATCHING I WOULD SAY IF WHEN IM TRYING TO EXTEND +audio/MSK0037.mp3[188.840,202.640] OK AND HAS THERE BEEN ANYTHING THAT THAT YOUVE TRIED RECENTLY THATS IMPROVED THE DISCOMFORT OR OR HELPED WITH THE RANGE OF MOTION +audio/MSK0037.mp3[202.640,215.760] NO NOTHING THAT IVE TRIED THAT HAS REALLY HELPED AND YEAH IM JUST AFRAID IF I STOP KIND OF EXERCISING AND ITLL JUST KEEP GETTING WORSE +audio/MSK0037.mp3[215.760,232.800] OK YEAH CERTAINLY OK AND WHAT HAVE YOU HAD ANY PROBLEMS WITH YOUR HAND BEFORE LIKE ANY TRAUMA THERE OR ANYTHING LIKE THAT +audio/MSK0037.mp3[232.800,261.040] UH MY MY CONSTRUCTION WORKER SO THERES ALWAYS LIKE A LOT OF I HAVENT HAD ANY FALLS OR INJURIES ON MY HANDS LUCKILY BUT THERE IS ALWAYS JUST CONSTANT LIFTING THERES I USED TO DRILL A LOT TOO SO THERES LIKE ALWAYS CONSTANT AND IM RIGHT HANDED AS WELL SO THERES ALWAYS LIKE THE VIBRATION YEAH SO BUT NO NO DIRECT LIKE TRAUMAS OR FALLS +audio/MSK0037.mp3[261.040,271.240] HAVE YOU BEEN HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR LOSS OF SENSATION TO ANY PARTS OF YOUR HAND OR UPPER EXTREMITY +audio/MSK0037.mp3[271.240,278.800] NO NUMBNESS OR TINGLING AND NO WEAKNESS OR ANYTHING LIKE THAT +audio/MSK0037.mp3[278.800,280.720] OK SO NO MUSCLE WEAKNESS +audio/MSK0037.mp3[281.880,286.960] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/MSK0037.mp3[289.280,294.040] OK AND HOW ABOUT ANY NIGHT SWEATS +audio/MSK0037.mp3[294.480,300.400] AND HAVE YOU BEEN HAVING ANY UNEXPECTED HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0037.mp3[301.600,305.320] OK AND HAVE YOU HAD ANY HEADACHES +audio/MSK0037.mp3[306.120,312.680] ANY SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION HEARING LOSS OF TASTE OR SENSE OF SMELL +audio/MSK0037.mp3[312.680,314.400] NO NOTHING LIKE THAT +audio/MSK0037.mp3[314.400,317.840] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +audio/MSK0037.mp3[319.040,323.600] HAVE YOU HAD ANY I REDNESS OR OR ITCHY EYES +audio/MSK0037.mp3[324.520,328.240] ALRIGHT AND HAVE YOU HAD A SORE THROAT OR COUGH +audio/MSK0037.mp3[328.240,329.840] NO NOTHING LIKE THAT +audio/MSK0037.mp3[329.840,334.040] HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING +audio/MSK0037.mp3[335.200,337.520] HAVE YOU HAD ANY CHEST PAIN +audio/MSK0037.mp3[338.320,343.920] ANY LIGHTHEADEDNESS DIZZINESS OR FEELING AS THOUGH YOU MIGHT FAINT +audio/MSK0037.mp3[344.840,349.280] YOU GOT ANY FEELINGS OF THOUGH YOUR HEART IS RACING +audio/MSK0037.mp3[351.040,354.800] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0037.mp3[355.800,358.560] ANY ABDOMINAL PAIN +audio/MSK0037.mp3[359.120,365.200] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/MSK0037.mp3[366.960,370.960] ALRIGHT AND HAVE YOU HAD LIKE ANY BLOOD IN THE STOOL +audio/MSK0037.mp3[371.760,375.280] ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/MSK0037.mp3[376.160,380.480] AN ANY SKIN CHANGES LIKE RASHES +audio/MSK0037.mp3[380.480,384.280] NO NOTHING LIKE THAT +audio/MSK0037.mp3[384.280,392.600] OK OR ANY CHANGES TO YOUR NAILS OR HAIR LIKE YOULL NOTICE LIKE PLAQUES ON THE NAILS OR OR HAIR LOSS +audio/MSK0037.mp3[394.240,402.960] OK AND HAVE YOU BEEN HAVING ANY MUSCLE ACHES OR JOINT PAINS OR BODY PAINS ANYWHERE ELSE +audio/MSK0037.mp3[402.960,405.400] NO NOT REALLY +audio/MSK0037.mp3[405.400,412.400] ALRIGHT AND UH HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION +audio/MSK0037.mp3[412.400,415.240] NO NOTHING LIKE THAT +audio/MSK0037.mp3[415.240,420.120] OK AND HAVE YOU HAD ANY APPETITE LOSS OR FATIGUE +audio/MSK0037.mp3[420.120,422.480] UHM NO +audio/MSK0037.mp3[422.480,430.680] ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0037.mp3[430.680,442.240] UHM THEY SAY I HAVE LIKE SOME HIGH CHOLESTEROL IM TAKING THIS MEDICATION LIKE A STATIN AND BUT OTHER THAN THAT UMM NO +audio/MSK0037.mp3[442.240,446.520] OK SO DO YOU TAKE ANY OTHER MEDICATIONS OR IS IT JUST THE STATIN +audio/MSK0037.mp3[446.520,448.680] ITS JUST A STATIN +audio/MSK0037.mp3[448.680,457.040] OK AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/MSK0037.mp3[457.040,469.800] UHM I DID A HAVE A ACL REPAIR JUST WHEN I WAS PROBABLY 18 +audio/MSK0037.mp3[469.800,472.880] OK DO YOU HAVE ANY ALLERGIES +audio/MSK0037.mp3[472.880,476.760] NO NOT THAT I KNOW +audio/MSK0037.mp3[476.760,482.000] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0037.mp3[482.280,487.960] COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/MSK0037.mp3[487.960,496.040] YEAH SO I JUST LIVED WITH MY WIFE WE LIVE IN SMALL APARTMENT +audio/MSK0037.mp3[496.040,500.920] OK AND ARE YOU WORKING RIGHT NOW +audio/MSK0037.mp3[500.920,514.080] YEAH JUST AS A CONSTRUCTION WORKER BEEN DOING THAT FOR THE LAST PROBABLY 10 YEARS +audio/MSK0037.mp3[514.080,517.840] OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0037.mp3[519.600,529.800] OK AND SORRY AS A CONSTRUCTION WORKER I HAVE YOU HAD ANY LIKE ANY PUNCTURE WOUNDS TO YOUR HANDS OR ANYTHING THAT LIKE ANY LIKE SLIVERS OR THINGS THAT HAVE GONE INTO THE SKIN +audio/MSK0037.mp3[529.800,546.840] NOT ANY PUNCTURE WOUNDS LIKE UH YEAH I SOMETIMES GET SPLINTERS HERE AND THERE BUT NOTHING LIKE NOTHING RECENTLY THAT I CAN THINK OF THAT HAS BEEN ANYTHING WORRYING OR SIGNIFICANT +audio/MSK0037.mp3[546.840,555.720] ALRIGHT OK AND HAVE YOU EVER TRAVELED ANYWHERE RECENTLY +audio/MSK0037.mp3[556.680,559.240] BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0037.mp3[559.800,561.800] DO YOU SMOKE CIGARETTES +audio/MSK0037.mp3[561.800,570.640] YEAH I SMOKE PROBABLY A PACK A DAY FOR THE LAST I DONT KNOW LIKE 10 YEARS +audio/MSK0037.mp3[570.640,574.000] OK AND YOU SMOKE MARIJUANA +audio/MSK0037.mp3[574.000,584.120] NOT THAT MUCH PROBABLY JUST A COUPLE TIMES A MONTH +audio/MSK0037.mp3[584.120,587.760] OK UH AND DO YOU DRINK ALCOHOL +audio/MSK0037.mp3[587.760,594.800] YEAH PROBABLY A COUPLE OF YEARS A DAY +audio/MSK0037.mp3[594.800,600.320] OK LIKE ONE OR TWO A DAY +audio/MSK0037.mp3[600.320,605.520] YEAH PROBABLY ONE OR TWO SOMETIMES 3 +audio/MSK0037.mp3[605.520,614.480] OK AND YOU USE ANY REC OTHER RECREATIONAL DRUGS AT AND OR ANY IV DRUGS AND HAVE YOU IN THE PAST +audio/MSK0037.mp3[614.480,625.680] NO I HAVENT TRIED ANYTHING BEYOND WEED I DONT WANNA TRY ANY OTHER STUFF +audio/MSK0037.mp3[625.680,636.080] OK I I SEE AND THATS GOOD THEN UHM ANYBODY IN THE FAMILY HAVE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +audio/MSK0037.mp3[636.080,643.400] UHM NOT THAT I KNOW +audio/MSK0037.mp3[643.400,650.440] OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR HYPOTHYROIDISM +audio/MSK0037.mp3[651.400,661.800] OK AND AS ANYBODY IN THE FAMILY HAD A DUPUYTRENS CONTRACTURE BEFORE +audio/MSK0037.mp3[661.800,668.520] UHM NO I HAVENT I HAVENT HEARD IT NOW +audio/MSK0037.mp3[668.520,683.040] OK AND SO UH NEXT I JUST WANTED TO GO ON TO THE PHYSICAL EXAM PORTION SO JUST A COUPLE MORE QUESTIONS SO WHEN YOURE LOOKING AT YOUR HAND ARE YOU SEEING ANY SWELLING REDNESS +audio/MSK0037.mp3[683.040,694.920] NOT SWELLING I JUST YEAH JUST THOSE NODULES AND I GET LIKE A LITTLE BIT OF WHITENESS AROUND THOSE NODULES WHEN I EXTEND MY FINGERS +audio/MSK0037.mp3[694.920,699.960] OK YEAH BUT NO REDNESS +audio/MSK0037.mp3[702.760,713.040] OK AND ARE YOU ARE YOU SEEING ANY UH LIKE MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF YOUR JOINTS IN THE FINGERS OR THE WRIST +audio/MSK0037.mp3[716.720,728.920] OK AND UH ARE THERE ANY AREAS THAT THAT YOU CAN PALPATE OVER YOUR HAND THAT CAUSES PAIN +audio/MSK0037.mp3[728.920,757.400] YEAH THERES JUST SOME DISCOMFORT LIKE WHEN I AT THE BASES OF THOSE TWO FINGERS LIKE IF I PRESS ON THE NODULES LIKE ITS SOMETIMES A LITTLE BIT LIKE UNCOMFORTABLE BUT ITS NOT TOO BAD LIKE I I DONT BUT I DONT KNOW I HAVE A PRETTY HIGH PAIN THRESHOLD TOO SO ITS HARD TO SAY +audio/MSK0037.mp3[757.400,767.400] OK I SEE AN WHEN YOURE EXTENDING YOUR FINGERS WITH LIKE PASSIVE EXTENSION TO DO WITH YOUR OTHER HAND DO YOU GET A LOT OF PAIN LIKE ALONG THE TENDONS OR THE PASSIVE EXTENSION +audio/MSK0037.mp3[767.400,786.560] YEAH DEFINITELY I WOULD SAY MORE PAINFUL THAN IF I TRY TO EXTEND IT MYSELF LIKE JUST FORCING IT BACK BUT YEAH BUT NOT NOT ANYTHING TOO LIKE I LIKE ITS NOT SHARP OR ANYTHING LIKE THAT +audio/MSK0037.mp3[786.560,803.240] OK AND WITH THE ON THE NODULES AND STUFF DO YOU FEEL ANY LIKE CREPITATIONS OR LIKE CRACKLING OR RUBBING OVER THOSE THOSE AREAS OR YOUR PALM +audio/MSK0037.mp3[803.240,810.320] UHM CRACKLING OH NO NOT THAT I HAVE NOTICED +audio/MSK0037.mp3[810.320,814.080] OK AND ANY ISSUES WITH YOUR LIKE WRIST OR OR ELBOW +audio/MSK0037.mp3[814.080,825.520] NO NOT THAT I KNOW OF +audio/MSK0037.mp3[825.520,833.040] OK UHM SO I THINK THATS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD OR OR DID YOU HAVE ANY QUESTIONS +audio/MSK0037.mp3[833.040,836.640] NO I THINK THATS ALL +audio/MSK0037.mp3[836.640,877.760] OK IM SO RIGHT NOW ITS SOUNDING LIKE ITS MOST LIKELY SOMETHING CALLED DUPUYTRENS CONTRACTURE BUT ALSO WE CANT RULE OUT LIKE FLEXOR TENOSYNOVITIS JUST YET OR OR TRIGGER FINGER BASED ON THE THE SYMPTOMS BUT THE FACT THAT YOURE NOT HAVING A FEVER YOU DONT HAVE PAIN KIND OF ALONG THE THE TENDON YOURE NOT SEEING ANY SWELLING OR REDNESS THATS ALL POINTING AWAY FROM THE TENOSYNOVITIS +audio/MSK0037.mp3[878.240,911.920] BUT ITLL BE IMPORTANT TO GET SOME BLOOD WORK AND THINGS TO MAKE SURE THAT WERE NOT MISSING THAT BUT FOR DUPUYTRENS CONTRACTURE ITLL BE A UH DO DOING WHAT WE CAN WITH THERAPY TO TRY IT LIKE PHYSIOTHERAPY AND ACTIVITY MODIFICATION TO TRY AND LOOSEN THOSE STRUCTURES ON THE ON THE PALM OF YOUR HAND +audio/MSK0037.mp3[911.920,913.480] OK SOUNDS GOOD +audio/RES0112.mp3[0.000,2.520] WHAT BRINGS YOU IN TODAY +audio/RES0112.mp3[2.520,44.320] YEAH I BROUGHT MY SON HERE IM A LITTLE BIT WORRIED ABOUT HIM BECAUSE LIKE YESTERDAY HE HAD HE HAD THIS TEMPERATURE OF LIKE 385 UM SO HES BEEN FEELING A LITTLE BIT HOT AND HES NOT SWALLOWING HIS FOOD LIKE WEVE BEEN FEEDING HIM SOME MASHED UP FOOD BUT HES NOT SWALLOWING IT HES JUST KIND OF THROWING THROWING IT BACK OUT THERE UM HES DROOLING NOW UH AND HE SOUNDS KIND OF MUFFLED UM AND HES BEEN VERY SHORT OF BREATH +audio/RES0112.mp3[44.320,63.040] THAT DOESNT SOUND GOOD UM UH YEAH IM IM CURRENTLY LOOKING AT HIM AND HE DOESNT UH LOOK GREAT WHILE THE UH WHILE THE DOCTORS UM TAKING HIS VITALS AND EXAMINING THE BABY ILL JUST ASK YOU A COUPLE OF QUESTIONS +audio/RES0112.mp3[64.200,72.160] SO YOU SAID THAT ALL OF THIS STARTED ABOUT A DAY AGO HOW WAS HE DOING BEFORE THAT +audio/RES0112.mp3[72.160,90.920] HE WAS FINE BEFORE THAT HE HAD LIKE A AN INFECTION LIKE SOME SORT OF VIRAL INFECTION RECENTLY LIKE ABOUT A WEEK BACK HE HAD LIKE A RUNNY NOSE AND A COUGH BUT THAT WENT AWAY +audio/RES0112.mp3[90.920,97.920] UM OK SO HE HAD THESE SYMPTOMS ABOUT A WEEK AGO DID HE SEE ANY DID YOU TAKE HIM TO THE HOSPITAL OR TO A CLINIC +audio/RES0112.mp3[97.920,115.800] I TOOK HIM TO OUR FAMILY DOCTOR UM AND THEY JUST SUGGESTED SOME SUPPORTIVE TREATMENTS UM WHICH WEVE BEEN DOING AT HOME LIKE WE TRY TO KEEP HIM WELL HYDRATED AND WEVE BEEN KEEPING AN EYE ON HIS LIKE UM DIAPERS AND THINGS LIKE THAT +audio/RES0112.mp3[115.800,125.120] OK HAS HE BEEN UM HAS HE BEEN HOW MANY DIAPERS IS HE UM ARE YOU CHANGING A DAY +audio/RES0112.mp3[125.120,143.920] USUALLY LIKE ABOUT 5 6 BUT YESTERDAY IT WAS LIKE 2 +audio/RES0112.mp3[143.920,149.480] OK UM AND UH HAS HE BEEN UH IRRITABLE OR AGITATED +audio/RES0112.mp3[149.480,156.160] UH HE HAS BEEN VERY IRRITABLE AND FUSSY +audio/RES0112.mp3[156.160,158.800] HAS HE BEEN SLEEPING OK +audio/RES0112.mp3[158.800,167.240] I UM NO YOU KNOW WHAT LAST NIGHT HE DIDNT SLEEP WELL AT ALL HE WAS CRYING THE WHOLE NIGHT +audio/RES0112.mp3[167.240,179.120] UM AND UH IN TERMS OF UH SO HOW MUCH HAS HE HAS HE HAD TO EAT OR DRINK IN THE PAST UH DAY OR TWO +audio/RES0112.mp3[179.120,188.560] UH HES HAD ABOUT LIKE MAYBE A BOTTLE OF HIS MILK LIKE OF THAT +audio/RES0112.mp3[190.160,192.080] THATS IT +audio/RES0112.mp3[192.080,202.240] YEAH HES NOT TAKING HES NOT HES NOT TAKING ANYTHING ELSE LIKE HES BEEN SO FUSSY AND SO LIKE HES UNWILLING TO TRY ANYTHING +audio/RES0112.mp3[202.240,211.000] OK UM AND OK DO YOU FEEL LIKE HES BEEN DROWSY UH AND UM LETHARGIC +audio/RES0112.mp3[211.000,233.800] UM YEAH I FEEL LIKE HES BEEN A LITTLE BIT LETHARGIC LIKE TODAY HES MORE LETHARGIC ALL OF YESTERDAY HE WAS VERY FUSSY AND IRRITABLE BUT TODAY SEEMS LIKE HES VERY SLOW +audio/RES0112.mp3[233.800,245.600] OK AND JUST A COUPLE OF QUESTIONS ABOUT UM HIS PAST MEDICAL HISTORY DOES HE HAVE ANY UH MEDICAL CONDITIONS UH THAT HE WAS DIAGNOSED WITH +audio/RES0112.mp3[245.600,249.920] UH NO HES BEEN HEALTHY OTHERWISE +audio/RES0112.mp3[249.920,252.280] HOW WAS YOUR PREGNANCY WITH HIM +audio/RES0112.mp3[252.280,255.640] NORMAL YEAH NO COMPLICATIONS THERE +audio/RES0112.mp3[255.640,262.880] DID DID YOU HAVE GBS OR GESTATIONAL DIABETES +audio/RES0112.mp3[263.960,269.360] NO OK DID YOU HAVE ANY VIRAL INFECTIONS DURING THAT TIME DURING PREGNANCY +audio/RES0112.mp3[269.360,270.800] NO NO +audio/RES0112.mp3[270.800,275.960] WAS HE BORN VIA CAESAREAN SECTION OR UH CSECTION OR A VAGINAL BIRTH +audio/RES0112.mp3[275.960,277.320] UH VAGINAL +audio/RES0112.mp3[277.320,280.760] OK ANY COMPLICATIONS DURING BIRTH +audio/RES0112.mp3[282.120,290.360] WAS HE UM KEPT IN THE HOSPITAL FOR A COUPLE DAYS IN THE NICU AFTER HE WAS BORN +audio/RES0112.mp3[291.360,294.560] DID HE DEVELOP JAUNDICE +audio/RES0112.mp3[295.680,307.480] OK AND AND HES BEEN OK FOR THE PAST TWO YEARS ANY CONCERNS ABOUT HIS GROWTH HIS HEIGHT AND WEIGHT AND HIS HEAD CIRCUMFERENCE HAS YOUR FAMILY DOCTOR UH SAID ANYTHING ABOUT THAT +audio/RES0112.mp3[307.480,313.200] NO HES BEEN PRETTY GOOD UM HES BEEN GROWING AND GAINING WEIGHT OK +audio/RES0112.mp3[313.200,318.040] ANY UM DEVELOPMENTAL ISSUES +audio/RES0112.mp3[319.080,325.560] OK ALRIGHT AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0112.mp3[325.560,331.880] UH NO JUST LIKE SOME HEART ISSUES +audio/RES0112.mp3[331.880,340.320] UM OK AND UH DOES HE I FORGOT TO ASK HAS HE HAD ANY HOSPITALIZATIONS IN THE PAST +audio/RES0112.mp3[341.160,343.960] ANY SURGERIES +audio/RES0112.mp3[343.960,345.400] NO SURGERIES +audio/RES0112.mp3[345.400,351.840] UH HAS HE BEEN ON ANY MEDICATIONS ANY ANTIBIOTICS RECENTLY +audio/RES0112.mp3[353.920,362.360] OK HAS UM HAS HE BEEN VACCINATED UH HAS HIS VACCINATIONS IMMUNIZATIONS UP TO DATE +audio/RES0112.mp3[362.360,365.520] YEAH THEYRE ALL UP TO DATE SO FAR +audio/RES0112.mp3[365.520,375.240] OK ALRIGHT THATS THATS GOOD UM OK AND DOES HE HAVE ANY ALLERGIES THAT YOURE AWARE OF +audio/RES0112.mp3[375.240,379.040] PARDON ME +audio/RES0112.mp3[379.040,381.360] ANY ALLERGIES +audio/RES0112.mp3[381.360,383.440] OH UH NO ALLERGIES +audio/RES0112.mp3[383.440,447.080] OK ALRIGHT UM WELL IT LOOKS LIKE UM I ITS GREAT THAT YOU BROUGHT HIM INTO THE EMERGENCY ROOM UM IF HE HASNT BEEN EATING DRINKING WELL HASNT SLEPT WELL HAS BEEN FUSSY AND AND HAS BEEN LETHARGIC AND TIRED UH AND IS HAVING DIFFICULTY SWALLOWING FOOD UM THATS DEFINITELY VERY UM SERIOUS UH WELL HAVE A LOOK INSIDE HIS MOUTH AND SEE WHATS GOING ON IT COULD BE THAT HE HAS AN INFECTION OR AN INFLAMMATION OF SOME SORT UM GIVEN HIS FEVER HE PROBABLY HAS AN INFECTION UM AND UH WELL LIKELY START HIM ON ANTIBIOTICS AND PUT IN AN IV DRIP JUST TO GET IN GET SOME FLUIDS INSIDE HIM JUST TO GET HIM HYDRATED UH AND MONITOR HIM VERY CLOSELY WELL ALSO CHECK HIS VITALS AND UM WELL DO UH YEAH WELL GO FROM THERE DO YOU HAVE ANY QUESTIONS +audio/RES0112.mp3[447.080,449.200] UH NO THANK YOU +audio/MSK0005.mp3[0.000,2.000] WHAT BRINGS YOU IN +audio/MSK0005.mp3[2.000,18.440] HI IVE IVE HAD THIS PAIN ON THE OUTSIDE OF MY UH RIGHT ELBOW NOW ITS IT I FIRST STARTED KNOWING NOTICING IT SEVERAL MONTHS AGO BUT RECENTLY ITS JUST BEEN MORE PAINFUL +audio/MSK0005.mp3[18.440,30.960] OK SO YOU SAID SEVERAL MONTHS AGO UM DID ANYTHING HAPPEN SEVERAL MONTHS AGO WAS THERE ANY SORT OF TRIGGER TRAUMA ANYTHING LIKE THAT TO THAT AREA +audio/MSK0005.mp3[30.960,51.000] NO THERE WASNT ANY ANY TRAUMA OR ANY TRIGGERS THAT THAT I NOTICED I WAS JUST UM FEELING IT UH A BIT MORE AT THE END OF OF WORK UM YEAH I WAS JUST HAVING IT UH FEELING THE PAIN A BIT MORE AT THE END OF WORK +audio/MSK0005.mp3[51.000,59.520] OK DOES UH ANYTHING MAKE IT BETTER OR WORSE THE PAIN +audio/MSK0005.mp3[59.520,80.840] UM YEAH IF I REALLY IF IM JUST RESTING THE ELBOW UM IT MAKES IT BETTER AND IVE TRIED UH THINGS LIKE IBUPROFEN UM WHICH HAS HELPED WITH THE PAIN ILL ILL DO THAT FOR UM HOPING I CAN GET THROUGH WORK SOMETIMES IF THE PAIN IS BAD ENOUGH +audio/MSK0005.mp3[80.840,91.800] RIGHT OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN IS IT SHARP THROBBY ACHY +audio/MSK0005.mp3[91.800,104.560] UH ITS UM KIND OF UH WELL ITS ACHY AND THEN SOMETIMES DEPENDING ON THE MOVEMENT IT CAN GET IT CAN BE SHARP AS WELL +audio/MSK0005.mp3[104.560,113.600] IT CAN BE SHARP OK OK UM AND WHAT SORTS OF MOVEMENTS MAKE IT WORSE +audio/MSK0005.mp3[113.600,140.040] UM SO LIKE REALLY ITS MOSTLY THE MOVEMENTS AT MY WRIST IF IM BENDING MY WRIST DOWN UH I CAN I CAN FEEL IT OR UM IF IM HAVING TO PICK THINGS UP OR HOLD HEAVY OBJECTS AT WORK I DO A LOT OF REPETITIVE UH THINGS AT AT WORK I WORK ON A LINE +audio/MSK0005.mp3[140.040,148.240] OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN +audio/MSK0005.mp3[148.240,151.240] IT IS ABOUT A FOUR +audio/MSK0005.mp3[151.240,158.920] ABOUT A FOUR OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +audio/MSK0005.mp3[158.920,161.440] UH NO I HAVENT +audio/MSK0005.mp3[161.440,171.160] NO OK AND DO YOU FEEL LIKE YOUR PAIN IS GETTING WORSE OVER THE PAST SEVERAL MONTHS OR IS IT THE SAME GETTING BETTER +audio/MSK0005.mp3[171.160,173.040] UH ITS BEEN GETTING WORSE +audio/MSK0005.mp3[173.040,182.120] ITS BEEN GETTING WORSE OK OK UM HAVE YOU TRIED ANY LIKE TOPICAL OINTMENTS OR ANYTHING LIKE THAT FOR IT +audio/MSK0005.mp3[182.120,197.160] UH I DID I YEAH I TRIED SOME UM SOME STUFF THAT YOU CAN GET AT THE UM DRUGSTORE AND IT DID HELP TAKE THE EDGE OFF A LITTLE BIT +audio/MSK0005.mp3[197.160,205.920] OK UM ALRIGHT AND ARE YOU STILL ABLE TO MOVE THAT ARM YOUR RIGHT ARM UM AS WELL AS YOUR HAND +audio/MSK0005.mp3[205.920,211.360] I AM YEAH I I HAVE FULL RANGE OF MOTION OF BOTH THE ELBOW AND UH HAND +audio/MSK0005.mp3[211.360,219.320] OK AND ITS NOT LIKE PREVENTING YOU FROM DOING EVERYDAY TASKS +audio/MSK0005.mp3[219.320,229.120] UH NO I IVE BEEN BEEN ABLE TO MANAGE SO FAR AT WORK BUT UM IT IS STARTING TO BECOME AN ISSUE UM YEAH WITH MY JOB +audio/MSK0005.mp3[229.120,241.040] OK UM ALRIGHT AND THEN DO YOU HAVE ANY SORTS OF ACHES OR PAINS UH IN ANY OTHER JOINT OR MUSCLE GROUPS +audio/MSK0005.mp3[241.040,253.600] NO ITS JUST RIGHT THERE ON THE OUTSIDE OF MY RIGHT ELBOW AND ITS REALLY ANNOYING CAUSE IM RIGHT HANDED AS WELL SO UM YEAH ITS CAUSING PROBLEMS THERE +audio/MSK0005.mp3[253.600,259.560] RIGHT UM AND IS THE PAIN RADIATING UPWARDS OR DOWNWARDS +audio/MSK0005.mp3[259.560,266.040] UH NO I KINDA JUST FEEL IT RIGHT OVER THAT THAT ONE SPOT +audio/MSK0005.mp3[266.040,270.360] OK ANY NUMBNESS OR TINGLING IN THAT ARM +audio/MSK0005.mp3[270.360,274.120] NO NO NO NUMBNESS OR TINGLING +audio/MSK0005.mp3[274.120,283.640] YEAH UM OK AND THEN HOW ABOUT UM LIKE YOUR ARM FEELING LIKE ITS COLD +audio/MSK0005.mp3[283.640,286.640] NO I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0005.mp3[286.640,295.040] OK ALRIGHT UM AND THEN OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS +audio/MSK0005.mp3[295.040,299.440] UM NO I ITS JUST BEEN THE ELBOW PAIN +audio/MSK0005.mp3[299.440,302.320] OK SO NO WEIGHT LOSS +audio/MSK0005.mp3[302.320,305.400] NO MY WEIGHTS BEEN STABLE OVER THESE LAST FEW MONTHS +audio/MSK0005.mp3[305.400,308.400] OK FEVERS OR CHILLS +audio/MSK0005.mp3[308.400,310.840] NO I HAVENT HAD ANY FEVERS OR CHILLS +audio/MSK0005.mp3[310.840,314.280] OK ANY FATIGUE +audio/MSK0005.mp3[314.280,316.200] NO MY ENERGYS BEEN GOOD +audio/MSK0005.mp3[316.200,321.400] OK HOW ABOUT UM RASHES +audio/MSK0005.mp3[321.400,322.920] UH NO RASHES +audio/MSK0005.mp3[322.920,329.000] OK CHANGES TO YOUR SENSES LIKE VISION HEARING SMELL SMELL OR TASTE +audio/MSK0005.mp3[329.000,330.280] NO CHANGES THERE +audio/MSK0005.mp3[330.280,334.280] OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0005.mp3[335.240,341.360] OK CHEST PAIN ANY HEART PALPITATIONS OR UH DIZZINESS +audio/MSK0005.mp3[341.360,342.680] NOTHING LIKE THAT +audio/MSK0005.mp3[342.680,345.680] OK CHANGES TO YOUR BOWEL MOVEMENTS +audio/MSK0005.mp3[346.600,349.680] NO NO NO NAUSEA OR VOMITING +audio/MSK0005.mp3[349.680,351.720] NO I HAVENT HAD ANY NAUSEA OR VOMITING +audio/MSK0005.mp3[351.720,354.480] OK CHANGES TO YOUR URINE +audio/MSK0005.mp3[354.480,357.480] NO I HAVENT HAD ANY URINARY UH SYMPTOMS +audio/MSK0005.mp3[357.480,361.560] OK MEMORY LOSS OR CONFUSION +audio/MSK0005.mp3[362.600,373.760] OK SO IF YOU LOOK AT THAT RIGHT ELBOW UM DO YOU NOTICE ANY REDNESS OR SWELLING +audio/MSK0005.mp3[373.760,375.280] UH NO I DONT +audio/MSK0005.mp3[375.280,383.560] NO OK DOES IT SEEM MISALIGNED OR LIKE ASYMMETRICAL COMPARED TO YOUR OTHER ELBOW +audio/MSK0005.mp3[383.560,385.920] NO IT LOOKS IT LOOKS THE SAME +audio/MSK0005.mp3[385.920,392.000] LOOKS THE SAME OK SO NO UM SKIN CHANGES OR DEFORMITIES THERE +audio/MSK0005.mp3[392.000,394.680] UH NO +audio/MSK0005.mp3[394.680,413.000] NO OK ALRIGHT AND NOW IM GOING TO GET YOU TO UM JUST PALPATE UH THAT LATERAL OR YEAH THE LATERAL ASPECT OF THAT ELBOW AND YOU LET ME KNOW IF YOU FEEL PAIN WHEN YOU PUSH PUSH ON THAT +audio/MSK0005.mp3[413.000,417.200] UH THERE IS PAIN AT THE LATERAL UH LATERAL ELBOW +audio/MSK0005.mp3[417.200,422.320] HOW ABOUT THE MEDIAL ASPECT +audio/MSK0005.mp3[422.320,423.520] NO PAIN +audio/MSK0005.mp3[423.520,431.240] NO PAIN OK AND HOW ABOUT WHEN YOU PALPATE YOUR UM FOREARM AND YOUR BICEPS +audio/MSK0005.mp3[431.240,432.880] UH NO NO PAIN +audio/MSK0005.mp3[432.880,440.600] OK ALRIGHT AND THEN DO YOU FEEL LIKE ITS HOT THAT AREA +audio/MSK0005.mp3[441.480,453.360] NO OK NOW I AM GOING TO GET YOU TO UM EXTEND YOUR WRIST +audio/MSK0005.mp3[454.120,461.680] AND THEN KEEP YOUR ELBOW IN FULL EXTENSION AS WELL DOES THAT HURT +audio/MSK0005.mp3[461.680,464.200] UH IT DOES YEAH +audio/MSK0005.mp3[464.200,475.840] YEAH OK HOW ABOUT WHEN YOU FLEX YOUR WRIST WITH THE ELBOW STILL IN FULL EXTENSION +audio/MSK0005.mp3[475.840,478.720] UH IT DOES YEAH THAT HURTS AS WELL +audio/MSK0005.mp3[478.720,483.920] OK HOW ABOUT WHEN YOU FLEX YOUR ELBOW +audio/MSK0005.mp3[483.920,487.440] UH NO THAT THAT DOESNT CAUSE ANY PAIN +audio/MSK0005.mp3[487.440,493.440] OK HOW ABOUT WHEN YOU EXTEND YOUR SHOULDER ALL THE WAY UP +audio/MSK0005.mp3[493.440,496.040] NO NOTHING THERE THAT FEELS FINE +audio/MSK0005.mp3[496.040,500.400] OK AND THEN FLEXING YOUR UH OR SORRY ABDUCTING YOUR SHOULDER +audio/MSK0005.mp3[500.400,502.640] THAT FEELS NORMAL +audio/MSK0005.mp3[502.640,515.480] OK ALRIGHT AND THEN HOW ABOUT WHEN YOU PRONATE AND SUPINATE YOUR FOREARMS +audio/MSK0005.mp3[515.480,517.800] UH PRONATION UM +audio/MSK0005.mp3[517.800,530.240] SO LIKE TWIST YOUR UM ARM INWARDS SO THAT YOUR PALM IS FACING THE FLOOR +audio/MSK0005.mp3[530.240,533.920] NO THAT DOESNT REALLY CAUSE ANY PAIN PRONATION AND SUPINATION +audio/MSK0005.mp3[533.920,542.200] OK ALRIGHT UM ALRIGHT AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0005.mp3[542.200,544.080] UM IM UH HEALTHY +audio/MSK0005.mp3[544.080,553.440] YOURE HEALTHY OK AND THEN UM DO YOU HAVE HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0005.mp3[553.440,563.760] I HAD A SURGERY FOR UM A CSECTION FOR UH MY MY SON UM BUT THATS THATS IT +audio/MSK0005.mp3[563.760,568.360] OK OK AND UM HOW LONG AGO WAS THAT +audio/MSK0005.mp3[568.360,573.440] THAT WAS ABOUT UH 17 YEARS AGO +audio/MSK0005.mp3[573.440,578.280] OK AND WAS THAT AN EMERGENCY CSECTION +audio/MSK0005.mp3[578.280,579.320] UH NO IT WAS NOT +audio/MSK0005.mp3[579.320,585.440] OK UM AND THEN ARE YOU ON ANY MEDICATIONS +audio/MSK0005.mp3[585.440,591.320] UM NO IVE JUST BEEN TAKING UH TYLENOL AND ADVIL UM FOR THE PAIN +audio/MSK0005.mp3[591.320,597.960] OK ALRIGHT UM IMMUNIZATIONS WISE ARE YOU UP TO DATE +audio/MSK0005.mp3[597.960,600.000] UH I I AM YES +audio/MSK0005.mp3[600.000,603.280] OK DO YOU HAVE ANY ALLERGIES +audio/MSK0005.mp3[603.280,605.640] UH NO ALLERGIES +audio/MSK0005.mp3[605.640,615.600] OK FAMILY HISTORY OF ANY UH SKELETAL OR MUSCULAR UM ISSUES +audio/MSK0005.mp3[615.600,619.120] UM NO NOTHING LIKE THAT IN THE FAMILY +audio/MSK0005.mp3[619.120,621.840] OK NEUROLOGICAL ISSUES IN THE FAMILY +audio/MSK0005.mp3[621.840,626.640] UM NO NEUROLOGICAL ISSUES IN THE FAMILY +audio/MSK0005.mp3[626.640,629.440] OK HOW ABOUT UM AUTOIMMUNE CONDITIONS +audio/MSK0005.mp3[629.440,632.720] UH NO NOTHING LIKE THAT +audio/MSK0005.mp3[632.720,637.880] OK AND THEN UM DO YOU SMOKE +audio/MSK0005.mp3[637.880,639.960] UH NO I HAVENT SMOKED BEFORE +audio/MSK0005.mp3[639.960,643.560] OK UH DO YOU DO UM MARIJUANA +audio/MSK0005.mp3[643.560,647.960] NO I I DONT USE THAT +audio/MSK0005.mp3[647.960,652.520] OK UM ALCOHOL +audio/MSK0005.mp3[652.520,659.000] UM UH YEAH ILL HAVE A GLASS OF WINE EVERY ONCE IN AWHILE BUT MAYBE JUST ONE ONE A WEEK +audio/MSK0005.mp3[659.000,662.760] OK AND HAVE YOU BEEN AROUND SICK CONTACTS RECENTLY +audio/MSK0005.mp3[662.760,667.600] UM NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0005.mp3[667.600,671.240] OK ANY RECENT TRAVEL +audio/MSK0005.mp3[671.240,672.720] UH NOPE IVE BEEN AT HOME +audio/MSK0005.mp3[672.720,682.800] OK UM I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU UM DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/MSK0005.mp3[682.800,688.960] UH NO I WAS JUST WONDERING WHAT THIS PAIN COULD BE ON MY IN MY ELBOW +audio/MSK0005.mp3[688.960,819.640] YEAH SO RIGHT NOW IT SEEMS LIKE YOU MAY HAVE A CASE OF SOMETHING CALLED UM LATERAL EPICONDYLITIS SO ITS ALSO KNOWN AS UH TENNIS ELBOW UM AND THERE ARE A LOT OF THINGS THAT COULD KIND OF PREDISPOSE YOU TO THIS UM SO IT COULD BE LIKE THE REPETITIVE STRAIN AT WORK UM AND LIKE CONTINUOUS CONTRACTION OF YOUR WRIST EXTENSOR MUSCLE GROUP THERE UM SO FOR THIS WE BASICALLY RECOMMEND UM A COUPLE OF THINGS TO MANAGE THE PAIN UH BUT FIRST LIKE IN TERMS OF IMAGING I DONT THINK IT IS NECESSARY BECAUSE IT DOESNT SEEM LIKE THERE WAS ANY TRAUMA AND IM NOT TOO WORRIED ABOUT ANY FRACTURES UM SO TO HELP YOU TREAT THIS UM WE RECOMMEND SOME ACTIVITY MODIFICATIONS SO UM AT WORK NOT DOING THINGS THAT ARE TOO REPETITIVE ESPECIALLY IF ITS USING THOSE UM EXTENSOR FOREARM MUSCLES UM AND THEN YOU CAN USE SOME USE A COMPRESSION SLEEVE AS WELL CONTINUE TAKING TYLENOL OR NSAIDS FOR THE PAIN AND UH REALLY IMPORTANT IS PHYSICAL THERAPY UM TO INCREASE MOBILITY AND STRENGTH IN THAT ARM UH AND AS WELL YOU CAN APPLY THINGS LIKE ICE UM TO IT FOR LIKE THE PAIN AND SWELLING IF YOU SEE ANY UH YEAH SO IT SHOULD RESOLVE IN ABOUT SIX MONTHS TO TWO YEARS AT MOST UH BUT NORMALLY IT DOES UM GO AWAY IN A COUPLE OF MONTHS WITH SOME PHYSICAL THERAPY AND THE COMPRESSION AND SPLINTS IF YOU CHOOSE TO DO THAT HOW DOES THAT SOUND +audio/MSK0005.mp3[819.640,822.560] YEAH THAT THAT SOUNDS UM GOOD THANK YOU +audio/MSK0005.mp3[822.560,825.000] YEAH NO WORRIES +audio/RES0155.mp3[0.000,5.320] WHAT BRINGS YOU IN HERE TODAY +audio/RES0155.mp3[5.320,21.920] YEAH SO OVER THIS PAST FIVE DAYS IVE HAD UM WORSENING SHORTNESS OF BREATH AND UH SOME DISCOMFORT IN MY CHEST UM AND THIS COUGH THAT THATS BEEN GETTING WORSE AS WELL +audio/RES0155.mp3[21.920,27.760] OK SO ITS JUST BEEN FOR THE PAST UH PAST WEEK OR FIVE DAYS +audio/RES0155.mp3[27.760,48.760] YEAH I MEAN IVE HAD UM A COUGH AND UH IN THE IN THE IN THE PAST AND AND AND SHORTNESS OF BREATH IN THE PAST BUT YEAH JUST OVER THESE PAST FIVE DAYS ITS BEEN THERE UM AT ALL LIKE ITS BEEN THERE ALL DAY AND ITS BEEN GETTING UH WORSE AS WELL +audio/RES0155.mp3[48.760,53.960] OK AND WHAT IS THE COUGH LIKE IS IT WET OR DRY +audio/RES0155.mp3[53.960,64.680] YEAH IM BRINGING UP SPUTUM UH PRETTY MUCH UM LIKE EVERY TIME IM COUGHING UP IM BRINGING UP SOME YELLOWISH OR GREENISH UH SPUTUM +audio/RES0155.mp3[64.680,70.400] OK AND HAVE YOU NOTICED AT ALL ANY BLOOD +audio/RES0155.mp3[70.400,72.760] NO NO NO BLOOD +audio/RES0155.mp3[72.760,81.640] NO BLOOD OK UM AND HOW MUCH SPUTUM ARE YOU BRINGING UP LIKE UH EVERY TIME YOU COUGH +audio/RES0155.mp3[81.640,91.960] I I WOULD SAY ITS UM WOULD WOULD BE THE LIKE JUST THE LITTLE INSIDE OF MY UH PALM EACH TIME +audio/RES0155.mp3[91.960,106.120] OK AND UH IS THIS UH AND THEN WHAT ABOUT THE SHORTNESS OF BREATH IS IT UH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR DO YOU FIND YOURSELF BREATHING FASTER LIKE HOW WOULD YOU DESCRIBE IT +audio/RES0155.mp3[106.120,129.880] ITS UM YEAH IM JUST REALLY FEELING LIKE I JUST CANT UH CATCH MY BREATH EVEN WITH UM SOME SMALL THINGS AROUND THE APARTMENT UH THAT NORMALLY I CAN DO ITS ANY TYPE OF EXERTION I JUST CANT CATCH MY BREATH IM OK RIGHT NOW JUST SITTING HERE THOUGH +audio/RES0155.mp3[129.880,134.480] OK YEAH SO AT REST YOURE FINE BUT LIKE WHEN YOU EXERT YOURSELF IT GETS WORSE +audio/RES0155.mp3[134.480,146.320] YEAH WELL IM I STILL HAVE THIS LIKE UH CHEST DISCOMFORT UM SO WHILE WHILE SITTING HERE IT DOESNT FEEL UM LIKE MY BREATHING IS NORMAL +audio/RES0155.mp3[146.320,156.960] OK AND WHEN DO YOU GET THAT CHEST DISCOMFORT IS IT WHEN YOURE BREATHING IN OR BREATHING OUT OR IT CAN IT BE JUST DUE TO EXERCISE +audio/RES0155.mp3[156.960,165.520] ITS ITS KIND OF JUST ALWAYS ITS JUST KIND OF BEEN THERE OVER THESE PAST UH LIKE FOUR OR FIVE DAYS +audio/RES0155.mp3[165.520,174.160] OK AND HOW WOULD YOU DESCRIBE UH IS IT PAIN AT ALL OR IS IT LIKE SHARP STABBING OR PRESSURE LIKE PAIN +audio/RES0155.mp3[174.160,182.920] UM NO NOTHING LIKE THAT I KIND OF I JUST I FEEL CONGESTED I GUESS +audio/RES0155.mp3[182.920,195.400] OK UM SO JUST DISCOMFORT DO YOU DO YOUR SYMPTOMS GET WORSE AT ALL WHEN YOURE LAYING DOWN FLAT +audio/RES0155.mp3[197.280,202.240] NO OK UH DO YOU WAKE UP AT NIGHT GASPING GASPING FOR AIR +audio/RES0155.mp3[202.240,205.400] NO I HAVENT DONE THAT BEFORE +audio/RES0155.mp3[205.400,210.080] OK UM HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0155.mp3[210.080,222.920] YEAH UH NOW THAT YOU MENTIONED I DO THINK I I FEEL A BIT FEVERISH UM UH YEAH AND I IVE NOTICED THAT ACTUALLY OVER THE LAST UH COUPLE OF DAYS +audio/RES0155.mp3[222.920,227.520] OH HAVE YOU HAD A CHANCE TO TAKE YOUR TEMPERATURE AT ALL +audio/RES0155.mp3[227.520,231.720] NO I JUST FELT FEVERISH +audio/RES0155.mp3[231.720,244.160] OK UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT +audio/RES0155.mp3[244.160,245.240] NO I DONT +audio/RES0155.mp3[245.240,250.320] OK UM HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0155.mp3[250.320,254.560] NO I I I IVE BEEN BEEN HOME +audio/RES0155.mp3[254.560,261.920] OK HAVE YOU TRIED ANYTHING TO HELP YOU WITH YOUR SYMPTOMS +audio/RES0155.mp3[261.920,279.960] YEAH I I DID TRY UH USING AN INHALER I HAVE UM A COUPLE UP THOSE AND UM USUALLY THAT THAT HELPS BUT HASNT REALLY BEEN ABLE TO UM HELP MUCH THIS TIME +audio/RES0155.mp3[279.960,284.400] OK UM HOW OFTEN ARE YOU HAVING TO USE IT +audio/RES0155.mp3[284.400,306.880] UM SO UH I I USED IT UM I I TOOK THREE OR FOUR PUFFS THIS MORNING AND UM AND THAT WAS ABOUT IT I WAS USING IT LAST NIGHT AS WELL UH BUT TYPICALLY I WILL USE IT MAYBE TWO OR THREE TIMES A WEEK +audio/RES0155.mp3[306.880,311.320] OK UM AND HAVE YOU HAD ANY HEADACHES OR CHANGES IN YOUR VISION OR ANYTHING LIKE THAT +audio/RES0155.mp3[311.320,319.440] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0155.mp3[319.440,325.400] OK ANY NAUSEA OR VOMITING +audio/RES0155.mp3[326.240,330.480] UM ANY INCREASED FATIGUE +audio/RES0155.mp3[330.480,339.720] I I MEAN I HAVENT BEEN ABLE TO DO AS MUCH WITH UH BEING SO SHORT OF BREATH BUT MY ENERGY HAS BEEN BEEN OK +audio/RES0155.mp3[339.720,348.160] OK AND HOW ABOUT UM DO YOU HAVE ANY SENSATION OF PALPITATIONS OR YOUR HEART IS RACING AT ALL +audio/RES0155.mp3[348.160,353.640] NO I HAVENT FELT ANYTHING LIKE THAT +audio/RES0155.mp3[353.640,359.320] OK UM AND ANY KIND OF DIARRHEA OR CONSTIPATION +audio/RES0155.mp3[362.720,367.680] OK ANY ISSUES WITH URINATION +audio/RES0155.mp3[367.680,371.800] NO UH NO PROBLEMS THERE +audio/RES0155.mp3[371.800,375.960] UH ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0155.mp3[375.960,380.800] UM NO THAT THATS BEEN PRETTY GOOD +audio/RES0155.mp3[380.800,383.880] OK ANY NIGHT SWEATS +audio/RES0155.mp3[383.880,389.040] UH NO I HAVENT HAD ANY NIGHT SWEATS +audio/RES0155.mp3[389.040,401.960] OK UM ANY KIND OF UH SIGNIFICANT WEIGHT CHANGE RECENTLY +audio/RES0155.mp3[401.960,408.440] UM I I I MIGHT HAVE UH NO I THINK MY WEIGHTS BEEN ABOUT THE SAME +audio/RES0155.mp3[408.440,414.840] OK UM ANY EXPOSURE TO ANYONE SICK AROUND YOU RECENTLY +audio/RES0155.mp3[414.840,436.680] NO I DONT THINK SO UM BUT I IVE HAD IVE HAD A COUPLE OF UH CHEST COLDS OVER THE LAST YEAR THAT I NEEDED UM ANTIBIOTICS FOR UH AND IT THEY THEY WENT AWAY AFTER THAT I GOT THAT THOSE FROM A WALK IN CLINIC +audio/RES0155.mp3[436.680,440.800] SORRY YOU GOT ANTIBIOTICS FROM THE WALK IN CLINIC +audio/RES0155.mp3[440.800,445.560] YEAH THE LAST TIME WAS UH PROBABLY ABOUT ABOUT FOUR MONTHS AGO +audio/RES0155.mp3[446.920,465.440] SO I HAVENT BEEN AROUND ANYBODY SICK RECENTLY BUT UM BUT I MEAN I IVE HAD SIMILAR SYMPTOMS UM BEFORE I FEEL LIKE THIS TIME MIGHT BE JUST A BIT WORSE THOUGH +audio/RES0155.mp3[465.440,475.440] OK UM AND DO YOU HAVE ANY PAST MEDICAL HISTORY UH ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH +audio/RES0155.mp3[475.440,489.760] UM YEAH SO I I HAVE BEEN IVE BEEN DIAGNOSED WITH COPUH AS WELL AS UH HIGH BLOOD PRESSURE AND UH GERD +audio/RES0155.mp3[489.760,495.800] OK AND WHEN WERE YOU DIAGNOSED WITH COPD +audio/RES0155.mp3[495.800,497.520] UH ABOUT THREE YEARS AGO +audio/RES0155.mp3[497.520,502.560] THREE YEARS AGO OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THESE CONDITIONS +audio/RES0155.mp3[502.560,524.800] YEAH SO I HAVE A MEDICATION UH VENTOLIN I TAKE SYMBICORT DAILY UM WHICH IS LIKE A STEROID TYPE MEDICATION AND THEN UM I TAKE AN ACE INHIBITOR I THINK FOR BLOOD PRESSURE AND JUST TUMS OR SOMETHING LIKE THAT IF MY REFLUX IS BAD +audio/RES0155.mp3[524.800,530.280] OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0155.mp3[530.280,534.560] UM NO +audio/RES0155.mp3[534.560,541.160] NO OK ANY PAST HOSPITALIZATIONS OR SURGERIES +audio/RES0155.mp3[541.160,543.120] UM NO +audio/RES0155.mp3[543.120,550.040] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY LUNG OR HEART CONDITIONS +audio/RES0155.mp3[550.040,554.960] UH NOTHING LIKE THAT NO +audio/RES0155.mp3[554.960,560.360] OK UM AND ANY CANCERS IN THE FAMILY +audio/RES0155.mp3[560.360,566.240] UM NO +audio/RES0155.mp3[566.240,571.040] OK UM AND ANY CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE +audio/RES0155.mp3[571.040,579.880] YEAH SO UM IM LIVING WITH UM WITH JUST MY UH DAUGHTER IN A IN AN APARTMENT +audio/RES0155.mp3[579.880,588.480] OK UM AND CURRENTLY DO YOU WORK +audio/RES0155.mp3[588.480,594.120] YEAH SO I IVE BEEN WORKING AT THE UM AT THE GROCERY STORE UH YEAH IVE BEEN AT THE GROCERY STORE +audio/RES0155.mp3[594.120,602.360] OK AND DO YOU SMOKE CURRENTLY +audio/RES0155.mp3[602.360,616.760] I DO YEAH UH I SMOKE ABOUT A PACK A DAY UM AND I IVE SMOKED FOR NOW WELL PROBABLY LIKE 30 OR 40 YEARS I USED TO SMOKE MORE +audio/RES0155.mp3[616.760,643.600] OK UM YOU HAVE CUT DOWN THATS GOOD UM YEAH DEFINITELY THE MORE YOU CUT DOWN AND IF YOU NEED TO TALK ABOUT QUITTING THERES A LOT OF RESOURCES THAT WE CAN GO THROUGH UM DO YOU USE ANYTHING ELSE BESIDES UH CIGARETTES LIKE ANY MARIJUANA OR ANY OTHER DRUGS +audio/RES0155.mp3[643.600,652.400] UH NO NO JUST JUST CIGARETTES +audio/RES0155.mp3[652.400,654.120] OK UM AND ANY ALCOHOL +audio/RES0155.mp3[654.120,665.680] UH YEAH I MEAN ILL HAVE SOME UH WINE WITH DINNER ON THE WEEKENDS BUT THATS ABOUT IT +audio/RES0155.mp3[665.680,672.120] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS +audio/RES0155.mp3[672.120,683.480] NO THAT WAS UH ABOUT IT I WAS UH I WAS WONDERING IF YOU THINK I I HAVE AN INFECTION OR IS THIS UH COPACTING UP OR WHATS GOING ON +audio/RES0155.mp3[683.480,764.520] YEAH SO DEFINITELY WITH YOUR HISTORY OF COPAND UM THESE SYMPTOMS IT CAN JUST BE AN EXACERBATION OF YOUR COPAND THAT CAN HAPPEN SOMETIMES WHEN YOU HAVE COPAND THEN YOU GET A EITHER VIRAL OR BACTERIAL INFECTION AND THAT MAKES YOUR SYMPTOMS WORSE AND YOUVE ALSO HAD A FEVER SO WELL DO LIKE A FULL PHYSICAL EXAMINATION GET YOUR VITALS EVERYTHING BUT UH AND THEN WELL GIVE YOU SOME UH LIKE NEBULIZED LIKE UM FOR YOUR HOME PUFFERS TOO BUT ALL JUST IN THE HOSPITAL AND MONITOR YOUR RESPONSE TO THEM UH AND THEN WELL ALSO GET LIKE YOUR SOME OF YOUR BLOOD WORK AND CHEST XRAY JUST TO SEE IF THERES ANY LIKE PNEUMONIA AND LASTLY WELL JUST GET LIKE A COVID SWAB DONE SINCE SOME OF THESE SYMPTOMS ALSO OVERLAP WITH COVID SYMPTOMS UM AND YEAH SO WELL SO THATS WHAT WELL DO UM AND ILL LET THE EMERGENCY DEPARTMENT KNOW THAT YOURE ON YOUR WAY I THINK YOULL NEED TO GET ALL THOSE TESTS THERE AND THEN THEYLL DECIDE WHETHER OR NOT YOU NEED ANY KIND OF ADMISSION OR YOU CAN JUST GO HOME ON ANTIBIOTICS UM FROM THERE OK +audio/RES0155.mp3[764.520,766.120] OK THAT SOUNDS GOOD THANK YOU +audio/RES0155.mp3[766.120,769.200] YEAH YEAH ALRIGHT TAKE CARE +audio/RES0043.mp3[0.000,3.280] WHAT BRINGS YOU ALL IN TODAY +audio/RES0043.mp3[3.280,71.480] ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DONT KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH UM AND THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED OR SORRY ITS TODAY TODAY IS FRIDAY UM HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH +audio/RES0043.mp3[71.480,73.080] OH OK +audio/RES0043.mp3[73.080,88.560] 101 OR SOMETHING OR MAYBE 1001 BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW THOUGHT HE COULD HAVE MAYBE GOT COVIAND GET SCHOOL OR SOMETHING +audio/RES0043.mp3[88.560,99.960] YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE 5 DAYS +audio/RES0043.mp3[101.480,105.400] OK OK SO LETS FOCUS ON THE COUGH +audio/RES0043.mp3[105.400,122.480] SORRY ITS BEEN MORE LIKE 3 THREE DAYS LIKE WEDNESDAY IS WHEN HE CAME HOME AND THEN AND THEN TODAYS FRIDAY SO YEAH SORRY +audio/RES0043.mp3[122.480,137.360] TODAY IS FRIDAY OK UM OK YEAH SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH +audio/RES0043.mp3[137.360,148.080] AH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING UMM YEAH HE YEAH ITS JUST BEEN LIKE LITTLE COUGHS +audio/RES0043.mp3[148.080,153.360] OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD +audio/RES0043.mp3[154.400,163.080] NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU +audio/RES0043.mp3[163.080,166.400] NO NO NOT THAT IVE NOTICED +audio/RES0043.mp3[166.400,170.080] OK HOW ABOUT SHORT OF BREATH +audio/RES0043.mp3[170.080,193.360] UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL +audio/RES0043.mp3[193.360,204.520] OK YEAH OK AND IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING +audio/RES0043.mp3[204.520,208.600] I THINK IT KINDA JUST THERE THE WHOLE DAY +audio/RES0043.mp3[208.600,230.040] OK UM AND DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS +audio/RES0043.mp3[230.040,235.720] UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD +audio/RES0043.mp3[235.720,243.960] OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0043.mp3[243.960,258.720] I DONT LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD +audio/RES0043.mp3[258.720,265.640] OK AND ARE HIS SYMPTOMS GETTING WORSE +audio/RES0043.mp3[265.640,279.440] I THINK SO BECAUSE YEAH HE FIRST DAY HE JUST SEEMED LIKE LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER +audio/RES0043.mp3[279.440,287.680] OK AND UM IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING +audio/RES0043.mp3[287.680,291.960] NO I DONT THINK SO +audio/RES0043.mp3[291.960,299.120] NO OK DOES HE HAVE A SORE THROAT +audio/RES0043.mp3[299.120,303.000] I DONT THINK SO +audio/RES0043.mp3[303.000,309.760] OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +audio/RES0043.mp3[309.760,320.440] I DONT KNOW IF HES HAVING TROUBLE SWALLOWING BUT HE DOESNT SEEM TO HAVE A BIG APPETITE RIGHT NOW +audio/RES0043.mp3[320.440,325.080] OK UM AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE +audio/RES0043.mp3[325.080,329.680] MAYBE A BIT OF LIKE A RUNNY NOSE +audio/RES0043.mp3[329.680,335.640] OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE +audio/RES0043.mp3[335.640,346.920] AH THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT +audio/RES0043.mp3[346.920,351.240] OK HOW ABOUT VISION OR HEARING +audio/RES0043.mp3[351.240,353.000] I THINK THOSE ARE FINE +audio/RES0043.mp3[353.000,359.000] OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS +audio/RES0043.mp3[360.000,367.400] OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES +audio/RES0043.mp3[367.400,370.240] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0043.mp3[370.240,374.600] OK ANY CHANGES IN HIS BOWEL MOVEMENTS +audio/RES0043.mp3[374.600,375.520] UH NO +audio/RES0043.mp3[379.760,381.800] IM SORRY NO CHANGES +audio/RES0043.mp3[381.800,387.440] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +audio/RES0043.mp3[388.360,393.160] OK ANY NAUSEA OR VOMITING +audio/RES0043.mp3[394.920,398.680] OK ANY CHANGES IN HIS URINE +audio/RES0043.mp3[398.680,403.560] REALLY BEEN LOOKING BUT I DONT THINK SO +audio/RES0043.mp3[403.560,407.440] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0043.mp3[407.440,411.320] NO JUST LIKE FATIGUE +audio/RES0043.mp3[411.320,417.360] OK ANY CONFUSION OR MEMORY LOSS +audio/RES0043.mp3[417.840,425.720] AND IS HE AN IS HE AN OTHERWISE HEALTHY CHILD +audio/RES0043.mp3[425.720,438.600] YEAH ABSOLUTELY HE HASNT LIKE DECIDE TO LIKE VACCINES HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT +audio/RES0043.mp3[438.600,447.720] OK SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM +audio/RES0043.mp3[447.720,450.760] EXACTLY LIKE NOTHING +audio/RES0043.mp3[450.760,456.880] OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM +audio/RES0043.mp3[456.880,458.600] YEAH TOTALLY +audio/RES0043.mp3[458.600,465.120] OK AH AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH +audio/RES0043.mp3[465.120,470.320] NO NO LIKE EVERYTHING WAS THINGS REALLY GOOD +audio/RES0043.mp3[470.320,478.280] OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW +audio/RES0043.mp3[478.280,481.200] YEAH TOTALLY +audio/RES0043.mp3[481.200,487.840] OK AND DOES HE HAVE ANY ALLERGIES +audio/RES0043.mp3[487.840,500.720] UHM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING SO FAR +audio/RES0043.mp3[500.720,505.040] IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0043.mp3[505.600,513.880] YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0043.mp3[513.880,516.960] UH NO EVERYONE IS REALLY HEALTHY +audio/RES0043.mp3[516.960,525.720] OK AND UM ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE +audio/RES0043.mp3[525.720,534.000] HE LIVES WITH ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE JUST IN TOWN HERE +audio/RES0043.mp3[534.000,538.080] OK AND IS SHE HEALTHY +audio/RES0043.mp3[538.080,540.840] YEAH I LIKE SHE YEAH SHES HEALTHY +audio/RES0043.mp3[540.840,550.880] OK AN ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN +audio/RES0043.mp3[551.960,559.600] NO OK UM HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY +audio/RES0043.mp3[559.600,576.760] NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KIND OF HARD TO SAY THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING +audio/RES0043.mp3[576.760,585.000] OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY +audio/RES0043.mp3[587.240,594.800] 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 +audio/RES0043.mp3[594.800,621.360] I DONT THINK SO LIKE I REALIZED THAT I CAN OFTEN TIMES LIKE WE DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS JUST LIKE A VIRUS OR SOMETHING BUT WE DO I GUESS NEED TO HAVE A COVITEST TO GO BACK TO SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY ITS LIKE THE OTHER KIDS HAVE HAD UH AN EXPOSURE +audio/RES0043.mp3[622.760,629.160] SO YEAH YEAH LIKE SORRY GO AHEAD +audio/RES0043.mp3[629.160,630.320] NO GO AHEAD +audio/RES0043.mp3[630.320,641.640] SO I JUST WANTED TO BASICALLY SEE IF IT WAS THAT AND I MEAN HE DOES RECEIVE YOURE SO SCARED THATS KIND OF WHAT MADE ME COME IN LIKE ITS SCARING ME A LITTLE BIT +audio/RES0043.mp3[641.640,707.600] RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVISWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESNT HAVE IT AND THOSE RESULTS WILL COME BACK IN 24 TO 48 HOURS UMM WE DO SUGGEST BECAUSE HIS SYMPTOMS OVERLAP WITH SYMPTOMS OF COVITHAT HE ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER IF POSSIBLE AND THEN IF THE SWAP COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND NOWADAYS IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR IF HES FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND UHM SO FOR NOW ILL JUST WAIT FOR THOSE COVISWABS TO COME BACK HOW DOES THAT SOUND +audio/RES0043.mp3[707.600,713.240] YEAH SOUNDS GOOD +audio/RES0043.mp3[713.240,714.480] OK GREAT +audio/RES0043.mp3[714.480,716.560] THANK YOU +audio/RES0043.mp3[716.560,732.400] YEAH NO WORRIES UHM AND I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDNT HAVE THE FEVER WE WOULD ADD EVERYTHINGS LIKE ASTHMA TO THE LIST OF THINGS +audio/RES0043.mp3[732.400,740.600] HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE A IT SOUNDS LIKE AN INFECTION +audio/RES0043.mp3[740.600,742.960] OK YEAH THATS GOOD TO KNOW +audio/RES0043.mp3[742.960,746.240] ALRIGHT SOUNDS GREAT HAVE A GOOD DAY +audio/RES0043.mp3[746.240,749.920] YOU TOO THANKS +audio/RES0108.mp3[0.000,1.640] WHAT BRINGS YOU IN +audio/RES0108.mp3[1.640,12.920] HI UH IVE JUST HAD THIS COUGH FOR THE PAST WEEK AND I WAS WORRIED I MIGHT HAVE COVID SO I JUST WANTED TO UM I JUST WANTED TO BE CHECKED +audio/RES0108.mp3[12.920,16.960] SURE SO YOU MENTIONED YOU IT STARTED A WEEK AGO +audio/RES0108.mp3[17.920,23.560] HAS IT BEEN PERSISTENT OR DOES IT COME AND GO +audio/RES0108.mp3[23.560,25.320] UM ITS JUST BEEN THERE +audio/RES0108.mp3[25.320,26.600] BEEN THERE OK +audio/RES0108.mp3[26.600,40.760] YEAH I JUST GET THIS ITCHY SORT OF UH LIKE SCRATCHY SENSATION IN MY THROAT AND THEN I JUST COUGH AND UM THAT MAKES IT BETTER +audio/RES0108.mp3[40.760,51.080] OK OK UHM WHAT HOW WOULD YOU DESCRIBE YOUR COUGH LIKE IS IT BARKY IS IT HARSH IS IT MUFFLED +audio/RES0108.mp3[51.080,56.320] UHM NO I DONT I DONT THINK ITS BARKY OR HARSH +audio/RES0108.mp3[56.320,65.800] OK AND DOES ANYTHING MAKE IT BETTER OR WORSE LIKE YOU KNOW LIKE THE COLD AIR LAYING DOWN AT PARTICULAR TIME OF DAY +audio/RES0108.mp3[65.800,80.120] NOT REALLY I HAVENT UH NOTHINGS REALLY HELPED UM I ALSO TRIED A COUGH SYRUP UM IT DIDNT IT HELPED FOR A COUPLE HOURS BUT THEN IT WAS BACK AGAIN THE COUGH WAS BACK AGAIN +audio/RES0108.mp3[80.120,84.240] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0108.mp3[84.240,86.960] UH WELL I I SAID YEAH WHEN I GET A COLD +audio/RES0108.mp3[86.960,89.320] MHMM OK +audio/RES0108.mp3[89.320,91.360] ONCE A YEAR MAYBE +audio/RES0108.mp3[91.360,99.040] ONCE A YEAR OK UM DO YOU EXPERIENCE ANY SHORTNESS OF BREATH WITH THIS COUGH +audio/RES0108.mp3[100.000,105.080] NO OK IS IT A DRY COUGH OR DO YOU BRING UP ANY PHLEGM +audio/RES0108.mp3[105.080,107.160] NO ITS A DRY COUGH +audio/RES0108.mp3[107.160,109.400] OK UH ANY BLOOD THAT YOUVE SEEN +audio/RES0108.mp3[109.400,110.800] NO NO +audio/RES0108.mp3[110.800,115.360] NO OK AND DO YOU FEEL WHEEZY +audio/RES0108.mp3[116.760,118.080] NO CHEST PAIN +audio/RES0108.mp3[118.600,124.200] NO UM FEELING LIKE YOUR HEARTS RACING +audio/RES0108.mp3[125.680,131.160] ANY SWELLING IN YOUR LIMBS +audio/RES0108.mp3[131.160,131.680] UH NO +audio/RES0108.mp3[131.680,137.000] NO ANY FAINTING SPELLS +audio/RES0108.mp3[137.000,139.120] UHM NO +audio/RES0108.mp3[139.120,143.840] NO OK DO YOU EVER FEEL LIKE YOUR NOSE IS STUFFY OR RUNNY +audio/RES0108.mp3[145.240,149.160] NO ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0108.mp3[149.160,150.880] UH NO +audio/RES0108.mp3[150.880,154.080] A SORE THROAT +audio/RES0108.mp3[155.960,158.280] UM LOSS OF SMELL OR TASTE +audio/RES0108.mp3[158.720,161.080] ANY WEIGHT LOSS +audio/RES0108.mp3[161.080,161.800] UH NO +audio/RES0108.mp3[163.960,167.000] I CHECKED NO NO I DONT HAVE A FEVER +audio/RES0108.mp3[167.000,168.480] NO ANY RASHES +audio/RES0108.mp3[169.040,174.880] ISSUES UH ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0108.mp3[174.880,183.920] UM UH NO IVE JUST BEEN CONSTIPATED FROM TIME TO TIME BUT THATS NOTHING THATS NOT NEW +audio/RES0108.mp3[183.920,189.880] OK CONSTIPATION AND IM SORRY WHEN DID YOUR CONSTIPATION START +audio/RES0108.mp3[189.880,193.560] OH ITS A PROBLEM FOR YEARS I DONT EAT ENOUGH FIBRE +audio/RES0108.mp3[193.560,198.720] OH OK ANY CHANGES IN YOUR URINE +audio/RES0108.mp3[199.160,203.440] OK ANY NAUSEA OR VOMITING +audio/RES0108.mp3[203.440,205.120] UH NO +audio/RES0108.mp3[205.120,208.240] NO OK ANY JOINT PAIN +audio/RES0108.mp3[209.520,212.000] NO NUMBNESS OR TINGLING +audio/RES0108.mp3[215.240,221.120] NO OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0108.mp3[221.120,222.960] I HAVE DIABETES +audio/RES0108.mp3[222.960,226.520] OK HOW LONG HAVE YOU HAD DIABETES +audio/RES0108.mp3[226.520,230.040] ITS ABOUT ITS BEEN UH SEVEN YEARS NOW +audio/RES0108.mp3[230.040,234.400] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0108.mp3[234.840,241.440] OK AND UM HOW ABOUT MEDICATIONS ARE YOU ON ANY +audio/RES0108.mp3[241.440,250.120] UH YEAH IVE BEEN TAKING UH METFORMIN FOR THE PAST UH FOR THE PAST FIVE YEARS WHEN FIVE OR SIX YEARS +audio/RES0108.mp3[251.000,265.080] UM AND UH MY FAMILY DOC STARTED ME ON UH RAMIPRIL ABOUT TWO WEEKS AGO HE TOLD ME THAT UH NOW THAT IM 50 I NEED TO I NEED TO BE ON THIS PILL AS WELL SO NOW I HAVE TO TAKE 2 PILLS INSTEAD OF ONE +audio/RES0108.mp3[266.080,270.360] YEAH BECAUSE I THINK ITS ITS GOOD FOR MY HEART OR SOMETHING +audio/RES0108.mp3[270.360,279.080] YEAH FOR SURE SO YOU STARTED THAT TWO WEEKS AGO OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0108.mp3[279.080,282.920] UH YEAH I THINK SO +audio/RES0108.mp3[282.920,285.640] OK ANY ALLERGIES +audio/RES0108.mp3[285.640,293.440] UHM PENICILLIN I JUST GET UH I GET A RASH I GOT A RASH WHEN I WAS A CHILD I HAVENT HAD IT SINCE THEN +audio/RES0108.mp3[293.440,298.000] OK OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0108.mp3[298.000,301.880] UH NO NOTHING LIKE THAT +audio/RES0108.mp3[301.880,304.760] NO OK DO YOU SMOKE +audio/RES0108.mp3[304.760,308.080] UH NO +audio/RES0108.mp3[308.080,314.080] NO HOW ABOUT UH MARIJUANA OR OTHER RECREATIONAL DRUGS +audio/RES0108.mp3[315.400,319.040] NO OK UM ALCOHOL +audio/RES0108.mp3[319.040,321.560] UH YEAH I DRINK ON THE WEEKENDS +audio/RES0108.mp3[321.560,324.200] OK WHAT DO YOU DRINK AND HOW MUCH DO YOU DRINK +audio/RES0108.mp3[324.200,328.320] ILL HAVE MAYBE TWO OR THREE UH BOTTLES OF BEER +audio/RES0108.mp3[328.320,333.960] OK SURE AND UM HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY +audio/RES0108.mp3[333.960,347.520] NO NO IVE JUST BEEN STAYING AT HOMEIM JUST SCARED OF COVID BUT IM IM STILL WORRIED I MIGHT HAVE SOMEHOW GOTTEN IT +audio/RES0108.mp3[347.520,350.920] YEAH FOR SURE UHM ANY TRAVEL RECENTLY +audio/RES0108.mp3[352.320,357.600] NO OK AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0108.mp3[357.600,363.160] I LIVE IN A HOUSE WITH MY WIFE AND MY TWO KIDS +audio/RES0108.mp3[363.160,365.360] OK UH ARE THEY HEALTHY +audio/RES0108.mp3[365.360,369.240] YEAH THEYRE ALL HEALTHY +audio/RES0108.mp3[369.240,374.440] OK ANY OLD CARPET DUST MOLD OR ASBESTOS IN YOUR HOME +audio/RES0108.mp3[374.440,377.280] UM NOT THAT IM AWARE OF +audio/RES0108.mp3[377.280,386.360] NO OK OK WELL IT SEEMS LIKE UM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0108.mp3[386.360,391.120] UH NO I JUST WANT TO GET TESTED FOR COVID +audio/RES0108.mp3[391.120,448.920] YEAH SO WE WILL DEFINITELY DO A COVID SWAB ON YOU BECAUSE YOU HAVE A COUGH UM AND THOSE RESULTS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND SO YOULL KNOW MORE THEN BUT BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WE STILL RECOMMEND ISOLATING FOR 14 DAYS BUT THE OTHER THING I WANT TO MENTION IS THAT YOU DONT HAVE ANY OTHER SYMPTOMS OF INFECTION BESIDES YOUR COUGH AND IT SEEMS LIKE THE COUGH STARTED A WEEK AGO AND YOU STARTED THIS NEW MEDICATION RAMIPRIL TWO WEEKS AGO AND SO RAMIPRIL IS A TYPE OF ACE INHIBITOR AND ONE OF ITS SIDE EFFECTS IS THAT IN SOME PEOPLE IT CAN CAUSE COUGHING SO I AM GOING TO REVIEW YOUR MEDICATIONS AND IF YOUR FAMILY DOC ALSO AGREES WE MAY TRY UH ANOTHER UM BLOOD PRESSURE MEDICATION FOR YOU INSTEAD OF RAMIPRIL +audio/RES0108.mp3[449.800,458.600] UM SO WELL TRY AND CHANGE THAT MEDICATION AND SEE IF YOUR COUGHING STOPS HOW DOES THAT SOUND +audio/RES0108.mp3[458.600,460.080] SOUNDS GREAT +audio/RES0108.mp3[460.080,462.680] OK GREAT THANK YOU +audio/MSK0018.mp3[0.000,2.280] WHAT BRINGS YOU IN +audio/MSK0018.mp3[2.280,29.880] I JUST CAME IN BECAUSE OF I JUST GOT INTO LIKE THIS UH INCIDENT WHILE I WAS PLAYING RUGBY I KIND OF GOT TACKLED AND THEN FELL ONTO MY RIGHT SHOULDER UM AND AFTER I GOT UP I HAVENT IVE JUST BEEN THIS JUST HAPPENED A COUPLE HOURS AGO ACTUALLY AND UH IVE JUST BEEN IN INTENSE PAIN IN MY RIGHT SHOULDER AND I CANT SEEM TO MOVE IT AT ALL +audio/MSK0018.mp3[29.880,33.760] OKAY UM AND SORRY WHEN WAS THIS EXACTLY +audio/MSK0018.mp3[33.760,36.080] UH PROBABLY 2 HOURS AGO +audio/MSK0018.mp3[36.080,43.440] 2 HOURS AGO OKAY UM AND IS THIS PAIN PERSISTENT OR IS IT LIKE ON AND OFF +audio/MSK0018.mp3[43.440,48.760] ITS ITS CONSTANT IT HASNT GONE AWAY AT ALL +audio/MSK0018.mp3[48.760,55.200] OKAY 1 TO 10 10 BEING THE WORST HOW BAD IS THIS PAIN +audio/MSK0018.mp3[55.200,58.640] I DONT KNOW LIKE PROBABLY LIKE 8 OR 8 OR 9 +audio/MSK0018.mp3[58.640,65.080] 8 OR 9 OKAY UM AND IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHING +audio/MSK0018.mp3[65.080,71.640] ITS ITS SHARP LIKE IF I TRY TO MOVE IT AT ALL ITS LIKE A SHARP PAIN +audio/MSK0018.mp3[71.640,75.800] OKAY UM AND HAVE YOU EVER HAD ANYTHING LIKE THIS IN THE PAST +audio/MSK0018.mp3[75.800,77.880] UH NO NEVER +audio/MSK0018.mp3[77.880,84.680] NEVER OKAY AND ARE YOU ABLE TO MOVE YOUR ARM AT ALL OR YOU CANT MOVE IT +audio/MSK0018.mp3[84.680,95.280] I COULD MOVE MY FINGERS AND HAND AND ELBOW BUT UM ELBOW A LITTLE BIT BUT LIKE UH YEAH I CANT MOVE MY SHOULDER WHATSOEVER +audio/MSK0018.mp3[95.280,104.680] OKAY UM AND DO YOU ARE YOU EXPERIENCING ANY TINGLING OR NUMBNESS +audio/MSK0018.mp3[104.680,109.440] UM NO I DONT THINK SO +audio/MSK0018.mp3[109.440,115.840] NO OKAY UH HOW ABOUT ANY MUSCLE WEAKNESS +audio/MSK0018.mp3[115.840,129.160] UM IN THAT AREA I DONT KNOW IF ITS WEAKNESS OR PAIN BUT I JUST CANT MOVE IT UP AND I I I DO FEEL SOME LIKE NUMBNESS JUST ABOVE MY SHOULDER NO TINGLING THOUGH +audio/MSK0018.mp3[129.160,132.320] OKAY ANY PAIN ELSEWHERE IN YOUR BODY +audio/MSK0018.mp3[133.880,136.720] NO OKAY ANY HEADACHES +audio/MSK0018.mp3[136.720,138.280] UM NO +audio/MSK0018.mp3[138.280,141.360] CONFUSION OR MEMORY LOSS +audio/MSK0018.mp3[141.360,143.560] UH NO +audio/MSK0018.mp3[143.560,146.200] UH WEIGHT LOSS +audio/MSK0018.mp3[146.200,147.160] UH NO +audio/MSK0018.mp3[147.160,148.960] FEVERS OR CHILLS +audio/MSK0018.mp3[151.280,152.360] UM NO +audio/MSK0018.mp3[152.360,156.160] UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE +audio/MSK0018.mp3[156.160,157.920] UH NO +audio/MSK0018.mp3[157.920,162.520] UM COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0018.mp3[162.520,163.360] UM NO +audio/MSK0018.mp3[163.360,166.480] CHEST PAIN OR HEART PALPITATIONS +audio/MSK0018.mp3[166.840,169.200] CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0018.mp3[169.480,171.880] CHANGES IN VOIDING +audio/MSK0018.mp3[172.880,178.400] UM OKAY AND THEN WITH REGARDS TO THIS PAIN DOES ANYTHING MAKE IT BETTER OR WORSE +audio/MSK0018.mp3[178.400,188.560] UM UM NOT ANYTHING THAT IVE TRIED THATS MADE IT BETTER WORSE IS PROBABLY JUST IF I TRY TO MOVE IT AT ALL +audio/MSK0018.mp3[188.560,195.400] OKAY AND THE PAINS IN YOUR SHOULDER DOES IT RADIATE DOWN OR UP ELSEWHERE +audio/MSK0018.mp3[195.400,205.760] UH MOSTLY TOWARDS MY SHOULDER UM KIND OF DOWN TOWARDS MY UPPER ARM AS WELL +audio/MSK0018.mp3[205.760,213.640] OKAY I SEE UM ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +audio/MSK0018.mp3[213.640,224.440] NO YEAH OTHERWISE IM HEALTHY IVE NEVER BEEN TO THE DOCTOR MUCH +audio/MSK0018.mp3[224.440,227.680] OKAY ALRIGHT UM AND ARE YOU ON ANY MEDICATIONS +audio/MSK0018.mp3[228.840,236.200] NO OKAY AND UM ARE YOU UPTODATE WITH YOUR IMMUNIZATIONS +audio/MSK0018.mp3[237.480,240.600] OKAY AND DO YOU HAVE ANY ALLERGIES +audio/MSK0018.mp3[240.600,241.960] UH NO +audio/MSK0018.mp3[241.960,246.920] ANY FAMILY HISTORY OF MUSCULOSKELETAL DISEASES +audio/MSK0018.mp3[246.920,250.640] NO NOT THAT I KNOW OF +audio/MSK0018.mp3[250.640,256.640] OKAY UH AND ANY FAMILY HISTORY OF AUTOIMMUNE CONDITIONS +audio/MSK0018.mp3[256.640,259.800] UM NO +audio/MSK0018.mp3[259.800,262.960] OKAY UM DO YOU SMOKE AT ALL +audio/MSK0018.mp3[264.880,269.320] NO UM DO YOU CONSUME MARIJUANA +audio/MSK0018.mp3[269.320,271.120] UH NO +audio/MSK0018.mp3[271.120,274.600] UH DO YOU DRINK ALCOHOL +audio/MSK0018.mp3[274.600,280.280] UH NO JUST JUST WITH FRIENDS SOMETIMES ON THE WEEKENDS BUT NOT REALLY +audio/MSK0018.mp3[280.280,289.560] OKAY UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +audio/MSK0018.mp3[289.560,297.520] UH I LIVE JUST OUTSIDE OF TOWN WITH MY PARENTS IN A HOUSE +audio/MSK0018.mp3[297.520,303.960] OKAY AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0018.mp3[303.960,306.440] UM NO IVE BEEN AT HOME +audio/MSK0018.mp3[306.440,308.920] OKAY ANY SICK CONTACTS +audio/MSK0018.mp3[309.960,325.200] NO OKAY SO NOW WERE JUST GOING TO MOVE ON TO UM THE PHYSICAL EXAM PART OF THIS SO CAN YOU TAKE A LOOK AT BOTH YOUR SHOULDERS AND LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING +audio/MSK0018.mp3[325.200,340.000] UM I DONT THINK I SEE ANY REDNESS OR SWELLING BUT UM MY RIGHT SHOULDER AND MY ARM JUST SEEMS A LITTLE BIT LOWER THAN MY LEFT ONE +audio/MSK0018.mp3[340.000,346.280] OKAY OKAY ANY UM WARMTH ON ON THAT SHOULDER +audio/MSK0018.mp3[346.280,349.120] UH NO NOT THAT I CAN FEEL +audio/MSK0018.mp3[349.120,356.640] OKAY ANY ATROPHY DEFORMITIES OR SKIN CHANGES +audio/MSK0018.mp3[356.640,370.760] UM DEFORMITY I I DO FEEL LIKE KIND OF UH LIKE MY SHOULDERS DROPPED AND LIKE THERES JUST KIND OF THIS UH LITTLE LIKE DIVOTS WHERE LIKE THE SHOULDER SHOULD BE +audio/MSK0018.mp3[370.760,385.760] OKAY OKAY AND CAN YOU PALPATE THAT AREA FOR ME JUST UM THE BONES IN THAT AREA SO LIKE RIGHT WHERE YOUR ARM WOULD CONNECT TO YOUR SHOULDER AND THEN KIND OF ON YOUR SHOULDER BLADE DOES THAT HURT WHEN YOU PRESS DOWN +audio/MSK0018.mp3[385.760,387.240] YEAH IT HURTS A LOT +audio/MSK0018.mp3[387.240,405.280] OKAY SO SOME TENDERNESS AND PAIN IN THE ACROMION PROCESS AND SCAPULA UM AND IF YOU PRESS DOWN ON YOUR BICEPS TRICEPS DOES THAT HURT +audio/MSK0018.mp3[405.280,406.680] NOT AS MUCH NO +audio/MSK0018.mp3[406.680,423.760] NO OKAY AND THEN CAN I GET YOU TO UM CAN YOU LIFT YOUR SHOULDER UP AT ALL LIKE TO WHERE TO THE POINT WHERE YOUR FINGERS ARE TOUCH LIKE REACHING THE CEILING +audio/MSK0018.mp3[423.760,426.640] NO I I CANT I CANT MOVE IT AT ALL +audio/MSK0018.mp3[426.640,461.080] ALRIGHT SO UM IT SOUNDS LIKE YOU HAVE A SHOULDER DISLOCATION UM SO WE ARE GOING TO DO AN XRAY OF YOUR SHOULDER JOINT FIRST TO MAKE SURE THAT ITS ITS JUST A DISLOCATION AND THERE ARENT ANY BROKEN BONES OR FRACTURES AND THEN UM WE CAN RESOLVE THIS BY DOING SOMETHING CALLED A CLOSED REDUCTION UM TO TRY TO PUT THE JOINT BACK IN ITS PLACE +audio/MSK0018.mp3[463.640,482.960] UM AND IF THAT CLOSED REDUCTION DOESNT WORK THEN UH YOU MAY NEED SURGERY FOR LIKE A UM A WEAK SHOULDER JOINT OR IF LIKE LIGAMENTS UM ARENT LIKE STRONG ENOUGH AND ITS IT CONTINUES TO HAPPEN +audio/MSK0018.mp3[484.840,509.560] UM OTHERWISE WE CAN KEEP IT IMMOBILIZED FOR A FEW DAYS TO A FEW WEEKS UM DEPENDING ON HOW BAD THE DISLOCATION IS UM AND THEN ONCE THATS REMOVED YOU CAN DO SOME REHAB AS WELL TO RESTORE SOME RANGE OF MOTION DOES THAT SOUND LIKE A GOOD PLAN DO YOU HAVE ANY QUESTIONS OR CONCERNS IN THE MEANTIME +audio/MSK0018.mp3[509.560,513.040] UH NO I THINK THATS UH THATS GREAT +audio/RES0092.mp3[0.000,5.600] I UNDERSTAND THAT YOUVE HAD A COUGH CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT +audio/RES0092.mp3[5.600,16.840] YEAH SO IVE HAD THIS COUGH NOW ITS BEEN GOING ON FOR ABOUT TWO WEEKS JUST JUST HASNT GONE AWAY +audio/RES0092.mp3[16.840,23.280] UHM OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THIS COUGH IS IT DRY OR WET +audio/RES0092.mp3[23.280,38.640] UH YEAH ITS BEEN UHM MIX ITS BEEN DRY SOMETIMES AND I HAVE HAD A LITTLE BIT OF SPUTUM PRODUCTION RECENTLY UH ITS BEEN MOSTLY CLEAR THOUGH +audio/RES0092.mp3[38.640,44.600] HAS THE COUGH GOTTEN WORSE OVER THE PAST TWO WEEKS +audio/RES0092.mp3[44.600,55.280] NO ITS BEEN ABOUT THE SAME +audio/RES0092.mp3[55.280,59.840] UHM AND HAVE YOU HAD ANY BLOOD THAT CAME UP WITH THE SPUTUM +audio/RES0092.mp3[59.840,64.720] NO I HAVENT NOTICED ANY BLOOD +audio/RES0092.mp3[64.720,77.520] ALRIGHT WHAT ABOUT ANY OTHER SYMPTOMS OVER THE PAST TWO WEEKS HAVE YOU HAD HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0092.mp3[77.520,81.960] NOT NO +audio/RES0092.mp3[81.960,89.440] NO OK AND ANY UHM I GUESS ANY RUNNY NOSE +audio/RES0092.mp3[89.440,97.520] YEAH MY NOSE WAS A BIT RUNNY LAST WEEK BUT ITS THATS BETTER NOW +audio/RES0092.mp3[97.520,105.080] OK OK UHM ITS JUST OK LAST WEEK WHAT ELSE WHAT OTHER SYMPTOMS DID YOU HAVE LAST WEEK +audio/RES0092.mp3[105.080,127.000] YEAH I HAD A SORE THROAT AND A LITTLE BIT OF A HEADACHE AS WELL UHM AND AND SOME ACHES AND FATIGUE THOSE WERE UH YEAH THAT WAS LAST WEEK FOR ABOUT THREE DAYS AND THEN I STARTED TO FEEL BETTER BUT I STILL HAVE THIS COUGH THAT ITS STILL GOING ON +audio/RES0092.mp3[127.000,136.240] SO THOSE OTHER SYMPTOMS THAT YOU HAD LAST WEEK THAT LASTED ABOUT THREE DAYS ARE THEY ALL GONE ARE YOU STILL FEELING FATIGUED OR HAVING A HEADACHE +audio/RES0092.mp3[136.240,138.280] THOSE ARE BOTH YEAH THEYRE GONE +audio/RES0092.mp3[138.280,141.400] HMM ITS ONLY THE COUGH +audio/RES0092.mp3[141.400,143.160] YEAH I JUST HAVE THE COUGH +audio/RES0092.mp3[143.160,152.040] IS THERE ANY TIME ANY SPECIFIC TIME OF THE DAY THAT ITS WORSE OR BETTER ANYTHING THAT TRIGGERS IT +audio/RES0092.mp3[152.040,172.400] UHM MAYBE LIKE MAYBE WHEN I WENT OUT INTO THE COLD OR UHM LIKE WHEN I WENT FOR A RUN WHERE I REALLY KIND OF EXERTED MYSELF IT BROUGHT IT ON BUT OTHER THAN THOSE THINGS NOTHING +audio/RES0092.mp3[172.400,178.480] OK BUT YOURE OTHERWISE FEELING BETTER +audio/RES0092.mp3[178.480,186.640] YEAH FOR THE MOST PART YEAH FEELING BETTER BUT I STILL HAVE A COUGH +audio/RES0092.mp3[186.640,189.920] OK UHM HAVE YOU HAD ANY CHEST PAIN +audio/RES0092.mp3[189.920,194.680] P NO +audio/RES0092.mp3[194.680,202.640] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0092.mp3[202.640,204.560] UHM NO NOTHING LIKE THAT +audio/RES0092.mp3[204.560,216.720] ANY OTHER SYMPTOMS SUCH AS BELLY PAIN OR DIARRHEA OR CONSTIPATION OR CHANGES IN YOUR URINE ARE HAVING ANY URINARY SYMPTOMS +audio/RES0092.mp3[216.720,222.200] NO I HAVENT HAD ANYTHING LIKE LIKE THAT +audio/RES0092.mp3[222.200,230.040] OK OK AND CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL CONDITIONS YOU HAVE +audio/RES0092.mp3[230.040,234.000] YEAH I IM HEALTHY I HAVENT BEEN DIAGNOSED WITH WITH ANYTHING +audio/RES0092.mp3[234.000,245.040] OK ALRIGHT ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER PILLS OR ANY HERBAL PILLS OR MULTI VITAMINS ETC +audio/RES0092.mp3[245.040,248.280] YEAH IM TAKING A BIRTH CONTROL +audio/RES0092.mp3[248.280,250.960] I SEE OK ANY ALLERGIES +audio/RES0092.mp3[250.960,252.960] NO ALLERGIES +audio/RES0092.mp3[252.960,263.200] OK DO YOU HAVE ANY YOU DONT HAVE ANY LUNGS RELATED DISEASES RIGHT LIKE ASTHMA OR COPOR ANYTHING OF THAT SORT +audio/RES0092.mp3[263.200,265.440] UHM NO NOTHING LIKE THAT +audio/RES0092.mp3[265.440,273.160] ALRIGHT ALRIGHT THATS GOOD AND WHO DO YOU CURRENTLY LIVE WITH AND WHERE DO YOU LIVE +audio/RES0092.mp3[273.160,282.080] ALRIGHT SO I LIVE WITH A FEW ROOMMATES IM JUST FINISHING UP MY UNDERGRADUATE DEGREE +audio/RES0092.mp3[282.080,294.560] YEAH THATS GREAT HAVE YOU HAD ANY CONTACT WITH ANYONE WHO WAS SICK RECENTLY +audio/RES0092.mp3[294.560,313.200] NO NOT THAT I COULD THINK OF I MEAN WE WENT OUT ONE NIGHT LAST WEEK AND THATS KIND OF WHEN I HAD THOSE OTHER SYMPTOMS FOR A FEW DAYS AFTER THAT +audio/RES0092.mp3[313.200,320.160] OK OK UHM AND HAVE YOU TRAVELED OUTSIDE THE CITY OR COUNTRY +audio/RES0092.mp3[320.160,321.480] NO I HAVENT +audio/RES0092.mp3[321.480,325.040] NO OK DO YOU DRINK ALCOHOL +audio/RES0092.mp3[325.040,330.320] SOMETIMES YEAH I I WILL WITH FRIENDS KIND OF SOCIALLY +audio/RES0092.mp3[332.120,334.320] JUST A FEW DRINKS +audio/RES0092.mp3[334.320,336.920] WHAT ABOUT SMOKING +audio/RES0092.mp3[336.920,339.400] UH NO +audio/RES0092.mp3[341.080,350.040] UH SOMETIMES WITH LIKE SOCIALLY WITH FRIENDS BUT THAT MIGHT BE ONCE A MONTH OR PROBABLY EVEN LESS +audio/RES0092.mp3[350.040,352.040] ANY RECREATIONAL DRUGS +audio/RES0092.mp3[353.760,360.000] OK ALRIGHT AND ANY LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0092.mp3[360.560,431.440] OK UHM OK ALRIGHT SO THATS ALL THAT I I WANTED TO KNOW IT SOUNDS LIKE YOU HAD A YOU HAD A COLD LAST WEEK AND YOU JUST HAVE THIS RESIDUAL COUGH THATS STILL THERE AND ITS BEEN TWO WEEKS AND YOURE JUST WORRIED ABOUT IT BUT OTHERWISE YOURE FEELING WELL YOU DONT HAVE ANY OTHER SYMPTOMS OFTEN TIMES WHEN WE GET SICK OR WE HAVE AN INFECTION OR INFLAMMATION OF THE UHM THE AIRWAY WE CAN GET A COUGH THAT LASTS A LONG TIME AND IT MIGHT JUST TAKE YOU A COUPLE MORE WEEKS FOR THE COUGH TO GO AWAY BUT IF YOU FEEL THAT ITS GETTING ANY WORSE OR YOURE YOU HAVE THOSE SYMPTOMS COME BACK AGAIN OR YOU DEVELOP A FEVER WE CAN YOU CAN DEFINITELY WE CAN DO SOMETHING MORE ABOUT THAT ILL ALSO DO A PHYSICAL EXAM AND AND SEE HOW YOURE DOING AND THEN WE CAN GO FROM THERE +audio/RES0092.mp3[431.440,435.920] OK GREAT THANK YOU +audio/GAS0003.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY +audio/GAS0003.mp3[2.640,9.240] YEAH HI IM I I HAVE A PAIN IN MY BELLY IT STARTED A COUPLE HOURS AGO +audio/GAS0003.mp3[9.240,17.040] OK AND WHERE EXACTLY IN YOUR BELLY DO YOU HAVE THIS PAIN +audio/GAS0003.mp3[17.040,21.200] ITS MOSTLY UP HERE ON THE RIGHT SIDE +audio/GAS0003.mp3[21.200,34.840] THE RIGHT SIDE OK AND CAN YOU DESCRIBE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL PAIN OR SHARP PAIN AN ACHING PAIN +audio/GAS0003.mp3[34.840,49.280] OH I GUESS ITS A ITS AN ACHING PAIN ID SAY IT KIND OF JUST UM IT WOULD INITIALLY JUST COME AND GO BUT NOW ITS JUST ITS STAYING ITS NOT GOING AWAY +audio/GAS0003.mp3[49.280,58.320] OK AND SO ITS IN THE RIGHT AREA AND DOES IT TRAVEL ANYWHERE ELSEWHERE BESIDES ON FROM THE RIGHT SIDE +audio/GAS0003.mp3[62.480,72.520] OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT RIGHT NOW +audio/GAS0003.mp3[72.520,76.200] ITS ABOUT TO A 10 AN 8 MAYBE +audio/GAS0003.mp3[76.200,81.400] AN 8 OK AND SO JUST TO CLARIFY WHEN DID IT START +audio/GAS0003.mp3[81.400,83.880] ABOUT 8 HOURS AGO +audio/GAS0003.mp3[83.880,95.600] 8 HOURS AGO OK AND WERE YOU DOING ANYTHING BEFORE LIKE DID YOU HAVE A MEAL OR HOW WERE YOU SLEEPING BEFORE IT WOKE YOU UP WHAT WAS GOING ON BEFORE YOU HAD THE PAIN +audio/GAS0003.mp3[95.600,104.920] I WAS JUST ABOUT TO GO TO SLEEP I WASNT DOING ANYTHING IN PARTICULAR AT THE TIME +audio/GAS0003.mp3[104.920,108.800] OK AND HAS IT BEEN GETTING WORSE SINCE IT FIRST STARTED +audio/GAS0003.mp3[108.800,123.320] OH YEAH DEFINITELY IT WOULD COME AND GO BUT NOW FOR THE PAST ID SAY FIVE TO SIX HOURS ITS BEEN CONSTANT JUST THERE ALL THE TIME +audio/GAS0003.mp3[123.320,130.520] OK AND HAVE YOU HAD ANY SIMILAR PAIN LIKE THIS IN THE PAST +audio/GAS0003.mp3[130.520,154.760] YEAH UH I I HAVE THE SAME PAIN THAT SORT OF COMES AND GOES AFTER I EAT USUALLY AFTER IVE HAD SOMETHING LIKE A SOMETHING FATTY SOMETHING FROM OUTDOORS MAYBE LIKE A BURGER OR FRIES OR SOMETHING I INITIALLY THOUGHT IT WAS INDIGESTION BUT I DONT I DONT KNOW WHATS GOING ON NOW +audio/GAS0003.mp3[154.760,161.720] OK AND DOES IT DOES ANYTHING MAKE IT BETTER OR WORSE OR ANYTHING THAT YOUVE TRIED +audio/GAS0003.mp3[161.720,170.280] WELL I GUESS EATING SOMETIMES MAKES IT WORSE UM BUT I DONT I DONT THINK THERES ANYTHING THATS MAKING IT BETTER +audio/GAS0003.mp3[170.280,174.000] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL +audio/GAS0003.mp3[174.000,180.320] I TRIED TYLENOL BUT THAT DIDNT DO ANYTHING +audio/GAS0003.mp3[180.320,186.520] OK AND BESIDES UH THE PAIN THAT YOURE HAVING DO YOU HAVE ANY NAUSEA AND VOMITING +audio/GAS0003.mp3[186.520,193.720] I AM A LITTLE NAUSEOUS BUT NO I DIDNT HAVENT HAD I HAVENT VOMITED YET NO +audio/GAS0003.mp3[193.720,198.760] OK AND HAVE YOU BEEN HAVING ANY FEVERS +audio/GAS0003.mp3[198.760,204.800] I DONT THINK SO I HAVENT CHECKED I DONT FEEL FEVERISH +audio/GAS0003.mp3[204.800,207.000] ANY SWEATS OR LIKE CHILLS +audio/GAS0003.mp3[207.000,209.720] NO I DONT THINK SO +audio/GAS0003.mp3[209.720,213.760] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA +audio/GAS0003.mp3[215.240,220.840] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/GAS0003.mp3[220.840,223.840] NO I HAVENT +audio/GAS0003.mp3[223.840,230.240] HAVE YOU BEEN FEELING AT ALL VERY TIRED NOT YOUR USUAL SELF FATIGUED +audio/GAS0003.mp3[230.240,241.600] WELL THE PAIN IS MAKING IT DIFFICULT FOR ME TO DO THINGS UM BUT I I GUESS IM NOT UH A LITTLE FATIGUED MAYBE +audio/GAS0003.mp3[241.600,247.440] OK UM HAVE YOU BEEN HAVING ANY CHANGES IN YOUR URINARY PATTERNS +audio/GAS0003.mp3[248.640,253.880] NO ANY CHANGES IN YOUR SKIN AND YOU RASHES ANY YELLOWING OF YOUR SKIN +audio/GAS0003.mp3[253.880,257.960] NOTHING THAT IVE NOTICED NO I DONT THINK SO +audio/GAS0003.mp3[257.960,262.320] OK ANY CHANGES IN YOUR URINE COLOR +audio/GAS0003.mp3[263.880,268.400] OK HAVE YOU NOTICED BLOOD IN YOUR STOOLS AT ALL +audio/GAS0003.mp3[268.400,270.880] I HAVE NOT NO +audio/GAS0003.mp3[270.880,275.560] OK AND HOW ABOUT YOUR APPETITE HAS THIS CHANGED AT ALL +audio/GAS0003.mp3[275.560,289.080] WELL I GUESS BECAUSE ITS THIS THING HAPPENS USUALLY HAPPENS AFTER I EAT I THINK IVE BEEN EATING LESS THAN USUAL JUST BECAUSE I DONT I DONT WANT TO YOU KNOW I DONT LIKE THE PAIN +audio/GAS0003.mp3[289.080,292.560] ANY SIGNIFICANT WEIGHT LOSS RECENTLY +audio/GAS0003.mp3[292.560,296.280] I DONT THINK SO +audio/GAS0003.mp3[296.280,302.680] OK ANY RECENT INFECTIONS RECENTLY AT ALL +audio/GAS0003.mp3[303.640,311.320] UM AND OTHERWISE ARE YOU DO YOU HAVE ANY OTHER MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE OR ANYTHING ELSE +audio/GAS0003.mp3[311.320,317.680] I DO HAVE DIABETES BUT THATS ABOUT IT I THINK +audio/GAS0003.mp3[317.680,321.720] AND YOU TAKE ANYTHING FOR YOUR DIABETES +audio/GAS0003.mp3[321.720,324.000] I TAKE METFORMIN +audio/GAS0003.mp3[324.000,329.960] OK UM DO YOU TAKE ANY OTHER MEDICATIONS AT ALL +audio/GAS0003.mp3[329.960,331.880] NO I DONT SORRY NO +audio/GAS0003.mp3[331.880,337.920] NO WORRIES DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS ANY ENVIRONMENTAL ALLERGIES +audio/GAS0003.mp3[337.920,339.840] NO NO NO I DONT +audio/GAS0003.mp3[339.840,344.360] OK AND HAVE YOU BEEN HOSPITALIZED IN THE PAST +audio/GAS0003.mp3[344.360,350.480] NO NO I HAVENT EVER IVE BEEN VERY UH HEALTHY NO HOSPITALIZATIONS +audio/GAS0003.mp3[350.480,352.760] ANY PAST SURGERIES +audio/GAS0003.mp3[352.760,358.320] I GOT MY WISDOM TEETH REMOVED WHEN I WAS A TEENAGER +audio/GAS0003.mp3[358.320,363.040] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY +audio/GAS0003.mp3[363.040,368.720] NO I DONT THINK SO +audio/GAS0003.mp3[368.720,383.880] OK HMM AND IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CANCERS OR UM ANY ERR UM IBLIKE CROHNS DISEASE OR ULCERATIVE COLITIS +audio/GAS0003.mp3[383.880,388.840] NO NOT THAT I KNOW OF +audio/GAS0003.mp3[388.840,392.240] OK AND ANYTHING THAT RUNS IN THE FAMILY AT ALL +audio/GAS0003.mp3[392.240,399.880] MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS 60S BUT THATS IT +audio/GAS0003.mp3[399.880,405.520] OK AND UM CURRENTLY RIGHT NOW DO YOU WORK +audio/GAS0003.mp3[405.520,410.840] OH NO IM IM LAID OFF BECAUSE OF COVID +audio/GAS0003.mp3[410.840,416.520] OK AND CURRENTLY WHAT IS YOUR HOME SITUATION LIKE +audio/GAS0003.mp3[416.520,418.920] WHAT DO YOU MEAN +audio/GAS0003.mp3[418.920,422.840] SO DO YOU LIVE IN AN APARTMENT HOUSE AND DO YOU LIVE WITH ANYONE +audio/GAS0003.mp3[422.840,430.280] I I I LIVE IN AN APARTMENT I LIVE ALONE +audio/GAS0003.mp3[430.280,443.040] UM AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET ENOUGH EXERCISE DO YOU GO OUTSIDE FOR WALKS OR RUNS OR ANYTHING LIKE THAT +audio/GAS0003.mp3[443.040,451.040] I USUALLY GO OUT FOR A RUN ESPECIALLY WHEN ITS A LITTLE BIT WARMER WHICH IT NOW IS +audio/GAS0003.mp3[451.040,455.520] AND DO YOU DO YOU DRINK ALCOHOL +audio/GAS0003.mp3[455.520,456.960] UH SOMETIMES +audio/GAS0003.mp3[456.960,461.440] HOW MUCH WOULD YOU SAY YOU DRINK IN AN AVERAGE WEEK +audio/GAS0003.mp3[461.440,463.200] ONE TO TWO DRINKS A DAY +audio/GAS0003.mp3[463.200,469.280] OK AND WHAT DO YOU USUALLY DRINK +audio/GAS0003.mp3[469.280,473.760] ILL JUST DRINK A GLASS OF WINE AT NIGHT JUST HELPS ME RELAX +audio/GAS0003.mp3[473.760,478.240] OK AND DO YOU SMOKE CIGARETTES +audio/GAS0003.mp3[478.240,479.160] I DONT NO +audio/GAS0003.mp3[479.160,485.840] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/GAS0003.mp3[485.840,489.120] NO I DONT +audio/GAS0003.mp3[489.120,499.360] OK ALRIGHT SO UM THATS ALL THE QUESTIONS I HAVE AND JUST TO CLARIFY DOES YOUR PAIN COME AND GO OR IS IT CONSTANT +audio/GAS0003.mp3[499.360,519.440] YES SO INITIALLY IT WOULD COME AND GO BUT NOW SO FOR THE FIRST 2 HOURS IT WOULD COME AND GO AND WHEN I WOULD HAVE THIS PAIN WHEN I WAS EATING IT WOULD COME AND GO BUT OVER THE PAST SIX HOURS ITS JUST BEEN CONSTANT +audio/GAS0003.mp3[519.440,522.000] OK ALRIGHT +audio/RES0063.mp3[0.000,2.880] WHAT BRINGS YOU IN +audio/RES0063.mp3[2.880,31.320] YEAH SO IVE BEEN FEELING JUST REALLY DOWN RECENTLY IN THE LAST WEEK I STARTED OFF BY HAVING THIS SORE THROAT WHICH STARTED AROUND 5 DAYS AGO AND THEN I ALSO NOTICED IVE BEEN GETTING SOME CHILLS OVER THE LAST FEW DAY AND ON TOP OF ALL OF THAT WITHIN THE LAST THREE TO FOUR DAYS IVE BEEN GETTING MUSCLE ACHES ALL OVER MY BODY +audio/RES0063.mp3[31.320,38.920] OK ALRIGHT SO THE SORE THROAT STARTED 5 DAYS AGO AND THEN THE FEVER STARTED WHEN +audio/RES0063.mp3[38.920,45.640] SO THE FEVER I THINK I HAVENT MEASURED IT BUT I STARTED HAVING CHILLS LIKE 3 DAYS AGO +audio/RES0063.mp3[45.640,50.640] THREE DAYS AGO OK AND THE MUSCLE ACHES STARTED TWO DAYS AGO +audio/RES0063.mp3[50.640,54.680] I WOULD SAY 3 DAYS AGO AS WELL +audio/RES0063.mp3[54.680,61.840] THREE DAYS AGO OK OK ARE YOU HAVING ANY TROUBLE SWALLOWING FOODS OR FLUIDS +audio/RES0063.mp3[61.840,71.560] A LITTLE BIT WITH SOLIDS WITH A SORE THROAT BUT LIQUIDS IM DOING OK RIGHT NOW +audio/RES0063.mp3[71.560,81.720] OK AND IS IT HARD FOR YOU TO LIKE ARE YOU HAVING ISSUES VOCALISING AT ALL +audio/RES0063.mp3[81.720,104.560] NO I THINK MY VOICE HAS BEEN THE SAME ITS JUST WHEN IM NOT TALKING ESPECIALLY IF IM SWALLOWING MY OWN LIKE SPIT IT STILL HURTS SOMETIMES BUT MAINLY WITH SOLID FOOD +audio/RES0063.mp3[104.560,114.160] OK OK AND THEN ARE YOU HAVING ANY ISSUES WITH TASTE OR SMELL +audio/RES0063.mp3[114.160,117.000] UH NO I DONT THINK SO +audio/RES0063.mp3[117.000,121.480] OK HOW ABOUT HEARING OR VISION +audio/RES0063.mp3[121.480,124.200] NO NO CHANGES +audio/RES0063.mp3[124.200,128.120] ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0063.mp3[128.120,131.560] NO I PROBABLY HAVE GAINED WEIGHT +audio/RES0063.mp3[131.560,136.520] OK ANY FATIGUE OR EXHAUSTION +audio/RES0063.mp3[136.520,149.720] NOW THAT YOU MENTION IT I DO FEEL PRETTY TIRED OVER THE LAST FEW DAYS I DONT KNOW IF ITS JUST BECAUSE OF MY MUSCLES ACHING ALL THE TIME OR I DONT KNOW I HAVE DEFINITELY FELT VERY TIRED +audio/RES0063.mp3[149.720,155.320] OK HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0063.mp3[155.320,156.760] NO NOTHING LIKE THAT +audio/RES0063.mp3[156.760,161.120] DO YOU HAVE A COUGH AT ALL +audio/RES0063.mp3[161.120,165.480] NO I HAVENT REALLY NOTICED THE COUGH +audio/RES0063.mp3[165.480,169.920] HOW ABOUT SHORTNESS OF BREATH OR WHEEZING +audio/RES0063.mp3[169.920,176.360] NO NO SHORTNESS OF BREATH OR WHEEZING +audio/RES0063.mp3[176.360,179.880] OK CHEST PAIN OR YOU FEELING LIKE YOUR HEARTS RACING +audio/RES0063.mp3[181.680,186.680] NO AND HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0063.mp3[186.680,190.040] UH NO I HAVENT HAD ANY OF THOSE +audio/RES0063.mp3[190.040,195.040] OK HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0063.mp3[195.040,204.960] NO I DONT THINK SO I GO REGULARLY ONCE A DAY AND I HAVENT NOTICED ANY WATERY STOOL OR DIARRHEA +audio/RES0063.mp3[204.960,209.080] OK THATS GOOD ANY CHANGES IN YOUR APPETITE +audio/RES0063.mp3[209.080,226.720] YEAH WITH A SORE THROAT I TEND TO LIKE EAT SOFTER FOODS RIGHT NOW I CANT REALLY I DONT REALLY FEEL LIKE EATING +audio/RES0063.mp3[226.720,233.680] YEAH OK HOW ABOUT NAUSEA OR VOMITING +audio/RES0063.mp3[233.680,239.920] NO NO NOTHING LIKE THAT +audio/RES0063.mp3[239.920,251.440] OK OK AND ANY ISSUES WITH JOINT PAIN YOU SAID YOUR MUSCLE ACHES BUT HOW ABOUT JOINTS +audio/RES0063.mp3[251.440,278.120] UM NO I DONT THINK ITS SPECIFICALLY MY JOINTS I THINK MORE SO I WOULD SAY LIKE AROUND IN MY THIGHS THEN I WOULD SAY JUST MY UPPER ARMS HURT A LOT AND EVEN UH MY UPPER BACK AREA HURTS A LOT AS WELL SO ITS KIND OF JUST EVERYWHERE BUT THOSE ARE SOME AREAS THAT HURT THE MOST +audio/RES0063.mp3[278.120,283.400] OK OK ARE YOU OTHERWISE HEALTHY +audio/RES0063.mp3[283.400,304.000] UM YEAH I DO HAVE A COUPLE OF THINGS ON MY LIST I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES AND OTHER THAN THAT I ALSO HAVE LIKE HIGH CHOLESTEROL +audio/RES0063.mp3[304.560,309.960] YEAH THATS JUST SOME OF THE THINGS THAT IVE BEEN DIAGNOSED WITH +audio/RES0063.mp3[309.960,315.160] YEAH OK AND DO YOU TAKE MEDICATION FOR ANY OF THESE THINGS +audio/RES0063.mp3[315.160,323.080] YEAH SO I TAKE FOR THE BLOOD PRESSURE I TAKE THIS MEDICATION CALLED THE RAMIPRIL +audio/RES0063.mp3[323.080,324.240] OK YEAH +audio/RES0063.mp3[324.240,349.520] AND THEN FOR DIABETES IM TAKING METFORMIN AND THEN FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR YEAH YEAH BUT OTHER THAN THAT JUST LIKE VITAMIN AND MULTI VITAMINS THOSE ARE SOME OF THE MEDICATIONS THAT IM TAKING +audio/RES0063.mp3[349.520,353.520] SURE YEAH ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0063.mp3[355.360,366.720] OK DO YOU KNOW IF YOU GOT A VACCINE CALLED SHINGRIX FOR SHINGLES AND PNEUMOVAX FOR PNEUMOCOCCAL INFECTIONS +audio/RES0063.mp3[366.720,383.080] YEAH I ACTUALLY THINK I GOT THEM JUST THIS PAST SEASON UH WITH ALL THIS COVIGOING ON I JUST WANTED TO MAKE SURE I GOT ALL THOSE VACCINES AS WELL SO YEAH I RECENTLY JUST GOT THEM +audio/RES0063.mp3[383.080,388.480] OK GOOD AND AND HOW ABOUT ANY ALLERGIES +audio/RES0063.mp3[388.480,392.000] UH NO I DONT HAVE ANY ALLERGIES +audio/RES0063.mp3[392.000,397.120] OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0063.mp3[397.120,420.960] UHM NO LUNG CONDITIONS AND UHH HEART CONDITIONS BOTH MY MOM AND DAD SUFFERED FROM LIKE HIGH BLOOD PRESSURE MY DAD ALSO HAD A HEART ATTACK WHEN IN HIS 60S NOW THERE IS SOME HEART CONDITIONS THAT RUN IN THE FAMILY +audio/RES0063.mp3[420.960,427.600] OK OK AND THEN ANY CANCERS IN THE FAMILY +audio/RES0063.mp3[427.600,439.760] UHM M SON ACTUALLY GOT DIAGNOSED WITH COLORECTAL CANCER JUST A FEW YEARS AGO +audio/RES0063.mp3[439.760,442.400] OH IM SORRY TO HEAR THAT +audio/RES0063.mp3[442.400,448.400] HES DOING OK THOUGH LIKE IT WAS PRETTY SCARY AT THE TIME +audio/RES0063.mp3[448.400,451.400] HOW OLD WAS HE WHEN HE WAS DIAGNOSED +audio/RES0063.mp3[451.400,455.400] I THINK HE WAS YEAH IN HIS FORTIES 46 +audio/RES0063.mp3[455.400,461.480] OK WELL HES YEAH THATS YOUNG HAVE YOU HAD A COLONOSCOPY +audio/RES0063.mp3[461.480,472.920] YEAH I HAD IT DONE EVERYTHING CAME BACK NORMAL SO YEAH IM NOT SURE WHERE HE GOT IT FROM +audio/RES0063.mp3[472.920,478.640] OK HAVE YOU HAD ANY SICK CONTACTS RECENTLY +audio/RES0063.mp3[478.640,492.120] NO NO SICK CONTACTS THAT I KNOW OF IVE BEEN MAINLY IN MY HOUSE I DO GO OUTSIDE FOR GROCERIES AND SOME THINGS LIKE THAT BUT OTHER THAN THAT IM RETIRED I DONT REALLY GO OUT TOO MUCH +audio/RES0063.mp3[492.120,500.320] YEAH OK AND YOU SAID YOURE RETIRED DO YOU LIVE ALONE DO YOU LIVE WITH ANYONE +audio/RES0063.mp3[500.320,508.040] NO YEAH I LIVE ALONE NOW AND I LIVE IN LONDON IN AN APARTMENT +audio/RES0063.mp3[508.040,513.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS +audio/RES0063.mp3[513.640,519.080] NO NOTHING LIKE THAT ITS A PRETTY SAFE BUILDING +audio/RES0063.mp3[519.080,523.000] OK GOOD AND DO YOU SMOKE +audio/RES0063.mp3[523.000,531.760] I USED TO I USED TO SMOKE PROBABLY IN MY 20S TO LATE 40S BUT THEN I QUIT +audio/RES0063.mp3[531.760,536.760] OK GOOD GOOD FOR YOU HOW MUCH DID YOU SMOKE BEFORE YOU QUIT +audio/RES0063.mp3[536.760,545.280] PROBABLY ONE TO TWO PACKS A DAY I WOULD SAY +audio/RES0063.mp3[545.280,553.000] OK THATS GOOD THATS GOOD THAT YOU QUIT DO YOU DRINK ANY ALCOHOL +audio/RES0063.mp3[553.000,559.880] UHM I JUST STICK TO SOME RED WINE MAYBE A COUPLE TIMES A WEEK +audio/RES0063.mp3[559.880,566.320] OK COUPLE TIMES A WEEK SO TWO TO THREE TIMES +audio/RES0063.mp3[566.320,574.920] YEAH I WOULD SAY TWO TO THREE TIMES AND UH I PROBABLY GO THROUGH MAYBE 1 BOTTLE EVERY TWO WEEKS +audio/RES0063.mp3[574.920,582.400] OK OK AND THEN ANY MARIJUANA +audio/RES0063.mp3[582.400,589.040] NO NO IVE NEVER HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS NO NOTHING ELSE +audio/RES0063.mp3[589.040,595.800] OK GOOD WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +audio/RES0063.mp3[595.800,617.240] YEAH UH WITH ALL THIS COVIAND THE PANDEMIC GOING ON I DONT KNOW I LIKE IVE BEEN MAINLY AT MY HOUSE BUT LIKE I SAID I DO GO TO DO MY OWN GROCERIES OF COURSE I WEAR A MASK BUT I DONT KNOW IF I MIGHT HAVE CAUGHT COVI SO THATS SOMETHING I WAS WORRIED ABOUT +audio/RES0063.mp3[617.240,677.640] YEAH FOR SURE I THINK JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVIWE WILL BE DOING A COVISWAB TODAY AND YOU SHOULD HEAR BACK ABOUT YOUR RESULTS IN 24 TO 48 HOURS BUT YOU SHOULD STILL SELFISOLATE FOR 14 DAYS BECAUSE YOU DO HAVE SIMILAR SYMPTOMS AND IF ITS NOT COVIITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND THESE DAYS AND FOR THAT YOU DONT NEED ANY MEDICATION LIKE PRESCRIBED MEDICATIONS BUT JUST KEEP AN EYE ON THAT ON YOUR SYMPTOMS STAY HYDRATED EAT WELL IF YOU NEED TO LOWER YOUR FEVE YOU CAN USE TYLENOL AND IF YOUR SYMPTOMS WORSEN OR YOU START GETTING NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +audio/RES0063.mp3[677.640,693.400] SOUNDS GOOD I JUST HAD ANOTHER QUICK QUESTION I DID GET THE SHINGLES AND THE PNEUMOCOCCAL VACCINE BACK THEN BUT I DIDNT GET THE FLU VACCINE LIKE SHOULD I GET IT IS IT RECOMMENDED +audio/RES0063.mp3[693.400,713.920] YES ITS DEFINITELY RECOMMENDED SO WE WONT GIVE YOU THE VACCINE RIGHT NOW BECAUSE YOU HAVE SYMPTOMS BUT ONCE YOU ARE HEALTHY AGAIN YOU SHOULD DEFINITELY GET THE GET THE FLU VACCINE AND YOU SHOULD GET IT ONCE A YEAR +audio/RES0063.mp3[713.920,722.080] OK I JUST NEVER TOOK THOSE VACCINES BUT ILL DO THAT FROM NOW ON +audio/RES0063.mp3[722.080,733.840] YEAH ITS A GOOD IDEA AND EVEN IF YOU GET THE FLU YOUR SYMPTOMS WONT BE AS SEVERE IF YOU HAVE THE VACCINE SO ITS DEFINITELY SOMETHING TO CONSIDER +audio/RES0063.mp3[733.840,735.400] OK ALRIGHT SOUNDS GOOD +audio/RES0063.mp3[735.400,740.000] ALRIGHT TAKE CARE +audio/CAR0004.mp3[0.000,2.680] WHAT BRINGS YOU HERE TODAY +audio/CAR0004.mp3[2.680,11.560] IM JUST HAVING THIS REALLY SHARP PAIN IN MY CHEST AND IM SCARED I THINK IM HAVING A HEART ATTACK +audio/CAR0004.mp3[11.560,19.720] OH WOW YEAH UM THAT MUST BE REALLY SCARY WHEN DID THIS WHEN DID THIS PAIN START +audio/CAR0004.mp3[19.720,23.440] SO ABOUT 3 DAYS AGO +audio/CAR0004.mp3[23.440,31.520] THREE DAYS AGO OK AND WHERE EXACTLY IN YOUR CHEST DO YOU FEEL IT +audio/CAR0004.mp3[31.520,36.560] ITS KIND OF RIGHT HERE RIGHT OVER MY HEART I THINK THATS WHERE ITS THE WORST +audio/CAR0004.mp3[36.560,48.240] OK AND IS IT WHAT KIND OF PAIN IS IT IS IT MORE LIKE A DULL PRESSURE PAIN OR IS IT A SHARP PAIN HOW WOULD YOU DESCRIBE IT +audio/CAR0004.mp3[48.240,51.640] I WOULD SAY ITS A SHARP PAIN +audio/CAR0004.mp3[51.640,62.000] A SHARP PAIN OK UM SO IT STARTED THREE DAYS AGO HAS IT BEEN COMING AND GOING OR HAS IT BEEN CONSTANT +audio/CAR0004.mp3[62.000,68.840] IT JUST LASTS FOR A FEW SECONDS AND THEN IT GOES AWAY +audio/CAR0004.mp3[68.840,77.480] OK DOES THE PAIN COME ON WHEN YOURE DOING ANY ACTIVITIES OR WHEN DOES THE PAIN USUALLY COME ON +audio/CAR0004.mp3[77.480,82.120] OH ITS USUALLY WORSE WHEN IM COUGHING OR LAYING DOWN YEAH YEAH +audio/CAR0004.mp3[82.120,95.000] OK AND UM DOES IT IMPROVE WITH ANY POSITIONAL CHANGES AT ALL OR ANYTHING THAT YOU DO THAT DOES IT HELP +audio/CAR0004.mp3[95.000,102.800] WHEN I WHEN I LEAN FORWARD IT ACTUALLY DOES GET BETTER I THINK ABOUT IT YEAH +audio/CAR0004.mp3[102.800,107.320] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE +audio/CAR0004.mp3[107.320,112.080] NO NO IT HASNT +audio/CAR0004.mp3[112.080,119.880] OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN FELT AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT +audio/CAR0004.mp3[119.880,124.560] I WOULD SAY A 6 OUT OF 10 +audio/CAR0004.mp3[124.560,131.120] OK AND DOES THE PAIN MOVE ANYWHERE IN YOUR CHEST OR DOES IT STAY IN THE SAME SPOT +audio/CAR0004.mp3[131.120,135.520] YEAH I THINK IT KIND OF GOES TO MY NECK SOMETIMES +audio/CAR0004.mp3[135.520,143.800] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE DO YOU HAVE ANY SHORTNESS OF BREATH DIZZINESS ANYTHING LIKE THAT +audio/CAR0004.mp3[143.800,145.360] NO I DONT +audio/CAR0004.mp3[145.360,151.760] OK ANY ANY PALPITATIONS +audio/CAR0004.mp3[153.240,158.360] OK ALRIGHT AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE PAIN +audio/CAR0004.mp3[158.360,166.720] NO NO NOTHING ELSE THATS IT JUST HAVE THESE SHARP EPISODES OF PAIN THAT LAST A COUPLE OF SECONDS +audio/CAR0004.mp3[166.720,172.040] OK UM HAVE YOU HAVE YOU TRIED LIKE ANY MEDICATIONS THAT HAS HELPED THE PAIN +audio/CAR0004.mp3[172.040,178.280] YEAH I TOOK SOME UM I TOOK SOME TYLENOL AND THAT DID HELP +audio/CAR0004.mp3[178.920,181.520] I TOOK IT ONCE YESTERDAY +audio/CAR0004.mp3[181.520,191.120] ALRIGHT UM ANY RECENT INJURIES TO THE AREA LIKE DID YOU HAVE ANY FALLS OR ANYTHING LIKE THAT +audio/CAR0004.mp3[191.120,194.960] NO NO I HAVENT +audio/CAR0004.mp3[194.960,203.080] ANY HEADACHES NAUSEA OR VOMITING FEVERS OR CHILLS ANY OF THOSE SYMPTOMS +audio/CAR0004.mp3[203.800,210.400] OK ANY COUGH RUNNY NOSE ANY VIRAL SYMPTOMS +audio/CAR0004.mp3[210.400,232.320] NO WELL NOT RIGHT NOW BUT I DID HAVE A I DID HAVE A FLU LAST WEEK I HAD A FEVER HAD A RUNNY NOSE I DID HAVE A BIT OF A COUGH AND I WAS FEELING SUPER TIRED BUT NOT ANYMORE IM OK NOW +audio/CAR0004.mp3[232.320,237.920] OK AND HAVE YOU AT ALL HAD ANY DIZZINESS OR HAVE YOU FAINTED AT ALL +audio/CAR0004.mp3[240.840,250.040] OK HAVE YOU BEEN NOTICING ANY KIND OF WEAKNESS OR NUMBNESS +audio/CAR0004.mp3[251.120,260.680] NO OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE ANY OTHER DIAGNOSIS +audio/CAR0004.mp3[260.680,266.800] NO IM A PRETTY HEALTHY 25 YEAR OLD +audio/CAR0004.mp3[266.800,269.400] OK UM DO YOU TAKE ANY MEDICATIONS +audio/CAR0004.mp3[269.400,273.440] I SOMETIMES TAKE TYLENOL +audio/CAR0004.mp3[273.440,282.160] OK AND ANY ALLERGIES AT ALL +audio/CAR0004.mp3[283.400,287.320] OK AND ANY PREVIOUS SURGERIES +audio/CAR0004.mp3[287.320,290.200] NO NO NO SURGERIES +audio/CAR0004.mp3[290.200,296.760] DO YOU HAVE ANY FAMILY HISTORY OF ANY HEART CONDITIONS OR ANY CANCERS OR ANYTHING LIKE THAT +audio/CAR0004.mp3[296.760,306.680] YEAH MY FATHER HE HE HAD A HEART ATTACK TWO WEEKS AGO AND HE AND HE PASSED AWAY AND IM WORRIED I AM HAVING A HEART ATTACK TOO +audio/CAR0004.mp3[306.680,312.280] IT WAS JUST TWO WEEKS AGO +audio/CAR0004.mp3[314.600,326.880] IM SO SORRY TO HEAR THAT YEAH IT MUST BE REALLY DIFFICULT TIME FOR YOU RIGHT NOW OK SO YOURE WORRIED YOU MIGHT BE HAVING A HEART ATTACK AS WELL +audio/CAR0004.mp3[327.320,345.880] OK SO WE CAN DEFINITELY DO SOME TESTS AND SEE WHAT WAS GOING ON I JUST HAVE A FEW MORE QUESTIONS AND THEN ILL JUST GET TO SOME OF THE MANAGEMENT AND WHAT WE WILL BE DOING FOR YOU IN THE FUTURE SO CURRENTLY RIGHT NOW DO YOU WORK AT ALL +audio/CAR0004.mp3[345.880,353.000] NO IM A STUDENT I WELL AS A PART TIME JOB I DO WORK AS A POST MAN +audio/CAR0004.mp3[353.000,358.320] OK AND WHERE ARE YOU A STUDENT WHAT DO YOU DO +audio/CAR0004.mp3[358.320,362.520] IM STUDYING ENGINEERING AT WESTERN +audio/CAR0004.mp3[362.520,377.400] ALRIGHT AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN STUDENT HOUSING AN APARTMENT OR A HOUSE +audio/CAR0004.mp3[377.400,383.600] I LIVE WITH MY PARENTS WELL MY MOM NOW IN A HOUSE +audio/CAR0004.mp3[383.600,387.520] RIGHT AND YOU DRINK AT ALL ANY ALCOHOL +audio/CAR0004.mp3[387.520,393.240] I DRINK OCCASIONALLY MAYBE ONE OR TWO DRINKS ON THE WEEKENDS +audio/CAR0004.mp3[393.240,398.240] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA OR COCAINE +audio/CAR0004.mp3[400.640,401.920] AND DO YOU SMOKE +audio/CAR0004.mp3[406.720,444.600] ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD FOR YOU TODAY AND YEAH IT MUST BE REALLY DIFFICULT AND SCARY FOR YOU RIGHT NOW BUT WELL MAKE SURE TO GET TO THE BOTTOM OF THIS TO SEE WHATS GOING ON SO WHAT WE CAN DO IS GET YOU AN ECG TO SEE HOW YOUR HEART IS FUNCTIONING AND THEN SEE GETTING THE BLOOD WORK IF WE NEED IT FOR THE FUTURE BUT YEAH RIGHT NOW I WOULD SAY TRY NOT TO WORRY TOO MUCH ABOUT IT RIGHT NOW AND SEE UM WHAT SOME OF THOSE TESTS COME BACK +audio/CAR0004.mp3[444.600,446.360] THANK YOU +audio/CAR0004.mp3[446.360,448.280] SO YEAH YOURE WELCOME +audio/RES0012.mp3[0.000,2.920] WHAT BRINGS YOU IN TODAY +audio/RES0012.mp3[2.920,19.240] I CANT I CAN BARELY BREATHE FOR LIKE 2 DAYS NOW AND IVE BEEN COUGHING AND BEEN HAVING LIKE A LITTLE BIT OF PAIN IN MY CHEST +audio/RES0012.mp3[19.240,30.560] OK THE PAIN IN YOUR CHEST UH CAN YOU POINT POINT OUT OR CAN YOU DESCRIBE THE PAIN TO ME IS THAT SHARP OR IS IT DULL +audio/RES0012.mp3[30.560,53.680] UM ITS HARD TO SAY I HAVENT REALLY HAD THIS BEFORE UM ITS MORE LIKE IT JUST KIND OF HURTS JUST IN THE MIDDLE AND IT GETS WORSE LIKE WHEN I COUGH AND WHEN I IF I TAKE LIKE A REALLY DEEP BREATH IT WILL HURT YEAH DOES THAT MAKE SENSE +audio/RES0012.mp3[53.680,63.720] YEAH SO THE SHORTNESS OF BREATH AND CHEST PAIN THEY OCCURRED SIMULTANEOUSLY RIGHT ON THE SAME DAY LIKE 2 DAYS AGO +audio/RES0012.mp3[63.720,79.880] YEAH I MEAN NOW THAT I THINK OF IT I MAYBE STARTED COUGHING A LITTLE BIT EARLIER THAN THAT BUT WHEN IT GOT HARDER TO BREATHE IS PRETTY WELL AROUND THE SAME TIME THAT I STARTED FEELING MORE THE PAIN +audio/RES0012.mp3[79.880,88.240] OK ALRIGHT SO LETS FOCUS ON THE COUGHING FIRST ARE YOU COUGHING UP ANY BLOOD AT ALL +audio/RES0012.mp3[88.240,92.480] UH NO I HAVENT NOTICED ANY BLOOD +audio/RES0012.mp3[92.480,99.560] OK AND HOW ABOUT SPUTUM +audio/RES0012.mp3[99.560,117.360] I GUESS I GUESS IT FEELS LIKE THERES SOME LIKE MUCUS I DONT KNOW KIND KIND OF LIKE SPIT LOOKING BUT MAYBE LIKE THICKER THAN THAT +audio/RES0012.mp3[117.360,122.160] OK IS IT YELLOW +audio/RES0012.mp3[122.160,125.640] YEAH YEAH YEAH WELL YEAH ITS CREAMY YELLOW +audio/RES0012.mp3[125.640,131.760] OK SURE AND ARE YOU WHEEZING WITH THE COUGH +audio/RES0012.mp3[131.760,138.400] I I DONT THINK SO +audio/RES0012.mp3[138.400,145.200] NO OK UM AND IS IT IS YOUR SHORTNESS OF BREATH WORSE WITH EXERTION +audio/RES0012.mp3[145.200,170.040] I HAVENT BEEN DOING MUCH REALLY CAUSE IVE JUST BEEN SO WIPED OUT UM TILL PROBABLY I GUESS ITS KIND OF IM REALLY YOU KNOW HAVENT BEEN GETTING UP VERY MUCH IM NORMALLY REALLY ACTIVE LIKE I I TRAIN FOR TRIATHLONS AND I IM NOT LIKE A COUCH POTATO RIGHT AND I FEEL LIKE IVE BEEN JUST KIND OF SITTING DOWN +audio/RES0012.mp3[170.040,179.400] OK UM DO YOU HAVE THE CHEST PAIN AT REST AS WELL OR IS IT JUST WITH THE COUGHING +audio/RES0012.mp3[179.400,188.120] LIKE IF I TAKE A DEEP BREATH ILL HAVE IT BUT NO I DONT THINK NOT NOT LIKE RIGHT NOW NOT LIKE JUST SITTING HERE +audio/RES0012.mp3[188.120,195.080] OK AND THE COUGHING HOW OFTEN ARE YOU COUGHING +audio/RES0012.mp3[195.080,229.480] OH LIKE IT KIND OF VARIES I FEEL LIKE I GET UP IN THE NIGHT KIND OF SWEATY AND ILL COUGH FOR FOR A WHILE AND IT ITLL KEEP ME UP AND THEN DURING THE DAY ITS LIKE I MIGHT GO YOU KNOW A COUPLE HOURS WITHOUT BUT THEN ILL COUGH AND ILL KIND OF KEEP GOING FOR A FEW MINUTES SO ITS A LOT LIKE PROBABLY YEAH I PROBABLY DONT GO MORE THAN LIKE 2 HOURS WITHOUT +audio/RES0012.mp3[229.480,237.920] OK OK AND HOW FAR CAN YOU WALK BEFORE YOU START FEELING SHORTNESS OF BREATH +audio/RES0012.mp3[237.920,247.080] I MEAN I HAVENT BEEN WALKING VERY FAR LIKE I I WALKED IN HERE FROM THE PARKING LOT AND THAT WAS FINE BUT IM TIRED +audio/RES0012.mp3[247.080,256.400] OK OK AND I JUST WANT TO ASK YOU SOME OTHER QUESTIONS UM JESSICA SO HAVE YOU HAD ANY FEVERS RACE RECENTLY +audio/RES0012.mp3[256.400,277.000] I DONT ACTUALLY HAVE A THERMOMETER AT HOME THAT WORKS BUT I LIKE I SAID WHEN IVE BEEN GETTING UP IN THE NIGHT COUGHING IVE BEEN LIKE REALLY HOT AND SWEATY KINDA GROSS LIKE FEEL LIKE I JUST I FEEL LIKE SOAKED AND BUT YEAH I DONT HAVE A THERMOMETER +audio/RES0012.mp3[277.000,285.040] UM OK SO THESE NIGHT EVENTS THAT YOURE DESCRIBING ARE THEY MORE CHILLS OR NIGHT SWEATS +audio/RES0012.mp3[285.040,296.600] WELL I DONT KNOW IT JUST FEELS LIKE WHEN YOU KNOW WHEN YOURE I DONT LIKE WHEN YOURE A KID AND YOU GET REALLY SICK AND YOUR PARENT TELLS YOU HAVE FEVER LIKE I DONT HAVE AN ACTUAL TEMPERATURE +audio/RES0012.mp3[296.600,297.960] BUT DO YOU FEEL HOT +audio/RES0012.mp3[297.960,300.920] I FEEL HOT YEAH +audio/RES0012.mp3[300.920,307.960] OK OK AND HAVE YOU LOST ANY WEIGHT RECENTLY +audio/RES0012.mp3[307.960,310.680] NO I MEAN ID LIKE TO BUT NO NO +audio/RES0012.mp3[310.680,316.280] OK AND ANY CHANGES IN YOUR VISION +audio/RES0012.mp3[316.280,317.200] UH NO +audio/RES0012.mp3[322.320,326.400] ANY DO YOU HAVE LIKE A STUFFY NOSE RUNNY NOSE +audio/RES0012.mp3[326.400,336.760] MAYBE A LITTLE LITTLE BIT ITS BEEN MORE THE COUGHING THATS THATS BOTHERED ME SO I HAVENT THOUGHT THAT MUCH ABOUT IT +audio/RES0012.mp3[336.760,340.760] OK SORRY YOU SAID YOUR NOSE WAS STUFFY OR RUNNY +audio/RES0012.mp3[340.760,344.360] SO ITS A LITTLE STUFFY MAYBE A LITTLE +audio/RES0012.mp3[344.360,355.560] OK OK UM AND HAVE YOU HAD ANY LIKE PRESSURE BEHIND YOUR EYES IN YOUR HEAD +audio/RES0012.mp3[355.560,357.480] NO NO NO +audio/RES0012.mp3[357.480,360.600] OK NO HEADACHES +audio/RES0012.mp3[360.600,362.000] NO NO +audio/RES0012.mp3[362.000,366.040] NO DIZZINESS OR FAINTING SPELLS +audio/RES0012.mp3[366.040,371.280] LIKE I FEEL TIRED BUT I HAVENT I DONT KNOW I HAVENT LIKE FAINTED +audio/RES0012.mp3[371.280,378.760] OK SO YOURE TIRED DO YOU FEEL WEAK AT ALL LIKE YOU CANT MOVE A CERTAIN LIMB +audio/RES0012.mp3[378.760,380.400] OH NO THAT THATS ALL FINE +audio/RES0012.mp3[380.400,381.520] THATS ALL FINE OK +audio/RES0012.mp3[381.520,386.240] I HAVENT LIKE WIPED OUT LIKE I SAID +audio/RES0012.mp3[386.240,397.880] OK OK UM DO YOU GET THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN YOURE LAYING DOWN +audio/RES0012.mp3[397.880,405.720] I MEAN IVE MOSTLY BEEN LAYING DOWN LATELY UM SO YEAH LIKE I KINDA HAVE IT ALL THE TIME +audio/RES0012.mp3[405.720,414.360] ALL THE TIME OK BUT ITS NOT WORSE WHEN YOURE LAYING DOWN OR STANDING UP +audio/RES0012.mp3[414.360,415.960] DONT THINK ITS WORSE NO +audio/RES0012.mp3[415.960,424.320] OK AND HAVE YOU NOTICED ANY SWELLING +audio/RES0012.mp3[424.320,426.560] UM I DONT THINK SO NO +audio/RES0012.mp3[426.560,431.400] OK ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0012.mp3[432.840,440.600] NO UM AND THEN HOW ABOUT IN TERMS OF LIKE YOUR ABDOMINAL SYSTEM ANY PAIN THERE +audio/RES0012.mp3[440.600,451.480] OH NO NOTHING I MEAN ITS LIKE A LITTLE SORE JUST CAUSE IM COUGHING ALL THE TIME BUT YEAH BUT YEAH NOT NOT LIKE NOT ANYTHING LIKE NOTICEABLE +audio/RES0012.mp3[451.480,456.240] OK AND THEN HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL +audio/RES0012.mp3[456.240,457.320] YEAH YEAH +audio/RES0012.mp3[457.320,466.160] AND THEN HOW ABOUT YOUR URINE IS THAT HAS EVERYTHING BEEN NORMAL FROM THAT STANDPOINT +audio/RES0012.mp3[466.160,468.280] YEAH YEAH +audio/RES0012.mp3[468.280,483.360] OK OK UM AND THEN HAVE YOU HAD ANY ISSUES WITH BREATHING OR COUGHING IN THE PAST +audio/RES0012.mp3[483.360,496.920] NO I MEAN I LIKE I SAID IM REALLY ACTIVE I DO A LOT OF LIKE RIGHT IVE BEEN LIKE TRAINING FOR A TRIATHLON LIKE I HAVENT HAD ANY PROBLEMS BEFORE +audio/RES0012.mp3[496.920,506.080] OK OK UM ANY ANY PAST MEDICAL CONDITIONS THAT YOU KNOW OF +audio/RES0012.mp3[506.080,510.080] UH I GOT LIKE I AM A TYPE 1 DIABETIC +audio/RES0012.mp3[510.080,521.400] OK OK HAVE YOU EVER OK HAVE YOU EVER HAD A PULMONARY FUNCTION TEST IN THE PAST +audio/RES0012.mp3[521.400,527.600] WELL MAYBE WHEN I WAS LIKE KID OR LIKE A TEENAGER +audio/RES0012.mp3[527.600,534.920] AND ANY RECENT CHEST XRAYS ECGS ANY OTHER INVESTIGATIONS YOUVE DONE SO FAR +audio/RES0012.mp3[534.920,538.840] NO LIKE I HAVE BEEN IVE BEEN REALLY HEALTHY +audio/RES0012.mp3[538.840,543.280] OK GOOD AND ARE YOU ON ANY MEDICATIONS +audio/RES0012.mp3[543.280,546.760] UM LIKE I TAKE A MY INSULIN +audio/RES0012.mp3[552.680,561.440] AND LIKE I TAKE I TAKE A STATIN IS THAT WHAT ITS CALLED +audio/RES0012.mp3[561.440,573.280] OK IS THAT BECAUSE YOU HAVE HIGH TRIGLYCERIDES OR LIKE CHOLESTEROL +audio/RES0012.mp3[573.280,579.720] UH I THEY JUST SAID CAUSE I LIKE HAD DIABETES THAT I SHOULD PROBABLY START TAKING IT +audio/RES0012.mp3[579.720,580.760] OK YEAH ALRIGHT +audio/RES0012.mp3[580.760,603.640] THERES NO LIKE A BIG PROBLEM IT WAS JUST YOU KNOW MY FAMILY DOCTOR I THINK MY MY DAD HAS DIABETES AND HE HE HE HAD HEART PROBLEMS SO LIKE SHE ALSO MY FAMILY DOCTOR KNOWS MY DAD TOO SO I DONT KNOW IF THAT HAS SOMETHING TO DO WITH IT +audio/RES0012.mp3[603.640,615.720] OK OK AND THEN YEAH I GUESS I WILL TALK ABOUT FAMILY HISTORY SINCE YOU BROUGHT IT UP ANY LUNG ISSUES IN THE FAMILY +audio/RES0012.mp3[615.720,618.440] UH NOT THAT I KNOW OF LIKE +audio/RES0012.mp3[619.160,629.120] JUST I MEAN THE HEART LIKE MY DAD HAD A HEART ATTACK I DONT KNOW IF THAT COUNTS AS LIKE ITS CLOSE TO THE LUNGS +audio/RES0012.mp3[629.120,630.720] HOW OLD WAS HE +audio/RES0012.mp3[630.720,637.040] UM IT WASNT THAT LONG AGO HE WAS LIKE IN HIS 60S +audio/RES0012.mp3[638.680,646.720] OK UM IM GONNA NAME A FEW THINGS AND YOU LET ME KNOW IF THIS IS IN YOUR HISTORY OK IN YOUR +audio/RES0012.mp3[646.720,648.920] FAMILY HISTORY ASTHMA +audio/RES0012.mp3[648.920,655.520] MAYBE LIKE MY COUSIN BUT YEAH NOT LIKE MY MOM OR DAD +audio/RES0012.mp3[655.520,657.840] OK CYSTIC FIBROSIS +audio/RES0012.mp3[659.840,664.160] OK ALPHA ONE ANTITRYPSIN DEFICIENCY +audio/RES0012.mp3[664.160,666.080] I DONT THINK SO NO +audio/RES0012.mp3[666.080,667.880] PULMONARY FIBROSIS +audio/RES0012.mp3[667.880,669.320] NO NO +audio/RES0012.mp3[669.320,675.240] OK OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0012.mp3[675.240,698.320] LIKE I I ALWAYS I ALWAYS GOT LIKE THE ONES I WAS SUPPOSED TO UM I NORMALLY LIKE NORMALLY WHERE I GO INTO WORK THERES LIKE A PHARMACY OUTSIDE AND I WOULD GET MY FLU SHOT BUT THIS YEAR ITS LIKE IM WORKING FROM HOME I HAVENT EVEN BEEN AROUND THERE SO I DIDNT GET IT THIS YEAR BUT I HAVE ALL THE NORMAL ONES +audio/RES0012.mp3[698.320,702.760] OK AND THEN DO YOU SMOKE JESSICA +audio/RES0012.mp3[705.360,708.800] NO DO YOU SMOKE MARIJUANA +audio/RES0012.mp3[708.800,710.160] NO NO +audio/RES0012.mp3[710.160,714.600] ANY OTHER RECREATIONAL DRUGS +audio/RES0012.mp3[714.600,717.400] WHAT LIKE ALCOHOL +audio/RES0012.mp3[717.400,723.200] UM NO OTHER THAN ALCOHOL LIKE COCAINE OR METH ANYTHING LIKE THAT +audio/RES0012.mp3[723.200,723.760] AH NO +audio/RES0012.mp3[723.760,727.600] OK NO OK AND YEAH DO YOU DRINK ALCOHOL +audio/RES0012.mp3[727.600,731.880] OH LIKE IF IM LIKE WITH FRIENDS MAYBE ON A WEEKEND +audio/RES0012.mp3[731.880,733.600] OK OK +audio/RES0012.mp3[733.600,735.360] COUPLE DRINKS OR SOMETHING +audio/RES0012.mp3[735.360,741.040] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK AROUND YOU +audio/RES0012.mp3[741.040,768.040] LIKE I SAID I WORK I WORK FROM HOME SO IVE BEEN SEEING VERY MANY PEOPLE UM I LIKE I GEEZ I MY MY SISTER I SAW MY SISTER AND LIKE SHE I GUESS SHE WORKS SHE WORKS IN LIKE A RETIREMENT HOME +audio/RES0012.mp3[769.000,772.400] LIKE SHE I DONT THINK SHE WAS SICK +audio/RES0012.mp3[772.400,783.960] OK OK IS IT POSSIBLE THAT SHE WAS IN CONTACT WITH SOMEONE WHO MAY HAVE BEEN SICK +audio/RES0012.mp3[783.960,795.360] I THINK ITS I MEAN ITS POSSIBLE LIKE THATS WHAT SHE DOES FOR HER WORK RIGHT SHE WORKS AT LIKE A RETIREMENT HOME SO YEAH POSSIBLE +audio/RES0012.mp3[795.360,801.240] OK AND WHAT WHAT KIND OF WORK DO YOU DO JESSICA +audio/RES0012.mp3[801.240,802.520] IM AN ACCOUNTANT +audio/RES0012.mp3[802.520,808.520] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY I KNOW WITH COVIOBVIOUSLY THATS HARD +audio/RES0012.mp3[808.520,815.040] I WISH I WISH BUT YOU KNOW I HAVENT BEEN ANYWHERE LIKE I SAID IVE JUST BEEN AT HOME +audio/RES0012.mp3[815.040,831.320] OK UM IN PARTICULAR HAVE YOU BEEN IN A COUNTRY WHERE TB IS ENDEMIC AND HAVE YOU BEEN IN ANY OF THOSE COUNTRIES IN THE PAST LIKE 5 TO 10 YEARS +audio/RES0012.mp3[831.320,846.400] I DONT KNOW LIKE IVE BEEN TO THE LIKE THE STATES BEFORE COVII I DONT I DIDNT REALLY HAVENT TRAVELED ANYWHERE COOL IN A LONG TIME +audio/RES0012.mp3[846.400,859.480] OK OK UM SO JUST KIND OF GOING THROUGH WHAT IT COULD BE THAT YOU HAVE RIGHT NOW IM THINKING +audio/RES0012.mp3[859.480,888.480] A FEW THINGS AND WE KIND OF LIKE TO GO THROUGH AND MAKE SURE WERE NOT MISSING ANYTHING SO IN TERMS OF LIKE VASCULAR STUFF IT COULD BE SOMETHING LIKE LIKE CHF OR PULMONARY EMBOLISM AND THAT STANDS FOR CONGESTIVE HEART FAILURE BUT YOURE VERY YOUNG YOU SEEM LIKE YOURE VERY HEALTHY SO THATS PROBABLY LOWER ON OUR DIFFERENTIAL OBVIOUSLY +audio/RES0012.mp3[888.480,891.680] OK YEAH HOPEFULLY +audio/RES0012.mp3[891.680,914.560] AN INFECTION WOULD BE THE BIGGEST ONE RIGHT NOW WITH THE COUGH WITH IT SEEMS LIKE YOU HAVE CHILLS AND NIGHT SWEATS YEAH SO WOULD HAVE TO DO MORE IN TERMS OF TAKING YOUR TEMPERATURE AND SEE IF YOU CAN DO LIKE MORE +audio/RES0012.mp3[914.560,929.080] WORK UP LIKE A CHEST XRAY TO SEE WHATS HAPPENING IN THERE UM AUTOIMMUNE STUFF COULD BE LIKE SARCOIDOSIS BUT UNLIKELY CAUSE IT SEEMS LIKE THIS IS AN ACUTE ISSUE FOR YOU +audio/RES0012.mp3[929.080,939.960] SEE I NEVER COME IN BESIDES LIKE BECAUSE I YOU KNOW NEED MY INSULIN I NEVER EVEN GO TO THE I DIDNT EVEN WANT TO COME IN AND JUST LIKE IT WASNT GOING AWAY +audio/RES0012.mp3[939.960,951.160] YEAH YEAH AND THEN OTHER THINGS LIKE COPPULMONARY FIBROSIS AND LIKE LIKE CANCER STUFF IS SUPER +audio/RES0012.mp3[951.160,1000.280] LOW ON THE DIFFERENTIAL RIGHT NOW SO YEAH SO UM SO YEAH SO FOR RIGHT NOW WELL START WE CAN START BY DOING SOME BLOOD WORK FIRST I DO A PHYSICAL EXAM OF COURSE AND THEN FROM THERE WE WOULD KIND OF DO SOME BLOOD WORK TO SEE IF YOUR WHITE BLOOD CELL COUNT IS HIGH AND THEN WE CAN DO A CHEST XRAY TO SEE IF THERE IS LIKE A CONSOLIDATION IF THERES PNEUMONIA OR YOU KNOW OR OR ANYTHING VIRAL UM DO YOU HAVE ANY QUESTIONSANYTHING THAT YOU WANTED TO ADD THAT I MISSED +audio/RES0012.mp3[1000.280,1016.960] I DONT THINK I DONT THINK SO UM YEAH I JUST HOPE I CAN GET FEELING BETTER HOPE ITS NOT ANYTHING SERIOUS LIKE I I THINK YEAH I JUST HOPE ITS LIKE I HOPE LIKE YOU SAID ITS LIKE I GOT LIKE AN INFECTION OR SOMETHING AND IT WILL JUST BE GONE SOON +audio/RES0012.mp3[1016.960,1037.080] YEAH YEAH IT DOES SOUND LIKE IT FROM THE TIMELINE LIKE YOU STARTED COUGHING TWO DAYS AGO AND THEN THE DIFFICULTY BREATHING OR SHORTNESS OF BREATH ALSO TWO DAYS AGO AND THEN THE CHEST PAIN JUST SEEMS LIKE ITS FROM YOU COUGHING A LOT +audio/RES0012.mp3[1037.080,1038.640] IT CAN DO THAT +audio/RES0012.mp3[1039.600,1041.280] OK YEAH +audio/RES0012.mp3[1041.280,1052.600] YEAH OK SO I GUESS WE WILL SEE YOU AT OUR FOLLOW UP AND AFTER ALL OF THESE INVESTIGATIONS ARE DONE +audio/RES0134.mp3[0.000,4.040] WOULD YOU MIND STARTING WITH TELLING ME WHAT I CAN HELP YOU WITH TODAY +audio/RES0134.mp3[4.040,17.960] YEAH UM I HAVENT BEEN FEELING VERY WELL OVER THE PAST TWO DAYS I HAVE HAD THIS COUGH IM FEELING VERY SHORT OF BREATH AND IM FEELING VERY FEVERISH AS WELL +audio/RES0134.mp3[17.960,22.400] OKAY UH HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0134.mp3[22.400,28.040] NO I HAVENT ACTUALLY CHECKED IT BUT IM JUST FEELING HOT AND IM HAVING CHILLS +audio/RES0134.mp3[28.040,32.520] OKAY WERE YOU HAVING LIKE NIGHT SWEATS AS WELL +audio/RES0134.mp3[32.520,37.040] UM YEAH LAST NIGHT I DID GET SWEATY +audio/RES0134.mp3[37.040,43.400] OKAY AND WHEN UH WHEN DID YOU START FEELING FEVERISH +audio/RES0134.mp3[43.400,53.480] FEVERISH MAYBE AROUND THE SAME TIME LIKE RIGHT AFTER THE COUGH AND SHORTNESS OF BREATH STARTED MAYBE LIKE A DAY AND A HALF AGO +audio/RES0134.mp3[53.480,61.560] OKAY ITS UM SO THE COUGH STARTED ABOUT A DAY AND A HALF AGO AS WELL +audio/RES0134.mp3[63.160,70.120] OKAY UH DID YOU HAVE A COUGH PRIOR TO THIS OR IS IT NEW +audio/RES0134.mp3[70.120,71.840] ITS NEW +audio/RES0134.mp3[71.840,77.280] OKAY IS IT A DRY COUGH OR ARE YOU BRINGING UP SPUTUM OR PHLEGM +audio/RES0134.mp3[77.280,91.480] UM ITS UH YEAH ITS UM ITS DRY MOST OF THE TIME BUT ONCE IN A WHILE ILL SEE SOME LIKE YELLOW PHLEGM +audio/RES0134.mp3[91.480,93.920] OKAY HAVE YOU NOTICED ANY BLOOD +audio/RES0134.mp3[93.920,96.440] NO NO BLOOD +audio/RES0134.mp3[96.440,100.760] ALL RIGHT AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0134.mp3[100.760,109.160] NO CHEST WELL ACTUALLY WHEN I TRY TO TAKE A REALLY DEEP BREATH IN IT IT HURTS MY CHEST HURTS +audio/RES0134.mp3[109.160,111.840] OKAY WHERE DO YOU FEEL THE PAIN +audio/RES0134.mp3[111.840,115.680] UH IT SEEMS TO BE CENTRAL ON MY CHEST +audio/RES0134.mp3[115.680,121.120] DO YOU FEEL IT RADIATING ANYWHERE LIKE TO YOUR BACK OR TO EITHER SIDE +audio/RES0134.mp3[123.880,128.440] OKAY HOW WOULD YOU DESCRIBE THE PAIN LIKE SHARP DULL +audio/RES0134.mp3[128.440,135.000] UM ITS PRETTY SHARP WHEN I TAKE A DEEP BREATH IN +audio/RES0134.mp3[135.000,139.960] HOW LONG DOES THE PAIN LAST FOR AND IS THERE ANYTHING THAT YOU DO THAT MAKES IT GO AWAY +audio/RES0134.mp3[139.960,150.160] IT WAS LIKE LESS THAN A MINUTE UM AND AND IT GOES AWAY WHEN I LIKE IF I TRY NOT TO TAKE A DEEP BREATH IN +audio/RES0134.mp3[150.160,157.840] OKAY SO IT SOUNDS LIKE THAT IT THE THE BREATHING IS A TRIGGER THERE WHEN YOURE BREATHING IN DEEPLY +audio/RES0134.mp3[158.320,161.760] ALRIGHT AND HAVE YOU HAD ANY WHEEZE +audio/RES0134.mp3[161.760,164.960] UH A LITTLE BIT YES +audio/RES0134.mp3[164.960,170.560] ALRIGHT AND UH IS THE WHEEZE NEW AS WELL +audio/RES0134.mp3[170.560,175.680] UM YES THAT ALSO STARTED AFTER THE COUGHING AND THE SHORTNESS OF BREATH +audio/RES0134.mp3[175.680,182.200] ALRIGHT AND HAVE YOU HAD ANY EPISODES OF FEELING LIKE YOUR HEARTS RACING OR IS IT SPEEDING REALLY FAST +audio/RES0134.mp3[184.720,195.280] OKAY AND YOU SAID IT YEAH YOUVE BEEN SHORT OF BREATH AS WELL UM ARE YOU REALLY SHORT OF BREATH NOW AND WHAT SORTS OF THINGS HAVE BEEN REALLY BRINGING IT ON FOR YOU +audio/RES0134.mp3[195.280,208.800] UM ITS YEAH IM STILL A LITTLE BIT SHORT OF BREATH AND I I GUESS THE SHORTNESS OF BREATH GETS WORSE WHEN IM WALKING OR DOING SOMETHING PHYSICAL +audio/RES0134.mp3[208.800,214.600] OKAY AND DID IS THIS NEW OR DID YOU HAVE THIS BEFORE +audio/RES0134.mp3[214.600,216.360] ITS NEW +audio/RES0134.mp3[216.360,224.360] OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR IN YOUR LEGS OR EXTREMITIES +audio/RES0134.mp3[224.360,227.200] NO NOTHING LIKE THAT +audio/RES0134.mp3[227.200,232.800] AND DO YOU GET SHORT OF BREATH IF YOU LIE DOWN FLAT +audio/RES0134.mp3[232.800,236.960] UH NO NOT THAT IVE NOTICED +audio/RES0134.mp3[236.960,239.840] AND HOW MANY PILLOWS DO YOU SLEEP WITH +audio/RES0134.mp3[239.840,245.040] UH JUST THE ONE +audio/RES0134.mp3[245.040,248.480] OKAY UM AND HAVE YOU HAD ANY HEADACHES +audio/RES0134.mp3[249.880,253.720] AND HOW ABOUT ANY EYE REDNESS OR DISCHARGE +audio/RES0134.mp3[253.720,255.360] UH NO +audio/RES0134.mp3[255.360,259.720] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +audio/RES0134.mp3[259.720,266.040] UM YEAH A LITTLE BIT YEAH IVE BEEN YEAH IVE BEEN FEELING A LITTLE CONGESTED +audio/RES0134.mp3[266.040,268.960] AND WHEN DID THAT START +audio/RES0134.mp3[268.960,273.840] UM THAT STARTED A LITTLE BIT BEFORE THE COUGH ACTUALLY +audio/RES0134.mp3[273.840,278.480] OKAY AND YOURE STILL FEELING THAT NOW +audio/RES0134.mp3[280.200,286.000] OKAY HAVE YOU HAD A SORE THROAT +audio/RES0134.mp3[286.000,288.960] NO SORE THROAT +audio/RES0134.mp3[288.960,295.120] OKAY AND UM HAVE YOU HAD ANY UM MUSCLE ACHES OR BODY PAINS +audio/RES0134.mp3[295.120,305.960] UM I YEAH I GUESS MY MUSCLE ACHES A LITTLE BIT UM ITS VERY DULL THOUGH ITS NOT SHARP +audio/RES0134.mp3[305.960,310.520] OKAY AND UH HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN FATIGUED +audio/RES0134.mp3[310.520,317.640] YEAH MY ENERGYS BEEN PRETTY LOW UM IVE BEEN FEELING VERY TIRED +audio/RES0134.mp3[317.640,321.320] OKAY AND HOW LONG HAS THAT BEEN GOING ON FOR +audio/RES0134.mp3[321.320,331.040] UM FOR ABOUT THE SAME AMOUNT OF TIME LIKE THREE DAYS YEAH +audio/RES0134.mp3[331.040,334.800] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0134.mp3[335.560,338.120] HOW ABOUT NAUSEA OR VOMITING +audio/RES0134.mp3[339.440,345.040] AND ANY CHANGES TO YOUR URINARY HABITS LIKE PAIN OR +audio/RES0134.mp3[345.040,348.480] UH NO NOTHING LIKE THAT +audio/RES0134.mp3[348.480,353.920] OKAY AND UM HOW HAS YOUR APPETITE BEEN +audio/RES0134.mp3[353.920,359.760] UM IT HASNT BEEN THE GREATEST BECAUSE I HAVENT BEEN FEELING WELL BUT IVE STILL BEEN EATING +audio/RES0134.mp3[359.760,364.560] OKAY HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0134.mp3[364.560,367.880] UM NO NOT THAT IVE NOTICED +audio/RES0134.mp3[367.880,371.800] AND UH HOW ABOUT ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +audio/RES0134.mp3[371.800,377.800] SENSE OF SMELL OR TASTE NO NO CHANGES THERE +audio/RES0134.mp3[377.800,382.200] OKAY UM AND THEN ANY SKIN CHANGES OR RASHES +audio/RES0134.mp3[384.960,402.400] ALRIGHT UM SO YOUVE BEEN EXPERIENCING THIS COUGH UH STARTED A COUPLE OF DAYS AGO WITH UM SHORTNESS OF BREATH AND YOURE BRINGING UP SPUTUM SOMETIMES AND AND A FEVER THATS STARTED A BIT MORE RECENTLY AS WELL AS HAVING SOME NIGHT SWEATS +audio/RES0134.mp3[403.000,407.040] HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS +audio/RES0134.mp3[407.040,411.400] UH NO OTHER THAN THAT NO SYMPTOMS +audio/RES0134.mp3[411.400,417.480] I SEE AND HAVE YOU TRIED ANYTHING TO MAKE MAKE THE SYMPTOMS BETTER +audio/RES0134.mp3[417.480,431.480] UM IVE TRIED SOME TYLENOL IVE TRIED SOME UM LIKE COUGH SUPPRESSANTS BUT NOTHING SEEMS TO BE HELPING +audio/RES0134.mp3[431.480,437.200] OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0134.mp3[437.200,456.640] UM NO NOT UM WELL ACTUALLY I HAVE I HAD I HAVE OSTEOPOROSIS FOR WHICH IM TAKING CALCIUM AND VITAMIN AS WELL AS LIKE UM ALENDRONATE ALENDRONATE SOME SORT OF BISPHOSPHONATE +audio/RES0134.mp3[456.640,462.520] OKAY HAVE YOU HAD ANY UH LIKE BONE FRACTURES +audio/RES0134.mp3[462.520,470.120] UM I HAD UM A HIP FRACTURE LIKE UH TWO YEARS AGO +audio/RES0134.mp3[470.120,474.160] OKAY AND UM AND HOW IS THE RECOVERY AND MOBILITY BEEN +audio/RES0134.mp3[474.160,476.800] UM PRETTY GOOD NOW +audio/RES0134.mp3[476.800,484.880] OH THATS GREAT AND UH DO YOU HAVE ANY OTHER MEDICAL CONDITIONS BESIDES OSTEOPOROSIS +audio/RES0134.mp3[484.880,486.920] NO NOT THAT I KNOW +audio/RES0134.mp3[486.920,493.600] AND HAVE YOU HAD ANY SURGERIES PRIOR UM ASIDE FROM THE HIP SURGERY TWO YEARS AGO +audio/RES0134.mp3[493.600,509.520] UM I HAD MY WISDOM TEETH TAKEN OUT IVE HAD MY GALLBLADDER TAKEN OUT UM AND I I HAD LIKE UM I HAD A PE UM A LONG TIME AGO +audio/RES0134.mp3[509.520,525.520] OKAY AND WHAT HAPPENED AROUND THAT TIME WITH THE PULMONARY EMBOLISM DID YOU WAS THERE A TRIGGER LIKE A SURGERY AROUND THAT TIME OR WERE YOU IMMOBILIZED OR ANYTHING +audio/RES0134.mp3[525.520,533.360] YEAH THEY THINK IT HAPPENED RIGHT AFTER MY UM GALLBLADDER REMOVAL CAUSE I WAS IN THE HOSPITAL FOR A WHILE +audio/RES0134.mp3[533.360,539.320] OKAY AND SO WERE YOU ON ANY MEDICATION FOR A PERIOD OF TIME AFTER THAT +audio/RES0134.mp3[539.320,544.360] UH YEAH I WAS BUT NOT ANYMORE +audio/RES0134.mp3[544.360,553.560] OKAY UM OKAY AND UM ARE YOU TAKING ANY OTHER MEDICATIONS BESIDES THE ONES FOR YOUR BONES +audio/RES0134.mp3[553.560,556.520] UM NO NO OTHER MEDICATIONS +audio/RES0134.mp3[556.520,558.920] AND DO YOU HAVE ANY ALLERGIES +audio/RES0134.mp3[558.920,562.720] UH NO +audio/RES0134.mp3[562.720,571.000] OKAY UH AND THEN COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW ARE YOU LIVING WITH ANYBODY AND UH WHEREABOUTS +audio/RES0134.mp3[571.000,577.720] UM I LIVE IN AN APARTMENT BY MYSELF AND UM ITS IN LONDON +audio/RES0134.mp3[577.720,596.560] OKAY GREAT AND DO YOU HAVE ANY SUPPORTS IN THE HOME THAT THAT HELP YOU WITH UH ANY ACTIVITIES OF DAILY LIVING LIKE UM EITHER DRESSING OR BATHING OR MAKING FOOD OR EVEN DOING SOME OF THE SHOPPING +audio/RES0134.mp3[596.560,608.880] SO I AM PRETTY INDEPENDENT FOR MOST THINGS UM THERE WILL BE LIKE A CCAC CARE WORKER WHO COMES IN UH ONCE IN A WHILE JUST TO HELP ME CLEAN THE HOUSE +audio/RES0134.mp3[608.880,616.560] OKAY SO ONCE IN A WHILE IS THIS LIKE ONCE A WEEK OR ONCE YEAH HOW OFTEN +audio/RES0134.mp3[616.560,619.520] YEAH ONCE EVERY TWO WEEKS +audio/RES0134.mp3[619.520,629.080] OKAY WELL THATS GREAT IT SOUNDS LIKE YOURE MANAGING REALLY WELL ON YOUR OWN UM DO YOU HAVE ANY OTHER SUPPORTS NEARBY LIKE FAMILY OR OR FRIENDS +audio/RES0134.mp3[629.080,643.720] UM I HAVE SOME FAMILY CLOSE BY UM MY SON LIVES CLOSE BY UH AND MY DAUGHTER LIVES ABOUT 2 HOURS AWAY ILL SEE THEM ABOUT ONCE A MONTH +audio/RES0134.mp3[643.720,647.960] OKAY UM AND DO YOU SMOKE CIGARETTES +audio/RES0134.mp3[647.960,653.760] UM YEAH I USED TO SMOKE BUT I STOPPED ABOUT FIVE YEARS BACK +audio/RES0134.mp3[653.760,655.680] OH CONGRATULATIONS ON QUITTING +audio/RES0134.mp3[655.680,657.040] THANK YOU +audio/RES0134.mp3[657.040,661.880] SO YOU QUIT FIVE YEARS AGO AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH DID YOU SMOKE +audio/RES0134.mp3[661.880,674.040] UM I USED TO SMOKE NOT A LOT JUST LIKE ONE OR TWO A DAY UH AND I DID THAT FOR ABOUT 25 YEARS +audio/RES0134.mp3[674.040,677.440] OKAY AND UH DO YOU DRINK ALCOHOL +audio/RES0134.mp3[677.440,683.320] UM ILL HAVE LIKE A GLASS OF WINE ONCE IN A WHILE +audio/RES0134.mp3[683.320,688.720] AND HOW OFTEN IS ONCE IN A WHILE IS THIS OR HOW MANY DRINKS PER WEEK WOULD YOU SAY +audio/RES0134.mp3[688.720,692.320] UM PER WEEK MAYBE LIKE THREE +audio/RES0134.mp3[692.320,704.960] OKAY UM AND ANY UH HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0134.mp3[704.960,723.840] UM YEAH SO THERE IS UM LIKE LUNG CANCER THERES ASTHMA THERES UH COPALL OF THAT SOMEONE LIKE MY BOTH SIDES OF MY FAMILY HAD +audio/RES0134.mp3[723.840,729.560] OKAY AND UH ANYBODY IN THE FAMILY HAVE LIKE A BLEEDING DISORDER +audio/RES0134.mp3[729.560,732.360] A BLEEDING DISORDER NO +audio/RES0134.mp3[732.360,737.680] OKAY ANYBODY ELSE IN THE FAMILY HAVE EITHER A DEEP VEIN THROMBOSIS OR OR PE +audio/RES0134.mp3[739.240,746.440] ALRIGHT UM AND HAVE YOU BEEN AROUND ANY ANYBODY WHOS BEEN SICK +audio/RES0134.mp3[746.440,750.200] NO NOT RECENTLY +audio/RES0134.mp3[750.200,758.160] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR +audio/RES0134.mp3[758.160,758.520] UH NO +audio/RES0134.mp3[758.520,765.880] OKAY UM SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING THAT UH THAT YOU WANTED TO ADD +audio/RES0134.mp3[765.880,783.920] NO THOSE ARE ALL QUESTIONS THAT I HAD UM DO YOU THINK UM I NEED TO BE HOSPITALIZED UM BECAUSE IM VERY SHORT OF BREATH OR DO YOU THINK I CAN JUST UM STAY AT HOME DO YOU THINK I NEED ANTIBIOTICS +audio/RES0134.mp3[783.920,855.560] YEAH SO WELL WELL CHECK YOUR TEMPERATURE AND AND CONFIRM THE FEVER AND UM CHECK YOUR OXYGEN LEVELS AS WELL YOU MIGHT NEED OXYGEN UM YOURE MENTIONING WITH YOUR SHORTNESS OF BREATH UM AND WE WILL GET A CHEST XRAY AND IF UM WERE SEEING CONSOLIDATION THERE SUGGESTIVE OF PNEUMONIA YOU MAY NEED ANTIBIOTICS THAT WILL COVER COVER THOSE THOSE BUGS HOWEVER YOUR SYMPTOMS DO OVERLAP WITH COVIAS WELL AND SO IT WILL BE IMPORTANT TO GET A UM COVISWAB BUT TO ANSWER IF YOU WILL NEED A HOSPITAL STAY I THINK WELL NEED TO AT LEAST WAIT UNTIL SOME OF THE INVESTIGATIONS COME BACK AND UM THAT WILL HELP DETERMINE HOW SEVERE THE SYMPTOMS ARE AND WELL OBSERVE YOU OVER THE NEXT FEW HOURS AND IF YOU ARE GETTING ANY WORSE OR UM ANYTHING LIKE THAT THEN IT MIGHT BE A GOOD IDEA UM TO UH TO BE ADMITTED +audio/RES0134.mp3[855.560,859.760] OKAY OKAY YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0134.mp3[859.760,860.880] YOURE WELCOME +audio/RES0076.mp3[0.000,2.480] WHAT BRINGS YOU IN HERE TODAY +audio/RES0076.mp3[2.480,12.320] UH IVE HAD THIS COUGH ONGOING FOR A COUPLE OF MONTHS NOW UHM AND RECENTLY IVE STARTED TO NOTICE SOME BLOOD +audio/RES0076.mp3[12.320,17.480] OK SO THIS COUGH HAS BEEN GOING ON FOR HOW MANY MONTHS +audio/RES0076.mp3[17.480,22.720] I WOULD SAY MAYBE SIX MONTHS +audio/RES0076.mp3[22.720,28.360] SIX MONTHS AND HAVE YOU HAD THIS COUGH BEFORE THEN +audio/RES0076.mp3[28.360,38.120] YEAH IVE HAD A COUGH BEFORE AND KIND OF FOR A LONG TIME CAUSE IVE SMOKED FOR A WHILE +audio/RES0076.mp3[38.120,47.960] OK I SEE UHM WHAT KIND OF COUGH DO YOU HAVE IS IT PRODUCTIVE LIKE IS IT A WET COUGH OR IS IT A DRY COUGH +audio/RES0076.mp3[47.960,55.760] ITS USUALLY A DRY COUGH BUT RECENTLY IVE BEEN BRINGING UP A LITTLE BIT OF BLOOD +audio/RES0076.mp3[55.760,64.160] OK AND IS THE BLOOD MIXED IN WITH LIKE SPUTUM THAT YOURE BRINGING OUT OR IS IT THAT YOURE JUST COUGHING UP BLOOD +audio/RES0076.mp3[64.160,69.880] ITS MOSTLY RED YEAH MOSTLY BLOOD +audio/RES0076.mp3[69.880,80.240] OK I SEE AND IS YOUR COUGHING CONSTANT OR DOES IT COME AND GO +audio/RES0076.mp3[80.240,84.760] ITS KIND OF LIKE CONSTANT THROUGHOUT THE DAY +audio/RES0076.mp3[84.760,89.960] OK AND HAVE YOU NOTICED ANY KIND OF GREENISH OR YELLOWISH COLOR OF YOUR SPUTUM +audio/RES0076.mp3[89.960,94.240] NOT REALLY NO +audio/RES0076.mp3[94.240,102.800] HOW MUCH BLOOD WOULD YOU SAY YOURE COUGHING UP NOW IN AN AVERAGE DAY +audio/RES0076.mp3[102.800,109.080] I WOULD SAY MAYBE TWO OR THREE TEASPOONS +audio/RES0076.mp3[109.080,116.000] OK I SEE HAS YOUR COUGHING GOTTEN WORSE OR HAS IT STAYED ABOUT THE SAME +audio/RES0076.mp3[116.000,119.880] ITS BEEN ABOUT THE SAME +audio/RES0076.mp3[119.880,125.360] OK IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +audio/RES0076.mp3[125.360,132.640] NOT REALLY ITS JUST KIND OF BEEN THERE MOST DAYS +audio/RES0076.mp3[132.640,145.880] AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN RUNNY NOSE ANYTHING LIKE THAT +audio/RES0076.mp3[145.880,151.240] UHM NO NO I HAVENT REALLY HAD ANYTHING LIKE THAT +audio/RES0076.mp3[151.240,158.160] OK SO WITH YOUR COUGHING YOU DONT FEEL LIKE YOU HAVE ANY DIFFICULTY BREATHING +audio/RES0076.mp3[158.160,171.280] NO I MEAN I HAVENT HAD ANY SHORTNESS OF BREATH IVE JUST HAD UH WELL YEAH ACTUALLY SORRY I HAVE HAD DIFFICULTIES BREATHING AS WELL +audio/RES0076.mp3[171.280,174.000] OK AND WHEN DID THAT START +audio/RES0076.mp3[174.000,188.320] UH WELL THATS BEEN AN ONGOING PROBLEM FOR THE LAST SEVERAL YEARS NOW I THOUGHT IT WAS RELATED TO SMOKING BUT ITS GOTTEN WORSE +audio/RES0076.mp3[188.320,193.440] I SEE OK AND DO YOU HAVE ANY CHEST PAIN WITH INSPIRATION OR EXPIRATION +audio/RES0076.mp3[193.440,197.080] NO NO CHEST PAIN +audio/RES0076.mp3[197.080,202.560] OK ANY DIZZINESS ANY FAINTING EPISODES +audio/RES0076.mp3[202.560,204.720] NOTHING LIKE THAT +audio/RES0076.mp3[204.720,208.320] OK ANY RECENT TRAVEL OUTSIDE OF THE COUNTRY +audio/RES0076.mp3[208.320,211.400] NO IVE BEEN AT HOME +audio/RES0076.mp3[211.400,217.600] OK ANY HEADACHES FEVERS OR CHILLS +audio/RES0076.mp3[217.600,223.280] NO NO FEVERS OR CHILLS AND I HAVENT HAD ANY HEADACHES EITHER +audio/RES0076.mp3[223.280,226.760] OK ANY LOSSES IN SENSE OF TASTE OR SMELL +audio/RES0076.mp3[229.000,236.160] ANY NAUSEA OR VOMITING +audio/RES0076.mp3[236.160,243.680] UHM YEAH I HAVE BEEN A BIT MORE NAUSEOUS RECENTLY BUT I HAVENT HAD ANY VOMITING +audio/RES0076.mp3[243.680,246.680] OK AND WHEN DID YOU START FEELING NAUSEOUS +audio/RES0076.mp3[246.680,254.880] IT KINDA COMES AND GOES IVE HAD THAT PROBLEM FOR THE LAST TWO MONTHS OR SO +audio/RES0076.mp3[254.880,264.160] OK AND DO YOU FEEL NAUSEOUS AT ANYTIME PARTICULARLY IN THE DAY LIKE AFTER EATING OR DOES IT JUST COME ON RANDOMLY +audio/RES0076.mp3[265.880,274.480] OK AND HAVE YOU BEEN HAVING ANY KIND OF DIARRHEA OR CONSTIPATION CHANGES IN YOUR BOWEL MOVEMENT +audio/RES0076.mp3[275.720,278.920] OK ANY BLOOD IN YOUR STOOLS AT ALL +audio/RES0076.mp3[280.200,284.800] OK HAVE YOU BEEN FEELING FATIGUED AT ALL +audio/RES0076.mp3[284.800,289.280] YEAH A LITTLE BIT MORE TIRED RECENTLY YEAH +audio/RES0076.mp3[289.280,291.040] AND HOW RECENTLY WOULD YOU SAY +audio/RES0076.mp3[291.040,304.680] I THOUGHT IT WAS RELATED TO LIKE JUST BEING SHORT OF BREATH YEAH SO MAYBE IN THE LAST COUPLE OF MONTHS AS WELL +audio/RES0076.mp3[304.680,314.600] OK AND WHEN DO YOU GET SHORT OF BREATH IS IT WHEN YOU DO ANY ACTIVITIES IS IT WHEN YOURE LAYING DOWN IS THERE ANYTHING RELATED TO IT +audio/RES0076.mp3[314.600,324.400] IF I EXERT MYSELF OR IF IM DOING MORE ACTIVITY IT IT DOES GET HARDER TO TO KEEP UP WITH IT BUT YEAH +audio/RES0076.mp3[324.400,331.480] AND DO YOU NOTICE YOU HAVE TO LIKE GET UP AT NIGHT TO TAKE A BREATH OR WHEN YOURE LAYING DOWNDO YOU HAVE ANY TROUBLE BREATHING +audio/RES0076.mp3[333.760,338.720] OK AND HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANYTHING LIKE THAT +audio/RES0076.mp3[338.720,340.720] NO SWELLING +audio/RES0076.mp3[340.720,343.720] OK HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0076.mp3[345.720,351.480] OK AND HOW ABOUT YOUR SLEEP AND APPETITE HAVE THEY CHANGED IT ALL +audio/RES0076.mp3[351.480,358.240] OH YEAH MY APPETITES BEEN LESS IVE LOST SOME WEIGHT OVER THE LAST FEW MONTHS +audio/RES0076.mp3[358.240,362.400] OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST +audio/RES0076.mp3[362.400,367.720] MAYBE TEN TO FIFTEEN POUNDS +audio/RES0076.mp3[367.720,369.480] OK AND HOW MUCH DO YOU WEIGH +audio/RES0076.mp3[369.480,375.400] I THINK NOW I WEIGH ABOUT ONE HUNDRED AND SIXTY POUNDS +audio/RES0076.mp3[375.400,381.320] OK SO YEAH TEN TO FIFTEEN POUNDS IN THE LAST HOW MANY MONTHS WOULD YOU SAY +audio/RES0076.mp3[381.320,382.760] MAYBE TWO MONTHS +audio/RES0076.mp3[382.760,394.600] TWO MONTHS OK HAVE YOU RECENTLY HAD ANY INFECTIONS LIKE VIRAL SYMPTOMS LIKE RUNNY NOSE FEVER OR ANY COLD LIKE SYMPTOMS +audio/RES0076.mp3[397.680,404.400] OK AND ANY EXPOSURE TO ANYONE THAT YOU KNOW OF THAT MIGHT HAVE TUBERCULOSIS +audio/RES0076.mp3[404.400,411.880] NO IVE BEEN BEEN MOSTLY AT HOME I HAVENT REALLY BEEN SEEING MANY PEOPLE LATELY +audio/RES0076.mp3[411.880,421.560] OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY OR ANY DIAGNOSIS LIKE COPASTHMA HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +audio/RES0076.mp3[421.560,430.560] UHM I HAD A CATARACT SURGERY BUT THATS ABOUT IT +audio/RES0076.mp3[430.560,438.080] OK AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A DAILY BASIS +audio/RES0076.mp3[439.680,445.120] MULTI VITAMINS OK ANY ALLERGIES THAT YOU KNOW OF TO MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +audio/RES0076.mp3[445.120,447.520] I THINK SULFA BUT THATS IT +audio/RES0076.mp3[447.520,452.440] OK AND WHAT KIND OF REACTION DO YOU GET +audio/RES0076.mp3[452.440,457.280] UH I GET A RASH +audio/RES0076.mp3[457.280,461.360] RASH OK ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST +audio/RES0076.mp3[461.360,470.320] I JUST HAD CATARACT REMOVED FROM MY RIGHT EYE AND UH THATS ABOUT IT +audio/RES0076.mp3[470.320,476.280] OK ANY CONTACTS OF YOURS THAT HAVE BEEN SICK RECENTLY +audio/RES0076.mp3[479.840,489.640] NO OK AND IN TERMS OF YOUR FAMILY HISTORY ARE THERE ANY CANCERS LIKE LUNG CANCER IN YOUR FAMILY OR ANY HEART CONDITIONS ANYTHING LIKE THAT +audio/RES0076.mp3[489.640,502.160] I THINK MY GREAT UNCLE HAD LUNG CANCER MY MOM HAD TYPE 2 DIABETES BUT THATS IT +audio/RES0076.mp3[502.160,507.040] OK AND CURRENTLY RIGHT NOW DO YOU WORK +audio/RES0076.mp3[507.040,517.000] YEAH IM RETIRING SOON I WORK AS A BUS DRIVER +audio/RES0076.mp3[517.000,530.160] OK AND IN THE PAST HAVE YOU WORKED IN ANY ENVIRONMENT WHERE YOU WERE EXPOSED TO ANY METALS TOXINS ANY ASBESTOS OR ANYTHING LIKE THAT +audio/RES0076.mp3[530.160,532.120] UHM I DONT THINK SO +audio/RES0076.mp3[533.840,539.560] I WORKED AS A BUS DRIVER FOR QUITE A NUMBER OF YEARS NOW +audio/RES0076.mp3[539.560,545.640] AND WHERE DO YOU LIVE RIGHT NOW IN AN APARTMENT IN A HOME AND WHO DO YOU LIVE WITH +audio/RES0076.mp3[545.640,551.520] I LIVE IN A HOME WITH MY WIFE AND ITS JUST US TWO +audio/RES0076.mp3[551.520,558.920] AND DO YOU KNOW IF THERES ANY LIKE ASBESTOS EXPOSURE IN YOUR HOME AT ALL +audio/RES0076.mp3[558.920,562.880] I DONT THINK SO NO +audio/RES0076.mp3[562.880,565.840] OK AND CURRENTLY DO YOU SMOKE +audio/RES0076.mp3[565.840,584.560] IVE BEEN CUTTING DOWN BUT I DO SMOKE YES I SMOKE ABOUT A HALF A PACK PER DAY NOW THERE WAS A TIME I WAS SMOKING TWO PACKS PER DAY FOR A NUMBER OF YEARS AND I STARTED SMOKING WHEN I WAS PROBABLY FIFTEEN +audio/RES0076.mp3[585.240,590.800] YEAH SO ITS BEEN ABOUT FORTY YEAH FORTYISH YEARS AT LEAST +audio/RES0076.mp3[590.800,594.400] AND HAVE YOU THOUGHT OF QUITTING AT ALL +audio/RES0076.mp3[594.400,613.160] YEAH IVE BEEN TRYING I WAS THINKING OF MAYBE TALKING ABOUT A PRESCRIPTION FOR HELPING QUIT OR SOMETHING LIKE THAT TODAY I WAS FEELING LIKE THIS IS CAUSING SOME OF MY SYMPTOMS LIKE MY COUGH SHORTNESS OF BREATH +audio/RES0076.mp3[613.160,628.240] YEAH WELL ITS REALLY GREAT THAT YOURE THINKING ABOUT QUITTING WE CAN DEFINITELY HELP YOU WITH SOME RESOURCES AND SOME MEDICATIONS HAVE YOU TRIED ANYTHING BEFORE THAT I SHOULD KNOW OF TO HELP YOU QUIT +audio/RES0076.mp3[628.240,634.680] IVE TRIED NICOTINE PATCHES AND GUM BUT THATS IT +audio/RES0076.mp3[634.680,643.920] OK SO YEAH THERES UH LIKE OTHER OPTIONS AS WELL THAT YOU CAN TAKE HAVE YOU HEARD OF CHAMPIX +audio/RES0076.mp3[643.920,653.840] UH I DID HEAR OF IT ACTUALLY YEAH SO ONE OF MY FRIENDS TRIED IT AND IT WORKED WELL FOR THEM SO YEAH +audio/RES0076.mp3[653.840,665.840] OK YEAH SO WE CAN IF YOURE WONDERING ABOUT THAT I CAN GIVE YOU SOME INFORMATION ON THAT MEDICATION LIKE A WHOLE PACKAGE FOR YOU AND THEN WE CAN DISCUSS IF THAT COULD WORK FOR YOU +audio/RES0076.mp3[665.840,667.920] THAT SOUNDS GREAT +audio/RES0076.mp3[667.920,675.960] OK SWEET AND OTHER THAN SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0076.mp3[675.960,678.680] NO I DONT +audio/RES0076.mp3[678.680,682.560] OK AND DO YOU DRINK ALCOHOL +audio/RES0076.mp3[682.560,687.040] WELL ILL HAVE ONE OR TWO BEERS ON THE WEEKEND +audio/RES0076.mp3[687.040,721.200] OK ALRIGHT SO YEAH THATS PRETTY MUCH ALL THE QUESTIONS I HAD RIGHT NOW IT SEEMS THAT YOUR SYMPTOMS YOU DO HAVE THAT COUGH AND THE SHORTNESS OF BREATH AND ITS BEEN CHRONIC BUT NOW YOURE COUGHING UP SOME BLOOD AS WELL SO THAT IS DEFINITELY SOMETHING THATS CONCERNING AND WE WANT TO MAKE SURE THERE IS NOTHING GOING ON SO WE WILL GET A CHEST XRAY FOR YOU AND SEE IF WE CAN FIND ANYTHING THERE ARE STILL PRODUCING THE BLOODY SPUTUM +audio/RES0076.mp3[721.200,725.880] YEAH THATS BEEN COMING UP A DAILY STILL +audio/RES0076.mp3[725.880,760.800] OK SO IF YOU THINK YOU CAN PRODUCE THAT WE CAN EVEN TAKE A SAMPLE OF THAT AS WELL AND SEE IF THERE IS ANY PRESENCE THE ONE THING THAT WE ARE CONCERNED ABOUT WITH SOME OF YOUR SYMPTOMS AND A LONG HISTORY OF SMOKING AS WELL IS LUNG CANCER SO YEAH WE WILL DO A CHEST XRAY GET SOME CYTOLOGY DONE AS WELL AND THEN ONCE WE HAVE THAT IN THE FUTURE WE MAY NEED TO MAYBE DO A BIOPSY BUT RIGHT NOW WELL DO A FEW OF THE FIRST THINGS THAT I MENTIONED AND THEN GO FROM THERE +audio/RES0076.mp3[760.800,762.600] THAT SOUNDS GOOD THANK YOU +audio/RES0076.mp3[762.600,764.480] YOURE WELCOME TAKE CARE +audio/MSK0033.mp3[0.000,1.960] WHAT BRINGS YOU IN HERE TODAY +audio/MSK0033.mp3[1.960,26.560] IVE BEEN HAVING THIS PAIN IN MY KNEE AND ITS BEEN GOING ON NOW FOR A FEW WEEKS ITS KIND OF RIGHT AT THE I COULD FEEL IT RIGHT BELOW MY KNEECAP AND AT FIRST IT IT WAS REALLY ONLY BOTHERING ME AFTER ACTIVITY BUT NOW ITS STARTING TO HURT DURING AS WELL AND SO ITS ITS TRYING TO LIMIT MY ABILITY TO PLAY BASKETBALL +audio/MSK0033.mp3[26.560,34.320] OK AND SO YOU SAID THIS STARTED JUST TWO WEEKS AGO +audio/MSK0033.mp3[34.320,42.000] YEAH ABOUT ABOUT A FEW YEAH FEW WEEKS AGO +audio/MSK0033.mp3[42.000,61.040] OK AND HAS THE PAIN SO ITS BEEN GETTING A BIT WORSE AND WITH ACTIVITY AND ITS RIGHT BELOW YOUR KNEECAP IS IT THE RIGHT WAY OR THE LEFT LEG +audio/MSK0033.mp3[61.040,64.840] YEAH ITS ON THE RIGHT SIDE ITS MY RIGHT RIGHT SIDE YEAH +audio/MSK0033.mp3[64.840,72.720] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT KIND OF A SHARP PAIN OR IS IT A DULL ACHING PAIN +audio/MSK0033.mp3[72.720,76.080] ITS UH ITS PRETTY ACHY +audio/MSK0033.mp3[76.080,87.920] YEAH IT TAKE YOU OK AND DOES THE PAIN TRAVEL ANYWHERE ELSE OR DOES IT ITS JUST RIGHT BELOW YOUR KNEECAP +audio/MSK0033.mp3[87.920,103.200] ITS RIGHT BELOW MY KNEECAP YEAH I FEEL LIKE ITS JUST OVER A KIND OF A SMALL AREA ITS A PRETTY SPECIFIC SPOT AND IF I PRESS ON THAT AREA AT ALL IT GIVES ME A PRETTY ITS A SHARP PAIN IF I IF I PRESS ON IT SHARP PAIN +audio/MSK0033.mp3[103.200,112.760] OK AND ON A SCALE OF ZERO TO 1010 BEING THE WORST PAIN YOU FELT IN YOUR LIFE HOW MUCH WOULD YOU RANK THE RATE THIS PAIN +audio/MSK0033.mp3[112.760,117.440] I ITS ABOUT ABOUT A SIX OR SEVEN +audio/MSK0033.mp3[117.440,133.360] SIX OR SEVEN OK AND IS IT A CONSTANT PAIN OR LIKE DO YOU GET THE PAIN WHEN YOURE NOT PLAYING BASKETBALL OR DOING OTHER ACTIVITIES +audio/MSK0033.mp3[133.360,157.640] UM ILL GET IT IF IM LIKE SOMETIMES ILL FEEL IT IF IM GOING UPSTAIRS LIKE WALKING UPSTAIRS OR LIKE IF IM SITTING FOR A LONG LONG TIME AND I I GET UP ITLL FEEL A BIT SORE BUT ITS MOSTLY IF IM LIKE DOING ACTIVITIES LIKE RUNNING OR JUMPING DOING LIKE STRENUOUS STUFF LIKE THAT +audio/MSK0033.mp3[157.640,161.880] OK I SEE AN HAS THIS EVER HAPPENED BEFORE +audio/MSK0033.mp3[161.880,169.640] NO I HAVENT HAD ANY ANY ISSUES WITH MY KNEE BEFORE +audio/MSK0033.mp3[169.640,178.080] OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ANY NUMBNESS TINGLING +audio/MSK0033.mp3[178.080,181.840] NO NOTHING LIKE THAT ITS JUST THE PAIN +audio/MSK0033.mp3[181.840,187.880] OK AND ANY WEAKNESS IN YOUR LEGS +audio/MSK0033.mp3[187.880,191.200] UM NO NO WEAKNESS +audio/MSK0033.mp3[191.200,203.160] OK AND UH HAVE YOU TRIED ANYTHING THAT IMPROVES THE PAIN AT ALL OR ANYTHING THAT MAKES IT WORSE +audio/MSK0033.mp3[203.160,227.280] UM I I HAVE TRIED TAKING SOME LIKE TYLENOL AND ADVIL AND THAT OR OR AND NSAIDS THAT AND IT HAS HELPED WITH THE PAIN IVE TRIED ICING IT TOO LIKE AFTER PRACTICE AND STUFF LIKE THAT WHICH DOES SEEM TO HELP A LITTLE BIT BUT UH YEAH THATS ABOUT IT +audio/MSK0033.mp3[227.280,239.400] OK OK AND OTHER THAN THAT DID YOU LIKE HAVE A FALL OR DID YOU HAVE ANY INJURIES RECENTLY BEFORE YOU STARTED HAVING THIS PAIN +audio/MSK0033.mp3[239.400,246.840] NO ITS KIND OF COME ON ON ITS OWN NO FALLS OR LIKE TRAUMA TO THE KNEE +audio/MSK0033.mp3[246.840,253.600] OK AND OTHER THAN THAT ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL +audio/MSK0033.mp3[253.600,260.360] UM YEAH I DONT HAVE ANYTHING I AM HEALTHY +audio/MSK0033.mp3[260.360,265.560] OK ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS +audio/MSK0033.mp3[265.560,270.120] NO NOT NOT NOTHING I DONT TAKE ANYTHING +audio/MSK0033.mp3[270.120,273.600] OK ANY ALLERGIES +audio/MSK0033.mp3[273.600,275.240] NO ALLERGIES +audio/MSK0033.mp3[275.240,282.960] OK AND HAVE YOU BEEN SICK RECENTLY AT ALL WITH FEVERS CHILLS ANY COLD OR VIRAL SYMPTOMS +audio/MSK0033.mp3[282.960,288.920] NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN FEELING WELL +audio/MSK0033.mp3[288.920,294.920] OK UHM ANY CHANGES IN YOUR SKIN LIKE ANY RASHES +audio/MSK0033.mp3[294.920,299.800] NO I HAVENT HAD ANY ANY RASHES +audio/MSK0033.mp3[299.800,304.400] OK AND ANY KIND OF SHORTNESS OF BREATH CHEST PAIN +audio/MSK0033.mp3[304.400,310.520] NOPE NOTHING LIKE THAT +audio/MSK0033.mp3[310.520,317.040] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS +audio/MSK0033.mp3[317.040,322.240] NO I HAVENT HAD ANY CHANGES THERE +audio/MSK0033.mp3[322.240,333.640] OK OK AND DO YOU HAVE ANY RECENT OR LIKE PAST HISTORY OF ANY HOSPITALIZATIONS OR SURGERIES +audio/MSK0033.mp3[333.640,337.680] NO I I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0033.mp3[337.680,348.640] OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS OR ANY ANYTHING THAT RUNS IN THE FAMILY +audio/MSK0033.mp3[348.640,355.600] NO NOT NOTHING LIKE THAT NO +audio/MSK0033.mp3[355.600,362.840] OK OK AND CURRENTLY RIGHT NOW DO YOU DO YOU GO TO SCHOOL OR DO YOU WORK AT ALL +audio/MSK0033.mp3[362.840,378.760] YEAH I GO TO SCHOOL AND UH I PLAY ON THE UH SOCCER TEAM AND THE BASKETBALL TEAM ITS BASKETBALL SEASON RIGHT NOW AND UH IN GRADE 10 +audio/MSK0033.mp3[378.760,388.680] OK IN GRADE 10 OK AND SCHOOL GOING WELL ANY ISSUES AT ALL WITH BULLYING OR ANYTHING LIKE THAT +audio/MSK0033.mp3[388.680,402.240] NO SCHOOLS BEEN BEEN GOING WELL I HAVE BEEN DOING WELL IN MY COURSES AND HAVE A GOOD GROUP OF FRIENDS SO I ENJOY IT ITS FUN +audio/MSK0033.mp3[402.240,407.640] OK AND WHATS YOUR HOME SITUATION LIKE DO YOU WHO DO YOU LIVE WITH +audio/MSK0033.mp3[407.640,420.240] SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A A YOUNGER SISTER AS WELL SHES IN GRADE GRADE 7 AND WE HAVE A DOG AS WELL +audio/MSK0033.mp3[420.240,426.880] OK AND DO YOU GENERALLY FEEL SAFE AT HOME AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT +audio/MSK0033.mp3[426.880,434.920] I DO YEAH MY I GET ALONG WELL WITH MY PARENTS AND WE YEAH BUT MY PARENTS ARE GREAT +audio/MSK0033.mp3[434.920,462.400] THATS GOOD AND AND THIS IS JUST WANTED TO LET YOU KNOW THAT ANYTHING THAT YOU TALK ABOUT IN HERE WITH US STAYS CONFIDENTIAL AND WONT LEAVE THIS ROOM UNLESS THERE IS POTENTIAL HARM TO YOURSELF OR OTHERS SO HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA HAVE YOU TRIED SMOKING OR ALCOHOL AT ALL +audio/MSK0033.mp3[462.400,477.120] NO IVE BEEN TRYING I STAY AWAY FROM THAT THAT SORT OF THING IVE I KNOW ABOUT OTHER PEOPLE IN MY CLASS WHO HAVE AND STUFF BUT I ALWAYS JUST IM JUST TRYING TO STAY AS READY AS I CAN FOR THE SPORTS +audio/MSK0033.mp3[477.120,487.000] OK THATS GOOD AND YEAH SO AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/MSK0033.mp3[487.000,494.800] YEAH YEAH MY MOM MADE SURE THAT I GOT ALL OF THAT STUFF DONE +audio/MSK0033.mp3[494.800,508.360] OK ALRIGHT SO YEAH THOSE ARE SOME QUESTIONS I HAD I JUST HAVE A FEW MORE QUESTIONS WITH REGARDS TO JUST EXAMINING YOUR KNEE ARE YOU ABLE TO WALK OR DO YOU HAVE ANY KIND OF A LIMP +audio/MSK0033.mp3[508.360,511.520] NO LIMP I CAN I CAN WALK OK +audio/MSK0033.mp3[511.520,514.640] OK AND ARE YOU ABLE TO RUN +audio/MSK0033.mp3[514.640,526.440] YEAH I CAN I CAN RUN BUT WHEN I DO IT IT CAUSES SOME PAIN IM ABLE TO STILL RUN BUT YEAH IT IT HURTS +audio/MSK0033.mp3[526.440,536.080] OK AND SO WHEN YOU PALPATE YOUR LOWER KNEE JUST UNDER THE PATELLA YOU SAID ITS A SHARP PAIN RIGHT +audio/MSK0033.mp3[536.080,548.280] YEAH EXACTLY AND THEN WHEN I ITS AND IT FEELS KIND OF ACHEY OR WHEN WHEN LIKE AFTER PRACTICE OR SOMETHING LIKE THAT BUT IF YOU PRESS ON IT IT ITS SHARP +audio/MSK0033.mp3[548.280,558.120] AND UH ANY ANY KIND OF LIKE ARE YOU ABLE TO FLEX AND EXTEND YOUR KNEE RIGHT NOW IF YOU TRIED +audio/MSK0033.mp3[558.120,560.240] I CAN YEAH +audio/MSK0033.mp3[560.240,569.720] OK AND HAVE YOU NOTICED ANY KIND OF ROTATION OF YOUR KNEE AT ALL +audio/MSK0033.mp3[569.720,571.520] NO NOTHING LIKE THAT +audio/MSK0033.mp3[571.520,576.600] NO OK OK AND NO WEAKNESS BELOW YOUR KNEE RIGHT +audio/MSK0033.mp3[576.600,587.360] NO WEAKNESS I JUST FEEL LIKE MY MUSCLES ARE REALLY TIGHT LIKE MY FLY AND MY HAMSTRING MUSCLES THINK I NEED TO STRETCH THEM OUT SOME MORE THEY DO JUST FEEL TIGHT +audio/MSK0033.mp3[587.360,594.040] OK AND DO YOU NOTICE ANY KIND OF SWELLING OR REDNESS OR BRUISING IN THE AREA +audio/MSK0033.mp3[595.000,601.960] NO OK AND YOUR ANKLE AND HIPS YOU DONT HAVE ANY PAIN OR ISSUES WITH MOVEMENT RIGHT +audio/MSK0033.mp3[601.960,607.760] NO NOT AT ALL NO NO PROBLEMS WITH MY ANKLE OR HIP +audio/MSK0033.mp3[607.760,622.920] OK ALRIGHT YEAH SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS +audio/MSK0033.mp3[622.920,627.840] I WAS JUST WONDERING WHAT I CAN DO TO MAKE THIS GO AWAY +audio/MSK0033.mp3[627.840,752.960] YEAH SO DEFINITELY THIS IS SOMETHING THAT IS WHAT WE CALL JUMPERS KNEE ITS FAIRLY COMMON UH AMONGST YOUNGER ATHLETES ESPECIALLY THOSE THAT PLAY SPORTS LIKE VOLLEYBALL OR BASKETBALL BUT RIGHT NOW WE DONT REALLY NEED TO DO ANY KIND OF IMAGING OR ANYTHING LIKE THAT IT SEEMS LIKE YOURE IN THE EARLIER PHASES AND ITS GOOD THAT YOU CAME IN WE DEFINITELY DO NEED TO MANAGE IT WITH SOME CONSERVATIVE MANAGEMENT WHERE WERE GOING TO KEEP HAVING TAKING A LOOK AT IT AS WELL AS I WOULD RECOMMEND ICING IT EVERY LIKE FOR HALF AN HOUR LIKE AROUND FOUR TO SIX TIMES A DAY ESPECIALLY AFTER YOURE DOING YOUR ACTIVITIES THEN YOU CAN YOU CAN TAKE THE CONTINUE TAKING THE TYLENOL AND ADVIL AS WELL AS LONG AS YOURE FOLLOWING THE MAXIMUM AMOUNT PER DAY DEPENDING ON IF YOURE TAKING EXTRA STRENGTH TYLENOL FOR EXAMPLE VERSUS THE REGULAR STRENGTH AND THEN I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL KIND OF A TEACH YOU SOME STRENGTHENING AND STRETCHING EXERCISES THAT YOU CAN DO TO HELP WHAT WE CALL LIKE THAT YOU WILL YOU MIGHT BE HAVING IS JUST UM SOME INFLAMMATION IN YOUR PATELLAR TENDON RIGHT BELOW YOUR PATELLA SO WE NEED TO STRENGTHEN THE MUSCLES AROUND IT SO WELL DO SOME REFERRAL TO PHYSIOTHERAPY AND THEN WELL SEE HOW YOU YOU DO BASED ON ALL THOSE TREATMENT OPTIONS AND THEN IF IT GETS WORSE AND IF OR IF IT DOESNT GET BETTER WE MIGHT NEED TO DO SOME IMAGING EITHER ULTRASOUND OR AN MRI AND THEN SEE WHERE TO GO FROM THERE BUT FOR NOW DOES THAT SOUND OK WITH YOU +audio/MSK0033.mp3[752.960,759.160] IT DOES YEAH THANK YOU SO YOU SAID THAT YOU THINK ITS LIKE A PATELLAR TENDONITIS OR SOMETHING LIKE THAT +audio/MSK0033.mp3[759.160,782.800] YEAH ITS PATELLAR TENDONITIS IS COMMONLY CALLED THE JUMPERS KNEE AND IT SHOULD RESOLVE WITH THE STEPS THAT WE ESPECIALLY SINCE IT SEEMS LIKE YOURE IN THE EARLIER STAGES SO IT SEEMS LIKE IT SHOULD BE PRETTY RESPONSIVE BUT IF IT ISNT THERE ARE OTHER STEPS WE CAN DISCUSS IN THE FUTURE +audio/MSK0033.mp3[782.800,785.440] OK THAT SOUNDS GREAT THANK YOU +audio/RES0147.mp3[0.000,2.080] WHAT CAN I DO FOR YOU TODAY +audio/RES0147.mp3[2.080,13.160] IVE JUST HAD THIS COUGH THAT IT THAT HAS GOTTEN A LOT WORSE AND REALLY SHORT OF BREATH +audio/RES0147.mp3[13.160,18.480] UHM CAN YOU TELL ME MORE ABOUT YOUR SHORTNESS OF BREATH +audio/RES0147.mp3[18.480,34.280] YEAH JUST OVER THE PAST LIKE 12 HOURS OR SO IVE JUST BEEN FINDING IT MORE AND MORE DIFFICULT TO TO BREATHE +audio/RES0147.mp3[34.280,39.360] OK WHAT ARE YOU ABLE I GUESS WHEN DO YOU FEEL SHORT OF BREATH +audio/RES0147.mp3[39.360,62.120] YEAH ITS JUST LIKE RIGHT NOW AT REST I CAN LIKE IM OK BUT IT STILL IS FEELING INCREASINGLY DIFFICULT SO LIKE THROUGHOUT THE DAY ITS JUST BEEN GETTING GETTING WORSE AND THE COUGH HAS BEEN GETTING WORSE ALSO +audio/RES0147.mp3[62.120,70.200] AND BEFORE THESE 12 HOURS WHERE DID YOU HAVE ANY DIFFICULTIES WITH BREATHING +audio/RES0147.mp3[70.200,74.840] UH NO I I I HAD A COUGH BUT NOT NOT REALLY ANY SHORTNESS OF BREATH +audio/RES0147.mp3[74.840,84.680] AND CAN YOU TELL ME ABOUT YOUR COUGH IS IT A DRY COUGH OR WET COUGH +audio/RES0147.mp3[84.680,88.280] IVE BEEN BRINGING UP SOME SOME SPUTUM +audio/RES0147.mp3[88.280,92.240] OK WHAT DOES IT LOOK LIKE +audio/RES0147.mp3[92.240,99.880] ITS LIKE GREENISH AND YELLOW +audio/RES0147.mp3[99.880,112.280] MHMM OK AND YOU SAID THAT YOU HAD A COUGH PRIOR TO THE PAST 12 HOURS AND THAT YOUR COUGH IS NOW WORSE HOW IS IT WORSE +audio/RES0147.mp3[112.280,136.320] AH ITS BEEN JUST HAPPENING MORE OFTEN AND LIKE JUST LIKE THROUGHOUT THE DAY USUALLY MY COUGH IS ONLY IN THE MORNING ILL BRING UP SOME SOME SPUTUM IN IT AND IM OK BUT ITS CARRIED ON THROUGHOUT THE DAY +audio/RES0147.mp3[136.320,146.200] OK UHM AND WAS YOUR SPUTUM AND GREENISH YELLOW BEFORE AS WELL OR WAS IT JUST STARTING YESTERDAY OR OR COUPLE DAYS AGO +audio/RES0147.mp3[146.200,159.440] YEAH THATS NEW THATS JUST STARTING NEW IT WAS MORE LIKE I DONT KNOW WHITISH OR YEAH WHITE I GUESS BEFORE +audio/RES0147.mp3[159.440,165.760] OK ALRIGHT AND I GUESS HAS THIS EVER HAPPENED TO YOU BEFORE +audio/RES0147.mp3[165.760,174.120] UH NO THIS IS THE FIRST TIME THAT THAT THIS HAS HAPPENED BEFORE +audio/RES0147.mp3[174.120,185.920] OK AND YOU HAVE ANY OTHER I GUESS SYMPTOMS ARE UNTIL I ASK YOU ABOUT A COUPLE DO YOU HAVE ANY DO YOU FEEL CONFUSED OR FUZZY +audio/RES0147.mp3[185.920,188.360] NO THAT THAT FEELS OK +audio/RES0147.mp3[188.360,190.840] ANY HEADACHES +audio/RES0147.mp3[193.680,198.280] ANY STUFFY STUFFY NOSE OR RUNNY NOSE +audio/RES0147.mp3[199.040,200.880] SORE THROAT +audio/RES0147.mp3[202.280,207.480] ANY CHEST PAIN +audio/RES0147.mp3[207.480,223.920] AH YEAH I DID I DO HAVE A UH UH SOME WELL I GUESS I GUESS ITS NOT REALLY PAIN ITS MORE LIKE LIKE JUST CHEST TIGHTNESS IM REALLY HAVING A HARD TIME WITH THAT WITH BREATHING +audio/RES0147.mp3[223.920,230.480] UHM I SEE OK DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST +audio/RES0147.mp3[232.440,239.480] OK DO YOU HAVE ANY BELLY PAIN OR ANY NAUSEA OR VOMITING +audio/RES0147.mp3[240.600,245.360] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +audio/RES0147.mp3[246.520,249.040] ANY MUSCLE ACHES +audio/RES0147.mp3[250.200,252.960] FEVERS OR CHILLS +audio/RES0147.mp3[256.520,264.480] OK UHM ALRIGHT AND UH IN TERMS OF YOUR PAST MEDICAL HISTORY ANY MEDICAL PROBLEMS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0147.mp3[264.480,286.400] YEAH I WAS DIAGNOSED WITH COPUH TWO YEARS AGO UMM YEAH THIS IS AT I WENT TO MY FAMILY DOCTOR FOR THIS AND I HAD SOME TESTING DONE WHEN I WAS DIAGNOSED AT THAT TIME +audio/RES0147.mp3[286.400,289.600] OK ANY OTHER DIAGNOSIS +audio/RES0147.mp3[289.600,299.920] YEAH I HAVE HIGH BLOOD PRESSURE AORTIC STENOSIS UH AND UH AND HIGH CHOLESTEROL +audio/RES0147.mp3[299.920,310.520] ARE YOU TAKING ANY MEDICATIONS +audio/RES0147.mp3[310.520,338.480] YEAH I I TAKE A UH A STATIN MEDICATION I THINK SOME TYPE OF BLOOD THINNER AS WELL AS SOMETHING FOR THE BLOOD PRESSURE AS WELL I CANT REMEMBER THE THE NAMES OF THEM +audio/RES0147.mp3[338.480,342.720] WHY WERE YOU ON A BLOOD THINNER +audio/RES0147.mp3[342.720,360.600] OH I I HEARD THAT IT WAS IT WAS UMM OH GOOD FOR ME FOR A FRIEND SINCE IVE IVE HAD UH AORTIC STENOSIS +audio/RES0147.mp3[360.600,367.080] OK SURE ALL RIGHT AND HAVE YOU HAD ANY SURGERIES +audio/RES0147.mp3[367.080,368.000] UH NO I HAVENT +audio/RES0147.mp3[368.000,377.080] OK AND ANY HOSPITALIZATIONS +audio/RES0147.mp3[377.080,378.880] NO I HAVENT +audio/RES0147.mp3[378.880,387.160] OK UHM DO YOU HAVE ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY ALLERGIES TO MEDICATIONS +audio/RES0147.mp3[389.000,401.160] OK DO YOU HAVE A OR WHATS YOUR CURRENT LIVING SITUATION ARE YOU LIVING IN AN APARTMENT OR HOUSE DO YOU LIVE ALONE DO YOU LIVE WITH OTHER PEOPLE +audio/RES0147.mp3[401.160,407.360] YEAH I LIVE ALONE IN A IN HOUSE HERE IN TOWN +audio/RES0147.mp3[407.360,413.560] OK AND ARE YOU CURRENTLY WORKING ARE YOU RETIRED +audio/RES0147.mp3[413.560,426.920] YEAH I I DO I CURRENTLY WELL I JUST DO SOME VOLUNTEERING AT THE GOLF COURSE IN THE SUMMER BUT OTHERWISE RETIRED +audio/RES0147.mp3[426.920,430.640] WHAT DID YOU DO FOR WORK +audio/RES0147.mp3[430.640,439.040] UH SO BEFORE I WORKED AT THE BEER FACTORY IN IN TOWN LABATT +audio/RES0147.mp3[439.040,459.040] OK AND HAVE YOU EVER HAD ANY EXPOSURES TO ANY CHEMICALS OR ANY ANYTHING THAT YOU ANY IRRITANTS THAT YOU THINK ANY SMOKE THAT MIGHT AFFECT YOUR LUNGS OR YOUR YEAH +audio/RES0147.mp3[459.040,474.320] UHM NO I DONT THINK SO I MEAN WORKING IN THE FACTORY ENVIRONMENT I IM SURE THINGS YEARS AGO WERENT AS CLEAN AS THEY ARE NOW BUT YEAH IM NOT SURE +audio/RES0147.mp3[474.320,486.560] OK ALRIGHT AND ARE YOU YOU SAID YOU LIVE ALONE ARE YOU ABLE TO TAKE YOUR THINGS LIKE GETTING GROCERIES OR COOKING OR CLEANING THE HOUSE OR DO YOU NEED HELP WITH THAT +audio/RES0147.mp3[486.560,522.240] I I DO UH GET SOME HELP FROM MY SON WHO LIVES WHO LIVES NEARBY AND UMM I ABLE TO TO GET THEM TO TO HELP MAKE SOME MEALS AND AND BRING SOME FOOD OVER AND THEN ILL GO VISIT THEM AS WELL YOU CAN TAKE CARE OF THE HOUSE SO AND ALL THAT NOT OK ON MY OWN BUT IT CERTAINLY GETS GETS LONELY THERE +audio/RES0147.mp3[522.240,529.880] IM SURE WHAT ABOUT WHAT ABOUT THINGS LIKE WALKING DO YOU USE A CANE OR A WALKER +audio/RES0147.mp3[529.880,533.600] UHM NO I DONT +audio/RES0147.mp3[533.600,540.680] OK AND DO YOU ARE ABLE TO BATHE ON YOUR OWN DRESS ON YOUR OWN DO YOU NEED HELP +audio/RES0147.mp3[540.680,542.960] OH YEAH THOSE THINGS ARE OK +audio/RES0147.mp3[542.960,549.680] OK HAVE YOU EVER HAVE YOU BEEN ON OXYGEN AT ALL +audio/RES0147.mp3[549.680,559.520] NO I HAVENT BUT I FEEL LIKE I COULD BE RIGHT NOW ITS LIKE REALLY IM SHORT OF BREATH +audio/RES0147.mp3[559.520,584.360] YEAH YEAH WE CAN DEFINITELY DO THAT HERE UHM ALRIGHT SO GIVEN YOUR SYMPTOMS IT SOUNDS LIKE MAYBE YOURE HAVING A COPEXACERBATION POTENTIALLY DO YOU FEEL LIKE YOU MIGHT HAVE HAD CONTACT WITH ANYONE WHO WAS SICK +audio/RES0147.mp3[584.360,587.040] NOT THAT I CAN THINK OF +audio/RES0147.mp3[587.040,592.480] OK HAVE YOU TRAVELED AT ALL OUTSIDE THE COUNTRY OR OUTSIDE THE PROVINCE +audio/RES0147.mp3[592.480,599.800] NO I IVE JUST BEEN HELPING OUT AT THE GOLF COURSE BUT THATS ALL KIND OF OUTSIDE +audio/RES0147.mp3[599.800,602.560] ARE YOU WEARING A MASK AND MAINTAINING SOCIAL DISTANCING +audio/RES0147.mp3[602.560,610.240] YEAH WE ARE LIKE IM LIKE HELPING OUT WITH CLEANING THE CARTS AND KIND OF HELPING OUT WITH THE GROUNDS +audio/RES0147.mp3[610.240,673.880] MHMM OK ALRIGHT SO WELL DO A COVID SWAB HERE JUST IN CASE AND SEEING THAT YOURE NOT FEELING VERY WELL YOU MIGHT REQUIRE OXYGEN WERE GOING TO KEEP YOU HERE IN THE ER AND WE MIGHT HAVE TO YOU MIGHT HAVE TO BE HOSPITALIZED WELL MEASURE YOUR VITALS DO A PHYSICAL EXAM DO A CHEST XRAY AND YOU MIGHT BE HAVING AS I MENTIONED EARLIER IN EXACERBATION UPPER COPOR A WORSENING OF YOUR COPPOTENTIALLY BECAUSE YOU MIGHT HAVE AN INFECTION EITHER A VIRAL INFECTION OR BACTERIAL INFECTION THAT CAN SOMETIMES WORSEN YOUR COPSYMPTOMS YOU MIGHT BE STARTED ON AN ANTIBIOTIC WELL BE PUTTING YOU IN OXYGEN AND GIVING YOU SOME STEROID SOME ARE YOU ACTUALLY ABOUT THAT ARE YOU ARE YOU USING ANY PUFFERS AT HOME +audio/RES0147.mp3[673.880,687.920] AH YEAH SO YEAH I HAVE BEEN USING UH SORRY I I HAVE BEEN USING VENTOLIN AND THERE WAS A DAILY INHALER SPIRIVA I BELIEVE IVE BEEN USING THAT EACH DAY +audio/RES0147.mp3[687.920,698.560] OK GREAT GREAT YEAH SO WELL BE WELL BE GIVING YOU SOME PUFFERS HERE AS WELL AND YEAH WELL SEE HOW THINGS GO DO YOU HAVE ANY QUESTIONS +audio/RES0147.mp3[698.560,703.760] UH NO THAT THAT SOUNDS GOOD THANK YOU +audio/RES0147.mp3[703.760,711.280] OK ALRIGHT +audio/RES0005.mp3[0.000,4.480] I WAS WONDERING IF YOU COULD TELL US WHAT BROUGHT YOU IN TO SEE US +audio/RES0005.mp3[4.480,31.040] YEAH SO I JUST CAME IN I WAS A BIT WORRIED BECAUSE IVE BEEN HAVING THIS COUGH FOR AROUND TWO YEARS WHICH HAS BEEN GETTING WORSE BUT RECENTLY IVE NOTICED THAT I SEE STREAKS OF BLOOD IN THE SPUTUM THAT IM PRODUCING BEFORE IT JUST USED TO BE LIKE WHITE BUT NOW IM SEEING OVER THE LAST I WOULD SAY TWO MONTHS OCCASIONALLY SOME STREAKS OF BLOOD +audio/RES0005.mp3[31.040,35.840] OK AND THE COUGH STARTED TWO YEARS AGO +audio/RES0005.mp3[36.720,41.400] OK AND ITS BEEN GRADUALLY GETTING WORSE OVER THAT TIME +audio/RES0005.mp3[41.400,48.120] YEAH I WOULD SAY SO ITS GETTING MORE FREQUENT AND WORSE IN NATURE +audio/RES0005.mp3[48.120,54.720] OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP AN IN A DAY +audio/RES0005.mp3[54.720,58.720] PROBABLY LIKE A A COUPLE TEASPOONS +audio/RES0005.mp3[58.720,66.400] OK AND UH IS ARE YOU SEEING LIKE BRIGHT RED BLOOD WHEN YOURE WHEN YOURE COUGHING IT UP +audio/RES0005.mp3[66.400,74.120] UH IN THIS ITS KIND OF MIXED INTO THE SPUTUM I WOULD SAY LIKE BUT IT DEFINITELY IS RED +audio/RES0005.mp3[74.120,83.440] OK AND HOW MUCH BLOOD WOULD YOU SAY THAT YOURE YOURE BRINGING UP WOULD BE TEASPOONS OR A CUP OR +audio/RES0005.mp3[83.440,100.560] NO ITS JUST LIKE A LITTLE STREAKS ITS NOT REALLY SIGNIFICANT IT DOESNT FEEL LIKE THE WHOLE PRODUCTION OF THE SPUTUM BUT JUST LIKE LITTLE STREAKS THAT IVE NOTICED +audio/RES0005.mp3[100.560,105.800] OK AND UM IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY +audio/RES0005.mp3[105.800,120.080] UM IT DEFINITELY GETS WORSE WHEN IM DOING MORE ACTIVITIES AND THEN ALSO WHEN I GET LIKE SOME VIRAL INFECTIONS BUT OTHER THAN THAT ITS PRETTY MUCH ALWAYS THERE +audio/RES0005.mp3[120.080,130.240] OK ANYTHING THAT THAT MAKES IT WORSE YOU SAID SOME VIRAL INFECTIONS HAVE YOU HAD A VIRAL INFECTION RECENTLY +audio/RES0005.mp3[130.240,143.320] YEAH LIKE IN THE LAST TWO YEARS IVE PROBABLY HAD TWO OR THREE VIRAL INFECTIONS JUST JUST JUST COLD COLD SYMPTOMS +audio/RES0005.mp3[143.320,151.680] HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THE COUGH BETTER +audio/RES0005.mp3[151.680,166.040] IVE TRIED THE TYLENOL COLD HASNT REALLY WORKED TRIED JUST OTHER OVER THE COUNTER MEDICATIONS HAVENT REALLY WORKED +audio/RES0005.mp3[166.040,182.640] OK AND PRIOR TO TWO YEARS AGO UM WERE YOU EXPERIENCING ANY SIMILAR SYMPTOMS LIKE UH LIKE THIS COUGH OR BRINGING UP BLOOD BEFORE +audio/RES0005.mp3[182.640,197.400] IN THE PAST IVE ALWAYS HAD A SOMEWHAT OF A COUGH LIKE I HAVE COPSO IVE ALWAYS HAD A LITTLE BIT OF A COUGH HERE AND THERE BUT OVER THE LAST TWO YEARS I FEEL THAT ITS BEEN GETTING MUCH WORSE +audio/RES0005.mp3[197.400,203.240] OK HAVE YOU BEEN DIAGNOSED WITH CHRONIC BRONCHITIS BEFORE +audio/RES0005.mp3[203.240,206.560] YEAH I THINK SO +audio/RES0005.mp3[206.560,217.360] OK UM AND SO WITH WITH THIS COUGH AND NOW BLOOD TINGED SPUTUM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0005.mp3[217.360,225.520] UM I DO FEEL SOMETIMES I GET LIKE MORE TIRED THAN I USED TO THROUGHOUT THE DAY +audio/RES0005.mp3[226.840,241.800] UM SOMETIMES I ALSO FEEL MORE BREATHLESS ON WHEN IM EXERTING MYSELF MORE +audio/RES0005.mp3[241.800,246.240] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0005.mp3[246.240,249.520] NO NO I HAVENT +audio/RES0005.mp3[249.520,252.240] HOW ABOUT ANY NIGHT SWEATS +audio/RES0005.mp3[253.800,256.440] HAVE YOU LOST ANY WEIGHT +audio/RES0005.mp3[256.440,270.360] YEAH IVE ACTUALLY LOST A SIGNIFICANT AMOUNT OF WEIGHT I WOULD SAY WITHIN THE LAST 1 AND A 12 MONTHS PROBABLY LOST LIKE 8 TO 10 POUNDS +audio/RES0005.mp3[270.360,273.680] OK HAVE YOU BEEN TRYING TO LOSE WEIGHT +audio/RES0005.mp3[273.680,289.880] NO NOT REALLY IVE JUST BEEN SITTING AROUND LIKE I CAN BARELY WALK THAT MUCH ANYMORE TOO I USED TO BE ABLE TO WALK AT LEAST 400 METERS AROUND THE BLOCK BUT NOW I CAN BARELY EVEN GO TO THE KITCHEN +audio/RES0005.mp3[289.880,295.640] OK IS THIS BECAUSE OF THE SHORTNESS OF BREATH WHEN YOU ARE ARE EXERTING +audio/RES0005.mp3[295.640,300.640] YEAH THAT AND I JUST START COUGHING SO MUCH THAT I JUST HAVE TO SIT DOWN +audio/RES0005.mp3[300.640,307.160] OK UM AND HAVE YOU BEEN HAVING ANY HEADACHES +audio/RES0005.mp3[307.160,308.520] NO HEADACHES +audio/RES0005.mp3[308.520,313.680] ALRIGHT AND HOW ABOUT AND HOW IS YOUR APPETITE BEEN +audio/RES0005.mp3[313.680,324.600] UM I THINK ITS BEEN PRETTY MUCH THE SAME SOMETIMES WHEN IM COUGHING A LOT I DONT FEEL LIKE EATING BUT OTHER THAN THAT ITS BEEN AROUND THE SAME +audio/RES0005.mp3[324.600,327.560] OK ANY NAUSEA OR VOMITING +audio/RES0005.mp3[328.440,331.200] ANY RUNNY NOSE OR SORE THROAT +audio/RES0005.mp3[332.240,337.600] OK AND THEN HOW ABOUT A LOSS OF SMELL OR A LOSS OF TASTE +audio/RES0005.mp3[337.600,339.280] NO NOTHING LIKE THAT +audio/RES0005.mp3[339.280,342.880] OK HAVE YOU BEEN HAVING ANY CHEST PAIN +audio/RES0005.mp3[344.160,345.920] ANY HEART PALPITATIONS +audio/RES0005.mp3[347.040,349.600] ANY WHEEZING WHEN YOURE BREATHING +audio/RES0005.mp3[349.600,358.120] SOMETIMES I WOULD SAY LIKE WHEN WHEN IT GETS WORSE WHEN IM EXERTING MYSELF MORE I I CAN GET SOME WHEEZING +audio/RES0005.mp3[358.120,364.920] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES +audio/RES0005.mp3[364.920,366.960] NO NOTHING LIKE THAT +audio/RES0005.mp3[366.960,374.600] ALRIGHT AND HAVE YOU WOKEN UP AT NIGHT EXTREMELY SHORT OF BREATH +audio/RES0005.mp3[374.600,378.040] NO IM PRETTY FINE DURING THE NIGHT +audio/RES0005.mp3[378.040,382.240] ALRIGHT AND UH HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN +audio/RES0005.mp3[383.280,386.040] ANY URINARY PROBLEMS +audio/RES0005.mp3[386.040,387.200] UH NO +audio/RES0005.mp3[387.200,391.160] ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION +audio/RES0005.mp3[391.160,392.720] NO NOTHING LIKE THAT +audio/RES0005.mp3[392.720,395.240] ALRIGHT ANY SKIN RASHES +audio/RES0005.mp3[396.120,399.960] ANY JOINT PAINS OR OR MUSCLE PAINS +audio/RES0005.mp3[400.960,403.160] ANY WEAKNESS +audio/RES0005.mp3[403.160,407.880] NOT WEAKNESS ILL JUST SAY MORE FATIGUE +audio/RES0005.mp3[407.880,415.400] ALRIGHT SO I KNOW YOU TOLD ME A COPBUT DO YOU HAVE ANY OTHER MEDICAL DIAGNOSIS +audio/RES0005.mp3[415.400,417.880] YEAH I HAVE HIGH BLOOD PRESSURE AS WELL +audio/RES0005.mp3[418.480,423.200] I THINK I HAVE HIGH CHOLESTEROL TOO +audio/RES0005.mp3[423.200,428.040] I SEE OK DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/RES0005.mp3[428.040,439.280] YEAH SO FOR THE CHOLESTEROL TAKING ROSUVASTATIN AND I FORGET WHAT IM TAKING FOR THE BLOOD PRESSURE BUT ITS PRETTY WELL UNDER CONTROL +audio/RES0005.mp3[439.280,443.080] OK DO YOU USE ANY INHALERS FOR COPD +audio/RES0005.mp3[443.080,457.000] I USED TO I USED TO HAVE I THINK LIKE 3 DIFFERENT INHALERS BUT HAVENT HAD TO USE THEM FOR MORE THAN 10 YEARS NOW +audio/RES0005.mp3[457.000,463.560] OK AND WHAT WAS THE REASON FOR NOT NEEDING THEM ANYMORE +audio/RES0005.mp3[463.560,476.240] I JUST DIDNT HAVE ANY SYMPTOMS FOR A PRETTY LONG TIME AND MY DOC SAID LIKE IF I DONT REALLY NEED THEM THEN I COULD JUST STOP +audio/RES0005.mp3[476.240,480.800] OK AND HAVE YOU HAD ANY RECENT HOSPITALIZATIONS +audio/RES0005.mp3[481.760,484.040] ANY ALLERGIES TO MEDICATIONS +audio/RES0005.mp3[484.400,487.680] ANY SURGERIES THAT YOU HAD IN THE PAST +audio/RES0005.mp3[487.680,490.440] NO SURGERIES +audio/RES0005.mp3[490.440,493.440] OK AND ARE YOUR VACCINATIONS UP TO DATE +audio/RES0005.mp3[495.960,501.120] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR SOCIAL SITUATION OR LIVING SITUATION +audio/RES0005.mp3[501.120,519.320] YEAH SO CURRENTLY IM JUST LIVING BY MYSELF IN AN APARTMENT IVE BEEN THERE FOR MORE THAN 10 YEARS NOW UM I AM RETIRED SO IM NOT WORKING ANYMORE BUT YEAH THATS THATS ME +audio/RES0005.mp3[519.320,534.000] OK GREAT UM WHAT DID YOU DO PREVIOUSLY FOR FOR WORK DID YOU HAVE ANY EXPOSURES FOR TWO CHEMICALS OR DUSTS OR ASBESTOS THINGS LIKE OF THAT NATURE +audio/RES0005.mp3[534.000,557.960] OH YES I WORKED IN THE STEEL FACTORY FOR MOST OF MY WORKING LIFE I THINK YEAH THERE MIGHT HAVE BEEN SOME EXPOSURES TO CHEMICALS AND DUST PARTICLES ASBESTOS I DONT THINK THERE WAS EXPOSURE BUT DEFINITELY I MAY HAVE LIVED IN PLACES THAT HAD ASBESTOS I MEAN YEAH +audio/RES0005.mp3[557.960,566.400] OK HOW LONG HAVE YOU BEEN LIVING WHERE YOU YOUVE BEEN NOW +audio/RES0005.mp3[566.400,581.360] SO THIS THIS IS LIKE THE ONE IM LIVING IN IS A NEW PLACE BUT BEFORE THAT I LIVED IN ANOTHER APARTMENT FOR AROUND FIVE YEARS AND THAT WAS A PRETTY OLD BUILDING +audio/RES0005.mp3[581.360,583.840] OK DO YOU HAVE ANY PETS +audio/RES0005.mp3[583.840,589.360] NO PETS NO +audio/RES0005.mp3[589.360,592.400] OK UM AND DO YOU SMOKE CIGARETTES +audio/RES0005.mp3[592.400,597.320] YEAH I SMOKE ID SAY AROUND 20 CIGARETTES A DAY RIGHT NOW +audio/RES0005.mp3[597.320,603.080] ALRIGHT AND DID YOU SMOKE MORE PREVIOUSLY +audio/RES0005.mp3[603.080,612.440] YEAH I THINK IVE BEEN SMOKING FOR ALMOST LIKE 40 YEARS NOW AND I USED TO SMOKE UP TO 30 CIGARETTES A DAY +audio/RES0005.mp3[612.440,613.720] OK DO YOU SMOKE CANNABIS +audio/RES0005.mp3[616.600,620.040] ALRIGHT DO YOU DRINK ALCOHOL +audio/RES0005.mp3[620.040,627.040] UM JUST MAYBE A COUPLE TIMES A MONTH NOTHING NOTHING THROUGHOUT THE WEEK +audio/RES0005.mp3[627.040,634.280] OK SO DO YOU USE ANY RECREATIONAL DRUGS LIKE IV DRUGS OR OPIOIDS OR COCAINE +audio/RES0005.mp3[634.280,637.600] NO NOTHING LIKE THAT +audio/RES0005.mp3[637.600,643.880] ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS BEFORE LIKE COUGHING UP BLOOD OR +audio/RES0005.mp3[643.880,670.960] NO NOT THAT I KNOW OF MY FATHER PASSED AWAY FROM A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY MOTHER HAD A UM LIKE I THINK ONE OF THE LIKE AN ARTHRITIS BUT YEAH LIKE BUT I THINK THAT WAS JUST LIKE THE ONE THAT YOU GET WITH OLD AGE +audio/RES0005.mp3[670.960,673.560] OK LIKE OSTEOARTHRITIS +audio/RES0005.mp3[673.560,674.720] YEAH THAT THAT WAS THE ONE +audio/RES0005.mp3[674.720,680.720] OK ANY CANCERS IN THE FAMILY +audio/RES0005.mp3[680.720,689.080] UM NOT THAT ONE OF MY UNCLES HAD LIKE UM BLADDER CANCER BUT THATS THATS THATS ABOUT IT +audio/RES0005.mp3[689.080,703.000] OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY OR BEEN AROUND ANY SICK CONTACTS POSSIBLY PEOPLE ANYBODY WHOS HAD TUBERCULOSIS OR ANY INFECTIONS +audio/RES0005.mp3[703.000,710.200] NO IVE BEEN PRETTY MUCH TO MYSELF OVER THE LAST FEW MONTHS SO NOT REALLY +audio/RES0005.mp3[710.200,714.240] OK UM WAS THERE ANYTHING THAT YOURE WORRIED THAT THIS COULD BE +audio/RES0005.mp3[714.240,731.680] UM YEAH JUST THE BLOOD I KIND OF GOT SCARED MAYBE I THOUGHT LIKE YOU KNOW WHAT IF ITS A CANCER ONE OF MY FRIENDS HAD LUNG CANCER AND I I KNOW IVE BEEN SMOKING FOR MOST OF MY LIFE SO THATS SOMETHING I WAS WORRIED ABOUT +audio/RES0005.mp3[731.680,772.960] UM I CAN CERTAINLY SEE THAT THE CONCERN AND I UNDERSTAND WHERE YOURE COMING FROM I THINK IT WOULD BE VERY REASONABLE TO INVESTIGATE THAT TODAY SO WELL START WITH A CHEST CT ALONG WITH SOME LAB WORK AND WE WILL GET A CBC AND SOME ELECTROLYTES ALSO GET AN ECG AS WELL TO JUST CHECK YOUR HEART AND WE WILL SEE WHAT WHAT THE INVESTIGATIONS SHOW +audio/RES0005.mp3[772.960,775.120] SOUNDS GOOD +audio/RES0005.mp3[775.120,816.760] OK AND UM OTHER THINGS THAT UM TO THINK ABOUT THIS COULD BE UH ALSO LIKE TO COPI KNOW ITS BEEN GOING ON A LONG TIME BUT POSSIBLY COULD HAVE A PNEUMONIA THATS BEEN LINGERING ON PARTICULARLY IF ITS A FUNGAL TYPE OF INFECTION AND AS WELL AS THINGS LIKE YOU MENTIONED YOU POSSIBLY UNSURE IF YOUVE HAD AN ASBESTOS EXPOSURE IN THE PAST AND STUFF LIKE THAT CAN POSSIBLY LEAD TO SCARRING OF THE LUNG AND SO ALL OF THESE FACTORS WILL BE LOOKED INTO +audio/RES0005.mp3[816.760,819.880] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0005.mp3[819.880,821.640] ALRIGHT YOURE WELCOME THANK YOU +audio/MSK0026.mp3[0.000,1.440] HOW MAY I HELP YOU +audio/MSK0026.mp3[1.440,19.920] IM IM HERE BECAUSE MY RIGHT KNEE IS VERY PAINFUL IT LOOKS KIND OF SWOLLEN AND ITS ITS ALSO A LITTLE BIT WARM SO IM JUST WORRIED IM WORRIED ABOUT IT AND I WAS WONDERING IF YOU COULD LOOK AT IT +audio/MSK0026.mp3[19.920,32.560] YEAH CERTAINLY UM SO WHERE ARE YOU FEELING THE THE PAIN EXACTLY +audio/MSK0026.mp3[32.560,44.120] SO ITS WHERE SO RIGHT IN THE MIDDLE OF MY KNEE SO JUST BELOW THE BONE THAT THE BIG KNEE BONE +audio/MSK0026.mp3[44.120,48.440] OK SO LIKE UNDERNEATH THE KNEECAP LIKE BELOW THAT +audio/MSK0026.mp3[48.440,52.080] YEAH JUST JUST A LITTLE BIT BELOW +audio/MSK0026.mp3[52.080,59.920] OK SO SLIGHTLY BELOW THE PATELLA SOUNDS LIKE SOMEWHERE IN THE REGION OF THE TIBIAL THROUGH TUBEROSITY +audio/MSK0026.mp3[61.560,65.880] OK AND WHEN DID THIS PAIN START +audio/MSK0026.mp3[65.880,70.760] IT STARTED ABOUT TWO WEEKS AGO +audio/MSK0026.mp3[70.760,80.600] OK TWO WEEKS AGO WHEN THE PAIN STARTED WAS THERE ANY TRAUMA OR COULD YOU REMEMBER ANY MOVEMENT THAT THAT CAUSED THE PAIN +audio/MSK0026.mp3[80.600,106.560] NOTHING LIKE THAT BUT I RECENTLY FOUND OUT THAT I HAD SOME OSTEOARTHRITIS ON MY LEFT KNEE SO I WAS TRYING TO PUT MORE PRESSURE ON MY RIGHT KNEE ONE WHENEVER I WAS DOING LIKE GARDENING WORK UM AND I THINK SOMETHING SOMETHING MAY HAVE HAPPENED WHEN I WAS DOING THAT SOMETHING MAYBE MAYBE I PUT TOO MUCH STRAIN ON IT +audio/MSK0026.mp3[106.560,121.480] OK I SEE AN ALRIGHT LIKE ARE YOU DOING A LOT OF KNEELING ON ON OR DURING THE GARDENING WORK +audio/MSK0026.mp3[121.480,122.640] I AM +audio/MSK0026.mp3[122.640,129.520] OK UM AND HOW LONG HAS THE PAIN BEEN GOING ON FOR HAS IT BEEN CONSTANT OVER THESE TWO WEEKS +audio/MSK0026.mp3[129.520,132.240] YES IT HAS BEEN +audio/MSK0026.mp3[132.240,138.080] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT SHARP BURNING ACHY +audio/MSK0026.mp3[138.080,144.360] I WOULD SAY MOSTLY ACHY BUT IT CAN BE SHARP +audio/MSK0026.mp3[144.360,148.880] OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE ELSE +audio/MSK0026.mp3[148.880,152.520] NO