audio/MSK0027.mp3[308.320,311.280] NO NOTHING LIKE THAT audio/RES0099.mp3[372.240,378.160] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0131.mp3[443.320,449.640] NO OKAY ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN OR ANYTHING LIKE THAT 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/RES0151.mp3[215.080,221.160] ALRIGHT AND HOW ABOUT A SORE THROAT audio/RES0141.mp3[222.000,225.000] NO NOTHING LIKE THAT REALLY audio/RES0205.mp3[486.400,489.000] YOUR WELCOME audio/MSK0038.mp3[299.840,301.080] OK HOW ABOUT UH HEADACHES audio/RES0006.mp3[235.360,243.280] OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING FATIGUE audio/RES0004.mp3[27.920,29.960] YEAH ABOUT TWO TO THREE WEEKS 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/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/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/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/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/MSK0042.mp3[151.800,155.320] UH NO NOT THAT I CAN REMEMBER 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/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/RES0197.mp3[152.720,156.200] UH NO NOTHING LIKE THAT audio/RES0113.mp3[367.320,370.480] DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING audio/RES0213.mp3[163.240,167.320] OK DOES IT GET WORSE WITH EXERCISE audio/RES0154.mp3[552.120,557.800] OK ALRIGHT SOUNDS GOOD audio/RES0186.mp3[57.160,61.360] UH THE SHORTNESS OF BREATH HAS BEEN WITHIN THE LAST DAY WITHIN THE LAST DAY audio/RES0152.mp3[513.440,517.400] OK BUT UH AND ANYBODY IN THE FAMILY UM HAVE UH HEART OR LUNG CONDITIONS audio/MSK0020.mp3[548.280,553.320] NO OK HOW ABOUT UHM UH TRAVEL ANYWHERE audio/RES0057.mp3[469.320,472.400] DO YOU HAVE AN INHALER 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/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/MSK0028.mp3[308.280,311.200] NO NOTHING LIKE THAT audio/RES0151.mp3[235.280,239.960] OK AND UM HAVE YOU HAD ANY HEADACHES audio/RES0032.mp3[557.560,559.640] ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0004.mp3[374.560,379.040] OK AND DO YOU SMOKE AT ALL audio/MSK0001.mp3[359.920,362.320] OK ANY ALLERGIES audio/RES0127.mp3[150.760,155.160] YEAH YEAH I DO audio/RES0009.mp3[534.600,544.200] OK WELL THATS GOOD AND UH HAS ANYBODY IN YOUR FAMILY EXPERIENCED ANYTHING LIKE THIS BEFORE audio/RES0147.mp3[70.200,74.840] UH NO I I I HAD A COUGH BUT NOT NOT REALLY ANY SHORTNESS OF BREATH audio/CAR0002.mp3[377.880,379.960] ANY PREVIOUS SURGERIES audio/RES0028.mp3[434.920,437.680] ANY ILL CONTACTS 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/RES0214.mp3[352.720,364.720] AND YOU SAID YOU LIVED WITH YOUR HUSBAND IN A HOUSE UM IN LONDON audio/RES0211.mp3[427.120,430.240] OK SO SORRY DO YOU LIVE ON A FARM audio/RES0010.mp3[563.920,569.840] ALL MY CLASSES ARE ONLINE audio/RES0084.mp3[623.680,630.200] OK WELL IM SORRY TO HEAR THAT ANY CANCERS IN THE FAMILY audio/RES0057.mp3[192.360,198.480] OK CAN YOU TELL ME A BIT MORE ABOUT YOUR HEADACHE audio/RES0169.mp3[341.560,346.920] I DO YEAH WE HAVE A GOOD A GOOD RELATIONSHIP audio/RES0043.mp3[714.480,716.560] THANK YOU audio/RES0151.mp3[398.000,402.720] OK UM DO YOU HAVE ANY ALLERGIES audio/RES0189.mp3[356.640,359.160] HAVE YOU HAD ANY DIARRHEA audio/RES0209.mp3[403.320,409.440] OK DOES ANYONE ELSE IN YOUR FAMILY HAVE ASTHMA audio/RES0007.mp3[443.640,449.040] NO NO THATS IT audio/RES0052.mp3[401.800,404.240] UMM NO audio/MSK0040.mp3[360.320,363.520] NO NO CHANGES TO MY ENERGY audio/MSK0008.mp3[251.400,253.960] HAVE YOU HAD ANY WHEEZING audio/RES0189.mp3[317.400,321.440] OK HAVE YOU HAD ANY HEADACHES audio/MSK0008.mp3[41.880,45.080] THIS WAS TWO DAYS AGO audio/RES0168.mp3[359.720,366.520] OK HOW ABOUT SMOKING DO YOU SMOKE audio/RES0075.mp3[273.720,275.960] NO I DONT THINK SO 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/RES0042.mp3[197.480,202.880] WEIGHT LOSS NO NO NOTHING NOTHING NEW 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/RES0088.mp3[273.080,277.920] NO ANY NAUSEA OR VOMITING 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/MSK0028.mp3[322.280,325.200] OK HAVE YOU HAD A COUGH audio/RES0092.mp3[89.440,97.520] YEAH MY NOSE WAS A BIT RUNNY LAST WEEK BUT ITS THATS BETTER NOW audio/RES0056.mp3[429.760,435.720] HOW ABOUT HEART CONDITIONS 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/RES0034.mp3[542.880,547.360] UH NO NOT THAT IVE NOTICED audio/RES0212.mp3[2.320,7.640] HEY UH I JUST HAD THIS COUGH THATS BEEN LIKE REALLY BOTHERING ME audio/RES0165.mp3[245.640,250.720] OKAY AND WHEN DID THAT START audio/RES0131.mp3[53.240,57.680] UM THE COUGH IS IT DRY OR YOURE BRINGING UP PHLEGM audio/MSK0031.mp3[0.000,1.960] HOW CAN I HELP YOU audio/RES0017.mp3[306.080,310.000] NOT REALLY NOT THAT I KNOW OF audio/RES0032.mp3[2.760,7.640] YEAH IVE HAD THIS COUGH AND ITS JUST NOT GOING AWAY audio/RES0022.mp3[755.320,760.720] NOT THAT I KNOW OF WE HAVENT HEARD FROM HIM IN A FEW DAYS THOUGH audio/MSK0037.mp3[366.960,370.960] ALRIGHT AND HAVE YOU HAD LIKE ANY BLOOD IN THE STOOL 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/RES0170.mp3[662.240,667.560] OK GREAT THANK YOU audio/MSK0001.mp3[443.840,449.800] 40 YEARS OK AND UH DO YOU USE ANY KIND OF RECREATIONAL DRUGS audio/RES0163.mp3[474.840,479.680] HE WAS 50 YEARS OLD audio/RES0217.mp3[147.440,150.000] NO THIS ONE THIS ONES PRETTY SMALL 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/RES0160.mp3[60.480,63.560] YEAH ITS MOSTLY WATERY audio/RES0048.mp3[701.040,705.040] YEAH NO NO I DONT DO ANY DRUGS audio/MSK0046.mp3[354.560,362.080] OK ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0069.mp3[101.000,105.080] OK AND HAVE YOU HAD ANY ANY COUGH audio/MSK0039.mp3[411.600,413.400] LATE FIFTIES I WOULD SAY audio/RES0147.mp3[165.760,174.120] UH NO THIS IS THE FIRST TIME THAT THAT THIS HAS HAPPENED BEFORE audio/RES0190.mp3[304.240,305.480] AH NO audio/RES0017.mp3[437.840,443.880] OK AND HOW MANY PILLOWS DO YOU SLEEP WITH 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/RES0102.mp3[663.200,670.840] I HAD TWO C SECTIONS FOR MY SECOND DAUGHTER AND AND 3RD audio/CAR0005.mp3[305.000,308.960] OK AND HAVE YOU NOTICED ANY FEVERS 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/MSK0029.mp3[162.320,166.360] YEAH YEAH THIS HAPPENED YESTERDAY AFTERNOON 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/RES0153.mp3[211.920,214.760] UH NO NO SHORTNESS OF BREATH audio/RES0090.mp3[223.600,225.960] OK AND HOW MUCH DO YOU WEIGH 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/RES0087.mp3[214.960,219.880] OK AND YOU SAID FOR THE PAST FEW DAYS HES HAD THE COUGH 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/MSK0020.mp3[521.280,526.120] OK AND WHO DO YOU LIVE WITH RIGHT NOW AND WHERE DO YOU LIVE audio/RES0200.mp3[335.960,344.680] OK UM AND BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS audio/RES0048.mp3[33.280,39.520] THE COUGH I THINK IT STARTED UH PROBABLY LIKE AROUND 10 DAYS AGO audio/RES0177.mp3[104.920,115.080] NO WHEEZING BUT HE DOES HAVE SOME SHORTNESS OF BREATH audio/RES0185.mp3[177.840,183.400] NO I HAVENT HAD ANY DIARRHEA OR OR CONSTIPATION NOTHING LIKE THAT audio/RES0169.mp3[394.280,399.440] OK ARE YOU SEXUALLY ACTIVE audio/RES0016.mp3[286.400,293.320] OK UM HOW ABOUT UH LIKE FEELING YOURE LIKE YOURE TIRED audio/MSK0009.mp3[485.840,491.440] NO IVE NEVER HAD ANYTHING LIKE THAT audio/RES0167.mp3[413.560,422.440] NO OK DIETARY WISE ARE YOU LIKE EATING HEALTHY 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/RES0023.mp3[474.760,476.040] YEAH ABOUT THAT audio/RES0077.mp3[589.440,599.640] OK AND HAVE YOU HAD ANY SURGERIES OR HAVE BEEN HOSPITALIZED BEFORE 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/MSK0037.mp3[324.520,328.240] ALRIGHT AND HAVE YOU HAD A SORE THROAT OR COUGH audio/RES0200.mp3[0.000,1.640] WHAT CAN I DO FOR YOU audio/RES0003.mp3[64.880,71.120] OK IS HE HAVING ISSUES SWALLOWING FOOD DOES IT HURT WHEN HE SWALLOWS FOOD 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/CAR0001.mp3[151.840,160.160] I MEAN I WAS MOVING SOME FURNITURE AROUND BUT THAT IVE DONE THAT BEFORE 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/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/RES0057.mp3[57.440,72.040] YEAH NOT REALLY ACTUALLY ITS BEEN WELL BUT JUST BAD AFTER I COUGH audio/RES0034.mp3[18.160,24.520] I SEE OK WHEN DID THE FEVER AND COUGH START audio/RES0024.mp3[353.360,357.160] AND SO YOU MENTIONED THAT YOURE LIVING WITH YOUR BOYFRIEND audio/RES0099.mp3[595.040,598.120] OK SO DO YOU DO YOU SMOKE MARIJUANA 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/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/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/MSK0040.mp3[503.880,504.840] UM I AM audio/RES0019.mp3[300.000,306.960] SOME MUSCLE ACHES I WOULD SAY MOSTLY IN MY ARMS AND JUST MY LEGS YEAH audio/RES0014.mp3[44.600,49.040] OK AND HOW LONG DOES IT LAST audio/RES0179.mp3[285.040,287.200] SORE THROAT audio/RES0118.mp3[223.480,228.240] ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA audio/RES0037.mp3[184.400,187.800] AH A FEW TIMES AN HOUR audio/RES0117.mp3[269.760,272.800] OK DO YOU DRINK ALCOHOL audio/RES0127.mp3[107.200,110.480] OK AND DOES THAT HAPPEN LIKE EVERY MORNING audio/RES0006.mp3[625.440,633.560] NO NOT REALLY JUST WANTED TO GET TO THE BOTTOM OF THIS audio/RES0053.mp3[169.920,177.240] OK AND IS IT A DRY COUGH OR DOES HE BRING UP SPUTUM 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/MSK0007.mp3[231.080,233.960] HAVE YOU HAD A COUGH OR SHORTNESS OF BREATH audio/RES0037.mp3[454.920,461.120] OK ANY CHANGES IN YOUR APPETITE AT ALL DO YOU FEEL THAT YOUVE LOST ANY APPETITE audio/MSK0034.mp3[83.400,85.440] OK DID YOU FALL ON THE RIGHT HIP audio/RES0129.mp3[280.520,285.640] HE WAS YEAH HE WAS BORN OVER LIKE 38 WEEKS I THINK audio/RES0105.mp3[769.880,771.640] WELCOME TAKE CARE audio/MSK0039.mp3[303.240,309.640] NO OK UM HOW ABOUT CHEST PAIN OR PALPITATIONS audio/RES0114.mp3[482.800,490.040] OK HAVE YOU HAD ANY UH AMOXICILLIN OR LIKE PENICILLIN TYPE ANTIBIOTICS RECENTLY audio/GAS0004.mp3[27.680,41.160] OK IM SORRY TO HEAR THAT UH HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE audio/RES0121.mp3[42.360,47.880] NO NO ITS ITS PRETTY ITS PRETTY DRY 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/RES0185.mp3[349.960,352.920] HOW ABOUT RECREATIONAL DRUGS audio/RES0044.mp3[335.000,339.680] NO OK OK HOW ABOUT UM ANY WEIGHT LOSS audio/RES0150.mp3[562.080,564.240] UM NO 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/RES0104.mp3[259.240,262.080] OK ARE YOU BREATHING FASTER 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/MSK0003.mp3[299.320,303.120] OK AND FOR HOW LONG HAVE YOU HAD THIS audio/RES0093.mp3[584.040,590.560] ALRIGHT DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL PROBLEMS audio/MSK0046.mp3[271.640,278.480] UH NO FIRST DEGREE RELATIVES JUST LIKE AUNTS AND UNCLES audio/RES0061.mp3[168.200,173.320] OK AND HOW ABOUT ISSUES SWALLOWING FOOD 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/RES0056.mp3[221.120,224.280] OK ANY SHORTNESS OF BREATH audio/RES0149.mp3[93.120,97.800] OK IS IS THIS PAIN WHEN YOU TAKE A DEEP BREATH IN audio/RES0172.mp3[204.560,208.000] ANY DIFFICULTY SWALLOWING WITH A SORE THROAT audio/RES0080.mp3[149.160,155.440] OH YEAH IVE HAD A COUGH FOR THE PAST 20 YEARS 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/RES0136.mp3[24.800,31.440] KIND OF AROUND THE SAME TIME WHEN I WOKE UP IN THE MORNING audio/RES0197.mp3[311.200,313.600] UM YES audio/RES0046.mp3[109.040,114.800] YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/MSK0017.mp3[446.920,450.400] UH NO CANCERS audio/RES0046.mp3[131.280,134.480] DRY OK SO NO BLOOD 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/RES0138.mp3[420.080,423.640] OKAY UM AND HOW OLD WAS SHE WHEN SHE HAD HER HEART FAILURE audio/RES0026.mp3[519.640,521.400] HOW MANY CHILDREN DO YOU HAVE audio/RES0180.mp3[161.000,165.640] CONFUSION OR MEMORY LOSS audio/RES0025.mp3[551.000,556.760] OK OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU DRINK ALCOHOL audio/RES0050.mp3[274.360,278.560] OK SO ITS JUST AFTER THE COUGHING 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/RES0180.mp3[169.800,175.280] OK AND ANY NECK PAIN OR STIFFNESS audio/RES0175.mp3[182.960,187.920] ANY URINARY PROBLEMS LIKE UH PAIN OR FREQUENCY audio/RES0076.mp3[202.560,204.720] NOTHING LIKE THAT 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/RES0210.mp3[435.640,442.360] OK DO YOU USE ANY OTHER SUBSTANCES 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/MSK0036.mp3[949.560,952.000] OK SOUNDS GOOD audio/MSK0021.mp3[115.520,120.880] 7 AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST 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/MSK0038.mp3[465.520,468.920] OK HOW ABOUT UM OTHER RECREATIONAL DRUGS audio/RES0057.mp3[544.240,554.280] YEAH ILL TAKE LIKE A ZANTAC OR LIKE TUMS SOMETIMES FOR REFLUX 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/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/RES0060.mp3[111.040,115.560] OK AND DO YOU HAVE ANY ISSUES SWALLOWING FOOD 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/RES0209.mp3[35.600,40.120] I WAS DIAGNOSED WHEN I WAS EIGHT 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/RES0026.mp3[377.040,379.360] ANY DIARRHEA OR CONSTIPATION 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/RES0020.mp3[132.280,136.120] ITS BEEN THE SAME audio/RES0097.mp3[505.080,507.080] OK HOW IS SCHOOL GOING 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/RES0216.mp3[105.520,112.040] NOTHING LIKE THAT OK AND DID YOU FEEL YOURSELF BECOMING OUT OF BREATH AT ALL 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/RES0066.mp3[643.640,651.400] OK GREAT THANK YOU audio/RES0038.mp3[39.360,45.880] NO OK AND IS THE COUGH CONSTANT OR DOES IT COME AND GO audio/MSK0024.mp3[400.560,410.240] I DRINK OCCASIONALLY ILL HAVE LIKE A BEER ON THE WEEKEND 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[297.760,298.640] UM NOPE NO audio/RES0133.mp3[89.440,98.600] YEAH THAT SO WELL NO ACTUALLY THAT STARTED ABOUT YESTERDAY YEAH YESTERDAY IN THE AFTERNOON audio/RES0064.mp3[208.920,209.880] NO NOT THAT I KNOW 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/MSK0040.mp3[603.520,614.600] OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR DEFORMITIES OF THE OF THE ANKLE OR FOOT 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/RES0197.mp3[69.080,73.920] THE VENTILIN THAT I USE IS ALMOST EVERY DAY LIKE A COUPLE TIMES A DAY 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/RES0089.mp3[333.320,336.240] NO NOTHING LIKE THAT 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/GAS0004.mp3[444.280,451.120] I HAVE ASTHMA audio/RES0070.mp3[27.960,32.120] ITS ONLY GOTTEN WORSE OVER THE PAST TWO DAYS audio/RES0154.mp3[272.640,281.440] UM NO I THINK THOSE ARE PRETTY MUCH ALL THE SYMPTOMS audio/RES0084.mp3[537.320,543.320] HIGH CHOLESTEROL OK ARE YOU ON MEDICATIONS FOR ALL OF THESE THINGS audio/RES0094.mp3[327.400,332.400] GOOD OK AND DO YOU SMOKE 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/MSK0034.mp3[46.800,49.640] OK AND WHEN DID YOU HAVE THE FALL audio/RES0023.mp3[248.960,253.000] OK HAVE YOU HAD ANY NIGHT SWEATS audio/RES0026.mp3[861.400,864.680] OK GREAT THANK YOU audio/MSK0042.mp3[868.760,873.320] ALRIGHT PERFECT THANK YOU SO MUCH audio/RES0117.mp3[163.520,167.080] CONFUSION OR MEMORY LOSS audio/RES0052.mp3[214.800,219.200] UMM POSSIBLY audio/RES0149.mp3[343.880,346.840] OK ANY SURGERIES RECENTLY audio/RES0153.mp3[167.240,170.680] YEAH I WOULD SAY SO 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/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/CAR0003.mp3[321.880,324.920] AROUND MY LEGS audio/RES0198.mp3[147.560,149.880] OK AND HAS HE BEEN SICK AT ALL 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/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/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/RES0042.mp3[554.120,560.560] OK UM AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY 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/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/RES0211.mp3[265.280,269.680] MY FAMILY DOCTOR I DON’T REALLY GO VERY OFTEN audio/RES0181.mp3[0.000,2.280] HOW MAY I HELP YOU 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/RES0174.mp3[81.880,84.160] JOB INTERVIEWS audio/MSK0049.mp3[415.880,421.040] OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THOSE CONDITIONS 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/RES0035.mp3[424.440,426.080] I DO audio/RES0022.mp3[111.680,117.040] NO OK I SEE AND HAVE YOU HAD A COUGH audio/RES0027.mp3[114.400,118.600] JUST TODAY HAVE YOU TAKEN YOUR TEMPERATURE audio/RES0091.mp3[316.720,317.880] OK AND DO YOU DRINK ALCOHOL audio/RES0055.mp3[75.800,80.960] YES I AM PRODUCING A LOT OF SPUTUM audio/RES0197.mp3[73.920,77.960] OK SO WOULD YOU SAY MORE THAN 10 TIMES 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/RES0209.mp3[236.120,243.000] OK SO YOURE GETTING WHEEZY EVEN MORE TIMES THAN THEN YOURE HAVING TO USE YOUR BRONCHODILATOR audio/CAR0003.mp3[426.920,435.880] UM SO YEAH SO I HAVE HIGH BLOOD PRESSURE DIABETES AND HIGH CHOLESTEROL audio/MSK0006.mp3[426.440,428.640] UH NO I DONT BELIEVE SO 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/RES0212.mp3[242.120,247.600] DOES IT WAKE YOU UP EVERY NIGHT audio/MSK0007.mp3[489.720,494.040] ANY MUSCULOSKELETAL OR NEUROLOGICAL DISEASES 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/RES0114.mp3[629.880,635.320] OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY audio/RES0025.mp3[393.480,397.600] THEY WERE THEYVE BEEN FEELING FINE 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/RES0185.mp3[272.200,282.000] YEAH FOR SURE UHM ALRIGHT AND THEN ANY MUSCLE ACHES OR JOINT PAINS audio/RES0176.mp3[365.680,369.800] OK ANY MUSCLE ACHES OR BODY PAINS 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/RES0197.mp3[491.600,493.680] YOURE WELCOME 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/RES0077.mp3[710.360,718.040] SO I LIVE WITH MY GIRLFRIEND AND WE HAVE A SON WHOS FOUR YEARS OLD audio/MSK0009.mp3[292.680,297.480] HAVE YOU HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0085.mp3[131.280,135.960] UH SWOLLEN AS IN JUST UH LIKE IN HIS 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/RES0113.mp3[241.880,246.400] UM ANY RUNNY NOSE OR STUFFY NOSE audio/RES0079.mp3[168.240,169.600] UHM NO audio/RES0005.mp3[481.760,484.040] ANY ALLERGIES TO MEDICATIONS audio/RES0199.mp3[374.240,377.200] OK ANY CONSTIPATION audio/RES0138.mp3[415.000,420.080] YEAH UM MY UM MOM HAD HEART FAILURE 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/RES0015.mp3[0.000,2.480] WHAT BRINGS YOU IN TODAY 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/RES0131.mp3[451.680,455.360] OKAY HOW ABOUT UM ALCOHOL DO YOU DRINK audio/RES0203.mp3[405.000,409.920] SO YOU HAVENT REALLY BEEN OUT OF THE HOUSE audio/RES0048.mp3[532.560,534.720] NO