audio/RES0134.mp3[470.120,474.160] OKAY AND UM AND HOW IS THE RECOVERY AND MOBILITY BEEN audio/MSK0006.mp3[98.760,102.440] OK UM HAVE YOU TRIED ANYTHING FOR IT audio/RES0109.mp3[123.200,132.000] OK WHEN YOUR NOSE DOES RUN DO YOU NOTICE THAT ITS LIKE UH YELLOW IN COLOUR OR RED audio/RES0019.mp3[204.480,213.640] OK UM AND SO YOU YOU MENTIONED THAT YOU HAD YOU HAD A FEVER AS WELL DID YOU CHECK YOUR TEMPERATURE audio/RES0207.mp3[100.120,124.640] NO NO ALTHOUGH I I SHOULD LET YOU KNOW AND MAYBE I DONT KNOW IF ITS RELATED UM BUT I HAD A SEIZURE LAST NIGHT AND I WAS FINE AFTER AND THEN I WENT TO BED UM I DONT KNOW IF THATS RELATED BUT I THOUGHT I SHOULD LET YOU KNOW I DO HAVE A SEIZURE DISORDER I HAVE EPILEPSY audio/MSK0021.mp3[515.960,525.360] NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT KNEE audio/RES0139.mp3[460.520,481.680] YEAH SO WE CAN DEFINITELY TALK MORE ABOUT ALCOHOL USAGE DEFINITELY ESPECIALLY WHEN THERES UH PEOPLE GOING THROUGH STRESSFUL TIMES THERE CAN BE INCREASING SUBSTANCE USE INCLUDING ALCOHOL SO WE DEFINITELY HAVE A LOT OF RESOURCES THAT WE CAN UM DISCUSS TODAY IF YOU WOULD LIKE audio/RES0123.mp3[178.160,193.720] YEAH WE CAN DEFINITELY CHECK YOUR TEMPERATURE HERE IN THE UM HERE UM AND YOU MENTIONED THAT THE MUSCLE ACHES HAVE BEEN QUITE BOTHERSOME FOR YOU IS IT ALL OVER YOUR BODY OR ANYONE UH IN ANY ONE MUSCLE GROUP audio/RES0012.mp3[405.720,414.360] ALL THE TIME OK BUT ITS NOT WORSE WHEN YOURE LAYING DOWN OR STANDING UP audio/RES0090.mp3[409.200,411.080] I LIVE IN AN APARTMENT audio/RES0027.mp3[474.560,484.560] ALRIGHT UM SO NEXT I WAS WONDERING IF YOU COULD JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/CAR0003.mp3[494.600,505.120] OK AND HAVE YOU PREVIOUSLY HAD ANY SURGERIES IN THE PAST audio/RES0018.mp3[22.560,35.280] NO NOT REALLY ITS BEEN PRETTY MUCH LIKE A DRY COUGH I DID FEEL LIKE A TICKLE IN MY THROAT BEFORE IT STARTED BUT NO IM NOT PRODUCING ANY PHLEGM audio/RES0196.mp3[184.120,187.760] UH SHES BEEN PRETTY TIRED audio/RES0192.mp3[75.800,93.480] OK UM SO SO IT SOUNDS LIKE NO ORTHOP IS WHAT THEY CALL IT AND HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT AND YOURE SHORT OF BREATH AND YOU NEED TO SIT UP AN END TO CATCH IT audio/RES0093.mp3[548.600,554.240] NO THATS GREAT OK DO YOU PLAN ON CUTTING IT DOWN FURTHER OR DO YOU WANNA STAY RIGHT THERE audio/RES0167.mp3[278.800,285.320] OTHER THAN THAT LIKE I DONT I HAVENT REALLY BEEN TO THE DOCTOR FOR MUCH audio/MSK0040.mp3[284.480,289.800] NO NO NO NO SENSORY LOSS audio/RES0177.mp3[183.920,189.520] OK IS IT WAKING HIM UP FROM SLEEP audio/RES0074.mp3[334.360,338.960] NO MY WEIGHT HAS BEEN AROUND THE SAME audio/RES0057.mp3[625.760,632.440] LIKE A LONG TIME AGO MAYBE WHEN I WAS IN COLLEGE ONCE OR TWICE audio/RES0059.mp3[0.000,2.280] HOW ARE YOU DOING audio/MSK0004.mp3[399.280,407.120] UH RARELY ILL HAVE MAYBE A GLASS OF WINE LIKE ONCE EVERY COUPLE OF MONTHS BUT ITS PRETTY INFREQUENT audio/RES0138.mp3[449.240,452.920] I LIVE WITH MY WIFE audio/RES0161.mp3[385.240,464.960] OK ALRIGHT UHM SO I GUESS FROM THE SYMPTOMS THAT YOUVE DESCRIBED IT SOUNDS LIKE YOU LIKELY HAVE A CONDITION CALLED ACUTE RHINOSINUSITIS WHERE YOU HAVE INFLAMMATION OF THE SINUSES IN YOUR FACE AND POTENTIALLY SOME INFLAMMATION IN YOUR NOSE AS WELL AND OFTEN ITS CAUSED BY A VIRUS AND IT USUALLY GETS BETTER IN A COUPLE OF WEEKS AND THE BEST THING TO DO IS JUST CONSERVATIVE MANAGEMENT TRY TO REST AND IF IF YOU KNOW TAKING ANY MEDICATIONS OVER THE COUNTER MEDICATIONS IS HELPING YOU FEEL BETTER IF YOU FEEL LIKE TYLENOL SORT OF REDUCING SOME OF THAT PRESSURE OR IF DOING A TAKING A STEAM BATH IS SORT OF HELPING RELIEVE THAT PRESSURE TRY THOSE DRINK A LOT OF WATER TO TRY TO SORT OF LEAR OUT ALL THAT MUCUS THATS THATS BUILDING UP ILL ALSO DO A PHYSICAL EXAM AND TALK TO MY ATTENDING AND CONFIRM ALL THIS INFORMATION WITH HIM AND WE CAN GO FROM THERE audio/MSK0014.mp3[756.920,760.200] AND ANY NUMBNESS TINGLING audio/MSK0015.mp3[202.840,211.480] OK SO IT SOUNDS LIKE SHE MIGHT HAVE HAD A COLD LAST WEEK AND DID LIKE THE RUNNY NOSE AND COUGH GO AWAY audio/RES0167.mp3[89.920,96.400] OK SO WHEN DID THIS START AGAIN YOU SAID IF A COUPLE DAYS AGO OR A FEW WEEKS AGO audio/RES0061.mp3[274.960,290.440] UHH YEAH I HAVENT HAD A COUGH BUT UM IVE HAD A COUGH FOR A FEW YEARS NOW SO YEAH THATS NOT REALLY A CHANGE FOR ME audio/RES0156.mp3[461.880,468.280] UH NO I JUST UH YEAH JUST WANTED TO FIGURE OUT WHATS GOING ON WITH THIS COUGH audio/RES0062.mp3[429.640,431.920] OK HOW LONG HAVE YOU HAD A FIB audio/RES0178.mp3[229.000,230.960] NO DIARRHEA audio/RES0172.mp3[286.000,298.640] UHM NO I HAVENT I HAD SURGERY ON MY KNEE WHEN I WAS A TEENAGER I UH TORE MY ACL BUT ITS BEEN GOOD SINCE THEN audio/RES0189.mp3[1.440,27.120] SO IVE BEEN HAVING A LOT OF TROUBLE IN THE LAST TWO WEEKS OF ESPECIALLY THIS PAST WEEK OF JUST A LOT OF SHORTNESS OF BREATH IM GETTING A LOT OF COUGHING AS WELL AND PRODUCING A LOT OF MATERIAL AND ALSO I THINK I MIGHT HAVE BEEN HAVING A FEVER THIS WEEK AS WELL audio/MSK0023.mp3[239.520,251.560] NO THE ONLY SKIN CHANGE THAT I THAT I HAVE IS THE LIKE BRUISING OR LOOKS LIKE YOU LIKE BLOOD AROUND MY KNEE audio/RES0036.mp3[231.640,235.600] ITS RUSTY COLORED BUT I DONT KNOW IF THATS BLOOD audio/RES0016.mp3[566.680,571.920] OK AND HAS ANYONE AROUND YOU BEEN SICK audio/RES0177.mp3[43.680,54.920] I DID YEAH IT WAS LIKE 387 AND THEN LIKE TWO DAYS AGO AND THEN IT WAS HIGH AGAIN LIKE YESTERDAY AND TODAY audio/GAS0004.mp3[199.040,213.360] UM I I JUST GOT SOME RICE WITH CHICKEN MANCHURIAN IT WAS A NICE LITTLE CHINESE RESTAURANT AND YEAH audio/MSK0028.mp3[332.400,335.640] UM HAVE YOU HAD ANY CHEST PAIN audio/RES0208.mp3[248.960,256.120] HAVE YOU HAD ANY CHEST PAIN audio/GEN0001.mp3[294.160,295.640] NO NOTHING LIKE THAT audio/RES0130.mp3[75.840,88.440] UH I WOULD SAY LESS THAN THAT LIKE EACH TIME THERES MAYBE TO ABOUT THE SIZE OF I DONT KNOW UH LIKE A LOONEY SO LIKE INSIDE OF THE PALM audio/RES0131.mp3[262.000,281.520] UM YEAH NOW THAT YOU MENTION IT I HAVE HAD A LITTLE BIT OF A SORE THROAT AS WELL HASNT BEEN TOO PAINFUL WITH UM LIKE SWALLOWING UH FOODS OR ANYTHING LIKE THAT ITS KIND OF WORSE IN THE MORNING AND ITS NOT SO BAD LATER ON audio/RES0102.mp3[865.200,869.640] NO I WAS JUST I GUESS JUST CONCERNED ABOUT THE THE BLOOD IN THE IN THE COUGH audio/RES0193.mp3[251.240,270.960] UM I YEAH I MEAN SOMETIMES I GUESS LIKE IN THE IN THE FALL OR WHEN THE SEASONS CHANGE SHE DOES GET LIKE ITCHY EYES AND LIKE A RUNNY NOSE I THINK HE DOES HAVE MAYBE SOME ENVIRONMENTAL ALLERGIES audio/RES0053.mp3[416.120,417.720] OK AND HES PASSING GAS audio/RES0097.mp3[156.760,162.480] YEAH YEAH SINCE HES BEEN COMPLAINING OF HIS STUFFY NOSE audio/GEN0001.mp3[211.520,216.000] UNDERSTOOD HAVE YOU NOTICED ANY VISUAL CHANGES IN THE AREA NEAR THE VAGINA audio/RES0160.mp3[486.720,500.600] UHM I HAD A SURGERY TO REMOVE MY APPENDIX IN MY 20S AND SINCE THEN NO NO SURGERIES OR HOSPITALIZATIONS audio/RES0108.mp3[285.640,293.440] UHM PENICILLIN I JUST GET UH I GET A RASH I GOT A RASH WHEN I WAS A CHILD I HAVENT HAD IT SINCE THEN audio/RES0186.mp3[360.560,367.720] YOU DONT SMOKE OK HOW ABOUT RECREATIONAL DRUGS audio/GAS0005.mp3[296.040,307.080] UM HE DID HE DID POINT TO HIS STOMACH LIKE IT SEEMS LIKE HE WAS HAVING WITH ALL THE VOMITING LIKE HE WAS HAVING SOME STOMACH PAIN AS WELL audio/RES0012.mp3[951.160,1000.280] LOW ON THE DIFFERENTIAL RIGHT NOW SO YEAH SO UM SO YEAH SO FOR RIGHT NOW WELL START WE CAN START BY DOING SOME BLOOD WORK FIRST I DO A PHYSICAL EXAM OF COURSE AND THEN FROM THERE WE WOULD KIND OF DO SOME BLOOD WORK TO SEE IF YOUR WHITE BLOOD CELL COUNT IS HIGH AND THEN WE CAN DO A CHEST XRAY TO SEE IF THERE IS LIKE A CONSOLIDATION IF THERES PNEUMONIA OR YOU KNOW OR OR ANYTHING VIRAL UM DO YOU HAVE ANY QUESTIONSANYTHING THAT YOU WANTED TO ADD THAT I MISSED audio/RES0148.mp3[111.840,122.640] OK UM AND SO YOU MENTIONED UM WITH A FEVER HAVE HAVE YOU HAD ANY CHILLS audio/RES0203.mp3[381.000,383.160] OK ANY OTHER DRUGS audio/RES0045.mp3[473.240,479.320] OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0050.mp3[163.800,169.920] OK SO A BIT MORE TIRED HOW HAS YOUR SLEEP BEEN audio/RES0143.mp3[223.360,224.680] UH NO audio/RES0185.mp3[100.200,105.840] ITS DRY OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD audio/MSK0010.mp3[570.640,577.720] OK UH AND DO YOU DRINK ALCOHOL audio/RES0063.mp3[226.720,233.680] YEAH OK HOW ABOUT NAUSEA OR VOMITING audio/RES0080.mp3[172.080,180.800] OK AND HAS YOUR COUGH BEEN WORSE THESE PAST COUPLE OF DAYS AS WELL audio/RES0022.mp3[305.920,314.680] OK AN WITH UM THE CHANGE IN TASTE HOW HAS YOUR APPETITE BEEN audio/MSK0019.mp3[223.800,228.440] CHEST PAIN OR HEART PALPITATIONS audio/RES0003.mp3[238.160,243.920] HIS USUAL AMOUNT IS AS AS FAR AS I KNOW audio/RES0166.mp3[99.800,101.280] STILL THERE audio/RES0208.mp3[304.800,307.880] UM NOT ANY ONE SPOT audio/RES0128.mp3[151.640,155.800] OK OK DOES HE HAVE ANY ALLERGIES audio/MSK0027.mp3[321.880,325.880] NO SHES BEEN PRETTY HEALTHY OTHERWISE audio/RES0141.mp3[243.360,246.960] SO I THINK AROUND UH ITS BEEN AROUND TWO MONTHS audio/RES0197.mp3[347.320,352.120] OK ANY PAST SURGERIES audio/MSK0005.mp3[493.440,496.040] NO NOTHING THERE THAT FEELS FINE audio/RES0065.mp3[200.200,204.760] OK AND HOW ABOUT ANY SWELLING ANYWHERE ELSE ON YOUR BODY audio/RES0211.mp3[94.480,101.080] OK YOU NOTICE SKIN CHANGES ANYTHING IN YOUR ARMS OR LEGS IT LOOKS WEIRD NEW RASHES audio/RES0095.mp3[1.640,13.120] IVE HAD UH WORSENING UHM SHORTNESS OF BREATH UHM FOR THE PAST COUPLE OF DAYS audio/MSK0021.mp3[187.240,194.600] RIGHT UNDERNEATH THE KNEE OK audio/RES0057.mp3[208.520,211.640] HAVE YOU HAD A HEADACHE LIKE THIS BEFORE audio/RES0027.mp3[73.280,79.760] OK HAVE YOU TRIED ANYTHING TO YOU HELP WITH THE COUGH audio/RES0080.mp3[546.360,567.720] OK THE DOOR IS ALWAYS OPEN AND CERTAINLY SOMETHING WE CAN TALK ABOUT AT ANYTIME UH IF YOUD LIKE TO BUT UH IN THE MEANTIME WELL LEAVE IT ALONE FOR NOW I WAS WONDERING IF YOU DRINK ALCOHOL audio/MSK0012.mp3[471.960,476.680] NO IM GOING IM USING THE WASHROOM OK audio/RES0124.mp3[256.200,262.760] OKAY UM HAVE YOU EVER BROUGHT UP ANY SPUTUM OR ANY BLOOD audio/RES0062.mp3[163.920,182.360] OK AND DO YOU FIND THERE ARE ANY TRIGGERS TO YOUR COUGHING LIKE LIKE UM A PARTICULAR TIME OF THE DAY TRIGGERS LIKE YOU KNOW POLLEN OR THINGS IN YOUR ENVIRONMENT LIKE PETS audio/RES0094.mp3[138.800,142.600] NO NOTHING LIKE THAT audio/RES0023.mp3[34.040,42.880] YEAH IVE BEEN FEELING PRETTY PRETTY HOT AND JUST HAVENT BEEN REALLY FEELING VERY GOOD OVERALL IVE BEEN JUST EXHAUSTED audio/RES0119.mp3[0.000,2.600] SO WHAT BRINGS YOU IN HERE TODAY audio/RES0124.mp3[160.320,162.400] ANY CONFUSION audio/RES0045.mp3[339.080,342.360] DID YOU TAKE YOUR TEMPERATURE audio/RES0045.mp3[239.440,243.880] NO ANY SWELLING IN YOUR LEGS OR ARMS audio/RES0180.mp3[223.200,226.720] OK WEIGHT LOSS audio/RES0108.mp3[23.560,25.320] UM ITS JUST BEEN THERE audio/RES0071.mp3[183.000,186.840] OK AND HOW ABOUT THE HEADACHE WHEN DID THAT START audio/GAS0005.mp3[407.600,412.760] OK SO NO MEDICAL DIAGNOSIS PREVIOUSLY audio/MSK0018.mp3[259.800,262.960] OKAY UM DO YOU SMOKE AT ALL audio/MSK0006.mp3[527.600,530.560] NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0140.mp3[210.920,238.600] YEAH THATS FAIR THATS A FAIR POINT BUT ITS ALSO I GUESS ITS IMPORTANT THAT YOU MOVE AROUND AT HOME UM SO MAYBE TRY TO MAYBE WE CAN INCREASE YOUR TYLENOL DOSE OR MAYBE UM SEE IF THERES ANOTHER PAIN MED THAT YOU CAN BE STARTED ON IF YOURE NOT INTERESTED IN OPIOIDS JUST TO MAKE SURE THAT YOURE MOVING AROUND CAUSE THATS VERY IMPORTANT AT THE HOSPITAL DID YOU RECEIVE AN INJECTION IN YOUR IN YOUR TUMMY audio/RES0137.mp3[479.480,489.320] YEAH SO BASED ON THE SYMPTOMS OH YEAH SORRY I FORGOT TO ASK ONE OTHER QUESTION HAS SHE ARE HER IMMUNIZATIONS ALL UP TO DATE audio/GAS0004.mp3[63.360,70.560] OK AND HOW MANY TIMES A DAY HAVE YOU BEEN HAVING EPISODES OF DIARRHEA audio/RES0108.mp3[116.760,118.080] NO CHEST PAIN audio/RES0156.mp3[133.360,139.640] OK UM SO AND THEN HAS DOES ANYTHING MAKE HELP YOU WITH YOUR SYMPTOMS AT ALL OR HER SYMPTOMS audio/RES0191.mp3[135.320,138.120] HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0158.mp3[99.880,102.640] OK UM AND WHEN DID THIS START audio/RES0056.mp3[484.600,490.240] I THINK PROBABLY IN HER 50S audio/RES0127.mp3[527.200,537.080] NO OK AND SO OVERALL DO YOU FEEL SAFE IN YOUR HOME AND AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT ANY KIND OF BULLYING OR ANYTHING LIKE THAT GOING ON audio/RES0138.mp3[229.560,239.320] OKAY AND YOU ALSO TAKE THE ASPIRIN ALRIGHT HAVE YOU NOTICED ANY FEVERS OR CHILLS audio/RES0151.mp3[560.560,565.560] UM NOT THAT I KNOW OF NO audio/RES0215.mp3[287.800,295.200] NO OK AND YOU JUST HAD ANTENATAL CARE SO YOU SAW DOCTOR FOR ULTRASOUNDS AND JUST FOR CHECKUPS audio/RES0182.mp3[174.160,181.560] NO NOTHING LIKE THAT audio/RES0166.mp3[340.400,349.320] I DID IN THE PAST ABOUT 10 YEARS AGO I HAD LEUKAEMIA audio/MSK0009.mp3[780.600,794.080] OK AND IF YOU MOVE YOUR FOOT SO IT YEAH IF YOU DORSIFLEX YOUR ANKLE OR BENDING YOUR YOUR TOE UP TOWARDS YOUR NOSE DO YOU END UP GETTING ANY CALF PAIN DOING THE HOMAN TEST audio/MSK0033.mp3[595.000,601.960] NO OK AND YOUR ANKLE AND HIPS YOU DONT HAVE ANY PAIN OR ISSUES WITH MOVEMENT RIGHT audio/RES0163.mp3[506.560,508.480] OK HAVE YOU EVER SMOKED audio/RES0050.mp3[4.720,14.600] SURE UM I HAVE BEEN COUGHING A LOT IVE BEEN FEELING SHORT OF BREATH AND I JUST FEEL REALLY WHEEZY SO I THOUGHT I SHOULD COME CHECK IT OUT audio/RES0205.mp3[282.080,290.120] I’VE GOT ACID REFLUX AND UH I ALSO HAVE ANXIETY audio/MSK0035.mp3[360.320,367.600] OK SO UH DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER audio/RES0085.mp3[311.000,314.680] NO HE WAS FINE AFTER BIRTH audio/RES0057.mp3[376.000,418.240] OK ALRIGHT WELL IT SOUNDS LIKE YOU HAVE MULTIPLE SYMPTOMS RIGHT NOW THAT STARTED ABOUT 3 DAYS AGO YOURE FEELING TIRED YOU HAVE A HEADACHE DIFFICULTIES BREATHING SOME MUSCLE ACHES AND YOUVE BEEN FEELING FEVERISH YOUVE ALSO HAD THIS COUGH AND YOUR NOSE IS FEELING CONGESTED IS THERE ANYTHING ELSE THAT THAT YOUVE BEEN EXPERIENCING OVER THE PAST THREE DAYS THAT I HAVENT TALKED ABOUT YET audio/RES0176.mp3[112.000,120.680] ARE YOU ABLE TO LAY FLAT WITHOUT BEING SHORT OF BREATH audio/RES0019.mp3[474.280,476.760] ALRIGHT SO ITS JUST THE BIRTH CONTROL audio/RES0073.mp3[299.240,301.720] ANY ABDOMINAL PAIN audio/RES0104.mp3[583.240,602.640] NO IM RETIRED I USED TO BE A TEACHER FOR GRADE 3 UHM BUT YEAH BUT SINCE RETIRED AND MY HUSBAND AND I JUST MOVED INTO A SMALLER APARTMENT TO MAKE IT A BIT EASIER ON US IT WAS A LOT TRYING TO LOOK AFTER THE HOUSE audio/RES0174.mp3[434.000,444.000] OK AND HAVE YOU HAD DEPRESSION OR ANXIETY IN THE PAST audio/RES0189.mp3[236.080,245.320] OK UH DO YOU FEEL THAT OR COULD YOU DESCRIBE HE THE PAINS CHARACTER LIKE IS IT SHARP DULL OR ACHY audio/MSK0043.mp3[748.560,753.160] YEAH IT ITS REALLY PAINFUL I JUST I TRY NOT TO MOVE IT AT ALL audio/RES0170.mp3[31.720,78.120] LIKE RIGHT NOW HES OK WHEN THE SYMPTOMS COME ON THEY LAST FOR I DONT KNOW MAYBE 30 MINUTES 60 MINUTES OR OR EVEN LESS BUT YEAH IT HAPPENS MAYBE ONCE OR TWICE A WEEK WHERE AND ITS BEEN GOING ON FOR A A COUPLE OF MONTHS NOW YEAH HE ACTUALLY HAD A VIRAL INFECTION LIKE A FEW MONTHS AGO AND I THOUGHT IT WAS JUST THAT IT LEARED UP AND THEN HES JUST HAD A FEW MORE OF THESE EPISODES BUT WITHOUT THOSE KIND OF SYMPTOMS SO audio/RES0035.mp3[381.200,382.640] AND WHERE DO YOU WORK audio/MSK0029.mp3[762.160,772.520] NO OK DO YOU SEE ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES audio/RES0146.mp3[232.000,238.800] OK HAVE YOU BEEN AROUND ANYONE WHO COULD HAVE BEEN SICK audio/RES0015.mp3[650.000,659.880] OK AND HAVE THEY BEEN TO A DOCTOR HAVE THEY BEEN INVESTIGATED WERE THEY EVER GIVEN A DIAGNOSIS audio/RES0108.mp3[205.120,208.240] NO OK ANY JOINT PAIN audio/RES0169.mp3[154.400,156.560] HOW HOW BAD IS IT audio/RES0216.mp3[140.720,165.120] WELL I FEEL LIKE ITS KIND OF ALWAYS THERE BUT IT GETS WORSE WHEN I GO FOR MY WALK UM AND WELL SOMETIMES I GO FOR MORE THAN ONE WALK RIGHT CAUSE I WALK MY DOG ITS ALWAYS KIND OF THERE AND ESPECIALLY WHEN IM LIKE GETTING UP OUT OF THE CHAIR I CAN FEEL IT MORE OR WHEN I TAKE A BIG LIKE A BIG BREATH IN AS I SAID audio/RES0093.mp3[174.760,176.400] NO ITS REALLY NO audio/RES0055.mp3[639.640,647.880] NO IVE BEEN MOSTLY TRYING TO ISOLATE AND LIKE JUST BE IN MY OWN HOME audio/RES0099.mp3[408.800,419.560] OK NO THATS GREAT AND THAT REMINDS ME ACTUALLY HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT CHANGES audio/RES0200.mp3[542.200,553.280] OK AND ANY REASON FOR YOU TO BELIEVE YOU HAVE OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS audio/RES0106.mp3[605.240,608.000] YEAH TAKE CARE audio/RES0179.mp3[105.160,107.080] NO WHEEZING audio/RES0134.mp3[437.200,456.640] UM NO NOT UM WELL ACTUALLY I HAVE I HAD I HAVE OSTEOPOROSIS FOR WHICH IM TAKING CALCIUM AND VITAMIN AS WELL AS LIKE UM ALENDRONATE ALENDRONATE SOME SORT OF BISPHOSPHONATE audio/MSK0028.mp3[456.680,474.160] OK AND HAVE YOU HAD ANY ISSUES WITH YOUR SHOULDER BEFORE LIKE LIKE A SUBACROMIAL LIKE IMPINGEMENT SYNDROME OR LIKE A ROTATOR CUFF PAINS OR PROBLEMS IN THE PAST audio/RES0046.mp3[400.480,401.880] NO NO BLOOD audio/RES0059.mp3[300.760,314.800] OK UMM AND THEN SINCE YOU STARTED HAVING THIS COUGH TOO NOW HAS ANYTHING CHANGED HOW ARE YOU FEELING WORSE OR DO YOU FEEL KIND OF THE SAME AS WHEN IT STARTED audio/RES0063.mp3[545.280,553.000] OK THATS GOOD THATS GOOD THAT YOU QUIT DO YOU DRINK ANY ALCOHOL audio/MSK0034.mp3[416.680,422.640] OK AND CURRENTLY RIGHT NOW WHO DO YOU LIVE WITH audio/RES0207.mp3[375.440,379.640] OK COOL ARE YOU WORKING FROM HOME OR STILL WORKING OUT audio/MSK0005.mp3[615.600,619.120] UM NO NOTHING LIKE THAT IN THE FAMILY audio/RES0164.mp3[506.840,516.520] ITS UH THINGS ARE GOOD SO ITS HIM HIS TWO OLDER BROTHERS MY HUSBAND AND ME audio/RES0106.mp3[265.720,270.920] NO OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0102.mp3[711.240,724.000] YEAH IVE BEEN DOING SOME ADMINISTRATIVE WORK FROM FROM HOME BECAUSE OF COVID SO WITH THE EXTRA TIME IVE BEEN TRYING TO TO DO SOME EXTRA VOLUNTEERING audio/RES0139.mp3[210.800,220.600] NO OKAY UM ANY EXPOSURE TO ANY FUMES OR DUST WITHIN YOUR ENVIRONMENT OR ANIMALS OR PETS audio/RES0063.mp3[104.560,114.160] OK OK AND THEN ARE YOU HAVING ANY ISSUES WITH TASTE OR SMELL audio/MSK0045.mp3[663.240,673.840] FOR SOME RELIEF BUT YEAH SO FIRST WELL JUST TRY SOME CONSERVATIVE METHODS LIKE PHYSIOTHERAPY PAIN MANAGEMENT UH AND THEN GO FROM THERE HOW DOES THAT SOUND audio/RES0004.mp3[29.960,40.480] OK UM WHAT DOES IT FEEL LIKE IS IT IS IT KIND OF LIKE A BURNING FEELING IS IT MORE LIKE AN ITCHY FEELING WHAT DOES IT FEEL LIKE audio/RES0188.mp3[425.040,493.160] OK UHM SO FOR HIM WELL DO A COVID SWAB JUST TO RULE THAT OUT BECAUSE SOME OF HIS SYMPTOMS DO OVERLAP WITH THAT BUT IT ITS REALLY SOUNDING LIKE A PICTURE OF LIKE COMMUNITY ACQUIRED PNEUMONIA SO WELL DO A COUPLE OF THINGS FOR HIM UHM WE CAN GET HIS TEMPERATURE GET HIS OXYGEN OXYGEN SATURATION RIGHT AWAY WELL GET A CHEST XRAY WELL DO SOME BLOOD WORK AS WELL AND UHM HE MIGHT NEED TO BE ADMITTED DEPENDING ON UHM THE OXYGEN OXYGEN SATURATION AND THE FACT THAT HES GRUNTING SO IF HES ADMITTED WILL GIVE HIM SOME EXTRA OXYGEN AND KEEP MONITORING HIM AND KEEP HIM HYDRATED UHM WELL ALSO GIVE HIM SOME ANTIBIOTICS IF IF IT TURNS OUT HE HAS PNEUMONIA YEAH DOES THAT SOUND OK audio/RES0038.mp3[494.760,500.880] OK AND HAVE YOU EVER BEEN HOSPITALIZED BEFORE audio/RES0004.mp3[897.640,900.200] YEAH NO THAT SOUNDS GOOD audio/RES0201.mp3[85.200,92.760] OK IS THERE ANYTHING THAT MAKES IT WORSE OR LIKE ANYTHING THAT MAKES IT FEEL BETTER RIGHT NOW audio/DER0001.mp3[293.560,296.280] OK UHM audio/GAS0005.mp3[242.800,245.360] NO NOT THAT HES MENTIONED TO ME audio/RES0192.mp3[122.000,127.480] OK ARE YOU COUGHING UP ANY SPUTUM OR ANY PHLEGM audio/RES0126.mp3[542.640,548.400] OK DO YOU HAVE ANY ALLERGIES AT ALL TO MEDICATIONS OR ENVIRONMENTAL ALLERGIES audio/RES0016.mp3[391.440,395.320] OK AND ARE YOU ON ANY MEDICATIONS audio/RES0197.mp3[352.120,354.600] AH NOPE audio/RES0005.mp3[0.000,4.480] I WAS WONDERING IF YOU COULD TELL US WHAT BROUGHT YOU IN TO SEE US audio/RES0088.mp3[433.200,437.840] ANY MUSCLE ACHES OR ANYTHING LIKE THAT audio/RES0192.mp3[141.640,145.320] NO WHEEZING audio/RES0038.mp3[352.840,355.080] NO EVERYTHINGS BEEN NORMAL audio/RES0031.mp3[599.680,604.840] OK AND DO YOU USE A CONDOM audio/RES0090.mp3[115.960,125.520] AND WERE YOU AT ALL IN INDIA WHEN WERE YOU WERE YOU LIVING IN LIKE CLOSE QUARTERS LIKE IN A SMALLER SPACE WITH OTHER PEOPLE AT ALL audio/RES0114.mp3[351.760,365.640] OK ITS WHEN UM YOUR HEARTS NOT PUMPING AS MUCH AS IT SHOULD BE UM SO YOU GET SOME BACKUP OF FLUID I ASK BECAUSE YOU YOU MENTIONED THAT YOU UM WERE HAVING SOME SWELLING IN YOUR LEGS audio/MSK0008.mp3[296.800,301.480] OK HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/MSK0004.mp3[455.000,461.560] I CAN YEAH I CAN MOVE IT AROUND A LITTLE BIT IM TRYING TO AVOID THAT THOUGH JUST BECAUSE IT IT DOES HURT BUT I CAN MOVE IT AROUND audio/RES0183.mp3[212.200,218.200] OK AND HOW HAS HIS APPETITE BEEN audio/RES0164.mp3[190.520,198.000] OK OK AND HAS HE HAD ANY FEVERS OR CHILLS ANYTHING LIKE THAT audio/RES0155.mp3[764.520,766.120] OK THAT SOUNDS GOOD THANK YOU audio/RES0006.mp3[383.960,402.440] SO THE STEROID ONE I AM USING PRETTY MUCH EVERY DAY BUT THE SALBUTAMOL I FOUND IVE BEEN USING A LOT MORE RECENTLY I WOULD SAY PROBABLY AT LEAST SIX TO 10 TIMES IN A WEEK audio/RES0135.mp3[267.040,270.600] THATS RIGHT YEAH audio/MSK0017.mp3[295.680,296.520] UH NO RASHES audio/MSK0019.mp3[460.400,463.360] OKAY HOW ABOUT THE MEDIAL ASPECT OF YOUR ELBOW audio/RES0190.mp3[205.200,210.600] NO NO COUGH RIGHT NOW audio/RES0037.mp3[577.480,586.200] OK AND HAS ANYONE EVER HAD ANYTHING LIKE PULMONARY FIBROSIS OR ANY AUTOIMMUNE CONDITIONS audio/MSK0017.mp3[780.760,789.880] OK OK GOOD UM AND OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF audio/RES0181.mp3[297.240,306.920] OK THATS GREAT THAT YOU CAN RECOGNIZE THAT THOSE SIGNS ITS IMPORTANT AND HAVE YOU HAD ANY ALLERGIES audio/RES0120.mp3[588.400,592.200] I ILL HAVE A GLASS OF WINE HERE AND THERE audio/MSK0008.mp3[2.320,27.440] UM SO I WAS PLAYING SOCCER THE OTHER DAY AND I GOT KICKED IN THE KNEE AND SINCE THEN MY KNEE HAS BEEN HURTING AND IT LOOKS A LITTLE BIT RED AND A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT OF MY RIGHT KNEE audio/RES0080.mp3[0.000,3.560] WHAT TOOK BROUGHT YOU IN TODAY audio/RES0136.mp3[549.600,557.840] IM A BANKER BUT IM WORKING VIRTUALLY UH REMOTELY RIGHT NOW audio/RES0105.mp3[344.280,361.120] PRETTY SIMILAR I THINK LAST TIME I WAS WORSE BUT I WAITED LONGER LAST TIME AND SO THATS WHY I WAS CONCERNED AND AND WANTED TO COME IN EARLY audio/RES0173.mp3[228.920,235.640] HOW ABOUT ANY LOSSES OF SMELL OR OR TASTE audio/MSK0038.mp3[433.840,444.600] OK UM HOW ABOUT AUTOIMMUNE CONDITIONS audio/MSK0046.mp3[195.560,202.240] AND SORRY I ALSO TAKE LOTS OF NOTES LIKE HANDWRITTEN NOTES WITH MY LEFT HAND audio/RES0206.mp3[382.560,408.400] I’M NOT IM NOT I WE TALKED ABOUT IT BUT I DECIDED TO TRY TO CHANGE MY LIFESTYLE AS MUCH AS I COULD 1ST AND IVE ALSO DONE THAT FOR THE COPITS GENERALLY PRETTY LIKE IVE BEEN REALLY TRYING TO TAKE CARE OF IT BUT UM I FEEL LIKE I MAYBE GOT SICK OR SOMETHING THIS TIME YEAH SO MY BLOOD PRESSURE IS LIKE OK RIGHT NOW audio/RES0024.mp3[203.120,207.920] OK AND THEN ANY EYE PAIN OR EAR PAIN audio/MSK0046.mp3[278.480,287.720] OK UH ALRIGHT AND CURRENTLY ARE YOU WORKING RIGHT NOW OR HAVE YOU HAD ANY TIME OFF WORK OR ANY MODIFIED DUTIES audio/RES0081.mp3[306.440,312.360] AND WHEN LIKE DURING THE WINTER TIME DOES COLD AIR TRIGGER ATTACKS FOR DAVE audio/RES0148.mp3[101.200,110.640] A BIT OK UM IS IT UH ARE YOU HAVING ANY CHEST PAIN audio/RES0087.mp3[439.600,446.200] FAIRLY YOUNG I WOULD SAY IN HIS 20S audio/MSK0043.mp3[591.520,597.520] OKAY UM HAVE YOU HAD UH WHEN WAS THE LAST TIME YOU HAD CELLULITIS audio/MSK0036.mp3[658.920,663.520] OK UM AND DO YOU DRINK ALCOHOL audio/RES0159.mp3[481.760,487.400] UH NO audio/RES0061.mp3[303.200,308.800] DRY COUGH OK ANY BLOOD THAT YOU PRODUCE audio/RES0065.mp3[237.160,242.120] AND DO YOU FEEL FATIGUED LIKE INCREASED TIREDNESS AT ALL audio/RES0008.mp3[525.600,535.320] YEAH MY DAD ACTUALLY HAD A HEART ATTACK HE WAS IN HIS 70S I THINK MY MOM HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT NO audio/RES0200.mp3[299.080,301.760] NO MY WEIGHTS BEEN PRETTY STEADY audio/RES0142.mp3[192.680,198.840] OKAY AND UM WHO DO YOU CURRENTLY LIVE WITH OR DO YOU LIVE ALONE audio/RES0190.mp3[387.080,392.480] OK AND DO YOU HAVE ANY ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0007.mp3[332.280,335.840] UM NO audio/RES0208.mp3[2.800,23.240] HEY SO I JUST FOR THE LAST COUPLE DAYS IVE JUST BEEN FEELING REALLY SHORT OF BREATH REALLY RUNDOWN JUST LIKE SUPER TIRED AND YOU KNOW NORMALLY REALLY ACTIVE AND IM JUST IM JUST HAVING A ROUGH GO audio/RES0026.mp3[276.960,280.400] HOW ABOUT ANY DISCHARGE FROM EITHER YOUR EYES OR EARS audio/RES0080.mp3[348.720,357.880] I SEE OK AND YOU USE PUFFERS DO YOU USE ANY OTHER MEDICATIONS audio/RES0119.mp3[363.040,369.280] UH NO NO NOTHING LIKE THAT audio/MSK0035.mp3[0.000,4.400] HOW MAY I HELP YOU audio/RES0211.mp3[592.680,597.640] OK ALRIGHT PERFECT THANK YOU VERY MUCH YOU HAVE ANY MORE QUESTIONS audio/RES0105.mp3[119.040,128.200] OK AND ARE YOUR SYMPTOMS AT ALL SO YOU DO HAVE A SHORTNESS OF BREATH BUT ANY KIND OF CHEST PAIN AT ALL audio/RES0099.mp3[463.560,467.520] ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0181.mp3[357.400,361.440] AH NOPE NOT NOT SINCE COVID audio/MSK0016.mp3[489.680,498.960] UM I THINK OSTEOARTHRITIS A FEW FEW PEOPLE HAVE THAT audio/RES0012.mp3[88.240,92.480] UH NO I HAVENT NOTICED ANY BLOOD audio/RES0192.mp3[300.520,301.880] UH NO audio/RES0124.mp3[479.600,482.320] ARE YOU TAKING ANY MEDICATIONS audio/RES0101.mp3[300.800,308.080] NO BREATHING I FEEL LIKE ITS AROUND THE SAME audio/RES0059.mp3[41.320,45.360] NO SHORTNESS OF BREATH audio/RES0136.mp3[20.960,24.800] OKAY SO DID DID THE COUGH COME FIRST OR THE BREATHING DIFFICULTY BREATHING audio/RES0172.mp3[70.320,81.320] I CANT THINK OF ANYTHING REALLY IT JUST KINDA COMES ON LIKE THROUGHOUT THE DAY ON IT SPONTANEOUSLY audio/RES0136.mp3[345.560,350.120] ANY FATIGUE JUST FEELING MORE TIRED TODAY audio/MSK0003.mp3[334.920,346.040] UHM NO I HAVENT NOTICED ANY ANY RASHES OR ANY NAIL CHANGES audio/RES0139.mp3[390.160,397.640] UM MAYBE UH TWO OR THREE CIGARETTES MAYBE THREE OR FOUR DAYS A WEEK audio/RES0143.mp3[43.680,44.960] NO BLOOD audio/RES0009.mp3[739.040,760.680] IT CAN VARY FROM BEING MILD TO SEVERE AND SO THATS WHAT WE WANT TO GET SOME OF THE IMAGING AND LAB WORK TO SEE WELL TO FIRST CONFIRM IF THATS WHAT YOU ACTUALLY HAVE AND IF SO OFFER THE RIGHT TREATMENT audio/RES0045.mp3[490.680,494.400] UM HOW ABOUT MARIJUANA audio/MSK0044.mp3[389.840,398.600] UH NO NO NOTHING THAT I CAN THINK OF EVERYBODYS PRETTY HEALTHY audio/RES0060.mp3[494.760,501.040] ANY DIZZINESS OR FAINTING SPELLS audio/RES0104.mp3[507.640,510.480] OK ANY ENVIRONMENTAL ALLERGIES audio/RES0060.mp3[845.760,932.800] YEAH YOU KNOW THATS THE TOP ON MY LIST OF DIFFERENTIAL DIAGNOSIS FOR YOU SO WHAT WELL DO IS A COVISWAB AND THAT SHOULD COME BACK IN A DAY OR SO BUT WE DO ENCOURAGE ISOLATION FOR 14 DAYS AND THAT INCLUDES FROM YOUR GIRLFRIEND AS WELL SO EVEN IF THE COVISWAB COMES BACK NEGATIVE SOMETIMES IT CAN BE FALSE NEGATIVE SO AS LONG AS YOURE HAVING THESE SYMPTOMS AND THESE SYMPTOMS ARE COMMON IN COVI WE DO ASK THAT YOU ISOLATE FOR 14 DAYS IF THE SWAB COMES BACK POSITIVE WE WILL ALSO NOTIFY PUBLIC HEALTH SO THAT THEY CAN GET IN TOUCH WITH YOU AND DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN COVIFROM BUT OTHER THAN THAT IF ITS NOT COVIIT COULD LIKELY BE ANOTHER UPPER RESPIRATORY VIRAL ILLNESS BECAUSE OF THIS TIME OF YEAR A LOT OF DIFFERENT VIRUSES ARE GOING AROUND LIKE COMMON VIRUSES OR THE FLU YOU KNOW SO IT COULD BE ONE OF THOSE AND THEN IF YOURE STILL SICK OR YOUR SYMPTOMS CHANGE WE CAN REASSESS TO MAKE SURE ITS NOT A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA IN WHICH CASE WE CAN PRESCRIBE ANTIBIOTICS audio/RES0079.mp3[396.120,408.280] NO IVE BEEN WORKING FROM HOME audio/GAS0005.mp3[613.480,617.600] OK BUT NOBODY THAT YOU KNOW THATS HAD SIMILAR SYMPTOMS audio/RES0011.mp3[784.080,787.960] NO NOTHING LIKE THAT audio/RES0049.mp3[401.720,408.280] OK GOOD ANY MAJOR OR A LONGSTANDING MEDICAL CONDITIONS OR ARE YOU OTHERWISE HEALTHY audio/MSK0004.mp3[561.920,564.640] OK THAT SOUNDS GOOD THANK YOU audio/RES0117.mp3[139.720,146.320] I DID HAVE A I DID HAVE SOME CHILLS OVER THE LAST WEEK UM BUT I DIDNT REALLY THINK TOO MUCH OF IT audio/RES0006.mp3[565.800,574.840] ALRIGHT AND YOU USE ANY RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OR IV DRUGS audio/MSK0037.mp3[123.920,128.360] UHM NO NOT REALLY audio/RES0205.mp3[484.280,486.400] OK WELL THANKS FOR CHATTING WITH ME audio/RES0036.mp3[465.640,472.240] UM I GUESS I HAD A RUNNY NOSE A FEW DAYS BEFORE audio/RES0053.mp3[134.680,137.480] NO NEVER audio/RES0183.mp3[450.560,456.360] OK AND HAS ANYBODY IN THE FAMILY BEEN SICK OR IS HE BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0058.mp3[118.920,124.440] OK AND IS IT A DRY COUGH OR A WET COUGH audio/RES0135.mp3[456.640,461.440] AND HOW IS HER GROWTH AND DEVELOPMENT BEEN THUS FAR ANY CONCERNS audio/RES0080.mp3[132.800,142.080] OK YEAH IT SOUNDS LIKE A LOT MORE AND HAVE YOU NOTICED ANY BLOOD audio/RES0200.mp3[108.280,130.320] SO THATS JUST IN THE LAST FEW DAYS BUT JUST TO CLARIFY I DO GET SHORT OF BREATH HERE AND THERE SOMETIMES I HAVE TO USE PUFFERS BUT THE LAST FEW DAYS IVE JUST BEEN REALLY SHORT OF BREATH EVEN EVEN IF I WALK A LITTLE BIT AFTER LIKE SIT DOWN AND CANT REALLY CATCH MY BREATH audio/RES0103.mp3[72.880,82.960] OK FOR THE LAST TWO TO THREE DAYS OK IS SHE AT ALL COUGHING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL audio/RES0159.mp3[76.440,81.360] DO YOU EVER WAKE UP IN THE MIDDLE OF THE NIGHT GASPING FOR AIR audio/MSK0031.mp3[328.600,334.320] OK OK ANY MUSCULOSKELETAL ISSUES audio/CAR0002.mp3[168.320,178.080] OK AND HAVE YOU RECENTLY INJURED YOUR CHEST OR SURROUNDING AREA AT ALL LIKE FROM A FALL OR ANYTHING LIKE THAT audio/RES0004.mp3[301.760,304.520] OK BODY ACHES audio/RES0185.mp3[321.680,328.680] ALRIGHT THATS GOOD AND THEN IM ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0195.mp3[499.000,503.360] YES MY PARENTS audio/RES0164.mp3[279.120,296.120] ITS ON HIS CHEEKS ON HIS CHIN ITS KIND OF ON HIS NECK ITS KIND OF LIKE THIS BLOTCHY REDDISH BROWNISH LIKE LITTLE DOTS KIND OF ITS NOT LIKE ITS NOT RAISED ITS LIKE FLAT audio/RES0039.mp3[289.080,296.200] NOTHING LIKE WELL A LITTLE BIT OF NAUSEA MAYBE BUT NO VOMITING audio/RES0014.mp3[98.080,111.640] I THINK ITS MORE JUST A I CANT CATCH MY BREATH AND IT FEELS LIKE MY MY THROAT IS JUST KIND OF LIKE CLOSING OFF AND I CANT TAKE DEEP BREATHS audio/MSK0009.mp3[45.400,50.360] YEAH YEAH IVE BEEN HAVING THE PAIN SINCE THEN audio/MSK0009.mp3[471.360,485.840] OK IM AND HAVE YOU HAD ANY THROMBOSIS BEFORE OR A BLOOD CLOT IN THE PAST audio/RES0081.mp3[600.680,603.360] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0035.mp3[150.280,155.680] ABOUT LIKE 200 METERS audio/RES0082.mp3[314.200,319.520] YEAH DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES AT ALL audio/RES0096.mp3[11.240,16.800] AND I THOUGHT I SHOULD COME IN IVE ALSO HAD A IVE ALSO HAD A COUGH audio/RES0080.mp3[204.760,208.480] NO I DONT THINK SO audio/MSK0040.mp3[447.640,452.360] OK AWESOME AND THEN HOWS THAT BEEN GOING SO FAR audio/RES0075.mp3[496.760,499.960] NOT THAT I KNOW OF audio/RES0062.mp3[589.400,590.880] YEAH CERTAINLY audio/RES0023.mp3[381.600,385.720] AND SO I I TAKE A RAMIPRIL AND METFORMIN audio/RES0073.mp3[171.840,184.400] OK AND YOU HAVE PAIN DO YOU FEEL IT IN YOUR JAW OR DO YOU FEEL IT IN THE IN THE FRONT OF YOUR NOSE audio/RES0084.mp3[749.800,756.240] OK GOOD AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY audio/MSK0012.mp3[567.520,571.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0206.mp3[4.800,64.080] SO I SO I HAVE COPAND ITS USUALLY LIKE PRETTY MANAGEABLE WITH MY PUFFERS AND THAT BUT JUST IN THE LAST LIKE 3 DAYS I FEEL LIKE ITS GOTTEN A LOT WORSE YOU KNOW I I FEEL LIKE IM COUGHING MORE OFTEN AND IM NOW UH KIND OF PRODUCING MORE SPUTUM KIND OF LIKE A GREEN YELLOWY SPUTUM UHM I EVEN NOTICE THAT THERE IS LIKE A LITTLE BIT OF BLOOD A COUPLE TIMES WHEN I WAS LIKE REALLY COUGHING HARD I’VE BEEN FINDING IT LIKE HARDER TO BREATHE THAN USUAL I DON’T HAVE HOME OXYGEN OR ANYTHING AND IM NOT I DIDNT THINK I WAS QUITE THERE YET BUT THIS THESE LAST FEW DAYS ITS BEEN ITS BEEN REALLY HARD TO BREATHE audio/RES0168.mp3[475.320,483.520] OK I SEE AND ANY OLD CARPETS SMOKE ASBESTOS MOLD ANYTHING LIKE THAT AT HOME audio/MSK0015.mp3[733.720,742.240] OK AND ANY ANY MUSCLE WEAKNESS WHEN TESTING AROUND THE JOINT audio/RES0003.mp3[135.840,137.600] NO RASHES audio/RES0197.mp3[364.000,366.520] OK AND ARE ANY OF THEM SICK AT ALL audio/CAR0001.mp3[510.400,514.400] OK AND DO YOU DRINK ALCOHOL audio/RES0076.mp3[291.040,304.680] I THOUGHT IT WAS RELATED TO LIKE JUST BEING SHORT OF BREATH YEAH SO MAYBE IN THE LAST COUPLE OF MONTHS AS WELL audio/MSK0017.mp3[573.480,586.720] OK UM AND WELL LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT HURT YOUR BACK audio/MSK0017.mp3[141.360,146.280] UM BETTER WOULD JUST BE UH RESTING audio/RES0060.mp3[661.720,668.280] PENICILLIN I BREAK OUT IN HIVES audio/MSK0046.mp3[331.680,336.080] OK AND UM DO YOU CURRENTLY UH SMOKE CIGARETTES audio/RES0055.mp3[0.000,2.360] WHAT BRINGS YOU IN audio/RES0187.mp3[44.440,50.520] OK THE COUGH STARTED OR THE MUSCLE ACHES STARTED FIRST WAS THAT TWO DAYS AGO THREE DAYS AGO audio/RES0006.mp3[193.880,202.080] OK AND UH DO YOUR SYMPTOMS FEEL LIKE ANY OF THOSE TIMES RIGHT NOW audio/RES0121.mp3[470.640,471.520] YOU TOO audio/CAR0004.mp3[306.680,312.280] IT WAS JUST TWO WEEKS AGO audio/MSK0039.mp3[380.160,382.160] NO NOT THAT I KNOW OF audio/RES0050.mp3[155.280,163.800] UM I FEEL A LITTLE BIT MORE TIRED BUT OTHER THAN THAT NO audio/GAS0005.mp3[390.360,397.000] OK AND AND HAS THERE BEEN ANY CONCERNS WITH HIS GROWTH EITHER WEIGHT OR OR HEIGHT audio/MSK0016.mp3[337.240,343.920] UH NO I I UM HAVENT HAD ANY PROBLEMS WITH URINATION audio/RES0021.mp3[379.000,382.720] MMM I HAVE RHEUMATOID ARTHRITIS audio/RES0178.mp3[143.960,145.880] IT HAS YEAH audio/MSK0026.mp3[424.320,433.080] UM I I HAVE ONE ONE CHILD SHE WAS BORN THROUGH CSECTION audio/RES0185.mp3[334.920,339.520] OK ANY OF YOUR FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0108.mp3[84.240,86.960] UH WELL I I SAID YEAH WHEN I GET A COLD audio/MSK0007.mp3[259.920,262.400] ANY DIARRHEA OR CONSTIPATION audio/RES0036.mp3[29.280,33.400] BAH PRETTY SUDDEN ACTUALLY audio/RES0153.mp3[95.760,103.440] OK UM IS IT IS IT ON BOTH SIDES OF YOUR NECK OR KIND OF IN THE MIDDLE audio/RES0203.mp3[475.000,477.000] K THANKS audio/RES0138.mp3[35.280,36.440] SORRY GO ON audio/RES0138.mp3[247.120,247.800] UH NO audio/RES0199.mp3[300.680,304.320] NO I HAVENT SEEN ANY BLOOD audio/RES0073.mp3[263.800,266.840] HOW ABOUT ANY SHORTNESS OF BREATH audio/RES0175.mp3[294.880,303.440] OK YEAH CALL ME WHAT IS LIKE FLOMAX OR OR TAMSULOSIN BUT THERE ARE THERE ARE OTHERS FOR SURE audio/RES0190.mp3[181.920,186.040] OK SO THE RUNNING NOSE AND COUGH HAVE GONE AWAY COMPLETELY audio/RES0053.mp3[33.080,58.280] IT SEEMS TO BE A LITTLE BIT WORSE AT NIGHT HELL HAVE THIS COUGH DURING THE DAY SOMETIMES ILL NOTICE WHEN HES PLAYING HES HAD THESE COUGHING FITS THAT LAST FOR UP TO A MINUTE BUT USUALLY RECOVERS FROM HE HASNT BEEN TOO ACTIVE TO BE HONEST HES BEEN A LITTLE BIT SLOWED DOWN THESE LAST COUPLE OF DAYS BUT IN REGARDS TO CONSISTENCY ID SAY ITS A LITTLE BIT WORSE AT NIGHT audio/RES0199.mp3[77.800,82.000] NO I THINK IT’S IT DOESNT GO TO MY NECK OR ANYWHERE ELSE audio/RES0017.mp3[347.360,358.800] OK UH HAVE YOU NOTICED ANY SWOLLEN GLANDS ANYWHERE LIKE IN YOUR NECK OR ANYTHING LIKE THAT YOU MIGHT FEEL LIKE A LUMP audio/MSK0045.mp3[407.120,410.760] UM I LIVE IN AN APARTMENT audio/RES0171.mp3[134.640,138.920] IS IT A DRY COUGH ARE YOU BRINGING SOMETHING UP audio/RES0013.mp3[330.400,341.000] OK OK 15 POUNDS THATS GOOD ARE YOU EXPERIENCING ANY DIZZINESS OR YOU FEELING FAINT audio/RES0102.mp3[415.400,424.480] I I HAVE FELT A BIT HOT THATS MORE SO YEAH MAYBE WHEN IVE BEEN HAVING NIGHT SWEATS BUT I FEEL OK NOW audio/RES0019.mp3[345.000,349.760] UM NO NO WHEEZING audio/MSK0025.mp3[775.640,778.480] YOURE WELCOME AND WILL GET BACK TO YOU SHORTLY audio/RES0127.mp3[653.120,661.480] ALRIGHT THANK YOU TAKE CARE audio/RES0183.mp3[69.880,75.840] OK AND UH HAS THERE BEEN ANY SHORTNESS OF BREATH OR DIFFICULTY BREATHING audio/RES0126.mp3[584.240,593.520] ORANGE OK SO YOUVE HAD FOUR HOSPITALIZATIONS IN THE PAST YEAR ANY SURGERIES IN THE PAST audio/RES0217.mp3[489.760,491.920] OK SO NO HEADACHES audio/CAR0003.mp3[483.920,486.760] NO NO audio/RES0026.mp3[729.480,731.800] UM NO audio/MSK0038.mp3[646.720,656.720] OK OK AND HOW ABOUT WHEN YOU PALPATE UH THAT BIG MUSCLE GROUP ON YOUR THIGHS LIKE THE QUADRICEPS audio/RES0173.mp3[242.440,243.720] NO NO I HAVENT audio/RES0095.mp3[13.120,21.880] OK AND THIS HAS JUST BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS audio/GAS0002.mp3[378.400,381.360] UH NO NO ALLERGIES audio/RES0204.mp3[307.040,329.160] UM UH HIS GRANDPARENTS HAD UM ASTHMA BUT HES BEEN WORKED UP FOR THAT AND HE DOESNT GET SHORT OF BREATH OR WHEEZING OR ANYTHING LIKE THAT WITH EVEN WITH PHYSICAL ACTIVITY SO YEAH SO HE DOESNT HAVE THAT audio/RES0163.mp3[498.760,503.400] OK AND DO YOU SMOKE AT ALL audio/MSK0003.mp3[229.360,238.080] OK AND IS YOUR PAIN WORSE WHEN YOU WAKE UP IN THE MORNING OR IS IT WORSE AS THE DAY PROGRESSES audio/RES0050.mp3[227.400,229.400] UH NO I DONT THINK SO audio/RES0202.mp3[163.040,171.720] NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU audio/RES0087.mp3[95.440,117.680] YEAH SO THAT KIND OF LIKE LAST WEEK HE WAS RECOVERING FROM I THINK IT WAS JUST A COLD AND HE HAD A RUNNY NOSE AND JUST WAS A BIT CONGESTED BUT THEN OVER THE LAST WEEK IT KIND OF JUST RESOLVED BUT THEN THIS WEEK HE STARTED HAVING JUST THIS EAR PAIN audio/RES0047.mp3[195.360,210.280] YES OK AND YOU MENTIONED YOU WERE SHORT OF BREATH WERE YOU SHORT OF BREATH PRIOR TO YOUR COUGH OR DID THAT START UM WHEN WHEN THIS COUGH GOT WORSE audio/CAR0003.mp3[0.000,2.920] WHAT BRINGS YOU IN HERE TODAY audio/RES0039.mp3[478.960,490.400] OK AND HAVE YOU HAD ANY RECENT EXPOSURE TO ANY FUMES OR DUST OR ANIMALS audio/RES0112.mp3[447.080,449.200] UH NO THANK YOU audio/RES0152.mp3[216.720,226.800] ALRIGHT AND HOW ABOUT YOUR UM YOUR WEIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS audio/RES0197.mp3[333.680,337.280] OK AND WHAT KIND OF REACTION DO YOU GET audio/RES0016.mp3[209.240,213.000] HAVE YOU EXPERIENCED A SORE THROAT audio/RES0151.mp3[172.880,178.960] OK AND HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF SMELL audio/RES0077.mp3[128.360,140.520] OK AND HOW WOULD YOU DESCRIBE THE SHORTNESS OF BREATH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU HAVING TROUBLE BREATHING WHEN EXERTING YOURSELF LIKE HOW WOULD YOU DESCRIBE IT audio/RES0108.mp3[377.280,386.360] NO OK OK WELL IT SEEMS LIKE UM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0082.mp3[0.000,3.960] HOW MAY I HELP YOU TODAY audio/RES0038.mp3[405.680,410.400] NEITHER OF THOSE audio/RES0083.mp3[159.200,168.320] IS IT ACCOMPANIED WITH UH SO IS THE HEADACHE WORSE WHEN YOURE IN BRIGHT LIGHT audio/RES0135.mp3[190.200,194.720] YEAH CERTAINLY HAS SHE BEEN EATING AND DRINKING OKAY audio/MSK0040.mp3[373.280,376.280] UH NO IVE BEEN PRETTY HEALTHY OTHERWISE audio/RES0137.mp3[118.840,133.320] NO OKAY UM ANY SO THIS STARTED TWO WEEKS AGO ANY KIND OF SYMPTOMS OF RUNNY NOSE OR UM COLDLIKE SYMPTOMS BEFORE THEN audio/RES0131.mp3[297.280,303.600] OKAY UM AND THEN NAUSEA OR VOMITING audio/RES0124.mp3[531.280,536.000] NO UH WHO PRESCRIBED THE CREAM FOR THE ECZEMA audio/RES0197.mp3[369.320,390.280] OK AND SO CURRENTLY RIGHT NOW YOURE 16 THIS IS AN AGE WHERE SOMETIMES YOUR PEERS OR YOURSELF MIGHT EXPERIMENT WITH ALCOHOL SMOKING OR RECREATIONAL DRUGS HAVE YOU HAVE YOU TRIED ANYTHING AT ALL audio/MSK0042.mp3[31.080,40.880] YEAH CERTAINLY OKAY WHEN WHEN DID YOU FIRST UM NOTICE THIS MASS audio/RES0074.mp3[562.640,568.880] OK AND DO YOU DRINK ALCOHOL audio/MSK0043.mp3[629.800,641.680] OKAY UH ANY FAMILY HISTORY OF ANY CONDITIONS UM MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS UH ANY RHEUMATOID ARTHRITIS ANYTHING LIKE THAT audio/RES0047.mp3[19.560,31.400] SO IVE HAD A COUGH NOW FOR A FEW YEARS UM BUT OVER THIS PAST UH THREE DAYS ITS GOTTEN QUITE A BIT WORSE audio/RES0071.mp3[39.920,50.520] IT GOT A LITTLE BIT WORSE AT FIRST BUT THEN ITS BEEN KIND OF THE SAME UM SINCE audio/MSK0010.mp3[384.600,389.160] UM NOPE audio/RES0144.mp3[101.720,114.600] SO HES UH HE TAKES FORMULA AND TODAY IT LIKE YESTERDAY HE WAS FEEDING TODAY ITS BEEN REALLY HARD TO GET HIM TO FEED MAYBE HE FED FOR LIKE ONE OR TWO TIMES BUT NOT MUCH audio/MSK0001.mp3[500.120,507.680] OK AND HAVE YOU BEEN SEXUALLY ACTIVE WITH MORE THAN ONE PARTNER IN THE PAST PAST YEAR audio/RES0035.mp3[240.880,244.920] OK DO YOU EVER FEEL THAT YOUR HEART IS RACING OR YOU HAVE ANY KIND OF CHEST PAIN audio/RES0053.mp3[745.960,750.560] OK GOOD ANYONE AT HOME SMOKE audio/RES0099.mp3[611.360,614.080] OK UHM AND DO YOU DRINK ALCOHOL audio/RES0028.mp3[19.400,29.440] OK AND IS IT LIKE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL ACHING PAIN OR IS IT AS SHARP OR STABBING PAIN audio/RES0010.mp3[252.640,254.320] UH NO audio/RES0008.mp3[138.040,148.360] OK AND IS THERE ANYTHING THAT MAKES UH MAKES IT WORSE SAY ANY POSITION OR ANYTHING THAT YOU DO IN YOUR DAY TO DAY ROUTINE YOU FIND MAKES YOU COUGH MORE audio/MSK0007.mp3[44.200,52.280] OK AND HAS THE PAIN BEEN GETTING WORSE ANY BETTER audio/GAS0005.mp3[289.600,296.040] OK AND HAS HE HAD ANY ANY PAIN ANYWHERE ANY CHEST PAIN audio/RES0058.mp3[325.280,340.760] OK GOOD GOOD DO YOU THINK THAT THIS MORNING YOU WERE DIZZY BECAUSE YOU WERE DEHYDRATED OR IS THIS LIKE A NORMAL THING FOR YOU audio/RES0047.mp3[791.280,816.360] YEAH SO OK WELL WELL DO A PHYSICAL EXAM ON YOU UM TO TRY TO UNDERSTAND UM HOW BAD YOUR COPEXACERBATION IS UM WELL ALSO TRY TO GET AN UM OXYGEN SATURATION ON YOU AND WE DO WANT THAT READING audio/RES0133.mp3[232.920,237.200] HOW ABOUT ANY ABDOMINAL PAIN audio/RES0001.mp3[310.200,314.240] NO ITS JUST THAT THE DRY COUGH audio/RES0062.mp3[879.280,884.640] NO WEVE RENOVATED IT OVER THE YEARS audio/CAR0005.mp3[313.640,318.600] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY audio/RES0116.mp3[210.560,214.640] YEAH MAYBE EVEN MAYBE TWO WEEKS AGO audio/RES0165.mp3[103.400,113.640] UHM MAYBE A LITTLE WORSE I KIND OF FEEL LIKE IM ALSO UM IM NOW HAVING LIKE A A RUNNY NOSE audio/RES0104.mp3[87.840,96.960] OK AND SO WITH YOUR COUGHING YOURE PRODUCING THE RUST COLORED SPUTUM BUT HOW MUCH WOULD YOU SAY YOURE PRODUCING audio/RES0042.mp3[88.440,94.280] YEAH ITS ALWAYS A DRY COUGH ITS REALLY JUST ANNOYING audio/RES0108.mp3[86.960,89.320] MHMM OK audio/RES0210.mp3[212.960,216.280] HAVE YOU HAD A RUNNY NOSE audio/RES0025.mp3[374.680,380.560] OK MMMM AND YOU LIVE DO YOU LIVE ALONE OR WITH FAMILY audio/RES0068.mp3[105.280,107.800] YEAH IT WENT AWAY ON ITS OWN audio/RES0006.mp3[535.000,545.000] YEAH TRIED TO QUIT IVE EVEN QUITE A COUPLE TIMES BUT THEN JUST GOT BACK ONTO IT YEAH NOT NOT REALLY READY TO QUIT audio/RES0003.mp3[132.680,135.840] OK ANY RASHES THAT YOUVE NOTICED audio/RES0050.mp3[470.800,479.680] UM I SMOKED A PACK A DAY AND I SMOKED FOR 45 YEARS BUT I STOPPED TWO YEARS AGO audio/RES0114.mp3[262.200,278.880] I I DID NOTICE LIKE UH A LITTLE BIT OF SWELLING IN MY UH BOTH MY LIKE RIGHT BY MY ANKLES MY SHOES LIKE LIKE EVEN WHEN I WEAR MY SOCKS IT LIKE LEAVES LITTLE MARKS AND THEN UH I JUST FEEL MY LIKE MY SHOES ARE TIGHTER audio/RES0025.mp3[535.120,551.000] YEAH I I WORK FOR A TECH COMPANY SO I WAS GOING DOWN TO MEET A POTENTIAL BUYER FOR ONE OF OUR PRODUCTS audio/RES0100.mp3[579.160,585.480] ALRIGHT UHM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0053.mp3[658.360,666.960] OK HOW ABOUT ASTHMA ECZEMA OR ALLERGIES IN THE FAMILY audio/RES0030.mp3[290.720,299.600] NO I HAVENT HAD TO WAKE UP IN THE MIDDLE OF THE NIGHT SHORT OF BREATH OR ANYTHING LIKE THAT audio/RES0092.mp3[216.720,222.200] NO I HAVENT HAD ANYTHING LIKE LIKE THAT audio/RES0139.mp3[92.160,93.800] ITS STAYED THE SAME audio/RES0194.mp3[264.560,267.440] I NO NO NO audio/RES0203.mp3[54.960,76.800] THE SMELL ISNT TOTALLY GONE I CAN STILL SMELL SOMETHING IF IT SMELLS REALLY REALLY BAD AND AND THEN AND THEN I CAN TASTE REALLY REALLY SALTY FOODS BUT I CAN TASTE NORMAL THINGS LIKE I CANT TASTE OF BANANA audio/RES0209.mp3[304.920,311.240] OK COULD YOU HAVE BEEN IN CONTACT WITH ANYONE THAT SICK EVEN OUTSIDE OF YOUR HOUSE audio/RES0163.mp3[508.480,510.200] NO NO NO audio/RES0104.mp3[646.680,650.040] SINCE I WAS 15 MAYBE audio/RES0182.mp3[475.640,485.200] OK AND HOW ABOUT ANY CANCERS IN THE FAMILY audio/RES0019.mp3[84.480,91.760] OK UM AND HAS THERE BEEN ANYTHING THAT TRIGGERED THE HEADACHE OR OR MADE IT WORSE audio/RES0153.mp3[134.960,156.080] UHM I HAVE HAD A FEVER IN THE LAST DAY LIKE IVE BEEN FEELING WARM I DIDNT GET A CHANCE TO TAKE MY TEMPERATURE UM AND ALSO UH JUST TO CORRECT MYSELF I ITS MORE SO THE SWELLING IS JUST ON ONE SIDE IVE NOTICED LIKE THIS LUMPINESS ON ONE SIDE OF MY NECK audio/RES0058.mp3[81.840,93.680] YEAH OK UMM DID YOU HAVE ANY TRAUMA TO THE AREA LIKE THE MOUTH AREA OR THE NOSE AREA IN THE PAST COUPLE OF DAYS OR DAYS LEADING UP TO THAT audio/RES0177.mp3[284.160,289.240] NOPE HE HASNT HAD ANY URINARY PROBLEMS audio/RES0039.mp3[160.400,168.200] UH I HAVE BEEN PRODUCING SOME PHLEGM UM BUT ITS BEEN JUST KIND OF WHITE YELLOWISH audio/RES0216.mp3[594.680,618.520] NO IT SOUNDS WELL I SUPPOSE YOU SAID THAT YOU DIDNT REALLY GET OUT OF BREATH WITH EXERCISE MORE SOUNDS LIKE A CHEST TIGHTNESS AND YOU HAVENT HAD ANY PAIN ASSOCIATED WITH IT SO THAT PUTS MORE CARDIAC ISCHEMIC PICTURES KIND OF LOWER ON THE DIFFERENTIAL BUT OF COURSE WERE GOING TO TRY ONE THING AT A TIME AND THEN WELL COME BACK TO THE TABLE UM DEPENDING ON HOW YOURE FEELING AFTER THAT OK audio/RES0185.mp3[513.120,559.520] YEAH FOR SURE UHM SO IT SOUNDS LIKE YOU MAY HAVE A VIRAL INFECTION AND BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A COVID SWAB ON YOU JUST TO RULE THAT OUT UHM BUT FROM THE SOUNDS OF WHAT YOUR SYMPTOMS ARE IT IT IS MOST LIKELY TO BE A COMMON COLD IN WHICH CASE YOU CAN JUST MANAGE IT WITH A LOT OF HYDRATION NUTRITION GOOD SLEEP BUT IF YOUR SYMPTOMS GET WORSE OR THEYRE NOT GOING AWAY AFTER A COUPLE OF WEEKS OR YOURE HAVING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES YOU SHOULD GET HELP FROM THE ER DOES THAT SOUND OK audio/RES0174.mp3[661.680,668.240] MY GRANDFATHER HAD LUNG CANCER BUT THATS ABOUT IT audio/GAS0002.mp3[269.560,276.360] OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR ANY RASHES audio/RES0028.mp3[313.760,328.800] YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND SORE THROAT AND A LITTLE BIT OF A HEADACHE BUT I FEEL BETTER FROM THAT NOW audio/RES0058.mp3[0.000,2.160] HOW ARE YOU audio/RES0174.mp3[444.000,450.720] UM IVE BEEN DIAGNOSED WITH DEPRESSION audio/RES0092.mp3[186.640,189.920] OK UHM HAVE YOU HAD ANY CHEST PAIN audio/RES0129.mp3[443.080,446.120] NO NO audio/RES0119.mp3[463.560,475.680] NO OK UM SO AND IN TERMS OF LIKE AT SCHOOL ARE THERE ANY KIND OF COMPLAINTS UH AND ANY UM ISSUES WITH HER DEVELOPMENT OVER THE LAST LAST FEW YEARS audio/RES0039.mp3[440.000,447.680] HAVE YOU NOTICED AT ALL ANY WEIGHT LOSS OVER THE LAST FEW MONTHS audio/RES0106.mp3[479.160,481.880] GLASS OF WINE audio/RES0117.mp3[190.120,191.560] NO NAUSEA OR VOMITING audio/RES0012.mp3[360.600,362.000] NO NO audio/RES0006.mp3[14.440,18.680] OK COULD YOU TELL ME WHEN THE COUGH STARTED audio/RES0114.mp3[185.320,187.000] OK ANY WEIGHT LOSS audio/RES0140.mp3[105.920,119.440] I WAS I WAS JUST DISCHARGED FROM THE HOSPITAL UM LAST WEEK AFTER A HIP SURGERY audio/RES0059.mp3[557.680,564.960] YEAH ITS A SINGLE FAMILY HOME I LIVE THERE WITH MY WIFE AND THREE KIDS audio/MSK0038.mp3[450.000,454.600] NO OK UM ANY UM DO YOU DO YOU DO ANY SMOKING audio/RES0113.mp3[137.360,144.000] IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE MOST SEVERE PAIN EVER WHAT NUMBER WOULD YOU GIVE IT audio/RES0087.mp3[219.880,222.680] YEAH I THINK JUST MAYBE STARTED YESTERDAY audio/RES0132.mp3[340.760,347.480] OKAY DID YOU HAVE PULMONARY FUNCTION TESTS FOR THIS THE TEST WHERE YOU HAD TO BREATHE INTO A TUBE audio/MSK0025.mp3[151.040,159.800] OK AND OK AND HOW WOULD YOU DESCRIBE YOUR PAIN RIGHT NOW ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE FELT audio/RES0111.mp3[378.560,382.800] SO HALF THE DAY IS IN PERSON AND THE OTHER HALF IS VIRTUAL audio/RES0037.mp3[541.960,551.480] I THINK I I GOT A RASH TO PENICILLIN WHEN I WAS WHEN I WAS YOUNGER BUT THATS IT audio/RES0188.mp3[65.840,71.000] OK AND DID YOU DO THAT ORALLY OR RECTAL OR UNDER ARMPIT audio/MSK0008.mp3[178.600,182.400] I DONT RECALL audio/RES0068.mp3[477.880,480.920] I DONT audio/RES0203.mp3[3.440,25.720] YEAH SO FOR THE PAST TWO DAYS I IVE IVE NOTICED THAT I CANT SMELL THINGS AS WELL AS I USED TO BE ABLE TO SMELL THEM AND I SEEM TO HAVE LOST MY SENSE OF TASTE AS WELL AND I HAVE THIS MILD DRY COUGH IM JUST WORRIED ITS COVID audio/MSK0029.mp3[0.000,2.280] WHAT BRINGS YOU IN audio/RES0047.mp3[309.840,314.240] OK AND DO YOU FEEL LIKE YOUR HEARTS RACING audio/RES0122.mp3[500.720,503.040] DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0088.mp3[385.120,392.800] OK HAS SHE BEEN ABLE TO SLEEP WELL OR DOES SHE WAKE UP A LOT MORE AT NIGHT audio/RES0134.mp3[407.040,411.400] UH NO OTHER THAN THAT NO SYMPTOMS audio/RES0036.mp3[259.400,267.400] OK AND DO YOU NOTICE HAVING ANY WHEEZING OR ANY OTHER BREATHING SOUNDS audio/RES0005.mp3[347.040,349.600] ANY WHEEZING WHEN YOURE BREATHING audio/RES0004.mp3[11.640,14.720] OK WHAT BRINGS YOU IN TODAY audio/MSK0037.mp3[384.280,392.600] OK OR ANY CHANGES TO YOUR NAILS OR HAIR LIKE YOULL NOTICE LIKE PLAQUES ON THE NAILS OR OR HAIR LOSS audio/RES0064.mp3[394.400,401.480] YEAH FOR SURE OK AND THEN ANY TRAVEL TO ANYWHERE RECENTLY audio/RES0149.mp3[262.240,268.000] ALRIGHT AND HAVE YOU HAD UH A RUNNY NOSE OR A SORE THROAT audio/RES0097.mp3[102.760,113.360] OK HAS HE HAD ANY UHM LIKE DIFFICULTIES BREATHING LIKE SAYING THAT HE FEELS ONE OF THE LIKE THE NOSTRILS OBSTRUCTED audio/MSK0018.mp3[104.680,109.440] UM NO I DONT THINK SO audio/MSK0028.mp3[249.320,256.680] YEAH ITS PAINFUL THERE SWELLING THERE AS WELL audio/RES0048.mp3[39.520,43.720] 10 DAYS AGO OK AND HOW ABOUT THE SHORTNESS OF BREATH audio/RES0134.mp3[539.320,544.360] UH YEAH I WAS BUT NOT ANYMORE audio/RES0046.mp3[690.360,698.240] YEAH IVE IVE BEEN SLOWLY CUTTING IT DOWN I WAS SMOKING A PACK A DAY BEFORE AND NOW UNDER HALF A PACK SO IM TRYING audio/MSK0039.mp3[316.560,319.360] UH NAUSEA OR VOMITING audio/RES0173.mp3[640.480,646.040] GREAT THANK YOU audio/RES0125.mp3[220.080,222.880] UM NO IT KIND OF WENT AWAY ON ITS OWN audio/RES0201.mp3[352.800,383.000] OK OK OK WELL WE MIGHT CIRCLE BACK I THINK THERE IS ANY MORE QUESTIONS YOU WANT TO ASK RIGHT NOW BUT JUST IN GENERAL IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU TAKE MEDICATIONS FOR OR SEE A DOCTOR FOR REGULARLY audio/RES0071.mp3[151.560,153.960] NO THATS BEEN ABOUT THE SAME audio/RES0005.mp3[253.800,256.440] HAVE YOU LOST ANY WEIGHT audio/RES0177.mp3[475.720,476.880] NO WEVE BEEN AT HOME audio/RES0033.mp3[322.480,337.120] UM SOMETIMES WHEN I COUGH LIKE WHEN ITS REALLY BAD I SOMETIMES FEEL LIKE I GET SOME PAIN IN MY CHEST WHEN IM COUGHING BUT THATS ONLY BEEN THE CASE FOR THE LAST FEW FEW DAYS I WOULD SAY audio/RES0145.mp3[255.800,261.720] OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0152.mp3[295.520,299.440] OK UH HAVE YOU NOTICED ANY RASHES ANYWHERE audio/RES0210.mp3[314.280,319.760] NOPE JUST BEEN KEEPING TO MYSELF MOSTLY audio/RES0189.mp3[207.120,215.240] UHM I DO BUT WHEN I GET SHORT OF BREATH I HAVE SOME WHEEZING BUT USUALLY I DONT audio/RES0056.mp3[195.480,202.720] AND DID YOU HAVE IN THE PAST WEEK A RUNNY OR STUFFY NOSE audio/RES0151.mp3[227.280,234.000] I SEE OK SO HAVE YOU HAD ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS audio/RES0196.mp3[354.760,363.800] AH SHOULD ALSO AT HOME WITH MYSELF FROM HER FATHER AND HER YOUNGER SIBLING audio/RES0023.mp3[128.000,138.200] UH ACTUALLY NOW THAT I THINK ABOUT OF IT ITS MORE MORE IN MY THROAT ACTUALLY WITH THE COUGH I WOULD SAY WITH THE COUGH YEAH YEAH MORE OF THE THROAT audio/RES0136.mp3[683.360,691.600] ALRIGHT SO YEAH WELL GET THOSE TESTS DONE AND WELL BE THERE WITH YOU SHORTLY WELL ALSO GET LIKE AN EKG DONE AS WELL audio/RES0189.mp3[164.960,180.720] YEAH IM BRINGING UP A LOT OF MATERIALS I THINK EVERY TIME I COUGH IM BRINGING SOME SPUTUM UP AND RIGHT NOW THE LIKE USUALLY THE COLOR IS LIKE CLEAR TO WHITISH BUT RIGHT NOW ITS A BIT MORE YELLOW audio/MSK0016.mp3[726.800,756.920] OK OK UM AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS OF THAT ARM SO LETS START UM AT THE TOP WHEN YOU WHEN YOU PRESS DOWN ON YOUR SHOULDER BLADES OR JUST AT THE VERY TOP OF YOUR UM ARM WHERE YOUR OR AT THE VERY TOP WHERE YOUR ARM CONNECTS TO YOUR SHOULDER DOES IT HURT OVER THERE audio/RES0001.mp3[673.400,675.800] NO I DONT audio/RES0032.mp3[31.800,37.080] I IT LOOKS PRETTY DARK AND AND SOMETIMES RED audio/RES0104.mp3[502.000,507.080] OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL audio/RES0160.mp3[387.200,391.640] UH IVE TRIED IT A COUPLE TIMES I DONT REALLY LIKE IT SO NO audio/RES0032.mp3[373.960,384.280] IVE HAD ONE IN THE PAST BUT I CANT REALLY REMEMBER THE LAST TIME AND IT WAS NORMAL THOUGH WHEN WHEN I HAD IT A FEW YEARS AGO audio/RES0208.mp3[129.560,134.440] NO NEVER I LIKE I LIKE MY FOOD audio/RES0101.mp3[485.520,487.480] YEAH ITS BEEN PRETTY STABLE audio/RES0020.mp3[290.960,298.800] ALRIGHT AND UH HAVE YOU FELT LIKE YOUR HEART IS RACING AT ALL audio/MSK0003.mp3[530.400,536.680] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL FACTORS audio/MSK0014.mp3[267.440,271.000] HOW ABOUT ANY WHEEZING audio/RES0174.mp3[605.440,611.400] OK AND HAS THERE BEEN ANYBODY AROUND THAT THAT HAS BEEN SICK THAT THEY HAVE BEEN AROUND audio/RES0097.mp3[135.920,140.680] UHM NO NOT REALLY audio/MSK0001.mp3[198.520,206.320] OK ANY UH SYMPTOMS OF FEELING VERY TIRED FATIGUED ANYTHING LIKE THAT audio/RES0012.mp3[424.320,426.560] UM I DONT THINK SO NO audio/CAR0001.mp3[579.000,585.600] ACTUALLY YES MY FATHER HAD A HEART ATTACK WHEN HE WAS 45 audio/RES0151.mp3[489.120,494.080] UH YEAH USUALLY LIKE JUST CONDOMS audio/RES0100.mp3[71.240,77.680] OK HAVE YOU BEEN ABLE TO MAINTAIN YOUR APPETITE audio/RES0151.mp3[565.560,573.720] ALRIGHT AND HOW ABOUT ANY UH ANY CANCERS audio/MSK0045.mp3[293.920,298.640] ITS PRETTY MUCH THERE ALL DAY audio/RES0181.mp3[231.320,240.960] OK AND HAVE YOU HAD ANY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0069.mp3[312.480,317.600] OK AND ARE YOU TAKING ANY MEDICATIONS REGULARLY audio/RES0039.mp3[71.920,91.280] YEAH I WAS JUST DOWN IN A I WENT TO HAITI ON A ON A TRIP FOR A FOR A VOLUNTEER PROGRAM WITH MY SCHOOL AND I DONT KNOW I DEFINITELY NOTICE THERE IS A LOT OF PEOPLE DOWN THERE COUGHING audio/RES0139.mp3[304.400,312.120] YEAH UH PANCREATIC CANCER AND COLON CANCER RUNS IN THE FAMILY audio/RES0107.mp3[76.440,84.800] CLEAR OK DOES HE EVER FEEL LIKE HES UH DO YOU EVER FEEL LIKE HES STUFFY audio/RES0089.mp3[38.720,44.800] THE SAME AMOUNT OF TIME IT STARTED ABOUT MAYBE THREE WEEKS AGO I STARTED COUGHING MORE UM BUT NOW ITS WORSE audio/RES0153.mp3[103.440,110.560] UM I WOULD SAY ITS MORE UH ON BOTH SIDES audio/MSK0038.mp3[604.680,607.720] NO PAIN OVER THE KNEECAP THAT FEELS FINE audio/RES0080.mp3[479.400,485.760] OK AND HAVE YOU BEEN AROUND ANYBODY WHO MIGHT BE SICK audio/RES0106.mp3[429.560,450.440] AND AT THAT TIME I WOULD HAVE ABOUT 6 CIGARETTES A DAY BUT THEN I LIKE I I KNEW THAT SMOKING WASNT GOOD FOR ME SO IM TRYING TO CUT IT DOWN BUT MY FRIENDS STILL SMOKE SO SOMETIMES WHEN I GO OUT WITH THEM ILL JUST HAVE A CIGARETTE OR TWO MAYBE LIKE ONCE A MONTH I WOULD SAY audio/RES0046.mp3[425.720,433.520] UH I I THINK AROUND THE SAME TIME AS THE DIARRHEA SO THE LAST TWO DAYS audio/RES0139.mp3[117.720,130.240] I DONT THINK SO NO I JUST WENT TO MY I WENT TO SEE MY FAMILY DOCTOR UM FOR SOME PRESCRIPTIONS audio/RES0084.mp3[363.200,373.160] OK OK HOW ABOUT CHANGES IN SMELL OR TASTE audio/RES0140.mp3[281.360,287.960] OKAY OKAY UM AND DO YOU SMOKE OR DID YOU EVER SMOKE IN THE PAST audio/RES0062.mp3[541.280,555.120] OK AND IS THAT FOR THE A FIB AS WELL THE ASPIRIN OR IS THAT JUST FOR OTHER CARDIOVASCULAR ISSUES OR SOME SORT OF PREVENTATIVE MEASURE audio/MSK0006.mp3[274.760,280.200] ANY URINARY OR UM STOOL INCONTINENCE audio/RES0049.mp3[355.480,363.560] OK ANY CHANGES IN YOUR BOWEL HABITS LIKE CONSTANT CONSTIPATION OR DIARRHEA audio/RES0033.mp3[640.360,644.000] SO IT SOUNDS OCCASIONAL audio/MSK0035.mp3[109.400,112.080] ITS PRETTY SHARP audio/RES0095.mp3[119.520,128.160] I CAN BARELY EXERCISE I FEEL SO SHORT OF BREATH MY DADS THE SAME audio/RES0015.mp3[385.000,396.760] I WOULD SAY I THINK IM LOSING A LITTLE BIT OF WEIGHT OVER THE LAST COUPLE WEEKS I HAVENT REALLY WEIGHED MYSELF BUT I FEEL THAT I HAVE LOST SOME WEIGHT audio/RES0036.mp3[111.920,118.480] OK AND IS THAT BOTH THE COUGHING AND THE SHORTNESS OF BREATH OR ONE OR THE OTHER audio/RES0156.mp3[282.320,291.320] UM FOR FOR ABOUT UM YEAH JUST UNDER A YEAR SO YEAH JUST UNDER A YEAR audio/RES0215.mp3[395.280,401.600] UM NO WELL SHE HAS SOME SEASONAL ALLERGIES BUT NOTHING THAT SHES BEEN TESTED FOR audio/RES0024.mp3[552.520,559.040] OK OK GEEZ OK THANK YOU audio/RES0155.mp3[594.120,602.360] OK AND DO YOU SMOKE CURRENTLY audio/RES0013.mp3[417.560,424.360] OK OK UM DO YOU SMOKE MARIJUANA audio/RES0055.mp3[515.520,526.080] OK DO YOU KNOW WHAT TYPE OF SKIN CANCER LIKE MELANOMA BASAL CELL SQUAMOUS CELL audio/RES0150.mp3[490.160,493.000] NO HE DIDNT audio/RES0038.mp3[34.640,38.200] OK AND ARE YOU COUGHING UP ANY BLOOD AT ALL audio/RES0150.mp3[643.000,661.520] YEAH IT WOULD BE UM A GOOD IDEA TO UH YEAH CONTACT UM AND SEE JUST TO MAKE SURE THAT WERE TREATING EVERYBODY APPROPRIATELY audio/RES0068.mp3[134.200,137.160] I GUESS LOSS OF SMELL audio/RES0043.mp3[456.880,458.600] YEAH TOTALLY audio/RES0186.mp3[151.360,161.040] NO I I HAVENT HAD ANY NO DIARRHEA I HAVE HAD A LITTLE BIT OF UH LIKE BELLY PAIN THOUGH audio/RES0204.mp3[101.040,103.880] OK HAVE YOU HAD A SORE THROAT audio/MSK0049.mp3[499.720,501.760] UH NO I DONT audio/RES0205.mp3[34.200,48.440] I’M I USUALLY GET A COLD ONCE A YEAR OR SO BUT THE COUGH DOESNT LAST THIS LONG LIKE ITS USUALLY OVER IN A WEEK OR WEEK AND A HALF OR SO audio/MSK0005.mp3[461.680,464.200] UH IT DOES YEAH audio/RES0056.mp3[235.200,239.040] NO CHEST PAIN audio/RES0076.mp3[314.600,324.400] IF I EXERT MYSELF OR IF IM DOING MORE ACTIVITY IT IT DOES GET HARDER TO TO KEEP UP WITH IT BUT YEAH audio/RES0047.mp3[726.120,729.800] OK UM AND DO YOU LIVE WITH ANYONE audio/GEN0001.mp3[442.000,443.920] OK SOUNDS GREAT audio/GEN0001.mp3[216.000,218.840] NO NOT THAT I CAN THINK OF audio/RES0177.mp3[255.560,258.720] NO HE HASNT SAID ANYTHING LIKE THAT audio/RES0182.mp3[439.520,447.960] AND AH DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS audio/RES0087.mp3[404.360,409.200] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0027.mp3[54.160,69.680] I SEE IS THERE ANY TRIGGERS ASSOCIATED WITH THE COUGH LIKE GOING OUTSIDE INTO THE COLD SMOKE INHALATION OR OR DUST OR PETS audio/RES0025.mp3[718.600,721.760] THANK YOU audio/RES0017.mp3[463.480,470.000] ALRIGHT AND THEN ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION audio/RES0133.mp3[218.800,223.480] UH JUST MAYBE LIKE 5 10 POUNDS 5 TO 10 POUNDS SOMEWHERE AROUND THERE audio/RES0121.mp3[368.400,374.040] OKAY AND I FORGOT TO ASK YOU THIS EARLIER BUT ANY HOSPITALIZATION OR SURGERIES IN THE PAST audio/MSK0039.mp3[263.960,266.840] UH ANY FAINTING OR DIZZINESS audio/MSK0038.mp3[358.480,366.360] UM YEAH IM OTHERWISE HEALTHY I ITS NOTHING THAT I SEE THE DOCTOR FOR IVE NEVER BEEN DIAGNOSED WITH ANYTHING audio/RES0004.mp3[531.880,540.040] I THINK THATS THE ONE THERES THERES A COUPLE INHALERS THAT THAT I TAKE audio/MSK0038.mp3[568.880,585.200] OK AND IF YOU CAN JUST UM PLACE YOUR HAND JUST KINDA AT THE TOP OF YOUR ON TOP OF YOUR KNEECAP ON BOTH SIDES DO YOU NOTICE ANY TEMPERATURE CHANGES FROM YOUR UH BETWEEN YOUR RIGHT KNEE TO YOUR LEFT KNEE audio/RES0022.mp3[107.080,111.680] PFFT MAYBE GETTING A BIT WORSE LIKE ITS BEEN PRETTY BAD THE WHOLE TIME audio/RES0170.mp3[524.760,530.480] OK GREAT HAS HE EVER TRIED ANY PUFFERS audio/RES0102.mp3[989.480,992.000] ALRIGHT THANK YOU audio/RES0032.mp3[41.280,49.320] YEAH THE DARK IT DOES KIND OF LOOK LIKE BLOOD SO THATS WHAT SCARED ME AND WANTED ME TO COME IN TODAY audio/RES0214.mp3[345.320,352.720] UM IM I JUST TAKE MULTIVITAMINS THATS IT THOUGH audio/RES0153.mp3[202.960,206.080] NO NOTHING LIKE THAT audio/RES0132.mp3[547.400,557.320] UH NOT THAT I WAS AWARE OF BUT THEY WERE ALWAYS LIKE SMOKE AND FUMES AND THINGS LIKE THAT BECAUSE IT WAS LIKE A FACTORY SO MAYBE audio/RES0166.mp3[321.320,323.240] NO NOTHING LIKE THAT audio/MSK0012.mp3[421.320,428.800] OK OK ANY RECENT WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS audio/MSK0007.mp3[223.080,227.960] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/MSK0026.mp3[494.640,498.080] OK ARE YOU CURRENTLY WORKING RIGHT NOW audio/RES0207.mp3[39.880,48.840] UM NO NOT I MEAN IF I I GET A CALL FROM TIME TO TIME WHEN I GET SICK BUT IVE NEVER REALLY FELT SHORT OF BREATH audio/RES0088.mp3[437.840,440.960] UH NO NOTHING LIKE THAT audio/RES0036.mp3[395.640,402.880] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY audio/MSK0018.mp3[306.440,308.920] OKAY ANY SICK CONTACTS audio/RES0064.mp3[0.000,1.760] WHAT BRINGS YOU IN audio/RES0134.mp3[758.520,765.880] OKAY UM SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING THAT UH THAT YOU WANTED TO ADD audio/RES0109.mp3[177.520,182.480] YEAH OK AND HOW ABOUT LIKE RASHES audio/RES0215.mp3[73.800,82.800] OK BUT IT HASNT REALLY GONE AWAY IN THE SENSE THAT YOURE STILL CONCERNED COMING NOW FOUR DAYS LATER audio/MSK0049.mp3[310.800,314.520] ALRIGHT HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/MSK0028.mp3[745.240,751.400] OK IS THERE ANY TEMPERATURE CHANGE LIKE DOES IT FEEL WARM ON THAT SIDE audio/MSK0010.mp3[601.040,611.600] OK UM AND SO SO THE NEXT PART JUST FOR THE PHYSICAL EXAM SO DO YOU HAVE PAIN WITH SHOULDER AB DUCTION audio/RES0204.mp3[200.600,204.840] NO NOPE THAT NO PAIN IN MY BELLY audio/RES0051.mp3[23.160,28.800] HAS THE COUGH BEEN GETTING ANY BETTER STAYING THE SAME OR GETTING WORSE OVER THESE LAST FIVE DAYS audio/RES0055.mp3[360.400,369.040] OH I SEE OK ANY HOSPITALIZATIONS BESIDES THE ONE THAT YOU HAD FOR COPA YEAR BACK audio/RES0199.mp3[101.760,109.160] OK UHM AND TIMELINE WISE HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS audio/RES0169.mp3[17.880,24.040] OK AND WHEN DID THE FEVERS START audio/RES0027.mp3[288.960,291.720] UM NO NO CHEST PAIN NO audio/MSK0033.mp3[72.720,76.080] ITS UH ITS PRETTY ACHY audio/RES0150.mp3[154.280,156.200] UH NO audio/RES0125.mp3[84.240,85.880] UH NO audio/RES0163.mp3[315.880,320.200] AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO ANY MEDICATION audio/GAS0002.mp3[475.400,485.040] UH YEAH SOMETIMES MAYBE ONE OR TWO GLASSES OF WINE EVERY NIGHT audio/RES0153.mp3[262.600,265.000] HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0096.mp3[479.040,487.240] OK AND HAVE YOU HAD ANY SURGERIES audio/RES0089.mp3[820.840,831.120] OK AND UH DO YOU USE A LIKE THE PROVINCIAL MARIJUANA OR DO YOU HAVE ANY OTHER SOURCE WHAT WOULD YOU SAY YOU USE audio/RES0139.mp3[507.200,527.760] SO WHAT WELL DO IS SINCE YOUVE HAD THIS COUGH FOR THE LAST TWO WEEKS WE DEFINITELY WANT TO DO A COVISWAB JUST IN CASE YOUVE BEEN UH WORKING FROM HOME BUT IF THERE WAS ANY POTENTIAL CONTACT THEY USUALLY IT COMES BACK IN 24 TO 48 HOURS audio/MSK0005.mp3[652.520,659.000] UM UH YEAH ILL HAVE A GLASS OF WINE EVERY ONCE IN AWHILE BUT MAYBE JUST ONE ONE A WEEK audio/RES0083.mp3[402.840,405.880] OK AND HOW MUCH DID YOU SMOKE BEFORE THAT audio/RES0191.mp3[154.440,157.480] HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0055.mp3[559.280,565.840] PROBABLY I WOULD SAY PACK A DAY FOR THE LAST 20 YEARS audio/MSK0037.mp3[594.800,600.320] OK LIKE ONE OR TWO A DAY audio/RES0184.mp3[73.920,76.720] UHM NO SORE THROAT audio/RES0118.mp3[435.600,461.560] AND IF YOU START HAVING ANY JUST MONITOR FOR YOUR SYMPTOMS UM YOU SHOULD HAVE THE TEST BACK WITHIN 48 HOURS UNTIL THEN UH AT LEAST FOR 14 DAYS YOU SHOULD TRY TO ISOLATE IN YOUR OWN ROOM WEAR A MASK AROUND UH YOUR PARTNER UH AND NOT GO OUTSIDE SO JUST SELF ISOLATE audio/RES0126.mp3[70.560,72.920] ITS PINK IN COLOR audio/RES0050.mp3[530.200,532.040] UM NO audio/RES0104.mp3[749.640,753.360] YEAH THAT MAKES SENSE THANK YOU audio/RES0083.mp3[169.600,183.440] NO OK IS IT WORSE WHEN ARE YOU TRYING TO STAY IN A DARK ROOM WITH NO SOUND IS IT WORSE WHEN YOURE WHEN PEOPLE ARE TALKING OR THERES LOUD NOISES AROUND YOU audio/RES0077.mp3[649.520,658.120] UHM JUST ENVIRONMENTAL STUFF I THINK JUST LIKE IN THE SPRINGTIME ILL GET ITCHY EYES OR A RUNNY NOSE audio/RES0169.mp3[241.760,249.840] I THINK I HAVE AN ALLERGY TO PENICILLIN I GOT IT I HAD A RASH WHEN I WAS I YOUNGER WHEN I HAD THAT audio/RES0193.mp3[381.480,393.200] UM YEAH HIS MOM HAS A HAS ASTHMA UM AND SHE USES A AN INHALER LIKE DAILY FOR IT audio/RES0102.mp3[842.560,856.560] UH I MEAN I I GUESS IVE TRIED TO MAKE CHANGES TO MY DIET HERE AND THERE BECAUSE OF THE DIABETES BUT I DONT REALLY THINK THAT IT WOULD BE ENOUGH TO LOSE 20 POUNDS audio/RES0012.mp3[125.640,131.760] OK SURE AND ARE YOU WHEEZING WITH THE COUGH audio/RES0164.mp3[246.480,257.160] OK AND HOW OFTEN IS HE COUGHING IS HE COUGHING THROUGHOUT THE DAY OR IS IT MORE SO WITH EXERTING HIMSELF audio/MSK0009.mp3[503.480,508.240] UM NO THAT WAS THAT WAS IT audio/RES0095.mp3[104.160,108.000] HAVE YOU HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT audio/RES0185.mp3[297.680,302.400] IM HEALTHY I HAVENT HAD ANY ANY CONDITIONS audio/MSK0022.mp3[524.920,532.440] OK HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH LIKE COLD SYMPTOMS OF ANY VIRAL SYMPTOMS audio/RES0190.mp3[164.160,167.840] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED audio/RES0120.mp3[260.560,266.080] OKAY AND DO YOU HAVE ANY KIND OF SWELLING IN YOUR LEGS HANDS ANYWHERE audio/RES0077.mp3[578.160,586.320] OK UHM ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU TAKE ANY MEDICATIONS FOR audio/RES0216.mp3[204.120,206.200] ANY CHILLS audio/CAR0001.mp3[359.200,369.880] OK HAVE YOU HAD ANY LIKE ACCIDENTS LIKE A CAR ACCIDENT OR ANYTHING WHERE YOU REALLY JERKED YOUR NECK audio/MSK0023.mp3[488.240,576.480] OK I SEE OK AND YEAH SO THOSE ARE KIND OF LIKE ALL THE QUESTIONS I HAD FOR YOU IT SEEMS THAT BASED ON THE DESCRIPTION OF HOW THE INJURY HAPPENED AN THE MECHANISM AND WHAT YOURE FEELING RIGHT NOW AND IN TERMS OF THE EXAMINATION ITS POSSIBLE THAT YOU HAD KNEE LIGAMENT INJURY MOST LIKELY IN THIS CASE THE ANTERIOR CRUCIATE LIGAMENT BUT JUST TO MAKE SURE WE WILL NEED TO DO AN MRI OF YOUR KNEE AND SEE WHICH LIGAMENT IS AFFECTED AND TO WHAT EXTENT UH AND USUALLY WITH THE WITH THE DEPENDING ON WHAT WE FIND ON THE MRI SOMETIMES IT CAN BE JUST CONSERVATIVE MANAGEMENT BUT HOWEVER OFTENTIMES YOU DO REQUIRE SURGERY SO IT WOULD BE JUST A SURGERY WHERE WE PUT KIND OF LIKE A SCOPE IN INTO YOUR KNEE AND THROUGH THE SCOPE WE TRY TO FIX THE LIGAMENT SO YEAH FIRST WELL JUST DO THE MRI AND SEE TO WHAT EXTENT YOUR KNEE INJURY IS AND HOW HOW AFFECTED THE LIGAMENTS ARE AND THEN WELL GO FROM THERE DOES THAT SOUND OK audio/RES0217.mp3[305.320,315.160] OH YEAH I LOOKED AROUND AND I LOOKED AT MY HUSBAND TOO CAUSE WE WE WERE JUST A LITTLE BIT YOU KNOW GAVE US A LITTLE BIT OF A SCARE BUT NO THERES BEEN NOTHING ELSE audio/RES0064.mp3[76.560,78.800] NO NOT REALLY NO audio/MSK0018.mp3[405.280,406.680] NOT AS MUCH NO audio/CAR0003.mp3[612.640,614.720] OK ANY ALCOHOL audio/RES0207.mp3[166.960,168.200] UM I audio/MSK0042.mp3[296.080,299.040] NO NO CHANGES AT ALL audio/RES0169.mp3[210.480,215.600] UH NO I IVE BEEN IVE BEEN HEALTHY audio/RES0022.mp3[153.240,157.280] OK UH AND HAVE YOU COUGHED UP ANY BLOOD audio/RES0192.mp3[37.160,42.960] OK AND WHEN DID YOU NOTICE THAT THE CHANGE audio/RES0071.mp3[209.520,215.280] AND ITS KIND OF LIKE A PRESSURE AND SQUEEZING IS IT AT ALL PULSATING audio/RES0132.mp3[235.600,237.960] UM NO audio/RES0042.mp3[246.880,260.400] OK YEAH THAT MAKES SENSE UMM ALRIGHT DO ANY CHANGES IN YOUR URINE audio/RES0131.mp3[390.800,395.760] OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0043.mp3[450.760,456.880] OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM audio/RES0122.mp3[349.360,362.440] OKAY GOOD GOOD GOOD UM ANY UH ANYTHING THAT MAKES THE THAT MAKES IT WORSE I KNOW THAT LYING ON ONE SIDE YOU SAID MAKES THINGS WORSE FOR YOU ANYTHING ELSE THATS MADE THE PRESSURE WORSE audio/RES0152.mp3[477.000,480.560] OK AND YOU USE ANY RECREATIONAL DRUGS audio/RES0020.mp3[386.480,388.640] ALRIGHT AND THEN ANY NIGHT SWEATS audio/RES0121.mp3[33.840,35.720] NO NO BLOOD audio/DER0001.mp3[531.360,536.840] I LIVE IN TOWN I SEE MY KIDS EVERY TWO WEEKS audio/MSK0032.mp3[356.520,360.480] UM AUTOIMMUNE CONDITIONS audio/RES0175.mp3[46.960,51.200] OK UH SO YOU MENTIONED YOUVE HAD A COUGH AS WELL AND WHEN DID THAT START audio/RES0159.mp3[231.880,237.360] NO NOT THAT IVE NOTICED audio/MSK0036.mp3[255.120,282.240] UH I I JUST HAVE TO LIKE I WORK AS AN ACCOUNTANT THERES A LOT OF WORK I DO ON THE COMPUTER WITH A KEYBOARD MOUSE SO I FEEL LIKE ITS HARD TO REALLY DO THAT ALL DAY RIGHT NOW SO I THINK IF I DO THAT ILL MAKE IT WORSE BUT IF I TAKE A REST AND KIND OF JUST SHAKE MY HANDS A LITTLE BIT THEN IT GETS BETTER audio/MSK0009.mp3[423.760,429.400] I DO HAVE SOME HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE audio/MSK0042.mp3[252.320,260.080] OKAY UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0009.mp3[42.160,52.120] OK SO YOURE NOT FEELING THE PAIN RADIATE ANY TO ANY OTHER LOCATIONS YOURE JUST FEELING IT SORT OF IN THE ONE SPOT ON THE LEFT SIDE audio/RES0178.mp3[447.760,461.520] NO HE HE HES BEEN DOING SOME SCHOOLING SOME SCHOOLING ONLINE AND SOME SOME IN PERSON AND BUT BUT OTHERWISE THEYVE JUST BEEN AT HOME audio/RES0212.mp3[129.560,134.360] LIKE MAYBE MAYBE THREE DAYS audio/RES0061.mp3[141.760,149.680] RIGHT UM ARE YOU DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/MSK0045.mp3[243.280,246.720] OK ANY NUMBNESS OR TINGLING audio/RES0063.mp3[677.640,693.400] SOUNDS GOOD I JUST HAD ANOTHER QUICK QUESTION I DID GET THE SHINGLES AND THE PNEUMOCOCCAL VACCINE BACK THEN BUT I DIDNT GET THE FLU VACCINE LIKE SHOULD I GET IT IS IT RECOMMENDED audio/RES0083.mp3[222.200,226.320] I DONT THINK SO audio/MSK0029.mp3[738.640,745.080] UH NO NO THAT SOUNDS GOOD audio/RES0176.mp3[534.160,536.200] ALRIGHT HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0012.mp3[543.280,546.760] UM LIKE I TAKE A MY INSULIN audio/RES0057.mp3[722.800,743.080] THANK YOU OK ALRIGHT audio/MSK0016.mp3[431.760,436.040] UM I I NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0021.mp3[337.760,339.800] ALRIGHT ANY NIGHT SWEATS audio/RES0086.mp3[216.800,231.040] UHM YEAH WHEN IM EXERCISING THATS WHEN ALL OF THAT HAPPENS THE WHEEZING THE COUGHING BUT THROUGHOUT THE DAY OTHERWISE IM NOT COUGHING audio/RES0079.mp3[233.040,239.880] AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR HOSPITALIZATIONS audio/RES0026.mp3[171.560,175.520] ALRIGHT AND NOW HOW ABOUT ANY WHEEZING audio/RES0071.mp3[598.480,601.480] NO NOBODYS BEEN SICK audio/RES0148.mp3[186.960,189.520] UM A LITTLE BIT audio/RES0111.mp3[39.040,49.600] YEAH UM NOT LIKE I CAN DRINK OK BUT ITS REALLY HARD FOR ME TO EAT SOLID FOODS RIGHT NOW audio/RES0049.mp3[190.520,196.320] OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0139.mp3[330.440,332.200] IM A LAWYER audio/RES0145.mp3[708.680,711.360] YEAH YOURE WELCOME audio/RES0006.mp3[259.840,264.200] OK HOW ABOUT AT A LOSS OF SMELL audio/RES0102.mp3[444.800,451.320] OK UH DO YOU HAVE ANY OTHER SYMPTOMS LIKE A HEADACHE OR NAUSEA VOMITING audio/RES0058.mp3[190.400,192.680] UMM NO JUST TIRED audio/RES0188.mp3[388.080,392.760] NO OK AND WHO DOES HE LIVE WITH AT HOME audio/RES0206.mp3[530.520,532.480] UHM NO I DONT THINK SO audio/MSK0021.mp3[506.280,509.640] UH NO IM NOT NOTICING ANY SWELLING audio/MSK0041.mp3[324.040,333.040] OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY CHANGES TO YOUR NAILS OR HAIR audio/RES0049.mp3[293.360,299.680] OK HOW OFTEN ARE YOU TAKING THE TYLENOL COLD audio/MSK0008.mp3[289.240,290.040] UM NO audio/RES0151.mp3[48.480,58.680] NO ITS MAINLY LIKE A DRY COUGH BUT I AM GETTING LIKE A LOT OF DRAINAGE AND UH JUST CONGESTION IN MY NOSE audio/RES0180.mp3[74.880,79.680] NO I HAVENT HAD ANY CHEST PAINS audio/RES0187.mp3[73.520,77.520] NO I I HAVENT REALLY CHANGED MY ROUTINE AT ALL audio/MSK0013.mp3[504.440,509.080] ILL HAVE ABOUT 5 BEERS A DAY audio/RES0093.mp3[73.400,77.840] AND CAN YOU TELL ME IF ITS GOTTEN BETTER OR WORSE SINCE THEN audio/RES0096.mp3[361.000,366.200] HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS audio/RES0106.mp3[466.240,470.920] OK AND DO YOU DRINK ALCOHOL audio/MSK0024.mp3[297.800,315.600] RIGHT SO ITS JUST THIS PAIN THATS BEEN THERE FOR THE LAST MONTH STAYED AROUND THE SAME IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH THE HAVE ANY MEDICAL CONDITIONS IN THE PAST audio/RES0130.mp3[466.840,474.960] OKAY YEAH OKAY THATS GOOD THAT YOURE GETTING THEM FROM LIKE AN OFFICIAL STORE audio/RES0159.mp3[266.240,272.960] OK UM AND ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/GAS0007.mp3[64.760,67.760] NO NEVER audio/RES0099.mp3[224.760,228.280] NO I DONT HAVE ANY OF THOSE SYMPTOMS audio/RES0118.mp3[338.800,340.680] AND WHEN WAS THAT audio/RES0036.mp3[690.280,699.360] OK UHM AND HOW ABOUT YOUR DIET DO YOU GET 3 MEALS A DAY OR IS IT WELL BALANCED audio/RES0036.mp3[559.680,577.640] I DO THE PLACE I WORK IS VERY CROWDED AND ITS NOT THE BEST CONDITIONS TO WORK IN AND THERES AN AIR CONDITIONER WHICH I THINK IS BROKEN ITS QUITE HUMID ITS NEVER BEEN CHECKED YEAH audio/MSK0013.mp3[679.360,689.400] OK AND AND IS THERE ANY PAIN TO PALPATION OVER THE UM ANKLE JOINT OVER THE ANKLE JOINT audio/RES0004.mp3[740.360,741.320] OK OK audio/RES0068.mp3[129.000,134.200] ANY LOSS OF SENSE OF TASTE OR SMELL audio/MSK0005.mp3[530.240,533.920] NO THAT DOESNT REALLY CAUSE ANY PAIN PRONATION AND SUPINATION audio/MSK0036.mp3[446.640,454.080] HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING audio/RES0118.mp3[170.720,179.160] UM ANY ANYTHING THAT MAKES YOUR SYMPTOMS WORSE AT ALL LIKE ANY EXERTION OR ANY KIND OF UH POSITION audio/CAR0004.mp3[36.560,48.240] OK AND IS IT WHAT KIND OF PAIN IS IT IS IT MORE LIKE A DULL PRESSURE PAIN OR IS IT A SHARP PAIN HOW WOULD YOU DESCRIBE IT audio/RES0021.mp3[733.480,735.960] OK THAT SOUNDS GREAT THANK YOU SO MUCH audio/RES0166.mp3[1.560,17.320] IVE JUST BEEN FEELING REALLY SHORT OF BREATH SINCE THIS MORNING AND I DONT UH YEAH I DONT KNOW WHATS GOING ON audio/RES0147.mp3[188.360,190.840] ANY HEADACHES audio/RES0120.mp3[116.720,124.440] OKAY AND WHAT KIND OF PAIN IS IT IS IT LIKE A SHARP PAIN STABBING PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT audio/RES0144.mp3[39.800,45.880] OK TWO DAYS AGO WAS IT WHEN DID YOU HEAR THIS SOUND WHEN YOUR BABY IS TRYING TO BREATHE audio/RES0110.mp3[386.040,389.160] WHERE IS YOUR CHEST PAIN audio/RES0025.mp3[143.240,156.320] UM YEAH EVERY FEW EVERY FEW HOURS ITS BEEN AH IT SEEMS TO BE WHAT IM LIKE LIKE AFTER EATING IT IS JUST MAKING ME MAKING ME NAUSEOUS audio/RES0087.mp3[268.400,274.200] NO OK AND HOW ABOUT URINE IS THAT NORMAL audio/RES0180.mp3[107.480,115.680] OK AND IS IT A THROBBING KIND OF PAIN OR IS IT A DULL ACHY PAIN audio/GAS0002.mp3[550.920,562.560] AND UM DO OH AND THEN UM WHO ARE YOU LIVING WITH CURRENTLY AT HOME audio/RES0010.mp3[445.840,463.160] I SEE OK ALRIGHT UM ALRIGHT IM JUST GOING TO ASK YOU A COUPLE OF QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0004.mp3[287.040,290.280] OK OK UM HOW ABOUT COUGHING audio/RES0191.mp3[225.000,227.480] NO NOTHING LIKE THAT audio/MSK0017.mp3[510.560,515.120] OK UHM AND WHO AND WHERE DO YOU LIVE RIGHT WHO WITH AND WHERE DO YOU LIVE RIGHT NOW audio/RES0007.mp3[324.000,336.800] UM SO ANYTHING LIKE LIKE ALLERGIES LIKE RUNNY NOSE OR REALLY ITCHY EYES WITH MAYBE SOME LIKE UM TEARING audio/RES0094.mp3[205.880,217.000] UHM DO YOU USUALLY GET HEADACHES OF THIS SORT OR IS THIS VERY DIFFERENT FROM WHAT YOU GENERALLY EXPERIENCE IF YOU USUALLY HAVE HEADACHES audio/RES0047.mp3[186.400,194.720] OK OK AND DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH THIS COUGH audio/RES0074.mp3[236.920,247.720] I DONT THINK SO I HAVENT BEEN REALLY EATING TOO MUCH RECENTLY BUT I DONT THINK SO NO audio/MSK0011.mp3[83.720,88.080] OK DID YOU HIT YOUR HEAD AT ALL OR LOSE CONSCIOUSNESS audio/RES0082.mp3[433.120,454.080] OK ALRIGHT WELL IT SOUNDS LIKE YOURE PROBABLY HAVING JUST A COMMON COLD LIKELY VIRAL SO AND SEEING THAT ITS ONLY BEEN TWO DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE IN THE PAST COUPLE OF DAYS audio/RES0132.mp3[323.440,335.080] OKAY THANK YOU AND UH YOU MENTIONED YOU HAD A SIMILAR EPISODE IN THE PAST UM WHAT UH WERE YOU DIAGNOSED WITH COPBEFORE audio/RES0044.mp3[772.000,782.920] NO OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY WAS THERE UM ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY audio/MSK0009.mp3[739.920,748.320] UHM I THINK I I DONT KNOW IF ITS MAYBE A LITTLE BIT WARM BUT DEFINITELY SWOLLEN audio/RES0056.mp3[652.840,656.560] THANK YOU audio/MSK0040.mp3[679.200,685.320] NO NO PAIN THERE audio/RES0046.mp3[743.120,750.480] UH SO I LIVE IN A TOWNHOUSE UM WITH MY WIFE UM AND DAUGHTER audio/MSK0027.mp3[457.520,465.320] OK AN ANY CONCERN FOR LIKE PHYSICAL OR EMOTIONAL VIOLENCE IN THE HOME audio/RES0117.mp3[169.960,171.080] NO HEADACHES audio/MSK0010.mp3[112.400,124.400] MAYBE LIKE I DID INCREASE MY WEIGHT LIKE IN THE LAST TWO WEEKS SO I DID FEEL LIKE A LITTLE BIT MORE PAIN WITH THE INCREASE LAST WEEK audio/RES0191.mp3[139.560,141.640] HAVE YOU HAD ANY WHEEZING audio/RES0179.mp3[272.240,276.000] CHANGES IN YOUR VISION OR HEARING audio/MSK0043.mp3[381.960,386.280] UH NO I HAVENT HAD ANY OF THOSE SYMPTOMS audio/RES0028.mp3[430.960,434.920] UM NONE THAT I CAN THINK OF audio/RES0186.mp3[145.760,146.480] UH NO RASHES audio/RES0177.mp3[241.400,245.840] OK HOW ABOUT ANY RASHES audio/RES0117.mp3[447.320,460.520] YEAH HOPEFULLY ITS NOT UM BUT IF IT IS ITS ITS OK LIKE UM WELL GET INFECTIOUS DISEASE INVOLVED UH WELL GET THE ISOLATION GOING AND WELL GET YOU ON THE CORRECT TREATMENT audio/RES0213.mp3[53.280,55.960] UH NO NOTHING THAT I CAN THINK OF audio/RES0050.mp3[427.360,458.440] YEAH YOURE YOURE RIGHT SO FOR UM IN CANADA OR ANYBODY OR IN ONTARIO AT LEAST ANYBODY WHOS OLDER THAN 65 ITS RECOMMENDED TO GET THIS VACCINE TO PROTECT AGAINST CERTAIN TYPES OF BACTERIAL INFECTIONS TYPE WHICH CAN CAUSE PNEUMONIA SO IT WOULD BE GOOD SOMETHING THAT YOU CAN SET UP WITH YOUR FAMILY DOCTOR audio/RES0065.mp3[246.480,253.560] OK ANY CHEST PAIN OR FEELING THAT YOUR HEART IS RACING audio/RES0035.mp3[84.080,87.480] IS THE BLOOD EVER MIXED INTO THE PHLEGM audio/RES0191.mp3[132.320,134.040] HAVE YOU HAD A COUGH audio/MSK0013.mp3[232.360,236.320] OK AND HAVE YOU HAD ANY RASHES ON YOUR SKIN audio/RES0135.mp3[515.120,517.400] UH NOPE audio/RES0199.mp3[235.200,239.840] OK HOW ABOUT CHANGES IN YOUR SMELL OR TASTE audio/RES0178.mp3[474.200,486.680] SO HE LIVES WITH MYSELF AS WELL AS HIS HIS MOM AND THEN HES GOT A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL audio/MSK0026.mp3[121.480,122.640] I AM audio/RES0110.mp3[695.040,700.120] WHAT ABOUT THINGS LIKE GROCERIES OR TAKING CARE OF FINANCES audio/MSK0017.mp3[502.320,510.560] YEAH ILL HAVE A COUPLE OF BEERS ON THE WEEKEND SO MAYBE LIKE TWO OR THREE audio/RES0211.mp3[311.400,313.640] OK AND YOU TAKE THAT REGULARLY audio/RES0078.mp3[138.480,144.680] AND YOU HAVENT SEEN BLOOD ANYTIME RIGHT IN YOUR SPUTUM audio/RES0110.mp3[198.520,208.640] YEAH YOURE ALSO FEELING A LITTLE BIT FUZZY WHEN DID THAT START AND CAN YOU EXPLAIN THAT A LITTLE BIT audio/DER0001.mp3[536.840,541.880] AND UH WHAT DO YOU DO FOR WORK DID I ALREADY ASK YOU THIS audio/RES0127.mp3[223.680,225.960] OK ANY HEADACHES audio/RES0155.mp3[165.520,174.160] OK AND HOW WOULD YOU DESCRIBE UH IS IT PAIN AT ALL OR IS IT LIKE SHARP STABBING OR PRESSURE LIKE PAIN audio/MSK0027.mp3[94.200,106.520] UHM NO I DONT THINK SO I THINK NO I THINK SHE SHES JUST BEEN HOLDING IT AWKWARDLY LIKE THAT I IM ASSUMING SO IT DOESNT CAUSE MORE PAIN audio/GAS0004.mp3[302.240,316.080] UH NOT REALLY I WAS JUST TRYING TO DRINK A LOT OF WATER CAUSE I I KNOW THAT I CAN GET DEHYDRATED SO JUST DRINKING LOTS OF WATER audio/RES0136.mp3[472.160,475.440] OKAY IS THAT THE ONLY SURGERY THAT YOUVE HAD OR HAVE YOU HAD ANYTHING ELSE audio/RES0159.mp3[240.920,245.160] UM NO NOTHING LIKE THAT audio/MSK0006.mp3[821.520,826.280] UH JUST WONDERING ABOUT POSSIBLY LIKE WHAT IT COULD BE audio/RES0065.mp3[270.720,280.080] HAVE YOU BEEN GETTING SLEEP AT NIGHT OR DO YOU HAVE TO KEEP WAKING UP audio/RES0068.mp3[204.680,213.640] OK AND SO YOUVE TRIED NASAL SPRAYS HAVE YOU TRIED ANY OF THOSE LIKE NASAL RINSES OR ANYTHING LIKE THAT audio/RES0100.mp3[191.280,196.440] OK SO ANY PARTICULAR AREA THAT THATS ACHING audio/GAS0005.mp3[254.880,263.080] OK AND HAS HE HAD A SORE THROAT OR ANY PAIN WITH SWALLOWING audio/RES0037.mp3[442.400,449.080] OK ANY BOWEL MOVEMENT CHANGES ANY CONSTIPATION OR DIARRHEA ANY OF THOSE audio/RES0105.mp3[659.200,663.360] OK AND HOW LONG HAVE YOU SMOKED FOR audio/RES0014.mp3[613.640,623.240] OK AND THEN HAVE YOU EVER HAD ANY IMAGING DONE IN THE PAST LIKE A CHEST XRAY OR INVESTIGATIONS LIKE A PULMONARY FUNCTION TEST audio/RES0006.mp3[342.880,350.200] OK AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR JOINT ACHES OR OR BODY ACHES audio/MSK0049.mp3[443.200,449.960] ALRIGHT AND UH HAVE YOU HAD ANY SURGERIES IN THE PAST audio/MSK0018.mp3[129.160,132.320] OKAY ANY PAIN ELSEWHERE IN YOUR BODY audio/RES0214.mp3[72.840,81.240] NO COUGH OK AND THEN HOW ABOUT ABDOMINAL PAIN ANY PAIN IN YOUR TUMMY audio/RES0211.mp3[491.360,493.320] OK SO CHANCES OF BEING PREGNANT VERY LOW audio/MSK0009.mp3[508.240,511.760] OK SO HAVE YOU HAD A MISCARRIAGE BEFORE audio/MSK0036.mp3[290.240,303.640] OK UM AN ANYTHING THAT YOU DO THAT MAKES IT BETTER BESIDES THOSE MOVES LIKE HAVE YOU TAKEN ANY MEDICATIONS OR TRIED ANY LIKE WRIST SPLINTS OR ANYTHING LIKE THAT audio/RES0016.mp3[325.640,327.960] NO I GO PRETTY REGULARLY audio/MSK0005.mp3[591.320,597.960] OK ALRIGHT UM IMMUNIZATIONS WISE ARE YOU UP TO DATE audio/RES0130.mp3[318.840,332.400] UM YEAH ILL TAKE TYLENOL UM FOR THE ARTHRITIS AND SOMETIMES USE SOME LIKE TOPICAL CREAMS FOR MY KNEES UM AND UH I I TAKE AMLODIPINE AS WELL I THINK FOR THE BLOOD PRESSURE audio/RES0140.mp3[176.680,182.520] AND ANY NEW MEDICATIONS THAT WERE STARTED AFTER YOUR HOSPITAL STAY audio/RES0142.mp3[270.680,274.680] UM WHAT ABOUT ALCOHOL audio/RES0129.mp3[301.280,309.200] NO OK HOW ABOUT UHM AFTER BIRTH WAS HE HOSPITALIZED FOR ANY REASON audio/MSK0037.mp3[271.240,278.800] NO NUMBNESS OR TINGLING AND NO WEAKNESS OR ANYTHING LIKE THAT audio/RES0135.mp3[506.960,515.120] OKAY UM AND DOES ANYBODY UH IN THE HOUSE SMOKE audio/RES0138.mp3[150.520,153.560] UM HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0175.mp3[400.440,402.240] DO YOU USE ANY RECREATIONAL DRUGS audio/MSK0039.mp3[375.040,380.160] OK THATS GOOD UM DO YOU HAVE ANY ALLERGIES audio/RES0212.mp3[523.800,524.800] OK THANKS audio/MSK0019.mp3[417.000,421.040] UM NO I DONT REALLY SEE ANYTHING THATS TOO DIFFERENT NO audio/RES0133.mp3[251.840,260.840] OKAY AND HAVE YOU HAD ANY LOSS OF YOUR TASTE OR SENSE OF SMELL audio/RES0207.mp3[278.080,285.240] OK AND NORMALLY ARE YOU HAVING ANY DIFFICULTY REMEMBERING TAKING IT OR WAS IT JUST KIND OF A BRAIN FART audio/RES0145.mp3[120.720,133.400] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE HEADACHES STUFFY NOSE RUNNY NOSE UHM ANY DISCHARGE FROM YOUR EYES RED EYES ANY PAIN IN YOUR EARS ANYTHING LIKE THAT audio/RES0151.mp3[292.520,300.400] ALRIGHT ANY MUSCLE ACHES OR BODY PAINS audio/RES0191.mp3[337.800,341.200] NO I HAVENT audio/RES0167.mp3[481.520,485.480] OK AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RIGHT NOW audio/RES0061.mp3[782.520,786.080] OK GREAT AND WHO DO YOU LIVE WITH audio/MSK0008.mp3[440.320,442.960] I AM audio/RES0004.mp3[170.280,182.960] UM YEAH IVE HAD THIS UH THIS LIKE RED I GUESS PINK RASH THAT I HAVE NOTICED ITS COME OVER MY CHEST AND AND BELLY AREA audio/MSK0045.mp3[673.840,675.840] THAT SOUNDS PRETTY GOOD THANK YOU audio/RES0004.mp3[101.160,109.600] OK AND HOW BAD WOULD YOU SAY YOUR DISCOMFORT IS 1 TO 10 10 BEING THE WORST audio/RES0208.mp3[438.240,446.960] GREAT THATS GREAT ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES audio/RES0117.mp3[54.680,61.240] TODAY OK OK UM ARE YOU BRINGING UP ANY PHLEGM AT ALL BESIDES THE BLOOD audio/RES0017.mp3[515.640,518.720] NO JUST VITAMINS BUT NOTHING ELSE audio/RES0117.mp3[91.760,94.040] NO NO UH RUNNY OR STUFFY NOSE audio/RES0064.mp3[435.240,447.280] YOU KNOW WE DONT HAVE ANY PETS WE DONT HAVE ANY LIKE OLD CARPETS ITS A FAIRLY NEW APARTMENT SO I DONT THINK ANY OF THAT SHOULD BE AN ISSUE audio/RES0060.mp3[102.320,111.040] NO SORE THROAT IT DOES GET A LITTLE SCRATCHY WITH MY COUGH BUT HASNT BEEN SORE audio/RES0043.mp3[381.800,387.440] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL audio/RES0101.mp3[337.000,338.480] NO DIARRHEA NO audio/MSK0001.mp3[121.960,129.240] OK AND DOES IT DOES THE PAIN GO ANYWHERE OR DOES IT JUST STAY IN THE LOWER BACK audio/RES0011.mp3[182.600,197.160] IT ITS JUST LIKE ITS JUST LIKE ITS A LITTLE A LITTLE TENDER ITS NOT LIKE REALLY ITS NOT LIKE HARD TO SWALLOW OR ANYTHING IT JUST FEELS LIKE ITS LIKE MY THROATS KINDA TIRED audio/RES0093.mp3[221.240,226.440] OK AND ANY PAIN IN YOUR BELLY audio/MSK0038.mp3[656.720,659.840] THAT FEELS OK NO PAIN IN THE MUSCLES audio/RES0019.mp3[408.520,409.960] I AM audio/RES0096.mp3[638.600,649.840] OH IM SORRY TO HEAR THAT UHM AND THE LUNG CANCER YOU MENTION ANY OTHER CANCERS THAT RUN IN THE FAMILY audio/RES0050.mp3[461.840,465.960] I USED TO audio/RES0139.mp3[167.840,172.200] OKAY UM ANY WHEEZING AT ALL audio/RES0166.mp3[70.400,78.360] OK AND HAS THIS HAPPENED TO YOU BEFORE EVER audio/RES0092.mp3[5.600,16.840] YEAH SO IVE HAD THIS COUGH NOW ITS BEEN GOING ON FOR ABOUT TWO WEEKS JUST JUST HASNT GONE AWAY audio/RES0117.mp3[196.320,201.720] OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0071.mp3[186.840,201.960] SO ITS BEEN UH KIND OF OFF AND ON OVER THE PAST UH WEEK OR SO UM FEELS LIKE A LIKE A PRESSURE SENSATION AND MY HEAD IS JUST REALLY SQUEEZING audio/RES0161.mp3[351.560,359.360] OH THATS GREAT ITS GREAT THAT YOURE TRYING TO CUT DOWN DO YOU INTEND ON GETTING THE GETTING DOWN THE SMOKING EVEN FURTHER audio/RES0060.mp3[766.600,776.960] NO I JUST HAVE A FEW BEERS ON THE WEEKEND LIKE PROBABLY I DONT KNOW TWO OR THREE ON SATURDAY AND SUNDAY audio/RES0109.mp3[330.040,331.640] UH NO audio/RES0001.mp3[211.000,215.320] OK HAVE YOU EVER EXPERIENCED THIS BEFORE audio/RES0204.mp3[100.240,101.040] UH NO audio/MSK0028.mp3[329.080,331.640] OK ANY WHEEZING audio/RES0176.mp3[379.400,382.560] HAVE YOU HAD ANY CHANGES TO YOUR APPETITE audio/RES0046.mp3[408.720,414.800] UH NO I HAVENT NOTICED ANYTHING LIKE THAT audio/MSK0021.mp3[656.520,657.560] NO PAIN audio/RES0114.mp3[318.320,321.760] CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0022.mp3[563.240,566.240] MY FAMILY DOCTOR audio/RES0215.mp3[316.480,319.480] 8 KILOS audio/MSK0050.mp3[474.200,480.720] OK UM BUT YOU DONT HAVE ANY OTHER JOINT SWELLING OR PAINS RIGHT audio/RES0044.mp3[495.920,502.440] UM YOU SAID YOU HAD DIGESTIVE PROBLEMS DID YOU SAY IT MIGHT BE CROHNS audio/RES0203.mp3[117.120,123.960] THE DRY COUGH UM ITS BEEN PRETTY CONSISTENT AS WELL audio/RES0050.mp3[124.800,135.080] OK UM AND WHAT TYPES OF ACTIVITIES HAVE YOU HAD SHORTNESS OF BREATH audio/RES0129.mp3[388.680,396.280] OK OK ANY OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT IN YOUR HOME audio/RES0116.mp3[348.160,353.040] OK UM AND HOW ABOUT HIS URINE audio/RES0089.mp3[467.800,480.840] OK AND HAVE YOU AT ALL HAD ANY CHANGES IN YOUR APPETITE OR ANYTHING LIKE THAT audio/RES0028.mp3[565.480,569.360] OK GREAT THANK YOU audio/RES0039.mp3[91.280,101.040] OK AND WERE YOU AT ALL LIVING LIKE CLOSE QUARTERS OR WERE YOU CRAMMED INTO LIKE LIKE SMALLER SPACES AT ALL WHEN YOU WERE THERE audio/RES0091.mp3[200.120,203.040] OK ARE YOU DO YOU WORK AT ALL audio/RES0173.mp3[275.400,284.280] I SEE OK SO IT HAS BEEN KIND OF LIKE ALL OVER OR THERE ARE PARTICULAR MUSCLES SORE OR OUR BODY PART audio/RES0202.mp3[753.840,756.720] YOU TOO THANKS audio/RES0150.mp3[336.000,337.440] NO NO audio/RES0211.mp3[248.560,252.600] OK SO YOU DONT CARRY AN EPIPEN WITH YOU audio/GAS0004.mp3[527.360,529.000] I LIVE WITH TWO ROOMMATES audio/RES0005.mp3[289.880,295.640] OK IS THIS BECAUSE OF THE SHORTNESS OF BREATH WHEN YOU ARE ARE EXERTING audio/MSK0031.mp3[353.320,369.480] UH I THINK MY MY MOTHER HAD SOME SKIN CANCER BUT THE ONES THAT SHE DIDNT NEED ANY SURGERY THEY JUST ZAPPED THEM OFF audio/RES0075.mp3[450.400,455.200] OK ANY CONCERNS RIGHT NOW OR ANYTHING LIKE THAT audio/RES0025.mp3[156.320,163.480] OK OK SO HAVE YOU BEEN ABLE TO EAT ANYTHING WHENS THE LAST TIME YOU ACTUALLY HAD SOMETHING TO EAT audio/RES0009.mp3[695.360,697.080] NO I WISH audio/RES0203.mp3[132.360,138.320] NO I HAVENT TRIED ANYTHING audio/RES0010.mp3[87.480,95.440] NOTHING LIKE THAT OK HAVE YOU HAD ANY PAIN IN YOUR CHEST audio/MSK0010.mp3[305.480,310.760] UM NO NOT THAT I KNOW OF audio/RES0028.mp3[274.880,277.000] NO RASHES audio/RES0178.mp3[155.160,160.000] OK HOW ABOUT A CHANGE IN SMELL OR TASTE audio/MSK0021.mp3[30.680,38.520] YEAH FOR SURE YOU SAID IT STARTED A COUPLE OF WEEKS AGO WAS THAT TWO WEEKS AGO THREE WEEKS AGO OR MORE THAN THAT audio/RES0125.mp3[85.880,93.080] OKAY AND IS YOUR COUGH LIKE CONSTANT OR DOES IT COME AND GO audio/RES0162.mp3[548.200,558.400] YEAH ALCOHOL IVE HAD LIKE AT UNIVERSITY BUT GENERALLY MAYBE JUST ON THE WEEKENDS NOT ANYTHING REGULAR audio/RES0020.mp3[105.560,116.200] OK AND HOW ABOUT CHANGING POSITIONS DOES THE PAIN GET WORSE IF YOU LIE FLAT OR OR IF YOU LEAN FORWARD audio/RES0196.mp3[130.320,134.080] PAST 2 DAYS OK DID YOU GET A CHANCE TO MEASURE IT AT ALL audio/RES0116.mp3[523.080,530.080] OK UHM ANY SIBLINGS audio/RES0171.mp3[215.160,231.480] IM WELL IT LIKE UH ABOUT TWO WEEKS AGO I HAD A HYSTERECTOMY CAUSE I FOR ABNORMAL BLEEDING YEAH I HAD SURGERY 2 WEEKS AGO audio/RES0215.mp3[401.600,404.720] OK DO YOU GIVE HER ANYTHING FOR SEASONAL ALLERGIES audio/RES0179.mp3[458.760,461.600] UH NO ALLERGIES audio/MSK0034.mp3[288.440,291.360] UH NO audio/RES0215.mp3[323.840,339.440] YEAH NO WORRIES AND THEN OTHERWISE SHE IS SO SHES BEEN HEALTHY OTHERWISE BEEN DOING WELL UH JUST IN TERMS OF HOW SHES BEEN DOING UH WITH OTHER SYSTEMS OF HER BODY HAVE YOU NOTICED ANY CONCERNS FOR HER BOWEL MOVEMENTS audio/MSK0018.mp3[115.840,129.160] UM IN THAT AREA I DONT KNOW IF ITS WEAKNESS OR PAIN BUT I JUST CANT MOVE IT UP AND I I I DO FEEL SOME LIKE NUMBNESS JUST ABOVE MY SHOULDER NO TINGLING THOUGH audio/CAR0003.mp3[108.720,121.560] OK AND YOU MENTIONED LIKE EXERTION MAKES IT WORSE BUT ANYTHING ELSE LIKE GOING OUTSIDE OR EXPOSURE TO ANY CHEMICALS THAT MAKES IT WORSE audio/MSK0040.mp3[417.160,430.560] OK UH AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE WHO YOURE LIVING WITH AND WHEREABOUTS audio/RES0063.mp3[523.000,531.760] I USED TO I USED TO SMOKE PROBABLY IN MY 20S TO LATE 40S BUT THEN I QUIT audio/GAS0002.mp3[235.120,240.000] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0031.mp3[360.160,369.320] UH NO NOT THAT I KNOW I HAVENT REALLY CHECKED BUT I HAVENT NOTICED ANYTHING LIKE REMARKABLE audio/RES0107.mp3[413.880,416.000] OH HES HES HAD ECZEMA HE HAD IT audio/RES0034.mp3[699.160,703.960] OK AND IS SHE CURRENTLY TAKING ANY MEDICATIONS audio/RES0022.mp3[481.520,484.320] NO NOTHING LIKE THAT audio/RES0185.mp3[114.360,116.920] NO ANY WHEEZING audio/RES0011.mp3[197.160,202.480] OK HAVE YOU HAD ANY CHANGES TO YOUR VOICE audio/RES0001.mp3[274.440,276.280] YEAH NO NIGHT SWEATS audio/CAR0003.mp3[536.680,543.240] I DO UM I WORK AS A CASHIER audio/RES0035.mp3[274.120,277.600] ANY ANTIBIOTICS THAT YOUVE HAD TO USE FOR ANY INFECTIONS audio/RES0171.mp3[90.880,98.080] AND THE CHEST PAIN DOES IT ONLY OCCUR WHEN YOU TAKE A DEEP BREATH OR ARE THERE OTHER TIMES AS WELL audio/CAR0001.mp3[335.080,340.920] NO OK AND HAVE YOU HAD ANY NIGHT SWEATS audio/RES0135.mp3[78.160,85.840] AND HOW HOW DOES THE COUGH SOUND DOES IT SOUND LIKE BARKY OR LIKE A SEALLIKE COUGH audio/RES0093.mp3[465.120,471.360] YEAH I THINK SO MY MY FRIENDS UH YEAH THATS WHAT MY FRIENDS WERE WERE SAYING ANYWAY audio/RES0060.mp3[280.720,284.400] THEYVE I WOULD SAY THEYVE BEEN NORMAL audio/MSK0035.mp3[92.280,99.640] OK AND SO WHEN DID THIS HAPPEN WAS IT YESTERDAY audio/RES0003.mp3[651.480,658.680] UM NO WE WERE THINKING THAT IT COULD BE UH MAYBE STREP THROAT SO UM YEAH THANK YOU audio/CAR0004.mp3[178.920,181.520] I TOOK IT ONCE YESTERDAY audio/RES0187.mp3[591.360,598.000] YEAH FOR SURE UHM THAT MAKES SENSE ALRIGHT ANY TRAVEL RECENTLY audio/MSK0039.mp3[431.160,433.160] UH HOW ABOUT AUTOIMMUNE CONDITIONS audio/RES0124.mp3[368.880,383.800] UH NOW THAT YOU MENTION IT YEAH LIKE IF WERE EVER IN THE BASEMENT OR ANYTHING LIKE THAT I I DO START GETTING LIKE KIND OF IRRITATION UM IN MY THROAT AND THAT KIND OF SOMETIMES I HAVE ALSO COUGHED AT THOSE TIMES audio/RES0012.mp3[1041.280,1052.600] YEAH OK SO I GUESS WE WILL SEE YOU AT OUR FOLLOW UP AND AFTER ALL OF THESE INVESTIGATIONS ARE DONE audio/RES0174.mp3[168.960,171.120] ANY WHEEZING audio/RES0132.mp3[160.280,163.720] UM NO NOT THAT IVE NOTICED audio/RES0004.mp3[629.480,633.680] OK UM ANY FAMILY HISTORY OF LUNG ISSUES HEART ISSUES audio/RES0192.mp3[56.760,62.720] OK SO A BIT SO ITS BEEN GOING ON FOR A BIT OF TIME NOW audio/RES0195.mp3[82.960,92.560] UM ITS ITS GETTING WORSE NOW SO IT FEELS MORE CONSTANT NOW BUT AT FIRST IT IT JUST CAME IN YEAH IT CAME IN WENT audio/RES0173.mp3[310.560,315.200] NO IVE JUST BEEN FEELING HOT audio/RES0010.mp3[348.520,359.520] I SEE UM HAVE YOU DONE ANYTHING RECENTLY HAVE YOU HAD CONTACT WITH UM WITH ANYONE WHO IS SICK audio/RES0073.mp3[329.520,331.320] UH NO audio/RES0125.mp3[230.040,236.200] NO OKAY AND BESIDES THE COUGH ARE YOU HAVING ANY HEADACHES AT ALL audio/RES0068.mp3[269.400,278.800] OK AND HAVE YOU NOTICED AT ALL OR HAS SOMEONE TOLD YOU THAT YOUR BREATH MIGHT SMELL BAD OR HAVE YOU NOTICED IT YOURSELF audio/RES0017.mp3[300.880,306.080] HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS audio/RES0044.mp3[513.520,516.080] OH I SEE OK UM OK audio/MSK0013.mp3[712.840,717.880] UM PRETTY GOOD I CAN MOVE THEM ALL audio/RES0192.mp3[581.880,594.680] OK UM AND UH ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0081.mp3[567.320,572.440] OK HAS ANYBODY IN THE HOME BEEN SICK EITHER HIS BROTHER YOURSELF OR FATHER audio/RES0168.mp3[336.240,340.840] I THINK SO I NEVER REALLY DIDNT GET ANY audio/RES0081.mp3[117.920,121.720] YEAH HE DOES HE DOES HAVE A COUGH YEAH audio/RES0165.mp3[278.920,282.760] UM ANY CHANGES IN YOUR APPETITE audio/RES0073.mp3[345.800,364.000] UHM ITS BEEN MAINLY OK JUST MAYBE SOMETIMES DIFFICULT TO GET TO SLEEP WITH ALL THE ALL THE CONGESTION BUT I DONT THINK MY ENERGY HAS BEEN AFFECTED TOO MUCH NO audio/RES0111.mp3[189.760,197.000] OK ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/CAR0005.mp3[469.640,482.240] I KNOW THAT YOU SAID YOU DONT SEE YOUR FAMILY DOCTOR FOR ANYTHING REGULARLY BUT I JUST WANT TO CHECK A COUPLE OF SPECIFIC THINGS LIKE HAVE YOU EVER BEEN TOLD YOU HAVE HIGH BLOOD PRESSURE audio/RES0097.mp3[387.680,395.680] OK AND HAS HE HAD ANY EXACERBATIONS OR HOSPITALIZATIONS audio/RES0058.mp3[382.280,390.640] UMM NO I HAVE BEEN ABLE TO DO SOME OF MY SCHOOL WORK audio/MSK0008.mp3[237.080,240.640] OK ANY EYE SYMPTOMS OR YOUR SYMPTOMS audio/RES0183.mp3[429.840,435.120] OK AND ARE HIS IMMUNIZATIONS UP TO DATE audio/RES0097.mp3[522.760,530.920] EXCELLENT AND HAVE YOU HAD ANY CONCERNS ABOUT ABOUT DEVELOPMENT OR OR HIS GROWTH audio/RES0212.mp3[84.760,88.400] NO LIKE I I DONT REALLY WEIGH MYSELF BUT I DONT THINK SO audio/RES0058.mp3[574.760,582.160] OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS THAT YOU KNOW OF audio/RES0007.mp3[812.160,825.840] OK AND I KNOW THIS QUESTION MIGHT SEEM A LITTLE BIT INVASIVE BUT ITS IMPORTANT TO ASK EVERYBODY HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF audio/RES0158.mp3[524.640,525.920] YOURE WELCOME TAKE CARE audio/RES0012.mp3[1016.960,1037.080] YEAH YEAH IT DOES SOUND LIKE IT FROM THE TIMELINE LIKE YOU STARTED COUGHING TWO DAYS AGO AND THEN THE DIFFICULTY BREATHING OR SHORTNESS OF BREATH ALSO TWO DAYS AGO AND THEN THE CHEST PAIN JUST SEEMS LIKE ITS FROM YOU COUGHING A LOT audio/RES0010.mp3[177.800,180.600] NO NO THATS OK audio/RES0022.mp3[673.960,681.160] I SEE AND ANY OTHER MEDICATIONS LIKE PRESCRIBED OR OVER THE COUNTER THAT YOU TAKE audio/RES0153.mp3[224.240,225.760] NO CHEST PAIN audio/MSK0033.mp3[253.600,260.360] UM YEAH I DONT HAVE ANYTHING I AM HEALTHY audio/MSK0029.mp3[321.040,332.880] NO OK AND IS THIS AFFECTING YOUR SLEEP AT ALL audio/RES0075.mp3[202.720,206.120] IT IS DRY audio/RES0098.mp3[332.920,350.640] DO YOU HAVE ANY TRIGGERS FOR ASTHMA THAT YOURE AWARE OF LIKE EXERCISING OR GOING OUT INTO THE COLD OR EVEN LIKE ALLERGIES LIKE DUST OR OR OR POLLEN audio/MSK0043.mp3[489.080,490.600] OKAY OKAY AND HOW LONG AGO WAS THAT audio/RES0177.mp3[431.240,447.440] YEAH MAYBE HE HAS A YOUNGER SISTER THAT GOES TO DAYCARE AND SHE WAS SICK LAST WEEK WITH LIKE SHE HAD A COUGH AND STUFF AS WELL audio/RES0021.mp3[527.720,536.960] OK THAT SOUNDS LIKE A GREAT JOB AND UH DO YOU SMOKE CIGARETTES audio/RES0014.mp3[344.120,346.280] NO BOWEL MOVEMENTS ARE NORMAL audio/RES0174.mp3[677.000,681.920] OK AND ANYBODY IN THE FAMILY HAVE PROBLEMS WITH MENTAL ILLNESS audio/RES0076.mp3[452.440,457.280] UH I GET A RASH audio/MSK0029.mp3[605.520,609.120] HOW ABOUT AN AUTOIMMUNE CONDITIONS audio/RES0176.mp3[269.400,280.800] OK AND DID YOU HIT YOUR HEAD OR OR HURT YOURSELF WHEN YOU FELL audio/CAR0003.mp3[40.080,52.720] ID SAY ITS WORSE WHEN I WHEN I WALK MORE THAN 50 METERS THATS KIND OF THE MAIN LIKE THATS KIND OF THE MAIN TRIGGER JUST EXERTION audio/RES0109.mp3[331.640,340.000] NO OK AND HAVE YOU BEEN AROUND ANY SICK PEOPLE RECENTLY audio/RES0196.mp3[159.880,164.880] OK ANY RECENT TRAVEL OR CONTACT WITH ANYONE WHOS BEEN SICK audio/MSK0049.mp3[179.600,183.160] JUST WITH A LOT OF ACTIVITY IT GETS WORSE audio/RES0194.mp3[166.800,170.760] UM NO I HAVENT TRIED ANYTHING FOR THE COUGH audio/RES0169.mp3[365.280,373.880] THATS GOOD THATS GOOD AND HAVE YOU CAN HAVE BEEN CONSUMING THE DRUG TRIED ANYTHING audio/RES0012.mp3[256.400,277.000] I DONT ACTUALLY HAVE A THERMOMETER AT HOME THAT WORKS BUT I LIKE I SAID WHEN IVE BEEN GETTING UP IN THE NIGHT COUGHING IVE BEEN LIKE REALLY HOT AND SWEATY KINDA GROSS LIKE FEEL LIKE I JUST I FEEL LIKE SOAKED AND BUT YEAH I DONT HAVE A THERMOMETER audio/RES0085.mp3[373.200,376.440] JUST ME AND MY WIFE audio/RES0163.mp3[616.320,618.000] WELCOME TAKE CARE audio/MSK0049.mp3[244.120,251.480] OK HAVE YOU HAD CHANGES IN YOUR DIET AND OR EXERCISE audio/RES0142.mp3[76.560,82.000] AND UM HAVE YOU HAD UH HAVE YOU HAD ANY HEADACHES audio/RES0050.mp3[212.800,213.680] UHM NO audio/RES0188.mp3[99.800,103.000] OK THATS GOOD SO NO BLOOD NO SPUTUM audio/RES0026.mp3[256.080,257.760] YES THATS RIGHT audio/RES0124.mp3[398.760,404.200] NO NOTHING ELSE IVE BEEN PRETTY HEALTHY audio/RES0070.mp3[263.760,269.040] MAYBE A LITTLE BIT audio/RES0038.mp3[420.600,429.040] UM YEAH WE HAVE A UH TWO CATS AND BUT NOTHING AT WORK audio/RES0132.mp3[591.720,605.120] UH YEAH SO MY FATHER HAD A HEART ATTACK WHEN HE WAS 49 UH STROKE IM NOT TOO SURE ABOUT audio/RES0121.mp3[243.680,246.880] UH NO I DONT IM OTHERWISE HEALTHY audio/RES0008.mp3[185.200,194.400] A LITTLE BIT YEAH BUT IT WOULD JUST KIND OF TAKE THE EDGE OFF OF THE PAIN FOR A LITTLE BIT AND IT CAME BACK audio/RES0175.mp3[204.520,215.120] OK AND OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES audio/RES0120.mp3[112.680,116.720] YES ITS DEFINITELY WHEN I TAKE A DEEP BREATH IN audio/RES0205.mp3[52.080,68.200] OK UM IM GONNA ASK YOU A FEW QUESTIONS ABOUT THE COUGH ITSELF IS THIS A DRY COUGH THAT YOURE EXPERIENCING OR ARE YOU PRODUCING LIKE ANY ANY MUCUS OR COUGHING UP ANYTHING audio/MSK0031.mp3[185.600,188.920] OK ANY HEADACHES audio/RES0180.mp3[293.800,299.840] OK CHANGES IN YOUR URINE audio/RES0138.mp3[194.720,203.800] LAST YEAR WELL IM SO SORRY AND UM DID THEY GIVE YOU ANY MEDICATIONS TO GO ON AFTER THAT audio/RES0026.mp3[257.760,261.720] OK ANY OTHER SYMPTOMS THAT YOUVE BEEN EXPERIENCING audio/RES0066.mp3[438.800,457.280] AH YES THEY DID SO I ONLY HAD ONE DAYS WORTH LEFT I WAS SWITCHED FROM IV ANTIBIOTIC TO THE ORAL KIND AND SO ID FINISH THE REMAINING PILLS THAT DAY THEN WENT HOME audio/RES0104.mp3[83.600,87.840] UH NO I I I HAVENT HAD ANY CHEST PAIN audio/RES0060.mp3[522.560,532.560] YEAH THE LAST TIME I WAS AT THE FAMILY DOCTOR I WAS TOLD THEY WERE AT A GOOD LEVEL O audio/MSK0010.mp3[371.880,376.280] NO NOTHING LIKE THAT audio/RES0144.mp3[530.560,568.040] OK ALRIGHT WELL WELL EXAMINE THE CHILD AND LOOK AT HIS VITALS LISTEN TO HIS LUNGS LOOK LOOK INSIDE HIS MOUTH AND THATS THIS SOUNDS SERIOUS SO WELL KEEP YOU WELL KEEP YOU UPDATED AND WELL LET YOU KNOW WHAT NEEDS TO BE DONE HE MIGHT NEED POTENTIALLY NEED ANTIBIOTICS HE MIGHT NEED POTENTIALLY TO BE INTUBATED BUT WE WILL HAVE ALL THESE DISCUSSIONS AFTER THE BABYS BEEN SEEN AND WELL DRAW SOME LABS AND GO FROM THERE audio/MSK0007.mp3[202.320,205.640] OK HAVE YOU HAD ANY ANY HEADACHES audio/RES0059.mp3[531.760,539.000] UMM I DO YEAH ILL HAVE LIKE TWO OR THREE BEERS ON THE WEEKEND audio/RES0083.mp3[430.040,434.120] ANY RECREATIONAL DRUGS audio/MSK0035.mp3[377.000,379.680] OK AND YOU HAVE ANY ALLERGIES audio/RES0193.mp3[126.800,135.600] OK AND HAS HE AT ALL HAD THIS HAPPEN BEFORE OR IS THIS THE FIRST TIME THIS IS HAPPENING audio/RES0073.mp3[201.600,210.160] OK AND DO YOU GRIND YOUR TEETH AT ALL AT NIGHT OR HAVE YOU HAD TMJ ISSUES BEFORE audio/RES0216.mp3[459.040,459.760] NO NEVER audio/RES0088.mp3[61.440,75.600] TWO OR THREE DAYS OK AND WHEN SHE WAS COUGHING YOU MENTIONED LIKE PREVIOUSLY WAS SHE COUGHING UP ANY SPUTUM OR WAS IT MORE OF A DRY COUGH audio/RES0131.mp3[173.400,178.600] A 4 OKAY SO ITS NOT THE WORST HEADACHE YOUVE EVER HAD IN YOUR LIFE audio/RES0092.mp3[64.720,77.520] ALRIGHT WHAT ABOUT ANY OTHER SYMPTOMS OVER THE PAST TWO WEEKS HAVE YOU HAD HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0160.mp3[146.320,147.840] WHAT DOES IT FEEL LIKE audio/MSK0028.mp3[674.240,678.640] NOT THAT I KNOW OF NO audio/RES0044.mp3[213.760,220.680] OH NO WORRIES IS IT HARD FOR YOU TO SWALLOW FOOD OR FLUIDS audio/RES0086.mp3[262.640,267.360] NO YOU DONT FEEL LIKE YOURE BREATHING A LOT MORE THAN USUAL audio/RES0133.mp3[20.800,40.320] POSSIBLY WE WILL SEE JUST GOTTA ASK A FEW QUESTIONS FIRST AND WELL WELL DO A PHYSICAL EXAM AS WELL AFTERWARDS BUT CERTAINLY WELL LOOK INTO WHAT IS CAUSING YOUR SYMPTOMS SO YOU MENTIONED A COUGH WHEN DID THAT EXACTLY START audio/MSK0008.mp3[626.640,637.840] OK AND IS THERE ANY PAIN TO A LIKE VARUS STRESS OF THE KNEE audio/RES0004.mp3[22.760,27.920] COUPLE OF WEEKS OK SO ABOUT TWO WEEKS THREE WEEKS audio/MSK0019.mp3[380.000,406.280] OKAY WELL UM LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW THEN UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR UH ARMS AND HANDS AND YOU LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING IN UH YOUR RIGHT ARM COMPARED TO YOUR LEFT audio/RES0099.mp3[318.440,336.040] UH NO NO MUSC SORRY NO JOINT PAIN ITS MAINLY JUST LIKE IN I WOULD SAY IN AROUND MY UPPER BACK LIKE MY UPPER ARMS AND KIND OF LIKE MY THIGHS AND GLUTES AREAS audio/RES0184.mp3[186.640,193.320] OK UHM AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0005.mp3[305.400,308.400] OK FEVERS OR CHILLS audio/RES0162.mp3[289.240,292.840] ANY HEADACHES OR FEVERS OR CHILLS audio/RES0022.mp3[864.880,870.160] I SEE OK AND IS ANYBODY IN YOUR FAMILY HAD ANY HEART CONDITIONS BEFORE audio/MSK0007.mp3[702.560,709.640] NO THAT WAS THAT WHAT DO YOU THINK I HAVE AND HOW CAN I FIX IT audio/MSK0017.mp3[115.560,128.520] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN UM WOULD YOU SAY ITS SHARP THROBBING ACHY CRAMPY audio/MSK0036.mp3[533.680,542.680] OK AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0027.mp3[343.640,349.880] OK AND HAVE YOU HAD ANY DIARRHEA audio/RES0181.mp3[165.840,173.800] OK AND HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0179.mp3[623.960,695.600] YEAH FOR SURE SO THAT IS QUITE HIGH ON MY DIFFERENTIAL RIGHT NOW JUST BECAUSE OF YOUR AGE YOUR SMOKING HISTORY AND JUST THE WAY YOURE PRESENTING SO WERE GONNA DO A COUPLE OF THINGS WERE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT WE WILL DO INVESTIGATIONS FOR LUNG CANCER SO WELL START BY DOING A CHEST XRAY JUST TO LOOK FOR A MASS OR EFFUSIONS AND THEN FROM THERE IF WE THINK THERE ARE SIGNS OF CANCER WE CAN DO A CT UMM AS WELL WE CAN LIKE STAGE WITH THE PET CT AFTER WE TAKE A BIOPSY AND SEND IT OFF FOR PATHOLOGY AND THAT SHOULD GIVE US MORE ANSWERS AS TO IF YOU HAVE CANCER AND IF YOU DO HAVE CANCER WHAT TYPE OF CANCER SO THAT WE CAN TALK ABOUT TREATMENT PLANS AND KIND OF WHAT THE PROGNOSIS IS WITH THOSE PARTICULAR TYPES OF CANCERS HOW DOES THAT SOUND audio/RES0034.mp3[635.360,647.880] THE ONLY THING I COULD THINK OF WAS AFTER SHE WAS BORN SHE HAD TO BE GIVEN THE LIGHT TREATMENT FOR LIKE JAUNDICE BUT AFTER THAT NO OTHER PROBLEMS audio/GEN0001.mp3[249.440,252.160] OH YEAH I CAN FEEL EVERYTHING audio/RES0005.mp3[54.720,58.720] PROBABLY LIKE A A COUPLE TEASPOONS audio/RES0030.mp3[571.000,576.080] GLASS OF WINE IS FOR ME I WOULD SAY IS LIKE 5 OR 6 OUNCES LIKE A TYPICAL GLASS OF WINE audio/RES0042.mp3[589.280,626.480] YEAH YEAH FOR SURE AND I THINK ITS A GOOD THING THAT YOU CAME IN SO THANK YOU RIGHT NOW I GUESS TOP ON THE LIST OF THINGS THAT YOU COULD POSSIBLY HAVE IS COVISO WELL GET YOU TESTED FOR THAT AND WELL GET YOU A SWAB AND YOU SHOULD HAVE THE RESULTS OF THE THAT SWAB IN ABOUT 24 TO 48 HOURS AND THEN YOU SHOULD ISOLATE FOR 14 DAYS REGARDLESS THOUGH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVIAND AND THAT INCLUDES ISOLATING FROM YOUR YOUR CHILDREN AS WELL audio/RES0033.mp3[283.440,288.320] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0131.mp3[541.040,548.200] YEAH SHE HASNT HAD ANY ANY SYMPTOMS ANY SYMPTOMS EITHER audio/RES0154.mp3[443.880,450.960] OK UM AND UM ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS audio/RES0129.mp3[43.360,49.000] OK AND THE COUGHING IS IT DRY OR IS IT BRINGING UP ANY PHLEGM audio/RES0104.mp3[3.720,17.680] SO IVE HAD THIS UH THIS COUGH THAT IT STARTED TWO DAYS AGO AND ITS BEEN GETTING WORSE IVE BEEN BRINGING UP THIS RUST COLORED SPUTUM audio/RES0037.mp3[430.320,432.040] YEAH NO CHEST PAIN audio/MSK0014.mp3[761.040,763.000] OR BURNING SENSATIONS audio/RES0079.mp3[455.960,491.520] AND YOU MIGHT HAVE POTENTIALLY HAD SOME EXPOSURE THROUGH YOUR GIRLFRIEND POTENTIALLY SO ITS POSSIBLE THAT WELL ITS POSSIBLE THAT YOU JUST HAVE A COLD BUT ITS ALSO WELL STILL HAVE TO RULE OUT COVID AS A CAUSE AND SO WELL HAVE TO DO A COVID SWAB AND GO FROM THERE AND WELL CHECK YOUR TEMPERATURE HERE AS WELL JUST UH I THINK SOMETHING THAT I FORGOT TO ASK HAVE YOU TAKEN ANY MEDICATIONS THAT HAS HELPED YOU WITH YOUR SYMPTOMS audio/RES0107.mp3[182.760,195.840] NO OK AND DOES HE HAVE YOU NOTICED ANY SWELLING IN HIS EITHER LIKE FACE NECK LIKE BELLY AREA OR HIS LIMBS audio/RES0193.mp3[438.800,445.120] OK AND THEN AS HE MISSED ANY DAYS OF SCHOOL DUE TO THIS audio/RES0059.mp3[33.960,39.880] OK AND DO YOU FEEL WHEEZY AT ALL audio/RES0032.mp3[49.320,58.680] OK AND HOW MUCH PHLEGM WOULD YOU SAY YOURE PUTTING OUT LIKE PER EVERY TIME YOU COUGH audio/RES0113.mp3[283.200,290.960] OK ALRIGHT UM AND DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0049.mp3[225.320,228.280] CHEST PAIN audio/RES0138.mp3[138.120,140.720] SORRY COULD YOU SAY THAT AGAIN audio/GAS0007.mp3[169.080,173.720] NOT OFF THE TOP OF MY HEAD NO audio/RES0080.mp3[90.320,91.400] NO NO NO audio/MSK0009.mp3[356.800,361.240] ALRIGHT SO HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0151.mp3[463.200,467.400] OK HAVE YOU TRAVELED ANYWHERE audio/RES0087.mp3[178.960,187.920] NO NOT THAT HES TOLD ME HES STILL EATING THINGS AND I DONT THINK HES HAVING ANY TROUBLE WITH EATING ANYTHING SO I DONT THINK SO audio/RES0193.mp3[515.200,523.600] OK AND UM ANY AT ALL ISSUES FROM THE SCHOOL IN TERMS OF LEARNING DIFFICULTIES OR ANYTHING LIKE THAT audio/RES0188.mp3[346.920,351.280] OK AND DOES ANYONE AT HOME SMOKE audio/RES0202.mp3[434.320,447.160] YEAH ACTUALLY HE HASNT DECIDED TO LIKE A VACCINE THAT HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER LIKE I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT audio/RES0095.mp3[137.360,141.560] YEAH THAT HAPPENED LAST NIGHT COULDNT FALL ASLEEP audio/RES0020.mp3[301.720,307.000] OK HAVE YOU HAD A LOSS OF TASTE OR SMELL audio/RES0109.mp3[226.680,227.400] UM NO audio/MSK0035.mp3[306.440,308.000] UHM NOPE audio/MSK0035.mp3[706.520,714.480] ALRIGHT AND DO YOU HAVE ANY PROBLEMS AT THE ELBOW OR ARE YOU ABLE TO FLEX AND EXTEND THE ELBOW OK audio/RES0165.mp3[379.560,385.320] CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE audio/RES0091.mp3[254.360,256.320] ANY WEIGHT LOSS audio/RES0103.mp3[267.560,276.920] NO I CANT THINK OF ANYTHING LIKE THAT WE DONT HAVE ANY PETS AT HOME AND SHES SHES BEEN HASNT BEEN GOING ANYWHERE ELSE audio/RES0082.mp3[50.120,58.320] UH NO I DONT THINK SO audio/RES0120.mp3[268.520,274.240] OKAY HAVE YOU EXPERIENCED ANY KIND OF UM DIZZINESS OR FAINTING EPISODES audio/RES0151.mp3[178.960,185.560] UM JUST WHEN IM CONGESTED LIKE I FEEL LIKE I CANT REALLY SMELL audio/RES0067.mp3[305.640,310.960] DO YOU THINK THIS IS LIKE AN URGENT MATTER audio/RES0202.mp3[390.360,395.920] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL audio/CAR0003.mp3[2.920,12.960] YEAH IVE JUST BEEN FEELING BREATHLESS AND ITS GETTING WORSE SO I WANTED TO CHECK IT OUT audio/MSK0050.mp3[2.360,15.160] UM IM HERE BECAUSE IVE HAD SOME NUMBNESS IN MY RIGHT HAND AND UH DOESNT SEEM TO BE GOING GOING AWAY SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU audio/GAS0007.mp3[125.520,131.160] UM DID THE PAIN STAY IN THAT SAME SPOT OR DOES IT MOVE ANYWHERE ELSE audio/MSK0031.mp3[547.640,557.720] YEAH SO I YEAH I CAN BARELY STAND UP I CANT ITS KIND OF JUST IM JUST SUPPORTING MYSELF WITH MY LEFT LIKE audio/CAR0002.mp3[68.440,78.040] AND HOW DO YOU RATE THE PAIN RIGHT NOW ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE 10 BEING THE WORST audio/RES0111.mp3[49.600,53.360] UM WHY IS THAT audio/RES0139.mp3[0.000,2.080] WHAT BRINGS YOU IN HERE TODAY audio/RES0095.mp3[145.160,150.960] YEAH I JUST WENT AND SAT ON MY CHAIR AND SLEPT ON THE CHAIR audio/RES0184.mp3[36.880,40.840] UH YEAH I HAVE THAT FEELING audio/RES0127.mp3[451.320,459.680] OK OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR SORRY DO YOU GO TO SCHOOL audio/RES0153.mp3[478.720,492.680] OK EXCELLENT UM AND UM ANY CONCERNS FOR UM LIKE SAFETY AT HOME ANYTHING THAT WE TALK ABOUT IS UH IS CONFIDENTIAL audio/RES0094.mp3[142.600,146.720] OK OK ARE YOU FEELING FATIGUED TIRED HAVE ANY MUSCLE ACHES audio/RES0150.mp3[329.640,336.000] OR OR ANY URINARY PROBLEMS audio/RES0186.mp3[110.400,116.560] OK NO RUNNY NOSE THATS GOOD AND THEN ANY CHANGES IN YOUR VISION OR HEARING audio/RES0019.mp3[459.600,465.160] OK SO NO DIABETES HIGH BLOOD PRESSURE ANYTHING LIKE THAT audio/RES0076.mp3[188.320,193.440] I SEE OK AND DO YOU HAVE ANY CHEST PAIN WITH INSPIRATION OR EXPIRATION audio/RES0023.mp3[267.280,272.560] YEAH YEAH THAT WAS JUST LAST NIGHT audio/RES0097.mp3[131.120,135.920] YEAH HAS HE HAD ANY PAIN LIKE FACIAL PAIN audio/RES0159.mp3[2.320,26.760] HI UH SO I JUST CAME IN TODAY UH IVE KIND OF PUT IT OFF FOR A BIT BUT IVE BEEN HAVING THIS COUGH UH FOR THE LAST FIVE TO SIX MONTHS AND IT SEEMS TO BE GETTING WORSE AND OVER THE LAST MONTH IVE ALSO BEEN BECOMING MORE SHORT OF BREATH SO I JUST WANTED TO COME AND CHECK IF I NEED TO DO ANYTHING audio/RES0055.mp3[507.920,512.040] OK ALRIGHT ANY CANCERS audio/RES0184.mp3[442.480,461.200] OK UMM AND ALRIGHT SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON THAT ON THE HISTORY TODAY I WAS WONDERING IF THERE WAS ANYTHING ELSE THAT YOU WANTED TO MENTION THAT I MAYBE FORGOT TO ASK ABOUT audio/RES0156.mp3[416.680,424.600] I THINK UH YEAH YEAH HER GRANDFATHER HAS DIABETES BUT UM THATS IT audio/RES0139.mp3[279.640,282.520] I ALSO TAKE I ALSO TAKE A MULTIVITAMIN audio/GAS0007.mp3[91.240,96.080] OK IS THERE ANYTHING THAT MAKES IT WORSE audio/RES0020.mp3[316.320,324.480] I SEE OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS audio/MSK0013.mp3[777.840,806.280] SO IT DOES SOUND LIKE IT COULD BE RELATED TO DIABETES WHERE WHAT HAPPENS IS YOU GET LIKE A PERIPHERAL NEUROPATHY OVERTIME AND YOU CAN LOSE SENSATION TO YOUR FEET IN A GLOVE AND STOCKING DISTRIBUTION WHICH SOUNDS LIKE THE HISTORY HISTORY YOURE SAYING TODAY WITH HAVING SENSATION REDUCED ON YOUR FEET AND ALSO YOUR FINGERTIPS AS WELL audio/RES0150.mp3[161.640,168.280] UH YEAH HE DOES HAVE A FEVER UM 395 I CHECKED YESTERDAY audio/RES0206.mp3[261.120,271.120] UHM MAYBE A LITTLE BIT YEAH audio/RES0001.mp3[419.480,422.880] UM NO FAINTING SPELLS audio/RES0038.mp3[282.560,293.200] UH YEAH I HAD I HAD ECZEMA WHEN I WAS I WAS YOUNGER I THINK THAT WAS IN IT WHEN I WAS IN ELEMENTARY SCHOOL AS WELL audio/RES0105.mp3[378.040,385.720] OK SO WELL GET A TEMPERATURE ON YOU TODAY AS WELL DO YOU FEEL THAT YOURE BREATHING FASTER AT ALL audio/RES0201.mp3[111.720,115.040] UHM OK AND YOU SAID YOUVE ALSO HAD SOME DIFFICULTY BREATHING audio/RES0098.mp3[250.520,259.520] OK ALRIGHT YOU MENTIONED ASTHMA AS PART OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY OTHER CONDITIONS audio/RES0116.mp3[214.640,221.920] OK AND THAT STOPPED DID HE HAVE ANYTHING ELSE ALONG WITH HIS STUFFY NOSE AT THAT POINT audio/RES0072.mp3[171.800,181.520] OK UM HAVE YOU NOTICED ANY KIND OF LIKE SWELLING AROUND YOUR NECK OR ANY REDNESS IN YOUR THROAT audio/RES0058.mp3[456.320,474.240] WELL HE HAD A COUGH AND FEVER YEAH I THINK HE HAD A COUGH AND A FEVER AND SOMEBODY SAID THAT MAYBE A SORE THROAT OR SOMETHING LIKE THAT audio/MSK0003.mp3[914.560,919.760] ALRIGHT YEAH SO I WILL GET IN TOUCH WITH YOU SHORTLY audio/GAS0004.mp3[218.880,237.920] UM NO NOT REALLY I WENT WITH MY FRIEND AND I HAVENT REALLY HAVENT TALKED TO HER ABOUT THIS I NEVER REALLY THOUGHT THAT THESE WERE RELATED THAT THIS WAS RELATED TO THAT audio/RES0009.mp3[760.680,765.120] OK THANKS DOCTOR audio/RES0126.mp3[82.640,85.320] STREAKS OF BLOOD HERE AND THERE audio/GAS0003.mp3[209.720,213.760] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA audio/MSK0005.mp3[621.840,626.640] UM NO NEUROLOGICAL ISSUES IN THE FAMILY audio/RES0029.mp3[268.560,279.400] I JUST HAD SOME CEREAL AND UM JUST SOME CHOCOLATE MILK AROUND BREAKFAST TIME BUT NOTHING ELSE audio/RES0050.mp3[204.600,207.480] OK HAVE YOU HAD A SORE THROAT audio/RES0178.mp3[235.040,237.800] NO HE HASNT HAD ANY NAUSEA OR VOMITING audio/MSK0005.mp3[91.800,104.560] UH ITS UM KIND OF UH WELL ITS ACHY AND THEN SOMETIMES DEPENDING ON THE MOVEMENT IT CAN GET IT CAN BE SHARP AS WELL audio/MSK0025.mp3[209.600,217.760] ITS MOSTLY ON MY RIGHT BUT THE LEFT ONE ISNT THE SAME AS IT USED TO BE EITHER audio/RES0057.mp3[718.560,722.800] YEAH THAT SOUNDS GREAT audio/MSK0034.mp3[44.280,46.800] IT JUST STARTED AFTER audio/RES0168.mp3[548.960,569.200] SO I USE THE THE RINSES THE SALINE RINSES I USED A LITTLE BIT OF NASAL DECONGESTANT BUT I KNOW LIKE I KNOW IVE BEEN TOLD IM NOT SUPPOSED TO DO THAT FOR MORE THAN A FEW DAYS SO I DONT YEAH THATS I THINK THATS PRETTY WELL IT CAUSE THEY SAID THERES NOT MUCH WE CAN REALLY DO audio/RES0139.mp3[251.960,254.240] OKAY AND NO ASTHMA audio/MSK0022.mp3[499.400,502.640] OK ANY SHORTNESS OF BREATH CHEST PAIN audio/RES0134.mp3[384.960,402.400] ALRIGHT UM SO YOUVE BEEN EXPERIENCING THIS COUGH UH STARTED A COUPLE OF DAYS AGO WITH UM SHORTNESS OF BREATH AND YOURE BRINGING UP SPUTUM SOMETIMES AND AND A FEVER THATS STARTED A BIT MORE RECENTLY AS WELL AS HAVING SOME NIGHT SWEATS audio/RES0203.mp3[397.960,405.000] PRETTY GOOD YEAH WERE DOING THINGS ONLINE NOW audio/RES0149.mp3[606.320,635.400] OK GREAT UM ALRIGHT SO UM YOUVE BEEN EXPERIENCING UH SO THIS THIS CHEST PAIN WHEN YOU BREATHE IN DEEPLY SINCE THIS MORNING UM AS WELL AS SOME MORE DIFFICULTY BREATHING AND SOME LEFT PAIN UH LEFT LEG PAIN WITH WITH SOME SWELLING UH HAVE YOU BEEN AFTER TRAVELS AS WELL HAVE YOU HAD ANY OTHER SYMPTOMS audio/RES0159.mp3[395.680,409.480] UH I LIVE ALONE RIGHT NOW IN MY APARTMENT I UM BUT I HAVE PRETTY GOOD SUPPORT FROM MY KIDS THEY JUST LIVE A FEW BLOCKS AWAY AND COME VISIT ME audio/RES0152.mp3[131.440,143.240] ALRIGHT UM AND HAVE YOU HAD ANY INFECTIOUS OR VIRAL TYPE SYMPTOMS LIKE ITCHY EYES OR RUNNY RUNNY NOSE SORE THROAT audio/MSK0035.mp3[556.800,565.880] NO ACTUALLY YES IT DOES audio/RES0181.mp3[542.880,560.640] OK SO ITS JUST TO KIND OF SUMMARIZE THIS HAPPENS LIKE THIS SOMETIMES YOU BEEN HAVING SO THE SORE THROAT LIKE THE REDNESS AND SWELLING OF THE TONSILS IN THE BACK OF YOUR MOUTH AS WELL AS A FEVER AND BEING PRETTY TIRED OVER THESE LAST FEW DAYS audio/RES0191.mp3[307.520,313.400] IM WORKING RIGHT NOW BUT IM WORKING FROM HOME audio/RES0122.mp3[362.440,364.480] UM NO I WOULD SAY THATS THATS ABOUT IT audio/RES0162.mp3[412.800,438.200] OK AND I GUESS A LITTLE BIT MORE ABOUT YOU SO HAVE YOU HAD IN THE PAST WHEN YOU WERE YOUNGER DID YOU HAVE A RASH LIKE ECZEMA OR DID YOU HAVE ALLERGIC RHINITIS WHERE YOU WOULD SNEEZE AND TO FEEL ILL WHEN YOU WERE OUTSIDE OR AT CERTAIN TIMES OF THE YEAR ANYTHING LIKE THAT audio/RES0164.mp3[418.760,422.840] HES BEEN HEALTHY audio/RES0089.mp3[96.680,100.120] NO NOT THAT I KNOW OF audio/RES0212.mp3[122.480,129.560] OK SO YOUVE JUST BEEN BRINGING THIS STUFF UP FOR THE LAST COUPLE OF DAYS WHEN SPECIFICALLY TWO DAYS AGO THREE DAYS AGO audio/RES0145.mp3[222.880,234.440] ANY UHM I GUESS HEADACHE OR ANY PRESSURE IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN OR SQUAT DOWN audio/RES0121.mp3[238.440,243.680] NO OKAY UM OTHERWISE ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL audio/MSK0022.mp3[233.040,235.400] OH YEAH LIKE MY KNUCKLES YOU MEAN audio/RES0069.mp3[377.160,387.760] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/RES0182.mp3[0.000,2.440] HOW MAY I HELP YOU audio/RES0077.mp3[106.040,108.760] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/MSK0038.mp3[1027.000,1028.920] IT DOES YEAH THANK YOU SO MUCH audio/RES0169.mp3[388.560,393.200] OK ALRIGHT ANY ALCOHOL audio/RES0155.mp3[197.280,202.240] NO OK UH DO YOU WAKE UP AT NIGHT GASPING GASPING FOR AIR audio/RES0069.mp3[224.680,229.320] OK HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0052.mp3[124.680,132.520] OK NOTHING LIKE THAT NO TEARING OR ANYTHING LIKE THAT audio/RES0090.mp3[597.200,603.920] YOURE WELCOME audio/RES0201.mp3[115.040,117.320] YEAH THATS RIGHT audio/RES0047.mp3[516.480,520.760] AMLODIPINE OK WHEN DID YOU START TAKING THAT audio/RES0190.mp3[58.000,71.840] YEAH IVE NOTICED SOME REDNESS AND THEN I ALSO FEEL LIKE THERES LIKE SOME MATERIAL LIKE WHITISH MATERIAL COMING UP FROM THE BACK OF MY THROAT audio/RES0164.mp3[25.680,39.400] THEY STARTED THE SAME TIME HES ALSO HAD LIKE THESE THESE HIS EYES HAVE BEEN LIKE KIND OF RED AND WATERY AS WELL audio/MSK0003.mp3[382.280,386.640] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0181.mp3[255.440,259.520] I USE AN INSULIN PUMP YEAH audio/RES0020.mp3[477.360,487.440] I THINK SO I THINK THE ONLY THING IS I HAVE TO SEE IF IM UP TO DATE WITH MY PNEUMOVAX audio/MSK0046.mp3[0.000,2.280] WHAT BRINGS YOU HERE TODAY audio/MSK0023.mp3[181.280,185.080] UH NO I JUST FEEL LIKE PRETTY LIKE JUST RIGHT IN MY IN MY KNEE audio/RES0045.mp3[83.560,93.160] NO INTERESTINGLY NOTHING LIKE THAT SEEMS TO REALLY MAKE IT WORSE ITS JUST BEEN UM KINDA COUGHING ALL DAY audio/RES0026.mp3[314.160,317.600] UM NO NOTHING LIKE THAT audio/CAR0003.mp3[268.240,271.440] UM NO audio/RES0201.mp3[255.040,261.040] HAVE YOU HAVE YOU LOST ANY OF YOUR SENSE OF SMELL OR TASTE audio/RES0192.mp3[662.560,673.240] UM NO THAT WAS IT BUT HOW LIKE WHAT CAN I TAKE TO MAKE THESE SYMPTOMS GO AWAY audio/RES0126.mp3[475.840,480.320] DID THEY TELL YOU YOU HAD PNEUMONIA AT ALL AT ANY POINT audio/RES0089.mp3[802.640,805.680] OK HOW OFTEN WOULD YOU SAY YOU SMOKE MARIJUANA audio/RES0101.mp3[338.480,343.080] HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/RES0209.mp3[75.200,79.960] JUST THE ONE IS IT A ITS A PUFFER audio/RES0186.mp3[194.160,204.280] NO I HAVENT HAD ANY AH ACTUALLY I HAVE BEEN A BIT IVE HAD SOME NAUSEA AS WELL LIKE THATS WHAT I FEEL LIKE WITH THAT WITH THE ABDOMINAL PAIN audio/CAR0002.mp3[327.600,334.760] YEAH IVE BEEN TOLD I HAVE HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE audio/RES0008.mp3[223.520,234.880] YEAH I THINK IT IT MIGHT HAVE STARTED A LITTLE BIT AFTER audio/RES0129.mp3[409.720,410.760] WE HAVE A A DOG audio/GAS0007.mp3[173.720,179.520] AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0015.mp3[643.000,650.000] YEAH SO THREE OF THEM ACTUALLY HAVE LIKE TWO OF THEM HAVE A COUGH AND ONE OF THEM HAS SOME SHORTNESS OF BREATH AS WELL audio/RES0013.mp3[240.480,248.800] UH NO NO ITS LIKE IT ACHES KIND OF IT BUT ITS ALL UP HERE AND LIKE KIND OF IN MY BACK A LITTLE BIT audio/RES0061.mp3[271.400,274.960] YEAH FOR SURE ANY COUGHING audio/RES0031.mp3[224.440,230.720] OK YEAH UM YOU DID HAVE A FEVER TODAY WHEN COMING IN audio/RES0208.mp3[358.920,370.160] OK THATS YEAH UHM OK AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE audio/RES0052.mp3[286.880,289.400] UMM NO audio/RES0051.mp3[102.760,104.960] UM MOSTLY WITH FOODS audio/CAR0001.mp3[281.880,286.120] OK HOW ABOUT ANY ABDOMINAL PAIN audio/RES0203.mp3[173.080,176.400] UH NO audio/MSK0009.mp3[306.080,314.600] OK AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING audio/RES0127.mp3[219.880,223.680] I DONT THINK SO audio/RES0074.mp3[258.120,265.120] OK YOU SAID YOU HAVENT HAD A COUGH BUT HAVE YOU BROUGHT UP ANY SPUTUM audio/MSK0020.mp3[619.000,631.640] UH THE KNEE I CAN FEEL A LITTLE BIT OF I WOULD SAY ITS MORE OF A DISCOMFORT THEN TENDERNESS audio/RES0116.mp3[111.920,112.960] LEFT EAR audio/RES0106.mp3[39.720,42.840] NO OK DO YOU HAVE ANY SHORTNESS OF BREATH audio/RES0204.mp3[65.600,67.440] YEAH THATS RIGHT audio/MSK0007.mp3[16.280,24.600] OK ALRIGHT ARE YOU FEELING THIS PAIN ON THE LATERAL SIDE OF THE ELBOW ON THE OR ON THE MEDIAL SIDE OF THE ELBOW audio/RES0170.mp3[140.560,157.320] UM MAYBE YEAH LIKE IF HE YEAH COMPLETELY IN THE WINTER TIME LIKE I KNOW WHEN HE GOES OUTSIDE IF HE YEAH HE TAKES LIKE A DEEP BREATH OR SOMETHING LIKE THAT HELL TALK ABOUT HAVING SHORTNESS OF BREATH OR DIFFICULTY BREATHING IN THE COLD WEATHER audio/RES0031.mp3[422.880,424.320] NOPE NEVER audio/MSK0017.mp3[692.320,695.560] YEAH THAT HURTS TOO audio/MSK0042.mp3[243.880,248.320] OKAY HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/MSK0045.mp3[328.160,332.160] NO NO ALLERGIES TO MEDICATIONS audio/RES0063.mp3[366.720,383.080] YEAH I ACTUALLY THINK I GOT THEM JUST THIS PAST SEASON UH WITH ALL THIS COVIGOING ON I JUST WANTED TO MAKE SURE I GOT ALL THOSE VACCINES AS WELL SO YEAH I RECENTLY JUST GOT THEM audio/RES0166.mp3[289.040,298.600] OK UM AND AFTER YOUVE BEEN DISCHARGED HAVE YOU BEEN MOVING AROUND AT ALL OR IF YOUVE BEEN PRETTY IMMOBILIZED audio/CAR0005.mp3[29.640,38.200] UM YEAH IM IM JUST FEELING THIS CHEST DISCOMFORT SORT OF OVER ON THE LEFT SIDE audio/MSK0043.mp3[255.600,270.240] OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH UM ANY COLDLIKE SYMPTOMS UH OR ANY GI SYMPTOMS LIKE DIARRHEA UM CONSTIPATION ANYTHING LIKE THAT audio/MSK0024.mp3[219.320,222.160] UM NO audio/MSK0008.mp3[562.640,571.120] OK UHM AND NEXT IS THERE ANY CHANGES TO TEMPERATURE LIKE THE JOINT ITSELF FEEL HOT audio/RES0038.mp3[500.880,502.360] NO I HAVENT audio/RES0182.mp3[76.280,80.480] NO AND ARE YOU BRINGING BRINGING UP ANY SPUTUM OR PHLEGM audio/RES0188.mp3[190.720,194.800] UH NO I DONT THINK SO audio/RES0037.mp3[372.400,376.680] OK AND HOW ABOUT NIGHT SWEATS audio/RES0032.mp3[562.600,565.640] UH ANY AND YOU SMOKE CIGARETTES AT ALL audio/RES0070.mp3[516.960,541.520] OH OK UHM SO THE SYMPTOMS YOUVE BEEN EXPERIENCING YOUVE HAD A HEADACHE THATS BEEN THE MOST BOTHERSOME THESE THESE LAST COUPLE OF DAYS WHICH FEELS DIFFERENT THAN YOUR MIGRAINES BUT YOUVE ALSO HAD A SORE THROAT A COUGH SHORTNESS OF BREATH AS WELL AS A LITTLE BIT OF MUSCLE ACHES AND FATIGUE OVER THESE LAST COUPLE OF DAYS audio/RES0082.mp3[152.240,153.640] I HAVE YES audio/RES0132.mp3[137.920,148.480] OKAY UM AND HAVE YOU BEEN EXPERIENCING UH SHORTNESS OF BREATH UM ON EXERTION OTHERWISE LIKE PRIOR TO THIS audio/RES0188.mp3[420.600,425.040] NO I THINK THAT WAS ALL audio/MSK0016.mp3[967.600,1095.280] OH YEAH SO UM IT SEEMS LIKE YOU HAVE SOMETHING CALLED CARPAL TUNNEL SYNDROME UM AND THAT IS ITS PRETTY COMMON UM SO IT CAN BE CAUSED BY UM A LOT OF THINGS BUT BASICALLY YOUR MEDIAN NERVE RUNS THROUGH YOUR FOREARM INTO YOUR WRIST AND ANYTHING THAT SQUEEZES OR IRRITATES THAT MEDIAN NERVE CAN LEAD TO CARPAL TUNNEL SYNDROME UM AND SOME THINGS INCLUDE UM LIKE REPETITIVE MOVEMENTS AT WORK UM OBESITY UM ANY NERVE DAMAGING CONDITIONS LIKE DIABETES UM INFLAMMATORY CONDITIONS BUT MOSTLY JUST LIKE WORKPLACE FACTORS CAN CAN DO IT UM ESPECIALLY IF YOURE WORKING WITH LIKE VIBRATING TOOLS OR ON AN ASSEMBLY LINE THAT REQUIRES LIKE REPETITIVE AND PROLONGED FLEXING OF THE WRIST UM SO UH DIAGNOSIS WE JUST DO THAT THROUGH LIKE SYMPTOMS PHYSICAL EXAM UM WE DONT REALLY NEED TO DO ANY IMAGING AT THIS AT THIS POINT AND TO TREAT IT UM BASICALLY WORK MODIFICATION SO TAKING FREQUENT BREAKS UH NOT DOING THOSE REPETITIVE MOVEMENTS UM AS OFTEN UM AND THEN YOU CAN DO THINGS AT HOME LIKE APPLY COLD PACKS UM AND THEN WE ALSO HAVE SOME LIKE NONSURGICAL TREATMENTS WHERE WE CAN UH SPLINT WE CAN PUT LIKE A WRIST SPLINT UM WHILE YOU SLEEP TO RELIEVE THOSE NIGHTTIME SYMPTOMS UH YOU CAN TAKE SOME NSAIDS TO RELIEVE PAIN UM AND IF THOSE DONT WORK WE CAN TRY CORTICOSTEROIDS UM AND IF THAT DOESNT WORK THEN WE CAN ALSO DISCUSS SURGERY SOMETIME DOWN THE LINE DOES THAT SOUND OK audio/RES0202.mp3[605.960,629.960] I DONT THINK SO UM LIKE I I REALIZED THAT I CAN OFTEN TIMES LIKE YOU DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS JUST LIKE A VIRUS OR SOMETHING BUT WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO THE SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY ITS LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE audio/RES0047.mp3[343.320,347.160] NO ANY CHANGES TO YOUR SMELL OR TASTE audio/MSK0033.mp3[494.800,508.360] OK ALRIGHT SO YEAH THOSE ARE SOME QUESTIONS I HAD I JUST HAVE A FEW MORE QUESTIONS WITH REGARDS TO JUST EXAMINING YOUR KNEE ARE YOU ABLE TO WALK OR DO YOU HAVE ANY KIND OF A LIMP audio/RES0031.mp3[181.320,182.520] SORRY WHAT WAS THAT audio/RES0074.mp3[117.320,121.680] OK ARE YOU HAVING ANY MUSCLE WEAKNESS audio/RES0061.mp3[696.440,700.440] DOK HOW ABOUT MARIJUANA audio/MSK0034.mp3[262.840,268.640] OK DO YOU FEEL ANY WEAKNESS IN YOUR UPPER LEGS OR LOWER LEGS AT ALL audio/RES0045.mp3[538.040,553.040] UM POSSIBLY UM I MEAN IM IN SALES SO MEETING WITH CLIENTS ALL DAY UM MAYBE ONE OF THEM WERE SICK audio/MSK0011.mp3[383.480,390.600] OK OK AND HAVE YOU INJURED YOUR RIGHT HAND OR BROKEN ANY BONES BEFORE audio/MSK0011.mp3[618.800,631.120] OK AND WHAT MOVEMENT WOULD YOU SAY HURTS THE MOST audio/RES0078.mp3[155.000,162.920] UH ITS BEEN ABOUT THE SAME audio/MSK0026.mp3[299.160,302.520] HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0190.mp3[1.480,17.720] YES I JUST CAME IN HERE TODAY I IVE JUST BEEN REALLY GETTING LIKE THE SORENESS IN MY THROAT FOR THE PAST I WOULD SAY FOUR DAYS AND I ALSO HAD A FEVER FOR THE LAST TWO DAYS AS WELL audio/RES0034.mp3[647.880,651.200] OK AND ANY PRIOR SURGERIES audio/RES0114.mp3[365.640,377.960] OH I YEAH I I YEAH I DIDNT KNOW ANYTHING ABOUT THAT I JUST THOUGHT THAT WAS UH ITS BEEN GOING ON FOR A WHILE NOW AND DIDNT REALLY BOTHER ME TOO MUCH audio/RES0076.mp3[358.240,362.400] OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST audio/RES0098.mp3[103.360,106.840] OK HAVE YOU BROUGHT UP ANY BLOOD audio/RES0173.mp3[427.720,428.520] OH NO audio/RES0011.mp3[411.840,416.840] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0129.mp3[2.160,22.040] I JUST BRINGING MY SON IN TODAY BECAUSE HES HAD THIS COUGH THATS BEEN GOING ON FOR A FEW DAYS NOW AND FOR THESE PAST TWO DAYS IVE NOTICED THAT HES BEEN JUST TUGGING AT HIS EAR MORE AS WELL audio/MSK0014.mp3[561.440,576.120] OK AND WITH BEING AT HOME ARE YOU ABLE TO MANAGE THE MAJORITY OF ACTIVITIES OF DAILY LIVING ON YOUR OWN OR ARE YOU RECEIVING HELP audio/RES0050.mp3[169.920,181.680] MY SLEEP HAS BEEN UM PRETTY NORMAL ITS BEEN YEAH ITS BEEN THE SAME I GUESS ITS THE COUGHING THATS MAKING ME TIRED audio/RES0087.mp3[446.200,470.240] OK OK UHM ALRIGHT WELL KEEP AN EYE ON IT IN HIM LIKE IF HE HAS ANY CHANGES IN HIS BOWEL MOVEMENTS OR IF HES GETTING SEVERE ABDOMINAL PAIN AFTER EATING CERTAIN FOODS WITH GLUTEN YOU CAN GET HIM CHECKED UP FOR THAT AS WELL audio/RES0072.mp3[22.240,25.480] NOT THIS PAINFUL BEFORE audio/RES0067.mp3[180.520,187.240] OK AND HOWS HER APPETITE AND SLEEP audio/MSK0001.mp3[377.760,379.160] UH NO IT WAS JUST DAY SURGERY audio/MSK0010.mp3[488.720,490.560] NOPE NOTHING LIKE THAT audio/MSK0037.mp3[422.480,430.680] ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0153.mp3[496.040,510.280] OK WELL THATS GREAT UM AND I JUST WANTED TO FINISH HERE WITH YOUR FAMILY HISTORY UM DOES ANYBODY IN THE FAMILY HAVE HEART OR LUNG CONDITIONS audio/MSK0019.mp3[421.040,431.800] NO OKAY UH DO YOU SEE ANY DEFORMITIES ATROPHY OR SKIN CHANGES IN YOUR RIGHT COMPARED TO YOUR LEFT ARM OR HAND audio/RES0063.mp3[355.360,366.720] OK DO YOU KNOW IF YOU GOT A VACCINE CALLED SHINGRIX FOR SHINGLES AND PNEUMOVAX FOR PNEUMOCOCCAL INFECTIONS audio/RES0097.mp3[59.640,63.680] SO HAS THERE BEEN ANY BLOOD audio/RES0205.mp3[376.440,378.560] DO YOU SMOKE audio/MSK0016.mp3[823.560,877.680] OK SO IM GOING TO DO A SPECIAL TEST FOR SOMETHING CALLED CARPAL TUNNEL SYNDROME UM SO UM IM GONNA GET YOU TO STRAIGHTEN OUT YOUR LEFT ARM AGAIN UM AND RIGHT WHERE UM ALRIGHT HOW DO WE DO THIS OK SO WITH YOUR RIGHT HAND OR WITH YOUR YEAH WITH YOUR RIGHT INDEX FINGER AND MIDDLE FINGER YOURE GOING TO TAP UM JUST BELOW UH WHERE THE BULK OF YOUR THUMB MUSCLES ARE UM CONNECTING TO YOUR WRIST IM JUST GOING TO GET YOU TO TAP THAT AREA DO YOU FEEL TINGLING LIKE AN ELECTRIC SHOCK SENSATION IN YOUR HAND OR ANYTHING LIKE THAT audio/RES0012.mp3[237.920,247.080] I MEAN I HAVENT BEEN WALKING VERY FAR LIKE I I WALKED IN HERE FROM THE PARKING LOT AND THAT WAS FINE BUT IM TIRED audio/RES0135.mp3[92.080,99.000] OKAY AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE MORNING OR NIGHT audio/RES0021.mp3[203.200,219.200] OK UM AND SO YOUVE HAD A FEVER COUGH AND BEING TIRED HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS THESE LAST FEW DAYS audio/MSK0007.mp3[468.680,475.480] OK AND HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR OR ANYTHING ELSE audio/RES0151.mp3[494.080,498.640] I SEE OK AND IS THERE ANY CHANCE THAT UH YOU COULD BE PREGNANT CURRENTLY audio/RES0048.mp3[670.200,683.120] I USED TO I I QUIT PROBABLY FIVE YEARS AGO BUT BEFORE THAT I USED TO SMOKE PROBABLY A PACK A DAY FOR MORE THAN 20 YEARS audio/MSK0028.mp3[379.920,386.600] ALRIGHT AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR TINGLING audio/RES0121.mp3[385.240,389.360] UM YEAH WHAT SHOULD I DO ABOUT THIS COUGH audio/RES0170.mp3[82.440,96.200] DO YOU FIND THAT THERE AND YOU MENTIONED THAT IT HAPPENS ABOUT ONE TO TWO TIMES A WEEK IS THERE ANYTHING SPECIFIC HAPPENING AT THAT TIME ANY TRIGGERS THAT RESULT IN THESE SYMPTOMS audio/RES0006.mp3[296.200,301.960] OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT audio/RES0096.mp3[0.000,3.240] UH HOW CAN I HELP YOU audio/GAS0001.mp3[282.640,286.520] CALCULATE IT LIKE TO THE DAY audio/RES0084.mp3[728.280,741.520] I JUST HAVE LIKE A DESK JOB I HAVE MY OWN ROOM ITS NOT LIKE I DONT SEE TOO MANY PEOPLE AND LIKE WHEN I DO IM WEARING A MASK SO I DONT THINK SO audio/RES0019.mp3[654.440,659.320] NO I DONT THINK SO BUT UH WHAT DO YOU THINK I HAVE audio/RES0099.mp3[524.520,533.560] OK AND UH ANY EXPOSURES TO TO ANYBODY WHOS BEEN SICK EITHER AT HOME OR AT WORK OR OR ANY OTHER ACTIVITIES audio/MSK0039.mp3[323.400,327.400] CHANGES TO URINARY HABITS audio/RES0116.mp3[353.040,356.840] UH HIS URINE HAS BEEN THE SAME LIKE NO CHANGES audio/RES0031.mp3[201.800,207.960] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR OR CHILLS audio/GAS0003.mp3[321.720,324.000] I TAKE METFORMIN audio/MSK0021.mp3[570.880,582.920] NO PAIN THERE OK GOOD WHEN YOU ARE PALPATING WAS THERE A DIFFERENCE IN TEMPERATURE BETWEEN THE LEFT AND RIGHT KNEE WAS THE LEFT KNEE A LITTLE BIT MORE WARM THAN THE RIGHT KNEE audio/RES0127.mp3[378.920,388.880] I MUST HAVE BEEN LIKE 8 YEARS OLD OR 9 YEARS OLD THAT I REMEMBER BUT I THINK IVE HAD IT BEFORE THAT AS WELL AS MY MOM TELLS ME audio/RES0100.mp3[598.000,612.560] YEAH SO IM JUST LIVING WITH MY FIANCE AND THATS WERE LIVING IN LIKE A SMALL APARTMENT AND RIGHT NOW WERE NOT REALLY SEEING ANYONE ELSE REALLY DURING THE PANDEMIC audio/RES0114.mp3[660.760,671.360] OK OK UM SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME audio/RES0194.mp3[294.440,301.360] NO BLOOD IN THE STOOL IM JUST ITS JUST BEEN REALLY LOOSE audio/RES0059.mp3[486.680,490.280] OK AND THEN DO YOU SMOKE audio/RES0073.mp3[627.760,641.080] OK I THINK I THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT YOU WANTED TO MAKE SURE I KNEW ABOUT TODAY audio/MSK0037.mp3[546.840,555.720] ALRIGHT OK AND HAVE YOU EVER TRAVELED ANYWHERE RECENTLY audio/RES0012.mp3[629.120,630.720] HOW OLD WAS HE audio/MSK0041.mp3[532.880,548.960] OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AN AND LIKE DO YOU EAT A LOT OF RED MEAT AND OR A LOT OF SEAFOOD LIKE LIKE SHELL SHELLFISH audio/MSK0010.mp3[101.640,112.400] OH OK BUT IT YEAH IT WAS PROGRESSING AND THEN IT GOT ACUTELY WORSE WITH THE WEIGHT LIFTING IT SOUNDS LIKE audio/RES0009.mp3[133.840,140.120] OK SO PRIOR TO THIS HAPPENING YOU WERE FEELING WELL audio/MSK0049.mp3[48.040,51.840] IT FEELS LIKE ITS MOSTLY ON THE FRONT audio/RES0126.mp3[245.600,251.120] OH NO IVE BEEN STAYING AT HOME IVE BEEN VERY CAREFUL THESE DAYS audio/MSK0044.mp3[200.560,206.720] OKAY ALRIGHT UM AND UH OTHER THAN THAT HAVE YOU PREVIOUSLY HAD ANY POPPED JOINTS BEFORE audio/MSK0009.mp3[223.800,231.720] HAVE NOTICED IF YOUR CALF WAS RED OR IF THERE WAS A RASH OVER IT audio/GAS0005.mp3[193.240,199.440] I SEE OK AND UH AND WITH REGARDS TO HIS DIARRHEA HAS THERE BEEN ANY ANY BLOOD OR OR ANY COLOR CHANGES audio/RES0191.mp3[257.240,267.480] OK AND ANY ALLERGIES LIKE TO ANY MEDICATIONS OR ANY SEASONAL ALLERGIES LIKE DO YOU GET SYMPTOMS LIKE THIS THAT CHANGE THROUGHOUT THE YEAR audio/RES0030.mp3[358.280,364.600] UM NO RUNNY NOSE NO SORE THROAT BEEN FEELING GOOD audio/RES0076.mp3[171.280,174.000] OK AND WHEN DID THAT START audio/RES0056.mp3[115.600,121.040] OK UM WHAT COLOR IS THE SPUTUM audio/MSK0032.mp3[306.520,315.800] OKAY THATS GOOD UM AND THEN SHE HASNT HAD ANY HOSPITALIZATIONS OR SURGERY SINCE THEN audio/RES0123.mp3[280.640,283.280] OKAY WHEN DID THAT START audio/MSK0019.mp3[708.920,710.920] YEAH THAT SOUNDS GOOD THANK YOU audio/RES0075.mp3[165.160,168.080] NO NEVER audio/RES0090.mp3[2.720,18.840] YEAH UM SO I HAVE BEEN I HAVE THIS COUGH IM COUGHING UP BLOOD SO THATS MADE ME A LITTLE BIT WORRIED UM SO I THOUGHT I SHOULD COME AND GET GET IT INVESTIGATED audio/RES0083.mp3[41.480,48.320] OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH IS IT A DRY COUGH OR WET COUGH audio/MSK0016.mp3[165.600,177.760] OH I SEE OK UM ALRIGHT AND DO YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE OVER THE PAST FEW WEEKS OR IS IT KIND OF THE SAME audio/RES0047.mp3[303.200,309.840] UH YEAH MAYBE A LITTLE BIT IN MY IN MY FEET MORE THAN USUAL audio/RES0062.mp3[884.640,897.000] OK GOOD AND I APOLOGIZE BUT I WOULD LIKE TO CLARIFY THREE MORE SYMPTOMS WITH YOU DID YOU SAY YOU FELT LIKE YOU HAD A FEVER EARLIER audio/RES0011.mp3[891.960,895.640] OK THANK YOU audio/RES0088.mp3[347.000,352.320] UM SHE HAS SEEMED A LITTLE BIT MORE TIRED THAN USUAL audio/RES0174.mp3[519.640,526.200] ALRIGHT AND THEN YOU MENTIONED EVEN DIAGNOSED WITH DEPRESSION IF YOU HAD ARE YOU HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS audio/RES0184.mp3[415.760,420.400] UHM ILL HAVE LIKE A BOTTLE OF WINE A WEEK audio/MSK0042.mp3[601.520,625.480] UM I DONT THINK ANYONES HAD LIKE A BONE TUMOUR OR ANYTHING LIKE THAT I I KNOW MY UNCLE UM HE HE DOES HAVE A HE HAD LIKE MELANOMA WHICH HE HAD TO GET SURGICALLY REMOVED audio/RES0171.mp3[552.880,558.440] YEAH ITS ONLY SOMETHING THAT IS ALWAYS KIND OF IN THE BACK OF MY MIND audio/RES0049.mp3[632.560,636.160] OK AND ANYONE ELSE AT HOME SICK audio/RES0061.mp3[121.520,127.640] OK ARE YOU HAVING ANY ABDOMINAL PAIN audio/MSK0009.mp3[921.360,925.600] OK SOUNDS GOOD THANK YOU SO MUCH audio/RES0047.mp3[392.240,396.200] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0098.mp3[212.600,214.480] NO NOTHING LIKE THAT audio/RES0027.mp3[599.080,604.320] OK DO YOU AND WHATS ONCE IN AWHILE audio/RES0049.mp3[542.360,550.680] AH PROBABLY SINCE IN MY 20S SO AT LEAST 10 YEARS NOW audio/RES0177.mp3[271.320,275.240] CHANGES IN HIS BOWEL MOVEMENTS audio/RES0111.mp3[347.240,349.720] ANY BULLYING UH AT SCHOOL audio/RES0189.mp3[419.040,431.880] NO OH SORRY MEDICAL CONDITIONS IN THE PAST COPI HAVE I ALSO DO HAVE SOME HIGH BLOOD PRESSURE AND I TAKE SOME MEDICATIONS FOR CHOLESTEROL AS WELL audio/RES0048.mp3[720.320,739.160] UH SO YEAH I JUST LIVE IN THE CITY IN LONDON UH IN AN APARTMENT WITH MY JUST WIFE MY WIFE audio/MSK0013.mp3[322.760,330.720] OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OR SORRY BEFORE THAT AND HAVE YOU HAD ANY NECK PAIN audio/RES0146.mp3[64.640,67.080] AND UH DID YOU CAN YOU TELL ME ABOUT YOUR HEADACHE audio/RES0029.mp3[363.360,367.240] OK AND DO YOU SMOKE audio/RES0028.mp3[12.880,19.400] ITS HARD TO SAY THE EXACT LOCATION BUT MORE ON THE LEFT SIDE OF MY CHEST audio/RES0107.mp3[622.600,625.760] NO BUT I FEEL LIKE HE PROBABLY SHOULD audio/RES0053.mp3[643.720,645.880] AND ANY HEART CONDITIONS audio/MSK0035.mp3[24.400,42.040] YEAH CERTAINLY ALRIGHT AND SO YOU FELL WHILE WHILE YOURE SKIING SO DID YOU USE YOUR HAND TO BRACE THE FALL LIKE WITH YOUR HAND KIND OF WITH YOUR WRIST EXTENDED BACKWARDS audio/MSK0006.mp3[503.960,507.960] OK DO YOU DRINK ALCOHOL audio/RES0045.mp3[306.000,311.480] OK AND ANY CHANGES IN YOUR TASTE audio/GAS0004.mp3[437.600,444.280] OK DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE A FAMILY DOCTOR FOR REGULARLY audio/RES0020.mp3[608.920,610.880] I DONT audio/MSK0010.mp3[478.600,482.720] NO I HAVENT FELT ANY OF THAT audio/MSK0043.mp3[454.760,475.080] UH NOT THAT I NOT THAT I CAN THINK OF AND SO SOMETHING THAT I FORGOT TO MENTION IS UH LIKE IVE HAD HEPATITIS IN THE PAST AS WELL UM AND UH YEAH audio/DER0001.mp3[230.120,232.840] NO NO audio/RES0024.mp3[136.920,139.720] ALRIGHT AND HAVE YOU HAD ANY HEADACHES audio/MSK0009.mp3[566.600,570.600] OK AND ANY EXPOSURES TO ANYBODY WHOS BEEN SICK audio/RES0029.mp3[283.120,287.640] I WOULD SAY AROUND 3 HOURS AGO audio/MSK0006.mp3[826.280,956.120] YEAH UM SO IT SOUNDS UM RIGHT NOW LIKE YOU MAY HAVE SOME SORT OF UH SACRAL NERVE RADICULOPATHY UM OR OR LIKE A LOWER LUMBAR LUMBAR UM RADICULOPATHY UM BASICALLY UH THATS KNOWN AS SCIATICA UH WHERE YOUR NERVE ROOTS CAN BE COMPRESSED CAUSING SOME OF THESE SYMPTOMS UM AND TO DIAGNOSE THESE THINGS USUALLY ITS JUST DONE BY HISTORY AND PHYSICAL EXAM UM BUT IF AFTER WE TRY OUT SOME MANAGEMENT THINGS IT DOESNT GO AWAY OR YOURE HAVING SOME RED FLAGS INCLUDING UM NUMBNESS IN THE GROIN AREA BOWEL OR BLADDER INCONTINENCE THEN WE CAN LOOK AT SOME UM IMAGING FOR THE FOR THE SPINE INCLUDING MRI UM AND SO IN TERMS OF MANAGEMENT OF THIS UM WE CAN TRY A COUPLE COUPLE OF LIKE CONSERVATIVE APPROACHES FIRST SO THAT INCLUDES TAKING NSAIDS UH FOR THE PAIN UM AND THEN LIKE ACTIVITY MODIFICATION SO IF YOURE SITTING DOWN UM ALL THE TIME UM PERHAPS LIKE TAKING LITTLE BREAKS UH STRETCHING OUT YOUR LEGS DOING SOME PHYSIO AS WELL UM DURING THOSE BREAKS CAN HELP UM AND AS WELL IM GOING TO GIVE YOU A REFERRAL FOR PHYSICAL THERAPY AND THEYLL DO SOME EXERCISES WITH YOU AND UM SLOWLY INCREASE THOSE EXERCISES UM AND IF THOSE STILL DONT WORK WE CAN TRY UM STEROIDS STEROID INJECTIONS UM AS WELL WE TALKED ABOUT THE IMAGING IF IT DOESNT GO AWAY IN ABOUT 6 TO 8 WEEKS DOES THAT SOUND OK audio/RES0198.mp3[20.960,26.880] OK YEAH I KNOW FOR SURE THATS A GOOD IDEA SO HOW LONG HAVE YOU HAD THIS FOR audio/RES0197.mp3[44.120,54.920] YES SO I AM ON A SHORT ACTING AS WELL AS AN INHALED CORTICO STEROID AND I ONLY TAKE THE SHORT ACTING LIKE WHEN I HAVE THE SYMPTOMS audio/RES0071.mp3[560.640,564.640] YEAH I HAVE NOTICED A BIT OF A WHEEZE YES audio/RES0213.mp3[167.320,180.360] UH I DONT THINK SO IT JUST KIND OF LIKE WHEN IM WALKING TO SCHOOL IT KIND OF STAYS THE SAME I HAVENT DONE ANY STRENUOUS EXERCISE LATELY CAUSE IVE JUST HAD SO MUCH UH SCHOOLWORK PILING UP audio/RES0032.mp3[280.400,287.800] I ONLY REALLY GET SHORT OF BREATH WHEN IM GOING FOR A HIKE OR UP TO MY 4TH FLOOR APARTMENT audio/RES0034.mp3[783.680,791.400] UH NO WEVE BEEN GETTING HER CHECKED REGULARLY IT SEEMS THAT SHES BEEN GROWING WELL AND DEVELOPING WELL audio/MSK0040.mp3[534.520,544.480] OK AND IN THE FAMILY HAS THERE BEEN ANY HISTORY OF MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS audio/RES0093.mp3[49.760,51.880] HAVEY YOU NOTICED ANY BLOOD audio/MSK0041.mp3[613.360,639.480] OK SO THAT THAT WAS EVERYTHING I WANTED TO ASK ALL THE HISTORY AND SO UH NEXT TO ASK YOU TO HAVE A LOOK AT YOUR FEET AND ARE YOU SEEING ANY SWELLING REDNESS OR DISCOLOURATION audio/RES0136.mp3[355.240,363.000] OKAY HAVE YOU BEEN HAVING ANY COLDLIKE SYMPTOMS BEFORE THE TWO DAYS LIKE IN THE LAST WEEK LIKE RUNNY NOSE SORE THROAT audio/RES0106.mp3[97.040,97.640] NO NO audio/RES0134.mp3[345.040,348.480] UH NO NOTHING LIKE THAT audio/RES0160.mp3[285.000,287.560] AND WHAT DO YOU DO FOR WORK audio/RES0203.mp3[305.560,308.520] NO NOTHING LIKE THAT audio/MSK0013.mp3[333.840,339.880] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0193.mp3[427.240,429.160] UH I WOULD SAY 2 audio/RES0060.mp3[684.960,691.200] I AM YEAH I GET THE FLU SHOT EVERY YEAR audio/RES0013.mp3[536.040,549.040] UM I MEAN ITS HARD TO TELL RIGHT NOW WHAT IT IS IT SOUNDS LIKE ITS IT STARTED PRETTY SUDDENLY UM LIKE IT STARTED A DAY AGO CORRECT audio/RES0074.mp3[354.960,360.040] OK DO YOU TAKE ANY MEDICATIONS FOR EITHER OF THOSE audio/RES0005.mp3[583.840,589.360] NO PETS NO audio/RES0144.mp3[433.160,446.640] YEAH JUST BECAUSE OF THAT SCARE THEY KEPT HIM FOR THREE MORE DAYS BUT LIKE HE WAS GROWING WHILE THERE WERE NO MORE EPISODES OF THE BREATHING ISSUE SO THEY LET HIM GO AFTER audio/RES0133.mp3[289.280,293.280] UM NO NO OTHER SYMPTOMS audio/RES0120.mp3[414.520,418.600] OKAY AND WHEN WERE YOU DIAGNOSED WITH DIABETES audio/MSK0013.mp3[330.720,333.840] NO NO NECK PAIN audio/DER0001.mp3[213.120,217.840] OK OK SO WHEN DID YOU START FEELING HOT audio/RES0194.mp3[361.800,366.160] OK UH DO YOU TAKE ANY MEDICATIONS audio/RES0145.mp3[488.800,497.160] YEAH THERE EVERYTHING I I MEAN SCHOOL IS SCHOOL BUT ITS BEEN GOOD audio/MSK0018.mp3[33.760,36.080] UH PROBABLY 2 HOURS AGO audio/RES0183.mp3[476.000,477.800] UH NO audio/MSK0001.mp3[174.760,184.040] OK AND HAVE YOU EVER UH EXPERIENCED ANY KIND OF TRAUMA TO YOUR BACK LIKE SOMETHING HAS HIT YOU OR YOUVE FALL DOWN ANYTHING LIKE THAT audio/RES0020.mp3[186.840,193.280] OK DO YOU THINK THAT YOURE BREATHING MORE QUICKLY audio/RES0003.mp3[541.640,546.160] OH THINGS ARE ARE GREAT AT HOME ITS A REALLY SUPPORTIVE ENVIRONMENT audio/RES0059.mp3[259.680,275.400] YEAH I TRIED SOME UH LIKE DAY AND NIGHT TIME TYLENOL AT HOME TO SLEEP BUT STILL WHEN I WOKE UP IN THE MORNING STILL NOT FEELING VERY GOOD AND THE COUGH IS STILL HERE TOO audio/MSK0038.mp3[224.160,227.400] NO NOTHING LIKE THAT audio/MSK0045.mp3[141.200,147.920] AND ARE YOU HAVING UH IS THIS PAIN MOVING TO ANY OTHER UH JOINTS OR ANY OTHER PART OF YOUR BODY audio/RES0036.mp3[543.160,550.920] AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE CANCERS OR HEART ATTACKS OR ANY LUNG ISSUES audio/MSK0001.mp3[99.000,103.160] OK AND HAS THIS PAIN CHANGED AT ALL SINCE YESTERDAY audio/RES0132.mp3[523.280,528.520] OKAY UH AND ARE YOU WORKING CURRENTLY OR OR RETIRED audio/RES0209.mp3[278.520,282.440] DO YOU FEEL IT GETS TIGHT IN YOUR CHEST audio/RES0001.mp3[356.000,360.960] OK ANY SWELLING IN THE AREA audio/RES0093.mp3[245.560,254.400] OK AND ANY UH DIARRHEA OR CONSTIPATION audio/RES0069.mp3[448.640,451.120] OK AND THE LEFT RIGHT EYE OR RIGHT EYE audio/RES0086.mp3[201.360,209.000] PROBABLY AT LEAST LIKE I WOULD SAY 10 TO 15 MINUTES audio/RES0117.mp3[324.360,329.000] BUT OTHER THAN THAT NOT SINCE IVE BEEN HERE NO audio/MSK0016.mp3[879.520,914.960] YOU DO OK SO THATS A POSITIVE TINELS SIGN UM AND THEN WERE GOING TO DO ONE MORE TEST SO IM GOING TO OK SO MAKE LIKE A PRAYER MOTION WITH YOUR HANDS LIKE UM PUTTING YOUR 2 PALMS TOGETHER AND THEN UM AND THEN INSTEAD INVERT YOUR HAND SO THAT THE OUTER PARTS ARE TOUCHING AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND audio/RES0082.mp3[74.560,79.720] OK DO YOU HAVE A COUGH audio/MSK0033.mp3[587.360,594.040] OK AND DO YOU NOTICE ANY KIND OF SWELLING OR REDNESS OR BRUISING IN THE AREA audio/RES0138.mp3[278.880,283.000] ANY TROUBLE URINATING audio/RES0081.mp3[424.440,430.120] OK DOES HE HAVE ONE THAT HE USES ONCE LIKE HE USES DAILY audio/DER0001.mp3[18.800,27.600] I DONT REALLY KNOW WHAT I WOULD CALL IT THATS WHAT I TOLD THE NURSE WHEN I CAME IN BUT IT MORE HURTS THAN ANYTHING audio/RES0006.mp3[371.360,377.600] OH NO JUST THE SALBUTAMOL AND LIKE THE STEROID INHALER audio/RES0026.mp3[719.600,725.960] I SEE OK AND DO YOU SMOKE CIGARETTES audio/MSK0036.mp3[103.000,112.560] OK YEAH AND YOU MENTIONED IT WAS THE RIGHT HAND THAT STARTED TO HURT FIRST AND THEN THE LEFT ONE HAS STARTED SINCE THEN audio/RES0044.mp3[318.280,332.560] OK OK YEAH SO YEAH WELL DOUBLE CHECK TO MAKE SURE THAT UM YOU EITHER DO OR DONT HAVE A FEVER UM HAVE YOU EXPERIENCED ANY CHILLS OR NIGHT SWEATS OVER THE PAST FEW DAYS audio/MSK0041.mp3[198.280,207.280] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR SENSORY LOSS audio/MSK0006.mp3[446.520,448.560] NO OK AND DO YOU SMOKE audio/MSK0018.mp3[280.280,289.560] OKAY UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH audio/RES0134.mp3[533.360,539.320] OKAY AND SO WERE YOU ON ANY MEDICATION FOR A PERIOD OF TIME AFTER THAT audio/RES0066.mp3[110.880,115.640] ITS YELLOW OK DO YOU NOTICE ANY KIND OF BLOOD IN YOUR SPUTUM audio/MSK0021.mp3[473.120,481.000] NO