JUST ITS PRETTY LOCAL +audio/MSK0026.mp3[152.520,156.440] OK HAVE YOU TRIED ANYTHING TO MAKE THE PAIN BETTER +audio/MSK0026.mp3[156.440,172.000] I TRIED SOME TOPICAL LIKE WHAT ARE THOSE LIKE ICE AND FIRE GELS THOSE SEEM TO HELP TEMPORARILY BUT THE PAIN COMES BACK +audio/MSK0026.mp3[172.000,180.520] OK AND HAVE YOU TRIED HAS ANYTHING MADE THE PAIN WORSE +audio/MSK0026.mp3[180.520,208.880] I GUESS LIKE WHEN I KNEEL DOWN ON IT IT GETS PAINFUL OR IF I TOUCH IT OR PALPATE IT I GUESS PAINFUL IF IM IM FLEXING MY KNEE TOO MUCH THAT HURTS AS WELL KIND OF KEEPING IT STRAIGHT AND NOT TOUCHING IT MAKES IT FEEL BETTER +audio/MSK0026.mp3[208.880,221.000] OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS WITH 10 BEING THE WORST PAIN YOUVE EVER FELT AND ONE BEING THE LEAST PAIN +audio/MSK0026.mp3[221.000,224.680] I GIVE IT ABOUT A 6 +audio/MSK0026.mp3[224.680,229.960] OK AND HAVE YOU HAD A PAIN LIKE THIS IN YOUR RIGHT KNEE BEFORE +audio/MSK0026.mp3[229.960,241.320] NO NOTHING LIKE THIS AND I HAVE OSTEOARTHRITIS IN MY LEFT KNEE BUT IT FEELS DIFFERENT +audio/MSK0026.mp3[241.320,251.760] OK AND UM OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0026.mp3[251.760,254.000] UHM NO +audio/MSK0026.mp3[254.000,258.440] OK AND HOW ABOUT ANY NIGHT SWEATS +audio/MSK0026.mp3[260.600,267.760] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/MSK0026.mp3[269.240,271.360] HAVE YOU HAD ANY HEADACHES +audio/MSK0026.mp3[272.640,277.400] HAVE YOU HAD ANY CHANGES TO YOUR SENSES LIKE VISION OR HEARING +audio/MSK0026.mp3[278.280,280.800] ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE +audio/MSK0026.mp3[281.960,286.280] OK HAVE YOU HAD ANY SORE THROAT OR COUGH +audio/MSK0026.mp3[287.720,291.440] ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/MSK0026.mp3[292.600,294.480] HAVE YOU HAD ANY WHEEZING +audio/MSK0026.mp3[295.480,297.560] HAVE YOU HAD ANY CHEST PAIN +audio/MSK0026.mp3[299.160,302.520] HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0026.mp3[302.520,303.720] UM NO +audio/MSK0026.mp3[303.720,307.240] HAVE YOU HAD ANY HEART PALPITATIONS +audio/MSK0026.mp3[310.720,314.000] OK UM AN HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0026.mp3[315.280,317.520] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0026.mp3[318.600,322.760] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL +audio/MSK0026.mp3[324.160,329.240] HAVE YOU HAD ANY PAIN WITH URINATION OR FREQUENCY WITH URINATION +audio/MSK0026.mp3[331.040,338.000] OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR JOINT PAINS ANYWHERE ELSE +audio/MSK0026.mp3[339.640,347.480] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR OR TINGLING OR REDUCED SENSATION +audio/MSK0026.mp3[349.600,355.320] OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE +audio/MSK0026.mp3[355.320,361.280] NO NOT REALLY ITS BEEN THE SAME +audio/MSK0026.mp3[361.280,369.000] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0026.mp3[369.000,383.080] UHM I HAVE CLASS 2 OBESITY AND THEN ALSO ARTHRITIS IN MY LEFT KNEE AS WELL AS HIGH BLOOD PRESSURE +audio/MSK0026.mp3[383.080,385.600] I SEE AND DO YOU TAKE ANY MEDICATIONS +audio/MSK0026.mp3[385.600,397.720] CURRENTLY IM ON RAMIPRIL AND I TAKE SOME IBUPROFEN SOMETIMES FOR THE OSTEOARTHRITIS IN MY LEFT KNEE +audio/MSK0026.mp3[397.720,402.160] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0026.mp3[402.720,405.160] HAVE YOU HAD ANY SURGERIES BEFORE +audio/MSK0026.mp3[407.560,414.400] OR HAVE YOU HAD ANY HOSPITALIZATIONS FOR ANY REASON +audio/MSK0026.mp3[417.120,424.320] OK AND HAVE YOU BEEN PREGNANT IN THE PAST +audio/MSK0026.mp3[424.320,433.080] UM I I HAVE ONE ONE CHILD SHE WAS BORN THROUGH CSECTION +audio/MSK0026.mp3[433.080,437.720] AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0026.mp3[437.720,439.280] I AM +audio/MSK0026.mp3[439.280,443.560] OK COULD YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS +audio/MSK0026.mp3[443.560,448.200] YEAH SO JUST WITH MY HUSBAND OF 10 YEARS +audio/MSK0026.mp3[448.200,459.160] OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION LIKE VAGINAL DISCHARGE OR OR PAIN OR ITCHINESS +audio/MSK0026.mp3[461.600,471.080] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN WHEREABOUTS +audio/MSK0026.mp3[471.080,483.600] UM I LIVE IN DOWNTOWN LONDON I LIVE IN A HOUSE WITH MY HUSBAND AND MY DAUGHTER +audio/MSK0026.mp3[483.600,488.080] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/MSK0026.mp3[489.640,493.560] AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0026.mp3[494.640,498.080] OK ARE YOU CURRENTLY WORKING RIGHT NOW +audio/MSK0026.mp3[498.080,501.560] I YES I AM +audio/MSK0026.mp3[501.560,505.320] OK WELL THEN WHAT WHAT DO YOU DO +audio/MSK0026.mp3[505.320,514.320] I WORK AS A FULL TIME GARDENER FOR A LANDSCAPING COMPANY +audio/MSK0026.mp3[514.320,523.960] OK I SEE SO YOURE SPENDING A LOT OF TIME DOING KIND OF LIKE REPETITIVE KNEELING TYPE MOVEMENTS TO DO YOUR JOB +audio/MSK0026.mp3[523.960,525.480] YES THATS RIGHT +audio/MSK0026.mp3[525.480,532.120] OK AND DO YOU SMOKE CIGARETTES +audio/MSK0026.mp3[532.120,534.760] I DONT +audio/MSK0026.mp3[534.760,538.440] ALRIGHT AND DO YOU DRINK ALCOHOL +audio/MSK0026.mp3[538.440,540.960] ILL HAVE A GLASS OF WINE EVERY OTHER NIGHT +audio/MSK0026.mp3[540.960,546.080] OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/MSK0026.mp3[546.080,547.800] NO I DONT +audio/MSK0026.mp3[547.800,550.600] HAVE YOU USED ANYTHING LIKE THAT IN THE IN THE PAST +audio/MSK0026.mp3[554.960,562.960] LIKE IV DRUGS NO OK AND IN THE FAMILY OR IS THERE A HISTORY OF ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS +audio/MSK0026.mp3[565.960,586.960] OK SO NEXT I JUST WANTED TO DO THE PHYSICAL EXAM PORTION AND ASK YOU TO HAVE A LOOK AT THE KNEE FIRST AND LET ME KNOW IF THE IF YOURE HAVING ANY SWELLING REDNESS OR WARMTH TO THE KNEE COMPARED TO THE OTHER SIDE +audio/MSK0026.mp3[588.480,595.680] SORRY SO YOU ARE HAVING HAVING SWELLING WARMTH AND REDNESS TO THE RIGHT KNEE +audio/MSK0026.mp3[596.880,610.400] OK AND ARE YOU HAVING PAIN TO LIKE PALPATION IS THERE A SPECIFIC SPOT YOU CAN PRESS ON THAT CAUSES A SHARP PAIN +audio/MSK0026.mp3[610.400,627.880] UM SO JUST BELOW THAT KNEECAP AREA THERE IS SOME SWELLING THERE AND WHEN I PRESS DOWN ON THAT SWOLLEN AREA IT CAUSES A BIT OF PAIN +audio/MSK0026.mp3[627.880,633.200] OK AND ARE YOU ABLE TO FULLY BEND BEND AND STRAIGHTEN THE KNEE +audio/MSK0026.mp3[633.200,637.360] I CAN DO THAT BUT WHEN I BEND MY KNEE IT REALLY HURTS +audio/MSK0026.mp3[637.360,646.760] OK AND ARE YOU ABLE TO WALK NORMALLY OR DO YOU HAVE A LIMP +audio/MSK0026.mp3[646.760,655.160] UM I CAN WALK NORMALLY IT JUST HURTS +audio/MSK0026.mp3[655.160,666.960] OK SO THAT WAS A EVERYTHING THAT I WANTED TO ASK TODAY ON THE HISTORY AND AND PHYSICAL WAS THERE ANYTHING THAT YOU MAYBE I FORGOT ABOUT YOU WANTED TO ADD +audio/MSK0026.mp3[666.960,670.080] NO I DONT THINK SO +audio/MSK0026.mp3[670.080,710.160] OK SO RIGHT NOW ITS SOUNDING LIKE THIS COULD POSSIBLY BE A KNEE BURSITIS OR PREPATELLAR OR SORRY INFRA PATELLAR BURSITIS OR A PREPATELLAR BURSISTIS WHICH ARE THE KIND OF THE MORE COMMON TYPES ONE THING TO MAKE SURE THAT WE RULE OUT WOULD BE A SEPTIC BURSITIS ALTHOUGH YOURE NOT HAVING ANY FEVERS OR CHILLS SO THAT MAKES IT A LITTLE BIT LESS LIKELY +audio/MSK0026.mp3[711.200,751.680] BUT IF YOUR SYMPTOMS ARE GETTING WORSE AND YOURE DEVELOPING A FEVER ITS BECOMING EVEN MORE PAINFUL THEN CERTAINLY WILL HAVE TO RULE OUT INFECTION AND AS WELL IF THINGS ARE NOT IMPROVING POTENTIALLY A STRUCTURAL DISEASE AND ANY SUCH AS A MENISCAL INJURY OR LIKE A LIGAMENTAL INJURY FROM ALL OF THE LIKE KNEELING AND AND REPETITIVE MOVEMENTS BUT RIGHT NOW I THINK ITS MOSTLY SOUNDING LIKE A KNEE BURSITIS +audio/MSK0026.mp3[752.360,765.920] OK AND TREATMENT FOR THAT WILL BE ACTIVITY MODIFICATION AS WELL AS USING THINGS LIKE AS UM NSAIDS AND ICING TO HELP WITH UM THE INFLAMMATION +audio/MSK0026.mp3[765.920,776.160] OK THAT SOUNDS GOOD THANK YOU +audio/RES0180.mp3[0.000,1.920] WHAT BRINGS YOU IN +audio/RES0180.mp3[1.920,18.000] HI I UMM SO I STARTED TO HAVE THIS COUGH THAT STARTED LIKE 2 DAYS AGO AND ALSO THESE LAST COUPLE OF DAYS IVE JUST HAD THIS HEADACHE AND FEELING REALLY ACHY ALL OVER +audio/RES0180.mp3[18.000,22.560] OK IM SORRY YOU SAID IT STARTED A DAY TWO DAYS AGO +audio/RES0180.mp3[22.560,40.840] YEAH ITS MORE LIKE ONE TO TWO DAYS ALL OF THIS IS KIND OF STARTED I THINK THE THE COUGH STARTED 1ST AND THEN THE HEADACHE AND ACHINESS HAS COME AFTER I FELT A BIT FEVERISH AS WELL I HAVENT CHECKED MY TEMPERATURE BUT I I FELT FEVERISH +audio/RES0180.mp3[40.840,46.600] OK THE COUGH IS IT DRY OR ARE YOU BRINGING UP ANY PHLEGM +audio/RES0180.mp3[46.600,49.000] ITS PRETTY DRY +audio/RES0180.mp3[49.000,53.720] DRY OK SO NO BLOOD AND NO SPUTUM +audio/RES0180.mp3[53.720,55.680] NO BLOOD OR SPUTUM +audio/RES0180.mp3[55.680,61.000] OK DO YOU FEEL SHORT OF BREATH +audio/RES0180.mp3[61.000,63.480] NO THATS I HAVENT BEEN SHORT OF BREATH +audio/RES0180.mp3[63.480,66.560] OK HOW ABOUT WHEEZING +audio/RES0180.mp3[66.560,69.720] NO WHEEZING +audio/RES0180.mp3[69.720,74.880] OK AND ANY CHEST PAIN +audio/RES0180.mp3[74.880,79.680] NO I HAVENT HAD ANY CHEST PAINS +audio/RES0180.mp3[79.680,88.040] OK ALRIGHT AND THE HEADACHE ONE TO 10 10 BEING THE WORST HEAD WORST PAIN YOUVE EVER BEEN IN HOW BAD WAS IT +audio/RES0180.mp3[88.040,107.480] ID SAY A FOUR ITS JUST BEEN KIND OF THERE THE WHOLE SO ITS REALLY ANNOYING IVE TRIED SOME TYLENOL AND ITS TAKEN A LITTLE BIT OFF THE THE I MEAN THE EDGE OFF A LITTLE BIT BUT ITS JUST BEEN KINDA THERE STILL +audio/RES0180.mp3[107.480,115.680] OK AND IS IT A THROBBING KIND OF PAIN OR IS IT A DULL ACHY PAIN +audio/RES0180.mp3[115.680,123.320] ITS A KIND OF A DULL ACHY PAIN +audio/RES0180.mp3[123.320,128.720] OK UHM ALRIGHT AND WHERE IS IT LOCATED +audio/RES0180.mp3[128.720,139.880] UH KIND OF IN THE FRONT OF UH I HAVE MY OVER MY HEAD AND ON BOTH SIDES AS WELL +audio/RES0180.mp3[139.880,147.120] OK OK ANY FEELINGS OF FEELING LIKE YOUR HEARTS RACING +audio/RES0180.mp3[147.120,149.400] NO I HAVENT FELT LIKE THAT +audio/RES0180.mp3[149.400,156.920] OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0180.mp3[156.920,161.000] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0180.mp3[161.000,165.640] CONFUSION OR MEMORY LOSS +audio/RES0180.mp3[165.640,169.800] NO NOTHING LIKE THAT +audio/RES0180.mp3[169.800,175.280] OK AND ANY NECK PAIN OR STIFFNESS +audio/RES0180.mp3[175.280,178.480] NO NOTHING LIKE THAT +audio/RES0180.mp3[178.480,183.080] OK RUNNING OR STUFFY NOSE +audio/RES0180.mp3[183.080,187.440] NO MY I HAVENT HAD ANYTHING LIKE THAT +audio/RES0180.mp3[187.440,189.480] SORE THROAT +audio/RES0180.mp3[190.960,195.040] NO OK HOW ABOUT THAT LOSS OF SMELL OR TASTE +audio/RES0180.mp3[195.040,198.640] UH YEAH I HAVE ACTUALLY YEAH I HAVE +audio/RES0180.mp3[198.640,202.320] OK BOTH +audio/RES0180.mp3[202.320,210.840] YEAH BOTH ITS UH IVE ACTUALLY YEAH I NOTICE THAT IN THE LAST DAY ITS KIND OF WEIRD I DIDNT EVEN THINK OF IT UNTIL YOU UNTIL YOU ASKED THERE +audio/RES0180.mp3[211.000,217.640] BUT YEAH I HAVE HAVENT REALLY NOTICED BEING ABLE TO SMELL OR TASTE +audio/RES0180.mp3[217.640,221.960] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0180.mp3[223.200,226.720] OK WEIGHT LOSS +audio/RES0180.mp3[226.720,231.120] NO WEIGHT LOSS IVE BEEN THATS BEEN STABLE I WISH +audio/RES0180.mp3[231.120,243.800] OK AND YOU MENTIONED YOU MIGHT HAVE HAD A FEVER SO WELL CHECK YOUR TEMPERATURE TODAY AS WELL ANY FATIGUE +audio/RES0180.mp3[243.800,252.840] UH NOT REALLY THATS BEEN OK BUT BEEN ACHEY SO CERTAINLY DOING LESS +audio/RES0180.mp3[252.840,254.840] OK ANY RASHES +audio/RES0180.mp3[254.840,256.920] NO RASHES +audio/RES0180.mp3[256.920,262.640] OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0180.mp3[262.640,270.040] NO THAT EVERYTHING HAS BEEN NORMAL THERE I HAVENT HAD ANY DIARRHEA OR NO BLOOD IN THE STOOL +audio/RES0180.mp3[270.040,275.480] OK ANY NAUSEA OR VOMITING +audio/RES0180.mp3[275.480,279.800] NO NAUSEA OR VOMITING +audio/RES0180.mp3[279.800,286.880] OK CHANGES TO YOUR APPETITE +audio/RES0180.mp3[286.880,293.800] YEAH IVE BEEN LESS INTERESTED IN FOOD FOR SURE I THINK IVE BEEN BEEN BEEN HAD A DECREASED APPETITE +audio/RES0180.mp3[293.800,299.840] OK CHANGES IN YOUR URINE +audio/RES0180.mp3[299.840,311.040] NO I HAVENT HAD ANY ANY PAIN OR ANY ANYTHING CHANGING TO MY URINARY HABITS +audio/RES0180.mp3[311.040,318.600] OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0180.mp3[318.600,338.960] UH I I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE A STATIN AS WELL AS A WHAT IS IT AN ACE INHIBITOR I THINK FOR THE BLOOD PRESSURE YEAH +audio/RES0180.mp3[338.960,345.480] OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0180.mp3[345.480,351.280] UH I AM YES I THINK SO +audio/RES0180.mp3[351.280,356.760] YEAH OK ALRIGHT AND ARE YOU ALLERGIC TO ANYTHING +audio/RES0180.mp3[356.760,361.720] NO I DONT THINK SO +audio/RES0180.mp3[361.720,369.640] NO OK ALRIGHT AND ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0180.mp3[369.640,374.200] NO NOTHING LIKE THAT +audio/RES0180.mp3[374.200,379.720] OK UMM ALRIGHT DO YOU SMOKE +audio/RES0180.mp3[379.720,381.440] I DONT NO +audio/RES0180.mp3[381.440,386.960] NO OK ANY OTHER RECREATIONAL DRUGS +audio/RES0180.mp3[386.960,389.640] UH NO +audio/RES0180.mp3[389.640,393.320] OK DO YOU DRINK ALCOHOL +audio/RES0180.mp3[393.320,403.280] YEAH SOMETIMES ILL HAVE A GLASS OF WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT THAT WILL JUST BE ONE OR TWO MAYBE WITH DINNER +audio/RES0180.mp3[403.280,409.240] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0180.mp3[409.240,428.640] NO I I DONT THINK SO I MEAN IVE BEEN WORKING FROM WELL SOME DAYS IVE HAD TO GO INTO THE OFFICE FOR WORK BUT IVE BEEN MOSTLY JUST WORKING FROM FROM HOME +audio/RES0180.mp3[428.640,434.040] OK OK UHM AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0180.mp3[434.040,446.480] SO I LIVE IN A HOUSE DOWNTOWN IN THE CITY HERE AND I LIVE WITH MY WIFE AND OUR TWO SONS +audio/RES0180.mp3[446.480,452.600] OK ANY ARE THEY THEYRE OK THEYRE ALL HEALTHY +audio/RES0180.mp3[452.600,464.480] UHM YEAH THEY THEY THEY UH WELL MY SON ACTUALLY HAD A COUGH AND A SORE THROAT I THINK LIKE LAST WEEK OR SOMETHING LIKE THAT BUT IT JUST WENT IT WENT AWAY +audio/RES0180.mp3[464.480,475.320] OK UHM AND DO YOU HAVE ANY OLD CARPETS ASBESTOS MOLD ANYTHING LIKE THAT IN YOUR HOME +audio/RES0180.mp3[475.320,478.640] UH NO NOTHING LIKE THAT +audio/RES0180.mp3[478.640,488.120] NO OK UHM ALRIGHT I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/RES0180.mp3[488.120,495.800] I WAS JUST WELL WORRIED ABOUT COVID AND WAS JUST WONDERING WHAT I SHOULD DO +audio/RES0180.mp3[495.800,569.640] YEAH FOR SURE SO WE ARE YOURE A LOT OF YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE ARE GOING TO TAKE A SWAB TODAY AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY FAMILY MEMBERS IF POSSIBLE UHM AND BASICALLY JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY GET WORSE OR YOURE HAVING LIKE NEUROLOGICAL SYMPTOMS YOU SHOULD SEEK HELP FROM THE ER BUT OTHERWISE KEEP YOURSELF HYDRATED EAT WELL IF YOU HAVE A HUMIDIFIER IN THE BASEMENT USE IT AND FOR YOUR FEVERS YOU CAN TAKE ANTIPYRETICS LIKE TYLENOL AND JUST ITS ITS JUST A LOT OF SUPPORTIVE CARE HOW DOES THAT SOUND AND OBVIOUSLY LIKE IF YOUR SYMPTOMS ARENT GOING AWAY AFTER LIKE A FEW WEEKS CALL US BACK AND IT COULD BE SOMETHING LIKE BACTERIAL IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS +audio/RES0180.mp3[569.640,572.600] OK YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0180.mp3[572.600,577.240] YEAH NO PROBLEM +audio/RES0047.mp3[0.000,2.600] WHAT BRINGS YOU IN +audio/RES0047.mp3[2.600,14.480] YEAH SO IVE HAD THIS CHEST TIGHTNESS AND AND BEEN SHORT OF BREATH AND BRINGING UP SPUTUM WITH THIS UH COUGH +audio/RES0047.mp3[14.480,19.560] OK SO UM LETS START WITH THE COUGH WHEN DID THAT START +audio/RES0047.mp3[19.560,31.400] SO IVE HAD A COUGH NOW FOR A FEW YEARS UM BUT OVER THIS PAST UH THREE DAYS ITS GOTTEN QUITE A BIT WORSE +audio/RES0047.mp3[31.400,36.120] OK FOR THE PAST THREE DAYS THREE THREE YEARS OK +audio/RES0047.mp3[37.200,43.240] UM ARE THERE ANY TRIGGERS FOR YOUR COUGH +audio/RES0047.mp3[43.240,64.280] UH YEAH IF IM DOING UM LIKE IF IM REALLY ACTIVE LIKE IF I RUN TO CATCH THE BUS OR UH OR IF IM SHOVELLING SNOW MAYBE I CAN MAKE BECOME SHORT OF BREATH BUT UM NOT IF IM JUST WALKING AROUND THE BLOCK OR ANYTHING LIKE THAT +audio/RES0047.mp3[64.280,70.920] OK AND WHAT CAUSED THIS COUGH INITIALLY THREE YEARS AGO DO YOU KNOW +audio/RES0047.mp3[70.920,82.840] UH YEAH I THINK UM I THINK ITS JUST A SMOKERS COUGH I THINK THAT MY FAMILY DOCTOR TOLD ME I HAD LIKE CHRONIC BRONCHITIS BEFORE +audio/RES0047.mp3[82.840,91.200] OK OK HOW OFTEN WERE YOU COUGHING BEFORE IT GOT WORSE RECENTLY +audio/RES0047.mp3[91.200,109.320] UH I WOULD USUALLY COUGH EVERY DAY BUT THE COUGH WOULD BE USUALLY JUST IN THE MORNING I ID GET UP UM THERE I WOULD COUGH UP SOME SPUTUM AND AND THEN MAYBE AND THEN ID USUALLY BE OK +audio/RES0047.mp3[109.320,119.760] OK UM AND DOES ANYTHING MAKE YOUR COUGH BETTER LIKE DO YOU TAKE ANY OVER THE COUNTER COUGH SYRUP +audio/RES0047.mp3[119.760,129.320] UM YEAH IVE TRIED SOME OVER THE COUNTER UH COUGH SYRUPS IN THE PAST BUT IT HASNT HELPED +audio/RES0047.mp3[129.320,140.920] OK OK AND IF YOU WERE TO TALK ABOUT THE QUALITY OF YOUR COUGH IS IT IS IT BARKY DOES IT SOUND HARSH WHAT DOES IT SOUND LIKE +audio/RES0047.mp3[140.920,156.320] UH YEAH I WOULD SAY IT SOUNDS PRETTY HARSH YOU CAN KIND OF IT SOUNDS LIKE THERES UM MUCUS MOVING AROUND I GUESS WITH WITH THE COUGH IN MY CHEST I CAN I CAN KIND OF FEEL IT +audio/RES0047.mp3[156.320,165.200] OK OK AND YOU MENTIONED THAT YOURE PRODUCING A LOT OF SPUTUM WITH YOUR COUGH WHAT COLOUR IS THAT SPUTUM +audio/RES0047.mp3[166.600,169.640] GREEN OK ANY BLOOD +audio/RES0047.mp3[169.640,170.840] NO BLOOD +audio/RES0047.mp3[170.840,181.720] NO BLOOD OK AND YOU MENTIONED YOUVE NEVER PRODUCED SPUTUM WITH THE COUGH ESPECIALLY NOT GREEN SPUTUM IN THE PAST THREE YEARS RIGHT +audio/RES0047.mp3[181.720,186.400] I WOULD BRING UP SPUTUM BUT ITS USUALLY CLEAR AND WHITE +audio/RES0047.mp3[186.400,194.720] OK OK AND DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH THIS COUGH +audio/RES0047.mp3[194.720,195.360] UH YES I DO +audio/RES0047.mp3[195.360,210.280] YES OK AND YOU MENTIONED YOU WERE SHORT OF BREATH WERE YOU SHORT OF BREATH PRIOR TO YOUR COUGH OR DID THAT START UM WHEN WHEN THIS COUGH GOT WORSE +audio/RES0047.mp3[210.280,221.320] I THINK THE SHORTNESS OF BREATH HAS GOTTEN A BIT WORSE OVER THE UM LAST FEW DAYS UH AS THE COUGH HAS GOTTEN WORSE +audio/RES0047.mp3[221.320,231.960] OK OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR SYMPTOMS OF HOW YOURE FEELING 1 TO 10 10 BEING THE WORST WHERE WOULD YOU PUT YOURSELF AT +audio/RES0047.mp3[231.960,241.240] UH I WOULD SAY AN 8 ITS BEEN REALLY TOUGH ITS BEEN GETTING REALLY DIFFICULT TO UM BREATHE +audio/RES0047.mp3[241.240,252.840] OK YEAH AND HAVE YOU EVER EXPERIENCED ANYTHING TO THIS SEVERITY IN THE PAST +audio/RES0047.mp3[252.840,260.480] NO I HAVENT HAD UH THIS DIFFICULTY BREATHING BEFORE +audio/RES0047.mp3[260.480,266.160] OK OK UM DO YOU HAVE ANY CHEST PAIN +audio/RES0047.mp3[266.160,272.320] UH MY CHEST IS IT FEELS TIGHT +audio/RES0047.mp3[272.320,276.280] OK UH IT FEELS TIGHT OK DOES THAT DOES IT HURT THOUGH +audio/RES0047.mp3[276.280,280.240] UH NO NO IT DOESNT REALLY HURT ITS JUST UNCOMFORTABLE +audio/RES0047.mp3[280.240,291.720] OK AND DO YOU THINK ITS TIGHT BECAUSE OF THE COUGHING OR UM THE SHORTNESS OF BREATH +audio/RES0047.mp3[291.720,298.480] YEAH I KIND OF FEEL IT UM WITH THE COUGHING +audio/RES0047.mp3[298.480,303.200] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS +audio/RES0047.mp3[303.200,309.840] UH YEAH MAYBE A LITTLE BIT IN MY IN MY FEET MORE THAN USUAL +audio/RES0047.mp3[309.840,314.240] OK AND DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0047.mp3[314.240,316.520] UH NO +audio/RES0047.mp3[316.520,322.720] NO OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0047.mp3[322.720,327.120] UH I HAVENT HAD ANYTHING LIKE THAT +audio/RES0047.mp3[327.120,333.000] OK UM ANY CHANGES TO YOUR VISION OR HEARING +audio/RES0047.mp3[333.960,338.600] NO UM DO YOU HAVE A STUFFY NOSE OR RUNNY NOSE +audio/RES0047.mp3[339.720,342.360] UM HOW ABOUT A SORE THROAT +audio/RES0047.mp3[343.320,347.160] NO ANY CHANGES TO YOUR SMELL OR TASTE +audio/RES0047.mp3[348.240,352.840] UM ANY FEVERS OR CHILLS +audio/RES0047.mp3[352.840,354.640] NO IVE FELT OK +audio/RES0047.mp3[354.640,360.520] OK ANY WEIGHT LOSS +audio/RES0047.mp3[360.520,372.560] UM YEAH MAYBE I MEAN OVER THE LAST FEW YEARS IVE UM LOST A FEW POUNDS BUT MAYBE MAYBE 10 POUNDS OVER THE LAST LAST COUPLE OF YEARS +audio/RES0047.mp3[372.560,377.360] LAST COUPLE OF YEARS OK WAS IT INTENTIONAL WEIGHT LOSS OR UNINTENTIONAL +audio/RES0047.mp3[378.040,392.240] OK UM ALRIGHT AND ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0047.mp3[392.240,396.200] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0047.mp3[396.200,400.600] OK AND HOW ARE YOUR BOWEL MOVEMENTS EVERYTHING NORMAL THERE +audio/RES0047.mp3[400.600,402.080] YEAH THATS BEEN NORMAL +audio/RES0047.mp3[402.080,406.520] OK EVERYTHING NORMAL WITH REGARDS TO YOUR URINE +audio/RES0047.mp3[406.520,410.400] YEAH THATS BEEN NORMAL +audio/RES0047.mp3[410.400,414.000] OK ANY CONFUSION OR MEMORY LOSS +audio/RES0047.mp3[415.720,417.840] NO OK ANY FATIGUE +audio/RES0047.mp3[417.840,425.080] YEAH IVE BEEN FEELING WELL REALLY TIRED THESE LAST THREE DAYS +audio/RES0047.mp3[425.080,430.640] YEAH OK ANY JOINT PAINS OR MUSCLE ACHES +audio/RES0047.mp3[433.240,437.320] NO OK UM AND ARE YOU OTHERWISE HEALTHY +audio/RES0047.mp3[437.320,445.480] UM WELL I USE UH THESE INHALERS UM AND I THINK IVE BEEN TOLD I HAVE COPBEFORE +audio/RES0047.mp3[445.480,461.120] OK UM OTHER THAN YOUR COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +audio/RES0047.mp3[461.120,472.920] UM YEAH I HAVE UH HIGH BLOOD PRESSURE AND UM I HAD MY GALLBLADDER TAKEN OUT UH A FEW YEARS AGO +audio/RES0047.mp3[472.920,480.400] OK OK ANY OTHER SURGERIES OR HOSPITALIZATIONS +audio/RES0047.mp3[480.400,486.840] UH I HAD AN ACL REPAIR LIKE WHEN I WAS A TEENAGER +audio/RES0047.mp3[486.840,495.480] OK AND BESIDES THE INHALERS ARE YOU ON ANY OTHER MEDICATION +audio/RES0047.mp3[495.480,509.840] YEAH THERES ONE FOR BLOOD PRESSURE UM AND I TAKE VITAMIN UM AND THATS IT +audio/RES0047.mp3[509.840,514.760] OK WHICH ONE WHICH UM MEDICATION ARE YOU ON FOR THE BLOOD PRESSURE +audio/RES0047.mp3[514.760,516.480] UH AMLODIPINE +audio/RES0047.mp3[516.480,520.760] AMLODIPINE OK WHEN DID YOU START TAKING THAT +audio/RES0047.mp3[520.760,524.680] ABOUT UH SEVEN YEARS AGO +audio/RES0047.mp3[524.680,536.240] OK AND THEN FOR YOUR UH COPWHICH INHALERS ARE YOU ON +audio/RES0047.mp3[536.240,547.760] UH THERES ONE THATS FOR UM LIKE SHORT ACTING AND THEN THERES ONE THAT I USE EVERYDAY UH SPIRIVA I THINK +audio/RES0047.mp3[547.760,550.360] OK YEAH AND HOW LONG HAVE YOU BEEN ON THESE INHALERS +audio/RES0047.mp3[550.360,567.280] UH ITS BEEN A COUPLE OF YEARS FOR WELL FOR THE THE SHORT ONE THAT I I USE FOR RESCUE THERAPIES BEEN FOR LIKE A LONG TIME BUT SPIRIVAS BEEN THE LAST SEVERAL YEARS +audio/RES0047.mp3[567.280,571.160] OK OK AND DO YOU FIND THAT YOUR INHALERS ARE HELPING +audio/RES0047.mp3[571.160,579.400] YEAH THEY UM I DEFINITELY NOTICE A DIFFERENCE WHEN I IF I MISS A DOSE OR SOMETHING +audio/RES0047.mp3[579.400,586.040] YEAH OK AND UM DO YOU HAVE ANY ALLERGIES +audio/RES0047.mp3[586.040,591.000] UH NO I DONT THINK SO +audio/RES0047.mp3[591.000,600.880] NO OK HOW ABOUT UM IMMUNIZATIONS ARE YOU UP TO DATE +audio/RES0047.mp3[600.880,601.760] YEAH I BELIEVE SO +audio/RES0047.mp3[601.760,613.040] OK AND IN TERMS OF FAMILY HISTORY UH ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +audio/RES0047.mp3[613.040,615.880] UM UH NO +audio/RES0047.mp3[615.880,624.480] NO OK UM DO YOU CURRENTLY SMOKE +audio/RES0047.mp3[624.480,640.800] UH I DO YES IVE BEEN TRYING TO QUIT I UM I SMOKE ABOUT A PACK OF CIGARETTES PER DAY NOW I USED TO SMOKE LIKE 2 PACKS PER DAY +audio/RES0047.mp3[640.800,650.440] OK WELL ITS ITS GOOD THAT YOUVE CUT DOWN UM IF YOU NEED ANY ADDITIONAL HELP CUTTING DOWN WE HAVE RESOURCES THAT WE CAN REFER YOU TO +audio/RES0047.mp3[650.440,654.000] YEAH THAT WOULD BE GREAT +audio/RES0047.mp3[654.000,661.400] YEAH UM HOW MUCH FOR HOW LONG HAVE YOU BEEN SMOKING LIKE HOW MANY YEARS +audio/RES0047.mp3[661.400,666.400] UH WELL I STARTED WHEN I WAS A TEENAGER SO PROBABLY LIKE 35 +audio/RES0047.mp3[666.400,674.160] OK UM AND DO YOU DO ANY MARIJUANA +audio/RES0047.mp3[674.160,679.800] UH NO +audio/RES0047.mp3[679.800,682.720] NO OK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0047.mp3[682.720,691.560] YEAH A FEW BEERS ON THE WEEKEND +audio/RES0047.mp3[691.560,696.800] OK UM AND THEN WHERE DO YOU LIVE CURRENTLY +audio/RES0047.mp3[696.800,702.560] I LIVE IN AN APARTMENT BY MYSELF +audio/RES0047.mp3[702.560,716.800] OK UM AND ANY REASONS TO THINK THAT THERE ARE ANY OLD CARPETS MOLD OR UM ASBESTOS OR ANYTHING LIKE THAT THAT COULD BE EXACERBATING YOUR SYMPTOMS +audio/RES0047.mp3[716.800,726.120] UH I MEAN I DO HAVE A CARPET IN THE BEDROOM SO BUT I MEAN THAT THATS THE ONLY CARPET IN THE APARTMENT +audio/RES0047.mp3[726.120,729.800] OK UM AND DO YOU LIVE WITH ANYONE +audio/RES0047.mp3[729.800,734.520] NO ITS ITS JUST ME AND MY DOG +audio/RES0047.mp3[734.520,745.280] OK UH HAVE YOU HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY +audio/RES0047.mp3[745.280,752.360] UM MAYBE I MEAN I I USUALLY WILL SEE UH A COUPLE OF FRIENDS WELL MEET UP TO GRAB SOME COFFEE +audio/RES0047.mp3[752.360,758.120] IN THE MORNING IN THE MORNING UM BUT I FEEL LIKE THEY HAVE BEEN UH OK +audio/RES0047.mp3[758.120,768.880] YEAH OK HOW ABOUT UM TRAVEL HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0047.mp3[769.960,784.200] NO OK OK WELL I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS +audio/RES0047.mp3[784.200,791.280] UM NO I JUST WANTED TO UM YEAH COME IN BECAUSE ITS BEEN REALLY DIFFICULT TO BREATHE +audio/RES0047.mp3[791.280,816.360] YEAH SO OK WELL WELL DO A PHYSICAL EXAM ON YOU UM TO TRY TO UNDERSTAND UM HOW BAD YOUR COPEXACERBATION IS UM WELL ALSO TRY TO GET AN UM OXYGEN SATURATION ON YOU AND WE DO WANT THAT READING +audio/RES0047.mp3[816.360,835.600] TO BE BETWEEN 88 TO 92 IF IT IS LESS THAN THAT UM AND WE THINK YOU HAVE A MILD EXACERBATION WELL JUST SUGGEST THAT YOU USE YOUR SHORT ACTING BETA AGONIST PUFFER UM MORE OFTEN AND THEN IF YOU +audio/RES0047.mp3[835.600,923.640] IF WE THINK YOU HAVE MODERATE UM MODERATE EXACERBATION WELL ALSO PRESCRIBE UH ANTIBIOTICS AND OR STEROIDS TO GO ALONG WITH THE SHORT ACTING BETA AGONIST AND IF IT IS SEVERE OR IF IT BECOMES SEVERE UM PLEASE DO SEEK OUT AID UM IN THE ER AND THEYLL TRY THEYLL PROBABLY PUT YOU ON UM UH SOME SORT OF UM OXY LIKE UM SOME SORT OF SUPPLEMENTAL OXYGEN WHETHER ITS BIPAOR CPAUM AND AGAIN THEYLL CONTINUE GIVING YOU YOUR BRONCHODILATORS AND STEROIDS AS WELL AS ANTIBIOTICS TO UM MAKE SURE THAT YOU DONT HAVE ANY BAD COMPLICATIONS OF UH PNEUMONIA UM AND IT DOES SOUND LIKE IT IS A COPEXACERBATION AT THIS POINT BUT IF YOU DEVELOP ANY OTHER SYMPTOMS LIKE UM FEVERS OR ANY SYMPTOMS THAT OVERLAP WITH UH VIRAL VIRAL ILLNESSES WELL WELL WELL WORK YOU UP FOR THAT WELL DO I THINK WE WILL STILL DO A COVID SWAB ON YOU JUST TO MAKE SURE YOU DONT HAVE THAT UH BUT WELL START WITH UM WORKING YOU UP FOR COPHOW DOES THAT SOUND +audio/RES0047.mp3[923.640,926.120] THAT SOUNDS GREAT THANK YOU +audio/RES0047.mp3[926.120,928.520] ALRIGHT TAKE CARE +audio/RES0116.mp3[0.000,2.320] WHAT BRINGS YOU IN +audio/RES0116.mp3[2.320,42.120] YEAH SO UH IM JUST BRINGING MY SON UH HERE TO THE CLINIC HES BEEN HAVING UM JUST I THINK HES BEEN COMPLAINING OF UH EAR ACHE IN HIS UH I THINK ITS MAINLY IN HIS LEFT EAR FOR THE LAST ID SAY AT LEAST A WEEK UM HES BEEN KIND OF JUST HAVING DISCOMFORT UM AND OVER THE LAST FEW DAYS UH HE ALSO STARTED CRYING BECAUSE OF HOW MUCH PAIN HE IS HAVING AND THEN UM WE ALSO NOTICED THAT HE HAD LIKE WAS JUST FEELING WARM SO WE TOOK HIS TEMPERATURE AND HE ACTUALLY HAD A FEVER JUST YESTERDAY OF LIKE 39 DEGREES CELSIUS +audio/RES0116.mp3[42.120,55.280] OK UHM ALRIGHT SO LETS BACK UP JUST A LITTLE BIT THE EAR PAIN WHEN DID THAT START YOU SAID A COUPLE OF DAYS AGO SO WAS THAT TWO THREE FOUR DAYS +audio/RES0116.mp3[55.280,66.080] UH I THINK THE DISCOMFORT LIKE UH WE SAW HIM SCRATCHING HIS EAR FOR THE WHOLE LAST WEEK BUT UH THE CRYING ACTUALLY STARTED JUST I WOULD SAY FOUR DAYS AGO UM +audio/RES0116.mp3[66.520,71.840] SO I THINK THE LAST FEW DAYS HAVE BEEN REALLY TOUGH FOR HIM +audio/RES0116.mp3[71.840,82.480] YEAH SO THREE FOUR DAYS OK HAVE YOU TAKEN A LOOK INTO HIS EAR LIKE DOES DOES IT SEEM RED IS THERE DISCHARGE +audio/RES0116.mp3[82.480,98.960] UH I THINK WE DID SEE SOME UH JUST LIKE IT WASNT RED OR ANYTHING BUT I THINK WE DID UH SEE SOME UM JUST KIND OF CLEAR TO ALMOST UH CLEAR TO YELLOWISH FLUID FROM HIS AFFECTED EAR +audio/RES0116.mp3[98.960,102.720] OK CLEAR TO YOU SAID WHITEISH +audio/RES0116.mp3[102.720,106.680] UH LIKE IT WAS A BIT OF A YELLOW TINGE TO TO IT AS WELL +audio/RES0116.mp3[106.680,111.920] YELLOW OK OK AND WHICH EAR WAS IT SORRY THE RIGHT OR LEFT +audio/RES0116.mp3[111.920,112.960] LEFT EAR +audio/RES0116.mp3[112.960,116.840] LEFT EAR OK AND THE RIGHT EAR LOOKS NORMAL +audio/RES0116.mp3[116.840,122.760] YEAH RIGHT EAR HE HASNT BEEN COMPLAINING UH AT ALL I HAVENT EVEN LOOKED AT THE RIGHT EAR YET +audio/RES0116.mp3[122.760,125.880] OK IS HE ITCHING HIS EARS AT ALL +audio/RES0116.mp3[125.880,135.120] UH HE WAS HE WAS ITCHING LIKE PRETTY MUCH THIS WHOLE WEEK BUT I THINK RIGHT NOW HES HESITANT TO EVEN TOUCH HIS EARS +audio/RES0116.mp3[135.120,141.200] OK AND DOES IT LOOK LIKE ITS ANGRY ON THE OUTSIDE OR ON THE INSIDE OF HIS EARS +audio/RES0116.mp3[141.200,144.520] I CANT REALLY SEE ANYTHING ON THE OUTSIDE +audio/RES0116.mp3[144.520,149.560] OK OK AND HAVE YOU NOTICED THAT HIS HEARING HAS CHANGED AT ALL +audio/RES0116.mp3[149.560,157.280] UM HE STILL LIKE ANSWERS TO US AND LIKE I DONT THINK HIS EAR HEARING IS AFFECTED +audio/RES0116.mp3[157.280,166.160] OK HAS HE HAD ANY PAST ISSUES WITH HIS EARS LIKE EAR INFECTIONS OR LIKE HEARING ISSUES IN THE PAST +audio/RES0116.mp3[166.160,176.440] UH NO HEARING ISSUES BUT HE DID HAVE UH LIKE HE USED TO PROBABLY WHEN HE WAS UH LIKE 2 YEARS OLD HE DID HAVE A COUPLE EAR INFECTIONS +audio/RES0116.mp3[176.440,180.520] OK OK WERE THEY WERE THEY TREATED WITH ANTIBIOTICS +audio/RES0116.mp3[180.520,185.640] UH I THINK ONE TIME THEY WERE BUT I IM PRETTY SURE THAT WAS ON IN HIS RIGHT EAR +audio/RES0116.mp3[185.640,191.920] OK OK HES NEVER HAD TO GET LIKE TUBES INSERTED OR ANYTHING LIKE THAT +audio/RES0116.mp3[191.920,194.880] NO NO NOTHING LIKE THAT +audio/RES0116.mp3[194.880,201.840] NO OK UM ALRIGHT UM HAS HE HAD A STUFFY NOSE OR RUNNY NOSE +audio/RES0116.mp3[201.840,207.880] UH NOT THIS WEEK BUT HE HE WAS A BIT LIKE STUFFY LIKE LAST WEEK I WOULD SAY +audio/RES0116.mp3[207.880,210.560] OK HE WAS A BIT STUFFY YOU SAID +audio/RES0116.mp3[210.560,214.640] YEAH MAYBE EVEN MAYBE TWO WEEKS AGO +audio/RES0116.mp3[214.640,221.920] OK AND THAT STOPPED DID HE HAVE ANYTHING ELSE ALONG WITH HIS STUFFY NOSE AT THAT POINT +audio/RES0116.mp3[221.920,223.440] NO NOTHING ELSE +audio/RES0116.mp3[223.440,230.520] UM RIGHT NOW HAVE YOU NOTICED ANY CHANGES IN HIS VISION IN HIS SMELL OR TASTE +audio/RES0116.mp3[230.520,232.880] UH MO NOT THAT I KNOW OF +audio/RES0116.mp3[232.880,236.640] OK HOW ABOUT WEIGHT LOSS +audio/RES0116.mp3[236.640,240.680] NO HES BEEN UM GROWING PRETTY WELL +audio/RES0116.mp3[240.680,247.960] OK AND YOU SAID UM YOU HAD TAKEN HIS TEMPERATURE WHEN DID YOU TAKE HIS TEMPERATURE +audio/RES0116.mp3[247.960,258.000] I JUST TOOK IT YESTERDAY BUT UH HE WAS FEELING A BIT WARM YESTERDAY SO WE JUST TOOK IT AND IT WAS LIKE UM 39 DEGREES CELSIUS +audio/RES0116.mp3[258.000,273.560] OK OK SWEET UM SO 39 DEGREES SO HE DOES HAVE A FEVER UH FOR SURE WELL TAKE HIS TEMPERATURE AGAIN TODAY JUST TO MAKE SURE HAVE YOU BEEN GIVING HIM ANYTHING FOR HIS HIGH TEMPERATURE LIKE TYLENOL +audio/RES0116.mp3[273.560,275.320] NO WE HAVENT GIVEN HIM ANYTHING +audio/RES0116.mp3[275.320,279.000] OK HAVE YOU NOTICED ANY RASHES ON HIM +audio/RES0116.mp3[279.840,283.640] NO UM HOW ABOUT COUGHING +audio/RES0116.mp3[283.640,285.840] UH NO HE HASNT BEEN REALLY COUGHING +audio/RES0116.mp3[285.840,290.320] NO COUGHING HOW ABOUT WHEEZING OR SHORTNESS OF BREATH +audio/RES0116.mp3[291.280,295.440] LIKE ANYTHING THAT WOULD INDICATE HE HAS CHEST PAIN OR PALPITATIONS OF HIS HEART +audio/RES0116.mp3[295.440,298.240] NO I DONT THINK SO +audio/RES0116.mp3[298.240,301.680] NO OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0116.mp3[305.200,306.200] NO I DONT THINK SO +audio/RES0116.mp3[308.840,310.880] UH NOT THAT I KNOW OF +audio/RES0116.mp3[310.880,315.560] OK AND HOW HOW HAVE HIS BOWEL MOVEMENTS BEEN +audio/RES0116.mp3[315.560,323.760] HIS BOWEL MOVEMENTS HAVE BEEN PRETTY MUCH THE SAME UM HES UH YEAH THERES BEEN NO REAL CHANGES +audio/RES0116.mp3[323.760,333.720] NO OK UM ALRIGHT AND HOW ABOUT UH NAUSEA OR VOMITING +audio/RES0116.mp3[333.720,336.040] UH NO NO NO NAUSEA OR VOMITING +audio/RES0116.mp3[336.040,340.360] ANY APPETITE CHANGE +audio/RES0116.mp3[340.360,348.160] UH NO UH MAYBE A LITTLE BIT MORE FUSSY JUST BUT I DONT KNOW IF THATS PROBABLY DUE TO THE PAIN +audio/RES0116.mp3[348.160,353.040] OK UM AND HOW ABOUT HIS URINE +audio/RES0116.mp3[353.040,356.840] UH HIS URINE HAS BEEN THE SAME LIKE NO CHANGES +audio/RES0116.mp3[356.840,364.840] NO CHANGES OK GOOD IS HE AN OTHERWISE HEALTHY KID OR DOES HE HAVE ANY LONGSTANDING CONDITIONS +audio/RES0116.mp3[364.840,380.280] YEAH HES PRETTY HEALTHY THERE HAVE BEEN NO CONCERNS AT ALL THAT WEVE HAD FOR THE DOCTOR UH HES BEEN GROWING WELL UM MEETING ALL OF HIS MILESTONES UM YEAH NO NOTHING THATS CONCERNING +audio/RES0116.mp3[380.280,388.720] OK UM DO YOU KNOW IF HIS MOTHERS PREGNANCY WITH HIM WAS NORMAL DID SHE HAVE ANY COMPLICATIONS +audio/RES0116.mp3[388.720,414.200] UM SHE DIDNT HAVE ANY LIKE COMPLICATIONS DURING THE PREGNANCY UH THEY DID HAVE TO UM I FORGOT WHAT ITS CALLED BUT UH HE WAS LIKE A DIFFICULT BABY COMING OUT UM AND HE WAS AT TERM THOUGH HE WASNT PREMATURE BUT THEY HAD TO USE JUST UM SOME TOOLS TO GET HIM OUT +audio/RES0116.mp3[414.200,422.360] OK OK UM SO IT WAS A VAGINAL DELIVERY BUT THEY USED SOME TOOLS LIKE FORCEPS MAYBE OR VACUUM +audio/RES0116.mp3[422.360,425.160] YEAH YEAH IT WAS FORCEPS YEAH +audio/RES0116.mp3[425.160,429.960] OK OK UM AND HES YOU MENTIONED HE WAS FULL TERM +audio/RES0116.mp3[429.960,434.120] YEAH HE WAS BORN AT UH 40 WEEKS +audio/RES0116.mp3[434.120,440.480] OK PERFECT DID HE NEED TO BE HOSPITALIZED FOR ANY REASON AFTER THAT +audio/RES0116.mp3[440.480,450.120] NO HE WASNT HOSPITALIZED UH WE STAYED THERE MAYBE ONE DAY EXTRA JUST BECAUSE UM THERE WAS SOME JUST KIND OF MISSHAPING OF HIS HEAD +audio/RES0116.mp3[450.640,454.040] THAT KIND OF WENT AWAY +audio/RES0116.mp3[454.040,459.080] OK OK GOOD AND IS HE ON ANY MEDICATIONS +audio/RES0116.mp3[459.080,460.320] UH NO NO MEDICATIONS +audio/RES0116.mp3[460.320,463.400] NO MEDICATIONS UP TO DATE WITH HIS IMMUNIZATIONS +audio/RES0116.mp3[463.400,466.000] YEAH HES ALL UP TO DATE +audio/RES0116.mp3[466.000,468.960] OK ANY ALLERGIES +audio/RES0116.mp3[468.960,470.880] UM NOT THAT WE KNOW OF +audio/RES0116.mp3[470.880,476.160] OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS HEART CONDITIONS +audio/RES0116.mp3[476.160,491.320] UM NO WEVE BEEN PRETTY HEALTHY AS PARENTS UM AND I THINK MY MY FATHER HAS LIKE HIGH BLOOD PRESSURE DIABETES AND ALL THOSE TYPES OF THINGS +audio/RES0116.mp3[491.320,503.040] OK OK ANY UM EAR ISSUES LIKE CONGENITAL EAR SORRY UM GENETIC HEARING ISSUES OR EAR ISSUES +audio/RES0116.mp3[503.040,506.400] NO NOTHING LIKE THAT +audio/RES0116.mp3[506.400,510.240] OK UM DOES ANYONE AT HOME SMOKE +audio/RES0116.mp3[510.240,511.720] NO NO ONE SMOKES +audio/RES0116.mp3[511.720,516.520] OK UM AND WHO DOES HE LIVE WITH +audio/RES0116.mp3[516.520,523.080] SO HE LIVES WITH UM ME HIS FATHER AND HIS MOTHER AS WELL +audio/RES0116.mp3[523.080,530.080] OK UHM ANY SIBLINGS +audio/RES0116.mp3[530.080,534.400] NO SIBLINGS HES AN ONLY CHILD +audio/RES0116.mp3[534.400,542.760] OK AND HOW ARE THINGS AT HOME UM IS LIKE ARE THINGS FINANCIALLY STABLE ANY RELATIONSHIP ISSUES +audio/RES0116.mp3[542.760,556.240] NO WEVE BEEN PRETTY UH FORTUNATE LIKE IT ITS NO FINANCIAL ISSUES UH AND WE HAVE A LOT OF SUPPORT FROM OUR PARENTS AS WELL UH THE RELATIONSHIP IS GREAT SO NO NO ISSUES +audio/RES0116.mp3[556.240,562.760] OK GOOD GOOD UM HAS HE HAD ANY SICK CONTACTS RECENTLY +audio/RES0116.mp3[562.760,587.240] UM I DONT THINK SO HES WEVE BEEN AT HOME SO I DONT KNOW WE WE DID HAVE LIKE WITH OUR WITH MY BROTHERS UH KIDS LIKE UH THEY CAME TO SEE US ONCE UM BUT THAT WAS LIKE THAT WAS I THINK AT LIKE THREE WEEKS AGO +audio/RES0116.mp3[587.240,591.640] OK OK THREE WEEKS AGO ALRIGHT UM TRAVEL TO ANYWHERE RECENTLY +audio/RES0116.mp3[592.720,601.800] NO OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS THAT YOU WANTED TO ASK ME TODAY BEFORE WE END THE INTERVIEW +audio/RES0116.mp3[601.800,615.440] UH NO NOT REALLY JUST WANTED TO KNOW IF LIKE I REMEMBER HE DID NEED ANTIBIOTICS BEFORE SO I WAS JUST WONDERING IF HE NEEDS THEM NOW +audio/RES0116.mp3[615.440,704.400] YEAH UM SO WELL FIRST BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH COVID LIKE THE FEVER ESPECIALLY WELL DO A SWAB ON HIM ANYWAYS UM AND YOU SHOULD HEAR THOSE RESULTS IN ABOUT 24 TO 48 HOURS UM AND THEN IT THIS PICTURE SOUNDS LIKE ACUTE OTITIS MEDIA SO LIKE AN EAR INFECTION AND UM ITS ESPECIALLY LIKELY BECAUSE HES HAD THEM IN THE PAST SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE LIKE UM COMING UP WITH A MANAGEMENT PLAN BUT ILL KIND OF WALK YOU THROUGH WHAT WE LOOK AT SO IF I TAKE A LOOK AND I SEE LIKE A PERFORATED TYMPANIC MEMBRANE WITH LIKE PUS WED PRESCRIBE LIKE 10 DAYS OF UM ANTIBIOTICS IF HE HAS SOME LIKE MIDDLE EAR EFFUSION SO LIKE SOME FLUIDS WITH LIKE A BULGING TYMPANIC MEMBRANE AND HE APPEARS TO BE REALLY ILL UH WHICH FROM THE SOUNDS OF IT HE SOUNDS ILL HES HAD THIS FEVER FOR MORE THAN TWO DAYS WELL ALSO PRESCRIBE ANTIBIOTICS FOR 10 DAYS AND THEN IF ITS JUST SOME MIDDLE EAR EFFUSION SO JUST THAT CLEAR FLUID UM OR JUST THE BULGING TYMPANIC MEMBRANE WE CAN JUST UM REASSESS HIM IN 24 TO 48 HOURS TO SEE HOW HES DOING AND IF HES WORSE AGAIN WELL PRESCRIBING PRESCRIBE HIM SOME ANTIBIOTICS UM THE ANTIBIOTICS THAT WE USUALLY PRESCRIBE ARE AMOXICILLIN AND BECAUSE HE DOESNT HAVE A PENICILLIN ALLERGY THAT SHOULD WORK +audio/RES0116.mp3[705.760,707.920] YEAH HOW DOES THAT SOUND +audio/RES0116.mp3[707.920,709.400] THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0116.mp3[709.400,711.760] OK GREAT THANK YOU +audio/RES0094.mp3[0.000,7.480] UH HOW MAY I HELP YOU +audio/RES0094.mp3[7.480,14.320] IVE UH HAD A RUNNY NOSE OVER THE LAST FEW DAYS AND IVE STARTED TO HAVE A SORE THROAT AS WELL +audio/RES0094.mp3[14.320,18.600] HMM UHM WHEN DID THIS START +audio/RES0094.mp3[18.600,32.160] I WOULD SO THE RUNNY NOSE STARTED UH ABOUT FIVE DAYS AGO AND AND THE SORE THROAT UHM ABOUT THE SAME +audio/RES0094.mp3[32.160,39.720] OK HAVE YOU UH WITH THE THE RUNNY NOSE DO YOU HAVE ANY WHATS THE DISCHARGE LIKE +audio/RES0094.mp3[39.720,46.920] UH ITS BEEN KIND OF WATERY ITS CLEAR +audio/RES0094.mp3[46.920,56.120] OK ALRIGHT AND HAS YOUR SORE THROAT GOTTEN BETTER OR WORSE OVER THE PAST FIVE DAYS +audio/RES0094.mp3[56.120,64.040] UH IT DID GET A LITTLE BIT WORSE INITIALLY AND SINCE THEN ITS BEEN KIND OF STABLE +audio/RES0094.mp3[64.040,70.080] HAVE YOU UHM HAD ANY DIFFICULTIES SWALLOWING +audio/RES0094.mp3[70.080,81.600] NO IT IT IS A BIT SORE UHM TO SWALLOW SO IT TAKES ME A LITTLE BIT LONGER TO EAT BUT IVE BEEN ABLE TO STILL STILL EAT +audio/RES0094.mp3[81.600,88.400] HAVE YOU CHANGED NOTICED ANY CHANGES IN YOUR VOICE ANY HOARSENESS IN YOUR VOICE +audio/RES0094.mp3[89.560,99.520] NO OK AND DO YOU HAVE ANY NASAL CONGESTION DOES YOUR NOSE FEEL STUFFY +audio/RES0094.mp3[99.520,102.240] YEAH IT DOES YES +audio/RES0094.mp3[102.240,107.680] OK UHM ANY FEVERS OR CHILLS +audio/RES0094.mp3[107.680,110.720] NO I DONT THINK SO +audio/RES0094.mp3[110.720,114.400] OK ANY DIFFICULTIES BREATHING +audio/RES0094.mp3[115.320,117.920] ANY COUGH +audio/RES0094.mp3[120.720,126.080] OK UHM ANY UH PAIN IN YOUR CHEST +audio/RES0094.mp3[127.320,138.800] ANY OTHER SYMPTOMS ANYTHING RELATED TO YOUR BELLY SAY DIARRHEA OR CONSTIPATION OR ANY CHANGES IN YOUR URINARY ANY URINARY SYMPTOMS +audio/RES0094.mp3[138.800,142.600] NO NOTHING LIKE THAT +audio/RES0094.mp3[142.600,146.720] OK OK ARE YOU FEELING FATIGUED TIRED HAVE ANY MUSCLE ACHES +audio/RES0094.mp3[146.720,161.200] I I HAVE FELT A LITTLE BIT MORE DROWSY THESE LAST FEW DAYS AND UHM YEAH MY UHM I HAVE HAD SOME MUSCLE ACHES AS WELL +audio/RES0094.mp3[161.200,167.400] HAVE YOU TAKEN ANYTHING TO HELP YOURSELF ANYTHING OVER THE COUNTER OR ANY PILLS +audio/RES0094.mp3[167.400,185.040] I DID USE UH SOME UHM LIKE COLD MEDICATION TO HELP BECAUSE I WAS HAVING A HEADACHE AS WELL AND A LOT OF I GUESS JUST LIKE PRESSURE FROM THE NOSE STUFFINESS +audio/RES0094.mp3[185.040,187.600] DID THE COLD MEDS HELP +audio/RES0094.mp3[187.600,197.560] YEAH IT DID HELP A LITTLE BIT IT DID HELP MY NOSE CLEAR UP BUT IT CAME RIGHT BACK AFTER A FEW HOURS +audio/RES0094.mp3[197.560,200.760] AND HOWS YOUR HEADACHE NOW +audio/RES0094.mp3[200.760,205.880] ITS NOT TOO BAD ITS PRETTY MILD BUT ITS THERE +audio/RES0094.mp3[205.880,217.000] UHM DO YOU USUALLY GET HEADACHES OF THIS SORT OR IS THIS VERY DIFFERENT FROM WHAT YOU GENERALLY EXPERIENCE IF YOU USUALLY HAVE HEADACHES +audio/RES0094.mp3[217.000,225.600] I DONT USUALLY GET HEADACHES BUT I HAVE FELT UHM A HEADACHE LIKE THIS BEFORE THOUGH +audio/RES0094.mp3[225.600,227.960] OH OK WHEN WAS THAT +audio/RES0094.mp3[227.960,231.120] MAYBE THE LAST TIME I WAS I WAS SICK +audio/RES0094.mp3[231.880,240.640] OR IF I DONT GET A GOOD NIGHTS SLEEP SCHOOLS PRETTY EARLY IN THE MORNING SO SOMETIMES IF IM NOT SLEEPING WELL +audio/RES0094.mp3[240.640,248.840] I SEE OK ALRIGHT ANY OTHER SYMPTOMS THAT YOUVE EXPERIENCED OVER THE PAST FIVE DAYS THAT I DIDNT ASK YOU ABOUT +audio/RES0094.mp3[248.840,256.280] NO ITS BEEN YEAH MOSTLY THE RUNNY NOSE AND SORE THROAT AND HEADACHE +audio/RES0094.mp3[256.280,262.120] I SEE OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0094.mp3[262.120,263.240] NO IVE BEEN HEALTHY +audio/RES0094.mp3[263.240,269.440] ALL RIGHT GOOD ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS +audio/RES0094.mp3[269.440,282.280] UH ILL USE LIKE REACTINE OR CLARITIN SOMETIMES FOR ALLERGIES BUT THATS IT +audio/RES0094.mp3[282.280,284.600] WHAT ALLERGIES DO YOU HAVE +audio/RES0094.mp3[284.600,295.160] I HAVE ALLERGIES TO DUST AND SOME ENVIRONMENTAL THINGS LIKE POLLEN OR RAGWEED I THINK MAYBE +audio/RES0094.mp3[295.160,303.960] I SEE ALRIGHT AND UHM DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0094.mp3[303.960,316.120] UH I THINK MY DAD HAS HIGH BLOOD PRESSURE HE TAKES A MEDICATION FOR THAT UHM NOTHING SERIOUS THOUGH THAT I KNOW OF +audio/RES0094.mp3[316.120,320.400] OK ALRIGHT AND WHO DO YOU CURRENTLY LIVE WITH +audio/RES0094.mp3[320.400,327.400] SO I LIVE WITH BOTH MY PARENTS AND I HAVE AN OLDER SISTER AS WELL +audio/RES0094.mp3[327.400,332.400] GOOD OK AND DO YOU SMOKE +audio/RES0094.mp3[332.400,338.720] I DID TRY A VAPE ONCE OR TWICE BUT DIDNT REALLY LIKE IT SO NO +audio/RES0094.mp3[338.720,344.440] ALRIGHT WHAT ABOUT MARIJUANA +audio/RES0094.mp3[344.440,347.680] UH NO I HAVENT TRIED THAT +audio/RES0094.mp3[347.680,349.840] ANY RECREATIONAL DRUGS +audio/RES0094.mp3[351.280,354.640] DO YOU DRINK ALCOHOL +audio/RES0094.mp3[355.680,360.400] AND HAVE YOU RECENTLY TRAVELED ANYWHERE +audio/RES0094.mp3[360.400,364.440] NO WEVE BEEN DOING CLASSES VIRTUALLY +audio/RES0094.mp3[364.440,374.000] AND ANY CONTACT WITH ANYONE WHO YOU THINK MIGHT BE SICK +audio/RES0094.mp3[374.920,426.840] OK ALRIGHT WELL SOUNDS LIKE YOU HAVE A SORE THROAT AND RUNNY NOSE YOUVE BEEN A LITTLE BIT DROWSY HAD SOME HEADACHES IN THE PAST FIVE DAYS THINGS WERE GETTING A LITTLE BIT WORSE EARLY ON BUT ITS BEEN A LITTLE BIT ITS BEEN MORE STABLE NOW WELL DO A PHYSICAL EXAM SEE JUST LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH AND CHECK YOUR TEMPERATURE AND GO FROM THERE IT SOUNDS LIKE YOU PROBABLY HAVE A VIRAL INFECTION OF SOME SORT THAT SHOULD GET HOPEFULLY GET BETTER OVER TIME WE WILL ALSO GET A COVID SWAB DONE JUST IN CASE AND IF THINGS SEEM TO GET WORSE WE CAN YOU CAN DEFINITELY COME BACK +audio/RES0094.mp3[426.840,430.760] OK GREAT THANK YOU +audio/RES0158.mp3[0.000,3.920] WHAT BRINGS YOU HERE TODAY +audio/RES0158.mp3[3.920,23.520] IVE HAD UH A NEW COUGH THAT STARTED UM THIS WEEK ITS BEEN GOING ON THE LAST LIKE THREE OR FOUR DAYS AND UM IVE HAD A HEADACHE AND UM BUT YESTERDAY I JUST NOTICED THAT I HAVENT BEEN ABLE TO TO SMELL SO I WANTED TO COME IN THIS MORNING +audio/RES0158.mp3[23.520,30.960] OK YEAH SO ITS BEEN GOING ON FOR THE LAST UH FOUR DAYS IS IT KIND OF LIKE A DRY COUGH OR A WET COUGH +audio/RES0158.mp3[30.960,32.240] ITS DRY +audio/RES0158.mp3[32.240,39.480] ITS DRY OK ARE YOU AT ALL BRINGING UP ANY KIND OF SPUTUM OR BLOOD AT ALL +audio/RES0158.mp3[39.480,44.480] NO I HAVENT BEEN +audio/RES0158.mp3[44.480,49.880] OK AND UM HAVE YOU BEEN EXPERIENCING ANY KIND OF UH FEVERS OR CHILLS +audio/RES0158.mp3[49.880,62.520] YEAH I FEEL UH I HAVE FELT FEVERISH UH AND I THINK THAT YEAH THATS KIND OF STARTED UH LIKE WITHIN THE LAST DAY +audio/RES0158.mp3[62.520,67.720] OK AND DID YOU UM GET A TEMPERATURE AT ALL +audio/RES0158.mp3[67.720,74.120] NO IVE JUST BEEN REALLY FEELING YEAH FEVERISH AND FEELING REALLY HOT +audio/RES0158.mp3[74.120,86.040] OK AND UM BESIDES THE UM COUGH ARE YOU HAVING ANY OTHER SYMPTOMS LIKE MUSCLE ACHES OR HEADACHES +audio/RES0158.mp3[86.040,99.880] UH YEAH IVE BEEN HAVING A HEADACHE LIKE I DONT KNOW ON AND OFF FOR THIS PAST THREE OR FOUR DAYS AS WELL AND I HAVE HAD MUSCLE ACHES MY WHOLE BODY KIND OF ACHES +audio/RES0158.mp3[99.880,102.640] OK UM AND WHEN DID THIS START +audio/RES0158.mp3[102.640,113.800] THATS BEEN OVER THE PAST UM LIKE 3 DAYS OR SO YEAH I WOKE UP AND IVE JUST BEEN FEELING UH YEAH ACHY AND JUST NOT FEELING GOOD +audio/RES0158.mp3[113.800,126.520] OK YEAH SO IT ALL JUST KIND OF STARTED IN THE LAST FOUR DAYS UH ARE YOU HAVING ANY KIND OF FAINTING OR DIZZINESS EPISODES AT ALL +audio/RES0158.mp3[126.520,129.320] UH NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0158.mp3[129.320,138.400] OK AND ANY UH ARE YOUR SYMPTOMS GETTING WORSE AT ALL +audio/RES0158.mp3[138.400,144.280] NO THEY WELL I INITIALLY THEY DID BUT UM THEYVE KIND OF STAYED THE SAME +audio/RES0158.mp3[144.280,149.960] OK AND HAVE YOU HAD ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0158.mp3[149.960,155.120] YEAH I HAD I HAVE IVE HAD A LOSS OF UM SMELL AND TASTE NOW THAT YOU MENTION IT YEAH +audio/RES0158.mp3[155.120,160.040] AND WHEN DID THAT HAPPEN +audio/RES0158.mp3[160.040,165.120] UM WITHIN THE LAST UH TWO DAYS +audio/RES0158.mp3[165.120,174.520] OK AND ARE YOU HAVING ANY RUNNY NOSE CONGESTION SORE THROAT ANY OF THOSE SYMPTOMS +audio/RES0158.mp3[174.520,177.760] UH NO NOT REALLY NOTHING LIKE THAT +audio/RES0158.mp3[177.760,181.760] OK HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0158.mp3[181.760,194.040] NO I I HAVENT TRAVELED UM HAVENT TRAVELED ANYWHERE BUT I IVE JUST BEEN GOING TO WORK AND AND BEING AT AT HOME +audio/RES0158.mp3[194.040,196.320] OK AND UM WHERE DO YOU GO FOR WORK +audio/RES0158.mp3[196.320,202.120] UM IM A NURSE ACTUALLY AT THE AT A UM A WALK IN CLINIC +audio/RES0158.mp3[202.120,216.920] OK AND HAVE YOU UH AT ALL BEEN EXPOSED TO ANYONE WHOS BEEN SICK UH ANYONE WHO HAS TESTED POSITIVE FOR COVID +audio/RES0158.mp3[216.920,236.600] UH NO NOBODY THAT IM AWARE OF THATS THATS TESTED POSITIVE BUT THERE HAS BEEN PEOPLE UH RECENTLY UM THAT WITHIN THE PAST WEEK THAT WEVE SEEN COME IN WITH WITH COUGH AND UM THINGS LIKE LIKE THAT SO +audio/RES0158.mp3[236.600,241.360] OK UM ARE YOU HAVING ANY NAUSEA OR VOMITING +audio/RES0158.mp3[241.360,244.720] UM NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0158.mp3[244.720,249.000] OK ANY UM NIGHT SWEATS +audio/RES0158.mp3[250.360,253.720] ANY CHEST PAIN OR SHORTNESS OF BREATH +audio/RES0158.mp3[254.800,259.880] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA CONSTIPATION +audio/RES0158.mp3[262.240,267.320] ANY UM CHANGES IN YOUR URINATION +audio/RES0158.mp3[267.320,269.000] NO NOTHING LIKE THAT +audio/RES0158.mp3[269.000,273.800] UM NO BURNING SENSATION OR PAIN AT ALL +audio/RES0158.mp3[273.800,275.840] NO NOTHING LIKE THAT +audio/RES0158.mp3[275.840,281.280] OK ANY CHANGES IN YOUR SLEEP OR APPETITE RECENTLY +audio/RES0158.mp3[281.280,296.000] UH YEAH JUST THESE PAST COUPLE OF DAYS I HAVENT REALLY FELT LIKE EATING MUCH UM MY SLEEP HAS BEEN OK BUT I THINK THATS JUST BECAUSE I HAVENT BEEN FEELING WELL SO JUST HAVENT REALLY WANTED TO EAT +audio/RES0158.mp3[296.000,299.360] OK ANY WEIGHT CHANGES RECENTLY +audio/RES0158.mp3[299.360,303.360] NO I I WISH +audio/RES0158.mp3[303.360,310.160] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST AT ALL +audio/RES0158.mp3[310.160,313.200] NO IVE BEEN IVE BEEN IVE BEEN HEALTHY +audio/RES0158.mp3[313.200,319.280] OK AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS +audio/RES0158.mp3[319.280,329.280] UM JUST THE UH THE MULTI VITAMIN AND THEN A LIKE A GREENS SUPPLEMENT +audio/RES0158.mp3[329.280,332.360] A GREEN GREEN SUPPLEMENT +audio/RES0158.mp3[332.360,345.160] YEAH ITS JUST SORT OF LIKE A LIKE A GREEN UM POWDER ITS SUPPOSED TO REPLACE UH I DONT KNOW ONE OF YOUR SERVINGS OF VEGETABLES FOR THE DAY +audio/RES0158.mp3[345.160,350.520] OK UM AND HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/RES0158.mp3[350.520,360.280] I I HAD LIKE A SCOPE ON MY KNEE WHEN I WAS UM LIKE A TEENAGER I INJURED IT PLAYING SOCCER BUT THATS IT +audio/RES0158.mp3[360.280,365.160] OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +audio/RES0158.mp3[365.160,372.440] UM MY MY GRANDFATHER HAD HAD LUNG CANCER UM BUT HE SMOKED HIS WHOLE LIFE +audio/RES0158.mp3[372.440,383.520] OK UM AND CURRENTLY SO YOU WORK AS A NURSE UH WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH ANYONE DO YOU LIVE IN HOUSE OR APARTMENT +audio/RES0158.mp3[383.520,391.880] YEAH SO I LIVE IN A HOUSE WITH MY WIFE UM WE WE HAVE A A YOUNG UM A DAUGHTER +audio/RES0158.mp3[391.880,404.200] OK HAS ANYONE IN THE HOUSE HAD SIMILAR SYMPTOMS OR BEEN FEELING SICK LATELY +audio/RES0158.mp3[404.200,424.240] NO ITS JUST BEEN ME YEAH MY WIFE AND DAUGHTER HAVE BEEN BOTH UH STAYING HOME IVE BEEN THE ONE ONLY ONE REALLY KIND OF LEAVING THE HOUSE FOR WELL GOING TO WORK AND THEN UH GETTING MOST OF THE GROCERIES AND THAT THAT SORT OF THING SINCE IM ALREADY OUT +audio/RES0158.mp3[424.240,429.000] OK OK AND CURRENTLY DO YOU SMOKE AT ALL +audio/RES0158.mp3[429.000,436.200] UH NO CIGARETTES UM WELL I UH SMOKE WEED EVERY ONCE IN AWHILE +audio/RES0158.mp3[436.200,439.120] OK AND HOW OFTEN WOULD YOU SAY YOU SMOKE WEED +audio/RES0158.mp3[439.120,445.000] UH PROBABLY LIKE UH PROBABLY ONCE A WEEK JUST YEAH JUST ON THE WEEKEND MAYBE ONCE +audio/RES0158.mp3[445.000,451.600] OK AND UH DO YOU DRINK ALCOHOL +audio/RES0158.mp3[451.600,458.320] UM I HAD SOME LIKE A COUPLE OF BEERS ON THE WEEKEND LIKE ONE OR TWO +audio/RES0158.mp3[458.320,465.240] OK UM OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0158.mp3[465.240,471.720] UM JUST A BIT CONCERNED POSSIBLY ABOUT UH COVID +audio/RES0158.mp3[471.720,521.440] OK YEAH SO THATS DEFINITELY UH WITH YOU WORKING IN THE IN THE HOSPITAL CLINICAL SETTING UM THERE IS DEFINITELY A POSSIBILITY AND A LOT OF THE SYMPTOMS THAT YOURE HAVING OVERLAP WITH COVID SYMPTOMS UH SO WE WILL DEFINITELY GET A COVID SWAB TEST DONE FOR YOU TODAY IT USUALLY COMES BACK IN THE NEXT 24 TO 48 HOURS AND UNTIL THEN UH I WOULD RECOMMEND THAT YOU ISOLATE EITHER IN A ROOM SEPARATELY WEAR A MASK AROUND YOUR FAMILY MEMBERS UM ISOLATE TO THE BEST OF YOUR ABILITIES NOT GO OUTSIDE SEE IF SOMEONE ELSE CAN GET GROCERIES FOR YOU GUYS UH AS WELL AND THEN UM DEPENDING ON THE TEST PUBLIC HEALTH WILL CONTACT YOU WITH FURTHER INSTRUCTIONS +audio/RES0158.mp3[521.440,524.640] OK YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0158.mp3[524.640,525.920] YOURE WELCOME TAKE CARE +audio/RES0158.mp3[525.920,528.480] TAKE CARE +audio/RES0178.mp3[0.000,1.560] WHAT BRINGS YOU IN +audio/RES0178.mp3[1.560,15.040] YEAH SO IM BRINGING IN MY YEAR OLD SON HERE WITH I BECAUSE HES HAD A FEVER AND AND A COUGH AND A RUNNY NOSE THESE SYMPTOMS HAVE BEEN GOING ON NOW FOR THE LAST TWO DAYS +audio/RES0178.mp3[15.040,27.480] LAST TWO DAYS OK UHM ALL OF THESE SYMPTOMS HAVE BEEN GOING ON FOR THE LAST TWO DAYS OR JUST LIKE ONE OR TWO +audio/RES0178.mp3[27.480,52.400] I THINK I THINK THE COUGH AND RUNNY NOSE STARTED 1ST AND THEN HE THEN HE KIND OF HAD SOME FEVER AND HAD SOME CHILLS AS WELL LAST NIGHT KEPT SAYING THAT LIKE HE WAS JUST COLD EVEN THOUGH HE HAD A HAD BLANKETS ON +audio/RES0178.mp3[52.400,60.960] OK OK ALRIGHT SO THE COUGH IS IT A PRODUCTIVE COUGH OR IS IT A DRY COUGH +audio/RES0178.mp3[60.960,62.240] ITS DRY +audio/RES0178.mp3[62.240,65.480] DRY OK SO NO SPUTUM NO BLOOD +audio/RES0178.mp3[65.480,67.400] NO NO NO SPUTUM OR BLOOD +audio/RES0178.mp3[67.400,69.680] ANY SHORTNESS OF BREATH WITH THAT +audio/RES0178.mp3[69.680,74.000] NO HIS BREATHING HAS BEEN BEEN GOOD +audio/RES0178.mp3[74.000,76.280] OK WHEEZINESS +audio/RES0178.mp3[76.640,80.280] CHEST PAIN +audio/RES0178.mp3[80.280,82.000] NO NO +audio/RES0178.mp3[82.000,87.600] OK THE FEVER DID YOU MEASURE IT YOURSELF +audio/RES0178.mp3[87.600,93.760] I DID YEAH IT WAS 38 POINT AH POINT 8 +audio/RES0178.mp3[93.760,103.440] OK AND THE RUNNY NOSE IS IT CLEAR OR DOES IT HAVE LIKE A COLOUR TO IT LIKE YELLOW OR GREEN +audio/RES0178.mp3[103.440,107.360] ITS PRETTY YEAH ITS MORE CLEAR +audio/RES0178.mp3[107.360,117.400] CLEAR OK ALRIGHT AND DOES HE FEEL LIKE HE ALSO HAS A STUFFY NOSE OR IS IT JUST A RUNNY NOSE +audio/RES0178.mp3[117.400,122.240] MORE JUST RUNNY YEAH HE DOESNT MENTION ANYTHING ABOUT FEELING STUFFY +audio/RES0178.mp3[122.240,130.320] OK ANY SYMPTOMS LIKE REDNESS ANY DISCHARGE +audio/RES0178.mp3[130.320,136.240] UH NO YEAH UH HE HASNT HAD ANY ANY EYE SYMPTOMS +audio/RES0178.mp3[136.240,139.680] OK HOW ABOUT HEARING WISE +audio/RES0178.mp3[139.680,142.640] UH HEARING HAS BEEN BEEN NORMAL +audio/RES0178.mp3[142.640,143.960] AND VISIONS BEEN NORMAL +audio/RES0178.mp3[143.960,145.880] IT HAS YEAH +audio/RES0178.mp3[145.880,150.880] OK ANY EAR PAIN OR DISCHARGE +audio/RES0178.mp3[150.880,155.160] AH NOPE NO EAR PAIN OR OR DISCHARGE +audio/RES0178.mp3[155.160,160.000] OK HOW ABOUT A CHANGE IN SMELL OR TASTE +audio/RES0178.mp3[161.240,164.280] NO OK WEIGHT LOSS +audio/RES0178.mp3[164.280,168.440] HE HES BEEN GAINING WEIGHT HASNT HAD ANY WEIGHT LOSS +audio/RES0178.mp3[168.440,171.040] OK ANY RASHES +audio/RES0178.mp3[172.240,174.960] NO SORE THROAT +audio/RES0178.mp3[174.960,177.640] YEAH YEAH HES HAD A BIT OF A SORE THROAT +audio/RES0178.mp3[179.600,202.280] BUT HE HASNT HES JUST KIND OF MENTIONED IT HE SAID IT WASNT TOO BAD HES STILL BEEN BEEN EATING EATING IS THAT HASNT BEEN EATING AS MUCH BUT HES GOT A POOR APPETITE BUT HE SO THIS SORE THROAT ISNT BUGGING HIM THAT MUCH THAT MUCH +audio/RES0178.mp3[202.280,206.800] OK AND HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0178.mp3[208.040,211.320] NO OK NUMBNESS OR TINGLING +audio/RES0178.mp3[212.400,217.160] MUSCLE ACHE OR JOINT PAINS +audio/RES0178.mp3[217.160,224.720] YEAH YEAH HE HAS HAD UH HE DID MENTION THAT HE JUST FEELS LIKE A KEY A LITTLE BIT ALL OVER +audio/RES0178.mp3[224.720,229.000] OK ANY CHANGES IN HIS BOWEL MOVEMENTS +audio/RES0178.mp3[229.000,230.960] NO DIARRHEA +audio/RES0178.mp3[230.960,235.040] NO OK NATURAL VOMITING +audio/RES0178.mp3[235.040,237.800] NO HE HASNT HAD ANY NAUSEA OR VOMITING +audio/RES0178.mp3[237.800,242.520] OK UHM HOW ABOUT CHANGES TO HIS APPETITE +audio/RES0178.mp3[242.520,247.840] YEAH HIS APPETITES BEEN A BIT DOWN YEAH +audio/RES0178.mp3[247.840,253.640] IS HE STILL EATING SOLIDS +audio/RES0178.mp3[253.640,261.160] HE IS YEAH HES STILL EATING SOLIDS JUST A LITTLE BIT PROBABLY JUST JUST SMALLER PORTIONS THOUGH +audio/RES0178.mp3[261.160,269.960] OK YEAH AND AH ARE THERE ANY CHANGES TO HIS URINE +audio/RES0178.mp3[269.960,275.960] NO THERE THERE HASNT BEEN ANY ANY CHANGES TO HIS HEARING +audio/RES0178.mp3[275.960,285.760] OK UHM ANY PAST MEDICAL ILLNESSES OR ANY LONGSTANDING MEDICAL CONDITIONS THAT HE HAS +audio/RES0178.mp3[285.760,297.720] NO HES HES BEEN UM HES BEEN PRETTY HEALTHY YEAH I MEAN HES GOT GOT GETS A COLD EVERY ONCE IN AWHILE MAYBE IN THE WINTER BUT THATS ABOUT IT +audio/RES0178.mp3[297.720,304.320] OK ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0178.mp3[304.320,307.440] UH NO HES BEEN HEALTHY +audio/RES0178.mp3[307.440,315.200] OK ANY COMPLICATIONS WITH HIS MOTHERS PREGNANCY WITH HIM +audio/RES0178.mp3[315.200,333.040] NO ITS BEEN AH IT WAS NORMAL PREGNANCY THROUGHOUT IT WAS TO TERM AND IT WAS A CSECTION DELIVERY BUT THAT WENT WELL AND HE WAS A NORMAL WEIGHT +audio/RES0178.mp3[333.040,337.240] OK AND WAS IT AN EMERGENCY CSECTION +audio/RES0178.mp3[337.240,362.760] AH NO I THINK IT WAS LIKE LABOR WAS TAKING IT WAS PROLONGED I MEAN SO IT THEY ENDED UP DECIDING TO JUST CONVERT THROUGHOUT IT WASNT AN EMERGENCY BUT LIKE THEY COULD HAVE WAITED A BIT LONGER THEY WERE SAYING BUT JUST KIND OF WHAT WENT MADE THE DECISION +audio/RES0178.mp3[362.760,368.880] OK OK AND IS HE ON ANY MEDICATIONS +audio/RES0178.mp3[368.880,370.720] UH NO HES NOT +audio/RES0178.mp3[370.720,382.280] NO OK AND DEVELOPMENTAL WISE HAS HE BEEN HITTING ALL HIS MILESTONES FOR LIKE MOTOR MOVEMENTS SPEECH BEHAVIOUR SOCIAL SOCIALIZATION WISE +audio/RES0178.mp3[382.280,387.480] HE HAS YEAH HES BEEN MEETING ALL OF HIS MILESTONES FOR THAT FOR THAT +audio/RES0178.mp3[387.480,392.800] OK GOOD IS HE UP TO DATE WITH HIS IMMUNIZATIONS +audio/RES0178.mp3[392.800,396.520] HE IS YEAH +audio/RES0178.mp3[396.520,399.760] OK DOES HE HAVE ANY ALLERGIES +audio/RES0178.mp3[399.760,403.400] UH NO NO ALLERGIES +audio/RES0178.mp3[403.400,410.440] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0178.mp3[410.440,424.880] UH NO IT HIS GRANDFATHER HAD HIGH BLOOD PRESSURE AND LIKE HIGH CHOLESTEROL BUT THATS THATS IT +audio/RES0178.mp3[424.880,432.280] OK AND HAS HE BEEN IN CONTACT WITH SICK SICK PEOPLE RECENTLY +audio/RES0178.mp3[432.280,439.200] UH NO I DONT THINK SO YEAH +audio/RES0178.mp3[439.200,447.760] NO OK AND AND ANY TRAVEL RECENTLY +audio/RES0178.mp3[447.760,461.520] NO HE HE HES BEEN DOING SOME SCHOOLING SOME SCHOOLING ONLINE AND SOME SOME IN PERSON AND BUT BUT OTHERWISE THEYVE JUST BEEN AT HOME +audio/RES0178.mp3[461.520,469.200] OK UHM ALRIGHT AND DOES ANYONE AT HOME SMOKE +audio/RES0178.mp3[469.200,471.480] NO SMOKING AT HOME +audio/RES0178.mp3[471.480,474.200] NO OK AND WHO DOES HE LIVE WITH +audio/RES0178.mp3[474.200,486.680] SO HE LIVES WITH MYSELF AS WELL AS HIS HIS MOM AND THEN HES GOT A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL +audio/RES0178.mp3[486.680,497.360] OK AND AT HOME ANY REASON TO THINK THAT OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT COULD BE MAKING HIS SYMPTOMS WORSE +audio/RES0178.mp3[497.360,501.240] I DONT THINK SO YEAH ITS BEEN ALL THATS BEEN OK +audio/RES0178.mp3[501.240,508.000] OK AND AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0178.mp3[508.000,516.800] NO I I I JUST WANTED TO FIGURE OUT WHAT THIS WAS +audio/RES0178.mp3[516.800,596.560] OK YEAH SO IT SOUNDS OR ACTUALLY I SHOULD START BY SAYING WE SHOULD GET A COVID SWAB ON HIM JUST IN CASE IT IS COVID BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE SYMPTOMS OF COVID UMM YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS OF THOSE SWABS AND IN THE MEANTIME IT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR AND FROM THE SOUNDS OF IT YOU SAID HE HAS A FEVER HES COUGHING AND HE HAS A RUNNY NOSE AND HAS MUSCLE ACHES IT COULD ALSO BE THE FLU REGARDLESS OF WHAT KIND OF VIRAL AND VIRAL INFECTION HE HAS THE BEST WAY TO MANAGE IT RIGHT NOW IS JUST SUPPORTIVE CARE SO MAKING SURE HES HYDRATED EATING FOODS WITH A LOT OF NUTRITION AND JUST KEEP AN EYE ON HIS SYMPTOMS IF IT GETS WORSE OR IF ITS VERY SEVERE AND HE HAS FOCAL NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES TAKE HIM TO THE ER RIGHT AWAY HOW DOES THAT SOUND +audio/RES0178.mp3[596.560,600.360] YEAH THAT SOUNDS GOOD THANK YOU +audio/RES0178.mp3[600.360,605.080] YEAH NO PROBLEM +audio/RES0056.mp3[0.000,2.160] WHAT BRINGS YOU IN +audio/RES0056.mp3[2.160,12.440] SO YEAH IVE JUST BEEN HAVING A COUGH FOR THE LAST WEEK AND I THINK I HAD A LITTLE BIT OF A FEVER IN THE LAST FEW DAYS +audio/RES0056.mp3[12.440,18.720] OK SO YOU SAID THE COUGH STARTED A WEEK AGO +audio/RES0056.mp3[18.720,32.880] YEAH AROUND A WEEK AGO OK AND THE FEVER STARTED TWO TO THREE DAYS AGO YEAH I HAVENT REALLY MEASURED IT BUT LIKE I DEFINITELY HAVE BEEN FEELING CHILLSIVE BEEN WEARING LIKE MULTIPLE BLANKETS OVER THE LAST FEW DAYS +audio/RES0056.mp3[32.880,40.640] OK HAVE YOU TAKEN YOUR TEMPERATURE YOU SAID YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT +audio/RES0056.mp3[40.800,48.760] OK SO LETS FOCUS ON THE COUGH IS IT PERSISTENT OR DOES IT COME AND GO +audio/RES0056.mp3[48.760,53.600] I THINK THE COUGH IS PRETTY PERSISTENT OVER THE LAST WEEK +audio/RES0056.mp3[53.600,62.600] OK AND DOES IT GET WORSE WITH LIKE COLD AIR OR DUST LIKE MAYBE PETS OR ANYTHING LIKE THAT +audio/RES0056.mp3[62.600,67.800] NO I THINK IT STAYS AROUND THE SAME +audio/RES0056.mp3[67.800,75.920] OK UMM DOES IT GET BETTER WITH ANYTHING HAVE YOU TRIED ANY OVER THE COUNTER COUGH SYRUP +audio/RES0056.mp3[75.920,93.080] YES I TRIED TYLENOL COLD AND LIKED IT I THINK IT MADE IT A BIT BETTER LIKE IT HELPED ME SLEEP OTHER THAN THAT DURING THE DAY ITS STILL AROUND THE SAME +audio/RES0056.mp3[93.080,103.280] OK AND HOW WOULD YOU DESCRIBE THIS COUGH IS IT BARKY IS IT HARSH DOES IT SOUND MUFFLED +audio/RES0056.mp3[103.280,115.600] HOW I WOULD SAY IS THAT ITS KIND OF LIKE ITS NOT TOO HARSH ITS MORE LIKE A WET COUGH IM DEFINITELY BRINGING UP SOME SOME SPUTUM +audio/RES0056.mp3[115.600,121.040] OK UM WHAT COLOR IS THE SPUTUM +audio/RES0056.mp3[121.040,127.680] ITS USUALLY LIKE A UH LIKE A WHITE AND SOMETIMES LIKE A LITTLE BIT YELLOW AS WELL +audio/RES0056.mp3[127.680,132.480] OK IS IT EVER GREEN OR DO YOU EVER SEE BLOOD IN THERE +audio/RES0056.mp3[132.480,141.040] NO I HAVENT SEEN ANY OF THAT +audio/RES0056.mp3[141.040,146.400] OK AND HAVE YOU EVER HAD A COUGH LIKE THIS BEFORE +audio/RES0056.mp3[146.400,160.520] UMM YEAH PROBABLY LIKE IN THE LAST YEAR MAYBE I HAVE GOTTEN SICK LIKE ONCE AND HAD A SIMILAR COUGH +audio/RES0056.mp3[160.520,164.680] OK DO YOU HAVE A SORE THROAT +audio/RES0056.mp3[164.680,167.560] NO I DONT HAVE A SORE THROAT +audio/RES0056.mp3[167.560,172.640] IS THIS COUGH GETTING WORSE +audio/RES0056.mp3[172.640,183.400] ITS I THINK NOT REALLY IT STAYED AROUND THE SAME AND I DEFINITELY FEEL A BIT BETTER WITH THE TYLENOL COLD +audio/RES0056.mp3[183.400,187.960] OK GOOD ANY CHANGES IN YOUR TASTE OR SMELL +audio/RES0056.mp3[187.960,190.080] NO NO CHANGES +audio/RES0056.mp3[190.080,194.080] OK ANY CHANGES IN HEARING OR VISION +audio/RES0056.mp3[195.480,202.720] AND DID YOU HAVE IN THE PAST WEEK A RUNNY OR STUFFY NOSE +audio/RES0056.mp3[204.560,210.000] OK ANY WEIGHT LOSS OVER THE PAST MONTH +audio/RES0056.mp3[210.000,212.480] UMM NO NOT REALLY +audio/RES0056.mp3[212.480,218.560] HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0056.mp3[218.560,221.120] NO NO CHANGES TO THE SKIN +audio/RES0056.mp3[221.120,224.280] OK ANY SHORTNESS OF BREATH +audio/RES0056.mp3[224.280,226.200] NO NO +audio/RES0056.mp3[226.200,229.160] HOW ABOUT WHEEZING +audio/RES0056.mp3[229.160,233.960] NO I DONT THINK IVE RECENTLY +audio/RES0056.mp3[233.960,235.200] DOK CHEST PAIN +audio/RES0056.mp3[235.200,239.040] NO CHEST PAIN +audio/RES0056.mp3[239.040,248.720] HOW ABOUT SWELLING HAVE YOU NOTICED ANY SWELLING IN LIKE YOUR LEGS OR ARMS OR YOUR BELLY AREA +audio/RES0056.mp3[248.720,252.080] NO I DONT THINK SO +audio/RES0056.mp3[252.080,257.200] OK HOW ABOUT YOU FEELING LIKE YOUR HEARTS RACING +audio/RES0056.mp3[257.200,260.920] NO NO NOTHING LIKE THAT +audio/RES0056.mp3[260.920,265.000] OK HOW ABOUT A CALF PAIN +audio/RES0056.mp3[265.000,266.760] NO NO +audio/RES0056.mp3[266.760,269.600] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0056.mp3[269.600,272.000] NO NOTHING LIKE THAT +audio/RES0056.mp3[274.400,278.440] CONFUSION OR MEMORY LOSS +audio/RES0056.mp3[278.440,279.400] I DONT THINK SO +audio/RES0056.mp3[279.400,281.840] HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL +audio/RES0056.mp3[281.840,290.880] YEAH I LIKE GO THREE TIMES A DAY AND I DONT HAVE ANY DIARRHEA OR ANYTHING +audio/RES0056.mp3[290.880,293.120] OK HOW ABOUT URINATING WISE +audio/RES0056.mp3[293.120,298.760] EVERYTHING NORMAL THERE YEAH NO TROUBLE +audio/RES0056.mp3[298.760,301.720] OKNAUSEA OR VOMITING +audio/RES0056.mp3[303.000,307.680] JOINT PAIN OR MUSCLE ACHE +audio/RES0056.mp3[307.680,313.200] NO I DONT THINK SO +audio/RES0056.mp3[313.200,319.360] OK ANY CONTACTS WITH SICK PEOPLE AROUND YOU RECENTLY +audio/RES0056.mp3[319.360,333.240] MY WIFE WAS ACTUALLY JUST SICK LAST WEEK BUT SHE RECOVERED SHE DID HAVE A FEVER FOR ONE OF THE DAYS AND SHE ALSO HAD A COUGH +audio/RES0056.mp3[333.240,337.400] OK DID SHE GET IT CHECKED OUT IN A CLINIC +audio/RES0056.mp3[337.400,349.680] NO I DONT THINK SO SHE DID GET THAT COVITEST DONE BUT IT CAME BACK NEGATIVE AND SHE DIDNT GO TO THE DOCTOR OR ANYTHING IT KIND OF JUST WENT AWAY ON ITS OWN +audio/RES0056.mp3[349.680,356.920] OK ANY TRAVEL RECENTLY +audio/RES0056.mp3[357.680,364.920] ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0056.mp3[364.920,379.320] JUST AS A CHILD I HAD PROBABLY IN MY TEENS HAD MY APPENDIX REMOVED BUT NOTHING OTHER THAN THAT +audio/RES0056.mp3[379.320,383.840] OK OK NO HOSPITALIZATIONS OTHER THAN THAT TOO RIGHT +audio/RES0056.mp3[383.840,385.960] NO NO +audio/RES0056.mp3[385.960,389.840] ARE YOU ON ANY MEDICATIONS +audio/RES0056.mp3[389.840,395.640] NO I JUST TAKE SOME MULTI VITAMINS +audio/RES0056.mp3[395.640,400.000] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0056.mp3[400.000,402.800] YEAH AS FAR AS I KNOW +audio/RES0056.mp3[402.800,406.440] OK HOW ABOUT ALLERGIES +audio/RES0056.mp3[406.440,424.320] I DO HAVE LIKE SOME I GET SOME RUNNY NOSE AROUND SPRING TIME PROBABLY I THINK IM ALLERGIC TO POLLEN +audio/RES0056.mp3[424.320,428.480] OK AND ANY FAMILY HISTORY OF LUNG CONDITIONS +audio/RES0056.mp3[428.480,429.760] NO NOT THAT I KNOW +audio/RES0056.mp3[429.760,435.720] HOW ABOUT HEART CONDITIONS +audio/RES0056.mp3[435.720,444.680] NO I THINK MY FATHER HAS HIGH BLOOD PRESSURE IF THATS LIKE A HEART CONDITION +audio/RES0056.mp3[444.680,450.320] OK SURE AND HOW OLD WAS HE WHEN HE GOT THAT +audio/RES0056.mp3[450.320,459.400] HES AROUND LIKE 60S RIGHT NOW SO PROBABLY LIKE IN HIS 40S +audio/RES0056.mp3[459.400,464.920] OK ANY CANCERS IN THE FAMILY +audio/RES0056.mp3[464.920,471.960] I DO HAVE AN AUNT ON MY MOTHERS SIDE WHO HAD OVARIAN CANCER +audio/RES0056.mp3[471.960,484.600] OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH OVARIAN CANCER +audio/RES0056.mp3[484.600,490.240] I THINK PROBABLY IN HER 50S +audio/RES0056.mp3[490.240,495.520] OK AND DO YOU SMOKE +audio/RES0056.mp3[495.520,498.440] NO I DONT SMOKE +audio/RES0056.mp3[498.440,502.360] HOW ABOUT MARIJUANA +audio/RES0056.mp3[502.360,512.520] MARIJUANA JUST MAYBE LIKE ONE OR TWO JOINTS IN A MONTH JUST WHEN IM FEELING THAT I NEED TO RELAX A LITTLE +audio/RES0056.mp3[512.520,515.560] OK SURE AND BY JOINT YOU SAID ONCE A MONTH RIGHT +audio/RES0056.mp3[515.560,520.000] YEAH ONCE PER MONTH +audio/RES0056.mp3[520.000,521.520] OK ANY OTHER DRUGS +audio/RES0056.mp3[521.520,523.640] NO NO OTHER DRUGS +audio/RES0056.mp3[523.640,529.400] AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0056.mp3[529.400,537.400] I LIVE IN LONDON RIGHT NOW I LIVE WITH MY WIFE IN AN APARTMENT +audio/RES0056.mp3[537.400,544.040] OK ANY REASONS TO THINK YOU HAVE OLD CARPET MOLD OR ASBESTOS +audio/RES0056.mp3[544.040,553.240] NO ITS A FAIRLY NEW APARTMENT +audio/RES0056.mp3[553.240,562.080] OK AND WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS FOR ME +audio/RES0056.mp3[562.080,568.440] YOU DONT THINK IT COULD BE COVIRIGHT LIKE MY WIFE GOT TESTED AND IT WAS NEGATIVE +audio/RES0056.mp3[568.440,572.320] ARE YOU CONCERNED ABOUT THAT +audio/RES0056.mp3[572.320,573.640] YEAH FOR SURE +audio/RES0056.mp3[573.640,649.840] HONESTLY SOME OF YOUR SYMPTOMS DO SEEM TO BE OVERLAPPING WITH THAT OF COVIESPECIALLY THE COUGH AND FEVER SO WE ARE GOING TO DO A COVISWAB JUST TO RULE THAT OUT SO YOU WILL GET THOSE RESULTS IN 24 TO 48 HOURS AND YOU SHOULD ISOLATE FOR 14 DAYS BECAUSE YOUR SYMPTOMS OVERLAP PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE JUST TO DO SOME CONTACT TRACING BUT IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR IF YOURE EXPERIENCING SYMPTOMS LIKE NEUROLOGICAL DEFICITS OR WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT GET HELP FROM THE ER RIGHT AWAY AND IF YOUR SYMPTOMS ARE PERSISTING BEYOND LIKE SEVEN DAYS TO 10 DAYS ALSO YOU SHOULD GIVE US A CALL BACK TO SEE WHATS GOING ON BECAUSE IT COULD BE SOMETHING LIKE A BACTERIAL INFECTION IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS DOES THAT SOUND OK +audio/RES0056.mp3[649.840,652.840] OK GREAT THANK YOU +audio/RES0056.mp3[652.840,656.560] THANK YOU +audio/RES0082.mp3[0.000,3.960] HOW MAY I HELP YOU TODAY +audio/RES0082.mp3[3.960,15.920] IVE BEEN HAVING UHH LIKE NASAL CONGESTION AND IVE BEEN SNEEZING A LOT OVER THESE LAST COUPLE OF DAYS AND IVE ALSO BEEN HAVING A SORE THROAT +audio/RES0082.mp3[15.920,18.280] OH NO WHEN DID THAT START +audio/RES0082.mp3[18.280,25.920] SO THE STORE THROAT STARTED LIKE 2 DAYS AGO +audio/RES0082.mp3[25.920,34.280] OK AND SINCE THEN YOUVE DEVELOPED THIS NASAL CONGESTION AND SNEEZING AS WELL +audio/RES0082.mp3[34.280,40.160] YEAH EXACTLY IT STARTED A BIT AFTERWARDS OR AROUND THE SAME TIME +audio/RES0082.mp3[40.160,50.120] YEAH ALRIGHT AND HAVE YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A FEVER +audio/RES0082.mp3[50.120,58.320] UH NO I DONT THINK SO +audio/RES0082.mp3[58.320,63.640] OK DO YOU HAVE ANY DIFFICULTIES SWALLOWING +audio/RES0082.mp3[63.640,74.560] UH YEAH IT HAS BEEN A BIT SORE WHEN EATING FOOD BUT IT HASNT BEEN SO PAINFUL TO PREVENT ME FROM EATING +audio/RES0082.mp3[74.560,79.720] OK DO YOU HAVE A COUGH +audio/RES0082.mp3[79.720,84.480] NO I HAVENT HAD A COUGH +audio/RES0082.mp3[84.480,88.640] OK UHM AND DO YOU HAVE A RUNNY NOSE ANY DISCHARGE +audio/RES0082.mp3[88.640,97.400] UH YEAH THERES BEEN A LITTLE BIT OF A LIKE WATERY DISCHARGE MY NOSE HAS BEEN RUNNING +audio/RES0082.mp3[97.400,108.120] ANY EAR PAIN OR ANY PAIN IN YOUR CHEEKS OR YOUR HEAD WHEN YOURE BENDING OVER ANYTHING LIKE THAT +audio/RES0082.mp3[108.120,121.520] UH YEAH NOW THAT YOU SAY IT YEAH WHEN I WAS BENDING OVER TO PUT MY SHOES ON I FELT JUST A BIT OF PRESSURE ON THE FRONT OF MY FACE +audio/RES0082.mp3[121.520,127.360] OK AND YOU HAVENT BEEN FEELING FEVERISH OR HAVING HAVING ANY CHILLS RIGHT +audio/RES0082.mp3[129.440,136.040] OK ANY FATIGUE MALAISE ANY ACHES OR PAINS +audio/RES0082.mp3[136.040,142.640] UH NO I FELT OK THAT WAY YEAH +audio/RES0082.mp3[142.640,144.720] ANY RASHES +audio/RES0082.mp3[144.720,146.320] UH NO +audio/RES0082.mp3[146.320,152.240] NO OK HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0082.mp3[152.240,153.640] I HAVE YES +audio/RES0082.mp3[153.640,168.920] ALRIGHT AND JUST HAVE A COUPLE MORE QUESTIONS JUST TO SEE IF ANYTHING ELSE IS GOING ON DO YOU HAVE A HEADACHE AT ALL +audio/RES0082.mp3[168.920,188.360] UH YEAH IVE HAD A HEADACHE SINCE THIS MORNING ITS PRETTY MILD IT FEELS LIKE MY HEAD IS SQUEEZING I THINK UH IVE HAD HEADACHES LIKE THIS BEFORE IF I DONT SLEEP WELL OR DEHYDRATED +audio/RES0082.mp3[188.360,193.840] ARE YOU MORE STRESSED OUT THAN USUAL DO YOU HAVE EXAMS OR ANYTHING GOING ON RIGHT NOW +audio/RES0082.mp3[193.840,202.840] NO SCHOOLS BEEN PRETTY GOOD WEVE BEEN DOING A LOT OF STUFF ONLINE SO UH YEAH THATS BEEN GOOD +audio/RES0082.mp3[202.840,209.920] OK ANY UH DO YOU FIND THAT YOUR EYES ARE RUNNY OR RED OR ANYTHING LIKE THAT +audio/RES0082.mp3[209.920,212.840] UH NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0082.mp3[212.840,217.960] OK ALRIGHT AND ANY DIFFICULTIES BREATHING +audio/RES0082.mp3[219.760,221.920] ANY CHEST PAIN +audio/RES0082.mp3[221.920,223.080] NO CHEST PAIN +audio/RES0082.mp3[223.080,227.800] OK ANY PAIN IN YOUR BELLY OR ANY PROBLEMS WITH YOUR BOWEL MOVEMENTS +audio/RES0082.mp3[229.800,233.720] OK ANY URINARY SYMPTOMS +audio/RES0082.mp3[234.760,242.480] OK ALRIGHT GOOD SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0082.mp3[242.480,253.200] UH NO I HAD DERMATITIS WHEN I WAS A KID BUT I HAVENT HAD ANY ISSUES SINCE I REMEMBER USING SOME CREAMS FOR THAT BUT I HAVENT NEEDED TO USE THEM RECENTLY +audio/RES0082.mp3[253.200,262.440] OK AND ANY MEDICATIONS THAT YOURE TAKING CURRENTLY INCLUDING OVER THE COUNTER PILLS +audio/RES0082.mp3[262.440,268.480] I DONT TAKE ANYTHING CURRENTLY +audio/RES0082.mp3[268.480,279.640] OK DID YOU TAKE ANY MEDICATIONS TO REDUCE THE SYMPTOMS THAT YOURE HAVING THE HEADACHE OR THE SORE THROAT +audio/RES0082.mp3[279.640,289.360] OH SORRY YEAH I USED SOME ADVIL THIS MORNING I THINK IT WAS 400 MILLIGRAMS +audio/RES0082.mp3[289.360,293.400] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0082.mp3[293.400,294.600] UM YEAH TO CATS +audio/RES0082.mp3[294.600,303.760] HAVE YOU BEEN AROUND A CAT RECENTLY +audio/RES0082.mp3[303.760,314.200] NO WE USED TO HAVE A CAT BUT UNFORTUNATELY WE WERE UNABLE TO KEEP IT BECAUSE ALLERGIES WERE SO BAD +audio/RES0082.mp3[314.200,319.520] YEAH DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES AT ALL +audio/RES0082.mp3[319.520,337.080] UHM YEAH SOMETIMES IN THE SPRING OR FALL I CAN GET LIKE ITCHY EYES AND A RUNNY NOSE SO THATS WHY I DIDNT THINK MUCH ABOUT THE RUNNY NOSE AT FIRST BUT WITH A SORE THROAT AND BEEN SNEEZING MORE I THOUGHT TO COME IN +audio/RES0082.mp3[337.080,353.840] YEAH OK SO IN TERMS OF YOUR UH SO GENERAL INFORMATION DO YOU LIVE ALONE OR DO YOU LIVE WITH YOUR PARENTS OR ANYONE ELSE +audio/RES0082.mp3[353.840,357.400] YEAH I LIVE WITH MY MOM DAD AND A YOUNGER BROTHER +audio/RES0082.mp3[357.400,365.000] ALRIGHT AND ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL +audio/RES0082.mp3[365.000,376.000] YEAH IM FINISHING UP GRADE 8 AND WERE DOING THE COURSES ONLINE +audio/RES0082.mp3[376.000,385.280] OK GREAT SO HAVE YOU SPENT ANY TIME OUTDOORS OR SPENT ANY TIME WITH PEOPLE WHO YOU THINK MIGHT BE SICK +audio/RES0082.mp3[385.280,397.040] WELL IVE PLAYED SOME LIKE BASKETBALL OUTSIDE WITH ONE OF THE NEIGHBORS BUT I DONT THINK HES BEEN SICK +audio/RES0082.mp3[397.040,401.360] OK ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0082.mp3[401.360,403.360] NO IVE BEEN AT HOME +audio/RES0082.mp3[403.360,416.120] OK UHM ALRIGHT AND DO YOU UHM HAVE YOU HAD THESE SYMPTOMS ANYTIME RECENTLY BEFORE +audio/RES0082.mp3[416.120,421.200] NO NOT THAT I CAN THINK OF +audio/RES0082.mp3[421.200,427.600] NO HAVE YOU BEEN TESTED FOR COVID ANYTIME IN THE RECENT PAST +audio/RES0082.mp3[427.600,428.760] NO I HAVENT +audio/RES0082.mp3[428.760,432.000] HAVE YOU TAKEN ANY ANTIBIOTICS RECENTLY +audio/RES0082.mp3[433.120,454.080] OK ALRIGHT WELL IT SOUNDS LIKE YOURE PROBABLY HAVING JUST A COMMON COLD LIKELY VIRAL SO AND SEEING THAT ITS ONLY BEEN TWO DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE IN THE PAST COUPLE OF DAYS +audio/RES0082.mp3[454.080,459.040] THEYVE GOTTEN WORSE SINCE ITS STARTED +audio/RES0082.mp3[459.040,488.440] YEAH OK WELL ITS ONLY BEEN TWO DAYS SO FAR LETS JUST KEEP AN EYE ON YOUR SYMPTOMS AND SEE HOW YOURE DOING IT MIGHT ALSO BE A GOOD IDEA JUST TO GET A COVID SWAB DONE AND IF YOUR SYMPTOMS CONTINUE TO WORSEN GIVE ME A CALL AGAIN AND WE CAN TALK ABOUT IT A LITTLE BIT MORE AND SEE IF MAYBE A BACTERIAL INFECTION OR IF THERES SOMETHING ELSE THATS GOING ON YOU DONT HAVE ANY DIFFICULTIES BREATHING DO YOU +audio/RES0082.mp3[488.440,489.800] NO I DONT +audio/RES0082.mp3[489.800,496.640] ALRIGHT OK ALRIGHT UMM WELL DO A PHYSICAL EXAM AND THEN CHAT A LITTLE BIT MORE AFTER +audio/RES0082.mp3[496.640,501.240] OK THANK YOU +audio/RES0058.mp3[0.000,2.160] HOW ARE YOU +audio/RES0058.mp3[2.160,5.880] IM DOING OK THANK YOU HOW ARE YOU +audio/RES0058.mp3[5.880,9.360] IM WELL THANKS WHAT BRINGS YOU IN TODAY +audio/RES0058.mp3[9.360,21.160] SO USUALLY WE GO TO MY FAVORITE PIZZA SPOT FOR LUNCH AND THESE LAST COUPLE OF DAYS IVE NOTICED I JUST CANT TASTE IT +audio/RES0058.mp3[21.160,28.720] OK WHEN YOU SAY THE PAST COUPLE OF DAYS DO YOU MEAN TWO DAYS THREE DAYS FOUR DAYS +audio/RES0058.mp3[28.720,34.120] I WOULD SAY THE LAST TWO DAYS YEAH JUST YESTERDAY AND TODAY +audio/RES0058.mp3[34.120,49.200] OK SO LOSS OF TASTE SO YOU CANT TASTE ANYTHING OR YOU CAN ONLY TASTE SOME THINGS OR YOURE JUST NOT GETTING THE FULL DEPTH OF YOUR TASTE +audio/RES0058.mp3[49.200,65.280] YEAH I REALLY NOTICED IT WITH THE PIZZA BUT WITH LIKE OTHER THINGS TOO ITS JUST A YEAH REALLY PLAIN IT DOESNT REALLY HAVE ANY FLAVOR WITH THE FOOD THAT IM EATING +audio/RES0058.mp3[65.280,70.120] OK SO IT KIND OF TASTES LIKE CARDBOARD +audio/RES0058.mp3[70.120,81.840] YEAH KIND OF AND I THINK LIKE I MEAN PART OF THAT IS THAT I MAYBE NOT SMELLING IT AS WELL EITHER +audio/RES0058.mp3[81.840,93.680] YEAH OK UMM DID YOU HAVE ANY TRAUMA TO THE AREA LIKE THE MOUTH AREA OR THE NOSE AREA IN THE PAST COUPLE OF DAYS OR DAYS LEADING UP TO THAT +audio/RES0058.mp3[93.680,96.200] UMM NO NOT AT ALL NO +audio/RES0058.mp3[96.200,101.040] OK AND DO YOU HAVE A FEVER AT ALL +audio/RES0058.mp3[101.040,105.440] UMM I DONT THINK SO NO +audio/RES0058.mp3[105.440,108.320] OK YOU HAVE A COUGH +audio/RES0058.mp3[108.320,110.760] YEAH IVE HAD A COUGH +audio/RES0058.mp3[110.760,113.640] OK A SIMILAR TIMELINE +audio/RES0058.mp3[113.640,118.920] YEAH THATS WHEN THE COUGH STARTED MAYBE THREE OR FOUR DAYS AGO +audio/RES0058.mp3[118.920,124.440] OK AND IS IT A DRY COUGH OR A WET COUGH +audio/RES0058.mp3[124.440,126.240] YEAH ITS A DRY COUGH +audio/RES0058.mp3[126.240,129.640] OK SO NO SPUTUM NO BLOOD +audio/RES0058.mp3[129.640,132.120] NO SPUTUM AND AND NO BLOOD +audio/RES0058.mp3[132.120,137.280] AND DO YOU FEEL WHEEZY AT ALL +audio/RES0058.mp3[137.280,138.320] NO WHEEZINESS +audio/RES0058.mp3[138.320,142.880] HOW ABOUT SHORTNESS OF BREATH +audio/RES0058.mp3[142.880,147.840] UMM MAYBE AFTER COUGHING IVE HAD A HARD TIME CATCHING MY BREATH +audio/RES0058.mp3[147.840,158.520] OK SURE YEAH AND HOW ABOUT ANY FATIGUE DO YOU FEEL LIKE YOURE MORE TIRED THAN USUAL +audio/RES0058.mp3[158.520,172.720] YEAH THESE PAST FEW DAYS I HAVE DEFINITELY I FELT MORE TIRED IVE BEEN SLEEPING A LOT MORE THROUGHOUT THE DAY AND JUST I DONT KNOW KIND OF LAZY +audio/RES0058.mp3[172.720,180.360] YEAH AND I KNOW YOU MENTIONED YOURE HAVING A HARD TIME TASTING HOW ABOUT YOUR APPETITE THOUGH DO YOU FEEL LIKE YOUVE LOST APPETITE +audio/RES0058.mp3[180.360,184.640] I THINK APPETITES BEEN OK IVE BEEN HUNGRY +audio/RES0058.mp3[184.640,190.400] YEAH OK UMM HOW ABOUT MUSCLE ACHES +audio/RES0058.mp3[190.400,192.680] UMM NO JUST TIRED +audio/RES0058.mp3[192.680,196.600] OK AND CHEST PAIN +audio/RES0058.mp3[196.600,198.400] NO CHEST PAIN +audio/RES0058.mp3[198.400,203.680] ALRIGHT DO YOU HAVE A FEELING LIKE YOUR HEARTS RACING +audio/RES0058.mp3[203.680,205.520] NO NOTHING LIKE THAT +audio/RES0058.mp3[205.520,210.880] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0058.mp3[210.880,214.080] UMM YEAH WELL I HAD DIARRHEA THIS MORNING ACTUALLY +audio/RES0058.mp3[214.080,217.880] OK SO SOME DIARRHEA THIS MORNING +audio/RES0058.mp3[217.880,228.760] NONE BEFORE THAT THOUGH IT WAS JUST THE ONE OR KIND OF TWO TIMES BUT IT HASNT HAPPENED SINCE THEN +audio/RES0058.mp3[228.760,231.720] OK NO CONSTIPATION +audio/RES0058.mp3[232.760,234.360] NO BLOOD IN YOUR STOOL +audio/RES0058.mp3[234.360,239.400] I KNOW I DIDNT SEE ANYTHING RED +audio/RES0058.mp3[239.400,247.840] OK HOW ABOUT YOUR STOOL SEEMING LIKE ITS VERY DARK ALMOST TO THE POINT WHERE IT LOOKS BLACK +audio/RES0058.mp3[247.840,254.400] OH NO IT IT WASNT DARK LIKE THAT +audio/RES0058.mp3[254.400,257.240] OK GOOD ANY ABDOMINAL PAIN +audio/RES0058.mp3[259.400,262.560] ANY ISSUES SWALLOWING FOOD +audio/RES0058.mp3[262.560,270.280] UMM NO ISSUES SWALLOWING FOOD MY THROAT HAS FELT A BIT ITCHY I MEAN IVE BEEN COUGHING ALOT +audio/RES0058.mp3[270.280,274.240] DOES IT FEEL SORE AS WELL +audio/RES0058.mp3[274.240,281.160] NOT REALLY OR JUST KIND OF YEAH KIND OF SCRATCHY +audio/RES0058.mp3[281.160,286.920] OK HAVE YOU HAD A RUNNY NOSE OR A BLOCKED NOSE +audio/RES0058.mp3[286.920,292.240] UMM NOT REALLY +audio/RES0058.mp3[292.240,295.680] NO OK ANY RASHES +audio/RES0058.mp3[295.680,300.800] UMM NO I HAVENT NOTICED ANY RASHES +audio/RES0058.mp3[300.800,304.320] OK AND ARE THINGS NORMAL WITH YOUR URINE +audio/RES0058.mp3[304.320,306.320] YEAH THEY ARE +audio/RES0058.mp3[306.320,310.920] HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0058.mp3[310.920,325.280] UMM A LITTLE BIT DIZZY I WHEN I GOT OUT OF BED THIS MORNING BUT WE SAT BACK DOWN FOR A COUPLE OF MINUTES I FELT BETTER +audio/RES0058.mp3[325.280,340.760] OK GOOD GOOD DO YOU THINK THAT THIS MORNING YOU WERE DIZZY BECAUSE YOU WERE DEHYDRATED OR IS THIS LIKE A NORMAL THING FOR YOU +audio/RES0058.mp3[340.760,357.000] I MEAN I GUESS I COULD HAVE BEEN DEHYDRATED I DIDNT EVEN THINK OF THAT BUT I MEAN SINCE THE FOOD DIDNT TASTE SO GREAT I DONT KNOW I PROBABLY DIDNT EAT AS MUCH YESTERDAY OR THE LAST COUPLE OF DAYS MAYBE I HAVENT EATEN AS MUCH +audio/RES0058.mp3[357.000,362.520] OK YEP OK DO YOU FEEL WEAK +audio/RES0058.mp3[362.520,375.000] I DONT KNOW MAYBE MAYBE A LITTLE WEAK BUT UMM JUST WAY MORE TIRED +audio/RES0058.mp3[375.000,382.280] OK ANY CONFUSION OR MEMORY LOSS +audio/RES0058.mp3[382.280,390.640] UMM NO I HAVE BEEN ABLE TO DO SOME OF MY SCHOOL WORK +audio/RES0058.mp3[390.640,395.160] OK GOOD AND YOU MENTIONED NO RASHES RIGHT +audio/RES0058.mp3[395.160,396.560] NO RASH +audio/RES0058.mp3[396.560,403.520] OK ANY WEIGHT LOSS OVER THE PAST COUPLE OF MONTHS +audio/RES0058.mp3[403.520,407.440] NOTHING LIKE THAT NO WEIGHT CHANGE ITS BEEN THE SAME +audio/RES0058.mp3[407.440,415.840] OK HOW ABOUT UMM NIGHT SWEATS OR CHILLS +audio/RES0058.mp3[415.840,423.560] I FELT A BIT UMM HOT BUT NOT SWEATY JUST HOT +audio/RES0058.mp3[423.560,426.040] OK SO KIND OF LIKE YOU HAVE A FEVER +audio/RES0058.mp3[426.040,430.840] YEAH I GUESS SO MAYBE +audio/RES0058.mp3[430.840,432.600] SURE ANY MUSCLE ACHES +audio/RES0058.mp3[432.600,439.160] UMM NO MUSCLE ACHES +audio/RES0058.mp3[439.160,443.760] HAVE YOU BEEN AROUND ANYONE WHOS BEEN SICK RECENTLY +audio/RES0058.mp3[443.760,451.080] YEAH THERE IS THIS GUY IN MY CLASS WHO WAS SICK IN CLASS LAST WEEK +audio/RES0058.mp3[451.080,456.320] WHAT KIND OF SYMPTOMS DID HE HAVE +audio/RES0058.mp3[456.320,474.240] WELL HE HAD A COUGH AND FEVER YEAH I THINK HE HAD A COUGH AND A FEVER AND SOMEBODY SAID THAT MAYBE A SORE THROAT OR SOMETHING LIKE THAT +audio/RES0058.mp3[474.240,485.280] OK SO YEAH SOME SYMPTOMS OVERLAP WITH YOURS I GUESS HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0058.mp3[485.280,496.200] OH NO IVE BEEN AT HOME WE JUST STARTED BACK AT GOING IN PERSON TO SCHOOL AGAIN +audio/RES0058.mp3[496.200,504.080] OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY +audio/RES0058.mp3[504.080,509.120] YEAH I HAVENT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0058.mp3[509.120,517.960] OH GOOD OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0058.mp3[517.960,526.080] POSSIBLY CATS BUT WE DONT HAVE ANY PETS AT HOME +audio/RES0058.mp3[526.080,530.880] OK GOOD HAVE YOU BEEN AROUND CATS RECENTLY +audio/RES0058.mp3[531.480,541.920] OK AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0058.mp3[541.920,555.000] I DID HAVE MY APPENDIX TAKEN OUT LIKE 4 FOUR YEARS AGO YEAH AT THE BEGINNING OF HIGH SCHOOL BUT THAT WAS THE ONLY SURGERYAND EVERYTHING WENT WELL +audio/RES0058.mp3[555.000,564.320] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0058.mp3[564.320,574.760] I AM YEAH I HAVE MY IMMUNIZATION CARD HERE ACTUALLY +audio/RES0058.mp3[574.760,582.160] OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS THAT YOU KNOW OF +audio/RES0058.mp3[582.160,601.240] I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED HIS WHOLE LIFE ALSO ALSO DIABETES BUT DONT KNOW IF HE HAD ANY HEART PROBLEMS THOUGH +audio/RES0058.mp3[601.240,605.080] OK IM SORRY I FORGOT TO ASK YOU ARE YOU ON ANY MEDICATIONS +audio/RES0058.mp3[605.080,607.280] UMM IM NOT +audio/RES0058.mp3[607.280,612.920] OK AND DO YOU SMOKE +audio/RES0058.mp3[612.920,616.040] UMM I DONT +audio/RES0058.mp3[616.040,624.080] OK HOW ABOUT MARIJUANA +audio/RES0058.mp3[624.080,626.600] UH NO OH BUT I GUESS I USE A VAPE EVERY ONCE IN A WHILE +audio/RES0058.mp3[626.600,631.560] WITH LIKE MARIJUANA +audio/RES0058.mp3[631.560,634.920] NO ITS LIKE THOSE FLAVORED ONES +audio/RES0058.mp3[634.920,642.240] OH OK YEAH HOW OFTEN DO YOU USE THAT +audio/RES0058.mp3[642.240,647.520] ITS LIKE A FEW TIMES A DAY +audio/RES0058.mp3[647.520,653.000] OK AND IS THERE ANY TOBACCO IN THERE OR NICOTINE +audio/RES0058.mp3[653.000,662.880] I THINK THERE MIGHT BE BUT UMM I DONT KNOW I USUALLY JUST BUY THE FLAVORED ONES +audio/RES0058.mp3[662.880,687.640] OK WELL YOU SHOULD PROBABLY LOOK INTO IF IT HAS TOBACCO OR NICOTINE BECAUSE NEITHER OF THOSE ARE GOOD FOR YOUR HEALTH AND SO WE CAN YOU KNOW HAVE A DISCUSSION LATER ON TRYING TO CUT DOWN OR QUITTING COMPLETELY IF YOU ARE OPEN TO THAT +audio/RES0058.mp3[687.640,689.080] YEAH SURE +audio/RES0058.mp3[689.080,695.520] ILL JUST CONTINUE ON ASKING YOU SOME OTHER QUESTIONS DO YOU DRINK ALCOHOL +audio/RES0058.mp3[695.520,696.080] UMM NO +audio/RES0058.mp3[696.080,705.600] AND WHO DO YOU LIVE WITH +audio/RES0058.mp3[705.600,712.400] I LIVE WITH MY MOM MY STEP DAD AND THEN MY YOUNGER SISTER +audio/RES0058.mp3[712.400,715.760] OK DO YOU GUYS LIVE IN A HOUSE +audio/RES0058.mp3[715.760,718.840] WE LIVE IN A TOWNHOUSE +audio/RES0058.mp3[718.840,722.280] OK IN THE CITY YOU SAID +audio/RES0058.mp3[722.280,731.880] YEAH YEAH I LIVE CLOSE I GO TO HIGH SCHOOL NOT TOO FAR FROM HERE +audio/RES0058.mp3[731.880,745.600] OH THATS NICE AND ANY CONCERNS WITH THE LIVING ARRANGEMENTS IN TERMS OF YOU KNOW LIKE IT BEING AN OLD BUILDING OLD CARPETS MOLD ANYTHING LIKE THAT +audio/RES0058.mp3[745.600,754.200] NO I LIVE IN A NICE PLACE ITS USUALLY LIKE REALLY CLEAN +audio/RES0058.mp3[754.200,769.160] OK GOOD UMM ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS THAT YOU WANTED TO BRING UP +audio/RES0058.mp3[769.160,774.040] I GUESS THE ONLY THING THAT I WAS CONCERNED ABOUT WAS POSSIBLY HAVING COVI +audio/RES0058.mp3[774.040,840.840] YEAH YOU KNOW THATS PROBABLY TOP ON MY LIST OF THINGS TO INVESTIGATE YOU FOR SO I WOULD SAY COVIOR OTHER VIRAL ILLNESSES THAT COULD BE GOING AROUND THIS TIME OF YEAR THAT WOULD HAVE LESS OF A SIMILAR PRESENTATION AND SO WE WILL DO A COVISWAB FOR YOU AND IN THE MEANTIME IF YOU COULD ISOLATE FOR 14 DAYS REGARDLESS OF WHETHER THE SWAB COMES BACK POSITIVE OR NEGATIVE AND THAT WOULD BE GREAT IF THE SWAB COMES BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL TRY TO TRACE WHERE YOU COULD HAVE CAUGHT THIS FROM AND IF IT TURNS OUT ITS NOT A VIRAL ILLNESS WE WILL TRY TO WORK YOU UP FOR ANY BACTERIAL INFECTIONS WHICH CAN BE TREATED WITH ANTIBIOTICS SO THATS WHERE WE WILL START DOES THAT SOUND GOOD +audio/RES0058.mp3[840.840,843.120] YEAH THAT MAKES SENSE +audio/RES0058.mp3[843.120,847.880] OK GREAT WELL HAVE A GREAT DAY +audio/RES0058.mp3[847.880,853.640] YEAH THANK YOU +audio/RES0189.mp3[0.000,1.440] HOW MAY I HELP YOU +audio/RES0189.mp3[1.440,27.120] SO IVE BEEN HAVING A LOT OF TROUBLE IN THE LAST TWO WEEKS OF ESPECIALLY THIS PAST WEEK OF JUST A LOT OF SHORTNESS OF BREATH IM GETTING A LOT OF COUGHING AS WELL AND PRODUCING A LOT OF MATERIAL AND ALSO I THINK I MIGHT HAVE BEEN HAVING A FEVER THIS WEEK AS WELL +audio/RES0189.mp3[27.120,34.480] OK UH THE SHORTNESS OF BREATH IS IT HAPPENING AT REST OR EXERTION AND HOW MUCH EXERTION +audio/RES0189.mp3[34.480,64.200] UHM I THINK ITS HAPPENING MOSTLY ON EXERTION USUALLY IM ABLE TO WALK AROUND THE HOUSE NO ISSUES GO UP AND DOWN STAIRS BUT RIGHT NOW IM PRETTY LIMITED I CANT REALLY GO UP AND DOWN STAIRS WITHOUT GETTING REALLY SHORT OF BREATH I CANT EVEN WALK FROM THE BEDROOM TO THE KITCHEN WITHOUT BECOMING SHORTNESS OF LIKE SHORT OF BREATH +audio/RES0189.mp3[64.200,72.040] OK UM OK AND WHEN DID THAT CHANGE HAPPEN +audio/RES0189.mp3[72.040,79.680] SO I WOULD SAY ONE WEEK AGO IS WHEN THIS ALL KIND OF STARTED +audio/RES0189.mp3[79.680,84.240] OK AND HAS IT BEEN GETTING ANY BETTER WORSE OR STAYING THE SAME +audio/RES0189.mp3[84.240,110.280] I WOULD SAY ITS KIND OF GETTING WORSE IM COUGHING A LOT MORE SPUTUM UP IM GETTING MORE AND MORE SHORT OF BREATH NOW I DO HAVE A CALL FOR LIKE A VERY LONG TIME NOW IVE I WAS DIAGNOSED WITH COPIN MY 60S PROBABLY LIKE 10 YEARS AGO AND BUT THIS SEEMS TO BE JUST A MUCH WORSE THAN MY COPD +audio/RES0189.mp3[110.280,125.160] OK SURE ITS BEEN A LOT WORSE IN THE LAST WEEK IT SOUNDS LIKE OK UHM HAVE YOU ARE YOU ABLE TO LIE FLAT LIKE ON YOUR BACK WITHOUT EXPERIENCING SHORTER BREATH SHORTNESS OF BREATH +audio/RES0189.mp3[125.160,132.520] YEAH AND WHEN IM RESTING OR LYING DOWN OR TRYING TO SLEEP I DONT GET SHORT OF BREATH +audio/RES0189.mp3[132.520,143.480] OK AND HAVE YOU EVER HAD INSTANCES WHERE YOU WOKE UP IN THE MIDDLE OF THE NIGHT REALLY SHORT OF BREATH AND YOU HAD TO SIT UP TO CATCH YOUR BREATH +audio/RES0189.mp3[143.480,146.880] UH NO I DONT THINK SO +audio/RES0189.mp3[146.880,152.640] OK HAVE YOU NOTICED ANY LEG SWELLING +audio/RES0189.mp3[153.640,164.960] OK AND YOU SAID THAT TO YOU SO YOUVE HAD A COUGH FOR AWHILE NOW BUT ITS GOTTEN WORSE THIS PAST WEEK IN YOUR ARE YOU BRINGING UP SPUTUM +audio/RES0189.mp3[164.960,180.720] YEAH IM BRINGING UP A LOT OF MATERIALS I THINK EVERY TIME I COUGH IM BRINGING SOME SPUTUM UP AND RIGHT NOW THE LIKE USUALLY THE COLOR IS LIKE CLEAR TO WHITISH BUT RIGHT NOW ITS A BIT MORE YELLOW +audio/RES0189.mp3[180.720,189.680] OK SO A CHANGE IN THE SPUTUM COLOR AND ALSO SOUNDS LIKE YOURE BRINGING UP MORE SPUTUM AS WELL +audio/RES0189.mp3[190.600,196.760] OK AND HAVE YOU BROUGHT UP OR COUGHED UP ANY BLOOD SO HAVE YOU HAD ANY HEMOPTYSIS +audio/RES0189.mp3[196.760,200.680] NO NOTHING LIKE THAT +audio/RES0189.mp3[200.680,207.120] OK AND HAVE YOU HAD ANY WHEEZING +audio/RES0189.mp3[207.120,215.240] UHM I DO BUT WHEN I GET SHORT OF BREATH I HAVE SOME WHEEZING BUT USUALLY I DONT +audio/RES0189.mp3[215.240,221.000] OK BUT BUT YOUVE HAD WHEEZING THIS PAST WEEK THOUGH +audio/RES0189.mp3[223.480,228.120] YEAH OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0189.mp3[228.120,236.080] JUST WHEN IM COUGHING AND GETTING SHORT OF BREATH I DO HAVE SOME DISCOMFORT IN MY CHEST +audio/RES0189.mp3[236.080,245.320] OK UH DO YOU FEEL THAT OR COULD YOU DESCRIBE HE THE PAINS CHARACTER LIKE IS IT SHARP DULL OR ACHY +audio/RES0189.mp3[245.320,259.720] ITS MORE JUST AN ACHE AND ITS KIND OF MORE OF A DISCOMFORT THAN A PAIN AND IT KIND OF GOES AWAY ONCE MY EPISODE OF COUGHING AND SHORTNESS OF BREATH IS RELIEVED WITH SOME REST +audio/RES0189.mp3[259.720,265.880] OK UH AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +audio/RES0189.mp3[265.880,284.520] YEAH IVE BEEN NOTICING THAT IM GETTING A LOT MORE CHILLS THIS PAST WEEK THEY KIND OF COME AND GO BUT EVEN AT NIGHT I GET LIKE THESE CHILLS THAT AFTER WRAP MYSELF UP IN AT LEAST THREE BLANKETS +audio/RES0189.mp3[284.520,288.480] OK AND HAVE YOU HAD A FEVER +audio/RES0189.mp3[288.480,299.160] UH I DIDNT GET A CHANCE TO MEASURE ANY OF THEM BUT I MIGHT HAVE HAD A FEVER JUST FROM THE CHILLS THAT IM EXPECTING THAT I HAD A FEVER +audio/RES0189.mp3[299.160,303.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0189.mp3[305.320,312.720] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0189.mp3[312.720,317.400] NO I THINK MY WEIGHTS BEEN PRETTY STEADY +audio/RES0189.mp3[317.400,321.440] OK HAVE YOU HAD ANY HEADACHES +audio/RES0189.mp3[321.960,327.640] HAVE YOU HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE +audio/RES0189.mp3[327.640,330.440] NO NOT THAT I KNOW OF +audio/RES0189.mp3[330.440,334.880] OK HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +audio/RES0189.mp3[337.160,342.520] OK HAVE YOU HAD A LOSS OF TASTE OR LOSS OF SMELL +audio/RES0189.mp3[342.520,346.360] NO NOTHING LIKE THAT +audio/RES0189.mp3[346.360,350.480] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0189.mp3[352.000,354.680] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0189.mp3[354.680,356.640] NO ABDOMINAL PAIN +audio/RES0189.mp3[356.640,359.160] HAVE YOU HAD ANY DIARRHEA +audio/RES0189.mp3[359.760,361.960] HAVE YOU HAD ANY CONSTIPATION +audio/RES0189.mp3[362.680,367.360] HAVE YOU HAD ANY SKIN RASHES +audio/RES0189.mp3[368.640,372.000] ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0189.mp3[372.000,373.960] NO NOTHING LIKE THAT +audio/RES0189.mp3[373.960,380.080] OK AND HAVE YOU HAD ANY ANY FATIGUE +audio/RES0189.mp3[380.080,394.000] MAYBE A LITTLE BIT MORE TIRED JUST WITH THE SHORTNESS OF BREATH AND CHILLS AND EVERYTHING LIKE THAT BUT YEAH SO A LITTLE BIT MORE FATIGUE +audio/RES0189.mp3[394.000,400.320] OK AND HAVE YOU HAD ANY FAINTING OR DIZZINESS +audio/RES0189.mp3[400.320,402.760] UH NO +audio/RES0189.mp3[402.760,406.640] OR OK AND HAVE YOU HAD ANY HEART PALPITATIONS +audio/RES0189.mp3[408.400,419.040] ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0189.mp3[419.040,431.880] NO OH SORRY MEDICAL CONDITIONS IN THE PAST COPI HAVE I ALSO DO HAVE SOME HIGH BLOOD PRESSURE AND I TAKE SOME MEDICATIONS FOR CHOLESTEROL AS WELL +audio/RES0189.mp3[431.880,443.600] OK SO YOU TAKE MEDICATIONS FOR CHOLESTEROL AND HIGH BLOOD PRESSURE AND YOU USE ANY INHALERS +audio/RES0189.mp3[443.600,469.840] NO SORRY INHALERS I USE UH TWO DIFFERENT KINDS OF INHALERS SO ONE OF THEM IS JUST WHEN I LIKE NEED IT UH LIKE IVE BEEN USING A LOT MORE RECENTLY LIKE THE VENTOLIN AND THEN I ALSO HAVE ANOTHER INHALER CALLED SPIRIVA THAT IVE BEEN USING AS WELL +audio/RES0189.mp3[469.840,475.880] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0189.mp3[475.880,481.880] UHM I DO HAVE AN ALLERGY TO SULFA DRUGS +audio/RES0189.mp3[481.880,484.720] AND WHAT REACTION +audio/RES0189.mp3[484.720,489.160] I USUALLY BREAK OUT INTO HIVES +audio/RES0189.mp3[489.160,496.360] OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/RES0189.mp3[496.360,516.520] SO IVE HAD A SURGERY TO REMOVE MY APPENDIX WHEN I WAS REALLY YOUNG THEN IVE HAD ANOTHER SURGERY FOR MY HIPS AS WELL BUT YEAH OTHER THAN THAT NO OTHER ISSUES +audio/RES0189.mp3[516.520,520.720] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0189.mp3[520.720,526.480] YEAH ALL OF MY IMMUNIZATIONS SHOULD BE UP TO DATE +audio/RES0189.mp3[526.480,533.400] OK EXCELLENT AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH +audio/RES0189.mp3[533.400,548.720] YEAH SO I I CURRENTLY LIVE ALONE IN IN AN APARTMENT JUST IN THE CITY AND YEAH IVE BEEN LIVING ALONE FOR PROBABLY THE LAST FIVE YEARS +audio/RES0189.mp3[548.720,554.000] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0189.mp3[554.000,567.480] UHM NOT RECENTLY I THINK I JUST I JUST GO OUT TO GET GROCERIES AND STUFF I HAVENT REALLY BEEN GOING OUT TOO MUCH +audio/RES0189.mp3[567.480,575.240] ALRIGHT SO HAVE YOU TRAVELED ANYWHERE +audio/RES0189.mp3[576.840,579.960] OK UHM DO YOU DRINK ALCOHOL +audio/RES0189.mp3[579.960,583.960] MAYBE A COUPLE OF YEARS A WEEK +audio/RES0189.mp3[583.960,587.440] OK AND DO YOU SMOKE CIGARETTES +audio/RES0189.mp3[587.440,596.880] YEAH I STILL SMOKE CIGARETTES EVEN THOUGH I HAVE COPI JUST YEAH I CANT REALLY QUIT I SMOKE PROBABLY HALF A PACK A DAY +audio/RES0189.mp3[596.880,601.480] OK HOW LONG HAVE YOU SMOKED FOR APPROXIMATELY +audio/RES0189.mp3[601.480,610.640] UH PROBABLY AT LEAST 45 YEARS +audio/RES0189.mp3[610.640,626.840] OK AND UHM IF YOU WANTED TO TALK ABOUT QUITTING WE CAN DISCUSS THAT FURTHER AT A LATER TIME IF YOUD LIKE UHM AND SO DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0189.mp3[626.840,633.360] NO NO NO NO DRUGS AT ALL +audio/RES0189.mp3[633.360,642.880] OK UHM AND HAVE YOU HAD A FAMILY HISTORY OF HEART DISEASE OR ANY LUNG CONDITIONS +audio/RES0189.mp3[642.880,657.880] UHM NOT I MEAN LIKE NO LUNG CONDITIONS BUT I HAVE A FAMILY HISTORY LIKE MY BOTH MY GRANDATHER AND FATHER BOTH HAD HEART ATTACKS IN THEIR 60S +audio/RES0189.mp3[657.880,662.720] OK AND ANY LUNG CANCER IN THE FAMILY +audio/RES0189.mp3[662.720,667.280] NO NOT THAT I KNOW OF +audio/RES0189.mp3[667.280,678.400] OK SO I THINK THAT WAS ALL THE QUESTIONS THAT I I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT ABOUT THAT YOU WANTED TO MENTION +audio/RES0189.mp3[678.400,686.360] UHM NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD AND EVERYTHING WAS COVERED +audio/RES0189.mp3[686.360,745.880] OK UHM SO UH THE NEXT STEPS FOR NOW I THINK WILL BE TO UH START WELL GET A PHYSICAL EXAM IN AND YOUR VITAL SIGNS AND GET SOME INVESTIGATIONS IT IS SOUNDING LIKE A COPEXACERBATION WITH THE INCREASING AND THE CHANGE CHANGING SPUTUM THE INCREASING FREQUENCY OF COUGH AND THE EXERTIONAL SHORTNESS OF BREATH AS WELL ALONG WITH WHEEZING AND KIND OF THIS CHEST DISCOMFORT THAT YOURE EXPERIENCING AND SO UH THIS WILL REQUIRE SOME ANTIBIOTICS AS WELL AND DEPENDING ON THE SEVERITY OF SYMPTOMS POSSIBLY SOME STEROIDS AS WELL TO HELP WITH THE INFLAMMATION +audio/RES0189.mp3[745.880,751.720] OK THAT SOUNDS GOOD THANK YOU +audio/RES0139.mp3[0.000,2.080] WHAT BRINGS YOU IN HERE TODAY +audio/RES0139.mp3[2.080,13.440] UM IM JUST IM HERE BECAUSE IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND UH ITS JUST NOT GOING AWAY +audio/RES0139.mp3[13.440,16.840] OKAY AND UM IS IT GETTING WORSE AT ALL REALLY +audio/RES0139.mp3[16.840,22.760] NOT REALLY ITS JUST BEEN THE SAME +audio/RES0139.mp3[22.760,26.720] HOW WOULD YOU DESCRIBE THE COUGH IS IT A WET COUGH OR A DRY COUGH +audio/RES0139.mp3[26.720,29.040] ITS A DRY COUGH +audio/RES0139.mp3[29.040,36.840] OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR BLOOD AT ALL +audio/RES0139.mp3[36.840,38.400] UH NO +audio/RES0139.mp3[38.400,44.680] UM WOULD YOU DESCRIBE IT AS LIKE A A BARKING COUGH A HARSH COUGH OR A MUFFLED COUGH +audio/RES0139.mp3[44.680,48.240] NOT REALLY +audio/RES0139.mp3[48.240,59.000] NO OKAY UM BEFORE YOU STARTED UH COUGHING DID YOU HAVE ANY OTHER SYMPTOMS LIKE RUNNY NOSE CONGESTION SORE THROAT ANYTHING LIKE THAT +audio/RES0139.mp3[59.000,59.320] UH NO +audio/RES0139.mp3[59.320,61.160] OKAY SO ITS JUST THE COUGH +audio/RES0139.mp3[62.440,64.800] OKAY ANY FEVERS OR CHILLS +audio/RES0139.mp3[66.920,70.920] OKAY AND IS THE COUGH CONSTANT OR DOES IT COME AND GO +audio/RES0139.mp3[70.920,75.520] IT UH I GUESS ITS JUST ITS THERE THROUGHOUT THE DAY +audio/RES0139.mp3[75.520,84.160] ITS THERE THROUGHOUT THE DAY OKAY AND IS IT BROUGHT ON BY ANY ACTIVITIES OR OR DOES IT JUST COME ON BY ITSELF +audio/RES0139.mp3[84.160,86.160] IT COMES ON BY ITSELF +audio/RES0139.mp3[86.160,92.160] OKAY AND HAS IT GOTTEN ANY BETTER AT ALL OR STAYED AROUND THE SAME +audio/RES0139.mp3[92.160,93.800] ITS STAYED THE SAME +audio/RES0139.mp3[93.800,99.760] OKAY HAS THIS HAPPENED TO YOU BEFORE WHERE YOU HAD A COUGH FOR A LONG TIME +audio/RES0139.mp3[101.120,106.520] NO OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE CHEST PAIN SORE THROAT +audio/RES0139.mp3[107.400,117.720] OKAY UM ANY RECENT TRAVEL OR CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0139.mp3[117.720,130.240] I DONT THINK SO NO I JUST WENT TO MY I WENT TO SEE MY FAMILY DOCTOR UM FOR SOME PRESCRIPTIONS +audio/RES0139.mp3[131.000,133.120] UM THREE WEEKS AGO +audio/RES0139.mp3[133.120,136.800] THREE WEEKS AGO OKAY ANY HEADACHES AT ALL +audio/RES0139.mp3[138.680,141.800] OKAY NAUSEA OR VOMITING +audio/RES0139.mp3[142.040,143.880] ANY NIGHT SWEATS +audio/RES0139.mp3[143.880,146.800] UM NO NOTHING LIKE THAT +audio/RES0139.mp3[146.800,148.440] ANY FATIGUE AT ALL +audio/RES0139.mp3[151.840,155.440] NO ANY SHORTNESS OF BREATH +audio/RES0139.mp3[158.640,161.600] AND NO CHEST PAIN +audio/RES0139.mp3[162.880,167.200] ANY DIARRHEA OR CONSTIPATION +audio/RES0139.mp3[167.840,172.200] OKAY UM ANY WHEEZING AT ALL +audio/RES0139.mp3[173.160,178.920] OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY +audio/RES0139.mp3[178.920,182.160] UM NO NO I DONT THINK SO +audio/RES0139.mp3[182.160,186.080] ANY CHANGES SORRY ANY ISSUES WITH YOUR URINATION +audio/RES0139.mp3[187.560,193.120] ARE YOU SLEEPING WELL OR DOES THE COUGH KEEP YOU UP AT NIGHT +audio/RES0139.mp3[193.120,197.920] UM ITS ITS NOT SO IT HASNT INTERRUPTED MY SLEEP +audio/RES0139.mp3[197.920,201.400] OKAY AND HOWS YOUR APPETITE BEEN LIKE +audio/RES0139.mp3[201.400,204.040] NO EVERYTHINGS OKAY +audio/RES0139.mp3[204.040,209.480] OKAY AND ANY UH LOSS OF YOUR SENSE OF TASTE OR SMELL +audio/RES0139.mp3[210.800,220.600] NO OKAY UM ANY EXPOSURE TO ANY FUMES OR DUST WITHIN YOUR ENVIRONMENT OR ANIMALS OR PETS +audio/RES0139.mp3[221.280,228.240] UM AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS LIKE ASTHMA COPANYTHING LIKE THAT +audio/RES0139.mp3[228.240,251.960] UM I WENT IN FOR I WENT IN FOR A CHECKUP THREE WEEKS AGO AND UH I FOUND OUT I HAD HIGH BLOOD PRESSURE YOU KNOW WHO WOULD HAVE THOUGHT AND THEN MY DOC STARTED ME ON THIS PILL CALLED RAMIPRIL AND UH IVE JUST BEEN CHECKING MY BLOOD PRESSURE ON A REGULAR BASIS AND ITS YEAH ITS BEEN GOOD BUT OTHER THAN THAT IM VERY HEALTHY +audio/RES0139.mp3[251.960,254.240] OKAY AND NO ASTHMA +audio/RES0139.mp3[254.240,255.440] NO ASTHMA +audio/RES0139.mp3[255.440,261.960] OKAY AND ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +audio/RES0139.mp3[261.960,264.280] UM JUST PENICILLIN +audio/RES0139.mp3[264.280,270.080] JUST PENICILLIN AND HAVE YOU TAKEN ANY ANTIBIOTICS OR PENICILLIN RECENTLY +audio/RES0139.mp3[270.960,273.720] NO AND UM WHAT MEDICATIONS ARE YOU ON +audio/RES0139.mp3[273.720,276.480] JUST JUST THAT ONE +audio/RES0139.mp3[276.480,279.640] JUST THE RAMIPRIL +audio/RES0139.mp3[279.640,282.520] I ALSO TAKE I ALSO TAKE A MULTIVITAMIN +audio/RES0139.mp3[282.520,290.640] MULTIVITAMIN OKAY HAVE YOU BEEN HOSPITALIZED BEFORE OR HAD ANY SURGERIES +audio/RES0139.mp3[292.200,299.200] NO OKAY UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0139.mp3[299.200,302.720] UM NO NO I DONT THINK SO +audio/RES0139.mp3[302.720,304.400] OKAY ANY CANCERS +audio/RES0139.mp3[304.400,312.120] YEAH UH PANCREATIC CANCER AND COLON CANCER RUNS IN THE FAMILY +audio/RES0139.mp3[312.120,317.520] OKAY AND IS THAT UH ANY DIRECT RELATIVES LIKE YOUR MOM OR DAD OR KIDS +audio/RES0139.mp3[317.520,323.880] MY MY GRANDPARENTS ON MY MOMS SIDE +audio/RES0139.mp3[323.880,330.440] UM AND CURRENTLY DO YOU WORK UM OR ARE YOU RETIRED +audio/RES0139.mp3[330.440,332.200] IM A LAWYER +audio/RES0139.mp3[332.200,336.320] OKAY AND UH DO YOU WORK FROM HOME RIGHT NOW OR DO YOU GO IN PERSON +audio/RES0139.mp3[336.320,338.120] YEAH IVE BEEN WORKING FROM HOME +audio/RES0139.mp3[338.120,347.200] YOUVE BEEN WORKING FROM HOME OKAY UM AND WHATS YOUR HOME SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE DO YOU LIVE IN A HOUSE OR AN APARTMENT +audio/RES0139.mp3[347.200,360.920] UM I LIVE I LIVE IN AN APARTMENT I UM I LIVE ALONE I JUST GOT I HAD A DIVORCE TWO YEARS AGO AND SINCE THEN IVE BEEN IVE BEEN LIVING ALONE +audio/RES0139.mp3[360.920,373.000] OKAY IM SORRY UM AND IS IN YOUR HOME ENVIRONMENT IS THERE ANY KIND OF ALLERGENS LIKE DUST OR ANY MOLD OR ANYTHING LIKE THAT +audio/RES0139.mp3[373.000,375.080] NO NOTHING LIKE THAT +audio/RES0139.mp3[375.080,380.520] OKAY AND CURRENTLY DO YOU SMOKE AT ALL +audio/RES0139.mp3[380.520,382.640] UM SOMETIMES +audio/RES0139.mp3[382.640,390.160] SOMETIMES HOW OFTEN WOULD YOU SAY YOU SMOKE +audio/RES0139.mp3[390.160,397.640] UM MAYBE UH TWO OR THREE CIGARETTES MAYBE THREE OR FOUR DAYS A WEEK +audio/RES0139.mp3[397.640,402.880] OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0139.mp3[402.880,410.040] UM SO I I USED TO SMOKE A LOT WHEN I WAS YOUNG AND THEN I QUIT AND THEN I STARTED AGAIN TWO YEARS AGO +audio/RES0139.mp3[410.040,417.000] OKAY UM OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0139.mp3[417.000,418.880] NO I DONT +audio/RES0139.mp3[418.880,422.680] OKAY UM AND DO YOU DRINK ALCOHOL +audio/RES0139.mp3[423.080,432.000] HOW MUCH WOULD YOU SAY YOU DRINK ON AN AVERAGE DAY +audio/RES0139.mp3[432.000,442.640] MORE THAN I WOULD LIKE TO MENTION I YEAH I MAYBE 5 OR 6 BEERS A DAY +audio/RES0139.mp3[442.640,448.680] OKAY AND UM IS THIS SOMETHING THATS NEW FOR YOU OR HAS BEEN GOING ON FOR YEARS NOW +audio/RES0139.mp3[448.680,455.200] AGAIN THAT STARTED ABOUT TWO YEARS AGO SO +audio/RES0139.mp3[455.200,459.520] UM AND UH DO YOU USE SO NO OTHER RECREATIONAL DRUGS RIGHT +audio/RES0139.mp3[459.520,460.520] NO NOTHING ELSE +audio/RES0139.mp3[460.520,481.680] YEAH SO WE CAN DEFINITELY TALK MORE ABOUT ALCOHOL USAGE DEFINITELY ESPECIALLY WHEN THERES UH PEOPLE GOING THROUGH STRESSFUL TIMES THERE CAN BE INCREASING SUBSTANCE USE INCLUDING ALCOHOL SO WE DEFINITELY HAVE A LOT OF RESOURCES THAT WE CAN UM DISCUSS TODAY IF YOU WOULD LIKE +audio/RES0139.mp3[481.680,484.680] YEAH I WOULD REALLY LIKE THAT THANK YOU +audio/RES0139.mp3[484.680,496.680] YOURE WELCOME UM YEAH BUT THOSE ARE ALL THE QUESTIONS I HAD FOR TODAY WELL DEFINITELY DO LIKE A PHYSICAL EXAMINATION BUT IT SEEMS YOUVE JUST BEEN HAVING A COUGH FOR THE LAST TWO WEEKS +audio/RES0139.mp3[499.360,505.880] WITHOUT ANY OTHER SYMPTOMS UM OKAY SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +audio/RES0139.mp3[505.880,507.200] UM NO +audio/RES0139.mp3[507.200,527.760] SO WHAT WELL DO IS SINCE YOUVE HAD THIS COUGH FOR THE LAST TWO WEEKS WE DEFINITELY WANT TO DO A COVISWAB JUST IN CASE YOUVE BEEN UH WORKING FROM HOME BUT IF THERE WAS ANY POTENTIAL CONTACT THEY USUALLY IT COMES BACK IN 24 TO 48 HOURS +audio/RES0139.mp3[528.920,565.960] OTHER THAN THAT SOMETIMES UH WITH A HISTORY OF SMOKING YOU CAN HAVE SOMETHING CALLED UH COPWE CAN LIKE AFTER THE PHYSICAL EXAMINATIONS AND EVERYTHING WE CAN POTENTIALLY DISCUSS DOING PULMONARY FUNCTION TESTS AS WELL UM AND YEAH BUT OTHER THAN THAT IT CAN ALSO JUST BE LIKE A DRY COUGH CAN BE JUST A VIRAL UPPER RESPIRATORY TRACT INFECTION THAT TAKES TWO OR MORE WEEKS TO RESOLVE IN THAT CASE WE WOULDNT REALLY +audio/RES0139.mp3[566.960,570.920] UM YEAH SO WELL DO THE PHYSICAL EXAMINATION AND THEN GO FROM THERE +audio/RES0139.mp3[570.920,572.520] SOUNDS GREAT +audio/RES0139.mp3[572.520,575.640] ALRIGHT TAKE CARE +audio/RES0179.mp3[0.000,1.400] WHAT BRINGS YOU IN +audio/RES0179.mp3[1.400,17.960] UH IVE HAD THIS COUGH ITS BEEN GOING ON NOW FOR LIKE LAST SIX MONTHS OR SO AND BEEN LOSING SOME WEIGHT AS WELL IVE LOST I THINK LIKE 20 OR 30 POUNDS IN THE LAST SIX MONTHS +audio/RES0179.mp3[17.960,26.840] OK YEAH THATS A LOT OF WEIGHT SO THE WEIGHT LOSS YOU SAID 20 TO 30 POUNDS +audio/RES0179.mp3[26.840,27.600] YEAH YEAH +audio/RES0179.mp3[28.280,33.120] LIKE JUST OVER 200 AND IM IN THE 170S NOW +audio/RES0179.mp3[33.120,37.080] OK SO THAT WAS IN THE PAST SIX MONTHS WHEN DO THE COUGH START +audio/RES0179.mp3[37.080,60.520] WELL IVE HAD A COUGH BEFORE UH LIKE A SMOKERS COUGH AH AND THATS BEEN LIKE A FEW COUPLE OF YEARS BUT THATS JUST A COUGH THAT I WOULD HAVE IN THE MORNING AND IT WOULD JUST GO AWAY BUT I MEAN AROUND SIX MONTHS AGO I STARTED HAVING THIS COUGH ALL DAY +audio/RES0179.mp3[60.520,68.960] HM OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH +audio/RES0179.mp3[68.960,70.720] UHM ITS BEEN ITS BEEN DRY +audio/RES0179.mp3[70.720,73.720] ITS BEEN DRY +audio/RES0179.mp3[75.520,78.920] SO NO BLOOD OR SPUTUM +audio/RES0179.mp3[78.920,81.600] UH NO NO BLOOD OR SPUTUM +audio/RES0179.mp3[81.600,86.960] OK AND HAVE YOU BEEN FEELING SHORT OF BREATH AT ALL +audio/RES0179.mp3[86.960,99.240] UHM I HAVE YEAH THE SHORTNESS OF BREATH HAS BEEN LIKE SIMILARLY GETTING A BIT WORSE OVER THE LAST OVER THE LAST SIX MONTHS +audio/RES0179.mp3[99.240,105.160] OK ALRIGHT AND IS THERE WHEEZINESS AS WELL +audio/RES0179.mp3[105.160,107.080] NO WHEEZING +audio/RES0179.mp3[107.080,109.840] HOW ABOUT CHEST PAIN +audio/RES0179.mp3[109.840,137.480] UH YEAH IVE HAD THIS KIND OF LIKE DULL KIND OF ACHING PAIN THAT THAT IVE HAD KIND OF WORK JUST ON THE RIGHT SIDE OF MY CHEST IT YEAH ITS KIND OF ACHING AND NOT THAT BAD BUT UNCOMFORTABLE +audio/RES0179.mp3[137.480,145.520] OK AND AND IS IT A SHARP PAIN OR IS IT A DULL ACHY PAIN +audio/RES0179.mp3[145.520,148.360] ITS MORE LIKE DULL +audio/RES0179.mp3[148.360,154.200] OK AND IS IT ALWAYS THERE OR IS IT WORSE WITH LIKE EXERTION +audio/RES0179.mp3[154.200,161.560] ITS ALWAYS THERE +audio/RES0179.mp3[161.560,166.080] OK UHM AND SORRY YOU SAID IT WAS AT THE CENTRE OF YOUR CHEST +audio/RES0179.mp3[166.080,169.320] MORE KIND OF ON THE RIGHT SIDE +audio/RES0179.mp3[169.320,173.760] OK DOES IT GET WORSE WITH LIKE DEEP BREATHS +audio/RES0179.mp3[173.760,175.560] NOT REALLY NO +audio/RES0179.mp3[175.560,182.040] NO OK HOW ABOUT WHEN YOU LEAN FORWARD +audio/RES0179.mp3[185.320,203.160] NO OK UHM AND HM HAVE YOU EVER BEEN WORKED UP FOR THE CHEST PAIN IN THE PAST LIKE TO RULE OUT HEART ATTACKS BLOCKED ARTERIES ANYTHING LIKE THAT +audio/RES0179.mp3[203.160,213.880] UH YEAH ACTUALLY I HAD A STRESS TEST ABOUT A YEAR AGO AND IT THE RESULTS OF THAT WERE WERE NORMAL +audio/RES0179.mp3[213.880,219.200] OK OK GOOD AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0179.mp3[219.200,240.720] NO I HAVENT HAD ANY ANYTHING LIKE THAT I MEAN LIKE SOMETIMES I CAN GET PALPITATIONS CAUSE I HAVE A FIB OR ATRIAL FIBRILLATION BUT IT DOESNT REALLY YEAH AFFECT ME THAT THAT MUCH +audio/RES0179.mp3[240.720,250.480] OK AND HOW ABOUT SHORTNESS SORRY HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0179.mp3[250.480,253.000] NOTHING LIKE THAT +audio/RES0179.mp3[253.000,256.280] NO ANY CALF PAIN WHEN YOU WALK A LOT +audio/RES0179.mp3[257.440,262.920] NO OK ANY FEVERS +audio/RES0179.mp3[264.240,267.720] NO HOW ABOUT FATIGUE +audio/RES0179.mp3[267.720,269.560] NOT REALLY NO +audio/RES0179.mp3[269.560,271.760] NO ANY RASHES +audio/RES0179.mp3[272.240,276.000] CHANGES IN YOUR VISION OR HEARING +audio/RES0179.mp3[277.120,279.040] SMELL OR TASTE +audio/RES0179.mp3[279.040,280.560] THATS BEEN NORMAL +audio/RES0179.mp3[280.560,284.240] OK RUNNY NOSE OR STUFFY NOSE +audio/RES0179.mp3[285.040,287.200] SORE THROAT +audio/RES0179.mp3[288.200,291.520] UHM CHANGES IN YOUR BOWEL MOVEMENT +audio/RES0179.mp3[291.520,292.840] NO DIARRHEA +audio/RES0179.mp3[292.840,297.520] AND HOW ABOUT LIKE BLOOD IN YOUR STOOL OR CONSTIPATION +audio/RES0179.mp3[297.520,301.080] NO CONSTIPATION AND NO BLOOD IN THE STOOL +audio/RES0179.mp3[301.080,304.280] OK NAUSEA OR VOMITING +audio/RES0179.mp3[305.520,308.760] UHM APPETITE CHANGES +audio/RES0179.mp3[308.760,315.920] NO WAY MY APPETITES BEEN BEEN OK THATS WHY I WAS LIKE REALLY SHOCKED AT THE THE WEIGHT LOSS +audio/RES0179.mp3[315.920,322.760] MHMM UMM OK HOW ABOUT CHANGES IN YOUR URINE +audio/RES0179.mp3[322.760,335.520] NO I MEAN SOMETIMES I CAN HAVE A I MEAN HARDER TIME TO GO CAUSE AS AN OLD GUY HAVE LARGE PROSTATE I THINK THEY SAID BUT I MEAN THATS BEEN OK +audio/RES0179.mp3[335.520,339.400] OK HOW ABOUT HEADACHES +audio/RES0179.mp3[339.400,342.280] NO HEADACHES +audio/RES0179.mp3[342.280,346.160] NUMBNESS OR TINGLING +audio/RES0179.mp3[346.160,347.160] NO NUMBNESS OR TINGLING +audio/RES0179.mp3[347.160,351.480] CONFUSION OR MEMORY LOSS +audio/RES0179.mp3[352.720,358.600] OK JOINT PAINS OR MUSCLE ACHES +audio/RES0179.mp3[358.600,365.760] I MEAN SOMETIMES I CAN GET SO LIKE MY KNEES WILL HURT BUT I THINK THATS JUST ARTHRITIS +audio/RES0179.mp3[365.760,377.240] OK YEAH UMM ALRIGHT AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED THAT YOU HAVE AFIB AND PROSTATE ISSUES ANYTHING ELSE +audio/RES0179.mp3[377.240,385.080] UH YEAH LIKE HIGH BLOOD PRESSURE AND UH YEAH UH JUST HIGH BLOOD PRESSURE +audio/RES0179.mp3[385.080,395.440] HIGH BLOOD PRESSURE OK HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD +audio/RES0179.mp3[395.440,410.640] NO I I I WAS TESTED FOR THAT WITH THE LIKE THE BREATHING TEST I DID BLOW INTO TUBE BUT YEAH THEY SAID THAT I DIDNT HAVE IT +audio/RES0179.mp3[410.640,416.360] OK OK WHEN WERE YOU WORKED UP FOR THAT +audio/RES0179.mp3[416.360,423.000] I WAS PROBABLY LIKE I DONT KNOW 5 TO 10 YEARS AGO NOW +audio/RES0179.mp3[423.000,430.160] OK ALRIGHT AND ARE YOU ON ANY MEDICATIONS +audio/RES0179.mp3[430.160,444.760] YEAH I TAKE ONE FOR HIGH BLOOD PRESSURE AND I THINK A BETA BLOCKER AS WELL FOR THAT LIKE THE HEART RATE AND UH AFIB +audio/RES0179.mp3[444.760,451.080] OK YEAH OK AND AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0179.mp3[451.080,453.920] I AM YEAH +audio/RES0179.mp3[453.920,458.760] OK ANY ALLERGIES +audio/RES0179.mp3[458.760,461.600] UH NO ALLERGIES +audio/RES0179.mp3[461.600,464.560] OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0179.mp3[464.560,487.160] UHM I THINK LIKE MY UNCLE HAD LUNG CANCER AND IT AND I THINK IVE HAD A COUPLE OF MEMBER FAMILY MEMBERS ABOUT WHO HAD LUNG CANCER ACTUALLY BUT THEYVE WELL THEYVE ALL BEEN SMOKERS +audio/RES0179.mp3[487.160,500.400] OH I SEE OK DO YOU KNOW WHAT TYPE OF LUNG CANCER THEY GOT +audio/RES0179.mp3[500.400,503.000] NO IM IM NOT SURE +audio/RES0179.mp3[503.000,512.680] OK NO PROBLEM AND OK SO I THINK YOU MENTIONED THAT YOU SMOKE HOW MUCH DO YOU SMOKE AND FOR HOW LONG HAVE YOU BEEN SMOKING +audio/RES0179.mp3[512.680,525.280] I SMOKE ABOUT A PACK PER DAY AND I GUESS PROBABLY EVEN SMOKING NOW FOR I MEAN I I GUESS LIKE 60 YEARS ALMOST MAYBE LONGER +audio/RES0179.mp3[525.880,530.520] AND BEFORE THAT I THERE WAS A POINT I WAS SMOKING 2 PACKS A DAY +audio/RES0179.mp3[530.520,534.720] OH WOW OK WELL ITS GOOD THAT YOU CUT DOWN +audio/RES0179.mp3[536.520,541.400] YEAH ALRIGHT AND DO YOU DO ANY OTHER RECREATIONAL DRUGS +audio/RES0179.mp3[542.560,547.840] NO OK AND HOW ABOUT ALCOHOL DO YOU DRINK +audio/RES0179.mp3[547.840,553.480] PROBABLY ONE OR TWO BEERS EVERY DAY +audio/RES0179.mp3[553.480,560.520] EVERY DAY OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/RES0179.mp3[560.520,566.600] YEAH SO I LIVE WITH MY WIFE IN A IN A TOWNHOUSE +audio/RES0179.mp3[566.600,580.600] OK OK ALRIGHT THATS GOOD ANY REASONS TO THINK YOU HAVE LIKE OLD CARPETS DUST ASBESTOS MOLD ANYTHING LIKE THAT IN THE HOUSE +audio/RES0179.mp3[580.600,581.880] NO I DONT THINK SO +audio/RES0179.mp3[581.880,583.640] UH OK +audio/RES0179.mp3[586.960,588.320] ALRIGHT ANY PETS +audio/RES0179.mp3[588.320,592.280] NO PETS +audio/RES0179.mp3[592.280,598.760] NO PETS OK HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0179.mp3[598.760,600.680] NO I DONT THINK SO +audio/RES0179.mp3[600.680,602.920] NO OK HOW ABOUT TRAVEL +audio/RES0179.mp3[602.920,607.520] IVE BEEN UH YEAH WEVE BEEN AT BEEN AT HOME +audio/RES0179.mp3[607.520,616.160] AT HOME OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/RES0179.mp3[616.160,623.960] UHM NO I WAS JUST LIKE WELL REALLY WORRIED THAT I I COULD HAVE LUNG CANCER +audio/RES0179.mp3[623.960,695.600] YEAH FOR SURE SO THAT IS QUITE HIGH ON MY DIFFERENTIAL RIGHT NOW JUST BECAUSE OF YOUR AGE YOUR SMOKING HISTORY AND JUST THE WAY YOURE PRESENTING SO WERE GONNA DO A COUPLE OF THINGS WERE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT WE WILL DO INVESTIGATIONS FOR LUNG CANCER SO WELL START BY DOING A CHEST XRAY JUST TO LOOK FOR A MASS OR EFFUSIONS AND THEN FROM THERE IF WE THINK THERE ARE SIGNS OF CANCER WE CAN DO A CT UMM AS WELL WE CAN LIKE STAGE WITH THE PET CT AFTER WE TAKE A BIOPSY AND SEND IT OFF FOR PATHOLOGY AND THAT SHOULD GIVE US MORE ANSWERS AS TO IF YOU HAVE CANCER AND IF YOU DO HAVE CANCER WHAT TYPE OF CANCER SO THAT WE CAN TALK ABOUT TREATMENT PLANS AND KIND OF WHAT THE PROGNOSIS IS WITH THOSE PARTICULAR TYPES OF CANCERS HOW DOES THAT SOUND +audio/RES0179.mp3[695.600,699.120] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH +audio/RES0179.mp3[699.120,704.320] OK YEAH NO PROBLEM +audio/RES0109.mp3[0.000,2.000] WHAT BRINGS YOU IN +audio/RES0109.mp3[2.000,12.360] HI IVE JUST HAD A RUNNY NOSE AND A COUGH FOR THE PAST UH WEEK +audio/RES0109.mp3[12.360,17.760] OK UM SO FOR THE PAST WEEK YOU SAID DID THE COUGH START FIRST OR THE RUNNY NOSE +audio/RES0109.mp3[17.760,34.640] UH IT STARTED WITH THE COUGH I USUALLY DONT COME IN WHEN I HAVE SYMPTOMS LIKE THIS UH BUT IVE JUST BEEN UHM I JUST HEARD OF SOMEONE WHO PASSED AWAY DUE TO COVID AND IM JUST LIKE VERY SCARED AND I JUST DECIDED TO COME IN +audio/RES0109.mp3[34.640,45.040] YEAH FOR SURE THATS UNDERSTANDABLE UM WITH THE COUGH IS IT A DRY COUGH OR ARE YOU BRINGING UP SOME PHLEGM +audio/RES0109.mp3[45.040,47.320] UM ITS MOSTLY A DRY COUGH +audio/RES0109.mp3[47.320,53.120] DRY COUGH OK UM AND IS IT PERSISTENT OR DOES IT COME AND GO +audio/RES0109.mp3[53.120,66.240] IT COMES AND GOES IT DOES GET BETTER WHEN I UM TAKE UM LIKE OVER THE COUNTER MEDICATIONS FOR FOR UM LIKE THE ANTITUSSIVE PILLS +audio/RES0109.mp3[66.240,76.560] OK YEAH YEAH UM AND DOES ANYTHING MAKE IT WORSE LIKE THE COLD AIR OR CERTAIN TIMES OF THE DAY OR LIKE WHEN YOURE LAYING DOWN +audio/RES0109.mp3[76.560,82.600] UM THE COLD AIR DOES MAKE IT A LITTLE BIT UH WORSE +audio/RES0109.mp3[82.600,89.520] OK AND HAVE YOU EXPERIENCED SOMETHING LIKE THIS IN THE PAST +audio/RES0109.mp3[89.520,96.040] UH YEAH I USUALLY I DO GET A COLD UM COUPLE TIMES A YEAR +audio/RES0109.mp3[96.040,101.840] OK YEAH THAT MAKES SENSE UM AND ANY SHORTNESS OF BREATH +audio/RES0109.mp3[101.840,105.360] UM NO NO I DONT THINK SO +audio/RES0109.mp3[105.360,108.480] NO ANY WHEEZINESS +audio/RES0109.mp3[108.480,109.400] UM NO +audio/RES0109.mp3[109.400,114.360] CHEST PAIN +audio/RES0109.mp3[116.840,119.960] UM HOW ABOUT A STUFFY NOSE +audio/RES0109.mp3[119.960,123.200] YEAH I DO HAVE A STUFFY NOSE +audio/RES0109.mp3[123.200,132.000] OK WHEN YOUR NOSE DOES RUN DO YOU NOTICE THAT ITS LIKE UH YELLOW IN COLOUR OR RED +audio/RES0109.mp3[132.000,133.280] NO NO +audio/RES0109.mp3[133.280,135.120] NO OK SO ITS CLEAR +audio/RES0109.mp3[135.120,136.160] ITS CLEAR YEAH +audio/RES0109.mp3[136.160,139.240] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0109.mp3[140.200,142.400] SMELL OR TASTE +audio/RES0109.mp3[142.400,154.240] UM I I CANT SMELL AS AS MUCH BUT I THINK MAYBE ITS JUST BECAUSE MY NOSE IS SO STUFFY BUT ALSO THAT MADE ME A LITTLE BIT CONCERNED ABOUT COVID BUT NO PROBLEMS WITH TASTE +audio/RES0109.mp3[154.240,156.560] OK GOOD ANY WEIGHT LOSS RECENTLY +audio/RES0109.mp3[156.560,161.480] UM IVE BEEN TRYING TO LOSE WEIGHT BUT NOTHING UNINTENTIONAL I GUESS +audio/RES0109.mp3[161.480,165.400] OK YEAH AND THEN ANY FEVERS +audio/RES0109.mp3[165.400,166.720] UH NO +audio/RES0109.mp3[166.720,173.560] NO FEVERS HUH OK ANY LIKE EXCESSIVE FATIGUE +audio/RES0109.mp3[173.560,177.520] I AM TIRED BUT NOT I GUESS ITS NOT TOO BAD +audio/RES0109.mp3[177.520,182.480] YEAH OK AND HOW ABOUT LIKE RASHES +audio/RES0109.mp3[182.480,189.720] NO I HAVENT NOTICED ANY +audio/RES0109.mp3[189.720,196.880] NO RASHES OK UM ANY UH SORRY I ASKED YOU IF YOU HAD CHEST PAIN UH DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0109.mp3[198.040,201.600] NO OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0109.mp3[203.760,206.800] NO UM NAUSEA OR VOMITING +audio/RES0109.mp3[206.800,209.120] UHM NO +audio/RES0109.mp3[209.120,218.360] NO OK UHM HOW ABOUT HEADACHES +audio/RES0109.mp3[218.360,220.880] UHM NO +audio/RES0109.mp3[220.880,223.400] FAINTING SPELLS OR DIZZINESS +audio/RES0109.mp3[224.720,226.680] JOINT PAIN +audio/RES0109.mp3[226.680,227.400] UM NO +audio/RES0109.mp3[227.400,228.680] NO OK +audio/RES0109.mp3[228.680,231.160] JUST MY BODY FEELS A LITTLE ACHY BUT +audio/RES0109.mp3[231.520,236.200] NO LIKE SPECIFIC JOINT PAINS +audio/RES0109.mp3[236.200,241.920] OK AND THEN ANY UH MAJOR ILLNESSES THAT ARE LONGSTANDING +audio/RES0109.mp3[241.920,246.720] UM I DONT KNOW DOES DEPRESSION COUNT I DO HAVE DEPRESSION +audio/RES0109.mp3[246.720,251.440] OK YEAH FOR SURE HOW WHEN WERE YOU DIAGNOSED WITH DEPRESSION +audio/RES0109.mp3[251.440,253.800] UH WHEN I WAS 15 YEARS OLD +audio/RES0109.mp3[253.800,258.240] 15 OK UM ARE YOU ON ANY MEDICATIONS +audio/RES0109.mp3[258.240,259.960] IM IM ON PROZAC +audio/RES0109.mp3[259.960,265.480] PROZAC OK AND WHEN WERE YOU DIAGNOSED UH PRESCRIBED THAT +audio/RES0109.mp3[265.480,278.200] UM IVE JUST BEEN ON DIFFERENT MEDICATIONS UH OVER THE PAST FEW YEARS UM THIS ONE SEEMS TO BE WORKING WELL I STARTED THIS ABOUT A YEAR AGO +audio/RES0109.mp3[278.200,281.880] OK GOOD GOOD ANY ALLERGIES +audio/RES0109.mp3[281.880,282.400] UHM NO +audio/RES0109.mp3[282.400,288.120] ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0109.mp3[288.960,293.240] UM ANY FAMILY HISTORY OF LUNG OR HEART DISEASE +audio/RES0109.mp3[293.240,298.440] UH JUST UM HIGH CHOLESTEROL +audio/RES0109.mp3[298.440,303.240] OK UM HOW ABOUT SMOKING DO YOU SMOKE +audio/RES0109.mp3[304.200,307.880] UM ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0109.mp3[307.880,315.120] UM YEAH SOMETIMES ILL JUST HAVE A JOINT UM MAYBE UM TWO OR THREE TIMES A WEEK +audio/RES0109.mp3[315.120,322.440] OK OK AND IS THAT FOR LIKE MEDICAL PURPOSES OR JUST LIKE RECREATIONALLY +audio/RES0109.mp3[322.440,325.520] UH JUST YOU KNOW JUST TO RELAX +audio/RES0109.mp3[325.520,330.040] OK SURE UM ALCOHOL +audio/RES0109.mp3[330.040,331.640] UH NO +audio/RES0109.mp3[331.640,340.000] NO OK AND HAVE YOU BEEN AROUND ANY SICK PEOPLE RECENTLY +audio/RES0109.mp3[340.000,358.040] UM I WENT TO I WENT GROCERY SHOPPING AND AND SOMEONE NEAR ME WAS COUGHING I WAS STILL LIKE SIX YOU KNOW I WAS AWAY FROM THEM BUT I DONT LIKE YEAH I DONT KNOW +audio/RES0109.mp3[358.040,364.320] YEAH FOR SURE I THINK THAT YOURE ITS FAIR THAT YOURE CONCERNED ABOUT THAT AND HOW ABOUT TRAVEL TO ANYWHERE +audio/RES0109.mp3[364.320,367.960] NO I HAVENT TRAVELED ANYWHERE +audio/RES0109.mp3[367.960,373.400] NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0109.mp3[374.560,389.720] NO OK SO WELL DO A COVID SWAB ANYWAYS TODAY BECAUSE YOUR SOME OF YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR 14 DAYS +audio/RES0109.mp3[390.360,434.440] UM BUT IT I THINK IT DOES REALLY SOUND LIKE YOU HAVE A COMMON COLD UM SO JUST LIKE ANOTHER VIRAL ILLNESS UM SO JUST TREAT IT SUPPORTIVELY YOU KNOW UM KEEP YOURSELF HYDRATED IF YOU FEEL LIKE YOURE GETTING A FEVER TAKE LIKE TYLENOL UM IF YOU HAVE LIKE PAIN LIKE A HEADACHE OR LIKE SINUS PRESSURE OR SOMETHING YOU CAN TAKE AGAIN AN ADVIL OR TYLENOL UM AND IF YOUR SYMPTOMS WORSEN OR IF YOU HAVE ANY NEUROLOGICAL SYMPTOMS THEN YOU SHOULD SEE THE ER UM RIGHT AWAY +audio/RES0109.mp3[436.760,438.920] YEAH OK SOUNDS GOOD +audio/RES0202.mp3[0.000,3.280] WHAT BRINGS YOU ALL IN TODAY +audio/RES0202.mp3[3.280,78.880] HI SO I JUST BROUGHT IN MY SON HES 5 ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DON’T KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED UH SORRY TODAY TODAY IS FRIDAY HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH +audio/RES0202.mp3[78.880,80.040] OH OK +audio/RES0202.mp3[80.040,99.160] UH 101 OR SOMETHING OR MAYBE 1001 IF BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW SO HE COULD HAVE MAYBE GOT COVID AND LIKE AT SCHOOL OR SOMETHING +audio/RES0202.mp3[99.160,107.680] YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS +audio/RES0202.mp3[108.800,113.960] OK OK SO LETS FOCUS ON THE COUGH +audio/RES0202.mp3[113.960,134.680] IT’S FRIDAY ITS BEEN MORE LIKE LIKE 3 DAYS WEDNESDAY IS WHEN HE CAME HOME AND THEN UM HE AND THEN TODAY IS FRIDAY SO YEAH SORRY +audio/RES0202.mp3[134.680,146.000] TODAY IS FRIDAY OK AND UM OK YEAH SURE UH SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH +audio/RES0202.mp3[146.000,156.720] UH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING YEAH HE YEAH ITS JUST LIKE LITTLE COUGH +audio/RES0202.mp3[156.720,161.960] OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD +audio/RES0202.mp3[163.040,171.720] NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU +audio/RES0202.mp3[171.720,174.960] NO NO NOT THAT IVE NOTICED +audio/RES0202.mp3[174.960,178.880] OK HOW ABOUT SHORT OF BREATH +audio/RES0202.mp3[178.880,204.040] UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE OF DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL +audio/RES0202.mp3[204.040,213.280] OK YEAH OK UHM IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING +audio/RES0202.mp3[213.280,218.560] MM I THINK IT KINDA JUST THERE THE WHOLE DAY +audio/RES0202.mp3[218.560,238.720] OK AND IT DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UHM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS +audio/RES0202.mp3[238.720,246.000] UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD +audio/RES0202.mp3[246.000,252.480] OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0202.mp3[252.480,267.280] UM LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD +audio/RES0202.mp3[267.280,273.080] OK AND ARE HIS SYMPTOMS GETTING WORSE +audio/RES0202.mp3[273.080,286.360] I THINK SO CAUSE YEAH THE FIRST DAY HE JUST SEEMED LIKE A LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER +audio/RES0202.mp3[286.360,296.440] OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING +audio/RES0202.mp3[296.440,300.560] NO I DONT THINK SO +audio/RES0202.mp3[300.560,307.640] NO OK DOES HE HAVE A SORE THROAT +audio/RES0202.mp3[307.640,311.600] MM I DONT THINK SO +audio/RES0202.mp3[311.600,318.440] OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS +audio/RES0202.mp3[318.440,329.040] I DONT KNOW IF HES HAVING TROUBLE SWALLOWING BUT HE DOESNT SEEM TO HAVE A BIG APPETITE RIGHT NOW +audio/RES0202.mp3[329.040,333.680] OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE +audio/RES0202.mp3[333.680,338.320] MAYBE A BIT OF LIKE A LOOK AT RUNNY NOSE +audio/RES0202.mp3[338.320,344.240] OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE +audio/RES0202.mp3[344.240,354.720] HE THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT +audio/RES0202.mp3[354.720,359.880] OK HOW ABOUT VISION OR HEARING +audio/RES0202.mp3[359.880,361.680] I THINK THOSE ARE FINE +audio/RES0202.mp3[361.680,368.640] OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS +audio/RES0202.mp3[370.320,376.000] OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES +audio/RES0202.mp3[376.000,378.720] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0202.mp3[378.720,388.320] ANY CHANGES IN HIS BOWEL MOVEMENTS PARDON +audio/RES0202.mp3[388.320,390.360] UM SORRY NO CHANGES +audio/RES0202.mp3[390.360,395.920] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL +audio/RES0202.mp3[396.960,401.800] OK ANY NAUSEA OR VOMITING +audio/RES0202.mp3[403.560,407.240] OK ANY CHANGES IN HIS URINE +audio/RES0202.mp3[407.240,412.200] I HAVEN’T REALLY BEEN LOOKING BUT I DONT THINK SO +audio/RES0202.mp3[412.200,416.520] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0202.mp3[416.520,419.320] NO JUST LIKE FATIGUE +audio/RES0202.mp3[419.320,426.000] OK ANY CONFUSION OR MEMORY LOSS +audio/RES0202.mp3[426.480,434.320] AND IS HE AND IS HE AN OTHERWISE HEALTHY CHILD +audio/RES0202.mp3[434.320,447.160] YEAH ACTUALLY HE HASNT DECIDED TO LIKE A VACCINE THAT HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER LIKE I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT +audio/RES0202.mp3[447.160,456.360] OK UM SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM +audio/RES0202.mp3[456.360,459.360] EXACTLY LIKE NOTHING +audio/RES0202.mp3[459.360,465.520] OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM +audio/RES0202.mp3[465.520,467.240] YEAH TOTALLY +audio/RES0202.mp3[467.240,473.680] OK UM AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH +audio/RES0202.mp3[473.680,478.920] NO NO LIKE EVERYTHING IS THINGS REALLY GOOD +audio/RES0202.mp3[478.920,486.880] OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW +audio/RES0202.mp3[486.880,489.840] YEAH TOTALLY +audio/RES0202.mp3[489.840,494.120] OK ANY DOES HE HAVE ANY ALLERGIES +audio/RES0202.mp3[494.120,504.520] UM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING +audio/RES0202.mp3[504.520,510.520] IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0202.mp3[511.480,522.480] YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0202.mp3[522.480,525.520] UH NO EVERYONE IS REALLY HEALTHY +audio/RES0202.mp3[525.520,534.360] OK AND AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE +audio/RES0202.mp3[534.360,541.640] UM HE LIVES WITH JUST ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE THIS IN TOWN HERE +audio/RES0202.mp3[541.640,546.720] OK AND IS SHE HEALTHY +audio/RES0202.mp3[546.720,549.280] YEAH I THINK SHE YEAH SHES HEALTHY +audio/RES0202.mp3[549.280,557.960] OK UM ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN +audio/RES0202.mp3[560.600,568.200] NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY +audio/RES0202.mp3[568.200,579.000] 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 +audio/RES0202.mp3[580.360,584.160] BUT THEY HAVENT THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING +audio/RES0202.mp3[584.160,593.640] OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY +audio/RES0202.mp3[595.880,605.960] 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 +audio/RES0202.mp3[605.960,629.960] I DONT THINK SO UM LIKE I I REALIZED THAT I CAN OFTEN TIMES LIKE YOU DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS 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 ITS LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE +audio/RES0202.mp3[629.960,631.560] YEAH FOR +audio/RES0202.mp3[631.560,634.520] YEAH LIKE SORRY GO AHEAD +audio/RES0202.mp3[634.520,635.000] NO GO AHEAD +audio/RES0202.mp3[635.000,650.320] I’M JUST BASICALLY WANTED TO SEE IF IT WAS BAD I MEAN HE DOESNT RECEIVE YOUR SO SCARED THATS KIND OF WHAT MAKES HIM IN LIKE ITS GONNA BE A LITTLE BIT +audio/RES0202.mp3[650.320,716.280] 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 DOESNT 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 THATS 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 HES FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND AND SO FOR NOW ILL JUST WAIT FOR THOSE COVID SWAPS TO COME BACK HOW DOES THAT SOUND +audio/RES0202.mp3[716.280,721.880] YEAH SOUNDS GOOD +audio/RES0202.mp3[721.880,749.160] 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 DIDNT 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 +audio/RES0202.mp3[749.160,751.600] OK YEAH THATS GOOD TO KNOW +audio/RES0202.mp3[751.600,753.840] ALRIGHT SOUNDS GREAT HAVE A GOOD DAY +audio/RES0202.mp3[753.840,756.720] YOU TOO THANKS +audio/RES0209.mp3[0.000,3.280] SO WHAT BRINGS YOU IN +audio/RES0209.mp3[3.280,30.720] OK IM SO I HAVE BEEN COUGHING A LOT OVER THE PAST WEEK OR SO AND ITS BEEN PRETTY DRY BUT IVE BEEN COUGHING LIKE ALMOST NONSTOP THROUGHOUT THE DAY AND IM FEELING VERY SHORT OF BREATH AND MY BRONCHODILATOR HELPS BUT I FOUND IM USING IT A LOT NOW +audio/RES0209.mp3[30.720,35.600] OK HOW LONG HAVE YOU KNOW THAT YOU HAVE ASTHMA FOR +audio/RES0209.mp3[35.600,40.120] I WAS DIAGNOSED WHEN I WAS EIGHT +audio/RES0209.mp3[40.120,43.440] YOURE 10 NOW +audio/RES0209.mp3[43.440,45.280] THATS RIGHT +audio/RES0209.mp3[45.280,52.680] SO YOURE USING YOUR BRONCHODILATOR MORE THIS IS THE ONE THAT YOU USE KIND OF AS NEEDED +audio/RES0209.mp3[53.640,61.680] OK AND THEN DO YOU HAVE ONE THAT YOU TAKE EVERY DAY NO MATTER WHAT +audio/RES0209.mp3[61.680,64.320] UHM NO I DONT HAVE THAT ONE +audio/RES0209.mp3[64.320,72.160] OK YOU JUST HAVE THE ONE THAT YOU TAKE IS NEEDED DO YOU TAKE ANY OTHER MEDICATIONS +audio/RES0209.mp3[72.160,75.200] UH NO I DONT TAKE ANYTHING ELSE +audio/RES0209.mp3[75.200,79.960] JUST THE ONE IS IT A ITS A PUFFER +audio/RES0209.mp3[82.880,91.840] OK AND YOURE USING IT MORE THAN NORMAL SO HOW OFTEN WERE YOU NORMALLY USING IT +audio/RES0209.mp3[91.840,113.600] UM I WAS ONLY USING IT LIKE I DONT KNOW MAYBE ONCE EVERY TWO WEEKS OR SO NOT VERY OFTEN BUT NOW IM USING IT LIKE ALMOST EVERYDAY LIKE FIVE SIX TIMES A WEEK +audio/RES0209.mp3[113.600,126.440] OK ANY ARE YOU DOES IT USUALLY TURNED OUT THAT YOU NEED IT LIKE DURING CERTAIN TIMES LIKE SAY WHEN YOURE EXERCISING OR WHEN ITS COLD +audio/RES0209.mp3[126.440,141.720] UM I FIND I USE IT MORE BOTH LIKE WHEN IT WHEN ITS RIGHT AFTER I LIKE RUN AROUND AFTER GYM DURING RECESS UM AND YEAH THE COLD ALSO MAKES IT WORSE +audio/RES0209.mp3[141.720,148.120] OK ANY OTHER TRIGGERS THAT YOU CAN THINK OF +audio/RES0209.mp3[148.120,154.320] NO NO OTHER TRIGGERS +audio/RES0209.mp3[154.320,159.600] NORMALLY GET MORE IN CERTAIN SEASONS +audio/RES0209.mp3[159.600,177.520] I I GUESS NO NO BIG CHANGES THERE I FIND THE COLD AIR MAKES IT WORSE LIKE WINTER MAKES IT WORSE OR LIKE YEAH MAYBE ALSO THE SPRING SPRING WITH LIKE POLLEN AND STUFF LIKE THAT +audio/RES0209.mp3[177.520,181.960] OK SO YOU HAVE ALLERGIES TOO +audio/RES0209.mp3[181.960,187.040] I THINK SO I HAVENT EVER BEEN LIKE FORMALLY DIAGNOSED +audio/RES0209.mp3[187.040,200.240] OK I SEE I SEE YEAH THAT WOULD MAKE SENSE NO OK UH SO YOU SAY YOUVE HAD MORE COUGHING LATELY IS THAT RIGHT YOU SAID THE LAST TWO WEEKS +audio/RES0209.mp3[200.240,201.720] OR THE LAST WEEK +audio/RES0209.mp3[201.720,202.920] LAST TWO WEEKS +audio/RES0209.mp3[202.920,208.760] LAST TWO WEEKS IS YOUR COUGH AND A DRY COUGH +audio/RES0209.mp3[209.800,215.920] HAVE YOU BEEN BRINGING UP GUNK OK DRY COUGH HAVE YOU NOTICED ANY WHEEZING +audio/RES0209.mp3[215.920,220.400] OH YEAH IVE BEEN WHEEZING A LOT ACTUALLY +audio/RES0209.mp3[220.400,229.440] OK UH AND THATS UH DO YOU USE YOUR BRONCHODILATOR EVERY TIME THAT YOURE WHEEZING +audio/RES0209.mp3[229.440,236.120] WHEN IT GETS REALLY BAD LIKE WHEN I GET SO EASY THAT I FIND IT HARD TO BREATHE +audio/RES0209.mp3[236.120,243.000] OK SO YOURE GETTING WHEEZY EVEN MORE TIMES THAN THEN YOURE HAVING TO USE YOUR BRONCHODILATOR +audio/RES0209.mp3[243.000,245.920] YES THATS RIGHT +audio/RES0209.mp3[245.920,250.080] OK ARE YOU HAVING ANY SYMPTOMS AT NIGHT TIME +audio/RES0209.mp3[250.080,266.120] YEAH HOW THEY DONT HAPPEN AS MUCH AS MY DAYTIME SYMPTOMS BUT I BEEN HAVING IT MAYBE LIKE EVERY OTHER DAY OR LIKE YOU KNOW EVERY TWO DAYS OR SO +audio/RES0209.mp3[266.120,275.600] OK AND WHEN YOU HAVE THESE SO WHEN YOU HAVE THESE EPISODES YOURE COPPING YOUR WHEEZY DO YOU FEEL LIKE YOURE HAVING A HARD TIME BREATHING +audio/RES0209.mp3[275.600,278.520] YEP THATS RIGHT +audio/RES0209.mp3[278.520,282.440] DO YOU FEEL IT GETS TIGHT IN YOUR CHEST +audio/RES0209.mp3[286.640,295.080] OK OK HAVE YOU HAD ANY ANY COLDS LATELY OR ANY INFECTIONS +audio/RES0209.mp3[295.080,296.880] UM NO NO NOTHING LIKE THAT +audio/RES0209.mp3[296.880,303.360] K DOES ANYONE THAT LIVES WITH YOU OR ANYONE THAT YOURE AROUND OFTEN HAS ANYONE BEEN SICK +audio/RES0209.mp3[304.920,311.240] OK COULD YOU HAVE BEEN IN CONTACT WITH ANYONE THAT SICK EVEN OUTSIDE OF YOUR HOUSE +audio/RES0209.mp3[312.680,315.200] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0209.mp3[315.200,316.920] UH NO +audio/RES0209.mp3[316.920,321.160] HAVE YOU LOST ANY OF YOUR SENSE OF TASTE OR SMELL +audio/RES0209.mp3[323.280,327.040] HAVE YOU HAD ANY FEVERS +audio/RES0209.mp3[327.040,328.920] UH NO +audio/RES0209.mp3[328.920,333.600] OK ANY ANY NAUSEA OR VOMITING +audio/RES0209.mp3[337.960,340.440] ANY BELLY PAIN +audio/RES0209.mp3[342.920,374.480] WE JUST ASK THOSE QUESTIONS BECAUSE SOMETIMES THESE THINGS CAN HAPPEN WITH AN INFECTION OR AFTER AN INFECTION AND WE JUST WANT TO MAKE SURE THAT THATS NOT YOU KNOW WHATS HAPPENING RIGHT NOW WE PROBABLY WILL DO A COVID SWAB JUST BECAUSE OF THE TIMES THAT WERE LIVING IN RIGHT NOW BUT I JUST WANT TO ASK YOU A FEW MORE QUESTIONS BEFORE I GO TALK TO THE DOCTOR SO DO YOU HAVE BESIDES YOUR ASTHMA DO YOU HAVE ANY HEALTH PROBLEMS +audio/RES0209.mp3[374.480,379.240] OH NO NO NO +audio/RES0209.mp3[379.240,384.960] OK AND YOU SAID BESIDES THE BRONCHODILATOR YOURE NOT TAKING ANY MEDICATIONS +audio/RES0209.mp3[387.680,396.880] AND YOU THINK YOU MIGHT HAVE ALLERGIES IN THE SPRING DO YOU HAVE ALLERGIES TO ANYTHING ELSE THAT YOU KNOW +audio/RES0209.mp3[396.880,403.320] UH NO NOT THAT I KNOW OF +audio/RES0209.mp3[403.320,409.440] OK DOES ANYONE ELSE IN YOUR FAMILY HAVE ASTHMA +audio/RES0209.mp3[409.440,415.080] I THINK MY SISTER HAS ASTHMA TOO +audio/RES0209.mp3[415.080,419.160] ANYONE IN YOUR FAMILY HAVE ANY OTHER BREATHING PROBLEMS +audio/RES0209.mp3[420.800,424.640] ANYONE ELSE IN THE FAMILY HAVE ANY ALLERGIES +audio/RES0209.mp3[424.640,432.480] UH NO I DONT THINK SO +audio/RES0209.mp3[432.480,439.600] OK OK SOUNDS GOOD AND YOU LIVE AT HOME DID YOU SAY LIVE WITH YOUR PARENTS AND YOUR SISTER +audio/RES0209.mp3[439.600,441.120] YEP THATS RIGHT +audio/RES0209.mp3[441.120,448.320] COOL ARE YOU CURRENTLY GOING TO SCHOOL ONLINE OR IN PERSON +audio/RES0209.mp3[448.320,451.160] UH BOTH WE DO HALF DAYS +audio/RES0209.mp3[451.160,454.320] OK HOW ARE YOU FINDING THAT +audio/RES0209.mp3[454.320,461.040] YEAH ITS BEEN OK ITS ITS DIFFERENT BUT ITS BEEN WORKING OUT OK SO FAR +audio/RES0209.mp3[461.040,466.400] COOL NOT TO HAVE TO GET OUT OF YOUR PJS SOME DAYS +audio/RES0209.mp3[466.400,470.680] YES THATS TRUE +audio/RES0209.mp3[470.680,477.240] OK DID DO YOU GUYS HAVE ANY PETS IN THE HOME +audio/RES0209.mp3[477.240,481.480] NO PETS WE HAVE JUST LIKE WELL I GUESS WE HAVE GOLDFISH +audio/RES0209.mp3[481.480,488.800] OH OK THOSE ARE COOL PETS DOES ANYONE IN THE HOUSE SMOKE +audio/RES0209.mp3[492.600,503.520] OK OK I THINK THATS ALL MY QUESTIONS THAT I HAD FOR YOU TODAY WHAT DO YOU LIKE TO DO FOR FUN +audio/RES0209.mp3[503.520,516.680] OH IM I LIKE PLAYING GAMES ONLINE WITH MY FRIENDS AND AND BEFORE COVID WE USED TO GET TOGETHER AND HAVE MOVIE NIGHTS AND PLAY SPORTS TOGETHER +audio/RES0209.mp3[516.680,531.000] IT SOUNDS REALLY COOL HOPEFULLY WE CAN GET THIS FIGURED OUT FOR YOU SO YOU DONT HAVE ANY YOU DONT HAVE TO USE YOUR YOUR MEDICATIONS EVERY TIME YOU PLAY SPORTS CAUSE THATS NO FUN AND +audio/RES0209.mp3[531.880,553.560] YOU SHOULD BE ABLE TO ENJOY THAT SO SO WERE GOING TO TRY TO GET THIS SORTED OUT FOR YOU IM GONNA GO TALK TO THE DOCTOR AND TELL HIM EVERYTHING OR HER EVERYTHING THAT YOU SAID AND YEAH WE’LL COME BACK AND SEE YOU SHORTLY HOPEFULLY MAYBE ALL YOU NEED IS A LITTLE CHANGE TO YOUR MEDICATIONS AND MAYBE IT WILL BE BETTER BE ABLE TO BETTER CONTROL YOUR ASTHMA +audio/RES0209.mp3[553.560,556.280] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0209.mp3[556.280,560.160] THANKS TALKING WITH ME AND WELL SEE YOU SOON +audio/RES0209.mp3[560.160,562.480] OK GREAT THANKS +audio/RES0019.mp3[0.000,3.680] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN +audio/RES0019.mp3[3.680,19.680] SURE YOU KNOW IVE BEEN FEELING KINDA HOT FOR THE PAST COUPLE OF DAYS AND I HAVE THIS TERRIBLE TERRIBLE HEADACHE AND JUST MY BRAIN FEELS FOGGY SO I THOUGHT I SHOULD COME GET IT CHECKED OUT +audio/RES0019.mp3[19.680,26.840] OK I SEE WHEN UH DID THESE SYMPTOMS START EXACTLY +audio/RES0019.mp3[26.840,35.200] SO THEY STARTED ABOUT 3 DAYS AGO BUT ITS GETTING WORSE +audio/RES0019.mp3[35.200,46.160] OK UH AND UH IN TERMS OF THE HEADACHE UH DOES YOUR HEAD HURT IN ANY PARTICULAR LOCATION +audio/RES0019.mp3[46.160,50.680] I WOULD SAY MOSTLY THE SIDES OF MY HEAD +audio/RES0019.mp3[50.680,56.920] OK AND HOW LONG HAS THE HEADACHE BEEN GOING ON FOR +audio/RES0019.mp3[56.920,60.800] UH THE SAME AMOUNT OF TIME SO LIKE THE PAST THREE DAYS +audio/RES0019.mp3[60.800,76.600] OK AND UM HOW WOULD YOU DESCRIBE THE HEADACHE IS IT LIKE SHARP IS IT LIKE A VICE GRIP IS IT PULSATING PRESSURE LIKE SENSATION OR NONE OF THOSE +audio/RES0019.mp3[76.600,84.480] IT YOU KNOW IT FEELS CRAMPY +audio/RES0019.mp3[84.480,91.760] OK UM AND HAS THERE BEEN ANYTHING THAT TRIGGERED THE HEADACHE OR OR MADE IT WORSE +audio/RES0019.mp3[91.760,100.240] I DONT THINK SO NOTHING IS HELPING SLEEPING IS NOT HELPING MOVING AROUND IS NOT HELPING ITS JUST ALWAYS THERE +audio/RES0019.mp3[100.240,106.680] OK DOES THE HEADACHE GET WORSE WITH LYING FLAT +audio/RES0019.mp3[106.680,112.520] UH NO I WOULDNT SAY SO NO +audio/RES0019.mp3[112.520,124.360] OK AND ARE YOU FEELING ANY PAIN DOWN INTO YOUR NECK OR INTO YOUR SHOULDERS OR BACK +audio/RES0019.mp3[124.360,127.120] NO NO +audio/RES0019.mp3[127.120,138.840] OK AND WOULD YOU SAY THAT THIS HEADACHE WHICH IS WAS LIKE WORST HEADACHE OF YOUR LIFE OR THUNDER CLAP KIND OF SENSATION +audio/RES0019.mp3[138.840,141.240] UH NO NO +audio/RES0019.mp3[141.240,145.960] OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE IN THE PAST +audio/RES0019.mp3[145.960,151.040] NO NEVER +audio/RES0019.mp3[151.040,165.800] OK AND HOW WOULD YOU RATE IT IN TERMS OF SEVERITY WITH 10 BEING THE MOST SEVERE THAT YOU COULD POSSIBLY HAVE AND ONE BEING NOT PAINFUL AT ALL HOW WOULD YOU RATE IT +audio/RES0019.mp3[165.800,170.680] I WOULD SAY I WOULD GIVE IT AROUND A 6 OR SEVEN +audio/RES0019.mp3[170.680,176.520] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0019.mp3[178.560,191.080] OK AND HOW ABOUT ANY SENSITIVITY TO LIGHT WHEN YOURE YOURE SEEING IT OR SENSITIVITY TO SOUND +audio/RES0019.mp3[192.600,201.880] OK AND HAVE YOU HAD ANY EYE SYMPTOMS SUCH AS DISCHARGE TEARING OR OR ITCHINESS +audio/RES0019.mp3[201.880,204.480] NO NOTHING LIKE THAT +audio/RES0019.mp3[204.480,213.640] OK UM AND SO YOU YOU MENTIONED THAT YOU HAD YOU HAD A FEVER AS WELL DID YOU CHECK YOUR TEMPERATURE +audio/RES0019.mp3[213.640,218.320] I DIDNT ACTUALLY NO I DIDNT CHECK MY TEMPERATURE I JUST FEEL HOT +audio/RES0019.mp3[218.320,231.080] OK WELL BE SURE TO CHECK THAT TODAY IN CLINIC AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0019.mp3[231.080,241.680] UM JUST LIKE THE BRAIN FOG THAT I WAS SPEAKING OF YOU KNOW I JUST DONT REMEMBER I REMEMBER THINGS BUT ITS ITS LIKE IM DOING EVERYTHING UNDERWATER +audio/RES0019.mp3[241.680,248.800] OH OK HAVE YOU BEEN UH CONFUSED OR CONCERNS WITH YOUR MEMORY +audio/RES0019.mp3[248.800,257.840] UM NO I HAVENT FORGOTTEN THINGS IT JUST FEELS LIKE IM REALLY SLOW AT DOING THINGS +audio/RES0019.mp3[257.840,268.080] I SEE OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD UH SIGNIFICANT FATIGUE +audio/RES0019.mp3[268.080,274.840] YES I WOULD SAY I AM SIGNIFICANTLY MORE TIRED THAN I USED TO BE +audio/RES0019.mp3[274.840,279.560] OK UM HOW HAS YOUR SLEEP BEEN +audio/RES0019.mp3[279.560,291.760] MY SLEEP HAS BEEN PRETTY NORMAL I GO TO BED AROUND THE SAME TIME WAKE UP AROUND THE SAME TIME YEAH ID SAY THAT THERES NO ISSUE THERE +audio/RES0019.mp3[291.760,300.000] OK WITH THIS FATIGUE HAVE YOU HAD ANY ACHES AND PAINS +audio/RES0019.mp3[300.000,306.960] SOME MUSCLE ACHES I WOULD SAY MOSTLY IN MY ARMS AND JUST MY LEGS YEAH +audio/RES0019.mp3[306.960,312.920] OK AND HAVE YOU HAD A COUGH +audio/RES0019.mp3[312.920,315.240] NO COUGH NO +audio/RES0019.mp3[315.240,320.080] ALRIGHT HOW ABOUT SHORTNESS OF BREATH +audio/RES0019.mp3[320.080,323.600] NO SHORTNESS OF BREATH EITHER +audio/RES0019.mp3[323.600,328.240] OK HAVE YOU EXPERIENCED ANY CHEST PAIN +audio/RES0019.mp3[331.320,339.360] OK HOW ABOUT ANY PERIOD WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING +audio/RES0019.mp3[340.960,345.000] OK AND HAVE YOU HAVE ANY WHEEZING +audio/RES0019.mp3[345.000,349.760] UM NO NO WHEEZING +audio/RES0019.mp3[349.760,356.120] OK AND HAVE YOU HAD ANY LOSS OF TASTE OR SMELL +audio/RES0019.mp3[356.120,357.560] UM NO +audio/RES0019.mp3[357.560,363.680] OK ALRIGHT HAVE YOU NOTICED ANY RASHES +audio/RES0019.mp3[363.680,367.280] NO RASHES EITHER +audio/RES0019.mp3[367.280,373.640] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0019.mp3[373.640,376.320] NO NO +audio/RES0019.mp3[376.320,380.400] OK HAVE YOU HAD ANY DIARRHEA +audio/RES0019.mp3[380.400,383.880] UM NO NO DIARRHEA +audio/RES0019.mp3[383.880,388.920] OK UM AND ANY CONSTIPATION +audio/RES0019.mp3[390.200,399.040] ALRIGHT AND THEN HOW ABOUT ANY URINARY PROBLEMS SUCH AS PAINFUL URINATION OR GOING FREQUENTLY +audio/RES0019.mp3[399.040,402.000] NO NO CHANGES +audio/RES0019.mp3[402.000,408.520] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0019.mp3[408.520,409.960] I AM +audio/RES0019.mp3[409.960,415.560] OK COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER +audio/RES0019.mp3[415.560,429.760] SURE I I JUST MY HUSBAND UM WE WE DONT USE PROTECTION BUT IM ON THE BIRTH CONTROL PILL +audio/RES0019.mp3[429.760,434.160] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0019.mp3[435.640,442.280] OK AND ANY I GUESS LIKE VAGINAL DISCHARGE OR VAGINAL DISCOMFORT +audio/RES0019.mp3[443.520,457.840] OK AND SO NEXT JUST WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0019.mp3[459.600,465.160] OK SO NO DIABETES HIGH BLOOD PRESSURE ANYTHING LIKE THAT +audio/RES0019.mp3[465.720,472.720] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIPTION OR OVER THE COUNTER +audio/RES0019.mp3[472.720,474.280] I DONT +audio/RES0019.mp3[474.280,476.760] ALRIGHT SO ITS JUST THE BIRTH CONTROL +audio/RES0019.mp3[476.760,482.400] OH SORRY YES JUST THE BIRTH CONTROL PILLS +audio/RES0019.mp3[482.400,487.000] YEAH OK NO WORRIES AND ANY ALLERGIES +audio/RES0019.mp3[487.000,489.920] JUST SEASONAL ALLERGIES +audio/RES0019.mp3[489.920,497.720] OK AND SO ARE IMMUNIZATIONS UP TO DATE +audio/RES0019.mp3[497.720,502.560] YEP THEY ARE +audio/RES0019.mp3[502.560,507.960] ALRIGHT AND IN IN THE HOME IS THERE ANYBODY WHOS SICK RIGHT NOW +audio/RES0019.mp3[507.960,510.120] NO NO ONE IS SICK +audio/RES0019.mp3[510.120,514.480] OK HOW ABOUT AT WORK +audio/RES0019.mp3[514.480,525.760] IM IM A TEACHER UM SO I WORK WITH A LOT OF CHILDREN BUT NO ONE THAT I NO ONE I KNOW OF HAS BEEN SICK +audio/RES0019.mp3[525.760,533.320] OK UM AND SO HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0019.mp3[534.760,539.800] ALRIGHT AND DO YOU SMOKE CIGARETTES +audio/RES0019.mp3[539.800,540.720] I DONT +audio/RES0019.mp3[540.720,543.920] OK DO YOU SMOKE MARIJUANA +audio/RES0019.mp3[543.920,545.480] I DONT +audio/RES0019.mp3[545.480,549.280] ALRIGHT DID YOU USE ANY RECREATIONAL DRUGS +audio/RES0019.mp3[549.280,555.360] I SOMETIMES TAKE SOME MARIJUANA EDIBLES BUT THATS ABOUT IT +audio/RES0019.mp3[555.360,560.720] OK AND DO YOU PURCHASE THOSE AT A DISPENSARY +audio/RES0019.mp3[560.720,561.400] I DO +audio/RES0019.mp3[561.400,565.680] OK SO FOR ONE OF THE ONTARIO STORES +audio/RES0019.mp3[567.280,580.240] OK GREAT YEAH CAUSE YOU COULD NEVER BE SURE WHERE ELSE WHAT THE DOSING IS SO ITS GOOD TO GET IT FROM THE APPROPRIATE STORES FOR SURE +audio/RES0019.mp3[581.320,583.960] DO YOU DRINK ALCOHOL +audio/RES0019.mp3[583.960,588.480] I DO ILL HAVE A GLASS OF WINE WITH DINNER +audio/RES0019.mp3[588.480,592.240] OK IS THIS DAILY +audio/RES0019.mp3[592.240,603.160] UM MOST DAYS I WOULD SAY MAYBE LIKE FOUR OR FIVE DAYS OF THE SEVEN DAYS OF THE WEEK +audio/RES0019.mp3[603.160,615.560] OK I SEE AND HAS ANYBODY IN YOUR FAMILY HAD SIMILAR SYMPTOMS IN THE PAST TO WHAT YOURE HAVING OR HAD ANY LUNG CONDITIONS IN THE PAST +audio/RES0019.mp3[615.560,617.200] NO NOTHING LIKE THAT +audio/RES0019.mp3[617.200,621.640] OK HOW ABOUT ANY HEART CONDITIONS +audio/RES0019.mp3[621.640,630.160] UM MY FATHER PASSED AWAY AT 75 FROM A HEART ATTACK +audio/RES0019.mp3[630.160,636.400] OK AND UH HOW ABOUT ANY CANCERS IN THE FAMILY +audio/RES0019.mp3[636.400,637.800] NONE THAT I KNOW OF +audio/RES0019.mp3[637.800,654.440] OK SO I THINK THAT WAS UH ALL OF THE QUESTIONS THAT I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT YOU THOUGHT I WAS MISSING OR THAT YOU WANTED TO TELL ME ABOUT +audio/RES0019.mp3[654.440,659.320] NO I DONT THINK SO BUT UH WHAT DO YOU THINK I HAVE +audio/RES0019.mp3[659.320,731.320] SO WITH THE ACUITY OF YOUR SYMPTOMS STARTING WITH THE LAST FEW DAYS AND GETTING WORSE ESPECIALLY WITH A FEVER WHICH WE NOW HAVE DOCUMENTED OF 388 AND A KIND OF FEELING UH TIRED WITH ACHES AND PAINS AND THE HEADACHE I AM CONCERNED THAT YOU HAVE POSSIBLY A VIRAL INFECTION AND ONE OF THOSE POSSIBILITIES COULD BE COVID19 BUT ALSO IT COULD BE THE INFLUENZA IT COULD BE SOMETHING LIKE THE COMMON COLD SUCH AS ADENOVIRUS SO CERTAINLY WE WILL DO A PCR COVISWAB AS WELL AS ORDER SOME GENERAL LAB WORK TO LOOK FOR SIGNS OF INFECTION SUCH AS A CBC AND A WHITE BLOOD CELL COUNT BUT UM FOR NOW WE WILL GET THOSE TESTS ORDERED DID YOU HAVE ANY QUESTIONS +audio/RES0019.mp3[731.320,746.160] OK YEAH THAT SOUNDS GREAT DO YOU THINK I COULD ALSO HAVE YOU KNOW MENINGITIS OR SOMETHING CAUSE I WAS READING ONLINE ON GOOGLE AND THATS THE FIRST THING THAT CAME UP +audio/RES0019.mp3[746.160,774.600] OH YEAH YOURE YOURE ABSOLUTELY RIGHT SO UM SORRY I WE WILL GO AHEAD AND INVESTIGATE THAT AS WELL AND WE MIGHT NEED TO DO A LUMBAR PUNCTURE OR SOME BLOOD WORK TO LOOK FOR SIGNS OF INFECTION THAT MIGHT BE NEEDED TO BE TREATED WITH ANTIBIOTICS +audio/RES0019.mp3[774.600,785.280] OK ALRIGHT THAT SOUNDS GOOD THANK YOU +audio/RES0070.mp3[0.000,4.440] WHAT BROUGHT YOU IN TODAY +audio/RES0070.mp3[4.440,18.720] YEAH ABSOLUTELY I HAVE HAD THIS AWFUL AWFUL HEADACHE FOR THE PAST TWO DAYS I WANNA SAY ITS HORRIBLE +audio/RES0070.mp3[18.720,27.960] OK HAS THE HEADACHE UHM STAYED THE SAME GOTTEN WORSE GOTTEN ANY BETTER +audio/RES0070.mp3[27.960,32.120] ITS ONLY GOTTEN WORSE OVER THE PAST TWO DAYS +audio/RES0070.mp3[32.120,41.680] OK AND WHEN THE HEADACHE STARTED WAS IT LIKE A THUNDER CLAP KIND OF WORST HEADACHE OF YOUR LIFE WHEN IT CAME ON +audio/RES0070.mp3[41.680,43.120] NO NO +audio/RES0070.mp3[43.120,50.520] OK WAS THERE ANYTHING GOING ON TWO DAYS AGO AROUND THE TIME OF THE HEADACHE LIKE DID YOU HIT YOUR HEAD OR ANYTHING LIKE THAT +audio/RES0070.mp3[50.520,65.760] NO I JUST UHM I JUST WENT OUT FOR DINNER THE NIGHT BEFORE AND I KNOW THAT THERE ARE CERTAIN FOODS THAT CAN TRIGGER MY MIGRAINES BUT THIS REALLY FEELS DIFFERENT IT DOESNT FEEL LIKE MY MIGRAINE +audio/RES0070.mp3[65.760,75.160] OK UHM AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS WITH THE HEADACHE +audio/RES0070.mp3[75.160,91.960] IVE BEEN FEELING REALLY TIRED I TOOK THE DAY OFF YESTERDAY AND TODAY IM WORKING FROM HOME BUT I STILL DECIDED NOT TO GET ANY WORK DONE TODAY OR YESTERDAY +audio/RES0070.mp3[91.960,97.560] OK UHM AND THE FATIGUE WHEN DID THAT START +audio/RES0070.mp3[97.560,104.040] I THINK THAT STARTED YESTERDAY MORNING +audio/RES0070.mp3[104.040,113.440] OK AND SORRY BACK TO THE HEADACHE HAVE YOU TRIED ANYTHING FOR IT +audio/RES0070.mp3[113.440,125.520] I TOOK TYLENOL AND ADVIL BUT I GUESS IT DID GET BETTER FOR ABOUT AN HOUR A LITTLE BIT BUT IT WAS BACK ON AGAIN +audio/RES0070.mp3[125.520,132.040] OK AND COULD YOU DESCRIBE LIKE WHERE YOU FEEL THE HEADACHE +audio/RES0070.mp3[132.040,140.840] SURE YEAH SO ITS LIKE RIGHT IN THE FRONT JUST KIND OF FEELS LIKE A BAND JUST LIKE THIS PRESSURE IN THE FRONT OF MY HEAD +audio/RES0070.mp3[140.840,147.880] OK AND HAS THERE BEEN ANYTHING THATS MADE THE HEADACHE WORSE LIKE LIGHTS OR OR SOUNDS +audio/RES0070.mp3[147.880,153.960] NO NO LIKE I SAID ITS LIKE NOTHING LIKE MY USUAL MIGRAINE HEADACHES +audio/RES0070.mp3[153.960,169.640] OK AND I MEAN THE ADVIL OR TYLENOL IT HELPS THE SYMPTOMS FOR A BRIEF PERIOD BUT HAS THERE BEEN ANYTHING ELSE THATS HELPED YOUR HEADACHE +audio/RES0070.mp3[169.640,172.520] NO NOT REALLY +audio/RES0070.mp3[172.520,185.920] OK AND IS THERE ANY PARTICULAR TIME OF THE DAY THAT THE HEADACHES WORSE LIKE IS IN THE MORNING TIME WHEN YOURE FIRST WAKING UP OR LATER IN THE DAY +audio/RES0070.mp3[185.920,190.120] I DONT THINK SO +audio/RES0070.mp3[190.120,196.400] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0070.mp3[197.520,207.760] OK AND HAVE YOU HAD ANY LIKE VISUAL CHANGES +audio/RES0070.mp3[210.480,215.640] OK UHM AND HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +audio/RES0070.mp3[215.640,220.880] UHM IVE HAD A BIT OF A SORE THROAT +audio/RES0070.mp3[220.880,224.720] OK HAVE YOU HAVE YOU HAD A COUGH +audio/RES0070.mp3[224.720,230.280] YEAH BUT HONESTLY THE HEADACHES BEEN BOTHERING ME THE MOST +audio/RES0070.mp3[230.280,236.160] OK AND WHEN DID THE COUGH START +audio/RES0070.mp3[236.160,240.560] ABOUT THE SAME TIME +audio/RES0070.mp3[242.560,245.000] MAYBE TWO DAYS AGO +audio/RES0070.mp3[245.000,253.440] OK AND HAVE YOU HAD ANY NECK STIFFNESS DOES IT HURT IF YOU IF YOU MOVE YOUR NECK AROUND +audio/RES0070.mp3[253.440,256.400] NO NOTHING LIKE THAT +audio/RES0070.mp3[256.400,263.760] OK UH AND WITH THE WITH THE COUGH HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORTNESS OF BREATH +audio/RES0070.mp3[263.760,269.040] MAYBE A LITTLE BIT +audio/RES0070.mp3[269.040,275.120] OK HOW ABOUT ANY WHEEZING +audio/RES0070.mp3[278.040,282.560] OK HAVE YOU BEEN BRINGING UP ANY SPUTUM WITH THE COUGH +audio/RES0070.mp3[284.240,288.480] OK HOW ABOUT ANY ANY BLOOD +audio/RES0070.mp3[289.520,297.840] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL +audio/RES0070.mp3[300.000,306.920] ANY CHANGES TO YOUR SENSE OF TASTE +audio/RES0070.mp3[308.280,315.760] OK UH AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OVER THE LAST SEVERAL MONTHS +audio/RES0070.mp3[315.760,317.240] I DONT THINK SO +audio/RES0070.mp3[317.240,323.000] ALRIGHT AND HOW IS YOUR APPETITE BEEN +audio/RES0070.mp3[323.000,325.800] UHM ITS FINE +audio/RES0070.mp3[325.800,329.280] ANY CHEST PAIN +audio/RES0070.mp3[330.840,334.120] OK UHM ANY LIGHTHEADEDNESS OR OR FEELING DIZZY +audio/RES0070.mp3[334.120,335.720] NO NO +audio/RES0070.mp3[335.720,339.720] ALRIGHT ANY NAUSEA OR VOMITING +audio/RES0070.mp3[341.840,343.640] ANY DIARRHEA +audio/RES0070.mp3[344.840,346.560] ANY URINARY PROBLEMS +audio/RES0070.mp3[347.400,351.840] HOW ABOUT UH HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0070.mp3[351.840,354.320] A LITTLE BIT +audio/RES0070.mp3[354.320,357.160] OK AND ANY RASHES ANYWHERE +audio/RES0070.mp3[357.160,360.760] NO NO NO +audio/RES0070.mp3[360.760,370.040] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0070.mp3[370.040,387.600] UHM I HAVE UH I HAVE MIGRAINES AND UH I ALSO HAVE POLYMYALGIA RHEUMATICA +audio/RES0070.mp3[387.600,395.440] OK ARE YOU TAKING ANY MEDICATIONS CURRENTLY FOR EITHER OF THOSE +audio/RES0070.mp3[396.840,402.960] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS +audio/RES0070.mp3[403.920,406.080] OK ANY SURGERIES +audio/RES0070.mp3[407.880,411.920] OK AND UH DO YOU SMOKE CIGARETTES +audio/RES0070.mp3[414.920,417.280] DRINK ALCOHOL +audio/RES0070.mp3[418.520,429.440] OK AND DO YOU USE ANY OTHER USE ANY RECREATIONAL DRUGS +audio/RES0070.mp3[431.320,444.080] OK AND ANY FAMILY HISTORY OF SIMILAR SYMPTOMS LIKE LIKE UNUSUAL HEADACHES OR ANYTHING LIKE THAT +audio/RES0070.mp3[444.080,446.720] WELL MIGRAINES KINDA RUN IN THE FAMILY +audio/RES0070.mp3[446.720,449.320] MIGRAINES OK +audio/RES0070.mp3[450.560,458.640] AND ANY HEART CONDITIONS OR CANCERS OR ANYTHING LIKE THAT IN THE FAMILY +audio/RES0070.mp3[458.640,461.320] NO NO NO +audio/RES0070.mp3[461.320,470.480] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY YOU WENT OUT FOR DINNER A COUPLE DAYS AGO +audio/RES0070.mp3[470.480,474.880] YEAH UHM I DONT THINK ANYONE WAS SICK +audio/RES0070.mp3[474.880,482.480] OK AND YOU DIDNT FEEL THAT YOU HAD ANY TRIGGERS TO YOUR MIGRAINES AT THAT TIME +audio/RES0070.mp3[482.480,492.560] NO I DIDNT I DID YES I I DID MEET UP WITH MY FRIENDS AND WE WENT OUT FOR DINNER I KNOW WERE NOT SUPPOSED TO BUT ITS BEEN SUCH A LONG TIME +audio/RES0070.mp3[493.000,500.200] I DONT THINK THEY WERE SICK AT THE TIME BUT I HAVENT REALLY TALKED TO THEM AFTER +audio/RES0070.mp3[500.200,503.360] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0070.mp3[507.000,513.600] ALRIGHT AND SO I DONT THINK I ASKED DID YOU HAVE A FEVER OR CHILLS +audio/RES0070.mp3[513.600,516.960] NO NOT REALLY +audio/RES0070.mp3[516.960,541.520] OH OK UHM SO THE SYMPTOMS YOUVE BEEN EXPERIENCING YOUVE HAD A HEADACHE THATS BEEN THE MOST BOTHERSOME THESE THESE LAST COUPLE OF DAYS WHICH FEELS DIFFERENT THAN YOUR MIGRAINES BUT YOUVE ALSO HAD A SORE THROAT A COUGH SHORTNESS OF BREATH AS WELL AS A LITTLE BIT OF MUSCLE ACHES AND FATIGUE OVER THESE LAST COUPLE OF DAYS +audio/RES0070.mp3[541.520,547.240] YEAH THAT SOUNDS RIGHT +audio/RES0070.mp3[547.240,548.520] IS THERE ANYTHING ELSE +audio/RES0070.mp3[548.520,552.400] NO NO I DONT THINK SO +audio/RES0070.mp3[552.400,568.720] OK UMM SO IM GOING TO GET THE ATTENDING AND WELL GO THROUGH A PHYSICAL EXAM AND GET SOME INVESTIGATIONS ORDERED SO THAT WE CAN TRY TO FIGURE OUT WHATS GOING ON OK +audio/RES0070.mp3[568.720,569.600] OK THANK YOU +audio/RES0070.mp3[569.600,574.040] YOURE WELCOME +audio/RES0124.mp3[0.000,2.880] UM WHAT BRINGS YOU IN TODAY +audio/RES0124.mp3[2.880,19.040] UH YEAH HI I JUST CAME IN HERE TODAY CAUSE UH LATELY FOR THE LAST COUPLE OF MONTHS IVE BEEN GETTING THESE COUGHING FITS THEY DONT REALLY SEEM TO BE GOING AWAY AND I WAS A BIT CONCERNED +audio/RES0124.mp3[19.040,23.840] SO YOUVE HAD THIS WHEN DID THIS START +audio/RES0124.mp3[23.840,49.400] UH I WOULD SAY PROBABLY DURING THE WINTER UH IT IT KIND OF STARTED WHERE I STARTED HAVING UM JUST COUGHING FITS WHEN IM WALKING TO SCHOOL AND THEN ALSO DURING LIKE GYM CLASS I STARTED HAVING THESE COUGHING FITS AND SOMETIMES I ALSO FELT LIKE I COULDNT BREATHE +audio/RES0124.mp3[49.400,66.600] UM OKAY OKAY WHAT DID YOU IS THERE ANYTHING SO ITS BASICALLY WORSE WHEN YOURE UM DOING SOME SORT OF AN EXERCISE SUCH AS WALKING UM OR BEING IN THE GYM CLASS AND ITS ALSO WORSE IN THE COLD +audio/RES0124.mp3[66.600,88.560] YEAH YEAH AND THEN ALSO LIKE I REMEMBER WHEN I WAS WALKING DOWN THE STREET AND SOMEONE WAS SMOKING AND THEN I JUST COMPLETELY JUST STARTED HAVING THAT EPISODE RIGHT AFTER I WALKED PAST THEM +audio/RES0124.mp3[88.560,99.040] OKAY UM ALRIGHT UH UM OKAY SORRY ONE MOMENT OKAY UM SO IS THERE ANYTHING THAT MAKES YOUR COUGH BETTER WHAT DO YOU DO TO MAKE IT GO AWAY +audio/RES0124.mp3[99.040,112.760] UH I JUST BASICALLY HAVE TO IF I IF IM DOING ANY KIND OF ACTIVITIES JUST TAKE A MOMENT SIT DOWN FOR LIKE 10 TO 15 MINUTES AND THEN IT SEEMS LIKE IT GOES AWAY ON ITS OWN +audio/RES0124.mp3[112.760,117.280] AND YOU SAID THAT SOMETIMES YOU ALSO HAVE DIFFICULTIES BREATHING WITH IT +audio/RES0124.mp3[117.280,133.280] YEAH LIKE A COUPLE OF TIMES IT GOT REALLY BAD WHERE I HAD TO UM LIKE IT WAS DIFFICULT GET IT WAS IT WAS LIKE I WAS TRYING TO TAKE DEEP BREATHS FOR AIR BUT UH IT WAS IT JUST FELT LIKE I COULDNT +audio/RES0124.mp3[133.280,139.080] I SEE SO THIS STARTED A COUPLE OF MONTHS AGO HAS THIS EVER HAPPENED TO YOU BEFORE THAT +audio/RES0124.mp3[139.080,141.600] NO BEFORE THAT IVE BEEN FINE +audio/RES0124.mp3[141.600,154.480] OKAY AND SO IM GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS LET ME KNOW IF YOUVE EXPERIENCED ANY OF THESE IN THE PAST COUPLE OF MONTHS UM SO HAVE YOU HAD A HEADACHE THAT ACCOMPANIES THE COUGH +audio/RES0124.mp3[154.480,155.680] UH NO +audio/RES0124.mp3[155.680,159.640] UM ANY CHANGES IN YOUR VISION OR YOUR HEARING +audio/RES0124.mp3[160.320,162.400] ANY CONFUSION +audio/RES0124.mp3[163.320,169.640] UM ANY UM RUNNY NOSE OR STUFFY NOSE OR SINUS CONGESTION +audio/RES0124.mp3[169.640,171.480] UH NO NOT REALLY +audio/RES0124.mp3[171.480,174.960] OKAY ANY SORE THROAT +audio/RES0124.mp3[174.960,177.560] UH NO +audio/RES0124.mp3[177.560,181.520] ANY UM CHEST PAIN +audio/RES0124.mp3[181.520,189.840] UM SOMETIMES WHEN I GET LIKE REALLY BAD COUGHING FITS LIKE IT SOMETIMES STARTS HURTING IN MY CHEST AS WELL +audio/RES0124.mp3[189.840,193.480] YEAH UM DOES IT GO AWAY WHEN YOU STOP COUGHING +audio/RES0124.mp3[193.480,196.960] YEAH IT GOES AWAY AFTER I JUST TAKE SOME REST +audio/RES0124.mp3[196.960,201.480] UM HAVE YOU HAD ANY BELLY PAIN +audio/RES0124.mp3[201.480,202.880] UH NO NOT AT ALL +audio/RES0124.mp3[202.880,206.040] DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0124.mp3[206.040,207.280] UH NO +audio/RES0124.mp3[207.280,210.880] ANY CHANGES IN YOUR ANY NAUSEA OR VOMITING +audio/RES0124.mp3[211.880,214.920] ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0124.mp3[217.080,220.080] ANY ACID REFLUX +audio/RES0124.mp3[220.080,222.640] UH NO +audio/RES0124.mp3[222.640,233.360] OKAY UM AND ANY CERTAIN MUSCLE ACHES OR JOINT PAINS +audio/RES0124.mp3[233.360,234.720] UM NO NOTHING LIKE THAT +audio/RES0124.mp3[234.720,238.160] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS +audio/RES0124.mp3[238.920,248.200] OKAY LETS GET BACK OKAY GREAT IT SOUNDS LIKE THAT THE THE COUGH IS SORT OF THE MAIN SYMPTOM HERE THAT YOU HAVE UM IS THE COUGH DRY OR WET +audio/RES0124.mp3[248.200,252.640] ITS USUALLY UH ITS USUALLY DRY +audio/RES0124.mp3[252.640,255.000] UH SORRY CAN YOU SAY THAT AGAIN +audio/RES0124.mp3[255.000,256.200] ITS USUALLY DRY +audio/RES0124.mp3[256.200,262.760] OKAY UM HAVE YOU EVER BROUGHT UP ANY SPUTUM OR ANY BLOOD +audio/RES0124.mp3[262.760,275.920] UH NEVER ANY BLOOD I HAVE LIKE ON OCCASION LIKE SOMETIMES BROUGHT UP SOME SPUTUM +audio/RES0124.mp3[275.920,282.800] OKAY ALRIGHT UM OKAY AND UH HAVE YOU BEEN VACCINATED +audio/RES0124.mp3[282.800,286.400] UH YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE +audio/RES0124.mp3[286.400,305.880] OKAY GOOD GOOD GOOD UM DOES THE COUGH SOUND LIKE A BARKY COUGH OR A MUFFLED COUGH OR UM DOES IT HAVE A SPECIFIC CHARACTERISTIC DOES IT SOUND DIFFERENT THAN WHEN YOURE SORT OF COUGHING TO CLEAR YOUR THROAT FOR INSTANCE +audio/RES0124.mp3[305.880,327.920] UH YEAH ITS LIKE PRETTY IT CAN GET PRETTY HARSH I ALSO NOTICED LIKE UH THERES LIKE THIS WEIRD NOISE I STARTED MAKING LIKE RIGHT AFTER WHEN IM TRYING TO TAKE DEEP BREATHS IN +audio/RES0124.mp3[327.920,335.400] OKAY OKAY OKAY SO YOURE WHEEZING OKAY SO YOU EVER UM COUGH SO MUCH THAT YOU END UP VOMITING +audio/RES0124.mp3[335.400,348.120] NO NO THAT HASNT HAPPEN YET +audio/RES0124.mp3[348.120,368.880] UM AND DO YOU SO YOU MENTIONED THAT ITS WORSE WHEN YOURE IN THE