NOTHING LIKE THAT audio/RES0004.mp3[401.000,407.000] OK YEAH ANY ISSUES WITH YOUR EYES audio/MSK0012.mp3[230.040,234.080] OK AND IS THERE ANY OTHER WORK YOU DO CURRENTLY audio/RES0047.mp3[348.240,352.840] UM ANY FEVERS OR CHILLS 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/GAS0001.mp3[385.200,389.520] UH NOTHING NOTHING REALLY audio/RES0138.mp3[247.800,255.160] NO OKAY ANY INCREASED FATIGUE 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/MSK0018.mp3[162.520,163.360] UM NO audio/RES0052.mp3[443.120,448.240] ALRIGHT AND DOES ANYBODY IN THE HOUSE SMOKE audio/RES0103.mp3[485.040,486.600] YEAH YEAH audio/RES0180.mp3[299.840,311.040] NO I HAVENT HAD ANY ANY PAIN OR ANY ANYTHING CHANGING TO MY URINARY HABITS audio/RES0179.mp3[423.000,430.160] OK ALRIGHT AND ARE YOU ON ANY MEDICATIONS audio/RES0013.mp3[15.280,19.600] OK OK WHEN DID THIS START audio/RES0086.mp3[555.440,560.320] NO OK DO YOU DRINK ALCOHOL 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/RES0213.mp3[407.040,408.160] UH NO audio/RES0013.mp3[301.200,303.880] NO ANY RASHES audio/RES0033.mp3[48.560,53.280] OK AND HOW MUCH HAVE YOU BEEN BRINGING UP WOULD YOU SAY audio/GAS0001.mp3[331.800,335.800] ANY HEADACHES audio/RES0168.mp3[306.840,311.560] OK OK AND NO HOSPITALIZATIONS OR SURGERIES audio/RES0173.mp3[220.520,227.760] OK AND HAVE YOU HAD A SORE THROAT audio/MSK0006.mp3[591.400,597.880] UM NO I DONT SEE ANYTHING LIKE THAT audio/RES0188.mp3[327.040,333.840] YEAH OH HE HAD ALL HIS IMMUNIZATIONS SO FAR audio/RES0004.mp3[161.280,170.280] UM YEAH BUT THAT DEFINITELY SOUNDS LIKE A FEVER UM HAVE YOU NOTICED RASHES ANYWHERE audio/RES0189.mp3[143.480,146.880] UH NO I DONT THINK SO 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/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/RES0197.mp3[249.160,251.280] NO OK ANY FEVERS OR CHILLS audio/RES0120.mp3[304.960,311.680] UM HAVE YOU HAD ANY SICK CONTACTS RECENTLY audio/RES0020.mp3[286.080,289.320] ALRIGHT SO HAVE YOU HAD A RUNNY NOSE audio/RES0128.mp3[465.120,468.840] OK UHM HAS HE TRAVELED ANYWHERE RECENTLY 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/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/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/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/RES0074.mp3[404.440,409.720] OK HAVE YOU HAD ANY OTHER SURGERIES BESIDES THE APPENDIX REMOVED 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/MSK0010.mp3[198.120,203.760] OK AND HAVE YOU DONE ANYTHING THATS MADE IT BETTER audio/RES0174.mp3[686.200,695.840] OK ANYBODY IN IN THE FAMILY HAVE PROBLEMS WITH SUBSTANCE SUBSTANCE USE audio/RES0050.mp3[201.120,203.280] OR FELT CONGESTED audio/RES0161.mp3[224.720,234.560] OH YEAH SHE SHE DID HAVE A COVITEST DONE THAT WAS NEGATIVE 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/RES0186.mp3[136.200,141.080] NO I HAVENT HAD ANY UH ANY WEIGHT LOSS audio/RES0137.mp3[474.120,479.480] UH NO audio/CAR0004.mp3[62.000,68.840] IT JUST LASTS FOR A FEW SECONDS AND THEN IT GOES AWAY 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/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/RES0047.mp3[402.080,406.520] OK EVERYTHING NORMAL WITH REGARDS TO YOUR URINE audio/RES0081.mp3[199.400,202.040] ANY NAUSEA OR VOMITING audio/RES0087.mp3[237.320,240.560] OK SO NO BLOOD THAT HES BRINGING UP RIGHT audio/RES0203.mp3[317.080,317.880] UM NO 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/RES0209.mp3[220.400,229.440] OK UH AND THATS UH DO YOU USE YOUR BRONCHODILATOR EVERY TIME THAT YOURE WHEEZING audio/RES0175.mp3[116.880,119.160] OK UM AND HAVE YOU HAD ANY CHEST PAIN 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/RES0098.mp3[504.680,510.800] OK YEAH OK AND HAVE YOU HAD ANY SURGERIES BEFORE audio/RES0124.mp3[597.480,603.640] OKAY ARE YOU UH ARE YOU TAKING ANY MARIJUANA OR ANY STREET DRUGS audio/RES0007.mp3[187.160,192.120] UH NO I DONT THINK SO 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/RES0185.mp3[229.520,240.120] OK UHM PRESSURE IN YOUR FACE AND A HEADACHE OK AND DO YOU NORMALLY GET THESE audio/MSK0015.mp3[303.880,307.720] OK AND ANY SKIN RASHES OR CHANGES audio/RES0190.mp3[674.240,677.880] OK SOUNDS GOOD THANK YOU SO MUCH 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/MSK0025.mp3[60.240,68.840] OK AND DID ANYTHING HAPPENED PRIOR TO THE PAIN ANY INJURIES AT ALL THAT YOU EXPERIENCED audio/RES0121.mp3[466.240,469.080] SURE YEAH THANK YOU audio/RES0165.mp3[76.960,80.920] NO THEYRE NOT CONSTANT THEY KIND OF COME AND GO audio/RES0047.mp3[691.560,696.800] OK UM AND THEN WHERE DO YOU LIVE CURRENTLY audio/RES0138.mp3[501.400,507.000] OKAY SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY ANY QUESTIONS FOR ME audio/RES0036.mp3[107.040,111.920] UHM YEAH ID SAY ITS GETTING ID SAY ITS GETTING WORSE audio/MSK0005.mp3[464.200,475.840] YEAH OK HOW ABOUT WHEN YOU FLEX YOUR WRIST WITH THE ELBOW STILL IN FULL EXTENSION audio/RES0076.mp3[217.600,223.280] NO NO FEVERS OR CHILLS AND I HAVENT HAD ANY HEADACHES EITHER 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/RES0024.mp3[115.760,120.160] ALRIGHT UM ANY NAUSEA OR VOMITING audio/RES0151.mp3[454.160,463.200] UH NOT THAT I KNOW OF YEAH I HAVENT SEEN ANYONE LIKE HAVE SYMPTOMS OR ANYTHING 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/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/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/MSK0036.mp3[621.200,623.320] HAVE YOU TRAVELED ANYWHERE audio/RES0195.mp3[72.800,76.800] OK AND THIS ALSO STARTED LIKE A FEW MONTHS AGO 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/RES0193.mp3[523.600,526.320] NO HES BEEN DOING WELL UH IN SCHOOL audio/RES0043.mp3[325.080,329.680] MAYBE A BIT OF LIKE A RUNNY NOSE audio/RES0158.mp3[254.800,259.880] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA CONSTIPATION audio/RES0188.mp3[213.400,218.920] OK AND UHM ANY CHANGES TO HIS BOWEL MOVEMENTS 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/RES0046.mp3[152.160,158.840] OK UM ANY WHEEZINESS 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/GAS0004.mp3[453.600,458.000] YEAH IVE GOT SOME PUFFERS THAT MY FAMILY DOC GAVE ME 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/RES0095.mp3[647.480,652.520] ALRIGHT UHM I I DONT I DONT THINK I ASKED HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0037.mp3[328.240,329.840] NO NOTHING LIKE THAT audio/MSK0034.mp3[238.000,241.360] SO NO SWELLING REDNESS OR ANYTHING LIKE THAT audio/RES0033.mp3[644.000,651.000] OK NOTHING LIKE IT IM NOT ADDICTED OR ANYTHING TO ANY DRUGS 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/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/RES0193.mp3[692.320,694.640] YOURE WELCOME ALRIGHT TAKE CARE 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/RES0049.mp3[340.760,343.160] UH NO I DONT THINK SO audio/RES0027.mp3[613.480,616.720] ALRIGHT AND DO YOU SMOKE MARIJUANA audio/RES0093.mp3[187.760,192.200] UH NO PAIN 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/GAS0004.mp3[541.520,545.520] OK HOW HOW MANY DRINKS PER WEEK WOULD YOU SAY audio/RES0014.mp3[220.080,222.600] UH NO HEARING IS FINE 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/MSK0018.mp3[29.880,33.760] OKAY UM AND SORRY WHEN WAS THIS EXACTLY audio/RES0126.mp3[42.920,46.920] OK AND WHEN DID THE SHORTNESS OF BREATH START audio/RES0042.mp3[468.200,477.800] NO MARIJUANA OK UM HOW ABOUT OTHER RECREATIONAL DRUGS audio/DER0001.mp3[56.280,59.560] SWOLLEN OK IS IT RED 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/RES0136.mp3[582.280,591.040] ONLY WHEN THE PAIN GETS UH TOO BAD SO MAYBE UM THREE OR FOUR TIMES A MONTH 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/RES0156.mp3[323.000,331.480] NO EVERYTHING WAS WAS NORMAL AND IT WAS A VAGINAL DELIVERY AT AT TERM 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/RES0069.mp3[235.920,243.880] SORT OF LIKE I JUST I FOUND IT REALLY HARD TO GET OUT OF BED THIS MORNING 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/RES0206.mp3[277.680,280.920] DIARRHEA OR CONSTIPATION audio/RES0043.mp3[303.000,309.760] OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS audio/RES0027.mp3[279.640,282.040] OK AND FEELING HOT TODAY audio/RES0083.mp3[446.480,463.400] YEAH I DO TAKE MAGNESIUM AND LIKE VITAMIN AND UH A MULTI VITAMIN audio/MSK0001.mp3[0.000,3.560] AND WHAT BRINGS YOU TO THE EMERGENCY DEPARTMENT TODAY 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/RES0184.mp3[550.560,554.200] ALRIGHT THANK YOU audio/RES0155.mp3[205.400,210.080] OK UM HAVE YOU HAD ANY FEVERS OR CHILLS audio/GEN0001.mp3[185.920,188.280] NOT THAT I CAN THINK OF audio/RES0071.mp3[334.760,339.360] NO BEEN JUST AT SCHOOL audio/RES0022.mp3[202.800,208.200] OK SO WOULD YOU SAY THAT YOU HAVE A LOSS OF TASTE RIGHT NOW 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/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/RES0030.mp3[108.760,115.800] YEAH I WOULD SAY THE COUGHS WERE GETTING WORSE THE LAST FEW YEARS SLOWLY THOUGH audio/MSK0041.mp3[459.400,461.360] UH NO audio/RES0136.mp3[59.840,68.240] UM ITS JUST UM ITS JUST A DRY COUGH audio/RES0134.mp3[643.720,647.960] OKAY UM AND DO YOU SMOKE CIGARETTES audio/RES0212.mp3[207.800,209.720] NO NO I DONT 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/RES0126.mp3[342.360,347.320] I HAVENT CHECKED IT RECENTLY BUT I DO FEEL A LITTLE HOT audio/RES0026.mp3[368.080,374.080] OK AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0073.mp3[411.520,420.480] OK DO YOU TAKE ANY OTHER MEDICATIONS OVER THE COUNTER PRESCRIBED audio/RES0204.mp3[247.040,249.640] AH NOPE NOT RECENTLY audio/RES0068.mp3[225.480,228.160] UH NO audio/GAS0001.mp3[483.960,489.880] ALRIGHT ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0122.mp3[212.000,219.160] OKAY AND UM DO YOU CURRENTLY WORK 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/RES0173.mp3[411.040,417.480] AND WHEN HOW LONG HAVE YOU BEEN ON THAT FOR audio/RES0175.mp3[97.840,100.200] A LITTLE BIT 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/RES0106.mp3[494.600,504.280] OK ANY OLD CARPETS AT HOME DUST MOLD ASBESTOS ANYTHING THAT WOULD BE TRIGGERING YOUR COUGH audio/RES0185.mp3[339.520,344.960] NO NO EVERYONE IN THE FAMILY IS HEALTHY audio/CAR0003.mp3[314.880,318.120] THERE IS SOME SWELLING audio/RES0082.mp3[427.600,428.760] NO I HAVENT 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/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/RES0187.mp3[196.160,199.240] OK ANY WEIGHT LOSS audio/RES0096.mp3[294.560,298.000] AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS 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/RES0194.mp3[358.880,361.800] NO IVE BEEN HEALTHY audio/RES0208.mp3[517.640,525.240] SURE OK AND DO YOU SMOKE OR DID YOU EVER SMOKE AT THE PAST audio/RES0201.mp3[403.600,405.240] OK IS THAT THE ONLY MEDICATION YOU TAKE 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/RES0013.mp3[231.520,240.480] OK ANY ABDOMINAL PAIN audio/RES0217.mp3[323.880,328.400] OK GOOD ANY OTHER FAMILY MEMBERS YOU THINK MIGHT HAVE BEEN EXPOSED audio/RES0199.mp3[304.320,308.880] OK DO YOU FEEL DEHYDRATED audio/RES0133.mp3[293.280,298.760] ALRIGHT IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS 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/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/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/RES0210.mp3[394.960,403.320] SO HAVE YOU HAD A LOT OF EXPOSURE TO CHEMICALS THROUGHOUT YOUR CAREER audio/RES0186.mp3[204.280,212.640] MHMM OK AND ANY CHANGES IN YOUR SMELL OR TASTE 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/RES0194.mp3[195.880,199.480] AND DID YOU MANAGE TO GET A TEMPERATURE AT ALL 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/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/RES0126.mp3[46.920,50.600] ABOUT TWO MONTHS AGO audio/RES0034.mp3[458.520,461.560] UH NO LIKE SHES NOT WHEEZING OR ANYTHING audio/RES0025.mp3[714.120,715.280] OK WILL DO THANK YOU 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/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/RES0217.mp3[506.880,511.080] NO PROBLEM OK ILL GO TALK TO THE DOCTOR WELL COME BACK AND TALK TO YOU OK 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/RES0026.mp3[524.120,528.360] OK AND WERE THERE ANY COMPLICATIONS WITH THE CSECTION audio/MSK0004.mp3[165.880,168.080] ON THE RIGHT ANKLE 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/RES0117.mp3[133.760,136.160] UM NO I DONT THINK SO NO audio/RES0135.mp3[237.760,241.160] OKAY AND HAS SHE HAD A RUNNY NOSE 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[631.080,638.120] NO IVE BEEN IVE BEEN AT HOME AND AND JUST GOING TO WORK audio/RES0030.mp3[261.960,266.720] OK AND HOW ABOUT YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA 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/MSK0015.mp3[616.840,625.680] OK AND THEN ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS IN THE FAMILY 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/RES0060.mp3[332.480,336.280] OK WHEN WHEN DID YOUR HEADACHE START audio/RES0149.mp3[270.120,272.200] ALRIGHT UM AND HAVE YOU HAD ANY DIARRHEA 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/RES0039.mp3[403.080,409.240] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0014.mp3[383.040,386.880] I THINK THAT WAS LIKE MORE THAN THREE YEARS AGO audio/RES0005.mp3[324.600,327.560] OK ANY NAUSEA OR VOMITING audio/MSK0001.mp3[189.120,192.840] OK ANY UH FEVERS OR CHILLS OR NIGHT SWEATS 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/RES0118.mp3[305.440,307.680] UM ANYTHING YOU TAKE MEDICATIONS FOR audio/RES0107.mp3[625.760,632.320] YEAH OK AND THEN DOES ANYONE AT HOME SMOKE audio/RES0191.mp3[371.320,373.840] OK AND DO YOU USE CONDOMS OR BIRTH CONTROL audio/RES0037.mp3[152.320,158.760] AH WELL I DID GO TO INDIA A FEW MONTHS AGO audio/MSK0010.mp3[0.000,1.360] HOW MAY I HELP YOU 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/MSK0006.mp3[33.360,41.240] OK AND BEFORE THAT DID YOU HAVE ANY PAIN AT ALL OR WAS IT JUST LIKE SUDDEN 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/RES0080.mp3[62.000,64.400] UHM YOU KNOW SOMETIMES audio/RES0066.mp3[320.000,326.960] SO OK ANY KIND OF BOWEL MOVEMENT ISSUES ANY CONSTIPATION OR DIARRHEA audio/RES0187.mp3[247.920,256.280] OK UHM HOW ABOUT UH LIKE CALF PAIN WHEN YOU DO A LOT OF WALKING 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/RES0047.mp3[352.840,354.640] NO IVE FELT OK 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/RES0159.mp3[237.360,240.920] OK ANY HEADACHES audio/RES0173.mp3[287.760,292.080] OK AND YOUVE BEEN FATIGUED AS WELL audio/RES0037.mp3[559.240,564.640] NO SURGERIES audio/CAR0003.mp3[374.200,376.960] ANY CHANGES IN YOUR APPETITE audio/RES0214.mp3[109.480,112.680] OK HOW LONG HAS THAT BEEN GOING ON FOR audio/RES0187.mp3[277.280,285.920] OK UH HOW ABOUT APPETITE CHANGES audio/RES0059.mp3[500.880,506.880] UM I WOULD SAY MAYBE I ENJOY IT ON THE WEEKENDS 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/RES0088.mp3[206.640,215.800] OK AND HAVE HER SYMPTOMS BEEN JUST CONSTANT OR DO THEY COME AND GO audio/RES0088.mp3[380.160,383.160] OK ANY URINARY PROBLEMS audio/MSK0037.mp3[289.280,294.040] OK AND HOW ABOUT ANY NIGHT SWEATS 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/RES0062.mp3[393.000,395.080] NO THATS BEEN NORMAL audio/MSK0027.mp3[268.840,270.680] HOW IS YOUR ENERGY BEEN audio/RES0078.mp3[80.760,88.440] SO NO COPNO ASTHMA NOTHING LIKE THAT RIGHT 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/RES0146.mp3[0.000,3.280] WHAT BRINGS YOU IN TODAY audio/RES0090.mp3[35.360,39.840] UHM BUT ITS NOT GETTING ANY BETTER AND ITS NOT STOPPING 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/RES0187.mp3[407.160,414.240] UHM JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS NOTNOTHING REGULAR audio/RES0110.mp3[470.840,474.040] UM ANY UM ANY WEIGHT LOSS RECENTLY audio/RES0060.mp3[268.040,274.520] UMM NO I CANT THINK OF ANYTHING audio/RES0108.mp3[107.160,109.400] OK UH ANY BLOOD THAT YOUVE SEEN audio/RES0063.mp3[582.400,589.040] NO NO IVE NEVER HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS NO NOTHING ELSE audio/RES0023.mp3[439.480,445.760] UM I THINK UM MY BROTHER HAS ASTHMA AND I THINK MY MOM HAS ASTHMA TOO audio/RES0139.mp3[197.920,201.400] OKAY AND HOWS YOUR APPETITE BEEN LIKE audio/MSK0042.mp3[392.800,397.240] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0027.mp3[179.720,185.080] OK AND ANY MUSCLE WEAKNESS THAT YOUVE NOTICED audio/RES0061.mp3[362.680,369.400] OK YOU SAID YOUVE BEEN FEELING GROGGY DO YOU FEEL DIZZY AT ALL audio/RES0134.mp3[93.920,96.440] NO NO BLOOD audio/RES0042.mp3[189.560,197.480] OK OK HOW ABOUT WEIGHT LOSS OH THATS OK HOW ABOUT WEIGHT LOSS audio/RES0186.mp3[382.920,389.400] ONE BEER A DAY OK AND WHERE DO YOU LIVE RIGHT NOW 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/RES0089.mp3[846.000,852.240] YEAH I GET IT FROM LIKE A MEDICAL DISPENSARY audio/RES0072.mp3[142.280,152.120] OK AND HAS YOUR SORE THROAT BEEN JUST CONSTANT OR DOES IT COME COME AND GO 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/RES0071.mp3[108.480,118.120] IT COMES AND GOES UH THROUGHOUT THE DAY NO PARTICULAR TIME OF THE DAY ITS WORSE 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/RES0043.mp3[388.360,393.160] OK ANY NAUSEA OR VOMITING audio/RES0208.mp3[477.200,485.840] AND ARE YOU CURRENTLY WORKING OR ARE YOU STAYING AT HOME audio/RES0142.mp3[82.000,86.160] UH NO HEADACHES audio/MSK0012.mp3[726.280,733.720] UM A LITTLE BIT OF LIMP YEAH IM PUTTING MORE WEIGHT ON THE LEFT LEG audio/RES0051.mp3[157.680,164.160] OK AND HOW HAS YOUR ENERGY LEVEL BEEN HAVE YOU BEEN FATIGUED audio/RES0051.mp3[28.800,33.520] I THINK ITS GETTING WORSE audio/RES0187.mp3[128.560,134.040] OK SO YOURE ABLE TO DO THOSE THINGS YOU JUST FEEL LIKE MAYBE YOURE TIRED audio/RES0202.mp3[489.840,494.120] OK ANY DOES HE HAVE ANY ALLERGIES audio/RES0188.mp3[309.680,312.680] YEAH NO ISSUES THERE SO FAR audio/RES0029.mp3[336.400,344.800] JUST MY FATHER HE HAS TYPE 2 DIABETES BUT NOTHING ELSE 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/RES0189.mp3[259.720,265.880] OK UH AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS audio/RES0121.mp3[160.680,166.120] UH NO NO MUSCLE ACHES UM NOTHING ELSE THAT I CAN THINK OF audio/RES0198.mp3[42.360,45.320] OK AND ARE YOU COUGHING AT ALL audio/RES0123.mp3[214.280,216.040] UH NO I DONT THINK SO 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/RES0178.mp3[469.200,471.480] NO SMOKING AT HOME audio/RES0123.mp3[518.320,521.480] NO NOT YET I HAVENT BEEN PUT ON ANY MEDICATIONS 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/RES0062.mp3[644.120,656.960] I AM YEAH IVE RECEIVED THE ZOSTER VACCINE FOR SHINGLES AND ALSO THE ONE FOR PNEUMONIA 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/GAS0001.mp3[473.720,477.800] OH GOSH LIKE LIKE A MONTH AGO PROBABLY audio/RES0134.mp3[0.000,4.040] WOULD YOU MIND STARTING WITH TELLING ME WHAT I CAN HELP YOU WITH TODAY