WEVE BEEN AT BEEN AT HOME audio/RES0119.mp3[369.280,377.040] OK AND UM DOES SHE HAVE ANY UH ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES audio/RES0125.mp3[708.320,711.400] YOURE WELCOME TAKE CARE audio/RES0179.mp3[213.880,219.200] OK OK GOOD AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0046.mp3[0.000,2.400] WHAT BRINGS YOU IN audio/MSK0028.mp3[301.720,308.280] HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO VISION OR HEARING audio/RES0048.mp3[739.160,744.120] OK UM IS SHE ALSO SICK OR IS SHE OK audio/RES0003.mp3[159.760,161.720] OK AND COUGHING audio/RES0132.mp3[705.840,707.160] OKAY THANK YOU SO MUCH audio/RES0069.mp3[369.680,372.640] NO NO NO NOTHING LIKE THAT audio/RES0180.mp3[381.440,386.960] NO OK ANY OTHER RECREATIONAL DRUGS audio/RES0200.mp3[491.920,512.720] OK ALRIGHT WELL ITS GOOD THAT YOURE CUTTING DOWN AND IF YOU NEED MORE RESOURCES TO HELP YOU DO THAT WE HAVE SOME AVAILABLE THAT WE CAN REFER YOU TO DO YOU TAKE ANY OTHER RECREATIONAL DRUGS LIKE CANNABIS HEROIN COCAINE audio/MSK0024.mp3[329.600,333.560] OK AND HAVE YOU ARE USING ANY OTHER MEDICATIONS AT ALL audio/RES0080.mp3[357.880,368.280] YEAH I THINK MY DOC PRESCRIBED SOME PILLS I DONT KNOW I DONT REMEMBER WHAT THEY ARE I JUST TAKE THEM EVERY DAY audio/RES0025.mp3[563.080,566.280] OK DO YOU SMOKE CIGARETTES audio/MSK0046.mp3[255.800,265.360] UM I KNOW THERES YEAH THERES A LOT OF CANCER IN THE FAMILY THERES COLON CANCER BREAST CANCER OVARIAN CANCER audio/RES0136.mp3[279.360,292.200] OKAY SO YOU DIDNT HAVE A FEVER LAST NIGHT OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE DIZZINESS UH ANY FAINTING SPELLS audio/RES0091.mp3[92.560,96.440] UHM THEY ARE PRETTY CONSTANT audio/MSK0050.mp3[220.800,226.320] UH NO I DONT THINK SO NO audio/GAS0002.mp3[562.560,568.640] AND SO IM LIVING WITH MY TWO CHILDREN AND MY PARTNER audio/RES0070.mp3[335.720,339.720] ALRIGHT ANY NAUSEA OR VOMITING audio/RES0081.mp3[125.040,128.680] I WANT TO SAY ABOUT TWO DAYS AGO audio/GAS0003.mp3[220.840,223.840] NO I HAVENT audio/RES0027.mp3[421.760,426.520] I BELIEVE I DID IT SIX MONTHS AGO audio/RES0176.mp3[0.000,5.280] HOW MAY I HELP YOU audio/RES0018.mp3[254.880,257.560] JUST ONE audio/RES0082.mp3[142.640,144.720] ANY RASHES audio/RES0048.mp3[610.560,614.280] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0006.mp3[0.000,1.840] WHAT BRINGS YOU IN audio/RES0143.mp3[218.440,223.360] OKAY AND UH ANY NIGHT SWEATS audio/MSK0001.mp3[411.880,417.520] OK AND DO YOU DO YOU DRINK AT ALL audio/MSK0028.mp3[366.080,371.000] OK ANY URINATION PROBLEMS SUCH AS PAIN OR FREQUENCY audio/RES0113.mp3[278.120,281.520] ANY DISCOLOURATION OF YOUR FINGERS OR TOES audio/MSK0041.mp3[762.120,771.000] OK AND ARE YOU HAVING A LIMPING WITH WALKING OR OTHERWISE CALLED AN ANTALGIC GAIT audio/RES0064.mp3[146.080,149.240] OK COUGHING audio/MSK0032.mp3[189.520,192.560] UM NO THIS IS THE FIRST TIME audio/RES0095.mp3[506.200,520.320] I SEE IM SORRY TO HEAR THAT ABOUT YOUR HUSBAND UHM ARE YOU CURRENTLY UH LIKE FUNCTIONING INDEPENDENTLY AROUND THE HOME OR DOES YOUR DAUGHTER HELP WITH A LOT OF THE TASKS audio/RES0071.mp3[33.560,39.920] OK UM AND ITS BEEN GOING ON FOR MORE THAN A WEEKHAS IT BEEN GETTING WORSE audio/RES0011.mp3[110.640,122.400] I MEAN IVE JUST BEEN SLEEPING LIKE ALL THE TIME I HAVE BEEN SLEEPING ALL NIGHT AND THEN LIKE I SAID I GET UP AND I GO TO THE COUCH AND LIKE JUST FALL BACK ASLEEP audio/RES0089.mp3[446.640,452.840] OK IS IT DO YOU EVER HAVE TO WAKE UP AT NIGHT TO CATCH A BREATH OR ANYTHING LIKE THAT audio/RES0038.mp3[376.880,381.320] OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR WEIGHT AT ALL audio/RES0125.mp3[414.480,420.720] OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS AT ALL audio/GAS0005.mp3[696.640,701.680] BUT NOTHING DIAGNOSED YET NO audio/RES0018.mp3[356.480,361.840] OK ANYTHING OVER THE COUNTER LIKE SUPPLEMENTS OR HERBAL audio/RES0062.mp3[403.840,407.680] OK AND THEN ANY CHANGES TO YOUR URINE audio/MSK0042.mp3[856.520,860.360] OKAY UH YEAH THAT THAT SOUNDS GOOD audio/RES0174.mp3[628.440,629.560] I DONT audio/RES0004.mp3[441.480,443.320] UM NO NAUSEA OR VOMITING audio/RES0087.mp3[146.040,151.760] OK ANY CHANGES IN HIS VISION OR SMELL OR TASTE audio/RES0059.mp3[104.000,108.240] OK ANY CHANGES IN YOUR SMELL audio/RES0005.mp3[589.360,592.400] OK UM AND DO YOU SMOKE CIGARETTES audio/RES0039.mp3[324.160,328.000] OK HOW OFTEN ARE YOU GETTING NIGHT SWEATS audio/RES0160.mp3[452.080,477.720] UHM SO I THINK UH DIABETES AND FOR MY FAMILY BUT I I I DONT HAVE IT SO AND I THINK THATS PRETTY MUCH ABOUT IT ON MY DADS SIDE ON MY MOMS SIDE AND THERE WAS SOMEONE LIKE MY AUNT DID HAVE OVARIAN CANCER audio/RES0045.mp3[494.400,503.320] UH SOMETIMES ILL HAVE A JOINT WITH FRIENDS OR SOMETHING LIKE THAT ON THE WEEKEND BUT UM YEAH SO MAYBE ONCE A WEEK audio/MSK0010.mp3[134.320,141.160] IT HURTS PARTICULARLY LIKE IN THE FRONT PART OF THE SHOULDER audio/RES0216.mp3[217.840,242.880] UHM I MEAN I HAVE ASTHMA UM SO IVE HAD SOME TROUBLE BREATHING BEFORE IT THIS FEELS FEELS UH DIFFERENT THAN OTHER TIMES I I GUESS IT COULD BE RELATED BUT UH I DONT KNOW THIS THIS FEELS A BIT DIFFERENT THATS WHY I WANTED TO COME IN AND GET IT CHECKED OUT audio/RES0061.mp3[769.920,777.760] USUALLY ITLL JUST BE ONE OR TWO GLASSES OF WINE AT A TIME AND MAYBE TWO NIGHTS A WEEK audio/RES0032.mp3[37.080,41.280] OK SO DO YOU THINK THERES BLOOD IN YOUR PHLEGM audio/RES0167.mp3[455.960,460.360] YEAH FOR SURE YEAH THATS GOOD DO YOU DO YOU SMOKE audio/RES0174.mp3[463.560,501.200] POTENTIALLY IT CERTAINLY CANT RULE OUT INORGANIC CAUSE MEANING SOMETHING GOING ON OTHERWISE JUST YET WE MIGHT NEED TO DO SOME PHYSICAL EXAM AND SOME INVESTIGATIONS FIRST BUT IT CERTAINLY COULD BE RELATED TO THAT WITH ALL OF THE STRESSORS THAT ARE GOING ON AND SO YOU HAD A LOW MOOD HAVE YOU HAD ANY PERIODS IN YOUR LIFE WHERE YOU FELT REALLY ENERGETIC LIKE YOU DIDNT NEED ANY SLEEP YOURE REALLY TALKATIVE YOU HAD ALL THE ENERGY IN THE WORLD audio/GEN0001.mp3[53.840,57.840] OK UNDERSTOOD WHEN WAS YOUR LAST PERIOD audio/RES0124.mp3[0.000,2.880] UM WHAT BRINGS YOU IN TODAY audio/MSK0031.mp3[287.280,296.400] UH YEAH AND THEN IM JUST ON VITAMINS LIKE VITAMIN CALCIUM AND JUST MULTIVITAMINS audio/RES0079.mp3[496.720,504.680] OK ALRIGHT WELL THANK YOU ILL GO TALK TO MY ATTENDING AND WELL COME BACK AND DISCUSS THIS FURTHER WITH YOU audio/RES0053.mp3[268.600,271.880] HOW ABOUT WEIGHT LOSS audio/RES0199.mp3[57.120,67.440] OK AND HAVE A AN AND SORRY WHERE EXACTLY IS IT IS IT ON ITS LIKE AT THE TOP OF YOUR HEAD TEMPLES FOREHEAD audio/MSK0025.mp3[46.280,49.240] UH IT STARTED IN MY LOWER BACK audio/RES0116.mp3[176.440,180.520] OK OK WERE THEY WERE THEY TREATED WITH ANTIBIOTICS audio/RES0072.mp3[368.000,371.800] OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0214.mp3[476.240,513.920] ITS A POSSIBILITY ITS ALWAYS GOOD TO RULE THESE THINGS OUT SO WELL BE ORDERING A COVID SWAB NO MATTER WHAT OBVIOUSLY WITH ANY PRESENTATION WHERE WE HAVE SOMEONE COME IN WITH A FEVER AND SORE THROAT WE WANT TO RULE OUT ANYTHING INFECTIOUS SO IT SOUNDS LIKE IF YOUR HUSBAND GOT IT AND YOU HAVE IT COVID WOULD BE OUR FIRST THING THAT WE WANT TO RULE OUT SO JUST WHILE WERE TRYING TO INVESTIGATE WORK THIS UP FURTHER I WANT TO HAVE YOU AND YOUR HUSBAND SELF ISOLATE THE OTHER QUESTION I SUPPOSE I SHOULD ASK IS HAVE YOU GOTTEN YOUR FLU SHOT THIS YEAR audio/RES0086.mp3[343.040,351.360] DO YOU FIND YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN OR IT WAKES YOU UP AT NIGHT audio/RES0034.mp3[267.120,280.400] SO I USED WE HAVE JUST A REGULAR NON DIGITAL THERMOMETER IN HER EAR AND HER TEMPERATURE TODAY WAS AROUND 103 DEGREES FAHRENHEIT audio/MSK0050.mp3[553.280,564.520] ALRIGHT UM AND ARE THERE ANY AREAS IF YOU UH PALPATE THAT CAUSE PAIN LIKE OVER THE WRIST OR ANY OF THE JOINTS audio/RES0078.mp3[625.240,628.760] OK AND DO YOU DRINK ALCOHOL audio/MSK0031.mp3[30.640,37.520] OK UHM SO WHAT CAUSED YOU TO FALL IN THE 1ST PLACE DID YOU JUST LOSE BALANCE WERE YOU DIZZY audio/RES0209.mp3[200.240,201.720] OR THE LAST WEEK audio/RES0016.mp3[339.080,340.560] UH NO audio/RES0128.mp3[181.600,188.720] OK OK AND HAS HE HAVE YOU NOTICED ANY CHANGES IN HIS VISION OR HEARING audio/RES0005.mp3[597.320,603.080] ALRIGHT AND DID YOU SMOKE MORE PREVIOUSLY audio/RES0081.mp3[136.200,137.480] NO NO NO audio/MSK0037.mp3[415.240,420.120] OK AND HAVE YOU HAD ANY APPETITE LOSS OR FATIGUE audio/RES0062.mp3[487.280,503.320] PYEAH THEY SAID YEAH MY HEART RATES BEEN AROUND 80 BEATS PER MINUTE WHICH IS GOOD AND I HAVENT HAD ANY SYMPTOMS SO THINGS HAVE BEEN STABLE audio/RES0152.mp3[314.280,321.600] OK AND UM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0186.mp3[375.760,382.920] YEAH ILL HAVE LIKE ONE BEER EACH DAY SO YEAH ABOUT YEAH ONE BEER A DAY audio/DER0001.mp3[559.720,566.840] OK WELL AND DO YOU SMOKE audio/RES0031.mp3[520.120,523.840] OK AND DO YOU SMOKE CIGARETTES audio/RES0050.mp3[338.040,343.720] OK AND THEN ANY JOINT PAINS OR MUSCLE ACHES audio/RES0126.mp3[573.760,579.960] UHM I DONT REMEMBER THE NAME audio/RES0067.mp3[437.480,438.880] OK GREAT THAT SOUNDS GREAT audio/RES0195.mp3[593.480,644.480] OF AUTO IMMUNE CONDITIONS AS WELL SO SOMETIMES YOU CAN GET AN AUTO IMMUNE DISEASE THAT AFFECTS THE LUNGS SO WE NEED TO RULE OUT SOMETHING LIKE SARCOIDOSIS WHICH CAN CAUSE FIBROSIS IN YOUR LUNGS AND CAUSE SHORTNESS OF BREATH SO JUST TO WORK THAT UP WILL GET A CHEST X RAY AND ALSO DO SOME INFLAMMATORY MARKER TESTS LIKE CRESR AND SOME OTHER RHEUMATOLOGICAL TESTS AS WELL AND BASED ON WHAT COMES BACK WE MAY HAVE TO REFER YOU TO A RHEUMATOLOGIST FOR FURTHER MANAGEMENT AND TREATMENT YEAH SO LETS JUST DO SOME OF THOSE TESTS 1ST AND THEN WELL GO FROM THERE YOU HAVE ANY QUESTIONS audio/GAS0001.mp3[298.080,306.520] OH COME TO THINK OF IT I DONT I DONT THINK SO audio/RES0058.mp3[731.880,745.600] OH THATS NICE AND ANY CONCERNS WITH THE LIVING ARRANGEMENTS IN TERMS OF YOU KNOW LIKE IT BEING AN OLD BUILDING OLD CARPETS MOLD ANYTHING LIKE THAT audio/RES0026.mp3[197.800,203.720] OK UM HAVE YOU HAD HEADACHES LIKE THIS BEFORE audio/RES0036.mp3[24.640,29.280] AND DID IT START LIKE GRADUALLY OR WAS IT ALL OF A SUDDEN audio/CAR0005.mp3[620.880,621.920] AWESOME THANK YOU audio/RES0066.mp3[117.760,126.720] OK SO JUST YELLOW SPUTUM AND HOW MUCH WOULD YOU SAY YOURE PRODUCING AN AVERAGE DAY audio/RES0169.mp3[225.120,231.600] OK AND DO YOU TAKE ANY MEDICATIONS audio/MSK0039.mp3[282.600,287.200] UH CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0043.mp3[230.040,235.720] UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD audio/RES0068.mp3[425.280,436.720] OK RIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS LIKE ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS audio/RES0151.mp3[434.920,439.480] OK AND ARE YOU GOING TO SCHOOL RIGHT NOW OR ARE YOU WORKING audio/MSK0006.mp3[58.880,69.160] OK UM AND IS IT A PERSISTENT KIND OF PAIN OR DOES IT COME AND GO audio/RES0022.mp3[851.960,855.480] UM LIKE WHAT audio/RES0208.mp3[0.000,2.800] WHAT BRINGS YOU IN TODAY audio/RES0097.mp3[558.280,582.040] UHM NO NOTHING AT BIRTH OR DURING PREGNANCY BUT HE DID START HAVING LOTS OF RESPIRATORY INFECTIONS WHICH IS WHEN THE PEDIATRICIAN DID THAT TEST I FORGET THE NAME FOR THE TEST AND THEN THEY WERE UHM THE UHM HE WAS FOUND TO HAVE CF audio/GEN0001.mp3[287.720,294.160] NO OK AND THEN SO NO PUFFINESS AROUND YOUR EYES THAT YOUVE NOTICED audio/RES0010.mp3[523.320,541.320] I DRINK LIKE A COUPLE BEERS ON THE WEEKENDS BUT LIKE I I YEAH I PLAY SPORTS A LOT AND I DONT LIKE A LOT OF TIME ON THE WEEKENDS SO I DONT GO OUT audio/RES0102.mp3[457.120,458.560] UHM NO I HAVENT audio/RES0016.mp3[473.720,477.720] OK HOW ABOUT YOUR MOTHER IS SHE ALIVE IS SHE HEALTHY audio/MSK0043.mp3[201.200,204.280] NO JUST ITS JUST MY LEFT KNEE audio/RES0164.mp3[220.760,231.120] I DONT THINK SO AS I SAID HE HAS BEEN PLAYING AROUND WITH OTHERS SO COULD HAVE CAUGHT SOMETHING audio/MSK0029.mp3[546.160,554.000] OK OK GOOD AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/RES0194.mp3[558.040,562.520] OK AND DO YOU DRINK ALCOHOL audio/RES0168.mp3[58.680,63.640] UH NO I DONT HAVE A COUGH audio/RES0087.mp3[262.400,265.880] ANY CHANGES TO HIS BOWEL MOVEMENTS audio/RES0154.mp3[188.720,195.520] OK UM AND HOW ABOUT ANY EYE SYMPTOMS LIKE REDNESS OR ITCHINESS PAIN audio/RES0018.mp3[43.200,51.240] NO ITS PRETTY MUCH JUST BEEN THERE OVER THE LAST AT LEAST LIKE 2 DAYS ITS BEEN GETTING WORSE MORE FREQUENT audio/RES0139.mp3[423.080,432.000] HOW MUCH WOULD YOU SAY YOU DRINK ON AN AVERAGE DAY audio/RES0022.mp3[794.200,800.160] YEAH IVE TRIED TO STOP BUT I I SMOKE LIKE A PACK A DAY audio/RES0036.mp3[182.280,192.400] UM IT GETS WORSE WHEN WHEN NO NO I WOULDNT SAY THAT NO NO audio/RES0027.mp3[112.280,114.400] THAT WAS JUST TODAY audio/RES0177.mp3[31.440,38.840] NO NOTHING LIKE THAT YEAH THE FEVER KIND OF CAME ON PRETTY PRETTY SUDDENLY IT SEEMED LIKE audio/RES0194.mp3[147.040,161.320] UH YEAH I DID TAKE SOME TYLENOL AND IT IT HELPS TAKE THAT THE EYE DROP A BIT I TRIED SOME ADVIL TOO ITS SO MEAN THAT THE HEADACHES KIND OF COME AND GONE A LITTLE BIT BUT I THINK ONCE THAT WEARS OFF IT THE HEADACHES COME BACK audio/RES0212.mp3[299.520,302.280] OK ANY SURGERIES audio/RES0083.mp3[64.760,74.360] YEAH ITS JUST KINDA ALL OVER JUST FEELS KIND OF ICKY audio/RES0176.mp3[311.880,314.440] AND IF YOU HAD ANY CHEST PAIN audio/MSK0018.mp3[426.640,461.080] ALRIGHT SO UM IT SOUNDS LIKE YOU HAVE A SHOULDER DISLOCATION UM SO WE ARE GOING TO DO AN XRAY OF YOUR SHOULDER JOINT FIRST TO MAKE SURE THAT ITS ITS JUST A DISLOCATION AND THERE ARENT ANY BROKEN BONES OR FRACTURES AND THEN UM WE CAN RESOLVE THIS BY DOING SOMETHING CALLED A CLOSED REDUCTION UM TO TRY TO PUT THE JOINT BACK IN ITS PLACE audio/RES0113.mp3[106.760,112.440] SO ITS LIKE JUST ON THE FRONT PART OF MY HEAD audio/RES0001.mp3[27.640,32.840] OK AND IS IT A CONSTANT PAIN IS IT ALWAYS THERE audio/MSK0028.mp3[704.280,729.960] YEAH ANY SWELLING OR REDNESS I DO SEE SOME JUST LIKE KIND OF LIKE IN THE MIDDLE OF THIS AREA SOME REDNESS KIND OF LOOKS LIKE SOME BRUISING IN IN THAT IN THAT REGION UHM I ALSO FEEL LIKE WHEN I LIKE TRY TO FLEX MY BICEPS KIND OF HAVE MOVED UPWARDS audio/RES0211.mp3[484.760,489.440] A WEEK AGO AND YOU HAVENT BEEN SEXUALLY ACTIVE SINCE THEN audio/RES0138.mp3[460.000,460.840] I DID WHEN I WAS YOUNG audio/RES0213.mp3[424.800,427.160] MHMM LIKE FOR SCHOOL audio/RES0045.mp3[349.240,360.600] OK UM SO WELL TAKE YOUR TEMPERATURE TODAY AND WELL LET YOU KNOW UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS audio/RES0048.mp3[58.080,67.520] YES I THINK IT ALSO STARTED IN LIKE I WOULD SAY FOR THE LAST THREE DAYS IVE BEEN GETTING UH DIARRHEA audio/MSK0037.mp3[694.920,699.960] OK YEAH BUT NO REDNESS audio/RES0143.mp3[531.640,568.680] WELL UM ILL DO A PHYSICAL EXAM LOOK INSIDE YOUR THROAT LOOK INSIDE YOUR MOUTH SORRY AND LISTEN TO YOUR CHEST AND UH ENSURE THAT NOTHING ELSE IS GOING ON THAT YOU DONT HAVE ANYTHING LIKE SAY STREP THROAT OR MONO OR YOU DONT HAVE UH PNEUMONIA UH BACTERIAL PNEUMONIA FOR INSTANCE OFTENTIMES UM SYMPTOMS THAT YOU HAVE ARE CAUSED BY VIRUSES AND DONT NEED TO BE TREATED WITH ANTIBIOTICS UH BUT ILL DO A PHYSICAL EXAM AND MAYBE HAVE A LOOK AT YOUR LABS AS WELL AND THEN DECIDE ACCORDINGLY audio/RES0051.mp3[342.280,345.240] I THINK I HAD A RASH audio/RES0138.mp3[388.160,390.400] THEY SAID DIET OKAY audio/MSK0016.mp3[421.640,431.760] OK THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0215.mp3[571.240,575.520] UH NO NO audio/RES0097.mp3[146.800,150.680] YEAH I DONT THINK HE CAN SMELL MUCH RIGHT NOW audio/RES0036.mp3[101.000,107.040] OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL audio/RES0034.mp3[735.240,742.040] OK AND ANYBODY IN THE FAMILY UM HAVE ANY SIMILAR SYMPTOMS RIGHT NOW I GUESS BESIDES HER BROTHER audio/RES0030.mp3[198.160,207.640] YEAH THESE LAST FEW MONTHS BY ENERGY HAS BEEN LOW I IVE BEEN FEELING A LOT MORE TIRED THAN USUAL audio/RES0181.mp3[343.000,347.200] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0196.mp3[178.720,184.120] OK AND ANY FATIGUE OR JUST FEELING VERY TIRED audio/MSK0013.mp3[200.520,204.040] ANY HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS audio/RES0215.mp3[199.480,209.200] OK SO NOTHING REALLY NEEDING ANTIBIOTICS IN THE LAST COUPLE OF YEARS audio/RES0030.mp3[317.720,332.280] UM I MAYBE LOST 5 POUNDS IN THE LAST FEW MONTHS I WASNT EVEN I HAVENT BEEN TRYING TO LOSE WEIGHT BUT DOESNT HURT THOUGH AS IVE IVE GAINED A FEW POUNDS OVER THE YEARS SO I DONT MIND audio/MSK0041.mp3[229.640,234.080] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0022.mp3[0.000,1.840] WHAT BRINGS YOU HERE TODAY audio/MSK0006.mp3[438.320,442.720] UH AUTOIMMUNE CONDITIONS audio/MSK0016.mp3[1095.280,1098.400] IT DOES YEAH THANK YOU audio/RES0010.mp3[223.880,237.360] YEAH JUST LIKE THIS MORNING I DONT KNOW I HAVENT BEEN EATING A LOT CAUSE IT JUST HURTS TO EAT I DONT KNOW IF IM JUST HUNGRY LIKE IVE JUST BEEN EATING LIKE ICE CREAM CAUSE IT FEELS NICE audio/MSK0028.mp3[112.840,119.080] OK AND WHERE IS THE PAIN LOCATED NOW audio/MSK0049.mp3[265.480,268.720] OK HOW ABOUT ANY NIGHT SWEATS audio/RES0128.mp3[102.480,108.480] NO OK DOES HE HAVE A FEVER AT ALL audio/MSK0050.mp3[383.280,388.040] OK AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS audio/RES0098.mp3[214.480,218.840] AND UHM HAVE YOU HAD ANY WEIGHT CHANGES OVER THE LAST LITTLE WHILE audio/RES0155.mp3[202.240,205.400] NO I HAVENT DONE THAT BEFORE audio/RES0059.mp3[174.240,179.480] OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN YOUR STOOL audio/RES0027.mp3[0.000,5.400] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN audio/MSK0044.mp3[355.360,358.160] UH NO NOTHING LIKE THAT audio/RES0039.mp3[673.200,710.920] YEAH SO YEAH WE ALWAYS RECOMMEND CUTTING DOWN OR QUITTING SMOKING WHENEVER WHENEVER WE SEE PATIENTS WHO ARE SMOKING ESPECIALLY LIKE YOURE FAIRLY YOUNG AND YOU KNOW YOUR GRANDFATHER HAD HISTORY OF LUNG CANCER WITH SMOKING THROUGHOUT THE YEAR SO AS EARLY AS WE CAN QUIT SMOKING THE BETTER FOR THE LONG TERM HEALTH OF YOUR LUNGS BUT WHENEVER YOURE THINKING OF QUITTING OR IF YOU WANT ANY MORE RESOURCES ABOUT QUITTING JUST LET ME KNOW WE CAN SET UP A SEPARATE APPOINTMENT FOR THAT audio/RES0116.mp3[141.200,144.520] I CANT REALLY SEE ANYTHING ON THE OUTSIDE audio/MSK0016.mp3[769.280,772.080] NO OK HOW ABOUT AT YOUR ELBOWS audio/MSK0033.mp3[178.080,181.840] NO NOTHING LIKE THAT ITS JUST THE PAIN audio/RES0195.mp3[63.240,64.960] ITS A PRETTY DRY COUGH audio/RES0191.mp3[63.560,74.080] I SEE OK AND HAVE YOU BEEN HAVING ANY PAIN ON YOUR FACE LIKE I LIKE KIND OF OVER YOUR CHEEKS OR OVER YOUR FOREHEAD audio/MSK0040.mp3[597.320,603.520] UH SLIGHTLY WARM YEAH audio/MSK0038.mp3[183.920,187.280] NO NO THE ONLY ACTIVITY THAT IM DOING NOW IS IS RUNNING audio/RES0090.mp3[105.040,115.960] UH I MEAN ITS POSSIBLE LIKE PEOPLE GET SICK IN MY FAMILY ALL THE TIME IN INDIA SO ITS POSSIBLE audio/RES0048.mp3[660.840,665.720] UH NO I DONT THINK SO audio/MSK0044.mp3[555.200,557.120] THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0078.mp3[397.840,400.640] UH NOTHING THERE audio/RES0118.mp3[349.760,358.160] AND UH IN TERMS OF YOUR FAMILY HISTORY DOES ANYONE HAVE ANY LUNG CONDITIONS HEART CONDITIONS OR ANY CANCERS audio/RES0037.mp3[668.600,675.960] OK AND CURRENTLY DO YOU SMOKE CIGARETTES audio/MSK0021.mp3[635.160,640.440] OK AND HOW ABOUT SQUATTING DOWN audio/RES0167.mp3[96.400,98.880] I THINK IT WAS FOUR DAYS AGO audio/RES0104.mp3[753.360,760.040] ALRIGHT AND IF IF YOURE WHILE YOURE HERE IF YOUR SHORTNESS OF BREATH GETS ANY WORSE AT ALL JUST LET US KNOW AND WELL HELP YOU OUT audio/RES0105.mp3[236.080,242.600] OK SO HAVE YOU JUST TRIED LIKE TRIED IT ONE TIME LAST NIGHT HAVE YOU TRIED IT AFTER THAT audio/RES0119.mp3[124.680,130.400] UHM ITS NO NOTHING LIKE THAT audio/RES0052.mp3[335.160,343.960] OK AND HAS SHE MENTIONED ANYTHING ABOUT HEADACHES audio/MSK0013.mp3[650.560,655.880] OK AND IS THERE ANY DEFORMITIES OR MISALIGNMENT OF ANY OF THE JOINTS audio/RES0045.mp3[530.280,538.040] OK UM ANY REASON TO BELIEVE THAT YOUVE BEEN AROUND ANY SICK CONTACTS RECENTLY audio/MSK0011.mp3[665.400,681.160] YEAH LIKE I MEAN IF I THERES ONE SPOT THAT IF I PRESS DOWN ON IT ITS LIKE 10 OF THE 10 PAIN IT HURTS REALLY BAD IF I PRESS AT THE BASE OF MY THUMB THERE audio/RES0061.mp3[482.760,494.960] YEAH IVE BEEN TAKING VITAMIN AND ALSO A MULTIVITAMIN I HEARD THAT THAT WE DONT GET ENOUGH VITAMIN THROUGHOUT THE WINTER audio/RES0012.mp3[801.240,802.520] IM AN ACCOUNTANT audio/RES0049.mp3[269.280,272.480] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0207.mp3[382.800,385.160] NICE AND THATS SOUNDS GREAT OK AND UH DO YOU SMOKE audio/RES0207.mp3[356.880,359.160] OH WOW SWEET 16 audio/RES0004.mp3[792.120,796.640] YEAH NO ONES NO ONES SICK AT HOME audio/RES0192.mp3[332.480,348.640] OK ALRIGHT SO IT SOUNDS LIKE THIS THIS DRY COUGH AND THEN AND SHORTNESS OF BREATH IT IS MOSTLY WHAT YOU BEEN UM EXPERIENCING AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0100.mp3[739.360,758.240] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY AND SO NEXT WELL GO AHEAD AND GET VITALS AND DO A PHYSICAL EXAM BUT DID YOU HAVE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR ANY OTHER SYMPTOMS MAYBE audio/RES0132.mp3[488.520,490.000] UH NO audio/RES0210.mp3[13.120,16.120] OK SO STARTED TWO DAYS AGO audio/MSK0008.mp3[459.280,470.760] OK GREAT UM AND ANY CHANCE THAT YOU COULD BE PREGNANT audio/RES0138.mp3[495.520,498.480] AND A GLASS OF WHAT WOULD YOU DRINK audio/RES0049.mp3[221.880,225.000] NO OK HOW ABOUT WE WHEEZINESS audio/RES0093.mp3[299.640,305.680] UH YEAH I HAVE UHM HIGH BLOOD PRESSURE audio/RES0105.mp3[111.720,119.040] UHM YEAH I I DID HAVE SOME CHILLS LAST NIGHT SO IM NOT SURE ABOUT A FEVER THOUGH audio/RES0117.mp3[296.280,297.920] NO I DONT THINK SO audio/RES0061.mp3[308.800,310.560] NO BLOOD NO BLOOD audio/MSK0014.mp3[289.400,292.760] ALRIGHT HAVE YOU HAD ANY LOSS OF APPETITE audio/RES0169.mp3[373.880,388.560] NO IVE HEARD OF OTHER PEOPLE I MEAN IN HIGH SCHOOL DOING STUFF LIKE THAT BUT I HAVENT BEEN AROUND ANYTHING LIKE THAT audio/RES0003.mp3[176.320,179.360] OK HOW ABOUT HEADACHES audio/RES0018.mp3[349.320,356.480] NO IVE BEEN PRETTY LUCKY NO MEDICAL CONDITIONS I DONT EVEN TAKE ANY MEDICATIONS EITHER audio/MSK0038.mp3[752.400,763.240] YEAH THAT FEELS OK TOO IF IM JUST SITTING AND DOING THAT I CAN UM I CAN DO THAT OK audio/RES0187.mp3[557.440,566.200] OK OK UHM AND HAVE ANY OF THEM BEEN SICK OR HAVE THEY ALL BEEN PRETTY HEALTHY audio/RES0045.mp3[386.600,389.760] NO ANY NAUSEA OR VOMITING audio/RES0017.mp3[472.160,476.680] OK AND HAVE YOU NOTICED ANY SKIN RASHES audio/MSK0029.mp3[157.600,162.320] OK AND YOU SAID THIS HAPPENED YESTERDAY RIGHT audio/RES0107.mp3[293.680,296.240] NO ANY CONFUSION THAT YOU NOTICED audio/RES0070.mp3[482.480,492.560] NO I DIDNT I DID YES I I DID MEET UP WITH MY FRIENDS AND WE WENT OUT FOR DINNER I KNOW WERE NOT SUPPOSED TO BUT ITS BEEN SUCH A LONG TIME audio/MSK0003.mp3[303.120,324.000] ITS BEEN SIMILARLY GETTING A LITTLE BIT MORE PROGRESSIVE I MEAN SOME DAYS IM JUST FEELING LIKE I JUST WANT TO LAY AROUND AND REST CAUSE IM FEELING JUST SO BURNT OUT AND OTHER DAYS IM OK BUT IM CERTAINLY MORE TIRED THAN USUAL audio/MSK0029.mp3[516.640,522.640] NO OK HOW ABOUT MEDICATIONS ARE YOU ON ANY audio/MSK0006.mp3[356.560,363.800] OK ANY CHEST PAIN PALPITATIONS UH OR DIZZINESS OR FAINTING SPELLS audio/RES0082.mp3[121.520,127.360] OK AND YOU HAVENT BEEN FEELING FEVERISH OR HAVING HAVING ANY CHILLS RIGHT audio/MSK0039.mp3[433.160,436.360] UH NO NOT THAT I KNOW OF audio/RES0030.mp3[30.440,37.080] OK AND HAVE YOU NOTICED AT ALL ANY KIND OF BLOOD IN THE COUGH audio/MSK0010.mp3[514.440,518.240] OK GREAT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0069.mp3[111.080,113.320] NO NEITHER OF THOSE audio/RES0158.mp3[144.280,149.960] OK AND HAVE YOU HAD ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0130.mp3[433.080,437.120] YEAH ABSOLUTELY THANK YOU audio/RES0097.mp3[236.080,239.800] NO NO NO audio/RES0133.mp3[181.280,188.640] ALRIGHT IS THERE ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS audio/CAR0005.mp3[94.160,98.640] UH NO ITS BEEN ABOUT THE SAME audio/RES0095.mp3[328.480,357.880] SO THIS IS A MEASURE OF BODY MASS INDEX AND UHM CAN HELP GIVE AN INDICATION ABOUT WEIGHT RANGES UHM WHETHER UHM BEING IN A HEALTHY WEIGHT RANGE OR UHM A WEIGHT RANGE THATS ASSOCIATED WITH UHM RISK OF CERTAIN DISEASES SUCH AS HIGH BLOOD PRESSURE audio/RES0215.mp3[519.200,522.440] ASIDE FROM THE OCCASIONAL REACTINE audio/RES0059.mp3[516.320,519.600] YEAH I WOULD SAY SOMETHING ABOUT THAT YEAH ITS NOT MUCH audio/RES0124.mp3[252.640,255.000] UH SORRY CAN YOU SAY THAT AGAIN audio/MSK0019.mp3[570.840,590.320] UM YEAH IF I IF I COMPLETELY STRAIGHTEN OUT MY WRIST UH THEN LIKE I JUST FEEL A BIT OF UH SORENESS BUT NOT AS MUCH PAIN AS WHEN I UM AM LIFTING SOMETHING WITH MY WRIST OR JUST RAISING MY WRIST UPWARDS audio/RES0130.mp3[492.360,500.600] YEAH SO I LIVE IN UH IN AN APARTMENT WITH MY WITH MY HUSBAND audio/RES0191.mp3[403.800,406.440] OK DO YOU DRINK ALCOHOL audio/RES0182.mp3[80.480,88.280] UH YEAH ITS YEAH THERES SPUTUM FOR SURE AND IT LOOKS BLOODY audio/RES0070.mp3[153.960,169.640] OK AND I MEAN THE ADVIL OR TYLENOL IT HELPS THE SYMPTOMS FOR A BRIEF PERIOD BUT HAS THERE BEEN ANYTHING ELSE THATS HELPED YOUR HEADACHE audio/RES0151.mp3[483.320,489.120] AND DO YOU USE CONDOMS OR ANY FORM OF BIRTH CONTROL audio/RES0116.mp3[223.440,230.520] UM RIGHT NOW HAVE YOU NOTICED ANY CHANGES IN HIS VISION IN HIS SMELL OR TASTE audio/RES0084.mp3[584.760,588.960] YEAH I THINK SO audio/RES0096.mp3[455.720,463.080] ITS BEEN UH I WAS UH I WAS ACTUALLY HOSPITALIZED ABOUT FOUR OR FIVE TIMES LAST YEAR audio/MSK0037.mp3[371.760,375.280] ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/MSK0023.mp3[335.240,347.040] I AM YEAH IM IN GRADE GRADE 10 AND PLAYING WELL PLAYING ON THE THE HIGH SCHOOL BASKETBALL TEAM AND THATS HOW I GOT THIS INJURY HERE audio/RES0004.mp3[14.720,22.760] UM IVE HAD A SORE THROAT NOW FOR A COUPLE OF WEEKS AND ITS JUST NOT GOING AWAY audio/RES0102.mp3[610.160,629.560] YEAH I DO HAVE UH TYPE 2 DIABETES AS WELL AS HIGH BLOOD PRESSURE IVE BEEN DIAGNOSED WITH DEPRESSION BEFORE AS WELL I DO TAKE A FEW MEDICATIONS FOR DIABETES AND BLOOD PRESSURE IM NOT ON INSULIN THOUGH audio/RES0074.mp3[251.640,254.400] SHORTNESS OF BREATH audio/RES0179.mp3[347.160,351.480] CONFUSION OR MEMORY LOSS audio/MSK0033.mp3[782.800,785.440] OK THAT SOUNDS GREAT THANK YOU audio/RES0177.mp3[633.000,636.200] THAT SOUNDS GREAT THANK YOU audio/RES0184.mp3[152.520,156.360] NO ITS PRETTY DRY audio/RES0032.mp3[115.560,119.840] YEAH THE COUGH HAS BEEN GETTING WORSE audio/RES0001.mp3[282.480,290.760] NO OK UM HAVE YOU EXPERIENCED ANY CHANGES IN YOUR VISION audio/RES0059.mp3[29.840,32.800] OK SO NO SPUTUM NO BLOOD audio/RES0011.mp3[366.160,371.880] ALRIGHT THEN ANY HEART PALPITATIONS audio/MSK0022.mp3[263.240,282.560] I I WOULD SAY THE LIKE THE BIG TOE JOINT ON BOTH OF MY FEET THOSE BOTHER ME YEAH BUT MY BIG MY BIG TOE ON ON BOTH FEET BUT MY RIGHT FOOTS WORSE THAN THE OTHER audio/RES0038.mp3[326.800,333.920] DO YOU EVER FEEL YOUR HEART IS RACING WHEN YOU GET LIKE THESE THUMPING LIKE HEART PALPITATIONS audio/RES0085.mp3[326.840,328.520] NO NOTHING LIKE THAT audio/RES0043.mp3[622.760,629.160] SO YEAH YEAH LIKE SORRY GO AHEAD audio/RES0016.mp3[332.960,336.160] OK HOW ABOUT NAUSEA AND VOMITING audio/GAS0005.mp3[152.520,164.120] UH NO I DIDNT NOTICE ANY BLOOD AND I DIDNT NOTICE ANY GREEN MATERIAL IT WAS MAINLY JUST LIKE LIKE NORMAL VOMIT LIKE YELLOWISH COLOR audio/RES0045.mp3[434.440,438.640] OK UM ARE YOU ON ANY MEDICATIONS audio/MSK0018.mp3[77.880,84.680] NEVER OKAY AND ARE YOU ABLE TO MOVE YOUR ARM AT ALL OR YOU CANT MOVE IT audio/RES0135.mp3[0.000,2.400] HOW CAN I HELP YOU TODAY audio/RES0174.mp3[330.800,336.120] ALRIGHT AND ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/RES0114.mp3[349.400,351.760] UH NO WHATS THAT audio/MSK0014.mp3[475.400,489.080] SURGERIES I DID HAVE MY APPENDIX REMOVED WHEN I WAS YOUNG AND ALSO I WAS HOSPITALIZED AFTER MY HEART ATTACK A COUPLE YEARS AGO audio/RES0097.mp3[200.520,209.000] ALRIGHT AND HAS THE FEVER BEEN THERE THE WHOLE WHOLE TIME IF YOURE AWARE OR HAS THAT KIND OF COME AND GONE audio/RES0185.mp3[198.680,201.840] OK ANY CHANGES IN YOUR URINE audio/RES0078.mp3[260.080,266.160] UH YEAH I KIND OF FEEL IT YEAH JUST OVER ON THE RIGHT SIDE OF THE STERNUM audio/RES0080.mp3[256.400,258.280] ANY BOWEL PROBLEMS audio/RES0148.mp3[175.760,181.760] OK AND HAVE YOU HAD ANY SKIN CHANGES OR UH RASHES audio/RES0051.mp3[33.520,41.400] ARE YOU BRINGING UP ANY ANY PHLEGM audio/GAS0005.mp3[473.120,478.320] UH NO UH NOT NOT ANYTHING THAT WE KNOW OF YET audio/RES0149.mp3[454.560,455.480] UH NO audio/RES0025.mp3[609.800,653.960] SURE UM OK I THINK THATS ALL THE QUESTIONS THAT I HAD FOR YOU TODAY SO IT SOUNDS LIKE THERES PROBABLY SOME KIND OF INFECTION GOING ON WHAT IT IS EXACTLY ITS HARD TO SAY THERE ARE SOME CASES OF COVID19 THAT THAT ARE MORE LIKE GI SYMPTOMS THEN THAN SIMPLY RESPIRATORY SYMPTOMS SO I THINK WE SHOULD PROBABLY GIVE YOU A COVISWAB AND THEN WE ASK THAT YOU AND EVERYONE IN YOUR HOUSE SELFISOLATES FOR A FEW DAYS UNTIL YOUVE GOT IT IN A NEGATIVE RESULT AND IN A FEW DAYS WITHOUT SYMPTOMS audio/RES0104.mp3[96.960,107.000] UH I WOULD SAY YEAH MAYBE THREE OR FOUR TEASPOONS EVERY EVERY COUPLE HOURS audio/RES0073.mp3[184.400,201.600] YES I WOULD SAY MAINLY OVER THE CHEEKS IT CAN KIND OF GO NEAR THE FRONT OF MY TEETH AS WELL SO LIKE I WOULD SAY LIKE MOSTLY AROUND THE CHEEKS JAWS AND UP TO THE FRONT OF MY TEETH audio/RES0001.mp3[559.960,566.440] YOU ARE OK ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0014.mp3[450.040,456.160] NOT NOT EVEN LIKE HEART CONDITIONS CANCER audio/RES0112.mp3[90.920,97.920] UM OK SO HE HAD THESE SYMPTOMS ABOUT A WEEK AGO DID HE SEE ANY DID YOU TAKE HIM TO THE HOSPITAL OR TO A CLINIC audio/RES0075.mp3[561.200,588.760] I THINK RIGHT NOW YOURE SPEAKING IN FULL SENTENCES AND YOURE NOT SHORT OF BREATH AT REST TYPICALLY WHEN THIS THIS HAPPENS IF ITS SMALL ENOUGH ITLL USUALLY RESOLVE ON ITS OWN AND SO WELL GET SOME MORE INFORMATION FROM THE IMAGING AND THE LAB RESULTS BUT ITS REASSURING THAT YOU HAVENT BEEN GETTING WORSE SINCE IT HAPPENED audio/RES0011.mp3[590.880,601.000] OK UM AND HAS ANYTHING LIKE THIS HAPPENED TO YOU OR ANY OF YOUR FAMILY MEMBERS BEFORE SUDDENLY THEY START STARTED TO FEEL FATIGUE LIKE THIS audio/RES0064.mp3[401.480,408.920] NO WEVE BEEN AT HOME HAVENT LEFT EVEN TO GO TO LIKE A DIFFERENT CITY HAVE BEEN IN LONDON THE WHOLE TIME audio/MSK0005.mp3[18.440,30.960] OK SO YOU SAID SEVERAL MONTHS AGO UM DID ANYTHING HAPPEN SEVERAL MONTHS AGO WAS THERE ANY SORT OF TRIGGER TRAUMA ANYTHING LIKE THAT TO THAT AREA audio/RES0215.mp3[372.480,383.200] UH YEAH SO SHE ITS NOT LIKE SHE TURNS BLUE OR ANYTHING LIKE THAT UM SHE JUST SLIGHTLY SLIGHTLY HAS A HARD TIME CATCHING HER BREATH audio/MSK0015.mp3[273.520,277.080] ANY NAUSEA OR VOMITING audio/RES0143.mp3[300.040,303.840] NO NO I DONT TAKE ANY MEDICATION audio/RES0053.mp3[421.560,426.240] ANY NAUSEA OR VOMITING audio/RES0178.mp3[224.720,229.000] OK ANY CHANGES IN HIS BOWEL MOVEMENTS audio/MSK0044.mp3[148.200,150.560] YEAH IT DOES audio/RES0152.mp3[226.800,234.280] YEAH I THINK IVE LOST MAYBE 10 POUNDS IN THE LAST COUPLE MONTHS audio/MSK0021.mp3[137.040,147.160] OK UHM ALRIGHT AND DO YOU ARE YOU EXPERIENCING ANY SORT OF MUSCLE WEAKNESS audio/RES0114.mp3[602.720,605.760] YEAH ITS JUST UH ME AND MY WIFE audio/RES0088.mp3[554.680,568.360] OK OTHER THAN THAT WERE THERE ANY DEVELOPMENTAL CHALLENGES AT ALL WHILE SHE WAS GROWING UP DID SHE WAS SHE MEETING HER MILESTONES ANY CONCERNS AT ALL audio/RES0077.mp3[664.520,672.480] I DO YEAH I WORK AT A CAR FACTORY NEARBY JUST ON THE ASSEMBLY LINE audio/RES0145.mp3[133.400,161.200] YEAH BUT THAT YOU MENTION THAT YEAH I I HAVE HAD LIKE SOME ITCHY EYES THAT AND A RUNNY NOSE I WAS SNEEZING QUITE A BIT LAST WEEK BUT THAT HAS KIND OF AH GONE AWAY NOW audio/RES0086.mp3[123.400,148.520] SO YEAH IN THE LAST I WOULD SAY TWO MONTHS IVE NOTICED IT SIMILARLY TO WHEN I WAS YOUNGER ESPECIALLY WHEN IM ON THE TREADMILL OR RUNNING I GET SHORT OF BREATH VERY EASILY BUT AT REST IM FINE I DONT HAVE ANY TROUBLE BUT IVE NOTICED IT FOR THE LAST FEW MONTHS audio/RES0178.mp3[76.640,80.280] CHEST PAIN audio/RES0077.mp3[48.280,72.280] YEAH I BROUGHT UP A LITTLE BIT OF SPUTUM ITS BEEN CLEAR MOSTLY CLEAR AND SOMETIMES DRY AS WELL THE COUGHS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AND HASNT REALLY STOPPED EITHER ITS JUST KIND OF ONGOING ALL DAY audio/RES0090.mp3[60.720,72.800] UH NOT REALLY I MEAN THERE ITS IT WAS A LITTLE BIT YELLOW BUT NOW ITS JUST MOSTLY BLOOD audio/RES0092.mp3[263.200,265.440] UHM NO NOTHING LIKE THAT audio/MSK0010.mp3[425.760,438.840] UM I DO YOU FEEL THAT THERE MIGHT BE SOME LESS STRENGTH IN MY LEFT ARM BUT ITS IM NOT REALLY USING IT MUCH SO ITS HARD TO TELL audio/RES0038.mp3[741.520,744.200] THAT SOUNDS GREAT THANK YOU audio/MSK0027.mp3[486.560,489.040] UHM NO audio/RES0088.mp3[189.480,206.640] UHM NOT OVER THE COUNTER MEDICATIONS BUT LIKE I TRIED TO GET HER TO LIKE GARGLE WITH LIKE SALT WATER AND ALL THAT KIND OF STUFF BUT THAT DIDNT SEEM TO HELP audio/RES0201.mp3[149.480,154.800] DO YOU FEEL LIKE ITS ALL THE TIME OR IS IT ON AND OFF audio/MSK0045.mp3[332.160,338.120] HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/MSK0016.mp3[459.840,466.480] HAVE YOU BEEN WORKED UP FOR ALL OF THAT LIKE HIGH BLOOD PRESSURE DIABETES CHOLESTEROL audio/RES0214.mp3[94.440,100.840] OK WHAT ABOUT ANY PAIN IN ANY OF YOUR JOINTS AND YOUR KNEES HIPS audio/MSK0037.mp3[376.160,380.480] AN ANY SKIN CHANGES LIKE RASHES audio/MSK0040.mp3[402.120,413.640] OK OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES BEFORE OR ANY REASONS FOR HOSPITALIZATIONS audio/RES0013.mp3[286.320,298.960] OK OK OK ANY CHANGES IN YOUR VISION HEARING OR SMELL audio/RES0003.mp3[189.120,202.720] I I MEAN HIS SISTER HAS HAD HAD SOME COLDS SHES ALSO IN HIS DAYCARE SO I MEAN MAYBE HER audio/RES0017.mp3[211.240,218.840] IT DOES GET A LITTLE BIT MORE STIFF IN THE MORNING BUT ITS KIND OF JUST THERE THROUGHOUT THE DAY audio/RES0086.mp3[607.840,611.960] OK GOOD AND WHERES HOME audio/RES0164.mp3[271.600,279.120] OK COUGHS GOTTEN BETTER YEAH DOES HE HAVE VISIT RUSH IT SO IS IT MAINLY JUST ON HIS FOREHEAD OR ALSO ON HIS CHEEKS audio/RES0102.mp3[784.600,808.560] NO ITS THE CHEST PAIN WELL I GUESS IF IM LIKE MOVING AROUND A LOT BUT ITS NOT IT DOESNT COME ON UH LIKE BECAUSE OF LIKE PHYSICAL ACTIVITY I JUST FEEL IT LIKE ANYTIME IM LIKE WHEN IM BREATHING IN OR EVEN JUST MOVING MY BODY AROUND IN THE CHAIR audio/RES0015.mp3[595.000,596.840] YEAH AS FAR AS I KNOW audio/RES0125.mp3[499.200,509.080] UM I DONT I TRY IVE BEEN TRYING TO CUT DOWN SO I I SMOKE ABOUT 3 OR 4 CIGARETTES A WEEK I USED TO SMOKE A LOT MORE BEFORE audio/RES0213.mp3[7.320,11.000] CHEST PAIN OK WHEN DID THE CHEST PAIN START audio/RES0123.mp3[511.880,518.320] SURE YEAH AND HAVE YOU UH TAKEN ANY MEDICATIONS FOR IT audio/RES0073.mp3[617.000,621.560] ALRIGHT AND HOW ABOUT ANY CANCER IN THE FAMILY audio/RES0048.mp3[333.200,337.800] OK DIZZINESS OR FAINTING SPELLS audio/RES0114.mp3[191.000,194.680] OK FEVERS audio/CAR0005.mp3[275.360,279.560] NO PREVIOUSLY HEALTHY audio/RES0014.mp3[497.880,514.440] UH NO ITS FAIRLY NEW BUT ONE THING I DID NOTICE I DONT KNOW IF THIS HAS ANYTHING TO DO WITH IT BUT MY FLATMATE ACTUALLY SMOKES SOMETIMES THAT CAN REALLY IRRITATE AND MAKE ME COUGH MORE SOMETIMES AT NIGHT audio/RES0159.mp3[138.800,145.320] UM ITS MAINLY JUST A LIKE A LIKE A DRY COUGH audio/RES0020.mp3[156.160,165.680] OK AND IS THIS TROUBLE BREATHING LIKE AFTER WALKING A CERTAIN DISTANCE OR EXERTING YOURSELF audio/RES0121.mp3[269.400,275.680] UH NO NOTHING LIKE THAT audio/RES0107.mp3[558.320,564.360] OK OK AND UH IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0152.mp3[63.280,76.880] OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP UM JUST TRYING TO THINK IN MAYBE UH TEASPOON SIZES IF YOU CAN audio/RES0039.mp3[424.280,432.760] UHM JUST BEEN WELL I HAVENT BEEN SLEEPING AS WELL WAKING UP ALL SWEATY AND THE COUGH IS KEPT ME UP A LITTLE BIT TOO audio/RES0036.mp3[638.400,642.160] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0169.mp3[215.600,219.760] OK ANY SURGERIES OR HOSPITALIZATIONS audio/RES0074.mp3[31.800,49.400] ID SAY LIKE 5 DAYS AGO IT STARTED AND IT FIRST BEGAN LIKE KIND OF A TICKLE BUT NOW ITS MORE LIKE EVEN SWALLOWING FOOD HURTS A LOT audio/RES0138.mp3[79.640,80.920] UM NO NO BLOOD audio/RES0025.mp3[418.440,421.800] FOR THE BACK PAIN ANYWAY audio/RES0101.mp3[512.320,517.080] OK AND AND WHAT WHAT DO YOU DO FOR UH FOR WORK audio/MSK0018.mp3[146.200,147.160] UH NO audio/RES0194.mp3[267.440,272.920] OK UM ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION audio/RES0106.mp3[404.880,406.200] UHM ONCE IN AWHILE audio/MSK0020.mp3[653.760,670.840] NO OK AND THEN IM GONNA GET YOU TO CAN YOU FLEX YOUR HIPS ALL THE WAY SO BEND SO FROM A SITTING POSITION STAND UP FIRST DOES IT HURT WHEN YOU EXTEND YOUR HIPS LIKE THAT audio/RES0003.mp3[385.800,394.840] OK OK GOOD UM AND HOW FAR ALONG WERE YOU WHEN WHEN YOU DELIVERED HIM audio/MSK0035.mp3[641.400,645.160] ITS ON THE PALM SIDE audio/RES0066.mp3[199.080,203.640] DO YOU HAVE ANY MUSCLE ACHES audio/GAS0007.mp3[226.040,236.600] MOST PART DOCTOR CHECKS MY SUGARS IM NOT TOO REGULAR ON THEM MYSELF BUT LAST TIME HE CHANGED MEDICATIONS WAS A COUPLE YEARS BACK AND IVE JUST BEEN ON THE SAME ONES EVER SINCE audio/RES0049.mp3[61.640,67.600] OK SO YOU HAVENT ACTUALLY TAKEN YOUR TEMPERATURE BUT IT YOU JUST FEEL LIKE YOU HAVE CHILLS audio/RES0053.mp3[271.880,276.120] NO WEIGHT LOSS HES A FAIRLY HEALTHY KID audio/RES0028.mp3[140.080,144.600] OK AND WHAT KIND OF PAIN DO YOU GET WHEN YOU BREATHE IN audio/RES0208.mp3[457.960,464.840] NO NOT THAT I CAN THINK OF audio/RES0100.mp3[85.000,89.840] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE audio/RES0014.mp3[541.320,544.320] OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/RES0011.mp3[509.640,547.040] I YEAH YEAH I UM OH GEEZ WHATS IT CALLED I TAKE RAMIPRIL AND I TAKE METFORMIN I WAS ON INSULIN BUT I PRETTY WELL I JUST HAVE BEEN ABLE TO EAT WELL SO IM NOT TAKING IT NOW AND THEN UH I CANT REMEMBER THE UH THE PROSTATE ONE LIKE TAM TAM SOMETHING audio/RES0063.mp3[176.360,179.880] OK CHEST PAIN OR YOU FEELING LIKE YOUR HEARTS RACING audio/RES0056.mp3[226.200,229.160] HOW ABOUT WHEEZING audio/RES0134.mp3[353.920,359.760] UM IT HASNT BEEN THE GREATEST BECAUSE I HAVENT BEEN FEELING WELL BUT IVE STILL BEEN EATING audio/RES0126.mp3[334.280,337.960] OK THIS WAS A MONTH AGO audio/RES0088.mp3[596.280,605.520] SHES AT HOME WITH MYSELF MY HUSBAND AND SHE HAS ONE YOUNGER SIBLING audio/RES0171.mp3[513.560,526.440] OK OK UHM YOU HAVENT EVER HAD ONE HAVE YOU audio/RES0130.mp3[245.200,252.520] EVERY ONCE IN A WHILE ILL GET A HEADACHE BUT ITS THEYRE PRETTY MILD USUALLY ILL TAKE AN ADVIL AND THEY GO AWAY audio/RES0176.mp3[374.720,378.560] HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS audio/RES0089.mp3[540.880,550.200] OK AND DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH WHEN YOURE LYING DOWN AT ALL audio/MSK0015.mp3[289.360,292.560] NO NOTHING LIKE THAT audio/RES0060.mp3[483.960,493.320] OK I JUST WANT TO ASK YOU A FEW MORE QUESTIONS ANY MEMORY LOSS OR CONFUSION audio/MSK0017.mp3[185.880,187.920] I WOULD SAY 7 audio/RES0207.mp3[431.040,434.320] OK SURE SEE YOU SHORTLY audio/RES0014.mp3[584.360,594.200] NO NO ONES EVER TOLD ME THAT BUT MY SISTER HAS ASTHMA SO I WAS WONDERING MAYBE audio/RES0072.mp3[353.680,368.000] YEAH I TOOK A TYLENOL CAUSE I STARTED FEELING A LITTLE BIT HOT AS WELL TO HELP ME SLEEP LAST NIGHT audio/MSK0043.mp3[757.080,759.200] YEAH ALL OF THOSE audio/MSK0012.mp3[440.440,444.120] HARDER TO WALK OK ARE YOU LIMPING AT ALL audio/RES0110.mp3[805.200,808.480] OH THATS VERY TRUE YEP YEP UH SO audio/CAR0004.mp3[273.440,282.160] OK AND ANY ALLERGIES AT ALL audio/RES0137.mp3[105.520,109.640] SHES ALSO VOMITED ONCE OR TWICE audio/DER0001.mp3[345.480,353.400] OK OH MY OTHER QUESTION ABOUT YOUR LEG WAS HAVE YOU LOST ANY FEELING IN IT audio/RES0042.mp3[479.200,484.400] NO OK UHM ALCOHOL audio/RES0037.mp3[586.200,589.720] UHM WHAT ARE THOSE audio/RES0006.mp3[529.160,535.000] OK HAVE YOU TRIED TO QUIT audio/RES0005.mp3[819.880,821.640] ALRIGHT YOURE WELCOME THANK YOU audio/MSK0004.mp3[407.120,423.880] OK ALRIGHT SO I JUST HAVE A FEW QUESTIONS RIGHT NOW OVER YOUR RIGHT ANKLE DO YOU HAVE SO YOU MENTIONED YOU DONT HAVE ANY SWELLING BUT DO YOU NOTICE ANY KIND OF REDNESS OR WARMTH AT ALL audio/RES0214.mp3[397.080,401.240] GOT IT ANY OTHER RECREATIONAL DRUGS SUBSTANCES audio/RES0189.mp3[596.880,601.480] OK HOW LONG HAVE YOU SMOKED FOR APPROXIMATELY audio/RES0050.mp3[333.040,335.080] UM NO audio/RES0123.mp3[86.080,91.880] OH WOW YEAH THAT SOUNDS SEVERE HOW LONG HAVE YOU HOW LONG HAS IT BEEN A 7 FOR audio/RES0024.mp3[281.920,287.840] OK AND HOW OFTEN ARE YOU USING THE CREAM audio/MSK0013.mp3[214.760,217.080] HOW ABOUT ANY ABDOMINAL PAIN audio/MSK0010.mp3[482.720,488.720] OK UM AND HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE CONSTIPATION OR DIARRHEA audio/MSK0008.mp3[737.680,744.560] OK AND REFLEXES ARE NORMAL audio/RES0173.mp3[338.080,347.560] OK YOU SEE YEAH YOU HAVENT HAD ASTHMA IN THE PAST OR OR ANYTHING LIKE THAT audio/RES0048.mp3[231.880,249.600] COULDNT TAKE DEEP BREATHS LIKE I NOTICED THAT MY BREATHING WAS GETTING A LITTLE BIT MORE MORE SHALLOW AND NOW ITS ESPECIALLY WHEN IM COUGHING ITS LIKE I REALLY HAVE TO SIT DOWN AND CATCH MY BREATH audio/RES0117.mp3[156.640,158.840] UH SWELLING IN YOUR LIMBS audio/RES0163.mp3[429.080,438.920] OK AND DO YOU EVER GET DO YOU EVER WAKE UP AT NIGHT TRYING TO TAKE A BREATH LIKE JUST GASPING FOR AIR audio/RES0125.mp3[385.600,390.320] UM I WAS TOLD THAT I GOT A RASH WHEN I WAS A CHILD I DONT REALLY REMEMBER audio/RES0212.mp3[398.760,401.960] OK HOW OFTEN WE SAY YOU DO THAT A WEEK audio/MSK0011.mp3[342.360,345.440] JUST A MULTI VITAMIN audio/RES0089.mp3[494.440,501.720] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0179.mp3[253.000,256.280] NO ANY CALF PAIN WHEN YOU WALK A LOT audio/RES0213.mp3[433.360,438.080] NO LIKE I LIVE ALONE I HAVENT REALLY SEEN VERY MANY PEOPLE LATELY audio/RES0182.mp3[380.760,386.000] UM IM WORKING FROM HOME RIGHT NOW audio/RES0101.mp3[344.520,348.560] HAVE YOU HAD ANY SKIN CHANGES OR OR RASHES audio/RES0119.mp3[331.040,336.520] I HAVENT CHECKED OVER THE PAST MONTH BUT BEFORE THAT NO NO CHANGES audio/RES0071.mp3[580.520,589.040] OK AND DO YOU LIVE IN AN APARTMENT OR DORM A HOUSE audio/GAS0003.mp3[207.000,209.720] NO I DONT THINK SO audio/RES0140.mp3[295.920,300.280] DO YOU DRINK ALCOHOL audio/RES0206.mp3[305.120,317.000] ALRIGHT AND HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK audio/RES0196.mp3[122.400,124.560] NO I DIDNT NOTICE THAT audio/RES0048.mp3[43.720,49.240] THAT JUST STARTED IN THE LAST UH I THINK 3 DAYS audio/RES0045.mp3[117.480,131.440] OK UM HOW ABOUT AH OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS ITS IT SOUNDS BARKY IT SOUNDS HARSH UM HOW WOULD YOU DESCRIBE IT audio/MSK0011.mp3[571.960,577.040] NO STAYED AWAY FROM THAT AS WELL audio/RES0124.mp3[552.960,567.760] UM MY OLDER SISTER HAS ASTHMA AND UH I DONT KNOW IF ANYONE ELSE IN THE FAMILY HAS ASTHMA UM I THINK MY FATHER HAS HIGH BLOOD PRESSURE audio/RES0062.mp3[795.720,797.320] SOUNDS FAMILIAR audio/RES0139.mp3[276.480,279.640] JUST THE RAMIPRIL audio/RES0208.mp3[184.560,191.280] I SEE OK HAVE YOU HAD A RUNNY NOSE OR ANY CONGESTION audio/RES0038.mp3[258.880,265.720] OK AND DO YOU EVER FEEL THAT YOURE SHORT OF BREATH AT ALL audio/RES0039.mp3[717.200,728.960] OK SOUNDS GOOD UM ANY UH SO NO RECREATIONAL SO JUST BESIDES MARIJUANA ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OR CRYSTAL METH ANYTHING OF THAT SORT audio/RES0096.mp3[543.440,547.760] YOU SMOKE MARIJUANA OR USE MARIJUANA PRODUCTS audio/RES0193.mp3[154.880,162.480] I SEE UM HAS HE HAD ANY UH SORE THROAT RUNNY NOSE COLD LIKE SYMPTOMS AT ALL RECENTLY audio/RES0061.mp3[592.040,596.400] PROBABLY CLOSER TO A YEAR AGO NOW ACTUALLY audio/RES0215.mp3[541.560,544.360] OK DO YOU TWO LIVE IN A HOUSE IN TOWN audio/RES0195.mp3[453.480,462.760] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE ANY LUNG OR HEART CONDITIONS audio/MSK0042.mp3[860.360,868.760] ALRIGHT SO WELL GET THAT WELL GET THAT ORDERED audio/RES0068.mp3[242.360,247.880] OK AND HOW MANY DAYS WOULD YOU SAY YOUVE BEEN FEELING TIRED FOR audio/RES0022.mp3[384.360,388.800] LIKE YESTERDAY YESTERDAY audio/RES0018.mp3[134.960,148.600] NO I HAVENT I I JUST HAD LIKE CHILLS OVER THE LAST TWO NIGHTS JUST HAD TO PUT ON LIKE 3 THREE BLANKETS JUST TO GET TO SLEEP BUT I HAVENT REALLY CHECKED MY TEMPERATURE audio/RES0034.mp3[327.360,333.160] OK AND HOW IS SHE BEEN IN TERMS OF MOOD OR OR BEHAVIOUR audio/RES0096.mp3[438.400,443.680] OK AND ARE YOU ALLERGIC TO ANY MEDICATIONS OR HAVE ANY ALLERGIES audio/MSK0031.mp3[64.240,68.240] YEAH ITS ITS REALLY EXCRUCIATING audio/RES0122.mp3[2.800,24.960] UH YEAH SO I I JUST CAME IN BECAUSE IVE BEEN HAVING FOR THE LAST I WOULD SAY 2 WEEKS JUST A LOT OF CONGESTION IN MY NOSE AND THEN IVE ALSO BEEN FEELING A LOT OF PRESSURE IN MY HEAD AS WELL AS JUST AROUND MY JAWS AND MY FACE OVERALL audio/RES0217.mp3[70.640,79.560] OK SO WHEN YOU PICKED IT OFF THE TICK OBVIOUSLY YOU HAVE IT FOR ME IS IT QUITE SWOLLEN OR ENGORGED audio/RES0030.mp3[80.800,87.440] I DO COUGH THROUGHOUT THE DAY BUT I FIND ITS WORSE IN THE MORNING audio/RES0047.mp3[231.960,241.240] UH I WOULD SAY AN 8 ITS BEEN REALLY TOUGH ITS BEEN GETTING REALLY DIFFICULT TO UM BREATHE audio/RES0066.mp3[559.320,568.000] I DRINK LIKE A GLASS OF WINE A WEEK audio/RES0202.mp3[568.200,579.000] NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL UM BUT HE GOES TO SCHOOL RIGHT NOW SO KINDA HARD TO SAY audio/MSK0026.mp3[241.320,251.760] OK AND UM OK AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0145.mp3[197.600,203.680] UHM AND HAVE YOU HAD ANY CHANGES IN YOUR SENSE OF SMELL audio/RES0022.mp3[939.760,991.440] ITS VERY POSSIBLE BECAUSE OF HOW GENERAL THE SYMPTOMS ARE FOR COVID AND SO ITS SOMETHING THAT WE WANT TO TEST FOR THAT BEING SAID YOU COULD HAVE ANOTHER VIRAL ILLNESS SUCH AS THE COMMON COLD LIKE ADENOVIRUS OR YOU COULD HAVE A BACTERIAL INFECTION THATS NOT COVID REALLY RELATED AT ALL OR THIS COULD BE AN EXACERBATION OF YOUR COPAND MAYBE WE NEED WE NEED TO JUST TITRATE YOUR INHALER SO WELL NEED TO JUST RUN SOME LAB WORK AND DO THE PCR NASAL SWAB AS PART OF THE WORK UP AN WE WILL SEE WHAT SOME OF THOSE INVESTIGATIONS SHOW audio/RES0099.mp3[158.760,172.960] UH NO ITS STILL LIKE LIKE I CAN STILL COPE WITH IT LIKE IF I WANTED TO I WOULD HAVE GONE INTO WORK BUT IT WAS THE MUSCLE ACHES THAT REALLY STARTED BOTHERING ME audio/RES0174.mp3[639.040,641.760] AND HAVE YOU BEEN PREGNANT IN THE PAST audio/RES0081.mp3[382.040,389.680] UHM NO WE DONT I HAVE TO GO GET THAT AND LEARN HOW TO USE IT audio/RES0047.mp3[400.600,402.080] YEAH THATS BEEN NORMAL audio/MSK0042.mp3[413.880,423.200] OKAY UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND UH WHERE audio/RES0191.mp3[284.160,286.560] NO I DONT TAKE ANY MEDICATIONS audio/RES0077.mp3[78.000,82.840] OK AND HOW MUCH SPUTUM WOULD YOU SAY YOURE BRINGING UP audio/RES0046.mp3[48.800,62.320] OK UM HAVE YOU NOTICED ANY TRIGGERS FOR YOUR COUGHING LIKE ENVIRONMENTAL CAUSES LIKE THE COLD UH TIME OF DAY WHETHER THATS MORNING OR NIGHT UM OLD CARPETS ANYTHING LIKE THAT audio/MSK0043.mp3[390.640,393.560] NO NO WEAKNESS audio/RES0117.mp3[369.560,440.200] YEAH SO UM THATS DEFINITELY HIGH ON OUR DIFFERENTIAL SO WELL DO A COUPLE OF THINGS WELL DO A COVID SWAB ON YOU UM JUST TO RULE THAT IN OR OUT YOU SHOULD HEAR BACK FOR ABOUT THOSE RESULTS IN 24 TO 48 HOURS WHILE YOURE HERE IN THE HOSPITAL WERE ALSO GOING TO DO A CHEST XRAY AND OR LIKE AN AFB SMEAR TO SEE IF YOU HAVE ACTIVE TB OR LATENT TB IF THOSE COME BACK POSITIVE UM WE WILL REQUIRE YOU TO ISOLATE BECAUSE THIS UH BECAUSE TB IS HIGHLY INFECTIOUS AND ITS AIRBORNE UM SO WE HAVE A COUPLE OF UH WE HAVE LIKE A REGIMEN THAT WED PUT YOU ON ITS CALLED THE RIPE MEDICATIONS THAT WE KEEP YOU ON FOR TWO MONTHS AND THEN WE CONTINUE A COUPLE OF THOSE FOR ANOTHER FOUR MONTHS UM BUT WE WILL UH KEEP YOU HERE UNTIL WE HAVE MORE ANSWERS ON UM LIKE FROM THIS TB STANDPOINT HOW DOES THAT SOUND audio/RES0116.mp3[516.520,523.080] SO HE LIVES WITH UM ME HIS FATHER AND HIS MOTHER AS WELL audio/RES0206.mp3[467.720,478.120] I LIKE PRETTY OK EXCEPT FOR LIKE IF I GET SICK I SO YEAH ITS BEEN audio/MSK0027.mp3[489.040,493.280] HOW ABOUT ANY HEART OR LUNG CONDITIONS audio/GAS0007.mp3[269.880,276.320] DO YOU HAVE ANY FAMILY HISTORY OF GASTROINTESTINAL PROBLEMS audio/RES0085.mp3[361.080,364.920] OK ANY CANCERS IN THE FAMILY audio/RES0010.mp3[9.160,23.920] OH IM SORRY UH CAN YOU CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT SO YOU UM YOUVE ONLY HAD THIS SORE THROAT FOR ONE NIGHT audio/MSK0049.mp3[0.000,1.040] HOW MAY I HELP YOU audio/RES0164.mp3[476.320,482.560] OK AND DOES HE GO TO SCHOOL AT ALL WHAT GRADE IS HE IN audio/RES0014.mp3[415.080,421.520] UH JUST LIKE HAY FEVER BUT NOTHING NOTHING ELSE THAT I CAN THINK OF NO audio/RES0001.mp3[387.000,395.080] NO OK AND NOT WHEN YOURE OK NOT WHEN YOURE LAYING DOWN OK UM ALRIGHT AND IN TERMS OF LIKE audio/RES0123.mp3[492.840,499.640] ALRIGHT AND UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0205.mp3[76.320,82.680] NOW ITS DRY OK HOW LONG WHAT WAS THE TIMELINE FOR THAT I GUESS HOW LONG audio/RES0047.mp3[415.720,417.840] NO OK ANY FATIGUE audio/RES0081.mp3[203.200,208.280] HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL WHEN HES GOING TO THE BATHROOM audio/GAS0005.mp3[653.320,655.760] NO NO CONCERNS LIKE THAT audio/RES0213.mp3[233.840,240.440] OK COMING BACK TO THE STRESS IS THERE ANYTHING RECENTLY THATS CAUSING YOU MORE WORRIES audio/RES0184.mp3[227.560,235.200] OK HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS LIKE ANY PAIN OR FREQUENCY audio/RES0001.mp3[59.760,68.200] UM I WOULD SAY UH AROUND 1520 MINUTES ITS IT GOES AWAY OVER OVERTIME audio/RES0195.mp3[289.360,293.400] OK ANY NAUSEA OR VOMITING audio/RES0198.mp3[243.320,247.800] OK AND WHEN WERE YOU DIAGNOSED WITH THAT audio/RES0094.mp3[127.320,138.800] ANY OTHER SYMPTOMS ANYTHING RELATED TO YOUR BELLY SAY DIARRHEA OR CONSTIPATION OR ANY CHANGES IN YOUR URINARY ANY URINARY SYMPTOMS audio/RES0149.mp3[635.400,637.480] NO I DONT THINK SO audio/RES0088.mp3[518.080,519.520] UH NO audio/GAS0001.mp3[335.800,337.760] UH NO audio/RES0184.mp3[25.920,36.880] OK AND HAVE YOU HAD ANY NASAL OBSTRUCTION OR FEELING AS THOUGH LIKE ONE OF YOUR NOSTRILS IS PLUGGED WHEN YOURE BREATHING IN audio/RES0048.mp3[187.520,196.520] YEAH ID DEFINITELY SAY IN THE LAST UM THREE TO FOUR DAYS IVE BEEN JUST COUGHING NONSTOP ITS VERY IRRITATING audio/RES0008.mp3[453.880,462.040] OK SO JUST TO MAKE SURE I HAVE YOUR LIST OF MEDICATIONS YOU TAKE AMLODIPINE INSULIN audio/GAS0002.mp3[434.280,446.440] OK AND ANY FAMILY HISTORY OF GALLBLADDER DISEASE OR CARDIOVASCULAR DISEASE IN THE FAMILY audio/RES0077.mp3[163.760,170.560] UH YEAH THATS STARTED WITHIN THE LAST TWO DAYS AS WELL WITH THE COUGH audio/RES0127.mp3[155.160,163.960] OK AND BESIDES THAT HAVE YOU BEEN HAVING ANY SYMPTOMS OF FEVERS CHILLS SORE THROAT audio/RES0120.mp3[246.000,251.440] UM I NO NOT NO I WOULDNT SAY SO audio/RES0177.mp3[447.440,452.920] OK OK AND DOES SHE HAVE A FEVER AS WELL audio/RES0191.mp3[276.200,284.160] OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0004.mp3[571.600,575.880] YEAH MY MOM MAKES ME GET THE FLU SHOT EVERY YEAR audio/MSK0021.mp3[403.960,409.280] UH NO NO CANCERS IN THE FAMILY audio/RES0039.mp3[200.880,203.960] IVE NEVER BROUGHT UP BLOOD BEFORE audio/RES0095.mp3[583.760,590.400] NO IVE JUST BEEN STAYING AT HOME MY DAUGHTERS BEEN WORKING FROM HOME TOO audio/RES0110.mp3[644.200,665.120] THATS GREAT UH YEAH THATS VERY IMPORTANT THAT YOU KNOW FOR WOMEN UM UM ABOVE THE AGE OF 65 I THINK 50 UM UH OK SO IN TERMS OF YOUR LIVING SITUATION ARE YOU LIVING WITH SOMEONE ARE YOU LIVING ALONE audio/RES0141.mp3[107.480,123.000] UM I DEFINITELY THINK JUST IF I REST ITS BETTER IF BUT IF IM LIKE LIKE I CANT I CANT CONCENTRATE ON WORK OR LIKE ANYTHING audio/RES0172.mp3[64.040,70.320] OK IS THERE ANY ARE THERE ANY TRIGGERS ANYTHING THAT MAKES YOUR COUGH WORSE audio/MSK0041.mp3[148.160,153.480] YEAH I GUESS YEAH MY SHOES MY SHOES TOUCHING IT HURTS audio/RES0033.mp3[93.720,115.200] SO LIKE SIX MONTHS AGO I REMEMBER I WAS IN JUST IN PHYSED AND WE WERE JUST DOING SOME LAPS AND THATS WHEN I JUST REALLY STARTED COUGHING AND YEAH NOTHING ELSE WAS REALLY GOING ON I JUST FEEL LIKE WHEN I STARTED RUNNING SOMETIMES I START TO COUGH audio/RES0053.mp3[177.240,183.800] SPUTUM LIKE PHLEGMNO HE DOESNT BRING ANYTHING UP REALLY SO DRY audio/RES0132.mp3[66.920,70.960] UH IT SEEMS LIKE ITS GETTING WORSE audio/RES0154.mp3[320.240,324.840] ALRIGHT ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/MSK0028.mp3[99.280,112.840] THE PAIN I THINK IT STARTED PRETTY SOON AFTER LIKE PROBABLY WITHIN LIKE HALF AN HOUR OF THAT HAPPENING audio/CAR0003.mp3[173.640,178.960] I WOULD SAY LIKE 34 audio/MSK0046.mp3[25.000,29.160] OK AND HOW LONG HAS THIS BEEN GOING ON FOR audio/RES0184.mp3[282.880,291.960] APPETITES BEEN OK IM STILL EATING audio/RES0154.mp3[40.280,50.440] OK UM AND ITS BEEN YELLOWISH GREEN WERE YOU COUGHING UP SPUTUM PRIOR TO THIS AND UM OR DID YOU HAVE A COUGH BEFORE THIS audio/RES0067.mp3[105.720,110.440] I SEE YEAH I SEE QUITE A BIT OF REDNESS IN THERE audio/RES0037.mp3[403.200,407.120] HAVE YOU TRIED TO LOSE WEIGHT OR WAS THAT UNINTENTIONAL audio/RES0038.mp3[355.080,365.760] OK SO YOU MENTIONED LIKE THE COUGHS BEEN KEEPING YOU UP AT NIGHT HOW HOW OFTEN ARE YOU WAKING UP AT NIGHT IS IT PRETTY FREQUENT audio/RES0200.mp3[478.080,491.920] PROBABLY HALF A PACK A DAY IT USED TO BE ONE PACK EVEN 2 PACKS AT ONE POINT IN TIME BUT RIGHT NOW ITS HALF THE PACKAGING audio/GAS0003.mp3[368.720,383.880] OK HMM AND IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CANCERS OR UM ANY ERR UM IBLIKE CROHNS DISEASE OR ULCERATIVE COLITIS audio/RES0205.mp3[258.600,259.760] UHM NO audio/RES0120.mp3[51.320,55.120] UM ITS BEEN GOING ON FOR THE PAST FOUR DAYS audio/RES0174.mp3[408.200,412.440] OK HOW IS YOUR CONCENTRATION BEEN audio/MSK0017.mp3[789.880,796.840] UH NO I WAS JUST UH YEAH KIND OF WONDERING DO I DO I NEED ANY X RAYS OR LIKE WHAT WHAT WHATS GOING ON audio/RES0192.mp3[348.640,355.680] AH I HAVE UHM A COPD audio/RES0208.mp3[374.760,384.760] OK ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0071.mp3[589.040,592.800] AN APARTMENT audio/MSK0020.mp3[472.080,474.080] OK HOW MUCH DID YOU USED TO SMOKE audio/MSK0035.mp3[59.320,69.760] OK UM AND DURING THE FALL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR ELBOW OR SHOULDER OR EVEN YOUR HEAD audio/RES0172.mp3[442.160,446.280] OK AND AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE audio/MSK0045.mp3[498.640,503.160] THE OTHER ARM THE OTHER ARM DOESNT HURT AT ALL audio/RES0136.mp3[417.600,422.840] HAVE YOU EVER HAD ANY ALLERGIES TO ANY PETS OR ANIMALS audio/RES0011.mp3[416.840,419.560] UH NO audio/RES0004.mp3[784.800,792.120] HOME IS OK THEN NO ONES NO ONES SICK AT HOME YOU MENTIONED RIGHT audio/MSK0014.mp3[243.800,247.320] OK ANNE AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0077.mp3[264.440,272.720] YEAH IF I EXERT MYSELF IT DOES MAKE IT A BIT WORSE ITLL BRING ON THE COUGH MORE AND SHORTNESS OF BREATH audio/MSK0010.mp3[214.320,217.520] OK SO YOURE SLEEPING ON THE OTHERS ON THE RIGHT SIDE THEN audio/RES0104.mp3[116.960,122.320] ORANGE OK ANY GREENISH OR YELLOW MATERIAL audio/RES0036.mp3[507.760,510.280] OK AND NO THEY HAVENT CAUSED YOU ANY ISSUES BEFORE audio/RES0117.mp3[178.200,182.240] UM CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0152.mp3[345.840,349.080] ALRIGHT ANY ALLERGIES THAT YOURE AWARE OF audio/RES0004.mp3[479.640,484.400] UM I DONT KNOW MAYBE WHEN I WAS A KID audio/RES0008.mp3[108.840,115.960] ITS LIKE A DARK GREENISH YELLOW COLOUR audio/RES0181.mp3[488.280,492.040] OK HAVE YOU BEEN SEXUALLY ACTIVE BEFORE audio/RES0152.mp3[165.200,171.640] I SEE ALRIGHT UM HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0153.mp3[192.440,202.960] OK AND ANY UM LOSS OF UH SMELL OR OR LOSS OF TASTE audio/RES0081.mp3[312.360,313.120] OH YEAH audio/RES0114.mp3[654.800,660.760] UHM OUTSIDE OF THE PROVINCE NO NOT NOT FOR LIKE THE LAST YEAR AT LEAST audio/RES0078.mp3[362.520,364.600] UH NO audio/RES0164.mp3[456.440,468.440] AND DID WAS HE MEETING HIS MILESTONES THAT DEVELOPMENTALLY IN TERMS OF ALSO WITH GROWTH AND HEIGHT AND EVERYTHING LIKE THAT audio/RES0103.mp3[393.880,399.640] NO THERE HASNT BEEN ANY CONCERNS I FEEL THAT SHES BEEN DEVELOPING NORMALLY audio/RES0033.mp3[345.040,348.000] OK ANY BOWEL PROBLEMS audio/RES0096.mp3[487.240,489.400] UH NO audio/MSK0001.mp3[192.840,198.520] UM NO FEVER UH NO CHILLS NO NIGHT SWEATS audio/RES0137.mp3[337.760,341.480] OKAY UM AND ANY HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0174.mp3[348.840,351.160] NOTHING LIKE THAT NO audio/MSK0005.mp3[357.480,361.560] OK MEMORY LOSS OR CONFUSION audio/RES0200.mp3[50.640,55.280] YEAH I’VE PROBABLY HAD A COUGH FOR THE LAST 10 YEARS I THINK audio/MSK0045.mp3[298.640,309.560] OK ALRIGHT UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0126.mp3[232.200,240.400] HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS LIKE RUNNY NOSE ANY COLD LIKE SYMPTOMS audio/RES0171.mp3[348.240,353.280] YEAH SO UH INSULIN WELL METFORMIN AND THEN THATS IT audio/RES0047.mp3[816.360,835.600] TO BE BETWEEN 88 TO 92 IF IT IS LESS THAN THAT UM AND WE THINK YOU HAVE A MILD EXACERBATION WELL JUST SUGGEST THAT YOU USE YOUR SHORT ACTING BETA AGONIST PUFFER UM MORE OFTEN AND THEN IF YOU audio/RES0016.mp3[90.840,95.480] UH NO I THINK THATS PRETTY MUCH THE ONLY THING THAT REALLY MAKES IT WORSE audio/RES0106.mp3[398.000,404.880] NO OK HOW ABOUT UMM SMOKING DO YOU SMOKE audio/RES0030.mp3[447.640,449.840] OK BUT NOTHING ELSE audio/MSK0021.mp3[195.360,202.200] OK ALRIGHT AND OTHERWISE LIKE HAVE YOU HAD ANY WEIGHT LOSS audio/MSK0010.mp3[349.080,355.560] OK HAVE YOU HAD PAINS AND ANY OTHER JOINTS audio/MSK0012.mp3[627.680,631.000] WHEN I PRESS DOWN IT FEELS SHARP audio/RES0167.mp3[267.880,277.640] AND I DID I DID HAVE A KNEE REPLACEMENT FIVE YEARS AGO audio/RES0191.mp3[238.080,245.080] OK UHM AND UH ARE YOU HEALTHY OR OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0092.mp3[141.400,143.160] YEAH I JUST HAVE THE COUGH audio/RES0005.mp3[443.080,457.000] I USED TO I USED TO HAVE I THINK LIKE 3 DIFFERENT INHALERS BUT HAVENT HAD TO USE THEM FOR MORE THAN 10 YEARS NOW audio/RES0145.mp3[24.640,37.800] YEAH SO THE THE THE COUGH STARTED LAST WEEK ACTUALLY AND THEN AND THEN I I GOT THIS SORE THROAT AFTERWARDS audio/RES0046.mp3[304.080,311.080] NO OK HOW ABOUT FATIGUE OR MUSCLE ACHES audio/RES0208.mp3[448.800,457.960] NO AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY SPECIFICALLY ANYTHING RELATED TO THE LUNGS audio/RES0162.mp3[520.920,525.280] OK AND HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT HAVE BEEN SICK audio/RES0091.mp3[52.880,56.800] OK AND DO YOU HAVE ANY COUGHING audio/MSK0024.mp3[449.880,462.960] I SEE AND UH ANY KIND OF PAIN WITH LYING DOWN AND THEN RAISING YOUR LEGS STRAIGHT UP WITHOUT BENDING THE KNEES audio/RES0139.mp3[499.360,505.880] WITHOUT ANY OTHER SYMPTOMS UM OKAY SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME audio/RES0173.mp3[406.720,411.040] I JUST TAKE A BIRTH CONTROL PILL audio/MSK0012.mp3[46.480,50.400] OK AND IS THIS PAIN CONSTANT OR DOES IT COME AND GO audio/RES0020.mp3[684.320,699.080] OK UM I THINK THATS ALL I WANTED TO COVER ON THE THE HISTORY TODAY WAS THERE ANYTHING ELSE YOUD LIKE TO TELL ME THAT I WAS THAT I MAYBE DIDNT ASK ABOUT audio/RES0086.mp3[363.200,366.200] ANY HEADACHES audio/MSK0013.mp3[42.240,47.840] OK AND DO YOU FEEL IT IN IN BOTH FEET audio/RES0132.mp3[462.960,467.800] OKAY WELL THATS GREAT THAT UH THAT YOU QUIT SO CONGRATULATIONS audio/MSK0004.mp3[336.360,344.040] MY GRANDPARENTS HAVE ARTHRITIS SO AND MY LIKE MY DAD HAD HAD GOUT BEFORE audio/RES0069.mp3[121.360,128.680] OK UH AND HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0110.mp3[350.440,364.360] THAT STARTED ABOUT THE SAME TIME AS MY SHORTNESS OF BREATH audio/RES0044.mp3[703.880,747.640] WELL SO UM I WORK UH IN LIKE I WORK IN AN OFFICE THATS ATTACHED TO A FACTORY UM AND I SO LIKE I HAVE TO ACTUALLY BE THERE I HAVENT BEEN ABLE TO WORK FROM HOME UM AND THERE WAS SOMEONE ELSE IN MY OFFICE THAT I THINK WAS COUGHING IN THAT LIKE LAST WEEK AND I I DONT KNOW I QUESTIONED IT BUT I I DIDNT ACTUALLY GET TO TALK TO THEM AND ASK THEM OR LIKE I DONT KNOW IF THEY WERE ACTUALLY SICK OR SOMETHING SO I MIGHT HAVE BEEN AND WE WEAR MASKS AND EVERYTHING LIKE WERE REALLY GOOD BUT I DONT KNOW I FEEL LIKE THE OFFICES ARENT LIKE SUPER LIKE THE AIR FLOWS NOT THAT GREAT audio/RES0154.mp3[120.840,124.640] UH NO NOT REALLY NOT THAT IVE NOTICED audio/RES0107.mp3[281.080,283.280] UM HOW ABOUT HIS URINE audio/RES0168.mp3[453.800,456.520] OK IS ANYONE AT HOME SICK audio/MSK0028.mp3[326.120,328.200] ANY SHORTNESS OF BREATH audio/RES0208.mp3[514.240,517.640] NO NO ITS PROBABLY BEEN A COUPLE WEEKS SINCE I SAW ANYONE audio/RES0010.mp3[52.480,56.120] OK DO YOU DO YOU HAVE A RUNNY NOSE audio/GAS0005.mp3[672.720,676.200] NOPE NO PETS audio/MSK0040.mp3[385.200,388.360] ALRIGHT THEN DO YOU HAVE ANY ALLERGIES audio/RES0212.mp3[507.760,518.840] I DONT THINK SO I JUST LIKE I LIKE I HOPE I JUST CAN FEEL BETTER CAUSE IVE BEEN MISSING LIKE MY EXERCISE STUFF CAUSE I FEEL LIKE ITS JUST LIKE COUGHING AND IT MAKES IT HARD TO LIKE DO WELL audio/RES0027.mp3[79.760,87.520] I TRIED OVER THE COUNTER COUGH SYRUP BUT ITS ITS NOT HELPING audio/MSK0009.mp3[433.040,444.080] YEAH SO CHOLESTEROL IM TAKING A LIKE A CRESTOR MEDICATION AND THEN FOR HIGH BLOOD PRESSURE IM TAKING A RAMIPRIL audio/MSK0010.mp3[665.200,682.840] YEAH IF YEAH NOT NOT JUST LIKE THAT BUT IF YOU WERE TO LIKE PRESS DOWN ON IT IT THE INTERNAL ROTATION DOES CAUSE A LITTLE BIT OF PAIN audio/MSK0026.mp3[355.320,361.280] NO NOT REALLY ITS BEEN THE SAME audio/RES0183.mp3[343.480,349.240] UH NO HES BEEN A PRETTY HEALTHY CHILD audio/CAR0002.mp3[259.600,267.480] HAVE YOU BEEN HAVING ANY KIND OF THUMPING OR PALPITATIONS OR FEEL LIKE YOUR HEART HAS BEEN RACING AT ALL audio/MSK0033.mp3[282.960,288.920] NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN FEELING WELL audio/RES0101.mp3[258.880,266.080] YEAH EVEN RIGHT NOW JUST A LITTLE BIT LIKE ITS ITS NOT ANYTHING THAT IM TOO WORRIED ABOUT BUT IT IS THERE audio/RES0211.mp3[410.520,413.640] BUT LIKE WE ARE DOING OUR SCHOOL FROM HOME NOW SO audio/RES0080.mp3[115.160,132.800] YEAH YEAH SO USUALLY ITS JUST SORT OF WHITEISH AND FOAMY AND UH YEAH ITS DIFFERENT AND ITS MORE YOU KNOW ITS ALOT MORE EVERY TIME IM COUGHING ITS JUST LIKE SPOONFULS ITS A LOT MORE THAN USUAL audio/RES0083.mp3[512.000,513.600] NO NOT YET audio/RES0090.mp3[173.800,180.920] OK RIGHT IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE audio/RES0186.mp3[98.400,104.240] OK AND ANY HAVE YOU NOTICED LIKE A RUNNY NOSE OR A STUFFY NOSE audio/RES0170.mp3[206.080,213.680] NO HE HASNT SAID ANYTHING LIKE THAT audio/RES0117.mp3[300.080,318.640] UM NOT UH I DONT THINK SO LIKE WE UM MAYBE IN THE PHILIPPINES WE DO PROVIDE A SO I GO ON LIKE THESE MISSION TRIPS WITH THE CHURCH AND UM WE DO SOMETIMES GO TO THE HOSPITAL AS WELL audio/RES0025.mp3[476.720,504.800] OK UM OK UM LET ME SEE UH SO IN TERMS OF YOUR FAMILY HISTORY DO YOU HAVE ANY FAMILY HISTORY OF YOUR DIGESTIVE SYSTEM PROBLEMS OR RESPIRATORY PROBLEMS audio/RES0172.mp3[57.040,64.040] NO WELL IT KIND OF HAPPENS ALL THROUGHOUT THE DAY YEAH NO NO IT HASNT WOKEN ME UP AT NIGHT audio/MSK0027.mp3[334.520,340.120] AND HAS SHE BEEN HOSPITALIZED FOR ANY REASON OR HAS SHE HAD ANY SURGERIES audio/RES0163.mp3[184.080,191.280] OK SO ITS NOT WORSE WHEN YOURE LYING FLAT OR ANYTHING LIKE THAT audio/MSK0020.mp3[99.960,114.080] OK OK AND THEN IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS ACHY THROBBING DULL OR SHARP audio/RES0193.mp3[109.120,112.120] NO NOTHING LIKE THAT UH COUGHED UP audio/RES0037.mp3[67.320,72.360] OK AND SO WHEN DID YOU GO ON THE ANTIBIOTICS audio/MSK0029.mp3[69.560,78.760] OK AND DID THE NECK PAIN START IMMEDIATELY AFTER audio/GAS0004.mp3[128.360,147.720] OK AND DO YOU FEEL THAT WHEN IT DO YOU FEEL THAT YOU STILL HAVE CONTROL OVER LIKE RELEASING IT TO LIKE DOES IT COME ON AND YOU DONT EVEN NOTICE THAT IT HAS HAPPENED OR YOU STILL ARE ABLE TO KIND OF HAVE A WARNING BEFORE YOU GET TO THE TOILET audio/GAS0001.mp3[500.040,510.280] YEAH WE WE JUST USE CONDOMS I USED TO BE ON BIRTH CONTROL BUT IT ALWAYS MADE ME audio/RES0188.mp3[338.480,341.080] NOT THAT I KNOW OF audio/RES0071.mp3[60.800,66.600] UH NO BLOOD AND MAYBE A LITTLE YELLOWISH audio/RES0081.mp3[404.040,413.440] THATS GREAT AND HAS HE BEEN USING ANY OTHER MEDICATIONS TO HELP OVER THESE LAST COUPLE OF DAYS BESIDES THE INHALERS audio/RES0039.mp3[247.040,260.800] NOTNOTHING SEEMS TO HELP IVE TRIED VARIOUS OVER THE COUNTER MEDICATIONS AND AND STUFF FOR FOR COUGH AND NOTHING HAS SEEMED TO HELP IT audio/RES0044.mp3[467.360,472.320] NO OK UM ARE YOU OTHERWISE HEALTHY audio/RES0051.mp3[63.920,74.240] OK AND ANY TRIGGERS THAT YOUVE NOTICE 5 DAYS AGO OR ANYTHING THAT CHANGED AT THAT TIME TO BRING ON THE COUGH audio/RES0012.mp3[457.320,466.160] AND THEN HOW ABOUT YOUR URINE IS THAT HAS EVERYTHING BEEN NORMAL FROM THAT STANDPOINT audio/RES0080.mp3[155.440,165.760] OK AND IS YOUR COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY OR DOES IT HAPPEN THROUGHOUT THE DAY audio/RES0174.mp3[587.200,601.200] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0106.mp3[534.240,602.440] SO BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WERE GOING TO GET A SWAB ON YOU DONE AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS AND IF ITS POSITIVE PUBLIC HEALTH WILL BE IN TOUCH UMM TO DO SOME CONTACT TRACING IN THE MEANTIME BECAUSE YOU HAVE A COUGH IT IS RECOMMENDED THAT YOU ISOLATE FOR 14 DAYS AND IF ITS NOT COVID BUT ITS PROBABLY SOMETHING LIKE ACUTE BRONCHITIS OR SOME OTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO FOR THAT WE CAN YOU CAN JUST TREAT IT WITH LIKE SUPPORTIVE TREATMENTS YOU KNOW LIKE STAYING HYDRATED UHM GOOD NUTRITION GOOD SLEEP AND JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR REALLY SEVERE LIKE YOURE HAVING NEUROLOGICAL SYMPTOMS AND JUST SEEK HELP FROM THE ER audio/RES0012.mp3[648.920,655.520] MAYBE LIKE MY COUSIN BUT YEAH NOT LIKE MY MOM OR DAD audio/RES0190.mp3[458.040,461.280] I THINK SO I THINK HE GOT SOME ANTIBIOTICS audio/RES0032.mp3[28.880,31.800] AND IS IT WHAT COLOR IS IT audio/MSK0012.mp3[290.680,294.200] OK HOW ABOUT LYING DOWN audio/RES0199.mp3[145.600,150.680] OK AND IS IT A DRY COUGH OR ARE YOU BREAKING UP ANY FLEM audio/RES0193.mp3[239.120,242.840] WEIGHT APPROPRIATELY audio/RES0149.mp3[154.040,161.200] KIND OF UM LATE THIS MORNING audio/MSK0045.mp3[32.040,63.440] UM SO ABOUT LIKE A COUPLE OF MONTHS AGO I UM WAS DO I I WORK IN CONSTRUCTION SO UM I WAS MOVING AROUND SOME HEAVY OBJECTS AND UM I GUESS LIKE THE REPETITIVE MOTIONS CAUSED SOME SORT OF ROTATOR CUFF INJURY BUT I HAD THAT UM LIKE I GOT THAT TREATED AND EVERYTHING WAS FINE FOR A COUPLE OF MONTHS BUT THIS PAIN JUST STARTED A WEEK AGO audio/RES0078.mp3[666.160,679.960] UHM MY GRANDFATHER HAD A HEART ATTACK IN HIS SEVENTIES AND I THINK MY DAD HAS HIGH BLOOD PRESSURE AS WELL BUT I THINK THATS IT audio/RES0006.mp3[243.280,253.440] UM WHEN IT GETS REALLY BAD THEN I CANT REALLY STEP OUT OF THE HOUSE BUT OTHER THAN THAT I FEEL LIKE MY ENERGYS STILL THERE audio/RES0167.mp3[351.800,361.160] MHMM OK AND HOW ABOUT UH HOW ABOUT ALLERGIES DO YOU HAVE ANY ALLERGIES audio/RES0216.mp3[450.640,459.040] OK GOT IT AND JUST IN TERMS OF YOUR LIFE ITSELF SO DO YOU SMOKE AT ALL audio/RES0145.mp3[281.120,285.200] HOW OFTEN DO YOU GET THAT TONSILLITIS audio/RES0005.mp3[387.200,391.160] ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION audio/RES0060.mp3[390.600,400.600] NO I THINK ITS JUST BEEN A PART OF HOW I HAVENT BEEN FEELING WELL THESE THESE LAST FEW DAYS audio/MSK0006.mp3[338.800,340.240] NO FEVERS OR CHILLS audio/MSK0033.mp3[362.840,378.760] YEAH I GO TO SCHOOL AND UH I PLAY ON THE UH SOCCER TEAM AND THE BASKETBALL TEAM ITS BASKETBALL SEASON RIGHT NOW AND UH IN GRADE 10 audio/RES0141.mp3[280.040,289.600] UM SO I DO TAKE WHEN MY MIGRAINES GET BAD LIKE I DO TAKE I HAVE TAKEN NAPROXEN BEFORE audio/RES0023.mp3[315.360,318.000] SO YOU WORK AT THE GROCERY STORE audio/RES0187.mp3[311.360,324.120] UH NO OTHERWISE IVE BEEN PRETTY WELL HAVENT EVEN REALLY HAD TO GO TO THE DOCTOR MUCH IN THE PAST FEW YEARS audio/RES0182.mp3[215.480,217.200] UH NO audio/RES0134.mp3[683.320,688.720] AND HOW OFTEN IS ONCE IN A WHILE IS THIS OR HOW MANY DRINKS PER WEEK WOULD YOU SAY audio/RES0131.mp3[57.680,66.520] ITS ITS DRY BUT ITS GOTTEN A LITTLE BIT WORSE SINCE IT STARTED ITS JUST BEEN HAPPENING MORE OFTEN audio/RES0046.mp3[490.000,493.200] UH PROBABLY LIKE 4 audio/RES0069.mp3[358.360,361.520] DO YOU DRINK ALCOHOL audio/RES0025.mp3[316.320,319.720] K NIGHT SWEATS audio/RES0011.mp3[480.920,499.400] OH OH YEAH LIKE I HAVE I HAVE HIGH BLOOD PRESSURE AND DIABETES YEAH THATS THATS PRETTY WELL IT BUT YEAH THOSE TWO THINGS OH AND I TAKE A MEDICATION FOR MY PROSTATE audio/RES0086.mp3[375.480,377.840] NAUSEA VOMITING audio/RES0150.mp3[156.200,161.640] ALRIGHT UM HAS HE HAD ANY FEVERS OR CHILLS audio/RES0029.mp3[252.960,260.680] OK AND ANY WEAKNESS OR NUMBNESS OR TINGLING THAT YOU NOTICED audio/RES0193.mp3[495.240,509.560] OK AND AFTERWARDS HAS HE BEEN MEETING ALL HIS MILESTONES LIKE HIS MOTOR GROSS MOTOR FINE MOTOR SOCIAL SKILLS AND GROWTH AND ALL OF THOSE HAVE BEEN MEETING THEM WELL audio/RES0192.mp3[396.760,402.840] UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY PREVIOUS SURGERIES audio/RES0001.mp3[302.120,303.680] NO CHANGES IN SMELL audio/RES0004.mp3[687.440,698.120] I IVE TRIED IT ONCE OR TWICE BUT IT WAS JUST THOSE COUPLE TIMES NOTHING THAT I DO OR USED REGULARLY audio/RES0105.mp3[663.360,675.720] OH I STARTED IN MY TEENS SO MOST OF MY LIFE IVE IVE SMOKED I GREW UP AROUND IT ITS JUST WHAT MY PARENTS DID AND EVERYBODY SMOKED audio/MSK0038.mp3[511.080,516.720] OK UM HOW ABOUT UM TRAVEL audio/RES0195.mp3[102.960,114.320] OK ALRIGHT UM SO IT STARTED A FEW MONTHS AGO AND HOW ABOUT THE RASHES ARE THEY HAVE THEY BEEN THERE LIKE THE ONES BELOW YOUR KNEE SINCE THE TWO MONTHS OR DO THEY COME AND GO audio/RES0156.mp3[267.520,273.360] YEAH WE DO HAVE UM 2 CATS AT HOME audio/MSK0006.mp3[281.680,285.360] NO OK ANY SEXUAL DYSFUNCTION audio/RES0152.mp3[274.080,276.640] NO NO NO NAUSEA OR VOMITING audio/MSK0011.mp3[600.400,608.800] OK DUE TO THE JOINTS IN YOUR THUMB HURT AT ALL audio/RES0088.mp3[574.960,587.840] OK AND UH IN TERMS OF HER PREGNANCY WERE THERE ANY OR YOUR PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT ALL EITHER DURING THE PREGNANCY OR AFTER SHE WAS BORN audio/MSK0003.mp3[632.840,639.280] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0147.mp3[401.160,407.360] YEAH I LIVE ALONE IN A IN HOUSE HERE IN TOWN audio/RES0037.mp3[4.920,10.960] YEAH SO IVE BEEN COUGHING FOR A FEW MONTHS NOW AND SO THATS THE PROBLEM audio/RES0177.mp3[483.480,486.960] NO OK AND WHO LIVES AT HOME WITH HIM audio/CAR0001.mp3[127.280,130.720] NOT THAT IVE NOTICED NO audio/MSK0039.mp3[528.000,538.680] NO THERES NO BREAKS IN THE SKIN BUT LIKE WHEN I FELL LIKE I I CAN DEFINITELY SEE LIKE THE BEND THERE IS LIKE A BEND IN THE BONE SO I DEFINITELY DO THINK ITS BROKEN audio/MSK0038.mp3[325.880,331.320] OK HOW ABOUT CONFUSION OR MEMORY LOSS audio/RES0154.mp3[324.840,339.960] UH YEAH IVE HAD A FEW UH SO I HAD A CSECTION IN MY TWENTIES UM THEN I HAD JUST UH FIVE YEARS AGO I HAD A UM MY GALLBLADDER REMOVED audio/RES0109.mp3[298.440,303.240] OK UM HOW ABOUT SMOKING DO YOU SMOKE audio/RES0058.mp3[607.280,612.920] OK AND DO YOU SMOKE audio/RES0120.mp3[329.000,331.400] YEAH EVERYONE WAS WEARING A MASK audio/RES0198.mp3[434.760,436.920] OK THAT SOUNDS GREAT THANK YOU audio/RES0166.mp3[518.880,525.360] YEAH I DO COME ILL HAVE MAYBE TWO OR THREE GLASSES OF BEER ON THE WEEKEND audio/RES0031.mp3[331.440,344.680] I THINK A COUPLE OF WEEKS AGO I I DID HAVE A I WOULD SAY LIKE A BIT OF A RUNNY NOSE MAYBE A LITTLE BIT OF SORENESS OF MY THROAT BUT IT JUST WENT AWAY BY ITSELF audio/RES0072.mp3[57.440,59.840] OK JUST WITHIN THE LAST DAY audio/RES0079.mp3[278.880,286.360] GOOD OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED IN THE PAST audio/RES0036.mp3[86.840,95.640] AND HAS IT BEEN CONSTANT LIKE IVE BEEN CONSTANTLY HAVING A SHORTNESS OF BREATH EVERY DAY WITH THE COUGHING OR DOES IT COME AND GO audio/MSK0040.mp3[390.920,395.400] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0028.mp3[283.600,288.240] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0032.mp3[368.800,373.960] OK AND HAVE YOU HAD A TB SKIN TEST DONE AT ALL audio/RES0156.mp3[219.040,221.960] OK UM ANY NIGHT SWEATS audio/RES0026.mp3[175.520,177.120] NO WHEEZING audio/RES0110.mp3[180.720,188.080] AND HAVE YOU BEEN CHECKING YOUR FEVER THIS PAST WEEK OR WAS THAT THE FIRST TIME YOU UM CHECKED IT audio/RES0192.mp3[578.720,581.880] UM NO I DONT audio/RES0013.mp3[408.040,412.560] I LIKE I SMOKE A LITTLE BIT MAYBE LIKE A PACK A WEEK audio/RES0196.mp3[310.240,317.480] OK AFTER SHE WAS BORN DOES SHE HAVE TO STAY IN AN ICU OR ANY COMPLICATIONS AFTERWARDS audio/RES0079.mp3[253.800,256.000] I DO TAKE A MULTIVITAMIN audio/RES0006.mp3[421.920,424.600] NO NOT THAT I KNOW OF audio/RES0214.mp3[197.720,201.040] NO I WORK FROM HOME audio/RES0199.mp3[422.440,430.560] I’VE TRIED A COUPLE TIMES BUT IT WAS NOT REALLY MY THING audio/RES0162.mp3[438.200,449.720] I DIDNT HAVE A I DIDNT HAVE ANY LIKE EXAM OR RASHES BUT I DO GENERALLY HAVE UMM GET ALLERGIES DURING THE SPRING TIME WHEN I GO OUTSIDE audio/CAR0001.mp3[320.320,326.000] NO WELL I GUESS IF WHEN IM REALLY HAVING TROUBLE BREATHING YEAH audio/RES0026.mp3[642.640,646.040] OK AND SORRY HOW OLD IS YOUR SON audio/MSK0049.mp3[227.880,230.120] UH NO WEIGHT GAIN audio/RES0183.mp3[0.000,2.280] HOW MAY I HELP YOU audio/RES0067.mp3[310.960,383.280] BECAUSE SHE HAS NOT BEEN VACCINATED WITH THE HFLU VACCINE AND SOME OF THE SYMPTOMS THAT SHES DISPLAYING LIKE THE DROOLING AND TROUBLE SWALLOWING AND NOW ESPECIALLY THE SHORTNESS OF BREATH ARE VERY CONCERNING I REALLY THINK WE SHOULD GO TO THE EMERGENCY DEPARTMENT ILL GIVE THEM A CALL TO LE THEM KNOW THAT YOURE COMING YEAH AND WHAT THEY WILL MOST LIKELY DO THERE IS GET A TEST DONE TO SEE IF SHE HAS H FLU AND ALSO THEY MIGHT DO PERHAPS LIKE A COVISWAB AS WELL THEY MIGHT GET AN X RAY OF HER NECK AS WELL TO SEE IT SO WHAT I THINK MIGHT BE GOING ON IS WITH H FLU YOU CAN GET SWELLING OF YOUR EPIGLOTTIS AND IT CAN KIND OF OBSTRUCT YOUR THROAT ITS VERY URGENT MATTER SO THATS WHY WE WILL MAKE SURE YOU GET TO THE ER AND UH YOU KNOW WELL GO FROM THERE DOES THAT SOUND I KNOW IT MAY BE VERY WORRYING RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0202.mp3[388.320,390.360] UM SORRY NO CHANGES audio/RES0047.mp3[734.520,745.280] OK UH HAVE YOU HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY audio/RES0133.mp3[2.360,20.800] HI UM IM HERE BECAUSE I I HAD THIS COUGH FOR A COUPLE DAYS AND NOW MY VOICE STILL HASNT RECOVERED IT SOUNDS REALLY HOARSE AND I CANT SPEAK AS WELL SO I WAS JUST WONDERING IF YOU CAN GIVE ME SOMETHING FOR THAT audio/RES0149.mp3[518.600,521.840] I DONT THINK SO NO audio/RES0055.mp3[382.320,395.400] I DO TAKE MULTIVITAMINSI THINK THATS YEAH THATS ABOUT IT audio/RES0198.mp3[234.960,241.280] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/MSK0022.mp3[282.560,290.120] OK I SEE OK AND ARE YOU GETTING ANY PAIN IN ANY OTHER JOINTS audio/RES0181.mp3[339.520,343.000] YEAH HALF IN PERSON AND HALF ONLINE audio/RES0067.mp3[56.480,65.040] SO I JUST CHECKED THE FIRST DAY IT WAS LIKE 38 385 audio/RES0003.mp3[600.640,605.200] NO I HAVENT SEEN ANY LIKE LIMB JERKING OR ANYTHING LIKE THAT audio/RES0153.mp3[250.080,253.760] HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0070.mp3[360.760,370.040] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0035.mp3[456.680,465.640] OK AND IN TERMS OF YOUR DIET AND EXERCISE WOULD YOU SAY YOU GET 3 MEALS A DAY WELL BALANCE WELL BALANCED DIET audio/RES0188.mp3[238.520,248.160] UH NO TODAY HES NOT REALLY TAKING ANYTHING IN LIKE VERY FUSSY VERY HARD TO FEED HIM TODAY audio/RES0200.mp3[516.520,521.320] OK AND DO YOU DRINK ALCOHOL audio/MSK0034.mp3[161.320,169.160] OK AND DO YOU FIND THAT YOUR HIP IS AT ALL ROTATED OUTWARDS audio/RES0018.mp3[66.840,73.120] UH NO NOT REALLY ITS UH PRETTY MUCH BEEN THE SAME FOR THE LAST FEW DAYS audio/RES0068.mp3[338.800,346.000] OK SO THIS HAS BEEN GOING ON FOR JUST REMIND ME AGAIN LIKE THE LAST FOUR DAY audio/RES0087.mp3[59.360,61.080] ITS JUST HIS RIGHT EAR audio/MSK0006.mp3[622.080,627.120] UM YEAH I FEEL LIKE IVE BEEN LIMPING A LITTLE BIT UH YEAH audio/RES0114.mp3[459.280,463.520] OK YEAH UM OK AND HAVE YOU HAD ANY RECENT BLOOD WORK DONE audio/RES0195.mp3[503.360,506.360] OK AND CURRENTLY RIGHT NOW DO YOU WORK audio/RES0148.mp3[501.520,503.480] OK YEAH HOW MUCH audio/RES0193.mp3[102.240,109.120] DRY COUGH OK SO NO YELLOW GREEN MATERIAL OR BLOOD COUGHED UP audio/RES0166.mp3[0.000,1.560] WHAT BRINGS YOU IN HERE TODAY audio/RES0070.mp3[269.040,275.120] OK HOW ABOUT ANY WHEEZING audio/RES0044.mp3[786.240,883.080] NO OK SO RIGHT NOW IT SEEMS LIKE IF IM GOING THROUGH MY DIFFERENTIAL DIAGNOSIS LIST FOR YOU AT THE TOP IS THE THING THAT WE HAVE TO RULE OUT IS COVID SO WELL TAKE A SWAB AND SEND IT OFF FOR THOSE PCR RESULTS AND YOULL HEAR BACK EITHER TOMORROW OR THE DAY AFTER ABOUT THE RESULTS BUT IN THE MEAN TIME AND I GUESS EVEN IF THE TEST IS NEGATIVE UM AND YOURE STILL HAVING SYMPTOMS PLEASE DO ISOLATE FOR 14 DAYS UM AND IF YOUR SYMPTOMS GET WORSE UM LIKE YOU KNOW YOURE HAVING TROUBLE BREATHING UH YOUR FEVER YOUR TEMPERATURE IS OFF THE CHARTS UM OR YOURE HAVING ANY SORT OF NEUROLOGICAL SYMPTOM PLEASE DO UM GO TO THE ER AND SEEK OUT HELP UM IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT DURING THIS TIME OF YEAR UM AND USUALLY THE TREATMENT FOR THAT KIND OF STUFF IS SUPPORTIVE SO MAKE SURE YOURE STAYING WELL HYDRATED YOURE EATING NUTRITIOUS FOODS UH YOURE GETTING GOOD SLEEP UM AND IF NOT AND YOUR SYMPTOMS YOU KNOW YOURE HAVING A PRODUCTIVE COUGH UM YOURE REALLY SHORT OF BREATH UH WE CAN TEST YOU TO SEE IF YOU HAVE SOME SORT OF BACTERIAL PNEUMONIA AND THOSE ARE USUALLY TREATED WITH ANTIBIOTICS SO THATS KIND OF THE PLAN RIGHT NOW UM SO WELL JUST START WITH THAT COVID SWAB FOR NOW HOW DOES THAT SOUND audio/RES0143.mp3[332.800,344.800] RIGHT NOW IM UH I USUALLY LIVE IN A DORM GOING TO UNIVERSITY BUT RIGHT NOW IM HOME WITH MY PARENTS UH JUST DOING VIRTUAL LEARNING audio/RES0134.mp3[77.280,91.480] UM ITS UH YEAH ITS UM ITS DRY MOST OF THE TIME BUT ONCE IN A WHILE ILL SEE SOME LIKE YELLOW PHLEGM audio/MSK0032.mp3[2.360,37.760] UM HI IM HERE WITH MY DAUGHTER UH WE NOTICED THAT UH SINCE YESTERDAY SHES BEEN HAVING THIS PAIN JUST IN HER ELBOW UM AND LIKE TODAY WEVE NOTICED RIGHT AFTER SHE WOKE UP SHES BEEN IN PAIN AND ALSO JUST KEEPING HER ELBOW LIKE PROTECTED UM KIND OF LIKE JUST FLEXING IT AND JUST HOLDING ON TO IT SO I THINK ITS UH GIVING HER A LOT OF DISCOMFORT AND SHES BEEN CRYING AS WELL audio/RES0015.mp3[314.120,318.640] EAR PAIN OR DISCHARGE FROM YOUR EARS audio/RES0121.mp3[350.200,356.360] BESIDES UH LIKE SMOKING UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0138.mp3[392.760,399.520] DID YOU REQUIRE ANY STENTS OR DID YOU HAVE TO GET A BYPASS SURGERY OR ANYTHING LIKE THAT audio/RES0001.mp3[128.280,131.720] OK THE COUGH IS IT STILL THERE audio/RES0130.mp3[50.000,58.760] OKAY AND UM THE BLOOD IN THE COUGH WHEN DID THAT START audio/RES0093.mp3[415.440,435.640] OK SO YOU SAID THAT THESE SYMPTOMS STARTED YESTERDAY AND THEY WERE QUITE SUDDEN UH WAS THERE ANYTHING THAT YOU WERE DOING YESTERDAY OR THE DAY BEFORE THAT WAS DIFFERENT OR UNUSUAL audio/RES0186.mp3[471.800,477.960] NO I WAS JUST WORRIED THAT MAYBE I COULD HAVE COVID audio/RES0109.mp3[206.800,209.120] UHM NO audio/RES0046.mp3[129.160,131.280] ITS ITS DRY audio/MSK0007.mp3[94.600,99.040] NO ITS PRETTY ITS PRETTY MUCH IN THAT ONE AREA audio/RES0027.mp3[177.880,183.480] OK HAVE YOU HAD A RUNNY NOSE audio/RES0104.mp3[613.360,633.520] NO BETWEEN US TWO WE MANAGED TO GET THE SHOPPING DONE THE COOKING AND AND ALL THE CLEANING AND THAT SORT OF THING I USE A WALKER TO GET AROUND WHEN WERE GOING LONGER DISTANCES audio/RES0056.mp3[32.880,40.640] OK HAVE YOU TAKEN YOUR TEMPERATURE YOU SAID YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT audio/RES0043.mp3[478.280,481.200] YEAH TOTALLY audio/RES0107.mp3[636.640,643.440] NO OK UM DO YOU HAVE ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS AT YOUR PLACE audio/RES0160.mp3[184.320,189.400] OK UHM HAVE YOU HAD A FEVER OR CHILLS audio/RES0016.mp3[242.920,248.120] OK AND YOU MENTIONED CHILLS HOW ABOUT NIGHT SWEATS audio/MSK0049.mp3[135.240,137.240] THE STIFFNESS OR PAIN audio/RES0145.mp3[72.720,95.040] OK UHM AND I GUESS GOING BACK TO THE COUGH DOES IT MAKE IT DIFFICULT FOR YOU TO FALL ASLEEP AT NIGHT OR DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT audio/GAS0007.mp3[306.000,309.400] NICE AND WHAT DO YOU DO FOR WORK OR ARE YOU RETIRED audio/RES0109.mp3[116.840,119.960] UM HOW ABOUT A STUFFY NOSE audio/RES0082.mp3[3.960,15.920] IVE BEEN HAVING UHH LIKE NASAL CONGESTION AND IVE BEEN SNEEZING A LOT OVER THESE LAST COUPLE OF DAYS AND IVE ALSO BEEN HAVING A SORE THROAT audio/MSK0027.mp3[210.200,213.360] ANY ISSUES WITH SENSE OF SMELL OR TASTE audio/RES0143.mp3[170.560,177.000] ANY PALPITATIONS OR RACING OF YOUR HEART audio/RES0123.mp3[156.480,164.960] AND HAVE YOU NOTICED ANY VISUAL CHANGES ANY BLURRY VISION WITH THE HEADACHES audio/RES0107.mp3[431.720,435.760] ITS PRETTY MILD audio/RES0029.mp3[75.800,89.840] IF I THINK I HAVE TO TAKE REALLY REALLY SLOW AND SHALLOW BREATHS IF I TRY TO TAKE A DEEP BREATH IT JUST REALLY HURTS LIKE TAKING THOSE SMALL SMALLER BREATHS HELPS audio/RES0078.mp3[564.040,566.880] SHES BEEN FINE YEAH SHES BEEN HEALTHY audio/RES0027.mp3[268.720,271.480] A LITTLE BIT LAST NIGHT audio/RES0075.mp3[402.320,409.760] OK AND HOW MUCH WOULD YOU SAY LIKE 1 GRAM OR LESS OR audio/RES0021.mp3[16.240,21.280] OK AND THIS STARTED TWO DAYS AGO audio/RES0051.mp3[371.840,380.320] OK COOL WHATS YOUR FAVORITE CLASS audio/RES0117.mp3[462.960,464.360] YEAH NO PROBLEM audio/RES0136.mp3[423.520,428.600] ANY EXPOSURE TO FUMES OR DUST UH WITH WHERE YOU LIVE audio/RES0088.mp3[91.280,99.200] OK AND WHEN SHE WAS COUGHING DID SHE AT ALL BRING UP ANY KIND OF BLOOD OR ANY GREEN OR YELLOWISH MATERIAL audio/RES0183.mp3[261.840,270.800] OK AND HAS HE HAD ANY FAINTING OR MENTIONED THAT HES DIZZY AT ALL audio/RES0019.mp3[465.720,472.720] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIPTION OR OVER THE COUNTER audio/RES0005.mp3[396.120,399.960] ANY JOINT PAINS OR OR MUSCLE PAINS audio/RES0008.mp3[292.520,305.400] OK OK UM AN SINCE UH SINCE THIS COUGHING AND THIS THIS RIGHT SIDED PAIN THAT YOURE TALKING ABOUT BEGAN HAVE YOU NOTICED ANY FEVERS audio/RES0185.mp3[488.200,506.240] NO OK ALRIGHT AND THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING TO ADD OR ANYTHING YOU WANTED TO DISCUSS TODAY audio/RES0150.mp3[143.160,148.800] ALRIGHT AND HAS HE HAD ANY PROBLEMS WITH BREATHING audio/RES0076.mp3[145.880,151.240] UHM NO NO I HAVENT REALLY HAD ANYTHING LIKE THAT audio/RES0177.mp3[394.280,397.200] OK ANY ALLERGIES audio/RES0184.mp3[102.440,111.040] OK OK CAN YOU DESCRIBE WHERE YOU FEEL THE HEADACHE THE MOST AND IS IT PULSATING OR KIND OF ALWAYS THERE audio/RES0173.mp3[525.680,531.840] OK YEAH I SEE AND UH DO USE ANY RECREATIONAL DRUGS audio/RES0071.mp3[293.520,299.760] OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/MSK0025.mp3[192.800,200.000] OK DOES IT TRAVEL IN DOES THE PAIN TRAVEL ANYWHERE ELSE DOES IT SHOOT DOWN YOUR LEGS AT ALL audio/RES0048.mp3[2.560,27.040] YEAH SO I JUST CAME IN BECAUSE IVE BEEN HAVING THIS COUGH THATS GETTING WORSE OVER THE LAST UH ONE AND A HALF WEEK AND UH IVE ALSO JUST RECENTLY IN THE LAST FEW DAYS BEEN GETTING SOME SHORTNESS OF BREATH UM AND I ALSO NOTICED UH MY BOWEL MOVEMENTS HAVE CHANGED A LITTLE BIT AS WELL OVER THE LAST WEEK audio/RES0193.mp3[647.160,690.320] IF THEYRE ABLE TO FOLLOW INSTRUCTIONS AND SO THAT TEST REQUIRES A COMPLETELY BREATHING OUT AND FOLLOWING SOME INSTRUCTIONS DURING THE TEST SO SINCE HES SIX HE MIGHT BE ABLE TO DO THAT WE WE CAN TRY THAT AND THEN AFTERWARDS WELL SEE IF HE REQUIRES ANYTHING LIKE AN ALLERGY TESTING OR WE WILL WE MIGHT NEED TO HELP MANAGE HIS SYMPTOMS WITH A PUFFER FOR EXAMPLE LIKE VENTILIN AND AN INHALED CORTICO STEROID BUT THOSE ARE JUST SOME DISCUSSIONS WILL HAVE IN THE NEAR FUTURE AFTER WEVE DONE ALL THESE INVESTIGATIONS audio/RES0044.mp3[50.520,54.160] REALLY DRY OK SO NO SPUTUM NO BLOOD THAT YOURE BRINGING UP audio/RES0003.mp3[71.120,88.800] YEAH HES UH HES DEFINITELY THE LAST COUPLE OF DAYS HASNT BEEN EATING AS MUCH LIKE SOLID FOOD HES DRINKING COLD LIQUIDS OKAY BUT YEAH HE HASNT BEEN EATING AS MUCH audio/RES0135.mp3[132.720,141.000] OKAY ANY BLOOD THAT YOU NOTICED THERE audio/RES0015.mp3[346.080,371.640] I THINK IN THE LAST TWO WEEKS IVE BEEN GETTING IT MORE FREQUENTLY LIKE I WOULD SAY EVERY OTHER NIGHT I I FEEL I WOULD FEEL CHILLY AT ONE POINT AND THEN ILL BREAK OUT INTO NIGHT SWEATS OR HAVE TO TAKE OFF MY BLANKET I THINK I MEASURED IT ONCE OR TWICE OVER THE WEEK AND IT DID SHOW LIKE A FEVER OF 102 audio/MSK0038.mp3[639.000,644.680] ABOVE THE JOINT LINE audio/GAS0001.mp3[449.400,456.640] UM AND DO YOU CURRENTLY SMOKE audio/DER0001.mp3[433.120,437.040] UM YEAH I DO ACTUALLY PENICILLIN CANT TAKE THAT audio/RES0061.mp3[331.520,337.360] OK HOW ABOUT ANY FATIGUE OR TIREDNESS audio/MSK0022.mp3[172.360,201.200] OK NOW YEAH I I JUST HAVE YEAH THIS ONE PARTICULAR QUESTION ITS PRETTY SPECIFIC SO WHEN YOU LOOK AT YOUR HANDS IN WHICH JOINTS ARE PAINFUL IN YOUR FINGERS IS DO YOU DO YOU HAVE ANY PAIN OR SWELLING IN THE LAST JOINTS LIKE SO JUST UM JUST BELOW THE TIP OF YOUR FINGERS audio/RES0176.mp3[393.640,401.560] OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0174.mp3[154.240,163.160] OH NO NO I GO OUT FOR A RUN EVERY SINGLE DAY NOTHING HAPPENS AT THAT TIME audio/RES0181.mp3[315.280,316.600] AH YES audio/RES0167.mp3[165.360,169.440] ANY CHEST PAIN audio/RES0177.mp3[318.280,327.120] OK HOW ABOUT HIS MOTHERS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS AT THAT POINT audio/RES0123.mp3[474.800,481.960] SURE DO YOU TAKE ANY RECREATIONAL DRUGS LIKE COCAINE AMPHETAMINE LSECSTASY ETC audio/RES0066.mp3[495.200,499.760] I LIVE IN A HOUSE WITH MY DAUGHTER AND HER HUSBAND audio/MSK0013.mp3[339.880,354.920] UM YEAH SO IVE BEEN DIAGNOSED WITH DIABETES HYPERTENSION HYPERCHOLESTEROLEMIA OBESITY AND AND I THINK YEAH I THINK THATS THATS ABOUT IT audio/CAR0001.mp3[223.240,226.880] UM A LITTLE BIT YEAH audio/RES0050.mp3[247.800,249.480] NIGHTS HOW ABOUT NIGHT SWEATS audio/RES0201.mp3[505.120,524.640] CROCK OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS HEART PROBLEMS AND audio/RES0118.mp3[396.760,399.200] HOW ABOUT UH ANY ALCOHOL audio/RES0156.mp3[379.520,399.880] SO WHEN THAT HAPPENS WE JUST USE UM LIKE SHELL JUST TAKE A UH LIKE REACTINE OR LIKE I DONT KNOW SOMETHING LIKE THAT BUT JUST AN ALLERGY PILL UM BUT ITS YEAH THATS IT audio/MSK0025.mp3[276.200,317.760] YEAH I WAS I WAS TAKEN TO THE ER THEY DID LIKE A FULL WORK UP ON ME THE ONLY THING ON MY BACK THAT THEY FOUND WAS A SLIPPED DISC AND THEN THEY SAID THAT SHOULD THAT SHOULDNT CAUSE ME TOO MUCH PAIN BUT IF I WAS HAVING ANY OF THESE SYMPTOMS THAT IM HAVING NOW I SHOULD GO BACK OR SEE A DOCTOR AT LEAST AND AND OTHERWISE I WAS FINE LIKE I DIDNT LOSE A LOT OF BLOOD OR I DIDNT NEED ANY SURGICAL INTERVENTIONS AT THAT POINT audio/RES0182.mp3[49.560,53.880] OK AND ANY LIKE ANY CHANGES TO YOUR DIET OR EXERCISE audio/RES0103.mp3[442.160,455.640] UHM MY HUSBAND DOES SMOKE BUT UH I MEAN HE SMOKES OUTSIDE USUALLY AND AND HE SMOKES I DONT KNOW MAYBE A HALF A PACK A DAY audio/RES0191.mp3[359.480,371.320] UHM YEAH SO WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS AND YEAH HES THE ONLY SEXUAL PARTNER I HAVE audio/RES0016.mp3[382.040,391.440] UH IN TERMS OF LIKE BREATHING I THINK MAYBE AS A CHILD LIKE I MAY HAVE HAD LIKE A PNEUMONIA BUT NOTHING ELSE audio/RES0179.mp3[292.840,297.520] AND HOW ABOUT LIKE BLOOD IN YOUR STOOL OR CONSTIPATION audio/MSK0033.mp3[759.160,782.800] YEAH ITS PATELLAR TENDONITIS IS COMMONLY CALLED THE JUMPERS KNEE AND IT SHOULD RESOLVE WITH THE STEPS THAT WE ESPECIALLY SINCE IT SEEMS LIKE YOURE IN THE EARLIER STAGES SO IT SEEMS LIKE IT SHOULD BE PRETTY RESPONSIVE BUT IF IT ISNT THERE ARE OTHER STEPS WE CAN DISCUSS IN THE FUTURE audio/RES0085.mp3[224.840,230.640] NO NO RASHES audio/RES0147.mp3[240.600,245.360] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS audio/RES0093.mp3[148.800,152.320] I WAS YEAH I WASNT SICK AT ALL audio/RES0034.mp3[118.040,134.080] SHES SHE OFTEN GETS SICK LIKE HER BROTHER GOES TO DAYCARE AND HE BRINGS A LOT OF BUGS FROM THERE AND EVERY TIME HE GETS SICK SHE ALSO GETS SICK THE LAST TIME SHE HAD LIKE A SIMILAR COUGH WAS audio/RES0009.mp3[370.760,384.960] OK UM AND HOW HAVE YOU RECOVERED SINCE THE HYSTERECTOMY WERE YOU LIKE BEDBOUND FOR QUITE AWHILE AFTERWARDS OR WERE YOU UP AN ACTIVE audio/RES0005.mp3[487.680,490.440] NO SURGERIES audio/RES0053.mp3[878.640,888.280] A LITTLE SCARY SOUNDS GOOD OK ILL JUST KEEP AN EYE ON HIM FOR THE NEXT FIVE DAYS audio/RES0134.mp3[348.480,353.920] OKAY AND UM HOW HAS YOUR APPETITE BEEN audio/RES0033.mp3[364.160,370.760] OK AND ANY PROBLEMS WITH UH SORRY UH ANY RECENT INFECTIONS audio/RES0138.mp3[217.640,222.440] OKAY AND DO YOU STILL TAKE THOSE audio/RES0169.mp3[301.160,308.840] OK GOOD DO YOU FEEL LIKE YOU OR YOUR MOM MAY HAVE HAD CONTACT WITH ANYONE WHO COULD HAVE POTENTIALLY BEEN SICK audio/RES0215.mp3[304.200,308.960] AND WAS SHE BORN UH WHAT WEIGHT WAS SHE WHEN SHE WAS BORN audio/RES0070.mp3[0.000,4.440] WHAT BROUGHT YOU IN TODAY audio/RES0203.mp3[360.360,372.200] UH I I HAVE DRANK ALCOHOL BEFORE BUT NOT NOT REGULARLY audio/RES0096.mp3[593.280,595.920] OK GREAT AND SO ARE YOU RETIRED audio/RES0105.mp3[0.000,2.400] SO WHAT BRINGS YOU IN TODAY audio/RES0072.mp3[261.960,274.800] YEAH LIKE I MEAN I GUESS SORT OF LIKE IN THE CENTER MORE SO BUT I CANT REALLY PUT ONE FINGER ON THE SPOT audio/RES0124.mp3[483.800,486.480] ARE YOU STILL USING THE ECZEMA CREAM audio/RES0081.mp3[1.680,24.960] HI MY SON DAVE WHOS 5 YEARS OLD WHO COMES TO THE CLINIC QUITE OFTEN HAS UH HIS ASTHMA HAS BEEN REALLY BAD OVER THE PAST FEW DAYS IVE TRIED HIS PUFFERS BUT THEYRE NOT REALLY HELPING MUCH AND IM JUST WORRIED ABOUT HIM audio/RES0197.mp3[413.840,417.760] OH IM PRETTY I FEEL PRETTY SAFE audio/GAS0003.mp3[324.000,329.960] OK UM DO YOU TAKE ANY OTHER MEDICATIONS AT ALL audio/MSK0015.mp3[499.960,503.520] UM NO OTHER THAN THAT SHES BEEN HEALTHY audio/RES0085.mp3[328.520,334.440] OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0190.mp3[352.360,360.360] UHM NO I DONT THINK SO IM STILL I STILL FEEL LIKE PRETTY ENERGETIC audio/MSK0018.mp3[151.280,152.360] UM NO audio/RES0118.mp3[197.960,200.080] HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0099.mp3[67.680,75.480] OK UH AND IN TERMS OF THE HEADACHE COULD YOU DESCRIBE UHM COULD YOU DESCRIBE THE HEADACHE audio/RES0186.mp3[395.560,401.120] OK AND ANYONE AT HOME SICK audio/RES0045.mp3[465.320,469.760] NO OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0106.mp3[284.280,289.000] OK OK AND ARE YOU ON ANY MEDICATIONS audio/RES0011.mp3[736.920,741.440] OH NO NO I USED TO A LITTLE BIT BUT NOT NOT ANYMORE audio/MSK0008.mp3[871.920,874.200] OK THAT SOUNDS GOOD THANK YOU audio/RES0027.mp3[262.920,268.720] OK AND HOW ABOUT ANY NIGHT SWEATS audio/RES0207.mp3[211.720,214.880] UH NO I HAVENT audio/RES0206.mp3[501.320,514.080] OK OK GOOD AND DO YOU JUST A COUPLE MORE TO GENERAL QUESTIONS HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY audio/RES0107.mp3[3.880,25.680] HI IM HERE WITH MY SON AND HES JUST BEEN FEELING AWFUL HE JUST HAS THIS RUNNY NOSE AND HES BEEN SNEEZING ALL THE TIME AND UH I DONT KNOW MAYBE HE HAS ALLERGIES OR SOMETHING I JUST CAME IN CAUSE I WANTED TO GET HIM CHECKED OUT AND MAYBE GET SOME MEDICATIONS HES JUST FEELING HORRIBLE audio/RES0051.mp3[241.200,243.440] NO CHEST PAIN audio/MSK0014.mp3[622.800,637.640] PROBABLY SMOKED FOR MORE THAN 30 YEARS AND I WAS SMOKING ONLY ONE TO TWO PACKS A DAY AT MOST audio/RES0195.mp3[271.880,277.320] IT CAN BE AT REST AS WELL audio/RES0163.mp3[390.080,393.320] HAS THIS AFFECTED YOUR SLEEP OR APPETITE audio/MSK0027.mp3[342.600,353.960] OK ANY CONCERNS FOR REACHING DEVELOPMENTAL MILESTONES SUCH AS WALKING TALKING AND LIKE SOCIAL INTERACTIONS audio/RES0037.mp3[78.280,94.600] AND YEAH SO I WENT TO SEE MY FAMILY DOCTOR ABOUT THE COUGH THEN AND DAD WAS PRESCRIBED SOME ANTIBIOTICS I THINK AZITHROMYCIN AND IT IT STILL DIDNT IT DIDNT DO ANYTHING audio/RES0035.mp3[476.200,479.120] UHM YEP audio/RES0047.mp3[266.160,272.320] UH MY CHEST IS IT FEELS TIGHT audio/RES0108.mp3[458.600,460.080] SOUNDS GREAT audio/GAS0004.mp3[237.920,261.600] AND THEN ITS YOU KNOW ABSOLUTELY POTENTIALLY NOT LIKE MAYBE NOT IT COULD POSSIBLY BE SO NOT TO NOT TO WORRY YOU ABOUT THAT WE JUST LIKE TO GET AN IDEA OF KIND OF THE WHOLE PICTURE OF WHAT YOURE COMING IN WITH SO IN TERMS OF THE LAST THREE TO FOUR DAYS HAVE YOU EXPERIENCED ANY NAUSEA OR VOMITING audio/RES0034.mp3[791.400,797.160] OK AND WHO IS THE PRIMARY CAREGIVER FOR AT HOME audio/RES0102.mp3[469.840,471.760] NO NOTHING LIKE THAT audio/RES0154.mp3[512.880,552.120] UM OK SO UH YEAH WITH THE THE SYMPTOMS UM IT COULD BE UM PNEUMONIA WHICH COULD BE BACTERIAL OR VIRAL UM AS WELL AS THE POSSIBILITY OF UM SOMETHING LIKE UH LIKE COVID WHICH IS OF COURSE A CONCERN FOR TODAY SO WE WILL GO AHEAD AND START THOSE INVESTIGATIONS AND GET A SWAB UM AND UM YOU MAY NEED ANTIBIOTICS FOR UM FOR THIS IF THERE THERE IS UH PNEUMONIA SO WELL ALSO GET A CHEST XRAY AS WELL audio/MSK0007.mp3[399.800,407.960] OK UH AND UH DO YOU DO REPETITIVE TASKS AT WORK audio/MSK0031.mp3[89.760,95.200] OK IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHY audio/RES0028.mp3[60.600,66.400] OK SO YOU WERENT DOING ANYTHING LIKE YOU WERENT DOING ANY ACTIVITIES YOU JUST WOKE UP FROM SLEEP audio/MSK0017.mp3[233.040,241.160] OK OK UM AND ARE YOU HAVING ANY SORT OF LIKE NUMBNESS OR TINGLING ANYWHERE ON YOUR BODY audio/RES0085.mp3[347.480,349.360] NO NO MEDICATIONS audio/RES0089.mp3[765.360,785.800] YEAH NO THATS REALLY GOOD AND DEFINITELY WITH THESE SYMPTOMS AND YOUR CONDITION THAT DEFINITELY HELPS TO QUIT SMOKING WHENEVER YOU CAN SO CONGRATULATIONS FOR THAT ANY ALCOHOL AT ALL audio/RES0003.mp3[479.320,483.280] OK GOOD IS HE ON ANY MEDICATIONS audio/RES0130.mp3[173.240,178.080] OKAY ANY RASHES audio/RES0017.mp3[518.720,521.560] ALRIGHT DO YOU HAVE ANY ALLERGIES audio/RES0037.mp3[675.960,685.120] YEAH YEAH I SMOKE ABOUT A HALF A PACK OF CIGARETTES PER DAY AND AH IVE BEEN TRYING TO CUT DOWN audio/RES0106.mp3[48.720,53.960] SOMETIMES OK WITH THE COUGH OR OUTSIDE THE COUGH AS WELL audio/RES0131.mp3[501.280,504.840] UM NOT THAT IM AWARE OF audio/RES0107.mp3[450.200,466.040] IVE TRIED THE UH YEAH THE ONES OVER THE COUNTER UM THEY DO HELP UM I TRIED IT THIS TIME BUT UH IT DIDNT DO MUCH audio/RES0131.mp3[328.280,347.080] UH I HAVE ASTHMA WHICH I WILL LIKE ASTHMA AND ALLERGIES AND ILL USE UM JUST VENTOLIN FOR THAT EVERY LIKE ONCE IN AWHILE BUT IT HASNT BUGGED ME TOO FREQUENTLY audio/MSK0039.mp3[382.160,390.800] OK UM AND THEN IS THERE ANY FAMILY HISTORY OF LIKE MUSCULOSKELETAL ISSUES audio/RES0154.mp3[401.280,406.120] NOT THAT I NOTICED NO audio/RES0022.mp3[342.400,346.720] OH NO I DONT THINK SO audio/RES0058.mp3[362.520,375.000] I DONT KNOW MAYBE MAYBE A LITTLE WEAK BUT UMM JUST WAY MORE TIRED audio/RES0030.mp3[548.040,553.280] UM NOO I WOULD NEVER USE THAT audio/GAS0001.mp3[33.880,44.760] AND UM IS IT DO YOU ALWAYS HAVE THE SENSATION OF NAUSEA OR IS IT RELATED OR DOES IT COME AND GO audio/MSK0031.mp3[209.080,212.720] UHM AND RASHES audio/MSK0028.mp3[868.360,937.400] OK ALRIGHT SO BASED ON THE HISTORY AND WHAT YOURE TELLING ME FOR THE PHYSICAL AS WELL OF HAVING A HISTORY OF EXERCISING AND ALSO SHOULDER PAIN WITH OVERHEAD HEAD MOVEMENTS WHICH ARE RISK FACTORS FOR DEVELOPING A BICEPS TENDON TEAR OR BICEPS TENDON INJURY AND HAVING THE SWELLING AND BRUISING AS WELL AS REDUCED FUNCTION OF BICEPS OR ELBOW FLEXION THEY ALL SUGGESTS THAT THERE IS A BICEPS TENDON TEAR OR INJURY THERE AND SO WILL WANT TO GET AN ULTRASOUND OR MRI TO LOOK AT WILL START WITH THE ULTRASOUND BUT THEN POSSIBLY GET AN MRI AS WELL TO LOOK AT THE EXTENT OF THE TISSUE DAMAGE BUT IF THERE IS JUST A LONG HEAD OF BICEPS TEAR IT WILL USUALLY BE TREATED CONSERVATIVELY AND SO WELL JUST NEED TO LOOK TO SEE WHAT THE EXTENT OF THE INJURY IS audio/RES0185.mp3[145.960,148.400] NO ITS BEEN STABLE audio/RES0122.mp3[173.120,176.960] UM ANY FEVERS OR CHILLS audio/RES0216.mp3[112.040,120.320] UH I I FEEL LIKE IT WAS KIND OF HARDER TO GET A WHOLE BREATH UM SO YEAH YEAH I GUESS audio/RES0108.mp3[226.520,230.040] ITS ABOUT ITS BEEN UH SEVEN YEARS NOW audio/RES0019.mp3[373.640,376.320] NO NO audio/MSK0007.mp3[407.960,410.720] I DO audio/RES0124.mp3[112.760,117.280] AND YOU SAID THAT SOMETIMES YOU ALSO HAVE DIFFICULTIES BREATHING WITH IT audio/MSK0022.mp3[735.240,740.680] OK I SEE OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE audio/MSK0006.mp3[285.360,291.160] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0011.mp3[229.840,236.920] OK HAVE YOU HAD ANY UH LIKE SHAKES OR OR RIGORS audio/RES0191.mp3[443.680,448.240] UHM MY GRANDFATHER HE WAS 55 audio/RES0142.mp3[286.200,295.600] I SEE OKAY UM ALRIGHT WELL THATS ALL THE QUESTIONS I HAD AND UH SORRY ONE MORE HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS SO FAR audio/RES0021.mp3[150.760,164.240] OK AND YOUVE YOU BEEN FATIGUED CAN YOU TELL ME A LITTLE BIT ABOUT ABOUT HOW YOU BEEN FEELING audio/RES0044.mp3[563.800,570.520] PINEAPPLE OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0009.mp3[3.920,15.680] REALLY I JUST DONT I I DONT FEEL QUITE RIGHT LIKE IVE HAD THIS PAIN IN MY CHEST FOR FIVE DAYS NOW AND IVE BEEN JUST FEELING KIND OF OUT OF BREATH audio/RES0165.mp3[229.440,234.680] MAYBE A LITTLE BIT ITS NOT TOO BAD audio/RES0172.mp3[338.680,347.080] YEAH MY MY AUNT HAD HAD BREAST CANCER BUT AH AND MY DAD HAS HIGH BLOOD PRESSURE audio/MSK0039.mp3[320.200,323.120] ABDOMINAL PAIN audio/RES0106.mp3[58.880,70.640] UM NO NOT INITIALLY BUT LIKE SINCE THE PAST FEW DAYS ESPECIALLY AFTER IVE LIKE COUGHED A LOT IT JUST KIND OF HURTS ME A LITTLE BIT audio/RES0198.mp3[359.880,366.760] YEAH THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0212.mp3[101.760,105.320] ITS REALLY GROSS ITS KIND OF LIKE GREENISH audio/RES0092.mp3[194.680,202.640] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING audio/MSK0041.mp3[239.440,243.520] AND HAVE YOU HAD ANY ANY NIGHT SWEATS audio/RES0205.mp3[395.000,397.720] OK UHM AND WHAT DO YOU DO FOR WORK audio/RES0075.mp3[60.160,79.200] NO NOT REALLY I WAS JUST AT HOME AND THEN I NOTICED THAT WHEN I LIKE TAKE A DEEP BREATH IN ITS JUST LIKE A VERY SHARP PAIN ITS KIND OF LIKE IN MY RIGHT SIDE OF THE CHEST AND IT FEELS LIKE A STABBING PAIN audio/RES0210.mp3[368.720,371.680] YEAH I LIVE HERE IN TOWN GOT A GIRLFRIEND LIVING IN APARTMENT audio/RES0025.mp3[232.120,235.920] OK AND HOW DID YOU TRAVEL THERE audio/RES0166.mp3[587.040,600.000] SO YOULL BE IN HERE FOR A FEW HOURS UNTIL WE GET ALL THOSE THINGS DONE AND SEE IF YOU NEED ANY ADMISSION AT ALL TO THE HOSPITAL audio/RES0207.mp3[139.520,154.360] NO I USUALLY DONT GET SEIZURES VERY OFTEN UM I KIND OF FORGOT TO TAKE MY MED I THINK THAT MIGHT HAVE YEAH audio/RES0004.mp3[308.760,313.120] OK UPPER LIMBS OR LOWER LIMBS audio/RES0173.mp3[130.720,177.800] I GOT A NOTICE THAT THIS HAPPENS TO ME EVERY TIME I GO TO MY BOYFRIENDS PLACE SO I STARTED DATING I STARTED DATING SOMEONE NEW ABOUT SIX MONTHS AGO AND EVERY TIME I GO TO HIS PLACE A COUPLE HOURS LATER I JUST LIKE DEVELOP THESE SYMPTOMS JUST KIND OF ODD I THOUGHT THAT I WAS JUST GETTING A COLD BUT NOW THAT ITS HAPPENED LIKE THREE TIMES IM THINKING MAYBE YOU HAVE SOME SORT OF AN ALLERGY LIKE MAYBE I DONT KNOW MAYBE ITS LIKE YEAH IM JUST ALLERGIC TO SOMETHING MAYBE HIS PLANTS OR SOMETHING I DONT KNOW audio/MSK0022.mp3[775.440,779.000] OK THATS REALLY GOOD UH UH CONGRATULATIONS audio/RES0191.mp3[391.040,392.640] I DONT audio/MSK0005.mp3[454.120,461.680] AND THEN KEEP YOUR ELBOW IN FULL EXTENSION AS WELL DOES THAT HURT audio/CAR0003.mp3[346.800,352.760] OK AND HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL audio/RES0178.mp3[269.960,275.960] NO THERE THERE HASNT BEEN ANY ANY CHANGES TO HIS HEARING audio/RES0048.mp3[476.440,486.160] OH WOW OK AND EACH TIME ARE YOU PRODUCING A LOT OF STOOL OR IS IT JUST A LITTLE BIT EACH TIME audio/RES0120.mp3[343.240,347.200] NO OKAY ANY CHANGES IN YOUR APPETITE AT ALL audio/RES0070.mp3[418.520,429.440] OK AND DO YOU USE ANY OTHER USE ANY RECREATIONAL DRUGS audio/CAR0003.mp3[618.840,631.720] OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET 3 MEALS A DAY A WELL BALANCED DIET audio/RES0080.mp3[296.360,306.920] OK WELL CERTAINLY CHECK THAT TODAY AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS audio/GAS0005.mp3[397.000,407.600] SO HES BEEN GOING ALONG THE CHARTS PRETTY WELL LIKE NO CONCERNS DURING HIS GROWTH OTHERWISE HES A VERY HEALTHY CHILD audio/RES0134.mp3[462.520,470.120] UM I HAD UM A HIP FRACTURE LIKE UH TWO YEARS AGO audio/MSK0049.mp3[285.160,288.640] OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT audio/RES0162.mp3[294.600,297.280] UNINTENTIONAL WEIGHT LOSS audio/RES0107.mp3[776.880,779.120] NO PROBLEM audio/RES0208.mp3[236.360,240.840] AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR HEARING audio/MSK0012.mp3[164.480,169.040] YEAH THATS PRETTY MUCH THE ONLY THING THAT I CAN THINK OF RIGHT NOW audio/MSK0016.mp3[232.000,240.400] OK UM ALRIGHT SO UM ANY WEAKNESS IN YOUR ARMS OR DO YOU FEEL LIKE YOU CAN STILL USE YOUR ARMS OK audio/RES0175.mp3[25.200,33.960] OK AND SO UM LAST NIGHT YOU DEVELOPED A FEVER WHAT UH DID YOU CHECK YOUR TEMPERATURE audio/GAS0001.mp3[276.000,282.640] I THINK THEYRE I THINK THEYRE USUALLY PRETTY REGULAR BUT I DONT I DONT LIKE I DONT audio/MSK0009.mp3[376.520,383.680] OK UHM AND UM HAVE YOU HAVE YOU NOTICED ANY ANY RASHES ANYWHERE ELSE OVER YOUR WHOLE BODY audio/RES0057.mp3[507.520,513.400] UH I HAD A COLONOSCOPY TWO YEARS AGO audio/MSK0031.mp3[533.800,534.760] UH YEAH audio/RES0015.mp3[2.480,16.120] SO IVE BEEN HAVING JUST A WORSENING BREATHLESSNESS IVE BEEN ALSO HAVING A COUGH AND I THINK I MIGHT HAVE ALSO HAD A FEVER IN THE LAST COUPLE WEEKS audio/RES0034.mp3[557.800,569.400] UH SHES NOT HERSELF AND SHES STILL LIKE PRETTY ACTIVE LIKE SHES SHE JUST SEEMS REALLY UNHAPPY AND IRRITATED BUT NO SHE STILL HAS ENERGY audio/MSK0021.mp3[69.240,91.120] SO IF IM OUT WHILE RUNNING WHAT WILL BUG IT BUT I THINK LIKE THAT THE MAIN THINGS THAT HURT ARE IF IM WALKING DOWN STAIRS OR IF IF IM SQUATTING I LIKE TO LIFT WEIGHTS AS WELL AND YEAH I COULD BARELY EVEN DO BODY WEIGHT NOW CAUSE IF I IM SQUATTING DOWN IT CAUSES A LOT OF PAIN ITS A SHARP PAIN audio/RES0186.mp3[401.120,405.920] UH NOBODYS BEEN SICK AT HOME audio/RES0084.mp3[151.200,159.440] OK YEAH UM AND IF YOU WERE TO DESCRIBE IT IS IT SHARP DULL ACHY audio/RES0109.mp3[34.640,45.040] YEAH FOR SURE THATS UNDERSTANDABLE UM WITH THE COUGH IS IT A DRY COUGH OR ARE YOU BRINGING UP SOME PHLEGM audio/RES0030.mp3[154.200,164.640] OK UM AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT DIFFICULTY BREATHING ANYTHING LIKE THAT audio/MSK0050.mp3[580.200,586.640] ALRIGHT AND AND HOW ABOUT MAKING A FIST AND AND THEN ALSO EXTENDING YOUR FINGERS BACK OUT audio/MSK0001.mp3[208.880,213.120] OK ANY CHANGES TO YOUR SKIN AT ALL UH I MEAN ANY RASHES audio/RES0022.mp3[528.480,534.480] OK AND HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN audio/RES0093.mp3[756.880,761.320] OK ALRIGHT AND HAVE YOU ANY HAD HAD ANY HOSPITALIZATIONS audio/RES0063.mp3[617.240,677.640] YEAH FOR SURE I THINK JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVIWE WILL BE DOING A COVISWAB TODAY AND YOU SHOULD HEAR BACK ABOUT YOUR RESULTS IN 24 TO 48 HOURS BUT YOU SHOULD STILL SELFISOLATE FOR 14 DAYS BECAUSE YOU DO HAVE SIMILAR SYMPTOMS AND IF ITS NOT COVIITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND THESE DAYS AND FOR THAT YOU DONT NEED ANY MEDICATION LIKE PRESCRIBED MEDICATIONS BUT JUST KEEP AN EYE ON THAT ON YOUR SYMPTOMS STAY HYDRATED EAT WELL IF YOU NEED TO LOWER YOUR FEVE YOU CAN USE TYLENOL AND IF YOUR SYMPTOMS WORSEN OR YOU START GETTING NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND audio/RES0068.mp3[376.720,387.960] OK AND HAVE YOU BEEN EXPOSED TO LIKE FUMES OR DUST OR HOW DO YOU HAVE ANY ANIMALS OR PETS AT HOME audio/RES0056.mp3[490.240,495.520] OK AND DO YOU SMOKE audio/RES0193.mp3[213.360,219.560] NO HE HASNT HAD ANY DIARRHEA SO NO DIARRHEA NO CONSTIPATION audio/RES0030.mp3[489.920,495.720] OK AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN APARTMENT IN A HOUSE audio/RES0131.mp3[395.760,398.600] I AM YEAH I GET THE FLU SHOT EVERY YEAR audio/RES0128.mp3[131.240,151.640] WELL SOMETIMES HE WILL GET A RUNNY NOSE HE TAKES LIKE REACTIN OR CLARITIN OR SOME SORT OF ALLERGY PILL FOR THAT SOMETIMES BUT THATS USUALLY LIKE THE CHANGING OF SEASONS THAT WILL HAPPEN MORE OFTEN audio/MSK0032.mp3[526.400,528.880] UM NO NOT REALLY audio/RES0201.mp3[209.040,216.280] OK DO YOU KNOW IF YOUR IMMUNIZATIONS ARE UP TO DATE audio/MSK0036.mp3[309.000,326.720] OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST YOUVE EVER FELT AND DO YOU FEEL THIS PAIN AT ANY PARTICULAR TIME OF DAY MORE THAN THAN OTHERS audio/RES0210.mp3[351.960,357.400] UH MY WISDOM TEETH OUT AS A AS A KID 15 OR SO I THINK audio/RES0069.mp3[128.680,135.080] I DONT THINK SO audio/RES0185.mp3[453.840,457.520] SO I I JUST LIVE IN A STUDENT HOUSE WITH A audio/RES0093.mp3[742.920,748.480] OK OK GOOD TO HEAR THAT REMINDS ME HAVE YOU HAD ANY SURGERIES IN THE PAST audio/RES0137.mp3[516.840,525.240] UM MAYBE WHEN I WAS YOUNG BUT I YEAH I DONT I JUST DONT BELIEVE IN VACCINATIONS I YEAH NO I DONT I DONT GET THOSE audio/RES0038.mp3[322.680,325.120] ANY DIZZINESS audio/RES0059.mp3[226.880,228.880] UH NO audio/RES0128.mp3[231.920,238.560] OK AND HOW ABOUT CHANGES TO HIS BOWEL MOVEMENTS audio/MSK0034.mp3[595.320,626.280] OK OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS I HAD TODAY WELL DO A FULL PHYSICAL EXAMINATION AND HAVE YOU COME IN ALRIGHT SORRY AND LIKE WELL WILL CONTINUE WITH THE FULL EXAMINATION TODAY AND WHAT CURRENTLY IT SEEMS LIKE IT CAN DEFINITELY BE FROM THE FALL YOU MAY HAVE INJURED YOURSELF AND WE JUST WANT TO MAKE SURE THERES NO FRACTURES LIKE A HIP FRACTURE audio/RES0049.mp3[343.160,347.800] OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0035.mp3[159.200,169.200] NO ACTUALLY I GET WHEEZY BECAUSE I HAVE ASTHMA BUT IT DOESNT ITS NOT AS BAD AS THIS audio/RES0102.mp3[17.520,21.760] OK AND WHEN DID THE COUGH FIRST START audio/RES0191.mp3[313.400,318.600] OK UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0129.mp3[156.000,163.440] NO OK AND THEN HAVE YOU ACTUALLY TAKEN A LOOK INTO HIS EARS audio/RES0117.mp3[159.760,162.560] FAINTING SPELLS OR DIZZINESS audio/RES0168.mp3[311.560,315.840] UH SO I HAD AN ACL REPAIR SURGERY audio/RES0058.mp3[129.640,132.120] NO SPUTUM AND AND NO BLOOD audio/RES0124.mp3[724.800,732.040] UH SO THEY JUST STARTED LIKE TWO MONTHS AGO AND IVE HAD LIKE MAYBE FOUR OR FIVE OF THEM IN TOTAL audio/RES0005.mp3[816.760,819.880] OK SOUNDS GOOD THANK YOU SO MUCH audio/RES0207.mp3[35.520,39.880] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/MSK0024.mp3[631.480,633.200] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0015.mp3[697.240,698.880] OK OK ARE YOU SEXUALLY ACTIVE audio/RES0015.mp3[606.040,609.760] NO OK HOW ABOUT CANCERS audio/RES0019.mp3[46.160,50.680] I WOULD SAY MOSTLY THE SIDES OF MY HEAD audio/RES0088.mp3[317.680,326.240] OK AND HAVE YOU NOTICED ANY KIND OF SWELLING AROUND HER NECK EARS LIKE AROUND HER LYMPH NODES audio/RES0006.mp3[329.520,331.160] NO ABDOMINAL PAIN audio/MSK0029.mp3[701.760,709.120] YEAH FOR SURE AND THEN WHERE DO YOU WORK AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE audio/MSK0028.mp3[418.040,428.920] UM NO THATS ITS ONLY MY RIGHT UPPER ARM audio/RES0055.mp3[374.320,382.320] OK ARE YOU ON ANY MEDICATIONS BESIDES THE METOPROLOL audio/RES0206.mp3[478.920,483.680] SO I THINK ITS LIKE PRETTY WELL MANAGED LIKE I STAY ON TOP OF MY LIFESTYLE NOW audio/RES0103.mp3[1.720,22.120] YEAH IM JUST BRINGING IN MY OLD DAUGHTER WHOS REALLY BEEN COMPLAINING ABOUT HAVING A RUNNY NOSE AND HAS BEEN SNEEZING A LOT OVER THIS PAST OVER THIS PAST WEEK I THINK THE SYMPTOMS MAYBE STARTED THREE OR FOUR DAYS AGO audio/RES0089.mp3[61.320,63.960] OK AND HOW LONG HAVE YOU NOTICED IT BEING GREEN audio/MSK0050.mp3[445.000,453.480] ALRIGHT UM AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0183.mp3[491.080,502.680] OK AND IS HE LIKE GOING TO DAYCARE OR WHO IS THE PRIMARY CAREGIVER AT HOME audio/RES0111.mp3[212.400,215.280] OH I DIDNT GET THAT THIS YEAR audio/RES0001.mp3[360.960,369.960] UM UH NOPE I DONT SEE ANY SWELLING THERE audio/RES0050.mp3[236.680,241.600] OK HOW ABOUT HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0119.mp3[262.080,264.440] OK UM ANY UH FEVERS OR CHILLS audio/RES0113.mp3[262.160,265.240] OK ANY BELLY PAIN audio/GAS0004.mp3[513.440,519.320] OK WHAT IS YOUR LIVING SITUATION RIGHT NOW YOU SAID YOURE A STUDENT audio/RES0154.mp3[472.680,477.720] OK AND ANY CANCER THAT IS IN THE FAMILY audio/RES0062.mp3[18.600,27.080] THREE DAYS AGO OK AND UH AROUND THAT TIME DID YOU ALSO START FEELING SHORT OF BREATH audio/RES0044.mp3[306.600,312.440] THE NURSE TOOK IT YEAH I DONT KNOW WHAT IT WAS BUT THE NURSE KEPT COMING IN AND SHE SAID IT WAS A audio/RES0108.mp3[369.240,374.440] OK ANY OLD CARPET DUST MOLD OR ASBESTOS IN YOUR HOME audio/RES0003.mp3[90.200,95.080] HE SAYS ITS HARD TO HE DOES SAY IT HURTS TO SWALLOW AS WELL audio/RES0187.mp3[228.000,234.000] OK SO A LITTLE BIT OF CHANGE THERE audio/RES0184.mp3[310.960,314.000] NO I DONT audio/RES0163.mp3[256.760,268.240] I TRIED STEAMING BUT IT DIDNT DO MUCH IT KIND OF GOT BETTER MAYBE FOR AN HOUR MAYBE BUT THEN YEAH IT DIDNT DO MUCH audio/MSK0006.mp3[784.000,787.120] NO PAIN THERE audio/RES0189.mp3[327.640,330.440] NO NOT THAT I KNOW OF audio/RES0026.mp3[565.600,572.440] OK BUT YOU DO HAVE FAMILIAL HYPERCHOLESTEROLEMIA DO YOU HAVE FAMILY MEMBERS WHO HAVE THAT audio/RES0201.mp3[465.680,473.840] I DRINK OCCASIONALLY MAYBE LIKE ON THE WEEKENDS audio/RES0200.mp3[674.480,676.320] THAT SOUNDS GOOD THANK YOU audio/RES0020.mp3[151.960,156.160] AROUND THE SAME TIME audio/RES0049.mp3[349.200,353.000] OK CONFUSION OR MEMORY LOSS audio/RES0066.mp3[585.840,587.800] NO WHAT DO YOU THINK I HAVE audio/CAR0001.mp3[226.880,232.640] OK AND HAVE YOU BEEN SWEATY AT ALL audio/MSK0041.mp3[243.920,251.240] OK AND HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SENSE OF SMELL OR SENSE OF TASTE audio/MSK0042.mp3[660.560,673.680] OKAY EXCELLENT SO NO ANTALGIC GAIT AND WHEN LOOKING AT UM THE AREA ARE YOU SEEING ANY SWELLING OR OR REDNESS OR SKIN DISCOLOURATION audio/RES0045.mp3[245.560,254.080] OK DO YOU EVER FEEL LIKE YOU HAVE UH PAIN IN YOUR CALVES AFTER WALKING UM A FEW BLOCKS audio/MSK0049.mp3[457.840,466.320] ALRIGHT UH AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE LIKE WHO YOURE LIVING WITH AND WHEREABOUTS audio/MSK0006.mp3[627.120,631.800] ARE YOU PUTTING MORE UM PRESSURE ON THE LEFT FOOT THEN audio/RES0031.mp3[593.200,599.680] I WOULD SAY FOR MY GIRLFRIEND TWO OTHER GIRLS SO THREE IN TOTAL IN THE LAST YEAR audio/RES0206.mp3[215.280,220.720] NO PROBLEM WE CAN NOW CHECK YOUR TEMPERATURE audio/MSK0013.mp3[468.880,471.280] I AM I WORK FROM HOME THOUGH audio/MSK0040.mp3[805.400,807.840] OK THAT SOUNDS GREAT THANK YOU audio/RES0127.mp3[40.880,46.680] OH YEARS OK AND YEARS LIKE JUST SNEEZING AND THE RUNNY NOSE HAS BEEN GOING ON FOR THE LAST FEW YEARS audio/RES0129.mp3[230.720,236.120] NO OK IS HE AN OTHERWISE HEALTHY CHILD audio/RES0163.mp3[337.920,339.560] IM ALLERGIC TO CATS audio/RES0077.mp3[297.000,313.520] OK ALRIGHT SO IT SEEMS THAT YOUR SHORTNESS OF BREATH IS IT UH MAINLY WHEN YOURE BREATHING IN OR BREATHING OUT OR ARE YOU HAVING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT audio/RES0192.mp3[241.840,251.960] UM I HAVE HAD SOME WEIGHT LOSS ACTUALLY ABOUT 15 POUNDS OVER THE PAST SIX MONTHS audio/RES0053.mp3[323.440,331.800] OK AND HIS TASTE ANY REASON TO BELIEVE THERE ARE ANY CHANGES THERE audio/MSK0038.mp3[132.960,139.200] OK ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE audio/RES0030.mp3[73.520,80.800] OK AND IS YOUR COUGH JUST CONSTANT OR DOES IT COME AND GO audio/RES0031.mp3[419.720,421.160] UH NO audio/RES0050.mp3[181.680,187.720] OK HAVE YOU HAD ANY EAR PAIN OR EYE PAIN audio/MSK0044.mp3[230.720,231.920] UH NO I HAVENT audio/RES0124.mp3[698.640,708.440] UM DEFINITELY IN IN GYM CLASS BUT OTHER THAN THAT IT HASNT REALLY AFFECTED ME audio/MSK0028.mp3[572.600,576.720] OK AND ARE YOU WORKING RIGHT NOW audio/RES0148.mp3[331.120,340.760] OK AND DO YOU HAVE A UM SOMEBODY THAT FOLLOWS YOU ALONG FOR EITHER UH FIBROMYALGIA OR OR SCHIZOPHRENIA audio/RES0180.mp3[128.720,139.880] UH KIND OF IN THE FRONT OF UH I HAVE MY OVER MY HEAD AND ON BOTH SIDES AS WELL audio/MSK0045.mp3[136.320,138.720] ID GIVE IT ABOUT A 7 audio/RES0090.mp3[396.360,399.440] NOPE NOTHING LIKE THAT audio/RES0143.mp3[63.080,72.600] UM AND SO YOUVE HAD THIS COUGH FOR TWO WEEKS AND THE RUNNY NOSE JUST STARTED LAST WEEK HAS THE COUGH IMPROVED OVER THE PAST TWO WEEKS audio/MSK0012.mp3[27.560,30.720] ABOUT A MONTH audio/CAR0005.mp3[252.960,263.320] OK OK AND BEFORE THIS TWO WEEK PERIOD HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/CAR0001.mp3[294.520,298.000] OK HAVE YOU HAD A COUGH audio/RES0006.mp3[303.600,307.480] OK AND HOW ABOUT HEADACHES audio/RES0023.mp3[196.400,203.240] UH NO NOTHING LIKE THAT audio/RES0036.mp3[592.000,598.320] UHM I HAVE A SMALL APARTMENT ALSO NOT IN THE GREATEST LOCATION audio/CAR0002.mp3[485.680,494.720] UM NO MARIJUANA BUT I HAVE USED CRYSTAL METH IN THE PAST audio/RES0077.mp3[749.440,750.920] UH NO I DONT audio/RES0070.mp3[568.720,569.600] OK THANK YOU audio/RES0074.mp3[453.000,466.720] OK WELL THATS GOOD YEAH ITS IMPORTANT TO BE SOCIALLY DISTANCING ESPECIALLY WHEN HAVING SYMPTOMS HAS ANYBODY ELSE IN THAT HOUSE BEEN SICK audio/RES0008.mp3[535.320,541.160] OK UM AND DO YOU HAVE ANY ALLERGIES audio/CAR0002.mp3[7.120,10.480] OK AND WHERE IS THE PAIN EXACTLY audio/RES0211.mp3[252.600,260.160] NO NO THEY SAID ITS NOT LIKE ONE OF THOSE ALLERGIES AND ITS JUST LIKE ITS JUST LIKE THE SEASONAL ONES BUT THEYRE JUST BAD audio/RES0180.mp3[156.920,161.000] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0188.mp3[380.560,383.040] NO SHES HEALTHY NO NO SYMPTOMS audio/RES0211.mp3[341.440,346.480] OK WHAT ABOUT YOUR PARENTS BROTHERS SISTERS audio/CAR0003.mp3[16.920,19.920] ABOUT TWO MONTHS AGO audio/MSK0043.mp3[366.560,371.520] UH NO NO I HAVENT HAD ANY CHANGES THERE audio/RES0027.mp3[452.000,458.080] OK ANY ANY ALLERGIES TO MEDICATIONS audio/RES0151.mp3[525.400,530.400] OK DO YOU DRINK ALCOHOL audio/MSK0019.mp3[271.800,272.280] UH NO audio/RES0165.mp3[342.680,351.040] OK UHM AND CURRENTLY ARE YOU WORKING audio/MSK0028.mp3[271.160,282.160] OK SO THE PAIN IS PRETTY SEVERE THEN IT SOUNDS LIKE UH OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0029.mp3[305.320,307.400] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0139.mp3[59.000,59.320] UH NO audio/RES0087.mp3[2.480,25.040] YEAH IM JUST COMING IN WITH MY SON HES BEEN HAVING HES BEEN COMPLAINING OF JUST SEEMS LIKE PAIN IN HIS RIGHT EAR FOR THE LAST I WOULD SAY THREE TO FOUR DAYS AND IT SEEMS LIKE HES JUST MORE IRRITABLE JUST NOT HIMSELF RIGHT NOW audio/RES0216.mp3[410.520,413.280] UH I TAKE THE UH SALBUTAMOL audio/RES0022.mp3[916.760,936.760] OK CERTAINLY THAT CAN BE PART OF A KIND OF WHAT HOW YOURE FEELING AND RIGHT NOW WITH THE SITUATION WITH THE PANDEMIC COVID19 IS DEFINITELY PNE THING THAT WILL BE TESTING FOR TODAY audio/RES0139.mp3[146.800,148.440] ANY FATIGUE AT ALL audio/RES0210.mp3[144.960,159.080] NOT REALLY I FEEL A LITTLE BIT WINDED DOING THINGS I USED TO DO LIKE I TAKE THE STAIRS UP TO MY APARTMENT BUT I HAVE JUST HAPPENED REALLY TRYING TO EXERT MYSELF THATS BEEN TAKING IT EASY SO I HAVENT REALLY NOTICED BEING OUT OF BREATH audio/RES0047.mp3[524.680,536.240] OK AND THEN FOR YOUR UH COPWHICH INHALERS ARE YOU ON audio/RES0104.mp3[34.200,49.880] ITS ITS HAPPENING ALL DAY REALLY THROUGHOUT THE DAY AND REALLY ANY TYPE OF EXERTION OR OR MOVEMENT IM GETTING SHORT OF BREATH AND ITS TRIGGERING A COUGH audio/RES0126.mp3[406.120,415.320] UHM IM SHORT OF BREATH ALL THE TIME YEAH ITS JUST ITS ITS WORSE WHEN I AM MOVING audio/RES0160.mp3[99.040,102.720] HAVE YOU COUGHED UP ANYTHING AT ALL LIKE BLOOD OR ANY ANY MUCUS audio/RES0132.mp3[701.520,705.840] OKAY SO UH WELL GET THAT STARTED audio/MSK0026.mp3[588.480,595.680] SORRY SO YOU ARE HAVING HAVING SWELLING WARMTH AND REDNESS TO THE RIGHT KNEE audio/MSK0029.mp3[267.520,280.240] YEAH IT COULD BE THAT AT FIRST I DIDNT EVEN HAVE ANY PAIN AT ALL MAYBE IT WAS JUST THE ADRENALINE PUMPING OR WHATEVER BUT NOW I CAN NOTICE THE PAIN audio/RES0183.mp3[174.120,183.560] OK AND HAVE YOU HAD A CHANCE TO LOOK IN HIS MOUTH HAS HE HAD ANY LIKE ANY REDNESS OR ANY SWELLING IN THE BACK OF HIS MOUTH audio/RES0130.mp3[332.400,340.400] OKAY OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/DER0001.mp3[525.920,531.360] DO YOU LIVE IN TOWN DO YOU LIVE WITH YOUR KIDS audio/MSK0043.mp3[119.520,131.960] UH I WOULD SAY BOTH I CANT UM I CANT REALLY MOVE IT ITLL GIVE ME PAIN AND EVEN PRESSING ON IT ITS ITS QUITE PAINFUL audio/RES0123.mp3[216.040,221.760] HAVE YOU HAD ANY LIKE STIFFNESS OR RIGIDITY IN YOUR NECK audio/RES0211.mp3[588.480,592.680] YEAH LIKE I JUST WANT TO KNOW IF I HAVE TO LIKE TAKE MEDICINE OR SOMETHING audio/RES0048.mp3[759.200,767.960] YEAH OK DO CAN YOU THINK OF ANY OTHER SICK CONTACTS THAT YOU MAY HAVE HAD OVER THE PAST ONE OR TWO WEEKS OR EVEN THREE WEEKS audio/RES0172.mp3[230.680,233.240] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0001.mp3[413.200,415.280] NO CONFUSION audio/MSK0037.mp3[476.760,482.000] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0012.mp3[247.080,256.400] OK OK AND I JUST WANT TO ASK YOU SOME OTHER QUESTIONS UM JESSICA SO HAVE YOU HAD ANY FEVERS RACE RECENTLY audio/RES0058.mp3[184.640,190.400] YEAH OK UMM HOW ABOUT MUSCLE ACHES audio/MSK0031.mp3[305.880,308.880] YEAH OK ANY ALLERGIES audio/MSK0024.mp3[206.200,219.320] AND ANY KIND OF NUMBNESS OR LOSS OF SENSATION IN YOUR BUTTOCKS AREA OR JUST BELOW YOUR LOWER BACK audio/RES0060.mp3[0.000,2.640] WHAT BRINGS YOU IN audio/RES0026.mp3[309.400,310.360] UM NO CHILLS audio/RES0139.mp3[570.920,572.520] SOUNDS GREAT audio/RES0051.mp3[3.760,23.160] SURE I HAVE HAD THIS COUGH FOR THE PAST FIVE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO IM JUST HERE TO ASK YOU WHAT IT WHAT IT POSSIBLY COULD BE audio/RES0197.mp3[417.760,423.760] OK THATS GOOD AND ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS AT ALL audio/RES0114.mp3[0.000,2.680] SO WHAT BRINGS YOU IN audio/MSK0016.mp3[127.920,134.480] OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN audio/RES0111.mp3[70.280,76.840] UM AND HAVE YOU NOTICED ANY CHANGES IN YOUR VOICE DO YOU FIND THAT YOUR VOICE IS MORE HOARSE audio/RES0077.mp3[750.920,756.760] OK AND DO YOU DRINK ALCOHOL audio/RES0038.mp3[300.600,304.480] HAVE YOU BEEN FEELING INCREASINGLY TIRED THROUGHOUT THE DAY audio/RES0126.mp3[725.360,727.360] DO YOU DRINK audio/RES0101.mp3[619.200,649.800] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY WELL DO PHYSICAL EXAM AND ILL LISTEN TO YOUR CHEST AND HAVE A LOOK AT YOUR LEG WELL ALSO ORDER SOME IMAGING STUDIES WITH A CTPA ITS CALLED UH BUT BEFORE WE GO AHEAD WITH THAT WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD audio/RES0046.mp3[723.000,727.920] UH NOPE NOTHING LIKE THAT audio/RES0173.mp3[514.360,517.480] DO YOU DRINK ALCOHOL audio/RES0055.mp3[194.040,204.480] YEAH SO IVE HAD COPFOR MORE THAN I GUESS MORE THAN 10 YEARS NOW SO I THINK IT JUST GOT A LOT WORSE WITH THE INFECTION audio/RES0207.mp3[401.520,405.080] OK AND DID YOU USE ANY OTHER SUBSTANCES audio/RES0032.mp3[554.120,557.560] UH NO I DONT DRINK ALCOHOL audio/RES0211.mp3[397.440,403.960] I THINK MY BROTHER WE HAD LIKE A COLD A FEW WEEKS AGO audio/RES0070.mp3[357.160,360.760] NO NO NO audio/RES0119.mp3[481.160,491.720] YEAH SHES BEEN GROWING WELL SHES BEEN GAINING WEIGHT LIKE A NORMAL AMOUNT UM AND SHES DOING WELL SHE WAS DOING WELL AT SCHOOL audio/RES0151.mp3[537.680,541.880] YEAH SO I WOULD SAY LIKE IT WOULD USUALLY BE WINE audio/RES0204.mp3[0.000,19.760] I HEAR THAT YOU HAVE BEEN HAVING SOME COUGHING SO IM JUST GOING TO CHAT WITH YOU FOR A BIT GET AN IDEA OF HOW THINGS ARE GOING WELL HAVE A LISTEN TO YOUR LUNGS IN YOUR HEART AND THEN I WILL GO GRAB THE DOCTOR THATS WORKING TODAY AND WELL TALK ABOUT IT AND THEN WELL COME BACK AND LET YOU KNOW WHAT THE NEXT STEPS ARE GOING TO BE THAT DOES THAT SOUND GOOD TO YOU audio/RES0148.mp3[536.720,555.040] OK UH ITS GOOD THAT YOUVE BEEN ABLE TO CUT DOWN SO CONGRATULATIONS ON THAT UM AND DO YOU DRINK ALCOHOL audio/RES0160.mp3[270.400,285.000] UH NO NOT THAT I KNOW OF I DO I DO GO TO WORK IN LIKE IN PERSON UNFORTUNATELY IM I CANT WORK FROM HOME BUT IVE BEEN NOTICING ANYONE SICK AROUND ME THOUGH audio/MSK0039.mp3[406.760,410.400] UM PROBABLY IN HER FIFTIES audio/RES0176.mp3[383.160,391.880] AND HAVE YOU NOTICE ANY SKIN CHANGES LIKE RASHES OR OR ANYTHING LIKE THAT audio/RES0117.mp3[183.920,186.480] NO CHANGES IN YOUR URINE audio/RES0136.mp3[326.360,329.560] NO UH ANY NAUSEA OR VOMITING audio/RES0166.mp3[364.120,372.160] NOT ANYMORE OK UM AND SO ARE YOU EXPERIENCING ANY KIND OF COUGHING UP BLOOD OR ANYTHING LIKE THAT audio/RES0189.mp3[576.840,579.960] OK UHM DO YOU DRINK ALCOHOL audio/GAS0001.mp3[184.840,188.320] OK DO YOU HAVE ANY PAIN WHEN YOURE PEEING audio/RES0038.mp3[365.760,376.880] I WOULD SAY ABOUT TWO OR THREE NIGHTS A WEEK OVER THESE LAST TWO WEEKS ITS BEEN ITS BEEN GETTING WORSE audio/GAS0002.mp3[7.040,18.600] YEAH SO NICE TO MEET YOU IVE BEEN HAVING THIS PAIN RIGHT IN MY ABDOMEN ITS KIND OF LIKE IN THE UPPER RIGHT AREA audio/RES0186.mp3[254.560,255.880] NO I HAVENT audio/RES0068.mp3[410.720,415.280] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/RES0137.mp3[390.680,395.640] OKAY AND IS SHE FEEDING WELL LIKE WHAT DOES SHE USUALLY EAT audio/RES0039.mp3[283.000,289.080] OK ARE YOU HAVING ANY HEADACHES OR NAUSEA OR VOMITING audio/RES0052.mp3[182.880,190.680] OK HAS SHE MENTIONED ANYTHING ABOUT LOSING SMELL audio/MSK0040.mp3[235.600,241.800] OK AND HAVE YOU HAD ANY ANY HEADACHES audio/MSK0022.mp3[1057.160,1060.280] OK THANK YOU ALRIGHT YOURE WELCOME TAKE CARE audio/RES0199.mp3[156.080,165.920] OK GOOD ALRIGHT AND ARE YOU SHORT OF BREATH AT ALL audio/RES0067.mp3[425.120,428.560] OK OK YEAH THAT SOUNDS GOOD audio/RES0020.mp3[217.600,220.640] NO SORE THROAT audio/RES0199.mp3[313.280,317.520] OK GOOD ANY CHANGES IN YOUR APPETITE audio/RES0074.mp3[77.480,81.160] I CHECKED I DIDNT SEE TOO MUCH audio/RES0153.mp3[322.520,328.840] UM IVE TRIED LIKE TYLENOL COLD BUT IT DIDNT REALLY WORK audio/RES0099.mp3[289.680,293.560] OK AND HAVE YOU HAD ANY BELLY PAIN audio/MSK0005.mp3[310.840,314.280] OK ANY FATIGUE audio/MSK0034.mp3[220.000,225.120] OK ANY NUMBNESS OR TINGLING audio/RES0205.mp3[0.000,11.760] IM GOING TO BE HAVING A CHAT WITH YOU TODAY GET AN IDEA OF HOW THINGS ARE GOING AND THEN ILL GO OVER IT WITH THE OPPOSITION THAT IM WORKING WITH AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS THAT SOUND GOOD TO YOU audio/RES0043.mp3[740.600,742.960] OK YEAH THATS GOOD TO KNOW audio/RES0211.mp3[378.360,380.600] YEAH YEAH LIKE IM IN HIGH SCHOOL audio/RES0047.mp3[640.800,650.440] OK WELL ITS ITS GOOD THAT YOUVE CUT DOWN UM IF YOU NEED ANY ADDITIONAL HELP CUTTING DOWN WE HAVE RESOURCES THAT WE CAN REFER YOU TO audio/RES0173.mp3[585.400,589.800] I DONT THINK SO NO audio/RES0077.mp3[406.120,410.880] ARE YOU HAVING ANY NAUSEA OR VOMITING audio/RES0014.mp3[523.680,525.680] NO I DONT SMOKE NO audio/RES0114.mp3[28.760,36.200] PROBABLY FIVE I WOULD SAY AND I WAS DIAGNOSED WITH UH COPAROUND THAT TIME audio/CAR0004.mp3[143.800,145.360] NO I DONT audio/RES0066.mp3[150.360,156.760] OK BUT YOUVE BEEN HAVING CHILLS AND ARE YOU HAVING ANY OTHER SYMPTOMS audio/RES0185.mp3[212.240,215.360] NO I HAVENT FELT ANYTHING LIKE THAT audio/RES0044.mp3[657.520,658.600] IM NOT AT ALL LIKE audio/RES0101.mp3[361.680,367.800] ALRIGHT HAVE YOU EVER HAD A A DVT BEFORE audio/RES0022.mp3[266.080,267.880] WHATS THAT audio/RES0119.mp3[41.800,45.120] OK AND WHEN DID THE WHEEZING START audio/RES0037.mp3[195.240,203.240] UH NO NOTHINGS REALLY HELPED IT GO AWAY audio/RES0190.mp3[418.680,421.640] OK HAVE YOU BEEN GOING TO SCHOOL audio/RES0071.mp3[159.400,167.000] ITS A LITTLE SORE BUT UH ITS BEEN OK TO EAT AND DRINK audio/RES0123.mp3[32.640,47.440] SORRY TO HEAR THAT YOURE FEELING SO UH HORRIBLE OVER THE PAST WEEK UM LETS UH LETS TRY TO UNDERSTAND THIS A LITTLE BIT BETTER SO YOUVE HAD THIS HEADACHE FOR THE PAST WEEK OR SO WHERE EXACTLY IS IT audio/RES0033.mp3[288.320,292.760] UH NO IVE BEEN IM IVE BEEN HOME audio/MSK0036.mp3[628.280,633.840] OK AND HOW ABOUT SMOKING MARIJUANA audio/RES0148.mp3[305.480,310.280] OK AND ARE YOU TAKING MEDICATIONS CURRENTLY audio/MSK0044.mp3[478.200,548.800] OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION OF THE AREA UM WE WE WILL DEFINITELY GET AN XRAY OF THE SHOULDER AND CLAVICLE TO SEE WHAT KIND OF IT SEEMS LIKE YOU HAVE A CLAVICULAR FRACTURE FROM JUST THE MECHANISM OF THE INJURY AS WELL AS EVERYTHING YOU WERE DESCRIBING UM BUT IT IS IMPORTANT TO UNDERSTAND HOW LIKE WHAT KIND OF CLAVICLE INJURY IT IS AND WHERE ITS AFFECTED IF ITS IN THE MIDDLE AREA ON LIKE THE OUTER AREAS OF THE CLAVICLE UM AND HOW MUCH ITS DISPLACED BECAUSE THAT WILL DETERMINE IF WE JUST NEED TO REDUCE IT HERE AND THEN GIVE YOU A SLING AND THEN YOU CAN GO HOME THATS USUALLY THE CASE BUT SOMETIMES YOU MAY REQUIRE SURGERY AS WELL AND WE WOULD NEED TO REFER YOU TO AN ORTHOPAEDIC SURGEON SO YEAH WELL WELL GET THE XRAY DONE AND IF YOU NEED ANYTHING FOR PAIN CURRENTLY WE WILL GIVE YOU SOME MEDICATIONS HERE UM AND THEN WELL GO FROM THERE audio/RES0015.mp3[173.760,179.400] OH IM NOT SURE I I DONT THINK THERE WAS ANY TRIGGERS audio/MSK0044.mp3[58.360,73.160] OKAY UM UM DID SOMEONE DID SOMEONE FALL ONTO YOUR SIDE OKAY UH SO YOUR MAIN ARE YOU HAVING MAINLY PAIN IN THAT IN THAT AREA OR IS IT GOING TO OTHER PLACES audio/RES0117.mp3[182.240,183.920] UH NO NOT AT ALL audio/RES0085.mp3[385.920,393.