COLD OR EXERCISING AND SMOKING MAKES IT WORSE WHAT ABOUT THINGS LIKE DUST OR POLLEN UM SAY WHEN YOURE CLEANING THE HOUSE AND THERES ALSO DUST DOES THAT MAKE THINGS WORSE OR IS IT WORSE IN A SPECIFIC TIME OF THE YEAR WHEN YOURE OUTDOORS +audio/RES0124.mp3[368.880,383.800] UH NOW THAT YOU MENTION IT YEAH LIKE IF WERE EVER IN THE BASEMENT OR ANYTHING LIKE THAT I I DO START GETTING LIKE KIND OF IRRITATION UM IN MY THROAT AND THAT KIND OF SOMETIMES I HAVE ALSO COUGHED AT THOSE TIMES +audio/RES0124.mp3[383.800,398.760] ALRIGHT UH CAN YOU TELL ME OKAY SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0124.mp3[398.760,404.200] NO NOTHING ELSE IVE BEEN PRETTY HEALTHY +audio/RES0124.mp3[404.200,411.120] OKAY HAD DID WHEN YOU WERE A CHILD DID YOU HAVE ANY SORT OF RASH DID YOU HAVE ECZEMA +audio/RES0124.mp3[411.120,425.040] OH I YEAH SO I DID I AT ONE POINT I WAS USING LIKE THIS CREAM UM PROBABLY WHEN I WAS TEN JUST FOR SOME ECZEMA ON MY HANDS +audio/RES0124.mp3[425.040,449.640] OKAY AND UM HAVE YOU EVER HAD ALLERGIC RHINITIS WHICH IS BASICALLY SORT OF HAVING UM RED OR TEARY EYES ITCHINESS ON THE FACE A RUNNY NOSE AT CERTAIN TIMES OF THE YEAR OR IN UM AREAS WITH MOLD OR DUST OR TERMITES AND THINGS LIKE THAT HAVE YOU HAD ANYTHING LIKE THAT AS A CHILD OR RIGHT NOW +audio/RES0124.mp3[449.640,451.760] UH NOT THAT I KNOW OF NO +audio/RES0124.mp3[451.760,461.760] OKAY ALRIGHT UH DO YOU HAVE ANY UM I GUESS GOING BACK WERE YOU A HEALTHY CHILD GROWING UP +audio/RES0124.mp3[461.760,469.720] YEAH AS FAR AS I KNOW I I DIDNT REALLY HAVE ANY CONCERNS FROM LIKE THE SCHOOL OR HOME AT ALL +audio/RES0124.mp3[469.720,475.640] OKAY THATS GREAT DO YOU UH DID YOU EVER HAVE ANY HOSPITALIZATIONS +audio/RES0124.mp3[476.800,478.640] ANY SURGERIES +audio/RES0124.mp3[479.600,482.320] ARE YOU TAKING ANY MEDICATIONS +audio/RES0124.mp3[482.320,483.800] UH NO MEDICATIONS +audio/RES0124.mp3[483.800,486.480] ARE YOU STILL USING THE ECZEMA CREAM +audio/RES0124.mp3[486.480,492.840] NO NO THAT KIND OF JUST WENT AWAY ON ITS OWN OR LIKE RIGHT AFTER I USED THE CREAM LIKE ITS GOOD NOW +audio/RES0124.mp3[492.840,497.600] OKAY GOOD ARE YOU ALLERGIC TO ANYTHING +audio/RES0124.mp3[497.600,506.480] NO I DONT THINK SO MAYBE JUST LIKE ENVIRONMENTAL ALLERGIES SOMETIMES IN THE SPRINGTIME +audio/RES0124.mp3[506.480,508.880] WHAT HAPPENS THEN +audio/RES0124.mp3[508.880,525.440] UM JUST SOMETIMES LIKE UH I DONT KNOW IF ITS LIKE A POLLEN ALLERGY LIKE I I DO GET SOME I GUESS I DO GET LIKE SOME NASAL CONGESTION AND THINGS LIKE THAT +audio/RES0124.mp3[525.440,529.680] UM HAVE YOU EVER SEEN AN ALLERGIST +audio/RES0124.mp3[529.680,531.280] NO I HAVENT +audio/RES0124.mp3[531.280,536.000] NO UH WHO PRESCRIBED THE CREAM FOR THE ECZEMA +audio/RES0124.mp3[536.000,540.000] UM JUST A IT WAS LIKE AT A WALKIN CLINIC +audio/RES0124.mp3[540.000,552.960] OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY UM LUNGRELATED PROBLEMS OR ANY OTHER PROBLEMS +audio/RES0124.mp3[552.960,567.760] UM MY OLDER SISTER HAS ASTHMA AND UH I DONT KNOW IF ANYONE ELSE IN THE FAMILY HAS ASTHMA UM I THINK MY FATHER HAS HIGH BLOOD PRESSURE +audio/RES0124.mp3[567.760,580.840] ALRIGHT AND YOU MENTIONED THAT THINGS ARE GOING WELL AT SCHOOL UM WHO DO YOU LIVE WITH AT HOME +audio/RES0124.mp3[580.840,584.760] YEAH SO I LIVE WITH MY OLDER SISTER AND MY MOM AND DAD +audio/RES0124.mp3[584.760,590.200] OKAY OKAY AND THINGS ARE GOOD AT HOME DO YOU FEEL SAFE +audio/RES0124.mp3[590.200,591.960] YEAH YEAH I FEEL COMPLETELY SAFE +audio/RES0124.mp3[591.960,595.760] ANY CONCERNS ABOUT BULLYING AT SCHOOL +audio/RES0124.mp3[595.760,597.480] NO NO NOT AT ALL +audio/RES0124.mp3[597.480,603.640] OKAY ARE YOU UH ARE YOU TAKING ANY MARIJUANA OR ANY STREET DRUGS +audio/RES0124.mp3[603.640,606.320] NO NO MY PARENTS WOULD KILL ME +audio/RES0124.mp3[606.320,609.120] WHAT ABOUT ALCOHOL +audio/RES0124.mp3[609.120,615.640] UH ILL COME IVE I HAVENT TRIED IT UM YET AT ALL +audio/RES0124.mp3[615.640,638.360] OKAY OKAY JUST WANTED TO MENTION THAT THE CONVERSATION THAT WERE HAVING RIGHT NOW IS CONFIDENTIAL BETWEEN YOU AND ME UM UNLESS YOU MENTIONED ANYTHING THAT HARMS YOU OR HARMS ANYONE ELSE SO SO FEEL FREE TO DISCUSS WHATEVER OR TALK OPENLY ABOUT UM ANY ISSUES THAT YOU HAVE UM OKAY AND UM ARE YOU SEXUALLY ACTIVE +audio/RES0124.mp3[638.360,642.600] NO NO +audio/RES0124.mp3[642.600,698.640] ALRIGHT OKAY SO UM THATS ALL THE INFORMATION I NEEDED UH GIVEN THAT YOUVE HAD THESE COUGHING FITS FOR THE PAST COUPLE OF MONTHS THAT ARE THAT HAVE CERTAIN TRIGGERS UH AND ALSO GIVEN THAT YOUVE HAD A HISTORY OF ECZEMA AND YOUR SISTER HAS ASTHMA SO KIND OF SORT OF RUNS IN YOUR FAMILY IN A WAY YOU MIGHT ALSO HAVE A DIAGNOSIS OF ASTHMA POTENTIALLY UM AND SO WHAT I WOULD RECOMMEND IS THAT YOU GET UM TESTING DONE AND UM UH I GUESS BEFORE I SORT OF TALK A LITTLE MORE ABOUT THIS I JUST WANT TO GET A SENSE OF HOW SEVERE YOUR ASTHMA IF ITS ASTHMA AT ALL UM IF DOES IT DOES IT AFFECT YOUR ABILITY TO YOU SAID SCHOOL WAS GOING OKAY DOES IT AFFECT YOUR ABILITY TO DO WELL AT SCHOOL AT ALL +audio/RES0124.mp3[698.640,708.440] UM DEFINITELY IN IN GYM CLASS BUT OTHER THAN THAT IT HASNT REALLY AFFECTED ME +audio/RES0124.mp3[708.440,711.800] DOES IT WAKE YOU UP AT NIGHT +audio/RES0124.mp3[711.800,715.440] NO SO FAR NO I I LIKE I GET PRETTY GOOD SLEEP +audio/RES0124.mp3[715.440,724.800] OKAY OKAY UM AND HOW OFTEN I GUESS IS DO THESE EPISODES OCCUR HOW MANY TIMES A WEEK OR HOW MANY TIMES A MONTH +audio/RES0124.mp3[724.800,732.040] UH SO THEY JUST STARTED LIKE TWO MONTHS AGO AND IVE HAD LIKE MAYBE FOUR OR FIVE OF THEM IN TOTAL +audio/RES0124.mp3[732.040,750.760] OKAY OKAY UH AND THEY KIND OF GET BETTER ON THEIR OWN OKAY SO WE CAN SORT OF TALK ABOUT THESE SORRY PUFFERS THAT YOU MIGHT NEED TO TO USE AS NEEDED UM YOUR SISTER MIGHT HAVE SOME OF THOSE SO YOU MIGHT BE FAMILIAR WITH WHAT IM TALKING ABOUT +audio/RES0124.mp3[751.280,823.720] UM SO WE CAN TALK ABOUT THAT UM GIVEN THAT YOUR SYMPTOMS ARE YES THEYVE BEEN OCCURRING FOR THE PAST COUPLE OF MONTHS BUT BECAUSE YOU HAVE HAD A COUGH IT MIGHT BE A GOOD IDEA JUST TO HAVE A COVITEST DONE ONCE UM I DONT THINK THATS WHAT YOU HAVE SEEING THAT THIS THESE SYMPTOMS HAVE BEEN LASTING FOR HAVE BEEN OCCURRING FOR THE PAST TWO MONTHS SO WELL JUST KIND OF DO THAT TEST TO RULE IT OUT UM IN THE MEANTIME I WOULD RECOMMEND THAT YOU UM TRY THIS INHALED CORTICOSTEROID PUFFER THAT YOU CAN USE THAT YOU SHOULD USE ON A DAILY BASIS AND TRY TO AVOID UH THE TRIGGERS SO THE THINGS THAT YOU THAT CAUSE THESE SYMPTOMS UM WE CAN GO OVER HOW TO USE UH A PUFFER PROPERLY AND I WILL ALSO GIVE YOU A SPACER WHICH WILL HELP DELIVER MOST OF THAT MEDICATION IN THE UH TO YOUR LUNGS DO YOU HAVE ANY QUESTIONS +audio/RES0124.mp3[823.720,828.000] UH NO I DONT HAVE ANY QUESTIONS AT ALL THANK YOU SO MUCH +audio/RES0206.mp3[0.000,4.800] WHAT BRINGS YOU IN TODAY +audio/RES0206.mp3[4.800,64.080] SO I SO I HAVE COPAND ITS USUALLY LIKE PRETTY MANAGEABLE WITH MY PUFFERS AND THAT BUT JUST IN THE LAST LIKE 3 DAYS I FEEL LIKE ITS GOTTEN A LOT WORSE YOU KNOW I I FEEL LIKE IM COUGHING MORE OFTEN AND IM NOW UH KIND OF PRODUCING MORE SPUTUM KIND OF LIKE A GREEN YELLOWY SPUTUM UHM I EVEN NOTICE THAT THERE IS LIKE A LITTLE BIT OF BLOOD A COUPLE TIMES WHEN I WAS LIKE REALLY COUGHING HARD I’VE BEEN FINDING IT LIKE HARDER TO BREATHE THAN USUAL I DON’T HAVE HOME OXYGEN OR ANYTHING AND IM NOT I DIDNT THINK I WAS QUITE THERE YET BUT THIS THESE LAST FEW DAYS ITS BEEN ITS BEEN REALLY HARD TO BREATHE +audio/RES0206.mp3[64.080,71.360] I SEE OK SO THIS IS HAPPENED IN THE PAST THREE DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE OVER THIS TIME +audio/RES0206.mp3[71.360,79.560] I FEEL LIKE THEYVE BEEN GET MAYBE MAYBE GETTING A LITTLE WORSE THEY DEFINITELY HAVENT GOTTEN BETTER +audio/RES0206.mp3[79.560,84.440] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE +audio/RES0206.mp3[84.440,104.640] I’VE HAD I HAD SOME TROUBLES LIKE WHEN IVE BEEN SICK BEFORE WHERE THE COUGH IS GOTTEN PRETTY BAD THIS IS PROBABLY THIS IS PROBABLY THE WORST THAT IVE HAD BUT I HAVE LIKE I HAVE HAD IN MY COPBEEN MADE WORSE BY BEING SICK +audio/RES0206.mp3[104.640,114.120] I SEE OK WELL I GUESS THE FIRST THING WERE GOING SO HOWS TBAD HOW BAD IS YOUR SHORTNESS OF BREATH +audio/RES0206.mp3[114.120,136.800] LIKE I I WALKED HERE FINE BUT I NORMALLY LIKE CAN WALK AROUND THE BLOCK AND I GO FOR A WALK USUALLY A COUPLE TIMES A DAY TO WALK MY DOG AND ITS BEEN JUST ITS BEEN A LITTLE BIT TRICKIER TO DO THAT +audio/RES0206.mp3[136.800,148.400] I SEE OK AND UH HAVE YOU EVER HAD ANY HOSPITALIZATIONS IN THE PAST SPECIFICALLY FOR COPEXACERBATIONS +audio/RES0206.mp3[148.400,161.040] UM I HAVENT UHM LIKE STAYED OVER IN THE HOSPITAL I LIKE COME TO EMERGE A COUPLE TIMES +audio/RES0206.mp3[161.040,164.920] ALRIGHT UM HOW MANY TIMES +audio/RES0206.mp3[164.920,173.760] I THINK TWICE MAYBE OVER THE LAST LIKE THREE YEARS +audio/RES0206.mp3[173.760,177.200] UHM WHEN WERE YOU DIAGNOSED WITH COPD +audio/RES0206.mp3[177.200,181.160] UHM 4 5 YEARS AGO +audio/RES0206.mp3[181.160,187.440] WAS IT FORMALLY DIAGNOSED USING THE PROPER TESTING +audio/RES0206.mp3[187.440,195.760] YEAH THEY REFERRED ME TO A LUNG A LUNG DOCTOR +audio/RES0206.mp3[195.760,201.920] I SEE OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0206.mp3[201.920,206.920] I FEEL LIKE I MAY HAVE HAD A FEVER LAST NIGHT I FELT REALLY HOT +audio/RES0206.mp3[206.920,210.440] DID YOU CHECK YOUR TEMPERATURE +audio/RES0206.mp3[210.440,215.280] I I DONT HAVE A THERMOMETER AT HOME +audio/RES0206.mp3[215.280,220.720] NO PROBLEM WE CAN NOW CHECK YOUR TEMPERATURE +audio/RES0206.mp3[220.720,223.960] HERE BY THE BED I WOULD SAY HAD A FEVER +audio/RES0206.mp3[223.960,238.840] SURE AND HAVE YOU HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE ANY PAIN IN YOUR SINUS +audio/RES0206.mp3[238.840,252.960] I THINK I THINK I HAVE A IVE HAD A BIT OF A LIKE THIS PRESSURE IN THE SINUS AREA BUT ITS BEEN THE COUGH HAS BEEN THE THING THATS BEEN THE MOST BOTHERSOME +audio/RES0206.mp3[252.960,256.200] I SEE AND HAVE YOU HAD A SORE THROAT AT ALL +audio/RES0206.mp3[256.200,258.160] OH NO +audio/RES0206.mp3[258.160,261.120] OK A HEADACHE +audio/RES0206.mp3[261.120,271.120] UHM MAYBE A LITTLE BIT YEAH +audio/RES0206.mp3[271.120,275.480] OK AND ANY NAUSEA OR VOMITING +audio/RES0206.mp3[277.680,280.920] DIARRHEA OR CONSTIPATION +audio/RES0206.mp3[284.880,287.240] ABDOMINAL PAIN +audio/RES0206.mp3[288.560,293.920] OK IN HAVE YOU RECENTLY LOST WEIGHT UNINTENTIONALLY +audio/RES0206.mp3[293.920,295.760] NO NO I WISH BUT NO +audio/RES0206.mp3[295.760,303.320] OK HAVE YOU HAD ANY NIGHT SWEATS WHERE YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT +audio/RES0206.mp3[303.320,305.120] UH NO NOTHING LIKE THAT +audio/RES0206.mp3[305.120,317.000] ALRIGHT AND HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK +audio/RES0206.mp3[317.000,344.200] UM LET ME THINK I I MEET MY I MEET A COUPLE OF FRIENDS TO WALK OUR DOGS TOGETHER OUTSIDE AND ONE OF THEM WAS A BIT SICK FOR A BIT WE TRY NOT TO GET TOO CLOSE BUT MAYBE I DONT KNOW MAYBE SOMETIMES WE WALK A LITTLE TOO CLOSE WE FEEL TOO SAFE CAUSE WERE LIKE OUTSIDE +audio/RES0206.mp3[344.200,350.080] OK OK UM AND DID YOUR FRIEND GET A COVID TEST DONE +audio/RES0206.mp3[350.080,352.840] UHM I DON’T KNOW +audio/RES0206.mp3[352.840,369.840] THATS OK OK AND YOU MENTIONED THAT YOU HAD COPTHAT WAS DIAGNOSED FOUR OR FIVE YEARS AGO ANY OTHER MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0206.mp3[369.840,375.720] UM YEAH I HAVE A HIGH BLOOD PRESSURE +audio/RES0206.mp3[375.720,382.560] OK AND ARE YOU TAKING ANY MEDICATIONS +audio/RES0206.mp3[382.560,408.400] I’M NOT IM NOT I WE TALKED ABOUT IT BUT I DECIDED TO TRY TO CHANGE MY LIFESTYLE AS MUCH AS I COULD 1ST AND IVE ALSO DONE THAT FOR THE COPITS GENERALLY PRETTY LIKE IVE BEEN REALLY TRYING TO TAKE CARE OF IT BUT UM I FEEL LIKE I MAYBE GOT SICK OR SOMETHING THIS TIME YEAH SO MY BLOOD PRESSURE IS LIKE OK RIGHT NOW +audio/RES0206.mp3[408.400,409.400] OK OK +audio/RES0206.mp3[409.400,414.880] MY PRESSURE AND THEN I LOST WEIGHT AND STARTED THIS WALKING MORE +audio/RES0206.mp3[414.880,425.160] THATS GREAT THATS REALLY REALLY GOOD THAT YOURE TAKING BETTER CARE OF YOURSELF SHOULD DEFINITELY CONTINUE DOING THAT +audio/RES0206.mp3[426.080,432.320] AND YOUVE MENTIONED THAT YOU HAVE SOME PUFFERS HOW OFTEN DO YOU USE THOSE +audio/RES0206.mp3[432.320,450.360] OH LIKE I HAVE THE ONE THAT I USE EVERY DAY THAT IM SUPPOSED TO JUST USE NO MATTER WHAT AND THEN THE ONE THAT I USE WHEN KIND OF JUST WHEN I NEED IT I PROBABLY USE IT LIKE ONCE EVERY TWO WEEKS +audio/RES0206.mp3[450.360,467.720] OK OK UHM AND YOU MENTIONED THAT YOUR COPD’S ARE GETTING BETTER DO YOU FIND THAT ITS AFFECTING YOUR LIFE IN ANY WAY AFFECTING THE WAY THAT YOURE DOING YOUR DAILY ACTIVITIES AT AT HOME OR AT WORK IF YOU ARE WORKING +audio/RES0206.mp3[467.720,478.120] I LIKE PRETTY OK EXCEPT FOR LIKE IF I GET SICK I SO YEAH ITS BEEN +audio/RES0206.mp3[478.120,478.920] I SEE +audio/RES0206.mp3[478.920,483.680] SO I THINK ITS LIKE PRETTY WELL MANAGED LIKE I STAY ON TOP OF MY LIFESTYLE NOW +audio/RES0206.mp3[483.680,492.760] THATS GOOD THATS GOOD DO YOU HAVE ANY ALLERGIES +audio/RES0206.mp3[492.760,494.360] UH NO NO +audio/RES0206.mp3[494.360,500.440] NO NO ALLERGIES TO MEDICATIONS +audio/RES0206.mp3[501.320,514.080] OK OK GOOD AND DO YOU JUST A COUPLE MORE TO GENERAL QUESTIONS HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY +audio/RES0206.mp3[514.440,521.440] YOU I GUESS I SHOULD HAVE ASKED YOU EARLIER BUT HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL +audio/RES0206.mp3[521.440,523.640] UH NO I DONT THINK SO +audio/RES0206.mp3[523.640,530.520] ANY CHANGE IN YOUR SENSE OF TASTE +audio/RES0206.mp3[530.520,532.480] UHM NO I DONT THINK SO +audio/RES0206.mp3[532.480,534.920] ANY CONFUSION OR FUZZY FEELING +audio/RES0206.mp3[538.320,543.480] NO OK ANY MUSCLE ACHES IN YOUR BODY +audio/RES0206.mp3[543.480,544.960] UH NO +audio/RES0206.mp3[544.960,562.080] OK ALRIGHT AND JUST KIND OF SOME QUESTIONS ABOUT YOUR LIVING SITUATION DO YOU CURRENTLY LIVE ALONE AND I YOU MENTIONED THAT YOU HAVE A DOG ARE THERE ANY IS THERE ANYBODY ANYONE ELSE IN THE HOUSE +audio/RES0206.mp3[562.080,563.920] UH MY HUSBAND +audio/RES0206.mp3[563.920,571.320] OK AND DO YOU CURRENTLY WORK +audio/RES0206.mp3[571.320,578.800] YEAH I UH LIKE IVE BEEN WORKING FROM HOME I WORKED FOR THE MUNICIPALITY +audio/RES0206.mp3[578.800,587.520] I SEE DO YOU THINK YOU MIGHT HAVE HAD ANY EXPOSURES TO SAY DUST OR SMOKE OR ANYTHING LIKE THAT THAT COULD HAVE WORSENED YOUR SYMPTOMS +audio/RES0206.mp3[587.520,591.440] I DONT THINK SO +audio/RES0206.mp3[591.440,594.160] AND DO YOU DRINK ALCOHOL +audio/RES0206.mp3[594.160,596.040] OH VERY RARELY +audio/RES0206.mp3[596.040,597.240] OK DO YOU SMOKE +audio/RES0206.mp3[597.240,609.520] I USED TO I QUIT ONCE THEY SAID I HAVE COPI SMOKED 12 PACK A DAY FOR PROBABLY 20 YEARS +audio/RES0206.mp3[609.520,614.400] OK OK AND DO YOU CONSUME MARIJUANA OR ANY RECREATIONAL DRUGS +audio/RES0206.mp3[614.760,631.000] OK UH ALRIGHT WELL I GUESS ONE MORE QUESTION ARE THERE ANY LUNG DISEASES OR HEART CONDITIONS OR CANCERS THAT RUN IN THE FAMILY +audio/RES0206.mp3[631.000,636.600] NO NOTHING THAT I CAN THINK OF +audio/RES0206.mp3[636.600,688.800] ALRIGHT WELL THATS THOSE ARE ALL THE QUESTIONS I HAD FOR YOU I WILL NOW DO IT PHYSICAL EXAM AND LOOK AT YOUR VITALS AND LISTEN TO YOUR CHEST ITS LIKELY THAT WHAT YOU HAVE RIGHT NOW IS COPEXACERBATION MAYBE JUST A LIKE AN INFECTION THAT YOU GOT WHICH WORSENED SOME OF YOUR COPSYMPTOMS WE WOULD ALSO HAVE TO RULE OUT COVID SO WELL BE DOING A COVID SWAB AND WILL DECIDE BASED ON THE ON YOUR LABS IN YOUR VITAL SIGNS ITS INSTEAD OF OTHER THINGS WHETHER YOU NEED TO STAY IN THE ER AND BE ADMITTED OR IF YOU ARE GOOD TO GO HOME I WILL ALSO TALK TO MY ATTENDING AND WILL MAKE THOSE DECISIONS TOGETHER AND COME BACK AND TALK TO YOU DOES THAT SOUND GOOD TO YOU +audio/RES0206.mp3[688.800,690.720] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0206.mp3[690.720,692.360] YOUR WELCOME +audio/RES0069.mp3[0.000,4.520] WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN +audio/RES0069.mp3[4.520,17.000] YEAH ABSOLUTELY UHM I DONT KNOW IVE JUST BEEN FEELING A LITTLE FEVERISH UHM AND I ALSO HAVE A A BIT OF A SORE THROAT +audio/RES0069.mp3[17.000,18.640] OK WHEN +audio/RES0069.mp3[18.640,31.840] I JUST CAME IN I JUST CAME IN TO SEE WHATS GOING ON CAUSE I WAS WORRIED YOU KNOW WITH COVID GOING ON UHM GOING EVERYWHERE +audio/RES0069.mp3[31.840,35.840] CERTAINLY WHEN DID THE THE SORE THROAT START +audio/RES0069.mp3[35.840,39.200] LAST NIGHT ACTUALLY +audio/RES0069.mp3[43.080,51.480] AND UHM HAVE YOU HAD ANY UHM PROBLEMS WITH SWALLOWING LIKE FOOD OR LIQUIDS +audio/RES0069.mp3[51.480,59.160] NO I DONT THINK SO I JUST HAD BREAKFAST THIS MORNING AND NO PROBLEMS THERE +audio/RES0069.mp3[59.160,72.440] OK UH ANY LIKE CHANGES THAT UHM OTHER SYMPTOMS THAT YOUVE BEEN HAVING WITH THE SORE THROAT +audio/RES0069.mp3[72.440,76.880] YEAH IM JUST FEELING A LITTLE FEVERISH +audio/RES0069.mp3[76.880,85.840] OK AND WHEN DID THAT START +audio/RES0069.mp3[85.840,88.480] THIS MORNING +audio/RES0069.mp3[88.480,93.960] OK DID YOU TAKE YOUR TEMPERATURE +audio/RES0069.mp3[93.960,101.000] NO I DONT HAVE A THERMOMETER AT HOME +audio/RES0069.mp3[101.000,105.080] OK AND HAVE YOU HAD ANY ANY COUGH +audio/RES0069.mp3[107.200,111.080] OK HOW ABOUT ANY LIKE RED EYES OR RUNNY NOSE +audio/RES0069.mp3[111.080,113.320] NO NEITHER OF THOSE +audio/RES0069.mp3[113.320,120.320] OK HAVE YOU HAD A HEADACHE +audio/RES0069.mp3[121.360,128.680] OK UH AND HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0069.mp3[128.680,135.080] I DONT THINK SO +audio/RES0069.mp3[135.080,142.040] OK AND HOW ABOUT ANY LOSS OF TASTE OR LOSS OF SMELL +audio/RES0069.mp3[142.040,149.560] YEAH I DONT UH YES I SAID I WAS EATING BREAKFAST THIS MORNING BUT IT JUST TASTED REALLY BLAND +audio/RES0069.mp3[149.560,162.680] OK SO MAYBE LOSS OF TASTE SO YOU FEEL LIKE YOUR NOSE IS REALLY OR THAT YOURE REALLY CONGESTED +audio/RES0069.mp3[162.680,169.320] I GUESS YEAH NOW THAT I THINK ABOUT IT +audio/RES0069.mp3[169.320,172.000] OK UH AND HOW HAS YOUR APPETITE BEEN +audio/RES0069.mp3[172.000,175.880] ITS ALRIGHT +audio/RES0069.mp3[175.880,186.680] OK AND SO YOU HAVENT HAD ANY COUGH OR SHORTNESS OF BREATH BUT HAVE YOU NOTICED ANY WHEEZING +audio/RES0069.mp3[187.680,191.120] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0069.mp3[192.200,198.640] HAVE YOU FELT AS THOUGH YOUR HEARTSS BEEN RACING AT ALL OR OR BEATING OUT OF YOUR CHEST +audio/RES0069.mp3[199.920,204.200] OK HAVE YOU BEEN DIZZY OR LIGHTHEADED +audio/RES0069.mp3[205.600,209.160] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0069.mp3[209.920,212.600] ANY ABDOMINAL PAIN +audio/RES0069.mp3[214.040,216.880] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0069.mp3[216.880,224.680] UHM IM OFTEN CONSTIPATED BUT NOTHING NEW THERE +audio/RES0069.mp3[224.680,229.320] OK HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0069.mp3[231.160,235.920] ALRIGHT AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR BODY ACHES +audio/RES0069.mp3[235.920,243.880] SORT OF LIKE I JUST I FOUND IT REALLY HARD TO GET OUT OF BED THIS MORNING +audio/RES0069.mp3[243.880,251.280] OK HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN LIKE REALLY FATIGUED +audio/RES0069.mp3[252.400,260.680] OK AND WHEN DID UH YOU SAID THE MUSCLE ACHE STARTED THIS MORNING UHM HOW WHEN DID THE FATIGUE START +audio/RES0069.mp3[260.680,280.760] ID SAY THIS MORNING AS WELL YESTERDAY WAS JUST LIKE A LITTLE TICKLE IN MY THROAT AND I THOUGHT IT WOULD JUST GO AWAY YOU KNOW AND I WOKE UP THIS MORNING AND I JUST FELT HORRIBLE AND THE SORE THROAT WAS JUST WORSE AND I FELT FEVERISH AND TIRED AND I FELT REALLY CRAPPY +audio/RES0069.mp3[280.760,286.400] OK YEAH AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE +audio/RES0069.mp3[286.400,293.440] WELL YEAH I USUALLY GET A COLD ONCE A YEAR IN THE FALL IT DOES FEEL SIMILAR TO THAT +audio/RES0069.mp3[294.720,300.360] BUT I STILL WANTED TO BE CAREFUL AND COME IN JUST IN CASE +audio/RES0069.mp3[300.360,307.960] YEAH CERTAINLY HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0069.mp3[307.960,312.480] I HAVE MIGRAINES +audio/RES0069.mp3[312.480,317.600] OK AND ARE YOU TAKING ANY MEDICATIONS REGULARLY +audio/RES0069.mp3[317.600,327.440] NO NO IM NOT ITS NOT BAD I SOMETIMES JUST TAKE LIKE ADVIL WHENEVER MY HEADACHES COMING ON +audio/RES0069.mp3[327.440,330.800] OK ANY ALLERGIES +audio/RES0069.mp3[330.800,333.680] UH NOPE +audio/RES0069.mp3[333.680,338.000] OK AND DO YOU SMOKE CIGARETTES +audio/RES0069.mp3[338.000,344.920] I SMOKE UH TWO OR THREE A DAY +audio/RES0069.mp3[344.920,348.040] OK AND HAVE YOU TRIED TO QUIT +audio/RES0069.mp3[350.240,356.120] OK IF AT ANY POINT THIS IS SOMETHING THAT YOU WANTED TO TALK ABOUT WE WE CERTAINLY COULD LATER +audio/RES0069.mp3[358.360,361.520] DO YOU DRINK ALCOHOL +audio/RES0069.mp3[361.520,364.840] UHM A GLASS AT NIGHT WITH DINNER +audio/RES0069.mp3[364.840,369.680] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0069.mp3[369.680,372.640] NO NO NO NOTHING LIKE THAT +audio/RES0069.mp3[372.640,376.560] OK HAVE YOU IN THE PAST +audio/RES0069.mp3[377.160,387.760] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/RES0069.mp3[387.760,400.120] UHM OH MY LIKE MY LITTLE GRANDDAUGHTER HAD UHM YOU KNOW THEYRE ALWAYS HAVING A RUNNY NOSE RIGHT THE LITTLE ONES +audio/RES0069.mp3[401.160,406.360] BUT NO NOTHING NOTHING ELSE IVE JUST BEEN AT HOME FOR THE MOST PART +audio/RES0069.mp3[406.360,411.400] OK HAVE YOU TRAVELED TRAVELED ANYWHERE +audio/RES0069.mp3[411.680,418.280] OK AND UH DOES YOUR GRANDDAUGHTER GO TO DAYCARE OR IS SHE IN SCHOOL +audio/RES0069.mp3[418.280,424.720] SHE SHE DOES GO TO DAYCARE YEAH +audio/RES0069.mp3[424.720,432.040] OK AND HAS THERE BEEN ANYBODY ELSE AROUND THAT THATS BEEN SICK THAT YOURE LIVING WITH OR YOU SEE OFTEN +audio/RES0069.mp3[432.040,437.080] NO THATS ABOUT IT +audio/RES0069.mp3[437.080,442.120] OK I I THINK I DONT THINK I ASKED THIS BUT HAVE YOU HAD ANY SURGERIES BEFORE +audio/RES0069.mp3[442.120,448.640] I HAD CATARACT SURGERY DONE +audio/RES0069.mp3[448.640,451.120] OK AND THE LEFT RIGHT EYE OR RIGHT EYE +audio/RES0069.mp3[451.120,457.320] BOTH ACTUALLY IT RUNS IN MY FAMILY WE GET IT PRETTY EARLY ON +audio/RES0069.mp3[457.320,469.840] OK AND ARE THERE ANY OTHER CONDITIONS THAT RUN IN YOUR FAMILY LIKE HEART CONDITIONS OR CANCER +audio/RES0069.mp3[471.240,480.320] DIABETES OK AND WHO HAD DIABETES +audio/RES0069.mp3[480.320,489.360] LETS SEE MY MOM MY SISTER MY BROTHER YEAH YEAH +audio/RES0069.mp3[489.360,506.800] OK AND JUST TO GET TO KNOW YOU A LITTLE BIT BETTER AS WELL I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0069.mp3[506.800,515.200] SURE YEAH I LIVE WITH UH I LIVE WITH MY SON AND DAUGHTER AND MY GRANDSON +audio/RES0069.mp3[515.200,531.160] OK UHM AND UHM OK YEAH I THINK THATS ALL I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME OR MAYBE THAT I FORGOT TO ASK ABOUT +audio/RES0069.mp3[531.160,536.160] UH NO I DONT THINK SO DO YOU THINK I HAVE COVID +audio/RES0069.mp3[536.160,541.200] ITS ITS CERTAINLY POSSIBLE IT WILL BE SOMETHING WE TEST FOR +audio/RES0069.mp3[542.960,579.000] ALTHOUGH THE SYMPTOMS THAT YOURE EXPERIENCING WITH FEELING OR HAVING A FEVER SORE THROAT AND NOT FEELING WELL WITH THE MUSCLE ACHES AND FATIGUE UHM ITS RELATIVELY NONSPECIFIC SO AS YOU MENTIONED IT COULD BE SOMETHING LIKE THE COMMON COLD THAT YOUVE EXPERIENCED IN THE PAST SO WE CANT RULE THAT OUT EITHER AT THIS TIME BUT WE WILL DO SOME INVESTIGATIONS INCLUDING A NASAL SWAB FOR COVID AND KIND OF GO FROM THERE +audio/RES0069.mp3[579.000,580.880] OK SOUNDS GOOD +audio/RES0069.mp3[580.880,582.640] ALL RIGHT WELL GET THAT STARTED +audio/MSK0006.mp3[0.000,1.840] WHAT BRINGS YOU IN +audio/MSK0006.mp3[1.840,15.600] I IVE HAD THIS UH PAIN IN THE RIGHT BUTTOCK AREA ITS BEEN REALLY INTENSE AND MORE RECENTLY IM FEELING IT LIKE RADIATE JUST DOWN MY RIGHT LEG AS WELL +audio/MSK0006.mp3[15.600,20.160] OK AND SORRY WHEN DID YOU SAY IT STARTED +audio/MSK0006.mp3[20.160,33.360] SO UM ITS BEEN GOING ON UH FOR WELL ITS ITS GOTTEN REALLY INTENSE IN THE LAST UH LIKE 2 DAYS +audio/MSK0006.mp3[33.360,41.240] OK AND BEFORE THAT DID YOU HAVE ANY PAIN AT ALL OR WAS IT JUST LIKE SUDDEN +audio/MSK0006.mp3[41.240,58.880] YEAH I DO HAVE A BIT OF PAIN UH DOWN IN MY UH IN IN MY BUTTOCK AREA UM BUT UM ITS JUST GOTTEN REALLY UH ITS GOTTEN MORE PAINFUL OVER THESE LAST COUPLE OF DAYS +audio/MSK0006.mp3[58.880,69.160] OK UM AND IS IT A PERSISTENT KIND OF PAIN OR DOES IT COME AND GO +audio/MSK0006.mp3[69.160,74.080] UM ITS UH PERSISTENT ITS IT IT DOES GET WORSE THOUGH DEPENDING ON WHAT WHAT IM DOING +audio/MSK0006.mp3[74.080,79.600] OK WHAT UH WHEN DOES IT GET WORSE +audio/MSK0006.mp3[79.600,98.760] UM WELL IT IT GETS IT GETS WORSE WITH WALKING WITH SITTING UM REALLY ANY LIKE ANY KINDS OF MOVEMENTS LIKE IF I JUST GOTTA KIND OF STAY STILL AND THATS THE ONLY THING THAT REALLY HELPS IT +audio/MSK0006.mp3[98.760,102.440] OK UM HAVE YOU TRIED ANYTHING FOR IT +audio/MSK0006.mp3[102.440,114.560] UH YEAH IM JUST TAKING SOME PAIN MEDIC MEDICATIONS OVER THE COUNTER FOR THESE LAST COUPLE OF DAYS UM LIKE ADVIL AND TYLENOL BUT THATS IT +audio/MSK0006.mp3[114.560,118.280] OK UM AND DOES IS IT HELPING +audio/MSK0006.mp3[118.280,127.000] IT DOES I MEAN UH NOT REALLY IT HASNT REALLY HELPED MUCH +audio/MSK0006.mp3[127.000,137.240] OK UM ALRIGHT AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBY +audio/MSK0006.mp3[137.240,158.040] UH IT UM KIND OF LIKE A SHARP PAIN IN THE IN THE BUTTOCK AND UM IT IT UM ITS KIND OF LIKE BURNING UH DOWN THE LEG +audio/MSK0006.mp3[158.040,174.880] OK OK SO A RADICULAR KIND OF PAIN THEN UM OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR PAIN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT WHAT WOULD YOU RATE IT +audio/MSK0006.mp3[176.240,186.320] OK AND DOES THIS PAIN RADIATE ELSEWHERE I KNOW YOU SAID IT STARTS ON YOUR BUTTOCKS KIND OF GOES DOWN YOUR LEGS DOES IT GO UP YOUR BACK OR DOWN INTO THE OTHER LEG AT ALL +audio/MSK0006.mp3[186.320,191.360] NO I FEEL IT JUST UH JUST IN THE BUTTOCK AND DOWN THE LEG +audio/MSK0006.mp3[191.360,201.760] OK UH HAVE YOU EVER EXPERIENCED THIS KIND OF PAIN BEFORE +audio/MSK0006.mp3[201.760,218.680] UHM I HAVE YEAH UM IM A A TRUCK DRIVER AND SO I DO A LOT OF UH A LOT OF SITTING AND IVE HAD KIND OF SCIATIC PAIN UM IN THE PAST +audio/MSK0006.mp3[218.680,228.680] OK AND HAVE YOU EVER HAD ANY LIKE TRAUMA OR ANYTHING THAT COULD HAVE TRIGGERED THIS INITIALLY UM IN THE PAST +audio/MSK0006.mp3[228.680,246.760] NO I DONT THINK SO I DONT I HAVENT REALLY DONE MUCH JUST KIND OF WORK AND UM UEAH I HAVENT HAD ANY TRAUMA TO THE BACK OR ANYTHING LIKE THAT +audio/MSK0006.mp3[246.760,257.000] OK AND ARE YOU EXPERIENCING ANY SORT OF WEAKNESS WITH YOUR LEGS +audio/MSK0006.mp3[257.000,267.960] UH NO NO WEAKNESS JUST UM WELL YEAH MAYBE I GUESS MAYBE YEAH MAYBE A LITTLE BIT OF UH LEG WEAKNESS IVE HAD IVE HAD A LITTLE BIT OF DIFFICULTY WALKING BEEN LIMPING +audio/MSK0006.mp3[267.960,272.560] OH I SEE OK OK AND JUST IN YOUR RIGHT LEG RIGHT +audio/MSK0006.mp3[274.760,280.200] ANY URINARY OR UM STOOL INCONTINENCE +audio/MSK0006.mp3[281.680,285.360] NO OK ANY SEXUAL DYSFUNCTION +audio/MSK0006.mp3[285.360,291.160] NO I HAVENT HAD ANYTHING LIKE THAT +audio/MSK0006.mp3[291.160,294.440] OK UM ANY NUMBNESS OR TINGLING +audio/MSK0006.mp3[294.440,300.000] YEAH IVE IVE HAD SOME NUMBNESS AND TINGLING DOWN THE THE RIGHT LEG +audio/MSK0006.mp3[300.000,304.160] OK HOW ABOUT IN THE GROIN AREA +audio/MSK0006.mp3[304.160,307.560] NO ITS JUST KIND OF DOWN THE BACK OF MY LEG +audio/MSK0006.mp3[307.560,314.880] OK UM ALRIGHT AND OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS +audio/MSK0006.mp3[314.880,321.360] NO ITS JUST BEEN JUST BEEN UH THIS PAIN +audio/MSK0006.mp3[321.360,332.160] OK ALRIGHT UM AND ILL JUST KIND OF GO THROUGH SOME QUESTIONS WITH YOU DO YOU HAVE ANY JOINT PAINS OR MUSCLE ACHES ELSEWHERE +audio/MSK0006.mp3[333.080,335.080] NO WEIGHT LOSS +audio/MSK0006.mp3[335.080,335.880] NO WEIGHT LOSS +audio/MSK0006.mp3[335.880,338.800] FEVERS OR CHILLS +audio/MSK0006.mp3[338.800,340.240] NO FEVERS OR CHILLS +audio/MSK0006.mp3[340.240,342.640] UH RASHES +audio/MSK0006.mp3[342.640,343.560] NO RASHES +audio/MSK0006.mp3[343.560,348.000] CHANGES TO YOUR VISION HEARING SMELL OR TASTE +audio/MSK0006.mp3[349.120,353.680] UM ARE YOU COUGHING HAVING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0006.mp3[353.680,356.560] NO I HAVENT BEEN ANY HAVING ANY SYMPTOMS LIKE THAT +audio/MSK0006.mp3[356.560,363.800] OK ANY CHEST PAIN PALPITATIONS UH OR DIZZINESS OR FAINTING SPELLS +audio/MSK0006.mp3[363.800,365.400] NO NOTHING LIKE THAT +audio/MSK0006.mp3[365.400,368.960] ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/MSK0006.mp3[368.960,371.200] NO DIARRHEA OR CONSTIPATION +audio/MSK0006.mp3[371.200,374.160] AND NO BLEEDING IN THE STOOL +audio/MSK0006.mp3[374.160,375.440] NO BLOOD IN THE STOOL +audio/MSK0006.mp3[375.440,378.600] OK AND THEN HOW ABOUT NAUSEA OR VOMITING +audio/MSK0006.mp3[378.600,380.960] NO I HAVENT HAD ANY NAUSEA OR VOMITING +audio/MSK0006.mp3[380.960,384.000] OK CHANGES TO YOUR URINE +audio/MSK0006.mp3[384.000,387.600] UH NO NO CHANGES TO THE URINE +audio/MSK0006.mp3[387.600,393.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0006.mp3[393.480,407.320] I DO HAVE UM HIGH BLOOD PRESSURE AND UH HIGH CHOLESTEROL AND I TAKE MEDICATIONS FOR THOSE I TAKE AMLODIPINE AND UM A STATIN +audio/MSK0006.mp3[407.320,416.040] OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS ARE ARE YOU ON ANY OTHER MEDICATIONS BESIDES THOSE +audio/MSK0006.mp3[416.040,418.240] JUST A MULTIVITAMIN +audio/MSK0006.mp3[418.240,422.440] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/MSK0006.mp3[422.440,423.840] I AM YES +audio/MSK0006.mp3[423.840,426.440] OK ANY ALLERGIES +audio/MSK0006.mp3[426.440,428.640] UH NO I DONT BELIEVE SO +audio/MSK0006.mp3[428.640,436.960] NO UH FAMILY HISTORY OF UM MUSCULOSKELETAL OR NEUROLOGICAL ISSUES +audio/MSK0006.mp3[436.960,438.320] UH NO NOTHING LIKE THAT +audio/MSK0006.mp3[438.320,442.720] UH AUTOIMMUNE CONDITIONS +audio/MSK0006.mp3[442.720,444.080] NO NOTHING LIKE THAT +audio/MSK0006.mp3[446.520,448.560] NO OK AND DO YOU SMOKE +audio/MSK0006.mp3[448.560,459.280] UM YEAH I SMOKE UH ABOUT UM HALF A PACK OF CIGARETTES PER DAY +audio/MSK0006.mp3[459.280,462.720] OK FOR HOW LONG HAVE YOU BEEN DOING THAT +audio/MSK0006.mp3[462.720,467.880] UH FOR UH YEAH ABOUT 40 YEARS +audio/MSK0006.mp3[467.880,471.640] 40 YEARS OK HAVE YOU EVER THOUGHT OF QUITTING +audio/MSK0006.mp3[471.640,482.640] I HAVE YEAH IVE CUT DOWN OVER THE YEARS UM I USED TO SMOKE MORE ITS JUST THE CULTURE WITH UH I DONT KNOW EVERYBODYS DRIVING A TRUCK AND SMOKING +audio/MSK0006.mp3[482.640,490.880] OK YEAH THATS HARD IF YOU EVER NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO +audio/MSK0006.mp3[490.880,492.480] THANK YOU +audio/MSK0006.mp3[492.480,495.360] YEAH NO WORRIES AND DO YOU UM CONSUME MARIJUANA +audio/MSK0006.mp3[495.360,497.680] NO I DONT +audio/MSK0006.mp3[497.680,501.120] OK HOW ABOUT OTHER RECREATIONAL DRUGS +audio/MSK0006.mp3[501.120,503.960] UH NOPE NOTHING LIKE THAT BEFORE +audio/MSK0006.mp3[503.960,507.960] OK DO YOU DRINK ALCOHOL +audio/MSK0006.mp3[507.960,515.440] UM YEAH ILL HAVE A BEER OR TWO ON THE WEEKEND SO MAYBE A COUPLE OF DRINKS PER WEEK +audio/MSK0006.mp3[515.440,527.600] OK UM AND HOW ABOUT UM DO UH SICK CONTACTS HAVE YOU BEEN IN TOUCH WITH ANY RECENTLY +audio/MSK0006.mp3[527.600,530.560] NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0006.mp3[530.560,533.360] OK UM ANY TRAVEL RECENTLY +audio/MSK0006.mp3[533.360,553.360] UH JUST FOR THE DROP OFFS THAT I THAT I MAKE UM DRIVING I DO HAVE TO MAKE SOME PRETTY UM LONG HAULS UH BACK AND FORTH UM THE YEAH +audio/MSK0006.mp3[553.360,560.400] OK UM AND WHERE DO YOU CURRENTLY LIVE +audio/MSK0006.mp3[560.400,566.640] SO I LIVE IN A HOUSE WITH MY UM WITH MY WIFE UH YEAH AND SON +audio/MSK0006.mp3[566.640,591.400] OK ALRIGHT AND OK SO NOW IM JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS UM AND IM GOING TO ASK YOU TO DO A FEW THINGS OK SO WELL JUST BY LOOKING AT YOUR LEGS OR IF YOU HAVE A MIRROR UM AND YOU CAN LOOK AT YOUR RIGHT BUTTOCK AREA UM DO YOU SEE ANY SWELLING OR REDNESS +audio/MSK0006.mp3[591.400,597.880] UM NO I DONT SEE ANYTHING LIKE THAT +audio/MSK0006.mp3[597.880,602.160] OK AND DOES IT FEEL HOT +audio/MSK0006.mp3[602.160,603.280] NO IT DOESNT FEEL HOT +audio/MSK0006.mp3[603.280,606.960] OK AND DO YOU SEE ANY SKIN CHANGES +audio/MSK0006.mp3[606.960,608.200] NO SKIN CHANGES +audio/MSK0006.mp3[608.200,611.480] UM ANY ATROPHY OR DEFORMITY IN THE AREA +audio/MSK0006.mp3[613.080,622.080] NO UM HAS YOUR GAIT CHANGED LIKE DOES IT ARE YOU LIMPING HOBBLING ANYTHING LIKE THAT +audio/MSK0006.mp3[622.080,627.120] UM YEAH I FEEL LIKE IVE BEEN LIMPING A LITTLE BIT UH YEAH +audio/MSK0006.mp3[627.120,631.800] ARE YOU PUTTING MORE UM PRESSURE ON THE LEFT FOOT THEN +audio/MSK0006.mp3[631.800,637.760] I AM YEAH YEAH I GUESS THERES LIKE AN ANTALGIC GAIT +audio/MSK0006.mp3[637.760,649.560] OK ALRIGHT AND THEN UM IF YOU PRESS DOWN ON YOUR HIPBONE DO YOU FEEL ANY PAIN THERE ON YOUR RIGHT HIP BONE +audio/MSK0006.mp3[649.560,650.880] NO I DONT +audio/MSK0006.mp3[650.880,654.320] OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BUTTOCKS ITSELF +audio/MSK0006.mp3[654.320,662.920] UM YEAH THERE IS UH A LITTLE BIT OF TENDERNESS UM OVER THE BUTTOCK AREA +audio/MSK0006.mp3[662.920,666.000] OK HOW ABOUT THE BACK OF YOUR LEGS +audio/MSK0006.mp3[666.320,672.440] OK HOW ABOUT THE FRONT UM OF YOUR LEGS THIGHS +audio/MSK0006.mp3[674.280,684.080] NO OK ALRIGHT UM AND THEN IM GONNA JUST GET YOU TO DO A FEW MOVEMENTS UM WITH ME AS WELL WOULD YOU UH OK SO ARE YOU SITTING DOWN RIGHT NOW +audio/MSK0006.mp3[685.440,690.000] OK WOULD YOU MIND STANDING UP FROM A SITTING POSITION +audio/MSK0006.mp3[690.000,692.680] YEAH FOR SURE +audio/MSK0006.mp3[692.680,694.680] DOES THAT HURT +audio/MSK0006.mp3[694.680,697.440] IT UH YEAH THAT THAT THAT CAUSES PAIN +audio/MSK0006.mp3[697.440,723.640] OK SO THAT CAUSES SO UM HIP HIP EXTENSION UH THAT CAUSES SOME PAIN UM AND AS WELL AS KNEE EXTENSION SO WOULD YOU MIND UM KICKING YOUR RIGHT LEG UP IN FRONT OF YOU ALL THE WAY UP AS FAR AS YOU CAN GO +audio/MSK0006.mp3[723.640,725.120] MHMM OH YEAH +audio/MSK0006.mp3[725.120,727.080] DOES THAT HURT +audio/MSK0006.mp3[727.080,727.840] IT DOES YEAH +audio/MSK0006.mp3[727.840,741.840] OK SO RIGHT HIP FLEXION UM ALSO CAUSES PAIN AND THEN WOULD YOU MIND UH FOLDING YOUR KNEES BACKWARDS UM AND JUST SORT OF FLEXING IT DOES THAT HURT +audio/MSK0006.mp3[741.840,744.280] UH NO +audio/MSK0006.mp3[744.280,754.200] OK SO NO PAIN AT KNEE FLEXION AND HOW ABOUT WHEN YOU POINT YOUR FEET UM AND TOES UP TOWARDS THE CEILING +audio/MSK0006.mp3[754.200,771.600] UHM YEAH I I DO GET SOME PAIN WITH MY UM YEAH WHEN THATS ALL STRAIGHTENED OUT YEAH +audio/MSK0006.mp3[771.600,784.000] OK SO SOME PAIN ON UM PLANTER FLEXION OF THE RIGHT FOOT AND HOW ABOUT IF YOU UM POINT YOUR FEET AND TOES TOWARDS THE GROUND +audio/MSK0006.mp3[784.000,787.120] NO PAIN THERE +audio/MSK0006.mp3[787.120,800.800] OK UM ALRIGHT AND HOW ABOUT WHEN YOU UH KICK YOUR LEGS UH TO THE SIDE AND UPWARDS +audio/MSK0006.mp3[800.800,806.760] OH UH NO PAIN WITH ABDUCTION +audio/MSK0006.mp3[806.760,811.640] OK SO NO PAIN ON RIGHT HIP ABDUCTION AND THEN HOW ABOUT WHEN YOU BRING IT BACK DOWN +audio/MSK0006.mp3[812.760,821.520] OK AND NO PAIN ON HIP ADDUCTION OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR MYSELF +audio/MSK0006.mp3[821.520,826.280] UH JUST WONDERING ABOUT POSSIBLY LIKE WHAT IT COULD BE +audio/MSK0006.mp3[826.280,956.120] YEAH UM SO IT SOUNDS UM RIGHT NOW LIKE YOU MAY HAVE SOME SORT OF UH SACRAL NERVE RADICULOPATHY UM OR OR LIKE A LOWER LUMBAR LUMBAR UM RADICULOPATHY UM BASICALLY UH THATS KNOWN AS SCIATICA UH WHERE YOUR NERVE ROOTS CAN BE COMPRESSED CAUSING SOME OF THESE SYMPTOMS UM AND TO DIAGNOSE THESE THINGS USUALLY ITS JUST DONE BY HISTORY AND PHYSICAL EXAM UM BUT IF AFTER WE TRY OUT SOME MANAGEMENT THINGS IT DOESNT GO AWAY OR YOURE HAVING SOME RED FLAGS INCLUDING UM NUMBNESS IN THE GROIN AREA BOWEL OR BLADDER INCONTINENCE THEN WE CAN LOOK AT SOME UM IMAGING FOR THE FOR THE SPINE INCLUDING MRI UM AND SO IN TERMS OF MANAGEMENT OF THIS UM WE CAN TRY A COUPLE COUPLE OF LIKE CONSERVATIVE APPROACHES FIRST SO THAT INCLUDES TAKING NSAIDS UH FOR THE PAIN UM AND THEN LIKE ACTIVITY MODIFICATION SO IF YOURE SITTING DOWN UM ALL THE TIME UM PERHAPS LIKE TAKING LITTLE BREAKS UH STRETCHING OUT YOUR LEGS DOING SOME PHYSIO AS WELL UM DURING THOSE BREAKS CAN HELP UM AND AS WELL IM GOING TO GIVE YOU A REFERRAL FOR PHYSICAL THERAPY AND THEYLL DO SOME EXERCISES WITH YOU AND UM SLOWLY INCREASE THOSE EXERCISES UM AND IF THOSE STILL DONT WORK WE CAN TRY UM STEROIDS STEROID INJECTIONS UM AS WELL WE TALKED ABOUT THE IMAGING IF IT DOESNT GO AWAY IN ABOUT 6 TO 8 WEEKS DOES THAT SOUND OK +audio/MSK0006.mp3[956.120,958.880] YEAH THAT SOUNDS GOOD THANK YOU +audio/MSK0006.mp3[958.880,961.160] OK YEAH NO PROBLEM +audio/MSK0013.mp3[0.000,2.080] HOW MAY I HELP YOU +audio/MSK0013.mp3[2.080,23.400] HI IM HERE BECAUSE IVE HAD THIS NUMBNESS AND TINGLING IN MY FEET FOR AWHILE NOW AND I STARTED TO NOTICE THESE OPEN WOUNDS ON MY FEET AS WELL AND IM NOT FEELING IT BUT ITS THERE +audio/MSK0013.mp3[23.400,32.400] OK AND WHEN DID YOU FIRST NOTICE THE NUMBNESS AND TINGLING +audio/MSK0013.mp3[32.400,42.240] ITS BEEN ON GOING FOR THE PAST LIKE 2 YEARS BUT RECENTLY IVE SEEN THE PAST LIKE 3 MONTHS ITS GOTTEN WORSE +audio/MSK0013.mp3[42.240,47.840] OK AND DO YOU FEEL IT IN IN BOTH FEET +audio/MSK0013.mp3[50.280,63.600] OK AND WHERE ABOUT DO YOU FEEL THE NUMBNESS AND TINGLING TINGLING DO YOU FEEL LIKE ALL THE WAY UP YOUR UP YOUR LEG OR IS IT ONLY PART WAY +audio/MSK0013.mp3[63.600,69.840] IT IT GOES RIGHT UP UNTIL MY ANKLES +audio/MSK0013.mp3[69.840,77.640] OK AND DO YOU HAVE WOUNDS ON YOUR FEET THAT LIKE YOU YOU DONT NOTICE THEM BECAUSE YOU CANT FEEL IT +audio/MSK0013.mp3[77.640,86.160] YEAH I DONT NOTICE IT BECAUSE I CANT FEEL IT BUT THEN ILL SEE THEM AND THEY LOOK BAD +audio/MSK0013.mp3[86.160,97.800] OK DO YOU RECALL HITTING YOUR FOOT OR OFF OF ANYTHING OR STEPPING ON ANY OBJECTS THAT COULD HAVE CAUSED TRAUMA TO YOUR FEET +audio/MSK0013.mp3[97.800,120.240] UM I MEAN ITS POSSIBLE UM BUT I DIDNT FEEL ANYTHING SO IM NOT TOO SURE ABOUT THAT IT IS THE SUMMER SO IVE BEEN LIKE GOING TO THE BEACH AND WHEN IM AT THE PARK LIKE ILL TAKE OFF MY FLIP FLOPS +audio/MSK0013.mp3[120.240,130.280] OK HAVE YOU HAD ANY LIKE MUSCLE WEAKNESS TO YOUR LEGS OR FEET +audio/MSK0013.mp3[130.280,136.960] HUM MAYBE A LITTLE BIT OF MUSCLE WEAKNESS IN MY LEGS +audio/MSK0013.mp3[136.960,146.880] OK HAVE YOU HAD ANY PROBLEMS WITH BALANCE OR HAVE IT YOU HAD ANY FALLS +audio/MSK0013.mp3[148.760,156.960] OK UM AND UM OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0013.mp3[158.000,160.240] HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0013.mp3[161.440,164.360] AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0013.mp3[165.600,170.480] OK HAVE YOU HAD ANY HEADACHES +audio/MSK0013.mp3[171.920,179.560] ALRIGHT HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING OR SENSE OF SMELL OR TASTE +audio/MSK0013.mp3[181.000,186.120] HAVE YOU HAD ANY ANY SORE THROAT OR COUGH +audio/MSK0013.mp3[187.520,191.840] HOW ABOUT UM ANY SHORTNESS OF BREATH +audio/MSK0013.mp3[193.080,195.840] OK HAVE YOU HAD ANY WHEEZING +audio/MSK0013.mp3[196.920,199.240] HAVE YOU HAD ANY CHEST PAIN +audio/MSK0013.mp3[200.520,204.040] ANY HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +audio/MSK0013.mp3[204.960,209.640] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/MSK0013.mp3[210.960,213.520] HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0013.mp3[214.760,217.080] HOW ABOUT ANY ABDOMINAL PAIN +audio/MSK0013.mp3[218.200,223.320] HAVE YOU HAD ANY CHANGES TO BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION +audio/MSK0013.mp3[224.440,230.600] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE FREQUENCY OR PAINFUL URINATION +audio/MSK0013.mp3[232.360,236.320] OK AND HAVE YOU HAD ANY RASHES ON YOUR SKIN +audio/MSK0013.mp3[239.080,243.120] OK AND ANY MUSCLE ACHES OR JOINT PAINS +audio/MSK0013.mp3[243.120,245.880] NO NOTHING LIKE THAT +audio/MSK0013.mp3[245.880,251.640] OK AND DO YOU HAVE ANY NUMBNESS OR TINGLING TO ANY OTHER PARTS OF YOUR BODY +audio/MSK0013.mp3[251.640,256.200] MAYBE A LITTLE BIT IN MY FINGERTIPS AS WELL +audio/MSK0013.mp3[256.200,260.200] OK AND WHEN DID YOU FIRST START NOTICING THAT +audio/MSK0013.mp3[260.200,263.880] UM IN THE PAST YEAR +audio/MSK0013.mp3[263.880,272.280] OK AND HAVE YOU HAD ANY LIKE LIKE CLUMSINESS OR LIKE DROPPING OBJECTS +audio/MSK0013.mp3[272.280,284.320] UM YEAH DEFINITELY SOME OF THAT LIKE ILL FIND IT HARD TO LIKE OPEN CANS AND BOTTLES +audio/MSK0013.mp3[284.320,289.840] OK ANY WEAKNESS IN THE HANDS +audio/MSK0013.mp3[289.840,298.680] UM ONLY WHEN ONLY SOMETIMES WHEN IM TRYING TO GRIP THINGS PRETTY HARD +audio/MSK0013.mp3[298.680,312.920] OK UH AND HAVE YOU HAD ANY MEMORY CHANGES OR ANY CONFUSION +audio/MSK0013.mp3[314.920,321.800] OK AND HAVE YOU HAD ANY ANY BACK PAIN +audio/MSK0013.mp3[322.760,330.720] OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OR SORRY BEFORE THAT AND HAVE YOU HAD ANY NECK PAIN +audio/MSK0013.mp3[330.720,333.840] NO NO NECK PAIN +audio/MSK0013.mp3[333.840,339.880] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0013.mp3[339.880,354.920] UM YEAH SO IVE BEEN DIAGNOSED WITH DIABETES HYPERTENSION HYPERCHOLESTEROLEMIA OBESITY AND AND I THINK YEAH I THINK THATS THATS ABOUT IT +audio/MSK0013.mp3[354.920,368.640] OK AND ARE YOU CURRENTLY ON ANY MEDICATIONS LIKE DO YOU HAVE DO YOU USE INSULIN +audio/MSK0013.mp3[368.640,382.720] I DO SO IM ON INSULIN SHORT ACTING AND LONG ACTING IM ON RAMIPRIL IM ON ATORVASTATIN YEAH +audio/MSK0013.mp3[382.720,397.520] OK AN AND DO YOU RECALL ANY LIKE WHAT YOUR A1C HAS BEEN IN THE PAST OR AN HAVE YOU HAD YOUR EYES CHECKED AND KIDNEYS CHECKED +audio/MSK0013.mp3[397.520,427.680] A1C HAS BEEN PRETTY HIGH ESPECIALLY RECENTLY I THINK IT WAS EIGHT POINT 81 OR SOMETHING THE LAST TIME I GOT IT CHECKED I HAVENT HAD MY EYES CHECKED IN AWHILE AND IN TERMS OF MY KIDNEYS I THINK I DID A URINALYSIS RECENTLY AND EVERYTHING CAME BACK NORMAL +audio/MSK0013.mp3[427.680,430.360] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0013.mp3[432.160,436.960] ALRIGHT AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/MSK0013.mp3[436.960,439.280] NO I DONT BELIEVE SO +audio/MSK0013.mp3[439.280,445.800] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0013.mp3[447.520,458.440] OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH +audio/MSK0013.mp3[458.440,464.200] I LIVE IN A HOUSE DOWNTOWN WITH MY WIFE +audio/MSK0013.mp3[464.200,468.880] OK AND ARE YOU WORKING CURRENTLY +audio/MSK0013.mp3[468.880,471.280] I AM I WORK FROM HOME THOUGH +audio/MSK0013.mp3[471.280,480.200] OK SO AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0013.mp3[480.200,483.560] OH NO I DONT THINK SO +audio/MSK0013.mp3[483.560,486.760] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0013.mp3[486.760,489.760] NO NOT OUTSIDE THE PROVINCE +audio/MSK0013.mp3[489.760,492.880] ALRIGHT AND DO YOU DRINK ALCOHOL +audio/MSK0013.mp3[492.880,498.080] UM YEAH ILL HAVE SOME ALCOHOL EVERY DAY +audio/MSK0013.mp3[498.080,504.440] OK OK HOW MANY DRINKS PER DAY WOULD YOU HAVE FOR AND HOW MANY DRINKS PER WEEK +audio/MSK0013.mp3[504.440,509.080] ILL HAVE ABOUT 5 BEERS A DAY +audio/MSK0013.mp3[509.080,513.920] OK DO YOU FEEL AS THOUGH THATS A LOT +audio/MSK0013.mp3[513.920,517.880] YEAH I IM HOPING TO CUT DOWN +audio/MSK0013.mp3[517.880,532.840] OK THATS GOOD AND IF AT ANY POINT YOU NEED HELP OR I WOULD LIKE TO DISCUSS THAT JUST PLEASE LET ME KNOW OK AND DO YOU SMOKE CIGARETTES +audio/MSK0013.mp3[532.840,534.480] I DO +audio/MSK0013.mp3[534.480,536.000] OK HOW MUCH DO YOU SMOKE +audio/MSK0013.mp3[536.000,540.480] TALK ABOUT HALF A PACK A DAY +audio/MSK0013.mp3[540.480,542.840] AND FOR HOW LONG HAVE YOU BEEN SMOKING FOR +audio/MSK0013.mp3[542.840,547.960] FOR THE PAST ALMOST 20 YEARS +audio/MSK0013.mp3[547.960,549.800] OK HAVE YOU THOUGHT ABOUT CUTTING DOWN +audio/MSK0013.mp3[549.800,557.960] AH YEAH AGAIN THATS SOMETHING THAT IM HOPING TO QUIT DOING IN THE FUTURE AS WELL +audio/MSK0013.mp3[557.960,563.800] CERTAINLY OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0013.mp3[563.800,564.840] I AM +audio/MSK0013.mp3[564.840,572.000] OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER +audio/MSK0013.mp3[572.000,577.720] YEAH JUST MY WIFE WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS +audio/MSK0013.mp3[577.720,583.600] OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME +audio/MSK0013.mp3[587.760,593.040] OK AND ANY A MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY +audio/MSK0013.mp3[594.760,598.960] OK AND HOW ABOUT ANY CANCERS THAT RUN IN THE FAMILY +audio/MSK0013.mp3[598.960,602.120] NO CANCERS THAT I KNOW OF +audio/MSK0013.mp3[602.120,608.320] OK AND HOW ABOUT HEART CONDITIONS OR OR LUNG CONDITIONS +audio/MSK0013.mp3[608.320,610.600] NO NOTHING LIKE THAT +audio/MSK0013.mp3[610.600,636.840] OK SO NEXT JUST WANTED TO MOVE ON TO THEIR PHYSICAL EXAM PIECE OF THE APPOINTMENT TODAY SO JUST LOOKING AT YOUR UM THE AT YOUR FEET AND AT THE JOINTS OF THE ANKLE AND TOES ARE YOU SEEING ANY SWELLING REDNESS OR YEAH ANY SWELLING OR REDNESS +audio/MSK0013.mp3[636.840,640.200] UM NO NO SWELLING OR REDNESS +audio/MSK0013.mp3[640.200,648.000] ALL RIGHT ARE THERE IS THERE A TEMPERATURE CHANGE TO YOUR FEET OR ANY OF THE JOINTS ARE THEY FEELING HOT OR COLD +audio/MSK0013.mp3[650.560,655.880] OK AND IS THERE ANY DEFORMITIES OR MISALIGNMENT OF ANY OF THE JOINTS +audio/MSK0013.mp3[657.640,660.440] OK AND ANY SCARRING FROM ANY OF THE TRAUMA +audio/MSK0013.mp3[660.440,670.240] UHM THERE ARE LIKE YEAH THERES SOME SCARRING FROM LIKE ULCERS +audio/MSK0013.mp3[670.240,675.720] FROM PREVIOUS ONES THAT HAVE THAT HAVE HEALED +audio/MSK0013.mp3[675.720,679.360] HEALED YEAH THATS RIGHT +audio/MSK0013.mp3[679.360,689.400] OK AND AND IS THERE ANY PAIN TO PALPATION OVER THE UM ANKLE JOINT OVER THE ANKLE JOINT +audio/MSK0013.mp3[690.760,694.480] OK THEN HOW ABOUT OVER ANY OF THE JOINTS OF YOUR TOES +audio/MSK0013.mp3[694.480,705.080] UM NO NOT NOTHING LIKE THAT NO PAIN JUST UM I CANT FEEL IT +audio/MSK0013.mp3[705.080,712.840] OK AND HOW IS THE RANGE OF MOTION OF YOUR FEET AND TOES +audio/MSK0013.mp3[712.840,717.880] UM PRETTY GOOD I CAN MOVE THEM ALL +audio/MSK0013.mp3[717.880,722.920] OK AND THEN HOW ABOUT YOUR KNEES +audio/MSK0013.mp3[722.920,728.560] MY KNEES ARE ALSO THE SAME +audio/MSK0013.mp3[728.560,735.480] OK UH AN ANY ANKLE LIKE INSTABILITY WITH ANY SPECIAL TESTS +audio/MSK0013.mp3[736.360,744.000] OK AND AND ON WALKING IS THERE ANY LIMP OR DOES IT APPEAR HOW DOES THE WALK APPEAR +audio/MSK0013.mp3[744.000,750.160] IM PRETTY NORMAL IM NOT LIMPING +audio/MSK0013.mp3[750.160,767.160] OK AND OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK AND AND CHECK TODAY DID YOU HAVE ANY QUESTIONS +audio/MSK0013.mp3[767.160,777.840] JUST WHAT DO YOU THINK IS GOING ON WITH MY FEET AND HOW DO I GET SOME SENSATION BACK +audio/MSK0013.mp3[777.840,806.280] SO IT DOES SOUND LIKE IT COULD BE RELATED TO DIABETES WHERE WHAT HAPPENS IS YOU GET LIKE A PERIPHERAL NEUROPATHY OVERTIME AND YOU CAN LOSE SENSATION TO YOUR FEET IN A GLOVE AND STOCKING DISTRIBUTION WHICH SOUNDS LIKE THE HISTORY HISTORY YOURE SAYING TODAY WITH HAVING SENSATION REDUCED ON YOUR FEET AND ALSO YOUR FINGERTIPS AS WELL +audio/MSK0013.mp3[807.200,904.040] WHERE YOU LOSE SENSATION AND YOU CANT FEEL PAIN AND SO BUT OTHER THINGS TO CONSIDER COULD BE POSSIBLY LIKE VITAMIN DEFICIENCIES OR THINGS LIKE THAT BUT I WOULD BE MUCH MUCH LOWER DOWN ON THE DIFFERENTIAL AND SO TO REGAIN SENSATION I THINK REALLY THE ONLY THING THAT CAN BE DONE NOW IS TO HELP PREVENT FURTHER DAMAGE TO THE NERVES AND THAT WOULD BE TO MAKE SURE THAT THE DIABETES IS UNDER GOOD CONTROL AND TRYING TO MONITOR YOUR FEET AS REGULARLY AS YOU CAN MAKING SURE THAT THE THERE ARENT ANY KIND OF OPEN WOUNDS OR SORES THAT ARE ARE NOT HEALING IF THINGS ARE NOT HEALING IT WILL BE IMPORTANT TO CHECK TO SEE IF THERE IS AN UNDERLYING INFECTION SUCH AS OSTEOMYELITIS WHICH WILL PREVENT WOUND HEALING AND SO IF THERE ARE ANY IS ANYTHING LIKE THAT IT WOULD BE IMPORTANT TO HAVE THAT CHECKED OUT SO FEET HYGIENE IS EXTREMELY IMPORTANT AS WERE WORKING ON IMPROVING THE DIABETES CONTROL AS WELL AS THINGS LIKE CUTTING DOWN ALCOHOL COULD COULD ALSO HELP AS WELL +audio/MSK0013.mp3[904.040,905.440] OK OK THANK YOU +audio/RES0142.mp3[0.000,2.960] UH WHAT CAN I DO FOR YOU +audio/RES0142.mp3[2.960,27.280] HI UM YEAH SO I I JUST CAME HERE TODAY UM BECAUSE IVE JUST BEEN FEELING UM LIKE I HAVE THIS REALLY SORE THROAT FOR THE LAST UH WEEK AND IVE ALSO BEEN GETTING SOME CHILLS OVER THE LAST FEW NIGHTS AS WELL UM SO YEAH I JUST CAME TO CHECK IT OUT +audio/RES0142.mp3[27.280,38.040] UM OKAY AND UM WHEN DID UH SO YOUR SORE THROAT STARTED UM A WEEK AGO WHAT ABOUT UM THE CHILLS +audio/RES0142.mp3[38.040,53.520] UM CHILLS IVE BEEN FEELING THEM OVER THE LAST FEW NIGHTS UM AND IVE ALSO JUST BEEN FEELING VERY TIRED AND UM OVER THE LAST WHOLE WEEK AS WELL +audio/RES0142.mp3[53.520,61.680] OKAY UM HAVE YOU HAD ANY DIFFICULTIES SWALLOWING +audio/RES0142.mp3[61.680,76.560] UM YEAH I DEFINITELY FEEL LIKE UH I DO GET SOME PAIN ONES FOLLOWING BUT IT MAY BE JUST WITH THE SORE THROAT +audio/RES0142.mp3[76.560,82.000] AND UM HAVE YOU HAD UH HAVE YOU HAD ANY HEADACHES +audio/RES0142.mp3[82.000,86.160] UH NO HEADACHES +audio/RES0142.mp3[86.160,89.640] ANY UH STUFFY NOSE OR RUNNY NOSE +audio/RES0142.mp3[89.640,92.120] UH NO NOTHING LIKE THAT +audio/RES0142.mp3[92.120,95.920] NO UM SINUS CONGESTION +audio/RES0142.mp3[95.920,97.120] UH NO +audio/RES0142.mp3[97.120,101.560] OKAY WHAT ABOUT UH COUGH +audio/RES0142.mp3[101.560,120.880] UM NO NOT NOT NO COUGH REALLY IVE ALSO NOTICED ALSO LIKE THE BACK OF MY THROAT WHEN I LOOK IN THE MIRROR IS LIKE JUST VERY RED AND LIKE ANGRY LOOKING +audio/RES0142.mp3[120.880,125.360] AND UM ANY DIFFICULTIES BREATHING +audio/RES0142.mp3[126.280,129.400] ANY UM PAIN IN YOUR CHEST +audio/RES0142.mp3[131.120,134.640] UM DO YOU FEEL LIKE YOUR HEART IS RACING +audio/RES0142.mp3[134.640,138.120] NO NOTHING LIKE THAT +audio/RES0142.mp3[138.120,145.480] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY OR ANY URINARY CONCERNS +audio/RES0142.mp3[145.480,148.600] UH NO +audio/RES0142.mp3[148.600,152.400] NO BELLY PAIN OR MUSCLE ACHES +audio/RES0142.mp3[152.400,157.360] UH NO NOTHING LIKE THAT +audio/RES0142.mp3[157.360,163.680] ALRIGHT UM SO UH ARE YOU UM DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0142.mp3[163.680,165.960] NO IVE BEEN PRETTY HEALTHY ALL MY LIFE +audio/RES0142.mp3[165.960,168.840] ANY MEDICATIONS THAT YOUVE BEEN ON +audio/RES0142.mp3[168.840,170.320] UH NO +audio/RES0142.mp3[170.320,172.800] ANY ALLERGIES +audio/RES0142.mp3[172.800,178.480] NO ALLERGIES +audio/RES0142.mp3[178.480,187.360] OKAY AND UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0142.mp3[187.360,192.680] UM I THINK UM MY MOM HAS DIABETES BUT THATS ABOUT IT +audio/RES0142.mp3[192.680,198.840] OKAY AND UM WHO DO YOU CURRENTLY LIVE WITH OR DO YOU LIVE ALONE +audio/RES0142.mp3[198.840,201.480] I LIVE WITH UH MY MOM +audio/RES0142.mp3[201.480,203.480] ANYONE ELSE AT THE HOUSE +audio/RES0142.mp3[203.480,205.040] NO ITS JUST US TWO +audio/RES0142.mp3[205.040,214.640] ALRIGHT UM AND ANY UM RECENT EXPOSURES TO ANYONE WHO MIGHT BE SICK +audio/RES0142.mp3[214.640,226.800] UM MY MY BOYFRIEND HE KIND OF HAD SIMILAR SYMPTOMS I WOULD SAY A FEW WEEKS AGO +audio/RES0142.mp3[226.800,234.120] UM AND UM DID HE DID HE GET UM DID HE SEE A DOCTOR +audio/RES0142.mp3[234.120,251.680] NO HE DIDNT WANT TO GO TO THE DOCTOR AND IT KIND OF JUST RESOLVED LIKE HE IT WENT AWAY ON ITS OWN +audio/RES0142.mp3[251.680,255.760] OKAY ALRIGHT UM AND DO YOU UM DO YOU DRINK +audio/RES0142.mp3[255.760,258.320] JUST ON THE WEEKENDS MAYBE UH SOME WINE +audio/RES0142.mp3[258.320,262.680] AND WHAT ABOUT UM MARIJUANA +audio/RES0142.mp3[262.680,270.680] UM JUST SOCIALLY LIKE RIGHT NOW THERES NO PARTIES BUT LIKE WHEN IM AT PARTIES +audio/RES0142.mp3[270.680,274.680] UM WHAT ABOUT ALCOHOL +audio/RES0142.mp3[274.680,277.680] UH YEAH SO JUST UH SOCIALLY AGAIN +audio/RES0142.mp3[277.680,279.040] OH YEAH +audio/RES0142.mp3[279.040,286.200] RIGHT NOW WITH MY MOM DRINKING EVERY NOW AND THEN +audio/RES0142.mp3[286.200,295.600] I SEE OKAY UM ALRIGHT WELL THATS ALL THE QUESTIONS I HAD AND UH SORRY ONE MORE HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS SO FAR +audio/RES0142.mp3[295.600,313.600] YEAH IVE BEEN HAVING ALL MY IMMUNIZATIONS UH I ALSO FEEL LIKE SO WITH A SORE THROAT I ALSO HAVE SOME UM PAIN ON THE SIDES LIKE ON MY ON MY NECK LIKE I ALMOST FEEL LIKE SOME LUMPS ON BOTH SIDES +audio/RES0142.mp3[313.600,409.360] OH I SEE I SEE OKAY OKAY UM SO I GUESS I AT THIS POINT I WOULD LIKE TO MAYBE HAVE IT EXAMINE YOU JUST HAVE A LOOK INSIDE YOUR THROAT MAYBE FEEL YOUR NECK FOR THOSE LUMPS AND UH THEN DECIDE WHAT TO DO FROM THERE UM GIVEN YOUR SYMPTOMS UM THIS COULD BE A VIRAL INFECTION OR UM IT COULD BE A BACTERIAL INFECTION CAUSED BY UM BACTERIA CALLED OR I GUESS STREP STREP THROAT IT COULD ALSO BE UH MONO UM BUT ILL UH ILL HAVE A LOOK WELL DO THE RAPID STREP TEST AND UH BASED ON THOSE RESULTS WELL DECIDE WHAT TO DO IF IT IS STREP YOU MIGHT REQUIRE ANTIBIOTICS IF NOT IF ITS MONO AND IF WE CAN DO MAYBE A BLOOD TEST FOR THAT YOU MIGHT HAVE TO UM NOT ENGAGE IN IN PHYSICAL ACTIVITY UM OR EXERCISE VIGOROUS ACTIVITY OR LIKE SPORTS FOR THE NEXT COUPLE OF WEEKS OR MONTHS AS AS THAT CAN BE UH AS THAT CAN CAUSE PROBLEMS IF YOU GET HIT IN THE IN YOUR BELLY IT COULD CAUSE YOUR SPLEEN TO RUPTURE AND SOMETIMES YOUR SPLEEN BECOME VERY BIG IF YOU DO HAVE MONO BUT WELL DISCUSS ALL OF THAT A LITTLE BIT MORE AFTER WE DO UH THE STREP TEST WELL ALSO CHECK YOUR TEMPERATURE UM AND SEE UM HOW YOURE DOING HAVE YOU BEEN TAKING ANYTHING TO HELP YOURSELF TO HELP SOOTHE YOUR SORE THROAT +audio/RES0142.mp3[409.360,411.480] UM JUST SOME LOZENGES +audio/RES0142.mp3[411.480,426.520] YEAH SO JUST CONTINUE UH JUST DRINKING WATER AND TAKING LOZENGES JUST TO UM PROVIDE SOME COMFORT FOR YOURSELF AND WELL DO THE TEST THEN WE CAN CHAT A BIT MORE AFTER +audio/RES0142.mp3[426.520,428.720] OKAY SOUNDS GOOD THANK YOU SO MUCH +audio/RES0127.mp3[0.000,5.240] WHAT BRINGS YOU IN HERE TODAY +audio/RES0127.mp3[5.240,28.120] HI IVE IVE JUST BEEN IVE BEEN SNEEZING A LOT AND I HAVE THIS RUNNY NOSE ITS JUST BEEN VERY IRRITATING I KIND OF WANT TO DO SOMETHING ABOUT IT IVE HAD IT FOR AWHILE BUT ITS JUST YOU KNOW I DECIDED TO LIKE COME IN TO FIND OUT WHATS WHATS WRONG WITH ME WHY DO I LIKE WHY DOES THIS HAPPEN TO ME ALL MY FRIENDS ARE OK +audio/RES0127.mp3[28.120,36.400] OH YEAH I KNOW IT MUST BE VERY VERY IRRITATING HOW LONG HAS IT BEEN GOING ON FOR +audio/RES0127.mp3[36.400,40.880] ITS BEEN YEARS I DONT EVEN REMEMBER +audio/RES0127.mp3[40.880,46.680] OH YEARS OK AND YEARS LIKE JUST SNEEZING AND THE RUNNY NOSE HAS BEEN GOING ON FOR THE LAST FEW YEARS +audio/RES0127.mp3[46.680,55.080] YEAH IT KIND OF KIND OF COMES ON LIKE AROUND THE SPRING TIME IT JUST GETS REALLY BAD AT THAT TIME +audio/RES0127.mp3[55.080,69.840] YEAH OK AND ARE THERE ANY BESIDES DURING THE SPRING TIME ANY KIND OF ALLERGENS OR ANY ANYTHING IN THE HOUSE OR AROUND YOU THAT TRIGGERS IT LIKE DUST OR ANYTHING LIKE THAT +audio/RES0127.mp3[69.840,79.520] YEAH DUST MAKES IT A LOT WORSE LIKE WHEN I HAVE TO VACUUM THE HOUSE I JUST FEEL AWFUL FOR THE NEXT TWO DAYS +audio/RES0127.mp3[79.520,85.600] I SEE DO YOU GET ANY OTHER SYMPTOMS BESIDES THE UH SNEEZING AND RUNNY NOSE +audio/RES0127.mp3[85.600,107.200] YEAH LET MY NOSE SO STUFFY AND SOMETIMES ITS JUST LIKE MY EYES AND MY NOSE ARE JUST ITCHY AND MY EYES GET LIKE RED AND TEARY SOMETIMES ITS SO EMBARRASSING WHEN IM GOING TO SCHOOL I ALSO WAKE UP IN THE MORNING WITH THIS LIKE SORE THROAT AND HAVE JUST COUGH AND CLEAR OUT MY YOU KNOW CLEAR MY THROAT +audio/RES0127.mp3[107.200,110.480] OK AND DOES THAT HAPPEN LIKE EVERY MORNING +audio/RES0127.mp3[110.480,117.040] ITS USUALLY WORSE AROUND SPRINGTIME +audio/RES0127.mp3[117.040,120.960] OK AND ARE YOU COUGHING AT ALL +audio/RES0127.mp3[120.960,125.560] WELL I HAVE TO LIKE COUGH TO CLEAR MY THROAT BUT THEN NOT OTHERWISE +audio/RES0127.mp3[125.560,128.640] OK AND ARE YOU BRINGING UP ANY SPUTUM +audio/RES0127.mp3[128.640,131.960] YEAH THAT YEAH I DO +audio/RES0127.mp3[131.960,137.160] LIKE UH HOW MUCH WOULD YOU SAY DO YOU JUST BRING IT UP IN THE MORNING OR LIKE THROUGHOUT THE DAY +audio/RES0127.mp3[137.160,139.240] JUST IN THE MORNING +audio/RES0127.mp3[139.240,140.440] JUST IN THE MORNING +audio/RES0127.mp3[141.320,150.760] DO YOU HAVE A SENSATION OF LIKE ANYTHING KIND OF DRIPPING DOWN YOUR THROAT LIKE AFTER YOU WAKE UP LIKE JUST A BUILD UP +audio/RES0127.mp3[150.760,155.160] YEAH YEAH I DO +audio/RES0127.mp3[155.160,163.960] OK AND BESIDES THAT HAVE YOU BEEN HAVING ANY SYMPTOMS OF FEVERS CHILLS SORE THROAT +audio/RES0127.mp3[163.960,169.600] I GET A BIT OF A SORE THROAT I GUESS IN THE MORNING BUT IT JUST GOES AWAY AFTER +audio/RES0127.mp3[169.960,171.600] BUT NO FEVERS +audio/RES0127.mp3[171.600,182.680] OK AND IS THERE ANYTHING THAT YOUVE TRIED AT ALL LIKE MEDICATIONS OR ANYTHING THAT HAS HELPED YOU WITH THESE SYMPTOMS +audio/RES0127.mp3[182.680,193.520] UHM YEAH I TRIED LIKE UMM REACTIN AND THAT REALLY HELPED +audio/RES0127.mp3[193.520,200.600] THAT HELPED OK THATS GOOD AND ARE YOU TAKING REACTIN RIGHT NOW +audio/RES0127.mp3[200.600,208.080] I DIDNT TAKE IT TODAY I TRIED IT A COUPLE DAYS AGO +audio/RES0127.mp3[208.080,212.480] OK AND HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0127.mp3[213.840,219.880] NO OK AND ANY SICK CONTACTS ANYONE AROUND YOU THAT HAS BEEN SICK +audio/RES0127.mp3[219.880,223.680] I DONT THINK SO +audio/RES0127.mp3[223.680,225.960] OK ANY HEADACHES +audio/RES0127.mp3[228.640,230.600] ANY NAUSEA OR VOMITING +audio/RES0127.mp3[232.040,235.680] ANY FEVERS OR CHILLS +audio/RES0127.mp3[236.920,241.040] ANY KIND OF FATIGUE OR TIREDNESS THROUGHOUT THE DAY +audio/RES0127.mp3[241.040,246.880] I DO FEEL MORE FATIGUED WHEN I HAVE THESE SYMPTOMS +audio/RES0127.mp3[246.880,250.920] OK ANY NIGHT SWEATS FEVERS OR CHILLS +audio/RES0127.mp3[253.160,255.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +audio/RES0127.mp3[257.480,259.280] ANY TROUBLE URINATING +audio/RES0127.mp3[261.200,265.120] ANY CHANGES TO YOUR APPETITE OR WEIGHT +audio/RES0127.mp3[265.120,272.560] IVE BEEN LOSING WEIGHT BUT IVE BEEN DIETING AND WORKING OUT MORE +audio/RES0127.mp3[272.560,279.640] OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST OVER THE LAST FEW MONTHS +audio/RES0127.mp3[279.640,288.080] IVE LOST ABOUT FOUR POUNDS IN THE PAST FOUR FIVE MONTHS ITS BEEN HARD TO LOSE WEIGHT +audio/RES0127.mp3[288.080,295.360] AND SO NO NO SUDDEN LIKE LOSS OF WEIGHT OR ANYTHING LIKE THAT RIGHT NOW +audio/RES0127.mp3[295.360,296.120] NO NO NO +audio/RES0127.mp3[296.120,319.320] WELL ITS REALLY GREAT THAT YOURE YOU KNOW TRYING TO LOSE WEIGHT AND DIETING AND AND HAVING LIKE A HEALTHIER LIFESTYLE IT IS DEFINITELY HARDER WITH THE PANDEMIC GOING ON RIGHT NOW TO TO GET IN THE ACTIVITIES AND ITS HARD LIKE BEING AT HOME AND SOMETIMES ITS REALLY DIFFICULT TO LIKE NOT EAT RIGHT +audio/RES0127.mp3[319.320,321.960] YEAH YEAH TRUE +audio/RES0127.mp3[321.960,332.760] SO BESIDES BESIDES THAT ANY KIND OF RECENT EXPOSURES TO ANY FUMES DUST ANIMALS PETS LIKE ANYTHING LIKE THAT +audio/RES0127.mp3[332.760,343.320] YEAH IT WAS KIND OF LIKE VACUUMING A COUPLE OF DAYS AGO WHEN IT GOT REALLY BAD BUT NOTHING NOT NOT I DONT THINK THERES NOT BEEN ANY OTHER EXPOSURES +audio/RES0127.mp3[343.320,353.840] OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU HAVE BEEN DIAGNOSED WITH LIKE ASTHMA ECZEMA ANYTHING LIKE THAT +audio/RES0127.mp3[353.840,372.440] I HAVENT BEEN DIAGNOSED WITH ANYTHING NO I DID HAVE LIKE I KNOW THAT I WOULD SOMETIMES GET KIND OF SHORT OF BREATH AS A CHILD BUT MY MOM DOESNT REALLY TRUST DOCTORS SO SHE WOULDNT TAKE ME TO ONE +audio/RES0127.mp3[372.440,378.920] OK HAVE YOU HAD SHORTNESS OF BREATH AFTER THAT LIKE WHEN LIKE AS A CHILD HOW OLD WERE YOU +audio/RES0127.mp3[378.920,388.880] I MUST HAVE BEEN LIKE 8 YEARS OLD OR 9 YEARS OLD THAT I REMEMBER BUT I THINK IVE HAD IT BEFORE THAT AS WELL AS MY MOM TELLS ME +audio/RES0127.mp3[388.880,394.320] OH OK DO YOU HAVE THAT AT ALL NOW +audio/RES0127.mp3[394.320,396.360] NO NO I DONT +audio/RES0127.mp3[396.360,398.280] OK OK HAVE YOU EVER SEEN AN ALLERGIST BEFORE +audio/RES0127.mp3[398.280,401.560] NO NO +audio/RES0127.mp3[401.560,407.840] NO OK DO YOU HAVE ANY KNOWN ALLERGIES TO ANY MEDICATIONS YEAH ANY MEDICATION +audio/RES0127.mp3[410.560,413.360] NO DO YOU TAKE ANY MEDICATIONS AT ALL ON A REGULAR BASIS +audio/RES0127.mp3[417.200,420.200] NO OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/RES0127.mp3[423.320,431.120] ANY FAMILY HISTORY OF ANY ASTHMA ECZEMA ALLERGIC RHINITIS ANYTHING LIKE THAT +audio/RES0127.mp3[431.120,451.320] YEAH I THINK IT KIND OF RUNS IN MY FAMILY LIKE EVERYONE IN MY FAMILY IS JUST KIND OF ALWAYS HAVING THIS RUNNY NOSE AND SNEEZING MY MOM HAS IT MY YOUNGER BROTHER HAS IT BUT LIKE WE HAVENT REALLY BEEN DIAGNOSED WITH ANYTHING LIKE WE WE RARELY GO TO THE DOCTOR +audio/RES0127.mp3[451.320,459.680] OK OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR SORRY DO YOU GO TO SCHOOL +audio/RES0127.mp3[459.680,464.320] I DO I DO IVE BEEN DOING IT VIRTUALLY +audio/RES0127.mp3[464.320,468.840] VIRTUALLY OK SO HAVE YOU NOTICED ANYONE SICK AROUND YOU +audio/RES0127.mp3[469.520,476.880] NO OK AND WHAT AT HOME WHATS YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH +audio/RES0127.mp3[476.880,479.800] I LIVE WITH MY MOM DAD AND MY YOUNGER BROTHER +audio/RES0127.mp3[479.800,503.000] AND YEAH I JUST WANT TO LET YOU KNOW THAT ANY QUESTIONS I ASK YOU TODAY AND ANYTHING WE TALKED ABOUT ITS COMPLETELY CONFIDENTIAL AND UNLESS LIKE THERE IS ANY POTENTIAL HARM TO YOURSELF OR ANYONE ANYONE ELSE SO YEAH IM JUST GONNA ASK YOU A FEW QUESTIONS DO YOU FEEL SAFE AT HOME +audio/RES0127.mp3[503.000,504.360] OH YEAH +audio/RES0127.mp3[504.360,510.120] OK AND DO YOU DRINK ALCOHOL AT ALL OR HAVE YOU TRIED ALCOHOL +audio/RES0127.mp3[510.120,511.200] NO NOT AT ALL +audio/RES0127.mp3[511.200,516.480] HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0127.mp3[516.480,518.760] NO NO +audio/RES0127.mp3[518.760,520.520] HOW ABOUT SMOKING +audio/RES0127.mp3[520.520,522.080] UMM NO +audio/RES0127.mp3[522.080,525.520] NO OK AND ARE YOU SEXUALLY ACTIVE +audio/RES0127.mp3[527.200,537.080] NO OK AND SO OVERALL DO YOU FEEL SAFE IN YOUR HOME AND AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT ANY KIND OF BULLYING OR ANYTHING LIKE THAT GOING ON +audio/RES0127.mp3[537.080,538.720] NO NOT AT ALL +audio/RES0127.mp3[538.720,551.000] OK ALRIGHT YEAH SO THOSE ARE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU SORRY JUST ONE MORE QUESTION ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0127.mp3[551.000,558.120] YEAH ITS HARD TO SMELL AND MY NOSE IS STUFFY BUT NO LOSS OF TASTE +audio/RES0127.mp3[558.120,560.400] YEAH OK OK SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME +audio/RES0127.mp3[560.400,570.920] NO I JUST I I JUST WANNA GET SOME MEDICATIONS TO HELP WITH THIS IM JUST SICK AND TIRED OF MY RUNNY NOSE +audio/RES0127.mp3[570.920,577.720] YEAH IT MUST BE VERY FRUSTRATING SO YOUVE TRIED REACTIN BEFORE RIGHT +audio/RES0127.mp3[578.240,606.000] YEAH SO ONE METHOD IS TO DEFINITELY LIKE STAY AWAY FROM SOME OF THOSE ALLERGENS THAT ARE POTENTIALLY CAUSING YOUR SYMPTOMS BUT I I DO REALLY THINK SO YOU MIGHT HAVE SOMETHING CALLED LIKE ALLERGIC RHINITIS AND I THINK IT MIGHT BE BENEFICIAL TO FOR YOU TO SEE LIKE AN ALLERGIST +audio/RES0127.mp3[607.000,651.960] AND SO I CAN REFER YOU TO SOMEONE AS WELL JUST HAVE A SENSE OF WHAT KIND OF THINGS ALLERGIC TO YOU AND LIKE WHAT MEDICATIONS YOU WOULD REQUIRE IN THE MEANTIME DEFINITELY LIKE ANY ANTIHISTAMINE MEDICATIONS WOULD HELP WITH YOUR SYMPTOMS BUT SINCE YOURE ALSO HAVING CONGESTION AND SNEEZING JUST JUST IN CASE WE WILL JUST DO A COVISWAB TEST FOR YOU TODAY AND IT TAKES AROUND 24 TO 48 HOURS TO COME BACK AND IN THE MEANTIME YOU SHOULD JUST ISOLATE AS MUCH AS YOU CAN IN YOUR OWN HOME AND THEN BASED ON THE RESULT THEY WOULD GIVE YOU MORE INSTRUCTION +audio/RES0127.mp3[653.120,661.480] ALRIGHT THANK YOU TAKE CARE +audio/RES0075.mp3[0.000,2.440] WHAT BROUGHT YOU IN TODAY +audio/RES0075.mp3[2.440,22.400] YEAH SO UH JUST RANDOMLY LIKE 2 DAYS AGO I JUST STARTED HAVING THIS CHEST PAIN WHEN IM BREATHING AND ITS JUST BEEN GETTING WORSE AND THEN BECAUSE OF THAT IM FINDING THAT IM VERY SHORT OF BREATH AS WELL SO I JUST GOT REALLY CONCERNED +audio/RES0075.mp3[22.400,27.240] OK I SEE WHEN DID THE CHEST PAIN START +audio/RES0075.mp3[27.240,48.120] 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 +audio/RES0075.mp3[48.120,60.160] 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 +audio/RES0075.mp3[60.160,79.200] NO NOT REALLY I WAS JUST AT HOME AND THEN I NOTICED THAT WHEN I LIKE TAKE A DEEP BREATH IN ITS JUST LIKE A VERY SHARP PAIN ITS KIND OF LIKE IN MY RIGHT SIDE OF THE CHEST AND IT FEELS LIKE A STABBING PAIN +audio/RES0075.mp3[79.200,91.120] 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 +audio/RES0075.mp3[91.120,96.560] UH ITS MOSTLY YEAH I FEEL THE SHARP PAIN WHEN I BREATHE IN +audio/RES0075.mp3[96.560,107.640] OK SO THE PAIN IS INTERMITTENT THEN IT SOUNDS LIKE AND HAS THERE BEEN ANYTHING YOUVE TRIED THATS MADE THE PAIN BETTER +audio/RES0075.mp3[107.640,114.960] NOT REALLY JUST MORE SHALLOW BREATHING AND IT HURTS LESS WITH THAT BUT THATS ABOUT IT +audio/RES0075.mp3[114.960,123.320] OK AND ARE THERE ANY POSITIONS THAT HELP MAKE THE PAIN ANY BETTER LIKE LEANING FORWARD OR LAYING DOWN +audio/RES0075.mp3[123.320,134.600] NOT REALLY ITS UH ITS PRETTY MUCH THE SAME I THINK +audio/RES0075.mp3[134.600,143.320] OK AND UH YOU MENTIONED YOU HAD SHORTNESS OF BREATH AS WELL WHEN DOES THIS COME ON +audio/RES0075.mp3[143.320,160.160] SINCE YESTERDAY ITS BEEN PRETTY CONSTANT AND ITS MORE LIKE UH JUST UH IM REALLY HAVING TROUBLE GETTING ANY DEEP BREATHS IN SO I FEEL LIKE IM HAVING TO JUST BREATHE FASTER AND MORE SHALLOW +audio/RES0075.mp3[160.160,165.160] I SEE OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE +audio/RES0075.mp3[165.160,168.080] NO NEVER +audio/RES0075.mp3[168.080,174.280] OK AND HAVE YOU BEEN EXPERIENCING ANY HEADACHES +audio/RES0075.mp3[175.720,188.000] HOW ABOUT ANY VIRAL SYMPTOMS LIKE EYE REDNESS NASAL DISCHARGE OR NASAL CONGESTION OR COUGH +audio/RES0075.mp3[188.000,198.120] I HAVE BEEN HAVING A LITTLE BIT OF A COUGH BUT THATS IT LIKE IT KIND OF STARTED TODAY BUT ITS NOTHING TOO SIGNIFICANT +audio/RES0075.mp3[198.120,202.720] OK ALRIGHT IS THE COUGH DRY OR HAVE YOU BROUGHT UP SPUTUM +audio/RES0075.mp3[202.720,206.120] IT IS DRY +audio/RES0075.mp3[206.120,210.360] OK AND HAVE YOU HAD A SORE THROAT +audio/RES0075.mp3[210.360,211.840] UH NO +audio/RES0075.mp3[211.840,219.760] HOW ABOUT A LOSS OF TASTE OR A LOSS OF SMELL +audio/RES0075.mp3[220.480,224.200] OK HOW HAS YOUR APPETITE BEEN +audio/RES0075.mp3[224.200,234.720] MY APPETITES BEEN PRETTY GOOD ITS LIKE DEFINITELY WITH THE PAIN I DONT REALLY FEEL LIKE EATING TODAY BUT I DONT THINK ITS CHANGED +audio/RES0075.mp3[234.720,238.720] OK SO HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS +audio/RES0075.mp3[238.720,241.600] YEAH WEIGHT HAS BEEN STABLE +audio/RES0075.mp3[241.600,247.440] OK AND HAVE YOU HAD ANY FEVERS CHILLS OR NIGHT SWEATS +audio/RES0075.mp3[247.440,248.960] UHM NOPE +audio/RES0075.mp3[248.960,260.280] OK AND HAVE YOU HAD ANY EPISODES WHERE YOU FEEL LIKE YOUR HEART IS LIKE RACING OR BEATING OUT OF YOUR CHEST +audio/RES0075.mp3[260.280,262.760] NO I DONT THINK SO +audio/RES0075.mp3[262.760,267.920] ANY DIZZINESS OR LIGHTHEADEDNESS +audio/RES0075.mp3[268.680,273.720] OK AND HAVE YOU HAD ANY WHEEZING +audio/RES0075.mp3[273.720,275.960] NO I DONT THINK SO +audio/RES0075.mp3[275.960,279.280] OK AND WITH THE COUGH HAVE YOU BROUGHT UP ANY BLOOD +audio/RES0075.mp3[280.760,289.120] OK AND HAVE YOU HAD ANY UH LIKE URINARY PROBLEMS +audio/RES0075.mp3[290.120,293.920] ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION +audio/RES0075.mp3[293.920,295.840] NO NOTHING LIKE THAT +audio/RES0075.mp3[295.840,299.040] AND ANY ABDOMINAL PAIN +audio/RES0075.mp3[300.280,304.880] HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0075.mp3[305.400,311.960] OK AND HAVE YOU HAD ANY MUSCLE ACHES JOINT PAINS OR SKIN CHANGES +audio/RES0075.mp3[314.760,322.520] OK AND UHM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0075.mp3[322.520,327.240] NO IVE BEEN PRETTY HEALTHY +audio/RES0075.mp3[327.240,331.880] OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/RES0075.mp3[331.880,333.200] NO NOTHING AT ALL +audio/RES0075.mp3[333.200,337.040] AND DO YOU HAVE ANY ALLERGIES +audio/RES0075.mp3[337.040,339.440] NO NO ALLERGIES +audio/RES0075.mp3[339.440,345.240] ANY HOSPITALIZATIONS IN THE PAST OR ANY SURGERIES +audio/RES0075.mp3[347.160,355.320] OK AND CURRENTLY CAN YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0075.mp3[355.320,363.040] YEAH SO I JUST LIVE WITH UH A COUPLE OF MY ROOMMATES IM GOING TO UNIVERSITY +audio/RES0075.mp3[364.040,370.760] I LIVE IN LIKE A STUDENT HOUSING SITUATION +audio/RES0075.mp3[370.760,379.720] OK HAS ANYBODY IN THE HOUSE BEEN SICK OR ANYBODY THAT YOUVE BEEN AROUND BEEN SICK +audio/RES0075.mp3[379.720,383.720] NO WEVE BEEN ALL PRETTY HEALTHY +audio/RES0075.mp3[383.720,393.160] OK AND DO YOU SMOKE CIGARETTES OR USE ANY LIKE VAPE PRODUCTS OR ANYTHING LIKE THAT +audio/RES0075.mp3[393.160,402.320] NO I HAVENT EVER SMOKED I DO SMOKE WEED LIKE I WOULD SAY ONCE OR TWICE A WEEK +audio/RES0075.mp3[402.320,409.760] OK AND HOW MUCH WOULD YOU SAY LIKE 1 GRAM OR LESS OR +audio/RES0075.mp3[409.760,414.080] 1 GRAM PROBABLY LASTS LIKE 2 WEEKS +audio/RES0075.mp3[414.080,417.640] OK AND DO YOU DRINK ALCOHOL +audio/RES0075.mp3[417.640,423.280] YEAH JUST A COUPLE OF BEERS MAYBE ON THE WEEKEND +audio/RES0075.mp3[423.280,431.480] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0075.mp3[431.480,436.240] YEAH JUST ONE PARTNER MY GIRLFRIEND +audio/RES0075.mp3[436.240,440.160] OK AND DO YOU USE CONDOMS +audio/RES0075.mp3[440.160,444.240] YEAH WE USE CONDOMS WERE PRETTY SAFE +audio/RES0075.mp3[444.240,448.520] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0075.mp3[448.520,450.400] NO NEVER +audio/RES0075.mp3[450.400,455.200] OK ANY CONCERNS RIGHT NOW OR ANYTHING LIKE THAT +audio/RES0075.mp3[455.200,466.280] NO UH WEVE BEEN PRETTY SAFE AND WEVE BOTH BEEN TESTED BEFORE AND EVERYTHING SO IM NOT REALLY CONCERNED +audio/RES0075.mp3[466.280,484.320] OK GREAT AND HAS ANYBODY IN THE FAMILY HAD LIKE A SIMILAR PRESENTATION BEFORE LIKE ANY LUNG PROBLEMS OR HEART PROBLEMS +audio/RES0075.mp3[484.320,493.800] NO I THINK MY SISTER SHE HAS ASTHMA BUT THATS ABOUT IT +audio/RES0075.mp3[493.800,496.760] OK AND UH ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0075.mp3[496.760,499.960] NOT THAT I KNOW OF +audio/RES0075.mp3[499.960,556.000] 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 ITS 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 WHATS CALLED A PNEUMOTHORAX AND SO WELL DO A PHYSICAL EXAM AND DO A CHEST XRAY AS WELL TO EXAMINE THIS AND CHECK VITALS AS WELL TO MAKE SURE THAT YOURE WORK OF BREATHING IS OK AND WE CAN DO SOME BLOOD WORK AND GO FROM THERE +audio/RES0075.mp3[556.000,561.200] OK YEAH SOUNDS GOOD SHOULD BE LIKE WORRIED AT ALL +audio/RES0075.mp3[561.200,588.760] I THINK RIGHT NOW YOURE SPEAKING IN FULL SENTENCES AND YOURE NOT SHORT OF BREATH AT REST TYPICALLY WHEN THIS THIS HAPPENS IF ITS SMALL ENOUGH ITLL USUALLY RESOLVE ON ITS OWN AND SO WELL GET SOME MORE INFORMATION FROM THE IMAGING AND THE LAB RESULTS BUT ITS REASSURING THAT YOU HAVENT BEEN GETTING WORSE SINCE IT HAPPENED +audio/RES0075.mp3[588.760,595.640] OK ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +audio/MSK0004.mp3[0.000,2.120] WHAT BRINGS IN HERE TODAY +audio/MSK0004.mp3[2.120,19.120] HI THERE IVE JUST LAST NIGHT I WAS I WENT FOR A RUN AND I TWISTED MY ANKLE I THINK I STEPPED ON SOMETHING AND IT IT REALLY HURTS +audio/MSK0004.mp3[19.120,23.840] OK AND SO WHEN DID YOU HAVE THE INJURY +audio/MSK0004.mp3[23.840,25.400] IT WAS JUST YESTERDAY +audio/MSK0004.mp3[26.720,30.680] YEAH IT WAS JUST JUST YESTERDAY THAT IT HAPPENED +audio/MSK0004.mp3[30.680,41.160] OK AND DO YOU REMEMBER IF YOU TWISTED IT SO YOU TWISTED YOUR ANKLE LIKE DID DID IT TWIST INWARDS OR OUTWARDS +audio/MSK0004.mp3[41.160,44.200] INWARDS YEAH I FEEL LIKE I INVERTED MY ANKLE +audio/MSK0004.mp3[44.200,60.240] OK AND SO SINCE THEN WERE YOU ABLE TO STAND UP AND OR WERE YOU NOT ABLE TO BEAR ANY WEIGHT +audio/MSK0004.mp3[60.240,81.280] NO I WAS ABLE TO UH KIND OF FINISH THE I I I JUST FINISHED THE WALK I WAS ABLE TO WALK HOME CAUSE IT DIDNT HURT THAT BAD IMMEDIATELY IT WAS A BIT PAINFUL BUT THE PAIN REALLY STARTED A FEW HOURS LATER AND HAS BEEN PRETTY MUCH CONSTANT EVER SINCE +audio/MSK0004.mp3[81.280,86.800] OK OK SO IT KIND OF GOT WORSE OVER TIME OVER THE LAST DAY +audio/MSK0004.mp3[87.720,98.760] AND DO YOU NOTICE ANY KIND OF BRUISING REDNESS SWELLING ANY SKIN CHANGES +audio/MSK0004.mp3[98.760,112.560] NO I HAVENT REALLY NOTICED I UH REALLY ANY SWELLING OR I OR OR SKIN CHANGES YEAH NO SKIN CHANGES AND NO SWELLING +audio/MSK0004.mp3[112.560,124.120] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A DULL ACHING PAIN OR SHARP STABBING PAIN +audio/MSK0004.mp3[124.120,130.440] DULL AND ACHY +audio/MSK0004.mp3[130.440,137.360] OK OK AND HAS THIS HAPPENED TO YOU IN YOUR ANKLE BEFORE +audio/MSK0004.mp3[137.360,147.440] IM I I FEEL LIKE IVE MAYBE I IVE DONE SOMETHING LIKE THIS WHEN I WAS YOUNGER MAYBE PLAYING BASKETBALL OR SOMETHING LIKE THIS WHEN I WAS A KID I TWISTED MY ANKLE BEFORE +audio/MSK0004.mp3[147.440,158.160] OK AND DOES THIS PAIN JUST STAY WHERES THE PAIN EXACTLY ON THE RIGHT SIDE OF YOUR ANKLE OR ON YOUR LEFT LIKE INTERIOR SIDE +audio/MSK0004.mp3[158.160,163.800] ITS ON THE RIGHT KIND OF OUTSIDE OF THE ANKLE +audio/MSK0004.mp3[163.800,165.880] OK AND WHICH ANKLE IS THIS JUST TO CLARIFY +audio/MSK0004.mp3[165.880,168.080] ON THE RIGHT ANKLE +audio/MSK0004.mp3[168.080,172.560] OK SO SO IT HURTS ON THE RIGHT SIDE OF THE RIGHT ANKLE +audio/MSK0004.mp3[172.560,174.640] YEAH EXACTLY +audio/MSK0004.mp3[174.640,180.760] OK AND DOES THE PAIN RADIATE OR MOVE ANYWHERE IN YOUR FEET +audio/MSK0004.mp3[180.760,191.880] I CAN KIND OF FEEL IT AROUND ON THE THE SOLE OF MY FOOT AS WELL BUT MOSTLY ON THE OUTSIDE THOUGH +audio/MSK0004.mp3[191.880,197.320] OK AND IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE +audio/MSK0004.mp3[197.320,203.400] ALRIGHT IT GETS WORSE REALLY TO IF IF I MOVE MY ANKLE OR IF IM STANDING ON IT +audio/MSK0004.mp3[203.400,208.400] OK AND ANYTHING THAT MAKES IT BETTER +audio/MSK0004.mp3[208.400,213.920] ALRIGHT JUST IF I REST AND AVOID MOVING IT +audio/MSK0004.mp3[213.920,217.480] OK HAVE YOU NOTICE ANY FEVERS OR CHILLS +audio/MSK0004.mp3[220.080,224.840] OK ANY PAIN IN ANY OTHER JOINTS BESIDES YOUR ANKLE +audio/MSK0004.mp3[224.840,227.960] NO JUST MY MY RIGHT ANKLE +audio/MSK0004.mp3[227.960,231.920] OK ANY APPETITE OR WEIGHT CHANGES +audio/MSK0004.mp3[231.920,246.120] NO IVE BEEN IVE BEEN JUST TRAINING FOR THIS RACE COMING UP SO I MEAN IVE BEEN JUST TRYING TO WORK ON MY FITNESS A LITTLE BIT BUT MY WEIGHT HAS BEEN RELATIVELY STABLE +audio/MSK0004.mp3[246.120,255.840] OK ANY WEAKNESS IN YOUR RIGHT RIGHT EXTREMITIES OR ANY KIND OF NUMBNESS OR TINGLING SENSATION +audio/MSK0004.mp3[255.840,260.920] NO NUMBNESS OR TINGLING AND NO MUSCLE WEAKNESS EITHER +audio/MSK0004.mp3[260.920,275.440] OK RIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0004.mp3[275.440,282.440] IM UH I HAD DIARRHEA A FEW MONTHS AGO AND I WAS GIVEN A FLUOROQUINOLONE AS AN ANTIBIOTIC +audio/MSK0004.mp3[282.440,297.040] OK THATS TWO MONTHS AGO OK AND ANY MEDICATIONS THAT YOURE ON CURRENTLY +audio/MSK0004.mp3[297.040,311.440] I I TAKE A VITAMIN AND SOME OTHER VITAMINS TOO VITAMIN A AS WELL I GUESS THAT JUST HELPS MY MY SKIN AND AND THEN THE VITAMIN FOR MY MY BONES +audio/MSK0004.mp3[311.440,318.040] OK ANY ALLERGIES TO MEDICATIONS OR ANY ENVIRONMENTAL ISSUES +audio/MSK0004.mp3[318.040,319.840] NO ALLERGIES NO +audio/MSK0004.mp3[319.840,325.760] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES +audio/MSK0004.mp3[327.240,336.360] OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS ANY RHEUMATOLOGICAL CONDITIONS ANYTHING THAT YOU KNOW OF +audio/MSK0004.mp3[336.360,344.040] MY GRANDPARENTS HAVE ARTHRITIS SO AND MY LIKE MY DAD HAD HAD GOUT BEFORE +audio/MSK0004.mp3[344.040,352.240] OK AND DO YOUR GRANDPARENTS HAVE RHEUMATOID ARTHRITIS OR OSTEOARTHRITIS DO YOU KNOW +audio/MSK0004.mp3[352.240,356.360] I THINK OSTEO YEAH OSTEOARTHRITIS +audio/MSK0004.mp3[356.360,360.080] OK AND DO YOU CURRENTLY WORK +audio/MSK0004.mp3[360.080,364.400] I DO YEAH I WORK AS A SOFTWARE ENGINEER +audio/MSK0004.mp3[364.400,369.840] OK AND WHATS YOUR LIVING SITUATION LIKE CURRENTLY +audio/MSK0004.mp3[369.840,374.560] RIGHT NOW IM ACTUALLY JUST LIVING ALONE IN A IN AN APARTMENT +audio/MSK0004.mp3[374.560,379.040] OK AND DO YOU SMOKE AT ALL +audio/MSK0004.mp3[379.040,386.520] NO NEVER I CANT WITH THE WITH ALL THIS LIKE TRAINING FOR YEAH AT THE RACE AND STUFF LIKE THAT +audio/MSK0004.mp3[386.520,393.760] OK THATS GOOD ANY RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT BEFORE +audio/MSK0004.mp3[393.760,396.520] NO IVE NEVER USED ANYTHING LIKE THAT IN THE PAST +audio/MSK0004.mp3[396.520,399.280] OK AND HOW ABOUT ALCOHOL +audio/MSK0004.mp3[399.280,407.120] UH RARELY ILL HAVE MAYBE A GLASS OF WINE LIKE ONCE EVERY COUPLE OF MONTHS BUT ITS PRETTY INFREQUENT +audio/MSK0004.mp3[407.120,423.880] OK ALRIGHT SO I JUST HAVE A FEW QUESTIONS RIGHT NOW OVER YOUR RIGHT ANKLE DO YOU HAVE SO YOU MENTIONED YOU DONT HAVE ANY SWELLING BUT DO YOU NOTICE ANY KIND OF REDNESS OR WARMTH AT ALL +audio/MSK0004.mp3[423.880,426.240] NO NOTHING LIKE THAT +audio/MSK0004.mp3[426.240,435.920] OK AND IF YOU PRESS DOWN ON YOUR ANKLE DOES IT HURT A LOT +audio/MSK0004.mp3[435.920,446.160] UH A LITTLE BIT OF PAIN NOW THAT RIGHT UH LIKE OUTSIDE BUT ITS NOT UH IT DOESNT HURT THAT BAD YEAH ILL SAY NO +audio/MSK0004.mp3[446.160,455.000] OK AND IF YOU KIND OF UH ARE YOU ABLE TO MOVE YOUR ANKLE AT ALL +audio/MSK0004.mp3[455.000,461.560] I CAN YEAH I CAN MOVE IT AROUND A LITTLE BIT IM TRYING TO AVOID THAT THOUGH JUST BECAUSE IT IT DOES HURT BUT I CAN MOVE IT AROUND +audio/MSK0004.mp3[461.560,467.720] OK AND ARE YOU ABLE TO STAND UP AND WALK OR ARE YOU NOT ABLE TO DO THAT RIGHT NOW +audio/MSK0004.mp3[467.720,477.720] I CAN YEAH JUST FOR SHORT PERIODS OF TIME CAUSE ITS JUST CAUSE OF THE PAIN BUT I CAN WALK ON IT +audio/MSK0004.mp3[477.720,561.920] OK YEAH SO DEFINITELY WHAT WELL DO IS WE MIGHT NEED TO GET LIKE A PROPER PHYSICAL EXAMINATION DONE TO MAKE SURE THERE IS NO FRACTURE MOST LIKELY THOUGH IT SEEMS THAT THIS MAY JUST BE AN ANKLE SPRAIN UH DUE TO YOU INVERTING YOUR ANKLE THE OTHER DAY UHM WHAT WE CAN DO IS USUALLY WE JUST IMMOBILIZE THE ANKLE AND THEN RECOMMEND APPLYING ICE YOU CAN TAKE SOME NSAIDS LIKE ADVIL FOR PAIN TO HELP YOU AND IT SHOULD IT SHOULD GET BETTER ON ITS OWN WITH SOME PHYSIOTHERAPY LATER ON AS WELL HOWEVER IF WE FIND THAT ON PHYSICAL EXAMINATION YOU ARE HAVING SIGNIFICANT PAIN ON PALPATION OR ANY KIND OF BONY PAIN WE MIGHT ALSO REQUIRE YOU TO GET AN X RAY OF THE RIGHT FOOT AND ANKLE AS WELL AS JUST YOUR LOWER LEG SO YEAH WELL HAVE YOU COME COME IN IN PERSON AND THEN GO FROM THERE AND SEE IF YOU NEED AN X RAY +audio/MSK0004.mp3[561.920,564.640] OK THAT SOUNDS GOOD THANK YOU +audio/MSK0004.mp3[564.640,569.040] ALRIGHT TAKE CARE BYE +audio/RES0048.mp3[0.000,2.560] WHAT BRINGS YOU IN +audio/RES0048.mp3[2.560,27.040] YEAH SO I JUST CAME IN BECAUSE IVE BEEN HAVING THIS COUGH THATS GETTING WORSE OVER THE LAST UH ONE AND A HALF WEEK AND UH IVE ALSO JUST RECENTLY IN THE LAST FEW DAYS BEEN GETTING SOME SHORTNESS OF BREATH UM AND I ALSO NOTICED UH MY BOWEL MOVEMENTS HAVE CHANGED A LITTLE BIT AS WELL OVER THE LAST WEEK +audio/RES0048.mp3[27.040,33.280] OK SO YEAH LETS BREAK THIS DOWN THE COUGH WHEN DID THAT START +audio/RES0048.mp3[33.280,39.520] THE COUGH I THINK IT STARTED UH PROBABLY LIKE AROUND 10 DAYS AGO +audio/RES0048.mp3[39.520,43.720] 10 DAYS AGO OK AND HOW ABOUT THE SHORTNESS OF BREATH +audio/RES0048.mp3[43.720,49.240] THAT JUST STARTED IN THE LAST UH I THINK 3 DAYS +audio/RES0048.mp3[49.240,58.080] OK AND THEN THE THE BOWEL BOWEL CHANGES WHEN DID THAT START +audio/RES0048.mp3[58.080,67.520] YES I THINK IT ALSO STARTED IN LIKE I WOULD SAY FOR THE LAST THREE DAYS IVE BEEN GETTING UH DIARRHEA +audio/RES0048.mp3[67.520,87.040] OK OK SO LETS GO BACK TO THE COUGH IS IT CONSTANT OR UM IS IT TRIGGERED BY CERTAIN THINGS LIKE THE COLD AIR DUST UM YOU KNOW UM CERTAIN TIMES OF THE DAY LIKE MORNING EVENING +audio/RES0048.mp3[87.040,109.720] UM I WOULD SAY ITS PRETTY PRETTY CONSTANT SINCE THE LAST LIKE 10 DAYS UH ITS THERES NO REAL PATTERN TO IT AND IVE MOSTLY JUST BEEN INSIDE MY HOUSE I DONT THINK THERE ARE ANY TRIGGERS OR I DONT OWN ANY PETS OR ANYTHING LIKE THAT NO NEW RUGS LIKE UH NO NO NEW CHANGES REALLY IN MY HOUSE +audio/RES0048.mp3[109.720,120.840] OK OK AND UM HAVE YOU TRIED ANYTHING TO MAKE IT BETTER +audio/RES0048.mp3[120.840,132.760] UM NO NOT REALLY I IVE DONE SOME UH HOME REMEDIES LIKE TRYING TO DO ONE OF THOSE STEAM STEAM MASKS AND SEE IF THAT HELPS BUT IT DIDNT REALLY DO ANYTHING +audio/RES0048.mp3[132.760,142.920] OK UM AND HOW ABOUT UM THE QUALITY OF THAT COUGH IS IT DOES IT SOUND HARSH +audio/RES0048.mp3[142.920,161.440] UM YEAH I WOULD SAY ITS GETTING A LITTLE BIT HARSH ITS MORE JUST LIKE IM NOT BRINGING ANYTHING UP ITS MORE LIKE A DRY COUGH UM BUT YEAH I WOULD SAY ITS GETTING WORSE DEFINITELY +audio/RES0048.mp3[161.440,169.640] OK UM IS IT A DRY COUGH THEN OR ARE YOU PRODUCING A LITTLE BIT OF SPUTUM OR BLOOD OR ANYTHING LIKE THAT +audio/RES0048.mp3[169.640,179.640] NO NO I HAVENT SEEN ANY BLOOD AT ALL AND RARELY DO I BRING LIKE UP SOME SPUTUM BUT LIKE MOST OF THE TIME ITS JUST A DRY COUGH +audio/RES0048.mp3[179.640,187.520] OK ITS A DRY COUGH UM AND WOULD YOU SAY THE COUGHS GETTING WORSE +audio/RES0048.mp3[187.520,196.520] YEAH ID DEFINITELY SAY IN THE LAST UM THREE TO FOUR DAYS IVE BEEN JUST COUGHING NONSTOP ITS VERY IRRITATING +audio/RES0048.mp3[196.520,202.160] YEAH HAVE YOU EXPERIENCED ANYTHING LIKE THIS BEFORE +audio/RES0048.mp3[202.160,216.080] UM PROBABLY A FEW YEARS AGO I THINK I CAUGHT THE FLU OR SOMETHING AND GOT REALLY SICK WITH A FEVER AND JUST A LOT OF COUGHING BUT SINCE THEN NOTHING ELSE +audio/RES0048.mp3[216.080,225.840] OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST HOW BAD IS IT +audio/RES0048.mp3[225.840,231.880] UH PROBABLY LIKE A FIVE IT KIND OF JUST STARTED OUT WITH UH THREE DAYS AGO WAS KIND OF LIKE I JUST +audio/RES0048.mp3[231.880,249.600] COULDNT TAKE DEEP BREATHS LIKE I NOTICED THAT MY BREATHING WAS GETTING A LITTLE BIT MORE MORE SHALLOW AND NOW ITS ESPECIALLY WHEN IM COUGHING ITS LIKE I REALLY HAVE TO SIT DOWN AND CATCH MY BREATH +audio/RES0048.mp3[249.600,263.880] YEAH UM DOES ANYTHING MAKE THE SHORTNESS OF BREATH WORSE LIKE I GUESS UM YOU KNOW EXERTION UH LAYING DOWN ANYTHING LIKE THAT +audio/RES0048.mp3[263.880,276.400] UM NOT REALLY MAYBE LIKE SITTING DOWN HELPS SOMETIMES BUT EVEN WHEN IM SITTING DOWN IM STILL COUGHING +audio/RES0048.mp3[276.400,286.000] OK OK AND UM DO YOU HAVE ANY WHEEZINESS +audio/RES0048.mp3[286.000,288.280] NO I DONT THINK SO +audio/RES0048.mp3[288.280,292.440] OK ANY CHEST PAIN +audio/RES0048.mp3[292.440,304.200] UM MAYBE FROM ALL THE COUGHING SOMETIMES I FEEL LIKE THERES SOME PAIN THERE BUT ITS NOT NOT ANYTHING THATS TOO PAINFUL +audio/RES0048.mp3[304.200,309.840] OK UM DO YOU FEEL LIKE YOUR HEARTS RACING AT ALL +audio/RES0048.mp3[309.840,313.640] UH NO NOT REALLY +audio/RES0048.mp3[313.640,318.120] OK UM HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS +audio/RES0048.mp3[318.120,324.680] NO I DIDNT NOTICE ANYTHING LIKE THAT +audio/RES0048.mp3[324.680,330.160] OK HOW ABOUT UM PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS +audio/RES0048.mp3[330.160,333.200] NO IVE BEEN FINE THAT WAY +audio/RES0048.mp3[333.200,337.800] OK DIZZINESS OR FAINTING SPELLS +audio/RES0048.mp3[337.800,345.720] UH NO NOT REALLY I I THOUGHT MAYBE WITH THE SHORTNESS OF BREATH THAT WOULD HAPPEN BUT LIKE SO FAR THAT HASNT HAPPENED TO ME +audio/RES0048.mp3[345.720,349.320] OK ANY FEVERS OR CHILLS +audio/RES0048.mp3[349.320,359.280] UH NO I MAYBE LIKE A FEW CHILLS LIKE IM NOT SURE ACTUALLY IT WAS HARD TO TELL BUT I HAVENT HAD ANY FEVERS +audio/RES0048.mp3[359.280,369.320] OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0048.mp3[369.320,371.520] UH NO PROBABLY WEIGHT GAIN +audio/RES0048.mp3[371.520,378.080] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0048.mp3[378.080,381.320] UH NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0048.mp3[381.320,386.600] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0048.mp3[386.600,391.920] UH NO NO THAT THATS ALL BEEN FINE +audio/RES0048.mp3[391.920,396.920] HOW ABOUT UM LOSS OF SMELL OR TASTE +audio/RES0048.mp3[396.920,406.040] NO I HAVENT HAD UH I THINK MY TASTE AND SMELL ARE STILL PRETTY GOOD NO NO ISSUES THERE +audio/RES0048.mp3[406.040,411.080] OK UM HAVE YOU HAD A RUNNY NOSE OR STUFFY NOSE +audio/RES0048.mp3[411.080,415.720] NO NO NO NO CONGESTION REALLY +audio/RES0048.mp3[415.720,420.560] OK AND UM HAVE YOU HAD A SORE THROAT AT ALL +audio/RES0048.mp3[420.560,422.880] NO NO SORE THROAT +audio/RES0048.mp3[422.880,429.800] OK UM ANY ISSUES SWALLOWING FOOD +audio/RES0048.mp3[430.800,435.000] NO CHANGES IN YOUR APPETITE +audio/RES0048.mp3[435.000,444.520] MAYBE JUST A LITTLE BIT LIKE I DONT REALLY FEEL LIKE EATING WHEN IM COUGHING ALL THE TIME BUT OTHER THAN THAT NO NOT REALLY +audio/RES0048.mp3[444.520,447.960] OK HOW ABOUT NAUSEA OR VOMITING +audio/RES0048.mp3[447.960,450.840] NO NOTHING LIKE THAT +audio/RES0048.mp3[450.840,455.720] OK UM CONSTIPATION +audio/RES0048.mp3[455.720,457.440] NO DIARRHEA +audio/RES0048.mp3[457.440,464.920] DIARRHEA RIGHT UM HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT RIGHT NOW +audio/RES0048.mp3[464.920,476.440] I WOULD SAY UH LIKE IVE BEEN GOING PROBABLY MORE THAN EIGHT TIMES A DAY PROBABLY IN THE LAST FEW DAYS LIKE 10 TIMES A DAY +audio/RES0048.mp3[476.440,486.160] OH WOW OK AND EACH TIME ARE YOU PRODUCING A LOT OF STOOL OR IS IT JUST A LITTLE BIT EACH TIME +audio/RES0048.mp3[486.160,489.000] LIKE A LITTLE BIT BUT ITS MOSTLY LIQUIDY +audio/RES0048.mp3[489.000,494.520] OK ANY SOLIDS AT ALL LIKE IS IT SEMI SOLID AT ALL +audio/RES0048.mp3[494.520,498.280] UM MAYBE A LITTLE BIT BUT MOSTLY ITS JUST LIQUID +audio/RES0048.mp3[498.280,504.320] OK UM ANY BLOOD IN THE STOOL +audio/RES0048.mp3[504.320,514.720] NO IVE BEEN CHECKING UH NO I DIDNT NOTICE ANY BLOOD OR CHANGE IN COLOUR ITS MAINLY JUST UM LIQUID DIARRHEA +audio/RES0048.mp3[514.720,518.080] OK ANY CHANGES IN YOUR URINE +audio/RES0048.mp3[519.640,524.480] NO OK UM ANY CONFUSION OR MEMORY LOSS +audio/RES0048.mp3[524.480,527.040] NO NOT THAT I KNOW OF +audio/RES0048.mp3[527.040,532.560] OK UM HOW ABOUT MUSCLE ACHES OR JOINT PAINS +audio/RES0048.mp3[532.560,534.720] NO NOTHING LIKE THAT +audio/RES0048.mp3[534.720,543.440] OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONG UH STANDING MEDICAL CONDITIONS +audio/RES0048.mp3[543.440,549.240] UH SO I DO HAVE DIABETES AND HIGH BLOOD PRESSURE +audio/RES0048.mp3[549.240,553.320] OK DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS +audio/RES0048.mp3[553.320,573.240] YEAH SO FOR DIABETES IM TAKING THIS MEDICATION CALLED UH LIKE I THINK METFORMIN AND THEN FOR THE BLOOD PRESSURE UH I THINK ITS I FORGOT THE NAME I THINK ITS SOMETHING LIKE UM RAMIPRIL OR SOMETHING LIKE THAT +audio/RES0048.mp3[573.240,578.040] YEP OK AND YOURE TAKING THAT UM AS DIRECTED RIGHT +audio/RES0048.mp3[578.040,587.200] YEAH IVE BEEN TAKING THAT REGULARLY AND MY BLOOD PRESSURE IVE BEEN MEASURING ITS BEEN PRETTY STEADY NO CHANGES +audio/RES0048.mp3[587.200,593.280] OK THATS GOOD HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0048.mp3[593.280,601.600] I DID HAVE MY APPENDIX REMOVED PROBABLY IN MY 20S BUT UH THAT WAS THE ONLY THING +audio/RES0048.mp3[601.600,608.280] OK UM AND DO YOU HAVE ANY ALLERGIES +audio/RES0048.mp3[608.280,610.560] NO NOT NOT REALLY +audio/RES0048.mp3[610.560,614.280] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0048.mp3[615.960,621.120] OK ARE YOU ON ANY OTHER MEDICATIONS BESIDES THE RAMIPRIL AND METFORMIN +audio/RES0048.mp3[621.120,630.360] JUST UH LIKE MULTI VITAMINS FOR MEN OVER 50 +audio/RES0048.mp3[630.360,636.320] OK OK UM ANY FAMILY HISTORY OF HEART CONDITIONS OR LUNG CONDITIONS THAT YOU KNOW OF +audio/RES0048.mp3[636.320,659.000] UM YEAH SO MY FAMILY LIKE DIABETES IS PRETTY BIG IT RUNS IN THE FAMILY AND UH MY FATHER IN HIS 60S UH LIKE DIED FROM A HEART ATTACK UM OTHER THAN THAT NOT ANYTHING ELSE I CAN THINK OF NO +audio/RES0048.mp3[659.000,660.840] OK ANY CANCERS IN THEIR FAMILY +audio/RES0048.mp3[660.840,665.720] UH NO I DONT THINK SO +audio/RES0048.mp3[665.720,670.200] OK DO YOU SMOKE +audio/RES0048.mp3[670.200,683.120] I USED TO I I QUIT PROBABLY FIVE YEARS AGO BUT BEFORE THAT I USED TO SMOKE PROBABLY A PACK A DAY FOR MORE THAN 20 YEARS +audio/RES0048.mp3[683.120,687.040] OH OK WELL GOOD JOB FOR CUTTING DOWN AND QUITTING UM +audio/RES0048.mp3[689.760,694.960] YEAH UM DO YOU DO MARIJUANA AT ALL +audio/RES0048.mp3[694.960,697.760] NO NO NO NO DRUGS +audio/RES0048.mp3[697.760,701.040] ANY OTHER RECREATIONAL DRUGS YOU SAID NO RIGHT +audio/RES0048.mp3[701.040,705.040] YEAH NO NO I DONT DO ANY DRUGS +audio/RES0048.mp3[705.040,707.720] OK UM DO YOU DRINK ALCOHOL +audio/RES0048.mp3[707.720,716.080] YEAH I PROBABLY HAVE MAYBE UM SOME WHISKEY MAYBE A COUPLE TIMES A WEEK +audio/RES0048.mp3[716.080,720.320] OK UM AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0048.mp3[720.320,739.160] UH SO YEAH I JUST LIVE IN THE CITY IN LONDON UH IN AN APARTMENT WITH MY JUST WIFE MY WIFE +audio/RES0048.mp3[739.160,744.120] OK UM IS SHE ALSO SICK OR IS SHE OK +audio/RES0048.mp3[744.120,751.280] NO SHES BEEN COMPLETELY FINE AND IVE BEEN KIND OF ISOLATING MYSELF FROM HER OVER THE LAST WEEK +audio/RES0048.mp3[751.280,757.920] OK WELL THATS GOOD AND THATS SMART UM JUST BECAUSE YOU DONT KNOW WHAT YOU HAVE RIGHT +audio/RES0048.mp3[759.200,767.960] YEAH OK DO CAN YOU THINK OF ANY OTHER SICK CONTACTS THAT YOU MAY HAVE HAD OVER THE PAST ONE OR TWO WEEKS OR EVEN THREE WEEKS +audio/RES0048.mp3[767.960,786.000] UM I GO TO THE GROCERY STORE THEN I GO TO WORK I HAVENT NOTICED ANYONE BEING SICK AT WORK BUT YOU KNOW YOU NEVER KNOW LIKE WHO COMES IN ASYMPTOMATIC AND LIKE THEY MIGHT BE CARRYING IT WITH THIS +audio/RES0048.mp3[786.000,795.400] VIRUS LIKE MAINLY IM WORRIED ABOUT COVID AND YOU KNOW JUST HOW FAST THATS SPREADING EVERYWHERE +audio/RES0048.mp3[795.400,804.800] YEAH FOR SURE UM YEAH FOR SURE HAVE YOU TRAVELED TO ANYWHERE RECENTLY +audio/RES0048.mp3[804.800,812.840] NO UH WEVE BEEN IN CANADA ONTARIO HAVENT LEFT TO GO ANYWHERE +audio/RES0048.mp3[812.840,822.480] OK OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR DID YOU HAVE ANY CONCERNS ANYTHING THAT YOU WANTED TO DISCUSS TODAY +audio/RES0048.mp3[822.480,833.120] YEAH NO I JUST UH WAS WONDERING IF I CAN GET THE COVID TEST THAT WOULD JUST I WANTED TO MAKE SURE I DONT GIVE ANYONE COVID IF I DO HAVE IT +audio/RES0048.mp3[833.120,890.080] YEAH FOR SURE I THINK THATS A GOOD IDEA UM SO AND ITS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WELL DO A COVID SWAB TODAY UM AND YOULL HEAR BACK WITHIN 24 TO 48 HOURS UM BUT IN THE MEAN TIME REGARDLESS OF WHETHER YOU ACTUALLY HAVE COVID OR NOT BECAUSE YOUR SYMPTOMS OVERLAP WITH COVID UM ITS GOOD TO ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR WIFE AS WELL IF POSSIBLE AND PUBLIC HEALTH SHOULD BE IN TOUCH IF ITS POSITIVE UH TO DO CONTACT TRACING UM AND IF ITS NOT COVID ITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR UH IF YOUR SYMPTOMS GET WORSE UM YOU KNOW YOURE HAVING NEUROLOGICAL SYMPTOMS OR OR IF YOUR FEVER GETS REALLY HIGH OR YOURE HAVING A LOT OF TROUBLE BREATHING THEN YOU SHOULD GO SEE THE ER HOW DOES THAT SOUND +audio/RES0048.mp3[890.080,894.160] MY IF MY BREATHING GETS WORSE UH ILL JUST GO TO THE EMERGENCY DEPARTMENT +audio/RES0048.mp3[894.160,896.840] YES PLEASE DO +audio/RES0048.mp3[896.840,899.880] OK SOUNDS GOOD +audio/RES0048.mp3[899.880,902.800] ALRIGHT TAKE CARE +audio/RES0048.mp3[902.800,905.360] YOU TOO THANK YOU +audio/RES0145.mp3[0.000,2.680] WHAT BRINGS YOU IN TODAY +audio/RES0145.mp3[2.680,20.840] YEAH IVE HAD A SORE THROAT THATS BEEN REALLY BUGGING ME THE PAST FOUR DAYS AND IVE HAD A COUGH AS WELL +audio/RES0145.mp3[20.840,24.640] MHMM UHM WHEN DID THE COUGH START +audio/RES0145.mp3[24.640,37.800] YEAH SO THE THE THE COUGH STARTED LAST WEEK ACTUALLY AND THEN AND THEN I I GOT THIS SORE THROAT AFTERWARDS +audio/RES0145.mp3[37.800,41.400] MHMM OK AND IS IT A DRY COUGH OR WET COUGH +audio/RES0145.mp3[41.400,43.040] ITS DRY +audio/RES0145.mp3[43.040,53.800] OK AND HAS IT GOTTEN BETTER OR WORSE OR STAYED THE SAME SINCE LAST WEEK +audio/RES0145.mp3[53.800,58.000] UH ITS ITS GOTTEN A LITTLE BIT LITTLE BIT BETTER +audio/RES0145.mp3[58.000,67.960] OK THATS GOOD AND THE SORE THROAT STARTED FOUR DAYS AGO ARE YOU HAVING ANY DIFFICULTIES SWALLOWING AT ALL +audio/RES0145.mp3[67.960,72.720] YEAH ITS ITS ITS REALLY SORE +audio/RES0145.mp3[72.720,95.040] OK UHM AND I GUESS GOING BACK TO THE COUGH DOES IT MAKE IT DIFFICULT FOR YOU TO FALL ASLEEP AT NIGHT OR DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT +audio/RES0145.mp3[95.040,98.800] NO I IT HASNT DONE THAT +audio/RES0145.mp3[98.800,109.240] OK ALRIGHT OTHER UH AND AND I GUESS THIS SORE THROAT HAS JUST GOTTEN WORSE OVER THE PAST FOUR DAYS OR HAS BEEN KIND OF THE SAME OR BETTER +audio/RES0145.mp3[109.240,120.720] YEAH ITS GOTTEN A LITTLE ITS GOTTEN A LITTLE BIT WORSE OVER THE LAST FEW DAYS +audio/RES0145.mp3[120.720,133.400] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE HEADACHES STUFFY NOSE RUNNY NOSE UHM ANY DISCHARGE FROM YOUR EYES RED EYES ANY PAIN IN YOUR EARS ANYTHING LIKE THAT +audio/RES0145.mp3[133.400,161.200] YEAH BUT THAT YOU MENTION THAT YEAH I I HAVE HAD LIKE SOME ITCHY EYES THAT AND A RUNNY NOSE I WAS SNEEZING QUITE A BIT LAST WEEK BUT THAT HAS KIND OF AH GONE AWAY NOW +audio/RES0145.mp3[161.200,175.640] OK UHM AND WERE SNEEZING LAST WEEK AND YOU HAD ITCHY EYES HAD AND THATS GONE OK SO ALL YOU HAVE RIGHT NOW IS THAT COUGH AND SORE THROAT UHM OK +audio/RES0145.mp3[175.640,181.200] YEAH AND IVE BEEN REALLY LIKE ACHY AND AND TIRED AS WELL +audio/RES0145.mp3[181.200,185.840] HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0145.mp3[185.840,197.600] YEAH IVE IVE FELT FEVERISH THESE LAST TWO DAYS NO CHILLS +audio/RES0145.mp3[197.600,203.680] UHM AND HAVE YOU HAD ANY CHANGES IN YOUR SENSE OF SMELL +audio/RES0145.mp3[203.680,204.960] NO I HAVENT +audio/RES0145.mp3[204.960,208.680] CHANGES IN YOUR SENSE OF TASTE +audio/RES0145.mp3[209.920,215.600] OK ALRIGHT AND ANY CHEST PAIN +audio/RES0145.mp3[215.600,217.960] NO I HAVENT HAD ANY CHEST PAIN +audio/RES0145.mp3[217.960,221.160] DIFFICULTIES BREATHING +audio/RES0145.mp3[222.880,234.440] ANY UHM I GUESS HEADACHE OR ANY PRESSURE IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN OR SQUAT DOWN +audio/RES0145.mp3[234.440,241.280] NO I HAVENT FELT ANYTHING LIKE THAT +audio/RES0145.mp3[241.280,248.680] OK UHM ANY BELLY PAIN NAUSEA OR VOMITING ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +audio/RES0145.mp3[255.800,261.720] OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0145.mp3[261.720,281.120] IVE HAD UHM LIKE TONSILLITIS A FEW TIMES IN THE IN THE PAST THE LAST TIME HAPPENED ABOUT ABOUT SIX MONTHS AGO IM WONDERING IF I HAVE STREP THROAT +audio/RES0145.mp3[281.120,285.200] HOW OFTEN DO YOU GET THAT TONSILLITIS +audio/RES0145.mp3[285.200,295.080] UH SO IVE HAD IT FOUR TIMES YEAH 4 FOUR TIMES IN THE LAST FEW YEARS +audio/RES0145.mp3[295.080,299.440] UHM DO YOU STILL HAVE YOUR TONSILS OR HAVE YOU +audio/RES0145.mp3[299.440,306.040] I DO YEAH I DO YES YEAH +audio/RES0145.mp3[306.040,311.040] OK UHM AND ANY OTHER MEDICAL CONDITIONS +audio/RES0145.mp3[312.440,315.720] OK ANY SURGERIES +audio/RES0145.mp3[317.200,319.760] HAVE YOU EVER BEEN HOSPITALIZED +audio/RES0145.mp3[323.600,341.160] OK AND ANY WHEN YOU WERE YOUNGER WOULD YOU HAVE A LOT OF INFECTIONS UHM WHEN YOU WERE A CHILD OR WHEN YOU WERE BORN WERE YOU BORN PREMATURELY WERE THERE ANY COMPLICATIONS AT BIRTH +audio/RES0145.mp3[341.160,353.400] UH I DID HAVE A COUPLE OF EAR INFECTIONS WHEN I WAS WHEN I WAS YOUNGER BUT I HAVENT HAD ANY SINCE +audio/RES0145.mp3[353.400,357.680] OK AND NO PNEUMONIA OR ANYTHING LIKE THAT RIGHT +audio/RES0145.mp3[357.680,361.640] NO NOTHING LIKE THAT +audio/RES0145.mp3[361.640,369.200] OK UHM ANY HISTORY OF ASTHMA OR ECZEMA OR ALLERGIC RHINITIS +audio/RES0145.mp3[369.200,372.240] NO I HAVENT HEARD OF THOSE BEFORE +audio/RES0145.mp3[372.240,377.600] ALRIGHT ARE YOU TAKING ANY MEDICATIONS +audio/RES0145.mp3[377.600,379.520] NO IM NOT +audio/RES0145.mp3[379.520,385.720] WERE YOU GIVEN ANY ANTIBIOTICS SIX MONTHS AGO WHEN YOU HAD YOUR TONSILLITIS +audio/RES0145.mp3[385.720,391.360] I WAS YEAH I THINK I I THINK A LIKE AMOXICILLIN +audio/RES0145.mp3[391.360,403.280] RIGHT AND UH DO YOU HAVE ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES OR ALLERGIES TO ANY MEDICATIONS +audio/RES0145.mp3[403.280,407.240] YEAH I I HAVE ALLERGIES TO PEANUTS +audio/RES0145.mp3[407.240,410.520] WHAT HAPPENS +audio/RES0145.mp3[410.520,428.560] YEAH I DO GET ANAPHYLAXIS FROM IT IVE UHM OR ILL GET YEAH LIKE HIVES AND THROAT SWELLING AND SO I DO CARRY AN EPIPEN I HAVENT HAD TO USE IT THOUGH +audio/RES0145.mp3[428.560,442.480] YEAH THATS GOOD THATS GOOD AND SO COUPLE QUESTIONS ABOUT UHM I GUESS MORE GENERAL QUESTIONS DO YOU WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN A HOUSE OR AN APARTMENT +audio/RES0145.mp3[442.480,449.000] LIVE IN A HOUSE WITH UHM WITH MY PARENTS AND OLDER SISTER +audio/RES0145.mp3[449.000,461.360] OK AND UHM ARE YOU UHM ARE YOU CURRENTLY SMOKING OR HAVE YOU EVER SMOKED IN THE PAST +audio/RES0145.mp3[462.320,481.040] OK ALSO I JUST WANT TO REMIND YOU THAT THESE QUESTIONS WILL REMAIN CONFIDENTIAL BETWEEN YOU AND ME IN CASE YOURE WORRIED NO ONES GOING TO FIND OUT ABOUT WHAT WERE TALKING ABOUT UNLESS YOU UNLESS THERES CONCERN ABOUT HARM TO YOU OR HARM TO ANYONE ELSE DO YOU FEEL SAFE AT HOME +audio/RES0145.mp3[481.040,482.080] I DO YES +audio/RES0145.mp3[482.080,488.800] OK ARE THINGS GOING WELL AT SCHOOL ANY BULLYING ARE YOU HAPPY WITH YOUR GRADES +audio/RES0145.mp3[488.800,497.160] YEAH THERE EVERYTHING I I MEAN SCHOOL IS SCHOOL BUT ITS BEEN GOOD +audio/RES0145.mp3[497.160,505.080] OK AND YOU SAID YOU DONT SMOKE HAVE YOU TRIED ANY OTHER ANY RECREATIONAL DRUGS ANY MARIJUANA +audio/RES0145.mp3[505.080,506.560] NO I HAVENT +audio/RES0145.mp3[506.560,510.200] OK ANY ALCOHOL +audio/RES0145.mp3[510.600,515.600] OK AND ARE YOU SO SEXUALLY ACTIVE +audio/RES0145.mp3[515.600,517.840] NO IM NOT +audio/RES0145.mp3[517.840,524.800] OK UHM ALRIGHT HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT BE SICK +audio/RES0145.mp3[524.800,535.960] I DONT THINK SO I MEAN GOING TO WE BOTH I MEAN WEVE BEEN GOING BACK TO SCHOOL RECENTLY BUT NOBODYS BEEN OFF +audio/RES0145.mp3[535.960,541.640] OK SO YOUVE BEEN DOING SCHOOLING IN PERSON THEN OK +audio/RES0145.mp3[544.040,552.080] ALRIGHT ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY ANYTHING RELATED TO THE LUNGS OR OTHERWISE +audio/RES0145.mp3[552.080,556.040] UH NO +audio/RES0145.mp3[556.040,592.720] OK UHM ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SOUNDS LIKE LAST WEEK YOU HAD ITCHY EYES RUNNY NOSE YOU WERE SNEEZING AND YOU HAD A DRY COUGH AND THEN OVER TIME SOME OF THOSE SYMPTOMS RESOLVED AND YOU CONTINUED TO HAVE A COUGH THAT WAS ALSO GETTING BETTER BUT YOU THEN DEVELOPED A SORE THROAT AND YOU HAVE BEEN FEELING FEVERISH OVER THE PAST TWO DAYS DID YOU MEASURE DID YOU CHECK YOUR TEMPERATURE LAST WEEK +audio/RES0145.mp3[592.720,603.880] I DIDNT CHECK IT LAST WEEK BUT I CHECKED IT YESTERDAY AND IT WAS 382 I THINK +audio/RES0145.mp3[604.920,612.680] BUT YEAH BUT BUT THOSE ARE THE SYMPTOMS THAT THAT IVE BEEN HAVING +audio/RES0145.mp3[612.680,704.880] UHM SO IT SOUNDS LIKE YOU YOUR SYMPTOMS HAVE EVOLVED QUITE A BIT OVER THE PAST TWO WEEKS IT COULD HAVE IT COULD BE POTENTIALLY THAT YOU HAD A VIRAL INFECTION INITIALLY AND MIGHT YOU MIGHT HAVE LIKE A SUPERIMPOSED BACTERIAL INFECTION BUT WE DONT KNOW THAT FOR SURE UHM WE WELL DO A PHYSICAL EXAM HAVE A LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH LOOK AT YOUR THROAT UHM WE UHM I GUESS THE ORIGINAL SYMPTOMS YOU HAD LAST WEEK UHM WERE SEEM A LITTLE BIT DIFFERENT IT COULD BE PHARYNGITIS MAYBE WHAT YOU HAVE RIGHT NOW COULD POTENTIALLY BE PHARYNGITIS WITH A SORE THROAT AND THE FEVER THAT YOUVE DEVELOPED OVER THE PAST THREE OR FOUR DAYS SO ILL DEFINITELY HAVE A LOOK INSIDE YOUR THROAT AS WELL AND IF NECESSARY WE COULD DO A RAPID STREP TEST UHM AND WE WOULD ALSO HAVE TO DO A COVID TEST JUST IN CASE AND I WOULD RECOMMEND THAT YOU QUARANTINE AT HOME THE RESULTS SHOULD COME OUT IN THE NEXT 12 TO 20 FOR 24 TO 48 HOURS JUST SELF ISOLATE STAY AWAY FROM OTHER FAMILY MEMBERS AND THEN YOULL FIND OUT THE RESULTS IF ITS POSITIVE SOMEONE WILL CALL YOU FROM PUBLIC HEALTH AND THEN LET YOU KNOW WHAT TO DO +audio/RES0145.mp3[704.880,707.200] OK YEAH THAT SOUNDS GOOD +audio/RES0145.mp3[707.600,708.680] THANK YOU +audio/RES0145.mp3[708.680,711.360] YEAH YOURE WELCOME +audio/RES0016.mp3[0.000,2.520] HOW ARE YOU DOING +audio/RES0016.mp3[2.520,14.840] NOT SO WELL I I FEEL LIKE IVE BEEN HAVING JUST WORSENING BREATHLESSNESS AND A COUGH FOR ITS BEEN GOING ON FOR TWO YEARS NOW AND I JUST CANT SEEM TO GET RID OF IT +audio/RES0016.mp3[14.840,19.760] OK THE COUGH AND BREATHLESSNESS BOTH STARTED TWO YEARS AGO +audio/RES0016.mp3[19.760,23.000] YEAH I WOULD SAY APPROXIMATELY AROUND THE SAME TIME +audio/RES0016.mp3[23.000,30.560] OK OK UM DO YOU ALWAYS HAVE THE BREATHLESSNESS OR DOES IT COME AND GO +audio/RES0016.mp3[30.560,55.760] UM I THINK ITS I FEEL SHORT OF BREATH MOST OF THE TIMES BUT ITS MAINLY JUST GETS WORSE WHEN IM EXERTING MYSELF WHEN IM WALKING MORE THAN USUAL OR JUST WORKING IN THE GARDEN +audio/RES0016.mp3[55.760,62.920] OK OK UM AND SAME THING WITH THE COUGH IT GETS WORSE WHEN YOURE WALKING AROUND +audio/RES0016.mp3[62.920,66.800] YEAH I WOULD SAY SO +audio/RES0016.mp3[66.800,74.600] OK AND WAS THERE ANY SORT OF TRIGGER FOR THIS TWO YEARS AGO ANYTHING THAT YOU REMEMBER +audio/RES0016.mp3[74.600,82.360] UM NO IT KIND OF JUST STARTED GRADUALLY ON ITS OWN NO NO REAL TRIGGERS THAT I CAN REMEMBER +audio/RES0016.mp3[82.360,90.840] OK AND DOES ANYTHING MAKE IT WORSE OR BETTER BESIDES THE EXERTION +audio/RES0016.mp3[90.840,95.480] UH NO I THINK THATS PRETTY MUCH THE ONLY THING THAT REALLY MAKES IT WORSE +audio/RES0016.mp3[95.480,104.800] OK AND HOW WOULD YOU DESCRIBE YOUR BREATHLESSNESS IS IT THAT YOURE BREATHING TOO FAST OR YOU CANT CATCH YOUR BREATH +audio/RES0016.mp3[104.800,117.800] ITS I THINK ITS MORE SO JUST I CANT CATCH MY BREATH AND SOMETIMES I JUST HAVE TROUBLE BEING ABLE TO TAKE LIKE A FULL BREATH +audio/RES0016.mp3[117.800,123.040] OK OK UM AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS +audio/RES0016.mp3[123.040,133.920] IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT SOMETIMES WHEN IM DOING A LOT OF WORK +audio/RES0016.mp3[133.920,138.320] OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE +audio/RES0016.mp3[138.320,143.440] NOT BEFORE THE TWO YEARS BEFORE I I NEVER FELT ANYTHING LIKE THAT +audio/RES0016.mp3[143.440,147.320] OK AND YOU MENTIONED ITS GRADUALLY BEEN GETTING WORSE RIGHT +audio/RES0016.mp3[147.320,148.720] YEAH I WOULD SAY SO +audio/RES0016.mp3[148.720,155.160] OK AND THE COUGH UM DO YOU EVER COUGH UP ANY BLOOD +audio/RES0016.mp3[155.160,166.600] NO ITS UH ITS USUALLY JUST A DRY COUGH NO NO I DONT PRODUCE ANY MUCUS OR BLOOD +audio/RES0016.mp3[166.600,175.520] OK OK UM AND DO YOU FEEL LIKE YOURE WHEEZY +audio/RES0016.mp3[175.520,179.720] NO I HAVENT HEARD ANY KIND OF WHEEZINESS AT ALL +audio/RES0016.mp3[179.720,186.640] OK ANY ISSUES WITH YOUR BREATHLESSNESS WHEN YOURE LAYING DOWN +audio/RES0016.mp3[186.640,189.600] NO IM COMPLETELY FINE LAYING DOWN +audio/RES0016.mp3[189.600,193.360] OK AND ITS NOT WAKING YOU UP AT NIGHT RIGHT +audio/RES0016.mp3[195.560,202.680] OK UM HAVE THERE BEEN ANY CHANGES TO YOUR TASTE RECENTLY +audio/RES0016.mp3[202.680,205.520] NO NOT THAT I KNOW +audio/RES0016.mp3[205.520,208.280] ANY CHANGES TO YOUR SMELL +audio/RES0016.mp3[209.240,213.000] HAVE YOU EXPERIENCED A SORE THROAT +audio/RES0016.mp3[214.080,217.160] RUNNY NOSE OR STUFFY NOSE +audio/RES0016.mp3[217.160,218.880] NOPE NOT THAT I KNOW OF +audio/RES0016.mp3[218.880,223.160] OK CHANGES IN YOUR HEARING OR EAR PAIN +audio/RES0016.mp3[223.520,228.000] CHANGES IN YOUR VISION OR EYE PAIN +audio/RES0016.mp3[228.000,230.280] NO NOTHING LIKE THAT +audio/RES0016.mp3[230.280,236.120] OK AND HAVE YOU NOTICED ANY FEVERS +audio/RES0016.mp3[236.120,242.920] UM MAYBE SOME CHILLS HERE AND THERE BUT NOT NOT REALLY A FEVER NO +audio/RES0016.mp3[242.920,248.120] OK AND YOU MENTIONED CHILLS HOW ABOUT NIGHT SWEATS +audio/RES0016.mp3[248.120,265.640] UM JUST A FEW TIMES PER WEEK I WOULD MAYBE HAVE TO TAKE OFF MY BLANKET SOMETIMES I NOTICE A LOT OF MY SWEAT COVERING THE BED SHEETS THATS BEEN GOING ON FOR ABOUT SAY A COUPLE MONTHS NOW +audio/RES0016.mp3[265.640,269.800] OK OK UM ANY WEIGHT LOSS +audio/RES0016.mp3[269.800,276.640] I THINK OVER THE LAST FEW MONTHS I MAY HAVE LOST LIKE AROUND 3 THREE KILOGRAMS +audio/RES0016.mp3[276.640,282.920] OK OK ANY RASHES ON YOUR BODY +audio/RES0016.mp3[282.920,286.400] NOT THAT I KNOW NO +audio/RES0016.mp3[286.400,293.320] OK UM HOW ABOUT UH LIKE FEELING YOURE LIKE YOURE TIRED +audio/RES0016.mp3[293.320,301.560] UM YEAH I FEEL PRETTY TIRED SOMETIMES BUT I JUST THOUGHT IT WAS BECAUSE IM GETTING OLDER +audio/RES0016.mp3[301.560,305.520] OK FAIR ENOUGH HOW ABOUT CHEST PAIN +audio/RES0016.mp3[305.520,307.520] NO CHEST PAIN NO NO +audio/RES0016.mp3[307.520,310.920] ANY SWELLING IN YOUR ARMS OR LEGS +audio/RES0016.mp3[310.920,313.680] NO NOT THAT IVE NOTICED +audio/RES0016.mp3[313.680,318.000] OK AND HOW ABOUT FEELING LIKE YOUR HEARTS RACING +audio/RES0016.mp3[318.000,321.360] NO HEART HAS BEEN FINE +audio/RES0016.mp3[321.360,325.640] OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0016.mp3[325.640,327.960] NO I GO PRETTY REGULARLY +audio/RES0016.mp3[327.960,331.480] OK AND URINE ANY CHANGES THERE +audio/RES0016.mp3[332.960,336.160] OK HOW ABOUT NAUSEA AND VOMITING +audio/RES0016.mp3[336.160,337.240] UH NO +audio/RES0016.mp3[339.080,340.560] UH NO +audio/RES0016.mp3[340.560,345.600] OK UM ANY DIZZINESS OR FAINTING SPELLS +audio/RES0016.mp3[347.040,354.640] NO OK UM HOW ABOUT CONFUSION OR MEMORY LOSS +audio/RES0016.mp3[354.640,358.160] NOT THAT I KNOW OF NO +audio/RES0016.mp3[358.160,363.720] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS +audio/RES0016.mp3[363.720,377.080] I DO HAVE HIGH BLOOD PRESSURE AND I THINK THEY SAID LIKE MY PROSTATE IS LARGER THAN NORMAL UM BUT NOTHING ELSE +audio/RES0016.mp3[377.080,382.040] OK AND HAVE YOU BEEN SICK IN THE PAST +audio/RES0016.mp3[382.040,391.440] UH IN TERMS OF LIKE BREATHING I THINK MAYBE AS A CHILD LIKE I MAY HAVE HAD LIKE A PNEUMONIA BUT NOTHING ELSE +audio/RES0016.mp3[391.440,395.320] OK AND ARE YOU ON ANY MEDICATIONS +audio/RES0016.mp3[395.320,397.800] JUST RAMIPRIL FOR MY HIGH BLOOD PRESSURE +audio/RES0016.mp3[397.800,404.560] OK UM HOW LONG HAVE YOU BEEN ON THAT MEDICATION FOR +audio/RES0016.mp3[404.560,409.280] UH FOR A PRETTY LONG TIME I WOULD SAY MORE THAN 10 YEARS +audio/RES0016.mp3[409.280,413.360] OK AND NO ISSUES SIDE EFFECTS WITH THAT RIGHT +audio/RES0016.mp3[413.360,418.160] NO AND MY BLOOD PRESSURE IS PRETTY WELL CONTROLLED ON THAT MEDICATION +audio/RES0016.mp3[418.160,423.440] OK GOOD UM ANY ALLERGIES +audio/RES0016.mp3[423.440,424.320] NO NO ALLERGIES +audio/RES0016.mp3[424.320,427.520] ARE YOU UP TO DATE WITH ALL OF YOUR IMMUNIZATIONS +audio/RES0016.mp3[427.520,441.040] YEAH I GOT MY SHINGLES AND MY PNEUMONIA VACCINATION EVERYTHING LIKE THAT +audio/RES0016.mp3[441.040,446.960] OK AND UH IN TERMS OF FAMILY HISTORY UM ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0016.mp3[446.960,473.720] UH SO YEAH MY DAD HAD QUITE A FEW PROBLEMS HE HAD TYPE 2 DIABETES THEN HE SUFFERED FROM 2 STROKES AND THEN HE ALSO HAD A HEART ATTACK UH IN I THINK WHEN HE WAS LIKE 56 BUT THEN HE ACTUALLY ENDED UP DYING OF BOWEL CANCER IN HIS 70S +audio/RES0016.mp3[473.720,477.720] OK HOW ABOUT YOUR MOTHER IS SHE ALIVE IS SHE HEALTHY +audio/RES0016.mp3[477.720,497.040] UM MY MOM IS ALIVE BUT SHE SUFFERED FROM TYPE 2 DIABETES AND HIGH BLOOD PRESSURE AS WELL AND SHE ALSO HAD LIKE HYPOTHYROIDISM AND SHE ALSO SUFFERED FROM DEPRESSION AS WELL +audio/RES0016.mp3[497.040,508.200] OK UM OK SO DO YOU LIVE BY YOURSELF AND WHERE DO YOU LIVE +audio/RES0016.mp3[508.200,525.920] I LIVE ON AN APARTMENT AND IN APARTMENT BY MYSELF RIGHT NOW I DO FIND IT DIFFICULT GETTING OUT OF THE HOUSE RECENTLY JUST BECAUSE OF MY SHORTNESS OF BREATH BUT OTHER THAN THAT I FEEL THAT IM PRETTY INDEPENDENT +audio/RES0016.mp3[525.920,529.560] OK AND DO YOU SMOKE +audio/RES0016.mp3[529.560,532.200] NO IVE NEVER SMOKED IN MY LIFE +audio/RES0016.mp3[532.200,534.840] NO UM HOW ABOUT OTHER RECREATIONAL DRUGS +audio/RES0016.mp3[534.840,539.400] NO NO MARIJUANA NO COCAINE NOTHING LIKE THAT +audio/RES0016.mp3[539.400,543.040] OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0016.mp3[544.360,548.720] OK AND DO YOU STILL WORK +audio/RES0016.mp3[548.720,566.680] UH NO I ACTUALLY WORKED AT JUST THE HOSPITAL I USED TO VOLUNTEER BUT NOW I JUST CANT GET OUT OF THE HOUSE I FEEL JUST TIRED AND SHORT OF BREATH ALL THE TIME SO JUST STAYING IN MY HOUSE MOST OF THE TIME +audio/RES0016.mp3[566.680,571.920] OK AND HAS ANYONE AROUND YOU BEEN SICK +audio/RES0016.mp3[571.920,573.960] NO NOT THAT I KNOW +audio/RES0016.mp3[573.960,579.440] NO UM AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0016.mp3[579.440,582.640] NO NO +audio/RES0016.mp3[582.640,592.000] OK UM HAVE YOU BEEN WORKED UP FOR THIS IN THE PAST TWO YEARS LIKE HAVE YOU HAD ANY CHEST XRAYS OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT +audio/RES0016.mp3[592.000,598.560] NO IVE NEVER REALLY HAD THIS ISSUE BEFORE SO NO INVESTIGATIONS +audio/RES0016.mp3[598.560,609.320] OK OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD THAT I MAYBE MISSED +audio/RES0016.mp3[609.320,627.640] UH NO I JUST ITS BEEN GOING ON FOR TWO YEARS AND I FEEL LIKE ITS GETTING WORSE AND WORSE AND YEAH IM JUST SCARED OF HAVING TO YOU KNOW GO ON OXYGEN OR LIKE JUST NOT BEING ABLE TO BREATHE AT ONE POINT +audio/RES0016.mp3[627.640,673.920] YEAH FOR SURE SO WE WILL TRY TO DO A GOOD JOB WORKING YOU UP FOR EVERYTHING THAT WE THINK IT MAY BE AND RIGHT NOW IT SOUNDS LIKE IT COULD BE PULMONARY FIBROSIS EITHER LIKE YOU KNOW AN AUTOIMMUNE PROCESS OR TRIGGERED AFTER LIKE AN INFECTION THAT YOU MAY HAVE HAD IN THE PAST WE WILL DEFINITELY ALSO LOOK INTO SEE IF ITS PERHAPS A LUNG CANCER ASTHMA AND YOU MENTIONED YOU DONT SMOKE SO WE DONT THINK IT COULD BE COPBUT WELL ALSO TEST FOR THAT IN CASE ALL EVERYTHING ELSE COMES BACK NEGATIVE +audio/RES0016.mp3[673.920,676.760] OK SOUNDS GOOD THANK YOU SO MUCH +audio/RES0016.mp3[676.760,685.080] THANK YOU TAKE CARE YOU TOO +audio/RES0099.mp3[0.000,3.000] UMM HOW MAY I HELP YOU +audio/RES0099.mp3[3.000,37.320] SO YEAH IVE BEEN HAVING FOR THE LAST TWO DAYS UH IT JUST STARTED RANDOMLY I HAD TO MISS WORK JUST A HEADACHE STARTED AT THE BEGINNING AND THEN I NOTICED THE SAME DAY SO THIS WAS TWO DAYS AGO A HEADACHE STARTED AND MY BODY JUST STARTED ACHING THROUGHOUT THE DAY AND YESTERDAY I JUST DEVELOPED I THINK IT WAS A FEVER I DIDNT REALLY GET A CHANCE TO CHECK LIKE BUT I WAS VERY CHILLY YESTERDAY AND NOW I HAVE THIS COUGH AS WELL +audio/RES0099.mp3[37.320,49.160] OK SO JUST TO CONFIRM SO THE THE SYMPTOMS AT FIRST STARTED WITH A HEADACHE AND AND FATIGUE AND THAT STARTED TWO DAYS AGO +audio/RES0099.mp3[49.160,54.280] YEAH LIKE WITH FATIGUE LIKE ALSO JUST THE MY MUSCLES WERE ACHING +audio/RES0099.mp3[54.280,64.480] OK AND ANY PARTICULAR MUSCLES THAT WERE ACHY OR IS THIS MORE OF A UHM GENERAL KIND OF WHOLE BODY FEELING +audio/RES0099.mp3[64.480,67.680] JUST A GENERAL WHOLE BODY FEELING +audio/RES0099.mp3[67.680,75.480] OK UH AND IN TERMS OF THE HEADACHE COULD YOU DESCRIBE UHM COULD YOU DESCRIBE THE HEADACHE +audio/RES0099.mp3[75.480,89.720] YES ITS JUST KIND OF LIKE AT THE FRONT LIKE NEAR MY FOREHEAD ON ON KIND OF LIKE BOTH SIDES MORE IT JUST FEELS LIKE LIKE PRESSURE IN THERE +audio/RES0099.mp3[89.720,93.000] OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE +audio/RES0099.mp3[93.000,96.600] UH NO NOT REALLY +audio/RES0099.mp3[96.600,104.560] OK UHM IS THE HEADACHE ON ONE SIDE OR OR THE OTHER OR ON BOTH SIDES +audio/RES0099.mp3[104.560,107.360] I THINK ITS LIKE BOTH SIDES +audio/RES0099.mp3[107.360,115.720] AND IS THE HEADACHE LIKE PULSATING OR IS IT MORE CONTINUOUS KIND OF CONSTANT PAIN +audio/RES0099.mp3[115.720,119.400] I THINK ITS MORE CONTINUOUS CONSTANT +audio/RES0099.mp3[119.400,128.600] ALRIGHT AND HAVE YOU HAD ANY SENSITIVITY TO LIGHT OR SOUND THAT THATS MADE THE HEADACHE A LOT WORSE +audio/RES0099.mp3[128.600,137.080] NO ITS ITS KIND OF JUST THERE ITS ABOUT THE SAME AS WHEN IT WAS WHEN IT STARTED +audio/RES0099.mp3[137.080,142.920] OK HAVE YOU HAD ANY NAUSEA AND VOMITING ASSOCIATED WITH THAT THE HEADACHE OR ANYTHING ELSE +audio/RES0099.mp3[142.920,145.920] UH NO +audio/RES0099.mp3[145.920,158.760] OK AND SO AND THEN LAST QUESTION FOR THE HEADACHE PIECE DOES IT FEEL LIKE IT WAS A LIKE KIND OF SUDDEN ONSET WORST HEADACHE OF YOUR LIFE SENSATION +audio/RES0099.mp3[158.760,172.960] UH NO ITS STILL LIKE LIKE I CAN STILL COPE WITH IT LIKE IF I WANTED TO I WOULD HAVE GONE INTO WORK BUT IT WAS THE MUSCLE ACHES THAT REALLY STARTED BOTHERING ME +audio/RES0099.mp3[172.960,180.720] OK AND SO YOU HAD A COUGH AS WELL WHEN DID THIS START AND IS IT A DRY OR WET COUGH +audio/RES0099.mp3[180.720,186.720] ITS A DRY COUGH AND IT STARTED YESTERDAY PROBABLY IN THE MORNING WHEN I WOKE UP +audio/RES0099.mp3[186.720,190.600] OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR WORSE +audio/RES0099.mp3[190.600,195.880] UHM SINCE YESTERDAY I WOULD SAYITS PROBABLY A BIT WORSE NOW +audio/RES0099.mp3[195.880,201.080] ALRIGHT AND ITS DRY BUT HAVE YOU SEEN ANY BLOOD THATS COME UP +audio/RES0099.mp3[201.080,203.040] NO NO NO BLOOD +audio/RES0099.mp3[203.040,209.640] AND HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0099.mp3[211.200,224.760] OK AND HAVE YOU HAD ANY FLU LIKE SYMPTOMS OR INFECTIOUS SYMPTOMS LIKE A RED EYES RUNNY EYES RUNNY NOSE OR A SORE THROAT +audio/RES0099.mp3[224.760,228.280] NO I DONT HAVE ANY OF THOSE SYMPTOMS +audio/RES0099.mp3[228.280,232.320] OK YOU MENTIONED YOU FELT FEVERISH DO YOU FEEL HOT NOW +audio/RES0099.mp3[232.320,245.600] NOT RIGHT NOW BUT I DID HAVE LAST NIGHT JUST WAS JUST VERY CHILLY AND UH I HAD TO JUST WRAP MYSELF UP IN A COUPLE BLANKETS +audio/RES0099.mp3[245.600,250.480] OK DID YOU HAVE ANY NIGHT SWEATS +audio/RES0099.mp3[250.480,255.280] NO I I DIDNT HAVE ANY NIGHT SWEATS +audio/RES0099.mp3[255.280,261.320] ALRIGHT AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0099.mp3[261.320,263.360] NO NO CHEST PAIN +audio/RES0099.mp3[263.360,270.040] ALRIGHT SO HOW ABOUT ANY DIZZINESS OR LIGHTHEADEDNESS +audio/RES0099.mp3[271.600,275.760] OK AND HAVE YOU HAD ANY WHEEZE +audio/RES0099.mp3[275.760,278.800] NO WHEEZING +audio/RES0099.mp3[278.800,288.720] OK UHM AND HAVE YOU NOTICED ANY SWELLING TO ANY OF YOUR EXTREMITIES LIKE YOUR ANKLES +audio/RES0099.mp3[288.720,289.680] UH NO NOPE +audio/RES0099.mp3[289.680,293.560] OK AND HAVE YOU HAD ANY BELLY PAIN +audio/RES0099.mp3[293.560,295.080] NO BELLY PAIN +audio/RES0099.mp3[295.080,300.880] ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY GOING TO THE BATHROOM +audio/RES0099.mp3[302.120,304.040] AND ANY DIARRHEA +audio/RES0099.mp3[304.040,305.560] NO DIARRHEA +audio/RES0099.mp3[305.560,310.400] ALRIGHT AND HAVE YOU NOTICED ANY RASHES OR OR CHANGES TO YOUR SKIN +audio/RES0099.mp3[310.400,312.320] NO NOT AT ALL +audio/RES0099.mp3[312.320,318.440] ALRIGHT AND I DONT KNOW YOUVE HAD MUSCLE ACHES HAVE YOU HAD ANY JOINT PAINS +audio/RES0099.mp3[318.440,336.040] UH NO NO MUSC SORRY NO JOINT PAIN ITS MAINLY JUST LIKE IN I WOULD SAY IN AROUND MY UPPER BACK LIKE MY UPPER ARMS AND KIND OF LIKE MY THIGHS AND GLUTES AREAS +audio/RES0099.mp3[336.040,342.520] OK AND HOW HAS YOUR ENERGY BEEN THESE LAST COUPLE OF DAYS +audio/RES0099.mp3[342.520,348.360] YESTERDAY I FELT A BIT DRAINED I JUST KIND OF LIKE STAYED IN BED THE WHOLE DAY +audio/RES0099.mp3[348.360,355.400] OK AND HAVE YOU TRIED ANY MEDICATIONS FOR THE FOR THE HEADACHE OR ANY OF YOUR SYMPTOMS SO FAR +audio/RES0099.mp3[355.400,372.240] I I TOOK A TYLENOL I ACTUALLY TOOK A COUPLE TYLENOLS UH WHEN THE HEADACHE AND PAIN STARTED IT DID HELP A BIT FOR A COUPLE HOURS BUT IT JUST KIND OF CAME BACK +audio/RES0099.mp3[372.240,378.160] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0099.mp3[378.160,385.080] UHM JUST UH LIKE I HAD TYPE 2 DIABETES THATS IT +audio/RES0099.mp3[385.080,389.200] OK AND ARE YOU USING MEDICATIONS FOR YOUR DIABETES +audio/RES0099.mp3[389.200,394.960] YEAH IVE BEEN ON METFORMIN +audio/RES0099.mp3[394.960,398.120] OK HAVE YOU USED INSULIN BEFORE +audio/RES0099.mp3[398.120,408.800] NO NO IVE NEVER HAD TO USE INSULIN ITS PRETTY STABLE LIKE MY FAMILY DOCTORS EVEN CONSIDERING TAKING ME OFF THE METFORMIN +audio/RES0099.mp3[408.800,419.560] OK NO THATS GREAT AND THAT REMINDS ME ACTUALLY HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT CHANGES +audio/RES0099.mp3[419.560,448.080] NOT REALLY LIKE I I I THINK OVER THE LAST TWO YEARS IVE JUST BEEN VERY FOCUSED ON MY FITNESS SO I FEEL LIKE IVE PROBABLY LOST AROUND 30 POUNDS OVER THE LAST YEAR LAST ONE TO TWO YEAH YEAR BUT LIKE I IVE BEEN EXERCISING A LOT LIKE UHM GYM EVERY DAY ITS ITS BEEN ITS BEEN A JOURNEY +audio/RES0099.mp3[448.080,460.160] NO THATS GREAT THOUGH GOOD FOR YOU I ENCOURAGE YOU TO KEEP THAT UP FOR SURE OK AND SO DO YOU TAKE ANY OTHER MEDICATIONS OTHER OVER THE COUNTER OR PRESCRIBED +audio/RES0099.mp3[460.160,463.560] UHM JUST A MULTI VITAMINS +audio/RES0099.mp3[463.560,467.520] ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0099.mp3[467.520,469.600] NO NOT THAT I KNOW OF +audio/RES0099.mp3[469.600,475.240] ALL RIGHT SO HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0099.mp3[476.960,489.600] ALRIGHT AND UH ANYBODY IN THE FAMILY HAVE ANY LIKE LUNG CONDITIONS HEART CONDITIONS OR DISEASES THAT RUN IN THE FAMILY +audio/RES0099.mp3[489.600,502.080] UH MY MY SON ACTUALLY JUST RECENTLY WAS DIAGNOSED WITH ASTHMA BUT I THINK THAT HE GETS THAT FROM HIS MOMS SIDE +audio/RES0099.mp3[502.080,508.720] OK UHM YOU DONT HAVE ANY ASTHMA OR PROBLEMS BREATHING LIKE THAT +audio/RES0099.mp3[508.720,512.360] NO NOTHING LIKE THAT +audio/RES0099.mp3[512.360,518.400] OK AND RIGHT NOW SO YOU MENTIONED YOUR SON AND WIFE IS THAT WHO YOURE LIVING WITH +audio/RES0099.mp3[518.400,524.520] YEAH ITS JUST US THREE +audio/RES0099.mp3[524.520,533.560] OK AND UH ANY EXPOSURES TO TO ANYBODY WHOS BEEN SICK EITHER AT HOME OR AT WORK OR OR ANY OTHER ACTIVITIES +audio/RES0099.mp3[533.560,561.280] UH UNFORTUNATELY I DO HAVE TO UH IM ONE OF THE UNLUCKY ONES THAT STILL HAS TO GO INTO WORK AND YEAH ITS ITS HARD TO SAY LIKE AT WORK THERE ARE TIMES WHEN WE LIKE AT LUNCH WE EAT LIKE WITHOUT A MASK I DONT KNOW IF I DIDNT NOTICE ANYONE HAVING ANY SYMPTOMS BUT LIKE I DONT KNOW IF SOMEONE YOU KNOW WHO KNOWS WHERE ANYONE HAS BEEN +audio/RES0099.mp3[561.280,566.520] YEAH SO NOBODY THAT YOURE AWARE OF WHOS BEEN SICK THOUGH +audio/RES0099.mp3[567.760,570.000] AND EVERYBODY AT HOME HAS BEEN OK +audio/RES0099.mp3[570.000,575.520] YEAH AT HOME EVERYONES GOOD I KIND OF JUST DISTANCE MYSELF INTO LIKE ONE ROOM +audio/RES0099.mp3[577.120,580.440] JUST IN CASE ANYTHING GOES WRONG +audio/RES0099.mp3[580.440,584.120] OK AND HAVE YOU TRAVELED ANYWHERE +audio/RES0099.mp3[584.120,589.000] NO WEVE BEEN WEVE BEEN AT HOME THIS WHOLE TIME +audio/RES0099.mp3[589.000,592.800] OK AND DO YOU SMOKE CIGARETTES +audio/RES0099.mp3[592.800,595.040] NO IVE NEVER SMOKED +audio/RES0099.mp3[595.040,598.120] OK SO DO YOU DO YOU SMOKE MARIJUANA +audio/RES0099.mp3[599.360,609.000] ALRIGHT AND YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OPIOIDS HEROIN AND HOW HAVE YOU USED ANYTHING LIKE THAT IN THE PAST +audio/RES0099.mp3[609.000,611.360] NO NEVER +audio/RES0099.mp3[611.360,614.080] OK UHM AND DO YOU DRINK ALCOHOL +audio/RES0099.mp3[614.080,631.960] YEAH WELL JUST OCCASIONALLY LIKE I WOULD SAY MAYBE MAYBE SOME WINE ONCE UH LIKE ONCE EVERY COUPLE DAYS MAYBE A BEER ON THE WEEKEND BUT THATS IT +audio/RES0099.mp3[631.960,647.160] ALRIGHT SO I THINK THAT WAS ALL I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD BEFORE WE GO ON TO THE EXAM AND +audio/RES0099.mp3[647.160,660.080] YEAH SO I I I DONT KNOW IF I SHOULD GET A TEST DONE LIKE FOR COVID UHM YEAH THATS ALL JUST WONDERING IF I IF I CAN DO THAT HERE +audio/RES0099.mp3[660.080,737.640] YEAH SO THAT IS SOMETHING THAT THAT IS ON THE DIFFERENTIAL FOR WHAT COULD BE CAUSING YOUR SYMPTOMS ESPECIALLY WITH UHM STARTING AT HAVING A COUGH AND THE NONSPECIFIC VIRAL TYPE SYMPTOMS WITH THE COUGH HEADACHE MUSCLE ACHES SO CERTAINLY COULD BE CAUSED BY COVID BUT THERE ARE OTHER REASONS FOR THAT COULD EXPLAIN THESE SYMPTOMS SUCH AS OTHER TYPES OF VIRAL ILLNESSES AND SO WE WILL DO A PCR SWAB TODAY AS WELL AS DO WELL CHECK YOUR VITALS TO SEE IF YOU HAVE A FEVER NOW AND WELL ALSO MAYBE SEND AN INFLUENZA SWAB AS WELL AND AND DO SOME BLOOD WORK BUT IN THE MEANTIME SINCE WERE RUNNING THE COVID SWAB IT WILL BE IMPORTANT TO SELF ISOLATE FOR THE NEXT 14 DAYS AND WE WILL LET YOU KNOW WHAT THE TEST RESULTS SHOW BUT DESPITE EVEN IF THEY ARE NEGATIVE IT WILL BE IMPORTANT TO STILL STAY SELF ISOLATING FOR THE NEXT 14 DAYS +audio/RES0099.mp3[737.640,741.920] OK ILL DO THAT THAT SOUNDS GOOD +audio/RES0099.mp3[741.920,745.520] ALRIGHT THANK YOU +audio/RES0211.mp3[0.000,5.080] SO WHAT BRINGS YOU TO THE CLINIC TODAY +audio/RES0211.mp3[5.080,24.080] HI SO I JUST LIKE FOR I DONT KNOW LIKE THREE OR FOUR DAYS I’VE BEEN HAVING THIS REALLY DRY COUGH AND MY THROAT FEELS REALLY SCRATCHY I JUST FEEL KINDA CRAPPY OVERALL AND MY HEAD’S POUNDING +audio/RES0211.mp3[24.080,27.160] YOUR HEADS POUNDING YOU HAVE A HEADACHE RIGHT NOW +audio/RES0211.mp3[27.160,31.960] YEAH LITTLE BIT I JUST KIND OF FEEL JUST ICKY +audio/RES0211.mp3[31.960,36.520] OK AND YOU SAY IVE BEEN FEELING THAT FOR THREE TO FOUR DAYS NOW +audio/RES0211.mp3[36.520,38.520] YEAH YEAH EXACTLY +audio/RES0211.mp3[38.520,41.520] WHAT DID YOU FIRST NOTICE +audio/RES0211.mp3[41.520,49.160] I FIRST NOTICED THAT MY THROAT WAS KIND OF SCRATCHY AND THEN I STARTED COUGHING BUT ITS REALLY LIKE DRY +audio/RES0211.mp3[49.160,52.440] OK SO YOU HAVENT BEEN BRINGING ANYTHING UP WITH IT +audio/RES0211.mp3[52.840,54.040] ANY FLEM +audio/RES0211.mp3[54.040,57.440] NO NOTHING +audio/RES0211.mp3[57.440,65.040] OK YOU HAVENT BEEN NOTICING BEEN RUNNING A TEMPERATURE AT HOME HAVE YOU HOT FEVERS +audio/RES0211.mp3[65.040,68.000] I HAVE FELT REALLY HOT +audio/RES0211.mp3[68.000,71.880] YOU FELT HOT AT HOME OK +audio/RES0211.mp3[72.920,80.960] YOU NOTICED ANY NIGHT SWEATS BY NIGHT SWEATS I MEAN YOU WAKE UP SHEETS ARE SOAKED +audio/RES0211.mp3[80.960,94.480] I HONESTLY I FELT HOT LIKE ALL THE TIME LIKE YEAH YEAH NIGHT I FEEL HOT BUT DURING THE DAY TOO IM JUST LIKE IM IM LIKE HEY IM WEARING LIKE JUST SHORTS AND LIKE A TANK TOP AND I JUST STILL FEEL REALLY HOT +audio/RES0211.mp3[94.480,101.080] OK YOU NOTICE SKIN CHANGES ANYTHING IN YOUR ARMS OR LEGS IT LOOKS WEIRD NEW RASHES +audio/RES0211.mp3[101.080,105.160] I DONT I DONT THINK SO I HAVENT REALLY BEEN LOOKING BUT YOU KNOW +audio/RES0211.mp3[105.160,111.160] NO WORRIES AND THEN ASIDE FROM THAT ANY NAUSEA ANY VOMITING +audio/RES0211.mp3[111.160,115.960] NO NOT THAT NO NOTHING LIKE THAT +audio/RES0211.mp3[115.960,117.720] ANY DIARRHEA +audio/RES0211.mp3[117.720,119.520] NO NO +audio/RES0211.mp3[119.520,122.560] ANY ACHES IN YOUR JOINTS ANYWHERE +audio/RES0211.mp3[122.560,127.720] NO I MEAN IM IM TIRED BUT I DONT THINK THEYRE NOT LIKE HURTING +audio/RES0211.mp3[127.720,141.920] OK SO ASIDE THAT ASIDE FROM KIND OF THIS DRY COUGH FEELING HOT THAT OTHERWISE YOURE FEELING OK YOU DONT HAVE ANY OTHER REAL CONCERNS ASIDE FROM THAT +audio/RES0211.mp3[141.920,153.280] YEAH JUST LIKE I JUST FEEL CRAPPY LIKE YEAH I REALLY I DONT THINK I KNOW THATS NOT LIKE A A REAL LIKE WAY TO SAY +audio/RES0211.mp3[153.280,170.440] OH NO NO ITS PERFECTLY VALID WE CALLED THAT MALAYS IN GENERAL JUST FEELING A LITTLE BIT OFF ALRIGHT SO THIS IS GOING TO TALK ABOUT YOU FOR A LITTLE BIT BUT FIRST WELL GET TO THAT LATER SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE +audio/RES0211.mp3[170.440,174.800] I HAVE I HAVE ALLERGIES USUALLY IN LIKE THE SPRING IN THE FALL +audio/RES0211.mp3[174.800,178.240] DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0211.mp3[178.240,202.240] NO NO NOTHING LIKE THAT ITS JUST LIKE I GET REALLY BAD ALLERGIES LIKE I IVE SEEN AN ALLERGIST AND SOME YEARS IVE GOTTEN ALLERGY SHOTS BUT LIKE NOT EVERY YEAR OTHERWISE ILL TAKE LIKE CLARITIN THIS ISNT LIKE THIS IS MAYBE AROUND LIKE THIS IS JUST BEFORE THEY NORMALLY START SO I DONT REALLY HAVE THEM RIGHT NOW +audio/RES0211.mp3[202.840,210.400] PROBABLY LIKE IN A FEW WEEKS THEYD BE REALLY BAD +audio/RES0211.mp3[210.400,217.240] NOW DO ANY OF THESE ALLERGIES CANT MAKE IT DIFFICULT TO BREATHE OR YOU FEEL LIKE YOUR FACE IS SWELLING UP +audio/RES0211.mp3[217.240,228.920] UH LIKE IT FEELS LIKE A LITTLE BIT LIKE PLUGGED UP AN LIKE WHATS THAT CALLED LIKE POST NASAL DRIP BUT I DONT REALLY FEEL LIKE I CANT BREATHE +audio/RES0211.mp3[228.920,231.680] ITS JUST LIKE A LITTLE STUFFY +audio/RES0211.mp3[231.680,233.320] YEAH YEAH EXACTLY +audio/RES0211.mp3[233.320,238.800] AND THESE SHOTS AT THE ALLERGIST GAVE YOU HOW OFTEN WOULD YOU GET THOSE +audio/RES0211.mp3[238.800,248.560] THOSE ARE THE ONES THAT ID HAVE LIKE ONCE USUALLY LIKE ONCE A WEEK FOR A LITTLE WHILE LIKE IN THE WINTER BEFORE +audio/RES0211.mp3[248.560,252.600] OK SO YOU DONT CARRY AN EPIPEN WITH YOU +audio/RES0211.mp3[252.600,260.160] NO NO THEY SAID ITS NOT LIKE ONE OF THOSE ALLERGIES AND ITS JUST LIKE ITS JUST LIKE THE SEASONAL ONES BUT THEYRE JUST BAD +audio/RES0211.mp3[260.160,265.280] OK SOUNDS GOOD SO YOUVE SEEN AN ALLERGIST ANY OTHER DOCTORS THAT YOUVE SEEN IN YOUR LIFE +audio/RES0211.mp3[265.280,269.680] MY FAMILY DOCTOR I DON’T REALLY GO VERY OFTEN +audio/RES0211.mp3[269.680,274.280] OK HAS THERE BEEN ANY HEALTH ISSUES THAT YOUVE HAD IN THE PAST +audio/RES0211.mp3[274.280,280.120] NO LIKE IVE BEEN REALLY HEALTHY ITS JUST LIKE THE ALLERGIES AND +audio/RES0211.mp3[280.120,282.920] OK ANY SURGERIES IN YOUR LIFE +audio/RES0211.mp3[282.920,284.760] UH NO NO +audio/RES0211.mp3[284.760,289.720] NO ARE YOU TAKIN ANY MEDICATIONS RIGHT NOW +audio/RES0211.mp3[289.720,303.240] I TAKE CLARITIN FOR ALLERGIES BUT I HAVENT LIKE RIGHT NOW I JUST HAVE IT WITH ME JUST IN CASE I TAKE BIRTH CONTROL +audio/RES0211.mp3[303.240,310.360] WHAT TYPE OF BIRTH CONTROL DO YOU TAKE +audio/RES0211.mp3[311.400,313.640] OK AND YOU TAKE THAT REGULARLY +audio/RES0211.mp3[313.640,321.000] YEAH ITS JUST LIKE THE PILL ITS LIKE THE ONE THAT GOES FOR THREE MONTHS +audio/RES0211.mp3[321.000,326.720] OK SO YOU DONT HAVE AN IUNOW YOU JUST TAKE THE ORAL CONTRACEPTION +audio/RES0211.mp3[326.720,330.280] YEAH YEAH JUST THE PILL GOT IT +audio/RES0211.mp3[330.280,335.520] GOT IT OK AND THEN SO YOU NEVER HAD ASTHMA IN YOUR LIFE +audio/RES0211.mp3[337.200,340.440] OK ANY FAMILY HISTORY OF ASTHMA +audio/RES0211.mp3[340.440,341.440] LIKE MY COUSIN +audio/RES0211.mp3[341.440,346.480] OK WHAT ABOUT YOUR PARENTS BROTHERS SISTERS +audio/RES0211.mp3[346.480,348.360] NO NOTHING LIKE THAT +audio/RES0211.mp3[348.360,350.880] DO YOU KNOW WHAT ECZEMA IS +audio/RES0211.mp3[350.880,354.640] LIKE IVE HEARD OF IT +audio/RES0211.mp3[354.640,358.960] OK ANYONE IN THE FAMILY HAVE IT +audio/RES0211.mp3[358.960,365.160] NO LIKE THE ONLY THING LIKE MY DAD HAS ALLERGIES TOO SAME KIND AS ME +audio/RES0211.mp3[365.160,369.440] OK DAD HAS ALLERGIES OK MOTHER AND FATHER STILL ALIVE +audio/RES0211.mp3[374.240,378.360] OK GOOD DO YOU LIVE WITH THEM RIGHT NOW +audio/RES0211.mp3[378.360,380.600] YEAH YEAH LIKE IM IN HIGH SCHOOL +audio/RES0211.mp3[380.600,386.840] OK SO YOU LIVE IN A HOUSE WITH BOTH YOUR PARENTS OK ANY BROTHERS SISTERS +audio/RES0211.mp3[386.840,389.440] YEAH I HAVE A LITTLE BROTHER +audio/RES0211.mp3[389.440,391.360] HOW OLD’S HE +audio/RES0211.mp3[391.360,392.480] LIKE 14 NOW +audio/RES0211.mp3[392.480,397.440] HAS ANYONE IN THE FAMILY BEEN SICK RECENTLY +audio/RES0211.mp3[397.440,403.960] I THINK MY BROTHER WE HAD LIKE A COLD A FEW WEEKS AGO +audio/RES0211.mp3[403.960,406.880] HE HAD A COLD +audio/RES0211.mp3[410.520,413.640] BUT LIKE WE ARE DOING OUR SCHOOL FROM HOME NOW SO +audio/RES0211.mp3[413.640,416.400] GOT IT +audio/RES0211.mp3[416.400,427.120] MY MOM WORKS FROM HOME AND MY DAD JUST WORKS LIKE ON THE FARM SO SO NO ONES BEEN LIKE SEEING ANYONE OR GOING ANYWHERE TO GET SICK +audio/RES0211.mp3[427.120,430.240] OK SO SORRY DO YOU LIVE ON A FARM +audio/RES0211.mp3[431.680,432.680] OK IN LONDON +audio/RES0211.mp3[432.680,434.960] LIKE JUST OUTSIDE +audio/RES0211.mp3[434.960,441.800] OK ANY TRAVEL OR ANYWHERE RECENTLY +audio/RES0211.mp3[441.800,446.440] NO LIKE I JUST JUST CAME HERE BUT LIKE I DONT REALLY LEAVE THE HOUSE +audio/RES0211.mp3[446.440,449.800] SO LAST LAST TWO WEEKS YOU HAVENT LEFT THE COUNTRY +audio/RES0211.mp3[451.480,454.200] NOTHING LIKE THAT +audio/RES0211.mp3[454.200,454.880] I WISH +audio/RES0211.mp3[454.880,455.960] YOU KEEP ANY ANIMALS ON THE FARM +audio/RES0211.mp3[455.960,461.600] WE HAVE LIKE A DOG BUT ITS NOT LIKE AN ANIMAL FARM +audio/RES0211.mp3[461.600,467.760] GOT IT OK ANOTHER QUESTIONS ARE YOU SEXUALLY ACTIVE +audio/RES0211.mp3[467.760,469.440] UH NO +audio/RES0211.mp3[469.440,477.880] BUT YOURE TAKING THE BIRTH CONTROL OK SO WHEN WAS YOUR LAST MENSTRUAL PERIOD +audio/RES0211.mp3[477.880,484.760] LIKE LIKE I JUST GOT DONE LIKE A WEEK AGO +audio/RES0211.mp3[484.760,489.440] A WEEK AGO AND YOU HAVENT BEEN SEXUALLY ACTIVE SINCE THEN +audio/RES0211.mp3[491.360,493.320] OK SO CHANCES OF BEING PREGNANT VERY LOW +audio/RES0211.mp3[493.320,496.720] OH OH YEAH YEAH ITS BEEN LIKE A YEAR +audio/RES0211.mp3[496.720,502.880] GOT IT GOT IT ALRIGHT DO YOU SMOKE CIGARETTES +audio/RES0211.mp3[503.800,506.520] DO YOU DRINK ALCOHOL +audio/RES0211.mp3[506.520,514.760] LIKE BEFORE COVID WHEN I SAW MY FRIENDS LIKE SOMETIMES A LITTLE BIT BUT LIKE NOT REALLY ANYMORE +audio/RES0211.mp3[514.760,517.640] OK HOW MUCH WOULD YOU DRINK WHEN YOU WENT OUT +audio/RES0211.mp3[517.640,528.000] OH LIKE I MEAN OUR PARENTS WOULD SOMETIMES LET US HAVE LIKE A COUPLE COOLERS BUT LIKE THAT WAS IT +audio/RES0211.mp3[528.000,531.120] GOT IT ANY OTHER DRUGS MARIJUANA COCAINE +audio/RES0211.mp3[531.120,538.920] LIKE I TRIED MARIJUANA ONCE AT A PARTY LIKE A COUPLE YEARS AGO BUT LIKE I HAD I NEVER DID IT AGAIN +audio/RES0211.mp3[538.920,543.560] GOT IT SO NONE OF THE HARDER DRUGS COCAINE HEROIN +audio/RES0211.mp3[545.480,550.520] AND I GOTTA ASK THIS QUESTION FOR EVERYONE HAVE YOU EVER INJECTED DRUGS OR ANYTHING INTO YOUR ARM OR YOUR BODY +audio/RES0211.mp3[557.400,588.480] OK ALRIGHT THANKS JESSICA SO JUST TO SUMMARIZE YOU KIND OF HAD A THREE TO FOUR DAY DRY COUGH WITH A LITTLE BIT OF FEVER SOME HEADACHE AND JUST IN TERMS WAS QUICKLY REVIEWING THEN SO YOU HAVE BEEN BRINGING ANYTHING UP NO ONE IN CONTACT WITH THESE RECENTLY BEEN SICK YOU DONT HAVE ASTHMA YOUR NOT TAKING ANY MEDICATIONS ASIDE FROM CLARITIN AND YOUR LITTLE BROTHER MIGHT HAVE BEEN SICK ABOUT TWO WEEKS AGO WITH KIND OF A COMMON COLD AND WERE HOPING TO GET OUT OF THIS VISIT IS JUST KIND OF NEXT STEPS AND WHERE TO GO FROM HERE CORRECT +audio/RES0211.mp3[588.480,592.680] YEAH LIKE I JUST WANT TO KNOW IF I HAVE TO LIKE TAKE MEDICINE OR SOMETHING +audio/RES0211.mp3[592.680,597.640] OK ALRIGHT PERFECT THANK YOU VERY MUCH YOU HAVE ANY MORE QUESTIONS +audio/RES0211.mp3[597.640,604.760] NO I DONT KNOW I DONT HAVE ANY MORE QUESTIONS I JUST LIKE I CAN GO HOME SOON LIKE LAY DOWN +audio/RES0211.mp3[604.760,608.080] SOUNDS GOOD THANKS JESSICA +audio/RES0052.mp3[0.000,6.240] WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN +audio/RES0052.mp3[6.240,28.520] SURE MY 5 YEAR OLD DAUGHTER I NOTICED THAT SHES BEEN COUGHING A LOT OVER THE PAST TWO DAYS SHE SOUNDS LIKE SHE HAS A STUFFY NOSE AND NOW SHES GOT THIS PINK EYE SO I JUST WANTED TO GET IT CHECKED OUT BY YOU +audio/RES0052.mp3[28.520,31.720] YEAH FOR SURE SO THE COUGH STARTED 5 DAYS AGO +audio/RES0052.mp3[31.720,37.640] TWO DAYS AGO +audio/RES0052.mp3[37.640,45.280] OK AND IS THE COUGH BARKY OR HARSH SOUNDING +audio/RES0052.mp3[45.280,48.400] YES IT SOUNDS HARSH +audio/RES0052.mp3[48.400,57.680] OK ALRIGHT WAS THERE ANYTHING THAT CHANGED TWO DAYS AGO THAT MIGHT HAVE TRIGGERED THE COUGH +audio/RES0052.mp3[57.680,65.000] I DONT THINK SO ALTHOUGH SHE DOES GO TO DAYCARE +audio/RES0052.mp3[65.000,75.960] OK UH AND SO HAS SHE BEEN BRINGING UP ANY SPUTUM WITH THE COUGH +audio/RES0052.mp3[75.960,80.400] NO NO SPUTUM THAT IVE NOTICED +audio/RES0052.mp3[80.400,83.680] OK NOTICE ANY BLOOD +audio/RES0052.mp3[85.360,92.400] ALRIGHT AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY +audio/RES0052.mp3[95.680,100.480] OK AND HAS THERE BEEN ANY WHEEZING +audio/RES0052.mp3[100.480,105.960] NO NOT THAT I NOTICED +audio/RES0052.mp3[105.960,115.080] OK AND YOU MENTIONED THE RED EYES WHEN DID YOU NOTICE THAT +audio/RES0052.mp3[115.080,117.480] THAT WAS JUST YESTERDAY +audio/RES0052.mp3[117.480,121.320] OK ANY DISCHARGE FROM THE EYES +audio/RES0052.mp3[124.680,132.520] OK NOTHING LIKE THAT NO TEARING OR ANYTHING LIKE THAT +audio/RES0052.mp3[134.680,140.560] OK UMM AND HAS SHE COMPLAINED ABOUT ANY LIKE CHANGES TO VISION +audio/RES0052.mp3[140.560,146.960] NO NOT REALLY JUST THE PAIN +audio/RES0052.mp3[146.960,154.040] NO OK UH AND HOW ABOUT ANY ITCHINESS IN THE EYES +audio/RES0052.mp3[154.040,160.920] SHES BEEN RUBBING IT AND SO ITS POSSIBLY ITCHY +audio/RES0052.mp3[160.920,165.480] OK AND HAVE YOU NOTICED ANY MUCUS COMING OUT +audio/RES0052.mp3[165.480,178.240] UMM NO ITS ACTUALLY STUFFY +audio/RES0052.mp3[179.840,182.880] YEAH NOT SO MUCH MUCOUS +audio/RES0052.mp3[182.880,190.680] OK HAS SHE MENTIONED ANYTHING ABOUT LOSING SMELL +audio/RES0052.mp3[194.960,202.680] OK UMM AND HAS SHE MENTIONED ANYTHING ABOUT BEING CONGESTED +audio/RES0052.mp3[202.680,210.520] SHE JUST SOUNDS LIKE SHES CONGESTED +audio/RES0052.mp3[210.520,214.800] OK UMM ANY SORE THROAT +audio/RES0052.mp3[214.800,219.200] UMM POSSIBLY +audio/RES0052.mp3[219.200,225.080] OK HOW HAS SHE BEEN EATING +audio/RES0052.mp3[225.080,231.800] UM SHES BEEN EATING OK I GUESS SHES BEEN EATING ALITTLE LESS THAN USUAL +audio/RES0052.mp3[231.800,244.240] OK UMM WOULD YOU SAY THAT SHES BEEN GOING TO THE BATHROOM AS OFTEN AS NORMAL +audio/RES0052.mp3[244.240,249.960] YEP I WOULD SAY SO +audio/RES0052.mp3[249.960,260.240] NO CHANGES THERE OK UM AND HAS SHE HAD ANY LOSS OF TASTE +audio/RES0052.mp3[260.240,268.880] UMM POSSIBLY SINCE SHES NOT EATING AS MUCH +audio/RES0052.mp3[268.880,272.920] OK ANY FEVERS OR CHILLS +audio/RES0052.mp3[272.920,278.800] UM SHE DID FEEL A LITTLE BIT HOT BUT I DIDNT TAKE HER TEMPERATURE +audio/RES0052.mp3[278.800,286.880] OK SO HOT WE WILL DEFINITELY CHECK FOR FEVER TODAY ANY NIGHT SWEATS +audio/RES0052.mp3[286.880,289.400] UMM NO +audio/RES0052.mp3[289.400,295.840] OK AND HAS SHE BEEN GAINING WEIGHT OK +audio/RES0052.mp3[295.840,300.920] YEP YEP NO CHANGE NOTHING ABNORMAL THERE +audio/RES0052.mp3[300.920,310.360] OK AND HAS SHE BEEN COMPLAINING ABOUT HAVING ANY STOMACH PAINS +audio/RES0052.mp3[310.360,312.280] UMM NO +audio/RES0052.mp3[312.280,317.080] OK HAS SHE HAD ANY NAUSEA OR VOMITING +audio/RES0052.mp3[317.080,320.960] UM NO NO +audio/RES0052.mp3[320.960,326.680] OK AND HOW ABOUT ANY PAINFUL URINATION +audio/RES0052.mp3[328.640,331.640] OK AND ANY DIARRHEA +audio/RES0052.mp3[331.640,335.160] UMM NO +audio/RES0052.mp3[335.160,343.960] OK AND HAS SHE MENTIONED ANYTHING ABOUT HEADACHES +audio/RES0052.mp3[345.240,354.640] OK AND HOW ABOUT ANY ACHES OR PAINS ANYWHERE +audio/RES0052.mp3[354.640,358.440] UH NO I DONT THINK SO +audio/RES0052.mp3[358.440,363.320] HAVE YOU NOTICED ANY RASHES +audio/RES0052.mp3[364.480,373.480] OK AND HAS SHE BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE +audio/RES0052.mp3[375.360,378.880] OK AND ANY REASON FOR HER TO BE HOSPITALIZED +audio/RES0052.mp3[378.880,381.680] UH NO +audio/RES0052.mp3[381.680,387.320] OK UM DOES SHE TAKE ANY MEDICATIONS REGULARLY +audio/RES0052.mp3[387.320,389.960] UM NO +audio/RES0052.mp3[389.960,395.880] OK DOES SHE HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0052.mp3[395.880,397.880] UMM NO +audio/RES0052.mp3[397.880,401.800] ALRIGHT ANY SURGERIES BEFORE +audio/RES0052.mp3[401.800,404.240] UMM NO +audio/RES0052.mp3[404.240,411.360] ANY CONCERNS WITH HER GROWTH OR DEVELOPMENT +audio/RES0052.mp3[411.360,414.160] UMM NO EVERYTHINGS BEEN PRETTY NORMAL +audio/RES0052.mp3[414.160,419.240] OK AND ANY CONCERNS ABOUT HER VISION OR HEARING +audio/RES0052.mp3[420.560,429.760] OK AND CAN TELL YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY ARE YOU THE PRIMARY CAREGIVER +audio/RES0052.mp3[429.760,432.240] I AM +audio/RES0052.mp3[432.240,436.240] OK AND WHO ELSE IS IN THE HOME +audio/RES0052.mp3[436.240,439.400] HER FATHER +audio/RES0052.mp3[439.400,441.200] OK ARE THERE ANY PETS AROUND +audio/RES0052.mp3[443.120,448.240] ALRIGHT AND DOES ANYBODY IN THE HOUSE SMOKE +audio/RES0052.mp3[448.240,451.840] NO NO ONE SMOKES +audio/RES0052.mp3[451.840,467.840] OK ANY EXPOSURES IN THE HOUSE TO LIKE CARPETS OR DUST OR INHALANTS THAT MIGHT BRING ON A COUGH +audio/RES0052.mp3[468.680,475.600] OK UMMM AND UHH ANYBODY IN THE FAMILY BEEN SICK +audio/RES0052.mp3[477.000,481.800] OK AND HOW ABOUT ANYBODY YOU MENTIONED AT THE DAYCARE WAS ANYBODY BEEN SICK THERE +audio/RES0052.mp3[481.800,490.880] NO I DONT THINK SO I CONTACTED THEM AND CHECKED BUT IT SEEMS LIKE NO ONES BEEN SICK +audio/RES0052.mp3[490.880,496.320] OK AND YOU SAY YOU HAVENT TRAVELED ANYWHERE +audio/RES0052.mp3[496.320,500.880] OH NO NO NOT RECENTLY +audio/RES0052.mp3[500.880,509.800] OK AND ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY +audio/RES0052.mp3[510.400,518.800] OK AND HOW ABOUT ANY GENETIC CONDITIONS OR CONGENITAL CONDITIONS IN THE FAMILY +audio/RES0052.mp3[518.800,520.760] NO NONE NONE THAT I KNOW OF +audio/RES0052.mp3[520.760,536.160] OK SO THE MAIN SYMPTOMS ARE THE COUGH THAT STARTED TWO DAYS AGO AND ALSO YOUVE NOTICED SHES BEEN CONGESTED AND SORRY WHAT WAS THE LAST SYMPTOM +audio/RES0052.mp3[536.160,542.800] SHE HAS THIS PINK EYE AND SHE HAS A COUGH +audio/RES0052.mp3[542.800,582.600] YEAH RIGHT THAT COULD BE CONJUNCTIVITIS OK SO AT THIS POINT WE WILL CERTAINLY RUN SOME INVESTIGATIONS TO LOOK INTO WHAT THIS COULD BE IT SOUNDS LIKE A VIRAL INFECTIOUS TYPE OF PROCESS ESPECIALLY IF ITS INVOLVING THE EYES NOSE AND AND WITH A COUGH AND SO WE WILL TEST WITH A SWAB FOR COVID FOR SURE BUT IT COULD BE SOMETHING MORE COMMON LIKE THE COMMON COLD WE JUST NEED TO MAKE SURE THAT WERE COMPREHENSIVE IN THAT WITH THE TESTING +audio/RES0052.mp3[582.600,588.680] THAT SOUNDS GREAT THANK YOU +audio/MSK0014.mp3[0.000,1.440] HOW MAY I HELP YOU +audio/MSK0014.mp3[1.440,27.520] I JUST CAME IN HERE TODAY I USUALLY DONT COME TO THE DOCTOR THAT MUCH UNLESS I ABSOLUTELY NEED IT FIVE DAYS AGO I STARTED HAVING THIS PAIN AND SWELLING IN MY RIGHT KNEE SO AND AT FIRST I THOUGHT IT WAS JUST LIKE MY ARTHRITIS ACTING UP BUT ITS BEEN GETTING MORE SWOLLEN AND PAINFUL THAN USUAL SO I JUST WANTED TO COME IN AND CHECK IT OUT +audio/MSK0014.mp3[27.520,36.680] OK SO WHEN DID YOU FIRST NOTICE THAT THIS PAIN LIKE WHEN DID IT GET MORE SWOLLEN AND PAINFUL THAN USUAL +audio/MSK0014.mp3[36.680,49.080] SO LIKE I WOULD SAY AROUND 5 DAYS AGO IT STARTED GETTING MORE AND USUALLY I DO GET PAIN IN SOME OF MY JOINTS BUT I I DONT REALLY GET SWELLING SO THAT WAS A BIT DIFFERENT +audio/MSK0014.mp3[49.080,56.440] OK AND IS THE JOINT HOT AS WELL OR IS THERE A TEMPERATURE CHANGE +audio/MSK0014.mp3[56.440,65.640] IT IS IT DOES FEEL LIKE IF I TOUCH THE JOINT IT DOES FEEL A BIT WARMER THAN THE SURROUNDING AREAS +audio/MSK0014.mp3[65.640,68.280] OK DOES IT LOOK RED +audio/MSK0014.mp3[68.280,75.080] IT IT DEFINITELY IT DEFINITELY LOOKS MORE RED THAN MY OTHER KNEE +audio/MSK0014.mp3[75.080,80.720] OK AND SO WHAT KNEE IS IT THAT THATS BOTHERING YOU RIGHT NOW +audio/MSK0014.mp3[80.720,85.200] ITS THE RIGHT KNEE +audio/MSK0014.mp3[85.200,96.880] OK AND SO THIS PAIN HAS BEEN GOING ON FOR THE LAST FIVE DAYS HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME +audio/MSK0014.mp3[96.880,109.000] I THINK ITS GETTING A ITS GETTING IT WAS GETTING WORSE BUT ITS LIKE A BIT BETTER RIGHT NOW +audio/MSK0014.mp3[110.040,115.760] YEAH IT COMES AND GOES IN SEVERITY THOUGH +audio/MSK0014.mp3[115.760,124.600] OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THE CHARACTER OF IT IS IT SHARP DULL OR ACHY +audio/MSK0014.mp3[124.600,133.160] ITS ITS LIKE SOMEONE IS STABBING ME IN THE KNEE AND IT HURTS THE MOST WHEN IM MOVING THE KNEE +audio/MSK0014.mp3[133.160,137.880] OK AND DOES THE PAIN RADIATE ANYWHERE +audio/MSK0014.mp3[137.880,143.000] UHM I DONT THINK SO NO +audio/MSK0014.mp3[143.000,152.400] OK SO YOURE FEELING IT JUST IN THE KNEE AND YOU SAID MOVING THE KNEES IS PAINFUL IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE +audio/MSK0014.mp3[152.400,165.920] UHM NOT REALLY LIKE RESTING IT DEFINITELY HELPS YEAH BUT I JUST HAVE TO KEEP IT A BIT IMMOBILIZED +audio/MSK0014.mp3[165.920,176.000] OK AND IS THERE ANYTHING THAT THAT MAKES THE PAIN BETTER THAT YOUVE TRIED LIKE MAYBE MEDICATIONS OR ANY ICE PACKS OR ANYTHING LIKE THAT +audio/MSK0014.mp3[176.000,185.600] UH NOT REALLY I DO TAKE SOME PAINKILLERS SO JUST SOME ADVIL WHICH SEEMS TO HELP A LITTLE BIT +audio/MSK0014.mp3[185.600,201.720] OK AND AND UM OK IS THE PAIN WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE DO YOU HAVE MORNING STIFFNESS +audio/MSK0014.mp3[201.720,215.600] YEAH USUALLY WITH MY NORMAL THIS ARTHRITIS I DO GET SOME MORNING STIFFNESS BUT THIS IS COMPLETELY DIFFERENT ITS THROUGHOUT THE DAY PRETTY MUCH +audio/MSK0014.mp3[215.600,221.840] OK AND DID YOU HAVE ANY TRAUMA OR ANY INJURY TO THE KNEE +audio/MSK0014.mp3[221.840,224.320] NO I DIDNT +audio/MSK0014.mp3[224.320,226.880] OK UH +audio/MSK0014.mp3[226.880,243.800] I I DID HAVE LIKE A STEROID INJECTION TO THE SAME KNEE JUST A WEEK AGO BUT NO I I HAVENT FALLEN ON IT I HAVENT HAD ANY OPERATIONS +audio/MSK0014.mp3[243.800,247.320] OK ANNE AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0014.mp3[249.040,257.560] OK HAVE YOU HAD ANY CHANGES TO ANY OF YOUR SENSES LIKE VISION HEARING OR YOUR SENSE OF SMELL OR TASTE +audio/MSK0014.mp3[257.560,259.400] NO NOTHING LIKE THAT +audio/MSK0014.mp3[259.400,262.280] HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/MSK0014.mp3[263.000,265.760] HAVE YOU HAD ANY COUGH OR SHORTNESS OF BREATH +audio/MSK0014.mp3[267.440,271.000] HOW ABOUT ANY WHEEZING +audio/MSK0014.mp3[272.040,276.440] HAVE YOU HAD ANY CHEST PAIN OR YEAH HAVE YOU HAD ANY CHEST PAIN +audio/MSK0014.mp3[277.720,280.920] HOW ABOUT ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0014.mp3[281.840,287.880] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0014.mp3[287.880,289.400] UM NOPE +audio/MSK0014.mp3[289.400,292.760] ALRIGHT HAVE YOU HAD ANY LOSS OF APPETITE +audio/MSK0014.mp3[293.560,298.120] AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0014.mp3[299.320,306.760] HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION INCONTINENCE +audio/MSK0014.mp3[307.840,312.880] ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY +audio/MSK0014.mp3[312.880,315.640] NO NOT REALLY +audio/MSK0014.mp3[315.640,320.080] HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES ANYWHERE +audio/MSK0014.mp3[324.080,332.320] OK AND ANY OTHER PAINFUL JOINTS OR MUSCLE ACHES OR BODY PAINS +audio/MSK0014.mp3[332.320,353.560] YEAH I JUST GOT MY GENERAL LIKE I HAVEE OSTEOARTHRITIS SO I LIKE ITS BEEN A PRETTY LONG TIME THOUGH BUT I GET SOME PAIN IN MY HIPS SOMETIMES MY KNEES SO ITS ITS THATS BEEN GOING ON FOR AWHILE BUT THIS IS SOMETHING IVE NEVER EXPERIENCED THOUGH LIKE THIS SIGNIFICANT PAIN AND SWELLING AND REDNESS +audio/MSK0014.mp3[353.560,360.960] OK AND HAVE YOU HAD ANY CHANGES TO YOUR MEMORY OR ANY CONFUSION +audio/MSK0014.mp3[364.040,368.600] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0014.mp3[370.000,372.480] AND HOW ABOUT ANY NIGHT SWEATS +audio/MSK0014.mp3[375.240,380.240] OK UM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/MSK0014.mp3[380.240,415.480] I DO HAVE SO I HAVE A COUPLE CONDITIONS I HAVE OSTEOARTHRITIS IN BOTH MY KNEES AND HIPS I HAVE HIGH BLOOD PRESSURE I DID HAVE A HEART ATTACK FOUR YEARS AGO AND I ALSO HAVE HAD HEART FAILURE AND ALSO IM JUST A BIT ON THE OVERWEIGHT SIDE +audio/MSK0014.mp3[415.480,419.200] OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS +audio/MSK0014.mp3[419.200,445.240] YEAH SO I AM TAKING JUST UM FUROSEMIDE THEN RAMIPRIL FOR MY BLOOD PRESSURE BUT YEAH THATS THATS ABOUT IT RIGHT NOW AND LIKE JUST PAINKILLERS OVER THE COUNTER +audio/MSK0014.mp3[445.240,449.560] DL OK UH AND ANY ALLERGIES TO MEDICATIONS +audio/MSK0014.mp3[449.560,455.360] UM JUST TO HAVE A PENICILLIN ALLERGY +audio/MSK0014.mp3[455.360,459.600] OK AND WHATS THE RASH OR SORRY WHATS THE REACTION +audio/MSK0014.mp3[459.600,467.760] I DONT REALLY REMEMBER I WAS A CHILD AT THAT TIME I DONT REMEMBER WHAT REACTION I REALLY GOT +audio/MSK0014.mp3[467.760,475.400] I SEE OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES +audio/MSK0014.mp3[475.400,489.080] SURGERIES I DID HAVE MY APPENDIX REMOVED WHEN I WAS YOUNG AND ALSO I WAS HOSPITALIZED AFTER MY HEART ATTACK A COUPLE YEARS AGO +audio/MSK0014.mp3[489.080,494.960] OK DID YOU HAVE ANY SURGERIES ON YOUR ON YOUR HEART LIKE A CABBAGE OR +audio/MSK0014.mp3[494.960,499.840] I HAD A COUPLE A COUPLE OF STENTS PUT IN +audio/MSK0014.mp3[499.840,503.760] OK AND YOU TAKE ASPIRIN FOR THAT +audio/MSK0014.mp3[503.760,507.640] UM YEAH +audio/MSK0014.mp3[507.640,515.520] OK UHM ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/MSK0014.mp3[515.520,527.320] YEAH I LIVE WITH MY WIFE AND DAUGHTER AND KIND OF LIVE IN A SMALL LITTLE TOWNHOUSE JUST IN THE CITY +audio/MSK0014.mp3[527.320,533.200] OK UH ARE YOU CURRENTLY WORKING OR UH ARE YOU RETIRED +audio/MSK0014.mp3[533.200,561.440] I I KIND OF HAD TO RETIRE AFTER JUST MY PAST MEDICAL HISTORY LIKE THE HEART ATTACK AND THEN THERE WAS JUST TOO MUCH STRESS AT WORK IT WAS TOO MUCH FOR ME BUT YEAH IM JUST AT HOME RIGHT NOW MY WIFE STILL WORKS YEAH IM TAKING IT MORE EASY NOW +audio/MSK0014.mp3[561.440,576.120] OK AND WITH BEING AT HOME ARE YOU ABLE TO MANAGE THE MAJORITY OF ACTIVITIES OF DAILY LIVING ON YOUR OWN OR ARE YOU RECEIVING HELP +audio/MSK0014.mp3[576.120,586.200] OH YOURE NOT RECEIVING ANY OUTSIDE HELP I CAN DO MOST THINGS MYSELF MY WIFE DOES MOST OF OUR SHOPPING AND COOKING THOUGH +audio/MSK0014.mp3[586.200,593.040] OK AND DO YOU DRINK ALCOHOL +audio/MSK0014.mp3[593.040,604.520] YEAH I I DO I DO DRINK PROBABLY DRINK LIKE THREE OR FOUR BEERS A NIGHT +audio/MSK0014.mp3[604.520,606.840] OK ANN AND AT THE SMOKE CIGARETTES +audio/MSK0014.mp3[606.840,615.560] I USED TO I I FORCED MYSELF TO QUIT AFTER MY HEART ATTACK +audio/MSK0014.mp3[615.560,622.800] OK WELL THATS GOOD IM GLAD THAT YOU QUIT AND HOW LONG DID YOU SPOKE FOR AND HOW MUCH WERE YOU SMOKING DURING THAT TIME +audio/MSK0014.mp3[622.800,637.640] PROBABLY SMOKED FOR MORE THAN 30 YEARS AND I WAS SMOKING ONLY ONE TO TWO PACKS A DAY AT MOST +audio/MSK0014.mp3[637.640,656.040] OK AND OK AND THEN I ABOUT YOUR UM FAMILY HISTORY IS THERE ANYBODY IN THE FAMILY THAT HAS ANY HEART OR LUNG CONDITIONS +audio/MSK0014.mp3[656.040,670.360] YEAH SO HEART DISEASE RUNS IN MY FAMILY MY BROTHER MY DAD THEY BOTH BOTH HAVE HAD HEART ATTACKS BUT YEAH MY ON MY MOM SIDE EVERYONES PRETTY HEALTHY THOUGH +audio/MSK0014.mp3[670.360,693.560] OH OK THATS GOOD AND ALRIGHT SO I JUST WANTED TO THE I GUESS PHYSICAL EXAM PIECE YOUVE ALREADY MENTIONED THAT ITS RED ITS SWOLLEN AND IS WARM TO TOUCH COMPARED TO THE OTHER KNEE AND UM PAINFUL TO MOVE ARE YOU HAVING ANY LIMPING WITH YOUR GAIT +audio/MSK0014.mp3[693.560,715.200] YEAH I BARELY LIKE I CANT REALLY PUT TOO MUCH AWAY OR MOVE THAT KNEE AROUND SO YEAH IF I STOOD UP I WOULD HAVE A LIMP +audio/MSK0014.mp3[715.200,724.280] OK UH AND IS THERE ANY INSTABILITY TO EITHER VARUS OR VALGUS STRESS +audio/MSK0014.mp3[724.280,729.400] UHM NO I DONT THINK SO +audio/MSK0014.mp3[729.400,748.560] OK AND ANY INSTABILITY WHEN TESTING THE ACL OR PCL WITH THE ANTERIOR AND POSTERIOR KIND OF TRANSLATION TEST PULLING AND PUSHING IT +audio/MSK0014.mp3[748.560,749.680] UHM NO +audio/MSK0014.mp3[749.680,756.520] OK AND ANY I DONT THINK I ASKED THIS ANY MUSCLE WEAKNESS +audio/MSK0014.mp3[756.920,760.200] AND ANY NUMBNESS TINGLING +audio/MSK0014.mp3[761.040,763.000] OR BURNING SENSATIONS +audio/MSK0014.mp3[765.000,774.320] OK ALRIGHT SO THAT WAS EVERYTHING THAT I WANTED TO CHECK WAS THERE ANY ANYTHING THAT I MAY BE MISSED OR ANY FINAL QUESTIONS +audio/MSK0014.mp3[774.320,785.280] NO YEAH NO I WAS JUST I I JUST DONT KNOW IF LIKE THIS IS SERIOUS AND IF I NEED SURGERY OR SOMETHING BECAUSE ITS BEEN REALLY PAINFUL +audio/MSK0014.mp3[785.280,843.360] YEAH CERTAINLY SO RIGHT NOW THE TOP THING ON TOP TWO THINGS ON THE DIFFERENTIAL WOULD BE GOUT OR PSEUDOGOUT THEY DO HAVE SOME RISK FACTORS FOR THAT INCLUDING A DIURETIC MEDICATION AS WELL AS ALCOHOL AND OBESITY ARE ALL RISK FACTORS FOR IT HOWEVER YOU ALSO HAD A KNEE INJECTION A WEEK AGO WHICH COULD PREDISPOSE TO AN INFECTION SO GOUT AND SEPTIC ARTHRITIS ARE THE TWO THINGS THAT I AM THINKING ABOUT AN SO WELL DO A KNEE ASPIRATION AND SEND THAT OFF FOR SOME INVESTIGATIONS AND THAT WILL HELP US DETERMINE WHICH WHAT THE CAUSE IS AND WE CAN CHOOSE THE APPROPRIATE APPROPRIATE TREATMENT +audio/MSK0014.mp3[843.360,845.760] OK SOUNDS GOOD +audio/MSK0021.mp3[0.000,2.600] WHAT CAN I DO FOR YOU +audio/MSK0021.mp3[2.600,30.680] HI THERE YEAH IVE HAD THIS PAIN IN MY KNEE THATS BEEN GOING ON FOR A FEW WEEKS NOW AND IT HASNT GONE AWAY AND AND SO I THOUGHT I WOULD GET CHECKED OUT ITS BEEN REALLY IMPACTING MY RUNNING I JUST HAVENT BEEN ABLE TO RUN AS OFTEN AS I WOULD LIKE TO AND SO THATS WHY I WANTED TO GET THIS LOOKED AT +audio/MSK0021.mp3[30.680,38.520] YEAH FOR SURE YOU SAID IT STARTED A COUPLE OF WEEKS AGO WAS THAT TWO WEEKS AGO THREE WEEKS AGO OR MORE THAN THAT +audio/MSK0021.mp3[38.520,44.480] YEAH I WOULD SAY MAYBE ITS BEEN GOING ON FOR THE PAST FOUR WEEKS FOR THE PAST MONTH +audio/MSK0021.mp3[44.480,55.560] PAST MONTH OK AND IS IT A CONSTANT TYPE OF PAIN OR DOES IT COME AND GO +audio/MSK0021.mp3[55.560,61.080] IT COMES AND GOES YEAH AND IT DEPENDS ON WHAT IM DOING +audio/MSK0021.mp3[61.080,69.240] OK UHM ALRIGHT AND WHAT KIND OF MAKES IT WORSE OR BETTER +audio/MSK0021.mp3[69.240,91.120] SO IF IM OUT WHILE RUNNING WHAT WILL BUG IT BUT I THINK LIKE THAT THE MAIN THINGS THAT HURT ARE IF IM WALKING DOWN STAIRS OR IF IF IM SQUATTING I LIKE TO LIFT WEIGHTS AS WELL AND YEAH I COULD BARELY EVEN DO BODY WEIGHT NOW CAUSE IF I IM SQUATTING DOWN IT CAUSES A LOT OF PAIN ITS A SHARP PAIN +audio/MSK0021.mp3[91.120,103.400] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR PAIN WOULD YOU SAY ITS ACHY THROBBING DULL SHARP BURNING +audio/MSK0021.mp3[103.400,105.920] UH ITS A SHARP PAIN +audio/MSK0021.mp3[105.920,112.000] SHARP PAIN OK AND ONE TO 10 10 BEING THE WORST PAIN YOUVE EVER HAD HOW BAD IS THIS PAIN +audio/MSK0021.mp3[112.000,115.520] ITS ABOUT A 7 +audio/MSK0021.mp3[115.520,120.880] 7 AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST +audio/MSK0021.mp3[120.880,122.640] UH NO I HAVENT +audio/MSK0021.mp3[122.640,130.440] OK AND DO YOU FEEL LIKE YOUR PAINS GETTING WORSE OVER THE PAST FOUR WEEKS +audio/MSK0021.mp3[130.440,137.040] UH YEAH IT HAS GOTTEN HAS GOTTEN A BIT WORSE +audio/MSK0021.mp3[137.040,147.160] OK UHM ALRIGHT AND DO YOU ARE YOU EXPERIENCING ANY SORT OF MUSCLE WEAKNESS +audio/MSK0021.mp3[147.160,148.880] NO MUSCLE WEAKNESS +audio/MSK0021.mp3[148.880,153.440] NO OK HOW ABOUT NUMBNESS OR TINGLING +audio/MSK0021.mp3[153.440,155.040] NO NUMBNESS OR TINGLING +audio/MSK0021.mp3[157.840,161.000] CONFUSION OR MEMORY LOSS +audio/MSK0021.mp3[162.480,168.520] ANY JOINT PAINS OR MUSCLE ACHES OUTSIDE OF THE AREA OF THIS LEFT KNEE +audio/MSK0021.mp3[168.520,170.840] NO JUST JUST THE LEFT KNEE +audio/MSK0021.mp3[170.840,173.280] AND WHEREABOUTS ON THE LEFT KNEE IS IT +audio/MSK0021.mp3[173.280,187.240] ITS ON THE ANTERIOR ASPECT LIKE ON THE FRONT OF IT BUT I I COULD IT FEELS LIKE THE PAIN IS RIGHT BEHIND MY LIKE RIGHT UNDERNEATH THE KNEECAP +audio/MSK0021.mp3[187.240,194.600] RIGHT UNDERNEATH THE KNEE OK +audio/MSK0021.mp3[195.360,202.200] OK ALRIGHT AND OTHERWISE LIKE HAVE YOU HAD ANY WEIGHT LOSS +audio/MSK0021.mp3[202.200,204.760] NO MY WAY ITS BEEN THE SAME +audio/MSK0021.mp3[204.760,209.760] OK HOW ABOUT FEVERS OR CHILLS +audio/MSK0021.mp3[209.760,212.160] NO FEVERS OR CHILLS +audio/MSK0021.mp3[212.160,217.080] OK HOW ABOUT FATIGUE +audio/MSK0021.mp3[217.080,221.280] NO FATIGUE ENERGYS BEEN GOOD +audio/MSK0021.mp3[221.280,226.040] OK CHANGES IN YOUR HAIR OR NAILS LIKE RASHES +audio/MSK0021.mp3[226.040,227.880] NO NOTHING NOTHING LIKE THAT +audio/MSK0021.mp3[227.880,232.760] OK CHANGES IN YOUR VISION HEARING SMELL OR TASTE +audio/MSK0021.mp3[232.760,235.480] NOPE THATS ALL BEEN NORMAL +audio/MSK0021.mp3[235.480,244.760] OK ALRIGHT HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0021.mp3[244.760,248.520] UH NO NOT NOTNOTHING LIKE THAT +audio/MSK0021.mp3[248.520,253.360] OK CHEST PAIN OR HEART PALPITATIONS +audio/MSK0021.mp3[253.360,257.840] NOPE NO CHEST PAIN OR OR ANYTHING LIKE THAT +audio/MSK0021.mp3[257.840,262.040] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0021.mp3[262.040,266.200] NOPE I HAVENT HAD ANY DIARRHEA OR ANY BLOOD +audio/MSK0021.mp3[266.200,271.240] OK ANY CHANGES IN YOUR URINATION +audio/MSK0021.mp3[274.640,282.600] NO OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0021.mp3[282.600,311.000] I DO HAVE AH ASTHMA SO I I DO TAKE A AN INHALER I HAVE A DAILY A DAILY ONE THAT ILL USE AND THEN JUST A LIKE RESCUE ONE SO LIKE THE BLUE ONE THAT ILL USE SOMETIMES BUT I HAVENT NEEDED THAT ONE FOR FOR AWHILE IVE BEEN PRETTY GOOD I DONT EVEN NEED IT WHEN IM GOING OR RUNS ANYMORE +audio/MSK0021.mp3[311.000,318.280] OK OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS +audio/MSK0021.mp3[318.280,337.280] YEAH JUST THE JUST THE INHALERS AND THEN I TOOK UH BIRTH CONTROL AS WELL IVE BEEN TAKING THAT SINCE I WAS 16 SO YEAH SO FOR LIKE 6 YEARS 7 YEARS +audio/MSK0021.mp3[337.280,343.520] OK ALRIGHT AND ARE YOU HAVE YOU BEEN HOSPITALIZED OR HAD SURGERIES IN THE PAST +audio/MSK0021.mp3[343.520,348.080] NO I HAVENT HAD ANY +audio/MSK0021.mp3[348.080,353.240] OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +audio/MSK0021.mp3[353.240,355.960] I AM YES +audio/MSK0021.mp3[355.960,359.880] OK HOW ABOUT ALLERGIES DO YOU HAVE ANY +audio/MSK0021.mp3[359.880,363.840] UH I UHM I DONT NO +audio/MSK0021.mp3[363.840,370.480] NO ALLERGIES OK GOOD AND ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +audio/MSK0021.mp3[370.480,381.440] UH NO AH WELL I THINK MY GRANDPARENTS HAVE LIKE OSTEOARTHRITIS OR SOMETHING LIKE THAT THEY BUT THATS IT +audio/MSK0021.mp3[381.440,388.320] OK UHM HOW ABOUT LONGER HEART CONDITIONS +audio/MSK0021.mp3[388.320,391.440] NO NOTHING LIKE THAT +audio/MSK0021.mp3[391.440,397.240] OK AND ANY AUTOIMMUNE CONDITIONS +audio/MSK0021.mp3[397.240,399.800] NO I DONT BELIEVE SO +audio/MSK0021.mp3[399.800,403.960] NO OK HOW ABOUT CANCERS +audio/MSK0021.mp3[403.960,409.280] UH NO NO CANCERS IN THE FAMILY +audio/MSK0021.mp3[409.280,414.080] OK AND AND DO YOU SMOKE +audio/MSK0021.mp3[414.080,423.240] NO I I TRY TO STAY AWAY FROM THAT WITH ALL THE RUNNING AND STUFF THAT IM DOING IM UH I WANT TO MAKE SURE THAT IM ABLE TO TO IMPROVE +audio/MSK0021.mp3[423.240,428.920] YEAH FOR SURE AND HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM +audio/MSK0021.mp3[428.920,430.880] NO I DONT +audio/MSK0021.mp3[430.880,435.280] NO OK AND HOW ABOUT RECREATIONAL DRUGS +audio/MSK0021.mp3[435.280,438.960] NO I STAY AWAY FROM THAT STUFF TOO +audio/MSK0021.mp3[438.960,445.080] OK OK GOOD AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE RIGHT NOW +audio/MSK0021.mp3[445.080,456.960] SO I LIVE WITH A COUPLE OF ROOMMATES AT SCHOOL JUST FINISHING UP MY UNDERGRADUATE DEGREE +audio/MSK0021.mp3[456.960,464.440] OK OK UHM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/MSK0021.mp3[464.440,470.200] NO I DONT I DONT THINK SO EVERYBODYS BEEN BEEN HEALTHY +audio/MSK0021.mp3[470.200,473.120] OK OK AND TRAVEL ANYWHERE +audio/MSK0021.mp3[473.120,481.000] NO WEVE BEEN AT BEEN AT HOME +audio/MSK0021.mp3[481.000,506.280] OK OK UHM ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW IF THATS OK WITH YOU SO IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR KNEES AND LET ME KNOW IF YOU SEE MORE REDNESS OR SWELLING IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT +audio/MSK0021.mp3[506.280,509.640] UH NO IM NOT NOTICING ANY SWELLING +audio/MSK0021.mp3[509.640,512.280] DO YOU SEE ANY REDNESS +audio/MSK0021.mp3[512.280,515.960] NO NO REDNESS +audio/MSK0021.mp3[515.960,525.360] NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT KNEE +audio/MSK0021.mp3[525.360,527.320] NO NOTHING LIKE THAT +audio/MSK0021.mp3[527.320,539.800] NO OK IM GONNA GET YOU TO PRESS DOWN AND PALPATE ON YOUR QUADRICEPS ON BOTH KNEE SORRY ON BOTH THIGHS DO YOU FEEL ANY PAIN THERE +audio/MSK0021.mp3[539.800,542.080] UH NO PAIN THERE +audio/MSK0021.mp3[542.080,546.200] OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR KNEE CAPS +audio/MSK0021.mp3[546.200,553.160] YEAH I DO GET SOME PAIN WHEN I PUSH ON THE ON THE KNEECAP UHM ON MY LEFT KNEE +audio/MSK0021.mp3[553.160,559.120] OK HOW ABOUT JUST BELOW THAT WHERE YOUR SHINS START +audio/MSK0021.mp3[559.120,560.560] NO PAIN THERE +audio/MSK0021.mp3[560.560,563.520] NO PAIN THERE AND THEN HOW ABOUT ON THE LATERAL ASPECTS OF YOUR KNEE +audio/MSK0021.mp3[563.520,567.040] AH NO PAIN THERE +audio/MSK0021.mp3[567.040,569.680] AND THEN THE MEDIAL ASPECTS OF YOUR KNEE +audio/MSK0021.mp3[569.680,570.880] NO PAIN THERE +audio/MSK0021.mp3[570.880,582.920] NO PAIN THERE OK GOOD WHEN YOU ARE PALPATING WAS THERE A DIFFERENCE IN TEMPERATURE BETWEEN THE LEFT AND RIGHT KNEE WAS THE LEFT KNEE A LITTLE BIT MORE WARM THAN THE RIGHT KNEE +audio/MSK0021.mp3[582.920,585.720] NO THE TEMPERATURE FEELS THE SAME +audio/MSK0021.mp3[585.720,594.040] OK OK GOOD SO NOW IM GOING TO UHM ARE YOU SITTING DOWN +audio/MSK0021.mp3[594.040,595.000] I AM YES +audio/MSK0021.mp3[595.000,605.400] OK SO FROM A SITTING POSITION IM GOING TO GET YOU TO STAND UP UHM AND YOU LET ME KNOW IF THAT IS PAINFUL +audio/MSK0021.mp3[605.400,609.760] IT IS YEAH +audio/MSK0021.mp3[609.760,615.440] YEAH OK UHM AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES +audio/MSK0021.mp3[615.440,618.960] UHM NO NO PAIN WITH JUST BENDING +audio/MSK0021.mp3[618.960,630.760] OK HOW ABOUT WHEN YOU UH WHEN YOU FLEX YOUR HIPS SO YOU CAN DO ONE LEG AT A TIME DOES THAT HURT +audio/MSK0021.mp3[630.760,635.160] OH NO THAT DOESNT HURT +audio/MSK0021.mp3[635.160,640.440] OK AND HOW ABOUT SQUATTING DOWN +audio/MSK0021.mp3[640.440,643.720] THAT DOES HURT YEAH SQUATTING HURTS +audio/MSK0021.mp3[643.720,651.560] SQUATTING HURTS OK OK AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE CEILING +audio/MSK0021.mp3[651.560,652.680] NO PAIN +audio/MSK0021.mp3[652.680,656.520] OK HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE GROUND +audio/MSK0021.mp3[656.520,657.560] NO PAIN +audio/MSK0021.mp3[657.560,674.880] NO PAIN SO NO PAIN ON DORSIFLEXION OR PLANTER FLEXION OK DO YOU HEAR ANY LIKE POPPING OR CRACKLING SOUNDS IN YOUR KNEES WHEN YOU CLIMB STAIRS OR WHEN YOURE STANDING UP AFTER SITTING DOWN FOR A LONG TIME +audio/MSK0021.mp3[674.880,681.160] YEAH YEAH SOMETIMES I WILL HEAR UHM SOME SOME LIKE YEAH CRACKLING SOUNDS +audio/MSK0021.mp3[681.160,691.720] OK ALRIGHT AND YEAH YOU MENTIONED THAT YOU DO A LOT OF RUNNING DO YOU DO ANY OTHER SORTS OF EXERCISES +audio/MSK0021.mp3[691.720,705.840] YEAH ILL DO SOME WEIGHT LIFTING AND LIKE CYCLING AS WELL I MEAN ALL KINDS OF DIFFERENT STUFF WE JUST LIKE STAYING AS ACTIVE AS I CAN +audio/MSK0021.mp3[705.840,869.200] OK ALRIGHT YEAH GIVEN YOUR YOUNG AGE AND THE FACT THAT YOU DO A LOT OF RUNNING AND A LOT OF PHYSICAL ACTIVITY LIKE CYCLING AND LIFTING WEIGHTS WHAT YOU HAVE IS MOST LIKELY SOMETHING CALLED A PATELLOFEMORAL SYNDROME AND THAT IS BASICALLY A NERVE UH KIND OF PAIN AND THEN IN THE IN THE SOFT TISSUES AND BONE AROUND YOUR KNEECAP UHM AND ITS BASICALLY HAPPENS BECAUSE OF OVERUSE SO VIGOROUS PHYSICAL ACTIVITIES THAT PUT REPEATED STRESS ON YOUR KNEES LIKE RUNNING AND CYCLING UHM CAN CAUSE THAT OR JUST