audio/RES0077.mp3[336.200,341.480] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT ANYTHING LIKE THAT audio/RES0126.mp3[361.240,363.080] NO THEN YOUR WEIGHTS BEEN FINE audio/RES0119.mp3[514.560,516.360] UM NO NOT ANYMORE audio/RES0167.mp3[361.160,370.360] OH LIKE UH JUST SEASONAL NOT TO ANY MEDICATIONS OR ANYTHING audio/RES0118.mp3[308.360,313.480] ARE YOU ALLERGIC TO ANY MEDICATIONS audio/RES0112.mp3[149.480,156.160] UH HE HAS BEEN VERY IRRITABLE AND FUSSY audio/RES0156.mp3[533.800,537.400] OK YEAH THAT THAT SOUNDS GOOD THANK YOU audio/RES0175.mp3[0.000,1.800] HOW MAY I HELP YOU 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/RES0140.mp3[252.040,257.040] OKAY UM AND WHO DO YOU LIVE WITH 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/RES0154.mp3[88.640,94.280] OK IS IT IS THE DISCOMFORT WORSE WHEN YOU TAKE A DEEP BREATH audio/MSK0029.mp3[433.320,434.680] THATS BEEN NORMAL 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/RES0050.mp3[343.720,345.960] NO NOTHING LIKE THAT audio/RES0145.mp3[95.040,98.800] NO I IT HASNT DONE THAT audio/MSK0014.mp3[272.040,276.440] HAVE YOU HAD ANY CHEST PAIN OR YEAH HAVE YOU HAD ANY CHEST PAIN audio/CAR0005.mp3[173.840,179.920] OK BUT DO YOU FEEL LIKE YOU HAVE BEEN MORE STRESSED OUT IN GENERAL 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/MSK0026.mp3[538.440,540.960] ILL HAVE A GLASS OF WINE EVERY OTHER NIGHT audio/RES0205.mp3[162.600,167.160] OK UM HAVE YOU HAD ANY SORE THROAT audio/RES0192.mp3[282.120,287.400] HAVE YOU HAD ANY FAINTING OR LIGHTHEADEDNESS OR DIZZINESS audio/GEN0001.mp3[87.040,89.280] YEAH IM 30 audio/MSK0032.mp3[344.040,351.920] OKAY ANY UH FAMILY HISTORY OF MUSCULOSKELETAL ISSUES audio/RES0089.mp3[346.560,353.120] AH SOMETIMES I FEEL SWEATY BUT THATS JUST WITH THE SHORTNESS OF BREATH 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/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/CAR0005.mp3[578.280,581.080] RIGHT YEAH EXACTLY audio/RES0057.mp3[554.280,560.440] AND UH ANY ALLERGIES TO FOOD MEDICATIONS OR ENVIRONMENTAL ALLERGIES 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/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/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/RES0119.mp3[130.400,136.000] OK AND ARE HER SYMPTOMS UH CONSTANT OR DO THEY COME AND GO 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/RES0132.mp3[242.000,243.840] OR ANY URINARY PROBLEMS 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/RES0046.mp3[645.000,649.840] NO I HAVENT HEARD OF ANY ISSUES LIKE THAT IN MY FAMILY 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/RES0080.mp3[105.080,112.240] YEAH I DONT KNOW ITS KINDA YELLOW UH GREEN audio/RES0046.mp3[606.960,613.480] OK NOT EVEN OVER THE COUNTER MEDICATIONS OR VITAMINS OR HERBAL SUPPLEMENTS audio/MSK0040.mp3[79.960,86.360] OK I SEE AND AND YOUR FOOT KIND OF IT TURNED INWARDS WHEN YOU FELL 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/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/RES0168.mp3[197.040,202.280] UHM NO I HAVENT HAD ANY CHEST PAIN audio/CAR0001.mp3[354.280,357.680] OK DO YOU HAVE ANY NECK PAIN 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/RES0137.mp3[349.320,353.000] UM NO audio/MSK0005.mp3[259.560,266.040] UH NO I KINDA JUST FEEL IT RIGHT OVER THAT THAT ONE SPOT audio/RES0138.mp3[140.720,149.000] UH HAVE YOU TRIED ANYTHING LIKE OVER THE COUNTER TO HELP YOU RELIEVE THESE SYMPTOMS audio/MSK0026.mp3[437.720,439.280] I AM audio/RES0130.mp3[264.880,268.680] OKAY UM ANY CONFUSION OR MEMORY LOSS audio/RES0044.mp3[522.800,527.160] BUT THERE HAVENT BEEN ANY CHANGES RIGHT NOW 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/RES0049.mp3[550.680,553.640] OK HAVE YOU EVER THOUGHT ABOUT CUTTING DOWN audio/RES0129.mp3[309.200,313.360] NO HE WASNT HE WAS ABLE TO GO HOME 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/RES0211.mp3[105.160,111.160] NO WORRIES AND THEN ASIDE FROM THAT ANY NAUSEA ANY VOMITING audio/RES0017.mp3[70.360,75.160] OK AND HAVE YOU HAVE HAD ANY SHORTNESS OF BREATH 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/MSK0041.mp3[355.480,360.840] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0203.mp3[152.000,155.440] OK ANY HEADACHES 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/RES0130.mp3[381.400,384.960] NO HOW ABOUT FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0088.mp3[519.520,522.920] ANY CANCERS audio/RES0177.mp3[309.240,315.040] OK HAS HE SO HES NEVER HAD ANY HOSPITALIZATIONS OR SURGERIES audio/RES0056.mp3[0.000,2.160] WHAT BRINGS YOU IN audio/RES0047.mp3[480.400,486.840] UH I HAD AN ACL REPAIR LIKE WHEN I WAS A TEENAGER audio/MSK0044.mp3[87.560,93.200] ITS REALLY SHARP IT FEELS LIKE IM IM GETTING STABBED IN THE SHOULDER audio/RES0114.mp3[377.960,384.600] OK UM ALRIGHT AND ARE YOU TAKING ANY MEDICATIONS audio/MSK0031.mp3[378.080,386.440] JUST MAYBE LIKE A WINE WHAT EVERY OTHER DAY A GLASS OF OF WINE audio/RES0108.mp3[150.880,154.080] A SORE THROAT 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/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/RES0050.mp3[489.560,492.800] UHM OCCASIONALLY LIKE ONCE EVERY TWO WEEKS audio/RES0014.mp3[519.560,522.240] OH NO I DONT HAVE ANY PETS audio/RES0017.mp3[379.320,381.640] LOSS OF TASTE 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/RES0057.mp3[166.720,181.280] OK ALRIGHT OTHER THAN THE DIFFICULTY BREATHING AND THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS audio/MSK0015.mp3[503.520,510.240] OK AND DOES SHE TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED 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/RES0034.mp3[594.080,596.640] LESS WATER TOO audio/RES0151.mp3[185.560,193.960] I SEE ALRIGHT HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF TASTE audio/MSK0011.mp3[121.040,124.120] I DO YES THERES SOME SWELLING AND BRUISING 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/RES0051.mp3[452.480,453.520] UMM NO audio/MSK0026.mp3[546.080,547.800] NO I DONT audio/MSK0007.mp3[24.600,27.640] ITS ON THE MEDIAL SIDE audio/MSK0006.mp3[246.760,257.000] OK AND ARE YOU EXPERIENCING ANY SORT OF WEAKNESS WITH YOUR LEGS audio/RES0079.mp3[2.000,15.480] YEAH IVE HAD A FEVER AND A COUGH THAT STARTED JUST LIKE FOUR DAYS AGO audio/RES0077.mp3[599.640,608.360] I DID HAVE TUBES IN MY EARS WHEN I WAS LITTLE BUT THATS IT THOUGH audio/RES0105.mp3[617.320,621.760] I AM RETIRED 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/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/RES0052.mp3[320.960,326.680] OK AND HOW ABOUT ANY PAINFUL URINATION 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/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/RES0004.mp3[66.960,70.640] OK GOOD AND DOES YOUR NECK HURT TOO 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/RES0154.mp3[406.120,410.400] OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0020.mp3[447.360,456.440] UHM I DONT THINK SO UH I CANT I CANT RECALL ANY AUTOIMMUNE CONDITION audio/RES0091.mp3[188.880,190.840] UH NOPE 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/RES0208.mp3[411.600,416.560] ARE YOU TAKING ANY MEDICATIONS FOR EITHER PROBLEM audio/RES0187.mp3[210.400,214.400] TASTE OR SMELL audio/RES0127.mp3[200.600,208.080] I DIDNT TAKE IT TODAY I TRIED IT A COUPLE DAYS AGO audio/RES0110.mp3[547.040,556.240] ANY UM SO ARE YOU ON ANY MEDICATIONS UH OTHER THAN THE INSULIN 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/RES0164.mp3[339.040,342.280] NO NO NOTHING LIKE THAT audio/RES0178.mp3[596.560,600.360] YEAH THAT SOUNDS GOOD THANK YOU audio/RES0030.mp3[25.240,30.440] ITS GREEN SOMETIMES YELLOWISH audio/GAS0004.mp3[375.120,382.240] OK AND HAVE YOU NOTICED ANY FEVER OR CHILLS IN THE LAST FEW DAYS audio/RES0172.mp3[414.080,419.800] OK UHM HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK audio/MSK0028.mp3[497.560,504.800] OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0178.mp3[117.400,122.240] MORE JUST RUNNY YEAH HE DOESNT MENTION ANYTHING ABOUT FEELING STUFFY audio/RES0146.mp3[149.080,154.040] ITS PRETTY RUNNY IN IN YEAH ITS PRETTY RUNNING CLEAR audio/RES0101.mp3[577.320,581.040] NO OTHER DRUGS audio/RES0020.mp3[679.760,684.320] CANCER NO NO audio/RES0020.mp3[406.000,409.160] TYPE 2 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/RES0189.mp3[79.680,84.240] OK AND HAS IT BEEN GETTING ANY BETTER WORSE OR STAYING THE SAME 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/RES0013.mp3[319.520,321.240] OK OK GOOD audio/RES0057.mp3[602.360,607.200] OK WHAT ABOUT MARIJUANA audio/RES0026.mp3[224.520,230.160] OK AND DOES IT HAVE TO GET WORSE IF YOU LIE FLAT audio/RES0173.mp3[261.640,264.840] HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS audio/RES0089.mp3[116.960,121.840] UHM NO NOT THAT NO BLOOD 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/RES0053.mp3[394.480,404.440] OK AND THEN IN TERMS OF HIS BOWEL MOVEMENTS HAVE THINGS BEEN NORMAL FROM THAT STANDPOINT audio/RES0206.mp3[344.200,350.080] OK OK UM AND DID YOUR FRIEND GET A COVID TEST DONE 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/RES0063.mp3[71.560,81.720] OK AND IS IT HARD FOR YOU TO LIKE ARE YOU HAVING ISSUES VOCALISING AT ALL 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/RES0003.mp3[549.840,553.560] NO ONE SMOKES AT HOME 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/RES0097.mp3[610.800,615.440] NO JUST BEEN AT HOME audio/RES0139.mp3[566.960,570.920] UM YEAH SO WELL DO THE PHYSICAL EXAMINATION AND THEN GO FROM THERE 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/MSK0041.mp3[455.880,459.400] OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0177.mp3[363.000,371.120] UH NOPE HE HASNT HAD ANY ANY REASON TO BE HOSPITALIZED audio/RES0183.mp3[159.640,163.960] UHM NO I HAVENT NOTICED ANYTHING LIKE THAT 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/RES0138.mp3[357.560,364.320] OKAY ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES audio/RES0204.mp3[189.000,191.480] UH NO NO CHEST PAIN 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/RES0131.mp3[128.040,132.160] UH CONFUSION OR MEMORY LOSS audio/RES0131.mp3[71.360,74.120] UH MAYBE A LITTLE BIT YEAH audio/RES0191.mp3[227.480,236.200] OK UHM AND HAVE YOU HAD ANY SNEEZING audio/RES0183.mp3[437.640,442.920] ALRIGHT AND CURRENTLY WHO IS HE LIVING WITH 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/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/RES0184.mp3[433.880,438.640] OK HOW ABOUT ANY CANCERS audio/RES0019.mp3[472.720,474.280] I DONT audio/RES0126.mp3[209.640,217.040] YEAH YEAH I DO THATS THE ONE THAT IVE BEEN TRYING TO USE BUT audio/CAR0001.mp3[480.880,482.920] UH SOMETIMES 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/RES0088.mp3[75.600,77.720] IT WAS MORE OF A DRY COUGH audio/RES0111.mp3[343.000,344.640] OK ARE THINGS GOING WELL audio/MSK0036.mp3[417.800,425.920] HOW ABOUT ANY LIKE SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION OR HEARING audio/RES0164.mp3[322.040,331.000] HE I GUESS HE MIGHT HAVE HAD A FEVER HE WAS FEELING WARM 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/RES0032.mp3[213.520,215.880] OK AND HOW OFTEN HAS THIS BEEN HAPPENING audio/MSK0014.mp3[364.040,368.600] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS 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/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/RES0174.mp3[318.360,324.160] ANY DIARRHEA audio/RES0196.mp3[167.560,170.040] NO ANY NAUSEA OR VOMITING audio/MSK0044.mp3[306.120,309.560] UH NO I DONT BELIEVE SO audio/RES0173.mp3[539.880,546.160] UM JUST HIGH BLOOD PRESSURE MY MOM AND DAD HAVE IT audio/RES0069.mp3[580.880,582.640] ALL RIGHT WELL GET THAT STARTED audio/RES0091.mp3[235.120,242.200] OK HAVE YOU FELT ANY CHANGES IN YOUR SLEEP OR APPETITE audio/RES0011.mp3[670.400,676.000] OH YEAH YEAH I MEAN THATS YOU KNOW THE ROUTE THAT I USUALLY TAKE audio/RES0162.mp3[171.840,177.760] OK DO YOU HAVE DO YOU GET ANY PAIN IN YOUR CHEST AT ALL audio/MSK0029.mp3[512.160,516.640] UHM NO I HAVEN’T audio/RES0129.mp3[440.160,443.080] OK ANY TROUBLE RECENTLY audio/RES0143.mp3[434.960,436.280] UH NO audio/MSK0050.mp3[125.760,132.800] OK DOES FLICKING THE THE WRIST OR ANYTHING LIKE THAT DOES IT HELP audio/RES0001.mp3[407.920,410.200] UM NO HEADACHES audio/RES0136.mp3[557.840,566.480] OKAY AND UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA 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/RES0078.mp3[0.000,2.680] HOW MAY I HELP YOU audio/RES0017.mp3[588.480,599.200] OK AND ANYBODY IN THE FAMILY HAVE LIKE AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS OR OR LUPUS 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/MSK0035.mp3[197.240,202.080] OK HAVE YOU HAD AN INJURY LIKE THIS TO YOUR WRIST OR YOUR HAND BEFORE audio/MSK0010.mp3[310.760,315.800] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0087.mp3[117.680,123.000] OK ANY FEVERS audio/RES0126.mp3[721.040,724.320] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA 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/MSK0035.mp3[313.680,316.000] UH NO NOTHING LIKE THAT 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/RES0046.mp3[352.600,359.280] UH I MOSTLY FLUID IT UM YEAH ITS BEEN PRETTY PRETTY LOOSE audio/GAS0007.mp3[106.000,112.280] OK WAS IT JUST THE ONE TIME audio/RES0114.mp3[784.840,786.680] OK SOUNDS GOOD audio/RES0197.mp3[490.040,491.600] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0109.mp3[241.920,246.720] UM I DONT KNOW DOES DEPRESSION COUNT I DO HAVE DEPRESSION audio/MSK0041.mp3[83.680,90.320] OK AND HOW WOULD YOU DESCRIBE THE PAIN audio/RES0074.mp3[577.880,582.520] NO NEVER audio/RES0088.mp3[364.520,372.840] OK AND DOES SHE HAVE ANY SYMPTOMS OF ANY CHEST PAIN AT ALL 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/MSK0038.mp3[130.600,132.960] A SIX audio/RES0099.mp3[93.000,96.600] UH NO NOT REALLY audio/RES0005.mp3[391.160,392.720] NO NOTHING LIKE THAT audio/RES0156.mp3[139.640,143.360] UH UM NOT REALLY NO audio/RES0099.mp3[304.040,305.560] NO DIARRHEA audio/RES0020.mp3[43.880,48.880] ID SAY LIKE THE CENTER OF MY CHEST audio/RES0016.mp3[573.960,579.440] NO UM AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0020.mp3[100.680,105.560] UM I GUESS TAKING IN A DEEP BREATH 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/RES0086.mp3[337.040,341.320] CHEST PAIN 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/RES0030.mp3[304.160,307.160] UM NO I JUST USED ONE PILLOW audio/RES0110.mp3[703.560,709.440] OK THATS WONDERFUL UM HAVE YOU HAD ANY RECENT TRAVELS audio/CAR0001.mp3[461.320,463.080] I DO audio/RES0169.mp3[96.080,101.280] OK ALRIGHT AND WHEN DID THAT START audio/RES0029.mp3[279.400,283.120] OK AND HOW MANY HOURS AGO WAS THAT 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/MSK0041.mp3[182.360,185.880] I SAY ITS LIKE AN 8 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/RES0176.mp3[527.080,530.160] OK UH HAS ANYBODY BEEN SICK IN THE HOUSE audio/RES0057.mp3[238.880,243.720] HAVE YOU TAKEN ANYTHING FOR YOUR HEADACHE ANY PAIN MEDS audio/RES0184.mp3[60.640,68.480] OK HAVE YOU HAD ANY DISCHARGE FROM YOUR EYES OR EYE REDNESS OR ANY EYE PAIN 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/RES0079.mp3[110.200,113.840] OK SORE THROAT audio/RES0152.mp3[290.720,295.520] UH NO NOTHING LIKE THAT audio/MSK0008.mp3[229.880,235.280] ANY SENSORY CHANGES LIKE CHANGES TO VISION HEARING SMELL OR TASTE 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/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/RES0079.mp3[120.720,123.000] ANY WHEEZING 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/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/RES0050.mp3[511.840,515.240] OK HAVE YOU TRAVELED ANYWHERE audio/MSK0042.mp3[697.240,707.520] OKAY AND ARE YOU SEEING ANY UH LIKE JOINT DEFORMITIES OR OR ANYTHING LIKE THAT audio/RES0084.mp3[264.680,267.600] ANY CONFUSION OR MEMORY LOSS 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/RES0159.mp3[288.880,297.320] UM WHAT MEDICATIONS DO YOU TAKE audio/MSK0024.mp3[52.280,55.360] OK AND HOW OFTEN ARE YOU GETTING THESE SPASMS audio/RES0121.mp3[330.080,335.400] I SMOKED JUST A COUPLE LIKE TWO YEARS 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/GAS0004.mp3[176.440,190.360] UM I I DID GO TO UM I DID GO TO A NEW RESTAURANT 5 DAYS AGO audio/RES0182.mp3[456.800,461.040] OK HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS audio/RES0160.mp3[406.560,414.760] UHM I I TAKE UH MEDICATIONS FOR BLOOD PRESSURE AND HIGH CHOLESTEROL audio/RES0113.mp3[190.080,194.840] HAVE YOU HAD A SIMILAR HEADACHE IN THE PAST 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/CAR0002.mp3[96.520,101.080] NO IM KIND OF JUST FEELING IT RIGHT HERE ON THE LEFT SIDE audio/MSK0046.mp3[287.720,294.600] UM SO IM STILL WORKING ONLINE IVE JUST UM HAVENT BEEN TAKING NOTES BY HAND ANYMORE audio/RES0125.mp3[599.040,605.440] UH I JUST DRINK ON THE WEEKENDS MAYBE A GLASS OR TWO OF WINE audio/RES0030.mp3[124.600,130.120] YEAH IVE BEEN HAVING THIS ONGOING FOR THE LAST FEW YEARS audio/RES0001.mp3[314.240,319.800] OK DRY COUGH ANY CHANGES IN YOUR SKIN LIKE RASHES audio/MSK0022.mp3[596.360,601.360] UM THIS WAS ABOUT I LIKE FOUR YEARS AGO audio/RES0216.mp3[197.840,202.760] OK ANY NIGHT SWEATS SO WAKING UP AND THE SHEETS ARE SOAKED 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/RES0180.mp3[18.000,22.560] OK IM SORRY YOU SAID IT STARTED A DAY TWO DAYS AGO audio/RES0179.mp3[542.560,547.840] NO OK AND HOW ABOUT ALCOHOL DO YOU DRINK audio/MSK0034.mp3[590.440,595.320] UHM IM ABOUT 48 audio/RES0004.mp3[436.640,441.480] OK ANY NAUSEA OR VOMITING audio/CAR0001.mp3[514.880,522.160] OK HOW MUCH ALCOHOL DO YOU DRINK EACH WEEK audio/MSK0049.mp3[276.640,283.560] OK HAVE YOU HAD ANY CHANGES TO YOUR UH SENSE OF SMELL OR SENSE OF TASTE audio/RES0075.mp3[379.720,383.720] NO WEVE BEEN ALL PRETTY HEALTHY 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/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/CAR0001.mp3[108.680,111.080] YES DEFINITELY audio/MSK0021.mp3[262.040,266.200] NOPE I HAVENT HAD ANY DIARRHEA OR ANY BLOOD 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/RES0057.mp3[243.720,247.800] YEAH IVE BEEN TAKING SOME ADVIL ITS HELPED 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/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/RES0126.mp3[579.960,583.240] DO YOU KNOW THE COLOR AT ALL audio/RES0107.mp3[248.160,256.760] UM BUT ITS NOT YOU KNOW HES STILL HES STILL CHEERFUL HES NOT IRRITABLE OR ANYTHING audio/RES0028.mp3[409.280,417.080] YEAH I TAKE A DAILY BIRTH CONTROL PILL AND ALSO A DAILY MULTI VITAMIN 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/RES0046.mp3[501.200,505.600] ABOUT THE SAME audio/RES0191.mp3[342.640,344.120] I AM audio/MSK0026.mp3[498.080,501.560] I YES I AM 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/RES0066.mp3[307.760,316.880] OK AND DO YOU HAVE ANY SYMPTOMS LIKE A LOSS OF TASTE SENSE OF TASTE OR SMELL 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/RES0013.mp3[189.880,195.920] OH YEAH IT