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING LIKE THAT AT HOME audio/RES0116.mp3[305.200,306.200] NO I DONT THINK SO audio/RES0068.mp3[67.360,74.920] OK ALRIGHT HAVE YOU NOTICEDSO YOU SAID LIKE THE DISCHARGE IS YELLOW HOW MUCH OF THE DISCHARGE ARE YOU HAVING LIKE IN A DAY audio/RES0086.mp3[189.040,197.040] YEAH YEAH SO I JUST HAVE TO KIND OF SIT DOWN AND RELAX FOR A BIT AND THEN IT GOES AWAY ON ITS OWN audio/MSK0041.mp3[45.960,49.440] NO NOT NO TRAUMA audio/RES0061.mp3[685.280,691.440] NO JUST MY DAD HAD COLON CANCER audio/RES0169.mp3[64.800,68.840] ITS BEEN DRY audio/MSK0014.mp3[259.400,262.280] HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/RES0179.mp3[547.840,553.480] PROBABLY ONE OR TWO BEERS EVERY DAY audio/RES0197.mp3[184.760,197.680] OK OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE SHORTNESS OF BREATH ANYTHING LIKE THAT audio/RES0212.mp3[455.120,458.520] UH YEAH JUST WITH MY BOYFRIEND audio/GAS0001.mp3[543.000,560.480] ALRIGHT ALRIGHT WELL THANK YOU SO MUCH FOR SPENDING TIME WITH ME TODAY I THINK I HAVE GATHERED ALL THE INFORMATION THAT I WOULD HAVE LIKED I WILL GO TALK TO MY ATTENDING WELL COME BACK AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN SHARE THE PLAN WITH YOU audio/RES0103.mp3[328.480,334.440] OK DOES HAS SHE LOST A SENSE OF TASTE OR SMELL AT ALL audio/RES0061.mp3[700.440,703.160] UM NO I DONT SMOKE MARIJUANA audio/RES0210.mp3[458.400,461.600] RESPIRATORY ILLNESS LIKE LUNGS audio/RES0156.mp3[431.480,443.880] YEAH SO SHE LIVES WITH UM MYSELF AND UH HER FATHER AND THEN YOUNGER YOUNGER BROTHER THATS IT YEAH THATS FOUR audio/MSK0038.mp3[301.080,307.320] NO I HAVENT HAD ANY HEADACHES audio/GEN0001.mp3[92.600,94.320] UH NO IM NOT audio/RES0176.mp3[215.840,217.720] NO NO audio/GEN0001.mp3[387.800,393.200] UNDERSTOOD UNDERSTOOD AND HAVE YOU HAD ANY PAST SURGERIES audio/RES0053.mp3[100.640,110.640] OK GOOD AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS BARKY IS IT HARSH audio/RES0074.mp3[324.600,334.360] OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OR OVER THE LAST SEVERAL MONTHS audio/RES0182.mp3[102.560,114.400] OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP ROUGHLY IF YOU CAN THINK OF IT IN LIKE TERMS OF TABLESPOONS OR TEASPOONS audio/MSK0011.mp3[203.000,205.920] NO I DONT FEEL IT ANYWHERE ELSE audio/MSK0008.mp3[667.960,678.200] OK UHM AND DOES IT FEEL IS AS THOUGH THERES SOME LIKE THE JOINTS OPENING MORE WHEN YOU PUT THE VALGUS STRESS audio/RES0174.mp3[788.280,793.560] I DONT THINK SO audio/RES0038.mp3[92.440,102.840] UH I DONT KNOW MAYBE I I WAS DRINKING A LITTLE BIT TOO MUCH AND PARTYING A LITTLE BIT TOO MUCH SO MIGHT HAVE GOT SICK WHILE I WAS THERE audio/RES0061.mp3[315.440,321.960] IM NOT REALLY ABLE TO EXERCISE AND STUFF LIKE THAT audio/RES0039.mp3[842.560,846.840] ALRIGHT THAT SOUNDS GOOD THANK YOU audio/RES0071.mp3[554.200,560.640] OK I FORGOT TO ASK YOU THIS EARLIER HAVE YOU BEEN EXPERIENCING ANY WHEEZING audio/MSK0004.mp3[168.080,172.560] OK SO SO IT HURTS ON THE RIGHT SIDE OF THE RIGHT ANKLE audio/RES0030.mp3[416.520,420.120] NOTHING I CAN THINK OF audio/RES0211.mp3[52.840,54.040] ANY FLEM audio/RES0019.mp3[0.000,3.680] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN audio/MSK0006.mp3[218.680,228.680] OK AND HAVE YOU EVER HAD ANY LIKE TRAUMA OR ANYTHING THAT COULD HAVE TRIGGERED THIS INITIALLY UM IN THE PAST audio/RES0028.mp3[417.080,424.360] OK AND HOW LONG HAVE YOU BEEN ON THE BIRTH CONTROL PILL audio/RES0186.mp3[0.000,1.000] WHAT BRINGS YOU IN audio/GAS0004.mp3[466.120,468.600] DO YOU HAVE ANY ALLERGIES audio/RES0195.mp3[32.840,38.720] AH IT STARTED A COUPLE MONTHS AGO LIKE 2 3 MONTHS AGO audio/RES0133.mp3[534.800,545.400] OKAY THATS GOOD AND UM I THATS ALL I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD audio/MSK0018.mp3[141.360,143.560] UH NO audio/RES0202.mp3[478.920,486.880] OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW audio/RES0062.mp3[633.880,644.120] OK OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0012.mp3[0.000,2.920] WHAT BRINGS YOU IN TODAY audio/GEN0001.mp3[257.160,259.880] NO NOTHING PRETTY NORMAL audio/RES0168.mp3[500.560,504.520] HOW LONG HAVE YOU HAD HIM audio/RES0187.mp3[451.880,457.600] OK DO YOU SMOKE IT OR EDIBLES audio/MSK0020.mp3[383.360,385.240] NO ALLERGIES audio/MSK0001.mp3[387.480,391.440] UH MY FATHER HAD PROSTATE CANCER audio/RES0125.mp3[432.000,435.800] OKAY UM AND HAVE YOU HAVE YOU HAD ANY SCOPES DONE RECENTLY AT ALL audio/RES0021.mp3[735.960,736.760] YOURE WELCOME audio/RES0026.mp3[203.720,208.840] NO IVE NEVER GOTTEN HEADACHES IN THE PAST audio/RES0055.mp3[147.840,155.320] I DID A COUPLE OF YEARS AGO I HAD TO BE ADMITTED BECAUSE I HAD SOME SHORTNESS OF BREATH audio/RES0009.mp3[121.480,133.840] OH YEAH USUALLY WALK BEFORE I GO FOR LONG WALKS LIKE EVERY DAY LIKE PROBABLY LIKE 5 KILOMETERS OR SOMETHING audio/RES0167.mp3[0.000,2.280] WHAT BRINGS YOU IN audio/RES0059.mp3[477.600,482.040] OK ANY CANCERS THAT RUN IN THE FAMILY audio/RES0163.mp3[278.280,284.960] ARE YOU HAVING ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0005.mp3[366.960,374.600] ALRIGHT AND HAVE YOU WOKEN UP AT NIGHT EXTREMELY SHORT OF BREATH audio/RES0148.mp3[427.400,438.240] OK AND HAS HE BEEN SICK OR HAS ANYBODY YOUVE BEEN AROUND BEEN SICK audio/GAS0001.mp3[530.200,543.000] UH LIKE I DONT I DONT THINK SO I GUESS MY DAD MY DAD HAS LIKE HIGH BLOOD PRESSURE YEAH I DONT THINK THERES ANYTHING ELSE audio/RES0047.mp3[445.480,461.120] OK UM OTHER THAN YOUR COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT audio/RES0065.mp3[318.440,332.160] OK DO YOU HAVE ANY KIND OF ALLERGIES TO ANYTHING IN YOUR HOUSE LIKE CARPETS PETS OR ANYTHING LIKE THAT audio/RES0126.mp3[425.440,432.480] NO OK HOW ABOUT HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST FOR YOUR COPD audio/RES0079.mp3[427.240,451.840] ALRIGHT OK SO IF I UNDERSTAND CORRECTLY YOUVE BEEN FEELING TIRED AND YOUVE HAD A COUGH AND A RUNNY NOSE AND CHANGES IN YOUR SENSE OF SMELL FOR THE PAST THREE OR FOUR DAYS AND YOU ALSO WERE FEELING A LITTLE BIT HOT AND YESTERDAY YOU NOTICED THAT YOU HAD SPIKED A HIGH FEVER IS THERE ANYTHING THAT IM MISSING audio/RES0036.mp3[163.000,172.320] UM ITS KIND OF HARD TO SAY ITS ITS ALWAYS THEIR BASELINE BUT IT GETS WORSE WHEN I WHEN I WALK OR WHEN I EXERT MYSELF audio/RES0176.mp3[613.440,628.360] OK AND LIKE YOU SAID YOURE A WRITER CURRENTLY IN THE PAST DID YOU WORK ANY JOBS WHERE YOU WERE EXPOSED TO ASBESTOS OR LIKE ANY CHEMICALS OR FUMES IN THE AIR audio/MSK0021.mp3[359.880,363.840] UH I UHM I DONT NO audio/RES0197.mp3[221.720,230.960] OK UM AND HAVE YOU TRAVELED AT ALL RECENTLY OR BEEN IN TOUCH WITH ANYONE WHOS BEEN SICK audio/RES0061.mp3[149.680,154.720] UMM NO I HAVENT NOTICED ANYTHING THERE audio/RES0060.mp3[174.480,176.560] NO NOTHING LIKE THAT audio/RES0190.mp3[43.480,51.440] UHM NO NOT REALLY NOT I HAVENT REALLY NOTICE ANY CHANGES audio/RES0011.mp3[727.400,729.680] JUST ME audio/RES0072.mp3[243.200,248.600] OK AND DID THAT ALSO START YESTERDAY audio/MSK0012.mp3[356.680,358.080] NO NO audio/RES0058.mp3[105.440,108.320] OK YOU HAVE A COUGH audio/MSK0049.mp3[509.960,525.480] ALRIGHT UM AND IS THERE ANY UH LIKE MUSCULOSKELETAL OR LIKE AUTOIMMUNE CONDITIONS THAT RUN IN THE FAMILY audio/RES0097.mp3[643.400,649.240] OK UHM I SEE AND ANY ANY HEART CONDITIONS OR OR OTHER LUNG CONDITIONS THAT RUN IN THE FAMILY audio/MSK0017.mp3[317.720,321.960] OK ISSUES OR CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0132.mp3[70.960,75.600] OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR PHLEGM audio/RES0139.mp3[138.680,141.800] OKAY NAUSEA OR VOMITING audio/RES0165.mp3[266.280,270.640] UHM NO NO I HAVENT audio/RES0064.mp3[95.080,101.040] OK HAVE YOU TAKEN HIS TEMPERATURE AT HOME audio/MSK0007.mp3[90.200,94.600] OK DOES THE PAIN RADIATE ANYWHERE audio/RES0198.mp3[264.520,266.000] I DO audio/RES0161.mp3[2.080,31.320] HI SO YEAH SO I JUST CAME IN HERE TODAY AT IVE BEEN HAVING JUST THIS CONGESTION AROUND MY NOSE AND FACE LIKE ITS JUST SOMETHING THAT JUST STARTED AN AROUND 5 DAYS AGO AND ITS BEEN GETTING WORSE BUT I STARTED TO GET LIKE THESE HEADACHES AS WELL AS JUST PAIN AROUND MY CHEEKS audio/RES0153.mp3[74.760,80.240] OK UM AND HAVE YOU HAD ANY UM ANY NECK SWELLING audio/RES0123.mp3[470.320,474.800] JUST UH SOMETIMES IT HELPS ME SLEEP SOMETIMES audio/RES0206.mp3[220.720,223.960] HERE BY THE BED I WOULD SAY HAD A FEVER audio/RES0163.mp3[205.400,206.560] UHM NO audio/RES0124.mp3[486.480,492.840] NO NO THAT KIND OF JUST WENT AWAY ON ITS OWN OR LIKE RIGHT AFTER I USED THE CREAM LIKE ITS GOOD NOW audio/RES0105.mp3[708.880,711.840] NO THAT THAT MAKES SENSE THANK YOU audio/MSK0013.mp3[577.720,583.600] OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME audio/RES0155.mp3[106.120,129.880] ITS UM YEAH IM JUST REALLY FEELING LIKE I JUST CANT UH CATCH MY BREATH EVEN WITH UM SOME SMALL THINGS AROUND THE APARTMENT UH THAT NORMALLY I CAN DO ITS ANY TYPE OF EXERTION I JUST CANT CATCH MY BREATH IM OK RIGHT NOW JUST SITTING HERE THOUGH audio/RES0138.mp3[474.560,479.680] UM ABOUT A PACK A DAY audio/RES0127.mp3[246.880,250.920] OK ANY NIGHT SWEATS FEVERS OR CHILLS audio/RES0173.mp3[403.920,406.720] OK AND DO YOU TAKE ANY MEDICATIONS audio/RES0167.mp3[144.320,153.200] I FEEL LIKE IVE IVE PROBABLY HAD A FEVER THE LAST COUPLE NIGHTS IVE JUST BEEN REALLY HOT IN THE EVENINGS audio/RES0178.mp3[62.240,65.480] DRY OK SO NO SPUTUM NO BLOOD audio/RES0072.mp3[672.560,675.080] GREAT THANK YOU audio/RES0097.mp3[288.240,292.560] NO NOTHING LIKE THAT HE HASNT COMPLAINED OF ANYTHING LIKE THAT audio/RES0113.mp3[188.480,190.080] NO NOTHING LIKE THAT audio/RES0212.mp3[340.880,344.240] OK AND YOU JUST GO TO WESTERN audio/RES0097.mp3[649.240,654.400] NO NOTHING ELSE audio/RES0190.mp3[137.280,145.160] OK SO YEAH CERTAINLY A FEVER HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0040.mp3[376.280,383.160] OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED audio/RES0026.mp3[613.440,618.920] ALRIGHT AND HOW ABOUT OVARIAN CANCER audio/RES0160.mp3[161.880,166.040] SO DO YOU FEEL LIKE YOUR HEADACHES GETTING BETTER audio/RES0123.mp3[566.600,578.160] GOOD UM OKAY HAVE YOU HAD ANY UM HAVE YOU HAD MIGRAINES IN THE PAST audio/RES0181.mp3[420.680,424.440] OK AND DO YOU SMOKE CIGARETTES OR HAVE YOU TRIED audio/RES0037.mp3[695.880,701.200] I SEE AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE audio/RES0121.mp3[321.880,326.800] UM NO I WELL I USED TO SMOKE BEFORE I STOPPED LAST YEAR audio/RES0209.mp3[424.640,432.480] UH NO I DONT THINK SO audio/MSK0008.mp3[290.040,295.120] ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA CONSTIPATION audio/RES0014.mp3[684.480,685.440] YEAH THAT SOUNDS GOOD audio/RES0208.mp3[192.760,195.520] ANY HEADACHES audio/RES0117.mp3[242.920,247.680] SORRY FORGOT TO ASK IMMUNIZATIONS DID YOU GET THE FLU SHOT THIS YEAR audio/RES0193.mp3[232.960,239.120] YEAH YEAH HES BEEN GAINING WEIGHT UH OVER THE LAST OVER THE LAST LITTLE WHILE I THINK HES BEEN GAINING audio/RES0130.mp3[58.760,63.720] SO THAT STARTED ABOUT UH ABOUT TWO WEEKS AGO audio/RES0118.mp3[317.240,319.760] UH ANY ENVIRONMENTAL ALLERGIES audio/RES0140.mp3[389.920,401.160] WELL WELL KEEP YOU FOR A BIT AT LEAST THE NEXT COUPLE OF DAYS UNTIL YOUR YOUR BREATHING GETS BETTER AND YOUVE YOUVE BEEN STARTED ON ANTI ON BLOOD THINNERS audio/RES0095.mp3[234.200,245.600] NO NO JUST LASTED A COUPLE DAYS AND GOT BETTER ON ITS OWN audio/RES0184.mp3[44.480,49.000] PAIN AH NO NOTHING LIKE THAT audio/RES0187.mp3[498.360,502.840] JUST MOSTLY BEERS MAYBE WHISKEY SOMETIMES audio/CAR0001.mp3[593.720,595.240] I THINK MY FATHER DID audio/RES0203.mp3[279.600,284.640] DO YOU TAKE ANY MEDICATIONS audio/MSK0049.mp3[755.480,759.400] ALRIGHT THANK YOU audio/MSK0035.mp3[191.640,197.240] I GIVE IT LIKE A FIVE OR SIX audio/RES0141.mp3[413.760,416.280] UM ANY ALCOHOL audio/RES0213.mp3[405.000,407.040] SO YOUVE NEVER HAD ASTHMA AS A CHILD audio/CAR0002.mp3[282.600,285.760] NO RASHES audio/RES0039.mp3[454.440,465.360] OK HAVE YOU TRIED TO LOSE WEIGHT AT ALL OR IS IT JUST BEEN COMPLETELY UNINTENTIONAL audio/RES0051.mp3[526.360,538.840] OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE YOU WANTED TO TELL ME audio/MSK0029.mp3[915.280,923.960] YEAH I CAN TOUCH MY CHIN TO MY CHEST ALL ALMOST UH BUT YEAH ILL GET PAIN AT THE BACK OF MY NECK WHEN I DO THAT AND THE FRONT audio/MSK0013.mp3[690.760,694.480] OK THEN HOW ABOUT OVER ANY OF THE JOINTS OF YOUR TOES audio/RES0187.mp3[457.600,459.000] SMOKE IT audio/GAS0004.mp3[461.080,466.120] NO THATS IT audio/RES0047.mp3[752.360,758.120] IN THE MORNING IN THE MORNING UM BUT I FEEL LIKE THEY HAVE BEEN UH OK audio/RES0020.mp3[87.320,100.680] OK I SEE AND ANYTHING THAT YOUVE DONE THATS MADE THE PAIN WORSE audio/RES0187.mp3[155.600,160.120] OK AND YOU HAVE A RUNNY NOSE OR STUFFY NOSE audio/MSK0025.mp3[606.760,613.400] OK AND ARE YOU EXPERIENCING THE NUMBNESS RIGHT NOW AND IN YOUR GROIN AREA audio/RES0199.mp3[239.840,253.520] UHM SMELL I FEEL LIKE A LITTLE BIT IVE BEEN KIND OF LOSING MY SMELL OVER THE LAST I WOULD SAY ONE DAY audio/MSK0041.mp3[399.160,404.520] UM NO NO MEDICATION CHANGES audio/RES0117.mp3[323.680,324.360] MHMM OK audio/MSK0016.mp3[385.040,389.680] OK ALRIGHT AND ARE YOU ON ANY WEIGHT LOSS MEDICATIONS audio/RES0172.mp3[347.080,360.000] OK OK UHM AND DO YOU CURRENTLY SMOKE audio/RES0085.mp3[115.120,117.680] NO I HAVENT NOTICE ANY BLOOD audio/RES0013.mp3[460.720,468.800] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0021.mp3[61.080,69.240] OK UHM ALRIGHT AND WHAT KIND OF MAKES IT WORSE OR BETTER audio/RES0020.mp3[606.680,608.920] OK AND YOU SMOKE CIGARETTES audio/RES0063.mp3[114.160,117.000] UH NO I DONT THINK SO audio/RES0136.mp3[434.280,439.960] I UM I JUST HAVE THE OSTEOARTHRITIS audio/RES0177.mp3[224.600,225.520] NO NO audio/RES0215.mp3[591.520,595.880] OK ANY WOOD BURNING FIREPLACES STOVES IN THE HOUSEHOLD audio/RES0178.mp3[486.680,497.360] OK AND AT HOME ANY REASON TO THINK THAT OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT COULD BE MAKING HIS SYMPTOMS WORSE audio/MSK0039.mp3[204.080,211.000] OK OK UM OTHERWISE DO YOU HAVE ANY PAIN ELSEWHERE IN YOUR BODY audio/RES0210.mp3[198.440,203.520] YEAH I HAVENT TAKEN SOME TYLENOL AT HOME AND THAT HELPS A LITTLE BIT audio/RES0011.mp3[547.040,550.480] OK MAYBE TAMSULOSIN audio/MSK0044.mp3[167.320,182.400] UM LIKE MAYBE A LITTLE BIT OF BRUISING AND SWELLING LIKE OVER THE AREA WHERE I CAN SEE LIKE MY MY SKIN POINTING UP BUT UM YEAH THATS THE ONLY AREA audio/RES0178.mp3[382.280,387.480] HE HAS YEAH HES BEEN MEETING ALL OF HIS MILESTONES FOR THAT FOR THAT audio/RES0188.mp3[251.120,260.320] EARLIER TODAY WAS CRYING A LOT BUT NOW HAS CALM DOWN AND JUST I GUESS TIRED HIMSELF OUT audio/RES0077.mp3[125.400,128.360] NO I HAVENT audio/RES0188.mp3[494.800,500.240] OK YEAH NO WORRIES audio/RES0097.mp3[166.200,169.800] NO BUT HE HAS HAD A FEVER audio/RES0105.mp3[579.800,587.840] OK YEAH AND OTHER THAN THAT ANY PREVIOUS SURGERIES IN THE PAST audio/RES0169.mp3[265.760,273.800] NO ITS JUST US TWO UH WE LIVE IN A IN A TOWNHOUSE IN IN THE CITY audio/RES0179.mp3[264.240,267.720] NO HOW ABOUT FATIGUE audio/CAR0002.mp3[524.880,526.000] UH FOR THE LAST SEVEN YEARS audio/RES0052.mp3[295.840,300.920] YEP YEP NO CHANGE NOTHING ABNORMAL THERE audio/RES0036.mp3[95.640,101.000] UM ITS PRETTY CONSTANT NOW audio/MSK0012.mp3[506.360,510.200] OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0137.mp3[467.840,474.120] OKAY ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0026.mp3[382.240,389.240] HOW ABOUT ANY PAINFUL URINATION OR FEELING AS THOUGH YOU NEED TO URINATE REALLY FREQUENTLY audio/RES0011.mp3[175.000,176.440] UH I MEAN MAYBE A LITTLE BIT audio/MSK0036.mp3[463.080,470.040] OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS audio/MSK0024.mp3[24.320,25.440] YEAH YES audio/MSK0009.mp3[142.600,149.600] IN MY CALF IM GETTING A LOT OF PAIN AS WELL IN MY RIGHT CALF audio/RES0170.mp3[3.680,28.440] IM JUST BRINGING MY SON TODAY BECAUSE HES BEEN HOW MANY EPISODES WHERE IM EAT HELL GETS ALL THIS COUGHING FIT AND BECOME WHEEZY AND BECOME SHORTER BREATH AND I MEAN AFTER A PERIOD OF TIME IT GOES AWAY BUT ITS BEEN HAPPENING EVERY SO OFTEN audio/MSK0014.mp3[615.560,622.800] OK WELL THATS GOOD IM GLAD THAT YOU QUIT AND HOW LONG DID YOU SPOKE FOR AND HOW MUCH WERE YOU SMOKING DURING THAT TIME audio/RES0101.mp3[405.560,411.520] OK AND DO YOU TAKE ANY MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES audio/CAR0003.mp3[203.800,208.040] OK AND PRIOR TO TWO MONTHS HAVE YOU EVER HAD ANY SIMILAR EXPERIENCES audio/RES0029.mp3[104.480,111.480] OK AND HAS THE PAIN BEEN GETTING WORSE STAYING THE SAME OR GETTING BETTER audio/MSK0036.mp3[19.440,28.680] OK AND WHEN DID THIS PAIN START AND IS IT THE RIGHT HAND OR OR LEFT HAND audio/RES0046.mp3[102.840,109.040] UH ID SAY ITS A 7 I JUST CANT STOP COUGHING audio/RES0165.mp3[80.920,94.600] OK AND DO THEY OCCUR WHEN YOURE EXERTING YOURSELF AT ALL OR IT CAN HAPPEN IT OR DO THEY HAPPEN AT SOME POINT DURING THE DAY IN THE MORNING OR NIGHT OR JUST RANDOMLY audio/RES0195.mp3[114.320,118.960] UM THATS BEEN THERE FOR THE PAST MONTH audio/RES0212.mp3[185.640,193.720] OK AND REGARDING OTHER ANY WE ALREADY TALKED ABOUT CHEST PAIN UH YOUVE BEEN ABLE TO EAT FOOD ALRIGHT audio/RES0071.mp3[536.200,544.080] OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANY CANCERS audio/GAS0007.mp3[294.640,297.240] LIVING ALONE OR WITH FAMILY audio/RES0018.mp3[367.400,370.440] OK ANY ALLERGIES TO MEDICATIONS audio/RES0062.mp3[36.280,44.960] OK AND THE COUGH IS IT A DRY COUGH OR IS IT A WET COUGH audio/MSK0006.mp3[436.960,438.320] UH NO NOTHING LIKE THAT audio/CAR0005.mp3[38.200,50.800] THE LEFT SIDE OK DOES DOES IT STAY JUST IN ONE SPOT OR DOES IT KIND OF SPREAD ANYWHERE ELSE audio/MSK0024.mp3[384.440,387.200] OK AND DO YOU SMOKE AT ALL audio/RES0136.mp3[314.360,325.680] ANY CONTACT WITH ANYONE WHO HAS BEEN SICK RECENTLY audio/RES0048.mp3[396.920,406.040] NO I HAVENT HAD UH I THINK MY TASTE AND SMELL ARE STILL PRETTY GOOD NO NO ISSUES THERE audio/RES0102.mp3[572.960,580.760] YEAH I LIVE WITH MY HUSBAND AND WE HAVE THREE DAUGHTERS AS WELL audio/RES0174.mp3[310.880,317.520] OK AND AND HAVE YOU HAD ANY ABDOMINAL PAINS audio/RES0184.mp3[132.080,136.080] OK UHM AND UMM YEAH HAVE YOU HAD A COUGH audio/RES0095.mp3[420.480,433.400] OK AND HAVE YOU HAVE YOU BEEN STABLE IN REGARDS TO YOUR UH LIKE CHEST PAIN HAVE YOU HAD ANY audio/RES0117.mp3[25.560,43.040] UM SO LET ME THINK UH I JUST RETURNED FROM A MISSION TRIP UH TO THE PHILIPPINES 2 WEEKS AGO THIS COUGH STARTED UH JUST LAST WEEK SO I WOULD SAY AROUND SIX TO SEVEN DAYS audio/RES0175.mp3[346.240,349.600] OK AND HAS SHE HAD ANY SYMPTOMS OR BEEN SICK AT ALL audio/RES0126.mp3[352.080,360.600] SOMETIMES OK AND ARE YOU GETTING ANY KIND OF SIGNIFICANT WEIGHT LOSS audio/MSK0024.mp3[148.320,165.960] IVE TRIED SOME TOPICAL ANALGESICS AND YOU KNOW THOSE FIRE AND ICE GELS AND I THINK SOMETIMES THAT HELPS BUT ITS ALWAYS TEMPORARY audio/RES0127.mp3[117.040,120.960] OK AND ARE YOU COUGHING AT ALL audio/RES0044.mp3[889.800,892.360] YEAH FOR SURE AND I AND I THINK ITS GOOD THAT YOU CAME IN audio/RES0075.mp3[370.760,379.720] OK HAS ANYBODY IN THE HOUSE BEEN SICK OR ANYBODY THAT YOUVE BEEN AROUND BEEN SICK audio/RES0051.mp3[433.160,452.480] OK AND I KNOW SOME PEOPLE IN YOUR AGE GROUP MIGHT EVEN START USING OTHER TYPES OF SUBSTANCES HAVE YOU NOTICED ANYTHING LIKE THAT OR HAVE YOU USED ANYTHING LIKE THAT audio/RES0042.mp3[293.600,294.880] ECZEMA OK audio/RES0019.mp3[357.560,363.680] OK ALRIGHT HAVE YOU NOTICED ANY RASHES audio/RES0096.mp3[111.560,118.840] OK AND YOU MENTIONED COUGH WHEN DID THAT START audio/RES0083.mp3[94.600,100.400] OK AND YOU MENTIONED HEADACHES WHEN DID THOSE START audio/RES0030.mp3[457.040,460.880] NO JUST THE CSECTION audio/RES0156.mp3[97.880,100.400] UH DRY audio/MSK0014.mp3[576.120,586.200] OH YOURE NOT RECEIVING ANY OUTSIDE HELP I CAN DO MOST THINGS MYSELF MY WIFE DOES MOST OF OUR SHOPPING AND COOKING THOUGH audio/MSK0050.mp3[662.320,667.840] UH I GUESS A LITTLE BIT OF TINGLING audio/RES0055.mp3[608.320,611.760] OK AND WHERE DO YOU LIVE RIGHT NOW audio/MSK0016.mp3[606.720,616.440] UM ILL HAVE WINE EVERY ONCE IN AWHILE ON THE WEEKENDS MAYBE MAYBE A DRINK PER WEEK SOMETHING LIKE THAT audio/RES0084.mp3[759.280,773.520] PRETTY HOMEBOUND OK ALRIGHT WELL THATS GOOD AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF audio/MSK0007.mp3[363.840,366.600] OK AND DID THAT HEAL OK audio/RES0052.mp3[375.360,378.880] OK AND ANY REASON FOR HER TO BE HOSPITALIZED audio/MSK0019.mp3[474.360,475.920] UH NOTHING audio/RES0028.mp3[116.520,120.520] THE PAIN IS JUST IN MY CHEST audio/RES0153.mp3[170.680,177.960] OK UM AND HAVE YOU HAD ANY HEADACHES audio/RES0112.mp3[125.120,143.920] USUALLY LIKE ABOUT 5 6 BUT YESTERDAY IT WAS LIKE 2 audio/MSK0008.mp3[170.160,178.600] OK AT THE TIME OF THE INJURY DID YOU HEAR A POP SOUND OR OR ANY KIND OF SOUNDS LIKE THAT audio/RES0125.mp3[559.760,571.080] UM NO I I WENT TO MY DOC AND HE SAID TO TRY ON MY OWN FIRST AND IF IM STRUGGLING WITH IT TO COME BACK BUT IVE BEEN DOING IT VERY GRADUALLY SO ITS ITS GOING WELL audio/MSK0026.mp3[260.600,267.760] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/MSK0013.mp3[187.520,191.840] HOW ABOUT UM ANY SHORTNESS OF BREATH audio/RES0080.mp3[276.640,284.240] I THINK I WAS FEELING VERY CHILLY LAST NIGHT MY WIFE HAD TO BRING AN EXTRA BLANKET FOR ME audio/RES0096.mp3[533.360,537.120] UH ONCE IN A WHILE ON CHRISTMAS audio/MSK0043.mp3[650.520,667.840] UH SO UM I JUST LIVE WITH UH TWO OF MY UM OR ACTUALLY SORRY NO I LIVE WITH MY UH WITH MY PARENTS AND UH YEAH SO ITS JUST BOTH MY PARENTS audio/RES0197.mp3[392.800,398.800] OK DO YOU HAVE ANY FRIENDS OR PEERS THAT HAVE TRIED ALCOHOL OR RECREATIONAL DRUGS audio/RES0195.mp3[197.400,205.200] NO WELL ACTUALLY SORRY SORRY I HAVE HAD A SHORTNESS OF BREATH I HAVENT HAD A COUGH audio/RES0208.mp3[424.360,438.240] AND FOR THE THE REFLUX I TAKE A TUMS HERE AND THERE I USED TO BE ON A MEDICATION BUT IT SEEMED LIKE I KIND OF FIGURED OUT THE FOODS THAT WERE GOING TO HELP SO I STOPPED audio/RES0123.mp3[418.840,423.880] OKAY GOOD UM AND WHO DO YOU LIVE WITH audio/RES0057.mp3[517.480,527.120] UHH MY FATHER HAD COLON CANCER WHEN HE WAS IN HIS 60S audio/RES0026.mp3[606.840,610.160] OK HAVE YOU HEARD OF ANYBODY HAVING BREAST CANCER audio/RES0209.mp3[243.000,245.920] YES THATS RIGHT audio/RES0035.mp3[443.440,446.520] UHM SOMETIMES audio/MSK0005.mp3[619.120,621.840] OK NEUROLOGICAL ISSUES IN THE FAMILY audio/RES0103.mp3[341.920,349.080] OK DID YOU FEEL ANY PRESSURE IN AROUND HER FACE AT ALL audio/RES0110.mp3[725.720,732.080] UM I MEAN WE WE DO LAUNDRY AT A LAUNDROMAT UM BUT OTHER THAN THAT NO audio/RES0163.mp3[340.640,345.920] BUT I HAVENT BEEN AROUND ONE FOR AWHILE audio/RES0108.mp3[270.360,279.080] YEAH FOR SURE SO YOU STARTED THAT TWO WEEKS AGO OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0090.mp3[131.600,138.160] UH SO ITS YEAH SO THERE ARE ABOUT LIKE TEN OF US audio/RES0068.mp3[415.280,425.280] UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS 12 audio/RES0096.mp3[79.760,95.840] OK SO QUITE A SIGNIFICANT CHANGE OVER THE LAST LITTLE WHILE HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT WITH WITH SHORTNESS OF BREATH AND YOU NEED TO SIT UP audio/RES0147.mp3[256.520,264.480] OK UHM ALRIGHT AND UH IN TERMS OF YOUR PAST MEDICAL HISTORY ANY MEDICAL PROBLEMS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0141.mp3[63.960,71.960] I SEE UH OKAY AND HOW SEVERE IS THE PAIN IF YOU HAD TO RATE IT FROM 1 TO 10 audio/MSK0011.mp3[300.520,302.760] NOPE NOTHING LIKE THAT audio/MSK0043.mp3[275.960,285.840] OKAY AND HAVE YOU RECENTLY HAD ANY UM SEXUALLY TRANSMITTED DISEASES OR EXPOSURES TO UH TICKS OR LYME DISEASE audio/RES0032.mp3[483.200,485.840] NO SURGERIES audio/RES0012.mp3[145.200,170.040] I HAVENT BEEN DOING MUCH REALLY CAUSE IVE JUST BEEN SO WIPED OUT UM TILL PROBABLY I GUESS ITS KIND OF IM REALLY YOU KNOW HAVENT BEEN GETTING UP VERY MUCH IM NORMALLY REALLY ACTIVE LIKE I I TRAIN FOR TRIATHLONS AND I IM NOT LIKE A COUCH POTATO RIGHT AND I FEEL LIKE IVE BEEN JUST KIND OF SITTING DOWN audio/MSK0021.mp3[274.640,282.600] NO OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0178.mp3[103.440,107.360] ITS PRETTY YEAH ITS MORE CLEAR audio/MSK0043.mp3[204.280,215.360] JUST YOUR LEFT KNEE OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEVERS CHILLS NAUSEA OR VOMITING audio/RES0024.mp3[425.160,427.800] YEAH JUST LIKE WITH MY BOYFRIEND audio/RES0057.mp3[608.800,614.760] OK DO YOU OR HAVE YOU EVER HAD ALCOHOL audio/RES0060.mp3[705.200,708.320] OK HOW ABOUT CANCERS IN THE FAMILY audio/RES0183.mp3[271.320,275.000] OK DOES HE HAVE ANY HEADACHES audio/RES0166.mp3[44.920,59.400] OK AND UHM CAN YOU DESCRIBE THE SHORTNESS OF BREATH IS IT MORE SO THAT YOURE HAVING TROUBLE DEEP BREATHS OR ARE YOU TAKING SHALLOW FAST BREATHS HOW WOULD YOU DESCRIBE IT audio/RES0025.mp3[240.160,247.360] OK AND HOW LONG WERE YOU THERE FOR AND WHEN DID YOU GET BACK audio/RES0108.mp3[25.320,26.600] BEEN THERE OK audio/MSK0034.mp3[278.760,283.520] NO IVE BEEN PRETTY HEALTHY OTHERWISE audio/RES0189.mp3[626.840,633.360] NO NO NO NO DRUGS AT ALL audio/RES0199.mp3[169.200,173.160] NO OK AND HOW ABOUT WHEEZING audio/RES0180.mp3[393.320,403.280] YEAH SOMETIMES ILL HAVE A GLASS OF WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT THAT WILL JUST BE ONE OR TWO MAYBE WITH DINNER audio/RES0032.mp3[308.440,310.920] OK AND HOW ABOUT YOUR APPETITE audio/MSK0003.mp3[434.320,440.960] OK AND OTHER THAN THAT CURRENTLY ARE YOU SEXUALLY ACTIVE audio/CAR0005.mp3[244.360,252.960] OH IT ACTUALLY I I FEEL LIKE IT HAPPENS MOST OF THE TIME WHEN IM EITHER AT WORK OR OR DRIVING audio/RES0205.mp3[140.280,148.160] IT’S KINDA SPONTANEOUS UM CANT REALLY THINK OF ANYTHING audio/MSK0031.mp3[373.560,378.080] OK UHM DO YOU DRINK ALCOHOL audio/RES0083.mp3[428.560,430.040] UH NO audio/RES0113.mp3[387.280,388.640] UH ONCE A WEEK audio/MSK0016.mp3[436.040,439.880] NO OK UM ANY ALLERGIES audio/RES0201.mp3[92.760,111.720] NO NOT REALLY IVE TRIED YOU KNOW IVE TRIED GARGLING WITH SALT WATER IVE TRIED SOME PAINKILLERS LIKE NOTHING NOTHING SEEMS TO BE WORKING audio/RES0132.mp3[699.680,701.520] OKAY OKAY FOR SURE audio/RES0052.mp3[289.400,295.840] OK AND HAS SHE BEEN GAINING WEIGHT OK audio/MSK0009.mp3[137.600,142.600] OK ARE YOU FEELING THE PAIN ANYWHERE ELSE BESIDES YOUR RIGHT KNEE audio/RES0202.mp3[286.360,296.440] OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING audio/RES0059.mp3[435.320,441.800] OK AND SO YOU SAID SEASONAL ALLERGIES ANY OTHER ALLERGIES audio/RES0102.mp3[737.080,739.720] NO I DONT NO ONE SMOKES IN THE HOUSE audio/RES0183.mp3[398.960,411.680] OK AND YOU SAID HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE BUT SO HAS HE HAD ANY REASONS TO BE HOSPITALIZED OR OR ANY SURGERIES audio/RES0187.mp3[167.120,169.880] NO OK WHEEZINESS audio/RES0026.mp3[409.360,417.040] MMM NO NOT THAT I THAT NOT NOT THAT IVE NOTICED NO audio/RES0103.mp3[429.040,431.960] OK AND CURRENTLY WHO DOES SHE LIVE WITH audio/GEN0001.mp3[169.720,176.560] OK UNDERSTOOD AND DO YOU HAVE ANY PAIN KIND OF BEHIND YOUR RIBS AT ALL ON YOUR BACK audio/RES0060.mp3[708.320,718.640] I THINK MY GRANDFATHER HAD BLADDER CANCER BUT UH IM NOT SURE audio/RES0059.mp3[15.680,20.920] OK SO FOR THE PAST COUPLE OF DAYS YOU SAID SO IS THAT TWO DAYS THREE DAYS audio/RES0206.mp3[187.440,195.760] YEAH THEY REFERRED ME TO A LUNG A LUNG DOCTOR audio/MSK0036.mp3[646.400,650.320] YES JUST JUST WITH MY HUSBAND audio/RES0135.mp3[318.880,321.280] UH NO NO CHANGES THERE audio/RES0202.mp3[634.520,635.000] NO GO AHEAD audio/RES0005.mp3[423.200,428.040] I SEE OK DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0129.mp3[545.280,547.120] THAT SOUNDS REALLY GOOD THANK YOU audio/RES0147.mp3[542.960,549.680] OK HAVE YOU EVER HAVE YOU BEEN ON OXYGEN AT ALL audio/RES0077.mp3[413.760,419.400] OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE AT ALL audio/RES0090.mp3[161.520,166.040] OK AND HAVE YOU HAD THIS HAPPEN BEFORE AT ALL audio/RES0155.mp3[602.360,616.760] I DO YEAH UH I SMOKE ABOUT A PACK A DAY UM AND I IVE SMOKED FOR NOW WELL PROBABLY LIKE 30 OR 40 YEARS I USED TO SMOKE MORE audio/RES0191.mp3[250.960,256.800] OK HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0160.mp3[354.640,362.800] OH YEAH I DO OR I USED TO SMOKE IN MY 20S AND 30S BUT I QUIT SMOKING audio/RES0006.mp3[350.200,353.160] NO NOTHING LIKE THAT audio/RES0056.mp3[2.160,12.440] SO YEAH IVE JUST BEEN HAVING A COUGH FOR THE LAST WEEK AND I THINK I HAD A LITTLE BIT OF A FEVER IN THE LAST FEW DAYS audio/RES0102.mp3[0.000,2.400] WHAT BRINGS YOU IN HERE TODAY audio/MSK0004.mp3[163.800,165.880] OK AND WHICH ANKLE IS THIS JUST TO CLARIFY audio/MSK0025.mp3[448.840,453.760] OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0036.mp3[663.720,670.920] OK AND DO YOU DRINK ALCOHOL audio/RES0060.mp3[450.360,466.120] I CANT THINK OF ANYBODY IVE BEEN AROUND WHOS BEEN SICK BUT LAST WEEKEND I WENT SHOPPING IN THE MALL SO I WENT INTO QUITE A FEW STORES audio/RES0033.mp3[349.880,354.160] OK ANY ISSUES WITH YOUR APPETITE audio/RES0013.mp3[649.320,655.080] YEAH YEAH I JUST REALLY WANT TO GET A GOOD BREATH SO YEAH WHATEVER WE CAN DO audio/RES0158.mp3[360.280,365.160] OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS audio/RES0182.mp3[321.760,328.320] UHM NO IVE BEEN PRETTY HEALTHY SO FAR audio/RES0046.mp3[465.920,473.240] UH NOTHING IM NOT REALLY TOO SURE NOTHING REALLY MAKES IT BETTER OR WORSE audio/MSK0006.mp3[422.440,423.840] I AM YES audio/RES0180.mp3[389.640,393.320] OK DO YOU DRINK ALCOHOL audio/RES0173.mp3[494.240,501.760] OK AND ARE YOU USING BIRTH CONTROL ARE YOU USING CONDOMS audio/RES0049.mp3[167.440,181.280] UHM I WOULD JUST SAY ITS LIKE KIND OF HARSH AT TIMES BUT MAINLY ITS A DRY COUGH LIKE IM NOT BRINGING ANYTHING UP audio/RES0096.mp3[413.720,427.560] AND I TAKE SOME PUFFERS BUT DONT USE THEM VERY FREQUENTLY I FORGET TO USE THEM AND THEY I TRIED THEM BUT THEY HAVENT BEEN VERY HELPFUL THESE PAST TWO MONTHS audio/MSK0045.mp3[220.400,223.720] UH NO NOTHING LIKE THAT audio/RES0128.mp3[190.440,194.920] NO OK HOW ABOUT CHANGE IN HIS SMELL OR TASTE audio/RES0027.mp3[329.880,341.360] ALRIGHT AND HAVE YOU HAD ANY LOSS OR OF YOUR SENSE OF TASTE OR LOSS OF YOUR SENSE OF SMELL audio/RES0168.mp3[504.520,514.640] OH LIKE HES LIKE 3 NOW LIKE MY SINUS INFECTIONS AND THAT HAVE BEEN GOING ON FOR LONGER THAN WEVE HAD HIM audio/RES0102.mp3[589.000,602.320] YEAH MY MY HUSBANDS HAD A COUGH UH AS WELL HE HASNT BROUGHT UP ANY BLOOD OR ANYTHING THOUGH BUT MY MY DAUGHTERS HAVE FELT OK audio/RES0060.mp3[189.480,193.000] OK ANY BLOOD ASSOCIATED WITH THE COUGH audio/RES0209.mp3[187.040,200.240] OK I SEE I SEE YEAH THAT WOULD MAKE SENSE NO OK UH SO YOU SAY YOUVE HAD MORE COUGHING LATELY IS THAT RIGHT YOU SAID THE LAST TWO WEEKS audio/MSK0005.mp3[286.640,295.040] OK ALRIGHT UM AND THEN OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS audio/RES0048.mp3[288.280,292.440] OK ANY CHEST PAIN audio/RES0216.mp3[507.160,516.040] OK AND SO NOTHING NEW IN THE ENVIRONMENT YOU HAVENT CHANGED WHERE YOUVE BEEN LIVING OR YOU HAVENT INTRODUCED A NEW PET OR A NEW DOG audio/RES0168.mp3[495.240,500.560] AND THATS IT YEAH audio/MSK0017.mp3[267.840,269.760] NOPE NOTHING LIKE THAT audio/RES0036.mp3[356.760,362.960] OK AND DOES IT GO AWAY ON ITS OWN OR DOES IT SPREAD TO DIFFERENT AREAS OF YOUR BODY AT ALL audio/MSK0009.mp3[633.080,637.360] NO IVE NEVER TRIED THAT audio/RES0061.mp3[296.680,303.200] ITS UH OH A DRY COUGH USUALLY audio/RES0102.mp3[61.240,86.240] SO I I FIRST SAW SOME BLOOD UHM TWO DAYS AGO IT WAS A REALLY SMALL AMOUNT SO I DIDNT WORRY TOO MUCH BUT I I BROUGHT UP BLOOD YESTERDAY AND AGAIN THIS MORNING ITS BEEN JUST ABOUT ENOUGH TO COVER A TISSUE SO ITS NOT A LOT OF BLOOD EACH TIME BUT ITS PRETTY RED audio/RES0006.mp3[325.000,329.520] OK AND HOW ABOUT ABDOMINAL PAIN audio/MSK0007.mp3[572.240,578.960] OK AN ANY PAIN OVER THE FOREARM OR BICEPS OR TRICEPS MUSCLES audio/RES0143.mp3[360.240,366.480] ALRIGHT UH HAVE YOU UM HAVE YOU BEEN AROUND SOMEONE WHO MIGHT BE SICK OR HAVE YOUR PARENTS BEEN AROUND SOMEONE WHO COULD BE SICK audio/RES0033.mp3[53.280,60.880] I WOULD SAY EVERY TIME I BRING IT UP ITS AROUND LIKE ONE TEASPOON USUALLY ONE TEASPOON IN THE DAY audio/RES0015.mp3[142.080,148.320] OK SURE AND ARE THERE THINGS THAT MAKE MAKE IT BETTER OR WORSE audio/MSK0031.mp3[568.640,572.680] NO I CAN BARELY MOVE IT audio/RES0186.mp3[352.800,355.160] NO HISTORY OF CANCER IN THE FAMILY audio/RES0079.mp3[206.200,210.640] YOU FEEL LIKE YOU HAVE A RUNNY NOSE BUT IS IT SORT OF CONGESTED audio/RES0051.mp3[419.280,423.920] OK SO YOU DO FEEL SAFE IN THE HOME audio/RES0186.mp3[240.600,247.720] A BIT LESS SO I GUESS I HAVENT BEEN IS HUNGRY I SAY SIMILAR AMOUNT OF TIME JUST REALLY THESE LAST TWO DAYS audio/RES0215.mp3[181.760,199.480] UH SHE HAD ACTUALLY SHE HAD A COUPLE OF INFECTIONS OVER THE PAST TWO YEARS UH THEY WOULD COME AND GO UH AND WE TOOK HER TO THE DOCTOR EACH TIME AND IT JUST ENDED UP BEING SOME SORT OF VIRAL INFECTION audio/MSK0010.mp3[345.040,349.080] NO NOT THAT IVE NOTICED audio/MSK0017.mp3[553.160,560.600] OK HOW ABOUT UM SICK CONTACTS HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0093.mp3[409.960,414.600] OK ALRIGHT DO YOU HAVE ANY ALLERGIES audio/RES0126.mp3[669.720,673.080] I SMOKE I SMOKE A PACK A DAY audio/RES0062.mp3[99.800,117.760] OK AND IF YOU WERE TO DESCRIBE THE SOUND OF YOUR COUGH DOES IT SOUND LIKE ITS BARKY OR LIKE A HACKING COUGH audio/RES0127.mp3[279.640,288.080] IVE LOST ABOUT FOUR POUNDS IN THE PAST FOUR FIVE MONTHS ITS BEEN HARD TO LOSE WEIGHT audio/RES0131.mp3[41.960,53.240] YEAH ITS BEEN THERE FOR ABOUT TWO YEAH ABOUT TWO OR THREE DAYS I WAKE UP IN THE MORNING AND IVE BEEN FEELING LIKE REALLY FATIGUED AND ACHY audio/RES0145.mp3[312.440,315.720] OK ANY SURGERIES audio/GEN0001.mp3[433.760,436.360] ANY ALLERGIES audio/RES0128.mp3[202.400,205.960] NO HE HASNT MENTIONED ANYTHING LIKE THAT audio/RES0193.mp3[562.600,571.840] OK AND ANY NEW CARPETS OR ANY DUST RUNNING OR MOLD OR ANYTHING LIKE THAT IN THE HOUSE audio/MSK0045.mp3[171.800,175.960] OK ALRIGHT AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED WITH YOUR PAIN audio/RES0019.mp3[583.960,588.480] I DO ILL HAVE A GLASS OF WINE WITH DINNER audio/RES0028.mp3[401.880,409.280] OK DO YOU TAKE ANY BIRTH CONTROL OR MULTI VITAMINS audio/RES0155.mp3[541.160,543.120] UM NO audio/RES0027.mp3[691.880,695.680] OK ANY CANCERS IN THE FAMILY audio/RES0023.mp3[0.000,3.280] HOW ARE YOU DOING TODAY audio/RES0105.mp3[175.280,193.520] IT HAS YEAH I ACTUALLY LAST LAST WINTER I WAS HOSPITALIZED FOR A COPEXACERBATION FOR FOR A FEW DAYS I I KNOW I GOT SOME ANTIBIOTICS AND UMM I NEEDED SOME OXYGEN audio/RES0103.mp3[45.520,50.680] OK AND THEN THIS WHEN DID THIS SNEEZING START audio/RES0013.mp3[668.520,676.480] OK THANK YOU audio/RES0011.mp3[776.400,784.080] ALRIGHT AND HOW ABOUT ANY OTHER RECREATIONAL DRUG USE INCLUDING THE USE OF IV DRUGS audio/MSK0039.mp3[489.520,495.440] NO I JUST WANT TO GET THIS FIXED AS SOON AS POSSIBLE audio/RES0187.mp3[626.200,634.480] UH NO I DONT THINK SO I JUST WANTED TO SEE WHAT THIS MIGHT BE audio/RES0039.mp3[296.200,299.840] OK HOW OFTEN YOU GETTING NAUSEA audio/RES0113.mp3[311.800,318.400] OK ANY FAMILY HISTORY OF LUNG OR HEART PROBLEMS UH OR ANYTHING ELSE OR CANCERS audio/RES0151.mp3[195.880,202.280] OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH WITH THE COUGH audio/RES0162.mp3[403.160,407.720] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/MSK0043.mp3[249.000,255.600] UM NO NO I DIDNT GET TO UH I I DIDNT CHECK IT audio/RES0146.mp3[283.680,294.480] OK ALRIGHT UHM AND HAVE YOU HAVE YOU HAD ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0116.mp3[0.000,2.320] WHAT BRINGS YOU IN audio/RES0204.mp3[77.720,86.520] OK SINCE IT STARTED DO YOU THINK ITS GOTTEN WORSE OR HAS IT KIND OF STAYED THE SAME GOTTEN ANY BETTER audio/GAS0004.mp3[560.440,571.200] OK AND WHAT WOULD YOU EAT ON A REGULAR DAY TYPICALLY WHAT WOULD YOUR TYPICAL DIET BE audio/MSK0026.mp3[655.160,666.960] OK SO THAT WAS A EVERYTHING THAT I WANTED TO ASK TODAY ON THE HISTORY AND AND PHYSICAL WAS THERE ANYTHING THAT YOU MAYBE I FORGOT ABOUT YOU WANTED TO ADD audio/RES0179.mp3[297.520,301.080] NO CONSTIPATION AND NO BLOOD IN THE STOOL audio/RES0039.mp3[48.960,58.080] UHM IVE HAD IT FOR UHM YEAH ABOUT ABOUT FOUR WEEKS audio/RES0039.mp3[558.880,563.600] UH NO THE APPENDIX WAS THE ONLY THING audio/RES0116.mp3[615.440,704.400] YEAH UM SO WELL FIRST BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH COVID LIKE THE FEVER ESPECIALLY WELL DO A SWAB ON HIM ANYWAYS UM AND YOU SHOULD HEAR THOSE RESULTS IN ABOUT 24 TO 48 HOURS UM AND THEN IT THIS PICTURE SOUNDS LIKE ACUTE OTITIS MEDIA SO LIKE AN EAR INFECTION AND UM ITS ESPECIALLY LIKELY BECAUSE HES HAD THEM IN THE PAST SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE LIKE UM COMING UP WITH A MANAGEMENT PLAN BUT ILL KIND OF WALK YOU THROUGH WHAT WE LOOK AT SO IF I TAKE A LOOK AND I SEE LIKE A PERFORATED TYMPANIC MEMBRANE WITH LIKE PUS WED PRESCRIBE LIKE 10 DAYS OF UM ANTIBIOTICS IF HE HAS SOME LIKE MIDDLE EAR EFFUSION SO LIKE SOME FLUIDS WITH LIKE A BULGING TYMPANIC MEMBRANE AND HE APPEARS TO BE REALLY ILL UH WHICH FROM THE SOUNDS OF IT HE SOUNDS ILL HES HAD THIS FEVER FOR MORE THAN TWO DAYS WELL ALSO PRESCRIBE ANTIBIOTICS FOR 10 DAYS AND THEN IF ITS JUST SOME MIDDLE EAR EFFUSION SO JUST THAT CLEAR FLUID UM OR JUST THE BULGING TYMPANIC MEMBRANE WE CAN JUST UM REASSESS HIM IN 24 TO 48 HOURS TO SEE HOW HES DOING AND IF HES WORSE AGAIN WELL PRESCRIBING PRESCRIBE HIM SOME ANTIBIOTICS UM THE ANTIBIOTICS THAT WE USUALLY PRESCRIBE ARE AMOXICILLIN AND BECAUSE HE DOESNT HAVE A PENICILLIN ALLERGY THAT SHOULD WORK audio/RES0073.mp3[231.440,235.600] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0036.mp3[478.640,481.200] AND ANY ABDOMINAL PAIN audio/MSK0029.mp3[451.960,457.520] NO I HAVENT HAD ANY DIARRHEA OR ANY ANY ANY CONSTIPATION NOTHING LIKE THAT audio/RES0122.mp3[375.320,378.360] WHAT ABOUT SENSE OF TASTE audio/RES0104.mp3[309.560,311.920] NO I HAVENT audio/RES0005.mp3[344.160,345.920] ANY HEART PALPITATIONS audio/RES0018.mp3[502.720,508.360] JUST RARELY MAYBE A COUPLE TIMES A MONTH audio/RES0038.mp3[613.400,630.600] OH WOW WELL CONGRATULATIONS THATS ITS DEFINITELY VERY DIFFICULT TO QUIT AND IF YOU NEED AT ALL ANY HELP AT ALL WITH YOUR TRANSITION AT ALL WE CAN ALWAYS BRING IT UP IN ANY APPOINTMENT audio/MSK0005.mp3[483.920,487.440] UH NO THAT THAT DOESNT CAUSE ANY PAIN audio/CAR0005.mp3[179.920,194.680] UH YEAH THE LAST COUPLE OF YEARS HAVE BEEN A LOT MORE STRESSFUL BECAUSE OF THOSE ISSUES IN MY PERSONAL LIFE audio/MSK0004.mp3[477.720,561.920] OK YEAH SO DEFINITELY WHAT WELL DO IS WE MIGHT NEED TO GET LIKE A PROPER PHYSICAL EXAMINATION DONE TO MAKE SURE THERE IS NO FRACTURE MOST LIKELY THOUGH IT SEEMS THAT THIS MAY JUST BE AN ANKLE SPRAIN UH DUE TO YOU INVERTING YOUR ANKLE THE OTHER DAY UHM WHAT WE CAN DO IS USUALLY WE JUST IMMOBILIZE THE ANKLE AND THEN RECOMMEND APPLYING ICE YOU CAN TAKE SOME NSAIDS LIKE ADVIL FOR PAIN TO HELP YOU AND IT SHOULD IT SHOULD GET BETTER ON ITS OWN WITH SOME PHYSIOTHERAPY LATER ON AS WELL HOWEVER IF WE FIND THAT ON PHYSICAL EXAMINATION YOU ARE HAVING SIGNIFICANT PAIN ON PALPATION OR ANY KIND OF BONY PAIN WE MIGHT ALSO REQUIRE YOU TO GET AN X RAY OF THE RIGHT FOOT AND ANKLE AS WELL AS JUST YOUR LOWER LEG SO YEAH WELL HAVE YOU COME COME IN IN PERSON AND THEN GO FROM THERE AND SEE IF YOU NEED AN X RAY audio/MSK0013.mp3[728.560,735.480] OK UH AN ANY ANKLE LIKE INSTABILITY WITH ANY SPECIAL TESTS audio/RES0056.mp3[132.480,141.040] NO I HAVENT SEEN ANY OF THAT audio/RES0068.mp3[265.080,269.400] YEAH NOW THAT YOU MENTION IT IT DOES FEEL LIKE THAT audio/RES0017.mp3[0.000,9.120] IVE BEEN HAVING THIS COUGH FOR AROUND I WOULD SAY HALF A YEAR NOW AND I JUST CANT SEEM TO GET RID OF IT audio/MSK0049.mp3[140.040,146.680] UH THE STIFFNESS GOES AWAY IN LIKE YEAH 15 TO 30 MINUTES audio/RES0011.mp3[352.960,357.200] NO NO NO CHEST PAIN audio/GAS0002.mp3[187.880,194.080] OK AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THIS PAIN ANY BETTER audio/RES0076.mp3[208.320,211.400] NO IVE BEEN AT HOME audio/RES0113.mp3[325.080,328.320] I LIVE WITH UM MY HUSBAND AND OUR OUR DAUGHTER audio/RES0025.mp3[451.360,466.080] UH YEAH ON MY ON MY BACK I WAS IN AN ACCIDENT A FEW YEARS BACK SO UM WELL THATS WHERE THE PAIN IS FROM audio/RES0095.mp3[260.000,261.120] UHM NO audio/RES0146.mp3[398.280,404.680] HAVE YOU EVER HAD OR DO YOU CURRENTLY CONSUME ALCOHOL audio/RES0175.mp3[80.600,82.760] OK HAVE YOU HAD ANY HEADACHES audio/MSK0050.mp3[532.480,538.640] OK SO OK SO THE MUSCLE BULK IS UM REDUCED THERE audio/RES0205.mp3[378.560,380.920] UH I DON’T NO audio/MSK0020.mp3[160.520,167.920] AND DO YOU THINK YOUR PAIN IS GETTING WORSE audio/MSK0022.mp3[751.200,759.080] OK AND ARE YOU CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL audio/RES0038.mp3[14.800,19.280] OK SO JUST THE LAST COUPLE WEEKS YOUVE BEEN COUGHING audio/RES0123.mp3[445.440,450.440] OKAY THATS GOOD AND UM DO YOU CURRENTLY SMOKE audio/RES0200.mp3[521.320,529.760] UM JUST PROBABLY MAYBE LIKE A COUPLE TIMES A MONTH audio/RES0126.mp3[116.200,123.160] OK AND IS THERE ANYTHING THAT HELPS WITH YOUR SHORTNESS OF BREATH LIKE TAKING A REST OR ANY POSITIONS IN PARTICULAR audio/RES0001.mp3[594.160,600.160] UH NO I HAVENT HEARD OF A HEARD OF PULMONARY EMBOLISM BEFORE audio/RES0051.mp3[104.960,112.280] OK AND WHEN DID THE SORE THROAT START audio/MSK0010.mp3[79.120,101.640] I THINK IT WAS MORE PROGRESSIVE BUT FIVE DAYS AGO I DO FEEL THAT THERE WAS LIKE JUST I WAS HAVING SOME PAIN BEFORE THAT BUT THEN I JUST NOTICED WHILE WORKING ON I I STARTED HAVING MORE PAIN BUT YEAH I DONT THINK THERE WAS ANYTHING LIKE SUDDEN THAT HAPPENED THOUGH audio/RES0004.mp3[709.960,713.680] NO ALCOHOL OK ARE YOU SEXUALLY ACTIVE audio/RES0026.mp3[864.680,867.720] ALRIGHT YOURE WELCOME WELL GET THOSE STARTED audio/RES0010.mp3[103.160,108.800] OK UM ANY COUGH audio/RES0210.mp3[463.200,467.720] THINK MY GRANDPA DIED OF LUNG CANCER ACTUALLY HE WAS A PRETTY BIG SMOKER TOO THOUGH audio/MSK0040.mp3[430.560,440.760] I LIVE WITH BOTH MY PARENTS AS WELL AS TWO OF MY SIBLINGS THEY ARE YOUNGER WE LIVE IN A HOUSE DOWNTOWN audio/RES0178.mp3[179.600,202.280] BUT HE HASNT HES JUST KIND OF MENTIONED IT HE SAID IT WASNT TOO BAD HES STILL BEEN BEEN EATING EATING IS THAT HASNT BEEN EATING AS MUCH BUT HES GOT A POOR APPETITE BUT HE SO THIS SORE THROAT ISNT BUGGING HIM THAT MUCH THAT MUCH audio/RES0055.mp3[204.480,211.080] OK YEAH ALRIGHT SO THIS TIME AROUND HAVE YOU HAD ANY FEVERS audio/RES0052.mp3[231.800,244.240] OK UMM WOULD YOU SAY THAT SHES BEEN GOING TO THE BATHROOM AS OFTEN AS NORMAL audio/RES0098.mp3[238.080,244.240] OK AND ANY MUSCLE ACHES OR OR JOINT PAINS audio/MSK0020.mp3[771.200,779.320] UH YEAH I YEAH I DEFINITELY FEEL SOME DISCOMFORT THERE AS WELL audio/RES0194.mp3[537.440,542.200] OK THATS GOOD AND CURRENTLY DO YOU SMOKE audio/RES0138.mp3[319.760,324.160] UM NOT RIGHT NOW WHEN I WAS YOUNG YEAH audio/MSK0021.mp3[353.240,355.960] I AM YES audio/RES0058.mp3[196.600,198.400] NO CHEST PAIN audio/RES0138.mp3[269.520,275.360] ANY CONFUSION OR MEMORY LIKE MEMORY LOSS audio/MSK0026.mp3[525.480,532.120] OK AND DO YOU SMOKE CIGARETTES audio/RES0046.mp3[618.840,626.760] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0156.mp3[108.800,116.080] OK AND ARE HER SYMPTOMS AT ALL CONSTANT OR DO THEY COME AND GO BASED ON HOW MUCH SHES EXERTING HERSELF audio/MSK0043.mp3[37.720,45.240] OKAY AND HAS THIS EVER HAPPENED TO YOU BEFORE audio/RES0164.mp3[66.920,73.760] OK AND HE HASNT IS HE COUGHING UP ANY BLOOD AT ALL AT ANY POINT audio/RES0044.mp3[593.040,599.000] I DONT LIKE NOT MY PARENTS audio/RES0077.mp3[518.360,521.560] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0029.mp3[134.840,140.560] OK UM HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE audio/RES0061.mp3[800.080,804.960] OK AND DO YOU LIVE IN A HOUSE OR AN APARTMENT audio/MSK0014.mp3[459.600,467.760] I DONT REALLY REMEMBER I WAS A CHILD AT THAT TIME I DONT REMEMBER WHAT REACTION I REALLY GOT audio/RES0063.mp3[155.320,156.760] NO NOTHING LIKE THAT audio/RES0116.mp3[310.880,315.560] OK AND HOW HOW HAVE HIS BOWEL MOVEMENTS BEEN audio/MSK0017.mp3[135.200,141.360] SHARP PAIN OK UM DOES ANYTHING MAKE IT BETTER OR WORSE audio/DER0001.mp3[424.480,428.920] NO NO BUT HAD THEM FOR ABOUT A YEAR NOW audio/RES0109.mp3[156.560,161.480] UM IVE BEEN TRYING TO LOSE WEIGHT BUT NOTHING UNINTENTIONAL I GUESS audio/RES0108.mp3[110.800,115.360] NO OK AND DO YOU FEEL WHEEZY audio/MSK0036.mp3[282.240,289.040] OK UM SO KIND OF LIKE FLICKING YOUR WRIST SORT OF THING SO KIND OF SHAKE OUT THE audio/RES0081.mp3[706.600,769.040] FOR SURE YEAH WELL UH CHECK HIS HIS VITAL SIGNS AND DO A PHYSICAL EXAM AND IT DOES SOUND LIKE IT COULD BE AN ASTHMA EXACERBATION AND SO WE CAN TRIAL SOME INHALER MEDICATIONS A LITTLE BIT DIFFERENT THAN WHAT YOU USE AT HOME BUT ALSO USING VENTOLIN AS WELL AND WELL ASSESS THE NEED FOR POTENTIAL UH ANTIBIOTICS AND ALSO STEROID IF NECESSARY AND IF HIS BREATHING GETS WORSE OR YOURE STARTING TO HEAR THAT THE WHEEZING IS GETTING WORSE OR HIS WORK OF BREATHING IS BECOMING MORE INTENSE THEN CERTAINLY WELL NEED TO ADD ON SOME OXYGEN AND POSSIBLY SOME OTHER THERAPIES audio/RES0170.mp3[166.760,169.120] ITS DRY audio/MSK0020.mp3[790.560,794.960] AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TO THE GROUND audio/RES0060.mp3[115.560,123.320] NO BUT I HAVENT BEEN AS HUNGRY audio/RES0094.mp3[102.240,107.680] OK UHM ANY FEVERS OR CHILLS audio/RES0081.mp3[389.680,400.800] OK FOR SURE WE CAN GO THROUGH UH THE PROPER TECHNIQUE THROUGHOUT THIS VISIT AS WELL JUST TO REVIEW THAT AGAIN audio/RES0148.mp3[189.520,196.200] ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY PAINS audio/RES0134.mp3[558.920,562.720] UH NO audio/RES0179.mp3[560.520,566.600] YEAH SO I LIVE WITH MY WIFE IN A IN A TOWNHOUSE audio/RES0179.mp3[602.920,607.520] IVE BEEN UH YEAH WEVE BEEN AT BEEN AT HOME audio/RES0098.mp3[109.920,122.760] OK AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE EYE TEARING OR RED EYES MAYBE A RUNNY NOSE OR SORE THROAT audio/RES0042.mp3[626.480,629.320] OH OK audio/RES0136.mp3[222.000,232.840] THEYRE CONSTANT FOR THE PAST TWO DAYS IVE ALSO NOTICED THAT I HAVE MY BREATH JUST SMELLS REALLY BAD I DONT KNOW WHY audio/RES0159.mp3[272.960,288.880] UM SO I HAVE OSTEOARTHRITIS AND THEN I ALSO HAVE UM THIS CONDITION WITH MY PROSTATE UH BPH AND UM I ALSO TAKE MEDICATIONS FOR MY BLOOD PRESSURE audio/RES0085.mp3[89.560,92.920] OK AND IS HE BRINGING UP ANY PHLEGM audio/RES0075.mp3[431.480,436.240] YEAH JUST ONE PARTNER MY GIRLFRIEND audio/MSK0008.mp3[532.320,536.320] NO NOT THAT I NOTICE audio/RES0183.mp3[425.680,428.120] ALRIGHT WHATS THE REACTION audio/RES0122.mp3[0.000,2.800] WHAT BRINGS YOU IN TODAY audio/RES0062.mp3[399.920,403.840] NO THATS BEEN OK audio/RES0073.mp3[245.760,252.160] OK AND OVER THE LAST FEW WEEKS HAVE YOU HAD ANY WEIGHT LOSS audio/RES0147.mp3[264.480,286.400] YEAH I WAS DIAGNOSED WITH COPUH TWO YEARS AGO UMM YEAH THIS IS AT I WENT TO MY FAMILY DOCTOR FOR THIS AND I HAD SOME TESTING DONE WHEN I WAS DIAGNOSED AT THAT TIME audio/RES0031.mp3[414.440,416.240] ANY ALLERGIES audio/RES0192.mp3[524.840,530.520] YEAH I SEE THIS WAS LIKE 10 YEARS AGO 20 YEARS AGO OR OR LONGER audio/RES0060.mp3[434.840,436.320] MAYBE A LITTLE audio/MSK0031.mp3[218.640,226.280] ANY UH YOU EXPERIENCING ANY COUGH UHM SHORTNESS OF BREATH OR WHEEZING audio/RES0164.mp3[431.080,437.640] ANY MEDICATIONS THAT HE TAKES REGULARLY audio/RES0037.mp3[94.600,102.240] OK I SEE AND DO YOU FIND THAT YOUR COUGH HAS BEEN GETTING WORSE SINCE THEN audio/RES0015.mp3[148.320,160.520] UH NOT REALLY I THINK ITS SOMETIMES MOVING AROUND TOO MUCH BUT LIKE NOTHING NOTHING REALLY CAUSES IT audio/RES0001.mp3[655.280,660.480] CUT IT DOWN BUT STILL SOMETHING THAT IM WORKING ON audio/MSK0007.mp3[234.560,236.880] HAVE YOU HAD ANY WHEEZING audio/RES0190.mp3[544.200,548.160] UH NO LIKE MY PARENTS ARE PRETTY HEALTHY audio/RES0216.mp3[443.360,450.640] NO NOTHING MAJOR JUST THE ASTHMA BUT YOU KNOW LIKE I SAID ITS BEEN A FEW YEARS SINCE IT HAS BOTHERED ME audio/RES0153.mp3[4.120,14.840] HI IVE BEEN UM JUST HAVING THIS JUST SORE THROAT FOR THE LAST UH LETS SAY THREE OR FOUR DAYS audio/RES0197.mp3[197.680,200.440] NO NOTHING LIKE THAT audio/RES0211.mp3[506.520,514.760] LIKE BEFORE COVID WHEN I SAW MY FRIENDS LIKE SOMETIMES A LITTLE BIT BUT LIKE NOT REALLY ANYMORE audio/RES0006.mp3[429.600,433.360] ALRIGHT SO WHEN WAS THE LAST TIME THAT YOU HAD ANTIBIOTICS audio/RES0181.mp3[69.880,75.040] OK AND HOW ABOUT YOUR APPETITE HAS THAT CHANGED audio/RES0202.mp3[721.880,749.160] OK GREAT YEAH YEAH NO WORRIES AND I I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDNT HAVE THE FEVER WE WOULD ADD OTHER THINGS LIKE ASTHMA TO THE LIST OF THINGS HE COULD BE WORKED UP FOR BUT UM RIGHT NOW IT SOUNDS LIKE IT SOUNDS LIKE AN INFECTION audio/RES0071.mp3[366.920,380.800] JUST OVER THIS PAST WEEK IVE BEEN REALLY TIRED IVE BEEN BEEN NEEDING NAPS AND NOT FEELING RESTED IN THE MORNING audio/RES0202.mp3[134.680,146.000] TODAY IS FRIDAY OK AND UM OK YEAH SURE UH SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH audio/MSK0014.mp3[249.040,257.560] OK HAVE YOU HAD ANY CHANGES TO ANY OF YOUR SENSES LIKE VISION HEARING OR YOUR SENSE OF SMELL OR TASTE audio/RES0129.mp3[215.640,217.680] NO I DONT THINK SO audio/RES0058.mp3[262.560,270.280] UMM NO ISSUES SWALLOWING FOOD MY THROAT HAS FELT A BIT ITCHY I MEAN IVE BEEN COUGHING ALOT audio/RES0080.mp3[516.960,522.520] I SMOKE ABOUT A PACK A DAY audio/RES0211.mp3[434.960,441.800] OK ANY TRAVEL OR ANYWHERE RECENTLY audio/RES0119.mp3[105.720,114.960] OK AND THE COUGH THAT SHES HAVING IS IT LIKE A WET COUGH OR IS IT A IS IT A DRY COUGH audio/RES0113.mp3[202.560,207.320] SURE UM DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT audio/RES0018.mp3[520.360,523.200] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0021.mp3[314.920,320.000] ALRIGHT AND HOW ABOUT ANY DIARRHEA OR CONSTIPATION audio/MSK0020.mp3[158.440,160.520] UH NO NOT REALLY audio/RES0014.mp3[49.040,59.600] I WOULD SAY IT LASTS UP TO AN HOUR EVERY TIME IM OUT IN THE COLD AND THEN ONCE I COME BACK IN SO ID SAY IT LASTS AT LEAST ONE HOUR audio/RES0024.mp3[72.680,86.920] I MEAN I MAY BE EVEN A BIT TIRED BUT REALLY OTHERWISE NO I GUESS MAYBE I FELT LIKE A LITTLE DRY BUT I HAVENT ACTUALLY BEEN COUGHING audio/DER0001.mp3[579.120,581.160] OK DO YOU DRINK ALCOHOL audio/MSK0027.mp3[356.360,363.720] OK AND THEN HOW ABOUT LIKE JUST GROWTH AND AND DEVELOPMENT IS SHE GETTING TALLER AND IM GAINING WEIGHT audio/RES0192.mp3[516.600,524.840] YEAH ASBESTOS OR MOLD YEAH YOU NAME IT PROBABLY EVERYTHING audio/RES0045.mp3[196.240,204.480] SHORTLY AFTER OK DO YOU FIND THAT THERE ARE ANY TRIGGERS FOR SHORTNESS OF BREATH LIKE EXERTION audio/RES0135.mp3[495.160,499.240] OKAY UM AND HAS THERE BEEN ANY TRAVEL audio/RES0078.mp3[540.600,561.440] IVE BEEN WORKING FROM HOME UHM BUT MY DAUGHTER HAS RECENTLY STARTED GOING BACK TO HIGH SCHOOL AND SHES HAD A RUNNY NOSE RECENTLY AND A SORE THROAT BUT THATS ABOUT IT audio/RES0006.mp3[99.080,103.080] NO UM I HAVENT NOTICED ANY BLOOD audio/RES0001.mp3[139.600,145.680] NO I HAVENT I HAVENT NOTICED ANY ANY BLOOD audio/RES0088.mp3[568.360,574.960] P NO CONCERNS SHE WAS MEETING ALL HER MILESTONES FROM WHAT I REMEMBER audio/MSK0024.mp3[0.000,1.960] WHAT BRINGS YOU HERE TODAY audio/RES0177.mp3[234.520,238.680] NO WEIGHT LOSS audio/MSK0034.mp3[422.640,429.480] I LIVE WITH BOTH MY PARENTS AS WELL AS MY 7 YEAR OLD SISTER audio/RES0143.mp3[390.240,403.560] THATS FAIR OKAY UM AND DO YOU UM SO I SEE THAT YOU GO TO SCHOOL UM AND YOU MENTIONED YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE THE PROVINCE audio/RES0064.mp3[169.440,172.440] FEELING LIKE HIS HEART IS RACING audio/RES0013.mp3[199.360,215.400] I DONT KNOW I DONT THINK THATS ANY DIFFERENT NO I SLEPT FINE LAST NIGHT I GOT UP AND WHEN I WENT UP THE STAIRS I WAS LIKE HOLY audio/MSK0006.mp3[492.480,495.360] YEAH NO WORRIES AND DO YOU UM CONSUME MARIJUANA audio/RES0153.mp3[237.160,244.200] UH NO I HAVENT REALLY FELT THAT NO audio/RES0090.mp3[283.760,285.440] UH NOPE audio/RES0050.mp3[406.400,408.080] ANY ALLERGIES TO MEDICATIONS audio/RES0001.mp3[744.320,747.480] UM NO I THINK YOU COVERED EVERYTHING THANK YOU audio/RES0149.mp3[229.760,232.840] NO I DONT THINK SO audio/RES0068.mp3[450.200,457.480] OK WHERE CURRENTLY WHERE DO YOU LIVE audio/RES0190.mp3[0.000,1.480] HOW MAY I HELP YOU audio/RES0121.mp3[199.920,202.680] UM NO NOTHING LIKE THAT audio/RES0047.mp3[550.360,567.280] UH ITS BEEN A COUPLE OF YEARS FOR WELL FOR THE THE SHORT ONE THAT I I USE FOR RESCUE THERAPIES BEEN FOR LIKE A LONG TIME BUT SPIRIVAS BEEN THE LAST SEVERAL YEARS audio/RES0195.mp3[205.200,209.240] OK SO NO COUGH BUT YOUVE BEEN HAVING SHORTNESS OF BREATH audio/MSK0035.mp3[274.600,277.640] HAVE YOU HAD ANY DIZZINESS OR FAINTING audio/RES0077.mp3[291.040,297.000] NO I HAVENT TRIED ANYTHING audio/MSK0046.mp3[84.840,92.560] OK UM AND ON A SCALE OF UH ZERO TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT audio/MSK0043.mp3[100.800,108.520] OKAY AND HOW WOULD YOU DESCRIBE THE PAIN UM IS IT LIKE A SHARP STABBING PAIN OR IS IT AN ACHING PAIN audio/RES0108.mp3[241.440,250.120] UH YEAH IVE BEEN TAKING UH METFORMIN FOR THE PAST UH FOR THE PAST FIVE YEARS WHEN FIVE OR SIX YEARS audio/RES0116.mp3[232.880,236.640] OK HOW ABOUT WEIGHT LOSS audio/RES0149.mp3[328.120,342.200] OK UM HAVE YOU HAD ANY UH LIKE PERIODS OF TIME WHERE YOU WERE BEDRIDDEN OVER THE LAST SEVERAL DAYS OR OR LAST SEVERAL WEEKS audio/RES0131.mp3[634.200,636.520] OKAY GREAT THANK YOU audio/RES0073.mp3[402.440,406.880] OK I SEE AND ANY MEDICATIONS YOU TAKE FOR THAT audio/RES0095.mp3[113.360,119.520] AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE OR OR DIET OR EXERCISE audio/RES0120.mp3[423.240,433.400] OKAY UM IM SORRY I FORGOT TO ASK YOU THIS SPECIFICALLY HAVE YOU EXPERIENCED ANY KIND OF LOSS OF YOUR SENSE OF TASTE OR SMELL audio/MSK0005.mp3[542.200,544.080] UM IM UH HEALTHY audio/RES0098.mp3[220.600,226.680] OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES audio/DER0001.mp3[590.240,595.080] SO MAYBE LIKE 3 PER DAY OR SOMETHING LIKE THAT IF YOU WERE TO AVERAGE IT OUT audio/RES0086.mp3[64.040,69.760] OK SURE SO JUST TO REWIND A LITTLE BIT WHEN WERE YOU FIRST DIAGNOSED WITH ASTHMA audio/RES0173.mp3[182.480,200.920] UM YEAH YEAH KIND OF ALMOST YEAH THATS LIKE YOU HAVENT LIKE I HAVENT BEEN TO HIS PLACE VERY OFTEN BECAUSE OF THE PANDEMIC BUT YEAH EVERY TIME I GO KINDA FEEL REALLY CRAPPY AFTER audio/RES0016.mp3[327.960,331.480] OK AND URINE ANY CHANGES THERE audio/RES0167.mp3[317.040,318.960] UH YEAH audio/DER0001.mp3[77.480,85.920] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE I GUESS YOU KINDA JUST SAID THAT YOU DIDNT BUT ILL JUST DOUBLE CHECK audio/MSK0033.mp3[265.560,270.120] NO NOT NOT NOTHING I DONT TAKE ANYTHING audio/RES0057.mp3[418.240,433.840] NO AS YOU MENTIONED THE HEADACHES THERE TOO THEN YEAH THATS EVERYTHING audio/RES0184.mp3[461.200,474.640] NO NOTHING ELSE I I I WAS JUST WONDERING WHAT I COULD DO TO FEEL BETTER OR MAKE THIS GO AWAY audio/MSK0020.mp3[187.440,189.480] NO NOT REALLY audio/RES0134.mp3[32.520,37.040] UM YEAH LAST NIGHT I DID GET SWEATY audio/RES0025.mp3[466.080,471.560] OK SAD TO HEAR THAT DO YOU HAVE ANY ALLERGIES audio/RES0200.mp3[276.400,280.680] RUNNY NOSE OR STUFFY NOSE audio/RES0037.mp3[492.600,501.160] OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0097.mp3[362.480,387.680] HES ON HE WAS ON AN ANTIBIOTIC UNTIL THE AGE OF FIVE UH THAT HE HAD TO TAKE ON REGULAR BASIS BUT HE IS HES NOT REALLY ON ANY MEDICATIONS RIGHT NOW I KNOW THAT THERE ARE A COUPLE OF NEW ONES THAT ARE OUT THERE BUT THOSE ARE VERY EXPENSIVE audio/RES0071.mp3[451.480,456.720] HAVE YOU NOTICED ANY SIGNIFICANT WEIGHT LOSS IN THE LAST FEW WEEKS audio/GAS0003.mp3[170.280,174.000] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL audio/RES0203.mp3[352.760,355.240] DO YOU SMOKE audio/RES0061.mp3[720.640,723.560] OK WHAT KIND OF DRUGS audio/MSK0006.mp3[462.720,467.880] UH FOR UH YEAH ABOUT 40 YEARS audio/RES0139.mp3[201.400,204.040] NO EVERYTHINGS OKAY audio/RES0087.mp3[370.000,376.760] OK OK AND THEN ANY OTHER EAR INFECTIONS OUTSIDE OF THAT ONE TIME audio/RES0046.mp3[517.400,524.680] OK SO ARE YOU AN OTHERWISE HEALTHY PERSON audio/RES0031.mp3[50.960,58.000] I THINK ITS GETTING WORSE SINCE LAST NIGHT audio/RES0033.mp3[653.880,661.240] I DONT SMOKE CIGARETTES BUT I DO HAVE MARIJUANA ONCE OR TWICE IN A WEEK audio/RES0046.mp3[302.680,304.080] UH NO audio/RES0112.mp3[319.080,325.560] OK ALRIGHT AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0008.mp3[319.800,332.720] OK OK WELL IM GLAD THAT IM REALLY GLAD THAT YOU CAME IN BECAUSE YEAH WE REALLY WANT TO GET THIS LOOKED INTO HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK RECENTLY audio/MSK0005.mp3[354.480,357.480] NO I HAVENT HAD ANY URINARY UH SYMPTOMS audio/MSK0004.mp3[172.560,174.640] YEAH EXACTLY audio/RES0034.mp3[199.520,221.360] I THINK I WOULD SAY IT STARTED AROUND TWO DAYS AGO SHES LIKE EVERY TIME I CHANGE HER DIAPER SHE WOULD HAVE LIKE 45 DIFFERENT DIAPER CHANGES THROUGHOUT THE DAY AND THEY THEY SEEM PRETTY LIQUID SO I audio/MSK0039.mp3[2.240,41.880] UH I JUST CAME IN TODAY I THINK I BROKE MY LEG OR SOMETHING ITS SOMETHING THAT WAS I HEARD A SNAP I WAS IN UM JUST A DANCE CLASS UM AND WE HAVE LIKE THESE LONG UH DRESSES IT IT WAS A TRADITIONAL DANCE CLASS AND MY FOOT UH SLIPPED RIGHT ONTO IT GOT CAUGHT IN MY DRESS AND IT JUST KIND OF SLIPPED AND I I FELT RIGHT ON MY MY LEG KIND OF TWISTED AND I FELL DOWN AND I JUST STAYED DOWN I KNEW SOMETHING WAS NOT RIGHT AND SOMETHING WAS BROKEN audio/RES0130.mp3[276.840,291.200] OKAY SURE UM AND THEN OTHER QUESTIONS I HAVE FOR YOU ARE UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MAJOR MEDICAL MEDICAL CONDITIONS audio/RES0063.mp3[553.000,559.880] UHM I JUST STICK TO SOME RED WINE MAYBE A COUPLE TIMES A WEEK audio/RES0155.mp3[665.680,672.120] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS audio/RES0007.mp3[513.400,521.480] YEAH I JUST THOUGHT LIKE I HAD A COLD BUT I GUESS LIKE I USUALLY FEEL LIKE THAT IN THE SPRINGTIME audio/MSK0050.mp3[694.880,725.080] ALRIGHT YOURE WELCOME YEAH SO IT SOUNDS LIKE THIS COULD BE UH CARPAL TUNNEL SYNDROME AND UH SO WE WE MAY DEPENDING ON UH KIND OF LIKE NERVE STUDIES TO CONFIRM THE DIAGNOSIS AND UM THINGS THAT YOU CAN DO IN THE MEANTIME WOULD BE TO USE LIKE A SPLINT OR UM YEAH TRY TO USE LIKE NIGHTTIME SPLINTS AND ACTIVITY MODIFICATION AS WELL audio/RES0015.mp3[592.000,595.000] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/GAS0004.mp3[545.520,550.680] I MIGHT HAVE LIKE A GLASS OR TWO ON THE WEEKENDS audio/RES0048.mp3[543.440,549.240] UH SO I DO HAVE DIABETES AND HIGH BLOOD PRESSURE audio/RES0017.mp3[668.080,685.600] IM SORRY TO HEAR THAT WHAT DID YOU SAY YOU RETIRED WHAT DID YOU DO FOR WORK PREVIOUSLY DID YOU HAVE ANY EXPOSURES TO CHEMICALS OR ASBESTOS PRODUCTS WHILE WHILE AT WORK audio/RES0164.mp3[305.640,309.280] KIND OF LITTLE DOTS audio/RES0214.mp3[452.240,473.080] SOUNDS GOOD NOW WEVE ALREADY TALKED ABOUT KIND OF PAST MEDICAL ISSUES MOVING ON I THINK WHAT WELL DO NEXT IS MOVE ON TO A PHYSICAL EXAM BUT BEFORE I DO THAT DO YOU HAVE ANY QUESTIONS FOR ME ANYTHING ELSE YOU FEEL I SHOULD KNOW audio/MSK0046.mp3[161.400,166.240] NO NO NOTHING LIKE THAT audio/RES0130.mp3[291.200,309.320] UH I HAVE ARTHRITIS UM IN MY KNEES AND UH HANDS UM SO I HAVE A LOT OF PAIN FROM THAT SOMETIMES AND I ALSO HAVE HIGH BLOOD PRESSURE AND UM GER audio/RES0190.mp3[527.320,534.480] NO NOT AT ALL audio/RES0178.mp3[368.880,370.720] UH NO HES NOT audio/RES0078.mp3[324.000,325.840] DEEP BREATHING audio/RES0213.mp3[104.240,130.080] I DONT I DONT REALLY KNOW UH I WAS KIND OF WORRIED UM I WAS KIND OF WORRIED THAT IT COULD BE A HEART THING I I FEEL LIKE IT MIGHT IT MIGHT BE IT COULD BE STRESS UHM BUT IM IM NOT REALLY SURE MY DAD HAD A HEART ATTACK LAST YEAR HE WAS PRETTY YOUNG HES LIKE IN HIS 50S AND IT IT JUST KIND OF SCARES ME BECAUSE NOW HES HAVING THESE HEART PROBLEMS audio/RES0029.mp3[161.720,164.280] THATS FINE I WAS WEARING A HELMET audio/RES0181.mp3[392.480,400.200] OK UH OK AND DOES SHE NEED ANY TREATMENT audio/MSK0042.mp3[742.880,751.240] OKAY UM AND UM UH OKAY THEN NO LIMITATIONS WITH UH WITH LIKE RANGE OF MOTION OF ANY OF YOUR JOINTS INCLUDING LIKE UH KNEE AND ANKLE audio/RES0138.mp3[23.280,31.440] OKAY SO ITS BEEN GOING ON FOR THE LAST EIGHT TO NINE MONTHS HAS IT BEEN GETTING WORSE AT ALL audio/RES0101.mp3[89.360,112.760] ITS YEAH ITS PRETTY TENDER WHEN I PRESS ON IT I HAVENT REALLY BEEN MOVING AROUND AND ITS STILL LIKE PAINFUL RIGHT NOW BUT IT DOESNT REALLY HURT WHEN IM LIKE LIKE IVE BEEN TRYING TO KEEP MYSELF RESTED JUST BECAUSE OF THE SURGERY BUT WHEN I PRESS ON IT IT IS PRETTY TENDER audio/RES0176.mp3[460.280,463.760] AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENTAL audio/RES0058.mp3[304.320,306.320] YEAH THEY ARE audio/RES0194.mp3[94.800,99.360] OK AND THE HEADACHE WHERE WHERE IS IT EXACTLY LOCATED audio/RES0104.mp3[633.520,638.320] OK AND CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL audio/RES0077.mp3[170.560,176.720] OK SO IS IT JUST THE TIGHTNESS WHEN YOU COUGH OR IS IT THERE JUST THROUGHOUT audio/RES0011.mp3[625.480,634.080] MY DAD HAD HIGH BLOOD PRESSURE THATS IT audio/RES0196.mp3[236.240,250.160] SO WHEN SHE WAS YOUNGER WHEN SHE WAS LIKE 4 SHE SAW ONE BUT THEN SHE HADNT HAD AN EAR INFECTION BETWEEN THE AGE OF 4 TO 7 SO WE DIDNT GO BACK TO THEM audio/RES0066.mp3[421.160,424.080] OK SO DO YOU HAVE HYPERTHYROIDISM audio/RES0068.mp3[306.360,308.960] NO NO ISSUES THERE audio/RES0118.mp3[140.400,153.600] UM ITS ITS PRETTY CONSTANT THROUGHOUT THE DAY ITS JUST IT JUST FEELS BAD AT NIGHT BECAUSE IT UM MAKES IT HARD FOR ME TO FALL ASLEEP audio/RES0188.mp3[90.440,93.280] HE WAS YESTERDAY BUT NOT REALLY NOW audio/RES0075.mp3[143.320,160.160] SINCE YESTERDAY ITS BEEN PRETTY CONSTANT AND ITS MORE LIKE UH JUST UH IM REALLY HAVING TROUBLE GETTING ANY DEEP BREATHS IN SO I FEEL LIKE IM HAVING TO JUST BREATHE FASTER AND MORE SHALLOW audio/RES0022.mp3[557.800,559.880] JUST LIKE THE COP audio/RES0149.mp3[382.080,387.120] UH NO audio/RES0042.mp3[234.040,246.880] WELL LIKE I SAID I HAVE CROHNS DISEASE IM NOT LIKE IN A FLARE RIGHT NOW OR ANYTHING SO ILL SAY NO BUT LIKE MY BASELINE IS NOT LIKE TOTALLY NORMAL audio/RES0145.mp3[109.240,120.720] YEAH ITS GOTTEN A LITTLE ITS GOTTEN A LITTLE BIT WORSE OVER THE LAST FEW DAYS audio/RES0051.mp3[426.280,431.640] OK AND DO YOU SMOKE CIGARETTES audio/RES0195.mp3[516.720,521.640] PRETTY GOOD WE LIVE IN A HOUSE I LIVE WITH MY HUSBAND AND TWO CHILDREN audio/RES0012.mp3[229.480,237.920] OK OK AND HOW FAR CAN YOU WALK BEFORE YOU START FEELING SHORTNESS OF BREATH audio/MSK0016.mp3[616.440,623.600] OK UM AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0015.mp3[371.640,379.560] OK OK OK AND ANY CHANGES TO YOUR SKIN LIKE RASHES audio/RES0063.mp3[589.040,595.800] OK GOOD WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME audio/RES0071.mp3[500.880,510.000] ALRIGHT DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT audio/RES0087.mp3[497.120,502.440] WE LIVE IN A ITS LIKE A CONDOMINIUM audio/RES0001.mp3[373.840,385.040] OH OK AND AND YOU MENTIONED SHORTNESS SOME SHORTNESS OF BREATH ON EXERTION HOW ABOUT WHEN YOURE LAYING DOWN audio/RES0068.mp3[308.960,314.360] ANY CHANGES IN YOUR SLEEP OR APPETITE audio/RES0017.mp3[28.240,36.600] IT WAS PRETTY MUCH THE SAME FOR I WOULD SAY LIKE THREE OR FOUR MONTHS BUT THEN IVE NOTICED IT GETTING MORE FREQUENT OVER THE LAST COUPLE OF MONTHS audio/RES0189.mp3[84.240,110.280] I WOULD SAY ITS KIND OF GETTING WORSE IM COUGHING A LOT MORE SPUTUM UP IM GETTING MORE AND MORE SHORT OF BREATH NOW I DO HAVE A CALL FOR LIKE A VERY LONG TIME NOW IVE I WAS DIAGNOSED WITH COPIN MY 60S PROBABLY LIKE 10 YEARS AGO AND BUT THIS SEEMS TO BE JUST A MUCH WORSE THAN MY COPD audio/RES0062.mp3[344.840,351.320] OK GOOD AND HAVE YOU EXPERIENCED ANY LOSS OF TASTE audio/RES0193.mp3[357.120,363.800] UHM NO YEAH HE HASNT HAD ANY RASHES audio/RES0068.mp3[253.560,265.080] OK AND DO YOU FEEL THAT YOU KNOW YOURE HAVING SOME DISCHARGE BUT DO YOU FEEL THAT THERE IS MUCOUS BUILDING UP AND DRIPPING DOWN YOUR THROAT OR ANYTHING LIKE THAT audio/RES0069.mp3[51.480,59.160] NO I DONT THINK SO I JUST HAD BREAKFAST THIS MORNING AND NO PROBLEMS THERE audio/MSK0025.mp3[648.760,653.160] NO JUST LIKE HOW CAN I FIX THIS audio/RES0082.mp3[459.040,488.440] YEAH OK WELL ITS ONLY BEEN TWO DAYS SO FAR LETS JUST KEEP AN EYE ON YOUR SYMPTOMS AND SEE HOW YOURE DOING IT MIGHT ALSO BE A GOOD IDEA JUST TO GET A COVID SWAB DONE AND IF YOUR SYMPTOMS CONTINUE TO WORSEN GIVE ME A CALL AGAIN AND WE CAN TALK ABOUT IT A LITTLE BIT MORE AND SEE IF MAYBE A BACTERIAL INFECTION OR IF THERES SOMETHING ELSE THATS GOING ON YOU DONT HAVE ANY DIFFICULTIES BREATHING DO YOU audio/RES0012.mp3[63.720,79.880] YEAH I MEAN NOW THAT I THINK OF IT I MAYBE STARTED COUGHING A LITTLE BIT EARLIER THAN THAT BUT WHEN IT GOT HARDER TO BREATHE IS PRETTY WELL AROUND THE SAME TIME THAT I STARTED FEELING MORE THE PAIN audio/RES0160.mp3[141.360,146.320] JUST IN THE LIKE ON MY FOREHEAD ON BOTH SIDES audio/RES0148.mp3[66.760,73.880] ALRIGHT AND UH ARE YOU BRINGING UP ANY SPUTUM audio/RES0162.mp3[607.760,611.400] NO OK RIGHT YEAH LETS TALK A LITTLE BIT audio/RES0186.mp3[307.080,315.400] YEAH SO I TAKE METFORMIN AND I ALSO TAKE AN ACE INHIBITOR AND THATS IT audio/RES0202.mp3[246.000,252.480] OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0018.mp3[161.600,171.080] YEAH I JUST FEEL COMPLETELY JUST SICK LIKE WHAT IT FEELS LIKE I HAVE THE FLU OR SOMETHING AND I JUST FEEL REALLY TIRED TOO audio/RES0179.mp3[280.560,284.240] OK RUNNY NOSE OR STUFFY NOSE audio/MSK0015.mp3[233.680,241.840] ANY SENSORY CHANGES LIKE THINGS TO HER VISION OR HEARING OR TASTE OR SMELL audio/RES0129.mp3[28.040,34.080] YEAH YEAH HE HAD A COUGH YEAH COUGH AND RUNNY NOSE STARTED ABOUT YEAH 23 DAYS AGO audio/RES0074.mp3[505.520,515.040] OK I SEE AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE OR OUTSIDE OF THE COUNTRY audio/MSK0025.mp3[249.280,261.960] OK AND HAVE YOU EXPERIENCED ANY TRAUMA SO YOU MENTIONED YOU HAD A CAR ACCIDENT RATE TWO MONTHS AGO audio/MSK0001.mp3[258.040,261.400] ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN RECENTLY audio/RES0190.mp3[149.880,151.440] NO HEADACHES audio/RES0033.mp3[409.640,426.160] I FEEL LIKE SOMETIMES JUST IN THE PAST FEW WEEKS LIKE I STARTED COUGHING AT NIGHT AND WOKE MYSELF UP SO SLEEP HAS BEEN A LITTLE BIT DISTURBED OVER THE PAST FEW WEEKS audio/RES0104.mp3[525.560,532.320] NO THE LAST TIME I WAS IN THE HOSPITAL WAS I WAS FOR REHAB AFTER MY STROKE audio/RES0084.mp3[535.320,537.320] HIGH CHOLESTEROL audio/CAR0001.mp3[522.160,529.880] UHM ABOUT I WOULD SAY I HAVE LIKE ONE OR TWO DRINKS A DAY SO ABOUT 10 DRINKS A WEEK audio/MSK0011.mp3[610.080,616.800] OK AN ANY PAIN ANYWHERE ELSE LIKE ON YOUR FINGERS OR YOUR ELBOW audio/RES0078.mp3[603.640,605.400] EVER SMOKED IN THE PAST audio/RES0172.mp3[0.000,2.200] WHAT BRINGS YOU IN TODAY audio/RES0046.mp3[2.400,14.800] IVE HAD THIS COUGH THAT STARTED FOUR DAYS AGO UH THAT THATS BEEN GETTING WORSE AND UM JUST STARTED HAVING SOME SOME DIARRHEA YESTERDAY AS WELL audio/RES0102.mp3[234.600,246.680] OK ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE THE COUGHING AND THE BLOOD LIKE COUGHING UP BLOOD AS WELL audio/RES0014.mp3[337.480,339.160] NO NO NAUSEA OR VOMITTING audio/RES0121.mp3[147.440,152.000] NOPE NOT OUTSIDE THE PROVINCE audio/RES0161.mp3[370.680,373.760] UH DO YOU SMOKE ANY RECREATIONAL DRUGS audio/RES0189.mp3[132.520,143.480] OK AND HAVE YOU EVER HAD INSTANCES WHERE YOU WOKE UP IN THE MIDDLE OF THE NIGHT REALLY SHORT OF BREATH AND YOU HAD TO SIT UP TO CATCH YOUR BREATH audio/RES0004.mp3[443.320,452.600] OK HOW HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL HAVE YOU HAD DIARRHEA CONSTIPATION ANYTHING LIKE THAT audio/RES0125.mp3[402.800,408.400] UM I HAD MY APPENDIX REMOVED ABOUT UM FIVE YEARS AGO audio/RES0209.mp3[556.280,560.160] THANKS TALKING WITH ME AND WELL SEE YOU SOON audio/RES0080.mp3[216.880,220.080] OK HAVE YOU NOTICED ANY CHANGES TO THE WHEEZE audio/MSK0003.mp3[285.360,288.280] ANY FATIGUE OR MALAISE audio/RES0129.mp3[361.960,363.840] I DONT THINK SO audio/RES0168.mp3[373.880,377.920] I DRINK A FEW BEERS ON THE WEEKEND audio/RES0211.mp3[496.720,502.880] GOT IT GOT IT ALRIGHT DO YOU SMOKE CIGARETTES audio/RES0045.mp3[419.640,426.920] YEAH UM SO YOUVE NEVER BEEN HOSPITALIZED OR NEEDED SURGERY IN THE PAST audio/RES0100.mp3[57.920,71.240] I WOULD SAY ITS GETTING WORSE I HAVE SOME PAIN WITH SWALLOWING FOOD AS WELL AS LIKE NOW EVEN WHEN IM TALKING A LITTLE IM GETTING SOME PAIN AS WELL audio/RES0073.mp3[223.320,228.560] OK SO NO PAIN IN YOUR MOUTH OR ANYTHING LIKE THAT audio/RES0126.mp3[182.200,183.640] OH I HAVE COPD audio/RES0139.mp3[187.560,193.120] ARE YOU SLEEPING WELL OR DOES THE COUGH KEEP YOU UP AT NIGHT audio/RES0167.mp3[61.600,72.840] OK UHM YOU CANT QUITE BREATHE FULLY SO LIKE WHEN YOU TAKE A DEEP BREATH IN YOU CANT EXPAND YOUR LUNGS FULLY IS THAT WHAT YOU MEAN audio/RES0003.mp3[505.920,509.120] UM NO NO FAMILY HISTORY OF ANY LUNG CONDITIONS audio/MSK0042.mp3[55.680,62.080] OKAY AND UH WHERE SPECIFICALLY IS IT IS IT LOCATED audio/RES0004.mp3[2.600,6.320] IT MY NAME IS SCOTT ITS NICE TO MEET YOU TOO audio/RES0139.mp3[59.320,61.160] OKAY SO ITS JUST THE COUGH audio/RES0095.mp3[590.400,593.760] OK SO UH YOU HAVENT HAD MUCH CONTACT WITH UHM audio/MSK0005.mp3[667.600,671.240] OK ANY RECENT TRAVEL audio/RES0138.mp3[154.920,157.480] HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK audio/RES0106.mp3[602.440,605.240] FOR SURE THANK YOU audio/RES0137.mp3[2.720,14.200] I AM HERE WITH UH WITH MY DAUGHTER WHO HAS JUST BEEN HAVING A COUGH FOR THE PAST UM TWO WEEKS audio/RES0121.mp3[219.160,228.680] OKAY UM ANY KIND OF UH CHANGES IN YOUR SLEEP OR APPETITE audio/RES0026.mp3[582.680,589.800] OK UM AND HAS THERE BEEN ANY LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0127.mp3[208.080,212.480] OK AND HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0110.mp3[570.400,572.680] EVER BEEN DIAGNOSED WITH ASTHMA audio/RES0017.mp3[419.320,422.160] NO NOT REALLY audio/MSK0023.mp3[395.360,404.600] OK UHM ALRIGHT AND HAVE YOU EXPERIMENTED AT ALL WITH ANY RECREATIONAL DRUGS ALCOHOL OR SMOKING CIGARETTES audio/RES0109.mp3[293.240,298.440] UH JUST UM HIGH CHOLESTEROL audio/RES0032.mp3[197.320,200.840] HOW ABOUT NIGHT SWEATS audio/MSK0004.mp3[98.760,112.560] NO I HAVENT REALLY NOTICED I UH REALLY ANY SWELLING OR I OR OR SKIN CHANGES YEAH NO SKIN CHANGES AND NO SWELLING audio/RES0081.mp3[648.600,657.640] NO UHH I HAVE SOME I HAVE HIGH BLOOD PRESSURE BUT THATS IT audio/RES0086.mp3[399.400,404.120] OK ANY ALLERGIES audio/RES0074.mp3[409.720,412.960] NO THATS THE ONLY SURGERY audio/RES0008.mp3[234.880,240.280] OK AND IS THIS A PAIN THAT YOUVE EVER HAD BEFORE audio/RES0045.mp3[24.240,29.640] OK AND HOW OFTEN ARE YOU COUGHING audio/MSK0032.mp3[160.680,164.120] OKAY HAVE YOU TRIED ANYTHING FOR THIS PAIN audio/MSK0045.mp3[374.720,394.280] OK THATS GOOD YEAH I MEAN UM WE MIGHT ALSO NEED TO IF YOURE DOING ANY KIND OF OVERHEAD LIKE WORK WHERE YOURE RAISING YOUR ARMS ABOVE YOUR SHOULDERS THAT MIGHT UH CAUSE FURTHER PROBLEMS AS WELL SO WELL LOOK INTO SOME OF THOSE MODIFIED DUTIES AS WELL audio/RES0206.mp3[258.160,261.120] OK A HEADACHE audio/RES0196.mp3[212.720,218.040] NO SHES BEEN PRETTY HEALTHY BESIDES THE RECURRENT EAR INFECTIONS audio/MSK0022.mp3[118.920,130.160] OK DO YOU HAVE ANY OF THIS PAIN OR STIFFNESS IN THE BIGGER JOINTS IN YOUR BODY LIKE THE HIPS OR THE KNEES OR YOUR SHOULDERS audio/RES0189.mp3[400.320,402.760] UH NO audio/RES0063.mp3[181.680,186.680] NO AND HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0142.mp3[145.480,148.600] UH NO audio/RES0150.mp3[382.840,425.760] OK YEAH THATS UH WELL ITS IMPORTANT TO KNOW UM TODAY THAT HES NOT VACCINATED BECAUSE CERTAINLY THAT WILL INFLUENCE UM WHAT WERE THINKING ABOUT IN TERMS OF WHAT COULD BE CAUSING THE SYMPTOMS UM AND WE CAN UH DISCUSS THE I GUESS MORE ABOUT THE VACCINATION PROCEDURES AND WHAT NOT LATER UM BUT OK SO HES NOT CURRENTLY VACCINATED AND HAVE THERE BEEN ANY UM CONCERNS WITH HIS GROWTH AND OR DEVELOPMENT audio/RES0035.mp3[325.760,329.160] OK AND OR DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS audio/RES0034.mp3[441.720,447.400] YEAH I THINK HER NOTE HER VOICE HASNT REALLY CHANGED THAT MUCH audio/RES0170.mp3[0.000,3.680] HOW MAY I HELP YOU TODAY audio/RES0200.mp3[96.960,99.520] OK ANY BLOOD IN THERE audio/RES0175.mp3[416.760,421.640] OK UH AND ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS audio/MSK0001.mp3[402.960,411.880] I LIVE ALONE UM IN A IN A HOUSE UH NOT TOO FAR FROM HERE ACTUALLY audio/RES0153.mp3[281.880,290.120] OK HAVE YOU HAD ANY UM ANY SYMPTOMS LIKE THIS BEFORE audio/RES0217.mp3[337.800,342.360] WE WERE UH IN STRATHROY ALONG THE CREEK audio/RES0024.mp3[246.280,250.640] YEAH YEAH ALWAYS audio/RES0106.mp3[303.640,308.320] AH NO WORRIES AND WHEN DID YOU START IT audio/RES0187.mp3[261.480,267.240] OK ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0191.mp3[79.800,81.720] NO HEADACHES audio/MSK0038.mp3[46.160,62.720] UH WELL I THINK IT FIRST STARTED A FEW MONTHS AGO BUT IN THE PAST COUPLE OF WEEKS IT HAS STARTED TO UM KINDA LIKE LAST LONGER AND AND HAPPEN AT REST AS WELL audio/MSK0049.mp3[398.120,405.360] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0034.mp3[394.480,400.360] NO I DIDNT NOTICE ANY BLOOD AT ALL audio/RES0086.mp3[600.200,604.800] YEAH AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0004.mp3[81.880,91.480] OK AND IS IT MOSTLY SORE KIND OF LIKE MIDLINE OR IS IT MORE SORTA ONE SIDE VERSUS THE OTHER audio/RES0139.mp3[178.920,182.160] UM NO NO I DONT THINK SO audio/RES0100.mp3[196.440,210.840] UHM NOT REALLY ITS KIND OF JUST LIKE A GENERAL LIKE I DONT KNOW IF IT WAS IT WAS BECAUSE I WAS LYING AROUND THE WHOLE DAY BUT JUST KIND OF A GENERAL PAIN THROUGHOUT THE BODY audio/RES0132.mp3[75.600,80.320] UM YES ITS YELLOW audio/RES0178.mp3[145.880,150.880] OK ANY EAR PAIN OR DISCHARGE audio/RES0216.mp3[268.160,276.960] YEAH EXACTLY LIKE ITS BEEN A COUPLE OF YEARS SINCE I NEEDED THAT BUT I STILL I STILL TAKE THE DAILY ONE audio/RES0050.mp3[52.080,59.400] OK IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE LIKE MORNING NIGHT audio/MSK0017.mp3[442.160,444.040] UM NOPE NOTHING LIKE THAT audio/RES0052.mp3[75.960,80.400] NO NO SPUTUM THAT IVE NOTICED audio/MSK0001.mp3[103.160,109.560] NO ITS BEEN THIS SAME AWFUL PAIN THIS WHOLE TIME audio/RES0020.mp3[281.760,284.480] ANY ANY REDNESS OF YOUR EYE audio/RES0042.mp3[523.240,526.240] NO ITS LIKE A PRETTY NEW BUILD audio/RES0118.mp3[361.840,365.200] AND CURRENTLY UH DO YOU WORK audio/RES0130.mp3[509.400,517.640] NO I DONT BELIEVE SO ITS RELATIVELY NEW WE JUST MOVED OUT OF OUR HOUSE UH JUST TO MAKE IT A LITTLE EASIER ON US audio/RES0102.mp3[759.360,774.840] OK YEAH ALRIGHT SO UH OTHER THAN THAT SORRY I THINK I MIGHT HAVE FORGOTTEN TO ASK YOU A COUPLE QUESTIONS SO NO FAINTING SPELLS NO SHORTNESS OF BREATH NOTHING LIKE THAT audio/RES0195.mp3[164.120,177.360] ITS ITS NOT THAT OK SO ITS NOT PAINFUL PAINFUL ITS TENDER SO IF I TOUCH IT IT WILL FEEL TUG TENDER audio/RES0011.mp3[552.320,561.520] OK I CAN CHECK ON THE CHART AS WELL TO CONFIRM UM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0119.mp3[279.640,287.480] AND ANY UH ANY KIND OF DO THESE SYMPTOMS WAKE HER UP AT NIGHT AT ALL audio/RES0202.mp3[560.600,568.200] NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY audio/RES0021.mp3[445.000,450.000] OK UM DO YOU HAVE LIKE HEAVY MENSTRUAL PERIODS audio/RES0095.mp3[189.880,198.080] HAVE YOU BEEN HAVING ANY UH INSTANCES FEELING AS THOUGH YOUR HEARTS RACING OR BEATING OUT OF YOUR CHEST audio/RES0143.mp3[72.600,95.440] UH IT HAS LIKE IT WAS MUCH WORSE LAST WEEK UH BUT I JUST CANT GET LIKE ITS BETTER NOW BUT ITS STILL LASTING MUCH LONGER THAN IVE HAD A COUGH BEFORE audio/RES0119.mp3[462.400,463.560] UM NO audio/CAR0003.mp3[328.240,333.920] AROUND THE SAME TIME ACTUALLY TWO MONTHS AGO audio/MSK0007.mp3[681.640,691.160] NO NO NO NUMBNESS OR TINGLING audio/RES0210.mp3[420.280,421.840] DO YOU SMOKE audio/MSK0006.mp3[744.280,754.200] OK SO NO PAIN AT KNEE FLEXION AND HOW ABOUT WHEN YOU POINT YOUR FEET UM AND TOES UP TOWARDS THE CEILING audio/RES0151.mp3[75.720,83.160] OK AND YOU YOU HAVENT CAUGHT UP ANY ANY SPUTUM BUT HAVE YOU BROUGHT UP ANY ANY BLOOD audio/RES0007.mp3[643.200,645.280] UH WHAT IS THAT audio/RES0195.mp3[264.040,271.880] OK AND WITH THE SHORTNESS OF BREATH IS IT BROUGHT ON BY EXERTION OR CAN IT BE AT REST AS WELL audio/RES0049.mp3[100.920,112.120] OK UM ALRIGHT SO LETS GO BACK TO THE COUGH AND HAS IT BEEN CONSTANT SINCE IT STARTED audio/GAS0005.mp3[676.200,685.800] ALRIGHT AND UH AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY HEART PROBLEMS OR ANY LUNG PROBLEMS audio/RES0087.mp3[473.480,480.320] YEAH AND THEN IN TERMS OF WHERE HE LIVES DOES HE LIVE WITH YOU AND YOUR PARTNER audio/MSK0004.mp3[227.960,231.920] OK ANY APPETITE OR WEIGHT CHANGES audio/MSK0001.mp3[453.400,457.840] OK AND HOW IS YOUR DIET LIKE ON LIKE A REGULAR BASIS audio/RES0044.mp3[139.120,154.840] I THINK SO I THINK LIKE TODAY IS WORSE THAN YESTERDAY AND THE DAY BEFORE THAT IT JUST FELT LIKE DRY AND THEN AND THEN LIKE THE NEXT DAY I STARTED COUGHING SO YEAH audio/MSK0041.mp3[796.680,807.760] UM NO JUST WHAT CAN I DO FOR MY FOOT HOW DO I MAKE THE SWELLING GO DOWN audio/RES0001.mp3[660.480,666.880] OK GOOD IM GLAD YOURE TRYING TO CUT DOWN UM WE HAVE RESOURCES AVAILABLE IF YOURE INTERESTED audio/CAR0003.mp3[251.960,255.960] OK HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY audio/RES0180.mp3[361.720,369.640] NO OK ALRIGHT AND ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0214.mp3[185.640,190.600] OK AND ASIDE FROM THE WEEKEND HIKE HAVE YOU BEEN MAINLY SELF ISOLATING OR audio/RES0096.mp3[463.080,467.600] AND WAS THIS FOR COPEXACERBATIONS audio/RES0090.mp3[225.960,230.080] RIGHT NOW I WEIGH A HUNDRED AND TEN audio/MSK0024.mp3[279.760,284.560] OK ANY KIND OF ISSUES WITH URINATION AT ALL audio/RES0097.mp3[50.800,54.520] GOTTEN A BIT WORSE I WOULD SAY audio/RES0016.mp3[477.720,497.040] UM MY MOM IS ALIVE BUT SHE SUFFERED FROM TYPE 2 DIABETES AND HIGH BLOOD PRESSURE AS WELL AND SHE ALSO HAD LIKE HYPOTHYROIDISM AND SHE ALSO SUFFERED FROM DEPRESSION AS WELL audio/RES0008.mp3[498.560,506.000] YEAH SO IVE SMOKED FOR THE LAST 30 YEARS OR SO ABOUT A PACK PER DAY audio/RES0068.mp3[346.000,351.880] YEAH THE LAST THREE DAYS LAST THREE DAYS audio/RES0038.mp3[410.400,420.600] OK AND HAVE YOU BEEN EXPOSED TO ANY FUMES OR DUST IN YOUR SURROUNDING AREA OR DO YOU HAVE ANY PETS OR ANIMALS AT HOME audio/RES0048.mp3[549.240,553.320] OK DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS audio/RES0214.mp3[180.960,184.080] OK AND HAVE YOU HAD ANY COVID SWABS RECENTLY audio/MSK0033.mp3[26.560,34.320] OK AND SO YOU SAID THIS STARTED JUST TWO WEEKS AGO audio/RES0170.mp3[478.560,501.800] YEAH SISTER DOES HAVE SOME BAD ALLERGIES HER NOSE RUNS ALL THE TIME AND SHE ALSO HAS THAT ASTHMA HIS SISTER USES AND A DAILY INHALER AND THEN ALSO W1 audio/RES0190.mp3[71.840,87.960] OK THIS COULD BE A UH WHAT THEY CALL A TONSILLAR EXUDATE POSSIBLY WELL LOOK ON PHYSICAL EXAM OK DOES IT LOOK LIKE THERES SWELLING IN THE BACK OF YOUR MOUTH audio/RES0066.mp3[126.720,138.280] UM MAYBE LIKE 10 TO 15 TIMES IN A DAY I PRODUCE ENOUGH TO FILL LIKE THE INSIDE OF MY PALM audio/GAS0007.mp3[329.960,340.680] OH YEAH LIKE WELL PLAN ON DRINKING ON THE TWO FOUR BUT NOT REGULAR SPECIAL OCCASIONS MAINLY HOT DAYS SOMETIMES ILL HAVE A BEER OR TWO audio/RES0166.mp3[90.400,92.520] YEAH THATS IT audio/MSK0041.mp3[207.480,214.640] OK HOW ABOUT ANY MUSCLE WEAKNESS audio/RES0029.mp3[212.880,216.720] OK AND ANY RECENT INFECTIONS audio/RES0209.mp3[316.920,321.160] HAVE YOU LOST ANY OF YOUR SENSE OF TASTE OR SMELL audio/RES0150.mp3[364.200,368.560] OK AND UM ARE HIS IMMUNIZATIONS UP TO DATE audio/RES0178.mp3[399.760,403.400] UH NO NO ALLERGIES audio/RES0136.mp3[257.120,259.520] NOT REALLY audio/RES0094.mp3[256.280,262.120] I SEE OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0119.mp3[336.520,347.200] NO CHANGES OK AND UM HAS SHE BEEN SHE HAD LIKE A COLD OR ANYTHING LIKE THAT RECENTLY audio/RES0062.mp3[214.480,219.480] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0077.mp3[611.920,633.800] YEAH MY DAD HAD A TRIPLE BYPASS SURGERY DONE LAST LAST YEAR HE WAS SIXTYTHREE AT THE TIME AND THATS ABOUT IT audio/MSK0019.mp3[145.400,172.080] UM JUST OVER THE PAST THREE DAYS I FEEL LIKE ITS I HAVE TRIED NOT TO USE IT THAT MUCH UH LIKE WHEN I WAS AT WORK I HAVE TO USE LIKE TOOLS A LOT UM AND I NOTICED THAT WHEN I WAS USING A SCREWDRIVER LIKE IT IT HURT A LOT SO IT HASNT BEEN GETTING WORSE BUT IF I TRY TO DO ANYTHING AT WORK IT DEFINITELY HURTS A LOT MORE audio/MSK0007.mp3[323.720,328.200] UM NO I JUST TAKE SOME MULTIVITAMINS audio/RES0076.mp3[382.760,394.600] TWO MONTHS OK HAVE YOU RECENTLY HAD ANY INFECTIONS LIKE VIRAL SYMPTOMS LIKE RUNNY NOSE FEVER OR ANY COLD LIKE SYMPTOMS audio/RES0072.mp3[152.120,156.760] ITS BEEN PRETTY CONSTANT YEAH audio/RES0100.mp3[531.160,533.000] NO NEVER audio/RES0097.mp3[607.720,610.800] OK AND UH HAVE YOU GUYS TRAVELED ANYWHERE audio/MSK0020.mp3[526.120,535.520] RIGHT NOW I LIVE WITH MY WIFE AND WE LIVE IN A SMALL CONDOMINIUM audio/RES0204.mp3[86.520,88.920] ITS KIND OF STAYED THE SAME audio/RES0199.mp3[67.440,72.240] ITS KIND OF LIKE MY FOREHEAD IN THE TOP OF MY HEAD ON BOTH SIDES audio/RES0037.mp3[419.520,426.200] I SEE OK HAVE YOU NOTICED ANY WHEEZING SOUNDS WHEN YOU BREATHE OUT OR BREATHE IN audio/RES0137.mp3[258.920,265.200] UM AND HOW ABOUT HER BEHAVIOUR DOES SHE SEEM LIKE UH VERY TIRED OR FATIGUED OR MORE IRRITABLE audio/MSK0025.mp3[327.760,331.320] UHM NO NO NOTHING LIKE THAT audio/RES0011.mp3[729.680,736.920] OK AND DO YOU DRINK ALCOHOL audio/MSK0035.mp3[166.360,171.440] ITS CONSTANT audio/RES0027.mp3[199.160,200.640] AH NO audio/RES0205.mp3[340.600,344.080] JUST HAY FEVER audio/RES0105.mp3[193.520,201.120] I SEE AND DID YOU GO HOME ON HOME OXYGEN AT ALL LIKE DO YOU USE OXYGEN AT HOME audio/RES0089.mp3[215.160,218.840] UHM OTHER TIMES AS WELL audio/RES0045.mp3[161.560,165.440] NO DO YOU FEEL WHEEZY AT ALL audio/MSK0032.mp3[127.680,143.320] ITS ITS BEEN PRETTY CONSTANT SINCE THEN AND YEAH SHE JUST KIND OF KEEP KEEPING SHES KIND OF KEEP JUST KEEPING IT LIKE HER ARMS EXTENDED UM AND THEN YEAH JUST HOLDING ON TO IT audio/RES0051.mp3[192.520,193.840] UMM NO audio/RES0086.mp3[525.480,529.520] OK HOW ABOUT CANCERS audio/GAS0005.mp3[720.960,727.960] NO NO UH NO HISTORY OF ANY KIND OF BOWEL DISEASES audio/RES0110.mp3[364.360,369.200] OK UHM AND UH ANY UH DO YOU FEEL LIKE YOUR HEART IS RACING audio/RES0032.mp3[532.560,538.880] YEAH I LIVE WITH MY GIRLFRIEND IN AN APARTMENT audio/RES0150.mp3[129.520,136.680] ALRIGHT UM HOW ABOUT ANY CHANGES TO HIS SENSE OF SMELL OR OR TASTE audio/MSK0003.mp3[691.240,701.080] UHM NO I HAVENT NOTICED REALLY ANY ANY UH REDNESS OR OR SWELLING audio/RES0184.mp3[177.000,179.720] NO NOTHING LIKE THAT audio/RES0191.mp3[157.480,158.560] UH NO audio/MSK0008.mp3[127.560,134.040] OK UH AND HAVE YOU NOTICED SWELLING OVER THE AREA audio/RES0037.mp3[727.400,751.280] OK SO WELL BE DOING SOME INVESTIGATIONS SINCE YOU RECENTLY TRAVELED TO INDIA WE NEED TO MAKE SURE THAT YOU DONT HAVE TUBERCULOSIS AS THATS PREVALENT IN SOME PARTS OF INDIA SO WE WILL DO SOME WE MIGHT GET LIKE A CHEST XRAY FOR THAT YOU MAY HAVE A PNEUMONIA AS WELL AND THEN WELL GO FROM THERE DOES THAT SOUND GOOD audio/RES0081.mp3[133.200,136.200] OR ANY BLOOD audio/RES0190.mp3[524.360,527.320] OK HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST audio/MSK0001.mp3[315.160,324.520] OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES audio/RES0088.mp3[153.200,172.200] OK AND WAS THERE ANYTHING THAT SO SHE HAD KIND OF LIKE A COUGH PREVIOUSLY BUT ANYTHING ELSE ANYONE SICK AROUND HER OR ANYTHING YOU THINK MIGHT HAVE PRECIPITATED SOME OF HER SYMPTOMS audio/RES0169.mp3[74.160,81.800] NO AND I HAVENT HAD A COUGH BEFORE EITHER THIS IS NEW audio/RES0051.mp3[225.960,234.080] ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST FEW MONTHS audio/RES0202.mp3[80.040,99.160] UH 101 OR SOMETHING OR MAYBE 1001 IF BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW SO HE COULD HAVE MAYBE GOT COVID AND LIKE AT SCHOOL OR SOMETHING audio/RES0016.mp3[74.600,82.360] UM NO IT KIND OF JUST STARTED GRADUALLY ON ITS OWN NO NO REAL TRIGGERS THAT I CAN REMEMBER audio/RES0146.mp3[393.680,396.920] ANY RECREATIONAL DRUGS audio/RES0128.mp3[249.120,263.720] OK OK SO YOU MENTIONED HE HAS ASTHMA HE MIGHT HAVE ASTHMA HE WAS NEVER FORMALLY DIAGNOSED DOES IS HE OTHERWISE HEALTHY OR DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0063.mp3[735.400,740.000] ALRIGHT TAKE CARE audio/MSK0001.mp3[478.520,483.840] OK AND WHO ARE YOU SEXUALLY ACTIVE WITH ANY NEW PARTNERS AT ALL audio/RES0044.mp3[550.040,555.000] OK AND HOW ABOUT UM ANY ALLERGIES audio/RES0055.mp3[223.400,226.000] OK ANY WEIGHT LOSS audio/RES0103.mp3[373.880,390.880] SHE DID YEAH SHE HAS MET SHE WAS WALKING AT THE APPROPRIATE TIMES AND ABLE TO TALK AND DOES WORK REALLY WELL IN SCHOOL AND IS SOCIAL WITH WITH HER CLASSMATES AND PEERS audio/RES0178.mp3[370.720,382.280] NO OK AND DEVELOPMENTAL WISE HAS HE BEEN HITTING ALL HIS MILESTONES FOR LIKE MOTOR MOVEMENTS SPEECH BEHAVIOUR SOCIAL SOCIALIZATION WISE audio/RES0155.mp3[579.880,588.480] OK UM AND CURRENTLY DO YOU WORK audio/RES0133.mp3[335.960,342.480] OKAY UM IS IT DO YOU HAVE A PLAN TO GET THAT ONE OR audio/MSK0020.mp3[342.560,348.600] OK UHM ARE YOU TAKING ANY MEDICATIONS FOR ALL OF THIS audio/RES0006.mp3[523.920,528.800] OK SO YOU STARTED SMOKING UM AROUND 35 audio/RES0053.mp3[86.760,93.280] YEAH HAVE YOU TRIED ANYTHING FOR IT LIKE HAVE YOU GIVEN HIM ANY OVER THE COUNTER COUGH MEDICATIONS audio/MSK0028.mp3[159.720,164.240] OK HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER audio/RES0092.mp3[204.560,216.720] ANY OTHER SYMPTOMS SUCH AS BELLY PAIN OR DIARRHEA OR CONSTIPATION OR CHANGES IN YOUR URINE ARE HAVING ANY URINARY SYMPTOMS audio/RES0100.mp3[367.720,370.720] NO JUST JUST THIS WEEK audio/RES0055.mp3[250.440,256.480] OK HAVE A STUFFY NOSE OR RUNNY NOSE audio/RES0017.mp3[480.640,486.600] OK AND UH ARE THERE ANY JOINTS IN PARTICULAR THAT ARE MOST AFFECTED audio/RES0199.mp3[198.680,202.720] NO OK UHM HOW ABOUT FATIGUE audio/MSK0025.mp3[529.880,552.960] YEAH MY FAMILYS DEFINITELY BEEN HELPING ME OUT A LOT OVER THESE PAST FEW WEEKS BECAUSE YEAH LIKE I SAID LIKE IM HAVING SOME WEAKNESS IN MY LEGS I CANT MOVE AROUND AS MUCH BECAUSE IM IN SO MUCH PAIN UM AND THEN LIKE THERE ARE ALL THESE LIKE BLADDER ACCIDENTS SO YEAH THEYVE BEEN HELPING ME OUT WITH EVERYDAY THINGS audio/RES0050.mp3[187.720,190.120] EAR PAIN OR EYE PAIN NO audio/RES0006.mp3[103.080,111.360] OK AND HAVE YOU HAD SO YOU HAD SHORTNESS OF BREATH WHEN DID THAT START audio/RES0044.mp3[602.640,608.080] UH NO audio/MSK0042.mp3[492.320,499.760] NO I HAVENT TRIED UM ANY DRUGS OR ANYTHING LIKE THAT audio/RES0056.mp3[544.040,553.240] NO ITS A FAIRLY NEW APARTMENT audio/RES0163.mp3[409.560,417.400] MY MOM TOLD ME AND SOMETIMES I I SLEEP WITH MY MOUTH OPEN audio/RES0217.mp3[511.680,513.840] THANKS JEAN audio/RES0105.mp3[508.120,514.960] OH I SEE OK AND DO YOU TAKE ANY MEDICATIONS BESIDES YOUR PUFFERS audio/MSK0011.mp3[302.760,309.040] OK BUT YEAH SO YOUR MAIN CONCERN TODAY IS THIS PAIN IN YOUR WRIST audio/RES0021.mp3[235.960,243.520] OK HOW ABOUT ANY EYE OR OR EAR SYMPTOMS LIKE DISCHARGE OR PAIN audio/RES0053.mp3[724.400,726.720] AND WITH WHO AND WHERE DOES HE LIVE audio/RES0153.mp3[357.080,363.640] NO I IVE MAINLY STAYED AT HOME I IM MAINLY DOING VIRTUAL SCHOOL audio/MSK0003.mp3[85.960,94.880] I THINK THIS STARTED ABOUT LIKE FOUR OR FIVE MONTHS AGO ITS BEEN GOING ON YEAH FOR PROBABLY ABOUT HALF A YEAR NOW audio/RES0178.mp3[0.000,1.560] WHAT BRINGS YOU IN audio/RES0016.mp3[548.720,566.680] UH NO I ACTUALLY WORKED AT JUST THE HOSPITAL I USED TO VOLUNTEER BUT NOW I JUST CANT GET OUT OF THE HOUSE I FEEL JUST TIRED AND SHORT OF BREATH ALL THE TIME SO JUST STAYING IN MY HOUSE MOST OF THE TIME audio/RES0103.mp3[121.960,135.840] WELL SHE HAS BEEN GOING TO SCHOOL THERE HASNT BEEN ANY COVID CASES WHERE SHE GOES AND THEYVE BEEN CAUTIOUS BUT SHE IS GOING TO SCHOOL RIGHT NOW audio/RES0092.mp3[252.960,263.200] OK DO YOU HAVE ANY YOU DONT HAVE ANY LUNGS RELATED DISEASES RIGHT LIKE ASTHMA OR COPOR ANYTHING OF THAT SORT audio/CAR0005.mp3[230.760,244.360] OK DO YOU THINK ITS WORSE WHEN YOURE MOVING AROUND IF YOURE IF YOURE KIND OF DOING MORE EXERCISE OR IS IT KIND OF JUST THE SAME NO MATTER WHAT YOURE DOING WHEN YOU GET THE EPISODES audio/RES0149.mp3[285.960,291.720] OK UM AND HOW ABOUT ANY UH MUSCLE ACHES OR BODY PAINS audio/RES0127.mp3[241.040,246.880] I DO FEEL MORE FATIGUED WHEN I HAVE THESE SYMPTOMS audio/RES0135.mp3[383.080,388.920] I THINK THEY JUST GAVE HER SOME OXYGEN AND THEN UM SOME FLUIDS audio/CAR0003.mp3[531.480,536.680] OK AND CURRENTLY DO YOU WORK AT ALL audio/RES0003.mp3[202.720,205.200] OK HOW OLD IS SHE audio/RES0164.mp3[74.720,82.200] AND SO THIS STARTED JUST RECENTLY THREE DAYS AGO WAS HE IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY audio/MSK0029.mp3[554.000,557.440] I AM YES ILL GET THE FLU SHOT EVERY YEAR audio/RES0073.mp3[548.720,556.560] OK AND ANY OF YOUR COWORKERS HAVE ANY SYMPTOMS OR ANY COWORKERS BEING OFF SICK audio/RES0101.mp3[358.280,361.680] NO NOTHING LIKE THAT audio/MSK0023.mp3[308.760,329.120] UM NO NO NOTHING LIKE THAT I I I MEAN I THINK MY DAD I HAD A ROTATOR CUFF INJURY OR SOMETHING LIKE THAT BUT I MEAN HES IN HIS 50S NOW SO I THINK THAT HAPPENED AT WORK OR SOMETHING I DONT KNOW audio/MSK0006.mp3[608.200,611.480] UM ANY ATROPHY OR DEFORMITY IN THE AREA audio/RES0142.mp3[157.360,163.680] ALRIGHT UM SO UH ARE YOU UM DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0119.mp3[560.760,568.560] UM YEAH SO WHAT CAN WE DO FOR HER RIGHT NOW TO MAKE THESE SYMPTOMS GO AWAY audio/RES0139.mp3[432.000,442.640] MORE THAN I WOULD LIKE TO MENTION I YEAH I MAYBE 5 OR 6 BEERS A DAY audio/RES0083.mp3[74.360,81.960] OK AND HAS THE COUGH GOTTEN BETTER OR WORSE OVER THE PAST THREE DAYS audio/RES0051.mp3[112.280,118.800] IT STARTED UP AROUND THE SAME TIME AS MY COUGH audio/RES0036.mp3[503.520,507.760] AH ABOUT THREE YEARS audio/RES0030.mp3[561.640,571.000] OK AND IS IT LIKE A FULL GLASS OF WINE OR LIKE JUST HOW MUCH WOULD YOU SAY audio/RES0146.mp3[385.960,389.000] NO I I DONT audio/RES0052.mp3[481.800,490.880] NO I DONT THINK SO I CONTACTED THEM AND CHECKED BUT IT SEEMS LIKE NO ONES BEEN SICK audio/RES0143.mp3[167.680,169.480] ANY CHEST PAIN audio/MSK0037.mp3[329.840,334.040] HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING audio/RES0013.mp3[321.240,330.400] SO IVE LOST LIKE 15 POUNDS BUT LIKE NOT LIKE IVE BEEN TRYING TO audio/MSK0006.mp3[127.000,137.240] OK UM ALRIGHT AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBY audio/MSK0019.mp3[235.240,238.440] CHANGES IN YOUR VOIDING audio/MSK0046.mp3[362.080,369.080] UM I WILL TAKE AN EDIBLE LIKE ONCE A MONTH audio/RES0035.mp3[232.040,236.440] DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY audio/RES0027.mp3[494.600,500.000] OK AND ANYBODY IN THE HOME BEEN SICK audio/MSK0011.mp3[404.520,423.600] YEAH MY MY UNCLE DIED OF A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY GRANDFATHER ALSO HAD HAD A HEART ATTACK AS WELL UM YEAH THATS ABOUT IT audio/RES0168.mp3[650.560,653.040] OK YEAH NO PROBLEM audio/RES0147.mp3[136.320,146.200] OK UHM AND WAS YOUR SPUTUM AND GREENISH YELLOW BEFORE AS WELL OR WAS IT JUST STARTING YESTERDAY OR OR COUPLE DAYS AGO audio/RES0179.mp3[464.560,487.160] UHM I THINK LIKE MY UNCLE HAD LUNG CANCER AND IT AND I THINK IVE HAD A COUPLE OF MEMBER FAMILY MEMBERS ABOUT WHO HAD LUNG CANCER ACTUALLY BUT THEYVE WELL THEYVE ALL BEEN SMOKERS audio/RES0170.mp3[650.240,655.040] YEAH I DONT NOTICE THAT ANY OTHER TIMES audio/RES0116.mp3[476.160,491.320] UM NO WEVE BEEN PRETTY HEALTHY AS PARENTS UM AND I THINK MY MY FATHER HAS LIKE HIGH BLOOD PRESSURE DIABETES AND ALL THOSE TYPES OF THINGS audio/RES0166.mp3[222.400,226.040] OK AND DID YOU HAVE A SURGERY FOR YOUR HIP audio/MSK0046.mp3[619.240,620.600] YOU TOO audio/MSK0001.mp3[61.800,73.480] OK AND UM ON A SCALE OF 1 TO 10 UH 1 BEING LIKE THE LEAST PAIN THAT YOU FELT IN YOUR LIFE 10 BEING THE WORST HOW MUCH WOULD YOU RATE THIS PAIN audio/MSK0006.mp3[606.960,608.200] NO SKIN CHANGES audio/RES0014.mp3[303.640,308.520] NO NOTHING LIKE THAT audio/RES0090.mp3[280.920,283.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0089.mp3[44.800,54.960] OK AND WHAT KIND OF COUGH ARE YOU HAVING IS IT A WET COUGH OR A DRY COUGH audio/RES0189.mp3[610.640,626.840] OK AND UHM IF YOU WANTED TO TALK ABOUT QUITTING WE CAN DISCUSS THAT FURTHER AT A LATER TIME IF YOUD LIKE UHM AND SO DO YOU USE ANY RECREATIONAL DRUGS audio/GAS0003.mp3[104.920,108.800] OK AND HAS IT BEEN GETTING WORSE SINCE IT FIRST STARTED audio/MSK0035.mp3[358.480,360.320] UH NO audio/RES0069.mp3[88.480,93.960] OK DID YOU TAKE YOUR TEMPERATURE audio/RES0124.mp3[177.560,181.520] ANY UM CHEST PAIN audio/MSK0020.mp3[131.000,139.360] OK AND DOES THE PAIN RADIATE ALSO OR DOES IT OR IS IT PRETTY LOCALIZED TO YOUR HIPS AND KNEES audio/MSK0040.mp3[339.920,344.680] HAVE YOU ANY DIARRHEA CONSTIPATION OR OR BLOOD IN THE STOOL audio/RES0214.mp3[385.400,387.320] DO YOU DRINK ALCOHOL audio/RES0020.mp3[512.840,526.280] SURE I LIVE WITH MY HUSBAND WE LIVE IN A 3 BEDROOM TOWNHOUSE ITS A FAIRLY NEW HOME audio/GAS0001.mp3[249.720,255.720] WHEN DID YOU LAST HAVE YOUR PERIOD audio/RES0202.mp3[252.480,267.280] UM LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD audio/RES0069.mp3[209.920,212.600] ANY ABDOMINAL PAIN audio/RES0062.mp3[210.360,214.480] UM NOT REALLY audio/RES0128.mp3[205.960,209.880] ANY DIZZINESS OR FAINTING SPELLS audio/RES0142.mp3[148.600,152.400] NO BELLY PAIN OR MUSCLE ACHES audio/RES0195.mp3[377.080,385.520] UH NO BUT I HAVEN BEEN FEELING UM A LITTLE BIT HOT SO I WONDER IF I HAVE A FEVER I HAVENT CHECKED IT audio/RES0043.mp3[540.840,550.880] OK AN ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN audio/RES0036.mp3[622.760,628.000] I MEAN YEAH PROBABLY BOTH BUILDINGS ARE VERY VERY OLD I DOUBT THEYRE BEING MAINTAINED audio/RES0143.mp3[0.000,2.960] WHAT CAN I DO FOR YOU TODAY audio/RES0070.mp3[407.880,411.920] OK AND UH DO YOU SMOKE CIGARETTES audio/RES0128.mp3[446.400,465.120] NO I DONT THINK SO I MEAN WHEN AT SCHOOL THEYVE BEEN PRETTY DILIGENT WITH I MEAN COVID AND EVERYTHING RIGHT NOW SO I THINK HES BEEN OK audio/MSK0043.mp3[529.240,542.920] UH WELL LIKE ANY ANYTHING THAT I THAT I CAN USUALLY BUT I I GUESS LIKE UM VARIOUS TYPES OF OPIOIDS ARE KIND OF THE THE THE MAIN THING THAT ILL THAT ILL USE audio/RES0030.mp3[213.160,221.800] UH I THINK THEYRE ALWAYS A LITTLE SWOLLEN BUT I MIGHT HAVE JUST GAINED A FEW POUNDS OVER THE YEARS audio/RES0060.mp3[176.560,183.360] OK SO LETS GO BACK TO THE COUGH UM ARE YOU PRODUCING ANY SPUTUM audio/RES0171.mp3[301.880,313.920] UH OK ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/MSK0019.mp3[0.000,4.040] WHAT BRINGS YOU IN audio/RES0186.mp3[433.960,438.440] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0024.mp3[379.680,393.000] UM NO LIKE ALL MY CLASSES ARE ONLINE SO I DONT REALLY SEE ANYONE BESIDES HIM RIGHT NOW LIKE WE DONT EVEN OFFICIALLY LIKE TOGETHER HES JUST BEEN ESSENTIALLY STAYING AT MY APARTMENT CAUSE LIKE WE DONT SEE ANYONE ELSE audio/RES0055.mp3[653.360,659.880] NOPE IVE BEEN IN ONTARIO SINCE THE BEGINNING OF THE PANDEMIC audio/RES0184.mp3[320.720,329.920] UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS YOUNGER BUT THAT WAS A LONG TIME AGO audio/RES0012.mp3[300.920,307.960] OK OK AND HAVE YOU LOST ANY WEIGHT RECENTLY audio/RES0153.mp3[351.760,357.080] ALRIGHT EXCELLENT AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0114.mp3[326.760,329.720] OK UH NAUSEA OR VOMITING audio/RES0055.mp3[227.200,236.080] OK HOW ABOUT CHANGES IN YOUR HAIR OR NAILS LIKE OR OR SKIN LIKE RASHES audio/RES0206.mp3[350.080,352.840] UHM I DON’T KNOW audio/RES0100.mp3[210.840,219.840] OK AND HAVE YOU BEEN EXPERIENCING ANY DIFFICULTIES OR SORRY HAVE YOU BEEN EXPERIENCING ANY COUGH audio/RES0192.mp3[259.080,262.600] OK UM HAVE YOU HAD ANY FEVERS audio/RES0197.mp3[317.440,322.560] NO JUST SOME MULTI VITAMINS THATS ABOUT IT audio/RES0051.mp3[265.440,267.840] ANY NAUSEA OR VOMITING audio/RES0129.mp3[90.120,99.560] UHM I DONT THINK SO BUT HE WE HAVENT CHECKED AND HES BEEN YEAH AS I SAID KINDA A LITTLE BIT IRRITABLE audio/RES0167.mp3[245.880,253.160] OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0078.mp3[523.600,540.600] AND HAVE YOUR WIFE AND DAUGHTER BEEN SICK RECENTLY OR HAVE EITHER OF YOU HAD CONTACT WITH SOMEONE WHOS BEEN SICK audio/MSK0027.mp3[521.120,535.080] OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY JOINT DEFORMITY OR OR MALALIGNMENT audio/MSK0011.mp3[205.920,213.520] OK AND DO YOU HAVE ANY KIND OF PINS AND NEEDLES SENSATION TINGLING OR NUMBNESS ANYWHERE IN YOUR HANDS audio/RES0209.mp3[266.120,275.600] OK AND WHEN YOU HAVE THESE SO WHEN YOU HAVE THESE EPISODES YOURE COPPING YOUR WHEEZY DO YOU FEEL LIKE YOURE HAVING A HARD TIME BREATHING audio/RES0207.mp3[331.680,344.720] OK AND IN TERMS OF YOUR LIFESTYLE YOU SAID THAT YOU HAVE A DAUGHTER SO DO YOU LIVE WITH YOUR FAMILY DO YOU LIVE WITH YOUR DAUGHTER audio/RES0117.mp3[333.680,350.200] UHM SO I THINK SO THIS YEAR HAS JUST BEEN THE PHILIPPINES BEFORE I USED TO GO TO INDIA AS WELL UM BUT RECENTLY NOTHING OUTSIDE OF THE PHILIPPINES audio/RES0035.mp3[297.920,301.920] A BIRD AND WHEN DID YOU GET THE BIRD audio/RES0106.mp3[140.440,143.880] HOW ABOUT CHANGES IN YOUR VISION OR HEARING audio/RES0200.mp3[558.160,565.600] OK OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY audio/RES0007.mp3[584.160,591.400] OK AND WHAT TYPES OF LIKE HOBBIES OR KIND OF ACTIVITIES ARE YOU INTERESTED IN audio/RES0066.mp3[345.840,356.040] HAVE YOU BEEN ABLE TO SLEEP THROUGHOUT THE NIGHT OR DOES THE COUGH WAKE YOU UP OR THE CHILLS WAKE YOU UP audio/RES0064.mp3[131.240,146.080] UHM I THINK THERE MIGHT BE LIKE A FEW LUMPS NEAR HIS NECK SO I DONT KNOW IF THATS SWELLING BUT DEFINITELY THERE IS THERES A FEW THAT I FELT OVER THE LAST FEW DAYS audio/RES0142.mp3[226.800,234.120] UM AND UM DID HE DID HE GET UM DID HE SEE A DOCTOR audio/RES0015.mp3[213.480,218.360] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0040.mp3[266.840,269.080] NO NOTHING LIKE THAT audio/MSK0038.mp3[391.080,396.560] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0119.mp3[33.040,38.160] OK UM AND WHEN DID THE COUGH START audio/RES0171.mp3[116.320,123.080] OK ANY OTHER SYMPTOMS THAT YOUVE HAD A FEVER OR HEADACHE audio/RES0166.mp3[188.040,190.560] I DONT THINK SO audio/RES0093.mp3[290.600,299.640] OK UHM CAN YOU TELL ME ABOUT YOUR PAST UH MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0118.mp3[462.120,469.320] AND AND THEN YOU WILL GET THE TEST RESULTS BACK IN A HOPEFULLY IN A FEW DAYS SO DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0128.mp3[427.600,433.160] OK OK ANY PETS AT HOME audio/MSK0040.mp3[395.400,402.120] I THINK SO I GAVE THEM THE MOST RECENT ONES IVE RECEIVED IN HIGH SCHOOL audio/RES0080.mp3[259.520,264.520] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN OR ANY RASHES audio/MSK0008.mp3[261.600,264.920] OK HAVE YOU HAD ANY FAINTING OR DIZZINESS audio/RES0076.mp3[324.400,331.480] AND DO YOU NOTICE YOU HAVE TO LIKE GET UP AT NIGHT TO TAKE A BREATH OR WHEN YOURE LAYING DOWNDO YOU HAVE ANY TROUBLE BREATHING audio/RES0089.mp3[278.520,288.280] OK ALRIGHT AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE audio/RES0056.mp3[537.400,544.040] OK ANY REASONS TO THINK YOU HAVE OLD CARPET MOLD OR ASBESTOS audio/MSK0022.mp3[915.040,916.200] UM YES I CAN audio/RES0036.mp3[84.960,86.840] YEAH AROUND THERE audio/RES0183.mp3[587.280,600.000] OK UHM SO I I THINK THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR OR THAT YOU WANTED TO MENTION audio/MSK0022.mp3[140.520,142.760] IT DOES YEAH audio/RES0011.mp3[808.440,820.640] OK UH AND ARE YOU CURRENTLY IN A IN A RELATIONSHIP audio/RES0208.mp3[651.640,654.240] OK THANK YOU audio/RES0151.mp3[284.640,289.880] OK AND THEN ANY SKIN CHANGES OR OR RASHES audio/RES0123.mp3[138.200,142.720] NO ANY SENSITIVITY TO LIGHT OR SOUNDS audio/RES0062.mp3[936.200,946.200] OK ALRIGHT GOOD SO THAT BRINGS US TO THE END DO YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO CLARIFY BEFORE WE END THE INTERVIEW audio/RES0213.mp3[193.440,196.720] UH NO NO I DONT THINK SO audio/RES0149.mp3[455.480,462.840] DO YOU HAVE ANY ALLERGIES TO UM TO MEDICATIONS OR OR ENVIRONMENTAL audio/RES0101.mp3[613.720,619.200] NOT THAT I KNOW NOT REALLY audio/RES0159.mp3[434.120,436.640] NO NOT YET audio/RES0062.mp3[65.840,79.320] OK AND HOW MUCH SPUTUM ARE YOU COUGHING UP EACH TIME LIKE IS IT KIND OF THE SIZE OF YOUR FINGERTIP OR DOES IT FILL YOUR WHOLE PALM audio/RES0207.mp3[64.600,79.680] UM YEAH I CHECKED IT THIS MORNING I WAS LIKE IT WAS KIND OF MILD SO 374 I THINK audio/RES0129.mp3[50.640,56.880] ITS BEEN DRY OK AND DOES IT SOUND HARSH audio/RES0072.mp3[106.800,108.480] NO BLOOD audio/RES0200.mp3[280.680,283.160] UH NO I DON’T HAVE THAT audio/RES0165.mp3[361.120,370.720] OK AND SO YOUVE BEEN ISOLATING AND HAVE YOU GOTTEN COVISWAB TEST YET audio/RES0199.mp3[96.240,101.760] UH THE HEADACHE PROBABLY LIKE 7 audio/RES0047.mp3[547.760,550.360] OK YEAH AND HOW LONG HAVE YOU BEEN ON THESE INHALERS audio/MSK0007.mp3[173.840,182.120] OK AND UM SO DID YOU HAVE ANY OTHER SYMPTOMS ASSOCIATED WITH THE ELBOW PAIN audio/RES0131.mp3[116.920,121.880] OKAY UM ANY DIZZINESS OR FAINTING SPELLS audio/RES0093.mp3[180.440,187.760] NO OK HAVE YOU HAD ANY PAIN IN YOUR CHEST audio/MSK0035.mp3[689.280,695.320] OK AND THEN HOW ABOUT MOVE IT LIKE SIDE TO SIDE KIND OF DEVIATING IT audio/RES0131.mp3[527.120,537.880] YEAH SO I LIVE IN AN APARTMENT DOWNTOWN HERE UM JUST WITH UH ONE OF ONE OF MY FRIENDS WHOS A ROOMMATE audio/MSK0040.mp3[96.840,108.520] OK WERE YOU ABLE TO LIKE WALK OFF THE FIELD AT ALL OR DID YOU NEED TO BE CARRIED OR WERE YOU ABLE TO WALK AT ANY POINT AFTER audio/RES0141.mp3[175.360,178.480] UM DO YOU FEEL LIKE YOUR HEART IS RACING audio/RES0104.mp3[497.720,502.000] YEAH I TAKE A MULTIVITAMIN AND IN VITAMIN D audio/MSK0007.mp3[559.680,562.760] UM A LITTLE BIT audio/RES0067.mp3[198.560,205.520] OK UHM HAS SHE HAD ANY RECENT INFECTIONS AT ALL LIKE A COLD OR ANYTHING LIKE THAT audio/RES0199.mp3[47.160,51.080] OK AND DOES ANYTHING MAKE IT BETTER OR WORSE audio/RES0112.mp3[179.120,188.560] UH HES HAD ABOUT LIKE MAYBE A BOTTLE OF HIS MILK LIKE OF THAT audio/MSK0050.mp3[570.760,578.680] ALRIGHT UM AND ARE YOU ABLE TO UH FLEX AND EXTEND YOUR WRIST audio/MSK0026.mp3[666.960,670.080] NO I DONT THINK SO audio/RES0011.mp3[224.440,229.840] UM IVE BEEN IVE BEEN FEELING REALLY COLD audio/RES0104.mp3[650.400,657.000] SO YEAH FOR LIKE 45 YEARS audio/RES0205.mp3[148.160,154.000] OK AND ALONG WITH THE COUGH ARE YOU EXPERIENCING ANY DIFFICULTY BREATHING audio/RES0052.mp3[432.240,436.240] OK AND WHO ELSE IS IN THE HOME audio/RES0111.mp3[181.040,187.400] UH AND UH DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0200.mp3[429.200,431.520] PARDON ME audio/MSK0019.mp3[356.280,365.720] UM I LIVE WITH MY WIFE AND UH FOUR YEAR OLD DAUGHTER audio/MSK0036.mp3[718.120,721.920] OK ALRIGHT AND WAS IT ENDOMETRIAL CANCER audio/GEN0001.mp3[317.120,323.800] OK AND THEN IN REGARDS OTHERWISE YOU FEEL A LITTLE FLUSHED A LITTLE TIRED ANY OTHER MEDICAL ISSUES THAT YOU HAVE audio/MSK0021.mp3[248.520,253.360] OK CHEST PAIN OR HEART PALPITATIONS audio/MSK0006.mp3[371.200,374.160] AND NO BLEEDING IN THE STOOL audio/RES0168.mp3[128.120,145.400] I I TOOK MY TEMP LAST NIGHT IT WAS PRETTY HIGH IT WAS LIKE 99 POINT LIKE SOMETHING UHM 99 LIKE 7 OR SOMETHING audio/RES0153.mp3[328.840,333.720] OK AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT audio/RES0001.mp3[2.360,12.840] I SO IVE JUST HAD THIS PAIN IN MY CHEST FOR JUST OVER A WEEK NOW AND ITS CAUSED ME TO HAVE TROUBLE BREATHING audio/RES0042.mp3[492.560,499.080] SURE UM AND WHERE DO YOU LIVE RIGHT NOW audio/MSK0046.mp3[217.040,221.360] UM DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS audio/MSK0022.mp3[1036.680,1039.200] IT DOES YEAH THANK YOU audio/RES0139.mp3[228.240,251.960] UM I WENT IN FOR I WENT IN FOR A CHECKUP THREE WEEKS AGO AND UH I FOUND OUT I HAD HIGH BLOOD PRESSURE YOU KNOW WHO WOULD HAVE THOUGHT AND THEN MY DOC STARTED ME ON THIS PILL CALLED RAMIPRIL AND UH IVE JUST BEEN CHECKING MY BLOOD PRESSURE ON A REGULAR BASIS AND ITS YEAH ITS BEEN GOOD BUT OTHER THAN THAT IM VERY HEALTHY audio/RES0022.mp3[994.720,1013.840] OK ITS ALL IN THE MEANTIME YOULL NEED TO QUARANTINE FOR 14 DAYS AND IF THE RESULTS ARE POSITIVE WELL AFTER NOTE NOTIFIED PUBLIC HEALTH SO THAT THE APPROPRIATE CONTACT TRACING CAN BE MADE BUT WELL GET THE INVESTIGATION STARTED NOW audio/RES0021.mp3[564.400,571.440] OK ARE THEY GOING TO LIKE DAYCARE RIGHT NOW OR IN SCHOOL audio/RES0192.mp3[179.760,184.440] OK UM IT DOES IT GO AWAY AFTER YOURE DONE COUGHING audio/RES0131.mp3[74.120,78.880] OKAY IS IT GETTING WORSE DO YOU THINK audio/RES0129.mp3[253.440,260.160] OK AND HIS MOTHERS PREGNANCY WITH HIM WAS IT COMPLICATED IN ANY WAY audio/MSK0022.mp3[822.720,828.400] YES I YEAH I DO I FEEL SWELLING WARMTH AND REDNESS audio/RES0099.mp3[180.720,186.720] ITS A DRY COUGH AND IT STARTED YESTERDAY PROBABLY IN THE MORNING WHEN I WOKE UP audio/RES0171.mp3[123.080,125.040] NO NOTHING LIKE THAT audio/RES0039.mp3[537.240,543.800] UH YEAH I THINK SEPTRA GIVES ME A RASH audio/RES0202.mp3[426.480,434.320] AND IS HE AND IS HE AN OTHERWISE HEALTHY CHILD audio/RES0163.mp3[458.720,462.000] UHM JUST HEART DISEASE audio/RES0035.mp3[453.120,456.680] UHM MAYBE 2 GLASSES OF WINE A WEEK audio/RES0111.mp3[53.360,54.840] OH IT JUST HURTS audio/RES0082.mp3[63.640,74.560] UH YEAH IT HAS BEEN A BIT SORE WHEN EATING FOOD BUT IT HASNT BEEN SO PAINFUL TO PREVENT ME FROM EATING audio/RES0012.mp3[831.320,846.400] I DONT KNOW LIKE IVE BEEN TO THE LIKE THE STATES BEFORE COVII I DONT I DIDNT REALLY HAVENT TRAVELED ANYWHERE COOL IN A LONG TIME audio/RES0181.mp3[378.360,392.480] UHM SO MY YOUNGER SISTER HAD A SORE THROAT LIKE A WEEK BACK BUT THATS ALL SHE HAD SHE NEVER HAD A FEVER AND HER SORE THROAT WENT AWAY IN LIKE 2 DAYS audio/RES0045.mp3[236.440,239.440] NO NOTHING LIKE THAT audio/RES0053.mp3[93.280,100.640] NO WERE A LITTLE SCARED TO GIVE HIM ANYTHING HES SO YOUNG HES 2 12 WE HAVENT BEEN REALLY GIVING HIM ANY MEDICATIONS TO BE HONEST audio/RES0089.mp3[805.680,820.840] I SMOKE ABOUT A JOINT A WEEK audio/RES0110.mp3[372.560,383.720] OK DO YOU GET ANY CHEST PAIN OTHERWISE UM IN THIS WEEK WHEN YOURE NOT TRYING TO TAKE A DEEP BREATH audio/MSK0024.mp3[387.200,394.640] I USED TO SMOKE I HAVENT SMOKED IN OVER 10 YEARS audio/RES0007.mp3[475.760,487.200] NOTHING ELSE JUST JUST THOSE THINGS AND MY MOM MAKES ME TAKE A VITAMIN audio/RES0092.mp3[59.840,64.720] NO I HAVENT NOTICED ANY BLOOD audio/RES0192.mp3[594.680,596.880] UH NO audio/MSK0011.mp3[498.560,506.280] UM NO IVE I IVE NEVER SMOKED I COULDNT WITH HAVING ASTHMA SO I JUST STAYED AWAY FROM ALL OF THAT audio/RES0118.mp3[268.120,270.040] I AM audio/DER0001.mp3[439.080,448.960] ITS BEEN A WHILE AS A KID APPARENTLY LIKE MY FACE GOT BLOATED AND I WAS HAVING A HARD TIME BREATHING SO audio/CAR0005.mp3[117.160,128.680] AND IF YOU WERE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING NO PAIN AND 10 BEING LIKE THE WORST PAIN YOUVE EVER FELT WHERE WOULD IT FALL audio/RES0174.mp3[527.840,529.960] OK ARE YOU ON ANY MEDICATIONS RIGHT NOW audio/RES0108.mp3[100.000,105.080] NO OK IS IT A DRY COUGH OR DO YOU BRING UP ANY PHLEGM audio/RES0001.mp3[478.720,492.560] YEAH EXACTLY ITS STARTING TO IT WAS STARTING TO GET THE PAIN WAS STARTING TO IMPROVE BUT IT WAS KEEPING ME ON THE COUCH A LOT OF DAYS audio/RES0211.mp3[455.960,461.600] WE HAVE LIKE A DOG BUT ITS NOT LIKE AN ANIMAL FARM audio/RES0152.mp3[499.240,507.000] OK UM AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0007.mp3[717.240,725.560] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET audio/RES0080.mp3[65.480,76.520] I DONT DO MUCH ANYWAY BECAUSE MY CPYOU KNOW JUST MAKES THINGS A LITTLE BIT DIFFICULT UH YEAH I USE MY PUFFERS audio/RES0083.mp3[409.920,413.360] FOR ABOUT 12 YEARS I GUESS audio/RES0209.mp3[454.320,461.040] YEAH ITS BEEN OK ITS ITS DIFFERENT BUT ITS BEEN WORKING OUT OK SO FAR audio/RES0035.mp3[35.920,39.480] 8 MONTHS AND HAS IT BEEN GETTING WORSE AT ALL audio/MSK0007.mp3[709.640,807.200] YEAH SO IT ITS CERTAINLY IT IT SOUNDS LIKE WITH THE MEDIAL ASPECT OF YOUR ELBOW HAVING PAIN THERE OVER THE LAST SEVERAL MONTHS AND SOME OF THE PHYSICAL EXAM MANEUVERS SUCH AS LIKE PASSIVE WRIST EXTENSION RESISTED WRIST FLEXION AS WELL AS PRONATION AND THE POINT TENDERNESS OVER THE MEDIAL ELBOW THIS COULD BE A MEDIAL EPICONDYLITIS OR A TENDINOPATHY IN THAT AREA AND SO THIS IS TYPICALLY TREATED WITH ACTIVITY MODIFICATION SO THIS COULD BE TRYING TO AVOID REPETITIVE MOVEMENTS THAT THAT CAUSE PAIN AND USING MEDICATIONS SUCH AS ADVIL AND TYLENOL AND DOING STRENGTHENING AND STRETCHING EXERCISES WHICH YOU CAN LEARN FROM A PHYSIOTHERAPIST OR OR ON YOUR OWN AS WELL AND ALSO OTHER THINGS THAT THAT THE MEDIAL SIDE OF THE ELBOW THAT IT COULD BE IS AN ULNAR LIGAMENT INJURY UM OR YEAH OR THE OTHER THING TO BE CONSIDERING IS AND ULNAR LIGAMENT INJURY AND SO IF THE PAIN ISNT GOING AWAY THEN WE MIGHT CONSIDER AN ULTRASOUND OR SOMETHING TO LOOK AT THE STRUCTURES THERE audio/RES0128.mp3[326.560,336.240] YEAH SO HES HES DONE WELL THERE WERENT REALLY ANY CONCERNS WITH DEVELOPMENT OR OR GROWTH AND HES DOING WELL IN SCHOOL audio/MSK0025.mp3[552.960,557.800] OK I SEE AND CURRENTLY DO YOU SMOKE audio/RES0029.mp3[176.440,180.480] ANY NAUSEA OR VOMITING audio/RES0156.mp3[452.520,461.880] OK UM OK SO THOSE WERE ALL THE QUESTIONS I HAD UM DO YOU HAVE ANY QUESTIONS audio/MSK0042.mp3[194.200,196.680] UH NO NIGHT SWEATS audio/RES0009.mp3[323.360,330.000] ALRIGHT AND HOW ABOUT ANY ABDOMINAL PAIN audio/RES0108.mp3[315.400,319.040] NO OK UM ALCOHOL audio/MSK0046.mp3[294.600,297.560] I SEE AND DOES THAT HELP THOUGH audio/RES0039.mp3[124.720,138.120] OK AND DID YOU NOTICE UH AT ALL ANY POTENTIAL EXPOSURES TO TUBERCULOSIS ANYONE THERE THAT HAD TUBERCULOSIS OR FOUND OUT LATER audio/RES0162.mp3[73.040,81.360] NO NO BLOOD audio/RES0017.mp3[537.200,545.120] YEAH I I GOT A SHINGLES VACCINE THE ONE FOR PNEUMONIA AS WELL audio/RES0079.mp3[332.600,341.160] OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/MSK0035.mp3[203.960,216.080] ALRIGHT AND ARE YOU HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS TINGLING OR OR SENSORY LOSS OVER ANY AREAS audio/RES0178.mp3[242.520,247.840] YEAH HIS APPETITES BEEN A BIT DOWN YEAH audio/RES0179.mp3[166.080,169.320] MORE KIND OF ON THE RIGHT SIDE audio/MSK0007.mp3[504.240,517.400] OK UM AND SO NEXT I WANTED TO WALK THROUGH A PHYSICAL EXAM SO WHEN YOU LOOK AT THE ELBOW YOURSELF DO YOU SEE ANY SWELLING OR REDNESS audio/RES0084.mp3[174.760,183.120] OK AND ALRIGHT AND YOU SAID ITS MOSTLY AT THE FRONT OF YOUR HEAD HOW ABOUT NEAR THE CROWN OF YOUR HEAD TEMPLES audio/MSK0044.mp3[103.880,112.960] OKAY AND UM ARE ABLE TO DO ANY MOVEMENTS OR ARE YOU JUST KIND OF HOLDING YOUR ARM UP WITH YOUR OTHER OTHER ARM audio/MSK0029.mp3[311.920,315.120] CONFUSION OR MEMORY LOSS audio/RES0131.mp3[242.000,245.400] NO I HAVENT NOTICED ANY RASHES audio/MSK0007.mp3[271.520,276.080] OK HAVE YOU HAD ANY NUMBNESS OR TINGLING audio/RES0033.mp3[393.360,402.320] OK UM AND THESE SYMPTOMS COLD SYMPTOMS YOUVE BEEN FEELING FOR THE LAST FEW DAYS audio/MSK0044.mp3[385.320,389.840] OKAY ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0023.mp3[398.200,410.360] UM YEAH I HAD MY GALLBLADDER TAKEN OUT ABOUT 10 YEARS AGO OR SO audio/MSK0040.mp3[689.880,694.440] ON THE MEDIAL SIDE NO audio/RES0074.mp3[568.880,573.440] YEAH MAYBE A ONE OR TWO BEERS A WEEK audio/RES0184.mp3[143.680,146.240] OK AND IT WENT AWAY audio/RES0184.mp3[125.000,132.080] JUST SOME TYLENOL WHICH SEEMS TO HAVE HELPED audio/RES0048.mp3[276.400,286.000] OK OK AND UM DO YOU HAVE ANY WHEEZINESS audio/RES0179.mp3[269.560,271.760] NO ANY RASHES audio/RES0078.mp3[679.960,701.920] ALRIGHT WELL SO I THINK THATS ALL THAT I WANTED TO KNOW I CAN SEE THAT YOU HAVENT BEEN FEELING WELL OVER THE PAST COUPLE OF DAYS AND ILL GO BACK TO MY ATTENDING AND WE WILL COME BACK AND CHAT WITH YOU LITTLE BIT MORE AND DO A PHYSICAL EXAM AND GO FROM THERE audio/RES0153.mp3[186.680,188.440] NO NOTHING LIKE THAT audio/MSK0006.mp3[368.960,371.200] NO DIARRHEA OR CONSTIPATION audio/MSK0012.mp3[847.920,850.240] OK SOUNDS GOOD THANK YOU audio/RES0189.mp3[484.720,489.160] I USUALLY BREAK OUT INTO HIVES audio/MSK0029.mp3[616.720,621.080] UH NO CANCERS audio/CAR0004.mp3[124.560,131.120] OK AND DOES THE PAIN MOVE ANYWHERE IN YOUR CHEST OR DOES IT STAY IN THE SAME SPOT audio/MSK0020.mp3[579.080,581.920] NO NOT REALLY audio/RES0114.mp3[786.680,788.720] YEAH NO PROBLEM audio/MSK0032.mp3[528.880,542.280] NO OKAY UM ALRIGHT AND THOSE ARE ALL THE QUESTIONS THAT I KIND OF HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/RES0020.mp3[473.360,477.360] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0068.mp3[501.040,505.000] UH THATS JUST RECREATIONALLY audio/MSK0049.mp3[251.480,258.760] UM I GUESS IVE BEEN EATING A LITTLE BIT MORE UM BUT NO CHANGES IN EXERCISE audio/CAR0004.mp3[191.120,194.960] NO NO I HAVENT audio/RES0056.mp3[333.240,337.400] OK DID SHE GET IT CHECKED OUT IN A CLINIC audio/RES0096.mp3[597.240,603.600] OK UHM AND HAS ANYBODY IN THE FAMILY HAD ANY HEART OR LUNG CONDITIONS audio/RES0182.mp3[345.280,351.760] OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES audio/RES0067.mp3[73.760,77.600] OK AND HAS IT BEEN GETTING WORSE AT ALL audio/RES0089.mp3[405.480,408.040] OK HOW ABOUT FATIGUE audio/RES0010.mp3[42.840,52.480] UM LIKE I THINK MY VOICE IS KIND OF LIKE RASPY I FEEL LIKE I MIGHT BE LOSING MY VOICE audio/MSK0008.mp3[758.680,766.720] AH NO THAT WAS IT JUST WHAT CAN I DO ABOUT MY MY KNEE audio/RES0071.mp3[601.480,608.320] OK DO YOU DRINK ALCOHOL AT ALL audio/RES0195.mp3[554.720,561.320] UM NO LIKE WHAT WHAT DO YOU THINK I HAVE AND HOW SHOULD I TREAT IT audio/RES0008.mp3[62.920,68.720] YEAH I THINK LIKE MONDAY SO UH YEAH I GUESS LIKE 3 DAYS AGO THEN audio/RES0001.mp3[185.920,200.240] I I WOULD SAY MAYBE 100 METERS BUT BEFORE I WAS ABLE TO RUN UH LIKE I WAS RUNNING A FEW DAYS PER WEEK SO SO THIS IS NOT LIKE ME audio/MSK0018.mp3[55.200,58.640] I DONT KNOW LIKE PROBABLY LIKE 8 OR 8 OR 9 audio/RES0209.mp3[209.800,215.920] HAVE YOU BEEN BRINGING UP GUNK OK DRY COUGH HAVE YOU NOTICED ANY WHEEZING audio/RES0076.mp3[682.560,687.040] WELL ILL HAVE ONE OR TWO BEERS ON THE WEEKEND audio/RES0194.mp3[329.320,341.880] UHM IVE BEEN LESS HUNGRY FOR SURE YEAH SO I IVE HAD A DECREASED APPETITE BUT MY WEIGHTS BEEN STABLE RECENTLY SO NO CHANGES IN WEIGHT audio/MSK0009.mp3[660.080,675.840] UM SO I DONT KNOW ABOUT HEART OR LUNG CONDITIONS BUT UH MY MOTHER HAD A STROKE IN HER LATE 60S AND MY FATHER IS PRETTY HEALTHY audio/RES0206.mp3[532.480,534.920] ANY CONFUSION OR FUZZY FEELING audio/RES0189.mp3[34.480,64.200] UHM I THINK ITS HAPPENING MOSTLY ON EXERTION USUALLY IM ABLE TO WALK AROUND THE HOUSE NO ISSUES GO UP AND DOWN STAIRS BUT RIGHT NOW IM PRETTY LIMITED I CANT REALLY GO UP AND DOWN STAIRS WITHOUT GETTING REALLY SHORT OF BREATH I CANT EVEN WALK FROM THE BEDROOM TO THE KITCHEN WITHOUT BECOMING SHORTNESS OF LIKE SHORT OF BREATH audio/RES0067.mp3[227.960,232.840] OK ANY SICK CONTACTS WITHIN THE LAST WEEK OR TWO WEEKS audio/RES0212.mp3[271.640,276.880] OK AND DO YOU TAKE ANYTHING FOR THAT audio/RES0037.mp3[558.080,559.240] OK ANY SURGERIES audio/RES0047.mp3[360.520,372.560] UM YEAH MAYBE I MEAN OVER THE LAST FEW YEARS IVE UM LOST A FEW POUNDS BUT MAYBE MAYBE 10 POUNDS OVER THE LAST LAST COUPLE OF YEARS audio/RES0088.mp3[58.440,61.440] ID SAY ABOUT TWO OR THREE DAYS NOW audio/MSK0008.mp3[478.920,479.880] UM NO audio/RES0184.mp3[351.120,352.640] NO THEYRE ALL ONLINE audio/MSK0040.mp3[241.800,243.560] UH NO HEADACHES audio/RES0198.mp3[314.600,321.120] I LIVE IN AN APARTMENT BY MYSELF audio/RES0217.mp3[402.040,404.960] UH JUST FOR MY CHOLESTEROL audio/RES0145.mp3[323.600,341.160] OK AND ANY WHEN YOU WERE YOUNGER WOULD YOU HAVE A LOT OF INFECTIONS UHM WHEN YOU WERE A CHILD OR WHEN YOU WERE BORN WERE YOU BORN PREMATURELY WERE THERE ANY COMPLICATIONS AT BIRTH audio/RES0111.mp3[388.160,397.400] YEAH WE DO EXCEPT SOMETIMES I GUESS LIKE I DONT KNOW IF YOU HAVE TO DRINK WATER OR SOMETHING WE TAKE IT OFF audio/MSK0050.mp3[440.080,445.000] UM ILL HAVE A GLASS OF WINE ONCE A WEEK audio/RES0046.mp3[750.480,754.400] OK ARE ANY OF THEM SICK audio/RES0036.mp3[155.000,163.000] OK AND WHEN YOU FEEL THE BREATHLESSNESS HOW LONG DOES IT USUALLY LAST FOR audio/RES0215.mp3[383.200,386.120] OK SO THESE USUALLY RECOVER ON THEIR OWN audio/RES0047.mp3[591.000,600.880] NO OK HOW ABOUT UM IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0038.mp3[127.680,138.520] UH MAYBE YEARS AGO WHEN I LIKE WHEN I WAS IN ELEMENTARY SCHOOL BUT NOTHING FOR THE LAST FEW YEARS audio/MSK0013.mp3[256.200,260.200] OK AND WHEN DID YOU FIRST START NOTICING THAT audio/RES0037.mp3[461.120,465.680] UM YEAH YEAH MAYBE EATING A LITTLE BIT LESS audio/MSK0007.mp3[269.800,271.520] NO NO audio/MSK0003.mp3[386.640,398.000] OK HAVE YOU NOTICED ANY KIND OF NUMBNESS OR TINGLING SENSATION IN YOUR LIMBS SPECIFICALLY LIKE YOUR BACK AND YOUR LEGS audio/RES0172.mp3[316.600,320.640] OK ANY ALLERGIES audio/RES0097.mp3[209.000,214.200] UHM YOU KNOW WHAT I ACTUALLY JUST CHECKED YESTERDAY SO I DONT KNOW audio/MSK0045.mp3[23.040,32.040] PAST WEEK OK UM AND DID YOU INJURE YOUR SHOULDER AT ALL RECENTLY ANY TRAUMA TO THE AREA OR ANYTHING LIKE THAT audio/RES0144.mp3[222.640,232.200] UHM I HAVENT HEARD ANY ANY COUGHING NO audio/RES0011.mp3[572.360,577.600] OK AND ANY SURGERIES audio/MSK0021.mp3[153.440,155.040] NO NUMBNESS OR TINGLING audio/RES0168.mp3[80.160,81.480] UH NO WHEEZINESS audio/RES0145.mp3[361.640,369.200] OK UHM ANY HISTORY OF ASTHMA OR ECZEMA OR ALLERGIC RHINITIS audio/RES0188.mp3[174.280,182.400] OK HAVE YOU NOTICED A RUNNY NOSE OR STUFFY NOSE audio/RES0061.mp3[369.400,374.160] NOT DIZZY JUST MAYBE THAT IM LIKE MOVING IN SLOW MOTION audio/RES0037.mp3[139.480,143.640] UM YEAH THIS ALL STARTED AFTER audio/RES0072.mp3[25.480,31.960] OK ARE YOU WERE HAVING ANY TROUBLE SWALLOWING JUST SOLIDS OR LIQUIDS AS WELL audio/RES0144.mp3[379.200,395.680] PREGNANCY WAS UH OK NO COMPLICATIONS BUT HE WAS PREMATURE BY TWO WEEKS SO I THINK HE WAS BORN AT 35 AND FOUR DAYS audio/RES0032.mp3[334.600,337.320] OK UM ANY RECENT INFECTIONS AT ALL audio/RES0078.mp3[389.560,397.840] ANY CHANGES IN YOUR UH ANY CHANGES WHEN YOU PEE audio/RES0089.mp3[724.120,741.000] NO OK AND DID THEY WHEN YOU WERE HAVING SHORTNESS OF BREATH DID YOU HAVE A LIKE A PNEUMONIA OR INFECTION THAT YOU HAD TO GET ANTIBIOTICS FOR ANY OR ANYTHING LIKE THAT audio/RES0145.mp3[505.080,506.560] NO I HAVENT audio/RES0147.mp3[426.920,430.640] WHAT DID YOU DO FOR WORK audio/MSK0015.mp3[211.480,222.120] YEAH THE RUNNY NOSE AND COUGH ARE GONE FEVER WAS GONE TOO BUT SHE DID FEEL A LITTLE BIT WARM YESTERDAY SO IM NOT SURE ABOUT THAT audio/RES0057.mp3[446.720,450.600] YEAH I HAVE ASTHMA AND GERI THINK audio/RES0139.mp3[302.720,304.400] OKAY ANY CANCERS audio/MSK0016.mp3[480.760,489.680] OK UM ANY NEURAL NEUROLOGICAL OR MUSCULOSKELETAL ISSUES IN THE FAMILY audio/MSK0034.mp3[232.040,233.520] UM NOO audio/RES0001.mp3[666.880,673.400] IN SOME MORE HELP AND YOU SMOKE UM MARIJUANA audio/RES0195.mp3[644.480,646.480] NO THAT SOUNDS GREAT THANK YOU SO MUCH audio/RES0148.mp3[74.320,76.520] UM ARE YOU BRINGING UP ANY BLOOD audio/MSK0037.mp3[833.040,836.640] NO I THINK THATS ALL audio/RES0160.mp3[391.640,394.280] ANY RECREATIONAL DRUGS audio/RES0125.mp3[245.600,249.400] NOT ANYMORE WHEN WAS THE LAST TIME THAT YOU HAD FEVERS OR CHILLS audio/RES0149.mp3[275.440,277.960] HOW ABOUT ANY URINARY PROBLEMS audio/RES0142.mp3[411.480,426.520] YEAH SO JUST CONTINUE UH JUST DRINKING WATER AND TAKING LOZENGES JUST TO UM PROVIDE SOME COMFORT FOR YOURSELF AND WELL DO THE TEST THEN WE CAN CHAT A BIT MORE AFTER audio/RES0071.mp3[260.640,269.800] WELL IM A NURSING STUDENT AND IVE BEEN ON ROTATIONS IN THE HOSPITAL RECENTLY audio/RES0178.mp3[516.800,596.560] OK YEAH SO IT SOUNDS OR ACTUALLY I SHOULD START BY SAYING WE SHOULD GET A COVID SWAB ON HIM JUST IN CASE IT IS COVID BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE SYMPTOMS OF COVID UMM YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS OF THOSE SWABS AND IN THE MEANTIME IT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR AND FROM THE SOUNDS OF IT YOU SAID HE HAS A FEVER HES COUGHING AND HE HAS A RUNNY NOSE AND HAS MUSCLE ACHES IT COULD ALSO BE THE FLU REGARDLESS OF WHAT KIND OF VIRAL AND VIRAL INFECTION HE HAS THE BEST WAY TO MANAGE IT RIGHT NOW IS JUST SUPPORTIVE CARE SO MAKING SURE HES HYDRATED EATING FOODS WITH A LOT OF NUTRITION AND JUST KEEP AN EYE ON HIS SYMPTOMS IF IT GETS WORSE OR IF ITS VERY SEVERE AND HE HAS FOCAL NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES TAKE HIM TO THE ER RIGHT AWAY HOW DOES THAT SOUND audio/RES0116.mp3[66.520,71.840] SO I THINK THE LAST FEW DAYS HAVE BEEN REALLY TOUGH FOR HIM audio/RES0093.mp3[131.680,143.880] P NO I USUALLY UHM AM ABLE TO GO OUT AND GET THE MAIL NO PROBLEM YEAH audio/RES0077.mp3[313.520,336.200] I WOULD SAY IT YEAH I KIND OF GO BACK TO THE CHEST TIGHTNESS IT JUST FEELS LIKE IM NOT ABLE TO LIKE BREATH IN ALL THE WAY AND CATCH MY BREATH AFTER I EXERT MYSELF OR COUGHING ITS EASY UH LIKE IF I REST IM NOT SHORT OF BREATH audio/RES0051.mp3[243.440,248.680] HAVE YOU NOTICED ANY HEART PALPITATIONS OR HEART RACING audio/RES0059.mp3[58.200,61.120] IVE FELT HOT YES audio/RES0210.mp3[167.160,176.400] YEAH I COULD PROBABLY I CAN STILL TAKE THE TWO STAIRS UP TO MY APARTMENT BUT AFTER THAT I STARTED TO FEEL PRETTY CRUMMY audio/RES0214.mp3[31.280,34.760] OK AND THAT KINDA PROGRESSED TO A FEVER audio/RES0069.mp3[243.880,251.280] OK HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN LIKE REALLY FATIGUED audio/MSK0021.mp3[512.280,515.960] NO NO REDNESS audio/RES0114.mp3[295.920,302.640] OK OK LAST YEAR UM ANY UH DIZZINESS OR FAINTING SPELLS audio/RES0153.mp3[156.080,167.240] OK THANK YOU YEAH WELL CERTAINLY UH ILL LOOK AT IT DURING THE IN THE PHYSICAL EXAM RIGHT SO SO YEAH YOUVE HAD A FEVER FOR THE LAST TWO DAYS audio/RES0097.mp3[251.840,254.240] ANY CHEST PAIN audio/MSK0026.mp3[132.240,138.080] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT SHARP BURNING ACHY audio/RES0061.mp3[186.640,193.160] OK ALRIGHT SO UM ANY CHANGES IN IN TASTE audio/RES0150.mp3[126.920,129.520] UM NO audio/RES0199.mp3[402.520,406.880] NO ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/CAR0002.mp3[473.840,478.160] OK AND DO YOU DRINK audio/RES0215.mp3[124.680,128.680] YEAH SHE LOOKS FINE OTHERWISE audio/RES0030.mp3[115.800,124.600] OK AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS COUGH WITH SPUTUM LIKE GUNK GUNKY MATERIAL BEFORE audio/RES0062.mp3[605.920,617.000] I THINK ITS LIKE A SULFA ALLERGY I RECEIVED AN ANTIBIOTIC LIKE THAT MANY YEARS AGO AND HAD A RASH audio/RES0042.mp3[261.360,262.720] NO CHANGES IN URINE audio/MSK0034.mp3[326.440,329.320] UM NO NO COMPLICATIONS audio/RES0163.mp3[180.880,184.080] UHM NOT REALLY MAYBE A LITTLE BIT audio/RES0079.mp3[154.080,158.480] OK WHAT ABOUT PAIN IN YOUR BELLY audio/RES0058.mp3[259.400,262.560] ANY ISSUES SWALLOWING FOOD audio/RES0162.mp3[455.880,461.480] I JUST TAKE REACTINE USUALLY DURING THE SPRING audio/RES0064.mp3[329.200,332.320] OK ANY ALLERGIES audio/GAS0002.mp3[420.760,425.160] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0200.mp3[572.720,576.800] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0120.mp3[347.200,349.600] UH NO audio/RES0021.mp3[507.640,515.680] OK GREAT UM AND ARE THERE ANY CONCERNS FOR SAFETY IN THE HOME audio/RES0058.mp3[108.320,110.760] YEAH IVE HAD A COUGH audio/RES0037.mp3[597.800,598.040] I SEE audio/RES0120.mp3[84.160,88.960] OKAY AND UH WHERE WOULD YOU SAY YOURE GETTING THE CHEST PAIN audio/RES0167.mp3[176.440,185.440] OK UHM DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0174.mp3[501.200,508.240] I WISH NO IVE NEVER REALLY FELT THAT WAY audio/RES0191.mp3[18.840,25.400] OK FOR SURE UHM COULD YOU DESCRIBE THE DISCHARGE audio/RES0016.mp3[148.720,155.160] OK AND THE COUGH UM DO YOU EVER COUGH UP ANY BLOOD audio/RES0134.mp3[22.400,28.040] NO I HAVENT ACTUALLY CHECKED IT BUT IM JUST FEELING HOT AND IM HAVING CHILLS audio/GAS0004.mp3[529.000,537.800] DO YOU DRINK ALCOHOL audio/RES0039.mp3[196.200,200.880] OK AND HAVE YOU HAD ANY SIMILAR EPISODES BEFORE audio/RES0210.mp3[115.520,126.440] SO THAT STARTED THE MONDAY REALLY IS WHEN I FIRST STARTED I NEVER TOOK MY TEMPERATURE I JUST FELT HOT YOU KNOW THATS BEEN GOING ON PRETTY MUCH UNTIL TODAY audio/RES0152.mp3[488.400,491.560] UH CURRENTLY NO audio/RES0030.mp3[495.720,499.520] I LIVE IN AN APARTMENT WITH MY HUSBAND AND OUR DAUGHTER audio/RES0135.mp3[312.560,318.880] OKAY THEN ANY CHANGES TO UM LIKE URINARY HABITS AS WELL audio/MSK0011.mp3[423.600,438.560] OK AND IN TERMS OF YOUR WORK DO YOU WORK CURRENTLY audio/MSK0022.mp3[504.200,507.400] ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0149.mp3[431.400,446.880] UH NO IM JUST TRYING TO UM JUST TRYING TO REDUCE MY STRESS AND AND TRYING OTHER OTHER WAYS TO SORT OF HANDLE MY ANXIETY BEFORE I IM JUST TRYING TO AVOID BUILDS ACTUALLY audio/RES0055.mp3[157.320,161.600] BUT THAT WAS I THINK TWO YEARS AGO audio/RES0164.mp3[257.160,271.600] UM ITS JUST KIND OF ALL THROUGH THE DAY ITS ACTUALLY GOTTEN A LITTLE BIT BETTER UHM THE COUGH HAS GOTTEN BETTER BUT WHAT IM CONCERNED ABOUT IS THE THE RASH audio/MSK0043.mp3[228.760,232.000] OKAY WHEN WERE YOU FEELING FEVERS audio/RES0126.mp3[201.240,209.640] OK AND DO YOU HAVE ONE THAT THAT YOU TAKE WHEN YOU WHEN YOU ABSOLUTELY NEED IT audio/RES0087.mp3[316.560,321.160] UH NO LIKE HES MAINLY JUST BEEN INSIDE HIS HOME audio/RES0055.mp3[569.520,580.920] YEAH I DID I DID ONCE AND THEN WENT BACK ONTO IT I DEFINITELY DO SMOKE LESS THAN BEFORE THOUGH OK BUT YEAH I DONT THINK IM READY TO QUIT YET audio/RES0090.mp3[356.440,362.400] OK ANY KIND OF LOSS OF TASTE OR SMELL audio/RES0065.mp3[231.840,235.120] OK AND ANY NIGHT SWEATS audio/RES0160.mp3[291.680,296.360] OK AND DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING audio/RES0050.mp3[533.440,541.720] UM THERE WAS A LIVER CANCER audio/MSK0016.mp3[333.640,337.240] OK ANY CHANGES IN YOUR VOIDING audio/RES0107.mp3[75.440,76.440] ITS JUST CLEAR LIKE audio/MSK0040.mp3[142.880,152.320] OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER OR QUALITY LIKE IS IT SHARP BURNING STINGING audio/MSK0033.mp3[246.840,253.600] OK AND OTHER THAN THAT ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL audio/RES0200.mp3[144.760,150.520] OK HOW ABOUT WHEN YOURE ASLEEP DOES IT WAKE YOU UP AND KIND OF MAKE YOU GASP FOR AIR audio/RES0072.mp3[492.280,496.160] UH NO audio/RES0001.mp3[12.840,16.320] OK UM HOW OLD ARE YOU JEN audio/RES0191.mp3[194.240,200.440] HAVE YOU HAD ANY PAINFUL URINATION OR URINARY FREQUENCY audio/MSK0044.mp3[351.200,355.360] NO OKAY UM ANY DIZZINESS FAINTING EPISODES audio/RES0089.mp3[839.760,846.000] LIKE UH DO YOU GET IT FROM A STORE THAT SELLS THE JOINT audio/RES0149.mp3[493.080,502.440] UM IM JUST LIVING WITH MY SISTER AND UH YEAH WE WE LIVE IN AN APARTMENT TOGETHER audio/MSK0021.mp3[651.560,652.680] NO PAIN audio/RES0144.mp3[96.320,101.720] AND WHAT ABOUT FEEDING DOES HE TAKE A FORMULA OR IS HE BREASTFED audio/RES0139.mp3[264.280,270.080] JUST PENICILLIN AND HAVE YOU TAKEN ANY ANTIBIOTICS OR PENICILLIN RECENTLY audio/RES0047.mp3[241.240,252.840] OK YEAH AND HAVE YOU EVER EXPERIENCED ANYTHING TO THIS SEVERITY IN THE PAST audio/RES0134.mp3[544.360,553.560] OKAY UM OKAY AND UM ARE YOU TAKING ANY OTHER MEDICATIONS BESIDES THE ONES FOR YOUR BONES audio/RES0088.mp3[215.800,218.120] THEYVE BEEN PRETTY CONSTANT audio/RES0211.mp3[111.160,115.960] NO NOT THAT NO NOTHING LIKE THAT audio/RES0061.mp3[857.360,946.600] YEAH FOR SURE SO YOU KNOW RIGHT NOW WERE THINKING IT COULD BE A VIRAL GI VIRAL INFECTION BECAUSE OF YOUR COMPLAINTS OF NAUSEA VOMITING LOSS OF APPETITE AND FEVER BUT IT COULD ALSO BE COVIAND WE ARE GOING TO HAVE TO DO A SWAB FOR YOU AND RUN THAT TEST BECAUSE YOU HAVE A LOT OF SYMPTOMS THAT OVERLAP WITH THOSE SYMPTOMS UM AND THEN SO JUST GOING OFF OF THAT WELL WAIT FOR THE SWABS TO COME BACK IF THEY COME BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL DO A TRACE TO SEE WHERE YOU COULD HAVE GOTTEN THIS INFECTION FROM AND THEN MEANWHILE WE DO SUGGEST THAT YOU ISOLATE FOR TWO WEEKS SO THAT YOU DONT SPREAD THE ILLNESS AND EVEN IF THE SWAB COMES BACK NEGATIVE THERE IS STILL A CHANCE THAT YOU MAY HAVE COVIAND ITS A FALSE NEGATIVE TEST SO WELL START THERE IF IT TURNS OUT YOU DONT HAVE ANY OF THOSE VIRAL ILLNESSES AND YOU HAVE MORE OF A YOU KNOW BACTERIAL PICTURE WE CAN WORK YOU UP FOR THAT AND PRESCRIBE ANTIBIOTICS SO THATS WHERE WE WILL START HOW DOES THAT SOUND audio/RES0158.mp3[281.280,296.000] UH YEAH JUST THESE PAST COUPLE OF DAYS I HAVENT REALLY FELT LIKE EATING MUCH UM MY SLEEP HAS BEEN OK BUT I THINK THATS JUST BECAUSE I HAVENT BEEN FEELING WELL SO JUST HAVENT REALLY WANTED TO EAT audio/MSK0010.mp3[20.600,38.640] IT STARTED 5 DAYS AGO BUT IT BECAME PRETTY BAD AND IVE BEEN KIND OF HAVING LIKE A SOMEWHAT OF A PAIN FOR THE LAST COUPLE WEEKS BUT IT GOT REALLY BAD JUST THIS WEEK audio/RES0088.mp3[119.240,122.360] YES I THINK SO audio/RES0003.mp3[56.320,64.880] HE STARTED THIS YEAR SO UM HES BEEN GOING FOR ABOUT SIX MONTHS audio/MSK0022.mp3[36.280,55.080] OK AND WHAT KIND OF PAIN IS IT IS IT LIKE AN ACHING PAIN IS IT SHARP PAIN audio/RES0174.mp3[202.600,209.360] I JUST FEEL LIKE MY CHEST IS REALLY TIGHT AND ITS JUST ITS LIKE I CANT LIKE EXPAND MY LUNGS audio/RES0161.mp3[379.800,385.240] ALCOHOL JUST UH PROBABLY JUST ON THE WEEKENDS OR HAVE A COUPLE OF BEERS audio/MSK0017.mp3[296.520,301.120] CHANGES IN YOUR VISION HEARING TASTE OR SMELL audio/MSK0003.mp3[207.440,223.640] OK AND FOR YOUR PAIN ARE THERE ANY KIND OF FACTORS THAT MAKE THE PAIN WORSE LIKE BENDING DOWN OR STANDING STRAIGHT UP OR LAYING DOWN ANYTHING THAT MAKES YOUR PAIN WORSE audio/RES0110.mp3[257.240,262.040] NO THIS HAS NEVER HAPPENED BEFORE audio/RES0147.mp3[39.360,62.120] YEAH ITS JUST LIKE RIGHT NOW AT REST I CAN LIKE IM OK BUT IT STILL IS FEELING INCREASINGLY DIFFICULT SO LIKE THROUGHOUT THE DAY ITS JUST BEEN GETTING GETTING WORSE AND THE COUGH HAS BEEN GETTING WORSE ALSO audio/RES0138.mp3[324.160,328.360] OKAY NOW DID YOU SO DID YOU HAVE EXPOSURE TO FUMES OR DUST audio/RES0064.mp3[149.240,155.720] NO HASNT BEEN COUGHING AT ALL audio/RES0029.mp3[10.640,13.960] OK WHERE IS THE PAIN LOCATED audio/RES0046.mp3[617.640,618.840] UH NO ALLERGIES audio/MSK0036.mp3[454.080,456.560] UHM NO NOTHING LIKE THAT audio/RES0171.mp3[281.040,294.040] DEFINITELY HAVE A LOOK AT THAT HAVE YOU NOTICED THAT ITS BEEN BIGGER OR MORE RED OR WARM audio/MSK0006.mp3[800.800,806.760] OH UH NO PAIN WITH ABDUCTION audio/RES0161.mp3[246.560,251.160] DO YOU TAKE MEDICATIONS audio/MSK0029.mp3[166.360,179.040] OK UM AND DOES ANYTHING MAKE THIS BETTER LIKE HAVE YOU TRIED ICE SAY ANY TOPICALS ANY POSITIONS THAT THAT HELPS WITH THE PAIN audio/RES0155.mp3[588.480,594.120] YEAH SO I IVE BEEN WORKING AT THE UM AT THE GROCERY STORE UH YEAH IVE BEEN AT THE GROCERY STORE audio/RES0152.mp3[115.680,125.320] OK AND UM HAVE YOU HAD ANY CHANGES TO YOUR BREATHING LIKE LIKE WHEEZING audio/RES0023.mp3[468.000,471.640] MAYBE ILL HAVE LIKE 3 OR 4 BEERS ON THE WEEKEND audio/RES0079.mp3[85.120,91.040] UH A LITTLE BIT YEAH audio/GAS0003.mp3[76.200,81.400] AN 8 OK AND SO JUST TO CLARIFY WHEN DID IT START audio/RES0192.mp3[463.160,473.840] OK AND ANY CONCERNS FOR LIKE EXPOSURES WHILE YOURE AT WORK IN TERMS LIKE BREATHING IN ANY DUSTS OR ANY FUMES audio/RES0167.mp3[224.640,232.160] WHEN YOU SAY WEAK HAVE YOU LIKE LOST ANY OF YOUR LIKE MOTOR MOVEMENTS LIKE YOUR ARMS LEGS audio/RES0118.mp3[70.960,78.440] OK AND DO YOU THINK THIS ISSUE HAS GONE WORSE OVER THE LAST SEVEN DAYS OR IS IT IMPROVING AT ALL audio/RES0105.mp3[627.480,634.600] YES WE LIVE IN A HOUSE JUST OUTSIDE OF THE CITY WITH MY WITH MY HUSBAND audio/RES0120.mp3[666.920,669.520] OKAY THAT SOUNDS GREAT THANK YOU audio/RES0044.mp3[376.200,381.960] NO DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0060.mp3[783.720,791.600] I LIVE IN A LIKE DUPLEX AND RENT THE BASEMENT IN A HOUSE NEARBY audio/MSK0015.mp3[670.640,678.200] OK UM AND IS THERE ANY PAIN TO PALPATION OVER THE HIP OR OR KNEE audio/RES0122.mp3[189.360,200.640] OKAY UM ALRIGHT SO HAVE YOU HAD ANY CONTACT WITH ANYONE WHO COULD HAVE BEEN SICK IN THE PAST TWO WEEKS OR BEFORE THAT audio/RES0198.mp3[366.760,372.800] I YEAH HOW DO I GET RID OF THIS AND ITS REALLY BEEN BUGGING ME audio/RES0076.mp3[369.480,375.400] I THINK NOW I WEIGH ABOUT ONE HUNDRED AND SIXTY POUNDS audio/RES0071.mp3[637.200,645.840] NO I WAS JUST HOPING TO FEEL BETTER ITS BEEN GOING ON FOR SO LONG NOW audio/RES0100.mp3[736.240,739.360] NOT THAT I KNOW OF audio/MSK0049.mp3[268.720,270.840] UH NO NIGHT SWEATS audio/RES0009.mp3[631.400,635.840] UM IM AN ACCOUNTANT audio/RES0017.mp3[625.480,629.000] NO NO CANCERS audio/RES0195.mp3[49.480,58.640] THE RASHES STARTED LIKE A MONTH BACK BUT IT LOOKS WORSE NOW IT STARTED OFF SMALL audio/MSK0029.mp3[307.400,311.040] OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0028.mp3[269.640,274.880] OK HAVE YOU NOTICED ANY SKIN CHANGES AT ALL ANY RASHES audio/RES0067.mp3[438.880,443.040] THANK YOU audio/RES0116.mp3[466.000,468.960] OK ANY ALLERGIES audio/RES0021.mp3[21.280,24.440] AH YES TWO DAYS AGO audio/RES0068.mp3[572.320,601.040] OK SO NO ANTIHISTAMINES IT SEEMS MOST LIKELY THAT YOU HAVE A SINUS INFECTION IT CAN BE BACTERIAL WITH THE YELLOW DISCHARGE THAT YOURE HAVING AS WELL SO WE CAN GIVE YOU SOME ANTIBIOTICS SO WILL GIVE YOU SOME AMOXICILLIN audio/RES0155.mp3[489.760,495.800] OK AND WHEN WERE YOU DIAGNOSED WITH COPD audio/RES0104.mp3[336.040,348.760] YEAH SO YEAH WELL DO A PHYSICAL EXAMINATION AND GET ALL YOUR VITAL SIGNS AS WELL RIGHT AFTER ANY SO YOU SAID YOU HAVENT BEEN ABLE TO EAT AVE YOU NOTICED ANY SIGNIFICANT WEIGHT CHANGES RECENTLY audio/MSK0042.mp3[751.240,754.360] YEAH NO I CAN MOVE EVERYTHING JUST FINE audio/RES0077.mp3[386.040,392.240] I WOULD SAY ITS MORE OF A PRESSURE YEAH audio/RES0044.mp3[764.680,767.800] AND OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0094.mp3[197.560,200.760] AND HOWS YOUR HEADACHE NOW audio/RES0085.mp3[250.920,258.520] OK OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0164.mp3[111.280,113.960] OK AND WHERE IS THE RASH EXACTLY audio/RES0114.mp3[99.880,116.600] UM I DONT KNOW IF IT SOUNDS DIFFERENT BUT UH ESPECIALLY FOR THE LAST MONTH I WOULD SAY IM BRINGING UP MORE OF THE MATERIAL AND ITS USUALLY WHITE OVER THE FIVE YEARS BUT UM I NOTICED UH IN THE LAST WEEKISH ITS HAD A YELLOWISH TINGE TO IT AS WELL audio/MSK0037.mp3[344.840,349.280] YOU GOT ANY FEELINGS OF THOUGH YOUR HEART IS RACING audio/RES0149.mp3[72.440,78.040] OK AND UM HAVE YOU HAD ANY WHEEZE audio/RES0011.mp3[122.400,128.880] OK UH HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS audio/MSK0046.mp3[221.360,224.080] UH NO NO audio/MSK0014.mp3[415.480,419.200] OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS audio/RES0082.mp3[15.920,18.280] OH NO WHEN DID THAT START audio/MSK0040.mp3[723.160,732.240] OK SO PLANTER FLEXION IS IS PAINFUL AS WELL AND THEN ANY ISSUES WITH MOVING YOUR TOES audio/RES0166.mp3[161.480,170.120] NO HAVENT REALLY TRIED MUCH IT JUST STARTED THIS MORNING SO I I JUST DECIDED COME IN RIGHT AWAY audio/RES0185.mp3[183.400,187.280] OK AND NAUSEA OR VOMITING audio/RES0024.mp3[168.960,176.560] AND RECENTLY OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT audio/MSK0008.mp3[191.920,205.280] UM A LITTLE BIT ONLY WHEN I LIKE TRY TO EXTEND OR FLEX MY KNEE TOO MUCH audio/RES0095.mp3[458.120,466.200] OK DO YOU KNOW UH BY ANY CHANCE WHAT THE UH LAST EJECTION FRACTION WAS ON YOUR ECHOCARDIOGRAM audio/RES0004.mp3[6.320,10.360] ALRIGHT UM SO SCOTT HOW OLD ARE YOU audio/RES0143.mp3[37.080,38.040] GO ON SORRY audio/MSK0001.mp3[21.080,30.080] IT STARTED YESTERDAY I WAS UNLOADING GROCERIES FROM MY PICKUP TRUCK WHEN IT SUDDENLY STARTED audio/CAR0003.mp3[385.040,391.040] OK ANY EXPOSURE TO TUBERCULOSIS IN THE PAST audio/RES0174.mp3[393.360,396.440] ALRIGHT AND ARE YOU SLEEPING MORE THAN USUAL audio/MSK0031.mp3[654.720,656.400] YEAH THAT SOUNDS GOOD THANK YOU SO MUCH audio/MSK0013.mp3[750.160,767.160] OK AND OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK AND AND CHECK TODAY DID YOU HAVE ANY QUESTIONS audio/RES0069.mp3[437.080,442.120] OK I I THINK I DONT THINK I ASKED THIS BUT HAVE YOU HAD ANY SURGERIES BEFORE audio/RES0079.mp3[417.040,422.920] OK AND ANY CONDITIONS THAT RUN IN YOUR FAMILY audio/MSK0003.mp3[81.440,85.960] OK AND WHEN DID THIS START audio/RES0156.mp3[331.480,341.320] OK UM ANY ISSUES WITH THE DEVELOPMENT UH IS SHE MEETING HER MILESTONES IN HER GROWTH UM MEETING HER MILESTONES ON HER GROWTH CHART AS WELL audio/RES0199.mp3[283.080,295.000] SO PROBABLY LIKE 2 DAYS AGO I STARTED GETTING SOME LIQUID STOOLS AND I JUST HAD TO GO LIKE PROBABLY FIVE OR SIX TIMES A DAY audio/RES0096.mp3[278.520,281.240] THAT WAS I THINK TWO WEEKS AGO audio/RES0196.mp3[115.720,122.400] OK HAVE YOU NOTICED ANY KIND OF DRAINAGE COMING OUT OF HER EARS ANY FLUIDS audio/RES0068.mp3[146.240,150.080] OK AND WOULD YOU SAY YOURE STILL PRETTY CONGESTED audio/MSK0045.mp3[17.360,21.080] OK AND HOW LONG HAVE YOU BEEN HAVING UH THIS PAIN FOR audio/MSK0037.mp3[306.120,312.680] ANY SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION HEARING LOSS OF TASTE OR SENSE OF SMELL audio/RES0213.mp3[536.800,541.560] NO ONES EVER TALKED ABOUT ARRHYTHMIAS OR IS THAT A WORD FAMILIAR TO YOU audio/RES0127.mp3[570.920,577.720] YEAH IT MUST BE VERY FRUSTRATING SO YOUVE TRIED REACTIN BEFORE RIGHT audio/RES0066.mp3[291.400,297.960] ANY KIND OF FATIGUE OR INCREASED TIREDNESS audio/RES0052.mp3[100.480,105.960] NO NOT THAT I NOTICED audio/RES0136.mp3[410.840,414.280] NO AND UH DO YOU HAVE ANY PETS OR ANIMALS AT HOME audio/RES0200.mp3[199.120,204.280] OK ALRIGHT ANY CHEST PAIN audio/RES0121.mp3[171.840,178.120] IS THE COUGH LIKE CONSTANT GOES ON THROUGHOUT THE DAY OR IS THERE A TIME THAT ITS WORSE audio/RES0011.mp3[176.440,182.600] OK LIKE WITH UH LIKE SOLID FOODS OR LIQUIDS OR BOTH audio/RES0136.mp3[482.840,483.920] ANY CANCERS audio/RES0135.mp3[321.280,330.240] OKAY AND HAVE YOU NOTICED ANY LIKE BULGING ON HER ON HER FOREHEAD OR ON THE ANTERIOR FONTANELLE audio/MSK0037.mp3[500.920,514.080] YEAH JUST AS A CONSTRUCTION WORKER BEEN DOING THAT FOR THE LAST PROBABLY 10 YEARS audio/RES0207.mp3[379.640,382.800] I’M WORKING FROM HOME YEAH audio/RES0118.mp3[0.000,2.400] WHAT BRINGS YOU IN HERE TODAY audio/RES0191.mp3[207.520,211.680] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS audio/RES0133.mp3[71.680,75.520] NO UH NO NOTHING LIKE THAT audio/RES0036.mp3[410.680,414.640] I FEEL CHILLY AT NIGHT BUT I DONT MAYBE YEAH audio/RES0025.mp3[267.240,277.320] I WELL I STAYED IN A HOTEL SO I I GUESS THAT THE PEOPLE UH THAT UM YEAH THE PEOPLE THAT WERE STAYING AT THE HOTEL audio/MSK0006.mp3[553.360,560.400] OK UM AND WHERE DO YOU CURRENTLY LIVE audio/GAS0002.mp3[545.480,550.000] OK AND DO YOU SMOKE CIGARETTES audio/RES0148.mp3[377.160,392.480] UHM WELL I UH IVE BEEN HOSPITALIZED I I WAS KEPT IN THE PSYCH UNIT FOR A COUPLE OF DAYS UM TWO YEARS AGO BUT NOTHING OTHER THAN THAT audio/RES0087.mp3[346.120,370.000] UH YEAH HE WAS GIVEN A LIKE A COURSE OF ANTIBIOTICS AT THAT TIME I FORGOT WHAT IT WAS CALLED BUT I THINK AT THAT TIME IT WAS MUCH WORSE LIKE HE I DONT KNOW IF HE WAS JUST YOUNGER AND COULDNT TOLERATE IT BUT I THINK HE ALSO HAD A FEVER AT THAT TIME audio/RES0082.mp3[279.640,289.360] OH SORRY YEAH I USED SOME ADVIL THIS MORNING I THINK IT WAS 400 MILLIGRAMS audio/RES0017.mp3[218.840,225.800] OK HAVE YOU NOTICED ANY RED HOT OR OR KIND OF SWOLLEN JOINTS audio/RES0124.mp3[262.760,275.920] UH NEVER ANY BLOOD I HAVE LIKE ON OCCASION LIKE SOMETIMES BROUGHT UP SOME SPUTUM audio/RES0045.mp3[256.320,262.040] NO ANY FAINTING SPELLS OR DIZZINESS audio/RES0134.mp3[765.880,783.920] NO THOSE ARE ALL QUESTIONS THAT I HAD UM DO YOU THINK UM I NEED TO BE HOSPITALIZED UM BECAUSE IM VERY SHORT OF BREATH OR DO YOU THINK I CAN JUST UM STAY AT HOME DO YOU THINK I NEED ANTIBIOTICS audio/RES0194.mp3[253.240,255.520] UM AH NO audio/RES0059.mp3[490.280,496.840] I JUST I SMOKE CANNABIS EVERY ONCE IN AWHILE audio/RES0014.mp3[260.160,266.280] HOW ABOUT CHANGES IN YOUR SKIN LIKE HAVE YOU NOTICED A RASH ANYWHERE audio/RES0037.mp3[641.720,649.360] YEAH I LIVE WITH MY HUSBAND AND THREE SONS JUST OUTSIDE OF TOWN HERE audio/RES0077.mp3[495.760,506.360] OK AND ARE YOU CONGESTED AT ALL LIKE DO YOU HAVE A RUNNY NOSE OR ANYTHING LIKE THAT audio/RES0104.mp3[30.160,34.200] OK AND HOW OFTEN ARE YOU COUGHING audio/MSK0029.mp3[362.000,370.400] OH IT FEELS A BIT STIFF BUT LIKE IM ABLE TO MOVE IT BUT YEAH I FEEL STIFF audio/RES0201.mp3[495.680,500.520] I AM RETIRED YEAH audio/RES0182.mp3[94.920,101.160] OK UH AND THATS BEEN GOING GOING ON FOR THE LAST TWO WEEKS TOO audio/RES0095.mp3[308.320,324.120] YEAH I HAVE UH HEART HEART FAILURE AND UH HAD TWO HEART ATTACKS AND HAVE HIGH CHOLESTEROL HIGH BLOOD PRESSURE AND UH IM ALSO OVERWEIGHT audio/RES0047.mp3[194.720,195.360] UH YES I DO audio/RES0192.mp3[628.160,636.320] OK UM AND CAN YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS IS ITS AT YOUR HUSBAND OR UM ANYONE ELSE audio/MSK0016.mp3[627.840,631.080] OK HOW ABOUT TRAVEL audio/RES0092.mp3[234.000,245.040] OK ALRIGHT ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER PILLS OR ANY HERBAL PILLS OR MULTI VITAMINS ETC audio/RES0020.mp3[136.120,142.520] OK HAVE YOU TAKEN ANYTHING FOR IT TO HELP WITH THE PAIN audio/RES0052.mp3[146.960,154.040] NO OK UH AND HOW ABOUT ANY ITCHINESS IN THE EYES audio/MSK0014.mp3[445.240,449.560] DL OK UH AND ANY ALLERGIES TO MEDICATIONS audio/RES0184.mp3[249.600,252.400] UH NO NOTHING LIKE THAT audio/MSK0049.mp3[299.200,304.040] OK HOW ABOUT ANY UH WHEEZING audio/RES0084.mp3[527.720,535.320] OK SO YOU SAID DIABETES HIGH BLOOD PRESSURE FATTY LIVER AND SORRY WHAT WAS THE OTHER ONE audio/MSK0028.mp3[372.120,379.680] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR SKIN LIKE RASHES OR CHANGES TO YOUR NAILS OR HAIR audio/RES0014.mp3[143.120,150.680] I WOULD SAY AROUND THE SAME SAME TIME FRAME LIKE 3 MONTHS BUT IM NOT ALWAYS COUGHING IT COMES AND GOES audio/CAR0004.mp3[77.480,82.120] OH ITS USUALLY WORSE WHEN IM COUGHING OR LAYING DOWN YEAH YEAH audio/RES0160.mp3[2.920,20.280] HI YES THANK YOU FOR SEEING ME I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING FOR THE LAST WEEK THIS COUGH AND RECENTLY ALSO STARTED NOTICING THAT IVE BEEN HAVING SOME DIARRHEA AS WELL audio/RES0056.mp3[364.920,379.320] JUST AS A CHILD I HAD PROBABLY IN MY TEENS HAD MY APPENDIX REMOVED BUT NOTHING OTHER THAN THAT audio/MSK0041.mp3[712.120,720.040] OK AND HOW ABOUT ANY PAINS AT THE ANKLE audio/RES0126.mp3[583.240,584.240] ITS ORANGE audio/MSK0019.mp3[300.080,301.720] UH NOT THAT I KNOW OF audio/RES0100.mp3[672.760,682.800] UH PROBABLY SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH audio/RES0078.mp3[513.600,515.480] I SEE DO YOU LIVE ALONE audio/RES0106.mp3[262.440,265.720] NO I DONT I DONT audio/CAR0001.mp3[266.120,271.840] OK AND HAVE YOU BEEN FEELING SICK AT ALL ANY INFECTIOUS SYMPTOMS audio/MSK0004.mp3[282.440,297.040] OK THATS TWO MONTHS AGO OK AND ANY MEDICATIONS THAT YOURE ON CURRENTLY audio/MSK0018.mp3[289.560,297.520] UH I LIVE JUST OUTSIDE OF TOWN WITH MY PARENTS IN A HOUSE audio/MSK0005.mp3[59.520,80.840] UM YEAH IF I REALLY IF IM JUST RESTING THE ELBOW UM IT MAKES IT BETTER AND IVE TRIED UH THINGS LIKE IBUPROFEN UM WHICH HAS HELPED WITH THE PAIN ILL ILL DO THAT FOR UM HOPING I CAN GET THROUGH WORK SOMETIMES IF THE PAIN IS BAD ENOUGH audio/RES0042.mp3[102.520,109.400] NO WHEEZINESS OK HOW ABOUT SHORT OF BREATH audio/RES0045.mp3[553.040,558.160] YEAH YEAH FOR SURE UM ANY TRAVEL RECENTLY audio/RES0211.mp3[41.520,49.160] I FIRST NOTICED THAT MY THROAT WAS KIND OF SCRATCHY AND THEN I STARTED COUGHING BUT ITS REALLY LIKE DRY audio/RES0098.mp3[177.200,179.440] NO NOTHING LIKE THAT audio/RES0152.mp3[234.280,242.560] OK THAT SOUNDS LIKE SOME UH SOME WEIGHT LOST SIGNIFICANT WEIGHT LOSS HAVE YOU BEEN TRYING TO LOSE WEIGHT audio/RES0190.mp3[151.440,155.240] HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE audio/MSK0014.mp3[375.240,380.240] OK UM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0176.mp3[240.440,253.800] MAYBE A COUPLE OF SECONDS ITS YEAH I DONT KNOW I I CANT REALLY TELL I WAS ALONE AT HOME AT THE TIME AND ID LIKE I COULDNT TELL HOW LONG IT TOOK FOR ME TO GET BACK UP audio/MSK0045.mp3[162.560,171.800] NO I DONT SEE ANYTHING LIKE THAT audio/MSK0013.mp3[517.880,532.840] OK THATS GOOD AND IF AT ANY POINT YOU NEED HELP OR I WOULD LIKE TO DISCUSS THAT JUST PLEASE LET ME KNOW OK AND DO YOU SMOKE CIGARETTES audio/RES0058.mp3[612.920,616.040] UMM I DONT audio/RES0198.mp3[129.400,140.880] OK OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0047.mp3[272.320,276.280] OK UH IT FEELS TIGHT OK DOES THAT DOES IT HURT THOUGH audio/RES0175.mp3[332.000,340.000] OK UM AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0027.mp3[412.400,414.200] IM ON SYNTHROID audio/RES0114.mp3[590.880,596.520] NO OK HOW ABOUT ALCOHOL DO YOU DRINK audio/RES0005.mp3[457.000,463.560] OK AND WHAT WAS THE REASON FOR NOT NEEDING THEM ANYMORE audio/RES0091.mp3[265.440,269.080] UHM NO IM HEALTHY OTHERWISE audio/RES0078.mp3[561.440,564.040] AND WHAT ABOUT YOUR WIFE audio/MSK0042.mp3[568.440,585.560] UM I DONT THINK ANYTHING RELATED TO THIS BUT UM I KNOW MY MY DAD HAS DIABETES UM AND MY MOM HAS UH SOME ANXIETY audio/MSK0012.mp3[416.040,421.320] NO NO NUMBNESS JUST LIKE THAT TINGLING BURNING FEELING audio/RES0145.mp3[552.080,556.040] UH NO audio/RES0172.mp3[298.640,301.280] ANY HOSPITALIZATIONS audio/RES0105.mp3[213.520,236.080] YEAH I I DO I I USE I THINK ITS CALLED LIKE SPIRIVA OR SOMETHING LIKE THAT I USE THAT EVERY DAY AND THERES ANOTHER ONE THAT ILL USE LIKE IF MY SYMPTOMS ARE GETTING BAD MY BLUE ONE I DID TRY THAT ACTUALLY LAST NIGHT AND IT DIDNT IT HELPED A LITTLE BIT BUT NOT NOT ENOUGH audio/RES0183.mp3[325.920,329.360] AH NO HE HASNT audio/MSK0038.mp3[348.840,351.040] UM NO NOTHING NOTHING LIKE THAT audio/MSK0016.mp3[648.880,657.440] OK UM ANY CONCERNS FOR STIS audio/RES0049.mp3[368.680,372.760] OK ANY CHANGES TO YOUR APPETITE audio/RES0088.mp3[24.840,27.480] OK AND WHEN DID THIS START audio/RES0132.mp3[0.000,4.360] I WAS UH WONDERING WHAT I COULD HELP YOU WITH TODAY audio/RES0182.mp3[375.400,380.760] OK AND ARE YOU WORKING CURRENTLY OR IN SCHOOL OR audio/RES0178.mp3[202.280,206.800] OK AND HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0198.mp3[436.920,439.040] YOUR WELCOME TAKE CARE audio/RES0098.mp3[350.640,372.320] UHM I DO HAVE ALLERGIES IN THE SPRING I THINK ITS TO POLLEN AND IN THE WINTER IT DOES LIKE MY SYMPTOMS DO GET A BIT WORSE AND I HAVE TO USE THE VENTIL MORE BUT RECENTLY FOR THE LAST FEW MONTHS AT LEAST ITS BEEN PRETTY STABLE I HAVENT REALLY HAD TO USE USE IT TOO MUCH audio/RES0134.mp3[859.760,860.880] YOURE WELCOME audio/RES0038.mp3[338.360,339.720] NO CHEST PAIN audio/MSK0031.mp3[394.520,402.400] OK AND HOW ABOUT IN TERMS OF WHERE YOU LIVE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE audio/MSK0011.mp3[334.840,342.360] OK SO ITS PRETTY WELL CONTROLLED YEAH AND DO YOU TAKE ANY OTHER MEDICATIONS AT ALL audio/RES0166.mp3[486.360,493.600] I LIVE AT HOME WITH MY HUSBAND AND MY TWO KIDS audio/MSK0028.mp3[205.040,210.320] OK HAVE YOU DONE ANYTHING THATS MADE THE PAIN WORSE SINCE LAST NIGHT audio/MSK0023.mp3[288.880,290.880] NO I DONT audio/CAR0005.mp3[505.080,520.360] YEAH ACTUALLY ILL EITHER DO SOME RUNNING OR CYCLING PROBABLY THREE OR FOUR DAYS PER WEEK AND I HAVENT HAD ANY CHEST PAIN OR OR PROBLEMS EXERCISING audio/RES0180.mp3[356.760,361.720] NO I DONT THINK SO audio/RES0159.mp3[503.480,512.360] OK UHM ALRIGHT UM YOU MENTIONED THAT THE COUGH STARTED 5 TO SIX MONTHS AGO HAVE YOU HAD A COUGH BEFORE THAT audio/GAS0001.mp3[255.720,268.760] OH WELL LET ME THINK UM LIKE SIX WEEKS AGO I GUESS THAT WOULD BE I DONT KNOW I DONT REALLY LIKE KEEP TRACK audio/RES0199.mp3[390.960,395.520] OK AND ARE YOU UP TO DATE WITH HER IMMUNIZATIONS audio/MSK0024.mp3[188.840,196.600] UM A LITTLE BIT MORE TOWARDS MY RIGHT SIDE audio/RES0095.mp3[411.080,420.480] YEAH I HAD TO STENT PUT IN AFTER THE FIRST HEART ATTACK ABOUT FIVE YEARS AGO AND THEN ANOTHER ONE UH THREE YEARS AGO audio/RES0126.mp3[730.160,735.520] NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME audio/MSK0017.mp3[99.880,115.560] ITS UM I CAN KIND OF ALWAYS FEEL IT BUT IT CERTAINLY GETS WORSE IF I AM MOVING SO IF IM JUST KIND OF SITTING AT REST I DONT REALLY YEAH I DONT REALLY FEEL IT THAT MUCH audio/RES0015.mp3[289.320,291.960] NO NO CHANGES TO SMELL audio/MSK0038.mp3[621.360,625.280] HOW ABOUT WHEN YOU PALPATE THE LATERAL LIGAMENTS OF YOUR KNEECAP audio/RES0184.mp3[307.600,310.960] OK AND DO YOU HAVE ANY ALLERGIES audio/RES0026.mp3[393.120,401.480] OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT audio/RES0197.mp3[29.480,36.680] OK AND HOW LONG HAVE YOU HAD ASTHMA FOR audio/RES0003.mp3[287.120,299.400] UM HES HAD SORE THROATS BEFORE BUT I THINK THIS ONE IS A BIT MORE SEVERE HE HASNT COMPLAINED THIS BAD BEFORE audio/MSK0040.mp3[227.680,235.600] NO NOTHING LIKE THIS audio/RES0001.mp3[539.280,548.280] OK OK AND THEN SO YOU MENTIONED NO MEDICATIONS ANY ALLERGIES audio/MSK0044.mp3[315.400,325.560] NO I HAVENT I HAVENT TAKEN ANYTHING YET I JUST UH LIKE BASICALLY CAME RIGHT FROM PRACTICE TO THE TO THE HOSPITAL audio/RES0183.mp3[442.920,450.560] AH HE LIVES WITH HIS BOTH HIS PARENTS AND HIS OLDER SISTER audio/GAS0003.mp3[456.960,461.440] HOW MUCH WOULD YOU SAY YOU DRINK IN AN AVERAGE WEEK audio/RES0161.mp3[272.480,279.840] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART CONDITIONS OR LUNG CONDITIONS OR CANCERS audio/RES0042.mp3[461.720,465.880] OK HOW ABOUT MARIJUANA audio/RES0026.mp3[33.520,55.240] UH THE HEADACHE STARTED OK SO THE COUGHING STARTED FOUR DAYS AGO THE HEADACHE STARTED SHORTLY AFTER SO I WOULD SAY LATER ON DURING THAT DAY AND THEN THE FEVER IVE HAD FOR FEVER I THINK IVE HAD FOR THE PAST TWO DAYS I HAVENT ACTUALLY TAKEN MY TEMPERATURE THOUGH audio/MSK0045.mp3[21.080,23.040] FOR THE PAST WEEK audio/RES0130.mp3[223.680,226.600] NO I HAVENT HAD ANY SYMPTOMS LIKE THAT audio/RES0167.mp3[194.040,196.440] NO NO THATS ALL THE SAME audio/RES0208.mp3[154.880,161.240] OK AND HAVE YOU HAD A COUGH audio/MSK0007.mp3[385.120,389.360] OK AND ARE YOU WORKING CURRENTLY audio/RES0215.mp3[589.160,590.760] SO NO PETS NO DOGS audio/MSK0039.mp3[578.560,593.120] OK UM AND THEN IM GONNA TRY TO GET YOU TO DO SOME MOVEMENTS UM CAN YOU MOVE YOUR RIGHT LEG AT ALL LIKE CAN YOU FLEX AND EXTEND YOUR KNEES audio/RES0076.mp3[590.800,594.400] AND HAVE YOU THOUGHT OF QUITTING AT ALL audio/RES0080.mp3[188.520,194.400] HOW ABOUT ANY EAR PAIN OR EYE PAIN audio/RES0093.mp3[227.360,230.960] NAUSEA OR VOMITING audio/RES0055.mp3[629.840,633.800] UMM I DONT THINK SO EVERYTHING IS PRETTY UP TO DATE audio/RES0066.mp3[203.640,207.080] UM A LITTLE BIT audio/CAR0002.mp3[131.480,137.560] I THINK ITS A LITTLE BIT WORSE WHEN I WHEN IM LAYING DOWN audio/RES0204.mp3[233.440,241.520] I’M GOING TO SCHOOL AND THEYRE DOING THESE HALF DAYS audio/RES0012.mp3[723.760,727.600] OK NO OK AND YEAH DO YOU DRINK ALCOHOL audio/RES0154.mp3[379.200,393.680] UHM NO I NOT ANYONE THAT I KNOW OF I DO I I DID SEE MY JUST RANDKIDS JUST LAST WEEK THOUGH audio/MSK0045.mp3[253.720,262.160] ANY UM ANY JUST SYMPTOMS OR ANYTHING ELSE LIKE DIARRHEA CONSTIPATION URINARY CHANGES ANYTHING ELSE IS GOING ON audio/RES0013.mp3[98.600,108.000] LIKE WHEN I BREATHE IN I GET LIKE AND ITS LIKE AN ACHE AND THEN IF I BREATHE REALLY DEEP IT FEELS LIKE A LITTLE SHARP audio/MSK0031.mp3[157.320,160.960] NO THIS ISNT THIS IS THE FIRST TIME IVE HAD A FALL audio/RES0013.mp3[227.440,231.520] NO NOT THAT IVE NOTICED NO audio/RES0176.mp3[280.800,282.480] NO NO audio/RES0075.mp3[417.640,423.280] YEAH JUST A COUPLE OF BEERS MAYBE ON THE WEEKEND audio/RES0072.mp3[437.040,440.840] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0039.mp3[58.080,71.920] WOW FOUR WEEKS OK DO YOU KNOW IF YOU DID ANYTHING PRIOR TO THAT ANY NEW EXPOSURES OR BEING AROUND SOMEONE ILL LIKE ANYTHING LIKE THAT THAT MIGHT HAVE CAUSED YOUR COUGH audio/GAS0002.mp3[240.000,245.840] UH NO LIKE WE HAVENT TRAVELED ANYWHERE RECENTLY audio/GAS0004.mp3[213.360,218.880] DID ANYONE ELSE HAVE THE SAME THING THAT YOU DID THAT YOU WERE WITH audio/RES0206.mp3[587.520,591.440] I DONT THINK SO audio/RES0039.mp3[260.800,273.240] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT audio/RES0018.mp3[327.760,332.120] NO NOT REALLY audio/RES0121.mp3[103.000,108.400] OKAY AND IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED YOU RELIEVE THE COUGH AT ALL audio/MSK0013.mp3[260.200,263.880] UM IN THE PAST YEAR audio/RES0107.mp3[361.560,367.680] OK OK HOW ABOUT UM TRAVEL TO ANYWHERE audio/RES0013.mp3[389.840,397.920] NO JUST YEAH NO THATS IT I MEAN I YOU KNOW SOMETIMES TAKE LIKE A TYLENOL IF IM audio/RES0133.mp3[301.080,312.680] THATS GREAT AND U HAVE YOU BEEN UM HAVE YOU HAD ANY ALLERGIES BEFORE audio/RES0085.mp3[353.920,357.720] ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0073.mp3[105.240,110.000] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL audio/RES0019.mp3[507.960,510.120] NO NO ONE IS SICK audio/RES0061.mp3[127.640,141.760] MAYBE LIKE AFTER I VOMIT IT KIND OF FEELS LIKE SQUEEZING A LITTLE BIT BUT I THINK YEAH I THINK YEAH THATS JUST REALLY JUST WITH WHEN IM HEAVING audio/RES0103.mp3[309.000,317.280] OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANYTHING ELSE audio/RES0209.mp3[531.880,553.560] YOU SHOULD BE ABLE TO ENJOY THAT SO SO WERE GOING TO TRY TO GET THIS SORTED OUT FOR YOU IM GONNA GO TALK TO THE DOCTOR AND TELL HIM EVERYTHING OR HER EVERYTHING THAT YOU SAID AND YEAH WE’LL COME BACK AND SEE YOU SHORTLY HOPEFULLY MAYBE ALL YOU NEED IS A LITTLE CHANGE TO YOUR MEDICATIONS AND MAYBE IT WILL BE BETTER BE ABLE TO BETTER CONTROL YOUR ASTHMA audio/RES0130.mp3[131.920,136.240] UM I HAVENT REALLY HAD ANY NOTICED ANY WHEEZING audio/RES0189.mp3[402.760,406.640] OR OK AND HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0169.mp3[43.360,48.240] AND HAVE YOU BEEN CHECKING IT OUT PAST DAYS HAS IT GOTTEN BETTER OR WORSE audio/RES0048.mp3[309.840,313.640] UH NO NOT REALLY audio/RES0065.mp3[108.240,116.920] OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU AT ALL audio/MSK0006.mp3[1.840,15.600] I IVE HAD THIS UH PAIN IN THE RIGHT BUTTOCK AREA ITS BEEN REALLY INTENSE AND MORE RECENTLY IM FEELING IT LIKE RADIATE JUST DOWN MY RIGHT LEG AS WELL audio/RES0004.mp3[53.000,66.960] IT DOES YEAH UH IF MY THROAT HURTS WHEN IM EATING OR UM UH OR SWALLOWING LIKE LIQUIDS AS WELL BUT COLD STUFF SEEMS TO MAKE IT FEEL A LITTLE BIT BETTER audio/RES0055.mp3[116.200,129.760] I WOULD SAY ITS A BIT HARSH AT TIMES I WOULDNT SAY ITS BARKY OR MUFFLED I DO FIND MYSELF WHEEZING A LITTLE OVER THE LAST FEW DAYS AS WELL audio/RES0148.mp3[476.360,484.040] UM I UH NO IM A IM A STAY AT HOME I JUST STAY AT HOME I DONT WORK audio/RES0128.mp3[367.760,373.400] OK AND YOU MENTIONED THAT HE MAY HAVE SOME SEASONAL ALLERGIES ANY OTHER ALLERGIES THAT YOU KNOW OF audio/MSK0016.mp3[318.720,326.240] UH NOPE I HAVENT HAD ANY DIARRHEA AND NO NO CONSTIPATION AND NO BLOOD EITHER audio/RES0138.mp3[98.040,101.360] UM JUST I GUESS JUST UH SHALLOW BREATHS audio/RES0133.mp3[153.280,157.160] AND HAS THAT GONE AWAY NOW AND THEN WHEN WAS THE RUNNY NOSE audio/RES0202.mp3[267.280,273.080] OK AND ARE HIS SYMPTOMS GETTING WORSE audio/RES0193.mp3[471.760,485.240] NO SHES HEALTHY AND THE DELIVERY WAS AT TERM WITH A NORMAL BODY WEIGHT OR BIRTH WEIGHT RATHER AND HE HE WAS HEALTHY WHEN HE WAS BORN audio/MSK0007.mp3[589.520,596.920] OK AND ANY PAIN WITH SHOULDER OR ELBOW MOVEMENTS audio/RES0052.mp3[354.640,358.440] UH NO I DONT THINK SO audio/MSK0038.mp3[468.920,473.720] UH NO NO I I I HAVENT USED ANYTHING LIKE THAT BEFORE audio/RES0020.mp3[346.480,356.040] ALRIGHT AND HOW ABOUT ANY CONFUSION OR OR CONCERNS AROUND MEMORY audio/RES0038.mp3[201.320,206.840] YEAH HE DOES YEAH HE WAS DIAGNOSED WITH ASTHMA A COUPLE OF YEARS AGO audio/MSK0025.mp3[454.760,459.600] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES audio/GAS0001.mp3[477.800,483.200] OK UM AND YOU CONSUME ANY ILLICIT DRUGS audio/RES0166.mp3[170.120,179.600] OK HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0160.mp3[138.320,141.360] WHERE IS WHERE IS YOUR HEADACHE audio/RES0113.mp3[513.120,518.640] OK ALRIGHT AND UM DO YOU HAVE ANY QUESTIONS audio/RES0043.mp3[465.120,470.320] NO NO LIKE EVERYTHING WAS THINGS REALLY GOOD audio/RES0064.mp3[310.520,316.600] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0133.mp3[659.960,665.200] OKAY OKAY THAT SOUNDS GOOD THANK YOU audio/RES0034.mp3[24.520,39.080] SO THEY STARTED AROUND THREE TO FOUR DAYS AGO AND AROUND THE SAME TIME SHE WAS ALSO HAVING LIKE A RUNNY NOSE audio/RES0044.mp3[54.160,58.480] NO NOTHING LIKE THAT ITS JUST KIND OF ANNOYING audio/MSK0017.mp3[627.520,637.000] NO OK AND DOES IT SEEM LIKE ITS MORE ATROPHIED OR DO YOU SEE ANY DEFORMITIES OR SKIN CHANGES IN THAT AREA audio/CAR0005.mp3[610.320,620.880] OK SO WHAT IM GOING TO DO IS BRING ALL THIS INFORMATION TO YOUR FAMILY DOCTOR AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS audio/RES0031.mp3[237.040,239.760] NO NO HEADACHES audio/RES0084.mp3[697.240,704.440] I JUST LIVE WITH MY WIFE IN AN APARTMENT IN THE CITY AND YEAH audio/RES0194.mp3[400.040,405.760] OK UM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0021.mp3[545.480,552.840] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/MSK0023.mp3[369.880,376.000] OK AND CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE audio/MSK0029.mp3[828.400,841.840] OK AND THEN HOW ABOUT WHEN YOU MOVE TOWARDS THE BACK AND THEN ON YOUR C SPINE CERVICAL SPINE JUST LIKE AT THE VERY BACK OF YOUR NECK audio/RES0122.mp3[254.640,258.320] I SEE UM WHAT ABOUT ALCOHOL audio/MSK0003.mp3[616.800,625.200] OK AND SO YOU WORK AND THEN WHATS YOUR LIVING SITUATION LIKE audio/RES0211.mp3[461.600,467.760] GOT IT OK ANOTHER QUESTIONS ARE YOU SEXUALLY ACTIVE audio/RES0117.mp3[61.240,73.440] UH NO ITS JUST UH LIKE I SAW IT ON MY HAND LIKE THERE WASNT ANYTHING LIKE MY COUGH IS LIKE PRETTY DRY audio/RES0084.mp3[643.400,648.440] OK HOW MUCH DID YOU SMOKE BEFORE THAT audio/RES0134.mp3[139.960,150.160] IT WAS LIKE LESS THAN A MINUTE UM AND AND IT GOES AWAY WHEN I LIKE IF I TRY NOT TO TAKE A DEEP BREATH IN audio/RES0046.mp3[601.680,605.000] OK OK ARE YOU ON ANY MEDICATIONS audio/RES0008.mp3[26.200,42.200] I DO HAVE A UH COUGH REGULARLY BUT I MEAN I I THINK THATS RELATED TO MAYBE SMOKING ITS SOMETHING THAT WAS GOING ON FOR A FEW YEARS THIS COUGHS A LITTLE BIT DIFFERENT audio/RES0110.mp3[131.720,137.080] HAVE YOU SEEN ANY BLOOD IN THE PHLEGM audio/MSK0026.mp3[295.480,297.560] HAVE YOU HAD ANY CHEST PAIN audio/MSK0012.mp3[809.000,847.920] AND BASED ON WHAT RESULTS COME BACK AT THE SAME TIME WE WILL I WILL GIVE YOU SOME INFORMATION ABOUT SOME ANTI INFLAMMATORY MEDICATIONS YOU COULD TAKE TO HELP RELIEVE SOME OF YOUR PAIN BUT OTHER THAN THAT I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL HELP YOU DO SOME EXERCISES AT HOME JUST WAYS TO PROTECT YOUR BACK AS WELL AS STRENGTHEN SOME OF YOUR MUSCLES TO HELP DEAL WITH SOME OF THAT PAIN YEAH SO WELL GET THE RESULTS BACK AND THEN WELL GO FROM THERE audio/RES0095.mp3[357.880,363.440] NO I I I DONT KNOW I IVE NEVER HEARD OF THAT I I KNOW MY WEIGHT I COULD TELL YOU THAT audio/RES0100.mp3[334.440,345.480] ALRIGHT AND HAVE YOU HAD ANY FEVERS OR OR SORRY YEAH YOU MENTIONED YOU HAD A FEVER OF 382 AND HAVE YOU HAD ANY CHILLS audio/RES0102.mp3[375.800,394.640] I DO YEAH IT IT GETS WORSE IF I IF IM TAKING A DEEP BREATH IN AND EVEN MORE SO AFTER I AFTER I COUGH IF IM TRYING TO CATCH MY BREATH ILL FEEL IT THEN TOO audio/GAS0005.mp3[264.200,271.200] OK HAVE YOU HAD ANY LOSS OF TASTE OR LOSS OF SMELL audio/RES0123.mp3[360.280,370.960] YEAH WELL I TRY TO WEAR THE MASK SOMETIMES LIKE UH IN THE IN THE STOCK LIKE LOUNGE WE LIKE TAKE TAKE OFF THE MASK TO EAT AND STUFF BUT THATS ABOUT IT audio/RES0056.mp3[459.400,464.920] OK ANY CANCERS IN THE FAMILY audio/RES0190.mp3[251.600,255.360] NO NOTHING LIKE THAT audio/RES0114.mp3[412.640,416.880] AND THEN THE OTHER ONE IS CALLED I THINK ITS CALLED SPIRIVA audio/RES0052.mp3[496.320,500.880] OH NO NO NOT RECENTLY audio/RES0026.mp3[452.200,457.560] YEAH I TAKE A LOW DOSE STATIN audio/RES0053.mp3[526.600,544.120] YEAH NOT THAT I REMEMBER LIKE SHE STARTED GOING TO LABOR EARLY LIKE EARLIER THAN WE EXPECTED WE THOUGHT IT WAS JUST A REGULAR CONTRACTION AND THAT IT WILL JUST RESOLVE BUT SHE WOUND UP PROCEEDING WHEN WE SHOWED UP AT THE HOSPITAL audio/MSK0032.mp3[394.000,405.400] SHE LIVES WITH ME HER HER DAD AND UM WE SHE HAS TWO SIBLINGS TWO OLDER BROTHERS audio/GAS0007.mp3[4.320,12.320] YEAH YEAH STOMACH HURT STARTED HURTING MORE LAST COUPLE OF DAYS MAYBE 3 DAYS AGO I THINK audio/RES0208.mp3[273.400,282.160] NO CAUSE I I MEANT I HAVEN’T REALLY BEEN EATING BUT YEAH audio/RES0210.mp3[443.280,447.720] YEAH CANNABIS OR ANY OTHER RECREATIONAL DRUGS audio/RES0044.mp3[161.640,172.280] I MEAN IVE HAD COUGHS BEFORE UM THIS ONE FEELS LIKE PARTICULARLY DRY BUT UH LIKE IT ITS NOT TOO DIFFERENT THAN LIKE WHEN IM JUST LIKE LIKE HAD A COUGH IN OTHER YEARS audio/MSK0046.mp3[450.200,454.200] KIND OF LIKE A FIST BUT YOUR THUMB IS ON THE INSIDE OF YOUR FINGERS audio/RES0190.mp3[87.960,92.600] YEAH IT DEFINITELY LOOKS ANGRY audio/RES0083.mp3[423.280,428.560] ALRIGHT AND WHAT ABOUT ANY MARIJUANA audio/RES0009.mp3[500.360,508.880] UH LIKE I HAVE MY WISDOM TEETH OUT WHEN I WAS LIKE A TEENAGER THATS IT THOUGH audio/RES0093.mp3[764.040,854.640] OK ALRIGHT UHM SO SOUNDS LIKE YOUVE HAD A DAY OF THIS WET COUGH WITH THE THIS A BAD SMELLING SORT OF SPUTUM THATS THATS YELLOWISH GREEN IN COLOR AND YOUVE ALSO HAD DIFFICULTIES BREATHING FOR THE PAST TWELVE HOURS UH SO MUCH SO THAT YOU CANT EVEN GO OUT TO GET MAIL AND YOUR HEARTS BEEN RACING ITS POSSIBLE THAT WHILE YOU WERE DRUNK THAT YOU MIGHT HAVE AND GIVEN THAT YOU HAVE ACID REFLUX THAT YOU MIGHT HAVE ACCIDENTALLY HAVE SOMETHING GO INSIDE YOUR BREATHING TUBE FROM FROM YOUR MOUTH OR SOMETHING THAT CAME UP FROM YOUR STOMACH AND SOMETIMES WHEN THAT HAPPENS FOOD ITEMS CAN OR OTHER THINGS CAN GET LODGED IN YOUR LUNGS AND CAN BECOME UHM CAN ATTRACT BACTERIA TO UH TO REPLICATE AND CAUSE A BACTERIAL INFECTION SO ITS POSSIBLE THAT THATS WHAT HAPPENED BUT IT COULD ALSO BE A VIRAL PNEUMONIA OR A VIRAL INFECTION IN YOUR CHEST WELL GET A CHEST XRAY DONE WELL HAVE SOME LABS DONE AS WELL AND WELL LIKELY START SOME ANTIBIOTICS HAVE YOU RECENTLY BEEN ON ANY ANTIBIOTICS audio/RES0100.mp3[656.280,664.120] OK UH AND HAVE YOU TRAVELED ANYWHERE audio/RES0174.mp3[255.800,258.200] ALRIGHT HAVE YOU HAD ANY HEADACHES audio/RES0027.mp3[87.520,99.040] OK AND YOU MENTIONED THE COUGHS INTERRUPTING YOUR SLEEP HAS IS THE COUGH CONSTANT ALL DAY OR ARE THERE PARTICULAR TIMES OF THE DAY THAT ITS WORSE audio/MSK0009.mp3[35.880,45.400] I SEE UH SO DID THIS PAIN START RIGHT AFTER LIKE FALLING ON THE STAIRS audio/RES0197.mp3[97.400,104.160] I WOKE UP TWICE LAST WEEK audio/RES0042.mp3[50.200,63.600] OK YEAH YEAH THANK YOU FOR COMING IN I THINK ITS GOOD THAT YOU ARE GETTING THIS CHECKED OUT AS EARLY AS POSSIBLE SO JUST TO REWIND A LITTLE BIT WHEN DID YOUR DRY COUGH START audio/RES0121.mp3[275.680,281.400] OKAY ALRIGHT UM ARE YOU SO WHAT WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW audio/RES0153.mp3[68.760,74.760] UH NO I HAVENT HAD A COUGH AT ALL audio/RES0051.mp3[259.440,263.960] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/GEN0001.mp3[323.800,328.720] NO JUST THIS LIKE OVERACTIVE BLADDER THING audio/RES0056.mp3[357.680,364.920] ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0152.mp3[33.560,39.000] I WOULD SAY ITS ALMOST I WOULD SAY ALMOST LIKE THREE WEEKS NOW audio/RES0009.mp3[494.720,500.360] OK AND ANY OTHER SURGERIES BESIDES THE HYSTERECTOMY audio/RES0171.mp3[210.240,215.160] ANYTHING THATS HAPPENED RECENTLY THATS DIFFERENT OR NEW audio/RES0124.mp3[638.360,642.600] NO NO audio/MSK0013.mp3[130.280,136.960] HUM MAYBE A LITTLE BIT OF MUSCLE WEAKNESS IN MY LEGS audio/RES0186.mp3[525.960,527.640] YEAH IT DOES THANK YOU audio/RES0132.mp3[184.360,187.200] NO NOTHING LIKE THAT audio/RES0183.mp3[218.200,224.600] NOT AS GREAT AS IT USUALLY IS BUT HES STILL EATING audio/RES0012.mp3[717.400,723.200] UM NO OTHER THAN ALCOHOL LIKE COCAINE OR METH ANYTHING LIKE THAT audio/RES0212.mp3[48.800,54.720] OK HAVE YOU NOTICED ANY FEVERS AT HOME OR FEVERS AT ALL IN THE LAST COUPLE DAYS audio/RES0036.mp3[243.680,252.600] OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE BESIDES EXERTION audio/RES0013.mp3[124.200,137.400] UM I DONT I DONT KNOW UM LIKE I CAN BREATHE RIGHT NOW I CANT GET LIKE A DEEP BREATH LIKE audio/RES0021.mp3[574.560,580.520] OK UM ANY KIDS IN THEIR DAYCARE THAT HAVE BEEN SICK audio/RES0132.mp3[467.800,469.720] THANK YOU audio/RES0171.mp3[368.560,373.560] ALRIGHT AND DO YOU HAVE ANY ALLERGIES audio/RES0035.mp3[332.560,336.920] OK ANY MEDICATIONS FOR ANY OTHER REASONS audio/MSK0023.mp3[59.480,72.840] AT FIRST I WAS ABLE TO KIND OF LIMP OFF THE COURT BUT SINCE THEN I I HAVENT REALLY BEEN ABLE TO WALK ITS GOTTEN PRETTY SWOLLEN SINCE THEN AND IT LOOKS BRUISED AS WELL audio/RES0012.mp3[92.480,99.560] OK AND HOW ABOUT SPUTUM audio/RES0087.mp3[31.720,39.920] FOUR DAYS OK HAVE YOU NOTICED ANY HEARING LOSS audio/RES0194.mp3[419.680,423.960] OK ANY FAMILY HISTORY OF ANY LONGER HEART CONDITIONS audio/RES0044.mp3[696.640,703.880] OK OK AND DO YOU THINK YOU MAY HAVE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0189.mp3[288.480,299.160] UH I DIDNT GET A CHANCE TO MEASURE ANY OF THEM BUT I MIGHT HAVE HAD A FEVER JUST FROM THE CHILLS THAT IM EXPECTING THAT I HAD A FEVER audio/MSK0038.mp3[1.800,37.280] HI IVE IVE HAD UM THIS PAIN IN MY LEFT KNEE THATS BEEN GOING ON NOW FOR THE LAST UH THREE OR FOUR MONTHS UM BUT ITS GOTTEN A BIT A BIT WORSE IT USED TO ONLY REALLY BUG ME WHILE I WAS DOING ACTIVITY AND NOW ITS STARTED TO UH HURT EVEN MORE UM AFTERWARDS AS WELL SO IM GETTING THE PAIN AT AT REST AND SO I WANTED TO COME AND GET THAT CHECKED OUT audio/RES0101.mp3[691.240,693.880] SOUNDS GOOD THANK YOU audio/RES0055.mp3[104.440,116.200] OK UMM THIS COUGH DOES IT SOUND HARSH BARKY OR DOES IT SOUND MUFFLED audio/RES0012.mp3[456.240,457.320] YEAH YEAH audio/RES0081.mp3[430.120,434.360] YEAH YEAH THE ONE THAT HE USES I THINK THE ORANGE ONE audio/RES0076.mp3[338.720,340.720] NO SWELLING audio/RES0139.mp3[375.080,380.520] OKAY AND CURRENTLY DO YOU SMOKE AT ALL audio/RES0133.mp3[40.320,43.200] THAT STARTED THREE DAYS AGO audio/RES0205.mp3[450.320,468.960] UM I HAD THE TEST DONE WHEN I FIRST STARTED HAVING SYMPTOMS ABOUT TWO WEEKS AGO SINCE THEN IVE BEEN AT HOME AND IM JUST WAITING FOR MY SYMPTOMS TO GET BETTER BUT I YOU KNOW I KIND OF LIKE GET BACK AND