LIKE IMPROPER SPORTS TRAINING TECHNIQUES UHM WE CAN DO A FEW THINGS THAT THATLL HELP WITH THE PAIN SO FOR A LITTLE BIT IF YOU COULD HOLD OFF ON THE RUNNING THAT WOULD BE GOOD SO IN THE MEANTIME WHILE YOU WHILE YOU SWITCH TO LIKE LOW IMPACT ACTIVITIES WHETHER THATS LIKE RIDING A STATIONARY BIKE OR SWIMMING YOU CAN ALSO TRY SOMETHING CALLED THE RICE METHOD AND SO THAT STANDS FOR RESTING UHM SO AVOIDING PUTTING ANY STRAIN ON THAT KNEE USING ICE PACKS FOR SEVERAL DAYS COMPRESSION SO WRAPPING YOUR KNEE IN LIKE AN ELASTIC BANDAGE AS WELL AS ELEVATING YOUR KNEES HIGHER THAN YOUR THEN THE LEVEL OF YOUR CHEST CAN HELP AND THEN WITH THE SHARP PAIN YOU COULD ALSO ALSO TAKE IBUPROFEN FOR PAIN MANAGEMENT UHM YEAH SO WE CAN START THERE IF IT DOESNT GET BETTER WE CAN ALSO ORDER AN XRAY JUST TO RULE OUT OTHER THINGS THAT COULD HAVE CAUSED THIS PAIN IN YOUR KNEE AND IF NONE OF THOSE NONSURGICAL TREATMENTS WORK OH SORRY I ALSO FORGOT TO MENTION WILL ALSO REFER YOU TO PHYSIOTHERAPY TO HELP YOU WITH THE RANGE OF MOTION AND STRENGTH AND ENDURANCE BUT OF THOSE NON SURGICAL TREATMENTS WORK WELL ALSO REFER YOU TO LIKE AM ARTHROSCOPY OR SOME SORT OF SURGERY THAT MAY BE ABLE TO FIX THE ISSUE MORE PERMANENTLY DOES THAT SOUND OK +audio/MSK0021.mp3[869.200,872.320] IT DOES YEAH THANK YOU +audio/MSK0021.mp3[872.320,874.600] OK YEAH NO WORRIES +audio/RES0214.mp3[0.000,3.560] WHAT BROUGHT YOU IN TODAY +audio/RES0214.mp3[3.560,25.520] HI UM SO IVE HAD THIS TERRIBLE FEVER FOR THE PAST THREE DAYS UM AND JUST BEFORE THAT I HAD A STUFFY NOSE UM AND I HAD A SORE THROAT WELL I STILL DO UM AND ITS JUST NOT GOING AWAY SO I THOUGHT I SHOULD JUST COME IN AND SEE IF I HAVE COVID OR WHAT IT IS +audio/RES0214.mp3[25.520,30.160] OK SO IF I UNDERSTAND IT STARTED WITH A STUFFY NOSE +audio/RES0214.mp3[31.280,34.760] OK AND THAT KINDA PROGRESSED TO A FEVER +audio/RES0214.mp3[34.760,36.000] YES THATS RIGHT +audio/RES0214.mp3[36.000,40.760] OK HAVE YOU BEEN FEELING ANY OTHER SYMPTOMS ASIDE FROM THE FEVER +audio/RES0214.mp3[41.920,46.120] NOTHING REALLY HAVE YOU HAD ANY NAUSEA ANY VOMITING AT ALL IN THE LAST LITTLE WHILE +audio/RES0214.mp3[47.640,50.840] ANY PAIN ANYWHERE ELSE IN YOUR BODY +audio/RES0214.mp3[50.840,52.640] UH NO +audio/RES0214.mp3[52.640,55.320] OK DO YOU HAVE ANY NECK STIFFNESS +audio/RES0214.mp3[56.680,59.960] ANY HEADACHES +audio/RES0214.mp3[59.960,62.240] UM NO NO HEADACHES +audio/RES0214.mp3[62.240,66.720] OK AND HAVE YOU BEEN ABLE TO EAT AND DRINK DURING THIS TIME PERIOD +audio/RES0214.mp3[67.800,71.640] EXCELLENT OK YOUVE HAD A COUGH AT ALL +audio/RES0214.mp3[71.640,72.840] NO COUGH +audio/RES0214.mp3[72.840,81.240] NO COUGH OK AND THEN HOW ABOUT ABDOMINAL PAIN ANY PAIN IN YOUR TUMMY +audio/RES0214.mp3[81.240,82.640] UM NO +audio/RES0214.mp3[82.640,92.200] NOTHING LIKE THAT WHAT ABOUT OTHER CHANGES IN YOUR BODY HAVE YOU NOTICED ANY FEVERS OR ANY RASHES ANY SKIN CHANGES +audio/RES0214.mp3[92.200,94.440] UH NO NOTHING LIKE THAT +audio/RES0214.mp3[94.440,100.840] OK WHAT ABOUT ANY PAIN IN ANY OF YOUR JOINTS AND YOUR KNEES HIPS +audio/RES0214.mp3[100.840,109.480] OH ACTUALLY UM NOT IN MY JOINTS BUT IVE JUST THERE THERE HAS BEEN SOME MUSCLE ACHE +audio/RES0214.mp3[109.480,112.680] OK HOW LONG HAS THAT BEEN GOING ON FOR +audio/RES0214.mp3[112.680,115.640] UH FOR THE PAST TWO THREE DAYS +audio/RES0214.mp3[115.640,118.760] SO AROUND THE SAME TIME THAT YOUVE HAD THIS FEVER +audio/RES0214.mp3[121.280,123.760] THATS RIGHT +audio/RES0214.mp3[123.760,129.600] NOW HAVE YOU HAD ANY CONTACT WITH ANYONE WHOS BEEN SICK IN THE LAST LITTLE WHILE +audio/RES0214.mp3[129.600,133.320] UM NO NOT THAT I CAN THINK OF +audio/RES0214.mp3[133.320,137.960] OK HAVE YOU HAD ANY RECENT TRAVEL ANYWHERE ELSE +audio/RES0214.mp3[137.960,157.440] NO I DID GO HIKING UM LAST WEEKEND UM AND IT WAS ABOUT 2 HOURS AWAY UM THERE WERE SOME PEOPLE ON THE HIKING TRAIL THAT I PASSED BY BUT UM OTHER THAN THAT NO TRAVEL OUTSIDE THE PROVINCE +audio/RES0214.mp3[157.440,167.960] OK DOES ANYONE AROUND YOU OR IN YOUR IMMEDIATE CIRCLE COME DOWN WITH ANYTHING SIMILAR RECENTLY +audio/RES0214.mp3[167.960,175.320] UM MY HUSBAND HAS ALSO BEEN EXPERIENCING SIMILAR SYMPTOMS FOR THE PAST WEEK +audio/RES0214.mp3[175.320,177.480] OK HOWS HE DOING +audio/RES0214.mp3[177.480,180.960] UH THE SAME AS ME +audio/RES0214.mp3[180.960,184.080] OK AND HAVE YOU HAD ANY COVID SWABS RECENTLY +audio/RES0214.mp3[185.640,190.600] OK AND ASIDE FROM THE WEEKEND HIKE HAVE YOU BEEN MAINLY SELF ISOLATING OR +audio/RES0214.mp3[190.600,194.720] UH YEAH JUST ME AND MY HUSBAND AT HOME +audio/RES0214.mp3[194.720,197.720] OK AND DO YOU LEAVE THE HOUSE FOR WORK AT ALL +audio/RES0214.mp3[197.720,201.040] NO I WORK FROM HOME +audio/RES0214.mp3[201.040,210.840] OK SOUNDS GOOD SO YOU HAVE SOME MUSCLE ACHES LITTLE BIT OF FEVER STUFFY NOSE SORE THROAT DO YOU HAVE ANY DIFFICULTY SWALLOWING +audio/RES0214.mp3[210.840,213.560] UH NO IT JUST HURTS +audio/RES0214.mp3[213.560,216.920] OK SO YOURE STILL ABLE TO SWALLOW FOOD SWALLOW LIQUIDS +audio/RES0214.mp3[216.920,217.760] YES THATS RIGHT +audio/RES0214.mp3[217.760,223.000] IT DOESNT FEEL LIKE ANYTHING IS GOING DOWN THE WRONG WAY OR HAVE ANY COUGHING AFTER YOU SWALLOW +audio/RES0214.mp3[226.040,237.320] OK AND JUST IN TERMS OF COMING BACK TO THIS SORE THROAT DO YOU FEEL LIKE YOU HAVE ANY SWELLING AROUND YOUR NECK DOES IT FEEL INFLAMED OR SWOLLEN +audio/RES0214.mp3[238.560,239.640] NOTHING LIKE THAT +audio/RES0214.mp3[240.640,248.880] OK ALRIGHT EXCELLENT SO YOURE EATING WELL DOING WELL ANY CHANGES TO YOUR BOWEL MOVEMENTS RECENTLY +audio/RES0214.mp3[248.880,255.560] UH NO NO +audio/RES0214.mp3[255.560,264.880] OK ALRIGHT ILL JUST KIND OF GO INTO OTHER THINGS JUST IN TERMS OF ANYTHING ELSE THAT YOU MIGHT HAVE HAD IN THE PAST UH HAVE YOU EVER BEEN HOSPITALIZED FOR ANY REASON IN YOUR LIFE +audio/RES0214.mp3[264.880,269.880] I HAD MY GALLBLADDER TAKEN OUT FIVE YEARS AGO +audio/RES0214.mp3[269.880,273.520] OK SO THAT WAS AROUND WHEN YOU WERE 50 YEARS OLD +audio/RES0214.mp3[273.520,278.520] UH YES +audio/RES0214.mp3[278.520,282.680] OK AND ANY OTHER SURGERIES YOUVE HAD IN YOUR LIFE +audio/RES0214.mp3[282.680,284.440] UH NO +audio/RES0214.mp3[284.440,290.600] NO ANYTHING YOUVE HAD TO SEE A DOCTOR FOR +audio/RES0214.mp3[290.600,309.360] UM I IN THE PAST COUPLE OF YEARS UH JUST FOR THINGS LIKE LIKE THIS I GUESS UM COLDS UM IM PRE DIABETIC SO IVE BEEN CHECKING MY GLUCOSE LEVELS YEAH OTHER THAN THAT NOTHING ELSE +audio/RES0214.mp3[309.360,315.360] SO NO HIGH BLOOD PRESSURE +audio/RES0214.mp3[316.160,318.000] NO CHOLESTEROL ISSUES +audio/RES0214.mp3[319.240,322.160] OK SO IT SOUNDS LIKE YOUVE BEEN PRETTY HEALTHY OTHERWISE +audio/RES0214.mp3[323.080,328.440] EXCELLENT OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OTHERWISE +audio/RES0214.mp3[329.640,335.240] PENICILLIN WHAT HAPPENS WHEN YOU TAKE PENICILLIN +audio/RES0214.mp3[335.240,338.120] UM I GET A RASH +audio/RES0214.mp3[338.120,340.600] OK ANY TROUBLE BREATHING +audio/RES0214.mp3[341.320,345.320] AND WHAT MEDICATIONS IF ANY ARE YOU ON +audio/RES0214.mp3[345.320,352.720] UM IM I JUST TAKE MULTIVITAMINS THATS IT THOUGH +audio/RES0214.mp3[352.720,364.720] AND YOU SAID YOU LIVED WITH YOUR HUSBAND IN A HOUSE UM IN LONDON +audio/RES0214.mp3[364.720,366.680] UM YES THATS RIGHT +audio/RES0214.mp3[366.680,368.000] WHAT DO YOU TWO DO FOR WORK +audio/RES0214.mp3[368.000,378.360] SO I WORK FROM HOME AS A DIGITAL MARKETING AGENT AND MY HUSBAND IS A COMPUTER PROGRAMMER +audio/RES0214.mp3[378.360,385.000] OK AND DO YOU SMOKE +audio/RES0214.mp3[385.400,387.320] DO YOU DRINK ALCOHOL +audio/RES0214.mp3[387.320,390.240] UH I DRINK ONCE ONCE IN A WHILE +audio/RES0214.mp3[390.240,393.880] OK AND WHEN YOU DRINK HOW MANY DRINKS DO YOU HAVE +audio/RES0214.mp3[393.880,397.080] UM ABOUT ONE OR TWO GLASSES OF WINE +audio/RES0214.mp3[397.080,401.240] GOT IT ANY OTHER RECREATIONAL DRUGS SUBSTANCES +audio/RES0214.mp3[401.240,405.080] UM NO +audio/RES0214.mp3[405.080,407.120] SO NO MARIJUANA HEROIN COCAINE +audio/RES0214.mp3[407.120,413.800] IVE TRIED MARIJUANA BEFORE JUST LIKE EDIBLES BUT NOT NOT REGULARLY +audio/RES0214.mp3[413.800,417.200] UNDERSTOOD AND HAVE YOU EVER USED IV DRUGS +audio/RES0214.mp3[421.440,426.160] OK AND WHEN WAS YOUR LAST MENSTRUAL PERIOD +audio/RES0214.mp3[426.160,429.360] IT WAS UM A YEAR AGO +audio/RES0214.mp3[429.360,430.120] A YEAR AGO +audio/RES0214.mp3[438.360,451.760] OK AND THEN OTHERWISE SO WE TALKED A LITTLE BIT ABOUT RECENT TRAVEL IT SOUNDS LIKE YOU HAVE THE HIKING TRIP LAST WEEK AND YOU PASSED SOME PEOPLE BUT IT SOUNDS LIKE YOUR HUSBAND ALSO HAS KIND OF SIMILAR SYMPTOMS THAT YOU DO RIGHT NOW +audio/RES0214.mp3[452.240,473.080] SOUNDS GOOD NOW WEVE ALREADY TALKED ABOUT KIND OF PAST MEDICAL ISSUES MOVING ON I THINK WHAT WELL DO NEXT IS MOVE ON TO A PHYSICAL EXAM BUT BEFORE I DO THAT DO YOU HAVE ANY QUESTIONS FOR ME ANYTHING ELSE YOU FEEL I SHOULD KNOW +audio/RES0214.mp3[473.080,476.240] NO DO YOU THINK I HAVE COVID +audio/RES0214.mp3[476.240,513.920] ITS A POSSIBILITY ITS ALWAYS GOOD TO RULE THESE THINGS OUT SO WELL BE ORDERING A COVID SWAB NO MATTER WHAT OBVIOUSLY WITH ANY PRESENTATION WHERE WE HAVE SOMEONE COME IN WITH A FEVER AND SORE THROAT WE WANT TO RULE OUT ANYTHING INFECTIOUS SO IT SOUNDS LIKE IF YOUR HUSBAND GOT IT AND YOU HAVE IT COVID WOULD BE OUR FIRST THING THAT WE WANT TO RULE OUT SO JUST WHILE WERE TRYING TO INVESTIGATE WORK THIS UP FURTHER I WANT TO HAVE YOU AND YOUR HUSBAND SELF ISOLATE THE OTHER QUESTION I SUPPOSE I SHOULD ASK IS HAVE YOU GOTTEN YOUR FLU SHOT THIS YEAR +audio/RES0214.mp3[513.920,515.160] NO I HAVENT +audio/RES0214.mp3[515.160,527.240] SO ITS ALSO A POSSIBILITY IT MIGHT BE INFLUENZA JUST THE SEASONAL FLU BUT UNTIL WE I SUPPOSE RULE OUT COVID ITD BE BEST JUST TO KEEP TO YOURSELF JUST IN CASE YOU ARE INFECTIOUS FOR THE MEANWHILE +audio/RES0214.mp3[527.240,528.960] OK SURE +audio/RES0214.mp3[528.960,533.960] ALRIGHT WELL IM GOING TO GO TALK TO THE DOCTOR AND ILL BE COMING BACK IN TO SEE YOU OK +audio/RES0214.mp3[533.960,535.600] ALRIGHT GREAT THANK YOU +audio/RES0214.mp3[535.600,537.160] TAKE CARE +audio/RES0114.mp3[0.000,2.680] SO WHAT BRINGS YOU IN +audio/RES0114.mp3[2.680,20.520] YEAH SO UM I JUST CAME IN BECAUSE UH SO I I HAVE THIS COUGH THATS BEEN GOING ON FOR THE LAST FIVE YEARS BUT OVER THE LAST MONTH ITS REALLY BEEN GETTING WORSE UM AND LIKE LAST WEEK I IVE JUST BEEN CONSTANTLY COUGHING SO YEAH I WAS JUST A BIT CONCERNED +audio/RES0114.mp3[20.520,28.760] YEAH OK SO YOU SAID THE PAST COUPLE OF YEARS YOUVE BEEN COUGHING SO HOW MANY YEARS EXACTLY WOULD THAT BE TWO THREE FOUR +audio/RES0114.mp3[28.760,36.200] PROBABLY FIVE I WOULD SAY AND I WAS DIAGNOSED WITH UH COPAROUND THAT TIME +audio/RES0114.mp3[36.200,45.720] OK OK UM THE COUGH THAT YOU CURRENTLY HAVE UM IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEGM +audio/RES0114.mp3[45.720,51.200] UH IM PRETTY MUCH ALWAYS BRINGING UP LIKE THIS UH WHITE MATERIAL +audio/RES0114.mp3[51.200,59.720] WHITE OK UM AND IS IT CONSTANT THROUGHOUT THE DAY OR DO YOU FIND IT COMES AND GOES +audio/RES0114.mp3[59.720,79.360] ITS PRETTY MUCH THERE ALL THE TIME BUT UH ITS DEFINITELY GETTING WORSE UM IT IS I THINK THE WORST IN THE MORNING UM WHEN I WAKE UP AND I JUST FEEL LIKE THERES JUST A BUNCH OF GUNK STUCK IN THE BACK OF MY THROAT +audio/RES0114.mp3[79.360,87.680] OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS HARSH BARKY MUFFLED +audio/RES0114.mp3[87.680,89.280] I WOULD SAY ITS HARSH +audio/RES0114.mp3[89.280,99.880] HARSH OK AND HAS THE QUALITY OF YOUR COUGH CHANGED AT ALL IN THE PAST FEW YEARS LIKE DOES IT SOUND DIFFERENT THAN IT USED TO +audio/RES0114.mp3[99.880,116.600] UM I DONT KNOW IF IT SOUNDS DIFFERENT BUT UH ESPECIALLY FOR THE LAST MONTH I WOULD SAY IM BRINGING UP MORE OF THE MATERIAL AND ITS USUALLY WHITE OVER THE FIVE YEARS BUT UM I NOTICED UH IN THE LAST WEEKISH ITS HAD A YELLOWISH TINGE TO IT AS WELL +audio/RES0114.mp3[116.600,125.720] OK OK SO ITS CHANGED A LITTLE BIT UM AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH WITH THIS +audio/RES0114.mp3[125.720,143.840] NO I I DONT THINK SO LIKE I SOMETIMES WHEN IM WALKING AROUND UH DOING MORE STUFF UH WORKING IN THE GARDEN LIKE I FEEL LIKE I MIGHT HAVE TO BREATHE A LITTLE BIT HARDER BUT UH NOT REGULARLY +audio/RES0114.mp3[143.840,148.760] OK OK THATS GOOD UM AND ANY WHEEZING +audio/RES0114.mp3[148.760,162.520] UH YEAH ITS LIKE USUALLY I START COUGHING A LOT MORE WHEN IM STARTING TO DO ANY KIND OF ACTIVITIES AND SOMETIMES WHEN I START COUGHING MORE I ALSO START WHEEZING UM BUT UH RIGHT NOW IM FINE +audio/RES0114.mp3[162.520,172.920] YOURE FINE NOW OK UH ALRIGHT AND SORRY FORGOT TO ASK YOU EARLIER DO YOU SEE ANY BLOOD IN YOUR PHLEGM +audio/RES0114.mp3[172.920,175.840] NO NO I HAVENT NOTICED ANY BLOOD +audio/RES0114.mp3[175.840,182.080] OK ANY UH CHANGES TO YOUR HAIR OR ON YOUR SKIN LIKE RASHES +audio/RES0114.mp3[182.080,185.320] NOT THAT IVE NOTICED NO +audio/RES0114.mp3[185.320,187.000] OK ANY WEIGHT LOSS +audio/RES0114.mp3[187.000,191.000] UM I DONT THINK SO +audio/RES0114.mp3[191.000,194.680] OK FEVERS +audio/RES0114.mp3[198.760,199.560] OK EXHAUSTION +audio/RES0114.mp3[199.560,203.680] UM YEAH I WOULD SAY LIKE FOR THE LAST FEW MONTHS I AM A BIT MORE TIRED +audio/RES0114.mp3[203.680,209.280] MHMM OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING +audio/RES0114.mp3[209.280,211.960] NO I HAVENT EXPERIENCED THAT +audio/RES0114.mp3[211.960,215.400] HOW ABOUT A STUFFY NOSE RUNNY NOSE +audio/RES0114.mp3[215.400,218.680] UH NO NOT REALLY +audio/RES0114.mp3[218.680,224.320] NO OK HOW ABOUT CHANGES TO YOUR SMELL OR TASTE +audio/RES0114.mp3[224.320,226.280] UH NOPE +audio/RES0114.mp3[226.280,230.360] NO OK UH CHEST PAIN +audio/RES0114.mp3[230.360,236.520] NOT CHEST PAIN BUT WHEN I GET INTO THOSE COUGHING FITS SOMETIMES IT FEELS JUST REALLY TIGHT IN MY CHEST +audio/RES0114.mp3[236.520,237.240] OH YEAH +audio/RES0114.mp3[237.240,241.360] BUT IT TENDS TO GO AWAY WITH UH JUST SOME REST +audio/RES0114.mp3[241.360,252.240] OH OK OK UM HOW ABOUT PALPITATIONS LIKE FEELING LIKE YOUR HEART IS RACING +audio/RES0114.mp3[252.240,254.640] UH NO I DONT THINK SO +audio/RES0114.mp3[254.640,262.200] NO OK HOW ABOUT SOME SWELLING IN YOUR LIMBS +audio/RES0114.mp3[262.200,278.880] I I DID NOTICE LIKE UH A LITTLE BIT OF SWELLING IN MY UH BOTH MY LIKE RIGHT BY MY ANKLES MY SHOES LIKE LIKE EVEN WHEN I WEAR MY SOCKS IT LIKE LEAVES LITTLE MARKS AND THEN UH I JUST FEEL MY LIKE MY SHOES ARE TIGHTER +audio/RES0114.mp3[278.880,282.600] OK OK AND HOW LONG HAS THAT BEEN GOING ON +audio/RES0114.mp3[282.600,295.920] PROBABLY UH IVE HAD THIS ISSUE FOR LIKE A PRETTY LONG TIME UM PROBABLY I WOULD SAY THE LAST YEAR AT LEAST +audio/RES0114.mp3[295.920,302.640] OK OK LAST YEAR UM ANY UH DIZZINESS OR FAINTING SPELLS +audio/RES0114.mp3[303.560,308.720] NO OK ANY MEMORY ISSUES UH CONFUSION +audio/RES0114.mp3[309.600,312.680] NUMBNESS OR TINGLING +audio/RES0114.mp3[312.680,313.920] NO NOTHING LIKE THAT +audio/RES0114.mp3[313.920,316.920] NO HEADACHES +audio/RES0114.mp3[316.920,318.320] UH NO NO HEADACHES +audio/RES0114.mp3[318.320,321.760] CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0114.mp3[321.760,326.760] NO I TEND TO GO LIKE ONCE A DAY AND YEAH ITS PRETTY NORMAL +audio/RES0114.mp3[326.760,329.720] OK UH NAUSEA OR VOMITING +audio/RES0114.mp3[331.360,340.160] NO OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING CONDITIONS I KNOW YOU SAID YOU HAVE COPANYTHING ELSE +audio/RES0114.mp3[340.160,342.560] I DO HAVE HIGH BLOOD PRESSURE +audio/RES0114.mp3[342.560,349.400] OK DO YOU HAVE SOMETHING CALLED CONGESTIVE HEART FAILURE +audio/RES0114.mp3[349.400,351.760] UH NO WHATS THAT +audio/RES0114.mp3[351.760,365.640] OK ITS WHEN UM YOUR HEARTS NOT PUMPING AS MUCH AS IT SHOULD BE UM SO YOU GET SOME BACKUP OF FLUID I ASK BECAUSE YOU YOU MENTIONED THAT YOU UM WERE HAVING SOME SWELLING IN YOUR LEGS +audio/RES0114.mp3[365.640,377.960] OH I YEAH I I YEAH I DIDNT KNOW ANYTHING ABOUT THAT I JUST THOUGHT THAT WAS UH ITS BEEN GOING ON FOR A WHILE NOW AND DIDNT REALLY BOTHER ME TOO MUCH +audio/RES0114.mp3[377.960,384.600] OK UM ALRIGHT AND ARE YOU TAKING ANY MEDICATIONS +audio/RES0114.mp3[384.600,389.440] YEAH I HAVE THIS MEDICATION UH RIGHT NOW IM TAKING IT ITS CALLED LISINOPRIL +audio/RES0114.mp3[389.440,391.800] OK SO THATS FOR YOUR BLOOD PRESSURE +audio/RES0114.mp3[392.600,395.360] OK ARE YOU ON ANY PUFFERS SORRY GO AHEAD +audio/RES0114.mp3[395.360,411.760] YES IM ON NO WORRIES IM ON UM UH TWO PUFFERS RIGHT NOW ONE OF THEM IS LIKE JUST ONE THAT I USE WHEN I REALLY NEED IT AND THEN UM THERES ANOTHER ONE SO I THINK THATS LIKE THE VENTOLIN PUFFER +audio/RES0114.mp3[412.640,416.880] AND THEN THE OTHER ONE IS CALLED I THINK ITS CALLED SPIRIVA +audio/RES0114.mp3[416.880,423.960] OK OK PERFECT AND ARE YOUR PUFF PUFFERS GIVING YOU ANY RELIEF AT ALL FROM THE COUGHING FITS +audio/RES0114.mp3[423.960,430.280] YEAH IVE BEEN USING THE VENTOLIN UH MORE AND IT IT DOES SEEM TO HELP +audio/RES0114.mp3[430.280,437.240] OK OK UH DO YOU FIND THEYRE NOT WORKING AS MUCH AS THEY USED TO THOUGH +audio/RES0114.mp3[437.240,459.280] YEAH I FEEL LIKE UH BEFORE I DIDNT REALLY LIKE IT JUST LAST YEAR I DIDNT REALLY HAVE TO TAKE IT TOO MUCH UM LIKE EVEN WHEN I USE THE PUFFER I START GETTING COUGHING LIKE MAYBE HALF AN HOUR LATER AND SO ITS NOT I DONT THINK ITS AS EFFECTIVE +audio/RES0114.mp3[459.280,463.520] OK YEAH UM OK AND HAVE YOU HAD ANY RECENT BLOOD WORK DONE +audio/RES0114.mp3[463.520,469.000] UH NO I HAVENT BEEN TO THE DOCTOR FOR A WHILE +audio/RES0114.mp3[469.000,476.000] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0114.mp3[476.000,482.800] UM I THINK I HAVE ALLERGIES TO UH LIKE UM AMOXICILLIN I GOT LIKE A RASH ONCE +audio/RES0114.mp3[482.800,490.040] OK HAVE YOU HAD ANY UH AMOXICILLIN OR LIKE PENICILLIN TYPE ANTIBIOTICS RECENTLY +audio/RES0114.mp3[492.240,497.920] NO OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0114.mp3[499.480,516.040] OK UM YOURE NOT QUITE AT THIS AGE RANGE YET BUT UH WE DO RECOMMEND THE PNEUMOCOCCAL VACCINE WHEN YOU TURN 65 AND UM DID YOU GET THE FLU VACCINE THIS YEAR +audio/RES0114.mp3[516.040,523.080] UH YEAH I DID WITH THE PANDEMIC GOING ON I USUALLY DONT GET IT BUT I GOT IT THIS YEAR +audio/RES0114.mp3[523.080,528.120] OK GOOD GOOD UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0114.mp3[528.120,542.080] UHM LUNG CONDITIONS I DONT THINK SO HEART CONDITIONS UH MY FATHER DID HAVE A HEART ATTACK IN HIS 60S BUT HES FINE HES HES LIVING RIGHT NOW +audio/RES0114.mp3[542.080,546.040] OK OK ANY CANCERS +audio/RES0114.mp3[546.040,553.880] CANCERS I THINK MY UNCLE FROM MY FATHERS SIDE UM HAD UH BLADDER CANCER +audio/RES0114.mp3[553.880,560.200] OK OK UM DO YOU SMOKE +audio/RES0114.mp3[560.200,564.520] I USED TO SMOKE UM I JUST QUIT A FEW YEARS AGO +audio/RES0114.mp3[564.520,569.120] OK CONGRATS UM HOW MUCH DID YOU USED TO SMOKE +audio/RES0114.mp3[569.120,580.160] UHM I DONT KNOW PROBABLY I WENT THROUGH A LIKE A WHOLE PACK EVERY DAY I WOULD SAY FOR AT LEAST 30 YEARS OF MY LIFE +audio/RES0114.mp3[580.160,587.600] OK OK UM SO ITS GOOD THAT YOU STOPPED UM DO YOU TAKE ANY OTHER RECREATIONAL DRUGS +audio/RES0114.mp3[587.600,590.880] UH NO NOTHING LIKE THAT +audio/RES0114.mp3[590.880,596.520] NO OK HOW ABOUT ALCOHOL DO YOU DRINK +audio/RES0114.mp3[596.520,599.560] UH I DRINK EVERY LIKE MAYBE A BEER A DAY +audio/RES0114.mp3[599.560,602.720] OK UM ARE YOU UM LIVING WITH ANYONE RIGHT NOW +audio/RES0114.mp3[602.720,605.760] YEAH ITS JUST UH ME AND MY WIFE +audio/RES0114.mp3[605.760,612.280] OK WHERE DO YOU GUYS LIVE +audio/RES0114.mp3[612.280,620.600] UH WE JUST LIVE UH OUTSIDE OF THE CITY IN IN A CONDOMINIUM +audio/RES0114.mp3[620.600,627.480] OK ANY UH OLD CARPETS MOLD DUST ASBESTOS ANYTHING LIKE THAT IN THE CONDO +audio/RES0114.mp3[627.480,629.880] NO ITS PRETTY WELL MAINTAINED +audio/RES0114.mp3[629.880,635.320] OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY +audio/RES0114.mp3[635.320,644.000] NO IVE MAINLY JUST BEEN TRYING TO STAY INSIDE I WORK FROM HOME TOO SO HAVENT REALLY BEEN SEEING ANYONE +audio/RES0114.mp3[644.000,654.800] OK THATS GOOD AND UM TRAVEL TO ANYWHERE RECENTLY OUTSIDE THE PROVINCE +audio/RES0114.mp3[654.800,660.760] UHM OUTSIDE OF THE PROVINCE NO NOT NOT FOR LIKE THE LAST YEAR AT LEAST +audio/RES0114.mp3[660.760,671.360] OK OK UM SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME +audio/RES0114.mp3[671.360,679.800] UM YEAH I WAS JUST WONDERING LIKE WHAT YOU THINK IT MIGHT BE +audio/RES0114.mp3[679.800,775.920] YEAH SO IT DEFINITELY SOUNDS LIKE A COPEXACERBATION BUT BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL TAKE A SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UM AND YOU CAN YOU CAN SELF ISOLATE FOR 14 DAYS UM AND IF ITS POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO UM DO SOME CONTACT TRACING BUT IN THE MEANTIME WELL ALSO DO A WORK UP FOR THE COPEXACERBATION UM IT SEEMS LIKE YOU HAVE TAKEN THE CORRECT STEPS SO FAR IN LIKE STOPPING LIKE STOPPING YOUR SMOKING AND UM TAKING YOUR PUFFERS AS NEEDED UM SO RIGHT NOW WE WILL CONTINUE USING THE PUFFERS THAT YOU HAVE AND IF YOU DONT ALREADY HAVE A LONG ACTING BETA AGONIST WELL GIVE YOU THAT AS WELL AS IF ITS LIKE IF IT GETS REALLY SEVERE WELL ALSO GIVE YOU SOME INHALED CORTICOSTEROIDS UM AND WELL ALSO CHECK YOUR OXYGEN SATURATION TO MAKE SURE ITS OVER UH 88 UM AND WELL GIVE YOU OXYGEN IF YOU NEED IT UM AS WELL SOME ANTIBIOTICS TO CONSIDER YOU MENTIONED THAT YOU WERE ALLERGIC TO AMOXICILLIN SO WE MIGHT GIVE YOU LIKE A MACROLIDE LIKE AZITHROMYCIN FOR NOW UM AND HOPEFULLY YOUR SYMPTOMS SUBSIDE AND WE CAN GET YOU HOME HOW DOES THAT SOUND +audio/RES0114.mp3[775.920,778.640] OK THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0114.mp3[778.640,784.840] YEAH NO PROBLEM AND I FORGOT SORRY WELL ALSO PROBABLY DO LIKE A CHEST X RAY AND A PULMONARY FUNCTION TEST +audio/RES0114.mp3[784.840,786.680] OK SOUNDS GOOD +audio/RES0114.mp3[786.680,788.720] YEAH NO PROBLEM +audio/RES0130.mp3[0.000,2.200] WHAT BRINGS YOU IN +audio/RES0130.mp3[2.200,17.720] YEAH IVE HAD UH A COUGH THATS BEEN UM BUGGING ME FOR THE LAST SEVERAL MONTHS NOW AND MORE RECENTLY IVE NOTICED THAT IVE STARTED TO BRING UP A BIT MORE OR A LITTLE BIT OF BLOOD AS WELL +audio/RES0130.mp3[17.720,30.640] OKAY WELL THATS NOT GOOD SO YOU SAID THE COUGH STARTED SEVERAL MONTHS AGO HOW MANY MONTHS AGO DO YOU THINK LIKE THREE FOUR FIVE +audio/RES0130.mp3[30.640,50.000] UH YEAH I WOULD SAY YEAH MAYBE LIKE LIKE FIVE OR SIX AND IT KIND OF STARTED UM IT WAS REALLY INFREQUENT AND SO IT DIDNT REALLY WELL I THOUGHT IT WAS JUST THE USUAL SMOKING BUT ITS BEEN GETTING WORSE OVER THESE LAST OVER THESE PAST SIX MONTHS +audio/RES0130.mp3[50.000,58.760] OKAY AND UM THE BLOOD IN THE COUGH WHEN DID THAT START +audio/RES0130.mp3[58.760,63.720] SO THAT STARTED ABOUT UH ABOUT TWO WEEKS AGO +audio/RES0130.mp3[63.720,75.840] TWO WEEKS AGO OKAY UM HOW MUCH BLOOD ARE YOU COUGHING UP LIKE IF UH LIKE IS IT THE SIZE OF YOUR PALM IS IT MORE THAN THAT LESS THAN THAT +audio/RES0130.mp3[75.840,88.440] UH I WOULD SAY LESS THAN THAT LIKE EACH TIME THERES MAYBE TO ABOUT THE SIZE OF I DONT KNOW UH LIKE A LOONEY SO LIKE INSIDE OF THE PALM +audio/RES0130.mp3[88.440,94.600] OKAY SURE UM AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH YOUR COUGH +audio/RES0130.mp3[94.600,125.520] YEAH NOW THAT YOU MENTION IT I HAVE BEEN ITS UH YOU KNOW I THOUGHT THAT WAS JUST KIND OF ME GETTING OLDER AND THE SMOKING BUT IVE CERTAINLY BEEN ABLE I HAVENT BEEN ABLE TO WALK AS FAR AND EVEN UH TO THE END OF THE DRIVEWAY GETTING THE MAIL NOW IS IS PRETTY ILL GET SHORT OF BREATH BEFORE I USED TO BE ABLE TO WALK A LOT FURTHER THAN THAT JUST A COUPLE OF YEARS AGO +audio/RES0130.mp3[125.520,131.920] YEAH FOR SURE UM AND SORRY YOU SAID YOU MENTIONED YOU MENTIONED YOU HAD SOME WHEEZING AS WELL RIGHT +audio/RES0130.mp3[131.920,136.240] UM I HAVENT REALLY HAD ANY NOTICED ANY WHEEZING +audio/RES0130.mp3[136.240,141.840] NO OKAY UM AND HAVE YOU HAD A FEVER RECENTLY +audio/RES0130.mp3[143.160,149.160] WEIGHT LOSS +audio/RES0130.mp3[149.160,158.040] UM YEAH NOW THAT YOU MENTION IT MAYBE MAYBE A LITTLE BIT LIKE 5 TO 10 POUNDS OVER THE LAST THE LAST MONTH +audio/RES0130.mp3[158.040,166.200] LAST MONTH OKAY UM ANY CHILLS FEVER SORRY CHILLS OR NIGHT SWEATS +audio/RES0130.mp3[166.200,173.240] NO UM NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0130.mp3[173.240,178.080] OKAY ANY RASHES +audio/RES0130.mp3[178.360,182.440] CHANGES IN YOUR VISION OR HEARING +audio/RES0130.mp3[183.600,187.880] UM HOW ABOUT A STUFFY OR RUNNY NOSE +audio/RES0130.mp3[187.880,192.680] NO I HAVENT HAD ANY SYMPTOMS LIKE THAT +audio/RES0130.mp3[192.680,197.480] OKAY UM AND THEN CHANGE IN YOUR SMELL OR TASTE +audio/RES0130.mp3[197.480,201.040] NO THATS BEEN NORMAL +audio/RES0130.mp3[201.040,205.440] OKAY AND HOW ABOUT CHEST PAIN +audio/RES0130.mp3[205.440,209.000] NO I HAVENT HAD ANY CHEST PAIN +audio/RES0130.mp3[209.000,212.960] OKAY UM AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0130.mp3[212.960,215.440] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0130.mp3[215.440,223.680] OKAY HOW ABOUT CALF PAIN WHEN YOU WALK LIKE MORE THAN A BLOCK OR TWO +audio/RES0130.mp3[223.680,226.600] NO I HAVENT HAD ANY SYMPTOMS LIKE THAT +audio/RES0130.mp3[226.600,231.560] OKAY ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0130.mp3[231.560,233.880] NO THINGS HAVE BEEN NORMAL THERE +audio/RES0130.mp3[233.880,237.640] OKAY ANY NAUSEA OR VOMITING +audio/RES0130.mp3[239.000,241.320] UH CHANGES TO YOUR URINE +audio/RES0130.mp3[242.480,245.200] NO UH HEADACHES +audio/RES0130.mp3[245.200,252.520] EVERY ONCE IN A WHILE ILL GET A HEADACHE BUT ITS THEYRE PRETTY MILD USUALLY ILL TAKE AN ADVIL AND THEY GO AWAY +audio/RES0130.mp3[252.520,258.760] SURE UM HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0130.mp3[258.760,264.880] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0130.mp3[264.880,268.680] OKAY UM ANY CONFUSION OR MEMORY LOSS +audio/RES0130.mp3[268.680,276.840] UH I GUESS I UM FORGET THINGS A LITTLE MORE EASILY NOW BUT THATS JUST PART OF GETTING OLDER +audio/RES0130.mp3[276.840,291.200] OKAY SURE UM AND THEN OTHER QUESTIONS I HAVE FOR YOU ARE UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MAJOR MEDICAL MEDICAL CONDITIONS +audio/RES0130.mp3[291.200,309.320] UH I HAVE ARTHRITIS UM IN MY KNEES AND UH HANDS UM SO I HAVE A LOT OF PAIN FROM THAT SOMETIMES AND I ALSO HAVE HIGH BLOOD PRESSURE AND UM GER +audio/RES0130.mp3[311.520,314.080] OR ACID REFLUX YEAH +audio/RES0130.mp3[314.080,318.840] SURE DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS +audio/RES0130.mp3[318.840,332.400] UM YEAH ILL TAKE TYLENOL UM FOR THE ARTHRITIS AND SOMETIMES USE SOME LIKE TOPICAL CREAMS FOR MY KNEES UM AND UH I I TAKE AMLODIPINE AS WELL I THINK FOR THE BLOOD PRESSURE +audio/RES0130.mp3[332.400,340.400] OKAY OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0130.mp3[340.400,358.480] YEAH YEAH I REMEMBER GETTING ONE NOT TOO LONG AGO ACTUALLY WELL SEVEN YEARS AGO I GUESS NOW BUT I DIDNT REALIZE THAT WE UH HAD TO GET ANYMORE +audio/RES0130.mp3[358.480,368.640] UM SO YEAH AFTER YOU TURN 65 THEY SHOULDVE GIVEN YOU THE SHINGRIX FOR SHINGLES AND PNEUMOCOCCAL VACCINE DOES THAT SOUND FAMILIAR +audio/RES0130.mp3[368.640,373.120] YEAH IT DOES YEAH I JUST DIDNT KNOW ABOUT THEM UNTIL THAT TIME +audio/RES0130.mp3[373.120,379.240] OKAY YEAH SURE ANY ALLERGIES THAT YOU HAVE +audio/RES0130.mp3[379.240,381.400] UH I DONT THINK SO +audio/RES0130.mp3[381.400,384.960] NO HOW ABOUT FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0130.mp3[384.960,398.040] MY UH GRANDFATHER HAD HAD LUNG CANCER AND HE WAS IN HIS UH 70S WHEN HE WHEN HE PASSED AWAY I REMEMBER +audio/RES0130.mp3[398.040,405.120] OKAY OKAY AND DO YOU CURRENTLY SMOKE +audio/RES0130.mp3[405.120,419.160] I DO YES YEAH I I SMOKE UM I DONT KNOW MAYBE HALF A PACK A DAY NOW WHICH IS ITS A LOT LESS THAN I USED TO I WAS SMOKING TWO PACKS A DAY AT ONE POINT +audio/RES0130.mp3[419.160,433.080] OKAY WELL CONGRATULATIONS ON CUTTING DOWN UM YEAH IF YOU NEED HELP CUTTING THAT DOWN EVEN MORE LET US KNOW WE HAVE RESOURCES THAT YOU MAY BE ABLE TO USE +audio/RES0130.mp3[433.080,437.120] YEAH ABSOLUTELY THANK YOU +audio/RES0130.mp3[437.120,444.120] YEAH NO PROBLEM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT +audio/RES0130.mp3[444.120,454.240] YEAH SINCE I OH CBDROPS I AT NIGHT I FIND THAT HELPS WITH UH SLEEP AND AND THE PAIN IN MY KNEES +audio/RES0130.mp3[454.240,458.600] OH OKAY ARE THOSE PRESCRIBED DROPS +audio/RES0130.mp3[458.600,466.840] UM WELL I DO BUY I GET THEM FROM UH LIKE THE UH THE OCS STORE I THINK THEYRE CALLED +audio/RES0130.mp3[466.840,474.960] OKAY YEAH OKAY THATS GOOD THAT YOURE GETTING THEM FROM LIKE AN OFFICIAL STORE +audio/RES0130.mp3[474.960,489.920] YEAH THEYRE FOR THEY WERE UH MY FRIEND SAID THAT THEY WORKED FOR HER AND SO I JUST GAVE THEM A TRY AND I I FOUND THAT THEYVE HELPED +audio/RES0130.mp3[489.920,492.360] OKAY GOOD UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH +audio/RES0130.mp3[492.360,500.600] YEAH SO I LIVE IN UH IN AN APARTMENT WITH MY WITH MY HUSBAND +audio/RES0130.mp3[500.600,509.400] OKAY AND ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS IN THIS APARTMENT +audio/RES0130.mp3[509.400,517.640] NO I DONT BELIEVE SO ITS RELATIVELY NEW WE JUST MOVED OUT OF OUR HOUSE UH JUST TO MAKE IT A LITTLE EASIER ON US +audio/RES0130.mp3[517.640,528.960] OKAY YEAH FOR SURE UM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0130.mp3[528.960,535.520] NO I DONT THINK SO IVE BEEN SPENDING A LOT OF TIME AT AT HOME UH WITH MY HUSBAND AND HES BEEN OKAY +audio/RES0130.mp3[535.520,539.720] OKAY GOOD HOW ABOUT TRAVEL +audio/RES0130.mp3[539.720,547.640] NO WEVE BEEN PRETTY SCARED WITH UH COVIAND ALL THAT SO WEVE BEEN STAYING STAYING HOME FOR THE MOST PART +audio/RES0130.mp3[547.640,555.760] OKAY OKAY GOOD UM THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME +audio/RES0130.mp3[555.760,567.720] NO I WAS JUST REALLY CONCERNED WHEN I STARTED TO SEE UM THE BLOOD COMING UP MORE RECENTLY AND SO I WAS JUST HOPING TO GET THIS FIGURED OUT +audio/RES0130.mp3[567.720,649.240] YEAH FOR SURE UM SO THEYRE A COUPLE OF THINGS WERE GONNA WORK YOU UP FOR UM BECAUSE SOME OF YOUR SYMPTOMS OVERLAP WITH COVIWELL START BY GETTING A COVISWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UM WE WILL ALSO DO A CHEST XRAY UM TO LOOK FOR ANY SIGNS OF LUNG CANCER UM AND THEN IF WE SEE CONSOLIDATION OR ANYTHING THAT WOULD INDICATE UM LIKE A MASS IN YOUR LUNGS WE WILL DISCUSS OPTIONS FOR LIKE BIOPSIES WHICH IS THE GOLD STANDARD FOR DIAGNOSING LUNG CANCERS ALSO I KNOW YOU HAVENT HAD ANY RECENT TRAVEL OR ANYTHING LIKE THAT AND YOUR SYMPTOMS HAVE BEEN GOING ON FOR A LONG TIME BUT UH IT MAY ALSO BE WORTHWHILE TO UH ALSO CHECK FOR THINGS LIKE TB WHICH COULD ALSO CAUSE YOU TO COUGH UP BLOOD UM SO WELL START WELL START FROM THERE AND THEN IF THOSE COME BACK NEGATIVE THEN WELL WORK YOU UP FURTHER FOR OTHER THINGS THAT YOU MAY HAVE BUT ARE LIKE MORE RARE HOW DOES THAT SOUND +audio/RES0130.mp3[649.240,651.680] THAT SOUNDS LIKE A GOOD PLAN THANK YOU +audio/RES0130.mp3[651.680,653.000] OKAY GREAT NO PROBLEM +audio/RES0133.mp3[0.000,2.360] HOW MAY I HELP YOU +audio/RES0133.mp3[2.360,20.800] HI UM IM HERE BECAUSE I I HAD THIS COUGH FOR A COUPLE DAYS AND NOW MY VOICE STILL HASNT RECOVERED IT SOUNDS REALLY HOARSE AND I CANT SPEAK AS WELL SO I WAS JUST WONDERING IF YOU CAN GIVE ME SOMETHING FOR THAT +audio/RES0133.mp3[20.800,40.320] POSSIBLY WE WILL SEE JUST GOTTA ASK A FEW QUESTIONS FIRST AND WELL WELL DO A PHYSICAL EXAM AS WELL AFTERWARDS BUT CERTAINLY WELL LOOK INTO WHAT IS CAUSING YOUR SYMPTOMS SO YOU MENTIONED A COUGH WHEN DID THAT EXACTLY START +audio/RES0133.mp3[40.320,43.200] THAT STARTED THREE DAYS AGO +audio/RES0133.mp3[43.200,47.200] OKAY AND HAVE YOU HAD A COUGH BEFORE +audio/RES0133.mp3[47.200,49.840] UM LIKE BEFORE THE THREE DAYS YOU MEAN +audio/RES0133.mp3[50.800,54.800] UM NO I WAS PRETTY HEALTHY BEFORE THEN +audio/RES0133.mp3[54.800,60.520] I SEE AND UH WITH THE COUGH ARE YOU PRODUCING ANY PHLEGM OR SPUTUM +audio/RES0133.mp3[60.520,63.960] NO ITS PRETTY DRY +audio/RES0133.mp3[63.960,67.240] OKAY HAVE YOU NOTICED ANY BLOOD +audio/RES0133.mp3[69.040,71.680] ALRIGHT AND HAVE YOU HAD A WHEEZE +audio/RES0133.mp3[71.680,75.520] NO UH NO NOTHING LIKE THAT +audio/RES0133.mp3[75.520,82.000] ALRIGHT AND HAVE YOU HAD ANY UH CHEST PAIN WITH THE COUGH +audio/RES0133.mp3[83.240,89.440] ALRIGHT UH AND YOU NOTICED THAT YOUR VOICE IS VOICE CHANGED AND THAT WAS ABOUT 3 DAYS AGO AS WELL +audio/RES0133.mp3[89.440,98.600] YEAH THAT SO WELL NO ACTUALLY THAT STARTED ABOUT YESTERDAY YEAH YESTERDAY IN THE AFTERNOON +audio/RES0133.mp3[98.600,111.960] OKAY AND UH ANY TRIGGERS FOR THIS LIKE WERE YOU AT ANY EVENTS THAT YOU HAD TO BE UH KIND OF SPEAKING LOUDLY OR TALKING A LOT OR ANYTHING WHERE YOURE STRAINING YOUR VOICE +audio/RES0133.mp3[111.960,123.520] UM NO NO I WASNT I WAS LIKE I HAD SCHOOL I CAME HOME I DIDNT DO ANYTHING LIKE THAT +audio/RES0133.mp3[123.520,134.920] OKAY YEAH SO IT SOUNDS YEAH JUST SORT OF CAME ON ON ITS OWN ALRIGHT AND HAVE YOU HAD ANY LIKE EYE REDNESS OR DISCHARGE OR A RUNNY NOSE +audio/RES0133.mp3[134.920,141.640] I HAVE HAD UH IVE HAD A RUNNY NOSE BEFORE BUT NO EYE DISCHARGE +audio/RES0133.mp3[141.640,149.880] OKAY WITH THE RUNNY NOSE WHAT WHAT WHAT COULD YOU DESCRIBE THE UH MUCUS THAT WAS COMING OUT +audio/RES0133.mp3[149.880,153.280] UH IT WAS IT WAS CLEAR +audio/RES0133.mp3[153.280,157.160] AND HAS THAT GONE AWAY NOW AND THEN WHEN WAS THE RUNNY NOSE +audio/RES0133.mp3[157.160,165.640] YEAH THATS GONE YEAH THATS GONE THAT WENT AWAY BUT LIKE UM YEAH TWO DAYS AGO MAYBE +audio/RES0133.mp3[165.640,171.040] I SEE AND HAVE YOU HAD A SORE THROAT OR DO YOU HAVE A SORE THROAT +audio/RES0133.mp3[171.040,181.280] UM I HAVE SO IT HURTS BECAUSE IM COUGHING BUT IT DOESNT SEEM LIKE ITS MY ACTUAL THROAT +audio/RES0133.mp3[181.280,188.640] ALRIGHT IS THERE ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS +audio/RES0133.mp3[190.000,195.080] OKAY UM AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0133.mp3[196.960,199.200] OR ANY ANY NIGHT SWEATS +audio/RES0133.mp3[200.560,204.800] AND ANY CHANGES TO YOUR WEIGHT RECENTLY +audio/RES0133.mp3[204.800,213.880] UM IVE HAD SOME WEIGHT GAIN OVER THE PAST LIKE SIX MONTHS +audio/RES0133.mp3[213.880,218.800] OKAY WELL THATS GREAT AND ABOUT HOW MUCH +audio/RES0133.mp3[218.800,223.480] UH JUST MAYBE LIKE 5 10 POUNDS 5 TO 10 POUNDS SOMEWHERE AROUND THERE +audio/RES0133.mp3[223.480,230.000] OKAY WELL THATS GOOD AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0133.mp3[232.920,237.200] HOW ABOUT ANY ABDOMINAL PAIN +audio/RES0133.mp3[237.200,238.800] UH NO +audio/RES0133.mp3[238.800,241.440] ANY UH DIARRHEA +audio/RES0133.mp3[242.640,244.680] OR ANY URINARY PROBLEMS +audio/RES0133.mp3[246.080,249.800] HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS +audio/RES0133.mp3[249.800,251.840] UH NO +audio/RES0133.mp3[251.840,260.840] OKAY AND HAVE YOU HAD ANY LOSS OF YOUR TASTE OR SENSE OF SMELL +audio/RES0133.mp3[262.520,267.000] OKAY UM AND ANY SKIN CHANGES OR RASHES +audio/RES0133.mp3[267.000,271.600] NOPE NOTHING LIKE THAT +audio/RES0133.mp3[271.600,289.280] OKAY UH AND UM SO YOUVE BEEN EXPERIENCING SO YOU HAD A RUNNY NOSE THATS GONE AWAY UM AND NOW YOUVE BEEN HAVING THIS COUGH FOR THE PAST DRY COUGH PAST THREE DAYS AND LOST YOUR VOICE YESTERDAY HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0133.mp3[289.280,293.280] UM NO NO OTHER SYMPTOMS +audio/RES0133.mp3[293.280,298.760] ALRIGHT IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0133.mp3[298.760,301.080] UH NO IVE BEEN PRETTY HEALTHY +audio/RES0133.mp3[301.080,312.680] THATS GREAT AND U HAVE YOU BEEN UM HAVE YOU HAD ANY ALLERGIES BEFORE +audio/RES0133.mp3[313.840,317.800] OKAY AND UH DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/RES0133.mp3[317.800,322.280] UH I JUST TAKE SOME MULTIVITAMINS +audio/RES0133.mp3[322.280,327.760] OKAY AND UH ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE +audio/RES0133.mp3[327.760,335.960] UH SO I HAVE EVERYTHING EXCEPT FOR THAT HPV VACCINE +audio/RES0133.mp3[335.960,342.480] OKAY UM IS IT DO YOU HAVE A PLAN TO GET THAT ONE OR +audio/RES0133.mp3[342.480,352.160] I THINK SO IM JUST UH WAITING TO FOLLOW UP WITH MY FAMILY DOCTOR ABOUT THAT +audio/RES0133.mp3[352.160,379.040] OKAY WELL THAT THATS A GOOD IDEA FOR SURE SO ITS GREAT THAT YOU HAVE A PLAN FOR THAT UM FOR THAT YEAH IT CAN BE REALLY HELPFUL FOR PREVENTING CERVICAL CANCER AS AS IM SURE YOULL TALK TO THE WITH THE FAMILY DOCTOR ABOUT YEAH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES +audio/RES0133.mp3[379.040,381.560] UH NO +audio/RES0133.mp3[381.560,386.240] OKAY UM WHERE ABOUT ARE YOU LIVING RIGHT NOW AND WHO ARE LIVING WITH +audio/RES0133.mp3[386.240,394.520] I LIVE UH WITH MY PARENTS UM AND MY TWO YOUNGER SIBLINGS WE LIVE IN A HOUSE +audio/RES0133.mp3[394.520,400.000] HAS ANYBODY ELSE BEEN SICK OR HAVE SIMILAR SYMPTOMS +audio/RES0133.mp3[400.000,404.080] UH NO NO ONE AT HOMES BEEN SICK +audio/RES0133.mp3[404.080,415.080] OKAY AND UH HOW ABOUT ANYBODY AT SCHOOL OR OR WORK OR ANYTHING LIKE THAT THAT YOUVE BEEN AROUND WHOS BEEN SICK +audio/RES0133.mp3[415.080,430.960] SO ONE OF MY FRIENDS ACTUALLY HAD LIKE A RUNNY NOSE AND A COUGH AS WELL A COUPLE OF DAYS AGO BUT UH SHE SEEMS TO BE BETTER NOW AND HER VOICE IS OKAY +audio/RES0133.mp3[430.960,437.280] OKAY AND UM HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR PROVINCE +audio/RES0133.mp3[437.280,443.720] NO NO NOT RECENTLY +audio/RES0133.mp3[443.720,458.240] ALRIGHT AND UM IN THE HOME IS THERE ANY UH LIKE ARE YOU EXPOSED TO ANY VIOLENCE OF ANY SORT LIKE PHYSICAL OR EMOTIONAL EITHER YOURSELF OR OR WITNESSING +audio/RES0133.mp3[459.680,462.840] OKAY AND WHAT GRADE ARE YOU IN +audio/RES0133.mp3[462.840,467.240] IM IN GRADE 7 OR YEAH GRADE 7 NOW +audio/RES0133.mp3[467.240,477.160] OH AWESOME AND UH I DONT IS THERE ANY SMOKING IN THE HOME +audio/RES0133.mp3[477.160,485.760] UH NO NO ONE SMOKES AT HOME +audio/RES0133.mp3[485.760,490.240] OKAY UM AND THEN UM ANYBODY IN THE FAMILY UH HAVE ANY HEART OR LUNG CONDITIONS +audio/RES0133.mp3[490.240,506.680] HEART OR LUNG I KNOW UM LIKE HEART DISEASE RUNS ON MY FATHERS SIDE OF THE FAMILY IM NOT REALLY SURE LIKE EXACTLY WHAT WHAT KIND OF DISEASES THOUGH +audio/RES0133.mp3[506.680,519.280] OKAY UM AND I SOMETIMES PEOPLE THAT KIND OF IN THIS AGE GROUP MIGHT EXPERIENCE WITH EITHER DRUGS OR ALCOHOL HAVE ANY OF YOUR FRIENDS DONE THAT OR OR YOURSELF +audio/RES0133.mp3[519.280,534.800] I KNOW LIKE SOME OF MY FRIENDS HAVE UH TRIED ALCOHOL AND TRY MARIJUANA BUT I HAVENT EXPERIMENTED YET +audio/RES0133.mp3[534.800,545.400] OKAY THATS GOOD AND UM I THATS ALL I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD +audio/RES0133.mp3[545.400,559.360] OH NOTHING THAT I WANT TO ADD I JUST WHAT DO YOU HOW DO YOU THINK I CAN MAKE THIS MAKE MY VOICE BETTER AND HOW LONG WILL I HAVE HAVE THIS HORSE VOICE +audio/RES0133.mp3[559.360,588.600] YEAH SO UH RIGHT NOW ITS SOUNDING LIKE UM A VIRAL TYPE ILLNESS WHERE THERES INFLAMMATION OF THE VOCAL CORDS UH WITH HAVING THE COUGH AND THE RUNNY NOSE A COUPLE OF DAYS AGO ACTUALLY THIS REMINDS ME THAT HAVE YOU IM NOT SURE IF I ASKED ABOUT FEVERS OR CHILLS IF YOU HAVE ANY +audio/RES0133.mp3[588.600,590.400] UH NO I HAVENT +audio/RES0133.mp3[590.400,640.680] OKAY UM AND SO FOR IF IT IS A VIRAL INFECTION THEN UM ITS JUST SUPPORTIVE KIND OF MANAGEMENT SO THAT WILL MEAN TRYING TO STAY AS HYDRATED AS YOU POSSIBLY CAN OVER THESE NEXT UM NEXT FEW DAYS AND THEN ALSO YOU CAN USE THINGS LIKE IF THEY HELP LIKE LOZENGES OR SOMETHING ALONG THOSE LINES UM BUT IT WILL IT WILL JUST TAKE SOME TIME FOR IT TO COME BACK ON ITS OWN A FEW DAYS TO A COUPLE OF WEEKS SOMETIMES AND THE COUGH COULD POSSIBLY LAST FOR UM TWO TO FOUR WEEKS AFTER UM AFTER HAVING A VIRAL TYPE ILLNESS +audio/RES0133.mp3[642.640,659.960] YEAH SO IT COULD BE QUITE A FEW WEEKS THAT THE SYMPTOMS LAST FOR BUT SINCE YOURE HAVING A COUGH AND THESE SYMPTOMS COULD OVERLAP WITH COVIWELL WANT TO GET A COVISWAB TODAY AS WELL UM AND KIND OF GO FROM THERE +audio/RES0133.mp3[659.960,665.200] OKAY OKAY THAT SOUNDS GOOD THANK YOU +audio/RES0143.mp3[0.000,2.960] WHAT CAN I DO FOR YOU TODAY +audio/RES0143.mp3[2.960,29.440] HI UH SO I JUST CAME HERE TODAY UH IVE BEEN HAVING THIS COUGH FOR UM THE LAST TWO WEEKS AND IT JUST IS NOT GOING AWAY IVE ALSO BEEN GETTING LIKE JUST A RUNNY NOSE FOR THE LAST COUPLE I WOULD TAKE THE WHOLE WEEK ALL OF LAST WEEK +audio/RES0143.mp3[29.440,34.560] OKAY UM SO CAN YOU TELL ME ABOUT YOUR COUGH +audio/RES0143.mp3[37.080,38.040] GO ON SORRY +audio/RES0143.mp3[38.040,43.680] SO ITS MORE OF JUST LIKE A DRY COUGH IM NOT REALLY BRINGING ANYTHING UP +audio/RES0143.mp3[43.680,44.960] NO BLOOD +audio/RES0143.mp3[46.800,54.520] OKAY AND THE RUNNY NOSE WHAT WHATS THE DISCHARGE LIKE +audio/RES0143.mp3[54.520,63.080] UH ITS ITS PRETTY CLEAR IT MIGHT BE LIGHT BUT ITS NOT LIKE GREEN OR YELLOW OR ANYTHING LIKE THAT +audio/RES0143.mp3[63.080,72.600] UM AND SO YOUVE HAD THIS COUGH FOR TWO WEEKS AND THE RUNNY NOSE JUST STARTED LAST WEEK HAS THE COUGH IMPROVED OVER THE PAST TWO WEEKS +audio/RES0143.mp3[72.600,95.440] UH IT HAS LIKE IT WAS MUCH WORSE LAST WEEK UH BUT I JUST CANT GET LIKE ITS BETTER NOW BUT ITS STILL LASTING MUCH LONGER THAN IVE HAD A COUGH BEFORE +audio/RES0143.mp3[95.440,99.560] OKAY UM AND UH HAVE YOU HAD A HEADACHE AT ALL IN THESE PAST TWO WEEKS +audio/RES0143.mp3[99.560,110.480] NO I DIDNT HAVE A HEADACHE BUT SOMETIMES I FEEL A BIT CONGESTED +audio/RES0143.mp3[110.480,121.880] AND UH HAVE YOU HAD ANY UM CHANGES IN YOUR VISION OR YOUR LIKE UH BLURRY VISION OR ANY REDNESS IN YOUR EYES OR TEARING +audio/RES0143.mp3[121.880,124.520] UH NO NOTHING LIKE THAT +audio/RES0143.mp3[124.520,129.400] OKAY ANY UM CHANGES IN SMELL +audio/RES0143.mp3[129.920,136.160] OKAY ANY CHANGE IN UH TASTE +audio/RES0143.mp3[136.160,153.680] UH NO BUT UH SORRY FOR SMELL LIKE WHEN I WAS A BIT CONGESTED I I COULD SMELL LESS I WASNT ABLE TO SMELL TOO MUCH BUT TASTE HAS BEEN FINE +audio/RES0143.mp3[153.680,156.560] ALRIGHT AND WHAT ABOUT UH SORE THROAT +audio/RES0143.mp3[156.560,158.360] NO NO NO SORE THROAT +audio/RES0143.mp3[158.360,164.400] OKAY WHAT ABOUT ANY DIFFICULTIES WITH BREATHING +audio/RES0143.mp3[164.400,167.680] UM NO NOTHING LIKE THAT +audio/RES0143.mp3[167.680,169.480] ANY CHEST PAIN +audio/RES0143.mp3[170.560,177.000] ANY PALPITATIONS OR RACING OF YOUR HEART +audio/RES0143.mp3[177.800,180.120] ANY PAIN IN YOUR BELLY +audio/RES0143.mp3[181.520,183.840] NAUSEA OR VOMITING +audio/RES0143.mp3[183.840,185.400] NO NO +audio/RES0143.mp3[185.400,188.160] DIARRHEA OR CONSTIPATION +audio/RES0143.mp3[189.360,193.760] ANY ACHES IN YOUR ANY MUSCLE ACHES +audio/RES0143.mp3[195.000,199.480] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET +audio/RES0143.mp3[201.320,205.000] UM OKAY UH ANY FEVERS OR CHILLS +audio/RES0143.mp3[205.000,218.440] NO NOT REALLY LAST WEEK I MAYBE HAD A UH TWO NIGHTS I WAS A BIT CHILLY BUT SINCE THEN IVE BEEN FINE +audio/RES0143.mp3[218.440,223.360] OKAY AND UH ANY NIGHT SWEATS +audio/RES0143.mp3[223.360,224.680] UH NO +audio/RES0143.mp3[224.680,227.920] UNINTENTIONAL WEIGHT LOSS +audio/RES0143.mp3[227.920,232.440] NO MY WEIGHTS BEEN THE SAME +audio/RES0143.mp3[232.440,256.800] OKAY ALRIGHT AND UM SO IT SOUNDS LIKE YOU HAVE A COUGH THAT STARTED TWO WEEKS AGO AND THEN YOU ONLY AND THEN YOU HAD TWO NIGHTS OF UH TWO NIGHTS WHERE YOU FELT SORT OF COLD AND YOU HAD THE CHILLS UM LAST WEEK BUT YOU UH STARTED YOU DEVELOPED A RUNNY NOSE UM A WEEK AGO +audio/RES0143.mp3[256.800,264.800] YEAH THE RUNNY NOSE HAS BEEN MORE UM THIS WEEK IT KIND OF LIKE STARTED WITH A COUGH LAST WEEK +audio/RES0143.mp3[264.800,269.640] IT IT SORRY SO IT STARTED WITH THE COUGH LAST WEEK +audio/RES0143.mp3[269.640,275.800] UM SO LATE LAST WEEK I WOULD SAY THE RUNNY NOSE STARTED +audio/RES0143.mp3[275.800,288.880] I SEE I SEE OKAY UM ALRIGHT I AND UM ARE YOU UM DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0143.mp3[288.880,293.600] NO IVE BEEN UH COMPLETELY HEALTHY OTHERWISE +audio/RES0143.mp3[293.600,300.040] ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER OR HERBAL MEDICATIONS OR VITAMINS OR MINERALS +audio/RES0143.mp3[300.040,303.840] NO NO I DONT TAKE ANY MEDICATION +audio/RES0143.mp3[303.840,310.040] ALLERGIES INCLUDING ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES AND ALLERGIES TO MEDICATIONS +audio/RES0143.mp3[310.040,312.720] UM NO +audio/RES0143.mp3[312.720,319.600] UM AND ANY CONDITIONS MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0143.mp3[319.600,329.080] UM I THINK MY DAD HAS UH HIGH CHOLESTEROL +audio/RES0143.mp3[329.080,332.800] AND IN TERMS OF YOUR LIVING SITUATION DO YOU LIVE ALONE +audio/RES0143.mp3[332.800,344.800] RIGHT NOW IM UH I USUALLY LIVE IN A DORM GOING TO UNIVERSITY BUT RIGHT NOW IM HOME WITH MY PARENTS UH JUST DOING VIRTUAL LEARNING +audio/RES0143.mp3[344.800,356.440] OKAY OKAY UM AND HAVE YOU UM IS THERE ANYONE ELSE AROUND IN THE HOME OR JUST YOUR PARENTS AND YOU +audio/RES0143.mp3[356.440,360.240] YEAH JUST MY PARENTS AND ME +audio/RES0143.mp3[360.240,366.480] ALRIGHT UH HAVE YOU UM HAVE YOU BEEN AROUND SOMEONE WHO MIGHT BE SICK OR HAVE YOUR PARENTS BEEN AROUND SOMEONE WHO COULD BE SICK +audio/RES0143.mp3[366.480,374.600] UH MY MOM HAD THE SNIFFLES LIKE LAST WEEK BUT SHE PRETTY MUCH GOT OVER IT +audio/RES0143.mp3[374.600,377.880] UM DID SHE GET TESTED FOR COVID +audio/RES0143.mp3[377.880,390.240] NO SHE SHE DIDNT UM BUT ITS NOT LIKE ITS JUST MORE SHE JUST THOUGHT IT WAS A COLD OR SOMETHING SO SHE DIDNT REALLY BOTHER +audio/RES0143.mp3[390.240,403.560] THATS FAIR OKAY UM AND DO YOU UM SO I SEE THAT YOU GO TO SCHOOL UM AND YOU MENTIONED YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE THE PROVINCE +audio/RES0143.mp3[403.560,407.200] NO NOT AT ALL MY SCHOOL IS ACTUALLY IN ONTARIO SO +audio/RES0143.mp3[407.200,415.240] OKAY GREAT UM AND DO YOU CURRENTLY OR HAVE YOU EVER SMOKED +audio/RES0143.mp3[415.240,422.800] UM MAYBE LIKE UH A COUPLE TIMES JUST CASUALLY IVE TRIED IT BUT NOTHING REGULAR +audio/RES0143.mp3[422.800,426.400] AND WHAT ABOUT MARIJUANA +audio/RES0143.mp3[426.400,431.960] YEAH SAME SAME THING LIKE IVE TRIED IT PROBABLY LIKE FOUR OR FIVE TIMES SO FAR +audio/RES0143.mp3[431.960,434.960] ANY RECREATIONAL DRUGS +audio/RES0143.mp3[434.960,436.280] UH NO +audio/RES0143.mp3[436.280,439.400] ANY UH ALCOHOL +audio/RES0143.mp3[439.400,447.960] UH YEAH JUST NOT NOT MUCH RIGHT NOW BUT LIKE WHEN I WHEN WE WERE AT SCHOOL LIKE WE WOULD DRINK ON THE WEEKENDS +audio/RES0143.mp3[447.960,507.320] THATS GOOD ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A COUGH FOR THE PAST TWO WEEKS AND YOU UH HAVE DEVELOPED A RUNNY NOSE LAST WEEK AND YOUR MOM WAS ILL THE WEEK BEFORE ITS POSSIBLE THAT YOU JUST HAVE A COMMON COLD UH AND THAT SYMPTOMS WILL GET BETTER OVER TIME BUT JUST IN CASE WE WOULD ALSO LIKE TO DO A COVISWAB UM TO MAKE SURE THAT YOU JUST TO RULE OUT COVIIN THE MEANTIME I WOULD REQUEST THAT YOU ISOLATE SELF ISOLATE AT HOME STAY AWAY FROM YOUR PARENTS AS WELL UM THE TEST RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND PUBLIC HEALTH WILL GIVE YOU A CALL IF YOUR RESULTS ARE POSITIVE AND WELL LET YOU KNOW WHAT TO DO UM WE WILL ALSO DO A PHYSICAL EXAM HERE AND CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AT ALL AND UM YEAH DOES THAT SOUND GOOD TO YOU +audio/RES0143.mp3[507.320,519.160] YEAH AND WILL I NEED ANY LIKE ANTIBIOTICS FOR MY COUGH +audio/RES0143.mp3[519.160,524.200] OH UM WELL WE I GUESS YOU SAID THAT YOU DONT HAVE A SORE THROAT AT ALL RIGHT +audio/RES0143.mp3[524.200,531.640] NO ITS JUST THAT I JUST FEEL LIKE THE COUGHS BEEN JUST GOING ON LIKE IT WOULD BE NICE TO JUST GET RID OF IT +audio/RES0143.mp3[531.640,568.680] WELL UM ILL DO A PHYSICAL EXAM LOOK INSIDE YOUR THROAT LOOK INSIDE YOUR MOUTH SORRY AND LISTEN TO YOUR CHEST AND UH ENSURE THAT NOTHING ELSE IS GOING ON THAT YOU DONT HAVE ANYTHING LIKE SAY STREP THROAT OR MONO OR YOU DONT HAVE UH PNEUMONIA UH BACTERIAL PNEUMONIA FOR INSTANCE OFTENTIMES UM SYMPTOMS THAT YOU HAVE ARE CAUSED BY VIRUSES AND DONT NEED TO BE TREATED WITH ANTIBIOTICS UH BUT ILL DO A PHYSICAL EXAM AND MAYBE HAVE A LOOK AT YOUR LABS AS WELL AND THEN DECIDE ACCORDINGLY +audio/RES0143.mp3[568.680,570.480] OKAY SOUNDS GOOD THANK YOU +audio/RES0144.mp3[0.000,2.080] WHAT CAN I DO FOR YOU TODAY +audio/RES0144.mp3[2.080,22.840] HI YES I JUST BROUGHT MY SON TO THE ER WEVE NOTICED IN THE LAST TWO DAYS HES BEEN JUST MAKING THESE GRUNTING NOISES AND JUST SEEMS A LITTLE BIT LIKE JUST NOT HIMSELF JUST MORE QUIET NOT REALLY CRYING +audio/RES0144.mp3[22.840,31.960] OK AND WHEN DID YOU YOU SAID LAST FEW DAYS WHEN WHEN EXACTLY DID YOU FIRST NOTICE THE GRUNTING HOW LONG +audio/RES0144.mp3[31.960,39.800] IT WAS TWO DAYS AGO +audio/RES0144.mp3[39.800,45.880] OK TWO DAYS AGO WAS IT WHEN DID YOU HEAR THIS SOUND WHEN YOUR BABY IS TRYING TO BREATHE +audio/RES0144.mp3[45.880,58.480] YEAH TODAY I WAS TRYING TO PAY MORE ATTENTION IT SEEMS LIKE THAT LIKE THIS REALLY TRYING TO BREATHE MORE AND ALSO I LIKE HES LIKE THE CHEST I SEE MOVING A LOT MORE +audio/RES0144.mp3[58.480,82.120] OK AND SO YOUVE BEEN HEARING THIS GRUNTING SOUND AND HES BEEN TRYING TO BREATHE AND YOU SEE THAT HIS CHEST IS MOVING MORE THAN USUAL AND HES CRYING HAS HE BEEN SLEEPING WELL OR NO +audio/RES0144.mp3[82.120,96.320] UH YEAH SO LAST NIGHT IT WAS REALLY HARD TO GET HIM TO SLEEP HE DID SLEEP I WOULD SAY LIKE AROUND LIKE 4 HOURS LAST NIGHT BUT IT WAS REALLY DIFFICULT +audio/RES0144.mp3[96.320,101.720] AND WHAT ABOUT FEEDING DOES HE TAKE A FORMULA OR IS HE BREASTFED +audio/RES0144.mp3[101.720,114.600] SO HES UH HE TAKES FORMULA AND TODAY IT LIKE YESTERDAY HE WAS FEEDING TODAY ITS BEEN REALLY HARD TO GET HIM TO FEED MAYBE HE FED FOR LIKE ONE OR TWO TIMES BUT NOT MUCH +audio/RES0144.mp3[114.600,117.120] IT HAPPENS WHEN YOU TRY TO FEED HIM +audio/RES0144.mp3[117.120,131.160] UHM KIND OF JUST UH AFTER AWHILE JUST PUSHES IT AWAY NOT REALLY UHM YEAH UHM NOT REALLY TOO EXCITED ABOUT FEEDING +audio/RES0144.mp3[131.160,140.720] OK AND WHAT ABOUT DIAPERS HOW MANY WET DIAPERS HAS HE HAD OVER THE PAST OR YESTERDAY AND TODAY +audio/RES0144.mp3[140.720,156.040] PROBABLY AROUND THE SAME LIKE USUALLY HAS LIKE FIVE TO SIX WEIGHT DIAPERS AND ITS AROUND THE SAME +audio/RES0144.mp3[156.040,167.240] OK OK UHM AND DID YOU TRY ANYTHING I KNOW THAT HES SIX MONTHS OLD DID YOU TRY FEEDING HIM ANYTHING NEW OR ANYTHING DIFFERENT +audio/RES0144.mp3[167.240,170.160] UH NO ITS JUST BEEN THE BOTTLE FEEDS +audio/RES0144.mp3[170.160,173.160] NOTHING NEW RIGHT NO SOLID FOODS YET +audio/RES0144.mp3[175.400,189.240] OK AND UH IN TERMS OF HIS ACTIVITIES YOU MENTIONED THAT HES NOT AS HES NOT MOVING AND AS ACTIVE AS HE USUALLY IS +audio/RES0144.mp3[189.240,201.560] YEAH TODAY I ALSO THOUGHT I FELT THAT IT WAS A BIT WARM WARMER THAN USUAL BUT I DIDNT HAVE A THERMOMETER AT HOME +audio/RES0144.mp3[201.560,208.440] OK UHM HAVE YOU NOTICED HAS HE BEEN DROOLING AT ALL +audio/RES0144.mp3[214.760,218.560] NO I HAVENT NOTICED THAT +audio/RES0144.mp3[218.560,222.640] OK WHAT ABOUT COUGHING +audio/RES0144.mp3[222.640,232.200] UHM I HAVENT HEARD ANY ANY COUGHING NO +audio/RES0144.mp3[232.200,238.000] OK SORRY IS HE IS ABLE TO SIT UP ON HIS OWN +audio/RES0144.mp3[238.000,244.120] UHM UP AGAINST LIKE A SOFA OR CHAIR BUT NOT REALLY ON HIS OWN +audio/RES0144.mp3[244.120,251.520] HAVE YOU EVER BEEN HAS BEEN LEFT ALONE OVER THE PAST TWO DAYS AT SOME POINT DO YOU FEEL LIKE YOU MIGHT HAVE TAKEN SOMETHING IN HIS MOUTH ACCIDENTALLY +audio/RES0144.mp3[251.520,257.640] UHM NO I I TRIED CHECKING HIS MOUTH LIKE I WAS THERE WITH HIM LIKE ALL ALL THE TIME +audio/RES0144.mp3[257.640,266.400] NO OK NOTHING LIKE THAT OK HOW HAS HIS IMMUNIZATIONS BEEN SO FAR HAS HE AS HE RECEIVED THEM +audio/RES0144.mp3[266.400,275.120] YEAH HES RECEIVED ALL HIS IMMUNIZATIONS UP TO DATE +audio/RES0144.mp3[275.120,288.240] UHM DID HE HAVE IT HAS HE WAS VACCINATED ANYTIME RECENTLY BECAUSE SOMETIMES YOU SAID HES WARM AND SOMETIMES SOMETIMES JUST GETTING VACCINATED CAN CAUSE A REACTION +audio/RES0144.mp3[288.240,292.960] YEAH NO HE WAS VACCINATED LIKE I THINK MORE THAN TWO OR THREE WEEKS AGO +audio/RES0144.mp3[292.960,299.000] OK ALRIGHT AND YOU SAID NO DIARRHEA OR ANYTHING LIKE THAT RIGHT +audio/RES0144.mp3[299.960,308.720] OK ANY IS HE DOES HE HAVE ANY NAUSEA OR NOT NAUSEA BUT IS HE VOMITING IS HE BRINGING ANYTHING UP +audio/RES0144.mp3[308.720,318.080] NO NOT REALLY LIKE HE WAS JUST PUSHING AWAY THE BOTTLE BUT LIKE HE DIDNT BRING ANYTHING UP +audio/RES0144.mp3[318.080,322.560] OK HAS HE BEEN LIMP AND LETHARGIC +audio/RES0144.mp3[322.560,325.960] UHM NO I DONT THINK SO +audio/RES0144.mp3[325.960,338.880] OK HAS YOU SAID THAT HE HASNT HAD HIS FORMULA MUCH BUT WHAT ABOUT DRINKING LIKE HAS HE HAD ANYTHING TO DRINK ANY MILK OR ANYTHING LIKE THAT OR NO +audio/RES0144.mp3[338.880,340.400] NO I DONT THINK SO +audio/RES0144.mp3[340.400,343.960] NO SHE HASNT HAD MUCH TO EAT AND OR DRINK OVER THE PAST OR TODAY +audio/RES0144.mp3[343.960,344.680] YEAH MOSTLY +audio/RES0144.mp3[344.680,348.120] SO HE MIGHT BE A LITTLE BIT DEHYDRATED +audio/RES0144.mp3[358.400,379.200] OK UHM OK WELL UHM I I OK SO THATS ALL I WANTED TO DO KNOW IN TERMS OF HIS CURRENT STATUS I WOULD OBVIOUSLY WANT TO EXAMINE HIM VERY CAREFULLY AND SEE WHATS GOING ON UHM HOW HAS UH HOW IS HE LIKE JUST GOING BACK HOW WAS YOUR PREGNANCY +audio/RES0144.mp3[379.200,395.680] PREGNANCY WAS UH OK NO COMPLICATIONS BUT HE WAS PREMATURE BY TWO WEEKS SO I THINK HE WAS BORN AT 35 AND FOUR DAYS +audio/RES0144.mp3[395.680,404.960] OK AND WERE THERE ANY COMPLICATIONS AT THAT TIME INCLUDING COMPLICATIONS RELATED TO THE LUNG SOMETHING LIKE RESPIRATORY DISTRESS SYNDROME +audio/RES0144.mp3[404.960,421.120] YEAH SO WHEN HE WAS BORN THERE WAS THEY NEEDED TO DO I FORGOT WHAT IT WAS BUT THEY TOLD ME THAT INITIALLY HE WASNT BREATHING BUT THEN RIGHT AFTERWARDS AFTER LIKE WITHIN 5 MINUTES HE WAS FINE +audio/RES0144.mp3[421.120,433.160] HMM UHM OK UHM WAS HE KEPT IN THE HOSPITAL IN THE NICU AFTER BEING BORN +audio/RES0144.mp3[433.160,446.640] YEAH JUST BECAUSE OF THAT SCARE THEY KEPT HIM FOR THREE MORE DAYS BUT LIKE HE WAS GROWING WHILE THERE WERE NO MORE EPISODES OF THE BREATHING ISSUE SO THEY LET HIM GO AFTER +audio/RES0144.mp3[446.640,453.560] OK UHM HAS HOW HAS HE BEEN SINCE THEN OVER THE PAST SIX MONTHS +audio/RES0144.mp3[453.560,466.480] SINCE THEN HES BEEN FINE NO WE DIDNT HAVE TO GO TO THE HOSPITAL OR ANYTHING AND DURING OUR ROUTINE VISITS HES BEEN GROWING WELL NO NORMAL ISSUES +audio/RES0144.mp3[466.480,469.200] ANY ISSUES BECAUSE DEVELOPMENT +audio/RES0144.mp3[469.200,475.760] NO HES BEEN PRETTY LIKE HES BEEN MEETING HIS MILESTONES ACCORDING TO LIKE THE FAMILY DOCTOR +audio/RES0144.mp3[475.760,486.960] HAS HE HAD ANY SURGERIES OR ANY OR NO HOSPITALIZATIONS YOU SAID AND NO UHM NO DIAGNOSIS RIGHT HE HASNT BEEN DIAGNOSED WITH ANY CONDITION +audio/RES0144.mp3[488.000,496.520] ALRIGHT CAN YOU TELL ME ABOUT ALLERGIES IS HE ALLERGIC TO ANYTHING THAT YOURE AWARE OF +audio/RES0144.mp3[496.520,498.200] NO NOT THAT I KNOW +audio/RES0144.mp3[498.200,510.080] OK IS THERE UH CAN YOU TELL ME ABOUT HIS FAMILY HISTORY ANYTHING THAT YOU MIGHT HAVE OR UHM HIS DAD OR ANYONE ELSE IN THE FAMILY +audio/RES0144.mp3[510.080,517.040] UH NO HIM HIS DAD AND I ARE PRETTY HEALTHY YEAH NO MEDICAL CONDITIONS +audio/RES0144.mp3[517.040,520.200] ANYTHING LIKE CYSTIC FIBROSIS IN THE FAMILY +audio/RES0144.mp3[520.200,530.560] NO NOT THAT I KNOW OF +audio/RES0144.mp3[530.560,568.040] OK ALRIGHT WELL WELL EXAMINE THE CHILD AND LOOK AT HIS VITALS LISTEN TO HIS LUNGS LOOK LOOK INSIDE HIS MOUTH AND THATS THIS SOUNDS SERIOUS SO WELL KEEP YOU WELL KEEP YOU UPDATED AND WELL LET YOU KNOW WHAT NEEDS TO BE DONE HE MIGHT NEED POTENTIALLY NEED ANTIBIOTICS HE MIGHT NEED POTENTIALLY TO BE INTUBATED BUT WE WILL HAVE ALL THESE DISCUSSIONS AFTER THE BABYS BEEN SEEN AND WELL DRAW SOME LABS AND GO FROM THERE +audio/RES0144.mp3[568.040,569.120] OK SOUNDS GOOD +audio/RES0144.mp3[570.120,575.320] THANK YOU +audio/MSK0039.mp3[0.000,2.240] WHAT BRINGS YOU IN +audio/MSK0039.mp3[2.240,41.880] UH I JUST CAME IN TODAY I THINK I BROKE MY LEG OR SOMETHING ITS SOMETHING THAT WAS I HEARD A SNAP I WAS IN UM JUST A DANCE CLASS UM AND WE HAVE LIKE THESE LONG UH DRESSES IT IT WAS A TRADITIONAL DANCE CLASS AND MY FOOT UH SLIPPED RIGHT ONTO IT GOT CAUGHT IN MY DRESS AND IT JUST KIND OF SLIPPED AND I I FELT RIGHT ON MY MY LEG KIND OF TWISTED AND I FELL DOWN AND I JUST STAYED DOWN I KNEW SOMETHING WAS NOT RIGHT AND SOMETHING WAS BROKEN +audio/MSK0039.mp3[41.880,43.800] WHEN DID THIS HAPPEN +audio/MSK0039.mp3[43.800,47.000] JUST UH I WOULD SAY LIKE AN HOUR AGO +audio/MSK0039.mp3[47.000,52.160] HOUR AGO OK ARE YOU ABLE TO BEAR ANY WEIGHT ON IT AT ALL +audio/MSK0039.mp3[52.160,57.000] NO NOT REALLY I I HAD TO COME IN THE AMBULANCE +audio/MSK0039.mp3[57.000,64.960] OK OK AND UM IF YOU WERE TO LOCALIZE THIS PAIN WHERE EXACTLY IS IT +audio/MSK0039.mp3[64.960,79.600] ITS PRETTY MUCH MY WHOLE LOWER LEG IS PAINFUL BUT I THINK WHERE IT LOOKS LIKE IT BROKE IS LIKE THE MIDDLE PART OF MY LOWER LEG +audio/MSK0039.mp3[79.600,88.000] THE MIDDLE PART OK MIDDLE PART OF YOUR LOWER LEG SO KIND OF WHERE YOUR SHINS ARE +audio/MSK0039.mp3[89.400,96.640] OK SO IN THE SHIN AREA OK UM HAVE YOU TRIED ANYTHING FOR IT I KNOW ITS ONLY BEEN AN HOUR +audio/MSK0039.mp3[96.640,105.360] UH NO NOTHING I JUST LIKE I JUST WANT TO MAKE SURE I KEEP IT AS STILL AS POSSIBLE UM I DIDNT WANNA EVEN TRY ANYTHING +audio/MSK0039.mp3[105.360,115.440] OK YEAH THAT MAKES SENSE IF YOU WERE TO DESCRIBE THIS PAIN WOULD YOU SAY ITS UM SHARP DULL ACHY THROBBING +audio/MSK0039.mp3[115.440,122.720] ITS LIKE SHARP AND THROBBING ITS LIKE PROBABLY ONE OF THE WORST PAINS THAT IVE FELT IN MY LIFE +audio/MSK0039.mp3[122.720,128.880] OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS IT +audio/MSK0039.mp3[128.880,130.320] AT 10 FOR SURE +audio/MSK0039.mp3[130.320,143.120] TEN OK HAVE YOU SO YOU SAID YOUVE NEVER EXPERIENCED THIS BEFORE UM DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN OR HAS IT BEEN PRETTY MUCH THE SAME SINCE IT STARTED OR IS IT GETTING BETTER +audio/MSK0039.mp3[143.120,150.200] UH I WOULD SAY ITS THE SAME ITS LIKE IM IN AS MUCH PAIN AS I WAS EARLIER +audio/MSK0039.mp3[150.200,177.200] OK OK AND UM SO YEAH OK UM DO YOU KNOW HOW YOU FELT LIKE ON THE FLOOR LIKE DID YOU UH GO LIKE LEG FIRST OR WAS IT DID YOUR UM KIND OF LIKE THE MECHANISM OF YOUR FALL DID YOU BREAK THE FALL AT ALL WITH YOUR ARMS +audio/MSK0039.mp3[177.200,204.080] UH NO I DIDNT BREAK IT KIND OF SO I WAS KIND OF UH I FEEL LIKE WHEN I WAS SLIPPING IT WAS AT FIRST MY LEG WAS HYPER EXTENDED BUT IT KIND OF JUST FELT LIKE IT SNAPPED AND IT WENT STRAIGHT DOWN SO THERE WAS SOME KIND OF TWISTING AS WELL AS SOME HYPEREXTENSION UM BUT IT JUST KIND OF SLIPPING ON MY DRESS AND THEN JUST STRAIGHT DOWN +audio/MSK0039.mp3[204.080,211.000] OK OK UM OTHERWISE DO YOU HAVE ANY PAIN ELSEWHERE IN YOUR BODY +audio/MSK0039.mp3[212.800,219.080] HOW ABOUT ANY NUMBNESS OR TINGLING IN THE AREA +audio/MSK0039.mp3[219.080,234.000] UM I DO FEEL SOME NUMBNESS TINGLING JUST BELOW WHERE IT HAPPENED UM BUT IT LIKE COMES AND GOES +audio/MSK0039.mp3[234.000,245.480] OK UM AND THEN HOW ABOUT HOW ABOUT ANY UM LIKE FEELINGS OF LIKE LOSING SENSATION OR FEELING COLD IN THAT AREA +audio/MSK0039.mp3[245.480,251.600] UM NO I I CAN FEEL EVERYTHING IN THAT AREA +audio/MSK0039.mp3[253.120,256.840] BUT ITS HARD TO TELL LIKE ITS JUST VERY PAINFUL RIGHT NOW +audio/MSK0039.mp3[256.840,262.440] OK YEAH THATS UNDERSTANDABLE UM HOW ABOUT HEADACHES +audio/MSK0039.mp3[262.440,263.960] NO NO HEADACHES +audio/MSK0039.mp3[263.960,266.840] UH ANY FAINTING OR DIZZINESS +audio/MSK0039.mp3[267.960,273.560] UM CONFUSION OR MEMORY LOSS +audio/MSK0039.mp3[275.280,278.360] UM WEIGHT LOSS RECENTLY +audio/MSK0039.mp3[279.160,281.400] FEVERS OR CHILLS +audio/MSK0039.mp3[282.600,287.200] UH CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/MSK0039.mp3[287.200,289.040] NO NOTHING THAT IVE NOTICED +audio/MSK0039.mp3[289.040,293.320] NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE +audio/MSK0039.mp3[294.680,301.120] UM HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0039.mp3[301.120,303.240] NO NO NOTHING LIKE THAT +audio/MSK0039.mp3[303.240,309.640] NO OK UM HOW ABOUT CHEST PAIN OR PALPITATIONS +audio/MSK0039.mp3[310.680,314.560] NO ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/MSK0039.mp3[314.560,316.560] UH NO NOT THAT IVE NOTICED +audio/MSK0039.mp3[316.560,319.360] UH NAUSEA OR VOMITING +audio/MSK0039.mp3[320.200,323.120] ABDOMINAL PAIN +audio/MSK0039.mp3[323.400,327.400] CHANGES TO URINARY HABITS +audio/MSK0039.mp3[327.400,330.320] NO NOTHING LIKE THAT +audio/MSK0039.mp3[330.320,333.920] NO OK UM AND ARE YOU OTHERWISE HEALTHY +audio/MSK0039.mp3[333.920,343.280] YEAH IVE BEEN PRETTY HEALTHY I UM DONT TAKE ANY MEDICATIONS REGULARLY I DONT HAVE ANY MEDICAL CONDITIONS +audio/MSK0039.mp3[343.280,348.480] OK THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/MSK0039.mp3[348.480,365.480] NO UM JUST JUST FOR LIKE MY PREGNANCIES I HAD TWO PREGNANCIES BOTH OF THEM DELIVERED VAGINALLY BUT NO ISSUES WITH THAT JUST AFTER THAT NO HOSPITALIZATIONS OR SURGERIES +audio/MSK0039.mp3[365.480,374.040] OK OK UM AND THEN UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/MSK0039.mp3[375.040,380.160] OK THATS GOOD UM DO YOU HAVE ANY ALLERGIES +audio/MSK0039.mp3[380.160,382.160] NO NOT THAT I KNOW OF +audio/MSK0039.mp3[382.160,390.800] OK UM AND THEN IS THERE ANY FAMILY HISTORY OF LIKE MUSCULOSKELETAL ISSUES +audio/MSK0039.mp3[390.800,396.760] UM SO MY MOTHER HAS SOMETHING CALLED OSTEOPOROSIS +audio/MSK0039.mp3[396.760,397.960] OK YEP +audio/MSK0039.mp3[397.960,403.120] UM BUT THATS THATS ALL THAT I CAN THINK OF +audio/MSK0039.mp3[403.120,406.760] HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT +audio/MSK0039.mp3[406.760,410.400] UM PROBABLY IN HER FIFTIES +audio/MSK0039.mp3[410.400,411.600] IN HER FIFTIES OK +audio/MSK0039.mp3[411.600,413.400] LATE FIFTIES I WOULD SAY +audio/MSK0039.mp3[413.400,418.400] UM HAVE YOU BEEN HAVE YOU EVER LIKE BEEN TESTED FOR THAT +audio/MSK0039.mp3[418.400,421.960] NO IVE NEVER IVE NEVER HAD TESTING +audio/MSK0039.mp3[421.960,430.080] OK ALL RIGHT UM AND THEN ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/MSK0039.mp3[431.160,433.160] UH HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0039.mp3[433.160,436.360] UH NO NOT THAT I KNOW OF +audio/MSK0039.mp3[436.360,439.400] ANY CANCERS +audio/MSK0039.mp3[439.400,447.320] UH I THINK ONE OF MY AUNTS HAS UH OVARIAN CANCER +audio/MSK0039.mp3[447.320,454.320] OK OK UM HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT +audio/MSK0039.mp3[454.320,465.680] UM LIKE PRETTY UH RECENTLY SO PROBABLY LIKE IN HER SIXTIES +audio/MSK0039.mp3[465.680,470.160] OK OK UM AND THEN HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY +audio/MSK0039.mp3[472.760,479.680] NO OK HAVE YOU DONE ANY TRAVEL RECENTLY +audio/MSK0039.mp3[481.600,489.520] OK UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING YOU WANTED TO ADD BEFORE WE MOVE TO THE PHYSICAL EXAM COMPONENT +audio/MSK0039.mp3[489.520,495.440] NO I JUST WANT TO GET THIS FIXED AS SOON AS POSSIBLE +audio/MSK0039.mp3[495.440,499.640] OK THAT SOUNDS GOOD YEAH WELL WELL TRY OUR BEST +audio/MSK0039.mp3[499.640,501.120] THANK YOU +audio/MSK0039.mp3[501.120,513.920] UM OK SO NOW LOOKING AT YOUR LEGS LIKE SIDE BY SIDE DO YOU NOTICE ANY UH REDNESS OR SWELLING IN YOUR RIGHT LEG COMPARED TO YOUR LEFT +audio/MSK0039.mp3[513.920,520.400] YEAH ITS ALL ITS ALL SWOLLEN AND RED AND JUST LOOKS SO MUCH DIFFERENT THAN MY OTHER LEG +audio/MSK0039.mp3[520.400,528.000] OK YEAH UM DO YOU NOTICE ANY OBVIOUS LIKE BREAKS IN THE SKIN +audio/MSK0039.mp3[528.000,538.680] NO THERES NO BREAKS IN THE SKIN BUT LIKE WHEN I FELL LIKE I I CAN DEFINITELY SEE LIKE THE BEND THERE IS LIKE A BEND IN THE BONE SO I DEFINITELY DO THINK ITS BROKEN +audio/MSK0039.mp3[538.680,542.680] OK AND DO YOU NOTICE ANY LIKE BONY PIECES THAT ARE PUSHING ON THE SKIN +audio/MSK0039.mp3[544.720,549.160] NO OK UH ANY BRUISES IN THE AREA +audio/MSK0039.mp3[549.160,552.680] YEAH THE WHOLE AREA SEEMS BRUISED UP AND ANGRY +audio/MSK0039.mp3[552.680,564.440] OK UM DOES UH BESIDES THE BRUISING AND THE MISALIGNMENT DO YOU NOTICE ANY OTHER OBVIOUS DEFORMITIES ANY MUSCLE ATROPHY IN THE AREA +audio/MSK0039.mp3[566.320,573.800] NO OK AND THEN UH PLACING YOUR HAND ON ONE LEG COMPARED TO THE OTHER DOES IT SEEM WARMER +audio/MSK0039.mp3[573.800,578.560] YEAH I FEEL LIKE ITS ITS WARMER +audio/MSK0039.mp3[578.560,593.120] OK UM AND THEN IM GONNA TRY TO GET YOU TO DO SOME MOVEMENTS UM CAN YOU MOVE YOUR RIGHT LEG AT ALL LIKE CAN YOU FLEX AND EXTEND YOUR KNEES +audio/MSK0039.mp3[593.120,598.560] NO NOT NOT AT ALL LIKE I IM IM TOO SCARED TO TRY +audio/MSK0039.mp3[598.560,612.040] OK AND HOW ABOUT WEIGHT BEARING ARE YOU ABLE TO STAND UP AT ALL ON THAT LEG +audio/MSK0039.mp3[612.040,624.600] NO I JUST I JUST GOT TIME TO CALL THE AMBULANCE I KNEW I KNEW IT WAS JUST NOT POSSIBLE +audio/MSK0039.mp3[624.600,703.840] OK ALRIGHT UM I GUESS THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU UM I THINK YOU MAY HAVE A TIBIAL FRACTURE SO WELL START WITH SOME X RAYS UM TO BE SURE AND TO TRY TO TAKE A LOOK AT LIKE WHERE THE FRACTURE IS AND HOW WE CAN APPROACH THAT UM BECAUSE EVERYTHING IS SWOLLEN AND ANGRY DOWN THERE WELL PROBABLY TRY AND UM APPLY A SPLINT UM UNTIL THE SWELLING GOES DOWN AND THEN UM WE CAN UH REFER YOU TO AN ORTHOPAEDIC SURGEON FOR A SURGIC FOR THE SURGERY ITSELF SO THAT COULD UM INVOLVE LIKE UH YOU KNOW THEM DOING LIKE AND INTRAMEDULLARY NAIL PLATES AND SCREWS AND UM LIKE SOME SORT OF FIXATION UM BUT AFTER THE SURGERY YOUR FRACTURE WILL PROBABLY TAKE ABOUT FOUR TO SIX MONTHS TO HEAL COMPLETELY UH SO IN THAT PERIOD UM WE CAN TALK ABOUT LIKE PAIN MANAGEMENT AND PHYSIOTHERAPY AS WELL JUST TO KEEP THE MUSCLES IN THAT AREA STRONG AND TO INCREASE YOUR RANGE OF MOTION DOES THAT SOUND OK +audio/MSK0039.mp3[703.840,706.320] THAT SOUNDS GOOD ALRIGHT THANK YOU SO MUCH +audio/MSK0039.mp3[706.320,708.240] OK YEAH NO WORRIES +audio/RES0159.mp3[0.000,2.320] WHAT BRINGS YOU IN TODAY +audio/RES0159.mp3[2.320,26.760] HI UH SO I JUST CAME IN TODAY UH IVE KIND OF PUT IT OFF FOR A BIT BUT IVE BEEN HAVING THIS COUGH UH FOR THE LAST FIVE TO SIX MONTHS AND IT SEEMS TO BE GETTING WORSE AND OVER THE LAST MONTH IVE ALSO BEEN BECOMING MORE SHORT OF BREATH SO I JUST WANTED TO COME AND CHECK IF I NEED TO DO ANYTHING +audio/RES0159.mp3[26.760,35.000] YEAH THAT THAT ITS ITS REALLY GOOD THAT YOU DECIDED TO COME IN UM HOW BAD IS YOUR SHORTNESS OF BREATH +audio/RES0159.mp3[35.000,54.480] UM SO USUALLY LIKE I I WOULD BE ABLE TO WALK A FEW BLOCKS UM NO PROBLEM BUT NOW I HAVE TO TAKE A BREAK AND CATCH MY BREATH AND EVEN GOING UP AND DOWN STAIRS HAS BEEN TOUGH +audio/RES0159.mp3[54.480,63.920] UM DO YOU FEEL THAT UH DO YOU FEEL THAT YOUR UH DIFFICULTY WITH BREATHING IS WORSE WHEN YOURE EXERTING YOURSELF +audio/RES0159.mp3[63.920,76.440] UM YEAH ITS DEFINITELY WORSE BUT I ALSO JUST LIKE NORMALLY EVEN WHEN IM RESTING I FEEL LIKE I HAVE TO UM TAKE IN LIKE MUCH DEEPER BREATHS +audio/RES0159.mp3[76.440,81.360] DO YOU EVER WAKE UP IN THE MIDDLE OF THE NIGHT GASPING FOR AIR +audio/RES0159.mp3[81.360,83.640] UH NO NOTHING LIKE THAT +audio/RES0159.mp3[83.640,90.840] DO YOU FEEL LIKE YOU HAVE TO RAISE YOUR HEAD OR HAVE MULTIPLE PILLOWS TO SLEEP AT NIGHT SO YOU DONT FEEL SHORT OF BREATH +audio/RES0159.mp3[90.840,94.520] NO NOTHING LIKE THAT +audio/RES0159.mp3[94.520,103.680] OK UHM AND THIS COUGH THAT YOUVE HAD FOR THE PAST FIVE OR SIX MONTHS DID YOU SAY ITS GETTING WORSE +audio/RES0159.mp3[103.680,123.760] UM YEAH IT ITS BOTH THE SHORTNESS OF BREATH AND THE COUGH ARE GETTING WORSE AND ALSO JUST IVE BEEN HAVING SOME EVEN SOME DISCOMFORT AND PAIN WHEN TAKING THOSE DEEP BREATHS NOW TOO SO AND THATS BEEN HAPPENING FOR PROBABLY THE LAST COUPLE WEEKS +audio/RES0159.mp3[123.760,138.800] I SEE UM IS IT A DRY COUGH THAT YOU HAVE OR OR DO YOU BRING UP ANY GUNK OR ANY MUCUS +audio/RES0159.mp3[138.800,145.320] UM ITS MAINLY JUST A LIKE A LIKE A DRY COUGH +audio/RES0159.mp3[145.320,150.600] HAVE YOU EVER COUGHED UP ANY BLOOD OR ANYTHING LIKE THAT +audio/RES0159.mp3[150.600,159.960] NO I HAVENT I DONT THINK IVE SEEN ANY BLOOD +audio/RES0159.mp3[159.960,165.640] OK UHM DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE ANY FEVERS OR CHILLS +audio/RES0159.mp3[165.640,183.400] UM NOT FEVERS BUT I I HAVE BEEN GETTING NIGHT SWEATS UM FOR THE LAST COUPLE WEEKS TO MAYBE EVEN A MONTH OR ONCE OR TWICE A WEEK I JUST WAKE UP COMPLETELY DRENCHED +audio/RES0159.mp3[183.400,187.600] AND HAVE YOU HAD ANY UNINTENTIONAL WEIGHT LOSS +audio/RES0159.mp3[187.600,200.040] YEAH NOW THAT YOU MENTION IT I PROBABLY LOST 15 POUNDS IN THE LAST TWO MONTHS +audio/RES0159.mp3[200.040,207.040] OK UHM HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS ALL OVER YOUR BODY DO YOU FEEL ACHY +audio/RES0159.mp3[207.040,215.880] YEAH BUT IVE PROBABLY FELT LIKE THAT FOR THE LAST FIVE YEARS UM SO I HAVE UH OSTEOARTHRITIS +audio/RES0159.mp3[217.120,221.560] SO I DONT THINK THATS ANYTHING NEW +audio/RES0159.mp3[221.560,227.560] UM HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +audio/RES0159.mp3[228.840,231.880] ANY ABDOMINAL PAIN +audio/RES0159.mp3[231.880,237.360] NO NOT THAT IVE NOTICED +audio/RES0159.mp3[237.360,240.920] OK ANY HEADACHES +audio/RES0159.mp3[240.920,245.160] UM NO NOTHING LIKE THAT +audio/RES0159.mp3[245.160,252.280] UHM OK UH HAVE YOU HAD ANY FALLS IN THE PAST OR IN THE PAST COUPLE OF MONTHS OR YEARS +audio/RES0159.mp3[252.280,255.280] NO NO IVE BEEN LUCKY +audio/RES0159.mp3[255.280,257.920] GOOD ANY CONFUSION +audio/RES0159.mp3[259.480,263.400] UH ANY TIME WHEN YOUVE LOST CONSCIOUSNESS +audio/RES0159.mp3[263.400,266.240] NOT THAT I KNOW OF NO +audio/RES0159.mp3[266.240,272.960] OK UM AND ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0159.mp3[272.960,288.880] UM SO I HAVE OSTEOARTHRITIS AND THEN I ALSO HAVE UM THIS CONDITION WITH MY PROSTATE UH BPH AND UM I ALSO TAKE MEDICATIONS FOR MY BLOOD PRESSURE +audio/RES0159.mp3[288.880,297.320] UM WHAT MEDICATIONS DO YOU TAKE +audio/RES0159.mp3[297.320,303.720] UM I TAKE UM THIS MEDICATION CALLED UH LISINOPRIL +audio/RES0159.mp3[303.720,315.640] ANYTHING ELSE +audio/RES0159.mp3[315.640,322.320] UM I DO TAKE UH JUST PAIN MEDICATIONS LIKE ADVIL +audio/RES0159.mp3[322.320,333.880] UM OK DO YOU TAKE ANYTHING TO PROTECT YOUR STOMACH WHEN YOURE TAKING THE ADVIL ANY OTHER MEDICATIONS +audio/RES0159.mp3[333.880,359.320] YEAH I WAS GIVEN UM THIS OTHER MEDICATION FOR FOR TO TAKE WITH MY ADVIL LIKE BUT ITS ONLY WHEN IM TAKING ADVIL LIKE EVERY DAY UM AND UM I HAVENT REALLY BEEN TAKING THAT UM I PROBABLY TOOK THE LAST TIME I TOOK IT WAS PROBABLY A MONTH AGO +audio/RES0159.mp3[359.320,370.440] OK OK THATS GOOD UM ARE YOU TAKING ANYTHING FOR YOUR UH BPH +audio/RES0159.mp3[370.440,378.120] OH YEAH SORRY SO IM TAKING UH THIS MEDICATION CALLED TAMSULOSIN +audio/RES0159.mp3[378.120,382.560] OK ALRIGHT ANY ALLERGIES TO MEDICATIONS OR OTHERWISE +audio/RES0159.mp3[382.560,385.000] UH MOT THAT I KNOW OF NO +audio/RES0159.mp3[385.000,395.680] OK ANY UM I GUESS SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH +audio/RES0159.mp3[395.680,409.480] UH I LIVE ALONE RIGHT NOW IN MY APARTMENT I UM BUT I HAVE PRETTY GOOD SUPPORT FROM MY KIDS THEY JUST LIVE A FEW BLOCKS AWAY AND COME VISIT ME +audio/RES0159.mp3[409.480,419.760] THATS GOOD THATS REALLY GOOD AND UH DO YOU ARE YOU ABLE TO UM TAKE CARE OF YOURSELF OR DO YOU NEED HELP WITH THINGS LIKE UM FINANCES AND GROCERIES AND CLEANING +audio/RES0159.mp3[419.760,424.360] NO IM IM FAIRLY INDEPENDENT IN THOSE MATTERS +audio/RES0159.mp3[424.360,434.120] OK DO YOU REQUIRE ANY ASSISTANCE UH WITH WALKING ANY CANE OR WALKER OR WHEELCHAIR ANYTHING LIKE THAT +audio/RES0159.mp3[434.120,436.640] NO NOT YET +audio/RES0159.mp3[436.640,441.880] OK GOOD GOOD DO YOU SMOKE AT ALL OR DID YOU EVER SMOKE IN THE PAST +audio/RES0159.mp3[441.880,446.080] YEAH IVE BEEN SMOKING FOR MY WHOLE LIFE +audio/RES0159.mp3[446.080,451.680] HOW LONG AND HOW MUCH AND FOR HOW MANY YEARS +audio/RES0159.mp3[451.680,476.280] UM PROBABLY FOR ALMOST I GUESS 50 YEARS OR MAYBE EVEN MORE MAYBE LIKE 55 YEARS AND UH IVE BEEN SMOKING AT ONE POINT I EVEN SMOKED UP TO LIKE TWO TWO PACKS A DAY BUT NOW LIKE FOR THE LAST AT LEAST 20 30 YEARS ITS BEEN LIKE ONE PACK A DAY +audio/RES0159.mp3[476.280,481.760] OK HAVE YOU EVER BEEN DIAGNOSED WITH ANY LUNG CONDITIONS +audio/RES0159.mp3[481.760,487.400] UH NO +audio/RES0159.mp3[487.400,493.520] OK HAVE YOU UM HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS +audio/RES0159.mp3[493.520,499.400] UH NO NOTHING LIKE THAT +audio/RES0159.mp3[503.480,512.360] OK UHM ALRIGHT UM YOU MENTIONED THAT THE COUGH STARTED 5 TO SIX MONTHS AGO HAVE YOU HAD A COUGH BEFORE THAT +audio/RES0159.mp3[512.360,534.200] UM ITS HERE AND THERE LIKE MAYBE JUST WHEN I WAKE UP SOMETIMES BUT THIS IS KIND OF UH MORE FREQUENT AND I I DO FEEL JUST KIND OF THIS DISCOMFORT IN MY CHEST WHEN I TAKE THESE DEEP BREATHS AS WELL UM YEAH SO I I DONT REALLY KNOW WHATS GOING ON +audio/RES0159.mp3[534.200,540.680] UM DO YOU GO TO YOUR FAMILY DOCTOR FOR YOUR UH HEALTH CHECKUPS +audio/RES0159.mp3[540.680,550.480] I HAVENT BEEN FOR A WHILE FOR THE LAST FEW MONTHS BUT YEAH I GENERALLY DO GO TO MY FAMILY DOCTOR +audio/RES0159.mp3[550.480,570.920] YOU DO OK UM HAVE YOU BEEN UH SOMETIMES FOR PEOPLE WHO HAVE BEEN SMOKING FOR A LONG TIME THEY DO UH THESE SCANS OF THE LUNGS UHM HAVE YOU BEEN GETTING THOSE +audio/RES0159.mp3[570.920,582.400] NO I DONT REMEMBER THE LAST TIME I HAD ONE +audio/RES0159.mp3[582.400,594.760] OK ALRIGHT UM OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU UHM WELL WELL DO A PHYSICAL EXAM AND UH DO YOUR VITALS UM AND SEE IF YOU UH DO SOME LABS AND THEN GO FROM THERE +audio/RES0159.mp3[594.760,598.480] OK SOUNDS GOOD +audio/RES0159.mp3[598.480,603.160] YOURE WELCOME +audio/RES0096.mp3[0.000,3.240] UH HOW CAN I HELP YOU +audio/RES0096.mp3[3.240,10.600] UH I HAVE JUST BEEN FEELING VERY SHORT OF BREATH RECENTLY +audio/RES0096.mp3[11.240,16.800] AND I THOUGHT I SHOULD COME IN IVE ALSO HAD A IVE ALSO HAD A COUGH +audio/RES0096.mp3[16.800,31.640] I SEE OK UHM AND WHEN DOES THIS SHORTNESS OF BREATH UHM COME ON HOW HOW MUCH ACTIVITY ARE YOU ABLE TO DO +audio/RES0096.mp3[31.640,34.000] UHM I CAN WALK A BLOCK +audio/RES0096.mp3[34.560,38.680] WITHOUT BEING SHORT OF BREATH +audio/RES0096.mp3[38.680,49.680] AND PRIOR TO THIS CHANGE HOW FAR WERE YOU ABLE TO WALK AND AND HOW LONG AGO DID YOU DID YOU NOTICE THIS CHANGE +audio/RES0096.mp3[49.680,79.760] UHM I I GUESS I COULD WALK UH I DONT KNOW ITS BEEN VERY I GUESS ITS ITS BEEN A GRADUAL CHANGE UHM MAYBE A MONTH A MONTH AGO I FELT THAT I COULDNT REALLY WALK AS MUCH AS I USED TO AND THEN ITS ONLY GOTTEN WORSE TWO OR THREE MONTHS AGO I COULD I COULD WALK A KILOMETRE OR TWO OR MORE +audio/RES0096.mp3[79.760,95.840] OK SO QUITE A SIGNIFICANT CHANGE OVER THE LAST LITTLE WHILE HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT WITH WITH SHORTNESS OF BREATH AND YOU NEED TO SIT UP +audio/RES0096.mp3[96.120,100.120] OK AND HOW MANY PILLOWS DO YOU SLEEP WITH +audio/RES0096.mp3[101.800,109.960] OK AND HAVE YOU NOTICED ANY LIKE ANKLE SWELLING OR OR LEG SWELLING +audio/RES0096.mp3[111.560,118.840] OK AND YOU MENTIONED COUGH WHEN DID THAT START +audio/RES0096.mp3[118.840,149.400] IVE HAD A COUGH FOR A WHILE THE PAST FIVE TEN YEARS BUT I FEEL THAT ITS BEEN A LITTLE BIT MORE FREQUENT NOW ITS JUST I JUST GET INTO THIS COUGHING FIT AND I THINK THERE WAS A TIME WHEN I HAD A LITTLE BIT OF BLOOD COME OUT AS WELL ONCE OR TWICE THE COUGHING ALSO MAKES IT DIFFICULT FOR ME TO BREATHE YOU KNOW I FEEL VERY SHORT OF BREATH AFTER THAT +audio/RES0096.mp3[149.400,156.200] YEAH CERTAINLY UHM HOW MUCH BLOOD HAVE YOU COUGHED UP +audio/RES0096.mp3[156.200,161.480] OH I DONT KNOW I THINK IT WAS IT WAS A LITTLE BIT +audio/RES0096.mp3[161.480,167.440] DID IT HAPPEN EACH TIME OR HAS IT ONLY BEEN A COUPLE OF TIMES +audio/RES0096.mp3[167.440,182.840] I THINK MAYBE TWO OR THREE TIMES BUT THEN THERE HAVE ALSO BEEN TIMES WHEN I COUGH UP THIS THIS STUFF THAT I COUGH UP IS A LITTLE BIT PINK IN COLOR ITS NOT EXACTLY BLOOD BUT ITS ITS YOU KNOW PINKISH +audio/RES0096.mp3[182.840,189.120] OK AND ARE YOU PRODUCING SPUTUM EACH TIME YOURE COUGHING UP +audio/RES0096.mp3[189.120,192.080] MOST OF THE TIMES YES +audio/RES0096.mp3[192.080,199.800] OK IS THIS A CHANGE FROM PREVIOUSLY DID YOU HAVE A DRY COUGH BEFORE +audio/RES0096.mp3[199.800,222.200] A BIT MORE OF A DRY COUGH BEFORE BUT I MEAN SO SOMETIMES IT WILL BE A DRY COUGH SOMETIMES UH IT WAS MORE OF A WET COUGH BUT IT WAS IT WAS USUALLY JUST THIS WHITE THING COMING UP IT WASNT LIKE THERE WAS NEVER BLOOD BEFORE +audio/RES0096.mp3[222.200,228.600] OK AND YOURE COUGHING MORE OFTEN AS WELL OVER THIS LAST MONTH +audio/RES0096.mp3[228.600,231.160] OH YEAH OH YEAH +audio/RES0096.mp3[231.160,237.800] OK HAVE YOU BEEN EXPERIENCING ANY ANY HEADACHES +audio/RES0096.mp3[239.600,245.920] OK HOW ABOUT ANY EYE PAIN OR EAR PAIN +audio/RES0096.mp3[245.920,247.120] NO NO NO +audio/RES0096.mp3[247.120,250.720] HOW ABOUT ANY EYE REDNESS OR OR DISCHARGE +audio/RES0096.mp3[251.720,254.840] ANY RUNNY NOSE OR SORE THROAT +audio/RES0096.mp3[256.400,261.840] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0096.mp3[261.840,274.920] UHM I I CHECKED MY FEVERS I CHECKED MY TEMPERATURE UH COUPLE DAYS AGO ITS JUST BEEN THIS LITTLE BIT 30 I THINK IT WAS 38 +audio/RES0096.mp3[274.920,278.520] OK SO YEAH THAT WOULD BE A FEVER +audio/RES0096.mp3[278.520,281.240] THAT WAS I THINK TWO WEEKS AGO +audio/RES0096.mp3[281.240,284.240] OK DO YOU FEEL HOT NOW +audio/RES0096.mp3[284.240,288.760] NOT REALLY NO +audio/RES0096.mp3[288.760,292.840] OK HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0096.mp3[292.840,294.560] UH NO +audio/RES0096.mp3[294.560,298.000] AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0096.mp3[298.000,299.480] OH YEAH +audio/RES0096.mp3[299.480,301.000] HOW MUCH WEIGHT +audio/RES0096.mp3[301.000,304.040] ABOUT 20 POUNDS +audio/RES0096.mp3[304.040,309.320] OK AND SO HOW HOW LONG WAS THAT WEIGHT LOSS OVER +audio/RES0096.mp3[309.320,314.080] ID SAY ABOUT ABOUT UH THREE THREEFOUR MONTHS +audio/RES0096.mp3[314.080,321.840] OK AND SORRY WHAT WAS YOUR STARTING WEIGHT ROUGHLY +audio/RES0096.mp3[321.840,329.400] YEAH YEAH I WAS UHM 210 POUNDS +audio/RES0096.mp3[329.400,344.800] OK UHM SO YEAH ABOUT A 10 REDUCTION IN YOUR WEIGHT OVER THE LAST COUPLE OF MONTHS IT SOUNDS LIKE OK HOW IS YOUR APPETITE BEEN +audio/RES0096.mp3[344.800,347.560] UH ITS OK +audio/RES0096.mp3[347.560,354.280] ALRIGHT AND HAVE YOU BEEN HAVING ANY CHEST PAIN +audio/RES0096.mp3[356.080,359.840] ANY ANY WHEEZE +audio/RES0096.mp3[361.000,366.200] HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +audio/RES0096.mp3[366.200,368.440] UHM NO NO +audio/RES0096.mp3[368.440,371.840] OK HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0096.mp3[373.280,375.160] ANY DIARRHEA OR CONSTIPATION +audio/RES0096.mp3[376.280,377.720] ANY URINARY PROBLEMS +audio/RES0096.mp3[378.600,382.680] ANY SKIN RASHES OR MUSCLE ACHES +audio/RES0096.mp3[384.520,393.560] OK AND UH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0096.mp3[393.560,404.200] YEAH IVE BEEN DIAGNOSED WITH COPWITH UH HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL +audio/RES0096.mp3[404.200,408.600] I SEE ALRIGHT AND DO YOU TAKE ANY MEDICATIONS FOR THOSE +audio/RES0096.mp3[408.600,413.200] UH I TAKE LIPITOR +audio/RES0096.mp3[413.720,427.560] AND I TAKE SOME PUFFERS BUT DONT USE THEM VERY FREQUENTLY I FORGET TO USE THEM AND THEY I TRIED THEM BUT THEY HAVENT BEEN VERY HELPFUL THESE PAST TWO MONTHS +audio/RES0096.mp3[427.560,434.560] OK SO YEAH YOUVE TRIED THEM WHEN YOU WERE SHORT OF BREATH AND THEY HAVENT HELPED +audio/RES0096.mp3[434.560,438.400] THEY HAVENT DONE MUCH +audio/RES0096.mp3[438.400,443.680] OK AND ARE YOU ALLERGIC TO ANY MEDICATIONS OR HAVE ANY ALLERGIES +audio/RES0096.mp3[443.680,445.240] UHM NO +audio/RES0096.mp3[445.240,452.280] ALRIGHT AND HAVE YOU BEEN HOSPITALIZED FOR ANY REASON OR LIKE INCLUDING COPEXACERBATION +audio/RES0096.mp3[452.280,453.240] OH YEAH YEAH +audio/RES0096.mp3[453.240,455.720] OR ANY SIMILAR SYMPTOMS +audio/RES0096.mp3[455.720,463.080] ITS BEEN UH I WAS UH I WAS ACTUALLY HOSPITALIZED ABOUT FOUR OR FIVE TIMES LAST YEAR +audio/RES0096.mp3[463.080,467.600] AND WAS THIS FOR COPEXACERBATIONS +audio/RES0096.mp3[467.600,468.040] YEAH YEAH +audio/RES0096.mp3[468.040,476.080] OK DID THOSE EACH REQUIRE A STAY IN THE HOSPITAL +audio/RES0096.mp3[476.080,479.040] TWO OR THREE OF THEM I DID YEAH +audio/RES0096.mp3[479.040,487.240] OK AND HAVE YOU HAD ANY SURGERIES +audio/RES0096.mp3[487.240,489.400] UH NO +audio/RES0096.mp3[489.400,492.840] AND ARE YOU CURRENTLY SMOKING +audio/RES0096.mp3[494.160,497.440] OK HOW MUCH DO YOU SMOKE PER DAY +audio/RES0096.mp3[497.440,512.200] IVE GOT IT DOWN QUITE A BIT I ONLY HAVE TWO CIGARETTES A DAY I USED TO HAVE A PACK AND A HALF UH BUT IVE GOT IT DOWN A LOT IM TRYING TO IM TRYING TO QUIT BUT ITS HARD +audio/RES0096.mp3[512.200,533.360] YEAH FOR SURE ITS GREAT THAT YOURE WORKING TOWARDS QUITTING WE CAN DISCUSS THAT FURTHER AND THERE ARE SEVERAL OPTIONS THAT MIGHT BE AVAILABLE TO HELP IF ITS SOMETHING YOURE INTERESTED IN BECAUSE YEAH ITS DEFINITELY REALLY HARD ARE YOU DO YOU DRINK ALCOHOL +audio/RES0096.mp3[533.360,537.120] UH ONCE IN A WHILE ON CHRISTMAS +audio/RES0096.mp3[537.120,542.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0096.mp3[543.440,547.760] YOU SMOKE MARIJUANA OR USE MARIJUANA PRODUCTS +audio/RES0096.mp3[548.320,551.200] ALRIGHT AND WHO ARE YOU LIVING WITH CURRENTLY +audio/RES0096.mp3[551.200,557.320] I LIVE WITH MY WIFE +audio/RES0096.mp3[557.320,570.960] OK AND ARE YOU UHM DO YOU HELP LOOKING AFTER THE HOME AND UH LIKE FUNCTIONALLY INDEPENDENT RIGHT NOW +audio/RES0096.mp3[570.960,573.760] UH YEAH I USE A CANE +audio/RES0096.mp3[573.760,576.800] MHM OK +audio/RES0096.mp3[576.800,593.280] AND UH YEAH MY MY SON COMES OVER AND HELPS OUT WITH GROCERIES AND MY WIFE COOKS BUT I I HELP HER WITH CLEANING SOMETIMES +audio/RES0096.mp3[593.280,595.920] OK GREAT AND SO ARE YOU RETIRED +audio/RES0096.mp3[597.240,603.600] OK UHM AND HAS ANYBODY IN THE FAMILY HAD ANY HEART OR LUNG CONDITIONS +audio/RES0096.mp3[603.600,620.160] MY DAD DIED OF LUNG CANCER HE WAS A HE WAS A BIG SMOKER AS WELL AND MY MOM HAD A HEART ATTACK +audio/RES0096.mp3[620.160,626.080] OK AND HOW OLD WERE YOUR PARENTS APPROXIMATELY +audio/RES0096.mp3[626.080,634.680] YEAH MY DAD WAS 65 AND MY MOM WAS WAS VERY YOUNG SHE WAS 50 +audio/RES0096.mp3[634.680,637.520] I SEE DID YOUR MOM SURVIVE THE HEART ATTACK +audio/RES0096.mp3[637.520,638.600] NO NO SHE DID NOT +audio/RES0096.mp3[638.600,649.840] OH IM SORRY TO HEAR THAT UHM AND THE LUNG CANCER YOU MENTION ANY OTHER CANCERS THAT RUN IN THE FAMILY +audio/RES0096.mp3[650.400,695.560] OK SO THAT WAS ALL THE QUESTIONS I WANTED TO ASK ON ON HISTORY UHM CERTAINLY IT SOUNDS LIKE YOURE BRINGING UP SOME BLOOD WITH WITH WITH THE INCREASED COUGH AND WITH DIFFICULTIES BREATHING SO WE WILL GET A UHM A CHEST XRAY AND POSSIBLY A CT IMAGE OF YOUR CHEST AS WELL TO SEE IF THERES ANYTHING GOING ON IN YOUR LUNGS AND WE MIGHT DO SOME BLOOD WORK AS WELL TO CHECK A FEW THINGS SO UHM WELL GET THOSE ORDERED AND AND SEE WHAT SEE WHAT THAT SHOWS +audio/RES0096.mp3[695.560,699.520] THANK YOU +audio/RES0146.mp3[0.000,3.280] WHAT BRINGS YOU IN TODAY +audio/RES0146.mp3[3.280,25.800] 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 +audio/RES0146.mp3[25.800,53.720] IM SORRY THATS DOESNT 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 +audio/RES0146.mp3[53.720,64.640] YEAH I CHECKED IT THIS MORNING AND IT WAS 385 +audio/RES0146.mp3[64.640,67.080] AND UH DID YOU CAN YOU TELL ME ABOUT YOUR HEADACHE +audio/RES0146.mp3[67.080,95.640] 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 DIDNT HAVE A HEADACHE AT FIRST BUT IT CAME ON MAYBE AN HOUR AFTER WAKING UP AND IT FEELS LIKE A THERES A BAND AROUND SQUEEZING MY HEAD +audio/RES0146.mp3[95.640,98.720] IS IT ON BOTH SIDES OR ONLY ONE SIDE +audio/RES0146.mp3[98.720,103.360] ITS ON BOTH SIDES KIND OF FEEL THAT REAL WRAPPING AROUND +audio/RES0146.mp3[103.360,109.160] AND IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST PAIN EVER WHAT WOULD YOU SAY +audio/RES0146.mp3[109.160,119.080] ABOUT A FIVE +audio/RES0146.mp3[119.080,128.640] OK UHM AND DO YOU HAVE ANY OTHER SYMPTOMS SUCH AS A RUNNY NOSE OR A STUFFY NOSE +audio/RES0146.mp3[128.640,140.960] YEAH MY NOSE HAS BEEN BEEN RUNNY I STARTED NOTICING NOTICING THAT A LITTLE BIT YESTERDAY TOO ACTUALLY NOW THAT YOU MENTION IT +audio/RES0146.mp3[140.960,149.080] AND WHAT WAS THE DISCHARGE OR WHAT WAS THE DISCHARGE LIKE +audio/RES0146.mp3[149.080,154.040] ITS PRETTY RUNNY IN IN YEAH ITS PRETTY RUNNING CLEAR +audio/RES0146.mp3[154.040,161.640] OK UHM AND DO YOU HAVE A COUGH +audio/RES0146.mp3[163.520,166.640] ANY SORE THROAT +audio/RES0146.mp3[170.480,174.960] UHM HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING +audio/RES0146.mp3[176.200,179.360] OK ANY CHEST PAIN +audio/RES0146.mp3[182.360,191.240] OK UHM UH ANY I GUESS ITCHY EYES OR ITCHY NOSE OR ANY SNEEZING +audio/RES0146.mp3[191.240,207.840] YEAH WELL WELL MY NOSE HAS BEEN ITCHY AND I I HAVE BEEN I HAVE BEEN SNEEZING +audio/RES0146.mp3[207.840,213.720] ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0146.mp3[215.080,219.720] ANY NAUSEA OR VOMITING +audio/RES0146.mp3[221.440,230.800] OK ANY BELLY PAIN +audio/RES0146.mp3[232.000,238.800] OK HAVE YOU BEEN AROUND ANYONE WHO COULD HAVE BEEN SICK +audio/RES0146.mp3[238.800,254.920] UHM MAYBE I THERE WAS A ONE OF MY COLLEAGUES AT WORK WAS OFF LAST WEEK I THINK HE WAS SICK WITH SOMETHING +audio/RES0146.mp3[254.920,262.360] DID YOU GET TESTED DO YOU KNOW IF YOU WENT TO SEE A DOCTOR OR WAS HE TESTED FOR COVID +audio/RES0146.mp3[262.360,283.680] UHM IM NOT SURE I JUST DONT LIKE WELL HE WASNT THERE ON THURSDAY AND FRIDAY LAST WEEK AND HE HASNT BEEN THERE BEEN HERE THIS WEEK AND I I JUST HEARD THAT THAT HE WAS SICK +audio/RES0146.mp3[283.680,294.480] OK ALRIGHT UHM AND HAVE YOU HAVE YOU HAD ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0146.mp3[294.480,319.520] YEAH IVE 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 IVE BEEN TOLD I HAVE PREDIABETES AS WELL SO IVE BEEN TRYING TO WORK ON DIET +audio/RES0146.mp3[319.520,322.400] ARE YOU TAKING ANY OTHER MEDICATIONS +audio/RES0146.mp3[322.400,328.960] I TAKE VITAMIN AND A MULTIVITAMIN +audio/RES0146.mp3[328.960,332.240] AND DO YOU HAVE ANY ALLERGIES +audio/RES0146.mp3[336.600,343.000] OK UHM AND YOU DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE +audio/RES0146.mp3[343.000,347.360] YEAH I I LIVE WITH MY WITH MY WIFE +audio/RES0146.mp3[347.360,356.280] OK AND SINCE YOUVE BEEN FEELING SICK HAVE YOU BEEN MAINTAINING SOCIAL DISTANCE MAINTAINING SOME DISTANCE FROM HER +audio/RES0146.mp3[356.280,366.600] YEAH YEAH WE HAVE WE WE HAVE SEPARATE AH ROOMS THAT WEVE BEEN ABLE TO DISTANCE FOR THE LAST FEW DAYS +audio/RES0146.mp3[366.600,377.720] OK THATS GOOD AND DO YOU AH HAVE YOU TRAVELED ANYWHERE RECENTLY OUTSIDE THE PROVINCE +audio/RES0146.mp3[377.720,379.400] NO TRAVEL +audio/RES0146.mp3[379.400,385.960] OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED +audio/RES0146.mp3[385.960,389.000] NO I I DONT +audio/RES0146.mp3[389.000,392.520] AND MARIJUANA +audio/RES0146.mp3[393.680,396.920] ANY RECREATIONAL DRUGS +audio/RES0146.mp3[398.280,404.680] HAVE YOU EVER HAD OR DO YOU CURRENTLY CONSUME ALCOHOL +audio/RES0146.mp3[404.680,417.360] YEAH HAVE A FEW BEERS ON THE WEEKEND BUT IVE BEEN TRYING TO CUT DOWN AFTER I WAS TOLD I HAVE UH PRE DIABETES +audio/RES0146.mp3[417.360,434.800] OK THATS REALLY GOOD UMM AND AND OK LETS SEE DO YOU HAVE ANY FAMILY HISTORY OF ANY HEART PROBLEMS OR ANY LUNG ISSUES OR ANY CANCERS +audio/RES0146.mp3[434.800,449.160] 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 +audio/RES0146.mp3[449.160,506.200] 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 ITS 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 ITS GREAT THAT YOUVE BEEN INSTEAD OF ISOLATING YOURSELF AND STAYING AWAY FROM YOUR WIFE I WOULD ALSO RECOMMEND IF YOU HAVENT 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 YOULL BE GETTING FROM PUBLIC HEALTH +audio/RES0146.mp3[506.200,508.320] THAT SOUNDS REALLY GOOD YEAH THANK YOU +audio/RES0120.mp3[0.000,2.680] SO WHAT BRINGS YOU IN HERE TODAY +audio/RES0120.mp3[2.680,20.000] HI UM SO IVE BEEN VERY IVE BEEN I HAVENT BEEN FEELING VERY WELL FOR THE PAST FOUR DAYS IVE IVE BEEN HAVING CHILLS I AM FEELING SHORT OF BREATH AND NOW MY CHEST HURTS +audio/RES0120.mp3[20.000,27.600] OKAY IM SORRY UM SO HOW LONG LIKE CAN YOU JUST TELL ME WHAT STARTED FIRST AND WHEN DID THIS ALL KIND OF START +audio/RES0120.mp3[27.600,46.880] SO WHAT STARTED FIRST SO I WOULD SAY THE SHORTNESS OF BREATH STARTED FIRST UM AND THEN I STARTED HAVING THESE CHILLS AND NOW IT HURTS LIKE MY CHEST HURTS EVERY TIME I TRY TO TAKE TRY TO TAKE A DEEP BREATH IN +audio/RES0120.mp3[46.880,51.320] AND HOW LONG IS THIS BEEN GOING ON FOR +audio/RES0120.mp3[51.320,55.120] UM ITS BEEN GOING ON FOR THE PAST FOUR DAYS +audio/RES0120.mp3[55.120,61.920] FOUR DAYS OKAY UM AND DO YOU HAVE ANY KIND OF COUGH AT ALL +audio/RES0120.mp3[61.920,64.080] NO COUGH +audio/RES0120.mp3[64.080,78.880] OKAY SO JUST SHORTNESS OF BREATH AND CAN YOU DESCRIBE YOUR SHORTNESS OF BREATH A LITTLE BIT IS IT UH ARE YOU HAVING CATCHING YOUR BREATH OR WOULD YOU SAY YOURE HAVING TROUBLE TAKING DEEP BREATHS OR HOW WOULD YOU DESCRIBE IT +audio/RES0120.mp3[78.880,84.160] ITS MOSTLY WHEN IM TRYING TO TAKE A DEEP BREATH IN +audio/RES0120.mp3[84.160,88.960] OKAY AND UH WHERE WOULD YOU SAY YOURE GETTING THE CHEST PAIN +audio/RES0120.mp3[88.960,107.720] UM ITS MOSTLY LIKE CENTRE OF MY CHEST LIKE CLOSE TO MY LIKE ID SAY ITS LIKE IT FEELS LIKE ITS NOT MY LIKE IT DOESNT FEEL LIKE ITS INSIDE IT FEELS MORE LIKE ITS PUSHING UP ON ON MY CHEST WALL +audio/RES0120.mp3[107.720,112.680] OKAY I SEE AND IS IT RELATED TO YOU TAKING DEEP BREATHS AT ALL +audio/RES0120.mp3[112.680,116.720] YES ITS DEFINITELY WHEN I TAKE A DEEP BREATH IN +audio/RES0120.mp3[116.720,124.440] OKAY AND WHAT KIND OF PAIN IS IT IS IT LIKE A SHARP PAIN STABBING PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT +audio/RES0120.mp3[124.440,135.960] UM ITS A ITS ITS LIKE A I DONT KNOW I GUESS ITS A SHARP PAIN WHEN I TRY TO TAKE A DEEP BREATH IN +audio/RES0120.mp3[135.960,143.360] OKAY UM AND DOES IT GET RELIEVED WITH UH WHEN YOU WHEN YOU EXPIRE +audio/RES0120.mp3[145.840,151.160] OKAY AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE IN THE PAST +audio/RES0120.mp3[151.160,154.960] UM NOTHING LIKE THIS +audio/RES0120.mp3[154.960,162.320] OKAY UM WOULD YOU SAY LIKE YOUR SYMPTOMS ARE CONSTANT OR DO THEY KIND OF COME AND GO +audio/RES0120.mp3[162.320,167.560] UM THEYRE PRETTY CONSTANT +audio/RES0120.mp3[167.560,169.280] OKAY AND ARE THEY GETTING WORSE AT ALL +audio/RES0120.mp3[169.280,179.760] UH NO ITS NOT GETTING WORSE IT WAS JUST BAD TO START WITH AND ITS STILL BAD +audio/RES0120.mp3[179.760,191.920] OKAY AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HELPS YOU WITH YOUR BREATHING OR RELIEVES YOUR CHEST PAIN ANYTHING THAT WORKS FOR YOU +audio/RES0120.mp3[191.920,201.000] UM I GUESS SITTING FORWARD HELPS TIME NOW TO TAKE A SUPER DEEP BREATH IN +audio/RES0120.mp3[201.000,205.640] OKAY AND HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS +audio/RES0120.mp3[205.640,217.240] UH YEAH IVE IVE HAD CHILLS FOR SURE I FELT HOT I HAVENT ACTUALLY TAKEN MY TEMPERATURE SO IM NOT TOO SURE ABOUT IF I ACTUALLY HAVE A FEVER +audio/RES0120.mp3[217.240,219.880] OKAY AND WHEN DID YOU FEEL THESE CHILLS +audio/RES0120.mp3[219.880,224.520] THEYVE BEEN GOING ON FOR THE PAST THREE DAYS +audio/RES0120.mp3[224.520,234.840] OKAY UH AND DO YOU HAVE ANY KIND OF OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +audio/RES0120.mp3[234.840,239.560] UH MAYBE LIKE A SLIGHT RUNNY NOSE YEAH +audio/RES0120.mp3[239.560,246.000] OKAY AND DO YOU GET SHORT OF BREATH WHEN LAYING DOWN AT ALL +audio/RES0120.mp3[246.000,251.440] UM I NO NOT NO I WOULDNT SAY SO +audio/RES0120.mp3[251.440,257.600] OKAY AND DO YOU HAVE TO WAKE UP AT NIGHT TO CATCH YOUR BREATH AT ALL +audio/RES0120.mp3[257.600,260.560] NO NOTHING LIKE THAT +audio/RES0120.mp3[260.560,266.080] OKAY AND DO YOU HAVE ANY KIND OF SWELLING IN YOUR LEGS HANDS ANYWHERE +audio/RES0120.mp3[268.520,274.240] OKAY HAVE YOU EXPERIENCED ANY KIND OF UM DIZZINESS OR FAINTING EPISODES +audio/RES0120.mp3[274.240,276.360] UH NO +audio/RES0120.mp3[276.360,283.280] OKAY DO YOU GET ANY KIND OF CHEST PAIN WITH ANY ACTIVITIES +audio/RES0120.mp3[283.280,291.360] NO NOT REALLY I GUESS ITS I GET TIRED WITH THE SHORTNESS OF BREATH +audio/RES0120.mp3[291.360,297.160] AND DO YOU UM FIND THAT YOUR HEART IS RACING AT ALL +audio/RES0120.mp3[297.160,300.200] UH NO NOTHING LIKE THAT +audio/RES0120.mp3[300.200,304.120] ARE YOU HAVING ANY NIGHT SWEATS +audio/RES0120.mp3[304.960,311.680] UM HAVE YOU HAD ANY SICK CONTACTS RECENTLY +audio/RES0120.mp3[311.680,323.400] UH I GUESS WHEN I WENT TO THE GROCERY STORE THE OTHER DAY AND THERE WERE PEOPLE COUGHING AROUND ME +audio/RES0120.mp3[323.400,329.000] OKAY AND WERE THEY WEARING MASKS OR WERE YOU WEARING A MASK +audio/RES0120.mp3[329.000,331.400] YEAH EVERYONE WAS WEARING A MASK +audio/RES0120.mp3[331.400,340.600] OKAY ARE YOU UM HAVING ANY KIND OF CHANGES IN YOUR BOWEL MOVEMENTS AT ALL ANY CONSTIPATION OR DIARRHEA +audio/RES0120.mp3[343.240,347.200] NO OKAY ANY CHANGES IN YOUR APPETITE AT ALL +audio/RES0120.mp3[347.200,349.600] UH NO +audio/RES0120.mp3[349.600,351.920] NO ANY NAUSEA OR VOMITING +audio/RES0120.mp3[354.440,358.960] OKAY ANY CHANGES IN YOUR URINARY PATTERN +audio/RES0120.mp3[360.000,368.240] OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY HAVE YOU LOST ANY SIGNIFICANT WEIGHT +audio/RES0120.mp3[369.000,376.840] NO OKAY HAVE YOU RECENTLY HAD A COLD LIKE COLDLIKE SYMPTOMS AT ALL WITHIN THE LAST FEW WEEKS +audio/RES0120.mp3[376.840,385.200] UM YEAH I GUESS THE RUNNY NOSE UM IVE HAD ON AND OFF FOR THE PAST LIKE 7 DAYS +audio/RES0120.mp3[385.200,388.480] OKAY NOW IT HASNT GONE AWAY +audio/RES0120.mp3[388.480,400.720] NO ITS NOT THAT BOTHERSOME THOUGH ITS MORE THE CHILLS AND THE SHORTNESS OF BREATH AND THIS CHEST PAIN NOW THAT IS WORRYING ME +audio/RES0120.mp3[400.720,406.680] OKAY AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS OR DIAGNOSES +audio/RES0120.mp3[406.680,414.520] UM I WAS DIAGNOSED WITH DIABETES UM HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL +audio/RES0120.mp3[414.520,418.600] OKAY AND WHEN WERE YOU DIAGNOSED WITH DIABETES +audio/RES0120.mp3[418.600,423.240] I WAS DIAGNOSED ABOUT 10 YEARS AGO +audio/RES0120.mp3[423.240,433.400] OKAY UM IM SORRY I FORGOT TO ASK YOU THIS SPECIFICALLY HAVE YOU EXPERIENCED ANY KIND OF LOSS OF YOUR SENSE OF TASTE OR SMELL +audio/RES0120.mp3[434.720,442.360] NO OKAY UM DO YOU TAKE ANY MEDICATIONS FOR YOUR MEDICAL CONDITIONS +audio/RES0120.mp3[442.360,460.680] UM MEDICATIONS SO I TAKE SO FOR THE DIABETES I TAKE INSULIN FOR THE HIGH BLOOD PRESSURE I TAKE RAMIPRIL FOR THE HIGH CHOLESTEROL I TAKE ROSUVASTATIN +audio/RES0120.mp3[460.680,464.800] OKAY AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/RES0120.mp3[468.120,476.760] OKAY UM ANY RECENT SURGERIES OR HOSPITALIZATIONS OR ANY REASON FOR WHY IF LIKE IF YOU WERE IMMOBILIZED AT ALL +audio/RES0120.mp3[476.760,480.720] UM NO I DONT THINK SO +audio/RES0120.mp3[480.720,486.120] OKAY ANY HISTORY OF HOSPITALIZATIONS OR SURGERIES AT ALL +audio/RES0120.mp3[486.120,496.680] UH I HAD A CHOLECYSTECTOMY ABOUT OH GOSH ITS LIKE 12 YEARS AGO +audio/RES0120.mp3[496.680,501.840] OKAY AND WERE THERE ANY COMPLICATIONS AT ALL +audio/RES0120.mp3[502.400,509.320] OKAY UM ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS +audio/RES0120.mp3[511.880,520.680] OKAY UM CURRENTLY DO YOU WORK AT ALL +audio/RES0120.mp3[520.680,523.680] NO I NO IM RETIRED +audio/RES0120.mp3[523.680,528.400] OKAY AND WHATS YOUR LIVING SITUATION LIKE +audio/RES0120.mp3[528.400,531.280] I LIVE WITH MY HUSBAND UM IN A CONDO +audio/RES0120.mp3[531.280,540.280] OKAY UM AND ARE YOU IS YOUR HUSBAND WELL DOES HE HAVE ANY SYMPTOMS +audio/RES0120.mp3[540.280,543.400] UH YEAH HES HES BEEN OKAY +audio/RES0120.mp3[543.400,553.400] OKAY THATS GOOD UM ANY KIND OF DUST OR MOLD ASBESTOS OR ANY PETS IN YOUR IN YOUR HOME +audio/RES0120.mp3[553.400,556.280] NO NOTHING LIKE THAT +audio/RES0120.mp3[556.280,558.000] OKAY DO YOU SMOKE AT ALL +audio/RES0120.mp3[558.000,561.560] UM I USED TO BUT NOT ANYMORE +audio/RES0120.mp3[561.560,567.040] OKAY AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH WOULD YOU SMOKE EVERYDAY +audio/RES0120.mp3[567.040,574.280] UH SO I STOPPED ABOUT 20 YEARS BACK I SMOKED FOR ABOUT 25 YEARS I SMOKED ABOUT A PACK A DAY +audio/RES0120.mp3[574.280,580.160] I SEE UM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0120.mp3[580.160,585.680] UM I DONT NO +audio/RES0120.mp3[585.680,588.400] OKAY AND DO YOU DRINK ALCOHOL AT ALL +audio/RES0120.mp3[588.400,592.200] I ILL HAVE A GLASS OF WINE HERE AND THERE +audio/RES0120.mp3[592.200,601.600] OKAY AND UM YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD TODAY DO YOU HAVE ANY CONCERNS OR QUESTIONS +audio/RES0120.mp3[601.600,605.600] UM YEAH LIKE WHAT DO YOU THINK I HAVE COVID +audio/RES0120.mp3[605.600,647.080] YEAH SO RIGHT NOW ITS DEFINITELY SOMETHING THATS ON EVERYONES MIND UM SOME OF THESE SYMPTOMS UM THE SHORTNESS OF BREATH AND FEVER DEFINITELY CAN BE COVIAND THATS SOMETHING THAT WE ARE GOING TO TEST YOU WITH AND THATS SOMETHING WE TEST EVERYONE WITH UM BUT BECAUSE YOURE HAVING SHORTNESS OF BREATH UH WE DO NEED TO MAKE SURE NOTHING ELSE IS GOING ON AS WELL UH YOU CAN POTENTIALLY HAVE PNEUMONIA THATS NOT COVIIT CAN BE ANY OTHER VIRUS OR BACTERIA SO WE WILL GET SOME BLOOD WORK DONE WELL GET YOUR TEMPERATURE AND ALL YOUR VITALS TAKEN AS WELL UM AND THEN GET A CHEST XRAY AS WELL +audio/RES0120.mp3[648.000,666.920] AND IF IT TURNS OUT AT ALL THAT YOU HAVE PNEUMONIA WELL JUST REASSESS AND SEE IF YOU NEED TO STAY IN THE HOSPITAL FOR LONGER IF YOU NEED ANY ANTIBIOTICS WITHIN THE HOSPITAL OR YOU CAN TAKE THEM AT HOME SO YEAH WELL DO A FULL PHYSICAL EXAMINATION AND DO ALL THOSE TESTS AND THEN GO FROM THERE +audio/RES0120.mp3[666.920,669.520] OKAY THAT SOUNDS GREAT THANK YOU +audio/RES0120.mp3[669.520,672.400] YOURE WELCOME UM YEAH WELL BE THERE WITH YOU SHORTLY +audio/RES0120.mp3[672.400,674.440] OKAY GREAT +audio/RES0195.mp3[0.000,2.720] WHAT BRINGS YOU IN HERE TODAY +audio/RES0195.mp3[2.720,30.000] YEAH HI IM SO OVER THE PAST FEW MONTHS IVE NOTICED THAT I GET SHORT OF BREATH SOMETIMES AND MY EYES ARE SO IRRITATED AND THEY FEEL ITCHY AND RED AND IVE ALSO NOTICED THIS RASH BELOW MY KNEES SO I JUST WANTED TO GET EVERYTHING CHECKED OUT +audio/RES0195.mp3[30.000,32.840] OK AND WHEN DID THIS ALL KIND OF START +audio/RES0195.mp3[32.840,38.720] AH IT STARTED A COUPLE MONTHS AGO LIKE 2 3 MONTHS AGO +audio/RES0195.mp3[38.720,42.080] OK AND WHEN DID THE SHORTNESS OF BREATH START +audio/RES0195.mp3[42.080,46.200] THATS BEEN ON AND OFF FOR THE PAST TWO MONTHS AS WELL +audio/RES0195.mp3[46.200,49.480] OK AND HOW ABOUT THE RASHES +audio/RES0195.mp3[49.480,58.640] THE RASHES STARTED LIKE A MONTH BACK BUT IT LOOKS WORSE NOW IT STARTED OFF SMALL +audio/RES0195.mp3[58.640,63.240] OK UM SO FOR THE COUGH IS IT LIKE A DRY COUGH OR A WET COUGH +audio/RES0195.mp3[63.240,64.960] ITS A PRETTY DRY COUGH +audio/RES0195.mp3[64.960,70.200] DRY COUGH OK ARE YOU BRINGING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL +audio/RES0195.mp3[72.800,76.800] OK AND THIS ALSO STARTED LIKE A FEW MONTHS AGO +audio/RES0195.mp3[78.440,82.960] AND IS IT CONSTANT OR DOES IT COME AND GO +audio/RES0195.mp3[82.960,92.560] UM ITS ITS GETTING WORSE NOW SO IT FEELS MORE CONSTANT NOW BUT AT FIRST IT IT JUST CAME IN YEAH IT CAME IN WENT +audio/RES0195.mp3[92.560,100.920] OK AND HAS THIS HAPPENED TO YOU BEFORE AT ALL OF THESE SYMPTOMS +audio/RES0195.mp3[102.960,114.320] 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 +audio/RES0195.mp3[114.320,118.960] UM THATS BEEN THERE FOR THE PAST MONTH +audio/RES0195.mp3[118.960,124.560] OK AND CAN YOU DESCRIBE THE RASH A LITTLE BIT WHAT DOES IT LOOK LIKE +audio/RES0195.mp3[124.560,149.080] SURE SO ITS NOW PRETTY DIFFUSE ITS JUST BELOW MY KNEES LIKE ON MY SHINS ITS ON BOTH SIDES THE ONE ON MY RIGHT SIDE IS A LITTLE BIT BIGGER ITS ABOUT ID SAY MAYBE LIKE 10 CENTIMETERS AND DIAMETER ITS ITS RED OR LIKE A DARK PINK UM THERES NOTHING COMING OUT OF IT +audio/RES0195.mp3[149.080,155.600] OK IS IT PAINFUL OR ITCHY AT ALL +audio/RES0195.mp3[155.600,158.720] ITS UM PAINFUL YEAH +audio/RES0195.mp3[158.720,164.120] OK WHAT KIND OF PAINT DO YOU FEEL THAT WHEN YOU PRESS ON IT +audio/RES0195.mp3[164.120,177.360] ITS ITS NOT THAT OK SO ITS NOT PAINFUL PAINFUL ITS TENDER SO IF I TOUCH IT IT WILL FEEL TUG TENDER +audio/RES0195.mp3[177.360,184.000] OK UH HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU RELIEVE THESE SYMPTOMS +audio/RES0195.mp3[184.000,189.880] UM I TOOK SOME IBUPROFEN THAT HELPED A LITTLE BIT +audio/RES0195.mp3[189.880,197.400] OK OK UM AND SO YOUVE HAD THE COUGH BUT HAVE YOU BEEN HAVING ANY KIND OF SHORTNESS OF BREATH +audio/RES0195.mp3[197.400,205.200] NO WELL ACTUALLY SORRY SORRY I HAVE HAD A SHORTNESS OF BREATH I HAVENT HAD A COUGH +audio/RES0195.mp3[205.200,209.240] OK SO NO COUGH BUT YOUVE BEEN HAVING SHORTNESS OF BREATH +audio/RES0195.mp3[211.240,220.360] AND WHEN YOUR SHORTNESS OF BREATH IS IT MORE SO THAT YOURE NOT ABLE TO TAKE DEEP BREATHS OR YOU TAKING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT +audio/RES0195.mp3[220.360,230.600] IT JUST FEELS LIKE YEAH I CAN TAKE IN A FULL DEEP BREATH +audio/RES0195.mp3[230.600,234.440] I SEE AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS +audio/RES0195.mp3[235.880,239.480] OK AND HOW ABOUT THE EYE IRRITATION WHEN DID THAT START +audio/RES0195.mp3[239.480,242.360] THAT STARTED A MONTH AGO AS WELL +audio/RES0195.mp3[242.360,250.080] OK AND YOU DO YOU HAVE ANY RED EYES OR CAN YOU SEE ANY CHANGES IN YOUR VISION AT ALL +audio/RES0195.mp3[250.080,264.040] YEAH MY EYES DO LOOK A LITTLE BIT RED AND I DONT KNOW IF MY VISION CHANGED A LOT BUT SOMETIMES THINGS WILL LOOK A LITTLE BIT BLURRY WHEN THEYRE FAR AWAY +audio/RES0195.mp3[264.040,271.880] OK AND WITH THE SHORTNESS OF BREATH IS IT BROUGHT ON BY EXERTION OR CAN IT BE AT REST AS WELL +audio/RES0195.mp3[271.880,277.320] IT CAN BE AT REST AS WELL +audio/RES0195.mp3[277.320,283.360] OK AND THEN DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY JOINT PAINS +audio/RES0195.mp3[283.360,289.360] NO NO JOIN PAINS +audio/RES0195.mp3[289.360,293.400] OK ANY NAUSEA OR VOMITING +audio/RES0195.mp3[293.400,296.040] UM NO +audio/RES0195.mp3[296.040,297.400] OK ANY HEADACHES +audio/RES0195.mp3[299.080,300.640] ANY MUSCLE PAIN +audio/RES0195.mp3[300.640,302.480] UH NO +audio/RES0195.mp3[302.480,310.360] OK AND ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK +audio/RES0195.mp3[310.360,311.760] UM NO +audio/RES0195.mp3[311.760,322.520] DO YOU SEE ANY OR DO YOU NOTICE ANY LIKE FLUID COMING OUT FROM YOUR EYES OR ANYTHING LIKE THAT +audio/RES0195.mp3[322.520,324.960] UH NO I DIDNT NOTICE THAT +audio/RES0195.mp3[324.960,327.400] OK DO YOU GET ANY NIGHT SWEATS +audio/RES0195.mp3[329.320,334.360] AND ANY CHEST PAIN +audio/RES0195.mp3[334.360,337.560] SOMETIMES THE SHORTNESS OF BREATH +audio/RES0195.mp3[337.560,342.680] OK IS IT JUST LIKE A DISCOMFORT OR IS IT A PRESSURE OR STABBING PAIN +audio/RES0195.mp3[342.680,345.000] AH IT JUST FEELS LIKE A DISCOMFORT +audio/RES0195.mp3[345.000,349.920] DO YOU FEEL YOUR HEART IS RACING +audio/RES0195.mp3[349.920,355.120] UH NO +audio/RES0195.mp3[355.120,360.440] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +audio/RES0195.mp3[360.440,363.960] NO NOTHING LIKE THAT +audio/RES0195.mp3[363.960,368.440] OK ANY CHANGES IN YOUR URINARY PATTERN +audio/RES0195.mp3[371.440,377.080] OK ANY SORE THROAT RUNNY NOSE ANY COLD LIKE SYMPTOMS +audio/RES0195.mp3[377.080,385.520] UH NO BUT I HAVEN BEEN FEELING UM A LITTLE BIT HOT SO I WONDER IF I HAVE A FEVER I HAVENT CHECKED IT +audio/RES0195.mp3[385.520,391.640] OK WE CAN CHECK HAVE YOU HAD ANY RECENT WEIGHT CHANGES +audio/RES0195.mp3[391.640,401.080] NOW THAT YOU MENTION IT I HAVE HAD SOME WEIGHT LOSS OVER THE PAST UM SIX MONTHS IVE LOST ABOUT 15 POUNDS +audio/RES0195.mp3[401.080,406.720] 15 POUNDS OK HOW ABOUT YOUR APPETITE HAVE YOU BEEN EATING WELL +audio/RES0195.mp3[406.720,411.200] YEAH IVE BEEN EATING THE SAME +audio/RES0195.mp3[411.200,417.200] OK OK AND HAVE YOU HAD ANY EXPOSURE TO ANY FUMES DUST ANIMALS OR PETS IN YOUR ENVIRONMENT +audio/RES0195.mp3[419.360,422.760] HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0195.mp3[422.760,424.960] UH NO +audio/RES0195.mp3[424.960,426.800] DO YOU TAKE ANY MEDICATIONS +audio/RES0195.mp3[426.800,430.240] UM NOPE +audio/RES0195.mp3[430.240,431.960] OK ANY ALLERGIES +audio/RES0195.mp3[431.960,433.600] NO ALLERGIES +audio/RES0195.mp3[433.600,437.760] OK HOSPITALIZATIONS OR PREVIOUS SURGERIES +audio/RES0195.mp3[437.760,441.960] UH I HAD A CSECTION FOR MY SECOND CHILD +audio/RES0195.mp3[441.960,446.120] OK ANY COMPLICATIONS WITH THAT +audio/RES0195.mp3[446.120,453.480] NO IT WAS IT WAS A PRETTY STANDARD I DIDNT HAVE ANY EXCESSIVE BLOOD LOSS OR ANYTHING LIKE THAT +audio/RES0195.mp3[453.480,462.760] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE ANY LUNG OR HEART CONDITIONS +audio/RES0195.mp3[462.760,468.800] UM NO LUNG OR HEART CONDITIONS THERE ARE SOME AUTOIMMUNE CONDITIONS IN MY FAMILY THOUGH +audio/RES0195.mp3[468.800,477.760] OK AND WHAT WHAT KIND OF AUTOIMMUNE CONDITIONS ARE THERE +audio/RES0195.mp3[477.760,488.160] UH THERE IS RHEUMATOID ARTHRITIS UM THERE IS UM UH LUPUS LIKE TYPE ONE DIABETES +audio/RES0195.mp3[488.160,499.000] OK OK AND THEN ARE THEY FOR ANY LIKE DIRECT RELATIVES LIKE YOUR PARENTS OR OR CHILDREN +audio/RES0195.mp3[499.000,503.360] YES MY PARENTS +audio/RES0195.mp3[503.360,506.360] OK AND CURRENTLY RIGHT NOW DO YOU WORK +audio/RES0195.mp3[506.360,513.880] I WORK FROM HOME YEAH I TEACH I TEACH ONLINE +audio/RES0195.mp3[513.880,516.720] OK AND HOWS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/RES0195.mp3[516.720,521.640] PRETTY GOOD WE LIVE IN A HOUSE I LIVE WITH MY HUSBAND AND TWO CHILDREN +audio/RES0195.mp3[521.640,527.800] OK UM AND DO YOU CURRENTLY SMOKE +audio/RES0195.mp3[530.800,534.440] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA +audio/RES0195.mp3[536.560,541.640] OK AND ANY UM ALCOHOL +audio/RES0195.mp3[541.640,546.040] I DRINK ONCE IN AWHILE LIKE ILL HAVE A GLASS OF WINE ON FRIDAYS +audio/RES0195.mp3[546.040,554.720] OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0195.mp3[554.720,561.320] UM NO LIKE WHAT WHAT DO YOU THINK I HAVE AND HOW SHOULD I TREAT IT +audio/RES0195.mp3[561.320,593.480] 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 YOURE 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 +audio/RES0195.mp3[593.480,644.480] OF AUTO IMMUNE CONDITIONS AS WELL SO SOMETIMES YOU CAN GET AN AUTO IMMUNE DISEASE THAT AFFECTS THE LUNGS SO WE NEED TO RULE OUT SOMETHING LIKE SARCOIDOSIS WHICH CAN CAUSE FIBROSIS IN YOUR LUNGS AND CAUSE SHORTNESS OF BREATH SO JUST TO WORK THAT UP WILL GET A CHEST X RAY AND ALSO DO SOME INFLAMMATORY MARKER TESTS LIKE CRESR AND SOME OTHER RHEUMATOLOGICAL TESTS AS WELL AND BASED ON WHAT COMES BACK WE MAY HAVE TO REFER YOU TO A RHEUMATOLOGIST FOR FURTHER MANAGEMENT AND TREATMENT YEAH SO LETS JUST DO SOME OF THOSE TESTS 1ST AND THEN WELL GO FROM THERE YOU HAVE ANY QUESTIONS +audio/RES0195.mp3[644.480,646.480] NO THAT SOUNDS GREAT THANK YOU SO MUCH +audio/RES0195.mp3[646.480,655.960] YOURE WELCOME AND YOU MAY NEED DEPENDING ON WHAT WE FIND STEROID TREATMENT TODAY OR UNTIL YOU SEE THE RHEUMATOLOGIST +audio/RES0195.mp3[657.840,660.920] ALRIGHT TAKE CARE +audio/RES0195.mp3[660.920,662.080] YOU TOO +audio/RES0071.mp3[0.000,2.920] WHAT BRINGS YOU IN HERE +audio/RES0071.mp3[2.920,9.680] IVE HAD THIS COUGH FOR OVER A WEEK NOW AND IT JUST HASNT GONE AWAY +audio/RES0071.mp3[9.680,17.600] OK AND UH SO THIS COUGH HAS BEEN GOING ON FOR A WEEK CAN YOU DESCRIBE THE COUGH A LITTLE BIT FOR ME +audio/RES0071.mp3[17.600,33.560] YEAH SO I MEAN SOMETIMES I PRODUCE SPUTUM AND SOMETIMES I DONT ITS UH WHITE AND WHITEISH CLEAR IN COLOR +audio/RES0071.mp3[33.560,39.920] OK UM AND ITS BEEN GOING ON FOR MORE THAN A WEEKHAS IT BEEN GETTING WORSE +audio/RES0071.mp3[39.920,50.520] IT GOT A LITTLE BIT WORSE AT FIRST BUT THEN ITS BEEN KIND OF THE SAME UM SINCE +audio/RES0071.mp3[50.520,60.800] OK HAVE YOU NOTICED AT ALL UM LIKE GREEN OR YELLOW COLOR OF YOUR SPUTUM OR ANY BLOOD TINGED SPUTUM +audio/RES0071.mp3[60.800,66.600] UH NO BLOOD AND MAYBE A LITTLE YELLOWISH +audio/RES0071.mp3[66.600,75.360] OK LITTLE YELLOWISH OK AND HOW MUCH WOULD YOU SAY YOU BRING UP UM ON AN AVERAGE DAY +audio/RES0071.mp3[75.360,79.320] UH A COUPLE OF TEASPOONS +audio/RES0071.mp3[79.320,91.720] COUPLE OF TEASPOONS OKOK HAS THERE BEEN ANYTHING THAT UM MAKES IT WORSE OR BETTER +audio/RES0071.mp3[91.720,94.280] NOTHING THAT I CAN THINK OF +audio/RES0071.mp3[94.280,101.000] OK AND HAVE YOU HAD THIS HAPPEN TO YOU PREVIOUSLY IN THE PAST +audio/RES0071.mp3[103.680,108.480] AND IS THE COUGH UH CONSTANT OR DOES IT COME AND GO +audio/RES0071.mp3[108.480,118.120] IT COMES AND GOES UH THROUGHOUT THE DAY NO PARTICULAR TIME OF THE DAY ITS WORSE +audio/RES0071.mp3[118.120,132.240] OK AND UM ARE YOU HAVING ANY UH OTHER SYMPTOMS BESIDES THE COUGH UM LIKE SHORTNESS OF BREATHSORE THROAT UM RUNNY NOSE CONGESTION ANYTHING LIKE THAT +audio/RES0071.mp3[132.240,140.440] UH YEAH IVE HAD UM A SORE THROAT UH AND A HEADACHE AS WELL +audio/RES0071.mp3[140.440,144.880] OK AND WHEN DID THE SORE THROAT START +audio/RES0071.mp3[144.880,147.880] UM THAT STARTED ABOUT FIVE DAYS AGO +audio/RES0071.mp3[147.880,151.560] FIVE DAYS AGO AND HAS IT BEEN GETTING WORSE +audio/RES0071.mp3[151.560,153.960] NO THATS BEEN ABOUT THE SAME +audio/RES0071.mp3[153.960,159.400] AND DO YOU HAVE ANY DIFFICULTY UH SWALLOWING AT ALL +audio/RES0071.mp3[159.400,167.000] ITS A LITTLE SORE BUT UH ITS BEEN OK TO EAT AND DRINK +audio/RES0071.mp3[167.000,173.520] OK AND HAVE YOU NOTICED ANY KIND OF REDNESS IN YOUR THROAT OR ANY SWELLING AROUND YOUR NECK +audio/RES0071.mp3[173.520,183.000] NO I TOOK A LOOK IN THE MIRROR AS BEST I COULD WITH MY PHONE AND I COULDNT REALLY NOTICE ANYTHING THAT LOOKED RED +audio/RES0071.mp3[183.000,186.840] OK AND HOW ABOUT THE HEADACHE WHEN DID THAT START +audio/RES0071.mp3[186.840,201.960] SO ITS BEEN UH KIND OF OFF AND ON OVER THE PAST UH WEEK OR SO UM FEELS LIKE A LIKE A PRESSURE SENSATION AND MY HEAD IS JUST REALLY SQUEEZING +audio/RES0071.mp3[201.960,208.000] OK AND UM SO IS IT ON ONE SIDE OF YOUR HEAD OR BOTH SIDES +audio/RES0071.mp3[208.000,209.520] BOTH SIDES +audio/RES0071.mp3[209.520,215.280] AND ITS KIND OF LIKE A PRESSURE AND SQUEEZING IS IT AT ALL PULSATING +audio/RES0071.mp3[217.280,221.000] NO OK IS IT CONSTANT OR DOES IT COME AND GO +audio/RES0071.mp3[221.000,225.080] IT COMES AND GOES +audio/RES0071.mp3[225.080,230.680] OK AND HAVE YOU TAKEN ANY MEDICATIONS TO MAKE ANY OF THESE SYMPTOMS BETTER +audio/RES0071.mp3[230.680,244.040] YEAH I HAVE USED SOME ADVIL FOR THE HEADACHES AND OVER THE COUNTER MEDICINE AT NIGHT TIME TO HELP SLEEP +audio/RES0071.mp3[244.040,260.640] OK UHAND DO YOU RECALL DOING ANYTHING IN THE LAST FEW WEEKS WHICH YOU MIGHT BELIEVE THAT UH CAUSED SOME OF THESE SYMPTOMS LIKE FOR EXAMPLE WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK AT ALL +audio/RES0071.mp3[260.640,269.800] WELL IM A NURSING STUDENT AND IVE BEEN ON ROTATIONS IN THE HOSPITAL RECENTLY +audio/RES0071.mp3[269.800,279.720] AND ANYONE THAT YOU PROBABLY SAW IN THE HOSPITAL ANYONE SICK THAT YOU WERE IN CONTACT WITH +audio/RES0071.mp3[279.720,293.520] I DID SEE SOME PEOPLE WHO HAD LIKE INFECTIOUS SYMPTOMS +audio/RES0071.mp3[293.520,299.760] OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0071.mp3[299.760,301.520] YEAH IVE FELT CHILLS +audio/RES0071.mp3[301.520,307.920] OK CHILLS AND WHEN DID YOU FEEL THEM +audio/RES0071.mp3[307.920,317.240] IVE BEEN FEELING CHILLS THROUGHOUT THE DAY AND AT NIGHT I JUST FEEL LIKE I CANT GET WARM EVEN WITH A BLANKET ON +audio/RES0071.mp3[317.240,325.240] OK AND HAVE YOU TAKEN YOUR TEMPERATURE AT ALL +audio/RES0071.mp3[326.920,334.760] OK YEAH WE CAN DO THAT FOR YOU TODAY UH OTHER THAN THAT ANY RECENT TRAVEL OUTSIDE OF THE PROVINCE +audio/RES0071.mp3[334.760,339.360] NO BEEN JUST AT SCHOOL +audio/RES0071.mp3[339.360,346.240] OK AND ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0071.mp3[347.960,350.080] ANY NAUSEA OR VOMITING +audio/RES0071.mp3[351.560,354.920] ANY NIGHT SWEATS +audio/RES0071.mp3[356.880,359.680] OK ANY FATIGUE +audio/RES0071.mp3[361.280,366.920] OK AND WHEN DID THAT START +audio/RES0071.mp3[366.920,380.800] JUST OVER THIS PAST WEEK IVE BEEN REALLY TIRED IVE BEEN BEEN NEEDING NAPS AND NOT FEELING RESTED IN THE MORNING +audio/RES0071.mp3[380.800,386.960] OK ANY CHEST PAIN AT ALL +audio/RES0071.mp3[386.960,398.040] YEAH IT DOES FEEL SORE KIND OF UH THE CENTER OF MY CHEST +audio/RES0071.mp3[398.040,402.880] OK SO ANY COUGHING AT ALL +audio/RES0071.mp3[402.880,421.120] YEAH I FEEL IT LIKE MORE LIKE IT DOES HURT WHEN WHEN IM COUGHING THATS KIND OF WHAT IM FEELING IT I THINK ITS BEING CAUSED BY HOW MUCH IM COUGHINGI KIND OF FEEL IT THERE IN THE CENTER +audio/RES0071.mp3[421.120,427.560] AND BESIDES WHEN YOURE COUGHING DO YOU HAVE ANY PAIN IN YOUR CHEST WHEN YOURE BREATHING IN OR OUT +audio/RES0071.mp3[431.200,436.960] NO OK ALRIGHT ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA +audio/RES0071.mp3[438.680,441.400] ANY URINARY ISSUES +audio/RES0071.mp3[442.720,448.920] OK ANY CHANGES WITH YOUR SLEEPING OR YOUR APPETITE +audio/RES0071.mp3[451.480,456.720] HAVE YOU NOTICED ANY SIGNIFICANT WEIGHT LOSS IN THE LAST FEW WEEKS +audio/RES0071.mp3[456.720,459.080] NO ITS BEEN THE SAME +audio/RES0071.mp3[459.080,474.840] OK AND HAVE YOU RECENTLY PRIOR TO YOUR COUGHING HAVE YOU HAD ANY INFECTIONS LIKE A VIRAL ILLNESS OR LIKE A COLD FOR EXAMPLE ANYTHING LIKE THAT +audio/RES0071.mp3[474.840,485.680] YEAH NOW THAT I THINK ABOUT IT I MEAN MAYBE LIKE A MONTH AGO I HAD LIKE A RUNNY NOSE FOR A COUPLE OF DAYS AND IT JUST WENT AWAY +audio/RES0071.mp3[485.680,495.560] OK WERE YOU ON ANY KIND OF MEDICATIONS OR ANTIBIOTICS AT ALL +audio/RES0071.mp3[495.560,500.880] NO JUST WENT AWAY ON ITS OWN PRETTY QUICKLY +audio/RES0071.mp3[500.880,510.000] ALRIGHT DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT +audio/RES0071.mp3[510.000,513.840] NO I DONT IM HEALTHY +audio/RES0071.mp3[513.840,516.640] OK DO YOU HAVE ANY ALLERGIES +audio/RES0071.mp3[517.360,522.280] DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/RES0071.mp3[522.280,527.280] UH NO +audio/RES0071.mp3[527.280,533.120] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0071.mp3[536.200,544.080] OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANY CANCERS +audio/RES0071.mp3[544.080,554.200] I THINK MY MOM HAS HIGH BLOOD PRESSURE BUT THATS ABOUT IT +audio/RES0071.mp3[554.200,560.640] OK I FORGOT TO ASK YOU THIS EARLIER HAVE YOU BEEN EXPERIENCING ANY WHEEZING +audio/RES0071.mp3[560.640,564.640] YEAH I HAVE NOTICED A BIT OF A WHEEZE YES +audio/RES0071.mp3[564.640,573.120] AND CURRENTLY YOU ARE NURSING STUDENT WHERE DO YOU LIVE +audio/RES0071.mp3[573.120,580.520] I LIVE WITH A COUPLE OF MY CLASSMATES DOWNTOWN +audio/RES0071.mp3[580.520,589.040] OK AND DO YOU LIVE IN AN APARTMENT OR DORM A HOUSE +audio/RES0071.mp3[589.040,592.800] AN APARTMENT +audio/RES0071.mp3[592.800,598.480] OK ANYONE SICK IN YOUR HOUSEHOLD AT ALL +audio/RES0071.mp3[598.480,601.480] NO NOBODYS BEEN SICK +audio/RES0071.mp3[601.480,608.320] OK DO YOU DRINK ALCOHOL AT ALL +audio/RES0071.mp3[608.320,615.000] SOMETIMES WITH FRIENDS ON A WEEKEND +audio/RES0071.mp3[615.000,618.840] DO YOU SMOKE CIGARETTES AT ALL +audio/RES0071.mp3[618.840,622.440] NO I DONT +audio/RES0071.mp3[622.440,627.800] AND ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0071.mp3[630.960,637.200] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0071.mp3[637.200,645.840] NO I WAS JUST HOPING TO FEEL BETTER ITS BEEN GOING ON FOR SO LONG NOW +audio/RES0071.mp3[645.840,647.640] YOU SAID ITS MORE THAN A WEEK NOW RIGHT +audio/RES0071.mp3[649.200,724.400] YEAH SO WHAT WE WILL DO TODAY IS UH FIRST OF ALL WITH THE PANDEMIC GOING ON WITH SOME OF THESE SYMPTOMS WE NEED TO RULE OUT CORONAVIRUS AND SO WE WILL BE GETTING A SWAB DONE FOR YOU AS WELL TODAY AND CONSIDERING YOU ARE HAVING THESE SYMPTOMS WE WILL ALSO GET ANOTHER TEST DONE FOR YOU TODAY TO SEE IF THERES ANY BACTERIA CAUSING WHAT WE CALL WALKING PNEUMONIA ITS COMMUNITY ACQUIRED PNEUMONIA THATS FAIRLY COMMON IN LIKE THE YOUNGER POPULATION AND SO WELL SEE IF YOU COULD HAVE THAT AND SO FROM THERE WELL SEE IF WE NEED TO PUT YOU ON ANY ANTIBIOTICS WHICH WILL HELP YOU AND IF WE NEED TO GET ANY BLOOD WORK OR X RAYS WELL LET YOU KNOW AS WELL IS THAT OK AND IF YOU FEEL LIKE YOU HAVE WORSENING SYMPTOMS LIKE SHORTNESS OF BREATH YOU NEED TO MAKE SURE YOU COME BACK TO THE EMERGENCY DEPARTMENT +audio/RES0071.mp3[724.400,726.240] YEAH THAT SOUNDS GREAT THANK YOU +audio/RES0071.mp3[726.240,733.800] YEAH YOURE WELCOME AND TAKE CARE AND WELL GET ALL THOSE THINGS DONE FOR YOU AND WELL BE WITH YOU SHORTLY +audio/RES0071.mp3[733.800,735.840] OK SOUNDS GOOD +audio/MSK0041.mp3[0.000,2.400] HOW MAY I HELP YOU +audio/MSK0041.mp3[2.400,21.560] IM I AM HERE BECAUSE IVE HAD THIS INTENSE PAIN IN MY RIGHT FOOT FOR THE PAST SIX HOURS OR SO OR SO AND I THOUGHT IT WAS IMPORTANT TO COME GET IT CHECKED OUT BY YOU GUYS +audio/MSK0041.mp3[21.560,31.400] OK SO YOU SAY IT STARTED SIX HOURS AGO HAS THE PAIN BEEN GETTING BETTER OR GETTING WORSE +audio/MSK0041.mp3[31.400,36.800] UHM ITS BEEN ITS BEEN THE SAME SINCE IT STARTED +audio/MSK0041.mp3[36.800,45.960] OK AND WAS THERE ANY TRAUMA TO THE FOOT OR ANYTHING HAPPEN WITHIN THE LAST DAY OR IN THE LAST SIX HOURS +audio/MSK0041.mp3[45.960,49.440] NO NOT NO TRAUMA +audio/MSK0041.mp3[49.440,60.320] OK AND WHERE IS THE PAIN LOCATED IF YOU HAD TO TRY TO PINPOINT IT WITH ONE FINGER +audio/MSK0041.mp3[60.320,69.920] ITS JUST BELOW MY BIG TOE KIND OF LIKE ON THE MEDIAL SIDE +audio/MSK0041.mp3[69.920,79.800] OK DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE OR YOU JUST FEELING IT AT THAT ONE SPOT +audio/MSK0041.mp3[79.800,83.680] IM FEELING IT JUST IN THAT ONE SPOT +audio/MSK0041.mp3[83.680,90.320] OK AND HOW WOULD YOU DESCRIBE THE PAIN +audio/MSK0041.mp3[90.320,98.880] ITS INTENSE ITS SHARP +audio/MSK0041.mp3[98.880,106.520] OK AND AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED THATS MADE THE PAIN BETTER +audio/MSK0041.mp3[106.520,128.720] UM NO I HAVENT REALLY TRIED ANYTHING IVE I CANT SEEM TO MOVE IT SO EVERY TIME I MOVE IT IT HURTS IM TRYING TO KEEP IT PRETTY STILL AND STATIONARY I TOOK AN IBUPROFEN THATS NOT THAT DOESNT SEEM TO HELP +audio/MSK0041.mp3[128.720,148.160] OK AND SO LIKE ANY MOVEMENT MAKES IT IT WORSE IS THERE ANYTHING ELSE THAT MAKES IT WORSE LIKE PUTTING SOCKS ON OR EVEN HAVING I DONT KNOW CLOTHING TOUCH IT OR YOUR SHOES TOUCH IT +audio/MSK0041.mp3[148.160,153.480] YEAH I GUESS YEAH MY SHOES MY SHOES TOUCHING IT HURTS +audio/MSK0041.mp3[153.480,157.800] OK AND ARE YOU ABLE TO WALK +audio/MSK0041.mp3[157.800,171.960] IM ABLE TO WALK ON IT ITS JUST VERY PAINFUL AND I CANT YOU KNOW I CANT BEND THAT TOE I CANT FLEX IT OR EXTEND IT BUT MY OTHER TOES ARE OK +audio/MSK0041.mp3[171.960,182.360] ALRIGHT AND HOW WOULD YOU DESCRIBE THE SEVERITY OF THIS PAIN ONE BEING THE LEAST PAIN AND 10 BEING THE WORST PAIN YOUVE EVER FELT +audio/MSK0041.mp3[182.360,185.880] I SAY ITS LIKE AN 8 +audio/MSK0041.mp3[185.880,193.680] OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE AND IN YOUR TOES OR OR ANY OF YOUR OTHER JOINTS +audio/MSK0041.mp3[193.680,198.280] NO NEVER +audio/MSK0041.mp3[198.280,207.280] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR SENSORY LOSS +audio/MSK0041.mp3[207.480,214.640] OK HOW ABOUT ANY MUSCLE WEAKNESS +audio/MSK0041.mp3[214.640,217.280] NO NOTHING LIKE THAT +audio/MSK0041.mp3[217.280,222.880] ALRIGHT AND HAVE YOU HAD ANY ANY HEADACHES +audio/MSK0041.mp3[222.880,224.560] NO NO HEADACHES +audio/MSK0041.mp3[224.560,229.000] HAVE YOU HAD ANY MEMORY LOSS OR OR OR CONFUSION +audio/MSK0041.mp3[229.640,234.080] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0041.mp3[235.000,238.160] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0041.mp3[239.440,243.520] AND HAVE YOU HAD ANY ANY NIGHT SWEATS +audio/MSK0041.mp3[243.920,251.240] OK AND HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SENSE OF SMELL OR SENSE OF TASTE +audio/MSK0041.mp3[251.240,254.040] NO CHANGES THERE +audio/MSK0041.mp3[254.040,258.400] ALRIGHT AND HAVE YOU HAD A SORE THROAT OR RUNNY NOSE +audio/MSK0041.mp3[259.720,265.840] AND HOW ABOUT HAVING A COUGH OR SHORTNESS OF BREATH +audio/MSK0041.mp3[265.840,268.600] NO NOTHING LIKE THAT +audio/MSK0041.mp3[268.600,272.360] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/MSK0041.mp3[273.960,285.280] AND HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING +audio/MSK0041.mp3[287.120,296.520] OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0041.mp3[297.760,301.680] OK AND HOW ABOUT ANY NAUSEA OR VOMITING +audio/MSK0041.mp3[303.240,305.840] ALRIGHT HAVE ANY ABDOMINAL PAIN +audio/MSK0041.mp3[307.280,313.240] ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION +audio/MSK0041.mp3[313.240,316.080] NO I DONT THINK SO +audio/MSK0041.mp3[316.080,322.280] OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS LIKE PAIN FREQUENCY OR INCONTINENCE +audio/MSK0041.mp3[324.040,333.040] OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY CHANGES TO YOUR NAILS OR HAIR +audio/MSK0041.mp3[335.200,342.080] OK AND HOW ABOUT YOUR ENERGY HAVE YOU HAD A FATIGUE OR MALAISE RECENTLY +audio/MSK0041.mp3[342.080,345.560] UH NO NOTHING LIKE THAT +audio/MSK0041.mp3[345.560,352.640] ALRIGHT AND ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE +audio/MSK0041.mp3[355.480,360.840] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0041.mp3[360.840,380.040] UM NO I AM ACTUALLY SORRY I HAVE UM HIGH BLOOD PRESSURE AS WELL AS DIABETES AND I AM A LITTLE OVERWEIGHT BUT OTHER THAN THAT NOTHING ELSE +audio/MSK0041.mp3[380.040,386.280] OK DO YOU TAKE MEDICATIONS FOR ANY OF THOSE THINGS +audio/MSK0041.mp3[386.280,394.240] UM I TAKE RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ON INSULIN FOR THE DIABETES +audio/MSK0041.mp3[394.240,399.160] OK HAVE YOU HAD ANY MEDICATION CHANGES RECENTLY +audio/MSK0041.mp3[399.160,404.520] UM NO NO MEDICATION CHANGES +audio/MSK0041.mp3[404.520,414.160] OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES +audio/MSK0041.mp3[414.160,424.000] I WAS RECENTLY HOSPITALISED FOR KIDNEY STONES BUT THAT SINCE HAS RESOLVED +audio/MSK0041.mp3[424.000,428.480] OK HAVE YOU HAD ANY ANY SURGERIES +audio/MSK0041.mp3[428.480,436.160] NO SURGERIES JUST THE LITHOTRIPSY FOR THE KIDNEY STONE +audio/MSK0041.mp3[436.160,438.920] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0041.mp3[438.920,441.280] YEP THEY ARE +audio/MSK0041.mp3[441.280,447.560] EXCELLENT UM OK AND DO YOU SMOKE CIGARETTES +audio/MSK0041.mp3[447.560,449.360] NO I DONT +audio/MSK0041.mp3[449.360,454.200] HOW ABOUT MARIJUANA OR USING OTHER CANNABIS PRODUCTS +audio/MSK0041.mp3[455.880,459.400] OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/MSK0041.mp3[459.400,461.360] UH NO +audio/MSK0041.mp3[461.360,468.480] OK AND HOW ABOUT ALCOHOL HOW MANY DRINKS PER WEEK WOULD YOU HAVE USUALLY +audio/MSK0041.mp3[468.480,475.240] UM ALCOHOL HAVE ABOUT I USUALLY HAVE ABOUT 2 GLASSES OF WINE A DAY +audio/MSK0041.mp3[475.240,483.920] OK AND HAS THAT CHANGED RECENTLY FOR YOU +audio/MSK0041.mp3[483.920,493.880] NO NOT REALLY IVE JUST BEEN IVE ALSO BEEN START DRINKING LIKE A BEER EVERY DAY AS WELL RECENTLY +audio/MSK0041.mp3[493.880,512.040] OK ALRIGHT AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW WHO YOURE LIVING WITH AND AND WHERE +audio/MSK0041.mp3[512.040,514.600] I LIVE WITH MY SON IN A HOUSE +audio/MSK0041.mp3[514.600,520.400] OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/MSK0041.mp3[522.320,530.080] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/MSK0041.mp3[530.080,532.880] UM NO NO TRAVEL RECENTLY +audio/MSK0041.mp3[532.880,548.960] OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AN AND LIKE DO YOU EAT A LOT OF RED MEAT AND OR A LOT OF SEAFOOD LIKE LIKE SHELL SHELLFISH +audio/MSK0041.mp3[548.960,557.160] I EAT A LOT OF RED MEATS BUT NOT A LOT OF UM SEAFOOD +audio/MSK0041.mp3[557.160,574.720] OK AND OK AND ANYBODY IN THE FAMILY HAVE A HISTORY OF MUSCULOSKELETAL OR OR NEUROLOGICAL CONDITIONS +audio/MSK0041.mp3[574.720,613.360] UM SO WHO OK SO MY MY FATHER HAD LIKE ARTHRITIS AND I DONT REMEMBER WHAT KIND OF ARTHRITIS HE HAD BUT HE HAD SEVERE ARTHRITIS HE ALSO HAD HIGH BLOOD PRESSURE AND DIABETES AND ON MY MOTHERS SIDE UM THERE IS SOME ARTHRITIS THERE AS WELL AND AS WELL AS GOUT AND KIDNEY STONES +audio/MSK0041.mp3[613.360,639.480] OK SO THAT THAT WAS EVERYTHING I WANTED TO ASK ALL THE HISTORY AND SO UH NEXT TO ASK YOU TO HAVE A LOOK AT YOUR FEET AND ARE YOU SEEING ANY SWELLING REDNESS OR DISCOLOURATION +audio/MSK0041.mp3[639.480,646.200] I SEE SOME REDNESS AND UH SOME SWELLING IN THAT AREA +audio/MSK0041.mp3[646.200,650.680] OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES +audio/MSK0041.mp3[650.680,654.640] YES AND THE RIGHT ONE IS DEFINITELY WARMER THAN THE LEFT +audio/MSK0041.mp3[654.640,665.160] OK THEN HOW ABOUT ANY MUSCLE ATROPHY IN THE FOOT OR OR LOWER LEG OR ANY JOINT MALALIGNMENT OR DEFORMITIES +audio/MSK0041.mp3[665.160,687.520] UH SO IN TERMS OF DEFORMITY IS LIKE IT JUST LOOKS SWOLLEN AND SO THERES LIKE A BIG BUMP ON THE RIGHT SIDE OF MY FOOT WHEREAS ITS COMPLETELY STRAIGHT ON MY LEFT BUT OTHER THAN THAT NO DEFORMITIES +audio/MSK0041.mp3[687.520,709.560] OK AND IF YOU WERE TO A PALPATE OR PRESS ON AREAS OF YOUR FOOT OR JOINTS OF YOUR TOES ARE YOU FEELING ANY ANY PAINS ALONG THE TOP OF YOUR FOOT OR OR IN ANY OF YOUR OTHER TOES +audio/MSK0041.mp3[709.560,712.120] NONE OF MY OTHER TOES +audio/MSK0041.mp3[712.120,720.040] OK AND HOW ABOUT ANY PAINS AT THE ANKLE +audio/MSK0041.mp3[720.040,724.440] UM NO PAIN AT THE ANKLE +audio/MSK0041.mp3[724.440,746.640] OK SO THE METATARSALS ARE NOT HAVING ANY PAIN AND THEN THE JOINTS OF THE 2ND 5TH DIGITS ARE PAIN FREE ALONG WITH THE ANKLE AS WELL UM AND WHEN IT COMES TO RANGE OF MOTION ARE YOU ABLE TO FLEX YOUR TOES DOWNWARDS AND EXTEND THEM UPWARDS TOWARDS YOUR NOSE +audio/MSK0041.mp3[746.640,750.040] YES I CAN DO THAT +audio/MSK0041.mp3[750.040,757.400] OK AND HOW ABOUT YOUR ANKLE ARE YOU ABLE TO UM MOVE YOUR ANKLE ON A FULL RANGE OF MOTION +audio/MSK0041.mp3[757.400,762.120] I CAN +audio/MSK0041.mp3[762.120,771.000] OK AND ARE YOU HAVING A LIMPING WITH WALKING OR OTHERWISE CALLED AN ANTALGIC GAIT +audio/MSK0041.mp3[771.000,783.800] SOMEWHAT BECAUSE IM TRYING NOT TO PUT TOO MUCH WEIGHT ON MY RIGHT BIG TOE +audio/MSK0041.mp3[783.800,796.680] OK ALRIGHT AND SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY SO DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT I MAYBE FORGOT TO ASK ABOUT YOU WANTED TO MENTION TODAY +audio/MSK0041.mp3[796.680,807.760] UM NO JUST WHAT CAN I DO FOR MY FOOT HOW DO I MAKE THE SWELLING GO DOWN +audio/MSK0041.mp3[807.760,916.120] YEAH FOR SURE ITS SO RIGHT NOW WITH HAVING A LIKE A RED WARM AND SWOLLEN JOINT THAT THATS EXTREMELY TENDER AND HAS LIMITED RANGE OF MOTION ITS IMPORTANT TO RULE OUT A SEPTIC ARTHRITIS HOWEVER BASED ON SEVERAL OF THE RISK FACTORS SUCH AS DIABETES AND OBESITY AS WELL AS YOUR FAMILY HISTORY OF ARTHRITIS AND GOUT TAKING THE MOST LIKELY THING IS THAT THIS IS A GOUT FLARE AND IN PARTICULAR IN THE TOE LIKE THAT IT COULD BE CALLED PODAGRA AND SO WE WILL NEED TO GET A ASPIRATION OF THE JOINT FLUID JUST TO SEND IT OFF AND MAKE SURE THAT ITS NOT NOT AN INFECTION AND THAT WERE TREATING THE RIGHT THING IF THIS IS GOUT AND IT COMES BACK THAT THIS WAY ITS TREATED WITH THAT HIGH DOSE HIGH DOSES OF ANTI INFLAMMATORIES I WILL START WITH MEDICATION CALLED COLCHICINE TO HELP WITH THIS FLARE AND IN THE MEANTIME IMPORTANT THINGS FOR PREVENTING THIS IN THE FUTURE ARE DIET AND KIND OF LIFESTYLE RELATED WITH REDUCING THINGS LIKE RED MEATS ALCOHOL WEIGHT LOSS AND UM JUST TRYING TO IMPROVE THE DIABETES MANAGEMENT AS WELL +audio/MSK0041.mp3[916.120,918.840] OK THAT SOUNDS GREAT THANK YOU +audio/MSK0041.mp3[918.840,921.680] ALRIGHT THANK YOU WE WILL GET THAT STARTED +audio/RES0161.mp3[0.000,2.080] WHAT CAN I DO FOR YOU +audio/RES0161.mp3[2.080,31.320] HI SO YEAH SO I JUST CAME IN HERE TODAY AT IVE BEEN HAVING JUST THIS CONGESTION AROUND MY NOSE AND FACE LIKE ITS JUST SOMETHING THAT JUST STARTED AN AROUND 5 DAYS AGO AND ITS BEEN GETTING WORSE BUT I STARTED TO GET LIKE THESE HEADACHES AS WELL AS JUST PAIN AROUND MY CHEEKS +audio/RES0161.mp3[31.320,42.520] OK IT ALL STARTED ABOUT FIVE DAYS AGO OK ALRIGHT HAVE YOU CAN YOU TELL ME ABOUT YOUR HEADACHES +audio/RES0161.mp3[42.520,59.680] YEAH SO THERE I STARTED GETTING THESE HEADACHES JUST TWO DAYS AGO BUT LIKE ITS MORE THAN A HEADACHE ITS KIND OF MAINLY OVER THE CHEEKS AND THEN IT GOES AND JUST ABOVE THE NOSE +audio/RES0161.mp3[59.680,59.960] I SEE +audio/RES0161.mp3[59.960,63.000] THE LIGHT KIND OF UP INTO THE FOREHEAD +audio/RES0161.mp3[63.000,68.840] YEAH DO YOU FEEL LIKE ITS WORSE WHEN YOURE BENDING DOWN OR SQUATTING +audio/RES0161.mp3[68.840,74.200] HOW IM NOT SURE ACTUALLY +audio/RES0161.mp3[74.200,82.680] OK ALRIGHT AND DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A RUNNY NOSE OR SORE THROAT OR COUGH +audio/RES0161.mp3[82.680,92.880] UHM I DONT HAVE A COUGH I DONT HAVE A SORE THROAT I DO SOMETIMES GET A RUNNY NOSE THOUGH LIKE EVERY EVERY NOW AND THEN +audio/RES0161.mp3[92.880,96.120] OK IN THE PAST FIVE DAYS +audio/RES0161.mp3[96.120,104.160] YEAH I PROBABLY HAD LIKE ITS USUALLY IN THE MORNING I SOMETIMES GET A RUNNY NOSE +audio/RES0161.mp3[104.160,109.040] AND WHAT WHAT COMES OUT OF YOUR NOSE WHAT DO YOU SEE +audio/RES0161.mp3[109.040,119.320] UHM OVER THE LAST WEEK ITS KIND OF LIKE ALMOST LIKE A YELLOWISH DISCHARGE +audio/RES0161.mp3[119.320,123.080] HAVE YOU HAD ANY DIFFICULTIES BREATHING +audio/RES0161.mp3[123.080,128.200] UHM NO I I DONT NO +audio/RES0161.mp3[128.200,137.080] LIKE THAT OK HAVE YOU UHM HAD ANY CHEST PAIN +audio/RES0161.mp3[140.440,150.200] OK UHM ANY OTHER ANY OTHER SYMPTOMS THAT YOUVE EXPERIENCED OVER THE PAST FIVE DAYS +audio/RES0161.mp3[150.200,170.040] I ALSO LIKE I I DO ALSO FEEL LIKE A FULLNESS AND PRESSURE GOING INTO MY EARS AS WELL AND THEN IM NOT SURE BUT YESTERDAY I WAS FEELING A LITTLE WARM THROUGHOUT THE DAY I DIDNT GET A TEMPERATURE BUT I DONT KNOW IF I HAD A FEVER OR NOT +audio/RES0161.mp3[170.040,178.760] HAVE YOU HAD ANY I GUESS LIKE WEIGHT LOSS OR ANY NIGHT SWEATS +audio/RES0161.mp3[179.920,183.720] NO OK ANY MUSCLE ACHES +audio/RES0161.mp3[183.720,185.400] NO NOT THAT I KNOW +audio/RES0161.mp3[185.400,189.040] ANY FATIGUE OR MALAISE +audio/RES0161.mp3[189.040,199.600] I HAVE BEEN FEELING A BIT TIRED OVER THE LAST FEW DAYS BUT IM I DONT KNOW IF THATS BECAUSE OF THIS +audio/RES0161.mp3[199.600,207.360] HAVE YOU HAD CONTACT WITH ANYONE WHO COULD BE SICK IN THE PAST WEEK OR TWO +audio/RES0161.mp3[207.360,220.080] UHM MY MY DAUGHTER ACTUALLY HAD A SORE THROAT JUST A HER LAST WEEK AND SHE WENT TO SEE A DOCTOR +audio/RES0161.mp3[220.080,224.720] UHM DO YOU KNOW IF SHE HAD A COVITEST DONE +audio/RES0161.mp3[224.720,234.560] OH YEAH SHE SHE DID HAVE A COVITEST DONE THAT WAS NEGATIVE +audio/RES0161.mp3[234.560,242.120] OK AND ALRIGHT ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0161.mp3[242.120,246.560] UH I JUST HAVE A HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE +audio/RES0161.mp3[246.560,251.160] DO YOU TAKE MEDICATIONS +audio/RES0161.mp3[251.160,265.800] YEAH SO I JUST TAKE UMM ITS LIKE A THIAZIDE DIURETIC FOR BLOOD PRESSURE AND THEN JUST ATORVASTATIN FOR CHOLESTEROL +audio/RES0161.mp3[265.800,268.280] ANY ALLERGIES +audio/RES0161.mp3[268.280,272.480] UH NO NO ALLERGIES +audio/RES0161.mp3[272.480,279.840] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART CONDITIONS OR LUNG CONDITIONS OR CANCERS +audio/RES0161.mp3[279.840,302.560] UHM YEAH SO HARD CONDITIONS BOTH MY DAD AND UNCLE HAVE HAD HEART ATTACKS IN THEIR 50S BUT YEAH THATS THATS IT THATS ALL THATS ALL THAT I KNOW AND WE ALSO HAVE CANCER ON MY MOTHERS SIDE MY UNCLE FROM MY MOTHERS SIDE HAD BLADDER CANCER +audio/RES0161.mp3[302.560,313.720] OK OK UHM AND DO YOU YOU MENTIONED THAT YOU HAVE A DAUGHTER DO YOU WHO DO YOU CURRENTLY LIVE WITH +audio/RES0161.mp3[313.720,318.280] I LIVE WITH MY TWO DAUGHTERS AND MY WIFE +audio/RES0161.mp3[318.280,322.960] OK AND WHAT DO YOU DO FOR DO YOU WORK +audio/RES0161.mp3[322.960,329.760] YEAH CURRENTLY IM WORKING FROM HOME IM AN ACCOUNTING CLERK +audio/RES0161.mp3[329.760,335.120] ALRIGHT AND DO YOU SMOKE AT ALL OR DID YOU SMOKE IN THE PAST +audio/RES0161.mp3[335.120,351.560] YEAH I I I DO SMOKE BUT IVE CUT DOWN SIGNIFICANTLY IN THE PAST FEW YEARS I CURRENTLY ONLY SMOKE UH PROBABLY TWO OR THREE CIGARETTES A DAY I WAS I WAS SMOKING LIKE ALMOST A PACK A DAY A FEW YEARS BACK +audio/RES0161.mp3[351.560,359.360] OH THATS GREAT ITS GREAT THAT YOURE TRYING TO CUT DOWN DO YOU INTEND ON GETTING THE GETTING DOWN THE SMOKING EVEN FURTHER +audio/RES0161.mp3[359.360,365.840] YEAH THATS THATS THE PLAN IF I CAN DO THAT HOPEFULLY BY THE END OF THIS YEAR THAT WOULD BE GREAT +audio/RES0161.mp3[365.840,369.560] THATS WONDERFUL DO YOU SMOKE MARIJUANA AT ALL +audio/RES0161.mp3[370.680,373.760] UH DO YOU SMOKE ANY RECREATIONAL DRUGS +audio/RES0161.mp3[377.400,379.800] ANY ALCOHOL +audio/RES0161.mp3[379.800,385.240] ALCOHOL JUST UH PROBABLY JUST ON THE WEEKENDS OR HAVE A COUPLE OF BEERS +audio/RES0161.mp3[385.240,464.960] OK ALRIGHT UHM SO I GUESS FROM THE SYMPTOMS THAT YOUVE DESCRIBED IT SOUNDS LIKE YOU LIKELY HAVE A CONDITION CALLED ACUTE RHINOSINUSITIS WHERE YOU HAVE INFLAMMATION OF THE SINUSES IN YOUR FACE AND POTENTIALLY SOME INFLAMMATION IN YOUR NOSE AS WELL AND OFTEN ITS CAUSED BY A VIRUS AND IT USUALLY GETS BETTER IN A COUPLE OF WEEKS AND THE BEST THING TO DO IS JUST CONSERVATIVE MANAGEMENT TRY TO REST AND IF IF YOU KNOW TAKING ANY MEDICATIONS OVER THE COUNTER MEDICATIONS IS HELPING YOU FEEL BETTER IF YOU FEEL LIKE TYLENOL SORT OF REDUCING SOME OF THAT PRESSURE OR IF DOING A TAKING A STEAM BATH IS SORT OF HELPING RELIEVE THAT PRESSURE TRY THOSE DRINK A LOT OF WATER TO TRY TO SORT OF LEAR OUT ALL THAT MUCUS THATS THATS BUILDING UP ILL ALSO DO A PHYSICAL EXAM AND TALK TO MY ATTENDING AND CONFIRM ALL THIS INFORMATION WITH HIM AND WE CAN GO FROM THERE +audio/RES0161.mp3[464.960,467.000] GREAT SOUNDS GOOD THANK YOU +audio/RES0161.mp3[467.000,498.040] UHM ALSO SORRY BEFORE FOR IN THE CALL BECAUSE THE SYMPTOMS ARE STARTED RECENTLY AND THEY DO UHM OVERLAP WITH SOME OF THE SYMPTOMS THAT IF PATIENT WITH COVIMIGHT HAVE IT MIGHT BE A GOOD IDEA TO GET A COVISWAB DONE AS WELL SO WELL DO THAT TODAY AND YOU WOULD HAVE TO QUARANTINE AND STAY AWAY FROM THE PEOPLE AT YOUR HOME AS WELL UNTIL THE RESULTS ARE OUT AND THEN IF ITS POSITIVE PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO +audio/RES0161.mp3[498.040,500.200] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +audio/MSK0032.mp3[0.000,2.360] WHAT BRINGS YOU IN +audio/MSK0032.mp3[2.360,37.760] UM HI IM HERE WITH MY DAUGHTER UH WE NOTICED THAT UH SINCE YESTERDAY SHES BEEN HAVING THIS PAIN JUST IN HER ELBOW UM AND LIKE TODAY WEVE NOTICED RIGHT AFTER SHE WOKE UP SHES BEEN IN PAIN AND ALSO JUST KEEPING HER ELBOW LIKE PROTECTED UM KIND OF LIKE JUST FLEXING IT AND JUST HOLDING ON TO IT SO I THINK ITS UH GIVING HER A LOT OF DISCOMFORT AND SHES BEEN CRYING AS WELL +audio/MSK0032.mp3[37.760,41.640] OH YEAH FOR SURE UM WHEN DID THIS START +audio/MSK0032.mp3[41.640,57.200] I THINK IT STARTED UH AFTER WE WENT FOR A WALK LAST UH EVENING UM AND WE JUST WENT TO THE PARK AND SINCE THEN LIKE SHES BEEN HAVING THAT PAIN +audio/MSK0032.mp3[57.200,69.160] OKAY OKAY AND DID ANYTHING HAPPEN TO TRIGGER THIS DID SHE FALL ON THAT ARM OR LIKE INJURIES +audio/MSK0032.mp3[69.160,106.720] UM I THINK LIKE JUST UH SHE WAS PLAYING AND THEN UM SHE WAS ABOUT TO FALL LIKE RIGHT LIKE RIGHT ON TO THE PLAYGROUND PAVEMENT SO I REMEMBER LIKE BUT LIKE I CAUGHT HER RIGHT AWAY SO TO PROTECT HER AND THEN SINCE THEN I DONT KNOW IF LIKE THERE WAS LIKE A JERK MOVEMENT AS LIKE I KIND OF PULLED HER BACK UP OR UM WHEN I WAS STOPPING HER FROM FALLING LIKE IF THAT CAUSED IT BUT SHE DIDNT HIT HERSELF OR ANYTHING LIKE THAT +audio/MSK0032.mp3[106.720,117.120] OKAY ALRIGHT UM AND IN TERMS OF THE TYPE OF PAIN SHES HAVING RIGHT NOW DID SHE SAY IF IT WAS A DULL ACHY KIND OF PAIN OR IS IT SHARP +audio/MSK0032.mp3[117.120,119.200] SHE SAYS ITS ACHING A LOT +audio/MSK0032.mp3[119.200,127.680] OKAY AND HAS IT BEEN CONSTANT SINCE SHE UM STARTED EXPERIENCING THIS OR DOES IT COME AND GO +audio/MSK0032.mp3[127.680,143.320] ITS ITS BEEN PRETTY CONSTANT SINCE THEN AND YEAH SHE JUST KIND OF KEEP KEEPING SHES KIND OF KEEP JUST KEEPING IT LIKE HER ARMS EXTENDED UM AND THEN YEAH JUST HOLDING ON TO IT +audio/MSK0032.mp3[143.320,154.120] OKAY UM AND THEN IS THE PAIN JUST IN THE ELBOW OR DOES IT RADIATE DOWN INTO HER HANDS OR UP TO HER SHOULDERS +audio/MSK0032.mp3[154.120,160.680] UM IT KIND OF GOES INTO HER UPPER ARM LIKE FROM HER ELBOWS TO HER UPPER UPPER ARM +audio/MSK0032.mp3[160.680,164.120] OKAY HAVE YOU TRIED ANYTHING FOR THIS PAIN +audio/MSK0032.mp3[164.120,170.960] UH NO I HAVENT TRIED ANY MEDICATIONS OR ANYTHING I JUST WANTED TO COME IN BEFORE I TRIED ANYTHING +audio/MSK0032.mp3[170.960,176.520] YEAH 1 TO 10 10 BEING THE WORST TYPE OF PAIN HOW BAD IS THIS PAIN FOR HER +audio/MSK0032.mp3[176.520,182.240] I WOULD SAY ITS PROBABLY AT LEAST A 7 +audio/MSK0032.mp3[182.240,189.520] OKAY AND THEN UM HAS SHE EVER EXPERIENCED PAIN LIKE THIS IN THE PAST +audio/MSK0032.mp3[189.520,192.560] UM NO THIS IS THE FIRST TIME +audio/MSK0032.mp3[192.560,199.720] OKAY UM AND THEN DOES SHE HAVE ANY NUMBNESS OR TINGLING IN THE AREA +audio/MSK0032.mp3[199.720,203.600] UM NO NOT THAT I KNOW OF +audio/MSK0032.mp3[203.600,207.480] OKAY HOW ABOUT MEMORY LOSS OR CONFUSION +audio/MSK0032.mp3[208.920,213.120] UM ANY HEADACHES +audio/MSK0032.mp3[214.880,217.800] UM DIZZINESS OR FAINTING SPELLS +audio/MSK0032.mp3[218.840,221.680] ANY WEIGHT LOSS RECENTLY +audio/MSK0032.mp3[222.720,225.800] FEVERS OR CHILLS +audio/MSK0032.mp3[226.720,228.600] UH RASHES +audio/MSK0032.mp3[228.600,230.280] UH NO +audio/MSK0032.mp3[230.280,234.040] UH CHANGES IN VISION HEARING SMELL OR TASTE +audio/MSK0032.mp3[235.080,239.360] UH ANY COUGHING SHORTNESS OF BREATH OR WHEEZING +audio/MSK0032.mp3[239.360,241.240] UM NO +audio/MSK0032.mp3[241.240,246.280] UH ANY CHEST PAIN OR HEART PALPITATIONS +audio/MSK0032.mp3[247.920,252.400] UH ANY CHANGES IN BOWEL MOVEMENTS +audio/MSK0032.mp3[252.400,254.280] UH NO +audio/MSK0032.mp3[254.280,258.840] UM HOW ABOUT CHANGES IN URINE +audio/MSK0032.mp3[258.840,262.400] UM NO NO NO CHANGES +audio/MSK0032.mp3[262.400,268.440] OKAY AND IS SHE OTHERWISE HEALTHY DOES SHE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/MSK0032.mp3[268.440,271.560] SHES BEEN HEALTHY SO FAR NO CONCERNS AT ALL +audio/MSK0032.mp3[271.560,282.480] OKAY AND UM WITH HER MOTHERS PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT THAT POINT +audio/MSK0032.mp3[282.480,295.480] UM NO IT WAS LIKE A NORMAL PREGNANCY NO COMPLICATIONS SHE WAS BORN AT 39 WEEKS LIKE WITH VAGINAL DELIVERY DIDNT HAVE TO STAY IN THE HOSPITAL OR ANYTHING LIKE THAT +audio/MSK0032.mp3[295.480,300.360] OKAY AND NO ISSUES AS A NEONATE +audio/MSK0032.mp3[300.360,306.520] UH NO SHE WE WERE ABLE TO BRING HER HOME PRETTY QUICK +audio/MSK0032.mp3[306.520,315.800] OKAY THATS GOOD UM AND THEN SHE HASNT HAD ANY HOSPITALIZATIONS OR SURGERY SINCE THEN +audio/MSK0032.mp3[315.800,319.160] NO NO SURGERIES OR HOSPITALIZATIONS +audio/MSK0032.mp3[319.160,323.120] ALRIGHT HIS SHE ON ANY MEDICATIONS +audio/MSK0032.mp3[323.120,326.080] NO NO MEDICATIONS +audio/MSK0032.mp3[326.080,332.000] OKAY UM IS SHE UPTODATE WITH HER IMMUNIZATIONS +audio/MSK0032.mp3[332.000,336.520] YEAH WEVE HAD WEVE GOT ALL THE IMMUNIZATION +audio/MSK0032.mp3[336.520,340.160] OKAY HOW ABOUT ALLERGIES DOES SHE HAVE ANY +audio/MSK0032.mp3[340.160,344.040] UM NO ALLERGIES +audio/MSK0032.mp3[344.040,351.920] OKAY ANY UH FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +audio/MSK0032.mp3[352.520,355.120] UH LUNG OR HEART CONDITIONS +audio/MSK0032.mp3[356.520,360.480] UM AUTOIMMUNE CONDITIONS +audio/MSK0032.mp3[363.400,366.720] UM NOPE +audio/MSK0032.mp3[366.720,374.840] UM IS SHE LIKE ON PAR WITH HER PEERS IN TERMS OF DEVELOPMENTS AND REACHING MILESTONES +audio/MSK0032.mp3[374.840,390.080] UH NO LIKE SHES BEEN MEETING ALL HER MILESTONES HAVE BEEN ON PAR WITH HER SIBLINGS AND OTHER CHILDREN NO CONCERNS FROM THE DOCTOR WHATSOEVER +audio/MSK0032.mp3[390.080,394.000] OKAY AND WHO DOES SHE LIVE WITH AT HOME +audio/MSK0032.mp3[394.000,405.400] SHE LIVES WITH ME HER HER DAD AND UM WE SHE HAS TWO SIBLINGS TWO OLDER BROTHERS +audio/MSK0032.mp3[405.400,409.600] OKAY UM AND DOES ANYONE AT HOME SMOKE +audio/MSK0032.mp3[410.680,416.240] ANY CONCERNS FOR HER SAFETY AT HOME +audio/MSK0032.mp3[416.240,420.080] NO LIKE WERE LIKE NO I DONT THINK SO +audio/MSK0032.mp3[420.080,423.640] NO OKAY AND HOW ARE THINGS AT SCHOOL FOR HER +audio/MSK0032.mp3[423.640,431.320] SCHOOLS BEEN WELL LIKE ITS BEEN DIFFICULT WITH THE PANDEMIC BUT UM SHES DOING WELL +audio/MSK0032.mp3[431.320,437.720] OKAY THATS GOOD HAS SHE COME IN CONTACT WITH ANYONE SICK RECENTLY +audio/MSK0032.mp3[437.720,439.200] UM NO +audio/MSK0032.mp3[439.200,441.800] HAVE YOU DONE ANY TRAVEL RECENTLY +audio/MSK0032.mp3[443.520,471.200] OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS I HAD FOR HISTORY TAKING LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM IM JUST GOING TO GET YOU TO TAKE A LOOK AT BOTH HER ELBOWS AND ARMS DO YOU SEE ANY UM REDNESS OR SWELLING IN THE RIGHT ELBOW COMPARED TO THE LEFT +audio/MSK0032.mp3[471.200,475.840] NO I DONT SEE THAT NO I DONT SEE ANY CHANGES +audio/MSK0032.mp3[475.840,487.840] OKAY HOW ABOUT UM ANY MUSCLE ATROPHY DEFORMITIES OR SKIN CHANGES LIKE BRUISES +audio/MSK0032.mp3[487.840,494.400] UM NO I DONT SEE ANYTHING LIKE THAT +audio/MSK0032.mp3[494.400,506.000] OKAY HOW ABOUT UM WHEN YOU PALPATE HER ELBOWS DOES IS SHE IN PAIN +audio/MSK0032.mp3[506.000,512.560] UM SHE DOESNT REALLY LET ME BUT IF I TRY TO I THINK THAT DOES CAUSE HER SOME PAIN +audio/MSK0032.mp3[512.560,517.960] OKAY HOW ABOUT WHEN YOU PALPATE HER LIKE FOREARM MUSCLES +audio/MSK0032.mp3[517.960,522.120] UM NO NOT AS MUCH +audio/MSK0032.mp3[522.120,526.400] OKAY HOW ABOUT HER BICEPS AND TRICEPS +audio/MSK0032.mp3[526.400,528.880] UM NO NOT REALLY +audio/MSK0032.mp3[528.880,542.280] NO OKAY UM ALRIGHT AND THOSE ARE ALL THE QUESTIONS THAT I KIND OF HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/MSK0032.mp3[542.280,550.000] NO I JUST WANTED TO FIND OUT IF SHE BROKE SOMETHING OR LIKE YEAH I DIDNT KNOW WHAT WAS GOING ON +audio/MSK0032.mp3[550.000,636.480] OKAY YEAH IT SEEMS LIKE SOMEONE OF HER AGE AND JUST THE KIND OF HISTORY THAT YOURE GIVING ME IT SOUNDS LIKE SHE HAS SOMETHING CALLED A RADIAL HEAD SUBLUXATION UM AND THATS USUALLY CAUSED IN YOUNG CHILDREN WHEN THEYRE LIKE PULLED OR LIFTED BY THE HAND OR WRIST WHILE THEIR ARM IS HELD STRAIGHT UM WHICH CAN KIND OF PULL THE BONE OUT OF ITS SOCKET A LITTLE BIT UM SO UM IN TERMS OF LIKE A MANAGEMENT PLAN YOU CAN TRY CONSERVATIVE THINGS LIKE ICE PACKS UM OVER THE COUNTER PAINKILLERS UM OTHERWISE WE CAN TRY TO UM PUT THE RADIUS BACK INTO ITS NORMAL POSITION HERE WHICH WILL JUST TAKE UH LIKE A FEW MINUTES UM AND AND THEN AFTER WE REDUCE IT BACK INTO ITS PLACE UM SHE SHOULD HAVE NORMAL FUNCTION OF HER ARM AGAIN UM IF SHES STILL EXPERIENCING PAIN WE CAN CONTINUE KEEPING IT ON A SPLINT UM BUT OTHERWISE I DONT THINK WE NEED ANY IMAGING FOR THIS AT THIS UM AT THIS TIME SO DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ABOUT THAT +audio/MSK0032.mp3[636.480,640.240] NO I THINK THATS UM THATS A GOOD PLAN +audio/MSK0032.mp3[640.240,642.800] OKAY GREAT UM THANK YOU +audio/MSK0032.mp3[642.800,644.560] THANK YOU +audio/RES0090.mp3[0.000,2.720] WHAT BRINGS YOU IN HERE TODAY +audio/RES0090.mp3[2.720,18.840] YEAH UM SO I HAVE BEEN I HAVE THIS COUGH IM COUGHING UP BLOOD SO THATS MADE ME A LITTLE BIT WORRIED UM SO I THOUGHT I SHOULD COME AND GET GET IT INVESTIGATED +audio/RES0090.mp3[18.840,27.080] OK YEAH NO DEFINITELY THAT THATS DEFINITELY CONCERNING IS SO WHEN DID THIS START +audio/RES0090.mp3[27.080,33.520] IT THE COUGHING UP BLOOD STARTED ABOUT A WEEK AND A HALF AGO +audio/RES0090.mp3[35.360,39.840] UHM BUT ITS NOT GETTING ANY BETTER AND ITS NOT STOPPING +audio/RES0090.mp3[39.840,49.880] OK AND DID IT START DID THE COUGH JUST START UH WITH UH BLOOD IN THE COUGH OR WHAT DID IT JUST START AS A NORMAL COUGH FIRST +audio/RES0090.mp3[49.880,52.760] IT STARTED OFF AS A NORMAL COUGH FIRST +audio/RES0090.mp3[52.760,60.720] OK AND DID YOU HAVE ANY KIND OF PRODUCTION OF SPUTUM WITH YELLOW OR GREENISH MATERIAL AT ALL +audio/RES0090.mp3[60.720,72.800] UH NOT REALLY I MEAN THERE ITS IT WAS A LITTLE BIT YELLOW BUT NOW ITS JUST MOSTLY BLOOD +audio/RES0090.mp3[72.800,87.720] OK AND DID YOU HAVE ANY DID YOU WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK RECENTLY OR DID YOU HAVE ANY TRAVEL +audio/RES0090.mp3[87.720,93.200] I RECENTLY IMMIGRATED TO CANADA FROM INDIA +audio/RES0090.mp3[93.200,105.040] OK AND WERE YOU IN CONTACT AT ALL WHEN YOU WERE IN INDIA WITH ANYONE WHO MIGHT HAVE HAD TUBERCULOSIS OR WAS SICK AT ALL AROUND YOU +audio/RES0090.mp3[105.040,115.960] UH I MEAN ITS POSSIBLE LIKE PEOPLE GET SICK IN MY FAMILY ALL THE TIME IN INDIA SO ITS POSSIBLE +audio/RES0090.mp3[115.960,125.520] AND WERE YOU AT ALL IN INDIA WHEN WERE YOU WERE YOU LIVING IN LIKE CLOSE QUARTERS LIKE IN A SMALLER SPACE WITH OTHER PEOPLE AT ALL +audio/RES0090.mp3[125.520,129.080] I HAVE A BIG FAMILY SO WE ALL LIVE TOGETHER +audio/RES0090.mp3[131.600,138.160] UH SO ITS YEAH SO THERE ARE ABOUT LIKE TEN OF US +audio/RES0090.mp3[138.160,144.200] OK GREAT SO IT STARTED ONE YOU SAID AROUND ONE AND A HALF WEEKS AGO +audio/RES0090.mp3[144.200,146.080] YEAH THATS RIGHT +audio/RES0090.mp3[146.080,151.760] OK AND IS IT LIKE A CONSTANT COUGH OR DOES IT COME AND GO +audio/RES0090.mp3[151.760,161.520] ITS UH ITS PRETTY CONSTANT WELL I GUESS IT COMES AND GOES ITS ITS NOT THERE ALL THE TIME +audio/RES0090.mp3[161.520,166.040] OK AND HAVE YOU HAD THIS HAPPEN BEFORE AT ALL +audio/RES0090.mp3[166.040,173.800] NO NEVER +audio/RES0090.mp3[173.800,180.920] OK RIGHT IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE +audio/RES0090.mp3[180.920,187.800] UHM I DONT THINK SO NOTHING THAT NOTHING IVE TRIED HAS WORKED +audio/RES0090.mp3[187.800,196.560] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE A FEVER OR SHORTNESS OF BREATH ANYTHING LIKE THAT +audio/RES0090.mp3[196.560,211.480] I HAVE BEEN FEELING CHILLS AND UHM I HAVENT ACTUALLY TAKEN MY TEMPERATURE BUT I FEEL HOT SO ITS POSSIBLE THAT I HAVE A FEVER +audio/RES0090.mp3[211.480,216.800] OK AND DO YOU DO YOU HAVE ANY SIGNIFICANT WEIGHT LOSS AT ALL IN THE PAST FEW WEEKS +audio/RES0090.mp3[216.800,223.600] YEAH NOW THAT YOU MENTION IT I THINK IVE LOST ABOUT TEN POUNDS IN THE PAST MONTH +audio/RES0090.mp3[223.600,225.960] OK AND HOW MUCH DO YOU WEIGH +audio/RES0090.mp3[225.960,230.080] RIGHT NOW I WEIGH A HUNDRED AND TEN +audio/RES0090.mp3[230.080,240.880] OK SO YEAH DEFINITELY THATS MORE THAN LIKE THE TEN PERCENT YES THAT IS PRETTY SIGNIFICANT HAVE YOU BEEN EXPERIENCING ANY NIGHT SWEATS +audio/RES0090.mp3[240.880,253.800] YES YEAH IVE BEEN HAVING NIGHT SWEATS I THOUGHT THAT WAS JUST ME BEING HOT BUT I GUESS I FEEL CHILLY AND THEN I HAVE NIGHT SWEATS SO I PROBABLY DO HAVE A FEVER +audio/RES0090.mp3[253.800,260.040] OK AND HOW ABOUT FATIGUE ARE YOU DO YOU FEEL MORE TIRED THROUGHOUT THE DAY +audio/RES0090.mp3[260.040,263.480] UH YEAH I WOULD SAY SO +audio/RES0090.mp3[263.480,268.960] OK AND DO YOU HAVE ANY SYMPTOMS LIKE CHEST PAIN OR RACING HEART OR ANYTHING LIKE THAT +audio/RES0090.mp3[268.960,272.120] NO NOTHING LIKE THAT +audio/RES0090.mp3[272.120,278.720] OK UHM ANY HEADACHES NAUSEA VOMITING +audio/RES0090.mp3[278.720,280.920] UHM NO +audio/RES0090.mp3[280.920,283.