WAS LIKE GOING UP THE STAIRS CANT REALLY BREATHE IN AFTER audio/MSK0018.mp3[0.000,2.280] WHAT BRINGS YOU IN 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/RES0039.mp3[506.160,507.880] UH NO IM UH HEALTHY 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/CAR0003.mp3[406.240,411.280] NO NO audio/RES0110.mp3[383.720,386.040] NO THERES NO CHEST PAIN AT REST 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/RES0062.mp3[129.120,133.920] NO WELL MAYBE I GUESS WHEN IM REALLY SHORT OF BREATH YEAH WHEEZING YEAH audio/RES0201.mp3[270.320,278.240] THE TASTE AH MAYBE TWO DAYS AGO 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/RES0103.mp3[219.240,225.200] OK ANY CHANGES IN HER BOWEL MOVEMENT CONSTIPATION DIARRHEA 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/RES0134.mp3[214.600,216.360] ITS NEW 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/RES0060.mp3[426.400,434.840] YEAH UMM AND DO YOU FEEL ANY SORT OF BODY ACHES THAT GO ALONG WITH YOUR FATIGUE audio/RES0055.mp3[755.320,756.560] THANK YOU audio/RES0144.mp3[488.000,496.520] ALRIGHT CAN YOU TELL ME ABOUT ALLERGIES IS HE ALLERGIC TO ANYTHING THAT YOURE AWARE OF 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/RES0100.mp3[682.800,685.160] OK SO IT SOUNDS LIKE SOCIALLY audio/RES0119.mp3[231.360,238.520] OK AND ANY KIND OF UH RUNNY NOSE OR ANY OTHER SYMPTOMS AT ALL 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/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/GAS0003.mp3[253.880,257.960] NOTHING THAT IVE NOTICED NO I DONT THINK SO audio/RES0066.mp3[339.080,344.640] OK HAVE YOU LOST ANY WEIGHT RECENTLY 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/MSK0037.mp3[319.040,323.600] HAVE YOU HAD ANY I REDNESS OR OR ITCHY EYES audio/GAS0001.mp3[329.600,331.800] I DONT THINK SO audio/RES0151.mp3[273.240,276.040] UH NO NO DIARRHEA 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/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/RES0206.mp3[173.760,177.200] UHM WHEN WERE YOU DIAGNOSED WITH COPD audio/RES0046.mp3[542.960,548.920] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/MSK0019.mp3[590.320,597.320] OKAY OKAY HOW ABOUT WHEN YOU FLEX YOUR WRIST ALL THE WAY 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/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/RES0139.mp3[448.680,455.200] AGAIN THAT STARTED ABOUT TWO YEARS AGO SO 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/RES0039.mp3[418.800,424.280] OK ANY CHANGES AT ALL IN YOUR SLEEP audio/CAR0001.mp3[493.120,504.720] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OPIOIDS audio/MSK0007.mp3[389.360,390.080] I AM audio/MSK0015.mp3[521.440,527.080] NO I HAVENT REALLY GIVEN HER ANYTHING I DIDNT KNOW WHAT TO GIVE 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/RES0038.mp3[230.640,233.240] NO NOTHING LIKE THAT audio/MSK0041.mp3[0.000,2.400] HOW MAY I HELP YOU 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/RES0191.mp3[25.400,33.480] YEAH ITS A ITS MOSTLY CLEAR IT DOESNT IT DOESNT HAVE A COLOR TO IT audio/RES0122.mp3[166.560,169.240] ANY URINARY SYMPTOMS audio/RES0109.mp3[89.520,96.040] UH YEAH I USUALLY I DO GET A COLD UM COUPLE TIMES A YEAR audio/RES0148.mp3[493.240,494.920] UH NO 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/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/RES0057.mp3[289.320,304.320] WE CAN CHECK YOUR TEMPERATURE HERE AND HAVE YOU HAD ANY MUSCLE ACHES audio/RES0058.mp3[407.440,415.840] OK HOW ABOUT UMM NIGHT SWEATS OR CHILLS audio/RES0174.mp3[227.040,228.760] NO NO NO audio/RES0125.mp3[292.440,294.880] NO SO NO CONSTIPATION DIARRHEA audio/RES0078.mp3[189.320,193.080] OK HAVE YOU HAD A SORE THROAT audio/RES0071.mp3[361.280,366.920] OK AND WHEN DID THAT START audio/RES0062.mp3[64.040,65.840] I HAVENT NOTICED ANY BLOOD audio/RES0185.mp3[441.760,448.240] NO BEEN BEEN JUST AT HOME 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/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/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/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/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/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/RES0153.mp3[605.840,610.480] ALRIGHT SOUNDS GOOD 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/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/RES0050.mp3[70.760,78.000] I AM UMM AND IT LOOKS YELLOW AND SOMETIMES EVEN GREEN audio/RES0016.mp3[497.040,508.200] OK UM OK SO DO YOU LIVE BY YOURSELF AND WHERE DO YOU LIVE audio/RES0021.mp3[497.240,507.000] OK GREAT AND FOR EITHER OF YOUR PREGNANCIES WERE THERE ANY COMPLICATIONS audio/MSK0019.mp3[288.560,290.480] HOW OLD IS HE audio/RES0119.mp3[386.160,391.160] OK AND UM HAS SHE HAD ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/MSK0031.mp3[372.080,373.560] NO IVE NEVER SMOKED 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/MSK0042.mp3[213.920,218.920] OKAY THATS GOOD AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION audio/MSK0023.mp3[141.920,149.440] OK ALRIGHT ARE YOU HAVING OTHER SYMPTOMS LIKE FAINTING DIZZINESS 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/RES0044.mp3[442.800,444.600] YEAH EXACTLY audio/RES0035.mp3[435.920,439.560] SINCE I WAS 18 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/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/RES0043.mp3[235.720,243.960] OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST 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/MSK0043.mp3[412.000,422.200] OKAY UM DO YOU TAKE ANYTHING FOR MEDICATE MEDICATION FOR YOUR DIABETES audio/RES0036.mp3[370.920,374.880] OK HAVE YOU EXPERIENCED ANY KIND OF HEADACHES WITH NAUSEA OR VOMITING audio/RES0070.mp3[387.600,395.440] OK ARE YOU TAKING ANY MEDICATIONS CURRENTLY FOR EITHER OF THOSE audio/RES0120.mp3[561.560,567.040] OKAY AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH WOULD YOU SMOKE EVERYDAY audio/RES0126.mp3[487.800,493.880] UHM SOMETIMES WHEN I BREATHE IN VERY DEEP audio/MSK0018.mp3[509.560,513.040] UH NO I THINK THATS UH THATS GREAT 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/RES0186.mp3[70.280,74.200] OK UHM SO NO SPUTUM OR BLOOD audio/RES0198.mp3[182.480,185.520] UM NO UM NOT THAT IVE NOTICED audio/RES0086.mp3[492.320,498.960] OK OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0007.mp3[671.040,675.400] IS THAT LIKE WHEN YOU BREATHE IN THAT THE TUBE 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/RES0127.mp3[511.200,516.480] HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA 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/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/RES0155.mp3[231.720,244.160] OK UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT 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/RES0163.mp3[510.200,511.920] UH ANY ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0026.mp3[402.720,405.160] HAVE YOU HAD ANY SURGERIES BEFORE audio/RES0064.mp3[202.440,203.040] YEAH YEAH audio/MSK0032.mp3[203.600,207.480] OKAY HOW ABOUT MEMORY LOSS OR CONFUSION 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/RES0213.mp3[273.200,278.080] GOT IT HAVE YOU EVER FELT THIS PAIN BEFORE ANYTIME IN YOUR LIFE audio/RES0058.mp3[626.600,631.560] WITH LIKE MARIJUANA audio/RES0055.mp3[604.160,608.320] NO NO MARIJUANA NO OTHER DRUGS audio/RES0123.mp3[132.400,136.000] DO YOU HAVE NAUSEA OR VOMITING audio/MSK0021.mp3[399.800,403.960] NO OK HOW ABOUT CANCERS audio/RES0161.mp3[109.040,119.320] UHM OVER THE LAST WEEK ITS KIND OF LIKE ALMOST LIKE A YELLOWISH DISCHARGE audio/RES0068.mp3[569.800,572.320] NO I HAVENT 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/RES0048.mp3[697.760,701.040] ANY OTHER RECREATIONAL DRUGS YOU SAID NO RIGHT audio/RES0014.mp3[528.560,531.600] NOPE NEVER TRIED MARIJUANA 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/MSK0022.mp3[315.840,321.520] I THINK I HAVE LIKE MORE THAN 10 JOINTS THAT ARE SWOLLEN AND PAINFUL 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/RES0194.mp3[64.800,68.720] OK AND WHERE ARE YOU GETTING YOUR MUSCLE ACHES audio/RES0126.mp3[626.720,629.440] IM RETIRED 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/RES0127.mp3[510.120,511.200] NO NOT AT ALL audio/RES0126.mp3[633.040,636.120] I WAS I WAS A MECHANIC AT CHRYSLERS audio/RES0042.mp3[422.600,425.640] I THINK SO audio/RES0106.mp3[70.640,75.640] OK OK ANY DO YOU EVER FEEL SO IT JUST HURTS AFTER COUGHING audio/RES0085.mp3[395.840,400.040] OK AND DOES ANYONE AT HOME SMOKE 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/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/RES0195.mp3[220.360,230.600] IT JUST FEELS LIKE YEAH I CAN TAKE IN A FULL DEEP BREATH audio/RES0076.mp3[530.160,532.120] UHM I DONT THINK SO audio/MSK0017.mp3[405.160,409.160] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0209.mp3[420.800,424.640] ANYONE ELSE IN THE FAMILY HAVE ANY ALLERGIES audio/RES0183.mp3[397.320,398.960] UH NO audio/RES0060.mp3[758.720,762.240] OK HOW ABOUT MARIJUANA audio/RES0134.mp3[288.960,295.120] OKAY AND UM HAVE YOU HAD ANY UM MUSCLE ACHES OR BODY PAINS audio/RES0123.mp3[485.720,486.840] ANY ALCOHOL audio/RES0141.mp3[179.600,182.400] ANY DIARRHEA OR CONSTIPATION audio/RES0022.mp3[0.000,4.800] WOULD YOU MIND BY START STARTING TO TELL ME ABOUT WHAT BROUGHT YOU IN TODAY audio/MSK0003.mp3[553.440,556.000] UHM NEVER audio/RES0083.mp3[156.040,159.200] YEAH KIND OF BOTH SIDES audio/RES0088.mp3[374.200,378.800] OK ANY CHANGES IN HER BOWEL MOVEMENTS ANY CONSTIPATION DIARRHEA audio/RES0126.mp3[647.880,652.000] WORKPLACE OR HOME EXPOSED TO ANY ASBESTOS OR ANYTHING LIKE THAT 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/MSK0031.mp3[419.880,430.120] UH NO IVE IVE BEEN LIKE AT HOME WITH MY HUSBAND WE HAVENT REALLY LEFT audio/MSK0007.mp3[494.040,495.360] UM NO audio/RES0185.mp3[569.080,574.600] TAKE CARE THANK YOU audio/RES0059.mp3[61.120,67.240] OK DID YOU ACTUALLY TAKE YOUR TEMPERATURE OR DO YOU JUST FEEL HOT 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/RES0068.mp3[74.920,84.240] LIKE PROBABLY ENOUGH TO FILL THE INSIDE OF MY PALM audio/RES0022.mp3[694.680,699.040] OK AND ANY ALLERGIES audio/RES0011.mp3[792.720,798.360] NO NO audio/RES0063.mp3[420.960,427.600] OK OK AND THEN ANY CANCERS IN THE FAMILY 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/RES0148.mp3[494.920,500.560] OK UM AND DO YOU SMOKE CIGARETTES audio/RES0180.mp3[270.040,275.480] OK ANY NAUSEA OR VOMITING audio/RES0055.mp3[501.880,507.920] YEAH MY FATHER DIED OF A HEART ATTACK IN HIS 60S 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/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/RES0021.mp3[516.680,521.480] OK EXCELLENT AND WHAT DO YOU DO FOR WORK 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/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/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/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/RES0182.mp3[217.200,219.880] HAVE YOU HAD ANY WHEEZING audio/MSK0040.mp3[86.360,88.440] YES THATS RIGHT audio/RES0058.mp3[439.160,443.760] HAVE YOU BEEN AROUND ANYONE WHOS BEEN SICK RECENTLY 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/RES0114.mp3[546.040,553.880] CANCERS I THINK MY UNCLE FROM MY FATHERS SIDE UM HAD UH BLADDER CANCER audio/RES0055.mp3[540.920,546.480] OH I SEE OK OK THATS GOODDO YOU SMOKE audio/RES0123.mp3[289.640,292.040] UH A DRY COUGH audio/RES0088.mp3[479.880,486.520] I KNOW SHE HAS SEASONAL ALLERGIES BUT THATS ABOUT IT audio/RES0047.mp3[650.440,654.000] YEAH THAT WOULD BE GREAT 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/RES0079.mp3[227.240,233.040] UH DEPRESSION AND ANXIETY audio/RES0083.mp3[359.000,367.160] I SEE OK AND ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY audio/RES0173.mp3[298.040,302.840] ANY SKIN CHANGES OR RASHES audio/MSK0045.mp3[466.080,469.240] I HAVE TO PRESS PRETTY HARD FOR IT TO HURT audio/RES0178.mp3[69.680,74.000] NO HIS BREATHING HAS BEEN BEEN GOOD audio/RES0143.mp3[356.440,360.240] YEAH JUST MY PARENTS AND ME 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/MSK0050.mp3[347.120,354.320] OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE 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/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/RES0102.mp3[491.880,497.680] OK ANY ISSUES WITH YOUR SLEEP AND APPETITE audio/RES0191.mp3[176.640,179.840] OK HAVE YOU HAD ANY LOSS OF APPETITE audio/RES0129.mp3[369.440,370.360] UH NO 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/RES0123.mp3[136.000,138.200] UH NO NO NAUSEA OR VOMITING audio/RES0105.mp3[159.520,164.480] OK I SEE AND ARE ALL OF YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO audio/RES0201.mp3[306.600,311.280] I DONT THINK SO audio/RES0114.mp3[430.280,437.240] OK OK UH DO YOU FIND THEYRE NOT WORKING AS MUCH AS THEY USED TO THOUGH audio/RES0185.mp3[105.840,107.680] NO SPUTUM OR OR BLOOD audio/RES0039.mp3[594.080,601.920] OK ANY HEART ATTACKS IN THE FAMILY OR ANY AUTOIMMUNE CONDITIONS audio/RES0017.mp3[434.200,437.840] NO NOT THAT I REMEMBER audio/RES0047.mp3[339.720,342.360] UM HOW ABOUT A SORE THROAT audio/MSK0029.mp3[805.960,809.880] NO PAIN OR YEAH NO PAIN THERE audio/MSK0049.mp3[390.000,395.360] OK SO JUST A LITTLE BIT OF SWELLING IN YOUR LEFT KNEE BUT NO OTHER JOINTS audio/RES0211.mp3[365.160,369.440] OK DAD HAS ALLERGIES OK MOTHER AND FATHER STILL ALIVE audio/RES0081.mp3[121.720,125.040] OK AND WHEN DID THE COUGH START audio/MSK0044.mp3[339.840,349.360] OKAY ANY WEAKNESS IN YOUR UPPER OR LOWER EXTREMITIES BESIDES LIKE THE AREA THATS AFFECTED audio/RES0022.mp3[840.880,846.680] OK ALRIGHT HOW ABOUT THAT USE LIKE ANY LIKE EDIBLES OR ANYTHING LIKE THAT 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/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/MSK0046.mp3[250.760,255.800] OK UM ANY CANCERS IN THE FAMILY audio/RES0035.mp3[78.480,82.600] OK AND HAVE YOU NOTICE AT ALL COUGHING UP ANY BLOOD 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/MSK0025.mp3[613.400,616.040] I AM audio/RES0092.mp3[336.920,339.400] UH NO audio/RES0210.mp3[0.000,4.360] SO CAN YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN HERE TODAY audio/RES0181.mp3[203.440,208.040] OK HOW ABOUT ANY URINARY PROBLEMS audio/RES0148.mp3[135.440,136.480] UHM NO audio/RES0044.mp3[381.960,384.600] UH NO audio/RES0056.mp3[293.120,298.760] EVERYTHING NORMAL THERE YEAH NO TROUBLE audio/MSK0012.mp3[0.000,1.760] WHAT BRINGS YOU IN HERE TODAY audio/RES0159.mp3[90.840,94.520] NO NOTHING LIKE THAT audio/RES0017.mp3[447.360,450.920] OK UM AND ANY ABDOMINAL PAIN audio/MSK0005.mp3[431.240,432.880] UH NO NO PAIN 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/MSK0033.mp3[317.040,322.240] NO I HAVENT HAD ANY CHANGES THERE 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/MSK0005.mp3[822.560,825.000] YEAH NO WORRIES audio/RES0150.mp3[664.280,672.800] AND THEN UH WE COULD TALK MORE ABOUT THE VACCINATION UM LATER audio/RES0070.mp3[414.920,417.280] DRINK ALCOHOL audio/MSK0017.mp3[722.680,727.640] AND KIND OF POINT YOUR KNEES TOWARDS THE GROUND audio/RES0202.mp3[403.560,407.240] OK ANY CHANGES IN HIS URINE 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/RES0138.mp3[464.840,469.360] UM ID SAY 45 YEARS 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/MSK0034.mp3[206.080,210.000] HOW WOULD SAY LIKE AN 8 audio/RES0156.mp3[316.680,323.000] OK AND ANY UM COMPLICATIONS DURING THE PREGNANCY WITH HER 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/RES0181.mp3[259.520,263.520] OK EXCELLENT AND DO YOU SEE AN ENDOCRINOLOGIST FOR THAT audio/RES0026.mp3[340.680,348.440] ALRIGHT AND HOW ABOUT ANY HEART PALPITATIONS audio/RES0128.mp3[293.240,296.120] NO HE DOESNT TAKE ANYTHING RIGHT NOW 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/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/RES0191.mp3[428.120,432.280] OK AND UH ARE THERE ANY CANCERS IN THE FAMILY 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/MSK0011.mp3[741.880,745.640] OK THAT SOUNDS GOOD THANK YOU audio/MSK0029.mp3[636.400,641.480] NO I DONT 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/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/MSK0005.mp3[375.280,383.560] NO OK DOES IT SEEM MISALIGNED OR LIKE ASYMMETRICAL COMPARED TO YOUR OTHER ELBOW 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/RES0216.mp3[624.960,627.640] THANK YOU audio/GAS0004.mp3[97.920,101.520] OK ANY BLOOD IN YOUR STOOL THAT YOUVE NOTICED audio/RES0003.mp3[553.560,557.440] NO OK UM ANY CARPETS AT HOME OLD CARPETS audio/RES0004.mp3[810.160,820.840] YEAH FOR SURE AND ARE YOU AND YOUR GIRLFRIEND IN AN EXCLUSIVE RELATIONSHIP audio/MSK0038.mp3[659.840,662.600] OK HOW ABOUT LIKE THE PATELLAR TENDON 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/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/RES0126.mp3[533.080,539.560] OK AND OTHER THAN COPHAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/MSK0010.mp3[163.800,167.080] ITS MORE ACHY audio/MSK0001.mp3[261.400,264.240] NO THE WEIGHTS BEEN ABOUT THE SAME audio/RES0134.mp3[331.040,334.800] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN 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/RES0141.mp3[314.760,323.400] I DO GET LIKE A AN ANAPHYLACTIC REACTION audio/RES0153.mp3[258.040,261.040] OK HAVE YOU HAVE YOU HAD ANY DIARRHEA audio/RES0143.mp3[183.840,185.400] NO NO audio/RES0191.mp3[120.360,123.320] ANY EAR PAIN OR EAR DISCHARGE audio/RES0026.mp3[572.440,582.680] YES OK SO MY AUNTS HAD IT AS WELL AS MY MOTHER audio/RES0033.mp3[337.120,340.600] OK UM ANY URINARY PROBLEMS audio/RES0185.mp3[39.880,45.480] UH YEAH THAT STARTED ABOUT TWO DAYS AGO audio/MSK0023.mp3[126.640,133.360] OH ID SAY THIS IS LIKE A 9 OR A 10 THIS IS ITS REALLY PAINFUL audio/RES0078.mp3[73.880,78.600] OK DO YOU HAVE A HISTORY OF ANY LUNG PROBLEMS audio/RES0061.mp3[432.200,441.680] YEAH THATS UNDERSTANDABLE BUT ITS NOT LIKE THE WORST HEADACHE YOUVE EVER HAD 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/RES0181.mp3[416.800,420.680] OH NO NO NOTHING LIKE THAT audio/RES0070.mp3[341.840,343.640] ANY DIARRHEA 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/RES0107.mp3[391.000,392.720] NO NO COMPLICATIONS audio/RES0044.mp3[653.320,655.760] YEAH SOMETHING LIKE THAT audio/RES0078.mp3[411.960,415.440] CHANGES IN YOUR SENSE OF SMELL audio/RES0177.mp3[266.720,270.920] OK CONFUSION OR MEMORY LOSS audio/RES0014.mp3[535.160,541.320] NO I DONT SMOKE MARIJUANA OR CIGARETTES audio/RES0105.mp3[427.360,432.120] THATS BEEN THATS BEEN NORMAL BEEN EATING WELL 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/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/RES0148.mp3[0.000,1.600] HOW MAY I HELP YOU audio/RES0062.mp3[387.920,393.000] OK ANY CHANGES IN YOUR VISION OR HEARING 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/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/RES0185.mp3[171.760,177.840] NO OK UHM AND THEN ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0098.mp3[179.440,184.280] OK AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/GAS0001.mp3[342.440,345.400] MUSCLE ACHES 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/GAS0003.mp3[296.280,302.680] OK ANY RECENT INFECTIONS RECENTLY AT ALL audio/RES0050.mp3[84.880,89.840] I GUESS SOME BUT IT WAS CLEAR audio/RES0155.mp3[554.960,560.360] OK UM AND ANY CANCERS IN THE FAMILY audio/MSK0020.mp3[139.360,141.800] ITS MAINLY IN THOSE AREAS 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/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/RES0012.mp3[669.320,675.240] OK OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0048.mp3[422.880,429.800] OK UM ANY ISSUES SWALLOWING FOOD audio/RES0186.mp3[358.600,360.560] NO NOT I DONT SMOKE audio/RES0029.mp3[63.520,75.800] OK AND UM ANYTHING THAT YOUVE BEEN DOING THATS THATS MADE THE PAIN WORSE 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/MSK0024.mp3[66.560,72.680] ITS PRETTY CONSTANT BUT IT GETS WORSE WITH CERTAIN THINGS audio/RES0005.mp3[31.040,35.840] OK AND THE COUGH STARTED TWO YEARS AGO 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/RES0185.mp3[559.520,566.360] YEAH FOR SURE I HAVENT HAD ANY ANY SYMPTOMS LIKE THAT SO SO FAR SO THATS GOOD audio/RES0120.mp3[323.400,329.000] OKAY AND WERE THEY WEARING MASKS OR WERE YOU WEARING A MASK 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/RES0059.mp3[199.520,207.080] I FELT PRETTY UH WELL YEAH I GUESS ACHY AND WEAK audio/RES0171.mp3[457.040,461.160] OK HAVE YOU TRIED CUTTING IT DOWN AT ALL 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/RES0177.mp3[397.200,399.480] NO ALLERGIES 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/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/MSK0023.mp3[236.360,239.520] OK ANY RASHES OR SKIN CHANGES audio/RES0180.mp3[488.120,495.800] I WAS JUST WELL WORRIED ABOUT COVID AND WAS JUST WONDERING WHAT I SHOULD DO audio/RES0091.mp3[44.720,50.720] OK AND HAVE YOUR SYMPTOMS HAVE THESE SYMPTOMS GOTTEN WORSE AT ALL audio/RES0016.mp3[418.160,423.440] OK GOOD UM ANY ALLERGIES audio/RES0067.mp3[288.720,292.520] AND CURRENTLY WHO DOES SHE LIVE WITH AT HOME audio/RES0005.mp3[203.240,206.560] YEAH I THINK SO audio/RES0215.mp3[510.480,513.520] NO SURGERIES 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/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/RES0138.mp3[0.000,2.160] WHAT BRINGS YOU IN HERE TODAY 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/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/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/RES0091.mp3[271.560,274.160] UH NOPE NO ALLERGIES EITHER audio/RES0148.mp3[357.480,363.400] ALRIGHT AND UM ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE audio/MSK0031.mp3[251.480,256.760] NO NOTHING audio/RES0012.mp3[1039.600,1041.280] OK YEAH audio/MSK0016.mp3[305.560,310.840] OK CHEST PAIN OR HEART PALPITATIONS 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/RES0183.mp3[337.240,343.480] OK AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST 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/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/MSK0013.mp3[549.800,557.960] AH YEAH AGAIN THATS SOMETHING THAT IM HOPING TO QUIT DOING IN THE FUTURE AS WELL audio/RES0014.mp3[165.400,171.120] NO I DONT ITS MOSTLY JUST A DRY COUGH I DONT COUGH UP ANYTHING audio/RES0081.mp3[456.640,460.640] JUST THE DERMATITIS AND ASTHMA audio/RES0019.mp3[588.480,592.240] OK IS THIS DAILY audio/RES0089.mp3[831.120,839.760] I USE UHM PARDON ME WHAT WAS THAT DO I USE 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/RES0186.mp3[247.720,254.560] YEAH HAVE YOU HAD ANY DIZZINESS OR FAINTING SPELLS audio/RES0183.mp3[502.680,509.360] UHM ITS USUALLY HIS HIS MOM YEAH 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/RES0019.mp3[323.600,328.240] OK HAVE YOU EXPERIENCED ANY CHEST PAIN 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/CAR0003.mp3[261.480,265.080] NO RECENT SURGERIES NO audio/RES0067.mp3[98.160,101.480] YEAH IVE NOTICED SOME OF THAT audio/RES0090.mp3[353.200,356.440] NO NO ALLERGIES audio/RES0126.mp3[129.800,136.000] OK AND IS IT WORSE AT ALL WHEN YOU LAY DOWN audio/RES0125.mp3[441.320,443.920] SEVEN YEARS AGO OKAY AND WERE THERE ANY FINDINGS AT ALL audio/RES0116.mp3[323.760,333.720] NO OK UM ALRIGHT AND HOW ABOUT UH NAUSEA OR VOMITING audio/RES0181.mp3[138.440,143.280] OK HOW ABOUT ANY COUGH audio/RES0148.mp3[77.720,84.320] AND HAVE YOU HAD ANY SHORTNESS OF BREATH audio/MSK0038.mp3[680.440,689.600] OK AND NOW LETS DO SOME UM MOVEMENTS WITH YOUR LEG UM ARE YOU SITTING DOWN audio/RES0099.mp3[278.800,288.720] OK UHM AND HAVE YOU NOTICED ANY SWELLING TO ANY OF YOUR EXTREMITIES LIKE YOUR ANKLES audio/MSK0007.mp3[267.040,269.800] OK HAVE YOU HAD ANY SKIN RASHES audio/RES0126.mp3[598.480,601.000] OK AND WHEN WAS THAT audio/RES0116.mp3[279.840,283.640] NO UM HOW ABOUT COUGHING audio/RES0124.mp3[609.120,615.640] UH ILL COME IVE I HAVENT TRIED IT UM YET AT ALL audio/CAR0003.mp3[516.000,525.080] OK AND ANY FAMILY HISTORY OF ANY CANCERS OR HEART ATTACKS audio/MSK0008.mp3[338.120,343.120] OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0046.mp3[290.400,292.520] NO I HAVENT 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/RES0014.mp3[363.360,366.200] NO NOTHING LIKE THAT audio/RES0207.mp3[199.080,201.240] OK ANY DIARRHEA 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/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/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/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/RES0130.mp3[242.480,245.200] NO UH HEADACHES audio/RES0116.mp3[587.240,591.640] OK OK THREE WEEKS AGO ALRIGHT UM TRAVEL TO ANYWHERE RECENTLY audio/MSK0003.mp3[139.640,145.560] OK AND HAVE YOU EVER HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO THIS audio/RES0100.mp3[473.800,482.160] OK AND YOUVE HAD SOME BODY ACHES UH HAVE YOU HAD ANY JOINT PAINS audio/RES0028.mp3[305.000,306.560] NO BLOOD audio/RES0139.mp3[336.320,338.120] YEAH IVE BEEN WORKING FROM HOME audio/RES0019.mp3[192.600,201.880] OK AND HAVE YOU HAD ANY EYE SYMPTOMS SUCH AS DISCHARGE TEARING OR OR ITCHINESS audio/RES0065.mp3[152.600,160.320] OK AND HAVE YOU BEEN AROUND ANYONE THAT HAS BEEN SICK RECENTLY audio/RES0083.mp3[413.360,417.200] OK AND DO YOU CONSUME ALCOHOL 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/RES0080.mp3[227.440,232.760] I SEE OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0139.mp3[44.680,48.240] NOT REALLY audio/RES0021.mp3[0.000,4.800] I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU IN 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/RES0018.mp3[280.040,284.840] ALRIGHT UM HAVE YOU BEEN HAVING ANY ABDOMINAL PAINS 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/RES0108.mp3[321.560,324.200] OK WHAT DO YOU DRINK AND HOW MUCH DO YOU DRINK 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[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/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/RES0211.mp3[65.040,68.000] I HAVE FELT REALLY HOT audio/RES0046.mp3[717.560,719.040] UH NO 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/RES0114.mp3[278.880,282.600] OK OK AND HOW LONG HAS THAT BEEN GOING ON audio/RES0139.mp3[270.960,273.720] NO AND UM WHAT MEDICATIONS ARE YOU ON audio/RES0160.mp3[367.000,374.280] PROBABLY HALF A PACK A DAY audio/RES0156.mp3[410.960,416.680] OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0126.mp3[0.000,2.800] WHAT BRINGS YOU HERE TODAY audio/MSK0033.mp3[511.520,514.640] OK AND ARE YOU ABLE TO RUN audio/RES0078.mp3[497.960,500.520] ANY ALLERGIES audio/MSK0006.mp3[654.320,662.920] UM YEAH THERE IS UH A LITTLE BIT OF TENDERNESS UM OVER THE BUTTOCK AREA audio/MSK0050.mp3[204.000,207.000] OK SO YOURE LIKE DROPPING ITEMS AND STUFF audio/MSK0034.mp3[736.440,738.960] OK THAT SOUNDS GREAT THANK YOU SO MUCH 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/RES0075.mp3[210.360,211.840] UH NO audio/RES0063.mp3[713.920,722.080] OK I JUST NEVER TOOK THOSE VACCINES BUT ILL DO THAT FROM NOW ON audio/RES0031.mp3[523.840,526.560] UH NO IVE NEVER TRIED CIGARETTES audio/RES0022.mp3[670.720,673.960] YEAH LIKE HEAVIER EXERCISE 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/RES0021.mp3[229.360,233.000] OK SO YOU YOU DO YOU HAVE ANY HEADACHES 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/RES0122.mp3[143.720,147.680] YEAH I SEE DO YOU HAVE ANY DIFFICULTY SWALLOWING 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/MSK0006.mp3[956.120,958.880] YEAH THAT SOUNDS GOOD THANK YOU 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/RES0022.mp3[683.200,685.760] ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE audio/CAR0002.mp3[275.440,282.600] OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR SKIN AT ALL ANY RASHES 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/RES0152.mp3[280.960,283.560] ANY DIARRHEA audio/RES0136.mp3[591.040,601.600] OKAY AND DO YOU USE ANY ALCOHOL audio/RES0176.mp3[401.560,404.960] NO IVE BEEN VERY HEALTHY audio/MSK0026.mp3[302.520,303.720] UM NO audio/RES0105.mp3[682.160,691.000] OK AND DO YOU DRINK ALCOHOL AT ALL audio/RES0184.mp3[438.640,442.480] I THINK LIKE COLON CANCER RUNS IN THE FAMILY audio/RES0031.mp3[28.560,35.800] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS SHARP BURNING STINGING DULL 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/RES0111.mp3[169.080,172.120] OK ANY DIARRHEA OR CONSTIPATION 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/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/MSK0011.mp3[90.480,95.200] OK SO IT WAS IT WAS MAINLY YOUR HAND THAT GOT INJURED 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/RES0056.mp3[248.720,252.080] NO I DONT THINK SO 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/MSK0005.mp3[819.640,822.560] YEAH THAT THAT SOUNDS UM GOOD THANK YOU audio/RES0015.mp3[480.280,483.320] NO NO SWELL LEG SWELLING audio/RES0080.mp3[675.120,676.680] ALRIGHT WELL GET THAT STARTED audio/RES0052.mp3[364.480,373.480] OK AND HAS SHE BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE audio/RES0035.mp3[360.800,363.320] NO PREVIOUS SURGERIES audio/RES0189.mp3[330.440,334.880] OK HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT audio/RES0184.mp3[136.080,143.680] AH NO COUGH LIKE NOW UHM I I DID HAVE A SLIGHT COUGH LAST WEEK audio/RES0028.mp3[424.360,428.040] UM FOR TWO YEARS 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/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/MSK0037.mp3[446.520,448.680] ITS JUST A STATIN audio/MSK0011.mp3[37.000,40.560] OK AND WHICH RIGHT WHICH HAND IS THIS audio/RES0089.mp3[508.480,512.960] OK AND WHEN WERE YOU DIAGNOSED WITH BOTH OF THEM 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/RES0058.mp3[274.240,281.160] NOT REALLY OR JUST KIND OF YEAH KIND OF SCRATCHY audio/RES0096.mp3[301.000,304.040] ABOUT 20 POUNDS audio/RES0073.mp3[262.240,263.800] NO WHEEZING 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/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/RES0079.mp3[491.520,496.720] UH NO I HAVENT TAKEN ANYTHING audio/RES0197.mp3[398.800,402.040] I DONT THINK SO audio/RES0058.mp3[5.880,9.360] IM WELL THANKS WHAT BRINGS YOU IN TODAY 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/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/RES0100.mp3[259.240,262.640] HAVE YOU HAD ANY ABDOMINAL PAIN 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/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/RES0139.mp3[84.160,86.160] IT COMES ON BY ITSELF 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/RES0101.mp3[429.560,433.240] NO IVE NEVER HAD TO USE INSULIN audio/RES0208.mp3[171.440,175.480] I SEE WHAT ABOUT A SORE THROAT audio/RES0167.mp3[206.560,209.920] OK HOW ABOUT CHANGES TO YOUR URINE audio/CAR0003.mp3[265.080,268.240] OK ANY HEADACHE NAUSEA OR VOMITING 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/RES0200.mp3[76.440,81.680] OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEM audio/RES0132.mp3[503.960,508.360] UM NOT RECENTLY NO 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/RES0214.mp3[47.640,50.840] ANY PAIN ANYWHERE ELSE IN YOUR BODY 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/RES0008.mp3[518.120,525.600] OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY OR HEART PROBLEMS audio/RES0144.mp3[520.200,530.560] NO NOT THAT I KNOW OF 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/RES0104.mp3[147.920,156.320] OK UHM AND BEFORE THESE SYMPTOMS STARTED WERE YOU HAVING ANY SIMILAR SYMPTOMS AT ALL BEFORE audio/MSK0017.mp3[329.040,334.640] OK UM AND THEN UH NAUSEA OR VOMITING audio/MSK0011.mp3[117.240,121.040] OK AND DO YOU NOTICE ANY KIND OF SWELLING OR BRUISING audio/RES0007.mp3[369.440,375.760] OK ANY INFECTIOUS SYMPTOMS OVERALL audio/RES0146.mp3[163.520,166.640] ANY SORE THROAT audio/MSK0042.mp3[307.560,310.920] NO NOT ANYTHING THAT IVE NOTICED audio/RES0124.mp3[207.280,210.880] ANY CHANGES IN YOUR ANY NAUSEA OR VOMITING audio/RES0116.mp3[707.920,709.400] THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0015.mp3[510.840,515.080] ALRIGHT ANY HEADACHES audio/RES0111.mp3[341.520,343.000] UM YEP IM IN GRADE 10 audio/RES0121.mp3[47.880,52.520] OKAY UM AND ANY OTHER SYMPTOMS AT ALL BESIDES THE COUGH audio/RES0160.mp3[156.360,161.880] RIGHT NOW PROBABLY A 5 BUT IT WAS PROBABLY LIKE A 7 YESTERDAY audio/MSK0010.mp3[141.160,148.480] OK DO YOU FEEL THAT ITS RADIATING ANYWHERE ELSE 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/MSK0016.mp3[513.120,516.520] OK UM HOW ABOUT CANCERS 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/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/RES0051.mp3[414.600,418.720] OK AND IS THERE ANY PHYSICAL OR VERBAL ABUSE IN THE HOME audio/RES0093.mp3[200.640,203.400] NO I HAVENT HAD ANY PAIN audio/RES0180.mp3[139.880,147.120] OK OK ANY FEELINGS OF FEELING LIKE YOUR HEARTS RACING audio/RES0009.mp3[445.680,453.360] OK HOW ABOUT ANY JOINT PAINS OR OR LEG PAINS OR MUSCLE PAINS audio/RES0045.mp3[653.840,656.160] ALRIGHT TAKE CARE audio/RES0152.mp3[357.440,363.640] UM IMMUNIZATIONS ARE ALL UP TO DATE YEAH 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/RES0173.mp3[324.240,328.160] KIND OF IN THE SAME 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/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/RES0119.mp3[449.320,451.840] UH NOPE NOTHING LIKE THAT audio/MSK0010.mp3[577.720,583.400] RARELY JUST ON SOME OCCASIONS BUT NOT REGULARLY audio/RES0120.mp3[556.280,558.000] OKAY DO YOU SMOKE AT ALL audio/MSK0005.mp3[578.280,579.320] UH NO IT WAS NOT audio/RES0003.mp3[232.120,238.160] HOW ABOUT URINATING HAS THAT BEEN NORMAL audio/RES0039.mp3[648.200,655.160] UH YEAH ILL SMOKE ONE OR TWO JOINTS ON ON THE WEEKEND WITH FRIENDS SOCIALLY audio/MSK0008.mp3[320.000,326.400] OK AND ANY FATIGUE audio/RES0058.mp3[695.520,696.080] UMM NO audio/RES0130.mp3[500.600,509.400] OKAY AND ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS IN THIS APARTMENT audio/RES0004.mp3[378.360,387.320] UM UH NOW THAT I THINK ABOUT IT PROBABLY ABOUT THREE OR FOUR WEEKS AGO audio/GAS0003.mp3[519.440,522.000] OK ALRIGHT audio/RES0018.mp3[432.880,436.320] ANYBODY AT WORK THATS BEEN SICK audio/RES0035.mp3[51.400,59.640] UM YEAH ITS USUALLY CLEAR BUT SOMETIMES IT CAN LOOK YELLOW OR GREEN 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/RES0136.mp3[232.840,237.880] IS THAT SOMETHING YOU NOTICED RECENTLY OR IN THE LAST TWO DAYS audio/RES0177.mp3[390.200,394.280] UH NO HES NOT ON ANY MEDICATIONS 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/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/RES0214.mp3[175.320,177.480] OK HOWS HE DOING audio/RES0075.mp3[436.240,440.160] OK AND DO YOU USE CONDOMS 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/RES0134.mp3[239.840,245.040] UH JUST THE ONE audio/RES0052.mp3[37.640,45.280] OK AND IS THE COUGH BARKY OR HARSH SOUNDING audio/RES0099.mp3[245.600,250.480] OK DID YOU HAVE ANY NIGHT SWEATS audio/RES0045.mp3[296.240,301.920] UM WHEN DID YOU NOTICE THAT audio/RES0055.mp3[580.920,586.520] OK YEAH NO PROBLEM DO YOU DRINK ALCOHOL 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/RES0032.mp3[441.280,444.920] OK AND DO YOU TAKE ANY MEDICATIONS audio/RES0139.mp3[182.160,186.080] ANY CHANGES SORRY ANY ISSUES WITH YOUR URINATION audio/RES0131.mp3[113.320,116.920] NO I HAVENT FELT LIKE THAT audio/RES0084.mp3[144.080,151.200] IF I DONT TAKE MEDICATIONS IT CAN LAST HONESTLY THE WHOLE DAY audio/MSK0043.mp3[627.320,629.800] UM NO I HAVENT audio/RES0049.mp3[418.680,425.400] OH OK OK AND WHAT TRIGGERS YOUR ASTHMA 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/RES0014.mp3[327.160,330.520] DOES IT EVER WAKE YOU UP AT NIGHT audio/RES0112.mp3[307.480,313.200] NO HES BEEN PRETTY GOOD UM HES BEEN GROWING AND GAINING WEIGHT OK audio/RES0012.mp3[378.760,380.400] OH NO THAT THATS ALL FINE audio/RES0177.mp3[206.320,207.720] UHM NO audio/RES0184.mp3[0.000,2.320] HOW MAY I HELP YOU audio/RES0093.mp3[687.200,690.720] YEAH I LIVE WITH MY WIFE audio/RES0140.mp3[323.320,332.600] ALRIGHT UM AND DO YOU CONSUME ANY MARIJUANA OR ANY RECREATIONAL DRUGS audio/MSK0040.mp3[189.200,194.640] OK AND HAS THERE BEEN ANYTHING THATS MADE IT WORSE audio/RES0150.mp3[0.000,5.080] HOW MAY I HELP YOU audio/RES0148.mp3[153.320,154.360] UH NO audio/RES0051.mp3[328.520,335.120] ALRIGHT DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO MEDICATIONS 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/RES0090.mp3[268.960,272.120] NO NOTHING LIKE THAT audio/RES0106.mp3[481.880,484.840] AND AND WHERE DO YOU LIVE RIGHT NOW audio/MSK0019.mp3[350.000,356.280] OKAY UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH audio/RES0190.mp3[300.440,304.240] HAVE YOU HAD ANY CONSTIPATION audio/RES0015.mp3[522.240,525.840] OK NO CONFUSION OR MEMORY LOSS 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/MSK0036.mp3[439.320,441.040] NO NOTHING LIKE THAT 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/RES0071.mp3[299.760,301.520] YEAH IVE FELT CHILLS audio/RES0029.mp3[185.680,193.120] I WOULD SAY LIKE IN THE LAST HOUR A LITTLE BIT MORE SO THAN USUAL 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/RES0052.mp3[140.560,146.960] NO NOT REALLY JUST THE PAIN audio/RES0151.mp3[402.720,405.160] UH NO audio/RES0031.mp3[424.320,427.920] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/MSK0040.mp3[522.160,531.480] OK GREAT AND ANY CONCERNS FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME audio/RES0188.mp3[220.000,222.440] NO HOW ABOUT HIS URINE audio/RES0020.mp3[368.800,373.440] OK AND ANY RASHES YOU NOTICED ANYWHERE audio/RES0087.mp3[25.040,30.280] YEAH OK SO HOW LONG DID YOU SAY HES HAD THIS EAR PAIN 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/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/MSK0020.mp3[794.960,796.360] YEAH NO ISSUES audio/RES0046.mp3[189.480,192.480] UM DIZZINESS OR FAINTING SPELLS audio/RES0046.mp3[31.520,35.280] UH ITS GETTING GETTING WORSE