I DONT WANT TO BE COUGHING WHEN I GET BACK UM YEAH audio/MSK0014.mp3[503.760,507.640] UM YEAH audio/RES0129.mp3[423.240,427.680] OK IS HE IN LIKE DAYCARE audio/GAS0005.mp3[514.000,523.720] OK OH THATS THATS GREAT DO YOU REMEMBER THE APGAR SCORE OR HIS BIRTH WEIGHT audio/RES0049.mp3[68.800,79.400] OK WE COULD TAKE YOUR TEMPERATURE TODAY AND THEN THE LOSS OF SMELL AND TASTE DO THEY BOTH HAPPEN AT THE SAME TIME audio/MSK0028.mp3[300.160,301.720] UHM NO audio/RES0063.mp3[204.960,209.080] OK THATS GOOD ANY CHANGES IN YOUR APPETITE audio/RES0167.mp3[577.560,595.240] YEAH YEAH AND IT SHOULDNT BE ITS PROBABLY 1 SOMETHING THATS BEEN GOING AROUND IN THE COMMUNITY AND YOU HAVENT HAD ANY RECENT HOSPITALIZATIONS OR SURGERY SO I WOULDNT WORRY ABOUT LIKE ANY OF THOSE ATYPICAL BUGS JUST YET audio/RES0097.mp3[455.160,459.880] OK IS IT ARE IMMUNIZATIONS UP TO DATE audio/RES0156.mp3[45.240,47.520] YEAH EXACTLY YEAH audio/RES0175.mp3[66.560,78.600] OK AND YOUVE HAD MUSCLE ACHES HAS THIS BEEN LIKE A WHOLE BODY TYPE OF FEELING OR IS IT ANY PARTICULAR MUSCLES THAT HURT audio/RES0205.mp3[361.880,368.280] I I LIVE WITH MY PARTNER audio/RES0217.mp3[129.360,147.440] OK SO JUST IN TERMS OF THE TICKS SIZE IT DOESNT LOOK LIKE ITS BEEN FEEDING FOR TOO LONG SO WHEN TICKS UH ARE FEEDING THEY TEND TO ENGORGE THEY TEND TO SWELL UP SO THIS LOOKS MORE LIKE A TINY LITTLE BUG OR DOES IT KIND OF LOOK LIKE A LITTLE GRAPE ALMOST LIKE ITS BEEN SWOLLEN UP WITH BLOOD audio/MSK0033.mp3[355.600,362.840] OK OK AND CURRENTLY RIGHT NOW DO YOU DO YOU GO TO SCHOOL OR DO YOU WORK AT ALL audio/RES0214.mp3[0.000,3.560] WHAT BROUGHT YOU IN TODAY audio/RES0158.mp3[521.440,524.640] OK YEAH THAT SOUNDS GOOD THANK YOU audio/RES0185.mp3[506.240,513.120] NO I WAS JUST I WONDERING WHAT MIGHT BE GOING ON ITS BEEN A FEW DAYS audio/RES0053.mp3[503.320,511.360] OK AND THEN HIS MOTHERS PREGNANCY WITH HIM ANY COMPLICATIONS AT THAT POINT audio/RES0119.mp3[347.200,350.120] NO NOT THAT I CAN THINK OF audio/GAS0004.mp3[316.080,326.680] OK WELL THATS GOOD TO HEAR HAVE YOU HAVE YOU BEEN EATING NORMALLY OR HAVE YOU NOT BEEN EATING AS MUCH AS YOU REGULARLY DO audio/RES0058.mp3[390.640,395.160] OK GOOD AND YOU MENTIONED NO RASHES RIGHT audio/MSK0043.mp3[81.840,90.760] I WOULD SAY ITS LIKE MY WHOLE KNEE ITS LIKE UH I DONT KNOW IT LOOKS LIKE ITS GOING TO EXPLODE audio/RES0093.mp3[710.440,742.920] YEAH WE MOVED UHM ACTUALLY INTO AN APARTMENT LAST YEAR ITS MADE IT A LOT EASIER IN TERMS OF THE HOUSEWORK AND THAT SORT OF THING BUT IVE BEEN ABLE TO UHM I DO THE THE GROCERY SHOPPING AND SHARE THE THE CHORES AROUND AROUND THE HOUSE I DO ILL USE A CANE SOMETIMES I I INJURED MY KNEE A NUMBER OF YEARS AGO BUT OTHER THAN THAT THINGS ARE OK audio/RES0139.mp3[101.120,106.520] NO OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE CHEST PAIN SORE THROAT audio/MSK0033.mp3[42.000,61.040] OK AND HAS THE PAIN SO ITS BEEN GETTING A BIT WORSE AND WITH ACTIVITY AND ITS RIGHT BELOW YOUR KNEECAP IS IT THE RIGHT WAY OR THE LEFT LEG audio/RES0072.mp3[338.960,348.080] NO NOTHING LIKE THAT IVE JUST HAD A HEADACHE AS WELL BUT ITS PRETTY MILD audio/RES0076.mp3[333.760,338.720] OK AND HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANYTHING LIKE THAT audio/MSK0028.mp3[830.800,837.880] OK ALRIGHT SO YOULL GET SOME PAIN AT THE AT THE SHOULDER WITH THE MOVEMENT audio/RES0195.mp3[646.480,655.960] YOURE WELCOME AND YOU MAY NEED DEPENDING ON WHAT WE FIND STEROID TREATMENT TODAY OR UNTIL YOU SEE THE RHEUMATOLOGIST audio/RES0074.mp3[546.000,559.760] OK JUST TO GIVE AN IDEA OF LIKE RISK AND CONTACT TRACING AS WELL IF WE NEED TO AND UH DO YOU SMOKE CIGARETTES audio/RES0139.mp3[292.200,299.200] NO OKAY UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0151.mp3[366.560,371.880] UH NO IVE BEEN PRETTY HEALTHY audio/RES0150.mp3[102.920,123.800] YEAH ITS JUST UH ITS JUST UH WATERY DISCHARGE HIS EYES ARE ALSO RED AND KIND OF UM HES BEEN TEARY OR I GUESS JUST YEAH ITS JUST BEEN LIKE VERY WATERY AND RED AND UH YEAH ITS CLEAR DISCHARGE audio/DER0001.mp3[299.880,320.880] ITS OK OK OK WELL IM GOING TO IF I THINK OF ANY MORE QUESTIONS SPECIFICALLY ABOUT YOUR LEG I WILL ILL GO BACK TO IT BUT IM GOING TO JUST MOVE ON AND ASK YOU QUESTIONS ABOUT YOUR OVERALL HEALTH YOUVE ALREADY SHARED WITH ME THAT YOU YOU ARE DIABETIC DO YOU HAVE ANY OTHER CHRONIC CONDITIONS THAT YOU LIVE WITH audio/RES0031.mp3[555.600,575.280] SO I JUST HAVE ONE PARTNER FOR THE LAST COUPLE MONTHS MY GIRLFRIEND BEFORE THAT THROUGHOUT THE YEAR I THINK IVE HAD TWO OTHER PARTNERS BUT YEAH CURRENTLY RIGHT NOW JUST MY GIRLFRIEND audio/RES0091.mp3[147.360,151.880] OK SO DO YOU ARE YOU FEELING THAT PRESSURE IN YOUR FACE AT ALL audio/RES0212.mp3[276.880,295.160] JUST LIKE MOISTURIZING CREAMS UM LIKE MY FAMILY DOCTOR BACK HOME SAID LIKE A COUPLE TIMES WHEN IT WAS REALLY BAD SHE WOULD GIVE ME ONE LIKE TO GO GET AT LIKE SHOPPERS BUT RIGHT NOW ITS NOT BAD SO I JUST HAVE JUST LIKE A REGULAR CREAM audio/RES0046.mp3[93.600,102.840] HARSH OK AND IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST HOW BAD IS IT audio/RES0122.mp3[316.880,318.280] NOPE NOT THAT I KNOW OF audio/MSK0046.mp3[246.200,250.760] UH NO NOTHING LIKE THAT audio/RES0093.mp3[165.160,171.000] NO NO HEADACHE audio/RES0116.mp3[422.360,425.160] YEAH YEAH IT WAS FORCEPS YEAH audio/RES0168.mp3[208.760,212.040] THOSE HAVE BEEN NORMAL audio/MSK0010.mp3[412.520,425.760] OK HAVE YOU HAD ANY WEAKNESS DO YOU FEEL LIKE YOU HAVE LESS STRENGTH IN YOUR ARM audio/RES0141.mp3[412.640,413.760] SORRY NO audio/RES0007.mp3[345.440,352.960] OK AND DO YOU EVER HAVE ANY RASHES ON YOUR SKIN OR OR REALLY ITCHY SKIN audio/RES0055.mp3[395.400,399.120] DO YOU TAKE ANY PUFFERS FOR YOUR COPD audio/RES0205.mp3[482.800,484.280] SOUNDS GREAT audio/RES0170.mp3[530.480,532.880] NO HE HASNT ACTUALLY audio/RES0048.mp3[263.880,276.400] UM NOT REALLY MAYBE LIKE SITTING DOWN HELPS SOMETIMES BUT EVEN WHEN IM SITTING DOWN IM STILL COUGHING audio/RES0007.mp3[159.600,166.480] OK SO YOUVE NOTICED CHANGES TO TO YOUR BREATHING SOUNDS LIKE YOUVE HAD NOISY BREATHING BEFORE audio/RES0190.mp3[92.600,101.960] OK HAVE YOU NOTICED ANY SWELLING IN YOUR NECK AS WELL LIKE EITHER ON ON THE SIDES LIKE OR ANY LUMPS THERE audio/RES0113.mp3[224.560,227.800] ANY CHANGES IN YOUR VISION OR YOUR HEARING audio/MSK0016.mp3[313.280,318.720] OK HOW ABOUT UM CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0177.mp3[72.840,81.720] ITS UH YEAH HE IS BRINGING UP A LITTLE BIT OF SPUTUM YEAH HES DOING IT audio/MSK0043.mp3[140.520,144.760] UH ITS A 9 audio/RES0131.mp3[172.200,173.400] A 4 audio/RES0187.mp3[605.320,611.680] RIGHT NOW I JUST LIVE IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON audio/RES0163.mp3[39.840,47.640] SINCE I WAS YOUNG UM LIKE MAYBE YEARS COUPLE YEARS audio/RES0100.mp3[533.000,539.240] OK ANY CONCERNS CURRENTLY ANY VAGINAL DISCHARGE OR ITCHINESS OR OR PAIN audio/MSK0041.mp3[303.240,305.840] ALRIGHT HAVE ANY ABDOMINAL PAIN audio/RES0217.mp3[0.000,4.600] SO I UNDERSTAND YOU REMOVED INSECTS FROM YOUR LEG EARLIER TODAY audio/RES0037.mp3[449.800,452.080] OK ANY URINARY PROBLEMS audio/RES0089.mp3[877.120,879.920] NO WHAT DO YOU THINK I SHOULD DO FROM FOR NOW audio/RES0132.mp3[448.720,455.560] OKAY AND THATS THATS GREAT UM PRIOR TO THAT HOW LONG DID YOU SMOKE FOR AND HOW MUCH audio/RES0096.mp3[309.320,314.080] ID SAY ABOUT ABOUT UH THREE THREEFOUR MONTHS audio/RES0012.mp3[440.600,451.480] OH NO NOTHING I MEAN ITS LIKE A LITTLE SORE JUST CAUSE IM COUGHING ALL THE TIME BUT YEAH BUT YEAH NOT NOT LIKE NOT ANYTHING LIKE NOTICEABLE audio/RES0200.mp3[226.240,233.520] OK ALRIGHT AND DO YOU EVER FEEL LIKE YOUR CALVES HURT AFTER YOU WALK AWHILE audio/RES0014.mp3[214.640,220.080] OK HOW ABOUT HEARING audio/RES0156.mp3[87.400,97.880] OK UM DOES SHE HAVE A DRY COUGH OR WET COUGH WHEN SHE GETS THESE SPELLS audio/RES0122.mp3[289.600,291.880] NO IVE BEEN COMPLETELY HEALTHY audio/RES0129.mp3[40.240,43.360] PRETTY CLEAR AND WATERY audio/RES0180.mp3[195.040,198.640] UH YEAH I HAVE ACTUALLY YEAH I HAVE audio/RES0084.mp3[299.560,304.560] ANY EXCESSIVE FATIGUE audio/MSK0035.mp3[489.200,496.440] OH NOT THAT MANY ILL MAYBE HAVE LIKE 2 EVERY OTHER WEEK audio/RES0066.mp3[373.080,386.200] OK AND ANYTHING IN YOUR HOUSE LIKE DUST OR AN OLD CARPET OR PETS ANYTHING THAT TRIGGERS SOME OF THESE SYMPTOMS audio/RES0005.mp3[182.640,197.400] IN THE PAST IVE ALWAYS HAD A SOMEWHAT OF A COUGH LIKE I HAVE COPSO IVE ALWAYS HAD A LITTLE BIT OF A COUGH HERE AND THERE BUT OVER THE LAST TWO YEARS I FEEL THAT ITS BEEN GETTING MUCH WORSE audio/RES0196.mp3[164.880,167.560] UM NO audio/RES0116.mp3[194.880,201.840] NO OK UM ALRIGHT UM HAS HE HAD A STUFFY NOSE OR RUNNY NOSE audio/RES0160.mp3[233.800,238.520] UH NO NOTHING LIKE THAT audio/RES0049.mp3[263.040,269.280] OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0153.mp3[340.520,346.840] OK EXCELLENT AND UM HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES audio/RES0017.mp3[310.000,317.000] OK HOW ABOUT UH EXCESSIVE SWEATING AT NIGHT audio/RES0214.mp3[421.440,426.160] OK AND WHEN WAS YOUR LAST MENSTRUAL PERIOD audio/RES0182.mp3[451.280,456.000] OK AND DO YOU DRINK ALCOHOL audio/RES0134.mp3[723.840,729.560] OKAY AND UH ANYBODY IN THE FAMILY HAVE LIKE A BLEEDING DISORDER audio/MSK0011.mp3[643.560,649.480] YEAH EXACTLY AT THE BASE OF THE THUMB ON THE ON THE BACK OF THE HAND THERE ARE SOME BAD BRUISING AND SWELLING THERE audio/MSK0014.mp3[843.360,845.760] OK SOUNDS GOOD audio/RES0152.mp3[0.000,2.320] HOW HOW MAY I HELP YOU audio/MSK0020.mp3[717.880,731.800] OK ALRIGHT AND WHEN YOU DO BOTH OF THOSE DO YOU HEAR ANY LIKE WHATS CALLED A CREPITUS OR LIKE A GRATING SENSATION WHERE YOU FEEL LIKE BONE MAYBE HITTING BONE audio/MSK0021.mp3[221.280,226.040] OK CHANGES IN YOUR HAIR OR NAILS LIKE RASHES audio/MSK0043.mp3[621.160,627.320] OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0024.mp3[154.960,159.640] OK AND HAVE YOU HAD ANY CHILLS audio/MSK0024.mp3[72.680,87.280] SO ONE MONTH AGO WHEN IT STARTED BEFORE THEN DID YOU INJURE YOURSELF AT ALL OR WERE YOU DOING ANYTHING THAT BROUGHT ON THE PAIN OR DID THE PAIN COME ON GRADUALLY audio/RES0162.mp3[142.480,157.240] OK AND OTHER THAN THE THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE A SORE THROAT OR ITCHY EYES ITCHY NOSE STUFFY NOSE OR RUNNY NOSE ANYTHING LIKE THAT audio/RES0091.mp3[414.920,416.080] YOURE WELCOME TAKE CARE audio/GAS0002.mp3[0.000,7.040] I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TO THE EMERGENCY DEPARTMENT TODAY audio/RES0111.mp3[330.640,334.240] HAVE YOU TRIED MARIJUANA OR ANY RECREATIONAL DRUGS audio/GAS0001.mp3[412.600,424.200] SO JUST LIKE NICKEL LIKE IN JEWELRY IF I WEAR NOT REAL JEWELLERY ITLL GIVE ME A RASH BUT ITS NOT FOOD OR LIKE OR MEDICATIONS OR ANYTHING audio/RES0213.mp3[240.440,258.680] UM ITS JUST THAT IM IM DOING MY MASTERS OF SOCIAL WORK AND IM GETTING TOWARDS THE END AND ITS JUST ITS VERY SCARY BECAUSE IM WORKING ON MY FINAL UH THESIS AND THERES JUST A LOT INVOLVED AND ITS ITS JUST MAKING ME VERY NERVOUS audio/RES0172.mp3[165.760,178.400] HAVE YOU HAD ANY OTHER SYMPTOMS HAVE YOU HAD A CONFUSION OR IS IT ANY FUZZINESS OR ANY FLU LIKE SYMPTOMS audio/RES0105.mp3[15.800,21.360] OK AND SO HOW MANY DAYS WOULD YOU SAY YOUVE BEEN SHORT OF BREATH audio/GAS0001.mp3[268.760,276.000] OK OK DO YOU KNOW IF YOU GET YOUR PERIODS REGULARLY OR ARE YOUR PERIODS IRREGULAR audio/RES0132.mp3[605.120,616.200] OKAY THANK YOU AND UM SO THAT WAS ALL I WANTED TO ASK ABOUT UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT audio/RES0095.mp3[245.600,250.600] I SEE OK AND UHM HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN audio/MSK0004.mp3[19.120,23.840] OK AND SO WHEN DID YOU HAVE THE INJURY audio/RES0136.mp3[138.360,176.880] NO I WAS JUST UH I I SLEPT IN I SLEPT IN A BIT MORE THAN USUAL UM AND I WAS FEELING QUITE UM DROWSY MY MY DOC INCREASED MY PAIN MEDS AND I TOOK THE FIRST DOSE UM YESTERDAY NIGHT UM I ACTUALLY TOOK AN EXTRA PILL UM UM OF THE MORPHINE UM AND YEAH I DONT KNOW MAYBE IT ITS AN ALLERGIC REACTION TO THE MORPHINE audio/GAS0005.mp3[5.080,47.720] YEAH SO IM JUST COMING IN WITH MY SON HES SIX YEARS OLD AND YEAH JUST OVER THE LAST FEW DAYS HES NOT BEEN HIMSELF AND HES BEEN HAVING THIS STOMACH ACHE UH SO IT STARTED AROUND LIKE I WOULD SAY 3 DAYS AGO AND THEN HES ALSO HAVING VOMITING FOR THE LAST TWO DAYS HES VOMITED IN TOTAL SIX TIMES OVER THE LAST TWO DAYS AND THEN YESTERDAY HE ALSO DEVELOPED A FEVER AS WELL I MANAGED TO MEASURE IT AND IT WAS 383 DEGREES CELSIUS audio/RES0170.mp3[424.600,435.480] YEAH HES BEEN GOOD WITH WITH GROWTH NO CONCERNS FOR THAT AND HIS DEVELOPMENTS BEEN NORMAL AS WELL HES REACHED ALL OF HIS MILESTONES audio/RES0206.mp3[148.400,161.040] UM I HAVENT UHM LIKE STAYED OVER IN THE HOSPITAL I LIKE COME TO EMERGE A COUPLE TIMES audio/RES0182.mp3[261.200,265.320] HAVE YOU HAD ANY PAIN WITH URINATION OR OR FREQUENCY audio/RES0001.mp3[718.880,723.640] OK OK IM AND I HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0161.mp3[104.160,109.040] AND WHAT WHAT COMES OUT OF YOUR NOSE WHAT DO YOU SEE audio/GAS0003.mp3[489.120,499.360] OK ALRIGHT SO UM THATS ALL THE QUESTIONS I HAVE AND JUST TO CLARIFY DOES YOUR PAIN COME AND GO OR IS IT CONSTANT audio/RES0143.mp3[269.640,275.800] UM SO LATE LAST WEEK I WOULD SAY THE RUNNY NOSE STARTED audio/RES0123.mp3[234.320,253.240] WE CAN DEFINITELY UM EXAMINE THAT UM WHEN IM DOING PHYSICAL EXAMINE AND SEE HOW THAT IS UM OKAY AND UH HAVE YOU HAD ANY UM REDNESS IN YOUR EYES OR ANY TEARY EYES audio/RES0143.mp3[153.680,156.560] ALRIGHT AND WHAT ABOUT UH SORE THROAT audio/RES0047.mp3[702.560,716.800] OK UM AND ANY REASONS TO THINK THAT THERE ARE ANY OLD CARPETS MOLD OR UM ASBESTOS OR ANYTHING LIKE THAT THAT COULD BE EXACERBATING YOUR SYMPTOMS audio/RES0082.mp3[168.920,188.360] UH YEAH IVE HAD A HEADACHE SINCE THIS MORNING ITS PRETTY MILD IT FEELS LIKE MY HEAD IS SQUEEZING I THINK UH IVE HAD HEADACHES LIKE THIS BEFORE IF I DONT SLEEP WELL OR DEHYDRATED audio/MSK0031.mp3[194.160,198.080] UH JOINT PAINS OR MUSCLE ACHES ELSEWHERE audio/RES0031.mp3[393.920,403.560] I DO FEEL THAT LIKE MY STOMACH IS A BIT SORE ESPECIALLY TODAY BUT NOTHING IM TOO WORRIED ABOUT audio/RES0088.mp3[254.600,262.920] OK HAS SHE TRAVELED AT ALL RECENTLY OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE audio/RES0060.mp3[304.280,309.440] OK AND ANY TRIGGERS FOR YOUR NAUSEA audio/RES0184.mp3[314.000,320.720] OK AND ANY RECENT HOSPITALIZATIONS IN THE PAST OR ANY PRIOR SURGERIES audio/RES0037.mp3[710.880,713.080] UHM NO audio/RES0107.mp3[128.920,135.520] OK OK IS HE BRINGING UP PHLEGM WHEN HE COUGHS audio/RES0006.mp3[402.440,411.960] OK UM THAT REMINDED ME I I FORGOT TO ASK HAVE YOU NOTICE ANY CHANGES TO YOUR VOICE audio/RES0060.mp3[309.440,332.480] OH I CANT THINK OF ANYTHING IT JUST SORT OF CAME ON AND IT REALLY WENT AWAY ON ITS OWN PRETTY QUICKLY BUT UH I DONT KNOW MAYBE IT WAS WHEN I HAD MY HEADACHE audio/RES0021.mp3[268.480,274.080] AND HOW ABOUT DIFFICULTY BREATHING OR SHORTNESS OF BREATH audio/RES0134.mp3[266.040,268.960] AND WHEN DID THAT START audio/RES0158.mp3[149.960,155.120] YEAH I HAD I HAVE IVE HAD A LOSS OF UM SMELL AND TASTE NOW THAT YOU MENTION IT YEAH audio/RES0098.mp3[581.160,591.880] OK AND ANYBODY ELSE IN THE FAMILY HAVE ASTHMA OR SKIN IRRITATION LIKE LIKE YOU HAVE audio/RES0089.mp3[642.600,646.720] AND DOES IT HELP AT ALL audio/RES0006.mp3[442.640,447.320] OK AND DID YOU GET THE FLU SHOT THIS YEAR audio/RES0026.mp3[618.920,621.080] NO OVARIAN CANCER audio/RES0186.mp3[118.920,123.240] HOW ABOUT CHANGES TO YOUR SMELL OR TASTE audio/RES0056.mp3[498.440,502.360] HOW ABOUT MARIJUANA audio/MSK0008.mp3[393.200,396.120] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0199.mp3[194.800,197.400] ANY FEVERS OR CHILLS audio/MSK0026.mp3[272.640,277.400] HAVE YOU HAD ANY CHANGES TO YOUR SENSES LIKE VISION OR HEARING audio/RES0020.mp3[819.200,820.960] OK OK WELL THANK YOU VERY MUCH audio/RES0107.mp3[502.880,510.760] OK AND YOU MENTIONED THIS HAS BEEN GOING ON FOR MORE THAN FOUR DAYS THIS TIME AROUND audio/RES0102.mp3[869.640,904.560] YEAH SO DEFINITELY THATS SOMETHING CONCERNING WE WANT TO MAKE SURE THERE WAS NO SO YOU WORK AT A HOMELESS SHELTER WHERE THERE MAY BE A TUBERCULOSIS CASE AND YOUR SYMPTOMS OF COUGHING UP BLOOD AS WELL AS LOSING A SIGNIFICANT WEIGHT RECENTLY AND SOME OF THE OTHER SYMPTOMS THAT YOU DESCRIBED AS WELL POINT TOWARDS UH TB AS ONE OF THE CAUSES NO LUNG CANCER HISTORY RIGHT IN YOUR FAMILY audio/RES0198.mp3[104.200,111.200] NO WELL ACTUALLY IVE HAD IVE HAD A COLD BEFORE BUT NOT RECENTLY MAYBE LIKE FIVE YEARS AGO audio/RES0176.mp3[598.800,603.520] UHM NOT MUCH ID SAY ONE OR TWO GLASSES OF WINE audio/GAS0007.mp3[316.840,319.760] OK YOURE A BIG BOSS audio/RES0060.mp3[382.920,390.600] OK SO ITS NOT LIKE THE WORST HEADACHE YOUVE EVER EXPERIENCED audio/RES0085.mp3[0.000,2.440] WHAT BRINGS YOU IN audio/RES0141.mp3[185.920,187.840] PAIN IN YOUR BELLY audio/GAS0004.mp3[550.680,552.400] OK DO YOU SMOKE audio/RES0061.mp3[737.480,744.680] OK WERE ANY OF THESE DRUGS INJECTED IV audio/MSK0049.mp3[483.480,487.200] OK UM DO YOU DRINK ALCOHOL audio/RES0128.mp3[73.640,88.920] NO THAT THATS GOTTEN A BIT BETTER THAT RESOLVED ABOUT AN HOUR LIKE AFTER HE STOPPED PLAYING BUT HE WAS HE WAS SHORT OF BREATH YESTERDAY audio/RES0008.mp3[332.720,341.760] NO BUT I I DO SOME VOLUNTEER WORK AT ONE OF THE HOMELESS SHELTERS AT A FEW TIMES A WEEK SO I AM AROUND A LOT OF PEOPLE audio/MSK0019.mp3[297.280,300.080] AUTOIMMMUNE CONDITION audio/RES0196.mp3[455.080,456.880] YOUR WELCOME TAKE CARE audio/RES0008.mp3[208.280,223.520] OK OK UM THE RIGHT SIDE OF YOUR CHEST AND BELLY AREA YEAH OK SO IS THAT PAIN IS IT DID IT START AROUND THE SAME TIME AS THE COUGH audio/CAR0002.mp3[246.080,251.600] UH NO SWELLING IN MY LEGS audio/RES0004.mp3[717.560,728.040] NO OK UM IS THERE A POSSIBILITY THAT OR ACTUALLY SORRY I SHOULD REPHRASE THAT HAVE YOU KISSED ANYONE RECENTLY audio/RES0108.mp3[0.000,1.640] WHAT BRINGS YOU IN audio/CAR0003.mp3[211.520,224.120] OK AND DOES ANYTHING MAKE IT BETTER LIKE ANY POSITIONAL CHANGES MAKES THE BREATHLESSNESS GO AWAY audio/RES0096.mp3[468.040,476.080] OK DID THOSE EACH REQUIRE A STAY IN THE HOSPITAL audio/RES0201.mp3[484.760,485.600] OK ANY OTHER DRUGS audio/MSK0045.mp3[149.240,152.920] OK SO JUST JUST IN THE AREA THAT YOU DESCRIBED audio/RES0099.mp3[3.000,37.320] SO YEAH IVE BEEN HAVING FOR THE LAST TWO DAYS UH IT JUST STARTED RANDOMLY I HAD TO MISS WORK JUST A HEADACHE STARTED AT THE BEGINNING AND THEN I NOTICED THE SAME DAY SO THIS WAS TWO DAYS AGO A HEADACHE STARTED AND MY BODY JUST STARTED ACHING THROUGHOUT THE DAY AND YESTERDAY I JUST DEVELOPED I THINK IT WAS A FEVER I DIDNT REALLY GET A CHANCE TO CHECK LIKE BUT I WAS VERY CHILLY YESTERDAY AND NOW I HAVE THIS COUGH AS WELL audio/RES0189.mp3[686.360,745.880] OK UHM SO UH THE NEXT STEPS FOR NOW I THINK WILL BE TO UH START WELL GET A PHYSICAL EXAM IN AND YOUR VITAL SIGNS AND GET SOME INVESTIGATIONS IT IS SOUNDING LIKE A COPEXACERBATION WITH THE INCREASING AND THE CHANGE CHANGING SPUTUM THE INCREASING FREQUENCY OF COUGH AND THE EXERTIONAL SHORTNESS OF BREATH AS WELL ALONG WITH WHEEZING AND KIND OF THIS CHEST DISCOMFORT THAT YOURE EXPERIENCING AND SO UH THIS WILL REQUIRE SOME ANTIBIOTICS AS WELL AND DEPENDING ON THE SEVERITY OF SYMPTOMS POSSIBLY SOME STEROIDS AS WELL TO HELP WITH THE INFLAMMATION audio/RES0179.mp3[525.880,530.520] AND BEFORE THAT I THERE WAS A POINT I WAS SMOKING 2 PACKS A DAY audio/RES0114.mp3[671.360,679.800] UM YEAH I WAS JUST WONDERING LIKE WHAT YOU THINK IT MIGHT BE audio/MSK0004.mp3[130.440,137.360] OK OK AND HAS THIS HAPPENED TO YOU IN YOUR ANKLE BEFORE audio/RES0093.mp3[51.880,55.800] NO I HAVENT SEEN ANY BLOOD audio/RES0149.mp3[28.920,43.680] YEAH CERTAINLY AND SO UH LIKE DID THIS SHORTNESS OF BREATH WAKE YOU UH LIKE DID YOU WAKE UP UM LIKE JUST LIKE UH TO KIND OF SIT UP TO CATCH YOUR BREATH UM OR WHEN DID THE SHORTNESS OF BREATH START audio/MSK0001.mp3[156.120,169.840] OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ARE YOU EXPERIENCING ANY KIND OF WEAKNESS OR ANY KIND OF ANY OTHER CHANGES IN YOUR HEALTH audio/RES0170.mp3[358.760,368.680] UM THERE WAS A PROLONGED LABOR I THINK BUT HE WAS DELIVERED VAGINALLY AND AT TERM audio/RES0005.mp3[383.280,386.040] ANY URINARY PROBLEMS audio/RES0072.mp3[50.080,57.440] YEAH IVE BEEN NAUSEOUS AND I VOMITED A COUPLE OF TIMES audio/RES0178.mp3[52.400,60.960] OK OK ALRIGHT SO THE COUGH IS IT A PRODUCTIVE COUGH OR IS IT A DRY COUGH audio/RES0078.mp3[147.600,155.000] OK AND HAS THE COUGH GOTTEN ANY WORSE OVERTIME audio/MSK0031.mp3[496.760,500.680] ITS A LITTLE BIT WARMER THE RIGHT SIDE THAN THE LEFT audio/RES0058.mp3[138.320,142.880] HOW ABOUT SHORTNESS OF BREATH audio/RES0156.mp3[62.560,73.360] OK AND UM DOES THIS HAPPEN AT ALL LIKE WHEN SHES EXPOSED TO DUST OR KIND OF AFTER EXERTING HERSELF audio/RES0007.mp3[487.200,491.440] OK AND ANY ALLERGIES audio/RES0118.mp3[181.320,187.720] UM DO YOU HAVE ANY SHORTNESS OF BREATH OR CHEST PAIN AT ALL audio/RES0138.mp3[456.160,456.640] UH NO audio/MSK0020.mp3[392.600,394.200] YEAH AS FAR AS I KNOW audio/RES0103.mp3[364.000,373.880] OK UHM ANY ISSUES DEVELOPMENTALLY AS SHE WAS GROWING UP LIKE TO MEET ARE ALL OUR MILESTONES AT AN APPROPRIATE AGE audio/RES0176.mp3[297.280,304.000] OK NOTHING LIKE THAT AND HAVE YOU HAD A COUGH audio/RES0048.mp3[615.960,621.120] OK ARE YOU ON ANY OTHER MEDICATIONS BESIDES THE RAMIPRIL AND METFORMIN audio/RES0007.mp3[855.480,858.840] OK AND ANY ALLERGIES THAT RUN IN THE FAMILY audio/RES0059.mp3[366.920,374.960] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS audio/MSK0012.mp3[677.200,690.920] OK ND HOW ABOUT IF YOURE LAYING FLAT ARE YOU ABLE TO RAISE YOUR LEGS WITHOUT BENDING YOUR KNEES audio/MSK0021.mp3[170.840,173.280] AND WHEREABOUTS ON THE LEFT KNEE IS IT audio/RES0056.mp3[278.440,279.400] I DONT THINK SO audio/RES0101.mp3[547.160,559.440] I USED TO BUT I QUIT WHEN I WAS IN MY THIRTIES I USED TO SMOKE LIKE PROBABLY A PACK A DAY BETWEEN MY 20S AND 30S audio/RES0016.mp3[525.920,529.560] OK AND DO YOU SMOKE audio/RES0004.mp3[666.920,667.840] YEAH SHE IS audio/RES0116.mp3[112.960,116.840] LEFT EAR OK AND THE RIGHT EAR LOOKS NORMAL audio/RES0078.mp3[123.760,127.280] AND HAS IT BEEN A DRY COUGH OR WET COUGH audio/MSK0018.mp3[157.920,162.520] UM COUGHING SHORTNESS OF BREATH OR WHEEZING audio/MSK0033.mp3[322.240,333.640] OK OK AND DO YOU HAVE ANY RECENT OR LIKE PAST HISTORY OF ANY HOSPITALIZATIONS OR SURGERIES audio/RES0177.mp3[218.800,224.600] OK HAS HE HAD A SORE THROAT audio/MSK0032.mp3[443.520,471.200] OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS I HAD FOR HISTORY TAKING LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM IM JUST GOING TO GET YOU TO TAKE A LOOK AT BOTH HER ELBOWS AND ARMS DO YOU SEE ANY UM REDNESS OR SWELLING IN THE RIGHT ELBOW COMPARED TO THE LEFT audio/RES0059.mp3[319.880,325.480] OK AND HAS ANYONE AROUND YOU BEEN SICK RECENTLY audio/RES0139.mp3[13.440,16.840] OKAY AND UM IS IT GETTING WORSE AT ALL REALLY audio/RES0136.mp3[308.920,313.640] AND UM HAVE YOU BEEN TRAVELING AT ALL RECENTLY audio/RES0065.mp3[269.160,270.720] NO NO CHANGES audio/RES0147.mp3[0.000,2.080] WHAT CAN I DO FOR YOU TODAY audio/RES0094.mp3[187.600,197.560] YEAH IT DID HELP A LITTLE BIT IT DID HELP MY NOSE CLEAR UP BUT IT CAME RIGHT BACK AFTER A FEW HOURS audio/RES0046.mp3[524.680,531.600] UH YEAH I HAVENT UM HAD ANYTHING ANY REASON TO SEE A DOCTOR FOR A WHILE audio/RES0186.mp3[463.480,471.800] OK THATS GOOD UHM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/MSK0040.mp3[120.480,133.280] OK AND AND IS THE PAIN ACTUALLY SO WHERE IS THE PAIN SPECIFICALLY LOCATED ON YOUR FOOT OR ANKLE audio/RES0120.mp3[468.120,476.760] OKAY UM ANY RECENT SURGERIES OR HOSPITALIZATIONS OR ANY REASON FOR WHY IF LIKE IF YOU WERE IMMOBILIZED AT ALL audio/RES0009.mp3[567.920,576.960] UM NO I DONT THINK SO audio/RES0095.mp3[324.120,327.880] OK DO YOU KNOW WHAT YOUR BMI IS CURRENTLY audio/RES0011.mp3[616.760,625.480] OK ANYBODY IN THE FAMILY HAVE A HISTORY OF HEART DISEASE OR CARDIOVASCULAR DISEASE audio/RES0203.mp3[167.840,173.080] OK ANY MUSCLE ACHE OR GENERAL WEAKNESS audio/RES0047.mp3[82.840,91.200] OK OK HOW OFTEN WERE YOU COUGHING BEFORE IT GOT WORSE RECENTLY audio/RES0213.mp3[541.560,547.280] NO NO JUST MY DAD AND HIS HEART ATTACK THATS LIKE THE ONLY THING I KNOW OF audio/GAS0001.mp3[23.600,33.880] ITS BEEN OVER A WEEK MAYBE NOT QUITE TWO WEEKS BUT LIKE AROUND THEN YEAH MAYBE LIKE 9 DAYS audio/RES0060.mp3[295.120,299.520] NAUSEOUS OK HAVE YOU THROWN UP audio/RES0084.mp3[183.120,192.080] IT CAN GO TO THE TEMPLES SOMETIMES BUT MOSTLY ITS MY FOREHEAD audio/RES0098.mp3[328.400,331.880] OK SO YOU DONT NEED IT THAT THAT OFTEN THEN audio/MSK0044.mp3[136.480,148.200] I SEE OKAY UM AND IF YOU WERE TO DESCRIBE JUST WHAT IT LOOKS LIKE RIGHT NOW DOES YOUR SHOULDER KIND OF SEEM LIKE ITS SAGGING audio/MSK0026.mp3[303.720,307.240] HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0037.mp3[768.880,774.040] YOURE WELCOME audio/MSK0012.mp3[115.520,124.440] UM A LITTLE A LITTLE BIT OF TINGLING YEAH A LITTLE BIT OF TINGLING audio/RES0088.mp3[399.480,408.560] ITS BEEN PRETTY NORMAL SHES NOT EATING AS MUCH AS SHE USED TO BUT SHES STILL EATING AND DRINKING OK audio/RES0141.mp3[246.960,252.320] OKAY HOW IS THAT GOING FOR YOU ARE YOU TOLERATING IT OKAY audio/RES0193.mp3[194.520,197.920] OK UM ANY FEVERS OR CHILLS audio/RES0111.mp3[187.400,189.760] UHM NO I DONT THINK SO audio/MSK0020.mp3[478.680,495.600] OK UHM WELL CONGRATS FOR QUITTING IM SURE THAT WASNT HARD I MEAN SORRY IM SURE THAT WAS HARD UHM YEAH SO THATS GOOD AND HAVE YOU DO YOU CONSUME MARIJUANA audio/RES0175.mp3[306.520,322.640] OK YEAH ITS THE BRAND NAME FOR IT BUT LOTS OF YEAH LOTS OF DIFFERENT NAMINGS CAN BE HARD FOR THE MEDICATION SOMETIMES AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS audio/RES0191.mp3[48.760,63.560] UM A LITTLE BIT I JUST NEED TO AND IS MOSTLY AT NIGHT I JUST NEED TO SHIFT TO ONE SIDE OR THE OTHER TO LIKE UNBLOCK MY AIRWAYS audio/RES0217.mp3[392.280,402.040] OK AND JUST ABOUT YOUR HEALTH RIGHT NOW IS THERE ANYTHING THAT YOU SEE THE FAMILY PHYSICIAN OR DOCTOR FOR IN GENERAL AND REGARDING YOUR HEALTH audio/RES0161.mp3[335.120,351.560] YEAH I I I DO SMOKE BUT IVE CUT DOWN SIGNIFICANTLY IN THE PAST FEW YEARS I CURRENTLY ONLY SMOKE UH PROBABLY TWO OR THREE CIGARETTES A DAY I WAS I WAS SMOKING LIKE ALMOST A PACK A DAY A FEW YEARS BACK audio/RES0081.mp3[479.240,485.840] OK THATS GOOD HAS HE HAD ANY SURGERIES BEFORE audio/MSK0039.mp3[130.320,143.120] TEN OK HAVE YOU SO YOU SAID YOUVE NEVER EXPERIENCED THIS BEFORE UM DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN OR HAS IT BEEN PRETTY MUCH THE SAME SINCE IT STARTED OR IS IT GETTING BETTER audio/RES0052.mp3[312.280,317.080] OK HAS SHE HAD ANY NAUSEA OR VOMITING audio/RES0102.mp3[497.680,517.000] UH NO SLEEPS BEEN OK AND IVE BEEN EATING WELL BUT I HAVE UHM LOST SOME WEIGHT AND AND IVE BEEN MORE FATIGUED OVER THE LAST COUPLE MONTHS audio/MSK0003.mp3[20.200,34.600] IT KINDA HURTS ALL OVER I CANT REALLY PINPOINT ANY SPECIFIC LOCATIONS THAT HURTS MOST KIND OF HURTS LIKE ALL DOWN MY MY BACK audio/RES0011.mp3[32.280,36.160] OK WHEN DID THESE SYMPTOMS START audio/RES0203.mp3[225.320,232.200] YEAH IT WAS LIKE HALF AN HOUR FROM WHERE WE ARE audio/RES0161.mp3[365.840,369.560] THATS WONDERFUL DO YOU SMOKE MARIJUANA AT ALL audio/RES0100.mp3[172.000,174.560] NO HEADACHES NO audio/MSK0012.mp3[393.920,400.680] ANY STOOL INCONTINENCE FOR YOUR URINARY INCONTINENCE audio/RES0044.mp3[433.320,435.800] UM NO audio/RES0050.mp3[241.600,247.800] FEVERS OR CHILLS AH NO NO NOTHING LIKE THAT audio/RES0114.mp3[395.360,411.760] YES IM ON NO WORRIES IM ON UM UH TWO PUFFERS RIGHT NOW ONE OF THEM IS LIKE JUST ONE THAT I USE WHEN I REALLY NEED IT AND THEN UM THERES ANOTHER ONE SO I THINK THATS LIKE THE VENTOLIN PUFFER audio/MSK0040.mp3[312.200,314.760] HOW ABOUT SHORTNESS OF BREATH audio/RES0030.mp3[174.560,177.760] I HAVENT TRAVELED ANYWHERE audio/RES0031.mp3[454.360,457.400] OK ANY SURGERIES BEFORE audio/RES0080.mp3[567.720,573.040] I DRINK A GLASS OR TWO EVERY WEEKEND audio/MSK0043.mp3[873.560,875.240] RIGHT THANK YOU audio/RES0039.mp3[383.760,388.000] ANY FEELING THAT YOUR HEART IS RACING audio/CAR0004.mp3[314.600,326.880] IM SO SORRY TO HEAR THAT YEAH IT MUST BE REALLY DIFFICULT TIME FOR YOU RIGHT NOW OK SO YOURE WORRIED YOU MIGHT BE HAVING A HEART ATTACK AS WELL audio/RES0061.mp3[707.080,720.640] I MEAN I BRIEFLY LIKE DABBLED IN THE PAST AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE IN IN MY COLLEGE YEARS audio/RES0118.mp3[93.760,98.360] AND ARE YOU HAVING ANY SYMPTOMS OF LOSS OF SMELL AT ALL audio/RES0020.mp3[220.640,234.680] ALRIGHT SO YOUVE HAD THIS CHEST PAIN SINCE LAST NIGHT AND SHORTNESS OF BREATH THAT STARTED AROUND A SIMILAR TIME LAST NIGHT HAVE YOU HAD ANY OTHER SYMPTOMS audio/RES0106.mp3[20.280,29.040] IM ITS MOSTLY DRY BUT JUST SOMETIMES THERES LIKE A LITTLE BIT I GUESS YEAH THE FLAT LITTLE BIT OF PHLEGM audio/RES0177.mp3[176.280,183.920] NO HE HASNT SAID ANYTHING LIKE LIKE THAT FOR LAYING DOWN JUST I THINK WHEN HES JUST TAKING A DEEP BREATH HE SAID audio/RES0108.mp3[189.880,193.560] OH ITS A PROBLEM FOR YEARS I DONT EAT ENOUGH FIBRE audio/RES0174.mp3[635.160,638.680] OK AND ANY CHANCE THAT YOU COULD BE PREGNANT CURRENTLY audio/RES0135.mp3[431.080,434.000] UH NO NO NO COMPLICATIONS audio/RES0080.mp3[601.040,673.560] ALRIGHT AND SO YOUVE BEEN EXPERIENCING WORSENING SPUTUM PRODUCTION THAT NOW HAS A GREEN COLOR TO IT AND NOW HAVING A BIT MORE MORE SHORT OF BREATH WHICH SOUNDS LIKE COPEXACERBATION ESPECIALLY SINCE ITS A SIMILAR TYPE OF PRESENTATION AS BEFORE AND SO WELL ORDER A CHEST XRAY SOME BLOOD GASES AND DO A SPUTUM CULTURE AND POSSIBLY START ANTIBIOTICS BUT DEPENDING ON THE SEVERITY WE MAY NOT NOT NEED TO JUST YET AND THEN WELL ALSO USE SOME INHALERS AS WELL AS INHALED STEROID TO HELP WITH THE INFLAMMATION IN THE AIRWAYS audio/RES0089.mp3[321.640,326.160] UHM SOME WHEEZING YEAH audio/CAR0003.mp3[34.640,40.080] OK AND DO YOU FEEL UH HOW OFTEN DO YOU FEEL BREATHLESS audio/RES0034.mp3[144.480,149.120] OK UM HAVE YOU HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO HELP WITH THE COUGH OR FEVER audio/RES0134.mp3[677.440,683.320] UM ILL HAVE LIKE A GLASS OF WINE ONCE IN A WHILE audio/RES0193.mp3[339.720,342.920] UHM NO audio/RES0032.mp3[15.480,20.680] OK AND IS IT A DRY COUGH OR IS IT A WET COUGH audio/RES0015.mp3[271.760,279.720] I THINK ITS GETTING WORSE AND THATS WHY I WAS GETTING A BIT SCARED AND I CAME HERE audio/RES0060.mp3[747.360,755.440] OK GREAT AND DO YOU SMOKE audio/RES0064.mp3[339.240,345.680] NO NO LUNG OR HEART CONDITIONS HIS FATHER DOES HAVE DIABETES THOUGH audio/RES0073.mp3[406.880,411.520] JUST LIKE A STATIN MEDICATION audio/RES0087.mp3[292.800,294.680] NO I DONT THINK SO audio/RES0162.mp3[25.240,55.680] UM I WOULD SAY STARTED UH PROBABLY 3 MONTHS BACK BUT ITS GOTTEN WORSE SO LIKE BEFORE I USED TO LIKE JUST HAVE SOME IRRITATION IN MY THROAT AND COUGH A LITTLE BUT NOW I WOULD SAY PROBABLY EVERY OTHER DAY IM HAVING THESE EPISODES WHERE I CANT STOP COUGHING WHEN IM EXERCISING audio/RES0004.mp3[228.080,232.920] OK AND IS IT BLEEDING OR OOZING ANYTHING LIKE PUS audio/CAR0002.mp3[293.040,303.640] UH FEW WEEKS AGO I WAS A LITTLE RUNNY BUT THAT WENT AWAY ON ITS OWN I HAVENT HAD ANY COUGH audio/RES0028.mp3[299.800,305.000] DRY COUGH OK AND HAVE YOU NOTICED AT ALL COUGHING UP BLOOD audio/RES0090.mp3[187.800,196.560] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE A FEVER OR SHORTNESS OF BREATH ANYTHING LIKE THAT audio/RES0142.mp3[89.640,92.120] UH NO NOTHING LIKE THAT audio/RES0168.mp3[218.160,221.520] NO OK ANY HEADACHES audio/RES0124.mp3[222.640,233.360] OKAY UM AND ANY CERTAIN MUSCLE ACHES OR JOINT PAINS audio/RES0048.mp3[890.080,894.160] MY IF MY BREATHING GETS WORSE UH ILL JUST GO TO THE EMERGENCY DEPARTMENT audio/RES0155.mp3[389.040,401.960] OK UM ANY KIND OF UH SIGNIFICANT WEIGHT CHANGE RECENTLY audio/RES0086.mp3[324.400,328.240] NO NO CHANGES audio/RES0163.mp3[528.720,533.920] OH YEAH ITS GREAT audio/RES0217.mp3[296.560,305.320] OK AND YOU REMOVED THAT TWIT TICK ONCE YOU FOUND IT YOU PRESENTED TO ME HAVE YOU CHECKED YOUR BODY FOR ANY OTHER POSSIBLE BITES audio/MSK0014.mp3[287.880,289.400] UM NOPE audio/RES0153.mp3[382.400,386.560] OK I SEE UM UH WHO ARE YOU LIVING WITH CURRENTLY AND WHERE ARE YOU LIVING audio/RES0120.mp3[135.960,143.360] OKAY UM AND DOES IT GET RELIEVED WITH UH WHEN YOU WHEN YOU EXPIRE audio/RES0044.mp3[172.280,178.000] OK OK UM AND YOU MENTIONED THAT YOUR THROAT WAS ALSO DRY DO YOU HAVE A SORE THROAT audio/RES0215.mp3[339.440,342.000] UH NO SHES BEEN PRETTY REGULAR audio/MSK0041.mp3[224.560,229.000] HAVE YOU HAD ANY MEMORY LOSS OR OR OR CONFUSION audio/RES0038.mp3[38.200,39.360] NO BLOOD audio/RES0184.mp3[269.000,270.680] OH NO audio/RES0168.mp3[330.680,336.240] OK OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0077.mp3[741.640,742.840] NO I DONT audio/RES0137.mp3[371.440,374.520] AND WAS SHE AT TERM OR PREMATURE audio/MSK0038.mp3[283.080,286.120] NO UM HOW ABOUT ABDOMINAL PAIN audio/RES0210.mp3[95.920,102.520] OK AND BEFORE THAT DID YOU HAVE LIKE THE YELLOW CUSTARD WITHOUT RED OR IT ALL STARTED AT ONCE ALL KIND OF STARTED audio/RES0186.mp3[342.040,345.720] UH NO NOTHING LIKE THAT audio/RES0026.mp3[648.640,654.600] OK UM IS ANYBODY IN THE HOME BEEN SICK RECENTLY audio/MSK0043.mp3[17.800,28.120] OKAY WERE YOU UH DID YOU INJURE YOURSELF AT ALL BEFORE THE LAST FEW HOURS OR ANYTHING ANY TRAUMA TO UM IS IT THE RIGHT KNEE OR THE LEFT KNEE audio/RES0073.mp3[341.000,345.800] AND HOW HAS YOUR ENERGY BEEN ANY FATIGUE audio/RES0084.mp3[117.560,121.520] OK OK DOES ANYTHING MAKE IT BETTER OR WORSE audio/RES0098.mp3[376.680,384.000] UH JUST WHEN I HAVE ALLERGIES I I JUST USE OVER THE COUNTER ALLERGY MEDS audio/RES0205.mp3[299.360,304.440] UH WAS THERE ANY PARTICULAR MEDICATION THAT YOU STOPPED RECENTLY audio/RES0043.mp3[71.480,73.080] OH OK audio/RES0184.mp3[172.200,177.000] HOW ABOUT ANY WE SORRY FAINTING OR DIZZINESS audio/RES0201.mp3[342.240,352.800] THAT STARTED LIKE IMMEDIATELY AFTER MY SORE THROAT audio/RES0117.mp3[248.840,253.520] OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0156.mp3[244.480,250.320] NO SHES BEEN EATING WELL AND AND GAINING WEIGHT audio/RES0113.mp3[273.000,276.560] UH ANY RASHES THAT YOUVE NOTICED audio/RES0028.mp3[29.440,36.400] THE PAIN IS ITS STABBING BUT ALSO IT FEELS REALLY REALLY TIGHT IN MY CHEST audio/RES0057.mp3[79.640,89.080] NOT REALLY IVE BEEN ABLE TO DO THE SAME AMOUNTS OF OF ACTIVITY I GUESS audio/MSK0017.mp3[187.920,194.400] A 7 OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST audio/RES0003.mp3[492.000,495.560] OK AND ANY ALLERGIES audio/RES0190.mp3[588.280,596.880] NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD audio/RES0114.mp3[560.200,564.520] I USED TO SMOKE UM I JUST QUIT A FEW YEARS AGO audio/RES0077.mp3[509.520,518.360] OK YEAH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA audio/MSK0026.mp3[637.360,646.760] OK AND ARE YOU ABLE TO WALK NORMALLY OR DO YOU HAVE A LIMP audio/RES0161.mp3[0.000,2.080] WHAT CAN I DO FOR YOU audio/MSK0049.mp3[61.440,73.880] YES WELL ITS ALWAYS BEEN A LITTLE LIKE TENDER UM BUT NOW ITS MORE PAINFUL audio/RES0109.mp3[265.480,278.200] UM IVE JUST BEEN ON DIFFERENT MEDICATIONS UH OVER THE PAST FEW YEARS UM THIS ONE SEEMS TO BE WORKING WELL I STARTED THIS ABOUT A YEAR AGO audio/RES0079.mp3[286.360,298.280] UHM I SMOKED WHEN I WAS IN HIGH SCHOOL VERY BRIEFLY BUT I HAVENT SMOKED ANYTHING IN THE LAST TWENTY YEARS audio/RES0197.mp3[116.880,133.560] OK AND WHAT KIND OF THINGS WOULD YOU BE DOING THAT YOU GET THESE SYMPTOMS IS IT MOSTLY EXERTION OR IS IT EXPOSURE TO DUST OR ANY OTHER ENVIRONMENTAL FACTORS audio/RES0131.mp3[109.160,113.320] OKAY DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0012.mp3[527.600,534.920] AND ANY RECENT CHEST XRAYS ECGS ANY OTHER INVESTIGATIONS YOUVE DONE SO FAR audio/RES0196.mp3[320.960,333.120] OK THATS GOOD AND IN TERMS OF HER DEVELOPMENT THROUGHOUT THE YEARS ANY ISSUES WITH HER GROWTH LEARNING OR ANYTHING LIKE THAT audio/RES0078.mp3[61.120,63.280] AND HAS THIS HAPPENED TO YOU BEFORE audio/RES0013.mp3[215.400,220.160] OK HOW ABOUT WHEEZING ARE YOU EXPERIENCING ANY WHEEZING audio/RES0202.mp3[456.360,459.360] EXACTLY LIKE NOTHING audio/RES0014.mp3[266.280,271.240] UH NOT THAT IVE REALLY NOTICED NO NO RASHES audio/RES0209.mp3[181.960,187.040] I THINK SO I HAVENT EVER BEEN LIKE FORMALLY DIAGNOSED audio/RES0083.mp3[124.640,132.280] EVERY ONCE IN A WHILE MAYBE ONCE OR TWICE A MONTH MAYBE EVEN LESS THAN THAT audio/RES0044.mp3[658.600,663.880] OK SO OCCASIONALLY audio/MSK0005.mp3[659.000,662.760] OK AND HAVE YOU BEEN AROUND SICK CONTACTS RECENTLY audio/RES0180.mp3[338.960,345.480] OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/CAR0003.mp3[594.240,605.440] NOT RIGHT NOW I USED TO SMOKE I USED TO SMOKE 10 A DAY FOR LIKE 40 YEARS audio/RES0152.mp3[533.600,573.240] OK UM SO UH I THINK THATS EVERYTHING I WANTED TO ASK ON ON HISTORY TODAY SO IT SOUNDS LIKE YOUVE BEEN HAVING THIS COUGH UM THATS BEEN GOING ON FOR JUST OVER THREE WEEKS NOW AND STARTING WITH SOME UM WHITISH CLEAR SPUTUM AND MORE RECENTLY EVEN STARTED TO BE COUGHING UP SOME BLOOD AS WELL AND YOUVE ALSO BEEN REALLY UM FATIGUED AND HAVE HAD SOME MALAISE OVER THE LAST SEVERAL WEEKS UM AND ANY OTHER SYMPTOMS OR OH AND ALSO YEAH YOUVE HAD SOME NIGHT SWEATS CHILLS AND UH BEEN FEELING FEVERISH AS WELL SO WELL CERTAINLY CHECK YOUR TEMPERATURE TODAY TOO OK SO ANYTHING I MISSED audio/RES0167.mp3[523.160,529.600] I DONT THINK SO I JUST I HOPE YOU KNOW WE CAN GET THIS FIGURED OUT audio/RES0204.mp3[355.160,357.800] DO YOU GUYS HAVE ANY PETS audio/RES0217.mp3[502.000,506.880] NO THIS IS PRETTY WELL WHAT I EXPECTED TODAY SO THANKS FOR HELPING ME OUT audio/RES0052.mp3[490.880,496.320] OK AND YOU SAY YOU HAVENT TRAVELED ANYWHERE audio/RES0082.mp3[262.440,268.480] I DONT TAKE ANYTHING CURRENTLY audio/RES0111.mp3[374.800,378.560] SO ITS NOT ITS NOT VIRTUAL ITS IN PERSON audio/RES0134.mp3[750.200,758.160] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR audio/RES0044.mp3[131.960,133.520] ITS KIND OF JUST BEEN THERE audio/RES0061.mp3[804.960,814.680] UM YEAH WE LIVE IN AN APARTMENT YEAH ON THE 8TH FLOOR audio/RES0022.mp3[685.760,694.680] I HAD MY APPENDIX OUT WHEN I WAS IN MY 20S audio/RES0046.mp3[160.560,163.960] HOW ABOUT CHEST PAIN audio/RES0136.mp3[270.920,279.360] I CHECKED MY FEVER LAST NIGHT IT WAS UM 372 audio/RES0117.mp3[320.200,323.680] SOMETIMES YEAH WE WE DO SEE SOME SICK PEOPLE audio/MSK0040.mp3[588.160,597.320] JUST YOUR RIGHT ANKLE OK AND IS THERE ANY TEMPERATURE CHANGES LIKE WARMTH WHEN YOU TOUCH IT audio/MSK0020.mp3[581.920,589.000] NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES audio/MSK0039.mp3[549.160,552.680] YEAH THE WHOLE AREA SEEMS BRUISED UP AND ANGRY audio/RES0173.mp3[400.040,403.920] NO NO THAT HASNT HAPPENED TO ME audio/RES0024.mp3[121.160,125.680] ANY DIARRHEA OR CONSTIPATION audio/RES0084.mp3[576.240,584.760] OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0038.mp3[180.000,183.920] OK OK UM AND YOU SAID YOU WERE ARE YOU STILL ROWING audio/RES0155.mp3[766.120,769.200] YEAH YEAH ALRIGHT TAKE CARE audio/RES0007.mp3[269.560,306.360] OK WELL UM WE CAN DEFINITELY CLARIFY THE CONFUSION ABOUT THE MEDICATIONS TODAY SOMETIMES FOR STEROID MEDICATIONS THOSE ONES ARE REQUIRED TO BE USED DAILY IN ORDER TO GET THE MAXIMAL BENEFIT AND SO WILL TAKE A LOOK AT YOUR MEDICATIONS AND SEE IF ONE OF THOSE HAS A STEROID COMPONENT IN IT AND SAY AND HOW OFTEN YOURE NEEDING IT HAVE YOU BEEN HAVING ANY EPISODES OF SHORTNESS OF BREATH AT NIGHT TIME audio/RES0067.mp3[301.920,305.640] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS THAT I HAVE audio/RES0132.mp3[200.000,206.240] OR FEELING LIKE YOUR HEARTS RACING OR OR BEATING REALLY FAST audio/RES0113.mp3[257.640,261.080] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING audio/RES0141.mp3[359.000,367.680] AND UM HAVE YOU OR ANY OF THEM HAD ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK audio/MSK0022.mp3[330.840,352.920] YEAH THERE ARE DAYS THAT ARE BETTER THAN OTHERS FOR SURE IT JUST IM NOT REALLY TOO SURE WHAT THE REASON IT IS LIKE MAYBE IM JUST MORE RESTED OR SOMETHING LIKE THAT BUT THERE ARE DAYS THAT THAT ARE BETTER BUT OVER THE LAST SEVERAL MONTHS ITS BEEN GETTING GETTING WORSE audio/MSK0006.mp3[602.160,603.280] NO IT DOESNT FEEL HOT audio/MSK0022.mp3[201.200,216.200] NO ACTUALLY LIKE THE THOSE JOINTS ARE ALL HAVE BEEN FINE I CAN MOVE THE TIPS OF MY FINGERS NO PROBLEM AND I HAVENT HAD ANY JOINT SWELLING OR PAIN IN THE TIPS OF MY FINGERS audio/RES0133.mp3[249.800,251.840] UH NO audio/RES0162.mp3[482.640,492.600] NOTHING ELSE OK AND IN YOUR FAMILY YOU SAID NO ONE HAS ASTHMA OR ALLERGIC RHINITIS OR ECZEMA OR ANYTHING LIKE THAT RIGHT audio/RES0148.mp3[507.720,512.280] AND AND FOR HOW LONG OR FOR WHEN DID YOU START SMOKING SORRY audio/RES0025.mp3[380.560,387.120] I I LIVE WITH FAMILY I LIVE WITH MY WIFE AND TWO CHILDREN audio/RES0050.mp3[556.400,571.520] UM NO JUST UM WHAT DO YOU THINK THE PROBLEM IS IVE NEVER FELT THIS BAD WITH MY SHORTNESS OF BREATH BEFORE audio/RES0062.mp3[221.440,231.880] OK AND ANY OTHER SYMPTOMS THAT YOU HAVE ALONG WITH YOUR COUGHING AND SPUTUM audio/RES0055.mp3[236.080,237.600] UMM NO audio/RES0092.mp3[143.160,152.040] IS THERE ANY TIME ANY SPECIFIC TIME OF THE DAY THAT ITS WORSE OR BETTER ANYTHING THAT TRIGGERS IT audio/MSK0007.mp3[633.520,636.200] OK AT THE MEDIAL SIDE audio/RES0013.mp3[19.600,70.880] WELL LIKE LAST NIGHT I KINDA HAD LIKE AN ACHE ON MY CHEST KIND OF LIKE HERE LIKE ON THE LEFT I JUST I DIDNT DO ANYTHING REALLY LAST NIGHT AND YOU KNOW I JUST WENT TO SLEEP AND I GOT TO SLEEP FINE LIKE I JUST THOUGHT MAYBE I PULLED A MUSCLE ON THIS SIDE BUT THEN I WOKE UP AND I WAS LIKE WALKING UP THE STAIRS AND I LIKE WAS KINDA HAVING A HARD TIME BREATHING AND I TOOK SOME TYLENOL IT DIDNT REALLY DO ANYTHING UM AND THEN IT JUST GOT WORSE AND THEN A FEW HOURS AGO IS LIKE I COULD BARELY WALK AND IF IM BREATHING DEEP ITS LIKE IT JUST HURTS AND I FEEL LIKE I CANT LIKE CATCH MY BREATH LIKE I CANT GET A GOOD LIKE A GOOD BREATH IN audio/RES0019.mp3[257.840,268.080] I SEE OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD UH SIGNIFICANT FATIGUE audio/RES0181.mp3[131.720,134.840] OK HAVE YOU HAD ANY ANY HEADACHES audio/RES0105.mp3[311.280,316.600] AND IS THERE ARE YOU HAVING ANY HEADACHE OR NAUSEA OR VOMITING audio/RES0136.mp3[336.000,340.000] OKAY ANY SWELLING IN YOUR LEGS OR ARMS HANDS audio/RES0037.mp3[534.680,541.960] OK NO WORRIES AND DO YOU KNOW IF YOURE ALLERGIC TO ANY MEDICATIONS OR DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES audio/MSK0016.mp3[274.600,278.000] OK UM HOW ABOUT WEIGHT LOSS audio/RES0036.mp3[448.680,453.040] ANY ISSUES WITH YOUR SLEEP OR APPETITE AT ALL audio/RES0012.mp3[170.040,179.400] OK UM DO YOU HAVE THE CHEST PAIN AT REST AS WELL OR IS IT JUST WITH THE COUGHING audio/RES0138.mp3[203.800,217.640] YEAH YEAH YEAH THERE THERE WERE A COUPLE OF OTHER MEDICATIONS AS WELL SOMETHING UM SOMETHING SOMETHING PRIL AND UH I THINK THERES UH UH ROSUVASTATIN audio/RES0211.mp3[117.720,119.520] NO NO audio/RES0109.mp3[173.560,177.520] I AM TIRED BUT NOT I GUESS ITS NOT TOO BAD audio/RES0141.mp3[295.200,296.760] UH NO SURGERIES audio/RES0021.mp3[100.880,108.080] NO OK HAVE YOU HAD A COUGH LIKE THIS BEFORE audio/RES0009.mp3[206.160,219.040] UM NOT WELL I MEAN IVE BEEN DOING LESS STUFF BECAUSE ITS HARDER TO BREATHE LIKE IM GETTING KIND OF LIKE I CANT CATCH MY BREATH SO I GUESS MAYBE MAYBE A LITTLE BIT LIKE FATIGUE audio/RES0106.mp3[122.840,128.200] NO EXCESSIVE FATIGUE OR TIREDNESS audio/RES0130.mp3[201.040,205.440] OKAY AND HOW ABOUT CHEST PAIN audio/RES0013.mp3[307.680,311.840] I I MEAN IVE BEEN TRYING TO TO LOSE WEIGHT audio/RES0016.mp3[147.320,148.720] YEAH I WOULD SAY SO audio/RES0061.mp3[67.520,80.240] MOSTLY NAUSEOUS BUT YEAH YESTERDAY I THREW UP LIKE THREE OR FOUR TIMES AND THEN AGAIN TODAY I THREW UP LIKE TWO OR THREE TIMES audio/RES0079.mp3[311.400,316.760] I SEE OK ANY RECREATIONAL DRUGS audio/RES0005.mp3[166.040,182.640] OK AND PRIOR TO TWO YEARS AGO UM WERE YOU EXPERIENCING ANY SIMILAR SYMPTOMS LIKE UH LIKE THIS COUGH OR BRINGING UP BLOOD BEFORE audio/RES0087.mp3[192.920,214.960] UHM ACTUALLY HE DID HE DID START COUGHING LIKE YESTERDAY BUT JUST A FEW TIMES A DAY I DONT KNOW IF ITS BECAUSE OF THIS OR LIKE WHAT ELSE MIGHT BE GOING ON audio/RES0147.mp3[74.840,84.680] AND CAN YOU TELL ME ABOUT YOUR COUGH IS IT A DRY COUGH OR WET COUGH audio/RES0202.mp3[376.000,378.720] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0095.mp3[746.880,754.360] SURE THANK YOU audio/RES0183.mp3[248.680,261.840] UHM NO I DONT THINK SO HE HASNT COMPLAINED OF IT OR ANYTHING TO MAKE ME THINK THAT HE HAS ANY CHEST PAIN audio/RES0091.mp3[19.840,30.600] YEAH SO YEAH LETS JUST TRY TO FIRST SEE WHATS GOING ON SO YOUVE BEEN HAVING THIS SO WHEN DID IT START GETTING STUFFY audio/RES0146.mp3[294.480,319.520] YEAH IVE BEEN TOLD I HAVE HIGH HIGH HIGH CHOLESTEROL AND HIGH BMI UH YEAH AND SO I I TAKE A STATIN MEDICATION FOR FOR THAT AND YEAH IVE BEEN TOLD I HAVE PREDIABETES AS WELL SO IVE BEEN TRYING TO WORK ON DIET audio/RES0185.mp3[302.400,310.440] OK THATS GOOD HAVE YOU BEEN HOSPITALIZED FOR ANYTHING HAVE YOU EVER NEEDED SURGERIES audio/RES0036.mp3[582.200,583.600] FOR THE PAST YEAR audio/MSK0028.mp3[438.000,446.400] NO OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS audio/RES0125.mp3[458.320,462.800] UH I LIVE IN AN APARTMENT WITH MY WIFE AND MY DAUGHTER audio/RES0176.mp3[305.400,309.720] OK AND HAVE YOU HAD ANY WHEEZING audio/RES0128.mp3[196.960,202.400] NO HOW ABOUT LIKE DOES HE SEEM LIKE HE HAS ANY CHEST PAIN audio/GAS0005.mp3[117.600,123.640] OK I SEE AND UH COULD YOU DESCRIBE THE VOMIT audio/MSK0022.mp3[290.120,315.120] UM ACTUALLY YEAH MY MY RIGHT ANKLE BUGS ME A LITTLE BIT IM SORRY IF THATS CONSIDERED A LARGE JOINT BUT YEAH MY ANKLE HURTS AND THEN ALSO MY IN MY HANDS I HAVE LIKE THE MIDDLE ONE NOT PROXIMAL INTERPHALANGEAL JOINT YEAH THOSE ONES HURT TOO audio/GAS0003.mp3[331.880,337.920] NO WORRIES DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS ANY ENVIRONMENTAL ALLERGIES audio/RES0015.mp3[585.440,589.440] OK AND ARE YOU ALLERGIC TO ANYTHING audio/RES0087.mp3[50.360,54.320] UH NO I DONT THINK SO audio/MSK0033.mp3[260.360,265.560] OK ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS audio/RES0095.mp3[373.400,376.600] MY HEIGHT IS 52 audio/RES0003.mp3[17.840,20.680] OK HOW OLD IS HE JOEY audio/CAR0002.mp3[196.640,201.720] OK HAVE YOU HAVE YOU BEEN TRAVELING AT ALL RECENTLY audio/RES0179.mp3[78.920,81.600] UH NO NO BLOOD OR SPUTUM audio/RES0207.mp3[226.160,236.240] OK ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT audio/RES0139.mp3[312.120,317.520] OKAY AND IS THAT UH ANY DIRECT RELATIVES LIKE YOUR MOM OR DAD OR KIDS audio/RES0037.mp3[72.360,75.520] AH SO THIS IS ABOUT UH ABOUT A MONTH AGO audio/RES0096.mp3[182.840,189.120] OK AND ARE YOU PRODUCING SPUTUM EACH TIME YOURE COUGHING UP audio/RES0179.mp3[416.360,423.000] I WAS PROBABLY LIKE I DONT KNOW 5 TO 10 YEARS AGO NOW audio/RES0111.mp3[149.920,155.920] OK ANY UM AND DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST audio/RES0010.mp3[194.400,201.960] OK HAVE YOU NOTICED THAT YOUR EYES HAVE BEEN MORE RUNNY MORE RED ANYTHING LIKE THAT audio/RES0033.mp3[405.560,409.640] OK AND ANY PROBLEMS WITH SLEEP audio/MSK0021.mp3[605.400,609.760] IT IS YEAH audio/RES0094.mp3[344.440,347.680] UH NO I HAVENT TRIED THAT audio/RES0131.mp3[311.400,320.320] NO IVE HAD UTIS LIKE ONE OR TWO IN THE PAST UM SO I KNOW WHAT THATS LIKE SO YEAH EVERYTHINGS BEEN NORMAL audio/MSK0022.mp3[924.920,929.640] UM NO IM JUST WONDERING WHAT WHAT THIS COULD BE audio/RES0093.mp3[403.240,406.600] OK AND AS FOR YOUR ANXIETY DO YOU EVER GET PANIC ATTACKS audio/RES0114.mp3[469.000,476.000] OK AND DO YOU HAVE ANY ALLERGIES audio/RES0007.mp3[675.400,677.520] YEAH EXACTLY audio/MSK0038.mp3[293.240,296.880] OK ANY CHANGES TO YOUR URINE audio/RES0072.mp3[221.640,228.960] JUST COLD DRINKS audio/MSK0041.mp3[428.480,436.160] NO SURGERIES JUST THE LITHOTRIPSY FOR THE KIDNEY STONE audio/RES0134.mp3[577.720,596.560] OKAY GREAT AND DO YOU HAVE ANY SUPPORTS IN THE HOME THAT THAT HELP YOU WITH UH ANY ACTIVITIES OF DAILY LIVING LIKE UM EITHER DRESSING OR BATHING OR MAKING FOOD OR EVEN DOING SOME OF THE SHOPPING audio/RES0056.mp3[218.560,221.120] NO NO CHANGES TO THE SKIN audio/RES0175.mp3[152.280,158.240] OK HOW ABOUT A LOSS OF TASTE OR LOSS OF SMELL audio/RES0111.mp3[296.560,299.600] AND UH DO YOU FEEL SAFE AT HOME audio/RES0141.mp3[183.280,185.200] NAUSEA OR VOMITING audio/RES0154.mp3[214.520,217.480] ANY NAUSEA OR VOMITING audio/MSK0003.mp3[63.040,72.360] DULL PAIN OK OK AND ON A SCALE OF 0 TO 10 WITH 0 BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT audio/RES0049.mp3[616.760,623.040] OK UHM AND WHERE DO YOU LIVE RIGHT NOW audio/RES0034.mp3[419.680,432.600] I SEE OK UH IS SHE HAVING TROUBLES WITH DROOLING OR YOUR TROUBLE SPEAKING audio/RES0179.mp3[385.080,395.440] HIGH BLOOD PRESSURE OK HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD audio/RES0183.mp3[375.600,383.520] UH HE HAS HAD A FEVER ACTUALLY IT WAS 387 YESTERDAY audio/MSK0043.mp3[699.640,706.720] OKAY AND DO YOU SMOKE CIGARETTES audio/RES0050.mp3[250.400,253.000] HAVE YOU HAD ANY CHEST PAIN audio/RES0183.mp3[692.400,696.920] BUT UMM THATS ABOUT IT audio/MSK0013.mp3[382.720,397.520] OK AN AND DO YOU RECALL ANY LIKE WHAT YOUR A1C HAS BEEN IN THE PAST OR AN HAVE YOU HAD YOUR EYES CHECKED AND KIDNEYS CHECKED audio/RES0056.mp3[210.000,212.480] UMM NO NOT REALLY audio/RES0042.mp3[499.080,516.000] SO I LIVE IN A TOWNHOUSE IN LONDON HERE I LIVE ALONE BUT MY I HAVE MY KIDS EVERY I HAVE MY KIDS LIKE WEDNESDAYS AND THURSDAYS AND THEN EVERY OTHER WEEKEND audio/RES0056.mp3[160.520,164.680] OK DO YOU HAVE A SORE THROAT audio/MSK0015.mp3[614.400,616.840] NO NOTHING LIKE THAT audio/MSK0036.mp3[88.000,97.400] NO I HAVENT HAD ANY FALLS NO ACCIDENTS NOTHING LIKE THAT audio/MSK0033.mp3[388.680,402.240] NO SCHOOLS BEEN BEEN GOING WELL I HAVE BEEN DOING WELL IN MY COURSES AND HAVE A GOOD GROUP OF FRIENDS SO I ENJOY IT ITS FUN audio/MSK0046.mp3[414.680,418.560] DOES THAT HURT AT ALL audio/RES0095.mp3[39.640,44.280] HMM ID SAY ABOUT TEN OR ELEVEN STAIRS audio/RES0086.mp3[724.600,777.520] AS WELL AS AN INHALED CORTICO STEROID SO ACTUALLY YOU KNOW WHAT WELL GIVE YOU AN INHALED CORTICO STEROID AND A SHORT ACTING BETA AGONIST BECAUSE YOU CANT USE BOTH THE STEROID AND THE LONG SO WELL START WITH THOSE TWO WELL START WITH THE SHORT ACTING AS WELL AS INHALED CORTICO STEROID AND IF WE FIND THAT YOUR ASTHMA IS JUST BASED ON LIKE EXERTION OR LIKE SOMETHING CALLED ATHLETIC ASTHMA WE CAN ALSO TRY SOMETHING CALLED CROMOLYN INSTEAD BUT WELL DISCUSS THAT MORE RIGHT NOW OUR PRIORITY IS TO GET YOUR SYMPTOMS UNDER CONTROL SO WELL START WITH THE SHORT ACTING AS WELL AS THE INHALED CORTICO STEROID HOW DOES THAT SOUND audio/MSK0046.mp3[347.120,350.880] OK THATS GOOD UM ANY ALCOHOL audio/MSK0019.mp3[4.040,33.760] IVE JUST BEEN HAVING UH THIS PAIN IN MY UM RIGHT RIGHT ELBOW AND ITS JUST BEEN GETTING WORSE OVER THE LAST FEW DAYS I STARTED HAVING IT AROUND THREE DAYS AGO UM AND ITS JUST BEEN GETTING WORSE WITH ANY KIND OF GRIPPING MOTION OR YEAH SO ITS ITS BEEN GETTING WORSE audio/RES0008.mp3[83.400,94.520] OK AND HOW FREQUENTLY ARE YOU COUGHING audio/RES0105.mp3[398.720,413.840] AH YEAH I I HAVE A I MEAN I HAVE BEEN FEELING JUST TIRED THIS MORNING BUT I THINK THATS MORE TO DO WITH THE FACT THAT I JUST CANT REALLY DO A WHOLE LOT OF EXERTION BECAUSE AS SOON AS I MOVE AROUND IM I CANT BREATHE audio/RES0030.mp3[483.560,486.480] OK ANY LIKE ASTHMA IN THE FAMILY audio/MSK0024.mp3[462.960,470.240] I CAN TRY THAT UM THAT HURTS A LITTLE BIT YEAH audio/RES0005.mp3[143.320,151.680] HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THE COUGH BETTER audio/RES0038.mp3[673.960,681.480] OK AND IN TERMS OF EXERCISE DO YOU FIND THAT YOURE GETTING ADEQUATE EXERCISE THROUGHOUT THE WEEK audio/RES0100.mp3[232.400,234.720] NO WHEEZING audio/RES0100.mp3[467.320,472.520] OK THIS IS ON ON ONE ARM audio/RES0146.mp3[404.680,417.360] YEAH HAVE A FEW BEERS ON THE WEEKEND BUT IVE BEEN TRYING TO CUT DOWN AFTER I WAS TOLD I HAVE UH PRE DIABETES audio/RES0192.mp3[251.960,255.640] OK AND HAVE YOU BEEN TRYING TO LOSE WEIGHT audio/MSK0043.mp3[566.960,591.520] YEAH ILL SMOKE UH SMOKE MARIJUANA AS WELL AND UM LIKE ILL SOMETIMES LIKE ILL TAKE UH PILLS TOO LIKE DILAUDID IS UM IS SOMETHING THAT ILL ILL GET MY HANDS ON BUT IT CAN BE EXPENSIVE SO UM JUST JUST WHATEVER IS AVAILABLE audio/MSK0037.mp3[496.040,500.920] OK AND ARE YOU WORKING RIGHT NOW audio/RES0129.mp3[236.120,253.440] YEAH HE HE IS I MEAN HE UHM ABOUT SIX MONTHS AGO HE HAD UHM CROUP I THINK BUT HE RECOVERED QUICKLY FROM THAT AND HE DIDNT NEED TO BE HOSPITALIZED OR ANYTHING audio/MSK0010.mp3[226.800,241.880] UHM IF IM NOT DOING IT DOING ANYTHING OR NOT DOING MUCH ITS PROBABLY LIKE A TWO OR THREE BUT IF I TRY TO CARRY ANYTHING IT GOES UP TO LIKE PROBABLY LIKE A 7 audio/MSK0036.mp3[792.640,796.160] UM NO audio/RES0033.mp3[361.600,364.160] UH NO STILL THE SAME audio/RES0108.mp3[12.920,16.960] SURE SO YOU MENTIONED YOU IT STARTED A WEEK AGO audio/RES0168.mp3[429.640,431.840] NO NO IVE BEEN WORKING FROM HOME audio/RES0190.mp3[334.280,339.240] UH NO NOT THAT I KNOW OF audio/RES0009.mp3[453.360,458.520] UH NO I DONT THINK SO audio/RES0132.mp3[370.760,374.640] UM NO NONE NONE YEAH audio/RES0064.mp3[7.720,25.880] OK SO YOU MENTIONED THE SORE THROAT STARTED THREE TO FOUR DAYS AGO AND THE CHILLS STARTED YESTERDAY AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS audio/GAS0005.mp3[337.920,341.880] NO THATS BEEN OK audio/MSK0043.mp3[361.960,366.560] OKAY UM ANY CHANGES IN YOUR WEIGHT OR APPETITE audio/RES0135.mp3[309.960,312.560] UH NO NO CHANGES THERE audio/MSK0014.mp3[185.600,201.720] OK AND AND UM OK IS THE PAIN WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE DO YOU HAVE MORNING STIFFNESS audio/RES0061.mp3[761.800,769.920] OK THATS GOOD WHAT KIND OF DRINKS DO YOU HAVE AND HOW MUCH OF IT DO YOU HAVE audio/RES0046.mp3[243.320,247.840] OK UM WHEN DID THAT START audio/RES0020.mp3[459.400,460.960] OK ANY ALLERGIES audio/RES0124.mp3[233.360,234.720] UM NO NOTHING LIKE THAT audio/RES0132.mp3[221.520,226.800] AND HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS OR GAIN audio/CAR0002.mp3[460.160,466.760] I DO YES BEEN SMOKING FOR THE LAST 20 YEARS ROUGHLY audio/RES0105.mp3[164.480,171.960] THEYVE BEEN CONSTANT AND THEYVE GOT BEEN GETTING WORSE SINCE SINCE LAST NIGHT audio/RES0193.mp3[242.840,251.240] OK UM DO YOU FIND THAT HIS SYMPTOMS GET WORSE IN ANY PARTICULAR SEASON LIKE THE WINTER OR ANYTHING LIKE THAT audio/RES0175.mp3[100.200,105.360] YEAH SO YOUVE HAD WHEEZING AS WELL ARE YOU ABLE TO TO HEAR IT audio/MSK0016.mp3[418.040,421.640] I AM YEAH AND I GET THE FLU SHOT EVERY YEAR audio/RES0025.mp3[40.200,55.920] UH YEAH YEAH THE NAUSEA START KIND OF STARTED THREE OR FOUR DAYS AGO AND THEN AFTER THAT THAT THE VOMITING CAME SO YEAH MAYBE THE VOMITING WAS MORE LIKE 2 DAYS AGO IT STARTED AND THEN DIARRHEA KIND OF THE LAST DAY audio/RES0033.mp3[176.440,180.480] OK ANYTHING YOUVE TRIED TO MAKE THE OFFER BETTER audio/RES0144.mp3[344.680,348.120] SO HE MIGHT BE A LITTLE BIT DEHYDRATED audio/RES0159.mp3[409.480,419.760] THATS GOOD THATS REALLY GOOD AND UH DO YOU ARE YOU ABLE TO UM TAKE CARE OF YOURSELF OR DO YOU NEED HELP WITH THINGS LIKE UM FINANCES AND GROCERIES AND CLEANING audio/MSK0022.mp3[612.800,617.600] OK OK OK AND SINCE THEN YOUVE BEEN ON THE THYROID MEDICATION audio/MSK0033.mp3[1.960,26.560] IVE BEEN HAVING THIS PAIN IN MY KNEE AND ITS BEEN GOING ON NOW FOR A FEW WEEKS ITS KIND OF RIGHT AT THE I COULD FEEL IT RIGHT BELOW MY KNEECAP AND AT FIRST IT IT WAS REALLY ONLY BOTHERING ME AFTER ACTIVITY BUT NOW ITS STARTING TO HURT DURING AS WELL AND SO ITS ITS TRYING TO LIMIT MY ABILITY TO PLAY BASKETBALL audio/RES0062.mp3[243.360,255.800] OK YEAH UM ALONG WITH YOUR FATIGUE AND FEELING WEAK HAVE YOU EXPERIENCED ANY DIZZINESS OR FAINTING SPELLS audio/MSK0005.mp3[475.840,478.720] UH IT DOES YEAH THAT HURTS AS WELL audio/MSK0022.mp3[601.360,607.640] OK TODAY TELL YOU WHAT IT WAS CAUSED BY IT AT ALL audio/RES0126.mp3[606.320,611.200] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS audio/RES0137.mp3[638.560,640.560] ALRIGHT TAKE CARE audio/RES0008.mp3[243.800,250.680] OK IS THE PAIN PRIMARILY THERE WHEN YOU COUGH OR IS IT PRESENT AT ALL TIMES audio/RES0123.mp3[126.680,132.400] UH NO ITS ITS JUST KIND OF THERE NOTHING MAKES IT WORSE audio/RES0063.mp3[323.080,324.240] OK YEAH audio/RES0023.mp3[537.720,539.600] YEAH THAT SOUNDS GOOD audio/RES0034.mp3[680.080,687.560] OK AND UH WERE YOU SICK AT ALL AT ANY POINT WITH INFECTIOUS SYMPTOMS audio/MSK0038.mp3[396.560,401.840] I AM YEAH ILL GET THE FLU SHOT EACH YEAR audio/RES0136.mp3[444.320,447.280] YEAH YEAH audio/RES0056.mp3[62.600,67.800] NO I THINK IT STAYS AROUND THE SAME audio/RES0025.mp3[259.800,267.240] OK UM OK FIVE DAYS AGO AND WHEN YOU WERE THERE WERE YOU IN CONTACT WITH ANYONE audio/RES0133.mp3[317.800,322.280] UH I JUST TAKE SOME MULTIVITAMINS audio/MSK0024.mp3[515.560,522.920] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0015.mp3[327.160,331.560] ANY DISCHARGE FROM YOUR EYES audio/RES0129.mp3[132.800,144.360] OH OK YEAH WELL DEFINITELY TAKE A TEMPERATURE HERE AS WELL JUST TO MAKE SURE HAS HE HAD ANY RASHES audio/RES0056.mp3[281.840,290.880] YEAH I LIKE GO THREE TIMES A DAY AND I DONT HAVE ANY DIARRHEA OR ANYTHING audio/RES0062.mp3[378.320,381.640] OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE audio/RES0090.mp3[39.840,49.880] OK AND DID IT START DID THE COUGH JUST START UH WITH UH BLOOD IN THE COUGH OR WHAT DID IT JUST START AS A NORMAL COUGH FIRST audio/MSK0049.mp3[466.320,474.640] UM I LIVE WITH MY HUSBAND IN A HOUSE DOWNTOWN audio/RES0153.mp3[452.720,459.040] OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0131.mp3[559.360,572.520] NO THATS IT I WAS JUST UH I MEAN CONCERNED ABOUT COVIIVE BEEN HEARING ABOUT THIS NEW VARIANT AND STUFF ON THE NEWS SO A LITTLE BIT WORRIED audio/RES0142.mp3[178.480,187.360] OKAY AND UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0097.mp3[730.240,736.960] OK OK SOUNDS GOOD THANK YOU audio/RES0145.mp3[161.200,175.640] OK UHM AND WERE SNEEZING LAST WEEK AND YOU HAD ITCHY EYES HAD AND THATS GONE OK SO ALL YOU HAVE RIGHT NOW IS THAT COUGH AND SORE THROAT UHM OK audio/RES0016.mp3[313.680,318.000] OK AND HOW ABOUT FEELING LIKE YOUR HEARTS RACING audio/RES0045.mp3[379.000,385.360] OK UM ANY CHANGES TO YOUR BOWEL HABITS audio/RES0085.mp3[120.640,127.640] UH NO ITS MAINLY JUST THE GRUNTING audio/RES0131.mp3[442.280,443.320] NO I DONT audio/MSK0040.mp3[133.280,142.880] SO ITS UM SPECIFICALLY ITS ON THE LIKE LATERAL MALLEOLUS AREA audio/RES0176.mp3[371.560,373.400] ANY FEVERS OR CHILLS audio/RES0026.mp3[323.240,326.320] AH NO NOT THAT I NOTICED audio/RES0139.mp3[347.200,360.920] UM I LIVE I LIVE IN AN APARTMENT I UM I LIVE ALONE I JUST GOT I HAD A DIVORCE TWO YEARS AGO AND SINCE THEN IVE BEEN IVE BEEN LIVING ALONE audio/RES0101.mp3[198.440,202.760] I SEE AND DID YOU EVER COUGH PRIOR TO THIS audio/RES0087.mp3[136.560,142.560] NO ANY CHANGE IN HIS HAIR OR NAILS LIKE RASHES OR SORRY OR SKIN audio/RES0106.mp3[514.040,520.040] IT IS AN OLD BUILDING BUT ITS BEEN OK SO FAR NO RECENT CHANGES audio/MSK0036.mp3[522.640,527.160] OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/MSK0018.mp3[256.640,259.800] UM NO audio/RES0128.mp3[423.040,427.600] SO ITS MYSELF HIS MOM AND THEN HIS SISTER audio/RES0181.mp3[173.800,175.320] UH NO audio/RES0133.mp3[149.880,153.280] UH IT WAS IT WAS CLEAR audio/RES0206.mp3[164.920,173.760] I THINK TWICE MAYBE OVER THE LAST LIKE THREE YEARS audio/RES0110.mp3[36.440,55.840] YEAH YEAH ITS ITS THAT WAS A REALLY GOOD IDEA TO COME IN TO GET CHECKED OUT UM SO CAN YOU UH ILL TALK ILL ASK ABOUT EACH SYMPTOM A LITTLE BIT SO STARTING WITH THE SHORTNESS OF BREATH CAN YOU UM TELL ME HOW UH BAD THE SHORTNESS OF BREATH HAS BEEN audio/RES0211.mp3[350.880,354.640] LIKE IVE HEARD OF IT audio/RES0003.mp3[113.360,120.400] YEAH WE DID AND ITS UH ITS PRETTY HIGH ACTUALLY IT WAS LIKE 394 audio/RES0104.mp3[251.600,255.720] OK ARE YOU HAVING ANY NIGHT SWEATS audio/RES0138.mp3[2.160,23.280] UM IVE JUST HAD DIFFICULTIES WITH BREATHING FOR THE PAST I WANT TO SAY EIGHT NINE MONTHS AND UM MY WIFE JUST TOLD ME TO COME IN ITS JUST SHE WAS WORRIED ABOUT IT AND UH I THOUGHT ID JUST COME IN AND HAVE IT CHECKED OUT audio/RES0181.mp3[157.880,160.640] HOW ABOUT ANY CHEST PAIN audio/RES0045.mp3[366.840,369.960] UH MAYBE THESE PAST COUPLE OF DAYS YEAH audio/RES0084.mp3[121.520,140.160] JUST SOME REST AND UH I TRIED TO TAKE SOME TYLENOL TO GET RID OF IT TOOK SOME ADVIL AS WELL IT DID HELP A LITTLE BIT BUT IT JUST KIND OF CAME BACK AFTER THE MEDICATION WORE OUT audio/RES0084.mp3[689.800,692.360] NO NO RECREATIONAL DRUGS audio/CAR0001.mp3[602.880,610.440] OK AND THEN ANY CANCERS IN THE FAMILY audio/MSK0021.mp3[391.440,397.240] OK AND ANY AUTOIMMUNE CONDITIONS audio/RES0023.mp3[289.360,299.240] OK UM HAVE YOU BEEN IN CONTACT WITH ANYONE THAT MIGHT BE SICK audio/RES0096.mp3[34.560,38.680] WITHOUT BEING SHORT OF BREATH audio/RES0088.mp3[395.360,399.480] OK HOW ABOUT HER APPETITE audio/RES0092.mp3[23.280,38.640] UH YEAH ITS BEEN UHM MIX ITS BEEN DRY SOMETIMES AND I HAVE HAD A LITTLE BIT OF SPUTUM PRODUCTION RECENTLY UH ITS BEEN MOSTLY CLEAR THOUGH audio/MSK0042.mp3[330.560,357.760] NO I MEAN LIKE ALL THE OTHER JOINTS AND OTHER LIKE BONES AND MUSCLES HAVE BEEN FINE ITS JUST EVEN I WOULDNT DESCRIBE THIS AS PAIN ITS JUST UH I THINK MY PARENTS GOT A BIT CONCERNED UM SINCE THERE WAS LIKE A LUMP THEY WERE SCARED AND I WAS A LITTLE BIT SCARED TOO SO I JUST CAME IN TO CHECK IT OUT audio/RES0208.mp3[61.280,79.800] I THINK JUST LIKE OVERALL IM FINDING IT LIKE ITS HARD TO HARD TO GET LIKE SUPER DEEP BREATHS ITS NOT LIKE I I CANT I DONT GET THE FEELING THAT I CANT BREATHE ITS JUST THAT EVERYTHINGS A LITTLE BIT MORE LIKE LABORIOUS audio/GAS0002.mp3[468.320,475.400] OK AND DO YOU DRINK ALCOHOL audio/MSK0041.mp3[259.720,265.840] AND HOW ABOUT HAVING A COUGH OR SHORTNESS OF BREATH audio/RES0132.mp3[127.640,137.920] UM IT WAS I I DONT KNOW IF ITS BECAUSE OF ALL THE COUGHING THAT IVE BEEN DOING BUT IT JUST STARTED THIS MORNING audio/RES0066.mp3[237.880,240.880] NO NO SWELLING audio/RES0159.mp3[385.000,395.680] OK ANY UM I GUESS SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH audio/RES0132.mp3[490.000,492.840] YOU SAID YOU WENT TO THE STORES AND STUFF LIKE THAT audio/MSK0029.mp3[641.480,646.040] OK AND THEN DO YOU DRINK ALCOHOL audio/RES0022.mp3[570.160,597.320] OH GEEZ I HAVENT SEEN MY FAMILY DOCTOR IN AWHILE BECAUSE OF THE COVID STUFF BUT I HAVE AN INHALER AH THAT WAS PROBABLY LIKE BEFORE COVID THAT IT WAS PRESCRIBED AND THEN I RAN OUT AT SOME POINT AND I HAVENT GOT IT RENEWED audio/RES0208.mp3[256.120,260.120] UH LIKE ITS NO YEAH NO NO CHEST PAIN audio/RES0214.mp3[438.360,451.760] OK AND THEN OTHERWISE SO WE TALKED A LITTLE BIT ABOUT RECENT TRAVEL IT SOUNDS LIKE YOU HAVE THE HIKING TRIP LAST WEEK AND YOU PASSED SOME PEOPLE BUT IT SOUNDS LIKE YOUR HUSBAND ALSO HAS KIND OF SIMILAR SYMPTOMS THAT YOU DO RIGHT NOW audio/MSK0034.mp3[346.280,349.040] IT WAS A VAGINAL DELIVERY audio/RES0062.mp3[686.120,688.200] NO OTHER CANCERS audio/RES0029.mp3[330.080,331.880] ANY SURGERIES audio/MSK0037.mp3[448.680,457.040] OK AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0011.mp3[831.040,841.320] MEAN WE WE SEE EACH OTHER AND LIKE WE LIVE IN THE SAME APARTMENT BUILDING AND OFTEN HAVE MEALS TOGETHER BUT WERE JUST LIKE FRIENDS audio/MSK0020.mp3[631.640,651.960] OK SO SOME DISCOMFORT ON THE PATELLA PALPATION UHM ALRIGHT AND THEN WHEN YOU PALPATE THOSE AREAS DO YOU FEEL LIKE THERE IS A GRADING SENSATION HOW DOES IT FEEL WARM audio/MSK0026.mp3[315.280,317.520] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0074.mp3[393.360,404.440] JUST LIKE IN MY TEENS I HAD MY APPENDIX REMOVED BUT THATS IT I HAVE BEEN PRETTY GOOD OTHERWISE audio/MSK0013.mp3[532.840,534.480] I DO audio/RES0111.mp3[327.960,330.040] OK DO YOU SMOKE audio/MSK0001.mp3[483.840,488.680] UH NO NEW PARTNERS UM JUST MY GIRLFRIEND UH audio/RES0125.mp3[212.440,220.080] TWO WEEKS AGO OKAY AND UH HOW IS SHE NOW LIKE DID IT JUST GO AWAY ON ITS OWN OR DID SHE HAVE TO GO TO THE DOCTOR audio/MSK0038.mp3[331.320,334.840] NO I HAVENT HAD THAT audio/RES0093.mp3[254.400,257.840] UHM NO I HAVENT ANYTHING LIKE THAT audio/RES0142.mp3[313.600,409.360] OH I SEE I SEE OKAY OKAY UM SO I GUESS I AT THIS POINT I WOULD LIKE TO MAYBE HAVE IT EXAMINE YOU JUST HAVE A LOOK INSIDE YOUR THROAT MAYBE FEEL YOUR NECK FOR THOSE LUMPS AND UH THEN DECIDE WHAT TO DO FROM THERE UM GIVEN YOUR SYMPTOMS UM THIS COULD BE A VIRAL INFECTION OR UM IT COULD BE A BACTERIAL INFECTION CAUSED BY UM BACTERIA CALLED OR I GUESS STREP STREP THROAT IT COULD ALSO BE UH MONO UM BUT ILL UH ILL HAVE A LOOK WELL DO THE RAPID STREP TEST AND UH BASED ON THOSE RESULTS WELL DECIDE WHAT TO DO IF IT IS STREP YOU MIGHT REQUIRE ANTIBIOTICS IF NOT IF ITS MONO AND IF WE CAN DO MAYBE A BLOOD TEST FOR THAT YOU MIGHT HAVE TO UM NOT ENGAGE IN IN PHYSICAL ACTIVITY UM OR EXERCISE VIGOROUS ACTIVITY OR LIKE SPORTS FOR THE NEXT COUPLE OF WEEKS OR MONTHS AS AS THAT CAN BE UH AS THAT CAN CAUSE PROBLEMS IF YOU GET HIT IN THE IN YOUR BELLY IT COULD CAUSE YOUR SPLEEN TO RUPTURE AND SOMETIMES YOUR SPLEEN BECOME VERY BIG IF YOU DO HAVE MONO BUT WELL DISCUSS ALL OF THAT A LITTLE BIT MORE AFTER WE DO UH THE STREP TEST WELL ALSO CHECK YOUR TEMPERATURE UM AND SEE UM HOW YOURE DOING HAVE YOU BEEN TAKING ANYTHING TO HELP YOURSELF TO HELP SOOTHE YOUR SORE THROAT audio/MSK0032.mp3[366.720,374.840] UM IS SHE LIKE ON PAR WITH HER PEERS IN TERMS OF DEVELOPMENTS AND REACHING MILESTONES audio/RES0049.mp3[233.880,238.000] OK UH EXPERIENCED ANY WEIGHT LOSS RECENTLY audio/RES0007.mp3[591.400,618.680] I LIKE I LIKE PLAYING VIDEO GAMES I WAS REALLY WANTING TO JOIN THE MARINES AND I WAS REALLY TRYING TO GET INTO THAT STUFF BUT THEN I HEARD LIKE YOU CANT WHEN YOU HAVE ASTHMA OH SO I I KINDA WANNA KNOW BOUT THAT LIKE IS THAT GONNA STOP ME FROM DOING THAT audio/RES0028.mp3[227.120,235.560] AH MY LEGS FELT A BIT SWOLLEN ON THE WAY BACK ON THE AIRPLANE BUT THEY TEND TO SWELL SO I DIDNT THINK ANYTHING OF IT audio/MSK0014.mp3[533.200,561.440] I I KIND OF HAD TO RETIRE AFTER JUST MY PAST MEDICAL HISTORY LIKE THE HEART ATTACK AND THEN THERE WAS JUST TOO MUCH STRESS AT WORK IT WAS TOO MUCH FOR ME BUT YEAH IM JUST AT HOME RIGHT NOW MY WIFE STILL WORKS YEAH IM TAKING IT MORE EASY NOW audio/RES0106.mp3[254.920,262.440] OK OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0036.mp3[606.200,615.520] UM MAYBE AH ITS A VERY BADLY KEPT APARTMENT SO ITS POSSIBLE audio/RES0145.mp3[353.400,357.680] OK AND NO PNEUMONIA OR ANYTHING LIKE THAT RIGHT audio/RES0214.mp3[401.240,405.080] UM NO audio/RES0139.mp3[173.160,178.920] OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY audio/RES0061.mp3[240.200,248.520] UH NOTHING LIKE THAT THAT BUT I MEAN MY EYES WERE A BIT THEYVE BEEN A BIT RED THESE LAST TWO DAYS audio/MSK0044.mp3[231.920,246.360] OKAY ALRIGHT AND DID YOU HURT YOURSELF ANYWHERE ELSE LIKE DID YOU HURT YOUR HEAD AT ALL UM SUFFER ANY LOSS OF CONSCIOUSNESS OR ANYTHING LIKE THAT audio/RES0089.mp3[618.560,635.640] OK AND ARE YOU USING LIKE THE BLUE ONE THE BLUE ONE MORE AT ALL ARE YOU HAVING TO USE THE SHORT ACTING ONE MORE audio/CAR0005.mp3[599.640,610.320] UH NO I THINK THATS UM YEAH I THINK THATS ALL THAT I WANTED TO TALK ABOUT TODAY audio/RES0022.mp3[282.240,290.160] OK HOW ABOUT ANY CHILLS SO IT COULD BE LIKE WHEN YOU KIND OF SHAKING IN YOUR IN YOUR BED audio/RES0190.mp3[397.840,407.600] OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION SO LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0036.mp3[634.720,638.400] I SMOKE 10 CIGARETTES A DAY audio/RES0019.mp3[525.760,533.320] OK UM AND SO HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0077.mp3[2.720,13.680] YEAH SO IVE HAD THIS COUGH ONGOING NOW FOR THE LAST THREE DAYS AND I FOUND IVE HAD A MORE DIFFICULT TIME BREATHING AS WELL audio/RES0050.mp3[89.840,99.720] OK AND ARE YOU BRINGING UP MORE SPUTUM NOW THE SAME OR LESS audio/MSK0018.mp3[71.640,75.800] OKAY UM AND HAVE YOU EVER HAD ANYTHING LIKE THIS IN THE PAST audio/RES0086.mp3[333.320,336.760] CHANGES IN SMELL audio/RES0111.mp3[156.800,159.720] DO YOU FEEL SHORT OF BREATH audio/MSK0020.mp3[602.480,604.440] UH NO audio/RES0091.mp3[242.200,244.200] NO NOTHING LIKE THAT audio/RES0200.mp3[62.520,76.440] YEAH IVE BEEN COUGHING A LOT MORE EVEN JUST WALKING DOWN THE STAIRS FROM MY BEDROOM TO EVEN THE KITCHEN I JUST HAVE TO TAKE A LITTLE BIT OF A BREATHER JUST START COUGHING audio/RES0192.mp3[573.880,578.720] OK AND DO YOU USE RECREATIONAL DRUGS audio/RES0075.mp3[241.600,247.440] OK AND HAVE YOU HAD ANY FEVERS CHILLS OR NIGHT SWEATS audio/RES0056.mp3[444.680,450.320] OK SURE AND HOW OLD WAS HE WHEN HE GOT THAT audio/RES0189.mp3[373.960,380.080] OK AND HAVE YOU HAD ANY ANY FATIGUE audio/RES0071.mp3[474.840,485.680] YEAH NOW THAT I THINK ABOUT IT I MEAN MAYBE LIKE A MONTH AGO I HAD LIKE A RUNNY NOSE FOR A COUPLE OF DAYS AND IT JUST WENT AWAY audio/RES0136.mp3[302.080,305.080] OKAY ANY CHEST PAIN audio/RES0176.mp3[235.240,240.440] OK AND HOW LONG DID IT LAST FOR audio/MSK0007.mp3[136.120,148.720] UM WHEN I I I GUESS WHEN I LIKE EXTEND MY ELBOW OUT IT GETS WORSE audio/RES0012.mp3[336.760,340.760] OK SORRY YOU SAID YOUR NOSE WAS STUFFY OR RUNNY audio/RES0132.mp3[216.320,220.280] HAVE YOU HAD ANY NIGHT SWEATS audio/RES0177.mp3[493.280,502.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS ANYTHING THAT COULD EXACERBATE HIS CONDITION audio/RES0214.mp3[273.520,278.520] UH YES audio/RES0135.mp3[499.240,506.960] UM NO WE HAVENT GONE ANYWHERE RECENTLY audio/MSK0017.mp3[302.800,308.240] OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZINESS audio/MSK0008.mp3[620.040,625.720] ANY PAIN IN THE HAMSTRING MUSCLES audio/RES0077.mp3[482.600,487.360] UHM YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL audio/GAS0005.mp3[523.720,549.640] UHM I DONT EXACTLY REMEMBER HIS APGAR SCORES I THINK THEY WERE LIKE JUST JUST THEY THEY WERE NORMAL LIKE THERE WAS NOTHING CONCERNING ABOUT THEM AND BIRTH WEIGHT I THINK HE WAS PROBABLY AROUND 3 KILOGRAMS audio/RES0059.mp3[235.400,239.280] OK ANY FAINTING SPELLS audio/RES0059.mp3[512.240,516.320] OK SO IS THAT LIKE 1 MILLIGRAM audio/RES0134.mp3[456.640,462.520] OKAY HAVE YOU HAD ANY UH LIKE BONE FRACTURES audio/RES0142.mp3[255.760,258.320] JUST ON THE WEEKENDS MAYBE UH SOME WINE audio/MSK0027.mp3[637.520,676.320] I YEAH CERTAINLY SO IT WILL BE SO WHEN I GET AN ELBOW X RAY AND BUT TYPICALLY TO FIX THIS TYPE OF INJURY SO CURRENTLY IM THINKING THIS COULD BE A LIKE A RADIAL HEAD SUBLUXATION AND POSSIBLY A RADIAL HEAD FRACTURE BUT MOST LIKELY I RADIAL HEAD SUBLUXATION WHERE THERES A MECHANISM OF PULLING ON A CHILDS ARM AND ITS JUST THAT THE WHAT COULD HAPPEN IS THE PART OF THE RADIUS WHICH IS THAT A FOREARM BONE CAN PULL OUT OF THE LIGAMENT THATS HOLDING IT DOWN audio/RES0084.mp3[54.800,61.720] SO THE HEADACHE STARTED FIRST SO THAT WAS AROUND FOUR DAYS AGO audio/RES0021.mp3[243.520,247.480] NO NOTHING LIKE THAT audio/RES0008.mp3[181.280,185.200] OK OK DID YOU FIND THAT THEY HELPED AT ALL audio/RES0059.mp3[186.480,189.440] OK ANY CHANGES IN YOUR URINE audio/MSK0009.mp3[347.080,354.520] OK HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR OR CONSTIPATION audio/RES0201.mp3[265.360,270.320] OK OK WHEN DID THAT START audio/RES0095.mp3[141.560,145.160] DID IT HELP UH SITTING UP audio/RES0027.mp3[624.120,627.200] NO OK UM AND DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/GAS0007.mp3[264.880,269.880] NO SOMETIMES GET A LITTLE BIT CONGESTED DURING THE FALL BUT THATS IT audio/RES0037.mp3[256.400,268.760] I SEE AND IN TERMS OF ANY OTHER SYMPTOMS YOU MIGHT BE HAVING UH DO YOU HAVE ANY SHORTNESS OF BREATH RUNNY NOSE ANY CHEST PAIN audio/RES0134.mp3[170.560,175.680] UM YES THAT ALSO STARTED AFTER THE COUGHING AND THE SHORTNESS OF BREATH audio/RES0170.mp3[294.040,312.400] YEAH DEFINITELY WAKES HIM UP A FEW AND EVERY ONCE IN AWHILE AT NIGHT AND HE DOES HAVE TO TAKE IT A LITTLE EASIER AT SOCCER FOR SURE SO YEAH I AM THINKING IT IS AFFECTING HIM audio/RES0136.mp3[452.960,456.440] ADVIL OKAY ANY ALLERGIES THAT YOU KNOW OF audio/RES0213.mp3[90.920,98.160] YEAH ITLL COME ON FOR LIKE 20 MINUTES LIKE HERE AND THERE audio/MSK0011.mp3[438.560,457.280] UM YEAH I DO I I WORK UM IN A RESTAURANT AND SO AND THIS WILL BE A DIFFICULT FOR MY JOB COMING UP WITH AN INJURED WRIST I AND HAND I I JUST RESTARTED AND ILL HAVE TO BE CARRYING A LOT OF DIFFERENT THINGS AND SO I JUST HOPE ITS NOT BROKEN audio/RES0010.mp3[110.440,129.480] ALRIGHT SO ALL YOUVE EXPERIENCED SO FAR IS SINCE YESTERDAY EVENING YOUVE HAD A SORE THROAT WITH DIFFICULTY SWALLOWING AND HOARSE VOICE HAVE YOU EXPERIENCED ANY MALAISE OR DO YOU FEEL FEVERISH OR DO YOU HAVE ANY CHILLS audio/RES0122.mp3[245.480,249.520] DO YOU SMOKE MARIJUANA OR CONSUME ANY RECREATIONAL DRUGS audio/MSK0014.mp3[277.720,280.920] HOW ABOUT ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0086.mp3[76.920,82.840] 13 OK AND YOUVE BEEN USING PUFFERS SINCE audio/RES0169.mp3[346.920,361.400] IM GLAD IM GLAD AND AN ANYTHING THAT WE DISCUSS WILL SEE CONFIDENTIAL BETWEEN YOU AND ME UNLESS THERES SOMETHING THAT YOU COULD BE TALK ABOUT THAT COULD HARM YOU OR HARM ANYONE ELSE DO YOU FEEL SAFE AT SCHOOL audio/RES0143.mp3[403.560,407.200] NO NOT AT ALL MY SCHOOL IS ACTUALLY IN ONTARIO SO audio/MSK0013.mp3[636.840,640.200] UM NO NO SWELLING OR REDNESS audio/RES0026.mp3[738.880,742.480] UM NO audio/MSK0016.mp3[528.160,539.280] I DO YEAH I SMOKE ABOUT UM 5 TO 10 CIGARETTES PER DAY audio/RES0047.mp3[64.280,70.920] OK AND WHAT CAUSED THIS COUGH INITIALLY THREE YEARS AGO DO YOU KNOW audio/RES0042.mp3[382.080,390.040] RIGHT OK UM OK AND DO YOU HAVE ANY ALLERGIES audio/RES0043.mp3[470.320,478.280] OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW audio/RES0214.mp3[364.720,366.680] UM YES THATS RIGHT audio/MSK0004.mp3[379.040,386.520] NO NEVER I CANT WITH THE WITH ALL THIS LIKE TRAINING FOR YEAH AT THE RACE AND STUFF LIKE THAT audio/MSK0018.mp3[423.760,426.640] NO I I CANT I CANT MOVE IT AT ALL audio/MSK0001.mp3[496.680,500.120] UM JUST MY MY GIRLFRIEND RECENTLY audio/RES0038.mp3[506.560,511.480] OK AND HAS ANYONE AROUND YOU BEEN ILL RECENTLY audio/RES0044.mp3[80.280,90.520] OK OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH LIKE UM OVER THE COUNTER COUGH SYRUP OR ANYTHING LIKE THAT audio/RES0138.mp3[77.840,79.640] ANY BLOOD audio/RES0200.mp3[222.080,226.240] UH NO audio/RES0176.mp3[354.840,358.280] ANY ABDOMINAL PAIN audio/RES0077.mp3[154.080,163.760] OK WHEN DO YOU HAVE THE CHEST TIGHTNESS WHEN DID THAT START audio/RES0038.mp3[74.800,81.000] UH NOT REALLY I THINK ITS ABOUT THE SAME audio/RES0022.mp3[418.160,427.440] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR NEEDING TO GO REALLY OFTEN audio/MSK0043.mp3[641.680,644.160] UH I DONT THINK SO audio/RES0147.mp3[587.040,592.480] OK HAVE YOU TRAVELED AT ALL OUTSIDE THE COUNTRY OR OUTSIDE THE PROVINCE audio/RES0189.mp3[667.280,678.400] OK SO I THINK THAT WAS ALL THE QUESTIONS THAT I I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT ABOUT THAT YOU WANTED TO MENTION audio/MSK0049.mp3[316.200,319.480] ALRIGHT AND ANY CONFUSION OR MEMORY LOSS audio/RES0007.mp3[425.640,427.120] OH NO audio/RES0033.mp3[60.880,66.000] OK AND WHEN DID THIS COUGH START audio/RES0027.mp3[200.640,204.560] OK SO ITS JUST BEEN THESE LAST FEW DAYS audio/RES0010.mp3[374.760,382.320] HAVE YOU UM HAVE YOU BEEN SPENDING TIME WITH HER RECENTLY audio/RES0122.mp3[114.920,119.120] YEAH OKAY AND WHATS THE DISCHARGE LIKE audio/RES0174.mp3[653.880,656.400] AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0203.mp3[155.440,158.280] UM NO NO HEADACHES audio/RES0076.mp3[457.280,461.360] RASH OK ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST audio/RES0100.mp3[730.120,736.240] OK HOW ABOUT ANY GENETIC DISEASES OR ANYTHING CONGENITAL THAT RUNS IN THE FAMILY audio/MSK0032.mp3[271.560,282.480] OKAY AND UM WITH HER MOTHERS PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT THAT POINT audio/RES0193.mp3[279.200,290.480] UM NO ANIMALS AT AT HOME BUT THE FRIENDS HOUSE HE GOES OVER TO SOMETIMES THEY HAVE UM A CAT THERE audio/RES0046.mp3[557.920,560.400] OH ABOUT 10 YEARS AGO audio/RES0013.mp3[255.000,257.600] I DONT KNOW audio/RES0016.mp3[424.320,427.520] ARE YOU UP TO DATE WITH ALL OF YOUR IMMUNIZATIONS audio/RES0066.mp3[156.760,163.760] YEAH CHILLS IVE BEEN FEELING KIND OF HOT DURING THE DAY audio/RES0090.mp3[386.800,390.000] UH NO audio/MSK0042.mp3[447.120,459.840] NO I I DONT WORK IM CURRENTLY IN SCHOOL RIGHT NOW SO YEAH TOO BUSY WITH SCHOOL AND THEN JUST EXTRACURRICULAR ACTIVITIES audio/MSK0005.mp3[211.360,219.320] OK AND ITS NOT LIKE PREVENTING YOU FROM DOING EVERYDAY TASKS audio/RES0087.mp3[397.440,402.280] AND IS HE ON ANY MEDICATIONS audio/RES0016.mp3[166.600,175.520] OK OK UM AND DO YOU FEEL LIKE YOURE WHEEZY audio/MSK0020.mp3[227.440,234.920] NO OK HOW ABOUT MEMORY LOSS OR CONFUSION audio/RES0099.mp3[137.080,142.920] OK HAVE YOU HAD ANY NAUSEA AND VOMITING ASSOCIATED WITH THAT THE HEADACHE OR ANYTHING ELSE audio/RES0100.mp3[237.560,240.080] NO NO NO CHEST PAIN audio/MSK0011.mp3[166.360,173.920] OK OK ALRIGHT AND WHAT KIND OF PAIN ARE YOU FEELING IS THIS SHARP IS IT A DULL ACHING audio/RES0010.mp3[470.600,477.640] NOTHING LIKE ASTHMA OR COPOR ANY RESPIRATORY PROBLEMS audio/RES0160.mp3[209.080,211.800] UH NO NOTHING LIKE THAT audio/RES0182.mp3[504.000,557.560] SO UH YEAH ITS SOUNDING LIKE LIKE IT COULD BE TUBERCULOSIS BASED ON THE KIND OF TIMELINE OF YOUR SYMPTOMS AND SO AND COUGH AND HEMOPTYSIS AND SO WELL DO A TEST FOR THAT LIKE AN ACID FAST TEST OF THE SPUTUM GET A CHEST X RAY AND IF IT IS TUBERCULOSIS IT WILL REQUIRE A PROLONGED COURSE OF ANTIBIOTICS SO THAT ILL BE OVER SEVERAL MONTHS UMM AND SO I WELL GET THE INFECTIOUS DISEASE TEAM INVOLVED TO HELP KIND OF GUIDE OUR MANAGEMENT WITH THE APPROPRIATE ANTIBIOTIC CHOICE IF IT DOES COME BACK TO BE TUBERCULOSIS audio/RES0072.mp3[460.160,463.520] NO MY WEIGHT HAS BEEN THE SAME audio/RES0160.mp3[189.400,193.400] UHM I KNOW I HAVENT FELT ANY FEVER CHILLS audio/CAR0001.mp3[237.080,242.560] OK HAVE YOU BEEN HAVING ISSUES BREATHING SINCE THE PAIN STARTED audio/RES0007.mp3[427.920,429.360] UM NOT THAT audio/MSK0009.mp3[386.600,392.760] ALRIGHT HAVE YOU NOTICED ANY MUSCLE WEAKNESS audio/RES0170.mp3[277.960,294.040] OK ALRIGHT AND I HAVE THESE SYMPTOMS THAT HAVE INTERFERED WITH HIS DAILY ACTIVITIES DOES HE FOR INSTANCE TRY TO AVOID SOCCER PRACTICE OR DOES HE HAVE DIFFICULTIES FALLING ASLEEP AT NIGHT audio/RES0039.mp3[623.960,627.560] JUST A STUDENT audio/RES0182.mp3[67.520,73.320] OK AND PRIOR TO THIS DID YOU HAVE A COUGH audio/RES0174.mp3[253.600,255.800] NO NONE OF THOSE audio/MSK0029.mp3[953.640,964.080] UM YEAH I GET THERES A LITTLE BIT OF A PAIN IN THE MUSCLES ON THE LEFT SIDE WHEN IM DOING THAT audio/MSK0032.mp3[262.400,268.440] OKAY AND IS SHE OTHERWISE HEALTHY DOES SHE HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0029.mp3[349.800,363.360] OH SO I WORK JUST AS LIKE A MECHANIC JUST IN THE CITY AND CURRENTLY I JUST HAVE MYSELF TO SUPPORT I LIVE ALONE IN AN APARTMENT SO IM DOING FAIRLY WELL audio/RES0182.mp3[255.120,260.680] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0138.mp3[426.960,436.760] 55 OKAY UM AND CURRENTLY RIGHT NOW OR SORRY DO YOU HAVE ANY FAMILY HISTORY OF ANY CANCERS ANY LUNG CANCER OR ANYTHING LIKE THAT audio/RES0083.mp3[250.760,253.920] ANY CHEST PAIN audio/RES0182.mp3[235.320,237.480] HEART PALPITATIONS audio/RES0161.mp3[220.080,224.720] UHM DO YOU KNOW IF SHE HAD A COVITEST DONE audio/RES0089.mp3[183.240,192.920] UHM ITS UH OK ITS MORE WITH EXERTION BUT RIGHT NOW EVEN AT REST IM COUGHING AND FEELING SHORT OF BREATH audio/RES0179.mp3[410.640,416.360] OK OK WHEN WERE YOU WORKED UP FOR THAT audio/RES0209.mp3[113.600,126.440] OK ANY ARE YOU DOES IT USUALLY TURNED OUT THAT YOU NEED IT LIKE DURING CERTAIN TIMES LIKE SAY WHEN YOURE EXERCISING OR WHEN ITS COLD audio/RES0093.mp3[39.760,42.560] WHAT COLOR IS THE SPUTUM audio/MSK0013.mp3[705.080,712.840] OK AND HOW IS THE RANGE OF MOTION OF YOUR FEET AND TOES audio/RES0145.mp3[241.280,248.680] OK UHM ANY BELLY PAIN NAUSEA OR VOMITING ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS audio/RES0042.mp3[63.600,65.560] UH LIKE 3 DAYS AGO THREE DAYS AGO audio/RES0181.mp3[325.280,330.200] OK UH AND UH CURRENTLY ARE YOU IN IN SCHOOL OR WORKING audio/RES0034.mp3[508.840,513.080] OK AND ANY URINARY PROBLEMS audio/RES0038.mp3[381.320,384.160] MY WEIGHTS BEEN ABOUT THE SAME audio/RES0042.mp3[561.160,571.840] NO OK THOSE WERE ALL THE QUESTIONS THAT I HAD TODAY WERE THERE WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD ANYTHING THAT I MISSED PERHAPS audio/RES0090.mp3[429.800,436.200] NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0009.mp3[101.880,110.200] OK SO ITS WORSE IS THE PAIN WORSE WHEN YOURE WALKING AS WELL LIKE OUT TO GET THE MAIL audio/RES0088.mp3[0.000,3.360] UH WHAT BRINGS YOU IN HERE TODAY audio/GAS0003.mp3[248.640,253.880] NO ANY CHANGES IN YOUR SKIN AND YOU RASHES ANY YELLOWING OF YOUR SKIN audio/RES0200.mp3[318.320,323.160] OK SO YOU HAVENT ACTUALLY MEASURED YOUR TEMPERATURE RIGHT audio/RES0193.mp3[531.960,535.560] UM NO HES A IT ITS JUST HIM HES OUR ONLY CHILD audio/RES0053.mp3[375.040,377.880] OK IS HE MORE IRRITABLE THAN USUAL audio/RES0206.mp3[523.640,530.520] ANY CHANGE IN YOUR SENSE OF TASTE audio/RES0009.mp3[241.280,249.960] OK HOW ABOUT ANY UNUSUAL HEADACHES audio/RES0085.mp3[79.720,89.560] UHM YEAH I WOULD SAY WITH THE GRUNTING THERE IS SOME COUGHING IN BETWEEN AS WELL audio/MSK0015.mp3[693.400,703.760] OK AND IS SHE ABLE TO MOVE THE HIP IN A FULL RANGE OF MOTION OF LIKE FLEXION AND EXTENSION ABDUCTION ADDUCTION audio/RES0048.mp3[391.920,396.920] HOW ABOUT UM LOSS OF SMELL OR TASTE audio/RES0120.mp3[20.000,27.600] OKAY IM SORRY UM SO HOW LONG LIKE CAN YOU JUST TELL ME WHAT STARTED FIRST AND WHEN DID THIS ALL KIND OF START audio/RES0056.mp3[471.960,484.600] OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH OVARIAN CANCER audio/RES0194.mp3[225.880,230.920] OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN ILL audio/RES0119.mp3[451.840,462.400] HAS ANYONE IN THE FAMILY HAVE HAD ANY KIND OF ASTHMA ECZEMA ANYTHING LIKE THAT audio/MSK0017.mp3[609.240,625.080] MORE ON THE RIGHT SIDE OK NOW IF YOU HAVE A MIRROR WITH YOU OR IF YOU HAVE SOMEONE THERE WITH YOU WHO CAN UM SPEAK TO THIS DOES YOUR RIGHT SIDE APPEAR MORE RED SWOLLEN OR HOT COMPARED TO YOUR LEFT SIDE OF THE LOWER BACK audio/RES0166.mp3[21.680,28.080] AND UH DID YOU WAKE UP FEELING SHORT OF BREATH OR WAS IT AFTER YOU HAD WOKEN UP AND WE WERE DOING ACTIVITIES audio/RES0205.mp3[211.120,215.880] OK SO IT FEELS KIND OF SORE AFTER ALL THAT audio/MSK0007.mp3[207.040,214.320] ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR OR HEARING OR EVEN YOUR SMELL OR TASTE audio/RES0065.mp3[424.400,430.360] BOTH DO OK ANY ANYTHING ELSE THAT RUNS IN THE FAMILY audio/RES0053.mp3[755.720,764.520] OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0130.mp3[252.520,258.760] SURE UM HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0162.mp3[504.440,516.560] UHM OK AND YOU MENTIONED THAT YOURE STAYING WITH YOUR AT YOUR PARENTS PLACE ARE YOU UH ARE YOU DOING THINGS FROM HOME ARE YOU LIKE DOING SCHOOL FROM HOME OR WORKING FROM HOME audio/RES0161.mp3[322.960,329.760] YEAH CURRENTLY IM WORKING FROM HOME IM AN ACCOUNTING CLERK audio/RES0215.mp3[522.440,526.680] UH YEAH ASIDE FROM THAT NOTHING NO REGULAR MEDICATIONS audio/RES0168.mp3[494.160,495.240] OK YEAH audio/RES0042.mp3[272.200,276.160] ANY CONFUSION OR MEMORY LOSS audio/RES0104.mp3[348.760,352.640] NO MY WEIGHTS BEEN ABOUT THE SAME audio/RES0126.mp3[143.800,159.080] NO IT HASNT GOTTEN THAT FAR BUT SEEING HOW BAD ITS BEEN OVER THE PAST TWO MONTHS AND HOW FAST IS PROGRESSING I WONT BE SURPRISED IF I CANT EVEN SLEEP ITS BEEN QUITE DIFFICULT I I DONT EVEN KNOW WHY I WAITED SO LONG I SHOULD HAVE COME IN EARLIER audio/RES0048.mp3[381.320,386.600] OK ANY CHANGES IN YOUR VISION OR HEARING audio/RES0140.mp3[88.400,105.920] UM WAS THERE ANYTHING THAT YOU WERE DOING A COUPLE OF DAYS AGO ANY SAY ANY FLIGHTS OR PERIODS UM WHERE YOU MIGHT BE SITTING STILL OR LYING STILL FOR AWHILE ANY SURGERIES ANYTHING LIKE THAT audio/RES0066.mp3[336.040,339.080] UM NOTHING LIKE THAT audio/RES0137.mp3[633.120,637.440] ALRIGHT SO SO FOR NOW WERE GONNA JUST MAKE SURE THAT SHES DOING WELL OKAY audio/RES0152.mp3[338.440,343.840] DO YOU TAKE ANY MEDICATIONS OR ANY OVER THE COUNTER SUPPLEMENTS audio/GAS0004.mp3[537.800,541.520] UM SOMETIMES audio/MSK0032.mp3[363.400,366.720] UM NOPE audio/RES0077.mp3[633.800,639.680] OK AND YOU DONT HAVE ANY HIGH BLOOD PRESSURE OR ANYTHING LIKE THAT RIGHT audio/RES0188.mp3[410.240,412.040] UH NO NOTHING LIKE THAT audio/MSK0043.mp3[316.720,321.360] NO NOTHING DONE TO MY KNEE audio/RES0191.mp3[268.120,272.320] OK AND SORRY NO ALLERGIES TO MEDICATIONS AS WELL audio/RES0086.mp3[209.960,212.800] UNTIL IM FULLY KIND OF RECOVERED audio/RES0010.mp3[23.920,35.080] YEAH I JUST I THINK ITS GETTING WORSE ITS AT THE BACK OF MY THROAT AND ITS KIND OF BURNING audio/RES0183.mp3[415.320,419.760] OK THATS GREAT AND ANY ALLERGIES THAT YOURE AWARE OF audio/RES0168.mp3[444.080,453.800] I LIVE HERE IN TOWN WITH MY WIFE AND OUR TEENAGE SON audio/RES0053.mp3[764.520,768.400] NO NO THATS IT NO audio/RES0061.mp3[193.160,202.640] UM MAYBE I MEAN YEAH I THINK I MIGHT NOT BE REALLY TASTING THINGS THE SAME audio/RES0047.mp3[276.280,280.240] UH NO NO IT DOESNT REALLY HURT ITS JUST UNCOMFORTABLE audio/RES0019.mp3[363.680,367.280] NO RASHES EITHER audio/RES0057.mp3[589.440,598.320] OK AND DO YOU CURRENTLY SMOKE audio/RES0005.mp3[130.240,143.320] YEAH LIKE IN THE LAST TWO YEARS IVE PROBABLY HAD TWO OR THREE VIRAL INFECTIONS JUST JUST JUST COLD COLD SYMPTOMS audio/RES0027.mp3[444.560,452.000] I I TAKE THIS MULTI VITAMIN I CANT REMEMBER THE NAME OF IT BUT ITS JUST SOMETHING THAT I TAKE EVERY DAY audio/MSK0023.mp3[290.880,295.200] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES audio/MSK0036.mp3[434.400,439.320] HAVE YOU HAD ANY RUNNY NOSE OR FEELING CONGESTED audio/RES0202.mp3[525.520,534.360] OK AND AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE audio/RES0019.mp3[356.120,357.560] UM NO audio/RES0035.mp3[263.600,266.720] ANY SIGNIFICANT CHANGES IN YOUR WEIGHT audio/RES0100.mp3[375.680,378.600] NO ITS BEEN PRETTY STEADY audio/RES0160.mp3[542.880,607.560] UHM ITS ALSO IMPORTANT WITH THE DIARRHEA TO DRINK LOTS OF FLUIDS AND TO MAKE SURE THAT YOURE NOT LOSING IMPORTANT MINERALS AND YOURE NOT LOSING LIKE SODIUM OR POTASSIUM IN DIARRHEA AND OTHER THINGS LIKE CALCIUM THAT COULD CREATE PROBLEMS SO CONTINUE TO EAT WELL AND CONTINUE TO DRINK LOTS OF WATER I GUESS SO WHAT WELL DO IS WELL DO A COVISWAB JUST TO JUST TO CHECK IF YOU HAVE COVIOR NOT WELL ALSO DO A FEW LABS TO SEE HOW YOUR ELECTROLYTES ARE DO YOUR VITALS TO SEE IF YOU HAVE FEVER MEASURE YOUR HEART RATE AND DO A PHYSICAL EXAM AND THEN GO FROM THERE AND ILL OFF ILL TALK TO MY ATTENDING AS WELL AND WELL COME BACK AND DISCUSS THE MANAGEMENT PLAN WITH YOU audio/MSK0031.mp3[350.320,353.320] ANY CANCERS audio/RES0191.mp3[397.800,403.120] OK HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS audio/RES0108.mp3[251.000,265.080] UM AND UH MY FAMILY DOC STARTED ME ON UH RAMIPRIL ABOUT TWO WEEKS AGO HE TOLD ME THAT UH NOW THAT IM 50 I NEED TO I NEED TO BE ON THIS PILL AS WELL SO NOW I HAVE TO TAKE 2 PILLS INSTEAD OF ONE audio/MSK0003.mp3[588.400,593.080] OK AND CURRENTLY RIGHT NOW DO YOU WORK audio/RES0095.mp3[560.680,564.880] OK DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS audio/RES0080.mp3[427.160,438.400] OK YEAH FOR SURE IT SOUNDS LIKE THERES SOMETHING CERTAINLY GOING ON HERE AND YEAH HAVE YOU HAD ANY PAST SURGERIES audio/MSK0036.mp3[199.120,201.640] OK AND YOU HAVE SOME BURNING AS WELL audio/RES0037.mp3[392.360,399.560] ANY DO YOU FEEL THAT YOUVE LOST ANY WEIGHT RECENTLY audio/CAR0003.mp3[491.720,494.120] ANY ENVIRONMENTAL ALLERGIES audio/RES0154.mp3[477.720,485.200] UM SKIN CANCER ON MY UM FATHERS SIDE audio/RES0144.mp3[292.960,299.000] OK ALRIGHT AND YOU SAID NO DIARRHEA OR ANYTHING LIKE THAT RIGHT audio/RES0022.mp3[778.320,785.960] OK YEAH AND DO YOU LIVE WITH ANYBODY ELSE OR IS IT JUST YOU AND YOUR HUSBAND audio/RES0017.mp3[50.360,60.600] UH NOT REALLY UH IM LIKE ALMOST 75 YEARS OLD NOW SO I JUST THOUGHT IT WAS PROBABLY JUST DUE TO MY AGE audio/RES0126.mp3[735.520,749.200] NO I JUST I GUESS I NEED TO BE ADMITTED RIGHT JUST LIKE THOSE OTHER COPEXACERBATIONS IM THINKING THIS IS EXACTLY THAT AND ILL HAVE TO STAY IN THE HOSPITAL RIGHT FOR A COUPLE OF DAYS audio/RES0050.mp3[373.400,389.720] UM FOR THE BLOOD PRESSURE THE HIGH BLOOD PRESSURE IM ON A BETA BLOCKER AND THEN FOR MY DIABETES IM ON METFORMIN audio/MSK0045.mp3[323.400,328.160] OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS audio/RES0065.mp3[7.560,21.600] YEAH IVE HAD THIS SORE THROAT FOR THE PAST THREE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER AT ALL I FEEL SORT OF FEVERISH SO I JUST THOUGHT I SHOULD COME IN AND GET THIS CHECKED OUT audio/MSK0006.mp3[349.120,353.680] UM ARE YOU COUGHING HAVING SHORTNESS OF BREATH OR WHEEZING audio/RES0188.mp3[71.000,76.280] I DID IT UNDER THE ARMPIT audio/RES0034.mp3[149.120,160.600] UH TYLENOL I GAVE HER TYLENOL IT DID HELP HER A LITTLE BIT BUT THEN THE FEVER CAME RIGHT BACK UHM SAY LIKE A FEW HOURS LATER audio/MSK0024.mp3[410.240,414.240] ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0195.mp3[433.600,437.760] OK HOSPITALIZATIONS OR PREVIOUS SURGERIES audio/RES0198.mp3[372.800,434.760] YEAH IT KIND OF SO JUST A STUFFY NOSE IN THE RUNNY NOSE IT SEEMS LIKE ITS MOST LIKELY A VIRAL INFECTION LIKE THE COMMON COLD IT TAKES A FEW WEEKS FOR THE SYMPTOMS TO GET RELIEVED BUT THERES NOT MUCH THAT WE CAN DO BESIDES SUPPORTIVE CARE SO MAKE SURE YOU GET YOU STAY WELL HYDRATED YOU CAN USE OVER THE COUNTER MEDICATIONS UH LIKE TYLENOL COLD NOW IF YOU TO RELIEVE SOME OF YOUR SYMPTOMS BUT SINCE RIGHT NOW WERE IN A PANDEMIC SOME OF THESE SYMPTOMS CAN ALSO BE SEEN IN COVID PATIENTS SO WE WILL ALSO GET A SWAB DONE FOR YOU TODAY AND YOU SHOULD HAVE THE RESULTS BACK BY 48 HOURS UM UNTIL THEN WE RECOMMEND THAT YOU STAY ISOLATED IN YOUR OWN HOME AND NOT SEE ANYONE ELSE AND THEN ONCE THE RESULTS COME BACK YOULL GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH audio/RES0031.mp3[88.040,97.560] UH NO NOT THAT I CAN THINK OF I HAVENT REALLY CHANGED WHAT I DRINK OR WHAT I EAT NOTHING REALLY CHANGED audio/MSK0042.mp3[317.640,322.240] UM NO MY ENERGYS BEEN FINE audio/RES0062.mp3[285.560,297.560] YEAH ALRIGHT SO LETS GO BACK TO YOUR SHORTNESS OF BREATH DO YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THAT audio/RES0160.mp3[108.000,129.000] OK AND OTHER THAN THE COUGH HAVE YOU HAD ANY OTHER LIKE FLU LIKE SYMPTOMS HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE SORE THROAT ANY OF THOSE SYMPTOMS audio/RES0013.mp3[358.160,368.440] OK HAVE YOU HAD ANY INVESTIGATIONS DONE FOR YOUR CHEST LIKE PULMONARY FUNCTION TESTS ECGS CHEST XRAYS audio/MSK0001.mp3[268.480,272.440] NO IVE BEEN FEELING WELL OTHERWISE audio/RES0086.mp3[240.080,252.640] P ITS MOSTLY A DRY COUGH SOMETIMES I DO BRING UP SOME CLEAR WHITISH MATERIAL BUT USUALLY ITS DRY audio/RES0199.mp3[511.840,521.640] OK OK WELL THOSE WERE THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME audio/CAR0003.mp3[638.880,645.960] OK AND HOW ABOUT EXERCISE DO YOU FIND THAT YOUR EXERCISE LEVELS OR ACTIVITY LEVELS HAVE GONE DOWN IN THE LAST TWO MONTHS audio/RES0081.mp3[468.360,470.640] LAST YEAR audio/MSK0025.mp3[495.160,496.600] UM NO NO NOTHING LIKE THAT audio/CAR0002.mp3[338.680,358.600] UM I DO TAKE MEDICATIONS FOR BOTH BLOOD PRESSURE AND CHOLESTEROL ROSUVASTATIN AND UM LISINOPRIL AND I TAKE A MULTI VITAMIN audio/RES0049.mp3[530.960,534.120] UH YEAH YEAH I DO audio/RES0070.mp3[450.560,458.640] AND ANY HEART CONDITIONS OR CANCERS OR ANYTHING LIKE THAT IN THE FAMILY audio/RES0061.mp3[405.440,414.400] RIGHT OK IT HASNT BEEN INTENSE YOU SAID SO HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST audio/RES0091.mp3[164.840,168.520] NO NOTHING LIKE THAT THAT I CAN THINK OF audio/RES0017.mp3[9.120,12.680] OK AND DOES THIS COUGH HAVE ANY PHLEGM THAT YOU BRING UP audio/RES0032.mp3[78.760,86.480] I IT ITS THERE PRETTY MUCH ALL THE TIME BUT ESPECIALLY BAD IN THE MORNING audio/RES0068.mp3[137.160,142.920] OK AND DID THAT COME AFTER THE CONGESTION OR WAS IT PRESENT BEFORE audio/MSK0006.mp3[497.680,501.120] OK HOW ABOUT OTHER RECREATIONAL DRUGS audio/RES0217.mp3[4.600,61.920] YES I DID IT WAS UH IT WAS BEHIND MY LEFT UH KNEE KIND OF IN LIKE THE JOINT BEHIND WHERE IT BENDS UM IT WAS STUCK PRETTY GOOD ITS STILL KIND OF RED AND TENDER THERE I NOTICED IT BECAUSE THE BACK OF MY KNEE WAS STARTING TO JUST FEEL A BIT SORE UM NOT THE JOINT ITSELF BUT JUST KIND OF THE SKIN THE WHOLE AREA BACK THERE UM AND I FOUND THIS TICK I BROUGHT I BROUGHT IT IN WITH ME IF YOU WANTED TO HAVE A LOOK AT IT UM ITS IN LIKE THIS LITTLE PLASTIC CONTAINER UH AND I DONT REALLY KNOW WHEN I GOT IT I WAS HIKING ON FRIDAY UM AND THEN SATURDAY I WAS OUT IN MY GARDEN I HOPE THEYRE NOT AROUND MY HOUSE I HOPE THAT IT WAS FROM HIKING UM AND NOT GARDENING BUT UH I DID SPEND A LOT OF TIME OUTSIDE ON SATURDAY AS WELL audio/RES0125.mp3[369.920,377.760] PRETTY HEALTHY OKAY ANY ALLERGIES EITHER TO MEDICATIONS OR ENVIRONMENTAL audio/RES0011.mp3[895.640,905.680] OH YOURE WELCOME audio/RES0193.mp3[526.320,531.960] OK THATS GOOD UM DOES HE HAVE ANY SIBLINGS audio/RES0012.mp3[79.880,88.240] OK ALRIGHT SO LETS FOCUS ON THE COUGHING FIRST ARE YOU COUGHING UP ANY BLOOD AT ALL audio/CAR0002.mp3[454.320,460.160] OK AND DO YOU SMOKE CIGARETTES AT ALL audio/RES0069.mp3[506.800,515.200] SURE YEAH I LIVE WITH UH I LIVE WITH MY SON AND DAUGHTER AND MY GRANDSON audio/RES0066.mp3[587.800,636.880] YEAH SO THERES DEFINITELY MULTIPLE THINGS THAT CAN BE GOING ON SINCE YOU WERE JUST RECENTLY ADMITTED MAYBE YOU MIGHT HAVE ANOTHER BACTERIAL R ESPIRATORY INFECTION LIKE A PNEUMONIA OR IT COULD BE VIRAL AS WELL SO THE FIRST THING WE WANT TO DO IS FOR SURE GET COVISWAB DONE AND THEN WE WILL ALSO GET SINCE YOU WERE ADMITTED AS WELL RECENTLY WE WANT TO GET AN X RAY ON YOU JUST TO SEE IF THERES ANY PNEUMONIA OK AND SO WELL BE KEEPING YOU HERE FOR A BIT UNTIL EVERYTHING COMES BACK WELL GET SOME BLOOD WORK DONE FOR YOU AS WELL TO SEE IF THERES ANY INFECTION IN YOUR BODY AND THEN YEAH SO JUST SIT TIGHT WELL GET ALL THOSE THINGS DONE IS THAT OK WITH YOU audio/RES0114.mp3[620.600,627.480] OK ANY UH OLD CARPETS MOLD DUST ASBESTOS ANYTHING LIKE THAT IN THE CONDO audio/MSK0008.mp3[517.040,520.400] OK IS THERE ANY MUSCLE ATROPHY audio/RES0084.mp3[630.200,633.480] NO NO CANCERS audio/RES0111.mp3[155.920,156.800] UH NO audio/RES0039.mp3[409.240,410.920] UM NO audio/RES0168.mp3[343.760,349.120] UH LIKE A LITTLE BIT TO CATS BUT NOTHING ELSE audio/RES0196.mp3[346.880,350.560] AH SHE IS GOING IN PERSON audio/RES0173.mp3[302.840,304.320] UH NO audio/RES0069.mp3[35.840,39.200] LAST NIGHT ACTUALLY audio/RES0046.mp3[336.760,345.720] UH EVERY WELL IT KIND OF CHANGES SO UM MAYBE EVERY FEW HOURS audio/RES0113.mp3[144.000,148.320] UH I WOULD GIVE IT ABOUT LIKE A SEVEN audio/RES0082.mp3[294.600,303.760] HAVE YOU BEEN AROUND A CAT RECENTLY audio/RES0125.mp3[58.320,70.640] UM NO NOT NOT NOT RECENTLY BUT YEAH IN THE FIRST COUPLE OF DAYS THE FIRST TWO THREE DAYS audio/MSK0036.mp3[663.520,668.480] UH JUST MAYBE SOME WINE EVERY OTHER DAY audio/RES0134.mp3[647.960,653.760] UM YEAH I USED TO SMOKE BUT I STOPPED ABOUT FIVE YEARS BACK audio/RES0192.mp3[296.480,300.520] HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0005.mp3[51.000,59.520] OK DOES UH ANYTHING MAKE IT BETTER OR WORSE THE PAIN audio/RES0172.mp3[233.240,239.000] ANY CHANGES IN YOUR I GUESS HAVE HAD ANY CHEST PAIN audio/MSK0033.mp3[61.040,64.840] YEAH ITS ON THE RIGHT SIDE ITS MY RIGHT RIGHT SIDE YEAH audio/RES0154.mp3[258.160,272.640] NO ALRIGHT UM SO YOUVE HAD THIS UH COUGH AND YOUVE BEEN BRINGING UP MORE SPUTUM AND SHORTNESS OF BREATH AND UM AND YOUVE HAD A FEVER AS WELL UM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0105.mp3[514.960,538.200] YEAH I I DO I I TAKE ON AN ACE INHIBITOR METFORMIN SGLT2 INHIBITOR AND IM ALSO TAKING A UH A WATER PILL AS WELL CAUSE I OVER THESE LAST COUPLE OF YEARS IVE HAD SOME MORE SWELLING IN MY IN MY FEET audio/RES0126.mp3[33.880,37.280] OK AND IS IS THIS COUGH DIFFERENT AT ALL audio/RES0182.mp3[288.520,297.080] HAVE HAVE YOU BEEN HAVING ANY BONE PAIN LIKE ANY IN YOUR BACK OR ANYTHING LIKE THAT audio/RES0162.mp3[70.600,73.040] YOU NEVER NOTICE ANY BLOOD RIGHT audio/RES0145.mp3[592.720,603.880] I DIDNT CHECK IT LAST WEEK BUT I CHECKED IT YESTERDAY AND IT WAS 382 I THINK audio/RES0155.mp3[21.920,27.760] OK SO ITS JUST BEEN FOR THE PAST UH PAST WEEK OR FIVE DAYS audio/RES0033.mp3[370.760,393.360] LIKE I FEEL LIKE I MIGHT HAVE A COLD BUT I THINK I MAYBE A WEEK AGO I HAD LIKE A LITTLE BIT OF A RUNNY NOSE SO I DONT KNOW I MIGHT HAVE A COLD audio/RES0084.mp3[324.360,330.080] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/MSK0023.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY audio/RES0022.mp3[760.720,764.480] OK AND HOW WAS YOUR HUSBAND BEEN audio/RES0060.mp3[29.280,45.360] WELL IVE BEEN FEELING HOT THIS WEEK BUT I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THE FIRST TIME I CHECKED IT AND IT WAS 385 audio/RES0011.mp3[668.000,670.400] OK DO YOU TRAVEL THERE OFTEN audio/RES0060.mp3[205.240,214.880] USUALLY WELL AFTER SOME OF MY COUGHING FITS I CAN BE A LITTLE BIT SHORTER IN BREATH BUT OTHERWISE THEYVE BEEN audio/RES0165.mp3[186.240,188.840] ITS NOT THAT BAD audio/RES0155.mp3[654.120,665.680] UH YEAH I MEAN ILL HAVE SOME UH WINE WITH DINNER ON THE WEEKENDS BUT THATS ABOUT IT audio/RES0044.mp3[299.560,306.600] OK OK WE CAN TAKE YEAH WE CAN TAKE YOUR TEMPERATURE SORRY DID YOU SAY YOU ALREADY TOOK YOUR TEMPERATURE TODAY AND audio/MSK0017.mp3[308.240,310.640] UM NOPE NOTHING LIKE THAT audio/RES0050.mp3[623.240,628.440] OK THAT SOUNDS GOOD THANK YOU audio/RES0070.mp3[552.400,568.720] OK UMM SO IM GOING TO GET THE ATTENDING AND WELL GO THROUGH A PHYSICAL EXAM AND GET SOME INVESTIGATIONS ORDERED SO THAT WE CAN TRY TO FIGURE OUT WHATS GOING ON OK audio/RES0191.mp3[181.560,185.120] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0120.mp3[107.720,112.680] OKAY I SEE AND IS IT RELATED TO YOU TAKING DEEP BREATHS AT ALL audio/RES0087.mp3[68.200,73.960] UH NO I DONT SEE ANY SWELLING OR REDNESS AT ALL audio/RES0027.mp3[170.280,175.880] OK HOW ABOUT ANY PAIN AROUND YOUR EYES OR EARS audio/RES0185.mp3[84.520,94.480] YEAH ACTUALLY I STARTED TO HAVE A BIT OF A COUGH UH JUST THIS PAST DAY ITS ITS JUST STARTED audio/RES0075.mp3[234.720,238.720] OK SO HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS audio/RES0191.mp3[127.040,128.400] UH NO audio/RES0004.mp3[633.680,642.880] UM NO NOTHING LIKE THAT UM NO audio/RES0071.mp3[9.680,17.600] OK AND UH SO THIS COUGH HAS BEEN GOING ON FOR A WEEK CAN YOU DESCRIBE THE COUGH A LITTLE BIT FOR ME audio/RES0194.mp3[183.800,188.720] OK AND UM WHEN DID YOU START FEELING FEVERISH audio/RES0031.mp3[107.680,114.600] OK ANYTHING THAT MAKES IT BETTER audio/RES0205.mp3[337.520,340.600] DO YOU HAVE ANY ALLERGIES audio/MSK0012.mp3[655.320,663.640] OK AND IN TERMS OF JUST MOVEMENT ARE YOU ABLE TO BEND DOWN audio/RES0017.mp3[872.760,880.720] SOUNDS GOOD audio/RES0016.mp3[155.160,166.600] NO ITS UH ITS USUALLY JUST A DRY COUGH NO NO I DONT PRODUCE ANY MUCUS OR BLOOD audio/RES0207.mp3[20.440,32.000] OK THIS THIS MORNING SUDDENLY FEELING SHORT OF BREATH OK AND THIS COUGH WAS NOT ALSO SOMETHING THAT HAPPENS SUDDENLY THIS MORNING audio/RES0015.mp3[615.760,623.520] OK OK SO YOU MENTIONED YOU MOVED TO CANADA FROM INDIA ABOUT A YEAR BACK WHERE DO YOU LIVE NOW audio/RES0097.mp3[395.680,404.800] UH YEAH HES HES HAD ABOUT UH ONE HOSPITALIZATION EVERY TWO YEARS audio/RES0003.mp3[354.840,374.800] UM YEAH THERE SO HAD UM GESTATIONAL DIABETES BUT IT WAS TREATED IT WAS TREATED WITH DIET UM AND BLOOD SUGARS HAVE BEEN FINE NOW BUT NO COMPLICATIONS TO THE PREGNANCY FROM THAT REGARD AS FAR AS I KNOW audio/RES0076.mp3[760.800,762.600] THAT SOUNDS GOOD THANK YOU audio/RES0027.mp3[516.600,522.240] OK HAS HE BEEN ASSESSED BY A PHYSICIAN audio/RES0102.mp3[370.760,375.800] OK I SEE AND DO YOU HAVE ANY PAIN WHEN BREATHING IN OR OUT audio/CAR0001.mp3[514.400,514.880] I DO audio/RES0181.mp3[459.480,466.320] UHM I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE USED TO SMOKE audio/RES0164.mp3[39.400,44.800] OK AND IS HE WHAT KIND OF COUGH IS HE HAVING A DRY COUGH OR WET COUGH audio/RES0104.mp3[638.320,644.080] UH YES I I SPOKE ABOUT HALF A PACK PER DAY OR MAYBE EVEN LESS audio/MSK0034.mp3[585.080,590.440] OK AND DO YOU KNOW HOW TALL YOU ARE audio/MSK0005.mp3[500.400,502.640] THAT FEELS NORMAL audio/RES0198.mp3[165.840,168.160] NOPE NOTHING LIKE THAT audio/MSK0026.mp3[547.800,550.600] HAVE YOU USED ANYTHING LIKE THAT IN THE IN THE PAST audio/MSK0041.mp3[514.600,520.400] OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/GAS0005.mp3[245.360,248.280] OK AND ANY EYE REDNESS audio/RES0031.mp3[74.560,78.920] UH I THINK ITS JUST STAYING AT THE BACK OF MY THROAT audio/RES0025.mp3[446.080,451.360] OK AND HAVE YOU EVER HAD ANY SURGERIES audio/RES0184.mp3[381.320,384.320] OCCASIONALLY I WILL audio/RES0190.mp3[488.120,492.840] NO NO NOTHING LIKE THAT audio/RES0080.mp3[112.240,115.160] HAS THAT CHANGED FROM BEFORE audio/MSK0042.mp3[625.480,632.000] OKAY UM AND ANY GENETIC DISEASES IN THE FAMILY OR OR CONGENITAL DISEASES audio/RES0023.mp3[121.720,128.000] OK WHAT WHAT PART SPECIFICALLY IN YOUR CHEST ARE YOU FEELING PAIN IN audio/RES0034.mp3[317.200,320.680] NOTICE ANY RASHES audio/RES0145.mp3[707.600,708.680] THANK YOU audio/MSK0025.mp3[348.400,349.760] UM NO audio/RES0150.mp3[448.320,455.200] UH SORRY YEAH DID THAT REQUIRE INSULIN OR audio/MSK0014.mp3[299.320,306.760] HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION INCONTINENCE audio/RES0107.mp3[221.240,224.640] OK GOOD ANY WEIGHT LOSS audio/RES0059.mp3[83.520,88.520] OK AND ANY THROAT PAIN audio/RES0088.mp3[486.520,491.760] OK AND DOES SHE TAKE ANY MEDICATIONS AT ALL ON A DAILY BASIS audio/MSK0018.mp3[297.520,303.960] OKAY AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/CAR0001.mp3[443.640,449.440] OK AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY audio/RES0165.mp3[210.000,212.240] ANY HEADACHES audio/RES0028.mp3[375.880,378.320] UM I THINK JUST LIKE IN THE CALF audio/RES0110.mp3[262.040,277.720] UH OK IM GONNA ASK YOU ABOUT A COUPLE OF OTHER UH SYMPTOMS JUST TO MAKE SURE THAT YOU DONT HAVE ANY OTHER UM JUST TO GET A FULL PICTURE SO DO YOU HAVE A HEADACHE AT ALL audio/MSK0015.mp3[721.840,732.720] OK SO MORE ABOUT THE WEIGHT ON IT AND IS SHE ABLE TO MOVE THAT HER KNEE WITH A FULL RANGE OF MOTION audio/MSK0023.mp3[276.680,281.200] OK ANY MEDICATIONS THAT YOU TAKE REGULARLY audio/RES0104.mp3[644.080,646.680] OK AND HOW HOW LONG HAVE YOU HAVE SMOKED FOR audio/MSK0038.mp3[265.480,269.240] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0112.mp3[353.920,362.360] OK HAS UM HAS HE BEEN VACCINATED UH HAS HIS VACCINATIONS IMMUNIZATIONS UP TO DATE audio/RES0033.mp3[303.600,307.640] NO NOTHING LIKE THAT audio/RES0202.mp3[204.040,213.280] OK YEAH OK UHM IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING audio/MSK0012.mp3[354.360,356.680] ANY INCREASED FATIGUE audio/RES0087.mp3[388.000,393.800] YEAH OTHERWISE HES HEALTHY NO OTHER CONDITIONS OR ANYTHING LIKE THAT audio/RES0059.mp3[131.040,132.360] NO EAR PAIN NO audio/RES0173.mp3[50.200,51.720] ITS A DRY COUGH audio/RES0061.mp3[822.680,835.400] ITS A NEWISH BUILDING SO THERE ISNT REALLY ANY CARPET ACTUALLY IN THE UNIT SO YEAH ITS PRETTY CLEAN THAT WAY audio/RES0066.mp3[180.040,184.760] OK AND HAVE ALL THESE SYMPTOMS BEEN GETTING WORSE AT ALL audio/RES0016.mp3[217.160,218.880] NOPE NOT THAT I KNOW OF audio/MSK0046.mp3[489.720,491.960] YES THAT IS VERY PAINFUL audio/RES0173.mp3[370.960,388.040] OK DID YOU EVER GET THESE KIND OF SYMPTOMS IF YOU ARE LIKE YEAH OR AROUND SMOKE OR OR ANYTHING LIKE THAT YOU COULD MAYBE BE INHALING OR OR EVEN IF YOU ARE OUTSIDE IN THE COLD audio/MSK0019.mp3[245.800,251.880] YEAH NO IVE BEEN HEALTHY UH NO OTHER ISSUES IN MY LIFE audio/RES0056.mp3[212.480,218.560] HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0103.mp3[171.400,179.560] DOES SHE BEHAVE LIKE HERSELF LIKE IS SHE MORE TIRED AT ALL MORE IRRITABLE ANYTHING LIKE THAT audio/RES0042.mp3[465.880,468.200] UH NO audio/RES0145.mp3[535.960,541.640] OK SO YOUVE BEEN DOING SCHOOLING IN PERSON THEN OK audio/RES0005.mp3[620.040,627.040] UM JUST MAYBE A COUPLE TIMES A MONTH NOTHING NOTHING THROUGHOUT THE WEEK audio/RES0080.mp3[237.800,242.560] OK AND HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0026.mp3[363.680,368.080] NO NOTHING LIKE THAT audio/MSK0032.mp3[550.000,636.480] OKAY YEAH IT SEEMS LIKE SOMEONE OF HER AGE AND JUST THE KIND OF HISTORY THAT YOURE GIVING ME IT SOUNDS LIKE SHE HAS SOMETHING CALLED A RADIAL HEAD SUBLUXATION UM AND THATS USUALLY CAUSED IN YOUNG CHILDREN WHEN THEYRE LIKE PULLED OR LIFTED BY THE HAND OR WRIST WHILE THEIR ARM IS HELD STRAIGHT UM WHICH CAN KIND OF PULL THE BONE OUT OF ITS SOCKET A LITTLE BIT UM SO UM IN TERMS OF LIKE A MANAGEMENT PLAN YOU CAN TRY CONSERVATIVE THINGS LIKE ICE PACKS UM OVER THE COUNTER PAINKILLERS UM OTHERWISE WE CAN TRY TO UM PUT THE RADIUS BACK INTO ITS NORMAL POSITION HERE WHICH WILL JUST TAKE UH LIKE A FEW MINUTES UM AND AND THEN AFTER WE REDUCE IT BACK INTO ITS PLACE UM SHE SHOULD HAVE NORMAL FUNCTION OF HER ARM AGAIN UM IF SHES STILL EXPERIENCING PAIN WE CAN CONTINUE KEEPING IT ON A SPLINT UM BUT OTHERWISE I DONT THINK WE NEED ANY IMAGING FOR THIS AT THIS UM AT THIS TIME SO DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ABOUT THAT audio/RES0071.mp3[230.680,244.040] YEAH I HAVE USED SOME ADVIL FOR THE HEADACHES AND OVER THE COUNTER MEDICINE AT NIGHT TIME TO HELP SLEEP audio/RES0107.mp3[239.320,246.720] HES A LITTLE BIT FATIGUED BECAUSE OF THE SNEEZING AND THE AND THE RUNNY NOSE YOU KNOW HES NOT GOING OUT TO PLAY AS MUCH audio/RES0079.mp3[44.400,60.360] YEAH I JUST CHECKED IT LAST NIGHT I FELT HOT PREVIOUSLY BUT I DONT KNOW I THOUGHT I WAS GOING TO JUST GET BETTER BUT THIS MORNING STILL WELL FEELING A BIT A LITTLE BIT WORSE audio/RES0120.mp3[486.120,496.680] UH I HAD A CHOLECYSTECTOMY ABOUT OH GOSH ITS LIKE 12 YEARS AGO audio/RES0114.mp3[499.480,516.040] OK UM YOURE NOT QUITE AT THIS AGE RANGE YET BUT UH WE DO RECOMMEND THE PNEUMOCOCCAL VACCINE WHEN YOU TURN 65 AND UM DID YOU GET THE FLU VACCINE THIS YEAR audio/RES0048.mp3[406.040,411.080] OK UM HAVE YOU HAD A RUNNY NOSE OR STUFFY NOSE audio/RES0045.mp3[189.960,196.240] RIGHT AROUND THE SAME TIME AS THE COUGH OR MAYBE SHORTLY AFTER UM YEAH SHORTLY AFTER audio/RES0051.mp3[56.800,63.920] UM IT IS MOSTLY DURING THE DAY AND IN THE EVENINGS IT DOESNT WAKE ME UP FROM SLEEP audio/RES0088.mp3[729.840,732.000] OK SOUNDS GREAT THANKS audio/RES0096.mp3[199.800,222.200] A BIT MORE OF A DRY COUGH BEFORE BUT I MEAN SO SOMETIMES IT WILL BE A DRY COUGH SOMETIMES UH IT WAS MORE OF A WET COUGH BUT IT WAS IT WAS USUALLY JUST THIS WHITE THING COMING UP IT WASNT LIKE THERE WAS NEVER BLOOD BEFORE audio/RES0165.mp3[214.560,219.000] ANY NAUSEA VOMITING audio/RES0148.mp3[160.720,167.800] OK AND ANY UM ABDOMINAL PAINS audio/RES0079.mp3[358.200,364.720] OK AND HAS SHE HAD ANY SYMPTOMS audio/RES0036.mp3[512.720,516.600] OK AND DO YOU HAVE ANY ALLERGIES THAT YOU KNOW OF audio/RES0035.mp3[484.960,496.000] UM I TAKE WALKS WHEN I CAN UM BEFORE THIS WHOLE SHORTNESS OF BREATH THING I USED TO RIDE MY BIKE audio/RES0059.mp3[95.680,101.640] OK AND ANY ISSUES SWALLOWING FOOD audio/RES0113.mp3[133.280,137.360] UH ITS IT SEEMS LIKE ITS BOTH SIDES audio/RES0051.mp3[515.840,517.560] I THINK CROHNS DISEASE audio/MSK0001.mp3[398.640,402.960] OK AND WHERE DO YOU LIVE audio/RES0133.mp3[342.480,352.160] I THINK SO IM JUST UH WAITING TO FOLLOW UP WITH MY FAMILY DOCTOR ABOUT THAT audio/RES0065.mp3[253.560,259.040] NO NOTHING LIKE THAT audio/MSK0031.mp3[457.280,466.600] I DO NOTICE SOME SWELLING ITS A LITTLE BIT RED I CANT REALLY SEE TOO MUCH RED audio/RES0031.mp3[303.320,307.760] OK UM AND HOW IS YOUR APPETITE audio/RES0064.mp3[232.800,236.360] ANY APPETITE CHANGES audio/GAS0007.mp3[151.560,162.000] I THOUGHT IT WAS JUST GOING TO GET BETTER WHEN IT FIRST STARTED MAYBE JUST A BIT OF GAS BUT HERE WE ARE KIND OF THURSDAY NOW AND ITS STILL PRETTY BAD audio/MSK0020.mp3[86.560,99.960] UHM IT PROBABLY YEAH IF IM JUST EXERTING MYSELF TOO MUCH UH IN TERMS OF BETTER I I THINK IVE TAKEN SOME ADVIL THAT DOES HELP WITH THE PAIN audio/RES0020.mp3[198.600,202.880] NO COUGH NO audio/RES0191.mp3[158.560,162.600] HAVE YOU FELT LIKE YOUR HEARTS BEATING REALLY FAST OR RACING audio/RES0070.mp3[97.560,104.040] I THINK THAT STARTED YESTERDAY MORNING audio/MSK0046.mp3[311.840,314.880] NO I HAVENT audio/RES0131.mp3[245.400,253.120] OKAY UM AND ANY CHANGES IN YOUR HEARING OR VISION audio/RES0103.mp3[217.400,219.240] NO CHEST PAIN audio/RES0087.mp3[73.960,79.840] OK OK GOOD AND HAVE YOU TAKEN A LOOK INSIDE HIS EARS audio/MSK0011.mp3[60.720,67.880] OK AND DO YOU REMEMBER HOW HIGH YOU FELL FROM OR WHAT WHAT YOU FELL ONTO audio/MSK0013.mp3[509.080,513.920] OK DO YOU FEEL AS THOUGH THATS A LOT audio/RES0001.mp3[276.280,280.160] OK AND HOW ABOUT WEIGHT LOSS ANY WEIGHT LOSS audio/RES0006.mp3[331.160,334.040] ALRIGHT THEN ANY URINARY PROBLEMS audio/MSK0005.mp3[104.560,113.600] IT CAN BE SHARP OK OK UM AND WHAT SORTS OF MOVEMENTS MAKE IT WORSE audio/RES0155.mp3[182.920,195.400] OK UM SO JUST DISCOMFORT DO YOU DO YOUR SYMPTOMS GET WORSE AT ALL WHEN YOURE LAYING DOWN FLAT audio/RES0044.mp3[502.440,513.520] YEAH LIKE I IVE BEEN SEEING MY FAMILY DOCTOR AND THEY THEY SAID THEY THOUGHT IT MIGHT BE UM BUT WE DONT REALLY KNOW JUST LIKE IN GENERAL I GUESS THEYVE BEEN CALLING IT IBS audio/RES0110.mp3[89.520,91.800] NO NOTHING LIKE THIS BEFORE audio/MSK0017.mp3[243.440,247.320] ALRIGHT HOW ABOUT ANY MUSCLE WEAKNESS audio/MSK0012.mp3[319.800,336.720] I TRIED SOME IBUPROFEN AND SOME LIKE TOPICAL UM LIKE OINTMENTS BUT IT HELPS TEMPORARILY AND THEN THE PAIN COMES BACK audio/RES0022.mp3[337.440,342.400] OK UH ANY DIZZINESS OR FEELING LIGHTHEADED audio/RES0143.mp3[310.040,312.720] UM NO audio/RES0027.mp3[584.120,588.840] ALRIGHT AND DO YOU SMOKE CIGARETTES audio/RES0143.mp3[2.960,29.440] HI UH SO I JUST CAME HERE TODAY UH IVE BEEN HAVING THIS COUGH FOR UM THE LAST TWO WEEKS AND IT JUST IS NOT GOING AWAY IVE ALSO BEEN GETTING LIKE JUST A RUNNY NOSE FOR THE LAST COUPLE I WOULD TAKE THE WHOLE WEEK ALL OF LAST WEEK audio/RES0062.mp3[682.040,686.120] OK OK AND HOW ABOUT OTHER CANCERS audio/RES0190.mp3[677.880,681.160] THANK YOU audio/RES0127.mp3[504.360,510.120] OK AND DO YOU DRINK ALCOHOL AT ALL OR HAVE YOU TRIED ALCOHOL audio/RES0167.mp3[308.520,317.040] ALRIGHT AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0009.mp3[683.840,695.240] IM NOT SURE ABOUT BLOOD CLOTS BUT MY MOTHER HAD A STROKE THATS IS THAT KIND OF LIKE A BLOOD CLOT audio/RES0026.mp3[402.320,409.360] OK AND HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES OR JUST OVERALL LIKE BODY PAINS audio/MSK0040.mp3[108.520,120.480] UM SO I CAN WALK UM BUT IT IS VERY PAINFUL AND IM PUTTING A LOT OF WEIGHT ON MY LEFT FOOT SO ITS ALMOST LIKE IM HOPPING ON MY LEFT FOOT audio/RES0065.mp3[394.120,403.440] UM I HAD A COLONOSCOPY DONE I JUST NEEDED HOSPITALIZATION FOR JUST THE DAY I GUESS audio/RES0173.mp3[417.480,420.560] ABOUT THREE YEARS audio/RES0203.mp3[82.160,85.600] ITS BEEN PRETTY CONSISTENT YEAH audio/RES0118.mp3[206.960,208.880] ANY FEVERS OR CHILLS audio/MSK0006.mp3[393.480,407.320] I DO HAVE UM HIGH BLOOD PRESSURE AND UH HIGH CHOLESTEROL AND I TAKE MEDICATIONS FOR THOSE I TAKE AMLODIPINE AND UM A STATIN audio/RES0205.mp3[230.480,241.280] I I WORK AT THE HOSPITAL BUT UM IM WEARING PPE ALL THE TIME AND IM VERY CAREFUL SO audio/MSK0033.mp3[117.440,133.360] SIX OR SEVEN OK AND IS IT A CONSTANT PAIN OR LIKE DO YOU GET THE PAIN WHEN YOURE NOT PLAYING BASKETBALL OR DOING OTHER ACTIVITIES audio/RES0084.mp3[756.240,759.280] NO WEVE BEEN PRETTY HOMEBOUND audio/RES0189.mp3[265.880,284.520] YEAH IVE BEEN NOTICING THAT IM GETTING A LOT MORE CHILLS THIS PAST WEEK THEY KIND OF COME AND GO BUT EVEN AT NIGHT I GET LIKE THESE CHILLS THAT AFTER WRAP MYSELF UP IN AT LEAST THREE BLANKETS audio/MSK0049.mp3[567.600,579.800] OK AND IF YOU UM PRESS ALONG THE UH JOINT LINE DO YOU FEEL ANY PAIN audio/RES0148.mp3[64.000,66.760] ITS A NEW COUGH audio/MSK0032.mp3[323.120,326.080] NO NO MEDICATIONS audio/MSK0021.mp3[227.880,232.760] OK CHANGES IN YOUR VISION HEARING SMELL OR TASTE audio/RES0065.mp3[301.400,307.920] AND IS IT JUST WITH SOLIDS OR DO YOU GET THE SORENESS WITH LIQUIDS TOO audio/RES0142.mp3[277.680,279.040] OH YEAH audio/RES0128.mp3[304.440,317.960] NO SHE WAS UHM HEALTHY AND HE WAS BORN AT TERM WITH A NORMAL WEIGHT AND ABLE TO GO HOME RELATIVELY QUICKLY SO THERE WERENT ANY CONCERNS audio/RES0124.mp3[275.920,282.800] OKAY ALRIGHT UM OKAY AND UH HAVE YOU BEEN VACCINATED audio/RES0074.mp3[56.960,63.840] UHM YEAH MY APPETITES BEEN A BIT LESS OVER THE LAST FEW DAYS JUST BECAUSE OF HOW MUCH IT HURTS audio/RES0032.mp3[123.680,137.160] I IVE HAD A SMOKERS COUGH NOW FOR SEVERAL FOR SEVERAL YEARS BUT ITS REALLY JUST THIS PAST MONTH THAT THAT ITS GOTTEN REALLY BAD AND I HAVE IT ALL DAY LONG audio/MSK0021.mp3[282.600,311.000] I DO HAVE AH ASTHMA SO I I DO TAKE A AN INHALER I HAVE A DAILY A DAILY ONE THAT ILL USE AND THEN JUST A LIKE RESCUE ONE SO LIKE THE BLUE ONE THAT ILL USE SOMETIMES BUT I HAVENT NEEDED THAT ONE FOR FOR AWHILE IVE BEEN PRETTY GOOD I DONT EVEN NEED IT WHEN IM GOING OR RUNS ANYMORE audio/RES0018.mp3[55.920,63.680] PRETTY MUCH AT LEAST FOR THE LAST FEW DAYS JUST ITS BEEN PRETTY NONSTOP audio/RES0078.mp3[585.280,588.880] I DONT THINK SO audio/GAS0001.mp3[389.520,396.240] OK HAVE YOU UM BEEN TAKING ANY MEDICATIONS audio/RES0118.mp3[344.320,347.320] AND ANY COMPLICATIONS AFTER THAT audio/RES0126.mp3[450.880,457.000] THEY NEVER SENT YOU HOME WITH ANY LIKE OXYGEN TANK OR ANYTHING LIKE THAT OK audio/MSK0043.mp3[403.280,412.000] UH IVE BEEN TOLD MY MY BLOOD SUGAR HAS BEEN LIKE IT HASNT BEEN CONTROLLED SO YEAH I THINK I HAVE DIABETES UM UH BUT THATS THATS IT audio/RES0173.mp3[420.560,427.720] OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0215.mp3[134.440,138.160] NO NOT THAT IVE NOTICED audio/RES0069.mp3[330.800,333.680] UH NOPE audio/RES0114.mp3[236.520,237.240] OH YEAH audio/RES0149.mp3[542.480,545.880] UH HOW ABOUT THE USE OF ANY UH RECREATIONAL DRUGS audio/RES0100.mp3[696.560,704.760] YEAH I PROBABLY HAVE SOME RED WINE EVERY OTHER DAY I WOULD SAY audio/RES0061.mp3[253.640,271.400] NOPE NO PAIN AND IVE BEEN ABLE TO SEE EVERYTHING OK ITS JUST I JUST NOTICED THEY WERE A LITTLE BIT MORE RED I JUST THOUGHT MAYBE I DONT KNOW I WAS IVE JUST BEEN TIRED audio/RES0144.mp3[453.560,466.480] SINCE THEN HES BEEN FINE NO WE DIDNT HAVE TO GO TO THE HOSPITAL OR ANYTHING AND DURING OUR ROUTINE VISITS HES BEEN GROWING WELL NO NORMAL ISSUES audio/RES0046.mp3[483.320,490.000] OK AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS THE ABDOMINAL PAIN audio/RES0057.mp3[304.320,311.520] YEAH I GUESS I FELT A BIT ACHY audio/RES0036.mp3[499.320,503.520] OK HOW LONG HAVE YOU HAD THE BIRDS FOR audio/RES0076.mp3[565.840,584.560] IVE BEEN CUTTING DOWN BUT I DO SMOKE YES I SMOKE ABOUT A HALF A PACK PER DAY NOW THERE WAS A TIME I WAS SMOKING TWO PACKS PER DAY FOR A NUMBER OF YEARS AND I STARTED SMOKING WHEN I WAS PROBABLY FIFTEEN audio/MSK0019.mp3[272.280,277.440] FAMILY HISTORY OF ANY MUSCULOSKELETAL ISSUES audio/RES0028.mp3[295.920,299.800] NO ITS BEEN A DRY COUGH audio/CAR0001.mp3[277.840,280.680] ANY FEVERS OR CHILLS audio/RES0195.mp3[437.760,441.960] UH I HAD A CSECTION FOR MY SECOND CHILD audio/RES0019.mp3[138.840,141.240] UH NO NO audio/RES0043.mp3[481.200,487.840] OK AND DOES HE HAVE ANY ALLERGIES audio/RES0195.mp3[149.080,155.600] OK IS IT PAINFUL OR ITCHY AT ALL audio/MSK0034.mp3[38.480,44.280] OK AND DID YOU HAVE THIS PAIN AT ALL BEFORE YOUR FALL OR IS THIS SOMETHING THAT JUST STARTED AFTER THE FALL audio/RES0043.mp3[367.400,370.240] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0174.mp3[450.720,459.920] OK AND HAVE YOU HAD PANIC ATTACKS BEFORE audio/RES0052.mp3[358.440,363.320] HAVE YOU NOTICED ANY RASHES audio/RES0096.mp3[494.160,497.440] OK HOW MUCH DO YOU SMOKE PER DAY audio/RES0144.mp3[510.080,517.040] UH NO HIM HIS DAD AND I ARE PRETTY HEALTHY YEAH NO MEDICAL CONDITIONS audio/RES0211.mp3[386.840,389.440] YEAH I HAVE A LITTLE BROTHER audio/RES0086.mp3[267.360,272.120] UH NO I DONT THINK SO audio/RES0107.mp3[283.280,286.360] NO NO PROBLEMS THERE audio/RES0068.mp3[60.040,63.360] OK AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE audio/RES0176.mp3[433.640,442.640] YEAH FOR SURE UMM CERTAINLY WOULD BE FRIGHTENING OK AND DO YOU USE THE INHALER EVERYDAY audio/MSK0028.mp3[320.160,322.280] UHM NO NOTHING LIKE THAT audio/CAR0005.mp3[128.680,131.280] I WOULD SAY A 4 OUT OF 10 audio/RES0209.mp3[53.640,61.680] OK AND THEN DO YOU HAVE ONE THAT YOU TAKE EVERY DAY NO MATTER WHAT audio/RES0053.mp3[235.280,242.680] OK AND ANY REASON FOR YOU TO THINK HE HAS CHEST PAIN audio/MSK0015.mp3[249.320,251.520] ALRIGHT ANY SHORTNESS OF BREATH audio/MSK0028.mp3[647.280,654.800] OK AND HOW ABOUT CANNABIS LIKE SMOKING MARIJUANA OR USING ANY OF THOSE TYPES OF PRODUCTS audio/MSK0036.mp3[633.840,636.600] NO NO NO DRUGS audio/RES0008.mp3[155.240,163.400] OK AND HAVE YOU TAKEN ANY ANY MEDICINE OR ANYTHING TO TRY TO HELP WITH US audio/RES0011.mp3[289.840,298.720] OK AND HAVE YOU HAD ANY UH LIKE DIFFICULTIES BREATHING OR SHORTNESS OF BREATH audio/MSK0024.mp3[25.440,29.880] OK AND WHERE EXACTLY ARE YOU HAVING THE BACK PAIN audio/RES0039.mp3[399.440,403.080] UH NO NOTHING LIKE THAT audio/MSK0023.mp3[441.320,458.320] OK ALRIGHT SO IM JUST GOING TO ASK A FEW QUESTIONS ABOUT JUST THE EXAMINATION PART OF PART OF THIS DO YOU SO YOU MENTIONED YOU CANT FLEX YOUR KNEES AT ALL CAN YOU EXTEND THEM audio/RES0082.mp3[58.320,63.640] OK DO YOU HAVE ANY DIFFICULTIES SWALLOWING audio/RES0125.mp3[340.560,348.080] OKAY UH ANY RECENT SIGNIFICANT CHANGES TO YOUR WEIGHT AT ALL OVER THE LAST FEW MONTHS audio/MSK0045.mp3[402.840,407.120] DO YOU LIVE IN A HOUSE OR APARTMENT audio/RES0113.mp3[129.240,133.280] IS IT BOTH SIDES OR ON THE UH LEFT OR RIGHT audio/RES0028.mp3[159.680,168.400] YEAH WITH THE PAIN IM HAVING A HARD TIME BREATHING audio/RES0210.mp3[319.760,329.760] OK SO IN TERMS OF YOUR OWN MEDICAL HISTORY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY audio/RES0201.mp3[541.240,580.800] OK I’M GOING TO GO OVER THIS WITH THE DOCUMENT IM WORKING WITH TODAY IM GUESSING JUST BECAUSE SOME OF YOUR SYMPTOMS ARE IN LINE WITH COMMON SYMPTOMS OF COVID 19 THAT WILL PROBABLY DO A COVID SWAB AND WHAT HAPPENS WITH THAT IS SINCE WE DO HAVE SOME SYPTOMS WILL HAVE TO ISOLATE UNTIL THE RESULT COME BACK AND POTENTIALLY AFTER THAT IF YOU STILL HAVE SYMPTOMS EVEN IF IT IS NEGATIVE SO THATS JUST KIND OF A HEADS UP ON THAT MAYBE ONE OF THE NEXT THINGS THAT HAPPENS WE WILL PROBABLY GET YOU A CHEST XRAY CAUSE WE WANT TO GET AN IDEA OF WHATS GOING ON IN THERE DID YOU HAVE ANY OTHER QUESTIONS audio/RES0065.mp3[495.840,504.880] OK ALRIGHT SO DO YOU PARTAKE IN ANY LIKE SPORTS OR ACTIVITIES OR ANYTHING LIKE THAT audio/RES0186.mp3[123.240,126.880] NO CHANGES TO SMELL OR TASTE THATS BEEN BEEN NORMAL audio/RES0047.mp3[410.400,414.000] OK ANY CONFUSION OR MEMORY LOSS audio/RES0191.mp3[397.360,397.800] UH NOPE audio/RES0122.mp3[105.320,114.920] YEAH I DEFINITELY HAVE A STUFFY NOSE AND IT STARTED UM IT SOMETIMES GETS LIKE LIKE A RUNNY NOSE AS WELL audio/RES0045.mp3[408.080,414.320] OK AND WOULD YOU SAY THAT YOU ARE AN OTHERWISE HEALTHY PERSON audio/CAR0003.mp3[345.960,346.800] NO NO audio/RES0044.mp3[112.000,116.600] I MEAN IVE BEEN JUST BECAUSE OF COVID AND STUFF IVE BEEN STAYING HOME EVER SINCE I HAD IT audio/RES0187.mp3[505.240,533.040] SO PROBABLY A COUPLE BEERS UHM EVERY FEW DAYS AND THEN WHISKEY MAYBE A NORMAL GLASS EVERY FEW DAYS SO YEAH I WOULD SAY 3 OR 4 BEERS A WEEK AND THEN MAYBE 2 GLASSES OF WHISKEY IN A IN AN AVERAGE WEEK audio/MSK0049.mp3[451.520,455.720] ALRIGHT AND UM ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0132.mp3[208.080,213.760] OKAY AND UM HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0031.mp3[79.320,88.360] OK SO YOU CANT OK SO YOU CANT WEIGHT BEAR AND YOU CANT WALK ON ON THAT LEG I GUESS audio/RES0012.mp3[733.600,735.360] COUPLE DRINKS OR SOMETHING audio/RES0185.mp3[333.520,334.920] NO ALLERGIES audio/RES0062.mp3[1060.760,1065.400] OK GREAT SO UM I WILL SEE YOU AT THE NEXT APPOINTMENT audio/RES0129.mp3[170.600,177.120] UH YEAH I GUESS JUST KIND OF LIKE REALLY RUBBING IT AROUND THE OUTSIDE AND PULLING ON THE LOBE A LITTLE BIT audio/MSK0015.mp3[133.480,143.680] OK AND UH HOW HAS HER BEHAVIOUR BEEN RECENTLY LIKE HER MOOD AND THINGS LIKE THAT audio/RES0187.mp3[472.160,483.960] OK AND THEN HOW ABOUT AN ALCOHOL DO YOU DRINK ALCOHOL audio/RES0125.mp3[289.840,292.440] UM NO audio/RES0166.mp3[105.440,109.880] UHM KIND OF THE SAME ID SAY audio/RES0077.mp3[118.720,125.400] OK UHM AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE audio/MSK0003.mp3[183.080,192.240] OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED RELIEVE SOME OF THE PAIN ANY MEDICATIONS OR ANYTHING audio/RES0194.mp3[543.640,549.680] OK ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0065.mp3[504.880,507.400] UM I SWIM audio/RES0107.mp3[597.080,602.240] BUT VERY SIMILAR LOTS OF SNEEZING AND YEAH audio/MSK0004.mp3[174.640,180.760] OK AND DOES THE PAIN RADIATE OR MOVE ANYWHERE IN YOUR FEET audio/RES0186.mp3[389.400,395.560] UMM SO I LIVE IN A HOUSE WITH WITH MY WIFE AND AH AND OUR SON audio/RES0060.mp3[140.160,144.280] I FEEL LIKE IVE BEEN ABLE TO SMELL audio/RES0083.mp3[275.120,295.200] OK GOOD OK I SUPPOSE OK SO YOUVE HAD THIS COUGH AND YOUVE HAD MUSCLE ACHES AND THIS HEADACHE HOW HAS UH SO YOUVE TRIED TYLENOL HAVE YOU TRIED ANYTHING ELSE audio/RES0075.mp3[347.160,355.320] OK AND CURRENTLY CAN YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/MSK0041.mp3[157.800,171.960] IM ABLE TO WALK ON IT ITS JUST VERY PAINFUL AND I CANT YOU KNOW I CANT BEND THAT TOE I CANT FLEX IT OR EXTEND IT BUT MY OTHER TOES ARE OK audio/RES0173.mp3[111.680,115.520] NO NO ITS JUST A COUGH audio/MSK0008.mp3[98.920,112.960] I GUESS IF I PRESS ON THAT AREA OR I TRY TO AND I DONT KNOW FLEX OR EXTEND MY KNEE TOO MUCH audio/RES0095.mp3[108.000,113.360] YEP GAINED FIVE POUNDS IN THE PAST TWO MONTHS audio/RES0024.mp3[420.240,425.160] OK UM AND UH ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0055.mp3[280.120,284.960] DIZZINESS OR FAINTING SPELLS audio/CAR0001.mp3[342.160,347.120] ALRIGHT AND THEN HOW ABOUT ANY RASHES OR SKIN CHANGES audio/RES0076.mp3[430.560,438.080] OK AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A DAILY BASIS audio/RES0181.mp3[115.440,119.720] HOW ABOUT ANY RED EYES OR ITCHY EYES OR EYE DISCHARGE audio/MSK0035.mp3[308.000,313.680] OK AND HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/RES0127.mp3[464.320,468.840] VIRTUALLY OK SO HAVE YOU NOTICED ANYONE SICK AROUND YOU audio/RES0194.mp3[518.120,529.000] YEAH SO I LIVE WITH MY I LIVE WITH MY WIFE AND WE LIVE IN A TOWNHOUSE JUST RIGHT IN THE CITY HERE audio/RES0113.mp3[148.320,152.560] OH WOW OK AND HOWS IT CHANGED OVER THE PAST FOUR DAYS audio/RES0155.mp3[436.680,440.800] SORRY YOU GOT ANTIBIOTICS FROM THE WALK IN CLINIC audio/RES0204.mp3[368.120,374.960] OK AND WHAT DO YOU LIKE TO DO FOR FUN audio/RES0055.mp3[2.360,20.200] HI YES I JUST CAME IN TODAY BECAUSE IVE BEEN A BIT CONCERNED ABOUT SOME BREATHING DIFFICULTIES OVER THE LAST FEW DAYS IT ALL STARTED OUT WITH LIKE A COUGH OVER THE LAST WEEK BUT NOW IM HAVING TROUBLE BREATHING AS WELL audio/RES0071.mp3[244.040,260.640] OK UHAND DO YOU RECALL DOING ANYTHING IN THE LAST FEW WEEKS WHICH YOU MIGHT BELIEVE THAT UH CAUSED SOME OF THESE SYMPTOMS LIKE FOR EXAMPLE WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK AT ALL audio/RES0148.mp3[248.320,265.840] UH I JUST TOOK A DAY OR TWO OFF OF WORK AND I JUST RESTED AND UM HAD A LOT OF UH HOT WATER IT HELPED ME UH IT HELPED WITH THE COUGH audio/RES0057.mp3[457.320,469.320] NO I HAVENT HAD ANY ISSUES WITH LIKE ASTHMA ATTACKS IN A LONG TIME audio/RES0154.mp3[50.440,52.720] NO NOT REALLY audio/RES0022.mp3[314.680,326.040] WELL I MEAN THAT WAS JUST THIS MORNING THAT I NOTICED THAT UM BEFORE THAT I THINK I WAS EATING LIKE PRETTY OK audio/CAR0002.mp3[309.440,315.240] NO DIZZINESS AND UH NO I HAVENT FAINTED AT ALL audio/RES0058.mp3[113.640,118.920] YEAH THATS WHEN THE COUGH STARTED MAYBE THREE OR FOUR DAYS AGO audio/CAR0002.mp3[110.520,123.960] UH I THINK ITS A BIT BIT WORSE IF IM MOVING AROUND OR WHEN I WAS WALKING IN HERE I THINK IT IT MADE IT A BIT WORSE BUT NOTHING HAS SEEMED TO MAKE IT ANY BETTER SINCE IT STARTING audio/MSK0035.mp3[605.000,622.880] ALRIGHT AND AND IF YOU PALPATE OR PRESS ON SOME AREAS OF THE WRIST ARE THERE ANY AREAS THAT YOURE FEELING PAIN LIKE AT THE DISTAL RADIAL HEAD THE DISTAL ULNA UH OR ANY AREAS OF THE WRIST audio/MSK0017.mp3[639.520,651.800] OK UM ALRIGHT AND IM GONNA GET YOU TO UM BEND DOWN ALL THE WAY AND TOUCH YOUR TOES IF YOU CAN audio/MSK0025.mp3[388.920,393.120] YEAH OK DO YOU HAVE ANY NUMBNESS IN YOUR LOWER LIMBS OR JUST NUMBNESS AROUND THE GROIN audio/MSK0044.mp3[361.280,364.800] IT IS YEAH I HAVENT HAD ANY PROBLEMS WITH THAT audio/RES0012.mp3[891.680,914.560] AN INFECTION WOULD BE THE BIGGEST ONE RIGHT NOW WITH THE COUGH WITH IT SEEMS LIKE YOU HAVE CHILLS AND NIGHT SWEATS YEAH SO WOULD HAVE TO DO MORE IN TERMS OF TAKING YOUR TEMPERATURE AND SEE IF YOU CAN DO LIKE MORE audio/RES0142.mp3[274.680,277.680] UH YEAH SO JUST UH SOCIALLY AGAIN audio/RES0179.mp3[68.960,70.720] UHM ITS BEEN ITS BEEN DRY audio/RES0198.mp3[202.200,206.640] HOW ABOUT YOUR ANY DIFFICULTIES IN URINATING audio/MSK0049.mp3[594.160,595.840] NO THOSE ARE FINE audio/RES0090.mp3[532.280,534.520] YOU IF YOU HAVE ACTIVE TB audio/RES0017.mp3[248.320,263.440] YEAH I DEFINITELY HAVE BEEN MORE TIRED I CANT REALLY EVEN GO OUTSIDE FOR A WALK SOMETIMES OR I GET REALLY TIRED WORKING IN THE GARDEN SO ITS BEEN TOUGH audio/MSK0020.mp3[194.280,214.840] NO ARE YOU STILL ABLE TO WALK AND DO THE THINGS THAT YOU USED TO ENJOY DOING I KNOW YOU SAID GARDENING WAS HARD FOR YOU HOW ABOUT LIKE OTHER ACTIVITIES OF LIKE DAILY LIVING LIKE UHM COOKING USING THE WASHROOM THINGS LIKE THAT audio/RES0016.mp3[571.920,573.960] NO NOT THAT I KNOW audio/RES0177.mp3[386.040,390.200] OK IS HE ON ANY MEDICATIONS audio/RES0200.mp3[588.320,593.400] UH YEAH I WAS JUST WONDERING WHAT THIS CAN BE audio/MSK0008.mp3[403.000,407.920] AND I PLAY FOOTBALL audio/RES0001.mp3[415.280,419.480] OK HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/MSK0038.mp3[444.600,450.000] UH NO I DONT THINK SO audio/RES0004.mp3[796.640,803.680] OK AND SCHOOL IS GOING OK audio/RES0192.mp3[268.080,271.920] HAVE YOU HAD ANY NIGHT SWEATS audio/RES0198.mp3[171.880,174.840] A LITTLE BIT audio/RES0177.mp3[130.560,136.760] ID SAY AH EVEN AT REST NOW HES LIKE BREATHING FASTER audio/MSK0032.mp3[471.200,475.840] NO I DONT SEE THAT NO I DONT SEE ANY CHANGES audio/MSK0028.mp3[386.600,389.880] NO I DONT THINK SO audio/RES0077.mp3[36.760,48.280] OK AND THE COUGH CAN YOU DESCRIBE IT A LITTLE BIT IS IT LIKE A WET COUGH A DRY COUGH HOW WOULD YOU DESCRIBE IT audio/RES0074.mp3[412.960,419.960] OK AND ANY ALLERGIES TO MEDICATIONS audio/RES0134.mp3[232.800,236.960] UH NO NOT THAT IVE NOTICED audio/RES0148.mp3[87.200,91.760] OK UM HOW ABOUT ANY WHEEZING audio/MSK0008.mp3[381.600,383.520] OK WELL THATS GOOD HOW IS THAT BEEN GOING audio/RES0202.mp3[584.160,593.640] OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY audio/RES0075.mp3[333.200,337.040] AND DO YOU HAVE ANY ALLERGIES audio/RES0026.mp3[468.120,477.160] I SEE AND UM DO YOU REMEMBER IF THE LDL WAS NORMAL AT THAT TIME audio/RES0198.mp3[59.920,63.280] ITS MOSTLY CLEAR audio/RES0023.mp3[47.960,54.320] YEAH MAYBE WHEN I WAS YOUNGER I DONT KNOW WHEN I HAD THE FLU OR SOMETHING LIKE THAT audio/MSK0044.mp3[50.200,58.360] IT HAPPENED ABOUT JUST A COUPLE OF HOURS AGO YEAH JUST ABOUT 2 HOURS AGO audio/RES0027.mp3[69.680,73.280] UM NO NOT THAT I NOTICED audio/MSK0012.mp3[518.880,529.360] NO OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS ANY HEART OR LUNG CONDITIONS audio/RES0109.mp3[66.240,76.560] OK YEAH YEAH UM AND DOES ANYTHING MAKE IT WORSE LIKE THE COLD AIR OR CERTAIN TIMES OF THE DAY OR LIKE WHEN YOURE LAYING DOWN audio/RES0159.mp3[0.000,2.320] WHAT BRINGS YOU IN TODAY audio/RES0050.mp3[0.000,4.720] I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN audio/RES0129.mp3[203.640,206.880] NORMAL ANY CHANGES IN HIS URINE audio/MSK0006.mp3[176.240,186.320] OK AND DOES THIS PAIN RADIATE ELSEWHERE I KNOW YOU SAID IT STARTS ON YOUR BUTTOCKS KIND OF GOES DOWN YOUR LEGS DOES IT GO UP YOUR BACK OR DOWN INTO THE OTHER LEG AT ALL audio/MSK0021.mp3[430.880,435.280] NO OK AND HOW ABOUT RECREATIONAL DRUGS audio/RES0099.mp3[96.600,104.560] OK UHM IS THE HEADACHE ON ONE SIDE OR OR THE OTHER OR ON BOTH SIDES audio/RES0043.mp3[170.080,193.360] UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL audio/MSK0007.mp3[154.160,164.000] OK I MEAN WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 WITH 10 BEING THE WORST PAIN YOUVE EVER FELT audio/RES0188.mp3[374.080,380.560] SIX OK AND IS SHE HEALTHY OR IS SHE HAVING SIMILAR SYMPTOMS audio/RES0063.mp3[165.480,169.920] HOW ABOUT SHORTNESS OF BREATH OR WHEEZING audio/RES0215.mp3[363.640,372.480] OK AND WHEN SHES HAVING THESE WHEEZY EPISODES DO YOU EVER NOTICE THAT SHE LOOKS LIKE SHES REALLY STRAINING TO BREATHE REALLY STRUGGLING audio/RES0125.mp3[408.400,413.080] FIVE YEARS AGO OKAY ANY COMPLICATIONS AT ALL AFTER THAT audio/RES0163.mp3[159.240,167.160] OK AND UMM AND IS THERE ANY DO YOU HAVE ANY OTHER SYMPTOMS SO LIKE DO YOU HAVE ANY PRESSURE SENSATION IN YOUR FACE AROUND YOUR JAW CHEEKS FOREHEAD audio/RES0057.mp3[533.760,544.240] OK DO YOU TAKE ANY MEDICATIONS I KNOW YOU HAVE PUFFERS ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS audio/MSK0016.mp3[594.640,600.840] NO OK ANY RECREATIONAL DRUGS audio/RES0173.mp3[589.800,640.480] OK SO IT SOUNDS LIKE THERES POTENTIALLY COULD BE CAUSED BY AN ALLERGEN SUCH AS WHICH COULD BE FROM AN ANIMAL LIKE A PARROT OR A CAT THAT IS CAUSING JUST A REACTION AND ITS BRINGING THESE SYMPTOMS ON LIKE CALLED HYPERSENSITIVITY PNEUMONITIS BUT ALSO WE CANT RULE OUT ASTHMA AS WELL AS BEING A TRIGGER OF KIND OF THE COUGH AND SHORTNESS OF BREATH IS BEING AROUND ALLERGENS AS WELL SO WELL ORDER PULMONARY FUNCTION TEST AND MAYBE SOME UH UH IMAGING AND CHEST XRAY AND WE WILL GO FROM THERE audio/MSK0037.mp3[661.800,668.520] UHM NO I HAVENT I HAVENT HEARD IT NOW audio/RES0065.mp3[512.840,533.880] OK ALRIGHT SO YEAH OVERALL IT SEEMS THAT YOU HAD THIS SORE THROAT WHICH IS CONSTANT GETTING WORSE AND A BIT OF A FEVER IN TH LAST ONE OR TWO DAYS AND YOUVE ALSO HAD SWELLING IN YOUR NECK AND SO YEAH DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS audio/RES0098.mp3[267.200,271.480] OK AND DO YOU USE INHALERS FOR THAT audio/RES0033.mp3[402.320,405.560] YEAH ITS ALMOST UP TO A WEEK NOW audio/RES0112.mp3[156.160,158.800] HAS HE BEEN SLEEPING OK audio/RES0081.mp3[28.160,60.840] UHM SO HES JUST HAVING THIS WHEEZING THAT JUST DOESNT GO AWAY LIKE I CAN ACTUALLY HEAR IT ITS FRIGHTENING HES HAVING LIKE HES HAVING DIFFICULTIES FALLING ASLEEP HES JUST BEEN VERY IRRITABLE UHM HE DIDNT GO TO SCHOOL YESTERDAY ITS JUST YEAH ITS JUST IT SEEMS LIKE ITS JUST HES NOT EATING WELL EITHER audio/RES0043.mp3[525.720,534.000] HE LIVES WITH ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE JUST IN TOWN HERE audio/RES0053.mp3[359.680,375.040] NO FAINTING OR DIZZY SPELLS BUT HES REALLY GASSED AFTER HE HAS LIKE A COUGHING FIT AND HE DOESNT WANT TO STAND UP HELL JUST BE SITTING DOWN OR HE WANTS TO BE HELD audio/MSK0004.mp3[260.920,275.440] OK RIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0202.mp3[467.240,473.680] OK UM AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH audio/RES0146.mp3[176.200,179.360] OK ANY CHEST PAIN audio/RES0052.mp3[317.080,320.960] UM NO NO audio/RES0084.mp3[291.600,299.560] UHM NO I DONT I DONT THINK SO audio/RES0012.mp3[510.080,521.400] OK OK HAVE YOU EVER OK HAVE YOU EVER HAD A PULMONARY FUNCTION TEST IN THE PAST audio/RES0198.mp3[26.880,28.000] A WEEK NOW audio/RES0093.mp3[279.080,290.600] NO ITS REALLY BEEN UHM YEAH THIS COUGH AND BRINGING UP THIS THIS SPUTUM AND BEING SHORT OF BREATH audio/MSK0049.mp3[353.200,359.200] UM ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR BLOOD IN THE STOOL audio/RES0129.mp3[296.480,301.280] UHH NO audio/RES0133.mp3[267.000,271.600] NOPE NOTHING LIKE THAT audio/RES0215.mp3[120.240,124.680] HAS SHE SEEMED WELL OTHERWISE DOES SHE LOOK SICK audio/RES0120.mp3[520.680,523.680] NO I NO IM RETIRED audio/MSK0043.mp3[90.760,95.520] OKAY IS IT LIKE UM SO ITS SWOLLEN IS IT RED AND WARM audio/RES0026.mp3[465.240,468.120] I THINK IT WAS TWO YEARS AGO audio/RES0148.mp3[512.280,520.960] UH SO IVE BEEN UH SMOKING SINCE I WAS UH 20 YEARS OLD SO ABOUT 30 YEARS AGO WAS WHEN I STARTED audio/RES0102.mp3[487.440,490.640] ANY URINARY ISSUES audio/RES0187.mp3[346.240,351.400] OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY audio/RES0067.mp3[428.560,437.480] SO ILL GIVE THEM A CALL RIGHT NOW AND UH YOU CAN HEAD OVER TO THE ER OR IF YOU NEED A RIDE WE CAN ARRANGE TO DO THAT FOR YOU TOO audio/RES0050.mp3[103.760,107.240] OK HAVE YOU NOTICED ANY BLOOD audio/RES0015.mp3[253.280,258.280] OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE audio/RES0176.mp3[316.280,329.280] OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOU WERE HAVING HEART PALPITATIONS AT ANY OTHER TIMES AND NOT JUST DURING THE TIME THAT YOU HAD THE FAINTING EPISODE audio/RES0130.mp3[231.560,233.880] NO THINGS HAVE BEEN NORMAL THERE audio/MSK0035.mp3[446.400,448.960] UH NOPE audio/RES0176.mp3[186.240,192.720] OK SEE WHERE YOU SWEATY AT THE TIME AS WELL audio/RES0119.mp3[423.080,425.320] UH IT WAS VAGINAL audio/RES0063.mp3[513.640,519.080] NO NOTHING LIKE THAT ITS A PRETTY SAFE BUILDING audio/RES0155.mp3[367.680,371.800] NO UH NO PROBLEMS THERE audio/GAS0001.mp3[345.400,347.840] UH NO audio/RES0045.mp3[482.640,485.480] NOTHING LIKE THAT audio/MSK0017.mp3[478.240,482.120] I WOULD SAY MAYBE UH ONCE A WEEK audio/RES0188.mp3[0.000,1.880] WHAT BRINGS YOU IN audio/MSK0037.mp3[442.240,446.520] OK SO DO YOU TAKE ANY OTHER MEDICATIONS OR IS IT JUST THE STATIN audio/RES0174.mp3[288.080,298.280] YEAH IVE GAINED QUITE A BIT OF WEIGHT SINCE THE PANDEMIC STARTED YEAH GAINED ABOUT 10 POUNDS audio/RES0046.mp3[638.720,645.000] OK HOW ABOUT GI CONDITIONS LIKE STOMACH ISSUES COLON ISSUES LIVER audio/RES0001.mp3[369.960,372.080] OK NO audio/RES0050.mp3[465.960,470.800] OK AND HOW MUCH DO YOU SMOKE OR HOW MUCH DID YOU USE TO SMOKE audio/RES0085.mp3[205.920,209.560] OK IS HE THROWING UP AT ALL audio/RES0096.mp3[453.240,455.720] OR ANY SIMILAR SYMPTOMS audio/GAS0005.mp3[701.680,710.800] OK ANYBODY IN THE FAMILY HAVE ANY CONGENITAL DISEASES OR ANY GENETIC DISEASES audio/MSK0001.mp3[16.080,21.080] JUST IN THE LOWER BACK OK AND WHEN DID THIS PAIN START audio/RES0116.mp3[434.120,440.480] OK PERFECT DID HE NEED TO BE HOSPITALIZED FOR ANY REASON AFTER THAT audio/RES0116.mp3[534.400,542.760] OK AND HOW ARE THINGS AT HOME UM IS LIKE ARE THINGS FINANCIALLY STABLE ANY RELATIONSHIP ISSUES audio/RES0017.mp3[733.840,772.880] OK SO UM YES THAT DEFINITELY WOULD BE IS IS IMPORTANT FOR THE HISTORY TODAY BECAUSE UNFORTUNATELY LONG TERM EXPOSURE TO ASBESTOS WHEN BREATHING IT IN CAN CAUSE SOME OF THE SYMPTOMS THAT YOUVE BEEN DESCRIBING ALONG WITH COUGH AND UH RESPIRATORY SYMPTOMS SO ITLL BE SOMETHING THAT WELL BE SURE TO INVESTIGATE TODAY OK BUT I JUST HAD A COUPLE MORE QUESTIONS FIRST DO YOU SMOKE CIGARETTES audio/RES0113.mp3[80.640,85.240] OK UH HAVE YOU TRIED ANYTHING FOR YOUR COUGH audio/RES0025.mp3[136.160,143.240] OK AND YOU SAID NOW ITS ITS HAPPENING EVERY COUPLE HOURS FOR YOU audio/RES0011.mp3[568.880,572.360] NO NO IVE BEEN PRETTY GOOD audio/RES0076.mp3[132.640,145.880] AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN RUNNY NOSE ANYTHING LIKE THAT audio/RES0110.mp3[809.160,834.720] WELL YOU WILL BE IN THE HOSPITAL SO YES YOU DO WE WILL BE WE WILL BE DOING A COVID TEST BUT THATS A REALLY GOOD POINT UM UH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID SYMPTOMS UM WE WILL ALSO UH HAVE YOU IN AN ISOLATED ROOM AWAY FROM OTHER PATIENTS UNTIL YOUR COVID SWABS ARE BACK AND WE KNOW WHETHER UM YEAH WELL FOLLOW THE GUIDELINES UM PUT FORTH BY THE PUBLIC HEALTH audio/RES0068.mp3[484.880,491.440] UM ILL SMOKE A JOINT OR TWO ONCE A WEEK audio/RES0158.mp3[465.240,471.720] UM JUST A BIT CONCERNED POSSIBLY ABOUT UH COVID audio/RES0160.mp3[90.800,99.040] ITS UH ITS MORE OF A DRY COUGH audio/RES0119.mp3[443.000,449.320] OK AND IS THERE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS audio/MSK0012.mp3[368.120,371.280] UM NO NOTHING LIKE THAT audio/MSK0033.mp3[536.080,548.280] YEAH EXACTLY AND THEN WHEN I ITS AND IT FEELS KIND OF ACHEY OR WHEN WHEN LIKE AFTER PRACTICE OR SOMETHING LIKE THAT BUT IF YOU PRESS ON IT IT ITS SHARP audio/MSK0040.mp3[215.080,219.680] I WOULD SAY ITS LIKE A 7 OR 8 audio/MSK0006.mp3[74.080,79.600] OK WHAT UH WHEN DOES IT GET WORSE audio/CAR0001.mp3[182.160,186.480] ID SAY ITS LIKE A SEVEN OR EIGHT ITS PRETTY BAD audio/RES0091.mp3[190.840,193.880] ANY NIGHT SWEATS audio/RES0203.mp3[264.760,268.560] NO NO CHEST PAIN audio/RES0105.mp3[328.360,334.280] NO I JUST HAD THAT HAD THAT HAPPEN THE ONE TIME LAST YEAR audio/RES0213.mp3[375.080,389.040] YEAH UM LIKE I TALKED TO MY FAMILY DOCTOR ABOUT THAT WHEN I WAS A TEENAGER BUT I REALLY HAVENT YOU KNOW SEEN MY DOCTOR FOR IT ANYTIME IN THE LAST LIKE EIGHT YEARS OR SO audio/GAS0003.mp3[352.760,358.320] I GOT MY WISDOM TEETH REMOVED WHEN I WAS A TEENAGER audio/RES0150.mp3[5.080,27.280] HI UM MY SON HAS JUST BEEN SICK OVER THE PAST UH COUPLE OF DAYS HES JUST HAD THIS COUGH AND UH STUFFY NOSE AND UHM YEAH HES ALSO HAD THIS UH RASH THAT JUST STARTED audio/RES0101.mp3[266.080,271.200] OK DO YOU HAVE ANY PAIN IF YOU HAVE IF IF YOU TAKE A DEEP BREATH IN audio/MSK0013.mp3[557.960,563.800] CERTAINLY OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0016.mp3[189.600,193.360] OK AND ITS NOT WAKING YOU UP AT NIGHT RIGHT audio/RES0079.mp3[217.920,227.240] OK AND DO YOU HAVE ANY PAST MEDICAL ANY CONDITIONS MEDICAL CONDITIONS audio/RES0090.mp3[216.800,223.600] YEAH NOW THAT YOU MENTION IT I THINK IVE LOST ABOUT TEN POUNDS IN THE PAST MONTH audio/MSK0042.mp3[233.680,236.680] OKAY HAVE YOU HAD ANY CHEST PAIN audio/RES0096.mp3[576.800,593.280] AND UH YEAH MY MY SON COMES OVER AND HELPS OUT WITH GROCERIES AND MY WIFE COOKS BUT I I HELP HER WITH CLEANING SOMETIMES audio/RES0119.mp3[637.280,640.120] OK OK YEAH THANK YOU audio/RES0101.mp3[688.160,691.240] OK SOUNDS GOOD THANK YOU SO MUCH audio/RES0103.mp3[256.240,259.640] NO NO NO SHES BEEN GAINING WEIGHT WELL audio/MSK0020.mp3[535.520,547.120] OK UHM ALRIGHT AND THEN ANY RECENT SICK CONTACTS audio/RES0204.mp3[59.000,65.600] OK AND UH HAS IT YOU SAID IT WAS A DRY COUGH IS THAT RIGHT audio/MSK0029.mp3[475.080,480.880] NO I HAVENT HAD ANY ANY CHANGES TO OR ANY URINARY SYMPTOMS AT ALL audio/RES0120.mp3[274.240,276.360] UH NO audio/GAS0003.mp3[463.200,469.280] OK AND WHAT DO YOU USUALLY DRINK audio/MSK0008.mp3[182.400,191.920] OK AND HOW ABOUT ANY DIFFICULTIES WALKING OR HAVING ANY KNEE INSTABILITY audio/MSK0010.mp3[317.160,321.800] HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0008.mp3[159.600,167.320] OK AND HAVE YOU HAD ANY INJURIES OR ANY KNEE PAIN BEFORE audio/MSK0037.mp3[767.400,786.560] YEAH DEFINITELY I WOULD SAY MORE PAINFUL THAN IF I TRY TO EXTEND IT MYSELF LIKE JUST FORCING IT BACK BUT YEAH BUT NOT NOT ANYTHING TOO LIKE I LIKE ITS NOT SHARP OR ANYTHING LIKE THAT audio/RES0035.mp3[479.120,484.960] AND WHAT KIND OF THINGS DO YOU DO FOR ACTIVITY audio/MSK0012.mp3[715.360,717.240] YEAH IT DOES YEAH audio/RES0053.mp3[649.440,655.240] AND HOW ABOUT OTHER CANCERS audio/MSK0037.mp3[683.040,694.920] NOT SWELLING I JUST YEAH JUST THOSE NODULES AND I GET LIKE A LITTLE BIT OF WHITENESS AROUND THOSE NODULES WHEN I EXTEND MY FINGERS audio/MSK0022.mp3[142.760,157.720] YES OK IS IS IT SYMMETRICAL LIKE IS THE PAIN SYMMETRICAL AS IN IS IT HAPPENING IN BOTH HANDS IN THE SAME AREAS AND BOTH FEET IN THE SAME AREAS audio/RES0089.mp3[152.000,157.720] ITS PRETTY CONSTANT NOW audio/MSK0022.mp3[682.200,696.560] I I THINK MY COUSIN ACTUALLY HAS TYPE ONE DIABETES HES A LIKE HES MUCH YOUNGER THAN ME BUT YEAH I THINK HE I HAVE A COUSIN WITH TYPE ONE DIABETES AS WELL audio/RES0183.mp3[383.520,387.080] OK AND ANY NIGHT SWEATS audio/RES0090.mp3[341.440,346.720] OK AND PREVIOUSLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU WERE DIAGNOSED WITH audio/RES0131.mp3[468.080,474.640] I AM YEAH WITH UH WITH MY BOYFRIEND UM WE USE UH CONDOMS AS WELL audio/MSK0012.mp3[280.320,287.600] OK AND YOU GET PAIN WITH SITTING DOWN audio/RES0213.mp3[217.040,222.520] WHEN DID YOU STOP SMOKING audio/RES0172.mp3[320.640,328.480] OH NO I DONT THINK SO audio/RES0095.mp3[214.920,225.360] OK HAVE YOU HAD ANY INFECTIOUS SYMPTOMS SUCH AS UH EYE REDNESS EYE DISCHARGE NASAL DISCHARGE OR OR SORE THROAT audio/GAS0005.mp3[710.800,715.360] NO NOT THAT I KNOW OF audio/RES0035.mp3[432.200,435.920] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0179.mp3[536.520,541.400] YEAH ALRIGHT AND DO YOU DO ANY OTHER RECREATIONAL DRUGS audio/RES0204.mp3[383.000,388.080] I AM PLAYING ROLLERCOASTER TYCOON audio/RES0021.mp3[219.200,229.360] UM YEP FEVER COUGH FATIGUE BUT UM I DONT HAVE ANYTHING ANY OTHER SYMPTOMS BESIDES THOSE audio/RES0003.mp3[20.680,24.080] UH HE IS 3 YEARS OLD audio/RES0212.mp3[144.880,165.360] YEAH I WAS UH I I DO LIKE UM IT LIKE SOUNDS SILLY BUT I DO LIKE A POLE DANCING CLASS JUST FOR EXERCISE AND I WAS LIKE AT MY CLASS AND I KIND OF JUST STARTED TO LIKE FEEL LIKE I WAS LIKE A LITTLE COUGHY AND LIKE I DONT THINK THERES ANYTHING SPECIAL THAT WAS JUST LIKE WHEN I NOTICED IT audio/RES0124.mp3[141.600,154.480] OKAY AND SO IM GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS LET ME KNOW IF YOUVE EXPERIENCED ANY OF THESE IN THE PAST COUPLE OF MONTHS UM SO HAVE YOU HAD A HEADACHE THAT ACCOMPANIES THE COUGH audio/RES0193.mp3[290.480,294.280] OK AND DOES DOES HE GET THOSE SYMPTOMS AT HIS FRIENDS HOUSE audio/RES0135.mp3[173.120,175.640] OH NO NO audio/RES0143.mp3[156.560,158.360] NO NO NO SORE THROAT audio/MSK0020.mp3[189.480,192.960] NO OK ANY MUSCLE WEAKNESS audio/RES0136.mp3[506.680,515.440] AND YOUR DOG OKAY AND DID YOUR HUSBAND TELL YOU ANYTHING LIKE THAT HAS CHANGED IN YOUR BEHAVIOUR AT ALL UH RECENTLY audio/RES0164.mp3[549.960,581.440] OK SO YEAH SO WELL WELL BE DOING A COUPLE WELL DO A PHYSICAL EXAMINATION I WANT TO SEE EXAMINED WITH THE RASH LOOKS LIKE AND THERES MANY THINGS THAT CAN CAUSE A RASH THERES UH VIRAL INFECTIONS THAT CAN CAUSE SOME OF THE SYMPTOMS THE SYMPTOMS HES HAVING MAINLY SEEN VIRAL WITH A DRY COUGH AND RUNNY NOSE AND THEN YOU CAN WE HAVE A RASH AS WELL ONE THING I FORGOT TO ASK ACTUALLY IS IS HE FULLY IMMUNIZED audio/RES0174.mp3[75.400,81.880] OK HAVE YOU HAD MANY OF THOSE RECENTLY audio/RES0001.mp3[747.480,769.000] OK YEAH NO WORRIES SO I GUESS AT THIS POINT WE WOULD DO A PHYSICAL EXAM JUST TAKE A LISTEN TO YOUR LUNGS AND YOUR CHEST AFTER THAT SO RIGHT NOW IT SOUNDS LIKE IT COULD BE SOMETHING VASCULAR YOU KNOW LIKE A PULMONARY EMBOLISM LIKE WE TALKED ABOUT THATS KIND OF HIGH ON MY LIST OF THINGS TO audio/RES0142.mp3[168.840,170.320] UH NO audio/MSK0037.mp3[487.960,496.040] YEAH SO I JUST LIVED WITH MY WIFE WE LIVE IN SMALL APARTMENT audio/RES0052.mp3[411.360,414.160] UMM NO EVERYTHINGS BEEN PRETTY NORMAL audio/RES0123.mp3[47.440,55.520] ITS KIND OF JUST UH ALL ACROSS MY FOREHEAD ITS BEEN GOING TO THE SIDES LIKE INTO MY TEMPLES AS WELL audio/RES0069.mp3[531.160,536.160] UH NO I DONT THINK SO DO YOU THINK I HAVE COVID audio/RES0192.mp3[317.280,322.320] AND HAVE YOU HAD ANY AH CONFUSION OR MEMORY LOSS audio/RES0082.mp3[34.280,40.160] YEAH EXACTLY IT STARTED A BIT AFTERWARDS OR AROUND THE SAME TIME audio/MSK0015.mp3[652.760,656.160] NO NOT THAT I SEE AT ALL audio/RES0007.mp3[413.480,415.080] WHATS THAT audio/RES0126.mp3[67.240,70.560] OK AND IS IS THERE ANY COLOR TO IT OR IS IT CLEAR audio/RES0187.mp3[171.720,175.920] OK ANY FEVERS audio/GAS0001.mp3[465.920,469.880] UH NO VERY RARELY BECAUSE I ALWAYS GET A HEADACHE audio/RES0187.mp3[240.920,246.400] OK ANY FEELINGS OF LIKE FEEL LIKE FEELING LIKE YOUR HEARTS RACING audio/RES0185.mp3[54.920,58.600] ITS PRETTY CLEAR AND WATERY audio/RES0130.mp3[209.000,212.960] OKAY UM AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0122.mp3[126.880,128.640] SORE THROAT audio/RES0036.mp3[531.720,532.720] NO NONE audio/RES0195.mp3[324.960,327.400] OK DO YOU GET ANY NIGHT SWEATS audio/MSK0031.mp3[47.120,52.520] BUT IT WAS JUST THE LAST FEW STAIRS I DIDNT HAVE LIKE I DIDNT HIT MY HEAD OR ANYTHING LIKE THAT audio/MSK0034.mp3[299.240,301.680] YEP THEY SHOULD BE audio/MSK0020.mp3[247.040,255.880] UHM NO I HAVENT REALLY FELT ANY OTHER PAIN IN ANY OTHER JOINT SO FAR audio/RES0161.mp3[189.040,199.600] I HAVE BEEN FEELING A BIT TIRED OVER THE LAST FEW DAYS BUT IM I DONT KNOW IF THATS BECAUSE OF THIS audio/RES0102.mp3[298.080,311.800] OK AND ARE YOU FEELING THE PAIN WHEN YOURE COUGHING OR IS IT WHEN YOURE EXERTING YOURSELF LIKE WHEN DO YOU FEEL THE PAIN AND HOW LONG DOES IT LAST audio/RES0167.mp3[50.640,61.600] YEAH ITS UH IM JUST I FEEL LIKE I CANT CANT QUITE LIKE BREATHE FULLY audio/RES0061.mp3[848.040,857.360] WELL IM JUST HOPING TO TO GET THIS SORTED OUT AND FEEL BETTER audio/RES0195.mp3[277.320,283.360] OK AND THEN DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY JOINT PAINS audio/RES0020.mp3[499.600,502.080] YES I HAD THAT ONE audio/MSK0017.mp3[713.520,721.800] NO OK HOW ABOUT WHEN YOU UM FLEX YOUR KNEES BACKWARDS audio/RES0176.mp3[674.240,679.080] HUM NO audio/RES0131.mp3[211.760,225.360] UM I HAVE FELT A BIT HOT UM AND BUT I I DIDNT CHECK MY TEMPERATURE AND UM YEAH audio/MSK0005.mp3[295.040,299.440] UM NO I ITS JUST BEEN THE ELBOW PAIN audio/GAS0005.mp3[685.800,695.600] UH WE ARE GETTING THE 10 YEAR OLD TESTED FOR JUST UH ASTHMA audio/RES0116.mp3[470.880,476.160] OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS HEART CONDITIONS audio/MSK0022.mp3[371.640,389.200] YEAH IVE BEEN TRYING UM ACETAMINOPHEN AND DIFFERENT TYPES OF ANTIINFLAMMATORIES LIKE IBUPROFEN OR ADVIL AND IVE TRIED CREAMS AND STUFF TOO BUT IT IT DOESNT SEEM TO HELP audio/MSK0008.mp3[820.960,871.920] BUT TYPICALLY INJURIES THAT ARE LOWER GRADE WILL HEAL WITHIN TWO WEEKS AND SO IF ITS MORE MORE SEVERE IT COULD TAKE A BIT LONGER AND ALTHOUGH THAT ITS MOST LIKELY AN MCL INJURY THAT YOURE DESCRIBING IT COULD BE A MEDIAL MENISCAL INJURY AS WELL OR POSSIBLY EVEN A BURSITIS AT THE MEDIAL ASPECT OF THE KNEE BUT THE TREATMENT TO START WITH WOULD BE THE SAME AND MAYBE WE WILL GET ANY XRAY IF THINGS ARENT IMPROVING audio/MSK0035.mp3[78.400,86.520] OK UHM AND LIKE ARE YOU ABLE TO MOVE YOUR WRIST CURRENTLY audio/MSK0038.mp3[506.320,511.080] NO I DONT BELIEVE SO audio/RES0022.mp3[648.360,664.080] LIKE IF I IF I SAY I TOOK MY DOG FOR A WALK AND THEY KIND OF GOT AWAY AND I HAD TO RUN A LITTLE LIKE RUN A LITTLE BIT USUALLY I WALK LIKE PRETTY FAST BUT IF I HAVE TO RUN THAT WOULD THAT WOULD MAKE IT WOULD MAKE ME HAVE TO USE IT audio/RES0125.mp3[334.440,337.440] OKAY BUT NO LOSS OF TASTE audio/RES0159.mp3[540.680,550.480] I HAVENT BEEN FOR A WHILE FOR THE LAST FEW MONTHS BUT YEAH I GENERALLY DO GO TO MY FAMILY DOCTOR audio/MSK0031.mp3[414.040,419.880] OK AND HAVE YOU BEEN IN TOUCH WITH ANY ANYONE SICK RECENTLY audio/MSK0049.mp3[474.640,477.840] OK UM AND ARE YOU WORKING CURRENTLY audio/MSK0046.mp3[350.880,354.560] UM ILL HAVE LIKE A BEER ON THE WEEKEND audio/RES0205.mp3[180.040,196.800] I DID INITIALLY YEAH I HAVE LIKE HAD ALL THOSE FLU SYMPTOMS FOR THE FIRST COUPLE OF DAYS BUT THE COUGH JUST KINDA STAYED EVERYTHING ELSE RESOLVED IN THE FIRST UHM THREE OR FOUR DAYS I WOULD SAY audio/RES0190.mp3[159.880,163.640] OK ANY EAR PAIN audio/RES0214.mp3[129.600,133.320] UM NO NOT THAT I CAN THINK OF audio/MSK0015.mp3[50.720,53.880] SO JUST TWO DAYS AGO audio/RES0088.mp3[218.120,222.560] OK AND YOU THINK HER SYMPTOMS ARE GETTING WORSE audio/RES0207.mp3[4.120,20.440] YEAH I WOKE UP THIS MORNING AND I WAS JUST FEELING SUDDENLY FEELING VERY SHORT OF BREATH AND I JUST WASNT SURE WHAT WAS GOING ON SO I THOUGHT I WOULD COME IN audio/RES0100.mp3[542.080,547.640] OK AND HAVE YOU BEEN PREGNANT BEFORE audio/RES0025.mp3[429.880,446.080] AND THAT WEVE BEEN WORKING ON TRYING ON DECREASING THE HYDROMORPHONE NOW OVER THE LAST YEAR SO ITS A WORK IN PROGRESS THOUGH audio/MSK0033.mp3[558.120,560.240] I CAN YEAH audio/RES0195.mp3[401.080,406.720] 15 POUNDS OK HOW ABOUT YOUR APPETITE HAVE YOU BEEN EATING WELL audio/RES0160.mp3[231.320,233.800] OK ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET audio/RES0130.mp3[358.480,368.640] UM SO YEAH AFTER YOU TURN 65 THEY SHOULDVE GIVEN YOU THE SHINGRIX FOR SHINGLES AND PNEUMOCOCCAL VACCINE DOES THAT SOUND FAMILIAR audio/RES0051.mp3[125.960,129.000] THAT WAS TWO DAYS AGO audio/RES0216.mp3[51.680,61.480] OK WAS THERE ANYTHING THAT HAPPENED 3 DAYS AGO THAT YOU CAN RECALL WHERE YOU FIRST NOTICED IT audio/RES0052.mp3[518.800,520.760] NO NONE NONE THAT I KNOW OF audio/MSK0034.mp3[472.960,479.120] OK AND HOW ABOUT AT SCHOOL DO YOU FEEL SAFE HAVE YOU EXPERIENCED ANY KIND OF BULLYING OR ANYTHING LIKE THAT audio/MSK0025.mp3[634.520,648.760] I SEE ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SEEMS ITS GREAT ITS GOOD THAT YOU CAME TO THE EMERGENCY DEPARTMENT DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0038.mp3[578.880,582.400] UHM I DONT I DONT THINK SO audio/RES0062.mp3[119.760,129.120] ALRIGHT AND DO YOU HEAR ANY WHEEZING AT ALL audio/RES0065.mp3[454.560,457.800] OK AND WHERE DO YOU CURRENTLY LIVE audio/RES0026.mp3[736.000,738.880] DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/RES0081.mp3[208.280,213.840] NO HE HASNT COMPLAINED OF ANYTHING LIKE THAT audio/RES0066.mp3[207.080,215.720] OK AND WHERE ON YOUR MUSCLES WOULD YOU SAY ARE ACHING audio/RES0108.mp3[193.560,198.720] OH OK ANY CHANGES IN YOUR URINE audio/RES0144.mp3[288.240,292.960] YEAH NO HE WAS VACCINATED LIKE I THINK MORE THAN TWO OR THREE WEEKS AGO audio/RES0166.mp3[504.040,507.