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0090.mp3[283.760,285.440] UH NOPE +audio/RES0090.mp3[285.440,288.360] OK ANY ISSUES WITH YOUR SLEEP OR APPETITE +audio/RES0090.mp3[290.080,297.760] OK AND UM ANY EXPOSURES TO FUMES OR DUST OR ANIMALS OR PETS +audio/RES0090.mp3[299.440,312.320] OK AND UH CURRENTLY RIGHT NOW HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE DO YOU GO TO WORK OR ANYONE LIVING WITH YOU RIGHT NOW +audio/RES0090.mp3[312.320,327.160] SO I GO TO WORK UHM IM WORKING FOR AN ASSEMBLY LINE SO THERE ARE A LOT OF PEOPLE AROUND ME AND I LIVE WITH TWO HOUSEMATES +audio/RES0090.mp3[327.160,335.440] OK AND ANYONE AT WORK OR YOUR HOUSEMATES ANYONE SHOWING ANY SIMILAR SYMPTOMS AT ALL +audio/RES0090.mp3[335.440,341.440] NO I DONT THINK SO I HAVENT ASKED THEM BUT NOTHING IVE SEEN +audio/RES0090.mp3[341.440,346.720] OK AND PREVIOUSLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU WERE DIAGNOSED WITH +audio/RES0090.mp3[346.720,350.640] NOPE IM HEALTHY OTHERWISE +audio/RES0090.mp3[350.640,353.200] OK ANY ALLERGIES +audio/RES0090.mp3[353.200,356.440] NO NO ALLERGIES +audio/RES0090.mp3[356.440,362.400] OK ANY KIND OF LOSS OF TASTE OR SMELL +audio/RES0090.mp3[362.400,367.040] UH NO NOTHING LIKE THAT +audio/RES0090.mp3[367.040,370.360] OK ARE YOU ON ANY MEDICATIONS AT ALL +audio/RES0090.mp3[370.360,377.240] UHM NO JUST SOME VITAMINS +audio/RES0090.mp3[377.240,386.800] OK AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES +audio/RES0090.mp3[386.800,390.000] UH NO +audio/RES0090.mp3[390.000,396.360] OK OTHER THAN THAT HAVE YOU HAD ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +audio/RES0090.mp3[396.360,399.440] NOPE NOTHING LIKE THAT +audio/RES0090.mp3[399.440,409.200] OK UHM CURRENTLY RIGHT NOW SO YOU LIVE WITH ROOMMATES IS IT LIKE AN APARTMENT IS IT A HOME LIKE A HOUSE +audio/RES0090.mp3[409.200,411.080] I LIVE IN AN APARTMENT +audio/RES0090.mp3[411.080,414.440] OK UHM DO YOU CURRENTLY SMOKE +audio/RES0090.mp3[416.320,421.640] OK DO YOU DRINK ALCOHOL +audio/RES0090.mp3[423.000,426.680] ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0090.mp3[429.800,436.200] NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0090.mp3[436.200,444.440] NO WHAT DO YOU THINK I HAVE AND IS THERE ANYTHING I NEED TO DO RIGHT NOW +audio/RES0090.mp3[444.440,532.280] YEAH SO WHAT UH SOME OF YOUR SYMPTOMS ARE CONCERNING ESPECIALLY THE COUGHING UP BLOOD WHICH IS SOMETHING THAT WE ALWAYS THINK OF WITH TUBERCULOSIS YOU DONT HAVE ANY HISTORY OF UH FAMILY HISTORY OF LUNG CANCER OR ANYTHING LIKE THAT SO RIGHT NOW ESPECIALLY SINCE YOU JUST MOVED FROM INDIA WHERE TUBERCLOSIS IS ENDEMIC WE NEED TO MAKE SURE THAT WE TEST YOU FOR TUBERCULOSIS IN THE MEANTIME THOUGH YOU WILL NEED TO STAY IN THE HOSPITAL AND BE IN AN ISOLATED ROOM UH WHERE WE CAN FILTER SOME OF THE AIR AND MAKE SURE ITS A VERY INFECTIVE CONDITION IF YOU DO HAVE IT SO WHILE YOURE GETTING ALL THE TESTS DONE YOU WILL NEED TO STAY HERE IN AN ISOLATED ROOM ALSO WE WILL GET SOME SPUTUM SMEARS AND CULTURES TO TEST FOR TB AND WE WILL ALSO I WILL NEED TO IF THE TEST COMES BACK POSITIVE WE WILL NEED TO CONTACT PUBLIC HEALTH AND LET YOUR CONTACTS KNOW AS WELL LASTLY WE WILL ALSO BE GETTING SINCE YOURE HAVING THE HEMOPTYSIS LIKE COUGHING UP BLOOD WE WILL WE MIGHT ALSO DO A CHEST XRAY TO SEE IF +audio/RES0090.mp3[532.280,534.520] YOU IF YOU HAVE ACTIVE TB +audio/RES0090.mp3[535.280,542.280] SO THOSE ARE THOSE ARE SOME OF THE THINGS THAT WELL GET STARTED WITH IS THAT OK WITH YOU ANY QUESTIONS OR CONCERNS +audio/RES0090.mp3[542.280,547.600] UHM NO NOTHING LIKE THAT UHM DO I NEED TO ISOLATE +audio/RES0090.mp3[547.600,595.200] YEAH SO WE WILL KEEP YOU IN AN ISOLATED ROOM RIGHT NOW WHEN YOURE GETTING ALL THOSE TESTS AND IF YOU DO HAVE TB YOU WILL NEED TO ISOLATE UHM AND STAY AWAY FROM CONTACTS NOT BE AT WORK WE WILL IF YOU DO IN FACT HAVE TB WHICH IT SEEMS LIKELY RIGHT NOW YOU WILL BE STARTED IN HOSPITAL ON A LIKE ANTIBIOTIC THERAPY UH WHICH CONSISTS OF LIKE FOUR DIFFERENT MEDICATIONS AND PEOPLE WITH THE ACTIVE TB WILL DO HAVE TO ISOLATE DURING THAT TIME PERIOD SO YEAH WELL GET SOME OF THOSE TESTS DONE AND WELL GET BACK TO YOU AS SOON AS POSSIBLE +audio/RES0090.mp3[595.200,597.200] OK GREAT THANK YOU +audio/RES0090.mp3[597.200,603.920] YOURE WELCOME +audio/RES0121.mp3[0.000,2.720] WHAT BRINGS YOU HERE TODAY +audio/RES0121.mp3[2.720,17.360] YEAH HI IVE HAD THIS COUGH UM FOR THE PAST FOUR DAYS AND IT JUST CANT IT WONT GO AWAY SO I WAS JUST WONDERING IF YOU KNOW I CAN GET SOMETHING FOR IT +audio/RES0121.mp3[17.360,25.840] OKAY SO UH SO YOUVE BEEN HAVING THE COUGH FOR FOUR DAYS CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT LIKE A DRY COUGH OR WET COUGH +audio/RES0121.mp3[25.840,28.200] UH ITS DRY +audio/RES0121.mp3[28.200,33.840] ITS DRY OKAY UM ARE YOU COUGHING UP BLOOD AT ALL +audio/RES0121.mp3[33.840,35.720] NO NO BLOOD +audio/RES0121.mp3[35.720,42.360] OKAY ARE YOU BRINGING UP ANY ALTHOUGH YOURE NOT COUGHING ARE YOU BRINGING UP ANY KIND OF SPUTUM +audio/RES0121.mp3[42.360,47.880] NO NO ITS ITS PRETTY ITS PRETTY DRY +audio/RES0121.mp3[47.880,52.520] OKAY UM AND ANY OTHER SYMPTOMS AT ALL BESIDES THE COUGH +audio/RES0121.mp3[52.520,56.160] NO NOTHING ELSE +audio/RES0121.mp3[56.160,64.080] OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS RUNNY NOSE UM ANY COLD LIKE SYMPTOMS +audio/RES0121.mp3[64.080,76.600] UM YOU KNOW A WEEK BACK I HAD A RUNNY NOSE UM AND SOMETIMES LIKE A STUFFY NOSE BUT THAT WENT AWAY +audio/RES0121.mp3[76.600,80.760] OKAY UM AND AFTER THAT DID YOU HAVE ANY FEVERS AT ALL +audio/RES0121.mp3[82.280,88.840] OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL LIKE A COUGH LASTING MORE THAN FOUR DAYS +audio/RES0121.mp3[88.840,103.000] YEAH ITS HAPPENED TO ME IN THE PAST UM YEAH IT YEAH IT HAS UM BUT ITS JUST MORE BOTHERSOME THIS TIME CAUSE IM COUGHING A LOT MORE +audio/RES0121.mp3[103.000,108.400] OKAY AND IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED YOU RELIEVE THE COUGH AT ALL +audio/RES0121.mp3[108.400,114.760] I TRIED SOME OVERTHECOUNTER COUGH SUPPRESSANTS UH THEY DONT SEEM TO BE WORKING TOO WELL +audio/RES0121.mp3[114.760,120.520] I SEE AND ANYTHING THATS MAKING YOUR COUGH WORSE AT ALL NO +audio/RES0121.mp3[121.160,126.480] DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE HEADACHE ANYTHING LIKE THAT +audio/RES0121.mp3[126.480,132.360] NO NOTHING LIKE THAT +audio/RES0121.mp3[132.360,135.800] OKAY HAVE YOU BEEN AROUND ANYONE THATS SICK RECENTLY +audio/RES0121.mp3[138.280,147.440] NO UM HAVE YOU HAD ANY UM HAVE YOU TRAVELED AT ALL OUTSIDE OF THE PROVINCE OR COUNTRY AT ALL RECENTLY +audio/RES0121.mp3[147.440,152.000] NOPE NOT OUTSIDE THE PROVINCE +audio/RES0121.mp3[152.000,160.680] OKAY AND OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF KIND OF MUSCLE ACHES UH OR ANYTHING LIKE THAT +audio/RES0121.mp3[160.680,166.120] UH NO NO MUSCLE ACHES UM NOTHING ELSE THAT I CAN THINK OF +audio/RES0121.mp3[166.120,169.000] OKAY ANY SHORTNESS OF BREATH +audio/RES0121.mp3[169.000,171.840] NO NO SHORTNESS OF BREATH +audio/RES0121.mp3[171.840,178.120] IS THE COUGH LIKE CONSTANT GOES ON THROUGHOUT THE DAY OR IS THERE A TIME THAT ITS WORSE +audio/RES0121.mp3[178.120,182.240] UH ITS PRETTY ITS PRETTY CONSTANT +audio/RES0121.mp3[182.240,189.640] OKAY AND DO YOU HAVE ANY KIND OF UM INCREASED TIRED LIKE GETTING MORE TIRED OR FATIGUED +audio/RES0121.mp3[189.640,190.960] UM NO +audio/RES0121.mp3[190.960,199.920] UM ANY KIND OF CHEST PAIN OR FEELING THAT YOUR HEART IS RACING +audio/RES0121.mp3[199.920,202.680] UM NO NOTHING LIKE THAT +audio/RES0121.mp3[202.680,207.760] OKAY ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA +audio/RES0121.mp3[210.200,214.560] OKAY ANY UM NAUSEA OR VOMITING +audio/RES0121.mp3[214.560,219.160] UM NOPE NOTHING LIKE THAT +audio/RES0121.mp3[219.160,228.680] OKAY UM ANY KIND OF UH CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0121.mp3[228.680,230.640] UH NO +audio/RES0121.mp3[230.640,235.800] AND UM HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY +audio/RES0121.mp3[238.440,243.680] NO OKAY UM OTHERWISE ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL +audio/RES0121.mp3[243.680,246.880] UH NO I DONT IM OTHERWISE HEALTHY +audio/RES0121.mp3[246.880,251.200] OTHERWISE HEALTHY OKAY ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0121.mp3[252.840,259.240] ANY ALLERGIES TO ANY ENVIRONMENTAL OR ANY ENVIRONMENTAL FACTORS +audio/RES0121.mp3[262.200,269.400] OKAY UM ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RELATED TO THE HEART LUNGS ANY CANCERS AT ALL +audio/RES0121.mp3[269.400,275.680] UH NO NOTHING LIKE THAT +audio/RES0121.mp3[275.680,281.400] OKAY ALRIGHT UM ARE YOU SO WHAT WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/RES0121.mp3[281.400,289.040] I LIVE IN UM AN APARTMENT BY MYSELF IM A STUDENT +audio/RES0121.mp3[289.040,294.400] OKAY UM AND ARE YOU WORKING AT ALL OR ARE YOU A STUDENT SEEMING +audio/RES0121.mp3[294.400,299.760] UM I WORK PART TIME I WORK AS A BARISTA +audio/RES0121.mp3[299.760,310.240] OKAY AND ANYONE ANYONE IN YOUR WORK ENVIRONMENT OR UH IN YOUR HOME ENVIRONMENT OR AT SCHOOL THAT HAS BEEN SICK AROUND YOU +audio/RES0121.mp3[310.240,315.960] NOT THAT IVE HEARD OF NO +audio/RES0121.mp3[315.960,321.880] OKAY UM AND OTHER THAN THAT DO YOU SMOKE AT ALL +audio/RES0121.mp3[321.880,326.800] UM NO I WELL I USED TO SMOKE BEFORE I STOPPED LAST YEAR +audio/RES0121.mp3[326.800,330.080] LAST YEAR OKAY AND HOW LONG DID YOU SMOKE FOR +audio/RES0121.mp3[330.080,335.400] I SMOKED JUST A COUPLE LIKE TWO YEARS +audio/RES0121.mp3[335.400,348.920] OKAY YEAH SO CONGRATULATIONS THATS A REALLY GREAT THING TO DO ESPECIALLY LIKE RIGHT NOW WITH THE PANDEMIC GOING ON AND EVERYTHING ITS EARLIER YOU STOP ITS REALLY GOOD +audio/RES0121.mp3[348.920,350.200] THANK YOU +audio/RES0121.mp3[350.200,356.360] BESIDES UH LIKE SMOKING UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0121.mp3[358.800,361.680] NO OKAY AND HOW ABOUT ALCOHOL +audio/RES0121.mp3[361.680,368.400] NOPE I DONT DRINK TOO MUCH ALCOHOL I DRINK LIKE OVER THE HOLIDAYS +audio/RES0121.mp3[368.400,374.040] OKAY AND I FORGOT TO ASK YOU THIS EARLIER BUT ANY HOSPITALIZATION OR SURGERIES IN THE PAST +audio/RES0121.mp3[374.040,376.320] NO NOTHING LIKE THAT +audio/RES0121.mp3[376.320,385.240] NOTHING LIKE THAT OKAY THOSE ARE ALL THE QUESTIONS UM I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0121.mp3[385.240,389.360] UM YEAH WHAT SHOULD I DO ABOUT THIS COUGH +audio/RES0121.mp3[389.360,422.720] YEAH SO THIS COUGH UM ITS BEEN GOING ON FOR THE LAST FOUR DAYS SINCE YOU DO HAVE A COUGH UM AND RIGHT NOW THAT LIKE IS CONSIDERED A SYMPTOM LIKE LIKE A POTENTIAL SYMPTOM FOR COVIWE DEFINITELY WANT TO DO A COVISWAB TEST FOR YOU WHICH WILL COME BACK IN 24 HOURS TO 48 HOURS YOU SHOULD STILL TRY AND ISOLATE AS MUCH AS YOU CAN AWAY FROM ANY ROOMMATES OR FAMILY MEMBERS FOR THE NEXT SO 14 DAYS SINCE YOU FIRST EXPERIENCED THE THE COUGH +audio/RES0121.mp3[423.800,466.240] BASED ON LIKE PUBLIC HEALTH WILL CALL YOU AS WELL SO YOU CAN FOLLOW THEIR INSTRUCTIONS AND IF IT CAN BE ANYTHING ELSE TOO LIKE WITH A COUGH THERE CAN BE MULTIPLE THINGS GOING ON YOU CAN HAVE UM LIKE AN UPPER RESPIRATORY VIRAL OR BACTERIAL INFECTION BUT SINCE YOURE NOT HAVING TOO MANY OTHER SYMPTOMS RIGHT NOW IT CAN JUST BE BRONCHITIS UM THIS IS SOMETHING THAT WELL TRY AND KEEP AN EYE ON AND MAKE SURE ITS NOTHING ELSE LIKE UH PNEUMONIA FOR EXAMPLE BUT RIGHT NOW YEAH WELL GET THAT TESTING DONE AND THEN JUST KIND OF WAIT AND WATCH +audio/RES0121.mp3[466.240,469.080] SURE YEAH THANK YOU +audio/RES0121.mp3[469.080,470.640] YOURE WELCOME TAKE CARE +audio/RES0121.mp3[470.640,471.520] YOU TOO +audio/RES0086.mp3[0.000,2.320] WHAT BRINGS YOU IN +audio/RES0086.mp3[2.320,64.040] YEAH SO I JUST CAME IN TODAY I ACTUALLY HAD ASTHMA AS A KID AND I USED TO BE ON THE PUFFERS AND IT PRETTY MUCH RESOLVED BY THE TIME I WAS AROUND LIKE 18 YEARS OLD AND IVE BEEN PRETTY GOOD SINCE THEN I HAVENT EVEN BEEN REALLY USING THE PUFFERS FOR THE LAST FIVE YEARS BUT JUST RECENTLY JUST DURING THE WINTER I STARTED NOTICING SOME OF MY SYMPTOMS COMING BACK AND NOW ESPECIALLY OVER THE LAST FEW MONTHS WHENEVER IM DOING SOMETHING LIKE GOING TO THE GYM OR EXERCISING I DO GET THAT SHORTNESS OF BREATH AND I FEEL MY THROAT CLOSING IN AGAIN AND RECENTLY FOR THE LAST I WOULD SAY A WEEK IVE ALSO BEEN HAVING SOME WHEEZING AS WELL SO YEAH I JUST WANTED TO COME BACK AND MAKE SURE EVERYTHING IS ALRIGHT +audio/RES0086.mp3[64.040,69.760] OK SURE SO JUST TO REWIND A LITTLE BIT WHEN WERE YOU FIRST DIAGNOSED WITH ASTHMA +audio/RES0086.mp3[69.760,76.920] SO I WAS DIAGNOSED WHEN I WAS I THINK IT WAS LIKE WHEN I WAS 13 YEARS OLD +audio/RES0086.mp3[76.920,82.840] 13 OK AND YOUVE BEEN USING PUFFERS SINCE +audio/RES0086.mp3[82.840,109.280] P YEAH SO FROM THEN TO LIKE MAYBE WHEN I WAS 18 I WAS USING PUFFERS AND THEN I CONTINUED USING THEM ON AND OFF LIKE JUST THE BLUE ONE WHENEVER I NEEDED IT BUT FOR THE LAST FIVE YEARS I HAVENT EVEN HAD TO USE ANY PUFFERS AT ALL +audio/RES0086.mp3[109.280,123.400] OK OK SO CAN YOU TELL ME A LITTLE BIT ABOUT THE SYMPTOMS THAT YOURE EXPERIENCING RIGHT NOW OK SO YOU SAID SOME SHORTNESS OF BREATH WHEN DID THAT START +audio/RES0086.mp3[123.400,148.520] SO YEAH IN THE LAST I WOULD SAY TWO MONTHS IVE NOTICED IT SIMILARLY TO WHEN I WAS YOUNGER ESPECIALLY WHEN IM ON THE TREADMILL OR RUNNING I GET SHORT OF BREATH VERY EASILY BUT AT REST IM FINE I DONT HAVE ANY TROUBLE BUT IVE NOTICED IT FOR THE LAST FEW MONTHS +audio/RES0086.mp3[148.520,156.920] OK SO ITS MOSTLY WHEN YOURE EXERCISING OR WITH ACTIVITIES +audio/RES0086.mp3[158.440,161.920] OK AND DO YOU FEEL WHEEZY AS WELL +audio/RES0086.mp3[161.920,182.400] YEAH IN THE LAST ONE TO TWO WEEKS I WOULD SAY IM ALSO WHEEZING AS WELL MAINLY DURING LIKE IF IM RUNNING OR STILL WITH EXERCISE I FEEL MYSELF WHEEZING YEAH SO THATS BEEN AN ISSUE FOR THE LAST COUPLE OF WEEKS +audio/RES0086.mp3[182.400,189.040] SO ONCE YOU STOP ACTIVITY DOES YOUR SHORTNESS OF BREATH AND WHEEZING EVENTUALLY RESOLVE +audio/RES0086.mp3[189.040,197.040] YEAH YEAH SO I JUST HAVE TO KIND OF SIT DOWN AND RELAX FOR A BIT AND THEN IT GOES AWAY ON ITS OWN +audio/RES0086.mp3[197.040,201.360] OK HOW LONG DOES IT LAST BEFORE IT GOES AWAY +audio/RES0086.mp3[201.360,209.000] PROBABLY AT LEAST LIKE I WOULD SAY 10 TO 15 MINUTES +audio/RES0086.mp3[209.000,209.960] OK OK +audio/RES0086.mp3[209.960,212.800] UNTIL IM FULLY KIND OF RECOVERED +audio/RES0086.mp3[212.800,216.800] OK OK ARE YOU COUGHING AS WELL +audio/RES0086.mp3[216.800,231.040] UHM YEAH WHEN IM EXERCISING THATS WHEN ALL OF THAT HAPPENS THE WHEEZING THE COUGHING BUT THROUGHOUT THE DAY OTHERWISE IM NOT COUGHING +audio/RES0086.mp3[231.040,240.080] OK AND WHEN YOU COUGH DO YOU BRING UP PHLEGM OR IS IT MORE LIKE A DRY COUGH +audio/RES0086.mp3[240.080,252.640] P ITS MOSTLY A DRY COUGH SOMETIMES I DO BRING UP SOME CLEAR WHITISH MATERIAL BUT USUALLY ITS DRY +audio/RES0086.mp3[252.640,259.800] OK ALRIGHT AND DO YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0086.mp3[259.800,262.640] NO NO NOTHING LIKE THAT +audio/RES0086.mp3[262.640,267.360] NO YOU DONT FEEL LIKE YOURE BREATHING A LOT MORE THAN USUAL +audio/RES0086.mp3[267.360,272.120] UH NO I DONT THINK SO +audio/RES0086.mp3[272.120,275.400] OK DO YOU STILL HAVE PUFFERS AT HOME +audio/RES0086.mp3[275.400,282.560] I ACTUALLY LIKE I HAVENT USED THEM FOR A WHILE SO NO I DONT HAVE ANY PUFFERS +audio/RES0086.mp3[282.560,288.520] OK ANY WEIGHT LOSS RECENTLY +audio/RES0086.mp3[289.840,292.520] NO FEVERS OR CHILLS +audio/RES0086.mp3[292.520,294.280] NO NOTHING LIKE THAT +audio/RES0086.mp3[294.280,299.720] OK ANY RASHES OR CHANGES IN YOUR HAIR OR SKIN OR NAILS +audio/RES0086.mp3[299.720,316.720] I DO I HAVE JUST UH ECZEME IVE HAD IT FOR MOST OF MY LIFE NOW SO ESPECIALLY DURING THE WINTER I DO GET SOME IRRITATION ESPECIALLY ON MY HANDS SO YEAH SOME RASHES BUT THATS ABOUT IT +audio/RES0086.mp3[316.720,324.400] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0086.mp3[324.400,328.240] NO NO CHANGES +audio/RES0086.mp3[328.240,332.600] STUFFY NOSE RUNNY NOSE CHANGES IN YOUR TASTE +audio/RES0086.mp3[333.320,336.760] CHANGES IN SMELL +audio/RES0086.mp3[337.040,341.320] CHEST PAIN +audio/RES0086.mp3[341.320,343.040] NO CHEST PAIN +audio/RES0086.mp3[343.040,351.360] DO YOU FIND YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN OR IT WAKES YOU UP AT NIGHT +audio/RES0086.mp3[351.360,356.600] NO JUST WHEN IM EXERCISING ESPECIALLY RUNNING +audio/RES0086.mp3[356.600,361.280] OK SURE ANY DIZZINESS OR FAINTING SPELLS +audio/RES0086.mp3[363.200,366.200] ANY HEADACHES +audio/RES0086.mp3[366.200,368.280] NO HEADACHES +audio/RES0086.mp3[368.280,373.160] ANY LIKE REFLUX HEARTBURN +audio/RES0086.mp3[375.480,377.840] NAUSEA VOMITING +audio/RES0086.mp3[378.520,381.000] CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0086.mp3[383.480,395.440] OK SO YOU MENTIONED YOU WERE DIAGNOSED WITH ASTHMA AND ECZEMA IN THE PAST ANY OTHER LONGSTANDING MEDICAL CONDITIONS THAT YOU HAVE +audio/RES0086.mp3[395.440,399.400] UH NO THOSE THOSE ARE THE ONLY ONES +audio/RES0086.mp3[399.400,404.120] OK ANY ALLERGIES +audio/RES0086.mp3[404.120,428.240] I DO HAVE I THINK LIKE JUST SEASONAL ALLERGIES I DONT KNOW IF IM ALLERGIC TO POLLEN BUT DURING THE SPRING TIME I GET ALLERGIES AND THEN DURING THE WINTER NOW IM GETTING SOME OF THESE SYMPTOMS THAT IM TALKING ABOUT SO YEAH BUT NONE TO ANY MEDICATIONS THAT I KNOW OF +audio/RES0086.mp3[428.240,435.000] OK SO YOURE NOT GETTING ANY NIGHT TIME SYMPTOMS AND YOURE ONLY GETTING DAY TIME SYMPTOMS WITH ACTIVITY RIGHT +audio/RES0086.mp3[435.720,441.280] HAS THIS PREVENTED YOU FROM GOING TO WORK OR SCHOOL +audio/RES0086.mp3[441.280,480.160] OH YEAH SO I JUST THIS PAST WEEK I USUALLY DO MY RUNNING LIKE MORNING WORKOUT RIGHT BEFORE WORK AND JUST ONE OF THE DAYS AFTER I WORKED OUT I FELT JUST TERRIBLE WITH THIS COUGHING AND SHORT OF BREATH SO I JUST DECIDED TO TAKE A DAY OFF WORK THAT DAY BUT THEN I REALIZED IT KIND OF GOES AWAY ON ITS OWN SO FOR THE OTHER DAYS I HAVE BEEN GOING TO WORK +audio/RES0086.mp3[480.160,488.320] OK OK GOOD AND ALRIGHT AND THEN ANY MEDICATIONS THAT YOURE ON +audio/RES0086.mp3[488.320,492.320] IM ON A JUST ONE OF THOSE STEROID CREAMS FOR MY ECZEMA +audio/RES0086.mp3[492.320,498.960] OK OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0086.mp3[501.520,508.280] OK UHM HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0086.mp3[508.280,525.480] NO HEART CONDITIONS BUT YEAH ASTHMA IS PRETTY BIG IN MY FAMILY AS WELL AS ECZEMA LIKE MY MOM HAS IT MY SISTER HAS IT SO YEAH ASTHMA IS PRETTY BIG +audio/RES0086.mp3[525.480,529.520] OK HOW ABOUT CANCERS +audio/RES0086.mp3[529.520,540.240] UHM NO I DONT THINK ANYONE IN THE FAMILY HAS ANY CANCERS +audio/RES0086.mp3[540.240,543.280] OK AND DO YOU SMOKE +audio/RES0086.mp3[543.280,555.440] NO IVE NEVER SMOKED IM PRETTY HEALTH FOCUSED AND I CANT EVEN TAKE IF SOMEONE ELSE IS SMOKING SO NO +audio/RES0086.mp3[555.440,560.320] NO OK DO YOU DRINK ALCOHOL +audio/RES0086.mp3[560.320,573.920] NO I DONT DRINK ALCOHOL NO DRUGS YEAH IM PRETTY I LIKE TO STAY VERY FIT AND HEALTHY SO NOTHING LIKE THAT +audio/RES0086.mp3[573.920,579.040] OK AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY +audio/RES0086.mp3[579.040,600.200] NO NOT THAT I KNOW OF I LIVE BY MYSELF IN MY APARTMENT IVE BEEN WORKING FROM HOME I WORK AS A PROGRAMMER AND SO I ONLY GO OUTSIDE FOR RUNS AND STUFF FOR GROCERIES SO I HAVENT REALLY SEEN ANYONE SICK AROUND ME +audio/RES0086.mp3[600.200,604.800] YEAH AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0086.mp3[604.800,607.840] NO IVE MAINLY BEEN AT HOME +audio/RES0086.mp3[607.840,611.960] OK GOOD AND WHERES HOME +audio/RES0086.mp3[611.960,621.440] HOME IS IN HAMILTON ONTARIO AND IVE JUST BEEN WORKING FROM HOME +audio/RES0086.mp3[621.440,627.120] OK DO YOU LIVE IN A HOUSE APARTMENT WHO DO YOU LIVE WITH +audio/RES0086.mp3[627.120,643.480] I JUST LIVE IN AN APARTMENT BY MYSELF I DID HAVE A ROOMMATE LIKE UH THAT MOVED OUT JUST A COUPLE OF MONTHS AGO BUT YEAH RIGHT NOW IM JUST BY MYSELF +audio/RES0086.mp3[643.480,649.560] OK OK ANY OLD CARPETS PETS MOLD OR ASBESTOS IN THE HOUSE +audio/RES0086.mp3[649.560,651.320] NO NOTHING LIKE THAT +audio/RES0086.mp3[651.320,660.960] OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/RES0086.mp3[660.960,674.520] YEAH I WAS JUST WONDERING IF I SHOULD GO BACK ON THE PUFFERS I DONT HAVE ANY RIGHT NOW I JUST DONT KNOW IF MY ASTHMA HAS JUST UH COME BACK +audio/RES0086.mp3[674.520,722.720] YEAH SO WHAT WERE GONNA DO IS WERE GOING TO DO A PFT SO PULMONARY FUNCTION TEST ON YOU CAUSE ITS BEEN A WHILE SINCE YOUVE HAD ONE OF THOSE DONE AND THATS JUST TO CHECK HOW WELL YOUR LUNG IS FUNCTIONING SO WELL DO THAT WELL ALSO MAYBE GET A CHEST XRAY AS WELL FOR BASELINE AND DEPENDING ON WHAT THOSE TWO COME BACK AS WELL PROBABLY GET YOU TO USE YOUR SHORT ACTING BETA AGONIST PUFFER AGAIN AND WELL ALSO GIVE YOU A LONG ACTING +audio/RES0086.mp3[724.600,777.520] AS WELL AS AN INHALED CORTICO STEROID SO ACTUALLY YOU KNOW WHAT WELL GIVE YOU AN INHALED CORTICO STEROID AND A SHORT ACTING BETA AGONIST BECAUSE YOU CANT USE BOTH THE STEROID AND THE LONG SO WELL START WITH THOSE TWO WELL START WITH THE SHORT ACTING AS WELL AS INHALED CORTICO STEROID AND IF WE FIND THAT YOUR ASTHMA IS JUST BASED ON LIKE EXERTION OR LIKE SOMETHING CALLED ATHLETIC ASTHMA WE CAN ALSO TRY SOMETHING CALLED CROMOLYN INSTEAD BUT WELL DISCUSS THAT MORE RIGHT NOW OUR PRIORITY IS TO GET YOUR SYMPTOMS UNDER CONTROL SO WELL START WITH THE SHORT ACTING AS WELL AS THE INHALED CORTICO STEROID HOW DOES THAT SOUND +audio/RES0086.mp3[777.520,780.480] YEAH THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0086.mp3[780.480,786.560] YEAH NO PROBLEM +audio/RES0183.mp3[0.000,2.280] HOW MAY I HELP YOU +audio/RES0183.mp3[2.280,25.600] HI THERE I BROUGHT IN MY HERE BECAUSE HES BEEN BARKING WELL NOT BARKING HES HAD THIS COUGH THAT SOUNDS LIKE A BARKING COUGH AND HES HAVING A REALLY HARD TIME TAKING IN A DEEP BREATH AND MONEY DOES IT SOUNDS IT SOUNDS HARSH +audio/RES0183.mp3[25.600,29.080] OK AND WHEN DID THE COUGH START +audio/RES0183.mp3[29.080,34.440] IT STARTED ABOUT TWO DAYS AGO +audio/RES0183.mp3[34.440,38.440] OK IS IT A DRY COUGH OR WET COUGH +audio/RES0183.mp3[38.440,42.120] IT SOUNDS PRETTY DRY YEAH +audio/RES0183.mp3[42.120,46.640] ALRIGHT SO SO THERES BEEN NO SPUTUM AND NO NO HEMOPTYSIS +audio/RES0183.mp3[50.080,58.080] OK AND IT IT DOES THE COUGH HAPPEN AT ANY PARTICULAR TIME OF DAY +audio/RES0183.mp3[58.080,69.880] UHM I MEAN NO WELL ACTUALLY MOSTLY AT NIGHT BUT ALSO IT HAPPENS THROUGHOUT THE DAY UMM BUT YEAH MORE SO AT NIGHT +audio/RES0183.mp3[69.880,75.840] OK AND UH HAS THERE BEEN ANY SHORTNESS OF BREATH OR DIFFICULTY BREATHING +audio/RES0183.mp3[75.840,85.160] UH NO SHORTNESS OF BREATH OR DIFFICULTY BREATHING IT JUST SOUNDS HARSH WHEN HE DOES TAKE A DEEP BREATH IN +audio/RES0183.mp3[85.160,98.520] OK UH AND ANY CHANGES TO UH TO THE VOICE OR UHM YEAH LIKE THIS IS SAYING DOES HE SOUND ANY DIFFERENT LIKE A HOT POTATO VOICE +audio/RES0183.mp3[98.520,109.920] UHM NO IT DOESNT SOUND LIKE THAT +audio/RES0183.mp3[109.920,120.680] OK AND UH UHM THAT YOU MENTIONED UMM OH SORRY HAS HE HAD ANY CHANGES TO THE SOUND OF HIS BREATHING +audio/RES0183.mp3[120.680,130.480] THE SOUND OF HIS BREATHING IT SOUNDS LIKE IT SOUNDS HARSH WHEN HE TAKES A DEEP BREATH IN +audio/RES0183.mp3[130.480,138.280] OK SO THAT SOUNDS LIKE HES HAVING SOME STRIDOR HAS HE BEEN HAVING ANY WHEEZING +audio/RES0183.mp3[138.280,143.880] YOU MEAN LIKE WHEN HE EXHALES +audio/RES0183.mp3[143.880,145.160] UH YEAH +audio/RES0183.mp3[145.160,153.480] UH ITS MORE WHEN HE INHALES THAT I HEAR IT +audio/RES0183.mp3[153.480,159.640] OK OK AND HAS HE HAD ANY EYE REDNESS OR ANY EYE DISCHARGE +audio/RES0183.mp3[159.640,163.960] UHM NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0183.mp3[163.960,166.280] IS THE OTHER A RUNNY NOSE +audio/RES0183.mp3[168.080,172.280] OK HAS HE HAD A SORE THROAT +audio/RES0183.mp3[172.280,174.120] NO SORE THROAT +audio/RES0183.mp3[174.120,183.560] OK AND HAVE YOU HAD A CHANCE TO LOOK IN HIS MOUTH HAS HE HAD ANY LIKE ANY REDNESS OR ANY SWELLING IN THE BACK OF HIS MOUTH +audio/RES0183.mp3[183.560,193.160] I TOOK A LOOK IT DOESNT LOOK SWOLLEN +audio/RES0183.mp3[193.160,198.560] OK AND UH NO SHORTNESS OF BREATH I THINK YOU SAID +audio/RES0183.mp3[198.560,200.800] YEAH NO SHORTNESS OF BREATH +audio/RES0183.mp3[200.800,203.720] OK AND HAS HE HAD A SORE THROAT +audio/RES0183.mp3[204.320,208.840] OK AND ANY CHANGES TO HIS SENSE OF SMELL OR SENSE OF TASTE +audio/RES0183.mp3[208.840,212.200] UHM NOT THAT IVE NOTICED +audio/RES0183.mp3[212.200,218.200] OK AND HOW HAS HIS APPETITE BEEN +audio/RES0183.mp3[218.200,224.600] NOT AS GREAT AS IT USUALLY IS BUT HES STILL EATING +audio/RES0183.mp3[224.600,229.600] OK HOW IS HIS LIKE MOOD AND BEHAVIOUR BEEN +audio/RES0183.mp3[229.600,237.840] UHM HES BEEN A LITTLE BIT MORE FUSSY THAN USUAL +audio/RES0183.mp3[237.840,240.120] OK AND EATING LESS AS WELL +audio/RES0183.mp3[240.120,246.160] HES BEEN EATING LESS BUT NOT LIKE MUCH LESS I STILL TRY TO GET SOMETHING IN HIM +audio/RES0183.mp3[246.160,248.680] OK WELL THATS GOOD AND HAS HE HAD ANY CHEST PAIN +audio/RES0183.mp3[248.680,261.840] UHM NO I DONT THINK SO HE HASNT COMPLAINED OF IT OR ANYTHING TO MAKE ME THINK THAT HE HAS ANY CHEST PAIN +audio/RES0183.mp3[261.840,270.800] OK AND HAS HE HAD ANY FAINTING OR MENTIONED THAT HES DIZZY AT ALL +audio/RES0183.mp3[271.320,275.000] OK DOES HE HAVE ANY HEADACHES +audio/RES0183.mp3[275.000,282.080] I DONT THINK SO HE HASNT COMPLAINED OF THAT +audio/RES0183.mp3[282.080,287.520] OK ANY EAR PAIN OR OR EAR DISCHARGE +audio/RES0183.mp3[287.520,289.240] UH NO +audio/RES0183.mp3[289.240,296.640] OK DOES HE HAVE ANY ABDOMINAL PAIN +audio/RES0183.mp3[297.440,302.640] DOES HE HAVE ANY DIARRHEA OR CONSTIPATION +audio/RES0183.mp3[305.120,307.960] OK ANY BLOOD IN THE STOOL +audio/RES0183.mp3[309.800,314.200] OK AND ANY SKIN RASHES +audio/RES0183.mp3[314.200,317.080] NO NOT THAT IVE NOTICED +audio/RES0183.mp3[317.080,325.920] OK HAS HE MENTIONED ANYTHING ABOUT MUSCLE ACHES OR JOINT PAINS +audio/RES0183.mp3[325.920,329.360] AH NO HE HASNT +audio/RES0183.mp3[329.360,335.200] OK AND IS HE HAD ANY NAUSEA OR VOMITING +audio/RES0183.mp3[337.240,343.480] OK AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0183.mp3[343.480,349.240] UH NO HES BEEN A PRETTY HEALTHY CHILD +audio/RES0183.mp3[349.240,375.600] OK AND SORRY JUST TO GO BACK AND JUST SUMMARIZE THE SYMPTOMS OVERALL SO HES HAD A BARKY COUGH THAT STARTED TWO DAYS AGO AS WELL AS SOME STRIDOR OR SOME NOISE ON INHALATION AND AND THIS REMINDS ME HAS HE HAD ANY FEVERS OR CHILLS +audio/RES0183.mp3[375.600,383.520] UH HE HAS HAD A FEVER ACTUALLY IT WAS 387 YESTERDAY +audio/RES0183.mp3[383.520,387.080] OK AND ANY NIGHT SWEATS +audio/RES0183.mp3[387.080,391.200] NO HASNT SEEMED SWEATY AT NIGHT NO +audio/RES0183.mp3[391.200,397.320] OK AND HAS HE HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS +audio/RES0183.mp3[397.320,398.960] UH NO +audio/RES0183.mp3[398.960,411.680] OK AND YOU SAID HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE BUT SO HAS HE HAD ANY REASONS TO BE HOSPITALIZED OR OR ANY SURGERIES +audio/RES0183.mp3[411.680,415.320] NO ITS BEEN A PRETTY HEALTHY CHILD +audio/RES0183.mp3[415.320,419.760] OK THATS GREAT AND ANY ALLERGIES THAT YOURE AWARE OF +audio/RES0183.mp3[419.760,425.680] UH I THINK HES ALLERGIC TO PENICILLIN +audio/RES0183.mp3[425.680,428.120] ALRIGHT WHATS THE REACTION +audio/RES0183.mp3[428.120,429.840] UH HE JUST GETS A RASH +audio/RES0183.mp3[429.840,435.120] OK AND ARE HIS IMMUNIZATIONS UP TO DATE +audio/RES0183.mp3[437.640,442.920] ALRIGHT AND CURRENTLY WHO IS HE LIVING WITH +audio/RES0183.mp3[442.920,450.560] AH HE LIVES WITH HIS BOTH HIS PARENTS AND HIS OLDER SISTER +audio/RES0183.mp3[450.560,456.360] OK AND HAS ANYBODY IN THE FAMILY BEEN SICK OR IS HE BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0183.mp3[456.360,461.600] NO EVERYONES BEEN PRETTY HEALTHY +audio/RES0183.mp3[461.600,466.440] OK HAS THERE BEEN ANY TRAVEL RECENTLY +audio/RES0183.mp3[466.440,470.440] NO NO ONES TRAVELED RECENTLY +audio/RES0183.mp3[470.440,476.000] OK AND ANYBODY SMOKE IN THE HOME +audio/RES0183.mp3[476.000,477.800] UH NO +audio/RES0183.mp3[477.800,490.280] ALRIGHT THEN ANY CONCERNS FOR HIM BEING EXPOSED TO ANY FORMS OF PHYSICAL OR EMOTIONAL OR VERBAL ABUSE OR ANY VIOLENCE IN THE HOME +audio/RES0183.mp3[490.280,491.080] OH NO NO +audio/RES0183.mp3[491.080,502.680] OK AND IS HE LIKE GOING TO DAYCARE OR WHO IS THE PRIMARY CAREGIVER AT HOME +audio/RES0183.mp3[502.680,509.360] UHM ITS USUALLY HIS HIS MOM YEAH +audio/RES0183.mp3[509.360,518.320] OK AND WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HIGH BLOOD PRESSURE +audio/RES0183.mp3[519.280,526.360] ALRIGHT AND ANY COMPLICATIONS WITH DELIVERY AND WAS IT VAGINAL OR CSECTION +audio/RES0183.mp3[526.360,533.480] IT WAS VAGINAL AND NO NO NO COMPLICATIONS +audio/RES0183.mp3[533.480,544.720] ALRIGHT AND UP TO THIS POINT AS YOU BETTER MEETING IS MILESTONES FOR LIKE TALKING WALKING AND AND THINGS LIKE THAT +audio/RES0183.mp3[544.720,547.160] YEAH THATS RIGHT +audio/RES0183.mp3[547.160,552.280] OK AND UH ANY CONCERNS FOR HIS VISION OR HEARING +audio/RES0183.mp3[553.160,559.200] OK AND HAS HE BEEN GROWING NORMALLY +audio/RES0183.mp3[559.200,563.440] YEAH HES HAD ALL HIS MILESTONES +audio/RES0183.mp3[563.440,573.320] EXCELLENT OK AND ARE THERE ANY CONDITIONS IN THE FAMILY SUCH AS HEART OR LUNG DISEASE +audio/RES0183.mp3[573.320,575.200] OH NO +audio/RES0183.mp3[575.200,583.760] OK HOW ABOUT AH ASTHMA OR THINGS LIKE ALLERGIC RHINITIS AND ALLERGIES +audio/RES0183.mp3[583.760,587.280] NO NOTHING LIKE THAT +audio/RES0183.mp3[587.280,600.000] OK UHM SO I I THINK THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR OR THAT YOU WANTED TO MENTION +audio/RES0183.mp3[600.000,605.800] UH NO THAT WAS KIND OF IT WHAT SHOULD I DO FOR HIM +audio/RES0183.mp3[605.800,691.320] UHM SO ITS IT SOUNDS LIKE THE MOST LIKELY DIAGNOSIS NOW IS SOMETHING CALLED CROUP OR LARYNGEAL TRACHEAL BRONCHITIS WHICH IS BASICALLY A VIRAL INFECTION OF THE UPPER RESPIRATORY TRACT AREAS AND SO IT CAN CAUSE HAD A BARKY COUGH AND STRIDOR AND FEVER AND SO IF SO ITS REALLY SUPPORTIVE CARE AND UNLESS HE DECOMPENSATES AND BECOMES REALLY SHORT OF BREATH AND WORSE IN WHICH CASE WE COULD THE TREATMENT WOULD BE STEROIDS AND UHM POSSIBLY UTILIZING OTHER OTHER THINGS AS WELL DEPENDING ON HIS SYMPTOMS BUT USUALLY IT WILL BE STEROIDS AND MAYBE SOME OXYGEN AS WELL BUT IF HE STAYS RELATIVELY STABLE THEN ITS MOSTLY SUPPORTIVE CARE JUST MAKING SURE HES HYDRATED AS MUCH AS POSSIBLE YOU COULD USE LIKE HUMIDIFIED AIR SOMETIMES LIKE A HOT SHOWER THAT SORT OF THING CAN MAYBE HELP RELIEVE THE COUGH AT NIGHT +audio/RES0183.mp3[692.400,696.920] BUT UMM THATS ABOUT IT +audio/RES0183.mp3[699.400,703.080] WELL SO WELL SO WELL JUST OBSERVE FOR NOW +audio/RES0183.mp3[703.080,710.400] OK THAT SOUNDS GOOD THANK YOU +audio/RES0074.mp3[0.000,2.800] WHAT BROUGHT YOU IN TODAY +audio/RES0074.mp3[2.800,27.160] YEAH SO IVE JUST BEEN FEELING A BIT OFF OVER THE LAST WEEK FIRST I STARTED HAVING LIKE JUST A SCRATCHY THROAT AND THAT WAS PROBABLY I THINK 5 DAYS AGO THAT HAPPENED AND THEN OVER THE LAST 3 DAYS IVE BEEN HAVING DIARRHEA AND ALSO MY WHOLE BODY IS JUST HURTING +audio/RES0074.mp3[27.160,31.800] OK AND SO WHEN DID THE SORE THROAT START +audio/RES0074.mp3[31.800,49.400] ID SAY LIKE 5 DAYS AGO IT STARTED AND IT FIRST BEGAN LIKE KIND OF A TICKLE BUT NOW ITS MORE LIKE EVEN SWALLOWING FOOD HURTS A LOT +audio/RES0074.mp3[49.400,56.960] OK HAVE YOU BEEN EATING OR DRINKING LESS THAN USUAL +audio/RES0074.mp3[56.960,63.840] UHM YEAH MY APPETITES BEEN A BIT LESS OVER THE LAST FEW DAYS JUST BECAUSE OF HOW MUCH IT HURTS +audio/RES0074.mp3[63.840,69.680] OK HAVE YOU NOTICED ANY NECK SWELLING +audio/RES0074.mp3[69.680,72.200] UH NO NOT REALLY +audio/RES0074.mp3[72.200,77.480] OK HOW ABOUT ANY REDNESS IN THE BACK OF YOUR THROAT +audio/RES0074.mp3[77.480,81.160] I CHECKED I DIDNT SEE TOO MUCH +audio/RES0074.mp3[81.160,87.200] OK AND HAVE THERE BEEN ANY CHANGES TO YOUR VOICE +audio/RES0074.mp3[87.200,92.600] UHM A LITTLE BIT I WOULDNT SAY TOO SIGNIFICANT +audio/RES0074.mp3[92.600,97.560] OK AND MUSCLE ACHES LIKE WHEN DID THOSE START +audio/RES0074.mp3[97.560,117.320] YEAH SO THAT STARTED JUST 3 DAYS AGO I REMEMBER WAKING UP AND MY THIGHS WERE HURTING THEN MY UPPER ARMS AND THEN IT KIND OF WENT INTO MY UPPER BACK AND NOW ITS KIND OF JUST GENERAL PAIN IN ALL OF THE MUSCLES +audio/RES0074.mp3[117.320,121.680] OK ARE YOU HAVING ANY MUSCLE WEAKNESS +audio/RES0074.mp3[121.680,127.160] UHM I WOULD SAY ITS MAINLY PAIN I DONT REALLY FEEL WEAKNESS +audio/RES0074.mp3[127.160,132.800] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN HAVING FATIGUE +audio/RES0074.mp3[132.800,142.280] YEAH I WOULD SAY UH I DONT KNOW IF ITS BECAUSE OF THE PAIN BUT I DEFINITELY FEEL A LOT MORE TIRED +audio/RES0074.mp3[142.280,150.440] OK AND YOU MENTIONED DIARRHEA AS WELL WHEN DID THAT START +audio/RES0074.mp3[150.440,167.200] YEAH DIARRHEA ALSO STARTED AROUND 3 DAYS AGO I NORMALLY GO 1 OR 2 TIMES A DAY BUT NOW IM GOING LIKE 6 OR 7 TIMES A DAY AND ITS ALL USUALLY PRETTY WATERY +audio/RES0074.mp3[167.200,172.040] OK HAVE YOU NOTICED ANY BLOOD IN THE STOOL +audio/RES0074.mp3[172.040,174.440] NO I DONT THINK I NOTICED BLOOD +audio/RES0074.mp3[174.440,181.560] OK AND HAVE YOU NOTICED ANY REALLY LIKE DARK OR TARRY LOOKING STOOL +audio/RES0074.mp3[181.560,187.440] NO ITS USUALLY JUST BEEN LOOSE WATERY STOOLS +audio/RES0074.mp3[187.440,200.600] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT MUSCLE ACHES FATIGUE AND DIARRHEA +audio/RES0074.mp3[200.600,209.640] UHM NO I DONT THINK SO THOSE ARE PROBABLY ALL OF THE SYMPTOMS +audio/RES0074.mp3[209.640,217.840] OK SO QUICKLY TO RUN THROUGH A REVIEW HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0074.mp3[217.840,220.480] NO NOT THAT IVE NOTICED +audio/RES0074.mp3[220.480,224.480] OK HOW ABOUT ANY HEADACHES +audio/RES0074.mp3[224.480,226.640] UH NO +audio/RES0074.mp3[226.640,229.960] OK AND HAVE YOU HAD A RUNNY NOSE +audio/RES0074.mp3[231.320,236.920] HAVE YOU HAD A LOSS OF SMELL OR TASTE +audio/RES0074.mp3[236.920,247.720] I DONT THINK SO I HAVENT BEEN REALLY EATING TOO MUCH RECENTLY BUT I DONT THINK SO NO +audio/RES0074.mp3[247.720,250.400] OK HAVE YOU HAD A COUGH +audio/RES0074.mp3[251.640,254.400] SHORTNESS OF BREATH +audio/RES0074.mp3[255.080,256.840] A WHEEZE +audio/RES0074.mp3[256.840,258.120] NO WHEEZING +audio/RES0074.mp3[258.120,265.120] OK YOU SAID YOU HAVENT HAD A COUGH BUT HAVE YOU BROUGHT UP ANY SPUTUM +audio/RES0074.mp3[267.280,271.560] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0074.mp3[271.560,273.320] NO CHEST PAIN +audio/RES0074.mp3[273.320,277.200] ALRIGHT ANY DIZZINESS OR LIGHTHEADEDNESS +audio/RES0074.mp3[278.440,281.960] ANY FEELING AS THOUGH YOUR HEART IS RACING +audio/RES0074.mp3[283.280,288.480] OK HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0074.mp3[288.480,299.560] UHM MAYBE JUST A LITTLE BIT WITH ALL THE DIARRHEA I FEEL LIKE I DO HAVE SOME JUST TENDERNESS IN MY ABDOMEN +audio/RES0074.mp3[299.560,305.600] OK UH AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0074.mp3[305.600,309.520] NO NOT REALLY +audio/RES0074.mp3[309.520,313.800] OK HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0074.mp3[313.800,316.960] UHM NO +audio/RES0074.mp3[316.960,320.640] OK AND ANY RASHES ANYWHERE +audio/RES0074.mp3[320.640,324.600] NO NOT THAT IVE NOTICED +audio/RES0074.mp3[324.600,334.360] OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OR OVER THE LAST SEVERAL MONTHS +audio/RES0074.mp3[334.360,338.960] NO MY WEIGHT HAS BEEN AROUND THE SAME +audio/RES0074.mp3[338.960,347.240] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0074.mp3[347.240,354.960] YEAH SO I HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL +audio/RES0074.mp3[354.960,360.040] OK DO YOU TAKE ANY MEDICATIONS FOR EITHER OF THOSE +audio/RES0074.mp3[360.040,376.840] YEAH SO FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR FOR THE HIGH BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED RAMIPRIL +audio/RES0074.mp3[376.840,385.280] OK UHM AND DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER OR SUPPLEMENTS OR PRESCRIBED +audio/RES0074.mp3[385.280,388.280] JUST MULTIVITAMINS +audio/RES0074.mp3[388.280,393.360] OK HAVE YOU BEEN HOSPITALIZED BEFORE +audio/RES0074.mp3[393.360,404.440] JUST LIKE IN MY TEENS I HAD MY APPENDIX REMOVED BUT THATS IT I HAVE BEEN PRETTY GOOD OTHERWISE +audio/RES0074.mp3[404.440,409.720] OK HAVE YOU HAD ANY OTHER SURGERIES BESIDES THE APPENDIX REMOVED +audio/RES0074.mp3[409.720,412.960] NO THATS THE ONLY SURGERY +audio/RES0074.mp3[412.960,419.960] OK AND ANY ALLERGIES TO MEDICATIONS +audio/RES0074.mp3[419.960,423.960] NO NOT THAT I KNOW OF +audio/RES0074.mp3[423.960,432.040] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0074.mp3[432.040,453.000] YEAH SO I CURRENTLY LIVE WITH MY WIFE AND SON WE LIVE IN A HOUSE JUST IN LONDON AND LIKE I MADE SURE TO JUST ISOLATE MYSELF TO ONE ROOM AND I WEAR A MASK AROUND THEM JUST IN CASE +audio/RES0074.mp3[453.000,466.720] OK WELL THATS GOOD YEAH ITS IMPORTANT TO BE SOCIALLY DISTANCING ESPECIALLY WHEN HAVING SYMPTOMS HAS ANYBODY ELSE IN THAT HOUSE BEEN SICK +audio/RES0074.mp3[466.720,505.520] NO NO ONE HAS BEEN SICK RECENTLY AT LEAST IN MY HOUSE BUT UH JUST TWO WEEKS AGO I DID ATTEND A FAMILY EVENT AND JUST LAST WEEK I FOUND OUT UHM SOMEONE WAS HAVING SYMPTOMS THEY JUST GOT TESTED TWO DAYS AGO AND THEIR TEST RESULT HASNT COME BACK +audio/RES0074.mp3[505.520,515.040] OK I SEE AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE OR OUTSIDE OF THE COUNTRY +audio/RES0074.mp3[515.040,524.280] NO IT WAS JUST HERE IN LONDON SO NOTHING OTHER THAN THAT I HAVENT LEFT THE PROVINCE +audio/RES0074.mp3[524.280,529.600] OK AND WHAT WAS THE APPROXIMATE NUMBER OF PEOPLE +audio/RES0074.mp3[529.600,546.000] IT WAS JUST FIVE PEAOPLE SO WE SATYED WITHIN THE LIMITS STATED FOR THE CITY AND THEY WERE PEOPLE IN LIKE MY CIRCLE AS WELL SO YEAH I DONT THINK I WAS DOING ANYTHING WRONG +audio/RES0074.mp3[546.000,559.760] OK JUST TO GIVE AN IDEA OF LIKE RISK AND CONTACT TRACING AS WELL IF WE NEED TO AND UH DO YOU SMOKE CIGARETTES +audio/RES0074.mp3[559.760,562.640] NO I DONT SMOKE +audio/RES0074.mp3[562.640,568.880] OK AND DO YOU DRINK ALCOHOL +audio/RES0074.mp3[568.880,573.440] YEAH MAYBE A ONE OR TWO BEERS A WEEK +audio/RES0074.mp3[573.440,577.880] OK AND UH DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0074.mp3[577.880,582.520] NO NEVER +audio/RES0074.mp3[582.520,595.800] OK AND UH IN TERMS OF FAMILY HISTORY DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS +audio/RES0074.mp3[595.800,605.320] NO NO NOT THAT I KNOW OF I DO YOU THINK MY BROTHER MY OLDER BROTHER HAS HIGH BLOOD PRESSURE +audio/RES0074.mp3[605.320,610.480] OK NOBODYS HAD A HEART ATTACK OR A STROKE +audio/RES0074.mp3[610.480,612.480] UH NO +audio/RES0074.mp3[612.480,615.360] OR ANY CANCER IN THE FAMILY +audio/RES0074.mp3[615.360,632.000] OH YEAH CANCER UH SO MY FATHER HAS ITS NOT THE BAD SKIN CANCER ITS THE ONE WHERE THEY CAN JUST ZAP IT OFF +audio/RES0074.mp3[632.000,639.560] OK UH AND SO HE HASNT NEEDED SURGERY FOR IT +audio/RES0074.mp3[640.200,650.280] OK AND I THINK THATS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT THAT MAYBE I FORGOT TO TELL YOU OR FORGOT TO ASK ABOUT +audio/RES0074.mp3[650.280,664.200] YEAH I WAS JUST WONDERING I DONT KNOW THE RESULTS OF THE CONTACT THAT I HAD UH SO SHOULD I ALSO GET TESTED TODAY +audio/RES0074.mp3[664.200,711.800] YEAH CERTAINLY WITH NONSPECIFIC SYMPTOMS SUCH AS WHAT YOUVE BEEN EXPERIENCING WE WILL DO A TEST FOR COVID TODAY HOWEVER WE WILL DO SOME LAB INVESTIGATIONS AS WELL BECAUSE IT COULD BE SOMETHING ELSE SO WELL WAIT FOR SOME OF THOSE RESULTS TO COME BACK AND ITS GREAT THAT YOUVE ALREADY TAKEN THE INITIATIVE TO ISOLATE FROM FAMILY MEMBERS AND WHATNOT AND SO I ASK YOU TO CONTINUE DOING SO AND WE WILL GET BACK TO YOU WHEN THE RESULTS ARE IN +audio/RES0074.mp3[711.800,716.080] OK YEAH THAT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0084.mp3[0.000,1.800] WHAT BRINGS YOU IN +audio/RES0084.mp3[1.800,42.880] HI FAIHA IVE BEEN VERY CONCERNED LATELY THIS PAST WEEK I FIRST JUST STARTED HAVING THIS REALLY BAD HEADACHE AND THEN MY BODY JUST COMPLETELY ALL STARTED HURTING AFTER COMPLETELY REST AND THEN THREE DAYS AGO I JUST STARTED HAVING A LOT OF CHILLS AND I HAD A PRETTY HIGH FEVER JUST TWO DAYS AGO OF ALMOST LIKE I THINK IT WAS LIKE 38 OR 39 YEAH I WAS JUST VERY CONCERNED AND I CAME HERE TODAY +audio/RES0084.mp3[42.880,54.800] YEAH ITS GOOD THAT YOU CAME IN LETS REWIND A LITTLE BIT AND GET A FULL HISTORY SO YOU SAID THE WHAT STARTED FIRST THE FEVER OR THE HEADACHE +audio/RES0084.mp3[54.800,61.720] SO THE HEADACHE STARTED FIRST SO THAT WAS AROUND FOUR DAYS AGO +audio/RES0084.mp3[62.800,81.120] AND THREE DAYS AGO LIKE MY BODY JUST STARTED ACHING ALL OVER THE PLACE AND THEN JUST TWO DAYS AGO I NOTICED THAT I HAD A FEVER AND IVE BEEN GETTING A FEVER SINCE THEN AS WELL LIKE EVEN TODAY I WAS HAVING CHILLS +audio/RES0084.mp3[81.120,90.880] OK OK AND YOU SAID YOUR HIGHEST RECORDED TEMPERATURE WAS 39 +audio/RES0084.mp3[90.880,94.320] LIKE 38 TO 39 +audio/RES0084.mp3[94.320,102.600] OK SO HEADACHE STARTED FOUR DAYS AGO IS IT PERSISTENT OR CONSTANT OR DOES IT COME AND GO +audio/RES0084.mp3[102.600,117.560] IT WAS PRETTY CONSTANT THE HEADACHE KIND OF GOT BETTER YESTERDAY BUT LAST FEW DAYS ITS JUST BEEN CONSTANT HEADACHE PRETTY MUCH EVERY DAY +audio/RES0084.mp3[117.560,121.520] OK OK DOES ANYTHING MAKE IT BETTER OR WORSE +audio/RES0084.mp3[121.520,140.160] JUST SOME REST AND UH I TRIED TO TAKE SOME TYLENOL TO GET RID OF IT TOOK SOME ADVIL AS WELL IT DID HELP A LITTLE BIT BUT IT JUST KIND OF CAME BACK AFTER THE MEDICATION WORE OUT +audio/RES0084.mp3[140.160,144.080] HOW LONG DOES THE HEADACHE LAST WHEN YOU GET IT +audio/RES0084.mp3[144.080,151.200] IF I DONT TAKE MEDICATIONS IT CAN LAST HONESTLY THE WHOLE DAY +audio/RES0084.mp3[151.200,159.440] OK YEAH UM AND IF YOU WERE TO DESCRIBE IT IS IT SHARP DULL ACHY +audio/RES0084.mp3[159.440,164.880] ITS JUST ACHY AND ITS KIND OF ALL OVER THE FRONT OF MY FOREHEAD +audio/RES0084.mp3[165.880,174.760] SOMETIMES ITS JUST LIKE A THROBBING PAIN +audio/RES0084.mp3[174.760,183.120] OK AND ALRIGHT AND YOU SAID ITS MOSTLY AT THE FRONT OF YOUR HEAD HOW ABOUT NEAR THE CROWN OF YOUR HEAD TEMPLES +audio/RES0084.mp3[183.120,192.080] IT CAN GO TO THE TEMPLES SOMETIMES BUT MOSTLY ITS MY FOREHEAD +audio/RES0084.mp3[192.080,201.520] OK OK AND SEVERITYWISE 1 TO 10 10 BEING THE WORST HEADACHE YOUVE EVER WORST PAIN YOUVE EVER FELT HOW BAD IS IT +audio/RES0084.mp3[201.520,212.560] RIGHT NOW ITS NOT THAT BAD PROBABLY LIKE A TWO OR THREE BUT WHEN IT WAS JUST A FEW DAYS AGO IT WAS LIKE PROBABLY AN 8 OR 9 +audio/RES0084.mp3[212.560,222.440] YEAH AND THEN HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE +audio/RES0084.mp3[222.440,234.520] NO IM NOT USUALLY ONE TO GET HEADACHES MY WIFE SHE GETS MIGRAINES BUT LIKE I RARELY EVER HAVE HEADACHES +audio/RES0084.mp3[234.520,239.760] YEAH OK AND THEN YOU MENTIONED THE HEADACHE IS GETTING A LITTLE BIT BETTER NOW +audio/RES0084.mp3[239.760,252.560] YEAH THE HEADACHE HAS IMPROVED A BIT THE BODY ACHES ARE STILL THERE AND THE FEVER IS STILL THERE BUT LIKE THE HEADACHES I FEEL HAVE GONE DOWN +audio/RES0084.mp3[252.560,262.040] OK ALRIGHT HAVE YOU HAD ANY FAINTING SPELLS OR DIZZINESS +audio/RES0084.mp3[262.040,264.680] NO NOTHING LIKE THAT +audio/RES0084.mp3[264.680,267.600] ANY CONFUSION OR MEMORY LOSS +audio/RES0084.mp3[269.760,273.200] ANY NECK PAIN +audio/RES0084.mp3[273.200,285.000] UHM NOT NECK PAIN BUT LIKE JUST BELOW MY NECK LIKE MY BACK UPPER BACK HURTS AS WELL +audio/RES0084.mp3[285.000,291.600] OK AND ANY WEIGHT LOSS RECENTLY +audio/RES0084.mp3[291.600,299.560] UHM NO I DONT I DONT THINK SO +audio/RES0084.mp3[299.560,304.560] ANY EXCESSIVE FATIGUE +audio/RES0084.mp3[304.560,324.360] YEAH I HAVE BEEN FEELING PRETTY TIRED AND JUST UH I HAVENT EVEN GONE TO WORK THIS WHOLE WEEK JUST KIND OF LAYING IN BED HONESTLY WITH ALL THE PAIN AND THE FEVER AND HEADACHES JUST YEAH ITS EXHAUSTING +audio/RES0084.mp3[324.360,330.080] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0084.mp3[330.080,334.000] NO NOTHING THAT IVE NOTICED +audio/RES0084.mp3[334.000,338.960] HOW ABOUT CHANGES IN YOUR VISION OR HEARING +audio/RES0084.mp3[341.800,345.880] NO OK HOW ABOUT A STUFFY NOSE OR RUNNY NOSE +audio/RES0084.mp3[345.880,363.200] UH I DO FEEL A BIT MORE STUFFY LIKE TODAY BUT THERES NO LIKE RUNNY NOSE OR ANYTHING LIKE THAT BUT I DO FEEL A BIT MORE PRESSURE AND STUFFINESS IN MY FACE TODAY +audio/RES0084.mp3[363.200,373.160] OK OK HOW ABOUT CHANGES IN SMELL OR TASTE +audio/RES0084.mp3[373.160,393.400] YEAH I THINK JUST LAST NIGHT DINNER IT WAS JUST KIND OF A FUNKY LIKE DIFFERENT TASTE I COULDNT REALLY TELL UH EVERYTHING WAS KIND OF A BIT BLAND YEAH I THINK MY TASTE BUDS ARE ACTING ALL WEIRD TOO +audio/RES0084.mp3[393.400,399.280] OK UM ANY COUGHING OR SHORTNESS OF BREATH +audio/RES0084.mp3[399.280,405.640] UH NO NO I HAVENT BEEN COUGHING OR NO SHORTNESS OF BREATH AT ALL +audio/RES0084.mp3[405.640,413.960] OK AND HOW ABOUT WHEEZING +audio/RES0084.mp3[413.960,416.480] NO NO WHEEZING +audio/RES0084.mp3[416.480,419.840] OK ANY CHEST PAIN +audio/RES0084.mp3[422.880,427.680] HOW ABOUT FEELING LIKE YOUR HEARTS RACING +audio/RES0084.mp3[427.680,432.080] NO NOTHING LIKE THAT +audio/RES0084.mp3[432.080,436.600] NO OK ANY SWELLING THAT YOUVE NOTICED IN YOUR LIMBS +audio/RES0084.mp3[437.920,442.760] NO OK ANY ISSUES WITH YOUR BOWEL MOVEMENTS OR URINE +audio/RES0084.mp3[442.760,446.520] NO NOTHING +audio/RES0084.mp3[446.520,453.560] OK HOW ABOUT NAUSEA OR VOMITING +audio/RES0084.mp3[453.560,459.640] UH NO NO NAUSEA OR VOMITING +audio/RES0084.mp3[459.640,473.960] OK AND THOSE WERE ALL THE QUESTIONS I HAD ABOUT YOUR SYMPTOMS ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0084.mp3[473.960,498.440] YEAH I HAVE A COUPLE CONDITIONS THAT I SEE MY FAMILY DOCTOR FOR I DO HAVE DIABETES THEN I HAVE HIGH CHOLESTEROL I ALSO HAVE THIS THING CALLED FATTY LIVER BUT THATS THATS ABOUT IT AND A HIGH BLOOD PRESSURE +audio/RES0084.mp3[498.440,508.200] OK WHEN WERE YOU DIAGNOSED WITH ALL OF THESE THINGS +audio/RES0084.mp3[508.200,527.720] YEAH PROBABLY LIKE IT ALL KIND OF WENT DOWN IN MY 40S I DID GAIN A LOT OF WEIGHT AT SOME POINT DURING MY 40S AND THATS WHEN ALL THESE THINGS STARTED HAPPENING +audio/RES0084.mp3[527.720,535.320] OK SO YOU SAID DIABETES HIGH BLOOD PRESSURE FATTY LIVER AND SORRY WHAT WAS THE OTHER ONE +audio/RES0084.mp3[535.320,537.320] HIGH CHOLESTEROL +audio/RES0084.mp3[537.320,543.320] HIGH CHOLESTEROL OK ARE YOU ON MEDICATIONS FOR ALL OF THESE THINGS +audio/RES0084.mp3[543.320,566.160] YEAH SO I AM ON A STATIN MEDICATION FOR THE CHOLESTEROL THEN IM ON METFORMIN AND THEN IM ON A BLOOD PRESSURE MEDICATION AS WELL I CANT RECALL THE NAME UH SO YEAH THOSE ARE THE MEDICATIONS THAT IM ON +audio/RES0084.mp3[566.160,573.040] OK AND DO YOU TAKE YOUR MEDICATIONS REGULARLY AS PRESCRIBED +audio/RES0084.mp3[573.040,576.240] YEAH I DONT MISS ANY DOSES +audio/RES0084.mp3[576.240,584.760] OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0084.mp3[584.760,588.960] YEAH I THINK SO +audio/RES0084.mp3[588.960,595.760] OK GOOD DO YOU HAVE ANY ALLERGIES +audio/RES0084.mp3[595.760,599.160] NO NO ALLERGIES +audio/RES0084.mp3[599.160,605.080] HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0084.mp3[605.080,623.680] YES I HAVE A PRETTY SIGNIFICANT FAMILY HISTORY FOR HEART CONDITIONS MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS 50S MY MOM HAS HIGH BLOOD PRESSURE DIABETES IS ALSO PRETTY BIG IN MY FAMILY AS WELL +audio/RES0084.mp3[623.680,630.200] OK WELL IM SORRY TO HEAR THAT ANY CANCERS IN THE FAMILY +audio/RES0084.mp3[630.200,633.480] NO NO CANCERS +audio/RES0084.mp3[633.480,636.440] OK DO YOU SMOKE +audio/RES0084.mp3[636.440,643.400] I USED TO WHEN I WAS IN MY 30S I QUIT A PRETTY LONG TIME AGO +audio/RES0084.mp3[643.400,648.440] OK HOW MUCH DID YOU SMOKE BEFORE THAT +audio/RES0084.mp3[648.440,661.880] I PROBABLY SMOKED UP UNTIL I WAS 35 SO FOR PROBABLY LIKE 10 YEARS FROM 25 TO 35 AND PROBABLY SMOKED A PACK A DAY AT THAT TIME +audio/RES0084.mp3[661.880,667.400] OK YEAH AND DO YOU DRINK ALCOHOL +audio/RES0084.mp3[667.400,682.920] IVE BEEN TOLD LIKE NOT TO FOR MY LIVER BUT I SOMETIMES MAYBE HAVE THE RARE RED WINE MAYBE ONCE A MONTH +audio/RES0084.mp3[682.920,689.800] ONCE A MONTH OK ANY OTHER RECREATIONAL DRUGS +audio/RES0084.mp3[689.800,692.360] NO NO RECREATIONAL DRUGS +audio/RES0084.mp3[692.360,697.240] OK NO RECREATIONAL DRUGS AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0084.mp3[697.240,704.440] I JUST LIVE WITH MY WIFE IN AN APARTMENT IN THE CITY AND YEAH +audio/RES0084.mp3[704.440,715.720] OK ANY OLD CARPET DUST MOLD ANYTHING THAT IS CONCERNING FROM THAT STANDPOINT +audio/RES0084.mp3[718.720,723.400] NO AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0084.mp3[723.400,725.200] NOT THAT I KNOW OF +audio/RES0084.mp3[725.200,728.280] DO YOU STILL GO TO WORK +audio/RES0084.mp3[728.280,741.520] I JUST HAVE LIKE A DESK JOB I HAVE MY OWN ROOM ITS NOT LIKE I DONT SEE TOO MANY PEOPLE AND LIKE WHEN I DO IM WEARING A MASK SO I DONT THINK SO +audio/RES0084.mp3[745.560,749.800] I HAVE STOPPED GOING TO WORK THOUGH LIKE JUST IN CASE +audio/RES0084.mp3[749.800,756.240] OK GOOD AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY +audio/RES0084.mp3[756.240,759.280] NO WEVE BEEN PRETTY HOMEBOUND +audio/RES0084.mp3[759.280,773.520] PRETTY HOMEBOUND OK ALRIGHT WELL THATS GOOD AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF +audio/RES0084.mp3[773.520,778.560] YEAH I DONT KNOW WHAT DO YOU THINK IS CAUSING ALL OF THIS +audio/RES0084.mp3[778.560,840.760] YEAH IT SOUNDS LIKE YOU HAVE SOME SORT OF INFECTION SO THE FIRST THING WE NEED TO RULE OUT IS COVID OF COURSE SO WELL DO A SWAB AND THOSE SWABS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND UNTIL THEN ITS IMPORTANT THAT YOU DO ISOLATE AND YOU ISOLATE FOR 14 DAYS AT LEAST AND THAT INCLUDES FROM OTHER PEOPLE AT HOME AND IF THOSE SWABS COME BACK NEGATIVE YOU COULD POSSIBLY HAVE LIKE ANOTHER INFECTION BUT IF YOUR SYMPTOMS WORSEN LIKE YOU START GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD COME BACK TO THE ER AND WELL GET THAT CHECKED OUT AND SO THATS WHERE WELL START FOR NOW BECAUSE YOUR PRESENTATION IS ACUTE WE THINK ITS LIKELY INFECTION RELATED +audio/RES0084.mp3[840.760,848.400] OK THAT SOUNDS GOOD TO ME AND SHOULD I BE STAYING IN MY OWN ROOM OR ANYTHING LIKE THAT AT HOME +audio/RES0084.mp3[848.400,860.840] YEAH IF YOU CAN LIKE ITS RECOMMENDED THAT YOU TRY TO ISOLATE IN YOUR OWN ROOM FOR THE NEXT 14 DAYS BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID YEAH +audio/RES0084.mp3[860.840,862.400] OK SOUNDS GOODTHANK YOU +audio/RES0084.mp3[862.400,865.120] YEAH NO WORRIES TAKE CARE +audio/RES0084.mp3[865.120,869.040] THANK YOU +audio/MSK0040.mp3[0.000,1.480] HOW MAY I HELP YOU +audio/MSK0040.mp3[1.480,26.040] SO IVE HAD THIS ANKLE PAIN FOR THE PAST DAY AND AND IT DOESNT SEEM TO BE GETTING BETTER MY RIGHT ANKLE LOOKS SWOLLEN AND ITS BRUISED AND IS PRETTY PAINFUL SO I JUST WANTED TO COME HERE TO CHECK CHECK IT OUT SEE IF I NEED ANY THING DONE TO IT +audio/MSK0040.mp3[26.040,41.880] YEAH ABSOLUTELY UH OK SO YOU SAID THAT THIS STARTED YESTERDAY WAS THERE ANY LIKE TRAUMA TO THE ANKLE OR LEG OR DID YOU HAVE A FALL OR OR SOME SORT OF INJURY +audio/MSK0040.mp3[41.880,79.960] YEAH SO I PLAY RUGBY AND I MIGHT HAVE SO I FELL DURING A TACKLE MOTION TYPE THING AND I FELL ON THAT LEG AND MY LEG MY FOOT KIND OF IN POINTED INWARDS AS I FELL AN I KIND OF FELL ON UM ON MY ANKLE KIND OF JUST ABOVE ABOVE MY LATERAL SIDE OF THE FOOT SO WHERE THAT BONY PROMINENCE IS +audio/MSK0040.mp3[79.960,86.360] OK I SEE AND AND YOUR FOOT KIND OF IT TURNED INWARDS WHEN YOU FELL +audio/MSK0040.mp3[86.360,88.440] YES THATS RIGHT +audio/MSK0040.mp3[88.440,94.960] OK AND WAS THERE PAIN IMMEDIATELY AFTER THE THIS INCIDENT +audio/MSK0040.mp3[96.840,108.520] OK WERE YOU ABLE TO LIKE WALK OFF THE FIELD AT ALL OR DID YOU NEED TO BE CARRIED OR WERE YOU ABLE TO WALK AT ANY POINT AFTER +audio/MSK0040.mp3[108.520,120.480] UM SO I CAN WALK UM BUT IT IS VERY PAINFUL AND IM PUTTING A LOT OF WEIGHT ON MY LEFT FOOT SO ITS ALMOST LIKE IM HOPPING ON MY LEFT FOOT +audio/MSK0040.mp3[120.480,133.280] OK AND AND IS THE PAIN ACTUALLY SO WHERE IS THE PAIN SPECIFICALLY LOCATED ON YOUR FOOT OR ANKLE +audio/MSK0040.mp3[133.280,142.880] SO ITS UM SPECIFICALLY ITS ON THE LIKE LATERAL MALLEOLUS AREA +audio/MSK0040.mp3[142.880,152.320] OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER OR QUALITY LIKE IS IT SHARP BURNING STINGING +audio/MSK0040.mp3[152.320,154.480] IT FEELS SHARP +audio/MSK0040.mp3[154.480,162.000] OK AND DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE +audio/MSK0040.mp3[162.000,167.440] OH NO ITS PRETTY MUCH IN THAT AREA JUST IN THE ANKLE AREA +audio/MSK0040.mp3[167.440,174.160] OK AND HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER +audio/MSK0040.mp3[174.160,189.200] IVE TRIED SOME IBUPROFEN AND SOME ICE THAT SEEMS TO HELP TEMPORARILY BUT IT DOESNT HELP WITH LIKE LIKE ITS NOT PERMANENT +audio/MSK0040.mp3[189.200,194.640] OK AND HAS THERE BEEN ANYTHING THATS MADE IT WORSE +audio/MSK0040.mp3[194.640,204.720] UM JUST PUTTING WEIGHT OR LIKE TRYING TO BEAR ANY WEIGHT ON THAT ANKLE HAS MADE IT WORSE +audio/MSK0040.mp3[204.720,215.080] OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF 10 TO ONE WITH 10 BEING THE WORST PAIN YOUVE EVER FELT +audio/MSK0040.mp3[215.080,219.680] I WOULD SAY ITS LIKE A 7 OR 8 +audio/MSK0040.mp3[219.680,227.680] OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE TO THE ANKLE OR EVER INJURED YOUR FOOT BEFORE +audio/MSK0040.mp3[227.680,235.600] NO NOTHING LIKE THIS +audio/MSK0040.mp3[235.600,241.800] OK AND HAVE YOU HAD ANY ANY HEADACHES +audio/MSK0040.mp3[241.800,243.560] UH NO HEADACHES +audio/MSK0040.mp3[243.560,247.960] HAD ANY FEVERS OR CHILLS +audio/MSK0040.mp3[248.960,250.920] HOW ABOUT NIGHT SWEATS +audio/MSK0040.mp3[252.200,255.680] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0040.mp3[257.400,266.840] OK AND HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES YOUR VISION HEARING OR EVEN YOUR SENSE OF SMELL OR SENSE OF TASTE +audio/MSK0040.mp3[266.840,269.080] NO NOTHING LIKE THAT +audio/MSK0040.mp3[269.080,276.480] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING +audio/MSK0040.mp3[277.840,284.480] OK NOW HAVE YOU NOTICED ANY SENSORY LOSS OVER YOUR LEG OR ANKLE +audio/MSK0040.mp3[284.480,289.800] NO NO NO NO SENSORY LOSS +audio/MSK0040.mp3[289.800,293.680] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +audio/MSK0040.mp3[296.480,306.320] OK AND AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE HAVING LIKE A RUNNY NOSE OR FEELING CONGESTED OR MAYBE EVEN A SORE THROAT +audio/MSK0040.mp3[307.840,310.800] ALRIGHT AND HAVE YOU HAD A COUGH +audio/MSK0040.mp3[310.800,312.200] NO COUGH +audio/MSK0040.mp3[312.200,314.760] HOW ABOUT SHORTNESS OF BREATH +audio/MSK0040.mp3[315.840,321.160] ALRIGHT HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOUR HEARTS RACING +audio/MSK0040.mp3[322.400,325.480] HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS +audio/MSK0040.mp3[326.880,331.480] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0040.mp3[332.720,335.880] HOW ABOUT ANY LOSS OF APPETITE +audio/MSK0040.mp3[336.880,338.920] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0040.mp3[339.920,344.680] HAVE YOU ANY DIARRHEA CONSTIPATION OR OR BLOOD IN THE STOOL +audio/MSK0040.mp3[345.960,352.080] OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS +audio/MSK0040.mp3[353.880,360.320] OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY RECENTLY +audio/MSK0040.mp3[360.320,363.520] NO NO CHANGES TO MY ENERGY +audio/MSK0040.mp3[363.520,373.280] ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS OR ANY REASON TO SEE A DOCTOR REGULARLY +audio/MSK0040.mp3[373.280,376.280] UH NO IVE BEEN PRETTY HEALTHY OTHERWISE +audio/MSK0040.mp3[376.280,383.160] OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED +audio/MSK0040.mp3[385.200,388.360] ALRIGHT THEN DO YOU HAVE ANY ALLERGIES +audio/MSK0040.mp3[390.920,395.400] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0040.mp3[395.400,402.120] I THINK SO I GAVE THEM THE MOST RECENT ONES IVE RECEIVED IN HIGH SCHOOL +audio/MSK0040.mp3[402.120,413.640] OK OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES BEFORE OR ANY REASONS FOR HOSPITALIZATIONS +audio/MSK0040.mp3[413.640,417.160] UM NO IVE NEVER YEAH IVE NEVER BEEN HOSPITALIZED +audio/MSK0040.mp3[417.160,430.560] OK UH AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE WHO YOURE LIVING WITH AND WHEREABOUTS +audio/MSK0040.mp3[430.560,440.760] I LIVE WITH BOTH MY PARENTS AS WELL AS TWO OF MY SIBLINGS THEY ARE YOUNGER WE LIVE IN A HOUSE DOWNTOWN +audio/MSK0040.mp3[440.760,444.800] OK AND ARE YOU CURRENTLY IN SCHOOL +audio/MSK0040.mp3[444.800,447.640] I AM IM IN GRADE 11 +audio/MSK0040.mp3[447.640,452.360] OK AWESOME AND THEN HOWS THAT BEEN GOING SO FAR +audio/MSK0040.mp3[452.360,456.720] GOING PRETTY WELL +audio/MSK0040.mp3[456.720,462.440] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/MSK0040.mp3[462.440,464.080] NO NO ONES BEEN SICK +audio/MSK0040.mp3[464.080,469.160] OK AND HOW ABOUT HAVE YOU TRAVELING ANYWHERE +audio/MSK0040.mp3[469.160,474.520] NO WE HAVENT BEEN DOING ANY OF THAT SO SINCE COVID +audio/MSK0040.mp3[474.520,495.200] OK AND AND I KNOW SOMETIMES PEOPLE AT LIKE IN HIGH SCHOOL AND CERTAINLY IN YOUR AGE GROUP MAY EXPERIENCE WITH THINGS LIKE SMOKING SMOKING TOBACCO OR CIGARETTES DRINKING ALCOHOL OR USING MARIJUANA HAVE YOU USED ANY OF THOSE THOSE SUBSTANCES +audio/MSK0040.mp3[497.600,503.880] OK AND AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0040.mp3[503.880,504.840] UM I AM +audio/MSK0040.mp3[504.840,513.800] OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR OR PARTNER +audio/MSK0040.mp3[513.800,522.160] UM YEAH SHES BEEN MY GIRLFRIEND FOR THE PAST TWO YEARS AND WE USE PROTECTION +audio/MSK0040.mp3[522.160,531.480] OK GREAT AND ANY CONCERNS FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME +audio/MSK0040.mp3[534.520,544.480] OK AND IN THE FAMILY HAS THERE BEEN ANY HISTORY OF MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS +audio/MSK0040.mp3[544.480,547.680] UH NO NOTHING LIKE THAT +audio/MSK0040.mp3[547.680,551.040] OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS +audio/MSK0040.mp3[554.840,572.760] OK AND SO I NEXT WANTED TO MOVE TO THE PHYSICAL EXAM COMPONENT AND ASK YOU TO HAVE A LOOK AT YOUR ANKLES AND ARE YOU SEEING ANY SWELLING OR REDNESS OR DISCOLOURATION +audio/MSK0040.mp3[572.760,588.160] SO I THERES A LIKE THERES A BRUISE ABOUT 4 CENTIMETERS WIDE AND IT APPEAR SWOLLEN BUT JUST BY RIGHT ANKLE +audio/MSK0040.mp3[588.160,597.320] JUST YOUR RIGHT ANKLE OK AND IS THERE ANY TEMPERATURE CHANGES LIKE WARMTH WHEN YOU TOUCH IT +audio/MSK0040.mp3[597.320,603.520] UH SLIGHTLY WARM YEAH +audio/MSK0040.mp3[603.520,614.600] OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR DEFORMITIES OF THE OF THE ANKLE OR FOOT +audio/MSK0040.mp3[619.560,638.000] OK UHM AND UH IF YOU PRESS ON AREAS OF YOUR OF YOUR ANKLE AND FOOT DO YOU FEEL PAIN AT THE LATERAL MALLEOLUS OR THE MEDIAL MALLEOLUS +audio/MSK0040.mp3[638.000,641.800] UH THERES A LOT OF PAIN ON THE LATERAL MALLEOLUS +audio/MSK0040.mp3[641.800,649.160] OK UM AND DO YOU FEEL PAIN IF YOU PRESS ON THE TOP OF YOUR FOOT LIKE A +audio/MSK0040.mp3[649.160,661.960] UM ON THE NO NO PAIN AT THE TOP OF MY FOOT +audio/MSK0040.mp3[661.960,679.200] OK AND HOW ABOUT ON THE LIKE OUTSIDE OR LATERAL ASPECT OF YOUR FOOT YOULL FEEL A KIND OF ITS A BONY PROMINENCE THAT THAT STICKS OUT AT THE BASE OF THE 5TH OR YOURE KIND OF LAST METATARSALS IS THERE ANY PAIN THERE +audio/MSK0040.mp3[679.200,685.320] NO NO PAIN THERE +audio/MSK0040.mp3[685.320,689.880] OK AND THEN HOW ABOUT ANY PAINS ON THAT LIKE MEDIAL SIDE OF YOUR FOOT +audio/MSK0040.mp3[689.880,694.440] ON THE MEDIAL SIDE NO +audio/MSK0040.mp3[694.440,704.760] OK AND THEN WHEN IT COMES TO MOVING THE FOOT ARE YOU ABLE TO POINT YOUR TOES ON YOUR FOOT UP TOWARDS YOUR FACE +audio/MSK0040.mp3[704.760,709.280] UP TOWARDS MY FACE THATS HARD +audio/MSK0040.mp3[709.280,716.800] OK SO DORSIFLEXION IS LIMITED AND HOW ABOUT PUSHING YOUR FOOT DOWN LIKE YOURE PRESSING ON THE GAS PEDAL +audio/MSK0040.mp3[716.800,723.160] I CAN DO THAT BUT ITS STILL PAINFUL JUST TO MOVE THE ANKLE +audio/MSK0040.mp3[723.160,732.240] OK SO PLANTER FLEXION IS IS PAINFUL AS WELL AND THEN ANY ISSUES WITH MOVING YOUR TOES +audio/MSK0040.mp3[735.760,742.120] OK AND THEN YOU MENTIONED THAT WITH WALKING YOURE HAVING A LIMP CURRENTLY +audio/MSK0040.mp3[743.240,805.400] OK SO WE HAVE AN ANTALGIC GATES WITH AN INABILITY TO BEAR WEIGHT AS WELL OK SO THE THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY AND BASED ON THESE FEATURES IT IS STARTING LIKE IT COULD BE EITHER AN ANKLE FRACTURE OR AN ANKLE SPRAIN BUT BECAUSE OF THE PINPOINT TENDERNESS OR THAT YOURE FINDING ON THE LATERAL SIDE AS WELL AS SOME OF THE THE INABILITY TO BEAR WEIGHT AS YOURE DESCRIBING ITLL BE IMPORTANT TO GET AN XRAY TO MAKE SURE THAT THERES NOT A FRACTURE UM AND YEAH AND IF THERE IS THEN IT WILL BE IMPORTANT TO HAVE SOME SORT OF AIR BOOT OR CASTING SO THAT TO MAKE SURE THAT WERE OFFLOADING THE AREA FOR THE BONES TO HEAL BUT WELL SEE WHAT THE XRAY SHOWS +audio/MSK0040.mp3[805.400,807.840] OK THAT SOUNDS GREAT THANK YOU +audio/MSK0040.mp3[807.840,809.680] THANK YOU +audio/RES0093.mp3[0.000,3.120] WHAT BRINGS YOU IN TODAY +audio/RES0093.mp3[3.120,13.760] YEAH SO IVE HAD THIS COUGH THAT STARTED WITHIN THE LAST DAY AND UHM IVE ALSO BEEN PARTICULARLY SHORT OF BREATH AS WELL +audio/RES0093.mp3[13.760,20.520] OK CAN YOU TELL ME ABOUT THE THE COUGH HOW IS IT DRY COUGH OR WET COUGH +audio/RES0093.mp3[20.520,39.760] ITS WET IVE BEEN BRINGING UP UH SPUTUM THATS UH ITS JUST IT LEAVES A REALLY BAD TASTE IN MY MOUTH WHEN BRINGING IT UP +audio/RES0093.mp3[39.760,42.560] WHAT COLOR IS THE SPUTUM +audio/RES0093.mp3[42.560,49.760] ITS KIND OF UH LIKE YELLOWISH GREEN TYPE COLOR +audio/RES0093.mp3[49.760,51.880] HAVEY YOU NOTICED ANY BLOOD +audio/RES0093.mp3[51.880,55.800] NO I HAVENT SEEN ANY BLOOD +audio/RES0093.mp3[55.800,63.520] AND IT ONLY STARTED YESTERDAY WHAT ABOUT THE DIFFICULTIES BREATHING WHEN DID THAT START +audio/RES0093.mp3[63.520,73.400] YEAH THAT STARTED REALLY WITHIN THE LAST TWELVE HOURS OR SO +audio/RES0093.mp3[73.400,77.840] AND CAN YOU TELL ME IF ITS GOTTEN BETTER OR WORSE SINCE THEN +audio/RES0093.mp3[77.840,94.640] YEAH ITS BEEN ITS BEEN GETTING WORSE UHM AND THE PHLEGM ALSO SMELLS REALLY BAD +audio/RES0093.mp3[94.640,103.520] OK WHEN DO YOU HAVE DIFFICULT LIKE IS THERE ANYTHING THAT MAKES THE SHORTNESS OF BREATH WORSE +audio/RES0093.mp3[103.520,126.200] YEAH IF I UHM WHEN I WAS HAVING A CIGARETTE EARLIER TODAY IT GOT A BIT WORSE AND WHEN I WENT OUT TO GET THE MAIL TODAY I I JUST COULDNT DO IT I I HAD TO JUST SIT DOWN +audio/RES0093.mp3[126.200,131.680] AND THAT WHAT HAPPENED TO YOU BEFORE RIGHT +audio/RES0093.mp3[131.680,143.880] P NO I USUALLY UHM AM ABLE TO GO OUT AND GET THE MAIL NO PROBLEM YEAH +audio/RES0093.mp3[143.880,148.800] OK UH AND SAY TWO DAYS AGO WERE YOU FEELING PERFECTLY FINE +audio/RES0093.mp3[148.800,152.320] I WAS YEAH I WASNT SICK AT ALL +audio/RES0093.mp3[152.320,165.160] OK SO YOUVE HAD THIS BAD COUGH AND YOUVE HAD SOME DIFFICULTIES BREATHING SINCE YESTERDAY HAVE YOU HAD A HEADACHE AT ALL +audio/RES0093.mp3[165.160,171.000] NO NO HEADACHE +audio/RES0093.mp3[171.000,174.760] ANY UH RUNNY NOSE +audio/RES0093.mp3[174.760,176.400] NO ITS REALLY NO +audio/RES0093.mp3[176.400,178.920] ANY CONGESTION +audio/RES0093.mp3[180.440,187.760] NO OK HAVE YOU HAD ANY PAIN IN YOUR CHEST +audio/RES0093.mp3[187.760,192.200] UH NO PAIN +audio/RES0093.mp3[192.200,200.640] WHEN YOURE BREATHING IN OR BREATHING OUT ANY PAIN AT THAT TIME OR DEEP BREATHING +audio/RES0093.mp3[200.640,203.400] NO I HAVENT HAD ANY PAIN +audio/RES0093.mp3[203.400,208.960] OK HAVE YOU HAD ANY PALPITATIONS OR YOU FEEL LIKE YOUR HEARTS RACING +audio/RES0093.mp3[208.960,221.240] UH YEAH I DO I FEEL LIKE MY HEART HAS BEEN BEATING A LITTLE BIT FASTER +audio/RES0093.mp3[221.240,226.440] OK AND ANY PAIN IN YOUR BELLY +audio/RES0093.mp3[227.360,230.960] NAUSEA OR VOMITING +audio/RES0093.mp3[230.960,245.560] UH NO BUT WELL I GUESS I HAVE FELT A LITTLE NAUSEOUS WITH THE UHM BAD TASTE IN MY MOUTH +audio/RES0093.mp3[245.560,254.400] OK AND ANY UH DIARRHEA OR CONSTIPATION +audio/RES0093.mp3[254.400,257.840] UHM NO I HAVENT ANYTHING LIKE THAT +audio/RES0093.mp3[257.840,260.880] OK ANY SORE THROAT +audio/RES0093.mp3[260.880,263.040] UHM NO +audio/RES0093.mp3[263.040,279.080] OK ALRIGHT UHM ANY OTHER SYMPTOMS THAT I HAVENT TALKED ABOUT THAT YOU EXPERIENCED OVER THE PAST DAY +audio/RES0093.mp3[279.080,290.600] NO ITS REALLY BEEN UHM YEAH THIS COUGH AND BRINGING UP THIS THIS SPUTUM AND BEING SHORT OF BREATH +audio/RES0093.mp3[290.600,299.640] OK UHM CAN YOU TELL ME ABOUT YOUR PAST UH MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0093.mp3[299.640,305.680] UH YEAH I HAVE UHM HIGH BLOOD PRESSURE +audio/RES0093.mp3[306.840,316.920] I ALSO HAVE ACID REFLUX SO UH GERD I THINK THINK ITS CALLED +audio/RES0093.mp3[318.040,322.400] AND UHM HIGH CHOLESTEROL AS WELL +audio/RES0093.mp3[322.400,323.360] OK OK +audio/RES0093.mp3[323.360,336.120] AND IVE ALSO BEEN HAD ISSUES WITH ANXIETY IN THE PAST AS WELL +audio/RES0093.mp3[336.120,341.080] IN TERMS OF MEDICATIONS ARE YOU TAKING ANY +audio/RES0093.mp3[341.080,357.160] YEAH I TAKE UHM AN ACE INHIBITOR STATIN UHM AND UH MEDICATION FOR MY STOMACH I THINK LIKE PANTOPRAZOLE +audio/RES0093.mp3[357.160,362.520] OK AND UH HOW WELL HAS YOUR GERD BEEN CONTROLLED +audio/RES0093.mp3[362.520,385.040] UH IT KIND OF IT BUGS ME MOST DAYS ITS NOT SO BAD I MEAN SOMETIMES ILL GET A LITTLE BIT OF HEARTBURN AND ACID IN THE IN MY MOUTH BUT IT DEPENDS ON WHAT I EAT SO I REALLY TRY TO STAY AWAY FROM SOME SOME FOODS +audio/RES0093.mp3[385.040,392.880] SO THE PPI HASNT COMPLETELY CURBED THE THE ACID REFLUX YOU STILL GET IT +audio/RES0093.mp3[392.880,403.240] YEAH I STILL GET IT ITS DEFINITELY HELPED THOUGH IT WAS A LOT WORSE BEFORE UH STARTING IT IVE BEEN ON BEEN ON IT NOW FOR A FEW YEARS +audio/RES0093.mp3[403.240,406.600] OK AND AS FOR YOUR ANXIETY DO YOU EVER GET PANIC ATTACKS +audio/RES0093.mp3[406.600,409.960] NO I HAVENT HAD ANY ANY PANIC ATTACKS +audio/RES0093.mp3[409.960,414.600] OK ALRIGHT DO YOU HAVE ANY ALLERGIES +audio/RES0093.mp3[415.440,435.640] OK SO YOU SAID THAT THESE SYMPTOMS STARTED YESTERDAY AND THEY WERE QUITE SUDDEN UH WAS THERE ANYTHING THAT YOU WERE DOING YESTERDAY OR THE DAY BEFORE THAT WAS DIFFERENT OR UNUSUAL +audio/RES0093.mp3[435.640,453.360] WELL YEAH I MEAN YESTERDAY I OR YEAH I HAD A BIT MORE TO DRINK THAN UH USUAL MORE ALCOHOL I MEAN SO I MEAN COULD THAT HAVE SOMETHING TO DO WITH IT IM NOT SURE +audio/RES0093.mp3[453.360,465.120] IT COULD POTENTIALLY DID YOU WERE YOU WERE YOU DRUNK AND DID YOU PASS OUT +audio/RES0093.mp3[465.120,471.360] YEAH I THINK SO MY MY FRIENDS UH YEAH THATS WHAT MY FRIENDS WERE WERE SAYING ANYWAY +audio/RES0093.mp3[471.360,479.920] OK AND UH TALKING ABOUT ALCOHOL HOW MUCH DO YOU USUALLY DRINK +audio/RES0093.mp3[479.920,490.560] I USUALLY LIKE LIKE FOUR TO SIX BEERS A DAY BUT UH YEAH YESTERDAY WAS CERTAINLY MORE THAN THAT +audio/RES0093.mp3[490.560,498.320] HAVE YOU CONSIDERED REDUCING THE AMOUNT OF ALCOHOL YOU DRINK HAS IT AFFECTED YOU IN ANY WAY +audio/RES0093.mp3[498.320,511.320] I MEAN I IM RETIRED NOW SO UHM I DONT KNOW I I FEEL LIKE ITS BEEN FINE MAYBE UH I FEEL LIKE ITS BEEN FINE +audio/RES0093.mp3[511.320,530.120] OK OK I SUPPOSE WE COULD TALK A LITTLE BIT MORE ABOUT THAT LATER IF YOU WANT UHM AS FOUR TO SIX BEERS IS QUITE A LOT ACTUALLY AND IT CAN AFFECT YOUR HEALTH IN CERTAIN WAYS BUT WE CAN WE CAN CHAT MORE ABOUT THAT LATER +audio/RES0093.mp3[532.160,536.680] AND UH DO YOU SMOKE +audio/RES0093.mp3[536.680,548.600] YEAH I SMOKE UHM A HALF A PACK OF CIGARETTES PER DAY IT WAS WELL OVER A PACK BEFORE SO IVE CUT DOWN A LITTLE BIT +audio/RES0093.mp3[548.600,554.240] NO THATS GREAT OK DO YOU PLAN ON CUTTING IT DOWN FURTHER OR DO YOU WANNA STAY RIGHT THERE +audio/RES0093.mp3[554.240,565.360] YEAH I HAVE BEEN HAVE BEEN TRYING JUST TOO TOO DARN EXPENSIVE THESE DAYS SO BEEN TRYING TO CUT BACK +audio/RES0093.mp3[565.360,574.120] YEAH YEAH THATS FAIR ALRIGHT WHAT ABOUT MARIJUANA DO YOU CONSUME MARIJUANA +audio/RES0093.mp3[574.120,578.600] NO I DONT +audio/RES0093.mp3[578.600,582.240] ANY RECREATIONAL DRUGS +audio/RES0093.mp3[584.040,590.560] ALRIGHT DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL PROBLEMS +audio/RES0093.mp3[590.560,612.520] UH YEAH MY MY FATHER HAD UH HE ENDED UP HAVING LIVER DISEASE ACTUALLY HE PASSED AWAY FROM THAT I THINK AND HE HAD HEART PROBLEMS TOO HE WAS A LIFELONG SMOKER AND DIDNT REALLY DIDNT REALLY TAKE CARE OF HIMSELF +audio/RES0093.mp3[612.520,619.520] HMM I SEE DO YOU DO YOU HAVE A FAMILY DOCTOR +audio/RES0093.mp3[619.520,625.160] UH I DO I HAVENT SEEN MY FAMILY DOCTOR IN A NUMBER OF YEARS NOW THOUGH +audio/RES0093.mp3[625.160,666.800] YEAH WELL YOU KNOW ITS ITS A GOOD IDEA TO SEE YOUR FAMILY DOCTOR ON A REGULAR BASIS SPECIALLY WHEN YOURE GETTING OLDER BECAUSE SOMETIMES YOU MIGHT NEED CHANGES IN YOUR MEDICATIONS OR THERE MIGHT BE CHECKUPS OR SCREENINGS THAT THEY MIGHT WANT TO DO ITS FOR YOUR OWN BENEFIT YOU KNOW MAYBE EVEN JUST SEEING THEM ONCE A YEAR WOULD BE A GOOD IDEA I WOULD DEFINITELY RECOMMEND THAT YOU BOOK AN APPOINTMENT WITH THEM JUST FOR A CHECKUP IN THE NEXT COUPLE OF WEEKS IS THERE A REASON WHY YOU DONT SEE YOUR FAMILY DOCTOR TOO OFTEN +audio/RES0093.mp3[666.800,675.520] I JUST HAVENT BEEN UHM SICK AND IVE BEEN ABLE TO TO REFILL MY PRESCRIPTIONS MOSTLY FROM JUST CALLING IN SO +audio/RES0093.mp3[675.520,687.200] OK OK I SEE UHM ALRIGHT AND DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE +audio/RES0093.mp3[687.200,690.720] YEAH I LIVE WITH MY WIFE +audio/RES0093.mp3[690.720,710.440] OK ALRIGHT AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE GROCERIES OR FINANCES OR SHOVELING SNOW OR CLEANING THE HOUSE OR DO YOU NEED ANY ASSISTANCE WITH THOSE SORT OF HOUSEHOLD ACTIVITIES +audio/RES0093.mp3[710.440,742.920] YEAH WE MOVED UHM ACTUALLY INTO AN APARTMENT LAST YEAR ITS MADE IT A LOT EASIER IN TERMS OF THE HOUSEWORK AND THAT SORT OF THING BUT IVE BEEN ABLE TO UHM I DO THE THE GROCERY SHOPPING AND SHARE THE THE CHORES AROUND AROUND THE HOUSE I DO ILL USE A CANE SOMETIMES I I INJURED MY KNEE A NUMBER OF YEARS AGO BUT OTHER THAN THAT THINGS ARE OK +audio/RES0093.mp3[742.920,748.480] OK OK GOOD TO HEAR THAT REMINDS ME HAVE YOU HAD ANY SURGERIES IN THE PAST +audio/RES0093.mp3[748.480,756.880] JUST ON MY MY LEFT KNEE I HAD A LEFT KNEE REPLACEMENT A FEW YEARS AGO +audio/RES0093.mp3[756.880,761.320] OK ALRIGHT AND HAVE YOU ANY HAD HAD ANY HOSPITALIZATIONS +audio/RES0093.mp3[764.040,854.640] OK ALRIGHT UHM SO SOUNDS LIKE YOUVE HAD A DAY OF THIS WET COUGH WITH THE THIS A BAD SMELLING SORT OF SPUTUM THATS THATS YELLOWISH GREEN IN COLOR AND YOUVE ALSO HAD DIFFICULTIES BREATHING FOR THE PAST TWELVE HOURS UH SO MUCH SO THAT YOU CANT EVEN GO OUT TO GET MAIL AND YOUR HEARTS BEEN RACING ITS POSSIBLE THAT WHILE YOU WERE DRUNK THAT YOU MIGHT HAVE AND GIVEN THAT YOU HAVE ACID REFLUX THAT YOU MIGHT HAVE ACCIDENTALLY HAVE SOMETHING GO INSIDE YOUR BREATHING TUBE FROM FROM YOUR MOUTH OR SOMETHING THAT CAME UP FROM YOUR STOMACH AND SOMETIMES WHEN THAT HAPPENS FOOD ITEMS CAN OR OTHER THINGS CAN GET LODGED IN YOUR LUNGS AND CAN BECOME UHM CAN ATTRACT BACTERIA TO UH TO REPLICATE AND CAUSE A BACTERIAL INFECTION SO ITS POSSIBLE THAT THATS WHAT HAPPENED BUT IT COULD ALSO BE A VIRAL PNEUMONIA OR A VIRAL INFECTION IN YOUR CHEST WELL GET A CHEST XRAY DONE WELL HAVE SOME LABS DONE AS WELL AND WELL LIKELY START SOME ANTIBIOTICS HAVE YOU RECENTLY BEEN ON ANY ANTIBIOTICS +audio/RES0093.mp3[854.640,856.160] NO I HAVENT +audio/RES0093.mp3[856.160,859.400] AND YOU DONT HAVE ANY ALLERGIES TO ANY CORRECT +audio/RES0093.mp3[860.800,869.200] ALRIGHT OK WELL ALSO DO A PHYSICAL EXAM JUST TO GIVE A LISTEN TO YOUR TO YOUR LUNGS AND SEE HOW THEYRE DOING AND THEN GO FROM THERE DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0093.mp3[869.200,876.120] NO THAT SOUNDS GOOD THANK YOU +audio/RES0198.mp3[0.000,1.880] WHAT BRINGS YOU HERE TODAY +audio/RES0198.mp3[1.880,20.960] UM HI YEAH IVE HAD THE STUFFY NOSE UM THATS BEEN ON AND OFF AS WELL AS A RUNNY NOSE FOR THE PAST WEEK AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT IN CASE I HAVE COVID +audio/RES0198.mp3[20.960,26.880] OK YEAH I KNOW FOR SURE THATS A GOOD IDEA SO HOW LONG HAVE YOU HAD THIS FOR +audio/RES0198.mp3[26.880,28.000] A WEEK NOW +audio/RES0198.mp3[28.000,35.040] A WEEK AND DID SO WHAT STARTED FIRST WAS IT THE RUNNY NOSE OR LIKE THE STUFFINESS +audio/RES0198.mp3[35.040,42.360] IT FELT PRETTY STUFFY AT FIRST BUT NOW ITS MOSTLY RUNNING +audio/RES0198.mp3[42.360,45.320] OK AND ARE YOU COUGHING AT ALL +audio/RES0198.mp3[46.280,59.920] NO OK AND THE RUNNY NOSE WHAT KIND OF CONTENT ARE YOU PRODUCING OR DRAINING IS IT MAINLY LIKE CLEAR OR IS THERE ANY COLOR TO IT +audio/RES0198.mp3[59.920,63.280] ITS MOSTLY CLEAR +audio/RES0198.mp3[63.280,71.760] OK AND IS IT MAINLY JUST CONGESTION AND DRAINAGE FROM YOUR NOSE OR ARE YOU FEELING AND GO AT THE BACK OF YOUR THROAT AS WELL +audio/RES0198.mp3[71.760,75.000] UH NO ITS JUST MOSTLY FOR MY NOSE +audio/RES0198.mp3[75.000,83.320] OK ANY OTHER SYMPTOMS LIKE SORE THROAT SHORTNESS OF BREATH FEVERS OR CHILLS +audio/RES0198.mp3[85.840,94.560] NO OK AND IS THIS LIKE SOMETHING THATS CONSTANT OR DOES IT COME AND GO +audio/RES0198.mp3[94.560,98.760] AH ITS ITS AH ITS BEEN PRETTY CONSTANT FOR THE PAST WEEK +audio/RES0198.mp3[98.760,104.200] OK HAS THIS HAPPENED TO YOU BEFORE AT ALL +audio/RES0198.mp3[104.200,111.200] NO WELL ACTUALLY IVE HAD IVE HAD A COLD BEFORE BUT NOT RECENTLY MAYBE LIKE FIVE YEARS AGO +audio/RES0198.mp3[111.200,116.200] OK HAVE YOU TRIED ANY OVER THE COUNTER MEDICATIONS AT ALL +audio/RES0198.mp3[116.200,129.400] UM IVE TRIED LIKE DECONGESTANTS AND THATS NOT WELL I GUESS MY NOSE IS RUNNY NOW SO THAT WORKED A LITTLE BIT +audio/RES0198.mp3[129.400,140.880] OK OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0198.mp3[140.880,147.560] UHM NO I DONT THINK SO MY I HAVE UM A NEPHEW WHO I LIVE WITH WHO GOES TO DAYCARE +audio/RES0198.mp3[147.560,149.880] OK AND HAS HE BEEN SICK AT ALL +audio/RES0198.mp3[149.880,153.080] NO HES BEEN FINE +audio/RES0198.mp3[153.080,157.840] OK ANY RECENT TRAVEL AT ALL +audio/RES0198.mp3[160.440,165.840] NO OK ANY HEADACHES OR NAUSEA OR VOMITING +audio/RES0198.mp3[165.840,168.160] NOPE NOTHING LIKE THAT +audio/RES0198.mp3[168.160,171.880] OK ANY FATIGUE +audio/RES0198.mp3[171.880,174.840] A LITTLE BIT +audio/RES0198.mp3[174.840,182.480] OK ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0198.mp3[182.480,185.520] UM NO UM NOT THAT IVE NOTICED +audio/RES0198.mp3[185.520,195.920] OK ANY SORT OF LIKE CHEST PAIN OR RACING SENSATION OF RACING OF YOURBHEART OR ANYTHING LIKE THAT +audio/RES0198.mp3[197.800,201.120] NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0198.mp3[202.200,206.640] HOW ABOUT YOUR ANY DIFFICULTIES IN URINATING +audio/RES0198.mp3[206.640,207.760] UM NO +audio/RES0198.mp3[207.760,211.600] OK HAVE YOU BEEN SLEEPING AND EATING WELL +audio/RES0198.mp3[212.920,218.800] OK ANY WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS RECENTLY +audio/RES0198.mp3[218.800,221.840] NO NO NO NOTHING LIKE THAT +audio/RES0198.mp3[221.840,233.800] OK AT HOME OR AT WORK HOME ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS +audio/RES0198.mp3[234.960,241.280] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0198.mp3[241.280,243.320] UM I HAVE TYPE ONE DIABETES +audio/RES0198.mp3[243.320,247.800] OK AND WHEN WERE YOU DIAGNOSED WITH THAT +audio/RES0198.mp3[247.800,251.680] WHEN I WAS LIKE 7 +audio/RES0198.mp3[251.680,258.480] OK AND SO YOU HAVE YOUR INSULIN MEDICATION AND YOUR ARE YOU ALL UP TO DATE WITH THAT +audio/RES0198.mp3[260.000,264.520] OK AND DO YOU SEE AN ENDOCRINOLOGIST +audio/RES0198.mp3[264.520,266.000] I DO +audio/RES0198.mp3[266.000,272.400] OK ALRIGHT ANY MEDICATIONS THAT YOU ARE ON BESIDES INSULIN +audio/RES0198.mp3[272.400,273.800] UH NO +audio/RES0198.mp3[273.800,276.400] NO OK ANY ALLERGIES AT ALL +audio/RES0198.mp3[278.600,283.760] OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES BEFORE +audio/RES0198.mp3[286.240,293.760] NO OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS IN PARTICULAR WITH THE LUNGS OR THE HEART +audio/RES0198.mp3[294.960,297.400] NO ANY AUTOIMMUNE DISEASES +audio/RES0198.mp3[298.880,307.120] OK AND CURRENTLY RIGHT NOW DO YOU WORK OR DO YOU GO TO SCHOOL +audio/RES0198.mp3[307.120,310.600] I’M IN SCHOOL RIGHT NOW +audio/RES0198.mp3[310.600,314.600] OK AND SO ARE YOU LIVING WHERE ARE YOU LIVING RIGHT NOW +audio/RES0198.mp3[314.600,321.120] I LIVE IN AN APARTMENT BY MYSELF +audio/RES0198.mp3[321.120,329.200] OK AND CURRENTLY DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING +audio/RES0198.mp3[329.200,338.800] UH NO NOT OK SO NOT FREQUENTLY BUT MAYBE LIKE ONCE A MONTH ILL HAVE AN EDIBLE +audio/RES0198.mp3[338.800,345.560] OK ANY OTHER RECREATIONAL DRUGS LIKE COCAINE AND HEROIN ANYTHING LIKE THAT +audio/RES0198.mp3[345.560,347.360] OH NO +audio/RES0198.mp3[347.360,352.240] NO AND YOU DRINK ALCOHOL +audio/RES0198.mp3[352.240,353.320] UH NO +audio/RES0198.mp3[353.320,358.240] AND DO YOU SMOKE TOBACCO +audio/RES0198.mp3[359.880,366.760] YEAH THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0198.mp3[366.760,372.800] I YEAH HOW DO I GET RID OF THIS AND ITS REALLY BEEN BUGGING ME +audio/RES0198.mp3[372.800,434.760] YEAH IT KIND OF SO JUST A STUFFY NOSE IN THE RUNNY NOSE IT SEEMS LIKE ITS MOST LIKELY A VIRAL INFECTION LIKE THE COMMON COLD IT TAKES A FEW WEEKS FOR THE SYMPTOMS TO GET RELIEVED BUT THERES NOT MUCH THAT WE CAN DO BESIDES SUPPORTIVE CARE SO MAKE SURE YOU GET YOU STAY WELL HYDRATED YOU CAN USE OVER THE COUNTER MEDICATIONS UH LIKE TYLENOL COLD NOW IF YOU TO RELIEVE SOME OF YOUR SYMPTOMS BUT SINCE RIGHT NOW WERE IN A PANDEMIC SOME OF THESE SYMPTOMS CAN ALSO BE SEEN IN COVID PATIENTS SO WE WILL ALSO GET A SWAB DONE FOR YOU TODAY AND YOU SHOULD HAVE THE RESULTS BACK BY 48 HOURS UM UNTIL THEN WE RECOMMEND THAT YOU STAY ISOLATED IN YOUR OWN HOME AND NOT SEE ANYONE ELSE AND THEN ONCE THE RESULTS COME BACK YOULL GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH +audio/RES0198.mp3[434.760,436.920] OK THAT SOUNDS GREAT THANK YOU +audio/RES0198.mp3[436.920,439.040] YOUR WELCOME TAKE CARE +audio/RES0198.mp3[439.040,441.640] YOU TOO BYE +audio/RES0033.mp3[0.000,10.840] IVE BEEN HAVING ISSUES WITH JUST A COUGH THATS JUST BEEN CONSTANTLY LIKE BOTHERING ME FOR THE PAST FEW BIT +audio/RES0033.mp3[10.840,22.840] OK UM WHEN DID THIS WHAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH ITSELF ANY ANY SPUTUM +audio/RES0033.mp3[22.840,39.880] SO YEAH IT IT DOES HAVE SOME LIKE DARK YELLOW GREENISH MUCUS MATERIAL EVERY TIME I COUGH THATS NOT DOESNT ALWAYS HAPPEN BUT ITS BEEN WORSE LIKE THAT KEEPS HAPPENING OVER THE LAST FEW DAYS +audio/RES0033.mp3[39.880,47.800] OK AND ANY BLOOD IN THE SPUTUM +audio/RES0033.mp3[48.560,53.280] OK AND HOW MUCH HAVE YOU BEEN BRINGING UP WOULD YOU SAY +audio/RES0033.mp3[53.280,60.880] I WOULD SAY EVERY TIME I BRING IT UP ITS AROUND LIKE ONE TEASPOON USUALLY ONE TEASPOON IN THE DAY +audio/RES0033.mp3[60.880,66.000] OK AND WHEN DID THIS COUGH START +audio/RES0033.mp3[66.000,86.720] UM SO I THINK IT STARTED AROUND LIKE I WOULD SAY SIX MONTHS AGO AND ITS KIND OF JUST COMING IT JUST KEEPS COMING AND GOING HERE AND THERE BUT ITS RECENTLY JUST STARTING TO GET VERY IRRITATING +audio/RES0033.mp3[86.720,93.720] OK AND UM ANY TRIGGERS OR UH PRECIPITATING EVENTS FOR FOR THE COUGH +audio/RES0033.mp3[93.720,115.200] SO LIKE SIX MONTHS AGO I REMEMBER I WAS IN JUST IN PHYSED AND WE WERE JUST DOING SOME LAPS AND THATS WHEN I JUST REALLY STARTED COUGHING AND YEAH NOTHING ELSE WAS REALLY GOING ON I JUST FEEL LIKE WHEN I STARTED RUNNING SOMETIMES I START TO COUGH +audio/RES0033.mp3[115.200,125.160] OK UM AND HAS THE COUGH BEEN GETTING WORSE OR STAYING THE SAME GETTING BETTER +audio/RES0033.mp3[125.160,140.920] I THINK IT WAS PRETTY IT WAS PRETTY MUCH THE SAME OVER THE LAST FEW MONTHS BUT THEN OVER THE LAST WEEK I WOULD SAY JUST GOT REALLY BAD AND OVER THE LAST FEW DAYS ITS JUST BEEN GETTING WORSE AND WORSE +audio/RES0033.mp3[140.920,160.080] OK UM SO ITS BEEN THE COUGH HAS BEEN HAPPENING ON AND OFF UP UNTIL FOUR DAYS AGO IT SOUNDS LIKE UH IS THE COUGH HAPPENING DAILY NOW +audio/RES0033.mp3[160.080,176.440] OH YEAH I WOULD SAY LIKE IM COUGHING ESPECIALLY THE LAST FEW DAYS COUGHING SEVERAL TIMES A DAY UM ITS PRETTY RANDOM BUT LIKE I WOULD SAY THROUGHOUT THE DAY IM COUGHING +audio/RES0033.mp3[176.440,180.480] OK ANYTHING YOUVE TRIED TO MAKE THE OFFER BETTER +audio/RES0033.mp3[180.480,188.320] UM I MEAN REALLY I I DIDNT REALLY KNOW WHAT TO TRY UM SO NO I HAVENT TRIED ANYTHING +audio/RES0033.mp3[188.320,196.920] OK AND ANYTHING YOUVE NOTICED THAT THAT SO I GUESS YEAH ANYTHING YOU NOTICE THAT MAKES IT WORSE +audio/RES0033.mp3[196.920,218.920] SO YEAH JUST LIKE WHEN IM DOING MORE ACTIVITIES ESPECIALLY RUNNING I FIND UH I JUST GET LIKE THESE COUGHING FITS AND IT JUST GETS WORSE WHEN IM RUNNING YEAH ITS PRETTY ANNOYING BECAUSE EVEN SOMETIMES WHEN IM JUST IN CLASS I JUST START COUGHING RANDOMLY BUT I WOULD SAY ITS THE WORST WHEN IM DOING ACTIVITIES +audio/RES0033.mp3[218.920,230.080] OK SO EXERCISING BRINGS OUT THE COUGH ANY OTHER SYMPTOMS YOUVE BEEN EXPERIENCING BESIDES THE COUGH +audio/RES0033.mp3[230.080,248.800] UH THE ONLY THING THAT SOMETIMES UH LIKE I PANIC SOMETIMES WHEN UH WHEN I HAVE LIKE A REALLY BAD COUGHING FIT ESPECIALLY IN GYM CLASS IT ALMOST FEELS LIKE I CANT BREATHE AND THATS WHEN I GET REALLY SCARED +audio/RES0033.mp3[248.800,255.960] OK UM HAVE YOU BEEN HAVING ANY NAUSEA OR VOMITING +audio/RES0033.mp3[255.960,258.480] OH NO NO NAUSEA OR VOMITING +audio/RES0033.mp3[258.480,261.720] OK HOW ABOUT ANY HEADACHES +audio/RES0033.mp3[261.720,263.880] NO NO HEADACHES +audio/RES0033.mp3[263.880,267.240] OK AND HAVE YOU HAD A FEVER +audio/RES0033.mp3[267.240,276.200] UH I THINK I FELT LIKE A LITTLE BIT WARMER IN THE PAST FEW DAYS BUT I DIDNT I DIDNT REALLY CHECK +audio/RES0033.mp3[276.200,280.120] OK AND HAVE YOU HAD ANY CHILLS +audio/RES0033.mp3[280.120,283.440] I DONT THINK SO NO +audio/RES0033.mp3[283.440,288.320] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0033.mp3[288.320,292.760] UH NO IVE BEEN IM IVE BEEN HOME +audio/RES0033.mp3[292.760,297.840] OK UH ANY NIGHT SWEATS +audio/RES0033.mp3[299.040,303.600] HAVE YOU HAD ANY RACING OF YOUR HEART +audio/RES0033.mp3[303.600,307.640] NO NOTHING LIKE THAT +audio/RES0033.mp3[307.640,312.720] OK AND HAVE YOU HAD ANY SYMPTOMS OF FATIGUE +audio/RES0033.mp3[312.720,317.960] UH NO I I THINK MY ENERGY LEVELS ARE FINE +audio/RES0033.mp3[317.960,322.480] OK UM DO YOU HAVE ANY CHEST PAIN +audio/RES0033.mp3[322.480,337.120] UM SOMETIMES WHEN I COUGH LIKE WHEN ITS REALLY BAD I SOMETIMES FEEL LIKE I GET SOME PAIN IN MY CHEST WHEN IM COUGHING BUT THATS ONLY BEEN THE CASE FOR THE LAST FEW FEW DAYS I WOULD SAY +audio/RES0033.mp3[337.120,340.600] OK UM ANY URINARY PROBLEMS +audio/RES0033.mp3[340.600,345.040] NO IVE BEEN PEEING ALRIGHT NO ISSUES THERE +audio/RES0033.mp3[345.040,348.000] OK ANY BOWEL PROBLEMS +audio/RES0033.mp3[348.000,349.880] UH NO +audio/RES0033.mp3[349.880,354.160] OK ANY ISSUES WITH YOUR APPETITE +audio/RES0033.mp3[354.160,358.280] NO I THINK IVE BEEN EATING THE SAME AMOUNT +audio/RES0033.mp3[358.280,361.600] OK ANY CHANGES TO YOUR WEIGHT +audio/RES0033.mp3[361.600,364.160] UH NO STILL THE SAME +audio/RES0033.mp3[364.160,370.760] OK AND ANY PROBLEMS WITH UH SORRY UH ANY RECENT INFECTIONS +audio/RES0033.mp3[370.760,393.360] LIKE I FEEL LIKE I MIGHT HAVE A COLD BUT I THINK I MAYBE A WEEK AGO I HAD LIKE A LITTLE BIT OF A RUNNY NOSE SO I DONT KNOW I MIGHT HAVE A COLD +audio/RES0033.mp3[393.360,402.320] OK UM AND THESE SYMPTOMS COLD SYMPTOMS YOUVE BEEN FEELING FOR THE LAST FEW DAYS +audio/RES0033.mp3[402.320,405.560] YEAH ITS ALMOST UP TO A WEEK NOW +audio/RES0033.mp3[405.560,409.640] OK AND ANY PROBLEMS WITH SLEEP +audio/RES0033.mp3[409.640,426.160] I FEEL LIKE SOMETIMES JUST IN THE PAST FEW WEEKS LIKE I STARTED COUGHING AT NIGHT AND WOKE MYSELF UP SO SLEEP HAS BEEN A LITTLE BIT DISTURBED OVER THE PAST FEW WEEKS +audio/RES0033.mp3[426.160,431.920] OK UH ANY EXPOSURES TO TUBERCULOSIS +audio/RES0033.mp3[431.920,434.960] OH NO NO NOT THAT I KNOW +audio/RES0033.mp3[434.960,444.400] ANY EXPOSURES TO INHALANTS LIKE SMOKE OR OR DUST OR FUMES +audio/RES0033.mp3[444.400,456.920] UH NO I DONT HAVE ANY PETS LIKE THERES NO LIKE MOSS OR ANYTHING IN MY HOME NO FUMES DUST YEAH NOTHING LIKE THAT +audio/RES0033.mp3[456.920,466.960] OK OK AND HAVE YOU BEEN DIAGNOSED WITH ANY OR TREATED WITH OR ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0033.mp3[466.960,473.960] JUST JUST LIKE WITH THE SKIN I I I HAVE ECZEMA BUT NOTHING ELSE +audio/RES0033.mp3[473.960,481.480] OK ARE YOU ALLERGIC TO ANY MEDICATIONS +audio/RES0033.mp3[481.480,496.640] UH SO I FOR MY ECZEMA LIKE I DO HAVE LIKE A HYDROCORTISONE CREAM THAT I APPLY BUT YEAH I DONT THINK IM ALLERGIC TO ANY MEDICATIONS +audio/RES0033.mp3[496.640,501.720] OK UM DO YOU HAVE ALLERGIES +audio/RES0033.mp3[501.720,517.360] I I DO HAVE ALLERGIES LIKE SOMETIMES AROUND LIKE ANIMALS LIKE IF I GO TO THE FARM OR IF IM LIKE AT A ZOO AND JUST PETTING ANIMALS I GET MY ECZEMA GETS REALLY BAD +audio/RES0033.mp3[517.360,520.760] OK AND ANY HOSPITALIZATIONS +audio/RES0033.mp3[520.760,523.680] NO NO NO NEVER BEEN HOSPITALIZED +audio/RES0033.mp3[523.680,528.000] OK ANYBODY YOUVE BEEN AROUND WHOS SICK +audio/RES0033.mp3[528.000,533.280] NO IVE BEEN IVE BEEN PRETTY MUCH BEEN AT HOME SO NO ONE +audio/RES0033.mp3[533.280,536.840] ALRIGHT AND ANY SURGERIES +audio/RES0033.mp3[536.840,537.800] NO SURGERIES +audio/RES0033.mp3[537.800,543.800] OK ANY FAMILY HISTORY OF ASTHMA OR OR ECZEMA +audio/RES0033.mp3[543.800,552.360] I DONT KNOW BOUT ASTHMA MY MOM DOES ALSO HAVE LIKE SIMILAR LIKE ECZEMA TO ME BUT YEAH NOTHING NOTHING ELSE THAT I KNOW OF +audio/RES0033.mp3[552.360,557.360] OK UH AND WHAT ARE YOU DOING RIGHT NOW FOR WORK +audio/RES0033.mp3[557.360,586.880] SO CURRENTLY LIKE IM NOT WORKING IM A STUDENT JUST DOING SOME ONLINE STUDYING IM ACTUALLY GOING TO COLLEGE TO LEARN ABOUT HOW TO MAKE VIDEO GAMES BUT YEAH ITS ALL JUST BEEN AT HOME RIGHT NOW +audio/RES0033.mp3[586.880,592.080] OK AND UM WHERE ARE YOU FROM LIKE ARE YOU LIVING AT HOME RIGHT NOW OR ARE YOU AWAY FOR SCHOOL +audio/RES0033.mp3[592.080,597.480] YEAH SO I MEAN RIGHT NOW ITS ALL ONLINE SO IM LIVING AT HOME WITH MY MOM +audio/RES0033.mp3[597.480,601.640] OK UH AND DO YOU DRINK ALCOHOL +audio/RES0033.mp3[601.640,616.680] UH NOT OFTEN LIKE JUST WHEN IM AT LIKE PARTIES AND LIKE WHEN I WAS AT SCHOOL JUST MAYBE SOMETIMES ON THE WEEKENDS BUT NOTHING REGULARLY +audio/RES0033.mp3[616.680,625.040] OK UM AND HAVE YOU TRIED ANY OTHER DRUGS BESIDES MARIJUANA +audio/RES0033.mp3[625.040,640.360] UM JUST JUST MARIJUANA I I TRY SOMETIMES AT PARTIES BUT NOTHING LIKE REGULAR UH OTHER THAN THAT LIKE JUST SOMETIMES IVE BEEN OFFERED LIKE SOME PILLS AT PARTIES BUT OTHER THAN THAT NOTHING ELSE +audio/RES0033.mp3[640.360,644.000] SO IT SOUNDS OCCASIONAL +audio/RES0033.mp3[644.000,651.000] OK NOTHING LIKE IT IM NOT ADDICTED OR ANYTHING TO ANY DRUGS +audio/RES0033.mp3[651.000,653.880] OK DO YOU SMOKE CIGARETTES +audio/RES0033.mp3[653.880,661.240] I DONT SMOKE CIGARETTES BUT I DO HAVE MARIJUANA ONCE OR TWICE IN A WEEK +audio/RES0033.mp3[661.240,670.480] OK AND AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AND EXERCISE +audio/RES0033.mp3[670.480,706.520] I FEEL LIKE IM FAIRLY ACTIVE EVEN THOUGH LIKE I COUGH WHEN IM EXERCISING I STILL PLAY SOCCER WITH MY FRIENDS AND ON A TEAM OTHER THAN THAT I LIKE TO GO BIKING UM YEAH I FEEL LIKE IM STILL PRETTY ACTIVE BUT IT IS GETTING MORE DIFFICULT WITH MY COUGH OTHER THAN THAT MY DIET HAS BEEN PRETTY PRETTY GOOD LIKE AT HOME ESPECIALLY IM GETTING THREE MEALS A DAY AND HAVING A BALANCED DIET SO YEAH I FEEL IM DOING WELL THERE +audio/RES0033.mp3[706.520,707.440] OK GREAT +audio/RES0017.mp3[0.000,9.120] IVE BEEN HAVING THIS COUGH FOR AROUND I WOULD SAY HALF A YEAR NOW AND I JUST CANT SEEM TO GET RID OF IT +audio/RES0017.mp3[9.120,12.680] OK AND DOES THIS COUGH HAVE ANY PHLEGM THAT YOU BRING UP +audio/RES0017.mp3[12.680,20.480] NO ITS COMPLETELY DRY I CANT BRING ANYTHING UP +audio/RES0017.mp3[20.480,28.240] OK AND SINCE THE COUGH STARTED HAS IT BEEN GETTING GETTING WORSE STAYING THE SAME GETTING ANY BETTER +audio/RES0017.mp3[28.240,36.600] IT WAS PRETTY MUCH THE SAME FOR I WOULD SAY LIKE THREE OR FOUR MONTHS BUT THEN IVE NOTICED IT GETTING MORE FREQUENT OVER THE LAST COUPLE OF MONTHS +audio/RES0017.mp3[36.600,50.360] OK AND SIX MONTHS AGO CAN YOU THINK OF ANYTHING THAT THAT CHANGED INCLUDING LIKE TRAVELING ANYWHERE OR CHANGING IN IN YOUR WORK OR OR LIVING ENVIRONMENT +audio/RES0017.mp3[50.360,60.600] UH NOT REALLY UH IM LIKE ALMOST 75 YEARS OLD NOW SO I JUST THOUGHT IT WAS PROBABLY JUST DUE TO MY AGE +audio/RES0017.mp3[60.600,67.680] OK UH HAVE YOU BEEN HAVE YOU BROUGHT UP ANY BLOOD WITH THE COUGH +audio/RES0017.mp3[67.680,70.360] NO IVE NEVER BROUGHT UP ANY BLOOD +audio/RES0017.mp3[70.360,75.160] OK AND HAVE YOU HAVE HAD ANY SHORTNESS OF BREATH +audio/RES0017.mp3[75.160,88.960] NOT THAT IVE NOTICED BUT I DO FIND THAT I GET A LITTLE BIT MORE TIRED WITH EXERCISE THAN I USED TO BUT NOT REALLY ANY SHORTNESS OF BREATH +audio/RES0017.mp3[88.960,95.920] OK UM AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0017.mp3[95.920,110.520] I DONT KNOW IF THIS IS JUST DUE TO OLD AGE BUT LIKE IVE NOTICED SOME JOINT PAIN AS WELL LIKE IN MY HANDS AND FEET I JUST ASSUMED THAT WAS CAUSE IM GETTING OLD +audio/RES0017.mp3[110.520,120.520] OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE COUGH WORSE +audio/RES0017.mp3[120.520,136.080] SOMETIMES WHEN IM EXERCISING A LOT MORE BUT NOT NOT TOO MUCH ITS KIND OF JUST ALWAYS BEEN THERE HASNT REALLY CHANGED TOO MUCH BUT ITS GOTTEN MORE FREQUENT OVER THE LAST COUPLE OF MONTHS +audio/RES0017.mp3[136.080,141.440] OK AND ANYTHING THATS MADE THE COUGH BETTER THAT YOUVE TRIED +audio/RES0017.mp3[141.440,159.040] NO NOTHING IVE TRIED LIKE EVERYTHING IVE TRIED TYLENOL COLD IVE TRIED OTHER HOME REMEDIES BUT LIKE LIKE STEAMING AND EVERYTHING LIKE THAT BUT NOTHING HAS REALLY HELPED +audio/RES0017.mp3[159.040,166.120] OK AND IS THE COUGH WORSE IN THE MORNING THROUGHOUT THE DAY OR OR AT NIGHT +audio/RES0017.mp3[166.120,172.320] ITS PRETTY MUCH ALWAYS THERE IT DOESNT REALLY CHANGE WITH ANY TIME OF THE DAY +audio/RES0017.mp3[172.320,176.280] OK AND IS THE COUGH INTERFERING WITH SLEEP +audio/RES0017.mp3[176.280,181.440] YEAH I SOMETIMES I I DO HAVE COUGHING FITS AT NIGHT THAT WAKE ME UP I DO HAVE +audio/RES0017.mp3[181.440,187.400] DISRUPTED SLEEP OVER THE LAST FEW MONTHS +audio/RES0017.mp3[187.400,194.880] OK UM AND YOU MENTIONED SOME JOINT PAINS AS WELL AND THEN WHEN DID THAT THOSE START +audio/RES0017.mp3[194.880,202.040] I WOULD SAY OVER THE LAST YEAR IS WHEN I STARTED NOTICING IT A LOT MORE THAN BEFORE +audio/RES0017.mp3[202.040,211.240] OK HAVE YOU BEEN HAVING JOINT STIFFNESS OR OR MUSCLE STIFFNESS EARLY IN THE MORNING +audio/RES0017.mp3[211.240,218.840] IT DOES GET A LITTLE BIT MORE STIFF IN THE MORNING BUT ITS KIND OF JUST THERE THROUGHOUT THE DAY +audio/RES0017.mp3[218.840,225.800] OK HAVE YOU NOTICED ANY RED HOT OR OR KIND OF SWOLLEN JOINTS +audio/RES0017.mp3[225.800,229.200] NO NOTHING LIKE THAT +audio/RES0017.mp3[229.200,235.560] OK ANY INJURIES TO ANY OF YOUR LIMBS OR OR JOINTS THAT COULD EXPLAIN SOME OF THE PAINS +audio/RES0017.mp3[237.120,241.120] NO NOT THAT I KNOW OF NOPE +audio/RES0017.mp3[241.120,248.320] OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING A LOT OF FATIGUE +audio/RES0017.mp3[248.320,263.440] YEAH I DEFINITELY HAVE BEEN MORE TIRED I CANT REALLY EVEN GO OUTSIDE FOR A WALK SOMETIMES OR I GET REALLY TIRED WORKING IN THE GARDEN SO ITS BEEN TOUGH +audio/RES0017.mp3[263.440,270.760] OK AND WHEN DID THAT WHEN DID YOU NOTICE THAT CHANGE AND AND HOW WERE YOU DIFFERENT BEFORE +audio/RES0017.mp3[270.760,294.880] LIKE BEFORE LIKE BEFORE SIX MONTHS AGO I REMEMBER I USED TO BE ABLE TO GO FOR LONG WALKS AROUND THE BLOCK THEN WHEN I WAS GARDENING I CAN GO ON FOR HOURS BUT NOW IM PRETTY ITS PRETTY LIMITED TO LIKE MAYBE 1520 MINUTES AND THEN I HAVE TO GO BACK INTO THE HOUSE +audio/RES0017.mp3[294.880,300.560] I SEE OK SO PRETTY BIG DIFFERENCE OVER THE LAST SIX MONTHS TO A YEAR FOR YOU +audio/RES0017.mp3[300.880,306.080] HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +audio/RES0017.mp3[306.080,310.000] NOT REALLY NOT THAT I KNOW OF +audio/RES0017.mp3[310.000,317.000] OK HOW ABOUT UH EXCESSIVE SWEATING AT NIGHT +audio/RES0017.mp3[318.000,320.400] ALRIGHT AND HOW HAS YOUR APPETITE BEEN +audio/RES0017.mp3[320.400,324.000] MY APPETITE HAS BEEN AROUND THE SAME NO CHANGES THERE +audio/RES0017.mp3[324.000,328.160] OK HAVE YOU EXPERIENCED ANY WEIGHT LOSS +audio/RES0017.mp3[328.160,336.720] IVE ACTUALLY I THINK LOST A COUPLE POUNDS BUT NOT NOT TOO MUCH +audio/RES0017.mp3[336.720,341.520] OK WOULD THAT BE OVER THE LAST SIX MONTHS OR SO +audio/RES0017.mp3[341.520,347.360] YEAH AROUND THE LAST I WOULD SAY THREE TO FOUR MONTHS +audio/RES0017.mp3[347.360,358.800] OK UH HAVE YOU NOTICED ANY SWOLLEN GLANDS ANYWHERE LIKE IN YOUR NECK OR ANYTHING LIKE THAT YOU MIGHT FEEL LIKE A LUMP +audio/RES0017.mp3[358.800,361.840] NO NOT REALLY +audio/RES0017.mp3[361.840,366.720] OK HAVE YOU HAD A SORE THROAT OR OR RUNNY NOSE +audio/RES0017.mp3[366.720,374.240] NO I HAVENT HAD A COLD FOR MORE THAN TWO OR THREE YEARS I THINK +audio/RES0017.mp3[374.240,378.160] OK ABOUT A LOSS OF SMELL +audio/RES0017.mp3[379.320,381.640] LOSS OF TASTE +audio/RES0017.mp3[382.880,388.320] ALRIGHT HAVE YOU BEEN EXPERIENCING ANY CHEST PAINS +audio/RES0017.mp3[388.320,396.520] WHEN THE COUGHING GETS PRETTY BAD LIKE I GET SOME STRAIN IN MY CHEST BUT NOTHING OTHER THAN THAT +audio/RES0017.mp3[396.520,401.400] ALRIGHT AND ANY HEART RACING +audio/RES0017.mp3[403.440,406.680] ALRIGHT AND HOW ABOUT WHEEZING +audio/RES0017.mp3[406.680,408.640] NO NOT REALLY +audio/RES0017.mp3[408.640,419.320] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS LIKE IN YOUR HANDS AND YOUR FEET OR ANKLES +audio/RES0017.mp3[419.320,422.160] NO NOT REALLY +audio/RES0017.mp3[422.160,434.200] ALRIGHT AT NIGHT HAVE YOU HAD ANY PERIODS WHERE YOU WOKE UP EXTREMELY SHORT OF BREATH AND YOU HAD TO SIT ON THE EDGE OF THE BED WITH YOUR FEET OVER +audio/RES0017.mp3[434.200,437.840] NO NOT THAT I REMEMBER +audio/RES0017.mp3[437.840,443.880] OK AND HOW MANY PILLOWS DO YOU SLEEP WITH +audio/RES0017.mp3[443.880,447.360] JUST ONE SAME AS BEFORE +audio/RES0017.mp3[447.360,450.920] OK UM AND ANY ABDOMINAL PAIN +audio/RES0017.mp3[450.920,457.400] NO NO PAIN IS JUST IN MY JOINTS AND SOMETIMES IN MY MUSCLES BUT OTHER THAN THAT NO +audio/RES0017.mp3[457.400,462.360] OK ANY URINARY PROBLEMS LIKE PAIN OR OR GOING REALLY OFTEN +audio/RES0017.mp3[463.480,470.000] ALRIGHT AND THEN ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION +audio/RES0017.mp3[470.000,472.160] NO NOT THAT I KNOW OF +audio/RES0017.mp3[472.160,476.680] OK AND HAVE YOU NOTICED ANY SKIN RASHES +audio/RES0017.mp3[476.680,480.640] UH NOPE +audio/RES0017.mp3[480.640,486.600] OK AND UH ARE THERE ANY JOINTS IN PARTICULAR THAT ARE MOST AFFECTED +audio/RES0017.mp3[486.600,500.320] I WOULD SAY LIKE MY LEGS AND ARMS ITS ITS PRETTY MUCH LOT OF THE JOINTS NOT REALLY AFFECTING MY HIP BUT LIKE EVERYTHING ELSE SEEMS A BIT SORE +audio/RES0017.mp3[500.320,507.360] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0017.mp3[507.360,510.160] NO NEVER IVE BEEN PRETTY FORTUNATE +audio/RES0017.mp3[510.160,515.640] OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIPTION OR OVER THE COUNTER +audio/RES0017.mp3[515.640,518.720] NO JUST VITAMINS BUT NOTHING ELSE +audio/RES0017.mp3[518.720,521.560] ALRIGHT DO YOU HAVE ANY ALLERGIES +audio/RES0017.mp3[521.560,524.200] NO NOT THAT I KNOW OF +audio/RES0017.mp3[524.200,532.560] HAVE YOU BEEN SO YOU SAID YOUVE BEEN PRETTY HEALTHY BUT HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON RECENTLY +audio/RES0017.mp3[533.600,537.200] OK UM AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0017.mp3[537.200,545.120] YEAH I I GOT A SHINGLES VACCINE THE ONE FOR PNEUMONIA AS WELL +audio/RES0017.mp3[545.120,548.680] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0017.mp3[548.680,553.800] NO IVE BEEN AT HOME +audio/RES0017.mp3[553.800,569.160] OK UM AND IN THE FAMILY HAVE YOU HEARD OF ANYTHING LIKE THIS HAPPENING IN THE FAMILY SORT OF WAY ONSET OF THIS KIND OF SHORTNESS OF BREATH AND COUGH THAT YOUVE BEEN EXPERIENCING +audio/RES0017.mp3[569.160,585.120] NOT REALLY I I DONT REALLY HAVE SHORTNESS OF BREATH LIKE ITS ITS LIKE A DRY COUGH SOMETIMES I DO FIND MYSELF BREATHING MORE SHALLOW YEAH MOSTLY ITS JUST A DRY COUGH THATS BEEN GOING ON +audio/RES0017.mp3[585.120,587.440] OK AND MORE OF THE FATIGUE +audio/RES0017.mp3[588.480,599.200] OK AND ANYBODY IN THE FAMILY HAVE LIKE AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS OR OR LUPUS +audio/RES0017.mp3[599.200,618.360] UH I DONT REALLY I CANT REALLY THINK OF NOTHING MY MOM AND DAD WERE COMPLETELY HEALTHY SO I KNOW AND I DONT HAVE ANY SIBLINGS SO YEAH NOT NOTHING THAT I KNOW OF +audio/RES0017.mp3[618.360,625.480] OK UH ANY CANCERS IN THE FAMILY LIKE COLON CANCER OR ANYTHING LIKE THAT +audio/RES0017.mp3[625.480,629.000] NO NO CANCERS +audio/RES0017.mp3[629.000,635.840] OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0017.mp3[635.840,646.360] YEAH SO RIGHT NOW I LIVE ALONE IN A SMALL TOWNHOUSE AND YEAH THATS I HAVE A PET DOG BUT THATS THATS ABOUT IT +audio/RES0017.mp3[646.360,654.120] OK UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY +audio/RES0017.mp3[654.120,668.080] SO IM RETIRED BUT GETTING A PRETTY GOOD PENSION AS WELL AS FOR MY A HUSBANDS PENSION AS WELL BUT HE UNFORTUNATELY PASSED AWAY A COUPLE YEARS AGO +audio/RES0017.mp3[668.080,685.600] IM SORRY TO HEAR THAT WHAT DID YOU SAY YOU RETIRED WHAT DID YOU DO FOR WORK PREVIOUSLY DID YOU HAVE ANY EXPOSURES TO CHEMICALS OR ASBESTOS PRODUCTS WHILE WHILE AT WORK +audio/RES0017.mp3[685.600,702.280] NOT THAT I REMEMBER NO IT WAS IT WAS A PRETTY PRETTY MUCH LIKE A DESK JOB I WOULD SAY +audio/RES0017.mp3[702.280,710.120] OK UM SO NO REASONS THAT YOU WERE VISITING FARMS AND LIKE BEING AROUND BIRDS OR ANYTHING LIKE THAT +audio/RES0017.mp3[710.120,723.600] UM NOT REALLY BUT I I DO THINK LIKE THE OLD BUILDING THAT WE LIVED IN MIGHT HAVE HAD ASBESTOS DOES THAT DOES THAT LIKE COUNT AT ALL +audio/RES0017.mp3[723.600,732.280] LIKE A IT COULD BE IMPORTANT UH BECAUSE UH WELL HOW LONG HOW LONG DID YOU LIVE THERE FOR +audio/RES0017.mp3[732.280,733.840] I WOULD SAY ALMOST 20 YEARS +audio/RES0017.mp3[733.840,772.880] OK SO UM YES THAT DEFINITELY WOULD BE IS IS IMPORTANT FOR THE HISTORY TODAY BECAUSE UNFORTUNATELY LONG TERM EXPOSURE TO ASBESTOS WHEN BREATHING IT IN CAN CAUSE SOME OF THE SYMPTOMS THAT YOUVE BEEN DESCRIBING ALONG WITH COUGH AND UH RESPIRATORY SYMPTOMS SO ITLL BE SOMETHING THAT WELL BE SURE TO INVESTIGATE TODAY OK BUT I JUST HAD A COUPLE MORE QUESTIONS FIRST DO YOU SMOKE CIGARETTES +audio/RES0017.mp3[772.880,783.240] I QUIT LONG TIME AGO MORE THAN LIKE 10 YEARS AGO BUT I USED TO SMOKE LIKE 5 TO 10 CIGARETTES FOR AROUND 20 YEARS +audio/RES0017.mp3[783.240,785.720] OK AND DO YOU SMOKE CANNABIS +audio/RES0017.mp3[787.520,792.200] ALRIGHT DO YOU DRINK ALCOHOL +audio/RES0017.mp3[792.200,794.200] NO NOT ANYMORE +audio/RES0017.mp3[794.200,797.200] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0017.mp3[799.040,802.320] ALRIGHT AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0017.mp3[804.320,808.280] ALRIGHT AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0017.mp3[808.640,820.520] OK SO THOSE ARE THE QUESTIONS THAT I WANTED TO GO OVER TO MAKE SURE I ASKED ON HISTORY WAS THERE ANYTHING THAT ELSE YOU WANTED TO TELL ME +audio/RES0017.mp3[820.520,822.440] NO I THINK THATS ALL +audio/RES0017.mp3[822.440,872.760] OK SO NEXT WELL DO YOUR PHYSICAL EXAM AND ORDER SOME INVESTIGATIONS BUT CURRENTLY THINKING THAT IT COULD BE RELATED TO ASBESTOS EXPOSURE AS WELL AS UM SOMETHING CALLED WELL IT COULD CAUSE PULMONARY FIBROSIS AND THEN ALSO THE JOINT PAINS THAT YOUVE BEEN EXPERIENCING MIGHT BE ANOTHER SYMPTOM THAT IS SUGGESTIVE OF A CONNECTIVE TISSUE DISEASE AND IT DOESNT SOUND LIKE YOU HAVE A FAMILY HISTORY OF THOSE BUT WE WILL DO SOME LAB WORK AND INVESTIGATIONS FOR FOR THOSE INCLUDING A CHEST XRAY AND A CHEST CT +audio/RES0017.mp3[872.760,880.720] SOUNDS GOOD +audio/RES0103.mp3[0.000,1.720] WHAT BRINGS YOU IN HERE TODAY +audio/RES0103.mp3[1.720,22.120] YEAH IM JUST BRINGING IN MY OLD DAUGHTER WHOS 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 +audio/RES0103.mp3[22.120,25.720] OK AND WHAT SYMPTOMS STARTED FIRST +audio/RES0103.mp3[25.720,45.520] 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 +audio/RES0103.mp3[45.520,50.680] OK AND THEN THIS WHEN DID THIS SNEEZING START +audio/RES0103.mp3[50.680,57.040] SURELY AFTER THAT PROBABLY MAYBE THE SAME DAY OR OR THE NEXT DAY +audio/RES0103.mp3[57.040,60.560] OK DOES SHE HAVE ANY COUGHING AT ALL +audio/RES0103.mp3[60.560,72.880] 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 ITS A DRY COUGH +audio/RES0103.mp3[72.880,82.960] 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 +audio/RES0103.mp3[82.960,84.400] NO NOTHING LIKE THAT +audio/RES0103.mp3[84.400,91.840] OK SO AND ARE HER SYMPTOMS CONSTANT OR DO THEY COME AND GO +audio/RES0103.mp3[91.840,110.120] THEYVE BEEN PRETTY CONSTANT AND THEYVE 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 +audio/RES0103.mp3[110.120,121.960] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE AT HOME OR AT SCHOOL IF SHES GOING TO SCHOOL VERSUS AT HOME FOR THE PANDEMIC RIGHT NOW BUT ANY ILL CONTACTS AT ALL +audio/RES0103.mp3[121.960,135.840] WELL SHE HAS BEEN GOING TO SCHOOL THERE HASNT BEEN ANY COVID CASES WHERE SHE GOES AND THEYVE BEEN CAUTIOUS BUT SHE IS GOING TO SCHOOL RIGHT NOW +audio/RES0103.mp3[135.840,142.880] OK ANY ANYTHING THAT YOUVE TRIED THAT HAS HELPED HER LIKE ANY OVER THE COUNTER COLD MEDICATIONS +audio/RES0103.mp3[142.880,145.120] UHM UH NO +audio/RES0103.mp3[145.120,159.480] OK ANY OTHER SYMPTOMS LIKE FEVERS CHILLS SHORTNESS OF BREATH UM ANYTHING LIKE THAT +audio/RES0103.mp3[159.480,171.400] UH SHE DID FEEL A BIT WARM TO TOUCH AND HAS LOOKED A BIT FLUSHED IN HER FACE JUST DOESNT LOOK LIKE HERSELF +audio/RES0103.mp3[171.400,179.560] DOES SHE BEHAVE LIKE HERSELF LIKE IS SHE MORE TIRED AT ALL MORE IRRITABLE ANYTHING LIKE THAT +audio/RES0103.mp3[179.560,197.680] YEAH SHES 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 +audio/RES0103.mp3[197.680,201.040] OK ANY RECENT TRAVEL AT ALL +audio/RES0103.mp3[201.040,203.440] NO WEVE BEEN AT HOME +audio/RES0103.mp3[203.440,207.080] ANY HEADACHES NAUSEA OR VOMITING +audio/RES0103.mp3[207.080,211.200] UHM NO +audio/RES0103.mp3[211.200,217.400] OK ANY CHEST PAIN THAT SHES DESCRIBED +audio/RES0103.mp3[217.400,219.240] NO CHEST PAIN +audio/RES0103.mp3[219.240,225.200] OK ANY CHANGES IN HER BOWEL MOVEMENT CONSTIPATION DIARRHEA +audio/RES0103.mp3[225.200,228.800] NO THATS BEEN NORMAL +audio/RES0103.mp3[228.800,232.480] OK ANY URINARY PROBLEMS +audio/RES0103.mp3[232.480,239.240] NO SHE HAD A URINARY TRACT INFECTION WHEN SHE WAS LIKE LITTLE BUT HASNT HAD ANY SINCE +audio/RES0103.mp3[239.240,244.200] OK ANY ISSUES WITH THEIR SLEEP OR APPETITE +audio/RES0103.mp3[244.200,251.720] SHE HAS BEEN A BIT A BIT FUSSY BUT SHES BEEN SLEEPING OK +audio/RES0103.mp3[251.720,256.240] OK UHM HAS SHE LOST ANY WEIGHT RECENTLY +audio/RES0103.mp3[256.240,259.640] NO NO NO SHES BEEN GAINING WEIGHT WELL +audio/RES0103.mp3[259.640,267.560] OK ANY EXPOSURE TO ANY ALLERGENS OR LIKE FUMES DUST ANIMALS +audio/RES0103.mp3[267.560,276.920] NO I CANT THINK OF ANYTHING LIKE THAT WE DONT HAVE ANY PETS AT HOME AND SHES SHES BEEN HASNT BEEN GOING ANYWHERE ELSE +audio/RES0103.mp3[276.920,282.600] OK HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0103.mp3[282.600,291.040] NO SHE JUST SAID AH JUST YEAH HAD A URINARY TRACT INFECTION WHEN SHE WAS YOUNGER AND THATS ABOUT IT +audio/RES0103.mp3[291.040,295.520] OK ANY ALLERGIES TO MEDICATIONS THAT YOU KNOW OF +audio/RES0103.mp3[295.520,298.360] NOT THAT IM AWARE OF +audio/RES0103.mp3[298.360,300.920] IS SHE ON ANY MEDICATIONS +audio/RES0103.mp3[303.920,307.360] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0103.mp3[309.000,317.280] OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANYTHING ELSE +audio/RES0103.mp3[317.280,328.480] UHM I I HAVE HIGH CHOLESTEROL BUT AND AH AND IM TAKING A A MEDICATION FOR IT BUT NO NOTHING ELSE +audio/RES0103.mp3[328.480,334.440] OK DOES HAS SHE LOST A SENSE OF TASTE OR SMELL AT ALL +audio/RES0103.mp3[334.440,341.920] NO SHE HASNT SAID ANY ANYTHING LIKE THAT JUST THE NASAL CONGESTION +audio/RES0103.mp3[341.920,349.080] OK DID YOU FEEL ANY PRESSURE IN AROUND HER FACE AT ALL +audio/RES0103.mp3[349.080,364.000] UH YEAH WELL YEAH I THINK SO SHE DOESNT SAY WELL NO PAIN BUT DOES FEEL LIKE A BIT OF PRESSURE WITH THE CONGESTION I THINK +audio/RES0103.mp3[364.000,373.880] OK UHM ANY ISSUES DEVELOPMENTALLY AS SHE WAS GROWING UP LIKE TO MEET ARE ALL OUR MILESTONES AT AN APPROPRIATE AGE +audio/RES0103.mp3[373.880,390.880] 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 +audio/RES0103.mp3[390.880,393.880] SO NO NO ISSUES OR NO COMPLAINTS AT ALL +audio/RES0103.mp3[393.880,399.640] NO THERE HASNT BEEN ANY CONCERNS I FEEL THAT SHES BEEN DEVELOPING NORMALLY +audio/RES0103.mp3[399.640,403.120] OK IN OUR IMMUNIZATIONS UP TO DATE +audio/RES0103.mp3[403.120,405.680] THEY ARE YEAH +audio/RES0103.mp3[405.680,413.640] OK AND WERE THERE ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER OR AFTER THE PREGNANCY +audio/RES0103.mp3[413.640,429.040] 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 +audio/RES0103.mp3[429.040,431.960] OK AND CURRENTLY WHO DOES SHE LIVE WITH +audio/RES0103.mp3[431.960,436.320] SO MYSELF AND MY AND MY HUSBAND +audio/RES0103.mp3[436.320,442.160] OK AND DOES ANYONE SMOKE IN THE HOUSE +audio/RES0103.mp3[442.160,455.640] UHM MY HUSBAND DOES SMOKE BUT UH I MEAN HE SMOKES OUTSIDE USUALLY AND AND HE SMOKES I DONT KNOW MAYBE A HALF A PACK A DAY +audio/RES0103.mp3[455.640,465.480] AND I THINK THATS ALL ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0103.mp3[465.480,467.320] NOTHING ELSE RIGHT NOW +audio/RES0103.mp3[467.320,485.040] OK SO YEAH BASED ON HER SYMPTOMS SHE DOES SEEM TO HAVE SOME JUST A COLD LIKE SYMPTOMS VIRAL SYMPTOMS AND ITS BEEN ITS BEEN YOU SAID THREE OR FOUR DAYS IN TOTAL RIGHT +audio/RES0103.mp3[485.040,486.600] YEAH YEAH +audio/RES0103.mp3[486.600,542.720] YEAH AND SO MOST LIKELY ITS JUST CAUSED BY A VIRAL INFECTION LIKE COMMON COLD PERHAPS IT SHE DOESNT 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 WELL DO THE PHYSICAL EXAMINATION AND GO FROM THERE +audio/RES0103.mp3[542.720,544.440] ALRIGHT THANK YOU +audio/RES0103.mp3[544.440,546.360] HEY YOURE WELCOME TAKE CARE +audio/RES0203.mp3[0.000,3.440] DO YOU WANT TO TELL ME WHAT BROUGHT YOU IN TODAY +audio/RES0203.mp3[3.440,25.720] YEAH SO FOR THE PAST TWO DAYS I IVE IVE NOTICED THAT I CANT SMELL THINGS AS WELL AS I USED TO BE ABLE TO SMELL THEM AND I SEEM TO HAVE LOST MY SENSE OF TASTE AS WELL AND I HAVE THIS MILD DRY COUGH IM JUST WORRIED ITS COVID +audio/RES0203.mp3[25.720,29.200] OK YOU SAID FOR A COUPLE DAYS +audio/RES0203.mp3[29.200,33.520] YES FOR TWO DAYS +audio/RES0203.mp3[33.520,38.160] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0203.mp3[38.160,42.560] NO NO NOTHING LIKE THIS +audio/RES0203.mp3[42.560,54.960] OK WHEN YOU SAY YOU FEEL LIKE YOUVE LOST SENSE OF TASTE AND SMELL IS IT TOTALLY GONE OR DO YOU TASTE A LITTLE BIT OR HOW HOW IS THAT WORKING FOR YOU +audio/RES0203.mp3[54.960,76.800] THE SMELL ISNT TOTALLY GONE I CAN STILL SMELL SOMETHING IF IT SMELLS REALLY REALLY BAD AND AND THEN AND THEN I CAN TASTE REALLY REALLY SALTY FOODS BUT I CAN TASTE NORMAL THINGS LIKE I CANT TASTE OF BANANA +audio/RES0203.mp3[76.800,82.160] OK IS THAT BEEN PRETTY CONSISTENT THROUGHOUT THE LAST COUPLE OF DAYS OR IS IT ON AND OFF +audio/RES0203.mp3[82.160,85.600] ITS BEEN PRETTY CONSISTENT YEAH +audio/RES0203.mp3[85.600,91.800] OK AND DID THIS DRY COUGH THAT START AT THE SAME TIME +audio/RES0203.mp3[93.480,109.280] AND WHEN YOU SAY SORRY YOU SAID MILD COUGH AND I MY NEXT QUESTION WAS DO YOU FEEL LIKE ITS A DRY COUGH OR YOU PRODUCING ANY SPUTUM ANY BLOOD OR IS IT TO NOT NOT BRINGING UP ANYTHING +audio/RES0203.mp3[109.280,111.440] ITS DRY +audio/RES0203.mp3[111.440,117.120] OK HAS THAT GOTTEN WORSE OVER THE LAST COUPLE OF DAYS +audio/RES0203.mp3[117.120,123.960] THE DRY COUGH UM ITS BEEN PRETTY CONSISTENT AS WELL +audio/RES0203.mp3[123.960,132.360] OK IS THERE HAVE YOU DONE ANYTHING TO TRY TO MAKE IT BETTER HAVE YOU TAKEN ANY OVER THE COUNTER MEDICATIONS OR +audio/RES0203.mp3[132.360,138.320] NO I HAVENT TRIED ANYTHING +audio/RES0203.mp3[138.320,145.160] OK OK HAVE YOU HAD IN ADDITION TO THESE SYMPTOMS HAVE YOU HAD ANY FEVERS +audio/RES0203.mp3[145.160,147.760] FEVERS NO FEVERS +audio/RES0203.mp3[147.760,150.240] OK ANY DIFFICULTY BREATHING +audio/RES0203.mp3[152.000,155.440] OK ANY HEADACHES +audio/RES0203.mp3[155.440,158.280] UM NO NO HEADACHES +audio/RES0203.mp3[158.280,161.120] OK ANY SORE THROAT +audio/RES0203.mp3[162.920,165.960] OK ANY CHILLS OR NIGHT SWEATS +audio/RES0203.mp3[167.840,173.080] OK ANY MUSCLE ACHE OR GENERAL WEAKNESS +audio/RES0203.mp3[173.080,176.400] UH NO +audio/RES0203.mp3[176.400,186.600] OK SO GENERALLY IT SEEMS LIKE YOURE PRETTY WELL OTHER THAN THIS LOSS OF TASTE SLASH SMELL AND THE DRY COUGH THAT CORRECT +audio/RES0203.mp3[188.640,194.040] OK AND THEN RECENTLY HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0203.mp3[194.040,199.320] UM NO NOT THAT I CAN REMEMBER OR YEAH NOT THAT I CAN REMEMBER +audio/RES0203.mp3[199.320,202.040] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0203.mp3[202.040,221.400] UM I WENT HIKING WITH MY PARTNER TWO WEEKS AGO I GUESS THERE WERE SOME PEOPLE WHO KIND OF BRUSHED BY US BUT OTHER THAN THAT I DONT SEE WHERE ELSE I COULD HAVE GOTTEN THIS FROM +audio/RES0203.mp3[221.400,225.320] OK WAS THAT HIKING SOMEWHERE CLOSE BY +audio/RES0203.mp3[225.320,232.200] YEAH IT WAS LIKE HALF AN HOUR FROM WHERE WE ARE +audio/RES0203.mp3[232.200,235.560] OK ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0203.mp3[237.200,253.680] OK AND CAN YOU THINK OF ANY FOR THIS DRY COUGH JUST A CIRCLE BACK TO THAT CAN YOU THINK OF ANYTHING THAT TRIGGERS IT ITS CALLED THE COLD OR BEING AROUND CERTAIN THINGS LIKE CATS OR DOGS OR ANY OTHER ENVIRONMENTAL THINGS +audio/RES0203.mp3[257.160,264.760] OK HAVE YOU HAD ANY CHEST PAIN THATS THE OTHER THING IM NOT SURE IF I ASKED YOU +audio/RES0203.mp3[264.760,268.560] NO NO CHEST PAIN +audio/RES0203.mp3[268.560,277.880] OK AND IN TERMS OF YOUR GENERAL HEALTH DO YOU DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU LIVE WITH +audio/RES0203.mp3[277.880,279.600] UM NO NO +audio/RES0203.mp3[279.600,284.640] DO YOU TAKE ANY MEDICATIONS +audio/RES0203.mp3[286.320,293.200] OK HAVE YOU EVER HAD ANY SURGERY OR BEEN HOSPITALIZED FOR ANOTHER REASON +audio/RES0203.mp3[293.200,293.640] UM NO +audio/RES0203.mp3[293.640,296.280] DO YOU HAVE ANY ALLERGIES +audio/RES0203.mp3[296.280,299.040] NO ALLERGIES +audio/RES0203.mp3[299.040,305.560] DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS CANCERS OR HEART PROBLEMS +audio/RES0203.mp3[305.560,308.520] NO NOTHING LIKE THAT +audio/RES0203.mp3[308.520,317.080] OK AND JUST IN TERMS OF FREE LIFESTYLE SO DO YOU LIVE WITH FAMILY +audio/RES0203.mp3[317.080,317.880] UM NO +audio/RES0203.mp3[317.880,324.600] OK DO YOU READ ALONG WITH A PARTNER OR ROOMMATE +audio/RES0203.mp3[324.600,332.400] I LIVE WITH MY PARENTS AND MY YOUNGER SIBLING +audio/RES0203.mp3[332.400,338.040] OK AND IS THAT IN TOWN HERE +audio/RES0203.mp3[338.040,338.880] YES YEAH +audio/RES0203.mp3[338.880,347.960] OK AND IN GENERAL DO YOU EAT A HEALTHY DIET DO YOU EXERCISE +audio/RES0203.mp3[347.960,352.760] YEAH I THINK SO +audio/RES0203.mp3[352.760,355.240] DO YOU SMOKE +audio/RES0203.mp3[355.240,357.000] UH NO +audio/RES0203.mp3[357.000,360.360] OK DO YOU DRINK ALCOHOL +audio/RES0203.mp3[360.360,372.200] UH I I HAVE DRANK ALCOHOL BEFORE BUT NOT NOT REGULARLY +audio/RES0203.mp3[372.200,375.040] OK UM AND I DO USE MARIJUANA +audio/RES0203.mp3[375.040,381.000] UM I HAVE TAKEN EDIBLES BEFORE BUT ALSO NOT VERY REGULARLY +audio/RES0203.mp3[381.000,383.160] OK ANY OTHER DRUGS +audio/RES0203.mp3[387.120,391.880] OK AND ARE YOU CURRENTLY IN HIGH SCHOOL +audio/RES0203.mp3[391.880,396.560] UH YES I AM IN MY LAST YEAR OF HIGH SCHOOL +audio/RES0203.mp3[396.560,397.960] OK AND HOW IS THAT GOING +audio/RES0203.mp3[397.960,405.000] PRETTY GOOD YEAH WERE DOING THINGS ONLINE NOW +audio/RES0203.mp3[405.000,409.920] SO YOU HAVENT REALLY BEEN OUT OF THE HOUSE +audio/RES0203.mp3[414.400,442.960] OK OK UHM I THINK THATS ALL MY QUESTIONS FOR NOW UH I DEFINITELY LIKE TO GET YOU A COVID TEST JUST BECAUSE YOUR SYMPTOMS ARE CONSISTENT WITH SOME COMMON COVID SYMPTOMS SO BASICALLY THAT MEANS THAT WE WOULD DO A SWAB IT MIGHT NOT COME BACK FOR A DAY OR TWO YOU DEFINITELY HAVE TO SELF ISOLATE BETWEEN NOW AND WHEN YOU GET THE RESULTS BACK POTENTIALLY EVEN IF ITS NEGATIVE LONGER IF YOURE STILL HAVING SYMPTOMS +audio/RES0203.mp3[443.400,467.160] OTHERWISE THERE PROBABLY THERE MIGHT BE A COUPLE OTHER TESTS WE WANT TO DO WE MIGHT HAVE MORE QUESTIONS WHEN WE COME BACK WELL GO OVER THIS WITH THE DOCTOR THAT IM WORKING WITH TODAY BUT JUST WANTED TO GIVE YOU A HEADS UP OF WHAT TO EXPECT NEXT DID YOU HAVE ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT OR ANY QUESTIONS +audio/RES0203.mp3[467.160,470.000] NO UH THANK YOU SO MUCH +audio/RES0203.mp3[470.000,473.440] OK WELL THANKS FOR COMING IN TODAY WILL DEFINITELY GET YOU TAKEN CARE OF SHORTLY +audio/RES0203.mp3[473.440,475.000] THANK YOU +audio/RES0203.mp3[475.000,477.000] K THANKS +audio/DER0001.mp3[0.000,14.400] HEY DOC IM A 45 YEAR OLD MAN COMING IN IM WORRIED THERES A LITTLE OLD RASH ON MY LEG THAT IM GETTING NERVOUS ABOUT +audio/DER0001.mp3[14.400,18.800] HI SO YOU I UNDERSTAND YOU HAVE A RASH ON YOUR LEG +audio/DER0001.mp3[18.800,27.600] I DONT REALLY KNOW WHAT I WOULD CALL IT THATS WHAT I TOLD THE NURSE WHEN I CAME IN BUT IT MORE HURTS THAN ANYTHING +audio/DER0001.mp3[27.600,31.200] OK UH HOW LONG IS THIS BEEN GOING ON FOR +audio/DER0001.mp3[31.200,44.920] AH ITS BEEN ITS BEEN LOOKING WEIRD FOR ABOUT A WEEK BUT ONLY YES IT STARTED HURTING YESTERDAY AND STARTED LOOKING STRANGE AND I JUST WANTED TO COME IN TO GET IT CHECKED OUT +audio/DER0001.mp3[44.920,49.240] OK WHEN YOU SAY ITS LOOKING STRANGE CAN YOU TELL ME WHAT YOU MEAN BY THAT +audio/DER0001.mp3[49.240,56.280] SWOLLEN IT LOOKS BIGGER THAN IT DID BEFORE AND MEANER IF THAT MAKES SENSE +audio/DER0001.mp3[56.280,59.560] SWOLLEN OK IS IT RED +audio/DER0001.mp3[59.560,77.480] YEAH ITS RED ITS TURNING MORE RED KIND OF IN THE AREA AROUND IT IVE GOT THESE I GOT THESE SCABS IVE GOT DIABETES AND IM NOT EXACTLY THE BEST WITH IT AND SCRATCHING AT IT AND NORMALLY ITS NOT THAT BAD BUT THIS IS JUST STRANGE LOOKING AND THERES NO OTHER WORD FOR IT +audio/DER0001.mp3[77.480,85.920] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE I GUESS YOU KINDA JUST SAID THAT YOU DIDNT BUT ILL JUST DOUBLE CHECK +audio/DER0001.mp3[85.920,105.240] NO NO WELL IVE HAD I HAVE OCCASIONAL ULCERS AND SOMETIMES I HAVE BANGED MY TOE WHEN IM NOT EXACTLY THE BEST TAKING CARE OF MY FEET BUT THIS IS THE FIRST TIME IVE GOTTEN SOMETHING THAT I DONT KNOW IVE JUST NEVER SEEN IT BEFORE +audio/DER0001.mp3[105.240,107.320] DO YOU HAVE ANY ULCERS RIGHT NOW +audio/DER0001.mp3[107.320,116.160] LET ME SEE I THINK SO WHENS THE LAST TIME I SAW THE FAMILY DOC I THINK IVE GOT AN ULCER ON MY LEFT HEEL BUT I THINK ITS DOING ALRIGHT +audio/DER0001.mp3[116.160,119.280] OK AND WHAT LEG ARE YOU HAVING THIS PROBLEM WITH +audio/DER0001.mp3[119.280,124.880] RIGHT NOW ITS ON MY RIGHT SO MY ANKLE +audio/DER0001.mp3[124.880,128.520] OK HOW HAVE YOUR SUGARS BEEN CONTROLLED RECENTLY +audio/DER0001.mp3[128.520,145.360] I STOPPED MEASURING THEM YEAH LAST TIME I MEASURED IT WAS PRETTY BAD I THINK MY A1C LAST TIME WAS LIKE 9 SOMETHING IM TRYING IM TRYING BETTER TO BE WITH IT ITS HARD WITH WORK YOU KNOW +audio/DER0001.mp3[145.360,157.480] FOR SURE I CAN IMAGINE SO IN GENERAL EVEN IF YOU DONT KNOW YOUR NUMBERS FOR YOUR SUGARS HAVE YOU FELT WORSE THAN USUAL LATELY HAVE YOU FELT RUNDOWN AT ALL +audio/DER0001.mp3[157.480,176.920] YEAH ACTUALLY I HAVE GAINED MORE FEEL HUNGRY SOMETIMES JUST TIRED BUT ITS HARD TO TELL THERES AN AWFUL LOT GOING ON IN MY LIFE RIGHT NOW WITH THE KIDS BUT ITS HARD TO TELL I THINK YEAH I NEED TO SEE MY FAMILY DOC +audio/DER0001.mp3[176.920,197.400] OK DEFINITELY YOU KNOW A GOOD A GOOD IDEA MOVING FORWARD JUST TO MAKE SURE YOU GET ON TOP OF THESE THINGS BUT IM GLAD YOU CAME IN TODAY SO WE CAN YOU KNOW HAVE A BETTER LOOK AT YOU AND MAKE SURE THAT THERES NOTHING SUPER CONCERNING GOING ON SO IN ADDITION TO THIS HAVE YOU HAD ANY OTHER NEW SYMPTOMS +audio/DER0001.mp3[197.400,213.120] SYMPTOMS UM I FEEL A LITTLE HOT ACTUALLY WHEN THE SWELLING STARTED ITS IT ALSO STARTED LEAKING THIS LIKE WHITE STUFF FROM ONE OF THE ONE OF WHAT USED TO BE A SCAB SO NOW LIKE KIND OF AN OPEN WOUND NOW +audio/DER0001.mp3[213.120,217.840] OK OK SO WHEN DID YOU START FEELING HOT +audio/DER0001.mp3[217.840,220.760] HONESTLY LAST 12 HOURS +audio/DER0001.mp3[220.760,222.920] OK YOU TAKE YOUR TEMPERATURE AT ALL +audio/DER0001.mp3[222.920,227.040] NO I DONT HAVE A THERMOMETER AT HOME +audio/DER0001.mp3[227.040,230.120] HAVE YOU HAD ANY DIFFICULTY BREATHING +audio/DER0001.mp3[230.120,232.840] NO NO +audio/DER0001.mp3[232.840,234.800] ANY CHEST PAIN +audio/DER0001.mp3[237.280,245.120] HAVE YOU NOTICED THAT YOUR LEFT SORRY YOUR RIGHT LEG FEELS ANY HOTTER THAN THE LEFT +audio/DER0001.mp3[245.120,249.680] YEAH YEAH IT DOES ACTUALLY CHANGING SOCKS THE OTHER DAY YEAH +audio/DER0001.mp3[249.680,261.800] RIGHT SAY HAVE YOU ALONE HAVE YOU FELT ILL RECENTLY HAVE YOU BEEN SICK AT ALL +audio/DER0001.mp3[261.800,275.480] ASIDE FROM JUST FEELING OVERALL CRUMMY LAST COUPLE WEEKS NO DONT REALLY LESS ENERGY TODAY BUT I WAS UP LAST NIGHT THINKING ABOUT THIS AND YEAH WANTED TO COME IN AND TALK +audio/DER0001.mp3[275.480,284.080] OK YEAH YOU DID THE RIGHT THING IM GLAD THAT YOURE IN TODAY IS THE PAIN ON YOUR LEGS WORSE WHEN YOU TOUCH IT +audio/DER0001.mp3[284.080,293.560] YEAH MAYBE NOT SO MUCH WHEN I TOUCH IT WHEN I WALK WITH IT AND I START FLEXING IT IT IT DOESNT LIKE THAT +audio/DER0001.mp3[293.560,296.280] OK UHM +audio/DER0001.mp3[296.280,299.880] JUST RESTING IT RIGHT NOW IT FEELS FINE +audio/DER0001.mp3[299.880,320.880] ITS OK OK OK WELL IM GOING TO IF I THINK OF ANY MORE QUESTIONS SPECIFICALLY ABOUT YOUR LEG I WILL ILL GO BACK TO IT BUT IM GOING TO JUST MOVE ON AND ASK YOU QUESTIONS ABOUT YOUR OVERALL HEALTH YOUVE ALREADY SHARED WITH ME THAT YOU YOU ARE DIABETIC DO YOU HAVE ANY OTHER CHRONIC CONDITIONS THAT YOU LIVE WITH +audio/DER0001.mp3[320.880,345.480] CHRONIC CONDITION I SEE THE FAMILY DOC ABOUT CHOLESTEROL IM ON A PILL FOR THAT UHM I HAD ASTHMA AS A KID NOT TOO MUCH OF AN ISSUE NOW AND MY BACK IVE HAD BACK PAIN FOR THE LAST 10 YEARS BUT ALL I REALLY TAKE FOR IT IS TYLENOL ADVIL FOR THAT +audio/DER0001.mp3[345.480,353.400] OK OH MY OTHER QUESTION ABOUT YOUR LEG WAS HAVE YOU LOST ANY FEELING IN IT +audio/DER0001.mp3[353.400,373.080] IT KIND OF IS LIKE A DULL ACHE SOMETIMES WHEN I TOUCH IT BUT NO LIKE IN THE AREA THE ANKLE NO BUT DEFINITELY ON MY FEET LIKE OVER THE YEARS IVE NOTICED I FEEL LESS ON IT COMPARED TO WHAT I DID PREVIOUSLY YEAH +audio/DER0001.mp3[373.080,389.280] OK SO SORRY I KIND OF SIDETRACKED THERE SO WE TALKED ABOUT YOUR DIABETES YOU SAID YOU HAVE HIGH CHOLESTEROL SO WHAT MEDICATIONS ARE YOU CURRENTLY TAKING +audio/DER0001.mp3[389.280,413.600] IM TAKING 4 PILLS RIGHT NOW ONE OF THEM IS FOR THE CHOLESTEROL I THINK ITS CALLED ROSUVASTATIN THE OTHER THREE THEYRE ALL DIABETES MEDICATIONS BUT I DONT REMEMBER METFORMIN IS ONE OF THEM SIDASSOMETHING I HAVE A LIST SOMEWHERE ILL GIVE IT TO YOU LATER +audio/DER0001.mp3[413.600,419.080] OK ARE YOU ON INSULIN RIGHT NOW +audio/DER0001.mp3[420.320,424.480] ARE YOU ON ANY OR ANY OF THESE MEDICATIONS NEW TO YOU RECENTLY +audio/DER0001.mp3[424.480,428.920] NO NO BUT HAD THEM FOR ABOUT A YEAR NOW +audio/DER0001.mp3[428.920,433.120] DO YOU HAVE ANY ALLERGIES +audio/DER0001.mp3[433.120,437.040] UM YEAH I DO ACTUALLY PENICILLIN CANT TAKE THAT +audio/DER0001.mp3[437.040,439.080] AND WHAT HAPPENS WHEN YOU TAKE PENICILLIN +audio/DER0001.mp3[439.080,448.960] ITS BEEN A WHILE AS A KID APPARENTLY LIKE MY FACE GOT BLOATED AND I WAS HAVING A HARD TIME BREATHING SO +audio/DER0001.mp3[448.960,460.000] WELL WE WILL MAKE SURE THAT WE DONT GIVE YOU THAT CAN YOU TELL ME IF YOUVE HAD ANY PREVIOUS SURGERY +audio/DER0001.mp3[460.000,480.240] OH YEAH UH WHAT WAS IT I HAD MY SINUSES HAD SOME PRETTY BAD SINUSITIS WHEN I WAS IN MY TEENS AND THEY WENT IN AND KIND OF CARVED A LITTLE SPACE OUT +audio/DER0001.mp3[480.240,485.640] OK OK IS THAT THE ONLY SURGERY THAT YOU HAD +audio/DER0001.mp3[486.920,495.880] AND CAN YOU TELL ME DO YOU HAVE ANY FAMILY HISTORY OF DIABETES SKIN PROBLEMS ANYTHING ELSE THAT STANDS OUT TO YOU +audio/DER0001.mp3[495.880,517.280] YEP MOMS SIDE OF THE FAMILY VERY MUCH EVERYONE HAS DIABETES HIGH BLOOD PRESSURE CHOLESTEROL DADS SIDE OF THE THE FAMILY IS PRETTY HEALTHY I THINK MAYBE ONE OF MY AUNTS HAD LUNG CANCER BUT SHES A PRETTY BIG SMOKER TOO +audio/DER0001.mp3[517.280,525.160] AND THEN JUST ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE SO YOU SAID THAT YOU HAVE CHILDREN +audio/DER0001.mp3[525.160,525.920] YEAH I DO +audio/DER0001.mp3[525.920,531.360] DO YOU LIVE IN TOWN DO YOU LIVE WITH YOUR KIDS +audio/DER0001.mp3[531.360,536.840] I LIVE IN TOWN I SEE MY KIDS EVERY TWO WEEKS +audio/DER0001.mp3[536.840,541.880] AND UH WHAT DO YOU DO FOR WORK DID I ALREADY ASK YOU THIS +audio/DER0001.mp3[541.880,550.280] NO IM CURRENTLY UNEMPLOYED AND LOOKING FOR WORK PARTIALLY EMPLOYED I SUPPOSE WE SHOULD SAY I HAVE MY OWN BUSINESS +audio/DER0001.mp3[550.280,555.520] I SEE AND WHAT DO YOU WHAT DO YOU DO WHEN WHEN YOU ARE WORKING IDEALLY +audio/DER0001.mp3[555.520,559.720] WHEN I AM WORKING IM AN ACCOUNTANT +audio/DER0001.mp3[559.720,566.840] OK WELL AND DO YOU SMOKE +audio/DER0001.mp3[566.840,569.760] YEAH ONCE IN A WHILE YEAH WHEN IM STRESSED +audio/DER0001.mp3[569.760,573.400] HOW MUCH DO YOU SMOKE ON AVERAGE +audio/DER0001.mp3[573.400,579.120] LAST COUPLE OF WEEKS IVE BEEN SMOKING MORE MAYBE LIKE 2 PACKS A WEEK +audio/DER0001.mp3[579.120,581.160] OK DO YOU DRINK ALCOHOL +audio/DER0001.mp3[581.160,581.600] YEAH YEAH +audio/DER0001.mp3[581.600,585.240] HOW MUCH DO YOU TYPICALLY DRINK +audio/DER0001.mp3[585.240,590.240] AVERAGE WEEK MAYBE A 2 4 +audio/DER0001.mp3[590.240,595.080] SO MAYBE LIKE 3 PER DAY OR SOMETHING LIKE THAT IF YOU WERE TO AVERAGE IT OUT +audio/DER0001.mp3[595.080,599.920] YEAH IF YOU AVERAGE OUT I MAINLY GO THROUGH THE TWO FOUR IN A WEEKEND TO BE HONEST +audio/DER0001.mp3[599.920,607.520] OH I SEE OK MORE SO ON THE WEEKEND SO MAYBE A LITTLE BIT MORE THAN THREE PER DAY ON THOSE DAYS +audio/DER0001.mp3[607.800,624.320] OK SO THAT THAT THATS EVERYTHING THAT I NEED TO ASK YOU FOR NOW ID LIKE TO GET A CLOSER LOOK AT THIS LEG DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS BEFORE WE MOVE FORWARD TO THE PHYSICAL EXAM +audio/DER0001.mp3[624.320,626.480] NO I JUST WANT TO GET THIS FIGURED OUT +audio/DER0001.mp3[626.480,639.400] OK YEAH WE WILL DEFINITELY DO THAT FOR YOU SO YEAH IM GOING TO HAVE A LOOK AT IT AND THEN AFTER THAT I WILL GO TALK TO THE DOCTOR THAT IM WORKING WITH AND WELL SEE WHAT WE CAN DO FOR YOU THAT SOUNDS GOOD +audio/DER0001.mp3[639.400,641.040] THANK YOU DOC YEAH SOUNDS GREAT +audio/DER0001.mp3[641.040,645.880] AWESOME OK THANKS +audio/RES0042.mp3[0.000,2.960] WHAT BRINGS YOU IN TODAY +audio/RES0042.mp3[2.960,50.200] SO JUST FOR THE PAST LIKE 3 DAYS IVE BEEN COUGHING ITS I I DONT FEEL PARTICULARLY SICK IM JUST KIND OF DRY LIKE ANNOYING CALL THAT WONT GO AWAY AND THEN TODAY I TOOK MY TEMP IN IT ITS PRETTY HIGH IT WAS LIKE 99 POINT LIKE 9 I DIDNT REALLY TAKE IT THE OTHER DAYS SO I GUESS SO I JUST THOUGHT ID BETTER COME GET IT CHECKED OUT BECAUSE I I AM ON LIKE A BIOLOGIC MEDICATION SO FOR MY CROHNS DISEASE +audio/RES0042.mp3[50.200,63.600] OK YEAH YEAH THANK YOU FOR COMING IN I THINK ITS GOOD THAT YOU ARE GETTING THIS CHECKED OUT AS EARLY AS POSSIBLE SO JUST TO REWIND A LITTLE BIT WHEN DID YOUR DRY COUGH START +audio/RES0042.mp3[63.600,65.560] UH LIKE 3 DAYS AGO THREE DAYS AGO +audio/RES0042.mp3[65.560,70.040] 3 DAYS AGO OK AND WHEN DID YOUR FEVER START +audio/RES0042.mp3[70.040,78.280] SO I DIDNT TAKE MY TEMP BUT LIKE THE OTHER DAYS BUT LIKE FOR SURE THIS MORNING +audio/RES0042.mp3[78.280,88.440] OK UM OK SO THE COUGH IS IT ALWAYS A DRY COUGH OR DO YOU SOMETIMES BRING UP SPUTUM OR BLOOD +audio/RES0042.mp3[88.440,94.280] YEAH ITS ALWAYS A DRY COUGH ITS REALLY JUST ANNOYING +audio/RES0042.mp3[94.280,100.200] YEAH YEAH DO YOU FEEL WHEEZY AT ALL +audio/RES0042.mp3[100.200,102.520] UH NO +audio/RES0042.mp3[102.520,109.400] NO WHEEZINESS OK HOW ABOUT SHORT OF BREATH +audio/RES0042.mp3[112.640,118.720] NO OK UHM ANY CHEST PAIN +audio/RES0042.mp3[119.760,125.040] NO DO YOU EVER FEEL LIKE YOUR HEART IS RACING +audio/RES0042.mp3[125.040,128.200] NO I CANT SAY THAT I DO +audio/RES0042.mp3[128.200,133.160] OK ANY SWELLING IN YOUR LIMBS +audio/RES0042.mp3[133.160,138.520] UM NO +audio/RES0042.mp3[138.520,146.600] OK HOW ABOUT UM UM A SORE THROAT +audio/RES0042.mp3[148.080,155.240] NO SORE THROAT OK ANY ISSUES WITH TASTE OR SMELL +audio/RES0042.mp3[156.840,161.720] DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE +audio/RES0042.mp3[161.720,164.320] MAYBE A BIT OF A RUNNY NOSE +audio/RES0042.mp3[164.320,170.920] OK AND ANY ISSUES WITH VISION OR HEARING +audio/RES0042.mp3[170.920,175.080] AH NO +audio/RES0042.mp3[175.080,182.000] OK HOW ABOUT UH FEVERS OR CHILLS +audio/RES0042.mp3[182.000,189.560] NO NO FEVER I MEAN I I TOOK MY TEMP WAS HIGH I GUESS I FELT HOT BUT I DIDNT THERE WERE NO CHILLS +audio/RES0042.mp3[189.560,197.480] OK OK HOW ABOUT WEIGHT LOSS OH THATS OK HOW ABOUT WEIGHT LOSS +audio/RES0042.mp3[197.480,202.880] WEIGHT LOSS NO NO NOTHING NOTHING NEW +audio/RES0042.mp3[202.880,215.920] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0042.mp3[217.600,222.320] OK UM ANY ISSUES SWALLOWING FOOD +audio/RES0042.mp3[223.440,228.080] NAUSEA OR VOMITING +audio/RES0042.mp3[229.880,234.040] UM CHANGES IN YOUR BOWEL HABITS +audio/RES0042.mp3[234.040,246.880] WELL LIKE I SAID I HAVE CROHNS DISEASE IM NOT LIKE IN A FLARE RIGHT NOW OR ANYTHING SO ILL SAY NO BUT LIKE MY BASELINE IS NOT LIKE TOTALLY NORMAL +audio/RES0042.mp3[246.880,260.400] OK YEAH THAT MAKES SENSE UMM ALRIGHT DO ANY CHANGES IN YOUR URINE +audio/RES0042.mp3[261.360,262.720] NO CHANGES IN URINE +audio/RES0042.mp3[262.720,270.520] HOW ABOUT DIZZINESS OR FAINTING SPELLS +audio/RES0042.mp3[272.200,276.160] ANY CONFUSION OR MEMORY LOSS +audio/RES0042.mp3[277.560,289.040] OK AND ARE YOU OTHERWISE HEALTHY I KNOW YOU MENTIONED YOU HAVE CROHNS DISEASE DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS +audio/RES0042.mp3[289.040,293.600] OH NOT REALLY JUST THAT AND UH ECZEMA +audio/RES0042.mp3[293.600,294.880] ECZEMA OK +audio/RES0042.mp3[294.880,308.200] TENDS TO GET PRETTY BAD LIKE I DONT REALLY HAVE ANY RIGHT NOW BUT I REALLY STAY ON TOP OF IT WITH LIKE MY MOISTURIZERS AND LIKE I ALWAYS HAVE LIKE A HYDROCORTISONE CREAM ON HAND JUST IN CASE +audio/RES0042.mp3[308.200,313.520] YEAH FOR SURE HOW LONG HAVE YOU HAD ECZEMA FOR +audio/RES0042.mp3[313.520,328.800] OH LIKE WHEN I WAS STARTED WHEN I WAS LIKE A KID AND THEN I FEEL LIKE WHEN I WAS A TEENAGER I DIDNT REALLY AND THEN PART OF IT AS AN ADULT I REALLY HAVE TO TAKE CARE OF IT OR ELSE IT GETS BAD +audio/RES0042.mp3[328.800,336.760] OK OK UM HAVE YOU EVER BEEN HOSPITALIZED OR HAVE YOU HAD ANY SURGERIES IN THE PAST +audio/RES0042.mp3[336.760,361.080] UH LIKE WHEN I WAS FIRST DIAGNOSED WITH CROHNS MAYBE 20 YEARS AGO WHEN I WAS LIKE 20 I WAS IN THE HOSPITAL FOR A LITTLE BIT CAUSE I WAS REALLY DEHYDRATED AND I COULDNT REALLY LIKE I JUST COULDNT I WASNT FEELING WELL AT THAT TIME BUT SINCE THEN IVE BEEN PRETTY ON TOP OF IT +audio/RES0042.mp3[361.080,370.400] OK THATS GOOD TO HEAR YOU MENTIONED YOURE ON BIOLOGICS FOR CROHNS DISEASE ARE THERE ANY OTHER MEDICATIONS THAT YOURE ON +audio/RES0042.mp3[370.400,382.080] UM JUST LIKE THE HYDROCORTISONE CREAM ON OCCASION +audio/RES0042.mp3[382.080,390.040] RIGHT OK UM OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0042.mp3[390.040,404.280] AH LIKE I HAVE SOME SEASONAL ALLERGIES LIKE AH ITS RAGWEED WHICH IS NOT LIKE RIGHT NOW IS NOT THE TIME FOR IT AND LIKE CATS AND DOGS +audio/RES0042.mp3[404.280,405.760] OK OK +audio/RES0042.mp3[405.760,412.120] ITS JUST LIKE THIS ENVIRONMENTAL ITS NOT LIKE NOT LIKE THE REALLY DANGEROUS ALLERGIES YOU KNOW +audio/RES0042.mp3[412.120,422.600] RIGHT OK UM HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +audio/RES0042.mp3[422.600,425.640] I THINK SO +audio/RES0042.mp3[425.640,433.200] ALRIGHT AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0042.mp3[433.200,445.800] OH LIKE MY DAD HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT I DONT THINK THERE IS ANYTHING THAT STOOD OUT +audio/RES0042.mp3[445.800,453.000] OK AND HOW ABOUT YOUR SMOKING HISTORY DO YOU SMOKE AT ALL +audio/RES0042.mp3[453.000,461.720] UM LIKE I DID FOR A COUPLE YEARS WHEN I WAS LIKE 18 AND THEN I HAVENT EVER SINCE +audio/RES0042.mp3[461.720,465.880] OK HOW ABOUT MARIJUANA +audio/RES0042.mp3[465.880,468.200] UH NO +audio/RES0042.mp3[468.200,477.800] NO MARIJUANA OK UM HOW ABOUT OTHER RECREATIONAL DRUGS +audio/RES0042.mp3[477.800,479.200] UH NO +audio/RES0042.mp3[479.200,484.400] NO OK UHM ALCOHOL +audio/RES0042.mp3[484.400,492.560] AH I LIKE I MIGHT HAVE LIKE A COUPLE BEERS ON THE WEEKEND BUT NOT A LOT +audio/RES0042.mp3[492.560,499.080] SURE UM AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0042.mp3[499.080,516.000] SO I LIVE IN A TOWNHOUSE IN LONDON HERE I LIVE ALONE BUT MY I HAVE MY KIDS EVERY I HAVE MY KIDS LIKE WEDNESDAYS AND THURSDAYS AND THEN EVERY OTHER WEEKEND +audio/RES0042.mp3[516.000,523.240] OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS ANYTHING LIKE THAT IN THE HOME +audio/RES0042.mp3[523.240,526.240] NO ITS LIKE A PRETTY NEW BUILD +audio/RES0042.mp3[526.240,535.160] OK AND HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY +audio/RES0042.mp3[535.160,554.120] AH I MEAN MY KIDS JUST LEFT THIS WEEKEND UHM THERES REALLY ONLY PEOPLE IVE BEEN AROUND I CAN I MAYBE I SHOULD HAVE ASKED HIM BEFORE COMING HERE IF THEY LIKE KNEW THEY HAD SEEN ANYONE BUT THEY WERE FINE OVER THE WEEKEND +audio/RES0042.mp3[554.120,560.560] OK UM AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY +audio/RES0042.mp3[561.160,571.840] NO OK THOSE WERE ALL THE QUESTIONS THAT I HAD TODAY WERE THERE WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD ANYTHING THAT I MISSED PERHAPS +audio/RES0042.mp3[571.840,575.120] I DONT THINK SO I THINK THATS IT +audio/RES0042.mp3[575.840,589.280] YOU KNOW I HOPE I HOPE I JUST WANTED TO COME IN IN CASE IT WAS SOMETHING BAD BECAUSE I YOU KNOW I HAVE THOSE OTHER HEALTH PROBLEMS I JUST WANT TO MAKE SURE YEAH +audio/RES0042.mp3[589.280,626.480] YEAH YEAH FOR SURE AND I THINK ITS A GOOD THING THAT YOU CAME IN SO THANK YOU RIGHT NOW I GUESS TOP ON THE LIST OF THINGS THAT YOU COULD POSSIBLY HAVE IS COVISO WELL GET YOU TESTED FOR THAT AND WELL GET YOU A SWAB AND YOU SHOULD HAVE THE RESULTS OF THE THAT SWAB IN ABOUT 24 TO 48 HOURS AND THEN YOU SHOULD ISOLATE FOR 14 DAYS REGARDLESS THOUGH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVIAND AND THAT INCLUDES ISOLATING FROM YOUR YOUR CHILDREN AS WELL +audio/RES0042.mp3[626.480,629.320] OH OK +audio/RES0042.mp3[629.320,667.280] AND YEAH AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR JUST SO JUST MAKE SURE YOURE STAYING HYDRATED YOURE EATING NUTRITIOUS FOODS AND GETTING GOOD SLEEP IF YOUR SYMPTOMS DO BECOME WORSE AND IF THEY BECOME UHM SEVERE LIKE YOU HAVE A REALLY HIGH TEMPERATURE YOU HAVE TROUBLE BREATHING OR YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR FAINTING SPELLS PLEASE DO GO TO THE ER AND SEEK HELP HOW DOES THAT SOUND +audio/RES0042.mp3[667.280,671.120] AH YEAH I GUESS THAT SOUNDS GOOD THIS IS HOW ITS GOTTA BE RIGHT +audio/RES0042.mp3[671.120,674.600] YEAH UNFORTUNATELY OR YEAH WELL THANK YOU AGAIN +audio/RES0042.mp3[674.600,677.360] NO THANK YOU HAVE A GOOD DAY +audio/RES0042.mp3[677.360,685.240] YOU TOO +audio/MSK0046.mp3[0.000,2.280] WHAT BRINGS YOU HERE TODAY +audio/MSK0046.mp3[2.280,25.000] UM IM HERE BECAUSE MY LEFT HAND KIND OF JUST LIKE AT THE BASE OF MY THUMB HAS BEEN HURTING FOR THE PAST TWO DAYS AND IT SEEMS TO BE GETTING WORSE UM AND IM LEFT HANDED SO ITS REALLY HARD FOR ME TO WRITE OR DO ANYTHING UM WHERE I HAVE TO LIKE CLENCH OR GRIP THINGS +audio/MSK0046.mp3[25.000,29.160] OK AND HOW LONG HAS THIS BEEN GOING ON FOR +audio/MSK0046.mp3[29.160,37.000] UHM SO FOR THE PAST TWO DAYS BUT ITS GOT IT GOT BAD YESTERDAY +audio/MSK0046.mp3[37.000,46.000] OK AND HAVE YOU HAD ANY UH IF YOU WERE TO DESCRIBE THE PAIN WHERE IS IT LOCATED EXACTLY +audio/MSK0046.mp3[46.000,53.040] ITS JUST AT THE BASE OF MY THUMB UH YOU KNOW WHERE THE FLESHY PART OF YOUR HAND IS +audio/MSK0046.mp3[53.040,54.520] OK YEAH YEAH +audio/MSK0046.mp3[54.520,58.920] YEAH SO JUST JUST OVER THERE +audio/MSK0046.mp3[58.920,68.120] OK AND WHAT KIND OF PAIN IS IT IS IT SHARP OR IS IT ACHING +audio/MSK0046.mp3[68.120,84.840] UHM ITS ITS LIKE A UM AT BASELINE ITS AN ACHY PAIN BUT IF I TRY TO MOVE IT OR UM TRY TO WRITE OR YOU KNOW USE A COMPUTER OR ANYTHING LIKE THAT IT BECOMES SHARP +audio/MSK0046.mp3[84.840,92.560] OK UM AND ON A SCALE OF UH ZERO TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT +audio/MSK0046.mp3[92.560,95.960] ID SAY LIKE A 6 +audio/MSK0046.mp3[95.960,104.400] OK AND DOES THIS PAIN MOVE ANYWHERE ELSE IN YOUR HAND OR DOES IT JUST STAY WHERE YOU DESCRIBED +audio/MSK0046.mp3[104.400,107.920] UM IT JUST STAYS THERE +audio/MSK0046.mp3[107.920,113.720] OK AND WHAT KIND OF MOTIONS UH CAUSE THE MOST PAIN +audio/MSK0046.mp3[113.720,132.560] ID SAY LIKE UM YOU KNOW TRYING TO TOUCH MY PINKY WITH MY THUMB THAT THAT HURTS UM JUST LIKE TRYING TO ROTATE IT HURTS +audio/MSK0046.mp3[132.560,136.920] OK UM HAVE YOU TRIED ANYTHING FOR THE PAIN THAT HAS HELPED +audio/MSK0046.mp3[136.920,146.840] UHM NO I HAVENT REALLY TRIED TOO MUCH IVE JUST I JUST TRIED NOT TO USE IT AS MUCH +audio/MSK0046.mp3[146.840,161.400] I SEE OK AND UM HAS THIS EVER LIKE HAVE YOU EVER HAD ANY INJURIES TO THIS HAND ANY TRAUMA EITHER RECENTLY OR IN THE PAST +audio/MSK0046.mp3[161.400,166.240] NO NO NOTHING LIKE THAT +audio/MSK0046.mp3[166.240,179.400] OK ALRIGHT AND IS THERE ANY DO YOU DO ANY KIND OF REPETITIVE WORK THAT REQUIRES GRIPPING OR LIFTING UM WITH THAT HAND ANYTHING REPETITIVE +audio/MSK0046.mp3[179.400,192.760] SO I DO A LOT OF WORK AT THE COMPUTER AND UM I GUESS I TEND TO TYPE A LOT WITH MY LEFT HAND SO MAYBE THAT +audio/MSK0046.mp3[195.560,202.240] AND SORRY I ALSO TAKE LOTS OF NOTES LIKE HANDWRITTEN NOTES WITH MY LEFT HAND +audio/MSK0046.mp3[202.240,204.400] OK SO ARE YOU LEFT HANDED +audio/MSK0046.mp3[207.000,212.880] OK ALRIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0046.mp3[214.160,215.680] NO SO YOURE HEALTHY +audio/MSK0046.mp3[217.040,221.360] UM DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS +audio/MSK0046.mp3[221.360,224.080] UH NO NO +audio/MSK0046.mp3[224.080,227.800] NO OK ANY ALLERGIES TO ANY MEDICATIONS +audio/MSK0046.mp3[227.800,231.640] UM NO ALLERGIES +audio/MSK0046.mp3[231.640,236.520] OK UM ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS +audio/MSK0046.mp3[238.720,246.200] NO ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS WHETHER ITS MUSCULOSKELETAL RHEUMATOLOGICAL ANY CONDITIONS +audio/MSK0046.mp3[246.200,250.760] UH NO NOTHING LIKE THAT +audio/MSK0046.mp3[250.760,255.800] OK UM ANY CANCERS IN THE FAMILY +audio/MSK0046.mp3[255.800,265.360] UM I KNOW THERES YEAH THERES A LOT OF CANCER IN THE FAMILY THERES COLON CANCER BREAST CANCER OVARIAN CANCER +audio/MSK0046.mp3[265.360,271.640] OK AND ARE THEY FIRST DEGREE RELATIVES WHO HAD THOSE CANCERS +audio/MSK0046.mp3[271.640,278.480] UH NO FIRST DEGREE RELATIVES JUST LIKE AUNTS AND UNCLES +audio/MSK0046.mp3[278.480,287.720] OK UH ALRIGHT AND CURRENTLY ARE YOU WORKING RIGHT NOW OR HAVE YOU HAD ANY TIME OFF WORK OR ANY MODIFIED DUTIES +audio/MSK0046.mp3[287.720,294.600] UM SO IM STILL WORKING ONLINE IVE JUST UM HAVENT BEEN TAKING NOTES BY HAND ANYMORE +audio/MSK0046.mp3[294.600,297.560] I SEE AND DOES THAT HELP THOUGH +audio/MSK0046.mp3[297.560,306.040] UH YEAH IT IT HAS HELPED A LITTLE BIT BECAUSE IM NOT MOVING MY HAND AS MUCH SO IT HELPS WITH THE PAIN +audio/MSK0046.mp3[306.040,311.840] OK HAVE YOU TAKEN ANY UH TYLENOL ADVIL ANYTHING FOR THE PAIN +audio/MSK0046.mp3[311.840,314.880] NO I HAVENT +audio/MSK0046.mp3[314.880,326.840] OK ALRIGHT AND CURRENTLY RIGHT NOW WHAT IS YOUR LIVING SITUATION LIKE +audio/MSK0046.mp3[326.840,331.680] UH I LIVE IN AN APARTMENT BY MYSELF +audio/MSK0046.mp3[331.680,336.080] OK AND UM DO YOU CURRENTLY UH SMOKE CIGARETTES +audio/MSK0046.mp3[336.080,347.120] UM I SMOKE I USED TO SMOKE LIKE FIVE YEARS AGO AND I ONLY DID THAT FOR LIKE A YEAR OR TWO UM AND IT WASNT VERY MUCH BUT I DONT SMOKE ANYMORE +audio/MSK0046.mp3[347.120,350.880] OK THATS GOOD UM ANY ALCOHOL +audio/MSK0046.mp3[350.880,354.560] UM ILL HAVE LIKE A BEER ON THE WEEKEND +audio/MSK0046.mp3[354.560,362.080] OK ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/MSK0046.mp3[362.080,369.080] UM I WILL TAKE AN EDIBLE LIKE ONCE A MONTH +audio/MSK0046.mp3[369.080,384.120] OK UM AND YEAH THOSE WERE JUST SOME OF THE QUESTIONS I HAD UM AND WERE JUST GOING TO DO A FEW THINGS FOR EXAMINING EXAMINING UH THAT AREA SO ARE YOU ABLE TO MAKE A FIST +audio/MSK0046.mp3[384.120,386.960] UM I CAN BUT IT HURTS +audio/MSK0046.mp3[386.960,392.880] OK IT HURTS IN THAT LOCATION THAT YOU MENTIONED +audio/MSK0046.mp3[394.320,402.960] HOW ABOUT UM IF YOU MAKE A FIST WITHOUT YOUR THUMB DOES IT STILL HURT OR IS IT JUST WHEN YOU ARE MOVING THE THUMB +audio/MSK0046.mp3[402.960,406.960] ITS JUST WHEN IM MOVING THE THUMB +audio/MSK0046.mp3[406.960,412.720] OK AND IF YOU WERE ABLE TO ARE YOU ABLE TO UH ROTATE YOUR WRIST +audio/MSK0046.mp3[412.720,414.680] UH YES I CAN ROTATE MY WRIST +audio/MSK0046.mp3[414.680,418.560] DOES THAT HURT AT ALL +audio/MSK0046.mp3[419.480,434.720] OK UM NOW I JUST WANT YOU TO DO THIS ONE TEST ITS CALLED A FINKELSTEIN TEST OK SO I WANT YOU TO FLEX YOUR THUMB PRESS IT UP DOWN AGAINST YOUR PALM +audio/MSK0046.mp3[436.360,438.800] AND THEN HOLD YOUR HAND SORRY +audio/MSK0046.mp3[438.800,440.320] NO GO AHEAD +audio/MSK0046.mp3[440.320,449.520] YEAH AND THEN AFTER YOU DO THAT UM BRING YOUR FINGERS ABOVE YOUR THUMB SO JUST COVER YOUR THUMB +audio/MSK0046.mp3[450.200,454.200] KIND OF LIKE A FIST BUT YOUR THUMB IS ON THE INSIDE OF YOUR FINGERS +audio/MSK0046.mp3[455.120,459.800] AND THEN BRING YOUR UH ARM OUT +audio/MSK0046.mp3[461.800,477.720] AND WITH YOUR OTHER HAND CAN YOU FROM ABOVE PUSH YOUR WRIST DOWNWARDS SO YOUR UH PINKY FINGER IS UH POINTING TO THE POINTING TO THE GROUND +audio/MSK0046.mp3[477.720,479.120] OK YEP +audio/MSK0046.mp3[479.120,489.720] YEAH AND DID THAT HURT AT ALL LIKE WHEN YOU SO THIS IS JUST CALLED ULNAR DEVIATION OR YOUR UM OF YOUR WRIST DOES THAT HURT AT ALL +audio/MSK0046.mp3[489.720,491.960] YES THAT IS VERY PAINFUL +audio/MSK0046.mp3[491.960,563.720] THATS VERY PAINFUL OK ALRIGHT UM AND THEN YOURE ALSO HAVING PAIN WITH GRIPPING AND OK SO THOSE ARE KIND OF ALL THE THINGS I WANTED TO ASK UH IT SEEMS THAT YOU MAY BE HAVING SOMETHING CALLED DE QUERVAINS TENOSYNOVITIS UM ITS CAUSED BY SOME REPETITIVE MOTIONS UH IT CAN BE DUE TO GRIPPING SOMETIMES IT HAPPENS TO NEW MOTHERS WHO ARE LIFTING THEIR CHILDREN AS WELL AS DAYCARE WORKERS IT CAN ALSO HAPPEN IN OTHER WORK ENVIRONMENTS AND SO WHAT WE WILL FIRST JUST NEED TO DO UM IS MAINLY TO RULE OUT SOMETHING LIKE OSTEOARTHRITIS YOU ARE FAIRLY YOUNG UM BUT IF THERE WAS EVER AN INJURY IN THE PAST IT YOU CAN HAVE EARLY OSTEOARTHRITIS IN THE AREA SO WE JUST WANT TO GET AN XRAY AND OTHER THAN THAT THE WAY WE KIND OF DEAL WITH THIS ISSUE IS USUALLY CONSERVATIVELY AND WITH A SPLINT +audio/MSK0046.mp3[564.920,596.040] AND A SLING FOR YOUR THUMB THAT UH HELPS RELIEVE SOME OF THESE SYMPTOMS UH RESTRICTS SOME OF YOUR MOVEMENTS REDUCES SOME OF THE SWELLING AND IF IT DOES GET REALLY BAD AND ITS AFFECTING YOUR WORK AND CONSERVATIVE MANAGEMENT WITH PAIN AND THE SPLINT DONT WORK AND WITH PHYSIOTHERAPY WE DO UH OFFER INJECTING CORTICOSTEROIDS INTO JUST RIGHT LIKE IN THE AREA THAT YOU MENTIONED RIGHT BELOW THE THUMB +audio/MSK0046.mp3[596.520,614.520] UM AND THAT OFTEN HAS SOME EFFECT AS WELL UM BUT AT FIRST YEAH LETS JUST DO SOME CONSERVATIVE MANAGEMENT AND SEE IF THAT HELPS ITS ONLY BEEN A FEW DAYS SO HOPEFULLY UM WHAT WE TRY FIRST HELPS AND THEN WE CAN GO ON FROM THERE +audio/MSK0046.mp3[614.520,617.000] OK YEAH THAT SOUNDS GREAT THANK YOU +audio/MSK0046.mp3[617.000,619.240] WELCOME TAKE CARE +audio/MSK0046.mp3[619.240,620.600] YOU TOO +audio/RES0104.mp3[0.000,3.720] CAN YOU TELL ME WHAT BRINGS YOU IN HERE TODAY +audio/RES0104.mp3[3.720,17.680] SO IVE HAD THIS UH THIS COUGH THAT IT STARTED TWO DAYS AGO AND ITS BEEN GETTING WORSE IVE BEEN BRINGING UP THIS RUST COLORED SPUTUM +audio/RES0104.mp3[17.680,25.520] OK AND SO THATS BEEN GOING ON FOR A FEW DAYS +audio/RES0104.mp3[25.520,30.160] YEAH YEAH ABOUT TWO DAYS +audio/RES0104.mp3[30.160,34.200] OK AND HOW OFTEN ARE YOU COUGHING +audio/RES0104.mp3[34.200,49.880] ITS ITS HAPPENING ALL DAY REALLY THROUGHOUT THE DAY AND REALLY ANY TYPE OF EXERTION OR OR MOVEMENT IM GETTING SHORT OF BREATH AND ITS TRIGGERING A COUGH +audio/RES0104.mp3[49.880,62.360] OK AND THE SHORTNESS OF BREATH IS IT JUST WITH THE EXERTION OR IT CAN IS IT HAPPENING AT REST HOW ARE YOU FEELING RIGHT NOW +audio/RES0104.mp3[62.360,71.640] YEAH EVEN RIGHT NOW IT FEELS LIKE IM NOT ABLE TO GET I DONT KNOW A FULL BREATH IT JUST FEELS LIKE ITS MORE DIFFICULT TO TO BREATHE +audio/RES0104.mp3[71.640,76.040] OK HAVE YOU FELT ANY KIND OF DIZZINESS OR FAINTING EPISODES +audio/RES0104.mp3[76.040,79.080] NO I HAVENT +audio/RES0104.mp3[79.080,83.600] OK HAVE YOU BEEN FEELING ANY CHEST PAIN AT ALL +audio/RES0104.mp3[83.600,87.840] UH NO I I I HAVENT HAD ANY CHEST PAIN +audio/RES0104.mp3[87.840,96.960] OK AND SO WITH YOUR COUGHING YOURE PRODUCING THE RUST COLORED SPUTUM BUT HOW MUCH WOULD YOU SAY YOURE PRODUCING +audio/RES0104.mp3[96.960,107.000] UH I WOULD SAY YEAH MAYBE THREE OR FOUR TEASPOONS EVERY EVERY COUPLE HOURS +audio/RES0104.mp3[107.000,111.960] OK ARE YOU PRODUCING ANY BLOOD LIKE IN YOUR COUGH OR SPUTUM AT ALL +audio/RES0104.mp3[111.960,116.960] NO IT WASNT REALLY RED ITS KINDA ORANGE +audio/RES0104.mp3[116.960,122.320] ORANGE OK ANY GREENISH OR YELLOW MATERIAL +audio/RES0104.mp3[122.320,127.120] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0104.mp3[127.120,129.760] OK ANY FEVERS OR CHILLS +audio/RES0104.mp3[129.760,147.920] YEAH I HAVE HAD IVE HAD BOTH OF THOSE IVE HAD A I I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 382 AND I WAS PRETTY CHILLY LAST NIGHT +audio/RES0104.mp3[147.920,156.320] OK UHM AND BEFORE THESE SYMPTOMS STARTED WERE YOU HAVING ANY SIMILAR SYMPTOMS AT ALL BEFORE +audio/RES0104.mp3[156.320,173.920] AH NO I MEAN A FEW WEEKS AGO PROBABLY LIKE A YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND AND SORE THROAT FOR A COUPLE OF DAYS IT WENT AWAY ON ITS OWN THOUGH +audio/RES0104.mp3[173.920,177.760] OK UHM ANY ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE THAT YOUVE TRIED +audio/RES0104.mp3[177.760,189.720] I DID TRY SOME OVER THE COUNTER COLD MEDICINE IT I THINK IT MIGHT HAVE HELPED ME SLEEP LAST NIGHT BUT DIDNT REALLY DO A WHOLE LOT +audio/RES0104.mp3[189.720,199.280] OK DOES YOUR SHORTNESS OF BREATH IMPROVE WITH ANY POSITIONS OR DOES IT IMPROVE WHEN YOURE NOT EXERTING YOURSELF +audio/RES0104.mp3[199.280,202.560] UH NOT REALLY ITS KIND OF ALWAYS THERE +audio/RES0104.mp3[202.560,215.480] ITS OK DO YOU HAVE TO WAKE UP AT NIGHT TO TAKE A DEEP BREATH OR DO YOU FEEL ANY KIND OF SHORTNESS OF BREATH WITH LAYING DOWN AT ALL +audio/RES0104.mp3[215.480,219.080] NO I HAVENT HAD ANY ISSUES LIKE THAT +audio/RES0104.mp3[219.080,230.520] OK AND DO YOU NOTICE ANY KIND OF SWELLING IN YOUR FEET ANKLES ARMS LEGS ANYTHING LIKE THAT +audio/RES0104.mp3[230.520,232.160] NO I HAVENT +audio/RES0104.mp3[232.160,237.840] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS SICK RECENTLY +audio/RES0104.mp3[237.840,251.600] UH I DONT I I MEAN I SEE MY GRANDDAUGHTER AND I MIGHT HAVE GOT A COLD FROM HER A FEW WEEKS AGO BUT RECENTLY I HAVENT SEEN ANYBODY +audio/RES0104.mp3[251.600,255.720] OK ARE YOU HAVING ANY NIGHT SWEATS +audio/RES0104.mp3[255.720,259.240] NO JUST A CHILLS LAST NIGHT +audio/RES0104.mp3[259.240,262.080] OK ARE YOU BREATHING FASTER +audio/RES0104.mp3[262.080,266.760] YEAH I HAVE FELT LIKE IVE BEEN BEEN BREATHING A BIT FASTER +audio/RES0104.mp3[266.760,269.720] YOU HAVE ANY MUSCLE ACHES OR ANYTHING LIKE THAT +audio/RES0104.mp3[269.720,273.080] AH NO NOT REALLY +audio/RES0104.mp3[273.080,284.360] OK AND GIVE ANY OTHER SYMPTOMS LIKE CHEST PAIN RUNNY NOSE SORE THROAT ANYTHING LIKE THAT +audio/RES0104.mp3[284.360,301.400] UH NO JUST BEEN REALLY TIRED THESE LAST COUPLE OF DAYS AND IVE JUST FELT LIKE SLEEPING ALL DAY HAVENT FELT LIKE EATING EITHER MY APPETITE HAS BEEN REALLY POOR +audio/RES0104.mp3[301.400,309.560] OK UHM AND OTHER THAN THAT HAVE YOU EXPERIENCED ANY KIND OF HEADACHES NAUSEA OR VOMITING +audio/RES0104.mp3[309.560,311.920] NO I HAVENT +audio/RES0104.mp3[311.920,316.640] OK ANY FEVERS OR YOU SAID YOU HAVE HAD SOME CHILLS RIGHT +audio/RES0104.mp3[316.640,317.960] I HAVE YEAH +audio/RES0104.mp3[317.960,326.160] OK AND THEN A FEVER TOO KIND OF A SENSATION OF YOUR HEART RACING AT ALL +audio/RES0104.mp3[326.160,336.040] AH YEAH RIGHT IT DOESNT FEEL LIKE ITS WELL IT DOES FEEL LIKE ITS BEATING A BIT FASTER THAN USUAL JUST NOT FEELING TOO WELL +audio/RES0104.mp3[336.040,348.760] YEAH SO YEAH WELL DO A PHYSICAL EXAMINATION AND GET ALL YOUR VITAL SIGNS AS WELL RIGHT AFTER ANY SO YOU SAID YOU HAVENT BEEN ABLE TO EAT AVE YOU NOTICED ANY SIGNIFICANT WEIGHT CHANGES RECENTLY +audio/RES0104.mp3[348.760,352.640] NO MY WEIGHTS BEEN ABOUT THE SAME +audio/RES0104.mp3[352.640,361.560] OK ANY EXPOSURE TO ANY DUSTS OR ANIMALS FUMES ANYTHING THAT MIGHT HAVE TRIGGERED SOME OF THESE SYMPTOMS +audio/RES0104.mp3[361.560,374.040] NO I DONT THINK SO MY HUSBAND AND I WE MOVED INTO A NEW KIND OF APARTMENT HERE AND IT ITS BRAND NEW +audio/RES0104.mp3[374.040,379.480] OK ANY KIND OF LOSS OF SENSE OF TASTE OR SMELL +audio/RES0104.mp3[379.480,381.960] NO THATS BEEN NORMAL +audio/RES0104.mp3[381.960,387.760] OK ANY EXPOSURE OR ANY TRAVEL OUTSIDE OF THE COUNTRY AT ALL +audio/RES0104.mp3[387.760,390.520] NO NOTHING LIKE THAT +audio/RES0104.mp3[390.520,405.520] OK SO JUST MAINLY THE COUGHING WITH THE RUSTY MATERIAL AS WELL AS JUST THE SHORTNESS OF BREATH UMM AND DO YOU GET ANY PAIN AT ALL IN YOUR CHEST WHEN YOU BREATHE IN OR OUT +audio/RES0104.mp3[405.520,409.480] NO I HAVENT HAD ANY HAD ANYTHING LIKE THAT +audio/RES0104.mp3[409.480,413.680] OK ANY PAST MEDICAL CONDITIONS THAT I SHOULD KNOW OF +audio/RES0104.mp3[413.680,429.400] YEAH I UMM I HAD A STROKE LIKE THAT LIKE SIX YEARS AGO AND I HAVE TYPE 2 DIABETES AS WELL AS GERD +audio/RES0104.mp3[429.400,449.160] OK AND UH YEAH IM SORRY YOU HAD YOU HAD A STROKE SIX YEARS AGO OR HOW ARE YOU AFTER THAT WERE THERE ANY KIND OF LIKE DID AFTER REHABILITATION DO YOU HAVE ANY SYMPTOMS STILL GOING ON AT ALL +audio/RES0104.mp3[449.160,467.200] YEAH MY MY LEFT HAND STILL STILL IT GIVES ME SOME SOME PROBLEMS I GET UH UH BOTULINUM TOXIN INJECTIONS FOR FOR THE TIGHTNESS IN MY HAND +audio/RES0104.mp3[467.200,475.320] OK OK AND ARE YOU TAKING ANY OTHER MEDICATIONS AT ALL +audio/RES0104.mp3[475.320,486.560] YEAH I USE METFORMIN EMPAGLIFLOZIN OR AN SGLT2 INSULIN AND UH AND ASPIRIN I THINK +audio/RES0104.mp3[486.560,497.720] OK AND ANY OVER THE COUNTER MEDICATIONS +audio/RES0104.mp3[497.720,502.000] YEAH I TAKE A MULTIVITAMIN AND IN VITAMIN D +audio/RES0104.mp3[502.000,507.080] OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL +audio/RES0104.mp3[507.640,510.480] OK ANY ENVIRONMENTAL ALLERGIES +audio/RES0104.mp3[512.120,516.800] OK ANY ILL CONTACTS AT ALL +audio/RES0104.mp3[516.800,520.400] NO NO +audio/RES0104.mp3[520.400,525.560] ANY RECENT OR PRIOR HOSPITALIZATIONS +audio/RES0104.mp3[525.560,532.320] NO THE LAST TIME I WAS IN THE HOSPITAL WAS I WAS FOR REHAB AFTER MY STROKE +audio/RES0104.mp3[532.320,536.880] OK AND SO BUT AFTER THAT NO OTHER HOSPITALIZATIONS OR SURGERIES +audio/RES0104.mp3[539.080,541.000] OK ANY SURGERIES IN THE PAST +audio/RES0104.mp3[541.000,555.880] YEAH WELL I DID HAVE A CSECTION FOR MY SON BUT THAT WAS MANY YEARS AGO NOW AND EVERYTHING FOR THAT WAS WAS OK YEAH +audio/RES0104.mp3[555.880,564.960] OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS ANY CANCERS +audio/RES0104.mp3[564.960,575.520] UHM YEAH MY DAD HAD HAD A HEART ATTACK ACTUALLY BUT HE WAS IN HIS 80S WHEN THAT WHEN THAT HAPPENED +audio/RES0104.mp3[575.520,583.240] OK UHM AND CURRENTLY RIGHT NOW ARE YOU WORKING AT ALL +audio/RES0104.mp3[583.240,602.640] NO IM RETIRED I USED TO BE A TEACHER FOR GRADE 3 UHM BUT YEAH BUT SINCE RETIRED AND MY HUSBAND AND I JUST MOVED INTO A SMALLER APARTMENT TO MAKE IT A BIT EASIER ON US IT WAS A LOT TRYING TO LOOK AFTER THE HOUSE +audio/RES0104.mp3[602.640,613.360] OK WELL CONGRATULATIONS ON YOUR NEW HOME ARE YOU AT ALL YOU OR YOUR HUSBAND REQUIRING ANY KIND OF SUPPORTS OUTSIDE OF THE HOME AT ALL +audio/RES0104.mp3[613.360,633.520] NO BETWEEN US TWO WE MANAGED TO GET THE SHOPPING DONE THE COOKING AND AND ALL THE CLEANING AND THAT SORT OF THING I USE A WALKER TO GET AROUND WHEN WERE GOING LONGER DISTANCES +audio/RES0104.mp3[633.520,638.320] OK AND CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL +audio/RES0104.mp3[638.320,644.080] UH YES I I SPOKE ABOUT HALF A PACK PER DAY OR MAYBE EVEN LESS +audio/RES0104.mp3[644.080,646.680] OK AND HOW HOW LONG HAVE YOU HAVE SMOKED FOR +audio/RES0104.mp3[646.680,650.040] SINCE I WAS 15 MAYBE +audio/RES0104.mp3[650.400,657.000] SO YEAH FOR LIKE 45 YEARS +audio/RES0104.mp3[657.000,661.680] AND HAVE YOU AT ALL BEEN DIAGNOSED WITH COPOR ANYTHING LIKE THAT +audio/RES0104.mp3[661.680,668.920] NO I WAS TESTED ACTUALLY UH A COUPLE OF YEARS AGO AND THAT THE RESULTS WERE NORMAL +audio/RES0104.mp3[668.920,679.920] OK ALRIGHT AND HAVE YOU THOUGHT OF QUITTING AT ALL I KNOW YOUVE BEEN SMOKING LIKE FOR A VERY LONG TIME BUT HAVE YOU AT ALL TRIED TO QUIT BEFORE +audio/RES0104.mp3[679.920,686.200] LIKE IVE CONSIDERED IT BUT I I JUST DONT THINK IT ITLL BE POSSIBLE AT THIS TIME +audio/RES0104.mp3[686.200,699.800] OK WELL IF YOU AT ALL ARE WANTING ANY INFORMATION OR WANT TO TALK ABOUT QUITTING AT ALL UM WE CAN PROVIDE MORE RESOURCES DO YOU BESIDES SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0104.mp3[703.240,705.280] NO ANY ALCOHOL AT ALL +audio/RES0104.mp3[709.480,749.640] OK YEAH SO THOSE ARE SOME OF THE QUESTIONS I HAD A I WILL BE DOING A PHYSICAL EXAMINATION WITH YOUR SHORTNESS OF BREATH I JUST WANT TO GET A GOOD LISTEN TO YOUR LUNGS AND TAKE ALL YOUR VITALS AS WELL HOWEVER YEAH SO AFTER THAT SINCE YOURE HAVING SOME SYMPTOMS OF WHAT MIGHT BE A PNEUMONIA IT CAN BE A BACTERIAL INFECTION A VIRAL INFECTION WE WILL HAVE TO GET SOME BLOOD WORK DONE AS WELL AS A CHEST XRAY AND RIGHT NOW WITH THE PANDEMIC GOING ON WE WILL ALSO DO COVID SWAB TEST FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD +audio/RES0104.mp3[749.640,753.360] YEAH THAT MAKES SENSE THANK YOU +audio/RES0104.mp3[753.360,760.040] ALRIGHT AND IF IF YOURE WHILE YOURE HERE IF YOUR SHORTNESS OF BREATH GETS ANY WORSE AT ALL JUST LET US KNOW AND WELL HELP YOU OUT +audio/RES0104.mp3[760.040,763.920] OK THANK YOU WILL DO +audio/RES0104.mp3[763.920,766.080] THANK YOU BYE +audio/MSK0028.mp3[0.000,1.880] HOW MAY I HELP YOU +audio/MSK0028.mp3[1.880,33.520] I JUST CAME IN BECAUSE IVE BEEN HAVING THIS JUST JUST YESTERDAY IT STARTED THIS SUDDEN JUST PAIN OVER THE FRONT OF MY KIND OF LIKE A SHOULDER AN ALSO ELBOW AND IT WAS RIGHT AFTER DOING I WAS JUST DOING SOME WORKOUT AND THIS PAIN JUST STARTED AND ITS JUST LIKE A STABBING SHARP PAIN THAT HASNT REALLY GONE AWAY SINCE THEN +audio/MSK0028.mp3[33.520,39.960] OK AND SO WHAT ACTIVITY WERE YOU DOING SPECIFICALLY +audio/MSK0028.mp3[39.960,79.080] SO I WAS DOING SO I WAS JUST DOING WEIGHT TRAINING AND I WAS KIND OF FLEXING MY ELBOWS AND I WAS WORKING ON MY BICEPS I WAS ON THAT MACHINE WHERE YOU SO KNOW I WASNT USING WEIGHTS OR DOING CURLS BUT I WAS WORKING ON MY BICEPS AND I THINK I DID HEAR I DONT THINK I HEARD LIKE ANY POP OR ANYTHING BUT RIGHT AFTER THAT I JUST HAD THIS SUDDEN SHARP PAIN IN MY SHOULDER AS WELL AS MY ELBOW +audio/MSK0028.mp3[79.080,83.680] OK SO YOU YOU YOU THINK YOU HEARD A POP AT THAT TIME +audio/MSK0028.mp3[83.680,91.000] UM IM NOT SURE IF I HEARD A POP ACTUALLY I THINK I MIGHT HAVE THOUGH +audio/MSK0028.mp3[91.000,99.280] OK AND DID THE PAIN START IMMEDIATELY OR OR A BIT LATER ON +audio/MSK0028.mp3[99.280,112.840] THE PAIN I THINK IT STARTED PRETTY SOON AFTER LIKE PROBABLY WITHIN LIKE HALF AN HOUR OF THAT HAPPENING +audio/MSK0028.mp3[112.840,119.080] OK AND WHERE IS THE PAIN LOCATED NOW +audio/MSK0028.mp3[119.080,132.920] THE PAIN RIGHT NOW IS A YEAH JUST KIND OF RIGHT AT THE FRONT OF MY RIGHT ELBOW AS WELL AS NEAR MY SHOULDER AS WELL +audio/MSK0028.mp3[132.920,144.880] OK AND UM I THINK YOU MENTIONED THE PAIN AS AS BEING SHARP IS THAT HOW YOU WOULD DESCRIBE THE CHARACTER OF THE PAIN +audio/MSK0028.mp3[144.880,150.080] YEAH ITS SHARP YEAH I JUST FEEL LIKE SOMETHING STABBING IN THERE +audio/MSK0028.mp3[150.080,154.440] OK AND DOES THE PAIN RADIATE ANYWHERE ELSE +audio/MSK0028.mp3[154.440,159.720] NO ITS KIND OF IN THE SAME AREA AS THEY DESCRIBED +audio/MSK0028.mp3[159.720,164.240] OK HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER +audio/MSK0028.mp3[164.240,172.960] NO NOTHINGS I TRIED LIKE ADVIL NOTHINGS REALLY WORKED +audio/MSK0028.mp3[172.960,179.560] OK AND UH SORRY HOW LONG IS HOW MANY DAYS IS THE PAIN BEEN ON GOING ON FOR JUST JUST STARTED YESTERDAY +audio/MSK0028.mp3[180.600,186.040] OK AND SINCE THEN HAS THE PAIN GETTING ANY BETTER OR ANY WORSE +audio/MSK0028.mp3[186.040,205.040] I THINK ITS THE SAME PROBABLY A BIT WORSE THAN SO IT JUST HAPPENED LAST EVENING AND I I DIDNT END UP COMING LAST NIGHT BUT I WANTED TO MAKE SURE IM JUST COMING THIS MORNING SINCE ITS JUST BEEN A REALLY PAINFUL NIGHT +audio/MSK0028.mp3[205.040,210.320] OK HAVE YOU DONE ANYTHING THATS MADE THE PAIN WORSE SINCE LAST NIGHT +audio/MSK0028.mp3[210.320,229.680] NO I JUST TRIED TO JUST REST AND I TRIED TO USE SOME ICE BUT NOTHING NOTHINGS BEEN WORKING AND I KIND OF ALSO HAVE LIKE THIS IT ITS WEIRD ITS JUST LIKE THIS MASS RIGHT WHERE MY BICEPS IS IT KIND OF JUST MAKES MY BICEPS LOOK REALLY BIG +audio/MSK0028.mp3[229.680,249.320] OK ALRIGHT WELL I SKIP LOOK AT THAT DURING THE PHYSICAL EXAM COMPONENT THANK YOU AND SO LIKE ARE YOU SEEING SWELL IS THERE LIKE SWELLING THERE IS AS WELL OR IS IS THAT PART PAINFUL +audio/MSK0028.mp3[249.320,256.680] YEAH ITS PAINFUL THERE SWELLING THERE AS WELL +audio/MSK0028.mp3[256.680,265.520] OK AND WELL HOW SEVERE IS THE PAIN ON A SCALE OF 10 TO 1 10 BEING THE WORST PAIN THAT YOUVE EVER EXPERIENCED AND ONE BEING THE LEAST +audio/MSK0028.mp3[265.520,271.160] PROBABLY AT LEAST AN 8 MAYBE A 9 +audio/MSK0028.mp3[271.160,282.160] OK SO THE PAIN IS PRETTY SEVERE THEN IT SOUNDS LIKE UH OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0028.mp3[283.600,288.240] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/MSK0028.mp3[289.960,293.600] OK AND HAVE YOU HAD ANY APPETITE LOSS +audio/MSK0028.mp3[293.600,295.320] UHM NO +audio/MSK0028.mp3[295.320,300.160] OK AND HAVE YOU HAD ANY HEADACHES +audio/MSK0028.mp3[300.160,301.720] UHM NO +audio/MSK0028.mp3[301.720,308.280] HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO VISION OR HEARING +audio/MSK0028.mp3[308.280,311.200] NO NOTHING LIKE THAT +audio/MSK0028.mp3[311.200,315.680] ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE +audio/MSK0028.mp3[316.880,320.160] HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT +audio/MSK0028.mp3[320.160,322.280] UHM NO NOTHING LIKE THAT +audio/MSK0028.mp3[322.280,325.200] OK HAVE YOU HAD A COUGH +audio/MSK0028.mp3[326.120,328.200] ANY SHORTNESS OF BREATH +audio/MSK0028.mp3[329.080,331.640] OK ANY WHEEZING +audio/MSK0028.mp3[332.400,335.640] UM HAVE YOU HAD ANY CHEST PAIN +audio/MSK0028.mp3[336.440,342.200] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/MSK0028.mp3[343.680,347.720] ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0028.mp3[349.360,353.080] OK UH AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0028.mp3[354.320,356.240] ANY NAUSEA OR VOMITING +audio/MSK0028.mp3[357.080,363.360] ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION OR EVEN BLOOD IN THE STOOL +audio/MSK0028.mp3[363.360,366.080] NO NOTHING LIKE THAT +audio/MSK0028.mp3[366.080,371.000] OK ANY URINATION PROBLEMS SUCH AS PAIN OR FREQUENCY +audio/MSK0028.mp3[372.120,379.680] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR SKIN LIKE RASHES OR CHANGES TO YOUR NAILS OR HAIR +audio/MSK0028.mp3[379.920,386.600] ALRIGHT AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR TINGLING +audio/MSK0028.mp3[386.600,389.880] NO I DONT THINK SO +audio/MSK0028.mp3[389.880,395.400] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +audio/MSK0028.mp3[395.400,413.640] JUST JUST IN THE IN THAT AREA I CANT REALLY LIKE I CANT REALLY FLEX AN REALLY MOVE MY UPPER UPPER ARM IN MY ELBOW +audio/MSK0028.mp3[413.640,418.040] OK DO YOU HAVE ANY PAINS IN ANY OTHER JOINTS +audio/MSK0028.mp3[418.040,428.920] UM NO THATS ITS ONLY MY RIGHT UPPER ARM +audio/MSK0028.mp3[428.920,438.000] OK UM AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS +audio/MSK0028.mp3[438.000,446.400] NO OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +audio/MSK0028.mp3[446.400,456.680] UHM NO IVE BEEN PRETTY HEALTHY UM I THEY THINK I DO HAVE LIKE PRE DIABETES BUT IM NOT ON ANY MEDICATION +audio/MSK0028.mp3[456.680,474.160] OK AND HAVE YOU HAD ANY ISSUES WITH YOUR SHOULDER BEFORE LIKE LIKE A SUBACROMIAL LIKE IMPINGEMENT SYNDROME OR LIKE A ROTATOR CUFF PAINS OR PROBLEMS IN THE PAST +audio/MSK0028.mp3[474.160,497.560] A FEW YEARS AGO I DID HAVE SOME PAIN UM WITH LIKE SOME THEY THEY TOLD ME NOT TO DO LIKE OVERHEAD WORK LIKE JUST THINGS THAT REQUIRE LIKE WITH PHYSIO I NEED TO DO SOME STRENGTHENING AS WELL AND IT WAS IT WASNT THE SAME SAME SHOULDER +audio/MSK0028.mp3[497.560,504.800] OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY +audio/MSK0028.mp3[504.800,509.240] UH NO +audio/MSK0028.mp3[509.240,512.120] OK AND DO YOU HAVE ANY ALLERGIES +audio/MSK0028.mp3[512.440,517.720] HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +audio/MSK0028.mp3[517.720,526.720] I HAD MY TONSILS REMOVED WHEN I WAS PROBABLY LIKE 10 OR SOMETHING BUT THATS ABOUT IT +audio/MSK0028.mp3[526.720,537.200] OK AND FOR THE SHOULDER IN THE PAST DID YOU HAVE ANY IMAGING DONE LIKE AN ULTRASOUND OR OR MRI MAYBE TO LOOK AT THE STRUCTURES +audio/MSK0028.mp3[537.200,546.200] NO IT WAS JUST A IT KIND OF WENT AWAY I JUST DID SOME PHYSIO THEY DIDNT REALLY DO ANY IMAGING +audio/MSK0028.mp3[546.200,558.560] I SEE OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE YOURE LIVING WITH AND WHERE +audio/MSK0028.mp3[558.560,572.600] YEAH SO IM LIVING WITH MY WIFE AND UM DAUGHTER AND IM LIVING JUST IN A CONDOMINIUM IN THE CITY +audio/MSK0028.mp3[572.600,576.720] OK AND ARE YOU WORKING RIGHT NOW +audio/MSK0028.mp3[576.720,590.520] YEAH SO IM AN ACCOUNTANT IM WORKING FROM HOME SO ITS NOT THAT BAD BUT I I MIGHT JUST TAKE A FEW DAYS OFF DEPENDING ON WHAT I HAVE TO DO WITH THIS INJURY +audio/MSK0028.mp3[590.520,607.360] OK AND UM DO YOU AND HOBBY WISE YOU MENTIONED LIKE WEIGHT LIFTING ARE YOU AN ACTIVE PERSON LIKE BODYBUILDING AND THAT SORT OF THING REGULARLY +audio/MSK0028.mp3[607.360,622.880] I I JUST ACTUALLY PROBABLY STARTED THIS PAST YEAR I USED TO I USED TO WORKOUT A LOT IN UNIVERSITY AND IN MY EARLY 30S BUT THEN I STOPPED AND THIS YEAR IVE KIND OF GONE BACK INTO IT +audio/MSK0028.mp3[622.880,632.000] OK WELL ITS GOOD THAT YOURE STAYING ACTIVE AND UM DO YOU SMOKE CIGARETTES +audio/MSK0028.mp3[632.000,647.280] NO I UH PROBABLY TRIED A COUPLE TIMES AND HIGH SCHOOL AND UNIVERSITY BUT JUST IT WAS NEVER MY THING +audio/MSK0028.mp3[647.280,654.800] OK AND HOW ABOUT CANNABIS LIKE SMOKING MARIJUANA OR USING ANY OF THOSE TYPES OF PRODUCTS +audio/MSK0028.mp3[654.800,659.000] NO I I TRY TO STAY AWAY FROM ANY DRUGS +audio/MSK0028.mp3[659.000,663.400] OK UH INCLUDING RECREATIONAL DRUGS +audio/MSK0028.mp3[666.720,674.240] OK AND UH ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS THAT THAT RUN IN THE FAMILY +audio/MSK0028.mp3[674.240,678.640] NOT THAT I KNOW OF NO +audio/MSK0028.mp3[678.640,681.160] OK NOW HOW ABOUT ANY AUTOIMMUNE DISEASES +audio/MSK0028.mp3[681.160,686.400] UH NO I DONT THINK SO +audio/MSK0028.mp3[686.400,704.280] OK SO NEXT I JUST WANTED TO ASK YOU TO HAVE A LOOK AT THE AT THE ARM COMPARED TO THE OTHER SIDE ARE YOU NOTICING ANY SWELLING REDNESS OR +audio/MSK0028.mp3[704.280,729.960] YEAH ANY SWELLING OR REDNESS I DO SEE SOME JUST LIKE KIND OF LIKE IN THE MIDDLE OF THIS AREA SOME REDNESS KIND OF LOOKS LIKE SOME BRUISING IN IN THAT IN THAT REGION UHM I ALSO FEEL LIKE WHEN I LIKE TRY TO FLEX MY BICEPS KIND OF HAVE MOVED UPWARDS +audio/MSK0028.mp3[729.960,744.880] OK IS THIS THE MASS OR LUMP THAT I YOU WERE MENTIONING EARLIER THAT YOU KINDA CAN NOTICE IN THE IN YOUR RIGHT ARM +audio/MSK0028.mp3[744.880,745.240] YEAH YEAH +audio/MSK0028.mp3[745.240,751.400] OK IS THERE ANY TEMPERATURE CHANGE LIKE DOES IT FEEL WARM ON THAT SIDE +audio/MSK0028.mp3[751.400,757.600] UHM I CANT REALLY TELL IF ITS WARM OR NOT +audio/MSK0028.mp3[757.600,773.120] OK AND YOU SO YOU MENTIONED ARE YOU ABLE TO BEND YOUR ELBOW ALL THE WAY UP SO TO FLEX IT ALL THE WAY UP OR IS A RANGE OF MOTION LIMITED +audio/MSK0028.mp3[773.120,786.840] ITS PRETTY LIMITED ITS PRETTY TOUGH TO FLEX ITS REALLY PAINFUL AND THAT I ALSO CANT LIKE I CANT TURN MY ARM I CANT SUPINATE +audio/MSK0028.mp3[786.840,792.480] OK SO YEAH SO IS THAT SO YOU HAVE REDUCED SUPINATION AS WELL +audio/MSK0028.mp3[793.120,808.160] AND HOW ARE YOUR SHOULDER MOVEMENT ARE YOU ABLE TO LIKE IF YOURE LIFTING YOUR ARMS STRAIGHT OUT IN FRONT OF YOU ARE YOU ABLE TO TO LIFT THEM ALL THE WAY UP ABOVE YOUR HEAD +audio/MSK0028.mp3[808.160,810.840] OUT LIKE AT THE SIDES OR IN FRONT OF ME +audio/MSK0028.mp3[810.840,812.920] IN FRONT OF YOU +audio/MSK0028.mp3[812.920,830.800] YEAH THE SHOULDER SEEMS TO BE OK I AM ABLE TO LIFT UP BUT ITS JUST IF I TRY TO MOVE MY UPPER ARMS AT ALL IT HURTS A LOT +audio/MSK0028.mp3[830.800,837.880] OK ALRIGHT SO YOULL GET SOME PAIN AT THE AT THE SHOULDER WITH THE MOVEMENT +audio/MSK0028.mp3[837.880,850.480] THERE THERE IS DISCOMFORT IN THE AFFECTED SIDE BUT I CAN I CAN MOVE IT MUCH MORE THAN I CAN MOVE MY ELBOWS OR ANYTHING LIKE THAT +audio/MSK0028.mp3[850.480,862.760] OK I SEE SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND I LOOK FOR ON ON THE PHYSICAL TODAY WAS THERE ANYTHING I MAY BE MISSED OR ANYTHING LIKE THAT +audio/MSK0028.mp3[862.760,868.360] UHM NO I THINK UH I DONT HAVE ANY OTHER QUESTIONS +audio/MSK0028.mp3[868.360,937.400] OK ALRIGHT SO BASED ON THE HISTORY AND WHAT YOURE TELLING ME FOR THE PHYSICAL AS WELL OF HAVING A HISTORY OF EXERCISING AND ALSO SHOULDER PAIN WITH OVERHEAD HEAD MOVEMENTS WHICH ARE RISK FACTORS FOR DEVELOPING A BICEPS TENDON TEAR OR BICEPS TENDON INJURY AND HAVING THE SWELLING AND BRUISING AS WELL AS REDUCED FUNCTION OF BICEPS OR ELBOW FLEXION THEY ALL SUGGESTS THAT THERE IS A BICEPS TENDON TEAR OR INJURY THERE AND SO WILL WANT TO GET AN ULTRASOUND OR MRI TO LOOK AT WILL START WITH THE ULTRASOUND BUT THEN POSSIBLY GET AN MRI AS WELL TO LOOK AT THE EXTENT OF THE TISSUE DAMAGE BUT IF THERE IS JUST A LONG HEAD OF BICEPS TEAR IT WILL USUALLY BE TREATED CONSERVATIVELY AND SO WELL JUST NEED TO LOOK TO SEE WHAT THE EXTENT OF THE INJURY IS +audio/RES0172.mp3[0.000,2.200] WHAT BRINGS YOU IN TODAY +audio/RES0172.mp3[2.200,22.120] SO TWO DAYS AGO I STARTED TO HAVE THIS COUGH CAME OUT OF NOWHERE I HAVENT HAD A COUGH BEFORE AND I JUST TODAY IVE NOTICED THE FEVER AS WELL AND AND IVE HAD A HEADACHE THE LAST FEW DAYS +audio/RES0172.mp3[22.120,29.920] CAN YOU TELL ME A LITTLE BIT MORE ABOUT YOUR COUGH HAS IT GOTTEN BETTER OR WORSE OVER THE PAST TWO DAYS +audio/RES0172.mp3[29.920,39.360] SO IT ITS A ITS BEEN ABOUT WELL IT GOT WORSE AT FIRST AND THEN ITS BEEN ABOUT THE SAME SINCE THEN +audio/RES0172.mp3[39.360,47.920] OKAY AND IS IT DRY COUGH OR WET COUGH +audio/RES0172.mp3[47.920,50.840] ITS DRY +audio/RES0172.mp3[50.840,57.040] OKAY UHM AND DOES IT EVER WAKE YOU UP AT NIGHT +audio/RES0172.mp3[57.040,64.040] NO WELL IT KIND OF HAPPENS ALL THROUGHOUT THE DAY YEAH NO NO IT HASNT WOKEN ME UP AT NIGHT +audio/RES0172.mp3[64.040,70.320] OK IS THERE ANY ARE THERE ANY TRIGGERS ANYTHING THAT MAKES YOUR COUGH WORSE +audio/RES0172.mp3[70.320,81.320] I CANT THINK OF ANYTHING REALLY IT JUST KINDA COMES ON LIKE THROUGHOUT THE DAY ON IT SPONTANEOUSLY +audio/RES0172.mp3[81.320,85.560] HOW DO YOU TAKE ANY MEDICATIONS TO HELP WITH YOUR SYMPTOMS +audio/RES0172.mp3[85.560,104.080] YEAH SOME OVER THE COUNTER COLD MEDICINES I TRIED SOME TO TAKE TYLENOL COLD AND SINUS OR SOMETHING LIKE THAT ANYWAY AND IT DID HELP ME SLEEP A LITTLE BIT WITH THAT THE HEADACHE AND JUST HAVENT BEEN FEELING VERY GOOD TO HELP WITH THAT +audio/RES0172.mp3[104.080,110.040] AND TELL ME ABOUT YOUR FEVER DID YOU CHECK IT CHECK IT CHECK YOUR TEMPERATURE +audio/RES0172.mp3[110.040,119.560] I DID YEAH TODAY I CHECKED IT AND IT WAS LIKE JUST OVER 38 I THINK LIKE 381 OR TWO +audio/RES0172.mp3[119.560,125.360] OK WHAT ABOUT YOUR HEADACHE WHERE EXACTLY IS IT +audio/RES0172.mp3[125.360,134.560] I KIND OF FEEL IT ALL OVER ITS LIKE A BAND NIGHT FEELS LIKE ITS JUST AROUND MY HEAD AND SQUEEZING +audio/RES0172.mp3[134.560,144.480] AND HOW LIKE IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO 10 WHAT NUMBER WOULD YOU GIVE IT WITH 10 BEING THE WORST HEADACHE EVER +audio/RES0172.mp3[144.480,148.520] I WOULD SAY MAYBE A 5 +audio/RES0172.mp3[148.520,152.080] OK AND YOU MENTIONED THAT THE TYLENOL HELPED +audio/RES0172.mp3[152.080,165.760] IT DID YEAH PROBABLY TOOK IT DOWN TO A TWO OR THREE THE HEADACHE DIDNT GO AWAY ENTIRELY IT WAS SORT OF STILL THERE BUT DID HELP +audio/RES0172.mp3[165.760,178.400] HAVE YOU HAD ANY OTHER SYMPTOMS HAVE YOU HAD A CONFUSION OR IS IT ANY FUZZINESS OR ANY FLU LIKE SYMPTOMS +audio/RES0172.mp3[178.400,192.960] UH I HAVE FELT JUST TIRED AND OVER THESE LAST COUPLE OF DAYS THAT AND I HAVE HAD A SORE THROAT AS WELL +audio/RES0172.mp3[192.960,198.120] OH YOU GET OK OK WHAT ABOUT A RUNNY NOSE OR STUFFY NOSE +audio/RES0172.mp3[198.120,200.760] UH NO NOTHING LIKE THAT +audio/RES0172.mp3[200.760,203.640] ANY DIFFICULTIES BREATHING +audio/RES0172.mp3[204.560,208.000] ANY DIFFICULTY SWALLOWING WITH A SORE THROAT +audio/RES0172.mp3[208.000,216.960] AH IS A LITTLE BIT PAINFUL BUT IVE BEEN ABLE TO TO EAT AND DRINK OKAY JUST REALLY TAKES A LITTLE LONGER +audio/RES0172.mp3[216.960,220.920] ANY DIZZINESS OR FAINTING IN THE PAST COUPLE OF DAYS +audio/RES0172.mp3[220.920,223.080] NO NOTHING LIKE THAT +audio/RES0172.mp3[223.080,230.680] OK ANY RASHES OR CHANGES IN THEIR NAILS +audio/RES0172.mp3[230.680,233.240] NO I HAVENT HAD ANYTHING LIKE THAT +audio/RES0172.mp3[233.240,239.000] ANY CHANGES IN YOUR I GUESS HAVE HAD ANY CHEST PAIN +audio/RES0172.mp3[239.000,243.000] NO HAVENT HAD ANY CHEST PAIN HAVENT HAD ANYTHING LIKE THAT BEFORE +audio/RES0172.mp3[243.000,246.080] ANY BELLY PAIN +audio/RES0172.mp3[247.280,251.160] ANY CHANGES IN YOUR BOWEL MOVEMENT ANY DIARRHEA +audio/RES0172.mp3[251.160,255.760] NO NO I HAVENT HAD AH ANY DIARRHEA +audio/RES0172.mp3[255.760,265.800] OK UHM ANY CHANGES IN YOUR URINATION ANY DIFFICULTIES OR ANY PAIN OR ANY INCREASE IN FREQUENCY +audio/RES0172.mp3[265.800,278.280] NO IVE HAD A URINARY TRACK INFECTIONS BEFORE SO I KNOW WHAT THATS LIKE I HAVENT HAD ANY OF THOSE SYMPTOMS +audio/RES0172.mp3[278.280,286.000] OK ALRIGHT GOOD AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0172.mp3[286.000,298.640] UHM NO I HAVENT I HAD SURGERY ON MY KNEE WHEN I WAS A TEENAGER I UH TORE MY ACL BUT ITS BEEN GOOD SINCE THEN +audio/RES0172.mp3[298.640,301.280] ANY HOSPITALIZATIONS +audio/RES0172.mp3[302.760,308.480] OK ANY MEDICATIONS THAT YOURE TAKING INCLUDING OVER THE COUNTER MEDS +audio/RES0172.mp3[308.480,316.600] YEAH I JUST SAY IM ON BIRTH CONTROL RIGHT NOW IVE BEEN TAKING IT FOR THE LAST LIKE FIVE YEARS +audio/RES0172.mp3[316.600,320.640] OK ANY ALLERGIES +audio/RES0172.mp3[320.640,328.480] OH NO I DONT THINK SO +audio/RES0172.mp3[328.480,338.680] OK GOOD AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART OR LUNG CONDITIONS OR CANCERS +audio/RES0172.mp3[338.680,347.080] YEAH MY MY AUNT HAD HAD BREAST CANCER BUT AH AND MY DAD HAS HIGH BLOOD PRESSURE +audio/RES0172.mp3[347.080,360.000] OK OK UHM AND DO YOU CURRENTLY SMOKE +audio/RES0172.mp3[360.000,363.280] NO I DONT +audio/RES0172.mp3[363.280,367.040] DO YOU EVER SMOKE IN THE PAST +audio/RES0172.mp3[367.040,370.360] NO I I I I IVE STAYED AWAY FROM THAT +audio/RES0172.mp3[370.360,374.880] GOOD ANY MARIJUANA OR RECREATIONAL DRUGS +audio/RES0172.mp3[374.880,383.920] YEAH SOMETIMES WELL WELL SMOKE WITH LIKE FRIENDS AT A PARTY I GUESS BUT I HAVENT HAD ANY I HAVENT DONE THAT IN AWHILE +audio/RES0172.mp3[383.920,385.280] ALRIGHT ANY ALCOHOL +audio/RES0172.mp3[385.280,395.120] SIMILAR LIKE SOMETIMES AT A PARTY BUT I MEAN YEAH ITS BEEN AWHILE FOR SOMETHING LIKE THAT SO I HAVENT REALLY HAD ANY ALCOHOL ON IN MONTHS +audio/RES0172.mp3[395.120,400.080] AND ARE YOU CURRENTLY WORKING OR +audio/RES0172.mp3[400.080,414.080] I AM YEAH SO ITS UH YEAH I WORK FOR THIS TECH COMPANY SO IVE BEEN ABLE TO DO A LOT OF MY STUFF AT AT HOME +audio/RES0172.mp3[414.080,419.800] OK UHM HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK +audio/RES0172.mp3[419.800,442.160] I WILL WITHOUT WELL YEAH I THERE A COUPLE OR LAST WEEKEND ACTUALLY THERE WAS A FAMILY PARTY THAT WE WENT TO IT WAS OUTSIDE BUT UH IT YEAH THERES PEOPLE AROUND THERE WAS NOBODY THAT WAS SICK THAT IM AWARE OF +audio/RES0172.mp3[442.160,446.280] OK AND AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +audio/RES0172.mp3[446.280,454.080] NO BEEN BESIDES THAT THE FAMILY PARTY LAST WEEKEND BUT I MEAN THAT WAS JUST HERE IN TOWN SO IT WAS CLOSE BY +audio/RES0172.mp3[454.080,465.560] OK I GUESS I FORGOT TO ASK ABOUT A SYMPTOM HAVE YOU FELT THAT YOUVE LOST YOUR SENSE OF SMELL OR SENSE OF TASTE HAS IT JUST BEEN DIFFERENT +audio/RES0172.mp3[465.560,485.160] YEAH I SAID SOME ACTUALLY NOW THAT YOU MENTION IT RIGHT SENSE OF SMELL HAS BEEN DIFFERENT WHICH IS KIND OF WEIRD CAUSE I I DONT HAVE EVERYBODY KNOWS OR I DONT FEEL CONGESTED OR ANYTHING SO YEAH BUT MY TASTE HAS BEEN OK +audio/RES0172.mp3[485.160,566.480] GOOD WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THAT YOUR SYMPTOMS SORT OF SOUND LIKE YOU MAY HAVE A VIRAL OR BACTERIAL INFECTION AND SEEING THAT YOU WERE YOU HAD SOME EXPOSURE TO TO OTHER PEOPLE EVEN THOUGH THEY WERENT SICK IT COULD IT COULD BE THAT THEY THEY HAD SOME SORT OF AN ILLNESS THAT THEY COULD TRANSMIT THAT THEY WERENT JUST SHOWING SYMPTOMS AT THE TIME WE WILL GET A COVID SWAB DONE JUST TO MAKE SURE THAT THATS NOT WHATS HAPPENING IT COULD BE THAT AND ILL RECOMMEND THAT YOU CONTINUE TO YOU KNOW TAKE TYLENOL AND REST AND TAKE CARE OF YOURSELF AND IF YOUR SYMPTOMS WORSEN OR STAY THE SAME FOR LONG PERIOD OF TIME DEFINITELY COME BACK OR CALL PUBLIC HEALTH TO GET SOME GUIDANCE AND TRY TO STAY AWAY FROM OTHERS AND SELF ISOLATE FOR THE NEXT COUPLE OF DAYS OR AT LEAST CLEAR COVID SWABS BACK OR YOUR SYMPTOMS IMPROVE OR THE NEXT 14 DAYS SO THATS ALL I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0172.mp3[566.480,568.760] NO THAT SOUNDS REALLY GOOD THANK YOU +audio/RES0184.mp3[0.000,2.320] HOW MAY I HELP YOU +audio/RES0184.mp3[2.320,15.160] HI THERE UMM SO IVE HAD THIS RUNNY NOSE FOR THE PAST FIVE DAYS AND IT DOESNT SEEM TO BE GOING AWAY SO I THOUGHT I SHOULD GET SOME HELP +audio/RES0184.mp3[15.160,20.360] OK AND AH WITH THE RUNNY NOSE COULD YOU DESCRIBE THE DISCHARGE +audio/RES0184.mp3[20.360,25.920] YEAH ITS ITS PRETTY CLEAR +audio/RES0184.mp3[25.920,36.880] OK AND HAVE YOU HAD ANY NASAL OBSTRUCTION OR FEELING AS THOUGH LIKE ONE OF YOUR NOSTRILS IS PLUGGED WHEN YOURE BREATHING IN +audio/RES0184.mp3[36.880,40.840] UH YEAH I HAVE THAT FEELING +audio/RES0184.mp3[40.840,44.480] OK HAVE YOU HAD ANY PAIN ON YOUR FACE +audio/RES0184.mp3[44.480,49.000] PAIN AH NO NOTHING LIKE THAT +audio/RES0184.mp3[49.000,57.680] OK HOW ABOUT A CHANGE TO YOUR SENSE OF SMELL LIKE LOSS OF SMELL +audio/RES0184.mp3[57.680,60.640] NO I HAVENT HAD THAT +audio/RES0184.mp3[60.640,68.480] OK HAVE YOU HAD ANY DISCHARGE FROM YOUR EYES OR EYE REDNESS OR ANY EYE PAIN +audio/RES0184.mp3[70.480,73.920] ALRIGHT HAVE YOU HAD A SORE THROAT +audio/RES0184.mp3[73.920,76.720] UHM NO SORE THROAT +audio/RES0184.mp3[76.720,79.720] HAVE YOU HAD A COUGH +audio/RES0184.mp3[83.560,87.520] OK HAVE YOU HAD ANY HEADACHES +audio/RES0184.mp3[87.520,91.080] AH JUST A SLIGHT HEADACHE +audio/RES0184.mp3[91.080,94.840] OK I MEAN HAVE YOU EXPERIENCED HEADACHES LIKE THIS IN THE PAST +audio/RES0184.mp3[94.840,102.440] YEAH USUALLY WHEN I GET SICK I GET GET A HEADACHE +audio/RES0184.mp3[102.440,111.040] OK OK CAN YOU DESCRIBE WHERE YOU FEEL THE HEADACHE THE MOST AND IS IT PULSATING OR KIND OF ALWAYS THERE +audio/RES0184.mp3[111.040,117.160] ITS KIND OF ALWAYS THERE AND ITS JUST ON THE SIDES OF MY HEAD +audio/RES0184.mp3[117.160,125.000] OK HAVE YOU TRIED ANYTHING FOR IT +audio/RES0184.mp3[125.000,132.080] JUST SOME TYLENOL WHICH SEEMS TO HAVE HELPED +audio/RES0184.mp3[132.080,136.080] OK UHM AND UMM YEAH HAVE YOU HAD A COUGH +audio/RES0184.mp3[136.080,143.680] AH NO COUGH LIKE NOW UHM I I DID HAVE A SLIGHT COUGH LAST WEEK +audio/RES0184.mp3[143.680,146.240] OK AND IT WENT AWAY +audio/RES0184.mp3[147.840,152.520] WAS IT DRY OR DID YOU WERE BRINGING UP ANY SPUTUM OR PHLEGM +audio/RES0184.mp3[152.520,156.360] NO ITS PRETTY DRY +audio/RES0184.mp3[156.360,160.720] OK UHM AND DO YOU HAVE A SORE THROAT +audio/RES0184.mp3[161.640,164.960] OK AND HAVE YOU HAD ANY WHEEZING OR SHORTNESS OF BREATH +audio/RES0184.mp3[167.080,170.880] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0184.mp3[172.200,177.000] HOW ABOUT ANY WE SORRY FAINTING OR DIZZINESS +audio/RES0184.mp3[177.000,179.720] NO NOTHING LIKE THAT +audio/RES0184.mp3[179.720,184.320] OK HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/RES0184.mp3[186.640,193.320] OK UHM AND HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0184.mp3[193.320,211.240] UHM I HAVE HAD SOME LIKE DIARRHEA SO I THINK PART LIKE MY STOMACH HURT A LITTLE BIT DURING THAT TIME BUT I DONT HAVE THAT ANYMORE +audio/RES0184.mp3[211.240,215.680] OK WHEN DID YOU HAVE DIARRHEA +audio/RES0184.mp3[215.680,219.480] LAST WEEK AS WELL +audio/RES0184.mp3[219.480,226.240] OK UH WAS THERE ANY BLOOD IN THE STOOL +audio/RES0184.mp3[227.560,235.200] OK HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS LIKE ANY PAIN OR FREQUENCY +audio/RES0184.mp3[237.520,241.000] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0184.mp3[242.400,245.480] HOW ABOUT ANY FEVERS OR CHILLS +audio/RES0184.mp3[245.480,247.120] UH NO +audio/RES0184.mp3[247.120,249.600] HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0184.mp3[249.600,252.400] UH NO NOTHING LIKE THAT +audio/RES0184.mp3[252.400,256.440] I SEE OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY +audio/RES0184.mp3[258.080,263.400] ALRIGHT HAVE YOU HAD ANY RASHES OR SKIN RASHES +audio/RES0184.mp3[265.040,269.000] AND HOW ABOUT ANY MUSCLE ACHES OR OR BODY PAINS +audio/RES0184.mp3[269.000,270.680] OH NO +audio/RES0184.mp3[270.680,276.080] ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE +audio/RES0184.mp3[276.080,279.000] UHM A LITTLE BIT +audio/RES0184.mp3[279.000,282.880] OK LITTLE FATIGUE AND AND HOW HAS YOUR APPETITE BEEN +audio/RES0184.mp3[282.880,291.960] APPETITES BEEN OK IM STILL EATING +audio/RES0184.mp3[291.960,296.120] ALRIGHT AND UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0184.mp3[296.120,299.720] UH NO IVE BEEN PRETTY HEALTHY +audio/RES0184.mp3[299.720,305.960] OK GREAT AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED +audio/RES0184.mp3[307.600,310.960] OK AND DO YOU HAVE ANY ALLERGIES +audio/RES0184.mp3[310.960,314.000] NO I DONT +audio/RES0184.mp3[314.000,320.720] OK AND ANY RECENT HOSPITALIZATIONS IN THE PAST OR ANY PRIOR SURGERIES +audio/RES0184.mp3[320.720,329.920] UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS YOUNGER BUT THAT WAS A LONG TIME AGO +audio/RES0184.mp3[329.920,340.320] OK I SEE AND ARE YOU LIVING AH CAN YOU TELL ME ABOUT WHERE YOURE LIVING NOW AND WHO YOURE LIVING WITH +audio/RES0184.mp3[340.320,345.920] IM IM LIVING BY MYSELF IM A STUDENT I LIVE IN AN APARTMENT +audio/RES0184.mp3[345.920,351.120] OK AND ARE YOU GOING TO CLASSES IN PERSON RIGHT NOW +audio/RES0184.mp3[351.120,352.640] NO THEYRE ALL ONLINE +audio/RES0184.mp3[352.640,360.240] OK AND HAVE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0184.mp3[360.240,364.640] NO NOT THAT I CAN THINK OF +audio/RES0184.mp3[364.640,369.360] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0184.mp3[371.960,375.280] OK AND YOU SMOKE CIGARETTES +audio/RES0184.mp3[375.280,376.880] I DONT +audio/RES0184.mp3[376.880,381.320] AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS +audio/RES0184.mp3[381.320,384.320] OCCASIONALLY I WILL +audio/RES0184.mp3[384.320,385.800] OK HOW OFTEN +audio/RES0184.mp3[385.800,390.720] UHM I WILL MAYBE SMOKE ONCE A WEEK +audio/RES0184.mp3[390.720,399.920] OK UH AND USE ANY RECREATIONAL DRUGS LIKE COCAINE OR OPIOIDS +audio/RES0184.mp3[399.920,403.640] OH GOSH NO +audio/RES0184.mp3[403.640,408.520] AND DO YOU DRINK ALCOHOL +audio/RES0184.mp3[408.520,412.120] UH YEAH OCCASIONALLY +audio/RES0184.mp3[412.120,415.760] OK HOW MANY DRINKS WOULD YOU SAY YOU HAVE PER WEEK +audio/RES0184.mp3[415.760,420.400] UHM ILL HAVE LIKE A BOTTLE OF WINE A WEEK +audio/RES0184.mp3[420.400,429.360] OK AND ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0184.mp3[433.880,438.640] OK HOW ABOUT ANY CANCERS +audio/RES0184.mp3[438.640,442.480] I THINK LIKE COLON CANCER RUNS IN THE FAMILY +audio/RES0184.mp3[442.480,461.200] OK UMM AND ALRIGHT SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON THAT ON THE HISTORY TODAY I WAS WONDERING IF THERE WAS ANYTHING ELSE THAT YOU WANTED TO MENTION THAT I MAYBE FORGOT TO ASK ABOUT +audio/RES0184.mp3[461.200,474.640] NO NOTHING ELSE I I I WAS JUST WONDERING WHAT I COULD DO TO FEEL BETTER OR MAKE THIS GO AWAY +audio/RES0184.mp3[474.640,538.400] YEAH CERTAINLY SO I SO ITS SOUNDS LIKE YOU HAVE THE COMMON COLD OR A VIRAL ILLNESS WHICH IT COULD BE CAUSED BY SOMETHING LIKE ADENOVIRUS OR THERE ARE OTHERS AS WELL HOWEVER THE SYMPTOMS DO OVERLAP WITH COVIAS YOU CAN BE LIKE NONSPECIFIC SYMPTOMS SUCH AS HAVING KIND OF JUST LIKE A RUNNY NOSE LIKE YOU DO HERE AND SO WE WILL DO A COVISWAB AND WELL AWAIT THOSE RESULTS BUT IN THE MEANTIME ITS MOSTLY SUPPORTIVE CARE SO IT MEANS JUST TRYING TO STAY HYDRATED STAY RESTED AND JUST MONITOR YOUR SYMPTOMS BECAUSE IF THINGS DO GET WORSE ITLL BE IMPORTANT TO UH GO TO THE EMERGENCY ROOM +audio/RES0184.mp3[541.720,547.800] ALRIGHT SO WELL GET THE SWAB NOW AND GET THAT TESTING STARTED +audio/RES0184.mp3[547.800,550.560] OK THAT SOUNDS GREAT THANK YOU +audio/RES0184.mp3[550.560,554.200] ALRIGHT THANK YOU +audio/RES0009.mp3[0.000,3.920] TO START COULD YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TODAY +audio/RES0009.mp3[3.920,15.680] REALLY I JUST DONT I I DONT FEEL QUITE RIGHT LIKE IVE HAD THIS PAIN IN MY CHEST FOR FIVE DAYS NOW AND IVE BEEN JUST FEELING KIND OF OUT OF BREATH +audio/RES0009.mp3[15.680,20.560] OH OK UM WHERE ARE YOU FEELING THIS PAIN +audio/RES0009.mp3[20.560,42.160] UM ITS ITS KIND OF UM ON THE LEFT SIDE OF MY CHEST AND ITS JUST LIKE A TINY ITS LIKE A LINGERING SHARP PAIN I DONT REALLY FEEL IT ANYWHERE ELSE ITS JUST KIND OF THERE ALL THE TIME RIGHT NOW I IVE NEVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0009.mp3[42.160,52.120] OK SO YOURE NOT FEELING THE PAIN RADIATE ANY TO ANY OTHER LOCATIONS YOURE JUST FEELING IT SORT OF IN THE ONE SPOT ON THE LEFT SIDE +audio/RES0009.mp3[52.120,55.440] YEAH YEAH EXACTLY +audio/RES0009.mp3[55.440,65.800] OK AND SINCE THIS PAIN STARTED 5 DAYS AGO HAS IT GOTTEN ANY BETTER ANY WORSE OR STAYED THE SAME +audio/RES0009.mp3[65.800,101.880] LIKE WHEN I WHEN IT STARTED I WAS JUST I WAS JUST LIKE SITTING ON MY COUCH UM AND NOW ITS HARDER IF IM ITS WORSE IF IM WALKING AROUND LIKE IF I WALK JUST DOWN THE STREET TO GET THE MAIL BUT OTHERWISE ITS KIND OF KIND OF JUST THERE LIKE I TOOK SOME TYLENOL AND ADVIL AND THEY MAYBE TAKE THE EDGE OFF A LITTLE BIT BUT ITS ALWAYS THERE AND ITS WORSE WHEN I WHEN I TAKE A DEEP BREATH THEN I REALLY FEEL IT +audio/RES0009.mp3[101.880,110.200] OK SO ITS WORSE IS THE PAIN WORSE WHEN YOURE WALKING AS WELL LIKE OUT TO GET THE MAIL +audio/RES0009.mp3[110.200,118.560] ITS I DONT THE THE PAIN IS BUT I IM NOT I CANT CATCH MY BREATH WHEN IM DOING THAT +audio/RES0009.mp3[118.560,121.480] OK AND HOW FAR COULD YOU USUALLY WALK OR UM +audio/RES0009.mp3[121.480,133.840] OH YEAH USUALLY WALK BEFORE I GO FOR LONG WALKS LIKE EVERY DAY LIKE PROBABLY LIKE 5 KILOMETERS OR SOMETHING +audio/RES0009.mp3[133.840,140.120] OK SO PRIOR TO THIS HAPPENING YOU WERE FEELING WELL +audio/RES0009.mp3[140.120,155.880] YEAH TOTALLY IVE NOT EVER HAD ANY PROBLEMS WITH MY HEART OR LUNGS OR ANYTHING I THOUGHT IT WAS MAYBE JUST LIKE A CHEST INFECTION BUT I I DONT KNOW ANYMORE +audio/RES0009.mp3[155.880,167.600] OK SO YOUVE HAD THAT THE DIFFICULTIES BREATHING AND THE PAIN AND HAVE YOU HAD ANY OTHER SYMPTOMS +audio/RES0009.mp3[167.600,172.880] MMM I THINK ITS JUST THOSE THOSE THE TWO THINGS THAT I SAID +audio/RES0009.mp3[172.880,181.200] OK SO HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS +audio/RES0009.mp3[181.200,183.120] NO NOTHING LIKE THAT +audio/RES0009.mp3[183.120,189.080] OK HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0009.mp3[190.880,206.160] OK AND UM HOW IS YOUR ENERGY BEEN HAVE YOU EXPERIENCED ANY LIKE SIGNIFICANT FATIGUE +audio/RES0009.mp3[206.160,219.040] UM NOT WELL I MEAN IVE BEEN DOING LESS STUFF BECAUSE ITS HARDER TO BREATHE LIKE IM GETTING KIND OF LIKE I CANT CATCH MY BREATH SO I GUESS MAYBE MAYBE A LITTLE BIT LIKE FATIGUE +audio/RES0009.mp3[219.040,227.720] I SEE OK BUT FEELING FINE ENERGYWISE PRIOR TO THE TWO 5 DAYS AGO +audio/RES0009.mp3[227.720,230.000] YEAH TOTALLY +audio/RES0009.mp3[230.000,237.000] OK UH AND HAVE YOU BEEN HAVING ANY NIGHT SWEATS +audio/RES0009.mp3[237.000,241.280] UH NO NO I HAVENT +audio/RES0009.mp3[241.280,249.960] OK HOW ABOUT ANY UNUSUAL HEADACHES +audio/RES0009.mp3[251.880,261.720] ALRIGHT AND HAVE YOU FELT AS THOUGH YOUR HEART IS RACING OR BEATING OUT OF YOUR CHEST AT ALL +audio/RES0009.mp3[261.720,265.760] NO NO ITS JUST THAT LIKE SHARP THAT SHARP PAIN +audio/RES0009.mp3[265.760,275.640] OK HAVE YOU HAD ANY EPISODES OF LIGHTHEADEDNESS OR FEELING LIKE YOU YOU MIGHT MIGHT FAINT +audio/RES0009.mp3[275.640,281.760] NO NO JUST THE DIFFICULTY BREATHING THAT SCARES TO ME BUT IT HASNT BEEN LIKE THAT +audio/RES0009.mp3[281.760,288.200] OK HAVE YOU HAD A COUGH +audio/RES0009.mp3[288.200,292.640] NO NO THATS THE THING THAT IT SEEMS WEIRD RIGHT +audio/RES0009.mp3[292.640,313.280] OK UM SOMETIMES THINGS CAN BE ASSOCIATED WITH A COUGH SO WELL ABSOLUTELY LOOK INTO WHAT THE CAUSES OF YOUR SYMPTOMS ARE TODAY BUT YOU HAVENT BROUGHT UP ANY ANY BLOOD OR ANY SPUTUM +audio/RES0009.mp3[313.280,315.680] NO NO +audio/RES0009.mp3[315.680,321.080] OK AND HAVE YOU HAD ANY WHEEZING WITH YOUR WITH YOUR BREATH +audio/RES0009.mp3[321.080,323.360] I DONT KNOW I DONT THINK SO +audio/RES0009.mp3[323.360,330.000] ALRIGHT AND HOW ABOUT ANY ABDOMINAL PAIN +audio/RES0009.mp3[330.000,337.480] NO I MEAN THE PAIN IS LIKE YEAH ITS IN MY CHEST YEAH THATS NOT IN MY ITS NOT IN MY BELLY AT ALL +audio/RES0009.mp3[337.480,344.840] OK AND HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0009.mp3[344.840,370.760] NO I MEAN SO I HAD I HAD A I HAD A HYSTERECTOMY WEEKS AGO MAYBE LIKE MAYBE LIKE A MONTH AGO NOW UM SO AFTER THAT IT WAS YOU KNOW FEELING A LITTLE LIKE I WAS KIND OF NOT DRINKING AS MUCH AND THAT SO I WASNT PEEING AS MUCH THEN BUT I THINK ITS NORMAL NOW +audio/RES0009.mp3[370.760,384.960] OK UM AND HOW HAVE YOU RECOVERED SINCE THE HYSTERECTOMY WERE YOU LIKE BEDBOUND FOR QUITE AWHILE AFTERWARDS OR WERE YOU UP AN ACTIVE +audio/RES0009.mp3[384.960,398.560] REALLY IT WAS NOT REALLY LONG THAT I MAY BE A FEW DAYS I WASNT I WASNT WALKING AS MUCH BUT I THOUGHT IT WAS LIKE BACK TO MY NORMAL SELF +audio/RES0009.mp3[398.560,412.760] OK WELL THATS GOOD IM GLAD THAT YOU RECOVERED FROM THAT SURGERY QUICKLY AND WHAT WAS THE SURGERY FOR +audio/RES0009.mp3[412.760,429.880] UH I UH I MEAN I IM DONE HAVING KIDS AND I UH I HAD I WAS JUST HAVING REALLY HEAVY PERIODS STILL SO UH AND YOU KNOW A LOT OF PAIN THERE SO HATS WHY I HAD HYSTERECTOMY +audio/RES0009.mp3[429.880,436.480] OK UM AND HAVE YOU HAD ANY BOWEL PROBLEMS +audio/RES0009.mp3[436.480,438.880] NO NO +audio/RES0009.mp3[438.880,444.200] OK HOW ABOUT ANY SKIN CHANGES OR OR RASHES +audio/RES0009.mp3[445.680,453.360] OK HOW ABOUT ANY JOINT PAINS OR OR LEG PAINS OR MUSCLE PAINS +audio/RES0009.mp3[453.360,458.520] UH NO I DONT THINK SO +audio/RES0009.mp3[458.520,468.880] OK UM SO IN REGARDS TO PAST HEALTH ANY PREVIOUS MEDICAL DIAGNOSIS +audio/RES0009.mp3[468.880,477.960] UH NO JUST LIKE I HAD THE HYSTERECTOMY BUT I I DONT LIKE TAKE ANY MEDICATIONS I DONT HAVE LIKE HIGH BLOOD PRESSURE OR ANYTHING +audio/RES0009.mp3[477.960,487.400] OK SO NO PRESCRIPTION MEDICATIONS OR OVER THE COUNTER MEDICATIONS YOU TAKE REGULARLY LIKE SUPPLEMENTS OR +audio/RES0009.mp3[487.400,494.720] NO JUST JUST TO THOSE LIKE THE ADVIL AND THE TYLENOL I WAS TAKING FOR THE PAIN +audio/RES0009.mp3[494.720,500.360] OK AND ANY OTHER SURGERIES BESIDES THE HYSTERECTOMY +audio/RES0009.mp3[500.360,508.880] UH LIKE I HAVE MY WISDOM TEETH OUT WHEN I WAS LIKE A TEENAGER THATS IT THOUGH +audio/RES0009.mp3[508.880,513.480] OK THEN HOW ABOUT ANY ALLERGIES +audio/RES0009.mp3[517.400,523.960] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE +audio/RES0009.mp3[523.960,534.600] I THINK SO UM YEAH YEAH I DONT YEAH I DONT THINK I DIDNT GET ANYTHING THAT WAS SUPPOSED TO +audio/RES0009.mp3[534.600,544.200] OK WELL THATS GOOD AND UH HAS ANYBODY IN YOUR FAMILY EXPERIENCED ANYTHING LIKE THIS BEFORE +audio/RES0009.mp3[544.200,556.120] MY MOM HAD A HEART ATTACK WHEN SHE WAS LIKE IN HER 70S UH OTHER THAN THAT I DONT I DONT KNOW I DONT THINK SO +audio/RES0009.mp3[556.120,567.920] OK ANY UM CANCERS IN THE FAMILY OR OR BLEEDING DISORDERS OR COAGULATIONS DISORDERS +audio/RES0009.mp3[567.920,576.960] UM NO I DONT THINK SO +audio/RES0009.mp3[576.960,587.320] OK SO I HAVENT HEARD OF ANYBODY IN THE FAMILY HAVING LIKE A BLOOD CLOT OR OR A THROMBOSIS ANYWHERE +audio/RES0009.mp3[587.320,594.920] I THINK MY MOMS LIKE COUSIN BUT NOT NO ONE LIKE NOT LIKE MY PARENTS OR ANYTHING +audio/RES0009.mp3[594.920,610.560] OK UM SO THE NEXT FEW QUESTIONS I JUST WANTED TO ASK ABOUT YOUR PERSONAL AND KIND OF LIFESTYLE HABITS A LITTLE BIT BUT FIRST COULD YOU TELL ME ABOUT YOUR LIVING SITUATION +audio/RES0009.mp3[610.560,627.920] UH YEAH I LIVE UM LIKE I SAID LIKE IM DONE HAVING KIDS BUT I HAVE 2 TWO KIDS THEYRE TEENAGERS I LIVE UM WITH THEM AND MY HUSBAND AND UH WE LIVE NOT FAR FROM HERE +audio/RES0009.mp3[627.920,631.400] OK AND WHAT DO YOU DO FOR WORK +audio/RES0009.mp3[631.400,635.840] UM IM AN ACCOUNTANT +audio/RES0009.mp3[635.840,641.520] OK AND DO YOU DRINK ALCOHOL +audio/RES0009.mp3[641.520,647.560] UM MAYBE A GLASS OF WINE ON LIKE THE WEEKENDS BUT NOT OTHER THAN NO +audio/RES0009.mp3[647.560,649.560] OK AND DO YOU SMOKE CIGARETTES +audio/RES0009.mp3[649.560,663.320] I DO IM TRYING TO STOP I SMOKE MAYBE LIKE I DONT KNOW LIKE 5 PER DAY OR SOMETHING AT THIS POINT +audio/RES0009.mp3[663.320,679.120] OK BUT IT SOUNDS LIKE YOUVE BEEN WORKING ON CUTTING DOWN WHICH IS GREAT UM AND HAVE YOU USED ANY OTHER RECREATIONAL DRUGS +audio/RES0009.mp3[679.120,690.320] UM NO NO I MEAN WHEN I WAS LIKE YOUNGER I SOMETIMES LIKE WOULD USE MARIJUANA BUT I HAVENT REALLY RECENTLY +audio/RES0009.mp3[690.320,695.360] OK AND HAVE YOU BEEN ANY BEEN ON ANY LIKE LONG TRIPS RECENTLY +audio/RES0009.mp3[695.360,697.080] NO I WISH +audio/RES0009.mp3[697.080,735.400] FAIR ENOUGH VACATION WOULD BE GREAT UM OK SO BUT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY WERE GOING TO RUN SOME INVESTIGATIONS I AM CONCERNED THAT YOU MIGHT HAVE A PULMONARY EMBOLISM AND SO WERE GOING TO DO SOME LAB WORK AND IMAGING TO INVESTIGATE THAT +audio/RES0009.mp3[735.400,739.040] OK I YEAH IS THAT SCARY IS THAT BAD +audio/RES0009.mp3[739.040,760.680] IT CAN VARY FROM BEING MILD TO SEVERE AND SO THATS WHAT WE WANT TO GET SOME OF THE IMAGING AND LAB WORK TO SEE WELL TO FIRST CONFIRM IF THATS WHAT YOU ACTUALLY HAVE AND IF SO OFFER THE RIGHT TREATMENT +audio/RES0009.mp3[760.680,765.120] OK THANKS DOCTOR +audio/RES0009.mp3[765.120,768.280] WELCOME WILL GET THAT STARTED +audio/RES0166.mp3[0.000,1.560] WHAT BRINGS YOU IN HERE TODAY +audio/RES0166.mp3[1.560,17.320] IVE JUST BEEN FEELING REALLY SHORT OF BREATH SINCE THIS MORNING AND I DONT UH YEAH I DONT KNOW WHATS GOING ON +audio/RES0166.mp3[17.320,19.720] IT JUST STARTED THIS MORNING +audio/RES0166.mp3[21.680,28.080] AND UH DID YOU WAKE UP FEELING SHORT OF BREATH OR WAS IT AFTER YOU HAD WOKEN UP AND WE WERE DOING ACTIVITIES +audio/RES0166.mp3[28.080,31.040] IT WAS WHEN I WAS DOING ACTIVITIES +audio/RES0166.mp3[31.040,37.560] OK AND WHAT WERE YOU DOING BEFORE YOU HAD THE SHORTNESS OF BREATH +audio/RES0166.mp3[37.560,44.920] OH I WAS JUST GOING TO THE KITCHEN TO MAKE BREAKFAST +audio/RES0166.mp3[44.920,59.400] OK AND UHM CAN YOU DESCRIBE THE SHORTNESS OF BREATH IS IT MORE SO THAT YOURE HAVING TROUBLE DEEP BREATHS OR ARE YOU TAKING SHALLOW FAST BREATHS HOW WOULD YOU DESCRIBE IT +audio/RES0166.mp3[59.400,70.400] UHM I GUESS JUST SHALLOW FAST BREATHS I FEEL LIKE IVE RUN A MARATHON AND I JUST YEAH AND ALL IVE DONE IS JUST WALKED TO THE KITCHEN +audio/RES0166.mp3[70.400,78.360] OK AND HAS THIS HAPPENED TO YOU BEFORE EVER +audio/RES0166.mp3[80.040,86.880] NO OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE OFF SORE THROAT CHEST PAIN ANYTHING LIKE THAT +audio/RES0166.mp3[88.480,90.400] SO ITS JUST THE SHORTNESS OF BREATH +audio/RES0166.mp3[90.400,92.520] YEAH THATS IT +audio/RES0166.mp3[92.520,99.800] OK AND SO IT IT STARTED THIS MORNING IS IT STILL CONTINUING OR IS IT UH +audio/RES0166.mp3[99.800,101.280] STILL THERE +audio/RES0166.mp3[101.280,105.440] OK IS IT WORSE AT ALL THAN IT WAS THIS MORNING +audio/RES0166.mp3[105.440,109.880] UHM KIND OF THE SAME ID SAY +audio/RES0166.mp3[109.880,118.080] OK ARE YOU GETTING ANY KIND OF CHEST DISCOMFORT OR ANYTHING AT ALL WITH BREATHING +audio/RES0166.mp3[118.080,125.480] MAYBE WHEN I TAKE A VERY DEEP BREATH THEN YEAH IT JUST KIND OF I FEEL LIKE THIS SHARP PAIN +audio/RES0166.mp3[125.480,133.320] OK HOW HAVE YOU HAVING IVE BEEN HAVING ANY CHILLS OR FEVER OR ANYTHING LIKE THAT +audio/RES0166.mp3[134.000,137.880] OK ANY DIZZINESS OR FAINTING SPELLS +audio/RES0166.mp3[139.440,147.680] OK DO YOU FEEL THAT YOUR HEART IS RACING AT ALL +audio/RES0166.mp3[149.720,161.480] OK AND AND HAVE YOU TRIED ANYTHING THATS HELPED YOU IMPROVE THOSE SYMPTOMS LIKE TAKING A REST OR LAYING DOWN FLAT ANYTHING LIKE THAT +audio/RES0166.mp3[161.480,170.120] NO HAVENT REALLY TRIED MUCH IT JUST STARTED THIS MORNING SO I I JUST DECIDED COME IN RIGHT AWAY +audio/RES0166.mp3[170.120,179.600] OK HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0166.mp3[179.600,181.400] UM NO +audio/RES0166.mp3[181.400,188.040] ANY UH CONTACTED SOMEONE WHOS BEEN SICK RECENTLY +audio/RES0166.mp3[188.040,190.560] I DONT THINK SO +audio/RES0166.mp3[190.840,201.720] I DID JUST SAY SORRY I I DID JUST GET OUT OF THE HOSPITAL SO MAYBE I COULD HAVE HAD SOME CONTACT THERES SOME EXPOSURE THERE +audio/RES0166.mp3[201.720,208.920] OK SO SO WHEN DID YOU GET OUT OF THE HOSPITAL +audio/RES0166.mp3[208.920,211.280] UHM TWO DAYS AGO +audio/RES0166.mp3[211.280,220.240] TWO DAYS AGO OK AND WHAT WERE YOU IN THE HOSPITAL FOR +audio/RES0166.mp3[220.240,222.400] UHM I HAD I BROKE MY HIP +audio/RES0166.mp3[222.400,226.040] OK AND DID YOU HAVE A SURGERY FOR YOUR HIP +audio/RES0166.mp3[226.040,231.000] NO THEY DIDNT THINK IT WAS SURGERY WAS NEEDED +audio/RES0166.mp3[231.000,235.200] OK SO HOW LONG WERE YOU IN THE HOSPITAL FOR +audio/RES0166.mp3[235.200,239.680] ABOUT 4 DAYS +audio/RES0166.mp3[239.680,246.920] FOUR DAYS OK AND IN THOSE FOUR DAYS WHAT WERE THEY DOING FOR YOU THERE +audio/RES0166.mp3[246.920,255.080] JUST TRYING TO HELP ME JUST DOING PHYSIOTHERAPY AND HELPING ME SORT OF GET UP AND GET OUT OF BED +audio/RES0166.mp3[255.520,260.240] AND LIKE GIVING ME PAIN MEDICATIONS +audio/RES0166.mp3[260.240,269.320] AND SINCE OR LIKE WHEN YOU WENT HOME TODAY SET UP ANY KIND OF HOME CARE FOR YOU OR ANYTHING LIKE THAT +audio/RES0166.mp3[269.320,273.640] YEAH THEY DID A NURSE COMES IN ONCE A DAY +audio/RES0166.mp3[273.640,277.360] OK AND HOW ABOUT UH PHYSIOTHERAPY +audio/RES0166.mp3[277.360,289.040] YEAH I DONT KNOW THEY HAVENT REALLY BEEN COMING IN AND I I ASKED THE NURSE AND SHE SAID SHES GONNA LOOK INTO IT MAYBE SOMETHING WENT WRONG THERE +audio/RES0166.mp3[289.040,298.600] OK UM AND AFTER YOUVE BEEN DISCHARGED HAVE YOU BEEN MOVING AROUND AT ALL OR IF YOUVE BEEN PRETTY IMMOBILIZED +audio/RES0166.mp3[298.600,312.480] I TRY BUT ITS BEEN ITS BEEN HARD LIKE SPECIALLY THE FIRST COUPLE OF DAYS I DONT THINK IT DID MUCH BUT SINCE THEN IVE BEEN IVE BEEN TRYING TO MOVE AROUND A LITTLE BIT MORE +audio/RES0166.mp3[312.480,319.440] OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS AT ALL +audio/RES0166.mp3[319.440,321.320] UH NO +audio/RES0166.mp3[321.320,323.240] NO NOTHING LIKE THAT +audio/RES0166.mp3[323.760,334.960] HAVE YOU PREVIOUSLY HAD ANY KIND OF CLOTS LIKE A DEEP VEIN THROMBOSIS OR PULMONARY EMBOLISM ANYTHING LIKE THAT +audio/RES0166.mp3[335.360,340.400] HAVE YOU HAD ANY PREVIOUS DIAGNOSIS OF CANCER +audio/RES0166.mp3[340.400,349.320] I DID IN THE PAST ABOUT 10 YEARS AGO I HAD LEUKAEMIA +audio/RES0166.mp3[349.320,359.560] LEUKAEMIA OK AND ARE YOU STILL ON ANY KIND OF TREATMENT OR DO YOU SEE AN ONCOLOGIST OR A MYTHOLOGIST +audio/RES0166.mp3[359.560,364.120] NO NOT ANYMORE +audio/RES0166.mp3[364.120,372.160] NOT ANYMORE OK UM AND SO ARE YOU EXPERIENCING ANY KIND OF COUGHING UP BLOOD OR ANYTHING LIKE THAT +audio/RES0166.mp3[372.160,376.000] UHM NO +audio/RES0166.mp3[376.000,382.360] NO OK UM DO YOU FEEL ANY PAIN IN YOUR CAPS AT ALL +audio/RES0166.mp3[384.760,392.240] NO OK ALRIGHT OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF NAUSEA AND VOMITING AT ALL +audio/RES0166.mp3[392.240,394.320] UHM NO I DONT +audio/RES0166.mp3[394.320,401.040] OK ANY FEVERS OR CHILLS +audio/RES0166.mp3[402.680,409.040] OK ANY NIGHT SWEATS OR FATIGUE +audio/RES0166.mp3[410.040,414.160] OK ANY DIARRHEA OR CONSTIPATION +audio/RES0166.mp3[414.160,415.680] NO NONE OF THOSE +audio/RES0166.mp3[415.680,422.880] OK AND BESIDES THE CANCER ANY PREVIOUS MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0166.mp3[422.880,426.000] NO I WAS PRETTY HEALTHY BEFORE THAT +audio/RES0166.mp3[426.000,437.360] OK ANY HISTORY OF ANY CLOTTING OR CLOTTING DISORDERS AT ALL +audio/RES0166.mp3[438.280,441.560] OK DO YOU TAKE ANY MEDICATIONS CURRENTLY +audio/RES0166.mp3[441.560,444.280] NO NO NOT ANYMORE +audio/RES0166.mp3[444.280,446.760] OK ANY ALLERGIES TO ANY MEDICATIONS +audio/RES0166.mp3[446.760,452.840] UHM NO +audio/RES0166.mp3[452.840,457.120] OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS +audio/RES0166.mp3[457.120,463.320] UM NO LUNG OR HEART CONDITIONS NO +audio/RES0166.mp3[463.320,474.160] OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL +audio/RES0166.mp3[474.160,479.400] YEAH I DO I UM IM A BANKER +audio/RES0166.mp3[479.400,486.360] BANKER OK UHM AND WHATS YOUR LIVING SITUATION LIKE WHERE DO YOU LIVE WITH ANYONE OR INWARD WHERE DO YOU LIVE +audio/RES0166.mp3[486.360,493.600] I LIVE AT HOME WITH MY HUSBAND AND MY TWO KIDS +audio/RES0166.mp3[493.600,499.640] OK AND YOU SMOKE IT ALL +audio/RES0166.mp3[499.640,504.040] NO I DONT +audio/RES0166.mp3[504.040,507.