audio/RES0083.mp3[262.880,269.120] CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY FUNCTION audio/RES0184.mp3[15.160,20.360] OK AND AH WITH THE RUNNY NOSE COULD YOU DESCRIBE THE DISCHARGE 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/RES0074.mp3[313.800,316.960] UHM NO audio/RES0168.mp3[382.560,390.800] OK AND THEN FIVE OR SIX FOR WEEKEND OK AND ANY RECREATIONAL DRUGS 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/RES0038.mp3[274.760,282.560] OK AND HAVE YOU HAD ANY ECZEMA IN THE PAST 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/RES0085.mp3[376.440,382.160] OK UHM IN A HOUSE APARTMENT 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/MSK0015.mp3[330.760,337.160] OK AND AND HOW ABOUT A MUSCLE WEAKNESS audio/MSK0049.mp3[367.800,370.440] NO NOTHING LIKE THAT audio/MSK0017.mp3[286.200,289.600] OK FEVERS OR CHILLS 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/RES0066.mp3[276.360,278.880] NO NO RECENT TRAVEL audio/RES0091.mp3[274.160,278.040] OK DO YOU TAKE ANY REGULAR MEDICATIONS audio/GAS0001.mp3[347.840,355.240] OK UM HAVE YOU HAVE YOU HAD A COUGH AT ALL 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/RES0119.mp3[406.280,412.320] OK AND UHM WAS SHE PREMATURE AT ALL OR WAS SHE BORN AFTER UH AT TERM audio/RES0134.mp3[268.960,273.840] UM THAT STARTED A LITTLE BIT BEFORE THE COUGH ACTUALLY audio/MSK0036.mp3[405.600,407.960] HAVE YOU HAD ANY NIGHT SWEATS 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/RES0215.mp3[469.240,472.600] OK SO SHE DOESNT HAVE ANY SYMPTOMS AT REST audio/RES0008.mp3[462.040,467.680] METFORMIN AND AN SG LT2 INHIBITOR YOU THINK ANYTHING ELSE audio/RES0106.mp3[155.440,158.120] OK CHANGES TO YOUR SMELL OR TASTE audio/RES0076.mp3[94.240,102.800] HOW MUCH BLOOD WOULD YOU SAY YOURE COUGHING UP NOW IN AN AVERAGE DAY audio/RES0112.mp3[252.280,255.640] NORMAL YEAH NO COMPLICATIONS THERE audio/RES0090.mp3[362.400,367.040] UH NO NOTHING LIKE THAT audio/MSK0050.mp3[244.280,250.240] ALRIGHT UM AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY audio/RES0010.mp3[35.080,42.840] MMM OK DO YOU HAVE UM DO YOU HAVE ANY OTHER SYMPTOMS audio/RES0015.mp3[500.720,503.360] HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0145.mp3[306.040,311.040] OK UHM AND ANY OTHER MEDICAL CONDITIONS audio/RES0022.mp3[788.320,794.200] OK AND UH DO YOU SMOKE CIGARETTES 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/RES0110.mp3[293.040,299.720] NOTHING LIKE THAT OK UM ANY CHANGE IN YOUR TASTE CHANGE UH SENSE OF SMELL audio/GAS0001.mp3[441.080,449.400] UM LIKE I I JUST I LIVE WITH ONE ROOMMATE audio/RES0107.mp3[424.360,429.320] OK UM IS HE ON ANY MEDICATIONS 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/MSK0019.mp3[306.520,317.400] UM I THINK MY AUNT ON MY MOTHERS SIDE UM SHE SHE HAD UH UTERINE CANCER audio/RES0079.mp3[160.280,168.240] OK ANY DIARRHEA OR CONSTIPATION audio/RES0049.mp3[397.240,401.720] NO IVE BEEN PEEING ALRIGHT audio/MSK0013.mp3[432.160,436.960] ALRIGHT AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS 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/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/RES0107.mp3[138.360,139.800] WHAT COLOUR IS IT audio/MSK0022.mp3[512.880,516.560] NOPE I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT 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/RES0159.mp3[436.640,441.880] OK GOOD GOOD DO YOU SMOKE AT ALL OR DID YOU EVER SMOKE IN THE PAST audio/GAS0002.mp3[163.920,169.040] I WOULD RATE IT AS RIGHT NOW I WOULD RATE IT AS AN 8 audio/RES0197.mp3[200.440,204.800] OK AND ANY BLOOD IN YOUR SPUTUM AT ALL audio/RES0058.mp3[101.040,105.440] UMM I DONT THINK SO NO audio/RES0199.mp3[455.800,467.000] OK ANY LIKE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS audio/RES0134.mp3[616.560,619.520] YEAH ONCE EVERY TWO WEEKS 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/RES0084.mp3[262.040,264.680] NO NOTHING LIKE THAT audio/RES0035.mp3[271.880,274.120] NOT THAT I KNOW OF audio/RES0081.mp3[639.760,648.600] OK I SEE AND UH DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG 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/RES0042.mp3[516.000,523.240] OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS ANYTHING LIKE THAT IN THE HOME audio/RES0179.mp3[60.520,68.960] HM OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH audio/RES0039.mp3[846.840,849.040] YOURE WELCOME audio/RES0145.mp3[510.600,515.600] OK AND ARE YOU SO SEXUALLY ACTIVE audio/RES0018.mp3[560.040,567.000] I THINK IVE HAD AN AUNT WHO HAD BREAST CANCER BUT NOTHING ELSE 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/RES0134.mp3[431.480,437.200] OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE 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/RES0004.mp3[396.600,401.000] I JUST REMEMBER THEM BEING OFF FOR SCHOOL CAUSE THEY WERE THEY WERE SICK 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/RES0061.mp3[533.680,537.840] OK AND DID YOU TAKE YOUR TEMPERATURE 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/RES0167.mp3[412.960,413.560] NO NO audio/RES0179.mp3[600.680,602.920] NO OK HOW ABOUT TRAVEL audio/RES0013.mp3[145.760,149.400] OK OK DOES IT HURT WHEN YOU TAKE A DEEP BREATH IN audio/RES0022.mp3[862.880,864.880] NO NO audio/RES0100.mp3[484.520,488.200] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0050.mp3[263.600,268.720] HOW ABOUT OTHER SENSES LIKE ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE 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/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/MSK0001.mp3[169.840,174.760] UH NO ITS JUST THE UH THE LOW BACK PAIN audio/RES0097.mp3[262.760,268.560] OK AND DOES HE MENTION ANYTHING ABOUT FEELING AS THOUGH HIS HEARTS RACING 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/RES0106.mp3[1.560,10.480] IVE HAD IVE HAD THIS COUGH FOR THE PAST TWO WEEKS I WAS JUST WORRIED ABOUT IT audio/MSK0016.mp3[623.600,627.840] UH NO I DONT BELIEVE SO audio/RES0178.mp3[122.240,130.320] OK ANY SYMPTOMS LIKE REDNESS ANY DISCHARGE audio/RES0134.mp3[224.360,227.200] NO NOTHING LIKE THAT audio/RES0026.mp3[592.720,598.760] HOW ABOUT ANY MALIGNANCYS OR OR CANCERS audio/RES0167.mp3[595.240,600.600] OK OK THATS GOOD TO HEAR 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/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/RES0108.mp3[161.080,161.800] UH NO audio/MSK0041.mp3[441.280,447.560] EXCELLENT UM OK AND DO YOU SMOKE CIGARETTES 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/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/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/MSK0040.mp3[336.880,338.920] HAVE YOU HAD ANY ABDOMINAL 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/RES0084.mp3[405.640,413.960] OK AND HOW ABOUT WHEEZING audio/RES0006.mp3[290.280,294.640] OK HOW ABOUT BEING LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT audio/CAR0004.mp3[95.000,102.800] WHEN I WHEN I LEAN FORWARD IT ACTUALLY DOES GET BETTER I THINK ABOUT IT YEAH 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/RES0207.mp3[354.040,356.880] SHES 16 YEARS OLD audio/MSK0027.mp3[262.880,264.600] UM NO 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/RES0017.mp3[792.200,794.200] NO NOT ANYMORE audio/RES0150.mp3[353.320,362.520] ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENT THAT YOURE AWARE OF audio/RES0044.mp3[404.160,405.640] JUST TIRED OK 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/RES0101.mp3[474.480,477.600] OK AND UH HOW ABOUT ANY NIGHT SWEATS 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/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/RES0023.mp3[481.800,487.120] DO YOU USE CANNABIS OR ANY OTHER SUBSTANCES audio/RES0021.mp3[82.560,88.160] NO BLOOD AND NO DEFINITELY NO SPUTUM OK 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/RES0216.mp3[191.120,194.560] OK ANY FEVERS audio/CAR0005.mp3[308.960,313.640] UH NO NO FEVERS audio/RES0160.mp3[0.000,2.920] WHAT CAN I DO FOR YOU TODAY audio/RES0178.mp3[424.880,432.280] OK AND HAS HE BEEN IN CONTACT WITH SICK SICK PEOPLE RECENTLY audio/MSK0013.mp3[181.000,186.120] HAVE YOU HAD ANY ANY SORE THROAT OR COUGH audio/DER0001.mp3[641.040,645.880] AWESOME OK THANKS audio/RES0155.mp3[440.800,445.560] YEAH THE LAST TIME WAS UH PROBABLY ABOUT ABOUT FOUR MONTHS AGO 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/RES0036.mp3[489.680,499.320] AH WELL I HAVE BIRDS BUT IVE HAD THEM FOR AWHILE audio/RES0176.mp3[49.080,56.520] OK AND AND DO YOU GET SHORT OF BREATH AT REST 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/MSK0037.mp3[559.800,561.800] DO YOU SMOKE CIGARETTES audio/MSK0041.mp3[342.080,345.560] UH NO NOTHING LIKE THAT audio/RES0102.mp3[228.480,234.600] NO NOT THAT IM AWARE OF I HAVENT HEARD OF THAT audio/RES0076.mp3[381.320,382.760] MAYBE TWO MONTHS audio/RES0131.mp3[504.840,508.760] NO OKAY ANY TRAVEL RECENTLY 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/RES0107.mp3[483.200,484.960] OH YEAH 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/RES0029.mp3[222.960,226.880] OK AND UH ANY DIZZINESS 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/RES0195.mp3[406.720,411.200] YEAH IVE BEEN EATING THE SAME audio/MSK0036.mp3[640.280,646.400] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0175.mp3[340.000,346.240] I JUST LIVE WITH WIFE IN AN APARTMENT audio/GAS0002.mp3[456.160,461.200] OK AND WHAT DO YOU DO FOR WORK audio/RES0098.mp3[384.000,389.920] OK AND YOU USE A CREAM FOR FOR YOUR SKIN TOO LIKE YEAH audio/MSK0024.mp3[370.800,373.520] OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE 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/MSK0038.mp3[269.240,273.720] OK UM ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0131.mp3[354.720,356.200] YEAH JUST VENTOLIN audio/MSK0021.mp3[435.280,438.960] NO I STAY AWAY FROM THAT STUFF TOO audio/RES0092.mp3[265.440,273.160] ALRIGHT ALRIGHT THATS GOOD AND WHO DO YOU CURRENTLY LIVE WITH AND WHERE DO YOU LIVE audio/RES0030.mp3[580.320,582.800] I DO SMOKE CIGARETTES YES audio/RES0101.mp3[424.640,429.560] OK HAVE YOU NEEDED LIKE INSULIN FOR DIABETES BEFORE audio/MSK0042.mp3[382.360,386.320] UH NO NO MEDICATIONS audio/RES0011.mp3[210.240,214.480] OK BUT YOUR VOICE SOUNDS THE SAME TO YOU audio/GAS0003.mp3[337.920,339.840] NO NO NO I DONT audio/MSK0009.mp3[641.240,648.880] UHM NO I DONT 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/RES0072.mp3[534.280,540.360] NO IM JUST GOING TO SCHOOL 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/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/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/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/RES0174.mp3[681.920,686.200] MY MOM HAS UH DEPRESSION TOO 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/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/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/MSK0037.mp3[394.240,402.960] OK AND HAVE YOU BEEN HAVING ANY MUSCLE ACHES OR JOINT PAINS OR BODY PAINS ANYWHERE ELSE audio/MSK0005.mp3[632.720,637.880] OK AND THEN UM DO YOU SMOKE audio/MSK0029.mp3[471.560,475.080] OK HOW ABOUT CHANGES IN URINE audio/RES0009.mp3[227.720,230.000] YEAH TOTALLY audio/RES0215.mp3[228.480,232.800] OK SO THEY HAVENT BROUGHT UP ANY CONCERNS ABOUT HOW SHES GROWING HOW SHES DEVELOPING audio/RES0092.mp3[282.080,294.560] YEAH THATS GREAT HAVE YOU HAD ANY CONTACT WITH ANYONE WHO WAS SICK RECENTLY audio/RES0052.mp3[219.200,225.080] OK HOW HAS SHE BEEN EATING audio/RES0020.mp3[612.920,619.200] I HAVE MAYBE A GLASS OR TWO GLASSES OF WINE OVER THE WEEKENDS 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/RES0187.mp3[77.520,82.960] OK AND WHERE SPECIFICALLY LIKE WHA WHICH MUSCLES ACHE audio/RES0013.mp3[353.480,358.160] NO THATS THATS LIKE IT IVE NEVER HAD ANY LIKE CHEST PROBLEMS audio/RES0039.mp3[447.680,454.440] YEAH I THINK IM DOWN LIKE 15 POUNDS SINCE THE SUMMER TIME WHICH IS GREAT 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/MSK0039.mp3[310.680,314.560] NO ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0076.mp3[64.160,69.880] ITS MOSTLY RED YEAH MOSTLY BLOOD 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/RES0175.mp3[509.760,513.000] SURE THANK YOU audio/RES0069.mp3[231.160,235.920] ALRIGHT AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR BODY ACHES audio/MSK0031.mp3[313.120,319.560] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0093.mp3[453.360,465.120] IT COULD POTENTIALLY DID YOU WERE YOU WERE YOU DRUNK AND DID YOU PASS OUT 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/RES0187.mp3[337.640,339.840] UH NO MEDICATIONS audio/RES0180.mp3[123.320,128.720] OK UHM ALRIGHT AND WHERE IS IT LOCATED 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/MSK0001.mp3[3.560,5.760] LOW BACK PAIN audio/MSK0007.mp3[255.960,258.840] HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0021.mp3[563.520,567.040] AH NO PAIN THERE audio/RES0030.mp3[505.600,509.240] YEAH I I WORK AT THE LOCAL GROCERY STORE 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/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/RES0025.mp3[322.880,326.600] HAVE YOU HAD ANY COUGH audio/RES0035.mp3[223.520,226.040] ANY HEADACHES NAUSEA OR VOMITING audio/RES0132.mp3[528.520,531.040] IM RETIRED audio/MSK0018.mp3[340.000,346.280] OKAY OKAY ANY UM WARMTH ON ON THAT SHOULDER 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/RES0059.mp3[275.400,282.960] OK YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE 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/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/RES0177.mp3[399.480,402.440] UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS 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/RES0155.mp3[643.600,652.400] UH NO NO JUST JUST CIGARETTES audio/RES0095.mp3[167.360,174.080] ITS ITS FINE WITH THE TWO PILLOWS NOW audio/RES0162.mp3[516.560,520.920] YEAH IM NOT CURRENTLY WORKING JUST STUDYING FROM HOME audio/MSK0027.mp3[289.640,292.680] NO NOTHING LIKE THAT 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/GAS0004.mp3[554.560,557.680] OK DO YOU USE ANY OTHER SUBSTANCES audio/CAR0003.mp3[577.880,580.480] I LIVE IN AN APARTMENT audio/RES0015.mp3[572.720,577.200] OK OK ARE YOU ON ANY MEDICATIONS audio/MSK0006.mp3[650.880,654.320] OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BUTTOCKS ITSELF audio/MSK0037.mp3[457.040,469.800] UHM I DID A HAVE A ACL REPAIR JUST WHEN I WAS PROBABLY 18 audio/RES0107.mp3[662.080,670.120] AND I DONT THINK SO I DONT THINK THERES ANY SPORES OR THINGS LIKE THAT 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/RES0078.mp3[371.960,378.240] IVE BEEN FATIGUED NO MUSCLE ACHES audio/RES0035.mp3[352.160,356.600] ANY ILL CONTACTS NEAR YOU AT HOME OR WORK 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/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/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/RES0119.mp3[350.120,353.320] OK HAS SHE BEEN AROUND ANYONE THATS BEEN SICK RECENTLY 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/RES0167.mp3[211.920,216.240] NO ANY DIZZINESS OR CONFUSION audio/RES0030.mp3[17.040,22.040] I ALWAYS SEEM TO BRING UP SOME GUNK ON MY WHEN I COUGH audio/RES0189.mp3[475.880,481.880] UHM I DO HAVE AN ALLERGY TO SULFA DRUGS audio/RES0016.mp3[534.840,539.400] NO NO MARIJUANA NO COCAINE NOTHING LIKE THAT audio/MSK0020.mp3[596.640,598.320] NOT REALLY NO audio/MSK0049.mp3[490.560,494.920] OK SO ABOUT 7 DRINKS PER WEEK audio/MSK0012.mp3[617.200,619.960] UM LOWER BACK YES audio/MSK0050.mp3[0.000,2.360] HOW MAY I HELP YOU 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/MSK0006.mp3[501.120,503.960] UH NOPE NOTHING LIKE THAT BEFORE audio/MSK0010.mp3[522.320,531.560] JUST RECENTLY IVE BEEN TAKING A LOT MORE OF THE ADVIL BUT THATS ABOUT IT 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/RES0079.mp3[422.920,427.240] UHM NO NOTHING THAT RUNS IN THE FAMILY audio/RES0139.mp3[93.800,99.760] OKAY HAS THIS HAPPENED TO YOU BEFORE WHERE YOU HAD A COUGH FOR A LONG TIME audio/MSK0031.mp3[168.200,171.440] DIZZINESS OR FAINTING SPELLS audio/RES0206.mp3[256.200,258.160] OH NO audio/RES0096.mp3[445.240,452.280] ALRIGHT AND HAVE YOU BEEN HOSPITALIZED FOR ANY REASON OR LIKE INCLUDING COPEXACERBATION audio/RES0013.mp3[485.720,492.000] OK THATS GOOD ANY FAMILY HISTORY OF LUNG OR HEART DISEASE audio/MSK0043.mp3[371.520,381.960] OKAY AND OTHERWISE ARE YOU HAVING UM ANY SYMPTOMS OF UH DIZZINESS FAINTING 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/RES0086.mp3[611.960,621.440] HOME IS IN HAMILTON ONTARIO AND IVE JUST BEEN WORKING FROM HOME 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/RES0030.mp3[410.560,416.520] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL audio/RES0047.mp3[666.400,674.160] OK UM AND DO YOU DO ANY MARIJUANA audio/RES0165.mp3[401.320,405.520] NO OK AND DO YOU SMOKE audio/MSK0033.mp3[112.760,117.440] I ITS ABOUT ABOUT A SIX OR SEVEN audio/MSK0032.mp3[319.160,323.120] ALRIGHT HIS SHE ON ANY MEDICATIONS audio/RES0018.mp3[516.960,520.360] NO NOTHING LIKE THAT audio/RES0198.mp3[85.840,94.560] NO OK AND IS THIS LIKE SOMETHING THATS CONSTANT OR DOES IT COME AND GO audio/RES0063.mp3[304.560,309.960] YEAH THATS JUST SOME OF THE THINGS THAT IVE BEEN DIAGNOSED WITH audio/RES0089.mp3[157.720,162.040] OK AND HAVE YOU HAD AT ALL ANY KIND OF UH FEVERS OR ANYTHING LIKE THAT 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/RES0164.mp3[15.280,25.680] OK AND SO DID THEY BOTH START AROUND THE SAME TIME OR ONE STARTED BEFORE THE OTHER 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/MSK0021.mp3[148.880,153.440] NO OK HOW ABOUT NUMBNESS OR TINGLING 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/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/RES0063.mp3[439.760,442.400] OH IM SORRY TO HEAR THAT audio/MSK0007.mp3[390.080,392.640] AND WHAT DO YOU DO audio/RES0184.mp3[384.320,385.800] OK HOW OFTEN audio/RES0096.mp3[347.560,354.280] ALRIGHT AND HAVE YOU BEEN HAVING ANY CHEST PAIN audio/RES0011.mp3[236.920,240.840] IVE BEEN LIKE KIND OF KIND OF SHIVERING audio/MSK0003.mp3[262.280,266.760] I WOULD SAY MAYBE 30 TO 60 MINUTES 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/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/RES0046.mp3[331.160,336.760] TWO DAYS OK AND HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT 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/MSK0035.mp3[584.280,588.880] UH I GUESS THERES LIKE A SLIGHT BRUISE 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/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/RES0047.mp3[31.400,36.120] OK FOR THE PAST THREE DAYS THREE THREE YEARS OK audio/RES0009.mp3[230.000,237.000] OK UH AND HAVE YOU BEEN HAVING ANY NIGHT SWEATS audio/MSK0038.mp3[615.920,621.360] NO EVERYTHING ON THE MEDIAL SIDE FEELS FEELS NORMAL AND FINE audio/RES0062.mp3[297.560,302.560] UH NO audio/MSK0012.mp3[553.280,556.480] OK AND CURRENTLY DO YOU SMOKE 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/RES0153.mp3[180.240,186.680] ALRIGHT AND HAVE YOU