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0061.mp3[20.800,37.440] WELL I FEEL LIKE MAYBE THE LAST FIVE DAYS I JUST HAVENT BEEN FEELING SO GOOD AND I HAVENT REALLY FELT LIKE EATING BUT THESE LAST TWO DAYS IVE BEEN REALLY NAUSEOUS AND IVE THROWN UP A FEW TIMES audio/RES0083.mp3[255.360,260.000] ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING audio/RES0175.mp3[220.000,223.480] IVE BEEN FEELING A LITTLE TIRED audio/MSK0019.mp3[371.240,375.200] ANY SICK CONTACTS RECENTLY audio/RES0174.mp3[298.280,301.960] OK ANY CHANGES TO YOUR DIET OR APPETITE audio/RES0076.mp3[80.240,84.760] ITS KIND OF LIKE CONSTANT THROUGHOUT THE DAY audio/RES0010.mp3[69.720,74.080] UH I HAVENT NOTICED NO audio/RES0135.mp3[675.600,684.280] OKAY OKAY THAT SOUNDS GOOD THANK YOU audio/MSK0037.mp3[113.840,123.920] OK UH AND DO YOU FEEL ANY RADIATION OF PAIN LIKE IN INTO YOUR HAND OR FOREARM audio/CAR0005.mp3[466.000,469.640] UH NO audio/RES0068.mp3[107.800,112.080] OK SO IT WAS JUST YOU JUST HAD SOME COLDLIKE SYMPTOMS audio/RES0131.mp3[486.640,489.840] UM UH SIX MONTHS audio/MSK0038.mp3[787.880,809.320] OK YEAH I UM IT IF IT DOES FEEL IT FEELS LIKE ITS KIND OF PULLING UM LIKE IT FEELS TIGHT WHEN I DO THAT UH LIKE ON THAT SIDE ITS I DONT GET THE SAME SHARP PAIN BUT ITS UNCOMFORTABLE audio/RES0094.mp3[320.400,327.400] SO I LIVE WITH BOTH MY PARENTS AND I HAVE AN OLDER SISTER AS WELL audio/RES0080.mp3[368.280,377.920] OK WE CAN GET THAT INFORMATION HAVE YOU HAD ANY HOSPITALIZATIONS audio/MSK0046.mp3[596.520,614.520] UM AND THAT OFTEN HAS SOME EFFECT AS WELL UM BUT AT FIRST YEAH LETS JUST DO SOME CONSERVATIVE MANAGEMENT AND SEE IF THAT HELPS ITS ONLY BEEN A FEW DAYS SO HOPEFULLY UM WHAT WE TRY FIRST HELPS AND THEN WE CAN GO ON FROM THERE audio/RES0197.mp3[337.280,342.000] I JUST BREAK OUT IN HIVES audio/MSK0001.mp3[224.440,230.640] OK UH ANY NEW COUGHS OR ANY UM SYMPTOMS AND RUNNY NOSE OR ANYTHING LIKE THAT audio/MSK0046.mp3[440.320,449.520] YEAH AND THEN AFTER YOU DO THAT UM BRING YOUR FINGERS ABOVE YOUR THUMB SO JUST COVER YOUR THUMB audio/RES0189.mp3[352.000,354.680] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0152.mp3[171.640,180.240] UH DEFINITELY I FEEL LIKE I HAVE HAD SOME CHILLS OVER THE LAST WEEK UM I HAVENT HAD A CHANCE TO MEASURE MY TEMPERATURE THOUGH audio/MSK0012.mp3[64.720,70.520] OK AND DID YOU HAVE ANY BACK PAIN BEFORE THIS MONTH audio/RES0044.mp3[235.160,238.240] NO NOT PARTICULARLY audio/MSK0049.mp3[305.320,309.360] ALRIGHT ANY CHEST PAIN OR HEART PALPITATIONS audio/RES0024.mp3[145.240,154.960] I DONT LIKE I DONT HAVE A THERMOMETER I LIKE MAYBE FELT A LITTLE HOT BUT LIKE LIKE I DONT REALLY KNOW audio/RES0175.mp3[187.920,204.520] UHM I UH I IVE HAD THAT FOR A WHILE LIKE ITS JUST I THINK MY PROSTATES KIND OF LARGE SO ITS ITS HARD FOR ME TO LIKE I PEE VERY FREQUENTLY audio/RES0021.mp3[233.000,235.960] OH HEADACHES NO NO audio/MSK0003.mp3[398.000,401.800] NO NO TINGLING OR NUMBNESS audio/RES0084.mp3[865.120,869.040] THANK YOU audio/RES0045.mp3[522.160,527.200] OK IS ANYONE ELSE SICK AT HOME audio/RES0216.mp3[328.880,335.880] UH I I IM A FINANCIAL ADVISOR IM LIKE SEMI RETIRED SO I DO SOME STUFF FROM HOME audio/GAS0004.mp3[343.720,346.560] MAKING WHAT WORSE audio/RES0101.mp3[559.440,565.120] OK BUT IT SOUNDS LIKE YEAH YOU QUIT ABOUT 20 YEARS AGO THEN audio/RES0124.mp3[482.320,483.800] UH NO MEDICATIONS audio/RES0187.mp3[421.960,437.120] PROBABLY A COUPLE CIGARETTES ON THE WEEKEND WE USUALLY SMOKE MARIJUANA SO NOT NOT TOO MUCH LIKE TOBACCO OR CIGARETTES audio/RES0007.mp3[388.440,392.240] OK BOWEL PROBLEMS audio/GAS0001.mp3[142.120,151.360] OH LIKE IT DOESNT WAKE ME UP BUT ITS LIKE I WAKE UP BECAUSE I HEAR SOMETHING THEN ILL BE LIKE OH I THINK I SHOULD PROBABLY GO TO THE BATHROOM audio/RES0033.mp3[312.720,317.960] UH NO I I THINK MY ENERGY LEVELS ARE FINE audio/RES0206.mp3[114.120,136.800] LIKE I I WALKED HERE FINE BUT I NORMALLY LIKE CAN WALK AROUND THE BLOCK AND I GO FOR A WALK USUALLY A COUPLE TIMES A DAY TO WALK MY DOG AND ITS BEEN JUST ITS BEEN A LITTLE BIT TRICKIER TO DO THAT audio/RES0047.mp3[417.840,425.080] YEAH IVE BEEN FEELING WELL REALLY TIRED THESE LAST THREE DAYS audio/CAR0001.mp3[541.880,561.720] SURE I TRY TO EAT HEALTHY FOR DINNER AT LEAST BUT MOST OF MY LUNCHES ARE UH I EAT OUT AND THEN IN TERMS OF EXERCISE I TRY TO EXERCISE EVERY OTHER DAY I RUN FOR ABOUT HALF AN HOUR audio/RES0179.mp3[175.560,182.040] NO OK HOW ABOUT WHEN YOU LEAN FORWARD audio/RES0016.mp3[441.040,446.960] OK AND UH IN TERMS OF FAMILY HISTORY UM ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0035.mp3[319.320,325.760] I HAVE TYPE 2 DIABETES AND HIGH BLOOD PRESSURE audio/MSK0049.mp3[618.400,623.880] UH I CAN DO THAT ITS JUST PAINFUL WHEN I DO THAT audio/RES0132.mp3[305.720,312.080] I SEE ALRIGHT AND DO YOU TAKE UH MEDICATIONS FOR THOSE THINGS audio/RES0173.mp3[304.320,310.560] ALRIGHT AND THEN HOW ABOUT ANY NIGHT SWEATS OR CHILLS I KNOW YOU MENTIONED FEVERS audio/RES0018.mp3[617.440,623.040] ALRIGHT SOUNDS GOOD audio/MSK0008.mp3[112.960,121.960] OK AN ANYTHING THAT YOUVE TRIED TO MAKE THE PAIN BETTER audio/RES0200.mp3[245.640,249.920] OK NUMBNESS OR TINGLING audio/RES0044.mp3[2.480,21.600] UM I JUST UH I HAVE I HAVE A COUGH THAT IVE HAD FOR A COUPLE OF DAYS AND LIKE NORMALLY IF I HAD A COUGH OR COLD I WOULD JUST LIKE STAY HOME AND REST BUT JUST BECAUSE YOU KNOW THERES LIKE COVID I I WANTED TO MAKE SURE LIKE I WANTED TO GET CHECKED OUT audio/RES0166.mp3[17.320,19.720] IT JUST STARTED THIS MORNING audio/RES0013.mp3[519.280,536.040] I AM REALLY LIKE NERVOUS CAUSE I HAVENT FELT ANYTHING LIKE THIS BEFORE UM LIKE ITS SCARY LIKE DO YOU THINK ITS LIKE CANCER OR SOMETHING LIKE I DONT I DONT REALLY KNOW audio/MSK0014.mp3[124.600,133.160] ITS ITS LIKE SOMEONE IS STABBING ME IN THE KNEE AND IT HURTS THE MOST WHEN IM MOVING THE KNEE audio/CAR0001.mp3[168.040,182.160] OK AND IN REGARDS TO HOW SEVERE THE PAIN IS ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW SEVERE WOULD YOU SAY THE PAIN IS audio/RES0043.mp3[353.000,359.000] OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS audio/RES0059.mp3[240.320,242.200] ANY RASHES audio/RES0114.mp3[778.640,784.840] YEAH NO PROBLEM AND I FORGOT SORRY WELL ALSO PROBABLY DO LIKE A CHEST X RAY AND A PULMONARY FUNCTION TEST audio/RES0128.mp3[221.760,223.320] NO HEADACHES audio/RES0100.mp3[413.880,418.320] OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES audio/MSK0039.mp3[256.840,262.440] OK YEAH THATS UNDERSTANDABLE UM HOW ABOUT HEADACHES audio/RES0036.mp3[352.360,356.760] THE SHARP CHEST PAIN ID SAY MAYBE LIKE A 7 audio/RES0048.mp3[179.640,187.520] OK ITS A DRY COUGH UM AND WOULD YOU SAY THE COUGHS GETTING WORSE audio/RES0004.mp3[654.680,659.640] OK OK UM ALRIGHT SO DO YOU LIVE AT HOME CORRECT audio/RES0009.mp3[398.560,412.760] OK WELL THATS GOOD IM GLAD THAT YOU RECOVERED FROM THAT SURGERY QUICKLY AND WHAT WAS THE SURGERY FOR audio/RES0180.mp3[187.440,189.480] SORE THROAT audio/MSK0028.mp3[517.720,526.720] I HAD MY TONSILS REMOVED WHEN I WAS PROBABLY LIKE 10 OR SOMETHING BUT THATS ABOUT IT audio/RES0197.mp3[269.560,272.440] NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0152.mp3[284.720,290.720] ANY URINARY PROBLEMS LIKE PAIN OR OR GOING OFTEN audio/RES0061.mp3[671.360,685.280] OK YEAH THATS A GOOD IDEA UM SO IT SOUNDS LIKE YOURE YOU KNOW PREEMPTIVE WITH YOUR HEALTH WHICH IS GOOD ANY OTHER CANCERS THAT RUN IN THE FAMILY audio/RES0203.mp3[443.400,467.160] OTHERWISE THERE PROBABLY THERE MIGHT BE A COUPLE OTHER TESTS WE WANT TO DO WE MIGHT HAVE MORE QUESTIONS WHEN WE COME BACK WELL GO OVER THIS WITH THE DOCTOR THAT IM WORKING WITH TODAY BUT JUST WANTED TO GIVE YOU A HEADS UP OF WHAT TO EXPECT NEXT DID YOU HAVE ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT OR ANY QUESTIONS audio/RES0114.mp3[492.240,497.920] NO OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0022.mp3[222.520,228.560] ACTUALLY YEAH COME TO THINK OF IT I DONT I DONT THINK IVE REALLY BEEN SMELLING MUCH audio/MSK0005.mp3[413.000,417.200] UH THERE IS PAIN AT THE LATERAL UH LATERAL ELBOW audio/RES0207.mp3[274.160,278.080] UM IM TAKING KEPPRA audio/RES0181.mp3[492.040,493.960] UH NO audio/RES0026.mp3[731.800,733.840] OK AND DO YOU DRINK ALCOHOL audio/RES0033.mp3[115.200,125.160] OK UM AND HAS THE COUGH BEEN GETTING WORSE OR STAYING THE SAME GETTING BETTER audio/MSK0013.mp3[513.920,517.880] YEAH I IM HOPING TO CUT DOWN audio/MSK0010.mp3[334.560,339.280] OK HAVE YOU HAD ANY CHEST PAIN audio/RES0126.mp3[347.320,350.160] OK ARE YOU GETTING NIGHT SWEATS AT ALL audio/RES0099.mp3[271.600,275.760] OK AND HAVE YOU HAD ANY WHEEZE audio/RES0184.mp3[299.720,305.960] OK GREAT AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED audio/RES0205.mp3[110.600,116.640] AND HAS THE COUGH GOTTEN MORE FREQUENT OVER THIS TIME AS WELL audio/MSK0006.mp3[666.320,672.440] OK HOW ABOUT THE FRONT UM OF YOUR LEGS THIGHS audio/RES0147.mp3[286.400,289.600] OK ANY OTHER DIAGNOSIS audio/RES0120.mp3[217.240,219.880] OKAY AND WHEN DID YOU FEEL THESE CHILLS audio/RES0053.mp3[522.640,526.600] OK AND ANY COMPLICATIONS DURING THE ACTUAL DELIVERY audio/RES0106.mp3[169.320,171.920] ANY NAUSEA OR VOMITING audio/RES0003.mp3[267.160,279.280] UM NO IT DOES KINDA LOOK LIKE THERE ITS PRETTY RED IN THE BACK OF HIS THROAT WHEN I WAS ABLE TO LOOK BUT YEAH audio/RES0020.mp3[270.560,273.080] NOPE NO HEADACHES audio/RES0132.mp3[616.200,624.680] UM NO THATS ABOUT IT BUT I HOW CAN I TREAT MYSELF NOW HOW DO I MAKE THIS COUGH GO AWAY audio/RES0096.mp3[537.120,542.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0011.mp3[135.320,143.120] OK UH WHEN WHEN DID THE SORE THROAT FIRST START audio/RES0030.mp3[486.480,489.920] NOT THAT I CAN THINK OF audio/CAR0002.mp3[34.640,41.920] OK AND HAS THAT PAIN BEEN GETTING WORSE AT ALL OVER THE LAST HALF AN HOUR audio/RES0071.mp3[339.360,346.240] OK AND ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0176.mp3[628.360,631.440] NO NO I HAVENT audio/RES0067.mp3[70.240,73.760] THAT STARTED YESTERDAY AS WELL audio/RES0129.mp3[227.440,230.720] NO I DONT THINK SO audio/MSK0025.mp3[49.240,56.560] STARTED YOUR LOWER BACK OK AND DOES THE PAIN HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE ACHING SHARP audio/RES0067.mp3[162.360,169.680] SHORTNESS OF BREATH STARTED YESTERDAY AS WELL MORESO TODAY WHICH IS WHY I BROUGHT HER IN audio/RES0027.mp3[430.520,434.560] NO I THINK IT WAS NORMAL audio/DER0001.mp3[486.920,495.880] AND CAN YOU TELL ME DO YOU HAVE ANY FAMILY HISTORY OF DIABETES SKIN PROBLEMS ANYTHING ELSE THAT STANDS OUT TO YOU audio/RES0089.mp3[669.640,674.600] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/CAR0003.mp3[73.560,77.320] OK BUT NOTHING LIKE CONSTANT audio/RES0069.mp3[205.600,209.160] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0171.mp3[412.200,430.440] YEAH ITS BEEN MOSTLY THE THE FAMILY MEMBERS MY HUSBANDS BEEN WORKING FROM HOME AND THE KIDS HAVE BEEN HELPFUL AS WELL THEY ARE 10 AND 12 SO THEY ARE ABLE TO DO SOME THINGS ON THEIR OWN SO YEAH THEYVE BEEN SUPPORTIVE audio/RES0202.mp3[344.240,354.720] HE THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT audio/RES0151.mp3[360.440,366.560] I SEE ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0096.mp3[452.280,453.240] OH YEAH YEAH audio/RES0159.mp3[252.280,255.280] NO NO IVE BEEN LUCKY audio/MSK0020.mp3[779.320,786.240] YEAH OK ALRIGHT AND HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING audio/MSK0018.mp3[43.440,48.760] ITS ITS CONSTANT IT HASNT GONE AWAY AT ALL audio/RES0153.mp3[438.360,450.720] OK THIS SAME TYPE OF QUESTIONING FOR UH CANNABIS AND ALCOHOL UM HAVE YOU EXPERIMENTED WITH ANY OF THOSE SUBSTANCES OR ANY RECREATIONAL DRUGS audio/MSK0035.mp3[470.400,476.000] OK COOL YEAH IT SOUNDS FUN AND LIKE DO YOU SMOKE CIGARETTES audio/RES0038.mp3[645.240,650.240] OK AND DO YOU DRINK ALCOHOL audio/RES0183.mp3[329.360,335.200] OK AND IS HE HAD ANY NAUSEA OR VOMITING audio/RES0156.mp3[40.000,45.240] OK SO ITS BEEN GOING ON FOR THE LAST FEW MONTHS BUT ITS KIND OF GETTING WORSE audio/RES0063.mp3[388.480,392.000] UH NO I DONT HAVE ANY ALLERGIES audio/RES0196.mp3[373.440,428.680] NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR HER TODAY SO DEFINITELY SINCE THERE IS A RISK THAT SHE MIGHT BE HAVING ANOTHER EAR INFECTION WE WILL NEED TO DO LIKE A FULL PHYSICAL EXAMINATION ILL HAVE TO LOOK INTO HER EAR TO SEE IF I SEE ANY INFLAMMATION OR PERFORATION AND THEN BASED ON THAT WELL DISCUSS SOME MANAGEMENT SHE MAY REQUIRE SOME ANTIBIOTICS LIKE SHE HAS HAD BEFORE BUT THAT WILL DEPEND ON WHAT I SEE ON PHYSICAL EXAMINATION SHE HAS BEEN HAVING A FEVER SO SHE MIGHT AND ITS ONLY BEEN THREE DAYS RIGHT SO WE MAY EVEN DO SOME CONSERVATIVE MANAGEMENT AND GET HER TO TAKE SOME MAYBE PAIN MEDICATIONS AND THEN GO FROM THERE OR EAR DROPS audio/RES0085.mp3[177.680,186.040] AND HES NOT REALLY BEEN FEEDING TOO MUCH EITHER audio/RES0138.mp3[193.320,194.720] LAST YEAR audio/RES0059.mp3[458.440,468.240] OK GOOD AND IN TERMS OF FAMILY HISTORY DO ANY OF YOUR FAMILY MEMBERS HAVE LUNG CONDITIONS OR HEART CONDITIONS audio/RES0038.mp3[564.200,568.640] UH WEVE LIVED THERE FOR ABOUT FOUR YEARS NOW audio/MSK0044.mp3[222.720,230.720] OKAY I SEE OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0096.mp3[443.680,445.240] UHM NO audio/MSK0006.mp3[365.400,368.960] ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0035.mp3[4.160,18.400] SURE UM IVE BEEN EXPERIENCING SOME ISSUES BREATHING UM AND JUST A LOT OF COUGHING OVER THE PAST YEAR OR SO audio/RES0166.mp3[376.000,382.360] NO OK UM DO YOU FEEL ANY PAIN IN YOUR CAPS AT ALL audio/RES0010.mp3[519.720,520.800] UH NO audio/MSK0049.mp3[304.040,305.320] NO WHEEZING audio/RES0027.mp3[651.240,660.080] OH IM SORRY TO HEAR THAT DO YOU KNOW WHAT HAPPENED audio/RES0038.mp3[436.320,453.080] OK AND OTHER THAN ECZEMA AND REMOTE HISTORY OF PERHAPS ASTHMA WHEN YOU WERE YOUNGER ANY OTHER MEDICAL CONDITIONS LIKE DIABETES OR HIGH BLOOD PRESSURE THAT YOUVE BEEN DIAGNOSED WITH audio/RES0071.mp3[380.800,386.960] OK ANY CHEST PAIN AT ALL audio/RES0166.mp3[335.360,340.400] HAVE YOU HAD ANY PREVIOUS DIAGNOSIS OF CANCER audio/RES0126.mp3[484.280,487.800] NO OK OK ANY ANY CHANGES OR DO YOU GET ANY CHEST PAIN AT ALL audio/RES0171.mp3[323.240,327.040] DO YOU HAVE ANY BLEEDING DISORDERS audio/RES0168.mp3[145.400,147.120] AH OK audio/RES0035.mp3[30.000,33.400] OK YOU MENTIONED IT STARTED OVER A YEAR audio/MSK0025.mp3[599.000,604.720] OK AND HOW ABOUT IF YOU PRESS DOWN ON THE YOUR LOWER BACK DOES IT HURT audio/RES0120.mp3[648.000,666.920] AND IF IT TURNS OUT AT ALL THAT YOU HAVE PNEUMONIA WELL JUST REASSESS AND SEE IF YOU NEED TO STAY IN THE HOSPITAL FOR LONGER IF YOU NEED ANY ANTIBIOTICS WITHIN THE HOSPITAL OR YOU CAN TAKE THEM AT HOME SO YEAH WELL DO A FULL PHYSICAL EXAMINATION AND DO ALL THOSE TESTS AND THEN GO FROM THERE audio/RES0205.mp3[397.720,401.320] I’M A CLERK AT THE HOSPITAL audio/RES0085.mp3[43.800,47.640] OK SO ALL OF THIS STARTED A DAY AGO YOU MENTIONED audio/RES0096.mp3[393.560,404.200] YEAH IVE BEEN DIAGNOSED WITH COPWITH UH HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL audio/RES0038.mp3[544.000,550.200] OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE audio/RES0049.mp3[353.000,355.480] NO NOT THAT I CAN TELL audio/RES0048.mp3[902.800,905.360] YOU TOO THANK YOU audio/RES0090.mp3[436.200,444.440] NO WHAT DO YOU THINK I HAVE AND IS THERE ANYTHING I NEED TO DO RIGHT NOW audio/MSK0008.mp3[416.240,419.600] UM NOT THAT IN THE PAST audio/RES0117.mp3[187.400,190.120] UH NAUSEA OR VOMITING audio/RES0135.mp3[551.120,556.320] OKAY UM AND UH ANY FAMILY HISTORY OF LUNG PROBLEMS OR HEART PROBLEMS audio/MSK0013.mp3[480.200,483.560] OH NO I DONT THINK SO audio/RES0102.mp3[174.680,182.760] UH I STARTED THIS WINTER SO THE LAST THREE THREE OR FOUR MONTHS audio/RES0007.mp3[406.800,413.480] OK AND THEN HOW ABOUT UH HAVE YOU BEEN HAVING ANY NIGHT SWEATS audio/GEN0001.mp3[462.320,464.280] COOL THANK YOU audio/MSK0001.mp3[184.040,189.120] NO I CANT REMEMBER ANY INJURIES LIKE THAT IN THE PAST audio/RES0165.mp3[224.800,229.440] NO OK ANY FATIGUE OR MALAISE audio/RES0091.mp3[185.320,188.880] NO ANY NAUSEA OR VOMITING audio/RES0131.mp3[18.760,25.760] OKAY WELL IM SORRY TO HEAR THAT YOURE NOT FEELING WELL UM THE COUGH WHEN DID THAT START audio/RES0107.mp3[572.080,575.440] UH I HAVE ASTHMA audio/RES0077.mp3[282.960,286.240] NO NOTHING LIKE THAT HAS HELPED audio/RES0212.mp3[355.360,357.960] OK HAVE THEY BEEN SICK AT ALL IN THE LAST LITTLE WHILE audio/RES0102.mp3[808.560,812.440] AND ANY LIKE FATIGUE OR INCREASED TIREDNESS audio/RES0095.mp3[261.120,263.200] ANY URINARY PROBLEMS audio/RES0128.mp3[344.280,346.600] YES YES FOR BOTH audio/MSK0021.mp3[343.520,348.080] NO I HAVENT HAD ANY audio/RES0025.mp3[410.360,417.120] I HAVE ANXIETY AND BACK PAIN SO UH I DO GET AH SOME HYDROMORPHONE FOR FOR THAT audio/MSK0005.mp3[373.760,375.280] UH NO I DONT audio/CAR0002.mp3[367.440,369.800] NO ALLERGIES audio/RES0186.mp3[84.600,89.040] NO I HAVENT HAD ANY CHEST PAIN audio/RES0155.mp3[64.680,70.400] OK AND HAVE YOU NOTICED AT ALL ANY BLOOD audio/RES0133.mp3[313.840,317.800] OKAY AND UH DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0065.mp3[333.600,339.920] OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD audio/RES0051.mp3[363.600,367.280] UMM NO NO audio/RES0070.mp3[210.480,215.640] OK UHM AND HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT audio/RES0168.mp3[355.600,359.720] NO NOT THAT I KNOW OF audio/RES0080.mp3[3.560,28.320] YEAH IM JUST FEELING SO I DO HAVE COPBUT I JUST FEEL SO MUCH WORSE I DO HAVE SHORTNESS OF BREATH BUT I THINK ITS JUST BEEN WORSE OVER THE PAST THREE DAYS IM HAVING MORE DIFFICULTY CLIMBING STAIRS OR EVEN JUST GOING TO THE BATHROOM audio/RES0068.mp3[231.040,233.120] UH NO audio/RES0009.mp3[544.200,556.120] MY MOM HAD A HEART ATTACK WHEN SHE WAS LIKE IN HER 70S UH OTHER THAN THAT I DONT I DONT KNOW I DONT THINK SO audio/RES0150.mp3[350.480,353.320] UM NO HE DOESNT audio/MSK0004.mp3[364.400,369.840] OK AND WHATS YOUR LIVING SITUATION LIKE CURRENTLY audio/RES0006.mp3[25.760,32.440] OK AND HAS THE COUGH BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM audio/RES0179.mp3[580.600,581.880] NO I DONT THINK SO audio/RES0200.mp3[417.160,420.200] JUST A TORVA STATEN audio/RES0045.mp3[169.440,173.680] OK HOW ABOUT UH SHORTNESS OF BREATH audio/CAR0002.mp3[178.080,191.480] I DO I PLAY RUGBY AND WAS TACKLED BY ANOTHER PLAYER YESTERDAY BUT BUT MY CHEST FELT FINE AFTER THAT audio/MSK0042.mp3[262.720,269.080] OKAY UH HAVE YOU HAD ANY CHANGES OR LOSS TO APPETITE audio/RES0083.mp3[408.120,409.920] FOR HOW MANY YEARS audio/RES0090.mp3[52.760,60.720] OK AND DID YOU HAVE ANY KIND OF PRODUCTION OF SPUTUM WITH YELLOW OR GREENISH MATERIAL AT ALL audio/RES0004.mp3[497.240,504.560] OK OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS audio/MSK0028.mp3[681.160,686.400] UH NO I DONT THINK SO audio/RES0044.mp3[631.360,637.200] OK HOW ABOUT ALCOHOL audio/RES0082.mp3[416.120,421.200] NO NOT THAT I CAN THINK OF audio/MSK0038.mp3[473.720,478.200] OK UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH audio/RES0030.mp3[207.640,213.160] OK AND HAVE YOU NOTICED AT ALL ANY KIND OF SWELLING IN YOUR HANDS FEET ANKLES audio/RES0113.mp3[518.640,521.040] UH NO THATS IT THANK YOU SO MUCH audio/RES0059.mp3[401.520,410.200] OK AND NO OTHER YOU KNOW OVER THE COUNTER MEDICATIONS OR HERBAL STUFF audio/MSK0041.mp3[574.720,613.360] UM SO WHO OK SO MY MY FATHER HAD LIKE ARTHRITIS AND I DONT REMEMBER WHAT KIND OF ARTHRITIS HE HAD BUT HE HAD SEVERE ARTHRITIS HE ALSO HAD HIGH BLOOD PRESSURE AND DIABETES AND ON MY MOTHERS SIDE UM THERE IS SOME ARTHRITIS THERE AS WELL AND AS WELL AS GOUT AND KIDNEY STONES audio/GAS0003.mp3[130.520,154.760] YEAH UH I I HAVE THE SAME PAIN THAT SORT OF COMES AND GOES AFTER I EAT USUALLY AFTER IVE HAD SOMETHING LIKE A SOMETHING FATTY SOMETHING FROM OUTDOORS MAYBE LIKE A BURGER OR FRIES OR SOMETHING I INITIALLY THOUGHT IT WAS INDIGESTION BUT I DONT I DONT KNOW WHATS GOING ON NOW audio/MSK0046.mp3[92.560,95.960] ID SAY LIKE A 6 audio/RES0181.mp3[655.320,658.160] THANK YOU audio/DER0001.mp3[320.880,345.480] CHRONIC CONDITION I SEE THE FAMILY DOC ABOUT CHOLESTEROL IM ON A PILL FOR THAT UHM I HAD ASTHMA AS A KID NOT TOO MUCH OF AN ISSUE NOW AND MY BACK IVE HAD BACK PAIN FOR THE LAST 10 YEARS BUT ALL I REALLY TAKE FOR IT IS TYLENOL ADVIL FOR THAT audio/MSK0006.mp3[727.080,727.840] IT DOES YEAH audio/RES0211.mp3[346.480,348.360] NO NOTHING LIKE THAT audio/MSK0049.mp3[94.080,124.200] IT USUALLY HURTS WHILE IM DOING WHILE IM MOVING IT OR JUST AFTER BUT IF I IF I REST THE PAIN EVENTUALLY GOES AWAY UM BUT WHEN I FIRST WAKE UP IN THE MORNING THAT JOINT FEELS STIFF AND THEN WHEN I START USING IT USING IT MORE ITS LESS STIFF BUT IT BECOMES PAINFUL audio/RES0026.mp3[646.040,648.640] HE IS 10 audio/MSK0014.mp3[606.840,615.560] I USED TO I I FORCED MYSELF TO QUIT AFTER MY HEART ATTACK audio/CAR0001.mp3[611.760,619.320] OK AND IS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT TODAY THAT THAT I ON ON HISTORY audio/RES0076.mp3[687.040,721.200] OK ALRIGHT SO YEAH THATS PRETTY MUCH ALL THE QUESTIONS I HAD RIGHT NOW IT SEEMS THAT YOUR SYMPTOMS YOU DO HAVE THAT COUGH AND THE SHORTNESS OF BREATH AND ITS BEEN CHRONIC BUT NOW YOURE COUGHING UP SOME BLOOD AS WELL SO THAT IS DEFINITELY SOMETHING THATS CONCERNING AND WE WANT TO MAKE SURE THERE IS NOTHING GOING ON SO WE WILL GET A CHEST XRAY FOR YOU AND SEE IF WE CAN FIND ANYTHING THERE ARE STILL PRODUCING THE BLOODY SPUTUM audio/RES0212.mp3[441.520,449.520] GOT IT GOT IT AND OTHER QUESTIONS WHEN WAS YOUR LAST MENSTRUAL PERIOD audio/RES0178.mp3[1.560,15.040] YEAH SO IM BRINGING IN MY YEAR OLD SON HERE WITH I BECAUSE HES HAD A FEVER AND AND A COUGH AND A RUNNY NOSE THESE SYMPTOMS HAVE BEEN GOING ON NOW FOR THE LAST TWO DAYS audio/RES0114.mp3[303.560,308.720] NO OK ANY MEMORY ISSUES UH CONFUSION audio/CAR0003.mp3[355.120,356.160] OK ANY WEIGHT LOSS audio/RES0009.mp3[487.400,494.720] NO JUST JUST TO THOSE LIKE THE ADVIL AND THE TYLENOL I WAS TAKING FOR THE PAIN audio/RES0211.mp3[284.760,289.720] NO ARE YOU TAKIN ANY MEDICATIONS RIGHT NOW audio/RES0174.mp3[147.080,154.240] OK AND DO YOU GET SHORTER BREATH IF YOU WALK FAR DISTANCES OR EXERT YOURSELF audio/RES0021.mp3[40.800,66.560] OK SO WELL WELL CHECK IT RIGHT NOW AND OK SO WERE SEEING THAT ITS YOUR TEMPERATURE IS ELEVATED AT 383 RIGHT NOW SO IT DOES SOUND LIKE YOU YOU HAVE A FEVER OK AND YOU MENTIONED THAT YOU HAD YOU HAVE A COUGH audio/MSK0005.mp3[647.960,652.520] OK UM ALCOHOL audio/RES0046.mp3[560.400,589.360] OK SO I JUST WANNA BEFORE WE MOVE ON IM JUST GONNA RECAP KIND OF THE SYMPTOMS THAT YOU HAVE YOUVE HAD UH FOR THE PAST FOUR DAYS MORE OR LESS YOUVE HAD UM A POSSIBLE FEVER UM THIS COUGH UM LOSS OF SMELL AND TASTE UM DIARRHEA UH ABDOMINAL PAIN AND NAUSEA IS THAT CORRECT audio/MSK0004.mp3[255.840,260.920] NO NUMBNESS OR TINGLING AND NO MUSCLE WEAKNESS EITHER audio/RES0033.mp3[523.680,528.000] OK ANYBODY YOUVE BEEN AROUND WHOS SICK audio/RES0196.mp3[107.760,112.520] UM HAS IT BEEN SO PAINFUL THAT SHE HAS BEEN CRYING AT ALL audio/RES0111.mp3[264.360,269.960] OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER audio/RES0087.mp3[61.080,68.200] JUST HIS RIGHT EAR OK AND HAVE YOU NOTICED THAT ITS LIKE SWOLLEN RED OR WARM audio/RES0200.mp3[363.800,369.160] OK AND WHAT KIND OF BLOOD PRESSURE MEDICATIONS DID YOU USE TO TAKE AND HOW COME YOU STOPPED audio/MSK0008.mp3[257.600,260.560] ANY HEART PALPITATIONS OR HEART RACING audio/RES0131.mp3[464.080,468.080] OKAY ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0024.mp3[129.280,143.840] OK AND DOES THE BACK PAIN MOVE ANYWHERE LIKE FOR EXAMPLE DOES IT SHOOT DOWN YOUR LEGS AT ALL audio/RES0012.mp3[468.280,483.360] OK OK UM AND THEN HAVE YOU HAD ANY ISSUES WITH BREATHING OR COUGHING IN THE PAST audio/RES0036.mp3[445.280,448.680] UM NO audio/RES0190.mp3[167.840,181.920] LAST WEEK I DID HAVE A LITTLE BIT OF A RUNNY NOSE AND A LITTLE BIT OF A COUGH AS WELL BUT THIS WEEK IM NOT REALLY HAVING ANY COUGH OR RUNNY NOSE ITS JUST A SORE THROAT audio/MSK0009.mp3[8.840,35.880] SO IVE JUST BEEN HAVING THIS PAIN IN MY KNEE SINCE I UM JUST FELL UH JUST THREE DAYS AGO SLIPPING ON THE STAIRS SINCE THEN IVE BEEN HAVING A LOT OF PAIN audio/RES0133.mp3[111.960,123.520] UM NO NO I WASNT I WAS LIKE I HAD SCHOOL I CAME HOME I DIDNT DO ANYTHING LIKE THAT audio/GAS0002.mp3[223.880,233.320] OK SO NO BLOOD IN YOUR EMESIS UH OR NO VOMITING AT ALL audio/RES0208.mp3[27.760,50.920] YEAH YEAH ITS JUST LIKE JUST LIKE I CANT I DONT KNOW LIKE I CANT CATCH UP I KIND OF JUST FEEL I FEEL A BIT WEAK LIKE IVE JUST BEEN FEELING REALLY TIRED AND THEN BECAUSE OF THAT I HAVENT REALLY BEEN EATING A LOT SO YEAH I DONT KNOW audio/MSK0023.mp3[285.120,288.880] OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0126.mp3[432.480,436.560] YEAH I HAD A HAD A COUPLE LAST YEAR audio/RES0176.mp3[603.520,606.040] OK DO YOU USE ANY RECREATIONAL DRUGS audio/RES0094.mp3[32.160,39.720] OK HAVE YOU UH WITH THE THE RUNNY NOSE DO YOU HAVE ANY WHATS THE DISCHARGE LIKE audio/RES0046.mp3[378.040,389.800] UH AT FIRST IT WAS A LOT BUT UM NOW IT IT JUST HASNT BEEN MUCH ITS RELATIVELY UM LITTLE MY STOMACHS JUST BEEN KILLING ME audio/RES0076.mp3[762.600,764.480] YOURE WELCOME TAKE CARE audio/MSK0046.mp3[54.520,58.920] YEAH SO JUST JUST OVER THERE audio/RES0124.mp3[411.120,425.040] OH I YEAH SO I DID I AT ONE POINT I WAS USING LIKE THIS CREAM UM PROBABLY WHEN I WAS TEN JUST FOR SOME ECZEMA ON MY HANDS audio/RES0051.mp3[308.440,314.640] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0198.mp3[286.240,293.760] NO OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS IN PARTICULAR WITH THE LUNGS OR THE HEART audio/MSK0018.mp3[271.120,274.600] UH DO YOU DRINK ALCOHOL audio/MSK0004.mp3[231.920,246.120] NO IVE BEEN IVE BEEN JUST TRAINING FOR THIS RACE COMING UP SO I MEAN IVE BEEN JUST TRYING TO WORK ON MY FITNESS A LITTLE BIT BUT MY WEIGHT HAS BEEN RELATIVELY STABLE audio/RES0145.mp3[299.440,306.040] I DO YEAH I DO YES YEAH audio/RES0113.mp3[388.640,392.120] OK AND DO YOU SMOKE audio/MSK0040.mp3[257.400,266.840] OK AND HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES YOUR VISION HEARING OR EVEN YOUR SENSE OF SMELL OR SENSE OF TASTE audio/RES0100.mp3[100.160,105.240] ALRIGHT SO HAVE YOU NOTICE ANY LIKE NECK SWELLING audio/RES0112.mp3[295.680,307.480] OK AND AND HES BEEN OK FOR THE PAST TWO YEARS ANY CONCERNS ABOUT HIS GROWTH HIS HEIGHT AND WEIGHT AND HIS HEAD CIRCUMFERENCE HAS YOUR FAMILY DOCTOR UH SAID ANYTHING ABOUT THAT audio/RES0049.mp3[482.080,490.120] OK AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0175.mp3[158.240,167.960] UH YEAH I KIND OF JUST FOODS HAVE JUST BEEN TASTING LITTLE BLAND SINCE YESTERDAY audio/MSK0006.mp3[191.360,201.760] OK UH HAVE YOU EVER EXPERIENCED THIS KIND OF PAIN BEFORE audio/RES0027.mp3[771.040,773.600] OK YEAH THAT SOUNDS GOOD audio/RES0148.mp3[196.200,219.800] UHM NOT MUCH NO BUT YEAH ITS JUST IVE BEEN FEELING YEAH I GUESS A LITTLE BIT I HAVE BEEN FEELING ACHY UHM BUT I JUST THOUGHT IT WAS MY FIBROMYALGIA ACTING ACTING UP BUT YEAH ITS ITS BEEN WORSE OVER THE PAST THREE DAYS audio/RES0042.mp3[477.800,479.200] UH NO audio/MSK0020.mp3[432.760,447.360] IN HIS 70S OK OK AND THEN ALRIGHT AND HOW ABOUT AUTOIMMUNE CONDITIONS audio/RES0097.mp3[538.480,540.480] OK SO MEETING ALL MILESTONES AND audio/RES0004.mp3[295.000,300.280] AND HOW ABOUT A STUFFY NOSE OR OR A RUNNY NOSE audio/RES0086.mp3[161.920,182.400] YEAH IN THE LAST ONE TO TWO WEEKS I WOULD SAY IM ALSO WHEEZING AS WELL MAINLY DURING LIKE IF IM RUNNING OR STILL WITH EXERCISE I FEEL MYSELF WHEEZING YEAH SO THATS BEEN AN ISSUE FOR THE LAST COUPLE OF WEEKS audio/RES0194.mp3[27.760,30.440] OK AND IS IT DRY COUGH OR A WET COUGH audio/RES0049.mp3[37.000,44.240] SEVEN DAYS AGO OK SO THAT STARTED SEVEN DAYS AGO AND THEN WHEN DID THE FEVER START audio/MSK0026.mp3[229.960,241.320] NO NOTHING LIKE THIS AND I HAVE OSTEOARTHRITIS IN MY LEFT KNEE BUT IT FEELS DIFFERENT audio/MSK0035.mp3[368.560,376.080] ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0095.mp3[475.160,493.040] YEAH NO PROBLEM WELL WE COULD LOOK INTO UH SOME OF THOSE OLD UH OLDER TESTS THAT YOUVE DONE OK AND UHM SO CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY YOU MENTIONED YOUR YOUR DAUGHTER ARE YOU LIVING WITH YOUR DAUGHTER audio/RES0027.mp3[576.080,581.880] OK UM AND YOUR KIDS HAVE BEEN WELL audio/RES0185.mp3[30.760,33.320] OK AND WHEN WAS THAT audio/RES0105.mp3[694.240,708.880] OK ALRIGHT SO YEAH THOSE ARE SOME OF THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION DONE RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0112.mp3[143.920,149.480] OK UM AND UH HAS HE BEEN UH IRRITABLE OR AGITATED audio/GAS0005.mp3[237.880,242.800] NO OK AND HOW ABOUT ANY EAR PAIN OR OR EYE PAIN audio/MSK0004.mp3[213.920,217.480] OK HAVE YOU NOTICE ANY FEVERS OR CHILLS audio/RES0176.mp3[253.800,263.200] OK YOU PICTURE THAT YOUR HEART WAS RACING DID IT FEEL LIKE IT WAS LIKE DID YOU HAVE HEART PALPITATIONS OR IS YOUR HEART BEATING REALLY FAST audio/RES0135.mp3[492.080,495.160] NO EVERYONES BEEN HEALTHY audio/RES0080.mp3[30.960,34.840] THREE DAYS AGO THREE OR FOUR DAYS AGO audio/RES0109.mp3[136.160,139.240] OK ANY CHANGES IN YOUR VISION OR HEARING audio/RES0086.mp3[158.440,161.920] OK AND DO YOU FEEL WHEEZY AS WELL audio/RES0215.mp3[619.040,621.080] ALRIGHT HAVE A GOOD ONE audio/RES0114.mp3[321.760,326.760] NO I TEND TO GO LIKE ONCE A DAY AND YEAH ITS PRETTY NORMAL audio/MSK0019.mp3[447.160,454.920] UH JUST LIKE RIGHT ON THE ELBOW IT DOESNT HURT BUT WHEN I GO ON THE OUTSIDE PART IT DOES HURT ON THE BACK audio/RES0021.mp3[274.080,276.440] NOPE NO audio/RES0199.mp3[72.240,77.800] OK AND DOES IT RADIATE YOUR NECK OR ANYWHERE ELSE audio/MSK0031.mp3[479.000,489.040] UH MAYBE SOME BRUISING BUT I I DONT NOTICE ANYTHING ELSE audio/RES0113.mp3[281.520,283.200] UH I DONT THINK SO audio/MSK0037.mp3[836.640,877.760] OK IM SO RIGHT NOW ITS SOUNDING LIKE ITS MOST LIKELY SOMETHING CALLED DUPUYTRENS CONTRACTURE BUT ALSO WE CANT RULE OUT LIKE FLEXOR TENOSYNOVITIS JUST YET OR OR TRIGGER FINGER BASED ON THE THE SYMPTOMS BUT THE FACT THAT YOURE NOT HAVING A FEVER YOU DONT HAVE PAIN KIND OF ALONG THE THE TENDON YOURE NOT SEEING ANY SWELLING OR REDNESS THATS ALL POINTING AWAY FROM THE TENOSYNOVITIS audio/RES0107.mp3[589.960,595.920] I REMEMBER I USED TO I USED TO GET ALLERGIES AS WELL AS A CHILD audio/RES0204.mp3[388.080,412.160] OH COOL THAT SOUNDS LIKE FUN OK WELL HOPEFULLY WE CAN GET YOU BACK TO FEELING HEALTHY SO YOU CAN CONTINUE TO PLAY LOTS OF ROLLER COASTER TYCOON SO I’M GOING TO GO GET THE DOCTOR THAT IM WORKING WITH IM UH IM WONDERING YOU KNOW HE MIGHT WANT TO DO A CHEST X RAY AND GET A BETTER LOOK AT WHATS GOING ON THERE HAVE YOU EVER HAD AN X RAY BEFORE audio/RES0037.mp3[452.080,454.920] UH NO audio/RES0059.mp3[374.960,389.360] IVE BEEN TOLD I HAD HIGH CHOLESTEROL BEFORE BUT I DONT TAKE ANY MEDICATIONS FOR IT IVE BEEN JUST TRYING TO LOSE SOME WEIGHT AND EXERCISE MORE audio/RES0034.mp3[374.680,381.160] OK UM HOW MUCH WOULD YOU SAY UHM LIKE A CUP OR MORE audio/RES0017.mp3[294.880,300.560] I SEE OK SO PRETTY BIG DIFFERENCE OVER THE LAST SIX MONTHS TO A YEAR FOR YOU audio/MSK0004.mp3[112.560,124.120] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A DULL ACHING PAIN OR SHARP STABBING PAIN audio/MSK0010.mp3[638.520,652.440] YEAH SO PROBABLY FROM 60 DEGREES TO 120 DEGREES IS MORE PAINFUL audio/RES0110.mp3[565.720,569.200] HAVE YOU EVER HAD ANY UM COPD audio/GAS0003.mp3[461.440,463.200] ONE TO TWO DRINKS A DAY audio/RES0141.mp3[231.480,240.920] YES SO I HAVE UH TYPE 2 DIABETES I WAS JUST RECENTLY STARTED ON METFORMIN MEDICATION audio/MSK0044.mp3[206.720,208.280] UH I NO I HAVENT audio/RES0199.mp3[1.960,27.040] HI I JUST CAME IN TODAY I HAVE BEEN HAVING JUST BEEN FEELING REALLY SICK OVER THE LAST THREE OR FOUR DAYS IT STARTED WITH JUST LIKE A HEADACHE AND COUGH FOUR DAYS AGO AND THEN I STARTED GETTING SOME NAUSEA AND VOMITING FEW DAYS BACK AS WELL AS DIARRHEA audio/RES0065.mp3[204.760,205.720] NOWHERE ELSE audio/RES0086.mp3[0.000,2.320] WHAT BRINGS YOU IN audio/RES0074.mp3[172.040,174.440] NO I DONT THINK I NOTICED BLOOD audio/RES0046.mp3[216.440,220.360] OK UM ANY CHANGES IN YOUR VISION OR HEARING audio/RES0113.mp3[103.280,106.760] AND UH WHERE EXACTLY IS IT audio/RES0019.mp3[746.160,774.600] OH YEAH YOURE YOURE ABSOLUTELY RIGHT SO UM SORRY I WE WILL GO AHEAD AND INVESTIGATE THAT AS WELL AND WE MIGHT NEED TO DO A LUMBAR PUNCTURE OR SOME BLOOD WORK TO LOOK FOR SIGNS OF INFECTION THAT MIGHT BE NEEDED TO BE TREATED WITH ANTIBIOTICS audio/MSK0011.mp3[124.120,132.680] OK AND IF YOU HAD TO DESCRIBE WHERE THE SWELLING AND BRUISING IN THE PAIN ARE HOW WOULD YOU DESCRIBE IT audio/RES0001.mp3[149.200,151.480] UM NO SPUTUM audio/RES0147.mp3[407.360,413.560] OK AND ARE YOU CURRENTLY WORKING ARE YOU RETIRED audio/RES0001.mp3[794.960,798.960] YEAH THANKS audio/RES0051.mp3[492.640,507.520] I THINK MY AUNT HAS ASTHMA BUT I WAS I WAS CHECKED FOR ASTHMA WHEN I WAS YOUNGER AND IT TURNS OUT I DONT HAVE IT audio/RES0028.mp3[518.520,528.520] YES I SMOKE ABOUT 2 PACKS OF CIGARETTES PER DAY AND IVE BEEN SMOKING SINCE I WAS 12 audio/RES0034.mp3[771.920,778.160] YEAH UH ALL OUR IMMUNIZATIONS ARE UP TO DATE audio/MSK0015.mp3[222.120,227.120] OK SO SHES AT A A BIT WARM NOW STILL OK audio/MSK0012.mp3[585.960,588.120] A LITTLE BIT I THINK audio/RES0013.mp3[222.880,227.440] OK HOW ABOUT FEVERS OR CHILLS audio/RES0101.mp3[433.240,439.440] OK AND AND DO YOU TAKE ANY OTHER MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0114.mp3[316.920,318.320] UH NO NO HEADACHES audio/MSK0017.mp3[338.280,343.600] OK HOW ABOUT UM CHANGES TO YOUR APPETITE audio/RES0124.mp3[540.000,552.960] OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY UM LUNGRELATED PROBLEMS OR ANY OTHER PROBLEMS audio/RES0195.mp3[250.080,264.040] YEAH MY EYES DO LOOK A LITTLE BIT RED AND I DONT KNOW IF MY VISION CHANGED A LOT BUT SOMETIMES THINGS WILL LOOK A LITTLE BIT BLURRY WHEN THEYRE FAR AWAY audio/RES0093.mp3[860.800,869.200] ALRIGHT OK WELL ALSO DO A PHYSICAL EXAM JUST TO GIVE A LISTEN TO YOUR TO YOUR LUNGS AND SEE HOW THEYRE DOING AND THEN GO FROM THERE DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0170.mp3[368.680,370.840] OK OK THATS GREAT audio/RES0011.mp3[361.760,366.160] NO NO I DONT THINK SO audio/MSK0035.mp3[234.360,237.360] UM HAVE YOU BEEN HAVING ANY HEADACHES audio/RES0138.mp3[338.640,345.440] OKAY AND ANY EXPOSURE TO ANY PETS OR ANIMALS audio/MSK0007.mp3[422.280,425.600] YES DEFINITELY audio/RES0008.mp3[267.800,273.320] OK AND AND UM YOU SAID THAT ITS A SHARP PAIN audio/RES0180.mp3[374.200,379.720] OK UMM ALRIGHT DO YOU SMOKE audio/RES0156.mp3[199.000,206.680] OK UM DOES SHE COMPLAIN OF ANY KIND OF HEADACHES OR UH NAUSEA OR VOMITING audio/RES0090.mp3[0.000,2.720] WHAT BRINGS YOU IN HERE TODAY audio/MSK0006.mp3[314.880,321.360] NO ITS JUST BEEN JUST BEEN UH THIS PAIN audio/RES0050.mp3[207.480,209.160] UH NO audio/RES0189.mp3[745.880,751.720] OK THAT SOUNDS GOOD THANK YOU audio/RES0015.mp3[637.160,643.000] OK OK AND ARE THEY SICK AS WELL OR NO audio/RES0139.mp3[332.200,336.320] OKAY AND UH DO YOU WORK FROM HOME RIGHT NOW OR DO YOU GO IN PERSON audio/RES0033.mp3[258.480,261.720] OK HOW ABOUT ANY HEADACHES audio/RES0106.mp3[321.200,324.040] UH YEAH I THINK SO audio/RES0047.mp3[109.320,119.760] OK UM AND DOES ANYTHING MAKE YOUR COUGH BETTER LIKE DO YOU TAKE ANY OVER THE COUNTER COUGH SYRUP audio/RES0036.mp3[442.160,445.280] ANY CHANGES IN YOUR URINARY PATTERNS audio/RES0051.mp3[294.320,307.320] OK SO THE COUGH STARTED 5 DAYS AGO YOU HAD A SORE THROAT YOUVE BEEN FEELING A BIT MORE TIRED AND HAVENT BEEN ABLE TO TASTE YOUR FOOD FOR THE LAST COUPLE OF DAYS audio/MSK0003.mp3[60.600,63.040] ITS A DULL PAIN audio/RES0119.mp3[175.560,183.840] OK UHM AND HAVE HER SYMPTOM SYMPTOMS BEEN GETTING WORSE OVER THE LAST TWO WEEKS OR ARE THEY GETTING BETTER AT ALL audio/MSK0031.mp3[73.440,79.320] NO ITS IM JUST IN EXTREME PAIN LIKE I I I CANT EVEN PUT ANY WEIGHT ON IT audio/CAR0003.mp3[123.680,129.800] OK AND HOW ABOUT A POSITIONAL CHANGES DOES LYING FLAT AT ALL MAKE IT WORSE audio/RES0198.mp3[260.000,264.520] OK AND DO YOU SEE AN ENDOCRINOLOGIST audio/RES0116.mp3[71.840,82.480] YEAH SO THREE FOUR DAYS OK HAVE YOU TAKEN A LOOK INTO HIS EAR LIKE DOES DOES IT SEEM RED IS THERE DISCHARGE audio/MSK0015.mp3[388.560,397.840] OK AND DID HER HIPS DID LIKE WAS SHE ABLE TO WALK AFTERWARDS audio/RES0017.mp3[772.880,783.240] I QUIT LONG TIME AGO MORE THAN LIKE 10 YEARS AGO BUT I USED TO SMOKE LIKE 5 TO 10 CIGARETTES FOR AROUND 20 YEARS audio/RES0025.mp3[303.960,308.280] IVE I STARTED TO FEEL HOT THIS MORNING audio/RES0069.mp3[471.240,480.320] DIABETES OK AND WHO HAD DIABETES audio/RES0012.mp3[846.400,859.480] OK OK UM SO JUST KIND OF GOING THROUGH WHAT IT COULD BE THAT YOU HAVE RIGHT NOW IM THINKING audio/RES0023.mp3[184.520,196.400] OK MMM HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0028.mp3[552.120,565.480] A LOT OF FAST FOOD I KNOW I COULD WORK ON THAT BUT AGAIN WITH THE BUSY LIFESTYLE WE TEND TO EAT A LOT OF FRIED FOODS AND FATTY FOODS I KNOW I COULD DO BETTER audio/RES0199.mp3[371.120,374.240] UHM NO NOTHING LIKE THAT audio/RES0050.mp3[492.800,509.160] OK AND ANY TRIGGERS THAT YOU CAN THINK OF YOU WERE EXPOSED TO EITHER AT WORK OR HOME LIKE CHEMICALS OR THINGS THAT YOU WERE EXPOSED TO THAT YOU HAD TO BREATHE THAT YOU BREATHE IN audio/RES0069.mp3[113.320,120.320] OK HAVE YOU HAD A HEADACHE audio/RES0151.mp3[356.440,360.440] UH NO THATS PRETTY MUCH IT audio/RES0102.mp3[290.120,298.080] NO THE PAIN I FEEL IT ABOUT IN THE SAME SPOT EACH TIME audio/RES0066.mp3[191.280,196.120] OK DO YOU FEEL DIZZY OR LIGHTHEADED AT ALL audio/GAS0003.mp3[241.600,247.440] OK UM HAVE YOU BEEN HAVING ANY CHANGES IN YOUR URINARY PATTERNS audio/RES0026.mp3[169.240,171.560] UM NO audio/RES0201.mp3[444.760,448.320] I QUIT TWO YEARS AGO audio/RES0165.mp3[258.960,262.480] ITS ALL OVER audio/MSK0038.mp3[742.080,752.400] OK HOW ABOUT WHEN YOU EXTEND YOUR KNEE BACK OUT STRAIGHTEN IT ALL THE WAY audio/GAS0004.mp3[489.000,499.160] UM I HAD MY WISDOM TEETH REMOVED BUT NO I LIKE I WASNT HOSPITALIZED NO audio/MSK0006.mp3[300.000,304.160] OK HOW ABOUT IN THE GROIN AREA audio/RES0073.mp3[398.280,402.440] UH JUST UHM ITS CALLED DYSLIPIDEMIA audio/MSK0041.mp3[313.240,316.080] NO I DONT THINK SO audio/CAR0002.mp3[478.160,480.760] NO ALCOHOL audio/MSK0033.mp3[487.000,494.800] YEAH YEAH MY MOM MADE SURE THAT I GOT ALL OF THAT STUFF DONE audio/RES0049.mp3[258.800,263.040] JUST BEEN PLANNER JUST SITTING ON THE COUCH audio/RES0181.mp3[316.600,322.480] OK UHM AND ANY HOSPITALIZATIONS OR SURGERIES BEFORE audio/CAR0003.mp3[580.480,589.120] OK AND ARE THERE ANY EXPOSURES LIKE DUST OR MOLD OR ASBESTOS IN YOUR HOME ENVIRONMENT audio/RES0120.mp3[167.560,169.280] OKAY AND ARE THEY GETTING WORSE AT ALL audio/RES0166.mp3[201.720,208.920] OK SO SO WHEN DID YOU GET OUT OF THE HOSPITAL audio/MSK0044.mp3[100.120,103.880] UH THIS IS LIKE A 10 IT HURTS REALLY BAD audio/RES0129.mp3[420.680,423.240] UH NOT THAT I CAN THINK OF audio/RES0031.mp3[584.760,593.200] OK AND HOW MANY PARTNERS HAVE HAVE YOU BEEN WITH OVER THE LAST SIX MONTHS OR THE LAST YEAR audio/RES0127.mp3[558.120,560.400] YEAH OK OK SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME audio/RES0159.mp3[150.600,159.960] NO I HAVENT I DONT THINK IVE SEEN ANY BLOOD audio/MSK0045.mp3[285.840,293.920] OK AND IS IS THIS STIFFNESS THERE JUST THROUGHOUT THE DAY OR IS IT THERE IN THE MORNING AND THEN GETS BETTER DURING THE DAY audio/MSK0007.mp3[617.800,620.760] NO NO PAIN WITH SHOULDER audio/RES0100.mp3[616.480,637.280] I JUST HAD TO GO INTO WORK LIKE ONE DAY LAST WEEK JUST TO GRAB SOME OF MY STUFF BUT DIDNT REALLY COME INTO CONTACT WITH ANYONE MY FIANCE DOES GO TO HIS WORK LIKE A COUPLE LIKE THREE OR FOUR TIMES DURING THE WEEK SO I DONT KNOW IF HE GOT INTO CONTACT WITH ANYONE ITS ITS HARD TO SAY audio/RES0013.mp3[478.480,481.880] OK SO LIKE THE FLU VACCINE EVERY YEAR audio/RES0010.mp3[509.640,519.720] OK UM ALRIGHT AND DO YOU SMOKE audio/RES0160.mp3[238.520,245.400] ANY CHANGE IN YOUR SENSE OF SMELL audio/RES0210.mp3[176.400,183.120] OK IS THERE ANYTHING ELSE THAT YOU CAN THINK OF THAT MAKES IT FEEL WORSE audio/RES0151.mp3[574.640,586.320] ALRIGHT UM SO UHM THAT WAS EVERYTHING I WANTED TO ASK TODAY ON ON HISTORY WAS THERE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT YOU WANTED TO MENTION audio/RES0038.mp3[150.640,167.600] UM ITS UH ITS PRETTY VARIABLE I WOULD SAY SO IF IM EXERCISING IT WILL ITLL THROW ME INTO A COUGHING FIT AND AND SOMETIMES ITS REALLY BUGGING ME AT NIGHT TOO ITLL AFFECT ME ITS IMPAIRING MY SLEEP audio/RES0043.mp3[538.080,540.840] YEAH I LIKE SHE YEAH SHES HEALTHY audio/RES0134.mp3[310.520,317.640] YEAH MY ENERGYS BEEN PRETTY LOW UM IVE BEEN FEELING VERY TIRED audio/RES0015.mp3[258.280,262.440] NO THIS IS LIKE THE FIRST TIME IM HAVING THIS ISSUE audio/RES0049.mp3[238.000,239.600] NO NOT THAT I KNOW audio/RES0199.mp3[400.600,402.520] NO NOT THAT I KNOW audio/RES0120.mp3[601.600,605.600] UM YEAH LIKE WHAT DO YOU THINK I HAVE COVID audio/GAS0004.mp3[5.720,27.680] YEAH SURE I HAD IVE BEEN HAVING DIARRHEA FOR THE PAST THREE TO FOUR DAYS AND ITS BEEN PRETTY BAD I COULDNT GO UH I COULDNT GO TO MY CLASSES HAD TO SKIP BECAUSE IT WAS JUST IT WAS JUST EMBARRASSING audio/RES0074.mp3[432.040,453.000] YEAH SO I CURRENTLY LIVE WITH MY WIFE AND SON WE LIVE IN A HOUSE JUST IN LONDON AND LIKE I MADE SURE TO JUST ISOLATE MYSELF TO ONE ROOM AND I WEAR A MASK AROUND THEM JUST IN CASE audio/MSK0015.mp3[267.480,269.760] OH NO NOTHING LIKE THAT audio/RES0133.mp3[588.600,590.400] UH NO I HAVENT audio/RES0095.mp3[679.520,688.400] NO I DONT THINK SO ITS JUST THE THE DIFFICULTIES WITH BREATHING AND THE SWELLING audio/RES0016.mp3[318.000,321.360] NO HEART HAS BEEN FINE audio/RES0164.mp3[444.280,453.840] CONCURRENTLY OR LIKE DURING YOUR PREGNANCY WITH HIM ANY COMPLICATIONS AT ALL audio/RES0205.mp3[118.360,123.840] HOW OFTEN WOULD YOU SAY THAT YOURE COUGHING audio/RES0020.mp3[202.880,211.320] ALRIGHT AND SO YOU HAVENT BEEN BRINGING UP ANY SPUTUM OR OR ANY BLOOD audio/RES0020.mp3[675.280,679.760] ALRIGHT AND THEN ANY CANCER THAT RUNS IN THE FAMILY audio/MSK0007.mp3[542.480,552.800] OK AND WHEN YOU PRESS ON THE MEDIAL PART OF THE THE ELBOW DO YOU FEEL PAIN audio/RES0127.mp3[85.600,107.200] YEAH LET MY NOSE SO STUFFY AND SOMETIMES ITS JUST LIKE MY EYES AND MY NOSE ARE JUST ITCHY AND MY EYES GET LIKE RED AND TEARY SOMETIMES ITS SO EMBARRASSING WHEN IM GOING TO SCHOOL I ALSO WAKE UP IN THE MORNING WITH THIS LIKE SORE THROAT AND HAVE JUST COUGH AND CLEAR OUT MY YOU KNOW CLEAR MY THROAT audio/RES0056.mp3[103.280,115.600] HOW I WOULD SAY IS THAT ITS KIND OF LIKE ITS NOT TOO HARSH ITS MORE LIKE A WET COUGH IM DEFINITELY BRINGING UP SOME SOME SPUTUM audio/RES0079.mp3[133.520,139.560] OK ANY RUNNY NOSE audio/RES0005.mp3[703.000,710.200] NO IVE BEEN PRETTY MUCH TO MYSELF OVER THE LAST FEW MONTHS SO NOT REALLY audio/CAR0001.mp3[24.560,30.800] OK AND SO WHEN DID THIS CHEST PAIN START audio/MSK0034.mp3[78.000,82.120] OK AND SO DID YOU SAY IT WAS THE RIGHT HIP THATS GIVING YOU PAIN audio/GEN0001.mp3[279.480,285.440] OK YOU DONT HAVE ANY SWELLING ON YOUR ANYWHERE IN YOUR BODY ON YOUR ANKLES DO YOU audio/MSK0032.mp3[69.160,106.720] UM I THINK LIKE JUST UH SHE WAS PLAYING AND THEN UM SHE WAS ABOUT TO FALL LIKE RIGHT LIKE RIGHT ON TO THE PLAYGROUND PAVEMENT SO I REMEMBER LIKE BUT LIKE I CAUGHT HER RIGHT AWAY SO TO PROTECT HER AND THEN SINCE THEN I DONT KNOW IF LIKE THERE WAS LIKE A JERK MOVEMENT AS LIKE I KIND OF PULLED HER BACK UP OR UM WHEN I WAS STOPPING HER FROM FALLING LIKE IF THAT CAUSED IT BUT SHE DIDNT HIT HERSELF OR ANYTHING LIKE THAT audio/MSK0046.mp3[29.160,37.000] UHM SO FOR THE PAST TWO DAYS BUT ITS GOT IT GOT BAD YESTERDAY audio/RES0031.mp3[97.560,99.800] OK AND ANYTHING THATS BEEN MAKING THE PAIN WORSE audio/MSK0013.mp3[464.200,468.880] OK AND ARE YOU WORKING CURRENTLY audio/MSK0005.mp3[161.440,171.160] NO OK AND DO YOU FEEL LIKE YOUR PAIN IS GETTING WORSE OVER THE PAST SEVERAL MONTHS OR IS IT THE SAME GETTING BETTER audio/MSK0020.mp3[554.600,564.200] NO OK THATS GOOD AND NOW IM JUST GOING TO GET YOU TO DO THE PHYSICAL EXAM PART OF THIS INTERVIEW WITH ME IS THAT OK audio/RES0014.mp3[477.920,491.360] SO I CURRENTLY LIVE IN LONDON BUT I JUST RECENTLY MOVED INTO A NEW FLAT AROUND TWO MONTHS AGO audio/RES0086.mp3[404.120,428.240] I DO HAVE I THINK LIKE JUST SEASONAL ALLERGIES I DONT KNOW IF IM ALLERGIC TO POLLEN BUT DURING THE SPRING TIME I GET ALLERGIES AND THEN DURING THE WINTER NOW IM GETTING SOME OF THESE SYMPTOMS THAT IM TALKING ABOUT SO YEAH BUT NONE TO ANY MEDICATIONS THAT I KNOW OF audio/RES0045.mp3[585.000,651.840] YEAH SO THATS DEFINITELY TOP ON THE LIST RIGHT NOW FOR THINGS THAT WE HAVE TO RULE YOU OUT FOR UM SO WELL TAKE A SWAB TODAY WELL SEND IT OFF UM FOR THOSE PCR RESULTS YOU SHOULD HEAR BACK IN 24 TO 48 HOURS UH IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY MEMBERS WHEN POSSIBLE AND PUBLIC HEALTH WILL GET IN TOUCH WITH YOU IF THOSE RESULTS ARE POSITIVE AND SO THEY CAN THEY CAN DO SOME CONTACT TRACING IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AND I GUESS THE BEST THERAPY FOR THAT IS STAYING HYDRATED UM GETTING GOOD SLEEP AND EATING NUTRITIOUS FOODS UH BUT IF YOUR SYMPTOMS GET WORSE LIKE YOURE RUNNING A REALLY HIGH FEVER UM YOURE HAVING NEUROLOGICAL SYMPTOMS LIKE YOU KNOW SEIZURES OR FAINTING SPELLS UM OR IF YOURE HAVING DIFFICULTY BREATHING UM YOU SHOULD COME BACK TO THE ER SO HOW DOES THAT SOUND audio/RES0056.mp3[337.400,349.680] NO I DONT THINK SO SHE DID GET THAT COVITEST DONE BUT IT CAME BACK NEGATIVE AND SHE DIDNT GO TO THE DOCTOR OR ANYTHING IT KIND OF JUST WENT AWAY ON ITS OWN audio/RES0046.mp3[674.800,681.960] OK HOW LONG HAVE YOU BEEN DOING THAT audio/RES0037.mp3[666.960,668.600] UH NO IM I RETIRED audio/GAS0004.mp3[261.600,276.840] YEAH YEAH I HAVE ACTUALLY BUT ITS NOT BEEN AS BAD AS THE DIARRHEA I DIDNT EVEN YEAH I DIDNT I WASNT EVEN THINKING ABOUT THAT YEAH I I DID VOMIT I THINK TWICE YESTERDAY audio/RES0206.mp3[271.120,275.480] OK AND ANY NAUSEA OR VOMITING audio/MSK0005.mp3[478.720,483.920] OK HOW ABOUT WHEN YOU FLEX YOUR ELBOW audio/MSK0022.mp3[130.160,134.880] UH NO NOTHING NO JUST REALLY THE SMALL JOINTS audio/MSK0023.mp3[185.080,192.840] OK AND WHAT KIND OF MOTIONS ARE HURTING YOU RIGHT NOW THE MOST audio/RES0133.mp3[165.640,171.040] I SEE AND HAVE YOU HAD A SORE THROAT OR DO YOU HAVE A SORE THROAT audio/MSK0041.mp3[424.000,428.480] OK HAVE YOU HAD ANY ANY SURGERIES audio/RES0214.mp3[133.320,137.960] OK HAVE YOU HAD ANY RECENT TRAVEL ANYWHERE ELSE audio/RES0058.mp3[375.000,382.280] OK ANY CONFUSION OR MEMORY LOSS audio/RES0082.mp3[353.840,357.400] YEAH I LIVE WITH MY MOM DAD AND A YOUNGER BROTHER audio/RES0120.mp3[257.600,260.560] NO NOTHING LIKE THAT audio/RES0177.mp3[476.880,481.400] OK DOES ANYONE AT HOME SMOKE audio/RES0091.mp3[324.960,333.200] OK AND YEAH THOSE ARE PRETTY MUCH ALL THE QUESTIONS I HAVE RIGHT NOW DO YOU HAVE ANY QUESTIONS audio/RES0014.mp3[332.040,337.480] OK AND ANY NAUSEA OR VOMITING audio/RES0102.mp3[262.000,271.960] OK AND YOUR CHEST PAIN WHEN DID THAT START audio/RES0141.mp3[272.920,280.040] ANY MEDICATIONS OTHER THAN METFORMIN THAT YOU TAKE ANYTHING OVER THE COUNTER audio/RES0084.mp3[399.280,405.640] UH NO NO I HAVENT BEEN COUGHING OR NO SHORTNESS OF BREATH AT ALL audio/RES0134.mp3[486.920,493.600] AND HAVE YOU HAD ANY SURGERIES PRIOR UM ASIDE FROM THE HIP SURGERY TWO YEARS AGO audio/RES0069.mp3[542.960,579.000] ALTHOUGH THE SYMPTOMS THAT YOURE EXPERIENCING WITH FEELING OR HAVING A FEVER SORE THROAT AND NOT FEELING WELL WITH THE MUSCLE ACHES AND FATIGUE UHM ITS RELATIVELY NONSPECIFIC SO AS YOU MENTIONED IT COULD BE SOMETHING LIKE THE COMMON COLD THAT YOUVE EXPERIENCED IN THE PAST SO WE CANT RULE THAT OUT EITHER AT THIS TIME BUT WE WILL DO SOME INVESTIGATIONS INCLUDING A NASAL SWAB FOR COVID AND KIND OF GO FROM THERE audio/MSK0041.mp3[746.640,750.040] YES I CAN DO THAT audio/RES0143.mp3[319.600,329.080] UM I THINK MY DAD HAS UH HIGH CHOLESTEROL audio/RES0097.mp3[328.200,346.360] OK NO THATS GOOD CERTAINLY YEAH AT THE AGE OF 11 SHOULD BE STILL GAINING WEIGHT SO THATS GOOD AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0004.mp3[466.680,476.760] UM I MEAN IVE HAD SORE THROATS IN THE PAST BUT NOT WHILE FEELING LIKE THIS THOUGH audio/RES0110.mp3[483.880,491.040] UM NO NO NIGHT SWEATS BUT I DO FEEL CHILLS audio/RES0151.mp3[221.160,227.280] UHM MAYBE A LITTLE BIT OF A TICKLE IN MY THROAT BUT NOT SORE audio/RES0131.mp3[134.200,138.760] THIS HEADACHE IS IT ALWAYS THERE audio/RES0148.mp3[154.360,159.800] UH A LOSS OF TASTE OR LOSS OF SMELL audio/RES0005.mp3[557.960,566.400] OK HOW LONG HAVE YOU BEEN LIVING WHERE YOU YOUVE BEEN NOW audio/RES0082.mp3[385.280,397.040] WELL IVE PLAYED SOME LIKE BASKETBALL OUTSIDE WITH ONE OF THE NEIGHBORS BUT I DONT THINK HES BEEN SICK audio/MSK0029.mp3[573.120,579.560] OH I SEE OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0018.mp3[295.120,297.040] NO ITS PRETTY REGULAR audio/RES0136.mp3[430.440,434.280] OKAY AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY DIAGNOSES audio/RES0033.mp3[267.240,276.200] UH I THINK I FELT LIKE A LITTLE BIT WARMER IN THE PAST FEW DAYS BUT I DIDNT I DIDNT REALLY CHECK audio/MSK0017.mp3[688.360,692.320] THAT HURTS OK HOW ABOUT THE OTHER SIDE THE LEFT SIDE audio/RES0196.mp3[333.120,336.800] UH NO SHES BEEN PRETTY GOOD WITH HITTING ALL THOSE MILESTONES audio/RES0213.mp3[422.600,424.800] OK AND YOU LIVE IN LONDON audio/RES0185.mp3[394.040,408.520] NO I AM I DONT I DONT THINK SO I LIVE UH IN A STUDENT HOUSE THOUGH WITH THAT LIKE FOUR OTHER PEOPLE audio/MSK0009.mp3[675.840,683.840] OK HAS THERE BEEN ANY BLOOD CLOTS IN THE FAMILY BEFORE audio/RES0206.mp3[478.120,478.920] I SEE audio/RES0075.mp3[91.120,96.560] UH ITS MOSTLY YEAH I FEEL THE SHARP PAIN WHEN I BREATHE IN audio/RES0216.mp3[335.880,346.960] OK GOT IT I SUPPOSE JUST HAS THIS KIND OF CHEST TIGHTNESS STOPPED YOU FROM DOING ACTIVITIES THAT YOU NORMALLY WOULD DO ANY MISSED TIME FROM WORK audio/RES0062.mp3[459.720,466.680] OK FOUR YEARS AND WHEN WAS THE LAST TIME YOU HAD AN ECG audio/RES0026.mp3[136.720,145.600] NO IT JUST SEEMS TO BE THERE ALL DAY UM DOESNT REALLY GET BETTER WITH ME TRYING TO REST OR NOT audio/GAS0003.mp3[292.560,296.280] I DONT THINK SO audio/RES0042.mp3[202.880,215.920] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0079.mp3[71.440,76.880] OK SO THERES BEEN NO SPUTUM OR ANY OR BLOOD audio/RES0004.mp3[685.000,687.440] NO HOW ABOUT MARIJUANA audio/MSK0045.mp3[345.840,352.560] OK AND CURRENTLY RIGHT NOW SO YOU SAID YOU WORK AS A CONSTRUCTION WORKER RIGHT audio/MSK0016.mp3[27.040,47.200] YEAH IT FIRST UH IT WOULD ONLY BUG ME FOR A COUPLE OF MINUTES AT A TIME AND I COULD KIND OF SHAKE MY HAND OUT LIKE FLICK LIKE FLICK MY WRIST AND UM AND IT WOULD GO AWAY AFTER A FEW MINUTES BUT NOW IM STARTING TO GET UH LIKE SYMPTOMS AT NIGHT SOMETIMES AS WELL audio/RES0060.mp3[679.840,684.960] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0204.mp3[229.360,233.440] ARE YOU GOING TO SCHOOL RIGHT NOW OR STAYING HOME audio/MSK0021.mp3[0.000,2.600] WHAT CAN I DO FOR YOU audio/RES0059.mp3[482.040,486.680] UMM NONE I CANT THINK OF ANY audio/RES0167.mp3[134.640,139.480] OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING audio/RES0205.mp3[255.600,258.600] OK ANY BELLY PAIN audio/RES0073.mp3[379.000,382.920] OK HAVE YOUR EYES BEEN ITCHY audio/MSK0035.mp3[425.120,428.600] IM IN SCHOOL audio/RES0039.mp3[518.840,523.040] UH YEAH I TAKE AN ORAL CONTRACEPTIVE PILL audio/GAS0005.mp3[99.120,117.600] YEAH SO AT FIRST WITH THE STOMACH PAIN HE WAS A BIT JUST IRRITABLE AND JUST NOT HIMSELF BUT ESPECIALLY YESTERDAY WITH THE FEVER JUST BEEN VERY QUIET AND JUST KIND OF SLEEPING PRETTY MUCH THE WHOLE DAY audio/RES0053.mp3[737.760,745.960] I DONT KNOW WHEN THIS HOUSE IS BUILT I DONT THINK THERES ANY ASBESTOS IN IT AND ITS ALL HARDWOOD SO NO audio/RES0178.mp3[392.800,396.520] HE IS YEAH audio/MSK0005.mp3[563.760,568.360] OK OK AND UM HOW LONG AGO WAS THAT audio/RES0088.mp3[431.600,433.200] UH NO audio/RES0158.mp3[319.280,329.280] UM JUST THE UH THE MULTI VITAMIN AND THEN A LIKE A GREENS SUPPLEMENT audio/MSK0005.mp3[394.680,413.000] NO OK ALRIGHT AND NOW IM GOING TO GET YOU TO UM JUST PALPATE UH THAT LATERAL OR YEAH THE LATERAL ASPECT OF THAT ELBOW AND YOU LET ME KNOW IF YOU FEEL PAIN WHEN YOU PUSH PUSH ON THAT audio/RES0069.mp3[199.920,204.200] OK HAVE YOU BEEN DIZZY OR LIGHTHEADED audio/RES0004.mp3[91.480,101.160] UM ID SAY MAYBE THE UH THE RIGHT SIDE IS A LITTLE BIT MORE SORE BUT I THINK I CAN FEEL IT ON BOTH SIDES OF MY NECK audio/RES0182.mp3[456.000,456.800] I DONT audio/RES0108.mp3[357.600,363.160] I LIVE IN A HOUSE WITH MY WIFE AND MY TWO KIDS audio/MSK0039.mp3[624.600,703.840] OK ALRIGHT UM I GUESS THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU UM I THINK YOU MAY HAVE A TIBIAL FRACTURE SO WELL START WITH SOME X RAYS UM TO BE SURE AND TO TRY TO TAKE A LOOK AT LIKE WHERE THE FRACTURE IS AND HOW WE CAN APPROACH THAT UM BECAUSE EVERYTHING IS SWOLLEN AND ANGRY DOWN THERE WELL PROBABLY TRY AND UM APPLY A SPLINT UM UNTIL THE SWELLING GOES DOWN AND THEN UM WE CAN UH REFER YOU TO AN ORTHOPAEDIC SURGEON FOR A SURGIC FOR THE SURGERY ITSELF SO THAT COULD UM INVOLVE LIKE UH YOU KNOW THEM DOING LIKE AND INTRAMEDULLARY NAIL PLATES AND SCREWS AND UM LIKE SOME SORT OF FIXATION UM BUT AFTER THE SURGERY YOUR FRACTURE WILL PROBABLY TAKE ABOUT FOUR TO SIX MONTHS TO HEAL COMPLETELY UH SO IN THAT PERIOD UM WE CAN TALK ABOUT LIKE PAIN MANAGEMENT AND PHYSIOTHERAPY AS WELL JUST TO KEEP THE MUSCLES IN THAT AREA STRONG AND TO INCREASE YOUR RANGE OF MOTION DOES THAT SOUND OK audio/RES0214.mp3[429.360,430.120] A YEAR AGO audio/RES0153.mp3[177.960,180.240] UM NO NO HEADACHES audio/DER0001.mp3[624.320,626.480] NO I JUST WANT TO GET THIS FIGURED OUT audio/RES0167.mp3[602.960,608.560] OK THANK YOU audio/RES0192.mp3[636.320,638.320] JUST MY HUSBAND YEAH audio/RES0208.mp3[330.080,358.920] WELL MY GRANDKIDS UH VISITED LAST WEEKEND AND MY GRANDSON HAS A COLD HE GOES TO DAYCARE YEAH SO IM NOT REALLY IM NOT REALLY SURE LIKE HES BEEN STAYING HOME AND THEY DIDNT THEY DIDNT REALLY KNOW THAT WHEN THEY CAME TO VISIT audio/RES0012.mp3[316.280,317.200] UH NO audio/MSK0038.mp3[454.600,465.520] UH NO IVE TRIED UH LIKE SMOKING MARIJUANA IN THE PAST BUT DIDNT REALLY LIKE IT SO IVE STAYED AWAY FROM THAT audio/MSK0019.mp3[333.680,334.240] UH NO audio/RES0118.mp3[270.040,279.000] AND UM CAN YOU JUST TELL ME A LITTLE A LITTLE BIT OF A DETAIL LIKE ABOUT LIKE A PARTNER UH AND IF YOUVE HAD ANY NEW PARTNERS RECENTLY AT ALL audio/RES0077.mp3[449.720,460.200] I HAVE FELT PRETTY HOT YEAH I WAS SWEATY LAST NIGHT I DIDNT CHECK A TEMPERATURE BUT I FELT FEVERISH audio/RES0199.mp3[227.040,229.440] NO NOTHING LIKE THAT audio/RES0018.mp3[188.240,194.200] OK YEAH AND HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE audio/RES0151.mp3[100.960,107.480] OK AND YOUVE HAD A AND DID YOU HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH audio/RES0077.mp3[526.920,532.000] YEAH I HAVE FELT A BIT SORE audio/CAR0005.mp3[108.160,117.160] NO ITS HAPPENED ABOUT TWO OR THREE TIMES DURING THE 2 WEEKS audio/CAR0002.mp3[503.880,510.240] SIX DAYS AGO OK AND HOW OFTEN DO YOU USE CRYSTAL METH audio/RES0068.mp3[467.280,470.600] OK AND DO YOU CURRENTLY SMOKE CIGARETTES audio/RES0007.mp3[686.600,708.560] OK RIGHT THANK YOU FOR CLARIFYING AND SO SO FOR THE LAST FEW QUESTIONS ABOUT AND YOUR PERSONAL HABITS I WAS WONDERING I UNDERSTAND THAT PEOPLE IN YOUR AGE GROUP MIGHT EXPERIENCE WITH SMOKING OR OR ALCOHOL DO ANY OF YOUR FRIENDS DO THAT audio/MSK0049.mp3[258.760,263.960] OK UM HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/CAR0001.mp3[419.040,420.760] THEY ARE ALL UP TO DATE audio/RES0151.mp3[289.880,292.520] UH NOPE NOTHING LIKE THAT audio/RES0080.mp3[526.640,530.880] LETS SEE ABOUT FORTYFIVE YEARS audio/MSK0035.mp3[316.000,325.720] ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR LIKE ANY OTHER MUSCULOSKELETAL PAINS BESIDES THE WRIST audio/RES0141.mp3[101.840,107.480] AND ANYTHING THAT MAKES THE PAIN WORSE audio/MSK0017.mp3[147.160,174.800] UM KIND OF JUST LYING DOWN OR UM YEAH JUST JUST TRYING TO UH REST BUT UM MAKING IT WORSE YEAH IF IM UH LIKE REALLY ANY MOVEMENT UM IF IM LIKE BENDING FORWARD OR UM KIND OF LIKE LEANING TO THE SIDE I START TO GET UM GET SOME PAIN IN THE LOWER BACK audio/RES0154.mp3[339.960,361.920] OK UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO YOURE LIVING WITH AND AND WHEREABOUTS audio/RES0139.mp3[459.520,460.520] NO NOTHING ELSE audio/RES0206.mp3[195.760,201.920] I SEE OK AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0023.mp3[360.600,370.320] OK SO IN TERMS YOUR OVERALL HEALTH DO YOU ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY audio/MSK0001.mp3[309.120,315.160] UH NO I HAVENT HAD ANY PROBLEMS WITH BOWEL OR BLADDER INCONTINENCE audio/RES0039.mp3[662.720,673.200] UHM IT DEPENDS YEAH SOMETIMES I CAN IT CAN BRING ON SOME MORE COUGHING audio/RES0188.mp3[392.760,398.320] UH SO HIS OLDER SISTER ME AND HIS MOTHER audio/MSK0012.mp3[255.200,260.600] DOES IT MOVE ANYWHERE ELSE BESIDES THAT OR THOSE ARE THE REGIONS THAT IT STAYS IN audio/RES0015.mp3[440.400,448.320] MAYBE LIKE A LIKE A SPOONFUL I WOULD SAY audio/MSK0019.mp3[115.120,120.400] UM PROBABLY LIKE A 6 OR 7 audio/MSK0007.mp3[127.960,136.120] OK AND UH ARE THERE ANY FACTORS THAT MAKE THE PAIN WORSE audio/MSK0019.mp3[172.080,179.000] OKAY UM ALRIGHT AND THEN HAVE YOU NOTICED ANY NUMBNESS OR TINGLING audio/RES0183.mp3[34.440,38.440] OK IS IT A DRY COUGH OR WET COUGH audio/RES0105.mp3[284.600,297.840] UH WELL I DID I JUST GO UP TO THE TRAILER NOT TOO LONG AGO TO VISIT SOME FAMILY BUT THATS JUST AN HOUR AWAY audio/RES0183.mp3[168.080,172.280] OK HAS HE HAD A SORE THROAT audio/RES0060.mp3[258.720,268.040] OK YEAH UMM DOES ANYTHING MAKE THE COUGH BETTER OR WORSE audio/RES0014.mp3[25.440,32.120] OK UM HOW OFTEN ARE YOU EXPERIENCING THE SHORTNESS OF BREATH audio/RES0126.mp3[183.640,187.000] COPOK AND WHEN WERE YOU DIAGNOSED audio/RES0059.mp3[101.640,104.000] UMM NO PROBLEMS SWALLOWING FOOD audio/RES0114.mp3[215.400,218.680] UH NO NOT REALLY audio/RES0086.mp3[441.280,480.160] OH YEAH SO I JUST THIS PAST WEEK I USUALLY DO MY RUNNING LIKE MORNING WORKOUT RIGHT BEFORE WORK AND JUST ONE OF THE DAYS AFTER I WORKED OUT I FELT JUST TERRIBLE WITH THIS COUGHING AND SHORT OF BREATH SO I JUST DECIDED TO TAKE A DAY OFF WORK THAT DAY BUT THEN I REALIZED IT KIND OF GOES AWAY ON ITS OWN SO FOR THE OTHER DAYS I HAVE BEEN GOING TO WORK audio/RES0142.mp3[251.680,255.760] OKAY ALRIGHT UM AND DO YOU UM DO YOU DRINK audio/RES0140.mp3[452.200,454.000] OKAY GREAT audio/MSK0019.mp3[215.440,218.960] UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE audio/RES0031.mp3[481.480,485.720] OK AND RIGHT NOW HOW ARE YOU SUPPORTING YOURSELF FINANCIALLY audio/MSK0014.mp3[307.840,312.880] ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY audio/RES0180.mp3[231.120,243.800] OK AND YOU MENTIONED YOU MIGHT HAVE HAD A FEVER SO WELL CHECK YOUR TEMPERATURE TODAY AS WELL ANY FATIGUE audio/MSK0040.mp3[704.760,709.280] UP TOWARDS MY FACE THATS HARD audio/RES0207.mp3[207.520,211.720] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY audio/RES0086.mp3[2.320,64.040] YEAH SO I JUST CAME IN TODAY I ACTUALLY HAD ASTHMA AS A KID AND I USED TO BE ON THE PUFFERS AND IT PRETTY MUCH RESOLVED BY THE TIME I WAS AROUND LIKE 18 YEARS OLD AND IVE BEEN PRETTY GOOD SINCE THEN I HAVENT EVEN BEEN REALLY USING THE PUFFERS FOR THE LAST FIVE YEARS BUT JUST RECENTLY JUST DURING THE WINTER I STARTED NOTICING SOME OF MY SYMPTOMS COMING BACK AND NOW ESPECIALLY OVER THE LAST FEW MONTHS WHENEVER IM DOING SOMETHING LIKE GOING TO THE GYM OR EXERCISING I DO GET THAT SHORTNESS OF BREATH AND I FEEL MY THROAT CLOSING IN AGAIN AND RECENTLY FOR THE LAST I WOULD SAY A WEEK IVE ALSO BEEN HAVING SOME WHEEZING AS WELL SO YEAH I JUST WANTED TO COME BACK AND MAKE SURE EVERYTHING IS ALRIGHT audio/RES0102.mp3[338.120,351.000] SORT OF FEELS BETTER OK AND BESIDES BESIDES LIKE LEANING FORWARD HAS ANYTHING HELPED REDUCE THAT PAIN AT ALL audio/RES0196.mp3[171.600,175.080] ANY CHANGES IN HER BOWEL MOVEMENTS audio/RES0090.mp3[180.920,187.800] UHM I DONT THINK SO NOTHING THAT NOTHING IVE TRIED HAS WORKED audio/RES0205.mp3[30.120,34.200] OK HAVE NEVER HAD ANYTHING LIKE THIS BEFORE audio/MSK0014.mp3[215.600,221.840] OK AND DID YOU HAVE ANY TRAUMA OR ANY INJURY TO THE KNEE audio/RES0136.mp3[331.360,333.920] OKAY ANY NIGHT SWEATS audio/RES0061.mp3[1.880,11.680] IM NOT SO GOOD THESE LAST FEW DAYS I HAVENT BENN ABLE TO REALLYKEEP ANYTHING DOWN AND NOT FEELING SO GOOD audio/RES0053.mp3[296.960,301.320] OK HAS HE HAD A STUFFY OR RUNNY NOSE audio/RES0127.mp3[396.360,398.280] OK OK HAVE YOU EVER SEEN AN ALLERGIST BEFORE audio/RES0034.mp3[742.040,746.080] NO JUST JUST HER AND HER BROTHER audio/RES0114.mp3[313.920,316.920] NO HEADACHES audio/RES0121.mp3[169.000,171.840] NO NO SHORTNESS OF BREATH audio/RES0095.mp3[157.400,163.960] I DO I HAVE TO UH STARTED USING TWO PILLOWS audio/RES0016.mp3[532.200,534.840] NO UM HOW ABOUT OTHER RECREATIONAL DRUGS audio/RES0008.mp3[355.760,374.600] OK UM OK AND CAN YOU JUST GIVE ME AN IDEA OF ANY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY OR ANYTHING YOU TAKE MEDICATION FOR audio/RES0114.mp3[254.640,262.200] NO OK HOW ABOUT SOME SWELLING IN YOUR LIMBS audio/RES0123.mp3[589.480,596.280] OKAY OKAY AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA OR UM WITH UH COPD audio/RES0053.mp3[137.480,144.640] OK AND THEN IN TERMS OF THE TIMELINE IS IT GETTING WORSE HIS COUGH audio/MSK0017.mp3[424.480,427.200] UM NO NOTHING LIKE THAT audio/RES0021.mp3[4.800,16.240] SURE YOU KNOW IVE BEEN FEELING A LITTLE HOT FOR THE PAST TWO DAYS IVE HAD THIS AWFUL COUGH AND I JUST FEEL SO TIRED audio/RES0152.mp3[352.200,357.440] OK AND UM ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0130.mp3[398.040,405.120] OKAY OKAY AND DO YOU CURRENTLY SMOKE audio/MSK0008.mp3[51.440,58.360] NO ITS STAYING THE SAME OR A LITTLE BIT WORSE audio/RES0061.mp3[382.880,385.840] OK ANY RASHES audio/RES0114.mp3[198.760,199.560] OK EXHAUSTION audio/GAS0005.mp3[742.040,756.880] UH YEAH NO ITS ITS ALSO JUST LIKE I WAS JUST READING UP LIKE CAN IT BE LIKE I DONT KNOW IF IT CAN BE COVIAS WELL IF IT CAN IT CAN DO THIS AS WELL audio/RES0074.mp3[271.560,273.320] NO CHEST PAIN audio/RES0180.mp3[569.640,572.600] OK YEAH THAT SOUNDS GREAT THANK YOU audio/MSK0009.mp3[330.560,334.080] NO NOTHING LIKE THAT audio/RES0077.mp3[419.400,421.880] NO I HAVENT audio/RES0152.mp3[242.560,248.520] NO NOT REALLY audio/RES0182.mp3[181.560,188.320] OK AND AND HAVE YOU HAD ANY ANY HEADACHES audio/MSK0046.mp3[617.000,619.240] WELCOME TAKE CARE audio/MSK0024.mp3[143.840,148.320] NO OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU audio/RES0199.mp3[337.640,339.960] WHAT COLOR IS IT audio/RES0104.mp3[760.040,763.920] OK THANK YOU WILL DO audio/RES0163.mp3[533.920,544.160] OK SO YEAH SO MAINLY YEAH SO THERES ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERN audio/RES0159.mp3[594.760,598.480] OK SOUNDS GOOD audio/RES0072.mp3[214.800,221.640] IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE THAT YOU HAVE TRIED audio/GAS0005.mp3[412.760,414.760] NO NOTHING LIKE THAT audio/RES0158.mp3[165.120,174.520] OK AND ARE YOU HAVING ANY RUNNY NOSE CONGESTION SORE THROAT ANY OF THOSE SYMPTOMS audio/RES0175.mp3[447.800,456.560] OH YEAH I SEE A CARDIOLOGIST I GET REGULAR CHECKUPS DONE audio/RES0030.mp3[307.160,317.720] OK AND HAVE YOU NOTICED YOUVE HAD ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN IN THE LAST FEW FEW MONTHS audio/RES0059.mp3[496.840,500.880] OK HOW MUCH DO YOU SMOKE audio/RES0047.mp3[571.160,579.400] YEAH THEY UM I DEFINITELY NOTICE A DIFFERENCE WHEN I IF I MISS A DOSE OR SOMETHING audio/RES0187.mp3[339.840,344.880] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0124.mp3[732.040,750.760] OKAY OKAY UH AND THEY KIND OF GET BETTER ON THEIR OWN OKAY SO WE CAN SORT OF TALK ABOUT THESE SORRY PUFFERS THAT YOU MIGHT NEED TO TO USE AS NEEDED UM YOUR SISTER MIGHT HAVE SOME OF THOSE SO YOU MIGHT BE FAMILIAR WITH WHAT IM TALKING ABOUT audio/MSK0031.mp3[232.960,237.600] NO NOT THAT I HAVE EXPERIENCED audio/RES0172.mp3[419.800,442.160] I WILL WITHOUT WELL YEAH I THERE A COUPLE OR LAST WEEKEND ACTUALLY THERE WAS A FAMILY PARTY THAT WE WENT TO IT WAS OUTSIDE BUT UH IT YEAH THERES PEOPLE AROUND THERE WAS NOBODY THAT WAS SICK THAT IM AWARE OF audio/RES0053.mp3[726.720,729.120] HE LIVES WITH ME AND HIS MOTHER IN A HOUSE audio/RES0104.mp3[326.160,336.040] AH YEAH RIGHT IT DOESNT FEEL LIKE ITS WELL IT DOES FEEL LIKE ITS BEATING A BIT FASTER THAN USUAL JUST NOT FEELING TOO WELL audio/RES0047.mp3[509.840,514.760] OK WHICH ONE WHICH UM MEDICATION ARE YOU ON FOR THE BLOOD PRESSURE audio/RES0075.mp3[484.320,493.800] NO I THINK MY SISTER SHE HAS ASTHMA BUT THATS ABOUT IT audio/RES0209.mp3[215.920,220.400] OH YEAH IVE BEEN WHEEZING A LOT ACTUALLY audio/GAS0002.mp3[584.120,585.160] OK EXCELLENT audio/RES0086.mp3[777.520,780.480] YEAH THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0108.mp3[145.240,149.160] NO ANY CHANGES IN YOUR VISION OR HEARING audio/RES0196.mp3[251.560,256.560] OK AND IF SHE EVER HAD TUBES PUT INTO YOUR EARS OR ANYTHING LIKE THAT audio/MSK0022.mp3[16.880,25.040] OK SO SEVERAL MONTHS IS THE PAIN SO WHERE WHERE EXACTLY IS THE PAIN audio/RES0020.mp3[144.400,151.960] OK AND THE SHORTNESS OF BREATH YOU MENTIONED UH WHEN DID THAT START audio/RES0094.mp3[332.400,338.720] I DID TRY A VAPE ONCE OR TWICE BUT DIDNT REALLY LIKE IT SO NO audio/RES0179.mp3[305.520,308.760] UHM APPETITE CHANGES audio/RES0211.mp3[330.280,335.520] GOT IT OK AND THEN SO YOU NEVER HAD ASTHMA IN YOUR LIFE audio/RES0089.mp3[600.120,612.720] OK AND DO YOU HAVE SO IS IT JUST THE TWO TWO PUFFERS audio/RES0029.mp3[151.680,155.520] NO I GOT RIGHT BACK UP I JUST JUST HAD THE PAIN audio/RES0106.mp3[361.280,365.600] UHM MY MOM HAS DIABETES audio/MSK0026.mp3[292.600,294.480] HAVE YOU HAD ANY WHEEZING audio/MSK0017.mp3[418.320,424.480] OK ANY FAMILY HISTORY OF UM MUSCULAR OR SKELETAL ISSUES audio/RES0145.mp3[403.280,407.240] YEAH I I HAVE ALLERGIES TO PEANUTS audio/RES0058.mp3[601.240,605.080] OK IM SORRY I FORGOT TO ASK YOU ARE YOU ON ANY MEDICATIONS audio/RES0124.mp3[169.640,171.480] UH NO NOT REALLY audio/RES0027.mp3[291.720,296.160] ALRIGHT AND HOW ABOUT SHORTNESS OF BREATH audio/MSK0008.mp3[479.880,505.120] OK UM AND SO THAT I THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO FOR THE PHYSICAL EXAM WHEN INSPECTING THE KNEE ARE YOU SEEING ANY JOINT EFFUSIONS OR JOINT SWELLING OR ECCHYMOSIS OR BRUISING audio/RES0060.mp3[436.320,450.360] OK UMM CAN YOU THINK OF ANYTHING THAT MAY HAVE CAUSED YOUR SYMPTOMS YOU KNOW HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0127.mp3[522.080,525.520] NO OK AND ARE YOU SEXUALLY ACTIVE audio/RES0191.mp3[189.640,193.080] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0114.mp3[340.160,342.560] I DO HAVE HIGH BLOOD PRESSURE audio/MSK0006.mp3[741.840,744.280] UH NO audio/RES0138.mp3[354.840,357.560] UH I JUST HAVE HIGH BLOOD PRESSURE audio/RES0022.mp3[991.440,994.720] OH GEEZ OK audio/RES0020.mp3[70.920,79.320] I SEE DID YOU FEEL THE PAIN ANYWHERE ELSE OR DO YOU FEEL IT JUST IN THE CENTER OF YOUR CHEST audio/RES0135.mp3[517.400,526.040] OKAY AND ARE THERE ARE THERE ANY PETS OR ARE THERE ANY LIKE CARPETS OR UM LINENS THAT CAN HOLD HOLD A LOT OF DUST OR DANDER audio/RES0151.mp3[129.480,137.120] AND THESE SYMPTOMS START ABOUT A WEEK AGO AS WELL OR ABOUT FIVE DAYS AGO audio/RES0113.mp3[300.120,308.280] OK UM WHAT ABOUT MEDICATIONS ARE YOU TAKING ANY OVER THE COUNTER OR OTHERWISE audio/MSK0017.mp3[493.280,497.440] NO AND I HAVENT USED ANY BEFORE audio/RES0217.mp3[416.520,417.840] UH NO audio/MSK0040.mp3[661.960,679.200] OK AND HOW ABOUT ON THE LIKE OUTSIDE OR LATERAL ASPECT OF YOUR FOOT YOULL FEEL A KIND OF ITS A BONY PROMINENCE THAT THAT STICKS OUT AT THE BASE OF THE 5TH OR YOURE KIND OF LAST METATARSALS IS THERE ANY PAIN THERE audio/MSK0027.mp3[37.960,48.120] ITS IT SEEMS KIND OF FLEX IS HOLDING IT AWKWARDLY AND SHE CANT SHE SHES NOT SHES NOT STRETCHING IT audio/RES0109.mp3[281.880,282.400] UHM NO audio/CAR0001.mp3[291.320,293.160] OR BOWEL PROBLEMS audio/RES0161.mp3[207.360,220.080] UHM MY MY DAUGHTER ACTUALLY HAD A SORE THROAT JUST A HER LAST WEEK AND SHE WENT TO SEE A DOCTOR audio/MSK0012.mp3[850.240,852.080] YOURE WELCOME TAKE CARE audio/RES0079.mp3[504.680,510.000] THAT SOUNDS GREAT THANK YOU audio/RES0072.mp3[197.960,206.800] OK SO NO COUGH BUT ARE YOU PRODUCING ANY SPUTUM OR YELLOW MATERIAL audio/RES0094.mp3[225.600,227.960] OH OK WHEN WAS THAT audio/RES0013.mp3[550.560,649.320] YEAH SO ITS UNLIKELY THAT CANCER WOULD PRESENT ITSELF LIKE THIS SO ACUTELY YOU KNOW AND BUT IT COULD IT COULD BE A NUMBER OF THINGS LIKE IT COULD BE SOMETHING LIKE A PULMONARY EMBOLISM BUT YOU SAID YOU DONT HAVE ANY SWELLING UM BUT YOU DID SAY YOU HAVE SOME CHEST PAIN WHEN YOURE BREATHING PRETTY WHEN YOU TAKE A DEEP BREATH IN SO I MEAN THATS A POSSIBILITY IT DOESNT SOUND LIKE ITS AN INFECTION BECAUSE YOU DONT HAVE A FEVER OR CHILLS OR ANY ANY OTHER SYMPTOM REALLY AND YOU MENTIONED THERE WERENT ANY TRIGGERS LIKE NO TRAUMA TO THE AREA AND THEN OTHER THINGS COULD BE LIKE COPBECAUSE YOU WHICH IS A CHRONIC OBSTRUCTIVE PULMONARY DISEASE BECAUSE YOU HAVE BEEN SMOKING SINCE COLLEGE AND THATS BASICALLY JUST INFLAMMATION IN YOUR LUNGS THAT CAUSES YOUR AIRWAYS TO NARROW AND SO YOU MAY HAVE A HARD TIME BREATHING SO FOR ALL OF THESE THINGS WE FIRST START BY DOING SOME BLOOD WORK AND THEN WELL DO SOME IMAGING LIKE A CHEST XRAY AND A PULMONARY FUNCTION TEST IF INDICATED AND SO THAT WILL GIVE US A BETTER IDEA OF WHAT YOU HAVE AND HOW WE CAN BEST HELP YOU SOUNDS GOOD audio/RES0022.mp3[161.400,173.880] OK AND UM HAVE YOU HAD ANY OTHER SYMPTOMS THAT HAVE WENT ALONG WITH THIS DIFFICULTY BREATHING UM AND COUGH audio/RES0162.mp3[306.920,311.440] HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0127.mp3[141.320,150.760] DO YOU HAVE A SENSATION OF LIKE ANYTHING KIND OF DRIPPING DOWN YOUR THROAT LIKE AFTER YOU WAKE UP LIKE JUST A BUILD UP audio/MSK0037.mp3[600.320,605.520] YEAH PROBABLY ONE OR TWO SOMETIMES 3 audio/RES0168.mp3[63.640,66.560] ANY SHORTNESS OF BREATH audio/MSK0042.mp3[62.080,76.920] SO ITS ITS UH BELOW MY KNEE UH RIGHT ON LIKE UH I FEEL IT ON THE BIG BIG BONE RIGHT BELOW THE KNEE ITS UM YEAH I JUST FEEL LIKE UH LIKE A HARD LUMP audio/RES0077.mp3[521.560,526.920] OK ANY MUSCLE ACHES audio/RES0070.mp3[50.520,65.760] NO I JUST UHM I JUST WENT OUT FOR DINNER THE NIGHT BEFORE AND I KNOW THAT THERE ARE CERTAIN FOODS THAT CAN TRIGGER MY MIGRAINES BUT THIS REALLY FEELS DIFFERENT IT DOESNT FEEL LIKE MY MIGRAINE audio/RES0089.mp3[240.840,251.640] OK AND DOES THIS PAIN UHM MOVE TO ANYWHERE ELSE OR DOES IT JUST STAY IN YOUR CHEST audio/RES0176.mp3[80.440,98.680] I CAN WALK QUITE A BIT UM BUT I I GUESS LIKE WHEN I GO FOR MY MY RUNS IN THE MORNING I START FEELING SHORT OF BREATH ITS MAYBE LIKE TWO BLOCKS OR THREE BLOCKS audio/RES0080.mp3[96.160,105.080] OK AND YOU MENTIONED YOU WERE BRINGING UP SPUTUM COULD YOU DESCRIBE THE COLOR audio/RES0150.mp3[176.520,198.280] UM HE HAS HAD A FEVER FOR THE PAST FEW DAYS UM IT WAS AROUND IT WAS LESS BETWEEN 375 TO 385 UM BUT THEN YESTERDAY WAS JUST UH IT JUST KEPT GOING UP SO I GOT CONCERNED AND THOUGHT I SHOULD BRING HIM IN audio/RES0048.mp3[553.320,573.240] YEAH SO FOR DIABETES IM TAKING THIS MEDICATION CALLED UH LIKE I THINK METFORMIN AND THEN FOR THE BLOOD PRESSURE UH I THINK ITS I FORGOT THE NAME I THINK ITS SOMETHING LIKE UM RAMIPRIL OR SOMETHING LIKE THAT audio/RES0199.mp3[364.280,371.120] OK ALRIGHT ANY FEELINGS OF LIKE FEELING LIKE YOURE BLOATED OR GASSY audio/RES0066.mp3[240.880,247.600] OK AND ANY KIND OF SWELLING OF YOUR NECK REGION OR LYMPH NODES audio/RES0215.mp3[142.040,145.880] UHM NO NO WE DIDNT GO ANYWHERE BECAUSE OF COVID audio/RES0036.mp3[583.600,592.000] OK AND WHERE DO YOU LIVE CURRENTLY DO YOU LIVE IN A HOUSE OR AN APARTMENT audio/RES0158.mp3[181.760,194.040] NO I I HAVENT TRAVELED UM HAVENT TRAVELED ANYWHERE BUT I IVE JUST BEEN GOING TO WORK AND AND BEING AT AT HOME audio/RES0199.mp3[186.960,193.040] NO OK AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS audio/RES0053.mp3[316.280,323.440] UMM A LITTLE BIT LESS NOW NO NOT AS MUCH NOW audio/RES0193.mp3[76.840,86.440] OK AND SO IS IT USUALLY AFTER HES WORKED HIMSELF UP AND LIKE EXERCISE OR LIKE JUST BEEN REALLY ACTIVE audio/RES0170.mp3[410.680,424.600] OK AND I WHAT WAS I GOING TO SAY FORGOT WHAT I WAS GOING TO SAY HOW YEAH HOW HAS THIS GROWTH AND DEVELOPMENT BEEN HAS HE BEEN SEEING HIS DOCTOR REGULARLY ANY CONCERNS THERE audio/RES0214.mp3[34.760,36.000] YES THATS RIGHT audio/MSK0021.mp3[318.280,337.280] YEAH JUST THE JUST THE INHALERS AND THEN I TOOK UH BIRTH CONTROL AS WELL IVE BEEN TAKING THAT SINCE I WAS 16 SO YEAH SO FOR LIKE 6 YEARS 7 YEARS audio/RES0132.mp3[167.160,173.200] A LITTLE BIT YEAH audio/MSK0027.mp3[229.400,236.800] OK AND YOU HAS SHE HAD A RUNNY NOSE OR SORE THROAT audio/RES0211.mp3[557.400,588.480] OK ALRIGHT THANKS JESSICA SO JUST TO SUMMARIZE YOU KIND OF HAD A THREE TO FOUR DAY DRY COUGH WITH A LITTLE BIT OF FEVER SOME HEADACHE AND JUST IN TERMS WAS QUICKLY REVIEWING THEN SO YOU HAVE BEEN BRINGING ANYTHING UP NO ONE IN CONTACT WITH THESE RECENTLY BEEN SICK YOU DONT HAVE ASTHMA YOUR NOT TAKING ANY MEDICATIONS ASIDE FROM CLARITIN AND YOUR LITTLE BROTHER MIGHT HAVE BEEN SICK ABOUT TWO WEEKS AGO WITH KIND OF A COMMON COLD AND WERE HOPING TO GET OUT OF THIS VISIT IS JUST KIND OF NEXT STEPS AND WHERE TO GO FROM HERE CORRECT audio/RES0096.mp3[256.400,261.840] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0126.mp3[325.320,334.280] UHM I WAS JUST CHECKING MY TEMPERATURE ABOUT A MONTH AGO AND NOTICED THAT I HAD A FEVER audio/RES0009.mp3[556.120,567.920] OK ANY UM CANCERS IN THE FAMILY OR OR BLEEDING DISORDERS OR COAGULATIONS DISORDERS audio/RES0126.mp3[11.640,21.520] TWO MONTHS SO DID THE TWO MONTHS OF THE DIFFICULTY BREATHING OR THE COUGH audio/RES0101.mp3[140.560,144.720] MAYBE A LITTLE BIT I HAVENT REALLY NOTICED IT TOO MUCH audio/RES0204.mp3[349.360,352.400] OK DO YOU LIVE WITH YOUR DAD TOO audio/RES0113.mp3[405.960,412.360] OK DO YOU SMOKE MARIJUANA OR HAVE ANY EDIBLES WITH MARIJUANA IN IT audio/MSK0008.mp3[407.920,416.240] OK COOL AND ANY INJURIES BEFORE TO YOUR KNEE OR ANYTHING LIKE THAT audio/RES0034.mp3[746.080,757.320] OK AND AND IN REGARDS TO BIRTH BIRTH HISTORY WAS IT A VAGINAL DELIVERY OR CSECTION audio/RES0189.mp3[554.000,567.480] UHM NOT RECENTLY I THINK I JUST I JUST GO OUT TO GET GROCERIES AND STUFF I HAVENT REALLY BEEN GOING OUT TOO MUCH audio/RES0168.mp3[368.760,373.880] NO OK DO YOU DRINK ALCOHOL audio/RES0167.mp3[515.880,523.160] OK OK WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS FOR MYSELF audio/RES0145.mp3[506.560,510.200] OK ANY ALCOHOL audio/RES0177.mp3[502.640,505.040] NO I DONT THINK SO ITS A NEWER HOME audio/RES0019.mp3[659.320,731.320] SO WITH THE ACUITY OF YOUR SYMPTOMS STARTING WITH THE LAST FEW DAYS AND GETTING WORSE ESPECIALLY WITH A FEVER WHICH WE NOW HAVE DOCUMENTED OF 388 AND A KIND OF FEELING UH TIRED WITH ACHES AND PAINS AND THE HEADACHE I AM CONCERNED THAT YOU HAVE POSSIBLY A VIRAL INFECTION AND ONE OF THOSE POSSIBILITIES COULD BE COVID19 BUT ALSO IT COULD BE THE INFLUENZA IT COULD BE SOMETHING LIKE THE COMMON COLD SUCH AS ADENOVIRUS SO CERTAINLY WE WILL DO A PCR COVISWAB AS WELL AS ORDER SOME GENERAL LAB WORK TO LOOK FOR SIGNS OF INFECTION SUCH AS A CBC AND A WHITE BLOOD CELL COUNT BUT UM FOR NOW WE WILL GET THOSE TESTS ORDERED DID YOU HAVE ANY QUESTIONS audio/RES0011.mp3[214.480,217.920] YEAH I THINK SO audio/RES0032.mp3[189.240,197.320] I FELT LIKE UH A LITTLE BIT HOT I MIGHT HAVE A FEVER NOW SO YES NO CHILLS THOUGH audio/RES0161.mp3[265.800,268.280] ANY ALLERGIES audio/GAS0007.mp3[215.880,220.000] I GOT DIABETES TYPE 2 audio/RES0018.mp3[264.000,266.840] ALRIGHT HAVE YOU HAD ANY CHEST PAIN audio/RES0155.mp3[550.040,554.960] UH NOTHING LIKE THAT NO audio/CAR0002.mp3[382.080,390.480] OK AND WITHIN YOUR FAMILY HAS ANYONE PASSED AWAY FROM A HEART ATTACK OR ANY CANCERS THAT RUN IN THE FAMILY audio/RES0082.mp3[454.080,459.040] THEYVE GOTTEN WORSE SINCE ITS STARTED audio/RES0202.mp3[522.480,525.520] UH NO EVERYONE IS REALLY HEALTHY audio/MSK0021.mp3[381.440,388.320] OK UHM HOW ABOUT LONGER HEART CONDITIONS audio/RES0058.mp3[210.880,214.080] UMM YEAH WELL I HAD DIARRHEA THIS MORNING ACTUALLY audio/MSK0014.mp3[765.000,774.320] OK ALRIGHT SO THAT WAS EVERYTHING THAT I WANTED TO CHECK WAS THERE ANY ANYTHING THAT I MAY BE MISSED OR ANY FINAL QUESTIONS audio/RES0172.mp3[192.960,198.120] OH YOU GET OK OK WHAT ABOUT A RUNNY NOSE OR STUFFY NOSE audio/RES0114.mp3[89.280,99.880] HARSH OK AND HAS THE QUALITY OF YOUR COUGH CHANGED AT ALL IN THE PAST FEW YEARS LIKE DOES IT SOUND DIFFERENT THAN IT USED TO audio/RES0106.mp3[367.120,372.160] AND MY DAD HAS HIGH BLOOD PRESSURE audio/RES0079.mp3[243.080,253.800] OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS audio/RES0184.mp3[385.800,390.720] UHM I WILL MAYBE SMOKE ONCE A WEEK audio/RES0099.mp3[142.920,145.920] UH NO audio/MSK0043.mp3[144.760,152.560] A 9 OKAY UM SO IT JUST STARTED A FEW HOURS AGO IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE audio/MSK0043.mp3[721.960,729.160] 20 YEARS OKAY AND DO YOU DRINK ALCOHOL audio/RES0025.mp3[336.160,340.680] OK SCRATCHY THROAT OK HAVE YOU HAD ANY SORE THROAT audio/RES0182.mp3[466.680,472.480] OK AND UH ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS audio/DER0001.mp3[176.920,197.400] OK DEFINITELY YOU KNOW A GOOD A GOOD IDEA MOVING FORWARD JUST TO MAKE SURE YOU GET ON TOP OF THESE THINGS BUT IM GLAD YOU CAME IN TODAY SO WE CAN YOU KNOW HAVE A BETTER LOOK AT YOU AND MAKE SURE THAT THERES NOTHING SUPER CONCERNING GOING ON SO IN ADDITION TO THIS HAVE YOU HAD ANY OTHER NEW SYMPTOMS audio/RES0206.mp3[295.760,303.320] OK HAVE YOU HAD ANY NIGHT SWEATS WHERE YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT audio/RES0084.mp3[778.560,840.760] YEAH IT SOUNDS LIKE YOU HAVE SOME SORT OF INFECTION SO THE FIRST THING WE NEED TO RULE OUT IS COVID OF COURSE SO WELL DO A SWAB AND THOSE SWABS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND UNTIL THEN ITS IMPORTANT THAT YOU DO ISOLATE AND YOU ISOLATE FOR 14 DAYS AT LEAST AND THAT INCLUDES FROM OTHER PEOPLE AT HOME AND IF THOSE SWABS COME BACK NEGATIVE YOU COULD POSSIBLY HAVE LIKE ANOTHER INFECTION BUT IF YOUR SYMPTOMS WORSEN LIKE YOU START GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD COME BACK TO THE ER AND WELL GET THAT CHECKED OUT AND SO THATS WHERE WELL START FOR NOW BECAUSE YOUR PRESENTATION IS ACUTE WE THINK ITS LIKELY INFECTION RELATED audio/RES0193.mp3[50.320,76.840] ARE MORE THE UH THE COUGHING YEAH HE JUST GET IT AT NIGHT TIME AND THEN SOMETIMES HE WOULD GET IT UM LIKE IT AT AT SCHOOL AS WELL OR EVEN IF YOU WENT OVER TO ONE OF US HIS FRIENDS HOUSES SOMETIMES HE WOULD COME HOME AND OR AFTERWARDS HE WOULD HAVE A COUGH AND WHEEZE AND AND BE SHORT OF BREATH audio/RES0051.mp3[174.680,180.680] ANY MUCOUS OR PAIN OR DISCHARGE FROM EITHER YOUR EARS OR NOSE audio/RES0001.mp3[631.960,634.440] OK SURE UM AN THEN DO YOU SMOKE audio/MSK0032.mp3[420.080,423.640] NO OKAY AND HOW ARE THINGS AT SCHOOL FOR HER audio/CAR0002.mp3[0.000,2.680] WHAT BRINGS YOU IN HERE TODAY audio/RES0171.mp3[77.520,87.480] I SEE OK ARE YOU ABLE TO TALK IN FULL SENTENCES OR DO YOU NEED TO TAKE A DEEP LIKE STOP TO TAKE A BREATH audio/GAS0002.mp3[390.000,407.520] UH NOT PRESCRIBED SOMETIMES I TAKE LIKE SOME ANTACIDS WHEN I GET HEARTBURN BUT THIS IS JUST LIKE A COUPLE TIMES A MONTH AFTER DINNER SOMETIMES AT NIGHT BUT THATS ABOUT IT audio/RES0207.mp3[220.400,226.160] NO IVE JUST BEEN AT HOME audio/RES0091.mp3[219.320,221.120] AND DO YOU LIVE WITH ANYONE audio/MSK0029.mp3[709.120,717.800] YES I I WORK AT A BANK AND I LIVE WITH MY HUSBAND AND OUR TIME AND OUR SON HE’S HES SIX audio/MSK0021.mp3[553.160,559.120] OK HOW ABOUT JUST BELOW THAT WHERE YOUR SHINS START audio/MSK0028.mp3[659.000,663.400] OK UH INCLUDING RECREATIONAL DRUGS audio/RES0172.mp3[251.160,255.760] NO NO I HAVENT HAD AH ANY DIARRHEA audio/RES0192.mp3[596.880,602.000] OK ARE THERE ANY CANCERS THAT ARE IN THE FAMILY LIKE ANYBODY WHOS HAD LUNG CANCER audio/RES0203.mp3[42.560,54.960] OK WHEN YOU SAY YOU FEEL LIKE YOUVE LOST SENSE OF TASTE AND SMELL IS IT TOTALLY GONE OR DO YOU TASTE A LITTLE BIT OR HOW HOW IS THAT WORKING FOR YOU audio/RES0062.mp3[0.000,2.440] WHAT BRINGS YOU IN audio/RES0092.mp3[222.200,230.040] OK OK AND CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL CONDITIONS YOU HAVE audio/RES0066.mp3[553.160,559.320] OK DO YOU DRINK ALCOHOL audio/RES0094.mp3[282.280,284.600] WHAT ALLERGIES DO YOU HAVE audio/MSK0034.mp3[496.840,503.520] OK AND ARE YOU SEXUALLY ACTIVE audio/RES0203.mp3[332.400,338.040] OK AND IS THAT IN TOWN HERE audio/RES0180.mp3[22.560,40.840] YEAH ITS MORE LIKE ONE TO TWO DAYS ALL OF THIS IS KIND OF STARTED I THINK THE THE COUGH STARTED 1ST AND THEN THE HEADACHE AND ACHINESS HAS COME AFTER I FELT A BIT FEVERISH AS WELL I HAVENT CHECKED MY TEMPERATURE BUT I I FELT FEVERISH audio/MSK0025.mp3[107.240,124.720] OK UM AND SO YOURE HAVING THE SET LIKE WHATS CALLED SOME NUMBNESS IN YOUR GROIN IS THAT UNILATERAL LIKE ON ONE SIDE OR BOTH SIDES audio/RES0185.mp3[348.080,349.960] NOPE I DONT audio/RES0207.mp3[285.240,307.560] NO IT JUST KIND OF HAPPENED IT WAS IT WAS MY DAUGHTERS BIRTHDAY AND WE KIND OF JUST I USUALLY SORT OF HAVE IT WITH DINNER TIME BUT WE DID THINGS A LITTLE BIT DIFFERENTLY AND HAD LIKE A CELEBRATION EARLIER ON AND SO I COMPLETELY FORGOT BECAUSE I DIDNT HAVE DINNER LATER audio/RES0017.mp3[181.440,187.400] DISRUPTED SLEEP OVER THE LAST FEW MONTHS audio/RES0059.mp3[193.200,199.520] NO OK UM HOW ABOUT MUSCLE ACHES OR PAINS audio/RES0038.mp3[317.600,321.160] OK HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR HANDS audio/RES0047.mp3[674.160,679.800] UH NO audio/MSK0039.mp3[245.480,251.600] UM NO I I CAN FEEL EVERYTHING IN THAT AREA audio/RES0203.mp3[202.040,221.400] UM I WENT HIKING WITH MY PARTNER TWO WEEKS AGO I GUESS THERE WERE SOME PEOPLE WHO KIND OF BRUSHED BY US BUT OTHER THAN THAT I DONT SEE WHERE ELSE I COULD HAVE GOTTEN THIS FROM audio/RES0130.mp3[651.680,653.000] OKAY GREAT NO PROBLEM audio/MSK0003.mp3[657.520,662.560] OK AND YOU DRINK ALCOHOL audio/MSK0009.mp3[51.040,55.400] AND THAT WAS THREE DAYS AGO audio/RES0199.mp3[165.920,169.200] UHM NO NOT REALLY audio/RES0006.mp3[377.600,383.960] OK YEAH AND HOW OFTEN ARE YOU USING BOTH OF THOSE audio/RES0065.mp3[21.600,26.880] OK AND WHEN DID YOU START HAVING THIS SORE THROAT audio/RES0121.mp3[190.960,199.920] UM ANY KIND OF CHEST PAIN OR FEELING THAT YOUR HEART IS RACING audio/MSK0028.mp3[862.760,868.360] UHM NO I THINK UH I DONT HAVE ANY OTHER QUESTIONS audio/RES0214.mp3[41.920,46.120] NOTHING REALLY HAVE YOU HAD ANY NAUSEA ANY VOMITING AT ALL IN THE LAST LITTLE WHILE audio/RES0073.mp3[621.560,627.760] UH NO NO CANCERS audio/RES0064.mp3[283.160,289.480] OK HAVE YOU TRIED ANYTHING FOR HIS SORE THROAT ANYTHING OVER THE COUNTER audio/RES0166.mp3[312.480,319.440] OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS AT ALL audio/RES0097.mp3[459.880,471.080] OH YEAH YEAH WERE VERY CAREFUL ABOUT THAT GIVEN HIS DIAGNOSIS HES GOT ALL THE ALL THE VACCINES audio/RES0009.mp3[765.120,768.280] WELCOME WILL GET THAT STARTED audio/RES0182.mp3[355.280,367.200] OK AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN AH WHEREABOUTS YOURE LIVING audio/MSK0007.mp3[691.160,702.560] OK OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION audio/RES0060.mp3[471.880,476.920] YEAH EVERYBODY FAR AS I COULD TELL audio/MSK0005.mp3[629.440,632.720] UH NO NOTHING LIKE THAT audio/RES0032.mp3[170.200,176.640] OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY audio/MSK0023.mp3[156.720,161.480] OK AND ARE YOU HAVING ANY FEVERS CHILLS OR ANYTHING LIKE THAT audio/RES0047.mp3[260.480,266.160] OK OK UM DO YOU HAVE ANY CHEST PAIN audio/RES0011.mp3[357.200,361.760] ALRIGHT AND HOW ABOUT ANY WHEEZING audio/MSK0043.mp3[63.400,70.360] UH I I HAD IT OVER KIND OF MY UH LIKE OVER MY FOOT BEFORE audio/RES0052.mp3[249.960,260.240] NO CHANGES THERE OK UM AND HAS SHE HAD ANY LOSS OF TASTE audio/MSK0027.mp3[513.760,521.120] OK AND SO THE ELBOWS LOOK FINE NEITHER ELBOW APPEARS RED OR SWOLLEN audio/MSK0023.mp3[430.360,441.320] NO I DONT FEEL UNSAFE I MEAN I KNOW THERES ALWAYS THOSE KIDS AT SCHOOL WHO ARE MEAN TO OTHERS BUT I MEAN I I GENERALLY FEEL SAFE audio/RES0131.mp3[398.600,402.440] OKAY OKAY GOOD ANY ALLERGIES audio/RES0026.mp3[25.880,33.520] OK SO ILL START WITH THE HEADACHES WHEN DID WHEN DID THAT EXACTLY STARTED audio/RES0014.mp3[514.440,519.560] YEAH ANY ANY PETS audio/RES0090.mp3[423.000,426.680] ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0100.mp3[763.480,832.120] UHM SO COVID DOES PRESENT IN A VARIETY OF NON SPECIFIC WAYS AND SO IT CERTAINLY COULD BE ON THE DIFFERENTIAL FOR CAUSING A SORE THROAT AND ABDOMINAL PAIN AND AS WELL AS A FEVER HOWEVER IT COULD BE CAUSED BY OTHER THINGS AS WELL UHM CURRENTLY YOUR CONSTELLATION OF SYMPTOMS WITH THE ENLARGED LYMPH NODES IN THE NECK SORE THROAT IT SOUNDS LIKE YOU MAY HAVE UHM AN INFLAMED SPLEEN AS WELL WHICH COULD ALL BE SIGNS AND SYMPTOMS OF SOMETHING CALLED EBV OR OR MONO AND IT SOUNDS LIKE YOU MIGHT HAVE HAD AN EXPOSURE LIKE YOUR HUSBAND OR FIANCE RATHER MAY HAVE HAD THIS LAST WEEK WITH THE SORE THROAT ALL THAT BEING SAID TODAY WELL DO THE MONOSPOT TEST TO CHECK FOR THAT AS WELL AS SOME BLOOD WORK AND WE WILL DO A COVID SWAB AS WELL JUST IN CASE audio/RES0074.mp3[338.960,347.240] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0135.mp3[604.720,617.560] UM SO THE THE PHYSICAL EXAM AND THE THE VITAL SIGNS WILL REALLY WILL HELP WITH UM TO ASSESS HER BREATHING AND TO SEE OXYGEN LEVELS audio/RES0178.mp3[432.280,439.200] UH NO I DONT THINK SO YEAH audio/MSK0020.mp3[815.240,920.200] NO OK UHM SO IT SOUNDS LIKE WHAT YOU MAY HAVE IS SOMETHING CALLED ARTHRITIS WHICH BASICALLY HAPPENS UHM WHEN THE CUSHIONS AT THE ENDS OF YOUR BONES AND YOUR JOINTS KIND OF DEGENERATE OVER THE YEARS AND SO BONE CAN EVENTUALLY RUB ON BONE WHICH CAUSES LIKE THE GRADING SENSATION AND CAUSES THE PAIN UHM AND ITS IT HAPPENS IN OLD AGE IT HAPPENS WITH WEAR AND TEAR SO TO DIAGNOSE IT WE WELL YEAH WE DID THE PHYSICAL EXAM WE CAN ALSO GET AN XRAY OF YOUR HIPS AND KNEES WHICH CAN HAVE SOME FINDINGS THAT ALIGN WITH OSTEOARTHRITIS AND BASICALLY FOR NOW WELL TRY TO MANAGE IT CONSERVATIVELY SO YOU CAN TAKE AND SETS LIKE IBUPROFEN FOR THE PAIN OR ACETAMINOPHEN FOR THE PAIN WELL ALSO REFER YOU TO PHYSIOTHERAPY TO STRENGTHEN THOSE MUSCLES AROUND YOUR JOINT AND TO INCREASE FLEXIBILITY AND REDUCE THAT PAIN UHM AND ANOTHER THING THAT MAY BE WORTH CONSIDERING IS OCCUPATIONAL THERAPY BECAUSE THEY CAN HELP YOU FIND WAYS TO DO EVERYDAY TASKS WITHOUT PUTTING TOO MUCH STRESS ON AN ALREADY PAINFUL JOINT AND IF THESE THINGS DONT WORK IN THE FUTURE WE CAN ALSO DISCUSS THINGS LIKE STEROID INJECTIONS OR JOINT REPLACEMENT DOES THAT SOUND LIKE A GOOD PLAN audio/RES0023.mp3[42.880,47.960] OH IM SAD TO HEAR THAT HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/MSK0011.mp3[287.160,288.960] ANY DIZZINESS OR FAINTING audio/RES0034.mp3[496.520,500.640] UH NO I I DONT THINK IVE NOTICED THAT NO audio/RES0184.mp3[408.520,412.120] UH YEAH OCCASIONALLY audio/RES0072.mp3[16.160,22.240] OK SO IT JUST STARTED YESTERDAY HAS IT OCCURRED BEFORE audio/RES0033.mp3[180.480,188.320] UM I MEAN REALLY I I DIDNT REALLY KNOW WHAT TO TRY UM SO NO I HAVENT TRIED ANYTHING audio/RES0192.mp3[312.400,316.000] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS audio/RES0106.mp3[419.280,422.520] OK HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0213.mp3[526.880,535.960] GOT IT SO NO ONE HAS DIED SUDDENLY WITH NO EXPLANATION WHEN THEY WERE YOUNG OR WHILE THEY WERE SWIMMING audio/MSK0003.mp3[401.800,404.440] OK ANY MUSCLE WEAKNESS AT ALL audio/RES0049.mp3[535.800,539.960] PROBABLY I WOULD SAY A PACK A DAY audio/RES0120.mp3[360.000,368.240] OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY HAVE YOU LOST ANY SIGNIFICANT WEIGHT audio/RES0021.mp3[276.440,283.160] OK AND ANY WHEEZING OR WHISTLING NOISES WHILE YOURE BREATHING audio/RES0208.mp3[195.520,210.280] UH GOOD QUESTION I I KIND OF I GET I GET HEADACHES FAIRLY OFTEN I DONT THINK IM GETTING ANY MORE THAN USUAL BUT I HAVE HAD A LITTLE BIT audio/RES0022.mp3[429.000,432.440] OK AND THEN UH HAVE YOU HAD ANY HEADACHES audio/RES0136.mp3[414.280,417.600] UM I HAVE A DOG audio/RES0017.mp3[533.600,537.200] OK UM AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0028.mp3[0.000,4.280] CAN YOU JUST TELL ME WHAT BRINGS YOU IN HERE TODAY audio/RES0067.mp3[177.000,180.520] UM NO NOTHING LIKE THAT audio/RES0087.mp3[187.920,192.920] OK THATS GOOD HAS HE HAD A COUGH audio/MSK0017.mp3[410.600,415.840] OK UM DO YOU HAVE ANY ALLERGIES audio/RES0105.mp3[78.840,82.800] YEAH IS IT LIKE A WET COUGH OR DRY COUGH audio/RES0004.mp3[257.400,276.400] OH I CANT LIKE REMEMBER THE ONSET I I THINK THAT THE SORE THROAT STARTED FIRST AND MAYBE A RASH CAME A LITTLE BIT LATER audio/RES0030.mp3[426.360,427.920] UH NO audio/RES0064.mp3[419.480,422.600] ANY SIBLINGS audio/RES0190.mp3[515.720,521.800] OK WELL THATS EXCELLENT AND ARE YOU SEXUALLY ACTIVE audio/MSK0001.mp3[488.680,496.680] AND UH HOW MANY IM SORRY GO AHEAD audio/GAS0004.mp3[70.560,80.040] OH MY GOD I HAVE IVE LOST COUNT IM GOING EVERY EVERY HOUR audio/RES0202.mp3[178.880,204.040] UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE OF DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL audio/RES0192.mp3[566.240,569.560] UH AND DO YOU DRINK ALCOHOL audio/RES0126.mp3[457.000,466.800] ALTHOUGH THEY TOLD ME MY COPWAS PRETTY BAD THAT I MIGHT NEED TO GET OXYGEN AT SOME POINT audio/MSK0045.mp3[317.040,319.920] OK AND DO YOU TAKE ANY MEDICATIONS audio/MSK0029.mp3[428.360,430.360] NO THATS BEEN BEEN NORMAL audio/RES0137.mp3[209.640,224.080] I HAVENT TRIED ANYTHING IM JUST WORRIED ABOUT YOU KNOW SHES MY FIRST CHILD AND I DONT KNOW WHAT TO GIVE HER AND WHAT NOT TO GIVE HER AT THIS AGE SO I JUST DECIDED TO COME IN AND NOT TRY ANYTHING OVER THE COUNTER audio/RES0126.mp3[136.720,143.800] NO AND DO YOU FIND YOURSELF EVER HAVING TO WAKE UP AT NIGHT AND GASP GASPING FOR AIR audio/MSK0041.mp3[235.000,238.160] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0133.mp3[98.600,111.960] OKAY AND UH ANY TRIGGERS FOR THIS LIKE WERE YOU AT ANY EVENTS THAT YOU HAD TO BE UH KIND OF SPEAKING LOUDLY OR TALKING A LOT OR ANYTHING WHERE YOURE STRAINING YOUR VOICE audio/RES0166.mp3[372.160,376.000] UHM NO audio/RES0163.mp3[97.520,104.440] WELL LIKE SOMETIMES WHEN I GET ILL ITS ON BOTH SIDES BUT USUALLY ITS ON THE LEFT SIDE audio/RES0018.mp3[171.080,176.040] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/RES0046.mp3[740.160,743.120] OK HOW ABOUT UM WHERE DO YOU LIVE audio/GAS0005.mp3[463.600,467.520] OK GREAT SO IMMUNIZATIONS ARE UP TO DATE audio/RES0216.mp3[309.800,322.000] EXACTLY LIKE I HAVENT NEEDED THE RESCUE ONE IN A FEW YEARS AND EVEN WHEN I WAS JUST TAKING IT IN THE MORNING I I HAVENT HAD ANY PROBLEMS audio/RES0175.mp3[124.320,129.760] SORRY UM DID YOU HAVE ANY CHEST PAIN audio/MSK0016.mp3[287.320,291.920] CHANGES IN YOUR VISION HEARING SMELL OR TASTE audio/RES0112.mp3[275.960,277.320] UH VAGINAL audio/RES0100.mp3[704.760,708.480] OK AND THIS IS LIKE ONE GLASS OR TWO audio/RES0026.mp3[109.200,120.040] OH ITS ITS VERY LITTLE ITS LIKE MAYBE A LITTLE BIT BIGGER THAN LIKE THE TIP OF A PENCIL audio/RES0151.mp3[519.920,525.400] UH YEAH NO NO MARIJUANA EITHER audio/MSK0037.mp3[584.120,587.760] OK UH AND DO YOU DRINK ALCOHOL audio/RES0213.mp3[265.680,273.200] UH I THINK JUST THE THE TIME CRUNCH OF HAVING TO TO FINISH THIS IVE NEVER FELT LIKE SO LIKE THERE IS SO LITTLE TIME TO DO THE WORK THAT I NEED TO DO audio/RES0015.mp3[682.240,691.040] OK THATS ITS BEEN A WHILE THEN UM AND DO YOU DO YOU DRINK ALCOHOL audio/RES0178.mp3[174.960,177.640] YEAH YEAH HES HAD A BIT OF A SORE THROAT audio/MSK0003.mp3[667.920,691.240] OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD NOW IM JUST GOING TO QUICKLY UH ASK SOME SPECIFIC QUESTIONS SO HAVE YOU NOTICED ANY KIND OF SWELLING IN THE AREAS THAT YOU ARE HAVING PAIN OR REDNESS OR ANYTHING LIKE THAT audio/RES0068.mp3[401.040,404.720] OK AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES audio/RES0175.mp3[357.200,371.720] I DONT NO I HAVENT I DONT THINK SO I MEAN POTENTIALLY I WAS I WAS ACTUALLY OUT WITH MY FRIENDS BUT NO ONE WAS SICK audio/RES0012.mp3[451.480,456.240] OK AND THEN HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL audio/RES0181.mp3[134.840,138.440] UM NO HEADACHES NO audio/RES0004.mp3[387.320,392.960] OK AND WERE THEY EVER TREATED FOR THAT DID THEY SEE A DOCTOR audio/MSK0013.mp3[610.600,636.840] OK SO NEXT JUST WANTED TO MOVE ON TO THEIR PHYSICAL EXAM PIECE OF THE APPOINTMENT TODAY SO JUST LOOKING AT YOUR UM THE AT YOUR FEET AND AT THE JOINTS OF THE ANKLE AND TOES ARE YOU SEEING ANY SWELLING REDNESS OR YEAH ANY SWELLING OR REDNESS audio/MSK0007.mp3[52.280,57.840] OH THE PAINS BEEN GETTING WORSE audio/RES0031.mp3[295.040,299.640] HOW ABOUT ANY DIFFICULTY BREATHING OR SHORTNESS OF BREATH audio/RES0139.mp3[360.920,373.000] OKAY IM SORRY UM AND IS IN YOUR HOME ENVIRONMENT IS THERE ANY KIND OF ALLERGENS LIKE DUST OR ANY MOLD OR ANYTHING LIKE THAT audio/RES0003.mp3[407.840,409.400] UM NO NO audio/RES0113.mp3[152.560,155.120] UH ITS JUST GOTTEN A LITTLE BIT WORSE audio/RES0188.mp3[117.880,124.600] MAYBE A LITTLE BIT LIKE THAT JUST A LITTLE BIT OF A NOISE BUT ITS MOSTLY THE GRUNTING audio/RES0166.mp3[394.320,401.040] OK ANY FEVERS OR CHILLS audio/RES0078.mp3[444.960,448.960] NO I HAVENT I DONT HAVE A THERMOMETER AT HOME audio/RES0179.mp3[592.280,598.760] NO PETS OK HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/MSK0007.mp3[328.200,332.280] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0055.mp3[137.400,140.920] OH NO I DONT REALLY HAVE ANY PAINS audio/RES0174.mp3[649.840,651.920] DO YOU DRINK ALCOHOL audio/MSK0032.mp3[119.200,127.680] OKAY AND HAS IT BEEN CONSTANT SINCE SHE UM STARTED EXPERIENCING THIS OR DOES IT COME AND GO audio/MSK0040.mp3[248.960,250.920] HOW ABOUT NIGHT SWEATS audio/RES0019.mp3[274.840,279.560] OK UM HOW HAS YOUR SLEEP BEEN audio/RES0043.mp3[746.240,749.920] YOU TOO THANKS audio/RES0102.mp3[246.680,262.000] YEAH IVE BEEN UH STARTING TO GET LIKE THIS SHARP CHEST PAIN AS WELL I KIND OF FEEL IT ON THE LEFT SIDES AND IN CENTER I GUESS KINDA MORE SO audio/RES0178.mp3[27.480,52.400] I THINK I THINK THE COUGH AND RUNNY NOSE STARTED 1ST AND THEN HE THEN HE KIND OF HAD SOME FEVER AND HAD SOME CHILLS AS WELL LAST NIGHT KEPT SAYING THAT LIKE HE WAS JUST COLD EVEN THOUGH HE HAD A HAD BLANKETS ON audio/MSK0042.mp3[386.320,391.160] OKAY UH AND DO YOU HAVE ANY ALLERGIES audio/RES0059.mp3[108.240,120.400] NOW THAT YOU MENTION IT YEAH I THOUGHT IT WAS MAYBE JUST PLUGGED UP BUT I HAVENT REALLY BEEN ABLE TO SMELL THESE LAST FEW DAYS audio/RES0085.mp3[314.680,318.920] AND NO LONGSTANDING MEDICAL CONDITIONS AFTER BIRTH audio/RES0053.mp3[768.400,871.440] OK WELL FROM THE SOUNDS OF IT HE MOST LIKELY HAS SOME SORT OF VIRAL INFECTION WE WILL DO A COVISWAP TO RULE THAT OUT BECAUSE SOME SYMPTOMS DO SEEM TO OVERLAP WITH COVIAND WE WANT TO MAKE SURE TO RULE THAT OUT SO WELL TAKE A SWAB THOSE PCR RESULTS SHOULD COME BACK IN ABOUT 24 TO 48 HOURS IN THE MEANTIME HE SHOULD ISOLATE FOR 14 DAYS AT HOME AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION LIKE PARAINFLUENZA ALSO KNOWN AS CROUP SO FOR THAT FOR ANY OF THESE VIRAL INFECTIONS ACTUALLY THE BEST TREATMENT IS TO STAY AT HOME AND MAKE SURE THAT HES VERY WELL HYDRATED AND EATING WELL IF HIS SYMPTOMS PERSIST FOR THREE TO FIVE DAYS OR MORE OR IF HIS SYMPTOMS WORSEN ESPECIALLY IF HE HAS LIKE A SEIZURE OR UROLOGICAL ISSUES HE SHOULD GO TO THE ER AND IF HIS SYMPTOMS DO BECOME WORSE WE CAN ALSO PRESCRIBE HIM SOME STEROIDS OR EPINEPHRINE JUST TO OPEN UP HIS AIRWAYS AND IF ITS REALLY REALLY BAD HE MIGHT BE HOSPITALISED AS WELL SO JUST KEEP AN EYE ON ON THAT FOR NOW AND IF YOU HAVE ANY audio/MSK0007.mp3[554.200,559.680] HOW ABOUT OVER THE OLECRANON OR THE YEA ANY PAIN OVER THE OLECRANON audio/RES0175.mp3[404.320,407.480] AND DO YOU DRINK ALCOHOL audio/RES0089.mp3[344.040,346.560] ANY NIGHT SWEATS audio/RES0188.mp3[162.960,165.560] UH NO NOT THAT I CAN TELL audio/MSK0028.mp3[509.240,512.120] OK AND DO YOU HAVE ANY ALLERGIES audio/RES0004.mp3[645.440,654.680] I I THINK MY GRANDFATHER HAD A LIKE PANCREATIC CANCER audio/MSK0027.mp3[355.080,356.000] NO PROBLEMS audio/RES0058.mp3[531.480,541.920] OK AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0072.mp3[99.160,106.800] OK AND DID YOU NOTICE ANY BLOOD IN IT AT ALL audio/RES0113.mp3[70.840,78.160] OK IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE audio/RES0036.mp3[386.360,391.160] OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS audio/RES0101.mp3[276.920,283.960] OK AND DO YOU FEEL LIKE YOUR YOUR HEARTS RACING OR BEATING REALLY FAST audio/RES0089.mp3[392.800,401.720] OK AND UH DO YOU HAVE ANY KIND OF DIARRHEA OR CONSTIPATION audio/RES0100.mp3[180.920,191.280] UH NO NO RUNNY NOSE OR SO I I DONT HAVE HEADACHES BUT I I I THINK I WAS HAVING SOME BODY ACHES JUST YESTERDAY audio/RES0088.mp3[3.360,24.840] YEAH SO MY DAUGHTER SHES HAD THIS HOARSE VOICE FOR THE PAST LIKE TWO OR THREE DAYS IT DOESNT SEEM TO BE GETTING BETTER IN FACT ITS GETTING WORSE AND SHE JUST DOESNT SOUND LIKE HERSELF ANYMORE AND SHES NOT SPEAKING AS MUCH audio/RES0058.mp3[847.880,853.640] YEAH THANK YOU audio/RES0020.mp3[549.560,556.280] OK AND UM HAS YOUR HUSBAND BEEN SICK AT ALL audio/MSK0021.mp3[348.080,353.240] OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0180.mp3[40.840,46.600] OK THE COUGH IS IT DRY OR ARE YOU BRINGING UP ANY PHLEGM audio/RES0101.mp3[330.520,332.800] ANY NAUSEA OR VOMITING audio/RES0155.mp3[72.760,81.640] NO BLOOD OK UM AND HOW MUCH SPUTUM ARE YOU BRINGING UP LIKE UH EVERY TIME YOU COUGH audio/MSK0028.mp3[289.960,293.600] OK AND HAVE YOU HAD ANY APPETITE LOSS audio/RES0067.mp3[265.520,270.600] ARE HER IMMUNIZATIONS ARE UP TO DATE audio/RES0178.mp3[164.280,168.440] HE HES BEEN GAINING WEIGHT HASNT HAD ANY WEIGHT LOSS audio/RES0012.mp3[188.120,195.080] OK AND THE COUGHING HOW OFTEN ARE YOU COUGHING audio/RES0008.mp3[199.960,208.280] UM ITS KIND OF A A SHARP PAIN OVER ON THE LIKE THE RIGHT SIDE OF MY CHEST LIKE MAYBE BELLY AREA audio/MSK0005.mp3[496.040,500.400] OK AND THEN FLEXING YOUR UH OR SORRY ABDUCTING YOUR SHOULDER audio/RES0199.mp3[322.040,333.160] YEAH I WAS HAVING SOME IM HAVING SOME NAUSEA TODAY BUT I HAD SOME VOMITING YESTERDAY I VOMITED TWO TIMES audio/RES0088.mp3[723.640,729.840] YOURE WELCOME AND YEAH WELL JUST DO A FULL EXAMINATION AND THEN GO FROM THERE audio/MSK0011.mp3[652.840,658.040] NO IT DOESNT FEEL WARM audio/MSK0039.mp3[105.360,115.440] OK YEAH THAT MAKES SENSE IF YOU WERE TO DESCRIBE THIS PAIN WOULD YOU SAY ITS UM SHARP DULL ACHY THROBBING audio/RES0163.mp3[464.480,470.440] MY MY DAD MY DAD HAS HAD A HEART ATTACK AND MY MOM HAS HIGH BLOOD PRESSURE audio/RES0024.mp3[307.640,310.920] AND HAVE YOU HAD ANY SURGERIES IN THE PAST audio/RES0086.mp3[508.280,525.480] NO HEART CONDITIONS BUT YEAH ASTHMA IS PRETTY BIG IN MY FAMILY AS WELL AS ECZEMA LIKE MY MOM HAS IT MY SISTER HAS IT SO YEAH ASTHMA IS PRETTY BIG audio/MSK0015.mp3[299.320,303.880] NO NOT THAT SHES MENTIONED NO audio/RES0194.mp3[663.160,664.520] OK THANK YOU audio/RES0068.mp3[150.080,152.920] I THINK SO YEAH audio/MSK0016.mp3[326.240,330.360] OK GOOD ANY NAUSEA OR VOMITING audio/RES0114.mp3[175.840,182.080] OK ANY UH CHANGES TO YOUR HAIR OR ON YOUR SKIN LIKE RASHES audio/MSK0038.mp3[692.280,700.240] OK IM GONNA GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT IS THAT PAINFUL audio/RES0131.mp3[356.200,362.240] OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0109.mp3[132.000,133.280] NO NO audio/RES0038.mp3[681.480,689.960] I TRIED TO I TRIED TO RUN AND GO FOR WALKS BUT ALWAYS TRYING TO BE A LITTLE BIT MORE ACTIVE audio/RES0206.mp3[521.440,523.640] UH NO I DONT THINK SO audio/MSK0016.mp3[263.920,270.440] OK OK AND ANY CONFUSION OR MEMORY LOSS audio/GAS0003.mp3[62.480,72.520] OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT RIGHT NOW audio/MSK0022.mp3[406.000,424.000] SO IT THAT VARIES AS WELL LIKE SOME DAYS ILL GET ILL FEEL LIKE FEVERISH FOR A LITTLE BIT AND IT WILL KIND OF GO AWAY I HAVENT CHECKED MY TEMPERATURE BUT IT I HAVE FELT WARM AT TIMES audio/RES0073.mp3[121.520,125.760] OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE audio/RES0088.mp3[83.640,91.280] YEAH SHE STILL GETS THEM ONCE IN A WHILE BUT YEAH ITS PRETTY MUCH GONE audio/RES0159.mp3[183.400,187.600] AND HAVE YOU HAD ANY UNINTENTIONAL WEIGHT LOSS audio/RES0185.mp3[94.480,98.880] IS IT A DRY COUGH OR IS IT A WET COUGH audio/RES0037.mp3[344.240,361.040] OH YEAH I SPOKE TO MY RELATIVE WENT WHEN I GOT BACK AND THEY THEY DIDNT TELL ME ABOUT ONE OF MY COUSINS THERE THAT WAS FEELING SICK audio/MSK0037.mp3[574.000,584.120] NOT THAT MUCH PROBABLY JUST A COUPLE TIMES A MONTH audio/RES0003.mp3[509.120,516.760] OK AND SO WHO DOES WHO DOES HE LIVE WITH AT HOME audio/RES0062.mp3[265.400,268.080] NO CONCERNS WITH MY MEMORY audio/RES0045.mp3[414.320,419.640] YEAH YEAH THATS WHY THESE SYMPTOMS UM REALLY SURPRISED ME audio/RES0070.mp3[548.520,552.400] NO NO I DONT THINK SO audio/RES0053.mp3[183.800,187.160] OK SO NO BLOOD AS WELL RIGHT audio/RES0189.mp3[408.400,419.040] ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0092.mp3[320.160,321.480] NO I HAVENT audio/MSK0029.mp3[457.520,461.400] OK ANY NAUSEA VOMITING audio/MSK0025.mp3[356.400,362.360] UHM ANY SO YOU HAVE SOME URINARY INCONTINENCE ANY FECAL INCONTINENCE audio/RES0187.mp3[448.080,451.880] JUST MARIJUANA NO OTHER DRUGS audio/RES0211.mp3[228.920,231.680] ITS JUST LIKE A LITTLE STUFFY audio/RES0184.mp3[70.480,73.920] ALRIGHT HAVE YOU HAD A SORE THROAT audio/MSK0035.mp3[232.760,234.360] NOTHING LIKE THAT audio/RES0143.mp3[38.040,43.680] SO ITS MORE OF JUST LIKE A DRY COUGH IM NOT REALLY BRINGING ANYTHING UP audio/RES0133.mp3[404.080,415.080] OKAY AND UH HOW ABOUT ANYBODY AT SCHOOL OR OR WORK OR ANYTHING LIKE THAT THAT YOUVE BEEN AROUND WHOS BEEN SICK audio/RES0051.mp3[222.920,225.960] UMM NO NIGHT SWEATS audio/RES0068.mp3[457.480,467.280] I LIVE IN A HOUSE WITH MY HUSBAND AND MY 3 YEAR OLD DAUGHTER audio/RES0138.mp3[314.520,319.760] NO UM ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR ENVIRONMENT audio/MSK0038.mp3[406.120,414.200] NO OK UM ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES audio/RES0066.mp3[297.960,302.200] I FEEL FATIGUED YES audio/RES0165.mp3[254.320,258.960] OK AND IS IT JUST ALL OVER YOUR BODY OR IN CERTAIN LOCATIONS audio/MSK0031.mp3[296.400,304.360] OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/MSK0036.mp3[527.160,533.680] NO IVE BEEN FAIRLY HEALTHY audio/GAS0007.mp3[184.720,205.520] YEAH YEAH BEFORE IT WAS FAIRLY REGULAR ABOUT ONCE A DAY FIVE DAYS AGO I STARTED GETTING CONSTIPATED IT BACKED UP AND PRETTY MUCH THE PICTURE I THINK LAST TIME I WENT TO THE BATHROOM WAS TWO DAYS AGO I THINK YEAH audio/RES0123.mp3[647.520,666.880] SURE YEAH OKAY UM OKAY WELL THATS ALL THE QUESTIONS I HAVE FOR YOU WELL DO A PHYSICAL EXAM UM GET A CHEST XRAY DONE ALSO EXAMINE YOUR NECK AS WELL A LITTLE BIT JUST TO MAKE SURE THERES NO STIFFNESS OR RIGIDITY HAVE A LOOK INSIDE YOUR MOUTH UM LISTEN TO YOUR CHEST audio/GAS0002.mp3[427.000,431.920] OK AND HAVE YOU HAD ANY PRIOR SURGERIES audio/RES0039.mp3[396.520,399.440] OK ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0125.mp3[238.120,240.000] ANY NAUSEA OR VOMITING audio/MSK0036.mp3[757.120,768.200] AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF THE JOINTS IN THE HAND audio/RES0129.mp3[397.480,399.560] NO OK WHO DOES HE LIVE WITH audio/RES0179.mp3[257.440,262.920] NO OK ANY FEVERS audio/RES0126.mp3[374.560,381.040] AND SO ARE YOU HAVING DO YOU FEEL LIKE TIRED THROUGHOUT THE DAY OR INCREASED FATIGUE audio/RES0009.mp3[517.400,523.960] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0071.mp3[573.120,580.520] I LIVE WITH A COUPLE OF MY CLASSMATES DOWNTOWN audio/RES0010.mp3[74.080,85.520] ANY ANY SINUS HEADACHES ANY SORT OF PAIN IN AND AROUND YOUR CHEEKS OR PAIN IN YOUR FOREHEAD AS YOURE TRYING TO BEND OVER audio/RES0019.mp3[50.680,56.920] OK AND HOW LONG HAS THE HEADACHE BEEN GOING ON FOR audio/RES0103.mp3[390.880,393.880] SO NO NO ISSUES OR NO COMPLAINTS AT ALL audio/GAS0001.mp3[560.480,563.520] OK THANK YOU audio/RES0174.mp3[217.600,227.040] OK AND SIMILARLY YOU LIKE GOING FOR RUNS AND STUFF LIKE THAT YOU ONT EVER GET ANY CHEST PAIN audio/MSK0005.mp3[283.640,286.640] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0022.mp3[69.520,71.760] UH NO NO NOTHING LIKE THAT audio/RES0162.mp3[216.480,220.240] OK UHM AND HOW LONG DO THESE LAST FOR EPISODES LAST FOR audio/RES0062.mp3[336.080,342.320] OK AND HOW ABOUT A SORE THROAT audio/RES0175.mp3[303.440,306.520] YEAH I THINK I THINK ITS CALLED FLOMAX audio/RES0032.mp3[337.320,345.800] JUST THE COLD THAT I WAS TALKING ABOUT IT A FEW WEEKS AGO AND THATS WHERE THE RUNNY NOSE KINDA WENT AWAY audio/RES0005.mp3[364.920,366.960] NO NOTHING LIKE THAT audio/MSK0016.mp3[642.480,648.880] SO I LIVE WITH MY HUSBAND AND OUR TWO DAUGHTERS AND WE LIVE AND WE LIVE IN A HOUSE audio/MSK0011.mp3[95.200,98.560] YEAH IT WAS JUST IT MOSTLY RIGHT MY HAND audio/RES0107.mp3[31.360,47.200] HE HES HAD IT FOR UM HES JUST ALWAYS KIND OF YOU KNOW HES ALWAYS HAVING THAT RUNNY NOSE YOU KNOW KIDS ALWAYS DO BUT ITS JUST BEEN PRETTY BAD OVER THE PAST UM TWO WEEKS audio/RES0022.mp3[354.280,362.000] HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0052.mp3[420.560,429.760] OK AND CAN TELL YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY ARE YOU THE PRIMARY CAREGIVER audio/RES0156.mp3[164.360,169.800] OK ANY LOSS OF HER SENSE OF TASTE OR SMELL audio/RES0131.mp3[178.600,185.480] NO ITS NOT THAT BAD ITS JUST BEEN PRETTY ANNOYING audio/RES0058.mp3[142.880,147.840] UMM MAYBE AFTER COUGHING IVE HAD A HARD TIME CATCHING MY BREATH audio/RES0147.mp3[193.680,198.280] ANY STUFFY STUFFY NOSE OR RUNNY NOSE audio/RES0036.mp3[539.200,541.360] OK ARE YOU ON ANY MEDICATIONS CURRENTLY audio/RES0140.mp3[164.080,176.680] I I TAKE THIS MEDICATION CALLED UM LISINOPRIL audio/RES0073.mp3[153.080,171.840] I DID KIND OF HAVE A RUNNY NOSE LAST WEEK AS WELL SO PROBABLY LIKE 8 DAYS AGO BUT THEN THE RUNNY NOSE DISCONTINUED A LITTLE BIT BUT REALLY GOT WORSE 5 DAYS AGO BUT ALL THESE OTHER SYMPTOMS JUST HAPPENED IN THE LAST FEW DAYS audio/RES0127.mp3[607.000,651.960] AND SO I CAN REFER YOU TO SOMEONE AS WELL JUST HAVE A SENSE OF WHAT KIND OF THINGS ALLERGIC TO YOU AND LIKE WHAT MEDICATIONS YOU WOULD REQUIRE IN THE MEANTIME DEFINITELY LIKE ANY ANTIHISTAMINE MEDICATIONS WOULD HELP WITH YOUR SYMPTOMS BUT SINCE YOURE ALSO HAVING CONGESTION AND SNEEZING JUST JUST IN CASE WE WILL JUST DO A COVISWAB TEST FOR YOU TODAY AND IT TAKES AROUND 24 TO 48 HOURS TO COME BACK AND IN THE MEANTIME YOU SHOULD JUST ISOLATE AS MUCH AS YOU CAN IN YOUR OWN HOME AND THEN BASED ON THE RESULT THEY WOULD GIVE YOU MORE INSTRUCTION audio/RES0075.mp3[499.960,556.000] OK SO IT SOUNDS LIKE YOU HAD THIS UNCOMFORTABLE FEELING IN YOUR CHEST ABOUT TWO DAYS AGO BUT THE PAIN REALLY CAME ON YESTERDAY AND ITS REALLY PAINFUL WHEN YOU HAVE A DEEP DEEP BREATH SO IN CONJUNCTION WITH YOUR SYMPTOMS OF NOT BEING ABLE TO TAKE A DEEP BREATH AND BEING SHORT OF BREATH IT SOUNDS LIKE YOU POSSIBLY HAVE WHATS CALLED A PNEUMOTHORAX AND SO WELL DO A PHYSICAL EXAM AND DO A CHEST XRAY AS WELL TO EXAMINE THIS AND CHECK VITALS AS WELL TO MAKE SURE THAT YOURE WORK OF BREATHING IS OK AND WE CAN DO SOME BLOOD WORK AND GO FROM THERE audio/MSK0046.mp3[477.720,479.120] OK YEP audio/RES0168.mp3[245.200,250.080] NO OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0027.mp3[469.480,473.880] OK AND ANY COMPLICATIONS WITH THAT SURGERY audio/RES0071.mp3[217.280,221.000] NO OK IS IT CONSTANT OR DOES IT COME AND GO audio/MSK0042.mp3[211.440,213.920] NO IVE BEEN PRETTY WELL RECENTLY audio/RES0124.mp3[255.000,256.200] ITS USUALLY DRY audio/RES0073.mp3[570.000,575.520] NO I QUIT JUST A COUPLE OF YEARS AGO audio/RES0210.mp3[308.600,314.280] OK WERE YOU IN CONTACT WITH ANYONE THAT THAT WAS SICK audio/MSK0040.mp3[174.160,189.200] IVE TRIED SOME IBUPROFEN AND SOME ICE THAT SEEMS TO HELP TEMPORARILY BUT IT DOESNT HELP WITH LIKE LIKE ITS NOT PERMANENT audio/MSK0011.mp3[221.960,244.120] UM YEAH I TRIED SOME ANTIINFLAMMATORIES THAT DID HELP WITH TAKING THE EDGE OFF A LITTLE BIT AND BUT THE PAIN JUST CAME RIGHT BACK AND THEN ALSO LIKE JUST MOVING IT AT ALL HURTS EVEN TEXTING ON MY PHONE WAS REALLY BUGGING ME audio/RES0012.mp3[117.360,122.160] OK IS IT YELLOW audio/RES0192.mp3[102.200,110.360] OK ANY YOU MENTIONED THAT YOUVE HAD A COUGH AS WELL HOW LONG HAVE YOU EXPERIENCED A COUGH FOR audio/RES0212.mp3[450.680,455.120] TWO WEEKS AGO OK ARE YOU SEXUALLY ACTIVE audio/RES0191.mp3[376.000,385.320] OK UHM AND ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION audio/RES0078.mp3[26.720,35.360] IT HAS MAYBE GOTTEN A LITTLE BIT WORSE BUT NOT MAYBE A LITTLE WORSE audio/RES0078.mp3[378.240,380.720] OK ANY PAIN IN YOUR BELLY audio/RES0127.mp3[257.480,259.280] ANY TROUBLE URINATING audio/RES0001.mp3[471.280,478.720] OK OK SO YOU HAVENT BEEN MOVING AROUND AS MUCH I GUESS SINCE THE HYSTERECTOMY audio/RES0106.mp3[164.320,166.440] YEAH HOW ABOUT URINE audio/RES0080.mp3[76.520,90.320] OK AND HAVE YOU HAD ANY UH EPISODES WHERE YOUVE WOKEN UP IN THE MIDDLE OF THE NIGHT AND WERE REALLY SHORT OF BREATH YOU HAD TO UH SIT UP audio/RES0120.mp3[234.840,239.560] UH MAYBE LIKE A SLIGHT RUNNY NOSE YEAH audio/RES0133.mp3[262.520,267.000] OKAY UM AND ANY SKIN CHANGES OR RASHES audio/MSK0005.mp3[335.240,341.360] OK CHEST PAIN ANY HEART PALPITATIONS OR UH DIZZINESS audio/RES0195.mp3[426.800,430.240] UM NOPE audio/RES0066.mp3[541.400,545.640] AND HOW MUCH WOULD YOU SAY YOU SMOKED BEFORE THAT AND FOR HOW MANY YEARS audio/RES0062.mp3[44.960,56.400] WELL IVE BEEN BRINGING UP SOME YELLOWISH GREEN KIND OF LIKE PHLEGM SO UM I GUESS A WET COUGH audio/RES0050.mp3[220.720,227.400] OK HAVE YOU HAD ANY CHANGES IN APPETITE audio/RES0211.mp3[413.640,416.400] GOT IT audio/RES0153.mp3[44.680,62.120] UM NOT CLOSING OFF BUT LIKE I DEFINITELY DO UH MAYBE A LITTLE BIT OF HOARSENESS BUT NOT NOT TOO MUCH MAINLY ITS JUST THE PAIN THATS CONCERNING ME audio/RES0172.mp3[223.080,230.680] OK ANY RASHES OR CHANGES IN THEIR NAILS audio/MSK0007.mp3[104.480,113.840] OK AND IS THERE ANYTHING THAT YOUVE DONE TO HELP MAKE THE PAIN GO AWAY OR ANY ALLEVIATING FACTORS audio/RES0089.mp3[85.800,96.680] OK UHM AND WAS THERE ANYTHING THAT HAPPENED UH DID YOU GET SICK AT ALL RECENTLY OR WERE YOU IN CONTACT WITH ANYONE WHO WAS SICK audio/RES0001.mp3[120.640,128.280] CHEST INFECTION BUT IM NOT FEVERISH SO IM NOT SURE audio/RES0026.mp3[99.440,109.200] OK AND HOW MUCH OF THIS ARE YOU SEEING LIKE IS IT LIKE A TEASPOON AMOUNT OR OR MORE audio/RES0216.mp3[174.760,179.800] OK HAVE YOU HAD ANY COUGH AT ALL IN THE LAST LITTLE WHILE audio/RES0020.mp3[428.360,441.400] UM I HAVE SO I HAVE LIKE A LONG ACTING AND SHORT ACTING SO I JUST TAKE THE LONG ACTING BEFORE I GO TO BED AND THEN THE SHORT ACTING BEFORE MEALS audio/RES0129.mp3[274.080,280.520] OK OK THATS GOOD UHM AND THEN WAS HE BORN AT TERM audio/RES0043.mp3[594.800,621.360] I DONT THINK SO LIKE I REALIZED THAT I CAN OFTEN TIMES LIKE WE DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS JUST LIKE A VIRUS OR SOMETHING BUT WE DO I GUESS NEED TO HAVE A COVITEST TO GO BACK TO SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY ITS LIKE THE OTHER KIDS HAVE HAD UH AN EXPOSURE audio/RES0214.mp3[3.560,25.520] HI UM SO IVE HAD THIS TERRIBLE FEVER FOR THE PAST THREE DAYS UM AND JUST BEFORE THAT I HAD A STUFFY NOSE UM AND I HAD A SORE THROAT WELL I STILL DO UM AND ITS JUST NOT GOING AWAY SO I THOUGHT I SHOULD JUST COME IN AND SEE IF I HAVE COVID OR WHAT IT IS audio/CAR0002.mp3[209.800,216.880] OK HAVE YOU BEEN HAVING ANY SYMPTOMS LIKE NAUSEA OR VOMITING OR ANY FEVERS OR CHILLS audio/RES0180.mp3[379.720,381.440] I DONT NO audio/RES0084.mp3[239.760,252.560] YEAH THE HEADACHE HAS IMPROVED A BIT THE BODY ACHES ARE STILL THERE AND THE FEVER IS STILL THERE BUT LIKE THE HEADACHES I FEEL HAVE GONE DOWN audio/RES0124.mp3[327.920,335.400] OKAY OKAY OKAY SO YOURE WHEEZING OKAY SO YOU EVER UM COUGH SO MUCH THAT YOU END UP VOMITING audio/MSK0034.mp3[504.400,524.480] NO OK ALRIGHT YEAH SO THOSE ARE JUST A FEW QUESTIONS I HAD ILL CALL YOUR MOM BACK IN OK SO YEAH WERE JUST GONNA TRY AND DO A COUPLE OF EXAMINATIONS SO ARE YOU ABLE TO STAND UP BY YOURSELF audio/RES0199.mp3[82.000,87.520] OK AND DO YOU HAVE NECK STIFFNESS OR NECK PAIN WITH THAT audio/RES0190.mp3[471.560,488.120] ALRIGHT AND I KNOW IF SOME PEOPLE IN YOUR AGE GROUP MIGHT EXPERIENCE WITH SMOKING OR OR ALCOHOL HAVE YOU OR ANY OF YOUR FRIENDS TRIED ANYTHING LIKE THAT BEFORE audio/RES0171.mp3[327.040,337.080] UM OTHER YEAH NO I THINK YOURE RIGHT IT SAID FIBROIDS audio/RES0103.mp3[207.080,211.200] UHM NO audio/RES0180.mp3[115.680,123.320] ITS A KIND OF A DULL ACHY PAIN audio/RES0014.mp3[197.880,200.960] UH NO I DONT HAVE A SORE THROAT NO audio/RES0077.mp3[258.880,264.440] OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE audio/RES0022.mp3[214.760,222.520] OK AND HOW ABOUT YOUR SENSE OF SMELL audio/MSK0022.mp3[401.120,406.000] A BIT WARM OK AND HOW LONG HAS THAT BEEN GOING ON FOR audio/MSK0016.mp3[134.480,140.760] UH WHEN IT GETS TO ITS WORST I WOULD SAY ABOUT A 6 audio/RES0136.mp3[483.920,493.680] UM BREAST CANCER MY GRANDMA HAD IT audio/RES0203.mp3[293.200,293.640] UM NO audio/RES0200.mp3[512.720,516.520] NO NOTHING LIKE THAT NO audio/GAS0002.mp3[99.480,114.320] SO I THINK IT STARTED AFTER JUST THREE DAYS AGO AFTER I HAD A MEAL LIKE I I THINK IT WAS AFTER LUNCH AROUND HALF AN HOUR OR AN HOUR AFTER LUNCH audio/MSK0014.mp3[489.080,494.960] OK DID YOU HAVE ANY SURGERIES ON YOUR ON YOUR HEART LIKE A CABBAGE OR audio/MSK0024.mp3[286.360,292.640] AND ANY URINARY OR FECAL RETENTION OR INCONTINENCE audio/RES0065.mp3[215.960,219.720] OK AND HAVE YOU TRAVELED AT ALL RECENTLY audio/MSK0013.mp3[439.280,445.800] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0145.mp3[544.040,552.080] ALRIGHT ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY ANYTHING RELATED TO THE LUNGS OR OTHERWISE audio/RES0160.mp3[436.080,444.040] ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY MEDICATION ALLERGIES TO MEDICATIONS audio/RES0084.mp3[234.520,239.760] YEAH OK AND THEN YOU MENTIONED THE HEADACHE IS GETTING A LITTLE BIT BETTER NOW audio/RES0189.mp3[72.040,79.680] SO I WOULD SAY ONE WEEK AGO IS WHEN THIS ALL KIND OF STARTED audio/RES0143.mp3[29.440,34.560] OKAY UM SO CAN YOU TELL ME ABOUT YOUR COUGH audio/RES0006.mp3[360.040,363.160] NO JUST ASTHMA audio/RES0102.mp3[975.920,984.960] NOT RIGHT NOW GUESS WILL WAIT UNTIL SOME OF THE RESULTS COME BACK AND YEAH GET STARTED audio/RES0130.mp3[30.640,50.000] UH YEAH I WOULD SAY YEAH MAYBE LIKE LIKE FIVE OR SIX AND IT KIND OF STARTED UM IT WAS REALLY INFREQUENT AND SO IT DIDNT REALLY WELL I THOUGHT IT WAS JUST THE USUAL SMOKING BUT ITS BEEN GETTING WORSE OVER THESE LAST OVER THESE PAST SIX MONTHS audio/RES0190.mp3[392.480,397.840] YEAH AS FAR AS I KNOW audio/RES0020.mp3[17.360,29.240] OK UM AND SO THE CHEST PAIN CAME ON LAST NIGHT WERE YOU DOING ANYTHING BEFORE BEFORE IT COMING ON audio/RES0048.mp3[636.320,659.000] UM YEAH SO MY FAMILY LIKE DIABETES IS PRETTY BIG IT RUNS IN THE FAMILY AND UH MY FATHER IN HIS 60S UH LIKE DIED FROM A HEART ATTACK UM OTHER THAN THAT NOT ANYTHING ELSE I CAN THINK OF NO audio/RES0019.mp3[476.760,482.400] OH SORRY YES JUST THE BIRTH CONTROL PILLS audio/GAS0002.mp3[305.160,308.800] NO I DONT THINK SO NO CHANGES THAT IVE NOTICED audio/RES0111.mp3[334.240,336.520] I HAVENT audio/RES0070.mp3[347.400,351.840] HOW ABOUT UH HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS audio/RES0126.mp3[363.080,374.560] ITS BEEN THE SAME ALTHOUGH I HAVE BEEN EATING QUITE A LOT MORE NOW WITH THE PANDEMIC AND BEING HOME YOU KNOW THAT MIGHT BE STILL IN THE SAME audio/RES0026.mp3[511.560,513.600] OK HAVE YOU HAD ANY SURGERIES BEFORE audio/RES0151.mp3[243.680,245.560] NO NOTHING LIKE THAT audio/RES0012.mp3[366.040,371.280] LIKE I FEEL TIRED BUT I HAVENT I DONT KNOW I HAVENT LIKE FAINTED audio/RES0171.mp3[473.880,480.840] OK AND WHAT ABOUT MARIJUANA OR RECREATIONAL DRUGS audio/MSK0012.mp3[266.880,276.200] OK AND DO YOU GET MORE PAIN LEANING BENDING FORWARD OR WOULD YOU SAY EXTENDING YOUR BACK audio/RES0112.mp3[211.000,233.800] UM YEAH I FEEL LIKE HES BEEN A LITTLE BIT LETHARGIC LIKE TODAY HES MORE LETHARGIC ALL OF YESTERDAY HE WAS VERY FUSSY AND IRRITABLE BUT TODAY SEEMS LIKE HES VERY SLOW audio/RES0028.mp3[149.680,159.680] OK AND APART FROM THE PAIN ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR SHORTNESS OF BREATH AND ANYTHING LIKE THAT audio/RES0214.mp3[341.320,345.320] AND WHAT MEDICATIONS IF ANY ARE YOU ON audio/MSK0025.mp3[414.960,424.400] OK I SEE UHM AND DOES THIS WEAKNESS SEEM TO GET WORSE OR IS IT AROUND THE SAME AS IT WAS WHEN IT STARTED audio/RES0176.mp3[497.520,505.440] AND ANY COMPLICATIONS EITHER DURING PREGNANCY OR DELIVERY OR AFTERWARDS audio/RES0044.mp3[133.520,135.200] ALL THE TIME RIGHT NOW audio/RES0124.mp3[451.760,461.760] OKAY ALRIGHT UH DO YOU HAVE ANY UM I GUESS GOING BACK WERE YOU A HEALTHY CHILD GROWING UP audio/GAS0003.mp3[317.680,321.720] AND YOU TAKE ANYTHING FOR YOUR DIABETES audio/RES0148.mp3[420.400,427.400] UH SURE SO IM LIVING WITH MY UM IM LIVING WITH MY HUSBAND AND UH WE LIVE IN AN APARTMENT audio/MSK0043.mp3[422.200,444.280] UH YEAH I I TAKE METFORMIN AND UM AND UH YEAH THAT THATS ALL IVE BEEN TAKING BUT I MEAN ITS REALLY HARD FOR ME TO UH LIKE GET MY MEDICATION SOMETIMES AND SO UM I DONT ALWAYS TAKE IT audio/RES0215.mp3[494.440,497.280] JUST TROUBLE FALLING ASLEEP I THINK YEAH audio/RES0050.mp3[265.640,272.960] OK DO YOU GET CHEST PAIN WHEN YOU EXERT YOURSELF PHYSICALLY audio/RES0201.mp3[68.400,73.040] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/RES0208.mp3[161.240,165.040] UH I DONT KNOW I I FEEL LIKE I MAYBE COULD BE STARTING STARTING ONE audio/RES0215.mp3[2.680,28.240] UM YEAH HI I BROUGHT I BROUGHT MY 8 YEAR OLD DAUGHTER HERE UM BECAUSE IVE NOTICED THAT SHES BEEN QUITE WHEEZY UM FOR THE PAST FOUR FIVE DAYS AND NOW SHE HAS A SLIGHT COUGH UM SOUNDS LIKE SHES A LITTLE SHORT OF BREATH SO I JUST WANTED TO GET THINGS CHECKED OUT audio/RES0203.mp3[317.880,324.600] OK DO YOU READ ALONG WITH A PARTNER OR ROOMMATE audio/RES0074.mp3[347.240,354.960] YEAH SO I HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL audio/RES0103.mp3[413.640,429.040] NO IT WAS A VAGINAL DELIVERY AT 38 WEEKS AND SHE WAS A NORMAL WEIGHT WE WERE ABLE TO GO HOME RIGHT AWAY WITH WITH NO COMPLICATIONS SO YEAH THINGS WERE GOOD audio/RES0026.mp3[727.200,729.480] UM DO YOU SMOKE MARIJUANA audio/RES0172.mp3[265.800,278.280] NO IVE HAD A URINARY TRACK INFECTIONS BEFORE SO I KNOW WHAT THATS LIKE I HAVENT HAD ANY OF THOSE SYMPTOMS audio/CAR0001.mp3[199.920,211.120] OK HAVE YOU HAD ANY LOSS OF CONSCIOUSNESS audio/RES0019.mp3[617.200,621.640] OK HOW ABOUT ANY HEART CONDITIONS audio/RES0145.mp3[524.800,535.960] I DONT THINK SO I MEAN GOING TO WE BOTH I MEAN WEVE BEEN GOING BACK TO SCHOOL RECENTLY BUT NOBODYS BEEN OFF audio/MSK0013.mp3[210.960,213.520] HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0038.mp3[551.280,554.640] OK SO NO BRUISES audio/RES0090.mp3[312.320,327.160] SO I GO TO WORK UHM IM WORKING FOR AN ASSEMBLY LINE SO THERE ARE A LOT OF PEOPLE AROUND ME AND I LIVE WITH TWO HOUSEMATES audio/MSK0032.mp3[226.720,228.600] UH RASHES audio/RES0178.mp3[217.160,224.720] YEAH YEAH HE HAS HAD UH HE DID MENTION THAT HE JUST FEELS LIKE A KEY A LITTLE BIT ALL OVER audio/RES0090.mp3[93.200,105.040] OK AND WERE YOU IN CONTACT AT ALL WHEN YOU WERE IN INDIA WITH ANYONE WHO MIGHT HAVE HAD TUBERCULOSIS OR WAS SICK AT ALL AROUND YOU audio/RES0202.mp3[361.680,368.640] OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS audio/RES0017.mp3[635.840,646.360] YEAH SO RIGHT NOW I LIVE ALONE IN A SMALL TOWNHOUSE AND YEAH THATS I HAVE A PET DOG BUT THATS THATS ABOUT IT audio/RES0099.mp3[228.280,232.320] OK YOU MENTIONED YOU FELT FEVERISH DO YOU FEEL HOT NOW audio/RES0018.mp3[370.440,371.920] NOT THAT I KNOW audio/RES0008.mp3[104.680,108.840] AND WHAT DOES THAT WHAT DOES THAT SPUTUM LOOK LIKE audio/MSK0012.mp3[347.120,349.760] UHM NO NO FEVERS OR CHILLS audio/RES0181.mp3[246.800,255.440] OK AND UH INSULIN WISE DO YOU USE A PUMP OR IS IT LIKE HOW DO YOU MANAGE DIABETES audio/RES0036.mp3[140.680,155.000] I DONT KNOW BOUT AN INFECTION UM BUT I GUESS I HAVE BEEN FEELING A LITTLE FEVERISH I HAVENT TAKEN MY TEMPERATURE BUT IVE BEEN FEELING YOU KNOW KIND OF COLD audio/GAS0002.mp3[364.720,373.640] UH SO I THINK THE ONLY THING IS MY DOCTOR TOLD ME THAT I SHOULD LOSE SOME WEIGHT BUT OTHER THAN THAT NO MEDICAL HISTORY audio/RES0117.mp3[460.520,462.960] OK THANK YOU SO MUCH audio/RES0012.mp3[667.880,669.320] NO NO audio/RES0017.mp3[361.840,366.720] OK HAVE YOU HAD A SORE THROAT OR OR RUNNY NOSE audio/RES0119.mp3[316.240,323.880] UM I DONT THINK SO NO audio/RES0102.mp3[670.840,676.560] OK ANY COMPLICATIONS AT ALL WITH THOSE C SECTIONS audio/MSK0021.mp3[423.240,428.920] YEAH FOR SURE AND HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM audio/RES0158.mp3[429.000,436.200] UH NO CIGARETTES UM WELL I UH SMOKE WEED EVERY ONCE IN AWHILE audio/RES0011.mp3[464.040,471.600] I MEAN I FEEL KIND OF ACHY ALL OVER BUT NOT IN LIKE ONE PARTICULAR SPOT audio/RES0210.mp3[363.280,368.720] I’M JUST GOING TO ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE AND LIKE DO YOU LIVE HERE IN TOWN audio/RES0058.mp3[541.920,555.000] I DID HAVE MY APPENDIX TAKEN OUT LIKE 4 FOUR YEARS AGO YEAH AT THE BEGINNING OF HIGH SCHOOL BUT THAT WAS THE ONLY SURGERYAND EVERYTHING WENT WELL audio/MSK0020.mp3[38.640,43.640] OK AND YOU SAID IT STARTED IN THE PAST MONTH audio/RES0216.mp3[384.160,391.960] OK NOW IS THERE ANY OTHER ISSUE THAT YOU SEE YOUR DOCTOR REGULARLY FOR ASIDE FROM THE ASTHMA audio/RES0084.mp3[718.720,723.400] NO AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0094.mp3[146.720,161.200] I I HAVE FELT A LITTLE BIT MORE DROWSY THESE LAST FEW DAYS AND UHM YEAH MY UHM I HAVE HAD SOME MUSCLE ACHES AS WELL audio/CAR0001.mp3[347.120,354.280] NO RASHES BUT I GUESS LIKE MY NECK SEEMS TO BE A LITTLE SWOLLEN audio/RES0183.mp3[305.120,307.960] OK ANY BLOOD IN THE STOOL audio/RES0071.mp3[317.240,325.240] OK AND HAVE YOU TAKEN YOUR TEMPERATURE AT ALL audio/RES0107.mp3[695.840,772.080] NO OK SO FOR HIM UM IT SOUNDS MORE IN KEEPING WITH SOMETHING CALLED ALLERGIC RHINITIS THAN AN INFECTION BUT BECAUSE HIS SYMPTOMS DO OVERLAP WITH THAT OF COVID WELL PROBABLY GET HIM A SWAB ANYWAYS AND THOSE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS IN THE MEANTIME RHINITIS IS ALLERGIC RHINITIS IS CAUSED BY ALLERGIES TO CERTAIN THINGS SO WE CAN GET HIM ALLERGY TESTED UM AND THAT WILL GIVE US A BETTER UNDERSTANDING OF LIKE WHAT HIS TRIGGERS ARE AND THE WAY TO TREAT THAT IS TO AVOID THOSE TRIGGERS THOSE ALLERGENS AND IF HIS SYMPTOMS ARE PERSISTENT UM WE WILL PRESCRIBE HIM ALSO LIKE AN INTRANASAL CORTICOSTEROID UM AND THERE ARE LIKE THERE ARE LIKE SECOND LINE TREATMENTS AS WELL LIKE ANTIHISTAMINES AND LEUKOTRIENE LIKE LEUKOTRIENE RECEPTOR ANTAGONISTS BUT THOSE ARE LIKE SECOND LINE WELL WELL SEE HOW HE DOES WITH THE INHALED CORTICOSTEROIDS AT FIRST HOW DOES THAT SOUND audio/RES0117.mp3[297.920,300.080] NO ANY SICK CONTACTS RECENTLY audio/RES0201.mp3[48.400,61.720] OK SO ITS BEEN KIND OF SORE SOME ISSUES SWALLOWING FOOD OK AND OVER THE LAST FOUR DAYS HAS IT GOTTEN WORSE BETTER THAT IT STAYED THE SAME audio/RES0058.mp3[254.400,257.240] OK GOOD ANY ABDOMINAL PAIN audio/RES0003.mp3[488.480,492.000] HE IS YES audio/MSK0014.mp3[56.440,65.640] IT IS IT DOES FEEL LIKE IF I TOUCH THE JOINT IT DOES FEEL A BIT WARMER THAN THE SURROUNDING AREAS audio/RES0057.mp3[450.600,457.320] UMM DOES THE SHORTNESS OF BREATH THAT YOURE EXPERIENCING FEEL SIMILAR TO THE ASTHMA ATTACKS IN ANY WAY audio/RES0050.mp3[135.080,147.400] UHM I GUESS WALKING DOING DAY TO DAY THINGS HAS MADE ME FEEL A LITTLE BIT MORE SHORT OF BREATH THAN I USED TO FEEL audio/MSK0017.mp3[241.160,243.440] NO NOTHING LIKE THAT audio/RES0119.mp3[70.920,73.040] YEAH ITS BEEN CLOSE TO TWO WEEKS NOW audio/RES0080.mp3[165.760,172.080] WELL ITS A BIT WORSE WHEN IM SMOKING BUT OTHERWISE ITS THE SAME audio/RES0037.mp3[655.400,658.960] NO EVERYBODYS BEEN FEELING WELL AT HOME audio/RES0034.mp3[797.160,807.840] PRIMARY CAREGIVER RIGHT NOW IM STAYING HOME WITH HER AND HER BROTHER GOES TO DAYCARE SO YEAH IT WOULD BE ME audio/CAR0001.mp3[505.280,509.880] OK HAVE YOU USED IV DRUGS BEFORE audio/RES0018.mp3[567.000,617.440] OK UM SO THOSE ARE ALL THE QUESTIONS I WANTED TO GO GO THROUGH ON HISTORY I AM CONCERNED THAT YOU MIGHT MIGHT HAVE COVID19 OR CORONAVIRUS AND SO IT COULD BE COVIOR THIS COULD BE ANOTHER VIRAL INFECTION OR POSSIBLY PNEUMONIA GOING ON BUT IT DOES SOUND LIKE YOU HAVE AN INFECTION AND SO WELL CHECK SOME SPUTUM CULTURES AND AND WELL ALSO DO A PCR NASAL SWAB TESTING FOR COVISO WELL GO AHEAD AND ORDER THOSE TESTS AND WELL SEE WHAT THEIR THEIR RESULTS SAY audio/RES0018.mp3[361.840,367.400] NO JUST JUST THE COLD MEDICATIONS OVER THE COUNTER NOTHING ELSE audio/RES0131.mp3[78.880,81.680] YEAH I THINK SO audio/MSK0003.mp3[274.520,276.760] NO TRAUMA OR INJURIES audio/MSK0023.mp3[149.440,156.720] NO I I HAVENT HAD ANYTHING LIKE THAT audio/RES0180.mp3[49.000,53.720] DRY OK SO NO BLOOD AND NO SPUTUM audio/RES0132.mp3[531.040,533.000] OKAY WELL WHAT DID YOU DO BEFORE audio/MSK0045.mp3[154.800,162.560] OK AND DO YOU NOTICE ANY KIND OF UM JUST LOOKING AT YOUR SHOULDER OUTSIDE FROM THE OUTSIDE ANY SWELLING REDNESS ANY MASSES OR DEFORMITIES audio/RES0136.mp3[456.440,460.920] UM NO audio/RES0071.mp3[173.520,183.000] NO I TOOK A LOOK IN THE MIRROR AS BEST I COULD WITH MY PHONE AND I COULDNT REALLY NOTICE ANYTHING THAT LOOKED RED audio/RES0214.mp3[71.640,72.840] NO COUGH audio/RES0098.mp3[402.440,404.560] NOT THAT I KNOW OF audio/RES0123.mp3[486.840,492.840] YEAH I DRINK PROBABLY UH A BEER OR TWO EVERY COUPLE DAYS audio/RES0161.mp3[498.040,500.200] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH audio/RES0175.mp3[277.200,282.120] OK AND DO YOU TAKE ANY MEDICATIONS FOR THAT OR FOR ANY OTHER REASON audio/RES0037.mp3[313.640,322.440] OK AND WAS THERE ANYONE THAT WAS ILL AROUND YOU OR ANY EXPOSURE TO TUBERCULOSIS audio/MSK0036.mp3[875.440,949.560] YEAH CERTAINLY SO ITS SOUNDING LIKE A CARPAL TUNNEL SYNDROME WHICH THAT THE DIFFERENTIAL WOULD BE SOMETHING LIKE RADICULOPATHY COMING UP UP FROM THE NECK WHICH YOURE NOT HAVING ANY NECK SYMPTOMS AND THE POSITIVE TENEL SIGN AND POSITIVE PHALEN SIGN ARE HIGHLY SUGGESTIVE OF CARPAL TUNNEL SYNDROME ALONG WITH THE NIGHTTIME SYMPTOMS AND THE BURNING AND TINGLING SENSATION YOURE EXPERIENCING AND SO TO HELP WITH THIS ONE OF THE FIRST THINGS THAT THAT CAN BE DONE IS TRYING TO USE LIKE WRIST SPLINTS AT NIGHT TO TRY TO KEEP YOUR HAND IN A NEUTRAL POSITION BUT ALSO UH DEPENDING ON LIKE IF THERE IS INFLAMMATION THERE NSAIDS MIGHT HELP A LITTLE BIT LIKE IBUPROFEN OR OR THINGS LIKE THAT BUT THE MAJORITY OF THE THERAPY WILL BE KIND OF AN ACTIVITY MODIFICATION AND IF SYMPTOMS DONT IMPROVE OVER A PERIOD OF TIME THEN SURGERY COULD BE A POTENTIAL OPTION AS WELL audio/MSK0039.mp3[333.920,343.280] YEAH IVE BEEN PRETTY HEALTHY I UM DONT TAKE ANY MEDICATIONS REGULARLY I DONT HAVE ANY MEDICAL CONDITIONS audio/RES0094.mp3[81.600,88.400] HAVE YOU CHANGED NOTICED ANY CHANGES IN YOUR VOICE ANY HOARSENESS IN YOUR VOICE audio/RES0043.mp3[329.680,335.640] OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE audio/MSK0050.mp3[628.600,632.760] YEAH THAT THAT CAUSES THE TINGLING audio/RES0009.mp3[508.880,513.480] OK THEN HOW ABOUT ANY ALLERGIES audio/RES0141.mp3[138.800,140.840] SORE THROAT audio/RES0023.mp3[385.720,390.840] OK RAMIPRIL AND METFORMIN ANY OTHER MEDICATIONS audio/RES0166.mp3[109.880,118.080] OK ARE YOU GETTING ANY KIND OF CHEST DISCOMFORT OR ANYTHING AT ALL WITH BREATHING audio/RES0162.mp3[245.560,270.960] YEAH YEAH I I FEEL LIKE ITS USUALLY I DONT KNOW IF ITS BECAUSE OF THE EXERCISE BUT I HAVE LIKE A FITBIT AND ITS MY MY HEART RATE IS MUCH FASTER audio/RES0156.mp3[274.800,278.600] YEAH THERE ARE ANIMALS AT HOME audio/MSK0021.mp3[112.000,115.520] ITS ABOUT A 7 audio/CAR0004.mp3[210.400,232.320] NO WELL NOT RIGHT NOW BUT I DID HAVE A I DID HAVE A FLU LAST WEEK I HAD A FEVER HAD A RUNNY NOSE I DID HAVE A BIT OF A COUGH AND I WAS FEELING SUPER TIRED BUT NOT ANYMORE IM OK NOW audio/RES0044.mp3[655.760,657.520] SURE OK audio/RES0009.mp3[155.880,167.600] OK SO YOUVE HAD THAT THE DIFFICULTIES BREATHING AND THE PAIN AND HAVE YOU HAD ANY OTHER SYMPTOMS audio/RES0155.mp3[371.800,375.960] UH ANY CHANGES IN YOUR SLEEP OR APPETITE audio/RES0021.mp3[593.120,603.200] OK AND THEN ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR OR LUNG CONDITION audio/RES0211.mp3[38.520,41.520] WHAT DID YOU FIRST NOTICE audio/RES0216.mp3[414.720,421.640] THAT WE TALKED ABOUT AND I TAKE UM RAMIPRIL audio/RES0128.mp3[363.560,367.760] HE IS YEAH audio/RES0123.mp3[531.040,532.640] NO ALLERGIES audio/RES0216.mp3[430.240,436.040] OK UNDERSTOOD SO ASIDE FROM THE HIGH BLOOD PRESSURE YOURE REALLY NOT TAKING MEDICATIONS FOR MUCH ELSE audio/RES0050.mp3[110.040,118.640] OK AND YOU MENTIONED YOUVE BEEN YOUVE HAD A WHEEZE WHEN YOU DO YOU NOTICE THAT audio/RES0056.mp3[553.240,562.080] OK AND WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS FOR ME audio/RES0134.mp3[339.440,345.040] AND ANY CHANGES TO YOUR URINARY HABITS LIKE PAIN OR audio/RES0166.mp3[235.200,239.680] ABOUT 4 DAYS audio/RES0180.mp3[226.720,231.120] NO WEIGHT LOSS IVE BEEN THATS BEEN STABLE I WISH audio/RES0153.mp3[527.000,540.600] OK UM UH SO THAT WAS EVERYTHING I WANTED TO ASK UM ON THE HISTORY TODAY DID YOU HAVE ANY OTHER QUESTIONS FOR ME OR ANYTHING THAT THAT I DIDNT ASK ABOUT YOU WANTED TO MENTION audio/RES0100.mp3[120.960,131.000] UHM NOT NOT REALLY LIKE WHEN IM PRESSING ON THEM THEY DONT REALLY HURT BUT I DEFINITELY HAVE TWO LUMPS audio/RES0107.mp3[670.120,685.280] OK GOOD UM IS HE AN OTHERWISE HEALTHY CHILD LIKE DEVELOPMENTAL WISE LIKE HES GROWING GAINING WEIGHT OK LIKE HES HIS MOTOR SKILLS AND LIKE SOCIAL BEHAVIOURS ARE ALL UP TO PAR WITH HIS PEERS audio/RES0105.mp3[413.840,421.960] I SEE UHM OK AND ARE YOU HAVING ANY KIND OF DIARRHEA CONSTIPATION OR ANY URINARY TROUBLES AT ALL audio/RES0094.mp3[364.440,374.000] AND ANY CONTACT WITH ANYONE WHO YOU THINK MIGHT BE SICK audio/RES0087.mp3[255.520,260.200] OK UHM ANY NAUSEA OR VOMITING audio/RES0069.mp3[361.520,364.840] UHM A GLASS AT NIGHT WITH DINNER audio/MSK0042.mp3[716.400,725.000] OKAY UM AND UH YOU DONT HAVE ANY ANY PAIN SO IF YOU PRESS ON THE AREA OR ON THE THE KNEE JOINT YOU CAN JUST FEEL THE MASS AND NO PAIN THERE audio/RES0003.mp3[605.200,646.080] OK SO UM JUST ROUGHLY DOING FROM THE SOUNDS OF IT IT SOUNDS LIKE HE HAS A SORE THROAT THATS BEEN PERSISTENT AND WE DO THIS THING CALLED THE CENTOR SCORE SO IT SOUNDS LIKE HES HAD A FEVER NO COUGH A SORE THROAT SO THE FIRST THING THAT WE WANT TO CHECK TO SEE OR TO RULE OUT WOULD BE A STREP THROAT AND THEN WELL IF THAT COMES BACK NEGATIVE WE WILL GO FROM THERE AND THINK ABOUT OTHER VIRAL CAUSES VERSUS STREP THROAT AS WELL audio/CAR0002.mp3[285.760,293.040] OK HAVE YOU HAD ANY COUGH OR RUNNY NOSE OR SORE THROAT ANY KIND OF THOSE SYMPTOMS AND IN THE PAST MONTH audio/RES0155.mp3[414.840,436.680] NO I DONT THINK SO UM BUT I IVE HAD IVE HAD A COUPLE OF UH CHEST COLDS OVER THE LAST YEAR THAT I NEEDED UM ANTIBIOTICS FOR UH AND IT THEY THEY WENT AWAY AFTER THAT I GOT THAT THOSE FROM A WALK IN CLINIC audio/RES0193.mp3[91.960,100.320] OK AND ARE THESE LIKE THE COUGHING IS IT WET OR DRY audio/RES0198.mp3[207.760,211.600] OK HAVE YOU BEEN SLEEPING AND EATING WELL audio/RES0099.mp3[75.480,89.720] YES ITS JUST KIND OF LIKE AT THE FRONT LIKE NEAR MY FOREHEAD ON ON KIND OF LIKE BOTH SIDES MORE IT JUST FEELS LIKE LIKE PRESSURE IN THERE audio/RES0060.mp3[371.640,376.520] OK DO THESE HEADACHES FEEL LIKE THE SAME HEADACHES audio/MSK0003.mp3[223.640,229.360] UH NO NOTHING THAT I CAN THINK OF THAT REALLY MAKES IT ANY WORSE audio/RES0113.mp3[0.000,3.760] WHAT CAN I DO FOR YOU TODAY audio/RES0083.mp3[226.320,233.720] OK AND ANY SORE THROAT audio/RES0146.mp3[182.360,191.240] OK UHM UH ANY I GUESS ITCHY EYES OR ITCHY NOSE OR ANY SNEEZING audio/MSK0049.mp3[137.240,140.040] YEAH THE THE STIFFNESS audio/RES0096.mp3[96.120,100.120] OK AND HOW MANY PILLOWS DO YOU SLEEP WITH audio/RES0096.mp3[31.640,34.000] UHM I CAN WALK A BLOCK audio/RES0145.mp3[357.680,361.640] NO NOTHING LIKE THAT audio/RES0189.mp3[372.000,373.960] NO NOTHING LIKE THAT audio/MSK0007.mp3[310.320,315.080] OK ARE AN HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0010.mp3[85.520,87.480] UH NO NO HEADACHE audio/RES0018.mp3[344.520,349.320] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0037.mp3[426.200,427.840] NO WHEEZING audio/MSK0029.mp3[503.480,512.160] OK ALRIGHT THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0171.mp3[138.920,144.240] ITS DRY YEAH I HAVENT BROUGHT UP ANY SPUTUM OR ANY ANY ANY BLOOD audio/RES0037.mp3[19.440,32.800] JUST OVER TWO I WOULD SAY AND ITS BEEN IVE BEEN BRINGING UP THIS YELLOW GREENISH SPUTUM ITS KIND OF GROSS audio/MSK0011.mp3[132.680,152.240] UM SO I HAVE A SHARP PAIN RIGHT AT MY WRIST I KIND OF I FEEL IT MOSTLY AT THE BASE OF MY THUMB KIND OF RIGHT AT THE WRIST AND THATS WHERE THE SWELLING AND BRUISING IS AS WELL audio/GAS0001.mp3[111.360,116.040] HOW OFTEN DO YOU HAVE TO PEE audio/RES0019.mp3[637.800,654.440] OK SO I THINK THAT WAS UH ALL OF THE QUESTIONS THAT I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT YOU THOUGHT I WAS MISSING OR THAT YOU WANTED TO TELL ME ABOUT audio/RES0183.mp3[526.360,533.480] IT WAS VAGINAL AND NO NO NO COMPLICATIONS audio/RES0069.mp3[411.680,418.280] OK AND UH DOES YOUR GRANDDAUGHTER GO TO DAYCARE OR IS SHE IN SCHOOL audio/RES0122.mp3[318.280,322.800] ANY MEDICATIONS INCLUDING OVER THE COUNTER HERBAL MEDICATIONS audio/RES0068.mp3[351.880,356.920] OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST audio/RES0062.mp3[327.280,330.880] OK HOW ABOUT ABDOMINAL PAINS audio/RES0082.mp3[319.520,337.080] UHM YEAH SOMETIMES IN THE SPRING OR FALL I CAN GET LIKE ITCHY EYES AND A RUNNY NOSE SO THATS WHY I DIDNT THINK MUCH ABOUT THE RUNNY NOSE AT FIRST BUT WITH A SORE THROAT AND BEEN SNEEZING MORE I THOUGHT TO COME IN audio/RES0119.mp3[326.280,331.040] UM ANY KIND OF CHANGES IN HER WEIGHT AT ALL OVER THE PAST FEW MONTHS audio/RES0017.mp3[60.600,67.680] OK UH HAVE YOU BEEN HAVE YOU BROUGHT UP ANY BLOOD WITH THE COUGH audio/RES0037.mp3[630.360,641.720] OK YEAH AND OTHER THAN THAT WHERE DO YOU CURRENTLY LIVE DO YOU LIVE BY YOURSELF OR WITH ANYONE ELSE audio/MSK0005.mp3[330.280,334.280] OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZING audio/RES0147.mp3[459.040,474.320] UHM NO I DONT THINK SO I MEAN WORKING IN THE FACTORY ENVIRONMENT I IM SURE THINGS YEARS AGO WERENT AS CLEAN AS THEY ARE NOW BUT YEAH IM NOT SURE audio/RES0127.mp3[332.760,343.320] YEAH IT WAS KIND OF LIKE VACUUMING A COUPLE OF DAYS AGO WHEN IT GOT REALLY BAD BUT NOTHING NOT NOT I DONT THINK THERES NOT BEEN ANY OTHER EXPOSURES audio/RES0163.mp3[452.000,458.720] YEAH OK ON ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS audio/RES0132.mp3[247.200,256.160] OKAY UM AND IN THE PAST UM OH SORRY BEFORE THAT HAVE YOU HAD ANY NAUSEA OR OR VOMITING audio/RES0200.mp3[456.880,474.960] UHM MY FATHER HAD LUNG CANCER BUT HE SMOKED A LOT I ALSO SMOKE SO I SOMETIMES WORRY ABOUT THAT BUT HE HAD CANCER AND MY MOTHER SHE WAS PERFECTLY HEALTHY YEAH SO JUST MY FATHER audio/RES0172.mp3[239.000,243.000] NO HAVENT HAD ANY CHEST PAIN HAVENT HAD ANYTHING LIKE THAT BEFORE audio/RES0133.mp3[642.640,659.960] YEAH SO IT COULD BE QUITE A FEW WEEKS THAT THE SYMPTOMS LAST FOR BUT SINCE YOURE HAVING A COUGH AND THESE SYMPTOMS COULD OVERLAP WITH COVIWELL WANT TO GET A COVISWAB TODAY AS WELL UM AND KIND OF GO FROM THERE audio/MSK0005.mp3[568.360,573.440] THAT WAS ABOUT UH 17 YEARS AGO audio/RES0198.mp3[273.800,276.400] NO OK ANY ALLERGIES AT ALL audio/RES0164.mp3[209.520,220.760] AND AND BUSY SO IT STARTED THREE DAYS AGO ANYTHING HAPPENED BEFORE 3 DAYS AT ALL THAT MIGHT HAVE CAUSED THE SYMPTOMS audio/RES0036.mp3[284.080,290.880] NO OK HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY audio/RES0195.mp3[345.000,349.920] DO YOU FEEL YOUR HEART IS RACING audio/RES0104.mp3[429.400,449.160] OK AND UH YEAH IM SORRY YOU HAD YOU HAD A STROKE SIX YEARS AGO OR HOW ARE YOU AFTER THAT WERE THERE ANY KIND OF LIKE DID AFTER REHABILITATION DO YOU HAVE ANY SYMPTOMS STILL GOING ON AT ALL audio/RES0037.mp3[301.520,313.640] WELL I MEAN THERE IS A LOT OF PEOPLE AROUND YEAH THERE WAS NOT A LOT OF ROOM WHERE I WAS WAS STAYING SO IT WAS PRETTY CROWDED audio/MSK0014.mp3[165.920,176.000] OK AND IS THERE ANYTHING THAT THAT MAKES THE PAIN BETTER THAT YOUVE TRIED LIKE MAYBE MEDICATIONS OR ANY ICE PACKS OR ANYTHING LIKE THAT audio/RES0195.mp3[488.160,499.000] OK OK AND THEN ARE THEY FOR ANY LIKE DIRECT RELATIVES LIKE YOUR PARENTS OR OR CHILDREN audio/RES0142.mp3[86.160,89.640] ANY UH STUFFY NOSE OR RUNNY NOSE audio/RES0178.mp3[261.160,269.960] OK YEAH AND AH ARE THERE ANY CHANGES TO HIS URINE audio/RES0195.mp3[78.440,82.960] AND IS IT CONSTANT OR DOES IT COME AND GO audio/RES0171.mp3[558.440,591.320] OK IF THERES IM HAPPY TO ASSIST YOU AND SHARE RESOURCES AND PROBLEMS LIKE MEDICATIONS AND THINGS LIKE THAT THAT COULD HELP YOU IF YOURE INTERESTED SO WE CAN TALK MORE ABOUT THAT TALKING ABOUT YOUR I GUESS YOU MENTIONED THAT YOUR WEIGHT IS A LITTLE HIGHER THAN OR ITS OUTSIDE THE NORMAL RANGE IS THAT SOMETHING THAT YOU WOULD LIKE TO CUT DOWN audio/RES0173.mp3[94.600,106.640] OK AND UH SO HAVE YOU HAD ANY ANY INFECTIOUS SYMPTOMS LIKE RUNNY OR RED EYES audio/RES0078.mp3[193.080,207.800] UH ITS FELT A LITTLE ITCHY I GUESS BUT NO PAIN WITH SWALLOWING audio/RES0061.mp3[648.560,671.360] YEAH MY DAD ACTUALLY HAD COLON CANCER HE WAS 70 AND SO THATS WHY WE WENT AND DECIDED TO GET A COLONOSCOPY INSTEAD OF JUST DOING THE IMMUNOHISTOCHEMISTRY TEST audio/RES0176.mp3[135.560,145.000] OK AND YOU MENTIONED THAT YOU YOU PASSED OUT AS WELL CAN YOU TELL ME A LITTLE BIT ABOUT A LITTLE BIT ABOUT THAT audio/MSK0019.mp3[233.040,235.040] NAUSEA OR VOMITING audio/RES0187.mp3[55.600,57.440] COUGH STARTED THREE DAYS AGO audio/RES0158.mp3[310.160,313.200] NO IVE BEEN IVE BEEN IVE BEEN HEALTHY audio/RES0047.mp3[520.760,524.680] ABOUT UH SEVEN YEARS AGO audio/RES0160.mp3[205.000,209.080] OK UHM HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0186.mp3[161.040,165.880] OK OK WHEN DID THE BELLY PAIN START audio/RES0212.mp3[204.440,207.800] YOU DONT HAVE A STIFF NECK AT ALL DO YOU audio/RES0096.mp3[118.840,149.400] IVE HAD A COUGH FOR A WHILE THE PAST FIVE TEN YEARS BUT I FEEL THAT ITS BEEN A LITTLE BIT MORE FREQUENT NOW ITS JUST I JUST GET INTO THIS COUGHING FIT AND I THINK THERE WAS A TIME WHEN I HAD A LITTLE BIT OF BLOOD COME OUT AS WELL ONCE OR TWICE THE COUGHING ALSO MAKES IT DIFFICULT FOR ME TO BREATHE YOU KNOW I FEEL VERY SHORT OF BREATH AFTER THAT audio/MSK0050.mp3[632.760,662.320] OK SO YOURE POSITIVE TINELS TEST AND UM IF YOU KIND OF PLACE YOUR WRIST SO THAT UM LIKE THE BACKS OF YOUR HANDS ARE FACING EACH OTHER SO THAT YOUR WRISTS ARE FLEXED DOWNWARDS AND YOUR UM YOUR WRISTS ARE FLEXED AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND AND YOU JUST HOLD THAT POSITION FOR A PERIOD OF TIME UM DO YOU FEEL ANY PAIN audio/RES0167.mp3[141.160,144.320] FEVER WEIGHT LOSS audio/MSK0007.mp3[215.920,222.240] OK HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE OR YOUR EAR PAIN audio/RES0029.mp3[401.680,404.040] OK THANK YOU audio/CAR0001.mp3[39.160,42.560] OK AND WHERE IS THIS PAIN LOCATED audio/RES0200.mp3[301.760,306.120] OK CHILLS audio/RES0167.mp3[318.960,325.040] INCLUDING LIKE THE PNEUMOVAX VACCINE AND THE SHINGRIX audio/RES0080.mp3[244.560,250.440] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN NAUSEA OR VOMITING audio/RES0071.mp3[301.520,307.920] OK CHILLS AND WHEN DID YOU FEEL THEM audio/RES0022.mp3[407.640,415.840] OK UM HAS THAT HAPPENED AGAIN TODAY audio/RES0183.mp3[699.400,703.080] WELL SO WELL SO WELL JUST OBSERVE FOR NOW audio/RES0089.mp3[145.040,152.000] OK ALRIGHT AND IS YOUR COUGHING LIKE CONSTANT OR DOES IT COME AND GO audio/RES0074.mp3[309.520,313.800] OK HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0006.mp3[613.160,625.440] ALRIGHT UM SO THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON HISTORY WAS THERE ANY UH ANY OTHER QUESTIONS THAT YOU HAD audio/RES0155.mp3[245.240,250.320] OK UM HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0031.mp3[35.800,39.520] I WOULD DESCRIBE IT AS LIKE A BURNING PAIN audio/RES0162.mp3[319.200,337.720] UHM YOU MENTIONED THAT YOU STARTED GOING TO THE GYM MORE OFTEN EARLIER THIS YEAR AND THAT IS WHEN YOU SORT OF NOTICE SOME OF THESE SYMPTOMS IS THERE ANYTHING ELSE THAT CHANGED IN YOUR LIFE ANY BIG CHANGES THAT YOU THINK COULD BE RELATED TO THIS audio/RES0086.mp3[366.200,368.280] NO HEADACHES audio/RES0148.mp3[183.200,186.960] AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE audio/RES0203.mp3[237.200,253.680] OK AND CAN YOU THINK OF ANY FOR THIS DRY COUGH JUST A CIRCLE BACK TO THAT CAN YOU THINK OF ANYTHING THAT TRIGGERS IT ITS CALLED THE COLD OR BEING AROUND CERTAIN THINGS LIKE CATS OR DOGS OR ANY OTHER ENVIRONMENTAL THINGS audio/RES0135.mp3[175.640,177.920] AND HOW HAS HER MOOD BEEN audio/CAR0001.mp3[595.240,600.720] I SEE OK AND HOW ABOUT ANYBODY IN THE FAMILY HAVE A STROKE audio/RES0025.mp3[308.280,311.320] OK HAVE YOU HAD ANY CHILLS audio/RES0169.mp3[180.280,183.920] ANY CHANGES IN YOUR SENSE OF SMELL audio/MSK0021.mp3[147.160,148.880] NO MUSCLE WEAKNESS audio/RES0086.mp3[488.320,492.320] IM ON A JUST ONE OF THOSE STEROID CREAMS FOR MY ECZEMA audio/RES0034.mp3[778.160,783.680] OK AND UM IN REGARDS TO GROWTH AND DEVELOPMENT HAVE YOU HAD ANY CONCERNS audio/MSK0031.mp3[110.120,121.920] OK AND WHERE IS THIS PAIN EXACTLY IS IT JUST IN YOUR RIGHT HIP OR IS IT RADIATING UP INTO YOUR UPPER ANTERIOR LOWER BACK OR DOWN TO YOUR LEG audio/RES0075.mp3[114.960,123.320] OK AND ARE THERE ANY POSITIONS THAT HELP MAKE THE PAIN ANY BETTER LIKE LEANING FORWARD OR LAYING DOWN audio/RES0204.mp3[416.720,419.040] A LITTLE BIT YEAH audio/RES0182.mp3[386.000,389.600] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0048.mp3[420.560,422.880] NO NO SORE THROAT audio/RES0206.mp3[597.240,609.520] I USED TO I QUIT ONCE THEY SAID I HAVE COPI SMOKED 12 PACK A DAY FOR PROBABLY 20 YEARS audio/RES0049.mp3[112.120,127.360] YEAH ITS BEEN PRETTY CONSTANT ITS BEEN GETTING WORSE ESPECIALLY LIKE IN THE LAST FEW DAYS IM MAINLY COUGHING LIKE BEFORE I WAS COUGHING MAINLY AT NIGHT BUT NOW IM COUGHING THROUGHOUT THE DAY audio/RES0158.mp3[299.360,303.360] NO I I WISH audio/MSK0026.mp3[711.200,751.680] BUT IF YOUR SYMPTOMS ARE GETTING WORSE AND YOURE DEVELOPING A FEVER ITS BECOMING EVEN MORE PAINFUL THEN CERTAINLY WILL HAVE TO RULE OUT INFECTION AND AS WELL IF THINGS ARE NOT IMPROVING POTENTIALLY A STRUCTURAL DISEASE AND ANY SUCH AS A MENISCAL INJURY OR LIKE A LIGAMENTAL INJURY FROM ALL OF THE LIKE KNEELING AND AND REPETITIVE MOVEMENTS BUT RIGHT NOW I THINK ITS MOSTLY SOUNDING LIKE A KNEE