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0166.mp3[507.600,514.080] UH SOMETIMES ILL HAVE MARIJUANA WITH MY FRIENDS BUT I HAVENT REALLY DONE THAT SINCE THE PANDEMIC STARTED +audio/RES0166.mp3[514.080,518.880] OK AND YOU DRINK ALCOHOL +audio/RES0166.mp3[518.880,525.360] YEAH I DO COME ILL HAVE MAYBE TWO OR THREE GLASSES OF BEER ON THE WEEKEND +audio/RES0166.mp3[525.360,536.440] OK ALRIGHT SO THESE ARE ALL THIS QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION NEXT DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0166.mp3[537.200,585.520] OK SO YEAH RIGHT NOW ONE OF THE MAIN THINGS WE WANT TO RULE OUT ESPECIALLY SINCE YOU HAD THE SUDDEN SHORTNESS OF BREATH TODAY AFTER A HISTORY OF JUST RECENT DISCHARGE AND THE HIP FRACTURE OR INJURY AND YOURE IMMOBILIZED WE NEED TO MAKE SURE YOU HAVENT DEVELOPED A CLOT THAT HAS TRAVELED TO YOUR LUNGS SO WELL DO A FULL PHYSICAL EXAMINATION AND GET SOME BLOOD WORK DONE INITIALLY AND THEN SEE IF YOU REQUIRE ANY MEDICATIONS FOR IF YOU NEED THROMBOLYSIS FOR TO BREAK UP THE CLOT WELL WE MIGHT DO SOME IMAGING AS WELL SO YEAH WELL WELL JUST START WITH THAT AND THEN WELL GO FROM THERE +audio/RES0166.mp3[587.040,600.000] SO YOULL BE IN HERE FOR A FEW HOURS UNTIL WE GET ALL THOSE THINGS DONE AND SEE IF YOU NEED ANY ADMISSION AT ALL TO THE HOSPITAL +audio/RES0166.mp3[601.920,605.400] THANK YOU +audio/RES0166.mp3[605.400,606.440] WELCOME TAKE CARE +audio/RES0191.mp3[0.000,2.040] HOW MAY I HELP YOU +audio/RES0191.mp3[2.040,18.840] HI IM I HAVE BEEN HAVING THIS NASAL OBSTRUCTION AND DISCHARGE FOR THE PAST WEEK AND IT DOESNT SEEM TO BE GOING AWAY AND ITS BOTHERING ME SO I THOUGHT I WOULD GET IT CHECKED OUT BY YOU +audio/RES0191.mp3[18.840,25.400] OK FOR SURE UHM COULD YOU DESCRIBE THE DISCHARGE +audio/RES0191.mp3[25.400,33.480] YEAH ITS A ITS MOSTLY CLEAR IT DOESNT IT DOESNT HAVE A COLOR TO IT +audio/RES0191.mp3[33.480,38.640] OK SO NO YELLOW GREEN OR OR RED TO INDICATE ANY BLOOD +audio/RES0191.mp3[42.200,48.760] OK AND YOU MENTIONED SO WITH THE OBSTRUCTION HAVE YOU HAD DIFFICULTIES BREATHING +audio/RES0191.mp3[48.760,63.560] UM A LITTLE BIT I JUST NEED TO AND IS MOSTLY AT NIGHT I JUST NEED TO SHIFT TO ONE SIDE OR THE OTHER TO LIKE UNBLOCK MY AIRWAYS +audio/RES0191.mp3[63.560,74.080] I SEE OK AND HAVE YOU BEEN HAVING ANY PAIN ON YOUR FACE LIKE I LIKE KIND OF OVER YOUR CHEEKS OR OVER YOUR FOREHEAD +audio/RES0191.mp3[76.280,79.800] OK HOW ABOUT ANY HEADACHES +audio/RES0191.mp3[79.800,81.720] NO HEADACHES +audio/RES0191.mp3[81.720,88.800] ALL RIGHT HAVE YOU HAD ANY CHANGES OR TO YOUR SENSE OF SMELL OR ANY LOSS OF SMELL +audio/RES0191.mp3[88.800,102.800] UHM NO MAYBE A LITTLE BIT BUT NO NOT REALLY I CAN STILL EAT I CAN STILL SMELL LIKE CANDLES AND THINGS LIKE THAT SO MAYBE GO WITH NO +audio/RES0191.mp3[102.800,113.000] OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE +audio/RES0191.mp3[115.000,119.320] OK HAVE YOU HAD ANY EYE REDNESS OR OR ANY EYE PAIN +audio/RES0191.mp3[120.360,123.320] ANY EAR PAIN OR EAR DISCHARGE +audio/RES0191.mp3[124.400,127.040] ANY CHANGES TO THE VISION OR HEARING +audio/RES0191.mp3[127.040,128.400] UH NO +audio/RES0191.mp3[128.400,131.240] OK HAVE YOU HAD A SORE THROAT +audio/RES0191.mp3[132.320,134.040] HAVE YOU HAD A COUGH +audio/RES0191.mp3[135.320,138.120] HAVE YOU HAD ANY SHORTNESS OF BREATH +audio/RES0191.mp3[138.120,139.560] UH NO +audio/RES0191.mp3[139.560,141.640] HAVE YOU HAD ANY WHEEZING +audio/RES0191.mp3[142.720,148.280] OK AND HAVE YOU COUGHED UP ANY BLOOD +audio/RES0191.mp3[150.120,153.120] OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0191.mp3[154.440,157.480] HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/RES0191.mp3[157.480,158.560] UH NO +audio/RES0191.mp3[158.560,162.600] HAVE YOU FELT LIKE YOUR HEARTS BEATING REALLY FAST OR RACING +audio/RES0191.mp3[164.080,167.640] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0191.mp3[168.800,170.960] HAVE YOU HAD A NIGHT SWEATS +audio/RES0191.mp3[172.320,175.320] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS +audio/RES0191.mp3[176.640,179.840] OK HAVE YOU HAD ANY LOSS OF APPETITE +audio/RES0191.mp3[179.840,181.560] UH NOPE +audio/RES0191.mp3[181.560,185.120] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0191.mp3[186.280,188.360] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0191.mp3[189.640,193.080] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0191.mp3[194.240,200.440] HAVE YOU HAD ANY PAINFUL URINATION OR URINARY FREQUENCY +audio/RES0191.mp3[201.840,206.520] OK HAVE YOU HAD ANY SKIN RASHES +audio/RES0191.mp3[207.520,211.680] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0191.mp3[212.520,216.640] HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION +audio/RES0191.mp3[218.320,225.000] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE OR MALAISE +audio/RES0191.mp3[225.000,227.480] NO NOTHING LIKE THAT +audio/RES0191.mp3[227.480,236.200] OK UHM AND HAVE YOU HAD ANY SNEEZING +audio/RES0191.mp3[238.080,245.080] OK UHM AND UH ARE YOU HEALTHY OR OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0191.mp3[245.080,250.960] NO IM ACTUALLY PRETTY HEALTHY +audio/RES0191.mp3[250.960,256.800] OK HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/RES0191.mp3[257.240,267.480] OK AND ANY ALLERGIES LIKE TO ANY MEDICATIONS OR ANY SEASONAL ALLERGIES LIKE DO YOU GET SYMPTOMS LIKE THIS THAT CHANGE THROUGHOUT THE YEAR +audio/RES0191.mp3[268.120,272.320] OK AND SORRY NO ALLERGIES TO MEDICATIONS AS WELL +audio/RES0191.mp3[272.320,276.200] NO ALLERGIES TO MEDICATIONS +audio/RES0191.mp3[276.200,284.160] OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER +audio/RES0191.mp3[284.160,286.560] NO I DONT TAKE ANY MEDICATIONS +audio/RES0191.mp3[286.560,295.280] OK AND CAN YOU TELL ME ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH +audio/RES0191.mp3[295.280,302.120] UHM I LIVE BY MYSELF RIGHT NOW I LIVE IN AN APARTMENT DOWNTOWN +audio/RES0191.mp3[302.120,307.520] OK AND ARE YOU GOT WORKING RIGHT NOW OR ARE YOU GOING TO SCHOOL OR BOTH +audio/RES0191.mp3[307.520,313.400] IM WORKING RIGHT NOW BUT IM WORKING FROM HOME +audio/RES0191.mp3[313.400,318.600] OK UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0191.mp3[318.600,329.880] NO ONE PERSONALLY BUT I DO GO TO THE GROCERY STORE AND THE BANK AND ALL THE ESSENTIAL THINGS +audio/RES0191.mp3[329.880,337.800] I SEE OK UHM AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0191.mp3[337.800,341.200] NO I HAVENT +audio/RES0191.mp3[341.200,342.640] OK ARE YOU IN A RELATIONSHIP +audio/RES0191.mp3[342.640,344.120] I AM +audio/RES0191.mp3[344.120,346.480] ARE YOU SEXUALLY ACTIVE +audio/RES0191.mp3[346.480,349.440] I AM +audio/RES0191.mp3[349.440,359.480] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS +audio/RES0191.mp3[359.480,371.320] UHM YEAH SO WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS AND YEAH HES THE ONLY SEXUAL PARTNER I HAVE +audio/RES0191.mp3[371.320,373.840] OK AND DO YOU USE CONDOMS OR BIRTH CONTROL +audio/RES0191.mp3[373.840,376.000] BIRTH CONTROL +audio/RES0191.mp3[376.000,385.320] OK UHM AND ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION +audio/RES0191.mp3[388.720,391.040] OK AND YOU SMOKE CIGARETTES +audio/RES0191.mp3[391.040,392.640] I DONT +audio/RES0191.mp3[392.640,397.360] DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS +audio/RES0191.mp3[397.360,397.800] UH NOPE +audio/RES0191.mp3[397.800,403.120] OK HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS +audio/RES0191.mp3[403.800,406.440] OK DO YOU DRINK ALCOHOL +audio/RES0191.mp3[406.440,410.360] I DO ILL HAVE LIKE A GLASS OF WINE EVERY DAY +audio/RES0191.mp3[410.360,420.000] OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0191.mp3[421.240,425.280] HOW ABOUT THINGS LIKE DIABETES OR OR HIGH BLOOD PRESSURE +audio/RES0191.mp3[425.280,428.120] UHM I DONT THINK SO +audio/RES0191.mp3[428.120,432.280] OK AND UH ARE THERE ANY CANCERS IN THE FAMILY +audio/RES0191.mp3[432.280,439.520] UHM THERES COLON CANCER IN THE FAMILY +audio/RES0191.mp3[439.520,443.680] OK AND WHO WAS THAT AND HOW OLD WERE THEY +audio/RES0191.mp3[443.680,448.240] UHM MY GRANDFATHER HE WAS 55 +audio/RES0191.mp3[448.240,462.800] OK UHM ALRIGHT AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I WAS MAYBE FORGETTING +audio/RES0191.mp3[462.800,470.160] UH NO I THINK THAT WAS IT +audio/RES0191.mp3[470.160,520.920] OK SO WITH THE PROMINENT SYMPTOMS OF BEING NASAL DISCHARGE AND OBSTRUCTION WITHOUT FEVER AND WITHOUT LIKE CHANGES TO SMELL AND ALSO WITHOUT PAIN ITS MOST LIKELY A VIRAL RHINOSINUSITIS UHM HOWEVER THIS COULD HAVE SYMPTOMS THAT OVERLAP WITH WITH COVIAND SO WE WILL STILL END UP DOING A SWAB EVEN THOUGH THE MOST LIKELY DIAGNOSIS IS GOING TO BE A VIRAL ACUTE RHINOSINUSITIS +audio/RES0191.mp3[522.440,525.480] DO YOU HAVE ANY OTHER QUESTIONS +audio/RES0191.mp3[525.480,530.480] NO THANK YOU OR YEAH THANK YOU +audio/RES0191.mp3[530.480,533.560] THANK YOU +audio/RES0073.mp3[0.000,4.160] WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN +audio/RES0073.mp3[4.160,45.200] YEAH SO OVER THE LAST WEEK IVE JUST BEEN FEELING SOME SYMPTOMS IT KIND OF FIRST STARTED WITH LIKE A RUNNY NOSE THAT WAS AROUND LIKE 5 DAYS AGO AND THEN IT TURNED INTO JUST A LOT OF CONGESTION LIKE AROUND MY NOSE AND LIKE MY THROAT AND NOW OVER THE LAST TWO DAYS IVE BEEN JUST FEELING SO MUCH PRESSURE AROUND MY NOSE AND AROUND MY JAW SO IVE BEEN GETTING A LOT OF PAIN THERE AS WELL +audio/RES0073.mp3[45.200,48.600] OK IS YOUR NOSE STILL RUNNING +audio/RES0073.mp3[48.600,60.000] YEAH IM STILL GETTING SOME DISCHARGE AND I ALSO FEEL LIKE IM GETTING SOME DRIPPING AT THE BACK OF MY THROAT TOO ESPECIALLY WHEN I WAKE UP +audio/RES0073.mp3[60.000,67.200] OK AND COULD YOU DESCRIBE THE DISCHARGE IS IT CLEAR YELLOW GREENISH +audio/RES0073.mp3[67.200,78.440] UH ITS FAIRLY CLEAR AND SOMETIMES LIKE A BIT WHITE BUT LIKE ITS NOT LIKE GREEN OR YELLOW +audio/RES0073.mp3[78.440,87.800] OK UH AND HAVE YOU FELT THAT ITS DIFFICULT TO BREATHE IN THROUGH EITHER OF YOUR NOSTRILS LIKE ITS OBSTRUCTED +audio/RES0073.mp3[87.800,105.240] YEAH SO AT NIGHT SOMETIMES I HAVE TO LIKE TURN BECAUSE ONE SIDE OF MY NOSE GETS DIFFICULT TO BREATHE FROM AND THEN IT KIND OF BALANCES OUT ON THE OTHER SIDE SO YEAH I DO HAVE SOME OBSTRUCTION +audio/RES0073.mp3[105.240,110.000] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL +audio/RES0073.mp3[110.000,121.520] YEAH SO JUST IN THE LAST THREE DAYS WHEN THE CONGESTION GOT REALLY BAD I STARTED LOSING THE ABILITY TO SMELL +audio/RES0073.mp3[121.520,125.760] OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE +audio/RES0073.mp3[125.760,129.360] NO TASTE IS FINE +audio/RES0073.mp3[129.360,134.600] OK AND HAVE YOU HAD ANY COUGH OR SORE THROAT +audio/RES0073.mp3[134.600,139.200] UH NO NO COUGH OR SORE THROAT +audio/RES0073.mp3[139.200,153.080] OK AND THE SYMPTOMS HAVE GONE ON FOR FIVE DAYS HAVE YOU HAD A PERIOD OF TIME WHERE YOU GOT BETTER AND THEN GOT SICK AGAIN +audio/RES0073.mp3[153.080,171.840] I DID KIND OF HAVE A RUNNY NOSE LAST WEEK AS WELL SO PROBABLY LIKE 8 DAYS AGO BUT THEN THE RUNNY NOSE DISCONTINUED A LITTLE BIT BUT REALLY GOT WORSE 5 DAYS AGO BUT ALL THESE OTHER SYMPTOMS JUST HAPPENED IN THE LAST FEW DAYS +audio/RES0073.mp3[171.840,184.400] OK AND YOU HAVE PAIN DO YOU FEEL IT IN YOUR JAW OR DO YOU FEEL IT IN THE IN THE FRONT OF YOUR NOSE +audio/RES0073.mp3[184.400,201.600] YES I WOULD SAY MAINLY OVER THE CHEEKS IT CAN KIND OF GO NEAR THE FRONT OF MY TEETH AS WELL SO LIKE I WOULD SAY LIKE MOSTLY AROUND THE CHEEKS JAWS AND UP TO THE FRONT OF MY TEETH +audio/RES0073.mp3[201.600,210.160] OK AND DO YOU GRIND YOUR TEETH AT ALL AT NIGHT OR HAVE YOU HAD TMJ ISSUES BEFORE +audio/RES0073.mp3[210.160,223.320] NO NOTHING LIKE THAT I THINK ITS NOT SO MUCH ON AND AROUND MY TEETH ITS MORE SO JUST TO RIGHT BELOW MY NOSE ABOVE MY TEETH AND JUST AROUND MY CHEEKS +audio/RES0073.mp3[223.320,228.560] OK SO NO PAIN IN YOUR MOUTH OR ANYTHING LIKE THAT +audio/RES0073.mp3[228.560,231.440] NO NOT INSIDE MY MOUTH +audio/RES0073.mp3[231.440,235.600] OK HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0073.mp3[235.600,245.760] UHM I DONT THINK IVE HAD A FEVER I DID FEEL SOME CHILLS OVER THE LAST FEW DAYS BUT JUST VERY BRIEF EPISODES +audio/RES0073.mp3[245.760,252.160] OK AND OVER THE LAST FEW WEEKS HAVE YOU HAD ANY WEIGHT LOSS +audio/RES0073.mp3[254.680,262.240] OK AND YOU SAID YOU DIDNT HAVE A COUGH OR A SORE THROAT BUT HAVE YOU HAD ANY WHEEZING +audio/RES0073.mp3[262.240,263.800] NO WHEEZING +audio/RES0073.mp3[263.800,266.840] HOW ABOUT ANY SHORTNESS OF BREATH +audio/RES0073.mp3[266.840,278.240] UH NOT SHORTNESS OF BREATH JUST SOMETIMES WHEN MY NOSE GETS LIKE REALLY CONGESTED I JUST TURN INTO LIKE A MOUTH BREATHER BUT THATS ABOUT IT +audio/RES0073.mp3[278.240,282.840] I SEE OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0073.mp3[282.840,284.920] NO NO CHEST PAIN +audio/RES0073.mp3[284.920,293.600] ALRIGHT AND ANY LIGHTHEADEDNESS OR FEELING DIZZY +audio/RES0073.mp3[294.960,297.960] OK HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0073.mp3[299.240,301.720] ANY ABDOMINAL PAIN +audio/RES0073.mp3[302.920,307.040] HAVE YOU HAD ANY DIARRHEA +audio/RES0073.mp3[307.040,308.120] SORRY WHAT WAS THAT +audio/RES0073.mp3[308.120,310.720] HAVE YOU HAD ANY DIARRHEA +audio/RES0073.mp3[310.720,312.000] NO DIARRHEA +audio/RES0073.mp3[312.000,315.400] OK AND HAVE YOU HAD ANY URINARY PROBLEMS +audio/RES0073.mp3[315.400,316.720] UH NO +audio/RES0073.mp3[316.720,321.160] AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES +audio/RES0073.mp3[321.160,323.600] NO NOT THAT I KNOW +audio/RES0073.mp3[323.600,329.520] OK THEN HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES +audio/RES0073.mp3[329.520,331.320] UH NO +audio/RES0073.mp3[331.320,340.200] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS +audio/RES0073.mp3[341.000,345.800] AND HOW HAS YOUR ENERGY BEEN ANY FATIGUE +audio/RES0073.mp3[345.800,364.000] UHM ITS BEEN MAINLY OK JUST MAYBE SOMETIMES DIFFICULT TO GET TO SLEEP WITH ALL THE ALL THE CONGESTION BUT I DONT THINK MY ENERGY HAS BEEN AFFECTED TOO MUCH NO +audio/RES0073.mp3[364.000,374.080] OK AND UH SORRY TO GO BACK TO THIS I DONT THINK I ASKED DID YOU NOTICE ANY DISCHARGE FROM YOUR EYES OR ANY EYE REDNESS +audio/RES0073.mp3[374.080,379.000] NOT DISCHARGE BUT YEAH MAYBE A LITTLE BIT OF REDNESS +audio/RES0073.mp3[379.000,382.920] OK HAVE YOUR EYES BEEN ITCHY +audio/RES0073.mp3[382.920,388.160] UHM YEAH A LITTLE BIT I WOULD SAY THEY HAVE BEEN A BIT ITCHY +audio/RES0073.mp3[388.160,398.280] OK ALRIGHT THEN DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN FOR REGULARLY +audio/RES0073.mp3[398.280,402.440] UH JUST UHM ITS CALLED DYSLIPIDEMIA +audio/RES0073.mp3[402.440,406.880] OK I SEE AND ANY MEDICATIONS YOU TAKE FOR THAT +audio/RES0073.mp3[406.880,411.520] JUST LIKE A STATIN MEDICATION +audio/RES0073.mp3[411.520,420.480] OK DO YOU TAKE ANY OTHER MEDICATIONS OVER THE COUNTER PRESCRIBED +audio/RES0073.mp3[420.480,429.120] NO OTHER THAN THAT I TAKE MULTIVITAMINS +audio/RES0073.mp3[429.120,438.760] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR LIKE ENVIRONMENTAL ALLERGIES THAT MIGHT BE GETTING WORSE +audio/RES0073.mp3[438.760,441.560] UH NO NOT THAT I KNOW +audio/RES0073.mp3[441.560,447.200] OK SO YOU DONT EXPERIENCE ANY SYMPTOMS LIKE THIS WHEN THE SEASONS CHANGE +audio/RES0073.mp3[447.200,464.360] I DONT THINK SO I HAVE HAD THIS HAPPEN TO ME UH I WOULD SAY LIKE ONCE BEFORE IT HAPPENED LIKE TWO YEARS AGO IT WAS PRETTY SIMILAR +audio/RES0073.mp3[464.360,470.560] OK UHM AND WHAT WAS DONE AT THAT TIME +audio/RES0073.mp3[470.560,495.960] AT THAT TIME IT KIND OF JUST WENT AWAY ON ITS OWN IT GOT BETTER I FEEL ITS DEFINITELY WORSE THIS TIME BUT AT THAT TIME I DIDNT EVEN GO TO THE DOCTOR IT KIND OF JUST WENT AWAY +audio/RES0073.mp3[495.960,498.560] OK I SEE ANY RECENT HOSPITALIZATIONS +audio/RES0073.mp3[498.560,502.240] NO HOSPITALIZATIONS +audio/RES0073.mp3[502.240,504.280] ANY SURGERIES +audio/RES0073.mp3[505.080,511.560] ALRIGHT AND COULD YOU TELL ME WHERE ABOUTS YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH +audio/RES0073.mp3[511.560,519.400] YEAH SO IM CURRENTLY LIVING IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON +audio/RES0073.mp3[519.400,527.840] OK AND ANYBODY THAT YOUVE BEEN AROUND WHOS HAD ANY SYMPTOMS +audio/RES0073.mp3[527.840,530.320] UH NO NOT THAT I KNOW OF +audio/RES0073.mp3[530.320,538.600] OK SO NO SICK CONTACTS AND HAVE YOU TRAVELED ANYWHERE OUT OF THE CITY OR PROVINCE +audio/RES0073.mp3[538.600,548.720] NO IVE TRIED TO STAY HOME BESIDES GOING TO WORK I JUST WORK AT THE GROCERY STORE BESIDES THAT NO NOWHERE ELSE +audio/RES0073.mp3[548.720,556.560] OK AND ANY OF YOUR COWORKERS HAVE ANY SYMPTOMS OR ANY COWORKERS BEING OFF SICK +audio/RES0073.mp3[556.560,564.920] NO WERE PRETTY CAREFUL RIGHT NOW WITH THE PANDEMIC +audio/RES0073.mp3[564.920,570.000] I SEE YEAH THATS GREAT OK AND DO YOU SMOKE CIGARETTES +audio/RES0073.mp3[570.000,575.520] NO I QUIT JUST A COUPLE OF YEARS AGO +audio/RES0073.mp3[575.520,584.200] OH THATS GREAT ITS NOT EASY TO QUIT SO THATS AWESOME AND DO YOU DRINK ALCOHOL +audio/RES0073.mp3[584.200,591.440] JUST MAYBE LIKE RED WINE A COUPLE OF TIMES A WEEK +audio/RES0073.mp3[591.440,598.720] I SEE OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0073.mp3[598.720,606.240] UH JUST IN A MONTH MAYBE ONCE OR TWICE I SMOKE A JOINT +audio/RES0073.mp3[606.240,614.200] OK UH AND ANYBODY IN THE FAMILY HAVE ANY LUNG OR HEART CONDITIONS +audio/RES0073.mp3[614.200,617.000] NO NOT THAT I KNOW OF +audio/RES0073.mp3[617.000,621.560] ALRIGHT AND HOW ABOUT ANY CANCER IN THE FAMILY +audio/RES0073.mp3[621.560,627.760] UH NO NO CANCERS +audio/RES0073.mp3[627.760,641.080] OK I THINK I THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT YOU WANTED TO MAKE SURE I KNEW ABOUT TODAY +audio/RES0073.mp3[641.080,655.800] NO I THINK THATS ALL I JUST DIDNT KNOW IF I NEEDED ANY LIKE MEDICATIONS OR IF I NEEDED TO GET TESTED I JUST WANTED TO MAKE SURE +audio/RES0073.mp3[655.800,705.000] YEAH SO WELL CERTAINLY CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AND IF YOU DO AND ITS HIGH ENOUGH THAT WILL INCREASE THE CHANCE THAT YOU HAVE A BACTERIAL SINUSITIS AND IF SO WITH SOME OF YOUR SYMPTOMS INCLUDING THE DISCHARGE OBSTRUCTION LOSS OF SMELL AND FACIAL PAIN THAT ALL FITS THE PICTURE FOR IT AND ALSO YOU HAD A PERIOD WHERE YOU FELT A LITTLE BIT BETTER AND THEN WORSE AGAIN SO THAT MIGHT REQUIRE ANTIBIOTICS BUT WE WILL CHECK YOUR TEMPERATURE AND GO FROM THERE +audio/RES0073.mp3[705.000,709.080] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH +audio/RES0073.mp3[709.080,711.920] THANK YOU +audio/RES0031.mp3[0.000,5.240] I WAS WONDERING IF WE COULD START BY YOU TELLING ME WHAT BROUGHT YOU IN TODAY +audio/RES0031.mp3[5.240,9.480] SO I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING A SORE THROAT +audio/RES0031.mp3[9.480,15.400] OK COULD YOU TELL ME SPECIFICALLY WHERE YOURE FEELING THE PAIN +audio/RES0031.mp3[15.400,19.440] I WOULD SAY ITS MOSTLY AT THE BACK OF MY THROAT +audio/RES0031.mp3[19.440,24.000] OK AND HOW LONG HAS THIS BEEN GOING ON FOR +audio/RES0031.mp3[24.000,28.560] I THINK IT STARTED LAST NIGHT +audio/RES0031.mp3[28.560,35.800] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS SHARP BURNING STINGING DULL +audio/RES0031.mp3[35.800,39.520] I WOULD DESCRIBE IT AS LIKE A BURNING PAIN +audio/RES0031.mp3[39.520,50.960] OK AND UH HAS ANYTHING HAS THE PAIN BEEN GETTING ANY BETTER ANY WORSE +audio/RES0031.mp3[50.960,58.000] I THINK ITS GETTING WORSE SINCE LAST NIGHT +audio/RES0031.mp3[58.000,64.680] OK AND ANY PRIOR EPISODES LIKE THIS WHERE YOU HAD SIMILAR SYMPTOMS +audio/RES0031.mp3[64.680,69.480] NOTHING NOTHING RECENTLY THAT I CAN RECALL NO +audio/RES0031.mp3[69.480,74.560] OK ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE +audio/RES0031.mp3[74.560,78.920] UH I THINK ITS JUST STAYING AT THE BACK OF MY THROAT +audio/RES0031.mp3[78.920,88.040] OK AND CAN YOU THINK OF ANYTHING THAT TRIGGERED THE THE SORE THROAT THAT YOU DID JUST PRIOR TO THE SYMPTOMS COMING ON +audio/RES0031.mp3[88.040,97.560] UH NO NOT THAT I CAN THINK OF I HAVENT REALLY CHANGED WHAT I DRINK OR WHAT I EAT NOTHING REALLY CHANGED +audio/RES0031.mp3[97.560,99.800] OK AND ANYTHING THATS BEEN MAKING THE PAIN WORSE +audio/RES0031.mp3[99.800,107.680] UM I WOULD SAY WHEN I UH ESPECIALLY WHEN IM EATING WHEN IM SWALLOWING IT HURTS A LOT BUT THATS ABOUT IT +audio/RES0031.mp3[107.680,114.600] OK ANYTHING THAT MAKES IT BETTER +audio/RES0031.mp3[114.600,129.000] UH I I THINK WHEN I DRINK LIKE COLDER LIQUIDS OR ICE CREAM IT JUST SOOTHES HE PAIN A LITTLE BIT +audio/RES0031.mp3[129.000,133.960] OK ANY OTHER SYMPTOMS THAT YOU BEEN EXPERIENCING +audio/RES0031.mp3[133.960,158.960] UM SO I I DO FIND THAT LIKE MY MOM TOLD ME THAT I HAVE MY VOICE IS KIND OF ROUGH AND LIKE JUST A LITTLE BIT HOARSE BUT OTHER THAN THAT BESIDES THE SWALLOWING UM NOTHING ELSE REALLY IM STILL ABLE TO SWALLOW LIQUIDS BUT ITS JUST THE SOLIDS THAT CAUSES SOME PAIN +audio/RES0031.mp3[158.960,165.120] OK HAVE YOU HAD ANYTHING TO EAT TODAY OR WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT +audio/RES0031.mp3[165.120,176.040] I THINK I DID HAVE LUNCH TODAY I WASNT ABLE TO EAT TOO TOO MUCH JUST BECAUSE OF THE PAIN BUT YEAH JUST A COUPLE HOURS AGO I HAD I DID HAVE A LUNCH +audio/RES0031.mp3[176.040,181.320] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE YOURSELF +audio/RES0031.mp3[181.320,182.520] SORRY WHAT WAS THAT +audio/RES0031.mp3[182.520,187.400] HAVE YOU NOTICED ANY CHANGES TO YOUR LIKE DO YOU THINK YOUR VOICE SOUNDS DIFFERENT TOO +audio/RES0031.mp3[187.400,201.800] YEAH I DEFINITELY THINK UM LIKE WHEN I WOKE UP THIS MORNING MY VOICE WAS DEFINITELY MORE LIKE HOARSE AND MORE LIKE RASPY ALMOST BUT YEAH I WOULD SAY MY VOICE HAS CHANGED +audio/RES0031.mp3[201.800,207.960] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR OR CHILLS +audio/RES0031.mp3[207.960,224.440] I DEFINITELY FELT A BIT CHILLY YESTERDAY IN THE MORNING I I DIDNT TAKE ANY TEMPERATURES I THINK YOU GUYS DID TAKE A TEMPERATURE WHEN I CAME IN TODAY I I DONT KNOW WHAT IT WAS +audio/RES0031.mp3[224.440,230.720] OK YEAH UM YOU DID HAVE A FEVER TODAY WHEN COMING IN +audio/RES0031.mp3[234.040,237.040] UH OK HAVE YOU HAD ANY HEADACHES +audio/RES0031.mp3[237.040,239.760] NO NO HEADACHES +audio/RES0031.mp3[239.760,244.400] OK HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0031.mp3[244.400,260.040] SOMETIMES I FEEL LIKE WITH THE PAIN AND I THINK THERES A LOT OF JUST SWELLING BACK BACK IN MY THROAT THAT WHEN I TALK TOO MUCH I ALMOST FEEL LIKE IM ABOUT TO GAG BUT I HAVENT REALLY THROWN UP AT ALL THOUGH +audio/RES0031.mp3[260.040,265.000] OK BUT YOU DO FEEL LIKE YOUR THROAT IS SWOLLEN +audio/RES0031.mp3[265.400,271.760] ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING ANY FATIGUE +audio/RES0031.mp3[271.760,280.400] YEAH I WOULD SAY DEFINITELY THE LAST FEW DAYS ESPECIALLY YESTERDAY I JUST FELT EXHAUSTED DIDNT REALLY WANT TO DO ANYTHING +audio/RES0031.mp3[280.400,283.760] OK NOTICE ANY SKIN RASHES OR OR CHANGES +audio/RES0031.mp3[283.760,288.600] NO NO SKIN SKIN RASHES +audio/RES0031.mp3[288.600,292.320] OK AND HAVE YOU HAD A COUGH +audio/RES0031.mp3[292.320,295.040] NO I HAVENT HAD ANY COFFEE +audio/RES0031.mp3[295.040,299.640] HOW ABOUT ANY DIFFICULTY BREATHING OR SHORTNESS OF BREATH +audio/RES0031.mp3[299.640,303.320] NO I THINK MY BREATHING HAS BEEN FINE +audio/RES0031.mp3[303.320,307.760] OK UM AND HOW IS YOUR APPETITE +audio/RES0031.mp3[307.760,317.160] YEAH OVER THE LAST FEW DAYS ESPECIALLY TODAY I JUST FEEL LIKE WITH THE PAIN I DONT REALLY FEEL LIKE EATING AT ALL +audio/RES0031.mp3[317.160,320.280] OK AND ANY RECENT CHANGES TO YOUR WEIGHT +audio/RES0031.mp3[320.280,328.000] NO I I I WEIGH AROUND 150 AND THAT HASNT REALLY CHANGED AT ALL +audio/RES0031.mp3[328.000,331.440] ALRIGHT AND UH HAVE YOU HAD ANY INFECTIONS RECENTLY +audio/RES0031.mp3[331.440,344.680] I THINK A COUPLE OF WEEKS AGO I I DID HAVE A I WOULD SAY LIKE A BIT OF A RUNNY NOSE MAYBE A LITTLE BIT OF SORENESS OF MY THROAT BUT IT JUST WENT AWAY BY ITSELF +audio/RES0031.mp3[344.680,347.720] OK SO YOU DIDNT HAVE ANY TREATMENT FOR THAT +audio/RES0031.mp3[347.720,352.960] NO I DIDNT HAVE ANY MEDICATIONS OR ANYTHING I DIDNT EVEN GO TO THE DOCTOR THEN +audio/RES0031.mp3[352.960,360.160] OK AND HAVE YOU NOTICED ANY LUMPS IN YOUR IN YOUR NECK OR UNDER YOUR CHIN +audio/RES0031.mp3[360.160,369.320] UH NO NOT THAT I KNOW I HAVENT REALLY CHECKED BUT I HAVENT NOTICED ANYTHING LIKE REMARKABLE +audio/RES0031.mp3[369.320,373.720] OK UM ANY CHANGES TO THE SMELL OF YOUR BREATH +audio/RES0031.mp3[373.720,389.360] I I DONT KNOW ABOUT A SMELL BUT I DO FEEL LIKE I HAVE LIKE THIS GROSS TASTE IN MY MOUTH MAYBE I DONT KNOW I THINK IT MIGHT SMELL A LITTLE BIT BUT I DEFINITELY HAVE THAT REALLY GROSS TASTE +audio/RES0031.mp3[389.360,393.920] OK AND UH DO YOU HAVE ANY ABDOMINAL PAIN +audio/RES0031.mp3[393.920,403.560] I DO FEEL THAT LIKE MY STOMACH IS A BIT SORE ESPECIALLY TODAY BUT NOTHING IM TOO WORRIED ABOUT +audio/RES0031.mp3[403.560,411.000] OK AND HAVE YOU BEEN DIAGNOSED OR TREATED FOR ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0031.mp3[411.000,414.440] NO IVE BEEN FORTUNATE IM COMPLETELY HEALTHY +audio/RES0031.mp3[414.440,416.240] ANY ALLERGIES +audio/RES0031.mp3[416.240,417.960] NO ALLERGIES +audio/RES0031.mp3[417.960,419.720] ANY MEDICATIONS +audio/RES0031.mp3[419.720,421.160] UH NO +audio/RES0031.mp3[421.160,422.880] ANY HOSPITALIZATIONS +audio/RES0031.mp3[422.880,424.320] NOPE NEVER +audio/RES0031.mp3[424.320,427.920] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0031.mp3[427.920,443.080] UH SO JUST A COUPLE OF WEEKS AGO AROUND THE TIME WHEN I HAD SOME COLD SYMPTOMS MY GIRLFRIEND ALSO HAD A SORE THROAT AND IT LASTED FOR AROUND A WEEK YEAH SO I WOULD SAY JUST MY GIRLFRIEND +audio/RES0031.mp3[443.080,446.880] OK DOES YOUR GIRLFRIEND HAVE A SORE THROAT NOW +audio/RES0031.mp3[446.880,454.360] NO IT IT STARTED I THINK AROUND 2 WEEKS AGO AND IT STOPPED LAST WEEK +audio/RES0031.mp3[454.360,457.400] OK ANY SURGERIES BEFORE +audio/RES0031.mp3[457.400,459.200] NO NO SURGERIES +audio/RES0031.mp3[459.200,469.920] ALRIGHT IN THE FAMILY ANY HISTORY OF CANCER OR CANCER EARLY CARDIOVASCULAR DISEASE OR CHRONIC DISEASES +audio/RES0031.mp3[469.920,481.480] UH I DONT KNOW ABOUT THE REST BUT I I MY DAD DOES HAVE TYPE 2 DIABETES BUT NO CANCERS OR NO LIKE HEART ATTACKS OR ANYTHING LIKE THAT +audio/RES0031.mp3[481.480,485.720] OK AND RIGHT NOW HOW ARE YOU SUPPORTING YOURSELF FINANCIALLY +audio/RES0031.mp3[485.720,505.760] SO I AM CURRENTLY NOT WORKING IM GOING TO COLLEGE RIGHT NOW MAJORING IN THE ARTS RIGHT NOW IM LIVING IN DORM IVE BEEN FORTUNATE MY PARENTS SUPPORT ME FINANCIALLY SO IM CURRENTLY NOT WORKING JUST A STUDENT +audio/RES0031.mp3[505.760,510.640] I SEE OK AND DO YOU DRINK ALCOHOL +audio/RES0031.mp3[510.640,520.120] JUST JUST ON THE WEEKENDS WHEN THERES A LIKE GET TOGETHERS AND PARTIES BUT THROUGHOUT THE WEEK I I DONT DRINK ANYTHING +audio/RES0031.mp3[520.120,523.840] OK AND DO YOU SMOKE CIGARETTES +audio/RES0031.mp3[523.840,526.560] UH NO IVE NEVER TRIED CIGARETTES +audio/RES0031.mp3[526.560,532.200] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0031.mp3[532.200,546.320] NO NO I TRY TO STAY AWAY FROM ALL DRUGS BECAUSE I IM ALSO AN ATHLETE SO I NEED TO MAKE SURE THAT MY BODY IS COMPLETELY HEALTHY +audio/RES0031.mp3[546.320,549.600] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0031.mp3[550.800,555.600] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS +audio/RES0031.mp3[555.600,575.280] SO I JUST HAVE ONE PARTNER FOR THE LAST COUPLE MONTHS MY GIRLFRIEND BEFORE THAT THROUGHOUT THE YEAR I THINK IVE HAD TWO OTHER PARTNERS BUT YEAH CURRENTLY RIGHT NOW JUST MY GIRLFRIEND +audio/RES0031.mp3[575.280,581.160] OK AND MEN OR WOMEN OR BOTH +audio/RES0031.mp3[581.160,584.760] OH NO IM IM STRAIGHT LIKE I IVE ONLY BEEN WITH WOMEN +audio/RES0031.mp3[584.760,593.200] OK AND HOW MANY PARTNERS HAVE HAVE YOU BEEN WITH OVER THE LAST SIX MONTHS OR THE LAST YEAR +audio/RES0031.mp3[593.200,599.680] I WOULD SAY FOR MY GIRLFRIEND TWO OTHER GIRLS SO THREE IN TOTAL IN THE LAST YEAR +audio/RES0031.mp3[599.680,604.840] OK AND DO YOU USE A CONDOM +audio/RES0031.mp3[604.840,616.320] UH I I ALWAYS TRY TO USE A CONDOM LIKE THE LAST THING MY PARENTS WOULD PROBABLY KICK ME OUT IF I EVER GOT A GIRL PREGNANT SO YEAH I ALWAYS ALWAYS USE A CONDOM +audio/RES0022.mp3[0.000,4.800] WOULD YOU MIND BY START STARTING TO TELL ME ABOUT WHAT BROUGHT YOU IN TODAY +audio/RES0022.mp3[4.800,31.720] YEAH I I ITS JUST OVER THE LAST WEEK I CANT LIKE DO ANYTHING WITHOUT JUST FEELING REALLY LIKE SHORT OF BREATH IM HAVING A REALLY HARD TIME BREATHING LIKE KIND OF DO ANYWAYS BECAUSE I HAVE COPSO I FEEL LIKE OVER A FEW YEARS ITS BEEN GETTING WORSE BUT THIS WEEK IT JUST GOT REALLY BAD IN PARTICULAR +audio/RES0022.mp3[31.720,41.920] OK I SEE SO HOW MUCH ACTIVITY WERE YOU DOING THAT WAS BRINGING ON THE SHORTNESS OF BREATH +audio/RES0022.mp3[41.920,64.360] LIKE I I USUALLY I WILL WALK MY DOG AROUND THE BLOCK AND I HAVENT BEEN ABLE TO DO THAT LIKE MY HUSBANDS BEEN DOING IT AND THEN I WAS JUST GOING TO TRY TO GET THE MAIL JUST LIKE I DONT KNOW ITS PROBABLY LIKE 200 FEET DOWN THE ROAD AND I COULD I WAS SO TIRED WHEN I GOT BACK AND I FELT LIKE I COULD BARELY BREATHE +audio/RES0022.mp3[64.360,69.520] OK AND DID YOU HAVE ANY CHEST PAIN WITH THIS +audio/RES0022.mp3[69.520,71.760] UH NO NO NOTHING LIKE THAT +audio/RES0022.mp3[71.760,78.040] OK AND WHEN DID THE SHORTNESS OF BREATH SYMPTOMS START COMING ON +audio/RES0022.mp3[78.040,96.480] MMM LIKE IT IVE BEEN I FEEL LIKE ITS BEEN SORT OF GETTING WORSE OVER THE PAST FEW YEARS BUT JUST LIKE A WEEK AGO IT JUST GOT REALLY BAD LIKE VERY SUDDENLY +audio/RES0022.mp3[96.480,107.080] OK UM AND HAS IT BEEN GETTING WORSE OVER THIS PAST WEEK OR HAS IT STAYED THE SAME +audio/RES0022.mp3[107.080,111.680] PFFT MAYBE GETTING A BIT WORSE LIKE ITS BEEN PRETTY BAD THE WHOLE TIME +audio/RES0022.mp3[111.680,117.040] NO OK I SEE AND HAVE YOU HAD A COUGH +audio/RES0022.mp3[117.040,140.560] YEAH LIKE I AGAIN LIKE I DO NORMALLY BECAUSE OF MY COPBUT ITS JUST BEEN REALLY ITS BEEN EVEN WORSE THIS WEEK AND USUALLY WHEN I GET SICK ITS MORE LIKE IM LIKE BRINGING UP A LOT OF LIKE YELLOWISH GUNK BUT THIS TIME ITS NOT BEEN QUITE AS LIKE GUNKIE ITS BEEN PRETTY DRY +audio/RES0022.mp3[140.560,146.080] OK SO YOURE NOT BRINGING UP ANY SPUTUM WITH YOUR COUGH +audio/RES0022.mp3[146.080,153.240] NO MAYBE MAYBE A TINY BIT BUT I KINDA DO THAT LIKE ANYWAYS +audio/RES0022.mp3[153.240,157.280] OK UH AND HAVE YOU COUGHED UP ANY BLOOD +audio/RES0022.mp3[161.400,173.880] OK AND UM HAVE YOU HAD ANY OTHER SYMPTOMS THAT HAVE WENT ALONG WITH THIS DIFFICULTY BREATHING UM AND COUGH +audio/RES0022.mp3[173.880,202.800] UM I MEAN IVE BEEN I DONT HAVE A THERMOMETER AT HOME BUT I HAVE FELT LIKE REALLY HOT AND JUST THIS MORNING LIKE MY HUSBAND YOU KNOW HE WAS TRYING TO MAKE SURE I WAS STILL EATING AND DRINKING A LOT AND I DONT REALLY FEEL LIKE I AM TASTING MY FOOD ALL THAT WELL +audio/RES0022.mp3[202.800,208.200] OK SO WOULD YOU SAY THAT YOU HAVE A LOSS OF TASTE RIGHT NOW +audio/RES0022.mp3[208.200,214.760] UM PRETTY YEAH YEAH IM PRETTY SURE I COULDNT REALLY TASTE MY BREAKFAST +audio/RES0022.mp3[214.760,222.520] OK AND HOW ABOUT YOUR SENSE OF SMELL +audio/RES0022.mp3[222.520,228.560] ACTUALLY YEAH COME TO THINK OF IT I DONT I DONT THINK IVE REALLY BEEN SMELLING MUCH +audio/RES0022.mp3[228.560,238.200] OK SO YOURE NOT ABLE TO SMELL EITHER DO YOU FEEL LIKE YOUR NOSE IS CONGESTED OR ARE REALLY RUNNY +audio/RES0022.mp3[238.200,243.360] ITS NOT ITS NOT PARTICULARLY CONGESTED OR ANYTHING +audio/RES0022.mp3[243.360,252.160] OK BUT STILL HAVE HAD THESE CHANGES IN TASTE AND SMELL +audio/RES0022.mp3[253.160,266.080] UM OK AND WE WILL CHECK YOUR TEMPERATURE AS WELL TO SEE IF WE CAN IF THERE IS A DOCUMENTED FEVER HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0022.mp3[266.080,267.880] WHATS THAT +audio/RES0022.mp3[267.880,279.560] SO GENERALLY PATIENTS WOULD WILL SAY THAT THEIR SHEETS ARE SOAKED AND IT WILL WAKE THEM UP SOMETIMES BECAUSE ITS UNCOMFORTABLE +audio/RES0022.mp3[279.560,282.240] OH NO I HAVENT HAD THAT +audio/RES0022.mp3[282.240,290.160] OK HOW ABOUT ANY CHILLS SO IT COULD BE LIKE WHEN YOU KIND OF SHAKING IN YOUR IN YOUR BED +audio/RES0022.mp3[290.160,296.040] NO NOT REALLY JUST JUST LIKE THERE REALLY I THINK LIKE FEVER I THINK FEVERS +audio/RES0022.mp3[296.040,302.760] OK AND HAVE OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS +audio/RES0022.mp3[302.760,305.920] NO I THINK IVE BEEN PRETTY WELL THE SAME +audio/RES0022.mp3[305.920,314.680] OK AN WITH UM THE CHANGE IN TASTE HOW HAS YOUR APPETITE BEEN +audio/RES0022.mp3[314.680,326.040] WELL I MEAN THAT WAS JUST THIS MORNING THAT I NOTICED THAT UM BEFORE THAT I THINK I WAS EATING LIKE PRETTY OK +audio/RES0022.mp3[326.040,334.080] OK AND HAVE YOU FELT AS THOUGH YOUR HEART WAS RACING AT ANY POINT +audio/RES0022.mp3[337.440,342.400] OK UH ANY DIZZINESS OR FEELING LIGHTHEADED +audio/RES0022.mp3[342.400,346.720] OH NO I DONT THINK SO +audio/RES0022.mp3[346.720,352.240] OK AND ANY ABDOMINAL PAIN +audio/RES0022.mp3[354.280,362.000] HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0022.mp3[364.560,370.000] OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0022.mp3[370.000,380.480] MAYBE MAYBE A LITTLE DIARRHEA OH BUT I DIDNT KNOW IF THAT WAS JUST SOMETHING I ATE OR WHAT +audio/RES0022.mp3[380.480,384.360] OK SO WHEN DID THE DIARRHEA START +audio/RES0022.mp3[384.360,388.800] LIKE YESTERDAY YESTERDAY +audio/RES0022.mp3[388.800,395.280] OK AND AND APPROXIMATELY HOW MANY TIMES DID YOU GO TO THE BATHROOM WOULD YOU SAY +audio/RES0022.mp3[395.280,401.880] SO PROBABLY LIKE TWICE WHERE IT WAS REALLY LOOSE +audio/RES0022.mp3[401.880,405.360] OK AND DID YOU NOTICE ANY BLOOD +audio/RES0022.mp3[407.640,415.840] OK UM HAS THAT HAPPENED AGAIN TODAY +audio/RES0022.mp3[415.840,418.160] OH NO I DIDNT GO TODAY +audio/RES0022.mp3[418.160,427.440] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR NEEDING TO GO REALLY OFTEN +audio/RES0022.mp3[429.000,432.440] OK AND THEN UH HAVE YOU HAD ANY HEADACHES +audio/RES0022.mp3[432.440,443.240] COME TO THINK OF IT A LITTLE BIT I JUST THOUGHT I WAS LIKE IT WAS MAYBE BECAUSE I WAS TIRED BUT YEAH IVE HAD HEADACHES +audio/RES0022.mp3[443.240,450.720] OK HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST +audio/RES0022.mp3[450.720,459.840] UM I MEAN ONLY WHEN THERE IS LIKE REASONS FOR IT LIKE BEING REALLY OVERTIRED OR UH YEAH +audio/RES0022.mp3[459.840,466.040] OK DOES THIS FEEL SIMILAR TO ANY OF THOSE TIMES +audio/RES0022.mp3[466.040,472.040] LET ME KNOW ITS HARD TO SAY LIKE I AM TIRED SO YEAH I THINK SO +audio/RES0022.mp3[472.040,481.520] OK WOULD YOU SAY THIS WAS THE WORST HEADACHE OF YOUR LIFE OR A KIND OF LIKE A THUNDER CLAP SENSATION +audio/RES0022.mp3[481.520,484.320] NO NOTHING LIKE THAT +audio/RES0022.mp3[484.320,495.240] OK AND HAVE YOU GOT ANY PHOTO SENSITIVITY OR KIND OF SENSITIVITY OF YOUR LIGHT OR SENSITIVITY TO SOUND +audio/RES0022.mp3[496.720,508.440] OK AND NEXT QUESTION WOULD BE HAVE YOU HAVE ANY ANY JOINT ACHES OR MUSCLE ACHES OR GENERAL BODY ACHES +audio/RES0022.mp3[508.440,528.480] I MEAN IM A LITTLE I FEEL LIKE I HAVENT BEEN MOVING AS MUCH FEEL A LITTLE SORE I THOUGHT IT WAS MAYBE JUST CAUSE I YOU KNOW WASNT GOING FOR MY LONG WALKS AND MY BODY WAS LIKE GETTING TIRED AND STIFF BUT YEAH I FEEL A BIT ACHEY WHEN I COME TO THINK OF IT +audio/RES0022.mp3[528.480,534.480] OK AND HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN +audio/RES0022.mp3[536.320,543.480] OK UH AND THEN IM NOT SURE IF I ASKED BUT DID YOU HAVE A SORE THROAT +audio/RES0022.mp3[543.480,546.760] UH NO +audio/RES0022.mp3[546.760,557.800] OK UM AND NEXT JUST WANTED TO ASK ABOUT YOUR PAST HEALTH UM IS THERE ANYTHING YOU SEE A PHYSICIAN FOR REGULARLY +audio/RES0022.mp3[557.800,559.880] JUST LIKE THE COP +audio/RES0022.mp3[563.240,566.240] MY FAMILY DOCTOR +audio/RES0022.mp3[566.240,570.160] OK AND DO YOU USE INHALERS FOR THAT +audio/RES0022.mp3[570.160,597.320] OH GEEZ I HAVENT SEEN MY FAMILY DOCTOR IN AWHILE BECAUSE OF THE COVID STUFF BUT I HAVE AN INHALER AH THAT WAS PROBABLY LIKE BEFORE COVID THAT IT WAS PRESCRIBED AND THEN I RAN OUT AT SOME POINT AND I HAVENT GOT IT RENEWED +audio/RES0022.mp3[597.320,604.040] OK SO WHEN WAS THE LAST TIME YOU USED AN INHALER A A WEEK AGO A MONTH AGO +audio/RES0022.mp3[604.040,620.920] I PROBABLY RAN OUT LIKE TWO MONTHS AGO BUT I WASNT USING IT EVERY DAY IT WAS LIKE ONE OF THOSE ONES FOR LIKE WHEN YOU NEED IT AND NOW NOW THIS WEEK I WISH I WOULD HAVE HAD IT +audio/RES0022.mp3[620.920,629.960] OK I SEE SO BEFORE LIKE TWO MONTHS AGO HOW OFTEN WOULD YOU SAY YOU WERE USING IT +audio/RES0022.mp3[629.960,633.440] OH MAYBE ONCE YOURE ONCE A WEEK +audio/RES0022.mp3[633.440,648.360] OK UM AND WHEN WHAT TYPES OF SITUATIONS WHERE YOU FINDING YOURSELF NEEDING TO USE IT MORE OFTEN OR RATHER WHERE THERE ANY KIND OF TRIGGERS TO THOSE EVENTS +audio/RES0022.mp3[648.360,664.080] LIKE IF I IF I SAY I TOOK MY DOG FOR A WALK AND THEY KIND OF GOT AWAY AND I HAD TO RUN A LITTLE LIKE RUN A LITTLE BIT USUALLY I WALK LIKE PRETTY FAST BUT IF I HAVE TO RUN THAT WOULD THAT WOULD MAKE IT WOULD MAKE ME HAVE TO USE IT +audio/RES0022.mp3[664.080,670.720] OK SO A LOT MORE EXERTION THAN WHAT YOURE ABLE TO DO NOW IT SOUNDS LIKE +audio/RES0022.mp3[670.720,673.960] YEAH LIKE HEAVIER EXERCISE +audio/RES0022.mp3[673.960,681.160] I SEE AND ANY OTHER MEDICATIONS LIKE PRESCRIBED OR OVER THE COUNTER THAT YOU TAKE +audio/RES0022.mp3[681.160,683.200] NO THAT WAS IT +audio/RES0022.mp3[683.200,685.760] ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE +audio/RES0022.mp3[685.760,694.680] I HAD MY APPENDIX OUT WHEN I WAS IN MY 20S +audio/RES0022.mp3[694.680,699.040] OK AND ANY ALLERGIES +audio/RES0022.mp3[700.320,707.600] OK AND UM HAVE YOU BEEN ANYBODY SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY +audio/RES0022.mp3[707.600,750.560] WELL WE HAVENT REALLY SEEN ANYONE BECAUSE OF THE COVID STUFF SO ITS JUST MY MY HUSBAND HAS SOMEONE LIKE HAS A FRIEND THAT COMES OVER FOR THEM TO THE THEY WATCH LIKE THE SPORTS GAMES TOGETHER LIKE OUR FRIEND LIVES ALONE SO THATS REALLY THE ONLY PERSON THATS BEEN COMING INTO OUR HOUSE AND I DONT I DONT KNOW THAT I DONT THINK HES BEEN SICK BUT HE HE MIGHT HAVE BEEN AROUND PEOPLE THAT WERE SICK +audio/RES0022.mp3[750.560,755.320] OK I SEE SO HE HASNT HAD ANY SYMPTOMS THOUGH +audio/RES0022.mp3[755.320,760.720] NOT THAT I KNOW OF WE HAVENT HEARD FROM HIM IN A FEW DAYS THOUGH +audio/RES0022.mp3[760.720,764.480] OK AND HOW WAS YOUR HUSBAND BEEN +audio/RES0022.mp3[764.480,778.320] OH HES BEEN WELL HE SAID HE LIKE HE HAD A BIT OF A SCRATCHY THROAT BUT I DONT THINK HES HE HASNT REALLY FELT SICK I DONT THINK +audio/RES0022.mp3[778.320,785.960] OK YEAH AND DO YOU LIVE WITH ANYBODY ELSE OR IS IT JUST YOU AND YOUR HUSBAND +audio/RES0022.mp3[785.960,788.320] JUST THE TWO OF US AND OUR DOG +audio/RES0022.mp3[788.320,794.200] OK AND UH DO YOU SMOKE CIGARETTES +audio/RES0022.mp3[794.200,800.160] YEAH IVE TRIED TO STOP BUT I I SMOKE LIKE A PACK A DAY +audio/RES0022.mp3[800.160,811.840] OK WE CAN TALK MAYBE ABOUT QUITTING IF YOURE INTERESTED LATER ON IN THE APPOINTMENT OR AT ANOTHER TIME AT A FOLLOW UP +audio/RES0022.mp3[811.840,814.960] SURE SURE +audio/RES0022.mp3[814.960,823.560] OK AND DO YOU DRINK ALCOHOL +audio/RES0022.mp3[823.560,830.040] LIKE MAYBE LIKE A GLASS OF WINE ON A FRIDAY +audio/RES0022.mp3[830.040,835.000] OK SO VERY IT SOUNDS OCCASIONALLY MAYBE A DRINK A WEEK +audio/RES0022.mp3[835.000,836.160] YEAH SOMETHING LIKE THAT +audio/RES0022.mp3[836.160,840.640] ALRIGHT AND UM DO YOU SMOKE MARIJUANA +audio/RES0022.mp3[840.880,846.680] OK ALRIGHT HOW ABOUT THAT USE LIKE ANY LIKE EDIBLES OR ANYTHING LIKE THAT +audio/RES0022.mp3[846.680,847.800] NO NOTHING LIKE THAT +audio/RES0022.mp3[847.800,851.960] OK AND THEN HOW ABOUT ANY RECREATIONAL DRUGS +audio/RES0022.mp3[851.960,855.480] UM LIKE WHAT +audio/RES0022.mp3[855.480,862.880] LIKE THINGS LIKE COCAINE CRYSTAL METH ECSTASY +audio/RES0022.mp3[862.880,864.880] NO NO +audio/RES0022.mp3[864.880,870.160] I SEE OK AND IS ANYBODY IN YOUR FAMILY HAD ANY HEART CONDITIONS BEFORE +audio/RES0022.mp3[870.160,876.880] MY DAD HAD LIKE HIGH BLOOD PRESSURE +audio/RES0022.mp3[876.880,882.000] OK ANYBODY EVER HEARD ATTACK +audio/RES0022.mp3[882.000,885.320] NO NOT THAT I KNOW OF +audio/RES0022.mp3[885.320,891.760] OK AND ANYBODY IN THE FAMILY HAVE LUNG CONDITIONS IN THE PAST +audio/RES0022.mp3[891.760,892.440] UH NO +audio/RES0022.mp3[892.440,900.160] OK AT ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0022.mp3[900.480,911.000] ALRIGHT SO WAS THERE ANYTHING ELSE THAT UM YOU THINK I SHOULD KNOW TODAY THAT MAYBE I DIDNT ASK ABOUT +audio/RES0022.mp3[911.000,916.760] I JUST FEEL TIRED I JUST FEEL LIKE REALLY TIRED +audio/RES0022.mp3[916.760,936.760] OK CERTAINLY THAT CAN BE PART OF A KIND OF WHAT HOW YOURE FEELING AND RIGHT NOW WITH THE SITUATION WITH THE PANDEMIC COVID19 IS DEFINITELY PNE THING THAT WILL BE TESTING FOR TODAY +audio/RES0022.mp3[936.760,939.760] DO YOU THINK I HAVE COVID +audio/RES0022.mp3[939.760,991.440] ITS VERY POSSIBLE BECAUSE OF HOW GENERAL THE SYMPTOMS ARE FOR COVID AND SO ITS SOMETHING THAT WE WANT TO TEST FOR THAT BEING SAID YOU COULD HAVE ANOTHER VIRAL ILLNESS SUCH AS THE COMMON COLD LIKE ADENOVIRUS OR YOU COULD HAVE A BACTERIAL INFECTION THATS NOT COVID REALLY RELATED AT ALL OR THIS COULD BE AN EXACERBATION OF YOUR COPAND MAYBE WE NEED WE NEED TO JUST TITRATE YOUR INHALER SO WELL NEED TO JUST RUN SOME LAB WORK AND DO THE PCR NASAL SWAB AS PART OF THE WORK UP AN WE WILL SEE WHAT SOME OF THOSE INVESTIGATIONS SHOW +audio/RES0022.mp3[991.440,994.720] OH GEEZ OK +audio/RES0022.mp3[994.720,1013.840] OK ITS ALL IN THE MEANTIME YOULL NEED TO QUARANTINE FOR 14 DAYS AND IF THE RESULTS ARE POSITIVE WELL AFTER NOTE NOTIFIED PUBLIC HEALTH SO THAT THE APPROPRIATE CONTACT TRACING CAN BE MADE BUT WELL GET THE INVESTIGATION STARTED NOW +audio/RES0022.mp3[1013.840,1017.200] OK THANKS DOC +audio/RES0022.mp3[1017.200,1020.520] ALRIGHT YOURE WELCOME +audio/MSK0007.mp3[0.000,2.080] HOW MAY I HELP YOU +audio/MSK0007.mp3[2.080,16.280] HI YES IVE HAD THIS PAIN IN MY LEFT ELBOW FOR A COUPLE OF WEEKS NOW AND ITS NOT GETTING ANY BETTER SO IM JUST HERE TO KIND OF FIGURE OUT WHAT IT IS +audio/MSK0007.mp3[16.280,24.600] OK ALRIGHT ARE YOU FEELING THIS PAIN ON THE LATERAL SIDE OF THE ELBOW ON THE OR ON THE MEDIAL SIDE OF THE ELBOW +audio/MSK0007.mp3[24.600,27.640] ITS ON THE MEDIAL SIDE +audio/MSK0007.mp3[27.640,31.600] OK AND SORRY WHEN DID THIS PAIN EXACTLY START +audio/MSK0007.mp3[31.600,44.200] SO ITS BEEN ON GOING FOR LIKE THE PAST THREE MONTHS BUT ITS GOTTEN WORSE OVER THE LAST ID SAY THREE WEEKS +audio/MSK0007.mp3[44.200,52.280] OK AND HAS THE PAIN BEEN GETTING WORSE ANY BETTER +audio/MSK0007.mp3[52.280,57.840] OH THE PAINS BEEN GETTING WORSE +audio/MSK0007.mp3[57.840,67.360] YEAH OK WAS THERE ANY TRIGGERS OR PRECIPITATING EVENTS TO THE PAIN SUCH AS LIKE A FALL OR ANY TYPES OF TRAUMA TO THE ELBOW +audio/MSK0007.mp3[67.360,70.440] NO NO NOT THAT I CAN THINK OF +audio/MSK0007.mp3[70.440,75.040] HAVE YOU HAD ANY PAIN OR INJURY TO THE ELBOW IN THE PAST +audio/MSK0007.mp3[78.240,85.000] COULD YOU DESCRIBE THE CHARACTER OF THE PAIN IS IT SHARP ACHEY OR DULL +audio/MSK0007.mp3[85.000,90.200] ITS USUALLY ACHEY BUT IT CAN BE SHARP +audio/MSK0007.mp3[90.200,94.600] OK DOES THE PAIN RADIATE ANYWHERE +audio/MSK0007.mp3[94.600,99.040] NO ITS PRETTY ITS PRETTY MUCH IN THAT ONE AREA +audio/MSK0007.mp3[99.040,101.960] OK JUST ON THE MEDIAL SIDE OF THE LEFT ELBOW +audio/MSK0007.mp3[104.480,113.840] OK AND IS THERE ANYTHING THAT YOUVE DONE TO HELP MAKE THE PAIN GO AWAY OR ANY ALLEVIATING FACTORS +audio/MSK0007.mp3[113.840,127.960] I AM TAKING SOME NSAIDS THAT HELPS WITH THE PAIN TEMPORARILY +audio/MSK0007.mp3[127.960,136.120] OK AND UH ARE THERE ANY FACTORS THAT MAKE THE PAIN WORSE +audio/MSK0007.mp3[136.120,148.720] UM WHEN I I I GUESS WHEN I LIKE EXTEND MY ELBOW OUT IT GETS WORSE +audio/MSK0007.mp3[148.720,152.960] OK SO ITS A MOVEMENT OK AND STRAIGHTENING THE ELBOW +audio/MSK0007.mp3[154.160,164.000] OK I MEAN WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 WITH 10 BEING THE WORST PAIN YOUVE EVER FELT +audio/MSK0007.mp3[164.000,173.840] ID SAY ABOUT 5 +audio/MSK0007.mp3[173.840,182.120] OK AND UM SO DID YOU HAVE ANY OTHER SYMPTOMS ASSOCIATED WITH THE ELBOW PAIN +audio/MSK0007.mp3[182.120,188.880] UM NO UM NOT REALLY I IM OTHERWISE PRETTY HEALTHY +audio/MSK0007.mp3[188.880,192.240] OK SO HAVE YOU HAD ANY FEVERS OR CHILLS +audio/MSK0007.mp3[193.720,196.280] HAVE YOU HAD ANY NIGHT SWEATS +audio/MSK0007.mp3[197.200,199.960] OR ANY ANY WEIGHT LOSS +audio/MSK0007.mp3[202.320,205.640] OK HAVE YOU HAD ANY ANY HEADACHES +audio/MSK0007.mp3[207.040,214.320] ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR OR HEARING OR EVEN YOUR SMELL OR TASTE +audio/MSK0007.mp3[215.920,222.240] OK HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE OR YOUR EAR PAIN +audio/MSK0007.mp3[223.080,227.960] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/MSK0007.mp3[231.080,233.960] HAVE YOU HAD A COUGH OR SHORTNESS OF BREATH +audio/MSK0007.mp3[234.560,236.880] HAVE YOU HAD ANY WHEEZING +audio/MSK0007.mp3[237.400,241.120] OK HAVE YOU HAD ANY CHEST PAIN +audio/MSK0007.mp3[242.080,246.320] ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0007.mp3[247.040,250.640] HAVE YOU HAD ANY HEART PALPITATIONS +audio/MSK0007.mp3[251.880,255.120] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0007.mp3[255.960,258.840] HAVE YOU HAD ANY ABDOMINAL PAIN +audio/MSK0007.mp3[259.920,262.400] ANY DIARRHEA OR CONSTIPATION +audio/MSK0007.mp3[263.240,265.520] HAVE YOU HAD ANY URINARY PROBLEMS +audio/MSK0007.mp3[267.040,269.800] OK HAVE YOU HAD ANY SKIN RASHES +audio/MSK0007.mp3[269.800,271.520] NO NO +audio/MSK0007.mp3[271.520,276.080] OK HAVE YOU HAD ANY NUMBNESS OR TINGLING +audio/MSK0007.mp3[277.520,280.880] AND HOW ABOUT ANY MUSCLE WEAKNESS +audio/MSK0007.mp3[281.680,288.440] OK AND ANY JOINT PAINS ANYWHERE ELSE +audio/MSK0007.mp3[289.560,296.200] OK AND ANY CHANGES TO YOUR MEMORY OR OR ANY CONFUSION +audio/MSK0007.mp3[297.200,301.880] OK AND HAVE YOU HAD ANY FATIGUE +audio/MSK0007.mp3[303.080,309.040] OK AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE +audio/MSK0007.mp3[310.320,315.080] OK ARE AN HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/MSK0007.mp3[316.840,323.720] OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER +audio/MSK0007.mp3[323.720,328.200] UM NO I JUST TAKE SOME MULTIVITAMINS +audio/MSK0007.mp3[328.200,332.280] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0007.mp3[332.280,335.840] UM NO +audio/MSK0007.mp3[335.840,342.600] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES +audio/MSK0007.mp3[342.600,357.960] I I HAD A FRACTURE WHEN I WAS YOUNGER IT WAS IN MY HUMERUS BONE ON THE RIGHT SIDE +audio/MSK0007.mp3[357.960,362.680] OK SO ITS THE TO THE FRACTURE WAS ON THE OTHER ARM +audio/MSK0007.mp3[363.840,366.600] OK AND DID THAT HEAL OK +audio/MSK0007.mp3[368.920,377.200] ALRIGHT THEN CAN YOU TELL ME ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHEREABOUTS AND WHO YOURE LIVING WITH +audio/MSK0007.mp3[377.200,385.120] I LIVE WITH MY PARTNER OF FIVE YEARS WE LIVE IN AN APARTMENT TOGETHER +audio/MSK0007.mp3[385.120,389.360] OK AND ARE YOU WORKING CURRENTLY +audio/MSK0007.mp3[389.360,390.080] I AM +audio/MSK0007.mp3[390.080,392.640] AND WHAT DO YOU DO +audio/MSK0007.mp3[392.640,399.800] I WORK ON THE ASSEMBLY LINE FOR CHRYSLER +audio/MSK0007.mp3[399.800,407.960] OK UH AND UH DO YOU DO REPETITIVE TASKS AT WORK +audio/MSK0007.mp3[407.960,410.720] I DO +audio/MSK0007.mp3[410.720,422.280] OK YEAH DO YOU NOTICE THIS UH PAIN AFTER MORE SO AFTER A SHIFT OR AFTER AFTER A LONG DAY +audio/MSK0007.mp3[422.280,425.600] YES DEFINITELY +audio/MSK0007.mp3[425.600,434.600] OK AND WHAT TYPES OF HOBBIES DO YOU HAVE LIKE DO YOU PLAY GOLF OR TENNIS OR OR ANY KIND OF LIKE SPORTS I GUESS +audio/MSK0007.mp3[434.600,446.560] YEAH I USED TO PLAY GOLF BEFORE THIS PAIN IN MY ARM AND MY ELBOW SO I HAVENT PLAYED IT IN THE PAST LIKE SIX MONTHS +audio/MSK0007.mp3[446.560,451.280] OK UM OK AND UM DO YOU SMOKE CIGARETTES +audio/MSK0007.mp3[451.280,453.440] I DONT +audio/MSK0007.mp3[453.440,461.200] AND DO YOU DRINK ALCOHOL +audio/MSK0007.mp3[461.200,468.680] UM ILL HAVE A GLASS OF WINE EVERY OTHER DAY +audio/MSK0007.mp3[468.680,475.480] OK AND HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR OR ANYTHING ELSE +audio/MSK0007.mp3[475.480,483.240] ILL SMOKE A JOINT ONCE A WEEK +audio/MSK0007.mp3[483.240,487.760] OK ALRIGHT AND IS THERE ANY FAMILY HISTORY OF ANY HEART OR LUNG PROBLEMS +audio/MSK0007.mp3[489.720,494.040] ANY MUSCULOSKELETAL OR NEUROLOGICAL DISEASES +audio/MSK0007.mp3[494.040,495.360] UM NO +audio/MSK0007.mp3[495.360,502.320] OK I GOT ANY AUTOIMMUNE DISEASES LIKE THYROID DISEASE OR DIABETES +audio/MSK0007.mp3[504.240,517.400] OK UM AND SO NEXT I WANTED TO WALK THROUGH A PHYSICAL EXAM SO WHEN YOU LOOK AT THE ELBOW YOURSELF DO YOU SEE ANY SWELLING OR REDNESS +audio/MSK0007.mp3[519.840,527.560] OK DOES IT LOOK LIKE THERE IS ANY MUSCLE ATROPHY EITHER IN THE FOREARM OR THE BICEPS OR TRICEPS +audio/MSK0007.mp3[529.760,536.640] OK AND HOW ABOUT ANY MISALIGNMENT OR JOINT DEFORMITY +audio/MSK0007.mp3[536.640,538.320] NO I DONT SEE ANY OF THAT +audio/MSK0007.mp3[538.320,540.880] OK AND ARE THERE ANY SCARS +audio/MSK0007.mp3[542.480,552.800] OK AND WHEN YOU PRESS ON THE MEDIAL PART OF THE THE ELBOW DO YOU FEEL PAIN +audio/MSK0007.mp3[552.800,554.200] I DO +audio/MSK0007.mp3[554.200,559.680] HOW ABOUT OVER THE OLECRANON OR THE YEA ANY PAIN OVER THE OLECRANON +audio/MSK0007.mp3[559.680,562.760] UM A LITTLE BIT +audio/MSK0007.mp3[562.760,571.040] OK AND IS THERE ANY PAIN OVER THE LATERAL PART OF THE ELBOW +audio/MSK0007.mp3[572.240,578.960] OK AN ANY PAIN OVER THE FOREARM OR BICEPS OR TRICEPS MUSCLES +audio/MSK0007.mp3[582.920,587.560] OK AND DOES THE JOINT FEEL LIKE ITS HOT +audio/MSK0007.mp3[589.520,596.920] OK AND ANY PAIN WITH SHOULDER OR ELBOW MOVEMENTS +audio/MSK0007.mp3[600.640,608.280] ACTUALLY SORRY WITH THE ELBOW WHEN I STRAIGHTEN IT OUT ALL THE WAY IT HURTS A LITTLE BIT +audio/MSK0007.mp3[608.280,617.800] OK WHEN ARE YOU STRAIGHTENING IT OUT ALL THE WAY OK BUT NO PAIN WITH SHOULDER MOVEMENTS AND FULL RANGE OF MOTION +audio/MSK0007.mp3[617.800,620.760] NO NO PAIN WITH SHOULDER +audio/MSK0007.mp3[620.760,629.760] OK AND HOW ABOUT PAIN WITH PRONATION AND SUPINATION +audio/MSK0007.mp3[629.760,633.520] WITH PRONATION IT HURTS +audio/MSK0007.mp3[633.520,636.200] OK AT THE MEDIAL SIDE +audio/MSK0007.mp3[637.280,650.160] OK AND HOW ABOUT WITH WRIST SO WITH RESISTED UH YEAH WRIST FLEXION +audio/MSK0007.mp3[650.160,658.120] WRIST FLEXION YEAH THAT HURTS TOO +audio/MSK0007.mp3[658.120,665.240] OK AND THEN HOW ABOUT IF YOU PASSIVELY EXTEND YOUR YOUR WRIST AS FAR DOWN AS AS YOU CAN GO +audio/MSK0007.mp3[665.240,672.880] DOWN UH YES THAT HURTS TOO +audio/MSK0007.mp3[672.880,681.640] OK AND IS THERE ANY NUMBNESS OR TINGLING ANYWHERE +audio/MSK0007.mp3[681.640,691.160] NO NO NO NUMBNESS OR TINGLING +audio/MSK0007.mp3[691.160,702.560] OK OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION +audio/MSK0007.mp3[702.560,709.640] NO THAT WAS THAT WHAT DO YOU THINK I HAVE AND HOW CAN I FIX IT +audio/MSK0007.mp3[709.640,807.200] YEAH SO IT ITS CERTAINLY IT IT SOUNDS LIKE WITH THE MEDIAL ASPECT OF YOUR ELBOW HAVING PAIN THERE OVER THE LAST SEVERAL MONTHS AND SOME OF THE PHYSICAL EXAM MANEUVERS SUCH AS LIKE PASSIVE WRIST EXTENSION RESISTED WRIST FLEXION AS WELL AS PRONATION AND THE POINT TENDERNESS OVER THE MEDIAL ELBOW THIS COULD BE A MEDIAL EPICONDYLITIS OR A TENDINOPATHY IN THAT AREA AND SO THIS IS TYPICALLY TREATED WITH ACTIVITY MODIFICATION SO THIS COULD BE TRYING TO AVOID REPETITIVE MOVEMENTS THAT THAT CAUSE PAIN AND USING MEDICATIONS SUCH AS ADVIL AND TYLENOL AND DOING STRENGTHENING AND STRETCHING EXERCISES WHICH YOU CAN LEARN FROM A PHYSIOTHERAPIST OR OR ON YOUR OWN AS WELL AND ALSO OTHER THINGS THAT THAT THE MEDIAL SIDE OF THE ELBOW THAT IT COULD BE IS AN ULNAR LIGAMENT INJURY UM OR YEAH OR THE OTHER THING TO BE CONSIDERING IS AND ULNAR LIGAMENT INJURY AND SO IF THE PAIN ISNT GOING AWAY THEN WE MIGHT CONSIDER AN ULTRASOUND OR SOMETHING TO LOOK AT THE STRUCTURES THERE +audio/MSK0007.mp3[807.200,813.160] OK THAT SOUNDS GREAT THANK YOU +audio/GAS0007.mp3[0.000,4.320] SO I UNDERSTAND YOU HAVE BEEN EXPERIENCING SOME ABDOMINAL PAIN +audio/GAS0007.mp3[4.320,12.320] YEAH YEAH STOMACH HURT STARTED HURTING MORE LAST COUPLE OF DAYS MAYBE 3 DAYS AGO I THINK +audio/GAS0007.mp3[12.320,19.320] OK SO FOR THREE DAYS AGO FOR THE LAST THREE DAYS YOU SAID ITS BEEN HURTING MORE DID YOU HAVE PAIN BEFORE THAT +audio/GAS0007.mp3[19.320,40.080] IT FELT WEIRD LIKE CRAMPY I JUST I JUST THOUGHT I WAS CONSTIPATED CAUSE IVE BEEN HAVENT BEEN ABLE TO BE ABLE TO GO TO THE BATHROOM AS WELL I JUST THOUGHT I WAS KIND OF BLOATED A BIT BUT YEAH ABOUT ABOUT THAT TIME STARTED TO FEEL A LITTLE BIT MORE PAINFUL +audio/GAS0007.mp3[40.080,43.880] CAN YOU TELL ME KIND OF WHERE YOURE FEELING THE PAIN THE MOST +audio/GAS0007.mp3[43.880,60.680] YEAH KINDA LIKE NEAR MY RIGHT HIP LIKE LOWER WHERE MY STOMACH IS THAT KIND OF RIGHT AND BELOW MY BELLY BUTTON SOMETIMES A LITTLE BIT ON THE TOP JUST BELOW MY BELLY BUTTON BUT MAINLY JUST IN THAT RIGHT LOWER SIDE YEAH +audio/GAS0007.mp3[60.680,64.760] OK HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST +audio/GAS0007.mp3[64.760,67.760] NO NEVER +audio/GAS0007.mp3[67.760,75.360] OK AND FOR THE LAST THREE DAYS HAS IT BEEN PRETTY CONSTANT HAS IT BEEN ON AND OFF +audio/GAS0007.mp3[75.360,79.360] I FEEL ITS BEEN GETTING WORSE TO BE HONEST +audio/GAS0007.mp3[79.360,85.560] IS THERE ANYTHING THAT YOU CAN THINK OF THIS MADE IT FEEL BETTER +audio/GAS0007.mp3[85.560,91.240] HONESTLY JUST RESTING FLAT MAKES IT FEEL A LITTLE BIT BETTER BUT NOTHING MUCH NO +audio/GAS0007.mp3[91.240,96.080] OK IS THERE ANYTHING THAT MAKES IT WORSE +audio/GAS0007.mp3[96.080,106.000] TOUCHING IT ALSO I PUKED THE THE OTHER DAY AND THAT MADE IT DEFINITELY FEEL WORSE JUST THAT WHOLE CONTRACTION IN MY BODY WAS NASTY +audio/GAS0007.mp3[106.000,112.280] OK WAS IT JUST THE ONE TIME +audio/GAS0007.mp3[112.880,124.480] OK YOU HAD THE NAUSEA ASSOCIATED WITH THE PAIN +audio/GAS0007.mp3[124.480,125.520] MHM MHM +audio/GAS0007.mp3[125.520,131.160] UM DID THE PAIN STAY IN THAT SAME SPOT OR DOES IT MOVE ANYWHERE ELSE +audio/GAS0007.mp3[131.160,136.200] IT HAS PRETTY MUCH STAYED IN THAT ONE SPOT YEAH +audio/GAS0007.mp3[136.200,139.160] HAVE YOU NOTICED ANY FEVERS LATELY +audio/GAS0007.mp3[139.160,145.720] FELT A BIT HOT THE OTHER DAY DIDNT TAKE A TEMPERATURE THOUGH +audio/GAS0007.mp3[145.720,151.560] OK OK AND WHAT SPECIFICALLY PROMPTED YOU TO COME IN TODAY TO THE EMERGENCY DEPARTMENT +audio/GAS0007.mp3[151.560,162.000] I THOUGHT IT WAS JUST GOING TO GET BETTER WHEN IT FIRST STARTED MAYBE JUST A BIT OF GAS BUT HERE WE ARE KIND OF THURSDAY NOW AND ITS STILL PRETTY BAD +audio/GAS0007.mp3[162.000,169.080] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY +audio/GAS0007.mp3[169.080,173.720] NOT OFF THE TOP OF MY HEAD NO +audio/GAS0007.mp3[173.720,179.520] AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/GAS0007.mp3[180.240,184.720] AND I FORGOT TO ASK DID YOU NOTICE ANY CHANGES TO YOUR BOWEL HABITS +audio/GAS0007.mp3[184.720,205.520] YEAH YEAH BEFORE IT WAS FAIRLY REGULAR ABOUT ONCE A DAY FIVE DAYS AGO I STARTED GETTING CONSTIPATED IT BACKED UP AND PRETTY MUCH THE PICTURE I THINK LAST TIME I WENT TO THE BATHROOM WAS TWO DAYS AGO I THINK YEAH +audio/GAS0007.mp3[205.520,215.880] OK IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR OR ANY OTHER DOCTOR +audio/GAS0007.mp3[215.880,220.000] I GOT DIABETES TYPE 2 +audio/GAS0007.mp3[220.000,226.040] AND HAS THAT GENERALLY HAS THAT BEEN WELL CONTROLLED FOR YOU LATELY +audio/GAS0007.mp3[226.040,236.600] MOST PART DOCTOR CHECKS MY SUGARS IM NOT TOO REGULAR ON THEM MYSELF BUT LAST TIME HE CHANGED MEDICATIONS WAS A COUPLE YEARS BACK AND IVE JUST BEEN ON THE SAME ONES EVER SINCE +audio/GAS0007.mp3[236.600,241.120] WHAT MEDICATION ARE YOU CURRENTLY TAKING +audio/GAS0007.mp3[241.120,244.160] METFORMIN METFORMIN +audio/GAS0007.mp3[244.160,248.320] AND HAVE YOU EVER HAD ANY SURGERIES IN THE PAST +audio/GAS0007.mp3[248.320,253.360] NO I HAD MY TEETH PULLED AS A KID BUT NO +audio/GAS0007.mp3[253.360,254.880] OK STILL HAVE YOUR APPENDIX +audio/GAS0007.mp3[254.880,260.200] YEAH YEAH I NEVER HAD THAT PROBLEM AS A KID +audio/GAS0007.mp3[260.200,264.880] AND DO YOU HAVE ANY ALLERGIES +audio/GAS0007.mp3[264.880,269.880] NO SOMETIMES GET A LITTLE BIT CONGESTED DURING THE FALL BUT THATS IT +audio/GAS0007.mp3[269.880,276.320] DO YOU HAVE ANY FAMILY HISTORY OF GASTROINTESTINAL PROBLEMS +audio/GAS0007.mp3[276.320,289.000] GAS LIKE NO I THINK MY GRANDMA DIED OF BREAST CANCER FAIRLY EARLY BUT NO NOT NOT THAT NOT THAT I CAN THINK OF +audio/GAS0007.mp3[289.000,293.720] OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN +audio/GAS0007.mp3[293.720,294.640] YEAH YEAH I LIVE HERE +audio/GAS0007.mp3[294.640,297.240] LIVING ALONE OR WITH FAMILY +audio/GAS0007.mp3[297.240,306.000] NO NO I GOT FAMILY ME THE WIFE GOT TWO KIDS ONE OF THEM IS COLLEGE BOUND NOW BUT YEAH +audio/GAS0007.mp3[306.000,309.400] NICE AND WHAT DO YOU DO FOR WORK OR ARE YOU RETIRED +audio/GAS0007.mp3[309.400,316.840] IM STILL WORKING I AM A PRODUCTION OVERSEER PRODUCTION MANAGER OVER AT FAIRBANKS +audio/GAS0007.mp3[316.840,319.760] OK YOURE A BIG BOSS +audio/GAS0007.mp3[319.760,324.000] IT TOOK AWHILE TO GET HERE +audio/GAS0007.mp3[324.000,329.960] IM SURE IT WAS VERY HARD WORK IN GENERAL DO YOU DRINK ALCOHOL +audio/GAS0007.mp3[329.960,340.680] OH YEAH LIKE WELL PLAN ON DRINKING ON THE TWO FOUR BUT NOT REGULAR SPECIAL OCCASIONS MAINLY HOT DAYS SOMETIMES ILL HAVE A BEER OR TWO +audio/GAS0007.mp3[340.680,345.680] SURE AND DO YOU SMOKE CIGARETTES +audio/GAS0007.mp3[347.280,350.920] HAVE YOU EVER SMOKED IN THE PAST +audio/GAS0007.mp3[351.240,353.440] DO YOU CANNABIS +audio/GAS0007.mp3[354.760,358.480] ANY OTHER SUBSTANCES +audio/GAS0007.mp3[359.240,366.560] OK IS THERE ANYTHING ELSE YOU WANTED TO BRING UP TODAY THAT I DIDNT ASK YOU ABOUT OR ANY OTHER QUESTIONS THAT YOU HAVE +audio/GAS0007.mp3[366.560,370.640] NO JUST HOPING TO GET AN ANSWER TO WHATEVER IS GOING ON +audio/GAS0007.mp3[370.640,396.200] OK WELL AT THIS POINT I WILL DO A QUICK PHYSICAL EXAM WE MAY WANT TO HAVE BLOOD WORK DONE MAYBE SOME OTHER TESTS BASED ON WHAT WE FIND OUT FROM THERE AND THEN WE CAN KIND OF LET YOU KNOW AFTER THAT WHAT THE NEXT STEPS WILL BE SO IM JUST GOING TO TAKE THIS AND GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL GET BACK TO YOU SHORTLY THANKS FOR CHATTING WITH ME +audio/GAS0007.mp3[396.200,398.480] THANKS DOC +audio/RES0066.mp3[0.000,3.880] SO WHAT BRINGS YOU IN HERE TO THE ER +audio/RES0066.mp3[3.880,33.000] 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 IM FEELING SHORT OF BREATH AND I HAVE A FEELING LIKE I HAVE A FEVER +audio/RES0066.mp3[33.000,41.840] 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 +audio/RES0066.mp3[41.840,51.880] I WAS TREATED WITH SOME ANTIBIOTICS I DONT KNOW EXACTLY WHICH ONES THEY SAID I HAD SOME SORT OF BACTERIAL PNEUMONIA +audio/RES0066.mp3[51.880,56.040] OK BUT THEN IT GOT RESOLVED AND THEY SENT YOU HOME +audio/RES0066.mp3[56.040,58.360] YEAH THATS RIGHT +audio/RES0066.mp3[58.360,62.000] SO ARE YOUR SYMPTOMS SIMILAR TO WHEN YOU GOT ADMITTED +audio/RES0066.mp3[62.000,66.960] THEY ARE SIMILAR BUT I FEEL LIKE THEY ARE ALSO WORSE NOW +audio/RES0066.mp3[66.960,77.320] OK WORSE OK SO YOURE HAVING A COUGH SHORTNESS OF BREATH AND FEVER AND DID THAT ALL START TOGETHER OR DID ONE COME BEFORE ANOTHER +audio/RES0066.mp3[77.320,85.160] UM SO THE COUGH CAME FIRST THEN THE SHORTNESS OF BREATH AND THEN THE FEVER +audio/RES0066.mp3[85.160,92.720] OK AND THE COUGH HOW WOULD YOU DESCRIBE THE COUGH +audio/RES0066.mp3[92.720,96.920] UM ITS HARSH ITS PERSISTENT +audio/RES0066.mp3[96.920,105.240] ARE YOU PRODUCING ANY SPUTUM +audio/RES0066.mp3[105.240,110.880] UM I GUESS A LITTLE BIT YEAH YEAH I GUESS A LITTLE BIT AND ITS YELLOW +audio/RES0066.mp3[110.880,115.640] ITS YELLOW OK DO YOU NOTICE ANY KIND OF BLOOD IN YOUR SPUTUM +audio/RES0066.mp3[115.640,117.760] NO NO BLOOD +audio/RES0066.mp3[117.760,126.720] OK SO JUST YELLOW SPUTUM AND HOW MUCH WOULD YOU SAY YOURE PRODUCING AN AVERAGE DAY +audio/RES0066.mp3[126.720,138.280] UM MAYBE LIKE 10 TO 15 TIMES IN A DAY I PRODUCE ENOUGH TO FILL LIKE THE INSIDE OF MY PALM +audio/RES0066.mp3[138.280,146.920] OK AND WITH THE FEVER DID YOU GET A CHANCE TO MEASURE TAKE A TEMPERATURE AT ALL +audio/RES0066.mp3[146.920,150.360] UMM NO I HAVENT ACTUALLY TAKEN MY TEMPERATURE +audio/RES0066.mp3[150.360,156.760] OK BUT YOUVE BEEN HAVING CHILLS AND ARE YOU HAVING ANY OTHER SYMPTOMS +audio/RES0066.mp3[156.760,163.760] YEAH CHILLS IVE BEEN FEELING KIND OF HOT DURING THE DAY +audio/RES0066.mp3[163.760,172.360] YEAH OK AND HOW ABOUT THE SHORTNESS OF BREATH IS THAT JUST DURING ACTIVITY OR YOU CAN HAVE THAT WHEN YOURE SLEEPING OR RESTING AS WELL +audio/RES0066.mp3[172.360,180.040] THE SHORTNESS OF BREATH IS MORE WITH LIKE ACTIVITY WHEN IM WALKING AROUND +audio/RES0066.mp3[180.040,184.760] OK AND HAVE ALL THESE SYMPTOMS BEEN GETTING WORSE AT ALL +audio/RES0066.mp3[184.760,191.280] YEAH ID SAY THEYRE GETTING WORSE NOW ITS LIKE THIS EVERYDAY AND ITS DEFINITELY GETTING WORSE +audio/RES0066.mp3[191.280,196.120] OK DO YOU FEEL DIZZY OR LIGHTHEADED AT ALL +audio/RES0066.mp3[196.120,199.080] UM NO +audio/RES0066.mp3[199.080,203.640] DO YOU HAVE ANY MUSCLE ACHES +audio/RES0066.mp3[203.640,207.080] UM A LITTLE BIT +audio/RES0066.mp3[207.080,215.720] OK AND WHERE ON YOUR MUSCLES WOULD YOU SAY ARE ACHING +audio/RES0066.mp3[215.720,230.640] I WOULD SAY MY LOWER LIMBS AND JUST GENERALLY ALL OVER BUT JUST YEAH LIKE THE BIG MUSCLES LIKE MY THIGHS MY SHOULDERS +audio/RES0066.mp3[230.640,237.880] OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LIMBS AT ALL +audio/RES0066.mp3[237.880,240.880] NO NO SWELLING +audio/RES0066.mp3[240.880,247.600] OK AND ANY KIND OF SWELLING OF YOUR NECK REGION OR LYMPH NODES +audio/RES0066.mp3[247.600,252.480] NO NOT THAT I NOTICED +audio/RES0066.mp3[252.480,258.040] OK AND DO YOU FEEL ANY KIND OF CHEST PAIN WITH SHORTNESS OF BREATH +audio/RES0066.mp3[258.040,262.720] UM NO NOTHING LIKE THAT +audio/RES0066.mp3[262.720,269.680] OK AND SINCE YOUVE BEEN OUT OF THE HOSPITAL HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS SICK +audio/RES0066.mp3[269.680,272.880] NO I WENT STRAIGHT HOME +audio/RES0066.mp3[272.880,276.360] AND ANY RECENT TRAVEL +audio/RES0066.mp3[276.360,278.880] NO NO RECENT TRAVEL +audio/RES0066.mp3[278.880,282.800] OK ANY HEADACHES +audio/RES0066.mp3[282.800,285.760] NO HEADACHES +audio/RES0066.mp3[285.760,288.880] ANY NAUSEA OR VOMITING +audio/RES0066.mp3[291.400,297.960] ANY KIND OF FATIGUE OR INCREASED TIREDNESS +audio/RES0066.mp3[297.960,302.200] I FEEL FATIGUED YES +audio/RES0066.mp3[302.200,306.160] OK AND DO YOU FEEL AT ALL THAT YOUR HEART IS RACING +audio/RES0066.mp3[307.760,316.880] OK AND DO YOU HAVE ANY SYMPTOMS LIKE A LOSS OF TASTE SENSE OF TASTE OR SMELL +audio/RES0066.mp3[320.000,326.960] SO OK ANY KIND OF BOWEL MOVEMENT ISSUES ANY CONSTIPATION OR DIARRHEA +audio/RES0066.mp3[330.960,336.040] AND ANY URINARY TROUBLE +audio/RES0066.mp3[336.040,339.080] UM NOTHING LIKE THAT +audio/RES0066.mp3[339.080,344.640] OK HAVE YOU LOST ANY WEIGHT RECENTLY +audio/RES0066.mp3[345.840,356.040] HAVE YOU BEEN ABLE TO SLEEP THROUGHOUT THE NIGHT OR DOES THE COUGH WAKE YOU UP OR THE CHILLS WAKE YOU UP +audio/RES0066.mp3[356.040,362.680] UM NO THEY DONT WAKE ME UP I WOULDNT SAY THAT +audio/RES0066.mp3[362.680,372.080] OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT +audio/RES0066.mp3[373.080,386.200] OK AND ANYTHING IN YOUR HOUSE LIKE DUST OR AN OLD CARPET OR PETS ANYTHING THAT TRIGGERS SOME OF THESE SYMPTOMS +audio/RES0066.mp3[386.560,402.320] OK OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA COPANYTHING LIKE THAT +audio/RES0066.mp3[402.320,403.120] UM NO NOTHING LIKE THAT +audio/RES0066.mp3[403.120,407.320] OK DO YOU TAKE ANY MEDICATIONS +audio/RES0066.mp3[407.320,421.160] I DO I TAKE SOME MULTIVITAMINS PARTICULARLY CALCIUM AND VITAMIN AND IM ALSO ON SYNTHROID +audio/RES0066.mp3[421.160,424.080] OK SO DO YOU HAVE HYPERTHYROIDISM +audio/RES0066.mp3[424.080,427.920] YEAH SORRY I FORGOT TO MENTION THAT +audio/RES0066.mp3[427.920,438.800] NO WORRIES THEN WHEN YOU WENT HOME AND YOU WERE DISCHARGED DID THEY GIVE YOU ANY ANTIBIOTICS TO FINISH AT HOME +audio/RES0066.mp3[438.800,457.280] AH YES THEY DID SO I ONLY HAD ONE DAYS WORTH LEFT I WAS SWITCHED FROM IV ANTIBIOTIC TO THE ORAL KIND AND SO ID FINISH THE REMAINING PILLS THAT DAY THEN WENT HOME +audio/RES0066.mp3[457.280,472.080] 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 +audio/RES0066.mp3[472.080,472.760] UM NO +audio/RES0066.mp3[472.760,478.240] DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA COPOR ANY LUNG CONDITIONS +audio/RES0066.mp3[481.640,484.880] ANY OTHER CONDITIONS THAT RUN IN THE FAMILY +audio/RES0066.mp3[487.400,495.200] OK AND CURRENTLY WHERE DO YOU LIVE +audio/RES0066.mp3[495.200,499.760] I LIVE IN A HOUSE WITH MY DAUGHTER AND HER HUSBAND +audio/RES0066.mp3[499.760,503.360] OK AND ANY ONE OF THEM HAVE SIMILAR SYMPTOMS OR HAVE BEEN SICK RECENTLY +audio/RES0066.mp3[508.000,513.000] OK AND HAVE YOU HAD A COVITEST DONE AT ALL +audio/RES0066.mp3[513.000,521.800] UM NO NO COVITESTS HAVE BEEN DONE I HAD ONE IN THE HOSPITAL BEFORE I WAS ADMITTED BUT NONE TODAY +audio/RES0066.mp3[521.800,525.400] OK AND DO YOU SMOKE AT ALL +audio/RES0066.mp3[525.400,530.360] I USED TO SMOKE I DONT SMOKE ANYMORE +audio/RES0066.mp3[530.360,532.800] OK AND WHEN DID YOU QUIT +audio/RES0066.mp3[532.800,536.960] ABOUT SEVEN YEARS AGO +audio/RES0066.mp3[536.960,540.440] OK CONGRATULATIONS +audio/RES0066.mp3[541.400,545.640] AND HOW MUCH WOULD YOU SAY YOU SMOKED BEFORE THAT AND FOR HOW MANY YEARS +audio/RES0066.mp3[545.640,553.160] BEFORE THAT I WOULD SAY ITS LIKE GOSH 20 YEARS AND THEN ABOUT A PACK A DAY +audio/RES0066.mp3[553.160,559.320] OK DO YOU DRINK ALCOHOL +audio/RES0066.mp3[559.320,568.000] I DRINK LIKE A GLASS OF WINE A WEEK +audio/RES0066.mp3[568.000,575.200] OK ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0066.mp3[575.720,585.840] OK YEAH SO IS THERE ANYTHING ELSE ANY OTHER QUESTIONS THAT YOU HAVE FOR ME TODAY +audio/RES0066.mp3[585.840,587.800] NO WHAT DO YOU THINK I HAVE +audio/RES0066.mp3[587.800,636.880] YEAH SO THERES 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 COVISWAB 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 THERES ANY PNEUMONIA OK AND SO WELL BE KEEPING YOU HERE FOR A BIT UNTIL EVERYTHING COMES BACK WELL GET SOME BLOOD WORK DONE FOR YOU AS WELL TO SEE IF THERES ANY INFECTION IN YOUR BODY AND THEN YEAH SO JUST SIT TIGHT WELL GET ALL THOSE THINGS DONE IS THAT OK WITH YOU +audio/RES0066.mp3[636.880,639.840] YEAH THATS GREAT THANK YOU +audio/RES0066.mp3[639.840,643.640] YOURE WELCOME YEAH SO WELL WILL BE UPDATING YOU SHORTLY +audio/RES0066.mp3[643.640,651.400] OK GREAT THANK YOU +audio/RES0045.mp3[0.000,2.640] WHAT BRINGS YOU IN +audio/RES0045.mp3[2.640,12.200] IVE HAD A COUGH THAT STARTED LIKE 4 DAYS AGO UM AND ITS JUST BEEN GETTING WORSE SO I I WANTED TO COME IN +audio/RES0045.mp3[12.200,22.440] OK YEAH ITS GOOD THAT YOUVE COME IN UM SO THE COUGH STARTED FOUR DAYS AGO HAS IT BEEN CONSTANT SINCE +audio/RES0045.mp3[22.440,24.240] YES IT HAS +audio/RES0045.mp3[24.240,29.640] OK AND HOW OFTEN ARE YOU COUGHING +audio/RES0045.mp3[29.640,46.240] I UM ID SAY A FEW TIMES AN HOUR NOW UH WHEN IT FIRST STARTED IT WAS A BIT MORE INTERMITTENT BUT NOW ITS HAPPENING UM ALL DAY LONG AND THROUGHOUT THE NIGHT AS WELL IT INTERRUPTED MY SLEEP LAST NIGHT +audio/RES0045.mp3[46.240,51.200] OH OK UM IS IT A DRY COUGH OR ARE YOU PRODUCING SPUTUM +audio/RES0045.mp3[51.200,55.200] ITS ITS MOSTLY DRY +audio/RES0045.mp3[55.200,58.280] OK SO NO SPUTUM NO BLOOD +audio/RES0045.mp3[58.280,60.640] NO BLOOD +audio/RES0045.mp3[60.640,83.560] OK UM DO YOU FIND THAT THERE ARE ANY TRIGGERS TO YOUR TO THIS COUGH LIKE UM ENVIRONMENTAL TRIGGERS LIKE THE COLD WEATHER UM ANY OLD CARPETS AT HOME OR UM YOU KNOW A PARTICULAR TIME OF THE DAY OR EXERTION ANYTHING LIKE THAT +audio/RES0045.mp3[83.560,93.160] NO INTERESTINGLY NOTHING LIKE THAT SEEMS TO REALLY MAKE IT WORSE ITS JUST BEEN UM KINDA COUGHING ALL DAY +audio/RES0045.mp3[93.160,100.280] OK AND UM HAS ANYTHING MADE IT BETTER HAVE YOU TRIED ANYTHING FOR THIS COUGH +audio/RES0045.mp3[100.280,117.480] UH I TRIED UM DRINKING SOME UH LIKE TEA AND SOME OTHER COUGH SYRUPS AND IT DIDNT DIDNT HELP +audio/RES0045.mp3[117.480,131.440] OK UM HOW ABOUT AH OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS ITS IT SOUNDS BARKY IT SOUNDS HARSH UM HOW WOULD YOU DESCRIBE IT +audio/RES0045.mp3[131.440,132.600] UH HARSH +audio/RES0045.mp3[132.600,142.320] HARSH OK AND IF YOU WERE TO RATE YOUR SYMPTOMS 1 TO 10 10 BEING THE WORST HOW BAD IS IT +audio/RES0045.mp3[142.320,143.880] UH 6 +audio/RES0045.mp3[143.880,153.200] SIX OK AND AND HAVE YOU FOUND THAT YOUR SYMPTOMS ARE GETTING WORSE STAYING THE SAME OR GETTING BETTER OVER THE PAST FOUR DAYS +audio/RES0045.mp3[153.200,154.280] GETTING WORSE +audio/RES0045.mp3[154.280,160.360] GETTING WORSE OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0045.mp3[160.360,161.560] UH NO +audio/RES0045.mp3[161.560,165.440] NO DO YOU FEEL WHEEZY AT ALL +audio/RES0045.mp3[165.440,169.440] NO I HAVENT HEARD ANY ANY WHEEZES +audio/RES0045.mp3[169.440,173.680] OK HOW ABOUT UH SHORTNESS OF BREATH +audio/RES0045.mp3[173.680,182.280] YEAH IVE DEFINITELY NOTICED SOME DIFFICULTY BREATHING UM YEAH +audio/RES0045.mp3[182.280,189.960] OK AND UH WHEN WHEN DID WHEN DID YOUR SHORTNESS OF BREATH START +audio/RES0045.mp3[189.960,196.240] RIGHT AROUND THE SAME TIME AS THE COUGH OR MAYBE SHORTLY AFTER UM YEAH SHORTLY AFTER +audio/RES0045.mp3[196.240,204.480] SHORTLY AFTER OK DO YOU FIND THAT THERE ARE ANY TRIGGERS FOR SHORTNESS OF BREATH LIKE EXERTION +audio/RES0045.mp3[204.480,221.200] YEAH YEAH EXERTION UM AS WELL AS LIKE THE COUGH ITSELF IM FINDING THAT IM COUGHING SO MUCH THROUGHOUT THE DAY THAT IM HAVING A HARD TIME CATCHING UP AND CATCHING MY BREATH AFTERWARDS +audio/RES0045.mp3[221.200,225.840] YEAH FOR SURE UM OK AND ANY CHEST PAIN +audio/RES0045.mp3[225.840,228.800] NO CHEST PAIN +audio/RES0045.mp3[228.800,236.440] OK UM HOW ABOUT FEELING LIKE YOUR HEARTS RACING +audio/RES0045.mp3[236.440,239.440] NO NOTHING LIKE THAT +audio/RES0045.mp3[239.440,243.880] NO ANY SWELLING IN YOUR LEGS OR ARMS +audio/RES0045.mp3[245.560,254.080] OK DO YOU EVER FEEL LIKE YOU HAVE UH PAIN IN YOUR CALVES AFTER WALKING UM A FEW BLOCKS +audio/RES0045.mp3[256.320,262.040] NO ANY FAINTING SPELLS OR DIZZINESS +audio/RES0045.mp3[262.040,263.440] UH NO +audio/RES0045.mp3[263.440,269.000] NO UM HAVE YOU HAD A SORE THROAT +audio/RES0045.mp3[270.080,274.600] NO ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0045.mp3[275.640,279.880] RUNNY NOSE OR STUFFY NOSE +audio/RES0045.mp3[279.880,288.040] NOT NO BUT IVE DEFINITELY I FEEL LIKE IVE MAYBE NOTICED A CHANGE IN MY SMELL +audio/RES0045.mp3[288.040,290.560] OK HOW SO +audio/RES0045.mp3[290.560,296.240] I JUST UH I FEEL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL +audio/RES0045.mp3[296.240,301.920] UM WHEN DID YOU NOTICE THAT +audio/RES0045.mp3[301.920,306.000] THE REALLY THESE LAST LIKE 2 DAYS +audio/RES0045.mp3[306.000,311.480] OK AND ANY CHANGES IN YOUR TASTE +audio/RES0045.mp3[311.480,328.320] UH I HAVENT REALLY I I THOUGHT WELL I WASNT REALLY ABLE TO TASTE MY FOOD BUT I THOUGHT THAT WAS BECAUSE I COULDNT I WASNT SMELLING UM SO I THOUGHT THAT WAS JUST GOING TO GO AWAY BUT THE SYMPTOMS HAVE GOTTEN WORSE +audio/RES0045.mp3[328.320,333.840] YEAH AND HAVE YOU HAD A FEVER OR CHILLS IN THE PAST FEW DAYS +audio/RES0045.mp3[333.840,339.080] UH YEAH IVE HAD A FEVER UM OR I FELT HOT ANYWAY +audio/RES0045.mp3[339.080,342.360] DID YOU TAKE YOUR TEMPERATURE +audio/RES0045.mp3[342.360,349.240] I HAVENT CHECKED IT BUT UM LIKE IVE BEEN FEELING PRETTY SWEATY FROM HOW HOT IVE BEEN +audio/RES0045.mp3[349.240,360.600] OK UM SO WELL TAKE YOUR TEMPERATURE TODAY AND WELL LET YOU KNOW UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS +audio/RES0045.mp3[362.080,366.840] NO WEIGHT LOSS HOW ABOUT FATIGUE OR MUSCLE ACHES +audio/RES0045.mp3[366.840,369.960] UH MAYBE THESE PAST COUPLE OF DAYS YEAH +audio/RES0045.mp3[369.960,376.160] OK UM ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0045.mp3[376.160,379.000] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0045.mp3[379.000,385.360] OK UM ANY CHANGES TO YOUR BOWEL HABITS +audio/RES0045.mp3[385.360,386.600] UH NO +audio/RES0045.mp3[386.600,389.760] NO ANY NAUSEA OR VOMITING +audio/RES0045.mp3[389.760,394.000] UM NO NO +audio/RES0045.mp3[394.000,398.800] NO OK ANY ABDOMINAL PAINS +audio/RES0045.mp3[400.480,403.200] ANY CHANGES TO YOUR URINE +audio/RES0045.mp3[404.160,407.120] UH CONFUSION OR MEMORY LOSS +audio/RES0045.mp3[408.080,414.320] OK AND WOULD YOU SAY THAT YOU ARE AN OTHERWISE HEALTHY PERSON +audio/RES0045.mp3[414.320,419.640] YEAH YEAH THATS WHY THESE SYMPTOMS UM REALLY SURPRISED ME +audio/RES0045.mp3[419.640,426.920] YEAH UM SO YOUVE NEVER BEEN HOSPITALIZED OR NEEDED SURGERY IN THE PAST +audio/RES0045.mp3[426.920,434.440] NO I HAVENT NEEDED TO I HAVENT SEEN A DOCTOR IN A FEW YEARS +audio/RES0045.mp3[434.440,438.640] OK UM ARE YOU ON ANY MEDICATIONS +audio/RES0045.mp3[438.640,448.280] UH NOPE JUST UH TAKE A MULTIVITAMIN AND UH AND THATS ABOUT IT +audio/RES0045.mp3[448.280,452.880] OK UM OK UM ANY ALLERGIES +audio/RES0045.mp3[452.880,458.520] UH YEAH IM ALLERGIC TO UM CATS +audio/RES0045.mp3[458.520,464.000] CATS OK AND HAVE YOU BEEN AROUND ANY CATS RECENTLY +audio/RES0045.mp3[465.320,469.760] NO OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE +audio/RES0045.mp3[469.760,473.240] YEAH I AM +audio/RES0045.mp3[473.240,479.320] OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0045.mp3[479.320,480.040] UH NO +audio/RES0045.mp3[480.040,482.640] HOW ABOUT CANCERS +audio/RES0045.mp3[482.640,485.480] NOTHING LIKE THAT +audio/RES0045.mp3[485.480,490.320] OK AND DO YOU SMOKE +audio/RES0045.mp3[490.680,494.400] UM HOW ABOUT MARIJUANA +audio/RES0045.mp3[494.400,503.320] UH SOMETIMES ILL HAVE A JOINT WITH FRIENDS OR SOMETHING LIKE THAT ON THE WEEKEND BUT UM YEAH SO MAYBE ONCE A WEEK +audio/RES0045.mp3[503.320,509.520] ONCE A WEEK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ANY ALCOHOL +audio/RES0045.mp3[509.520,514.040] UH NO +audio/RES0045.mp3[514.040,516.920] NO OK UM AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0045.mp3[516.920,522.160] I LIVE IN A HOUSE UM WITH MY WIFE AND UH 3 KIDS +audio/RES0045.mp3[522.160,527.200] OK IS ANYONE ELSE SICK AT HOME +audio/RES0045.mp3[527.200,530.280] UH EVERYBODYS BEEN WELL +audio/RES0045.mp3[530.280,538.040] OK UM ANY REASON TO BELIEVE THAT YOUVE BEEN AROUND ANY SICK CONTACTS RECENTLY +audio/RES0045.mp3[538.040,553.040] UM POSSIBLY UM I MEAN IM IN SALES SO MEETING WITH CLIENTS ALL DAY UM MAYBE ONE OF THEM WERE SICK +audio/RES0045.mp3[553.040,558.160] YEAH YEAH FOR SURE UM ANY TRAVEL RECENTLY +audio/RES0045.mp3[558.160,563.760] UH NO TRAVEL ALL THE MEETINGS HAVE BEEN IN THE CITY +audio/RES0045.mp3[563.760,579.920] OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED +audio/RES0045.mp3[579.920,585.000] UM NO THAT I WAS JUST WORRIED ABOUT UH COVID +audio/RES0045.mp3[585.000,651.840] YEAH SO THATS DEFINITELY TOP ON THE LIST RIGHT NOW FOR THINGS THAT WE HAVE TO RULE YOU OUT FOR UM SO WELL TAKE A SWAB TODAY WELL SEND IT OFF UM FOR THOSE PCR RESULTS YOU SHOULD HEAR BACK IN 24 TO 48 HOURS UH IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY MEMBERS WHEN POSSIBLE AND PUBLIC HEALTH WILL GET IN TOUCH WITH YOU IF THOSE RESULTS ARE POSITIVE AND SO THEY CAN THEY CAN DO SOME CONTACT TRACING IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AND I GUESS THE BEST THERAPY FOR THAT IS STAYING HYDRATED UM GETTING GOOD SLEEP AND EATING NUTRITIOUS FOODS UH BUT IF YOUR SYMPTOMS GET WORSE LIKE YOURE RUNNING A REALLY HIGH FEVER UM YOURE HAVING NEUROLOGICAL SYMPTOMS LIKE YOU KNOW SEIZURES OR FAINTING SPELLS UM OR IF YOURE HAVING DIFFICULTY BREATHING UM YOU SHOULD COME BACK TO THE ER SO HOW DOES THAT SOUND +audio/RES0045.mp3[651.840,653.840] YEAH ITS REALLY INFORMATIVE THANK YOU +audio/RES0045.mp3[653.840,656.160] ALRIGHT TAKE CARE +audio/RES0045.mp3[656.160,659.800] THANK YOU +audio/RES0027.mp3[0.000,5.400] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN +audio/RES0027.mp3[5.400,20.760] SURE IVE BEEN COUGHING FOR THE PAST THREE DAYS AND IT I CANT SEEM TO STOP ITS AFFECTING MY SLEEP SO I JUST REALLY LIKE TO GET THIS FIXED +audio/RES0027.mp3[20.760,28.120] OK AH IS THE COUGH WITH THE COUGH HAVE YOU BEEN BRINGING UP ANY SPUTUM +audio/RES0027.mp3[28.120,32.120] NO ITS ITS DRY ITS VERY DRY +audio/RES0027.mp3[32.120,36.240] OK HAVE YOU BROUGHT UP ANY BLOOD +audio/RES0027.mp3[36.240,37.920] NO NO BLOOD +audio/RES0027.mp3[37.920,47.480] OK AND THE COUGH STARTED THREE DAYS AGO HAS IT GOTTEN WORSE GOTTEN BETTER STAYED THE SAME +audio/RES0027.mp3[47.480,54.160] AH YOU KNOW IT SEEMS TO BE GETTING WORSE AND NOW I EVEN FEEL HOT LIKE I HAVE A FEVER OR SOMETHING +audio/RES0027.mp3[54.160,69.680] I SEE IS THERE ANY TRIGGERS ASSOCIATED WITH THE COUGH LIKE GOING OUTSIDE INTO THE COLD SMOKE INHALATION OR OR DUST OR PETS +audio/RES0027.mp3[69.680,73.280] UM NO NOT THAT I NOTICED +audio/RES0027.mp3[73.280,79.760] OK HAVE YOU TRIED ANYTHING TO YOU HELP WITH THE COUGH +audio/RES0027.mp3[79.760,87.520] I TRIED OVER THE COUNTER COUGH SYRUP BUT ITS ITS NOT HELPING +audio/RES0027.mp3[87.520,99.040] OK AND YOU MENTIONED THE COUGHS INTERRUPTING YOUR SLEEP HAS IS THE COUGH CONSTANT ALL DAY OR ARE THERE PARTICULAR TIMES OF THE DAY THAT ITS WORSE +audio/RES0027.mp3[99.040,102.280] ITS JUST ALL DAY +audio/RES0027.mp3[102.280,112.280] LETS SEE OK UM AND YOU MENTIONED THAT YOU STARTED TO FEEL HOT WHEN WHEN DID YOU NOTICE THAT +audio/RES0027.mp3[112.280,114.400] THAT WAS JUST TODAY +audio/RES0027.mp3[114.400,118.600] JUST TODAY HAVE YOU TAKEN YOUR TEMPERATURE +audio/RES0027.mp3[118.600,122.040] NO I HAVENT +audio/RES0027.mp3[122.040,128.360] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0027.mp3[128.360,136.480] MMM IVE BEEN REALLY TIRED BUT I DONT KNOW IF THATS BECAUSE I CANT GET ANY SEEM TO GET ANY SLEEP +audio/RES0027.mp3[136.480,149.760] WELL BECAUSE THE COUGHS BEEN KEEPING YOU UP OK UM SO HAVE YOU HAD ANY HEADACHES +audio/RES0027.mp3[149.760,157.280] MAYBE A SLIGHT HEADACHE BUT ALSO IM NOT TOO SURE IF THATS BECAUSE IVE BEEN COUGHING AND ITS PUTTING STRAIN ON MY HEAD +audio/RES0027.mp3[157.280,166.760] OK HOW ABOUT ANY DISCHARGE LIKE MUCUS OR TEARS FROM YOUR EYES OR EARS +audio/RES0027.mp3[166.760,170.280] NO NOTHING LIKE THAT +audio/RES0027.mp3[170.280,175.880] OK HOW ABOUT ANY PAIN AROUND YOUR EYES OR EARS +audio/RES0027.mp3[177.880,183.480] OK HAVE YOU HAD A RUNNY NOSE +audio/RES0027.mp3[183.480,185.920] MMMM NO NO +audio/RES0027.mp3[185.920,199.160] ALRIGHT AND WITHIN THE LAST MONTH OR SO HAVE YOU HAD ANY COLD LIKE SYMPTOMS WITH A RUNNY NOSE HEADACHE SORE THROAT AND OR A COUGH +audio/RES0027.mp3[199.160,200.640] AH NO +audio/RES0027.mp3[200.640,204.560] OK SO ITS JUST BEEN THESE LAST FEW DAYS +audio/RES0027.mp3[205.880,214.680] UM ALRIGHT AND DO YOU HAVE A SORE THROAT NOW +audio/RES0027.mp3[214.680,215.960] UM NO +audio/RES0027.mp3[215.960,220.080] OK AND AND HOW IS YOUR APPETITE BEEN +audio/RES0027.mp3[220.080,229.280] MY APPETITES BEEN OK I ALSO ITS JUST HARD TO EAT BECAUSE IM COUGHING SO MUCH +audio/RES0027.mp3[229.280,235.760] OK HAVE YOU HAD ANY TROUBLES WITH SWALLOWING LIKE BEING PAINFUL +audio/RES0027.mp3[235.760,240.960] NO WELL NO NO I WOULD SAY NO +audio/RES0027.mp3[240.960,248.520] OK UM AN IN THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS +audio/RES0027.mp3[248.520,251.160] UM NO WEIGHT LOSS +audio/RES0027.mp3[251.160,257.400] ALRIGHT AND HAVE YOU HAD ANY CHILLS +audio/RES0027.mp3[257.400,262.920] MAYBE A LITTLE BIT LAST NIGHT NOW THAT I THINK ABOUT IT +audio/RES0027.mp3[262.920,268.720] OK AND HOW ABOUT ANY NIGHT SWEATS +audio/RES0027.mp3[268.720,271.480] A LITTLE BIT LAST NIGHT +audio/RES0027.mp3[271.480,277.640] OK SO YOU WERE A BIT CHILLY AND AND THEN SWEATY LATE LAST NIGHT +audio/RES0027.mp3[277.640,279.640] YES A LITTLE BIT +audio/RES0027.mp3[279.640,282.040] OK AND FEELING HOT TODAY +audio/RES0027.mp3[283.000,288.960] HAVE YOU HAD ANY CHEST PAIN +audio/RES0027.mp3[288.960,291.720] UM NO NO CHEST PAIN NO +audio/RES0027.mp3[291.720,296.160] ALRIGHT AND HOW ABOUT SHORTNESS OF BREATH +audio/RES0027.mp3[298.120,302.800] ALRIGHT ANY WHEEZING +audio/RES0027.mp3[304.560,312.200] ALRIGHT AND HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING OR BEATING OUT OF YOUR CHEST +audio/RES0027.mp3[313.960,321.800] ALRIGHT AND ANY INSTANCES WHERE YOU FELT LIKE YOU WERE GONNA FAINT OR MAYBE BLACKOUT +audio/RES0027.mp3[323.760,327.720] OK AND HAVE YOU FELT DIZZY AT ALL +audio/RES0027.mp3[327.720,329.880] UM NO NO DIZZINESS +audio/RES0027.mp3[329.880,341.360] ALRIGHT AND HAVE YOU HAD ANY LOSS OR OF YOUR SENSE OF TASTE OR LOSS OF YOUR SENSE OF SMELL +audio/RES0027.mp3[341.360,343.640] UM NO +audio/RES0027.mp3[343.640,349.880] OK AND HAVE YOU HAD ANY DIARRHEA +audio/RES0027.mp3[349.880,352.840] NO DIARRHEA +audio/RES0027.mp3[352.840,359.040] ALRIGHT AND THEN HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0027.mp3[360.080,369.400] OK UM AND SO YOU HAVE BEEN FATIGUED HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY ACHES +audio/RES0027.mp3[369.400,372.680] A LITTLE BIT OF BOTH YEAH +audio/RES0027.mp3[372.680,385.760] I SEE OK AND HAVE YOU HAD ANY PAINFUL URINATION OR FEELING THE NEED TO URINATE FREQUENTLY +audio/RES0027.mp3[387.640,392.160] OK AND ANY SKIN RASHES OR OR SKIN CHANGES +audio/RES0027.mp3[392.160,394.360] AH NO +audio/RES0027.mp3[394.360,402.200] ALRIGHT UM IN REGARDS TO YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0027.mp3[402.200,407.120] I HAVE HYPOTHYROIDISM +audio/RES0027.mp3[407.120,412.400] I SEE OK AND UM ARE YOU TAKING ANY MEDICATIONS FOR THAT +audio/RES0027.mp3[412.400,414.200] IM ON SYNTHROID +audio/RES0027.mp3[414.200,421.760] OK GREAT WHEN WAS YOUR LAST TSH CHECKED +audio/RES0027.mp3[421.760,426.520] I BELIEVE I DID IT SIX MONTHS AGO +audio/RES0027.mp3[426.520,430.520] OK AND WERE THERE ANY CONCERNS WITH THE RANGE AT THAT TIME +audio/RES0027.mp3[430.520,434.560] NO I THINK IT WAS NORMAL +audio/RES0027.mp3[434.560,444.560] ALRIGHT EXCELLENT DO YOU TAKE ANY OTHER MEDICATIONS OR OVER THE COUNTER +audio/RES0027.mp3[444.560,452.000] I I TAKE THIS MULTI VITAMIN I CANT REMEMBER THE NAME OF IT BUT ITS JUST SOMETHING THAT I TAKE EVERY DAY +audio/RES0027.mp3[452.000,458.080] OK ANY ANY ALLERGIES TO MEDICATIONS +audio/RES0027.mp3[458.720,464.880] ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE +audio/RES0027.mp3[464.880,469.480] UM I HAD MY APPENDIX REMOVED WHEN I WAS A TEENAGER +audio/RES0027.mp3[469.480,473.880] OK AND ANY COMPLICATIONS WITH THAT SURGERY +audio/RES0027.mp3[474.560,484.560] ALRIGHT UM SO NEXT I WAS WONDERING IF YOU COULD JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION +audio/RES0027.mp3[484.560,494.600] SURE I LIVE WITH MY HUSBAND AND TWO CHILDREN WHO ARE BOTH TEENAGERS I WE LIVE IN A IN A TOWNHOUSE AND WE MOVED RECENTLY +audio/RES0027.mp3[494.600,500.000] OK AND ANYBODY IN THE HOME BEEN SICK +audio/RES0027.mp3[500.000,516.600] MY HUSBAND HAS BEEN THROWING UP FOR THE PAST TWO DAYS AND I THINK HE WAS FEELING A LITTLE HOT TOO +audio/RES0027.mp3[516.600,522.240] OK HAS HE BEEN ASSESSED BY A PHYSICIAN +audio/RES0027.mp3[522.240,531.000] NO I TRIED TO BRING HIM TODAY BUT HE REFUSED +audio/RES0027.mp3[531.000,543.240] I SEE OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK THAT YOURE AWARE OF LIKE AT WORK OR ANYTHING +audio/RES0027.mp3[543.240,561.160] HE WORKS AT THIS IT COMPANY THERE ARENT A LOT OF THEM AND THEY ALL HAVE THEIR OWN CUBICLES SO YOU KNOW MAYBE IN THE LUNCH ROOM OR SOMETHING BUT OTHER THAN THAT I DONT THINK SO +audio/RES0027.mp3[561.160,569.400] OK AND HOW ABOUT YOURSELF ANY OTHER EXPOSURES OR SICK CONTACTS OR MAYBE AT WORK OR SOMETHING LIKE THAT +audio/RES0027.mp3[569.400,576.080] UM SO I DO MARKETING STUFF ONLINE BUT I I WORK FROM HOME +audio/RES0027.mp3[576.080,581.880] OK UM AND YOUR KIDS HAVE BEEN WELL +audio/RES0027.mp3[581.880,584.120] OH YEAH THEYVE BEEN THEYVE BEEN HEALTHY +audio/RES0027.mp3[584.120,588.840] ALRIGHT AND DO YOU SMOKE CIGARETTES +audio/RES0027.mp3[590.880,592.720] AND DO YOU DRINK ALCOHOL +audio/RES0027.mp3[592.720,599.080] ILL HAVE A GLASS OF WINE WITH DINNER ONCE IN AWHILE +audio/RES0027.mp3[599.080,604.320] OK DO YOU AND WHATS ONCE IN AWHILE +audio/RES0027.mp3[604.320,607.240] MAYBE EVERY THREE OR FOUR DAYS +audio/RES0027.mp3[607.240,612.280] OK SO A COUPLE OF DRINKS PER WEEK +audio/RES0027.mp3[613.480,616.720] ALRIGHT AND DO YOU SMOKE MARIJUANA +audio/RES0027.mp3[616.720,624.120] I HAVE SMOKED MARIJUANA I DONT REGULARLY DO IT +audio/RES0027.mp3[624.120,627.200] NO OK UM AND DO YOU USE ANY OTHER RECREATIONAL DRUGS +audio/RES0027.mp3[629.440,639.560] OK UM AND HAS ANYBODY IN THE FAMILY HAD A LUNG CONDITION OR OR A HEART CONDITION BEFORE +audio/RES0027.mp3[639.560,651.240] MY SISTER WHOS 15 YEARS OLDER THAN I AM SHE HAD A HEART ATTACK QUITE RECENTLY +audio/RES0027.mp3[651.240,660.080] OH IM SORRY TO HEAR THAT DO YOU KNOW WHAT HAPPENED +audio/RES0027.mp3[660.080,672.840] UM YOU KNOW IM NOT TOO SURE SHE DOESNT ALWAYS EAT THE HEALTHIEST AND SHE DOESNT DO A LOT OF EXERCISE SO I THINK MAYBE THAT HAD SOMETHING TO DO WITH IT +audio/RES0027.mp3[672.840,678.880] OK UM AND DID YOUR PARENTS HAVE ANY HEART PROBLEMS +audio/RES0027.mp3[678.880,691.880] NO THEY WERE BOTH HEALTHY AND THEY PASSED AWAY A FEW YEARS AGO BUT THEY DIED OF OLD AGE I GUESS YOU CAN SAY +audio/RES0027.mp3[691.880,695.680] OK ANY CANCERS IN THE FAMILY +audio/RES0027.mp3[700.120,709.960] ALRIGHT SO I THINK THATS ALL I WANTED TO COVER ON THE HISTORY TODAY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME I MAYBE DIDNT ASK +audio/RES0027.mp3[709.960,715.640] UM NO I WAS JUST CURIOUS IF YOU THINK I HAD COVID +audio/RES0027.mp3[715.640,771.040] CERTAINLY ONE OF THE TOP THINGS THAT IM CONSIDERING AFTER HEARING ABOUT YOUR SYMPTOMS OF HAVING THIS COUGH AND FEVER AND BEING TIRED THESE LAST FEW DAYS ESPECIALLY WITH YOUR HUSBAND BEING SICK WITH NAUSEA VOMITING AND NOT FEELING WELL THAT BEING SAID IT COULD BE ANOTHER TYPE OF VIRAL ILLNESS OR POSSIBLY A BACTERIAL INFECTION BUT CERTAINLY WE WILL ORDER SOME INVESTIGATIONS SOME BLOOD WORK A PCR NASAL SWAB THAT WILL ACTUALLY TEST FOR COVIAS WELL AS A CHEST X RAY TO START WITH UM AND WE WILL WAIT FOR SOME OF THOSE RESULTS TO COME BACK +audio/RES0027.mp3[771.040,773.600] OK YEAH THAT SOUNDS GOOD +audio/RES0027.mp3[773.600,776.040] ALRIGHT SO WELL GET THAT STARTED +audio/RES0027.mp3[776.040,777.880] OK THANK YOU +audio/RES0177.mp3[0.000,1.280] WHAT BRINGS YOU IN +audio/RES0177.mp3[1.280,24.000] I BROUGHT MY SON IN TODAY BECAUSE HE HAD A FEVER THAT STARTED TWO DAYS AGO AND AND THEN SINCE THEN HE HES HAD A COUGH THAT STARTED AS WELL AND IT IT HES BEEN SHORT OF BREATH IT LOOKS LIKE HES LIKE BREATHING FASTER AND JUST HAVING A HARDER TIME TO BREATHE +audio/RES0177.mp3[24.000,31.440] OK UHM BEFORE THE FEVER DID YOU NOTICE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE OR A STUFFY NOSE +audio/RES0177.mp3[31.440,38.840] NO NOTHING LIKE THAT YEAH THE FEVER KIND OF CAME ON PRETTY PRETTY SUDDENLY IT SEEMED LIKE +audio/RES0177.mp3[38.840,43.680] OK AND DID YOU TAKE HIS TEMPERATURE AT HOME +audio/RES0177.mp3[43.680,54.920] I DID YEAH IT WAS LIKE 387 AND THEN LIKE TWO DAYS AGO AND THEN IT WAS HIGH AGAIN LIKE YESTERDAY AND TODAY +audio/RES0177.mp3[54.920,60.600] OK AND YOU MENTIONED THE COUGHING STARTED SOON AFTER THE FEVER CORRECT +audio/RES0177.mp3[60.600,66.960] YEAH YEAH KIND OF LIKE THE DAY AFTER E STARTED HAVING GETTING THIS COUGH +audio/RES0177.mp3[66.960,72.840] OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH +audio/RES0177.mp3[72.840,81.720] ITS UH YEAH HE IS BRINGING UP A LITTLE BIT OF SPUTUM YEAH HES DOING IT +audio/RES0177.mp3[81.720,86.360] OK WHAT COLOR IS THE SPUTUM +audio/RES0177.mp3[86.360,92.880] UH ITS A MAYBE LIKE LIKE GREENISH GREENISH YELLOW +audio/RES0177.mp3[92.880,96.640] GREENISH YELLOW OK ANY BLOOD IN THERE +audio/RES0177.mp3[96.640,99.800] NO I HAVENT NOTICED ANY ANY BLOOD +audio/RES0177.mp3[99.800,104.920] OK AND DOES HE SEEM SHORT OF BREATH OR WHEEZY +audio/RES0177.mp3[104.920,115.080] NO WHEEZING BUT HE DOES HAVE SOME SHORTNESS OF BREATH +audio/RES0177.mp3[115.080,120.200] OK AND THE SERVICE OF BREAD STARTED WITH A COUGH +audio/RES0177.mp3[120.200,122.240] II DID YEAH +audio/RES0177.mp3[122.240,130.560] OK UHM HOW MUCH SHORTNESS OF BREATH IS HE HAVING IS IT JUST WHEN HES EXERTING HIMSELF OR IS IT AT REST AS WELL +audio/RES0177.mp3[130.560,136.760] ID SAY AH EVEN AT REST NOW HES LIKE BREATHING FASTER +audio/RES0177.mp3[136.760,155.760] OK UMM AND IT DOES ANYTHING HELP WITH THAT SO DOES SITTING UP HELP OR UH YOU KNOW GETTING FRESH AIR OR ANYTHING LIKE THAT +audio/RES0177.mp3[155.760,171.200] NO BUT YOUD SAY LIKE TAKING A SMALLER BREATHS HELPS BECAUSE LIKE IF HE IF HE TAKES A DEEP BREATH AND HE GETS HE GETS LIKE CHEST PAIN +audio/RES0177.mp3[171.200,176.280] OK OK AND HOW ABOUT WHEN HES LAYING DOWN +audio/RES0177.mp3[176.280,183.920] NO HE HASNT SAID ANYTHING LIKE LIKE THAT FOR LAYING DOWN JUST I THINK WHEN HES JUST TAKING A DEEP BREATH HE SAID +audio/RES0177.mp3[183.920,189.520] OK IS IT WAKING HIM UP FROM SLEEP +audio/RES0177.mp3[189.520,191.080] UH NO +audio/RES0177.mp3[191.080,194.840] NO OK HOW ABOUT CHEST PAIN +audio/RES0177.mp3[194.840,200.720] YEAH SO YEAH HES HAD SOME PAIN WHEN HE WHEN HE JUST REALLY TAKES THAT DEEP BREATH IN +audio/RES0177.mp3[200.720,206.320] OK DOES HE EVER FEEL LIKE HIS HEARTS RACING +audio/RES0177.mp3[206.320,207.720] UHM NO +audio/RES0177.mp3[207.720,213.720] NO OK UHM HOW ABOUT ANY DIZZINESS OR FAINTING SPELLS +audio/RES0177.mp3[213.720,218.800] NO HE DOESNT HAVE ANYTHING LIKE THAT +audio/RES0177.mp3[218.800,224.600] OK HAS HE HAD A SORE THROAT +audio/RES0177.mp3[224.600,225.520] NO NO +audio/RES0177.mp3[225.520,229.240] ANY CHANGES IN VISION OR HEARING +audio/RES0177.mp3[230.280,233.280] UH SMELL OR TASTE +audio/RES0177.mp3[234.520,238.680] NO WEIGHT LOSS +audio/RES0177.mp3[238.680,241.400] NO HES BEEN GAINING WEIGHT WELL +audio/RES0177.mp3[241.400,245.840] OK HOW ABOUT ANY RASHES +audio/RES0177.mp3[245.840,250.360] NOPE I HAVENT NOTICED ANY +audio/RES0177.mp3[250.360,255.560] OK UHM AND THEN ANY NUMBNESS OR TINGLING +audio/RES0177.mp3[255.560,258.720] NO HE HASNT SAID ANYTHING LIKE THAT +audio/RES0177.mp3[258.720,262.760] OK MUSCLE ACHES OR JOINT ACHES +audio/RES0177.mp3[266.720,270.920] OK CONFUSION OR MEMORY LOSS +audio/RES0177.mp3[271.320,275.240] CHANGES IN HIS BOWEL MOVEMENTS +audio/RES0177.mp3[275.240,280.360] NOPE YEAH THATS BEEN BEEN GETTING OUT NO DIARRHEA OR ANYTHING LIKE THAT +audio/RES0177.mp3[280.360,284.160] OK CHANGES IN HIS VOIDING +audio/RES0177.mp3[284.160,289.240] NOPE HE HASNT HAD ANY URINARY PROBLEMS +audio/RES0177.mp3[289.240,297.120] OK AND IS HE AN OTHERWISE HEALTHY CHILD UMM DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0177.mp3[297.120,309.240] NO HE DOESNT THATS UH THIS WAS SO SURPRISING HES BEEN HEALTHY +audio/RES0177.mp3[309.240,315.040] OK HAS HE SO HES NEVER HAD ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0177.mp3[315.040,318.280] NO HE HASNT +audio/RES0177.mp3[318.280,327.120] OK HOW ABOUT HIS MOTHERS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS AT THAT POINT +audio/RES0177.mp3[327.120,338.720] NOPE EVERYTHING WENT WENT WELL NO COMPLICATIONS AND HE WAS LIKE A GOOD BIRTH WEIGHT AND WENT HOME RIGHT AWAY +audio/RES0177.mp3[338.720,347.600] OK OK AND HOW ABOUT THE DELIVERY ITSELF ANY COMPLICATIONS DURING THAT THAT POINT +audio/RES0177.mp3[347.600,352.640] OH NO NOT IT WAS A VAGINAL DELIVERY AND IT WAS NORMAL +audio/RES0177.mp3[352.640,363.000] OK AND HE DIDNT NEED TO BE HOSPITALIZED AS A NEWBORN FOR ANYTHING LIKE JAUNDICE OR SHORTNESS OF BREATH +audio/RES0177.mp3[363.000,371.120] UH NOPE HE HASNT HAD ANY ANY REASON TO BE HOSPITALIZED +audio/RES0177.mp3[371.120,381.280] OK UHM ALRIGHT AND HAS HE BEEN HITTING ALL HIS DEVELOPMENTAL MILESTONES AS WELL AS LIKE HIS HEIGHT WEIGHT AND HEAD CIRCUMFERENCE MILESTONES +audio/RES0177.mp3[381.280,386.040] HE HAS YEAH HES BEEN GROWING WELL AND REACHING THE DEVELOPMENTS STONES MILESTONES +audio/RES0177.mp3[386.040,390.200] OK IS HE ON ANY MEDICATIONS +audio/RES0177.mp3[390.200,394.280] UH NO HES NOT ON ANY MEDICATIONS +audio/RES0177.mp3[394.280,397.200] OK ANY ALLERGIES +audio/RES0177.mp3[397.200,399.480] NO ALLERGIES +audio/RES0177.mp3[399.480,402.440] UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0177.mp3[402.440,406.360] HE IS YEAH +audio/RES0177.mp3[406.360,410.640] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0177.mp3[410.640,415.200] UH NO NOTHING LIKE THAT +audio/RES0177.mp3[415.200,419.960] OK HAVE ABOUT CANCERS IN THE FAMILY +audio/RES0177.mp3[419.960,425.720] NO NO CANCERS LUCKILY +audio/RES0177.mp3[425.720,431.240] CAN YOU THINK OF ANYONE HES BEEN IN CONTACT WITH WHOS ALSO BEEN SICK +audio/RES0177.mp3[431.240,447.440] YEAH MAYBE HE HAS A YOUNGER SISTER THAT GOES TO DAYCARE AND SHE WAS SICK LAST WEEK WITH LIKE SHE HAD A COUGH AND STUFF AS WELL +audio/RES0177.mp3[447.440,452.920] OK OK AND DOES SHE HAVE A FEVER AS WELL +audio/RES0177.mp3[452.920,469.160] SHE DID YEAH SHE GOT BETTER RIGHT UH LAST WEEK WE WE HAD TO TAKE HER TO TO SEE THE DOCTOR AND SHE GOT ANTIBIOTICS FOR THAT ACTUALLY FOR FOR A FEW DAYS +audio/RES0177.mp3[469.160,475.720] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0177.mp3[475.720,476.880] NO WEVE BEEN AT HOME +audio/RES0177.mp3[476.880,481.400] OK DOES ANYONE AT HOME SMOKE +audio/RES0177.mp3[483.480,486.960] NO OK AND WHO LIVES AT HOME WITH HIM +audio/RES0177.mp3[486.960,493.280] SO ITS ME HIS MOM AND THEN HIS YOUNGER SISTER +audio/RES0177.mp3[493.280,502.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS ANYTHING THAT COULD EXACERBATE HIS CONDITION +audio/RES0177.mp3[502.640,505.040] NO I DONT THINK SO ITS A NEWER HOME +audio/RES0177.mp3[505.040,514.560] OK GOOD UMM SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0177.mp3[514.560,536.560] UHM NO I NO THAT WAS EVERYTHING I THINK THE ONLY I I GUESS OTHER THING THAT THAT I FORGOT TO MENTION IS THAT JUST HE DOESNT REALLY LIKE HIS APPETITES BEEN A LITTLE BIT LOWER COUPLE OF DAYS AS WELL BUT UH HE HASNT HAD ANY LIKE NAUSEA OR VOMITING THOUGH +audio/RES0177.mp3[536.560,633.000] OK OK YEAH THATS GOOD TO KNOW UHM SO BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A SWAB ON HIM AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS AND HE SHOULD ISOLATE FOR 14 DAYS BECAUSE OF THOSE SYMPTOMS AND IT DOESNT IT SOUNDS MORE IN KEEPING WITH THE PICTURE OF COMMUNITY ACQUIRED PNEUMONIA SO FOR THAT WE WILL GET A CHEST XRAY WELL CHECK HIS OXYGEN AND HIS TEMPERATURE AND IF THE CHEST XRAY SHOWS CONSOLIDATION UMM OR SOME SORT OF INFILTRATE IT IS LIKELY THAT HE HAS PNEUMONIA SO WE WILL START BY GIVING HIM SOME AMOXICILLIN POPULATE OR CEFUROXIME FOR FIVE DAYS AND JUST KEEP MONITORING HIS SYMPTOMS THEY SHOULD RESOLVE IN ABOUT 5 DAYS WHEN THE COURSE OF ANTIBIOTICS IS COMPLETE IF HIS CONDITION GETS WORSE LIKE HES GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES JUST TAKE HIM TO THE ER AND IF SYMPTOMS DONT RESOLVE IN FIVE TO SEVEN DAYS WE CAN DO FURTHER WORK UP OR THINGS LIKE FUNGAL INFECTIONS OR TB OR THINGS LIKE THAT HOW DOES THAT SOUND +audio/RES0177.mp3[633.000,636.200] THAT SOUNDS GREAT THANK YOU +audio/RES0177.mp3[636.200,642.160] OK YEAH NO PROBLEM +audio/RES0080.mp3[0.000,3.560] WHAT TOOK BROUGHT YOU IN TODAY +audio/RES0080.mp3[3.560,28.320] YEAH IM JUST FEELING SO I DO HAVE COPBUT I JUST FEEL SO MUCH WORSE I DO HAVE SHORTNESS OF BREATH BUT I THINK ITS JUST BEEN WORSE OVER THE PAST THREE DAYS IM HAVING MORE DIFFICULTY CLIMBING STAIRS OR EVEN JUST GOING TO THE BATHROOM +audio/RES0080.mp3[28.320,30.960] OK AND YOU SAID THIS STARTED +audio/RES0080.mp3[30.960,34.840] THREE DAYS AGO THREE OR FOUR DAYS AGO +audio/RES0080.mp3[34.840,40.000] AND SINCE THAT TIME HAS THE SHORTNESS OF BREATH BEEN GETTING WORSE OR STAYING THE SAME +audio/RES0080.mp3[40.000,54.920] YEAH SO INITIALLY IT WAS JUST IT WAS JUST CLIMBING STAIRS YOU KNOW BUT THEN AFTER THAT I MEAN THIS MORNING I WAS JUST SHORT OF BREATH GOING TO THE BATHROOM +audio/RES0080.mp3[54.920,62.000] OK AND HAVE YOU HAD UH SHORTNESS OF BREATH ON EXERTION LIKE THIS BEFORE +audio/RES0080.mp3[62.000,64.400] UHM YOU KNOW SOMETIMES +audio/RES0080.mp3[65.480,76.520] I DONT DO MUCH ANYWAY BECAUSE MY CPYOU KNOW JUST MAKES THINGS A LITTLE BIT DIFFICULT UH YEAH I USE MY PUFFERS +audio/RES0080.mp3[76.520,90.320] OK AND HAVE YOU HAD ANY UH EPISODES WHERE YOUVE WOKEN UP IN THE MIDDLE OF THE NIGHT AND WERE REALLY SHORT OF BREATH YOU HAD TO UH SIT UP +audio/RES0080.mp3[90.320,91.400] NO NO NO +audio/RES0080.mp3[91.400,95.280] OK AND ARE YOU ABLE TO LIE FLAT +audio/RES0080.mp3[96.160,105.080] OK AND YOU MENTIONED YOU WERE BRINGING UP SPUTUM COULD YOU DESCRIBE THE COLOR +audio/RES0080.mp3[105.080,112.240] YEAH I DONT KNOW ITS KINDA YELLOW UH GREEN +audio/RES0080.mp3[112.240,115.160] HAS THAT CHANGED FROM BEFORE +audio/RES0080.mp3[115.160,132.800] YEAH YEAH SO USUALLY ITS JUST SORT OF WHITEISH AND FOAMY AND UH YEAH ITS DIFFERENT AND ITS MORE YOU KNOW ITS ALOT MORE EVERY TIME IM COUGHING ITS JUST LIKE SPOONFULS ITS A LOT MORE THAN USUAL +audio/RES0080.mp3[132.800,142.080] OK YEAH IT SOUNDS LIKE A LOT MORE AND HAVE YOU NOTICED ANY BLOOD +audio/RES0080.mp3[142.080,144.600] NO NO NO +audio/RES0080.mp3[144.600,149.160] OK AND UH SO HAVE YOU HAD A COUGH THEN +audio/RES0080.mp3[149.160,155.440] OH YEAH IVE HAD A COUGH FOR THE PAST 20 YEARS +audio/RES0080.mp3[155.440,165.760] OK AND IS YOUR COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY OR DOES IT HAPPEN THROUGHOUT THE DAY +audio/RES0080.mp3[165.760,172.080] WELL ITS A BIT WORSE WHEN IM SMOKING BUT OTHERWISE ITS THE SAME +audio/RES0080.mp3[172.080,180.800] OK AND HAS YOUR COUGH BEEN WORSE THESE PAST COUPLE OF DAYS AS WELL +audio/RES0080.mp3[182.840,187.560] OK AND HAVE YOU HAD ANY HEADACHES +audio/RES0080.mp3[188.520,194.400] HOW ABOUT ANY EAR PAIN OR EYE PAIN +audio/RES0080.mp3[195.680,198.000] ANY SORE THROAT +audio/RES0080.mp3[199.280,204.760] OK HAVE YOU HAD A LOSS OF SMELL OR A LOSS OF TASTE +audio/RES0080.mp3[204.760,208.480] NO I DONT THINK SO +audio/RES0080.mp3[208.480,213.200] OK AND HAVE YOU HAD ANY WHEEZING +audio/RES0080.mp3[213.200,216.880] A LITTLE BIT ITS BEEN THERE FOR A WHILE THOUGH +audio/RES0080.mp3[216.880,220.080] OK HAVE YOU NOTICED ANY CHANGES TO THE WHEEZE +audio/RES0080.mp3[220.080,227.440] NO I DONT THINK SO I DONT KNOW I CANT TELL +audio/RES0080.mp3[227.440,232.760] I SEE OK AND HAVE YOU HAD ANY CHEST PAIN +audio/RES0080.mp3[233.600,236.720] HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/RES0080.mp3[237.800,242.560] OK AND HAVE YOU HAD ANY HEART PALPITATIONS +audio/RES0080.mp3[244.560,250.440] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN NAUSEA OR VOMITING +audio/RES0080.mp3[250.920,254.400] ALRIGHT AND ANY URINARY PROBLEMS +audio/RES0080.mp3[256.400,258.280] ANY BOWEL PROBLEMS +audio/RES0080.mp3[259.520,264.520] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN OR ANY RASHES +audio/RES0080.mp3[264.520,266.400] NO NOT REALLY +audio/RES0080.mp3[266.400,276.640] OK AND HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0080.mp3[276.640,284.240] I THINK I WAS FEELING VERY CHILLY LAST NIGHT MY WIFE HAD TO BRING AN EXTRA BLANKET FOR ME +audio/RES0080.mp3[284.240,287.360] OK HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0080.mp3[287.360,290.240] NO I DONT THINK SO +audio/RES0080.mp3[290.240,294.360] OK AND UH HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0080.mp3[294.360,296.360] NO I DIDNT +audio/RES0080.mp3[296.360,306.920] OK WELL CERTAINLY CHECK THAT TODAY AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS +audio/RES0080.mp3[306.920,318.800] I DONT CHECK MY WEIGHT VERY OFTEN BUT NO UH YEAH MY CLOTHES STILL FIT THEYRE ALL THEYRE FINE +audio/RES0080.mp3[318.800,328.720] OK FAIR ENOUGH AND UH HAVE YOU NOTICED ANY LIKE LEG SWELLING OR ANY SWELLING IN YOUR BELLY +audio/RES0080.mp3[329.800,337.800] OK AND IN REGARDS TO YOUR PAST HEALTH YOU MENTIONED COPBUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +audio/RES0080.mp3[337.800,348.720] YEAH I HAVE HIGH BLOOD PRESSURE AND MY CHOLESTEROL IS ALSO A LITTLE BIT ON THE HIGH SIDE +audio/RES0080.mp3[348.720,357.880] I SEE OK AND YOU USE PUFFERS DO YOU USE ANY OTHER MEDICATIONS +audio/RES0080.mp3[357.880,368.280] YEAH I THINK MY DOC PRESCRIBED SOME PILLS I DONT KNOW I DONT REMEMBER WHAT THEY ARE I JUST TAKE THEM EVERY DAY +audio/RES0080.mp3[368.280,377.920] OK WE CAN GET THAT INFORMATION HAVE YOU HAD ANY HOSPITALIZATIONS +audio/RES0080.mp3[377.920,394.800] UHM IVE BEEN TO THE ER A COUPLE OF TIMES AND THIS ONE TIME IT WAS SIMILAR TO THIS TIME WHEN I WAS HAVING DIFFICULTIES BREATHING AND HAD TO STAY FOR ABOUT FIVE DAYS OR SO I THINK THAT WAS TWO YEARS AGO +audio/RES0080.mp3[394.800,403.160] OK AND HOW ARE YOUR SYMPTOMS FEELING NOW WHEN COMPARED TO UH THAT TIME +audio/RES0080.mp3[403.160,427.160] I WASNT PRODUCING THIS GREEN YELLOW THING THATS COMING OUT OF MY MOUTH RIGHT NOW IT WAS NOT THAT BAD ITS JUST LAST TIME I WAS HAVING DIFFICULTIES BREATHING SO I DECIDED TO COME IN BUT THIS TIME I JUST HAVE THIS WEIRD THING I DONT EVEN FEEL LIKE LOOKING AT IT +audio/RES0080.mp3[427.160,438.400] OK YEAH FOR SURE IT SOUNDS LIKE THERES SOMETHING CERTAINLY GOING ON HERE AND YEAH HAVE YOU HAD ANY PAST SURGERIES +audio/RES0080.mp3[438.400,442.720] I HAD UH I HAD A KNEE REPLACEMENT +audio/RES0080.mp3[442.720,452.560] OK AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHEREABOUTS +audio/RES0080.mp3[452.560,466.440] YEAH I LIVE WITH MY WIFE ABOUT TEN MINUTES AWAY FROM HERE WE LIVE IN AN APARTMENT UH YEAH +audio/RES0080.mp3[466.440,468.800] OK ARE YOU WORKING ARE YOU RETIRED +audio/RES0080.mp3[468.800,479.400] I RETIRED TWO YEARS AGO I USED TO WORK AT CHRYSLER AS A MECHANIC +audio/RES0080.mp3[479.400,485.760] OK AND HAVE YOU BEEN AROUND ANYBODY WHO MIGHT BE SICK +audio/RES0080.mp3[488.320,491.560] ALRIGHT HOW ABOUT HAVE YOU TRAVELED ANYWHERE +audio/RES0080.mp3[491.560,510.360] NO IVE JUST BEEN STAYING INDOORS MY WIFES BEEN STAYING WITH ME WERE BOTH PRETTY CAREFUL WERE WORRIED ABOUT CATCHING COVID SO WE DONT EVEN GO OUT FOR GROCERIES WE JUST HAVE THOSE DELIVERY GUYS COME AND BRING US OUR GROCERIES +audio/RES0080.mp3[510.360,516.960] OK AND YOU SMOKE CIGARETTES YOU MENTIONED HOW MUCH DO YOU SMOKE PER DAY +audio/RES0080.mp3[516.960,522.520] I SMOKE ABOUT A PACK A DAY +audio/RES0080.mp3[522.520,526.640] OK AND HOW LONG HAVE YOU SMOKED FOR +audio/RES0080.mp3[526.640,530.880] LETS SEE ABOUT FORTYFIVE YEARS +audio/RES0080.mp3[530.880,533.760] OK HAVE YOU THOUGHT ABOUT QUITTING +audio/RES0080.mp3[533.760,546.360] YEAH YEAH MULTIPLE DOCTORS HAVE TOLD ME TO QUIT AND ITS JUST I DONT THINK I CAN QUIT ITS NOT GONNA HAPPEN I CANT LIVE WITHOUT MY CIGARETTES +audio/RES0080.mp3[546.360,567.720] OK THE DOOR IS ALWAYS OPEN AND CERTAINLY SOMETHING WE CAN TALK ABOUT AT ANYTIME UH IF YOUD LIKE TO BUT UH IN THE MEANTIME WELL LEAVE IT ALONE FOR NOW I WAS WONDERING IF YOU DRINK ALCOHOL +audio/RES0080.mp3[567.720,573.040] I DRINK A GLASS OR TWO EVERY WEEKEND +audio/RES0080.mp3[573.040,583.240] OK AND DO USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE +audio/RES0080.mp3[584.120,591.560] OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +audio/RES0080.mp3[591.560,594.400] UHM HIGH BLOOD PRESSURE +audio/RES0080.mp3[594.400,597.480] OK HAS ANYBODY IN THE FAMILY HAD LUNG CANCER +audio/RES0080.mp3[601.040,673.560] ALRIGHT AND SO YOUVE BEEN EXPERIENCING WORSENING SPUTUM PRODUCTION THAT NOW HAS A GREEN COLOR TO IT AND NOW HAVING A BIT MORE MORE SHORT OF BREATH WHICH SOUNDS LIKE COPEXACERBATION ESPECIALLY SINCE ITS A SIMILAR TYPE OF PRESENTATION AS BEFORE AND SO WELL ORDER A CHEST XRAY SOME BLOOD GASES AND DO A SPUTUM CULTURE AND POSSIBLY START ANTIBIOTICS BUT DEPENDING ON THE SEVERITY WE MAY NOT NOT NEED TO JUST YET AND THEN WELL ALSO USE SOME INHALERS AS WELL AS INHALED STEROID TO HELP WITH THE INFLAMMATION IN THE AIRWAYS +audio/RES0080.mp3[675.120,676.680] ALRIGHT WELL GET THAT STARTED +audio/RES0080.mp3[676.680,679.600] THANK YOU +audio/RES0217.mp3[0.000,4.600] SO I UNDERSTAND YOU REMOVED INSECTS FROM YOUR LEG EARLIER TODAY +audio/RES0217.mp3[4.600,61.920] YES I DID IT WAS UH IT WAS BEHIND MY LEFT UH KNEE KIND OF IN LIKE THE JOINT BEHIND WHERE IT BENDS UM IT WAS STUCK PRETTY GOOD ITS STILL KIND OF RED AND TENDER THERE I NOTICED IT BECAUSE THE BACK OF MY KNEE WAS STARTING TO JUST FEEL A BIT SORE UM NOT THE JOINT ITSELF BUT JUST KIND OF THE SKIN THE WHOLE AREA BACK THERE UM AND I FOUND THIS TICK I BROUGHT I BROUGHT IT IN WITH ME IF YOU WANTED TO HAVE A LOOK AT IT UM ITS IN LIKE THIS LITTLE PLASTIC CONTAINER UH AND I DONT REALLY KNOW WHEN I GOT IT I WAS HIKING ON FRIDAY UM AND THEN SATURDAY I WAS OUT IN MY GARDEN I HOPE THEYRE NOT AROUND MY HOUSE I HOPE THAT IT WAS FROM HIKING UM AND NOT GARDENING BUT UH I DID SPEND A LOT OF TIME OUTSIDE ON SATURDAY AS WELL +audio/RES0217.mp3[61.920,69.200] OK SO SOUNDS LIKE ITS BEEN A LITTLE BIT OF TIME SINCE YOU WERE LAST OUTDOORS TO WHEN YOU FIRST NOTICED IT +audio/RES0217.mp3[70.640,79.560] OK SO WHEN YOU PICKED IT OFF THE TICK OBVIOUSLY YOU HAVE IT FOR ME IS IT QUITE SWOLLEN OR ENGORGED +audio/RES0217.mp3[79.560,129.360] ITS NOT TOO BAD UM I I HAVE ACTUALLY HAD A TICK IN THE PAST AND THIS IS A LONG TIME AGO AND UM MAYBE LIKE 10 YEARS AND I ACTUALLY HAD THAT KIND OF TARGET RASH THING THAT THEY TALK ABOUT AND UH AT THAT TIME I REMEMBER I HAD TO TAKE ANTIBIOTICS FOR A BIT UM THIS UM DIDNT LOOK LIKE THAT IT WAS MORE IT WAS JUST KIND OF SORE IN ONE SPOT I DONT THINK IT UM IT WAS AS BAD AS THAT TIME AND THE TICK THAT TIME SORRY IVE KIND OF GOTTEN OFF TRACK THAT TIME IT WAS QUITE SWOLLEN THIS ONE WAS MAYBE A LITTLE BIT BUT NOT AS MUCH +audio/RES0217.mp3[129.360,147.440] OK SO JUST IN TERMS OF THE TICKS SIZE IT DOESNT LOOK LIKE ITS BEEN FEEDING FOR TOO LONG SO WHEN TICKS UH ARE FEEDING THEY TEND TO ENGORGE THEY TEND TO SWELL UP SO THIS LOOKS MORE LIKE A TINY LITTLE BUG OR DOES IT KIND OF LOOK LIKE A LITTLE GRAPE ALMOST LIKE ITS BEEN SWOLLEN UP WITH BLOOD +audio/RES0217.mp3[147.440,150.000] NO THIS ONE THIS ONES PRETTY SMALL +audio/RES0217.mp3[150.000,181.600] THIS ONES PRETTY SMALL OK AND I SHOULD MENTION THAT WELL OBVIOUSLY YOUVE HAD A TICK BITE IN THE PAST THE BIG CONCERN FOR US IS A DISEASE CALLED LYME DISEASE WHICH IS SPREAD BY BACTERIA BUT IN FACT ONLY ONE TYPE OF TICK PREDOMINANTLY IS A TRANSMISSION TRANSMITORY AGENT FOR IT ITS CALLED A DEER TICK AND ITS COLORATION ITS GOT A LITTLE BIT OF A BROWN BUTT AND THERES SOME BLACK LEGS DOES IT LOOK LIKE THAT AT ALL +audio/RES0217.mp3[181.600,209.600] I DONT THINK SO UHM I UH I WAS LOOKING AT THE PICTURES ONLINE I THINK IT LOOKS LIKE THE OTHER KIND OF TICK UM BUT I HEARD THAT YEAH BUT I HEARD THAT LATELY NOW THEYVE BEEN CONSIDERING ALL TICKS IN THIS AREA AS POSSIBLY CARRIERS OF LYME UM BECAUSE I THINK ITS KIND OF BECOME MORE MORE OF A PROBLEM SM SO THAT WAS MAKING ME A BIT NERVOUS +audio/RES0217.mp3[209.600,261.040] OK ABSOLUTELY WHAT WE CAN DO IS WE CAN SEND THIS TICK OFF TO THE LAB AND THEYLL BE ABLE TO IDENTIFY THE SPECIES FOR IT BUT FOR TICK BITES IN GENERAL ONE OF THE KEY CONSIDERATIONS IS FOR HOW LONG ITS BEEN ON YOUR BODY FOR SO UNFORTUNATELY IF YOURE OUT ON FRIDAY AND SATURDAY THATD MEAN THAT THIS TICK HAS BEEN ON YOU FOR LONGER THAN AT LEAST 72 HOURS SO I THINK ONE WAY OR ANOTHER WERE LIKELY GOING TO HAVE TO PUT YOU ON ANTIBIOTICS JUST AS KIND OF A PROPHYLACTIC AT THE VERY LEAST JUST WANT TO MAKE SURE THAT UM YOURE NOT AT RISK OF DEVELOPING LYME DISEASE IM SURE YOUVE HEARD FROM THE NEWS THAT LYME DISEASE CAN PRESENT IN A VARIETY OF WAYS BUT ITS A DISEASE THAT WE TRY OUR BEST TO AVOID AND JUST IN TERMS OF YOUR SYMPTOMS SO YOU SAY YOUVE HAD A BITE IN THE PAST AND YOU YOUVE GOT THAT RASH BEFORE THAT KIND OF BULLSEYE RASH DO YOU HAVE THAT RASH NOW +audio/RES0217.mp3[261.040,276.800] NO I DONT UH AS FAR AS I KNOW I MEAN YOU CAN HAVE A LOOK TOO ITS BEHIND MY KNEE SO ITS NOT THE EASIEST PLACE TO SEE BUT ITS UH IT LOOKS A LITTLE RED ITS LIKE TENDER WHERE THE TICK WAS BUT I DONT SEE THAT LIKE LARGER CIRCLE RASH +audio/RES0217.mp3[276.800,286.560] OK THATS REASSURING NOW ANY ITD BE PRETTY UNLIKELY FOR YOU TO HAVE OTHER SYMPTOMS BUT JUST IN CASE DO YOU HAVE ANY OTHER JOINT PAIN +audio/RES0217.mp3[287.960,292.640] HAVE YOU BEEN FEELING ILL OR HAVE BEEN FEVERISH IN THE LAST LITTLE WHILE +audio/RES0217.mp3[292.640,296.560] NO NO IVE BEEN FINE +audio/RES0217.mp3[296.560,305.320] OK AND YOU REMOVED THAT TWIT TICK ONCE YOU FOUND IT YOU PRESENTED TO ME HAVE YOU CHECKED YOUR BODY FOR ANY OTHER POSSIBLE BITES +audio/RES0217.mp3[305.320,315.160] OH YEAH I LOOKED AROUND AND I LOOKED AT MY HUSBAND TOO CAUSE WE WE WERE JUST A LITTLE BIT YOU KNOW GAVE US A LITTLE BIT OF A SCARE BUT NO THERES BEEN NOTHING ELSE +audio/RES0217.mp3[315.160,320.880] THATS GOOD AND DID YOU BRING A PET WITH YOU AT ALL WHEN YOU WERE HIKING AND GARDENING +audio/RES0217.mp3[320.880,323.880] UH NO I DIDNT NO +audio/RES0217.mp3[323.880,328.400] OK GOOD ANY OTHER FAMILY MEMBERS YOU THINK MIGHT HAVE BEEN EXPOSED +audio/RES0217.mp3[328.400,332.320] UH NO IT WAS JUST UH ME AND MY HUSBAND +audio/RES0217.mp3[332.320,337.800] OK AND WHAT GEOGRAPHIC AREA WERE YOU IN UM WHEN YOU WERE HIKING +audio/RES0217.mp3[337.800,342.360] WE WERE UH IN STRATHROY ALONG THE CREEK +audio/RES0217.mp3[342.360,389.360] OK I CAN DO IF I REMEMBER THERES A LYME DISEASE DISTRIBUTION MAP FOR ONTARIO AND WE CAN SEE EXACTLY HOW THAT LINES UP TO SEE IF WE SHOULD BE A LITTLE BIT CONCERNED OR NOT LOOKS LIKE STRATHROY IS CLOSE ENOUGH TO BE CONSIDERED A LITTLE BIT OF A CONCERNING POINT SO I THINK THAT WE WILL BE MOVING FORWARD WITH ANTIBIOTICS BUT OF COURSE WELL BE TALKING TO THE PHYSICIAN WHOLL BE HAVING A LOOK AT YOU AS WELL SO IT SOUNDS LIKE YOU HAVENT BEEN HAVING TOO MUCH SYMPTOMS ASIDE FROM YOUVE NOTICED THIS TICK THE SKIN AROUND IT IS FAIRLY SORE AND YOUVE HAD THIS IN THE PAST BUT YOU WERE TREATED WITH ANTIBIOTICS IN THE PAST AND SINCE THEN YOU HAVENT HAD TOO MANY HEALTH PROBLEMS AFTER THAT +audio/RES0217.mp3[389.360,392.280] NO NO IVE BEEN PRETTY HEALTHY +audio/RES0217.mp3[392.280,402.040] OK AND JUST ABOUT YOUR HEALTH RIGHT NOW IS THERE ANYTHING THAT YOU SEE THE FAMILY PHYSICIAN OR DOCTOR FOR IN GENERAL AND REGARDING YOUR HEALTH +audio/RES0217.mp3[402.040,404.960] UH JUST FOR MY CHOLESTEROL +audio/RES0217.mp3[404.960,407.920] OK ARE YOU TAKING AND MEDICATIONS FOR THAT +audio/RES0217.mp3[407.920,412.000] UH YEAH I TAKE A UH STATIN CANT REMEMBER WHICH ONE +audio/RES0217.mp3[412.000,416.520] OK GOT IT AND DO YOU HAVE ANY ALLERGIES +audio/RES0217.mp3[416.520,417.840] UH NO +audio/RES0217.mp3[417.840,419.560] SO NO DRUG ALLERGIES +audio/RES0217.mp3[421.000,484.960] OK NOW WEVE ALREADY TALKED ABOUT OTHER EXPOSURES SO IT DOESNT SOUND LIKE ANYONE ELSE IN YOUR FAMILY OR ANY PETS ARE AROUND SO ITS UNLIKELY THAT YOU HAVE TICKS COMING IN AND YOU SAID YOU MIGHT HAVE GOTTEN THIS FROM GARDENING BUT UM YOURE HOPING THAT YOUR AREA DOESNT HAVE TICKS MAYBE JUST TAKE A LOOK TICKS LIKE TO LIVE IN LONG GRASS KIND OF ON THE INTERSECTION BETWEEN WOODS AND FIELDS TO SEE IF THERES ANY HOVERING AROUND THAT KIND OF MAKE A WAVING MOTION WITH THEIR LEGS AND THEYRE SOMETIMES EASY TO SPOT YOU MIGHT WANNA GET SOME INSECTICIDE OUT THERE BUT IT SOUNDS LIKE THIS IS FAIRLY RECENT UNFORTUNATELY JUST FOR THE LENGTH OF TIME THIS TICK MIGHT BE ON YOU FOR ITS PROBABLY SAFER THAN NOT TO START YOU ON SOME MEDICATIONS BUT IM GOING TO GO TALK TO THE DOCTOR AFTER WE DO A QUICK PHYSICAL EXAM AND WE MIGHT ALSO SEND THE TICK OFF TO A LOCAL LABORATORY SO THEY CAN IDENTIFY THE SPECIES FOR IT DEFINITIVELY AS WELL AS MIGHT JUST SEND SOME BLOOD WORK JUST TO SEE IF THERES ANY TITRES OR ANY SEROLOGY THAT WOULD MAKE US A LITTLE BIT MORE CONCERNED FOR LYME DISEASE BUT ASIDE FROM THAT YOUVE BEEN FEELING WELL OTHERWISE +audio/RES0217.mp3[484.960,489.760] YEAH TOTALLY FINE IT WAS JUST A LITTLE TENDER THERE AND THATS THE ONLY REASON I LOOKED +audio/RES0217.mp3[489.760,491.920] OK SO NO HEADACHES +audio/RES0217.mp3[493.000,494.400] NOTHING LIKE THAT +audio/RES0217.mp3[494.400,495.680] NOTHING LIKE THAT +audio/RES0217.mp3[495.680,502.000] OK EXCELLENT ALRIGHT IM FAIRLY HAPPY WITH WHAT WE TALKED ABOUT TODAY DO YOU HAVE ANY QUESTIONS FOR ME JEAN +audio/RES0217.mp3[502.000,506.880] NO THIS IS PRETTY WELL WHAT I EXPECTED TODAY SO THANKS FOR HELPING ME OUT +audio/RES0217.mp3[506.880,511.080] NO PROBLEM OK ILL GO TALK TO THE DOCTOR WELL COME BACK AND TALK TO YOU OK +audio/RES0217.mp3[511.080,511.680] GREAT THANKS +audio/RES0217.mp3[511.680,513.840] THANKS JEAN +audio/CAR0005.mp3[0.000,5.960] IT SOUNDS LIKE THAT YOURE EXPERIENCING SOME CHEST PAIN +audio/CAR0005.mp3[5.960,16.440] YEAH SO THIS CHEST PAIN HAS JUST BEEN COMING ON FOR THE LAST COUPLE OF WEEKS NOW +audio/CAR0005.mp3[16.440,29.640] OK UHM SO 2 WEEKS AND CAN YOU TELL ME KIND OF WHERE YOURE FEELING THAT PAIN +audio/CAR0005.mp3[29.640,38.200] UM YEAH IM IM JUST FEELING THIS CHEST DISCOMFORT SORT OF OVER ON THE LEFT SIDE +audio/CAR0005.mp3[38.200,50.800] THE LEFT SIDE OK DOES DOES IT STAY JUST IN ONE SPOT OR DOES IT KIND OF SPREAD ANYWHERE ELSE +audio/CAR0005.mp3[50.800,58.360] NO I DONT REALLY FEEL IT ANYWHERE ELSE YEAH I JUST FEEL IT IN THAT ONE SPOT ON THE LEFT SIDE +audio/CAR0005.mp3[58.360,63.000] OK DOES IT FEEL DULL AND ACHY OR DOES IT FEEL MORE SHARP +audio/CAR0005.mp3[63.000,65.960] IT FEELS PRETTY SHARP +audio/CAR0005.mp3[65.960,73.320] OK AND IS IT CONSTANT LIKE ON ALL THE TIME OR DO YOU FEEL LIKE IT KIND OF COMES AND GOES +audio/CAR0005.mp3[73.320,84.600] IT COMES AND GOES I WOULD SAY I IT MIGHT LAST FOR UM 2030 MINUTES AT A TIME AND THEN IT GOES AWAY +audio/CAR0005.mp3[84.600,94.160] OK AND OVER THE LAST TWO WEEKS SINCE YOU SAID IT STARTED HAS IT GOTTEN ANY WORSE +audio/CAR0005.mp3[94.160,98.640] UH NO ITS BEEN ABOUT THE SAME +audio/CAR0005.mp3[98.640,108.160] ABOUT THE SAME OK AND HAS IT GOTTEN MORE FREQUENT THESE LIKE 20 TO 30 MINUTE EPISODES +audio/CAR0005.mp3[108.160,117.160] NO ITS HAPPENED ABOUT TWO OR THREE TIMES DURING THE 2 WEEKS +audio/CAR0005.mp3[117.160,128.680] AND IF YOU WERE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING NO PAIN AND 10 BEING LIKE THE WORST PAIN YOUVE EVER FELT WHERE WOULD IT FALL +audio/CAR0005.mp3[128.680,131.280] I WOULD SAY A 4 OUT OF 10 +audio/CAR0005.mp3[131.280,152.160] OK UH CAN YOU THINK OF ANYTHING THAT THAT YOUVE DONE DIFFERENTLY RECENTLY THAT COULD HAVE BROUGHT IT ON OR IS THERE ANY KIND OF COMMON FACTOR BETWEEN THE TIMES THAT YOU HAD THE PAIN +audio/CAR0005.mp3[152.160,173.840] UM I DONT KNOW IVE SEPARATED FROM MY HUSBAND 2 TWO YEARS AGO WHICH HAS BEEN REALLY STRESSFUL BUT OTHER THAN THAT I MEAN I CANT REALLY THINK OF ANY CHANGES TO MY HEALTH OR ANYTHING LIKE THAT RECENTLY +audio/CAR0005.mp3[173.840,179.920] OK BUT DO YOU FEEL LIKE YOU HAVE BEEN MORE STRESSED OUT IN GENERAL +audio/CAR0005.mp3[179.920,194.680] UH YEAH THE LAST COUPLE OF YEARS HAVE BEEN A LOT MORE STRESSFUL BECAUSE OF THOSE ISSUES IN MY PERSONAL LIFE +audio/CAR0005.mp3[194.680,217.240] OK IM SORRY TO HEAR THAT BUT IM GLAD THAT YOURE COMING IN AND WE CAN HOPEFULLY GET TO THE BOTTOM OF THIS NOT THAT I THINK THATS NECESSARILY THE SOURCE OF YOUR PAIN AND WE DEFINITELY WANT TO LOOK INTO EVERYTHING BUT IT IS REALLY HELPFUL TO KNOW THAT SO WHEN YOUVE HAD THESE EPISODES HAVE YOU TAKEN ANYTHING TO HELP WITH THE PAIN OR DONE ANYTHING THATS THAT YOU FELT IT MADE IT GO AWAY +audio/CAR0005.mp3[217.240,230.760] UHM IVE TRIED SOME ADVIL SOME TYLENOL AND ACTUALLY SOME TUMS AS WELL AND IT HASNT REALLY HELPED +audio/CAR0005.mp3[230.760,244.360] OK DO YOU THINK ITS WORSE WHEN YOURE MOVING AROUND IF YOURE IF YOURE KIND OF DOING MORE EXERCISE OR IS IT KIND OF JUST THE SAME NO MATTER WHAT YOURE DOING WHEN YOU GET THE EPISODES +audio/CAR0005.mp3[244.360,252.960] OH IT ACTUALLY I I FEEL LIKE IT HAPPENS MOST OF THE TIME WHEN IM EITHER AT WORK OR OR DRIVING +audio/CAR0005.mp3[252.960,263.320] OK OK AND BEFORE THIS TWO WEEK PERIOD HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/CAR0005.mp3[263.320,268.560] NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE +audio/CAR0005.mp3[268.560,275.360] DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR +audio/CAR0005.mp3[275.360,279.560] NO PREVIOUSLY HEALTHY +audio/CAR0005.mp3[279.560,289.360] AND JUST JUMPING BACK TO THESE PAIN EPISODES WHEN YOU HAVE THEM DO YOU EXPERIENCE ANYTHING ELSE DO YOU GET ANY NAUSEA OR VOMITING +audio/CAR0005.mp3[292.600,301.520] OK DO YOU GET ANY DO YOU HAVE ANY DIFFICULTY BREATHING DURING THESE TIMES +audio/CAR0005.mp3[301.520,305.000] NO I HAVENT +audio/CAR0005.mp3[305.000,308.960] OK AND HAVE YOU NOTICED ANY FEVERS +audio/CAR0005.mp3[308.960,313.640] UH NO NO FEVERS +audio/CAR0005.mp3[313.640,318.600] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY +audio/CAR0005.mp3[318.600,320.520] UHM NO I HAVENT +audio/CAR0005.mp3[320.520,327.160] AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF CANADA +audio/CAR0005.mp3[327.160,331.120] NO IVE BEEN HOME +audio/CAR0005.mp3[331.120,341.040] OK SO YOU HAVE YOU SAID YOU HAVE BEEN PREVIOUSLY HEALTHY NOTHING THAT YOUVE BEEN SEEING YOUR FAMILY DOCTOR FOR ON A REGULAR BASIS DO YOU TAKE ANY MEDICATIONS +audio/CAR0005.mp3[341.040,349.000] UHM I DO NOT NO MEDICATIONS JUST THE TYLENOL AND ADVIL I TRIED FOR THE PAIN +audio/CAR0005.mp3[349.000,353.560] OK DO YOU HAVE ANY ALLERGIES +audio/CAR0005.mp3[353.560,357.160] NO ALLERGIES +audio/CAR0005.mp3[357.160,364.000] AND IS THERE ANY HISTORY OF HEART PROBLEMS IN YOUR FAMILY +audio/CAR0005.mp3[364.000,380.480] YEAH MY FATHER HAD A HEART ATTACK WHEN HE WAS 60 JUST LAST YEAR AND ITS ACTUALLY ONE OF THE REASONS WHAT CONCERNS ME ABOUT THE CHEST PAIN THAT I THOUGHT I WAS HAVING +audio/CAR0005.mp3[380.480,417.960] FOR SURE IT ALWAYS FEELS VERY CONCERNING WHEN WHEN YOU HAVE THESE THESE SYMPTOMS AND THAT AND YOU KNOW PEOPLE IN YOUR LIFE THAT HAVE HAD ISSUES LIKE SIMILAR ISSUES IN THE PAST I DONT KNOW THAT THIS IS RELATED TO THAT I I PERSONALLY DONT THINK SO AT THIS POINT BUT WERE DEFINITELY GOING TO DO EVERYTHING TO LOOK INTO IT AND AND RULE OUT SOMETHING THAT WOULD BE SCARY LIKE THAT IM GOING TO ASK YOU FEW MORE QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU SMOKE CIGARETTES +audio/CAR0005.mp3[417.960,437.320] YEAH I SMOKE ABOUT HALF A PACK TO A PACK PER DAY IVE BEEN TRYING TO QUIT AND I WAS SMOKING MORE ONE PACK PER DAY BUT SO IT IS DOWN A LITTLE BIT BUT ITS STILL SOMETHING IM TRYING TO WORK ON +audio/CAR0005.mp3[437.320,452.480] CONGRATULATIONS THATS A REALLY TOUGH THING TO DO SO GOOD FOR YOU THATS THATS REALLY EXCITING STEP IN THE RIGHT DIRECTION RIGHT DO YOU DRINK ALCOHOL +audio/CAR0005.mp3[452.480,462.840] UM I DO BUT UH ILL HAVE MAYBE ONE OR TWO GLASSES OF WINE ON THE WEEKEND +audio/CAR0005.mp3[462.840,466.000] DO YOU USE ANY OTHER SUBSTANCES +audio/CAR0005.mp3[466.000,469.640] UH NO +audio/CAR0005.mp3[469.640,482.240] I KNOW THAT YOU SAID YOU DONT SEE YOUR FAMILY DOCTOR FOR ANYTHING REGULARLY BUT I JUST WANT TO CHECK A COUPLE OF SPECIFIC THINGS LIKE HAVE YOU EVER BEEN TOLD YOU HAVE HIGH BLOOD PRESSURE +audio/CAR0005.mp3[482.240,489.320] NO IVE NEVER BEEN TOLD IVE IVE HAD HIGH BLOOD PRESSURE +audio/CAR0005.mp3[489.320,492.760] AND HAVE YOU EVER BEEN TOLD YOU HAVE LIKE HIGH CHOLESTEROL +audio/CAR0005.mp3[492.760,499.360] I HAVENT BUT IVE ACTUALLY NEVER BEEN TESTED EITHER +audio/CAR0005.mp3[499.360,505.080] OK AND DO YOU EXERCISE REGULARLY +audio/CAR0005.mp3[505.080,520.360] YEAH ACTUALLY ILL EITHER DO SOME RUNNING OR CYCLING PROBABLY THREE OR FOUR DAYS PER WEEK AND I HAVENT HAD ANY CHEST PAIN OR OR PROBLEMS EXERCISING +audio/CAR0005.mp3[520.360,527.360] OK THATS GOOD TO HEAR AND HAVE YOU EVER HAD PROBLEMS WITH HEARTBURN +audio/CAR0005.mp3[527.360,533.360] UH I DONT THINK SO NO +audio/CAR0005.mp3[533.360,553.240] OK OK SO JUST TO KIND OF SUMMARIZE WHAT WEVE TALKED ABOUT OVER THE LAST TWO WEEKS YOU STARTED HAVING THESE 20 TO 30 MINUTE EPISODES OF CHEST PAIN THATS ON THE LEFT SIDE IT FEELS MORE SHARP IS THAT CORRECT +audio/CAR0005.mp3[555.200,578.280] AND ITS KIND OF CONSTANT WHEN IT COMES ON THERES NOTHING REALLY THAT MAKES IT BETTER OR WORSE IT JUST KIND OF GOES AWAY ON ITS OWN AFTER HALF AN HOUR OR SO IT HAS KIND OF STAYED THE SAME OVER OVER THE LAST TWO WEEKS HASNT REALLY GOTTEN WORSE OR BETTER IT HASNT GONE AWAY EITHER +audio/CAR0005.mp3[578.280,581.080] RIGHT YEAH EXACTLY +audio/CAR0005.mp3[581.080,599.640] YOU NEVER HAD ANYTHING LIKE THAT BEFORE AND YOU HAVE BEEN IT SOUNDS LIKE EXPERIENCING SOME STRESS IN YOUR LIFE IT DEFINITELY CAN PLAY INTO THAT AS WELL OK IS THERE ANYTHING ELSE THAT YOU WANTED TO TO TELL ME ABOUT THAT I DIDNT ASK YOU TODAY +audio/CAR0005.mp3[599.640,610.320] UH NO I THINK THATS UM YEAH I THINK THATS ALL THAT I WANTED TO TALK ABOUT TODAY +audio/CAR0005.mp3[610.320,620.880] OK SO WHAT IM GOING TO DO IS BRING ALL THIS INFORMATION TO YOUR FAMILY DOCTOR AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS +audio/CAR0005.mp3[620.880,621.920] AWESOME THANK YOU +audio/CAR0005.mp3[621.920,626.920] THANKS FOR COMING IN +audio/MSK0001.mp3[0.000,3.560] AND WHAT BRINGS YOU TO THE EMERGENCY DEPARTMENT TODAY +audio/MSK0001.mp3[3.560,5.760] LOW BACK PAIN +audio/MSK0001.mp3[5.760,11.560] OK AND WHERE EXACTLY IS UH IS THE BACK PAIN +audio/MSK0001.mp3[11.560,16.080] SO THE PAINS JUST RIGHT IN THE IN THE LOWER BACK +audio/MSK0001.mp3[16.080,21.080] JUST IN THE LOWER BACK OK AND WHEN DID THIS PAIN START +audio/MSK0001.mp3[21.080,30.080] IT STARTED YESTERDAY I WAS UNLOADING GROCERIES FROM MY PICKUP TRUCK WHEN IT SUDDENLY STARTED +audio/MSK0001.mp3[30.080,38.800] OK SO AND DID YOU KIND OF MAKE ANY KIND OF MOVEMENT OR DID YOU PICK UP SOMETHING REALLY HEAVY +audio/MSK0001.mp3[38.800,44.240] IM NOT SURE I JUST NOTICED THE PAIN AFTER UM AFTER THAT +audio/MSK0001.mp3[44.240,56.000] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A DULL CRAMPING PAIN OR IS IT MORE LIKE A SHARP OR STABBING PAIN +audio/MSK0001.mp3[56.000,61.800] IT FEELS LIKE ITS STABBING JUST RIGHT IN MY LOWER BACK +audio/MSK0001.mp3[61.800,73.480] OK AND UM ON A SCALE OF 1 TO 10 UH 1 BEING LIKE THE LEAST PAIN THAT YOU FELT IN YOUR LIFE 10 BEING THE WORST HOW MUCH WOULD YOU RATE THIS PAIN +audio/MSK0001.mp3[73.480,82.800] IF IM SITTING UH COMPLETELY STILL LIKE LIKE I AM RIGHT NOW ITS A 2 OUT OF 10 +audio/MSK0001.mp3[82.800,89.120] OK UM AND WHEN DOES IT GET WORSE +audio/MSK0001.mp3[89.120,99.000] UH ANYTIME I I MOVE OR BEND MY BACK OR UH EVEN COUGH IT IT WORSENS THE PAIN SIGNIFICANTLY +audio/MSK0001.mp3[99.000,103.160] OK AND HAS THIS PAIN CHANGED AT ALL SINCE YESTERDAY +audio/MSK0001.mp3[103.160,109.560] NO ITS BEEN THIS SAME AWFUL PAIN THIS WHOLE TIME +audio/MSK0001.mp3[109.560,114.160] OK AND HAVE HAVE YOU EVER HAD THIS KIND OF PAIN BEFORE +audio/MSK0001.mp3[114.160,121.960] IVE HAD BACK PAIN UH OVER THE YEARS BUT NOTHING LIKE THIS BEFORE +audio/MSK0001.mp3[121.960,129.240] OK AND DOES IT DOES THE PAIN GO ANYWHERE OR DOES IT JUST STAY IN THE LOWER BACK +audio/MSK0001.mp3[129.240,135.040] I ALSO FEEL THE PAIN UH INTO MY RIGHT LEG +audio/MSK0001.mp3[135.040,151.680] OK AND IS IT THE SAME KIND OF ACHING OR LIKE STABBING PAIN THAT GOES INTO YOUR RIGHT LEG OR IS IT UH JUST LIKE AN ACHING PAIN +audio/MSK0001.mp3[151.680,156.120] UH ITS ITS A UH AN ACHING PAIN +audio/MSK0001.mp3[156.120,169.840] OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ARE YOU EXPERIENCING ANY KIND OF WEAKNESS OR ANY KIND OF ANY OTHER CHANGES IN YOUR HEALTH +audio/MSK0001.mp3[169.840,174.760] UH NO ITS JUST THE UH THE LOW BACK PAIN +audio/MSK0001.mp3[174.760,184.040] OK AND HAVE YOU EVER UH EXPERIENCED ANY KIND OF TRAUMA TO YOUR BACK LIKE SOMETHING HAS HIT YOU OR YOUVE FALL DOWN ANYTHING LIKE THAT +audio/MSK0001.mp3[184.040,189.120] NO I CANT REMEMBER ANY INJURIES LIKE THAT IN THE PAST +audio/MSK0001.mp3[189.120,192.840] OK ANY UH FEVERS OR CHILLS OR NIGHT SWEATS +audio/MSK0001.mp3[192.840,198.520] UM NO FEVER UH NO CHILLS NO NIGHT SWEATS +audio/MSK0001.mp3[198.520,206.320] OK ANY UH SYMPTOMS OF FEELING VERY TIRED FATIGUED ANYTHING LIKE THAT +audio/MSK0001.mp3[206.320,208.880] UH NO IVE BEEN OK RECENTLY +audio/MSK0001.mp3[208.880,213.120] OK ANY CHANGES TO YOUR SKIN AT ALL UH I MEAN ANY RASHES +audio/MSK0001.mp3[214.120,220.920] OK ANY PAIN IN YOUR JOINTS AT ALL +audio/MSK0001.mp3[220.920,224.440] UH JUST THE BACK PAIN +audio/MSK0001.mp3[224.440,230.640] OK UH ANY NEW COUGHS OR ANY UM SYMPTOMS AND RUNNY NOSE OR ANYTHING LIKE THAT +audio/MSK0001.mp3[230.640,233.680] UH NO +audio/MSK0001.mp3[233.680,240.720] ANY CHANGES IN YOUR UM BOWEL MOVEMENTS AT ALL LIKE DIARRHEA CONSTIPATION OR ANYTHING +audio/MSK0001.mp3[240.720,243.880] NOTHING LIKE THAT BEEN REGULAR +audio/MSK0001.mp3[243.880,247.680] OK HOW ABOUT UH ANY URINARY PROBLEMS +audio/MSK0001.mp3[247.680,251.440] UH NO NOTHING TO REPORT THERE +audio/MSK0001.mp3[251.440,254.520] OK AND HOW HAS YOUR APPETITE BEEN +audio/MSK0001.mp3[254.520,258.040] UH APPETITES BEEN NORMAL +audio/MSK0001.mp3[258.040,261.400] ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN RECENTLY +audio/MSK0001.mp3[261.400,264.240] NO THE WEIGHTS BEEN ABOUT THE SAME +audio/MSK0001.mp3[264.240,268.480] OK ANY RECENT INFECTIONS THAT YOU KNOW OF +audio/MSK0001.mp3[268.480,272.440] NO IVE BEEN FEELING WELL OTHERWISE +audio/MSK0001.mp3[272.440,281.040] OK ANY UH TINGLING SENSATION OR NUMBNESS UH IN YOUR BACK OR LOWER LIMBS IN YOUR LEGS +audio/MSK0001.mp3[281.040,284.720] UH NO NUMBNESS OR TINGLING +audio/MSK0001.mp3[284.720,286.880] OK ANY MUSCLE WEAKNESS AT ALL +audio/MSK0001.mp3[286.880,290.080] UH NO MUSCLE WEAKNESS +audio/MSK0001.mp3[290.080,295.520] OK HAVE YOU BEEN UH HAVING ANY UH KIND OF ERECTILE DYSFUNCTION +audio/MSK0001.mp3[295.520,299.400] UH NO CONCERNS WITH UH ERECTILE DYSFUNCTION +audio/MSK0001.mp3[299.400,309.120] OK AND ANY ISSUES WITH UH INCONTINENCE LIKE UH HAVING ACCIDENTS AT ALL AT NIGHT OR DURING THE DAY +audio/MSK0001.mp3[309.120,315.160] UH NO I HAVENT HAD ANY PROBLEMS WITH BOWEL OR BLADDER INCONTINENCE +audio/MSK0001.mp3[315.160,324.520] OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES +audio/MSK0001.mp3[324.520,328.160] UH TYPE 2 DIABETES +audio/MSK0001.mp3[328.160,335.760] OK AND DO YOU TAKE ANY MEDICATIONS FOR IT +audio/MSK0001.mp3[335.760,339.520] UH I UM INSULIN FOR DIABETES +audio/MSK0001.mp3[339.520,342.080] OK AND ANY OTHER MEDICATIONS AT ALL +audio/MSK0001.mp3[342.080,347.040] UH JUST BEEN TAKING TYLENOL FOR THE THE BACK PAIN +audio/MSK0001.mp3[347.040,351.360] AND HAS THAT WORKED FOR YOU AT ALL OR HAS IT NOT MADE A DIFFERENCE +audio/MSK0001.mp3[351.360,359.920] UH MAYBE ITS TAKING THE EDGE OFF A LITTLE BIT BUT IT HASNT DONE TOO MUCH UH TO HELP THE PAIN +audio/MSK0001.mp3[359.920,362.320] OK ANY ALLERGIES +audio/MSK0001.mp3[362.320,363.240] UH NOPE +audio/MSK0001.mp3[363.240,368.720] OK ANY PREVIOUS SURGERIES +audio/MSK0001.mp3[368.720,373.560] UH I HAD HEMORRHOIDS REMOVED THREE YEARS AGO +audio/MSK0001.mp3[373.560,377.760] OK UM ANY HOSPITALIZATIONS BEFORE +audio/MSK0001.mp3[377.760,379.160] UH NO IT WAS JUST DAY SURGERY +audio/MSK0001.mp3[379.160,387.480] OK ANY FAMILY HISTORY OF ANY UM CONDITIONS UH OR LIKE ANY CANCERS +audio/MSK0001.mp3[387.480,391.440] UH MY FATHER HAD PROSTATE CANCER +audio/MSK0001.mp3[391.440,396.800] OK AND CURRENTLY RIGHT NOW UH DO YOU WORK +audio/MSK0001.mp3[396.800,398.640] UH IM A RETIRED SCHOOL TEACHER +audio/MSK0001.mp3[398.640,402.960] OK AND WHERE DO YOU LIVE +audio/MSK0001.mp3[402.960,411.880] I LIVE ALONE UM IN A IN A HOUSE UH NOT TOO FAR FROM HERE ACTUALLY +audio/MSK0001.mp3[411.880,417.520] OK AND DO YOU DO YOU DRINK AT ALL +audio/MSK0001.mp3[417.520,425.880] UM OCCASIONALLY UH MAYBE ILL HAVE A GLASS OF RED WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT UH NOT TOO OFTEN +audio/MSK0001.mp3[425.880,430.360] OK AND DO YOU SMOKE +audio/MSK0001.mp3[430.360,436.320] UH IVE SMOKED UM YEAH I SMOKE A PACK OF CIGARETTES UH PER DAY +audio/MSK0001.mp3[436.320,440.680] OK AND FOR HOW LONG HAVE YOU SMOKED UH CIGARETTES FOR +audio/MSK0001.mp3[440.680,443.840] UH ABOUT 40 YEARS +audio/MSK0001.mp3[443.840,449.800] 40 YEARS OK AND UH DO YOU USE ANY KIND OF RECREATIONAL DRUGS +audio/MSK0001.mp3[449.800,453.400] UH NEVER +audio/MSK0001.mp3[453.400,457.840] OK AND HOW IS YOUR DIET LIKE ON LIKE A REGULAR BASIS +audio/MSK0001.mp3[457.840,471.920] I FEEL LIKE ITS UH PRETTY NORMAL MOSTLY HOME COOKED MEALS WITH SOME VARIETY VEGETABLE VEGETABLES OTHER MEATS AND FISH I WOULD SAY ITS PRETTY BALANCED +audio/MSK0001.mp3[471.920,476.640] OK ALRIGHT I JUST HAVE A FEW MORE QUESTIONS FOR YOU UM ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/MSK0001.mp3[476.640,478.520] YES I AM +audio/MSK0001.mp3[478.520,483.840] OK AND WHO ARE YOU SEXUALLY ACTIVE WITH ANY NEW PARTNERS AT ALL +audio/MSK0001.mp3[483.840,488.680] UH NO NEW PARTNERS UM JUST MY GIRLFRIEND UH +audio/MSK0001.mp3[488.680,496.680] AND UH HOW MANY IM SORRY GO AHEAD +audio/MSK0001.mp3[496.680,500.120] UM JUST MY MY GIRLFRIEND RECENTLY +audio/MSK0001.mp3[500.120,507.680] OK AND HAVE YOU BEEN SEXUALLY ACTIVE WITH MORE THAN ONE PARTNER IN THE PAST PAST YEAR +audio/MSK0001.mp3[507.680,516.600] UH YES I HAVE UM UM TWO WOMEN OVER THE PAST YEAR +audio/MSK0001.mp3[516.600,521.080] OK AND UM DO YOU USE ANY KIND OF PROTECTION +audio/MSK0001.mp3[521.080,527.040] YES ALWAYS USE UH CONDOMS +audio/MSK0001.mp3[527.040,529.840] OK ALRIGHT SO NOW IM JUST GOING TO GET THE PATIENTS VITALS +audio/RES0057.mp3[0.000,2.400] HOW MAY I HELP YOU +audio/RES0057.mp3[2.400,14.560] HI YES ITS NICE TO MEET YOU IVE BEEN HAVING THIS COUGH THATS BEEN GOING ON FOR THE LAST FEW DAYS AND I HAVE HAD DIFFICULTY BREATHING +audio/RES0057.mp3[14.560,18.800] OH IM SO SORRY TO HEAR THAT WHEN DID THIS START +audio/RES0057.mp3[18.800,32.440] OH SO THE COUGH STARTED ABOUT 3 DAYS AGO YEAH THE SHORTNESS OF BREATH HAS COME ON SINCE THEN +audio/RES0057.mp3[32.440,57.440] OK WELL LETS FOCUS ON THE SHORTNESS OF BREATH FIRST AND THEN WELL TALK ABOUT YOUR COUGH AS WELL SO YOU NOTICED THAT YOU HAD DIFFICULTIES WITH BREATHING SOMETIME WITHIN THE PAST THREE DAYS WHEN DO YOU FIND THAT ITS DIFFICULT FOR YOU TO BREATHE IS THERE ANYTHING THAT MAKES BREATHING MORE DIFFICULT FOR YOU +audio/RES0057.mp3[57.440,72.040] YEAH NOT REALLY ACTUALLY ITS BEEN WELL BUT JUST BAD AFTER I COUGH +audio/RES0057.mp3[72.040,79.640] SO SAY WALKING UP THE STAIRS OR DOING ANY EXERCISE DOESNT MAKE IT WORSE +audio/RES0057.mp3[79.640,89.080] NOT REALLY IVE BEEN ABLE TO DO THE SAME AMOUNTS OF OF ACTIVITY I GUESS +audio/RES0057.mp3[89.080,113.800] OK SO THERES REALLY NO RELATIONSHIP WITH ACTIVITY WITH YOUR SHORTNESS OF BREATH OK AND I CAN SEE THAT YOURE ABLE TO SORT OF TALK IN FULL SENTENCES OK HOW IS IT MAKING IT DIFFICULT FOR YOU TO DO THINGS AT HOME YOUR DIFFICULTY BREATHING +audio/RES0057.mp3[113.800,121.760] I AM A LITTLE BIT I MEAN I FEEL I JUST HAVENT BEEN FEELING VERY GOOD OVERALL SO IVE BEEN RESTING THESE LAST COUPLE OF DAYS MOSTLY +audio/RES0057.mp3[121.760,134.520] OK AND YOUR COUGH YOU SAID THAT STARTED THREE DAYS AGO IS IT A DRY COUGH OR WET COUGH +audio/RES0057.mp3[134.520,137.160] ITS DRY ITS A DRY COUGH +audio/RES0057.mp3[137.160,147.120] OK AND THERES NO SPUTUM PRODUCTION WITH IT ANYTHING COMING UP AT ALL +audio/RES0057.mp3[147.120,153.080] NO I HAVENT NOTICED ANYTHING LIKE THAT +audio/RES0057.mp3[153.080,160.440] OK AND IS THERE ANYTHING THATS MAKING THE COUGH BETTER DID YOU TAKE ANYTHING ANY MEDICATIONS FOR IT +audio/RES0057.mp3[160.440,166.720] I TRIED SOME OVER THE COUNTER STUFF BUT IT DIDNT HELP +audio/RES0057.mp3[166.720,181.280] OK ALRIGHT OTHER THAN THE DIFFICULTY BREATHING AND THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS +audio/RES0057.mp3[181.280,192.360] YEAH IVE BEEN REALLY TIRED I GUESS IVE JUST SORT OF BEEN RESTING THE THESE LAST FEW DAYS AND IVE HAD A HEADACHE AS WELL +audio/RES0057.mp3[192.360,198.480] OK CAN YOU TELL ME A BIT MORE ABOUT YOUR HEADACHE +audio/RES0057.mp3[198.480,208.520] YEAH IT FEELS LIKE SOMEBODY IS JUST SQUEEZING THE TOP OF OR JUST SQUEEZING THE SIDES OF MY HEAD +audio/RES0057.mp3[208.520,211.640] HAVE YOU HAD A HEADACHE LIKE THIS BEFORE +audio/RES0057.mp3[211.640,238.880] I HAVE YEAH I USUALLY GET THEM WHEN IM DEHYDRATED OR MAYBE I HAVENT SLEPT WELL AND THATS ALSO BEEN THE CASE FOR THE PAST TWO TO THREE DAYS YEAH ITS BEEN KIND OF OFF AND ON THERE ARE SOME TIMES THAT ARE WORSE THAN OTHERS BUT IVE NOTICED THAT I HAD IT FOR THE MOST PART FOR THE LAST FEW DAYS OK +audio/RES0057.mp3[238.880,243.720] HAVE YOU TAKEN ANYTHING FOR YOUR HEADACHE ANY PAIN MEDS +audio/RES0057.mp3[243.720,247.800] YEAH IVE BEEN TAKING SOME ADVIL ITS HELPED +audio/RES0057.mp3[247.800,262.960] AND SO YOU TALKED ABOUT BEING TIRED HAVING A HEADACHE DIFFICULTIES BREATHING AND COUGHING OVER THE PAST THREE DAYS HAVE ANY OF THESE SYMPTOMS GOTTEN WORSE OVERTIME +audio/RES0057.mp3[262.960,271.480] YES I WOULD SAY BUT BOTH THE COUGH AND THE SHORTNESS OF BREATH HAS BEEN GETTING WORSE OVER THESE LAST FEW DAYS +audio/RES0057.mp3[271.480,278.800] OK AND HAVE YOU HAD ANY CHILLS OR HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0057.mp3[278.800,289.320] I HAVENT CHECKED MY TEMPERATURE BUT I FELT LIKE IVE HAD A FEVER OR MIGHT BE GETTING A FEVER +audio/RES0057.mp3[289.320,304.320] WE CAN CHECK YOUR TEMPERATURE HERE AND HAVE YOU HAD ANY MUSCLE ACHES +audio/RES0057.mp3[304.320,311.520] YEAH I GUESS I FELT A BIT ACHY +audio/RES0057.mp3[311.520,317.920] ANY REDNESS IN THE EYES OR ANY RUNNY NOSE OR SORE THROAT LIKE FLULIKE SYMPTOMS +audio/RES0057.mp3[317.920,333.320] UMM I HAVE I DONT KNOW MAYBE MY NOSE IS A LITTLE BIT CONGESTED BUT NOT REALLY RUNNING +audio/RES0057.mp3[333.320,340.680] OK AND HAVE YOU HAD ANY CHANGE IN YOUR SENSE OF SMELL +audio/RES0057.mp3[340.680,343.880] NO I HAVENT NOTICED THAT +audio/RES0057.mp3[343.880,349.320] WHAT ABOUT YOUR SENSE OF TASTE ARE YOU ABLE TO TASTE THINGS +audio/RES0057.mp3[349.320,352.120] YEAH I THINK SO +audio/RES0057.mp3[352.120,357.880] HAVE YOU NOTICED ANY RASH ANYWHERE ON YOUR BODY +audio/RES0057.mp3[357.880,360.080] UMM NO I HAVENT +audio/RES0057.mp3[360.080,367.680] OK ANY CHANGES IN YOUR BOWEL MOVEMENT DIARRHEA OR CONSTIPATION +audio/RES0057.mp3[367.680,369.600] NO NO NOTHING LIKE THAT +audio/RES0057.mp3[369.600,372.440] ANY CHEST PAIN +audio/RES0057.mp3[372.440,376.000] NO I HAVENT HAD ANY +audio/RES0057.mp3[376.000,418.240] OK ALRIGHT WELL IT SOUNDS LIKE YOU HAVE MULTIPLE SYMPTOMS RIGHT NOW THAT STARTED ABOUT 3 DAYS AGO YOURE FEELING TIRED YOU HAVE A HEADACHE DIFFICULTIES BREATHING SOME MUSCLE ACHES AND YOUVE BEEN FEELING FEVERISH YOUVE ALSO HAD THIS COUGH AND YOUR NOSE IS FEELING CONGESTED IS THERE ANYTHING ELSE THAT THAT YOUVE BEEN EXPERIENCING OVER THE PAST THREE DAYS THAT I HAVENT TALKED ABOUT YET +audio/RES0057.mp3[418.240,433.840] NO AS YOU MENTIONED THE HEADACHES THERE TOO THEN YEAH THATS EVERYTHING +audio/RES0057.mp3[433.840,446.720] OK UMM ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0057.mp3[446.720,450.600] YEAH I HAVE ASTHMA AND GERI THINK +audio/RES0057.mp3[450.600,457.320] UMM DOES THE SHORTNESS OF BREATH THAT YOURE EXPERIENCING FEEL SIMILAR TO THE ASTHMA ATTACKS IN ANY WAY +audio/RES0057.mp3[457.320,469.320] NO I HAVENT HAD ANY ISSUES WITH LIKE ASTHMA ATTACKS IN A LONG TIME +audio/RES0057.mp3[469.320,472.400] DO YOU HAVE AN INHALER +audio/RES0057.mp3[472.400,478.040] I DO BUT I DONT USE IT VERY OFTEN +audio/RES0057.mp3[478.040,486.240] I SEE DID YOU USE IT OVER THE PAST THREE DAYS AT ALL +audio/RES0057.mp3[486.240,500.240] YEAH I DID TRY IT AND IT DIDNT REALLY SEEM TO HELP THAT MUCH +audio/RES0057.mp3[500.240,507.520] UH AND OTHER THAN THAT HAVE YOU HAD ANY ANY SURGERIES IN THE PAST +audio/RES0057.mp3[507.520,513.400] UH I HAD A COLONOSCOPY TWO YEARS AGO +audio/RES0057.mp3[513.400,517.480] ANY REASON FOR THAT +audio/RES0057.mp3[517.480,527.120] UHH MY FATHER HAD COLON CANCER WHEN HE WAS IN HIS 60S +audio/RES0057.mp3[527.120,532.360] I SEE OK AND ANY HOSPITALIZATIONS +audio/RES0057.mp3[533.760,544.240] OK DO YOU TAKE ANY MEDICATIONS I KNOW YOU HAVE PUFFERS ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS +audio/RES0057.mp3[544.240,554.280] YEAH ILL TAKE LIKE A ZANTAC OR LIKE TUMS SOMETIMES FOR REFLUX +audio/RES0057.mp3[554.280,560.440] AND UH ANY ALLERGIES TO FOOD MEDICATIONS OR ENVIRONMENTAL ALLERGIES +audio/RES0057.mp3[560.440,572.120] YEAH I HAVE ENVIRONMENTAL ALLERGIES I THINK LIKE USUALLY THEY COME ON IN THE SPRINGTIME +audio/RES0057.mp3[572.120,587.480] IN TERMS OF FAMILY HISTORIES YOU DID MENTION THAT YOUR DAD HAD COLON CANCER ANY OTHER MEDICAL PROBLEMS THAT THAT RUN IN YOUR FAMILY +audio/RES0057.mp3[587.480,589.440] UMM NO +audio/RES0057.mp3[589.440,598.320] OK AND DO YOU CURRENTLY SMOKE +audio/RES0057.mp3[598.320,602.360] NO I DONT AND HAVE NEVER SMOKED IN THE PAST +audio/RES0057.mp3[602.360,607.200] OK WHAT ABOUT MARIJUANA +audio/RES0057.mp3[607.200,608.800] UMM NO +audio/RES0057.mp3[608.800,614.760] OK DO YOU OR HAVE YOU EVER HAD ALCOHOL +audio/RES0057.mp3[614.760,620.520] I WILL HAVE SOME WINE ON THE WEEKENDS MAYBE A GLASS OR TWO WITH DINNER +audio/RES0057.mp3[620.520,625.760] OK SOUNDS GOOD AND HAVE YOU EVER HAD ANY STREET DRUGS +audio/RES0057.mp3[625.760,632.440] LIKE A LONG TIME AGO MAYBE WHEN I WAS IN COLLEGE ONCE OR TWICE +audio/RES0057.mp3[632.440,642.200] ALRIGHT SOUNDS GOOD AND HAVE YOU HAD ANY CONTACT WITH ANY SICK PEOPLE ANYONE WHOS SICK RECENTLY +audio/RES0057.mp3[642.200,669.320] NOT THAT I KNOW OF I MEAN I WENT TO A FEW STORES HERE AND THERE THAT I HAD BEEN GOING TO IVE BEEN WORKING FROM HOME SO MAYBE AT ONE OF THE STORES AND I WOULD IMAGINE I WERE WEARING A MASK AND OF COURSE TRYING TO MAINTAIN SOCIAL DISTANCING AS MUCH AS POSSIBLE BUT YEAH YOU NEVER REALLY KNOW +audio/RES0057.mp3[669.320,677.800] WHAT ABOUT ANY OTHER TRAVELS OR ANY TRAVELS AT ALL OUTSIDE THE CITY OR THE COUNTRY RECENTLY +audio/RES0057.mp3[677.800,682.600] UMM NO I HAD BEEN AT HOME +audio/RES0057.mp3[682.600,718.560] ALRIGHT SO I GUESS THATS ALL I WANTED TO KNOW ILL GO TALK TO THE ATTENDING AND WELL COME BACK AND DO A PHYSICAL EXAM AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN DISCUSS THE MANAGEMENT WITH YOU DOES THAT SOUND GOOD TO YOU +audio/RES0057.mp3[718.560,722.800] YEAH THAT SOUNDS GREAT +audio/RES0057.mp3[722.800,743.080] THANK