HAD ANY UM LIKE EYE REDNESS OR EYE DISCHARGE audio/RES0058.mp3[687.640,689.080] YEAH SURE 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[417.200,422.600] UH NO LIKE I TAKE LIKE A MULTI VITAMIN BUT THATS IT 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/RES0019.mp3[510.120,514.480] OK HOW ABOUT AT WORK audio/RES0184.mp3[547.800,550.560] OK THAT SOUNDS GREAT THANK YOU audio/RES0051.mp3[250.120,257.360] RIGHT OK HAVE YOU HAD ANY WHEEZING audio/RES0129.mp3[260.160,274.080] SHE HAD GESTATIONAL DIABETES BUT IT WAS DIET CONTROLLED AND SHES HEALTHY NOW FROM THAT PERSPECTIVE 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/MSK0010.mp3[453.080,459.840] IT DOES HURT LIKE WHEN I TRY TO LIFT MY ARM UP audio/RES0124.mp3[449.640,451.760] UH NOT THAT I KNOW OF NO 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/RES0182.mp3[328.320,333.920] OK UHM SO DO YOU TAKE ANY MEDICATIONS REGULARLY FOR ANYTHING audio/RES0069.mp3[17.000,18.640] OK WHEN 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/RES0124.mp3[590.200,591.960] YEAH YEAH I FEEL COMPLETELY SAFE 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/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/MSK0035.mp3[99.640,102.520] AH YES IT WAS YESTERDAY audio/RES0020.mp3[423.080,428.360] OK AND YOU USE A SLIDING SCALE OR DO YOU HAVE A REGIMEN YOU USE 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/RES0205.mp3[447.840,450.320] WHEN WE GOT THE LAST TEST DONE audio/MSK0003.mp3[753.160,763.280] UHM YEAH I WAS JUST WONDERING YEAH LIKE LIKE WHAT WHAT THIS COULD BE POSSIBLY 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/RES0160.mp3[374.280,378.200] AND FOR HOW MANY YEARS audio/RES0012.mp3[122.160,125.640] YEAH YEAH YEAH WELL YEAH ITS CREAMY YELLOW audio/RES0057.mp3[677.800,682.600] UMM NO I HAD BEEN AT HOME audio/RES0028.mp3[120.520,126.400] OK AND DOES ANYTHING THAT YOU DO MAKE IT FEEL BETTER 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/RES0107.mp3[585.160,589.080] ITS PRETTY WELL CONTROLLED RIGHT NOW I DONT EVEN NEED MEDICATIONS audio/RES0099.mp3[741.920,745.520] ALRIGHT THANK YOU audio/RES0105.mp3[561.120,567.320] OK ANY ANY KIND OF DIZZINESS OR FAINTING EPISODES 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/RES0137.mp3[174.800,179.480] NO I DONT THINK SHES HAD FEVERS I HAVENT CHECKED THOUGH 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/MSK0045.mp3[231.760,240.680] OK ANY ANY WEIGHT LOSS UM OR LOSS OF APPETITE ANYTHING LIKE THAT audio/RES0130.mp3[489.920,492.360] OKAY GOOD UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH audio/RES0125.mp3[281.720,284.600] NO ANY DIZZINESS OR FAINTING SPELL 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/RES0011.mp3[128.880,135.320] I MEAN MY MY THROAT IS MAYBE A LITTLE SORE BUT NOTHING NOTHING ELSE audio/MSK0027.mp3[292.680,298.360] DOES SHE HAVE ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE audio/RES0022.mp3[785.960,788.320] JUST THE TWO OF US AND OUR DOG audio/RES0158.mp3[439.120,445.000] UH PROBABLY LIKE UH PROBABLY ONCE A WEEK JUST YEAH JUST ON THE WEEKEND MAYBE ONCE audio/RES0154.mp3[179.800,181.920] NO NOTHING LIKE THAT audio/RES0013.mp3[453.080,456.760] NO OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/RES0200.mp3[130.320,138.920] OK ALRIGHT AND DO YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN audio/MSK0007.mp3[538.320,540.880] OK AND ARE THERE ANY SCARS 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/RES0206.mp3[375.720,382.560] OK AND ARE YOU TAKING ANY MEDICATIONS audio/RES0128.mp3[296.120,304.440] OK UHM DURING HIS MOMS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS audio/RES0053.mp3[388.360,393.800] YEAH OK AND THEN ANY CONFUSION OR MEMORY LOSS audio/RES0127.mp3[417.200,420.200] NO OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/RES0053.mp3[914.360,915.880] OK SOUNDS GOOD audio/RES0076.mp3[211.400,217.600] OK ANY HEADACHES FEVERS OR CHILLS 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/RES0188.mp3[128.480,136.840] NO NOT THAT I REALLY WE HAVENT REALLY WEIGHED HIM NOW SINCE HIS LAST APPOINTMENT audio/RES0214.mp3[36.000,40.760] OK HAVE YOU BEEN FEELING ANY OTHER SYMPTOMS ASIDE FROM THE FEVER audio/RES0137.mp3[374.520,377.440] SHE WAS AT TERM SHE WAS BORN AT TERM audio/CAR0001.mp3[273.680,276.600] OK HAVE YOU HAD ANY NAUSEA OR VOMITING 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/MSK0009.mp3[314.600,319.000] NO NOTHING LIKE THAT audio/RES0143.mp3[415.240,422.800] UM MAYBE LIKE UH A COUPLE TIMES JUST CASUALLY IVE TRIED IT BUT NOTHING REGULAR audio/RES0138.mp3[331.760,332.600] A MINE audio/RES0183.mp3[29.080,34.440] IT STARTED ABOUT TWO DAYS AGO audio/RES0011.mp3[770.920,773.920] OK AND DO YOU SMOKE MARIJUANA audio/RES0037.mp3[203.240,214.840] OK AND IS IT BETTER OR WORSE DURING GOOD MORNING AS OPPOSED TO NIGHT audio/RES0175.mp3[78.600,80.600] ITS ALL OVER 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/MSK0028.mp3[150.080,154.440] OK AND DOES THE PAIN RADIATE ANYWHERE ELSE audio/RES0162.mp3[240.240,245.560] DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST WHEN THAT HAPPENS OR YOURE SWEATING 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/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/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/RES0075.mp3[280.760,289.120] OK AND HAVE YOU HAD ANY UH LIKE URINARY PROBLEMS audio/RES0190.mp3[201.120,205.200] OK AND YOURE AN ARE YOU HAVING A COUGH NOW audio/RES0089.mp3[353.120,357.400] OK AND HOW LONG DOES YOUR SHORTNESS OF BREATH USUALLY LAST audio/RES0021.mp3[359.080,364.440] ALRIGHT AND HOW ABOUT ANY MUSCLE ACHES OR OR JOINT PAINS 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/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/MSK0028.mp3[316.880,320.160] HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT audio/RES0065.mp3[378.000,383.360] OK AND ANY OTHER MEDICATIONS BESIDES THAT 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/RES0077.mp3[0.000,2.720] SO WHAT BRINGS YOU HERE TODAY audio/RES0119.mp3[267.800,273.360] ANY UM CHANGES IN HER BOWEL MOVEMENTS LIKE ANY CONSTIPATION DIARRHEA 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/RES0185.mp3[75.800,80.320] NO PAIN WITH SWALLOWING JUST CAN KIND OF FEEL IT THERE audio/RES0186.mp3[300.720,307.080] OK UHM AND DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS audio/RES0021.mp3[400.760,406.600] OK GREAT UM ANY OTHER DIAGNOSES audio/RES0044.mp3[409.880,414.000] OK ANY HEADACHES audio/RES0197.mp3[255.880,262.840] UM A LITTLE BIT BECAUSE I HAVENT BEEN SLEEPING TOO WELL audio/RES0008.mp3[286.320,292.520] NO DONT NOTICE IT WITH ANY ANY ACTIVITY 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/RES0201.mp3[244.160,246.160] HAVE YOU HAD ANY HEADACHES audio/MSK0037.mp3[803.240,810.320] UHM CRACKLING OH NO NOT THAT I HAVE NOTICED audio/RES0001.mp3[403.200,405.160] YEAH ALL THATS BEEN NORMAL audio/GAS0002.mp3[540.280,543.640] OK AND DO YOU USE RECREATIONAL DRUGS audio/MSK0016.mp3[516.520,518.400] UH NO CANCER 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/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/RES0151.mp3[504.720,508.040] OK UH AND I JUST WANT UM ARE YOU CURRENTLY SMOKING 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/MSK0029.mp3[434.680,439.720] UM CHEST PAIN OR HEART PALPITATIONS audio/RES0187.mp3[301.760,311.360] OK UHM ALRIGHT SO ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS 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/RES0193.mp3[586.880,595.640] YEAH I WAS JUST WONDERING LIKE IF THIS COULD BE MAYBE ASTHMA AS WELL audio/RES0035.mp3[258.880,261.560] ANY ISSUES WITH YOUR SLEEP OR APPETITE 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/MSK0013.mp3[243.120,245.880] NO NOTHING LIKE THAT audio/RES0180.mp3[351.280,356.760] YEAH OK ALRIGHT AND ARE YOU ALLERGIC TO ANYTHING 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/RES0117.mp3[232.240,237.800] UH I IVE BEEN YEAH PRETTY UP TO DATE WITH ALL MY IMMUNIZATIONS audio/RES0178.mp3[396.520,399.760] OK DOES HE HAVE ANY ALLERGIES audio/RES0125.mp3[110.440,112.960] UM ITS WORSE WHEN IM SMOKING 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/RES0184.mp3[340.320,345.920] IM IM LIVING BY MYSELF IM A STUDENT I LIVE IN AN APARTMENT 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/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/RES0023.mp3[319.600,322.800] OK AND DO YOU LIVE ALONE OR WITH FAMILY 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/MSK0020.mp3[214.840,217.920] YEAH THOSE THINGS I DONT REALLY HAVE TOO MUCH TROUBLE WITH 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/RES0194.mp3[220.880,223.640] OK ANY SHORTNESS OF BREATH 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/RES0192.mp3[378.240,385.800] OK DID YOU DO I I PULMONARY FUNCTION TESTS WHERE YOURE BREATHING INTO A TUBE audio/RES0173.mp3[510.440,513.160] OK AND DO YOU SMOKE CIGARETTES audio/RES0036.mp3[654.600,658.320] AND HOW OFTEN WOULD YOU SAY YOU SMOKE IN AN AVERAGE WEEK audio/RES0087.mp3[339.720,346.120] OK WAS HE PRESCRIBED ANY MEDICATIONS audio/RES0012.mp3[432.840,440.600] NO UM AND THEN HOW ABOUT IN TERMS OF LIKE YOUR ABDOMINAL SYSTEM ANY PAIN THERE audio/RES0174.mp3[240.160,244.320] THATS OK 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/RES0186.mp3[221.880,227.320] OK NO WORRIES AND ANY APPETITE CHANGES audio/RES0200.mp3[450.360,456.880] HOW ABOUT A FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/GAS0005.mp3[667.720,672.720] OK GREAT THEN ARE THERE ANY PETS audio/RES0072.mp3[164.040,171.800] UH I WOULD SAY UH A 6 ITS PRETTY PAINFUL 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/RES0119.mp3[250.200,252.480] ANY RECENT UH TRAVEL AT ALL audio/RES0045.mp3[0.000,2.640] WHAT BRINGS YOU IN audio/RES0214.mp3[527.240,528.960] OK SURE audio/RES0145.mp3[317.200,319.760] HAVE YOU EVER BEEN HOSPITALIZED audio/RES0142.mp3[92.120,95.920] NO UM SINUS CONGESTION audio/RES0046.mp3[163.960,167.240] NO CHEST PAIN audio/RES0031.mp3[575.280,581.160] OK AND MEN OR WOMEN OR BOTH audio/RES0005.mp3[627.040,634.280] OK SO DO YOU USE ANY RECREATIONAL DRUGS LIKE IV DRUGS OR OPIOIDS OR COCAINE audio/RES0168.mp3[390.800,400.000] I WILL OCCASIONALLY TAKE LIKE A CANNABIS LIKE A CAPSULE LIKE THE OIL IN THE CAPSULE audio/MSK0017.mp3[918.240,922.240] UH THAT SOUNDS LIKE A GOOD PLAN 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/RES0012.mp3[710.160,714.600] ANY OTHER RECREATIONAL DRUGS 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/MSK0007.mp3[251.880,255.120] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0046.mp3[436.360,438.800] AND THEN HOLD YOUR HAND SORRY audio/RES0176.mp3[530.160,534.160] NO EVERYONES BEEN WELL audio/RES0184.mp3[91.080,94.840] OK I MEAN HAVE YOU EXPERIENCED HEADACHES LIKE THIS IN THE PAST audio/RES0137.mp3[383.720,389.440] AND DID SHE HAVE TO STAY IN THE NICU AT ALL AT THE HOSPITAL AFTERWARDS 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/MSK0033.mp3[187.880,191.200] UM NO NO WEAKNESS audio/MSK0044.mp3[73.160,80.640] ITS MOSTLY JUST THE PAIN LIKE RIGHT IN THAT AREA IM NOT FEELING IT ANYWHERE ELSE 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/RES0046.mp3[493.200,501.200] OK UM AND IS YOUR ABDOMINAL PAIN GETTING WORSE STAYING THE SAME OR GETTING BETTER audio/MSK0029.mp3[974.800,978.800] A LITTLE BIT OF PAIN THERE TOO BUT IM ABLE TO DO IT THOUGH audio/RES0132.mp3[163.720,167.160] ALL RIGHT AND HAVE YOU HAD A WHEEZE audio/MSK0040.mp3[243.560,247.960] HAD ANY FEVERS OR CHILLS audio/RES0013.mp3[257.600,264.440] NO OK AND YOU SAID THIS HAS NEVER HAPPENED TO YOU BEFORE RIGHT audio/RES0160.mp3[147.840,150.640] ACHING SENSATION audio/RES0168.mp3[349.120,355.600] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0019.mp3[349.760,356.120] OK AND HAVE YOU HAD ANY LOSS OF TASTE OR SMELL audio/MSK0006.mp3[335.080,335.880] NO WEIGHT LOSS audio/RES0045.mp3[362.080,366.840] NO WEIGHT LOSS HOW ABOUT FATIGUE OR MUSCLE ACHES 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/RES0029.mp3[247.920,252.960] OH NO NO I WAS COMPLETELY SOBER NO NO DRUGS OR ALCOHOL 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/RES0050.mp3[147.400,155.280] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE COUGH WHEEZE AND SHORTNESS OF BREATH 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/RES0193.mp3[205.840,208.920] OK ANY NAUSEA OR VOMITING audio/RES0075.mp3[314.760,322.520] OK AND UHM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0048.mp3[0.000,2.560] WHAT BRINGS YOU IN audio/RES0085.mp3[117.680,120.640] DOES HE SOUND WHEEZY audio/RES0009.mp3[183.120,189.080] OK HOW ABOUT ANY NAUSEA OR VOMITING audio/CAR0001.mp3[55.520,62.560] SO I GUESS IT WOULD BE A COUPLE OF HOURS NOW MAYBE LIKE 8 audio/CAR0005.mp3[301.520,305.000] NO I HAVENT audio/RES0201.mp3[195.560,201.080] OK HAVE YOU TRAVELED RECENTLY 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/RES0073.mp3[438.760,441.560] UH NO NOT THAT I KNOW 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/RES0003.mp3[0.000,2.320] ITS NICE TO MEET YOU WHATS YOUR NAME audio/RES0007.mp3[727.760,732.360] JUST WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR DIET audio/RES0106.mp3[406.200,410.400] OK WHATS ONCE IN AWHILE audio/RES0145.mp3[37.800,41.400] MHMM OK AND IS IT A DRY COUGH OR WET COUGH audio/RES0087.mp3[260.200,262.400] NO NAUSEA OR VOMITING 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/RES0047.mp3[14.480,19.560] OK SO UM LETS START WITH THE COUGH WHEN DID THAT START audio/MSK0045.mp3[675.840,681.240] WELCOME ALRIGHT SO WELL CALL YOU FOR THE XRAYS AND THEN WELL GO FROM THERE audio/RES0134.mp3[273.840,278.480] OKAY AND YOURE STILL FEELING THAT NOW audio/MSK0005.mp3[274.120,283.640] YEAH UM OK AND THEN HOW ABOUT UM LIKE YOUR ARM FEELING LIKE ITS COLD 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/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/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/RES0118.mp3[340.680,344.320] THAT WAS WHEN I WAS 18 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/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/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/RES0044.mp3[416.080,422.760] NO OK UH HOW ABOUT CONFUSION OR MEMORY LOSS audio/RES0062.mp3[934.440,936.200] NO ITS BEEN BEEN STABLE audio/RES0110.mp3[317.720,320.920] AND WHATS THAT DISCHARGE LIKE WHAT COLOUR 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/RES0174.mp3[342.840,348.840] AND ANY MUSCLE ACHES BODY PAINS OR JOINT PAINS OR SWELLING audio/RES0153.mp3[515.800,522.240] OK AND ANY UH OTHER CONDITIONS THAT RUN IN THE FAMILY audio/RES0137.mp3[344.600,349.320] UM AND ANY ALLERGIES THAT YOU KNOW OF audio/RES0078.mp3[704.240,712.880] YOURE WELCOME audio/RES0062.mp3[921.680,925.600] UM NOT REALLY NO I HAVENT NOTICED THAT 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/RES0068.mp3[364.880,373.160] OK ALRIGHT SO HAVE YOU NOTICED AT ALL ANY WEIGHT CHANGES audio/MSK0012.mp3[200.520,204.640] OK AND WHAT DO YOU DO FOR WORK audio/RES0173.mp3[0.000,5.400] HOW MAY I HELP YOU audio/MSK0003.mp3[518.040,521.400] OK AND DO YOU USE ANY MEDICATIONS FOR YOUR ASTHMA audio/RES0105.mp3[394.000,398.720] OK DO YOU FEEL FATIGUED AT ALL audio/RES0079.mp3[114.960,118.760] ANY DIFFICULTIES BREATHING audio/RES0074.mp3[256.840,258.120] NO WHEEZING audio/RES0206.mp3[631.000,636.600] NO NOTHING THAT I CAN THINK OF audio/MSK0041.mp3[918.840,921.680] ALRIGHT THANK YOU WE WILL GET THAT STARTED audio/RES0005.mp3[476.240,480.800] OK AND HAVE YOU HAD ANY RECENT HOSPITALIZATIONS 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/RES0044.mp3[424.680,433.320] OK UM ANY CHANGES TO YOUR BOWEL HABITS audio/RES0028.mp3[396.160,399.120] OK ANY ALLERGIES TO MEDICATIONS audio/MSK0007.mp3[335.840,342.600] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES audio/RES0149.mp3[62.720,71.720] OK UM AND WITH THIS WITH THE SHORTNESS OF BREATH HAVE YOU HAD HAD A COUGH audio/CAR0001.mp3[469.800,472.520] OK HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0108.mp3[209.520,212.000] NO NUMBNESS OR TINGLING audio/MSK0019.mp3[206.080,208.200] UH WEIGHT LOSS audio/RES0065.mp3[160.320,164.840] NOT THAT I KNOW OF audio/MSK0005.mp3[432.880,440.600] OK ALRIGHT AND THEN DO YOU FEEL LIKE ITS HOT THAT AREA audio/RES0039.mp3[627.560,631.280] OK AND CURRENTLY DO YOU SMOKE audio/MSK0021.mp3[438.960,445.080] OK OK GOOD AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE RIGHT NOW audio/RES0169.mp3[249.840,258.000] OK AND DO YOU CURRENTLY WOULD YOU CURRENTLY LET THAT audio/RES0128.mp3[40.000,45.400] OK AND IS IT A DRY COUGH OR IS IT BRINGING UP ANY PHLEGM 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/RES0048.mp3[705.040,707.720] OK UM DO YOU DRINK ALCOHOL 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/MSK0012.mp3[581.360,585.960] OK AND HAS THAT BEEN WORKING FOR YOU AT ALL audio/RES0027.mp3[327.720,329.880] UM NO NO DIZZINESS audio/RES0178.mp3[172.240,174.960] NO SORE THROAT audio/RES0071.mp3[513.840,516.640] OK DO YOU HAVE ANY ALLERGIES audio/RES0119.mp3[38.160,41.800] IT STARTED TWO WEEKS AGO audio/RES0067.mp3[149.680,155.360] SHES NOT BLUE SHES LOOKING A LITTLE PALE THOUGH audio/RES0080.mp3[233.600,236.720] HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0129.mp3[145.560,151.440] NO RASHES OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING audio/RES0077.mp3[532.000,534.320] WHERE WOULD YOU SAY YOU FEEL SORE audio/RES0096.mp3[245.920,247.120] NO NO NO 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/RES0104.mp3[25.520,30.160] YEAH YEAH ABOUT TWO DAYS 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/MSK0031.mp3[133.080,142.560] OK AND ONE TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS YOUR PAIN audio/RES0035.mp3[279.280,284.640] UM DO YOU THINK YOU HAVE HAD ANY EXPOSURE TO TUBERCULOSIS IN THE PAST audio/GAS0003.mp3[478.240,479.160] I DONT NO audio/RES0093.mp3[176.400,178.920] ANY CONGESTION audio/MSK0013.mp3[427.680,430.360] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS 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/MSK0005.mp3[603.280,605.640] UH NO ALLERGIES audio/MSK0039.mp3[128.880,130.320] AT 10 FOR SURE 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/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/RES0209.mp3[409.440,415.080] I THINK MY SISTER HAS ASTHMA TOO 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/RES0103.mp3[298.360,300.920] IS SHE ON ANY MEDICATIONS audio/RES0074.mp3[72.200,77.480] OK HOW ABOUT ANY REDNESS IN THE BACK OF YOUR THROAT audio/RES0127.mp3[120.960,125.560] WELL I HAVE TO LIKE COUGH TO CLEAR MY THROAT BUT THEN NOT OTHERWISE 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/RES0168.mp3[483.520,485.600] NO NO ITS A PRETTY NEW HOUSE audio/RES0147.mp3[430.640,439.040] UH SO BEFORE I WORKED AT THE BEER FACTORY IN IN TOWN LABATT audio/RES0155.mp3[530.280,534.560] UM NO 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/MSK0006.mp3[333.080,335.080] NO WEIGHT LOSS 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/RES0039.mp3[309.800,314.520] OK