BURSITIS audio/RES0076.mp3[507.040,517.000] YEAH IM RETIRING SOON I WORK AS A BUS DRIVER audio/RES0093.mp3[690.720,710.440] OK ALRIGHT AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE GROCERIES OR FINANCES OR SHOVELING SNOW OR CLEANING THE HOUSE OR DO YOU NEED ANY ASSISTANCE WITH THOSE SORT OF HOUSEHOLD ACTIVITIES audio/RES0190.mp3[295.880,299.840] HAVE YOU HAD ANY DIARRHEA audio/RES0204.mp3[19.760,22.680] YEAH THAT SOUNDS GREAT THANK YOU audio/MSK0034.mp3[273.760,278.760] OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0087.mp3[393.800,397.120] NO HOSPITALIZATIONS OR SURGERIES audio/MSK0005.mp3[544.080,553.440] YOURE HEALTHY OK AND THEN UM DO YOU HAVE HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0108.mp3[137.000,139.120] UHM NO audio/RES0061.mp3[385.840,388.840] NO I HAVENT NOTICED ANY RASHES audio/RES0049.mp3[436.400,443.000] OK OK THATS GOOD AND ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST audio/RES0009.mp3[110.200,118.560] ITS I DONT THE THE PAIN IS BUT I IM NOT I CANT CATCH MY BREATH WHEN IM DOING THAT audio/RES0203.mp3[29.200,33.520] YES FOR TWO DAYS audio/RES0104.mp3[555.880,564.960] OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS ANY CANCERS audio/RES0081.mp3[60.840,73.320] OK SO YEAH ITS BEEN AFFECTING UH SLEEP APPETITE HIS MOOD HAS HE BEEN SHORT OF BREATH audio/RES0004.mp3[353.520,361.120] HAVE YOU BEEN AROUND ANYONE WHO MAY HAVE BEEN SICK RECENTLY audio/RES0164.mp3[608.760,613.600] OK AND IS HE COMPLAINING OF JOINT OR MUSCLE ACHES AT ALL audio/RES0133.mp3[238.800,241.440] ANY UH DIARRHEA audio/RES0096.mp3[3.240,10.600] UH I HAVE JUST BEEN FEELING VERY SHORT OF BREATH RECENTLY audio/RES0012.mp3[705.360,708.800] NO DO YOU SMOKE MARIJUANA audio/DER0001.mp3[353.400,373.080] IT KIND OF IS LIKE A DULL ACHE SOMETIMES WHEN I TOUCH IT BUT NO LIKE IN THE AREA THE ANKLE NO BUT DEFINITELY ON MY FEET LIKE OVER THE YEARS IVE NOTICED I FEEL LESS ON IT COMPARED TO WHAT I DID PREVIOUSLY YEAH audio/RES0162.mp3[220.240,240.240] PROBABLY UH 15 TO 20 MINUTES AND YEAH ITS ITS MAINLY JUST AFTER I LIKE OFTEN TIMES OVER THE LAST FEW WEEKS IVE HAD TO JUST STOP DOING WHAT IM DOING LIKE EXERCISING AND JUST COME HOME AND REST audio/RES0161.mp3[59.960,63.000] THE LIGHT KIND OF UP INTO THE FOREHEAD audio/RES0095.mp3[606.080,615.640] ALRIGHT UH AND UH AND IN TERMS OF FAMILY HISTORY HAS ANYBODY HAD ANY HEART OR LUNG CONDITIONS audio/RES0106.mp3[55.280,58.880] ANY CHEST PAIN audio/RES0165.mp3[420.120,424.240] UH ANY ALCOHOL audio/RES0045.mp3[279.880,288.040] NOT NO BUT IVE DEFINITELY I FEEL LIKE IVE MAYBE NOTICED A CHANGE IN MY SMELL audio/RES0102.mp3[471.760,478.160] HAVE YOU NOTICED ANY SWELLING IN YOUR EXTREMITIES LIKE YOUR LEGS AND HANDS audio/RES0164.mp3[309.280,313.120] OK ANY ANYTHING ON HIS NOSE audio/RES0076.mp3[102.800,109.080] I WOULD SAY MAYBE TWO OR THREE TEASPOONS audio/RES0116.mp3[236.640,240.680] NO HES BEEN UM GROWING PRETTY WELL audio/MSK0029.mp3[870.840,883.840] UHM UH YEAH MORE TRAPEZIUS NOT SO NOT SO MUCH DELTOID AND THEN ALSO UM LIKE THE THE PERISPINAL MUSCLES audio/CAR0001.mp3[600.720,602.880] NO STROKES audio/CAR0005.mp3[292.600,301.520] OK DO YOU GET ANY DO YOU HAVE ANY DIFFICULTY BREATHING DURING THESE TIMES audio/RES0127.mp3[288.080,295.360] AND SO NO NO SUDDEN LIKE LOSS OF WEIGHT OR ANYTHING LIKE THAT RIGHT NOW audio/RES0081.mp3[237.560,242.400] ALRIGHT AND HAS HE HAD ANY MUSCLE ACHES OR JOINT PAINS audio/RES0101.mp3[2.480,33.760] HI SO YEAH I IM REALLY WORRIED I STARTED COUGHING UP BLOOD THIS MORNING AND FOR THE LAST TWO DAYS IVE BEEN HAVING SOME LIKE ON MY RIGHT CALF JUST A LOT OF SWELLING AND TENDERNESS UHM I JUST ACTUALLY GOT OUT OF THE HOSPITAL JUST LAST WEEK I HAD A KNEE REPLACEMENT SURGERY ON MY RIGHT LEG SO YEAH I WAS JUST REALLY CONCERNED ABOUT THIS BLOOD THAT IM COUGHING UP audio/RES0182.mp3[316.800,321.760] OK AND IN THE IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/MSK0013.mp3[587.760,593.040] OK AND ANY A MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0210.mp3[280.400,283.400] YEAH YEAH SPECIALLY NOTICE OVER THE LAST DAY audio/RES0139.mp3[86.160,92.160] OKAY AND HAS IT GOTTEN ANY BETTER AT ALL OR STAYED AROUND THE SAME audio/RES0052.mp3[28.520,31.720] YEAH FOR SURE SO THE COUGH STARTED 5 DAYS AGO audio/MSK0027.mp3[224.320,226.960] AND HAS SHE HAD ANY WEIGHT LOSS audio/RES0146.mp3[109.160,119.080] ABOUT A FIVE audio/MSK0041.mp3[461.360,468.480] OK AND HOW ABOUT ALCOHOL HOW MANY DRINKS PER WEEK WOULD YOU HAVE USUALLY audio/RES0100.mp3[685.480,688.840] DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/RES0169.mp3[502.800,506.960] OK THANK YOU audio/RES0008.mp3[511.600,514.840] DO YOU USE ANY OTHER SUBSTANCE audio/RES0158.mp3[174.520,177.760] UH NO NOT REALLY NOTHING LIKE THAT audio/RES0064.mp3[224.840,228.280] OK HOW ABOUT IN NAUSEA OR VOMITING audio/RES0154.mp3[371.240,379.200] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0007.mp3[429.360,443.640] OK SO I JUST WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PAST HEALTH HAVE YOU BEEN SO YOU MENTIONED ASTHMA HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS audio/RES0044.mp3[0.000,2.480] WHAT BRINGS YOU IN audio/RES0053.mp3[581.400,592.760] YEAH THIS IS OUR FIRST KID BUT COMPARED TO HIS COUSINS HE SEEMS TO BE DOING WELL HES SPEAKING HES GOT LITTLE SENTENCES NOW HE HAS GOOD EYE CONTACT HES A GOOD KID audio/MSK0003.mp3[745.040,753.160] OK AND YEAH OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0039.mp3[609.480,615.160] SO I LIVE WITH UH FOUR ROOMMATES HERE GOING TO SCHOOL audio/RES0021.mp3[615.080,618.480] OK ANY RELATIVES HAVE BREAST CANCER audio/RES0166.mp3[463.320,474.160] OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL audio/RES0206.mp3[594.160,596.040] OH VERY RARELY audio/RES0185.mp3[282.000,287.480] NO NOTHING LIKE THAT audio/CAR0003.mp3[258.280,261.480] HAVE YOU RECENTLY HAD ANY SURGERIES audio/GAS0003.mp3[81.400,83.880] ABOUT 8 HOURS AGO audio/RES0109.mp3[154.240,156.560] OK GOOD ANY WEIGHT LOSS RECENTLY audio/MSK0021.mp3[244.760,248.520] UH NO NOT NOTNOTHING LIKE THAT audio/MSK0001.mp3[243.880,247.680] OK HOW ABOUT UH ANY URINARY PROBLEMS audio/MSK0017.mp3[415.840,418.320] UH NO ALLERGIES audio/RES0110.mp3[341.280,347.960] YEAH IT HURT HURTS WHEN I TRY TO TAKE A DEEP BREATH IN audio/RES0069.mp3[169.320,172.000] OK UH AND HOW HAS YOUR APPETITE BEEN audio/RES0118.mp3[204.760,206.960] UH NO audio/GEN0001.mp3[156.600,161.000] OK HAS IT BEEN GETTING PROGRESSIVELY WORSE AT ALL audio/RES0134.mp3[255.360,259.720] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED audio/RES0074.mp3[632.000,639.560] OK UH AND SO HE HASNT NEEDED SURGERY FOR IT audio/RES0068.mp3[654.840,656.080] THANK YOU audio/RES0105.mp3[748.320,767.000] ALRIGHT AND IF YOU FEEL AT ALL YOURE VERY SHORT OF BREATH AND WE CAN GIVE YOU SOME VENTIL IN HERE AS WELL AND THEN IF YOU NEED LIKE WE CAN GIVE YOU LIKE SYSTEMIC CORE STEROIDS AS WELL TO HELP SOME OF YOUR SYMPTOMS BUT YEAH LETS LETS DO SOME OF THAT PHYSICAL EXAMINATIONS FIRST audio/RES0202.mp3[396.960,401.800] OK ANY NAUSEA OR VOMITING audio/RES0134.mp3[53.480,61.560] OKAY ITS UM SO THE COUGH STARTED ABOUT A DAY AND A HALF AGO AS WELL audio/RES0062.mp3[79.320,84.400] UM YEAH PROBABLY MORE LIKE THE SIZE OF LIKE A THUMB TIP audio/RES0097.mp3[491.160,497.200] IM THE PRIMARY CAREGIVER ITS JUST UH ME HIM AND MY HUSBAND audio/MSK0005.mp3[266.040,270.360] OK ANY NUMBNESS OR TINGLING IN THAT ARM audio/RES0147.mp3[84.680,88.280] IVE BEEN BRINGING UP SOME SOME SPUTUM audio/RES0061.mp3[11.680,20.800] OK IM SORRY TO HEAR THAT UM WHEN YOU SAY LAST FEW DAYS DID YOU MEAN THE PAST TWO DAYS 3 DAYS audio/RES0140.mp3[37.920,43.400] I SEE I SEE OKAY UM ANY OTHER DOES THE CHEST PAIN ONLY OCCUR WHEN YOURE TAKING A DEEP BREATH IN audio/RES0213.mp3[323.360,339.960] UM I I THINK I I MAKE MYSELF NERVOUS WITH IT AND THEN I KIND OF START BREATHING FASTER BUT I DONT HAVE A HARD I DONT HAVE A HARD TIME BREATHING OTHERWISE AND ITS HARD TO GET A DEEP BREATH CAUSE IM IT MAKES ME REALLY NERVOUS audio/RES0005.mp3[418.480,423.200] I THINK I HAVE HIGH CHOLESTEROL TOO audio/RES0004.mp3[684.080,685.000] NO I DONT SMOKE audio/RES0061.mp3[586.360,591.000] UH YEAH ACTUALLY GOT THE SHINGLES VACCINE A FEW MONTHS AGO audio/RES0173.mp3[532.920,539.880] ALRIGHT THEN UMM IN THE FAMILY IS THERE A HISTORY OF ANY LUNG PROBLEMS OR ANY ANY HEART PROBLEMS audio/RES0099.mp3[599.360,609.000] ALRIGHT AND YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OPIOIDS HEROIN AND HOW HAVE YOU USED ANYTHING LIKE THAT IN THE PAST audio/RES0173.mp3[479.080,483.640] ALRIGHT THEN ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL audio/RES0114.mp3[342.560,349.400] OK DO YOU HAVE SOMETHING CALLED CONGESTIVE HEART FAILURE audio/RES0025.mp3[105.080,114.000] OK IM JUST GOING TO ASK YOU A FEW MORE QUESTIONS ABOUT THE VOMITING HAVE YOU NOTICED ANY BLOOD IN YOUR VOMIT audio/MSK0015.mp3[262.360,267.480] OK AND HAS SHE HAD ANY UNEXPECTED WEIGHT LOSS audio/MSK0018.mp3[356.640,370.760] UM DEFORMITY I I DO FEEL LIKE KIND OF UH LIKE MY SHOULDERS DROPPED AND LIKE THERES JUST KIND OF THIS UH LITTLE LIKE DIVOTS WHERE LIKE THE SHOULDER SHOULD BE audio/RES0010.mp3[188.360,194.400] NO NOT NOT THAT audio/RES0112.mp3[2.520,44.320] YEAH I BROUGHT MY SON HERE IM A LITTLE BIT WORRIED ABOUT HIM BECAUSE LIKE YESTERDAY HE HAD HE HAD THIS TEMPERATURE OF LIKE 385 UM SO HES BEEN FEELING A LITTLE BIT HOT AND HES NOT SWALLOWING HIS FOOD LIKE WEVE BEEN FEEDING HIM SOME MASHED UP FOOD BUT HES NOT SWALLOWING IT HES JUST KIND OF THROWING THROWING IT BACK OUT THERE UM HES DROOLING NOW UH AND HE SOUNDS KIND OF MUFFLED UM AND HES BEEN VERY SHORT OF BREATH audio/RES0044.mp3[435.800,442.800] NO OK SO NO CONSTIPATION OR DIARRHEA OR BLOOD IN YOUR STOOL audio/RES0036.mp3[615.520,622.760] OK DO YOU HAVE ANY POTENTIAL EXPOSURE TO ASBESTOS IN YOUR HOUSE OR AT WORK audio/MSK0036.mp3[441.040,444.440] HOW ABOUT A SORE THROAT OR A COUGH audio/RES0042.mp3[94.280,100.200] YEAH YEAH DO YOU FEEL WHEEZY AT ALL audio/RES0206.mp3[104.640,114.120] I SEE OK WELL I GUESS THE FIRST THING WERE GOING SO HOWS TBAD HOW BAD IS YOUR SHORTNESS OF BREATH audio/RES0063.mp3[733.840,735.400] OK ALRIGHT SOUNDS GOOD audio/GAS0005.mp3[440.960,453.160] OK EXCELLENT AND YOU KNOW NO MEDICAL CONDITIONS BUT HAS THERE BEEN ANY REASONS FOR BEING IN THE HOSPITAL BEFORE audio/RES0107.mp3[578.280,584.760] UH NO ITS ITS PRETTY WELL CONTROLLED I USED TO ACTUALLY I USED TO HAVE ASTHMA AS A CHILD audio/RES0085.mp3[368.400,373.200] AND WHO DOES HE LIVE WITH AT HOME audio/RES0076.mp3[634.680,643.920] OK SO YEAH THERES UH LIKE OTHER OPTIONS AS WELL THAT YOU CAN TAKE HAVE YOU HEARD OF CHAMPIX audio/RES0141.mp3[71.960,86.080] UM MORE THAN LIKE SEVERE ITS DEFINITELY LESS SEVERE THAN MY MIGRAINES BUT IT ITS JUST CONSTANT ITS ITS JUST BEEN THERE FOR THE LAST FOUR DAYS AND I WOULD SAY PROBABLY A 6 OUT OF 10 audio/RES0111.mp3[161.040,163.960] ANY UH BELLY PAIN audio/RES0056.mp3[521.520,523.640] NO NO OTHER DRUGS audio/RES0048.mp3[450.840,455.720] OK UM CONSTIPATION audio/RES0211.mp3[340.440,341.440] LIKE MY COUSIN audio/RES0146.mp3[207.840,213.720] ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0075.mp3[327.240,331.880] OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0091.mp3[151.880,155.920] MHM A LITTLE BIT YEAH audio/RES0036.mp3[290.880,295.080] UH NO audio/RES0087.mp3[412.320,413.760] OK ANY ALLERGIES audio/RES0169.mp3[144.600,154.400] UH YEAH I HAVE HAD A BIT OF A HEADACHE ACTUALLY WELL JUST JUST THIS MORNING audio/RES0020.mp3[357.440,361.080] ALRIGHT AND ANY MUSCLE ACHES OR PAINS audio/RES0065.mp3[383.360,388.320] UHM NO I DONT THINK SO audio/RES0205.mp3[295.440,299.360] UM I I USED TO NOT ANYMORE audio/RES0081.mp3[496.160,508.280] OH NO EVERYTHING WAS NORMAL HE WAS BORN VIA VAGINAL DELIVERY AND NO COMPLICATIONS HE WAS A HEALTHY BABY audio/MSK0043.mp3[358.200,361.960] NO ITS JUST THE RED KNEE audio/RES0163.mp3[126.600,143.240] I GET NOSEBLEEDS LIKE MAYBE YEAH LIKE MAYBE WHEN IM EXERCISING OR SOMETHING IM LIKE AT THE GYM UHM FOM DOING THE GYM CLASS YEAH YEAH WHEN PLAYING WITH MY FRIENDS audio/RES0081.mp3[170.040,180.960] OK AND HAS HE BEEN HAVING ANY CHEST PAIN audio/RES0099.mp3[348.360,355.400] OK AND HAVE YOU TRIED ANY MEDICATIONS FOR THE FOR THE HEADACHE OR ANY OF YOUR SYMPTOMS SO FAR audio/RES0192.mp3[110.360,122.000] UH THE COUGH ALSO AROUND THE SAME TIME IT STARTED OFF PRETTY MILD BUT NOW I LIKE I HAVE IT ALL THE TIME audio/RES0106.mp3[274.080,276.160] OK WHEN WAS THAT audio/CAR0001.mp3[130.720,136.040] OK SO NOT LIKE TAKING A DEEP BREATH OR ANYTHING LIKE THAT audio/RES0116.mp3[106.680,111.920] YELLOW OK OK AND WHICH EAR WAS IT SORRY THE RIGHT OR LEFT audio/RES0136.mp3[387.480,394.960] OKAY HAVE YOU LOST UH SIGNIFICANT WEIGHT IN THE LAST FEW MONTHS audio/RES0210.mp3[273.840,280.400] YEAH OK BUT IF YOU WERE JUST LAYING DOWN NOT COUGHING IS THAT PAIN THERE audio/RES0065.mp3[99.640,104.160] OK AND BESIDES THAT DO YOU HAVE ANY COUGH audio/RES0094.mp3[374.920,426.840] OK ALRIGHT WELL SOUNDS LIKE YOU HAVE A SORE THROAT AND RUNNY NOSE YOUVE BEEN A LITTLE BIT DROWSY HAD SOME HEADACHES IN THE PAST FIVE DAYS THINGS WERE GETTING A LITTLE BIT WORSE EARLY ON BUT ITS BEEN A LITTLE BIT ITS BEEN MORE STABLE NOW WELL DO A PHYSICAL EXAM SEE JUST LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH AND CHECK YOUR TEMPERATURE AND GO FROM THERE IT SOUNDS LIKE YOU PROBABLY HAVE A VIRAL INFECTION OF SOME SORT THAT SHOULD GET HOPEFULLY GET BETTER OVER TIME WE WILL ALSO GET A COVID SWAB DONE JUST IN CASE AND IF THINGS SEEM TO GET WORSE WE CAN YOU CAN DEFINITELY COME BACK audio/RES0006.mp3[492.520,496.600] OK AND DO YOU SMOKE CIGARETTES audio/RES0066.mp3[146.920,150.360] UMM NO I HAVENT ACTUALLY TAKEN MY TEMPERATURE audio/RES0136.mp3[377.120,381.400] NO ANY TROUBLE WITH URINATING audio/RES0128.mp3[171.600,181.600] HES NEVER BEEN DIAGNOSED BUT HE HAS HAD UHM OR HIS SISTER HAS ASTHMA audio/RES0105.mp3[567.320,569.800] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0184.mp3[474.640,538.400] YEAH CERTAINLY SO I SO ITS SOUNDS LIKE YOU HAVE THE COMMON COLD OR A VIRAL ILLNESS WHICH IT COULD BE CAUSED BY SOMETHING LIKE ADENOVIRUS OR THERE ARE OTHERS AS WELL HOWEVER THE SYMPTOMS DO OVERLAP WITH COVIAS YOU CAN BE LIKE NONSPECIFIC SYMPTOMS SUCH AS HAVING KIND OF JUST LIKE A RUNNY NOSE LIKE YOU DO HERE AND SO WE WILL DO A COVISWAB AND WELL AWAIT THOSE RESULTS BUT IN THE MEANTIME ITS MOSTLY SUPPORTIVE CARE SO IT MEANS JUST TRYING TO STAY HYDRATED STAY RESTED AND JUST MONITOR YOUR SYMPTOMS BECAUSE IF THINGS DO GET WORSE ITLL BE IMPORTANT TO UH GO TO THE EMERGENCY ROOM audio/RES0011.mp3[334.600,340.760] OK AND HAVE YOU BEEN HAVING ANY HEADACHES audio/RES0192.mp3[561.360,564.640] OH CONGRATULATIONS ITS NOT EASY TO QUIT audio/RES0067.mp3[2.840,42.840] YEAH I HAVE MY 2 YEAR OLD DAUGHTER HERE WITH ME I DONT KNOW WHATS HAPPENING WITH HER BUT SHE SEEMS TO BE GETTING REALLY SICK SO ILL GIVE YOU THAT KIND OF TIMELINE SO TWO DAYS AGO SHE WAS FEELING HOT AND HER FEVER HASNT BROKEN WEVE BEEN GIVING HER TYLENOL BUT SHE STILL SEEMS TO HAVE A FEVER THE LAST TIME I CHECKED HER TEMPERATURE WAS 385 AND SHE SEEMS TO HAVE ISSUES SWALLOWING FOOD SHES DROOLING AND SHE SEEMS SHORT OF BREATH audio/RES0154.mp3[181.920,187.720] OK HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED audio/RES0105.mp3[767.000,769.880] OK THAT SOUNDS GOOD THANK YOU audio/MSK0011.mp3[631.120,636.840] I I PROBABLY JUST MOVING THE THE WRIST LIKE FLEXING AND EXTENDING THE WRIST audio/MSK0028.mp3[256.680,265.520] OK AND WELL HOW SEVERE IS THE PAIN ON A SCALE OF 10 TO 1 10 BEING THE WORST PAIN THAT YOUVE EVER EXPERIENCED AND ONE BEING THE LEAST audio/MSK0008.mp3[121.960,127.560] UM SOME ICE HELPS audio/RES0182.mp3[336.600,342.880] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OR ANYTHING ENVIRONMENTAL audio/RES0105.mp3[249.600,266.720] OK OTHER THAN THAT SO YOU DID HAVE AN ADMISSION BEFORE FOR THIS AND YOU HAVE COPDO YOU HAVE ANY OTHER SYMPTOMS RIGHT NOW LIKE RUNNY NOSE SORE THROAT ANY COLD LIKE SYMPTOMS audio/RES0144.mp3[496.520,498.200] NO NOT THAT I KNOW audio/MSK0035.mp3[716.840,727.240] OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO CHECK TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS audio/GAS0001.mp3[182.720,184.840] NO I DONT FEEL LIKE THAT audio/RES0173.mp3[453.440,475.760] NO IVE JUST BEEN VISITING HIM AND I JUST GO GROCERY SHOPPING IVE JUST IVE BEEN DOING SCHOOLING ONLINE YEAH I DONT THINK SO IM USUALLY VERY CAREFUL IM NOT YEAH IM NOT MAINTAINING SOCIAL DISTANCING WITH MY BOYFRIEND HES IN MY SOCIAL CIRCLE BUT YEAH OTHER THAN THAT NO ONE I THINK YEAH audio/RES0021.mp3[666.000,733.480] OK EXCELLENT SO WITH YOUR SYMPTOMS OF HAVING A KIND OF A FEVER COUGH AND BEING TIRED DEFINITELY CONCERNED OF VIRAL INFECTION AND POSSIBLY COVID19 OR SOMETHING MORE COMMON LIKE THE COMMON COLD LIKE AN ADENOVIRUS AND SO WILL DO SOME TESTING FOR FOR COVID19 WITH A NASAL PCR SWAB AS WELL AS RUN SOME BLOOD WORK UM BECAUSE THERE IS A POSSIBILITY THAT THERES A BACTERIAL INFECTION SUCH AS LIKE A PNEUMONIA OR LOWER RESPIRATORY TRACT INFECTION THAT WOULD BE TREATED WITH ANTIBIOTICS SO WE UH YEAH WELL ORDER THOSE INVESTIGATIONS ALONG WITH A CHEST X RAY AND WE WILL GO FROM THERE audio/RES0214.mp3[284.440,290.600] NO ANYTHING YOUVE HAD TO SEE A DOCTOR FOR audio/RES0177.mp3[352.640,363.000] OK AND HE DIDNT NEED TO BE HOSPITALIZED AS A NEWBORN FOR ANYTHING LIKE JAUNDICE OR SHORTNESS OF BREATH audio/RES0088.mp3[615.080,621.800] RIGHT SO AND IN TERMS OF THE HOME ENVIRONMENT DOES ANYONE SMOKE IN THE HOUSE audio/RES0010.mp3[0.000,1.440] HOW MAY I HELP YOU TODAY audio/RES0154.mp3[450.960,472.680] UH I DO HAVE UH MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS 50S MY BROTHER HAS UM HIGH BLOOD PRESSURE DIABETES UM AND ON MY MOMS SIDE SHE HAD LIKE OSTEOARTHRITIS audio/RES0160.mp3[129.000,138.320] NO NONE OF THOSE BUT I I HAVE ALSO BEEN HAVING LIKE A LITTLE BIT OF A HEADACHE AS WELL IN THE LAST FEW DAYS audio/RES0048.mp3[292.440,304.200] UM MAYBE FROM ALL THE COUGHING SOMETIMES I FEEL LIKE THERES SOME PAIN THERE BUT ITS NOT NOT ANYTHING THATS TOO PAINFUL audio/RES0200.mp3[99.520,101.680] NO I MEAN NOTICE ANY BLOOD audio/RES0107.mp3[602.240,610.120] MHMM ALRIGHT WERE YOU EVER DID YOU EVER TAKE LIKE AN ALLERGY TEST audio/RES0048.mp3[161.440,169.640] OK UM IS IT A DRY COUGH THEN OR ARE YOU PRODUCING A LITTLE BIT OF SPUTUM OR BLOOD OR ANYTHING LIKE THAT audio/MSK0023.mp3[579.880,582.240] WELCOME ALRIGHT TAKE CARE audio/RES0144.mp3[2.080,22.840] HI YES I JUST BROUGHT MY SON TO THE ER WEVE NOTICED IN THE LAST TWO DAYS HES BEEN JUST MAKING THESE GRUNTING NOISES AND JUST SEEMS A LITTLE BIT LIKE JUST NOT HIMSELF JUST MORE QUIET NOT REALLY CRYING audio/RES0049.mp3[218.640,221.880] UM NOT REALLY NO audio/RES0211.mp3[503.800,506.520] DO YOU DRINK ALCOHOL audio/RES0096.mp3[548.320,551.200] ALRIGHT AND WHO ARE YOU LIVING WITH CURRENTLY audio/RES0072.mp3[128.240,135.040] OK AND WITH YOUR SORE THROAT ARE YOU HAVING ANY KIND OF LIKE A GAG REFLEX OR ANYTHING LIKE THAT audio/RES0088.mp3[361.080,364.520] UHM SHES AT HOME RIGHT NOW audio/RES0212.mp3[118.520,122.480] I HAVENT NOTICED audio/MSK0031.mp3[237.600,242.360] OK AND HOW ABOUT CHANGES YOUR BOWEL MOVEMENTS audio/RES0114.mp3[392.600,395.360] OK ARE YOU ON ANY PUFFERS SORRY GO AHEAD audio/RES0071.mp3[79.320,91.720] COUPLE OF TEASPOONS OKOK HAS THERE BEEN ANYTHING THAT UM MAKES IT WORSE OR BETTER audio/RES0011.mp3[392.560,406.600] OK SO KIND OF LIKE YOU ARE FATIGUED THAT YOUVE BEEN EXPERIENCING UM HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0021.mp3[539.760,544.840] ALRIGHT AND DO YOU SMOKE MARIJUANA audio/RES0086.mp3[275.400,282.560] I ACTUALLY LIKE I HAVENT USED THEM FOR A WHILE SO NO I DONT HAVE ANY PUFFERS audio/RES0014.mp3[308.520,317.520] NO OK UM OK HOW ABOUT UM DOES YOUR SHORTNESS OF BREATH GET WORSE WHEN YOURE FALLING ASLEEP audio/RES0011.mp3[4.120,32.280] HI IVE JUST BEEN BEEN SO LIKE WEAK AND SO TIRED I JUST I CANT I CANT SEEM TO LIKE GET OFF THE COUCH LIKE ILL GET UP FROM MY BED AND GO LAY ON THE COUCH AND THEN YOU KNOW I MIGHT BE ABLE TO GET SOMETHING TO EAT BUT I JUST I GET SO TIRED SO FAST AND I DONT KNOW I DONT KNOW WHATS WRONG audio/RES0123.mp3[627.800,632.920] WHAT ABOUT YOUR SENSE OF SMELL audio/RES0080.mp3[213.200,216.880] A LITTLE BIT ITS BEEN THERE FOR A WHILE THOUGH audio/RES0028.mp3[82.960,89.040] I I WOULD SAY ABOUT SIX HOURS AGO audio/RES0016.mp3[395.320,397.800] JUST RAMIPRIL FOR MY HIGH BLOOD PRESSURE audio/RES0206.mp3[317.000,344.200] UM LET ME THINK I I MEET MY I MEET A COUPLE OF FRIENDS TO WALK OUR DOGS TOGETHER OUTSIDE AND ONE OF THEM WAS A BIT SICK FOR A BIT WE TRY NOT TO GET TOO CLOSE BUT MAYBE I DONT KNOW MAYBE SOMETIMES WE WALK A LITTLE TOO CLOSE WE FEEL TOO SAFE CAUSE WERE LIKE OUTSIDE audio/RES0141.mp3[51.480,63.960] IT FEELS LIKE A CONSTANT ACHING IVE HAD UH MIGRAINES BEFORE BUT THEY LIKE ITS NOT LIKE THE PULSATING SENSATION THAT I USUALLY GET WITH THEM audio/RES0191.mp3[150.120,153.120] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0016.mp3[427.520,441.040] YEAH I GOT MY SHINGLES AND MY PNEUMONIA VACCINATION EVERYTHING LIKE THAT audio/RES0050.mp3[509.160,511.840] NO NOTHING LIKE THAT audio/RES0109.mp3[166.720,173.560] NO FEVERS HUH OK ANY LIKE EXCESSIVE FATIGUE audio/RES0092.mp3[81.960,89.440] NO OK AND ANY UHM I GUESS ANY RUNNY NOSE audio/RES0151.mp3[158.000,167.360] OK AND HAVE YOU FELT LIKE YOUR NOSE UM IS OBSTRUCTED LIKE YOURE NOT ABLE TO BREATHE IN THROUGH EITHER ONE OF YOUR NOSTRILS audio/CAR0003.mp3[324.920,328.240] OK AND HOW WHEN DID YOU FIRST NOTICE THIS audio/MSK0039.mp3[122.720,128.880] OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS IT audio/RES0004.mp3[713.680,717.560] NO IM NOT audio/RES0101.mp3[351.240,358.280] OK AND HOW ABOUT ANY OTHER LIKE JOINT PAINS MUSCLE ACHES audio/MSK0037.mp3[570.640,574.000] OK AND YOU SMOKE MARIJUANA audio/MSK0046.mp3[265.360,271.640] OK AND ARE THEY FIRST DEGREE RELATIVES WHO HAD THOSE CANCERS audio/RES0060.mp3[161.080,166.440] OK HOW ABOUT YOUR HEARING OR VISION ANY CHANGES THERE audio/RES0051.mp3[42.840,46.240] OKAY ARE YOU BRINGING UP ANY BLOOD audio/MSK0026.mp3[534.760,538.440] ALRIGHT AND DO YOU DRINK ALCOHOL audio/RES0197.mp3[313.600,317.440] ANY OTHER MEDICATIONS THAT YOU TAKE audio/RES0171.mp3[461.160,473.880] YEAH I HAVE IVE KIND OF GONE THROUGH SPURTS OF QUITTING AND RESTARTING QUITTING AND RESTARTING SO YEAH IVE TRIED BEFORE audio/CAR0001.mp3[409.240,413.640] ALRIGHT HOW ABOUT ANY ALLERGIES TO MEDICATIONS audio/RES0020.mp3[314.600,316.320] UM NO audio/RES0010.mp3[261.840,277.640] UH NO VOMITING I FEEL LIKE MY THROAT IT JUST FEELS SO LIKE SWOLLEN BUT WHEN IM TRYING TO TALK WITH MAKES ME FEEL A LITTLE BIT NAUSEATED audio/MSK0004.mp3[203.400,208.400] OK AND ANYTHING THAT MAKES IT BETTER audio/MSK0004.mp3[0.000,2.120] WHAT BRINGS IN HERE TODAY audio/RES0199.mp3[496.680,500.920] I WORK AT A CAR DEALERSHIP audio/RES0215.mp3[550.600,558.360] UM SO MY HUSBAND IS AN ULTRASOUND TECHNICIAN AND I AM A UH KINDERGARTEN TEACHER audio/RES0174.mp3[565.720,568.280] YEAH YEAH IT WAS VERY HELPFUL WAS VERY GOOD audio/RES0004.mp3[143.280,155.640] UM I HAVE YEAH I FELT HOT AND UM I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 387 I THINK IT WAS IS THAT A FEVER audio/MSK0045.mp3[339.360,344.280] NO OK UM ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGICAL CONDITIONS audio/RES0181.mp3[191.040,195.920] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0088.mp3[477.320,479.880] OK ANY ALLERGIES THAT YOU KNOW OF audio/RES0093.mp3[362.520,385.040] UH IT KIND OF IT BUGS ME MOST DAYS ITS NOT SO BAD I MEAN SOMETIMES ILL GET A LITTLE BIT OF HEARTBURN AND ACID IN THE IN MY MOUTH BUT IT DEPENDS ON WHAT I EAT SO I REALLY TRY TO STAY AWAY FROM SOME SOME FOODS audio/RES0143.mp3[224.680,227.920] UNINTENTIONAL WEIGHT LOSS audio/MSK0040.mp3[162.000,167.440] OH NO ITS PRETTY MUCH IN THAT AREA JUST IN THE ANKLE AREA audio/RES0179.mp3[444.760,451.080] OK YEAH OK AND AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/RES0043.mp3[516.960,525.720] OK AND UM ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE audio/MSK0015.mp3[538.040,547.520] CAN YOU TELL ME ABOUT WHO SHES LIVING WITH AND WHEREABOUTS SHES LIVING audio/RES0165.mp3[392.280,400.920] OK AND ANY NEW EXPOSURES AT ALL IN YOUR HOUSE TO DUST NEW CARPETS ANIMALS ANYTHING LIKE THAT audio/RES0053.mp3[619.040,622.880] ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0094.mp3[185.040,187.600] DID THE COLD MEDS HELP audio/RES0072.mp3[81.280,99.160] YEAH SO THE FIRST TWO TIMES IT WAS MORE OF WHAT LIKE THE FOOD THAT I HAD EATEN AND THEN THE LAST TWO TIMES ITS BEEN MORE YELLOWISH GREEN CAUSE I HAVENT REALLY EATEN MUCH SINCE YESTERDAY AFTERNOON audio/RES0035.mp3[422.080,424.440] OK AND DO YOU SMOKE CIGARETTES audio/RES0027.mp3[149.760,157.280] MAYBE A SLIGHT HEADACHE BUT ALSO IM NOT TOO SURE IF THATS BECAUSE IVE BEEN COUGHING AND ITS PUTTING STRAIN ON MY HEAD audio/MSK0007.mp3[31.600,44.200] SO ITS BEEN ON GOING FOR LIKE THE PAST THREE MONTHS BUT ITS GOTTEN WORSE OVER THE LAST ID SAY THREE WEEKS audio/RES0101.mp3[248.680,258.880] OK SO IT HAS BEEN MORE DIFFICULT TO BREATHE AND IS THAT IS THAT AT REST AS WELL DO YOU FEEL THAT KIND OF SENSATION audio/MSK0049.mp3[128.840,135.240] OK AND HOW LONG DOES IT LAST FOR LIKE 30 MINUTES 60 MINUTES OR OR LONGER audio/RES0163.mp3[305.400,307.960] UHM NO audio/RES0096.mp3[551.200,557.320] I LIVE WITH MY WIFE audio/RES0214.mp3[210.840,213.560] UH NO IT JUST HURTS audio/MSK0042.mp3[526.960,552.200] UH NO WE LIKE UM ME AND MY BROTHER FEEL SAFE AT HOME SCHOOL IS GOING WELL TOO UM IM PRETTY PRETTY ATHLETIC AT SCHOOL LIKE UH I HAVE GOOD FRIENDS SO NO BULLYING OR ANYTHING LIKE THAT FEELS PRETTY SAFE OVERALL audio/GEN0001.mp3[259.880,262.800] OK AND HOW DO YOU FEEL OTHERWISE audio/RES0036.mp3[235.600,239.960] OK BUT YOUVE NEVER ACTUALLY COUGHED UP UHM RED BLOOD audio/RES0143.mp3[312.720,319.600] UM AND ANY CONDITIONS MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0086.mp3[428.240,435.000] OK SO YOURE NOT GETTING ANY NIGHT TIME SYMPTOMS AND YOURE ONLY GETTING DAY TIME SYMPTOMS WITH ACTIVITY RIGHT audio/RES0033.mp3[22.840,39.880] SO YEAH IT IT DOES HAVE SOME LIKE DARK YELLOW GREENISH MUCUS MATERIAL EVERY TIME I COUGH THATS NOT DOESNT ALWAYS HAPPEN BUT ITS BEEN WORSE LIKE THAT KEEPS HAPPENING OVER THE LAST FEW DAYS audio/RES0150.mp3[543.000,548.440] OK AND UM ANY FAMILY HISTORY OF ANY HEART OR OR LUNG PROBLEMS audio/RES0084.mp3[252.560,262.040] OK ALRIGHT HAVE YOU HAD ANY FAINTING SPELLS OR DIZZINESS audio/RES0005.mp3[775.120,816.760] OK AND UM OTHER THINGS THAT UM TO THINK ABOUT THIS COULD BE UH ALSO LIKE TO COPI KNOW ITS BEEN GOING ON A LONG TIME BUT POSSIBLY COULD HAVE A PNEUMONIA THATS BEEN LINGERING ON PARTICULARLY IF ITS A FUNGAL TYPE OF INFECTION AND AS WELL AS THINGS LIKE YOU MENTIONED YOU POSSIBLY UNSURE IF YOUVE HAD AN ASBESTOS EXPOSURE IN THE PAST AND STUFF LIKE THAT CAN POSSIBLY LEAD TO SCARRING OF THE LUNG AND SO ALL OF THESE FACTORS WILL BE LOOKED INTO audio/RES0116.mp3[102.720,106.680] UH LIKE IT WAS A BIT OF A YELLOW TINGE TO TO IT AS WELL audio/RES0119.mp3[114.960,115.760] ITS A DRY COUGH audio/RES0181.mp3[470.000,472.960] UHM HE WAS IN HIS LATE 60S audio/RES0202.mp3[296.440,300.560] NO I DONT THINK SO audio/RES0035.mp3[179.960,184.680] UH ITS JUST KIND OF ALWAYS THERE UM THROUGHOUT THE DAY audio/RES0030.mp3[57.640,63.400] OK AN AND WHEN DID THIS START audio/RES0069.mp3[107.200,111.080] OK HOW ABOUT ANY LIKE RED EYES OR RUNNY NOSE audio/RES0063.mp3[131.560,136.520] OK ANY FATIGUE OR EXHAUSTION audio/RES0028.mp3[439.760,442.040] ANY SURGERIES IN THE PAST audio/MSK0031.mp3[171.440,185.600] UHM AFTER THE FALL OUT LIKE THIS I I DONT KNOW IF ITS DUE TO THE PAIN BUT EVEN IN THE AMBULANCE COMING OUT OF THE AMBULANCE I WAS FEELING A LITTLE BIT DIZZY BUT I DONT KNOW IF THATS JUST CAUSE OF THE PAIN audio/MSK0041.mp3[345.560,352.640] ALRIGHT AND ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE audio/RES0069.mp3[135.080,142.040] OK AND HOW ABOUT ANY LOSS OF TASTE OR LOSS OF SMELL audio/RES0212.mp3[181.360,185.640] NO NO NOT THAT I CAN THINK OF audio/MSK0022.mp3[236.960,256.040] YEAH YEAH THOSE ACTUALLY THOSE ARE THE WORST I CAN NOTICE THOSE KIND OF ON THE LIKE ON MY INDEX FINGER MIDDLE FINGER AND AND RING FINGER ON BOTH SIDES THEY THEY ALL LOOK LIKE THEYRE SWOLLEN AND AND THOSE HURT HURT REALLY BAD audio/RES0169.mp3[89.600,96.080] ITS PRETTY PRETTY WATERY AND CLEAR audio/RES0061.mp3[446.600,452.600] OK OK GOOD AND ARE YOU OTHERWISE HEALTHY audio/RES0197.mp3[287.640,297.640] OK OK AN OTHER THAN ASTHMA SINCE YOU WERE FIVE AN DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL audio/RES0010.mp3[463.160,470.600] OH NO NO IM LIKE PRETTY HEALTHY ALRIGHT ALRIGHT audio/RES0161.mp3[377.400,379.800] ANY ALCOHOL audio/MSK0033.mp3[601.960,607.760] NO NOT AT ALL NO NO PROBLEMS WITH MY ANKLE OR HIP audio/RES0145.mp3[41.400,43.040] ITS DRY audio/RES0192.mp3[20.840,25.000] MOSTLY ON EXERTION audio/RES0071.mp3[201.960,208.000] OK AND UM SO IS IT ON ONE SIDE OF YOUR HEAD OR BOTH SIDES audio/MSK0044.mp3[191.320,200.560] NO JUST THE PAIN RIGHT THERE audio/RES0051.mp3[359.880,363.600] AND HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON audio/RES0123.mp3[632.920,647.520] UM MY SMELL I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL A BIT LIKE STUFFY AS WELL LIKE NOT NOT RIGHT NOW BUT BEFORE WHEN I FELT STUFFY I LOST MY SENSE OF SMELL audio/RES0180.mp3[183.080,187.440] NO MY I HAVENT HAD ANYTHING LIKE THAT audio/RES0114.mp3[309.600,312.680] NUMBNESS OR TINGLING audio/RES0187.mp3[289.320,291.360] ANY CHANGES IN YOUR URINE audio/MSK0026.mp3[122.640,129.520] OK UM AND HOW LONG HAS THE PAIN BEEN GOING ON FOR HAS IT BEEN CONSTANT OVER THESE TWO WEEKS audio/MSK0040.mp3[88.440,94.960] OK AND WAS THERE PAIN IMMEDIATELY AFTER THE THIS INCIDENT audio/RES0089.mp3[665.760,669.640] YEAH IVE BEEN TAKING ALL MY MEDICATIONS audio/RES0209.mp3[286.640,295.080] OK OK HAVE YOU HAD ANY ANY COLDS LATELY OR ANY INFECTIONS audio/RES0130.mp3[215.440,223.680] OKAY HOW ABOUT CALF PAIN WHEN YOU WALK LIKE MORE THAN A BLOCK OR TWO audio/RES0071.mp3[724.400,726.240] YEAH THAT SOUNDS GREAT THANK YOU audio/MSK0025.mp3[604.720,606.760] YEAH THAT HURTS audio/RES0208.mp3[464.840,473.600] AND DO YOU YOU MENTIONED THAT YOUR GRANDKIDS HAVE CAME TO VISIT DO YOU LIVE ALONE audio/RES0197.mp3[322.560,327.120] OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW audio/MSK0027.mp3[493.920,503.480] OK SO I ASK YOU TO JUST HAVE A LOOK AT HER ELBOW NOW AND audio/MSK0006.mp3[228.680,246.760] NO I DONT THINK SO I DONT I HAVENT REALLY DONE MUCH JUST KIND OF WORK AND UM UEAH I HAVENT HAD ANY TRAUMA TO THE BACK OR ANYTHING LIKE THAT audio/RES0097.mp3[413.320,418.920] YES YES YES audio/RES0189.mp3[125.160,132.520] YEAH AND WHEN IM RESTING OR LYING DOWN OR TRYING TO SLEEP I DONT GET SHORT OF BREATH audio/RES0160.mp3[77.680,78.840] NO BLOOD audio/RES0045.mp3[514.040,516.920] NO OK UM AND WHERE DO YOU LIVE RIGHT NOW audio/RES0039.mp3[367.240,372.560] OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH audio/RES0042.mp3[100.200,102.520] UH NO audio/RES0036.mp3[424.240,433.440] AND HAVE YOU NOTICED ANY KIND OF SYMPTOMS LIKE YOUR HEART IS RACING OR ANYTHING LIKE THAT audio/GAS0003.mp3[422.840,430.280] I I I LIVE IN AN APARTMENT I LIVE ALONE audio/RES0057.mp3[198.480,208.520] YEAH IT FEELS LIKE SOMEBODY IS JUST SQUEEZING THE TOP OF OR JUST SQUEEZING THE SIDES OF MY HEAD audio/RES0208.mp3[311.760,318.200] UH NO audio/RES0065.mp3[116.920,133.600] I TRIED JUST LIKE THOSE LOZENGES AND SEEMS TO BE HELPING JUST SOOTHE MY THROAT BUT ITS A TEMPORARY RELIEF audio/RES0048.mp3[659.000,660.840] OK ANY CANCERS IN THEIR FAMILY audio/RES0099.mp3[0.000,3.000] UMM HOW MAY I HELP YOU audio/RES0153.mp3[386.560,400.000] SO IM LIVING WITH MY PARENTS AND MY SISTER AT IN A IN A HOUSE JUST OUTSIDE OF THE CITY audio/MSK0035.mp3[52.080,56.640] OK AND DID YOU FEEL PAIN RIGHT AWAY audio/RES0216.mp3[621.080,624.960] NO PROBLEM OK ILL GO TALK TO THE DOCTOR ILL BE BACK WITH YOU IN A MOMENT audio/RES0104.mp3[381.960,387.760] OK ANY EXPOSURE OR ANY TRAVEL OUTSIDE OF THE COUNTRY AT ALL audio/RES0201.mp3[408.000,410.840] IS THAT THE ONLY MEDICATION THAT YOU TAKE audio/RES0090.mp3[542.280,547.600] UHM NO NOTHING LIKE THAT UHM DO I NEED TO ISOLATE audio/RES0006.mp3[606.400,613.160] UM NO NOT THAT I KNOW OF audio/RES0185.mp3[566.360,569.080] YEAH FOR SURE ALRIGHT TAKE CARE audio/RES0014.mp3[359.560,363.360] CONFUSION MEMORY LOSS audio/RES0006.mp3[458.080,465.360] SO I LIVE IN LONDON UM IN A SMALL APARTMENT WITH MY WIFE audio/RES0022.mp3[855.480,862.880] LIKE THINGS LIKE COCAINE CRYSTAL METH ECSTASY audio/MSK0032.mp3[542.280,550.000] NO I JUST WANTED TO FIND OUT IF SHE BROKE SOMETHING OR LIKE YEAH I DIDNT KNOW WHAT WAS GOING ON audio/RES0028.mp3[515.840,518.520] OK AND DO YOU SMOKE audio/RES0150.mp3[239.360,249.000] YEAH BUT HE STILL HE STILL HE MANAGES TO EAT ABOUT UM HALF THE PLATE SO I GUESS ITS NOT TOO BAD audio/MSK0036.mp3[365.440,371.480] UHM NO I DONT THINK SO audio/MSK0029.mp3[990.960,999.720] OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0150.mp3[232.560,238.160] UM HES JUST BEEN EATING LESS SINCE HES BEEN FEELING UNWELL audio/MSK0035.mp3[227.720,232.760] ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/MSK0017.mp3[475.760,478.240] OK HOW OFTEN DO YOU USE THEM audio/RES0055.mp3[369.040,374.320] UMM BACK WHEN I WAS A KID I HAD MY TONSILS REMOVED audio/RES0151.mp3[107.480,113.680] UM NO THIS IS LIKE FAIRLY NEW audio/RES0110.mp3[111.040,116.000] UM IT STARTED BEFORE THE DIFFICULTY WITH BREATHING audio/RES0088.mp3[302.680,317.680] I HAVENT LOOKED IN THERE TOO MUCH LIKE JUST AN INSPECTION THE OTHER DAY IT LOOKED A LITTLE BIT RED BUT I DIDNT SEE ANY DISCHARGE audio/MSK0046.mp3[132.560,136.920] OK UM HAVE YOU TRIED ANYTHING FOR THE PAIN THAT HAS HELPED audio/RES0200.mp3[166.560,181.960] SO IM ON THIS ONE CALLED VENTILIN FOR THE WHICH I’VE BEEN USING A LOT MORE RECENTLY JUST FOR RELIEF AND THEN IM ON THIS OTHER PUFFER THING ITS CALLED SPIRIVA audio/MSK0043.mp3[769.720,860.760] OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WELL DO LIKE A FULL PHYSICAL EXAMINATION TAKE A LOOK AT YOUR KNEE UM AND MOST LIKELY WHAT THIS SOUNDS LIKE IS SOMETHING CALLED SEPTIC ARTHRITIS ITS UH ITS WHEN THERES LIKE AN INFECTION THAT UM CAN GO INTO YOUR JOINTS AND UH IT IS A PRETTY SERIOUS ISSUE THAT WE NEED TO UM ASSESS AND TREAT AS SOON AS POSSIBLE SO THE FIRST THING THAT WE WILL UM NEED TO DO WELL NEED TO DO SOME BLOOD WORK JUST TO GET SOME INFLAMMATION MARKERS AND JUST YOUR UH CBC AND SEE IF YOU HAVE UM AN INFECTION HOWEVER WELL ALSO NEED TO DO A JOINT ASPIRATION OF YOUR OF YOUR UM GO YOUR KNEE AND WELL BE TAKING SOME FLUID WITHIN YOUR JOINT CALLED THE SYNOVIAL FLUID AND ASSESS FOR UM WELL SEND IN FOR UM CULTURE AND LOOK FOR LIKE THESE CRYSTALS AND COUNT AND THEN BASED ON THAT WELL UNDERSTAND UM THE INFECTION YOU HAVE AND WHAT KIND OF INFECTION YOU HAVE WE WILL START YOU ON ANTIBIOTICS RIGHT AWAY UM TODAY AND SO YOU WILL BE UM HERE FOR A WHILE UNTIL WE GET ALL THOSE RESULTS BACK AND YOU MAY ALSO REQUIRE UM AN ADMISSION TODAY AS WELL audio/MSK0009.mp3[517.080,518.800] NO ALLERGIES audio/RES0177.mp3[238.680,241.400] NO HES BEEN GAINING WEIGHT WELL audio/RES0201.mp3[396.120,403.600] UM IM ON A LONG ACTING BETA AGONIST audio/MSK0050.mp3[328.960,336.160] AND ANY SKIN RASHES OR UM ANYTHING LIKE THAT audio/RES0200.mp3[369.160,381.600] I WAS ON LIKE A DIURETIC THEN THE DOCTOR SAID LIKE MY BLOOD PRESSURE WAS REALLY WELL UNDER CONTROL SO I JUST STOPPED TAKING IT audio/RES0026.mp3[317.600,323.240] I SEE OK AND OVER THE LAST FEW MONTHS HAS YOUR WEIGHT CHANGED audio/RES0063.mp3[283.400,304.000] UM YEAH I DO HAVE A COUPLE OF THINGS ON MY LIST I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES AND OTHER THAN THAT I ALSO HAVE LIKE HIGH CHOLESTEROL audio/RES0216.mp3[70.880,76.200] OK AND WHEN IT CAME ON THREE DAYS AGO WHAT WERE YOU DOING audio/RES0106.mp3[159.880,163.640] NO HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL audio/RES0012.mp3[619.160,629.120] JUST I MEAN THE HEART LIKE MY DAD HAD A HEART ATTACK I DONT KNOW IF THAT COUNTS AS LIKE ITS CLOSE TO THE LUNGS audio/RES0195.mp3[46.200,49.480] OK AND HOW ABOUT THE RASHES audio/RES0140.mp3[146.080,160.280] YES I HAVE UH HIGH BLOOD PRESSURE AND UM I ALSO HAVE THIS THING LIKE LIKE VARICOSE VEINS audio/RES0201.mp3[12.360,15.360] THATS GREAT THANK YOU audio/CAR0002.mp3[515.120,524.880] A COUPLE OF TIMES A MONTH OK ALRIGHT AND FOR HOW LONG HAVE YOU BEEN USING CRYSTAL METH audio/MSK0006.mp3[387.600,393.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/MSK0004.mp3[426.240,435.920] OK AND IF YOU PRESS DOWN ON YOUR ANKLE DOES IT HURT A LOT audio/RES0205.mp3[156.000,159.080] OK HAVE YOU NOTICED ANY FEVERS audio/MSK0036.mp3[413.600,416.600] OK HAVE YOU HAD ANY HEADACHES audio/RES0166.mp3[226.040,231.000] NO THEY DIDNT THINK IT WAS SURGERY WAS NEEDED audio/RES0201.mp3[222.160,234.640] OK THAT’S GOOD SEE YOU SO IM JUST GONNA ASK YOU ABOUT A FEW OTHER SYMPTOMS I JUST LIKE TO GET AN IDEA IF THERES ANYTHING ELSE YOU BEEN EXPERIENCING HAVE YOU HAD A COUGH AT ALL audio/RES0001.mp3[578.400,594.160] OK OK IM SORRY TO HEAR THAT AND ANY HISTORY OF FAMILY HISTORY OF SOMETHING CALLED PULMONARY EMBOLISM OR DVTS audio/RES0076.mp3[445.120,447.520] I THINK SULFA BUT THATS IT audio/MSK0022.mp3[623.440,627.360] ALRIGHT ANY OTHER MEDICATIONS AT ALL THAT YOU TAKE REGULARLY audio/MSK0004.mp3[393.760,396.520] NO IVE NEVER USED ANYTHING LIKE THAT IN THE PAST audio/RES0046.mp3[433.520,437.600] OK UM ANY NAUSEA OR VOMITING audio/RES0201.mp3[216.280,222.160] AH YES EVERYTHINGS UP TO DATE audio/RES0102.mp3[704.200,711.240] OK AND I KNOW YOU SAID YOU VOLUNTEER AT THE HOMELESS SHELTER BUT DO YOU DO ANYTHING ELSE FOR WORK AT ALL audio/MSK0020.mp3[236.520,238.320] ANY HEADACHES audio/RES0139.mp3[66.920,70.920] OKAY AND IS THE COUGH CONSTANT OR DOES IT COME AND GO audio/RES0209.mp3[432.480,439.600] OK OK SOUNDS GOOD AND YOU LIVE AT HOME DID YOU SAY LIVE WITH YOUR PARENTS AND YOUR SISTER audio/RES0201.mp3[261.040,265.360] UM MAYBE TASTE A LITTLE BIT BUT NOT SMELL audio/RES0081.mp3[274.440,291.400] YEAH YOU KNOW IF I THINK ABOUT IT HE DID GO OUTSIDE TO PLAY WITH HIS BROTHER AND I DONT KNOW HE MIGHT HAVE GOT SOMETHING OUT THERE MAYBE audio/RES0109.mp3[203.760,206.800] NO UM NAUSEA OR VOMITING audio/RES0053.mp3[426.240,439.800] NO WE HAVENT BEEN REALLY FEEDING HIM SOLID MEALS ITS BECAUSE HES BEEN SICK WEVE BEEN TRYING TO GIVE HIM SOUP AND LIQUIDS FOR THE MOST PART BECAUSE HIS THROAT HURTS BUT HES ABLE TO KEEP THEM DOWN SO NO NO NAUSEA NO VOMITING audio/RES0160.mp3[225.360,229.880] AND ANY MUSCLE ACHES IN YOUR BODY audio/RES0172.mp3[200.760,203.640] ANY DIFFICULTIES BREATHING audio/RES0048.mp3[665.720,670.200] OK DO YOU SMOKE audio/MSK0008.mp3[548.360,553.280] YOURE ABLE TO WALK NORMALLY audio/RES0181.mp3[80.960,88.880] RIGHT OK THAT MAKES SENSE AND SO YOU MENTIONED THAT YOU ALSO HAD A FEVER WHEN DID THAT START audio/MSK0013.mp3[722.920,728.560] MY KNEES ARE ALSO THE SAME audio/RES0013.mp3[341.000,347.160] NO JUST LIKE A I CANT GET LIKE A GOOD BREATH audio/RES0215.mp3[536.240,541.560] UH YEAH SHE LIVES WITH ME AND MY HUSBAND audio/RES0181.mp3[535.360,538.960] YEAH IT LOOKS PRETTY RED AND ANGRY audio/RES0017.mp3[136.080,141.440] OK AND ANYTHING THATS MADE THE COUGH BETTER THAT YOUVE TRIED audio/RES0147.mp3[360.600,367.080] OK SURE ALL RIGHT AND HAVE YOU HAD ANY SURGERIES audio/RES0069.mp3[327.440,330.800] OK ANY ALLERGIES audio/RES0206.mp3[544.960,562.080] OK ALRIGHT AND JUST KIND OF SOME QUESTIONS ABOUT YOUR LIVING SITUATION DO YOU CURRENTLY LIVE ALONE AND I YOU MENTIONED THAT YOU HAVE A DOG ARE THERE ANY IS THERE ANYBODY ANYONE ELSE IN THE HOUSE audio/RES0076.mp3[489.640,502.160] I THINK MY GREAT UNCLE HAD LUNG CANCER MY MOM HAD TYPE 2 DIABETES BUT THATS IT audio/GAS0007.mp3[180.240,184.720] AND I FORGOT TO ASK DID YOU NOTICE ANY CHANGES TO YOUR BOWEL HABITS audio/RES0034.mp3[76.320,91.680] UH NO SHE WAS SHE WAS FINE JUST THREE TO FOUR DAYS AGO LIKE BEFORE THAT SHE WAS HER PLAYFUL SELF NO ISSUES BUT YEAH ITS FOR THE LAST COUPLE OF DAYS JUST THIS NONSTOP COUGH AND THE FEVERS IS WHATS REALLY WORRYING ME audio/RES0033.mp3[0.000,10.840] IVE BEEN HAVING ISSUES WITH JUST A COUGH THATS JUST BEEN CONSTANTLY LIKE BOTHERING ME FOR THE PAST FEW BIT audio/CAR0003.mp3[451.160,455.280] YEAH ACTUALLY I HAD A HEART ATTACK FOUR YEARS AGO audio/RES0113.mp3[392.120,393.680] UM NO NOT ANYMORE audio/RES0018.mp3[550.600,553.680] OK ANY HEART ATTACKS OR STROKES IN THE FAMILY audio/RES0066.mp3[58.360,62.000] SO ARE YOUR SYMPTOMS SIMILAR TO WHEN YOU GOT ADMITTED audio/RES0085.mp3[190.960,197.320] JUST THE NORMAL LIKE THAT HASNT CHANGED HE HAS LIKE THREE OR FOUR IN A DAY audio/RES0038.mp3[194.960,201.320] OK AND SO YOUR SON HAS INHALERS DOES HE HAVE ASTHMA audio/RES0009.mp3[458.520,468.880] OK UM SO IN REGARDS TO PAST HEALTH ANY PREVIOUS MEDICAL DIAGNOSIS audio/RES0110.mp3[158.160,163.480] UM ITS ITS GOTTEN WORSE audio/MSK0022.mp3[157.720,172.360] YEAH IT IS ACTUALLY NOW THAT YOU MENTIONED THAT IT IS SYMMETRICAL IM NOTICING THAT ITS THE SAME ITS THE SAME JOINTS ON BOTH SIDES OF MY BODY THAT IM SEEING THAT ARE AFFECTED audio/MSK0039.mp3[706.320,708.240] OK YEAH NO WORRIES audio/RES0059.mp3[595.720,613.160] YEAH I WAS JUST REALLY WORRIED THAT THIS COULD BE COVII MEAN I HAVE A COUGH AND JUST HAVE BEEN FEELING REALLY HOT SO I WAS JUST CONCERNED ABOUT THAT audio/RES0092.mp3[138.280,141.400] HMM ITS ONLY THE COUGH audio/RES0162.mp3[292.840,294.600] NO NOTHING LIKE THAT audio/RES0071.mp3[495.560,500.880] NO JUST WENT AWAY ON ITS OWN PRETTY QUICKLY audio/RES0176.mp3[442.640,455.120] NO I USED TO WHEN I WAS YOUNG I DIDNT HAVE ASTHMA FOR A COUPLE OF YEARS FOR LIKE ID SAY 20 YEARS OR SO SO THEN I STOPPED TAKING INHALERS audio/MSK0050.mp3[376.440,381.560] OK UM AND HOW ABOUT DO YOU HAVE ANY ALLERGIES audio/MSK0031.mp3[386.440,391.560] OK AND THEN DO YOU CONSUME MARIJUANA IN ANY FORM audio/MSK0043.mp3[178.560,189.320] UH I I WAS PRETTY MUCH LIKE HOPPING ON ONE LEG TO TO GET IN HERE AND AS SOON AS I COULD I GOT IN A WHEELCHAIR JUST BECAUSE IT UH HURTS SO BAD audio/MSK0019.mp3[327.560,329.880] UH NO audio/MSK0037.mp3[232.800,261.040] UH MY MY CONSTRUCTION WORKER SO THERES ALWAYS LIKE A LOT OF I HAVENT HAD ANY FALLS OR INJURIES ON MY HANDS LUCKILY BUT THERE IS ALWAYS JUST CONSTANT LIFTING THERES I USED TO DRILL A LOT TOO SO THERES LIKE ALWAYS CONSTANT AND IM RIGHT HANDED AS WELL SO THERES ALWAYS LIKE THE VIBRATION YEAH SO BUT NO NO DIRECT LIKE TRAUMAS OR FALLS audio/RES0186.mp3[146.480,151.360] CHANGES TO YOUR BOWEL MOVEMENTS audio/MSK0026.mp3[514.320,523.960] OK I SEE SO YOURE SPENDING A LOT OF TIME DOING KIND OF LIKE REPETITIVE KNEELING TYPE MOVEMENTS TO DO YOUR JOB audio/RES0177.mp3[275.240,280.360] NOPE YEAH THATS BEEN BEEN GETTING OUT NO DIARRHEA OR ANYTHING LIKE THAT audio/RES0012.mp3[630.720,637.040] UM IT WASNT THAT LONG AGO HE WAS LIKE IN HIS 60S audio/RES0181.mp3[121.280,130.400] OK HOW ABOUT ANY LOSS OR CHANGES TO YOUR SENSE OF SMELL OR TASTE audio/MSK0049.mp3[159.840,172.800] IT FEELS IT FEELS UH I GUESS MOST OF THE TIME ITS LIKE ITS LIKE A DULL KIND OF PAIN BUT IT CAN BE SHARP audio/RES0095.mp3[275.080,294.960] NO I I WELL I DO I USE A LOT OF MEDICATIONS UHM BUT I DONT REMEMBER THEIR NAMES UH I HAVE THIS BLISTER PACK AND I JUST TAKE EVERYTHING IN IT UHM I ALSO I BROUGHT THE LIST OF PRESCRIPTIONS I CAN GIVE THAT TO YOU audio/RES0134.mp3[855.560,859.760] OKAY OKAY YEAH THAT SOUNDS GOOD THANK YOU audio/MSK0003.mp3[266.760,274.520] OK ALRIGHT AND NO YOU HAVENT HAD ANY TRAUMA INJURIES IN RECENTLY RIGHT audio/RES0192.mp3[638.320,645.280] OK AND ANY CONCERNS FOR AH SEXUALLY TRANSMITTED INFECTION audio/RES0124.mp3[23.840,49.400] UH I WOULD SAY PROBABLY DURING THE WINTER UH IT IT KIND OF STARTED WHERE I STARTED HAVING UM JUST COUGHING FITS WHEN IM WALKING TO SCHOOL AND THEN ALSO DURING LIKE GYM CLASS I STARTED HAVING THESE COUGHING FITS AND SOMETIMES I ALSO FELT LIKE I COULDNT BREATHE audio/MSK0013.mp3[602.120,608.320] OK AND HOW ABOUT HEART CONDITIONS OR OR LUNG CONDITIONS audio/MSK0012.mp3[276.200,280.320] I WOULD SAY EXT EXTENDING MY BACK HURTS MORE audio/RES0125.mp3[209.600,212.440] LAST TWO WEEKS AGO audio/GAS0002.mp3[412.400,420.760] JUST FOR JUST WHEN I HAD MY CHILDREN AT THE TIME OF THEIR BIRTH BUT THATS IT audio/RES0166.mp3[298.600,312.480] I TRY BUT ITS BEEN ITS BEEN HARD LIKE SPECIALLY THE FIRST COUPLE OF DAYS I DONT THINK IT DID MUCH BUT SINCE THEN IVE BEEN IVE BEEN TRYING TO MOVE AROUND A LITTLE BIT MORE audio/RES0031.mp3[58.000,64.680] OK AND ANY PRIOR EPISODES LIKE THIS WHERE YOU HAD SIMILAR SYMPTOMS audio/RES0010.mp3[394.200,399.000] OK OK UM HAVE YOU TRAVELED ANYWHERE audio/MSK0011.mp3[511.920,522.000] YEAH I DO I I HAVE A COUPLE OF BOTTLES OF WINE PER WEEK audio/MSK0003.mp3[482.800,495.600] OK ALRIGHT AND OTHERWISE ARE YOU GENERALLY HEALTHY OR DO YOU HAVE ANY MEDICAL CONDITIONS audio/MSK0014.mp3[65.640,68.280] OK DOES IT LOOK RED audio/RES0174.mp3[384.760,390.680] OK SO YOURE UM HAVE YOU HAD A LOW MOOD audio/MSK0009.mp3[264.320,272.600] NO NO I DIDNT HIT MY HEAD AT ALL I CAUGHT MYSELF BEFORE THEN AND NO I DIDNT LOSE ANY CONSCIOUSNESS audio/RES0102.mp3[530.240,543.760] NO I I UH I GUESS IVE BEEN FATIGUED OVER THE LAST COUPLE OF MONTHS BUT I HAVENT HAD ANY FLU LIKE SYMPTOMS audio/RES0027.mp3[102.280,112.280] LETS SEE OK UM AND YOU MENTIONED THAT YOU STARTED TO FEEL HOT WHEN WHEN DID YOU NOTICE THAT audio/RES0160.mp3[63.560,66.480] AND WHAT COLOUR IS IT audio/MSK0026.mp3[221.000,224.680] I GIVE IT ABOUT A 6 audio/RES0167.mp3[485.480,493.120] UH JUST ME AND MY HUSBAND WE LIVE OUTSIDE OF TOWN WE LIVE IN THE COUNTRY ON A LITTLE FARM audio/RES0209.mp3[466.400,470.680] YES THATS TRUE audio/RES0003.mp3[2.320,17.840] ITS NICE TO MEET YOU AS WELL MY NAME IS JENN AND IM HERE WITH MY SON JOEY HERE WHO HES HAD A SORE THROAT NOW FOR THE LAST COUPLE OF DAYS audio/RES0023.mp3[94.680,102.720] NOT REALLY ITS PRETTY CONSISTENT THROUGHOUT THE DAY audio/RES0122.mp3[303.800,308.240] NO COMPLICATIONS AFTER THEY WERE BOTH HEALTHY I I DIDNT HAVE TO STAY IN THE HOSPITAL audio/RES0138.mp3[157.480,174.760] UM NO NOT REALLY I I DID GO OUT TO THE PHARMACY TO GET MY MEDICATIONS BUT THATS THATS THE ONLY TIME I ACTUALLY INTERACT WITH ANYONE OUTSIDE OF MY HOME audio/MSK0005.mp3[351.720,354.480] OK CHANGES TO YOUR URINE audio/RES0046.mp3[727.920,731.360] DO YOU DRINK ALCOHOL audio/CAR0005.mp3[268.560,275.360] DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR audio/RES0140.mp3[31.440,37.920] YEAH I DIDNT HAVE ANY TROUBLE LAST NIGHT audio/RES0178.mp3[208.040,211.320] NO OK NUMBNESS OR TINGLING audio/RES0130.mp3[528.960,535.520] NO I DONT THINK SO IVE BEEN SPENDING A LOT OF TIME AT AT HOME UH WITH MY HUSBAND AND HES BEEN OKAY audio/RES0216.mp3[346.960,376.760] I HAVENT MISSED ANY WORK BUT IM NOT IM NOT DOING A TON OF WORK RIGHT NOW I DONT THINK IT WOULD STOP ME IT JUST WOULD MAKE ME UNCOMFORTABLE UM DURING WORK AND IT KEEPS ME MAYBE THIS THE LAST FEW DAYS ITS KEPT ME FROM I USUALLY GO ON A COUPLE OF WALKS A DAY THE LAST COUPLE DAYS IVE JUST GONE ON ONE USUALLY SO YEAH ITS A LITTLE BIT YEAH audio/RES0090.mp3[444.440,532.280] YEAH SO WHAT UH SOME OF YOUR SYMPTOMS ARE CONCERNING ESPECIALLY THE COUGHING UP BLOOD WHICH IS SOMETHING THAT WE ALWAYS THINK OF WITH TUBERCULOSIS YOU DONT HAVE ANY HISTORY OF UH FAMILY HISTORY OF LUNG CANCER OR ANYTHING LIKE THAT SO RIGHT NOW ESPECIALLY SINCE YOU JUST MOVED FROM INDIA WHERE TUBERCLOSIS IS ENDEMIC WE NEED TO MAKE SURE THAT WE TEST YOU FOR TUBERCULOSIS IN THE MEANTIME THOUGH YOU WILL NEED TO STAY IN THE HOSPITAL AND BE IN AN ISOLATED ROOM UH WHERE WE CAN FILTER SOME OF THE AIR AND MAKE SURE ITS A VERY INFECTIVE CONDITION IF YOU DO HAVE IT SO WHILE YOURE GETTING ALL THE TESTS DONE YOU WILL NEED TO STAY HERE IN AN ISOLATED ROOM ALSO WE WILL GET SOME SPUTUM SMEARS AND CULTURES TO TEST FOR TB AND WE WILL ALSO I WILL NEED TO IF THE TEST COMES BACK POSITIVE WE WILL NEED TO CONTACT PUBLIC HEALTH AND LET YOUR CONTACTS KNOW AS WELL LASTLY WE WILL ALSO BE GETTING SINCE YOURE HAVING THE HEMOPTYSIS LIKE COUGHING UP BLOOD WE WILL WE MIGHT ALSO DO A CHEST XRAY TO SEE IF audio/RES0047.mp3[37.200,43.240] UM ARE THERE ANY TRIGGERS FOR YOUR COUGH audio/RES0129.mp3[166.680,170.600] IS HE ITCHING IT AT ALL audio/RES0020.mp3[308.880,314.600] AND HAVE YOU HAD A DECREASE IN YOUR APPETITE audio/RES0128.mp3[472.080,478.920] NO OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME audio/RES0081.mp3[450.240,456.640] OK AND DOES HE HAVE ANY MEDICAL CONDITIONS THAT HAVE DIAGNOSED PREVIOUSLY audio/RES0075.mp3[268.680,273.720] OK AND HAVE YOU HAD ANY WHEEZING audio/RES0139.mp3[16.840,22.760] NOT REALLY ITS JUST BEEN THE SAME audio/RES0028.mp3[528.520,538.440] OK ALRIGHT AND IN TERMS OF YOUR DAILY ROUTINE LIKE DO YOU GET ANY EXERCISE audio/GAS0005.mp3[428.080,440.960] YEAH YEAH HE DIDNT HAVE ANY ISSUES WITH WALKING RUNNING HES PRETTY SOCIAL WITH ALL HIS PEERS HES DOING WELL AT SCHOOL NO COMPLAINTS audio/RES0069.mp3[18.640,31.840] I JUST CAME IN I JUST CAME IN TO SEE WHATS GOING ON CAUSE I WAS WORRIED YOU KNOW WITH COVID GOING ON UHM GOING EVERYWHERE audio/MSK0014.mp3[263.000,265.760] HAVE YOU HAD ANY COUGH OR SHORTNESS OF BREATH audio/RES0045.mp3[58.280,60.640] NO BLOOD audio/MSK0001.mp3[240.720,243.880] NOTHING LIKE THAT BEEN REGULAR audio/RES0034.mp3[308.400,309.920] UH NO audio/RES0085.mp3[140.400,148.200] NO I DONT THINK SO audio/RES0163.mp3[373.160,379.840] NO OK DO YOU HAVE ANY HEADACHES AT ALL audio/RES0027.mp3[229.280,235.760] OK HAVE YOU HAD ANY TROUBLES WITH SWALLOWING LIKE BEING PAINFUL audio/RES0205.mp3[380.920,382.880] DRINK ALCOHOL audio/MSK0036.mp3[595.120,614.920] YEAH I I AM IN IM AN ACCOUNTING TIME OFF AND JUST TAKING A LITTLE BIT EASY BEFORE I FIND OUT LIKE WHAT THIS IS AND HOW THIS WILL REALLY IMPACT MY WORK audio/RES0068.mp3[649.840,654.840] OK YOURE WELCOME AND HOPEFULLY YOU FEEL BETTER audio/RES0149.mp3[558.000,566.360] UHM NO I DONT THINK SO audio/RES0056.mp3[265.000,266.760] NO NO audio/MSK0025.mp3[513.000,529.880] OK AND ARE YOU ABLE TO DO THINGS AT HOME THAT YOU WERE BEFORE LOOK LIKE OR DO YOU NEED SOME EXTRA HELP FROM IT YOUR FAMILY MEMBERS OR EXTRA HELP FROM OTHER WORKERS ANYTHING LIKE THAT audio/RES0080.mp3[377.920,394.800] UHM IVE BEEN TO THE ER A COUPLE OF TIMES AND THIS ONE TIME IT WAS SIMILAR TO THIS TIME WHEN I WAS HAVING DIFFICULTIES BREATHING AND HAD TO STAY FOR ABOUT FIVE DAYS OR SO I THINK THAT WAS TWO YEARS AGO audio/RES0154.mp3[226.000,227.520] NO RASHES audio/MSK0003.mp3[164.360,174.160] UHM THOSE ONES STARTED PROBABLY SIMILAR TIMELINE AROUND SIX MONTHS AGO audio/RES0129.mp3[335.520,343.080] OK GOOD GROWING WHILE GAINING WEIGHT WELL OK IS HE ON ANY MEDICATIONS audio/RES0196.mp3[154.280,157.040] OK UM AND SHE HAD ANY HEADACHES audio/RES0191.mp3[373.840,376.000] BIRTH CONTROL audio/RES0188.mp3[93.280,96.240] OK AND WAS IT A DRY COUGH audio/RES0202.mp3[213.280,218.560] MM I THINK IT KINDA JUST THERE THE WHOLE DAY audio/MSK0029.mp3[964.080,974.800] OK AND THEN HOW ABOUT WHEN YOU DO THE OPPOSITE TOUCH YOUR LEFT EAR TO YOUR LEFT SHOULDER SO THAT YOURE LATERALLY FLEXING YOUR NECK ON THE LEFT SIDE audio/RES0034.mp3[256.920,267.120] OK AS FOR THE FEVER WHAT WAS THE MAXIMUM TEMPERATURE THAT YOU NOTED AND HOW DID YOU CHECK IT audio/MSK0025.mp3[585.080,588.960] YEAH I CANT DO THAT ITS TOO PAINFUL audio/RES0048.mp3[249.600,263.880] YEAH UM DOES ANYTHING MAKE THE SHORTNESS OF BREATH WORSE LIKE I GUESS UM YOU KNOW EXERTION UH LAYING DOWN ANYTHING LIKE THAT audio/RES0215.mp3[413.480,417.680] OK SO SHE DOESNT HAVE ANY ALLERGIES WHERE HER FACE SWELLS UP OR SHE HAS TROUBLE BREATHING audio/RES0032.mp3[415.400,425.160] I I I MEAN IM REALLY TIRED ALL THE TIME AND KIND OF FEEL WEAK THAT WAY BUT NO MUSCULAR WEAKNESS audio/MSK0028.mp3[363.360,366.080] NO NOTHING LIKE THAT audio/RES0109.mp3[96.040,101.840] OK YEAH THAT MAKES SENSE UM AND ANY SHORTNESS OF BREATH audio/MSK0005.mp3[626.640,629.440] OK HOW ABOUT UM AUTOIMMUNE CONDITIONS audio/RES0071.mp3[608.320,615.000] SOMETIMES WITH FRIENDS ON A WEEKEND audio/RES0009.mp3[576.960,587.320] OK SO I HAVENT HEARD OF ANYBODY IN THE FAMILY HAVING LIKE A BLOOD CLOT OR OR A THROMBOSIS ANYWHERE audio/RES0116.mp3[503.040,506.400] NO NOTHING LIKE THAT audio/MSK0049.mp3[556.360,559.240] OK BUT ARE YOU SEEING ANY REDNESS audio/RES0155.mp3[339.720,348.160] OK AND HOW ABOUT UM DO YOU HAVE ANY SENSATION OF PALPITATIONS OR YOUR HEART IS RACING AT ALL audio/RES0152.mp3[371.800,408.320] YEAH CURRENTLY IM LIVING UH JUST IN UM ITS KIND OF LIKE A A HOME WITH JUST A I DONT REALLY KNOW THE PEOPLE TOO WELL JUST KIND OF LIKE A HOME WHERE UM A BUNCH OF GUYS ARE JUST LIVING AND WORKING SEPARATELY I JUST ACTUALLY RECENTLY MOVED HERE FROM UM THE PHILIPPINES SIX MONTHS AGO audio/MSK0027.mp3[209.040,210.200] UHM NO audio/RES0038.mp3[689.960,700.080] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY UM DO YOU HAVE ANY OTHER QUESTIONS FOR ME audio/MSK0022.mp3[453.680,456.840] ANY WEIGHT LOSS audio/RES0116.mp3[55.280,66.080] UH I THINK THE DISCOMFORT LIKE UH WE SAW HIM SCRATCHING HIS EAR FOR THE WHOLE LAST WEEK BUT UH THE CRYING ACTUALLY STARTED JUST I WOULD SAY FOUR DAYS AGO UM audio/RES0084.mp3[334.000,338.960] HOW ABOUT CHANGES IN YOUR VISION OR HEARING audio/RES0111.mp3[336.520,341.520] OK ARE THINGS GOING WELL AT ARE YOU IN SCHOOL RIGHT NOW audio/MSK0003.mp3[783.000,909.480] OK YEAH SO UH IT SEEMS PROGRESSIVE AND YOURE GETTING SOME PAIN IN YOUR OTHER JOINTS AS WELL AND ITS MAINLY FROM YOUR MIDDLE TO LOWER BACK IT CAN BE MULTIPLE THINGS THAT WE WOULD HAVE TO RULE OUT SO YOU FIRST YOU HAVE A FAMILY HISTORY OF PSORIASIS SO IT CAN BE PSORIATIC ARTHRITIS YOU DONT HAVE ANY OTHER SKINS CHANGES OR ANY OTHER SYMPTOMS IT CAN ALSO BE SINCE YOU HAVE HAD A YOU WERE SICK FOR MONTHS AGO WITH A WHAT MIGHT BE GASTROENTERITIS IT CAN BE SOMETIMES A FEW MONTHS AFTERWARDS YOU CAN GET SOMETHING CALLED REACTIVE ARTHRITIS WHERE YOU GET THIS PROGRESSIVE PAIN IN YOUR JOINTS AND STIFFNESS AND OTHERWISE IT CAN ALSO BE SOMETHING CALLED ANKYLOSING SPONDYLITIS WHICH CAN PRESENT IN MEN YOUR AGE AND ITS KIND OF LIKE A PROGRESSIVE DULL BACK PAIN AND THAT HAS SOME MORNING STIFFNESS AS WELL SO YEAH THERES DEFINITELY MULTIPLE THINGS THAT IT CAN BE SO FIRST WE WOULD NEED TO DO A FULL PHYSICAL EXAMINATION AND BOOK AN APPOINTMENT OR FOR THAT IN PERSON AND WE WILL GET SOME LAB WORK DONE AS WELL AS WELL AS A X RAY OF THE OF THE SPINE AND YOUR SACROILIAC JOINTS AND WELL ALSO GET SOME BLOOD WORK WITH CBC CRAND ESR SO THOSE ARE JUST INFLAMMATORY MARKERS AS WELL AS THE RHEUMATOID FACTOR ANTINUCLEAR ANTIBODIES THOSE ARE JUST SOME THINGS THAT WILL TEST FOR DIFFERENT KIND OF RHEUMATOLOGICAL ISSUES AND TO SEE IF YOU HAVE ANY ARTHRITIS SO YEAH THOSE ARE AND THEN WILL ALSO GET AN X RAY OF YOUR HANDS AND KNEES SINCE YOURE HAVING PAIN THERE AS WELL SO YEAH THOSE ARE SOME STEPS THAT WELL TAKE DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0068.mp3[99.480,105.280] OK AND DID YOU RECOVER FROM IT LIKE ON YOUR OWN audio/MSK0035.mp3[486.800,489.200] OK HOW OFTEN IS ONCE IN AWHILE LIKE HOW MANY DRINKS PER WEEK audio/RES0128.mp3[351.080,357.880] OK AND HE DIDNT NEED ANY HOSPITALIZATIONS LIKE RIGHT AFTER BIRTH AS AN AS A NEWBORN audio/RES0188.mp3[412.040,420.600] OK SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ANYTHING THAT I MISSED THAT YOU WANTED TO ADD audio/RES0176.mp3[651.360,674.240] I SEE OK SO IT SOUNDS LIKE OVER THE LAST LITTLE MONTH YOUVE BEEN HAVING SOME MORE SHORT SHORTNESS OF BREATH AS WELL AS WELL THIS FAINTING EPISODE MORE RECENTLY SO WE WILL WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD audio/MSK0017.mp3[1.760,18.960] HI YEAH SO IVE HAD THIS UH BACK PAIN THATS BEEN GOING ON NOW FOR THE LAST UH TWO WEEKS ITS JUST KIND OF RIGHT IN THE LOWER BACK AND IT JUST HASNT GONE AWAY audio/RES0039.mp3[388.000,390.080] NO NOTHING LIKE THAT audio/MSK0018.mp3[224.440,227.680] OKAY ALRIGHT UM AND ARE YOU ON ANY MEDICATIONS audio/RES0206.mp3[177.200,181.160] UHM 4 5 YEARS AGO audio/RES0151.mp3[645.000,650.440] YEP SOUNDS GOOD THANK YOU SO MUCH audio/GAS0003.mp3[418.920,422.840] SO DO YOU LIVE IN AN APARTMENT HOUSE AND DO YOU LIVE WITH ANYONE audio/RES0116.mp3[221.920,223.440] NO NOTHING ELSE audio/RES0030.mp3[168.160,174.560] OK AND HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY audio/RES0198.mp3[153.080,157.840] OK ANY RECENT TRAVEL AT ALL audio/MSK0013.mp3[120.240,130.280] OK HAVE YOU HAD ANY LIKE MUSCLE WEAKNESS TO YOUR LEGS OR FEET audio/RES0201.mp3[296.160,298.560] OK HAVE YOU HAD ANYTHING LIKE THAT BEFORE audio/RES0049.mp3[539.960,542.360] PACK A DAY OK FOR HOW LONG audio/RES0152.mp3[248.520,256.240] OK UHM AND HAVE YOU FELT AS THOUGH UM LIKE YOUR HEARTS RACING OR BEATING REALLY FAST audio/RES0171.mp3[445.160,446.800] FOR HOW LONG audio/RES0016.mp3[413.360,418.160] NO AND MY BLOOD PRESSURE IS PRETTY WELL CONTROLLED ON THAT MEDICATION audio/RES0055.mp3[237.600,241.280] ANY CHANGES IN YOUR VISION OR HEARING audio/RES0051.mp3[209.040,222.920] OK SO POSSIBLY A FEVER I WILL CERTAINLY CHECK YOUR TEMPERATURE TODAY TO INVESTIGATE THAT HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0042.mp3[177.200,181.960] NO NO WEAKNESS audio/RES0091.mp3[34.360,40.480] TWO WEEKS AGO AND WHEN DID IT START GETTING LIKE JUST A RUNNY NOSE audio/RES0110.mp3[151.800,158.160] OK UM HOW UH HAS THE COUGH SORT OF IMPROVED OR GOTTEN WORSE OVER TIME audio/RES0177.mp3[171.200,176.280] OK OK AND HOW ABOUT WHEN HES LAYING DOWN audio/RES0053.mp3[311.040,316.280] DOES HE STILL HAVE A RUNNY NOSE audio/RES0061.mp3[578.720,586.360] OK THATS GOOD UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0043.mp3[163.080,166.400] NO NO NOT THAT IVE NOTICED audio/RES0140.mp3[0.000,2.200] UM WHAT BRINGS YOU IN TODAY audio/MSK0049.mp3[220.240,227.880] NO OK UM AND HAVE YOU BEEN HAVING ANY UH ANY WEIGHT LOSS RECENTLY audio/CAR0003.mp3[98.040,104.760] OK AND HAS YOUR BREATHLESSNESS BEEN GETTING ANY WORSE AT ALL OVER THE LAST TWO MONTHS audio/MSK0015.mp3[703.760,721.840] UHM SO SHE DOES SHE IS ABLE TO MOVE IT IF SHE REALLY TRIES BUT ITS MAINLY JUST THE PUTTING HER WEIGHT ON IT AND ANYTIME SHE PUTS HER WEIGHT ON IT IS IS WHEN IT REALLY HURTS audio/CAR0005.mp3[327.160,331.120] NO IVE BEEN HOME audio/MSK0034.mp3[413.560,416.680] UHM NO NOTHING LIKE THAT IN MY FAMILY audio/MSK0032.mp3[228.600,230.280] UH NO audio/RES0110.mp3[596.240,604.360] OK UM WHAT WHAT CAUSED YOUR DVT DO YOU REMEMBER OR DO YOU KNOW audio/RES0212.mp3[375.160,380.720] GOT IT GOT IT SO YOU LIVE IN TOWN UH WITH YOUR ROOMMATE AND YOURE CURRENTLY A FULL TIME STUDENT audio/RES0053.mp3[474.480,479.080] NO JUST THE COUGH audio/RES0077.mp3[112.800,118.720] YEAH ITS MOSTLY YEAH LIKE WHITEISH OR CLEAR audio/RES0119.mp3[254.680,260.800] NO ANY FAINTING OR DIZZINESS SPELLS audio/RES0022.mp3[146.080,153.240] NO MAYBE MAYBE A TINY BIT BUT I KINDA DO THAT LIKE ANYWAYS audio/RES0162.mp3[81.360,107.840] OK AND UHM IT STARTED ABOUT THREE MONTHS AGO I GUESS BEFORE THAT DID YOU EVER HAVE A PROBLEM WHEN YOU WOULD EXERCISE OR WHEN YOU WERE VACUUMING OR CLEANING HAS THIS BEEN A PROBLEM THAT HAS OCCURRED FOR YEARS AND THATS JUST SOMETHING THAT YOU THAT GOT WORSE AND NOW ITS COME TO YOUR ATTENTION OR WAS IT JUST VERY NEW AND SUDDEN THREE MONTHS AGO audio/RES0034.mp3[461.560,473.560] OK AND DO YOU NOTICE ANY LIKE RETRACTION OF THE SKIN BETWEEN HER RIBS WHEN BREATHING audio/RES0098.mp3[193.440,197.800] HOW ABOUT ANY DIARRHEA OR CONSTIPATION audio/RES0048.mp3[608.280,610.560] NO NOT NOT REALLY audio/RES0004.mp3[673.880,677.880] UM NO WEVE BEEN WEVE BEEN AT HOME audio/RES0155.mp3[353.640,359.320] OK UM AND ANY KIND OF DIARRHEA OR CONSTIPATION audio/GEN0001.mp3[178.600,185.920] YOU HAVENT HAD ANY PAIN ON YOUR BACK MIDDLE BACK KIND OF CLOSE TO YOUR RIBS HAVE YOU audio/MSK0039.mp3[513.920,520.400] YEAH ITS ALL ITS ALL SWOLLEN AND RED AND JUST LOOKS SO MUCH DIFFERENT THAN MY OTHER LEG audio/RES0200.mp3[431.520,434.400] I EVEN GOT THE CORONAVIRUS VACCINE audio/RES0137.mp3[94.920,101.680] OKAY UM AND SO THERES EPISODES WHERE SHE ALSO TURNS BLUE audio/RES0198.mp3[241.280,243.320] UM I HAVE TYPE ONE DIABETES audio/RES0144.mp3[308.720,318.080] NO NOT REALLY LIKE HE WAS JUST PUSHING AWAY THE BOTTLE BUT LIKE HE DIDNT BRING ANYTHING UP audio/RES0061.mp3[494.960,522.800] YEAH ITS A GREAT IDEA TO TAKE THAT ESPECIALLY AS WE GET OLDER AND IF WE LIVE IN A COUNTRY WHERE WE DONT GET A LOT OF SUN EXPOSURE LIKE CANADA SO THATS GOOD AND SORRY BEFORE I MOVE ON I FORGOT TO ASK YOU EARLIER IF YOU HAVE EXPERIENCED ANY WEIGHT LOSS OR NIGHT SWEATS RECENTLY audio/RES0019.mp3[380.400,383.880] UM NO NO DIARRHEA audio/RES0172.mp3[566.480,568.760] NO THAT SOUNDS REALLY GOOD THANK YOU audio/MSK0016.mp3[20.560,26.080] UH ITS BEEN GOING ON FOR PROBABLY FOUR OR FIVE MONTHS UM audio/RES0099.mp3[107.360,115.720] AND IS THE HEADACHE LIKE PULSATING OR IS IT MORE CONTINUOUS KIND OF CONSTANT PAIN audio/RES0034.mp3[247.040,252.480] OK SO YOU DIDNT THINK THERE WAS ANY BLOOD IN THE STOOL audio/RES0081.mp3[313.120,317.440] OK AND HOW ABOUT EXERCISE audio/RES0055.mp3[481.960,485.160] NO NOT THAT I KNOW audio/RES0065.mp3[607.040,609.040] YOURE WELCOME TAKE CARE audio/MSK0042.mp3[585.560,601.520] OKAY AND ANYBODY IN THE FAMILY EVER UM HAVE ANY CANCERS OR OR ANY BONE TUMOURS OR SOFT TISSUE UM TUMOURS OR GROWTHS audio/RES0067.mp3[443.040,448.720] YOU TOO audio/RES0204.mp3[215.960,221.720] NO NOT THAT NOT THAT I CAN REMEMBER audio/RES0023.mp3[285.160,289.360] UM NO IVE BEEN BEEN WELL JUST GOING TO WORK AN AN HOME audio/RES0027.mp3[220.080,229.280] MY APPETITES BEEN OK I ALSO ITS JUST HARD TO EAT BECAUSE IM COUGHING SO MUCH audio/RES0020.mp3[331.320,337.600] ALRIGHT AND HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0130.mp3[258.760,264.880] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0056.mp3[435.720,444.680] NO I THINK MY FATHER HAS HIGH BLOOD PRESSURE IF THATS LIKE A HEART CONDITION audio/MSK0024.mp3[222.160,227.480] OK AND ANY FEVERS OR CHILLS audio/RES0015.mp3[318.640,320.320] NO NOTHING LIKE THAT audio/RES0181.mp3[444.600,448.920] UM NO I NEVER HAVE TRIED audio/MSK0001.mp3[295.520,299.400] UH NO CONCERNS WITH UH ERECTILE DYSFUNCTION audio/MSK0009.mp3[216.360,222.720] OK OK THERES SOME SWELLING THERE audio/RES0128.mp3[66.000,73.640] OK UHM HOW ABOUT SHORTER BREATH DOES HE SOUND SHORT OF BREATH AT ALL audio/RES0025.mp3[702.080,705.720] OK THAT SOUNDS GOOD ILL GET SOME GATORADE ON THE WAY HOME audio/RES0028.mp3[126.400,131.080] SITTING UP TENDS TO MAKE IT FEEL A BIT BETTER audio/MSK0003.mp3[556.000,570.720] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY AUTOIMMUNE CONDITIONS OR ANY MUSCULOSKELETAL CONDITIONS audio/MSK0011.mp3[681.160,741.880] OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE DEFINITELY NEED TO SINCE YOURE HAVING PAIN ON JUST TELL PALPATE PALPATING THE AREA THERE SWELLING REDNESS AND YOU DID HAVE A FALL AND YOU LANDED ON YOUR YOU CAUGHT YOURSELF WITH YOUR HAND THERE IS A COMMON FRACTURE THAT CAN HAPPEN IN THOSE CIRCUMSTANCES TO YOUR WRIST AND SO WE NEED TO DO AN XRAY AND WE WILL SEE IF YOU HAVE A FRACTURE OR NOT BUT WE ALSO NEED TO SEE IF WE NEED TO GET A CAST FOR YOU OR IF IF WE CAN MANAGE YOUR INJURY WITH A SPLINT OR AND THEN BASED ON WHAT WE SEE AND IF YOUR PHYSICAL EXAMINATION WE WILL DETERMINE HOW LONG YOU NEED TO BE IN A CAST OR SPLINT AND THEN WELL GO FROM THERE audio/RES0065.mp3[340.960,347.080] NO OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS audio/RES0029.mp3[388.080,392.160] OK AND DO YOU DRINK ALCOHOL audio/RES0215.mp3[270.720,275.200] NO SHE WAS A VAGINAL DELIVERY FULL TERM NO COMPLICATIONS audio/RES0014.mp3[370.160,381.080] YEAH I DONT HAVE ANY OTHER CONDITION I I DO REMEMBER MY DOCTORS SAYING I HAVE HAY FEVER BEFORE BUT THATS ABOUT IT audio/RES0014.mp3[222.600,228.120] OK AND LIKE NO PUS OR LIQUIDS COMING OUT OF YOUR EAR OR ANYTHING LIKE THAT RIGHT audio/RES0183.mp3[509.360,518.320] OK AND WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HIGH BLOOD PRESSURE audio/RES0180.mp3[202.320,210.840] YEAH BOTH ITS UH IVE ACTUALLY YEAH I NOTICE THAT IN THE LAST DAY ITS KIND OF WEIRD I DIDNT EVEN THINK OF IT UNTIL YOU UNTIL YOU ASKED THERE audio/RES0009.mp3[55.440,65.800] OK AND SINCE THIS PAIN STARTED 5 DAYS AGO HAS IT GOTTEN ANY BETTER ANY WORSE OR STAYED THE SAME audio/RES0034.mp3[834.480,837.920] OK AND WHEN WAS HER LAST CHECKUP audio/RES0196.mp3[295.400,298.080] IT WAS VAGINAL audio/RES0154.mp3[393.680,401.280] OK DID THEY HAVE A RUNNY NOSE ANY SYMPTOMS LIKE THAT audio/RES0133.mp3[43.200,47.200] OKAY AND HAVE YOU HAD A COUGH BEFORE audio/RES0149.mp3[0.000,1.920] HOW MAY I HELP YOU audio/RES0179.mp3[70.720,73.720] ITS BEEN DRY audio/RES0085.mp3[410.640,422.400] YEAH NO I WAS JUST REALLY WORRIED LIKE THE GRUNTING IS JUST REALLY SCARING US SO DO YOU I WAS JUST WONDERING IF YOU KNOW WHAT IT COULD BE audio/RES0046.mp3[450.440,457.880] YEAH ITS PRETTY LIKE CENTRAL OR GENERAL I GUESS YOU COULD SAY THERE ISNT REALLY ONE SPECIFIC SPOT THAT I FEEL IT audio/DER0001.mp3[85.920,105.240] NO NO WELL IVE HAD I HAVE OCCASIONAL ULCERS AND SOMETIMES I HAVE BANGED MY TOE WHEN IM NOT EXACTLY THE BEST TAKING CARE OF MY FEET BUT THIS IS THE FIRST TIME IVE GOTTEN SOMETHING THAT I DONT KNOW IVE JUST NEVER SEEN IT BEFORE audio/RES0156.mp3[73.360,87.400] YEAH IT DOES YEAH I THINK THE LIKE THE FIRST TIME THAT UM THAT I WAS MADE AWARE OF IT WAS YEAH IN IN GYM CLASS SO IT WOULDVE BEEN AFTER SOME EXERCISE UM AND DUST UH IM IM NOT SURE audio/RES0151.mp3[276.040,282.960] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR OR FREQUENCY audio/RES0031.mp3[9.480,15.400] OK COULD YOU TELL ME SPECIFICALLY WHERE YOURE FEELING THE PAIN audio/GAS0004.mp3[0.000,5.720] I UNDERSTAND THAT YOUVE BEEN HAVING SOME DIARRHEA CAN YOU TELL ME A LITTLE BIT ABOUT THAT audio/RES0154.mp3[79.080,88.640] UM NOT PAIN BUT THERES DEFINITELY SOME STRAINING AND DISCOMFORT WHEN I TAKE A DEEP BREATH audio/MSK0049.mp3[52.520,57.720] LIKE DEEP WITHIN THAT UM KNEECAP audio/RES0051.mp3[153.000,157.680] NO NOTHING LIKE THIS audio/RES0008.mp3[541.160,548.400] I THINK JUST ENVIRONMENTAL STUFF NO MEDICATIONS I AM AWARE OF audio/MSK0045.mp3[175.960,183.160] UM IVE TRIED SOME IBUPROFEN SOME ICE IT SEEMS TO HELP TEMPORARILY audio/RES0173.mp3[428.520,438.840] ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND TWO YOURE LIVING WITH audio/RES0021.mp3[382.720,387.800] OK UH ARE YOU TAKING MEDICATIONS FOR THAT audio/RES0136.mp3[243.920,257.120] THIS MORNING OKAY UM AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE LIKE DOES LYING DOWN MAKE YOUR SYMPTOMS WORSE audio/RES0137.mp3[265.200,274.960] SHE DOES GET TIRED ESPECIALLY AFTER AND THEN SHES IRRITABLE AND CRYING AFTER YOU KNOW SHE HAS THESE FITS OF COUGHS audio/RES0143.mp3[164.400,167.680] UM NO NOTHING LIKE THAT audio/RES0191.mp3[201.840,206.520] OK HAVE YOU HAD ANY SKIN RASHES audio/RES0155.mp3[401.960,408.440] UM I I I MIGHT HAVE UH NO I THINK MY WEIGHTS BEEN ABOUT THE SAME audio/RES0022.mp3[243.360,252.160] OK BUT STILL HAVE HAD THESE CHANGES IN TASTE AND SMELL audio/RES0039.mp3[642.240,648.200] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA audio/MSK0032.mp3[143.320,154.120] OKAY UM AND THEN IS THE PAIN JUST IN THE ELBOW OR DOES IT RADIATE DOWN INTO HER HANDS OR UP TO HER SHOULDERS audio/MSK0050.mp3[454.520,466.880] OK AND IN THE FAMILY UH ARE THERE ANY IS THERE A HISTORY OF LIKE HYPOTHYROIDISM OR OTHER AUTOIMMUNE CONDITIONS audio/MSK0036.mp3[517.120,520.080] OK AND ANY CONFUSION OR MEMORY LOSS audio/MSK0045.mp3[353.640,362.920] AND ARE YOU OFF OF WORK RIGHT NOW OR HAVE YOU BEEN OFF WORK UM DUE TO YOUR PREVIOUS INJURY AND PAIN OR ARE YOU STILL WORKING audio/RES0057.mp3[181.280,192.360] YEAH IVE BEEN REALLY TIRED I GUESS IVE JUST SORT OF BEEN RESTING THE THESE LAST FEW DAYS AND IVE HAD A HEADACHE AS WELL audio/RES0099.mp3[460.160,463.560] UHM JUST A MULTI VITAMINS audio/CAR0003.mp3[306.280,314.880] OK ANY SWELLING IN YOUR IN YOUR LEGS ANKLES OR IN YOUR HANDS AND ARMS audio/RES0154.mp3[94.280,104.160] UH YEAH ITS JUST LIKE I JUST HAVE TO STRAIN A LOT TO LIKE TAKE THAT DEEP BREATH audio/RES0185.mp3[215.360,217.680] OK HEADACHES audio/RES0066.mp3[138.280,146.920] OK AND WITH THE FEVER DID YOU GET A CHANCE TO MEASURE TAKE A TEMPERATURE AT ALL audio/RES0043.mp3[505.600,513.880] YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS audio/MSK0036.mp3[244.840,246.760] IN MY NECK audio/MSK0034.mp3[210.000,216.680] AN EIGHT AND AS THE PAIN TRAVEL ANYWHERE TO OTHER PARTS OF YOUR BODY audio/MSK0037.mp3[355.800,358.560] ANY ABDOMINAL PAIN audio/RES0022.mp3[936.760,939.760] DO YOU THINK I HAVE COVID audio/MSK0021.mp3[337.280,343.520] OK ALRIGHT AND ARE YOU HAVE YOU BEEN HOSPITALIZED OR HAD SURGERIES IN THE PAST audio/RES0134.mp3[321.320,331.040] UM FOR ABOUT THE SAME AMOUNT OF TIME LIKE THREE DAYS YEAH audio/MSK0006.mp3[343.560,348.000] CHANGES TO YOUR VISION HEARING SMELL OR TASTE audio/RES0088.mp3[592.240,596.280] AND RIGHT NOW WHERE DOES SHE LIVE AND WHO DOES SHE LIVE WITH audio/RES0192.mp3[145.320,148.200] OK HOW HOW ABOUT ANY CHEST PAIN audio/RES0065.mp3[307.920,318.440] I WOULD SAY MOSTLY WITH SOLIDS SOMETIMES WITH LIQUID IF ITS LIKE REALLY COLD OR SOMETHING audio/RES0020.mp3[37.480,43.880] OK AND WHERE IS THIS PAIN LOCATED audio/RES0057.mp3[72.040,79.640] SO SAY WALKING UP THE STAIRS OR DOING ANY EXERCISE DOESNT MAKE IT WORSE audio/GAS0002.mp3[543.640,545.480] UH NO NEVER audio/RES0017.mp3[67.680,70.360] NO IVE NEVER BROUGHT UP ANY BLOOD audio/RES0076.mp3[397.680,404.400] OK AND ANY EXPOSURE TO ANYONE THAT YOU KNOW OF THAT MIGHT HAVE TUBERCULOSIS audio/CAR0005.mp3[353.560,357.160] NO ALLERGIES audio/RES0138.mp3[256.800,261.760] ANY DIARRHEA OR CONSTIPATION audio/RES0062.mp3[590.880,605.920] DOK GREAT AND OK SO WE TALKED ABOUT YOUR PAST MEDICAL HISTORY AND MEDICATIONS WE WILL TALK A LITTLE BIT ABOUT ANY ALLERGIES THAT YOU HAVE IF YOU HAVE ANY audio/RES0026.mp3[150.440,153.400] YES IT IS DEFINITELY THERE AT NIGHT audio/RES0075.mp3[247.440,248.960] UHM NOPE audio/RES0150.mp3[87.840,93.760] OK UM HAS HE BROUGHT UP UM ANY BLOOD audio/MSK0028.mp3[678.640,681.160] OK NOW HOW ABOUT ANY AUTOIMMUNE DISEASES audio/MSK0008.mp3[76.840,79.720] UM NO audio/RES0195.mp3[299.080,300.640] ANY MUSCLE PAIN audio/MSK0023.mp3[45.800,59.480] OK OK I SEE AND SINCE THEN HAVE YOU BEEN ABLE TO WALK AT ALL OR HAVE YOU BEEN JUST HAS IT BEEN VERY DIFFICULT audio/RES0046.mp3[267.520,275.000] YEAH THATS UNFORTUNATE UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS audio/RES0106.mp3[81.400,87.240] I DONT KNOW IT JUST FEELS LIKE LIKE MY MUSCLES ARE HURTING LIKE IM JUST LIKE COUGHING SO MUCH ITS JUST audio/RES0213.mp3[339.960,348.480] DOES YOUR HEART EVER FLUTTER FEEL LIKE ITS SKIPPING A BEAT audio/RES0008.mp3[94.520,104.680] UH I WOULD SAY MAYBE A COUPLE OF TIMES PER HOUR IM IM FILLING UP A SOME TISSUES WITH SPUTUM audio/RES0025.mp3[705.720,714.120] PERFECT ACTUALLY DONT GO INTO THE STORE HAVE SOMEONE ELSE GET IT FOR YOU BUT audio/RES0085.mp3[512.480,517.600] OK YEAH THAT SOUNDS GOOD UH UH YEAH THANK YOU SO MUCH audio/RES0005.mp3[689.080,703.000] OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY OR BEEN AROUND ANY SICK CONTACTS POSSIBLY PEOPLE ANYBODY WHOS HAD TUBERCULOSIS OR ANY INFECTIONS audio/RES0026.mp3[153.400,157.640] OK UM IS IT INTERFERING WITH SLEEP audio/RES0083.mp3[513.600,585.800] NO OK ALRIGHT OK SO YOUVE HAD THIS DRY COUGH AND MUSCLE ACHES AND HEADACHE FOR THE PAST THREE DAYS OR SO AND YOUR SYMPTOMS ARE GETTING A LITTLE BIT WORSE OR YOUR COUGHS GETTING WORSE FOR THE PAST THREE DAYS WERE GONNA IT COULD BE THAT YOU HAVE SOME SORT OF A VIRAL INFECTION LIKE AN UPPER RESPIRATORY INFECTION BUT YOU MIGHT ALSO OR YOU COULD POSSIBLY HAVE COVID SO WELL DO A COVID TEST AND I JUST RECOMMEND THAT YOU STAY HYDRATED AND CONTINUE TO EAT AND DRINK WELL AND AND MONITOR YOUR SYMPTOMS TAKE TYLENOL IT SOUNDS LIKE TYLENOL HAS BEEN HELPING A LITTLE BIT CONTINUE TO TAKE TYLENOL GET LOTS OF REST AND IF YOU HAVE ANY SHORTNESS OF BREATH OR IF YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE CALL 911 FOR HELP IF YOUR CONCERNED ABOUT YOUR HEALTH AT ALL AND WELL GET A COVID TEST SET UP FOR YOU audio/RES0066.mp3[536.960,540.440] OK CONGRATULATIONS audio/RES0031.mp3[260.040,265.000] OK BUT YOU DO FEEL LIKE YOUR THROAT IS SWOLLEN audio/RES0210.mp3[4.360,13.120] YEAH IVE NOTICED IVE HAD THIS PRETTY BAD COUGH FOR LIKE THE LAST COUPLE OF DAYS A LITTLE BIT WORRIED WANNA TALK TO SOMEONE audio/RES0203.mp3[387.120,391.880] OK AND ARE YOU CURRENTLY IN HIGH SCHOOL audio/RES0174.mp3[139.760,143.120] IS THERE ANYTHING YOU DO TO HELP IT GO AWAY audio/MSK0041.mp3[654.640,665.160] OK THEN HOW ABOUT ANY MUSCLE ATROPHY IN THE FOOT OR OR LOWER LEG OR ANY JOINT MALALIGNMENT OR DEFORMITIES audio/RES0047.mp3[314.240,316.520] UH NO audio/MSK0020.mp3[460.640,472.080] YEAH I USED TO SMOKE A PROBABLY UP UNTIL WHEN I WAS LIKE 65 OR SOMETHING SO PROBABLY FOR 40 YEARS OF MY LIFE audio/MSK0028.mp3[773.120,786.840] ITS PRETTY LIMITED ITS PRETTY TOUGH TO FLEX ITS REALLY PAINFUL AND THAT I ALSO CANT LIKE I CANT TURN MY ARM I CANT SUPINATE audio/RES0006.mp3[269.400,272.640] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0178.mp3[275.960,285.760] OK UHM ANY PAST MEDICAL ILLNESSES OR ANY LONGSTANDING MEDICAL CONDITIONS THAT HE HAS audio/MSK0008.mp3[302.920,311.480] ALRIGHT AND HAVE YOU HAD ANY SKIN CHANGES SUCH AS RA RASHES OR ANYTHING LIKE THAT audio/RES0202.mp3[549.280,557.960] OK UM ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN audio/MSK0043.mp3[475.080,478.680] AND DO YOU KNOW HEPATITIS YOUVE HAD audio/MSK0016.mp3[278.000,279.960] NO I HAVENT HAD ANY WEIGHT LOSS audio/RES0194.mp3[37.640,42.920] NO IM NOT COUGHING UP ANY SPUTUM OR OR BLOOD audio/RES0142.mp3[205.040,214.640] ALRIGHT UM AND ANY UM RECENT EXPOSURES TO ANYONE WHO MIGHT BE SICK audio/CAR0005.mp3[555.200,578.280] AND ITS KIND OF CONSTANT WHEN IT COMES ON THERES NOTHING REALLY THAT MAKES IT BETTER OR WORSE IT JUST KIND OF GOES AWAY ON ITS OWN AFTER HALF AN HOUR OR SO IT HAS KIND OF STAYED THE SAME OVER OVER THE LAST TWO WEEKS HASNT REALLY GOTTEN WORSE OR BETTER IT HASNT GONE AWAY EITHER audio/RES0036.mp3[658.320,663.720] MAYBE ABOUT 5 MILLIGRAMS audio/MSK0020.mp3[141.800,147.640] OK AND SEVERITY WISE ONE TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN audio/RES0177.mp3[99.800,104.920] OK AND DOES HE SEEM SHORT OF BREATH OR WHEEZY audio/RES0025.mp3[421.800,427.240] OK UM AND WHAT MEDICATIONS DO YOU TAKE BESIDES THE HYDROMORPHONE audio/RES0012.mp3[646.720,648.920] FAMILY HISTORY ASTHMA audio/RES0045.mp3[452.880,458.520] UH YEAH IM ALLERGIC TO UM CATS audio/MSK0001.mp3[114.160,121.960] IVE HAD BACK PAIN UH OVER THE YEARS BUT NOTHING LIKE THIS BEFORE audio/RES0189.mp3[587.440,596.880] YEAH I STILL SMOKE CIGARETTES EVEN THOUGH I HAVE COPI JUST YEAH I CANT REALLY QUIT I SMOKE PROBABLY HALF A PACK A DAY audio/RES0203.mp3[396.560,397.960] OK AND HOW IS THAT GOING audio/RES0180.mp3[149.400,156.920] OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0154.mp3[57.000,58.080] NO NO BLOOD audio/RES0062.mp3[617.000,626.560] OK OK AND HAVE YOU HAD ANY REASON TO SUSPECT THAT YOU MAY HAVE TAKEN ANY SULFAS RECENTLY audio/MSK0050.mp3[286.040,292.240] HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOURE UH LIKE FEELING LIKE YOU HAVE HEART PALPITATIONS audio/RES0005.mp3[58.720,66.400] OK AND UH IS ARE YOU SEEING LIKE BRIGHT RED BLOOD WHEN YOURE WHEN YOURE COUGHING IT UP audio/RES0095.mp3[28.800,33.120] A COUPLE OF STAIRS TWO TO THREE STAIRS audio/RES0091.mp3[259.640,265.440] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA OR ANYTHING ELSE audio/RES0189.mp3[196.760,200.680] NO NOTHING LIKE THAT audio/GEN0001.mp3[365.320,372.400] YEAH LIKE I HONESTLY DONT FEEL LIKE I HAVE IT VERY MUCH NOW BUT I STILL HAVE LIKE I STILL HAVE THE INHALER audio/RES0108.mp3[221.120,222.960] I HAVE DIABETES audio/RES0211.mp3[493.320,496.720] OH OH YEAH YEAH ITS BEEN LIKE A YEAR audio/MSK0046.mp3[146.840,161.400] I SEE OK AND UM HAS THIS EVER LIKE HAVE YOU EVER HAD ANY INJURIES TO THIS HAND ANY TRAUMA EITHER RECENTLY OR IN THE PAST audio/RES0072.mp3[512.160,516.600] ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/RES0097.mp3[292.560,296.320] HAS HE HAD ANY SKIN CHANGES OR RASHES audio/CAR0005.mp3[0.000,5.960] IT SOUNDS LIKE THAT YOURE EXPERIENCING SOME CHEST PAIN audio/RES0158.mp3[458.320,465.240] OK UM OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0114.mp3[596.520,599.560] UH I DRINK EVERY LIKE MAYBE A BEER A DAY audio/RES0047.mp3[221.320,231.960] OK OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR SYMPTOMS OF HOW YOURE FEELING 1 TO 10 10 BEING THE WORST WHERE WOULD YOU PUT YOURSELF AT audio/MSK0003.mp3[180.960,183.080] NO I DONT FEEL IT ANYWHERE ELSE audio/RES0186.mp3[527.640,532.960] OK YEAH NO PROBLEM audio/RES0102.mp3[748.280,759.360] SOMETIMES ILL HAVE SOME LIKE RED WINE WITH DINNER BUT THATS ONLY ON LIKE CHRISTMAS OR AN OCCASION audio/RES0048.mp3[369.320,371.520] UH NO PROBABLY WEIGHT GAIN audio/RES0100.mp3[146.880,160.200] YEAH IVE I HAVENT REALLY HAD MUCH OF AN APPETITE KIND OF JUST IVE SKIPPED WORK JUST TRYING TO TAKE IT EASY LIKE JUST NAPPING THE WHOLE DAY AS MUCH AS I CAN audio/GAS0004.mp3[596.640,614.200] OK WELL AND I JUST WANTED TO JUMP OVER TO ASK YOU ABOUT YOUR FAMILY HISTORY DOES ANYONE IN YOUR FAMILY HAVE ANY HISTORY OF DIGESTIVE PROBLEMS OR UM ABDOMINAL PROBLEMS ABDOMINAL SURGERY audio/RES0211.mp3[313.640,321.000] YEAH ITS JUST LIKE THE PILL ITS LIKE THE ONE THAT GOES FOR THREE MONTHS audio/MSK0043.mp3[337.720,342.960] OKAY AND HAS THE PAIN BEEN CONSTANT SINCE IT STARTED A FEW HOURS AGO audio/MSK0007.mp3[99.040,101.960] OK JUST ON THE MEDIAL SIDE OF THE LEFT ELBOW audio/RES0045.mp3[275.640,279.880] RUNNY NOSE OR STUFFY NOSE audio/MSK0013.mp3[744.000,750.160] IM PRETTY NORMAL IM NOT LIMPING audio/RES0133.mp3[559.360,588.600] YEAH SO UH RIGHT NOW ITS SOUNDING LIKE UM A VIRAL TYPE ILLNESS WHERE THERES INFLAMMATION OF THE VOCAL CORDS UH WITH HAVING THE COUGH AND THE RUNNY NOSE A COUPLE OF DAYS AGO ACTUALLY THIS REMINDS ME THAT HAVE YOU IM NOT SURE IF I ASKED ABOUT FEVERS OR CHILLS IF YOU HAVE ANY audio/MSK0020.mp3[234.920,236.520] NO NOTHING LIKE THAT audio/RES0165.mp3[385.320,387.320] I LIVE ALONE audio/MSK0019.mp3[277.440,288.560] NO JUST UH I GUESS MY DAD HES HES GETTING SOME KNEE PAIN AND HIP PAIN NOW STARTING NOW BUT LIKE THATS ABOUT IT audio/RES0016.mp3[202.680,205.520] NO NOT THAT I KNOW audio/RES0163.mp3[462.000,464.480] OK THEN WHO HAS IT OR WHO HAD IT audio/RES0066.mp3[92.720,96.920] UM ITS HARSH ITS PERSISTENT audio/RES0198.mp3[439.040,441.640] YOU TOO BYE audio/RES0015.mp3[194.880,196.160] SO YEAH audio/RES0120.mp3[528.400,531.280] I LIVE WITH MY HUSBAND UM IN A CONDO audio/RES0108.mp3[163.960,167.000] I CHECKED NO NO I DONT HAVE A FEVER audio/GAS0007.mp3[370.640,396.200] OK WELL AT THIS POINT I WILL DO A QUICK PHYSICAL EXAM WE MAY WANT TO HAVE BLOOD WORK DONE MAYBE SOME OTHER TESTS BASED ON WHAT WE FIND OUT FROM THERE AND THEN WE CAN KIND OF LET YOU KNOW AFTER THAT WHAT THE NEXT STEPS WILL BE SO IM JUST GOING TO TAKE THIS AND GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL GET BACK TO YOU SHORTLY THANKS FOR CHATTING WITH ME audio/MSK0020.mp3[598.320,602.480] NO ANY ATROPHY DEFORMITY OR SKIN CHANGES THERE audio/RES0201.mp3[159.760,165.160] HAVE YOU EVER HAD ANY DIFFICULTY BREATHING IN THE PAST audio/RES0010.mp3[305.720,308.080] I THINK THATS PRETTY NORMAL audio/RES0216.mp3[322.000,328.880] OK UNDERSTOOD AND THEN HAVE YOU HAD I SHOULD HAVE ASKED DO YOU WORK CURRENTLY audio/RES0059.mp3[389.360,392.600] SURE OK NO SURGERIES OR HOSPITALIZATIONS IN THE PAST audio/RES0135.mp3[128.560,132.720] IT WAS CLEAR audio/RES0026.mp3[742.480,764.560] OK SO THAT WAS ALL I WANTED TO ASK ABOUT OH ACTUALLY ONE THING THAT I I DID WANT TO I FORGOT TO ASK WAS DO YOU HAVE ANY NECK STIFFNESS audio/RES0013.mp3[511.280,519.280] OK OK UM OK SO ROB IS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I HAVENT ASKED YOU ALREADY TODAY audio/MSK0008.mp3[574.480,584.440] OK AND ARE THERE ANY AREAS OF THE JOINT LINE ITSELF OF THE KNEE THAT IS PAINFUL TO PALPATION audio/RES0015.mp3[668.160,670.320] OK OK UM DO YOU SMOKE audio/RES0122.mp3[59.880,72.440] UM WHEN IM SITTING DOWN I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL LIKE FOR EXAMPLE WHEN IM LYING ON ONE SIDE IT GETS REALLY BAD ON THAT ONE SIDE AND I HAVE TO KIND OF SWITCH OVER TO THE OTHER SIDE audio/RES0085.mp3[343.000,347.480] OK GOOD MEDICATIONWISE IS HE ON ANYTHING audio/RES0210.mp3[377.320,380.360] DO YOU HAVE ANY PETS audio/MSK0026.mp3[180.520,208.880] I GUESS LIKE WHEN I KNEEL DOWN ON IT IT GETS PAINFUL OR IF I TOUCH IT OR PALPATE IT I GUESS PAINFUL IF IM IM FLEXING MY KNEE TOO MUCH THAT HURTS AS WELL KIND OF KEEPING IT STRAIGHT AND NOT TOUCHING IT MAKES IT FEEL BETTER audio/GAS0001.mp3[286.520,298.080] TRUE YEAH IS IT IS IT NORMAL FOR YOU TO GO SIX WEEKS WITHOUT A PERIOD audio/RES0140.mp3[440.080,449.440] I SEE I SEE OKAY WELL WELL DO A COVISWAB JUST IN CASE AND GO FROM THERE DO YOU HAVE ANY QUESTIONS audio/CAR0001.mp3[193.560,199.920] I FEEL A LITTLE LIGHTHEADED AND IM HAVING SOME TROUBLE BREATHING audio/RES0070.mp3[513.600,516.960] NO NOT REALLY audio/RES0007.mp3[392.240,397.720] UH NO NO NO THATS ALL GOOD audio/RES0033.mp3[456.920,466.960] OK OK AND HAVE YOU BEEN DIAGNOSED WITH ANY OR TREATED WITH OR ANY MEDICAL CONDITIONS IN THE PAST audio/RES0155.mp3[652.400,654.120] OK UM AND ANY ALCOHOL audio/RES0102.mp3[120.520,132.600] AND IS THE BLOOD JUST IN LIKE SPUTUM THAT YOURE BRINGING UP OR ARE YOU COUGHING UP BLOOD INTO THE TISSUE FOR EXAMPLE audio/MSK0049.mp3[600.520,607.840] THAT THATS A LITTLE BIT MORE PAINFUL audio/CAR0004.mp3[82.120,95.000] OK AND UM DOES IT IMPROVE WITH ANY POSITIONAL CHANGES AT ALL OR ANYTHING THAT YOU DO THAT DOES IT HELP audio/RES0098.mp3[411.040,420.400] ALRIGHT AND RIGHT NOW WHO ARE YOU LIVING WITH AND WHEREABOUTS ARE YOU LIVING audio/RES0139.mp3[282.520,290.640] MULTIVITAMIN OKAY HAVE YOU BEEN HOSPITALIZED BEFORE OR HAD ANY SURGERIES audio/RES0039.mp3[530.680,537.240] OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES AT ALL audio/RES0060.mp3[482.240,483.960] UH NO IVE JUST BEEN HOME audio/RES0150.mp3[213.040,215.120] OH YEAH audio/RES0053.mp3[607.200,614.520] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0052.mp3[429.760,432.240] I AM audio/MSK0006.mp3[416.040,418.240] JUST A MULTIVITAMIN audio/RES0117.mp3[19.800,21.320] OH OK audio/RES0104.mp3[405.520,409.480] NO I HAVENT HAD ANY HAD ANYTHING LIKE THAT audio/CAR0002.mp3[358.600,367.440] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL audio/RES0100.mp3[89.840,100.160] UHM I DONT THINK SO NOT YET I BUT I THINK LIKE THE WAY ITS HURTING RIGHT NOW I FEEL LIKE ITS COMING audio/RES0099.mp3[312.320,318.440] ALRIGHT AND I DONT KNOW YOUVE HAD MUSCLE ACHES HAVE YOU HAD ANY JOINT PAINS audio/RES0027.mp3[592.720,599.080] ILL HAVE A GLASS OF WINE WITH DINNER ONCE IN AWHILE audio/RES0036.mp3[674.840,678.280] AH MAYBE 5 DRINKS audio/CAR0004.mp3[446.360,448.280] SO YEAH YOURE WELCOME audio/RES0129.mp3[290.080,291.280] UHH VAGINAL audio/RES0045.mp3[333.840,339.080] UH YEAH IVE HAD A FEVER UM OR I FELT HOT ANYWAY audio/RES0091.mp3[74.760,76.320] NO ITS CLEAR audio/RES0114.mp3[36.200,45.720] OK OK UM THE COUGH THAT YOU CURRENTLY HAVE UM IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEGM audio/MSK0034.mp3[481.160,493.080] OK HAVE YOU TRIED ANY ALCOHOL RECREA RECREATIONAL DRUGS OR CIGARETTES OR DO YOU KNOW ANY FRIENDS THAT HAVE TRIED audio/RES0063.mp3[149.720,155.320] OK HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0004.mp3[109.600,122.440] UM I WOULD SAY MAYBE A TWO OR THREE IF I MOVE MY NECK I I CAN FEEL IT MORE BUT OTHERWISE I CAN JUST BARELY NOTICE THAT ITS THERE audio/RES0134.mp3[692.320,704.960] OKAY UM AND ANY UH HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0164.mp3[499.880,506.840] OK GREAT SO UH AND HOW IS THE HOUSES OR YOUR LIVING SITUATION LIKE audio/RES0081.mp3[221.080,226.280] OK HAS HE HAD ANY SKIN CHANGES OR RASHES audio/MSK0013.mp3[314.920,321.800] OK AND HAVE YOU HAD ANY ANY BACK PAIN audio/RES0114.mp3[148.760,162.520] UH YEAH ITS LIKE USUALLY I START COUGHING A LOT MORE WHEN IM STARTING TO DO ANY KIND OF ACTIVITIES AND SOMETIMES WHEN I START COUGHING MORE I ALSO START WHEEZING UM BUT UH RIGHT NOW IM FINE audio/MSK0011.mp3[217.360,221.960] OK ANYTHING THAT MAKES THE PAIN WORSE OR BETTER audio/RES0151.mp3[541.880,545.760] I SEE ALRIGHT AND DO YOU USE ANY OTHER UH RECREATIONAL DRUGS audio/RES0112.mp3[282.120,290.360] WAS HE UM KEPT IN THE HOSPITAL FOR A COUPLE DAYS IN THE NICU AFTER HE WAS BORN audio/RES0108.mp3[118.600,124.200] NO UM FEELING LIKE YOUR HEARTS RACING audio/RES0204.mp3[343.720,349.360] I HAVE A FOUR YEAR OLD SISTER audio/MSK0012.mp3[294.200,310.160] UM LYING DOWN I GUESS IT DEPENDS ON THE POSITION IF I AM STRAIGHT ON MY BACK ITS ITS NOT TOO BAD BUT IF I LIKE IM HUNCHED OVER OR SOMETHING LIKE THAT IT HURTS audio/RES0007.mp3[5.160,30.200] YEAH SO LIKE A COUPLE MONTHS AGO I WAS IN THE OFFICE AND THEY TOLD ME THAT I HAVE ASTHMA LIKE I HAD IT WHEN I WAS A LITTLE KID AND I THOUGHT I GREW OUT OF IT BUT APPARENTLY NOT OR LIKE IT CAME BACK OR SOMETHING SO YEAH SO THEY JUST TOLD ME TO COME BACK TODAY I DONT REALLY HAVE LIKE ANY ISSUES audio/RES0022.mp3[484.320,495.240] OK AND HAVE YOU GOT ANY PHOTO SENSITIVITY OR KIND OF SENSITIVITY OF YOUR LIGHT OR SENSITIVITY TO SOUND audio/RES0038.mp3[505.240,506.560] NO SURGERIES audio/RES0116.mp3[380.280,388.720] OK UM DO YOU KNOW IF HIS MOTHERS PREGNANCY WITH HIM WAS NORMAL DID SHE HAVE ANY COMPLICATIONS audio/RES0137.mp3[449.240,457.400] OKAY AND ANY DIFFICULTIES OR COMPLICATIONS WITH HER GROWTH LIKE IN TERMS OF HER WEIGHT OR HER HEIGHT audio/RES0106.mp3[75.920,81.400] SO IS IT KIND OF LIKE A SHARP PAIN OR LIKE A DULL ACHY PAIN audio/RES0179.mp3[500.400,503.000] NO IM IM NOT SURE audio/RES0156.mp3[468.280,533.800] OK YEAH SO IT SEEMS LIKE THE SYMPTOMS HAVE BEEN GOING ON FOR A FEW MONTHS NOW IT SEEMS THAT SHE GETS THEM ON EXERTION AND UM THEYRE WORSENED BY EXERTION UM AT THIS AGE ONE THING THAT DEFINITELY WE WANT TO CHECK IS IF SHE HAS ASTHMA UM SHE DOES HAVE SOME OTHER SYMPTOMS THAT UM ARE ASSOCIATED WITH ASTHMA LIKE IT SEEMS THAT SHE GETS UM SOME IRRITATION THROUGH ENVIRONMENTAL FACTORS AS WELL SO WHAT WELL DO UH FOR HER IS GET SOMETHING CALLED A PULMONARY FUNCTION TEST FOR HER TO SEE THATLL TEST IF SHE IN FACT HAS ASTHMA OR NOT AND THEN BASED ON THAT WE WILL UH SEE IF SHE NEEDS ANY PUFFERS UM THAT CAN HELP RELIEVE SOME OF HER SYMPTOMS UH AND LASTLY SINCE SHES HAVING A COUGH WELL ALSO DO A LIKE A COVID TEST JUST IN CASE AS WELL audio/MSK0007.mp3[237.400,241.120] OK HAVE YOU HAD ANY CHEST PAIN audio/RES0166.mp3[59.400,70.400] UHM I GUESS JUST SHALLOW FAST BREATHS I FEEL LIKE IVE RUN A MARATHON AND I JUST YEAH AND ALL IVE DONE IS JUST WALKED TO THE KITCHEN audio/RES0034.mp3[770.440,771.920] OK AND UH ARE HER IMMUNIZATIONS UP TO DATE audio/RES0147.mp3[474.320,486.560] OK ALRIGHT AND ARE YOU YOU SAID YOU LIVE ALONE ARE YOU ABLE TO TAKE YOUR THINGS LIKE GETTING GROCERIES OR COOKING OR CLEANING THE HOUSE OR DO YOU NEED HELP WITH THAT audio/RES0035.mp3[296.080,297.920] I HAVE A BIRD audio/RES0016.mp3[82.360,90.840] OK AND DOES ANYTHING MAKE IT WORSE OR BETTER BESIDES THE EXERTION audio/RES0022.mp3[253.160,266.080] UM OK AND WE WILL CHECK YOUR TEMPERATURE AS WELL TO SEE IF WE CAN IF THERE IS A DOCUMENTED FEVER HAVE YOU HAD ANY NIGHT SWEATS audio/RES0112.mp3[383.440,447.080] OK ALRIGHT UM WELL IT LOOKS LIKE UM I ITS GREAT THAT YOU BROUGHT HIM INTO THE EMERGENCY ROOM UM IF HE HASNT BEEN EATING DRINKING WELL HASNT SLEPT WELL HAS BEEN FUSSY AND AND HAS BEEN LETHARGIC AND TIRED UH AND IS HAVING DIFFICULTY SWALLOWING FOOD UM THATS DEFINITELY VERY UM SERIOUS UH WELL HAVE A LOOK INSIDE HIS MOUTH AND SEE WHATS GOING ON IT COULD BE THAT HE HAS AN INFECTION OR AN INFLAMMATION OF SOME SORT UM GIVEN HIS FEVER HE PROBABLY HAS AN INFECTION UM AND UH WELL LIKELY START HIM ON ANTIBIOTICS AND PUT IN AN IV DRIP JUST TO GET IN GET SOME FLUIDS INSIDE HIM JUST TO GET HIM HYDRATED UH AND MONITOR HIM VERY CLOSELY WELL ALSO CHECK HIS VITALS AND UM WELL DO UH YEAH WELL GO FROM THERE DO YOU HAVE ANY QUESTIONS audio/RES0091.mp3[311.320,314.280] ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/GAS0003.mp3[154.760,161.720] OK AND DOES IT DOES ANYTHING MAKE IT BETTER OR WORSE OR ANYTHING THAT YOUVE TRIED audio/RES0080.mp3[142.080,144.600] NO NO NO audio/RES0152.mp3[109.560,115.680] UH NO ITS MORE OF JUST THE DISCOMFORT WITH THE COUGHING audio/RES0184.mp3[258.080,263.400] ALRIGHT HAVE YOU HAD ANY RASHES OR SKIN RASHES audio/RES0185.mp3[0.000,1.840] WHAT BRINGS YOU IN audio/RES0078.mp3[485.800,496.040] OK ANY OTHER OVER THE COUNTER MEDICATIONS OR ANY OTHER MEDICATION THAT YOURE ON audio/RES0086.mp3[272.120,275.400] OK DO YOU STILL HAVE PUFFERS AT HOME audio/RES0043.mp3[576.760,585.000] OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY audio/MSK0029.mp3[664.800,686.400] I DONT BELIEVE SO UM IVE BEEN GOING TO WORK I WORK AS A BANK TELLER UM BUT EVERYBODY AT WORK HASNT BEEN SICK AND WEVE BEEN USING MASKS AND CLEANING OUR HANDS AND ALL OF THAT SORT OF THING audio/RES0083.mp3[470.600,478.000] I DONT THINK SO UM EVERYBODY IN MY FAMILY HAS BEEN BEEN OK audio/GAS0001.mp3[200.920,220.400] I THINK I THINK JUST CAUSE LIKE I WAS GETTING I WAS LIKE THROWING UP LIKE SO LIKE I FEEL LIKE I WAS A LITTLE DEHYDRATED audio/RES0196.mp3[281.720,288.560] OK ANY CONTACTS AT ALL ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0091.mp3[168.520,171.800] OK AND ANY TRAVEL audio/MSK0004.mp3[220.080,224.840] OK ANY PAIN IN ANY OTHER JOINTS BESIDES YOUR ANKLE audio/RES0036.mp3[577.640,582.200] AND HOW LONG HAVE YOU BEEN WORKING THERE audio/RES0188.mp3[341.080,345.000] NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0068.mp3[323.480,328.080] OK IS THERE ANYTHING THAT HELPS YOU AT ALL THAT YOUVE TRIED audio/RES0080.mp3[266.400,276.640] OK AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0016.mp3[442.800,447.680] OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0101.mp3[179.160,198.440] JUST SOME ON LIKE I JUST NOTICE ON THE TISSUE LIKE JUST SOME SPOTS THAT I NOTICED EVERY TIME THAT IM LIKE I WOULD HAVE TO COUGH IT UP MAYBE LIKE IN THE LAST COUPLE HOURS IVE HAD THREE EPISODES OF THAT WHERE IVE NOTICED BLOOD ON THE TISSUE audio/RES0044.mp3[681.040,691.200] IN A TOWNHOUSE OK UM ANY UM CONCERNS FOR LIKE OLD CARPETS OR MOLD OR ASBESTOS ANYTHING LIKE THAT audio/RES0073.mp3[266.840,278.240] UH NOT SHORTNESS OF BREATH JUST SOMETIMES WHEN MY NOSE GETS LIKE REALLY CONGESTED I JUST TURN INTO LIKE A MOUTH BREATHER BUT THATS ABOUT IT audio/RES0007.mp3[789.920,795.800] OK GREAT AND UM HAVE YOU HAD ANY OTHER PARTNERS audio/MSK0043.mp3[270.240,275.960] UH NO I HAVENT HAD ANY ANYTHING LIKE THAT audio/RES0085.mp3[74.960,79.720] OK IS HE COUGHING AT ALL audio/MSK0017.mp3[482.120,493.280] ONCE A WEEK OK ALRIGHT UM AND THEN WHAT ELSE DID I WANNA ASK YOU UM DO YOU DO YOU TAKE ANY RECREATIONAL DRUGS audio/RES0106.mp3[31.160,35.160] ITS LIKE WHITISH SOMETIMES ITS CLEAR audio/RES0143.mp3[507.320,519.160] YEAH AND WILL I NEED ANY LIKE ANTIBIOTICS FOR MY COUGH audio/CAR0003.mp3[208.040,211.520] PRIOR TO 2 MONTHS NO audio/RES0024.mp3[101.400,107.920] OK AND HAVE YOU HAD ANY CHEST PAIN audio/MSK0022.mp3[793.280,801.200] ILL HAVE A GLASS OF WINE SOMETIMES BUT VERY RARELY audio/MSK0021.mp3[560.560,563.520] NO PAIN THERE AND THEN HOW ABOUT ON THE LATERAL ASPECTS OF YOUR KNEE audio/RES0045.mp3[143.880,153.200] SIX OK AND AND HAVE YOU FOUND THAT YOUR SYMPTOMS ARE GETTING WORSE STAYING THE SAME OR GETTING BETTER OVER THE PAST FOUR DAYS audio/MSK0028.mp3[428.920,438.000] OK UM AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS audio/MSK0028.mp3[389.880,395.400] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS audio/MSK0027.mp3[48.120,54.960] OK UHM AND WHEN DID THIS START WHEN DID YOU FIRST NOTICE audio/RES0200.mp3[420.200,424.920] FOR YOUR CHOLESTEROL OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/RES0060.mp3[336.280,350.120] UM SO ITS BEEN ON AND OFF THESE LAST SEVERAL DAYS SO IVE BEEN KIND OF RESTING A BIT MORE TOO audio/RES0124.mp3[404.200,411.120] OKAY HAD DID WHEN YOU WERE A CHILD DID YOU HAVE ANY SORT OF RASH DID YOU HAVE ECZEMA audio/RES0099.mp3[49.160,54.280] YEAH LIKE WITH FATIGUE LIKE ALSO JUST THE MY MUSCLES WERE ACHING audio/RES0024.mp3[159.640,162.000] UH NO audio/CAR0004.mp3[131.120,135.520] YEAH I THINK IT KIND OF GOES TO MY NECK SOMETIMES audio/RES0130.mp3[187.880,192.680] NO I HAVENT HAD ANY SYMPTOMS LIKE THAT audio/RES0038.mp3[462.640,471.080] OK DO YOU KNOW OF ANY ALLERGIES TO ANY ENVIRONMENTAL EXPOSURES OR ANY MEDICATIONS AT ALL audio/RES0162.mp3[2.400,23.320] HI I AM JUST COMING IN BECAUSE FOR THE LAST COUPLE OF MONTHS BUT IVE BEEN HAVING THIS THESE COUGHING FITS ARE THERE LIKE WHEN IM GOING TO THE GYM OR EVEN AT HOME LIKE DURING THE WEEKENDS WHEN WERE VACUUMING AND CLEANING THE HOUSE audio/MSK0032.mp3[326.080,332.000] OKAY UM IS SHE UPTODATE WITH HER IMMUNIZATIONS audio/RES0165.mp3[355.440,358.280] OK AND WHAT DO YOU DO FOR WORK audio/RES0208.mp3[507.880,514.240] HAVE YOU GONE TO SEE ANY CLIENTS IN THE PAST THREE OR FOUR DAYS OR IN THE PAST WEEK audio/MSK0022.mp3[532.440,534.680] NO I FELT OK audio/RES0001.mp3[145.680,149.200] OK HOW ABOUT SPUTUM audio/RES0004.mp3[226.600,228.080] NO NOT PAINFUL audio/RES0141.mp3[141.720,145.080] CHANGES IN YOUR SENSE OF SMELL audio/RES0093.mp3[336.120,341.080] IN TERMS OF MEDICATIONS ARE YOU TAKING ANY audio/MSK0029.mp3[609.120,613.120] NO NOTHING LIKE THAT audio/MSK0033.mp3[462.400,477.120] NO IVE BEEN TRYING I STAY AWAY FROM THAT THAT SORT OF THING IVE I KNOW ABOUT OTHER PEOPLE IN MY CLASS WHO HAVE AND STUFF BUT I ALWAYS JUST IM JUST TRYING TO STAY AS READY AS I CAN FOR THE SPORTS audio/RES0023.mp3[208.800,219.480] NO I HAVENT THATS WHY BUT IVE BEEN FEELING PRETTY SWEATY SO THAT THATS WHERE I I FEEL LIKE I HAVE A FEVER SO I WANTED TO COME IN audio/RES0130.mp3[373.120,379.240] OKAY YEAH SURE ANY ALLERGIES THAT YOU HAVE audio/RES0036.mp3[276.560,281.520] OK BEFORE THIS BEFORE THE SIX DAYS HAVE YOU EVER EXPERIENCED ANYTHING SIMILAR audio/RES0050.mp3[357.440,358.920] UH NO audio/RES0180.mp3[243.800,252.840] UH NOT REALLY THATS BEEN OK BUT BEEN ACHEY SO CERTAINLY DOING LESS audio/RES0189.mp3[489.160,496.360] OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0101.mp3[453.120,460.560] OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST BESIDES THE THE KNEE SURGERY LAST WEEK audio/RES0007.mp3[30.200,38.800] OK SO WHAT WHAT BROUGHT ON THE APPOINTMENT IN THE SUMMER TIME OR A COUPLE OF MONTHS AGO audio/RES0017.mp3[366.720,374.240] NO I HAVENT HAD A COLD FOR MORE THAN TWO OR THREE YEARS I THINK audio/RES0075.mp3[188.000,198.120] I HAVE BEEN HAVING A LITTLE BIT OF A COUGH BUT THATS IT LIKE IT KIND OF STARTED TODAY BUT ITS NOTHING TOO SIGNIFICANT audio/RES0135.mp3[619.360,675.600] UM AND UM THIS COULD BE UH CAUSED BY UM A VIRAL INFECTION WHICH COULD BE SOMETHING ALONG THE LINES OF UH LIKE A COMMON COLD TYPE PICTURE AND WE CAN GET LIKE INFLAMMATION OF UH REALLY SMALL AIRWAYS UM AND IT CAN CAUSE THAT COUGH AND FEVER AND SOME OF THE SYMPTOMS THAT SHES EXPERIENCING AND ALSO UM THESE SYMPTOMS DO OVERLAP WITH COVIAS WELL UM AND SO ITLL BE IMPORTANT TO GET A COVISWAB JUST IN CASE UM BUT UM IF THAT IS THE THE SCENARIO THEN IT WILL BE UM SUPPORTIVE CARE WITH OXYGEN FLUIDS AND WELL MAKE SURE THAT UM THAT HER HER BREATHING IS UH OKAY AND POSSIBLY WELL NEED STEROIDS AND UM AND UH AN INHALER IF NECESSARY audio/MSK0013.mp3[486.760,489.760] NO NOT OUTSIDE THE PROVINCE audio/RES0180.mp3[175.280,178.480] NO NOTHING LIKE THAT audio/RES0061.mp3[792.200,795.360] HOW OLD IS YOUR SON audio/RES0063.mp3[472.920,478.640] OK HAVE YOU HAD ANY SICK CONTACTS RECENTLY audio/RES0116.mp3[207.880,210.560] OK HE WAS A BIT STUFFY YOU SAID audio/RES0055.mp3[460.400,475.160] JUST WANNA MAKE SURE THAT YOU HAVE ONE WITH A LONG ACTING AND THEN THE OTHER ONE IS A LONG ACTING BETA AGONIST OK GOOD ALRIGHT ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0039.mp3[728.960,745.800] AH NO WELL SOMETIMES I AT PARTIES MAYBE A FEW TIMES A YEAR WITH FRIENDS WILL USE ECSTASY OR SOMETHING LIKE THAT BUT THATS ONLY A FEW TIMES A YEAR audio/RES0177.mp3[425.720,431.240] CAN YOU THINK OF ANYONE HES BEEN IN CONTACT WITH WHOS ALSO BEEN SICK audio/RES0183.mp3[145.160,153.480] UH ITS MORE WHEN HE INHALES THAT I HEAR IT audio/RES0072.mp3[615.560,672.560] OK ALRIGHT SO YEAH IT SEEMS THAT FROM YOUR AGE AND SOME OF YOUR SYMPTOMS WE WILL DEFINITELY DO A TESTING FOR STREP THROAT IT SEEMS THAT YOU MEET THAT CRITERIA AND WE ALSO WANT TO MAKE SURE THAT SINCE YOURE HAVING OTHER SYMPTOMS AS WELL JUST TO DO A COVID TEST JUST IN CASE WELL TAKE YOUR TEMPERATURE AS WELL AND WE MIGHT GIVE YOU SOME ANTIBIOTICS AS WELL TO TREAT YOU AND RELIEVE SOME OF THOSE SYMPTOMS SO YEAH JUST HANG TIGHT WELL GET THE SWAB DONE FOR YOU FOR THE COVID TEST AS WELL AS STREP THROAT AND THEN WELL GO FROM THERE audio/GAS0002.mp3[276.360,282.120] I DONT THINK SO I MEAN I DONT THINK IVE NOTICED ANY KIND OF SKIN CHANGES audio/RES0104.mp3[374.040,379.480] OK ANY KIND OF LOSS OF SENSE OF TASTE OR SMELL audio/RES0158.mp3[329.280,332.360] A GREEN GREEN SUPPLEMENT audio/RES0153.mp3[206.080,211.920] OK UM AND HAVE YOU HAD ANY ANY SHORTNESS OF BREATH OR DIFFICULTIES BREATHING audio/RES0145.mp3[181.200,185.840] HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0024.mp3[501.400,505.560] IM ABLE TO WALK WITHOUT A LIMP audio/RES0030.mp3[186.600,188.880] OK ANY NIGHT SWEATS audio/RES0128.mp3[108.480,114.120] NO HE DOESNT MENTION ANYTHING ABOUT FEELING HOT OR OR OR HAVING CHILLS EITHER audio/RES0030.mp3[249.880,254.280] OK HAVE YOU BEEN HAVING ANY KIND OF URINARY ISSUES audio/RES0211.mp3[477.880,484.760] LIKE LIKE I JUST GOT DONE LIKE A WEEK AGO audio/RES0106.mp3[111.680,115.240] CONFUSION OR MEMORY LOSS audio/MSK0008.mp3[154.600,159.600] UM ID GIVE IT ABOUT A 5 audio/RES0159.mp3[446.080,451.680] HOW LONG AND HOW MUCH AND FOR HOW MANY YEARS audio/MSK0013.mp3[608.320,610.600] NO NOTHING LIKE THAT audio/RES0016.mp3[609.320,627.640] UH NO I JUST ITS BEEN GOING ON FOR TWO YEARS AND I FEEL LIKE ITS GETTING WORSE AND WORSE AND YEAH IM JUST SCARED OF HAVING TO YOU KNOW GO ON OXYGEN OR LIKE JUST NOT BEING ABLE TO BREATHE AT ONE POINT audio/RES0135.mp3[453.000,456.640] UH NO NOTHING LIKE THAT audio/MSK0022.mp3[901.800,907.360] YEAH I CAN DO I CAN DO THAT audio/RES0029.mp3[123.120,134.840] UH LIKE I THINK I IM HAVING ALSO MAYBE ITS JUST BECAUSE IM TRYING TO BREATHE SLOWLY BUT I FEEL LIKE I CANT CATCH MY BREATH audio/RES0072.mp3[228.960,237.080] OK AND UH SO YOUVE ALSO HAD NAUSEA AND VOMITING ARE YOU HAVING ANY KIND OF DIARRHEA OR CONSTIPATION audio/RES0181.mp3[110.640,115.440] NO NOT THAT IVE NOTICED audio/RES0207.mp3[194.600,197.560] ANY BELLY PAIN audio/RES0104.mp3[361.560,374.040] NO I DONT THINK SO MY HUSBAND AND I WE MOVED INTO A NEW KIND OF APARTMENT HERE AND IT ITS BRAND NEW audio/RES0120.mp3[460.680,464.800] OKAY AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL audio/RES0205.mp3[355.120,361.880] OK AND THIS IS IN TERMS OF YOUR LIFESTYLE DO YOU LIVE WITH FAMILY ALONE audio/RES0126.mp3[629.440,633.040] OK AND WHAT DID YOU DO BEFORE YOU RETIRED audio/MSK0005.mp3[329.000,330.280] NO CHANGES THERE audio/RES0020.mp3[563.720,568.480] OK AND DO YOU HAVE ANY ALLERGIES TO PETS audio/CAR0003.mp3[70.440,73.560] I HAVE A COUGH SOMETIMES YEAH audio/RES0084.mp3[453.560,459.640] UH NO NO NAUSEA OR VOMITING audio/RES0200.mp3[295.040,299.080] OK HOW ABOUT WEIGHT LOSS audio/GAS0003.mp3[270.880,275.560] OK AND HOW ABOUT YOUR APPETITE HAS THIS CHANGED AT ALL audio/RES0094.mp3[248.840,256.280] NO ITS BEEN YEAH MOSTLY THE RUNNY NOSE AND SORE THROAT AND HEADACHE audio/RES0073.mp3[429.120,438.760] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR LIKE ENVIRONMENTAL ALLERGIES THAT MIGHT BE GETTING WORSE audio/RES0131.mp3[81.680,86.880] OKAY ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH THE COUGH audio/RES0023.mp3[487.120,490.360] NO I DONT USE ANYTHING LIKE THAT audio/RES0050.mp3[523.960,530.200] ALRIGHT AND ANYBODY IN THE FAMILY HAVE A HEART OR LUNG CONDITION audio/MSK0022.mp3[69.160,76.160] OK AND IS THIS PAIN WORSE AT ALL AT ANY PARTICULAR TIME OF THE DAY audio/MSK0003.mp3[361.160,366.360] OK HAVE YOU NOTICED ANY CHANGES IN YOUR APPETITE OR YOUR WEIGHT audio/MSK0015.mp3[252.320,255.400] ANY CHEST PAIN audio/RES0087.mp3[667.680,668.960] YEAH THAT SOUNDS GOOD THANK YOU audio/CAR0002.mp3[480.760,485.680] OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0183.mp3[200.800,203.720] OK AND HAS HE HAD A SORE THROAT audio/RES0032.mp3[150.680,155.600] UH NOTHING THAT SEEMS TO REALLY MAKE IT ANY WORSE OR BETTER audio/RES0034.mp3[596.640,603.680] I SEE OK AND UH HOW MANY WET DIAPERS WOULD YOU SAY IN THE LAST 24 HOURS audio/RES0062.mp3[845.920,846.640] I DO NOT audio/RES0103.mp3[22.120,25.720] OK AND WHAT SYMPTOMS STARTED FIRST audio/RES0160.mp3[296.360,322.720] YEAH MOST OF THE TIMES I WOULD SAY WERE PRETTY STRICT STRICT WITH THAT UHM SOMETIMES WHEN WERE IN OUR OFFICE I TAKE OFF MY MASK BUT USUALLY WHEN WERE SEEING OTHER PEOPLE OR WITHIN CLOSE PROXIMITY WE KEEP THE MASKS ON audio/RES0026.mp3[0.000,5.600] I WAS WONDERING IF WE COULD START WITH YOU TELLING US WHAT BROUGHT YOU IN audio/GAS0003.mp3[72.520,76.200] ITS ABOUT TO A 10 AN 8 MAYBE audio/MSK0027.mp3[367.800,378.400] OK WELL THATS GOOD AND WERE THERE ANY CONCERNS WITH THE PREGNANCY WITH HER ANY LIKE GESTATIONAL DIABETES HIGH BLOOD PRESSURE OR INFECTIONS audio/RES0207.mp3[154.360,166.960] ALRIGHT OK NO WORRIES UM OK IS THERE ANYTHING IN TERMS OF THIS SHORTNESS OF BREATH AND THIS COUGH IS THERE ANYTHING THAT MAKES IT FEEL WORSE audio/RES0199.mp3[317.520,318.880] UH NO audio/MSK0008.mp3[284.520,289.240] OK HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0019.mp3[241.680,248.800] OH OK HAVE YOU BEEN UH CONFUSED OR CONCERNS WITH YOUR MEMORY audio/RES0055.mp3[586.520,593.280] UMM YEAH MAYBE ONCE A WEEK I WOULD HAVE A SMALL CUP OF WHISKEY audio/MSK0022.mp3[659.440,669.640] MY MOM HAD HYPOTHYROIDISM AS WELL AND UH AND THATS IT audio/RES0187.mp3[206.840,209.760] OK CHANGES IN YOUR VISION OR HEARING audio/RES0035.mp3[386.120,391.960] OK AND DO YOU CURRENTLY LIVE IN AN APARTMENT OR A HOUSE audio/RES0116.mp3[298.240,301.680] NO OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0202.mp3[749.160,751.600] OK YEAH THATS GOOD TO KNOW audio/CAR0002.mp3[526.000,530.320] SEVEN YEARS OK audio/RES0099.mp3[89.720,93.000] OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE audio/RES0151.mp3[553.480,560.560] OK UM AND IN THE FAMILY UM ARE THERE ANY HISTORY OF HEART OR LUNG PROBLEMS audio/RES0130.mp3[2.200,17.720] YEAH IVE HAD UH A COUGH THATS BEEN UM BUGGING ME FOR THE LAST SEVERAL MONTHS NOW AND MORE RECENTLY IVE NOTICED THAT IVE STARTED TO BRING UP A BIT MORE OR A LITTLE BIT OF BLOOD AS WELL audio/RES0195.mp3[158.720,164.120] OK WHAT KIND OF PAINT DO YOU FEEL THAT WHEN YOU PRESS ON IT audio/RES0009.mp3[190.880,206.160] OK AND UM HOW IS YOUR ENERGY BEEN HAVE YOU EXPERIENCED ANY LIKE SIGNIFICANT FATIGUE audio/RES0167.mp3[295.960,299.720] NO OK UHM ARE YOU ON ANY MEDICATIONS audio/RES0056.mp3[172.640,183.400] ITS I THINK NOT REALLY IT STAYED AROUND THE SAME AND I DEFINITELY FEEL A BIT BETTER WITH THE TYLENOL COLD audio/RES0020.mp3[502.080,512.840] OK GREAT UM AND UM NEXT COULD YOU I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/RES0139.mp3[505.880,507.200] UM NO audio/MSK0034.mp3[429.480,436.680] OK ALRIGHT AND YEAH IF I CAN JUST UH IS IT OK IF I JUST TALK TO YOU ALONE FOR A LITTLE BIT audio/RES0118.mp3[229.600,233.080] ANY CHANGES IN YOUR URINARY PATTERN audio/RES0046.mp3[73.440,90.280] OK WELL THATS GOOD THAT YOURE TAKING A LITTLE BREAK FROM SMOKING UM HOW WOULD YOU DESCRIBE THE QUALITY OF YOUR COUGH IS IT DOES IT SOUND HARSH audio/RES0160.mp3[400.680,406.560] DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/DER0001.mp3[373.080,389.280] OK SO SORRY I KIND OF SIDETRACKED THERE SO WE TALKED ABOUT YOUR DIABETES YOU SAID YOU HAVE HIGH CHOLESTEROL SO WHAT MEDICATIONS ARE YOU CURRENTLY TAKING audio/RES0178.mp3[107.360,117.400] CLEAR OK ALRIGHT AND DOES HE FEEL LIKE HE ALSO HAS A STUFFY NOSE OR IS IT JUST A RUNNY NOSE audio/RES0206.mp3[201.920,206.920] I FEEL LIKE I MAY HAVE HAD A FEVER LAST NIGHT I FELT REALLY HOT audio/RES0149.mp3[279.320,285.120] AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES audio/RES0006.mp3[265.400,267.680] UM A LOSS OF TASTE audio/MSK0042.mp3[274.880,284.000] ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR UH BLOOD IN THE STOOL audio/RES0172.mp3[50.840,57.040] OKAY UHM AND DOES IT EVER WAKE YOU UP AT NIGHT audio/RES0174.mp3[617.840,620.920] AND DO YOU SMOKE CIGARETTES audio/RES0053.mp3[301.320,311.040] YEAH YEAH THATS KIND OF HOW IT FIRST STARTED THREE DAYS AGO MAYBE HAD A RUNNY NOSE OK YEAH audio/RES0052.mp3[260.240,268.880] UMM POSSIBLY SINCE SHES NOT EATING AS MUCH audio/RES0102.mp3[774.840,781.640] NO I HAVENT HAD ANYTHING LIKE THAT JUST A STERN COUGH audio/RES0123.mp3[450.440,456.320] I DO I DO SMOKE UM PROBABLY HALF A PACK A DAY audio/RES0211.mp3[210.400,217.240] NOW DO ANY OF THESE ALLERGIES CANT MAKE IT DIFFICULT TO BREATHE OR YOU FEEL LIKE YOUR FACE IS SWELLING UP audio/RES0137.mp3[278.560,284.560] OKAY UM ANY SYMPTOMS OF DIARRHEA OR CONSTIPATION audio/GAS0001.mp3[373.320,385.200] ALRIGHT UM CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL ISSUES MEDICAL CONDITIONS THAT YOU HAVE audio/RES0177.mp3[371.120,381.280] OK UHM ALRIGHT AND HAS HE BEEN HITTING ALL HIS DEVELOPMENTAL MILESTONES AS WELL AS LIKE HIS HEIGHT WEIGHT AND HEAD CIRCUMFERENCE MILESTONES audio/RES0038.mp3[210.320,219.520] AH I THINK IF THEYVE SAID IT BEFORE WHEN I WAS YOUNG BUT I HAVENT HAD ANY SYMPTOMS FOR FOR FOR YEARS audio/RES0074.mp3[255.080,256.840] A WHEEZE audio/RES0197.mp3[274.480,277.880] ANY CHANGES IN YOUR APPETITE OR WEIGHT audio/RES0064.mp3[546.280,551.960] THANK YOU audio/RES0077.mp3[272.720,282.960] OK AND HOW ABOUT ANY POSITIONAL CHANGES LIKE DOES LYING DOWN HELP DOES RESTING HELP RELIEVE SOME OF THAT TIGHTNESS COUGH AND SHORTNESS OF BREATH audio/RES0030.mp3[332.280,336.960] AND HOW IS YOUR APPETITE BEEN LIKE audio/RES0020.mp3[645.600,654.160] MY MOTHER PASSED AWAY WHEN SHE WAS 80 SHE HAD SOME VALVULAR ISSUES audio/RES0194.mp3[99.360,114.200] I FEEL IT RIGHT AT THE FRONT OF MY MY FOREHEAD KIND OF ON BOTH SIDES OF MY HEAD IT FEELS LIKE A BAND JUST SQUEEZING AROUND audio/RES0001.mp3[520.960,525.840] UM I I WAS HAVING A LOT OF BLEEDING audio/CAR0002.mp3[2.680,7.120] YEAH I HAVE THIS PAIN IN MY CHEST audio/RES0025.mp3[471.560,476.720] UM YEAH TO PENICILLIN I HAD A HIVES WHEN I WAS A KID audio/RES0100.mp3[386.800,413.880] IT KIND OF COMES AND GOES IVE PROBABLY TAKEN TEMPERATURES LIKE EVERY DAY BUT I WOULD SAY ITS DEFINITELY FOR THE LAST FEW DAYS ITS BEEN MORE OF A FEVER LIKE THE NIGHTSWEATS SENSATION BEFORE IT WAS A BIT FINE LIKE BUT THE HIGHEST TEMPERATURES HAVE BEEN IN THE LAST FEW DAYS audio/RES0021.mp3[185.960,196.600] I SEE OK AND ANY CHANGES TO SLEEP OR ANY KIND OF STRESSFUL EVENTS HAPPEN IN THE LAST FEW DAYS THAT MIGHT BE CAUSING YOU TO BE MORE TIRED audio/MSK0049.mp3[671.240,751.640] YEAH CERTAINLY SO IT IT SOUNDS LIKE UM THIS COULD BE MOST LIKELY OSTEOARTHRITIS UM OF THE LEFT KNEE WHICH UH IS SOMETHING THAT WOULD BE BEST TREATED WITH UH TRYING TO STAY AS ACTIVE AS YOU CAN BUT BUT ALSO PACING YOUR ACTIVITIES AS WELL SO THAT YOURE NOT UM DOING SO MUCH THAT THE NEXT DAY YOURE IN SIGNIFICANT AMOUNT OF PAIN BUT ITS IMPORTANT TO REMEMBER THAT UM ACTIVITY WILL HELP UM WITH KEEPING YOUR KNEE MOBILE BUT ALSO UM ACTUALLY HELP WITH REDUCING PAIN AS WELL AND THEN ALSO UH YOU COULD USE TYLENOL UM AS A MEDICATION FOR IT I WOULDNT RECOMMEND IBUPROFEN OR NSAIDS ON A LONG TERM BASIS ALTHOUGH YOU COULD TAKE THOSE IF YOURE HAVING LIKE AN ACUTE FLARE UP OF YOUR PAIN UM AND THEN ALSO LIKE TOPICAL AGENTS SUCH AS UM LIKE VOLTAREN OR SOMETHING LIKE THAT YOU COULD PUT ON YOUR KNEE AND UM IF ITS REALLY BAD AND IT KEEPS UM CONTINUING ON WE CAN CONSIDER SOMETHING LIKE A STEROID INJECTION AS WELL audio/RES0062.mp3[133.920,144.160] OK AND THE SHORTNESS OF BREATH HOW SEVERE IS IT 1 TO 10 10 BEING THE WORST audio/RES0201.mp3[336.440,342.240] OK OK AND WHEN DID THAT START audio/RES0098.mp3[631.200,646.680] OK UHM ALRIGHT SO THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK TODAY SO THE NEXT PART WELL GO ON TO DO A PHYSICAL EXAM BUT DID YOU HAVE ANY THING ELSE THAT MAYBE I FORGOT TO ASK ABOUT TODAY audio/MSK0010.mp3[695.160,713.560] UH JUST TO YEAH DEFINITELY JUST AT THE FRONT OF THE SHOULDER THERE IS SOME SOME PAIN OVER WITH PALPATION audio/RES0102.mp3[458.560,469.840] OK WE CAN DO THAT TODAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEELING LIKE POUNDING YOUR CHEST RACING HEART ANYTHING LIKE THAT audio/MSK0037.mp3[825.520,833.040] OK UHM SO I THINK THATS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD OR OR DID YOU HAVE ANY QUESTIONS audio/GAS0007.mp3[131.160,136.200] IT HAS PRETTY MUCH STAYED IN THAT ONE SPOT YEAH audio/RES0132.mp3[290.360,298.440] OKAY UM AND IN THE PAST HAVE YOU UM BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/GAS0002.mp3[431.920,434.280] NOPE NO PRIOR SURGERIES audio/GEN0001.mp3[98.680,108.000] NO OK SO JUST IN TERMS OF YOUR URINARY TRACT INFECTIONS WHEN WAS YOUR LAST ONE audio/RES0117.mp3[254.880,257.600] NO ANY LUNG CANCERS audio/MSK0013.mp3[251.640,256.200] MAYBE A LITTLE BIT IN MY FINGERTIPS AS WELL audio/RES0034.mp3[500.640,507.080] OK AND AND HAVE YOU NOTICED ANY BLUEISH DISCOLOURATION AROUND HER LIPS OR MOUTH audio/GAS0004.mp3[80.040,91.760] OK EVERY HOUR OK AND THEN YOU NOTICE ANY CHANGES IN THE COLOR OF YOUR STOOL audio/RES0062.mp3[11.200,15.160] OK UM WHEN DID THE COUGH START audio/RES0184.mp3[20.360,25.920] YEAH ITS ITS PRETTY CLEAR audio/RES0087.mp3[155.600,169.240] IT WAS MAINLY UH IT SEEMED TO ME LIKE IT WAS MAINLY CLEAR WHEN IT WAS HAPPENING LIKE HE WASNT BRINGING UP ANY YELLOW OR GREEN MATERIAL audio/MSK0008.mp3[471.560,478.920] OK AND UH IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS audio/MSK0007.mp3[70.440,75.040] HAVE YOU HAD ANY PAIN OR INJURY TO THE ELBOW IN THE PAST audio/RES0024.mp3[448.480,455.240] OK AND IN YOUR FAMILY HAS ANYBODY EVER LOST THEIR SMELL BEFORE audio/DER0001.mp3[460.000,480.240] OH YEAH UH WHAT WAS IT I HAD MY SINUSES HAD SOME PRETTY BAD SINUSITIS WHEN I WAS IN MY TEENS AND THEY WENT IN AND KIND OF CARVED A LITTLE SPACE OUT audio/RES0211.mp3[280.120,282.920] OK ANY SURGERIES IN YOUR LIFE audio/RES0012.mp3[538.840,543.280] OK GOOD AND ARE YOU ON ANY MEDICATIONS audio/RES0114.mp3[437.240,459.280] YEAH I FEEL LIKE UH BEFORE I DIDNT REALLY LIKE IT JUST LAST YEAR I DIDNT REALLY HAVE TO TAKE IT TOO MUCH UM LIKE EVEN WHEN I USE THE PUFFER I START GETTING COUGHING LIKE MAYBE HALF AN HOUR LATER AND SO ITS NOT I DONT THINK ITS AS EFFECTIVE audio/RES0090.mp3[49.880,52.760] IT STARTED OFF AS A NORMAL COUGH FIRST audio/RES0045.mp3[311.480,328.320] UH I HAVENT REALLY I I THOUGHT WELL I WASNT REALLY ABLE TO TASTE MY FOOD BUT I THOUGHT THAT WAS BECAUSE I COULDNT I WASNT SMELLING UM SO I THOUGHT THAT WAS JUST GOING TO GO AWAY BUT THE SYMPTOMS HAVE GOTTEN WORSE audio/RES0036.mp3[642.160,645.440] UM SINCE I WAS 20 audio/MSK0037.mp3[0.000,1.520] HOW MAY I HELP YOU audio/RES0068.mp3[648.280,649.840] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0068.mp3[391.120,397.400] OK AND DO YOU TAKE ANY MEDICATIONS OR ANYTHING REGULARLY audio/RES0155.mp3[475.440,489.760] UM YEAH SO I I HAVE BEEN IVE BEEN DIAGNOSED WITH COPUH AS WELL AS UH HIGH BLOOD PRESSURE AND UH GERD audio/RES0120.mp3[239.560,246.000] OKAY AND DO YOU GET SHORT OF BREATH WHEN LAYING DOWN AT ALL audio/RES0093.mp3[55.800,63.520] AND IT ONLY STARTED YESTERDAY WHAT ABOUT THE DIFFICULTIES BREATHING WHEN DID THAT START audio/RES0101.mp3[447.600,450.840] ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0203.mp3[338.880,347.960] OK AND IN GENERAL DO YOU EAT A HEALTHY DIET DO YOU EXERCISE audio/MSK0028.mp3[357.080,363.360] ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION OR EVEN BLOOD IN THE STOOL audio/RES0132.mp3[265.000,273.480] OKAY UH OR LOSS OF TASTE OR SENSE OF SMELL audio/RES0001.mp3[675.800,679.640] OK ANY USE OF OTHER RECREATIONAL DRUGS audio/RES0079.mp3[15.480,25.080] OK WHEN DID YOU WHEN DID YOU START HAVING YOUR SO THE COUGH STARTED FOUR DAYS AGO WHAT ABOUT THE FEVER audio/MSK0043.mp3[644.160,650.520] OKAY AND CURRENTLY RIGHT NOW UM WHAT IS YOUR LIVING SITUATION LIKE audio/RES0050.mp3[31.360,39.840] OK DID ANYTHING HAPPEN 3 DAYS AGO THAT HAS BROUGHT THE COUGH ON audio/RES0160.mp3[260.600,262.440] UH NO audio/RES0137.mp3[90.760,94.920] YEAH SURE audio/RES0027.mp3[37.920,47.480] OK AND THE COUGH STARTED THREE DAYS AGO HAS IT GOTTEN WORSE GOTTEN BETTER STAYED THE SAME audio/RES0045.mp3[263.440,269.000] NO UM HAVE YOU HAD A SORE THROAT audio/RES0019.mp3[774.600,785.280] OK ALRIGHT THAT SOUNDS GOOD THANK YOU audio/RES0132.mp3[374.640,380.720] OKAY UM AND UH ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0007.mp3[242.080,246.320] ANY LIGHTHEADEDNESS OR DIZZINESS audio/GEN0001.mp3[142.440,152.920] KIND OF GOING MORE FREQUENTLY BUT I SUPPOSE THE NEW THING YOURE A LITTLE BIT CONCERNED ABOUT IS THAT IT IT BURNS A LITTLE BIT IT STINGS A LITTLE BIT WHEN YOU DO URINATE AM I UNDERSTANDING CORRECTLY audio/RES0013.mp3[110.400,113.240] I HAVE NEVER HAD ANYTHING LIKE THIS BEFORE audio/GAS0001.mp3[116.040,123.080] OH LIKE I FEEL LIKE EVERY COUPLE HOURS RIGHT NOW audio/RES0184.mp3[279.000,282.880] OK LITTLE FATIGUE AND AND HOW HAS YOUR APPETITE BEEN audio/RES0047.mp3[729.800,734.520] NO ITS ITS JUST ME AND MY DOG audio/RES0215.mp3[575.520,582.000] OK UH DO YOU KEEP ANY CARPETS OR PETS IN THE HOUSEHOLD audio/RES0192.mp3[206.640,209.080] ANY EAR PAIN OR YOUR DISCHARGE audio/RES0055.mp3[89.200,96.720] OK YEAH SO YOU DONT SEE YELLOW PUS OR ANYTHING GREEN OR BLOODY IN THERE audio/MSK0025.mp3[364.040,368.320] OK HOWS AN ANY RECENT CHANGES IN YOUR WEIGHT audio/MSK0001.mp3[206.320,208.880] UH NO IVE BEEN OK RECENTLY audio/RES0117.mp3[85.040,87.560] UH NO WHEEZINESS audio/RES0139.mp3[382.640,390.160] SOMETIMES HOW OFTEN WOULD YOU SAY YOU SMOKE audio/RES0006.mp3[165.840,177.680] OK HAS THERE BEEN ANYTHING UM BESIDES EXERTING YOURSELF THATS MADE THAT EITHER THE COUGH OR OR SHORTNESS OF BREATH WORSE audio/RES0079.mp3[263.520,268.440] OK THATS GOOD OK ANY ALLERGIES audio/RES0183.mp3[183.560,193.160] I TOOK A LOOK IT DOESNT LOOK SWOLLEN audio/MSK0020.mp3[348.600,366.600] YEAH SO BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED TELMISARTAN AND THEN FOR BLOOD PRESSURE IM TAKING UH METFORMIN SORRY NOT BLOOD PRESSURE FOR DIABETES IM TAKING METFORMIN audio/RES0172.mp3[152.080,165.760] IT DID YEAH PROBABLY TOOK IT DOWN TO A TWO OR THREE THE HEADACHE DIDNT GO AWAY ENTIRELY IT WAS SORT OF STILL THERE BUT DID HELP audio/RES0085.mp3[300.440,311.000] OK AND SO HE DIDNT NEED ANY HOSPITALIZATIONS RIGHT AFTER BIRTH RIGHT audio/RES0135.mp3[410.800,415.400] ALRIGHT UH ARE THE IMMUNIZATIONS UP TO DATE audio/RES0216.mp3[587.600,594.680] SOUNDS GREAT IM JUST YOU KNOW GLAD TO KNOW THAT ITS PROBABLY NOT MY HEART audio/RES0167.mp3[34.160,38.560] ABOUT FOUR OR FIVE DAYS AGO audio/RES0096.mp3[314.080,321.840] OK AND SORRY WHAT WAS YOUR STARTING WEIGHT ROUGHLY audio/RES0192.mp3[214.600,217.600] OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/RES0143.mp3[99.560,110.480] NO I DIDNT HAVE A HEADACHE BUT SOMETIMES I FEEL A BIT CONGESTED audio/MSK0015.mp3[678.200,693.400] UH IF I IF I PRESS ON IT I DONT THINK SHES IN THAT MUCH PAIN ITS MAINLY JUST WHEN SHES TRYING TO WALK OR PUT PUT WEIGHT ON IT audio/RES0164.mp3[44.800,46.760] ITS A DRY COUGH audio/RES0140.mp3[240.880,242.960] EVERY DAY ONCE A DAY audio/RES0026.mp3[610.160,613.440] BREAST CANCER NO audio/RES0124.mp3[425.040,449.640] OKAY AND UM HAVE YOU EVER HAD ALLERGIC RHINITIS WHICH IS BASICALLY SORT OF HAVING UM RED OR TEARY EYES ITCHINESS ON THE FACE A RUNNY NOSE AT CERTAIN TIMES OF THE YEAR OR IN UM AREAS WITH MOLD OR DUST OR TERMITES AND THINGS LIKE THAT HAVE YOU HAD ANYTHING LIKE THAT AS A CHILD OR RIGHT NOW audio/RES0162.mp3[398.120,403.160] UH NO NOT REALLY audio/RES0212.mp3[79.120,84.760] SO SO YOU GO ON THE SCALE YOU LOST A FEW POUNDS BUT YOU HAVENT BEEN TRYING TO BASICALLY audio/RES0179.mp3[586.960,588.320] ALRIGHT ANY PETS audio/RES0026.mp3[538.440,542.760] OK ANY ALLERGIES TO MEDICATIONS audio/RES0071.mp3[221.000,225.080] IT COMES AND GOES audio/MSK0045.mp3[240.680,243.280] UH NO NOTHING LIKE THAT audio/RES0088.mp3[632.840,640.960] NO NO QUESTIONS BUT UHM ACTUALLY WHAT DO YOU THINK SHE HAS AND HOW CAN WE TREAT HER audio/RES0203.mp3[85.600,91.800] OK AND DID THIS DRY COUGH THAT START AT THE SAME TIME audio/RES0107.mp3[181.520,182.760] NO NO NO audio/RES0202.mp3[273.080,286.360] I THINK SO CAUSE YEAH THE FIRST DAY HE JUST SEEMED LIKE A LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER audio/RES0042.mp3[125.040,128.200] NO I CANT SAY THAT I DO audio/GAS0004.mp3[115.400,128.360] WELL I DIDNT START OFF WITH PAIN BUT I I I DO HAVE A BIT OF A CRAMP NOW SINCE YESTERDAY ITS JUST IT HURTS YEAH IT HURTS SOMETIMES IT COMES AND GOES audio/RES0073.mp3[110.000,121.520] YEAH SO JUST IN THE LAST THREE DAYS WHEN THE CONGESTION GOT REALLY BAD I STARTED LOSING THE ABILITY TO SMELL audio/RES0209.mp3[250.080,266.120] YEAH HOW THEY DONT HAPPEN AS MUCH AS MY DAYTIME SYMPTOMS BUT I BEEN HAVING IT MAYBE LIKE EVERY OTHER DAY OR LIKE YOU KNOW EVERY TWO DAYS OR SO audio/RES0067.mp3[169.680,177.000] OK ANY OTHER SYMPTOMS LIKE NAUSEA OR VOMITING OR DIARRHEA OR CONSTIPATION audio/RES0048.mp3[587.200,593.280] OK THATS GOOD HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0063.mp3[324.240,349.520] AND THEN FOR DIABETES IM TAKING METFORMIN AND THEN FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR YEAH YEAH BUT OTHER THAN THAT JUST LIKE VITAMIN AND MULTI VITAMINS THOSE ARE SOME OF THE MEDICATIONS THAT IM TAKING audio/RES0108.mp3[174.880,183.920] UM UH NO IVE JUST BEEN CONSTIPATED FROM TIME TO TIME BUT THATS NOTHING THATS NOT NEW audio/RES0119.mp3[198.240,204.320] OK AND DO THEY GET WORSE AT NIGHT AT ALL OR ARE THEY UM THE SAME THROUGHOUT THE DAY audio/RES0013.mp3[397.920,404.960] NOT FEELING WELL BUT audio/MSK0007.mp3[637.280,650.160] OK AND HOW ABOUT WITH WRIST SO WITH RESISTED UH YEAH WRIST FLEXION audio/RES0013.mp3[220.160,222.880] I DONT THINK SO audio/RES0043.mp3[716.560,732.400] YEAH NO WORRIES UHM AND I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDNT HAVE THE FEVER WE WOULD ADD EVERYTHINGS LIKE ASTHMA TO THE LIST OF THINGS audio/RES0210.mp3[461.600,463.200] YEAH EXACTLY audio/RES0061.mp3[388.840,392.560] OK HOW ABOUT HEADACHES audio/RES0155.mp3[0.000,5.320] WHAT BRINGS YOU IN HERE TODAY audio/RES0005.mp3[484.400,487.680] ANY SURGERIES THAT YOU HAD IN THE PAST audio/RES0180.mp3[262.640,270.040] NO THAT EVERYTHING HAS BEEN NORMAL THERE I HAVENT HAD ANY DIARRHEA OR NO BLOOD IN THE STOOL audio/RES0131.mp3[489.840,501.280] OKAY OKAY GOOD AND UM ANY SICK CONTACTS RECENTLY audio/MSK0003.mp3[460.880,464.960] UH NO HISTORY OF STIS audio/RES0167.mp3[87.960,89.920] I DONT THINK SO audio/RES0059.mp3[583.760,595.720] OK GOOD GOOD DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP THAT I DIDNT TOUCH ON TODAY audio/RES0065.mp3[604.480,607.040] NO THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0168.mp3[485.600,490.320] OK ALRIGHT ANY PETS AT HOME audio/RES0166.mp3[499.640,504.040] NO I DONT audio/MSK0050.mp3[207.000,209.000] MHMM YES audio/RES0139.mp3[70.920,75.520] IT UH I GUESS ITS JUST ITS THERE THROUGHOUT THE DAY audio/RES0109.mp3[17.760,34.640] UH IT STARTED WITH THE COUGH I USUALLY DONT COME IN WHEN I HAVE SYMPTOMS LIKE THIS UH BUT IVE JUST BEEN UHM I JUST HEARD OF SOMEONE WHO PASSED AWAY DUE TO COVID AND IM JUST LIKE VERY SCARED AND I JUST DECIDED TO COME IN audio/RES0125.mp3[307.000,310.000] YEAH BUT IVE BEEN WORKING FROM HOME audio/RES0123.mp3[299.760,302.120] UH ANY CHEST PAIN audio/RES0015.mp3[659.880,668.160] NO NOT THAT I KNOW OF I THINK I MIGHT BE THE FIRST ONE WHO ACTUALLY WENT TO A DOCTOR audio/MSK0025.mp3[335.480,339.480] ANY NIGHT SWEATS audio/RES0131.mp3[372.400,376.840] OKAY UM ARE YOU ON ANY MEDICATIONS BESIDES VENTOLIN audio/RES0038.mp3[30.480,34.640] ITS DRY AND IM NOT BRINGING UP ANY ANY SPUTUM audio/RES0073.mp3[511.560,519.400] YEAH SO IM CURRENTLY LIVING IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON audio/RES0034.mp3[621.800,624.360] NO NO WEVE BEEN HERE audio/MSK0009.mp3[575.120,578.960] UM NOPE audio/RES0107.mp3[376.960,380.240] YEAH YEAH HES AN HES A HEALTHY KID audio/RES0065.mp3[602.480,604.480] YEAH DO YOU HAVE ANY QUESTIONS audio/CAR0004.mp3[153.240,158.360] OK ALRIGHT AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE PAIN audio/RES0175.mp3[351.520,357.200] HAVE YOU HAD ANY SICK CONTACTS audio/MSK0024.mp3[107.600,112.360] OK I SEE AND HOW LONG HAVE YOU WORKED IN THIS ROLE audio/MSK0020.mp3[123.600,131.000] YEAH IT JUST GETS WORSE I AS I WALK MORE AND DO MORE ACTIVITIES audio/RES0093.mp3[126.200,131.680] AND THAT WHAT HAPPENED TO YOU BEFORE RIGHT audio/RES0073.mp3[527.840,530.320] UH NO NOT THAT I KNOW OF audio/RES0022.mp3[900.480,911.000] ALRIGHT SO WAS THERE ANYTHING ELSE THAT UM YOU THINK I SHOULD KNOW TODAY THAT MAYBE I DIDNT ASK ABOUT audio/RES0079.mp3[69.400,71.440] ITS BEEN DRY audio/RES0061.mp3[80.240,84.960] OK ARE YOU THROWING UP ANY BLOOD audio/RES0093.mp3[471.360,479.920] OK AND UH TALKING ABOUT ALCOHOL HOW MUCH DO YOU USUALLY DRINK audio/CAR0001.mp3[529.880,541.880] OK UH YEAH AND UM ALRIGHT AND THEN BRIEFLY COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIKE DIET AND EXERCISE audio/RES0094.mp3[64.040,70.080] HAVE YOU UHM HAD ANY DIFFICULTIES SWALLOWING audio/RES0087.mp3[321.160,325.160] OK HAS HE EVER HAD EAR PAIN BEFORE audio/RES0178.mp3[67.400,69.680] ANY SHORTNESS OF BREATH WITH THAT audio/RES0003.mp3[584.720,593.120] UM NO PROBLEMS BREATHING BUT HIS VOICE DOES SOUND A BIT A LITTLE BIT OFF A BIT HUSKY audio/RES0080.mp3[264.520,266.400] NO NOT REALLY audio/RES0133.mp3[204.800,213.880] UM IVE HAD SOME WEIGHT GAIN OVER THE PAST LIKE SIX MONTHS audio/RES0127.mp3[163.960,169.600] I GET A BIT OF A SORE THROAT I GUESS IN THE MORNING BUT IT JUST GOES AWAY AFTER audio/MSK0031.mp3[577.400,583.520] NO I THINK I I JUST DONT KNOW IF I NEED SURGERY OR SOMETHING audio/GAS0004.mp3[294.800,302.240] OK HAVE YOU TAKEN ANY ANY OVER THE COUNTER MEDICINE OR ANYTHING TO HELP audio/RES0109.mp3[105.360,108.480] NO ANY WHEEZINESS audio/RES0032.mp3[111.120,115.560] OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL audio/MSK0022.mp3[507.400,509.280] NO THATS BEEN NORMAL audio/RES0097.mp3[346.360,355.880] YEAH HE WAS DIAGNOSED WITH UH CYSTIC FIBROSIS WHEN HE WAS A HE WAS A CHILD FOUR YEARS OLD audio/RES0066.mp3[85.160,92.720] OK AND THE COUGH HOW WOULD YOU DESCRIBE THE COUGH audio/RES0132.mp3[516.240,523.280] UM I LIVE IN AN OLD BUILDING SO MAYBE UM BUT IT HASNT BUGGED ME BEFORE audio/MSK0015.mp3[323.360,327.920] OK I HAVE SHE HAD ANY NUMBNESS OR TINGLING audio/RES0086.mp3[82.840,109.280] P YEAH SO FROM THEN TO LIKE MAYBE WHEN I WAS 18 I WAS USING PUFFERS AND THEN I CONTINUED USING THEM ON AND OFF LIKE JUST THE BLUE ONE WHENEVER I NEEDED IT BUT FOR THE LAST FIVE YEARS I HAVENT EVEN HAD TO USE ANY PUFFERS AT ALL audio/MSK0021.mp3[657.560,674.880] NO PAIN SO NO PAIN ON DORSIFLEXION OR PLANTER FLEXION OK DO YOU HEAR ANY LIKE POPPING OR CRACKLING SOUNDS IN YOUR KNEES WHEN YOU CLIMB STAIRS OR WHEN YOURE STANDING UP AFTER SITTING DOWN FOR A LONG TIME audio/MSK0016.mp3[291.920,293.360] NO THATS BEEN NORMAL audio/RES0155.mp3[91.960,106.120] OK AND UH IS THIS UH AND THEN WHAT ABOUT THE SHORTNESS OF BREATH IS IT UH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR DO YOU FIND YOURSELF BREATHING FASTER LIKE HOW WOULD YOU DESCRIBE IT audio/RES0081.mp3[486.920,496.160] OK AND IN REGARDS TO BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR WITH DELIVERY audio/RES0195.mp3[446.120,453.480] NO IT WAS IT WAS A PRETTY STANDARD I DIDNT HAVE ANY EXCESSIVE BLOOD LOSS OR ANYTHING LIKE THAT audio/RES0178.mp3[212.400,217.160] MUSCLE ACHE OR JOINT PAINS audio/RES0016.mp3[336.160,337.240] UH NO audio/RES0153.mp3[550.480,605.840] OK YEAH SO UM ITS POSSIBLE SO BASED ON YOUR SYMPTOMS CURRENTLY IT DOES SUGGEST THAT UH IT IT IS A BACTERIAL CAUSE WITH UH SINCE YOU DONT HAVE A COUGH AND YOU HAVE UM LIKE IT SOUNDS LIKE SOUNDS LIKE LYMPH NODE ENLARGEMENT UM WELL WELL LOOK AND SEE IF THERES EXUDATES OR OR PURULENCE ON YOUR UM THAT WE CAN SEE IN YOUR IN YOUR THROAT AS WELL AS CHECKING TEMPERATURE AND DO A RAPID STREP TEST UM SEE IF UM IF THATS THE CAUSE AND IF SO UM THEN YEAH THERE WILL BE A COURSE OF ANTIBIOTICS UM WILL BE REQUIRED BUT UM WE WILL UH WAIT FOR UM THE PHYSICAL EXAM AND THEN THE UH THE RAPID TEST audio/RES0070.mp3[220.880,224.720] OK HAVE YOU HAVE YOU HAD A COUGH audio/RES0165.mp3[167.400,176.720] OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH CHEST PAIN DIZZINESS OR ANYTHING LIKE THAT audio/MSK0043.mp3[28.120,37.720] ITS THE LEFT KNEE AN NO NO TRAUMA UH OR ANYTHING LIKE THAT IVE NEVER HURT THIS KNEE BEFORE IN MY LIFE audio/RES0188.mp3[87.480,90.440] OK IS HE COUGHING AT ALL audio/RES0145.mp3[203.680,204.960] NO I HAVENT audio/RES0148.mp3[520.960,527.040] OK AND AND HAVE YOU COULD HAVE YOU THOUGHT OF HAVE YOU TRIED TO QUIT BEFORE audio/RES0084.mp3[840.760,848.400] OK THAT SOUNDS GOOD TO ME AND SHOULD I BE STAYING IN MY OWN ROOM OR ANYTHING LIKE THAT AT HOME audio/RES0187.mp3[149.040,154.720] A DRY COUGH OK UHM SO NO SPUTUM OR BLOOD RIGHT audio/RES0021.mp3[265.320,268.480] NOPE NO CHEST PAIN audio/RES0068.mp3[520.720,569.800] YEAH SO FROM THE SYMPTOMS THAT YOURE DESCRIBING IT DOES SEEM MORE LIKE SINUS ISSUES THERES A SINUS BEHIND YOUR FACE AND WHAT CAN HAPPEN IS IF YOU GET AN INFECTION LIKE ALL THE THE MUCOUS AND EVERYTHING CAN BUILD UP AND INCREASE THE PRESSURE THATS THE PRESSURE YOURE FEELING UNDERNEATH YOUR FACE ITS BECAUSE OF A SINUS INFECTION MOST LIKELY AND USUALLY LIKE ITS USUALLY LIKE A VIRAL INFECTION THAT CAN GO AWAY ON ITS OWN WE USUALLY ASK PATIENTS TO TRY THE NASAL RINSES AND THEN SOME ORAL DECONGESTENTS OR HAVE YOU TRIED ANY ANTI HISTAMINES audio/RES0090.mp3[377.240,386.800] OK AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/RES0006.mp3[601.920,606.400] OH OK UM I SO I MEAN ANYBODY IN THE FAMILY HAVE CANCERS audio/RES0076.mp3[12.320,17.480] OK SO THIS COUGH HAS BEEN GOING ON FOR HOW MANY MONTHS audio/RES0153.mp3[80.240,95.760] UM I I I HAVE ACTUALLY NOTICED LIKE A LITTLE BIT OF NECK SWELLING JUST RIGHT AT THE FRONT ON BOTH UM YEAH JUST AT THE FRONT audio/RES0137.mp3[395.640,408.160] SHES FEEDING WELL SHES DOING UH SHE EATS EVERYTHING YEAH audio/RES0191.mp3[525.480,530.480] NO THANK YOU OR YEAH THANK YOU audio/RES0191.mp3[0.000,2.040] HOW MAY I HELP YOU audio/RES0154.mp3[317.480,320.240] NOT THAT I KNOW OF audio/RES0183.mp3[109.920,120.680] OK AND UH UHM THAT YOU MENTIONED UMM OH SORRY HAS HE HAD ANY CHANGES TO THE SOUND OF HIS BREATHING audio/RES0046.mp3[626.760,630.480] I AM YEAH audio/RES0165.mp3[136.640,154.080] UHM MAYBE I I WORK AT A HOSPITAL UM BUT IM ALWAYS MAINTAINING SOCIAL DISTANCING AND I TRY TO BE VERY CAREFUL audio/RES0001.mp3[223.480,234.760] OK UM AND HAS IT CHANGED SINCE IT STARTED A WEEK BACK OR HAS HAVE YOUR SYMPTOMS BEEN PRETTY MUCH THE SAME audio/MSK0021.mp3[582.920,585.720] NO THE TEMPERATURE FEELS THE SAME audio/RES0019.mp3[621.640,630.160] UM MY FATHER PASSED AWAY AT 75 FROM A HEART ATTACK audio/RES0056.mp3[523.640,529.400] AND WHERE DO YOU LIVE RIGHT NOW audio/MSK0038.mp3[123.240,130.600] OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN audio/RES0196.mp3[37.400,40.000] OK THEN HAS SHE REQUIRED ANTIBIOTICS audio/RES0056.mp3[93.080,103.280] OK AND HOW WOULD YOU DESCRIBE THIS COUGH IS IT BARKY IS IT HARSH DOES IT SOUND MUFFLED audio/RES0009.mp3[635.840,641.520] OK AND DO YOU DRINK ALCOHOL audio/RES0057.mp3[669.320,677.800] WHAT ABOUT ANY OTHER TRAVELS OR ANY TRAVELS AT ALL OUTSIDE THE CITY OR THE COUNTRY RECENTLY audio/RES0001.mp3[249.360,262.680] NO IVE NEVER HAD ANY HEART PROBLEMS UH IN THE PAST IVE BEEN HEALTHY UP TO THIS POINT THOUGH NOTHING I SEE A DOCTOR REGULARLY FOR audio/RES0073.mp3[282.840,284.920] NO NO CHEST PAIN audio/RES0027.mp3[561.160,569.400] OK AND HOW ABOUT YOURSELF ANY OTHER EXPOSURES OR SICK CONTACTS OR MAYBE AT WORK OR SOMETHING LIKE THAT audio/MSK0019.mp3[317.400,327.560] OKAY I SEE ALRIGHT UM ANY ALLERGIES OR SORRY YOU ANSWERED THAT DO YOU DO YOU SMOKE audio/RES0090.mp3[151.760,161.520] ITS UH ITS PRETTY CONSTANT WELL I GUESS IT COMES AND GOES ITS ITS NOT THERE ALL THE TIME audio/RES0215.mp3[515.280,519.200] UM NO NO MEDICATIONS audio/RES0113.mp3[155.120,163.920] UM IS IT UH IS IT WHAT WAS I GONNA SAY IS IT CONSTANT OR DOES IT COME AND GO audio/RES0193.mp3[314.960,319.680] OK ANY PAST MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH audio/RES0215.mp3[158.480,163.720] OK HAVE YOU NOTICED ANY RASHES ANY SKIN CHANGES ANYWHERE ON HER BODY audio/MSK0010.mp3[124.400,134.320] OK I SEE AN IN THE LEFT SHOULDER DO YOU FEEL THE PAIN AT THE FRONT AT THE SIDES OR OR BACK audio/RES0028.mp3[509.280,513.600] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0098.mp3[199.240,206.040] AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL OR FREQUENCY audio/GAS0007.mp3[396.200,398.480] THANKS DOC audio/MSK0038.mp3[273.720,278.240] NO I HAVENT HAD ANY DIARRHEA OR YEAH EVERYTHINGS BEEN NORMAL THERE audio/RES0126.mp3[188.440,195.120] 15 YEARS AND DO YOU KNOW THE HOW MANY PUFFERS ARE YOU TAKING audio/MSK0011.mp3[373.880,378.480] OK ANY COMPLICATIONS AT ALL WITH THAT AT ALL audio/MSK0038.mp3[233.760,237.240] NO ANY RASHES audio/RES0089.mp3[974.520,976.720] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0075.mp3[0.000,2.440] WHAT BROUGHT YOU IN TODAY audio/RES0084.mp3[330.080,334.000] NO NOTHING THAT IVE NOTICED audio/RES0076.mp3[289.280,291.040] AND HOW RECENTLY WOULD YOU SAY audio/MSK0029.mp3[195.600,212.000] OK SO YOU SAID THE PAIN IS AT THE BACK OF THE NECK DOES IT RADIATE ANYWHERE UP INTO YOUR HEAD OR DOWN INTO YOUR SHOULDERS OR LOWER OR UPPER BACK audio/MSK0006.mp3[754.200,771.600] UHM YEAH I I DO GET SOME PAIN WITH MY UM YEAH WHEN THATS ALL STRAIGHTENED OUT YEAH audio/RES0030.mp3[557.360,561.640] A GLASS OF WINE I HAVE THREE OR FOUR NIGHTS A WEEK audio/RES0196.mp3[68.440,74.120] UM I NOTICED IT LIKE 3 DAYS AGO audio/RES0106.mp3[153.160,155.440] UHM NO audio/RES0053.mp3[280.920,296.960] YOU KNOW I HAVENT GOTTEN HIM FORMALLY ASSESSED YET BUT SEEMS TO BE ABLE TO READ PRETTY WELL FROM A DISTANCE HES NOT IN SCHOOL YET BUT I HAVENT NOTICED ANYTHING AND HE CAN HEAR FINE I THINK HE RESPONDS WHEN I CALL audio/MSK0026.mp3[269.240,271.360] HAVE YOU HAD ANY HEADACHES audio/RES0074.mp3[640.200,650.280] OK AND I THINK THATS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT THAT MAYBE I FORGOT TO TELL YOU OR FORGOT TO ASK ABOUT audio/MSK0044.mp3[214.720,222.720] NO I HAVENT HAD ANY PAINS THERE BEFORE OR ANYTHING LIKE THAT audio/RES0027.mp3[360.080,369.400] OK UM AND SO YOU HAVE BEEN FATIGUED HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY ACHES audio/CAR0002.mp3[14.600,18.400] OK AND WHEN DID THIS PAIN START audio/RES0088.mp3[277.920,280.960] UH NO NOTHING LIKE THAT audio/RES0137.mp3[380.920,383.720] UH VAGINAL audio/RES0189.mp3[284.520,288.480] OK AND HAVE YOU HAD A FEVER audio/RES0139.mp3[107.400,117.720] OKAY UM ANY RECENT TRAVEL OR CONTACT WITH ANYONE THATS BEEN SICK audio/RES0169.mp3[190.880,195.080] ANY PAIN IN YOUR BELLY OR ANY DIARRHEA audio/RES0165.mp3[242.240,245.640] UHM YEAH LITTLE BIT audio/RES0005.mp3[519.320,534.000] OK GREAT UM WHAT DID YOU DO PREVIOUSLY FOR FOR WORK DID YOU HAVE ANY EXPOSURES FOR TWO CHEMICALS OR DUSTS OR ASBESTOS THINGS LIKE OF THAT NATURE audio/RES0109.mp3[364.320,367.960] NO I HAVENT TRAVELED ANYWHERE audio/RES0056.mp3[204.560,210.000] OK ANY WEIGHT LOSS OVER THE PAST MONTH audio/RES0014.mp3[562.720,575.680] UH SO NO I THINK THAT THAT WAS ALL LIKE JUST THE SHORTNESS OF BREATH WAS SCARING ME A LOT BUT YEAH JUST THE COUGHING BUT OTHER THAN THAT I JUST WANT TO KNOW WHATS GOING ON audio/CAR0003.mp3[647.360,659.520] OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAVE OR SOMETHING I MAY HAVE MISSED TO ASK YOU TODAY audio/RES0100.mp3[498.280,528.480] YEAH SO I I JUST HAVE ONE PARTNER RIGHT NOW MY FIANCE AND WE UH I ACTUALLY LIKE HAVE IN AN IUSO LIKE WE WE DONT USE CONDOMS BUT LIKE WERE PRETTY HONEST AND SAFE WITH EACH OTHER I FULLY TRUST HIM LIKE HE DOESNT HAVE ANY PARTNERS OR ANYTHING LIKE THAT AND I ONLY HAVE I DONT HAVE ANY OTHER PARTNERS AS WELL audio/RES0149.mp3[112.000,119.680] OK DOES THE PAIN UH LIKE RADIATE ANYWHERE OR DO YOU FEEL IT JUST IN THAT ONE SPOT audio/RES0044.mp3[226.800,235.160] OK UM AND THEN HAVE YOU HAD A RUNNY NOSE OR A STUFFY NOSE audio/RES0025.mp3[354.000,362.640] OK OK HAVE YOU NOTICED ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE audio/RES0180.mp3[478.640,488.120] NO OK UHM ALRIGHT I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/RES0206.mp3[414.880,425.160] THATS GREAT THATS REALLY REALLY GOOD THAT YOURE TAKING BETTER CARE OF YOURSELF SHOULD DEFINITELY CONTINUE DOING THAT audio/RES0035.mp3[90.000,97.040] OK AND UH HAS IT BEEN CONSTANT COUGHING OR DOES IT COME AND GO OVER THE LAST EIGHT MONTHS audio/RES0080.mp3[306.920,318.800] I DONT CHECK MY WEIGHT VERY OFTEN BUT NO UH YEAH MY CLOTHES STILL FIT THEYRE ALL THEYRE FINE audio/RES0077.mp3[471.400,482.600] OK ARE YOU FEELING LIKE YOU HAVE LOST ANY SENSE OF TASTE OR SMELL AT ALL audio/RES0066.mp3[285.760,288.880] ANY NAUSEA OR VOMITING audio/RES0159.mp3[63.920,76.440] UM YEAH ITS DEFINITELY WORSE BUT I ALSO JUST LIKE NORMALLY EVEN WHEN IM RESTING I FEEL LIKE I HAVE TO UM TAKE IN LIKE MUCH DEEPER BREATHS audio/GAS0004.mp3[91.760,97.920] NO ITS BROWN audio/RES0212.mp3[323.480,330.120] OK SO YOUVE NEVER TAKEN ANY MEDICATIONS OR GOT STUNG BY A BEE AND HAD ANY TROUBLE BREATHING OR EVEN A CERTAIN FOOD audio/RES0024.mp3[504.480,508.760] MMM I DONT KNOW THATS IT audio/RES0116.mp3[556.240,562.760] OK GOOD GOOD UM HAS HE HAD ANY SICK CONTACTS RECENTLY audio/MSK0022.mp3[696.560,702.080] OK ALRIGHT AND UM CURRENTLY DO YOU WORK audio/MSK0036.mp3[357.200,361.360] NO JUST IN THE AREAS THAT I DESCRIBED NOWHERE ELSE audio/RES0089.mp3[301.880,311.720] OK AND OTHER THAN THAT HAVE YOU RECENTLY AT ALL TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE audio/RES0098.mp3[485.080,504.680] YEAH IT WAS UH IT WAS FOR ASTHMA AND LIKE UH THAT TIME IT WAS DEFINITELY MUCH MUCH WORSE AND I REMEMBER LIKE I WAS BREATHING A LOT UH THE SHORTNESS OF BREATH WAS REALLY BAD AND THE VENTOLIN LIKE PUFFERS WERENT EVEN HELPING ME AT THAT TIME audio/RES0151.mp3[439.480,448.760] YEAH IM WORKING UH CURRENTLY UM JUST AT A GROCERY STORE audio/RES0130.mp3[517.640,528.960] OKAY YEAH FOR SURE UM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/MSK0010.mp3[340.320,345.040] OK HOW ABOUT ANY SHORTNESS OF BREATH audio/MSK0015.mp3[278.160,282.320] ANY ABDOMINAL PAIN audio/RES0141.mp3[123.000,134.920] OKAY UM AND OTHER THAN THE UM THE FEVER AND HEADACHES HAVE YOU UM HAD ANY UM COUGH audio/RES0003.mp3[157.560,159.760] UH NO NOTHING LIKE THAT audio/MSK0032.mp3[315.800,319.160] NO NO SURGERIES OR HOSPITALIZATIONS audio/DER0001.mp3[569.760,573.400] HOW MUCH DO YOU SMOKE ON AVERAGE audio/RES0127.mp3[503.000,504.360] OH YEAH audio/RES0051.mp3[133.920,138.200] NO NO I DONT THINK SO audio/RES0088.mp3[262.920,265.480] NO NO NOTHING LIKE THAT audio/RES0017.mp3[804.320,808.280] ALRIGHT AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/MSK0045.mp3[270.000,281.720] OK UM ALRIGHT AND DOES REST HELP AT ALL LIKE WHEN YOURE LYING DOWN JUST NOT MOVING YOUR SHOULDER DOES THAT HELP WITH YOUR PAIN audio/RES0180.mp3[403.280,409.240] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0183.mp3[387.080,391.200] NO HASNT SEEMED SWEATY AT NIGHT NO audio/RES0043.mp3[534.000,538.080] OK AND IS SHE HEALTHY audio/MSK0023.mp3[32.280,35.320] OK AND WHEN DID THIS HAPPEN audio/RES0078.mp3[405.880,411.240] OK ANY CHANGES IN YOUR SENSE OF TASTE audio/MSK0012.mp3[349.760,354.200] OK NO NIGHT SWEATS audio/RES0121.mp3[299.760,310.240] OKAY AND ANYONE ANYONE IN YOUR WORK ENVIRONMENT OR UH IN YOUR HOME ENVIRONMENT OR AT SCHOOL THAT HAS BEEN SICK AROUND YOU audio/RES0124.mp3[823.720,828.000] UH NO I DONT HAVE ANY QUESTIONS AT ALL THANK YOU SO MUCH audio/MSK0009.mp3[717.080,721.480] I SEE OK audio/RES0137.mp3[511.840,516.840] AND HAVE YOU BEEN VACCINATED THROUGHOUT YOUR LIFE audio/MSK0020.mp3[564.960,579.080] OK SO WELL TAKE A LOOK AT IF YOU CAN IF YOU HAVE A MIRROR WELL TAKE A LOOK AT BOTH HIPS FIRST DO YOU NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS audio/RES0048.mp3[313.640,318.120] OK UM HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS audio/RES0176.mp3[120.680,122.800] UHM YEAH audio/MSK0029.mp3[462.800,467.680] CHANGES IN YOUR APPETITE audio/RES0032.mp3[525.200,532.560] AND CURRENTLY DO YOU LIVE IN AN APARTMENT BUILDING IS THERE ANYONE YOU LIVE WITH audio/RES0093.mp3[578.600,582.240] ANY RECREATIONAL DRUGS audio/RES0048.mp3[498.280,504.320] OK UM ANY BLOOD IN THE STOOL audio/RES0144.mp3[340.400,343.960] NO SHE HASNT HAD MUCH TO EAT AND OR DRINK OVER THE PAST OR TODAY audio/RES0173.mp3[507.160,510.440] NO NO IM VERY CAREFUL audio/RES0140.mp3[58.480,62.200] AND CHANGES IN YOUR BOWEL MOVEMENT ANY PAIN IN YOUR BELLY audio/RES0170.mp3[96.200,126.640] WELL I WILL SAY I THINK I LIKE EXERCISE I FIND YEAH LIKE SOCCER PRACTICE YEAH AFTER MAYBE OR EVEN DURING A GAME LIKE WHEN THINGS ARE REALLY INTENSE YEAH I THINK DURING SOCCER IVE IVE KIND OF NOTICED IT AND THEN AT NIGHT TIME AS WELL IT KIND OF RANDOMLY HELL HAVE THIS COUGH audio/RES0032.mp3[473.480,476.520] I DONT THINK SO NO audio/RES0161.mp3[42.520,59.680] YEAH SO THERE I STARTED GETTING THESE HEADACHES JUST TWO DAYS AGO BUT LIKE ITS MORE THAN A HEADACHE ITS KIND OF MAINLY OVER THE CHEEKS AND THEN IT GOES AND JUST ABOVE THE NOSE audio/MSK0034.mp3[248.320,250.720] UHM YEAH audio/RES0038.mp3[113.120,118.800] NO SOMETIMES MY EYES CAN GET A LITTLE ITCHY BUT NO RUNNY NOSE OR SORE THROAT audio/RES0122.mp3[262.720,278.440] ALRIGHT OKAY AND UM HAVE YOU DO YOU HAVE ANY UM I GUESS CARPETS OR OR UM CURTAINS OR ANY SORT OF ANIMALS AROUND ANYTHING THAT MIGHT CAUSE ANY KIND OF ENVIRONMENTAL ALLERGIES audio/RES0195.mp3[38.720,42.080] OK AND WHEN DID THE SHORTNESS OF BREATH START audio/RES0131.mp3[320.320,328.280] OKAY GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0059.mp3[23.240,28.640] OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANYTHING audio/RES0060.mp3[230.440,234.760] OK AND ANY NIGHT SWEATS OR CHILLS audio/RES0005.mp3[332.240,337.600] OK AND THEN HOW ABOUT A LOSS OF SMELL OR A LOSS OF TASTE audio/MSK0040.mp3[167.440,174.160] OK AND HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER audio/RES0003.mp3[557.440,563.880] I THINK THERES THERES A FEW AREA RUGS AROUND BUT MOST OF THE CARPETS ARE GONE audio/RES0174.mp3[337.560,341.920] ANY RASHES OR SKIN CHANGES audio/RES0086.mp3[299.720,316.720] I DO I HAVE JUST UH ECZEME IVE HAD IT FOR MOST OF MY LIFE NOW SO ESPECIALLY DURING THE WINTER I DO GET SOME IRRITATION ESPECIALLY ON MY HANDS SO YEAH SOME RASHES BUT THATS ABOUT IT audio/RES0036.mp3[310.880,317.480] OK AND IS IS THAT ALWAYS THERE OR IS IT JUST WHEN YOURE COUGHING A LOT audio/RES0155.mp3[408.440,414.840] OK UM ANY EXPOSURE TO ANYONE SICK AROUND YOU RECENTLY audio/RES0022.mp3[664.080,670.720] OK SO A LOT MORE EXERTION THAN WHAT YOURE ABLE TO DO NOW IT SOUNDS LIKE audio/RES0164.mp3[384.480,390.560] ANY CHANGES IN HIS SLEEP OR APPETITE audio/RES0092.mp3[16.840,23.280] UHM OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THIS COUGH IS IT DRY OR WET audio/RES0068.mp3[514.440,520.720] UH NO WHAT WAS LIKE WHAT DO YOU THINK I HAVE audio/RES0130.mp3[233.880,237.640] OKAY ANY NAUSEA OR VOMITING audio/RES0159.mp3[322.320,333.880] UM OK DO YOU TAKE ANYTHING TO PROTECT YOUR STOMACH WHEN YOURE TAKING THE ADVIL ANY OTHER MEDICATIONS audio/RES0118.mp3[2.400,19.440] HI IM COMING IN BECAUSE IVE HAD THIS LIKE ON AND OFF RUNNY NOSE AND STUFFY NOSE FOR THE PAST WEEK UM AND I JUST CAME TO MAKE SURE ITS NOT SOMETHING SERIOUS LIKE COVID audio/MSK0034.mp3[396.280,398.360] OK AND SCHOOLS GOING WELL audio/RES0038.mp3[631.400,641.560] YEAH AND IN TERMS OF RECREATIONAL DRUGS DO YOU USE MARIJUANA OR COCAINE OR ANY OTHER RECREATIONAL DRUGS audio/RES0187.mp3[414.240,421.960] OK AND SO FOR THE PAST LIKE TWO MONTHS HOW OFTEN HAVE YOU BEEN SMOKING audio/RES0164.mp3[537.960,545.920] NO NOTHING LIKE THAT OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0055.mp3[659.880,670.880] YEAH OK THAT MAKES SENSE WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0196.mp3[277.440,281.000] OK ANY ALLERGIES audio/RES0074.mp3[187.440,200.600] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT MUSCLE ACHES FATIGUE AND DIARRHEA audio/RES0062.mp3[510.040,517.640] I HAD AN INGUINAL HERNIA REPAIR ABOUT 15 YEARS AGO audio/RES0211.mp3[24.080,27.160] YOUR HEADS POUNDING YOU HAVE A HEADACHE RIGHT NOW audio/RES0003.mp3[107.160,113.360] OK UM HAVE YOU TAKEN HIS TEMPERATURE AT ALL audio/RES0150.mp3[27.280,33.960] OK AND SO CAN YOU TELL ME A BIT MORE ABOUT THE COUGH SO IT STARTED UM audio/RES0122.mp3[503.040,505.560] UH NO THATS ALL THANK YOU SO MUCH audio/RES0095.mp3[174.080,180.120] OK YEAH AND HAVE YOU BEEN EXPERIENCING ANY COUGH audio/RES0138.mp3[597.600,600.640] ALRIGHT SO WELL BE WITH YOU SHORTLY audio/RES0194.mp3[142.680,147.040] OK HAVE YOU TRIED ANYTHING FOR YOUR PAINS OR HEADACHES audio/RES0037.mp3[766.240,768.880] THANK YOU audio/RES0089.mp3[523.680,535.000] OK AND UH RIGHT NOW DO YOU HAVE ANY SYMPTOMS OF ANY SWELLING IN YOUR EXTREMITIES LIKE LEGS HANDS OR ANYTHING LIKE THAT audio/RES0100.mp3[160.200,172.000] OK AND SO YOUVE BEEN EXPERIENCING FATIGUE HAVE YOU HAD ANY ANY HEADACHES audio/GAS0007.mp3[248.320,253.360] NO I HAD MY TEETH PULLED AS A KID BUT NO audio/RES0025.mp3[311.320,313.800] NOTHING LIKE THAT audio/RES0026.mp3[67.560,74.120] OK ARE YOU BRINGING UP ANY PHLEGM OR SPUTUM WITH THE COUGH audio/RES0001.mp3[74.040,97.160] UH NO IF I IF I TAKE A BREAK OR SIT DOWN TO REST THEN I CAN USUALLY CATCH MY BREATH BUT IF EVEN IF IM DOING A LITTLE BIT OF EXERTION LIKE WALKING A FEW A FEW BLOCKS OR SOMETHING LIKE THAT IM FINDING IT IM IM SHORT OF BREATH audio/RES0035.mp3[131.840,141.640] WALKING IS THERE ANYTHING THAT MAKES IT BETTER AT ALL audio/RES0186.mp3[93.000,98.400] NO NO HEART PALPITATIONS audio/RES0217.mp3[389.360,392.280] NO NO IVE BEEN PRETTY HEALTHY audio/RES0149.mp3[637.480,683.160] OK SO THAT WAS ALL I WANTED TO ASK TODAY ON ON HISTORY AND BEFORE I WENT ON TO UH THE PHYSICAL EXAM WE WANT TO CHECK UH VITAL SIGNS AND HAVE A LISTEN TO YOUR HEART AND LUNGS AND UM MEASURE THE DIAMETER OF YOUR OF YOUR SHINS AS WELL UM BUT UM ITLL BE IMPORTANT TO GET UH SOME IMAGING OF YOUR OF YOUR LUNGS UM TO ASSESS WHETHER OR NOT THERES A PULMONARY EMBOLISM UM UH BECAUSE THAT WOULD BE ONE OF THE MORE UM LIFE THREATENING OR POTENTIALLY UM COMPLICATING UH CAUSES OF WHATS GOING ON RIGHT NOW audio/RES0119.mp3[532.800,543.080] OK THATS GOOD UM ANY KIND OF UH DUST OR MOLD OR ANIMALS UH ANYTHING IN THE HOUSEHOLD audio/RES0047.mp3[613.040,615.880] UM UH NO audio/RES0162.mp3[299.040,301.400] ANY NIGHT SWEATS audio/RES0164.mp3[170.800,174.000] NO NO HE HASNT audio/RES0211.mp3[303.240,310.360] WHAT TYPE OF BIRTH CONTROL DO YOU TAKE audio/RES0202.mp3[459.360,465.520] OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM audio/RES0050.mp3[118.640,124.800] UHM I ALSO I GUESS I NOTICE THAT MOSTLY LAST NIGHT YEAH audio/RES0199.mp3[347.400,354.920] OK DO YOU THINK ANYTHING TRIGGERED THAT EPISODE OF VOMITING audio/RES0099.mp3[660.080,737.640] YEAH SO THAT IS SOMETHING THAT THAT IS ON THE DIFFERENTIAL FOR WHAT COULD BE CAUSING YOUR SYMPTOMS ESPECIALLY WITH UHM STARTING AT HAVING A COUGH AND THE NONSPECIFIC VIRAL TYPE SYMPTOMS WITH THE COUGH HEADACHE MUSCLE ACHES SO CERTAINLY COULD BE CAUSED BY COVID BUT THERE ARE OTHER REASONS FOR THAT COULD EXPLAIN THESE SYMPTOMS SUCH AS OTHER TYPES OF VIRAL ILLNESSES AND SO WE WILL DO A PCR SWAB TODAY AS WELL AS DO WELL CHECK YOUR VITALS TO SEE IF YOU HAVE A FEVER NOW AND WELL ALSO MAYBE SEND AN INFLUENZA SWAB AS WELL AND AND DO SOME BLOOD WORK BUT IN THE MEANTIME SINCE WERE RUNNING THE COVID SWAB IT WILL BE IMPORTANT TO SELF ISOLATE FOR THE NEXT 14 DAYS AND WE WILL LET YOU KNOW WHAT THE TEST RESULTS SHOW BUT DESPITE EVEN IF THEY ARE NEGATIVE IT WILL BE IMPORTANT TO STILL STAY SELF ISOLATING FOR THE NEXT 14 DAYS audio/RES0145.mp3[58.000,67.960] OK THATS GOOD AND THE SORE THROAT STARTED FOUR DAYS AGO ARE YOU HAVING ANY DIFFICULTIES SWALLOWING AT ALL audio/RES0025.mp3[163.480,174.520] YESTERDAY I DID I HAD SOME SOUP AND WAS ABLE TO TO KEEP MOST OF IT DOWN BUT UM BUT ITS BEEN MOSTLY LIQUIDS IVE BEEN DRINKING audio/RES0104.mp3[127.120,129.760] OK ANY FEVERS OR CHILLS audio/RES0110.mp3[304.440,312.680] OK UHM AND UH ANY RUNNY NOSE OR CONGESTION audio/RES0101.mp3[323.520,327.920] ALRIGHT UH HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0042.mp3[217.600,222.320] OK UM ANY ISSUES SWALLOWING FOOD audio/RES0154.mp3[253.160,256.840] OK OK AND HAVE YOU HAD ANY HEADACHES audio/RES0153.mp3[406.440,422.640] YEAH YEAH IM NOT SURE I THINK SHE DID GO TO THE DOCTOR NOW SHES DOING BETTER SHE DID GET SOME MEDICATIONS BUT I DONT KNOW WHAT THEY WERE audio/RES0184.mp3[161.640,164.960] OK AND HAVE YOU HAD ANY WHEEZING OR SHORTNESS OF BREATH audio/RES0169.mp3[24.040,29.640] I THINK THE FEVER STARTED TWO DAYS AGO audio/RES0106.mp3[150.880,153.160] NO A SORE THROAT audio/RES0121.mp3[310.240,315.960] NOT THAT IVE HEARD OF NO audio/RES0117.mp3[155.280,156.640] NO CHEST PAIN audio/RES0097.mp3[597.360,601.680] OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0187.mp3[216.480,228.000] OH SORRY NOW THAT YOU MENTION I I THINK TASTE A LITTLE BIT TODAY I REALIZED I WAS I WASNT REALLY ABLE TO TASTE MY BREAKFAST audio/RES0207.mp3[242.720,245.480] NO I HAVENT audio/RES0032.mp3[496.160,504.760] NOT THAT I CAN THINK EVERYBODYS BEEN HEALTHY audio/MSK0046.mp3[207.000,212.880] OK ALRIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0143.mp3[205.000,218.440] NO NOT REALLY LAST WEEK I MAYBE HAD A UH TWO NIGHTS I WAS A BIT CHILLY BUT SINCE THEN IVE BEEN FINE audio/RES0158.mp3[196.320,202.120] UM IM A NURSE ACTUALLY AT THE AT A UM A WALK IN CLINIC audio/RES0210.mp3[62.200,70.760] AND I KIND OF IGNORED IT BUT THE NEXT DAY THEY WERE STILL THERE I STARTED GETTING FEVER JUST IN I FELT OFF YOU KNOW audio/RES0123.mp3[334.320,340.920] NO OKAY UM ANY EXPOSURES UH TO ANYONE WHO COULD BE SICK audio/RES0178.mp3[136.240,139.680] OK HOW ABOUT HEARING WISE audio/RES0152.mp3[185.240,193.560] UM YEAH I WOULD SAY LIKE A FEW TIMES THIS WEEK IVE ALSO FELT LIKE HOT audio/RES0104.mp3[173.920,177.760] OK UHM ANY ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE THAT YOUVE TRIED audio/RES0028.mp3[168.400,176.320] OK OK I JUST HAVE A FEW OTHER QUESTIONS UH HAVE YOU RECENTLY HAD ANY KIND OF TRAUMA OR INJURY TO YOUR CHEST AT ALL audio/MSK0024.mp3[488.720,494.000] UM NO I DONT SEE ANYTHING LIKE THAT audio/RES0035.mp3[106.960,117.640] OK AND WHEN IT FIRST STARTED HAD ANYTHING CHANGED IN YOUR LIFE UH HAD YOU MOVE TO A NEW PLACE OR STARTED SMOKING OR ANYTHING LIKE THAT audio/RES0207.mp3[251.440,254.480] RUNNY NOSE audio/RES0146.mp3[322.400,328.960] I TAKE VITAMIN AND A MULTIVITAMIN audio/MSK0029.mp3[561.560,573.120] I DO YEAH BUT ITS I THINK THEYRE JUST ALL ENVIRONMENTAL CAUSE ILL TYPICALLY GET ISSUES WITH SEASONAL CHANGES AND THEN THEN IT GOES AWAY audio/RES0077.mp3[756.760,764.640] ILL HAVE SOME WINE WITH DINNER MAYBE TWO OR THREE NIGHTS A WEEK audio/MSK0034.mp3[268.640,273.760] NO NOT THAT I CAN TELL NO audio/RES0196.mp3[3.120,27.320] YES I BROUGHT IN MY DAUGHTER SHES 8 YEARS OLD SO RECENTLY SHES BEEN TELLING ME SHES HAVING A LOT OF EAR PAIN AND SHES HAD A FEVER FOR THE PAST TWO DAYS AS WELL WE CHECKED HER TEMPERATURE AT HOME IT WAS 388 AND SO WERE JUST HERE TO SEE IF WE CAN GET SOME ANTIBIOTICS FOR IT audio/RES0195.mp3[58.640,63.240] OK UM SO FOR THE COUGH IS IT LIKE A DRY COUGH OR A WET COUGH audio/RES0130.mp3[205.440,209.000] NO I HAVENT HAD ANY CHEST PAIN audio/RES0145.mp3[204.960,208.680] CHANGES IN YOUR SENSE OF TASTE audio/RES0089.mp3[430.600,446.640] UH YEAH I THINK ITS YEAH WHEN IM LAYING DOWN SOMETIMES I FEEL MORE SHORT OF BREATH THAN USUAL BUT ONCE I SHIFT POSITIONS IT GOES BACK TO ITS NORMAL audio/RES0170.mp3[336.880,341.200] OK ANY HOSPITALIZATIONS OR SURGERIES audio/RES0063.mp3[190.040,195.040] OK HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS audio/MSK0008.mp3[68.800,76.840] OK UHM AND DO YOU FEEL THE PAIN RADIATE ANYWHERE LIKE DOWN THE LEG OR OR UP INTO THE THIGH audio/GEN0001.mp3[301.280,310.320] LIKE MY MOM SAID I I I SAW MY MOM EARLIER AND SHE SAID I LOOKED LIKE A LITTLE FLUSHED BUT ITS NOT NOT LIKE A RASH OR ANYTHING audio/RES0150.mp3[168.280,176.520] OK UH IS THAT IS THAT THE FIRST TIME THAT UM HE WAS NOTED TO HAVE A FEVER YESTERDAY audio/MSK0009.mp3[513.400,517.080] OK ANY ALLERGIES TO MEDICATIONS audio/GAS0007.mp3[85.560,91.240] HONESTLY JUST RESTING FLAT MAKES IT FEEL A LITTLE BIT BETTER BUT NOTHING MUCH NO audio/RES0032.mp3[485.840,496.160] AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO IS ILL I KNOW YOU MENTIONED IN THE PHILIPPINES YOU WERE EXPOSED TO SOME PEOPLE WITH TB BUT ANYTHING SINCE THEN audio/RES0136.mp3[259.520,263.360] NO HOW ABOUT EXERTING YOURSELF DOES IT MAKE YOUR SYMPTOMS WORSE audio/RES0110.mp3[347.960,350.440] WHEN DID THAT START audio/RES0096.mp3[626.080,634.680] YEAH MY DAD WAS 65 AND MY MOM WAS WAS VERY YOUNG SHE WAS 50 audio/MSK0007.mp3[519.840,527.560] OK DOES IT LOOK LIKE THERE IS ANY MUSCLE ATROPHY EITHER IN THE FOREARM OR THE BICEPS OR TRICEPS audio/RES0015.mp3[333.600,346.080] OK AND YOU MENTIONED FEVER AND SOME NIGHT SWEATS HOW OFTEN ARE YOU GETTING THESE NIGHT SWEATS AND DO THEY FEEL LIKE CHILLS audio/RES0214.mp3[329.640,335.240] PENICILLIN WHAT HAPPENS WHEN YOU TAKE PENICILLIN audio/RES0155.mp3[174.160,182.920] UM NO NOTHING LIKE THAT I KIND OF I JUST I FEEL CONGESTED I GUESS audio/RES0080.mp3[329.800,337.800] OK AND IN REGARDS TO YOUR PAST HEALTH YOU MENTIONED COPBUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS audio/RES0060.mp3[64.240,75.440] THEY ARE GETTING WORSE IVE BEEN STARTING TO FEEL REALLY FATIGUED AND UH TIRED AS WELL AND THE COUGH HAS GOTTEN WORSE TOO audio/RES0059.mp3[142.400,148.240] OK AND ANY EYE PAIN OR DISCHARGE FROM THE EYES audio/RES0195.mp3[293.400,296.040] UM NO audio/RES0125.