YOU OK ALRIGHT +audio/RES0039.mp3[0.000,5.520] I JUST WANTED TO START WITH WHAT BRINGS YOU HERE TODAY TO THE FAMILY CLINIC +audio/RES0039.mp3[5.520,17.720] HI THIS MORNING I READ AFTER I WOKE UP BY I COUGHED UP SOME PHLEGM AND THERE WAS SOME BLOOD IN IT AND IT IT TOTALLY SCARED ME +audio/RES0039.mp3[17.720,22.840] OK AND WAS THIS THE FIRST TIME THAT HAPPENED +audio/RES0039.mp3[22.840,29.280] UHM YEAH IVE NEVER I NEVER NOTICED BLOOD IN MY SPUTUM BEFORE +audio/RES0039.mp3[29.280,33.960] OK BUT HAVE YOU BEEN COUGHING RECENTLY +audio/RES0039.mp3[33.960,41.840] UH YEAH I HAVE UH HAD A COUGH RECENTLY LEADING UP TO THIS +audio/RES0039.mp3[41.840,48.960] OK AND HOW LONG HAVE YOU HAD THE COUGH FOR +audio/RES0039.mp3[48.960,58.080] UHM IVE HAD IT FOR UHM YEAH ABOUT ABOUT FOUR WEEKS +audio/RES0039.mp3[58.080,71.920] WOW FOUR WEEKS OK DO YOU KNOW IF YOU DID ANYTHING PRIOR TO THAT ANY NEW EXPOSURES OR BEING AROUND SOMEONE ILL LIKE ANYTHING LIKE THAT THAT MIGHT HAVE CAUSED YOUR COUGH +audio/RES0039.mp3[71.920,91.280] YEAH I WAS JUST DOWN IN A I WENT TO HAITI ON A ON A TRIP FOR A FOR A VOLUNTEER PROGRAM WITH MY SCHOOL AND I DONT KNOW I DEFINITELY NOTICE THERE IS A LOT OF PEOPLE DOWN THERE COUGHING +audio/RES0039.mp3[91.280,101.040] OK AND WERE YOU AT ALL LIVING LIKE CLOSE QUARTERS OR WERE YOU CRAMMED INTO LIKE LIKE SMALLER SPACES AT ALL WHEN YOU WERE THERE +audio/RES0039.mp3[101.040,124.720] YEAH WE WERE KIND OF LIKE LIVING WITH THE LOCALS WHILE WE WHILE WE WERE THERE IT WAS PART OF THE EXPERIENCE FOR VOLUNTEERING I WAS THERE FOR ALMOST TWO MONTHS AS PART OF PART OF MY MY SUMMER BREAK THROUGH UNIVERSITY +audio/RES0039.mp3[124.720,138.120] OK AND DID YOU NOTICE UH AT ALL ANY POTENTIAL EXPOSURES TO TUBERCULOSIS ANYONE THERE THAT HAD TUBERCULOSIS OR FOUND OUT LATER +audio/RES0039.mp3[138.120,150.760] YEAH THERE WERE DEFINITELY SOME PEOPLE AROUND THAT I HEARD OF WHO WHO MENTIONED TUBERCULOSIS BUT I DONT KNOW IF ANYBODY SPECIFICALLY WHO HAD IT +audio/RES0039.mp3[150.760,160.400] OK AND THE COUGH THAT YOUVE BEEN HAVING FOR THE LAST FOUR WEEKS AT IS IT LIKE A WET COUGH ARE YOU PRODUCING ANY SPUTUM OR PHLEGM OR IS IT MORE OF A DRY COUGH +audio/RES0039.mp3[160.400,168.200] UH I HAVE BEEN PRODUCING SOME PHLEGM UM BUT ITS BEEN JUST KIND OF WHITE YELLOWISH +audio/RES0039.mp3[168.200,171.840] UP UNTIL THIS MORNING +audio/RES0039.mp3[171.840,178.840] YEAH OR MORESO CLEAR ACTUALLY UP UNTIL TODAY WHERE I SAW SOME BLOOD +audio/RES0039.mp3[178.840,189.880] OK AND HOW MUCH BLOOD WAS IN THE PHLEGM WAS IT LIKE A SIGNIFICANT AMOUNT IT FILLED THE WHOLE PRODUCTION OR JUST LITTLE STREAKS +audio/RES0039.mp3[189.880,196.200] UM IT WAS PRETTY RED IT AH YEAH IT WAS BRIGHT RED AND IT WAS COVERING THE THE ISSUE +audio/RES0039.mp3[196.200,200.880] OK AND HAVE YOU HAD ANY SIMILAR EPISODES BEFORE +audio/RES0039.mp3[200.880,203.960] IVE NEVER BROUGHT UP BLOOD BEFORE +audio/RES0039.mp3[203.960,210.240] AND AFTER THIS MORNING WAS THAT THE ONLY TIME YOU HAD THAT OR DID YOU DID IT RECUR AT ALL +audio/RES0039.mp3[210.240,219.960] UM IT WAS JUST THAT TIME JUST THIS MORNING ON THE TISSUE AND THEN A LITTLE BIT IN THE TOILET AND IT LOOKED LIKE A LOT IN THE IN THE WATER +audio/RES0039.mp3[219.960,234.120] OK I SEE AND HOW OFTEN ARE YOU COUGHING IN LIKE AN AVERAGE DAY ARE YOU COUGHING THROUGHOUT THE DAY OR DOES IT COME AND GO +audio/RES0039.mp3[234.120,239.200] UHM ITS BEEN PRETTY SEVERE THROUGH THROUGHOUT THE DAY IVE BEEN JUST COUGHING OR COUGHING A TON +audio/RES0039.mp3[239.200,247.040] OK ANYTHING THAT MAKES YOUR COUGHING GO AWAY OR MAKES IT WORSE AT ALL +audio/RES0039.mp3[247.040,260.800] NOTNOTHING SEEMS TO HELP IVE TRIED VARIOUS OVER THE COUNTER MEDICATIONS AND AND STUFF FOR FOR COUGH AND NOTHING HAS SEEMED TO HELP IT +audio/RES0039.mp3[260.800,273.240] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT +audio/RES0039.mp3[273.240,283.000] UHM NOTHING LIKE LIKE THAT I MEAN THE BACK OF MY THROAT MIGHT FEEL A LITTLE ITCHY FROM THE COUGHING BUT NOT REALLY SURE +audio/RES0039.mp3[283.000,289.080] OK ARE YOU HAVING ANY HEADACHES OR NAUSEA OR VOMITING +audio/RES0039.mp3[289.080,296.200] NOTHING LIKE WELL A LITTLE BIT OF NAUSEA MAYBE BUT NO VOMITING +audio/RES0039.mp3[296.200,299.840] OK HOW OFTEN YOU GETTING NAUSEA +audio/RES0039.mp3[299.840,309.800] UH ITS COMING AFTER LIKE IF IM HAVING A REALLY BIG COUGH COUGHING FIT I COULD FEEL A LITTLE NAUSEOUS AFTER BUT IT DOESNT LAST VERY LONG +audio/RES0039.mp3[309.800,314.520] OK ARE YOU HAVING ANY FEVERS OR CHILLS +audio/RES0039.mp3[314.520,324.160] YEAH IVE BEEN HAVING AH SO FEVERS THROUGHOUT THE DAY BUT FEELING REALLY HOT AND AND REALLY SWEATY AT NIGHT +audio/RES0039.mp3[324.160,328.000] OK HOW OFTEN ARE YOU GETTING NIGHT SWEATS +audio/RES0039.mp3[328.000,336.120] UHM ALSO A FEW TIMES THIS PAST WEEK IVE WHAT WOKE UP SOAKED +audio/RES0039.mp3[336.120,345.120] OK AND HAVE YOU AT ALL MEASURED WHEN YOU FELT MEASURED YOUR TEMPERATURE WHEN YOU FELT LIKE THESE CHILLS AND NIGHT SWEATS +audio/RES0039.mp3[345.120,349.360] NO I HAVENT MEASURED MY TEMPERATURE YET +audio/RES0039.mp3[349.360,356.640] OK HAVE YOU NOTICED AT ALL UH ANY INCREASED FATIGUE THROUGHOUT THE DAY +audio/RES0039.mp3[356.640,367.240] YEAH BUT IVE DEFINITELY BEEN MORE MORE TIRED I HAVENT BEEN ABLE TO CONCENTRATE ON UMM ON MY SCHOOLWORK +audio/RES0039.mp3[367.240,372.560] OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH +audio/RES0039.mp3[372.560,380.040] JUST AFTER THE LIKE COUGHING REALLY BUT OTHERWISE AH NO +audio/RES0039.mp3[380.040,381.960] ANY CHEST PAIN +audio/RES0039.mp3[381.960,383.760] NO CHEST PAIN +audio/RES0039.mp3[383.760,388.000] ANY FEELING THAT YOUR HEART IS RACING +audio/RES0039.mp3[388.000,390.080] NO NOTHING LIKE THAT +audio/RES0039.mp3[390.080,394.640] OK ANY SWELLING IN YOUR LIMBS AT ALL +audio/RES0039.mp3[396.520,399.440] OK ANY LOSS OF SENSE OF TASTE OR SMELL +audio/RES0039.mp3[399.440,403.080] UH NO NOTHING LIKE THAT +audio/RES0039.mp3[403.080,409.240] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0039.mp3[409.240,410.920] UM NO +audio/RES0039.mp3[410.920,417.120] OK ANY CHANGES IN YOUR URINATION +audio/RES0039.mp3[418.800,424.280] OK ANY CHANGES AT ALL IN YOUR SLEEP +audio/RES0039.mp3[424.280,432.760] UHM JUST BEEN WELL I HAVENT BEEN SLEEPING AS WELL WAKING UP ALL SWEATY AND THE COUGH IS KEPT ME UP A LITTLE BIT TOO +audio/RES0039.mp3[432.760,435.880] OK ANY CHANGES IN YOUR APPETITE +audio/RES0039.mp3[435.880,440.000] UH NO IVE BEEN EATING OK +audio/RES0039.mp3[440.000,447.680] HAVE YOU NOTICED AT ALL ANY WEIGHT LOSS OVER THE LAST FEW MONTHS +audio/RES0039.mp3[447.680,454.440] YEAH I THINK IM DOWN LIKE 15 POUNDS SINCE THE SUMMER TIME WHICH IS GREAT +audio/RES0039.mp3[454.440,465.360] OK HAVE YOU TRIED TO LOSE WEIGHT AT ALL OR IS IT JUST BEEN COMPLETELY UNINTENTIONAL +audio/RES0039.mp3[465.360,478.960] UH WELL I I MEAN MY MY APPENDIX WAS TAKEN OUT A FEW MONTHS AGO AND SO I GUESS AFTER THAT I WELL MAYBE WASNT EATING AND EATING AS MUCH BUT I MEAN I WASNT REALLY TRYING TO LOSE WEIGHT +audio/RES0039.mp3[478.960,490.400] OK AND HAVE YOU HAD ANY RECENT EXPOSURE TO ANY FUMES OR DUST OR ANIMALS +audio/RES0039.mp3[490.400,497.560] UH NO MY MY PARENTS HAVE A DOG AT HOME BUT IVE BEEN AWAY AT SCHOOL SO +audio/RES0039.mp3[497.560,506.160] OK OK UH IN TERMS OF YOUR OVERALL HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0039.mp3[506.160,507.880] UH NO IM UH HEALTHY +audio/RES0039.mp3[507.880,512.440] SO LIKE NO ASTHMA OR ANYTHING LIKE THAT +audio/RES0039.mp3[512.440,514.040] NO NOTHING LIKE THAT +audio/RES0039.mp3[514.040,518.840] OK ARE YOU ON ANY MEDICATIONS CURRENTLY +audio/RES0039.mp3[518.840,523.040] UH YEAH I TAKE AN ORAL CONTRACEPTIVE PILL +audio/RES0039.mp3[523.040,525.400] OK UM AND WHEN DID YOU START THAT +audio/RES0039.mp3[525.400,530.680] PROBABLY ABOUT FIVE YEARS AGO +audio/RES0039.mp3[530.680,537.240] OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES AT ALL +audio/RES0039.mp3[537.240,543.800] UH YEAH I THINK SEPTRA GIVES ME A RASH +audio/RES0039.mp3[543.800,548.840] OK UM ANY PREVIOUS HOSPITALIZATIONS +audio/RES0039.mp3[548.840,551.080] NO IVE NEVER BEEN IN THE HOSPITAL BEFORE +audio/RES0039.mp3[551.080,558.880] OK ANY PREVIOUS SURGERY SO YOU SAID YOU HAD THE APPENDIX REMOVED BUT ANYTHING ELSE +audio/RES0039.mp3[558.880,563.600] UH NO THE APPENDIX WAS THE ONLY THING +audio/RES0039.mp3[563.600,575.080] OK ANY FAMILY HISTORY OF ASTHMA OR ANY LUNG CONDITIONS ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0039.mp3[575.080,594.080] UM YEAH BUT WELL MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED FOR HIS ENTIRE LIFE AND MY MOM HAS HAD DIABETES FOR QUITE SOME TIME BUT NO NO LUNG PROBLEMS +audio/RES0039.mp3[594.080,601.920] OK ANY HEART ATTACKS IN THE FAMILY OR ANY AUTOIMMUNE CONDITIONS +audio/RES0039.mp3[604.240,609.480] OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE +audio/RES0039.mp3[609.480,615.160] SO I LIVE WITH UH FOUR ROOMMATES HERE GOING TO SCHOOL +audio/RES0039.mp3[615.160,623.960] OK AND SO DO YOU WORK RIGHT NOW OR YOU JUST A STUDENT RIGHT NOW +audio/RES0039.mp3[623.960,627.560] JUST A STUDENT +audio/RES0039.mp3[627.560,631.280] OK AND CURRENTLY DO YOU SMOKE +audio/RES0039.mp3[631.280,642.240] UHM IMM SMOKE MAYBE MAYBE SOCIALLY SO MAYBE A PACK OF CIGARETTES A WEEK AT THE AT THE MOST +audio/RES0039.mp3[642.240,648.200] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA +audio/RES0039.mp3[648.200,655.160] UH YEAH ILL SMOKE ONE OR TWO JOINTS ON ON THE WEEKEND WITH FRIENDS SOCIALLY +audio/RES0039.mp3[655.160,662.720] OK YEAH SO YEAH THIS UH THE SMOKING MARIJUANA OR CIGARETTES MAKE YOUR SYMPTOMS WORSE AT ALL +audio/RES0039.mp3[662.720,673.200] UHM IT DEPENDS YEAH SOMETIMES I CAN IT CAN BRING ON SOME MORE COUGHING +audio/RES0039.mp3[673.200,710.920] YEAH SO YEAH WE ALWAYS RECOMMEND CUTTING DOWN OR QUITTING SMOKING WHENEVER WHENEVER WE SEE PATIENTS WHO ARE SMOKING ESPECIALLY LIKE YOURE FAIRLY YOUNG AND YOU KNOW YOUR GRANDFATHER HAD HISTORY OF LUNG CANCER WITH SMOKING THROUGHOUT THE YEAR SO AS EARLY AS WE CAN QUIT SMOKING THE BETTER FOR THE LONG TERM HEALTH OF YOUR LUNGS BUT WHENEVER YOURE THINKING OF QUITTING OR IF YOU WANT ANY MORE RESOURCES ABOUT QUITTING JUST LET ME KNOW WE CAN SET UP A SEPARATE APPOINTMENT FOR THAT +audio/RES0039.mp3[710.920,717.200] OK THAT THAT SOUNDS GOOD YEAH MAYBE MAYBE NEXT APPOINTMENT WE CAN TALK ABOUT THAT +audio/RES0039.mp3[717.200,728.960] OK SOUNDS GOOD UM ANY UH SO NO RECREATIONAL SO JUST BESIDES MARIJUANA ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OR CRYSTAL METH ANYTHING OF THAT SORT +audio/RES0039.mp3[728.960,745.800] AH NO WELL SOMETIMES I AT PARTIES MAYBE A FEW TIMES A YEAR WITH FRIENDS WILL USE ECSTASY OR SOMETHING LIKE THAT BUT THATS ONLY A FEW TIMES A YEAR +audio/RES0039.mp3[745.800,750.360] OK UH AND ANY ALCOHOL +audio/RES0039.mp3[750.360,757.400] YEAH ILL HAVE A FEW DRINKS ON THE WEEKEND WITH WITH FRIENDS USUALLY LIKE RUM OR BEER +audio/RES0039.mp3[757.400,774.800] OK YEAH SO THIS IS ALL THE QUESTIONS I HAD FOR YOU TODAY ANY ANY QUESTIONS OR CONCERNS OR ANY IDEAS OF WHAT YOU THINK THIS MIGHT BE +audio/RES0039.mp3[774.800,793.120] UHM I DONT KNOW IM REALLY CONCERNED ABOUT THE THE BLOOD THAT I BROUGHT UP LIKE I MEAN IS THIS CANCER OR UH UH TUBERCULOSIS LIKE ONE OF THOSE TUBERCULOSIS INFECTIONS THAT I HEARD ABOUT WHILE I WAS AWAY +audio/RES0039.mp3[793.120,835.720] YEAH SO DEFINITELY A CANCER IS PRETTY UNLIKELY BECAUSE YOURE FAIRLY YOUNG AND YOUVE JUST RECENTLY STARTED SMOKING BUT ONE OF THE THINGS THAT WERE CONCERNED ABOUT IS YOUR RECENT TRAVEL HISTORY BEING IN CLOSE QUARTERS SO DEFINITELY WE NEED TO GET A CHEST XRAY AND WE CAN EVEN DO A SPUTUM CULTURE TO TEST FOR TUBERCULOSIS AND THEN BASED ON THE RESULTS WE MIGHT HAVE TO START YOU ON LIKE A WHOLE ANTIBIOTIC REGIMENT IF IT DOES COME BACK AS TUBERCULOSIS YEAH WELL WELL WELL GET THOSE INVESTIGATIONS DONE FIRST AND THEN WELL GO FROM THERE +audio/RES0039.mp3[835.720,838.560] OK THANK YOU +audio/RES0039.mp3[838.560,842.560] WELL ALSO GET SOME BLOOD WORK DONE AS WELL SO THATLL BE DONE BEFORE YOUR NEXT APPOINTMENT +audio/RES0039.mp3[842.560,846.840] ALRIGHT THAT SOUNDS GOOD THANK YOU +audio/RES0039.mp3[846.840,849.040] YOURE WELCOME +audio/RES0097.mp3[0.000,2.040] HOW CAN I HELP YOU TODAY +audio/RES0097.mp3[2.040,39.440] HI IM IM THE MOM OF THE PATIENT AND I JUST WANTED TO TALK TO YOU ABOUT THE JUST ABOUT THOMAS HERE HES JUST BEEN NOT HES JUST NOT BEEN FEELING WELL HES HAD THIS COUGH FOR THE PAST THREE OR FOUR DAYS AND HES ALSO HAD THIS STUFFY NOSE AND THIS THIS WATERY DISCHARGE YEAH HES JUST NOT FEELING GOOD +audio/RES0097.mp3[39.440,50.800] OK I SEE AND SO THE THE COUGH YOU SAID STARTED THREE OR FOUR DAYS AGO HAS THE COUGH GOTTEN ANY BETTER OR ANY STAYED THE SAME OR GOTTEN WORSE +audio/RES0097.mp3[50.800,54.520] GOTTEN A BIT WORSE I WOULD SAY +audio/RES0097.mp3[54.520,57.400] IS HE BRINGING UP ANY SPUTUM +audio/RES0097.mp3[59.640,63.680] SO HAS THERE BEEN ANY BLOOD +audio/RES0097.mp3[63.680,64.920] NO NO +audio/RES0097.mp3[64.920,70.160] OK AND HAS THE COUGH INTERFERED WITH SLEEP +audio/RES0097.mp3[70.160,80.120] YEAH HIS COUGH IS USUALLY WORSE UHM AT NIGHT +audio/RES0097.mp3[80.120,86.160] OK AND YOU SAY THAT HES ALSO HAD A RUNNY NOSE WHAT DOES THE DISCHARGE LOOK LIKE +audio/RES0097.mp3[86.160,90.880] ITS JUST UH ITS WATERY +audio/RES0097.mp3[90.880,94.240] AND THIS STARTED THREE OR FOUR DAYS AGO AS WELL +audio/RES0097.mp3[94.240,102.760] A LITTLE A LITTLE AFTER THE UHM YEAH ACTUALLY AROUND THE SAME TIME AROUND THE SAME TIME YEAH +audio/RES0097.mp3[102.760,113.360] OK HAS HE HAD ANY UHM LIKE DIFFICULTIES BREATHING LIKE SAYING THAT HE FEELS ONE OF THE LIKE THE NOSTRILS OBSTRUCTED +audio/RES0097.mp3[113.360,131.120] HMMM HE HASNT WELL HES JUST BEEN BREATHING WITH HIS MOUTH OPEN SO THATS WHAT HE DOES AT NIGHT AS WELL HE ALSO HAS THIS NASAL VOICE RIGHT NOW PROBABLY BECAUSE ITS ITS YOU KNOW HE HAS THIS STUFFY NOSE BUT HE HASNT REALLY COMPLAINED ABOUT IT +audio/RES0097.mp3[131.120,135.920] YEAH HAS HE HAD ANY PAIN LIKE FACIAL PAIN +audio/RES0097.mp3[135.920,140.680] UHM NO NOT REALLY +audio/RES0097.mp3[140.680,146.800] OK HOW ABOUT ANY CHANGES TO SMELL OR LOSS OF SMELL +audio/RES0097.mp3[146.800,150.680] YEAH I DONT THINK HE CAN SMELL MUCH RIGHT NOW +audio/RES0097.mp3[150.680,156.760] OK AND UH DID THOSE DID THAT START A FEW DAYS AGO AS WELL +audio/RES0097.mp3[156.760,162.480] YEAH YEAH SINCE HES BEEN COMPLAINING OF HIS STUFFY NOSE +audio/RES0097.mp3[162.480,166.200] OK AND HAS HE HAD ANY HEADACHES +audio/RES0097.mp3[166.200,169.800] NO BUT HE HAS HAD A FEVER +audio/RES0097.mp3[169.800,174.680] OK HOW DID YOU CHECK IT +audio/RES0097.mp3[174.680,180.080] YEAH I DID I DID IT WAS UH 39 LAST NIGHT +audio/RES0097.mp3[180.080,185.480] ALRIGHT ITS CERTAINLY A FEVER UHM HAS HE HAD ANY CHILLS OR NIGHT SWEATS +audio/RES0097.mp3[185.480,189.160] YEAH HES BUT HES BEEN FEELING PRETTY CHILLY +audio/RES0097.mp3[190.160,200.520] YEAH HES WEARING A COUPLE A COUPLE OF LAYERS AT HOME STILL FEELS CHILLY AND YEAH HE HAS ALOT OF CHILLS AND DEFINITELY HAS A FEVER +audio/RES0097.mp3[200.520,209.000] ALRIGHT AND HAS THE FEVER BEEN THERE THE WHOLE WHOLE TIME IF YOURE AWARE OR HAS THAT KIND OF COME AND GONE +audio/RES0097.mp3[209.000,214.200] UHM YOU KNOW WHAT I ACTUALLY JUST CHECKED YESTERDAY SO I DONT KNOW +audio/RES0097.mp3[214.200,217.480] ALRIGHT HAS HE HAD A SORE THROAT +audio/RES0097.mp3[217.480,231.000] YEAH ITS USUALLY WORSE IN THE MORNING I THINK ITS MORE OF A I GUESS THE POST NASAL DRIP YOU KNOW WITH THE WITH A RUNNY NOSE ITS JUST ITS PRETTY BAD IN THE MORNING +audio/RES0097.mp3[231.000,236.080] OK HAS HE HAD ANY RED EYES OR OR EYE DISCHARGE OR EYE PAIN +audio/RES0097.mp3[236.080,239.800] NO NO NO +audio/RES0097.mp3[239.800,243.640] OK AND HAS HE HAD ANY SHORTNESS OF BREATH +audio/RES0097.mp3[246.160,249.360] HOW ABOUT ANY WHEEZING +audio/RES0097.mp3[251.840,254.240] ANY CHEST PAIN +audio/RES0097.mp3[255.200,262.200] ANY LIGHTHEADEDNESS DIZZINESS OR FAINTING +audio/RES0097.mp3[262.760,268.560] OK AND DOES HE MENTION ANYTHING ABOUT FEELING AS THOUGH HIS HEARTS RACING +audio/RES0097.mp3[269.240,273.480] OK AND HAS HE HAD ANY ABDOMINAL PAIN +audio/RES0097.mp3[274.400,277.720] ANY NAUSEA OR VOMITING +audio/RES0097.mp3[278.880,282.480] ANY DIARRHEA OR CONSTIPATION +audio/RES0097.mp3[282.600,288.240] HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY +audio/RES0097.mp3[288.240,292.560] NO NOTHING LIKE THAT HE HASNT COMPLAINED OF ANYTHING LIKE THAT +audio/RES0097.mp3[292.560,296.320] HAS HE HAD ANY SKIN CHANGES OR RASHES +audio/RES0097.mp3[297.920,302.280] AND HOW ABOUT ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0097.mp3[302.280,309.120] YEAH YEAH HE DEFINITELY HAS THAT HES COMPLAINING A LOT ABOUT MUSCLE ACHES +audio/RES0097.mp3[309.120,312.440] OK AND HOW HAS HIS ENERGY BEEN HAS HE BEEN FATIGUED +audio/RES0097.mp3[312.440,319.320] OH YEAH HE HASNT GONE OUT TO PLAY HE HASNT DONE ANYTHING HES JUST BEEN LYING IN BED +audio/RES0097.mp3[319.320,324.880] OK AND OVER THE LAST SEVERAL MONTHS HAS HE HAD ANY WEIGHT LOSS +audio/RES0097.mp3[324.880,328.200] NO HES BEEN GAINING WEIGHT ACTUALLY +audio/RES0097.mp3[328.200,346.360] OK NO THATS GOOD CERTAINLY YEAH AT THE AGE OF 11 SHOULD BE STILL GAINING WEIGHT SO THATS GOOD AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0097.mp3[346.360,355.880] YEAH HE WAS DIAGNOSED WITH UH CYSTIC FIBROSIS WHEN HE WAS A HE WAS A CHILD FOUR YEARS OLD +audio/RES0097.mp3[355.880,362.480] OK AND UH IS HE ON UH LIKE ANY MEDICATIONS FOR THAT +audio/RES0097.mp3[362.480,387.680] HES ON HE WAS ON AN ANTIBIOTIC UNTIL THE AGE OF FIVE UH THAT HE HAD TO TAKE ON REGULAR BASIS BUT HE IS HES NOT REALLY ON ANY MEDICATIONS RIGHT NOW I KNOW THAT THERE ARE A COUPLE OF NEW ONES THAT ARE OUT THERE BUT THOSE ARE VERY EXPENSIVE +audio/RES0097.mp3[387.680,395.680] OK AND HAS HE HAD ANY EXACERBATIONS OR HOSPITALIZATIONS +audio/RES0097.mp3[395.680,404.800] UH YEAH HES HES HAD ABOUT UH ONE HOSPITALIZATION EVERY TWO YEARS +audio/RES0097.mp3[404.800,413.320] ALRIGHT AND IS HE FOLLOWED BY A RESPIROLOGIST CURRENTLY +audio/RES0097.mp3[413.320,418.920] YES YES YES +audio/RES0097.mp3[418.920,433.400] OK UHM AND HAS THERE BEEN LIKE AN INCREASE IN THE SPUTUM PRODUCTION OR LIKE WORSENING SHORTNESS OF BREATH OVER THESE LAST FEW DAYS +audio/RES0097.mp3[433.400,434.960] NO NOT REALLY +audio/RES0097.mp3[434.960,439.480] OK AND HAS HE HAD ANY SURGERIES +audio/RES0097.mp3[439.800,446.080] DOES HE HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0097.mp3[446.080,448.680] UHM SULFA DRUGS +audio/RES0097.mp3[448.680,451.400] AND THE REACTION IS +audio/RES0097.mp3[451.400,455.160] UHM HE JUST GETS A RASH +audio/RES0097.mp3[455.160,459.880] OK IS IT ARE IMMUNIZATIONS UP TO DATE +audio/RES0097.mp3[459.880,471.080] OH YEAH YEAH WERE VERY CAREFUL ABOUT THAT GIVEN HIS DIAGNOSIS HES GOT ALL THE ALL THE VACCINES +audio/RES0097.mp3[471.080,491.160] THATS GREAT THATS REALLY IMPORTANT FOR SURE UHM AND SO I JUST WANTED TO ASK ABOUT LIFE AT HOME A LITTLE BIT SO WHOS IN THE HOUSE AND WHOS THE PRIMARY CAREGIVER FOR HIM +audio/RES0097.mp3[491.160,497.200] IM THE PRIMARY CAREGIVER ITS JUST UH ME HIM AND MY HUSBAND +audio/RES0097.mp3[497.200,500.400] OK AND UH IS HE UH WHAT GRADE IS HE IN RIGHT NOW +audio/RES0097.mp3[500.400,505.080] HES IN GRADE SIX +audio/RES0097.mp3[505.080,507.080] OK HOW IS SCHOOL GOING +audio/RES0097.mp3[507.080,522.760] SCHOOLS GOING WELL ITS JUST THE YEAH THE HOSPITALIZATIONS CAN SOMETIMES BE DISRUPTIVE BUT ITS GOING WELL HES HES GETTING BS IN HIS CLASS HES DOING WELL HES GOT A GOOD GROUP OF FRIENDS +audio/RES0097.mp3[522.760,530.920] EXCELLENT AND HAVE YOU HAD ANY CONCERNS ABOUT ABOUT DEVELOPMENT OR OR HIS GROWTH +audio/RES0097.mp3[530.920,538.480] UHM NO +audio/RES0097.mp3[538.480,540.480] OK SO MEETING ALL MILESTONES AND +audio/RES0097.mp3[544.560,558.280] OK AND IN REGARDS TO UHM BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR OR AT BIRTH +audio/RES0097.mp3[558.280,582.040] UHM NO NOTHING AT BIRTH OR DURING PREGNANCY BUT HE DID START HAVING LOTS OF RESPIRATORY INFECTIONS WHICH IS WHEN THE PEDIATRICIAN DID THAT TEST I FORGET THE NAME FOR THE TEST AND THEN THEY WERE UHM THE UHM HE WAS FOUND TO HAVE CF +audio/RES0097.mp3[582.040,588.320] OK UHM AND DOES ANYBODY IN THE HOME SMOKE +audio/RES0097.mp3[589.080,592.000] OR DRINK ALCOHOL +audio/RES0097.mp3[592.720,596.080] OK UHM AND ARE THERE ANY PETS IN THE HOME +audio/RES0097.mp3[597.360,601.680] OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0097.mp3[601.680,607.720] I DONT I DONT THINK SO +audio/RES0097.mp3[607.720,610.800] OK AND UH HAVE YOU GUYS TRAVELED ANYWHERE +audio/RES0097.mp3[610.800,615.440] NO JUST BEEN AT HOME +audio/RES0097.mp3[615.440,623.120] OK UHM AND HAS ANYBODY IN THE ELSE IN THE FAMILY HAVE CYSTIC FIBROSIS +audio/RES0097.mp3[623.120,643.400] NO NO NO NO ONE ELSE DOES BUT WE GOT TESTED AND WE WERE BOTH FOUND MY MY HUSBAND AND I WERE FOUND OUT HAVE THE GENE FOR IT WE WERE CARRIERS +audio/RES0097.mp3[643.400,649.240] OK UHM I SEE AND ANY ANY HEART CONDITIONS OR OR OTHER LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0097.mp3[649.240,654.400] NO NOTHING ELSE +audio/RES0097.mp3[654.400,664.880] OK AND WERE THERE ANY OTHER SYMPTOMS THAT OR ANYTHING ELSE THAT YOU WANTED TO TELL ME THAT MAYBE I FORGOT TO ASK ABOUT +audio/RES0097.mp3[664.880,689.480] UHM NO I WAS JUST UH IM JUST WORRIED ABOUT HIM UHM ABOUT HIS FEVER SPECIFICALLY ITS BEEN HIGH AND I KNOW THAT USUALLY WHEN HE HAS THESE HOSPITALIZATIONS HE PRESENTS PRETTY SIMILARLY SO JUST WONDERING IF HE WOULD NEED TO BE HOSPITALIZED AGAIN AND IF HE NEEDS ANTIBIOTICS +audio/RES0097.mp3[689.480,730.240] YEAH FOR SURE ITS ITS BEEN UHM SO ITS BEEN THREE OR FOUR DAYS BUT WITH A FEVER THIS HIGH AND HIS SYMPTOMS WITH UH HAVING OBSTRUCTION DISCHARGE UHM CHANGES TO SMELL OR LOSS OF SMELL IT DOES SOUND LIKE IT COULD BE BACTERIAL AND SO I THINK IT WOULD BE REASONABLE TO POSSIBLY TO START ANTIBIOTICS IN THIS CASE BUT WELL GO THROUGH THROUGH A PHYSICAL EXAM CHECK SOME VITALS AND GO FROM THERE +audio/RES0097.mp3[730.240,736.960] OK OK SOUNDS GOOD THANK YOU +audio/RES0138.mp3[0.000,2.160] WHAT BRINGS YOU IN HERE TODAY +audio/RES0138.mp3[2.160,23.280] UM IVE JUST HAD DIFFICULTIES WITH BREATHING FOR THE PAST I WANT TO SAY EIGHT NINE MONTHS AND UM MY WIFE JUST TOLD ME TO COME IN ITS JUST SHE WAS WORRIED ABOUT IT AND UH I THOUGHT ID JUST COME IN AND HAVE IT CHECKED OUT +audio/RES0138.mp3[23.280,31.440] OKAY SO ITS BEEN GOING ON FOR THE LAST EIGHT TO NINE MONTHS HAS IT BEEN GETTING WORSE AT ALL +audio/RES0138.mp3[31.440,35.280] YEAH I WOULD THINK SO I WOULD SAY SO YEAH SO +audio/RES0138.mp3[35.280,36.440] SORRY GO ON +audio/RES0138.mp3[36.440,44.720] SO IT WAS JUST UM I FEEL LIKE I JUST GET SHORT OF BREATH MORE EASILY NOW +audio/RES0138.mp3[44.720,53.320] OKAY AND IS IT SHORT OF BREATH WITH ACTIVITIES OR ARE YOU GETTING SHORT OF BREATH WITH UH SITTING OR RESTING AS WELL +audio/RES0138.mp3[53.320,57.440] SO WHEN IM WHEN IM WITH ACTIVITY +audio/RES0138.mp3[57.440,64.800] WITH ACTIVITY OKAY AND THE COUGH THAT YOURE GETTING IS IT A WET COUGH OR A DRY COUGH +audio/RES0138.mp3[64.800,68.120] ITS A DRY COUGH +audio/RES0138.mp3[68.120,74.360] OKAY AND ARE YOU BRINGING UP ANY MATERIAL AT ALL LIKE ANY UM YELLOW OR GREEN SPUTUM +audio/RES0138.mp3[74.360,77.840] NO NO +audio/RES0138.mp3[77.840,79.640] ANY BLOOD +audio/RES0138.mp3[79.640,80.920] UM NO NO BLOOD +audio/RES0138.mp3[80.920,98.040] NO BLOOD OKAY AND WITH YOUR SHORTNESS OF BREATH IS IT ARE YOU HAVING DIFFICULTY TAKING DEEP BREATHS OR DO YOU FIND THAT YOURE TAKING MORE FAST SHALLOW BREATHS +audio/RES0138.mp3[98.040,101.360] UM JUST I GUESS JUST UH SHALLOW BREATHS +audio/RES0138.mp3[101.360,112.920] OKAY OKAY AND UM SO THIS IS OVER THE LAST EIGHT OR NINE MONTHS HAVE YOU NOTICED ANY OTHER SYMPTOMS AT ALL LIKE CHEST PAIN DIZZINESS OR FAINTING NO +audio/RES0138.mp3[113.640,121.840] OKAY AND DO YOUR SYMPTOMS GET GET WORSE AT ALL WHEN YOURE LYING FLAT LIKE WHEN YOURE SLEEPING +audio/RES0138.mp3[122.720,130.280] NO AND DO YOU EVER WAKE UP GASPING FOR AIR +audio/RES0138.mp3[132.640,138.120] OKAY UM AND HAVE YOU TRIED ANYTHING THATS HELPED YOU UH RELIEVE SOME OF THESE SYMPTOMS +audio/RES0138.mp3[138.120,140.720] SORRY COULD YOU SAY THAT AGAIN +audio/RES0138.mp3[140.720,149.000] UH HAVE YOU TRIED ANYTHING LIKE OVER THE COUNTER TO HELP YOU RELIEVE THESE SYMPTOMS +audio/RES0138.mp3[149.000,150.520] NO NO I HAVENT +audio/RES0138.mp3[150.520,153.560] UM HAVE YOU TRAVELED AT ALL RECENTLY +audio/RES0138.mp3[154.920,157.480] HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK +audio/RES0138.mp3[157.480,174.760] UM NO NOT REALLY I I DID GO OUT TO THE PHARMACY TO GET MY MEDICATIONS BUT THATS THATS THE ONLY TIME I ACTUALLY INTERACT WITH ANYONE OUTSIDE OF MY HOME +audio/RES0138.mp3[174.760,179.080] AND WHAT WHAT MEDICATIONS DO YOU TAKE +audio/RES0138.mp3[179.080,182.920] UM I JUST TAKE ASPIRIN +audio/RES0138.mp3[182.920,187.880] ASPIRIN OKAY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0138.mp3[187.880,190.240] I HAD A HEART ATTACK +audio/RES0138.mp3[190.240,193.320] OH OKAY WELL WHEN WAS THAT +audio/RES0138.mp3[193.320,194.720] LAST YEAR +audio/RES0138.mp3[194.720,203.800] LAST YEAR WELL IM SO SORRY AND UM DID THEY GIVE YOU ANY MEDICATIONS TO GO ON AFTER THAT +audio/RES0138.mp3[203.800,217.640] YEAH YEAH YEAH THERE THERE WERE A COUPLE OF OTHER MEDICATIONS AS WELL SOMETHING UM SOMETHING SOMETHING PRIL AND UH I THINK THERES UH UH ROSUVASTATIN +audio/RES0138.mp3[217.640,222.440] OKAY AND DO YOU STILL TAKE THOSE +audio/RES0138.mp3[222.440,229.560] YEAH I TAKE THOSE SOMETIMES I FORGET THAT I DO I TRY TO TAKE THEM AS MUCH AS I CAN +audio/RES0138.mp3[229.560,239.320] OKAY AND YOU ALSO TAKE THE ASPIRIN ALRIGHT HAVE YOU NOTICED ANY FEVERS OR CHILLS +audio/RES0138.mp3[241.160,243.320] NAUSEA OR VOMITING +audio/RES0138.mp3[244.040,247.120] AND ANY CHEST PAIN +audio/RES0138.mp3[247.120,247.800] UH NO +audio/RES0138.mp3[247.800,255.160] NO OKAY ANY INCREASED FATIGUE +audio/RES0138.mp3[256.800,261.760] ANY DIARRHEA OR CONSTIPATION +audio/RES0138.mp3[263.720,267.680] ANY NUMBNESS OR TINGLING ANYWHERE +audio/RES0138.mp3[269.520,275.360] ANY CONFUSION OR MEMORY LIKE MEMORY LOSS +audio/RES0138.mp3[275.360,278.880] UM NO I DONT THINK SO +audio/RES0138.mp3[278.880,283.000] ANY TROUBLE URINATING +audio/RES0138.mp3[283.000,285.800] UM NO +audio/RES0138.mp3[285.800,294.560] OKAY HAVE YOU NOTICED ANY SWELLING UM IN YOUR FEET ANKLES LEGS AT ALL +audio/RES0138.mp3[297.560,299.920] OKAY UM AND HOWS YOUR APPETITE BEEN LIKE +audio/RES0138.mp3[299.920,302.520] UM ITS BEEN ITS BEEN THE SAME +audio/RES0138.mp3[302.520,312.640] OKAY AND ANY UM SIGNIFICANT WEIGHT CHANGES HAVE YOU LOST ANY WEIGHT +audio/RES0138.mp3[314.520,319.760] NO UM ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR ENVIRONMENT +audio/RES0138.mp3[319.760,324.160] UM NOT RIGHT NOW WHEN I WAS YOUNG YEAH +audio/RES0138.mp3[324.160,328.360] OKAY NOW DID YOU SO DID YOU HAVE EXPOSURE TO FUMES OR DUST +audio/RES0138.mp3[328.360,331.760] UM I USED TO WORK IN A MINE SO +audio/RES0138.mp3[331.760,332.600] A MINE +audio/RES0138.mp3[332.600,338.640] YEAH LOTS OF CHEMICALS AND THINGS LIKE THAT +audio/RES0138.mp3[338.640,345.440] OKAY AND ANY EXPOSURE TO ANY PETS OR ANIMALS +audio/RES0138.mp3[345.440,345.840] UH NO +audio/RES0138.mp3[345.840,354.840] BESIDES YOUR MEDICAL HISTORY OF HAVING A HEART ATTACK AND SOME BLOOD PRESSURE UM ANY OTHER MEDICAL CONDITIONS +audio/RES0138.mp3[354.840,357.560] UH I JUST HAVE HIGH BLOOD PRESSURE +audio/RES0138.mp3[357.560,364.320] OKAY ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES +audio/RES0138.mp3[365.520,371.160] OKAY UM ANY HOSPITALIZATIONS BESIDES WHEN YOU HAD A HEART ATTACK PREVIOUSLY +audio/RES0138.mp3[372.840,374.600] ANY SURGERIES +audio/RES0138.mp3[377.240,380.680] OKAY DID THEY TELL YOU AT ALL WHAT THE CAUSE OF YOUR HEART ATTACK WAS +audio/RES0138.mp3[380.680,388.160] UM THEY JUST UH THEY SAID IT WAS MY MY DIET +audio/RES0138.mp3[388.160,390.400] THEY SAID DIET OKAY +audio/RES0138.mp3[390.400,392.760] YEAH SOMETHING ABOUT CHOLESTEROL +audio/RES0138.mp3[392.760,399.520] DID YOU REQUIRE ANY STENTS OR DID YOU HAVE TO GET A BYPASS SURGERY OR ANYTHING LIKE THAT +audio/RES0138.mp3[399.520,402.920] UH THEY PUT IN I THINK THEY PUT IN STENTS +audio/RES0138.mp3[402.920,415.000] STENTS OKAY UM ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS +audio/RES0138.mp3[415.000,420.080] YEAH UM MY UM MOM HAD HEART FAILURE +audio/RES0138.mp3[420.080,423.640] OKAY UM AND HOW OLD WAS SHE WHEN SHE HAD HER HEART FAILURE +audio/RES0138.mp3[423.640,426.960] SHE WAS YOUNG SHE WAS UH 55 +audio/RES0138.mp3[426.960,436.760] 55 OKAY UM AND CURRENTLY RIGHT NOW OR SORRY DO YOU HAVE ANY FAMILY HISTORY OF ANY CANCERS ANY LUNG CANCER OR ANYTHING LIKE THAT +audio/RES0138.mp3[437.280,442.120] AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED +audio/RES0138.mp3[442.120,445.120] IM RETIRED +audio/RES0138.mp3[445.120,449.240] OKAY AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE +audio/RES0138.mp3[449.240,452.920] I LIVE WITH MY WIFE +audio/RES0138.mp3[452.920,456.160] OKAY AND DO YOU SMOKE +audio/RES0138.mp3[456.160,456.640] UH NO +audio/RES0138.mp3[456.640,460.000] HAVE YOU EVER SMOKED +audio/RES0138.mp3[460.000,460.840] I DID WHEN I WAS YOUNG +audio/RES0138.mp3[460.840,464.840] HOW LONG WOULD YOU SAY YOU SMOKED FOR +audio/RES0138.mp3[464.840,469.360] UM ID SAY 45 YEARS +audio/RES0138.mp3[469.360,474.560] AND HOW MUCH WOULD YOU SMOKE IN AN AVERAGE DAY +audio/RES0138.mp3[474.560,479.680] UM ABOUT A PACK A DAY +audio/RES0138.mp3[479.680,481.640] UM ANY RECREATIONAL DRUGS LIKE MARIJUANA +audio/RES0138.mp3[484.720,488.240] AND DO YOU DRINK ALCOHOL +audio/RES0138.mp3[488.240,495.520] YEAH I DO UM ILL ILL DRINK A GLASS AT NIGHT EVERY NIGHT +audio/RES0138.mp3[495.520,498.480] AND A GLASS OF WHAT WOULD YOU DRINK +audio/RES0138.mp3[498.480,501.400] OH JUST A A GLASS OF WINE WHITE WINE +audio/RES0138.mp3[501.400,507.000] OKAY SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY ANY QUESTIONS FOR ME +audio/RES0138.mp3[510.400,525.080] OKAY SO YEAH THERES DEFINITELY LIKE THE COUGHING AND SHORTNESS OF BREATH ARE DEFINITELY CONCERNING AND THEYVE BEEN GOING ON FOR A PRETTY LONG TIME DO YOU EVER HAVE ANY NIGHT SWEATS OR ANYTHING LIKE THAT +audio/RES0138.mp3[525.320,597.200] OKAY SO THERES A FEW THINGS THAT WE THINK ABOUT WITH THE CHRONIC SHORTNESS OF BREATH AND A COUGH ONE COULD BE JUST A COPDIAGNOSIS WITH YOUR LONG HISTORY OF SMOKING AND THIS PULMONARY FUNCTION TEST GET AN XRAY CHEST XRAY AS WELL UM ANOTHER THING THAT WE NEED TO LOOK OUT FOR IS UH LUNG CANCER AND SINCE YOU HAVE BEEN SMOKING FOR A PRETTY LONG TIME EVEN THOUGH YOU MAY HAVE QUIT WHICH IS REALLY GREAT BUT THAT LONG HISTORY OF SMOKING ESPECIALLY ALSO WITH UM YOU WORKING IN A MINE THOSE ARE SOME THINGS THAT MEANS WE CAN TEST AS WELL AND SO WE MAY REQUIRE LIKE A CHEST XRAY AND EVEN UM A CT SCAN OF YOUR LUNGS AS WELL UM SO YEAH FIRST WELL JUST DO A COUPLE TESTS DO A PHYSICAL EXAMINATION GET YOUR VITALS DO SOME BLOOD WORK AND DO SOME OF THOSE TESTS AND THEN WELL ALSO GET A COVISWAB TEST DONE FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD +audio/RES0138.mp3[597.600,600.640] ALRIGHT SO WELL BE WITH YOU SHORTLY +audio/RES0010.mp3[0.000,1.440] HOW MAY I HELP YOU TODAY +audio/RES0010.mp3[1.440,9.160] YEAH SO I HAVE LIKE A REALLY SORE THROAT STARTED LAST NIGHT +audio/RES0010.mp3[9.160,23.920] OH IM SORRY UH CAN YOU CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT SO YOU UM YOUVE ONLY HAD THIS SORE THROAT FOR ONE NIGHT +audio/RES0010.mp3[23.920,35.080] YEAH I JUST I THINK ITS GETTING WORSE ITS AT THE BACK OF MY THROAT AND ITS KIND OF BURNING +audio/RES0010.mp3[35.080,42.840] MMM OK DO YOU HAVE UM DO YOU HAVE ANY OTHER SYMPTOMS +audio/RES0010.mp3[42.840,52.480] UM LIKE I THINK MY VOICE IS KIND OF LIKE RASPY I FEEL LIKE I MIGHT BE LOSING MY VOICE +audio/RES0010.mp3[52.480,56.120] OK DO YOU DO YOU HAVE A RUNNY NOSE +audio/RES0010.mp3[56.120,62.440] NO NOT THAT IVE NOTICED I SAID IT HURTS WHEN I SWALLOW RIGHT I DONT HAVE A RUNNY NOSE +audio/RES0010.mp3[62.440,69.720] NO OK AND DO YOU HAVE ANY PAIN IN YOUR EARS +audio/RES0010.mp3[69.720,74.080] UH I HAVENT NOTICED NO +audio/RES0010.mp3[74.080,85.520] ANY ANY SINUS HEADACHES ANY SORT OF PAIN IN AND AROUND YOUR CHEEKS OR PAIN IN YOUR FOREHEAD AS YOURE TRYING TO BEND OVER +audio/RES0010.mp3[85.520,87.480] UH NO NO HEADACHE +audio/RES0010.mp3[87.480,95.440] NOTHING LIKE THAT OK HAVE YOU HAD ANY PAIN IN YOUR CHEST +audio/RES0010.mp3[97.400,100.560] ANY DIFFICULTIES BREATHING +audio/RES0010.mp3[103.160,108.800] OK UM ANY COUGH +audio/RES0010.mp3[110.440,129.480] ALRIGHT SO ALL YOUVE EXPERIENCED SO FAR IS SINCE YESTERDAY EVENING YOUVE HAD A SORE THROAT WITH DIFFICULTY SWALLOWING AND HOARSE VOICE HAVE YOU EXPERIENCED ANY MALAISE OR DO YOU FEEL FEVERISH OR DO YOU HAVE ANY CHILLS +audio/RES0010.mp3[129.480,154.440] I DEFINITELY FEEL LIKE REALLY TIRED I THINK I HAD I THINK I HAD CHILLS LIKE YESTERDAY AND I THINK WHEN I FIRST GOT HERE THEY TOOK MY TEMPERATURE AND SAID IT WAS LIKE IT WAS LIKE PRETTY HIGH THE NURSE WHEN I FIRST GOT HERE +audio/RES0010.mp3[154.440,177.800] I SEE I SEE UM HAVE YOU UM IM JUST GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST UM JUST TO RULE OUT SOME CAUSES UM HAVE YOU HAD ANY DIFFICULTIES BREATHING +audio/RES0010.mp3[177.800,180.600] NO NO THATS OK +audio/RES0010.mp3[180.600,188.360] OK UM YOU HAVE BEEN HAVE YOU HAD ANY MUSCLE ACHES OR PAINS +audio/RES0010.mp3[188.360,194.400] NO NOT NOT THAT +audio/RES0010.mp3[194.400,201.960] OK HAVE YOU NOTICED THAT YOUR EYES HAVE BEEN MORE RUNNY MORE RED ANYTHING LIKE THAT +audio/RES0010.mp3[201.960,204.440] NO NO NOTHING IN MY EYES +audio/RES0010.mp3[204.440,209.920] OK ANY PAIN IN YOUR BELLY +audio/RES0010.mp3[209.920,219.760] UH ITS LIKE MY WHOLE BELLYS BEEN LIKE A LITTLE LIKE SORE OR BUT ITS ITS PRETTY MUCH LIKE MILD +audio/RES0010.mp3[219.760,223.880] WHEN DID THAT START +audio/RES0010.mp3[223.880,237.360] YEAH JUST LIKE THIS MORNING I DONT KNOW I HAVENT BEEN EATING A LOT CAUSE IT JUST HURTS TO EAT I DONT KNOW IF IM JUST HUNGRY LIKE IVE JUST BEEN EATING LIKE ICE CREAM CAUSE IT FEELS NICE +audio/RES0010.mp3[238.520,243.320] BUT I PROBABLY SHOULDNT JUST EAT ICE CREAM +audio/RES0010.mp3[243.320,252.640] AHAHA UM HAVE YOU HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA ANY CONSTIPATION +audio/RES0010.mp3[252.640,254.320] UH NO +audio/RES0010.mp3[254.320,261.840] ALRIGHT ALRIGHT ANY NAUSEA OR VOMITING +audio/RES0010.mp3[261.840,277.640] UH NO VOMITING I FEEL LIKE MY THROAT IT JUST FEELS SO LIKE SWOLLEN BUT WHEN IM TRYING TO TALK WITH MAKES ME FEEL A LITTLE BIT NAUSEATED +audio/RES0010.mp3[277.640,288.240] YOUR THROAT FEELS SWOLLEN HAVE YOU HAVE YOU NOTICED ANY CHANGES IN HAVE YOU FOUND THAT ITS DIFFICULT FOR YOU TO TALK IS YOUR SPEECH SLURRED +audio/RES0010.mp3[288.240,296.520] UH NO ITS NOT SLURRED ITS JUST LIKE SORE BECAUSE ITS KIND OF LIKE WHEN IM SWALLOWING YOU KNOW +audio/RES0010.mp3[296.520,305.720] HAVE YOU NOTICED ANY CHANGES IN YOUR SENSE OF SMELL DO YOU FEEL LIKE YOU CAN SMELL LESS +audio/RES0010.mp3[305.720,308.080] I THINK THATS PRETTY NORMAL +audio/RES0010.mp3[308.080,317.600] OK WHAT ABOUT TASTE I KNOW THAT YOURE NOT EATING MUCH CAUSE YOU CANT SWALLOW BUT DO YOU FEEL LIKE YOU CAN TASTE YOUR SENSE OF TASTE IS DECREASED +audio/RES0010.mp3[317.600,326.600] UH UH NO I THINK THATS GOOD YEAH YEAH I THINK I MEAN MOSTLY EATING LIKE REALLY COLD STUFF BUT I CAN TASTE IT ALL +audio/RES0010.mp3[326.600,332.520] ALRIGHT ALRIGHT UM HAS IT EVER HAPPENED TO YOU BEFORE +audio/RES0010.mp3[332.520,348.520] UH NO LIKE I I HAD A COLD LIKE 2 WEEKS AGO BUT IT WASNT LIKE THIS THOUGH THAT WAS MORE LIKE RUNNY NOSE AND STUFF +audio/RES0010.mp3[348.520,359.520] I SEE UM HAVE YOU DONE ANYTHING RECENTLY HAVE YOU HAD CONTACT WITH UM WITH ANYONE WHO IS SICK +audio/RES0010.mp3[359.520,374.760] UH MY MY GIRLFRIEND SAID THAT SHE WAS KIND OF THAT HER THROAT WAS FEELING A LITTLE SORE I DONT THINK IT WAS AS BAD AS AS THIS BUT YEAH SHE SAID THAT +audio/RES0010.mp3[374.760,382.320] HAVE YOU UM HAVE YOU BEEN SPENDING TIME WITH HER RECENTLY +audio/RES0010.mp3[382.320,394.200] I HAVENT I HAVENT SEEN HER IN A FEW DAYS BUT YEAH LIKE I SAW HER I SAW HER REALLY A FEW DAYS AGO +audio/RES0010.mp3[394.200,399.000] OK OK UM HAVE YOU TRAVELED ANYWHERE +audio/RES0010.mp3[401.760,403.400] NO I WISH +audio/RES0010.mp3[403.400,416.360] DO YOU FEEL LIKE YOUVE HAD ANY CONTACT WITH ANYONE WITH WHO MIGHT HAVE COVID +audio/RES0010.mp3[416.360,423.600] OH I DONT I DONT THINK SO MOSTLY JUST TO MY GIRLFRIEND AND MY ROOMMATE RIGHT NOW +audio/RES0010.mp3[423.600,432.560] YEAH YEA AND DO DO YOU DO YOU KNOW IF THEYVE BEEN RECENTLY TESTED OR IF THEY MIGHT HAVE HAD CONTACT WITH ANYONE UM WHO MAYBE +audio/RES0010.mp3[432.560,435.480] UM I DONT THINK SO +audio/RES0010.mp3[436.320,445.840] THEYRE THEYRE PRETTY LIKE THEYRE PRETTY THEY JUST HAVE ONLINE CLASSES AND THEY ONLY REALLY LIKE LEAVES TO GET GROCERIES AND LIKE GO EXERCISE OUTSIDE +audio/RES0010.mp3[445.840,463.160] I SEE OK ALRIGHT UM ALRIGHT IM JUST GOING TO ASK YOU A COUPLE OF QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0010.mp3[463.160,470.600] OH NO NO IM LIKE PRETTY HEALTHY ALRIGHT ALRIGHT +audio/RES0010.mp3[470.600,477.640] NOTHING LIKE ASTHMA OR COPOR ANY RESPIRATORY PROBLEMS +audio/RES0010.mp3[477.640,478.680] NO NO +audio/RES0010.mp3[478.680,490.480] NO AND ARE YOU TAKING ANY MEDICATIONS INCLUDING ANY OVER THE COUNTER MEDICATIONS OR HERBAL MEDICATIONS +audio/RES0010.mp3[490.480,492.080] UM NO +audio/RES0010.mp3[492.080,500.720] ALRIGHT UM DO YOU HAVE ANY ALLERGIES INCLUDING ENVIRONMENTAL ALLERGIES +audio/RES0010.mp3[500.720,509.640] OH AGAIN A LITTLE BIT OF A RUNNY NOSE LIKE IN THE SPRING BUT THATS IT +audio/RES0010.mp3[509.640,519.720] OK UM ALRIGHT AND DO YOU SMOKE +audio/RES0010.mp3[519.720,520.800] UH NO +audio/RES0010.mp3[520.800,523.320] NO OK DO YOU CONSUME ALCOHOL +audio/RES0010.mp3[523.320,541.320] I DRINK LIKE A COUPLE BEERS ON THE WEEKENDS BUT LIKE I I YEAH I PLAY SPORTS A LOT AND I DONT LIKE A LOT OF TIME ON THE WEEKENDS SO I DONT GO OUT +audio/RES0010.mp3[541.320,546.320] OK ALRIGHT DO YOU CONSUME ANY OTHER DRUGS +audio/RES0010.mp3[546.320,547.400] NO NO +audio/RES0010.mp3[547.400,563.920] NO OK AND YOU MENTIONED THAT YOU LIVE WITH YOUR ROOMMATE AND YOU HAVENT HAD CONTACT WITH ANYBODY OTHER THAN YOUR ROOMMATE AND YOUR GIRLFRIEND OK UM HAVE YOU +audio/RES0010.mp3[563.920,569.840] ALL MY CLASSES ARE ONLINE +audio/RES0010.mp3[569.840,594.040] ALRIGHT ALRIGHT UM OK WELL ILL I ILL GO SPEAK TO MY ATTENDING AND WE WILL I WILL DISCUSS YOUR MEDICAL HISTORY AND WITH HIM AND I WILL COME BACK AND DISCUSS THE PLAN WITH YOU +audio/RES0010.mp3[594.040,596.120] OK COOL THANK YOU +audio/RES0187.mp3[0.000,2.000] WHAT BRINGS YOU IN +audio/RES0187.mp3[2.000,30.240] HI IM JUST COMING IN HERE TODAY BECAUSE IVE BEEN JUST ON WALL RECENTLY OVER THE LAST I WOULD SAY THREE TO FOUR DAYS I STARTED GETTING THESE LIKE REALLY BAD MUSCLE PAINS ALL THROUGHOUT MY BODY AND THEN OVER THE PAST FEW DAYS IVE ALSO BEEN FEELING CHILLY SO UHM I WONDER IF I HAVE A FEVER AND IVE ALSO JUST BEEN HAVING THIS COUGH FOR THE LAST FEW DAYS AS WELL +audio/RES0187.mp3[30.240,34.360] OK WHAT STARTED FIRST +audio/RES0187.mp3[34.360,44.440] I THINK THE MUSCLE PAIN STARTED FIRST AND THEN IT WAS THE COUGHING THEN SINCE YESTERDAY I THINK I MIGHT HAVE A FEVER AS WELL +audio/RES0187.mp3[44.440,50.520] OK THE COUGH STARTED OR THE MUSCLE ACHES STARTED FIRST WAS THAT TWO DAYS AGO THREE DAYS AGO +audio/RES0187.mp3[50.520,52.320] ALMOST FOUR DAYS AGO NOW +audio/RES0187.mp3[52.320,55.600] FOUR DAYS OK AND THE COUGH STARTED WHEN +audio/RES0187.mp3[55.600,57.440] COUGH STARTED THREE DAYS AGO +audio/RES0187.mp3[57.440,73.520] OK OK UHM BEFORE THE MUSCLE ACHES STARTED DID YOU LIKE DO ANYTHING DIFFERENT IN YOUR LIFE LIKE YOU KNOW DO A LOT OF EXERCISE OR ANY OTHER STRENUOUS ACTIVITIES +audio/RES0187.mp3[73.520,77.520] NO I I HAVENT REALLY CHANGED MY ROUTINE AT ALL +audio/RES0187.mp3[77.520,82.960] OK AND WHERE SPECIFICALLY LIKE WHA WHICH MUSCLES ACHE +audio/RES0187.mp3[82.960,97.000] PRETTY MUCH LIKE THROUGHOUT MY BODY BUT I WOULD SAY MORE SO LIKE UPPER BACK MY THIGHS THEN MY ARMS YEAH KIND OF JUST ALL OVER +audio/RES0187.mp3[97.000,101.040] OK ANY JOINT PAINS AS WELL +audio/RES0187.mp3[101.040,104.000] UH NO I DONT THINK SO +audio/RES0187.mp3[104.000,113.960] OK AND IS IT HARD FOR YOU TO WALK LIKE USE YOUR ARMS DO YOU HAVE ANY SORT OF LIKE MOTOR WEAKNESS +audio/RES0187.mp3[113.960,128.560] UHM ITS NOT I I CAN WALK AND THERES NO ISSUES BUT I I DO FEEL LIKE JUST OVERALL GENERAL WEAKNESS I DONT KNOW IF THATS TO DO WITH THE PAIN OR JUST FEELING UNWELL +audio/RES0187.mp3[128.560,134.040] OK SO YOURE ABLE TO DO THOSE THINGS YOU JUST FEEL LIKE MAYBE YOURE TIRED +audio/RES0187.mp3[136.080,138.320] OK ANY NUMBNESS OR TINGLING +audio/RES0187.mp3[139.080,147.120] NO OK THE COUGH IS IT A DRY COUGH OR LIKE PRODUCTIVE COUGH ARE YOU BRINGING UP PHLEGM +audio/RES0187.mp3[147.120,149.040] ITS A DRY COUGH +audio/RES0187.mp3[149.040,154.720] A DRY COUGH OK UHM SO NO SPUTUM OR BLOOD RIGHT +audio/RES0187.mp3[155.600,160.120] OK AND YOU HAVE A RUNNY NOSE OR STUFFY NOSE +audio/RES0187.mp3[160.120,161.200] UH NO +audio/RES0187.mp3[161.200,162.680] SORE THROAT +audio/RES0187.mp3[163.840,166.040] SHORTNESS OF BREATH +audio/RES0187.mp3[167.120,169.880] NO OK WHEEZINESS +audio/RES0187.mp3[171.720,175.920] OK ANY FEVERS +audio/RES0187.mp3[175.920,190.720] AND I HAVE BEEN FEELING CHILLY OVER THE LAST FEW DAYS JUST I HAVE BEEN WEARING LIKE MULTIPLE LAYERS HAVING TO PUT ON AN EXTRA BLANKET SO I MIGHT HAVE BEEN HAVING A FEVER +audio/RES0187.mp3[190.720,195.440] OK BUT YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT +audio/RES0187.mp3[196.160,199.240] OK ANY WEIGHT LOSS +audio/RES0187.mp3[199.560,204.720] CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES +audio/RES0187.mp3[204.720,206.840] NOT THAT IVE NOTICED +audio/RES0187.mp3[206.840,209.760] OK CHANGES IN YOUR VISION OR HEARING +audio/RES0187.mp3[210.400,214.400] TASTE OR SMELL +audio/RES0187.mp3[215.040,216.480] CHEST PAIN +audio/RES0187.mp3[216.480,228.000] OH SORRY NOW THAT YOU MENTION I I THINK TASTE A LITTLE BIT TODAY I REALIZED I WAS I WASNT REALLY ABLE TO TASTE MY BREAKFAST +audio/RES0187.mp3[228.000,234.000] OK SO A LITTLE BIT OF CHANGE THERE +audio/RES0187.mp3[236.160,239.120] OK AND ANY CHEST PAIN +audio/RES0187.mp3[240.920,246.400] OK ANY FEELINGS OF LIKE FEEL LIKE FEELING LIKE YOUR HEARTS RACING +audio/RES0187.mp3[247.920,256.280] OK UHM HOW ABOUT UH LIKE CALF PAIN WHEN YOU DO A LOT OF WALKING +audio/RES0187.mp3[257.880,260.720] FAINTING OR DIZZINESS SPELLS +audio/RES0187.mp3[261.480,267.240] OK ANY CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0187.mp3[267.240,271.360] UHM NO +audio/RES0187.mp3[271.360,275.080] OK AND ANY NAUSEA OR VOMITING +audio/RES0187.mp3[275.080,277.280] NO NO NAUSEA OR VOMITING +audio/RES0187.mp3[277.280,285.920] OK UH HOW ABOUT APPETITE CHANGES +audio/RES0187.mp3[285.920,289.320] UHM APPETITES BEEN THE SAME +audio/RES0187.mp3[289.320,291.360] ANY CHANGES IN YOUR URINE +audio/RES0187.mp3[296.360,298.840] CONFUSION OR MEMORY LOSS +audio/RES0187.mp3[301.760,311.360] OK UHM ALRIGHT SO ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS +audio/RES0187.mp3[311.360,324.120] UH NO OTHERWISE IVE BEEN PRETTY WELL HAVENT EVEN REALLY HAD TO GO TO THE DOCTOR MUCH IN THE PAST FEW YEARS +audio/RES0187.mp3[324.120,330.000] OK THATS GOOD AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0187.mp3[332.600,337.640] NO OK AND HOW ABOUT MEDICATIONS ARE YOU ON ANY +audio/RES0187.mp3[337.640,339.840] UH NO MEDICATIONS +audio/RES0187.mp3[339.840,344.880] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0187.mp3[346.240,351.400] OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY +audio/RES0187.mp3[351.400,364.480] NO NOT THAT JUST LIKE UH SEASONAL ALLERGIES I SOMETIMES GET JUST ITCHY EYES AND RUNNY NOSE SNEEZING IN THE SPRINGTIME +audio/RES0187.mp3[364.480,369.280] OK AND DO YOUR CURRENT SYMPTOMS FEEL LIKE THAT +audio/RES0187.mp3[369.280,370.920] NO NO +audio/RES0187.mp3[370.920,371.560] NO OK +audio/RES0187.mp3[371.560,373.720] I FEEL COMPLETELY DIFFERENT +audio/RES0187.mp3[373.720,380.360] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0187.mp3[380.360,386.720] UHM THINK MY UNCLE HAD A HEART ATTACK IN HIS 50S +audio/RES0187.mp3[388.600,393.360] AND I THINK MY FATHER HAS HIGH BLOOD PRESSURE +audio/RES0187.mp3[393.360,399.680] OK OK ANY CANCERS IN THE FAMILY +audio/RES0187.mp3[399.680,403.000] UH NO NOT THAT I KNOW OF +audio/RES0187.mp3[403.000,407.160] AND THEN DO YOU SMOKE +audio/RES0187.mp3[407.160,414.240] UHM JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS NOTNOTHING REGULAR +audio/RES0187.mp3[414.240,421.960] OK AND SO FOR THE PAST LIKE TWO MONTHS HOW OFTEN HAVE YOU BEEN SMOKING +audio/RES0187.mp3[421.960,437.120] PROBABLY A COUPLE CIGARETTES ON THE WEEKEND WE USUALLY SMOKE MARIJUANA SO NOT NOT TOO MUCH LIKE TOBACCO OR CIGARETTES +audio/RES0187.mp3[437.120,448.080] OK OK UHM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE +audio/RES0187.mp3[448.080,451.880] JUST MARIJUANA NO OTHER DRUGS +audio/RES0187.mp3[451.880,457.600] OK DO YOU SMOKE IT OR EDIBLES +audio/RES0187.mp3[457.600,459.000] SMOKE IT +audio/RES0187.mp3[459.000,462.960] OK AND HOW OFTEN DO YOU SMOKE CANNABIS +audio/RES0187.mp3[462.960,470.040] PROBABLY JUST WHEN IM MEETING UP WITH FRIENDS SO EVERY WEEKEND I WOULD SAY +audio/RES0187.mp3[470.040,470.960] EVERY WEEKEND +audio/RES0187.mp3[472.160,483.960] OK AND THEN HOW ABOUT AN ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0187.mp3[483.960,493.400] YEAH I DRINK ALCOHOL PROBABLY A COUPLE OF DRINKS EVERY FEW DAYS +audio/RES0187.mp3[493.400,498.360] OK OK AND SORRY WHAT KIND OF ALCOHOL DO YOU DRINK EVERY FEW DAYS +audio/RES0187.mp3[498.360,502.840] JUST MOSTLY BEERS MAYBE WHISKEY SOMETIMES +audio/RES0187.mp3[502.840,505.240] OK AND HOW MUCH OF THAT +audio/RES0187.mp3[505.240,533.040] SO PROBABLY A COUPLE BEERS UHM EVERY FEW DAYS AND THEN WHISKEY MAYBE A NORMAL GLASS EVERY FEW DAYS SO YEAH I WOULD SAY 3 OR 4 BEERS A WEEK AND THEN MAYBE 2 GLASSES OF WHISKEY IN A IN AN AVERAGE WEEK +audio/RES0187.mp3[533.040,541.280] OK OK ALRIGHT AND HAVE YOU BEEN IN TOUCH WITH OR IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0187.mp3[541.280,557.440] NO NO ONES BEEN SICK UHM I DO MEET UP WITH SOME FRIENDS ON THE WEEKENDS SOME OF THEM ARE FROM WORK SOME OF THEM ARE JUST THAT THAT I KNOW OUTSIDE OF WORK +audio/RES0187.mp3[557.440,566.200] OK OK UHM AND HAVE ANY OF THEM BEEN SICK OR HAVE THEY ALL BEEN PRETTY HEALTHY +audio/RES0187.mp3[566.200,591.360] UHM IN HEARD FROM ANYONE THATS BEEN SICK WE WE KIND OF HAVE A RULE THAT IF YOU KNOW IF WE FEEL SICK THEN NOT TO NOT TO SHOW UP JUST BECAUSE LIKE YOU KNOW WHEN WERE WHEN WERE DRINKING AND LIKE SMOKING WE MAY SHARE LIKE A JOINT SO ITS NOT LIKE WE DONT WANT TO GET EVERYONE SICK IF ONE PERSON IS SICK +audio/RES0187.mp3[591.360,598.000] YEAH FOR SURE UHM THAT MAKES SENSE ALRIGHT ANY TRAVEL RECENTLY +audio/RES0187.mp3[599.560,605.320] NO OK AND WHERE DO YOU LIVE RIGHT NOW +audio/RES0187.mp3[605.320,611.680] RIGHT NOW I JUST LIVE IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON +audio/RES0187.mp3[611.680,619.080] OK ANY OLD CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD MAKE YOUR CONDITION WORSE +audio/RES0187.mp3[619.720,626.200] OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF +audio/RES0187.mp3[626.200,634.480] UH NO I DONT THINK SO I JUST WANTED TO SEE WHAT THIS MIGHT BE +audio/RES0187.mp3[634.480,686.920] YEAH FOR SURE UHM SO WE ARE GOING TO DO A COVID SWAB ON YOU BECAUSE A LOT OF YOUR SYMPTOMS DO ALIGN WITH THOSE OF COVID SO WE JUST WANT TO RULE THAT OUT FIRST SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UHM IN THE MEANTIME YOU SHOULD ISOLATE FOR TWO WEEKS AND IF ITS NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND THIS TIME OF YEAR EITHER WAY KIND OF MANAGEMENT PLAN IS THE SAME SO MAKE SURE YOURE HYDRATED EAT WELL SLEEP WELL AND IF YOUR SYMPTOMS BECOME WORSE SEVERE OR THERE ANY RED FLAGS LIKE YOU HAVE NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR WEAKNESS WHERE YOU CAN MOVE YOUR LIMBS YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND +audio/RES0187.mp3[686.920,691.120] OK THAT SOUNDS GOOD THANK YOU +audio/RES0187.mp3[691.120,699.360] OK YEAH NO PROBLEM +audio/GAS0004.mp3[0.000,5.720] I UNDERSTAND THAT YOUVE BEEN HAVING SOME DIARRHEA CAN YOU TELL ME A LITTLE BIT ABOUT THAT +audio/GAS0004.mp3[5.720,27.680] YEAH SURE I HAD IVE BEEN HAVING DIARRHEA FOR THE PAST THREE TO FOUR DAYS AND ITS BEEN PRETTY BAD I COULDNT GO UH I COULDNT GO TO MY CLASSES HAD TO SKIP BECAUSE IT WAS JUST IT WAS JUST EMBARRASSING +audio/GAS0004.mp3[27.680,41.160] OK IM SORRY TO HEAR THAT UH HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE +audio/GAS0004.mp3[41.160,51.040] UM HAVE I EXPERIENCED SOMETHING LIKE THIS BEFORE UHM NO I DONT THINK SO +audio/GAS0004.mp3[51.040,57.240] OK AND OVER THE THREE OR FOUR DAYS HAVE YOUR STOOLS ALL BEEN LOOSE OR HAVE YOU HAD SOME SOLID ONES IN BETWEEN +audio/GAS0004.mp3[57.240,63.360] I THINK THEYVE MOSTLY BEEN LOOSE I THINK THEYVE ALL BEEN LOOSE ACTUALLY IF I THINK ABOUT IT +audio/GAS0004.mp3[63.360,70.560] OK AND HOW MANY TIMES A DAY HAVE YOU BEEN HAVING EPISODES OF DIARRHEA +audio/GAS0004.mp3[70.560,80.040] OH MY GOD I HAVE IVE LOST COUNT IM GOING EVERY EVERY HOUR +audio/GAS0004.mp3[80.040,91.760] OK EVERY HOUR OK AND THEN YOU NOTICE ANY CHANGES IN THE COLOR OF YOUR STOOL +audio/GAS0004.mp3[91.760,97.920] NO ITS BROWN +audio/GAS0004.mp3[97.920,101.520] OK ANY BLOOD IN YOUR STOOL THAT YOUVE NOTICED +audio/GAS0004.mp3[101.520,107.920] UM NOT REALLY I DONT THINK SO I DONT LOOK THAT MUCH TO BE HONEST +audio/GAS0004.mp3[107.920,115.400] OK UM HAVE YOU NOTICED ANY ANY PAIN ASSOCIATED WITH IT +audio/GAS0004.mp3[115.400,128.360] WELL I DIDNT START OFF WITH PAIN BUT I I I DO HAVE A BIT OF A CRAMP NOW SINCE YESTERDAY ITS JUST IT HURTS YEAH IT HURTS SOMETIMES IT COMES AND GOES +audio/GAS0004.mp3[128.360,147.720] OK AND DO YOU FEEL THAT WHEN IT DO YOU FEEL THAT YOU STILL HAVE CONTROL OVER LIKE RELEASING IT TO LIKE DOES IT COME ON AND YOU DONT EVEN NOTICE THAT IT HAS HAPPENED OR YOU STILL ARE ABLE TO KIND OF HAVE A WARNING BEFORE YOU GET TO THE TOILET +audio/GAS0004.mp3[147.720,157.920] UH NO I DO GET A WARNING BUT ITS JUST I I DO NEED TO GET TO THE TOILET REALLY FAST YEAH +audio/GAS0004.mp3[157.920,176.440] OK AND BEFORE THIS HAPPENED HAVE YOU NOTICED HAVE YOU IS THERE ANYTHING THAT YOUVE DONE DIFFERENTLY THAT YOUVE BEEN EATING DIFFERENTLY OR ANY OTHER CHANGES THAT HAVE HAPPENED IN YOUR LIFE RECENTLY +audio/GAS0004.mp3[176.440,190.360] UM I I DID GO TO UM I DID GO TO A NEW RESTAURANT 5 DAYS AGO +audio/GAS0004.mp3[190.360,199.040] OK WHAT DID YOU HAVE THERE +audio/GAS0004.mp3[199.040,213.360] UM I I JUST GOT SOME RICE WITH CHICKEN MANCHURIAN IT WAS A NICE LITTLE CHINESE RESTAURANT AND YEAH +audio/GAS0004.mp3[213.360,218.880] DID ANYONE ELSE HAVE THE SAME THING THAT YOU DID THAT YOU WERE WITH +audio/GAS0004.mp3[218.880,237.920] UM NO NOT REALLY I WENT WITH MY FRIEND AND I HAVENT REALLY HAVENT TALKED TO HER ABOUT THIS I NEVER REALLY THOUGHT THAT THESE WERE RELATED THAT THIS WAS RELATED TO THAT +audio/GAS0004.mp3[237.920,261.600] AND THEN ITS YOU KNOW ABSOLUTELY POTENTIALLY NOT LIKE MAYBE NOT IT COULD POSSIBLY BE SO NOT TO NOT TO WORRY YOU ABOUT THAT WE JUST LIKE TO GET AN IDEA OF KIND OF THE WHOLE PICTURE OF WHAT YOURE COMING IN WITH SO IN TERMS OF THE LAST THREE TO FOUR DAYS HAVE YOU EXPERIENCED ANY NAUSEA OR VOMITING +audio/GAS0004.mp3[261.600,276.840] YEAH YEAH I HAVE ACTUALLY BUT ITS NOT BEEN AS BAD AS THE DIARRHEA I DIDNT EVEN YEAH I DIDNT I WASNT EVEN THINKING ABOUT THAT YEAH I I DID VOMIT I THINK TWICE YESTERDAY +audio/GAS0004.mp3[276.840,280.480] OK HAVE YOU NOTICED ANY BLOOD IN THE VOMIT +audio/GAS0004.mp3[280.480,284.560] NO ITS JUST WATERY +audio/GAS0004.mp3[284.560,292.120] AND ARE YOU NAUSEATED ALL THE TIME OR IS IT KIND OF ON AND OFF +audio/GAS0004.mp3[292.120,294.800] ITS ON AND OFF +audio/GAS0004.mp3[294.800,302.240] OK HAVE YOU TAKEN ANY ANY OVER THE COUNTER MEDICINE OR ANYTHING TO HELP +audio/GAS0004.mp3[302.240,316.080] UH NOT REALLY I WAS JUST TRYING TO DRINK A LOT OF WATER CAUSE I I KNOW THAT I CAN GET DEHYDRATED SO JUST DRINKING LOTS OF WATER +audio/GAS0004.mp3[316.080,326.680] OK WELL THATS GOOD TO HEAR HAVE YOU HAVE YOU BEEN EATING NORMALLY OR HAVE YOU NOT BEEN EATING AS MUCH AS YOU REGULARLY DO +audio/GAS0004.mp3[326.680,338.920] I HAVE BEEN EATING LESS SPECIALLY SINCE YESTERDAY WHEN I HAD MY THESE ABDOMINAL CRAMPS STARTED I JUST DONT FEEL LIKE EATING +audio/GAS0004.mp3[338.920,343.720] OK IS THERE ANYTHING THAT HAS BEEN MAKING IT WORSE +audio/GAS0004.mp3[343.720,346.560] MAKING WHAT WORSE +audio/GAS0004.mp3[346.560,353.240] JUST IN GENERAL LIKE IS THERE ANYTHING THAT YOURE FINDING MAKES YOUR NAUSEA OR YOUR DIARRHEA COME ON +audio/GAS0004.mp3[353.240,360.640] NOT REALLY I DONT THINK SO +audio/GAS0004.mp3[360.640,365.840] DO YOU NOTICE ANY CHANGES TO YOUR URINE OR ANY DISCOMFORT WHEN GOING TO THE BATHROOM +audio/GAS0004.mp3[369.400,372.560] HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/GAS0004.mp3[375.120,382.240] OK AND HAVE YOU NOTICED ANY FEVER OR CHILLS IN THE LAST FEW DAYS +audio/GAS0004.mp3[382.240,393.760] UM IVE JUST BEEN FEELING REALLY TIRED AND AND I DONT KNOW MAYBE I HAVENT CHECKED MY CHECKED MY TEMPERATURE +audio/GAS0004.mp3[393.760,397.360] OK HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN +audio/GAS0004.mp3[401.000,410.520] OK HAVE YOU NOTICED ANY MAJOR CHANGES TO YOUR WEIGHT I KNOW THAT YOU MIGHT NOT WEIGH YOURSELF EVERYDAY BUT ANYTHING THAT JUMPS OUT TO YOU +audio/GAS0004.mp3[410.520,419.560] I ACTUALLY HAVENT WEIGHED MYSELF IN THE PAST FIVE DAYS SO I DONT I DONT KNOW +audio/GAS0004.mp3[419.560,434.280] OK OK IM IM JUST GONNA JUMP TO YOU AND YOUR GENERAL HISTORY DO YOU HAVE ANY HISTORY OF PROBLEMS WITH YOUR DIGESTIVE SYSTEM +audio/GAS0004.mp3[437.600,444.280] OK DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE A FAMILY DOCTOR FOR REGULARLY +audio/GAS0004.mp3[444.280,451.120] I HAVE ASTHMA +audio/GAS0004.mp3[451.120,453.600] OK DO YOU TAKE ANY MEDICATION +audio/GAS0004.mp3[453.600,458.000] YEAH IVE GOT SOME PUFFERS THAT MY FAMILY DOC GAVE ME +audio/GAS0004.mp3[458.000,461.080] OK NOTHING ELSE +audio/GAS0004.mp3[461.080,466.120] NO THATS IT +audio/GAS0004.mp3[466.120,468.600] DO YOU HAVE ANY ALLERGIES +audio/GAS0004.mp3[468.600,471.520] UM NO I DONT +audio/GAS0004.mp3[471.520,478.920] HAVE YOU UNCLEAR SPEECH DUE TO CONNECTION ISSUES +audio/GAS0004.mp3[478.920,482.440] IM SORRY CAN YOU SAY THAT AGAIN +audio/GAS0004.mp3[482.440,489.000] HAVE YOU EVER BEEN HOSPITALIZED IN THE PAST +audio/GAS0004.mp3[489.000,499.160] UM I HAD MY WISDOM TEETH REMOVED BUT NO I LIKE I WASNT HOSPITALIZED NO +audio/GAS0004.mp3[499.160,502.400] HAVE YOU BEEN IN CONTACT WITH ANYONE RECENTLY THATS BEEN SICK +audio/GAS0004.mp3[502.400,513.440] NOPE I DONT THINK SO +audio/GAS0004.mp3[513.440,519.320] OK WHAT IS YOUR LIVING SITUATION RIGHT NOW YOU SAID YOURE A STUDENT +audio/GAS0004.mp3[519.320,521.640] I AM +audio/GAS0004.mp3[521.640,527.360] OK AND DO YOU LIVE DO YOU LIVE ON YOUR OWN WITH FAMILY WITH ROOMMATES +audio/GAS0004.mp3[527.360,529.000] I LIVE WITH TWO ROOMMATES +audio/GAS0004.mp3[529.000,537.800] DO YOU DRINK ALCOHOL +audio/GAS0004.mp3[537.800,541.520] UM SOMETIMES +audio/GAS0004.mp3[541.520,545.520] OK HOW HOW MANY DRINKS PER WEEK WOULD YOU SAY +audio/GAS0004.mp3[545.520,550.680] I MIGHT HAVE LIKE A GLASS OR TWO ON THE WEEKENDS +audio/GAS0004.mp3[550.680,552.400] OK DO YOU SMOKE +audio/GAS0004.mp3[554.560,557.680] OK DO YOU USE ANY OTHER SUBSTANCES +audio/GAS0004.mp3[560.440,571.200] OK AND WHAT WOULD YOU EAT ON A REGULAR DAY TYPICALLY WHAT WOULD YOUR TYPICAL DIET BE +audio/GAS0004.mp3[571.200,596.640] OH GOSH UM WELL I LIKE TO HAVE OATMEAL FOR BREAKFAST I USUALLY MAKE SOMETHING QUICK FOR LUNCH MAYBE LIKE A SALAD AND THEN I MIGHT HAVE MY ILL PROBABLY JUST LIKE EAT OUT AT NIGHT MAYBE GET LIKE A BURGER OR FRIES OR SOMETHING +audio/GAS0004.mp3[596.640,614.200] OK WELL AND I JUST WANTED TO JUMP OVER TO ASK YOU ABOUT YOUR FAMILY HISTORY DOES ANYONE IN YOUR FAMILY HAVE ANY HISTORY OF DIGESTIVE PROBLEMS OR UM ABDOMINAL PROBLEMS ABDOMINAL SURGERY +audio/GAS0004.mp3[614.200,639.120] MY BROTHER HAD APPENDICITIS WHEN HE WAS YOUNG UM MY MOM HAS HAD A HYSTERECTOMY IF THAT COUNTS YEAH NOTHING ELSE +audio/GAS0004.mp3[639.120,646.800] OK OK THANK YOU FOR SHARING THAT WITH ME SO I THINK THATS EVERYTHING THAT I WANTED TO ASK YOU FOR TODAY +audio/RES0188.mp3[0.000,1.880] WHAT BRINGS YOU IN +audio/RES0188.mp3[1.880,30.000] HI I WAS JUST REALLY WORRIED MY SON JUST YESTERDAY NIGHT I NOTICED THAT HE WAS MAKING THESE GRUNTING NOISES AND I DID NOTICE THAT HE WAS A BIT WARM YESTERDAY AS WELL AND TODAY I HE JUST HASNT BEEN HIMSELF JUST VERY VERY IRRITABLE CRYING A LOT YEAH I JUST GOT BIT WORRIED +audio/RES0188.mp3[30.000,34.200] YEAH FOR SURE WHAT STARTED FIRST +audio/RES0188.mp3[34.200,55.720] I WOULD SAY THE THERE WAS A LITTLE BIT OF COUGHING EARLIER LIKE YESTERDAY BUT THEN LATER ON DURING THE NIGHT IT KIND OF TURNED INTO THIS GRUNTING NOISE AND HES KIND OF LIKE HIS CHEST IS MOVING A LOT MORE WHEN HES TAKING A BREATH IN AND ALL THAT +audio/RES0188.mp3[55.720,61.080] OK UHM DID YOU MEASURE HIS TEMPERATURE AT HOME +audio/RES0188.mp3[61.080,65.840] YEAH SO I THINK IT WAS 385 DEGREES CELSIUS +audio/RES0188.mp3[65.840,71.000] OK AND DID YOU DO THAT ORALLY OR RECTAL OR UNDER ARMPIT +audio/RES0188.mp3[71.000,76.280] I DID IT UNDER THE ARMPIT +audio/RES0188.mp3[76.280,86.680] OK OK UHM SO YOU MENTIONED THAT HES HAD A FEVER HES BEEN GRUNTING AND HE JUST SEEMS A LITTLE BIT MORE FUSSY IS THAT RIGHT +audio/RES0188.mp3[87.480,90.440] OK IS HE COUGHING AT ALL +audio/RES0188.mp3[90.440,93.280] HE WAS YESTERDAY BUT NOT REALLY NOW +audio/RES0188.mp3[93.280,96.240] OK AND WAS IT A DRY COUGH +audio/RES0188.mp3[96.240,99.800] I THINK SO I MEAN NOTNOTHING REALLY CAME OUT +audio/RES0188.mp3[99.800,103.000] OK THATS GOOD SO NO BLOOD NO SPUTUM +audio/RES0188.mp3[104.200,107.920] OK AND DID HE SEEM WHEEZY +audio/RES0188.mp3[107.920,112.120] UH NO +audio/RES0188.mp3[112.120,117.880] NO OK SO THERES NO WHEEZING WITH THE GRUNTING +audio/RES0188.mp3[117.880,124.600] MAYBE A LITTLE BIT LIKE THAT JUST A LITTLE BIT OF A NOISE BUT ITS MOSTLY THE GRUNTING +audio/RES0188.mp3[124.600,128.480] OK HAS HE HAD ANY WEIGHT LOSS +audio/RES0188.mp3[128.480,136.840] NO NOT THAT I REALLY WE HAVENT REALLY WEIGHED HIM NOW SINCE HIS LAST APPOINTMENT +audio/RES0188.mp3[136.840,143.320] OK DOES HE SEEM EXCESSIVELY TIRED OR FATIGUED +audio/RES0188.mp3[143.320,152.120] UHM MORESO TODAY I WOULD SAY HES LIKE EARLIER HE WAS VERY FUSSY BUT NOW HE SEEMS A BIT MORE TIRED +audio/RES0188.mp3[152.120,154.600] OK ANY RASHES THAT YOUVE NOTICED +audio/RES0188.mp3[157.000,162.960] NO OK UHM ANY CHANGES IN HIS VISION OR HEARING +audio/RES0188.mp3[162.960,165.560] UH NO NOT THAT I CAN TELL +audio/RES0188.mp3[165.560,173.120] NO OK SO HES RESPONDING TO LIKE SOUNDS AND HES STILL LOOKING AT YOU AND THINGS LIKE THAT +audio/RES0188.mp3[174.280,182.400] OK HAVE YOU NOTICED A RUNNY NOSE OR STUFFY NOSE +audio/RES0188.mp3[182.400,185.080] UHM NO NOTHING LIKE THAT +audio/RES0188.mp3[185.080,190.720] NO OK AND HE SAID HE HASNT HAD ANY LIKE FAINTING SPELLS +audio/RES0188.mp3[190.720,194.800] UH NO I DONT THINK SO +audio/RES0188.mp3[194.800,201.000] NO OK AND HOW MANY WET DIAPERS IS HE PRODUCING IN A DAY NOW +audio/RES0188.mp3[201.000,204.680] PROBABLY 5 OR 6 +audio/RES0188.mp3[204.680,209.440] 5 OR 6 OK HAS THAT CHANGED FROM BEFORE +audio/RES0188.mp3[209.440,213.400] NO ITS PRETTY MUCH THE SAME +audio/RES0188.mp3[213.400,218.920] OK AND UHM ANY CHANGES TO HIS BOWEL MOVEMENTS +audio/RES0188.mp3[220.000,222.440] NO HOW ABOUT HIS URINE +audio/RES0188.mp3[227.040,238.520] NO OK OK AND THEN YOU SAID HE WAS FUSSY IS HE STILL EATING AND DRINKING OK +audio/RES0188.mp3[238.520,248.160] UH NO TODAY HES NOT REALLY TAKING ANYTHING IN LIKE VERY FUSSY VERY HARD TO FEED HIM TODAY +audio/RES0188.mp3[248.160,251.120] OK IS HE CRYING A LOT +audio/RES0188.mp3[251.120,260.320] EARLIER TODAY WAS CRYING A LOT BUT NOW HAS CALM DOWN AND JUST I GUESS TIRED HIMSELF OUT +audio/RES0188.mp3[260.320,266.840] YEAH OK ALRIGHT AND IS HE AN OTHERWISE HEALTHY CHILD +audio/RES0188.mp3[266.840,294.000] YEAH HE WAS HE WAS PREMATURE BY THREE WEEKS SO OTHER THAN THAT LIKE I REMEMBER WHEN HE WAS BORN THEY DID HAVE EARLIER SOME ISSUES WITH HIS OXYGEN NOT BEING HIGH ENOUGH AND THEY HAD TO LIKE KEEPING KEEP US IN THE HOSPITAL FOR A BIT LONGER +audio/RES0188.mp3[295.080,300.240] BUT YEAH AFTER THAT LIKE THERE HAVENT REALLY BEEN TOO MANY CONCERNS +audio/RES0188.mp3[300.240,309.680] OK SO HES HITTING ALL THE DEVELOPMENTAL MILESTONES LIKE IN TERMS OF MOTOR MOVEMENTS AH SPEECH BEHAVIOUR ALL OF THAT +audio/RES0188.mp3[309.680,312.680] YEAH NO ISSUES THERE SO FAR +audio/RES0188.mp3[312.680,319.200] OK AND HOW ABOUT MEDICATIONS IS HE ON ANY +audio/RES0188.mp3[320.360,327.040] NO MEDICATIONS OK AND IS UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0188.mp3[327.040,333.840] YEAH OH HE HAD ALL HIS IMMUNIZATIONS SO FAR +audio/RES0188.mp3[333.840,338.480] OK HOW ABOUT ALLERGIES DOES HE HAVE ANY +audio/RES0188.mp3[338.480,341.080] NOT THAT I KNOW OF +audio/RES0188.mp3[341.080,345.000] NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS +audio/RES0188.mp3[346.920,351.280] OK AND DOES ANYONE AT HOME SMOKE +audio/RES0188.mp3[351.280,354.080] NO NO ONE SMOKES +audio/RES0188.mp3[354.080,359.000] OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY +audio/RES0188.mp3[359.000,370.520] UH NO NOT THAT I KNOW OF UHM HIS OLDER SISTER DOES GO TO SCHOOL THOUGH BUT I DONT KNOW IF SHE MIGHT HAVE CARRIED SOMETHING HOME +audio/RES0188.mp3[370.520,373.040] OK HOW OLD IS SHE +audio/RES0188.mp3[373.040,374.080] SHES SIX YEARS OLD +audio/RES0188.mp3[374.080,380.560] SIX OK AND IS SHE HEALTHY OR IS SHE HAVING SIMILAR SYMPTOMS +audio/RES0188.mp3[380.560,383.040] NO SHES HEALTHY NO NO SYMPTOMS +audio/RES0188.mp3[383.040,386.800] OK ANY TRAVEL RECENTLY +audio/RES0188.mp3[388.080,392.760] NO OK AND WHO DOES HE LIVE WITH AT HOME +audio/RES0188.mp3[392.760,398.320] UH SO HIS OLDER SISTER ME AND HIS MOTHER +audio/RES0188.mp3[398.320,410.240] OK ANY REASONS TO BELIEVE LIKE YOU HAVE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING LIKE THAT THAT COULD WORSEN HIS SYMPTOMS +audio/RES0188.mp3[410.240,412.040] UH NO NOTHING LIKE THAT +audio/RES0188.mp3[412.040,420.600] OK SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ANYTHING THAT I MISSED THAT YOU WANTED TO ADD +audio/RES0188.mp3[420.600,425.040] NO I THINK THAT WAS ALL +audio/RES0188.mp3[425.040,493.160] OK UHM SO FOR HIM WELL DO A COVID SWAB JUST TO RULE THAT OUT BECAUSE SOME OF HIS SYMPTOMS DO OVERLAP WITH THAT BUT IT ITS REALLY SOUNDING LIKE A PICTURE OF LIKE COMMUNITY ACQUIRED PNEUMONIA SO WELL DO A COUPLE OF THINGS FOR HIM UHM WE CAN GET HIS TEMPERATURE GET HIS OXYGEN OXYGEN SATURATION RIGHT AWAY WELL GET A CHEST XRAY WELL DO SOME BLOOD WORK AS WELL AND UHM HE MIGHT NEED TO BE ADMITTED DEPENDING ON UHM THE OXYGEN OXYGEN SATURATION AND THE FACT THAT HES GRUNTING SO IF HES ADMITTED WILL GIVE HIM SOME EXTRA OXYGEN AND KEEP MONITORING HIM AND KEEP HIM HYDRATED UHM WELL ALSO GIVE HIM SOME ANTIBIOTICS IF IF IT TURNS OUT HE HAS PNEUMONIA YEAH DOES THAT SOUND OK +audio/RES0188.mp3[493.160,494.800] THAT SOUNDS GOOD THANK YOU +audio/RES0188.mp3[494.800,500.240] OK YEAH NO WORRIES +audio/RES0111.mp3[0.000,2.400] HOW CAN I HELP YOU TODAY +audio/RES0111.mp3[2.400,16.200] HI UM IM HERE BECAUSE IVE HAD THIS AWFUL SORE THROAT FOR THE PAST FOUR DAYS DOESNT SEEM TO BE GETTING ANY BETTER AND I THINK IM DEVELOPING A FEVER NOW +audio/RES0111.mp3[16.200,19.800] HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0111.mp3[19.800,25.920] NO I HAVENT CHECKED MY TEMPERATURE IM JUST REALLY HOT +audio/RES0111.mp3[25.920,39.040] WELL CHECK THAT HERE THEN AND UH DO YOU OK SO YOUVE HAD THIS SORE THROAT FOR FOUR DAYS AND A FEVER HAVE YOU HAD ANY DIFFICULTY SWALLOWING +audio/RES0111.mp3[39.040,49.600] YEAH UM NOT LIKE I CAN DRINK OK BUT ITS REALLY HARD FOR ME TO EAT SOLID FOODS RIGHT NOW +audio/RES0111.mp3[49.600,53.360] UM WHY IS THAT +audio/RES0111.mp3[53.360,54.840] OH IT JUST HURTS +audio/RES0111.mp3[54.840,65.880] YEAH OK BUT ITS NOT THAT YOU CANT UM YOU CANT SORT OF LIKE YOU DONT FEEL LIKE ITS GETTING STUCK +audio/RES0111.mp3[65.880,70.280] NO NO NOTHING LIKE THAT +audio/RES0111.mp3[70.280,76.840] UM AND HAVE YOU NOTICED ANY CHANGES IN YOUR VOICE DO YOU FIND THAT YOUR VOICE IS MORE HOARSE +audio/RES0111.mp3[76.840,88.320] UM A LITTLE BIT UH BUT I THINK THATS JUST BECAUSE I TRY NOT TO TALK AS MUCH SINCE MY THROAT IS SO SORE +audio/RES0111.mp3[88.320,93.120] OK OK AND UH HAVE YOU HAD A RUNNY NOSE +audio/RES0111.mp3[93.120,94.960] NO NO RUNNY NOSE +audio/RES0111.mp3[94.960,96.480] UH A COUGH +audio/RES0111.mp3[97.560,101.040] OK HAVE YOU HAD ANY DIFFICULTIES BREATHING +audio/RES0111.mp3[102.000,104.040] ANY CHEST PAIN +audio/RES0111.mp3[105.320,115.240] ANY SORT OF UM CONGESTION DO YOU FEEL LIKE YOUR NOSE IS STUFFY OR HURTS YOUR UH IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN +audio/RES0111.mp3[118.400,132.960] NO OK UM SO ALL YOU HAVE IS A SORE THROAT AND THIS FEVER OK UM AND UM OK YOU HAVE A HEADACHE +audio/RES0111.mp3[132.960,134.400] UM NO HEADACHES +audio/RES0111.mp3[134.400,140.120] DO YOU FEEL LIKE YOUVE BEEN CONFUSED OR JUST FEELING NOT YOURSELF +audio/RES0111.mp3[140.120,143.760] NO NOTHING LIKE THAT +audio/RES0111.mp3[143.760,149.000] OK ANY UH CHANGES IN YOUR HEARING OR YOUR VISION +audio/RES0111.mp3[149.920,155.920] OK ANY UM AND DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST +audio/RES0111.mp3[155.920,156.800] UH NO +audio/RES0111.mp3[156.800,159.720] DO YOU FEEL SHORT OF BREATH +audio/RES0111.mp3[161.040,163.960] ANY UH BELLY PAIN +audio/RES0111.mp3[164.800,168.000] ANY NAUSEA OR VOMITING +audio/RES0111.mp3[168.000,169.080] UH NO +audio/RES0111.mp3[169.080,172.120] OK ANY DIARRHEA OR CONSTIPATION +audio/RES0111.mp3[172.880,175.760] ANY FATIGUE +audio/RES0111.mp3[176.480,180.000] WEIGHT LOSS UNINTENTIONAL +audio/RES0111.mp3[180.000,181.040] NO WEIGHT LOSS NO +audio/RES0111.mp3[181.040,187.400] UH AND UH DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0111.mp3[187.400,189.760] UHM NO I DONT THINK SO +audio/RES0111.mp3[189.760,197.000] OK ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS +audio/RES0111.mp3[197.000,206.200] UH YEAH THE ONLY ONE THAT I HAVENT GOTTEN IS UM THAT HPV VACCINE +audio/RES0111.mp3[206.200,212.400] OK OK UM OK ANY UH DID YOU GET THE FLU SHOT +audio/RES0111.mp3[212.400,215.280] OH I DIDNT GET THAT THIS YEAR +audio/RES0111.mp3[215.280,254.080] OK WELL WE RECOMMEND THAT YOU YOU GET YOUR VACCINES AND UM ALSO THE UH HPV VACCINE UM ITS ITS BEST TO GET THE HPV VACCINE EARLIER ON ITS A LITTLE BIT LESS EFFECTIVE AS YOU UM GO PAST A CERTAIN AGE YOU ARE STILL OBVIOUSLY NOWHERE CLOSE TO THAT BUT ITS I I DONT BELIEVE ITS COVERED AFTER THE AGE OF 26 EITHER SO ITS BEST IF YOU GET IT DONE EARLIER AND LETS GO BACK TO YOUR SYMPTOMS THEN HAVE YOU HAD ANY SURGERIES +audio/RES0111.mp3[254.080,261.640] UHM I GOT MY APPENDIX REMOVED WHEN I WAS 13 +audio/RES0111.mp3[261.640,263.200] ANYTHING ELSE +audio/RES0111.mp3[264.360,269.960] OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER +audio/RES0111.mp3[269.960,282.440] NO I JUST TAKE MY MULTIVITAMINS +audio/RES0111.mp3[282.440,288.280] AND UHM ARE YOU UM ARE YOU CURRENTLY LIVING ALONE OR DO YOU LIVE WITH SOMEONE +audio/RES0111.mp3[288.280,296.560] I LIVE WITH MY PARENTS AND MY TWO SIBLINGS +audio/RES0111.mp3[296.560,299.600] AND UH DO YOU FEEL SAFE AT HOME +audio/RES0111.mp3[302.640,306.040] OK ARE YOU UM CURRENTLY SEXUALLY ACTIVE +audio/RES0111.mp3[307.280,312.960] OK UM DO YOU PLAN ON BEING SEXUALLY ACTIVE IN THE NEAR FUTURE +audio/RES0111.mp3[312.960,316.520] UH NO NOT BEFORE I FINISH HIGH SCHOOL +audio/RES0111.mp3[316.520,326.880] OK ALRIGHT UM AND UM ARE YOU UH DO YOU UH DRINK ALCOHOL +audio/RES0111.mp3[327.960,330.040] OK DO YOU SMOKE +audio/RES0111.mp3[330.640,334.240] HAVE YOU TRIED MARIJUANA OR ANY RECREATIONAL DRUGS +audio/RES0111.mp3[334.240,336.520] I HAVENT +audio/RES0111.mp3[336.520,341.520] OK ARE THINGS GOING WELL AT ARE YOU IN SCHOOL RIGHT NOW +audio/RES0111.mp3[341.520,343.000] UM YEP IM IN GRADE 10 +audio/RES0111.mp3[343.000,344.640] OK ARE THINGS GOING WELL +audio/RES0111.mp3[344.640,347.240] YES I WOULD SAY SO +audio/RES0111.mp3[347.240,349.720] ANY BULLYING UH AT SCHOOL +audio/RES0111.mp3[353.000,358.320] OK ANY UM ANY ANY CONCERNS ABOUT DEPRESSION OR ANXIETY +audio/RES0111.mp3[359.640,367.040] OK OK ALRIGHT AND UH YOU UH TRAVELED ANYWHERE RECENTLY +audio/RES0111.mp3[367.040,374.800] NO IVE BEEN UM JUST AT SCHOOL AND HOME +audio/RES0111.mp3[374.800,378.560] SO ITS NOT ITS NOT VIRTUAL ITS IN PERSON +audio/RES0111.mp3[378.560,382.800] SO HALF THE DAY IS IN PERSON AND THE OTHER HALF IS VIRTUAL +audio/RES0111.mp3[382.800,388.160] OK AND ARE YOU MAINTAINING SOCIAL DISTANCING AT SCHOOL WEARING A MASK +audio/RES0111.mp3[388.160,397.400] YEAH WE DO EXCEPT SOMETIMES I GUESS LIKE I DONT KNOW IF YOU HAVE TO DRINK WATER OR SOMETHING WE TAKE IT OFF +audio/RES0111.mp3[397.400,419.960] YEAH SURE OK UM AND UHM I SUPPOSE JUST UM OK WHAT WAS I GONNA ASK UM DO YOU UH SO NO TRAVELS OK DO YOU FEEL LIKE YOUVE BEEN IN CONTACT WITH SOMEONE WHO MIGHT BE SICK OR MIGHT HAVE COVID +audio/RES0111.mp3[419.960,421.600] UH I DONT THINK SO +audio/RES0111.mp3[421.600,430.040] NO OK ALRIGHT AND HAVE YOU LOOKED AT YOUR THROAT DOES IT LOOK SWOLLEN OR RED +audio/RES0111.mp3[430.040,433.320] YEAH IT LOOKS PRETTY SWOLLEN AND RED +audio/RES0111.mp3[433.320,444.120] WELL THATS ALL THE QUESTIONS OH ONE MORE QUESTION ACTUALLY DO YOU HAVE UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0111.mp3[444.120,450.320] UM NO I DONT THINK SO MAYBE LIKE HIGH BLOOD PRESSURE +audio/RES0111.mp3[450.320,521.760] UH ALL RIGHT WELL UM THATS ALL THE QUESTIONS I HAD WELL DO A PHYSICAL EXAM HAVE A LOOK INSIDE YOUR THROAT UM GIVEN UH THE SYMPTOMS THAT YOU HAVE IT SOUNDS LIKE YOU HAVE UM AN AN INFLAMMATION OR SWELLING OF YOUR THROAT WHICH COULD BE CAUSED BY BACTERIA OR VIRUSES IT COULD BE SOMETHING LIKE UM MONO OR IT COULD BE UM STREP THROAT UM IT COULD BE OTHER THINGS AS WELL UM SEEING THAT YOUR SYMPTOMS ARE SOMEWHAT OVERLAPPING WITH THE SYMPTOMS FOR COVID WE WOULD ALSO LIKE TO DO A COVID TEST UM WELL DO A RAPID STREP TEST HERE AS WELL UM JUST TO RULE IT OUT AND THEN UH WELL UH ASK YOU TO QUARANTINE FOR THE NEXT 14 DAYS UM UNTIL OR AT LEAST UNTIL YOUR COVID SWABS ARE BACK OR YOUR SYMPTOMS IMPROVE UM AND WELL LET YOU KNOW ABOUT UM THE MANAGEMENT BASED ON THE STREP TEST RESULT DO YOU HAVE ANY QUESTIONS +audio/RES0111.mp3[521.760,524.160] UM NO THAT SOUNDS GREAT THANK YOU +audio/RES0111.mp3[524.160,527.320] OK SOUNDS GOOD +audio/RES0165.mp3[0.000,2.160] WHAT BRINGS YOU IN HERE TODAY +audio/RES0165.mp3[2.160,22.560] UM I JUST IVE HAD A COUGH AND IVE HAD A SORE THROAT FOR THE PAST TWO DAYS AND I WAS JUST WORRIED THAT I MIGHT HAVE COVISO I THOUGHT ID COME IN JUST TO MAKE SURE THAT EVERYTHINGS OK +audio/RES0165.mp3[22.560,33.600] OK WELL THATS A GOOD IDEA THAT YOU CAME IN SO ITS BEEN HAPPENING FOR THE LAST TWO DAYS DID YOU START HAVING THE COUGH FIRST OR THE SORE THROAT OR BOTH AROUND THE SAME TIME +audio/RES0165.mp3[33.600,49.400] IT STARTED WITH A SORE THROAT TWO NIGHTS AGO AND THEN IT GOT WORSE IN THE MORNING WHEN I WOKE UP AND THEN I DEVELOPED THE COUGH LIKE ABOUT A DAY AGO A DAY AND A HALF +audio/RES0165.mp3[49.400,56.480] OK AND CAN YOU DESCRIBE YOUR COUGH IS IT A WET COUGH OR A DRY COUGH +audio/RES0165.mp3[56.480,58.800] ITS A DRY COUGH +audio/RES0165.mp3[58.800,66.360] OK ARE YOU HAVING ANY KIND OF ARE YOU BRINGING UP ANY BLOOD OR SPUTUM AT ALL +audio/RES0165.mp3[68.040,76.960] NO OK AND UH SO THIS STARTED 2 DAYS AGO IS IT CONSTANT ARE YOUR SYMPTOMS CONSTANT OR THEY COME AND GO +audio/RES0165.mp3[76.960,80.920] NO THEYRE NOT CONSTANT THEY KIND OF COME AND GO +audio/RES0165.mp3[80.920,94.600] OK AND DO THEY OCCUR WHEN YOURE EXERTING YOURSELF AT ALL OR IT CAN HAPPEN IT OR DO THEY HAPPEN AT SOME POINT DURING THE DAY IN THE MORNING OR NIGHT OR JUST RANDOMLY +audio/RES0165.mp3[94.600,97.320] ITS PRETTY RANDOM +audio/RES0165.mp3[97.320,103.400] OKAY ARE YOU SYMPTOM GETTING ANY BETTER OR WORSE +audio/RES0165.mp3[103.400,113.640] UHM MAYBE A LITTLE WORSE I KIND OF FEEL LIKE IM ALSO UM IM NOW HAVING LIKE A A RUNNY NOSE +audio/RES0165.mp3[113.640,117.400] A RUNNY NOSE AS WELL OK WHEN DID THAT START +audio/RES0165.mp3[117.400,125.360] UHM MAYBE LIKE I DONT KNOW JUST NOW EVEN LIKE AN HOUR OR TWO AGO +audio/RES0165.mp3[125.360,136.640] OK UHM HAVE YOU HAD ANY RECENT EXPOSURE TO ANYONE THATS BEEN SICK RECENTLY AT ALL +audio/RES0165.mp3[136.640,154.080] UHM MAYBE I I WORK AT A HOSPITAL UM BUT IM ALWAYS MAINTAINING SOCIAL DISTANCING AND I TRY TO BE VERY CAREFUL +audio/RES0165.mp3[154.080,165.000] OK AND UH DO YOU HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER TO HELP WITH THESE SYMPTOMS +audio/RES0165.mp3[167.400,176.720] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH CHEST PAIN DIZZINESS OR ANYTHING LIKE THAT +audio/RES0165.mp3[177.560,186.240] NO OKAY AND THE SORE THROAT ARE YOU HAVING TROUBLE OR PAIN WHILE SWALLOWING ANY FOOD +audio/RES0165.mp3[186.240,188.840] ITS NOT THAT BAD +audio/RES0165.mp3[188.840,190.160] NOT THAT BAD +audio/RES0165.mp3[190.160,196.120] ITS JUST IRRITATION IN MY THROAT +audio/RES0165.mp3[196.120,201.480] OK ANY HOARSENESS IN YOUR VOICE AT ALL +audio/RES0165.mp3[204.240,207.840] WELL OK HAVE YOU TRAVELED AT ALL RECENTLY UTSIDE OF THE PROVINCE +audio/RES0165.mp3[210.000,212.240] ANY HEADACHES +audio/RES0165.mp3[214.560,219.000] ANY NAUSEA VOMITING +audio/RES0165.mp3[219.480,221.720] ANY FEVERS OR CHILLS +audio/RES0165.mp3[221.720,224.800] NOW I KNOW +audio/RES0165.mp3[224.800,229.440] NO OK ANY FATIGUE OR MALAISE +audio/RES0165.mp3[229.440,234.680] MAYBE A LITTLE BIT ITS NOT TOO BAD +audio/RES0165.mp3[234.680,242.240] OK ANY MUSCLE ACHES AT ALL +audio/RES0165.mp3[242.240,245.640] UHM YEAH LITTLE BIT +audio/RES0165.mp3[245.640,250.720] OKAY AND WHEN DID THAT START +audio/RES0165.mp3[250.720,254.320] MAYBE TWO DAYS AGO +audio/RES0165.mp3[254.320,258.960] OK AND IS IT JUST ALL OVER YOUR BODY OR IN CERTAIN LOCATIONS +audio/RES0165.mp3[258.960,262.480] ITS ALL OVER +audio/RES0165.mp3[262.480,266.280] HAVE YOU TRIED ANY PAIN MEDICATIONS +audio/RES0165.mp3[266.280,270.640] UHM NO NO I HAVENT +audio/RES0165.mp3[270.640,277.760] OK ANY CHANGES IN YOUR BOWEL MOVEMENT AT ALL LIKE CONSTIPATION OR DIARRHEA +audio/RES0165.mp3[278.920,282.760] UM ANY CHANGES IN YOUR APPETITE +audio/RES0165.mp3[284.960,291.080] OK HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY +audio/RES0165.mp3[291.080,293.720] UH NO +audio/RES0165.mp3[293.720,299.600] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0165.mp3[299.600,303.680] UM NO IM PRETTY HEALTHY +audio/RES0165.mp3[303.680,308.400] OK ANY ALLERGIES TO MEDICATION +audio/RES0165.mp3[308.920,311.920] ANY ENVIRONMENTAL ALLERGY +audio/RES0165.mp3[314.720,322.200] OK ANY PREVIOUS SO SORRY ARE YOU TAKING ANY MEDICATIONS AT ALL RIGHT NOW +audio/RES0165.mp3[322.200,325.720] UHM UM IM NOT NO +audio/RES0165.mp3[325.720,331.120] ANY PAST HOSPITALIZATIONS OR SURGERIES +audio/RES0165.mp3[331.120,334.480] UM NO +audio/RES0165.mp3[334.480,339.360] NO OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITION +audio/RES0165.mp3[339.360,342.680] JUST HIGH BLOOD PRESSURE MY MOM HAS IT +audio/RES0165.mp3[342.680,351.040] OK UHM AND CURRENTLY ARE YOU WORKING +audio/RES0165.mp3[351.040,355.440] I WAS WORKING BEFORE THE SYMPTOMS STARTED +audio/RES0165.mp3[355.440,358.280] OK AND WHAT DO YOU DO FOR WORK +audio/RES0165.mp3[358.280,361.120] I WORK AS A CUSTODIAN AT THE HOSPITAL +audio/RES0165.mp3[361.120,370.720] OK AND SO YOUVE BEEN ISOLATING AND HAVE YOU GOTTEN COVISWAB TEST YET +audio/RES0165.mp3[370.720,372.720] UHM NO I HAVENT +audio/RES0165.mp3[372.720,378.880] OK SO YEAH WE CAN DO THAT FOR YOU TODAY AFTER A PHYSICAL PHYSICAL EXAMINATION +audio/RES0165.mp3[379.560,385.320] CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE +audio/RES0165.mp3[385.320,387.320] I LIVE ALONE +audio/RES0165.mp3[387.320,389.920] OK AND DO YOU LIVE IN LIKE AN APARTMENT OR HOUSE +audio/RES0165.mp3[392.280,400.920] OK AND ANY NEW EXPOSURES AT ALL IN YOUR HOUSE TO DUST NEW CARPETS ANIMALS ANYTHING LIKE THAT +audio/RES0165.mp3[401.320,405.520] NO OK AND DO YOU SMOKE +audio/RES0165.mp3[405.520,415.280] I USED TO I DONT ANYMORE I I SMOKED WHEN I WAS IN HIGH SCHOOL MAYBE A COUPLE TIMES +audio/RES0165.mp3[415.280,419.520] AND DO YOU SMOKE MARIJUANA +audio/RES0165.mp3[420.120,424.240] UH ANY ALCOHOL +audio/RES0165.mp3[424.240,428.360] UM ONCE ONCE A DAY MAYBE ONE CLASS OF WINE AT NIGHT +audio/RES0165.mp3[428.360,436.560] YEAH SO THATS ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0165.mp3[437.800,496.160] OK SO YEAH IT SEEMS LIKE YOUVE BEEN HAVING THESE SYMPTOMS FOR THE LAST FEW DAYS THEY SEEM KIND OF LIKE VIRAL IN NATURE WITH YOUR DRY COUGH AND RUNNY NOSE SORE THROAT AND SOMETIMES WITH THESE VIRAL ILLNESSES IT MAY TAKE SOME TIME FOR THE SYMPTOMS TO GO AWAY ESPECIALLY THE COUGH SO TODAY WE WILL DO A COVISWAB TEST FOR YOU TODAY AS A LOT OF THE SYMPTOMS OVERLAP AND YOU WILL RECEIVE THE RESULT IN THE NEXT ONE TO TWO DAYS AND BE CONTACTED BY PUBLIC HEALTH FOR FURTHER INSTRUCTIONS AS FOR MANAGEMENT I THINK YOU CAN TAKE OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD DRINK LOTS OF FLUIDS AND STAY HYDRATED AND IF THOSE IF YOUR SYMPTOMS WORSEN AT ALL YOU CAN CONTACT US AGAIN +audio/RES0165.mp3[496.160,497.520] SURE THANK YOU +audio/RES0165.mp3[497.520,501.920] WELCOME TAKE CARE +audio/RES0008.mp3[0.000,10.480] I HEARD THAT YOUVE BEEN HAVING UH SOME DIFFICULTY BREATHING AND YOUVE BEEN COUGHING CAN YOU TELL A LITTLE TELL ME A LITTLE BIT MORE ABOUT THAT +audio/RES0008.mp3[10.480,22.280] YEAH SO UH A COUPLE OF DAYS AGO I JUST STARTED TO NOT FEEL SO WELL AND IVE BEEN HAVING THIS COUGH AND TROUBLE BREATHING +audio/RES0008.mp3[22.280,26.200] OK UM HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0008.mp3[26.200,42.200] I DO HAVE A UH COUGH REGULARLY BUT I MEAN I I THINK THATS RELATED TO MAYBE SMOKING ITS SOMETHING THAT WAS GOING ON FOR A FEW YEARS THIS COUGHS A LITTLE BIT DIFFERENT +audio/RES0008.mp3[42.200,45.520] OK IN WHAT WAY IS THIS DIFFERENT +audio/RES0008.mp3[45.520,57.240] ITS BEEN HAPPENING MORE OFTEN THROUGHOUT THE DAY AND AND BRINGING UP MORE MORE MUCUS IT SEEMS LIKE +audio/RES0008.mp3[57.240,62.920] OK AND THEN YOU SAID IT START STARTED A COUPLE DAYS AGO IS THAT CORRECT +audio/RES0008.mp3[62.920,68.720] YEAH I THINK LIKE MONDAY SO UH YEAH I GUESS LIKE 3 DAYS AGO THEN +audio/RES0008.mp3[68.720,76.040] OK AND SINCE YOU NOTICED IT HAS IT GOTTEN WORSE OVER THOSE THREE DAYS +audio/RES0008.mp3[76.040,83.400] YEAH I WOULD SAY UH TODAYS THE WORST DAY IVE CONTINUALLY FELT UM SICK +audio/RES0008.mp3[83.400,94.520] OK AND HOW FREQUENTLY ARE YOU COUGHING +audio/RES0008.mp3[94.520,104.680] UH I WOULD SAY MAYBE A COUPLE OF TIMES PER HOUR IM IM FILLING UP A SOME TISSUES WITH SPUTUM +audio/RES0008.mp3[104.680,108.840] AND WHAT DOES THAT WHAT DOES THAT SPUTUM LOOK LIKE +audio/RES0008.mp3[108.840,115.960] ITS LIKE A DARK GREENISH YELLOW COLOUR +audio/RES0008.mp3[115.960,127.600] OK OK UM AND IS THERE ANYTHING THAT YOUVE CHANGED RECENTLY IN YOUR LIFE OR ANY KIND OF THINGS THAT HAVE PROVOKED YOUR COUGH THAT YOU KNOW OF +audio/RES0008.mp3[127.600,138.040] UGH NO I CANT THINK OF ANYTHING IVE BEEN KIND OF STICKING TO MY REGULAR ROUTINES +audio/RES0008.mp3[138.040,148.360] OK AND IS THERE ANYTHING THAT MAKES UH MAKES IT WORSE SAY ANY POSITION OR ANYTHING THAT YOU DO IN YOUR DAY TO DAY ROUTINE YOU FIND MAKES YOU COUGH MORE +audio/RES0008.mp3[148.360,155.240] UM AND NOT REALLY I CANT I CANT THINK OF ANYTHING +audio/RES0008.mp3[155.240,163.400] OK AND HAVE YOU TAKEN ANY ANY MEDICINE OR ANYTHING TO TRY TO HELP WITH US +audio/RES0008.mp3[163.400,181.280] UM NO I IVE I I DO HAVE A LITTLE BIT OF PAIN SO I WAS I DID TAKE SOME TYLENOL AND SOME ADVIL OVER THE LAST FEW DAYS BUT THATS ABOUT IT +audio/RES0008.mp3[181.280,185.200] OK OK DID YOU FIND THAT THEY HELPED AT ALL +audio/RES0008.mp3[185.200,194.400] A LITTLE BIT YEAH BUT IT WOULD JUST KIND OF TAKE THE EDGE OFF OF THE PAIN FOR A LITTLE BIT AND IT CAME BACK +audio/RES0008.mp3[194.400,199.960] AND WHAT KIND OF PAIN IS IT THAT YOURE EXPERIENCING +audio/RES0008.mp3[199.960,208.280] UM ITS KIND OF A A SHARP PAIN OVER ON THE LIKE THE RIGHT SIDE OF MY CHEST LIKE MAYBE BELLY AREA +audio/RES0008.mp3[208.280,223.520] OK OK UM THE RIGHT SIDE OF YOUR CHEST AND BELLY AREA YEAH OK SO IS THAT PAIN IS IT DID IT START AROUND THE SAME TIME AS THE COUGH +audio/RES0008.mp3[223.520,234.880] YEAH I THINK IT IT MIGHT HAVE STARTED A LITTLE BIT AFTER +audio/RES0008.mp3[234.880,240.280] OK AND IS THIS A PAIN THAT YOUVE EVER HAD BEFORE +audio/RES0008.mp3[240.280,243.800] NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE +audio/RES0008.mp3[243.800,250.680] OK IS THE PAIN PRIMARILY THERE WHEN YOU COUGH OR IS IT PRESENT AT ALL TIMES +audio/RES0008.mp3[250.680,267.800] I WOULD SAY MORE SO WHEN I COUGH OR IF IM LIKE TAKING A BIG BREATH UM YEAH KIND OF AFTER AFTER I HAVE A COUGHING EPISODE I TAKE A DEEP BREATH AND I REALLY WILL FEEL THE PAIN THEN +audio/RES0008.mp3[267.800,273.320] OK AND AND UM YOU SAID THAT ITS A SHARP PAIN +audio/RES0008.mp3[273.320,277.720] YEAH YEAH MORE OF A SHARP PAIN +audio/RES0008.mp3[277.720,286.320] OK OK AND IS IT ANY WORSE WHEN YOURE DOING ACTIVITY LIKE WHEN YOURE UP AND WALKING AROUND +audio/RES0008.mp3[286.320,292.520] NO DONT NOTICE IT WITH ANY ANY ACTIVITY +audio/RES0008.mp3[292.520,305.400] OK OK UM AN SINCE UH SINCE THIS COUGHING AND THIS THIS RIGHT SIDED PAIN THAT YOURE TALKING ABOUT BEGAN HAVE YOU NOTICED ANY FEVERS +audio/RES0008.mp3[305.400,319.800] I THINK YEAH IVE BEEN HOT THE LAST FEW DAYS AND I I CHECKED MY TEMPERATURE EARLIER TODAY AND IT WAS LIKE 386 SO THAT WAS ONE OF THE REASONS WHY I WANTED TO COME IN ACTUALLY +audio/RES0008.mp3[319.800,332.720] OK OK WELL IM GLAD THAT IM REALLY GLAD THAT YOU CAME IN BECAUSE YEAH WE REALLY WANT TO GET THIS LOOKED INTO HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK RECENTLY +audio/RES0008.mp3[332.720,341.760] NO BUT I I DO SOME VOLUNTEER WORK AT ONE OF THE HOMELESS SHELTERS AT A FEW TIMES A WEEK SO I AM AROUND A LOT OF PEOPLE +audio/RES0008.mp3[341.760,349.480] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0008.mp3[349.480,355.760] NO IVE BEEN AT HOME AND AND DOING THE VOLUNTEER WORK +audio/RES0008.mp3[355.760,374.600] OK UM OK AND CAN YOU JUST GIVE ME AN IDEA OF ANY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY OR ANYTHING YOU TAKE MEDICATION FOR +audio/RES0008.mp3[374.600,389.640] UM YEAH I HAVE TYPE 2 DIABETES AND I I TAKE METFORMIN UM I THINK AN SGLT 2 INHIBITOR AND THEN I USE INSULIN FOR THAT AS WELL AND I HAVE SOME IT HAS AFFECTED MY KIDNEYS AS WELL THE DIABETES I MEAN +audio/RES0008.mp3[389.640,395.480] OK DO YOU HAVE A HISTORY OF HIGH BLOOD PRESSURE +audio/RES0008.mp3[395.480,397.720] I DO YES +audio/RES0008.mp3[397.720,407.560] OK DO YOU TAKE MEDICATION FOR THAT +audio/RES0008.mp3[407.560,417.000] OH YEAH I DO IT STARTS WITH AN A I THINK AMLODIPINE +audio/RES0008.mp3[417.000,421.800] OK OK AND DO YOU HAVE ANY HISTORY OF HEART PROBLEMS +audio/RES0008.mp3[421.800,430.040] NO NOT THAT I KNOW NO I HAVENT REALLY HAD ANY CHEST PAIN ON THE LEFT SIDE ANYWAY +audio/RES0008.mp3[430.040,440.440] UM SO YOU SAID THAT YOU HAVE HAD A COUGH FOR A REALLY LONG TIME A DRYER COUGH THEN YOURE HAVING SPUTUM NOW BUT IS THAT SOMETHING YOUVE SEEN THE DOCTOR FOR +audio/RES0008.mp3[440.440,453.880] OH YEAH I THINK I WAS CALLED LIKE BRONCHITIS IN THE PAST OR SOMETHING SOMETHING LIKE THAT ONE OF THE DOCTORS MY FAMILY DOCTOR TOLD ME IT WAS BECAUSE I WAS A SMOKER +audio/RES0008.mp3[453.880,462.040] OK SO JUST TO MAKE SURE I HAVE YOUR LIST OF MEDICATIONS YOU TAKE AMLODIPINE INSULIN +audio/RES0008.mp3[462.040,467.680] METFORMIN AND AN SG LT2 INHIBITOR YOU THINK ANYTHING ELSE +audio/RES0008.mp3[467.680,478.480] UM AND THEN YEAH AMLODIPINE UH YEAH I THINK THAT THAT THATS EVERYTHING OH A MULTIVITAMIN TOO +audio/RES0008.mp3[478.480,486.200] OK COOL I JUST WANTED TO ASK YOU A FEW QUESTIONS QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU LIVE HERE IN TOWN +audio/RES0008.mp3[486.200,492.840] I DO YEAH I LIVE WITH MY WIFE AND AT A HOUSE NEARBY +audio/RES0008.mp3[492.840,498.560] OK COOL AND YOU MENTIONED THAT YOURE A SMOKER +audio/RES0008.mp3[498.560,506.000] YEAH SO IVE SMOKED FOR THE LAST 30 YEARS OR SO ABOUT A PACK PER DAY +audio/RES0008.mp3[506.000,508.800] OK DO YOU DRINK ALCOHOL +audio/RES0008.mp3[508.800,511.600] NO I DONT +audio/RES0008.mp3[511.600,514.840] DO YOU USE ANY OTHER SUBSTANCE +audio/RES0008.mp3[514.840,518.120] I DONT NO +audio/RES0008.mp3[518.120,525.600] OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY OR HEART PROBLEMS +audio/RES0008.mp3[525.600,535.320] YEAH MY DAD ACTUALLY HAD A HEART ATTACK HE WAS IN HIS 70S I THINK MY MOM HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT NO +audio/RES0008.mp3[535.320,541.160] OK UM AND DO YOU HAVE ANY ALLERGIES +audio/RES0008.mp3[541.160,548.400] I THINK JUST ENVIRONMENTAL STUFF NO MEDICATIONS I AM AWARE OF +audio/RES0008.mp3[548.400,559.960] OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME IM GOING TO GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL KIND OF COME BACK AND LET YOU KNOW ABOUT THE NEXT STEPS +audio/RES0008.mp3[559.960,562.000] OK THANK YOU THAT SOUNDS GOOD +audio/MSK0049.mp3[0.000,1.040] HOW MAY I HELP YOU +audio/MSK0049.mp3[1.040,34.920] IM HERE BECAUSE UM IVE BEEN HAVING SOME PAIN IN MY LEFT KNEE FOR THE PAST TWO MONTHS AND ITS NOT GETTING BETTER IT FEELS STIFF AND UM I JUST HAVENT BEEN ABLE TO UH YOU KNOW USE IT AS WELL AS WELL AS I WAS USING IT BEFORE UM AND ITS JUST LIMITED SOME OF MY DAILY ACTIVITIES +audio/MSK0049.mp3[34.920,48.040] OK UM AND WHERE UH SO ITS THE PAIN IS IN YOUR LEFT KNEE WHERE ARE YOU FEELING THIS PAIN SPECIFICALLY IS IT AT THE FRONT OF THE KNEE THE SIDES OR OR THE THE BACK COULD YOU POINT TO IT +audio/MSK0049.mp3[48.040,51.840] IT FEELS LIKE ITS MOSTLY ON THE FRONT +audio/MSK0049.mp3[52.520,57.720] LIKE DEEP WITHIN THAT UM KNEECAP +audio/MSK0049.mp3[57.720,61.440] OK AND YOU SAID THE PAIN STARTED TWO MONTHS AGO +audio/MSK0049.mp3[61.440,73.880] YES WELL ITS ALWAYS BEEN A LITTLE LIKE TENDER UM BUT NOW ITS MORE PAINFUL +audio/MSK0049.mp3[73.880,78.240] OK AND SO SO HAS IT BEEN GETTING WORSE +audio/MSK0049.mp3[78.240,86.120] I WOULD SAY SO SLOWLY GETTING WORSE +audio/MSK0049.mp3[86.120,94.080] OK UH AND WHEN YOU GET UH PAIN IN THE LEFT KNEE HOW LONG DOES IT TYPICALLY LAST FOR +audio/MSK0049.mp3[94.080,124.200] IT USUALLY HURTS WHILE IM DOING WHILE IM MOVING IT OR JUST AFTER BUT IF I IF I REST THE PAIN EVENTUALLY GOES AWAY UM BUT WHEN I FIRST WAKE UP IN THE MORNING THAT JOINT FEELS STIFF AND THEN WHEN I START USING IT USING IT MORE ITS LESS STIFF BUT IT BECOMES PAINFUL +audio/MSK0049.mp3[124.200,127.360] OK SO YOU HAVE SOME STIFFNESS IN THE MORNING +audio/MSK0049.mp3[127.360,128.840] I DO +audio/MSK0049.mp3[128.840,135.240] OK AND HOW LONG DOES IT LAST FOR LIKE 30 MINUTES 60 MINUTES OR OR LONGER +audio/MSK0049.mp3[135.240,137.240] THE STIFFNESS OR PAIN +audio/MSK0049.mp3[137.240,140.040] YEAH THE THE STIFFNESS +audio/MSK0049.mp3[140.040,146.680] UH THE STIFFNESS GOES AWAY IN LIKE YEAH 15 TO 30 MINUTES +audio/MSK0049.mp3[146.680,159.840] OK AND HOW WOULD YOU DESCRIBE THE PAIN UM IN TERMS OF ITS CHARACTER +audio/MSK0049.mp3[159.840,172.800] IT FEELS IT FEELS UH I GUESS MOST OF THE TIME ITS LIKE ITS LIKE A DULL KIND OF PAIN BUT IT CAN BE SHARP +audio/MSK0049.mp3[172.800,179.600] OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE +audio/MSK0049.mp3[179.600,183.160] JUST WITH A LOT OF ACTIVITY IT GETS WORSE +audio/MSK0049.mp3[183.160,186.400] AND YOU FEEL IT RADIATE ANYWHERE ELSE +audio/MSK0049.mp3[188.520,202.920] OK AND HOW WOULD YOU DESCRIBE THE SEVERITY OF YOUR PAIN ON A SCALE OF 10 BEING THE WORST PAIN YOUVE EVER FELT AND 1 BEING KIND OF VERY MINIMAL PAIN +audio/MSK0049.mp3[202.920,207.800] UHM I WOULD GIVE IT MAYBE UH 7 +audio/MSK0049.mp3[207.800,213.800] OK AND HAVE YOU HAD ANY INJURIES TO YOUR KNEE BEFORE +audio/MSK0049.mp3[213.800,220.240] NO NOT THAT I CAN THINK OF +audio/MSK0049.mp3[220.240,227.880] NO OK UM AND HAVE YOU BEEN HAVING ANY UH ANY WEIGHT LOSS RECENTLY +audio/MSK0049.mp3[227.880,230.120] UH NO WEIGHT GAIN +audio/MSK0049.mp3[230.120,237.640] WEIGHT GAIN OK HOW MUCH WEIGHT HAVE YOU GAINED OVER THE LAST UH SEVERAL MONTHS +audio/MSK0049.mp3[237.640,244.120] OVER THE PAST SIX MONTHS ID SAY IVE GAINED ABOUT 20 POUNDS +audio/MSK0049.mp3[244.120,251.480] OK HAVE YOU HAD CHANGES IN YOUR DIET AND OR EXERCISE +audio/MSK0049.mp3[251.480,258.760] UM I GUESS IVE BEEN EATING A LITTLE BIT MORE UM BUT NO CHANGES IN EXERCISE +audio/MSK0049.mp3[258.760,263.960] OK UM HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/MSK0049.mp3[265.480,268.720] OK HOW ABOUT ANY NIGHT SWEATS +audio/MSK0049.mp3[268.720,270.840] UH NO NIGHT SWEATS +audio/MSK0049.mp3[270.840,276.040] OK UM HAVE YOU HAD ANY CHANGES TO YOUR VISION OR HEARING +audio/MSK0049.mp3[276.640,283.560] OK HAVE YOU HAD ANY CHANGES TO YOUR UH SENSE OF SMELL OR SENSE OF TASTE +audio/MSK0049.mp3[285.160,288.640] OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT +audio/MSK0049.mp3[290.720,295.800] HAVE YOU HAD A COUGH OR OR ANY SHORTNESS OF BREATH +audio/MSK0049.mp3[295.800,299.200] UH NO NOTHING LIKE THAT +audio/MSK0049.mp3[299.200,304.040] OK HOW ABOUT ANY UH WHEEZING +audio/MSK0049.mp3[304.040,305.320] NO WHEEZING +audio/MSK0049.mp3[305.320,309.360] ALRIGHT ANY CHEST PAIN OR HEART PALPITATIONS +audio/MSK0049.mp3[310.800,314.520] ALRIGHT HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS +audio/MSK0049.mp3[316.200,319.480] ALRIGHT AND ANY CONFUSION OR MEMORY LOSS +audio/MSK0049.mp3[321.120,328.880] ALRIGHT AND HAVE YOU HAD ANY CHANGES IN APPETITE LIKE A LOSS OF APPETITE +audio/MSK0049.mp3[328.880,332.520] UH NO I IF ANYTHING HAD A GAIN IN APPETITE +audio/MSK0049.mp3[332.520,337.120] ALRIGHT UH HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/MSK0049.mp3[337.880,343.680] HOW ABOUT ANY ABDOMINAL PAIN +audio/MSK0049.mp3[344.480,351.120] ALRIGHT UM AND HOW ABOUT ANY URINARY PROBLEMS +audio/MSK0049.mp3[351.120,353.200] UH NO URINARY PROBLEMS +audio/MSK0049.mp3[353.200,359.200] UM ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR BLOOD IN THE STOOL +audio/MSK0049.mp3[361.240,367.800] ALRIGHT AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES OR CHANGES TO YOUR HAIR OR NAILS +audio/MSK0049.mp3[367.800,370.440] NO NOTHING LIKE THAT +audio/MSK0049.mp3[370.440,375.480] OK AND ANY OTHER JOINT PAINS OR HAVE YOU OR DO YOU HAVE ANY JOINT SWELLING +audio/MSK0049.mp3[375.480,390.000] UH I HAVE SOME JOINT UM SWELLING ITS ITS NOT VERY VISIBLE BUT ITS IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY LEFT SORRY THAN MY RIGHT KNEE +audio/MSK0049.mp3[390.000,395.360] OK SO JUST A LITTLE BIT OF SWELLING IN YOUR LEFT KNEE BUT NO OTHER JOINTS +audio/MSK0049.mp3[398.120,405.360] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/MSK0049.mp3[405.360,415.880] UM I HAVE UM DIABETES HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND IM OVERWEIGHT +audio/MSK0049.mp3[415.880,421.040] OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THOSE CONDITIONS +audio/MSK0049.mp3[421.040,433.640] IM ON INSULIN FOR DIABETES UM IM ON RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ALSO ON A STATIN FOR THE CHOLESTEROL +audio/MSK0049.mp3[433.640,441.600] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/MSK0049.mp3[443.200,449.960] ALRIGHT AND UH HAVE YOU HAD ANY SURGERIES IN THE PAST +audio/MSK0049.mp3[451.520,455.720] ALRIGHT AND UM ARE YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0049.mp3[455.720,457.840] I THINK SO +audio/MSK0049.mp3[457.840,466.320] ALRIGHT UH AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE LIKE WHO YOURE LIVING WITH AND WHEREABOUTS +audio/MSK0049.mp3[466.320,474.640] UM I LIVE WITH MY HUSBAND IN A HOUSE DOWNTOWN +audio/MSK0049.mp3[474.640,477.840] OK UM AND ARE YOU WORKING CURRENTLY +audio/MSK0049.mp3[477.840,483.480] NO I RETIRED EARLY +audio/MSK0049.mp3[483.480,487.200] OK UM DO YOU DRINK ALCOHOL +audio/MSK0049.mp3[487.200,490.560] UM ILL HAVE A GLASS OF WINE EVERY NIGHT +audio/MSK0049.mp3[490.560,494.920] OK SO ABOUT 7 DRINKS PER WEEK +audio/MSK0049.mp3[496.400,499.720] OK AND UM DO YOU SMOKE CIGARETTES +audio/MSK0049.mp3[499.720,501.760] UH NO I DONT +audio/MSK0049.mp3[501.760,509.360] ALRIGHT HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR UH OR ANYTHING ELSE +audio/MSK0049.mp3[509.960,525.480] ALRIGHT UM AND IS THERE ANY UH LIKE MUSCULOSKELETAL OR LIKE AUTOIMMUNE CONDITIONS THAT RUN IN THE FAMILY +audio/MSK0049.mp3[525.480,530.760] UHM NO MUSCULOSKELETAL ISSUES UH THAT I KNOW DIABETES RUNS IN THE FAMILY +audio/MSK0049.mp3[530.760,550.640] OK UM ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO NEXT I JUST WANTED TO DO A PHYSICAL EXAM AND JUST LOOKING AT THE LEFT KNEE ARE YOU SEEING ANY UM SWELLING OR REDNESS UH ON THE KNEE +audio/MSK0049.mp3[550.640,556.360] UM IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY RIGHT KNEE +audio/MSK0049.mp3[556.360,559.240] OK BUT ARE YOU SEEING ANY REDNESS +audio/MSK0049.mp3[559.240,561.040] NO REDNESS +audio/MSK0049.mp3[561.040,566.880] OK AND ARE THERE ANY TEMPERATURE CHANGES LIKE DOES THE KNEE FEEL HOT OR OR WARM +audio/MSK0049.mp3[567.600,579.800] OK AND IF YOU UM PRESS ALONG THE UH JOINT LINE DO YOU FEEL ANY PAIN +audio/MSK0049.mp3[579.800,584.560] UHM YEAH IT FEELS A LITTLE TENDER +audio/MSK0049.mp3[584.560,594.160] OK AND HOW ABOUT PAIN OVER ANY OF THE MUSCLES LIKE THE THIGH MUSCLES OR THE HAMSTRINGS OR THE CALF MUSCLES +audio/MSK0049.mp3[594.160,595.840] NO THOSE ARE FINE +audio/MSK0049.mp3[595.840,600.520] OK AND THEN HOW ABOUT ANY PAIN OVER THE PATELLA OR KNEECAP +audio/MSK0049.mp3[600.520,607.840] THAT THATS A LITTLE BIT MORE PAINFUL +audio/MSK0049.mp3[607.840,618.400] OK AND ARE YOU ABLE TO BEND YOUR KNEE UH LIKE LIKE FLEX IT STRAIGHTEN IT +audio/MSK0049.mp3[618.400,623.880] UH I CAN DO THAT ITS JUST PAINFUL WHEN I DO THAT +audio/MSK0049.mp3[623.880,633.680] OK UM AND UH AND THEN HOW ABOUT WALKING ARE YOU UM DO YOU HAVE AN ANTALGIC GAIT OR OR OR A LIMP +audio/MSK0049.mp3[633.680,650.080] UHM NO NO WELL I GUESS IM IM PUTTING MORE WEIGHT ON MY RIGHT KNEE SO IT MIGHT APPEAR TO SOME PEOPLE THAT I DO HAVE A SLIGHT LIMP +audio/MSK0049.mp3[650.080,657.000] OK AND ANY ISSUES WITH MOVING YOUR HIP OR YOUR ANKLE +audio/MSK0049.mp3[657.000,658.680] UH NO +audio/MSK0049.mp3[658.680,664.440] OK UM SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND CHECK TODAY DID DID YOU HAVE ANY QUESTIONS +audio/MSK0049.mp3[664.440,671.240] UM YEAH SO UM HOW DO YOU HOW CAN I TREAT MY KNEE +audio/MSK0049.mp3[671.240,751.640] YEAH CERTAINLY SO IT IT SOUNDS LIKE UM THIS COULD BE MOST LIKELY OSTEOARTHRITIS UM OF THE LEFT KNEE WHICH UH IS SOMETHING THAT WOULD BE BEST TREATED WITH UH TRYING TO STAY AS ACTIVE AS YOU CAN BUT BUT ALSO PACING YOUR ACTIVITIES AS WELL SO THAT YOURE NOT UM DOING SO MUCH THAT THE NEXT DAY YOURE IN SIGNIFICANT AMOUNT OF PAIN BUT ITS IMPORTANT TO REMEMBER THAT UM ACTIVITY WILL HELP UM WITH KEEPING YOUR KNEE MOBILE BUT ALSO UM ACTUALLY HELP WITH REDUCING PAIN AS WELL AND THEN ALSO UH YOU COULD USE TYLENOL UM AS A MEDICATION FOR IT I WOULDNT RECOMMEND IBUPROFEN OR NSAIDS ON A LONG TERM BASIS ALTHOUGH YOU COULD TAKE THOSE IF YOURE HAVING LIKE AN ACUTE FLARE UP OF YOUR PAIN UM AND THEN ALSO LIKE TOPICAL AGENTS SUCH AS UM LIKE VOLTAREN OR SOMETHING LIKE THAT YOU COULD PUT ON YOUR KNEE AND UM IF ITS REALLY BAD AND IT KEEPS UM CONTINUING ON WE CAN CONSIDER SOMETHING LIKE A STEROID INJECTION AS WELL +audio/MSK0049.mp3[751.640,755.480] OK YEAH THAT SOUNDS GOOD THANK YOU +audio/MSK0049.mp3[755.480,759.400] ALRIGHT THANK YOU +audio/GAS0002.mp3[0.000,7.040] I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TO THE EMERGENCY DEPARTMENT TODAY +audio/GAS0002.mp3[7.040,18.600] YEAH SO NICE TO MEET YOU IVE BEEN HAVING THIS PAIN RIGHT IN MY ABDOMEN ITS KIND OF LIKE IN THE UPPER RIGHT AREA +audio/GAS0002.mp3[18.600,24.480] OK AND SO UH WHEN WHERE IS THIS PAINTING LOCATED EXACTLY +audio/GAS0002.mp3[24.480,38.200] SO ITS JUST IN THE UPPER RIGHT CORNER OF MY ABDOMEN RIGHT BELOW WHERE THE LUNGS ARE AND IT YEAH ITS JUST I HAVE THIS SEVERE PAIN THATS GOING ON +audio/GAS0002.mp3[38.200,42.360] OK AND HOW LONG IS IT BEEN GOING ON FOR +audio/GAS0002.mp3[42.360,51.040] SO ITS BEEN GOING ON FOR THE LAST FEW DAYS AND IT GOT WORSE TODAY +audio/GAS0002.mp3[51.040,63.320] OK AND HOW LONG IS IT BEEN SINCE ITS LIKE GOT GOT WORSE HAS THIS BEEN A FEW HOURS OR OR HOW LONG IS THAT BEEN +audio/GAS0002.mp3[63.320,72.920] SO I WOULD SAY IT GOT WORSE JUST THREE OR FOUR HOURS AGO BEFORE I CAME TO THE EMERGENCY DEPARTMENT +audio/GAS0002.mp3[72.920,79.600] OK AND DOES THE PAIN RADIATE ANYWHERE +audio/GAS0002.mp3[79.600,89.680] UH NO IT STAYS RIGHT IN THE IN THE SPOT THAT I TOLD YOU RIGHT IN THE RIGHT UPPER CORNER +audio/GAS0002.mp3[89.680,99.480] OK AND WHEN DID THE PAIN START OR IF YOU COULD TELL ME WHAT WERE YOU DOING RIGHT PRIOR TO THE PAIN STARTING +audio/GAS0002.mp3[99.480,114.320] SO I THINK IT STARTED AFTER JUST THREE DAYS AGO AFTER I HAD A MEAL LIKE I I THINK IT WAS AFTER LUNCH AROUND HALF AN HOUR OR AN HOUR AFTER LUNCH +audio/GAS0002.mp3[114.320,126.640] I SEE OK HAS THE PAIN GOTTEN WORSE STAYED THE SAME OR GOTTEN BETTER SINCE SINCE YESTERDAY +audio/GAS0002.mp3[126.640,143.160] I THINK ITS GOTTEN IT WAS ITS THE WORST TODAY LIKE ESPECIALLY LIKE A FEW HOURS AGO LIKE 3 HOURS AGO IT WAS MUCH WORSE THAN THE OTHER TWO DAYS +audio/GAS0002.mp3[143.160,152.080] OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN +audio/GAS0002.mp3[152.080,156.600] SO ITS LIKE A SHARP I WOULD DESCRIBE IT AS LIKE A SHARP PAIN +audio/GAS0002.mp3[156.600,163.920] OK AND ON A SCALE OF 1 TO 10 10 BEING THE MOST SEVERE PAIN WHAT WOULD YOU RATE IT AS +audio/GAS0002.mp3[163.920,169.040] I WOULD RATE IT AS RIGHT NOW I WOULD RATE IT AS AN 8 +audio/GAS0002.mp3[169.040,174.880] OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE +audio/GAS0002.mp3[174.880,187.880] I THINK IT HAPPENED TO ME A FEW YEARS BACK WHERE I HAD THIS PAIN AND THEN IT JUST KIND OF WENT AWAY ON ITS OWN I DIDNT GO TO THE EMERGENCY DEPARTMENT THEN THOUGH +audio/GAS0002.mp3[187.880,194.080] OK AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THIS PAIN ANY BETTER +audio/GAS0002.mp3[194.080,203.680] I TRIED TAKING JUST LIKE ADVIL AND TYLENOL BUT IT DIDNT REALLY SEEM TO HELP THE PAIN TOO MUCH +audio/GAS0002.mp3[203.680,216.640] OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS SUCH AS NAUSEA OR OR VOMITING +audio/GAS0002.mp3[216.640,223.880] IVE IVE HAD SOME NAUSEA OVER THE PAST FEW DAYS BUT I HAVENT VOMITED ANYTHING +audio/GAS0002.mp3[223.880,233.320] OK SO NO BLOOD IN YOUR EMESIS UH OR NO VOMITING AT ALL +audio/GAS0002.mp3[233.320,235.120] UH YEAH +audio/GAS0002.mp3[235.120,240.000] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/GAS0002.mp3[240.000,245.840] UH NO LIKE WE HAVENT TRAVELED ANYWHERE RECENTLY +audio/GAS0002.mp3[245.840,251.160] OK AND HOW HAS YOUR ENERGY LEVELS BEEN +audio/GAS0002.mp3[251.160,269.560] UH ENERGY UH WHEN ITS HURTING A LOT LIKE TODAY IVE BEEN ITS BEEN DIFFICULT TO MOVE AROUND IVE BEEN PRETTY DRAINED FROM THE PAIN BUT UH OTHERWISE OVER THE LAST FEW DAYS IT HASNT AFFECTED ME TOO MUCH BUT TODAY I WOULD SAY MY ENERGY LEVELS ARE DOWN +audio/GAS0002.mp3[269.560,276.360] OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR ANY RASHES +audio/GAS0002.mp3[276.360,282.120] I DONT THINK SO I MEAN I DONT THINK IVE NOTICED ANY KIND OF SKIN CHANGES +audio/GAS0002.mp3[282.120,292.920] OK AND HOW ABOUT ANY CHANGES TO URINARY HABITS LIKE PAINFUL URINATION OR THE COLOR OF YOUR URINE +audio/GAS0002.mp3[292.920,294.560] NO NO NO CHANGES +audio/GAS0002.mp3[294.560,305.160] OK AND HAVE YOU HAD ANY CHANGES TO BOWEL PATTERNS SUCH AS DIARRHEA OR CHANGES IN COLOR OF YOUR STOOL +audio/GAS0002.mp3[305.160,308.800] NO I DONT THINK SO NO CHANGES THAT IVE NOTICED +audio/GAS0002.mp3[308.800,312.800] OK SO NOTICE ANY BLOOD IN THE STOOL +audio/GAS0002.mp3[312.800,314.520] NO NO BLOOD +audio/GAS0002.mp3[314.520,319.000] OK AND HOW HAS YOUR APPETITE BEEN +audio/GAS0002.mp3[319.000,335.360] ITS IT WAS AROUND THE SAME BEFORE THE PAIN ACTUALLY STARTED GETTING WORSE SO TODAY I DIDNT REALLY FEEL LIKE EATING I DID HAVE NAUSEA OVER THE PAST FEW DAYS BUT MY APPETITE I WOULD SAY IS THE WORST TODAY +audio/GAS0002.mp3[335.360,339.680] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR WEIGHT RECENTLY +audio/GAS0002.mp3[339.680,342.640] NO NO I DONT THINK SO +audio/GAS0002.mp3[342.640,346.640] OK AND HAVE YOU HAD ANY RECENT INFECTIONS +audio/GAS0002.mp3[346.640,349.680] NO NOT NOT THAT I KNOW OF +audio/GAS0002.mp3[349.680,364.720] OK SO NEXT JUST TO ASK SOME QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/GAS0002.mp3[364.720,373.640] UH SO I THINK THE ONLY THING IS MY DOCTOR TOLD ME THAT I SHOULD LOSE SOME WEIGHT BUT OTHER THAN THAT NO MEDICAL HISTORY +audio/GAS0002.mp3[373.640,378.400] OK AND ANY ALLERGIES TO MEDICATIONS +audio/GAS0002.mp3[378.400,381.360] UH NO NO ALLERGIES +audio/GAS0002.mp3[381.360,390.000] AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS EITHER PRESCRIBED OR OVER THE COUNTER +audio/GAS0002.mp3[390.000,407.520] UH NOT PRESCRIBED SOMETIMES I TAKE LIKE SOME ANTACIDS WHEN I GET HEARTBURN BUT THIS IS JUST LIKE A COUPLE TIMES A MONTH AFTER DINNER SOMETIMES AT NIGHT BUT THATS ABOUT IT +audio/GAS0002.mp3[407.520,412.400] OK AND UH ANY UM HOSPITALIZATIONS +audio/GAS0002.mp3[412.400,420.760] JUST FOR JUST WHEN I HAD MY CHILDREN AT THE TIME OF THEIR BIRTH BUT THATS IT +audio/GAS0002.mp3[420.760,425.160] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/GAS0002.mp3[427.000,431.920] OK AND HAVE YOU HAD ANY PRIOR SURGERIES +audio/GAS0002.mp3[431.920,434.280] NOPE NO PRIOR SURGERIES +audio/GAS0002.mp3[434.280,446.440] OK AND ANY FAMILY HISTORY OF GALLBLADDER DISEASE OR CARDIOVASCULAR DISEASE IN THE FAMILY +audio/GAS0002.mp3[446.440,456.160] UM SO MY FATHER DIED OF A STROKE WHEN HE WAS IN HIS 60S MY MOTHER DOES HAVE GALLSTONES +audio/GAS0002.mp3[456.160,461.200] OK AND WHAT DO YOU DO FOR WORK +audio/GAS0002.mp3[461.200,468.320] SO I WORK IN AT THE BANK AS A CONSULTANT +audio/GAS0002.mp3[468.320,475.400] OK AND DO YOU DRINK ALCOHOL +audio/GAS0002.mp3[475.400,485.040] UH YEAH SOMETIMES MAYBE ONE OR TWO GLASSES OF WINE EVERY NIGHT +audio/GAS0002.mp3[485.040,491.720] OK AND DO YOU FEEL THE NEED TO CUT DOWN ON YOUR DRINKING +audio/GAS0002.mp3[491.720,494.400] NO NOT REALLY +audio/GAS0002.mp3[494.400,499.560] OK HAVE YOU EVER FELT ANNOYED BY PEOPLE CRITICIZING YOUR DRINKING +audio/GAS0002.mp3[499.560,501.600] UH NO +audio/GAS0002.mp3[501.600,505.640] OK HAVE YOU FELT GUILTY ABOUT YOUR DRINKING +audio/GAS0002.mp3[505.640,508.400] UH NO SO SHOULD I BE +audio/GAS0002.mp3[508.400,532.000] UHM NO AT THE AT THIS TIME JUST WANTING TO GAUGE A SENSE OF HOW YOU FEEL ABOUT YOUR DRINKING LEVELS AT THIS TIME AND THE FOLLOW UP QUESTION TO THAT WOULD BE HAVE YOU EVER FELT THE NEED TO HAVE A DRINK EARLY IN THE MORNING +audio/GAS0002.mp3[532.000,540.280] UH NO NO IVE NEVER DRANK I DONT DRINK IN THE MORNING +audio/GAS0002.mp3[540.280,543.640] OK AND DO YOU USE RECREATIONAL DRUGS +audio/GAS0002.mp3[543.640,545.480] UH NO NEVER +audio/GAS0002.mp3[545.480,550.000] OK AND DO YOU SMOKE CIGARETTES +audio/GAS0002.mp3[550.920,562.560] AND UM DO OH AND THEN UM WHO ARE YOU LIVING WITH CURRENTLY AT HOME +audio/GAS0002.mp3[562.560,568.640] AND SO IM LIVING WITH MY TWO CHILDREN AND MY PARTNER +audio/GAS0002.mp3[568.640,573.320] AND CAN YOU TELL ME A LITTLE BIT ABOUT THE HOME SITUATION +audio/GAS0002.mp3[573.320,584.120] YEAH THE HOME SITUATION IS FINE LIKE KIDS ARE DOING GREAT AND MY PARTNER IS VERY SUPPORTIVE NO NO ISSUES THAT I CAN THINK OF AT HOME +audio/GAS0002.mp3[584.120,585.160] OK EXCELLENT +audio/RES0060.mp3[0.000,2.640] WHAT BRINGS YOU IN +audio/RES0060.mp3[2.640,21.000] SO IVE HAD A FEVER THAT I MEASURED THIS MORNING AND I HAD A COUGH IVE HAD A COUGH THESE LAST SEVERAL DAYS YEAH TODAY IS FRIDAY SO IT STARTED MONDAY SO I GUESS LIKE YEAH THE COUGH STARTED FOUR DAYS AGO +audio/RES0060.mp3[21.000,29.280] OK AND THE FEVER STARTED FOUR DAYS AGO AS WELL +audio/RES0060.mp3[29.280,45.360] WELL IVE BEEN FEELING HOT THIS WEEK BUT I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THE FIRST TIME I CHECKED IT AND IT WAS 385 +audio/RES0060.mp3[45.360,64.240] OK SO THATS DEFINITELY A FEVER SO WE CAN TAKE YOUR TEMPERATURE TODAY AS WELL UMM SO HAVE YOUR SYMPTOMS BEEN THE SAME OR GETTING WORSE OR BE GETTING BETTER OVER THE PAST FEW DAYS +audio/RES0060.mp3[64.240,75.440] THEY ARE GETTING WORSE IVE BEEN STARTING TO FEEL REALLY FATIGUED AND UH TIRED AS WELL AND THE COUGH HAS GOTTEN WORSE TOO +audio/RES0060.mp3[75.440,80.280] OK HAVE YOU EVER FELT LIKE THIS BEFORE +audio/RES0060.mp3[80.280,98.040] I MEAN MAYBE A REALLY LONG TIME AGO WHEN I WAS A KID OR SOMETHING LIKE THAT MAYBE I HAD THE FLU BUT NOTHING RECENTLY +audio/RES0060.mp3[98.040,102.320] OK AND DO YOU HAVE A SORE THROAT AT ALL +audio/RES0060.mp3[102.320,111.040] NO SORE THROAT IT DOES GET A LITTLE SCRATCHY WITH MY COUGH BUT HASNT BEEN SORE +audio/RES0060.mp3[111.040,115.560] OK AND DO YOU HAVE ANY ISSUES SWALLOWING FOOD +audio/RES0060.mp3[115.560,123.320] NO BUT I HAVENT BEEN AS HUNGRY +audio/RES0060.mp3[123.320,132.520] OK YOU HAVENT BEEN AS HUNGRY UM HAVE YOU HAD ANY CHANGES TO YOUR TASTE +audio/RES0060.mp3[132.520,137.400] NO I FEEL LIKE IVE BEEN TASTING MY FOOD OK +audio/RES0060.mp3[137.400,140.160] OK HOW ABOUT SMELL +audio/RES0060.mp3[140.160,144.280] I FEEL LIKE IVE BEEN ABLE TO SMELL +audio/RES0060.mp3[144.280,151.920] OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE DO YOU FEEL CONGESTED +audio/RES0060.mp3[151.920,161.080] MAYBE A LITTLE RUNNY BUT NOT TOO BAD +audio/RES0060.mp3[161.080,166.440] OK HOW ABOUT YOUR HEARING OR VISION ANY CHANGES THERE +audio/RES0060.mp3[166.440,169.320] NO I HAVENT NOTICED ANYTHING +audio/RES0060.mp3[169.320,174.480] OK ANY PAIN OR DISCHARGE FROM EITHER YOUR EARS OR EYES +audio/RES0060.mp3[174.480,176.560] NO NOTHING LIKE THAT +audio/RES0060.mp3[176.560,183.360] OK SO LETS GO BACK TO THE COUGH UM ARE YOU PRODUCING ANY SPUTUM +audio/RES0060.mp3[183.360,184.800] NO SPUTUM +audio/RES0060.mp3[184.800,187.800] OK SO ITS A DRY COUGH +audio/RES0060.mp3[187.800,189.480] YEAH IT IS +audio/RES0060.mp3[189.480,193.000] OK ANY BLOOD ASSOCIATED WITH THE COUGH +audio/RES0060.mp3[193.000,194.760] I HAVENT SEEN ANY BLOOD +audio/RES0060.mp3[194.760,198.200] OK DO YOU FEEL WHEEZY AT ALL +audio/RES0060.mp3[198.200,200.560] I HAVENT NOTICED ANY WHEEZING +audio/RES0060.mp3[200.560,205.240] OK HOW ABOUT SHORTNESS OF BREATH +audio/RES0060.mp3[205.240,214.880] USUALLY WELL AFTER SOME OF MY COUGHING FITS I CAN BE A LITTLE BIT SHORTER IN BREATH BUT OTHERWISE THEYVE BEEN +audio/RES0060.mp3[214.880,219.440] OK ANY CHEST PAIN +audio/RES0060.mp3[219.440,225.720] NO I HAVENT HAD ANY CHEST PAIN +audio/RES0060.mp3[225.720,229.120] DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0060.mp3[229.120,230.440] NO I DONT +audio/RES0060.mp3[230.440,234.760] OK AND ANY NIGHT SWEATS OR CHILLS +audio/RES0060.mp3[234.760,241.480] I HAVE FELT A LITTLE CHILLY AT NIGHT BUT I HAVENT HAD ANY NIGHT SWEATS +audio/RES0060.mp3[241.480,248.520] OK AND HOW ABOUT WEIGHT LOSS HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS +audio/RES0060.mp3[248.520,258.720] NO ITS BEEN ABOUT THE SAME MAYBE DOWN A FEW POUNDS OVER THIS WEEK AS I JUST HAVENT BEEN EATING AS MUCH +audio/RES0060.mp3[258.720,268.040] OK YEAH UMM DOES ANYTHING MAKE THE COUGH BETTER OR WORSE +audio/RES0060.mp3[268.040,274.520] UMM NO I CANT THINK OF ANYTHING +audio/RES0060.mp3[274.520,280.720] OK AND HOW HAVE YOUR BOWEL MOVEMENTS BEEN +audio/RES0060.mp3[280.720,284.400] THEYVE I WOULD SAY THEYVE BEEN NORMAL +audio/RES0060.mp3[284.400,290.120] OK AND ANY ABDOMINAL PAIN +audio/RES0060.mp3[290.120,295.120] NO PAIN BUT I HAVE BEEN A LITTLE NAUSEOUS +audio/RES0060.mp3[295.120,299.520] NAUSEOUS OK HAVE YOU THROWN UP +audio/RES0060.mp3[299.520,304.280] NO I HAVENT VOMITED BUT IVE CERTAINLY FELT LIKE IT A FEW TIMES +audio/RES0060.mp3[304.280,309.440] OK AND ANY TRIGGERS FOR YOUR NAUSEA +audio/RES0060.mp3[309.440,332.480] OH I CANT THINK OF ANYTHING IT JUST SORT OF CAME ON AND IT REALLY WENT AWAY ON ITS OWN PRETTY QUICKLY BUT UH I DONT KNOW MAYBE IT WAS WHEN I HAD MY HEADACHE +audio/RES0060.mp3[332.480,336.280] OK WHEN WHEN DID YOUR HEADACHE START +audio/RES0060.mp3[336.280,350.120] UM SO ITS BEEN ON AND OFF THESE LAST SEVERAL DAYS SO IVE BEEN KIND OF RESTING A BIT MORE TOO +audio/RES0060.mp3[350.120,358.160] OK YEAH YOU SAID PAST SEVERAL DAYS HAVE YOU EVER HAD HEADACHES BEFORE THAT +audio/RES0060.mp3[358.160,371.640] YEAH IVE HAD I THINK THEYRE CALLED TENSION HEADACHES I GET THOSE EVERY SO OFTEN AND WILL TAKE ADVIL OR SOMETHING LIKE THAT FOR THEM AND THEY USUALLY GO AWAY +audio/RES0060.mp3[371.640,376.520] OK DO THESE HEADACHES FEEL LIKE THE SAME HEADACHES +audio/RES0060.mp3[376.520,382.920] YEAH THEY THEY FEEL ABOUT THE SAME KIND OF LIKE A PRESSURE OR VICE GRIP ON MY HEAD +audio/RES0060.mp3[382.920,390.600] OK SO ITS NOT LIKE THE WORST HEADACHE YOUVE EVER EXPERIENCED +audio/RES0060.mp3[390.600,400.600] NO I THINK ITS JUST BEEN A PART OF HOW I HAVENT BEEN FEELING WELL THESE THESE LAST FEW DAYS +audio/RES0060.mp3[400.600,407.360] OK YEAH DO YOU FEEL FATIGUED OR TIRED AT ALL +audio/RES0060.mp3[407.360,426.400] YEAH FOR SURE I HAVENT REALLY HAD ANY CHANGES BUT JUST HAVENT BEEN REALLY GETTING MY WORK DONE THROUGHOUT THE DAY BECAUSE I HAVE JUST BEEN FEELING SO TIRED +audio/RES0060.mp3[426.400,434.840] YEAH UMM AND DO YOU FEEL ANY SORT OF BODY ACHES THAT GO ALONG WITH YOUR FATIGUE +audio/RES0060.mp3[434.840,436.320] MAYBE A LITTLE +audio/RES0060.mp3[436.320,450.360] OK UMM CAN YOU THINK OF ANYTHING THAT MAY HAVE CAUSED YOUR SYMPTOMS YOU KNOW HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY +audio/RES0060.mp3[450.360,466.120] I CANT THINK OF ANYBODY IVE BEEN AROUND WHOS BEEN SICK BUT LAST WEEKEND I WENT SHOPPING IN THE MALL SO I WENT INTO QUITE A FEW STORES +audio/RES0060.mp3[466.120,471.880] OK AND YOU WERE WEARING YOUR MASK EVERYONE ELSE WAS WEARING THEIR MASK +audio/RES0060.mp3[471.880,476.920] YEAH EVERYBODY FAR AS I COULD TELL +audio/RES0060.mp3[476.920,482.240] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0060.mp3[482.240,483.960] UH NO IVE JUST BEEN HOME +audio/RES0060.mp3[483.960,493.320] OK I JUST WANT TO ASK YOU A FEW MORE QUESTIONS ANY MEMORY LOSS OR CONFUSION +audio/RES0060.mp3[494.760,501.040] ANY DIZZINESS OR FAINTING SPELLS +audio/RES0060.mp3[501.040,503.080] NOTHING LIKE THAT NO +audio/RES0060.mp3[503.080,506.320] OK ARE YOU OTHERWISE HEALTHY +audio/RES0060.mp3[506.320,518.600] UM YEAH IVE WELL IVE BEEN TOLD I HAD HIGH CHOLESTEROL SO IVE BEEN TAKING ROSUVASTATIN FOR THAT THE PAST FEW YEARS +audio/RES0060.mp3[518.600,522.560] OK AND IS IT HELPING WITH THE CHOLESTEROL LEVELS +audio/RES0060.mp3[522.560,532.560] YEAH THE LAST TIME I WAS AT THE FAMILY DOCTOR I WAS TOLD THEY WERE AT A GOOD LEVEL O +audio/RES0060.mp3[532.560,534.600] OK GOOD +audio/RES0060.mp3[534.600,538.760] IM SORRY IM PREDIABETIC AS WELL +audio/RES0060.mp3[538.760,544.560] OK WHEN WAS THE LAST TIME YOU HAD BLOOD WORK DONE +audio/RES0060.mp3[544.560,549.800] I THINK UH SIX MONTHS AGO +audio/RES0060.mp3[549.800,556.120] OK AND THATS WHEN YOU WERE TOLD YOU WERE PREDIABETIC +audio/RES0060.mp3[556.120,567.960] YEAH I THINK MY A1C WAS LIKE 62 SO UH ON THE CUSP +audio/RES0060.mp3[567.960,579.640] OK YEAH THATS UNDERSTANDABLE UM HAVE YOU MADE ANY SORT OF LIFESTYLE CHANGES TO GET YOUR BLOOD GLUCOSE UNDER CONTROL +audio/RES0060.mp3[579.640,605.600] WELL I HAVE BEEN WALKING THE DOG MORE HE WEATHER IS GETTING BETTER AND TRYING TO EAT OUT LESS OFTEN YEAH IVE BEEN TRYING TO LOSE WEIGHT BUT IT ITS BEEN YEAH RELATIVELY STABLE STILL +audio/RES0060.mp3[605.600,613.680] DOK WE CAN REVIEW SOME OPTIONS WITH YOU LATER ON IN THE VISIT IF YOU WOULD LIKE +audio/RES0060.mp3[613.680,619.280] YEAH CERTAINLY WE CAN TALK ABOUT THAT LATER +audio/RES0060.mp3[619.280,627.480] OK SOUNDS GOOD HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST +audio/RES0060.mp3[627.480,639.280] YEAH I HAD AN INGUINAL HERNIA REPAIRED ABOUT FIVE YEARS AGO +audio/RES0060.mp3[639.280,642.280] AND ARE YOU ON ANY MEDICATIONS +audio/RES0060.mp3[642.280,646.120] JUST ROSUVASTATIN RIGHT NOW +audio/RES0060.mp3[646.120,654.400] OK AND ANY OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS +audio/RES0060.mp3[654.400,656.200] JUST A MULTI VITAMIN +audio/RES0060.mp3[656.200,661.720] OK UMM DO YOU HAVE ANY ALLERGIES +audio/RES0060.mp3[661.720,668.280] PENICILLIN I BREAK OUT IN HIVES +audio/RES0060.mp3[668.280,676.320] OK AND DID YOU NEED TO BE TREATED WITH ANY SORT OF ANTIBIOTICS RECENTLY +audio/RES0060.mp3[676.320,679.840] NO NO I HAVENT HAD ANY ANTIBIOTICS FOR A LONG TIME +audio/RES0060.mp3[679.840,684.960] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0060.mp3[684.960,691.200] I AM YEAH I GET THE FLU SHOT EVERY YEAR +audio/RES0060.mp3[691.200,701.160] OK GOOD AN YEAH THATS REALLY GOOD UM DO YOU KNOW IF YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0060.mp3[701.160,705.200] NO I DONT THINK SO +audio/RES0060.mp3[705.200,708.320] OK HOW ABOUT CANCERS IN THE FAMILY +audio/RES0060.mp3[708.320,718.640] I THINK MY GRANDFATHER HAD BLADDER CANCER BUT UH IM NOT SURE +audio/RES0060.mp3[718.640,737.960] OK AND I FORGET IF I ASKED YOU EARLIER BUT HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS ANY CHANGES IN YOUR URINE ITSELF OR VOIDING FREQUENCY +audio/RES0060.mp3[737.960,747.360] NO I HAVENT HAD ANY CHANGES THERE AND I HAVENT NOTICED ANY LIKE BLOOD OR COLOR CHANGES NO PAIN +audio/RES0060.mp3[747.360,755.440] OK GREAT AND DO YOU SMOKE +audio/RES0060.mp3[755.440,758.720] UM NO I DO NOT +audio/RES0060.mp3[758.720,762.240] OK HOW ABOUT MARIJUANA +audio/RES0060.mp3[764.600,766.600] ANY OTHER RECREATIONAL DRUG +audio/RES0060.mp3[766.600,776.960] NO I JUST HAVE A FEW BEERS ON THE WEEKEND LIKE PROBABLY I DONT KNOW TWO OR THREE ON SATURDAY AND SUNDAY +audio/RES0060.mp3[776.960,783.720] OK AND WHERE DO YOU LIVE +audio/RES0060.mp3[783.720,791.600] I LIVE IN A LIKE DUPLEX AND RENT THE BASEMENT IN A HOUSE NEARBY +audio/RES0060.mp3[791.600,795.280] OK DO YOU LIVE WITH ANYONE +audio/RES0060.mp3[795.280,801.520] YEAH I LIVE WITH MY GIRLFRIEND +audio/RES0060.mp3[801.520,813.080] OK AND UM ANY CONCERNS FOR YOU KNOW OLD CARPETS OR MOLD OR ASBESTOS IN THE DUPLEX THAT YOURE LIVING IN +audio/RES0060.mp3[813.080,825.320] NOT IN OUR UNIT SO I MEAN MAYBE UPSTAIRS BUT IF ITS ANYTHING LIKE OUR PLACE THEN NO +audio/RES0060.mp3[825.320,837.720] OK I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE END THE INTERVIEW +audio/RES0060.mp3[837.720,845.760] UH NO WELL I GUESS I WAS JUST CONCERNED ABOUT ABOUT COVI +audio/RES0060.mp3[845.760,932.800] YEAH YOU KNOW THATS THE TOP ON MY LIST OF DIFFERENTIAL DIAGNOSIS FOR YOU SO WHAT WELL DO IS A COVISWAB AND THAT SHOULD COME BACK IN A DAY OR SO BUT WE DO ENCOURAGE ISOLATION FOR 14 DAYS AND THAT INCLUDES FROM YOUR GIRLFRIEND AS WELL SO EVEN IF THE COVISWAB COMES BACK NEGATIVE SOMETIMES IT CAN BE FALSE NEGATIVE SO AS LONG AS YOURE HAVING THESE SYMPTOMS AND THESE SYMPTOMS ARE COMMON IN COVI WE DO ASK THAT YOU ISOLATE FOR 14 DAYS IF THE SWAB COMES BACK POSITIVE WE WILL ALSO NOTIFY PUBLIC HEALTH SO THAT THEY CAN GET IN TOUCH WITH YOU AND DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN COVIFROM BUT OTHER THAN THAT IF ITS NOT COVIIT COULD LIKELY BE ANOTHER UPPER RESPIRATORY VIRAL ILLNESS BECAUSE OF THIS TIME OF YEAR A LOT OF DIFFERENT VIRUSES ARE GOING AROUND LIKE COMMON VIRUSES OR THE FLU YOU KNOW SO IT COULD BE ONE OF THOSE AND THEN IF YOURE STILL SICK OR YOUR SYMPTOMS CHANGE WE CAN REASSESS TO MAKE SURE ITS NOT A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA IN WHICH CASE WE CAN PRESCRIBE ANTIBIOTICS +audio/RES0060.mp3[932.800,939.960] OK YEAH THANK YOU FOR ALL THAT INFORMATION SOUNDS GREAT +audio/RES0060.mp3[939.960,942.280] OK WELL TAKE CARE THEN ALRIGHT +audio/RES0060.mp3[942.280,947.280] THANK YOU +audio/RES0196.mp3[0.000,3.120] WHAT BRINGS IN YOU HERE TODAY +audio/RES0196.mp3[3.120,27.320] YES I BROUGHT IN MY DAUGHTER SHES 8 YEARS OLD SO RECENTLY SHES BEEN TELLING ME SHES HAVING A LOT OF EAR PAIN AND SHES HAD A FEVER FOR THE PAST TWO DAYS AS WELL WE CHECKED HER TEMPERATURE AT HOME IT WAS 388 AND SO WERE JUST HERE TO SEE IF WE CAN GET SOME ANTIBIOTICS FOR IT +audio/RES0196.mp3[27.320,31.560] OK UM AND HAS THIS HAPPENED BEFORE AT ALL +audio/RES0196.mp3[31.560,37.400] SHES HAD SOME EAR INFECTIONS ON AND OFF SINCE SHE WAS LIKE UH 2 +audio/RES0196.mp3[37.400,40.000] OK THEN HAS SHE REQUIRED ANTIBIOTICS +audio/RES0196.mp3[41.320,44.640] OK WHEN WAS THEIR LAST EAR INFECTION DO YOU REMEMBER +audio/RES0196.mp3[44.640,50.560] IT WAS ACTUALLY LAST YEAR WHEN SHE WAS SEVEN +audio/RES0196.mp3[50.560,56.880] OK AND SO IS IT JUST ONE EAR THAT SHES HAVING THE PAIN OR IS IT BOTH +audio/RES0196.mp3[56.880,58.920] ITS ONE EAR +audio/RES0196.mp3[58.920,61.000] OK IN WHICH WHICH EAR IS IT +audio/RES0196.mp3[61.000,62.600] ITS THE RIGHT EAR +audio/RES0196.mp3[62.600,68.440] RIGHT EAR AND WHEN DID YOU NOTICE THAT SHE STARTED HAVING THIS PAIN +audio/RES0196.mp3[68.440,74.120] UM I NOTICED IT LIKE 3 DAYS AGO +audio/RES0196.mp3[74.120,83.240] THREE DAYS AGO OK WAS SHE IRRITABLE LIKE OR WAS HE KIND OF TUGGING HER EARS IN PAIN OR HOW HOW WOULD YOU DESCRIBE IT +audio/RES0196.mp3[83.240,107.760] YEAH SHE BASICALLY WHILE SHE TOLD ME SHES BEEN HAVING SOME EAR PAIN AND YEAH SHES BEEN PULLING AT IT AND YOU KNOW SHES TRIED LIKE MINERAL OIL AND THINGS LIKE THAT TO SEE IF SHE CAN UNBLOCK IT BUT I I LOOKED IN THERE IT DOESNT SEEM LIKE THERES A LOT OF WAX IN THERE UM YEAH +audio/RES0196.mp3[107.760,112.520] UM HAS IT BEEN SO PAINFUL THAT SHE HAS BEEN CRYING AT ALL +audio/RES0196.mp3[112.520,115.720] YEAH SHES CRIED A FEW TIMES +audio/RES0196.mp3[115.720,122.400] OK HAVE YOU NOTICED ANY KIND OF DRAINAGE COMING OUT OF HER EARS ANY FLUIDS +audio/RES0196.mp3[122.400,124.560] NO I DIDNT NOTICE THAT +audio/RES0196.mp3[124.560,127.560] UM ANY FEVERS OR CHILLS +audio/RES0196.mp3[127.560,130.320] YEAH SHES HAD A FEVER FOR THE PAST TWO DAYS +audio/RES0196.mp3[130.320,134.080] PAST 2 DAYS OK DID YOU GET A CHANCE TO MEASURE IT AT ALL +audio/RES0196.mp3[134.080,136.720] UH 388 +audio/RES0196.mp3[136.720,151.200] 388 OK OK AND SHE HAD ANY OTHER SYMPTOMS RECENTLY LIKE A COUGH RUNNY NOSE SORE THROAT ANY VIRAL OR COLD LIKE SYMPTOMS +audio/RES0196.mp3[151.200,154.280] NO NOT THAT IVE NOTICED +audio/RES0196.mp3[154.280,157.040] OK UM AND SHE HAD ANY HEADACHES +audio/RES0196.mp3[157.040,159.880] NO HEADACHES +audio/RES0196.mp3[159.880,164.880] OK ANY RECENT TRAVEL OR CONTACT WITH ANYONE WHOS BEEN SICK +audio/RES0196.mp3[164.880,167.560] UM NO +audio/RES0196.mp3[167.560,170.040] NO ANY NAUSEA OR VOMITING +audio/RES0196.mp3[170.040,171.600] UH NO +audio/RES0196.mp3[171.600,175.080] ANY CHANGES IN HER BOWEL MOVEMENTS +audio/RES0196.mp3[175.080,178.720] UH NOPE +audio/RES0196.mp3[178.720,184.120] OK AND ANY FATIGUE OR JUST FEELING VERY TIRED +audio/RES0196.mp3[184.120,187.760] UH SHES BEEN PRETTY TIRED +audio/RES0196.mp3[187.760,192.520] HAS SHE HAD TO MISS ANY SCHOOL OR ANYTHING LIKE THAT +audio/RES0196.mp3[192.520,197.880] YEAH SHE WASNT GOING TO SCHOOL FOR THE PAST THREE DAYS +audio/RES0196.mp3[197.880,201.120] OK AND ANY ISSUES THAT ARE SLEEP OR APPETITE +audio/RES0196.mp3[203.800,212.720] OK AND ANY MEDICAL CONDITIONS THAT SHES BEEN DIAGNOSED WITH IN THE PAST +audio/RES0196.mp3[212.720,218.040] NO SHES BEEN PRETTY HEALTHY BESIDES THE RECURRENT EAR INFECTIONS +audio/RES0196.mp3[218.040,222.000] OK HAS HER HEARING BEEN AFFECTED AT ALL +audio/RES0196.mp3[222.000,226.200] NOT THAT IVE NOTICED +audio/RES0196.mp3[226.200,236.240] OK AND YOU MENTIONED ITS RECURRING HOW SHE EVER HAD TO SEE AN EAR NOSE AND THROAT SPECIALIST +audio/RES0196.mp3[236.240,250.160] SO WHEN SHE WAS YOUNGER WHEN SHE WAS LIKE 4 SHE SAW ONE BUT THEN SHE HADNT HAD AN EAR INFECTION BETWEEN THE AGE OF 4 TO 7 SO WE DIDNT GO BACK TO THEM +audio/RES0196.mp3[250.160,251.040] OK YEAH +audio/RES0196.mp3[251.560,256.560] OK AND IF SHE EVER HAD TUBES PUT INTO YOUR EARS OR ANYTHING LIKE THAT +audio/RES0196.mp3[256.560,266.720] UH NO THEY WERE THEY WERE TALKING ABOUT IT BUT WE NEVER ENDED UP DOING THAT +audio/RES0196.mp3[266.720,271.640] OK OK ANY MEDICATIONS THAT SHE TAKES EVERYDAY +audio/RES0196.mp3[271.640,277.440] UH NO JUST MULTIVITAMINS +audio/RES0196.mp3[277.440,281.000] OK ANY ALLERGIES +audio/RES0196.mp3[281.720,288.560] OK ANY CONTACTS AT ALL ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0196.mp3[289.120,295.400] HOW ABOUT HER BIRTH WAS IT A VAGINAL DELIVERY OR CSECTION +audio/RES0196.mp3[295.400,298.080] IT WAS VAGINAL +audio/RES0196.mp3[298.080,301.880] AND WAS SHE PREMATURE OR AT TERM CHOOSE THAT TERM +audio/RES0196.mp3[301.880,302.920] SHE WAS AT TERM +audio/RES0196.mp3[302.920,307.120] ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER +audio/RES0196.mp3[307.120,310.240] NO NO +audio/RES0196.mp3[310.240,317.480] OK AFTER SHE WAS BORN DOES SHE HAVE TO STAY IN AN ICU OR ANY COMPLICATIONS AFTERWARDS +audio/RES0196.mp3[317.480,320.960] NO SHE WAS HEALTHY +audio/RES0196.mp3[320.960,333.120] OK THATS GOOD AND IN TERMS OF HER DEVELOPMENT THROUGHOUT THE YEARS ANY ISSUES WITH HER GROWTH LEARNING OR ANYTHING LIKE THAT +audio/RES0196.mp3[333.120,336.800] UH NO SHES BEEN PRETTY GOOD WITH HITTING ALL THOSE MILESTONES +audio/RES0196.mp3[336.800,346.880] OK ALRIGHT AND CURRENTLY RIGHT NOW SO IS SHE DOING ONLINE SCHOOL OR SHE DOING IN PERSON +audio/RES0196.mp3[346.880,350.560] AH SHE IS GOING IN PERSON +audio/RES0196.mp3[350.560,354.760] OK AND HOW ABOUT HER LIVING SITUATION CURRENTLY +audio/RES0196.mp3[354.760,363.800] AH SHOULD ALSO AT HOME WITH MYSELF FROM HER FATHER AND HER YOUNGER SIBLING +audio/RES0196.mp3[363.800,369.160] OK UH AND UH ANY ANYONE SMOKE IN THE HOUSE AT ALL +audio/RES0196.mp3[373.440,428.680] NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR HER TODAY SO DEFINITELY SINCE THERE IS A RISK THAT SHE MIGHT BE HAVING ANOTHER EAR INFECTION WE WILL NEED TO DO LIKE A FULL PHYSICAL EXAMINATION ILL HAVE TO LOOK INTO HER EAR TO SEE IF I SEE ANY INFLAMMATION OR PERFORATION AND THEN BASED ON THAT WELL DISCUSS SOME MANAGEMENT SHE MAY REQUIRE SOME ANTIBIOTICS LIKE SHE HAS HAD BEFORE BUT THAT WILL DEPEND ON WHAT I SEE ON PHYSICAL EXAMINATION SHE HAS BEEN HAVING A FEVER SO SHE MIGHT AND ITS ONLY BEEN THREE DAYS RIGHT SO WE MAY EVEN DO SOME CONSERVATIVE MANAGEMENT AND GET HER TO TAKE SOME MAYBE PAIN MEDICATIONS AND THEN GO FROM THERE OR EAR DROPS +audio/RES0196.mp3[430.560,452.840] UH BUT YEAH SO WELL DO THE EXAMINATION AND THEN GO FROM THERE SHE SAID SHE HAS BESIDES THE FEVER AND THAT YOUR PAIN SHES NOT REALLY HAVING ANY OTHER SYMPTOMS SO I DONT THINK SHE NEEDS TO GET TESTED FOR COVID RIGHT NOW BUT THATS SOMETHING WE CAN CONSIDER AS WELL IF SHE DEVELOPS OTHER SYMPTOMS +audio/RES0196.mp3[452.840,455.080] OK THAT SOUNDS GREAT THANK YOU +audio/RES0196.mp3[455.080,456.880] YOUR WELCOME TAKE CARE +audio/RES0196.mp3[456.880,458.560] YOU TOO +audio/RES0037.mp3[0.000,4.920] I WOULD JUST LIKE TO START WITH WHAT BROUGHT YOU IN HERE TODAY TO THE FAMILY CLINIC +audio/RES0037.mp3[4.920,10.960] YEAH SO IVE BEEN COUGHING FOR A FEW MONTHS NOW AND SO THATS THE PROBLEM +audio/RES0037.mp3[10.960,19.440] OK AND HOW MANY MONTHS HAVE YOU BEEN COUGHING FOR +audio/RES0037.mp3[19.440,32.800] JUST OVER TWO I WOULD SAY AND ITS BEEN IVE BEEN BRINGING UP THIS YELLOW GREENISH SPUTUM ITS KIND OF GROSS +audio/RES0037.mp3[32.800,42.280] OK AND HOW HOW MUCH OF THE SPUTUM WOULD YOU SAY YOURE BRINGING UP IN AN AVERAGE DAY LIKE A TEASPOON TABLESPOON +audio/RES0037.mp3[42.280,52.000] OH I SEE OK I DONT KNOW MAYBE A FEW TEASPOONS THROUGHOUT THE DAY +audio/RES0037.mp3[53.040,67.320] AT FIRST I THOUGHT I I I HAD A A CHEST INFECTION BUT EVEN AFTER ANTIBIOTICS FROM MY GOR OR MY FAMILY DOCTOR IT NEVER CLEARED UP +audio/RES0037.mp3[67.320,72.360] OK AND SO WHEN DID YOU GO ON THE ANTIBIOTICS +audio/RES0037.mp3[72.360,75.520] AH SO THIS IS ABOUT UH ABOUT A MONTH AGO +audio/RES0037.mp3[78.280,94.600] AND YEAH SO I WENT TO SEE MY FAMILY DOCTOR ABOUT THE COUGH THEN AND DAD WAS PRESCRIBED SOME ANTIBIOTICS I THINK AZITHROMYCIN AND IT IT STILL DIDNT IT DIDNT DO ANYTHING +audio/RES0037.mp3[94.600,102.240] OK I SEE AND DO YOU FIND THAT YOUR COUGH HAS BEEN GETTING WORSE SINCE THEN +audio/RES0037.mp3[102.240,106.440] UH I WOULD SAY THE COUGH HAS BEEN ABOUT THE SAME +audio/RES0037.mp3[106.440,115.760] OK BUT HOW ABOUT THE SPUTUM THAT YOURE BRINGING UP HAS THAT INCREASED +audio/RES0037.mp3[115.760,129.000] UH ITS ABOUT THE SAME BUT IT DEFINITELY I WOULD SAY THERES A PINK TINGE IN THE SPUTUM NOW EVERY ONCE IN AWHILE IVE NOTICED MORE THAN THAN BEFORE +audio/RES0037.mp3[129.000,139.480] OK AND DID THIS ALL START AFTER THE CHEST INFECTION OR DID YOU HAVE SOMETHING LIKE THIS OCCUR BEFORE +audio/RES0037.mp3[139.480,143.640] UM YEAH THIS ALL STARTED AFTER +audio/RES0037.mp3[143.640,152.320] OK I SEE WAS THERE ANYTHING THAT HAPPENED AROUND THAT TIME ANY NEW ENVIRONMENT THAT YOU WERE EXPOSED TO +audio/RES0037.mp3[152.320,158.760] AH WELL I DID GO TO INDIA A FEW MONTHS AGO +audio/RES0037.mp3[158.760,164.920] OK AND HOW MANY MONTHS WAS THAT WAS THAT ALSO LIKE TWO MONTHS AGO +audio/RES0037.mp3[164.920,177.040] YEAH ABOUT THAT PROBABLY CLOSER TO THREE OR FOUR BUT YEAH RIGHT AROUND THE TIME THAT THAT I THINK THIS UHM COUGH STARTED OR JUST BEFORE I GOT BACK +audio/RES0037.mp3[177.040,184.400] OK I SEE AND HOW OFTEN ARE YOU COUGHING IN A DAY +audio/RES0037.mp3[184.400,187.800] AH A FEW TIMES AN HOUR +audio/RES0037.mp3[187.800,195.240] OK ANYTHING THAT MAKES YOUR COUGH GO AWAY NOW YOUVE TRIED +audio/RES0037.mp3[195.240,203.240] UH NO NOTHINGS REALLY HELPED IT GO AWAY +audio/RES0037.mp3[203.240,214.840] OK AND IS IT BETTER OR WORSE DURING GOOD MORNING AS OPPOSED TO NIGHT +audio/RES0037.mp3[214.840,228.280] UH ITS PRETTY ITS PRETTY BAD ALL DAY ACTUALLY AND ITS BEEN IMPACTING MY SLEEP BECAUSE IVE BEEN COUGHING AT NIGHT TOO +audio/RES0037.mp3[228.280,241.160] I SEE AND UM IN TERMS OF THINGS THAT MAKE IT WORSE ANYTHING YOU DO AROUND THE HOUSE OR AT WORK THAT MAKES THE COUGHING WORSE +audio/RES0037.mp3[241.160,256.400] UH YEAH I GUESS IF IM JUST MOVING AROUND A LITTLE BIT MORE IT MIGHT BRING IT ON A LITTLE BIT MORE BUT ITS PRETTY BAD ALL DAY +audio/RES0037.mp3[256.400,268.760] I SEE AND IN TERMS OF ANY OTHER SYMPTOMS YOU MIGHT BE HAVING UH DO YOU HAVE ANY SHORTNESS OF BREATH RUNNY NOSE ANY CHEST PAIN +audio/RES0037.mp3[268.760,272.200] UM NO NOT REALLY +audio/RES0037.mp3[272.200,279.400] OK BESIDES THE PAIN TINGED SPUTUM HAVE YOU EVER COUGHED UP BLOOD LIKE RED BLOOD +audio/RES0037.mp3[279.400,283.920] NOT ANYTHING THAT WAS REALLY BRIGHT RED MORE PINK +audio/RES0037.mp3[283.920,301.520] MORE PINK OK YEAH SO YOU TRAVELED TO INDIA JUST TWO MONTHS AGO DO YOU REMEMBER WHAT KIND OF PLACE YOU STAYED IN INDIA WAS IT A A IN A CROWDED PLACE OR WERE YOU BY YOURSELF +audio/RES0037.mp3[301.520,313.640] WELL I MEAN THERE IS A LOT OF PEOPLE AROUND YEAH THERE WAS NOT A LOT OF ROOM WHERE I WAS WAS STAYING SO IT WAS PRETTY CROWDED +audio/RES0037.mp3[313.640,322.440] OK AND WAS THERE ANYONE THAT WAS ILL AROUND YOU OR ANY EXPOSURE TO TUBERCULOSIS +audio/RES0037.mp3[322.440,332.480] UHM NOT THAT IM NOT AWARE OF I WAS AROUND MY FAMILY BUT UMM I GUESS ITS POSSIBLE +audio/RES0037.mp3[332.480,344.240] OK AND ONCE YOU CAME BACK DID ANYONE ELSE IN YOUR FAMILY GET SICK OR WAS IT JUST YOU +audio/RES0037.mp3[344.240,361.040] OH YEAH I SPOKE TO MY RELATIVE WENT WHEN I GOT BACK AND THEY THEY DIDNT TELL ME ABOUT ONE OF MY COUSINS THERE THAT WAS FEELING SICK +audio/RES0037.mp3[361.040,367.040] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS +audio/RES0037.mp3[367.040,372.400] YEAH I FEEL I FEEL LIKE IVE BEEN PRETTY PRETTY HOT SOMETIMES +audio/RES0037.mp3[372.400,376.680] OK AND HOW ABOUT NIGHT SWEATS +audio/RES0037.mp3[376.680,386.400] YEAH THE COUGHS BEEN MESSING WITH MY SLEEP AND IVE BEEN WAKING UP WITH NIGHT SWEATS +audio/RES0037.mp3[386.400,389.880] OK AND HAVE YOU BEEN HAVING ANY HEADACHES +audio/RES0037.mp3[389.880,392.360] AH NO HEADACHES +audio/RES0037.mp3[392.360,399.560] ANY DO YOU FEEL THAT YOUVE LOST ANY WEIGHT RECENTLY +audio/RES0037.mp3[399.560,403.200] UH MAYBE A FEW POUNDS BUT UM +audio/RES0037.mp3[403.200,407.120] HAVE YOU TRIED TO LOSE WEIGHT OR WAS THAT UNINTENTIONAL +audio/RES0037.mp3[407.120,419.520] NO I I WAS KIND OF SURPRISED I THOUGHT I WOULD HAVE GAINED WEIGHT CAUSE IVE BEEN A BIT MORE LAZY RECENTLY BUT THE WEIGHT SEEMS TO BE DOWN ANYWAY +audio/RES0037.mp3[419.520,426.200] I SEE OK HAVE YOU NOTICED ANY WHEEZING SOUNDS WHEN YOU BREATHE OUT OR BREATHE IN +audio/RES0037.mp3[426.200,427.840] NO WHEEZING +audio/RES0037.mp3[427.840,430.320] OK AND YOU MENTIONED NO CHEST PAIN RIGHT +audio/RES0037.mp3[430.320,432.040] YEAH NO CHEST PAIN +audio/RES0037.mp3[432.040,439.000] OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS OR HANDS OR ANYWHERE ELSE IN YOUR BODY +audio/RES0037.mp3[439.000,442.400] NO SWELLING +audio/RES0037.mp3[442.400,449.080] OK ANY BOWEL MOVEMENT CHANGES ANY CONSTIPATION OR DIARRHEA ANY OF THOSE +audio/RES0037.mp3[449.800,452.080] OK ANY URINARY PROBLEMS +audio/RES0037.mp3[452.080,454.920] UH NO +audio/RES0037.mp3[454.920,461.120] OK ANY CHANGES IN YOUR APPETITE AT ALL DO YOU FEEL THAT YOUVE LOST ANY APPETITE +audio/RES0037.mp3[461.120,465.680] UM YEAH YEAH MAYBE EATING A LITTLE BIT LESS +audio/RES0037.mp3[465.680,480.320] OK AND IN YOUR CURRENT ENVIRONMENT RIGHT NOW ARE YOU EXPOSED TO ANY FUMES OR DUST OR ANY ANIMALS +audio/RES0037.mp3[480.320,486.080] UHM WE HAVE A DOG BUT UM NO FUMES OR ANYTHING LIKE ANYTHING LIKE THAT +audio/RES0037.mp3[486.080,491.360] OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS +audio/RES0037.mp3[492.600,501.160] OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0037.mp3[501.160,510.480] UM YEAH I MEANT UH HIGH BLOOD PRESSURE TYPE 2 DIABETES AND HIGH CHOLESTEROL +audio/RES0037.mp3[510.480,517.240] I SEE AND ARE YOU TAKING ANY MEDICATIONS FOR ANY OF THOSE +audio/RES0037.mp3[517.240,534.680] YEAH IM TAKING UHM A FEW MEDICATIONS FOR BLOOD PRESSURE AND UH AND AND DIABETES RIGHT NOW AND I THINK I ROSUVASTATIN FOR FOR THE CHOLESTEROL IM NOT SURE OF THE OTHER ONES THOUGH +audio/RES0037.mp3[534.680,541.960] OK NO WORRIES AND DO YOU KNOW IF YOURE ALLERGIC TO ANY MEDICATIONS OR DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES +audio/RES0037.mp3[541.960,551.480] I THINK I I GOT A RASH TO PENICILLIN WHEN I WAS WHEN I WAS YOUNGER BUT THATS IT +audio/RES0037.mp3[551.480,555.000] OK ANY PREVIOUS HOSPITALIZATIONS +audio/RES0037.mp3[555.000,558.080] UH NOPE +audio/RES0037.mp3[558.080,559.240] OK ANY SURGERIES +audio/RES0037.mp3[559.240,564.640] NO SURGERIES +audio/RES0037.mp3[564.640,571.960] OK AND IN YOUR FAMILY HAS ANYONE EVER HAD ANY CANCERS OR DIED OF A HEART ATTACK +audio/RES0037.mp3[571.960,577.480] YEAH MY MOTHER OUT A HEART ATTACK WHEN SHE WAS 48 +audio/RES0037.mp3[577.480,586.200] OK AND HAS ANYONE EVER HAD ANYTHING LIKE PULMONARY FIBROSIS OR ANY AUTOIMMUNE CONDITIONS +audio/RES0037.mp3[586.200,589.720] UHM WHAT ARE THOSE +audio/RES0037.mp3[589.720,597.800] SO PULMONARY FIBROSIS IS A CONDITION IN YOUR LUNG WHERE YOU START GETTING LIKE THESE NODULES +audio/RES0037.mp3[597.800,598.040] I SEE +audio/RES0037.mp3[598.040,623.080] AND IT CAN RUN IN THE FAMILY AND THAT CAN CAUSE SOME OF THE SYMPTOMS LIKE A CHRONIC COUGH IT CAN CAUSE SOMETIMES SHORTNESS OF BREATH AND IT CAN SOMETIMES BE ASSOCIATED WITH THE LIKE SOME CONNECTIVE TISSUE DISORDERS THAT CAN RUN IN THE FAMILY UMM ANY OF THOSE RING A BELL +audio/RES0037.mp3[623.080,630.360] NO I HAVENT HEARD OF ANYTHING LIKE THAT IN MY FAMILY +audio/RES0037.mp3[630.360,641.720] OK YEAH AND OTHER THAN THAT WHERE DO YOU CURRENTLY LIVE DO YOU LIVE BY YOURSELF OR WITH ANYONE ELSE +audio/RES0037.mp3[641.720,649.360] YEAH I LIVE WITH MY HUSBAND AND THREE SONS JUST OUTSIDE OF TOWN HERE +audio/RES0037.mp3[649.360,655.400] OK AND HAVE ANY OF THEM BEEN SICK +audio/RES0037.mp3[655.400,658.960] NO EVERYBODYS BEEN FEELING WELL AT HOME +audio/RES0037.mp3[658.960,666.960] OK AND DO YOU WORK CURRENTLY +audio/RES0037.mp3[666.960,668.600] UH NO IM I RETIRED +audio/RES0037.mp3[668.600,675.960] OK AND CURRENTLY DO YOU SMOKE CIGARETTES +audio/RES0037.mp3[675.960,685.120] YEAH YEAH I SMOKE ABOUT A HALF A PACK OF CIGARETTES PER DAY AND AH IVE BEEN TRYING TO CUT DOWN +audio/RES0037.mp3[685.120,690.160] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR +audio/RES0037.mp3[690.160,695.880] AH PROBABLY LIKE 30 YEARS +audio/RES0037.mp3[695.880,701.200] I SEE AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE +audio/RES0037.mp3[701.200,703.400] AH NO IVE NEVER USED ANYTHING LIKE THAT +audio/RES0037.mp3[703.400,710.880] OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL +audio/RES0037.mp3[710.880,713.080] UHM NO +audio/RES0037.mp3[713.080,722.480] NO OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME OR ANY QUESTIONS OR CONCERNS +audio/RES0037.mp3[722.480,727.400] UM NOT RIGHT NOW +audio/RES0037.mp3[727.400,751.280] OK SO WELL BE DOING SOME INVESTIGATIONS SINCE YOU RECENTLY TRAVELED TO INDIA WE NEED TO MAKE SURE THAT YOU DONT HAVE TUBERCULOSIS AS THATS PREVALENT IN SOME PARTS OF INDIA SO WE WILL DO SOME WE MIGHT GET LIKE A CHEST XRAY FOR THAT YOU MAY HAVE A PNEUMONIA AS WELL AND THEN WELL GO FROM THERE DOES THAT SOUND GOOD +audio/RES0037.mp3[751.280,752.200] YEAH FOR SURE +audio/RES0037.mp3[752.200,766.240] OK ALRIGHT WELL YEAH WELL AFTER THOSE TESTS HAVE COME BACK WELL SEE YOU IN THE NEXT APPOINTMENT FOR FOLLOW UP +audio/RES0037.mp3[766.240,768.880] THANK YOU +audio/RES0037.mp3[768.880,774.040] YOURE WELCOME +audio/RES0062.mp3[0.000,2.440] WHAT BRINGS YOU IN +audio/RES0062.mp3[2.440,11.200] WELL IVE HAD THIS COUGH BUT THE BIGGEST ISSUE IS THAT IVE BEEN REALLY SHORT OF BREATH +audio/RES0062.mp3[11.200,15.160] OK UM WHEN DID THE COUGH START +audio/RES0062.mp3[15.160,18.600] I WOULD SAY ABOUT 3 DAYS AGO +audio/RES0062.mp3[18.600,27.080] THREE DAYS AGO OK AND UH AROUND THAT TIME DID YOU ALSO START FEELING SHORT OF BREATH +audio/RES0062.mp3[27.080,36.280] UH THE SHORTNESS OF BREATH HAS COME ON I DONT KNOW WITHIN THE LAST DAY OR SO ITS COME ON AFTER THAT THE COUGH STARTED FIRST +audio/RES0062.mp3[36.280,44.960] OK AND THE COUGH IS IT A DRY COUGH OR IS IT A WET COUGH +audio/RES0062.mp3[44.960,56.400] WELL IVE BEEN BRINGING UP SOME YELLOWISH GREEN KIND OF LIKE PHLEGM SO UM I GUESS A WET COUGH +audio/RES0062.mp3[56.400,59.680] OK SO YEAH YELLOWISH GREEN YOU SAID +audio/RES0062.mp3[60.920,64.040] OK ANY BLOOD IN THE SPUTUM +audio/RES0062.mp3[64.040,65.840] I HAVENT NOTICED ANY BLOOD +audio/RES0062.mp3[65.840,79.320] OK AND HOW MUCH SPUTUM ARE YOU COUGHING UP EACH TIME LIKE IS IT KIND OF THE SIZE OF YOUR FINGERTIP OR DOES IT FILL YOUR WHOLE PALM +audio/RES0062.mp3[79.320,84.400] UM YEAH PROBABLY MORE LIKE THE SIZE OF LIKE A THUMB TIP +audio/RES0062.mp3[84.400,95.720] OK OK UM AND DO YOU NOTICE ANY LIKE PUS OR FROTH IN THE SPUTUM +audio/RES0062.mp3[95.720,99.800] NOTHING LIKE THAT I NOTICED +audio/RES0062.mp3[99.800,117.760] OK AND IF YOU WERE TO DESCRIBE THE SOUND OF YOUR COUGH DOES IT SOUND LIKE ITS BARKY OR LIKE A HACKING COUGH +audio/RES0062.mp3[117.760,119.760] I DONT KNOW I GUESS HACKING +audio/RES0062.mp3[119.760,129.120] ALRIGHT AND DO YOU HEAR ANY WHEEZING AT ALL +audio/RES0062.mp3[129.120,133.920] NO WELL MAYBE I GUESS WHEN IM REALLY SHORT OF BREATH YEAH WHEEZING YEAH +audio/RES0062.mp3[133.920,144.160] OK AND THE SHORTNESS OF BREATH HOW SEVERE IS IT 1 TO 10 10 BEING THE WORST +audio/RES0062.mp3[144.160,146.600] MAYBE A 7 +audio/RES0062.mp3[146.600,153.760] AT SEVEN OK ARE YOU HAVING ISSUES SLEEPING BECAUSE OF YOUR SHORTNESS OF BREATH +audio/RES0062.mp3[153.760,163.920] UH WELL I CANT TELL IF ITS THAT OR THE COUGH I MEAN BETWEEN THOSE TWO THINGS ITS BEEN DEFINITELY INTERRUPTING MY SLEEP +audio/RES0062.mp3[163.920,182.360] OK AND DO YOU FIND THERE ARE ANY TRIGGERS TO YOUR COUGHING LIKE LIKE UM A PARTICULAR TIME OF THE DAY TRIGGERS LIKE YOU KNOW POLLEN OR THINGS IN YOUR ENVIRONMENT LIKE PETS +audio/RES0062.mp3[182.360,194.120] NO THE COUGH HAS BEEN KIND OF GOING ON ALL DAY UM RIGHT WHEN I GET UP IN THE MORNING AND GOES ON ALL NIGHT ITS BEEN GETTING WORSE TO THESE LAST FEW DAYS +audio/RES0062.mp3[194.120,210.360] OK YEAH UM YEAH THAT DOESNT SOUND GREAT IN TERMS OF YOUR SHORTNESS OF BREATH DO YOU FIND THAT CERTAIN POSITIONS MAKE IT WORSE OR LIKE EXERTING YOURSELF MAKES IT WORSE +audio/RES0062.mp3[210.360,214.480] UM NOT REALLY +audio/RES0062.mp3[214.480,219.480] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST +audio/RES0062.mp3[219.480,221.440] NO I HAVENT +audio/RES0062.mp3[221.440,231.880] OK AND ANY OTHER SYMPTOMS THAT YOU HAVE ALONG WITH YOUR COUGHING AND SPUTUM +audio/RES0062.mp3[231.880,243.360] AS SOON AS I BREATH WELL I JUST HAVENT FELT GOOD LIKE TIRED KIND OF WEAKISH +audio/RES0062.mp3[243.360,255.800] OK YEAH UM ALONG WITH YOUR FATIGUE AND FEELING WEAK HAVE YOU EXPERIENCED ANY DIZZINESS OR FAINTING SPELLS +audio/RES0062.mp3[255.800,261.240] NO DIZZINESS AND I HAVENT FAINTED OR ANYTHING LIKE THAT +audio/RES0062.mp3[261.240,265.400] OK ANY CONFUSION OR MEMORY LOSS +audio/RES0062.mp3[265.400,268.080] NO CONCERNS WITH MY MEMORY +audio/RES0062.mp3[268.080,278.920] OK AND HOW ABOUT UM MUSCLE ACHES OR ANY SORT OF BODY ACHES +audio/RES0062.mp3[278.920,285.560] ALRIGHT YEAH MAYBE A BIT KIND OF AND WEAK +audio/RES0062.mp3[285.560,297.560] YEAH ALRIGHT SO LETS GO BACK TO YOUR SHORTNESS OF BREATH DO YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THAT +audio/RES0062.mp3[297.560,302.560] UH NO +audio/RES0062.mp3[302.560,306.680] OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING +audio/RES0062.mp3[306.680,311.040] NO NOTHING LIKE THAT +audio/RES0062.mp3[311.040,316.000] OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS +audio/RES0062.mp3[316.000,323.160] NO THOSE HAVE BEEN NORMAL I HAVENT HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0062.mp3[323.160,325.320] OK AND NO BLOOD IN YOUR STOOL +audio/RES0062.mp3[325.320,327.280] I HAVENT NOTICED ANY BLOOD NO +audio/RES0062.mp3[327.280,330.880] OK HOW ABOUT ABDOMINAL PAINS +audio/RES0062.mp3[330.880,336.080] OH YEAH I DONT KNOW WHY YEAH MY BELLYS BEEN A BIT ACHY MAYBE +audio/RES0062.mp3[336.080,342.320] OK AND HOW ABOUT A SORE THROAT +audio/RES0062.mp3[342.320,344.840] NO MY THROAT FELT OK +audio/RES0062.mp3[344.840,351.320] OK GOOD AND HAVE YOU EXPERIENCED ANY LOSS OF TASTE +audio/RES0062.mp3[351.320,359.520] NO LOSS OF TASTE BUT IVE NOTICED YEAH MY SMELL HAS BEEN KIND OF FUNNY +audio/RES0062.mp3[359.520,367.320] YOUR SMELL HAS BEEN KIND OF FUNNY LIKE YOU CANT SMELL OR DO THINGS SMELL DIFFERENTLY THAN YOU EXPECT THEM TO +audio/RES0062.mp3[367.320,378.320] YEAH THERE WAS A CANDLE ON EARLIER TODAY AND I GUESS I COULDNT REALLY SMELL IT SO I GUESS I HAVENT BEEN ABLE TO SMELL +audio/RES0062.mp3[378.320,381.640] OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE +audio/RES0062.mp3[381.640,387.920] NO I HAVENT HAD TO BLOW MY NOSE OR ANYTHING +audio/RES0062.mp3[387.920,393.000] OK ANY CHANGES IN YOUR VISION OR HEARING +audio/RES0062.mp3[393.000,395.080] NO THATS BEEN NORMAL +audio/RES0062.mp3[395.080,399.920] OK ANY DISCHARGE OR PAIN IN YOUR EYES OR EARS +audio/RES0062.mp3[399.920,403.840] NO THATS BEEN OK +audio/RES0062.mp3[403.840,407.680] OK AND THEN ANY CHANGES TO YOUR URINE +audio/RES0062.mp3[407.680,416.080] NO I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT +audio/RES0062.mp3[416.080,421.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0062.mp3[421.480,429.640] YEAH I HAVE ATRIAL FIBRILLATION AND I DO TAKE METOPROLOL FOR THAT +audio/RES0062.mp3[429.640,431.920] OK HOW LONG HAVE YOU HAD A FIB +audio/RES0062.mp3[431.920,459.720] IT WAS LIKE 4 YEARS AGO I THINK IT WAS IT WAS HAVING THAT LIKE FELT LIKE MY HEART WAS RACING YOU WERE ASKING ABOUT EARLIER AND THEY DID AN ECG AND I WAS TOLD I HAD ATRIAL FIBRILLATION SO YEAH IVE BEEN ON A BETA BLOCKER FOR THREE YEARS NOW +audio/RES0062.mp3[459.720,466.680] OK FOUR YEARS AND WHEN WAS THE LAST TIME YOU HAD AN ECG +audio/RES0062.mp3[466.680,481.720] UH MAYBE JUST A COUPLE OF MONTHS AGO I THINK EVERY TIME THAT I COME IN TO SEE MY FAMILY DOCTOR THEY THEY DO ONE +audio/RES0062.mp3[481.720,487.280] OK AND THE LAST TIME THAT IT WAS DONE WAS IT NORMAL +audio/RES0062.mp3[487.280,503.320] PYEAH THEY SAID YEAH MY HEART RATES BEEN AROUND 80 BEATS PER MINUTE WHICH IS GOOD AND I HAVENT HAD ANY SYMPTOMS SO THINGS HAVE BEEN STABLE +audio/RES0062.mp3[503.320,510.040] OK GOOD AND THEN HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST +audio/RES0062.mp3[510.040,517.640] I HAD AN INGUINAL HERNIA REPAIR ABOUT 15 YEARS AGO +audio/RES0062.mp3[517.640,522.760] OK ANY COMPLICATIONS FROM THAT +audio/RES0062.mp3[522.760,525.200] UM NO +audio/RES0062.mp3[525.200,531.480] OK AND THEN BESIDES THE METOPROLOL ARE YOU ON ANY OTHER MEDICATIONS +audio/RES0062.mp3[531.480,541.280] OH YEAH I TAKE A STATIN AND BABY ASPIRIN +audio/RES0062.mp3[541.280,555.120] OK AND IS THAT FOR THE A FIB AS WELL THE ASPIRIN OR IS THAT JUST FOR OTHER CARDIOVASCULAR ISSUES OR SOME SORT OF PREVENTATIVE MEASURE +audio/RES0062.mp3[555.120,568.120] YEAH I HEARD IT WAS GOOD FOR PEOPLE WHO HAVE ATRIAL FIBRILLATION SO I STARTED TAKING IT +audio/RES0062.mp3[568.120,589.400] OK AND LETS REVISIT YOUR MEDICATIONS AT THE END OF TODAYS SESSION I JUST WANT TO MAKE SURE THAT YOURE ON THE MEDICATIONS AND I JUST WANT TO MAKE SURE YOURE ON THE RIGHT DOSE DOES THAT SOUND GOOD +audio/RES0062.mp3[589.400,590.880] YEAH CERTAINLY +audio/RES0062.mp3[590.880,605.920] DOK GREAT AND OK SO WE TALKED ABOUT YOUR PAST MEDICAL HISTORY AND MEDICATIONS WE WILL TALK A LITTLE BIT ABOUT ANY ALLERGIES THAT YOU HAVE IF YOU HAVE ANY +audio/RES0062.mp3[605.920,617.000] I THINK ITS LIKE A SULFA ALLERGY I RECEIVED AN ANTIBIOTIC LIKE THAT MANY YEARS AGO AND HAD A RASH +audio/RES0062.mp3[617.000,626.560] OK OK AND HAVE YOU HAD ANY REASON TO SUSPECT THAT YOU MAY HAVE TAKEN ANY SULFAS RECENTLY +audio/RES0062.mp3[626.560,633.880] NO I HAVENT HAD ANY ANTIBIOTICS SO NO REALLY NO CHANGES +audio/RES0062.mp3[633.880,644.120] OK OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0062.mp3[644.120,656.960] I AM YEAH IVE RECEIVED THE ZOSTER VACCINE FOR SHINGLES AND ALSO THE ONE FOR PNEUMONIA +audio/RES0062.mp3[656.960,671.040] OK GOOD GOOD YEAH THOSE TWO WE DEFINITELY RECOMMEND IF YOURE OVER 65 OK AND DO YOU KNOW OF ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0062.mp3[671.040,682.040] NO I THINK MY AUNT HAD LUNG CANCER BUT SHE SMOKED HER ENTIRE LIFE +audio/RES0062.mp3[682.040,686.120] OK OK AND HOW ABOUT OTHER CANCERS +audio/RES0062.mp3[686.120,688.200] NO OTHER CANCERS +audio/RES0062.mp3[688.200,700.440] AND HAVE YOU BEEN IN TOUCH OR DO YOU THINK YOUVE BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY +audio/RES0062.mp3[700.440,717.000] WELL I VISITED MY MOTHER AT A LONG TERM CARE FACILITY JUST THIS PAST WEEKEND SO I GUESS ABOUT JUST OVER A WEEK AGO I VISITED THERE +audio/RES0062.mp3[717.000,725.960] OK AND HAVE THERE BEEN ANY COVIOUTBREAKS AT THE LONG TERM CARE +audio/RES0062.mp3[725.960,734.360] YEAH THERE HAS BEEN I THOUGHT I WAS LIKE AWAY FROM THOSE AREAS BUT I HAVE HEARD ABOUT OUTBREAKS THERE +audio/RES0062.mp3[734.360,740.000] OK OK AND ANY TRAVEL HISTORY +audio/RES0062.mp3[740.000,743.880] NO TRAVEL +audio/RES0062.mp3[743.880,747.320] AND DO YOU SMOKE +audio/RES0062.mp3[747.320,762.920] I USED TO SMOKE A PACK OF CIGARETTES A DAY BUT I QUIT ABOUT UH ABOUT FIVE YEARS AGO I KNOW FOUR YEARS AGO IT WAS WHEN I FOUND OUT I HAD ATRIAL FIBRILLATION I QUIT +audio/RES0062.mp3[762.920,770.160] OK OK WELL THATS GOOD GOOD FOR YOU FOR QUITTING HOW ABOUT MARIJUANA +audio/RES0062.mp3[770.160,780.840] NO I DONT SMOKE IT BUT ILL USE SOME EDIBLES I BUY FROM THE ONTARIO STORES A COUPLE OF TIMES PER WEEK JUST THE CBSTUFF +audio/RES0062.mp3[780.840,784.120] THE CBSTUFF OK AND HOW MANY MILLIGRAMS +audio/RES0062.mp3[784.120,789.520] IM NOT SURE I KNOW ITS THEIR LOWEST DOSE THOUGH +audio/RES0062.mp3[789.520,795.720] OK OK IF ITS LOWEST DOSE IT MIGHT BE 25 MILLIGRAMS +audio/RES0062.mp3[795.720,797.320] SOUNDS FAMILIAR +audio/RES0062.mp3[797.320,804.920] OK GOOD IS THERE A PARTICULAR REASON YOU TAKE THESE CBEDIBLES +audio/RES0062.mp3[804.920,812.240] IT HELPS ME SLEEP +audio/RES0062.mp3[812.240,834.680] OK IF ITS SPECIFICALLY TO HELP YOU SLEEP WE CAN ACTUALLY TRY AND SEE IF THERE ARE OTHER OPTIONS FOR YOU YOU KNOW THERE ARE PILLS LIKE THEY ARE SLEEP AIDS OR EVEN THINGS LIKE MELATONIN THAT CAN HELP REGULATE YOUR SLEEP SO WE CAN REVISIT OTHER OPTIONS FOR YOU IF YOURE OPEN TO THAT AS WELL +audio/RES0062.mp3[834.680,839.760] OK FOR SURE YEAH I WILL UM YEAH WE CAN TALK ABOUT THAT LATER +audio/RES0062.mp3[839.760,845.920] OK THAT SOUNDS GOOD AND DO YOU DO ANY OTHER RECREATIONAL DRUGS +audio/RES0062.mp3[845.920,846.640] I DO NOT +audio/RES0062.mp3[846.640,850.080] OK HOW ABOUT ALCOHOL +audio/RES0062.mp3[850.080,851.880] UH NO I DONT DRINK ANYMORE +audio/RES0062.mp3[851.880,858.200] OK AND DID YOU USED TO DRINK BEFORE +audio/RES0062.mp3[858.200,863.560] YES I JUST STOPPED A FEW YEARS AGO +audio/RES0062.mp3[863.560,868.120] OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW +audio/RES0062.mp3[868.120,873.520] I LIVE IN A HOUSE WITH MY WIFE +audio/RES0062.mp3[873.520,879.280] IN A HOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS MOLD OR ASBESTOS IN YOUR HOUSE +audio/RES0062.mp3[879.280,884.640] NO WEVE RENOVATED IT OVER THE YEARS +audio/RES0062.mp3[884.640,897.000] OK GOOD AND I APOLOGIZE BUT I WOULD LIKE TO CLARIFY THREE MORE SYMPTOMS WITH YOU DID YOU SAY YOU FELT LIKE YOU HAD A FEVER EARLIER +audio/RES0062.mp3[897.000,910.120] UM MAYBE IVE BEEN FEELING A LITTLE HOT BUT ITS BEEN REALLY MORE THE COUGH AND SHORTNESS OF BREATH THATS BEEN BUGGING ME +audio/RES0062.mp3[910.120,921.680] OK WELL WE CAN TAKE A TEMPERATURE TODAY JUST TO MAKE SURE HAVE YOU BEEN FEELING LIKE YOU HAVE NIGHT SWEATS OR CHILLS +audio/RES0062.mp3[921.680,925.600] UM NOT REALLY NO I HAVENT NOTICED THAT +audio/RES0062.mp3[925.600,934.440] OK AND HOW ABOUT UM ANY WEIGHT LOSS OVER THE PAST FEW MONTHS +audio/RES0062.mp3[934.440,936.200] NO ITS BEEN BEEN STABLE +audio/RES0062.mp3[936.200,946.200] OK ALRIGHT GOOD SO THAT BRINGS US TO THE END DO YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO CLARIFY BEFORE WE END THE INTERVIEW +audio/RES0062.mp3[946.200,955.640] NO NOTHING TODAY I WAS JUST REALLY HOPING TO GET UH WHATEVER THIS IS SORTED OUT +audio/RES0062.mp3[955.640,1054.280] YEAH YOU KNOW UM RIGHT NOW IT LOOKS LIKE IT SOUNDS LIKE IT COULD BE AN UPPER RESPIRATORY VIRAL ILLNESS SO THAT INCLUDES COVI SO WE WILL DO A SWAB FOR YOU AND THEN SEND IT OFF TO THE LAB FOR PCR RESULTS IN THE MEANTIME BECAUSE YOU HAVE SYMPTOMS THAT OVERLAP WITH COVISYMPTOMS WE DO ENCOURAGE ISOLATION FOR 14 DAYS UNTIL YOUR SYMPTOMS ARE GONE SORRY UNTIL YOUR SYMPTOMS ARE GONE EVEN IF THEYRE GONE WE DO SUGGEST ISOLATING FOR 14 DAYS JUST TO MAKE SURE YOURE NOT A CARRIER OR COULD SPREAD COVISO WE DO ENCOURAGE THAT AND THAT INCLUDES FROM YOUR HUSBAND IF POSSIBLE WE WILL GET THOSE RESULTS IN A DAY OR TWO IF THEY ARE POSITIVE WE WILL SEND YOUR RESULTS TO PUBLIC HEALTH WHO WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN IT FROM IF ITS NOT COVIIT COULD BE OTHER VIRAL ILLNESSES THAT ARE GOING AROUND THIS TIME OF YEAR AND IF YOUR SYMPTOMS ARENT GETTING BETTER ON THEIR OWN AND THERES REASON TO SUSPECT YOU MAY HAVE A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA WE WILL FOLLOW UP WITH YOU AND POSSIBLY PRESCRIBE ANTIBIOTICS HOW DOES THAT SOUND +audio/RES0062.mp3[1054.280,1060.760] YEAH THAT SOUNDS LIKE A GREAT PLAN +audio/RES0062.mp3[1060.760,1065.400] OK GREAT SO UM I WILL SEE YOU AT THE NEXT APPOINTMENT +audio/RES0062.mp3[1065.400,1069.000] THANK YOU +audio/RES0174.mp3[0.000,2.680] HOW MAY I HELP YOU +audio/RES0174.mp3[2.680,23.080] HI I JUST WANT TO TALK ABOUT THESE THESE TIMES WHEN I FEEL LIKE IM JUST IM SUFFOCATING AND I JUST CANT BREATHE ITS PRETTY SCARY AND I DONT KNOW WHATS GOING ON +audio/RES0174.mp3[23.080,39.560] YEAH CERTAINLY UM FEELING SHORT OF BREATH LIKE THAT CAN BE QUITE SCARY FOR SURE WHEN WHEN DO THESE EPISODES KIND OF HAPPEN ARE THEY SPONTANEOUS OR CAN YOU THINK OF THINGS THAT YOURE DOING WHEN THEY WHEN THEY COME ON +audio/RES0174.mp3[39.560,75.400] UHM I I DONT KNOW ITS JUST LIKE UHM SOMETIMES LIKE BEFORE INTERVIEWS SOMETIMES JUST KIND OF RANDOM UHM YEAH I CAN KIND OF TELL WHEN THEYRE ABOUT TO COME ON UHM YEAH I THINK ITS MOSTLY LIKE JOB INTERVIEWS +audio/RES0174.mp3[75.400,81.880] OK HAVE YOU HAD MANY OF THOSE RECENTLY +audio/RES0174.mp3[81.880,84.160] JOB INTERVIEWS +audio/RES0174.mp3[85.160,112.680] I GOT I GOT LAID OFF BECAUSE OF THE PANDEMIC AND NOW IVE BEEN LOOKING FOR JOBS AND ITS JUST LIKE ITS KIND OF NERVE WRACKING BUT ALSO LIKE I DONT KNOW IM JUST WORRIED IT COULD BE SOMETHING ELSE LIKE ITS JUST YEAH ITS LIKE I REALLY JUST CANT BREATHE ITS SO WEIRD +audio/RES0174.mp3[112.680,135.480] OK YEAH ITS CERTAINLY IT SOUNDS LIKE THERES BEEN A LOT OF STRESS RECENTLY CERTAINLY PLENTY FOR WITH THE PANDEMIC AS WELL AND SO WHEN YOU GET SHORT OF BREATH YOU YOU SAID YOU HAVE THIS YOU COULD FEEL THAT ITS COMING ON AND HOW LONG DOES IT LAST FOR +audio/RES0174.mp3[135.480,139.760] LIKE 15 MINUTES 15 20 MINUTES +audio/RES0174.mp3[139.760,143.120] IS THERE ANYTHING YOU DO TO HELP IT GO AWAY +audio/RES0174.mp3[143.120,147.080] ILL JUST SAY GO AND LIE DOWN AND CLOSE MY EYES +audio/RES0174.mp3[147.080,154.240] OK AND DO YOU GET SHORTER BREATH IF YOU WALK FAR DISTANCES OR EXERT YOURSELF +audio/RES0174.mp3[154.240,163.160] OH NO NO I GO OUT FOR A RUN EVERY SINGLE DAY NOTHING HAPPENS AT THAT TIME +audio/RES0174.mp3[163.160,167.640] OK AND HAVE YOU HAD A COUGH +audio/RES0174.mp3[168.960,171.120] ANY WHEEZING +audio/RES0174.mp3[172.600,178.520] OK AND HAVE YOU HAD ANY ANY CHEST PAIN +audio/RES0174.mp3[178.520,195.000] YEAH I KIND OF FEEL LIKE THIS PRESSURE AT THAT TIME IS JUST LIKE YEAH SOMEONES LIKE PRESSING MY CHEST INWARDS KIND OF ITS HARD TO EXPLAIN +audio/RES0174.mp3[195.000,201.080] I SEE DO YOU IT IS IT UM LIKE DO YOU FEEL IT IN ANY ONE PARTICULAR SPOT OR +audio/RES0174.mp3[202.600,209.360] I JUST FEEL LIKE MY CHEST IS REALLY TIGHT AND ITS JUST ITS LIKE I CANT LIKE EXPAND MY LUNGS +audio/RES0174.mp3[209.360,216.080] I SEE AND DOES THIS LAST AROUND 15 MINUTES AS WELL +audio/RES0174.mp3[217.600,227.040] OK AND SIMILARLY YOU LIKE GOING FOR RUNS AND STUFF LIKE THAT YOU ONT EVER GET ANY CHEST PAIN +audio/RES0174.mp3[227.040,228.760] NO NO NO +audio/RES0174.mp3[228.760,235.200] OK AND AND I KNOW YOU MENTIONED YOU DIDNT HAVE A COUGH BUT HAVE YOU BROUGHT UP ANY PHLEGM OR BROUGHT UP ANY ANY BLOOD +audio/RES0174.mp3[235.200,238.080] NO NO I HAVE NOT HAD A COUGH +audio/RES0174.mp3[238.080,240.160] OH NO OK IM SORRY +audio/RES0174.mp3[240.160,244.320] THATS OK +audio/RES0174.mp3[244.320,253.600] AND HAVE YOU OTHERWISE BEEN WELL OR IF YOU HAD ANY INFECTIOUS SYMPTOMS LIKE A RUNNY OR RED EYES RUNNY NOSE OR SORE THROAT +audio/RES0174.mp3[253.600,255.800] NO NONE OF THOSE +audio/RES0174.mp3[255.800,258.200] ALRIGHT HAVE YOU HAD ANY HEADACHES +audio/RES0174.mp3[259.760,263.200] HOW ABOUT ANY FEVERS OR CHILLS +audio/RES0174.mp3[264.240,267.000] HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0174.mp3[267.000,279.240] NO BUT I GET REALLY SWEATY WHEN THESE EPISODES HAPPEN JUST LIKE YEAH MY FACE IS LIKE SWEATING AND MY NECK +audio/RES0174.mp3[279.240,288.080] OK YEAH UM OK AND HOW IS YOUR WEIGHT BEEN RECENTLY ANY WEIGHT GAIN OR LOSS +audio/RES0174.mp3[288.080,298.280] YEAH IVE GAINED QUITE A BIT OF WEIGHT SINCE THE PANDEMIC STARTED YEAH GAINED ABOUT 10 POUNDS +audio/RES0174.mp3[298.280,301.960] OK ANY CHANGES TO YOUR DIET OR APPETITE +audio/RES0174.mp3[301.960,310.880] OH YEAH IVE BEEN EATING QUITE A BIT BEEN BAKING A LOT AT HOME +audio/RES0174.mp3[310.880,317.520] OK AND AND HAVE YOU HAD ANY ABDOMINAL PAINS +audio/RES0174.mp3[318.360,324.160] ANY DIARRHEA +audio/RES0174.mp3[324.160,326.280] UHM NO +audio/RES0174.mp3[326.280,329.000] OK ANY NAUSEA OR VOMITING +audio/RES0174.mp3[330.800,336.120] ALRIGHT AND ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY +audio/RES0174.mp3[337.560,341.920] ANY RASHES OR SKIN CHANGES +audio/RES0174.mp3[342.840,348.840] AND ANY MUSCLE ACHES BODY PAINS OR JOINT PAINS OR SWELLING +audio/RES0174.mp3[348.840,351.160] NOTHING LIKE THAT NO +audio/RES0174.mp3[351.160,355.240] OK AND HOWS YOUR ENERGY BEEN +audio/RES0174.mp3[355.240,370.680] UM WELL IVE BEEN FEELING A LITTLE LOW SINCE IVE BEEN LAID OFF JUST LIKE WORRIED ABOUT MY FINANCES AND I KIND OF SLEEP ALL DAY IM NOT FEELING VERY ENERGETIC +audio/RES0174.mp3[370.680,375.960] OK HOW IS YOUR INTEREST IN ACTIVITIES BEEN +audio/RES0174.mp3[375.960,384.760] I DONT KNOW I JUST FEEL LIKE STAYING AT HOME AND JUST BEING IN BED ALL THE TIME +audio/RES0174.mp3[384.760,390.680] OK SO YOURE UM HAVE YOU HAD A LOW MOOD +audio/RES0174.mp3[393.360,396.440] ALRIGHT AND ARE YOU SLEEPING MORE THAN USUAL +audio/RES0174.mp3[398.440,407.640] OK IS THERE ANYTHING THAT YOURE FEELING PARTICULARLY GUILTY ABOUT RIGHT NOW +audio/RES0174.mp3[408.200,412.440] OK HOW IS YOUR CONCENTRATION BEEN +audio/RES0174.mp3[412.440,417.160] UHM NOT GREAT +audio/RES0174.mp3[417.160,422.840] OK YOU HAVENT BEEN ABLE TO FOCUS AND HAVE YOU FELT LIKE THINGS ARE MOVING IN SLOW MOTION +audio/RES0174.mp3[424.280,432.480] ALRIGHT SO HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF +audio/RES0174.mp3[434.000,444.000] OK AND HAVE YOU HAD DEPRESSION OR ANXIETY IN THE PAST +audio/RES0174.mp3[444.000,450.720] UM IVE BEEN DIAGNOSED WITH DEPRESSION +audio/RES0174.mp3[450.720,459.920] OK AND HAVE YOU HAD PANIC ATTACKS BEFORE +audio/RES0174.mp3[459.920,463.560] NO BUT DO YOU THINK THATS WHATS GOING ON +audio/RES0174.mp3[463.560,501.200] POTENTIALLY IT CERTAINLY CANT RULE OUT INORGANIC CAUSE MEANING SOMETHING GOING ON OTHERWISE JUST YET WE MIGHT NEED TO DO SOME PHYSICAL EXAM AND SOME INVESTIGATIONS FIRST BUT IT CERTAINLY COULD BE RELATED TO THAT WITH ALL OF THE STRESSORS THAT ARE GOING ON AND SO YOU HAD A LOW MOOD HAVE YOU HAD ANY PERIODS IN YOUR LIFE WHERE YOU FELT REALLY ENERGETIC LIKE YOU DIDNT NEED ANY SLEEP YOURE REALLY TALKATIVE YOU HAD ALL THE ENERGY IN THE WORLD +audio/RES0174.mp3[501.200,508.240] I WISH NO IVE NEVER REALLY FELT THAT WAY +audio/RES0174.mp3[508.240,518.400] OK AND HAVE YOU HAD ANY CONCERNS WITH EATING DISORDERS IN THE PAST +audio/RES0174.mp3[519.640,526.200] ALRIGHT AND THEN YOU MENTIONED EVEN DIAGNOSED WITH DEPRESSION IF YOU HAD ARE YOU HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS +audio/RES0174.mp3[527.840,529.960] OK ARE YOU ON ANY MEDICATIONS RIGHT NOW +audio/RES0174.mp3[529.960,544.960] NO I WAS DOING PRETTY WELL I USED TO HAVE THESE EPISODES OF DEPRESSION WHEN I WAS YOUNGER AS A TEENAGER AND THEY KIND OF WENT AWAY I WAS ON MEDS AT THAT TIME BUT I THINK I THINK ITS COMING BACK NOW +audio/RES0174.mp3[544.960,551.320] OK SO YOU HAVENT BEEN ON MEDICATION NOW FOR FOR QUITE AWHILE FOR YEARS +audio/RES0174.mp3[551.320,555.720] FOR LIKE 12 YEARS 13 YEARS +audio/RES0174.mp3[555.720,559.120] OK WHAT DID YOU USE THAT IF YOU CAN REMEMBER +audio/RES0174.mp3[561.120,565.720] OK AND DID YOU FIND IT HELPED +audio/RES0174.mp3[565.720,568.280] YEAH YEAH IT WAS VERY HELPFUL WAS VERY GOOD +audio/RES0174.mp3[568.280,575.720] OK THATS GOOD ANY ALLERGIES TO MEDICATIONS +audio/RES0174.mp3[578.560,586.120] ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES +audio/RES0174.mp3[587.200,601.200] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0174.mp3[601.200,605.440] I I LIVE I LIVE WITH MY GIRLFRIEND +audio/RES0174.mp3[605.440,611.400] OK AND HAS THERE BEEN ANYBODY AROUND THAT THAT HAS BEEN SICK THAT THEY HAVE BEEN AROUND +audio/RES0174.mp3[611.800,616.120] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0174.mp3[616.120,617.840] NO NO +audio/RES0174.mp3[617.840,620.920] AND DO YOU SMOKE CIGARETTES +audio/RES0174.mp3[620.920,622.800] OH NO I DONT +audio/RES0174.mp3[622.800,628.440] OK DO YOU DRINK ALCOHOL +audio/RES0174.mp3[628.440,629.560] I DONT +audio/RES0174.mp3[629.560,633.120] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0174.mp3[635.160,638.680] OK AND ANY CHANCE THAT YOU COULD BE PREGNANT CURRENTLY +audio/RES0174.mp3[639.040,641.760] AND HAVE YOU BEEN PREGNANT IN THE PAST +audio/RES0174.mp3[645.400,648.600] OK AND DO YOU SMOKE CIGARETTES +audio/RES0174.mp3[648.600,649.840] I DONT +audio/RES0174.mp3[649.840,651.920] DO YOU DRINK ALCOHOL +audio/RES0174.mp3[653.880,656.400] AND DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0174.mp3[658.960,661.680] OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS +audio/RES0174.mp3[661.680,668.240] MY GRANDFATHER HAD LUNG CANCER BUT THATS ABOUT IT +audio/RES0174.mp3[668.240,671.080] DID HE SMOKE FOR A LONG TIME +audio/RES0174.mp3[671.080,677.000] OH YEAH HE WAS A BIG SMOKER +audio/RES0174.mp3[677.000,681.920] OK AND ANYBODY IN THE FAMILY HAVE PROBLEMS WITH MENTAL ILLNESS +audio/RES0174.mp3[681.920,686.200] MY MOM HAS UH DEPRESSION TOO +audio/RES0174.mp3[686.200,695.840] OK ANYBODY IN IN THE FAMILY HAVE PROBLEMS WITH SUBSTANCE SUBSTANCE USE +audio/RES0174.mp3[701.480,737.440] OK UM AND I THINK THATS EVERYTHING THAT I I WANTED TO ASK ON HISTORY TODAY SO YOU BEEN HAVING THESE EPISODES WHERE YOU GET REALLY SHORT OF BREATH AND YOU GET CHEST PAIN YOULL GET SWEATY AND HAVE WHAT SOUNDS LIKE WHAT SOUNDS LIKE AN IMPENDING SENSE OF DOOM WHERE YOU KIND OF FEEL LIKE ITS COMING ON AND IT LASTS FOR 15 MINUTES AND NOT RELATED TO EXERCISE WERE THERE ANY OTHER SYMPTOMS OR THINGS THAT YOUVE BEEN EXPERIENCING RECENTLY +audio/RES0174.mp3[737.440,743.600] YEAH ITS ALSO I ALSO FEEL LIKE MY HEARTS LIKE BREATHING REALLY FAST +audio/RES0174.mp3[743.600,751.080] OH OK AND I DOES THAT HOW LONG DOES IT LAST FOR +audio/RES0174.mp3[751.080,757.040] SAME TIME LIKE EVERYTHING IS JUST SORT OF COMES ON AT THE SAME TIME JUST KIND OF GOES AWAY TOGETHER +audio/RES0174.mp3[757.040,766.600] OK WOULD YOU SAY THAT IT COMES ON LIKE KIND OF LIKE AT THE SNAP OF YOUR FINGERS SORT OF THING LIKE REALLY QUICKLY AND THEN +audio/RES0174.mp3[766.600,777.920] I CAN KIND OF TELL ITS GONNA COME ON LIKE I HAVE A SENSE OF IT AND THEN IT JUST LIKE STARTS IT SUDDENLY JUST HAPPENS +audio/RES0174.mp3[777.920,788.280] OK SO YOU YOU HAVE THE HEART RACING ARE THERE ANY OTHER SYMPTOMS AS WELL +audio/RES0174.mp3[788.280,793.560] I DONT THINK SO +audio/RES0174.mp3[793.560,826.400] OK SO UH WE WILL GET AN ECG AND I WILL LOOK AT THAT BUT IVE BEEN CONCERNED NOW THINKING THAT THIS MIGHT BE RELATED TO ANXIETY OR PANIC ATTACKS AND SO I GUESS THAT WOULD BE SOMETHING THAT WE COULD DISCUSS MORE ABOUT IN REGARDS TO LIKE I GUESS PREVIOUS TRAUMAS AND THINGS THAT AND THE STRESSES THAT YOU MIGHT BE DEALING WITH CURRENTLY TO HELP MANAGE MANAGE STRESS BETTER +audio/RES0174.mp3[826.400,830.880] SURE THANK YOU +audio/RES0059.mp3[0.000,2.280] HOW ARE YOU DOING +audio/RES0059.mp3[2.280,7.720] OH NOT TOO GREAT IVE HAD THIS COUGH THE LAST FEW DAYS +audio/RES0059.mp3[7.720,10.800] OK UMM HOW OLD ARE YOU +audio/RES0059.mp3[10.800,15.680] IM 36 +audio/RES0059.mp3[15.680,20.920] OK SO FOR THE PAST COUPLE OF DAYS YOU SAID SO IS THAT TWO DAYS THREE DAYS +audio/RES0059.mp3[20.920,23.240] I THINK 3 THREE DAYS +audio/RES0059.mp3[23.240,28.640] OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANYTHING +audio/RES0059.mp3[28.640,29.840] ITS DRY +audio/RES0059.mp3[29.840,32.800] OK SO NO SPUTUM NO BLOOD +audio/RES0059.mp3[32.800,33.960] NO BLOOD +audio/RES0059.mp3[33.960,39.880] OK AND DO YOU FEEL WHEEZY AT ALL +audio/RES0059.mp3[39.880,41.320] NO NO WHEEZING +audio/RES0059.mp3[41.320,45.360] NO SHORTNESS OF BREATH +audio/RES0059.mp3[45.360,51.680] NOW I RAN TO CATCH THE BUS YESTERDAY AND I WAS A BIT MORE SHORT OF BREATH THAN I WOULD USUALLY BE +audio/RES0059.mp3[51.680,58.200] OK AND HAVE YOU HAD A FEVER +audio/RES0059.mp3[58.200,61.120] IVE FELT HOT YES +audio/RES0059.mp3[61.120,67.240] OK DID YOU ACTUALLY TAKE YOUR TEMPERATURE OR DO YOU JUST FEEL HOT +audio/RES0059.mp3[67.240,72.040] I JUST GOT HOT +audio/RES0059.mp3[72.040,81.800] OK SO WE CAN TAKE YOUR TEMPERATURE TODAY ANY CHEST PAIN +audio/RES0059.mp3[81.800,83.520] NO CHEST PAIN +audio/RES0059.mp3[83.520,88.520] OK AND ANY THROAT PAIN +audio/RES0059.mp3[88.520,95.680] YEAH MY THROATS BEEN A LITTLE SORE BUT I THOUGHT IT WAS MAYBE JUST BECAUSE I WAS COUGHING SO MUCH +audio/RES0059.mp3[95.680,101.640] OK AND ANY ISSUES SWALLOWING FOOD +audio/RES0059.mp3[101.640,104.000] UMM NO PROBLEMS SWALLOWING FOOD +audio/RES0059.mp3[104.000,108.240] OK ANY CHANGES IN YOUR SMELL +audio/RES0059.mp3[108.240,120.400] NOW THAT YOU MENTION IT YEAH I THOUGHT IT WAS MAYBE JUST PLUGGED UP BUT I HAVENT REALLY BEEN ABLE TO SMELL THESE LAST FEW DAYS +audio/RES0059.mp3[120.400,126.240] OK AND HOW ABOUT HEARING ANY CHANGES IN YOUR HEARING +audio/RES0059.mp3[126.240,127.800] NO CHANGES THERE +audio/RES0059.mp3[127.800,131.040] OK ANY EAR PAIN +audio/RES0059.mp3[131.040,132.360] NO EAR PAIN NO +audio/RES0059.mp3[132.360,136.120] OK ANY CHANGES IN YOUR VISION +audio/RES0059.mp3[136.120,142.400] UMM I GOT GLASSES LAST YEAR BUT NOTHING RECENTLY +audio/RES0059.mp3[142.400,148.240] OK AND ANY EYE PAIN OR DISCHARGE FROM THE EYES +audio/RES0059.mp3[149.880,157.