ARE YOU HAVING ANY FEVERS OR CHILLS audio/RES0214.mp3[319.240,322.160] OK SO IT SOUNDS LIKE YOUVE BEEN PRETTY HEALTHY OTHERWISE audio/RES0175.mp3[38.960,43.040] OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS audio/RES0178.mp3[362.760,368.880] OK OK AND IS HE ON ANY MEDICATIONS audio/RES0033.mp3[292.760,297.840] OK UH ANY NIGHT SWEATS 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/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/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/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/RES0208.mp3[147.800,154.880] I HAVENT THOUGHT ABOUT IT TOO HARD BUT YEAH KIND OF audio/MSK0018.mp3[346.280,349.120] UH NO NOT THAT I CAN FEEL audio/MSK0027.mp3[394.360,397.160] OK AND WAS IT VAGINAL DELIVERY OR CSECTION audio/RES0069.mp3[294.720,300.360] BUT I STILL WANTED TO BE CAREFUL AND COME IN JUST IN CASE audio/MSK0011.mp3[40.560,43.120] ITS MY RIGHT HAND audio/RES0126.mp3[55.720,60.720] OK ARE YOU BRINGING UP ANY SPUTUM AT ALL WITH YOUR COUGH audio/MSK0022.mp3[591.880,596.360] OK AND WHEN WERE YOU DIAGNOSED WITH THE HYPOTHYROIDISM audio/RES0146.mp3[366.600,377.720] OK THATS GOOD AND DO YOU AH HAVE YOU TRAVELED ANYWHERE RECENTLY OUTSIDE THE PROVINCE 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/RES0033.mp3[426.160,431.920] OK UH ANY EXPOSURES TO TUBERCULOSIS audio/DER0001.mp3[116.160,119.280] OK AND WHAT LEG ARE YOU HAVING THIS PROBLEM WITH audio/RES0145.mp3[515.600,517.840] NO IM NOT 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/RES0174.mp3[616.120,617.840] NO NO audio/MSK0017.mp3[42.240,46.920] SO I WORK UM AT A BUTCHER SHOP 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/RES0205.mp3[368.280,373.680] OK AND DO YOU HAVE ANY KIDS OR PETS LIVING WITH YOU 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/RES0071.mp3[442.720,448.920] OK ANY CHANGES WITH YOUR SLEEPING OR YOUR APPETITE audio/MSK0029.mp3[408.320,414.000] YEAH FOR SURE ANY FEVERS OR CHILLS audio/MSK0003.mp3[130.040,137.480] OK SO IT KIND OF CAME ON PROGRESSIVELY DIDNT JUST COME ON SUDDENLY AT SOME POINT audio/RES0049.mp3[329.800,333.920] OK DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0175.mp3[407.480,416.760] YEAH MAYBE SOMETIMES ONCE OR TWICE A MONTH MAYBE A GLASS OR TWO AT A TIME audio/RES0183.mp3[208.840,212.200] UHM NOT THAT IVE NOTICED audio/RES0042.mp3[425.640,433.200] ALRIGHT AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS 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/RES0008.mp3[349.480,355.760] NO IVE BEEN AT HOME AND AND DOING THE VOLUNTEER WORK audio/MSK0001.mp3[440.680,443.840] UH ABOUT 40 YEARS audio/RES0097.mp3[324.880,328.200] NO HES BEEN GAINING WEIGHT ACTUALLY audio/GAS0005.mp3[364.600,369.800] OK AND HES HAD A FEVER HAS HE HAD THE CHILLS audio/RES0135.mp3[334.160,339.600] OKAY UM AND UH HAS SHE HAD ANY NAUSEA OR VOMITING 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/RES0192.mp3[322.320,324.000] UH NO audio/RES0066.mp3[51.880,56.040] OK BUT THEN IT GOT RESOLVED AND THEY SENT YOU HOME audio/RES0005.mp3[339.280,342.880] OK HAVE YOU BEEN HAVING ANY CHEST PAIN audio/RES0079.mp3[412.160,417.040] RIGHT I DONT HAVE ANYTHING LIKE THAT audio/RES0121.mp3[178.120,182.240] UH ITS PRETTY ITS 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/RES0073.mp3[312.000,315.400] OK AND HAVE YOU HAD ANY URINARY PROBLEMS audio/GAS0004.mp3[369.400,372.560] HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0031.mp3[443.080,446.880] OK DOES YOUR GIRLFRIEND HAVE A SORE THROAT NOW audio/MSK0003.mp3[610.240,616.800] I DONT BELIEVE SO I THINK SHE HAD JUST MORE ISSUES WITH HER WITH HER SKIN audio/RES0033.mp3[299.040,303.600] HAVE YOU HAD ANY RACING OF YOUR HEART 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/RES0010.mp3[326.600,332.520] ALRIGHT ALRIGHT UM HAS IT EVER HAPPENED TO YOU BEFORE audio/MSK0022.mp3[424.000,432.280] OK AND HAVE YOU LOST ANY MOVEMENT IN ANY OF THESE JOINTS AT ALL 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/RES0038.mp3[453.080,455.280] NO IVE BEEN HEALTHY THAT WAY audio/CAR0004.mp3[166.720,172.040] OK UM HAVE YOU HAVE YOU TRIED LIKE ANY MEDICATIONS THAT HAS HELPED THE PAIN audio/RES0192.mp3[550.200,555.520] OK AND DO YOU SMOKE CIGARETTES audio/RES0059.mp3[519.600,523.040] OK BUT NO CIGARETTES THOUGH 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/RES0021.mp3[247.480,251.960] OK HAVE YOU HAD A LOSS OF TASTE OR A LOSS OF SMELL audio/RES0183.mp3[309.800,314.200] OK AND ANY SKIN RASHES 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/RES0060.mp3[184.800,187.800] OK SO ITS A DRY COUGH audio/RES0099.mp3[263.360,270.040] ALRIGHT SO HOW ABOUT ANY DIZZINESS OR LIGHTHEADEDNESS audio/RES0006.mp3[517.040,519.640] OK AND SORRY COULD YOU REMIND ME OF YOUR YOUR AGE AGAIN 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/RES0027.mp3[426.520,430.520] OK AND WERE THERE ANY CONCERNS WITH THE RANGE AT THAT TIME 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/RES0071.mp3[351.560,354.920] ANY NIGHT SWEATS audio/RES0011.mp3[344.600,352.960] OK AND THEN HOW ABOUT ANY CHEST 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/MSK0033.mp3[348.640,355.600] NO NOT NOTHING LIKE THAT NO audio/RES0051.mp3[323.840,327.800] ALRIGHT DO YOU TAKE ANY MEDICATIONS audio/MSK0021.mp3[643.720,651.560] SQUATTING HURTS OK OK AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE CEILING audio/RES0136.mp3[620.040,624.480] UM NO audio/RES0185.mp3[188.880,196.200] NO OK AND THEN HOW ABOUT ABDOMINAL PAIN audio/MSK0032.mp3[214.880,217.800] UM DIZZINESS OR FAINTING SPELLS audio/MSK0028.mp3[293.600,295.320] UHM NO 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/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/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/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/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/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/RES0165.mp3[497.520,501.920] WELCOME TAKE CARE audio/RES0061.mp3[248.520,253.640] OK HAVE THEY BEEN IN ANY PAIN audio/CAR0002.mp3[470.480,473.840] ABOUT A HALF A PACK TO A PACK A DAY audio/RES0068.mp3[278.800,282.200] OH GOSH I HOPE NOT NO NO ONE SAID THAT 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/RES0081.mp3[137.480,142.160] OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE audio/MSK0021.mp3[130.440,137.040] UH YEAH IT HAS GOTTEN HAS GOTTEN A BIT WORSE 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/RES0179.mp3[26.840,27.600] YEAH YEAH 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/RES0116.mp3[191.920,194.880] NO NO NOTHING LIKE THAT 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/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/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/RES0047.mp3[586.040,591.000] UH NO I DONT THINK SO audio/RES0182.mp3[286.200,288.520] ITS MORE GENERAL audio/RES0010.mp3[477.640,478.680] NO NO audio/RES0007.mp3[470.320,475.760] OK AND ANY MEDICATIONS BESIDES IT LIKE THAT INCLUDING THE INHALERS audio/RES0064.mp3[119.040,124.880] ENERGYS PRETTY MUCH THE SAME JUST REALLY COMPLAINING A LOT ABOUT THE THROAT 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/MSK0026.mp3[251.760,254.000] UHM NO 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/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/RES0177.mp3[38.840,43.680] OK AND DID YOU TAKE HIS TEMPERATURE AT HOME audio/RES0193.mp3[466.120,471.760] OK YEAH SO AND ANY ISSUES WITH THE MOTHERS PREGNANCY WITH HIM AT ALL 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/RES0070.mp3[169.640,172.520] NO NOT REALLY audio/MSK0028.mp3[336.440,342.200] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING 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/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/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/RES0212.mp3[418.520,422.200] AND HAVE YOU EVER UM INJECTED DRUGS INTO YOUR BODY audio/RES0026.mp3[668.120,672.080] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0042.mp3[161.720,164.320] MAYBE A BIT OF A RUNNY NOSE audio/RES0011.mp3[326.760,331.080] OK AND WHEN DID THE RUNNY NOSE START audio/RES0036.mp3[670.920,672.200] I DO BUT NOT A LOT 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/RES0059.mp3[39.880,41.320] NO NO WHEEZING 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/RES0097.mp3[162.480,166.200] OK AND HAS HE HAD ANY HEADACHES 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/GAS0003.mp3[350.480,352.760] ANY PAST 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/RES0125.mp3[426.000,432.000] YEAH MY DAD AND MY GRANDFATHER HAD IT 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/RES0005.mp3[637.600,643.880] ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS BEFORE LIKE COUGHING UP BLOOD OR audio/RES0175.mp3[349.600,351.520] OH NO SHES FEELING GOOD audio/RES0108.mp3[131.160,131.680] UH NO 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/RES0131.mp3[631.760,634.200] THAT SOUNDS GOOD THANK YOU audio/MSK0012.mp3[287.600,290.680] UM SOMETIMES audio/MSK0021.mp3[525.360,527.320] NO NOTHING LIKE THAT audio/RES0150.mp3[323.400,324.960] UH NO audio/RES0192.mp3[135.320,141.640] OK AND HAVE YOU HAD ANY UM WHEEZING 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/RES0071.mp3[398.040,402.880] OK SO ANY COUGHING AT ALL audio/RES0165.mp3[188.840,190.160] NOT THAT BAD audio/RES0101.mp3[471.960,474.480] NO NOT REALLY audio/RES0110.mp3[593.800,596.240] UH NO NO SURGERIES 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/RES0095.mp3[364.720,368.600] IM 250 POUNDS audio/RES0209.mp3[141.720,148.120] OK ANY OTHER TRIGGERS THAT YOU CAN THINK OF audio/RES0059.mp3[120.400,126.240] OK AND HOW ABOUT HEARING ANY CHANGES IN YOUR HEARING audio/RES0048.mp3[430.800,435.000] NO CHANGES IN YOUR APPETITE 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/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/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/RES0188.mp3[136.840,143.320] OK DOES HE SEEM EXCESSIVELY TIRED OR FATIGUED 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/RES0185.mp3[196.200,198.680] NO ABDOMINAL PAIN audio/MSK0027.mp3[284.440,289.640] I SEE OK AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION 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/RES0195.mp3[235.880,239.480] OK AND HOW ABOUT THE EYE IRRITATION WHEN DID THAT START audio/RES0095.mp3[368.600,373.400] OK AND YEAH WE CAN CHECK THAT UH WITH YOUR HEIGHT TODAY 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/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/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/RES0202.mp3[546.720,549.280] YEAH I THINK SHE YEAH SHES HEALTHY audio/RES0091.mp3[333.200,337.800] UH NO WHAT CAN I DO ABOUT THIS RUNNY NOSE audio/GAS0007.mp3[139.160,145.720] FELT A BIT HOT THE OTHER DAY DIDNT TAKE A TEMPERATURE THOUGH audio/RES0170.mp3[532.880,538.200] HAS HE BEEN ON ANY MEDICATIONS 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/RES0207.mp3[349.240,350.920] HOW OLD IS YOUR DAUGHTER audio/RES0212.mp3[449.520,450.680] MAYBE LIKE 2 WEEKS AGO 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/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/MSK0018.mp3[133.880,136.720] NO OKAY ANY HEADACHES audio/RES0064.mp3[164.800,168.200] CHEST PAIN 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/RES0113.mp3[328.320,333.760] OK HAVE YOU HAD ANY HAVE YOU TRAVELED ANYWHERE audio/RES0003.mp3[161.720,162.960] NO COUGH 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/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/MSK0008.mp3[553.280,562.640] I AM ABLE TO WALK NORMALLY AND IT HURTS BUT I THINK IM WALKING OK audio/MSK0016.mp3[603.640,606.720] OK HOW ABOUT ALCOHOL DO YOU DRINK audio/RES0184.mp3[541.720,547.800] ALRIGHT SO WELL GET THE SWAB NOW AND GET THAT TESTING STARTED audio/GAS0001.mp3[355.240,356.120] OH NO 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/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/MSK0013.mp3[161.440,164.360] AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0211.mp3[348.360,350.880] DO YOU KNOW WHAT ECZEMA IS audio/RES0195.mp3[334.360,337.560] SOMETIMES THE SHORTNESS OF BREATH audio/MSK0044.mp3[369.040,373.640] UM NO I HAVENT HAD ANY audio/RES0034.mp3[194.520,199.520] OK AND WHEN DID THE DIARRHEA START 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/RES0004.mp3[214.600,218.200] NO ITS ITS NOT RAISED 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/RES0192.mp3[273.360,280.440] OK UM AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING 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/RES0216.mp3[125.920,132.320] KIND OF JUST ALL OVER audio/RES0169.mp3[195.080,202.840] NOTHING LIKE THAT audio/RES0206.mp3[293.920,295.760] NO NO I WISH BUT NO audio/MSK0041.mp3[251.240,254.040] NO CHANGES THERE audio/RES0066.mp3[230.640,237.880] OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LIMBS AT ALL audio/MSK0044.mp3[0.000,3.280] WHAT BRINGS YOU HERE TODAY audio/RES0113.mp3[373.440,379.400] OK UM ALRIGHT UH DO YOU DRINK ALCOHOL audio/MSK0011.mp3[213.520,217.360] NO NOTHING LIKE THAT audio/RES0088.mp3[512.160,518.080] NO OK ARE THERE ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0130.mp3[158.040,166.200] LAST MONTH OKAY UM ANY CHILLS FEVER SORRY CHILLS OR NIGHT SWEATS audio/RES0033.mp3[255.960,258.480] OH NO NO NAUSEA OR VOMITING audio/RES0064.mp3[332.320,334.080] NO NOT THAT I KNOW audio/RES0033.mp3[261.720,263.880] NO NO HEADACHES audio/RES0005.mp3[41.400,48.120] YEAH I WOULD SAY SO ITS GETTING MORE FREQUENT AND WORSE IN NATURE 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/MSK0027.mp3[237.960,240.080] HOW ABOUT A COUGH OR SHORTNESS OF BREATH audio/RES0036.mp3[18.920,22.120] OK AND WHEN DID THIS FIRST START audio/RES0071.mp3[91.720,94.280] NOTHING THAT I CAN THINK OF audio/RES0174.mp3[743.600,751.080] OH OK AND I DOES THAT HOW LONG DOES IT LAST FOR audio/MSK0034.mp3[341.800,346.280] AND WAS IT A VAGINAL DELIVERY OR A CSECTION audio/RES0141.mp3[192.880,195.960] UH NO NOTHING LIKE THAT 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/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/RES0214.mp3[50.840,52.640] UH NO audio/RES0034.mp3[703.960,709.240] NO JUST TRIED THE TYLENOL BUT IT DIDNT REALLY SEEM TO WORK audio/MSK0019.mp3[334.240,337.840] DO YOU DRINK ALCOHOL audio/RES0165.mp3[177.560,186.240] NO OKAY AND THE SORE THROAT ARE YOU HAVING TROUBLE OR PAIN WHILE SWALLOWING ANY FOOD audio/RES0114.mp3[627.480,629.880] NO ITS PRETTY WELL MAINTAINED 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/RES0147.mp3[377.080,378.880] NO I HAVENT audio/RES0152.mp3[105.240,109.560] I SEE HAVE YOU HAD ANY UH ANY CHEST PAIN 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/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/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/RES0116.mp3[705.760,707.920] YEAH HOW DOES THAT SOUND 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/RES0092.mp3[55.280,59.840] UHM AND HAVE YOU HAD ANY BLOOD THAT CAME UP WITH THE SPUTUM audio/RES0051.mp3[167.840,173.440] OK HAVE YOU HAD ANY CHANGES TO YOUR VISION OR OR HEARING 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/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/RES0074.mp3[423.960,432.040] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION 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/GAS0004.mp3[41.160,51.040] UM HAVE I EXPERIENCED SOMETHING LIKE THIS BEFORE UHM NO I DONT THINK SO audio/RES0112.mp3[255.640,262.880] DID DID YOU HAVE GBS OR GESTATIONAL DIABETES audio/RES0191.mp3[186.280,188.360] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0058.mp3[137.280,138.320] NO WHEEZINESS audio/RES0023.mp3[263.800,267.280] OH NO OK AND WAS THAT JUST LAST NIGHT audio/CAR0002.mp3[204.440,208.480] OK HAS ANYONE AROUND YOU BEEN SICK AT ALL audio/RES0169.mp3[59.640,64.800] OK IS IT A WET COUGH OR DRY COUGH audio/RES0183.mp3[553.160,559.200] OK AND HAS HE BEEN GROWING NORMALLY audio/CAR0004.mp3[107.320,112.080] NO NO IT HASNT 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/RES0176.mp3[574.560,578.120] OK COOL YEAH I DO YOU SMOKE CIGARETTES audio/RES0155.mp3[319.440,325.400] OK ANY NAUSEA OR VOMITING 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/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/MSK0041.mp3[646.200,650.680] OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES 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/RES0109.mp3[246.720,251.440] OK YEAH FOR SURE HOW WHEN WERE YOU DIAGNOSED WITH DEPRESSION audio/RES0007.mp3[397.720,405.160] OK UM AND UH ANY FEVERS OR CHILLS audio/RES0081.mp3[607.960,610.440] OK AND ARE THERE ANY PETS IN THE HOME 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/RES0186.mp3[322.960,324.560] I BELIEVE SO YES audio/MSK0041.mp3[404.520,414.160] OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES audio/RES0111.mp3[168.000,169.080] UH NO audio/RES0210.mp3[447.720,455.040] SMOKE THE ODD JOINT FROM TIME TO TIME BUT HAVENT IN YEARS NOW audio/RES0108.mp3[347.520,350.920] YEAH FOR SURE UHM ANY TRAVEL RECENTLY audio/RES0022.mp3[811.840,814.960] SURE SURE audio/GEN0001.mp3[89.280,92.600] OK ARE YOU ON ANY CONTRACEPTION RIGHT NOW audio/RES0214.mp3[112.680,115.640] UH FOR THE PAST TWO THREE DAYS audio/RES0119.mp3[432.520,443.000] UM NO COMPLICATIONS AFTER BESIDES THE HOSPITALIZATION FOR THE SMALL LUNGS audio/RES0191.mp3[392.640,397.360] DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS audio/RES0106.mp3[35.160,38.920] OK IS IT EVER GREEN OR BLOODY audio/RES0015.mp3[472.040,480.280] OK HOW ABOUT SWELLING IN YOUR LEGS OR IN YOUR LIMBS audio/RES0006.mp3[424.600,428.240] ALRIGHT AND HAVE YOU BEEN IN THE HOSPITAL RECENTLY audio/MSK0029.mp3[318.800,321.040] UM I NO audio/MSK0029.mp3[809.880,819.600] NO PAIN THERE OK HOW ABOUT TO THE SIDES KIND OF WHERE YOUR STERNOCLEIDOMASTOID MUSCLES ARE audio/RES0036.mp3[55.640,62.120] OK AND IS IT A DRY COUGH OR A WET COUGH audio/RES0212.mp3[7.640,10.200] OK HOW LONG HAVE YOU HAD THAT FOR audio/RES0126.mp3[322.120,325.320] WHEN DID YOU NOTICE audio/RES0113.mp3[343.240,346.280] UH LIKE I HAVE TRAVELED IN THE PAST TWO YEARS audio/RES0163.mp3[424.480,429.080] UHM AGAIN ITS BEEN LIKE MONTHS OR YEARS audio/RES0140.mp3[201.360,204.640] IS YOUR PAIN CONTROLLED WELL WITH TYLENOL 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/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/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/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/RES0185.mp3[344.960,348.080] OK DO YOU SMOKE audio/RES0111.mp3[93.120,94.960] NO NO RUNNY NOSE audio/RES0151.mp3[257.000,266.200] OK UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING 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/RES0134.mp3[227.200,232.800] AND DO YOU GET SHORT OF BREATH IF YOU LIE DOWN FLAT audio/RES0100.mp3[222.320,226.320] OK HOW ABOUT ANY SHORTNESS OF BREATH OR TROUBLE BREATHING