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY audio/RES0120.mp3[605.600,647.080] YEAH SO RIGHT NOW ITS DEFINITELY SOMETHING THATS ON EVERYONES MIND UM SOME OF THESE SYMPTOMS UM THE SHORTNESS OF BREATH AND FEVER DEFINITELY CAN BE COVIAND THATS SOMETHING THAT WE ARE GOING TO TEST YOU WITH AND THATS SOMETHING WE TEST EVERYONE WITH UM BUT BECAUSE YOURE HAVING SHORTNESS OF BREATH UH WE DO NEED TO MAKE SURE NOTHING ELSE IS GOING ON AS WELL UH YOU CAN POTENTIALLY HAVE PNEUMONIA THATS NOT COVIIT CAN BE ANY OTHER VIRUS OR BACTERIA SO WE WILL GET SOME BLOOD WORK DONE WELL GET YOUR TEMPERATURE AND ALL YOUR VITALS TAKEN AS WELL UM AND THEN GET A CHEST XRAY AS WELL audio/RES0165.mp3[303.680,308.400] OK ANY ALLERGIES TO MEDICATION audio/RES0140.mp3[139.320,146.080] UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0187.mp3[257.880,260.720] FAINTING OR DIZZINESS SPELLS audio/RES0016.mp3[230.280,236.120] OK AND HAVE YOU NOTICED ANY FEVERS audio/RES0049.mp3[145.200,157.280] UH NO NOT REALLY LIKE IVE LIVED IN THE SAME PLACE FOR AWHILE NO NEW CHANGES AND IVE BEEN BARELY GOING OUTSIDE SO I DONT THINK THERE ARE ANY TRIGGERS audio/RES0211.mp3[446.440,449.800] SO LAST LAST TWO WEEKS YOU HAVENT LEFT THE COUNTRY audio/MSK0028.mp3[837.880,850.480] THERE THERE IS DISCOMFORT IN THE AFFECTED SIDE BUT I CAN I CAN MOVE IT MUCH MORE THAN I CAN MOVE MY ELBOWS OR ANYTHING LIKE THAT audio/RES0139.mp3[481.680,484.680] YEAH I WOULD REALLY LIKE THAT THANK YOU audio/RES0106.mp3[276.160,284.280] ABOUT 89 YEARS AGO WHEN I WAS 17 YEARS OF 16 YEARS OLD AH 17 YEARS OLD audio/RES0073.mp3[228.560,231.440] NO NOT INSIDE MY MOUTH audio/RES0046.mp3[134.480,139.680] YEAH NO NO BLOOD JUST YEAH ITS BEEN MOSTLY DRY audio/RES0045.mp3[262.040,263.440] UH NO audio/MSK0026.mp3[532.120,534.760] I DONT audio/RES0207.mp3[184.640,185.920] THATS A HARD QUESTION audio/RES0127.mp3[182.680,193.520] UHM YEAH I TRIED LIKE UMM REACTIN AND THAT REALLY HELPED audio/RES0178.mp3[230.960,235.040] NO OK NATURAL VOMITING audio/RES0091.mp3[337.800,411.960] YEAH SO IT SEEMS LIKE ITS BEEN GOING ON FOR MORE THAN ONE AND A HALF WEEK WHAT WHAT IS REASSURING IS THAT YOURE NOT HAVING ANY OTHER SYMPTOMS THAT ARE CONCERNING LIKE YOURE NOT HAVING ANY COUGH YOURE NOT HAVING ANY GREEN OR YELLOW SPUTUM YOURE NOT HAVING ANY FEVERS SO IT SEEMS THAT YOU MIGHT JUST BE HAVING A COLD WHICH CAN BE CAUSED BY JUST A VIRAL UH INFECTION BUT IT SHOULD GO AWAY ON ITS OWN JUST MAKE SURE THAT YOURE GETTING SOME REST YOURE HYDRATING WELL UHM YOU CAN GET SOME OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD FOR EXAMPLE BUT FOR NOW I WOULD SAY WE SHOULD JUST WAIT AND WATCH BUT JUST IN CASE ALSO SINCE IT IS ONE OF THE SYMPTOMS THATS FOR COVID AS WELL IN THIS TIME PERIOD WE WILL JUST GET A COVID SWAB JUST IN CASE BUT MOST LIKELY ITS NOTHING TO BE WORRIED ABOUT UNTIL YOU GET YOUR TEST I WOULD RECOMMEND STAYING ISOLATED AND THEN WE CAN GO ON FROM THERE IS THAT DOES THAT SOUND GOOD TO YOU audio/MSK0043.mp3[714.640,718.480] OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0062.mp3[784.120,789.520] IM NOT SURE I KNOW ITS THEIR LOWEST DOSE THOUGH audio/RES0166.mp3[220.240,222.400] UHM I HAD I BROKE MY HIP audio/RES0060.mp3[538.760,544.560] OK WHEN WAS THE LAST TIME YOU HAD BLOOD WORK DONE audio/RES0081.mp3[112.520,117.920] OK I SEE AND HAS HE HAD A COUGH audio/RES0077.mp3[421.880,427.040] HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY audio/RES0109.mp3[165.400,166.720] UH NO audio/RES0129.mp3[163.440,166.680] NO I HAVENT HE HAS JUST BEEN TUGGING AT THE RIGHT ONE audio/RES0064.mp3[326.040,329.200] YEAH ALL HIS IMMUNIZATIONS ARE UP TO DATE audio/RES0150.mp3[529.080,542.320] OK UM AND UM ANY REASONS OR CONCERNS FOR UM UH PHYSICAL OR EMOTIONAL ABUSE IN THE HOME audio/RES0137.mp3[457.400,461.160] NO NO COMPLICATIONS SHES DOING OKAY audio/RES0027.mp3[639.560,651.240] MY SISTER WHOS 15 YEARS OLDER THAN I AM SHE HAD A HEART ATTACK QUITE RECENTLY audio/CAR0001.mp3[212.440,223.240] OK UH HAVE YOU BEEN EXPERIENCING ANY LIKE RACING OF THE HEART audio/MSK0008.mp3[428.760,434.080] OK DID YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING ELSE audio/RES0044.mp3[650.000,653.320] THREE OR FOUR DRINKS A WEEKEND OK audio/RES0189.mp3[394.000,400.320] OK AND HAVE YOU HAD ANY FAINTING OR DIZZINESS audio/RES0120.mp3[276.360,283.280] OKAY DO YOU GET ANY KIND OF CHEST PAIN WITH ANY ACTIVITIES audio/RES0207.mp3[344.720,349.240] YEAH YEAH I LIVE WITH MY DAUGHTER AND MY WIFE audio/RES0091.mp3[217.040,219.320] I LIVE IN AN APARTMENT audio/RES0170.mp3[178.280,181.680] NO HE HASNT SAID ANYTHING LIKE THAT audio/MSK0041.mp3[512.040,514.600] I LIVE WITH MY SON IN A HOUSE audio/RES0123.mp3[462.160,466.600] OKAY AND DO YOU UH CONSUME MARIJUANA audio/RES0187.mp3[686.920,691.120] OK THAT SOUNDS GOOD THANK YOU audio/RES0091.mp3[30.600,34.360] UHM IT STARTED GETTING STUFFY ABOUT TWO WEEKS AGO audio/RES0014.mp3[59.600,70.040] OK DOES ANYTHING ELSE MAKE IT WORSE LIKE DUST YOU KNOW LAYING DOWN ANYTHING LIKE THAT audio/RES0131.mp3[33.880,36.000] THATS BEEN MORE IN THE LAST TWO DAYS audio/RES0178.mp3[87.600,93.760] I DID YEAH IT WAS 38 POINT AH POINT 8 audio/MSK0005.mp3[422.320,423.520] NO PAIN audio/RES0038.mp3[81.000,92.440] OK AND ANYTHING THAT YOU DID WHEN YOU WERE IN MEXICO THAT MIGHT YOU THINK MIGHT HAVE CAUSED YOUR COUGH audio/RES0212.mp3[303.640,308.880] OK SO ASIDE FROM THE ECZEMA IT SOUNDS LIKE YOURE PRETTY HEALTHY EH audio/RES0017.mp3[270.760,294.880] LIKE BEFORE LIKE BEFORE SIX MONTHS AGO I REMEMBER I USED TO BE ABLE TO GO FOR LONG WALKS AROUND THE BLOCK THEN WHEN I WAS GARDENING I CAN GO ON FOR HOURS BUT NOW IM PRETTY ITS PRETTY LIMITED TO LIKE MAYBE 1520 MINUTES AND THEN I HAVE TO GO BACK INTO THE HOUSE audio/RES0139.mp3[204.040,209.480] OKAY AND ANY UH LOSS OF YOUR SENSE OF TASTE OR SMELL audio/RES0071.mp3[75.360,79.320] UH A COUPLE OF TEASPOONS audio/RES0004.mp3[137.640,143.280] OK OK UM HAVE YOU NOTICED A FEVER AT ALL audio/RES0204.mp3[374.960,380.240] UM I LIKE PLAYING WITH MY FRIENDS I LIKE PLAYING VIDEO GAMES audio/RES0025.mp3[176.480,180.120] MY APPETITE REALLY HASNT BEEN THERE audio/RES0178.mp3[168.440,171.040] OK ANY RASHES audio/RES0084.mp3[94.320,102.600] OK SO HEADACHE STARTED FOUR DAYS AGO IS IT PERSISTENT OR CONSTANT OR DOES IT COME AND GO audio/RES0144.mp3[322.560,325.960] UHM NO I DONT THINK SO audio/RES0103.mp3[544.440,546.360] HEY YOURE WELCOME TAKE CARE audio/RES0012.mp3[723.200,723.760] AH NO audio/RES0088.mp3[446.760,449.280] UH NO NOTHING LIKE THAT audio/RES0082.mp3[202.840,209.920] OK ANY UH DO YOU FIND THAT YOUR EYES ARE RUNNY OR RED OR ANYTHING LIKE THAT audio/RES0175.mp3[371.720,376.560] OK HAVE YOU TRAVELED ANYWHERE audio/RES0187.mp3[136.080,138.320] OK ANY NUMBNESS OR TINGLING audio/RES0215.mp3[39.960,46.360] UM I NOTICED THAT SHE WAS WHEEZY UM AND ITS IT SEEMED LIKE SHE WAS HAVING SOME DIFFICULTY TAKING IN DEEP BREATHS audio/MSK0031.mp3[160.960,164.520] OK ANY NUMBNESS OR TINGLING audio/RES0179.mp3[581.880,583.640] UH OK audio/RES0107.mp3[148.960,155.840] NO OK HAVE YOU DO YOU THINK HES LOST HIS LIKE SENSE OF SMELL OR TASTE audio/RES0199.mp3[0.000,1.960] WHAT BRINGS YOU IN audio/MSK0009.mp3[491.440,503.480] OK AND UH HAVE YOU BEEN SO YOU YOUVE HAD THE BIRTH OF YOUR YOU PREGNANT AT OTHER TIMES IN THE PAST audio/RES0076.mp3[421.560,430.560] UHM I HAD A CATARACT SURGERY BUT THATS ABOUT IT audio/RES0126.mp3[170.440,178.200] IVE JUST BEEN USING MY INHALERS A BIT MORE BUT THEY DONT ALWAYS HELP audio/RES0087.mp3[409.200,412.320] YEAH ALL HIS IMMUNIZATIONS ARE GOOD audio/RES0077.mp3[555.800,562.400] OK HAS YOUR SLEEP OR APPETITE CHANGED AT ALL audio/RES0188.mp3[373.040,374.080] SHES SIX YEARS OLD audio/RES0127.mp3[5.240,28.120] HI IVE IVE JUST BEEN IVE BEEN SNEEZING A LOT AND I HAVE THIS RUNNY NOSE ITS JUST BEEN VERY IRRITATING I KIND OF WANT TO DO SOMETHING ABOUT IT IVE HAD IT FOR AWHILE BUT ITS JUST YOU KNOW I DECIDED TO LIKE COME IN TO FIND OUT WHATS WHATS WRONG WITH ME WHY DO I LIKE WHY DOES THIS HAPPEN TO ME ALL MY FRIENDS ARE OK audio/MSK0033.mp3[627.840,752.960] YEAH SO DEFINITELY THIS IS SOMETHING THAT IS WHAT WE CALL JUMPERS KNEE ITS FAIRLY COMMON UH AMONGST YOUNGER ATHLETES ESPECIALLY THOSE THAT PLAY SPORTS LIKE VOLLEYBALL OR BASKETBALL BUT RIGHT NOW WE DONT REALLY NEED TO DO ANY KIND OF IMAGING OR ANYTHING LIKE THAT IT SEEMS LIKE YOURE IN THE EARLIER PHASES AND ITS GOOD THAT YOU CAME IN WE DEFINITELY DO NEED TO MANAGE IT WITH SOME CONSERVATIVE MANAGEMENT WHERE WERE GOING TO KEEP HAVING TAKING A LOOK AT IT AS WELL AS I WOULD RECOMMEND ICING IT EVERY LIKE FOR HALF AN HOUR LIKE AROUND FOUR TO SIX TIMES A DAY ESPECIALLY AFTER YOURE DOING YOUR ACTIVITIES THEN YOU CAN YOU CAN TAKE THE CONTINUE TAKING THE TYLENOL AND ADVIL AS WELL AS LONG AS YOURE FOLLOWING THE MAXIMUM AMOUNT PER DAY DEPENDING ON IF YOURE TAKING EXTRA STRENGTH TYLENOL FOR EXAMPLE VERSUS THE REGULAR STRENGTH AND THEN I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL KIND OF A TEACH YOU SOME STRENGTHENING AND STRETCHING EXERCISES THAT YOU CAN DO TO HELP WHAT WE CALL LIKE THAT YOU WILL YOU MIGHT BE HAVING IS JUST UM SOME INFLAMMATION IN YOUR PATELLAR TENDON RIGHT BELOW YOUR PATELLA SO WE NEED TO STRENGTHEN THE MUSCLES AROUND IT SO WELL DO SOME REFERRAL TO PHYSIOTHERAPY AND THEN WELL SEE HOW YOU YOU DO BASED ON ALL THOSE TREATMENT OPTIONS AND THEN IF IT GETS WORSE AND IF OR IF IT DOESNT GET BETTER WE MIGHT NEED TO DO SOME IMAGING EITHER ULTRASOUND OR AN MRI AND THEN SEE WHERE TO GO FROM THERE BUT FOR NOW DOES THAT SOUND OK WITH YOU audio/RES0138.mp3[484.720,488.240] AND DO YOU DRINK ALCOHOL audio/RES0125.mp3[486.000,487.040] UH SCHOOL FROM HOME audio/RES0048.mp3[833.120,890.080] YEAH FOR SURE I THINK THATS A GOOD IDEA UM SO AND ITS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WELL DO A COVID SWAB TODAY UM AND YOULL HEAR BACK WITHIN 24 TO 48 HOURS UM BUT IN THE MEAN TIME REGARDLESS OF WHETHER YOU ACTUALLY HAVE COVID OR NOT BECAUSE YOUR SYMPTOMS OVERLAP WITH COVID UM ITS GOOD TO ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR WIFE AS WELL IF POSSIBLE AND PUBLIC HEALTH SHOULD BE IN TOUCH IF ITS POSITIVE UH TO DO CONTACT TRACING UM AND IF ITS NOT COVID ITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR UH IF YOUR SYMPTOMS GET WORSE UM YOU KNOW YOURE HAVING NEUROLOGICAL SYMPTOMS OR OR IF YOUR FEVER GETS REALLY HIGH OR YOURE HAVING A LOT OF TROUBLE BREATHING THEN YOU SHOULD GO SEE THE ER HOW DOES THAT SOUND audio/RES0026.mp3[598.760,606.840] AH THERE WAS COLON CANCER ON MY DAD SIDE OF THE FAMILY BUT IM NOT TOO SURE WHO HAD IT audio/RES0201.mp3[387.840,396.120] OK AND WHAT MEDICATIONS ARE YOU CURRENTLY TAKING audio/RES0024.mp3[559.040,562.800] ALRIGHT YOURE WELCOME audio/RES0183.mp3[153.480,159.640] OK OK AND HAS HE HAD ANY EYE REDNESS OR ANY EYE DISCHARGE audio/RES0024.mp3[178.160,184.760] OK AND IN THE LAST SEVERAL DAYS HAVE YOU HAD A SORE THROAT audio/RES0052.mp3[536.160,542.800] SHE HAS THIS PINK EYE AND SHE HAS A COUGH audio/MSK0034.mp3[188.640,195.280] OK AND OTHER THAN THAT HAVE YOU RECENTLY BEEN SICK AT ALL audio/RES0199.mp3[212.920,216.400] UM OK AND HOW ABOUT RASHES audio/RES0198.mp3[338.800,345.560] OK ANY OTHER RECREATIONAL DRUGS LIKE COCAINE AND HEROIN ANYTHING LIKE THAT audio/RES0037.mp3[32.800,42.280] OK AND HOW HOW MUCH OF THE SPUTUM WOULD YOU SAY YOURE BRINGING UP IN AN AVERAGE DAY LIKE A TEASPOON TABLESPOON audio/RES0075.mp3[440.160,444.240] YEAH WE USE CONDOMS WERE PRETTY SAFE audio/RES0131.mp3[449.640,451.680] NO I DONT USE ANYTHING LIKE THAT audio/RES0141.mp3[167.200,170.960] OKAY AND ANY DIFFICULTIES BREATHING audio/RES0025.mp3[114.000,117.120] NO ITS BEEN KIND OF YELLOWISH audio/RES0109.mp3[76.560,82.600] UM THE COLD AIR DOES MAKE IT A LITTLE BIT UH WORSE audio/RES0210.mp3[266.640,273.840] ITS KIND OF ALWAYS THERE IT GETS A LITTLE BIT WORSE WITH COUGHING AND WHEN I TAKE A PRETTY BIG DEEP BREATH audio/RES0013.mp3[70.880,98.600] UM OK SO I JUST WANT TO STATE AT THIS POINT I WOULD DO ABCS LIKE I WOULD DO THE VITALS AND MAKE SURE YOURE STABLE AND THEN DO AIRWAY BREATHING CIRCULATION IF YOU WERENT BEFORE I CONTINUE WITH THE HISTORY OK SO OK SO THATS HOW IT STARTED UM ARE YOU HAVING ANY CHEST PAIN AT ALL ASSOCIATED WITH THAT audio/GAS0002.mp3[346.640,349.680] NO NOT NOT THAT I KNOW OF audio/MSK0017.mp3[738.560,741.440] UH NO PAIN THERE audio/GAS0002.mp3[446.440,456.160] UM SO MY FATHER DIED OF A STROKE WHEN HE WAS IN HIS 60S MY MOTHER DOES HAVE GALLSTONES audio/RES0134.mp3[746.440,750.200] NO NOT RECENTLY audio/RES0177.mp3[115.080,120.200] OK AND THE SERVICE OF BREAD STARTED WITH A COUGH audio/RES0004.mp3[659.640,664.200] YEAH I LIVE WITH MY PARENTS AND MY YOUNGER SISTER SHES 12 audio/RES0132.mp3[539.440,547.400] OKAY WERE THERE ANY EXPOSURES UH THERE THAT YOU WERE AWARE OF LIKE THINGS THAT YOU WERE BREATHING IN audio/RES0025.mp3[556.760,563.080] UM YEAH I WILL HAVE WINE MAYBE ONE OR TWO GLASSES ON ON THE WEEKEND audio/RES0028.mp3[277.000,281.920] OK HAVE YOU NOTICED ANY COUGH COUGHING AT ALL audio/RES0007.mp3[455.560,461.840] LIKE I BROKE MY LEG YEARS AGO BUT LIKE THAT WAS JUST LIKE REALLY FAST audio/RES0082.mp3[397.040,401.360] OK ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0071.mp3[459.080,474.840] OK AND HAVE YOU RECENTLY PRIOR TO YOUR COUGHING HAVE YOU HAD ANY INFECTIONS LIKE A VIRAL ILLNESS OR LIKE A COLD FOR EXAMPLE ANYTHING LIKE THAT audio/RES0178.mp3[501.240,508.000] OK AND AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0069.mp3[72.440,76.880] YEAH IM JUST FEELING A LITTLE FEVERISH audio/GAS0005.mp3[347.400,352.960] UH NO NOT NOT REALLY NO audio/RES0192.mp3[71.920,75.800] YEAH I THINK SO I THINK THATS FINE audio/RES0051.mp3[517.560,523.880] OK AND UMM WHO IN THE FAMILY HAS THAT audio/RES0078.mp3[167.040,178.080] I HAVE FELT HOT BUT NO CHILLS audio/RES0148.mp3[366.040,377.160] ALRIGHT AND COULD YOU TELL ME ALRIGHT THEN SORRY ACTUALLY UH HAVE YOU HAD ANY HOSPITALIZATIONS OR UH PREVIOUS SURGERIES audio/RES0021.mp3[88.160,94.040] ANYTHING THATS LIKE TRIGGERED THE COUGH audio/RES0183.mp3[583.760,587.280] NO NOTHING LIKE THAT audio/MSK0016.mp3[1098.400,1100.160] YEAH NO PROBLEM audio/RES0099.mp3[508.720,512.360] NO NOTHING LIKE THAT audio/RES0039.mp3[210.240,219.960] UM IT WAS JUST THAT TIME JUST THIS MORNING ON THE TISSUE AND THEN A LITTLE BIT IN THE TOILET AND IT LOOKED LIKE A LOT IN THE IN THE WATER audio/MSK0041.mp3[273.960,285.280] AND HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING audio/RES0210.mp3[207.720,212.960] AFTER AN AWFUL LOT OF COUGHING YEAH IT STARTS TO FEEL A LITTLE RAW audio/RES0111.mp3[353.000,358.320] OK ANY UM ANY ANY CONCERNS ABOUT DEPRESSION OR ANXIETY audio/MSK0009.mp3[319.000,330.560] OK UH AND HAVE YOU HAD ANY LIKE INFECTIOUS SYMPTOMS SUCH AS LIKE LIKE A RUNNY NOSE OR SORE THROAT audio/RES0012.mp3[277.000,285.040] UM OK SO THESE NIGHT EVENTS THAT YOURE DESCRIBING ARE THEY MORE CHILLS OR NIGHT SWEATS audio/RES0060.mp3[654.400,656.200] JUST A MULTI VITAMIN audio/RES0132.mp3[213.760,216.320] NO NOT THAT IVE NOTICED audio/RES0074.mp3[81.160,87.200] OK AND HAVE THERE BEEN ANY CHANGES TO YOUR VOICE audio/GAS0002.mp3[491.720,494.400] NO NOT REALLY audio/RES0150.mp3[324.960,328.200] OK AND ANY ABDOMINAL PAIN audio/RES0095.mp3[263.200,271.760] I DO I I UHM I LEAK URINE SOMETIMES ACTUALLY QUITE OFTEN audio/RES0165.mp3[154.080,165.000] OK AND UH DO YOU HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER TO HELP WITH THESE SYMPTOMS audio/RES0084.mp3[704.440,715.720] OK ANY OLD CARPET DUST MOLD ANYTHING THAT IS CONCERNING FROM THAT STANDPOINT audio/RES0099.mp3[37.320,49.160] OK SO JUST TO CONFIRM SO THE THE SYMPTOMS AT FIRST STARTED WITH A HEADACHE AND AND FATIGUE AND THAT STARTED TWO DAYS AGO audio/RES0077.mp3[252.080,258.880] ID SAY ITS GOTTEN A LITTLE BIT WORSE OVER THESE LAST COUPLE OF DAYS audio/MSK0018.mp3[166.840,169.200] CHANGES IN YOUR BOWEL MOVEMENTS audio/MSK0029.mp3[332.880,353.560] OH NO I GUESS LIKE LAST NIGHT IT WAS A LITTLE BIT MORE DIFFICULT BECAUSE I WAS JUST I SLEPT I JUST ON MY BACK SO THAT I WASNT MOVING AROUND AS MUCH SO THAT WAS A LITTLE BIT AWKWARD BUT I WAS ABLE TO SLEEP THOUGH audio/RES0121.mp3[348.920,350.200] THANK YOU audio/RES0063.mp3[383.080,388.480] OK GOOD AND AND HOW ABOUT ANY ALLERGIES audio/RES0109.mp3[140.200,142.400] SMELL OR TASTE audio/RES0098.mp3[554.320,564.920] UH NO IF I IF I REALLY WANT MARIJUANA I WOULD HAVE TO GO WITH EDIBLES I I CANT TAKE THE SMOKE audio/RES0076.mp3[275.720,278.920] OK ANY BLOOD IN YOUR STOOLS AT ALL audio/RES0129.mp3[192.320,195.960] NO THE OUTSIDE OF THE EAR LOOKS NORMAL audio/RES0026.mp3[145.600,150.440] OK AND IS THE COUGH THERE AT NIGHT TIME TOO audio/RES0051.mp3[182.360,192.520] OK SO YOUR NOSE HASNT BEEN RUNNY BUT HAS IT FELT CONGESTED audio/RES0177.mp3[469.160,475.720] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0022.mp3[566.240,570.160] OK AND DO YOU USE INHALERS FOR THAT audio/MSK0028.mp3[632.000,647.280] NO I UH PROBABLY TRIED A COUPLE TIMES AND HIGH SCHOOL AND UNIVERSITY BUT JUST IT WAS NEVER MY THING audio/RES0177.mp3[505.040,514.560] OK GOOD UMM SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0067.mp3[292.520,301.920] IM SHE LIVES WITH MYSELF AS WELL AS HER OLDER BROTHER audio/RES0123.mp3[466.600,469.560] JUST UM MAYBE ONCE OR TWICE A MONTH audio/RES0059.mp3[394.560,397.760] OK AND NO OTHER MEDICATIONS audio/MSK0032.mp3[208.920,213.120] UM ANY HEADACHES audio/RES0150.mp3[251.160,253.320] YEAH YEAH audio/RES0209.mp3[415.080,419.160] ANYONE IN YOUR FAMILY HAVE ANY OTHER BREATHING PROBLEMS audio/RES0163.mp3[285.680,291.280] ANY SHORTNESS OF BREATH AT ALL audio/RES0185.mp3[107.680,113.200] OK GOOD AND AND THEN ANY SHORTNESS OF BREATH audio/RES0062.mp3[311.040,316.000] OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0097.mp3[404.800,413.320] ALRIGHT AND IS HE FOLLOWED BY A RESPIROLOGIST CURRENTLY audio/RES0132.mp3[194.600,198.560] HAVE YOU HAD ANY LIGHTHEADEDNESS OR OR FEELING DIZZY audio/MSK0039.mp3[279.160,281.400] FEVERS OR CHILLS audio/RES0001.mp3[702.520,706.080] I CANT THINK OF ANY ANYBODY WHOS BEEN SICK NO audio/RES0207.mp3[319.440,326.040] DO YOU HAVE ANY FAMILY HISTORY ANY ANY DISEASES THAT RUN IN YOUR FAMILY audio/RES0103.mp3[225.200,228.800] NO THATS BEEN NORMAL audio/MSK0009.mp3[832.360,921.360] OK YEAH ALRIGHT SO WITH THE I FALL 2 DAYS AGO THINGS THAT IM THINKING ABOUT RIGHT NOW WOULD BE POSSIBLY A MUSCLE STRAIN SO THIS COULD BE A GASTROCNEMIUS STRAIN TO THE CALF MUSCLE ITSELF FROM FROM THE FALL WHICH COULD HAVE PAIN WHEN YOU TOUCH IT THERE COULD BE SOME SWELLING AND SAID IT WOULD BE AGGRAVATED BY MOVEMENTS ALSO COULD BE LIKE INJURIES TO SOME OF THAT THE LIGAMENTS THERE AS WELL AND HOWEVER WITH THIS THE SWELLING IMMOBILIZATION FOR THE LAST TWO DAYS AS WELL AS THE PAIN KIND OF BEING A BIT PROGRESSIVE THAT WITH SWELLING AND A POSITIVE HOMAN IN TEST AND YOUR TEMPERATURE IS A LITTLE BIT ELEVATED TODAY NOT QUITE A FEVER BUT FEVERISH IT DOES INCREASE THE SUSPICION FOR DEEP VEIN THROMBOSIS AND SO I THINK THE MOST LIKELY THING RIGHT NOW IS ACTUALLY A DVT OR DEEP VEIN THROMBOSIS AND SO WE WILL ORDER SOME DIAGNOSTIC STUDIES GET AN ULTRASOUND OF YOUR RIGHT CALF AS WELL AS AN X RAY OF THE RIGHT KNEE TO TO START OK audio/MSK0034.mp3[294.720,299.240] OK ARE ALL YOUR IMMUNIZATIONS UP TO DATE audio/RES0058.mp3[180.360,184.640] I THINK APPETITES BEEN OK IVE BEEN HUNGRY audio/MSK0040.mp3[456.720,462.440] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/DER0001.mp3[261.800,275.480] ASIDE FROM JUST FEELING OVERALL CRUMMY LAST COUPLE WEEKS NO DONT REALLY LESS ENERGY TODAY BUT I WAS UP LAST NIGHT THINKING ABOUT THIS AND YEAH WANTED TO COME IN AND TALK audio/RES0149.mp3[370.000,382.080] OK YEAH THATS QUITE A LONG FLIGHT AND IM SORRY TO HEAR ABOUT UM THE LOSS OF THE FAMILY UM OK UM OH AND THAT REMINDS ME HAVE YOU COUGHED UP UH ANY BLOOD AT ALL audio/MSK0006.mp3[335.880,338.800] FEVERS OR CHILLS audio/RES0200.mp3[576.800,580.120] NO JUST BEEN ON OUR HOUSE audio/CAR0002.mp3[87.640,96.520] OK AND IS THE PAIN JUST STAYING IN THE REGION OF THE LEFT CHEST AREA THAT YOU MENTIONED OR IS IT TRAVELING TO ANY OTHER PART OF YOUR BODY audio/RES0068.mp3[397.400,401.040] UM NO I JUST TAKE SOME MULTIVITAMINS audio/MSK0011.mp3[296.520,300.520] ANY CHANGES IN YOUR VISION HEARING A BALANCE audio/RES0117.mp3[171.080,173.320] UH JOINT PAIN audio/RES0190.mp3[221.240,226.600] OK AND HAVE YOU HAD ANY LOSS OF APPETITE audio/MSK0049.mp3[455.720,457.840] I THINK SO audio/RES0191.mp3[218.320,225.000] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE OR MALAISE audio/RES0043.mp3[166.400,170.080] OK HOW ABOUT SHORT OF BREATH audio/RES0058.mp3[9.360,21.160] SO USUALLY WE GO TO MY FAVORITE PIZZA SPOT FOR LUNCH AND THESE LAST COUPLE OF DAYS IVE NOTICED I JUST CANT TASTE IT audio/RES0158.mp3[102.640,113.800] THATS BEEN OVER THE PAST UM LIKE 3 DAYS OR SO YEAH I WOKE UP AND IVE JUST BEEN FEELING UH YEAH ACHY AND JUST NOT FEELING GOOD audio/RES0008.mp3[440.440,453.880] OH YEAH I THINK I WAS CALLED LIKE BRONCHITIS IN THE PAST OR SOMETHING SOMETHING LIKE THAT ONE OF THE DOCTORS MY FAMILY DOCTOR TOLD ME IT WAS BECAUSE I WAS A SMOKER audio/RES0072.mp3[181.520,190.520] YEAH I FELT MY NECK THIS MORNING IN THE FRONT OF IT IT DOES FEEL SWOLLEN audio/RES0089.mp3[218.840,232.400] OK ARE YOU HAVING ANY OTHER ANY OTHER LIKE CAN YOU DESCRIBE YOUR CHEST PAIN A LITTLE BIT IS IT KIND OF A PRESSURE PAIN OR IS IT A SHARP PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT audio/RES0072.mp3[564.560,573.400] OK SO ANYONE AT ALL THAT YOU NOTICE AT SCHOOL THAT WAS SICK AROUND YOU audio/RES0152.mp3[299.440,302.680] NO NO RASHES audio/RES0166.mp3[426.000,437.360] OK ANY HISTORY OF ANY CLOTTING OR CLOTTING DISORDERS AT ALL audio/RES0163.mp3[143.240,149.880] OK AND HOW OFTEN DO YOU GET THESE NOSE BLEEDS audio/RES0012.mp3[580.760,603.640] THERES NO LIKE A BIG PROBLEM IT WAS JUST YOU KNOW MY FAMILY DOCTOR I THINK MY MY DAD HAS DIABETES AND HE HE HE HAD HEART PROBLEMS SO LIKE SHE ALSO MY FAMILY DOCTOR KNOWS MY DAD TOO SO I DONT KNOW IF THAT HAS SOMETHING TO DO WITH IT audio/RES0138.mp3[132.640,138.120] OKAY UM AND HAVE YOU TRIED ANYTHING THATS HELPED YOU UH RELIEVE SOME OF THESE SYMPTOMS audio/RES0183.mp3[50.080,58.080] OK AND IT IT DOES THE COUGH HAPPEN AT ANY PARTICULAR TIME OF DAY audio/RES0012.mp3[496.920,506.080] OK OK UM ANY ANY PAST MEDICAL CONDITIONS THAT YOU KNOW OF audio/RES0204.mp3[459.920,461.680] YEAH THANK YOU audio/RES0065.mp3[280.080,286.320] UM IVE BEEN GETTING OK I SLEEP LIKE IVE BEEN SLEEPING ABOUT 7 TO 8 HOURS audio/RES0140.mp3[56.040,58.480] UM NO NO NOTHING LIKE THAT audio/RES0079.mp3[175.000,179.840] ANY URINARY SYMPTOMS audio/RES0061.mp3[637.840,648.560] OK HOW ABOUT ANY STOMACH PROBLEMS OR LIVER PROBLEMS COLON PROBLEMS audio/RES0188.mp3[157.000,162.960] NO OK UHM ANY CHANGES IN HIS VISION OR HEARING audio/MSK0050.mp3[142.920,172.040] I WOULD SAY THE PAIN IS MORE LIKE A TINGLING SENSATION UM SO I GUESS THE TINGLING IS IS LIKE A SHARP FEELING UM I WOULDNT CALL IT SO MUCH PAIN AS I WOULD JUST LIKE TINGLING AND NUMBNESS audio/RES0050.mp3[358.920,363.960] OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE audio/MSK0036.mp3[28.680,79.000] HUM ITS THE RIGHT ITS A THE RIGHT HAND BUT I ALSO FIND IT SO STARTING TO HAPPEN IN THE LEFT HAND AS WELL BUT MORE SO ON THE RIGHT HAND I FEEL THIS KIND OF SENSATION OVER MY PALMS AND FINGERS IT STARTED I WOULD SAY PROBABLY 2 WEEKS AGO AND ITS BEEN I THINK ITS GRADUALLY BEEN GETTING WORSE IM HAVING MORE DIFFICULTY AT NIGHTTIME ESPECIALLY ITS ALSO WAKING ME UP FROM SLEEP AND ITS YEAH JUST AFFECTING MY DAILY ROUTINE MY WORK SO YEAH I JUST WANTED TO UNDERSTAND WHAT WAS GOING ON audio/RES0053.mp3[331.800,343.320] WELL WEVE BEEN KIND OF SPOILING HIM A BIT JUST GIVING HIM ICE CREAM HIS THROAT HURTS A LITTLE BIT AND HE SEEMS TO STILL LIKE IT SO ITS HARD TO TELL audio/MSK0011.mp3[173.920,180.040] OH YEAH ITS REALLY SHARP IT FEELS LIKE SORRY JUST STABBING ME IN THE HAND audio/RES0045.mp3[369.960,376.160] OK UM ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0169.mp3[361.400,365.280] YES I DO I ENJOY SCHOOL ITS BEEN FUN audio/RES0195.mp3[0.000,2.720] WHAT BRINGS YOU IN HERE TODAY audio/RES0079.mp3[76.880,78.680] NO SPUTUM OR BLOOD audio/RES0062.mp3[27.080,36.280] UH THE SHORTNESS OF BREATH HAS COME ON I DONT KNOW WITHIN THE LAST DAY OR SO ITS COME ON AFTER THAT THE COUGH STARTED FIRST audio/RES0177.mp3[191.080,194.840] NO OK HOW ABOUT CHEST PAIN audio/RES0004.mp3[766.400,770.560] YEAH SHES BETTER NOW audio/RES0060.mp3[290.120,295.120] NO PAIN BUT I HAVE BEEN A LITTLE NAUSEOUS audio/RES0151.mp3[38.160,43.720] UM ITS KIND OF THE SAME audio/RES0042.mp3[175.080,182.000] OK HOW ABOUT UH FEVERS OR CHILLS audio/RES0179.mp3[451.080,453.920] I AM YEAH audio/RES0037.mp3[480.320,486.080] UHM WE HAVE A DOG BUT UM NO FUMES OR ANYTHING LIKE ANYTHING LIKE THAT audio/RES0178.mp3[387.480,392.800] OK GOOD IS HE UP TO DATE WITH HIS IMMUNIZATIONS audio/RES0068.mp3[25.160,33.560] OK SO JUST TO KIND OF GET A TIMELINE WHAT KIND OF STARTED FIRST audio/RES0177.mp3[54.920,60.600] OK AND YOU MENTIONED THE COUGHING STARTED SOON AFTER THE FEVER CORRECT audio/RES0089.mp3[382.440,386.360] UHM NO I DONT THINK SO audio/RES0012.mp3[53.680,63.720] YEAH SO THE SHORTNESS OF BREATH AND CHEST PAIN THEY OCCURRED SIMULTANEOUSLY RIGHT ON THE SAME DAY LIKE 2 DAYS AGO audio/MSK0034.mp3[51.040,62.840] OK AND CAN YOU DESCRIBE WHAT YOU WERE DOING AND FROM HOW HIGH DID YOU FALL AND IF LIKE ON WHAT SURFACE YOU FELL ON audio/RES0105.mp3[244.880,247.160] OK SO NOTHING TODAY RIGHT audio/RES0034.mp3[134.080,144.480] AROUND TWO MONTHS AGO BUT AT THAT TIME I WASNT THAT WORRIED BECAUSE SHE DIDNT HAVE ANY FEVERS audio/RES0019.mp3[306.960,312.920] OK AND HAVE YOU HAD A COUGH audio/CAR0005.mp3[320.520,327.160] AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF CANADA audio/RES0020.mp3[556.280,558.320] NO HES BEEN FINE audio/RES0012.mp3[521.400,527.600] WELL MAYBE WHEN I WAS LIKE KID OR LIKE A TEENAGER audio/RES0034.mp3[314.240,317.200] NOT THAT IVE NOTICED NO audio/RES0014.mp3[234.840,236.600] YEAH EVERYTHING IS OK audio/RES0104.mp3[520.400,525.560] ANY RECENT OR PRIOR HOSPITALIZATIONS audio/RES0185.mp3[80.320,84.520] YEAH ANY COUGHING audio/RES0198.mp3[329.200,338.800] UH NO NOT OK SO NOT FREQUENTLY BUT MAYBE LIKE ONCE A MONTH ILL HAVE AN EDIBLE audio/RES0133.mp3[545.400,559.360] OH NOTHING THAT I WANT TO ADD I JUST WHAT DO YOU HOW DO YOU THINK I CAN MAKE THIS MAKE MY VOICE BETTER AND HOW LONG WILL I HAVE HAVE THIS HORSE VOICE audio/RES0003.mp3[179.360,182.600] UH HE HASNT MENTIONED ANYTHING WITH HIS HEAD audio/MSK0025.mp3[496.600,507.120] AND WHATS YOUR HOME AND LIVING SITUATION LIKE RIGHT NOW audio/RES0046.mp3[62.320,73.440] UM YEAH SMOKING DEFINITELY MAKES IT WORSE I I HAVENT SMOKED THE LAST FEW DAYS CAUSE EACH TIME I LIT A CIGARETTE IT IT BROUGHT IT ON audio/RES0022.mp3[681.160,683.200] NO THAT WAS IT audio/RES0078.mp3[207.800,216.440] AND DO YOU HAVE ANY CHEST PAIN OR CHEST PRESSURE audio/RES0107.mp3[337.000,352.880] UM I DONT MAYBE SO TWO WEEKS AGO HE WAS PLAYING OUTSIDE UM AND I KNOW THAT HE HE DOES HIS SYMPTOMS DO GET WORSE WHEN HES OUTSIDE SO I DONT KNOW MAYBE audio/MSK0024.mp3[17.960,24.320] YOUVE BEEN HAVING IT FOR THE LAST MONTH IS THIS THE FIRST TIME YOURE HAVING THIS BACK PAIN audio/RES0198.mp3[1.880,20.960] UM HI YEAH IVE HAD THE STUFFY NOSE UM THATS BEEN ON AND OFF AS WELL AS A RUNNY NOSE FOR THE PAST WEEK AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT IN CASE I HAVE COVID audio/RES0014.mp3[171.120,181.520] OK SO NO SPUTUM OR PHLEGM NO OK DO YOU EVER FEEL WHEEZY audio/RES0110.mp3[328.840,332.080] UM ANY UH SORE THROAT audio/RES0079.mp3[364.720,375.120] SHES BEEN FATIGUED SINCE COMING BACK BUT I MEAN WE THOUGHT THAT WAS MAYBE JUST FROM THE TRAVELS BUT MAYBE NOT audio/RES0084.mp3[285.000,291.600] OK AND ANY WEIGHT LOSS RECENTLY audio/RES0021.mp3[395.360,399.920] OK SO YOURE YOURE SEEING A RHEUMATOLOGIST FOR THAT audio/RES0120.mp3[406.680,414.520] UM I WAS DIAGNOSED WITH DIABETES UM HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL audio/RES0102.mp3[683.480,691.480] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS audio/RES0067.mp3[253.440,257.800] UM NO SHES BEEN PRETTY HEALTHY OTHERWIS audio/RES0200.mp3[553.280,558.160] NO NOTHING LIKE THAT WE LIVE IN LIKE A FAIRLY NEW APARTMENT audio/RES0124.mp3[117.280,133.280] YEAH LIKE A COUPLE OF TIMES IT GOT REALLY BAD WHERE I HAD TO UM LIKE IT WAS DIFFICULT GET IT WAS IT WAS LIKE I WAS TRYING TO TAKE DEEP BREATHS FOR AIR BUT UH IT WAS IT JUST FELT LIKE I COULDNT audio/RES0052.mp3[381.680,387.320] OK UM DOES SHE TAKE ANY MEDICATIONS REGULARLY audio/MSK0009.mp3[192.960,206.320] OK UHM AND YEAH HAVE YOU HAD ANY OTHER UH LIKE ASSOCIATED SYMPTOMS WITH THE RIGHT KNEE AND CALF PAIN audio/RES0127.mp3[79.520,85.600] I SEE DO YOU GET ANY OTHER SYMPTOMS BESIDES THE UH SNEEZING AND RUNNY NOSE audio/RES0082.mp3[234.760,242.480] OK ALRIGHT GOOD SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS audio/RES0014.mp3[192.760,197.880] OK OK DO YOU HAVE A SORE THROAT audio/RES0128.mp3[238.560,242.480] NO EVERYTHINGS BEEN NORMAL THERE audio/RES0044.mp3[627.440,631.360] UM NO NO audio/RES0053.mp3[679.280,686.240] OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0143.mp3[377.880,390.240] NO SHE SHE DIDNT UM BUT ITS NOT LIKE ITS JUST MORE SHE JUST THOUGHT IT WAS A COLD OR SOMETHING SO SHE DIDNT REALLY BOTHER audio/MSK0003.mp3[416.760,434.320] UM I HAD A UH AND THEN I WAS DIARRHEA LIKE SEVERAL MONTHS AGO AND I HAD SOME ANTIBIOTICS BUT THAT WAS A YEAH SO A FEW MONTHS AGO audio/RES0144.mp3[170.160,173.160] NOTHING NEW RIGHT NO SOLID FOODS YET audio/RES0135.mp3[406.880,410.800] UH NO BEFORE THAT SHE WAS FINE audio/RES0098.mp3[569.720,581.160] UH JUST I WOULD SAY PROBABLY ON THE WEEKENDS I MIGHT HAVE FOUR OR FIVE BEERS audio/RES0104.mp3[703.240,705.280] NO ANY ALCOHOL AT ALL audio/RES0001.mp3[532.320,539.280] UM I THINK IT WAS UM IT WAS FROM FIBROIDS audio/RES0215.mp3[353.120,358.920] AND WE ALREADY TALKED SHE HASNT HAD ANY FEVERS WHEN SHE COUGHS DOES SHE EVER BRING ANYTHING UP audio/RES0208.mp3[446.960,448.800] UH NO NO audio/RES0164.mp3[371.160,375.640] ANY DIARRHEA OR CONSTIPATION audio/RES0030.mp3[231.160,236.480] OK AND HOW ABOUT SHORTNESS OF BREATH audio/MSK0028.mp3[154.440,159.720] NO ITS KIND OF IN THE SAME AREA AS THEY DESCRIBED audio/GAS0007.mp3[340.680,345.680] SURE AND DO YOU SMOKE CIGARETTES audio/RES0043.mp3[360.000,367.400] OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES audio/RES0056.mp3[298.760,301.720] OKNAUSEA OR VOMITING audio/RES0062.mp3[522.760,525.200] UM NO audio/MSK0045.mp3[204.920,220.400] I SEE UM YEAH SO THATS SOMETHING DEFINITELY UH ITS VERY IMPORTANT AND WELL NEED TO CONSIDER GOING FORWARD AS WELL OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF ANY FEVERS OR CHILLS audio/RES0085.mp3[127.640,131.280] OK OK DOES HE LOOK SWOLLEN TO YOU audio/RES0185.mp3[457.520,459.880] OH YEAH SORRY YOU SAID THAT audio/MSK0039.mp3[421.960,430.080] OK ALL RIGHT UM AND THEN ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/MSK0016.mp3[367.040,378.040] OK AND UM DO YOU TAKE ANY MEDICATIONS FOR THE HYPOTHYROID audio/RES0108.mp3[449.800,458.600] UM SO WELL TRY AND CHANGE THAT MEDICATION AND SEE IF YOUR COUGHING STOPS HOW DOES THAT SOUND audio/RES0060.mp3[932.800,939.960] OK YEAH THANK YOU FOR ALL THAT INFORMATION SOUNDS GREAT audio/GAS0001.mp3[409.440,412.600] I SEE ANY ALLERGIES audio/MSK0011.mp3[188.160,197.720] IF IM NOT MOVING IT AROUND ITS A THREE BUT IF I MOVE IT IT GOES UP TO LIKE A 9 OUT OF 10 audio/RES0162.mp3[543.560,548.200] UH DO YOU DRINK ALCOHOL OR HAVE YOU EVER HAD ALCOHOL IN THE PAST audio/RES0134.mp3[259.720,266.040] UM YEAH A LITTLE BIT YEAH IVE BEEN YEAH IVE BEEN FEELING A LITTLE CONGESTED audio/RES0165.mp3[262.480,266.280] HAVE YOU TRIED ANY PAIN MEDICATIONS audio/RES0139.mp3[402.880,410.040] UM SO I I USED TO SMOKE A LOT WHEN I WAS YOUNG AND THEN I QUIT AND THEN I STARTED AGAIN TWO YEARS AGO audio/RES0031.mp3[411.000,414.440] NO IVE BEEN FORTUNATE IM COMPLETELY HEALTHY audio/RES0133.mp3[490.240,506.680] HEART OR LUNG I KNOW UM LIKE HEART DISEASE RUNS ON MY FATHERS SIDE OF THE FAMILY IM NOT REALLY SURE LIKE EXACTLY WHAT WHAT KIND OF DISEASES THOUGH audio/RES0151.mp3[535.240,537.680] AND IS IT LIKE ONE OR TWO DRINKS audio/RES0210.mp3[483.400,484.240] THANK YOU KINDLY audio/MSK0023.mp3[120.320,126.640] OK OK UHM AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE audio/MSK0043.mp3[524.400,529.240] OKAY AND HAVE YOU UM AND WHAT DO YOU USUALLY USE audio/RES0037.mp3[386.400,389.880] OK AND HAVE YOU BEEN HAVING ANY HEADACHES audio/RES0203.mp3[308.520,317.080] OK AND JUST IN TERMS OF FREE LIFESTYLE SO DO YOU LIVE WITH FAMILY audio/RES0123.mp3[317.080,319.600] ANY UH NAUSEA OR VOMITING audio/RES0104.mp3[255.720,259.240] NO JUST A CHILLS LAST NIGHT audio/RES0033.mp3[586.880,592.080] OK AND UM WHERE ARE YOU FROM LIKE ARE YOU LIVING AT HOME RIGHT NOW OR ARE YOU AWAY FOR SCHOOL audio/MSK0034.mp3[85.440,86.640] I DID audio/RES0055.mp3[84.200,89.200] ITS MAINLY LIKE CLEAR WHITE audio/RES0044.mp3[577.080,586.760] OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/MSK0004.mp3[396.520,399.280] OK AND HOW ABOUT ALCOHOL audio/MSK0028.mp3[311.200,315.680] ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE audio/RES0018.mp3[301.600,307.760] ALRIGHT AND THEN HOW ABOUT LIKE MUSCLE ACHES OR OR JOINT ACHES audio/MSK0044.mp3[364.800,369.040] OKAY AND HAVE YOU HAD ANY KIND OF CONCUSSIONS OR ANYTHING IN THE PAST audio/MSK0003.mp3[701.080,724.280] OK AND NO SO ARE YOU ABLE TO BEND DOWN AND STAND UP STRAIGHT OR EXTEND BACKWARDS SO WITHOUT PAIN OR ARE YOU IN ANY PAIN audio/RES0004.mp3[455.520,458.440] OK HOW ABOUT URINE audio/RES0101.mp3[585.000,589.440] NO NOT THAT I KNOW OF audio/RES0178.mp3[307.440,315.200] OK ANY COMPLICATIONS WITH HIS MOTHERS PREGNANCY WITH HIM audio/RES0004.mp3[182.960,191.240] OK HOW BIG IS IT IS IT MORE THAN A CENTIMETER audio/RES0132.mp3[120.400,127.640] OKAY UM AND YOU MENTIONED YOUVE BEEN SHORT OF BREATH AS WELL UH HOW HAS THAT COME ON audio/RES0012.mp3[19.240,30.560] OK THE PAIN IN YOUR CHEST UH CAN YOU POINT POINT OUT OR CAN YOU DESCRIBE THE PAIN TO ME IS THAT SHARP OR IS IT DULL audio/RES0205.mp3[68.200,76.320] THERE WAS SOME MUCUS UM EARLIER ON BUT NOW ITS ITS ALL IT’S A DRY COUGH audio/RES0121.mp3[52.520,56.160] NO NOTHING ELSE audio/RES0150.mp3[136.680,143.160] UHM HE UH HE HASNT REALLY UH YEAH HE HASNT SAID ANYTHING ABOUT THAT audio/RES0155.mp3[502.560,524.800] YEAH SO I HAVE A MEDICATION UH VENTOLIN I TAKE SYMBICORT DAILY UM WHICH IS LIKE A STEROID TYPE MEDICATION AND THEN UM I TAKE AN ACE INHIBITOR I THINK FOR BLOOD PRESSURE AND JUST TUMS OR SOMETHING LIKE THAT IF MY REFLUX IS BAD audio/RES0038.mp3[3.960,14.800] I HAVENT BEEN COUGHING THESE LAST TWO WEEKS SINCE I GOT BACK FROM MEXICO I THINK I GOT SICK THERE audio/RES0067.mp3[218.840,227.960] I THINK NO SHE DIDNT NEED ANY ANTIBIOTICS IT KIND OF WENT AWAY ON ITS OWN audio/RES0199.mp3[51.080,57.120] JUST A TYLENOL NOTHING REALLY YEAH ITS PRETTY CONSTANT audio/RES0195.mp3[468.800,477.760] OK AND WHAT WHAT KIND OF AUTOIMMUNE CONDITIONS ARE THERE audio/RES0074.mp3[419.960,423.960] NO NOT THAT I KNOW OF audio/RES0192.mp3[198.400,204.720] OK HOW ABOUT ANY UM LIKE EYE REDNESS OR EYE DISCHARGE audio/RES0164.mp3[353.360,360.040] SO YEAH HES JUST BEEN TIRED HE HASNT BEEN DOING ANYTHING HES JUST BEEN LYING IN BED HASNT EATEN audio/RES0038.mp3[219.520,230.640] OK AND BESIDES THE COUGH DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY COLD SYMPTOMS OF RUNNY NOSE SORE THROAT RIGHT NOW OR EVEN LIKE ANY CHEST PAIN audio/RES0004.mp3[642.880,645.440] YEAH OK HOW ABOUT CANCERS audio/RES0017.mp3[702.280,710.120] OK UM SO NO REASONS THAT YOU WERE VISITING FARMS AND LIKE BEING AROUND BIRDS OR ANYTHING LIKE THAT audio/RES0015.mp3[535.520,557.280] UM I THINK WHEN I WAS BACK IN INDIA A COUPLE YEARS AGO THEY DID GIVE ME SOME ANTIBIOTICS FOR LIKE A CHEST INFECTION BUT I COULDNT REALLY AFFORD THE MEDICATIONS AND DIDNT TAKE THEM I DIDNT FINISH THE COURSE BUT OTHER THAN THAT NOTHING ELSE audio/RES0103.mp3[436.320,442.160] OK AND DOES ANYONE SMOKE IN THE HOUSE audio/RES0209.mp3[327.040,328.920] UH NO audio/RES0107.mp3[276.000,280.440] YEAH OK ANY NAUSEA OR VOMITING audio/RES0025.mp3[90.880,105.080] YEAH THEY THEY THEYVE GOTTEN WORSE AT FIRST THEY WERE KINDA REALLY SPREAD IT LIKE FAR ENOUGH APART THAT I WOULD THOUGHT IT WAS JUST GOING TO GO AWAY ON ITS OWN AND THEN IT IT HASNT SO HAS ME CONCERNED audio/RES0042.mp3[667.280,671.120] AH YEAH I GUESS THAT SOUNDS GOOD THIS IS HOW ITS GOTTA BE RIGHT audio/RES0081.mp3[259.400,274.440] OK AND TWO DAYS AGO CAN YOU THINK OF ANY TRIGGERS LIKE WAS THERE ANY EXPOSURE TO DUST OR SMOKE OR MAYBE EVEN PETS THAT COULD HAVE BROUGHT THIS ON audio/RES0044.mp3[254.560,265.840] UH NO THATS LIKE A COVID THING RIGHT LIKE I WAS HOPING BECAUSE I COULD STILL I COULD STILL LIKE TASTE MY COFFEE THIS MORNING I WAS HOPING THAT THAT MEANS I DONT HAVE COVID BUT YEAH I DONT REALLY KNOW audio/RES0058.mp3[228.760,231.720] OK NO CONSTIPATION audio/RES0180.mp3[386.960,389.640] UH NO audio/RES0211.mp3[122.560,127.720] NO I MEAN IM IM TIRED BUT I DONT THINK THEYRE NOT LIKE HURTING audio/RES0100.mp3[708.480,718.000] YEAH NO ITS JUST LIKE A NORMAL GLASS OF WINE MAYBE LIKE WE PROBABLY GO THROUGH LIKE A BOTTLE BETWEEN BOTH OF US LIKE EVERY TWO WEEKS MAYBE audio/RES0111.mp3[172.880,175.760] ANY FATIGUE audio/MSK0043.mp3[152.560,167.440] UM I MEAN JUST TRYING TO STAY AS STILL AS POSSIBLE IS ALL IVE BEEN BEEN DOING SO FAR UH BECAUSE UM LIKE ANY TYPE OF MOVEMENT IS REALLY BAD audio/RES0028.mp3[79.120,82.960] OK APPROXIMATELY HOW MANY HOURS AGO WAS THAT audio/RES0079.mp3[210.640,217.920] NOT REALLY IT YEAH JUST KIND OF RUNNING AND YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL audio/RES0145.mp3[215.600,217.960] NO I HAVENT HAD ANY CHEST PAIN audio/MSK0019.mp3[475.920,482.560] NOTHING HOW ABOUT WHEN YOU UM PRESS DOWN ON YOUR LIKE FOREARM EXTENSOR MUSCLE GROUP audio/RES0096.mp3[189.120,192.080] MOST OF THE TIMES YES audio/RES0158.mp3[67.720,74.120] NO IVE JUST BEEN REALLY FEELING YEAH FEVERISH AND FEELING REALLY HOT audio/RES0082.mp3[88.640,97.400] UH YEAH THERES BEEN A LITTLE BIT OF A LIKE WATERY DISCHARGE MY NOSE HAS BEEN RUNNING audio/MSK0004.mp3[246.120,255.840] OK ANY WEAKNESS IN YOUR RIGHT RIGHT EXTREMITIES OR ANY KIND OF NUMBNESS OR TINGLING SENSATION audio/RES0193.mp3[112.120,117.160] OK AND YOURE SAYING YOU ALSO HEAR WHEEZING RIGHT audio/RES0043.mp3[374.600,375.520] UH NO audio/GAS0003.mp3[388.840,392.240] OK AND ANYTHING THAT RUNS IN THE FAMILY AT ALL audio/MSK0013.mp3[717.880,722.920] OK AND THEN HOW ABOUT YOUR KNEES audio/CAR0003.mp3[271.440,275.000] OK ANY FEVERS OR CHILLS OR NIGHT SWEATS audio/RES0077.mp3[202.280,204.920] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0214.mp3[52.640,55.320] OK DO YOU HAVE ANY NECK STIFFNESS audio/RES0188.mp3[182.400,185.080] UHM NO NOTHING LIKE THAT audio/RES0058.mp3[415.840,423.560] I FELT A BIT UMM HOT BUT NOT SWEATY JUST HOT audio/RES0173.mp3[236.080,242.440] OK AND HAVE YOU HAD ANY CHEST PAIN audio/GAS0004.mp3[276.840,280.480] OK HAVE YOU NOTICED ANY BLOOD IN THE VOMIT audio/RES0074.mp3[209.640,217.840] OK SO QUICKLY TO RUN THROUGH A REVIEW HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0177.mp3[194.840,200.720] YEAH SO YEAH HES HAD SOME PAIN WHEN HE WHEN HE JUST REALLY TAKES THAT DEEP BREATH IN audio/RES0020.mp3[417.200,423.080] IM ON INSULIN FOR THAT audio/RES0183.mp3[533.480,544.720] ALRIGHT AND UP TO THIS POINT AS YOU BETTER MEETING IS MILESTONES FOR LIKE TALKING WALKING AND AND THINGS LIKE THAT audio/RES0110.mp3[82.320,89.520] AND UH BEFORE THIS WEEK HOW MUCH DID DID YOU EVER FEEL SHORT OF BREATH BEFORE THIS audio/RES0185.mp3[217.680,229.520] YEAH I HAVE HAD A BIT OF A HEADACHE I FELT KIND OF LIKE A A PRESSURE OF WELL I FELT KIND OF LIKE A PRESSURE IN MY FACE AND A HEADACHE audio/RES0076.mp3[585.240,590.800] YEAH SO ITS BEEN ABOUT FORTY YEAH FORTYISH YEARS AT LEAST audio/RES0135.mp3[277.040,293.400] UM I NOTICED SOME UM YEAH I NOTICED SOME REDNESS BUT I JUST THOUGHT IT WAS BECAUSE OF HER COUGHING A LOT audio/RES0036.mp3[62.120,73.040] UM SO IVE NOTICED THIS WEIRD RUSTY COLORED SPUTUM AND IVE NOTICED THAT LIKE A COUPLE TIMES A DAY audio/MSK0050.mp3[365.240,368.200] OK DO YOU USE ANY INHALERS NOW audio/RES0007.mp3[574.960,578.120] OK AND IN WHAT GRADE NOW audio/RES0142.mp3[165.960,168.840] ANY MEDICATIONS THAT YOUVE BEEN ON audio/RES0056.mp3[53.600,62.600] OK AND DOES IT GET WORSE WITH LIKE COLD AIR OR DUST LIKE MAYBE PETS OR ANYTHING LIKE THAT audio/RES0055.mp3[611.760,617.560] RIGHT NOW I LIVE IN A SMALL BUNGALOW IN LONDON audio/RES0047.mp3[425.080,430.640] YEAH OK ANY JOINT PAINS OR MUSCLE ACHES audio/RES0192.mp3[95.160,98.560] OK AND HAVE YOU HAD ANY LEG SWELLING audio/RES0028.mp3[335.280,338.600] IT JUST WENT AWAY ON ITS OWN audio/RES0129.mp3[99.560,103.520] OK ANY WEIGHT LOSS RECENTLY audio/RES0024.mp3[108.800,113.960] OK ANY FEELING LIKE YOUR HEART IS READY RACING audio/MSK0008.mp3[0.000,2.320] HOW MAY I HELP YOU audio/RES0206.mp3[161.040,164.920] ALRIGHT UM HOW MANY TIMES audio/RES0029.mp3[367.240,381.040] I SMOKE AROUND LIKE ID SAY 2 AND A HALF TO 3 PACKS PER DAY I KNOW ITS YEAH I HAVE TRIED QUITTING BEFORE BUT I WOULD SAY IVE BEEN SMOKING SINCE I WAS 18 audio/RES0061.mp3[50.280,57.680] YEAH I DO FEEL HOT AND UM YEAH MAYBE A BIT TIRED audio/MSK0050.mp3[368.200,370.880] NO NOT FOR A LONG TIME audio/RES0029.mp3[235.680,241.520] OH NO I I THINK I GOT A PRETTY LUCKY audio/RES0049.mp3[636.160,651.280] NO I IVE KIND OF STAYED AWAY ONCE I NOTICED SOME SYMPTOMS IM JUST KIND OF JUST STAYING IN MY ROOM NOT GETTING OUT I DONT WANNA MAKE ANY OF MY FAMILIES LIKE audio/MSK0039.mp3[348.480,365.480] NO UM JUST JUST FOR LIKE MY PREGNANCIES I HAD TWO PREGNANCIES BOTH OF THEM DELIVERED VAGINALLY BUT NO ISSUES WITH THAT JUST AFTER THAT NO HOSPITALIZATIONS OR SURGERIES audio/RES0200.mp3[138.920,144.760] UHM NO NOT REALLY ITS MAINLY JUST WHEN IM MOVING AROUND AND DOING STUFF audio/RES0136.mp3[95.120,119.080] YEAH I JUST FEEL LIKE UM IM GETTING OUT OF BREATH REALLY EASILY JUST LIKE UM WALKING EVEN WALKING TO THE KITCHEN FROM MY BEDROOM IM GETTING SHORT OF BREATH AND IT IT JUST STARTED YESTERDAY MORNING ITS SO ODD audio/RES0061.mp3[57.680,67.520] TIRED OK AND NAUSEA AND VOMITING ARE YOU THROWING UP OR JUST FEELING NAUSEOUS audio/RES0180.mp3[63.480,66.560] OK HOW ABOUT WHEEZING audio/RES0166.mp3[80.040,86.880] NO OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE OFF SORE THROAT CHEST PAIN ANYTHING LIKE THAT audio/RES0190.mp3[122.680,137.280] YEAH IVE HAD CHILLS AND THEN ALSO BEEN FEELING WARM DURING THE DAY I THINK YESTERDAY I TOOK A TEMPERATURE AT NIGHT AND IT WAS 384 DEGREES CELSIUS audio/RES0197.mp3[204.800,205.840] NO NO BLOOD audio/MSK0029.mp3[298.680,305.320] OK OK AND HAVE YOU HAD ANY TINGLING OR NUMBNESS audio/MSK0045.mp3[1.760,17.360] UM SO IM HERE BECAUSE MY SHOULDER HAS BEEN REALLY PAINFUL FOR THE PAST WEEK UM AND ANY MOVEMENT OF THAT SHOULDER OF MY RIGHT SHOULDER CAUSES A LOT OF PAIN audio/RES0073.mp3[60.000,67.200] OK AND COULD YOU DESCRIBE THE DISCHARGE IS IT CLEAR YELLOW GREENISH audio/RES0165.mp3[270.640,277.760] OK ANY CHANGES IN YOUR BOWEL MOVEMENT AT ALL LIKE CONSTIPATION OR DIARRHEA audio/RES0107.mp3[286.360,290.800] OK HOW ABOUT LIKE DIZZINESS OR FAINTING SPELLS audio/RES0204.mp3[332.880,335.560] I SAID JUST SOME SOME ASTHMA IN THE FAMILY audio/MSK0003.mp3[288.280,299.320] YEAH I HAVE BEEN A BIT MORE FATIGUED THAN USUAL AND YEAH I IVE HAD SOME MALAISE AS WELL audio/RES0147.mp3[559.520,584.360] YEAH YEAH WE CAN DEFINITELY DO THAT HERE UHM ALRIGHT SO GIVEN YOUR SYMPTOMS IT SOUNDS LIKE MAYBE YOURE HAVING A COPEXACERBATION POTENTIALLY DO YOU FEEL LIKE YOU MIGHT HAVE HAD CONTACT WITH ANYONE WHO WAS SICK audio/RES0215.mp3[249.080,261.520] EXCELLENT IN REGARDS TO HOW SHES DOING OTHERWISE HEALTH IN TERMS OF HER HEALTH HAS DID SHE SEE A FAMILY PHYSICIAN FOR ANY OTHER MEDICAL ISSUES THAT SHE MIGHT BE HAVING audio/RES0108.mp3[199.160,203.440] OK ANY NAUSEA OR VOMITING audio/RES0101.mp3[569.760,573.760] UH NO audio/RES0161.mp3[359.360,365.840] YEAH THATS THATS THE PLAN IF I CAN DO THAT HOPEFULLY BY THE END OF THIS YEAR THAT WOULD BE GREAT audio/RES0088.mp3[100.480,106.360] NO OK DID SHE HAVE ANY FEVERS AT ALL RECENTLY audio/RES0208.mp3[546.000,552.040] I USUALLY HAVE A WHISKEY OR TWO ON THE WEEKENDS audio/RES0123.mp3[221.760,227.840] MAYBE A LITTLE BIT OF A STIFFNESS IN IN MY NECK audio/RES0107.mp3[318.160,321.520] ITCHING THE TOP OF HIS MOUTH WITH HIS TONGUE OR SOMETHING audio/RES0152.mp3[578.920,591.360] OK SO WELL GET THE UM TESTING STARTED FOR UH FOR THE INVESTIGATIONS AND YEAH IF UH AT ANY POINT SYMPTOMS GET WORSE WELL REEVALUATE audio/MSK0035.mp3[531.600,545.160] OK SO NEXT I WILL ASK YOU TO JUST HAVE A LOOK AT THE WRIST FOR THE PHYSICAL EXAM PORTION ARE YOU SEEING ANY SWELLING OR REDNESS audio/RES0064.mp3[78.800,82.560] ANY LOSS OF TASTE OR SMELL audio/RES0139.mp3[48.240,59.000] NO OKAY UM BEFORE YOU STARTED UH COUGHING DID YOU HAVE ANY OTHER SYMPTOMS LIKE RUNNY NOSE CONGESTION SORE THROAT ANYTHING LIKE THAT audio/RES0142.mp3[279.040,286.200] RIGHT NOW WITH MY MOM DRINKING EVERY NOW AND THEN audio/GAS0004.mp3[346.560,353.240] JUST IN GENERAL LIKE IS THERE ANYTHING THAT YOURE FINDING MAKES YOUR NAUSEA OR YOUR DIARRHEA COME ON audio/RES0167.mp3[493.120,503.960] OK ANY OLD CARPETS OR DUST OR MOLD OR ASBESTOS IN THE IN THE HOME audio/RES0187.mp3[634.480,686.920] YEAH FOR SURE UHM SO WE ARE GOING TO DO A COVID SWAB ON YOU BECAUSE A LOT OF YOUR SYMPTOMS DO ALIGN WITH THOSE OF COVID SO WE JUST WANT TO RULE THAT OUT FIRST SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UHM IN THE MEANTIME YOU SHOULD ISOLATE FOR TWO WEEKS AND IF ITS NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND THIS TIME OF YEAR EITHER WAY KIND OF MANAGEMENT PLAN IS THE SAME SO MAKE SURE YOURE HYDRATED EAT WELL SLEEP WELL AND IF YOUR SYMPTOMS BECOME WORSE SEVERE OR THERE ANY RED FLAGS LIKE YOU HAVE NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR WEAKNESS WHERE YOU CAN MOVE YOUR LIMBS YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND audio/RES0187.mp3[399.680,403.000] UH NO NOT THAT I KNOW OF audio/RES0036.mp3[214.760,225.680] WELL I GUESS IVE TRIED SOME TAKING SOME TYLENOL AND THATS HELPING MY LIKE REGULATING MY TEMPERATURE audio/RES0032.mp3[406.680,415.400] DO YOU NOTICE ANY KIND OF TINGLING OR NUMBNESS IN YOUR LIMBS OR ANY MUSCULAR WEAKNESS audio/RES0031.mp3[283.760,288.600] NO NO SKIN SKIN RASHES audio/MSK0044.mp3[182.400,191.320] OKAY I SEE OKAY ANY OTHER SYMPTOMS LIKE ANY PAIN IN ANY OTHER JOINTS MUSCLES audio/RES0155.mp3[254.560,261.920] OK HAVE YOU TRIED ANYTHING TO HELP YOU WITH YOUR SYMPTOMS audio/RES0016.mp3[138.320,143.440] NOT BEFORE THE TWO YEARS BEFORE I I NEVER FELT ANYTHING LIKE THAT audio/RES0007.mp3[449.040,455.560] OK UM AND ANY RECENT HOSPITALIZATIONS audio/RES0120.mp3[251.440,257.600] OKAY AND DO YOU HAVE TO WAKE UP AT NIGHT TO CATCH YOUR BREATH AT ALL audio/RES0153.mp3[244.200,248.520] OK UM AND HAVE YOU HAD ANY UH ANY BELLY PAIN audio/RES0102.mp3[643.760,650.440] OK AND DO YOU TAKE ANYTHING FOR DEPRESSION audio/RES0184.mp3[117.160,125.000] OK HAVE YOU TRIED ANYTHING FOR IT audio/RES0032.mp3[504.760,515.120] OK AND AND IN YOUR FAMILY HAS THERE BEEN ANY HISTORY OF ANY CANCERS OR HEART ATTACKS ANY ANY MEDICAL CONDITIONS audio/RES0134.mp3[295.120,305.960] UM I YEAH I GUESS MY MUSCLE ACHES A LITTLE BIT UM ITS VERY DULL THOUGH ITS NOT SHARP audio/RES0049.mp3[196.320,211.760] NOT THE LOSS OF TASTE AND SMELL BUT LIKE THE OTHER STUFF WHEN I JUST HAD A COLD OR FLU LIKE SYMPTOMS PREVIOUSLY BUT THE TASTE AND SMELL IS SOMETHING COMPLETELY NEW audio/MSK0038.mp3[1028.920,1031.040] OK YEAH NO WORRIES audio/RES0014.mp3[381.080,383.040] WHEN WAS THAT audio/RES0104.mp3[189.720,199.280] OK DOES YOUR SHORTNESS OF BREATH IMPROVE WITH ANY POSITIONS OR DOES IT IMPROVE WHEN YOURE NOT EXERTING YOURSELF audio/MSK0008.mp3[254.560,256.760] HAVE YOU HAD ANY CHEST PAIN audio/RES0211.mp3[389.440,391.360] HOW OLD’S HE audio/MSK0037.mp3[472.880,476.760] NO NOT THAT I KNOW audio/RES0075.mp3[409.760,414.080] 1 GRAM PROBABLY LASTS LIKE 2 WEEKS audio/RES0156.mp3[116.080,133.360] THEY COME AND GO YEAH LIKE MOST OF THE TIME SHES BEEN OK BUT UH AND SOMETIMES SHELL GET A COUGH AT NIGHT TIME TOO audio/RES0187.mp3[147.120,149.040] ITS A DRY COUGH audio/RES0049.mp3[501.560,516.800] UH MY FATHER DID RECENTLY HAVE A HEART ATTACK AT AGE OF 58 I THINK HE WAS HE HES FINE THOUGH BUT THATS THATS ABOUT IT audio/RES0018.mp3[380.520,387.080] OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION NOW audio/RES0018.mp3[491.880,499.040] OK UM AND YEAH DO YOU SMOKE CIGARETTES audio/RES0069.mp3[76.880,85.840] OK AND WHEN DID THAT START audio/RES0028.mp3[254.720,263.000] OK HAVE YOU NOTICED THAT ALL YOUR HEART RACING LIKE ANY PALPITATIONS audio/RES0190.mp3[210.600,218.240] OK UHM AND UH OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE audio/RES0079.mp3[102.480,104.800] UHM YES audio/RES0107.mp3[52.760,69.240] UH THE RUNNY NOSE KIND OF JUST GOT WORSE A LITTLE BIT OVER THE PAST UH TWO WEEKS AND THEN THE SNEEZING KIND OF STARTED AT ABOUT THE SAME TIME audio/RES0122.mp3[101.560,105.320] UM AND DO YOU HAVE A STUFFY NOSE audio/RES0077.mp3[214.160,219.240] NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN HEALTHY audio/RES0158.mp3[44.480,49.880] OK AND UM HAVE YOU BEEN EXPERIENCING ANY KIND OF UH FEVERS OR CHILLS audio/RES0010.mp3[594.040,596.120] OK COOL THANK YOU audio/RES0176.mp3[475.360,479.720] OK AND HAVE YOU BEEN PREGNANT IN THE PAST audio/RES0046.mp3[23.040,31.520] LAST FOUR DAYS OK AND DO YOU FEEL THAT UM ITS GETTING WORSE BETTER OR STAYING THE SAME audio/RES0035.mp3[236.440,240.880] YEAH I GUESS COUGHING A LOT MAKES ME TIRED audio/RES0087.mp3[246.440,247.120] NO NO audio/RES0072.mp3[447.000,451.960] OK ANY CHANGES IN YOUR SLEEP OR APPETITE audio/GAS0002.mp3[499.560,501.600] UH NO audio/RES0183.mp3[204.320,208.840] OK AND ANY CHANGES TO HIS SENSE OF SMELL OR SENSE OF TASTE audio/MSK0037.mp3[878.240,911.920] BUT ITLL BE IMPORTANT TO GET SOME BLOOD WORK AND THINGS TO MAKE SURE THAT WERE NOT MISSING THAT BUT FOR DUPUYTRENS CONTRACTURE ITLL BE A UH DO DOING WHAT WE CAN WITH THERAPY TO TRY IT LIKE PHYSIOTHERAPY AND ACTIVITY MODIFICATION TO TRY AND LOOSEN THOSE STRUCTURES ON THE ON THE PALM OF YOUR HAND audio/RES0083.mp3[121.400,124.640] DO YOU USUALLY GET HEADACHES audio/RES0186.mp3[61.360,68.360] WITHIN THE LAST DAY OK AND THE COUGHING IS THAT I DRY COUGH OR IS IT A WET COUGH audio/RES0182.mp3[121.240,127.240] OK AND ARE THERE ANY TRIGGERS FOR YOUR COUGH THAT YOU CAN THINK OF audio/RES0186.mp3[255.880,259.360] NO ANY MEMORY LOSS OR CONFUSION audio/RES0159.mp3[217.120,221.560] SO I DONT THINK THATS ANYTHING NEW audio/RES0052.mp3[310.360,312.280] UMM NO audio/RES0058.mp3[526.080,530.880] OK GOOD HAVE YOU BEEN AROUND CATS RECENTLY audio/RES0107.mp3[147.920,148.960] NO NO audio/MSK0045.mp3[473.120,479.520] OK AND AGAIN NO SWELLING REDNESS OR ANYTHING LIKE THAT JUST ITS MAINLY JUST ON THE INSIDE audio/RES0030.mp3[518.960,543.600] UM DIET ILL USUALLY EAT ONE OR TWO MEALS A DAY AND SOMETIMES SNACK THROUGHOUT THE DAY AS WELL BUT WE EAT A VARIETY OF MEATS AND VEGETABLES AND SO I THINK OUR DIET IS PRETTY GOOD BUT EXERCISE DONT HAVE TIME FOR FOR THAT CURRENTLY audio/MSK0022.mp3[828.400,853.600] OK AND DO YOU NOTICE ANY KIND OF DEFORMITIES FOR EXAMPLE LIKE YOURE NOT ABLE TO BEND YOUR FINGER OR ANY KIND OF DEFORMITIES THAT YOU DIDNT SEE BEFORE OR LIKE FOR EXAMPLE YOUR WRIST IS TURNED UH OUTWARDS A LITTLE BIT ANYTHING LIKE THAT audio/RES0184.mp3[376.880,381.320] AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS audio/RES0001.mp3[344.960,351.400] OK UM ANY CALF PAIN audio/RES0207.mp3[397.440,401.520] ON THE WEEKENDS ONE OR TWO CLASS SAYS A WINE audio/RES0021.mp3[121.680,138.440] OK UM HAVE YOU HAD ANY INFECTIONS RECENTLY LIKE IN THE LAST MONTH OR SO LIKE A VIRAL ILLNESS UM LIKE WHERE YOU HAD MAYBE LIKE A RUNNY NOSE SORE THROAT AND AND A COUGH audio/MSK0007.mp3[672.880,681.640] OK AND IS THERE ANY NUMBNESS OR TINGLING ANYWHERE audio/RES0099.mp3[609.000,611.360] NO NEVER audio/RES0155.mp3[497.520,502.560] THREE YEARS AGO OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THESE CONDITIONS audio/RES0076.mp3[667.920,675.960] OK SWEET AND OTHER THAN SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0095.mp3[661.720,671.880] OK AND UH I MIGHT HAVE ASKED BUT JUST TO TO BE COMPLETE DID YOU HAVE ANY NAUSEA OR VOMITING audio/RES0095.mp3[564.880,567.640] NO NO NO NO NOTHING LIKE THAT audio/RES0097.mp3[592.720,596.080] OK UHM AND ARE THERE ANY PETS IN THE HOME audio/RES0193.mp3[100.320,102.240] ITS ITS A DRY COUGH audio/RES0089.mp3[411.400,422.720] OK AND IS THAT JUST ABOUT TODAY OR IS IT DO YOU THINK ITS BECAUSE OF YOUR SHORTNESS OF BREATH audio/RES0137.mp3[353.000,358.080] AND UM ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/RES0181.mp3[210.840,216.120] I SEE OK AND ANY SKIN CHANGES OR RASHES audio/MSK0001.mp3[457.840,471.920] I FEEL LIKE ITS UH PRETTY NORMAL MOSTLY HOME COOKED MEALS WITH SOME VARIETY VEGETABLE VEGETABLES OTHER MEATS AND FISH I WOULD SAY ITS PRETTY BALANCED audio/RES0004.mp3[476.760,479.640] YEAH OK WHEN WAS THE LAST TIME YOU HAD A SORE THROAT audio/RES0128.mp3[101.000,102.480] NO WE HAVENT audio/RES0102.mp3[781.640,784.600] OK AND NO CHEST PAIN ON EXERTION audio/RES0201.mp3[311.280,317.520] OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS audio/RES0100.mp3[77.680,85.000] I DO FEEL LIKE IVE LOST A BIT OF MY APPETITE OVER THE LAST THREE TO FOUR DAYS audio/RES0070.mp3[507.000,513.600] ALRIGHT AND SO I DONT THINK I ASKED DID YOU HAVE A FEVER OR CHILLS audio/RES0116.mp3[2.320,42.120] YEAH SO UH IM JUST BRINGING MY SON UH HERE TO THE CLINIC HES BEEN HAVING UM JUST I THINK HES BEEN COMPLAINING OF UH EAR ACHE IN HIS UH I THINK ITS MAINLY IN HIS LEFT EAR FOR THE LAST ID SAY AT LEAST A WEEK UM HES BEEN KIND OF JUST HAVING DISCOMFORT UM AND OVER THE LAST FEW DAYS UH HE ALSO STARTED CRYING BECAUSE OF HOW MUCH PAIN HE IS HAVING AND THEN UM WE ALSO NOTICED THAT HE HAD LIKE WAS JUST FEELING WARM SO WE TOOK HIS TEMPERATURE AND HE ACTUALLY HAD A FEVER JUST YESTERDAY OF LIKE 39 DEGREES CELSIUS audio/RES0086.mp3[435.720,441.280] HAS THIS PREVENTED YOU FROM GOING TO WORK OR SCHOOL audio/RES0101.mp3[573.760,577.320] OK HOW ABOUT USING ANY OTHER RECREATIONAL DRUGS audio/RES0052.mp3[500.880,509.800] OK AND ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY audio/GAS0003.mp3[49.280,58.320] OK AND SO ITS IN THE RIGHT AREA AND DOES IT TRAVEL ANYWHERE ELSEWHERE BESIDES ON FROM THE RIGHT SIDE audio/RES0084.mp3[566.160,573.040] OK AND DO YOU TAKE YOUR MEDICATIONS REGULARLY AS PRESCRIBED audio/RES0075.mp3[275.960,279.280] OK AND WITH THE COUGH HAVE YOU BROUGHT UP ANY BLOOD audio/CAR0002.mp3[412.200,417.000] YEAH I I DRIVE A BUS FOR THE CITY audio/RES0026.mp3[280.400,283.280] NO NOTHING LIKE THAT audio/RES0016.mp3[276.640,282.920] OK OK ANY RASHES ON YOUR BODY audio/GEN0001.mp3[332.200,344.920] WE TRIED A FEW DIFFERENT ONES BEFORE NOW I GET I GET BOTOX INJECTIONS INTO THE BLADDER LIKE MAYBE TWICE A YEAR audio/RES0137.mp3[408.160,411.160] UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0050.mp3[459.080,461.840] YEAH AND SO ARE YOU SO DO YOU SMOKE CIGARETTES audio/RES0209.mp3[72.160,75.200] UH NO I DONT TAKE ANYTHING ELSE audio/MSK0013.mp3[69.840,77.640] OK AND DO YOU HAVE WOUNDS ON YOUR FEET THAT LIKE YOU YOU DONT NOTICE THEM BECAUSE YOU CANT FEEL IT audio/RES0083.mp3[317.720,324.880] YEAH I HAVE UH HIGH CHOLESTEROL AND YEAH I JUST HAVE HIGH CHOLESTEROL audio/RES0062.mp3[780.840,784.120] THE CBSTUFF OK AND HOW MANY MILLIGRAMS audio/MSK0021.mp3[91.120,103.400] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR PAIN WOULD YOU SAY ITS ACHY THROBBING DULL SHARP BURNING audio/RES0005.mp3[400.960,403.160] ANY WEAKNESS audio/RES0140.mp3[67.800,71.040] ANY UM ANY PAIN IN YOUR LEGS audio/RES0046.mp3[230.520,235.880] UM CHANGES IN YOUR TASTE OR SMELL audio/RES0165.mp3[219.480,221.720] ANY FEVERS OR CHILLS audio/RES0189.mp3[362.680,367.360] HAVE YOU HAD ANY SKIN RASHES audio/RES0202.mp3[486.880,489.840] YEAH TOTALLY audio/RES0117.mp3[136.160,139.720] ANY FEVERS OR CHILLS audio/RES0120.mp3[669.520,672.400] YOURE WELCOME UM YEAH WELL BE THERE WITH YOU SHORTLY audio/RES0026.mp3[120.040,129.040] OH OK ARE YOU OK ARE YOU SEEING THIS ON LIKE KIND OF TISSUES AFTERWARDS SORT OF THING audio/RES0189.mp3[64.200,72.040] OK UM OK AND WHEN DID THAT CHANGE HAPPEN audio/RES0048.mp3[345.720,349.320] OK ANY FEVERS OR CHILLS audio/RES0025.mp3[8.480,33.560] YEAH SO UH LIKE AROUND THREE OR FOUR DAYS AGO I STARTED UH TO GET REALLY NAUSEOUS AND SINCE THEN IVE BEEN VOMITING EVERY FEW HOURS AND REALLY I DONT KNOW JUST YESTERDAY STARTED TO STARTED TO HAVE SOME DIARRHEA AS WELL audio/RES0026.mp3[232.280,240.120] OK AND HAS THIS HEADACHE BEEN GETTING WORSE STAYING THE SAME GETTING BETTER audio/RES0144.mp3[117.120,131.160] UHM KIND OF JUST UH AFTER AWHILE JUST PUSHES IT AWAY NOT REALLY UHM YEAH UHM NOT REALLY TOO EXCITED ABOUT FEEDING audio/RES0204.mp3[41.040,44.320] OK ARE YOU HERE WITH YOUR MOM TODAY audio/MSK0017.mp3[595.520,598.960] OK AND WHERE ABOUT SPECIFICALLY audio/RES0023.mp3[433.680,439.480] OK UM OK DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS audio/RES0174.mp3[135.480,139.760] LIKE 15 MINUTES 15 20 MINUTES audio/RES0030.mp3[392.840,402.080] UM MY BLOOD PRESSURE HAS BEEN HIGH AND THAT WAS DIAGNOSED IN THE LAST FEW YEARS audio/MSK0020.mp3[177.840,187.440] OK OK AND YEAH SO DO YOU ARE YOU EXPERIENCING ANY SORT OF NUMBNESS OR TINGLING IN THE AREAS audio/DER0001.mp3[448.960,460.000] WELL WE WILL MAKE SURE THAT WE DONT GIVE YOU THAT CAN YOU TELL ME IF YOUVE HAD ANY PREVIOUS SURGERY audio/RES0028.mp3[192.040,203.600] OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF NAUSEA OR VOMITING OR FEVER OR CHILLS audio/RES0104.mp3[379.480,381.960] NO THATS BEEN NORMAL audio/RES0019.mp3[178.560,191.080] OK AND HOW ABOUT ANY SENSITIVITY TO LIGHT WHEN YOURE YOURE SEEING IT OR SENSITIVITY TO SOUND audio/RES0003.mp3[120.400,126.280] OK WOW YEAH THATS PRETTY HIGH HAVE YOU NOTICED ANY SWOLLEN AREAS ON HIS NECK audio/RES0120.mp3[2.680,20.000] HI UM SO IVE BEEN VERY IVE BEEN I HAVENT BEEN FEELING VERY WELL FOR THE PAST FOUR DAYS IVE IVE BEEN HAVING CHILLS I AM FEELING SHORT OF BREATH AND NOW MY CHEST HURTS audio/RES0068.mp3[3.920,25.160] SO IVE HAD THIS STUFFY NOSE FOR THE PAST THREE DAYS IM GETTING SOME YELLOW DISCHARGE FROM THE NOSE I CANT SEEM TO SMELL WELL AND I HAVE HAD THIS TERRIBLE HEADACHE FOR THE PAST TWO DAYS AS WELL audio/GAS0005.mp3[369.800,390.360] YEAH SO THATS THATS WHAT I THAT PROMPTED ME TO TAKE HIS TEMPERATURE YESTERDAY AROUND THE AFTERNOON LIKE WE HAD TO WRAP HIM UP WITH LIKE MORE THAN TWO BLANKETS AND HE WAS STILL FEELING COLD SO YEAH DEFINITELY WAS HAVING CHILLS audio/RES0129.mp3[206.880,208.800] NO ITS BEEN NORMAL audio/RES0214.mp3[56.680,59.960] ANY HEADACHES audio/RES0207.mp3[350.920,352.640] PARDON ME audio/RES0058.mp3[93.680,96.200] UMM NO NOT AT ALL NO audio/MSK0049.mp3[124.200,127.360] OK SO YOU HAVE SOME STIFFNESS IN THE MORNING audio/RES0107.mp3[610.120,617.560] NO I DIDNT THINK ABOUT IT I JUST NEVER LIKE MY MY MY PARENTS DIDNT TAKE ME TO GET THAT TESTING DONE audio/RES0108.mp3[304.760,308.080] UH NO audio/MSK0044.mp3[550.800,555.200] YOURE WELCOME UM ILL BE HERE WITH YOU SHORTLY audio/MSK0050.mp3[293.000,297.920] OK HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0172.mp3[22.120,29.920] CAN YOU TELL ME A LITTLE BIT MORE ABOUT YOUR COUGH HAS IT GOTTEN BETTER OR WORSE OVER THE PAST TWO DAYS audio/RES0117.mp3[258.600,261.480] NO OK DO YOU SMOKE audio/CAR0005.mp3[462.840,466.000] DO YOU USE ANY OTHER SUBSTANCES audio/RES0174.mp3[0.000,2.680] HOW MAY I HELP YOU audio/RES0062.mp3[846.640,850.080] OK HOW ABOUT ALCOHOL audio/MSK0005.mp3[533.920,542.200] OK ALRIGHT UM ALRIGHT AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0122.mp3[223.200,227.840] OKAY AND DO YOU LIVE WITH ANYONE ELSE OR DO YOU LIVE ALONE audio/RES0112.mp3[249.920,252.280] HOW WAS YOUR PREGNANCY WITH HIM audio/MSK0009.mp3[416.720,423.760] AND UM SO IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0120.mp3[480.720,486.120] OKAY ANY HISTORY OF HOSPITALIZATIONS OR SURGERIES AT ALL audio/RES0216.mp3[465.240,476.760] OH NO NO I MEAN I I HAVE UM YOU KNOW A FEW BEERS ON THE WEEKEND BUT I DONT DO VERY I DONT DO ANY DRUGS AND I DONT DRINK MUCH OTHER THAN THAT audio/MSK0014.mp3[152.400,165.920] UHM NOT REALLY LIKE RESTING IT DEFINITELY HELPS YEAH BUT I JUST HAVE TO KEEP IT A BIT IMMOBILIZED audio/RES0034.mp3[44.720,53.240] UH YEAH I WOULD SAY THEY STARTED AROUND THE SAME TIME AND AH THEY HAVE BEEN GOING ON FOR THE LAST THREE AND A HALF TO FOUR DAYS audio/RES0152.mp3[428.520,442.920] OK AND SIX MONTHS AGO PRIOR TO UM YEAH COMING FROM THE PHILIPPINES WAS ANYBODY SICK THERE OR DID YOU HEAR OF ANYBODY THAT YOU SPENT TIME WITH HAVING UM TUBERCULOSIS audio/MSK0016.mp3[941.080,946.800] YEAH I GET A BIT OF UH NUMBNESS AND TINGLING WHEN WHEN I DO THAT audio/RES0036.mp3[481.720,489.680] ANY EXPOSURE AT YOUR WORKPLACE OR AT HOME TO ANY FUMES OR DUST IN PETS OR ANIMALS audio/RES0194.mp3[204.320,213.320] OK UH ANY OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT UH CHEST PAIN ANYTHING LIKE THAT audio/RES0025.mp3[319.720,322.880] UM NO NIGHT SWEATS audio/RES0058.mp3[634.920,642.240] OH OK YEAH HOW OFTEN DO YOU USE THAT audio/RES0068.mp3[0.000,3.920] SO WHAT BRINGS YOU IN HERE TODAY audio/RES0001.mp3[0.000,2.360] WHAT BRINGS YOU IN TODAY audio/RES0127.mp3[479.800,503.000] AND YEAH I JUST WANT TO LET YOU KNOW THAT ANY QUESTIONS I ASK YOU TODAY AND ANYTHING WE TALKED ABOUT ITS COMPLETELY CONFIDENTIAL AND UNLESS LIKE THERE IS ANY POTENTIAL HARM TO YOURSELF OR ANYONE ANYONE ELSE SO YEAH IM JUST GONNA ASK YOU A FEW QUESTIONS DO YOU FEEL SAFE AT HOME audio/RES0046.mp3[681.960,686.560] UH FOR THE LAST UH 10 YEARS audio/RES0139.mp3[158.640,161.600] AND NO CHEST PAIN audio/RES0026.mp3[634.960,642.640] I LIVE WITH MY HUSBAND AND MY ONE SON audio/RES0093.mp3[192.200,200.640] WHEN YOURE BREATHING IN OR BREATHING OUT ANY PAIN AT THAT TIME OR DEEP BREATHING audio/RES0161.mp3[313.720,318.280] I LIVE WITH MY TWO DAUGHTERS AND MY WIFE audio/RES0147.mp3[486.560,522.240] I I DO UH GET SOME HELP FROM MY SON WHO LIVES WHO LIVES NEARBY AND UMM I ABLE TO TO GET THEM TO TO HELP MAKE SOME MEALS AND AND BRING SOME FOOD OVER AND THEN ILL GO VISIT THEM AS WELL YOU CAN TAKE CARE OF THE HOUSE SO AND ALL THAT NOT OK ON MY OWN BUT IT CERTAINLY GETS GETS LONELY THERE audio/CAR0003.mp3[631.720,638.880] I WOULDNT SAY WELL BALANCED IM TRYING TO EAT HEALTHIER BUT DOESNT ALWAYS HAPPEN audio/RES0104.mp3[679.920,686.200] LIKE IVE CONSIDERED IT BUT I I JUST DONT THINK IT ITLL BE POSSIBLE AT THIS TIME audio/RES0051.mp3[318.000,321.920] OK NOTHING YOU SEE A PHYSICIAN REGULARLY FOR audio/MSK0003.mp3[159.600,164.360] OK AND WHEN DID THOSE PAINS START audio/RES0134.mp3[704.960,723.840] UM YEAH SO THERE IS UM LIKE LUNG CANCER THERES ASTHMA THERES UH COPALL OF THAT SOMEONE LIKE MY BOTH SIDES OF MY FAMILY HAD audio/RES0046.mp3[167.240,173.760] OK UM ANY FEELINGS OF UM FEELING LIKE YOUR HEARTS RACING audio/RES0034.mp3[297.840,302.640] NO SHES BEEN KEEPING FOOD DOWN NO ISSUES THERE audio/RES0088.mp3[51.440,58.440] OK AND SO HOW MANY DAYS HAS SHE HAD THE HOARSE VOICE FOR audio/RES0001.mp3[792.000,794.960] OK SOUNDS GOOD THANK YOU FOR YOUR TIME audio/GEN0001.mp3[83.480,87.040] SORRY JUST CLARIFY AGAIN YOURE 30 YEARS OLD audio/RES0125.mp3[178.520,185.680] NO OKAY ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT audio/RES0046.mp3[800.080,805.520] UH NOPE THAT WAS THAT WAS EVERYTHING THEN THANK YOU audio/RES0164.mp3[94.280,97.960] OK HAS THIS HAPPENED BEFORE audio/CAR0003.mp3[287.960,293.320] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL audio/RES0217.mp3[404.960,407.920] OK ARE YOU TAKING AND MEDICATIONS FOR THAT audio/RES0133.mp3[485.760,490.240] OKAY UM AND THEN UM ANYBODY IN THE FAMILY UH HAVE ANY HEART OR LUNG CONDITIONS audio/RES0124.mp3[193.480,196.960] YEAH IT GOES AWAY AFTER I JUST TAKE SOME REST audio/RES0062.mp3[2.440,11.200] WELL IVE HAD THIS COUGH BUT THE BIGGEST ISSUE IS THAT IVE BEEN REALLY SHORT OF BREATH audio/RES0105.mp3[432.120,439.840] OK ANY KIND OF CONFUSION OR ANY DO YOU FEEL LIKE YOURSELF audio/RES0012.mp3[815.040,831.320] OK UM IN PARTICULAR HAVE YOU BEEN IN A COUNTRY WHERE TB IS ENDEMIC AND HAVE YOU BEEN IN ANY OF THOSE COUNTRIES IN THE PAST LIKE 5 TO 10 YEARS audio/RES0169.mp3[81.800,89.600] OK AND THE RUNNY NOSE WHAT KIND OF DISCHARGE OR WHAT LIKE WHATS COMING OUT OF YOUR NOSE audio/RES0109.mp3[390.360,434.440] UM BUT IT I THINK IT DOES REALLY SOUND LIKE YOU HAVE A COMMON COLD UM SO JUST LIKE ANOTHER VIRAL ILLNESS UM SO JUST TREAT IT SUPPORTIVELY YOU KNOW UM KEEP YOURSELF HYDRATED IF YOU FEEL LIKE YOURE GETTING A FEVER TAKE LIKE TYLENOL UM IF YOU HAVE LIKE PAIN LIKE A HEADACHE OR LIKE SINUS PRESSURE OR SOMETHING YOU CAN TAKE AGAIN AN ADVIL OR TYLENOL UM AND IF YOUR SYMPTOMS WORSEN OR IF YOU HAVE ANY NEUROLOGICAL SYMPTOMS THEN YOU SHOULD SEE THE ER UM RIGHT AWAY audio/RES0089.mp3[976.720,981.840] YOURE WELCOME audio/RES0089.mp3[162.040,165.680] NO FEVERS audio/RES0208.mp3[300.960,304.040] I WOULD JUST SAY I FEEL KIND OF OVERALL ACHY audio/RES0099.mp3[518.400,524.520] YEAH ITS JUST US THREE audio/RES0049.mp3[578.880,581.480] YEAH FOR SURE audio/MSK0018.mp3[240.600,241.960] UH NO audio/RES0148.mp3[172.200,173.800] YOU GOT ANY URINARY PROBLEMS audio/MSK0046.mp3[53.040,54.520] OK YEAH YEAH audio/MSK0005.mp3[314.280,316.200] NO MY ENERGYS BEEN GOOD audio/MSK0046.mp3[297.560,306.040] UH YEAH IT IT HAS HELPED A LITTLE BIT BECAUSE IM NOT MOVING MY HAND AS MUCH SO IT HELPS WITH THE PAIN audio/RES0120.mp3[580.160,585.680] UM I DONT NO audio/RES0184.mp3[94.840,102.440] YEAH USUALLY WHEN I GET SICK I GET GET A HEADACHE audio/MSK0009.mp3[605.440,612.800] OK FOR THE LAST COUPLE OF DAYS OK UH AND UH DO YOU DRINK ALCOHOL audio/RES0014.mp3[431.560,436.600] OK ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0200.mp3[204.280,215.160] UHM JUST WHEN IM HAVING LIKE THOSE COUGHING FITS IN WITH THE BREATHING I FEEL SOME DISCOMFORT BUT THATS IT audio/RES0079.mp3[25.080,36.040] I THINK LIKE LAST NIGHT WAS WHEN I CHECKED IT WAS HIGH LIKE OVER THIRTY EIGHT audio/MSK0019.mp3[710.920,712.520] YEAH NO WORRIES audio/RES0151.mp3[472.360,481.080] OK UM AND YOU MENTIONED UM THAT YOU HAVE A BOYFRIEND ARE YOU CURRENTLY UH SEXUALLY ACTIVE audio/RES0151.mp3[137.120,146.040] UM YEAH AROUND THE SAME TIME audio/RES0149.mp3[186.960,196.600] OK I SEE AND UM DID YOU HAVE ANY TRAUMA TO THAT TO THAT AREA RECENTLY LIKE A CAR ACCIDENT OR I DONT KNOW GETTING HIT IN THE RIBS OR ANYTHING LIKE THAT audio/RES0178.mp3[60.960,62.240] ITS DRY audio/RES0126.mp3[159.080,170.440] WELL IM GLAD YOU CAME IN TODAY WE CAN DEFINITELY TRY AND HELP YOU WITH WHATS GOING ON DO YOU AT ALL USE ANY KIND OF MEDICATIONS TO HELP YOU WITH YOUR SYMPTOMS audio/RES0127.mp3[253.160,255.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL audio/MSK0013.mp3[489.760,492.880] ALRIGHT AND DO YOU DRINK ALCOHOL audio/RES0077.mp3[427.040,444.520] I DONT THINK SO I WORK AT THE TOYOTA FACTORY AND THERE HAVE BEEN A FEW PEOPLE THAT HAVE BEEN SICK WHO WORKED THERE BUT I DONT THINK IVE BEEN IN CONTACT WITH THEM audio/RES0053.mp3[195.120,212.720] I FEEL LIKE WHEN HE HAS THE COUGHING FITS HES WINDED HES WEAK AFTER THEM SOMETIMES HE CRIES AFTER THEM OR BEFORE THE MIDDLE CAN BE A TRIGGER FOR IT BUT JUST RESTING NORMALLY HE DOESNT SEEM THAT OUT OF BREATH NO audio/GEN0001.mp3[419.800,422.280] OK DO YOU HAVE ANY CHILDREN audio/RES0122.mp3[125.800,126.880] NO NO COUGHS audio/MSK0006.mp3[723.640,725.120] MHMM OH YEAH audio/RES0027.mp3[616.720,624.120] I HAVE SMOKED MARIJUANA I DONT REGULARLY DO IT audio/RES0015.mp3[735.360,803.520] YEAH FOR SURE SO THE FIRST THING WE WANT TO RULE OUT IS TB BECAUSE YOU HAVE RECENTLY MOVED TO CANADA FROM A COUNTRY WHERE IT IS I BELIEVE IT IS ENDEMIC SO AND SOME OF YOUR MOST OF YOUR SYMPTOMS FIT WITH TB AND HOW IT PRESENTS SO WE JUST WANT TO MAKE SURE ITS NOT THAT BECAUSE IT IS HIGHLY INFECTIOUS AND AND WE DONT WANT IT TO SPREAD SO WE CAN DO LIKE A AFB SMEAR OR I THINK THEY HAVE OTHER DIAGNOSTIC WORK UP FOR THAT TOO SO WELL DO THAT FIRST IF NOT WE CAN CHECK TO SEE IF ITS LIKE ANOTHER ANOTHER TYPICAL PNEUMONIA WE CAN DO A CHEST X RAY FOR THAT AS WELL IF BOTH OF THOSE TURN OUT TO BE NEGATIVES THEN WELL HAVE TO WORK YOU UP FURTHER FOR OTHER THINGS LIKE COPOR LUNG CANCER HOW DOES THAT SOUND audio/RES0061.mp3[608.000,622.960] PEANUTS OK DO YOU KNOW IF YOU HAVE A FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0058.mp3[198.400,203.680] ALRIGHT DO YOU HAVE A FEELING LIKE YOUR HEARTS RACING audio/RES0207.mp3[266.360,268.880] NO THATS IT audio/RES0014.mp3[355.600,359.320] NO ANY DIZZINESS OR FAINTING SPELLS audio/RES0180.mp3[88.040,107.480] ID SAY A FOUR ITS JUST BEEN KIND OF THERE THE WHOLE SO ITS REALLY ANNOYING IVE TRIED SOME TYLENOL AND ITS TAKEN A LITTLE BIT OFF THE THE I MEAN THE EDGE OFF A LITTLE BIT BUT ITS JUST BEEN KINDA THERE STILL audio/RES0026.mp3[457.560,465.240] OK AND WHEN WAS YOUR LAST LIPID PANEL CHECKED audio/RES0088.mp3[110.080,119.240] OK AND DOES SHE HAVE ANY KIND OF UH ALONG WITH A HOARSE VOICE DOES SHE HAVE ANY PAIN WITH TALKING audio/RES0145.mp3[20.840,24.640] MHMM UHM WHEN DID THE COUGH START audio/RES0159.mp3[493.520,499.400] UH NO NOTHING LIKE THAT audio/MSK0007.mp3[2.080,16.280] HI YES IVE HAD THIS PAIN IN MY LEFT ELBOW FOR A COUPLE OF WEEKS NOW AND ITS NOT GETTING ANY BETTER SO IM JUST HERE TO KIND OF FIGURE OUT WHAT IT IS audio/RES0155.mp3[616.760,643.600] OK UM YOU HAVE CUT DOWN THATS GOOD UM YEAH DEFINITELY THE MORE YOU CUT DOWN AND IF YOU NEED TO TALK ABOUT QUITTING THERES A LOT OF RESOURCES THAT WE CAN GO THROUGH UM DO YOU USE ANYTHING ELSE BESIDES UH CIGARETTES LIKE ANY MARIJUANA OR ANY OTHER DRUGS audio/MSK0038.mp3[377.160,382.480] NO OK UM ANY MEDICATIONS THAT YOURE ON audio/RES0076.mp3[223.280,226.760] OK ANY LOSSES IN SENSE OF TASTE OR SMELL audio/RES0073.mp3[316.720,321.160] AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES audio/RES0134.mp3[164.960,170.560] ALRIGHT AND UH IS THE WHEEZE NEW AS WELL audio/MSK0027.mp3[128.760,132.160] I DONT THINK SO audio/RES0101.mp3[79.240,89.360] OK IS IT CAN YOU FEEL THE PAIN AT REST OR OR IS IT WITH UH LIKE WITH MOVEMENT OR IF YOU PRESS ON IT audio/MSK0024.mp3[494.000,501.400] OK AND ARE YOU HAS YOUR GAIT CHANGED AT ALL OR IS IT ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING audio/RES0176.mp3[489.960,495.960] OK WAS THIS A VAGINAL DELIVERY OR A CSECTION audio/RES0062.mp3[268.080,278.920] OK AND HOW ABOUT UM MUSCLE ACHES OR ANY SORT OF BODY ACHES audio/MSK0006.mp3[459.280,462.720] OK FOR HOW LONG HAVE YOU BEEN DOING THAT audio/RES0072.mp3[605.280,615.560] NO THATS EVERYTHING THATS BEEN HAPPENING OVER THE LAST COUPLE OF DAYS audio/RES0106.mp3[215.280,220.720] MHMM HAVE YOU TRIED ANYTHING FOR THE COUGH THIS TIME AROUND audio/RES0153.mp3[217.880,219.920] NO NO WHEEZE audio/RES0033.mp3[597.480,601.640] OK UH AND DO YOU DRINK ALCOHOL audio/RES0168.mp3[193.160,197.040] OK HOW ABOUT LIKE A CHEST PAIN audio/RES0031.mp3[78.920,88.040] OK AND CAN YOU THINK OF ANYTHING THAT TRIGGERED THE THE SORE THROAT THAT YOU DID JUST PRIOR TO THE SYMPTOMS COMING ON audio/RES0110.mp3[604.360,620.040] UH I WAS I WAS FLYING SOMEWHERE I WAS WELL I WAS FLYING BACK FROM SOMEWHERE AND I GOT OFF THE PLANE AND UM I GUESS THEY FOUND UH BLOOD CLOTS audio/MSK0018.mp3[36.080,43.440] 2 HOURS AGO OKAY UM AND IS THIS PAIN PERSISTENT OR IS IT LIKE ON AND OFF audio/RES0141.mp3[499.960,503.040] OH THATS GOOD OKAY SO YOU WORK FROM HOME audio/RES0060.mp3[225.720,229.120] DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/MSK0015.mp3[397.840,410.880] YEAH YEAH AND WE WERE SEEING A SPECIALIST AN ORTHOPEDIC SURGEON AND THEY WERE MANAGING HER AND AFTER ONE YEAR THEY STOPPED FOLLOWING HER SHE WAS WELL LIKE SHE WAS WALKING NO ISSUES audio/GAS0001.mp3[489.880,495.520] YEAH JUST LIKE WITH MY BOYFRIEND audio/RES0166.mp3[525.360,536.440] OK ALRIGHT SO THESE ARE ALL THIS QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION NEXT DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0048.mp3[894.160,896.840] YES PLEASE DO audio/MSK0032.mp3[374.840,390.080] UH NO LIKE SHES BEEN MEETING ALL HER MILESTONES HAVE BEEN ON PAR WITH HER SIBLINGS AND OTHER CHILDREN NO CONCERNS FROM THE DOCTOR WHATSOEVER audio/RES0200.mp3[409.600,417.160] OK UHM AND ARE YOU ON ANY MEDICATIONS OTHER THAN THE PUFFERS audio/RES0134.mp3[70.120,71.840] ITS NEW audio/RES0071.mp3[564.640,573.120] AND CURRENTLY YOU ARE NURSING STUDENT WHERE DO YOU LIVE audio/MSK0020.mp3[456.440,460.640] OK AN AND DO YOU SMOKE audio/RES0142.mp3[409.360,411.480] UM JUST SOME LOZENGES audio/RES0094.mp3[262.120,263.240] NO IVE BEEN HEALTHY audio/RES0020.mp3[118.280,123.280] OK UM AND HAVE YOU EVER HAD A PAIN LIKE THIS IN YOUR CHEST BEFORE audio/MSK0046.mp3[394.320,402.960] HOW ABOUT UM IF YOU MAKE A FIST WITHOUT YOUR THUMB DOES IT STILL HURT OR IS IT JUST WHEN YOU ARE MOVING THE THUMB audio/MSK0022.mp3[432.280,442.200] UH IT IS HARDER TO TO MAKE A FIST YEAH I CANT FULLY CLOSE MY MY FINGERS ALL THE WAY DOWN TO MAKE A FIST audio/RES0180.mp3[318.600,338.960] UH I I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE A STATIN AS WELL AS A WHAT IS IT AN ACE INHIBITOR I THINK FOR THE BLOOD PRESSURE YEAH audio/RES0013.mp3[404.960,408.040] AND DO YOU SMOKE audio/RES0071.mp3[2.920,9.680] IVE HAD THIS COUGH FOR OVER A WEEK NOW AND IT JUST HASNT GONE AWAY audio/RES0089.mp3[121.840,128.240] OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP IN AN AVERAGE DAY NOW audio/RES0147.mp3[698.560,703.760] UH NO THAT THAT SOUNDS GOOD THANK YOU audio/RES0161.mp3[183.720,185.400] NO NOT THAT I KNOW audio/RES0048.mp3[444.520,447.960] OK HOW ABOUT NAUSEA OR VOMITING audio/RES0058.mp3[292.240,295.680] NO OK ANY RASHES audio/RES0171.mp3[259.280,274.760] I I SEE AND HAVE YOU HAD ANY I GUESS ANY PAIN IN YOUR LEGS OR SWELLING IN YOUR LEG ONE OR THE OTHER audio/RES0186.mp3[324.560,329.320] YEAH OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY audio/RES0103.mp3[82.960,84.400] NO NOTHING LIKE THAT audio/RES0127.mp3[423.320,431.120] ANY FAMILY HISTORY OF ANY ASTHMA ECZEMA ALLERGIC RHINITIS ANYTHING LIKE THAT audio/RES0077.mp3[460.200,463.160] OK WERE YOU HAVING NIGHT SWEATS audio/MSK0021.mp3[122.640,130.440] OK AND DO YOU FEEL LIKE YOUR PAINS GETTING WORSE OVER THE PAST FOUR WEEKS audio/RES0058.mp3[712.400,715.760] OK DO YOU GUYS LIVE IN A HOUSE audio/RES0017.mp3[500.320,507.360] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0190.mp3[284.240,288.720] OK HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0078.mp3[310.240,324.000] I SEE I SEE OK AND SO YOU SAID THAT COUGHING MAKES IT WORSE AND SOMETIMES BREATHING IN SO IS IT JUST NORMAL BREATHING OR WHEN YOURE DOING LIKE DEEP BREATHING audio/MSK0022.mp3[468.600,473.040] OK ANY SKIN CHANGES OR RASHES audio/RES0215.mp3[238.120,244.480] EXCELLENT AND HAS SHE GOTTEN HAS SHE BEEN KEEPING UP TO DATE FOR IMMUNIZATIONS audio/RES0037.mp3[751.280,752.200] YEAH FOR SURE audio/RES0134.mp3[653.760,655.680] OH CONGRATULATIONS ON QUITTING audio/MSK0011.mp3[255.560,267.320] OK OK ALRIGHT SO WHEN DID IT START HURTING DID IT START HURTING RIGHT AWAY OR HAS IT GOTTEN WORSE AT ALL audio/RES0105.mp3[316.600,321.080] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0062.mp3[316.000,323.160] NO THOSE HAVE BEEN NORMAL I HAVENT HAD ANY DIARRHEA OR CONSTIPATION audio/RES0053.mp3[699.800,702.880] OK AND HOWS THIS COUSIN DOING audio/RES0132.mp3[173.200,184.360] OKAY UM UH AND HAVE YOU HAD ANY UM INFECTIOUSLIKE SYMPTOMS SUCH AS LIKE RED EYES RUNNY NOSE OR OR A SORE THROAT audio/MSK0019.mp3[240.040,245.800] OKAY AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0001.mp3[431.600,434.520] OH NO I I I HAVENT audio/RES0152.mp3[193.560,198.880] ALRIGHT HAVE YOU HAD ANY UM LIKE NIGHT SWEATS audio/RES0060.mp3[144.280,151.920] OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE DO YOU FEEL CONGESTED audio/RES0171.mp3[484.520,487.640] AND ALCOHOL audio/MSK0031.mp3[199.560,201.760] WEIGHT LOSS RECENTLY audio/RES0164.mp3[360.040,370.800] OK ANY AT ALL IS HE HAVING ANY NAUSEA OR VOMITING audio/RES0174.mp3[398.440,407.640] OK IS THERE ANYTHING THAT YOURE FEELING PARTICULARLY GUILTY ABOUT RIGHT NOW audio/RES0216.mp3[213.080,217.840] OK AND HAVE YOU EVER HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE audio/RES0109.mp3[209.120,218.360] NO OK UHM HOW ABOUT HEADACHES audio/RES0185.mp3[265.960,272.200] NO THERE ITS PRETTY MILD ITS JUST KIND OF ANNOYING CAUSE ITS STILL THERE audio/MSK0034.mp3[493.080,496.840] I KNOW I KNOW OLDER KIDS THAT HAVE TRIED IN THE SCHOOL BUT WE HAVENT audio/RES0038.mp3[652.880,659.000] OK UHM SO YOU GO THROUGH LIKE AROUND A BOTTLE EVERY WEEK audio/RES0061.mp3[182.440,186.640] NO NOT NOT REALLY audio/MSK0007.mp3[57.840,67.360] YEAH OK WAS THERE ANY TRIGGERS OR PRECIPITATING EVENTS TO THE PAIN SUCH AS LIKE A FALL OR ANY TYPES OF TRAUMA TO THE ELBOW audio/RES0210.mp3[52.160,61.560] SO SUNDAY I STARTED BRINGING I NOTICED LIKE LITTLE SPOTS OF RED KIND OF THE THE GUNK I WAS BRINGING UP audio/RES0172.mp3[302.760,308.480] OK ANY MEDICATIONS THAT YOURE TAKING INCLUDING OVER THE COUNTER MEDS audio/MSK0028.mp3[132.920,144.880] OK AND UM I THINK YOU MENTIONED THE PAIN AS AS BEING SHARP IS THAT HOW YOU WOULD DESCRIBE THE CHARACTER OF THE PAIN audio/MSK0013.mp3[675.720,679.360] HEALED YEAH THATS RIGHT audio/MSK0006.mp3[342.640,343.560] NO RASHES audio/MSK0003.mp3[454.920,460.880] OK AND DO EITHER OF YOU HAVE ANY HISTORY OF ANY STIS AT ALL audio/RES0069.mp3[480.320,489.360] LETS SEE MY MOM MY SISTER MY BROTHER YEAH YEAH audio/GAS0005.mp3[80.840,90.960] NO WEVE BEEN STRICTLY HOME FOOD DURING LIKE A PANDEMIC LIKE NO NO REAL CHANGES audio/RES0107.mp3[354.280,361.560] HE WAS PLAYING WITH UH WITH HIS BROTHER BUT THEN THIS OTHER KID FROM THE NEIGHBOURHOOD ALSO CAME AROUND audio/RES0065.mp3[388.320,394.120] ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/RES0209.mp3[553.560,556.280] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0061.mp3[102.760,107.920] OK UM AND SO MOSTLY FLUID YOU SAID audio/RES0060.mp3[613.680,619.280] YEAH CERTAINLY WE CAN TALK ABOUT THAT LATER audio/RES0126.mp3[551.320,557.400] TO CATS OK DO YOU HAVE A CAT audio/MSK0001.mp3[214.120,220.920] OK ANY PAIN IN YOUR JOINTS AT ALL audio/RES0044.mp3[48.400,50.520] YEAH ITS REALLY DRY audio/RES0180.mp3[572.600,577.240] YEAH NO PROBLEM audio/MSK0007.mp3[67.360,70.440] NO NO NOT THAT I CAN THINK OF audio/RES0159.mp3[255.280,257.920] GOOD ANY CONFUSION audio/RES0127.mp3[520.520,522.080] UMM NO audio/RES0108.mp3[80.120,84.240] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/GAS0003.mp3[430.280,443.040] UM AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET ENOUGH EXERCISE DO YOU GO OUTSIDE FOR WALKS OR RUNS OR ANYTHING LIKE THAT audio/RES0048.mp3[415.720,420.560] OK AND UM HAVE YOU HAD A SORE THROAT AT ALL audio/RES0134.mp3[115.680,121.120] DO YOU FEEL IT RADIATING ANYWHERE LIKE TO YOUR BACK OR TO EITHER SIDE audio/RES0060.mp3[503.080,506.320] OK ARE YOU OTHERWISE HEALTHY audio/MSK0037.mp3[469.800,472.880] OK DO YOU HAVE ANY ALLERGIES audio/RES0070.mp3[278.040,282.560] OK HAVE YOU BEEN BRINGING UP ANY SPUTUM WITH THE COUGH audio/RES0020.mp3[234.680,239.880] JUST JUST SOME FATIGUE SOME TIREDNESS audio/RES0008.mp3[240.280,243.800] NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE audio/RES0003.mp3[209.200,212.480] SHES TWO OK SO SHES YOUNGER audio/RES0183.mp3[42.120,46.640] ALRIGHT SO SO THERES BEEN NO SPUTUM AND NO NO HEMOPTYSIS audio/RES0034.mp3[97.880,113.480] I WOULD SAY THE FEVER HAS BEEN GETTING A LITTLE BIT WORSE OVER THE LAST LIKE ESPECIALLY TODAY BUT THE COUGH COUGHING IS ABOUT THE SAME AS WHAT IT WAS WHEN IT FIRST STARTED THREE DAYS AGO audio/MSK0039.mp3[396.760,397.960] OK YEP audio/RES0212.mp3[95.840,101.760] GOT IT GOT IT NOW LETS TALK ABOUT WHAT YOURE BRINGING UP WITH YOUR COUGH WHAT COLOUR IS IT audio/RES0212.mp3[411.120,414.360] NO LIKE ALCOHOL SOMETIMES LIKE audio/RES0215.mp3[472.600,473.640] OH NO audio/RES0081.mp3[91.080,112.520] YEAH HES ABLE TO TALK IN FULL SENTENCES BUT HE JUST GETS A LITTLE BIT BREATHLESS WHEN HES EATING WHICH I THINK IS PROBABLY WHY HES NOT EATING MUCH BUT YEAH HES ABLE TO TALK HES NOT TALKING MUCH EITHER JUST BEEN LIKE JUST BEEN IN A MOOD YOU KNOW HE GETS A LITTLE BIT BREATHLESS WHEN HES CRYING audio/MSK0003.mp3[639.280,651.480] YES SOMETIMES YEAH ILL SMOKE LIKE ONCE OR TWICE PER WEEK WITH THAT WITH A FRIEND OR SOMETHING LIKE THAT audio/RES0162.mp3[461.480,466.200] DO YOU HAVE ANY OTHER ALLERGIES TO FOOD OR MEDICATIONS audio/RES0159.mp3[103.680,123.760] UM YEAH IT ITS BOTH THE SHORTNESS OF BREATH AND THE COUGH ARE GETTING WORSE AND ALSO JUST IVE BEEN HAVING SOME EVEN SOME DISCOMFORT AND PAIN WHEN TAKING THOSE DEEP BREATHS NOW TOO SO AND THATS BEEN HAPPENING FOR PROBABLY THE LAST COUPLE WEEKS audio/MSK0005.mp3[417.200,422.320] HOW ABOUT THE MEDIAL ASPECT audio/RES0008.mp3[508.800,511.600] NO I DONT audio/RES0059.mp3[162.760,164.400] NO WEIGHT LOSS NO audio/RES0087.mp3[39.920,43.840] UH NO HE STILL RESPONDS WHEN I CALL HIS NAME audio/MSK0038.mp3[296.880,299.840] NO UH NO I HAVENT HAD ANY ISSUES WITH THAT audio/RES0015.mp3[32.640,35.440] OK AND THEN THE FEVER audio/RES0189.mp3[342.520,346.360] NO NOTHING LIKE THAT audio/CAR0003.mp3[435.880,439.440] OK AND DO YOU TAKE ANY MEDICATIONS FOR THIS audio/MSK0010.mp3[493.960,498.760] AND HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0116.mp3[275.320,279.000] OK HAVE YOU NOTICED ANY RASHES ON HIM audio/MSK0049.mp3[207.800,213.800] OK AND HAVE YOU HAD ANY INJURIES TO YOUR KNEE BEFORE audio/RES0100.mp3[117.560,120.960] OK ARE THEY PAINFUL audio/RES0152.mp3[151.040,165.200] UM ITS KIND OF BEEN A BIT LOW OVER THE LAST FEW WEEKS JUST I FEEL MORE TIRED UM YEAH I HAD TO MISS A FEW DAYS OF WORK AS WELL audio/RES0068.mp3[167.640,179.640] OK AND RIGHT NOW WHAT WOULD YOU SAY IS THE MOST TROUBLING SYMPTOM FOR YOU IS IT THAT PRESSURE IN YOUR FACE OR IS IT THE CONGESTION audio/MSK0043.mp3[189.320,201.200] OKAY AND UM DO YOU HAVE ANY PAIN OR SYMPTOMS IN ANY OTHER JOINTS OR MUSCLES OF YOUR BODY audio/RES0019.mp3[3.680,19.680] SURE YOU KNOW IVE BEEN FEELING KINDA HOT FOR THE PAST COUPLE OF DAYS AND I HAVE THIS TERRIBLE TERRIBLE HEADACHE AND JUST MY BRAIN FEELS FOGGY SO I THOUGHT I SHOULD COME GET IT CHECKED OUT audio/RES0046.mp3[223.200,228.640] OK UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE audio/RES0122.mp3[178.920,183.640] ANY WEIGHT CHANGES IN YOUR WEIGHT RECENTLY audio/RES0211.mp3[392.480,397.440] HAS ANYONE IN THE FAMILY BEEN SICK RECENTLY audio/RES0059.mp3[692.160,706.760] ALRIGHT YEAH THAT SOUNDS GOOD SO I GUESS I WILL KIND OF SELF ISOLATE UNTIL THE COVIRESULTS COME BACK audio/MSK0018.mp3[269.320,271.120] UH NO audio/RES0200.mp3[344.680,351.080] UHM I I HAVE A LIKE HIGH CHOLESTEROL audio/MSK0036.mp3[238.000,244.840] OK AND DO YOU HAVE ANY PAIN IN THE NECK audio/MSK0050.mp3[73.120,83.160] OK UH AND UH LIKE HOW LONG IS ARE THE SYMPTOMS CONSTANT OR OR ARE THEY INTERMITTENT audio/RES0181.mp3[144.440,151.800] NO COUGHING OK AND HOW ABOUT ANY SHORTNESS OF BREATH audio/RES0133.mp3[213.880,218.800] OKAY WELL THATS GREAT AND ABOUT HOW MUCH audio/RES0045.mp3[426.920,434.440] NO I HAVENT NEEDED TO I HAVENT SEEN A DOCTOR IN A FEW YEARS audio/RES0046.mp3[158.840,160.560] UH NO audio/RES0101.mp3[383.400,387.520] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/CAR0003.mp3[302.880,306.280] NO NO CHEST PAIN audio/RES0174.mp3[355.240,370.680] UM WELL IVE BEEN FEELING A LITTLE LOW SINCE IVE BEEN LAID OFF JUST LIKE WORRIED ABOUT MY FINANCES AND I KIND OF SLEEP ALL DAY IM NOT FEELING VERY ENERGETIC audio/RES0018.mp3[539.040,546.960] OK AND SO IN REGARDS TO YOUR FAMILY HISTORY HAS ANYBODY HAD SIMILAR SYMPTOMS BEFORE audio/RES0092.mp3[77.520,81.960] NOT NO audio/RES0044.mp3[450.800,455.360] OK ANY NAUSEA OR VOMITING audio/MSK0010.mp3[490.560,492.840] HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0008.mp3[336.320,338.120] UM NO audio/RES0093.mp3[103.520,126.200] YEAH IF I UHM WHEN I WAS HAVING A CIGARETTE EARLIER TODAY IT GOT A BIT WORSE AND WHEN I WENT OUT TO GET THE MAIL TODAY I I JUST COULDNT DO IT I I HAD TO JUST SIT DOWN audio/MSK0027.mp3[66.720,84.640] YEAH THERES JUST LIKE A SLIGHT BEND TO IT ITS NOT FULLY STRAIGHTENED ITS NOT FULLY LIKE FULLY FLEXED ITS JUST KIND OF HANGING OUT HER SIDE audio/RES0005.mp3[337.600,339.280] NO NOTHING LIKE THAT audio/RES0053.mp3[750.560,755.720] NO NO audio/MSK0010.mp3[537.000,541.440] NO NO PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0180.mp3[79.680,88.040] OK ALRIGHT AND THE HEADACHE ONE TO 10 10 BEING THE WORST HEAD WORST PAIN YOUVE EVER BEEN IN HOW BAD WAS IT audio/RES0192.mp3[172.280,179.760] UM ITS A ITS KIND OF LIKE A TUGGING FEELING audio/RES0013.mp3[0.000,7.480] HI IM ROB AND I JUST FEEL LIKE I CANT CATCH MY BREATH audio/RES0045.mp3[154.280,160.360] GETTING WORSE OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0142.mp3[262.680,270.680] UM JUST SOCIALLY LIKE RIGHT NOW THERES NO PARTIES BUT LIKE WHEN IM AT PARTIES audio/MSK0019.mp3[622.320,708.920] YEAH SO UM IT SOUNDS LIKE YOU HAVE SOMETHING CALLED TENNIS ELBOW OR LATERAL EPICONDYLITIS UM AND ITS USUALLY RELATED TO SOME OVERUSE UM INJURY SO WHETHER AT WORK OR IF YOU PLAY A LOT OF TENNIS OR SOME SORT OF SPORT THAT UM OVERUSES A CERTAIN MUSCLE GROUP UM PARTICULARLY LIKE THE FOREARM EXTENSORS UM AND SO BASICALLY FOR THIS UM WE SUGGEST A FEW THINGS WELL START WITH LIKE SOME CONSERVATIVE MANAGEMENT LIKE ACTIVITY MODIFICATION SO AT WORK IF YOURE DOING REPETITIVE MOVEMENTS MAYBE NOT DO THEM SO MUCH AND TAKE FREQUENT BREAKS YOU CAN TRY SOME LIKE IBUPROFEN WELL REFER YOU TO SOME UM PHYSIOTHERAPY TO HELP BUILD THOSE MUSCLES AROUND THAT THAT AREA AND IF THOSE STILL DO DONT WORK UM WE CAN TRY SOME UM OTHER THINGS LIKE OPERATIVE UM OPERATIVE MANAGEMENT BUT WELL WELL COME BACK TO THAT IN ABOUT 6 TO 12 MONTHS UM ONCE WE UH WE TRY ALL OF THE OTHER STUFF DOES THAT SOUND OKAY audio/DER0001.mp3[599.920,607.520] OH I SEE OK MORE SO ON THE WEEKEND SO MAYBE A LITTLE BIT MORE THAN THREE PER DAY ON THOSE DAYS audio/RES0089.mp3[741.000,752.680] UHM NO ACTUALLY I MIGHT HAVE GOTTEN SOME ANTIBIOTICS AT ONE POINT BUT NOT DURING THAT VISIT audio/RES0046.mp3[788.840,800.080] OK UM THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY CONCERNS ANY QUESTIONS ANYTHING THAT YOU WANTED TO DISCUSS THAT I UH POSSIBLY MISSED TODAY audio/MSK0028.mp3[808.160,810.840] OUT LIKE AT THE SIDES OR IN FRONT OF ME audio/RES0018.mp3[119.160,128.800] NO LIKE IVE BEEN PRETTY HEALTHY OTHERWISE COMPLETELY SO THIS IS THIS IS COMPLETELY NEW FOR ME audio/RES0114.mp3[312.680,313.920] NO NOTHING LIKE THAT audio/MSK0011.mp3[326.320,334.840] YEAH I DO I HAVE A ASTHMA AND I USE AN ORANGE INHALER DAILY ITS BEEN WELL CONTROLLED ILL USE I HAVENT USED THE BLUE ONE IN AWHILE audio/RES0096.mp3[321.840,329.400] YEAH YEAH I WAS UHM 210 POUNDS audio/MSK0046.mp3[202.240,204.400] OK SO ARE YOU LEFT HANDED audio/RES0004.mp3[677.880,684.080] OK OK UM AND DO YOU SMOKE audio/RES0128.mp3[37.720,40.000] I WOULD SAY ITS MORE MUFFLED audio/RES0076.mp3[109.080,116.000] OK I SEE HAS YOUR COUGHING GOTTEN WORSE OR HAS IT STAYED ABOUT THE SAME audio/RES0074.mp3[559.760,562.640] NO I DONT SMOKE audio/MSK0017.mp3[460.120,475.760] UH SOMETIMES ILL HAVE LIKE UH EDIBLES LITTLE CANDY SOMETIMES AT NIGHTTIME THEY THEY HELP ME UH RELAX AND SLEEP BUT I DONT USE THAT VERY OFTEN audio/CAR0004.mp3[232.320,237.920] OK AND HAVE YOU AT ALL HAD ANY DIZZINESS OR HAVE YOU FAINTED AT ALL audio/MSK0008.mp3[136.400,138.320] OK AND REDNESS AS WELL audio/RES0105.mp3[137.000,145.200] OK SO IS IT MOSTLY RELATED TO YOUR BREATHING OR DO YOU HAVE IT AT REST OR DO YOU HAVE IT WITH ANY EXERTION audio/RES0116.mp3[562.760,587.240] UM I DONT THINK SO HES WEVE BEEN AT HOME SO I DONT KNOW WE WE DID HAVE LIKE WITH OUR WITH MY BROTHERS UH KIDS LIKE UH THEY CAME TO SEE US ONCE UM BUT THAT WAS LIKE THAT WAS I THINK AT LIKE THREE WEEKS AGO audio/RES0013.mp3[451.120,453.080] NO NO audio/RES0080.mp3[488.320,491.560] ALRIGHT HOW ABOUT HAVE YOU TRAVELED ANYWHERE audio/RES0018.mp3[76.120,87.840] JUST LIKE TYLENOL COLD AND THEN I THINK THERE WAS ANOTHER OVER THE COUNTER MEDICATION THAT I TOOK BUT NOTHING REALLY HELPING audio/RES0125.mp3[125.120,129.960] OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL audio/RES0158.mp3[436.200,439.120] OK AND HOW OFTEN WOULD YOU SAY YOU SMOKE WEED audio/RES0156.mp3[399.880,404.200] OK UM AND ANY HOSPITALIZATIONS OR PAST SURGERIES audio/RES0061.mp3[786.080,792.200] SO UM ITS JUST ME AND MY SON audio/RES0085.mp3[156.360,160.880] NO OK HOW IS HIS FEEDING audio/RES0104.mp3[107.000,111.960] OK ARE YOU PRODUCING ANY BLOOD LIKE IN YOUR COUGH OR SPUTUM AT ALL audio/RES0042.mp3[433.200,445.800] OH LIKE MY DAD HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT I DONT THINK THERE IS ANYTHING THAT STOOD OUT audio/RES0154.mp3[508.440,512.880] NO I THINK THATS ALL audio/RES0105.mp3[587.840,599.200] UHM I YEAH I HAD A UTERINE PROLAPSE SO I HAD SURGERY FOR THAT I HAVE FIVE KIDS audio/MSK0016.mp3[240.400,263.920] UH YEAH I HAVENT HAD ANY UH ANY MUSCLE UM WEAKNESS I GUESS I MAY BE A BIT MORE CLUMSY UM WITH UH WITH MY LEFT HAND LIKE IVE DROPPED A FEW THINGS IVE HAD IT A LITTLE BIT MORE DIFFICULT TIME LIKE OPENING JARS OR LIKE CAR DOORS AND STUFF LIKE THAT audio/RES0106.mp3[53.960,55.280] WITH THE COUGH audio/MSK0016.mp3[217.040,220.600] AND RING FINGER OK audio/RES0068.mp3[314.360,323.480] WELL I GUESS SLEEPING IS A LITTLE BIT HARDER NOW BECAUSE OF THE PRESSURE IN MY FACE BUT OTHER THAN THAT NO audio/MSK0043.mp3[332.640,337.720] ITS REALLY PAINFUL I UH THE MOVEMENTS REALLY LIMITED audio/MSK0029.mp3[132.240,137.080] ALRIGHT AND IS A PAIN CONSTANTLY THERE OR DOES IT COME AND GO audio/MSK0014.mp3[748.560,749.680] UHM NO audio/RES0174.mp3[326.280,329.000] OK ANY NAUSEA OR VOMITING audio/MSK0020.mp3[385.240,392.600] NO ALLERGIES AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE WITH THEM audio/RES0042.mp3[336.760,361.080] UH LIKE WHEN I WAS FIRST DIAGNOSED WITH CROHNS MAYBE 20 YEARS AGO WHEN I WAS LIKE 20 I WAS IN THE HOSPITAL FOR A LITTLE BIT CAUSE I WAS REALLY DEHYDRATED AND I COULDNT REALLY LIKE I JUST COULDNT I WASNT FEELING WELL AT THAT TIME BUT SINCE THEN IVE BEEN PRETTY ON TOP OF IT audio/GAS0003.mp3[303.640,311.320] UM AND OTHERWISE ARE YOU DO YOU HAVE ANY OTHER MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE OR ANYTHING ELSE audio/MSK0039.mp3[552.680,564.440] OK UM DOES UH BESIDES THE BRUISING AND THE MISALIGNMENT DO YOU NOTICE ANY OTHER OBVIOUS DEFORMITIES ANY MUSCLE ATROPHY IN THE AREA audio/RES0051.mp3[193.840,198.440] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0090.mp3[416.320,421.640] OK DO YOU DRINK ALCOHOL audio/RES0056.mp3[187.960,190.080] NO NO CHANGES audio/RES0020.mp3[619.200,626.560] OK AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS audio/RES0101.mp3[581.040,585.000] OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR OR LUNG CONDITIONS audio/RES0188.mp3[248.160,251.120] OK IS HE CRYING A LOT audio/RES0166.mp3[359.560,364.120] NO NOT ANYMORE audio/RES0136.mp3[80.640,83.320] AND UH ARE YOU COUGHING UP ANY BLOOD BY ANY CHANCE audio/RES0034.mp3[513.080,516.280] UH NO SHES PEEING FINE audio/RES0053.mp3[729.120,737.760] OK ANY OLD CARPETS OR MOLD OR CONCERNS FOR ASBESTOS ANYTHING LIKE THAT AT HOME audio/RES0131.mp3[521.840,524.080] THANK YOU audio/RES0212.mp3[360.400,363.840] OK AND LAST LITTLE WHILE HAVE YOU DONE ANY TRAVELING audio/MSK0013.mp3[263.880,272.280] OK AND HAVE YOU HAD ANY LIKE LIKE CLUMSINESS OR LIKE DROPPING OBJECTS audio/RES0094.mp3[161.200,167.400] HAVE YOU TAKEN ANYTHING TO HELP YOURSELF ANYTHING OVER THE COUNTER OR ANY PILLS audio/MSK0050.mp3[602.640,628.600] OK AND IF YOU TAKE YOUR OPPOSITE HAND UM WITH JUST YOUR UH KIND OF POINTER FINGER AND MIDDLE FINGER AND JUST REALLY TAP UM RIGHT NEAR THE WRIST CREASE CALLED THE TINELS TEST YOU TAP THERE DO YOU FEEL ANY REPRODUCTION OF SYMPTOMS audio/RES0064.mp3[543.640,546.280] OK GREAT THANK YOU audio/RES0088.mp3[408.560,415.040] OK AND HAVE YOU NOTICED ANY KIND OF WEIGHT CHANGES AT ALL RECENTLY HAS SHE LOST ANY WEIGHT audio/MSK0027.mp3[550.320,557.240] OK AND ANY SKIN CHANGES OVER THE ELBOW audio/RES0170.mp3[28.440,31.720] DOES HE STILL HAVE THESE SYMPTOMS audio/RES0147.mp3[529.880,533.600] UHM NO I DONT audio/RES0212.mp3[0.000,2.320] SO WHAT BRINGS YOU IN THE CLINIC TODAY audio/RES0149.mp3[97.800,102.000] YEAH I GUESS SO YEAH audio/RES0110.mp3[427.680,435.720] UH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION THAT IS NEW IN THE PAST WEEK OR TWO WEEKS OR SO audio/RES0212.mp3[200.680,204.440] UH NO NONE OF THAT audio/RES0147.mp3[703.760,711.280] OK ALRIGHT audio/CAR0004.mp3[119.880,124.560] I WOULD SAY A 6 OUT OF 10 audio/RES0143.mp3[124.520,129.400] OKAY ANY UM CHANGES IN SMELL audio/RES0058.mp3[281.160,286.920] OK HAVE YOU HAD A RUNNY NOSE OR A BLOCKED NOSE audio/MSK0016.mp3[539.280,542.960] OK AND UM FOR HOW LONG HAVE YOU BEEN DOING THAT audio/RES0030.mp3[346.200,349.800] NO RECENT INFECTIONS audio/RES0010.mp3[62.440,69.720] NO OK AND DO YOU HAVE ANY PAIN IN YOUR EARS audio/RES0073.mp3[447.200,464.360] I DONT THINK SO I HAVE HAD THIS HAPPEN TO ME UH I WOULD SAY LIKE ONCE BEFORE IT HAPPENED LIKE TWO YEARS AGO IT WAS PRETTY SIMILAR audio/RES0201.mp3[473.840,482.160] OK UHM AND DO YOU USE CANNABIS audio/RES0181.mp3[644.920,650.520] SO JUST TO MAKE SURE THAT WERE BEING COMPREHENSIVE audio/MSK0017.mp3[214.880,233.040] AT THAT TIME IT WAS JUST REST AND LIKE DID SOME STRETCHING AND I TOOK SOME UM ANTI INFLAMMATORIES AND IT WENT AWAY AFTER A COUPLE OF MONTHS audio/RES0053.mp3[717.000,724.400] NO WITH COVID AND EVERYTHING WE HAVE JUST BEEN KEEPING TO OURSELVES audio/RES0109.mp3[12.360,17.760] OK UM SO FOR THE PAST WEEK YOU SAID DID THE COUGH START FIRST OR THE RUNNY NOSE audio/RES0134.mp3[732.360,737.680] OKAY ANYBODY ELSE IN THE FAMILY HAVE EITHER A DEEP VEIN THROMBOSIS OR OR PE audio/RES0134.mp3[37.040,43.400] OKAY AND WHEN UH WHEN DID YOU START FEELING FEVERISH audio/RES0056.mp3[239.040,248.720] HOW ABOUT SWELLING HAVE YOU NOTICED ANY SWELLING IN LIKE YOUR LEGS OR ARMS OR YOUR BELLY AREA audio/RES0007.mp3[38.800,71.040] UH SO LIKE I HAVE GYM CLASS AT SCHOOL AND MY TEACHER JUSTALWAYS THOUGHT THAT LIKE SHOULD BE ABLE TO RUN FASTER LIKE IM LOOKING GOOD ATHLETE BUT I JUST COULDNT GO MUCH FASTER AND I WAS LIKE SAYING I CANT REALLY BREATHE WHEN IM RUNNING THAT FAST AND THEN YOU KNOW MY MOM WAS LIKE YOU SHOULD PROBABLY GO WE SHOULD PROBABLY MAKE AN APPOINTMENT audio/MSK0027.mp3[214.360,217.440] HOW SHE HAD A COUGH OR SORE THROAT audio/RES0177.mp3[225.520,229.240] ANY CHANGES IN VISION OR HEARING audio/RES0205.mp3[159.080,162.600] UHM NO audio/RES0058.mp3[232.760,234.360] NO BLOOD IN YOUR STOOL audio/RES0177.mp3[514.560,536.560] UHM NO I NO THAT WAS EVERYTHING I THINK THE ONLY I I GUESS OTHER THING THAT THAT I FORGOT TO MENTION IS THAT JUST HE DOESNT REALLY LIKE HIS APPETITES BEEN A LITTLE BIT LOWER COUPLE OF DAYS AS WELL BUT UH HE HASNT HAD ANY LIKE NAUSEA OR VOMITING THOUGH audio/RES0185.mp3[153.360,156.640] NO I DONT THINK IVE HAD A FEVER audio/RES0037.mp3[268.760,272.200] UM NO NOT REALLY audio/RES0217.mp3[79.560,129.360] ITS NOT TOO BAD UM I I HAVE ACTUALLY HAD A TICK IN THE PAST AND THIS IS A LONG TIME AGO AND UM MAYBE LIKE 10 YEARS AND I ACTUALLY HAD THAT KIND OF TARGET RASH THING THAT THEY TALK ABOUT AND UH AT THAT TIME I REMEMBER I HAD TO TAKE ANTIBIOTICS FOR A BIT UM THIS UM DIDNT LOOK LIKE THAT IT WAS MORE IT WAS JUST KIND OF SORE IN ONE SPOT I DONT THINK IT UM IT WAS AS BAD AS THAT TIME AND THE TICK THAT TIME SORRY IVE KIND OF GOTTEN OFF TRACK THAT TIME IT WAS QUITE SWOLLEN THIS ONE WAS MAYBE A LITTLE BIT BUT NOT AS MUCH audio/RES0173.mp3[214.280,220.520] NO I DONT THINK SO audio/MSK0029.mp3[30.720,42.800] OK SO CAN YOU TELL ME HOW THIS ACCIDENT HAPPENED WERE YOU SITTING IN THE PASSENGER SEAT AND THE DRIVER AND WAS THE IMPACT FROM LIKE BEHIND AT THE BACK OF YOUR CAR OR AT THE FRONT audio/RES0074.mp3[127.160,132.800] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN HAVING FATIGUE audio/RES0070.mp3[125.520,132.040] OK AND COULD YOU DESCRIBE LIKE WHERE YOU FEEL THE HEADACHE audio/RES0217.mp3[320.880,323.880] UH NO I DIDNT NO audio/RES0013.mp3[415.440,417.560] OH LIKE SINCE COLLEGE audio/RES0189.mp3[190.600,196.760] OK AND HAVE YOU BROUGHT UP OR COUGHED UP ANY BLOOD SO HAVE YOU HAD ANY HEMOPTYSIS audio/MSK0029.mp3[430.360,433.320] SMELL OR TASTE audio/MSK0003.mp3[407.040,416.760] OK AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH ANY VIRAL OR BACTERIAL INFECTIONS audio/MSK0022.mp3[878.840,885.120] OK I SEE ARE YOU ABLE TO MAKE A FIST WITH BOTH BOTH HANDS audio/RES0210.mp3[417.800,420.280] ONCE IN A BLUE MOON audio/RES0092.mp3[250.960,252.960] NO ALLERGIES audio/RES0135.mp3[157.240,164.840] OKAY AND HAS SHE HAD ANY ANY LIKE FAINTING SPELLS audio/RES0172.mp3[308.480,316.600] YEAH I JUST SAY IM ON BIRTH CONTROL RIGHT NOW IVE BEEN TAKING IT FOR THE LAST LIKE FIVE YEARS audio/RES0106.mp3[355.720,361.280] NO OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0015.mp3[494.720,498.120] NO OK OK AND ANY NAUSEA OR VOMITING audio/RES0109.mp3[436.760,438.920] YEAH OK SOUNDS GOOD audio/MSK0039.mp3[703.840,706.320] THAT SOUNDS GOOD ALRIGHT THANK YOU SO MUCH audio/RES0050.mp3[229.400,234.800] ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/RES0093.mp3[612.520,619.520] HMM I SEE DO YOU DO YOU HAVE A FAMILY DOCTOR audio/RES0062.mp3[734.360,740.000] OK OK AND ANY TRAVEL HISTORY audio/RES0165.mp3[370.720,372.720] UHM NO I HAVENT audio/RES0019.mp3[630.160,636.400] OK AND UH HOW ABOUT ANY CANCERS IN THE FAMILY audio/RES0197.mp3[307.240,308.520] I DO audio/RES0083.mp3[310.160,317.720] OK CAN YOU TELL ME IF YOU HAVE ANY MEDICAL PROBLEMS ANY MEDICAL CONDITIONS audio/RES0031.mp3[581.160,584.760] OH NO IM IM STRAIGHT LIKE I IVE ONLY BEEN WITH WOMEN audio/RES0024.mp3[457.800,463.280] OK ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR A LUNG CONDITION audio/RES0057.mp3[587.480,589.440] UMM NO audio/RES0063.mp3[397.120,420.960] UHM NO LUNG CONDITIONS AND UHH HEART CONDITIONS BOTH MY MOM AND DAD SUFFERED FROM LIKE HIGH BLOOD PRESSURE MY DAD ALSO HAD A HEART ATTACK WHEN IN HIS 60S NOW THERE IS SOME HEART CONDITIONS THAT RUN IN THE FAMILY audio/RES0190.mp3[147.080,149.880] OK UHM AND HAVE YOU HAD ANY HEADACHES audio/MSK0042.mp3[218.920,221.280] NO NOTHING LIKE THAT audio/RES0071.mp3[279.720,293.520] I DID SEE SOME PEOPLE WHO HAD LIKE INFECTIOUS SYMPTOMS audio/RES0106.mp3[378.480,389.880] NO OK AND HAVE YOU BEEN IN CONTACT WITH ANY ANY SICK PEOPLE RECENTLY audio/RES0015.mp3[670.320,676.560] I SMOKE LIKE I WOULD SAY LIKE 5 CIGARETTES A DAY audio/RES0119.mp3[143.680,146.960] OK AND HOW MANY DAYS OF SCHOOL HAS SHE HAD TO MISS audio/RES0046.mp3[319.760,327.320] OK UM AND YOU MENTIONED YOUVE BEEN HAVING DIARRHEA HOW LONG HAS THAT BEEN GOING ON FOR audio/RES0176.mp3[455.120,459.240] OK SO YOU HAVENT USED THEM RECENTLY audio/MSK0016.mp3[62.400,63.880] IT COMES AND GOES audio/RES0139.mp3[273.720,276.480] JUST JUST THAT ONE audio/RES0130.mp3[197.480,201.040] NO THATS BEEN NORMAL audio/RES0086.mp3[501.520,508.280] OK UHM HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0070.mp3[370.040,387.600] UHM I HAVE UH I HAVE MIGRAINES AND UH I ALSO HAVE POLYMYALGIA RHEUMATICA audio/MSK0001.mp3[339.520,342.080] OK AND ANY OTHER MEDICATIONS AT ALL audio/RES0081.mp3[400.800,404.040] I WOULD LOVE THAT audio/RES0003.mp3[30.920,50.480] YEAH PROBABLY YEAH ABOUT 3 DAYS AGO HE HE DIDNT GO TO SCHOOL FOR THE LAST TWO DAYS BECAUSE OR I MEAN DAYCARE I SHOULD SAY BECAUSE THE PAINS BUT WAS BUGGING HIM SO BAD audio/MSK0033.mp3[752.960,759.160] IT DOES YEAH THANK YOU SO YOU SAID THAT YOU THINK ITS LIKE A PATELLAR TENDONITIS OR SOMETHING LIKE THAT audio/RES0196.mp3[456.880,458.560] YOU TOO audio/RES0136.mp3[176.880,180.960] HAVE YOU HAD ANY ALLERGIC REACTIONS BEFORE audio/RES0060.mp3[21.000,29.280] OK AND THE FEVER STARTED FOUR DAYS AGO AS WELL audio/RES0053.mp3[276.120,280.920] AND HIS VISION AND HEARING ARE NORMAL audio/MSK0043.mp3[671.680,699.640] UH I WAS WORKING UNTIL LIKE I UM YEAH ABOUT UH ABOUT 15 YEARS AGO AND NOW I LIKE I GOT INJURED ON THE UH UM AT WORK AND IVE HAD LIKE CHRONIC BACK PAIN AND I DONT KNOW I THINK THATS KIND OF HOW THIS PARTLY ALL ALL STARTED SO IVE BEEN AT HOME RECEIVING UH IM ON DISABILITY audio/RES0159.mp3[512.360,534.200] UM ITS HERE AND THERE LIKE MAYBE JUST WHEN I WAKE UP SOMETIMES BUT THIS IS KIND OF UH MORE FREQUENT AND I I DO FEEL JUST KIND OF THIS DISCOMFORT IN MY CHEST WHEN I TAKE THESE DEEP BREATHS AS WELL UM YEAH SO I I DONT REALLY KNOW WHATS GOING ON audio/GAS0002.mp3[174.880,187.880] I THINK IT HAPPENED TO ME A FEW YEARS BACK WHERE I HAD THIS PAIN AND THEN IT JUST KIND OF WENT AWAY ON ITS OWN I DIDNT GO TO THE EMERGENCY DEPARTMENT THEN THOUGH audio/RES0069.mp3[31.840,35.840] CERTAINLY WHEN DID THE THE SORE THROAT START audio/MSK0026.mp3[385.600,397.720] CURRENTLY IM ON RAMIPRIL AND I TAKE SOME IBUPROFEN SOMETIMES FOR THE OSTEOARTHRITIS IN MY LEFT KNEE audio/RES0129.mp3[399.560,404.880] SO YEAH HE LIVES WITH ME ITS JUST ME AND MY WIFE audio/RES0185.mp3[131.240,135.120] NO OK AND THEN ANY CHANGES IN YOUR VISION OR HEARING audio/MSK0033.mp3[273.600,275.240] NO ALLERGIES audio/RES0128.mp3[439.840,446.400] A FISH OK AND HAS HE HAS COME INTO CONTACT WITH ANYONE SICK RECENTLY audio/RES0088.mp3[522.920,530.240] THERES SOME COLON CANCER ON HER DAD SIDE OF THE FAMILY audio/RES0107.mp3[510.760,519.000] ITS BEEN ITS BEEN GOING ON FOR THE PAST UH TWO WEEKS audio/RES0187.mp3[52.320,55.600] FOUR DAYS OK AND THE COUGH STARTED WHEN audio/MSK0005.mp3[573.440,578.280] OK AND WAS THAT AN EMERGENCY CSECTION audio/RES0165.mp3[299.600,303.680] UM NO IM PRETTY HEALTHY audio/RES0118.mp3[216.160,220.640] OK UM ANY KIND OF SENSATION THAT YOUR HEART IS RACING audio/RES0125.mp3[615.200,623.040] I WAS I GUESS I WAS JUST WORRIED ABOUT THE COUGH UM ITS JUST I WAS WORRIED THAT IT COULD BE COVID audio/RES0058.mp3[340.760,357.000] I MEAN I GUESS I COULD HAVE BEEN DEHYDRATED I DIDNT EVEN THINK OF THAT BUT I MEAN SINCE THE FOOD DIDNT TASTE SO GREAT I DONT KNOW I PROBABLY DIDNT EAT AS MUCH YESTERDAY OR THE LAST COUPLE OF DAYS MAYBE I HAVENT EATEN AS MUCH audio/MSK0027.mp3[584.200,593.400] OK AND UM IS THERE ANY PAIN WITH WITH MOVEMENT audio/RES0045.mp3[342.360,349.240] I HAVENT CHECKED IT BUT UM LIKE IVE BEEN FEELING PRETTY SWEATY FROM HOW HOT IVE BEEN audio/RES0079.mp3[36.040,44.400] I SEE OK AND DID YOU CHECK YOUR FEVER BEFORE THAT THE NIGHT BEFORE audio/RES0014.mp3[207.920,211.880] ANY CHANGES IN YOUR SMELL audio/RES0172.mp3[178.400,192.960] UH I HAVE FELT JUST TIRED AND OVER THESE LAST COUPLE OF DAYS THAT AND I HAVE HAD A SORE THROAT AS WELL audio/MSK0010.mp3[565.160,570.640] YEAH IM WORKING AS A REAL ESTATE AGENT audio/RES0036.mp3[598.320,606.200] OK DO YOU HAVE ANY EXPOSURE TO MOLD OR EXCESSIVE DUST IN YOUR HOUSEHOLD audio/MSK0023.mp3[161.480,164.680] NO FEVERS OR CHILLS audio/RES0078.mp3[162.920,167.040] AND HAVE YOU HAD FEVERS OR CHILLS audio/RES0172.mp3[360.000,363.280] NO I DONT audio/RES0101.mp3[125.160,131.400] ITS JUST THE CALF I WOULD SAY MORE LIKE JUST THE LOWER LEG AREA audio/RES0023.mp3[245.200,248.960] MMMM NOTHING LIKE THAT audio/RES0104.mp3[237.840,251.600] UH I DONT I I MEAN I SEE MY GRANDDAUGHTER AND I MIGHT HAVE GOT A COLD FROM HER A FEW WEEKS AGO BUT RECENTLY I HAVENT SEEN ANYBODY audio/MSK0031.mp3[546.400,547.640] YES PLEASE audio/RES0139.mp3[221.280,228.240] UM AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS LIKE ASTHMA COPANYTHING LIKE THAT audio/RES0105.mp3[242.600,244.880] YEAH WE JUST TRIED IT LAST NIGHT audio/RES0001.mp3[395.080,403.200] YOUR STOOL SO BOWEL MOVEMENTS AND URINATION LIKE ALL OF THATS NORMAL audio/RES0161.mp3[199.600,207.360] HAVE YOU HAD CONTACT WITH ANYONE WHO COULD BE SICK IN THE PAST WEEK OR TWO audio/RES0105.mp3[439.840,441.280] YEAH I DO audio/RES0069.mp3[280.760,286.400] OK YEAH AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE audio/MSK0033.mp3[560.240,569.720] OK AND HAVE YOU NOTICED ANY KIND OF ROTATION OF YOUR KNEE AT ALL audio/RES0065.mp3[263.680,266.040] NO NO THATS BEEN NORMAL audio/RES0215.mp3[621.080,625.360] YOU TOO BYE BYE audio/RES0195.mp3[419.360,422.760] HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0007.mp3[766.400,771.280] UH LIKE I HAVE A GIRLFRIEND JUST WITH HER UH LIKE JUST RECENTLY YEAH WE STARTED audio/RES0005.mp3[428.040,439.280] YEAH SO FOR THE CHOLESTEROL TAKING ROSUVASTATIN AND I FORGET WHAT IM TAKING FOR THE BLOOD PRESSURE BUT ITS PRETTY WELL UNDER CONTROL audio/RES0138.mp3[275.360,278.880] UM NO I DONT THINK SO audio/RES0100.mp3[320.880,323.800] YEAH THAT THAT JUST STARTED YESTERDAY audio/MSK0036.mp3[482.480,488.240] OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL audio/RES0201.mp3[128.480,145.000] OK YEAH I CAN UNDERSTAND HOW THAT WOULD BE CONCERNING WERE DEFINITELY GOING TO TRY TO GET TO THE BOTTOM OF IT TODAY UM OK SO STARTED YESTERDAY SAID THEN HAS IT GOTTEN ANY WORSE IS IT THE SAME WAY BETTER audio/RES0001.mp3[548.280,551.840] UM NO ALLERGIES TO MEDICATIONS audio/RES0095.mp3[673.200,679.520] OK UHM SO WERE THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT THAT I MAY HAVE FORGOT TO ASK ABOUT audio/MSK0029.mp3[461.400,462.800] NO NAUSEA OR VOMITING audio/RES0066.mp3[472.080,472.760] UM NO audio/RES0099.mp3[255.280,261.320] ALRIGHT AND HAVE YOU HAD ANY CHEST PAIN audio/RES0069.mp3[451.120,457.320] BOTH ACTUALLY IT RUNS IN MY FAMILY WE GET IT PRETTY EARLY ON audio/RES0106.mp3[450.440,459.680] ONCE A MONTH OK OK AND THEN ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE OR ANYTHING LIKE THAT audio/CAR0003.mp3[295.960,302.880] OK AND ANY CHEST PAIN AT ALL WITHIN THE LAST TWO MONTHS audio/RES0075.mp3[262.760,267.920] ANY DIZZINESS OR LIGHTHEADEDNESS audio/MSK0024.mp3[522.920,528.400] NO JUST LIKE HOW CAN I TREAT THIS audio/RES0093.mp3[490.560,498.320] HAVE YOU CONSIDERED REDUCING THE AMOUNT OF ALCOHOL YOU DRINK HAS IT AFFECTED YOU IN ANY WAY audio/RES0132.mp3[492.840,497.240] YEAH MAYBE FROM THERE YEAH audio/RES0164.mp3[396.080,405.760] OK AND HAS HE BEEN COMPLAINING AT ALL OF ANY ABDOMINAL PAIN OR ANYTHING LIKE THAT audio/RES0163.mp3[345.920,359.280] OK UH ANYTHING ELSE LIKE IN YOUR HOUSE OR ENVIRONMENT LIKE CARPETS DUST LIKE ANYTHING THAT MIGHT IRRITATE GIVE ME MORE IRRITATION audio/RES0125.mp3[172.000,177.560] I SEE DOES IT KEEP KEEP YOU UP AT NIGHT AT ALL audio/MSK0033.mp3[64.840,72.720] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT KIND OF A SHARP PAIN OR IS IT A DULL ACHING PAIN audio/MSK0029.mp3[999.720,1016.000] UH NO THAT I JUST WAS WONDERING IF I IF YOU THINK I I DON’T NEEDED AN X RAY OR LIKE YOU THINK THAT ANYTHING IS BROKEN KIND OF LIKE CONCERNED ABOUT TODAY BECAUSE OF THIS PAIN audio/RES0109.mp3[278.200,281.880] OK GOOD GOOD ANY ALLERGIES audio/CAR0003.mp3[90.800,98.040] YEAH I GUESS ID SAY I HAVE THIS FROTHY SPUTUM audio/RES0185.mp3[33.320,35.760] ABOUT FOUR DAYS AGO audio/RES0194.mp3[213.320,220.880] UM NO I HAVEN’T UH HAD ANY ANY SORE THROAT OR CHEST PAIN NO RUNNY NOSE EITHER audio/RES0192.mp3[63.920,71.920] OK UM DO YOU ARE YOU ABLE TO LIE DOWN FLAT WITHOUT EXPERIENCING SHORTER BREATH audio/RES0108.mp3[109.400,110.800] NO NO audio/RES0072.mp3[454.640,460.160] OK ANY SIGNIFICANT WEIGHT LOSS OVER THE LAST MONTH audio/RES0107.mp3[688.360,695.360] OK OK GOOD UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0129.mp3[118.360,122.960] OH OK DID YOU TAKE HIS TEMPERATURE audio/RES0164.mp3[0.000,3.120] WHAT BRINGS YOU IN HERE TODAY audio/RES0047.mp3[70.920,82.840] UH YEAH I THINK UM I THINK ITS JUST A SMOKERS COUGH I THINK THAT MY FAMILY DOCTOR TOLD ME I HAD LIKE CHRONIC BRONCHITIS BEFORE audio/RES0013.mp3[304.800,307.680] NO WEIGHT LOSS audio/RES0111.mp3[316.520,326.880] OK ALRIGHT UM AND UM ARE YOU UH DO YOU UH DRINK ALCOHOL audio/RES0175.mp3[223.480,241.520] ALRIGHT SO YOUVE HAD THIS DRY COUGH THAT STARTED TWO DAYS AGO BEEN FEELING FEVERISH HAVE HAD SOME MUSCLE ACHES BEEN TIRED AND ALSO A LOSS OF TASTE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0034.mp3[408.560,419.680] UH I DONT KNOW IF ITS DIFFICULTY BREATHING BUT I HAVE NOTICED SOMETIMES SHES LIKE BREATHING FASTER THAN NORMAL LIKE TAKING A LOT MORE BREATHS audio/RES0037.mp3[713.080,722.480] NO OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME OR ANY QUESTIONS OR CONCERNS audio/RES0013.mp3[174.280,178.000] I I DONT THINK SO audio/RES0046.mp3[769.120,773.400] OK UM HAVE YOU BEEN AROUND ANYONE ELSE WHOS BEEN SICK RECENTLY audio/CAR0001.mp3[371.160,380.560] OK UM ANY ANY TRAUMA AT ALL TO THE CHEST OR OR BACK audio/GAS0003.mp3[311.320,317.680] I DO HAVE DIABETES BUT THATS ABOUT IT I THINK audio/RES0187.mp3[271.360,275.080] OK AND ANY NAUSEA OR VOMITING audio/RES0183.mp3[490.280,491.080] OH NO NO audio/RES0153.mp3[316.920,322.520] OK UM AND UH SO DO YOU TAKE ANY MEDICATIONS OR ANYTHING OVER THE COUNTER audio/RES0095.mp3[655.040,658.080] OK AND OR OR ANY NIGHT SWEATS audio/RES0164.mp3[313.120,319.840] YEAH YEAH ITS ON HIS NOSE AS WELL audio/RES0151.mp3[113.680,122.920] OK AND UM COULD YOU IS YOUR NOSE UH LIKE COULD YOU DESCRIBE THE DISCHARGE FROM YOUR NOSE audio/MSK0027.mp3[253.880,258.360] ANY DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL audio/RES0061.mp3[231.920,235.880] NO CHANGES TO VISION OR HEARING audio/RES0099.mp3[232.320,245.600] NOT RIGHT NOW BUT I DID HAVE LAST NIGHT JUST WAS JUST VERY CHILLY AND UH I HAD TO JUST WRAP MYSELF UP IN A COUPLE BLANKETS audio/RES0011.mp3[97.480,105.120] ITS JUST EVERYWHERE ITS ITS NOT LIKE I CANT MOVE IM JUST REALLY REALLY TIRED audio/RES0189.mp3[0.000,1.440] HOW MAY I HELP YOU audio/RES0071.mp3[622.440,627.800] AND ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0158.mp3[296.000,299.360] OK ANY WEIGHT CHANGES RECENTLY audio/RES0217.mp3[328.400,332.320] UH NO IT WAS JUST UH ME AND MY HUSBAND audio/RES0154.mp3[234.320,241.080] OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD ANY FATIGUE OR MALAISE THE LAST SEVERAL DAYS audio/RES0166.mp3[139.440,147.680] OK DO YOU FEEL THAT YOUR HEART IS RACING AT ALL audio/RES0184.mp3[420.400,429.360] OK AND ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0213.mp3[23.680,25.240] A WEEK AND A HALF audio/RES0134.mp3[403.000,407.040] HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS audio/RES0178.mp3[439.200,447.760] NO OK AND AND ANY TRAVEL RECENTLY audio/MSK0020.mp3[300.360,303.480] CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0042.mp3[404.280,405.760] OK OK audio/RES0163.mp3[399.360,409.560] OK AND DO YOU SNORE WOULD YOU SAY MOST NIGHTS OR IS THAT SOMETHING LIKE HAS SOMEONE TOLD YOU THAT audio/RES0211.mp3[403.960,406.880] HE HAD A COLD audio/RES0194.mp3[42.920,59.800] OK THATS GOOD AND THE MUSCLE ACHES UH SO WERE YOU DOING ANYTHING RECENTLY LIKE ANYTHING STRENUOUS INCREASED EXERCISE LIFTING ANYTHING OR ANY INJURIES AT ALL RECENTLY audio/RES0127.mp3[321.960,332.760] SO BESIDES BESIDES THAT ANY KIND OF RECENT EXPOSURES TO ANY FUMES DUST ANIMALS PETS LIKE ANYTHING LIKE THAT audio/MSK0011.mp3[98.560,107.120] OK AND ARE YOU HAVING ANY PAIN ON MOVEMENT OR IF YOU PRESS ON IT audio/RES0031.mp3[416.240,417.960] NO ALLERGIES audio/RES0027.mp3[36.240,37.920] NO NO BLOOD audio/RES0006.mp3[465.360,470.360] OK DO YOU HAVE ANY PETS AROUND audio/MSK0038.mp3[557.280,565.880] OK DO YOU NOTICE ANY LIKE MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES OTHERWISE audio/RES0015.mp3[381.680,385.000] ANY WEIGHT LOSS audio/MSK0049.mp3[57.720,61.440] OK AND YOU SAID THE PAIN STARTED TWO MONTHS AGO audio/MSK0046.mp3[113.720,132.560] ID SAY LIKE UM YOU KNOW TRYING TO TOUCH MY PINKY WITH MY THUMB THAT THAT HURTS UM JUST LIKE TRYING TO ROTATE IT HURTS audio/MSK0021.mp3[355.960,359.880] OK HOW ABOUT ALLERGIES DO YOU HAVE ANY audio/RES0014.mp3[276.000,289.120] NO JUST SOMETIMES WHEN I IM COUGHING A LOT I FEEL A LITTLE BIT OF JUST TENSION AND HEAVINESS IN THERE BUT THATS JUST WHEN IM LIKE REALLY COUGHING A LOT audio/RES0111.mp3[312.960,316.520] UH NO NOT BEFORE I FINISH HIGH SCHOOL audio/MSK0001.mp3[281.040,284.720] UH NO NUMBNESS OR TINGLING audio/MSK0037.mp3[587.760,594.800] YEAH PROBABLY A COUPLE OF YEARS A DAY audio/RES0124.mp3[525.440,529.680] UM HAVE YOU EVER SEEN AN ALLERGIST audio/MSK0013.mp3[736.360,744.000] OK AND AND ON WALKING IS THERE ANY LIMP OR DOES IT APPEAR HOW DOES THE WALK APPEAR audio/MSK0007.mp3[807.200,813.160] OK THAT SOUNDS GREAT THANK YOU audio/RES0088.mp3[331.680,347.000] OK WE CAN DO THAT OTHER THAN THOSE SYMPTOMS HAS SHE BEEN EXPERIENCING ANY KIND OF LIKE FATIGUE OR HAVE YOU NOTICE HER BEING JUST VERY TIRED audio/RES0190.mp3[268.640,274.160] OK AND THEN HOW ABOUT ANY CHEST PAIN audio/RES0084.mp3[661.880,667.400] OK YEAH AND DO YOU DRINK ALCOHOL audio/RES0187.mp3[275.080,277.280] NO NO NAUSEA OR VOMITING audio/RES0077.mp3[538.840,543.040] OK AND WHEN DID THIS START audio/MSK0011.mp3[180.040,188.160] OK AND HOW HOW MUCH WOULD YOU RATE THE PAIN ON A SCALE OF ZERO TO 1010 BEING THE WORST PAIN YOU FELT IN YOUR LIFE audio/RES0045.mp3[270.080,274.600] NO ANY CHANGES IN YOUR VISION OR HEARING audio/RES0030.mp3[364.600,375.080] AWESOME AND HAVE YOU HAD HAVE YOU BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST audio/RES0161.mp3[251.160,265.800] YEAH SO I JUST TAKE UMM ITS LIKE A THIAZIDE DIURETIC FOR BLOOD PRESSURE AND THEN JUST ATORVASTATIN FOR CHOLESTEROL audio/MSK0021.mp3[363.840,370.480] NO ALLERGIES OK GOOD AND ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES audio/RES0204.mp3[277.600,284.840] OK DID YOU SEE YOUR FAMILY DOCTOR FOR ANYTHING ANY HEALTH PROBLEMS audio/RES0216.mp3[437.640,443.360] OK DO YOU HAVE ANY OTHER LUNG ISSUES OR ANY TROUBLE WITH YOUR LUNGS IN THE PAST audio/RES0077.mp3[95.720,106.040] OK AND IS YOUR SPUTUM AT ALL YELLOW GREEN OR DOES IT HAVE ANY BLOOD TINGE CONTENT IN IT audio/RES0149.mp3[217.040,223.160] OK AND UM HAVE YOU HAD ANY HEADACHES audio/RES0044.mp3[348.520,357.920] OK UM ANY CHANGES TO YOUR HAIR OR UH NAILS OR SKIN LIKE RASHES audio/RES0164.mp3[331.000,339.040] OK AND ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT ANYTHING LIKE THAT audio/RES0063.mp3[117.000,121.480] OK HOW ABOUT HEARING OR VISION audio/RES0062.mp3[367.320,378.320] YEAH THERE WAS A CANDLE ON EARLIER TODAY AND I GUESS I COULDNT REALLY SMELL IT SO I GUESS I HAVENT BEEN ABLE TO SMELL audio/RES0139.mp3[397.640,402.880] OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0036.mp3[82.160,84.960] OK SO AROUND SIX DAYS audio/RES0116.mp3[459.080,460.320] UH NO NO MEDICATIONS audio/RES0117.mp3[73.440,77.480] OK ARE YOU SHORT OF BREATH AT ALL audio/MSK0014.mp3[75.080,80.720] OK AND SO WHAT KNEE IS IT THAT THATS BOTHERING YOU RIGHT NOW audio/MSK0031.mp3[37.520,46.560] I THINK I JUST I MISSED I WASNT DIZZY OR ANYTHING I JUST MISSED ONE OF THE STEPS AND JUST SLIPPED SLIPPED DOWN THE STAIRS audio/RES0030.mp3[63.400,73.520] ITS REALLY HARD TO SAY IVE HAD A COUGH FOR THE PAST FEW YEARS NOW BUT I FEEL LIKE ITS GETTING WORSE audio/RES0122.mp3[281.440,289.600] OKAY UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0122.mp3[294.960,300.640] I DID HAVE A UM CSECTION WITH BOTH MY BOTH MY CHILDREN audio/MSK0007.mp3[197.200,199.960] OR ANY ANY WEIGHT LOSS audio/MSK0038.mp3[251.280,257.520] OK HOW ABOUT A COUGH SHORTNESS OF BREATH OR UM WHEEZING audio/RES0137.mp3[253.320,258.920] NO I DONT THINK SO NOT NOTHING REALLY audio/CAR0004.mp3[102.800,107.320] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE audio/RES0096.mp3[476.080,479.040] TWO OR THREE OF THEM I DID YEAH audio/RES0111.mp3[524.160,527.320] OK SOUNDS GOOD audio/CAR0004.mp3[112.080,119.880] OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN FELT AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT audio/MSK0046.mp3[419.480,434.720] OK UM NOW I JUST WANT YOU TO DO THIS ONE TEST ITS CALLED A FINKELSTEIN TEST OK SO I WANT YOU TO FLEX YOUR THUMB PRESS IT UP DOWN AGAINST YOUR PALM audio/RES0198.mp3[98.760,104.200] OK HAS THIS HAPPENED TO YOU BEFORE AT ALL audio/MSK0026.mp3[752.360,765.920] OK AND TREATMENT FOR THAT WILL BE ACTIVITY MODIFICATION AS WELL AS USING THINGS LIKE AS UM NSAIDS AND ICING TO HELP WITH UM THE INFLAMMATION audio/MSK0013.mp3[471.280,480.200] OK SO AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/MSK0011.mp3[88.080,90.480] NO NOTHING LIKE THAT audio/RES0030.mp3[375.080,383.320] UM NO I ACTUALLY HAD A TUBERCULOSIS TEST FOR WORK AND IT WAS NORMAL audio/RES0154.mp3[142.600,155.200] I HAVE HAD A FEVER LIKE TODAY I HAD A FEVER I MEASURED IT WAS LIKE 385 YESTERDAY I FELT LIKE I HAD CHILLS AND A FEVER AS WELL audio/MSK0001.mp3[342.080,347.040] UH JUST BEEN TAKING TYLENOL FOR THE THE BACK PAIN audio/RES0036.mp3[650.840,654.600] I SMOKE A LITTLE CANNABIS SOMETIMES audio/MSK0032.mp3[222.720,225.800] FEVERS OR CHILLS audio/RES0090.mp3[230.080,240.880] OK SO YEAH DEFINITELY THATS MORE THAN LIKE THE TEN PERCENT YES THAT IS PRETTY SIGNIFICANT HAVE YOU BEEN EXPERIENCING ANY NIGHT SWEATS audio/MSK0033.mp3[133.360,157.640] UM ILL GET IT IF IM LIKE SOMETIMES ILL FEEL IT IF IM GOING UPSTAIRS LIKE WALKING UPSTAIRS OR LIKE IF IM SITTING FOR A LONG LONG TIME AND I I GET UP ITLL FEEL A BIT SORE BUT ITS MOSTLY IF IM LIKE DOING ACTIVITIES LIKE RUNNING OR JUMPING DOING LIKE STRENUOUS STUFF LIKE THAT audio/RES0179.mp3[240.720,250.480] OK AND HOW ABOUT SHORTNESS SORRY HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0185.mp3[148.400,153.360] OK HOW ABOUT FEVERS audio/RES0199.mp3[521.640,524.560] NO I I WAS JUST WONDERING WHAT THIS CAN BE audio/MSK0019.mp3[192.560,195.280] OH NO NO PAIN ELSEWHERE audio/RES0206.mp3[223.960,238.840] SURE AND HAVE YOU HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE ANY PAIN IN YOUR SINUS audio/RES0027.mp3[28.120,32.120] NO ITS ITS DRY ITS VERY DRY audio/RES0062.mp3[84.400,95.720] OK OK UM AND DO YOU NOTICE ANY LIKE PUS OR FROTH IN THE SPUTUM audio/RES0213.mp3[438.080,443.080] OK AND HOW DO YOU MANAGE STRESS WHEN YOU DO GET IT audio/MSK0040.mp3[315.840,321.160] ALRIGHT HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOUR HEARTS RACING audio/MSK0020.mp3[292.480,299.960] UHM CHEST PAIN HEART PALPITATIONS OR FAINTING audio/RES0050.mp3[316.880,325.840] OK UHM AND HAVE YOU HAD ANY SWELLING IN YOUR FEET ANKLES HANDS audio/MSK0020.mp3[308.000,310.440] UH NO audio/RES0131.mp3[376.840,380.080] YEAH I I CURRENTLY I THINK A BIRTH CONTROL audio/RES0137.mp3[628.400,633.120] OKAY ILL THINK ABOUT IT audio/RES0020.mp3[626.560,628.800] NO I DONT audio/MSK0016.mp3[286.360,287.320] NO RASHES audio/RES0210.mp3[371.680,373.640] OK YOU LIVE WITH YOUR GIRLFRIEND audio/RES0150.mp3[432.040,445.520] OK UM AND IN TERMS OF THE PREGNANCY UH WERE THERE ANY COMPLICATIONS DURING THE PREGNANCY LIKE GESTATIONAL DIABETES OR OR UM HIGH BLOOD PRESSURE audio/RES0034.mp3[320.680,327.360] UH NO I DIDNT NOT KNOW LIKE NEW RASHES NO audio/MSK0036.mp3[202.960,210.840] OK AND IS THE DOES IT RADIATE ANYWHERE ARE YOU FEELING THIS IN IN YOUR NECK SHOULDER OR DOWN YOUR ARM AT ALL audio/RES0134.mp3[674.040,677.440] OKAY AND UH DO YOU DRINK ALCOHOL audio/RES0060.mp3[776.960,783.720] OK AND WHERE DO YOU LIVE audio/RES0119.mp3[239.280,245.720] NO OK UH ANYTHING THAT HELPS HER OR MAKES HER SYMPTOMS BETTER audio/RES0122.mp3[206.160,211.280] GOOD THATS VERY GOOD UM ARE YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE audio/RES0113.mp3[247.840,250.080] OK ANY SORE THROAT audio/RES0085.mp3[517.600,523.040] YEAH NO WORRIES audio/RES0139.mp3[528.920,565.960] OTHER THAN THAT SOMETIMES UH WITH A HISTORY OF SMOKING YOU CAN HAVE SOMETHING CALLED UH COPWE CAN LIKE AFTER THE PHYSICAL EXAMINATIONS AND EVERYTHING WE CAN POTENTIALLY DISCUSS DOING PULMONARY FUNCTION TESTS AS WELL UM AND YEAH BUT OTHER THAN THAT IT CAN ALSO JUST BE LIKE A DRY COUGH CAN BE JUST A VIRAL UPPER RESPIRATORY TRACT INFECTION THAT TAKES TWO OR MORE WEEKS TO RESOLVE IN THAT CASE WE WOULDNT REALLY audio/RES0048.mp3[67.520,87.040] OK OK SO LETS GO BACK TO THE COUGH IS IT CONSTANT OR UM IS IT TRIGGERED BY CERTAIN THINGS LIKE THE COLD AIR DUST UM YOU KNOW UM CERTAIN TIMES OF THE DAY LIKE MORNING EVENING audio/RES0193.mp3[509.560,515.200] HE HAS YEAH YEAH HES BEEN MEETING ALL OF HIS MILESTONES AND GROWING WELL audio/MSK0027.mp3[444.280,449.640] UMM NO SHES SHES AT HOME WITH ME audio/MSK0037.mp3[380.480,384.280] NO NOTHING LIKE THAT audio/MSK0038.mp3[405.040,406.120] UM NO I I DONT audio/RES0116.mp3[468.960,470.880] UM NOT THAT WE KNOW OF audio/RES0097.mp3[309.120,312.440] OK AND HOW HAS HIS ENERGY BEEN HAS HE BEEN FATIGUED audio/RES0012.mp3[506.080,510.080] UH I GOT LIKE I AM A TYPE 1 DIABETIC audio/RES0155.mp3[348.160,353.640] NO I HAVENT FELT ANYTHING LIKE THAT audio/RES0204.mp3[88.920,100.240] OK OK UHM ALONG WITH THE COUGH HAVE HAVE YOU BEEN HAVING ANY OTHER NEW SYMPTOMS audio/RES0177.mp3[280.360,284.160] OK CHANGES IN HIS VOIDING audio/MSK0049.mp3[405.360,415.880] UM I HAVE UM DIABETES HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND IM OVERWEIGHT audio/RES0215.mp3[616.520,619.040] NO THANK YOU SO MUCH audio/MSK0010.mp3[591.040,597.120] DO YOU USE ANY RECREATIONAL DRUGS OR HAVE YOU IN THE PAST audio/MSK0036.mp3[382.160,400.400] YEAH I I DO I DO HAVE LIKE WHEN IM LIFTING THINGS AND OPENING JARS OPENING LIDS LIKE I DO HAVE THE SIMILAR DISCOMFORT PAIN AS WELL AS THE NUMBNESS AND TINGLING audio/RES0006.mp3[545.000,557.920] OK THATS FAIR ENOUGH IF THERES SOMETHING THAT YOU WANTED TO TALK ABOUT QUITTING SMOKING AT ANOTHER APPOINTMENT WE CAN ARRANGE FOLLOW UP FOR THAT audio/RES0110.mp3[589.680,593.800] YEAH YEAH YEAH I SEE ANY SURGERIES audio/RES0078.mp3[647.120,658.000] UH IVE HAD A HERNIA REPAIR ABOUT SEVEN YEARS AGO I HAVENT HAD ANY ISSUES SINCE audio/RES0176.mp3[637.120,640.760] HOW ABOUT ANY CLOTTING DISORDERS OR OR CANCERS audio/RES0049.mp3[702.760,747.840] YEAH FOR SURE THATS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WE WILL BE DOING A COVISWAB ON YOU AND AND YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS BUT REGARDLESS BECAUSE YOUR SYMPTOMS OVERLAP WITH SYMPTOMS OF COVIESPECIALLY UMM THE LOSS OF SMELL AND TASTE WE DO RECOMMEND THAT YOU ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM FAMILY MEMBERS AS WELL SO WELL THATS WHERE WELL START IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR BUT WELL START WITH WELL START WITH THESE COVISWABS HOW DOES THAT SOUND audio/MSK0029.mp3[441.320,446.880] OK NO COUGH SHORTNESS OR BREATH SHORTNESS OF BREATH OR WHEEZING audio/RES0001.mp3[23.480,27.640] UH YEAH JUST ABOUT THAT I I THINK MAYBE 8 DAYS AGO audio/RES0186.mp3[412.280,433.960] UH I DONT THINK SO I MEAN IVE BEEN GOING OUT TO DO THE ESSENTIALS AND UHM I I DO WORK OUT AT A FACTORY AH AND SO I MEAN THERE MIGHT HAVE BEEN SOMEBODY THERE BUT IM NOT SURE audio/RES0185.mp3[58.600,62.400] SO YOURE NOT SEEING ANYTHING YELLOW GREEN OR BLOODY audio/RES0173.mp3[46.480,50.200] OK IT IS IT A DRY COUGH OR OR WET COUGH audio/RES0112.mp3[0.000,2.520] WHAT BRINGS YOU IN TODAY audio/RES0018.mp3[455.360,462.520] OK UH DO YOU KNOW WHAT UM WHAT HE HAD OR ANYTHING LIKE THAT audio/RES0130.mp3[458.600,466.840] UM WELL I DO BUY I GET THEM FROM UH LIKE THE UH THE OCS STORE I THINK THEYRE CALLED audio/RES0189.mp3[633.360,642.880] OK UHM AND HAVE YOU HAD A FAMILY HISTORY OF HEART DISEASE OR ANY LUNG CONDITIONS audio/RES0183.mp3[575.200,583.760] OK HOW ABOUT AH ASTHMA OR THINGS LIKE ALLERGIC RHINITIS AND ALLERGIES audio/RES0084.mp3[773.520,778.560] YEAH I DONT KNOW WHAT DO YOU THINK IS CAUSING ALL OF THIS audio/GAS0001.mp3[20.840,23.600] WHEN DID THIS START audio/RES0034.mp3[569.400,583.720] OK AND UH IS SHE DRINKING YEAH A LOT MORE FLUIDS OR OR A LOT LESS HOW IS SHE TOLERATING ORAL INTAKE audio/RES0098.mp3[0.000,1.320] HOW MAY I HELP YOU audio/RES0176.mp3[505.440,508.040] OH NO EVERYTHING WAS GOOD NO PROBLEMS audio/RES0187.mp3[236.160,239.120] OK AND ANY CHEST PAIN audio/RES0107.mp3[584.760,585.160] OK I SEE audio/RES0039.mp3[563.600,575.080] OK ANY FAMILY HISTORY OF ASTHMA OR ANY LUNG CONDITIONS ANY CANCERS THAT RUN IN THE FAMILY audio/RES0095.mp3[493.040,506.200] YEAH I LIVE WITH MY DAUGHTER MY HUSBAND PASSED AWAY UH THREE YEARS AGO AND SO IVE JUST BEEN STAYING WITH MY DAUGHTER ITS JUST THE TWO OF US NOW audio/RES0074.mp3[664.200,711.800] YEAH CERTAINLY WITH NONSPECIFIC SYMPTOMS SUCH AS WHAT YOUVE BEEN EXPERIENCING WE WILL DO A TEST FOR COVID TODAY HOWEVER WE WILL DO SOME LAB INVESTIGATIONS AS WELL BECAUSE IT COULD BE SOMETHING ELSE SO WELL WAIT FOR SOME OF THOSE RESULTS TO COME BACK AND ITS GREAT THAT YOUVE ALREADY TAKEN THE INITIATIVE TO ISOLATE FROM FAMILY MEMBERS AND WHATNOT AND SO I ASK YOU TO CONTINUE DOING SO AND WE WILL GET BACK TO YOU WHEN THE RESULTS ARE IN audio/GAS0003.mp3[289.080,292.560] ANY SIGNIFICANT WEIGHT LOSS RECENTLY audio/RES0048.mp3[767.960,786.000] UM I GO TO THE GROCERY STORE THEN I GO TO WORK I HAVENT NOTICED ANYONE BEING SICK AT WORK BUT YOU KNOW YOU NEVER KNOW LIKE WHO COMES IN ASYMPTOMATIC AND LIKE THEY MIGHT BE CARRYING IT WITH THIS audio/RES0059.mp3[325.480,334.720] UMM NO NOT THAT I KNOW OF YEAH EVERYBODY IN THE HOUSE HAS BEEN OK audio/RES0121.mp3[214.560,219.160] UM NOPE NOTHING LIKE THAT audio/RES0095.mp3[24.320,28.800] OK HOW FAR ARE YOU ABLE TO WALK BEFORE GETTING SHORTER BREATH audio/RES0018.mp3[387.080,408.320] OH YEAH SO I JUST LIVE IN A TOWNHOUSE WITH MY WIFE AND TWO CHILDREN AND YEAH CURRENTLY WORKING AS AN ENGINEER YEAH PRETTY EVERYTHING ELSE IS PRETTY GOOD audio/RES0108.mp3[89.320,91.360] ONCE A YEAR MAYBE audio/RES0126.mp3[802.080,818.320] OK AND THERE YOU MIGHT IM NOT 100 SURE BUT YOU MIGHT REQUIRE HOME OXYGEN IF LIKE WE TAKE YOUR VITALS AND EVERYTHING AND YOUR OXYGENATION IS VERY LOW HAVE YOU HAVE YOU BEEN TALKED ABOUT THAT AT ALL IN THE PAST audio/RES0211.mp3[545.480,550.520] AND I GOTTA ASK THIS QUESTION FOR EVERYONE HAVE YOU EVER INJECTED DRUGS OR ANYTHING INTO YOUR ARM OR YOUR BODY audio/RES0197.mp3[214.920,221.720] VENTILIN UM ITS BEEN HELPING TEMPORARILY BUT IT DEFINITELY DOESNT HELP AS MUCH AS IT USED TO audio/RES0105.mp3[424.360,427.360] OK ANY CHANGES IN YOUR SLEEP OR APPETITE audio/RES0204.mp3[207.040,210.880] NO NO HEADACHES audio/RES0110.mp3[578.560,585.680] OK OK UM HAS HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST audio/RES0134.mp3[367.880,371.800] AND UH HOW ABOUT ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE audio/RES0213.mp3[180.360,184.880] SO YOU MAINLY GET IT AT SO YOU CAN GET IT AT REST I SHOULD SAY audio/RES0167.mp3[188.320,194.040] ALRIGHT AND ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0047.mp3[433.240,437.320] NO OK UM AND ARE YOU OTHERWISE HEALTHY audio/RES0053.mp3[242.680,255.640] HE HASNT ANY SORT OF CHEST PAIN HE SAYS HIS THROAT HURTS BUT I DONT THINK ITS HIS CHEST audio/RES0070.mp3[224.720,230.280] YEAH BUT HONESTLY THE HEADACHES BEEN BOTHERING ME THE MOST audio/RES0044.mp3[555.000,563.800] UM JUST UH PINEAPPLE LIKE NOT ANY MEDICATIONS OR ANYTHING audio/RES0175.mp3[89.440,93.640] ITS A NEW COUGH audio/RES0013.mp3[248.800,255.000] OK AND DO YOU THINK ANYTHING TRIGGERED THIS audio/MSK0038.mp3[0.000,1.800] WHAT BRINGS YOU IN audio/MSK0036.mp3[1.920,19.440] IVE JUST BEEN EXPERIENCING A SOME PAIN AND NUMBNESS AND TINGLING IN IN JUST MY WRIST AREA AND THUMB MIDDLE FINGER AND INDEX FINGER audio/RES0154.mp3[110.000,120.840] OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH OR DO YOU HAVE ANY SHORTNESS OF BREATH IF YOU LIE FLAT audio/MSK0036.mp3[748.240,754.240] HOW ABOUT ANY CHANGES TO TEMPERATURE DO ANY OF THE JOINTS FEEL WARM audio/GAS0003.mp3[83.880,95.600] 8 HOURS AGO OK AND WERE YOU DOING ANYTHING BEFORE LIKE DID YOU HAVE A MEAL OR HOW WERE YOU SLEEPING BEFORE IT WOKE YOU UP WHAT WAS GOING ON BEFORE YOU HAD THE PAIN audio/RES0206.mp3[206.920,210.440] DID YOU CHECK YOUR TEMPERATURE audio/RES0099.mp3[295.080,300.880] ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY GOING TO THE BATHROOM audio/RES0187.mp3[566.200,591.360] UHM IN HEARD FROM ANYONE THATS BEEN SICK WE WE KIND OF HAVE A RULE THAT IF YOU KNOW IF WE FEEL SICK THEN NOT TO NOT TO SHOW UP JUST BECAUSE LIKE YOU KNOW WHEN WERE WHEN WERE DRINKING AND LIKE SMOKING WE MAY SHARE LIKE A JOINT SO ITS NOT LIKE WE DONT WANT TO GET EVERYONE SICK IF ONE PERSON IS SICK audio/MSK0018.mp3[163.360,166.480] CHEST PAIN OR HEART PALPITATIONS audio/RES0104.mp3[486.560,497.720] OK AND ANY OVER THE COUNTER MEDICATIONS audio/RES0065.mp3[482.280,485.040] OK AND DO YOU SMOKE CIGARETTES audio/RES0131.mp3[238.960,242.000] OKAY UM ANY RASHES audio/RES0214.mp3[216.920,217.760] YES THATS RIGHT audio/RES0166.mp3[422.880,426.000] NO I WAS PRETTY HEALTHY BEFORE THAT audio/RES0147.mp3[342.720,360.600] OH I I HEARD THAT IT WAS IT WAS UMM OH GOOD FOR ME FOR A FRIEND SINCE IVE IVE HAD UH AORTIC STENOSIS audio/MSK0007.mp3[188.880,192.240] OK SO HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0053.mp3[622.880,643.720] SO MY GRANDFATHER SO HIS GREATGRANDFATHER I SUPPOSE PASSED AWAY FROM LUNG CANCER HE WAS A HEAVY SMOKER THOUGH ON MY MOMS SIDE THERES SOME BREAST CANCER NO NOTHING REALLY THAT COMES TO MIND FOR LUNGS audio/MSK0042.mp3[284.880,296.080] OKAY AND HOW ABOUT ANY CHANGES TO YOUR URINARY PATTERNS LIKE PAIN OR OR FREQUENCY audio/RES0025.mp3[235.920,240.160] I I TRAVELED BY A TRAIN audio/RES0118.mp3[153.600,159.680] OK UH HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER THAT WOULD HELP audio/RES0001.mp3[299.680,302.120] OK HOW ABOUT SMELL audio/RES0022.mp3[459.840,466.040] OK DOES THIS FEEL SIMILAR TO ANY OF THOSE TIMES audio/RES0019.mp3[581.320,583.960] DO YOU DRINK ALCOHOL audio/RES0148.mp3[84.320,87.200] UHM NO I HAVENT audio/RES0068.mp3[387.960,391.120] NO NOTHING LIKE THAT audio/RES0001.mp3[331.880,344.960] UH ACTUALLY I DID FEEL LIKE THAT A LITTLE BIT ESPECIALLY WHEN I WAS MOVING A LITTLE BIT MORE I FELT LIKE MY HEART WAS RACING audio/RES0052.mp3[179.840,182.880] YEAH NOT SO MUCH MUCOUS audio/RES0192.mp3[93.480,95.160] UH NO audio/RES0213.mp3[389.040,391.680] ANYTHING ELSE YOU SEE YOUR FAMILY audio/RES0018.mp3[87.840,98.480] OK AND UH THE COUGH HAS BEEN BEEN GETTING WORSE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0023.mp3[390.840,394.120] UMM VITAMIN D audio/RES0085.mp3[258.520,266.560] NO I DONT THINK SO WEVE BEEN TRYING TO BE VERY CAREFUL WITH THE PANDEMIC AND EVERYTHING GOING ON audio/RES0207.mp3[326.040,331.680] YEAH EPILEPSY RUNS IN THE FAMILY MY MOM HAD IT audio/MSK0018.mp3[264.880,269.320] NO UM DO YOU CONSUME MARIJUANA audio/MSK0027.mp3[203.360,209.040] HAS SHE HAD ANY SENSORY CHANGES LIKE ANY ISSUES WITH VISION OR HEARING audio/RES0166.mp3[273.640,277.360] OK AND HOW ABOUT UH PHYSIOTHERAPY audio/RES0189.mp3[380.080,394.000] MAYBE A LITTLE BIT MORE TIRED JUST WITH THE SHORTNESS OF BREATH AND CHILLS AND EVERYTHING LIKE THAT BUT YEAH SO A LITTLE BIT MORE FATIGUE audio/MSK0017.mp3[315.720,317.720] NOPE NOTHING LIKE THAT audio/RES0099.mp3[476.960,489.600] ALRIGHT AND UH ANYBODY IN THE FAMILY HAVE ANY LIKE LUNG CONDITIONS HEART CONDITIONS OR DISEASES THAT RUN IN THE FAMILY audio/RES0033.mp3[86.720,93.720] OK AND UM ANY TRIGGERS OR UH PRECIPITATING EVENTS FOR FOR THE COUGH audio/RES0128.mp3[167.840,171.600] OK AND DOES HE HAVE ASTHMA audio/RES0105.mp3[209.600,213.520] OK AND ARE YOU USING ANY KIND OF PUFFERS AT ALL audio/MSK0021.mp3[594.040,595.000] I AM YES audio/MSK0017.mp3[352.480,357.640] UH NOPE I HAVENT HAD ANY CHANGES TO URINATION audio/RES0010.mp3[416.360,423.600] OH I DONT I DONT THINK SO MOSTLY JUST TO MY GIRLFRIEND AND MY ROOMMATE RIGHT NOW audio/MSK0007.mp3[562.760,571.040] OK AND IS THERE ANY PAIN OVER THE LATERAL PART OF THE ELBOW audio/RES0208.mp3[648.640,651.640] ALL RIGHT WELL LETS DO A PHYSICAL EXAM AND THEN GO FROM THERE audio/MSK0005.mp3[441.480,453.360] NO OK NOW I AM GOING TO GET YOU TO UM EXTEND YOUR WRIST audio/RES0049.mp3[457.760,462.760] OK NOT EVEN OTHER OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS audio/GAS0001.mp3[515.480,530.200] MHM I SEE OK UH AND UM LETS SEE FAMILY HISTORY DO YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY audio/RES0148.mp3[49.320,53.480] ITS GOTTEN A LITTLE BIT BETTER ID SAY audio/RES0029.mp3[328.560,330.080] NO NEVER audio/RES0136.mp3[566.480,578.120] I UM NO WELL SOMETIMES ILL USE MARIJUANA FOR THE PAIN BUT I HAVENT BEEN DOING THAT RECENTLY FOR THE PAST TWO MONTHS audio/RES0020.mp3[325.160,329.760] ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0136.mp3[500.800,503.840] UM I LIVE WITH MY HUSBAND audio/MSK0026.mp3[627.880,633.200] OK AND ARE YOU ABLE TO FULLY BEND BEND AND STRAIGHTEN THE KNEE audio/RES0047.mp3[567.280,571.160] OK OK AND DO YOU FIND THAT YOUR INHALERS ARE HELPING audio/RES0047.mp3[923.640,926.120] THAT SOUNDS GREAT THANK YOU audio/RES0156.mp3[541.400,546.800] THAT SOUNDS GREAT audio/RES0133.mp3[519.280,534.800] I KNOW LIKE SOME OF MY FRIENDS HAVE UH TRIED ALCOHOL AND TRY MARIJUANA BUT I HAVENT EXPERIMENTED YET audio/RES0019.mp3[312.920,315.240] NO COUGH NO audio/RES0101.mp3[208.280,221.080] OK UHM AND HAVE YOU BEEN EXPERIENCING ANY INFECTIOUS SYMPTOMS LIKE RED OR RUNNY EYES RUNNY NOSE SORE THROAT audio/RES0108.mp3[460.080,462.680] OK GREAT THANK YOU audio/RES0152.mp3[256.240,258.080] NO NOTHING LIKE THAT audio/RES0047.mp3[600.880,601.760] YEAH I BELIEVE SO audio/RES0194.mp3[591.640,636.560] YEAH SO THATS SOMETHING WE DEFINITELY WANT TO RULE OUT YOUR SYMPTOMS DEFINITELY OVERLAP WITH THE CLUSTER OF SYMPTOMS THAT SOMEONE MAY GET WITH COVID SO WE WILL DO A SWAB ON YOU TODAY AND RECOMMEND THAT YOU ISOLATE FOR TWO WEEKS UNTIL YOUR SYMPTOMS HAVE GONE AND THE TEST RESULT YOU WILL GET YOU WILL GET BACK IN THE NEXT 24 TO 48 HOURS AND ALONGSIDE YOUR TEST RESULTS SO YOU WILL ALSO GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH ABOUT WHETHER OR NOT YOU NEED ANOTHER SWAB LATER ON AND WHEN TO RETURN TO WORK audio/MSK0005.mp3[341.360,342.680] NOTHING LIKE THAT audio/MSK0009.mp3[0.000,8.840] HOW MAY I HELP YOU audio/RES0163.mp3[206.560,216.200] OK AND DO YOU AT ALL FEEL THAT SOME STUFFINESS DRAINS BACK INTO YOUR THROAT AT ALL ANYTIME DURING THE DAY audio/RES0124.mp3[476.800,478.640] ANY SURGERIES audio/MSK0012.mp3[698.600,701.480] SO YOUR RIGHT LEG HURTS WHEN YOU DO THAT audio/RES0185.mp3[312.520,318.600] OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS audio/RES0037.mp3[102.240,106.440] UH I WOULD SAY THE COUGH HAS BEEN ABOUT THE SAME audio/RES0021.mp3[603.880,608.480] OK NO AN ANY CANCER THAT THATS RUNS IN THE FAMILY audio/RES0125.mp3[337.440,340.560] NO LOSS OF TASTE NO audio/RES0126.mp3[823.880,843.920] HMM YEAH AND IT MIGHT JUST SOMETIMES JUST YOU KNOW YOUVE HAD FOUR ADMISSIONS IN THE PAST AND IT MIGHT ACTUALLY JUST HELP YOU STAY AT HOME IF YOU ARE ON OXYGEN ANYWAYS YEAH WE CAN TALK ABOUT THAT WELL DO LIKE A FULL PHYSICAL EXAMINATION EVERYTHING AND GO FROM THERE audio/MSK0031.mp3[572.680,577.400] OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0134.mp3[476.800,484.880] OH THATS GREAT AND UH DO YOU HAVE ANY OTHER MEDICAL CONDITIONS BESIDES OSTEOPOROSIS audio/MSK0034.mp3[738.960,740.240] WELCOME TAKE CARE audio/RES0033.mp3[248.800,255.960] OK UM HAVE YOU BEEN HAVING ANY NAUSEA OR VOMITING audio/RES0017.mp3[396.520,401.400] ALRIGHT AND ANY HEART RACING audio/MSK0014.mp3[281.840,287.880] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0107.mp3[234.680,239.320] NO DOES HE LOOK LIKE HES LIKE EXCESSIVELY TIRED audio/RES0062.mp3[146.600,153.760] AT SEVEN OK ARE YOU HAVING ISSUES SLEEPING BECAUSE OF YOUR SHORTNESS OF BREATH audio/RES0035.mp3[184.680,200.880] OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE DIFFICULTY BREATHING AND THE COUGH DO YOU HAVE A SORE THROAT RUNNY NOSE DIZZINESS ANYTHING LIKE THAT audio/MSK0028.mp3[343.680,347.720] ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0180.mp3[61.000,63.480] NO THATS I HAVENT BEEN SHORT OF BREATH audio/RES0163.