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS OR CHILLS +audio/RES0059.mp3[157.440,160.040] NOTHING LIKE THAT +audio/RES0059.mp3[160.040,162.760] ANY WEIGHT LOSS +audio/RES0059.mp3[162.760,164.400] NO WEIGHT LOSS NO +audio/RES0059.mp3[164.400,169.760] OK AND THEN HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS +audio/RES0059.mp3[169.760,174.240] NO EVERYTHINGS BEEN REGULAR THERE +audio/RES0059.mp3[174.240,179.480] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN YOUR STOOL +audio/RES0059.mp3[179.480,186.480] NO DIARRHEA NO CONSTIPATION AND I HAVENT NOTICED ANY BLOOD +audio/RES0059.mp3[186.480,189.440] OK ANY CHANGES IN YOUR URINE +audio/RES0059.mp3[189.440,193.200] UH NO +audio/RES0059.mp3[193.200,199.520] NO OK UM HOW ABOUT MUSCLE ACHES OR PAINS +audio/RES0059.mp3[199.520,207.080] I FELT PRETTY UH WELL YEAH I GUESS ACHY AND WEAK +audio/RES0059.mp3[207.080,218.440] DID THAT START AROUND THE SAME TIME THAT YOU EXPERIENCED YOUR COUGH AND POSSIBLE FEVER +audio/RES0059.mp3[218.440,223.720] YEAH I WOULD SAY IT STARTED AROUND THE SAME TIME +audio/RES0059.mp3[223.720,226.880] OK ANY DIZZINESS +audio/RES0059.mp3[226.880,228.880] UH NO +audio/RES0059.mp3[228.880,233.480] ANY CONFUSION OR MEMORY LOSS +audio/RES0059.mp3[235.400,239.280] OK ANY FAINTING SPELLS +audio/RES0059.mp3[240.320,242.200] ANY RASHES +audio/RES0059.mp3[242.200,244.880] I HAVENT NOTICED ANY RASHES +audio/RES0059.mp3[244.880,259.680] OK SO ITS YOUR COUGH AND JUST IN GENERAL HOW YOU FEEL DOES IT GET BETTER OR WORSE WITH ANYTHING HAVE YOU TRIED YOU KNOW TYLENOL AND ANY ANTIPYRETICS +audio/RES0059.mp3[259.680,275.400] YEAH I TRIED SOME UH LIKE DAY AND NIGHT TIME TYLENOL AT HOME TO SLEEP BUT STILL WHEN I WOKE UP IN THE MORNING STILL NOT FEELING VERY GOOD AND THE COUGH IS STILL HERE TOO +audio/RES0059.mp3[275.400,282.960] OK YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE +audio/RES0059.mp3[282.960,300.760] MAYBE AS A KID I MEAN I REMEMBER GETTING THE FLU I HAD A COUGH AND THAT SORT OF THING BUT I HAVENT BEEN SICK FOR SEVERAL YEARS NOW +audio/RES0059.mp3[300.760,314.800] OK UMM AND THEN SINCE YOU STARTED HAVING THIS COUGH TOO NOW HAS ANYTHING CHANGED HOW ARE YOU FEELING WORSE OR DO YOU FEEL KIND OF THE SAME AS WHEN IT STARTED +audio/RES0059.mp3[314.800,319.880] I WOULD SAY I FEEL A BIT WORSE +audio/RES0059.mp3[319.880,325.480] OK AND HAS ANYONE AROUND YOU BEEN SICK RECENTLY +audio/RES0059.mp3[325.480,334.720] UMM NO NOT THAT I KNOW OF YEAH EVERYBODY IN THE HOUSE HAS BEEN OK +audio/RES0059.mp3[334.720,341.200] OK HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0059.mp3[341.200,354.600] UMM YEAH I WAS VISITING SOME COUSINS UP NORTH SEVERAL WEEKS AGO BUT THAT WAS JUST TRAVELING WITHIN THE PROVINCE +audio/RES0059.mp3[354.600,358.440] OK AND THEYRE FINE NO ONE IS SICK +audio/RES0059.mp3[358.440,366.920] I HAVENT HEARD OF ANYBODY BEING SICK +audio/RES0059.mp3[366.920,374.960] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS +audio/RES0059.mp3[374.960,389.360] IVE BEEN TOLD I HAD HIGH CHOLESTEROL BEFORE BUT I DONT TAKE ANY MEDICATIONS FOR IT IVE BEEN JUST TRYING TO LOSE SOME WEIGHT AND EXERCISE MORE +audio/RES0059.mp3[389.360,392.600] SURE OK NO SURGERIES OR HOSPITALIZATIONS IN THE PAST +audio/RES0059.mp3[394.560,397.760] OK AND NO OTHER MEDICATIONS +audio/RES0059.mp3[397.760,401.520] UMM NO I JUST TAKE A MULTIVITAMIN +audio/RES0059.mp3[401.520,410.200] OK AND NO OTHER YOU KNOW OVER THE COUNTER MEDICATIONS OR HERBAL STUFF +audio/RES0059.mp3[410.200,435.320] NO ILL USE MY TYLENOL OR IBUPROFEN OR ADVIL I GUESS IF I GET THE OCCASIONAL HEADACHE AND I GUESS UMM SOMETHING LIKE REACTINE OR CLARITIN FOR THE SEASONAL ALLERGIES BUT THATS ABOUT IT +audio/RES0059.mp3[435.320,441.800] OK AND SO YOU SAID SEASONAL ALLERGIES ANY OTHER ALLERGIES +audio/RES0059.mp3[441.800,446.720] UMM NO JUST USUALLY LIKE IN THE SPRINGTIME +audio/RES0059.mp3[446.720,452.640] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS +audio/RES0059.mp3[452.640,458.440] YEAH I AM YEAH I GET THE FLU SHOT EVERY YEAR +audio/RES0059.mp3[458.440,468.240] OK GOOD AND IN TERMS OF FAMILY HISTORY DO ANY OF YOUR FAMILY MEMBERS HAVE LUNG CONDITIONS OR HEART CONDITIONS +audio/RES0059.mp3[468.240,477.600] I KNOW MOM HAS HIGH BLOOD PRESSURE BUT NOBODYS HAD A HEART ATTACK OR UH NO LUNG CONDITIONS EITHER +audio/RES0059.mp3[477.600,482.040] OK ANY CANCERS THAT RUN IN THE FAMILY +audio/RES0059.mp3[482.040,486.680] UMM NONE I CANT THINK OF ANY +audio/RES0059.mp3[486.680,490.280] OK AND THEN DO YOU SMOKE +audio/RES0059.mp3[490.280,496.840] I JUST I SMOKE CANNABIS EVERY ONCE IN AWHILE +audio/RES0059.mp3[496.840,500.880] OK HOW MUCH DO YOU SMOKE +audio/RES0059.mp3[500.880,506.880] UM I WOULD SAY MAYBE I ENJOY IT ON THE WEEKENDS +audio/RES0059.mp3[506.880,510.000] DID YOU SAY A JOINT ON THE WEEKENDS +audio/RES0059.mp3[512.240,516.320] OK SO IS THAT LIKE 1 MILLIGRAM +audio/RES0059.mp3[516.320,519.600] YEAH I WOULD SAY SOMETHING ABOUT THAT YEAH ITS NOT MUCH +audio/RES0059.mp3[519.600,523.040] OK BUT NO CIGARETTES THOUGH +audio/RES0059.mp3[523.360,526.560] OK ANY OTHER RECREATIONAL DRUGS +audio/RES0059.mp3[527.320,531.760] OK AND DO YOU DRINK ALCOHOL +audio/RES0059.mp3[531.760,539.000] UMM I DO YEAH ILL HAVE LIKE TWO OR THREE BEERS ON THE WEEKEND +audio/RES0059.mp3[539.000,543.560] SURE AND AND WHERE DO YOU LIVE +audio/RES0059.mp3[543.560,549.280] IM JUST LIKE 20 MINUTES DOWN THE ROAD IN A HOUSE HERE +audio/RES0059.mp3[549.280,557.680] SURE IS IT AN APARTMENT COMPLEX OR IS IT LIKE A FULL HOUSE +audio/RES0059.mp3[557.680,564.960] YEAH ITS A SINGLE FAMILY HOME I LIVE THERE WITH MY WIFE AND THREE KIDS +audio/RES0059.mp3[564.960,578.200] OK UM ANY CONCERNS WITH YOUR LIVING ARRANGEMENTS YOU KNOW LIKE OLD CARPETS OR ANYTHING LIKE THAT +audio/RES0059.mp3[578.200,583.760] ACTUALLY LAST YEAR WE HAD MOST OF THE CARPETS TAKEN OUT SO NOT ANYMORE +audio/RES0059.mp3[583.760,595.720] OK GOOD GOOD DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP THAT I DIDNT TOUCH ON TODAY +audio/RES0059.mp3[595.720,613.160] YEAH I WAS JUST REALLY WORRIED THAT THIS COULD BE COVII MEAN I HAVE A COUGH AND JUST HAVE BEEN FEELING REALLY HOT SO I WAS JUST CONCERNED ABOUT THAT +audio/RES0059.mp3[613.160,692.160] YEAH FOR SURE AND I THINK THATS A VALID CONCERN SO RIGHT NOW IM JUST GOING THROUGH YOU KNOW A LIST OF DIFFERENTIAL DIAGNOSES THAT YOU COULD POSSIBLY HAVE AND COVIITS DEFINITELY TOP ON MY LIST AND SO WE WILL LIKELY GET A SWAB AND RUN THOSE TESTS AND TRY TO GET THAT BACK TO YOU AS SOON AS WE CAN IT COULD ALSO BE OTHER RESPIRATORY INFECTIONS ESPECIALLY VIRAL INFECTIONS THIS TIME OF THE YEAR AND SO IF IT COMES BACK NEGATIVE FOR COVIITS PROBABLY YOU KNOW SOMETHING ELSE LIKE RESPIRATORY VIRUS OR EVEN THE FLU SO WELL GO FROM THERE AND IF IT TURNS OUT ITS NOT A VIRAL INFECTION WE WILL LIKELY SEE IF ITS SOME SORT OF BACTERIAL INFECTION IN WHICH WE CAN PRESCRIBE ANTIBIOTICS FOR THOSE BUT IT DEFINITELY SOUNDS LIKE THERES AN INFECTIOUS PICTURE GOING ON HERE BECAUSE OF THE ACUTENESS OF THE PRESENTATION AND JUST YOUR SYMPTOMS SO WE WILL DO AFOLLOW UP IN A WEEK OR SO UNTIL THEN WE WILL RUN ALL THESE LABS DOES THAT SOUND GOOD +audio/RES0059.mp3[692.160,706.760] ALRIGHT YEAH THAT SOUNDS GOOD SO I GUESS I WILL KIND OF SELF ISOLATE UNTIL THE COVIRESULTS COME BACK +audio/RES0059.mp3[706.760,757.600] OH YES PLEASE DO SO THATS THATS A GREAT POINT I DO SUGGEST ISOLATING FOR TWO WEEKS AT LEAST IF YOU HAVE ANY SORT OF SYMPTOMS BECAUSE EVEN THOUGH THE PCR THAT WE DO TO TEST FOR COVIIS SUPPOSED TO BE RELIABLE AND ITS SUPPOSED TO BE SPECIFIC AND SENSITIVE THERE ARE SOMETIMES FALSE NEGATIVE TESTS YOU KNOW JUST TO BE ON THE SAFE SIDE IF YOURE EXPERIENCING ANY OF THE SYMPTOMS THAT OVERLAP WITH COVISYMPTOMS ISOLATE FOR TWO WEEKS BUT BY THE END OF THE WEEK WE SHOULD KNOW WHAT THE TEST RESULTS ARE AND THEN YOU WILL KNOW FOR SURE WHAT YOU HAVE +audio/RES0059.mp3[757.600,759.040] OK AWESOME THANK YOU +audio/RES0059.mp3[759.040,767.640] YEAH THANK YOU +audio/RES0095.mp3[0.000,1.640] HOW CAN I HELP YOU +audio/RES0095.mp3[1.640,13.120] IVE HAD UH WORSENING UHM SHORTNESS OF BREATH UHM FOR THE PAST COUPLE OF DAYS +audio/RES0095.mp3[13.120,21.880] OK AND THIS HAS JUST BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS +audio/RES0095.mp3[24.320,28.800] OK HOW FAR ARE YOU ABLE TO WALK BEFORE GETTING SHORTER BREATH +audio/RES0095.mp3[28.800,33.120] A COUPLE OF STAIRS TWO TO THREE STAIRS +audio/RES0095.mp3[33.120,39.640] OK AND HOW FAR WERE YOU ABLE TO TO WALK BEFORE THAT +audio/RES0095.mp3[39.640,44.280] HMM ID SAY ABOUT TEN OR ELEVEN STAIRS +audio/RES0095.mp3[44.280,50.040] OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE +audio/RES0095.mp3[50.040,60.320] YEAH UHM SIX MONTHS AGO +audio/RES0095.mp3[60.320,63.920] OK COULD YOU TELL ME ABOUT WHAT HAPPENED SIX MONTHS AGO +audio/RES0095.mp3[63.920,87.040] YEAH YEAH I WAS FEELING ALL I WAS FEELING JUST LIKE THIS WAS FEELING AWFUL I WENT TO THE HOSPITAL THEY STARTED ME ON A WATER PILL KEPT ME FOR A COUPLE OF DAYS AND THEN SENT ME BACK HOME UHM THEY CHANGED SOME OF MY MEDS I THINK INCREASED THE DOSE OF SOMETHING AND YEAH THATS WHAT HAPPENED +audio/RES0095.mp3[87.040,94.560] OK I SEE AND HAVE YOU BEEN HAVING UHM ANY SWELLING +audio/RES0095.mp3[94.560,104.160] YEAH OH MY GOODNESS ITS SO BAD I COULDNT WEAR MY SHOES THIS MORNING ITS GOTTEN WORSE OVER THE PAST ONE MONTH +audio/RES0095.mp3[104.160,108.000] HAVE YOU HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT +audio/RES0095.mp3[108.000,113.360] YEP GAINED FIVE POUNDS IN THE PAST TWO MONTHS +audio/RES0095.mp3[113.360,119.520] AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE OR OR DIET OR EXERCISE +audio/RES0095.mp3[119.520,128.160] I CAN BARELY EXERCISE I FEEL SO SHORT OF BREATH MY DADS THE SAME +audio/RES0095.mp3[128.160,137.360] OK UHM AND HAVE YOU HAD ANY UH INSTANCES WHERE YOUVE WOKE UP IN THE MIDDLE OF THE NIGHT EXTREMELY SHORT OF BREATH +audio/RES0095.mp3[137.360,141.560] YEAH THAT HAPPENED LAST NIGHT COULDNT FALL ASLEEP +audio/RES0095.mp3[141.560,145.160] DID IT HELP UH SITTING UP +audio/RES0095.mp3[145.160,150.960] YEAH I JUST WENT AND SAT ON MY CHAIR AND SLEPT ON THE CHAIR +audio/RES0095.mp3[150.960,157.400] OK AND DO YOU UH TYPICALLY HAVE PROBLEMS WITH SHORTNESS OF BREATH IF YOU LIE FLAT +audio/RES0095.mp3[157.400,163.960] I DO I HAVE TO UH STARTED USING TWO PILLOWS +audio/RES0095.mp3[163.960,167.360] IS THIS A NIGHTLY THING +audio/RES0095.mp3[167.360,174.080] ITS ITS FINE WITH THE TWO PILLOWS NOW +audio/RES0095.mp3[174.080,180.120] OK YEAH AND HAVE YOU BEEN EXPERIENCING ANY COUGH +audio/RES0095.mp3[181.880,188.680] ALRIGHT AND UHM HOW ABOUT ANY ANY CHEST PAIN +audio/RES0095.mp3[189.880,198.080] HAVE YOU BEEN HAVING ANY UH INSTANCES FEELING AS THOUGH YOUR HEARTS RACING OR BEATING OUT OF YOUR CHEST +audio/RES0095.mp3[199.080,204.480] ALRIGHT HAVE YOU HAD ANY FAINTING OR DIZZINESS +audio/RES0095.mp3[204.480,207.480] UH NO +audio/RES0095.mp3[207.480,213.760] ALRIGHT HAVE YOU HAD ANY WHEEZING +audio/RES0095.mp3[214.920,225.360] OK HAVE YOU HAD ANY INFECTIOUS SYMPTOMS SUCH AS UH EYE REDNESS EYE DISCHARGE NASAL DISCHARGE OR OR SORE THROAT +audio/RES0095.mp3[225.360,231.400] NOT RECENTLY I HAD THAT ABOUT TWO MONTHS AGO BUT THAT GOT BETTER +audio/RES0095.mp3[231.400,234.200] OK DID YOU NEED ANTIBIOTICS TWO MONTHS AGO +audio/RES0095.mp3[234.200,245.600] NO NO JUST LASTED A COUPLE DAYS AND GOT BETTER ON ITS OWN +audio/RES0095.mp3[245.600,250.600] I SEE OK AND UHM HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN +audio/RES0095.mp3[250.960,260.000] HOW ABOUT ANY CHANGES TO BOWEL HABITS SUCH AS DIARRHEA OR CONSTIPATION +audio/RES0095.mp3[260.000,261.120] UHM NO +audio/RES0095.mp3[261.120,263.200] ANY URINARY PROBLEMS +audio/RES0095.mp3[263.200,271.760] I DO I I UHM I LEAK URINE SOMETIMES ACTUALLY QUITE OFTEN +audio/RES0095.mp3[271.760,275.080] OK AND DO YOU USE ANY MEDICATIONS +audio/RES0095.mp3[275.080,294.960] NO I I WELL I DO I USE A LOT OF MEDICATIONS UHM BUT I DONT REMEMBER THEIR NAMES UH I HAVE THIS BLISTER PACK AND I JUST TAKE EVERYTHING IN IT UHM I ALSO I BROUGHT THE LIST OF PRESCRIPTIONS I CAN GIVE THAT TO YOU +audio/RES0095.mp3[294.960,308.320] FOR SURE YEAH I COULD GO THROUGH GO THROUGH THAT UHM HERE UHM SO BUT FIRST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0095.mp3[308.320,324.120] YEAH I HAVE UH HEART HEART FAILURE AND UH HAD TWO HEART ATTACKS AND HAVE HIGH CHOLESTEROL HIGH BLOOD PRESSURE AND UH IM ALSO OVERWEIGHT +audio/RES0095.mp3[324.120,327.880] OK DO YOU KNOW WHAT YOUR BMI IS CURRENTLY +audio/RES0095.mp3[327.880,328.480] WHATS THAT +audio/RES0095.mp3[328.480,357.880] SO THIS IS A MEASURE OF BODY MASS INDEX AND UHM CAN HELP GIVE AN INDICATION ABOUT WEIGHT RANGES UHM WHETHER UHM BEING IN A HEALTHY WEIGHT RANGE OR UHM A WEIGHT RANGE THATS ASSOCIATED WITH UHM RISK OF CERTAIN DISEASES SUCH AS HIGH BLOOD PRESSURE +audio/RES0095.mp3[357.880,363.440] NO I I I DONT KNOW I IVE NEVER HEARD OF THAT I I KNOW MY WEIGHT I COULD TELL YOU THAT +audio/RES0095.mp3[363.440,364.720] SURE YEAH +audio/RES0095.mp3[364.720,368.600] IM 250 POUNDS +audio/RES0095.mp3[368.600,373.400] OK AND YEAH WE CAN CHECK THAT UH WITH YOUR HEIGHT TODAY +audio/RES0095.mp3[373.400,376.600] MY HEIGHT IS 52 +audio/RES0095.mp3[376.600,403.600] OK THANK YOU AND UHM SO JUST LOOKING AT THE MEDICATIONS HERE NOW I SEE A VARIETY FOR UHM CARDIOVASCULAR PROTECTION SO THINGS LIKE ASPIRIN BETA BLOCKER ACE INHIBITOR STATIN UHM AND UHM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS +audio/RES0095.mp3[405.200,411.080] UHM AND HAVE YOU HAD ANY UH SO YOU MENTIONED SURGERIES TO YOUR TO YOUR HEART DO YOU HAVE A STENT PLACED +audio/RES0095.mp3[411.080,420.480] YEAH I HAD TO STENT PUT IN AFTER THE FIRST HEART ATTACK ABOUT FIVE YEARS AGO AND THEN ANOTHER ONE UH THREE YEARS AGO +audio/RES0095.mp3[420.480,433.400] OK AND HAVE YOU HAVE YOU BEEN STABLE IN REGARDS TO YOUR UH LIKE CHEST PAIN HAVE YOU HAD ANY +audio/RES0095.mp3[433.400,458.120] NO I HAVENT HAD CHEST PAIN I HAVE A UHM A HEART DOCTOR WHO UHM I WENT TO SEE AFTER THE LAST HOSPITALIZATION SIX MONTHS AGO THINGS WERE LOOKING OK AT THE TIME HE ORDERED A BUNCH OF TESTS I HAVENT DONE ALL OF THEM YET +audio/RES0095.mp3[458.120,466.200] OK DO YOU KNOW UH BY ANY CHANCE WHAT THE UH LAST EJECTION FRACTION WAS ON YOUR ECHOCARDIOGRAM +audio/RES0095.mp3[466.200,475.160] I DONT KNOW I I DONT KNOW ALL OF THAT I DONT KNOW YOU HAVE TO ASK MY DAUGHTER SHE KNOWS MUCH MORE ABOUT ME +audio/RES0095.mp3[475.160,493.040] YEAH NO PROBLEM WELL WE COULD LOOK INTO UH SOME OF THOSE OLD UH OLDER TESTS THAT YOUVE DONE OK AND UHM SO CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY YOU MENTIONED YOUR YOUR DAUGHTER ARE YOU LIVING WITH YOUR DAUGHTER +audio/RES0095.mp3[493.040,506.200] YEAH I LIVE WITH MY DAUGHTER MY HUSBAND PASSED AWAY UH THREE YEARS AGO AND SO IVE JUST BEEN STAYING WITH MY DAUGHTER ITS JUST THE TWO OF US NOW +audio/RES0095.mp3[506.200,520.320] I SEE IM SORRY TO HEAR THAT ABOUT YOUR HUSBAND UHM ARE YOU CURRENTLY UH LIKE FUNCTIONING INDEPENDENTLY AROUND THE HOME OR DOES YOUR DAUGHTER HELP WITH A LOT OF THE TASKS +audio/RES0095.mp3[520.320,548.400] OH SHE SHE SHE HAS TO HELP ME OUT UHM SHE HAS TO HELP ME OUT I UHM I SOMETIMES NEED HELP WITH THE SHOWERING SIMPLY BECAUSE I GET REALLY SHORT OF BREATH AND THEN SO I HAVE TO STOP AND ITS JUST SHES JUST WORRIED THAT ITS UNSAFE SO SHE HELPS ME OUT WITH THAT UHM SHE GETS MOST OF THE THINGS DONE AT HOME SHE DOES THE GROCERIES AND EVERYTHING +audio/RES0095.mp3[548.400,552.640] OK I SEE AND DO YOU DO YOU SMOKE CIGARETTES +audio/RES0095.mp3[552.640,555.800] I I DONT +audio/RES0095.mp3[555.800,558.360] AND DO YOU DRINK ALCOHOL +audio/RES0095.mp3[558.360,560.680] NOT ANYMORE +audio/RES0095.mp3[560.680,564.880] OK DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS +audio/RES0095.mp3[564.880,567.640] NO NO NO NO NOTHING LIKE THAT +audio/RES0095.mp3[567.640,573.600] ALRIGHT THEN UH DO YOU UHM USE ANY OTHER RECREATIONAL DRUGS +audio/RES0095.mp3[573.600,576.760] NO NO I DONT +audio/RES0095.mp3[576.760,583.760] ALRIGHT UHM HAVE YOU BEEN AROUND ANYBODY WHO YOU THINK MIGHT HAVE BEEN SICK +audio/RES0095.mp3[583.760,590.400] NO IVE JUST BEEN STAYING AT HOME MY DAUGHTERS BEEN WORKING FROM HOME TOO +audio/RES0095.mp3[590.400,593.760] OK SO UH YOU HAVENT HAD MUCH CONTACT WITH UHM +audio/RES0095.mp3[594.320,604.520] WITH OTHERS RECENTLY OK HAVE YOU SO YOU HAVENT TRAVELED ANYWHERE +audio/RES0095.mp3[606.080,615.640] ALRIGHT UH AND UH AND IN TERMS OF FAMILY HISTORY HAS ANYBODY HAD ANY HEART OR LUNG CONDITIONS +audio/RES0095.mp3[615.640,628.360] OH YEAH EVERYONE IN MY FAMILY HAS HIGH BLOOD PRESSURE MY MOM HAD A HEART ATTACK MY BROTHER HAD A HEART ATTACK MY SISTER HAD A HEART ATTACK EVERYONE EVERYONE HAS HEART PROBLEMS +audio/RES0095.mp3[628.360,645.560] OK CERTAINLY SOUNDS LIKE SOMETHING UH COMMON IN THE FAMILY HAS THERE BEEN ANY OTHER UH CONDITIONS THAT RUN IN THE FAMILY +audio/RES0095.mp3[647.480,652.520] ALRIGHT UHM I I DONT I DONT THINK I ASKED HAVE YOU HAD ANY FEVERS OR CHILLS +audio/RES0095.mp3[655.040,658.080] OK AND OR OR ANY NIGHT SWEATS +audio/RES0095.mp3[661.720,671.880] OK AND UH I MIGHT HAVE ASKED BUT JUST TO TO BE COMPLETE DID YOU HAVE ANY NAUSEA OR VOMITING +audio/RES0095.mp3[673.200,679.520] OK UHM SO WERE THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT THAT I MAY HAVE FORGOT TO ASK ABOUT +audio/RES0095.mp3[679.520,688.400] NO I DONT THINK SO ITS JUST THE THE DIFFICULTIES WITH BREATHING AND THE SWELLING +audio/RES0095.mp3[688.400,746.880] YEAH SO THE FIRST THING ILL SPEAK TO YOUR DAUGHTER AND WE WILL UHM GET A LOOK AT SOME OF THE OLD OR SOME OF THE REPORTS FROM UHM OVER THE LAST SEVERAL MONTHS FROM AND FROM THE CARDIOLOGIST YOU SEE BUT ITS UH AND THEN UH ALSO WELL GET SOME BLOOD WORK AND A CHEST XRAY BUT IT IS SOUNDING LIKE THIS COULD BE A HEART FAILURE EXACERBATION WHICH SO SOME OF THE SHORTNESS OF BREATH IT COULD BE COMING FROM FLUID UHM THAT HAS ACCUMULATED IN YOUR LUNGS AND SO UH WELL GIVE YOU OH ANOTHER TYPE OF WATER PILL NOW FUROSEMIDE TO TRY AND HELP GET RID OF SOME OF THAT FLUID SO IT WILL HELP WITH THE BREATHING AND IN THE MEANTIME WELL WAIT FOR THE INVESTIGATIONS TO COME BACK +audio/RES0095.mp3[746.880,754.360] SURE THANK YOU +audio/RES0007.mp3[0.000,5.160] I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN +audio/RES0007.mp3[5.160,30.200] 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 DONT REALLY HAVE LIKE ANY ISSUES +audio/RES0007.mp3[30.200,38.800] OK SO WHAT WHAT BROUGHT ON THE APPOINTMENT IN THE SUMMER TIME OR A COUPLE OF MONTHS AGO +audio/RES0007.mp3[38.800,71.040] UH SO LIKE I HAVE GYM CLASS AT SCHOOL AND MY TEACHER JUSTALWAYS THOUGHT THAT LIKE SHOULD BE ABLE TO RUN FASTER LIKE IM LOOKING GOOD ATHLETE BUT I JUST COULDNT GO MUCH FASTER AND I WAS LIKE SAYING I CANT REALLY BREATHE WHEN IM RUNNING THAT FAST AND THEN YOU KNOW MY MOM WAS LIKE YOU SHOULD PROBABLY GO WE SHOULD PROBABLY MAKE AN APPOINTMENT +audio/RES0007.mp3[71.040,81.960] OK AND UH WHEN YOURE EXERCISING OR IN GYM CLASS DO YOU GET SHORT OF BREATH OR DO YOU FIND THAT YOU HAVE DIFFICULTY BREATHING +audio/RES0007.mp3[81.960,95.200] YEAH YEAH LIKE I WILL IF I IF I TRY TO RUN FAST LIKE I KINDA CANT BREATHE ANYMORE SO I KIND OF STOP OR GO SLOWER +audio/RES0007.mp3[95.200,104.440] OK AND HOW LONG DOES IT TAKE FOR THE BREATHING DIFFICULTY TO GO AWAY +audio/RES0007.mp3[104.440,117.840] IF I STOP DOING LIKE THE THING IM DOING IT I I DONT KNOW NOT VERY LONG LIKE COUPLE OF MINUTES +audio/RES0007.mp3[117.840,123.120] OK AND UH DOES THIS HAPPEN IN ANY OTHER SETTINGS +audio/RES0007.mp3[123.120,159.600] OH LIKE SOMETIMES WHEN ITS REALLY COLD OUTSIDE ILL GO OUT AND LIKE IT MY CHEST FEELS TIGHT AND JUST FEEL LIKE I CANT BREATHE AND KIND OF SUCKS LIKE MY GIRLFRIEND WANTED TO BUILD A SNOWMAN AND DO SNOW ANGELS AND STUFF AND I COULDNT 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 +audio/RES0007.mp3[159.600,166.480] OK SO YOUVE NOTICED CHANGES TO TO YOUR BREATHING SOUNDS LIKE YOUVE HAD NOISY BREATHING BEFORE +audio/RES0007.mp3[166.480,170.360] YEAH MOSTLY JUST WITH THE CAT +audio/RES0007.mp3[171.160,182.560] WE DONT HAVE A CAT AT MY HOUSE SO I DIDNT 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 +audio/RES0007.mp3[182.560,187.160] OK AND HAVE YOU HAD A COUGH +audio/RES0007.mp3[187.160,192.120] UH NO I DONT THINK SO +audio/RES0007.mp3[192.120,204.280] OK AND WERE THERE ANYTHING WAS THERE ANYTHING THAT YOU TRIED BESIDES THE REST TO MAKE THOSE SYMPTOMS GO AWAY +audio/RES0007.mp3[204.280,220.920] LIKE I HAVE THE UH UM INHALER THAT THE DOCTOR GAVE ME LAST TIME SO YEAH LIKE IVE BEEN USING IT IN GYM CLASS NOW +audio/RES0007.mp3[220.920,225.920] OK HOW MANY DAYS PER WEEK ARE YOU USING THAT +audio/RES0007.mp3[225.920,269.560] WELL IM 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 DIDNT WORK BUT NOW THE NURSE JUST TOLD ME THAT IM SUPPOSED TO USE THEM BOTH SO I ONLY GOT THE ONE AT THE PHARMACY SO I DONT REALLY I DONT 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 +audio/RES0007.mp3[269.560,306.360] 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 YOURE NEEDING IT HAVE YOU BEEN HAVING ANY EPISODES OF SHORTNESS OF BREATH AT NIGHT TIME +audio/RES0007.mp3[306.360,310.360] OH NO NO MOSTLY LIKE GYM CLASS LIKE I SAID +audio/RES0007.mp3[310.360,318.000] OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS +audio/RES0007.mp3[318.000,324.000] UH I DONT THINK SO LIKE WHAT DO YOU MEAN +audio/RES0007.mp3[324.000,336.800] UM SO ANYTHING LIKE LIKE ALLERGIES LIKE RUNNY NOSE OR REALLY ITCHY EYES WITH MAYBE SOME LIKE UM TEARING +audio/RES0007.mp3[336.800,345.440] WHEN I WAS AROUND THE CATS YEAH BUT NOT THE OTHER TIMES +audio/RES0007.mp3[345.440,352.960] OK AND DO YOU EVER HAVE ANY RASHES ON YOUR SKIN OR OR REALLY ITCHY SKIN +audio/RES0007.mp3[352.960,357.520] WHEN I WAS A KID BUT NOT REALLY NOW +audio/RES0007.mp3[357.520,362.360] OK AND HOW ABOUT ANY NAUSEA OR VOMITING +audio/RES0007.mp3[369.440,375.760] OK ANY INFECTIOUS SYMPTOMS OVERALL +audio/RES0007.mp3[375.760,378.600] AHH I DONT I DONT THINK SO +audio/RES0007.mp3[378.600,385.760] OK ANY URINARY PROBLEMS +audio/RES0007.mp3[385.760,388.440] UH LIKE NO NO +audio/RES0007.mp3[388.440,392.240] OK BOWEL PROBLEMS +audio/RES0007.mp3[392.240,397.720] UH NO NO NO THATS ALL GOOD +audio/RES0007.mp3[397.720,405.160] OK UM AND UH ANY FEVERS OR CHILLS +audio/RES0007.mp3[406.800,413.480] OK AND THEN HOW ABOUT UH HAVE YOU BEEN HAVING ANY NIGHT SWEATS +audio/RES0007.mp3[413.480,415.080] WHATS THAT +audio/RES0007.mp3[415.080,425.640] SO UH OVERNIGHT WHEN YOURE SLEEPING YOU WAKE UP WITH EITHER YOUR LIKE PAJAMAS DRENCHED OR YOUR YOUR SHEETS DRENCHED DRENCHED FROM SWEATING +audio/RES0007.mp3[425.640,427.120] OH NO +audio/RES0007.mp3[427.920,429.360] UM NOT THAT +audio/RES0007.mp3[429.360,443.640] 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 +audio/RES0007.mp3[443.640,449.040] NO NO THATS IT +audio/RES0007.mp3[449.040,455.560] OK UM AND ANY RECENT HOSPITALIZATIONS +audio/RES0007.mp3[455.560,461.840] LIKE I BROKE MY LEG YEARS AGO BUT LIKE THAT WAS JUST LIKE REALLY FAST +audio/RES0007.mp3[461.840,466.560] OK AND ANY SURGERIES +audio/RES0007.mp3[466.560,470.320] UH JUST LIKE MY WISDOM TEETH +audio/RES0007.mp3[470.320,475.760] OK AND ANY MEDICATIONS BESIDES IT LIKE THAT INCLUDING THE INHALERS +audio/RES0007.mp3[475.760,487.200] NOTHING ELSE JUST JUST THOSE THINGS AND MY MOM MAKES ME TAKE A VITAMIN +audio/RES0007.mp3[487.200,491.440] OK AND ANY ALLERGIES +audio/RES0007.mp3[491.440,497.840] WHAT I DONT KNOW LIKE NOT THAT I THOUGHT BUT MAYBE LIKE CATS +audio/RES0007.mp3[497.840,510.720] 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 +audio/RES0007.mp3[510.720,513.400] EYES OR RUNNY NOSE +audio/RES0007.mp3[513.400,521.480] YEAH I JUST THOUGHT LIKE I HAD A COLD BUT I GUESS LIKE I USUALLY FEEL LIKE THAT IN THE SPRINGTIME +audio/RES0007.mp3[521.480,527.280] OK AND UH ARE IMMUNIZATIONS UP TO DATE +audio/RES0007.mp3[527.280,538.800] I THINK SO LIKE IVE HAD ALL THE STUFF THAT IM SUPPOSED TO I THINK I DONT KNOW THE NAMES OF EVERYTHING +audio/RES0007.mp3[538.800,552.520] 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 +audio/RES0007.mp3[552.520,559.320] YOU KNOW LIKE I LIVE WITH MY MOM AND DAD AND I LIKE MY LITTLE BROTHER +audio/RES0007.mp3[562.560,568.200] OK AND UM WHERE DO YOU GO TO SCHOOL +audio/RES0007.mp3[568.200,574.960] UM TO TO THE THE SCHOOL UM LIKE HIGH SCHOOL DOWN THE ROAD +audio/RES0007.mp3[574.960,578.120] OK AND IN WHAT GRADE NOW +audio/RES0007.mp3[578.120,584.160] AND IM IN GRADE 11 +audio/RES0007.mp3[584.160,591.400] OK AND WHAT TYPES OF LIKE HOBBIES OR KIND OF ACTIVITIES ARE YOU INTERESTED IN +audio/RES0007.mp3[591.400,618.680] 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 CANT WHEN YOU HAVE ASTHMA OH SO I I KINDA WANNA KNOW BOUT THAT LIKE IS THAT GONNA STOP ME FROM DOING THAT +audio/RES0007.mp3[618.680,643.200] YEAH SO ITS SOMETHING THAT WE WILL LOOK INTO TODAY IM IM NOT TOO SURE WHAT THE DETAILS ARE REGARDING THAT INFORMATION BUT THANK YOU FOR BRINGING THAT UP AND WELL 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 +audio/RES0007.mp3[643.200,645.280] UH WHAT IS THAT +audio/RES0007.mp3[645.280,671.040] SO ESSENTIALLY THEYLL HAVE YOU KIND OF BREATHING INTO A TUBE WHERE YOULL HAVE PERIODS WHERE YOULL MAXIMALLY INHALE AND THEN MAXIMALLY EXHALE AS QUICKLY AS YOU CAN AND YOULL DO DIFFERENT TYPES OF BREATHING MOVEMENTS SO THAT IT GETS MEASURED ON A ON A DEVICE +audio/RES0007.mp3[671.040,675.400] IS THAT LIKE WHEN YOU BREATHE IN THAT THE TUBE +audio/RES0007.mp3[675.400,677.520] YEAH EXACTLY +audio/RES0007.mp3[677.520,686.600] 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 +audio/RES0007.mp3[686.600,708.560] 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 +audio/RES0007.mp3[708.560,717.240] I MEAN SOMETIMES WELL DRINK BEER LIKE AT PARTIES ON THE WEEKEND I DONT I DONT DRINK A LOT +audio/RES0007.mp3[717.240,725.560] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET +audio/RES0007.mp3[725.560,727.760] SORRY I MISSED THAT +audio/RES0007.mp3[727.760,732.360] JUST WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR DIET +audio/RES0007.mp3[732.360,761.960] OH WELL MY MOM ALWAYS LIKE MAKES ME A LUNCH LIKE ILL HAVE LIKE A SANDWICH FOR LUNCH WITH LIKE YOU KNOW HAM AND CHEESE OR SOMETHING ILL USUALLY HAVE LIKE CEREAL FOR BREAKFAST AND MY MOM MAKES DINNER ITS USUALLY LIKE MEAT LIKE POTATOES AND VEGETABLES OR SOMETHING I THINK ITS LIKE PRETTY NORMAL +audio/RES0007.mp3[761.960,766.400] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0007.mp3[766.400,771.280] UH LIKE I HAVE A GIRLFRIEND JUST WITH HER UH LIKE JUST RECENTLY YEAH WE STARTED +audio/RES0007.mp3[771.280,776.760] OK AND DO YOU USE A CONDOM +audio/RES0007.mp3[776.760,780.080] YEAH YEAH +audio/RES0007.mp3[780.080,783.640] EVERY TIME OR SOMETIMES +audio/RES0007.mp3[783.640,789.920] OH YEAH EVERY TIME ITS NOT DOING THAT MANY TIMES BUT YEAH +audio/RES0007.mp3[789.920,795.800] OK GREAT AND UM HAVE YOU HAD ANY OTHER PARTNERS +audio/RES0007.mp3[795.800,801.640] NO NO LIKE I HAD MADE OUT WITH OTHER PEOPLE BEFORE BUT THIS IS LIKE THE FIRST ONE +audio/RES0007.mp3[801.640,806.440] OK BUT HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0007.mp3[806.440,812.160] UH NO +audio/RES0007.mp3[812.160,825.840] OK AND I KNOW THIS QUESTION MIGHT SEEM A LITTLE BIT INVASIVE BUT ITS IMPORTANT TO ASK EVERYBODY HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF +audio/RES0007.mp3[833.000,834.600] NO I HAVENT +audio/RES0007.mp3[834.600,844.240] OK GREAT UM AND IN YOUR FAMILY HAS ANYBODY EVER HAD ANY OF THESE SIMILAR SYMPTOMS BEFORE +audio/RES0007.mp3[844.240,855.480] LIKE MAY MY DAD I THINK HE MAYBE HAD ASTHMA WHEN HE WAS YOUNGER BUT LIKE HE DOESNT REALLY HAVE IT NOW +audio/RES0007.mp3[855.480,858.840] OK AND ANY ALLERGIES THAT RUN IN THE FAMILY +audio/RES0007.mp3[858.840,871.280] MMMM LIKE MY DAD ALSO REALLY DAD GETS LIKE A RUNNY NOSE IN THE SPRING SO YEAH I THINK THATS ALLERGIES +audio/RES0007.mp3[871.280,927.640] OK UM SO OVERALL ITS ITS SOUNDING LIKE YOU BEEN HAVING THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING EPISODES THAT YOURE SAYING THAT ITS MADE WORSE WHEN YOURE EXERCISING OUT IN THE COLD AND THEN AROUND PETS AND SOMETIMES WHEN THE SEASON CHANGES AS WELL AND IN THE SPRING AND SO AND THEN THE RECENT DIAGNOSIS ON PULMONARY FUNCTION TESTS A FEW MONTHS AGO SO I THINK IT WOULD BE IMPORTANT TO CLEAR UP THE MEDICATIONS TODAY AND TRY TO GET THAT BETTER ORGANIZED MOVING FORWARD BECAUSE IT SOUNDS LIKE YOURE STILL PRETTY SYMPTOMATIC WITH NEEDING TO USE THEM DAILY CURRENTLY AND SO WILL LOOK INTO THAT AND THEN ALSO THE QUESTION ABOUT THE MARINES UH INTEREST WITH ASTHMA +audio/RES0007.mp3[927.640,943.680] YEAH THANK YOU I REALLY WANNA KNOW THAT LIKE THAT WAS MY PLAN AND NOW IM LIKE KINDA WORRIED I CAN DO THAT +audio/RES0007.mp3[944.600,946.720] K THANK YOU +audio/RES0169.mp3[0.000,5.760] WHAT BRINGS YOU IN TODAY +audio/RES0169.mp3[5.760,17.880] I IVE BEEN HAVING UH THIS FEVER THE LAST COUPLE OF DAYS AND IVE HAD A COUGH AS WELL AND MY NOSE IS KEEPS RUNNING +audio/RES0169.mp3[17.880,24.040] OK AND WHEN DID THE FEVERS START +audio/RES0169.mp3[24.040,29.640] I THINK THE FEVER STARTED TWO DAYS AGO +audio/RES0169.mp3[29.640,34.720] HOW DID YOU MEASURE YOUR MAGIC TEMPERATURE +audio/RES0169.mp3[34.720,43.360] YEAH IT WAS 38 POINT 5 WHEN I WHEN I CHECKED IT +audio/RES0169.mp3[43.360,48.240] AND HAVE YOU BEEN CHECKING IT OUT PAST DAYS HAS IT GOTTEN BETTER OR WORSE +audio/RES0169.mp3[48.240,51.440] ITS BEEN ABOUT THE SAME BOTH BOTH DAYS +audio/RES0169.mp3[51.440,56.320] AND YOUR COUGH WHEN DID THAT START +audio/RES0169.mp3[56.320,59.640] COUGH STARTED FOUR DAYS AGO +audio/RES0169.mp3[59.640,64.800] OK IS IT A WET COUGH OR DRY COUGH +audio/RES0169.mp3[64.800,68.840] ITS BEEN DRY +audio/RES0169.mp3[68.840,74.160] IVE BEEN BRINGING UP ANY BLOOD OR ANY MUCUS OR ANYTHING LIKE THAT +audio/RES0169.mp3[74.160,81.800] NO AND I HAVENT HAD A COUGH BEFORE EITHER THIS IS NEW +audio/RES0169.mp3[81.800,89.600] OK AND THE RUNNY NOSE WHAT KIND OF DISCHARGE OR WHAT LIKE WHATS COMING OUT OF YOUR NOSE +audio/RES0169.mp3[89.600,96.080] ITS PRETTY PRETTY WATERY AND CLEAR +audio/RES0169.mp3[96.080,101.280] OK ALRIGHT AND WHEN DID THAT START +audio/RES0169.mp3[101.280,108.000] YEAH YEAH SORRY THAT STARTED ABOUT FOUR DAYS AGO AS WELL SO ABOUT THE SAME TIME AS THE COUGH +audio/RES0169.mp3[108.000,127.680] HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS HAVING A STUFFY NOSE THAT HAVE CONGESTION IN YOUR SINUSES SORE THROAT UMM RED EYES WATERY TEARY EYES SNEEZING ANY OF THOSE SYMPTOMS +audio/RES0169.mp3[127.680,129.640] UM NO NOTHING LIKE THAT +audio/RES0169.mp3[129.640,133.480] ANY DIFFICULTIES BREATHING +audio/RES0169.mp3[135.560,138.400] ANY PAIN IN YOUR CHEST +audio/RES0169.mp3[140.160,144.600] OK ANY HEADACHES +audio/RES0169.mp3[144.600,154.400] UH YEAH I HAVE HAD A BIT OF A HEADACHE ACTUALLY WELL JUST JUST THIS MORNING +audio/RES0169.mp3[154.400,156.560] HOW HOW BAD IS IT +audio/RES0169.mp3[156.560,165.600] ITS PRETTY MILD SOMETHING PRETTY SIMPLE LIKE IT SO IVE HAD HEADACHES LIKE LIKE THIS BEFORE ITS NOT ITS NOT A BIG DEAL +audio/RES0169.mp3[165.600,170.960] AND DO YOU HAVE ANY FATIGUE OR MUSCLE ACHES +audio/RES0169.mp3[170.960,180.280] NO MUSCLE ACHES BUT YEAH I HAVE BEEN FATIGUED LAST A COUPLE OF DAYS TWO OR THREE DAYS +audio/RES0169.mp3[180.280,183.920] ANY CHANGES IN YOUR SENSE OF SMELL +audio/RES0169.mp3[185.760,188.720] CHANGES IN YOUR SENSE OF TASTE +audio/RES0169.mp3[190.880,195.080] ANY PAIN IN YOUR BELLY OR ANY DIARRHEA +audio/RES0169.mp3[195.080,202.840] NOTHING LIKE THAT +audio/RES0169.mp3[202.840,210.480] OK ALRIGHT UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0169.mp3[210.480,215.600] UH NO I IVE BEEN IVE BEEN HEALTHY +audio/RES0169.mp3[215.600,219.760] OK ANY SURGERIES OR HOSPITALIZATIONS +audio/RES0169.mp3[219.760,225.120] NO I HAVENT HAD ANYTHING LIKE THAT BEFORE +audio/RES0169.mp3[225.120,231.600] OK AND DO YOU TAKE ANY MEDICATIONS +audio/RES0169.mp3[231.600,234.160] NO IM NOT +audio/RES0169.mp3[234.160,241.760] OK AND ALLERGIES TO FOOD OR MEDICATIONS OR ENVIRONMENTAL ALLERGIES +audio/RES0169.mp3[241.760,249.840] I THINK I HAVE AN ALLERGY TO PENICILLIN I GOT IT I HAD A RASH WHEN I WAS I YOUNGER WHEN I HAD THAT +audio/RES0169.mp3[249.840,258.000] OK AND DO YOU CURRENTLY WOULD YOU CURRENTLY LET THAT +audio/RES0169.mp3[258.000,260.960] YEAH SO I I JUST LIVE WITH MY WITH MY MOM +audio/RES0169.mp3[260.960,265.760] OK DO YOU HAVE ANY PETS AT HOME +audio/RES0169.mp3[265.760,273.800] NO ITS JUST US TWO UH WE LIVE IN A IN A TOWNHOUSE IN IN THE CITY +audio/RES0169.mp3[273.800,281.440] NICE OK AND DO YOU DO YOU OR YOUR MOM GO OUT FOR SCHOOL OR FOR WORK +audio/RES0169.mp3[281.440,301.160] UH YEAH IVE BEEN GOING BEEN GOING TO SCHOOL I KNOW WITH THE SOME OF THE LOCKDOWNS AND WHAT NOT THE SCHOOLS BEEN OPEN SO WEVE BEEN GOING THEYVE BEEN PRETTY CAUTIOUS WITH THE COVID PROTOCOLS AND BUT MY MOMS BEEN WORKING FROM HOME +audio/RES0169.mp3[301.160,308.840] OK GOOD DO YOU FEEL LIKE YOU OR YOUR MOM MAY HAVE HAD CONTACT WITH ANYONE WHO COULD HAVE POTENTIALLY BEEN SICK +audio/RES0169.mp3[308.840,317.520] UHM I MEAN MAYBE AT THE SCHOOL OR SOMETHING LIKE THAT BUT I CANT THINK OF ANYBODY WHO WHOS BEEN SICK +audio/RES0169.mp3[317.520,321.600] OK ALRIGHT HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +audio/RES0169.mp3[326.320,341.560] OK UHM AND UH DO YOU I GUESS A COUPLE OF OTHER MORE GENERAL QUESTIONS DO YOU FEEL SAFE AT HOME +audio/RES0169.mp3[341.560,346.920] I DO YEAH WE HAVE A GOOD A GOOD RELATIONSHIP +audio/RES0169.mp3[346.920,361.400] IM GLAD IM GLAD AND AN ANYTHING THAT WE DISCUSS WILL SEE CONFIDENTIAL BETWEEN YOU AND ME UNLESS THERES SOMETHING THAT YOU COULD BE TALK ABOUT THAT COULD HARM YOU OR HARM ANYONE ELSE DO YOU FEEL SAFE AT SCHOOL +audio/RES0169.mp3[361.400,365.280] YES I DO I ENJOY SCHOOL ITS BEEN FUN +audio/RES0169.mp3[365.280,373.880] THATS GOOD THATS GOOD AND HAVE YOU CAN HAVE BEEN CONSUMING THE DRUG TRIED ANYTHING +audio/RES0169.mp3[373.880,388.560] NO IVE HEARD OF OTHER PEOPLE I MEAN IN HIGH SCHOOL DOING STUFF LIKE THAT BUT I HAVENT BEEN AROUND ANYTHING LIKE THAT +audio/RES0169.mp3[388.560,393.200] OK ALRIGHT ANY ALCOHOL +audio/RES0169.mp3[394.280,399.440] OK ARE YOU SEXUALLY ACTIVE +audio/RES0169.mp3[401.120,417.920] ALRIGHT AND UH LETS SEE SO UH YOUVE HAD A FEVER A COUGH AND A RUNNY NOSE FOR THE PAST FEW DAYS AND HAVE YOU BEEN GOING TO SCHOOL IN THE PAST COUPLE OF DAYS OR NO +audio/RES0169.mp3[417.920,431.320] I KNOW IVE TAKEN THE LAST COUPLE OF DAYS OFF JUST BEEN SO TIRED AND NOT FEELING GOOD SO YEAH WELL +audio/RES0169.mp3[431.320,502.800] OK OK SO YEAH IT SOUNDS LIKE YOU MIGHT HAVE SOME SORT OF VIRAL INFECTION WHICH COULD POTENTIALLY BE COVID BUT COULD ALSO BE ANOTHER SORT OF ANOTHER VIRAL ILLNESS JUST LIKE THE COMMON COLD OR THE FLU UM SO ILL REQUEST THAT WE GET A COVID SWAB DONE AND THE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND UM JUST TRY TO SELF ISOLATE AS MUCH AS POSSIBLE DONT GO TO SCHOOL DONT MEET OTHER PEOPLE TRY TO STAY AWAY FROM YOUR MOM AS WELL AND BASED ON THE RESULTS YOULL GET MORE GUIDANCE FROM PUBLIC HEALTH NURSES AND YOU SHOULD JUST CONTINUE TO SORT OF REST AND DRINK LOTS OF WATER MAYBE TAKE TYLENOL OR ADVIL IF THATS MAKING YOU FEEL BETTER AND HOPEFULLY YOUR SYMPTOMS WILL GET BETTER IF NOT IF YOU FEEL LIKE YOUR SYMPTOMS ARE PERSISTING FOR DAYS OR WEEK OR SO OR YOURE HAVING WORSENING SYMPTOMS DEFINITELY COME BACK OR GIVE US A CALL +audio/RES0169.mp3[502.800,506.960] OK THANK YOU +audio/RES0154.mp3[0.000,3.240] UH HOW MAY I HELP YOU +audio/RES0154.mp3[3.240,25.160] HI SO YEAH I JUST CAME TO THE HOSPITAL BECAUSE IVE JUST BEEN FEELING OVER THE LAST UM FEW DAYS UH JUST I CANT REALLY TAKE LIKE A DEEP BREATH AND THEN IVE ALSO BEEN COUGHING UP UH THIS GREENISH YELLOWISH MATERIAL +audio/RES0154.mp3[25.160,28.480] OH OK AND WHEN DID THIS UH COUGH START SORRY +audio/RES0154.mp3[28.480,40.280] SO I THINK THE COUGH STARTED LIKE 4 DAYS AGO AND THEN THE SHORTNESS OF BREATH STARTED UH JUST YESTERDAY +audio/RES0154.mp3[40.280,50.440] OK UM AND ITS BEEN YELLOWISH GREEN WERE YOU COUGHING UP SPUTUM PRIOR TO THIS AND UM OR DID YOU HAVE A COUGH BEFORE THIS +audio/RES0154.mp3[50.440,52.720] NO NOT REALLY +audio/RES0154.mp3[52.720,57.000] OK UM AND HAVE YOU NOTICED ANY BLOOD +audio/RES0154.mp3[57.000,58.080] NO NO BLOOD +audio/RES0154.mp3[58.080,68.160] ALRIGHT UM AND THE SHORTNESS OF BREATH ARE YOU EXPERIENCING THIS AT REST OR UM OR WITH EXERTION +audio/RES0154.mp3[68.160,76.080] NO LIKE AT REST EVEN RIGHT NOW IM LIKE HAVING TROUBLE TAKING DEEP BREATHS +audio/RES0154.mp3[76.080,79.080] OK ARE YOU FEELING ANY UH ANY CHEST PAIN +audio/RES0154.mp3[79.080,88.640] UM NOT PAIN BUT THERES DEFINITELY SOME STRAINING AND DISCOMFORT WHEN I TAKE A DEEP BREATH +audio/RES0154.mp3[88.640,94.280] OK IS IT IS THE DISCOMFORT WORSE WHEN YOU TAKE A DEEP BREATH +audio/RES0154.mp3[94.280,104.160] UH YEAH ITS JUST LIKE I JUST HAVE TO STRAIN A LOT TO LIKE TAKE THAT DEEP BREATH +audio/RES0154.mp3[104.160,108.360] OK UM AND UH HAVE YOU NOTICED ANY WHEEZING +audio/RES0154.mp3[108.360,110.000] NO WHEEZING +audio/RES0154.mp3[110.000,120.840] OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH OR DO YOU HAVE ANY SHORTNESS OF BREATH IF YOU LIE FLAT +audio/RES0154.mp3[120.840,124.640] UH NO NOT REALLY NOT THAT IVE NOTICED +audio/RES0154.mp3[124.640,134.040] OK OR HAVE YOU HAD ANY UH TIMES WHERE YOUVE UH WOKEN UP UM FROM SLEEP BECAUSE YOU WERE SHORT OF BREATH AND YOU HAD TO SIT UP +audio/RES0154.mp3[134.040,135.920] UH NO +audio/RES0154.mp3[135.920,142.600] ALRIGHT UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS +audio/RES0154.mp3[142.600,155.200] I HAVE HAD A FEVER LIKE TODAY I HAD A FEVER I MEASURED IT WAS LIKE 385 YESTERDAY I FELT LIKE I HAD CHILLS AND A FEVER AS WELL +audio/RES0154.mp3[155.200,162.160] OK YEAH CERTAINLY SOUNDS LIKE A FEVER AND HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0154.mp3[162.160,170.480] LAST NIGHT I WOULD SAY I HAD NIGHT SWEATS MY SHEETS WERE A BIT DRENCHED +audio/RES0154.mp3[170.480,174.040] OK AND HAVE YOU HAD A SORE THROAT +audio/RES0154.mp3[174.360,179.800] CHANGES TO UH LOSS OF SMELL LOSS OF TASTE +audio/RES0154.mp3[179.800,181.920] NO NOTHING LIKE THAT +audio/RES0154.mp3[181.920,187.720] OK HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED +audio/RES0154.mp3[188.720,195.520] OK UM AND HOW ABOUT ANY EYE SYMPTOMS LIKE REDNESS OR ITCHINESS PAIN +audio/RES0154.mp3[195.520,202.320] UH NO NOTHING LIKE THAT +audio/RES0154.mp3[202.320,209.280] OK UHM AND UM HAVE YOU HAD ANY UH INSTANCES OF FAINTING OR FEELING DIZZY +audio/RES0154.mp3[211.280,213.720] ANY ABDOMINAL PAIN +audio/RES0154.mp3[214.520,217.480] ANY NAUSEA OR VOMITING +audio/RES0154.mp3[218.760,221.320] ANY DIARRHEA +audio/RES0154.mp3[222.560,226.000] OK ANY RASHES +audio/RES0154.mp3[226.000,227.520] NO RASHES +audio/RES0154.mp3[227.520,231.800] UM AND THEN ANY MUSCLE ACHES OR BODY PAINS +audio/RES0154.mp3[231.800,234.320] NO NOT THAT I KNOW OF +audio/RES0154.mp3[234.320,241.080] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD ANY FATIGUE OR MALAISE THE LAST SEVERAL DAYS +audio/RES0154.mp3[241.080,253.160] YEAH I WOULD SAY SO I JUST FEEL LIKE I DONT KNOW IF ITS TO DO WITH THE SHORT OF BEING SHORT OF BREATH BUT YEAH I JUST FEEL LIKE IVE JUST BEEN NEEDING MORE REST +audio/RES0154.mp3[253.160,256.840] OK OK AND HAVE YOU HAD ANY HEADACHES +audio/RES0154.mp3[258.160,272.640] NO ALRIGHT UM SO YOUVE HAD THIS UH COUGH AND YOUVE BEEN BRINGING UP MORE SPUTUM AND SHORTNESS OF BREATH AND UM AND YOUVE HAD A FEVER AS WELL UM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0154.mp3[272.640,281.440] UM NO I THINK THOSE ARE PRETTY MUCH ALL THE SYMPTOMS +audio/RES0154.mp3[281.440,287.720] OK UM AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE +audio/RES0154.mp3[287.720,304.000] I DO HAVE UH I TAKE MEDICATIONS FOR HIGH BLOOD PRESSURE UM THEN I TAKE MEDICATIONS FOR HIGH CHOLESTEROL AS WELL +audio/RES0154.mp3[304.000,307.280] OK UM AND DO YOU TAKE ANY OTHER MEDICATIONS +audio/RES0154.mp3[307.280,314.400] UM JUST UH VITAMIN CALCIUM MULTI VITAMINS +audio/RES0154.mp3[314.400,317.480] ALRIGHT ANY ALLERGIES TO MEDICATIONS +audio/RES0154.mp3[317.480,320.240] NOT THAT I KNOW OF +audio/RES0154.mp3[320.240,324.840] ALRIGHT ANY PRIOR SURGERIES OR HOSPITALIZATIONS +audio/RES0154.mp3[324.840,339.960] UH YEAH IVE HAD A FEW UH SO I HAD A CSECTION IN MY TWENTIES UM THEN I HAD JUST UH FIVE YEARS AGO I HAD A UM MY GALLBLADDER REMOVED +audio/RES0154.mp3[339.960,361.920] OK UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO YOURE LIVING WITH AND AND WHEREABOUTS +audio/RES0154.mp3[361.920,371.240] YEAH SO IM LIVING ALONE RIGHT NOW UM JUST IN AN APARTMENT +audio/RES0154.mp3[371.240,379.200] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0154.mp3[379.200,393.680] UHM NO I NOT ANYONE THAT I KNOW OF I DO I I DID SEE MY JUST RANDKIDS JUST LAST WEEK THOUGH +audio/RES0154.mp3[393.680,401.280] OK DID THEY HAVE A RUNNY NOSE ANY SYMPTOMS LIKE THAT +audio/RES0154.mp3[401.280,406.120] NOT THAT I NOTICED NO +audio/RES0154.mp3[406.120,410.400] OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0154.mp3[410.400,417.120] NO IVE BEEN AT HOME +audio/RES0154.mp3[417.120,420.800] NO OK UM AND AND DO YOU SMOKE CIGARETTES +audio/RES0154.mp3[420.800,428.480] NO I PROBABLY SMOKED FOR A VERY SHORT TIME FOR LIKE PROBABLY FIVE YEARS OF MY LIFE IN MY 20S +audio/RES0154.mp3[428.480,432.840] OK UH DO YOU SMOKE UM MARIJUANA +audio/RES0154.mp3[434.560,442.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS +audio/RES0154.mp3[443.880,450.960] OK UM AND UM ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS +audio/RES0154.mp3[450.960,472.680] UH I DO HAVE UH MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS 50S MY BROTHER HAS UM HIGH BLOOD PRESSURE DIABETES UM AND ON MY MOMS SIDE SHE HAD LIKE OSTEOARTHRITIS +audio/RES0154.mp3[472.680,477.720] OK AND ANY CANCER THAT IS IN THE FAMILY +audio/RES0154.mp3[477.720,485.200] UM SKIN CANCER ON MY UM FATHERS SIDE +audio/RES0154.mp3[485.200,494.120] OK UM AND HAVE YOU HAD ANTIBIOTICS RECENTLY OR WITHIN THE LAST SIX MONTHS FOR ANY REASON +audio/RES0154.mp3[494.120,498.120] NO NO ANTIBIOTICS +audio/RES0154.mp3[498.120,508.440] OK SO SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON UH ON HISTORY UM WAS THERE ANYTHING THAT YOU ALSO WANTED TO MENTION I I MAYBE FORGOT +audio/RES0154.mp3[508.440,512.880] NO I THINK THATS ALL +audio/RES0154.mp3[512.880,552.120] UM OK SO UH YEAH WITH THE THE SYMPTOMS UM IT COULD BE UM PNEUMONIA WHICH COULD BE BACTERIAL OR VIRAL UM AS WELL AS THE POSSIBILITY OF UM SOMETHING LIKE UH LIKE COVID WHICH IS OF COURSE A CONCERN FOR TODAY SO WE WILL GO AHEAD AND START THOSE INVESTIGATIONS AND GET A SWAB UM AND UM YOU MAY NEED ANTIBIOTICS FOR UM FOR THIS IF THERE THERE IS UH PNEUMONIA SO WELL ALSO GET A CHEST XRAY AS WELL +audio/RES0154.mp3[552.120,557.800] OK ALRIGHT SOUNDS GOOD +audio/GEN0001.mp3[0.000,9.560] HI WHAT BRINGS YOU TO CLINIC TODAY +audio/GEN0001.mp3[9.560,53.840] HI SO I FEEL LIKE I MIGHT HAVE A BLADDER INFECTION I SEE A UROLOGIST BECAUSE IVE HAD SOME ISSUES WITH LIKE AN OVERACTIVE BLADDER FOR AWHILE IVE HAD A FEW BLADDER INFECTIONS IN THE PAST AND THIS IS USUALLY HOW HOW THEY FEEL I FEEL LIKE A LITTLE BIT OF BURNING WHEN I GO TO THE BATHROOM AND I HAVE TO GO LIKE A LOT RIGHT NOW BUT THEN ALSO SOMETIMES IT MEANS THAT LIKE IT GETS LIKE THIS WHEN I HAVE MY PERIOD AND I DONT HAVE MY PERIOD RIGHT NOW BUT I YOU KNOW I I COULD BE GETTING IT BUT I ALSO JUST DONT WANNA LET IT GO KEEP GOING IF I DO HAVE AN INFECTION I JUST LIKE RATHER GET IT LIKE TREATED IF I DO +audio/GEN0001.mp3[53.840,57.840] OK UNDERSTOOD WHEN WAS YOUR LAST PERIOD +audio/GEN0001.mp3[57.840,62.520] UM LIKE 2 WEEKS AGO +audio/GEN0001.mp3[62.520,67.120] ABOUT TWO WEEKS AGO ARE YOU FAIRLY REGULAR +audio/GEN0001.mp3[67.120,83.480] LIKE YES AND NO ITS IM IM NOT SUPER IRREGULAR BUT I I SOMETIMES HAVE LIKE BASICALLY ITS LIKE I ALTERNATE SOMETIMES I MY CYCLES LIKE 4 WEEKS AND SOMETIMES ITS MORE LIKE 5 +audio/GEN0001.mp3[83.480,87.040] SORRY JUST CLARIFY AGAIN YOURE 30 YEARS OLD +audio/GEN0001.mp3[87.040,89.280] YEAH IM 30 +audio/GEN0001.mp3[89.280,92.600] OK ARE YOU ON ANY CONTRACEPTION RIGHT NOW +audio/GEN0001.mp3[92.600,94.320] UH NO IM NOT +audio/GEN0001.mp3[94.320,97.680] OK ARE YOU SEXUALLY ACTIVE AT ALL +audio/GEN0001.mp3[98.680,108.000] NO OK SO JUST IN TERMS OF YOUR URINARY TRACT INFECTIONS WHEN WAS YOUR LAST ONE +audio/GEN0001.mp3[108.000,111.840] I HAD ONE LIKE 3 MONTHS AGO MAYBE +audio/GEN0001.mp3[111.840,119.800] 3 MONTHS AGO OK AND THEY PRESCRIBED YOU ANTIBIOTICS AND IT WENT AWAY FAIRLY QUICKLY +audio/GEN0001.mp3[119.800,137.120] YEAH YEAH IT WENT AWAY LIKE I ALWAYS I ALWAYS HAVE AN OVERACTIVE BLADDER AND I ALWAYS HAVE TO GO PRETTY FREQUENTLY LIKE EVERY HOUR SOMETIMES HALF HOUR BUT SO THATS STILL THERE BUT LIKE IT HASNT EVER SINCE THEN I HAVENT HAD ANY LIKE PAIN WITH IT +audio/GEN0001.mp3[137.120,141.920] OK SO YOU STILL HAVE QUITE A YOU HAVE A QUITE A BIT OF URGENCY TO GO +audio/GEN0001.mp3[142.440,152.920] KIND OF GOING MORE FREQUENTLY BUT I SUPPOSE THE NEW THING YOURE A LITTLE BIT CONCERNED ABOUT IS THAT IT IT BURNS A LITTLE BIT IT STINGS A LITTLE BIT WHEN YOU DO URINATE AM I UNDERSTANDING CORRECTLY +audio/GEN0001.mp3[152.920,156.600] EXACTLY LIKE FOR THE PAST COUPLE DAYS ITS FELT LIKE THAT +audio/GEN0001.mp3[156.600,161.000] OK HAS IT BEEN GETTING PROGRESSIVELY WORSE AT ALL +audio/GEN0001.mp3[161.000,169.720] UM MAYBE A LITTLE BIT I I FEEL LIKE NOW I CAN RECOGNIZE IT PRETTY EARLY WHEN ITS NOT TOO BAD TO KIND OF GET AHEAD OF IT +audio/GEN0001.mp3[169.720,176.560] OK UNDERSTOOD AND DO YOU HAVE ANY PAIN KIND OF BEHIND YOUR RIBS AT ALL ON YOUR BACK +audio/GEN0001.mp3[176.560,178.600] SORRY CAN YOU REPEAT THAT +audio/GEN0001.mp3[178.600,185.920] YOU HAVENT HAD ANY PAIN ON YOUR BACK MIDDLE BACK KIND OF CLOSE TO YOUR RIBS HAVE YOU +audio/GEN0001.mp3[185.920,188.280] NOT THAT I CAN THINK OF +audio/GEN0001.mp3[188.280,201.640] OK AND HAVE YOU NOTICED ANY CHANGES TO THE QUALITY OF THE URINE FOR EXAMPLE HAS IT LOOKED FROTHY OR SMELLED BAD +audio/GEN0001.mp3[201.640,211.520] IT MAYBE LOOKED LIKE A LITTLE CLOUDY BUT NOTHING NOTHING ELSE OUT OF THE ORDINARY LIKE IVE NEVER HAD BLOOD IN IT OR ANYTHING +audio/GEN0001.mp3[211.520,216.000] UNDERSTOOD HAVE YOU NOTICED ANY VISUAL CHANGES IN THE AREA NEAR THE VAGINA +audio/GEN0001.mp3[216.000,218.840] NO NOT THAT I CAN THINK OF +audio/GEN0001.mp3[218.840,225.120] LIKE ANY LESIONS ANYTHING LIKE THAT ANYTHING CONCERNED FOR AN STI THAT YOURE WORRIED ABOUT +audio/GEN0001.mp3[225.120,230.840] NO AND LIKE I HAVENT HAD LIKE HAD A SEXUAL PARTNER IN A FEW YEARS +audio/GEN0001.mp3[230.840,249.440] UNDERSTOOD UNDERSTOOD THESE ARE KIND OF QUESTIONS THAT WE ASK WHEN SOMEONES HAVING A LITTLE BIT OF MAYBE AN ISSUE HOLDING IN THEIR URINE HAVE YOU EVER FELT ANY NUMBNESS OR INABILITY TO FEEL KIND OF AROUND YOUR BUTTOCKS REGION FOR EXAMPLE WHEN YOU WIPE WITH TISSUE PAPER CAN YOU FEEL THAT WELL +audio/GEN0001.mp3[249.440,252.160] OH YEAH I CAN FEEL EVERYTHING +audio/GEN0001.mp3[252.160,257.160] OK AND NO CHANGES TO YOUR POOPS TO YOUR BOWEL MOVEMENTS +audio/GEN0001.mp3[257.160,259.880] NO NOTHING PRETTY NORMAL +audio/GEN0001.mp3[259.880,262.800] OK AND HOW DO YOU FEEL OTHERWISE +audio/GEN0001.mp3[262.800,279.480] I I MEAN I FEEL I FEEL A LITTLE TIRED FELT LIKE A LITTLE HOT YESTERDAY I DONT HAVE A THERMOMETER SO LIKE I DIDNT TAKE MY TEMPERATURE BUT YOU KNOW SOMETIMES I FEEL A LITTLE HOT LIKE WHEN IVE HAD THE INFECTIONS BEFORE +audio/GEN0001.mp3[279.480,285.440] OK YOU DONT HAVE ANY SWELLING ON YOUR ANYWHERE IN YOUR BODY ON YOUR ANKLES DO YOU +audio/GEN0001.mp3[287.720,294.160] NO OK AND THEN SO NO PUFFINESS AROUND YOUR EYES THAT YOUVE NOTICED +audio/GEN0001.mp3[294.160,295.640] NO NOTHING LIKE THAT +audio/GEN0001.mp3[295.640,301.280] ANY RASHES OR ANY CHANGES ON YOUR FACE +audio/GEN0001.mp3[301.280,310.320] LIKE MY MOM SAID I I I SAW MY MOM EARLIER AND SHE SAID I LOOKED LIKE A LITTLE FLUSHED BUT ITS NOT NOT LIKE A RASH OR ANYTHING +audio/GEN0001.mp3[310.320,314.880] NO NO MARKINGS ACROSS THE BRIDGE OF YOUR NOSE AND YOUR CHEEKS +audio/GEN0001.mp3[317.120,323.800] OK AND THEN IN REGARDS OTHERWISE YOU FEEL A LITTLE FLUSHED A LITTLE TIRED ANY OTHER MEDICAL ISSUES THAT YOU HAVE +audio/GEN0001.mp3[323.800,328.720] NO JUST THIS LIKE OVERACTIVE BLADDER THING +audio/GEN0001.mp3[328.720,332.200] OK AND HAVE THEY GIVEN YOU ANY MEDICATIONS FOR IT +audio/GEN0001.mp3[332.200,344.920] WE TRIED A FEW DIFFERENT ONES BEFORE NOW I GET I GET BOTOX INJECTIONS INTO THE BLADDER LIKE MAYBE TWICE A YEAR +audio/GEN0001.mp3[344.920,351.000] ANYTHING ELSE THEYVE USED RECENTLY LIKE ANY MEDICATIONS YOURE ON RIGHT NOW I SUPPOSE +audio/GEN0001.mp3[351.000,362.920] NO NOTHING NO NOTHING ELSE YEAH I GUESS I HAVE LIKE I HAVE AN INHALER BUT I DONT USE IT ALL THE TIME LIKE I HAVENT HAD TO +audio/GEN0001.mp3[362.920,365.320] OH SO YOU HAVE ASTHMA +audio/GEN0001.mp3[365.320,372.400] YEAH LIKE I HONESTLY DONT FEEL LIKE I HAVE IT VERY MUCH NOW BUT I STILL HAVE LIKE I STILL HAVE THE INHALER +audio/GEN0001.mp3[372.400,377.520] UNDERSTOOD UNDERSTOOD ANYTHING ELSE YOUVE TAKEN MEDICATIONS FOR IN THE PAST +audio/GEN0001.mp3[377.520,387.800] OH I USED TO TAKE BIRTH CONTROL LIKE THE THE PILL BUT LIKE I JUST I DONT HAVE A BOYFRIEND RIGHT NOW AND I JUST DIDNT REALLY FEEL LIKE I NEEDED IT OTHERWISE +audio/GEN0001.mp3[387.800,393.200] UNDERSTOOD UNDERSTOOD AND HAVE YOU HAD ANY PAST SURGERIES +audio/GEN0001.mp3[393.200,398.480] UM I HAD MY APPENDIX OUT WHEN I WAS 24 THATS IT THOUGH +audio/GEN0001.mp3[398.480,411.080] OK GOT IT AND THEN JUST IN TERMS OF YOU YOURSELF DO YOU LIVE IN LONDON +audio/GEN0001.mp3[411.080,412.480] YEAH YEAH I DO +audio/GEN0001.mp3[412.480,416.000] OK WHAT DO YOU DO FOR WORK +audio/GEN0001.mp3[416.000,419.800] I WORK AT A BANK +audio/GEN0001.mp3[419.800,422.280] OK DO YOU HAVE ANY CHILDREN +audio/GEN0001.mp3[423.600,429.040] OK AND IN REGARDS TO ANYTHING SO ANY SICK CONTACTS +audio/GEN0001.mp3[429.040,430.680] UH NO +audio/GEN0001.mp3[430.680,432.880] ANY RECENT TRAVEL +audio/GEN0001.mp3[433.760,436.360] ANY ALLERGIES +audio/GEN0001.mp3[436.360,442.000] LIKE SOMETIMES IN THE SPRING ILL GET LIKE A LITTLE STUFFY BUT +audio/GEN0001.mp3[442.000,443.920] OK SOUNDS GREAT +audio/GEN0001.mp3[443.920,444.920] NO LIKE YEAH +audio/GEN0001.mp3[444.920,447.920] NOTHING TO CONCERNING NO DRUG ALLERGIES +audio/GEN0001.mp3[447.920,449.080] NO NOTHING LIKE THAT +audio/GEN0001.mp3[449.080,462.320] GOT IT GOT IT OK I THINK WHAT NOW DO NEXT ILL MOVE TO A PHYSICAL EXAM I THINK WE MIGHT JUST DO SOME INVESTIGATIONS JUST IN ORDER TO GET SOME MORE INFORMATION AND THEN THE PHYSICIAN WILL COME IN TO SEE YOU OK +audio/GEN0001.mp3[462.320,464.280] COOL THANK YOU +audio/GEN0001.mp3[464.280,467.560] NO PROBLEM +audio/RES0018.mp3[0.000,15.640] IVE JUST BEEN HAVING THIS THIS COUGH OVER THE LAST FEW DAYS AND I ALSO NOTICE THAT IM GETTING LIKE THESE HEADACHES AND CHILLS AS WELL AT NIGHT SO I WAS JUST A BIT CONCERNED +audio/RES0018.mp3[15.640,22.560] OK SO THE COUGH STARTED A FEW DAYS AGO HAVE YOU BEEN BRINGING UP ANY PHLEGM +audio/RES0018.mp3[22.560,35.280] NO NOT REALLY ITS BEEN PRETTY MUCH LIKE A DRY COUGH I DID FEEL LIKE A TICKLE IN MY THROAT BEFORE IT STARTED BUT NO IM NOT PRODUCING ANY PHLEGM +audio/RES0018.mp3[35.280,43.200] OK UM IS THE COUGH ANY WORSE AT ANY PARTICULAR TIME OF DAY LIKE WHEN YOU FIRST GET UP OR OR AT NIGHT WHEN GOING TO BED +audio/RES0018.mp3[43.200,51.240] NO ITS PRETTY MUCH JUST BEEN THERE OVER THE LAST AT LEAST LIKE 2 DAYS ITS BEEN GETTING WORSE MORE FREQUENT +audio/RES0018.mp3[51.240,55.920] OK SO UM AND ARE YOU COUGHING ALL THROUGHOUT THE DAY +audio/RES0018.mp3[55.920,63.680] PRETTY MUCH AT LEAST FOR THE LAST FEW DAYS JUST ITS BEEN PRETTY NONSTOP +audio/RES0018.mp3[63.680,66.840] OK ANYTHING THATS MADE THE COUGH WORSE +audio/RES0018.mp3[66.840,73.120] UH NO NOT REALLY ITS UH PRETTY MUCH BEEN THE SAME FOR THE LAST FEW DAYS +audio/RES0018.mp3[73.120,76.120] ANYTHING YOUVE TRIED TO MAKE THE COUGH GO AWAY +audio/RES0018.mp3[76.120,87.840] JUST LIKE TYLENOL COLD AND THEN I THINK THERE WAS ANOTHER OVER THE COUNTER MEDICATION THAT I TOOK BUT NOTHING REALLY HELPING +audio/RES0018.mp3[87.840,98.480] OK AND UH THE COUGH HAS BEEN BEEN GETTING WORSE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS +audio/RES0018.mp3[98.480,115.480] UM I DID JUST JUST LAST NIGHT ACTUALLY I THOUGHT THAT I HAD SOME SHORTNESS OF BREATH AS WELL I DONT KNOW IF THATS BEING CAUSED BY ALL THE COUGHING BUT YEAH I GOT PRETTY SCARED SO THATS WHY IM HERE TODAY +audio/RES0018.mp3[115.480,119.160] OK UM HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE +audio/RES0018.mp3[119.160,128.800] NO LIKE IVE BEEN PRETTY HEALTHY OTHERWISE COMPLETELY SO THIS IS THIS IS COMPLETELY NEW FOR ME +audio/RES0018.mp3[128.800,134.960] OK AND YEAH YOU MENTIONED YOU HAD A FEVER BUT DID HAVE YOU CHECKED YOUR TEMPERATURE +audio/RES0018.mp3[134.960,148.600] NO I HAVENT I I JUST HAD LIKE CHILLS OVER THE LAST TWO NIGHTS JUST HAD TO PUT ON LIKE 3 THREE BLANKETS JUST TO GET TO SLEEP BUT I HAVENT REALLY CHECKED MY TEMPERATURE +audio/RES0018.mp3[148.600,151.560] OK I HAVE YOU HAD NIGHT SWEATS +audio/RES0018.mp3[151.560,154.800] NO NOT REALLY JUST MOSTLY CHILLS +audio/RES0018.mp3[154.800,161.600] OK AND HOW HAS YOUR ENERGY BEEN THE LAST FEW DAYS HAVE YOU HAVE YOU HAD A LOT OF FATIGUE +audio/RES0018.mp3[161.600,171.080] YEAH I JUST FEEL COMPLETELY JUST SICK LIKE WHAT IT FEELS LIKE I HAVE THE FLU OR SOMETHING AND I JUST FEEL REALLY TIRED TOO +audio/RES0018.mp3[171.080,176.040] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/RES0018.mp3[176.040,188.240] NO NOT REALLY I DID HAVE LIKE A I DONT KNOW IF IT WAS SORENESS BUT JUST LIKE A TICKLE IN MY THROAT JUST A FEW DAYS BACK BEFORE THE COUGHING STARTED +audio/RES0018.mp3[188.240,194.200] OK YEAH AND HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE +audio/RES0018.mp3[194.200,214.440] YEAH NOW THAT I THINK OF IT I I I I CANT I CAN BARELY TASTE TASTE THE FOOD THAT IM EATING I DONT KNOW ABOUT SMELL I IM PRETTY STUFF STUFF STUFFY RIGHT NOW SO THAT MIGHT JUST BE BECAUSE OF THAT I DEFINITELY NOTICE I CANT REALLY TASTE MY FOOD +audio/RES0018.mp3[214.440,217.440] ALRIGHT UH AND UH HAVE YOU BEEN HAVING ANY WHEEZING +audio/RES0018.mp3[217.440,219.280] NO NO WHEEZING +audio/RES0018.mp3[219.280,232.280] ALRIGHT AND SHORTNESS OF BREATH WERE YOU AT REST WHEN THAT THAT HAPPENED OR WERE YOU EXERCISING OR EXERTING YOURSELF WHAT HOW DID THE SHORTNESS OF BREATH COME ON +audio/RES0018.mp3[232.280,251.680] I WAS ACTUALLY JUST LAYING DOWN AND I WAS SLEEPING AND I JUST NOTICED THAT I COULDNT REALLY TAKE DEEP BREATHS SO I KIND OF JUST GOT BACK UP AND IT WAS JUST DURING LAST NIGHT IT HASNT HAPPENED AFTER THAT BUT IM SCARED IT WILL HAPPEN AGAIN +audio/RES0018.mp3[251.680,254.880] OK AND HAVE YOU HOW MANY PILLOWS DO YOU USUALLY SLEEP WITH +audio/RES0018.mp3[254.880,257.560] JUST ONE +audio/RES0018.mp3[257.560,260.920] HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES +audio/RES0018.mp3[260.920,264.000] NO NOTHING LIKE THAT +audio/RES0018.mp3[264.000,266.840] ALRIGHT HAVE YOU HAD ANY CHEST PAIN +audio/RES0018.mp3[266.840,268.560] NO NO CHEST PAIN +audio/RES0018.mp3[268.560,275.400] ANY FEELING ANY EPISODES WHERE YOU FEEL LIKE YOU WERE GONNA FAINT +audio/RES0018.mp3[276.480,278.560] FEELING LIKE YOUR HEARTS RACING +audio/RES0018.mp3[280.040,284.840] ALRIGHT UM HAVE YOU BEEN HAVING ANY ABDOMINAL PAINS +audio/RES0018.mp3[284.840,286.600] NO ABDOMINAL PAINS +audio/RES0018.mp3[286.600,291.120] ALRIGHT HOW ABOUT URINARY PROBLEMS +audio/RES0018.mp3[291.120,292.160] NO NOTHING LIKE THAT +audio/RES0018.mp3[292.160,295.120] ANY BOWEL PROBLEMS LIKE DIARRHEA +audio/RES0018.mp3[295.120,297.040] NO ITS PRETTY REGULAR +audio/RES0018.mp3[297.040,300.360] OK HAVE YOU NOTICED ANY RASHES ANYWHERE +audio/RES0018.mp3[301.600,307.760] ALRIGHT AND THEN HOW ABOUT LIKE MUSCLE ACHES OR OR JOINT ACHES +audio/RES0018.mp3[307.760,311.560] NO NOTHING LIKE THAT JUST FEELING TIRED +audio/RES0018.mp3[311.560,316.720] OK AND THEN HAVE YOU HAD ANY CHANGES TO YOUR VISION +audio/RES0018.mp3[317.400,320.200] LIKE BLURRED VISION OR THINGS LIKE THAT +audio/RES0018.mp3[320.200,321.720] NO NOTHING LIKE THAT +audio/RES0018.mp3[321.720,327.760] ANY CHANGES TO YOUR VOICE LIKE IT SOUNDS MORE HOARSE TO YOU OR +audio/RES0018.mp3[327.760,332.120] NO NOT REALLY +audio/RES0018.mp3[332.120,336.960] OH OK AND ANY NAUSEA OR VOMITING +audio/RES0018.mp3[336.960,344.520] I DID FEEL A BIT NAUSEOUS OVER THE LAST TWO DAYS BUT I HAVENT VOMITED +audio/RES0018.mp3[344.520,349.320] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST +audio/RES0018.mp3[349.320,356.480] NO IVE BEEN PRETTY LUCKY NO MEDICAL CONDITIONS I DONT EVEN TAKE ANY MEDICATIONS EITHER +audio/RES0018.mp3[356.480,361.840] OK ANYTHING OVER THE COUNTER LIKE SUPPLEMENTS OR HERBAL +audio/RES0018.mp3[361.840,367.400] NO JUST JUST THE COLD MEDICATIONS OVER THE COUNTER NOTHING ELSE +audio/RES0018.mp3[367.400,370.440] OK ANY ALLERGIES TO MEDICATIONS +audio/RES0018.mp3[370.440,371.920] NOT THAT I KNOW +audio/RES0018.mp3[371.920,373.880] ANY HOSPITALIZATIONS +audio/RES0018.mp3[374.200,379.440] HAVE YOU HAD ANY PRIOR SURGERIES +audio/RES0018.mp3[380.520,387.080] OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION NOW +audio/RES0018.mp3[387.080,408.320] OH YEAH SO I JUST LIVE IN A TOWNHOUSE WITH MY WIFE AND TWO CHILDREN AND YEAH CURRENTLY WORKING AS AN ENGINEER YEAH PRETTY EVERYTHING ELSE IS PRETTY GOOD +audio/RES0018.mp3[408.320,412.520] OK UM HAVE YOU HAD TO MISS WORK OVER THE LAST FEW DAYS +audio/RES0018.mp3[412.520,419.640] YEAH I ACTUALLY DIDNT GO TO WORK YESTERDAY JUST FELT TERRIBLE YESTERDAY +audio/RES0018.mp3[419.640,423.440] OK HOW HAVE THE WIFE AND KIDS BEEN FEELING AT HOME +audio/RES0018.mp3[423.440,432.880] THEYRE ACTUALLY COMPLETELY FINE NOW THEY DONT SEEM TO HAVE ANY ANY SYMPTOMS OF LIKE COUGHING OR ANYTHING LIKE THAT +audio/RES0018.mp3[432.880,436.320] ANYBODY AT WORK THATS BEEN SICK +audio/RES0018.mp3[436.320,455.360] THERE WAS ACTUALLY LIKE JUST WE WORK IN THE SAME KIND OF OFFICE SETTING ONE OF MY COWORKERS WAS COUGHING JUST LAST WEEK AND LIKE YOU KNOW MY BOSS TOLD US TOLD HIM TO LIKE GO HOME AND GET SOME REST AND HE WAS AWAY FOR A COUPLE DAYS +audio/RES0018.mp3[455.360,462.520] OK UH DO YOU KNOW WHAT UM WHAT HE HAD OR ANYTHING LIKE THAT +audio/RES0018.mp3[462.520,478.800] NO IM NOT REALLY SURE NOW THAT I THINK OF IT LIKE I I DONT I HAVENT SEEN HIM SINCE UH SO I HAVENT REALLY ASKED HIM YEAH IM NOT REALLY SURE +audio/RES0018.mp3[478.800,485.520] OK HAS HAVE YOU TRAVELED ANYWHERE OR HAS ANYBODY IN YOUR OFFICE BEEN BEEN TRAVELING ANYWHERE +audio/RES0018.mp3[485.520,491.880] NO NOT REALLY NOT THAT I KNOW EVERYTHING IS PRETTY STRICT RIGHT NOW WITH WITH THE PANDEMIC GOING ON +audio/RES0018.mp3[491.880,499.040] OK UM AND YEAH DO YOU SMOKE CIGARETTES +audio/RES0018.mp3[500.200,502.720] DO YOU DRINK ALCOHOL +audio/RES0018.mp3[502.720,508.360] JUST RARELY MAYBE A COUPLE TIMES A MONTH +audio/RES0018.mp3[508.360,516.960] OK DO YOU USE RECREATIONAL DRUGS LIKE IV DRUG USE OR OPIOIDS OR CRYSTAL METH ANYTHING LIKE THAT +audio/RES0018.mp3[516.960,520.360] NO NOTHING LIKE THAT +audio/RES0018.mp3[520.360,523.200] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0018.mp3[524.680,527.880] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR YOUR PARTNER OR PARTNERS +audio/RES0018.mp3[527.880,530.920] JUST MY WIFE NO OTHER SEXUAL PARTNERS +audio/RES0018.mp3[530.920,538.360] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE +audio/RES0018.mp3[539.040,546.960] OK AND SO IN REGARDS TO YOUR FAMILY HISTORY HAS ANYBODY HAD SIMILAR SYMPTOMS BEFORE +audio/RES0018.mp3[546.960,550.600] NO NOT REALLY NOT NOTHING LIKE THIS +audio/RES0018.mp3[550.600,553.680] OK ANY HEART ATTACKS OR STROKES IN THE FAMILY +audio/RES0018.mp3[555.400,560.040] OK AND THEN HOW ABOUT SO ANY CANCERS IN THE FAMILY +audio/RES0018.mp3[560.040,567.000] I THINK IVE HAD AN AUNT WHO HAD BREAST CANCER BUT NOTHING ELSE +audio/RES0018.mp3[567.000,617.440] OK UM SO THOSE ARE ALL THE QUESTIONS I WANTED TO GO GO THROUGH ON HISTORY I AM CONCERNED THAT YOU MIGHT MIGHT HAVE COVID19 OR CORONAVIRUS AND SO IT COULD BE COVIOR THIS COULD BE ANOTHER VIRAL INFECTION OR POSSIBLY PNEUMONIA GOING ON BUT IT DOES SOUND LIKE YOU HAVE AN INFECTION AND SO WELL CHECK SOME SPUTUM CULTURES AND AND WELL ALSO DO A PCR NASAL SWAB TESTING FOR COVISO WELL GO AHEAD AND ORDER THOSE TESTS AND WELL SEE WHAT THEIR THEIR RESULTS SAY +audio/RES0018.mp3[617.440,623.040] ALRIGHT SOUNDS GOOD +audio/RES0110.mp3[0.000,3.240] HOW MAY I HELP YOU TODAY +audio/RES0110.mp3[3.240,36.440] HI UM SO FOR THE PAST WEEK OR SO IVE UM IVE HAD THIS COUGH UM AND SOME SHORTNESS OF BREATH I FEEL HOT AND I JUST FEEL KIND OF UH FUZZY LIKE I JUST I CANT CONCENTRATE ON THINGS VERY WELL I GET CONFUSED SOMETIMES SO I THOUGHT ILL COME TO YOU TO GET IT CHECKED OUT +audio/RES0110.mp3[36.440,55.840] YEAH YEAH ITS ITS THAT WAS A REALLY GOOD IDEA TO COME IN TO GET CHECKED OUT UM SO CAN YOU UH ILL TALK ILL ASK ABOUT EACH SYMPTOM A LITTLE BIT SO STARTING WITH THE SHORTNESS OF BREATH CAN YOU UM TELL ME HOW UH BAD THE SHORTNESS OF BREATH HAS BEEN +audio/RES0110.mp3[55.840,82.320] UH ITS BEEN SOMETIMES ITS NOT SO BAD SOME OTHER TIMES ITS REALLY BAD UM AT FIRST IT WASNT THAT BAD BUT NOW LIKE IM HAVING A HARD TIME TAKING A DEEP BREATH IN UM IT HURTS AND I JUST FEEL LIKE I CANT WALK LIKE 2 BLOCKS EVEN BEFORE GETTING SHORT OF BREATH +audio/RES0110.mp3[82.320,89.520] AND UH BEFORE THIS WEEK HOW MUCH DID DID YOU EVER FEEL SHORT OF BREATH BEFORE THIS +audio/RES0110.mp3[89.520,91.800] NO NOTHING LIKE THIS BEFORE +audio/RES0110.mp3[91.800,100.480] NO OK UM DO YOU FEEL THAT THE SHORTNESS OF BREATH HAS GOTTEN KIND OF WORSE OVER TIME +audio/RES0110.mp3[100.480,104.560] YEAH I THINK SO +audio/RES0110.mp3[104.560,111.040] AND WHAT ABOUT THE COUGH DID THAT START AT THE SAME TIME AS THE AS THE DIFFICULTY WITH BREATHING +audio/RES0110.mp3[111.040,116.000] UM IT STARTED BEFORE THE DIFFICULTY WITH BREATHING +audio/RES0110.mp3[116.000,122.360] CAN YOU UH IS IT A DRY COUGH OR A WET COUGH +audio/RES0110.mp3[122.360,131.720] UM IT WAS IT WAS A DRY COUGH AT FIRST BUT NOW IM SEEING SOME PHLEGM UM AND IT LOOKS KIND OF YELLOW +audio/RES0110.mp3[131.720,137.080] HAVE YOU SEEN ANY BLOOD IN THE PHLEGM +audio/RES0110.mp3[139.720,145.480] UHM AND UH ARE YOU HEARING ANY WHEEZING SOUNDS +audio/RES0110.mp3[145.480,151.800] YEAH A LITTLE BIT +audio/RES0110.mp3[151.800,158.160] OK UM HOW UH HAS THE COUGH SORT OF IMPROVED OR GOTTEN WORSE OVER TIME +audio/RES0110.mp3[158.160,163.480] UM ITS ITS GOTTEN WORSE +audio/RES0110.mp3[163.480,171.520] OK AND YOU MENTIONED YOU ALSO YOU ALSO HAVE A FEVER DID YOU CHECK YOUR TEMPERATURE +audio/RES0110.mp3[171.520,180.720] UM I DID I IT WAS LIKE 385 THIS MORNING +audio/RES0110.mp3[180.720,188.080] AND HAVE YOU BEEN CHECKING YOUR FEVER THIS PAST WEEK OR WAS THAT THE FIRST TIME YOU UM CHECKED IT +audio/RES0110.mp3[188.080,198.520] ITS THE FIRST TIME I CHECKED IT I IVE FELT HOT THOUGH IN THE PAST AND IVE FELT LIKE I HAD CHILLS +audio/RES0110.mp3[198.520,208.640] YEAH YOURE ALSO FEELING A LITTLE BIT FUZZY WHEN DID THAT START AND CAN YOU EXPLAIN THAT A LITTLE BIT +audio/RES0110.mp3[208.640,238.160] THAT STARTED ABOUT UM I THINK LIKE YESTERDAY MORNING UM I JUST FEEL FUZZY LIKE I CANT CONCENTRATE ON THINGS AS MUCH AS I USED TO BE ABLE TO AND THE OTHER DAY I UH WAS COOKING SOMETHING AND THEN I FORGOT I WAS COOKING IT UM YEAH JUST A LITTLE BIT CONFUSED +audio/RES0110.mp3[238.160,239.760] DID YOU LEAVE THE STOVE ON +audio/RES0110.mp3[239.760,247.400] NO NO I HAD TURNED IT OFF I JUST FORGOT I LEFT LIKE THE POT ON THE STOVE AND MADE DINNER +audio/RES0110.mp3[247.400,257.240] OK OK AND YOU FEEL LIKE THIS IS VERY NEW THAT THIS HAS NOT BEEN GOING ON FOR WEEKS OR MONTHS WHERE YOU FORGET THINGS OR HAVING DIFFICULTIES WITH CONCENTRATION +audio/RES0110.mp3[257.240,262.040] NO THIS HAS NEVER HAPPENED BEFORE +audio/RES0110.mp3[262.040,277.720] UH OK IM GONNA ASK YOU ABOUT A COUPLE OF OTHER UH SYMPTOMS JUST TO MAKE SURE THAT YOU DONT HAVE ANY OTHER UM JUST TO GET A FULL PICTURE SO DO YOU HAVE A HEADACHE AT ALL +audio/RES0110.mp3[277.720,280.560] UM NO NO HEADACHE +audio/RES0110.mp3[280.560,291.600] OK ANY CHANGES IN YOUR VISION OR YOUR UH HEARING THAT HAS THAT HAS UH BEEN VERY SUDDEN OR THAT HAS HAPPENED OVER THE PAST WEEK +audio/RES0110.mp3[293.040,299.720] NOTHING LIKE THAT OK UM ANY CHANGE IN YOUR TASTE CHANGE UH SENSE OF SMELL +audio/RES0110.mp3[301.200,303.280] SENSE OF TASTE +audio/RES0110.mp3[304.440,312.680] OK UHM AND UH ANY RUNNY NOSE OR CONGESTION +audio/RES0110.mp3[312.680,317.720] UM A LITTLE BIT OF A RUNNY NOSE YEAH +audio/RES0110.mp3[317.720,320.920] AND WHATS THAT DISCHARGE LIKE WHAT COLOUR +audio/RES0110.mp3[320.920,328.840] ITS ALSO YELLOW +audio/RES0110.mp3[328.840,332.080] UM ANY UH SORE THROAT +audio/RES0110.mp3[332.080,337.040] UHM NO NO SORE THROAT +audio/RES0110.mp3[337.040,341.280] OK AND UM ANY CHEST PAIN +audio/RES0110.mp3[341.280,347.960] YEAH IT HURT HURTS WHEN I TRY TO TAKE A DEEP BREATH IN +audio/RES0110.mp3[347.960,350.440] WHEN DID THAT START +audio/RES0110.mp3[350.440,364.360] THAT STARTED ABOUT THE SAME TIME AS MY SHORTNESS OF BREATH +audio/RES0110.mp3[364.360,369.200] OK UHM AND UH ANY UH DO YOU FEEL LIKE YOUR HEART IS RACING +audio/RES0110.mp3[369.200,372.560] UM NO NOT REALLY NO +audio/RES0110.mp3[372.560,383.720] OK DO YOU GET ANY CHEST PAIN OTHERWISE UM IN THIS WEEK WHEN YOURE NOT TRYING TO TAKE A DEEP BREATH +audio/RES0110.mp3[383.720,386.040] NO THERES NO CHEST PAIN AT REST +audio/RES0110.mp3[386.040,389.160] WHERE IS YOUR CHEST PAIN +audio/RES0110.mp3[389.160,402.400] IT KIND OF FEELS LIKE CENTRAL TO MY CHEST UM UH YEAH JUST IN THE CHEST AREA IT DOESNT RADIATE TO ANYWHERE ELSE +audio/RES0110.mp3[402.400,413.080] OK OK DOES IT GET BETTER RIGHT AWAY AFTER YOU UM SORT OF STOP TAKING THAT DEEP STOP DOING DEEP BREATHING +audio/RES0110.mp3[413.080,416.200] UH NO OTHERWISE IT DOESNT HURT +audio/RES0110.mp3[416.200,422.240] IT DOESNT HURT OK GOOD UM ALRIGHT AND ANY UH BELLY PAIN +audio/RES0110.mp3[422.240,423.760] UH NO +audio/RES0110.mp3[423.760,426.560] ANY NAUSEA OR VOMITING +audio/RES0110.mp3[427.680,435.720] UH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION THAT IS NEW IN THE PAST WEEK OR TWO WEEKS OR SO +audio/RES0110.mp3[436.880,454.280] OK UM ANY UM DIFFICULTIES WITH UH PEEING DO YOU HAVE UH ANY PAIN OR ANY INCREASE IN HOW OFTEN YOURE GOING TO THE BATHROOM OR HOW UM URGENTLY YOU NEED TO GET TO THE BATHROOM ANYTHING LIKE THAT +audio/RES0110.mp3[455.600,460.160] NO OK ANY PAINS IN YOUR JOINTS OR MUSCLES +audio/RES0110.mp3[460.160,461.400] UH NO +audio/RES0110.mp3[461.400,464.520] ANY FATIGUE UH IN THE PAST WEEK +audio/RES0110.mp3[464.520,470.840] YEAH IVE BEEN FEELING TIRED +audio/RES0110.mp3[470.840,474.040] UM ANY UM ANY WEIGHT LOSS RECENTLY +audio/RES0110.mp3[474.040,476.360] UH NO +audio/RES0110.mp3[476.360,483.880] OK ANY UM NIGHT SWEATS DO YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT +audio/RES0110.mp3[483.880,491.040] UM NO NO NIGHT SWEATS BUT I DO FEEL CHILLS +audio/RES0110.mp3[491.040,498.080] YEAH UM AND ANY SWELLING IN YOUR YOUR BELLY OR YOUR UM IN YOUR FEET IN YOUR LEGS +audio/RES0110.mp3[499.400,507.960] NO OK OK UHM CAN YOU TELL ME ABOUT ANY UH MEDICAL CONDITIONS THAT YOU MIGHT HAVE +audio/RES0110.mp3[507.960,525.560] UM SURE I HAD A DVT UH TWO YEARS AGO I HAVE DIABETES FOR WHICH I AM ON INSULIN AND I HAVE HYPOTHYROID +audio/RES0110.mp3[525.560,544.520] OK IVE GOT TO SAY ITS QUITE IMPRESSIVE THAT YOU KNOW UH THE WORD DVT MOST PATIENTS DONT KNOW THAT +audio/RES0110.mp3[544.520,547.040] IVE HAD A BLOOD CLOT +audio/RES0110.mp3[547.040,556.240] ANY UM SO ARE YOU ON ANY MEDICATIONS UH OTHER THAN THE INSULIN +audio/RES0110.mp3[556.240,565.720] UM YEAH SO IM ON INSULIN AND IM ON SYNTHROID IM ON ASPIRIN AS WELL LIKE BABY ASPIRIN +audio/RES0110.mp3[565.720,569.200] HAVE YOU EVER HAD ANY UM COPD +audio/RES0110.mp3[570.400,572.680] EVER BEEN DIAGNOSED WITH ASTHMA +audio/RES0110.mp3[573.520,577.000] HEART ATTACK OR ANY HEART RELATED PROBLEMS +audio/RES0110.mp3[578.560,585.680] OK OK UM HAS HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST +audio/RES0110.mp3[585.680,589.680] UM NO ACTUALLY SORRY I HAVE FOR THE DVT +audio/RES0110.mp3[589.680,593.800] YEAH YEAH YEAH I SEE ANY SURGERIES +audio/RES0110.mp3[593.800,596.240] UH NO NO SURGERIES +audio/RES0110.mp3[596.240,604.360] OK UM WHAT WHAT CAUSED YOUR DVT DO YOU REMEMBER OR DO YOU KNOW +audio/RES0110.mp3[604.360,620.040] UH I WAS I WAS FLYING SOMEWHERE I WAS WELL I WAS FLYING BACK FROM SOMEWHERE AND I GOT OFF THE PLANE AND UM I GUESS THEY FOUND UH BLOOD CLOTS +audio/RES0110.mp3[620.040,628.440] I SEE I SEE OK ANY ALLERGIES TO MEDICATIONS ENVIRONMENTAL ALLERGIES FOOD ALLERGIES ANYTHING +audio/RES0110.mp3[628.440,630.560] UH NO I DONT THINK SO +audio/RES0110.mp3[630.560,640.120] OK AND I FORGOT TO ASK IN TERMS OF MEDICATIONS ARE YOU TAKING ANYTHING OVER THE COUNTER ANY HERBAL PILLS ANY VITAMINS ETC +audio/RES0110.mp3[640.120,642.600] JUST SOME UM CALCIUM VITAMIN D +audio/RES0110.mp3[642.600,643.680] WELL THATS GREAT +audio/RES0110.mp3[644.200,665.120] THATS GREAT UH YEAH THATS VERY IMPORTANT THAT YOU KNOW FOR WOMEN UM UM ABOVE THE AGE OF 65 I THINK 50 UM UH OK SO IN TERMS OF YOUR LIVING SITUATION ARE YOU LIVING WITH SOMEONE ARE YOU LIVING ALONE +audio/RES0110.mp3[665.120,668.120] UM I LIVE WITH MY HUSBAND +audio/RES0110.mp3[668.120,673.000] OK AND ARE YOU UM IS THERE ANYBODY ELSE IN THE HOUSE ANY PETS ANIMALS +audio/RES0110.mp3[673.000,677.000] UH NO WE DONT HAVE ANY PETS OR ANIMALS +audio/RES0110.mp3[677.000,692.000] AND UH ARE YOU ABLE TO TAKE CARE OF THINGS LIKE UH DRESSING UH CHANGING GOING TO THE BATHROOM ON YOUR OWN DO YOU NEED HELP +audio/RES0110.mp3[692.000,695.040] UH NO I AM PRETTY INDEPENDENT +audio/RES0110.mp3[695.040,700.120] WHAT ABOUT THINGS LIKE GROCERIES OR TAKING CARE OF FINANCES +audio/RES0110.mp3[700.120,703.560] UH NO IM PRETTY INDEPENDENT IN IN THAT ASPECT AS WELL +audio/RES0110.mp3[703.560,709.440] OK THATS WONDERFUL UM HAVE YOU HAD ANY RECENT TRAVELS +audio/RES0110.mp3[709.440,713.440] NO IVE BEEN TRYING TO STAY AT HOME BECAUSE OF COVID +audio/RES0110.mp3[713.440,725.720] THATS GOOD UM AND ANY DO YOU THINK ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK FOR YOU OR YOUR HUSBAND +audio/RES0110.mp3[725.720,732.080] UM I MEAN WE WE DO LAUNDRY AT A LAUNDROMAT UM BUT OTHER THAN THAT NO +audio/RES0110.mp3[732.080,781.600] OK UM OK UH ALRIGHT WELL I THINK I HAVE ALL THE INFORMATION I NEED TODAY UM LET ME GO TALK TO MY MY PRECEPTOR AND WELL COME AND DO PHYSICAL EXAMS AND LISTEN TO YOUR CHEST AND UH DO A FEW UH LAB TESTS TO DRAW YOUR BLOOD AND DO A CHEST X RAY LIKELY AND THEN UM UH GO FROM THERE YOU IT SOUNDS LIKE UM SOUNDS LIKE WITH THE WITH THE FUZZY FEELING THE FEVERS THE DIFFICULTIES BREATHING I THINK IT WOULD BE A GOOD IDEA FOR YOU TO STAY HERE FOR A COUPLE OF DAYS MAYBE BUT WELL UM WELL LET YOU KNOW WHAT HAPPENS AND WHAT THE RESULTS SHOW IM REALLY GLAD THAT YOU DECIDED TO COME IN TODAY DO YOU HAVE ANY QUESTIONS FOR ME +audio/RES0110.mp3[781.600,790.320] UM NO THANK YOU SO MUCH +audio/RES0110.mp3[790.320,802.280] WELCOME UM SO THE LIKELY DIAGNOSIS IS UM A PNEUMONIA EITHER BACTERIAL OR VIRAL BUT GIVEN YEAH YEAH COULD BE EITHER OK +audio/RES0110.mp3[802.280,805.200] DO I STILL NEED TO ISOLATE IN THIS CASE +audio/RES0110.mp3[805.200,808.480] OH THATS VERY TRUE YEP YEP UH SO +audio/RES0110.mp3[809.160,834.720] WELL YOU WILL BE IN THE HOSPITAL SO YES YOU DO WE WILL BE WE WILL BE DOING A COVID TEST BUT THATS A REALLY GOOD POINT UM UH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID SYMPTOMS UM WE WILL ALSO UH HAVE YOU IN AN ISOLATED ROOM AWAY FROM OTHER PATIENTS UNTIL YOUR COVID SWABS ARE BACK AND WE KNOW WHETHER UM YEAH WELL FOLLOW THE GUIDELINES UM PUT FORTH BY THE PUBLIC HEALTH +audio/RES0110.mp3[834.720,839.000] OK SURE +audio/RES0192.mp3[0.000,1.760] HOW MAY I HELP YOU +audio/RES0192.mp3[1.760,14.000] HI IM IM COMING IN BECAUSE UM IVE HAD A LOT OF SHORTNESS OF BREATH AND I IVE HAD THIS COUGH THAT WONT SEEM TO GO AWAY +audio/RES0192.mp3[14.000,20.840] I SEE ALRIGHT SO WHEN DOES THE SHORTNESS OF BREATH HAPPEN IT DO YOU HAVE IT AT REST OR IS IT ON EXERTION +audio/RES0192.mp3[20.840,25.000] MOSTLY ON EXERTION +audio/RES0192.mp3[25.000,32.720] OK HOW FAR ARE YOU ABLE TO WALK BEFORE YOU GET SHORTER BREATH OR HOW MANY FLIGHTS OF STAIRS ARE YOU ABLE TO DO +audio/RES0192.mp3[32.720,37.160] UH MAYBE LIKE 2 FLIGHTS OF STAIRS +audio/RES0192.mp3[37.160,42.960] OK AND WHEN DID YOU NOTICE THAT THE CHANGE +audio/RES0192.mp3[42.960,56.760] SO IVE HAD THIS SHORTNESS OF BREATH LIKE AT FIRST IT WAS PRETTY MILD IT STARTED ABOUT FOUR MONTHS AGO BUT OVER THE PAST MONTH OR SO ITS BEEN ITS BEEN WORSE +audio/RES0192.mp3[56.760,62.720] OK SO A BIT SO ITS BEEN GOING ON FOR A BIT OF TIME NOW +audio/RES0192.mp3[63.920,71.920] OK UM DO YOU ARE YOU ABLE TO LIE DOWN FLAT WITHOUT EXPERIENCING SHORTER BREATH +audio/RES0192.mp3[71.920,75.800] YEAH I THINK SO I THINK THATS FINE +audio/RES0192.mp3[75.800,93.480] OK UM SO SO IT SOUNDS LIKE NO ORTHOP IS WHAT THEY CALL IT AND HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT AND YOURE SHORT OF BREATH AND YOU NEED TO SIT UP AN END TO CATCH IT +audio/RES0192.mp3[93.480,95.160] UH NO +audio/RES0192.mp3[95.160,98.560] OK AND HAVE YOU HAD ANY LEG SWELLING +audio/RES0192.mp3[102.200,110.360] OK ANY YOU MENTIONED THAT YOUVE HAD A COUGH AS WELL HOW LONG HAVE YOU EXPERIENCED A COUGH FOR +audio/RES0192.mp3[110.360,122.000] UH THE COUGH ALSO AROUND THE SAME TIME IT STARTED OFF PRETTY MILD BUT NOW I LIKE I HAVE IT ALL THE TIME +audio/RES0192.mp3[122.000,127.480] OK ARE YOU COUGHING UP ANY SPUTUM OR ANY PHLEGM +audio/RES0192.mp3[127.480,130.680] UH NO ITS ITS PRETTY DRY +audio/RES0192.mp3[130.680,133.480] ARE YOU COUGHING UP ANY BLOOD +audio/RES0192.mp3[135.320,141.640] OK AND HAVE YOU HAD ANY UM WHEEZING +audio/RES0192.mp3[141.640,145.320] NO WHEEZING +audio/RES0192.mp3[145.320,148.200] OK HOW HOW ABOUT ANY CHEST PAIN +audio/RES0192.mp3[148.200,163.080] UH NO CHEST PAIN I GUESS WITH THE COUGHING CAUSE IM COUGHING SO MUCH IT HURTS BUT NOT CHEST PAIN IN THE SENSE LIKE ITS IN THE AREA OF MY HEART OR ANYTHING LIKE THAT +audio/RES0192.mp3[163.080,172.280] OK SO DOES THAT LIKE HOW WOULD YOU DESCRIBE IT IS IT LIKE SHARP ACHY UH DULL OR PRESSURE LIKE +audio/RES0192.mp3[172.280,179.760] UM ITS A ITS KIND OF LIKE A TUGGING FEELING +audio/RES0192.mp3[179.760,184.440] OK UM IT DOES IT GO AWAY AFTER YOURE DONE COUGHING +audio/RES0192.mp3[189.400,196.120] I SEE OK AND HAVE YOU EXPERIENCED ANY UM ANY HEADACHES +audio/RES0192.mp3[196.120,198.400] NO NO HEADACHES +audio/RES0192.mp3[198.400,204.720] OK HOW ABOUT ANY UM LIKE EYE REDNESS OR EYE DISCHARGE +audio/RES0192.mp3[206.640,209.080] ANY EAR PAIN OR YOUR DISCHARGE +audio/RES0192.mp3[210.320,213.440] HOW ABOUT ANY CHANGES TO VISION OR HEARING +audio/RES0192.mp3[214.600,217.600] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT +audio/RES0192.mp3[219.280,227.720] OK HOW ABOUT UM ANY CHANGES TO OR HAVE YOU HAD ANY LOSS OF SMELL OR ANY LOSS OF TASTE +audio/RES0192.mp3[229.640,234.120] OK AND HAVE YOU HAD A LOSS OF APPETITE +audio/RES0192.mp3[236.240,241.840] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS +audio/RES0192.mp3[241.840,251.960] UM I HAVE HAD SOME WEIGHT LOSS ACTUALLY ABOUT 15 POUNDS OVER THE PAST SIX MONTHS +audio/RES0192.mp3[251.960,255.640] OK AND HAVE YOU BEEN TRYING TO LOSE WEIGHT +audio/RES0192.mp3[259.080,262.600] OK UM HAVE YOU HAD ANY FEVERS +audio/RES0192.mp3[263.400,265.720] HAVE YOU HAD ANY CHILLS +audio/RES0192.mp3[268.080,271.920] HAVE YOU HAD ANY NIGHT SWEATS +audio/RES0192.mp3[273.360,280.440] OK UM AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING +audio/RES0192.mp3[282.120,287.400] HAVE YOU HAD ANY FAINTING OR LIGHTHEADEDNESS OR DIZZINESS +audio/RES0192.mp3[287.400,290.640] UM NO +audio/RES0192.mp3[290.640,294.840] OK UM HAVE YOU HAD ANY ABDOMINAL PAIN +audio/RES0192.mp3[296.480,300.520] HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0192.mp3[300.520,301.880] UH NO +audio/RES0192.mp3[301.880,306.240] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION +audio/RES0192.mp3[307.680,311.160] AND HAVE YOU HAD ANY SKIN RASHES +audio/RES0192.mp3[312.400,316.000] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0192.mp3[317.280,322.320] AND HAVE YOU HAD ANY AH CONFUSION OR MEMORY LOSS +audio/RES0192.mp3[322.320,324.000] UH NO +audio/RES0192.mp3[324.000,330.320] OK OK AND HOW IS YOUR ENERGY BEEN UH RECENTLY HAVE YOU HAD ANY FATIGUE OR MALAISE +audio/RES0192.mp3[330.320,332.480] UM NO +audio/RES0192.mp3[332.480,348.640] OK ALRIGHT SO IT SOUNDS LIKE THIS THIS DRY COUGH AND THEN AND SHORTNESS OF BREATH IT IS MOSTLY WHAT YOU BEEN UM EXPERIENCING AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0192.mp3[348.640,355.680] AH I HAVE UHM A COPD +audio/RES0192.mp3[355.680,362.400] OK UM AND DO YOU USE UH ANY MEDICATIONS OR ANY INHALERS +audio/RES0192.mp3[362.400,378.240] UM KNOW ITS VERY MILD I IT’S YEAH SO I HAVENT REALLY I WAS JUST RECENTLY DIAGNOSED SO UHM I HAVENT BEEN STARTED ON ANY MEDICATIONS JUST YET +audio/RES0192.mp3[378.240,385.800] OK DID YOU DO I I PULMONARY FUNCTION TESTS WHERE YOURE BREATHING INTO A TUBE +audio/RES0192.mp3[387.480,391.880] ALRIGHT YEAH AND UHM DO YOU HAVE ANY ALLERGIES +audio/RES0192.mp3[396.760,402.840] UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY PREVIOUS SURGERIES +audio/RES0192.mp3[404.520,412.440] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH +audio/RES0192.mp3[412.440,415.120] I LIVE IN A HOUSE WITH MY HUSBAND +audio/RES0192.mp3[415.120,422.360] OK AND HAS YOUR HUSBAND BEEN SICK OR ANYBODY YOUVE BEEN AROUND BEEN SICK +audio/RES0192.mp3[424.200,429.200] OK AND ARE YOU CURRENTLY WORKING +audio/RES0192.mp3[429.200,463.160] YEAH SO I IM WORKING IN CONSTRUCTION UM I USED TO WORK IN SHIPYARDS BEFORE BUT RECENTLY IVE IVE BEEN DOING SOME CONSTRUCTION NOTHING HEAVY AH JUST WORKING ON SOME OLD BUILDINGS I’LL UST TAKE THE ODD JOB OR SOMETHING THAT COMES UP ITS NOT FULL TIME +audio/RES0192.mp3[463.160,473.840] OK AND ANY CONCERNS FOR LIKE EXPOSURES WHILE YOURE AT WORK IN TERMS LIKE BREATHING IN ANY DUSTS OR ANY FUMES +audio/RES0192.mp3[473.840,508.120] UM WERE GIVEN A UM PERSONAL PROTECTIVE EQUIPMENT UM FOR THOSE CONCERNS BUT WHEN I WAS YOUNGER I USED TO WORK A IN SHIPYARDS AND CONSTRUCTIONS AND LIKE OLD BUILDINGS AND STUFF AND I KNOW THERE WAS SOME CONCERN FOR NOT BEING AH PROPERLY EQUIPPED WITH THE RIGHT EQUIPMENT FOR PROTECTION AND SAFETY AT THAT POINT SO UH YEAH ITS POSSIBLE IVE BEEN EXPOSED TO SOME THINGS +audio/RES0192.mp3[508.120,516.600] I SEE IS THERE A CHANCE THAT THERE COULD HAVE BEEN ASBESTOS AT ANY OF THOSE PLACES THAT YOU WORKED +audio/RES0192.mp3[516.600,524.840] YEAH ASBESTOS OR MOLD YEAH YOU NAME IT PROBABLY EVERYTHING +audio/RES0192.mp3[524.840,530.520] YEAH I SEE THIS WAS LIKE 10 YEARS AGO 20 YEARS AGO OR OR LONGER +audio/RES0192.mp3[530.520,550.200] YEAH AND SO IT WOULD HAVE BEEN YEAH ABOUT LIKE 30 YEARS AGO OR YEAH 30 40 YEARS AGO AND I WORKED IN THOSE PLACES FOR 30 TO 40 YEARS SO AROUND THAT TIME +audio/RES0192.mp3[550.200,555.520] OK AND DO YOU SMOKE CIGARETTES +audio/RES0192.mp3[555.520,561.360] UM I QUIT RECENTLY SINCE I FOUND OUT THAT I MIGHT HAVE COPD +audio/RES0192.mp3[561.360,564.640] OH CONGRATULATIONS ITS NOT EASY TO QUIT +audio/RES0192.mp3[564.640,566.240] THANK YOU +audio/RES0192.mp3[566.240,569.560] UH AND DO YOU DRINK ALCOHOL +audio/RES0192.mp3[569.560,573.880] UH ONCE IN A WHILE I’LL HAVE A GLASS OF WINE ONCE A WEEK +audio/RES0192.mp3[573.880,578.720] OK AND DO YOU USE RECREATIONAL DRUGS +audio/RES0192.mp3[578.720,581.880] UM NO I DONT +audio/RES0192.mp3[581.880,594.680] OK UM AND UH ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY +audio/RES0192.mp3[594.680,596.880] UH NO +audio/RES0192.mp3[596.880,602.000] OK ARE THERE ANY CANCERS THAT ARE IN THE FAMILY LIKE ANYBODY WHOS HAD LUNG CANCER +audio/RES0192.mp3[602.000,610.600] UM NO NOT THAT I CAN THINK OF +audio/RES0192.mp3[610.600,618.480] OK AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY +audio/RES0192.mp3[621.760,625.360] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE +audio/RES0192.mp3[625.360,628.160] I AM +audio/RES0192.mp3[628.160,636.320] OK UM AND CAN YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS IS ITS AT YOUR HUSBAND OR UM ANYONE ELSE +audio/RES0192.mp3[636.320,638.320] JUST MY HUSBAND YEAH +audio/RES0192.mp3[638.320,645.280] OK AND ANY CONCERNS FOR AH SEXUALLY TRANSMITTED INFECTION +audio/RES0192.mp3[647.080,662.560] OK AND I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY TODAY UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT ABOUT +audio/RES0192.mp3[662.560,673.240] UM NO THAT WAS IT BUT HOW LIKE WHAT CAN I TAKE TO MAKE THESE SYMPTOMS GO AWAY +audio/RES0192.mp3[673.240,721.440] WELL YEAH SO AT THIS TIME IT WILL BE IMPORTANT TO GET SOME LUNG IMAGING AND AND POSSIBLY SOME OTHER INVESTIGATIONS AS WELL BECAUSE OF YOUR EXPOSURE UH TO INHALANTS AND FUMES AND POSSIBLY ASBESTOS SO I’M CONCERNED THERE COULD BE POSSIBLY AN ASBESTOS RELATED LUNG ILLNESS THAT THAT YOU HAVE UM AND SO IT WILL BE IMPORTANT TO INVESTIGATE FOR YEAH POSSIBLY A ASBESTOS RELATED LUNG CANCER +audio/RES0192.mp3[726.000,730.080] OK THANK YOU +audio/RES0141.mp3[0.000,3.200] HOW CAN I UH HELP YOU TODAY +audio/RES0141.mp3[3.200,31.120] HI SO I JUST CAME IN TODAY BECAUSE IVE BEEN JUST BEEN FEELING UM LIKE MY HEADS JUST BEEN HURTING FOR THE PAST THREE OR FOUR DAYS AND I ALSO FELT REALLY COLD THROUGHOUT THE DAY FOR THE LAST FEW DAYS AS WELL SO UM I DID END UP CHECKING MY TEMPERATURE JUST YESTERDAY AFTERNOON AND IT WAS UM 387 DEGREES CELSIUS +audio/RES0141.mp3[31.120,39.480] OKAY UM TELL ME ABOUT THE HEADACHE WHERE EXACTLY IS IT +audio/RES0141.mp3[39.480,48.800] YEAH SO ITS KIND OF JUST THROUGHOUT LIKE THE FRONT OF MY FOREHEAD AND IT KIND OF GOES TO THE SIDE INTO MY TEMPLE +audio/RES0141.mp3[48.800,51.480] AND WHAT DOES IT FEEL LIKE +audio/RES0141.mp3[51.480,63.960] IT FEELS LIKE A CONSTANT ACHING IVE HAD UH MIGRAINES BEFORE BUT THEY LIKE ITS NOT LIKE THE PULSATING SENSATION THAT I USUALLY GET WITH THEM +audio/RES0141.mp3[63.960,71.960] I SEE UH OKAY AND HOW SEVERE IS THE PAIN IF YOU HAD TO RATE IT FROM 1 TO 10 +audio/RES0141.mp3[71.960,86.080] UM MORE THAN LIKE SEVERE ITS DEFINITELY LESS SEVERE THAN MY MIGRAINES BUT IT ITS JUST CONSTANT ITS ITS JUST BEEN THERE FOR THE LAST FOUR DAYS AND I WOULD SAY PROBABLY A 6 OUT OF 10 +audio/RES0141.mp3[86.080,92.320] DID YOU DO ANYTHING FOR THE PAIN DID YOU TAKE ANY MEDICATIONS ANYTHING THAT MAKES IT BETTER +audio/RES0141.mp3[92.320,101.840] YEAH I TOOK A TYLENOL I TOOK UM ADVIL IT HELPS FOR LIKE A FEW HOURS AND THEN IT JUST COMES BACK +audio/RES0141.mp3[101.840,107.480] AND ANYTHING THAT MAKES THE PAIN WORSE +audio/RES0141.mp3[107.480,123.000] UM I DEFINITELY THINK JUST IF I REST ITS BETTER IF BUT IF IM LIKE LIKE I CANT I CANT CONCENTRATE ON WORK OR LIKE ANYTHING +audio/RES0141.mp3[123.000,134.920] OKAY UM AND OTHER THAN THE UM THE FEVER AND HEADACHES HAVE YOU UM HAD ANY UM COUGH +audio/RES0141.mp3[134.920,136.120] NO NO COUGH +audio/RES0141.mp3[136.120,138.080] RUNNY NOSE OR CONGESTION +audio/RES0141.mp3[138.800,140.840] SORE THROAT +audio/RES0141.mp3[140.840,141.720] NO NOT REALLY +audio/RES0141.mp3[141.720,145.080] CHANGES IN YOUR SENSE OF SMELL +audio/RES0141.mp3[145.080,148.640] UH I DO ACTUALLY FEEL LIKE I LIKE I AM LOSING MY SMELL TODAY +audio/RES0141.mp3[148.640,154.520] AND SENSE OF TASTE +audio/RES0141.mp3[154.520,167.200] I JUST HAD BREAKFAST TODAY SO UM BREAKFAST WAS OKAY I DIDNT UH BUT YEAH DEFINITELY SENSE OF SMELL +audio/RES0141.mp3[167.200,170.960] OKAY AND ANY DIFFICULTIES BREATHING +audio/RES0141.mp3[172.040,174.280] OKAY ANY CHEST PAIN +audio/RES0141.mp3[175.360,178.480] UM DO YOU FEEL LIKE YOUR HEART IS RACING +audio/RES0141.mp3[179.600,182.400] ANY DIARRHEA OR CONSTIPATION +audio/RES0141.mp3[183.280,185.200] NAUSEA OR VOMITING +audio/RES0141.mp3[185.920,187.840] PAIN IN YOUR BELLY +audio/RES0141.mp3[188.880,192.880] ANY MUSCLE ACHES OR JOINT PAINS +audio/RES0141.mp3[192.880,195.960] UH NO NOTHING LIKE THAT +audio/RES0141.mp3[195.960,199.640] OKAY UM DO YOU FEEL LIKE YOUR NECK IS STIFF +audio/RES0141.mp3[200.640,204.680] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FINGERS OR TOES +audio/RES0141.mp3[206.040,212.080] ANY UM NIGHT SWEATS OR WEIGHT LOSS UNINTENTIONAL +audio/RES0141.mp3[212.080,216.720] NO IVE ONLY BEEN GAINING WEIGHT +audio/RES0141.mp3[216.720,222.000] OKAY ANY FLUID IN YOUR ANY SORT OF SWELLING IN YOUR LEGS +audio/RES0141.mp3[222.000,225.000] NO NOTHING LIKE THAT REALLY +audio/RES0141.mp3[225.000,231.480] OKAY UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/RES0141.mp3[231.480,240.920] YES SO I HAVE UH TYPE 2 DIABETES I WAS JUST RECENTLY STARTED ON METFORMIN MEDICATION +audio/RES0141.mp3[240.920,243.360] WHEN WERE YOU STARTED ON METFORMIN +audio/RES0141.mp3[243.360,246.960] SO I THINK AROUND UH ITS BEEN AROUND TWO MONTHS +audio/RES0141.mp3[246.960,252.320] OKAY HOW IS THAT GOING FOR YOU ARE YOU TOLERATING IT OKAY +audio/RES0141.mp3[252.320,266.280] YEAH IVE IVE BEEN TOLERATING IT WELL ITS JUST THEY THEY SAID LIKE IM KIND OF JUST ON THE EDGE OF THE DIABETES LIKE MY LEVEL SO THEY JUST WANT TO ACT UM PROACTIVELY +audio/RES0141.mp3[266.280,271.040] YEAH THATS GOOD UM ANY OTHER MEDICAL CONDITIONS +audio/RES0141.mp3[271.040,272.920] NO THATS THATS ALL +audio/RES0141.mp3[272.920,280.040] ANY MEDICATIONS OTHER THAN METFORMIN THAT YOU TAKE ANYTHING OVER THE COUNTER +audio/RES0141.mp3[280.040,289.600] UM SO I DO TAKE WHEN MY MIGRAINES GET BAD LIKE I DO TAKE I HAVE TAKEN NAPROXEN BEFORE +audio/RES0141.mp3[289.600,295.200] OKAY SURGERIES +audio/RES0141.mp3[295.200,296.760] UH NO SURGERIES +audio/RES0141.mp3[299.840,300.800] UH NO +audio/RES0141.mp3[300.800,306.720] OKAY ANY ALLERGIES TO MEDICATIONS FOODS OR ANY ENVIRONMENTAL ALLERGIES +audio/RES0141.mp3[306.720,312.040] NOT TO ANY MEDICATIONS BUT I DO HAVE AN ALLERGY TO PEANUTS +audio/RES0141.mp3[312.040,314.760] OKAY WHAT HAPPENS +audio/RES0141.mp3[314.760,323.400] I DO GET LIKE A AN ANAPHYLACTIC REACTION +audio/RES0141.mp3[323.400,329.480] OKAY OKAY UM AND ANY UM FAMILY HISTORY OF ANY MEDICAL CONDITIONS +audio/RES0141.mp3[329.480,346.200] UH SO ON MY DADS SIDE THEY LIKE ALL LIKE ALL THE MEN SEEM TO HAVE DIABETES SO ITS GOOD THAT IM STARTING ON THE MEDICATION UM ON MY MOMS SIDE THEYRE PRETTY HEALTHY I DONT THINK MY MOM HAS ANY MEDICAL CONDITIONS +audio/RES0141.mp3[346.200,351.720] OKAY GOOD UM AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE +audio/RES0141.mp3[351.720,359.000] YEAH SO I LIVE WITH MY WIFE I LIVE WITH MY TWO KIDS A SON AND DAUGHTER +audio/RES0141.mp3[359.000,367.680] AND UM HAVE YOU OR ANY OF THEM HAD ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK +audio/RES0141.mp3[367.680,387.520] UM JUST UH SO MY WIFE IS A SCHOOL TEACHER UM AND THEY DID HAVE INPERSON JUST UH SHES A HIGH SCHOOL TEACHER AND THEY HAD SOME THEY HAVE INPERSON CLASSES SO YEAH I DONT KNOW BUT SHES BEEN FEELING WELL MY KIDS ARE FEELING WELL TOO +audio/RES0141.mp3[387.520,393.480] OKAY AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE +audio/RES0141.mp3[394.000,400.840] OKAY AND DO YOU CURRENTLY SMOKE OR DID YOU EVER SMOKE IN THE PAST +audio/RES0141.mp3[400.840,408.640] NO IVE NEVER SMOKED I DO SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH WITH SOME FRIENDS +audio/RES0141.mp3[408.640,412.640] OKAY ANY RECREATIONAL DRUGS +audio/RES0141.mp3[412.640,413.760] SORRY NO +audio/RES0141.mp3[413.760,416.280] UM ANY ALCOHOL +audio/RES0141.mp3[416.280,422.880] YEAH I PROBABLY DRINK UM A COUPLE OF BEERS DURING THE WEEKEND +audio/RES0141.mp3[422.880,494.640] OKAY GOT IT UM ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WE WOULD LIKE TO DO A COVISWAB JUST IN OR REQUEST A COVISWAB TO BE DONE THROUGH PUBLIC HEALTH UM JUST TO JUST TO RULE IT OUT YOUR SYMPTOMS DO SOUND LIKE OR OVERLAP WITH SOME OF THE SYMPTOMS THAT ARE SEEN IN PATIENTS WHO DO HAVE COVIIT COULD BE THAT YOU HAVE UM JUST UM JUST I GUESS LIKE YOUR HEADACHE AND FEVER UM ILL ALSO LIKE DO A PHYSICAL EXAM TO SEE THERES NOTHING ELSE GOING ON BUT IN THE MEANTIME I ID LIKE YOU TO SELF ISOLATE AND STAY AWAY FROM THE REST OF YOUR FAMILY MEMBERS AS WELL UM AT LEAST UNTIL THE RESULTS ARE OUT AND THEN WHEN THE RESULTS ARE OUT IF ITS POSITIVE YOULL RECEIVE MORE GUIDELINES FROM PUBLIC HEALTH AS TO WHAT YOU NEED TO DO +audio/RES0141.mp3[494.640,499.960] OKAY SOUNDS GOOD UM AND I WORK FROM HOME SO I DONT NEED TO +audio/RES0141.mp3[499.960,503.040] OH THATS GOOD OKAY SO YOU WORK FROM HOME +audio/RES0141.mp3[504.800,505.560] THANK YOU +audio/RES0125.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY +audio/RES0125.mp3[2.280,26.240] HI IM UM IM JUST SO I AM HERE BECAUSE I HAVE THIS COUGH THAT IVE HAD FOR THE PAST UM WEEK AND A HALF AND IM JUST UH I USUALLY DONT COME IN WITH SYMPTOMS THIS MINOR BUT BECAUSE ITS BECAUSE WERE IN THE MIDDLE OF A PANDEMIC I THOUGHT I SHOULD COME IN AND GET CHECKED OUT +audio/RES0125.mp3[26.240,36.440] OKAY YEAH SO ITS BEEN GOING ON FOR LIKE MORE THAN A WEEK UM CAN YOU DESCRIBE TO ME WHAT KIND OF COUGH YOURE HAVING IS IT LIKE A WET COUGH OR A DRY COUGH +audio/RES0125.mp3[36.440,39.080] ITS A DRY COUGH +audio/RES0125.mp3[39.080,45.520] OKAY AND HAS IT BEEN GETTING WORSE OVER THE OVER THE TIME PERIOD YOU DESCRIBED +audio/RES0125.mp3[45.520,48.240] UM ITS KIND OF THE SAME +audio/RES0125.mp3[48.240,58.320] ITS THE SAME UM HAVE YOU NOTICED ALTHOUGH ITS LIKE DRY HAVE YOU BROUGHT UP ANY KIND OF SPUTUM OR PHLEGM AT ALL +audio/RES0125.mp3[58.320,70.640] UM NO NOT NOT NOT RECENTLY BUT YEAH IN THE FIRST COUPLE OF DAYS THE FIRST TWO THREE DAYS +audio/RES0125.mp3[70.640,77.760] OKAY UM AND HAVE YOU NOTICED ANY KIND OF YELLOWISH TO GREENISH TINGE TO IT +audio/RES0125.mp3[77.760,80.120] NO IT WAS WATERY +audio/RES0125.mp3[80.120,84.240] WATERY OKAY HAVE YOU NOTICED AT ALL ANY BLOOD HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL +audio/RES0125.mp3[84.240,85.880] UH NO +audio/RES0125.mp3[85.880,93.080] OKAY AND IS YOUR COUGH LIKE CONSTANT OR DOES IT COME AND GO +audio/RES0125.mp3[93.080,100.960] UM KIND OF COMES AND GOES THERES JUST TIMES WHEN IM COUGHING A LOT AND THEN IT JUST GOES AWAY +audio/RES0125.mp3[100.960,110.440] OKAY AND IS THERE A PATTERN TO IT LIKE UH DO YOU COUGH MORE WHEN YOURE EXERTING YOURSELF OR ANY TIME A CERTAIN TIME OF THE DAY +audio/RES0125.mp3[110.440,112.960] UM ITS WORSE WHEN IM SMOKING +audio/RES0125.mp3[112.960,118.880] WHEN YOURE SMOKING OKAY AND UH HOW LONG DO THOSE EPISODES LAST +audio/RES0125.mp3[118.880,125.120] COUPLE OF SECONDS MAYBE +audio/RES0125.mp3[125.120,129.960] OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL +audio/RES0125.mp3[129.960,143.160] YEAH I THINK UM YEAH I USUALLY DONT PAY MUCH ATTENTION TO IT YOU KNOW I THINK MUST HAVE HAPPENED LAST YEAR OR THE YEAR BEFORE IT JUST KIND OF GOES AWAY ON ITS OWN +audio/RES0125.mp3[143.160,148.480] OKAY AND IS THERE ANY ANYTHING THAT MAKES IT BETTER OR WORSE +audio/RES0125.mp3[148.480,159.120] UM I UM I TAKE THIS COUGH SYRUP OVER THE COUNTER SYRUP THAT HELPS +audio/RES0125.mp3[159.120,166.480] OKAY AND UM HAVE YOU FOUND THAT ITS BEEN HELPING OVER LIKE TO HELP IMPROVE YOUR COUGH OVER THE LAST FEW DAYS +audio/RES0125.mp3[166.480,172.000] IT GOES AWAY FOR A COUPLE HOURS AND THEN IT COMES BACK +audio/RES0125.mp3[172.000,177.560] I SEE DOES IT KEEP KEEP YOU UP AT NIGHT AT ALL +audio/RES0125.mp3[177.560,178.520] NO NO NO +audio/RES0125.mp3[178.520,185.680] NO OKAY ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT +audio/RES0125.mp3[185.680,193.600] UH I KIND OF HAD THOSE SYMPTOMS IN THOSE FIRST TWO THREE DAYS BUT THEN IT WENT AWAY AND THEN I ONLY HAD THIS COUGH THAT STAYED +audio/RES0125.mp3[193.600,203.560] OKAY OKAY AND HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK AROUND YOU AT ALL +audio/RES0125.mp3[203.560,206.880] UM MY DAUGHTER HAD THE SNIFFLES +audio/RES0125.mp3[206.880,209.600] WHEN WAS THAT +audio/RES0125.mp3[209.600,212.440] LAST TWO WEEKS AGO +audio/RES0125.mp3[212.440,220.080] TWO WEEKS AGO OKAY AND UH HOW IS SHE NOW LIKE DID IT JUST GO AWAY ON ITS OWN OR DID SHE HAVE TO GO TO THE DOCTOR +audio/RES0125.mp3[220.080,222.880] UM NO IT KIND OF WENT AWAY ON ITS OWN +audio/RES0125.mp3[222.880,229.520] OKAY HAVE YOU TRAVELED AT ALL RECENTLY OUTSIDE OF THE PROVINCE OR THE COUNTRY +audio/RES0125.mp3[230.040,236.200] NO OKAY AND BESIDES THE COUGH ARE YOU HAVING ANY HEADACHES AT ALL +audio/RES0125.mp3[238.120,240.000] ANY NAUSEA OR VOMITING +audio/RES0125.mp3[241.480,243.880] ANY FEVERS OR CHILLS +audio/RES0125.mp3[243.880,245.600] NOT ANYMORE +audio/RES0125.mp3[245.600,249.400] NOT ANYMORE WHEN WAS THE LAST TIME THAT YOU HAD FEVERS OR CHILLS +audio/RES0125.mp3[249.400,260.480] I THINK I HAD LIKE A VERY IT MUST HAVE BEEN 374 UM IN THE FIRST TWO THREE DAYS BUT IT GOT BETTER REALLY QUICKLY +audio/RES0125.mp3[260.480,266.120] OKAY I SEE ANY NIGHT SWEATS +audio/RES0125.mp3[267.320,271.600] NO OKAY ANY UM DO YOU FEEL TIRED THROUGHOUT THE DAY +audio/RES0125.mp3[271.600,273.480] NOT ANYMORE +audio/RES0125.mp3[273.480,280.800] NOT ANYMORE OKAY SO ANY KIND OF CHEST PAIN OR SENSATION THAT YOUR HEART IS RACING +audio/RES0125.mp3[281.720,284.600] NO ANY DIZZINESS OR FAINTING SPELL +audio/RES0125.mp3[286.600,289.840] ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL +audio/RES0125.mp3[289.840,292.440] UM NO +audio/RES0125.mp3[292.440,294.880] NO SO NO CONSTIPATION DIARRHEA +audio/RES0125.mp3[295.800,300.680] OKAY ANY CHANGES IN YOUR URINATION +audio/RES0125.mp3[301.080,307.000] NO OKAY UM HAVE YOU HAD TO MISS WORK AT ALL OR DO YOU CURRENTLY WORK +audio/RES0125.mp3[307.000,310.000] YEAH BUT IVE BEEN WORKING FROM HOME +audio/RES0125.mp3[310.440,313.640] I DIDNT HAVE TO MISS WORK SO +audio/RES0125.mp3[313.640,318.480] OKAY AND ANY CHANGES IN YOUR SLEEP OR APPETITE +audio/RES0125.mp3[320.680,325.280] OKAY ANY LOSS OF SENSE OF TASTE OR SMELL AT ALL +audio/RES0125.mp3[325.280,334.440] UM INITIALLY I GUESS THE COUGHS FIRST FEW DAYS MY NOSE WAS A LITTLE STUFFY SO YEAH I COULDNT SMELL VERY WELL BUT SINCE THEN ITS BEEN FINE +audio/RES0125.mp3[334.440,337.440] OKAY BUT NO LOSS OF TASTE +audio/RES0125.mp3[337.440,340.560] NO LOSS OF TASTE NO +audio/RES0125.mp3[340.560,348.080] OKAY UH ANY RECENT SIGNIFICANT CHANGES TO YOUR WEIGHT AT ALL OVER THE LAST FEW MONTHS +audio/RES0125.mp3[349.600,358.720] OKAY UM AND ANY EXPOSURE IN YOUR HOME ENVIRONMENT TO DUST FUMES ANY ANIMALS IN THE HOUSEHOLD +audio/RES0125.mp3[361.280,367.000] OKAY AND OTHERWISE UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST +audio/RES0125.mp3[367.000,369.920] UH NO IM PRETTY HEALTHY +audio/RES0125.mp3[369.920,377.760] PRETTY HEALTHY OKAY ANY ALLERGIES EITHER TO MEDICATIONS OR ENVIRONMENTAL +audio/RES0125.mp3[377.760,380.800] UM IM ALLERGIC TO PENICILLIN +audio/RES0125.mp3[380.800,385.600] TO PENICILLIN OKAY AND WHAT KIND OF REACTION DO YOU GET TO PENICILLIN +audio/RES0125.mp3[385.600,390.320] UM I WAS TOLD THAT I GOT A RASH WHEN I WAS A CHILD I DONT REALLY REMEMBER +audio/RES0125.mp3[390.320,397.280] OKAY AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS +audio/RES0125.mp3[398.560,402.800] NO OKAY AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES +audio/RES0125.mp3[402.800,408.400] UM I HAD MY APPENDIX REMOVED ABOUT UM FIVE YEARS AGO +audio/RES0125.mp3[408.400,413.080] FIVE YEARS AGO OKAY ANY COMPLICATIONS AT ALL AFTER THAT +audio/RES0125.mp3[414.480,420.720] OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS AT ALL +audio/RES0125.mp3[420.720,424.240] UM COLON CANCER +audio/RES0125.mp3[424.240,426.000] COLON CANCER +audio/RES0125.mp3[426.000,432.000] YEAH MY DAD AND MY GRANDFATHER HAD IT +audio/RES0125.mp3[432.000,435.800] OKAY UM AND HAVE YOU HAVE YOU HAD ANY SCOPES DONE RECENTLY AT ALL +audio/RES0125.mp3[435.800,441.320] OH YEAH I HAD MINE DONE UH SEVEN YEARS AGO +audio/RES0125.mp3[441.320,443.920] SEVEN YEARS AGO OKAY AND WERE THERE ANY FINDINGS AT ALL +audio/RES0125.mp3[446.960,458.320] NO OKAY UM CURRENTLY SO YOU WORK FROM HOME SO WHATS YOUR HOME AND LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN LIKE A HOUSE APPARTMENT +audio/RES0125.mp3[458.320,462.800] UH I LIVE IN AN APARTMENT WITH MY WIFE AND MY DAUGHTER +audio/RES0125.mp3[462.800,467.160] OKAY UH AND UH DO THEY HAVE ANY SYMPTOMS AT ALL OR ARE THEY ARE THEY FINE +audio/RES0125.mp3[467.160,476.760] WELL MY DAUGHTER DOESNT HAVE ANY SYMPTOMS ANYMORE SHE DID AS I MENTIONED HAVE SOME FLU LIKE SYMPTOMS 2 WEEKS AGO MY WIFES BEEN HEALTHY +audio/RES0125.mp3[476.760,486.000] OKAY AND UH DOES YOUR DAUGHTER GO TO SCHOOL RIGHT NOW OR IS SHE DOING SCHOOL FROM HOME +audio/RES0125.mp3[486.000,487.040] UH SCHOOL FROM HOME +audio/RES0125.mp3[487.040,495.120] SCHOOL FROM HOME OKAY UM AND DO YOU AT ALL SMOKE SO YOU MENTIONED YOUR SYMPTOMS GET WORSE WITH SMOKING +audio/RES0125.mp3[495.600,499.200] UM HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY +audio/RES0125.mp3[499.200,509.080] UM I DONT I TRY IVE BEEN TRYING TO CUT DOWN SO I I SMOKE ABOUT 3 OR 4 CIGARETTES A WEEK I USED TO SMOKE A LOT MORE BEFORE +audio/RES0125.mp3[509.080,525.160] WOW YEAH THATS REALLY GOOD THATS REALLY GREAT PROGRESS UM ITS REALLY DIFFICULT TO QUIT BUT ITS GREAT TO SEE THAT YOURE TRYING TO QUIT UM SO HOW MUCH WOULD YOU SAY YOU USED TO SMOKE +audio/RES0125.mp3[525.160,546.680] WELL HALF A PACK UM HALF A PACK A DAY BUT THEN OVER THE PAST THREE YEARS IVE BEEN TRYING TO CUT IT DOWN I STARTED SMOKING WHEN I WAS 20 SO ITS BEEN UM 30 YEARS NOW +audio/RES0125.mp3[546.680,559.760] OKAY SO 30 YEARS OKAY AND UM ARE YOU JUST ARE YOU USING ANYTHING TO HELP YOU QUIT SMOKING OR ARE YOU DOING IT WITHOUT ANY MEDICATIONS OR UM LIKE HAVE YOU USED ANYTHING IN THE PAST THAT HAS WORKED FOR YOU +audio/RES0125.mp3[559.760,571.080] UM NO I I WENT TO MY DOC AND HE SAID TO TRY ON MY OWN FIRST AND IF IM STRUGGLING WITH IT TO COME BACK BUT IVE BEEN DOING IT VERY GRADUALLY SO ITS ITS GOING WELL +audio/RES0125.mp3[571.080,595.600] OKAY AND THATS REALLY GOOD AND YEAH IF YOU AT ALL NEED ANY RESOURCES TO HELP YOU QUIT SMOKING ITS GREAT THAT YOURE DOING REALLY WELL BUT IF YOU NEED TO TALK MORE ABOUT IT OR NEED ANY MORE RESOURCES WE CAN PROVIDE THAT FOR YOU UM OTHER THAN UH SMOKING CIGARETTES DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA AT ALL +audio/RES0125.mp3[597.440,599.040] NO HOW ABOUT ALCOHOL +audio/RES0125.mp3[599.040,605.440] UH I JUST DRINK ON THE WEEKENDS MAYBE A GLASS OR TWO OF WINE +audio/RES0125.mp3[605.440,613.240] OKAY AND UH YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS +audio/RES0125.mp3[615.200,623.040] I WAS I GUESS I WAS JUST WORRIED ABOUT THE COUGH UM ITS JUST I WAS WORRIED THAT IT COULD BE COVID +audio/RES0125.mp3[623.040,704.600] YEAH SO DEFINITELY RIGHT NOW ANY OF THESE SYMPTOMS LIKE COVICAN HAVE A LOT OF DIFFERENT SYMPTOMS UM SO WE SHOULD DEFINITELY MAKE SURE THAT WE TO CHECK IF YOU HAVE COVIOR NOT AND WELL GET A COVISWAB TEST DONE FOR YOU TODAY AND THE RESULTS WILL COME BACK IN 24 TO 48 HOURS UH AND IN THAT TIME YOU WILL NEED TO ISOLATE EVEN IN YOUR OWN HOME TRY TO WEAR A MASK AROUND YOUR FAMILY MEMBERS UM TRYING TO EAT SEPARATELY AND USE ALL THOSE METHODS AND AND THEN AFTER THE TEST COMES BACK YOU MAY YOULL BE CONTACTED BY PUBLIC HEALTH IF ITS POSITIVE AND KIND OF GIVEN MORE INSTRUCTION ON WHAT TO DO AND IT DOESNT NECESSARILY HAVE TO BE COVIEITHER IT CAN BE JUST ANOTHER VIRUS UH LIKE IT CAN BE JUST YOUR COMMON COLD THATS BEEN GOING ON SO IT DOES SEEM THAT YOUR SYMPTOMS HAVE GOTTEN BETTER OFTENTIMES UH A COUGH CAN BE THE LAST THING TO GO IT CAN TAKE UP TO TWO WEEKS OR MORE FOR THE COUGH TO GET RELIEVED BUT IT SEEMS THAT YOURE NOT HAVING ANY SYSTEMIC SYMPTOMS LIKE NO FEVERS OR ANYTHING ELSE RIGHT NOW SO ITS ITS UH THATS THATS PRETTY GOOD +audio/RES0125.mp3[704.600,706.320] GREAT IM GLAD +audio/RES0125.mp3[706.320,707.280] ALRIGHT YEAH +audio/RES0125.mp3[707.280,708.320] THANK YOU +audio/RES0125.mp3[708.320,711.400] YOURE WELCOME TAKE CARE +audio/RES0107.mp3[0.000,3.880] WHAT BRINGS YOU IN +audio/RES0107.mp3[3.880,25.680] HI IM HERE WITH MY SON AND HES JUST BEEN FEELING AWFUL HE JUST HAS THIS RUNNY NOSE AND HES BEEN SNEEZING ALL THE TIME AND UH I DONT KNOW MAYBE HE HAS ALLERGIES OR SOMETHING I JUST CAME IN CAUSE I WANTED TO GET HIM CHECKED OUT AND MAYBE GET SOME MEDICATIONS HES JUST FEELING HORRIBLE +audio/RES0107.mp3[25.680,31.360] YEAH FOR SURE WHEN DID WHEN DID THE SNEEZING AND RUNNY NOSE START +audio/RES0107.mp3[31.360,47.200] HE HES HAD IT FOR UM HES JUST ALWAYS KIND OF YOU KNOW HES ALWAYS HAVING THAT RUNNY NOSE YOU KNOW KIDS ALWAYS DO BUT ITS JUST BEEN PRETTY BAD OVER THE PAST UM TWO WEEKS +audio/RES0107.mp3[47.200,52.760] PAST TWO WEEKS OK WHAT STARTED FIRST THE SNEEZING OR RUNNY NOSE +audio/RES0107.mp3[52.760,69.240] UH THE RUNNY NOSE KIND OF JUST GOT WORSE A LITTLE BIT OVER THE PAST UH TWO WEEKS AND THEN THE SNEEZING KIND OF STARTED AT ABOUT THE SAME TIME +audio/RES0107.mp3[69.240,75.440] OK AND AND THE RUNNY NOSE IS HE HAVING UM LIKE WHAT COLOUR IS IT +audio/RES0107.mp3[75.440,76.440] ITS JUST CLEAR LIKE +audio/RES0107.mp3[76.440,84.800] CLEAR OK DOES HE EVER FEEL LIKE HES UH DO YOU EVER FEEL LIKE HES STUFFY +audio/RES0107.mp3[84.800,98.120] UH YEAH KIND OF HES JUST BEEN SNORTING AND SNIFFING AND UM I DONT THINK HE KNOWS HOW TO BLOW HIS NOSE YET BUT HES LIKE CLEARING HIS THROAT SO I THINK HES HES A LITTLE BIT STUFFY +audio/RES0107.mp3[99.000,108.680] BUT HE HASNT COMPLAINED ABOUT DIFFICULTY WITH BREATHING OR LIKE HES BEEN LIKE HE SLEEPS WITH HIS MOUTH CLOSED SO I THINK HE HE SHOULD BE ABLE TO BREATHE OK +audio/RES0107.mp3[108.680,116.440] OK GOOD SO YOU SAID NO SHORTNESS OF BREATH OR TROUBLE BREATHING HAS HE HAD ANY COUGHS +audio/RES0107.mp3[116.440,128.920] KIND OF IN THE MORNING SO I I SEE THAT WHENEVER HE WAKES UP IN THE MORNING HE JUST HAS TO LIKE CLEAR HIS THROAT A LOT AND LIKE COUGH AND THEN UM GETS BETTER +audio/RES0107.mp3[128.920,135.520] OK OK IS HE BRINGING UP PHLEGM WHEN HE COUGHS +audio/RES0107.mp3[135.520,138.360] UM A LITTLE BIT +audio/RES0107.mp3[138.360,139.800] WHAT COLOUR IS IT +audio/RES0107.mp3[139.800,145.200] ITS THE SAME STUFF THAT COMES OUT OF HIS NOSE +audio/RES0107.mp3[145.200,147.920] OK YEAH SO NO BLOOD OR PUS +audio/RES0107.mp3[147.920,148.960] NO NO +audio/RES0107.mp3[148.960,155.840] NO OK HAVE YOU DO YOU THINK HES LOST HIS LIKE SENSE OF SMELL OR TASTE +audio/RES0107.mp3[155.840,157.280] UHH NO +audio/RES0107.mp3[157.280,163.840] NO OK ANY CHANGES IN HIS VISION OR HEARING +audio/RES0107.mp3[163.840,166.360] UM I DONT THINK SO +audio/RES0107.mp3[166.360,171.840] NO DID LIKE UM HAVE YOU NOTICED ANY DISCHARGE FROM HIS EYES +audio/RES0107.mp3[171.840,176.400] NO NO SOMETIMES HE DOES HAVE THAT BUT NO NOT IN THE PAST TWO WEEKS +audio/RES0107.mp3[176.400,181.520] OK SO HIS LIKE EYELIDS ARENT SWOLLEN OR HIS EYES ARENT RED +audio/RES0107.mp3[181.520,182.760] NO NO NO +audio/RES0107.mp3[182.760,195.840] NO OK AND DOES HE HAVE YOU NOTICED ANY SWELLING IN HIS EITHER LIKE FACE NECK LIKE BELLY AREA OR HIS LIMBS +audio/RES0107.mp3[195.840,200.200] NO NO I HAVENT ITS JUST HIS NOSE IS LIKE A LITTLE BIT RED +audio/RES0107.mp3[202.560,213.400] AND UH YEAH HES JUST HES JUST ITCHING ALL THE TIME JUST ITCHING HIS NOSE ITCHING HIS UM EARS YEAH BUT NO NO SWELLING +audio/RES0107.mp3[213.400,217.520] NO SWELLING HAVE YOU NOTICED ANY RASHES ON HIM +audio/RES0107.mp3[217.520,221.240] NO I CHECKED YESTERDAY NIGHT VERY CAREFULLY +audio/RES0107.mp3[221.240,224.640] OK GOOD ANY WEIGHT LOSS +audio/RES0107.mp3[224.640,228.640] NO HES BEEN GAINING WEIGHT SO UM GOOD THAT HES BEEN EATING WELL +audio/RES0107.mp3[228.640,233.800] YEAH THATS GOOD ANY FEVERS OR CHILLS +audio/RES0107.mp3[234.680,239.320] NO DOES HE LOOK LIKE HES LIKE EXCESSIVELY TIRED +audio/RES0107.mp3[239.320,246.720] HES A LITTLE BIT FATIGUED BECAUSE OF THE SNEEZING AND THE AND THE RUNNY NOSE YOU KNOW HES NOT GOING OUT TO PLAY AS MUCH +audio/RES0107.mp3[248.160,256.760] UM BUT ITS NOT YOU KNOW HES STILL HES STILL CHEERFUL HES NOT IRRITABLE OR ANYTHING +audio/RES0107.mp3[256.760,268.320] OK OK UM AND THEN HAVE YOU NOTICED THAT HES LIKE TAKING IN LIKE RAPID BREATHS +audio/RES0107.mp3[268.320,271.000] NO NO HIS BREATHING HAS BEEN GOOD +audio/RES0107.mp3[271.000,275.000] OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL +audio/RES0107.mp3[276.000,280.440] YEAH OK ANY NAUSEA OR VOMITING +audio/RES0107.mp3[281.080,283.280] UM HOW ABOUT HIS URINE +audio/RES0107.mp3[283.280,286.360] NO NO PROBLEMS THERE +audio/RES0107.mp3[286.360,290.800] OK HOW ABOUT LIKE DIZZINESS OR FAINTING SPELLS +audio/RES0107.mp3[290.800,293.680] NO NO NO I DIDNT NOTICE ANYTHING LIKE THAT +audio/RES0107.mp3[293.680,296.240] NO ANY CONFUSION THAT YOU NOTICED +audio/RES0107.mp3[301.680,305.080] NO OK UM HAS HE BEEN LIKE EXCESSIVELY ITCHING ANYWHERE +audio/RES0107.mp3[305.080,318.160] UM JUST HIS UH JUST HIS NOSE AND I THINK HIS LIKE I THINK HIS MOUTH IS ITCHY TOO CAUSE HE KEEPS DOING THIS THING WITH HIS TONGUE JUST KIND OF I DONT KNOW JUST KIND OF LIKE +audio/RES0107.mp3[318.160,321.520] ITCHING THE TOP OF HIS MOUTH WITH HIS TONGUE OR SOMETHING +audio/RES0107.mp3[322.320,327.120] UM YEAH JUST LIKE HIS FACE IS ITCHY +audio/RES0107.mp3[327.120,337.000] HMM OK UM HAS HE COME INTO ANY CONTACT WITH SICK PEOPLE RECENTLY +audio/RES0107.mp3[337.000,352.880] UM I DONT MAYBE SO TWO WEEKS AGO HE WAS PLAYING OUTSIDE UM AND I KNOW THAT HE HE DOES HIS SYMPTOMS DO GET WORSE WHEN HES OUTSIDE SO I DONT KNOW MAYBE +audio/RES0107.mp3[354.280,361.560] HE WAS PLAYING WITH UH WITH HIS BROTHER BUT THEN THIS OTHER KID FROM THE NEIGHBOURHOOD ALSO CAME AROUND +audio/RES0107.mp3[361.560,367.680] OK OK HOW ABOUT UM TRAVEL TO ANYWHERE +audio/RES0107.mp3[367.680,370.120] NO WEVE JUST BEEN STAYING AT HOME +audio/RES0107.mp3[370.120,376.960] OK OK GOOD UM IS HE AN OTHERWISE HEALTHY KID AT THE MOMENT +audio/RES0107.mp3[376.960,380.240] YEAH YEAH HES AN HES A HEALTHY KID +audio/RES0107.mp3[380.240,386.000] OK UM ANY COMPLICATIONS WHEN YOU WERE PREGNANT WITH HIM +audio/RES0107.mp3[386.800,391.000] NO UM HOW ABOUT AT BIRTH +audio/RES0107.mp3[391.000,392.720] NO NO COMPLICATIONS +audio/RES0107.mp3[392.720,397.040] OK DID HE NEED TO BE HOSPITALIZED AFTER BIRTH FOR ANY REASON +audio/RES0107.mp3[398.160,399.960] ANY SURGERIES +audio/RES0107.mp3[401.360,405.000] UM ANY ALLERGIES +audio/RES0107.mp3[405.000,409.000] UM I DONT THINK SO I KNOW HES NOT +audio/RES0107.mp3[409.000,413.880] NO HES NEVER BEEN DIAGNOSED WITH LIKE ECZEMA OR ASTHMA +audio/RES0107.mp3[413.880,416.000] OH HES HES HAD ECZEMA HE HAD IT +audio/RES0107.mp3[417.400,419.960] YEAH COMES AND GOES +audio/RES0107.mp3[419.960,423.920] HIS ECZEMA COMES AND GOES +audio/RES0107.mp3[424.360,429.320] OK UM IS HE ON ANY MEDICATIONS +audio/RES0107.mp3[429.840,431.720] NO EVEN FOR HIS ECZEMA +audio/RES0107.mp3[431.720,435.760] ITS PRETTY MILD +audio/RES0107.mp3[435.760,450.200] OK UM HAS HAVE YOU EVER LIKE GIVEN HIM UM REACTINE OR LIKE ANY OF THE THOSE ANTI ALLERGY MEDICATIONS IN THE PAST +audio/RES0107.mp3[450.200,466.040] IVE TRIED THE UH YEAH THE ONES OVER THE COUNTER UM THEY DO HELP UM I TRIED IT THIS TIME BUT UH IT DIDNT DO MUCH +audio/RES0107.mp3[466.040,483.200] OK OK AND I WAS GONNA ASK YOU SOMETHING ELSE UM HIS SYMPTOMS LIKE THE SNEEZING AND THE AND THE RUNNY NOSE LIKE HAS HE EXPERIENCED THIS BEFORE +audio/RES0107.mp3[483.200,484.960] OH YEAH +audio/RES0107.mp3[486.120,502.880] IT USUALLY GETS WORSE UM UH I GUESS LIKE AROUND THIS TIME UH I CAN TELL WHEN SPRING IS COMING UP UM IT GETS PRETTY BAD BUT HE ALWAYS HAS A RUNNY NOSE UM AND HE SNEEZES SOMETIMES HERE AND THERE +audio/RES0107.mp3[502.880,510.760] OK AND YOU MENTIONED THIS HAS BEEN GOING ON FOR MORE THAN FOUR DAYS THIS TIME AROUND +audio/RES0107.mp3[510.760,519.000] ITS BEEN ITS BEEN GOING ON FOR THE PAST UH TWO WEEKS +audio/RES0107.mp3[519.000,533.080] OK OK AND IS IT LIKE UM IMPAIRING HIS LIKE DAILY ACTIVITIES OR LIKE HIS ABILITY TO UM LIKE SLEEP +audio/RES0107.mp3[533.080,540.640] UH IT DOES AFFECT HIS SLEEP SOMETIMES HE DOESNT LIKE UM JUST THE ITCHING REALLY BOTHERS HIM +audio/RES0107.mp3[541.440,558.320] SO HE CANT UH HE FINDS IT HARD TO FALL ASLEEP THATS LIKE I USUALLY THATS WHEN I GIVE HIM THE THE MEDICATIONS TO HELP HIM FALL ASLEEP +audio/RES0107.mp3[558.320,564.360] OK OK AND UH IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS +audio/RES0107.mp3[564.680,572.080] OK ANY FAMILY HISTORY OF ASTHMA ECZEMA OR SOMETHING CALLED ALLERGIC RHINITIS +audio/RES0107.mp3[572.080,575.440] UH I HAVE ASTHMA +audio/RES0107.mp3[575.440,578.280] OK AND IS YOUR ASTHMA SEVERE +audio/RES0107.mp3[578.280,584.760] UH NO ITS ITS PRETTY WELL CONTROLLED I USED TO ACTUALLY I USED TO HAVE ASTHMA AS A CHILD +audio/RES0107.mp3[584.760,585.160] OK I SEE +audio/RES0107.mp3[585.160,589.080] ITS PRETTY WELL CONTROLLED RIGHT NOW I DONT EVEN NEED MEDICATIONS +audio/RES0107.mp3[589.080,589.960] OK OK +audio/RES0107.mp3[589.960,595.920] I REMEMBER I USED TO I USED TO GET ALLERGIES AS WELL AS A CHILD +audio/RES0107.mp3[595.920,597.080] OH I SEE +audio/RES0107.mp3[597.080,602.240] BUT VERY SIMILAR LOTS OF SNEEZING AND YEAH +audio/RES0107.mp3[602.240,610.120] MHMM ALRIGHT WERE YOU EVER DID YOU EVER TAKE LIKE AN ALLERGY TEST +audio/RES0107.mp3[610.120,617.560] NO I DIDNT THINK ABOUT IT I JUST NEVER LIKE MY MY MY PARENTS DIDNT TAKE ME TO GET THAT TESTING DONE +audio/RES0107.mp3[617.560,622.600] OK HOW ABOUT YOUR SON HAS HE BEEN ALLERGY TESTED +audio/RES0107.mp3[622.600,625.760] NO BUT I FEEL LIKE HE PROBABLY SHOULD +audio/RES0107.mp3[625.760,632.320] YEAH OK AND THEN DOES ANYONE AT HOME SMOKE +audio/RES0107.mp3[636.640,643.440] NO OK UM DO YOU HAVE ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS AT YOUR PLACE +audio/RES0107.mp3[643.440,660.400] UH WEVE GOT ALL OF WE GOT OUR CARPETS UH REMOVED UH TWO YEARS AGO THATS ACTUALLY HELPED UH WITH HIS SYMPTOMS UH AND I KNOW WE TRIED IT WE REMOVED THE CURTAINS AS WELL AND WEVE USED BLINDS SO YEAH +audio/RES0107.mp3[662.080,670.120] AND I DONT THINK SO I DONT THINK THERES ANY SPORES OR THINGS LIKE THAT +audio/RES0107.mp3[670.120,685.280] OK GOOD UM IS HE AN OTHERWISE HEALTHY CHILD LIKE DEVELOPMENTAL WISE LIKE HES GROWING GAINING WEIGHT OK LIKE HES HIS MOTOR SKILLS AND LIKE SOCIAL BEHAVIOURS ARE ALL UP TO PAR WITH HIS PEERS +audio/RES0107.mp3[685.280,688.360] OH YEAH HES DOING GREAT +audio/RES0107.mp3[688.360,695.360] OK OK GOOD UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN +audio/RES0107.mp3[695.840,772.080] NO OK SO FOR HIM UM IT SOUNDS MORE IN KEEPING WITH SOMETHING CALLED ALLERGIC RHINITIS THAN AN INFECTION BUT BECAUSE HIS SYMPTOMS DO OVERLAP WITH THAT OF COVID WELL PROBABLY GET HIM A SWAB ANYWAYS AND THOSE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS IN THE MEANTIME RHINITIS IS ALLERGIC RHINITIS IS CAUSED BY ALLERGIES TO CERTAIN THINGS SO WE CAN GET HIM ALLERGY TESTED UM AND THAT WILL GIVE US A BETTER UNDERSTANDING OF LIKE WHAT HIS TRIGGERS ARE AND THE WAY TO TREAT THAT IS TO AVOID THOSE TRIGGERS THOSE ALLERGENS AND IF HIS SYMPTOMS ARE PERSISTENT UM WE WILL PRESCRIBE HIM ALSO LIKE AN INTRANASAL CORTICOSTEROID UM AND THERE ARE LIKE THERE ARE LIKE SECOND LINE TREATMENTS AS WELL LIKE ANTIHISTAMINES AND LEUKOTRIENE LIKE LEUKOTRIENE RECEPTOR ANTAGONISTS BUT THOSE ARE LIKE SECOND LINE WELL WELL SEE HOW HE DOES WITH THE INHALED CORTICOSTEROIDS AT FIRST HOW DOES THAT SOUND +audio/RES0107.mp3[772.080,773.320] SOUNDS GREAT +audio/RES0107.mp3[773.320,774.880] OK GREAT +audio/RES0107.mp3[774.880,776.880] THANK YOU +audio/RES0107.mp3[776.880,779.120] NO PROBLEM +audio/MSK0020.mp3[0.000,1.480] WHAT BRINGS YOU IN +audio/MSK0020.mp3[1.480,38.640] IVE JUST COME IN TODAY BECAUSE IVE BEEN HAVING SOME ISSUES WITH MY HIPS AS WELL AS MY KNEES JUST OVER THE LAST PROBABLY A MONTH OR TWO IVE BEEN JUST GETTING THIS STIFFNESS AND PAIN ESPECIALLY UH THROUGHOUT THE DAY AS THE DAY GOES ALONG AND I ALSO EXPERIENCE SOME STIFFNESS WHEN I WAKE UP IN THE MORNING UH IN MY HIPS AND KNEES SO I JUST WANTED TO COME AND CHECK OUT WHAT THAT MIGHT BE +audio/MSK0020.mp3[38.640,43.640] OK AND YOU SAID IT STARTED IN THE PAST MONTH +audio/MSK0020.mp3[43.640,48.360] YEAH MAYBE UP TO TWO MONTHS ACTUALLY YEAH I WOULD SAY TWO MONTHS +audio/MSK0020.mp3[48.360,53.960] OK AND IS THE PAIN AND STIFFNESS ALWAYS THERE OR DOES IT COME AND GO +audio/MSK0020.mp3[53.960,76.080] ITS IT COMES AND GOES ITS WORSE IN THE SO ITS STIFF MORE STIFF IN THE MORNING FIRST BUT LIKE AS THE DAY GOES ON PROBABLY NEAR THE AFTERNOON IT GETS WORSE SO IVE HAD TO STOP SOME OF MY ACTIVITIES LIKE GARDENING AND BEING OUTDOORS AND THINGS LIKE THAT +audio/MSK0020.mp3[76.080,86.560] OK AND YOU SAID ITS IT GETS WORSE WITH ACTIVITY IS THERE ANYTHING ELSE THAT MAKES IT BETTER OR WORSE +audio/MSK0020.mp3[86.560,99.960] UHM IT PROBABLY YEAH IF IM JUST EXERTING MYSELF TOO MUCH UH IN TERMS OF BETTER I I THINK IVE TAKEN SOME ADVIL THAT DOES HELP WITH THE PAIN +audio/MSK0020.mp3[99.960,114.080] OK OK AND THEN IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS ACHY THROBBING DULL OR SHARP +audio/MSK0020.mp3[114.080,122.760] ITS KIND OF LIKE THIS UH ACHY PAIN KIND OF DEEP WITHIN THE JOINTS THEMSELVES +audio/MSK0020.mp3[123.600,131.000] YEAH IT JUST GETS WORSE I AS I WALK MORE AND DO MORE ACTIVITIES +audio/MSK0020.mp3[131.000,139.360] OK AND DOES THE PAIN RADIATE ALSO OR DOES IT OR IS IT PRETTY LOCALIZED TO YOUR HIPS AND KNEES +audio/MSK0020.mp3[139.360,141.800] ITS MAINLY IN THOSE AREAS +audio/MSK0020.mp3[141.800,147.640] OK AND SEVERITY WISE ONE TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN +audio/MSK0020.mp3[147.640,151.960] PROBABLY LIKE A 7 +audio/MSK0020.mp3[151.960,158.440] SEVEN OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE +audio/MSK0020.mp3[158.440,160.520] UH NO NOT REALLY +audio/MSK0020.mp3[160.520,167.920] AND DO YOU THINK YOUR PAIN IS GETTING WORSE +audio/MSK0020.mp3[167.920,177.840] UHM I THINK SO LIKE OVER THE LAST TWO MONTHS I FEEL LIKE MY PAIN THERES MORE STIFFNESS THERES MORE PAIN THROUGHOUT THE DAY +audio/MSK0020.mp3[177.840,187.440] OK OK AND YEAH SO DO YOU ARE YOU EXPERIENCING ANY SORT OF NUMBNESS OR TINGLING IN THE AREAS +audio/MSK0020.mp3[187.440,189.480] NO NOT REALLY +audio/MSK0020.mp3[189.480,192.960] NO OK ANY MUSCLE WEAKNESS +audio/MSK0020.mp3[194.280,214.840] NO ARE YOU STILL ABLE TO WALK AND DO THE THINGS THAT YOU USED TO ENJOY DOING I KNOW YOU SAID GARDENING WAS HARD FOR YOU HOW ABOUT LIKE OTHER ACTIVITIES OF LIKE DAILY LIVING LIKE UHM COOKING USING THE WASHROOM THINGS LIKE THAT +audio/MSK0020.mp3[214.840,217.920] YEAH THOSE THINGS I DONT REALLY HAVE TOO MUCH TROUBLE WITH +audio/MSK0020.mp3[217.920,225.520] OK OK THATS GOOD AT LEAST AND ANY DIZZINESS OR FAINTING SPELLS +audio/MSK0020.mp3[227.440,234.920] NO OK HOW ABOUT MEMORY LOSS OR CONFUSION +audio/MSK0020.mp3[234.920,236.520] NO NOTHING LIKE THAT +audio/MSK0020.mp3[236.520,238.320] ANY HEADACHES +audio/MSK0020.mp3[239.520,247.040] NO OK HOW ABOUT JOINT PAINS OR MUSCLE ACHES ELSEWHERE +audio/MSK0020.mp3[247.040,255.880] UHM NO I HAVENT REALLY FELT ANY OTHER PAIN IN ANY OTHER JOINT SO FAR +audio/MSK0020.mp3[255.880,261.440] OK AND ANY WEIGHT LOSS RECENTLY +audio/MSK0020.mp3[265.440,270.800] NO OK HOW ABOUT AND FEVERS OR CHILLS +audio/MSK0020.mp3[270.800,273.320] UH NO FEVERS OR CHILLS +audio/MSK0020.mp3[273.320,278.640] NO FEVERS OR CHILLS OK HOW ABOUT RASHES +audio/MSK0020.mp3[281.040,285.000] AND CHANGES IN YOUR VISION HEARING SMELL OR TASTE +audio/MSK0020.mp3[286.440,292.240] UHM HOW ABOUT COUGHING WHEEZING OR SHORTNESS OF BREATH +audio/MSK0020.mp3[292.480,299.960] UHM CHEST PAIN HEART PALPITATIONS OR FAINTING +audio/MSK0020.mp3[300.360,303.480] CHANGES IN YOUR BOWEL MOVEMENTS +audio/MSK0020.mp3[304.440,308.000] UH CHANGES IN YOUR URINATING +audio/MSK0020.mp3[308.000,310.440] UH NO +audio/MSK0020.mp3[310.440,319.160] OK AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY PAST MEDICAL CONDITIONS +audio/MSK0020.mp3[319.160,342.560] UHM SO I DO HAVE A PRIOR HISTORY OF HYPERTENSION AS WELL AS HIGH CHOLESTEROL DIABETES TYPE 2 DIABETES AND ALSO A BIT MORE ON THE OVERWEIGHT SIDE +audio/MSK0020.mp3[342.560,348.600] OK UHM ARE YOU TAKING ANY MEDICATIONS FOR ALL OF THIS +audio/MSK0020.mp3[348.600,366.600] YEAH SO BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED TELMISARTAN AND THEN FOR BLOOD PRESSURE IM TAKING UH METFORMIN SORRY NOT BLOOD PRESSURE FOR DIABETES IM TAKING METFORMIN +audio/MSK0020.mp3[367.480,378.800] AND THEN FOR THE CHOLESTEROL IM TAKING AND THIS MEDICATION CALLED ATORVASTATIN +audio/MSK0020.mp3[378.800,383.360] OK ALRIGHT AND DO YOU HAVE ANY ALLERGIES +audio/MSK0020.mp3[383.360,385.240] NO ALLERGIES +audio/MSK0020.mp3[385.240,392.600] NO ALLERGIES AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE WITH THEM +audio/MSK0020.mp3[392.600,394.200] YEAH AS FAR AS I KNOW +audio/MSK0020.mp3[394.200,403.080] OK THATS GOOD HOW ABOUT FAMILY HISTORY OF MUSCULOSKELETAL ISSUES +audio/MSK0020.mp3[403.080,407.320] NOT THAT I KNOW OF NO +audio/MSK0020.mp3[407.320,418.880] NO OK THEN HOW ABOUT UHM LUNG OR HEART CONDITIONS +audio/MSK0020.mp3[418.880,432.760] NO I I THINK MY FATHER MAYBE HE HAD SOME HEART ISSUES HE DID HAVE A HEART ATTACK IN HIS LETS SEE LIKE IN THE 70S +audio/MSK0020.mp3[432.760,447.360] IN HIS 70S OK OK AND THEN ALRIGHT AND HOW ABOUT AUTOIMMUNE CONDITIONS +audio/MSK0020.mp3[447.360,456.440] UHM I DONT THINK SO UH I CANT I CANT RECALL ANY AUTOIMMUNE CONDITION +audio/MSK0020.mp3[456.440,460.640] OK AN AND DO YOU SMOKE +audio/MSK0020.mp3[460.640,472.080] YEAH I USED TO SMOKE A PROBABLY UP UNTIL WHEN I WAS LIKE 65 OR SOMETHING SO PROBABLY FOR 40 YEARS OF MY LIFE +audio/MSK0020.mp3[472.080,474.080] OK HOW MUCH DID YOU USED TO SMOKE +audio/MSK0020.mp3[474.080,478.680] PROBABLY A PACK A DAY PACK A DAY +audio/MSK0020.mp3[478.680,495.600] OK UHM WELL CONGRATS FOR QUITTING IM SURE THAT WASNT HARD I MEAN SORRY IM SURE THAT WAS HARD UHM YEAH SO THATS GOOD AND HAVE YOU DO YOU CONSUME MARIJUANA +audio/MSK0020.mp3[495.880,501.200] GO TO OTHER RECREATIONAL DRUGS +audio/MSK0020.mp3[501.200,503.680] NO NO OTHER RECREATIONAL DRUGS +audio/MSK0020.mp3[503.680,509.880] OK THATS GOOD DO YOU DRINK ALCOHOL +audio/MSK0020.mp3[509.880,521.280] UH NOPE NOT ANYMORE I USED TO PROBABLY DRINK SOME WINE HERE AND THERE BUT IVE STOPPED DRINKING ALCOHOL TOO +audio/MSK0020.mp3[521.280,526.120] OK AND WHO DO YOU LIVE WITH RIGHT NOW AND WHERE DO YOU LIVE +audio/MSK0020.mp3[526.120,535.520] RIGHT NOW I LIVE WITH MY WIFE AND WE LIVE IN A SMALL CONDOMINIUM +audio/MSK0020.mp3[535.520,547.120] OK UHM ALRIGHT AND THEN ANY RECENT SICK CONTACTS +audio/MSK0020.mp3[548.280,553.320] NO OK HOW ABOUT UHM UH TRAVEL ANYWHERE +audio/MSK0020.mp3[554.600,564.200] NO OK THATS GOOD AND NOW IM JUST GOING TO GET YOU TO DO THE PHYSICAL EXAM PART OF THIS INTERVIEW WITH ME IS THAT OK +audio/MSK0020.mp3[564.960,579.080] OK SO WELL TAKE A LOOK AT IF YOU CAN IF YOU HAVE A MIRROR WELL TAKE A LOOK AT BOTH HIPS FIRST DO YOU NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS +audio/MSK0020.mp3[579.080,581.920] NO NOT REALLY +audio/MSK0020.mp3[581.920,589.000] NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES +audio/MSK0020.mp3[590.200,596.640] NO OK AND THEN HOW ABOUT ON YOUR KNEES DO YOU SEE ANY REDNESS OR SWELLING THERE +audio/MSK0020.mp3[596.640,598.320] NOT REALLY NO +audio/MSK0020.mp3[598.320,602.480] NO ANY ATROPHY DEFORMITY OR SKIN CHANGES THERE +audio/MSK0020.mp3[602.480,604.440] UH NO +audio/MSK0020.mp3[604.440,610.880] NO OK IM GONNA GET YOU TO PALPATE YOUR HIPBONES DOES THAT HURT +audio/MSK0020.mp3[610.880,616.240] NO NOT REALLY +audio/MSK0020.mp3[616.240,619.000] OK HOW ABOUT WHEN YOU DO THAT TO YOUR KNEES +audio/MSK0020.mp3[619.000,631.640] UH THE KNEE I CAN FEEL A LITTLE BIT OF I WOULD SAY ITS MORE OF A DISCOMFORT THEN TENDERNESS +audio/MSK0020.mp3[631.640,651.960] OK SO SOME DISCOMFORT ON THE PATELLA PALPATION UHM ALRIGHT AND THEN WHEN YOU PALPATE THOSE AREAS DO YOU FEEL LIKE THERE IS A GRADING SENSATION HOW DOES IT FEEL WARM +audio/MSK0020.mp3[653.760,670.840] NO OK AND THEN IM GONNA GET YOU TO CAN YOU FLEX YOUR HIPS ALL THE WAY SO BEND SO FROM A SITTING POSITION STAND UP FIRST DOES IT HURT WHEN YOU EXTEND YOUR HIPS LIKE THAT +audio/MSK0020.mp3[670.840,682.800] NOT RIGHT NOW I THINK IM PRETTY SURE MY HIPS ARE PRETTY WELL RESTED RIGHT NOW BUT THERE IS STILL A LITTLE BIT OF STIFFNESS +audio/MSK0020.mp3[682.800,694.640] OK OK SO SOME STIFFNESS ON HIP EXTENSION HOW ABOUT WHEN YOU BEND YOUR HIPS ALL THE WAY +audio/MSK0020.mp3[694.640,707.440] YEAH THATS A I CANT REALLY GO DOWN THAT FAR BUT YEAH EVEN BENDING AS MUCH AS I CAN THERE IS SOME DISCOMFORT THERE +audio/MSK0020.mp3[707.440,716.040] OK SO SOME DISCOMFORT AND SOME PAIN ON HIP FLEXION AS WELL AS LIMITED RANGE OF MOTION +audio/MSK0020.mp3[717.880,731.800] OK ALRIGHT AND WHEN YOU DO BOTH OF THOSE DO YOU HEAR ANY LIKE WHATS CALLED A CREPITUS OR LIKE A GRATING SENSATION WHERE YOU FEEL LIKE BONE MAYBE HITTING BONE +audio/MSK0020.mp3[731.800,735.360] NO NOT REALLY +audio/MSK0020.mp3[735.360,754.480] NO OK ALRIGHT AND IM GOING TO GET YOU TO UH EXTEND YOUR KNEE SO STRAIGHTEN IT OUT YEAH DOES THAT HURT +audio/MSK0020.mp3[754.480,761.560] UHM YEAH A LITTLE STIFFNESS IN MY KNEES I FEEL LIKE I FEEL MORE OF THE GRATING SOUND IN MY KNEES +audio/MSK0020.mp3[761.560,771.200] OK OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES ALL THE WAY BACKWARDS YOU CAN DO ONE AT A TIME +audio/MSK0020.mp3[771.200,779.320] UH YEAH I YEAH I DEFINITELY FEEL SOME DISCOMFORT THERE AS WELL +audio/MSK0020.mp3[779.320,786.240] YEAH OK ALRIGHT AND HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING +audio/MSK0020.mp3[786.240,790.560] NO THATS FINE I CAN DO THAT +audio/MSK0020.mp3[790.560,794.960] AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TO THE GROUND +audio/MSK0020.mp3[794.960,796.360] YEAH NO ISSUES +audio/MSK0020.mp3[796.360,813.280] OK SO NO PAIN OR LIMITED RANGE OF MOTION WITH PLANTAR FLEXION OR DORSIFLEXION OK SO THOSE WERE ALL THE TEST THAT I WANT TO DO WITH YOU TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS +audio/MSK0020.mp3[813.280,815.240] UH NO NOT REALLY +audio/MSK0020.mp3[815.240,920.200] NO OK UHM SO IT SOUNDS LIKE WHAT YOU MAY HAVE IS SOMETHING CALLED ARTHRITIS WHICH BASICALLY HAPPENS UHM WHEN THE CUSHIONS AT THE ENDS OF YOUR BONES AND YOUR JOINTS KIND OF DEGENERATE OVER THE YEARS AND SO BONE CAN EVENTUALLY RUB ON BONE WHICH CAUSES LIKE THE GRADING SENSATION AND CAUSES THE PAIN UHM AND ITS IT HAPPENS IN OLD AGE IT HAPPENS WITH WEAR AND TEAR SO TO DIAGNOSE IT WE WELL YEAH WE DID THE PHYSICAL EXAM WE CAN ALSO GET AN XRAY OF YOUR HIPS AND KNEES WHICH CAN HAVE SOME FINDINGS THAT ALIGN WITH OSTEOARTHRITIS AND BASICALLY FOR NOW WELL TRY TO MANAGE IT CONSERVATIVELY SO YOU CAN TAKE AND SETS LIKE IBUPROFEN FOR THE PAIN OR ACETAMINOPHEN FOR THE PAIN WELL ALSO REFER YOU TO PHYSIOTHERAPY TO STRENGTHEN THOSE MUSCLES AROUND YOUR JOINT AND TO INCREASE FLEXIBILITY AND REDUCE THAT PAIN UHM AND ANOTHER THING THAT MAY BE WORTH CONSIDERING IS OCCUPATIONAL THERAPY BECAUSE THEY CAN HELP YOU FIND WAYS TO DO EVERYDAY TASKS WITHOUT PUTTING TOO MUCH STRESS ON AN ALREADY PAINFUL JOINT AND IF THESE THINGS DONT WORK IN THE FUTURE WE CAN ALSO DISCUSS THINGS LIKE STEROID INJECTIONS OR JOINT REPLACEMENT DOES THAT SOUND LIKE A GOOD PLAN +audio/MSK0020.mp3[920.200,923.120] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH +audio/MSK0020.mp3[923.120,928.440] OK YEAH NO WORRIES +audio/RES0162.mp3[0.000,2.400] WHAT BRINGS YOU IN TODAY +audio/RES0162.mp3[2.400,23.320] HI I AM JUST COMING IN BECAUSE FOR THE LAST COUPLE OF MONTHS BUT IVE BEEN HAVING THIS THESE COUGHING FITS ARE THERE LIKE WHEN IM GOING TO THE GYM OR EVEN AT HOME LIKE DURING THE WEEKENDS WHEN WERE VACUUMING AND CLEANING THE HOUSE +audio/RES0162.mp3[23.320,25.240] WHEN DID THIS START +audio/RES0162.mp3[25.240,55.680] UM I WOULD SAY STARTED UH PROBABLY 3 MONTHS BACK BUT ITS GOTTEN WORSE SO LIKE BEFORE I USED TO LIKE JUST HAVE SOME IRRITATION IN MY THROAT AND COUGH A LITTLE BUT NOW I WOULD SAY PROBABLY EVERY OTHER DAY IM HAVING THESE EPISODES WHERE I CANT STOP COUGHING WHEN IM EXERCISING +audio/RES0162.mp3[55.680,61.880] HMM UM AND IS THIS COUGH A DRY COUGH OR DO YOU BRING UP SOME MUCUS +audio/RES0162.mp3[61.880,70.600] ITS USUALLY ITS USUALLY A DRY COUGH AND SOMETIMES I DO BRING UP LIKE THIS LIGHT MATERIAL BUT USUALLY ITS MOSTLY A DRY COUGH +audio/RES0162.mp3[70.600,73.040] YOU NEVER NOTICE ANY BLOOD RIGHT +audio/RES0162.mp3[73.040,81.360] NO NO BLOOD +audio/RES0162.mp3[81.360,107.840] OK AND UHM IT STARTED ABOUT THREE MONTHS AGO I GUESS BEFORE THAT DID YOU EVER HAVE A PROBLEM WHEN YOU WOULD EXERCISE OR WHEN YOU WERE VACUUMING OR CLEANING HAS THIS BEEN A PROBLEM THAT HAS OCCURRED FOR YEARS AND THATS JUST SOMETHING THAT YOU THAT GOT WORSE AND NOW ITS COME TO YOUR ATTENTION OR WAS IT JUST VERY NEW AND SUDDEN THREE MONTHS AGO +audio/RES0162.mp3[107.840,142.480] UM ITS FAIRLY NEW IVE NEVER REALLY HAD THIS ISSUE BEFORE ALTHOUGH I HAVE BEEN LIKE SO LIKE AFTER THE NEW YEAR IN THE WINTER I I I WASNT MUCH OF THE PERSON WHO RAN OR EXERCISED A LOT BUT I I KIND OF NEEDED A NEW GOAL TO BECOME MORE FIT AND ACTIVE SO I NOTICE THAT I DONT KNOW MAYBE THATS WHY LIKE IT IS SOMETHING NEW THAT IVE BEEN TRYING BUT YEAH ITS NOT BEEN AN ISSUE BEFORE +audio/RES0162.mp3[142.480,157.240] OK AND OTHER THAN THE THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE A SORE THROAT OR ITCHY EYES ITCHY NOSE STUFFY NOSE OR RUNNY NOSE ANYTHING LIKE THAT +audio/RES0162.mp3[157.240,171.840] NO NONE OF THOSE BUT I DID IT INITIALLY I USED TO GET JUST AN IRRITATION IN MY THROAT BUT NOW ITS JUST MORE OF A COUGH +audio/RES0162.mp3[171.840,177.760] OK DO YOU HAVE DO YOU GET ANY PAIN IN YOUR CHEST AT ALL +audio/RES0162.mp3[177.760,188.440] UH WHEN IM USUALLY IT GOES AWAY IN 1015 MINUTES BUT WHEN IM COUGHING A LOT I DO GET SOME TIGHTNESS +audio/RES0162.mp3[188.440,195.600] OK DO YOU EVER FEEL LIKE YOURE SHORT OF BREATH WHEN YOURE COUGHING OR OTHERWISE +audio/RES0162.mp3[195.600,216.480] I DO FIND THAT ITS HARDER TO TAKE A BREATH AT THOSE TIMES +audio/RES0162.mp3[216.480,220.240] OK UHM AND HOW LONG DO THESE LAST FOR EPISODES LAST FOR +audio/RES0162.mp3[220.240,240.240] PROBABLY UH 15 TO 20 MINUTES AND YEAH ITS ITS MAINLY JUST AFTER I LIKE OFTEN TIMES OVER THE LAST FEW WEEKS IVE HAD TO JUST STOP DOING WHAT IM DOING LIKE EXERCISING AND JUST COME HOME AND REST +audio/RES0162.mp3[240.240,245.560] DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST WHEN THAT HAPPENS OR YOURE SWEATING +audio/RES0162.mp3[245.560,270.960] YEAH YEAH I I FEEL LIKE ITS USUALLY I DONT KNOW IF ITS BECAUSE OF THE EXERCISE BUT I HAVE LIKE A FITBIT AND ITS MY MY HEART RATE IS MUCH FASTER +audio/RES0162.mp3[270.960,282.280] UHM OK ALRIGHT HAVE YOU HAD ANY OTHER SYMPTOMS SO ANYTHING ANY PAIN IN YOUR BELLY OR ANY NAUSEA OR VOMITING +audio/RES0162.mp3[282.280,283.760] NO NOTHING LIKE THAT +audio/RES0162.mp3[283.760,288.120] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS +audio/RES0162.mp3[289.240,292.840] ANY HEADACHES OR FEVERS OR CHILLS +audio/RES0162.mp3[292.840,294.600] NO NOTHING LIKE THAT +audio/RES0162.mp3[294.600,297.280] UNINTENTIONAL WEIGHT LOSS +audio/RES0162.mp3[299.040,301.400] ANY NIGHT SWEATS +audio/RES0162.mp3[302.200,306.640] MUSCLE ACHES JOINT PAIN +audio/RES0162.mp3[306.920,311.440] HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0162.mp3[311.440,319.200] NO IVE IVE BEEN VERY HEALTHY +audio/RES0162.mp3[319.200,337.720] UHM YOU MENTIONED THAT YOU STARTED GOING TO THE GYM MORE OFTEN EARLIER THIS YEAR AND THAT IS WHEN YOU SORT OF NOTICE SOME OF THESE SYMPTOMS IS THERE ANYTHING ELSE THAT CHANGED IN YOUR LIFE ANY BIG CHANGES THAT YOU THINK COULD BE RELATED TO THIS +audio/RES0162.mp3[337.720,347.760] UM NO NOT REALLY IVE IVE BEEN REALLY UMM I MOVED BACK TO MY PARENTS HOME JUST FOR A BIT RIGHT NOW +audio/RES0162.mp3[348.640,359.560] NOW WHILE THE UNIVERSITY HAS CLOSED DOWN AND BY THAT IVE LIVED THERE ALL MY LIFE BEFORE SO I DONT KNOW IF THAT HAD ANYTHING TO DO WITH IT +audio/RES0162.mp3[359.560,373.760] DO YOU FEEL LIKE THEY MAY HAVE PUT NEW CURTAINS OR OR LIKE THERES OLD CARPETS OR NEW A NEW PET OR SOMETHING THAT COULD HAVE CAUSED SOME IRRITATION FOR YOU +audio/RES0162.mp3[373.760,386.600] NO BUT I HAVE NOTICED THAT WHEN I WHEN WE VACUUM I I DO GET SOME OF THOSE SYMPTOMS AS WELL JUST MORE OF AN IRRITATION MORES THAN THE COUGH +audio/RES0162.mp3[386.600,398.120] OK OK AND DO YOU FEEL THAT YOURE PARTICULARLY ANXIOUS WHEN THESE EPISODES ARE OCCURRING DO YOU HAVE ANY NEW STRESSORS IN LIFE +audio/RES0162.mp3[398.120,403.160] UH NO NOT REALLY +audio/RES0162.mp3[403.160,407.720] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY +audio/RES0162.mp3[407.720,412.800] UHM I DONT THINK SO NOT THAT I KNOW OF +audio/RES0162.mp3[412.800,438.200] OK AND I GUESS A LITTLE BIT MORE ABOUT YOU SO HAVE YOU HAD IN THE PAST WHEN YOU WERE YOUNGER DID YOU HAVE A RASH LIKE ECZEMA OR DID YOU HAVE ALLERGIC RHINITIS WHERE YOU WOULD SNEEZE AND TO FEEL ILL WHEN YOU WERE OUTSIDE OR AT CERTAIN TIMES OF THE YEAR ANYTHING LIKE THAT +audio/RES0162.mp3[438.200,449.720] I DIDNT HAVE A I DIDNT HAVE ANY LIKE EXAM OR RASHES BUT I DO GENERALLY HAVE UMM GET ALLERGIES DURING THE SPRING TIME WHEN I GO OUTSIDE +audio/RES0162.mp3[449.720,455.880] DO YOU TAKE ANY MEDICATIONS FOR THAT +audio/RES0162.mp3[455.880,461.480] I JUST TAKE REACTINE USUALLY DURING THE SPRING +audio/RES0162.mp3[461.480,466.200] DO YOU HAVE ANY OTHER ALLERGIES TO FOOD OR MEDICATIONS +audio/RES0162.mp3[466.200,469.440] NO NOT THAT I KNOW +audio/RES0162.mp3[469.440,475.880] AND OTHER THAN REACTINE DO YOU TAKE ANY MEDICATIONS INCLUDING OVER THE COUNTER MEDS +audio/RES0162.mp3[482.640,492.600] NOTHING ELSE OK AND IN YOUR FAMILY YOU SAID NO ONE HAS ASTHMA OR ALLERGIC RHINITIS OR ECZEMA OR ANYTHING LIKE THAT RIGHT +audio/RES0162.mp3[492.600,504.440] NOT ASTHMA MY DAD ALSO GETS THOSE ALLERGIES AND IRRITATIONS JUST LIKE ME +audio/RES0162.mp3[504.440,516.560] UHM OK AND YOU MENTIONED THAT YOURE STAYING WITH YOUR AT YOUR PARENTS PLACE ARE YOU UH ARE YOU DOING THINGS FROM HOME ARE YOU LIKE DOING SCHOOL FROM HOME OR WORKING FROM HOME +audio/RES0162.mp3[516.560,520.920] YEAH IM NOT CURRENTLY WORKING JUST STUDYING FROM HOME +audio/RES0162.mp3[520.920,525.280] OK AND HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT HAVE BEEN SICK +audio/RES0162.mp3[525.600,529.360] TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY +audio/RES0162.mp3[530.440,534.920] OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED +audio/RES0162.mp3[534.920,537.240] NO NEVER SMOKED +audio/RES0162.mp3[540.000,542.520] ANY RECREATIONAL DRUGS +audio/RES0162.mp3[543.560,548.200] UH DO YOU DRINK ALCOHOL OR HAVE YOU EVER HAD ALCOHOL IN THE PAST +audio/RES0162.mp3[548.200,558.400] YEAH ALCOHOL IVE HAD LIKE AT UNIVERSITY BUT GENERALLY MAYBE JUST ON THE WEEKENDS NOT ANYTHING REGULAR +audio/RES0162.mp3[558.400,578.240] ALRIGHT OK WELL UH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A PHYSICAL EXAM NOW AND ILL GO TALK TO MY ATTENDING AND WELL UH COME TALK TO YOU RIGHT AFTER I GUESS BEFORE BEFORE I DO SO WHAT EXACTLY ARE YOU HOPING TO GET OUT OF TODAYS VISIT +audio/RES0162.mp3[578.240,602.520] I JUST WANTED TO LIKE I REALLY DO YOU WANT TO BECOME FIT AND ITS JUST THESE SYMPTOMS ARE STOPPING ME AND KIND OF AFFECTING MY DAILY ROUTINE SO I JUST WANTED TO KNOW WHAT I CAN DO TO STOP LIKE HAVING THESE SYMPTOMS +audio/RES0162.mp3[602.520,606.400] HAVE YOU EVER TRIED ANY PUFFERS +audio/RES0162.mp3[606.400,607.760] NO I HAVENT +audio/RES0162.mp3[607.760,611.400] NO OK RIGHT YEAH LETS TALK A LITTLE BIT +audio/RES0215.mp3[0.000,2.680] HOW CAN I HELP YOU TODAY +audio/RES0215.mp3[2.680,28.240] UM YEAH HI I BROUGHT I BROUGHT MY 8 YEAR OLD DAUGHTER HERE UM BECAUSE IVE NOTICED THAT SHES BEEN QUITE WHEEZY UM FOR THE PAST FOUR FIVE DAYS AND NOW SHE HAS A SLIGHT COUGH UM SOUNDS LIKE SHES A LITTLE SHORT OF BREATH SO I JUST WANTED TO GET THINGS CHECKED OUT +audio/RES0215.mp3[28.240,39.960] OK SO FOR THE WHEN IT FIRST PRESENTED ABOUT FOUR TO FIVE DAYS AGO WHAT DID YOU NOTICE NOTICE FIRST +audio/RES0215.mp3[39.960,46.360] UM I NOTICED THAT SHE WAS WHEEZY UM AND ITS IT SEEMED LIKE SHE WAS HAVING SOME DIFFICULTY TAKING IN DEEP BREATHS +audio/RES0215.mp3[46.360,51.960] OK NOW WAS THIS WITH ANY TYPE OF ACTIVITY OR JUST AT REST +audio/RES0215.mp3[51.960,60.600] YEAH SHE WAS PLAYING TAG WITH ONE OF HER COUSINS AND SHE SHE WAS QUITE OUT OF BREATH AFTER +audio/RES0215.mp3[60.600,63.320] OK HAS SHE EVER HAD ANYTHING LIKE THIS BEFORE +audio/RES0215.mp3[64.560,71.960] NOTHING LIKE THAT OK AND HAS IT BEEN FAIRLY STEADY SINCE THEN OR HAS IT BEEN FLUCTUATING +audio/RES0215.mp3[71.960,73.800] ITS BEEN FLUCTUATING +audio/RES0215.mp3[73.800,82.800] OK BUT IT HASNT REALLY GONE AWAY IN THE SENSE THAT YOURE STILL CONCERNED COMING NOW FOUR DAYS LATER +audio/RES0215.mp3[82.800,112.560] YEAH ITS JUST IT WOULD SHE WOULD HAVE THESE THESE UH EPISODES BUT IT WOULD RESOLVE ON ITS OWN AND THEN SHE WOULD YOU KNOW GO BACK TO DOING SOME SORT OF ACTIVITY AND THEN SHE WOULD HAVE ALL THESE SYMPTOMS ALL OVER AGAIN BUT WHEN SHE RESTS UM THEN IT GOES AWAY SO I WASNT REALLY SURE TOO SURE WHAT TO THINK OF IT BUT NOW I THINK ITS IMPORTANT TO GET IT CHECKED OUT SO HERE WE ARE +audio/RES0215.mp3[112.560,115.040] HAS SHE HAD ANY FEVERS AT HOME +audio/RES0215.mp3[116.400,118.600] HAS SHE HAD A RUNNY NOSE AT ALL AT HOME +audio/RES0215.mp3[120.240,124.680] HAS SHE SEEMED WELL OTHERWISE DOES SHE LOOK SICK +audio/RES0215.mp3[124.680,128.680] YEAH SHE LOOKS FINE OTHERWISE +audio/RES0215.mp3[128.680,134.440] OK AND HAS SHE HAD ANY SICK CONTACTS RECENTLY ANYONE AROUND HER OR HER FRIENDS BEEN SICK +audio/RES0215.mp3[134.440,138.160] NO NOT THAT IVE NOTICED +audio/RES0215.mp3[138.160,142.040] OK ANY RECENT TRAVEL ANYWHERE +audio/RES0215.mp3[142.040,145.880] UHM NO NO WE DIDNT GO ANYWHERE BECAUSE OF COVID +audio/RES0215.mp3[145.880,151.840] OK BUT SHES STILL BEEN GOING TO SCHOOL I SUPPOSE PLAYING WITH HER FRIENDS +audio/RES0215.mp3[158.480,163.720] OK HAVE YOU NOTICED ANY RASHES ANY SKIN CHANGES ANYWHERE ON HER BODY +audio/RES0215.mp3[163.720,167.520] UH NOT THAT IVE NOTICED NO +audio/RES0215.mp3[167.520,172.000] OK NOTHING LIKE THAT HAS SHE COMPLAINED OF ANY PAIN ANYWHERE +audio/RES0215.mp3[175.960,181.760] OK AND HAS SHE HAD ANY RECENT INFECTIONS +audio/RES0215.mp3[181.760,199.480] UH SHE HAD ACTUALLY SHE HAD A COUPLE OF INFECTIONS OVER THE PAST TWO YEARS UH THEY WOULD COME AND GO UH AND WE TOOK HER TO THE DOCTOR EACH TIME AND IT JUST ENDED UP BEING SOME SORT OF VIRAL INFECTION +audio/RES0215.mp3[199.480,209.200] OK SO NOTHING REALLY NEEDING ANTIBIOTICS IN THE LAST COUPLE OF YEARS +audio/RES0215.mp3[209.400,218.960] AND IN TERMS OF HOW SHES BEEN DOING HAS SHE BEEN KEEPING UP WITH HER PEERS IN TERMS OF EDUCATION AND HOW SHE MOVES HOW SHE ACTS +audio/RES0215.mp3[218.960,223.000] UH YEAH SHES BEEN YEAH SHES BEEN ON PAR WITH HER PEERS +audio/RES0215.mp3[223.000,226.920] OK SO DOES SHE HAVE A FAMILY PHYSICIAN +audio/RES0215.mp3[226.920,228.480] UM YES +audio/RES0215.mp3[228.480,232.800] OK SO THEY HAVENT BROUGHT UP ANY CONCERNS ABOUT HOW SHES GROWING HOW SHES DEVELOPING +audio/RES0215.mp3[233.880,237.520] SO HER WEIGHT HER HEIGHT THEYVE BEEN GOOD FOR HER AGE +audio/RES0215.mp3[237.520,238.120] YEAH YEAH +audio/RES0215.mp3[238.120,244.480] EXCELLENT AND HAS SHE GOTTEN HAS SHE BEEN KEEPING UP TO DATE FOR IMMUNIZATIONS +audio/RES0215.mp3[244.480,249.080] YES SHES FULLY UP TO DATE +audio/RES0215.mp3[249.080,261.520] EXCELLENT IN REGARDS TO HOW SHES DOING OTHERWISE HEALTH IN TERMS OF HER HEALTH HAS DID SHE SEE A FAMILY PHYSICIAN FOR ANY OTHER MEDICAL ISSUES THAT SHE MIGHT BE HAVING +audio/RES0215.mp3[261.520,265.200] UH NO SHES OTHERWISE PRETTY HEALTHY +audio/RES0215.mp3[265.200,270.720] OK HOW WAS THE BIRTH WAS THERE ANY COMPLICATIONS WHEN SHE WAS BORN +audio/RES0215.mp3[270.720,275.200] NO SHE WAS A VAGINAL DELIVERY FULL TERM NO COMPLICATIONS +audio/RES0215.mp3[275.200,286.560] OK SO NOTHING WHEN YOU WERE PREGNANT WITH HER NO TOXIC CONGESTIONS BY THAT I MEAN UM DID YOU DRINK ANY ALCOHOL SMOKE AT ALL WHEN YOU WERE PREGNANT WITH HER +audio/RES0215.mp3[287.800,295.200] NO OK AND YOU JUST HAD ANTENATAL CARE SO YOU SAW DOCTOR FOR ULTRASOUNDS AND JUST FOR CHECKUPS +audio/RES0215.mp3[295.200,297.440] YEP EVERYTHING WAS FINE +audio/RES0215.mp3[297.440,302.880] OK AND WHEN SHE WAS BORN SHE DIDNT HAVE TO STAY IN THE HOSPITAL AT ALL +audio/RES0215.mp3[302.880,304.200] NO NO +audio/RES0215.mp3[304.200,308.960] AND WAS SHE BORN UH WHAT WEIGHT WAS SHE WHEN SHE WAS BORN +audio/RES0215.mp3[308.960,316.480] UH SHE WAS HOW MUCH WAS SHE I THINK SHE WAS ABOUT 8 KILOS +audio/RES0215.mp3[316.480,319.480] 8 KILOS +audio/RES0215.mp3[319.480,323.840] SORRY 8 POUNDS 8 POUNDS +audio/RES0215.mp3[323.840,339.440] YEAH NO WORRIES AND THEN OTHERWISE SHE IS SO SHES BEEN HEALTHY OTHERWISE BEEN DOING WELL UH JUST IN TERMS OF HOW SHES BEEN DOING UH WITH OTHER SYSTEMS OF HER BODY HAVE YOU NOTICED ANY CONCERNS FOR HER BOWEL MOVEMENTS +audio/RES0215.mp3[339.440,342.000] UH NO SHES BEEN PRETTY REGULAR +audio/RES0215.mp3[342.000,346.120] OK ANY CONCERNS FOR PEEING +audio/RES0215.mp3[346.120,353.120] UH NO SHES BEEN GOING PRETTY FREQUENTLY AND SHES YEAH NO CHANGES THERE +audio/RES0215.mp3[353.120,358.920] AND WE ALREADY TALKED SHE HASNT HAD ANY FEVERS WHEN SHE COUGHS DOES SHE EVER BRING ANYTHING UP +audio/RES0215.mp3[358.920,363.640] UH NO I HAVENT NOTICED ANY PHLEGM NO +audio/RES0215.mp3[363.640,372.480] OK AND WHEN SHES HAVING THESE WHEEZY EPISODES DO YOU EVER NOTICE THAT SHE LOOKS LIKE SHES REALLY STRAINING TO BREATHE REALLY STRUGGLING +audio/RES0215.mp3[372.480,383.200] UH YEAH SO SHE ITS NOT LIKE SHE TURNS BLUE OR ANYTHING LIKE THAT UM SHE JUST SLIGHTLY SLIGHTLY HAS A HARD TIME CATCHING HER BREATH +audio/RES0215.mp3[383.200,386.120] OK SO THESE USUALLY RECOVER ON THEIR OWN +audio/RES0215.mp3[386.240,388.480] YOU DONT GIVE HER ANYTHING FOR IT +audio/RES0215.mp3[390.400,395.280] OK UH DOES SHE HAVE ANY ALLERGIES +audio/RES0215.mp3[395.280,401.600] UM NO WELL SHE HAS SOME SEASONAL ALLERGIES BUT NOTHING THAT SHES BEEN TESTED FOR +audio/RES0215.mp3[401.600,404.720] OK DO YOU GIVE HER ANYTHING FOR SEASONAL ALLERGIES +audio/RES0215.mp3[404.720,413.480] SOMETIMES SHE TAKES LIKE REACTINE OR LIKE OVER THE COUNTER STUFF BUT UM NO NO PRESCRIBED MEDICATIONS +audio/RES0215.mp3[413.480,417.680] OK SO SHE DOESNT HAVE ANY ALLERGIES WHERE HER FACE SWELLS UP OR SHE HAS TROUBLE BREATHING +audio/RES0215.mp3[418.360,434.680] OK AND THIS THESE EPISODES MAINLY HAPPEN WHEN SHES PLAYING WITH FRIENDS SO DO THEY HAPPEN IN A CERTAIN ENVIRONMENT LIKE FOR EXAMPLE IS THIS IN A FRIENDS HOUSE OR IS THIS OUTDOORS OR HAS IT BEEN ACROSS DIFFERENT SETTINGS +audio/RES0215.mp3[434.680,440.640] ITS BEEN ACROSS DIFFERENT SETTINGS BUT I WILL SAY ITS WORSE WHEN UM WHEN WHEN THERES COLDER WEATHER +audio/RES0215.mp3[443.400,451.160] AND DO THESE EPISODES EVER HAPPEN IN YOUR HOME +audio/RES0215.mp3[453.160,456.400] AND WHATS THE CONTEXT FROM THEM HAPPENING IN YOUR HOME +audio/RES0215.mp3[456.400,469.240] UM USUALLY WHEN SHE IS OUT AND ABOUT RUNNING AROUND IN THE BACKYARD WITH HER FRIENDS UM IS WHEN IVE MOSTLY NOTICED IT YEAH +audio/RES0215.mp3[469.240,472.600] OK SO SHE DOESNT HAVE ANY SYMPTOMS AT REST +audio/RES0215.mp3[472.600,473.640] OH NO +audio/RES0215.mp3[473.640,478.880] AND SHE DOESNT HAVE ANY SYMPTOMS AT NIGHT +audio/RES0215.mp3[478.880,488.840] UH AT NIGHT SO THERE WAS ONE ONE ONE NIGHT WHEN SHE HAD SOME ISSUES UM WITH LIKE WHEEZINESS BUT IT DID RESOLVE ON ITS OWN +audio/RES0215.mp3[488.840,494.440] OK AND DID SHE WAKE UP AT NIGHT WITH THAT OR JUST +audio/RES0215.mp3[494.440,497.280] JUST TROUBLE FALLING ASLEEP I THINK YEAH +audio/RES0215.mp3[497.280,510.480] OK ALRIGHT SO WE ALREADY TALKED ABOUT SO SHE DOESNT REALLY HAVE ANY PAST MEDICAL ISSUES THAT SHES SEEN A DOCTOR FOR UH ANY SURGERIES +audio/RES0215.mp3[510.480,513.520] NO SURGERIES +audio/RES0215.mp3[513.520,515.280] OK IS SHE TAKING MEDICATIONS RIGHT NOW +audio/RES0215.mp3[515.280,519.200] UM NO NO MEDICATIONS +audio/RES0215.mp3[519.200,522.440] ASIDE FROM THE OCCASIONAL REACTINE +audio/RES0215.mp3[522.440,526.680] UH YEAH ASIDE FROM THAT NOTHING NO REGULAR MEDICATIONS +audio/RES0215.mp3[526.680,528.360] AND SHES IN SCHOOL +audio/RES0215.mp3[528.360,534.520] UM YEAH SHES UH SHES IN GRADE 3 NOW +audio/RES0215.mp3[534.520,536.240] OK AND DOES SHE LIVE WITH YOU +audio/RES0215.mp3[536.240,541.560] UH YEAH SHE LIVES WITH ME AND MY HUSBAND +audio/RES0215.mp3[541.560,544.360] OK DO YOU TWO LIVE IN A HOUSE IN TOWN +audio/RES0215.mp3[544.360,547.400] UM YEP IN A TOWNHOUSE +audio/RES0215.mp3[547.400,550.600] OK AND WHAT DO YOU TWO DO FOR WORK +audio/RES0215.mp3[550.600,558.360] UM SO MY HUSBAND IS AN ULTRASOUND TECHNICIAN AND I AM A UH KINDERGARTEN TEACHER +audio/RES0215.mp3[558.360,566.600] OK EXCELLENT AND THIS IS A QUESTION WE JUST ASK EVERYONE HAS THERE EVER BEEN ANY CC CAS INVOLVEMENT IN THE FAMILY +audio/RES0215.mp3[568.320,571.240] AND DOES ANYONE SMOKE IN THE HOUSEHOLD +audio/RES0215.mp3[571.240,575.520] UH NO NO +audio/RES0215.mp3[575.520,582.000] OK UH DO YOU KEEP ANY CARPETS OR PETS IN THE HOUSEHOLD +audio/RES0215.mp3[582.000,589.160] WE HAVE CARPETS BUT THEYRE NEW CARPETS WE JUST GOT THEM UH MAYBE SIX MONTHS AGO AND NOTHING ELSE +audio/RES0215.mp3[589.160,590.760] SO NO PETS NO DOGS +audio/RES0215.mp3[591.520,595.880] OK ANY WOOD BURNING FIREPLACES STOVES IN THE HOUSEHOLD +audio/RES0215.mp3[597.640,599.880] AND CHANGED YOUR AIR FILTERS +audio/RES0215.mp3[600.280,616.520] ALRIGHT EXCELLENT SO I THINK I HAVE ALL THE INFORMATION I NEED WERE JUST GOING TO DO A PHYSICAL EXAM AND THEN IM GOING TO GO TALK TO THE PHYSICIAN AND ILL COME IN AND SEE YOUR DAUGHTER AND WELL TALK ABOUT NEXT STEPS FROM THERE DO YOU HAVE ANY QUESTIONS THAT YOUD LIKE ME TO DIRECT TO HIM BEFORE THAT HAPPENS +audio/RES0215.mp3[616.520,619.040] NO THANK YOU SO MUCH +audio/RES0215.mp3[619.040,621.080] ALRIGHT HAVE A GOOD ONE +audio/RES0215.mp3[621.080,625.360] YOU TOO BYE BYE +audio/MSK0034.mp3[0.000,2.680] WHAT BRINGS YOU HERE TODAY +audio/MSK0034.mp3[2.680,38.480] YEAH IM SO IM HERE WITH MY MOM BECAUSE I AM HAVING THIS PAIN IN MY RIGHT HIP AND GROIN AREA UM I WAS PLAYING WITH MY FRIENDS TOO MAYBE YEAH YESTERDAY AND I FELL DOWN I DIDNT FALL DOWN HARD BUT I HAD A SMALL FALL AND SINCE THEN MY HIP HAS BEEN HURTING AND ITS PAINFUL FOR ME TO BEAR ANY WEIGHT ON MY RIGHT LEG +audio/MSK0034.mp3[38.480,44.280] OK AND DID YOU HAVE THIS PAIN AT ALL BEFORE YOUR FALL OR IS THIS SOMETHING THAT JUST STARTED AFTER THE FALL +audio/MSK0034.mp3[44.280,46.800] IT JUST STARTED AFTER +audio/MSK0034.mp3[46.800,49.640] OK AND WHEN DID YOU HAVE THE FALL +audio/MSK0034.mp3[51.040,62.840] OK AND CAN YOU DESCRIBE WHAT YOU WERE DOING AND FROM HOW HIGH DID YOU FALL AND IF LIKE ON WHAT SURFACE YOU FELL ON +audio/MSK0034.mp3[62.840,78.000] SURE UM WE WERE PLAYING SOCCER ON LIKE A FIELD AND I AND I JUST FELL ON THE GRASS LIKE IT WAS A FLAT SURFACE +audio/MSK0034.mp3[78.000,82.120] OK AND SO DID YOU SAY IT WAS THE RIGHT HIP THATS GIVING YOU PAIN +audio/MSK0034.mp3[82.120,83.400] YES THATS RIGHT +audio/MSK0034.mp3[83.400,85.440] OK DID YOU FALL ON THE RIGHT HIP +audio/MSK0034.mp3[85.440,86.640] I DID +audio/MSK0034.mp3[86.640,95.800] OK AN AFTER YOU FELL WERE YOU ABLE TO UM WEIGHT BEAR LIKE GET UP GET BACK UP ON YOUR FEET OR WAS IT DIFFICULT +audio/MSK0034.mp3[95.800,99.720] IT WAS DIFFICULT AN IM STILL LIMPING +audio/MSK0034.mp3[99.720,108.400] OK AND YOURE STILL LIMPING ON HAVE YOU NOTICED SO ANY PAIN ANYWHERE ELSE OR IS IT JUST YOUR HIP +audio/MSK0034.mp3[108.400,109.920] UM JUST MY HIP +audio/MSK0034.mp3[109.920,113.240] OK AND WHERE EXACTLY IS YOUR PAIN ON THE HIP +audio/MSK0034.mp3[113.240,119.640] ITS LIKE ON THE SIDE OF MY HIP AS WELL AS LIKE IN THE GROIN AREA +audio/MSK0034.mp3[119.640,127.240] OK I SEE AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT A SHARP PAIN OR IS IT A DULL ACHING PAIN +audio/MSK0034.mp3[127.240,130.160] ITS PRETTY SHARP +audio/MSK0034.mp3[130.160,145.560] ITS SHARP OK AND DO YOU EXPERIENCE ANY OTHER SYMPTOMS LIKE ANY DIZZINESS OR FAINTING SPELLS +audio/MSK0034.mp3[146.920,156.400] AND ARE YOU ABLE TO MOVE YOUR HIP AT ALL LIKE ARE YOU ABLE TO FLEX IT OR EXTEND IT ROTATE IT +audio/MSK0034.mp3[156.400,161.320] I CAN MOVE IT BUT IT COMES WITH A LOT OF PAIN +audio/MSK0034.mp3[161.320,169.160] OK AND DO YOU FIND THAT YOUR HIP IS AT ALL ROTATED OUTWARDS +audio/MSK0034.mp3[169.160,177.480] YEAH IT LOOKS UM YEAH IT LOOKS LIKE IT IS +audio/MSK0034.mp3[177.480,182.480] OK ALRIGHT HAVE YOU TAKEN ANY MEDICATIONS FOR YOUR PAIN +audio/MSK0034.mp3[182.480,188.640] I JUST TOOK SOME IBUPROFEN +audio/MSK0034.mp3[188.640,195.280] OK AND OTHER THAN THAT HAVE YOU RECENTLY BEEN SICK AT ALL +audio/MSK0034.mp3[195.280,198.800] NO I HAVENT +audio/MSK0034.mp3[198.800,206.080] OK AND ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE FOUND IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS +audio/MSK0034.mp3[206.080,210.000] HOW WOULD SAY LIKE AN 8 +audio/MSK0034.mp3[210.000,216.680] AN EIGHT AND AS THE PAIN TRAVEL ANYWHERE TO OTHER PARTS OF YOUR BODY +audio/MSK0034.mp3[216.680,220.000] NO JUST STAYS IN THAT AREA +audio/MSK0034.mp3[220.000,225.120] OK ANY NUMBNESS OR TINGLING +audio/MSK0034.mp3[227.480,232.040] NO OK ANY FEVERS OR CHILLS +audio/MSK0034.mp3[232.040,233.520] UM NOO +audio/MSK0034.mp3[233.520,236.720] ANY SKIN CHANGES +audio/MSK0034.mp3[238.000,241.360] SO NO SWELLING REDNESS OR ANYTHING LIKE THAT +audio/MSK0034.mp3[241.360,247.560] UHM NO IT DOESNT SEEM TO BE RED MAYBE SOME SLIGHT SWELLING +audio/MSK0034.mp3[248.320,250.720] UHM YEAH +audio/MSK0034.mp3[250.720,254.560] OK ANY SHORTNESS OF BREATH CHEST PAIN +audio/MSK0034.mp3[255.960,261.120] OK ANY PAIN IN ANY OTHER JOINTS +audio/MSK0034.mp3[262.840,268.640] OK DO YOU FEEL ANY WEAKNESS IN YOUR UPPER LEGS OR LOWER LEGS AT ALL +audio/MSK0034.mp3[268.640,273.760] NO NOT THAT I CAN TELL NO +audio/MSK0034.mp3[273.760,278.760] OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH +audio/MSK0034.mp3[278.760,283.520] NO IVE BEEN PRETTY HEALTHY OTHERWISE +audio/MSK0034.mp3[283.520,288.440] OK AND YOU TAKE ANY MEDICATIONS ON A DAILY BASIS +audio/MSK0034.mp3[288.440,291.360] UH NO +audio/MSK0034.mp3[291.360,293.800] OK ANY ALLERGIES THAT YOU KNOW OF +audio/MSK0034.mp3[294.720,299.240] OK ARE ALL YOUR IMMUNIZATIONS UP TO DATE +audio/MSK0034.mp3[299.240,301.680] YEP THEY SHOULD BE +audio/MSK0034.mp3[301.680,306.400] OK AND HAVE YOU EVER BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST +audio/MSK0034.mp3[308.440,326.440] NO OK AND YEAH ILL JUST ASK YOU AS WELL AS YOUR MOTHER DURING THE TIME SHE WAS PREGNANT WITH YOU DID YOU HAVE ANY KIND OF COMPLICATIONS DURING PREGNANCY AT ALL +audio/MSK0034.mp3[326.440,329.320] UM NO NO COMPLICATIONS +audio/MSK0034.mp3[329.320,339.960] OK AND WHEN WHEN YOU WERE BORN ANY COMPLICATIONS AFTER BIRTH ANY STAY IN THE HOSPITAL FOR ANY REASON +audio/MSK0034.mp3[341.800,346.280] AND WAS IT A VAGINAL DELIVERY OR A CSECTION +audio/MSK0034.mp3[346.280,349.040] IT WAS A VAGINAL DELIVERY +audio/MSK0034.mp3[349.040,357.760] OK AND WAS THERE THE USE OF ANY KIND OF INSTRUMENTS LIKE FORCEPS OR VACUUM FOR ANY REASON +audio/MSK0034.mp3[358.640,367.560] NO OK SO IT WAS LIKE A FAIRLY NORMAL PREGNANCY AND WERE YOU AT TERM OR PREMATURE +audio/MSK0034.mp3[367.560,370.200] AT TERM +audio/MSK0034.mp3[370.200,385.040] ALRIGHT AND ANY COMPLICATIONS DIFFICULTIES WHILE YOU WERE GROWING UP AT ALL WITH YOUR GROWTH LIKE HEIGHT OR WEIGHT OR ANY KIND OF DEVELOPMENTAL ISSUES THAT YOU KNOW +audio/MSK0034.mp3[385.040,396.280] NO UM I HIT ALL MY MILESTONES AND OTHERWISE DOING PRETTY WELL ON PAR WITH MY PEERS IN TERMS OF MILESTONES +audio/MSK0034.mp3[396.280,398.360] OK AND SCHOOLS GOING WELL +audio/MSK0034.mp3[398.360,399.640] YEAH SCHOOLS GOING WELL +audio/MSK0034.mp3[399.640,413.560] OK AND IN TERMS OF YOUR FAMILY HISTORY ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS +audio/MSK0034.mp3[413.560,416.680] UHM NO NOTHING LIKE THAT IN MY FAMILY +audio/MSK0034.mp3[416.680,422.640] OK AND CURRENTLY RIGHT NOW WHO DO YOU LIVE WITH +audio/MSK0034.mp3[422.640,429.480] I LIVE WITH BOTH MY PARENTS AS WELL AS MY 7 YEAR OLD SISTER +audio/MSK0034.mp3[429.480,436.680] OK ALRIGHT AND YEAH IF I CAN JUST UH IS IT OK IF I JUST TALK TO YOU ALONE FOR A LITTLE BIT +audio/MSK0034.mp3[436.680,437.680] SURE YEAH +audio/MSK0034.mp3[437.680,459.720] ALRIGHT YEAH SO ANYTHING THAT WE TALKED ABOUT HERE TODAY WILL STAY CONFIDENTIAL AS LONG AS THERE IS NO HARM TO YOURSELF OR OTHERS OR RISK OF HARM TO YOURSELF OR OTHERS SO YEAH IM JUST GOING TO ASK YOU A FEW QUESTIONS PERTAINING TO YOUR HEALTH +audio/MSK0034.mp3[459.720,461.640] SURE THAT SOUNDS GOOD +audio/MSK0034.mp3[461.640,470.480] YEAH SO AT HOME DO YOU FIND THAT YOURE IN A SAFE ENVIRONMENT EVEN OUTSIDE OF YOUR HOME IN YOUR NEIGHBORHOOD DO YOU FEEL SAFE +audio/MSK0034.mp3[470.480,472.960] I DO +audio/MSK0034.mp3[472.960,479.120] OK AND HOW ABOUT AT SCHOOL DO YOU FEEL SAFE HAVE YOU EXPERIENCED ANY KIND OF BULLYING OR ANYTHING LIKE THAT +audio/MSK0034.mp3[481.160,493.080] OK HAVE YOU TRIED ANY ALCOHOL RECREA RECREATIONAL DRUGS OR CIGARETTES OR DO YOU KNOW ANY FRIENDS THAT HAVE TRIED +audio/MSK0034.mp3[493.080,496.840] I KNOW I KNOW OLDER KIDS THAT HAVE TRIED IN THE SCHOOL BUT WE HAVENT +audio/MSK0034.mp3[496.840,503.520] OK AND ARE YOU SEXUALLY ACTIVE +audio/MSK0034.mp3[504.400,524.480] NO OK ALRIGHT YEAH SO THOSE ARE JUST A FEW QUESTIONS I HAD ILL CALL YOUR MOM BACK IN OK SO YEAH WERE JUST GONNA TRY AND DO A COUPLE OF EXAMINATIONS SO ARE YOU ABLE TO STAND UP BY YOURSELF +audio/MSK0034.mp3[524.480,533.720] UM I CAN BUT I NEED A LOT OF ASSISTANCE LIKE I HAVE TO HOLD ON TO THE DESK OR HAVE A CRUTCH OR SOMETHING LIKE THAT +audio/MSK0034.mp3[533.720,546.200] OK UH NO WORRIES AND THEN WHILE LAYING DOWN ARE YOU ABLE TO LIFT YOUR RIGHT LEG WITH YOUR KNEES STRAIGHT +audio/MSK0034.mp3[546.200,559.160] I DONT KNOW ABOUT STRAIGHTENING MY KNEES MY LEG SEEMS TO HAVE PERMANENTLY TURNED OUTWARD AND LOOK SHORTER THAN MY OTHER LEG +audio/MSK0034.mp3[559.160,575.440] OK AND YEAH I FORGOT TO ASK YOU THIS EARLIER I DONT I DONT THINK WE WEIGHED YOU WHEN YOU WERE COMING IN BUT APPROXIMATELY HOW MUCH WOULD YOU SAY YOU WEIGH +audio/MSK0034.mp3[575.440,585.080] I WEIGH ABOUT UM 130 POUNDS +audio/MSK0034.mp3[585.080,590.440] OK AND DO YOU KNOW HOW TALL YOU ARE +audio/MSK0034.mp3[590.440,595.320] UHM IM ABOUT 48 +audio/MSK0034.mp3[595.320,626.280] OK OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS I HAD TODAY WELL DO A FULL PHYSICAL EXAMINATION AND HAVE YOU COME IN ALRIGHT SORRY AND LIKE WELL WILL CONTINUE WITH THE FULL EXAMINATION TODAY AND WHAT CURRENTLY IT SEEMS LIKE IT CAN DEFINITELY BE FROM THE FALL YOU MAY HAVE INJURED YOURSELF AND WE JUST WANT TO MAKE SURE THERES NO FRACTURES LIKE A HIP FRACTURE +audio/MSK0034.mp3[627.640,701.120] ONE THING THATS ALSO SOMETHING THAT WE HAVE TO INVESTIGATE IS SOMETHING CALLED SLIPPED CAPITAL FEMORAL EPIPHYSIS SO THIS IS THIS IS A COMMON HIP ISSUE IN ADOLESCENTS ESPECIALLY FROM BOYS AGED 10 TO 16 AND USUALLY ITS THE LEFT HIP THATS AFFECTED BUT IT IT CAN BE THE RIGHT AND AS ADOLESCENTS ARE IN A PHASE WHERE THEY WERE GROWING THERE IS IF THEY HAVE SOME PREDISPOSED DISPOSITION TOO SLIPPING OF THE CAPITAL FEMORAL IF EPIPHYSIS WHICH IS RIGHT BETWEEN YOUR HIPS YOU CAN GET SOME SLIPPING IT CAN BE AFTER A FALL OR IT CAN HAPPEN JUST AS THE CHILD IS GROWING AND IT CAN ALSO IT IS ALSO ASSOCIATED WITH THE INCREASING WEIGHT THAT A CHILD MAY HAVE SO WHAT WE CAN DO IS JUST GET FIRST AN XRAY OF BOTH THE HIPS +audio/MSK0034.mp3[702.440,725.480] AND SEE LIKE WHAT WE CAN FIND ON THE XRAY AND THEN WILL ALSO DO A FULL EXAMINATION AND IT IF IT DOES TURN OUT THAT THERE IS A FRACTURE OR THERES A SLIPPED CAPITAL FEMORAL EPIPHYSIS WE WILL NEED TO SEND OUT A REFERRAL TO PEDIATRIC ORTHOPEDIC SURGERY +audio/MSK0034.mp3[726.040,736.440] YEAH SO YEAH FIRST WELL JUST GET THE IMAGE NG DONE AND SEE WHATS GOING ON IN THERE AND THEN WELL GET BACK TO YOU SHORTLY +audio/MSK0034.mp3[736.440,738.960] OK THAT SOUNDS GREAT THANK YOU SO MUCH +audio/MSK0034.mp3[738.960,740.240] WELCOME TAKE CARE +audio/RES0151.mp3[0.000,2.400] HOW MAY I HELP YOU +audio/RES0151.mp3[2.400,17.400] HI YES IM JUST COMING IN UH OVER THE LAST WEEK IVE BEEN HAVING UM LIKE A COUGH RUNNY NOSE AND A LOT OF CONGESTION AS WELL SO I JUST WANTED TO COME IN HERE TO MAKE SURE NOTHINGS WRONG +audio/RES0151.mp3[17.400,25.200] I SEE ALRIGHT AND WHEN DID THE UH COUGH START WAS IT 7 DAYS AGO +audio/RES0151.mp3[25.200,31.320] A BIT LESS THAN THAT I WOULD SAY ITS BEEN PROBABLY LIKE FIVE OR SIX DAYS +audio/RES0151.mp3[31.320,38.160] OK UM AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE OR STAYING THE SAME +audio/RES0151.mp3[38.160,43.720] UM ITS KIND OF THE SAME +audio/RES0151.mp3[43.720,48.480] OK AND ARE YOU BRINGING UP ANY UH SPUTUM WITH THE COUGH +audio/RES0151.mp3[48.480,58.680] NO ITS MAINLY LIKE A DRY COUGH BUT I AM GETTING LIKE A LOT OF DRAINAGE AND UH JUST CONGESTION IN MY NOSE +audio/RES0151.mp3[58.680,71.160] OK SO YOURE YOU ARE ARE YOU FEELING UM LIKE MUCUS DRAIN FROM YOUR NOSE LIKE INTO THE BACK OF YOUR UH MOUTH +audio/RES0151.mp3[71.160,75.720] UH YEAH SOMETIMES I FEEL LIKE THAT OVER THE LAST WEEK +audio/RES0151.mp3[75.720,83.160] OK AND YOU YOU HAVENT CAUGHT UP ANY ANY SPUTUM BUT HAVE YOU BROUGHT UP ANY ANY BLOOD +audio/RES0151.mp3[83.160,85.280] UH NO NO BLOOD +audio/RES0151.mp3[85.280,88.800] OK HAVE YOU HAD ANY WHEEZING +audio/RES0151.mp3[88.800,92.720] NO NO WHEEZING +audio/RES0151.mp3[92.720,97.160] OK AND HOW ABOUT UM ANY CHEST PAIN +audio/RES0151.mp3[97.160,100.960] UM NO CHEST PAIN +audio/RES0151.mp3[100.960,107.480] OK AND YOUVE HAD A AND DID YOU HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH +audio/RES0151.mp3[107.480,113.680] UM NO THIS IS LIKE FAIRLY NEW +audio/RES0151.mp3[113.680,122.920] OK AND UM COULD YOU IS YOUR NOSE UH LIKE COULD YOU DESCRIBE THE DISCHARGE FROM YOUR NOSE +audio/RES0151.mp3[122.920,129.480] YEAH ITS MORE LIKE KIND OF A CLEAR TO MAYBE WHITISH DISCHARGE +audio/RES0151.mp3[129.480,137.120] AND THESE SYMPTOMS START ABOUT A WEEK AGO AS WELL OR ABOUT FIVE DAYS AGO +audio/RES0151.mp3[137.120,146.040] UM YEAH AROUND THE SAME TIME +audio/RES0151.mp3[146.040,154.520] I SEE OK AND HAVE YOU HAD ANY UH LIKE FACIAL PAIN LIKE OVER YOUR OVER YOUR CHEEKS OR OR FOREHEAD +audio/RES0151.mp3[154.520,158.000] UH NO NOTHING LIKE THAT +audio/RES0151.mp3[158.000,167.360] OK AND HAVE YOU FELT LIKE YOUR NOSE UM IS OBSTRUCTED LIKE YOURE NOT ABLE TO BREATHE IN THROUGH EITHER ONE OF YOUR NOSTRILS +audio/RES0151.mp3[167.360,172.880] YEAH THAT HAPPENS AND SOMETIMES THE NOSTRILS KEEP SWITCHING +audio/RES0151.mp3[172.880,178.960] OK AND HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF SMELL +audio/RES0151.mp3[178.960,185.560] UM JUST WHEN IM CONGESTED LIKE I FEEL LIKE I CANT REALLY SMELL +audio/RES0151.mp3[185.560,193.960] I SEE ALRIGHT HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF TASTE +audio/RES0151.mp3[195.880,202.280] OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH WITH THE COUGH +audio/RES0151.mp3[202.280,204.640] UH NO +audio/RES0151.mp3[204.640,210.120] OK UM AND HAVE YOU HAD ANY EYE REDNESS OR UM EYE DISCHARGE +audio/RES0151.mp3[210.120,215.080] NO I DONT THINK SO +audio/RES0151.mp3[215.080,221.160] ALRIGHT AND HOW ABOUT A SORE THROAT +audio/RES0151.mp3[221.160,227.280] UHM MAYBE A LITTLE BIT OF A TICKLE IN MY THROAT BUT NOT SORE +audio/RES0151.mp3[227.280,234.000] I SEE OK SO HAVE YOU HAD ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS +audio/RES0151.mp3[235.280,239.960] OK AND UM HAVE YOU HAD ANY HEADACHES +audio/RES0151.mp3[241.200,243.680] ANY FEVERS OR CHILLS +audio/RES0151.mp3[243.680,245.560] NO NOTHING LIKE THAT +audio/RES0151.mp3[245.560,247.800] ANY UH NIGHT SWEATS +audio/RES0151.mp3[249.280,253.880] AND HOW WAS YOUR WEIGHT BEEN RECENTLY ANY CHANGES +audio/RES0151.mp3[253.880,257.000] NO NO CHANGES +audio/RES0151.mp3[257.000,266.200] OK UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING +audio/RES0151.mp3[266.200,269.000] UHM NO NOTHING LIKE THAT +audio/RES0151.mp3[269.000,273.240] HAVE YOU HAD ANY DIARRHEA +audio/RES0151.mp3[273.240,276.040] UH NO NO DIARRHEA +audio/RES0151.mp3[276.040,282.960] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR OR FREQUENCY +audio/RES0151.mp3[284.640,289.880] OK AND THEN ANY SKIN CHANGES OR OR RASHES +audio/RES0151.mp3[289.880,292.520] UH NOPE NOTHING LIKE THAT +audio/RES0151.mp3[292.520,300.400] ALRIGHT ANY MUSCLE ACHES OR BODY PAINS +audio/RES0151.mp3[300.400,302.720] UHM NO NOTHING LIKE THAT +audio/RES0151.mp3[302.720,310.600] ALRIGHT AND HOW HAS YOUR ENERGY BEEN OVER THIS PAST WEEK HAVE YOU HAD FATIGUE +audio/RES0151.mp3[310.600,324.040] UH NO IVE BEEN I HAVENT BEEN TIRED OR LIKE ITS JUST BEEN LIKE THESE SYMPTOMS THAT DONT SEEM TO GO AWAY +audio/RES0151.mp3[324.040,331.120] I SEE OK UM AND UH HAVE YOU HAD ANY CHANGES TO YOUR UM TO YOUR VOICE +audio/RES0151.mp3[332.040,336.280] OR ANY ANY NECK SWELLING +audio/RES0151.mp3[337.400,356.440] ALRIGHT UM SO IT SOUNDS LIKE OVER THE PAST UH WEEK YOUVE BEEN HAVING THIS DRY COUGH UH AS WELL AS SOME NASAL DISCHARGE AND SOME CONGESTION WITH UM A LITTLE BIT OF A SCRATCHY THROAT UM ANY OTHER SYMPTOMS +audio/RES0151.mp3[356.440,360.440] UH NO THATS PRETTY MUCH IT +audio/RES0151.mp3[360.440,366.560] I SEE ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS +audio/RES0151.mp3[366.560,371.880] UH NO IVE BEEN PRETTY HEALTHY +audio/RES0151.mp3[371.880,379.960] OK THATS GOOD AND UH ANY UH PRIOR HOSPITALIZATIONS OR SURGERIES +audio/RES0151.mp3[379.960,382.200] UHM NO NOTHING LIKE THAT +audio/RES0151.mp3[382.200,387.520] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER +audio/RES0151.mp3[387.520,398.000] UM IVE JUST BEEN TAKING LIKE TYLENOL COLD BUT ITS NOT REALLY BEEN HELPING TOO MUCH +audio/RES0151.mp3[398.000,402.720] OK UM DO YOU HAVE ANY ALLERGIES +audio/RES0151.mp3[402.720,405.160] UH NO +audio/RES0151.mp3[405.160,420.760] OK UHM AND UH CURRENTLY ARE YOU COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION UM LIKE WHO YOURE LIVING WITH AND UH AND WHEREABOUTS +audio/RES0151.mp3[420.760,434.920] UM YEAH SO I JUST LIVE IN AN APARTMENT WITH MY BOYFRIEND AND UH LIVE LIKE JUST WITHIN THE CITY +audio/RES0151.mp3[434.920,439.480] OK AND ARE YOU GOING TO SCHOOL RIGHT NOW OR ARE YOU WORKING +audio/RES0151.mp3[439.480,448.760] YEAH IM WORKING UH CURRENTLY UM JUST AT A GROCERY STORE +audio/RES0151.mp3[448.760,454.160] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK +audio/RES0151.mp3[454.160,463.200] UH NOT THAT I KNOW OF YEAH I HAVENT SEEN ANYONE LIKE HAVE SYMPTOMS OR ANYTHING +audio/RES0151.mp3[463.200,467.400] OK HAVE YOU TRAVELED ANYWHERE +audio/RES0151.mp3[467.400,472.360] NO IVE BEEN IN THE PROVINCE +audio/RES0151.mp3[472.360,481.080] OK UM AND YOU MENTIONED UM THAT YOU HAVE A BOYFRIEND ARE YOU CURRENTLY UH SEXUALLY ACTIVE +audio/RES0151.mp3[483.320,489.120] AND DO YOU USE CONDOMS OR ANY FORM OF BIRTH CONTROL +audio/RES0151.mp3[489.120,494.080] UH YEAH USUALLY LIKE JUST CONDOMS +audio/RES0151.mp3[494.080,498.640] I SEE OK AND IS THERE ANY CHANCE THAT UH YOU COULD BE PREGNANT CURRENTLY +audio/RES0151.mp3[498.640,504.720] UH NO I DONT THINK SO +audio/RES0151.mp3[504.720,508.040] OK UH AND I JUST WANT UM ARE YOU CURRENTLY SMOKING +audio/RES0151.mp3[508.040,515.640] UH NO I HAVE HAVENT HAVENT SMOKED EVER +audio/RES0151.mp3[515.640,519.920] OK AND THAT INCLUDES CIGARETTES AND MARIJUANA +audio/RES0151.mp3[519.920,525.400] UH YEAH NO NO MARIJUANA EITHER +audio/RES0151.mp3[525.400,530.400] OK DO YOU DRINK ALCOHOL +audio/RES0151.mp3[530.400,535.240] UH JUST LIKE ONCE OR TWICE IN A WEEK +audio/RES0151.mp3[535.240,537.680] AND IS IT LIKE ONE OR TWO DRINKS +audio/RES0151.mp3[537.680,541.880] YEAH SO I WOULD SAY LIKE IT WOULD USUALLY BE WINE +audio/RES0151.mp3[541.880,545.760] I SEE ALRIGHT AND DO YOU USE ANY OTHER UH RECREATIONAL DRUGS +audio/RES0151.mp3[545.760,553.480] UH NO NOTHING ELSE +audio/RES0151.mp3[553.480,560.560] OK UM AND IN THE FAMILY UM ARE THERE ANY HISTORY OF HEART OR LUNG PROBLEMS +audio/RES0151.mp3[560.560,565.560] UM NOT THAT I KNOW OF NO +audio/RES0151.mp3[565.560,573.720] ALRIGHT AND HOW ABOUT ANY UH ANY CANCERS +audio/RES0151.mp3[574.640,586.320] ALRIGHT UM SO UHM THAT WAS EVERYTHING I WANTED TO ASK TODAY ON ON HISTORY WAS THERE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT YOU WANTED TO MENTION +audio/RES0151.mp3[586.320,594.240] UH NO I JUST YEAH I WAS JUST WONDERING IF LIKE I SHOULD BE WORRIED AT ALL ABOUT COVID +audio/RES0151.mp3[594.240,645.000] YEAH CERTAINLY UM SOMETHING THAT WELL BE TESTING FOR TODAY WITH SOME OF THE SYMPTOMS THAT YOURE HAVING LIKE UM COUGH AND SOME NONSPECIFIC SYMPTOMS LIKE THAT CAN SHOW UP IN COVID UM FOR SURE SO IT WILL BE IMPORTANT TO GET A TEST FOR THAT TODAY WHICH WILL REQUIRE A NASAL SWAB UM THAT BEING SAID IT COULD BE UHM ANOTHER TYPE OF VIRAL ILLNESS LIKE THE COMMON COLD WHICH IS CAUSING YOUR YOUR SYMPTOMS HERE TODAY UM AND SO IT WILL BE JUST BE IMPORTANT TO BE DILIGENT AND IF YOUR SYMPTOMS DILIGENT WITH THE TESTING I MEAN WITH THE COVID AND IF YOUR SYMPTOMS GET ANY WORSE WE IT MIGHT BE IMPORTANT TO GO TO THE HOSPITAL OR OR THE EMERGENCY DEPARTMENT +audio/RES0151.mp3[645.000,650.440] YEP SOUNDS GOOD THANK YOU SO MUCH