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY audio/RES0201.mp3[423.480,428.520] JUST GONNA ASK YOU FEW QUESTIONS ABOUT YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN audio/RES0193.mp3[329.120,334.360] OK ANY UM MEDICATIONS THAT HE HAS TO TAKE REGULARLY audio/MSK0015.mp3[283.960,289.360] OK ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL audio/RES0015.mp3[196.160,200.160] SO THEY HAVE SIMILAR SYMPTOMS TO YOU AS WELL THEN audio/RES0048.mp3[524.480,527.040] NO NOT THAT I KNOW OF audio/RES0193.mp3[18.840,22.120] OK AND WHEN DID THIS ALL START audio/MSK0041.mp3[438.920,441.280] YEP THEY ARE audio/RES0017.mp3[263.440,270.760] OK AND WHEN DID THAT WHEN DID YOU NOTICE THAT CHANGE AND AND HOW WERE YOU DIFFERENT BEFORE audio/RES0088.mp3[326.240,331.680] UHM I HAVENT ACTUALLY TAKEN A LOOK THERE audio/RES0155.mp3[81.640,91.960] I I WOULD SAY ITS UM WOULD WOULD BE THE LIKE JUST THE LITTLE INSIDE OF MY UH PALM EACH TIME audio/RES0106.mp3[204.040,210.080] NO I DIDNT GO TO SEE A DOCTOR I JUST KIND OF STAY AT HOME audio/RES0107.mp3[155.840,157.280] UHH NO audio/RES0066.mp3[33.000,41.840] OK AND BEFORE YOU WERE DISCHARGED THE DAY CAN YOU LET ME KNOW WHAT YOU HAD AND WHAT KIND OF THINGS WERE YOU TREATED WITH audio/RES0134.mp3[335.560,338.120] HOW ABOUT NAUSEA OR VOMITING audio/RES0167.mp3[336.600,351.800] SO I IM NOT SURE I I KNOW THAT I ALWAYS SAY YES TO THESE THINGS BUT IM NOT SURE BECAUSE OF COVID AND STUFF IF IVE BEEN GETTING EVERYTHING EXACTLY ON TIME audio/RES0027.mp3[543.240,561.160] HE WORKS AT THIS IT COMPANY THERE ARENT A LOT OF THEM AND THEY ALL HAVE THEIR OWN CUBICLES SO YOU KNOW MAYBE IN THE LUNCH ROOM OR SOMETHING BUT OTHER THAN THAT I DONT THINK SO audio/MSK0021.mp3[209.760,212.160] NO FEVERS OR CHILLS audio/MSK0020.mp3[813.280,815.240] UH NO NOT REALLY audio/RES0130.mp3[239.000,241.320] UH CHANGES TO YOUR URINE audio/RES0032.mp3[476.520,478.240] ANY HOSPITALIZATION IN THE PAST audio/RES0014.mp3[366.200,370.160] OK GOOD ARE YOU OTHERWISE HEALTHY audio/RES0065.mp3[360.600,368.920] LAST YEAR OK AND ARE YOU TAKING ANY MEDICATIONS FOR YOUR CROHNS DISEASE audio/RES0114.mp3[523.080,528.120] OK GOOD GOOD UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/MSK0022.mp3[786.800,793.280] UH NO I DONT OK HOW ABOUT ALCOHOL audio/MSK0019.mp3[101.960,115.120] OKAY ALRIGHT UM ALRIGHT AND THEN UM IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THE PAIN audio/RES0211.mp3[354.640,358.960] OK ANYONE IN THE FAMILY HAVE IT audio/RES0111.mp3[76.840,88.320] UM A LITTLE BIT UH BUT I THINK THATS JUST BECAUSE I TRY NOT TO TALK AS MUCH SINCE MY THROAT IS SO SORE audio/RES0044.mp3[154.840,161.640] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0179.mp3[75.520,78.920] SO NO BLOOD OR SPUTUM audio/RES0069.mp3[252.400,260.680] OK AND WHEN DID UH YOU SAID THE MUSCLE ACHE STARTED THIS MORNING UHM HOW WHEN DID THE FATIGUE START audio/MSK0033.mp3[337.680,348.640] OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS OR ANY ANYTHING THAT RUNS IN THE FAMILY audio/RES0058.mp3[158.520,172.720] YEAH THESE PAST FEW DAYS I HAVE DEFINITELY I FELT MORE TIRED IVE BEEN SLEEPING A LOT MORE THROUGHOUT THE DAY AND JUST I DONT KNOW KIND OF LAZY audio/RES0156.mp3[375.080,379.520] OK UM ANY MEDICATIONS THAT SHE HAS BEEN ON AT ALL audio/MSK0021.mp3[546.200,553.160] YEAH I DO GET SOME PAIN WHEN I PUSH ON THE ON THE KNEECAP UHM ON MY LEFT KNEE audio/MSK0011.mp3[492.440,498.560] OK AND DO YOU CURRENTLY SMOKE audio/RES0044.mp3[456.320,462.680] NO OK AND UM NO ABDOMINAL ACHES audio/RES0195.mp3[477.760,488.160] UH THERE IS RHEUMATOID ARTHRITIS UM THERE IS UM UH LUPUS LIKE TYPE ONE DIABETES audio/RES0102.mp3[311.800,338.120] I YEAH I WILL FEEL IT WHEN I COUGH I ALSO FEEL IT UH IF IM MAYBE MOVING AROUND AS WELL LIKE CHANGING POSITIONS OR THINGS LIKE THAT IT HURTS FOR A FEW MINUTES AND THEN IT IT WILL KIND OF SETTLE DOWN IF IF IM IF I STAY STATIONARY AND SORT OF LEAN FORWARD A LITTLE BIT IT WILL IT WILL START TO FEEL BETTER audio/RES0014.mp3[32.120,44.600] I FEEL IT LIKE A LOT OF THE TIME ESPECIALLY OUTSIDE WHEN IM IN THE COLD OR AT AT NIGHT WHEN I GO OUTSIDE AT NIGHT MY CHEST FEELS A LITTLE TIGHT TOO AT THE SAME TIME audio/RES0080.mp3[284.240,287.360] OK HAVE YOU HAD ANY NIGHT SWEATS audio/RES0076.mp3[447.520,452.440] OK AND WHAT KIND OF REACTION DO YOU GET audio/RES0138.mp3[365.520,371.160] OKAY UM ANY HOSPITALIZATIONS BESIDES WHEN YOU HAD A HEART ATTACK PREVIOUSLY audio/RES0114.mp3[605.760,612.280] OK WHERE DO YOU GUYS LIVE audio/RES0192.mp3[404.520,412.440] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/MSK0029.mp3[137.080,157.600] IT KIND OF COMES AND GOES IT JUST ITS WORSE WITH MOVEMENT IF I JUST KINDA SIT STILL I DONT NOTICE MUCH PAIN BUT IF IM BETTING MY HEAD FORWARD OR MOSTLY BACKWARDS SO ILL GET ILL GET PAIN audio/RES0143.mp3[407.200,415.240] OKAY GREAT UM AND DO YOU CURRENTLY OR HAVE YOU EVER SMOKED audio/RES0039.mp3[138.120,150.760] YEAH THERE WERE DEFINITELY SOME PEOPLE AROUND THAT I HEARD OF WHO WHO MENTIONED TUBERCULOSIS BUT I DONT KNOW IF ANYBODY SPECIFICALLY WHO HAD IT audio/RES0035.mp3[378.720,381.200] I DO audio/RES0098.mp3[436.600,439.640] P NO EVERYONES BEEN FINE audio/RES0032.mp3[58.680,69.000] ID SAY EVERY TIME I COUGH IM BRINGING UP AT LEAST A TEASPOON OF OF THE DARK SPUTUM audio/MSK0001.mp3[347.040,351.360] AND HAS THAT WORKED FOR YOU AT ALL OR HAS IT NOT MADE A DIFFERENCE audio/MSK0007.mp3[446.560,451.280] OK UM OK AND UM DO YOU SMOKE CIGARETTES audio/MSK0016.mp3[343.920,349.880] OK UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/MSK0007.mp3[281.680,288.440] OK AND ANY JOINT PAINS ANYWHERE ELSE audio/RES0016.mp3[175.520,179.720] NO I HAVENT HEARD ANY KIND OF WHEEZINESS AT ALL audio/MSK0039.mp3[397.960,403.120] UM BUT THATS THATS ALL THAT I CAN THINK OF audio/RES0181.mp3[466.320,470.000] OK I SEE HOW OLD WAS HE ROUGHLY audio/RES0193.mp3[351.360,357.120] OK HAVE YOU HAD ANY RASHES AT ALL PREVIOUSLY audio/RES0052.mp3[160.920,165.480] OK AND HAVE YOU NOTICED ANY MUCUS COMING OUT audio/MSK0049.mp3[751.640,755.480] OK YEAH THAT SOUNDS GOOD THANK YOU audio/RES0045.mp3[404.160,407.120] UH CONFUSION OR MEMORY LOSS audio/RES0177.mp3[155.760,171.200] NO BUT YOUD SAY LIKE TAKING A SMALLER BREATHS HELPS BECAUSE LIKE IF HE IF HE TAKES A DEEP BREATH AND HE GETS HE GETS LIKE CHEST PAIN audio/RES0172.mp3[400.080,414.080] I AM YEAH SO ITS UH YEAH I WORK FOR THIS TECH COMPANY SO IVE BEEN ABLE TO DO A LOT OF MY STUFF AT AT HOME audio/RES0016.mp3[248.120,265.640] UM JUST A FEW TIMES PER WEEK I WOULD MAYBE HAVE TO TAKE OFF MY BLANKET SOMETIMES I NOTICE A LOT OF MY SWEAT COVERING THE BED SHEETS THATS BEEN GOING ON FOR ABOUT SAY A COUPLE MONTHS NOW audio/RES0017.mp3[820.520,822.440] NO I THINK THATS ALL audio/RES0153.mp3[14.840,19.240] OK AND UM ARE YOU HAVING PAIN WITH SWALLOWING audio/MSK0016.mp3[600.840,603.640] UM NOPE I DONT USE ANYTHING LIKE THAT audio/RES0120.mp3[592.200,601.600] OKAY AND UM YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD TODAY DO YOU HAVE ANY CONCERNS OR QUESTIONS audio/RES0036.mp3[22.120,24.640] SIX DAYS AGO audio/RES0146.mp3[449.160,506.200] OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A COVID TEST TODAY SIMPLY BECAUSE YOUR SYMPTOMS OVERLAP WITH SOME OF THE SYMPTOMS OF COVID ITS ALSO POSSIBLE THAT YOU JUST HAVE A JUST THE COMMON COLD AND THAT WOULD GET BETTER OVER TIME YOU MIGHT HAVE CAUGHT SOMETHING FROM YOUR COLLEAGUE WHO WAS SICK LAST WEEK SO ITS GREAT THAT YOUVE BEEN INSTEAD OF ISOLATING YOURSELF AND STAYING AWAY FROM YOUR WIFE I WOULD ALSO RECOMMEND IF YOU HAVENT ALREADY DONE SO TO NOT I KNOW THAT THE YOU HAVE SYMPTOMS STARTED YESTERDAY EVENING BUT JUST TO TRY TO WORK FROM HOME OR TAKE SOME TIME OFF OF WORK FOR THE NEXT COUPLE OF DAYS AT LEAST UNTIL YOU RECOVER TEST RESULTS ARE BACK IN THE NEXT 24 TO 48 HOURS AND THEN FROM THERE ON FOLLOW THE ADVICE THAT YOULL BE GETTING FROM PUBLIC HEALTH audio/RES0081.mp3[213.840,220.160] I SEE OK AND HAS HE HAD ANY DIARRHEA OR CONSTIPATION audio/RES0058.mp3[124.440,126.240] YEAH ITS A DRY COUGH audio/RES0166.mp3[246.920,255.080] JUST TRYING TO HELP ME JUST DOING PHYSIOTHERAPY AND HELPING ME SORT OF GET UP AND GET OUT OF BED audio/MSK0008.mp3[90.880,98.920] OK UM AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE audio/MSK0033.mp3[622.920,627.840] I WAS JUST WONDERING WHAT I CAN DO TO MAKE THIS GO AWAY audio/RES0192.mp3[148.200,163.080] UH NO CHEST PAIN I GUESS WITH THE COUGHING CAUSE IM COUGHING SO MUCH IT HURTS BUT NOT CHEST PAIN IN THE SENSE LIKE ITS IN THE AREA OF MY HEART OR ANYTHING LIKE THAT audio/RES0102.mp3[27.520,44.960] A COUPLE WEEKS AGO OK AND HAS IT GOTTEN WORSE SINCE THEN OR HAS IT STAYED ABOUT THE SAME audio/RES0202.mp3[300.560,307.640] NO OK DOES HE HAVE A SORE THROAT audio/RES0105.mp3[454.440,466.280] YEAH I I HAVE NOTICED SOME WHEEZING ITS USUALLY I USUALLY UH WELL IVE BEEN TOLD I HAVE A WHEEZE BUT I CAN ACTUALLY HEAR IT RIGHT NOW audio/RES0189.mp3[583.960,587.440] OK AND DO YOU SMOKE CIGARETTES audio/RES0092.mp3[189.920,194.680] P NO audio/RES0035.mp3[211.760,215.480] NO CHEST PAIN audio/RES0146.mp3[343.000,347.360] YEAH I I LIVE WITH MY WITH MY WIFE audio/RES0103.mp3[399.640,403.120] OK IN OUR IMMUNIZATIONS UP TO DATE audio/MSK0042.mp3[76.920,89.600] OKAY AND UH OKAY UM AND UH IS IT IS IT ASSOCIATED WITH ANY PAIN audio/RES0069.mp3[307.960,312.480] I HAVE MIGRAINES audio/MSK0027.mp3[185.080,191.200] AH NO NO MUSCLE WEAKNESS audio/RES0192.mp3[127.480,130.680] UH NO ITS ITS PRETTY DRY audio/RES0072.mp3[298.960,307.960] I HAVENT NOTICED ANYTHING LIKE THAT MAYBE ITS WORSE AFTER VOMITING THOSE FEW TIMES audio/RES0148.mp3[242.320,248.320] OK AND HAVE YOU TRIED ANYTHING TO MAKE IT BETTER audio/RES0051.mp3[281.160,286.720] OK AND ANY MUSCLE ACHES OR OR BODY PAINS audio/RES0164.mp3[73.760,74.720] NO NO NO audio/MSK0026.mp3[208.880,221.000] OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS WITH 10 BEING THE WORST PAIN YOUVE EVER FELT AND ONE BEING THE LEAST PAIN audio/RES0133.mp3[462.840,467.240] IM IN GRADE 7 OR YEAH GRADE 7 NOW audio/MSK0035.mp3[817.520,821.680] OK OK THAT SOUNDS GOOD THANK YOU audio/RES0046.mp3[40.080,48.800] OH NOW ITS UH WELL AT LEAST THE LAST TWO DAYS ITS BEEN HAPPENING ALL DAY UM YEAH AT LEAST EVERY HOUR IVE BEEN COUGHING audio/RES0005.mp3[83.440,100.560] NO ITS JUST LIKE A LITTLE STREAKS ITS NOT REALLY SIGNIFICANT IT DOESNT FEEL LIKE THE WHOLE PRODUCTION OF THE SPUTUM BUT JUST LIKE LITTLE STREAKS THAT IVE NOTICED audio/RES0058.mp3[653.000,662.880] I THINK THERE MIGHT BE BUT UMM I DONT KNOW I USUALLY JUST BUY THE FLAVORED ONES audio/MSK0037.mp3[128.360,137.520] OK AND ALRIGHT IS THERE ANYTHING THAT IS AGGRAVATING OR MAKING THE PAIN WORSE audio/RES0149.mp3[468.760,476.560] UH I HAD MY APPENDIX REMOVED WHEN I WAS UH 30 YEARS OLD audio/MSK0019.mp3[128.000,136.320] NO I I IVE NEVER EXPERIENCED ANY KIND OF PAIN THERE AT LEAST audio/RES0140.mp3[257.040,264.080] I LIVE ALONE YEAH RIGHT NOW I LIVE ALONE IN AN APARTMENT audio/RES0078.mp3[588.880,593.520] OK ALRIGHT AND DO YOU HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0043.mp3[112.200,119.520] OKAY AND UH ARE YOU MAINLY HAVING THE PAIN WITH MOVEMENT OF YOUR KNEE OR UM WHEN YOURE PRESSING ON IT audio/MSK0019.mp3[470.560,474.360] OKAY HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BICEPS OR TRICEPS audio/RES0076.mp3[558.920,562.880] I DONT THINK SO NO audio/DER0001.mp3[157.480,176.920] YEAH ACTUALLY I HAVE GAINED MORE FEEL HUNGRY SOMETIMES JUST TIRED BUT ITS HARD TO TELL THERES AN AWFUL LOT GOING ON IN MY LIFE RIGHT NOW WITH THE KIDS BUT ITS HARD TO TELL I THINK YEAH I NEED TO SEE MY FAMILY DOC audio/GAS0007.mp3[162.000,169.080] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY audio/RES0158.mp3[345.160,350.520] OK UM AND HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/MSK0027.mp3[605.960,610.400] OK HOW ABOUT MOVING THE REST OR SHOULDER audio/RES0015.mp3[16.120,23.040] OK UM SO THE BREATHLESSNESS STARTED SIX WEEKS AGO CORRECT audio/MSK0026.mp3[339.640,347.480] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR OR TINGLING OR REDUCED SENSATION audio/RES0022.mp3[835.000,836.160] YEAH SOMETHING LIKE THAT audio/RES0177.mp3[419.960,425.720] NO NO CANCERS LUCKILY audio/MSK0010.mp3[438.840,453.080] OK AND HOW ABOUT A RANGE OF MOTION DO YOU FEEL AS THOUGH YOU COULD LIFT YOUR LEFT ARM UP TO LIKE SCRATCH YOUR HEAD AND BACK audio/RES0186.mp3[227.320,234.600] YEAH I HAVENT IVE HAD A LOSS OF APPETITE audio/MSK0008.mp3[735.360,737.680] NO NO audio/MSK0012.mp3[104.360,110.240] ITS LIKE DOWN MY BUTTOCKS TO THE RIGHT LEG audio/RES0067.mp3[110.440,114.760] AND HAS SHE BEEN DROOLING AT ALL audio/RES0079.mp3[91.040,102.480] AND OTHER THAN THE FEVER AND THE COUGH DO YOU HAVE ANY FATIGUE audio/RES0088.mp3[605.520,610.160] OK AND IS EVERYONE AT HOME WELL DOES ANYONE HAVE ANY OF THESE SYMPTOMS audio/MSK0039.mp3[330.320,333.920] NO OK UM AND ARE YOU OTHERWISE HEALTHY audio/RES0155.mp3[683.480,764.520] YEAH SO DEFINITELY WITH YOUR HISTORY OF COPAND UM THESE SYMPTOMS IT CAN JUST BE AN EXACERBATION OF YOUR COPAND THAT CAN HAPPEN SOMETIMES WHEN YOU HAVE COPAND THEN YOU GET A EITHER VIRAL OR BACTERIAL INFECTION AND THAT MAKES YOUR SYMPTOMS WORSE AND YOUVE ALSO HAD A FEVER SO WELL DO LIKE A FULL PHYSICAL EXAMINATION GET YOUR VITALS EVERYTHING BUT UH AND THEN WELL GIVE YOU SOME UH LIKE NEBULIZED LIKE UM FOR YOUR HOME PUFFERS TOO BUT ALL JUST IN THE HOSPITAL AND MONITOR YOUR RESPONSE TO THEM UH AND THEN WELL ALSO GET LIKE YOUR SOME OF YOUR BLOOD WORK AND CHEST XRAY JUST TO SEE IF THERES ANY LIKE PNEUMONIA AND LASTLY WELL JUST GET LIKE A COVID SWAB DONE SINCE SOME OF THESE SYMPTOMS ALSO OVERLAP WITH COVID SYMPTOMS UM AND YEAH SO WELL SO THATS WHAT WELL DO UM AND ILL LET THE EMERGENCY DEPARTMENT KNOW THAT YOURE ON YOUR WAY I THINK YOULL NEED TO GET ALL THOSE TESTS THERE AND THEN THEYLL DECIDE WHETHER OR NOT YOU NEED ANY KIND OF ADMISSION OR YOU CAN JUST GO HOME ON ANTIBIOTICS UM FROM THERE OK audio/RES0208.mp3[265.240,267.440] NO I WOULDNT SAY SO audio/RES0138.mp3[377.240,380.680] OKAY DID THEY TELL YOU AT ALL WHAT THE CAUSE OF YOUR HEART ATTACK WAS audio/MSK0023.mp3[255.840,265.840] UM NO NO ITS NOT WARM audio/MSK0037.mp3[430.680,442.240] UHM THEY SAY I HAVE LIKE SOME HIGH CHOLESTEROL IM TAKING THIS MEDICATION LIKE A STATIN AND BUT OTHER THAN THAT UMM NO audio/RES0163.mp3[325.040,337.920] OK AND ANY ALLERGIES TO ANY ENVIRONMENTAL ISSUES LIKE FACTORS THAT CAUSE MORE STUFFINESS SNEEZING ITCHING RED EYES RUNNY NOSE ANYTHING LIKE audio/RES0062.mp3[1065.400,1069.000] THANK YOU audio/RES0090.mp3[346.720,350.640] NOPE IM HEALTHY OTHERWISE audio/RES0160.mp3[262.440,270.400] OK HAVE YOU HAVE YOU BEEN IN CONTACT WITH SOMEONE WHO YOU THINK COULD POTENTIALLY BE SICK audio/GAS0002.mp3[169.040,174.880] OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE audio/RES0123.mp3[228.360,234.320] THEN LIKE I I DONT KNOW IF THATS JUST THE MUSCLE PAIN ITS LIKE KIND OF ON MY UPPER BACK LOWER NECK AREA audio/MSK0049.mp3[579.800,584.560] UHM YEAH IT FEELS A LITTLE TENDER audio/RES0021.mp3[426.440,431.040] OK UH WHATS THE REASON FOR TAKING IRON audio/MSK0009.mp3[624.240,633.080] OK AND DO YOU USE RECREATIONAL DRUGS LIKE MARIJUANA OR OR OTHER THINGS SUCH LIKE COCAINE audio/RES0211.mp3[321.000,326.720] OK SO YOU DONT HAVE AN IUNOW YOU JUST TAKE THE ORAL CONTRACEPTION audio/MSK0004.mp3[60.240,81.280] NO I WAS ABLE TO UH KIND OF FINISH THE I I I JUST FINISHED THE WALK I WAS ABLE TO WALK HOME CAUSE IT DIDNT HURT THAT BAD IMMEDIATELY IT WAS A BIT PAINFUL BUT THE PAIN REALLY STARTED A FEW HOURS LATER AND HAS BEEN PRETTY MUCH CONSTANT EVER SINCE audio/MSK0025.mp3[56.560,60.240] ITS SHARP audio/RES0039.mp3[750.360,757.400] YEAH ILL HAVE A FEW DRINKS ON THE WEEKEND WITH WITH FRIENDS USUALLY LIKE RUM OR BEER audio/RES0119.mp3[136.000,143.680] HER SYMPTOMS I GUESS COME AND GO UM YEAH THEY COME AND GO audio/RES0177.mp3[92.880,96.640] GREENISH YELLOW OK ANY BLOOD IN THERE audio/RES0162.mp3[466.200,469.440] NO NOT THAT I KNOW audio/RES0141.mp3[394.000,400.840] OKAY AND DO YOU CURRENTLY SMOKE OR DID YOU EVER SMOKE IN THE PAST audio/RES0125.mp3[70.640,77.760] OKAY UM AND HAVE YOU NOTICED ANY KIND OF YELLOWISH TO GREENISH TINGE TO IT audio/MSK0050.mp3[422.680,427.440] UM I AM A GRAD STUDENT audio/RES0008.mp3[148.360,155.240] UM AND NOT REALLY I CANT I CANT THINK OF ANYTHING audio/MSK0010.mp3[292.720,297.280] OK SO PREVIOUS OVERUSE INJURY OF THE LEFT SHOULDER audio/RES0047.mp3[316.520,322.720] NO OK ANY DIZZINESS OR FAINTING SPELLS audio/MSK0007.mp3[451.280,453.440] I DONT audio/MSK0029.mp3[522.640,530.440] JUST THE THE THE BIRTH CONTROL THAT IM IM TAKING IVE BEEN TAKING THAT FOR ABOUT FIVE YEARS NOW audio/MSK0001.mp3[220.920,224.440] UH JUST THE BACK PAIN audio/RES0043.mp3[438.600,447.720] OK SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM audio/RES0127.mp3[171.600,182.680] OK AND IS THERE ANYTHING THAT YOUVE TRIED AT ALL LIKE MEDICATIONS OR ANYTHING THAT HAS HELPED YOU WITH THESE SYMPTOMS audio/RES0015.mp3[23.840,27.760] OK AND THEN WHEN DID THE COUGH START audio/MSK0012.mp3[571.040,581.360] UM SO IVE IVE BEEN USING CANNABIS OIL FOR THE PAST MONTH JUST TO SEE IF IT HELPS WITH THE PAIN audio/MSK0042.mp3[269.440,272.800] HOW ABOUT ANY ABDOMINAL PAIN audio/MSK0020.mp3[694.640,707.440] YEAH THATS A I CANT REALLY GO DOWN THAT FAR BUT YEAH EVEN BENDING AS MUCH AS I CAN THERE IS SOME DISCOMFORT THERE audio/RES0138.mp3[328.360,331.760] UM I USED TO WORK IN A MINE SO audio/RES0105.mp3[650.360,654.600] OK UHM AND DO YOU CURRENTLY SMOKE audio/RES0020.mp3[337.600,341.040] UH NONE audio/RES0020.mp3[266.200,270.560] OK AND HAVE YOU HAD ANY HEADACHES audio/RES0162.mp3[469.440,475.880] AND OTHER THAN REACTINE DO YOU TAKE ANY MEDICATIONS INCLUDING OVER THE COUNTER MEDS audio/RES0088.mp3[497.000,507.600] OK AND CURRENTLY OR PREVIOUSLY HAS SHE HAD ANY SURGERIES OR HOSPITALIZATIONS audio/MSK0039.mp3[501.120,513.920] UM OK SO NOW LOOKING AT YOUR LEGS LIKE SIDE BY SIDE DO YOU NOTICE ANY UH REDNESS OR SWELLING IN YOUR RIGHT LEG COMPARED TO YOUR LEFT audio/MSK0046.mp3[306.040,311.840] OK HAVE YOU TAKEN ANY UH TYLENOL ADVIL ANYTHING FOR THE PAIN audio/RES0204.mp3[179.560,189.000] OK HAVE YOU HAD ANY CHEST PAIN audio/RES0030.mp3[254.280,261.960] UMMM ONLY AT NIGHT TIME I SEEM TO HAVE TO GET UP A LOT TO USE THE BATHROOM audio/RES0067.mp3[122.800,126.240] NOT HAT I NOTICED audio/RES0008.mp3[305.400,319.800] I THINK YEAH IVE BEEN HOT THE LAST FEW DAYS AND I I CHECKED MY TEMPERATURE EARLIER TODAY AND IT WAS LIKE 386 SO THAT WAS ONE OF THE REASONS WHY I WANTED TO COME IN ACTUALLY audio/RES0021.mp3[168.720,172.240] OH SORRY I MEAN IN TERMS OF YOUR ENERGY audio/MSK0019.mp3[337.840,350.000] UM JUST LIKE MAYBE SOME WINE ON UH WINE BEER EVERY COUPLE DAYS audio/MSK0029.mp3[480.880,490.760] OK OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0113.mp3[68.200,70.840] UM ITS ITS ACTUALLY GETTING WORSE audio/RES0053.mp3[557.880,568.320] YEAH WE WE BRING HIM TO THE FAMILY DOCTOR EVERY COUPLE OF MONTH FOR HIS REGULAR CHECKUPS AND NOTHING HAS BEEN BROUGHT UP TO BE CONCERNING FOR HIS VACCINES HE HAS BEEN DOING WELL audio/RES0079.mp3[379.760,389.760] WELL WEVE BEEN I MEAN TRYING TO DISTANCE IN THE HOME BUT I MEAN WEVE BEEN LIVING TOGETHER IN AN APARTMENT SO audio/RES0118.mp3[249.280,261.640] AND UH DO YOU HAVE ANY EXPOSURE TO LIKE FUMES DUST OR LIKE UH CARPET PETS OR ANIMALS ANYTHING THAT YOU MIGHT HAVE AN ALLERGIC REACTION TO audio/RES0163.mp3[520.680,528.720] OK AND HOW HOWS YOUR HOME ENVIRONMENT DO YOU GENERALLY FEEL SAFE IN YOUR HOME ENVIRONMENT AS WELL AS OUTSIDE OF YOUR HOME audio/RES0193.mp3[223.840,227.880] UM NO HES BEEN EATING AND GROWING WELL audio/MSK0020.mp3[509.880,521.280] UH NOPE NOT ANYMORE I USED TO PROBABLY DRINK SOME WINE HERE AND THERE BUT IVE STOPPED DRINKING ALCOHOL TOO audio/RES0014.mp3[522.240,523.680] OK AND AND DO YOU SMOKE audio/RES0035.mp3[72.680,78.480] EVERY TIME I COUGH MAYBE LIKE THE SIZE OF MY THUMBPRINT audio/RES0109.mp3[288.960,293.240] UM ANY FAMILY HISTORY OF LUNG OR HEART DISEASE audio/RES0068.mp3[213.640,217.480] YEAH AND THEY DONT SEEM TO BE HELPING audio/RES0189.mp3[223.480,228.120] YEAH OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0126.mp3[818.320,823.880] YEAH THEY TALKED ABOUT IT LAST TIME IVE BEEN TRYING TO AVOID IT BUT IF IT HAS TO HAPPEN IT HAS TO HAPPEN audio/RES0030.mp3[40.880,47.600] NO OK AND HOW MUCH OF THE GUNK OR THE SPUTUM WOULD YOU SAY YOU BRING UP EVERY DAY audio/RES0015.mp3[206.320,213.480] BUT YEAH THERE ARE SOME OF THEM ALSO HAVE SOME SHORTNESS OF BREATH audio/RES0173.mp3[284.280,287.760] NO ITS ITS LIKE ALL OVER audio/RES0077.mp3[24.960,29.400] WHEN DID THE SHORTNESS OF BREATH START audio/RES0004.mp3[845.440,848.280] OH IVE HEARD OF MONO BEFORE audio/RES0051.mp3[314.640,318.000] UM NO I DONT THINK SO audio/RES0192.mp3[14.000,20.840] I SEE ALRIGHT SO WHEN DOES THE SHORTNESS OF BREATH HAPPEN IT DO YOU HAVE IT AT REST OR IS IT ON EXERTION audio/RES0063.mp3[451.400,455.400] I THINK HE WAS YEAH IN HIS FORTIES 46 audio/MSK0016.mp3[506.240,513.120] UH NO I THINK IM THE ONLY ONE WITH THE THYROID audio/RES0024.mp3[301.320,306.320] OK UM AND ANY ALLERGIES TO MEDICATIONS audio/MSK0025.mp3[443.840,447.200] OK ANY OTHER MEDICATIONS audio/RES0184.mp3[276.080,279.000] UHM A LITTLE BIT audio/RES0048.mp3[744.120,751.280] NO SHES BEEN COMPLETELY FINE AND IVE BEEN KIND OF ISOLATING MYSELF FROM HER OVER THE LAST WEEK audio/RES0136.mp3[293.320,300.640] OKAY HOW ABOUT SORE THROAT HEADACHES MUSCLE PAIN ANYTHING LIKE THAT audio/RES0210.mp3[484.240,486.320] K THANKS audio/MSK0049.mp3[295.800,299.200] UH NO NOTHING LIKE THAT audio/RES0055.mp3[305.320,310.880] CHANGES TO URINATING audio/RES0191.mp3[432.280,439.520] UHM THERES COLON CANCER IN THE FAMILY audio/RES0158.mp3[113.800,126.520] OK YEAH SO IT ALL JUST KIND OF STARTED IN THE LAST FOUR DAYS UH ARE YOU HAVING ANY KIND OF FAINTING OR DIZZINESS EPISODES AT ALL audio/RES0059.mp3[334.720,341.200] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0062.mp3[873.520,879.280] IN A HOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS MOLD OR ASBESTOS IN YOUR HOUSE audio/RES0178.mp3[247.840,253.640] IS HE STILL EATING SOLIDS audio/RES0004.mp3[698.120,706.680] OK AND HOW ABOUT ALCOHOL audio/RES0199.mp3[412.840,422.440] NO OK HOW ABOUT MARIJUANA OR YEAH HOW ABOUT MARIJUANA DO YOU EITHER TAKE EDIBLES OR SMOKE IT audio/RES0066.mp3[356.040,362.680] UM NO THEY DONT WAKE ME UP I WOULDNT SAY THAT audio/RES0068.mp3[152.920,161.920] OK AND HAS IT BEEN GETTING WORSE WOULD YOU SAY OR DO YOU FEEL THAT ITS GETTING BETTER audio/RES0190.mp3[242.120,251.600] OK UHM AND WHEN YOU DID HAVE A COUGH OR DURING THIS TIME AS WELL HAVE YOU COUGHED UP ANY SPUTUM OR ANY BLOOD audio/RES0062.mp3[144.160,146.600] MAYBE A 7 audio/RES0133.mp3[430.960,437.280] OKAY AND UM HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR PROVINCE audio/RES0184.mp3[87.520,91.080] AH JUST A SLIGHT HEADACHE audio/RES0187.mp3[160.120,161.200] UH NO audio/MSK0046.mp3[227.800,231.640] UM NO ALLERGIES audio/RES0215.mp3[342.000,346.120] OK ANY CONCERNS FOR PEEING audio/MSK0007.mp3[629.760,633.520] WITH PRONATION IT HURTS audio/MSK0040.mp3[735.760,742.120] OK AND THEN YOU MENTIONED THAT WITH WALKING YOURE HAVING A LIMP CURRENTLY audio/RES0108.mp3[391.120,448.920] YEAH SO WE WILL DEFINITELY DO A COVID SWAB ON YOU BECAUSE YOU HAVE A COUGH UM AND THOSE RESULTS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND SO YOULL KNOW MORE THEN BUT BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WE STILL RECOMMEND ISOLATING FOR 14 DAYS BUT THE OTHER THING I WANT TO MENTION IS THAT YOU DONT HAVE ANY OTHER SYMPTOMS OF INFECTION BESIDES YOUR COUGH AND IT SEEMS LIKE THE COUGH STARTED A WEEK AGO AND YOU STARTED THIS NEW MEDICATION RAMIPRIL TWO WEEKS AGO AND SO RAMIPRIL IS A TYPE OF ACE INHIBITOR AND ONE OF ITS SIDE EFFECTS IS THAT IN SOME PEOPLE IT CAN CAUSE COUGHING SO I AM GOING TO REVIEW YOUR MEDICATIONS AND IF YOUR FAMILY DOC ALSO AGREES WE MAY TRY UH ANOTHER UM BLOOD PRESSURE MEDICATION FOR YOU INSTEAD OF RAMIPRIL audio/RES0074.mp3[610.480,612.480] UH NO audio/RES0100.mp3[317.200,320.880] ALRIGHT DID YOU NOTICE THIS IN THE LAST COUPLE OF DAYS AS WELL audio/RES0196.mp3[250.160,251.040] OK YEAH audio/MSK0007.mp3[303.080,309.040] OK AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE audio/MSK0001.mp3[109.560,114.160] OK AND HAVE HAVE YOU EVER HAD THIS KIND OF PAIN BEFORE audio/MSK0022.mp3[717.000,719.960] OH SO FROM THE TYPING ALSO GIVES YOU SOME PAIN audio/RES0044.mp3[666.680,668.240] OK AND WHERE DO YOU LIVE audio/RES0200.mp3[57.360,62.520] AND YOU YOU’VE MENTIONED THAT THIS COUGH HAS GOTTEN WORSE OVER THE LAST WEEK audio/RES0089.mp3[288.280,301.880] UHM I GUESS ACTIVITY MAKES IT WORSE UN AND LIKE COLD AIR THINGS LIKE THAT audio/RES0052.mp3[45.280,48.400] YES IT SOUNDS HARSH audio/RES0118.mp3[240.360,248.000] HAVE YOU LOST ANY WEIGHT SIGNIFICANT WEIGHT UH RECENTLY IN THE LAST FEW MONTHS audio/RES0065.mp3[34.680,38.240] THE FEVER I NOTICED MAYBE A DAY BACK audio/RES0018.mp3[297.040,300.360] OK HAVE YOU NOTICED ANY RASHES ANYWHERE audio/RES0012.mp3[99.560,117.360] I GUESS I GUESS IT FEELS LIKE THERES SOME LIKE MUCUS I DONT KNOW KIND KIND OF LIKE SPIT LOOKING BUT MAYBE LIKE THICKER THAN THAT audio/RES0030.mp3[349.800,358.280] OK AND I THINK I MENTIONED THIS BEFORE BUT ANY KNOW ANY RUNNY NOSE SORE THROAT ANY OF THOSE VIRAL SYMPTOMS audio/RES0101.mp3[159.240,166.920] OK SO UHM WHEN DID THE COUGHING UP BLOOD START audio/RES0169.mp3[170.960,180.280] NO MUSCLE ACHES BUT YEAH I HAVE BEEN FATIGUED LAST A COUPLE OF DAYS TWO OR THREE DAYS audio/RES0186.mp3[116.560,118.920] NO CHANGES TO VISION OR HEARING audio/MSK0019.mp3[329.880,333.680] NO UM DO YOU CONSUME ANY MARIJUANA audio/RES0201.mp3[241.040,244.160] NO RUNNY NOSE audio/RES0084.mp3[862.400,865.120] YEAH NO WORRIES TAKE CARE audio/RES0198.mp3[174.840,182.480] OK ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0082.mp3[496.640,501.240] OK THANK YOU audio/MSK0037.mp3[529.800,546.840] NOT ANY PUNCTURE WOUNDS LIKE UH YEAH I SOMETIMES GET SPLINTERS HERE AND THERE BUT NOTHING LIKE NOTHING RECENTLY THAT I CAN THINK OF THAT HAS BEEN ANYTHING WORRYING OR SIGNIFICANT audio/RES0168.mp3[458.360,463.280] THEYRE FINE OK AND WHAT ABOUT SORRY audio/MSK0009.mp3[711.760,717.080] JUST BECAUSE YEAH THERE ARE SO MANY DIFFERENT TYPES OR REASONS FOR FOR HAVING A STROKE audio/MSK0014.mp3[312.880,315.640] NO NOT REALLY audio/RES0212.mp3[10.200,32.880] UH LIKE IN THE PAST FEW DAYS ITS BEEN REALLY LIKE GROSS AND IVE BEEN COUGHING UP THIS LIKE GUNK BUT IVE HAD IT FOR IVE HONESTLY HAD A COUGH FOR LIKE THREE MONTHS ITS JUST LIKE SOMETIMES ITS LIKE THERE AND SOMETIMES IT KIND OF GOES AWAY IT FEELS LIKE IT KEEPS COMING BACK audio/MSK0026.mp3[254.000,258.440] OK AND HOW ABOUT ANY NIGHT SWEATS audio/MSK0025.mp3[317.760,327.760] OK I SEE AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS OR ANY ANY PAIN IN ANY OTHER JOINTS OR MUSCLES audio/GEN0001.mp3[310.320,314.880] NO NO MARKINGS ACROSS THE BRIDGE OF YOUR NOSE AND YOUR CHEEKS audio/RES0185.mp3[434.920,441.760] OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0040.mp3[252.200,255.680] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0048.mp3[683.120,687.040] OH OK WELL GOOD JOB FOR CUTTING DOWN AND QUITTING UM audio/RES0168.mp3[514.640,521.920] OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME audio/RES0049.mp3[759.800,762.480] OK SOUNDS GREAT THANK YOU audio/RES0146.mp3[238.800,254.920] UHM MAYBE I THERE WAS A ONE OF MY COLLEAGUES AT WORK WAS OFF LAST WEEK I THINK HE WAS SICK WITH SOMETHING audio/RES0102.mp3[351.000,370.760] YEAH WELL IF I LIE FLAT UHM IT ITS UH OR SORRY NO ACTUALLY THE PAIN GETS WORSE IF I I LIE FLAT OR IF IM IF IM TAKING A DEEP BREATH IN BUT REALLY THE ONLY THING THAT HELPS THE PAIN IS IF I TRY TO LEAN FORWARD WHEN IM SITTING DOWN audio/RES0198.mp3[278.600,283.760] OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES BEFORE audio/RES0039.mp3[336.120,345.120] OK AND HAVE YOU AT ALL MEASURED WHEN YOU FELT MEASURED YOUR TEMPERATURE WHEN YOU FELT LIKE THESE CHILLS AND NIGHT SWEATS audio/MSK0028.mp3[793.120,808.160] AND HOW ARE YOUR SHOULDER MOVEMENT ARE YOU ABLE TO LIKE IF YOURE LIFTING YOUR ARMS STRAIGHT OUT IN FRONT OF YOU ARE YOU ABLE TO TO LIFT THEM ALL THE WAY UP ABOVE YOUR HEAD audio/RES0126.mp3[60.720,67.240] UHM I SOMETIMES UHM YEAH I DO audio/MSK0007.mp3[425.600,434.600] OK AND WHAT TYPES OF HOBBIES DO YOU HAVE LIKE DO YOU PLAY GOLF OR TENNIS OR OR ANY KIND OF LIKE SPORTS I GUESS audio/RES0123.mp3[143.840,151.440] OKAY UH AND IS IT ONLY IS IT ONLY ON ONE ON ONE SIDE OF YOUR HEAD OR FOREHEAD OR IS IT ON BOTH SIDES audio/RES0083.mp3[324.880,337.680] ANY MEDICATIONS THAT YOURE ON audio/RES0111.mp3[206.200,212.400] OK OK UM OK ANY UH DID YOU GET THE FLU SHOT audio/RES0089.mp3[28.000,30.480] YEAH IT STARTED TWO WEEKS AGO audio/RES0086.mp3[674.520,722.720] YEAH SO WHAT WERE GONNA DO IS WERE GOING TO DO A PFT SO PULMONARY FUNCTION TEST ON YOU CAUSE ITS BEEN A WHILE SINCE YOUVE HAD ONE OF THOSE DONE AND THATS JUST TO CHECK HOW WELL YOUR LUNG IS FUNCTIONING SO WELL DO THAT WELL ALSO MAYBE GET A CHEST XRAY AS WELL FOR BASELINE AND DEPENDING ON WHAT THOSE TWO COME BACK AS WELL PROBABLY GET YOU TO USE YOUR SHORT ACTING BETA AGONIST PUFFER AGAIN AND WELL ALSO GIVE YOU A LONG ACTING audio/RES0030.mp3[469.720,483.560] UH MY FATHER HAD A HEART ATTACK WHEN HE WAS 78 AND UM HE UNFORTUNATELY PASSED AWAY FROM IT BUT HAD NO CANCER IN THE FAMILY audio/RES0151.mp3[0.000,2.400] HOW MAY I HELP YOU audio/MSK0014.mp3[224.320,226.880] OK UH audio/RES0195.mp3[355.120,360.440] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL audio/RES0058.mp3[110.760,113.640] OK A SIMILAR TIMELINE audio/RES0053.mp3[255.640,258.520] HAS HE HAD ANY FEVERS audio/RES0183.mp3[391.200,397.320] OK AND HAS HE HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS audio/RES0011.mp3[143.120,153.840] PROBABLY PROBABLY ABOUT A WEEK AGO ITS NOT REALLY BAD ITS JUST KINDA THERE audio/RES0181.mp3[263.520,265.000] I DO audio/RES0131.mp3[30.120,33.880] OKAY AND THEN HOW ABOUT THE HEADACHE audio/MSK0029.mp3[883.840,909.560] OK I SEE ALRIGHT UHM OK AND THEN LETS MOVE ON TO SOME RANGE OF MOTION EXAM SO IM GONNA GET YOU TO FLEX YOUR NECK SO LOOK DOWN AT THE GROUND ALL THE WAY AS MUCH AS YOU CAN DOES THAT HURT audio/GAS0002.mp3[216.640,223.880] IVE IVE HAD SOME NAUSEA OVER THE PAST FEW DAYS BUT I HAVENT VOMITED ANYTHING audio/RES0181.mp3[162.240,164.240] ANY FAINTING OR DIZZINESS audio/RES0199.mp3[500.920,504.520] OK OK AN ANY TRAVEL RECENTLY audio/RES0053.mp3[871.440,878.640] QUESTIONS OR CONCERNS JUST GIVE US A CALL HOW DOES THAT SOUND audio/MSK0029.mp3[381.760,395.080] NO ANY SORRY YES THAT ANY ISSUES CONCENTRATING ON ON TASKS audio/RES0082.mp3[488.440,489.800] NO I DONT audio/MSK0035.mp3[4.400,24.400] IM SO I WAS SKIING YESTERDAY AND I FELL ON MY ARM AND NOW AND ITS ITS MY HANDS VERY PAINFUL AND IT LOOKS SWOLLEN AND BRUISED SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT audio/RES0209.mp3[315.200,316.920] UH NO audio/RES0152.mp3[469.720,474.560] AND UH HOW ABOUT SMOKING CANNABIS OR USING ANY PRODUCTS audio/GAS0003.mp3[268.400,270.880] I HAVE NOT NO audio/RES0065.mp3[26.880,29.960] THREE DAYS AGO audio/CAR0002.mp3[315.240,327.600] OK JUST A FEW MORE QUESTIONS HAVE YOU HAD ANY DIAGNOSIS MADE BY ANY PHYSICIAN OR ANY ANYTHING LIKE DIABETES OR HIGH BLOOD PRESSURE audio/RES0071.mp3[269.800,279.720] AND ANYONE THAT YOU PROBABLY SAW IN THE HOSPITAL ANYONE SICK THAT YOU WERE IN CONTACT WITH audio/MSK0001.mp3[299.400,309.120] OK AND ANY ISSUES WITH UH INCONTINENCE LIKE UH HAVING ACCIDENTS AT ALL AT NIGHT OR DURING THE DAY audio/RES0124.mp3[711.800,715.440] NO SO FAR NO I I LIKE I GET PRETTY GOOD SLEEP audio/RES0096.mp3[404.200,408.600] I SEE ALRIGHT AND DO YOU TAKE ANY MEDICATIONS FOR THOSE audio/RES0023.mp3[476.040,479.560] DO YOU SMOKE audio/RES0019.mp3[268.080,274.840] YES I WOULD SAY I AM SIGNIFICANTLY MORE TIRED THAN I USED TO BE audio/RES0039.mp3[390.080,394.640] OK ANY SWELLING IN YOUR LIMBS AT ALL audio/RES0196.mp3[56.880,58.920] ITS ONE EAR audio/RES0193.mp3[0.000,2.160] WHAT BRINGS YOU HERE TODAY audio/MSK0049.mp3[525.480,530.760] UHM NO MUSCULOSKELETAL ISSUES UH THAT I KNOW DIABETES RUNS IN THE FAMILY audio/RES0174.mp3[412.440,417.160] UHM NOT GREAT audio/RES0172.mp3[367.040,370.360] NO I I I I IVE STAYED AWAY FROM THAT audio/MSK0003.mp3[192.240,207.440] YEAH IVE TRIED SOME TYLENOL AND ADVIL AND THAT THE ADVIL IS ACTUALLY HELPED TAKING THE EDGE OFF A LITTLE BIT BUT THE NEXT MORNING I I HAVE THE STIFFNESS AND AND PAIN AGAIN audio/RES0007.mp3[117.840,123.120] OK AND UH DOES THIS HAPPEN IN ANY OTHER SETTINGS audio/RES0201.mp3[428.520,429.040] I DO audio/RES0080.mp3[522.520,526.640] OK AND HOW LONG HAVE YOU SMOKED FOR audio/RES0186.mp3[126.880,136.200] BEEN NORMAL OK THATS GOOD AND HOW ABOUT OF HOW ABOUT WEIGHT LOSS audio/RES0080.mp3[510.360,516.960] OK AND YOU SMOKE CIGARETTES YOU MENTIONED HOW MUCH DO YOU SMOKE PER DAY audio/RES0111.mp3[521.760,524.160] UM NO THAT SOUNDS GREAT THANK YOU audio/RES0145.mp3[517.840,524.800] OK UHM ALRIGHT HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT BE SICK audio/RES0151.mp3[25.200,31.320] A BIT LESS THAN THAT I WOULD SAY ITS BEEN PROBABLY LIKE FIVE OR SIX DAYS audio/MSK0017.mp3[537.400,553.160] OH NO IVE BEEN WITH MY WIFE NOW FOR A LONG TIME AND WEVE BEEN MONOGAMOUS SO NO CONCERNS FOR UH SEXUALLY TRANSMITTED INFECTION RIGHT NOW audio/RES0039.mp3[745.800,750.360] OK UH AND ANY ALCOHOL audio/RES0023.mp3[10.800,20.920] OK THANKS FOR COMING INTO THE EMERGENCY DEPARTMENT TODAY WE WILL REALLY TRY TO GET THIS SORTED OUT FOR YOU HOW LONG IS THIS COUGH BEEN GOING ON FOR audio/MSK0045.mp3[503.160,517.880] OR LIKE IF YOU WERE TO USE YOUR LEFT ARM TO TO PASSIVELY MOVE YOUR RIGHT ARM AND SHOULDER DOES THAT HURT OR IS IT WHEN YOU JUST TRY TO MOVE THE RIGHT ARM BY ITSELF audio/RES0033.mp3[444.400,456.920] UH NO I DONT HAVE ANY PETS LIKE THERES NO LIKE MOSS OR ANYTHING IN MY HOME NO FUMES DUST YEAH NOTHING LIKE THAT audio/RES0158.mp3[32.240,39.480] ITS DRY OK ARE YOU AT ALL BRINGING UP ANY KIND OF SPUTUM OR BLOOD AT ALL audio/RES0033.mp3[10.840,22.840] OK UM WHEN DID THIS WHAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH ITSELF ANY ANY SPUTUM audio/RES0148.mp3[146.200,153.320] ALRIGHT HAVE YOU HAD ANY UH NAUSEA OR VOMITING audio/RES0164.mp3[654.120,659.800] SOUNDS GREAT audio/RES0031.mp3[165.120,176.040] I THINK I DID HAVE LUNCH TODAY I WASNT ABLE TO EAT TOO TOO MUCH JUST BECAUSE OF THE PAIN BUT YEAH JUST A COUPLE HOURS AGO I HAD I DID HAVE A LUNCH audio/RES0078.mp3[266.160,283.200] OK ALRIGHT AND DOES IT RADIATE ANYWHERE DOES IT GO ANYWHERE OTHER THAN THAT ONE LOCATION audio/RES0044.mp3[668.240,672.760] UH I LIVE IN TOWN HERE audio/CAR0003.mp3[154.480,158.680] I GUESS ITS WORSE AT NIGHT BECAUSE IM LAYING DOWN audio/RES0204.mp3[455.200,456.480] OK THAT SOUNDS GOOD audio/RES0174.mp3[620.920,622.800] OH NO I DONT audio/MSK0039.mp3[219.080,234.000] UM I DO FEEL SOME NUMBNESS TINGLING JUST BELOW WHERE IT HAPPENED UM BUT IT LIKE COMES AND GOES audio/RES0097.mp3[278.880,282.480] ANY DIARRHEA OR CONSTIPATION audio/RES0209.mp3[3.280,30.720] OK IM SO I HAVE BEEN COUGHING A LOT OVER THE PAST WEEK OR SO AND ITS BEEN PRETTY DRY BUT IVE BEEN COUGHING LIKE ALMOST NONSTOP THROUGHOUT THE DAY AND IM FEELING VERY SHORT OF BREATH AND MY BRONCHODILATOR HELPS BUT I FOUND IM USING IT A LOT NOW audio/RES0024.mp3[184.760,189.880] LIKE I SAID IT FELT LIKE DRY BUT I DONT THINK ITS BEEN SORE audio/RES0132.mp3[440.040,445.200] OKAY UM AND DO YOU SMOKE CIGARETTES audio/MSK0019.mp3[189.960,192.560] PAIN ELSEWHERE ON YOUR BODY audio/MSK0036.mp3[134.280,163.280] SO THE PAIN I FEEL LIKE ITS MORE LIKE A DISCOMFORT JUST OVER THE LIKE PALM LIKE NEAR THE WRIST AND THE LOWER PALM AREA IS WHERE THE DISCOMFORT IS AND THEN THE NUMBNESS AND TINGLING IS JUST LIKE IN THUMB AN THE 1ST 2 DIGITS audio/RES0026.mp3[208.840,213.480] OK UH IS THE HEADACHE ASSOCIATED WITH ANY NAUSEA OR VOMITING audio/RES0205.mp3[216.480,230.480] OK OK HAVE YOU BEEN IN CONTACT I GUESS ITS HARD TO SAY BECAUSE IT STARTED A WHILE AGO BUT BEFORE IT STARTED BRINGING CONTACT WITH ANYONE THATS BEEN SICK audio/RES0034.mp3[507.080,508.840] UH NO audio/RES0084.mp3[498.440,508.200] OK WHEN WERE YOU DIAGNOSED WITH ALL OF THESE THINGS audio/RES0124.mp3[383.800,398.760] ALRIGHT UH CAN YOU TELL ME OKAY SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0201.mp3[145.000,149.480] UM THE WELL I GUESS ITS GETTING WORSE YEAH audio/RES0089.mp3[452.840,456.560] AH NO IT DOESNT WAKE ME UP audio/RES0036.mp3[198.480,204.440] IT IS THERE ALL THE TIME audio/MSK0036.mp3[796.160,800.600] OK AND ARE YOU ABLE TO TO MOVE YOUR WRIST OR THE FULL RANGE OF MOTION audio/RES0208.mp3[307.880,311.760] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS audio/MSK0036.mp3[112.560,124.480] YEAH YEAH AND I DONT KNOW IF ITS JUST CAUSE I USE MY RIGHT HAND MORE THAT I FEEL MORE PAIN AND THE SYMPTOMS BUT YEAH I DEFINITELY WOULD SAY ITS WORSE audio/MSK0024.mp3[124.720,129.280] ID SAY ITS PRETTY ITS BEEN PRETTY SIMILAR TO THE START audio/RES0110.mp3[802.280,805.200] DO I STILL NEED TO ISOLATE IN THIS CASE audio/RES0099.mp3[567.760,570.000] AND EVERYBODY AT HOME HAS BEEN OK audio/RES0170.mp3[341.200,347.320] NO HE HASNT HAD ANYTHING LIKE THAT audio/MSK0021.mp3[585.720,594.040] OK OK GOOD SO NOW IM GOING TO UHM ARE YOU SITTING DOWN audio/RES0170.mp3[543.600,564.880] NOT THAT IM AWARE OF BUT I I THINK HE MIGHT I MEAN SO LIKE ENVIRONMENTAL OR I DONT KNOW SOMETHING HE DOES GET SYMPTOMS LIKE A RUNNY NOSE AND ITCHY EYES SOMETIMES BUT USUALLY GO AWAY PRETTY PRETTY QUICKLY AND HE DOESNT FUSS ABOUT IT TOO MUCH SO YEAH SO audio/RES0151.mp3[58.680,71.160] OK SO YOURE YOU ARE ARE YOU FEELING UM LIKE MUCUS DRAIN FROM YOUR NOSE LIKE INTO THE BACK OF YOUR UH MOUTH audio/RES0214.mp3[238.560,239.640] NOTHING LIKE THAT audio/RES0035.mp3[68.280,72.680] OR JUST MAYBE EVERY TIME YOU COUGH audio/RES0046.mp3[852.200,855.120] YEAH IT SOUNDS GREAT THANK YOU audio/RES0182.mp3[2.440,27.200] HI YEAH IM HERE BECAUSE IM OVER THE PAST LIKE COUPLE OF MONTHS IVE BEEN LOSING A LOT OF WEIGHT UHM BUT I DIDNT REALLY HAVE ANY OTHER SYMPTOMS BUT SINCE LIKE 2 WEEKS AGO IVE BEEN COUGHING UP SOME BLOOD AND NOW I HAVE A FEVER AS WELL audio/MSK0012.mp3[98.920,104.360] OK A BURNING SENSATION WHERE WOULD YOU SAY THAT BURNING SENSATION IS audio/RES0020.mp3[526.280,529.120] OK GREAT DID YOU RECENTLY MOVE THERE audio/RES0158.mp3[250.360,253.720] ANY CHEST PAIN OR SHORTNESS OF BREATH audio/RES0016.mp3[236.120,242.920] UM MAYBE SOME CHILLS HERE AND THERE BUT NOT NOT REALLY A FEVER NO audio/RES0058.mp3[295.680,300.800] UMM NO I HAVENT NOTICED ANY RASHES audio/MSK0013.mp3[564.840,572.000] OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER audio/RES0093.mp3[171.000,174.760] ANY UH RUNNY NOSE audio/RES0194.mp3[341.880,349.640] OK AND ANY EXPOSURE TO FUMES OR DUST OR ANIMALS WITHIN YOUR HOME ENVIRONMENT OR WORK ENVIRONMENT audio/MSK0016.mp3[518.400,528.160] NO CANCERS OK UM ALRIGHT AND THEN DO YOU SMOKE audio/RES0184.mp3[219.480,226.240] OK UH WAS THERE ANY BLOOD IN THE STOOL audio/MSK0049.mp3[595.840,600.520] OK AND THEN HOW ABOUT ANY PAIN OVER THE PATELLA OR KNEECAP audio/RES0159.mp3[476.280,481.760] OK HAVE YOU EVER BEEN DIAGNOSED WITH ANY LUNG CONDITIONS audio/RES0056.mp3[383.840,385.960] NO NO audio/RES0154.mp3[108.360,110.000] NO WHEEZING audio/RES0005.mp3[246.240,249.520] NO NO I HAVENT audio/RES0207.mp3[168.200,170.840] IN ANY POSITION audio/RES0177.mp3[122.240,130.560] OK UHM HOW MUCH SHORTNESS OF BREATH IS HE HAVING IS IT JUST WHEN HES EXERTING HIMSELF OR IS IT AT REST AS WELL audio/RES0215.mp3[558.360,566.600] OK EXCELLENT AND THIS IS A QUESTION WE JUST ASK EVERYONE HAS THERE EVER BEEN ANY CC CAS INVOLVEMENT IN THE FAMILY audio/MSK0025.mp3[467.720,470.680] UM NO audio/RES0194.mp3[24.280,27.760] THE COUGH STARTED FIRST audio/RES0026.mp3[298.160,302.360] AND HOW ABOUT A SORE THROAT audio/RES0061.mp3[326.200,331.520] UM NO I HAVENT HAD A A WHEEZE audio/CAR0001.mp3[312.920,320.320] OK ANY CHANGES TO THE BREATH SOUNDS AT ALL LIKE ANY NOISY BREATHING audio/RES0098.mp3[610.160,621.840] OK WELL THATS GOOD THAT THAT SHES BEEN OK DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR OR LUNG CONDITIONS OR ANY CANCERS THAT RUN IN THE FAMILY audio/MSK0050.mp3[506.280,532.480] UM SO IN MY RIGHT HAND UM I GUESS THE YOU KNOW THE FLESHY PART OF YOUR THUMB JUST ABOVE YOUR WRIST UM THAT SEEMS TO BE UM I GUESS ATROPHIED COMPARED TO MY LEFT HAND audio/RES0045.mp3[503.320,509.520] ONCE A WEEK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ANY ALCOHOL audio/RES0019.mp3[19.680,26.840] OK I SEE WHEN UH DID THESE SYMPTOMS START EXACTLY audio/GAS0005.mp3[727.960,742.040] OK SO I THINK THATS UH EVERYTHING I WANT I WANTED TO ASK ABOUT TODAY UH WAS THERE ANYTHING THAT MAYBE I I FORGOT TO ASK OR OR THAT I MISSED THAT YOU WANTED TO TELL ME audio/MSK0021.mp3[652.680,656.520] OK HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE GROUND audio/MSK0026.mp3[324.160,329.240] HAVE YOU HAD ANY PAIN WITH URINATION OR FREQUENCY WITH URINATION audio/MSK0020.mp3[418.880,432.760] NO I I THINK MY FATHER MAYBE HE HAD SOME HEART ISSUES HE DID HAVE A HEART ATTACK IN HIS LETS SEE LIKE IN THE 70S audio/RES0077.mp3[21.480,23.720] OK AND SO IT STARTED THREE DAYS AGO audio/MSK0018.mp3[349.120,356.640] OKAY ANY ATROPHY DEFORMITIES OR SKIN CHANGES audio/RES0046.mp3[630.480,635.120] UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0004.mp3[221.840,223.720] UH NO ITS NOT ITCHY audio/RES0146.mp3[191.240,207.840] YEAH WELL WELL MY NOSE HAS BEEN ITCHY AND I I HAVE BEEN I HAVE BEEN SNEEZING audio/MSK0029.mp3[288.000,298.680] IT WOULD BE I WOULD SAY PROBABLY A 6 OR A 7 audio/RES0019.mp3[409.960,415.560] OK COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER audio/RES0024.mp3[86.920,92.280] OK SO NO COUGH HAVE YOU FELT A LIKE SHORT OF BREATH AT ALL audio/RES0030.mp3[543.600,548.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0053.mp3[666.960,679.280] YOU KNOW I THINK MY SISTER IS ALLERGIC TO PEAS BUT SHE WAS NEVER SICK FROM THEM LIKE GO TO THE HOSPITAL I DONT THINK THERE ARE ANY ALLERGIES IN THE FAMILY audio/RES0174.mp3[424.280,432.480] ALRIGHT SO HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF audio/RES0151.mp3[498.640,504.720] UH NO I DONT THINK SO audio/RES0097.mp3[169.800,174.680] OK HOW DID YOU CHECK IT audio/RES0101.mp3[112.760,125.160] OK AND IS THE IS THE SWELLING IN KIND OF ONE SPOT OF YOUR LEG OR IS IT MOST OF THE OF THE LEG audio/MSK0039.mp3[43.800,47.000] JUST UH I WOULD SAY LIKE AN HOUR AGO audio/RES0200.mp3[381.600,387.080] OK OK AND THE DOCTOR WAS OK WITH THAT audio/RES0145.mp3[428.560,442.480] YEAH THATS GOOD THATS GOOD AND SO COUPLE QUESTIONS ABOUT UHM I GUESS MORE GENERAL QUESTIONS DO YOU WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN A HOUSE OR AN APARTMENT audio/RES0152.mp3[76.880,86.040] UH YEAH I WOULD SAY MAYBE HALF A HALF A TEASPOON audio/MSK0016.mp3[283.960,286.360] UH RASHES audio/RES0212.mp3[298.040,299.520] UH NO audio/RES0132.mp3[557.320,569.880] RIGHT OKAY THAT MAKES SENSE UM AND IN THE FAMILY ARE THERE ANYBODY WHO WHOS HAD PROBLEMS WITH THEIR HEARTS OR LUNGS audio/RES0060.mp3[476.920,482.240] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0156.mp3[298.560,316.680] UM NO NO AND WHEN SHE WAS BORN SHE HAD TO UH GO IN THE JUST BE OBSERVED FOR A FEW UM A COUPLE OF DAYS FOR JAUNDICE SHE DIDNT NEED TO HAVE ANY THERAPY FOR IT IT WENT AWAY ON ITS OWN BUT THATS ABOUT IT audio/RES0027.mp3[215.960,220.080] OK AND AND HOW IS YOUR APPETITE BEEN audio/RES0163.mp3[241.920,256.760] OK UHM HAVE YOU TRIED ANYTHING FOR IT LIKE EITHER MEDICATIONS OR THE NETI POT OR STEAMING AND HAS ANYTHING HELPED YOU AT ALL audio/RES0080.mp3[533.760,546.360] YEAH YEAH MULTIPLE DOCTORS HAVE TOLD ME TO QUIT AND ITS JUST I DONT THINK I CAN QUIT ITS NOT GONNA HAPPEN I CANT LIVE WITHOUT MY CIGARETTES audio/MSK0049.mp3[328.880,332.520] UH NO I IF ANYTHING HAD A GAIN IN APPETITE audio/RES0048.mp3[142.920,161.440] UM YEAH I WOULD SAY ITS GETTING A LITTLE BIT HARSH ITS MORE JUST LIKE IM NOT BRINGING ANYTHING UP ITS MORE LIKE A DRY COUGH UM BUT YEAH I WOULD SAY ITS GETTING WORSE DEFINITELY audio/MSK0050.mp3[586.640,595.440] THAT HURTS OR LIKE THAT CAUSES THE TINGLING audio/RES0116.mp3[414.200,422.360] OK OK UM SO IT WAS A VAGINAL DELIVERY BUT THEY USED SOME TOOLS LIKE FORCEPS MAYBE OR VACUUM audio/CAR0001.mp3[99.080,103.600] UM NOT LAYING DOWN HELPS audio/RES0194.mp3[514.040,518.120] OK AND WHATS YOUR HOME SITUATION LIKE WHO DO YOU LIVE WITH audio/MSK0029.mp3[613.120,616.720] NO OK HOW ABOUT CANCERS audio/RES0096.mp3[239.600,245.920] OK HOW ABOUT ANY EYE PAIN OR EAR PAIN audio/RES0058.mp3[718.840,722.280] OK IN THE CITY YOU SAID audio/RES0159.mp3[263.400,266.240] NOT THAT I KNOW OF NO audio/RES0113.mp3[379.400,383.720] I DRINK LIKE ONCE ONCE IN A WHILE HAVE A GLASS OF WINE audio/RES0168.mp3[154.120,163.520] OK AND HOW ABOUT LIKE FACIAL PAIN OR PRESSURE OR FEELING LIKE ITS FULL audio/MSK0026.mp3[19.920,32.560] YEAH CERTAINLY UM SO WHERE ARE YOU FEELING THE THE PAIN EXACTLY audio/RES0116.mp3[258.000,273.560] OK OK SWEET UM SO 39 DEGREES SO HE DOES HAVE A FEVER UH FOR SURE WELL TAKE HIS TEMPERATURE AGAIN TODAY JUST TO MAKE SURE HAVE YOU BEEN GIVING HIM ANYTHING FOR HIS HIGH TEMPERATURE LIKE TYLENOL audio/RES0163.mp3[440.120,450.520] OK HAVE YOU EVER HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE audio/RES0038.mp3[702.520,741.520] OK SO BASED ON WHAT WE TALKED ABOUT IT SEEMS THAT BASED ON YOUR PAST HISTORY AND THE COUGHING THAT YOURE HAVING RIGHT NOW ONE OF THE THINGS THAT WE DEFINITELY WANT TO LOOK AT IS IF YOU DO IN FACT HAVE ASTHMA UM IT CAN ALSO BE LIKE VIRAL UPPER RESPIRATORY TRACT INFECTION BUT WE WILL DO SOME PULMONARY FUNCTION TESTS FOR YOU AND SEE IF THE BRONCHODILATORS JUST LIKE YOU USE THE INHALER FROM YOUR SON IF THAT HELPS HELPS YOU WITH YOUR SYMPTOMS AND THEN WE CAN GO FROM THERE audio/RES0154.mp3[170.480,174.040] OK AND HAVE YOU HAD A SORE THROAT audio/RES0009.mp3[261.720,265.760] NO NO ITS JUST THAT LIKE SHARP THAT SHARP PAIN audio/RES0046.mp3[201.800,205.000] OK BUT NO FAINTING RIGHT audio/MSK0035.mp3[178.320,184.480] UM I GUESS MOVING IT audio/RES0175.mp3[51.200,53.880] TWO DAYS AGO audio/RES0103.mp3[179.560,197.680] YEAH SHES BEEN A MAYBE A BIT MORE MAYBE A BIT MORE TIRED AND AND A BIT MORE IRRITABLE BUT NOT NOT TOO BAD SHE SHE MISSED SCHOOL TODAY BUT WENT YESTERDAY audio/RES0076.mp3[545.640,551.520] I LIVE IN A HOME WITH MY WIFE AND ITS JUST US TWO audio/RES0112.mp3[313.200,318.040] ANY UM DEVELOPMENTAL ISSUES audio/RES0184.mp3[156.360,160.720] OK UHM AND DO YOU HAVE A SORE THROAT audio/RES0064.mp3[110.600,119.040] OK AND ANY FATIGUE OR EXHAUSTION audio/RES0014.mp3[295.280,303.640] NO OK AND HOW ABOUT SWELLING HAVE YOU NOTICED SWELLING ANYWHERE IN YOUR BODY audio/RES0148.mp3[219.800,237.440] OK UH SO YOUVE HAD UM THIS COUGH A DRY COUGH A FEVER CHILLS AND UH BEEN MORE TIRED AND AND BEEN A LITTLE BIT MORE ACHY THESE PAST UH THREE DAYS HAVE YOU HAD ANY OTHER SYMPTOMS audio/MSK0005.mp3[585.440,591.320] UM NO IVE JUST BEEN TAKING UH TYLENOL AND ADVIL UM FOR THE PAIN audio/RES0034.mp3[392.440,394.480] OK AND DID YOU NOTICE ANY BLOOD IN IT audio/RES0134.mp3[96.440,100.760] ALL RIGHT AND HAVE YOU HAD ANY CHEST PAIN audio/RES0103.mp3[465.480,467.320] NOTHING ELSE RIGHT NOW audio/RES0015.mp3[515.080,516.440] NO HEADACHES audio/GAS0002.mp3[38.200,42.360] OK AND HOW LONG IS IT BEEN GOING ON FOR audio/RES0139.mp3[193.120,197.920] UM ITS ITS NOT SO IT HASNT INTERRUPTED MY SLEEP audio/MSK0036.mp3[425.920,427.880] NO NO NOTHING LIKE THAT audio/RES0209.mp3[312.680,315.200] OK HAVE YOU TRAVELED ANYWHERE audio/RES0009.mp3[118.560,121.480] OK AND HOW FAR COULD YOU USUALLY WALK OR UM audio/RES0212.mp3[169.440,172.440] I DONT THINK SO LIKE ITS A REALLY LONG TIME AGO I DONT REALLY REMEMBER audio/RES0049.mp3[2.280,22.880] YEAH NICE TO MEET YOU I IVE BEEN HAVING JUST OVER THE LAST WEEK MY COUGH THATS BEEN GETTING WORSE AND I HAD A FEVER A COUPLE OF NIGHTS AND JUST YESTERDAY I NOTICED THAT I STARTED HAVING A LOSS OF TASTE AND SMELL SO THAT GOT ME REALLY WORRIED audio/RES0125.mp3[148.480,159.120] UM I UM I TAKE THIS COUGH SYRUP OVER THE COUNTER SYRUP THAT HELPS audio/RES0062.mp3[330.880,336.080] OH YEAH I DONT KNOW WHY YEAH MY BELLYS BEEN A BIT ACHY MAYBE audio/RES0019.mp3[26.840,35.200] SO THEY STARTED ABOUT 3 DAYS AGO BUT ITS GETTING WORSE audio/GAS0001.mp3[44.760,59.200] OH I THINK ITS LIKE WORSE WHEN I AM SMELLING SOMETHING REALLY BAD AND ITS WORSE IN THE MORNING BUT I FEEL LIKE ITS ALWAYS KIND OF THERE audio/MSK0001.mp3[38.800,44.240] IM NOT SURE I JUST NOTICED THE PAIN AFTER UM AFTER THAT audio/RES0103.mp3[403.120,405.680] THEY ARE YEAH audio/RES0069.mp3[85.840,88.480] THIS MORNING audio/RES0015.mp3[305.400,309.120] NO SORE THROAT ANY CHANGES TO YOUR TASTE audio/RES0038.mp3[471.080,482.080] UHM YEAH I THINK I HAVE IM ALLERGIC TO POLLEN AND SOME OTHER ENVIRONMENTAL AND ALLERGIES AS WELL audio/RES0201.mp3[500.520,503.680] OK WHAT DID YOU DO FOR WORK BEFORE audio/RES0194.mp3[2.280,20.160] HI I’VE COME IN TODAY BECAUSE I HAD THIS COUGH IT STARTED THREE DAYS AGO AND SINCE THAT TIME IVE ALSO STARTED TO HAVE UM THESE HEADACHES AND BEEN FEELING REALLY KINDA ACHY ALL OVER audio/RES0198.mp3[197.800,201.120] NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0117.mp3[153.160,155.280] ANY CHEST PAIN audio/RES0081.mp3[434.360,439.720] OK SO HE DOES USE A STEROID INHALER audio/MSK0045.mp3[395.600,400.120] UM YEAH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW WHO DO YOU LIVE WITH audio/RES0034.mp3[447.400,458.520] OK UM WITH THE NOTICING THE FASTER RATE OF BREATHING IS THE BREATHING NOISY AT ALL audio/RES0165.mp3[291.080,293.720] UH NO audio/RES0060.mp3[939.960,942.280] OK WELL TAKE CARE THEN ALRIGHT audio/RES0135.mp3[466.760,480.640] OKAY UM THATS GREAT AND IN TERMS OF UM THE HOME ENVIRONMENT WHOS LIVING WITH HER AND UM WHOS PRIMARILY LOOKING AFTER HER audio/RES0031.mp3[15.400,19.440] I WOULD SAY ITS MOSTLY AT THE BACK OF MY THROAT audio/RES0100.mp3[302.640,311.000] I SEE IS THERE ANYTHING THAT YOU DO THAT THAT MAKES THAT THAT FEELING WORSE OR MAKE THAT MAKE IT BETTER audio/RES0066.mp3[508.000,513.000] OK AND HAVE YOU HAD A COVITEST DONE AT ALL audio/RES0118.mp3[474.840,477.200] YOU TOO audio/MSK0029.mp3[118.360,132.240] NO I CAN’T I DIDNT NOTICE ANYTHING LIKE THAT AND I CAN MOVE MY NECK AROUND SO I DONT THINK ANY I DON’T I DONT THINK ANYTHING IS BROKEN JUST HURTS A LOT audio/RES0096.mp3[344.800,347.560] UH ITS OK audio/RES0026.mp3[589.800,592.720] UM NO LUNG CONDITIONS audio/RES0079.mp3[104.800,108.440] WE DO OK ANY MUSCLE ACHES audio/RES0169.mp3[156.560,165.600] ITS PRETTY MILD SOMETHING PRETTY SIMPLE LIKE IT SO IVE HAD HEADACHES LIKE LIKE THIS BEFORE ITS NOT ITS NOT A BIG DEAL audio/MSK0050.mp3[22.840,40.280] UM SO ITS BEEN PRETTY GRADUAL I WOULD SAY OVER THE PAST MONTH OR TWO MONTHS UM IS WHEN I FIRST NOTICED IT BUT THE NUMBNESS IS DEFINITELY WORSE NOW THAN IT WAS AT THE START audio/RES0082.mp3[221.920,223.080] NO CHEST PAIN audio/RES0211.mp3[528.000,531.120] GOT IT ANY OTHER DRUGS MARIJUANA COCAINE audio/RES0005.mp3[415.400,417.880] YEAH I HAVE HIGH BLOOD PRESSURE AS WELL audio/MSK0050.mp3[541.920,551.720] OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES LIKE DOES THE ANY AREAS OF THE HAND OR WRIST FEEL WARM OR HOT audio/RES0064.mp3[267.800,272.720] OK ALRIGHT AND HAS HE BEEN HEALTHY OTHERWISE audio/RES0028.mp3[370.920,375.880] OK AND THEN YOURE RIGHT LIKE DO YOU KNOW WHERE IT HURTS audio/RES0156.mp3[291.320,298.560] OK UM HAS SHE BEEN DIAGNOSED AT ALL WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0061.mp3[695.280,696.440] NO I DONT audio/RES0055.mp3[129.760,137.400] OK DO YOU FIND YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THE SHORTNESS OF BREATH audio/RES0017.mp3[20.480,28.240] OK AND SINCE THE COUGH STARTED HAS IT BEEN GETTING GETTING WORSE STAYING THE SAME GETTING ANY BETTER audio/RES0006.mp3[496.600,503.960] YEAH YEAH I SMOKE A LOT OF CIGARETTES JUST LIKE I WOULD SAY 30 CIGARETTES A DAY audio/GEN0001.mp3[436.360,442.000] LIKE SOMETIMES IN THE SPRING ILL GET LIKE A LITTLE STUFFY BUT audio/RES0125.mp3[36.440,39.080] ITS A DRY COUGH audio/MSK0022.mp3[256.040,263.240] OK AND IN YOUR FEET WHICH JOINTS WOULD YOU SAY ARE HURTING THE MOST audio/RES0111.mp3[433.320,444.120] WELL THATS ALL THE QUESTIONS OH ONE MORE QUESTION ACTUALLY DO YOU HAVE UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/MSK0040.mp3[497.600,503.880] OK AND AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0021.mp3[615.440,618.960] UHM NO NO PAIN WITH JUST BENDING audio/RES0158.mp3[129.320,138.400] OK AND ANY UH ARE YOUR SYMPTOMS GETTING WORSE AT ALL audio/RES0060.mp3[534.600,538.760] IM SORRY IM PREDIABETIC AS WELL audio/MSK0026.mp3[554.960,562.960] LIKE IV DRUGS NO OK AND IN THE FAMILY OR IS THERE A HISTORY OF ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS audio/MSK0005.mp3[515.480,517.800] UH PRONATION UM audio/MSK0038.mp3[79.480,98.240] UHM NOT REALLY YEAH ITS MOSTLY JUST THE THE ACTIVITY IF IM GOING UPSTAIRS OR UM DOWNSTAIRS OR UH DURING RUNNING IS REALLY WHERE IT HURTS THE MOST AND THATS WHATS BUGGED ME THE UM YEAH THE MOST RUNNING audio/RES0071.mp3[118.120,132.240] OK AND UM ARE YOU HAVING ANY UH OTHER SYMPTOMS BESIDES THE COUGH UM LIKE SHORTNESS OF BREATHSORE THROAT UM RUNNY NOSE CONGESTION ANYTHING LIKE THAT audio/MSK0016.mp3[101.560,118.960] NO OK AND UHM IF YOU WERE TO DESCRIBE THE QUALITY OF HOW IT FEELS LIKE DOES IT DOES IT IS IT PAINFUL IS IT TENDER OR IS IT JUST NUMB AND TINGLING KIND OF LIKE WHEN YOUR FOOT GOES TO SLEEP audio/RES0029.mp3[323.240,328.560] OK UH AND ANY HOSPITALIZATIONS audio/RES0027.mp3[629.440,639.560] OK UM AND HAS ANYBODY IN THE FAMILY HAD A LUNG CONDITION OR OR A HEART CONDITION BEFORE audio/RES0174.mp3[737.440,743.600] YEAH ITS ALSO I ALSO FEEL LIKE MY HEARTS LIKE BREATHING REALLY FAST audio/MSK0013.mp3[447.520,458.440] OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH audio/RES0004.mp3[338.280,353.520] UM IT MIGHT BE A LITTLE AH MIGHT HAVE BEEN A LITTLE BIT DOWN I JUST KIND OF HAVENT BEEN FEELING SO GREAT SO IM IVE PROBABLY EATING LESS THE LAST FEW WEEKS YEAH audio/MSK0023.mp3[478.000,488.240] YEAH EXACTLY YEAH IT LOOKS LIKE IT CAUSE ITS A BIT LIKE BROWN I GUESS I CAN LIKE SEE OR ON MY KNEE I GUESS LIKE THE LIKE A BIG BRUISE audio/RES0068.mp3[217.480,225.480] I SEE OK ANY RECENT CONTACT WITH ANYONE WHOS BEEN ILL OR ANY RECENT TRAVEL audio/RES0055.mp3[243.200,247.200] AND HOW ABOUT SMELL OR TASTE audio/MSK0026.mp3[417.120,424.320] OK AND HAVE YOU BEEN PREGNANT IN THE PAST audio/RES0035.mp3[341.160,344.840] OK ANY ALLERGIES ENVIRONMENTAL OR TO MEDICATIONS audio/RES0076.mp3[89.960,94.240] NOT REALLY NO audio/RES0173.mp3[66.480,72.800] OK AND HAVE YOU HAD ANY WHEEZING audio/GAS0002.mp3[373.640,378.400] OK AND ANY ALLERGIES TO MEDICATIONS audio/RES0128.mp3[263.720,278.680] HES BEEN HEALTHY YEAH I KNOW HE DID HAVE LIKE HE WOULD GET SOME ITCHY SKIN WHEN HE WAS A BIT WHEN HE WAS LIKE A BABY BUT HE HASNT NEEDED ANY CREAMS FOR THAT FOR A LONG TIME audio/GAS0005.mp3[235.000,237.880] NO NOT THAT I KNOW audio/RES0014.mp3[689.360,691.360] ALRIGHT THANK YOU audio/MSK0028.mp3[39.960,79.080] SO I WAS DOING SO I WAS JUST DOING WEIGHT TRAINING AND I WAS KIND OF FLEXING MY ELBOWS AND I WAS WORKING ON MY BICEPS I WAS ON THAT MACHINE WHERE YOU SO KNOW I WASNT USING WEIGHTS OR DOING CURLS BUT I WAS WORKING ON MY BICEPS AND I THINK I DID HEAR I DONT THINK I HEARD LIKE ANY POP OR ANYTHING BUT RIGHT AFTER THAT I JUST HAD THIS SUDDEN SHARP PAIN IN MY SHOULDER AS WELL AS MY ELBOW audio/RES0063.mp3[186.680,190.040] UH NO I HAVENT HAD ANY OF THOSE audio/GAS0003.mp3[2.640,9.240] YEAH HI IM I I HAVE A PAIN IN MY BELLY IT STARTED A COUPLE HOURS AGO audio/RES0056.mp3[562.080,568.440] YOU DONT THINK IT COULD BE COVIRIGHT LIKE MY WIFE GOT TESTED AND IT WAS NEGATIVE audio/RES0062.mp3[407.680,416.080] NO I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT audio/RES0038.mp3[138.520,150.640] OK AND HOW OFTEN ARE YOU COUGHING LETS SAY IN AN AVERAGE DAY audio/RES0207.mp3[373.560,375.440] I’M AN ACCOUNTANT audio/MSK0045.mp3[431.400,441.080] HOW ABOUT SMOKING YOU SMOKE CIGARETTES SORRY YOU SAID YOU YOU QUIT UM DO YOU DRINK ALCOHOL audio/RES0026.mp3[447.360,452.200] OK SO DO YOU UM DO YOU TAKE A STATIN MEDICATION THEN audio/RES0090.mp3[253.800,260.040] OK AND HOW ABOUT FATIGUE ARE YOU DO YOU FEEL MORE TIRED THROUGHOUT THE DAY audio/RES0203.mp3[391.880,396.560] UH YES I AM IN MY LAST YEAR OF HIGH SCHOOL audio/RES0199.mp3[112.640,118.400] OK OK AND HAVE YOU EVER HAD A HEADACHE LIKE THIS IN THE PAST audio/RES0134.mp3[317.640,321.320] OKAY AND HOW LONG HAS THAT BEEN GOING ON FOR audio/RES0042.mp3[294.880,308.200] TENDS TO GET PRETTY BAD LIKE I DONT REALLY HAVE ANY RIGHT NOW BUT I REALLY STAY ON TOP OF IT WITH LIKE MY MOISTURIZERS AND LIKE I ALWAYS HAVE LIKE A HYDROCORTISONE CREAM ON HAND JUST IN CASE audio/MSK0003.mp3[570.720,576.480] YEAH MY MOTHER HAS A UH PSORIASIS audio/MSK0020.mp3[616.240,619.000] OK HOW ABOUT WHEN YOU DO THAT TO YOUR KNEES audio/RES0183.mp3[470.440,476.000] OK AND ANYBODY SMOKE IN THE HOME audio/RES0047.mp3[654.000,661.400] YEAH UM HOW MUCH FOR HOW LONG HAVE YOU BEEN SMOKING LIKE HOW MANY YEARS audio/RES0070.mp3[230.280,236.160] OK AND WHEN DID THE COUGH START audio/RES0166.mp3[514.080,518.880] OK AND YOU DRINK ALCOHOL audio/RES0015.mp3[701.760,708.200] NO OK HAVE YOU EVER HAD UNPROTECTED SEX audio/RES0196.mp3[27.320,31.560] OK UM AND HAS THIS HAPPENED BEFORE AT ALL audio/RES0008.mp3[127.600,138.040] UGH NO I CANT THINK OF ANYTHING IVE BEEN KIND OF STICKING TO MY REGULAR ROUTINES audio/MSK0001.mp3[417.520,425.880] UM OCCASIONALLY UH MAYBE ILL HAVE A GLASS OF RED WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT UH NOT TOO OFTEN audio/CAR0001.mp3[76.360,86.400] OK AND HOW WOULD YOU DESCRIBE THE PAIN PEOPLE WILL USE WORDS SOMETIMES LIKE SHARP BURNING ACHY audio/MSK0012.mp3[487.880,494.760] NO OK ARE YOU ON ANY SO DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH audio/MSK0036.mp3[679.760,694.240] OK AND HOW ABOUT AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR LIKE HYPOTHYROIDISM OR TYPE ONE DIABETES audio/RES0187.mp3[161.200,162.680] SORE THROAT audio/RES0064.mp3[173.760,177.160] SWELLING IN HIS LIMBS audio/MSK0021.mp3[217.080,221.280] NO FATIGUE ENERGYS BEEN GOOD audio/RES0055.mp3[430.160,443.360] YEAH SO I THINK ONE OF THEM IS CALLED VENTOLIN OK AND THEN I THINK THE SECOND ONE IS CALLED THE SPIRIVA audio/RES0090.mp3[72.800,87.720] OK AND DID YOU HAVE ANY DID YOU WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK RECENTLY OR DID YOU HAVE ANY TRAVEL audio/RES0128.mp3[395.960,399.560] NO OK OK UHM AND DOES ANYONE AT HOME SMOKE audio/MSK0043.mp3[240.280,249.000] OKAY AND UM DID YOU GET A CHANCE TO MEASURE YOUR TEMPERATURE AT ALL IF NOT WE CAN DO THAT HERE audio/RES0177.mp3[381.280,386.040] HE HAS YEAH HES BEEN GROWING WELL AND REACHING THE DEVELOPMENTS STONES MILESTONES audio/RES0197.mp3[402.040,413.840] OK AND IN TERMS OF JUST YOUR HOME ENVIRONMENT SCHOOL DO YOU FEEL SAFE OR DO YOU FIND YOURSELF FEELING UNSAFE OR HAVING BEEN BULLIED AT ALL audio/RES0001.mp3[693.240,702.520] OK I MEAN HAVE YOU HAD ANY SICK CONTACTS RECENTLY PEOPLE AROUND YOU PEOPLE YOU LIVE WITH AT WORK audio/RES0150.mp3[550.680,562.080] HOW ABOUT A FAMILY HISTORY OF ANY BLEEDING DISORDERS OR OR CLOTTING DISORDERS OR CANCERS audio/RES0016.mp3[179.720,186.640] OK ANY ISSUES WITH YOUR BREATHLESSNESS WHEN YOURE LAYING DOWN audio/RES0181.mp3[513.640,526.760] UH NO I DONT THINK SO IS IT WHEN YOU ASKED ME IF MY NECK WAS SWOLLEN MY NECKS NOT SWOLLEN BUT I FEEL LIKE INSIDE THE BACK OF MY THROAT MY TONSILS FEEL A LITTLE BIT SWOLLEN audio/RES0018.mp3[317.400,320.200] LIKE BLURRED VISION OR THINGS LIKE THAT audio/DER0001.mp3[44.920,49.240] OK WHEN YOU SAY ITS LOOKING STRANGE CAN YOU TELL ME WHAT YOU MEAN BY THAT audio/RES0009.mp3[627.920,631.400] OK AND WHAT DO YOU DO FOR WORK audio/MSK0008.mp3[376.120,381.600] I AM IM IN MY LAST YEAR OF GRADE 12 audio/RES0048.mp3[751.280,757.920] OK WELL THATS GOOD AND THATS SMART UM JUST BECAUSE YOU DONT KNOW WHAT YOU HAVE RIGHT audio/RES0048.mp3[812.840,822.480] OK OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR DID YOU HAVE ANY CONCERNS ANYTHING THAT YOU WANTED TO DISCUSS TODAY audio/RES0124.mp3[536.000,540.000] UM JUST A IT WAS LIKE AT A WALKIN CLINIC audio/RES0045.mp3[651.840,653.840] YEAH ITS REALLY INFORMATIVE THANK YOU audio/RES0044.mp3[405.640,409.880] YEAH I DONT I DONT I HAVENT FAINTED OR ANYTHING audio/RES0179.mp3[358.600,365.760] I MEAN SOMETIMES I CAN GET SO LIKE MY KNEES WILL HURT BUT I THINK THATS JUST ARTHRITIS audio/RES0110.mp3[171.520,180.720] UM I DID I IT WAS LIKE 385 THIS MORNING audio/RES0194.mp3[469.280,482.520] UM NO I DONT THINK I DON’T HAVENT NOTICED ANYBODY BEEN WHOS BEEN SICK BUT WEVE BEEN THERE HAVE BEEN OTHER PEOPLE WHO HAVE BEEN GOING INTO THE OFFICE AS WELL audio/MSK0009.mp3[334.080,342.160] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0099.mp3[631.960,647.160] ALRIGHT SO I THINK THAT WAS ALL I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD BEFORE WE GO ON TO THE EXAM AND audio/MSK0038.mp3[420.640,433.840] UH I THINK MY DAD HAS LIKE HIGH BLOOD PRESSURE UM AND HIGH CHOLESTEROL BUT UH NOBODYS HAD A HEART ATTACK OR AND NO CANCER audio/RES0203.mp3[221.400,225.320] OK WAS THAT HIKING SOMEWHERE CLOSE BY audio/RES0208.mp3[589.240,645.280] YEAH AND GIVEN THAT YOURE HAVING DIFFICULTIES BREATHING WERE ALSO GOING TO HAVE A LOOK AT YOUR CHEST AND DO IT PHYSICAL EXAM BUT ALSO DO A CHEST X RAY JUST TO MAKE SURE OR JUST TO SEE IF THERES ANYTHING A INFECTION THAT IS SETTLING IN YOUR CHEST AND A COVID SWAB AND THEN UH GO FROM THERE WE’LL DECIDE WHETHER YOU NEED TO STAY IN THE YOU NEED TO STAY IN THE HOSPITAL AND IF YOU CAN GO HOME BASED ON THOSE RESULTS BUT IF YOU ARE TO GO HOME WE WOULD REQUEST THAT YOU STAY AWAY FROM FROM EVERYONE SO INCLUDING YOUR WIFE TRY TO SELF ISOLATE AS MUCH AS POSSIBLE AND YOUR RESULTS SHOULD COME OUT IN 24 TO 48 HOURS AND THEN THE PUBLIC HEALTH NURSE SHOULD TELL YOU WHAT TO DO IF YOUR RESULTS ARE POSITIVE audio/RES0167.mp3[209.920,211.920] UH NO audio/RES0093.mp3[854.640,856.160] NO I HAVENT audio/RES0099.mp3[119.400,128.600] ALRIGHT AND HAVE YOU HAD ANY SENSITIVITY TO LIGHT OR SOUND THAT THATS MADE THE HEADACHE A LOT WORSE audio/RES0012.mp3[466.160,468.280] YEAH YEAH audio/RES0181.mp3[336.840,339.520] OK ERR HALF DAYS LIKE IN PERSON audio/RES0172.mp3[247.280,251.160] ANY CHANGES IN YOUR BOWEL MOVEMENT ANY DIARRHEA audio/RES0183.mp3[563.440,573.320] EXCELLENT OK AND ARE THERE ANY CONDITIONS IN THE FAMILY SUCH AS HEART OR LUNG DISEASE audio/RES0116.mp3[273.560,275.320] NO WE HAVENT GIVEN HIM ANYTHING audio/MSK0001.mp3[430.360,436.320] UH IVE SMOKED UM YEAH I SMOKE A PACK OF CIGARETTES UH PER DAY audio/RES0145.mp3[410.520,428.560] YEAH I DO GET ANAPHYLAXIS FROM IT IVE UHM OR ILL GET YEAH LIKE HIVES AND THROAT SWELLING AND SO I DO CARRY AN EPIPEN I HAVENT HAD TO USE IT THOUGH audio/RES0146.mp3[377.720,379.400] NO TRAVEL audio/RES0213.mp3[55.960,61.000] OK DID IT COME ON SUDDENLY OR IS IT MORE GRADUAL audio/RES0026.mp3[780.440,788.920] NO I THINK YOU COVERED IT ALL IM JUST WONDERING DO YOU DO YOU THINK ITS COVIOR SOMETHING ELSE audio/RES0149.mp3[597.160,606.320] UH YEAH YEAH YEAH I GO TO SEE MY FAMILY DOCTOR AND MY UH HE SAID MY SUGARS WERE GOOD audio/RES0195.mp3[342.680,345.000] AH IT JUST FEELS LIKE A DISCOMFORT audio/MSK0016.mp3[814.360,818.720] HOW ABOUT WHEN YOU FLEX YOUR ELBOW AND EXTEND YOUR ELBOW audio/RES0077.mp3[108.760,112.800] OK SO ITS MAINLY JUST WHITE OR CLEAR audio/RES0087.mp3[418.400,424.120] AND ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0049.mp3[462.760,465.960] NO NOTHING LIKE THAT audio/RES0142.mp3[138.120,145.480] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY OR ANY URINARY CONCERNS audio/RES0138.mp3[179.080,182.920] UM I JUST TAKE ASPIRIN audio/RES0212.mp3[309.840,311.960] OK DO YOU HAVE ANY ALLERGIES audio/RES0100.mp3[758.240,763.480] NO I DONT THINK SO DO YOU THINK IT CAN BE COVID AT ALL audio/RES0087.mp3[413.760,418.400] NOT THAT WE KNOW OF SO FAR audio/RES0116.mp3[230.520,232.880] UH MO NOT THAT I KNOW OF audio/RES0098.mp3[434.160,436.600] OK AND HAS ANYBODY BEEN SICK audio/RES0008.mp3[250.680,267.800] I WOULD SAY MORE SO WHEN I COUGH OR IF IM LIKE TAKING A BIG BREATH UM YEAH KIND OF AFTER AFTER I HAVE A COUGHING EPISODE I TAKE A DEEP BREATH AND I REALLY WILL FEEL THE PAIN THEN audio/RES0191.mp3[448.240,462.800] OK UHM ALRIGHT AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I WAS MAYBE FORGETTING audio/RES0108.mp3[1.640,12.920] HI UH IVE JUST HAD THIS COUGH FOR THE PAST WEEK AND I WAS WORRIED I MIGHT HAVE COVID SO I JUST WANTED TO UM I JUST WANTED TO BE CHECKED audio/RES0038.mp3[390.040,398.920] OK ANY RECENT EXPOSURES TO ANYONE WITH TUBERCULOSIS THAT YOU KNOW OF audio/RES0086.mp3[212.800,216.800] OK OK ARE YOU COUGHING AS WELL audio/RES0058.mp3[357.000,362.520] OK YEP OK DO YOU FEEL WEAK audio/MSK0045.mp3[319.920,323.400] IM ON METFORMIN audio/CAR0001.mp3[326.000,331.440] OK HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE audio/DER0001.mp3[420.320,424.480] ARE YOU ON ANY OR ANY OF THESE MEDICATIONS NEW TO YOU RECENTLY audio/RES0184.mp3[252.400,256.440] I SEE OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY audio/RES0073.mp3[210.160,223.320] NO NOTHING LIKE THAT I THINK ITS NOT SO MUCH ON AND AROUND MY TEETH ITS MORE SO JUST TO RIGHT BELOW MY NOSE ABOVE MY TEETH AND JUST AROUND MY CHEEKS audio/RES0208.mp3[166.000,171.440] LIKE ITS WHEN IT FEELS DRY LIKE ITS ON ITS WAY HAVENT REALLY BEEN COUGHING MUCH audio/RES0007.mp3[336.800,345.440] WHEN I WAS AROUND THE CATS YEAH BUT NOT THE OTHER TIMES audio/RES0071.mp3[94.280,101.000] OK AND HAVE YOU HAD THIS HAPPEN TO YOU PREVIOUSLY IN THE PAST audio/RES0034.mp3[709.240,713.280] OK AND HAS SHE BEEN AROUND ANYBODY SICK RECENTLY audio/MSK0049.mp3[34.920,48.040] OK UM AND WHERE UH SO ITS THE PAIN IS IN YOUR LEFT KNEE WHERE ARE YOU FEELING THIS PAIN SPECIFICALLY IS IT AT THE FRONT OF THE KNEE THE SIDES OR OR THE THE BACK COULD YOU POINT TO IT audio/GEN0001.mp3[398.480,411.080] OK GOT IT AND THEN JUST IN TERMS OF YOU YOURSELF DO YOU LIVE IN LONDON audio/RES0185.mp3[415.000,421.720] OK AND HAD THEY BEEN SICK AT ALL OR HAD SIMILAR SYMPTOMS audio/RES0096.mp3[231.160,237.800] OK HAVE YOU BEEN EXPERIENCING ANY ANY HEADACHES audio/RES0035.mp3[401.240,411.040] OK ANY NEW CHANGES TO YOUR HOUSE UHM ANY NEW CARPETS OR ANYTHING LIKE THAT OR HAVE YOU MOVED INTO A NEW NEW PLACE RECENTLY audio/RES0048.mp3[494.520,498.280] UM MAYBE A LITTLE BIT BUT MOSTLY ITS JUST LIQUID audio/RES0119.mp3[425.320,432.520] VAGINAL OK WERE THERE ANY UH COMPLICATIONS DURING THE PREGNANCY OR AFTER SHE WAS BORN C audio/RES0023.mp3[353.320,354.360] AND YOUR WIFE audio/RES0080.mp3[195.680,198.000] ANY SORE THROAT audio/MSK0005.mp3[171.160,173.040] UH ITS BEEN GETTING WORSE audio/RES0094.mp3[217.000,225.600] I DONT USUALLY GET HEADACHES BUT I HAVE FELT UHM A HEADACHE LIKE THIS BEFORE THOUGH audio/RES0100.mp3[539.240,542.080] NO NOTHING LIKE THAT audio/RES0186.mp3[477.960,525.960] YEAH FOR SURE SO THATS KIND OF TOP ON MY LIST RIGHT NOW TO RULE OUT SO WE WILL DO A COVID SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOR ABOUT 14 DAYS AND IF YOUR SYMPTOMS GET WORSE GO TO THE ER AND IF YOURE EXPERIENCING THINGS LIKE WEAKNESS SEIZURES LIKE AND YOURE NOT GETTING ANY BETTER IN A COUPLE OF WEEKS OR YOU FEEL DEHYDRATED OTHERWISE SUPPORTIVE CARE AT HOME KEEPING YOURSELF HYDRATED EATING WELL SLEEPING WELL ALL OF THOSE WILL DEFINITELY HELP AS WELL DOES THAT SOUND OK audio/RES0074.mp3[0.000,2.800] WHAT BROUGHT YOU IN TODAY audio/RES0149.mp3[196.600,200.480] NO NO I DIDNT audio/RES0082.mp3[268.480,279.640] OK DID YOU TAKE ANY MEDICATIONS TO REDUCE THE SYMPTOMS THAT YOURE HAVING THE HEADACHE OR THE SORE THROAT audio/RES0079.mp3[143.720,152.400] OK THAT STARTED OVER THE PAST FOUR DAYS AS WELL audio/RES0211.mp3[374.240,378.360] OK GOOD DO YOU LIVE WITH THEM RIGHT NOW audio/RES0074.mp3[283.280,288.480] OK HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0158.mp3[262.240,267.320] ANY UM CHANGES IN YOUR URINATION audio/RES0168.mp3[284.240,306.840] FOR A BIT I USED TO USE THE NASAL STEROID SPRAY AND I I HADNT HAD AN INFECTION FOR AWHILE AND THINGS WERE FEELING OK SO I HAVENT BEEN USING IT RECENTLY UMM AND THEN I OCCASIONALLY WILL USE LIKE LIKE AN ADVIL IF MY KNEES SORE audio/MSK0046.mp3[46.000,53.040] ITS JUST AT THE BASE OF MY THUMB UH YOU KNOW WHERE THE FLESHY PART OF YOUR HAND IS audio/RES0216.mp3[89.080,96.000] NO THERES NOT THERES NOT PAIN IT JUST FEELS LIKE WHEN I BREATHE IN IT FEELS TIGHT audio/MSK0011.mp3[251.360,255.560] YEAH IT WAS YESTERDAY audio/RES0164.mp3[319.840,322.040] OK UM OK BUT NO FEVERS RIGHT audio/RES0024.mp3[442.880,448.480] LIKE MAYBE A COUPLE OF BEERS ON THE WEEKEND audio/RES0069.mp3[187.680,191.120] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0104.mp3[122.320,127.120] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/MSK0012.mp3[50.400,64.720] AND ITS PRETTY MUCH ALWAYS THERE BUT CERTAIN THINGS CAN MAKE IT WORSE LIKE IF IM WALKING OR DOING CERTAIN ACTIVITIES IT CAN IT CAN MAKE IT WORSE audio/RES0126.mp3[615.640,621.240] OK AND ANY LUNG CANCERS IN THE FAMILY audio/GAS0005.mp3[271.200,275.920] UH NO NOT THAT HE HAS MENTIONED TO ME NOW audio/MSK0035.mp3[547.640,556.800] OK AND IF YOU TOUCH THE JOINTS AROUND THE WRIST ON BOTH SIDES IS THE RIGHT WRIST DOES IT FEEL HOT audio/RES0152.mp3[519.920,527.680] OK UM AND ANY CANCER THAT RUN IN THE FAMILY audio/RES0055.mp3[337.280,343.200] OK AND WHEN WAS THE LAST TIME YOU HAD YOUR BLOOD PRESSURE CHECKED audio/RES0176.mp3[568.120,574.560] YEAH IM AT HOME BUT I WORK FROM HOME IM A WRITER audio/RES0104.mp3[129.760,147.920] YEAH I HAVE HAD IVE HAD BOTH OF THOSE IVE HAD A I I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 382 AND I WAS PRETTY CHILLY LAST NIGHT audio/RES0158.mp3[372.440,383.520] OK UM AND CURRENTLY SO YOU WORK AS A NURSE UH WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH ANYONE DO YOU LIVE IN HOUSE OR APARTMENT audio/RES0062.mp3[60.920,64.040] OK ANY BLOOD IN THE SPUTUM audio/MSK0017.mp3[310.640,315.720] UM CHEST PAIN OR HEART PALPITATIONS audio/MSK0016.mp3[177.760,185.160] UH OVER THESE PAST COUPLE OF WEEKS ABOUT THE SAME ITS WOKEN ME UP UH LIKE TWO OR THREE TIMES AT NIGHT audio/MSK0004.mp3[297.040,311.440] I I TAKE A VITAMIN AND SOME OTHER VITAMINS TOO VITAMIN A AS WELL I GUESS THAT JUST HELPS MY MY SKIN AND AND THEN THE VITAMIN FOR MY MY BONES audio/MSK0003.mp3[919.760,921.720] SOUNDS GREAT THANK YOU audio/MSK0038.mp3[414.200,416.600] UH NOPE I DONT THINK SO audio/RES0068.mp3[444.920,448.080] OK AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA audio/MSK0021.mp3[173.280,187.240] ITS ON THE ANTERIOR ASPECT LIKE ON THE FRONT OF IT BUT I I COULD IT FEELS LIKE THE PAIN IS RIGHT BEHIND MY LIKE RIGHT UNDERNEATH THE KNEECAP audio/RES0119.mp3[645.960,647.280] TAKE CARE audio/RES0155.mp3[146.320,156.960] OK AND WHEN DO YOU GET THAT CHEST DISCOMFORT IS IT WHEN YOURE BREATHING IN OR BREATHING OUT OR IT CAN IT BE JUST DUE TO EXERCISE audio/RES0158.mp3[365.160,372.440] UM MY MY GRANDFATHER HAD HAD LUNG CANCER UM BUT HE SMOKED HIS WHOLE LIFE audio/RES0124.mp3[174.960,177.560] UH NO audio/RES0112.mp3[72.160,90.920] HE WAS FINE BEFORE THAT HE HAD LIKE A AN INFECTION LIKE SOME SORT OF VIRAL INFECTION RECENTLY LIKE ABOUT A WEEK BACK HE HAD LIKE A RUNNY NOSE AND A COUGH BUT THAT WENT AWAY audio/RES0103.mp3[228.800,232.480] OK ANY URINARY PROBLEMS audio/RES0135.mp3[293.400,302.240] OKAY UM AND UM HAVE YOU NOTICED ANY SKIN CHANGES OR OR RASHES audio/RES0037.mp3[376.680,386.400] YEAH THE COUGHS BEEN MESSING WITH MY SLEEP AND IVE BEEN WAKING UP WITH NIGHT SWEATS audio/RES0107.mp3[166.360,171.840] NO DID LIKE UM HAVE YOU NOTICED ANY DISCHARGE FROM HIS EYES audio/RES0133.mp3[352.160,379.040] OKAY WELL THAT THATS A GOOD IDEA FOR SURE SO ITS GREAT THAT YOU HAVE A PLAN FOR THAT UM FOR THAT YEAH IT CAN BE REALLY HELPFUL FOR PREVENTING CERVICAL CANCER AS AS IM SURE YOULL TALK TO THE WITH THE FAMILY DOCTOR ABOUT YEAH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES audio/RES0101.mp3[69.560,79.240] ITS JUST THE RIGHT CALF AND ITS ITS PRETTY SWOLLEN RIGHT NOW AND I WAS HAVING A LOT OF PAIN OVER IT FOR THE LAST TWO DAYS audio/RES0140.mp3[300.280,305.080] UM YEAH PROBABLY UH A GLASS ONCE OR TWICE UM EVERY COUPLE DAYS audio/RES0092.mp3[44.600,55.280] NO ITS BEEN ABOUT THE SAME audio/RES0029.mp3[241.520,247.920] OH OK AND ANY ALCOHOL OR DRUG INTAKE PRIOR TO FALLING OFF YOUR BIKE audio/RES0190.mp3[218.240,221.240] UH NO THEYVE BOTH BEEN THE SAME audio/RES0049.mp3[243.880,257.520] I HAVE BEEN A BIT TIRED IN THE LAST FEW DAYS THE FEVERS AT NIGHT AND MORNING JUST FEELING A LITTLE BIT CRUMMY JUST NOT REALLY ENERGETIC ENERGETIC TO DO ANYTHING audio/RES0194.mp3[487.240,499.040] YEAH WEVE BEEN WEARING MASKS AND AND THERE ARE CLEANING PROTOCOLS AND DISTANCING PROTOCOLS AS WELL TRYING TO KEEP EVERYBODY SAFE audio/RES0021.mp3[172.240,185.960] OH MY ENERGY YEAH IVE JUST BEEN FEELING SO TIRED IT SEEMS LIKE I CANT DO NORMALLY WOULD BE I WOULD NORMALLY HAVE NO ISSUES DOING audio/RES0121.mp3[114.760,120.520] I SEE AND ANYTHING THATS MAKING YOUR COUGH WORSE AT ALL NO audio/RES0065.mp3[0.000,7.560] SO WHAT BRINGS YOU INTO THE FAMILY CLINIC TODAY audio/MSK0012.mp3[39.480,46.480] THATS SOMETHING THAT HAPPENED AFTER THAT HAPPENS THAT THATS BEEN GOING ON FOR THE PAST WEEK audio/RES0111.mp3[134.400,140.120] DO YOU FEEL LIKE YOUVE BEEN CONFUSED OR JUST FEELING NOT YOURSELF audio/RES0055.mp3[66.760,75.800] OK YEAH SO ALRIGHT SO LETS FOCUS ON THE COUGH FIRST YOU SAID ITS A WET COUGH audio/RES0079.mp3[0.000,2.000] HOW MAY I HELP YOU TODAY audio/GAS0003.mp3[9.240,17.040] OK AND WHERE EXACTLY IN YOUR BELLY DO YOU HAVE THIS PAIN audio/MSK0008.mp3[248.640,250.240] ANY SHORTNESS OF BREATH audio/RES0003.mp3[472.720,479.320] YEAH I WOULD SAY HES KEEPING UP WITH HIS HIS PEERS IN DAYCARE AND NO CONCERNS WITH HIS DEVELOPMENT audio/RES0216.mp3[517.520,538.680] OK SO SOUNDS LIKE YOURE PRETTY MUCH STAYING THE COURSE LAST LITTLE WHILE JUST KIND OF A NEW ONSET OF THIS NEW CHEST TIGHTNESS AND ASIDE FROM THAT SEEMS THAT IT COMES ON MAINLY ON WALKS OUTDOORS BUT YOUVE KIND OF BEEN LIMITING THE SOME OF THE MEDICATION YOURE TAKING FOR ASTHMA THE LAST COUPLE OF YEARS BECAUSE YOU HAVENT REALLY FELT THAT YOU NEEDED IT AS MUCH audio/RES0035.mp3[209.400,211.760] DO YOU GET ANY CHEST PAIN AT ALL audio/RES0045.mp3[22.440,24.240] YES IT HAS audio/DER0001.mp3[607.800,624.320] OK SO THAT THAT THATS EVERYTHING THAT I NEED TO ASK YOU FOR NOW ID LIKE TO GET A CLOSER LOOK AT THIS LEG DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS BEFORE WE MOVE FORWARD TO THE PHYSICAL EXAM audio/RES0024.mp3[243.720,246.280] OK DO YOU KEEP THAT WITH YOU REGULARLY audio/RES0032.mp3[155.600,165.720] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR RUNNY NOSE SORE THROAT ANYTHING LIKE THAT audio/RES0067.mp3[114.760,120.240] YEAH A LITTLE BIT TODAY audio/RES0149.mp3[476.560,483.520] OK UM AND ANY COMPLICATIONS WITH THAT audio/RES0104.mp3[199.280,202.560] UH NOT REALLY ITS KIND OF ALWAYS THERE audio/RES0212.mp3[432.760,436.600] OK AND WHAT DO YOU DRINK HOW MUCH DO YOU DRINK audio/RES0212.mp3[134.360,144.880] THREE DAYS AGO AND YOU SAID BEFORE THAT YOU KIND OF HAD THIS DRY COUGH BEFORE UH WHEN DID YOU FIRST NOTICE THAT THREE MONTHS AGO YOU SAID audio/RES0011.mp3[634.080,640.440] OK ANYBODY IN THE FAMILY HAVE CANCER audio/MSK0014.mp3[96.880,109.000] I THINK ITS GETTING A ITS GETTING IT WAS GETTING WORSE BUT ITS LIKE A BIT BETTER RIGHT NOW audio/RES0171.mp3[606.960,697.120] OK GOOD GOOD AS LONG AS YOU FEEL THAT YOU WHAT YOURE CURRENTLY DOING IS HELPING YOU AND IS HELPING YOU REDUCE WEIGHT THATS GREAT BUT ALSO IM HERE FOR YOU IF YOU NEED MORE EDUCATION OR GUIDANCE ON THAT SO GIVEN WHAT YOUVE TOLD ME SO FAR IT SOUNDS LIKE YOU MIGHT HAVE DEVELOPED A CLOT IN YOUR LEG SOMEWHERE SIMPLY BECAUSE YOU HAD A SURGERY AND YOU WERE NOT MOVING AROUND VERY MUCH SOMETIMES THAT CAUSES THE BLOOD TO KIND OF NOT MOVE AROUND YOUR BODY IS AS AS MUCH AS IT USUALLY DOES AND KIND OF STAYS IN ONE PLACE AND GET TURNED INTO A CLOT AND THAT CLOT CAN SOMETIMES GET DISLODGED AND SETTLE INTO YOUR LUNGS AND THAT CAN MAKE IT DIFFICULT FOR YOU TO BREATHE SO WELL DO SOME TESTS THAT THATS WHAT MY UNDERSTANDING IS GIVEN WHAT YOUVE TOLD ME SO FAR BUT WE DO HAVE TO CONFIRM IT USING A TEST ALSO THE FACT THAT YOU SMOKE AND YOUR WEIGHT AND YOUR BMI IS HIGH INCREASES YOUR RISK OF DEVELOPING A CLOT SO I WOULD DEFINITELY STRONGLY RECOMMEND THAT YOU CONTINUE TO TRY TO REDUCE BOTH AND TRY TO QUIT SMOKING AND SO WELL DO AN ULTRASOUND OF YOUR LEG AND WELL DO A SCAN OF YOUR CHEST AND SEE WHATS GOING ON AND THEN DECIDE IF WE NEED TO GIVE YOU ANY MEDICATIONS LIKE ANY BLOOD THINNING MEDICATIONS audio/RES0005.mp3[392.720,395.240] ALRIGHT ANY SKIN RASHES audio/RES0003.mp3[95.080,103.160] OK AND DOES DOES HE EVER CLUTCH TO HIS NECK LIKE HIS NECK HURTS audio/RES0060.mp3[75.440,80.280] OK HAVE YOU EVER FELT LIKE THIS BEFORE audio/RES0100.mp3[434.480,438.120] OK WELL UH WERE THEY ITCHY audio/RES0178.mp3[410.440,424.880] UH NO IT HIS GRANDFATHER HAD HIGH BLOOD PRESSURE AND LIKE HIGH CHOLESTEROL BUT THATS THATS IT audio/RES0147.mp3[185.920,188.360] NO THAT THAT FEELS OK audio/RES0114.mp3[211.960,215.400] HOW ABOUT A STUFFY NOSE RUNNY NOSE audio/RES0003.mp3[182.600,189.120] OK AND HAS HE BEEN AROUND ANYONE WHOS BEEN SICK MAYBE AT HIS DAYCARE audio/RES0068.mp3[142.920,146.240] THE LOSS OF SMELL CAME AFTER THE CONGESTION audio/GAS0002.mp3[461.200,468.320] SO I WORK IN AT THE BANK AS A CONSULTANT audio/RES0138.mp3[402.920,415.000] STENTS OKAY UM ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS audio/RES0141.mp3[145.080,148.640] UH I DO ACTUALLY FEEL LIKE I LIKE I AM LOSING MY SMELL TODAY audio/GEN0001.mp3[176.560,178.600] SORRY CAN YOU REPEAT THAT audio/RES0034.mp3[179.120,184.480] OK UH HAS SHE BEEN HAVING ANY OTHER SYMPTOMS audio/MSK0005.mp3[639.960,643.560] OK UH DO YOU DO UM MARIJUANA audio/RES0179.mp3[616.160,623.960] UHM NO I WAS JUST LIKE WELL REALLY WORRIED THAT I I COULD HAVE LUNG CANCER audio/RES0138.mp3[452.920,456.160] OKAY AND DO YOU SMOKE audio/MSK0040.mp3[544.480,547.680] UH NO NOTHING LIKE THAT audio/RES0130.mp3[539.720,547.640] NO WEVE BEEN PRETTY SCARED WITH UH COVIAND ALL THAT SO WEVE BEEN STAYING STAYING HOME FOR THE MOST PART audio/RES0173.mp3[40.840,46.480] IT STARTED AROUND THE SAME TIME audio/RES0011.mp3[550.480,552.320] THAT SOUNDS RIGHT YEAH audio/RES0012.mp3[666.080,667.880] PULMONARY FIBROSIS audio/RES0153.mp3[272.040,275.440] UH NO NOT THAT IVE NOTICED audio/RES0168.mp3[275.680,282.720] NO LIKE I I SOMETIMES LIKE I USED THIS SALINE RINSE audio/RES0190.mp3[226.600,242.120] UHM NO MY APPETITES BEEN PRETTY MUCH THE SAME I I STILL TRY AND I I DO GET HUNGRY AND I TRY TO MAKE SURE EVEN THOUGH IT HURTS A LITTLE BIT TO KEEP EATING audio/RES0109.mp3[82.600,89.520] OK AND HAVE YOU EXPERIENCED SOMETHING LIKE THIS IN THE PAST audio/RES0045.mp3[301.920,306.000] THE REALLY THESE LAST LIKE 2 DAYS audio/RES0167.mp3[154.320,160.000] YEAH I FEEL LIKE IVE HAD A FEVER I DONT KNOW BOUT MY WEIGHT I DONT WEIGH MYSELF ALL THE TIME audio/RES0174.mp3[551.320,555.720] FOR LIKE 12 YEARS 13 YEARS audio/RES0138.mp3[372.840,374.600] ANY SURGERIES audio/MSK0037.mp3[402.960,405.400] NO NOT REALLY audio/RES0039.mp3[203.960,210.240] AND AFTER THIS MORNING WAS THAT THE ONLY TIME YOU HAD THAT OR DID YOU DID IT RECUR AT ALL audio/RES0073.mp3[498.560,502.240] NO HOSPITALIZATIONS audio/RES0207.mp3[201.240,207.520] UH NO NO I DONT audio/RES0008.mp3[514.840,518.120] I DONT NO audio/RES0201.mp3[73.040,85.200] I I I GUESS WHEN I WAS YOUNGER I HAD MONO AND I HAD A SORE THROAT WHEN I HAD THAT YEAH audio/RES0211.mp3[141.920,153.280] YEAH JUST LIKE I JUST FEEL CRAPPY LIKE YEAH I REALLY I DONT THINK I KNOW THATS NOT LIKE A A REAL LIKE WAY TO SAY audio/RES0030.mp3[164.640,168.160] UH NO audio/RES0056.mp3[252.080,257.200] OK HOW ABOUT YOU FEELING LIKE YOUR HEARTS RACING audio/RES0200.mp3[387.080,395.240] UH NO I JUST STOPPED TAKING IT I DIDNT REALLY LIKE ASK THE DOCTOR audio/RES0182.mp3[201.000,208.200] OK HOW ABOUT ANY HAVE YOU HAD ANY LOSS OF SMELL OR OR TASTE audio/RES0103.mp3[244.200,251.720] SHE HAS BEEN A BIT A BIT FUSSY BUT SHES BEEN SLEEPING OK audio/RES0102.mp3[412.080,415.400] AND HOW ABOUT ANY FEVERS OR CHILLS audio/MSK0004.mp3[81.280,86.800] OK OK SO IT KIND OF GOT WORSE OVER TIME OVER THE LAST DAY audio/RES0019.mp3[545.480,549.280] ALRIGHT DID YOU USE ANY RECREATIONAL DRUGS audio/RES0202.mp3[238.720,246.000] UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD audio/RES0085.mp3[197.320,203.280] OK OK GOOD HAVE YOU NOTICED ANY CHANGES TO HIS BOWEL MOVEMENTS OR URINE audio/MSK0013.mp3[0.000,2.080] HOW MAY I HELP YOU audio/RES0081.mp3[242.400,259.400] UH HES JUST BEEN HES JUST BEEN NOT HES NOT BEEN AS ACTIVE AS HE USUALLY IS SO I DONT HE HASNT SAID THAT ANY ANYTHING IN PARTICULAR ABOUT MUSCLE PAINS BUT I DONT KNOW IF HE KNOWS HOW TO YOU KNOW HES JUST BEEN YEAH audio/RES0152.mp3[86.040,92.200] OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH audio/MSK0015.mp3[640.120,646.360] UH NO NOT THAT I SEE ANYTHING audio/RES0216.mp3[485.120,507.160] UHM NO NO LIKE I UH WHEN I WAS YOUNGER I GOT SOME SEASONAL ALLERGIES SOMETIMES IN THE SPRINGTIME BUT OTHER THAN THAT I I LIKE I ITS REALLY BEEN UH MANY YEARS SINCE IVE NOTICED THAT audio/RES0072.mp3[499.760,502.680] OK DO YOU HAVE ANY ALLERGIES audio/RES0154.mp3[135.920,142.600] ALRIGHT UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS audio/RES0147.mp3[299.920,310.520] ARE YOU TAKING ANY MEDICATIONS audio/RES0125.mp3[271.600,273.480] NOT ANYMORE audio/RES0151.mp3[146.040,154.520] I SEE OK AND HAVE YOU HAD ANY UH LIKE FACIAL PAIN LIKE OVER YOUR OVER YOUR CHEEKS OR OR FOREHEAD audio/MSK0012.mp3[675.320,677.200] I CAN DO THAT audio/RES0005.mp3[501.120,519.320] YEAH SO CURRENTLY IM JUST LIVING BY MYSELF IN AN APARTMENT IVE BEEN THERE FOR MORE THAN 10 YEARS NOW UM I AM RETIRED SO IM NOT WORKING ANYMORE BUT YEAH THATS THATS ME audio/RES0029.mp3[381.040,384.800] OK AND DO YOU SMOKE MARIJUANA audio/MSK0003.mp3[366.360,370.240] NO MY APPETITES BEEN NORMAL AND MY WEIGHTS BEEN STABLE audio/RES0205.mp3[344.080,349.840] AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS OR HEART PROBLEMS audio/RES0095.mp3[376.600,403.600] OK THANK YOU AND UHM SO JUST LOOKING AT THE MEDICATIONS HERE NOW I SEE A VARIETY FOR UHM CARDIOVASCULAR PROTECTION SO THINGS LIKE ASPIRIN BETA BLOCKER ACE INHIBITOR STATIN UHM AND UHM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/MSK0020.mp3[670.840,682.800] NOT RIGHT NOW I THINK IM PRETTY SURE MY HIPS ARE PRETTY WELL RESTED RIGHT NOW BUT THERE IS STILL A LITTLE BIT OF STIFFNESS audio/RES0070.mp3[431.320,444.080] OK AND ANY FAMILY HISTORY OF SIMILAR SYMPTOMS LIKE LIKE UNUSUAL HEADACHES OR ANYTHING LIKE THAT audio/RES0173.mp3[56.520,59.440] NO ITS ITS KIND OF NEW audio/MSK0025.mp3[141.640,145.800] OK AND WHAT ABOUT THE NUMBNESS IN YOUR GROIN AREA audio/MSK0041.mp3[31.400,36.800] UHM ITS BEEN ITS BEEN THE SAME SINCE IT STARTED audio/RES0136.mp3[601.600,613.560] UM YEAH ILL UH ILL DRINK ONCE A WEEK TWO GLASSES TWO OR THREE GLASSES OF WINE audio/RES0124.mp3[163.320,169.640] UM ANY UM RUNNY NOSE OR STUFFY NOSE OR SINUS CONGESTION audio/RES0205.mp3[259.760,272.240] OK UM SO IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH HAVE YOU HAD ANY RESPIRATORY PROBLEMS IN THE PAST audio/MSK0013.mp3[63.600,69.840] IT IT GOES RIGHT UP UNTIL MY ANKLES audio/RES0103.mp3[142.880,145.120] UHM UH NO audio/RES0213.mp3[25.240,32.120] YEAH ITS KIND OF LIKE A VERY SHARP STRONG PAIN UH WHEN I TAKE A DEEP BREATH audio/RES0203.mp3[357.000,360.360] OK DO YOU DRINK ALCOHOL audio/GAS0004.mp3[471.520,478.920] HAVE YOU UNCLEAR SPEECH DUE TO CONNECTION ISSUES audio/MSK0020.mp3[1.480,38.640] IVE JUST COME IN TODAY BECAUSE IVE BEEN HAVING SOME ISSUES WITH MY HIPS AS WELL AS MY KNEES JUST OVER THE LAST PROBABLY A MONTH OR TWO IVE BEEN JUST GETTING THIS STIFFNESS AND PAIN ESPECIALLY UH THROUGHOUT THE DAY AS THE DAY GOES ALONG AND I ALSO EXPERIENCE SOME STIFFNESS WHEN I WAKE UP IN THE MORNING UH IN MY HIPS AND KNEES SO I JUST WANTED TO COME AND CHECK OUT WHAT THAT MIGHT BE audio/MSK0035.mp3[256.840,259.360] HAVE YOU HAD A SORE THROAT OR A COUGH audio/RES0089.mp3[757.600,765.360] NO I STOPPED SMOKING TWO YEARS AGO audio/MSK0012.mp3[169.040,181.080] OK DID ANYTHING HAPPEN ONE MONTH AGO OR BEFORE THIS PAIN STARTED LIKE ANY INJURIES OR FALLS THAT MIGHT HAVE CAUSED THIS PAIN audio/RES0014.mp3[346.280,351.280] HOW ABOUT IN TERMS OF URINATING ANY CHANGES THERE audio/RES0058.mp3[192.680,196.600] OK AND CHEST PAIN audio/RES0111.mp3[307.280,312.960] OK UM DO YOU PLAN ON BEING SEXUALLY ACTIVE IN THE NEAR FUTURE audio/RES0135.mp3[209.720,212.280] UH ABOUT FIVE audio/RES0063.mp3[315.160,323.080] YEAH SO I TAKE FOR THE BLOOD PRESSURE I TAKE THIS MEDICATION CALLED THE RAMIPRIL audio/RES0123.mp3[198.720,214.280] OKAY OKAY AND UM ILL ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST TO RULE OUT UM ANY OTHER ISSUES THAT YOU MIGHT BE HAVING SO HAVE YOU NOTICED THAT YOUVE BEEN CONFUSED AT ALL OVER THE PAST FEW DAYS audio/RES0201.mp3[201.080,209.040] UM NO NO I HAVENT LEFT THE CITY FOR ANYTHING audio/RES0088.mp3[610.160,615.080] NO OK audio/RES0081.mp3[377.680,382.040] OK AND DO YOU USE A SPACER audio/MSK0006.mp3[613.080,622.080] NO UM HAS YOUR GAIT CHANGED LIKE DOES IT ARE YOU LIMPING HOBBLING ANYTHING LIKE THAT audio/RES0092.mp3[172.400,178.480] OK BUT YOURE OTHERWISE FEELING BETTER audio/RES0159.mp3[303.720,315.640] ANYTHING ELSE audio/RES0210.mp3[190.440,195.200] BRINGING UP GUNK MAKES IT FEEL BETTER FOR A LITTLE WHILE audio/RES0061.mp3[723.560,737.480] I THINK MAYBE WE USED COCAINE A FEW TIMES AND MDMA UH BUT THAT WAS LIKE A LONG TIME PROBABLY LIKE 30 YEARS AGO audio/RES0024.mp3[250.640,256.240] OK EXCELLENT UM AND DO YOU TAKE ANY OTHER MEDICATIONS OR audio/RES0019.mp3[231.080,241.680] UM JUST LIKE THE BRAIN FOG THAT I WAS SPEAKING OF YOU KNOW I JUST DONT REMEMBER I REMEMBER THINGS BUT ITS ITS LIKE IM DOING EVERYTHING UNDERWATER audio/RES0199.mp3[259.520,261.480] NO NOTHING LIKE THAT audio/MSK0007.mp3[529.760,536.640] OK AND HOW ABOUT ANY MISALIGNMENT OR JOINT DEFORMITY audio/RES0046.mp3[114.800,120.320] UH YEAH NOTHING LIKE THIS REALLY BEFORE audio/RES0018.mp3[423.440,432.880] THEYRE ACTUALLY COMPLETELY FINE NOW THEY DONT SEEM TO HAVE ANY ANY SYMPTOMS OF LIKE COUGHING OR ANYTHING LIKE THAT audio/RES0003.mp3[336.320,344.720] UH YEAH HES OTHERWISE HEALTHY NO MEDICAL CONDITIONS UM HASNT BEEN HAD A REASON TO SEE A DOCTOR BEFORE audio/RES0020.mp3[610.880,612.920] DO YOU DRINK ALCOHOL audio/RES0018.mp3[268.560,275.400] ANY FEELING ANY EPISODES WHERE YOU FEEL LIKE YOU WERE GONNA FAINT audio/MSK0034.mp3[546.200,559.160] I DONT KNOW ABOUT STRAIGHTENING MY KNEES MY LEG SEEMS TO HAVE PERMANENTLY TURNED OUTWARD AND LOOK SHORTER THAN MY OTHER LEG audio/RES0077.mp3[234.320,241.680] OK AND HAVE YOU BEEN DIAGNOSED WITH CANCER OR ANY OTHER MEDICAL CONDITIONS audio/RES0076.mp3[69.880,80.240] OK I SEE AND IS YOUR COUGHING CONSTANT OR DOES IT COME AND GO audio/RES0105.mp3[576.680,579.800] NO NO I HAVENT BEEN SWEATY audio/RES0074.mp3[2.800,27.160] YEAH SO IVE JUST BEEN FEELING A BIT OFF OVER THE LAST WEEK FIRST I STARTED HAVING LIKE JUST A SCRATCHY THROAT AND THAT WAS PROBABLY I THINK 5 DAYS AGO THAT HAPPENED AND THEN OVER THE LAST 3 DAYS IVE BEEN HAVING DIARRHEA AND ALSO MY WHOLE BODY IS JUST HURTING audio/RES0016.mp3[269.800,276.640] I THINK OVER THE LAST FEW MONTHS I MAY HAVE LOST LIKE AROUND 3 THREE KILOGRAMS audio/RES0028.mp3[55.920,60.600] IT STARTED THIS MORNING JUST RIGHT AFTER I GOT OUT OF BED audio/RES0117.mp3[81.480,85.040] OK AND ARE YOU HAVING ANY WHEEZINESS audio/RES0189.mp3[146.880,152.640] OK HAVE YOU NOTICED ANY LEG SWELLING audio/RES0012.mp3[783.960,795.360] I THINK ITS I MEAN ITS POSSIBLE LIKE THATS WHAT SHE DOES FOR HER WORK RIGHT SHE WORKS AT LIKE A RETIREMENT HOME SO YEAH POSSIBLE audio/RES0048.mp3[87.040,109.720] UM I WOULD SAY ITS PRETTY PRETTY CONSTANT SINCE THE LAST LIKE 10 DAYS UH ITS THERES NO REAL PATTERN TO IT AND IVE MOSTLY JUST BEEN INSIDE MY HOUSE I DONT THINK THERE ARE ANY TRIGGERS OR I DONT OWN ANY PETS OR ANYTHING LIKE THAT NO NEW RUGS LIKE UH NO NO NEW CHANGES REALLY IN MY HOUSE audio/RES0078.mp3[479.480,485.800] I HAVE HIGH BLOOD PRESSURE AND I TAKE AMLODIPINE FOR THAT audio/MSK0016.mp3[638.120,642.480] OK UM AND AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH audio/RES0169.mp3[165.600,170.960] AND DO YOU HAVE ANY FATIGUE OR MUSCLE ACHES audio/MSK0016.mp3[946.800,962.840] OK SO THATS A POSITIVE PHALENS SIGN TEST UM ALRIGHT SO THAT BRINGS ME TO THE END OF UM THIS INTERVIEW DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP audio/RES0122.mp3[159.080,160.040] UH NOPE audio/RES0116.mp3[530.080,534.400] NO SIBLINGS HES AN ONLY CHILD audio/RES0052.mp3[165.480,178.240] UMM NO ITS ACTUALLY STUFFY audio/RES0191.mp3[124.400,127.040] ANY CHANGES TO THE VISION OR HEARING audio/RES0176.mp3[479.720,489.960] UHM I I WAS YEAH I HAVE A SON ABOUT EIGHT YEARS AGO HE WAS BORN EIGHT YEARS AGO audio/RES0183.mp3[703.080,710.400] OK THAT SOUNDS GOOD THANK YOU audio/RES0090.mp3[390.000,396.360] OK OTHER THAN THAT HAVE YOU HAD ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS audio/RES0183.mp3[428.120,429.840] UH HE JUST GETS A RASH audio/RES0136.mp3[126.000,138.360] NO WERE YOU DOING ANYTHING BEFORE IT STARTED LIKE WERE YOU DOING ANY ANY ACTIVITIES OR ANY ARE WERE YOU DOING ANY EXERTIONS AT ALL audio/RES0036.mp3[38.480,45.000] NO JUST WORK AND SPENDING SOME TIME AT HOME audio/RES0068.mp3[404.720,410.720] I JUST HAVE SOME I JUST HAVE SOME SEASONAL ALLERGIES audio/RES0007.mp3[834.600,844.240] OK GREAT UM AND IN YOUR FAMILY HAS ANYBODY EVER HAD ANY OF THESE SIMILAR SYMPTOMS BEFORE audio/RES0027.mp3[304.560,312.200] ALRIGHT AND HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING OR BEATING OUT OF YOUR CHEST audio/RES0160.mp3[102.720,108.000] NO NO I HAVENT COUGHED UP ANYTHING audio/MSK0014.mp3[201.720,215.600] YEAH USUALLY WITH MY NORMAL THIS ARTHRITIS I DO GET SOME MORNING STIFFNESS BUT THIS IS COMPLETELY DIFFERENT ITS THROUGHOUT THE DAY PRETTY MUCH audio/MSK0003.mp3[909.480,914.560] NO THAT THAT SOUNDS THAT SOUNDS GREAT THANK YOU audio/RES0136.mp3[523.400,527.080] OKAY OKAY UM DO YOU SMOKE CURRENTLY audio/RES0170.mp3[203.360,206.080] I SEE OK ANY HEADACHES audio/MSK0024.mp3[257.720,260.360] UM NO audio/RES0182.mp3[64.160,67.520] THE COUGH STARTED TWO WEEKS AGO audio/RES0053.mp3[404.440,410.480] OH YEAH PROCESS OF POTTY TRAINING HIM BUT NO NO REAL CHANGES audio/RES0164.mp3[581.440,608.760] UM HE I GUESS HE DIDNT GET ALL HIS IMMUNIZATIONS DONE EARLIER HE DID GET THEM A LITTLE BIT LATER SO WE CAME FROM SYRIA AS REFUGEES BUT I IM THINKING HE GOT ALL HIS IMMUNIZATIONS WHEN HE UH CAME TO WHEN WE MOVED TO CANADA audio/MSK0043.mp3[98.640,100.800] AND WARM AS WELL audio/RES0191.mp3[172.320,175.320] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/DER0001.mp3[222.920,227.040] NO I DONT HAVE A THERMOMETER AT HOME audio/RES0131.mp3[190.920,204.360] NOT REALLY IT YEAH I DONT GET THEM THAT OFTEN I GUESS THEY COME WHEN I I WELL GET SICK audio/RES0169.mp3[326.320,341.560] OK UHM AND UH DO YOU I GUESS A COUPLE OF OTHER MORE GENERAL QUESTIONS DO YOU FEEL SAFE AT HOME audio/MSK0026.mp3[65.880,70.760] IT STARTED ABOUT TWO WEEKS AGO audio/RES0213.mp3[298.920,316.200] UM LIKE WHEN I WAS PROBABLY 18 I I SOMETIMES SMOKED A LITTLE AND THEN I SMOKED A LITTLE MORE UM MAYBE LIKE 10 CIGARETTES A DAY FOR UH LIKE THE LAST TWO YEARS BUT THEN A FEW MONTHS AGO IVE BEEN IVE BEEN CUTTING IT IN HALF audio/RES0062.mp3[194.120,210.360] OK YEAH UM YEAH THAT DOESNT SOUND GREAT IN TERMS OF YOUR SHORTNESS OF BREATH DO YOU FIND THAT CERTAIN POSITIONS MAKE IT WORSE OR LIKE EXERTING YOURSELF MAKES IT WORSE audio/RES0008.mp3[277.720,286.320] OK OK AND IS IT ANY WORSE WHEN YOURE DOING ACTIVITY LIKE WHEN YOURE UP AND WALKING AROUND audio/RES0022.mp3[401.880,405.360] OK AND DID YOU NOTICE ANY BLOOD audio/RES0183.mp3[419.760,425.680] UH I THINK HES ALLERGIC TO PENICILLIN audio/RES0116.mp3[510.240,511.720] NO NO ONE SMOKES audio/RES0012.mp3[808.520,815.040] I WISH I WISH BUT YOU KNOW I HAVENT BEEN ANYWHERE LIKE I SAID IVE JUST BEEN AT HOME audio/MSK0011.mp3[533.680,571.960] OK YEAH SO WE DEFINITELY RECOMMEND FOR WOMEN UH TO LIMIT THEMSELVES TO AN MAYBE ONE TO TWO MAX 2 GLASSES OF WINE A DAY AS IT CAN HAVE HEALTH EFFECTS IN THE FUTURE IN TERMS OF DRINKING AND ON YOUR LIVER OK AND OTHER THAN THAT I JUST HAD A FEW QUESTIONS DO ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/CAR0003.mp3[19.920,27.720] OK AND DID IT COME ON ABOUT LIKE GRADUALLY THROUGH TIME OR SUDDENLY JUST HAPPENED audio/RES0020.mp3[212.760,217.600] OK AND HAVE YOU HAD A SORE THROAT audio/RES0106.mp3[296.840,303.640] UHM YEAH ITS CALLED UHM I FORGET THE NAME audio/RES0028.mp3[338.600,342.640] OK HAVE YOU BEEN FEELING ANY KIND OF DIZZINESS AT ALL audio/MSK0042.mp3[260.080,262.720] UM NO NO NAUSEA OR VOMITING audio/RES0077.mp3[364.680,373.000] OK AND IS IT LIKE A DIFFERENT TYPE OF HEADACHE AND IS IT ON ONE SIDE OF YOUR HEAD OR BOTH audio/RES0195.mp3[239.480,242.360] THAT STARTED A MONTH AGO AS WELL audio/RES0030.mp3[47.600,57.640] UH A COUPLE OF KLEENEXES UM ILL USE BUT SO NOT THAT MUCH audio/RES0191.mp3[115.000,119.320] OK HAVE YOU HAD ANY EYE REDNESS OR OR ANY EYE PAIN audio/RES0049.mp3[279.080,293.360] I DID HAVE A RUNNY NOSE EARLIER THIS WEEK BUT THATS KIND OF SUBSIDED OTHER THAN THAT I DONT REALLY FEEL TOO MUCH CONGESTION IVE BEEN TAKING TYLENOL THE TYLENOL COLD SO I DONT KNOW IF THAT HELPED audio/RES0211.mp3[127.720,141.920] OK SO ASIDE THAT ASIDE FROM KIND OF THIS DRY COUGH FEELING HOT THAT OTHERWISE YOURE FEELING OK YOU DONT HAVE ANY OTHER REAL CONCERNS ASIDE FROM THAT audio/RES0059.mp3[169.760,174.240] NO EVERYTHINGS BEEN REGULAR THERE audio/RES0062.mp3[955.640,1054.280] YEAH YOU KNOW UM RIGHT NOW IT LOOKS LIKE IT SOUNDS LIKE IT COULD BE AN UPPER RESPIRATORY VIRAL ILLNESS SO THAT INCLUDES COVI SO WE WILL DO A SWAB FOR YOU AND THEN SEND IT OFF TO THE LAB FOR PCR RESULTS IN THE MEANTIME BECAUSE YOU HAVE SYMPTOMS THAT OVERLAP WITH COVISYMPTOMS WE DO ENCOURAGE ISOLATION FOR 14 DAYS UNTIL YOUR SYMPTOMS ARE GONE SORRY UNTIL YOUR SYMPTOMS ARE GONE EVEN IF THEYRE GONE WE DO SUGGEST ISOLATING FOR 14 DAYS JUST TO MAKE SURE YOURE NOT A CARRIER OR COULD SPREAD COVISO WE DO ENCOURAGE THAT AND THAT INCLUDES FROM YOUR HUSBAND IF POSSIBLE WE WILL GET THOSE RESULTS IN A DAY OR TWO IF THEY ARE POSITIVE WE WILL SEND YOUR RESULTS TO PUBLIC HEALTH WHO WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN IT FROM IF ITS NOT COVIIT COULD BE OTHER VIRAL ILLNESSES THAT ARE GOING AROUND THIS TIME OF YEAR AND IF YOUR SYMPTOMS ARENT GETTING BETTER ON THEIR OWN AND THERES REASON TO SUSPECT YOU MAY HAVE A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA WE WILL FOLLOW UP WITH YOU AND POSSIBLY PRESCRIBE ANTIBIOTICS HOW DOES THAT SOUND audio/RES0155.mp3[362.720,367.680] OK ANY ISSUES WITH URINATION audio/RES0130.mp3[143.160,149.160] WEIGHT LOSS audio/RES0016.mp3[582.640,592.000] OK UM HAVE YOU BEEN WORKED UP FOR THIS IN THE PAST TWO YEARS LIKE HAVE YOU HAD ANY CHEST XRAYS OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT audio/CAR0002.mp3[79.720,84.760] SEVEN OK HAVE YOU HAD NY SIMILAR EPISODES BEFORE audio/RES0031.mp3[526.560,532.200] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0192.mp3[210.320,213.440] HOW ABOUT ANY CHANGES TO VISION OR HEARING audio/RES0201.mp3[418.920,423.480] UM NO NO ALLERGIES audio/MSK0014.mp3[133.160,137.880] OK AND DOES THE PAIN RADIATE ANYWHERE audio/RES0097.mp3[589.080,592.000] OR DRINK ALCOHOL audio/RES0037.mp3[722.480,727.400] UM NOT RIGHT NOW audio/MSK0023.mp3[175.280,181.280] OK IS THE PAIN MOVING ANYWHERE ELSE FROM YOUR KNEES audio/RES0073.mp3[441.560,447.200] OK SO YOU DONT EXPERIENCE ANY SYMPTOMS LIKE THIS WHEN THE SEASONS CHANGE audio/RES0043.mp3[101.480,105.400] OK OK SO LETS FOCUS ON THE COUGH audio/RES0063.mp3[156.760,161.120] DO YOU HAVE A COUGH AT ALL audio/MSK0034.mp3[627.640,701.120] ONE THING THATS ALSO SOMETHING THAT WE HAVE TO INVESTIGATE IS SOMETHING CALLED SLIPPED CAPITAL FEMORAL EPIPHYSIS SO THIS IS THIS IS A COMMON HIP ISSUE IN ADOLESCENTS ESPECIALLY FROM BOYS AGED 10 TO 16 AND USUALLY ITS THE LEFT HIP THATS AFFECTED BUT IT IT CAN BE THE RIGHT AND AS ADOLESCENTS ARE IN A PHASE WHERE THEY WERE GROWING THERE IS IF THEY HAVE SOME PREDISPOSED DISPOSITION TOO SLIPPING OF THE CAPITAL FEMORAL IF EPIPHYSIS WHICH IS RIGHT BETWEEN YOUR HIPS YOU CAN GET SOME SLIPPING IT CAN BE AFTER A FALL OR IT CAN HAPPEN JUST AS THE CHILD IS GROWING AND IT CAN ALSO IT IS ALSO ASSOCIATED WITH THE INCREASING WEIGHT THAT A CHILD MAY HAVE SO WHAT WE CAN DO IS JUST GET FIRST AN XRAY OF BOTH THE HIPS audio/RES0148.mp3[1.600,33.920] HI IVE HAD UM IVE HAD A COUGH FOR THE PAST UM THREE DAYS AND UH I ALSO DEVELOPED A FEVER UM I THINK SO I CHECKED IT YESTERDAY NIGHT IT WAS UM 38 AND UH I JUST DECIDED TO UH COME INTO THE WALK IN CLINIC JUST TO UM JUST TO GET MYSELF CHECKED OUT audio/MSK0028.mp3[686.400,704.280] OK SO NEXT I JUST WANTED TO ASK YOU TO HAVE A LOOK AT THE AT THE ARM COMPARED TO THE OTHER SIDE ARE YOU NOTICING ANY SWELLING REDNESS OR audio/MSK0039.mp3[612.040,624.600] NO I JUST I JUST GOT TIME TO CALL THE AMBULANCE I KNEW I KNEW IT WAS JUST NOT POSSIBLE audio/RES0020.mp3[29.240,37.480] NO I WAS JUST ABOUT TO HEAD TO BED AND SUDDENLY I FELT THIS CRAMPY PAIN IN MY CHEST audio/RES0058.mp3[647.520,653.000] OK AND IS THERE ANY TOBACCO IN THERE OR NICOTINE audio/RES0081.mp3[335.360,351.280] OK AND SO HAS DAVE BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE THE WHEEZING AND THE IRRITABILITY AND WHAT YOUVE DESCRIBED SO FAR audio/MSK0046.mp3[314.880,326.840] OK ALRIGHT AND CURRENTLY RIGHT NOW WHAT IS YOUR LIVING SITUATION LIKE audio/MSK0016.mp3[657.440,669.840] NO IM JUST UM IVE BEEN MONOGAMOUS WITH MY PARTNER NOW FOR UH OVER 10 YEARS AND UM NO CONCERNS FOR UH AN STI AT THIS TIME audio/RES0026.mp3[356.440,363.680] OK AND HOW ABOUT ANY FAINTING SPELLS OR FEELING LIKE YOU MIGHT FAINT audio/RES0155.mp3[524.800,530.280] OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS audio/MSK0039.mp3[439.400,447.320] UH I THINK ONE OF MY AUNTS HAS UH OVARIAN CANCER audio/RES0117.mp3[127.560,133.760] 15 POUNDS OK WOW THATS A LOT YEAH UM ANY NIGHT SWEATS audio/RES0033.mp3[473.960,481.480] OK ARE YOU ALLERGIC TO ANY MEDICATIONS audio/RES0048.mp3[514.720,518.080] OK ANY CHANGES IN YOUR URINE audio/RES0014.mp3[160.240,161.880] YEAH I WOULD SAY SO audio/RES0004.mp3[283.000,287.040] I THINK SO UM MAYBE THATS WHATS SWOLLEN IN MY NECK audio/RES0201.mp3[580.800,583.040] NO THANK YOU VERY MUCH audio/MSK0038.mp3[711.440,719.400] OK YEAH UHM HOW ABOUT WHEN YOU UM SIT BACK DOWN DOES THAT HURT audio/GAS0001.mp3[0.000,3.520] WHAT BRINGS YOU IN TODAY audio/RES0085.mp3[66.120,70.040] OK UHM AND YOU MENTIONED HIS FEVER WAS 38 CORRECT audio/MSK0007.mp3[368.920,377.200] ALRIGHT THEN CAN YOU TELL ME ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHEREABOUTS AND WHO YOURE LIVING WITH audio/RES0101.mp3[462.360,471.960] ALRIGHT SO YOUVE BEEN HEALTHY OTHERWISE I IM NOT SURE I I ASK THIS IM WONDERING IF YOU HAD ANY FEVERS OR CHILLS audio/RES0111.mp3[444.120,450.320] UM NO I DONT THINK SO MAYBE LIKE HIGH BLOOD PRESSURE audio/RES0154.mp3[202.320,209.280] OK UHM AND UM HAVE YOU HAD ANY UH INSTANCES OF FAINTING OR FEELING DIZZY audio/RES0093.mp3[306.840,316.920] I ALSO HAVE ACID REFLUX SO UH GERD I THINK THINK ITS CALLED audio/GAS0005.mp3[164.120,177.120] OK I SEE AND HAS THE WHAT WAS THE VOMITING TRIGGERED BY ANYTHING THAT YOURE AWARE OF LIKE EATING OR DRINKING audio/RES0147.mp3[13.160,18.480] UHM CAN YOU TELL ME MORE ABOUT YOUR SHORTNESS OF BREATH audio/GAS0007.mp3[347.280,350.920] HAVE YOU EVER SMOKED IN THE PAST audio/MSK0029.mp3[229.480,240.040] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBING UHM HOW WOULD YOU DESCRIBE IT audio/RES0116.mp3[122.760,125.880] OK IS HE ITCHING HIS EARS AT ALL audio/RES0190.mp3[255.360,260.000] OK UH HAVE YOU HAD ANY WHEEZING audio/RES0004.mp3[47.840,53.000] OK AND DOES IT HURT WHEN YOU SWALLOW audio/RES0036.mp3[342.600,352.360] AND HOW WOULD YOU RATE THIS PAIN WHEN IT OCCURS FROM A SCALE OF 1 BEING THE LEAST AMOUNT OF PAIN YOUVE FELT IN YOUR LIFE AND 10 BEING THE WORST audio/RES0059.mp3[10.800,15.680] IM 36 audio/MSK0032.mp3[336.520,340.160] OKAY HOW ABOUT ALLERGIES DOES SHE HAVE ANY audio/RES0077.mp3[742.840,749.440] DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/CAR0002.mp3[417.000,426.520] OK AND IN YOUR DAILY ROUTINE WOULD YOU SAY YOU GET ENOUGH EXERCISE THROUGHOUT THE WEEK audio/RES0200.mp3[215.160,222.080] OK OK ALRIGHT AND THEN ANY PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING audio/RES0133.mp3[386.240,394.520] I LIVE UH WITH MY PARENTS UM AND MY TWO YOUNGER SIBLINGS WE LIVE IN A HOUSE audio/MSK0021.mp3[202.200,204.760] NO MY WAY ITS BEEN THE SAME audio/RES0081.mp3[474.400,479.240] OH NO NO NOTHING LIKE THAT HES A HEALTHY KID audio/RES0028.mp3[378.320,392.400] IN THE CALF OK OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY LIKE HYPERTENSION THAT LIKE DIABETES SO ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0170.mp3[78.120,81.280] HM SO ALL THIS STARTED A COUPLE MONTHS AGO audio/RES0183.mp3[198.560,200.800] YEAH NO SHORTNESS OF BREATH audio/RES0181.mp3[265.000,273.200] OK WELL THATS GOOD AND HAVE YOU HAD ANY COMPLICATIONS OR HAVE THINGS BEEN STABLE audio/CAR0003.mp3[178.960,200.240] THREE OR FOUR STEPS OK AND WAS THERE ANYTHING NEW THAT HAPPENED IN YOUR LIFE RECENTLY ANY NEW MEDICAL DIAGNOSIS RECENTLY OR ANY TRAVEL THAT HAPPENED BEFORE YOU STARTED HAVING THESE SYMPTOMS audio/RES0181.mp3[538.960,540.920] OK AND ITS SORE audio/RES0097.mp3[446.080,448.680] UHM SULFA DRUGS audio/RES0210.mp3[357.400,361.160] OK DO YOU HAVE ANY ALLERGIES audio/RES0046.mp3[418.920,425.720] RIGHT OK TRUE UM IN TERMS OF YOUR ABDOMINAL PAIN WHEN DID THAT START audio/RES0166.mp3[402.680,409.040] OK ANY NIGHT SWEATS OR FATIGUE audio/RES0149.mp3[387.120,409.600] OK UM AND UM I JUST WANTED TO SWITCH GEARS A LITTLE BIT AND ASK ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0170.mp3[384.800,410.680] I THINK THEY LIKE HE WAS KEPT FOR NOT AN ICU HE WAS KEPT FOR ONE DAY I THINK SO JUST MONITOR FOR INFECTION BECAUSE IT WAS LIKE PROLONGED LABOR BUT HE WAS OK OK SO YEAH WE WERE ABLE TO GO HOME audio/RES0016.mp3[592.000,598.560] NO IVE NEVER REALLY HAD THIS ISSUE BEFORE SO NO INVESTIGATIONS audio/RES0021.mp3[468.920,473.840] OK UM AND DO YOU HAVE ANY ALLERGIES audio/RES0192.mp3[412.440,415.120] I LIVE IN A HOUSE WITH MY HUSBAND audio/RES0101.mp3[234.160,248.680] NO CHEST PAIN BUT I DO FEEL LIKE I DO HAVE TO TAKE LIKE A DEEPER BREATH LIKE IVE JUST BEEN FEELING IT THIS MORNING A LITTLE BIT ITS JUST KIND OF A BIT OF UNEASY BREATHING audio/RES0125.mp3[320.680,325.280] OKAY ANY LOSS OF SENSE OF TASTE OR SMELL AT ALL audio/MSK0003.mp3[625.200,632.840] YEAH SO I LIVE WITH MY GIRLFRIEND IN A CONDO IN THE CITY HERE audio/RES0107.mp3[386.800,391.000] NO UM HOW ABOUT AT BIRTH audio/RES0083.mp3[132.280,137.720] IS YOUR CURRENT HEADACHE SIMILAR TO THE HEADACHES THAT YOU USUALLY GET audio/RES0088.mp3[272.400,273.080] UHM NO audio/RES0021.mp3[307.560,313.360] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0017.mp3[357.640,365.840] OK UM AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0071.mp3[386.960,398.040] YEAH IT DOES FEEL SORE KIND OF UH THE CENTER OF MY CHEST audio/RES0102.mp3[831.920,842.560] AND HAVE YOU BEEN TRYING TO LOSE WEIGHT OR THAT 20 POUNDS JUST WENT AWAY SPONTANEOUSLY audio/MSK0033.mp3[477.120,487.000] OK THATS GOOD AND YEAH SO AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0007.mp3[645.280,671.040] SO ESSENTIALLY THEYLL HAVE YOU KIND OF BREATHING INTO A TUBE WHERE YOULL HAVE PERIODS WHERE YOULL MAXIMALLY INHALE AND THEN MAXIMALLY EXHALE AS QUICKLY AS YOU CAN AND YOULL DO DIFFERENT TYPES OF BREATHING MOVEMENTS SO THAT IT GETS MEASURED ON A ON A DEVICE audio/RES0033.mp3[557.360,586.880] SO CURRENTLY LIKE IM NOT WORKING IM A STUDENT JUST DOING SOME ONLINE STUDYING IM ACTUALLY GOING TO COLLEGE TO LEARN ABOUT HOW TO MAKE VIDEO GAMES BUT YEAH ITS ALL JUST BEEN AT HOME RIGHT NOW audio/RES0007.mp3[192.120,204.280] OK AND WERE THERE ANYTHING WAS THERE ANYTHING THAT YOU TRIED BESIDES THE REST TO MAKE THOSE SYMPTOMS GO AWAY audio/RES0212.mp3[93.320,95.840] NO NO LIKE I WISH BUT NO audio/MSK0012.mp3[224.800,227.640] OK WHEN DID YOU STOP WORKING THERE audio/MSK0010.mp3[154.520,163.800] OK AND COULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN IS IT SHARP OR IS IT A KEY audio/MSK0015.mp3[170.040,175.000] OK AND ALRIGHT HAS SHE HAD ANY FEVERS OR CHILLS audio/RES0078.mp3[178.080,186.520] OK WHAT ABOUT ANY REDNESS IN YOUR EYES OR ANY CONGESTION IN YOUR NOSE audio/RES0141.mp3[31.120,39.480] OKAY UM TELL ME ABOUT THE HEADACHE WHERE EXACTLY IS IT audio/MSK0022.mp3[364.800,371.640] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL TO HELP WITH YOUR HELP RELIEVE YOUR SYMPTOMS audio/MSK0036.mp3[870.800,875.440] NO I JUST WANTED TO KNOW HOW I CAN FIX THIS audio/MSK0011.mp3[197.720,203.000] OK AND IS IT RADIATING OR MOVING ANYWHERE ELSE ONTO YOUR HAND audio/RES0188.mp3[209.440,213.400] NO ITS PRETTY MUCH THE SAME audio/RES0133.mp3[381.560,386.240] OKAY UM WHERE ABOUT ARE YOU LIVING RIGHT NOW AND WHO ARE LIVING WITH audio/MSK0006.mp3[694.680,697.440] IT UH YEAH THAT THAT THAT CAUSES PAIN audio/MSK0037.mp3[74.520,89.320] OK UHM AND HOW WOULD YOU DESCRIBE THE THE PAIN THAT YOURE FEELING IS IT A SHARP PAIN AND AN ACHY PAIN OR A BURNING PAIN audio/RES0001.mp3[686.040,693.240] UH MAY BE A GLASS OF WINE ON THE WEEKENDS BUT OTHER THAN THAT NO audio/RES0066.mp3[362.680,372.080] OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT audio/CAR0005.mp3[16.440,29.640] OK UHM SO 2 WEEKS AND CAN YOU TELL ME KIND OF WHERE YOURE FEELING THAT PAIN audio/MSK0012.mp3[753.520,806.480] YEAH SO ITS BEEN HAPPENING FOR ONE MONTH RIGHT AND YOURE GETTING SOME SYMPTOMS IN IN YOUR LOWER LEG SO NORMALLY WE WOULD WAIT BEFORE WE DO ANY KIND OF DIAGNOSTIC IMAGING BUT SINCE YOURE ALSO HAVING THESE OTHER SYMPTOMS WE WE WERE WORRYING ABOUT SOMETIMES LOWER BACK PAIN CAN LEAD TO SOMETHING CALLED SCIATICA ITS JUST WHEN ONE OF THE NERVES GET PINCHED AND THEN THATS WHY YOURE GETTING THE TINGLING AROUND YOUR RIGHT UPPER LEG SO WHAT WE CAN DO IS WE CAN DO IF YOU HAVENT HAD AN X RAY WE CAN DO AN X RAY OF YOUR LOWER BACK AND THEN WE CAN ALSO DO AN MRI audio/MSK0022.mp3[522.600,524.920] NOPE I HAVENT HAD ANYTHING LIKE THAT audio/RES0103.mp3[303.920,307.360] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0017.mp3[318.000,320.400] ALRIGHT AND HOW HAS YOUR APPETITE BEEN audio/RES0005.mp3[241.800,246.240] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0018.mp3[35.280,43.200] OK UM IS THE COUGH ANY WORSE AT ANY PARTICULAR TIME OF DAY LIKE WHEN YOU FIRST GET UP OR OR AT NIGHT WHEN GOING TO BED audio/MSK0020.mp3[281.040,285.000] AND CHANGES IN YOUR VISION HEARING SMELL OR TASTE audio/MSK0008.mp3[686.320,695.680] OK UHM AND IS THERE ANY INSTABILITY MOVING THE TIBIA ANTERIORLY IF YOURE LIKE PULL IT OUTWARDS audio/RES0075.mp3[322.520,327.240] NO IVE BEEN PRETTY HEALTHY audio/RES0061.mp3[154.720,159.560] OK AND SO NO DIARRHEA NO CONSTIPATION audio/RES0215.mp3[597.640,599.880] AND CHANGED YOUR AIR FILTERS audio/RES0099.mp3[293.560,295.080] NO BELLY PAIN audio/RES0079.mp3[239.880,243.080] UHM NO audio/RES0021.mp3[351.320,356.520] ALRIGHT HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES OVER THIS PAST WEEK audio/RES0188.mp3[112.120,117.880] NO OK SO THERES NO WHEEZING WITH THE GRUNTING audio/RES0168.mp3[75.200,80.160] OK HOW ABOUT WHEEZINESS audio/MSK0045.mp3[126.240,136.320] OK OK AND HOW MUCH WOULD YOU RATE THIS PAIN OUT ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE audio/MSK0029.mp3[557.440,561.560] OK THATS GOOD DO YOU HAVE ANY ALLERGIES audio/RES0132.mp3[335.080,340.760] I WAS I WAS DIAGNOSED WITH COPABOUT FIVE YEARS BACK audio/RES0001.mp3[19.080,23.480] OK WHEN DID THIS PAIN START YOU SAID A WEEK BACK audio/MSK0034.mp3[233.520,236.720] ANY SKIN CHANGES audio/RES0101.mp3[487.480,501.160] OK THANK YOU JUST WANTED TO CLARIFY A FEW THINGS THERE AND UHM CURRENTLY CAN YOU TELL ME ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0055.mp3[526.080,540.920] NO I THINK IT WASNT THE BAD ONE IT WAS LIKE THE ONE THEY CAN REMOVE RIGHT AWAY audio/RES0073.mp3[584.200,591.440] JUST MAYBE LIKE RED WINE A COUPLE OF TIMES A WEEK audio/RES0198.mp3[111.200,116.200] OK HAVE YOU TRIED ANY OVER THE COUNTER MEDICATIONS AT ALL audio/RES0193.mp3[401.440,420.440] YEAH SHE WAS YOUNGER UM EVER SINCE IVE KNOWN HER SHE SAID SHES HAD SHES HAD ASTHMA IT HASNT HAD ANY LIKE REAL I GUESS EXACERBATIONS THAT THAT IVE NOTICED OR BEEN ABLE TO CONTROL HER SYMPTOMS WITH WITH UM INHALERS audio/RES0028.mp3[500.440,509.280] SOMETIMES ON WEEKENDS OR IF IM SOCIALIZING WITH FRIENDS BUT NOT VERY OFTEN audio/RES0064.mp3[101.040,110.600] NO I THINK HE MIGHT HAVE HAD A FEVER YESTERDAY BUT WE DIDNT REALLY TAKE A TEMPERATURE audio/RES0146.mp3[347.360,356.280] OK AND SINCE YOUVE BEEN FEELING SICK HAVE YOU BEEN MAINTAINING SOCIAL DISTANCE MAINTAINING SOME DISTANCE FROM HER audio/RES0067.mp3[250.080,253.440] OK ANY PAST MEDICAL HISTORY audio/RES0102.mp3[58.400,61.240] OK AND WHEN DID YOU FIRST NOTICE THAT audio/RES0095.mp3[199.080,204.480] ALRIGHT HAVE YOU HAD ANY FAINTING OR DIZZINESS audio/RES0196.mp3[452.840,455.080] OK THAT SOUNDS GREAT THANK YOU audio/MSK0014.mp3[176.000,185.600] UH NOT REALLY I DO TAKE SOME PAINKILLERS SO JUST SOME ADVIL WHICH SEEMS TO HELP A LITTLE BIT audio/GAS0003.mp3[193.720,198.760] OK AND HAVE YOU BEEN HAVING ANY FEVERS audio/RES0197.mp3[262.840,268.680] OK ANY SENSATION OF CHEST PAIN OR RACING OF YOUR HEART audio/RES0120.mp3[297.160,300.200] UH NO NOTHING LIKE THAT audio/RES0106.mp3[238.000,254.920] UHM I DONT KNOW ITS KIND OF LIKE LIKE A NORMAL COUGH YOU KNOW LIKE WHEN YOURE CLEARING YOUR THROAT OR SOMETHING OR WHEN YOURE LIKE WHEN SOMETHING GETS STUCK IN YOUR THROAT JUST LIKE LIKE A NORMAL COUGH I DONT THINK ITS BARKY audio/DER0001.mp3[495.880,517.280] YEP MOMS SIDE OF THE FAMILY VERY MUCH EVERYONE HAS DIABETES HIGH BLOOD PRESSURE CHOLESTEROL DADS SIDE OF THE THE FAMILY IS PRETTY HEALTHY I THINK MAYBE ONE OF MY AUNTS HAD LUNG CANCER BUT SHES A PRETTY BIG SMOKER TOO audio/MSK0029.mp3[97.560,104.960] UH REALLY LIKE MY NO JUST JUST REALLY MY NECK audio/CAR0002.mp3[226.560,234.800] OK BUT HAVE YOU MEASURED YOUR TEMPERATURE AT ALL audio/RES0122.mp3[410.600,500.360] GOOD ALRIGHT WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THE SYMPTOMS THAT YOUVE SHARED WITH ME IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED UM RHINOSINUSITIS UH WHICH IS BASICALLY INFLAMMATION OF THE SINUSES AND OF THE UH OF THE NASAL CAVITY OR THE AREA INSIDE YOUR NOSE AND UH OFTEN ITS JUST TREATED WITH CONSERVATIVE MANAGEMENT SO JUST CONTINUE TO TAKE UM TYLENOL IF THAT SEEMS TO HELP YOU AND DO THE STEAM THERAPY IT WILL TAKE TIME TO GET BETTER UM BUT IF YOU FEEL THAT ITS UM ITS NOT GETTING BETTER IN THE NEXT WEEK OR SO GIVE US A CALL AGAIN AND WE CAN MAYBE SEE IF ITS A BACTERIAL INFECTION AND SEE IF UM IF ANTIBIOTICS MIGHT BE NEEDED BUT OFTENTIMES ITS USUALLY A VIRAL INFECTION AND ANTIBIOTICS ARE NOT NEEDED AND SORT OF JUST RESTING AND TAKING CARE OF YOURSELF UM AND TRYING TO MANAGE THE SYMPTOMS THAT WAY CAN HELP UM BUT ALSO CHECK YOUR TEMPERATURE HERE TO SEE IF YOU HAVE ANY FEVERS AND UH GO FROM THERE WELL ALSO I GUESS WELL ALSO DO A COVISWAB BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SOME OF THOSE SYMPTOMS UM AND WED RECOMMEND THAT YOU QUARANTINE UNTIL AT LEAST UH SWABS SWAB RESULTS ARE OUT AND THEN PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO audio/RES0029.mp3[13.960,20.680] I WOULD SAY ITS LIKE THE WHOLE PRETTY MUCH THE LEFT SIDE OF MY CHEST audio/RES0071.mp3[517.360,522.280] DO YOU TAKE ANY MEDICATIONS REGULARLY audio/MSK0015.mp3[414.080,422.600] HAVE YOU HAD ANY OTHER CONCERNS ABOUT HER EITHER SOCIAL OR PHYSICAL DEVELOPMENT audio/RES0190.mp3[290.880,295.600] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0027.mp3[251.160,257.400] ALRIGHT AND HAVE YOU HAD ANY CHILLS audio/RES0069.mp3[442.120,448.640] I HAD CATARACT SURGERY DONE audio/RES0028.mp3[89.040,94.160] OK AND HAS IT BEEN AS A PAIN GETTING WORSE AT ALL audio/RES0053.mp3[917.160,921.520] THANK YOU audio/GAS0005.mp3[470.040,473.120] EXCELLENT AND DOES HE HAVE ANY ALLERGIES audio/RES0135.mp3[418.360,431.080] EXCELLENT UM AND IN TERMS OF THE PREGNANCY ITSELF WERE THERE ANY COMPLICATIONS THROUGHOUT UM WITH MOM audio/RES0063.mp3[536.760,545.280] PROBABLY ONE TO TWO PACKS A DAY I WOULD SAY audio/RES0019.mp3[402.000,408.520] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0113.mp3[32.400,43.680] OK BUT WE CAN TAKE YOUR VITALS HERE UM AND UH YOU YOU SAID THAT YOUVE HAD A COUGH FOR THE PAST FOUR DAYS DRY COUGH OR WET COUGH audio/RES0034.mp3[436.600,441.720] OK AND DOES HER VOICE SOUND NORMAL TO YOU audio/RES0110.mp3[834.720,839.000] OK SURE audio/RES0162.mp3[177.760,188.440] UH WHEN IM USUALLY IT GOES AWAY IN 1015 MINUTES BUT WHEN IM COUGHING A LOT I DO GET SOME TIGHTNESS audio/RES0085.mp3[357.720,361.080] NO NOT THAT WE KNOW OF audio/RES0001.mp3[295.360,297.920] OK HEARING audio/RES0024.mp3[508.760,552.520] OK SO UH YEAH WITH UH THE SYMPTOMS OF LOSING YOUR SMELL OVER THE LAST DAY OR SO WE WILL CERTAINLY LOOK INTO WHETHER OR NOT THIS IS CAUSED BY COVIAND SO THAT WILL REQUIRE A NASAL SWAB TEST FOR THAT USUALLY THE RESULTS ARE COMING BACK NOW WITHIN 48 HOURS HOPEFULLY BUT STILL WILL BE REQUIRED TO SELF ISOLATE NOW FOR THE NEXT 14 DAYS AFTER YOUR SYMPTOMS ARE GONE SO WE WILL LET YOU KNOW WHEN THE RESULTS COME BACK FROM THIS TEST THOUGH audio/RES0080.mp3[294.360,296.360] NO I DIDNT audio/RES0107.mp3[69.240,75.440] OK AND AND THE RUNNY NOSE IS HE HAVING UM LIKE WHAT COLOUR IS IT audio/MSK0049.mp3[633.680,650.080] UHM NO NO WELL I GUESS IM IM PUTTING MORE WEIGHT ON MY RIGHT KNEE SO IT MIGHT APPEAR TO SOME PEOPLE THAT I DO HAVE A SLIGHT LIMP audio/RES0176.mp3[225.800,233.560] OK AND DID YOU WET YOURSELF AT ALL LIKE PEE YOUR PANTS OR ANYTHING LIKE THAT audio/RES0006.mp3[93.520,99.080] OK UM AND HAVE YOU NOTICED ANY BLOOD audio/RES0120.mp3[55.120,61.920] FOUR DAYS OKAY UM AND DO YOU HAVE ANY KIND OF COUGH AT ALL audio/RES0092.mp3[350.040,352.040] ANY RECREATIONAL DRUGS audio/RES0101.mp3[599.760,601.680] NO NOT NOT THAT IM AWARE OF audio/RES0025.mp3[715.280,718.600] HAVE A GOOD HAVE A GOOD DAY THANKS FOR CHATTING WITH ME audio/RES0027.mp3[128.360,136.480] MMM IVE BEEN REALLY TIRED BUT I DONT KNOW IF THATS BECAUSE I CANT GET ANY SEEM TO GET ANY SLEEP audio/RES0162.mp3[282.280,283.760] NO NOTHING LIKE THAT audio/RES0104.mp3[709.480,749.640] OK YEAH SO THOSE ARE SOME OF THE QUESTIONS I HAD A I WILL BE DOING A PHYSICAL EXAMINATION WITH YOUR SHORTNESS OF BREATH I JUST WANT TO GET A GOOD LISTEN TO YOUR LUNGS AND TAKE ALL YOUR VITALS AS WELL HOWEVER YEAH SO AFTER THAT SINCE YOURE HAVING SOME SYMPTOMS OF WHAT MIGHT BE A PNEUMONIA IT CAN BE A BACTERIAL INFECTION A VIRAL INFECTION WE WILL HAVE TO GET SOME BLOOD WORK DONE AS WELL AS A CHEST XRAY AND RIGHT NOW WITH THE PANDEMIC GOING ON WE WILL ALSO DO COVID SWAB TEST FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD audio/RES0024.mp3[212.200,218.040] LIKE I HAVE ECZEMA BUT NOTHING NEW audio/RES0131.mp3[36.000,41.960] TWO DAYS OKAY AND THEN THE UH MUSCLE ACHE audio/RES0036.mp3[320.200,324.120] AND THAT STARTS SIX DAYS AGO TOO AS WELL OR IS THAT audio/RES0149.mp3[246.360,248.120] UH NO audio/RES0143.mp3[129.920,136.160] OKAY ANY CHANGE IN UH TASTE audio/RES0113.mp3[265.240,266.400] NO BELLY PAIN audio/MSK0035.mp3[330.640,337.320] OK AND HAVE YOU HAD ANY APPETITE LOSS OR OR FATIGUE audio/RES0135.mp3[339.600,342.920] NO NOT THAT IVE NOTICED audio/RES0021.mp3[642.920,647.040] NO NO PRIORS audio/RES0120.mp3[540.280,543.400] UH YEAH HES HES BEEN OKAY audio/MSK0042.mp3[423.200,440.560] YEAH SO IM LIVING UM WITH MY PARENTS AND OLDER BROTHER UM AND WE LIVE IN A JUST A HOUSE UM RIGHT OUTSIDE OF THE CITY audio/RES0151.mp3[467.400,472.360] NO IVE BEEN IN THE PROVINCE audio/RES0089.mp3[795.160,802.640] I SMOKE ONCE IN A WHILE audio/RES0030.mp3[383.320,392.840] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS AT ALL LIKE HIGH BLOOD PRESSURE DIABETES audio/MSK0006.mp3[321.360,332.160] OK ALRIGHT UM AND ILL JUST KIND OF GO THROUGH SOME QUESTIONS WITH YOU DO YOU HAVE ANY JOINT PAINS OR MUSCLE ACHES ELSEWHERE audio/RES0047.mp3[169.640,170.840] NO BLOOD audio/RES0185.mp3[318.600,321.680] NO MEDICATIONS audio/RES0199.mp3[467.000,469.400] NO NOT REALLY audio/RES0076.mp3[653.840,665.840] OK YEAH SO WE CAN IF YOURE WONDERING ABOUT THAT I CAN GIVE YOU SOME INFORMATION ON THAT MEDICATION LIKE A WHOLE PACKAGE FOR YOU AND THEN WE CAN DISCUSS IF THAT COULD WORK FOR YOU audio/MSK0006.mp3[495.360,497.680] NO I DONT audio/RES0046.mp3[35.280,40.080] GETTING WORSE OK AND HOW OFTEN ARE YOU COUGHING audio/RES0150.mp3[517.200,527.360] OK ANY ALLERGIES TO THE DOG OR TO PETS AT ALL audio/RES0134.mp3[28.040,32.520] OKAY WERE YOU HAVING LIKE NIGHT SWEATS AS WELL audio/RES0050.mp3[335.080,336.600] ANY BOWEL PROBLEMS audio/RES0135.mp3[226.720,229.800] UH NO NOTHING LIKE THAT audio/MSK0012.mp3[670.600,675.320] OK SEE AND HOW ABOUT LIKE BEND SIDEWAYS audio/RES0037.mp3[564.640,571.960] OK AND IN YOUR FAMILY HAS ANYONE EVER HAD ANY CANCERS OR DIED OF A HEART ATTACK audio/RES0099.mp3[172.960,180.720] OK AND SO YOU HAD A COUGH AS WELL WHEN DID THIS START AND IS IT A DRY OR WET COUGH audio/MSK0022.mp3[781.200,786.800] YEAH AND OTHER THAN THAT DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0102.mp3[480.440,486.040] OK AND DO YOU HAVE ANY ISSUES WITH YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA audio/CAR0001.mp3[186.480,193.560] OK AND WITH THE PAIN DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS audio/RES0093.mp3[208.960,221.240] UH YEAH I DO I FEEL LIKE MY HEART HAS BEEN BEATING A LITTLE BIT FASTER audio/MSK0018.mp3[228.840,236.200] NO OKAY AND UM ARE YOU UPTODATE WITH YOUR IMMUNIZATIONS audio/RES0135.mp3[241.160,253.160] UM YEAH NOW THAT YOU MENTION IT YEAH SHE DID HAVE A RUNNY NOSE UM IT SEEMS TO BE LESS NOW BUT SHE DID HAVE A LOT A FEW DAYS AGO audio/RES0104.mp3[177.760,189.720] I DID TRY SOME OVER THE COUNTER COLD MEDICINE IT I THINK IT MIGHT HAVE HELPED ME SLEEP LAST NIGHT BUT DIDNT REALLY DO A WHOLE LOT audio/RES0128.mp3[417.080,423.040] OK GOOD AND WHO LIVES AT HOME WITH HIM audio/RES0070.mp3[325.800,329.280] ANY CHEST PAIN audio/RES0076.mp3[197.080,202.560] OK ANY DIZZINESS ANY FAINTING EPISODES audio/MSK0038.mp3[316.440,320.960] OK ANY NUMBNESS OR TINGLING IN THE AREA audio/MSK0007.mp3[78.240,85.000] COULD YOU DESCRIBE THE CHARACTER OF THE PAIN IS IT SHARP ACHEY OR DULL audio/RES0145.mp3[185.840,197.600] YEAH IVE IVE FELT FEVERISH THESE LAST TWO DAYS NO CHILLS audio/RES0061.mp3[111.760,121.520] UHH YEAH USUALLY USUALLY KIND OF LIKE YELLOWISH CLEAR audio/GEN0001.mp3[393.200,398.480] UM I HAD MY APPENDIX OUT WHEN I WAS 24 THATS IT THOUGH audio/MSK0003.mp3[11.240,20.200] OK SO FOR A FEW MONTHS STIFFNESS IN THE MORNING SO YOUR BACK HURTS WHERE EXACTLY WOULD YOU SAY IT HURTS audio/RES0007.mp3[385.760,388.440] UH LIKE NO NO audio/RES0196.mp3[226.200,236.240] OK AND YOU MENTIONED ITS RECURRING HOW SHE EVER HAD TO SEE AN EAR NOSE AND THROAT SPECIALIST audio/RES0145.mp3[379.520,385.720] WERE YOU GIVEN ANY ANTIBIOTICS SIX MONTHS AGO WHEN YOU HAD YOUR TONSILLITIS audio/RES0195.mp3[184.000,189.880] UM I TOOK SOME IBUPROFEN THAT HELPED A LITTLE BIT audio/RES0106.mp3[108.720,111.520] NO OK ANY HEADACHES audio/RES0126.mp3[448.560,450.880] YEAH YEAH I DID I DID audio/MSK0013.mp3[218.200,223.320] HAVE YOU HAD ANY CHANGES TO BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION audio/RES0003.mp3[299.400,306.440] OK OK UM HAS HE TRIED ANYTHING FOR IT HAVE YOU GIVEN HIM ANY OVER THE COUNTER MEDICATIONS audio/MSK0013.mp3[660.440,670.240] UHM THERE ARE LIKE YEAH THERES SOME SCARRING FROM LIKE ULCERS audio/RES0085.mp3[277.000,281.200] OK AND IS HE AN OTHERWISE HEALTHY BABY audio/RES0209.mp3[30.720,35.600] OK HOW LONG HAVE YOU KNOW THAT YOU HAVE ASTHMA FOR audio/RES0076.mp3[678.680,682.560] OK AND DO YOU DRINK ALCOHOL audio/RES0090.mp3[166.040,173.800] NO NEVER audio/CAR0001.mp3[20.520,24.560] SURE 39 IM A MALE audio/RES0167.mp3[30.440,34.160] OK SO WHEN DID THE COUGH START audio/RES0048.mp3[464.920,476.440] I WOULD SAY UH LIKE IVE BEEN GOING PROBABLY MORE THAN EIGHT TIMES A DAY PROBABLY IN THE LAST FEW DAYS LIKE 10 TIMES A DAY audio/RES0046.mp3[90.280,93.600] YEAH THE COUGHS LIKE YEAH HARSH audio/RES0004.mp3[900.200,902.120] OK THANK YOU audio/RES0043.mp3[742.960,746.240] ALRIGHT SOUNDS GREAT HAVE A GOOD DAY audio/MSK0019.mp3[613.800,622.320] UH YEAH I WAS JUST WONDERING WHAT THIS THIS MIGHT BE audio/MSK0035.mp3[701.680,705.920] OK ARE YOU ABLE TO MAKE A FIST audio/MSK0036.mp3[489.560,495.040] ALRIGHT HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY audio/RES0152.mp3[147.840,151.040] OK AND UM HOW HAS YOUR ENERGY BEEN ANY ANY FATIGUE audio/RES0199.mp3[233.200,235.200] NO NOTHING LIKE THAT audio/RES0078.mp3[186.520,189.320] UH I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0010.mp3[154.440,177.800] I SEE I SEE UM HAVE YOU UM IM JUST GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST UM JUST TO RULE OUT SOME CAUSES UM HAVE YOU HAD ANY DIFFICULTIES BREATHING audio/RES0163.mp3[307.960,312.080] HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0068.mp3[113.720,118.600] OK ALRIGHT HAVE YOU BEEN COUGHING AT ALL audio/RES0130.mp3[125.520,131.920] YEAH FOR SURE UM AND SORRY YOU SAID YOU MENTIONED YOU MENTIONED YOU HAD SOME WHEEZING AS WELL RIGHT audio/RES0172.mp3[243.000,246.080] ANY BELLY PAIN audio/GAS0007.mp3[289.000,293.720] OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN audio/RES0206.mp3[181.160,187.440] WAS IT FORMALLY DIAGNOSED USING THE PROPER TESTING audio/MSK0028.mp3[537.200,546.200] NO IT WAS JUST A IT KIND OF WENT AWAY I JUST DID SOME PHYSIO THEY DIDNT REALLY DO ANY IMAGING audio/RES0045.mp3[131.440,132.600] UH HARSH audio/MSK0045.mp3[0.000,1.760] WHAT BRINGS YOU HERE TODAY audio/RES0181.mp3[273.200,285.040] THINGS HAVE BEEN PRETTY STABLE I HAD WHEN I WAS YOUNGER I HAD A FEW EPISODES OF LIKE HYPOGLYCEMIA BUT NOW THINGS ARE PRETTY STABLE audio/RES0076.mp3[55.760,64.160] OK AND IS THE BLOOD MIXED IN WITH LIKE SPUTUM THAT YOURE BRINGING OUT OR IS IT THAT YOURE JUST COUGHING UP BLOOD audio/MSK0020.mp3[394.200,403.080] OK THATS GOOD HOW ABOUT FAMILY HISTORY OF MUSCULOSKELETAL ISSUES audio/MSK0020.mp3[786.240,790.560] NO THATS FINE I CAN DO THAT audio/RES0149.mp3[291.720,303.080] UM YEAH I KIND OF HAVE UH ITS JUST MY LEFT LEG HURTS A LITTLE BIT IM NOT QUITE SURE WHY BUT YEAH NOTHING ELSE audio/MSK0007.mp3[392.640,399.800] I WORK ON THE ASSEMBLY LINE FOR CHRYSLER audio/CAR0003.mp3[200.240,203.800] NO NOTHING LIKE THAT audio/RES0011.mp3[340.760,344.600] A LITTLE audio/RES0117.mp3[2.480,19.800] YEAH SO I JUST CAME IN TODAY UH A BIT CONCERNED UH IVE BEEN JUST HAVING THIS NASTY COUGH FOR LIKE THE LAST WEEK AND THEN TODAY MORNING UH LIKE I THOUGHT THE COUGH WOULD JUST GO AWAY BUT TODAY MORNING I ALSO NOTICED IM COUGHING UP SOME BLOOD audio/RES0149.mp3[232.840,236.480] OK AND HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0020.mp3[310.440,319.160] OK AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY PAST MEDICAL CONDITIONS audio/RES0176.mp3[594.600,598.800] OK AND I LIKE HOW MANY DRINKS WOULD YOU TYPICALLY HAVE IN A WEEK audio/GAS0005.mp3[199.440,216.360] NO NO I DIDNT NOTICE ANY BLOOD AT ALL ITS DEFINITELY JUST VERY VERY WATERY AND HES HAD TO GO PROBABLY EVEN JUST IN THE LAST DAY PROBABLY AROUND LIKE SIX OR SEVEN TIMES audio/MSK0013.mp3[572.000,577.720] YEAH JUST MY WIFE WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS audio/RES0178.mp3[315.200,333.040] NO ITS BEEN AH IT WAS NORMAL PREGNANCY THROUGHOUT IT WAS TO TERM AND IT WAS A CSECTION DELIVERY BUT THAT WENT WELL AND HE WAS A NORMAL WEIGHT audio/RES0029.mp3[228.720,235.680] ALRIGHT AND I KNOW YOU MENTIONED THE FEW SCRATCHES ON YOUR HANDS BUT ANY OTHER INJURIES audio/MSK0006.mp3[692.680,694.680] DOES THAT HURT audio/RES0082.mp3[489.800,496.640] ALRIGHT OK ALRIGHT UMM WELL DO A PHYSICAL EXAM AND THEN CHAT A LITTLE BIT MORE AFTER audio/RES0003.mp3[658.680,660.360] OK GREAT THANK YOU audio/MSK0011.mp3[161.920,166.360] AT THE BACK OF THE HAND AT THE WRIST AND BASE OF THE THUMB audio/MSK0035.mp3[269.040,273.560] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING audio/RES0155.mp3[560.360,566.240] UM NO audio/RES0026.mp3[672.080,702.640] WE WENT UP TO WE JUST WENT TO UM LIKE A WE WENT ON A HIKING TRAIL THAT WAS OUTSIDE THE CITY RECENTLY AND THERE WERE A LOT OF PEOPLE THERE AND AND WE WERENT WEARING MASKS BUT WE IT SEEMED LIKE WE WERE KEEPING A GOOD DISTANCE BETWEEN EACH OTHER SO THAT THAT WOULD BE MY ONLY CONCERN audio/RES0119.mp3[146.960,152.520] SHES MISSED ALMOST TWO WEEKS NOW audio/RES0083.mp3[244.040,248.280] OK UHM ANY OTHER I GUESS ANY DIFFICULTIES BREATHING audio/RES0082.mp3[18.280,25.920] SO THE STORE THROAT STARTED LIKE 2 DAYS AGO audio/RES0044.mp3[366.120,368.040] UH NO audio/RES0193.mp3[41.080,50.320] OK AND WHAT DID IT START WITH COUGHING OR LIKE THE SHORTNESS OF BREATH WHAT WOULD IT KIND OF START WITH audio/RES0093.mp3[263.040,279.080] OK ALRIGHT UHM ANY OTHER SYMPTOMS THAT I HAVENT TALKED ABOUT THAT YOU EXPERIENCED OVER THE PAST DAY audio/RES0089.mp3[535.000,540.880] SOME SWELLING IN SOME SWELLING IN MY LEGS YEAH audio/RES0038.mp3[550.200,555.600] YEAH SO I LIVE IN AN APARTMENT NEARBY WITH MY BOYFRIEND audio/RES0038.mp3[399.920,405.680] NO OK HAVE YOU LOST YOUR SENSE OF TASTE OR SMELL RECENTLY audio/RES0125.mp3[707.280,708.320] THANK YOU audio/RES0202.mp3[407.240,412.200] I HAVEN’T REALLY BEEN LOOKING BUT I DONT THINK SO audio/MSK0039.mp3[150.200,177.200] OK OK AND UM SO YEAH OK UM DO YOU KNOW HOW YOU FELT LIKE ON THE FLOOR LIKE DID YOU UH GO LIKE LEG FIRST OR WAS IT DID YOUR UM KIND OF LIKE THE MECHANISM OF YOUR FALL DID YOU BREAK THE FALL AT ALL WITH YOUR ARMS audio/RES0063.mp3[722.080,733.840] YEAH ITS A GOOD IDEA AND EVEN IF YOU GET THE FLU YOUR SYMPTOMS WONT BE AS SEVERE IF YOU HAVE THE VACCINE SO ITS DEFINITELY SOMETHING TO CONSIDER audio/RES0154.mp3[52.720,57.000] OK UM AND HAVE YOU NOTICED ANY BLOOD audio/RES0164.mp3[97.960,111.280] YEAH IT HAS BUT I GUESS WHAT IM CONCERNED ABOUT IS THE RASH THAT HE HAS NOW THAT HES NEVER HAD BEFORE audio/RES0118.mp3[289.760,300.000] OK NICE UM IN TERMS OF YOUR UH PAST MEDICAL HISTORY DO YOU HAVE ANY UM DIAGNOSES OR ANYTHING ANY MEDICAL CONDITIONS AT ALL audio/RES0148.mp3[350.360,355.320] OK AND UH DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0082.mp3[136.040,142.640] UH NO I FELT OK THAT WAY YEAH audio/RES0055.mp3[161.600,174.120] OK AND WHEN YOU WERE ADMITTED TWO YEARS AGO DID THEY TELL YOU WHAT YOU HAD audio/RES0192.mp3[387.480,391.880] ALRIGHT YEAH AND UHM DO YOU HAVE ANY ALLERGIES audio/GAS0004.mp3[157.920,176.440] OK AND BEFORE THIS HAPPENED HAVE YOU NOTICED HAVE YOU IS THERE ANYTHING THAT YOUVE DONE DIFFERENTLY THAT YOUVE BEEN EATING DIFFERENTLY OR ANY OTHER CHANGES THAT HAVE HAPPENED IN YOUR LIFE RECENTLY audio/MSK0037.mp3[757.400,767.400] OK I SEE AN WHEN YOURE EXTENDING YOUR FINGERS WITH LIKE PASSIVE EXTENSION TO DO WITH YOUR OTHER HAND DO YOU GET A LOT OF PAIN LIKE ALONG THE TENDONS OR THE PASSIVE EXTENSION audio/RES0196.mp3[136.720,151.200] 388 OK OK AND SHE HAD ANY OTHER SYMPTOMS RECENTLY LIKE A COUGH RUNNY NOSE SORE THROAT ANY VIRAL OR COLD LIKE SYMPTOMS audio/MSK0012.mp3[511.160,517.880] HAVE YOU HAD ANY PREVIOUS SURGERIES OR HAVE YOU BEEN HOSPITALIZED FOR ANY REASON audio/RES0201.mp3[405.240,408.000] PARDON ME audio/MSK0005.mp3[182.120,197.160] UH I DID I YEAH I TRIED SOME UM SOME STUFF THAT YOU CAN GET AT THE UM DRUGSTORE AND IT DID HELP TAKE THE EDGE OFF A LITTLE BIT audio/RES0036.mp3[205.560,214.760] OK AND IS THERE ANYTHING THAT MAKES IT GO AWAY OR I MEAN OR ANYTHING YOUVE TRIED THAT MAKES IT BETTER audio/RES0060.mp3[219.440,225.720] NO I HAVENT HAD ANY CHEST PAIN audio/MSK0031.mp3[256.760,261.880] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/MSK0036.mp3[668.480,678.720] OK UM AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR LIKE NEUROLOGICAL CONDITIONS audio/RES0211.mp3[233.320,238.800] AND THESE SHOTS AT THE ALLERGIST GAVE YOU HOW OFTEN WOULD YOU GET THOSE audio/MSK0019.mp3[605.560,613.800] OKAY OKAY UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY AND DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/MSK0019.mp3[263.880,268.520] OKAY I SEE AND HOW ABOUT IMMUNIZATIONS ARE YOU UPTODATE audio/RES0110.mp3[713.440,725.720] THATS GOOD UM AND ANY DO YOU THINK ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK FOR YOU OR YOUR HUSBAND audio/MSK0042.mp3[402.600,407.560] OKAY UH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES audio/RES0126.mp3[493.880,504.160] I SEE ANY ANY KIND OF SENSATION THAT YOUR HEART IS RACING audio/RES0158.mp3[126.520,129.320] UH NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0143.mp3[374.600,377.880] UM DID SHE GET TESTED FOR COVID audio/RES0123.mp3[735.560,740.160] UH NO THAT THAT ALL SOUNDS GREAT THANKS FOR EXPLAINING IT TO ME audio/RES0174.mp3[757.040,766.600] OK WOULD YOU SAY THAT IT COMES ON LIKE KIND OF LIKE AT THE SNAP OF YOUR FINGERS SORT OF THING LIKE REALLY QUICKLY AND THEN audio/DER0001.mp3[296.280,299.880] JUST RESTING IT RIGHT NOW IT FEELS FINE audio/RES0114.mp3[644.000,654.800] OK THATS GOOD AND UM TRAVEL TO ANYWHERE RECENTLY OUTSIDE THE PROVINCE audio/RES0119.mp3[412.320,415.880] SHE WAS SLIGHTLY PREMATURE I BELIEVE SHES 34 WEEKS audio/RES0065.mp3[405.240,409.560] THAT WAS ALSO LAST YEAR audio/RES0051.mp3[397.760,401.360] UMM NO audio/RES0134.mp3[195.280,208.800] UM ITS YEAH IM STILL A LITTLE BIT SHORT OF BREATH AND I I GUESS THE SHORTNESS OF BREATH GETS WORSE WHEN IM WALKING OR DOING SOMETHING PHYSICAL audio/RES0072.mp3[118.200,128.240] I THINK THE FIRST TIME WAS ASSOCIATED WITH LIKE AFTER EATING BUT IM NOT SURE ABOUT THE OTHER ONES audio/RES0196.mp3[298.080,301.880] AND WAS SHE PREMATURE OR AT TERM CHOOSE THAT TERM audio/MSK0024.mp3[528.400,631.480] YEAH FOR SURE SO THIS HAS BEEN GOING ON FOR THE LAST MONTH IT SOUNDS MORE LIKE WHATS CALLED MECHANICAL BACK PAIN AND DUE TO THE NATURE OF YOUR WORK HAVING BEEN LIFTING HEAVY OBJECTS FOR THE LAST 30 OR SO YEARS ITS USUALLY SOMETHING THAT OCCURS WITH REPETITIVE REPETITIVE WORK AND STRENUOUS WORK LIKE THAT THAT AFFECTS YOUR BACK AND WHAT YOURE DESCRIBING WITH THE FLEXION SEEMS MORE PAIN COMING FROM THE DISCS THEMSELVES INSTEAD OF THE FACETS AT THE BACK SO EVERY TIME YOU FLEX YOU HAVE SOME COMPRESSION OF YOUR DISCS SO WHAT WE WHAT WE NEED TO DO RIGHT NOW IS ITS BEEN ONE MONTH ALMOST AND THEN USUALLY WE GET IMAGING IF THE PAIN DOES NOT IMPROVE AFTER SIX WEEKS OF CONSERVATIVE MANAGEMENT SO WHAT WE CAN TRY IS TO GIVE YOU SOME PAIN MANAGEMENT FIRST AND SOME ANTIINFLAMMATORY MEDICATION AND THEN AS WELL AS TRY SOME PHYSIOTHERAPY SOME EXERCISES TO HELP YOU WITH THE BACK PAIN AND THEN IF THE PAIN DOES NOT IMPROVE AND SINCE THERE IS NO RED FLAGS THAT WERE TOO WORRIED ABOUT RIGHT NOW WITH YOUR BACK PAIN WE CAN WAIT TO GET SOME IMAGING BUT FIRST WE WOULD JUST LIKE TO TRY SOME OF THE CONSERVATIVE MANAGEMENT IS THAT OK WITH YOU audio/RES0125.mp3[185.680,193.600] UH I KIND OF HAD THOSE SYMPTOMS IN THOSE FIRST TWO THREE DAYS BUT THEN IT WENT AWAY AND THEN I ONLY HAD THIS COUGH THAT STAYED audio/RES0027.mp3[118.600,122.040] NO I HAVENT audio/RES0119.mp3[543.080,552.480] NO WE DONT HAVE ANY PETS AND UM THE PLACE IS JUST RENOVATED SO NOTHING LIKE THAT audio/RES0057.mp3[607.200,608.800] UMM NO audio/RES0067.mp3[275.160,280.840] OK OK ANY HOSPITALIZATIONS OR ANYTHING LIKE THAT IN THE PAST audio/MSK0046.mp3[104.400,107.920] UM IT JUST STAYS THERE audio/RES0060.mp3[193.000,194.760] I HAVENT SEEN ANY BLOOD audio/RES0134.mp3[100.760,109.160] NO CHEST WELL ACTUALLY WHEN I TRY TO TAKE A REALLY DEEP BREATH IN IT IT HURTS MY CHEST HURTS audio/RES0179.mp3[315.920,322.760] MHMM UMM OK HOW ABOUT CHANGES IN YOUR URINE audio/MSK0018.mp3[250.640,256.640] OKAY UH AND ANY FAMILY HISTORY OF AUTOIMMUNE CONDITIONS audio/RES0186.mp3[355.160,358.600] OK DO YOU SMOKE AT ALL audio/RES0163.mp3[169.600,180.880] NO SO OK AND DO YOU FIND YOURSELF HAVING MORE CONGESTION WHEN YOU WAKE UP audio/RES0120.mp3[442.360,460.680] UM MEDICATIONS SO I TAKE SO FOR THE DIABETES I TAKE INSULIN FOR THE HIGH BLOOD PRESSURE I TAKE RAMIPRIL FOR THE HIGH CHOLESTEROL I TAKE ROSUVASTATIN audio/MSK0038.mp3[401.840,405.040] OK HOW ABOUT ALLERGIES DO YOU HAVE ANY audio/RES0089.mp3[232.400,240.840] UHM I WOULD SAY ITS A UH ITS A TIGHTNESS IN MY CHEST AND IT FEELS I GUESS THROBBING OR ACHY audio/RES0144.mp3[167.240,170.160] UH NO ITS JUST BEEN THE BOTTLE FEEDS audio/MSK0012.mp3[371.280,380.400] OK AND APART FROM YOUR BACK ANY KIND OF JOINT OR MUSCLE PAIN ANYWHERE ELSE IN YOUR BODY audio/MSK0006.mp3[257.000,267.960] UH NO NO WEAKNESS JUST UM WELL YEAH MAYBE I GUESS MAYBE YEAH MAYBE A LITTLE BIT OF UH LEG WEAKNESS IVE HAD IVE HAD A LITTLE BIT OF DIFFICULTY WALKING BEEN LIMPING audio/RES0021.mp3[291.680,297.760] HAVE YOU HAD ANY LIKE FAINTING SPELLS OR FEELING AS THOUGH YOU MIGHT PASS OUT audio/MSK0024.mp3[29.880,32.480] ITS IN MY LOWER BACK audio/RES0168.mp3[45.680,58.680] YEAH IM SORRY YOURE FEELING THAT WAY SO THIS RUNNY NOSE OK DO YOU HAVE A COUGH AT ALL audio/RES0055.mp3[294.080,303.600] CHANGES IN YOUR BOWEL MOVEMENT OR ABDOMINAL PAIN audio/RES0001.mp3[557.240,559.960] UM I AM YEAH audio/RES0016.mp3[673.920,676.760] OK SOUNDS GOOD THANK YOU SO MUCH audio/MSK0005.mp3[321.400,322.920] UH NO RASHES audio/RES0030.mp3[420.120,426.360] OK AND HAVE YOU BEEN HOSPITALIZED AT ALL BEFORE audio/MSK0033.mp3[0.000,1.960] WHAT BRINGS YOU IN HERE TODAY audio/RES0195.mp3[536.560,541.640] OK AND ANY UM ALCOHOL audio/MSK0017.mp3[277.360,280.120] OK HEADACHES audio/MSK0031.mp3[142.560,146.640] I WOULD SAY 10 LIKE IVE NEVER EXPERIENCED PAIN LIKE THIS audio/RES0059.mp3[160.040,162.760] ANY WEIGHT LOSS audio/RES0177.mp3[406.360,410.640] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0123.mp3[561.840,566.600] AND UH MY FATHER HAS BEEN PRETTY HEALTHY LIKE NO ISSUES WITH HIM audio/RES0199.mp3[193.040,194.800] NO I HAVENT audio/RES0147.mp3[439.040,459.040] OK AND HAVE YOU EVER HAD ANY EXPOSURES TO ANY CHEMICALS OR ANY ANYTHING THAT YOU ANY IRRITANTS THAT YOU THINK ANY SMOKE THAT MIGHT AFFECT YOUR LUNGS OR YOUR YEAH audio/MSK0039.mp3[410.400,411.600] IN HER FIFTIES OK audio/RES0197.mp3[308.520,311.200] OK AND YOU TAKE THAT DAILY audio/RES0210.mp3[129.880,136.600] YEAH IVE BEEN GETTING THE CHILLS ESPECIALLY LAST TWO DAYS audio/MSK0031.mp3[334.320,339.080] UHM NO I DONT THINK SO audio/MSK0026.mp3[152.520,156.440] OK HAVE YOU TRIED ANYTHING TO MAKE THE PAIN BETTER audio/MSK0044.mp3[80.640,87.560] OKAY AND UM WHAT KIND OF PAIN ARE YOU FEELING IS IT SHARP STABBING OR IS IT ACHING audio/RES0211.mp3[358.960,365.160] NO LIKE THE ONLY THING LIKE MY DAD HAS ALLERGIES TOO SAME KIND AS ME audio/MSK0011.mp3[390.600,391.600] NO I HAVENT audio/RES0152.mp3[591.360,595.000] YEAH SOUNDS GOOD THANK YOU SO MUCH audio/RES0088.mp3[246.560,249.600] NO NOTHING LIKE THAT audio/RES0182.mp3[310.680,316.800] UHM ALSO PRETTY LOW audio/RES0110.mp3[389.160,402.400] IT KIND OF FEELS LIKE CENTRAL TO MY CHEST UM UH YEAH JUST IN THE CHEST AREA IT DOESNT RADIATE TO ANYWHERE ELSE audio/RES0160.mp3[607.560,613.560] OK SOUNDS GOOD THANK YOU SO MUCH audio/GAS0007.mp3[220.000,226.040] AND HAS THAT GENERALLY HAS THAT BEEN WELL CONTROLLED FOR YOU LATELY audio/RES0194.mp3[247.720,253.240] OK ANY LOSS OF TASTE OR SMELL audio/MSK0026.mp3[461.600,471.080] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN WHEREABOUTS audio/GEN0001.mp3[412.480,416.000] OK WHAT DO YOU DO FOR WORK audio/MSK0019.mp3[597.320,605.560] UM THAT HURTS A LITTLE BIT BUT NOT NEARLY AS MUCH AS WHEN I EXTEND IT audio/MSK0010.mp3[148.480,154.520] JUST MY WHOLE LEFT SHOULDER NOTHING ELSE REALLY audio/RES0019.mp3[560.720,561.400] I DO audio/RES0199.mp3[508.240,511.840] NO I HAVENT REALLY NOTICED ANYONE BEING SICK audio/RES0110.mp3[585.680,589.680] UM NO ACTUALLY SORRY I HAVE FOR THE DVT audio/RES0144.mp3[466.480,469.200] ANY ISSUES BECAUSE DEVELOPMENT audio/RES0118.mp3[106.920,113.360] UM WERE YOU UH WITH ANYONE AROUND YOU SICK AT ALL BEFORE THOSE SEVEN DAYS audio/RES0133.mp3[400.000,404.080] UH NO NO ONE AT HOMES BEEN SICK audio/RES0169.mp3[0.000,5.760] WHAT BRINGS YOU IN TODAY audio/RES0106.mp3[393.280,397.640] OK UHM ANY TRAVEL RECENTLY audio/RES0107.mp3[217.520,221.240] NO I CHECKED YESTERDAY NIGHT VERY CAREFULLY audio/RES0143.mp3[568.680,570.480] OKAY SOUNDS GOOD THANK YOU audio/RES0158.mp3[525.920,528.480] TAKE CARE audio/RES0141.mp3[400.840,408.640] NO IVE NEVER SMOKED I DO SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH WITH SOME FRIENDS audio/GEN0001.mp3[230.840,249.440] UNDERSTOOD UNDERSTOOD THESE ARE KIND OF QUESTIONS THAT WE ASK WHEN SOMEONES HAVING A LITTLE BIT OF MAYBE AN ISSUE HOLDING IN THEIR URINE HAVE YOU EVER FELT ANY NUMBNESS OR INABILITY TO FEEL KIND OF AROUND YOUR BUTTOCKS REGION FOR EXAMPLE WHEN YOU WIPE WITH TISSUE PAPER CAN YOU FEEL THAT WELL audio/RES0205.mp3[241.280,245.920] OK HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE audio/RES0163.mp3[47.640,63.160] OK AND THEN DO YOU LIKE HOW OFTEN ARE YOU GETTING THE STUFFINESS IS IT LIKE EVERY DAY IS IT DURING THE DAY AT NIGHT WHEN DO YOU USUALLY GET IT audio/RES0119.mp3[647.280,649.960] YOU TOO audio/RES0123.mp3[296.360,298.560] ANY SORE THROAT audio/RES0171.mp3[377.280,383.400] AND WHO DO YOU DO YOU CURRENTLY LIVE ALONE audio/RES0134.mp3[128.440,135.000] UM ITS PRETTY SHARP WHEN I TAKE A DEEP BREATH IN audio/CAR0002.mp3[27.480,34.640] I WAS JUST SHOVELLING THE DRIVEWAY AND IT CAME ON audio/RES0080.mp3[468.800,479.400] I RETIRED TWO YEARS AGO I USED TO WORK AT CHRYSLER AS A MECHANIC audio/RES0099.mp3[355.400,372.240] I I TOOK A TYLENOL I ACTUALLY TOOK A COUPLE TYLENOLS UH WHEN THE HEADACHE AND PAIN STARTED IT DID HELP A BIT FOR A COUPLE HOURS BUT IT JUST KIND OF CAME BACK audio/RES0077.mp3[839.120,843.240] YOU WELCOME TAKE CARE BYE audio/RES0019.mp3[201.880,204.480] NO NOTHING LIKE THAT audio/RES0038.mp3[206.840,210.320] OK AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ASTHMA audio/RES0128.mp3[336.240,344.280] OK OK GOOD HOW ABOUT UHM SO WAS HE A FULL TERM BABY AND WAS IT A VAGINAL DELIVERY audio/RES0055.mp3[682.200,755.320] YEAH SO WERE DEFINITELY GOING TO DO A COVISWAB ON YOU AND THOSE RESULTS SHOULD TAKE ABOUT 24 TO 48 HOURS TO COME BACK TO YOU AND IN THE MEANTIME BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVIYOU SHOULD ISOLATE FOR 14 DAYS PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE TO DO SOME CONTACT TRACING IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND DURING THIS TIME OF YEAR WHICH IS LIKELY BECAUSE YOU HAVE COPSINCE YOURE ALREADY COUGHING MORE THAN YOU USUALLY ARE AND SEEING MORE SPUTUM WE WILL REASSESS TO SEE WHETHER YOUR PUFFERS ARE WORKING IF WE NEED TO ADD ANY ADDITIONAL THINGS LIKE INHALED CORTICOSTEROIDS AS WELL AS ANTIBIOTICS AND SO JUST KEEP AN EYE ON YOUR SYMPTOMS FOR NOW AND WILL ALSO WANT TO DO PROBABLY A CHEST X RAY AND POSSIBLY A PULMONARY FUNCTION TEST HOW DOES THAT SOUND audio/RES0138.mp3[174.760,179.080] AND WHAT WHAT MEDICATIONS DO YOU TAKE audio/RES0043.mp3[411.320,417.360] OK ANY CONFUSION OR MEMORY LOSS audio/RES0004.mp3[452.600,455.520] NO CHANGES TO BOWEL HABITS audio/RES0185.mp3[287.480,297.680] NO OK GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/MSK0039.mp3[52.160,57.000] NO NOT REALLY I I HAD TO COME IN THE AMBULANCE audio/RES0131.mp3[254.320,257.800] RUNNY NOSE OR STUFFY NOSE audio/RES0039.mp3[551.080,558.880] OK ANY PREVIOUS SURGERY SO YOU SAID YOU HAD THE APPENDIX REMOVED BUT ANYTHING ELSE audio/RES0126.mp3[524.520,532.840] OK ANY ANY EXPOSURE TO ANY FUMES OR ALLERGENS IN YOUR HOUSEHOLD ANY ANIMALS PETS audio/RES0175.mp3[129.760,131.040] UH NO audio/RES0026.mp3[215.280,222.680] OK AND IS THE HEADACHE WORSE IN THE MORNING WHEN YOU FIRST WAKE UP audio/RES0012.mp3[1037.080,1038.640] IT CAN DO THAT audio/RES0098.mp3[523.800,539.240] YEAH WE WERE LIKE JUST MOVING BOXES THERE WERE BOOKS HERE AND THERE THAT DEFINITELY THERE WOULD HAVE BEEN DUST I SHOULD HAVE BEEN MORE CAREFUL LIKE WORE A MASK BUT I DIDNT THINK ABOUT IT AT THAT TIME audio/RES0051.mp3[48.440,56.800] OK HAVE YOU BEEN COUGHING AT NIGHT TIME AS WELL IS IT INTERFERING WITH YOUR SLEEP OR IS THE COUGH JUST DURING THE DAY audio/RES0074.mp3[612.480,615.360] OR ANY CANCER IN THE FAMILY audio/RES0082.mp3[401.360,403.360] NO IVE BEEN AT HOME audio/RES0045.mp3[160.360,161.560] UH NO audio/RES0087.mp3[510.600,519.680] NO NO NOTHING LIKE THAT ITS FAIRLY WELL KEPT audio/MSK0042.mp3[632.000,636.640] UM NOT THAT IVE BEEN TOLD NO audio/RES0025.mp3[656.800,702.080] SO YEAH WELL GET THAT STARTED FOR YOU AND OTHERWISE REALLY WE WANT TO KNOW IF ITS COVIIS JUST FOR INFECTION CONTROL PURPOSES BUT I THINK THAT ESSENTIALLY YOU SHOULD BE DRINKING LOTS OF FLUIDS AND GETTING A LOT OF REST AND ITS SOMETHING THAT LIKELY SHOULD GO AWAY ON ITS OWN I MEAN IF THINGS START TO BECOME A LOT WORSE AND YOU GET REALLY DEHYDRATED AND YOU HAVE FEVERS THAT YOU CANT CONTROL WITH TYLENOL THEN PLEASE COME BACK TO THE EMERGENCY DEPARTMENT BUT I THINK IN GENERAL IT WILL JUST BE KIND OF SUPPORTIVE TREATMENTS FOR WHAT YOURE EXPERIENCING audio/RES0048.mp3[202.160,216.080] UM PROBABLY A FEW YEARS AGO I THINK I CAUGHT THE FLU OR SOMETHING AND GOT REALLY SICK WITH A FEVER AND JUST A LOT OF COUGHING BUT SINCE THEN NOTHING ELSE audio/RES0129.mp3[285.640,290.080] OH OK GOOD AND WAS IT A CSECTION OR A VAGINAL DELIVERY audio/RES0111.mp3[102.000,104.040] ANY CHEST PAIN audio/RES0142.mp3[61.680,76.560] UM YEAH I DEFINITELY FEEL LIKE UH I DO GET SOME PAIN ONES FOLLOWING BUT IT MAY BE JUST WITH THE SORE THROAT audio/GAS0003.mp3[161.720,170.280] WELL I GUESS EATING SOMETIMES MAKES IT WORSE UM BUT I DONT I DONT THINK THERES ANYTHING THATS MAKING IT BETTER audio/RES0100.mp3[457.160,467.320] NO HASNT REALLY STARTED SPREADING YET I JUST NOTICED IT ON ON MY ARM AND I I DONT THINK IT HAS REALLY SPREAD AT ALL audio/RES0155.mp3[375.960,380.800] UM NO THAT THATS BEEN PRETTY GOOD audio/RES0137.mp3[360.160,365.800] AND HOW WAS YOUR PREGNANCY YOUR PREGNANCY WITH HER LIKE ANY COMPLICATIONS AT ALL audio/RES0038.mp3[512.960,525.440] OK AND DO YOU HAVE ANY FAMILY HISTORY OF CANCERS OR ANYTHING RELATED TO THE LUNGS AT ALL audio/RES0184.mp3[245.480,247.120] UH NO audio/RES0016.mp3[228.000,230.280] NO NOTHING LIKE THAT audio/RES0102.mp3[218.120,228.480] OK AND DO YOU KNOW IF ANYONE AT THE HOMELESS SHELTER OR ANYWHERE ELSE AROUND YOUR SURROUNDING HAS HAD TUBERCULOSIS audio/RES0066.mp3[472.760,478.240] DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA COPOR ANY LUNG CONDITIONS audio/RES0129.mp3[217.680,222.160] OK HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0074.mp3[360.040,376.840] YEAH SO FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR FOR THE HIGH BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED RAMIPRIL audio/MSK0035.mp3[428.600,432.320] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0091.mp3[56.800,58.240] NO NO COUGHING audio/MSK0031.mp3[58.200,64.240] TWO HOURS AGO OK HAS A PAIN BEEN CONSTANT SINCE audio/RES0140.mp3[28.840,31.440] WERE YOU ABSOLUTELY FINE LAST NIGHT audio/RES0064.mp3[209.880,212.880] JOINT PAIN OR MUSCLE ACHES audio/MSK0012.mp3[1.760,24.480] IVE HAD THIS PAIN IN MY BACK THATS KIND OF LIKE IN MY LOWER BACK AND MY BUTTOCKS AND ITS NOW RADIATING DOWN TO MY RIGHT LEG IVE HAD THIS FOR AWHILE NOW BUT ITS GETTING WORSE AND I JUST WANT TO COME GET IT CHECKED OUT audio/MSK0021.mp3[370.480,381.440] UH NO AH WELL I THINK MY GRANDPARENTS HAVE LIKE OSTEOARTHRITIS OR SOMETHING LIKE THAT THEY BUT THATS IT audio/RES0022.mp3[885.320,891.760] OK AND ANYBODY IN THE FAMILY HAVE LUNG CONDITIONS IN THE PAST audio/GAS0004.mp3[614.200,639.120] MY BROTHER HAD APPENDICITIS WHEN HE WAS YOUNG UM MY MOM HAS HAD A HYSTERECTOMY IF THAT COUNTS YEAH NOTHING ELSE audio/RES0175.mp3[378.720,381.760] OK AND DO YOU SMOKE CIGARETTES audio/RES0019.mp3[331.320,339.360] OK HOW ABOUT ANY PERIOD WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING audio/RES0217.mp3[417.840,419.560] SO NO DRUG ALLERGIES audio/RES0208.mp3[219.720,228.320] I MEAN I DONT KNOW I DONT KNOW I USUALLY GET KIND OF DIFFICULT STRESS HEADACHE YOU KNOW audio/RES0056.mp3[48.760,53.600] I THINK THE COUGH IS PRETTY PERSISTENT OVER THE LAST WEEK audio/RES0190.mp3[365.960,369.520] NO NO IVE BEEN PRETTY HEALTHY audio/RES0194.mp3[371.520,376.320] OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL audio/MSK0007.mp3[316.840,323.720] OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0189.mp3[215.240,221.000] OK BUT BUT YOUVE HAD WHEEZING THIS PAST WEEK THOUGH audio/MSK0027.mp3[164.520,178.240] OK SO JUST UH SHES SWINGING FROM ARMS YESTERDAY OK AND HAS SHE TALKED ABOUT HAVING ANY NUMBNESS OR TINGLING audio/MSK0022.mp3[759.080,775.440] I I DONT I QUIT SMOKING FOUR YEARS AGO WHEN MY DAUGHTER WAS BORN AND BEFORE THAT I DIDNT SMOKE MUCH TO ME ANYWAY IT WAS I WAS ONLY SMOKING LIKE YOU LIKE MAYBE FOUR OR FIVE CIGARETTES A DAY SO I JUST STOPPED THEN audio/RES0191.mp3[272.320,276.200] NO ALLERGIES TO MEDICATIONS audio/MSK0005.mp3[0.000,2.000] WHAT BRINGS YOU IN audio/RES0081.mp3[413.440,424.440] NO JUST THE INHALERS WEVE ALSO KEPT IT THE USUAL ONE THE ONE THAT HE TAKES THE OTHER INHALER audio/RES0197.mp3[163.320,174.400] OK AND AND HOW ABOUT THE WHEEZING ARE YOU GETTING IT LIKE FREQUENTLY EVERY TIME YOU HAVE AN EPISODE OR JUST SOMETIMES audio/RES0058.mp3[214.080,217.880] OK SO SOME DIARRHEA THIS MORNING audio/RES0038.mp3[650.240,652.880] UH YEAH MAYBE A BOTTLE OF WINE ON THE WEEKENDS audio/RES0018.mp3[257.560,260.920] HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES audio/RES0120.mp3[376.840,385.200] UM YEAH I GUESS THE RUNNY NOSE UM IVE HAD ON AND OFF FOR THE PAST LIKE 7 DAYS audio/RES0099.mp3[419.560,448.080] NOT REALLY LIKE I I I THINK OVER THE LAST TWO YEARS IVE JUST BEEN VERY FOCUSED ON MY FITNESS SO I FEEL LIKE IVE PROBABLY LOST AROUND 30 POUNDS OVER THE LAST YEAR LAST ONE TO TWO YEAH YEAR BUT LIKE I IVE BEEN EXERCISING A LOT LIKE UHM GYM EVERY DAY ITS ITS BEEN ITS BEEN A JOURNEY audio/MSK0034.mp3[108.400,109.920] UM JUST MY HIP audio/RES0028.mp3[131.080,136.680] OK AND DOES ANYTHING YOU DO MAKE IT GET MAKE THE PAIN GET WORSE audio/MSK0015.mp3[514.680,518.120] OK ANY ALLERGIES TO MEDICATIONS audio/RES0045.mp3[527.200,530.280] UH EVERYBODYS BEEN WELL audio/RES0118.mp3[358.160,361.840] UH NOPE NOTHING LIKE THAT audio/RES0043.mp3[370.240,374.600] OK ANY CHANGES IN HIS BOWEL MOVEMENTS audio/MSK0010.mp3[397.240,408.280] YEAH ITS BEEN PRETTY PAINFUL LIKE I KIND OF WAKE UP EVERY TIME I ACCIDENTALLY GO ON TO MY LEFT SIDE audio/RES0059.mp3[189.440,193.200] UH NO audio/RES0062.mp3[743.880,747.320] AND DO YOU SMOKE audio/MSK0012.mp3[152.920,161.960] YEAH SO ID SAY LIKE JUST ANY SORT OF PHYSICAL ACTIVITY LIKE IF IM ON MY FEET A LOT IT HURTS audio/RES0088.mp3[265.480,272.400] OK AND ANY HEADACHES AT ALL audio/DER0001.mp3[595.080,599.920] YEAH IF YOU AVERAGE OUT I MAINLY GO THROUGH THE TWO FOUR IN A WEEKEND TO BE HONEST audio/RES0187.mp3[369.280,370.920] NO NO audio/MSK0001.mp3[362.320,363.240] UH NOPE audio/MSK0020.mp3[48.360,53.960] OK AND IS THE PAIN AND STIFFNESS ALWAYS THERE OR DOES IT COME AND GO audio/GAS0007.mp3[253.360,254.880] OK STILL HAVE YOUR APPENDIX audio/RES0039.mp3[17.720,22.840] OK AND WAS THIS THE FIRST TIME THAT HAPPENED audio/RES0092.mp3[38.640,44.600] HAS THE COUGH GOTTEN WORSE OVER THE PAST TWO WEEKS audio/MSK0034.mp3[195.280,198.800] NO I HAVENT audio/RES0148.mp3[33.920,49.320] YEAH CERTAINLY IT IT SOUNDS LIKE YOU UM HAVE HAD A FEVER AS WELL SO UH WITH THE COUGH YOU SAID THAT STARTED THREE DAYS AGO HAS IT BEEN GETTING UH ANY BETTER OR ANY WORSE audio/MSK0038.mp3[523.680,542.880] OK ALRIGHT UM THOSE WERE ALL THE QUESTIONS I HAD FOR YOU UM WELL MOVE ON TO THE PHYSICAL EXAM COMPONENT OF THIS UM SO IF YOU CAN TAKE A LOOK AT BOTH YOUR KNEES UM DO YOU SEE ANY VISIBLE REDNESS OR SWELLING IN THE AREA audio/RES0104.mp3[539.080,541.000] OK ANY SURGERIES IN THE PAST audio/RES0164.mp3[659.800,662.000] ALRIGHT WELL TAKE CARE TALK TO YOU SOON audio/RES0053.mp3[110.640,130.480] BARKY MIGHT BE A GOOD WORD TO DESCRIBE IT LIKE HES HAD COLDS BEFORE HIS COUGHS WERE QUIET BUT THIS SOUNDS HARSH IT SOUNDS LIKE HES REALLY TRYING TO COUGH HARD THERE VERY VIOLENT SOMETIMES audio/RES0045.mp3[12.200,22.440] OK YEAH ITS GOOD THAT YOUVE COME IN UM SO THE COUGH STARTED FOUR DAYS AGO HAS IT BEEN CONSTANT SINCE audio/RES0058.mp3[582.160,601.240] I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED HIS WHOLE LIFE ALSO ALSO DIABETES BUT DONT KNOW IF HE HAD ANY HEART PROBLEMS THOUGH audio/RES0066.mp3[424.080,427.920] YEAH SORRY I FORGOT TO MENTION THAT audio/RES0140.mp3[244.720,250.440] OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY ALLERGIES audio/RES0146.mp3[154.040,161.640] OK UHM AND DO YOU HAVE A COUGH audio/RES0206.mp3[543.480,544.960] UH NO audio/MSK0026.mp3[70.760,80.600] OK TWO WEEKS AGO WHEN THE PAIN STARTED WAS THERE ANY TRAUMA OR COULD YOU REMEMBER ANY MOVEMENT THAT THAT CAUSED THE PAIN audio/MSK0050.mp3[40.280,50.800] OK AND UH WHERE IS THIS UM THE PAIN AND NUMBNESS WHERE ARE YOU FEELING IT EXACTLY audio/RES0107.mp3[25.680,31.360] YEAH FOR SURE WHEN DID WHEN DID THE SNEEZING AND RUNNY NOSE START audio/RES0035.mp3[33.400,35.920] WELL ABOUT ABOUT 8 MONTHS audio/RES0110.mp3[499.400,507.960] NO OK OK UHM CAN YOU TELL ME ABOUT ANY UH MEDICAL CONDITIONS THAT YOU MIGHT HAVE audio/MSK0035.mp3[136.640,147.880] OK IS THERE ANYTHING YOUVE DONE THATS MADE IT THAT MADE IT BETTER LIKE HAVE YOU TRIED ANY MEDICATIONS OR ANY ICE OR TOPICAL CREAMS audio/RES0138.mp3[479.680,481.640] UM ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0075.mp3[455.200,466.280] NO UH WEVE BEEN PRETTY SAFE AND WEVE BOTH BEEN TESTED BEFORE AND EVERYTHING SO IM NOT REALLY CONCERNED audio/RES0212.mp3[237.960,241.160] OK SO THE COUGH DOES WAKE YOU UP AT NIGHT audio/MSK0006.mp3[380.960,384.000] OK CHANGES TO YOUR URINE audio/RES0163.mp3[104.440,111.240] OK AND SO YOU HAVE STUFFINESS BUT DO YOU EVER GET ANY KIND OF DISCHARGE OR DRAINAGE FROM YOUR NOSE audio/CAR0004.mp3[287.320,290.200] NO NO NO SURGERIES audio/MSK0004.mp3[369.840,374.560] RIGHT NOW IM ACTUALLY JUST LIVING ALONE IN A IN AN APARTMENT audio/RES0181.mp3[196.960,201.520] YOU HAD ANY DIARRHEA OR OR CONSTIPATION audio/MSK0031.mp3[430.120,434.920] OK AND HAVE YOU DONE ANY TRAVEL RECENTLY audio/RES0201.mp3[247.960,251.680] HAVE YOU HAD ANY CHEST PAIN audio/RES0122.mp3[183.640,185.160] NO NO CHANGES audio/RES0046.mp3[389.800,394.960] OK SO YOU HAVE SOME ABDOMINAL PAIN ASSOCIATED WITH THAT TOO audio/RES0033.mp3[651.000,653.880] OK DO YOU SMOKE CIGARETTES audio/RES0061.mp3[555.560,568.600] YEAH OK ALRIGHT SO ILL GO BACK TO YOUR PAST MEDICAL HISTORY HAVE YOU BEEN HOSPITALIZED OR HAVE YOU EVER NEEDED SURGERIES IN THE PAST audio/RES0132.mp3[569.880,586.360] UM MY MOM HAD LUNG CANCER WHEN SHE WAS 50 AND LIKE ALL THE LIKE DIABETES HYPERTENSION AND HIGH CHOLESTEROL RUNS ON MY RAN ON MY FATHERS SIDE OF THE FAMILY audio/RES0137.mp3[244.720,248.520] ITS USUALLY JUST WHAT SHES EATEN audio/RES0154.mp3[494.120,498.120] NO NO ANTIBIOTICS audio/RES0083.mp3[380.000,391.040] OK OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED audio/RES0213.mp3[427.160,433.360] GOT IT YOURE DOING A MASTERS IN SOCIAL WORK ANYONE AROUND YOU BEEN SICK AT ALL LAST LITTLE WHILE audio/RES0078.mp3[10.000,16.600] WHEN DID IT START audio/MSK0001.mp3[129.240,135.040] I ALSO FEEL THE PAIN UH INTO MY RIGHT LEG audio/RES0102.mp3[724.000,737.080] THATS REALLY GOOD AND SO BESIDES SO YOU LIVE WITH YOUR HUSBAND AND THREE KIDS DOES ANYONE IN SMOKE IN THE HOUSE OR DO YOU SMOKE AT ALL audio/MSK0005.mp3[662.760,667.600] UM NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK audio/MSK0035.mp3[714.480,716.840] I CAN FLEX AND EXTEND OK audio/RES0141.mp3[346.200,351.720] OKAY GOOD UM AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE audio/MSK0032.mp3[494.400,506.000] OKAY HOW ABOUT UM WHEN YOU PALPATE HER ELBOWS DOES IS SHE IN PAIN audio/MSK0037.mp3[636.080,643.400] UHM NOT THAT I KNOW audio/RES0126.mp3[558.200,561.560] NO OK HAVE YOU BEEN AROUND ANY CATS RECENTLY audio/RES0106.mp3[520.040,527.000] OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0056.mp3[529.400,537.400] I LIVE IN LONDON RIGHT NOW I LIVE WITH MY WIFE IN AN APARTMENT audio/RES0046.mp3[228.640,230.520] UH NOTHING LIKE THAT audio/RES0015.mp3[563.880,572.720] NO I DONT REALLY REMEMBER I THINK IT WAS SOME KIND OF PNEUMONIA audio/RES0148.mp3[265.840,273.760] OK GREAT AND UM HAVE YOU HAD ANY UH LIKE SYMPTOMS LIKE THIS BEFORE audio/MSK0004.mp3[461.560,467.720] OK AND ARE YOU ABLE TO STAND UP AND WALK OR ARE YOU NOT ABLE TO DO THAT RIGHT NOW audio/RES0077.mp3[608.360,611.920] OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS audio/RES0208.mp3[23.240,27.760] IS THERE IS THE SHORTNESS OF BREATH KNEW FOR YOU audio/RES0048.mp3[378.080,381.320] UH NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0128.mp3[399.880,407.600] NO OK ANY OLD CARPETS DOES MOLD ASBESTOS ANYTHING LIKE THAT AT HOME audio/RES0039.mp3[349.360,356.640] OK HAVE YOU NOTICED AT ALL UH ANY INCREASED FATIGUE THROUGHOUT THE DAY audio/MSK0035.mp3[265.760,267.760] HAVE YOU HAD ANY CHEST PAIN audio/MSK0042.mp3[499.760,505.720] OKAY WELL THATS GOOD AND UM ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0124.mp3[469.720,475.640] OKAY THATS GREAT DO YOU UH DID YOU EVER HAVE ANY HOSPITALIZATIONS audio/MSK0020.mp3[273.320,278.640] NO FEVERS OR CHILLS OK HOW ABOUT RASHES audio/RES0051.mp3[78.240,85.840] OK AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS WITH THE COUGH audio/RES0140.mp3[264.080,267.000] WERE YOU DISCHARGED WITH ANY SUPPORT audio/RES0106.mp3[29.040,31.160] OK WHAT COLOUR IS THE PHLEGM audio/RES0127.mp3[459.680,464.320] I DO I DO IVE BEEN DOING IT VIRTUALLY audio/RES0122.mp3[291.880,294.960] ANY HOSPITALIZATIONS OR SURGERIES audio/RES0067.mp3[187.240,198.560] ITS BEEN ITS BEEN NOT GREAT SHES NOT EATING WELL I GUESS BECAUSE SHES IN A LO OF PAIN AND SHE DIDNT SLEEP WELL FOR THE PAST TWO NIGHTS EITHER audio/RES0047.mp3[514.760,516.480] UH AMLODIPINE audio/RES0135.mp3[48.760,54.800] OKAY SO IT WAS BETWEEN 38 AND 39 EACH TIME YOU CHECKED IT audio/RES0015.mp3[100.240,121.360] OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHLESSNESS WOULD YOU SAY THAT IT FEELS LIKE A KIND OF LIKE A BURNING FEELING LIKE YOURE HAVING A HARD TIME CATCHING YOUR BREATH OR DOES IT FEEL LIKE YOURE BREATHING TOO FAST audio/RES0207.mp3[368.160,370.760] I I AM YEAH audio/RES0118.mp3[406.400,434.240] OK UM YEAH SO THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU I KNOW ITS A BIT CONCERNING BECAUSE OF THE PANDEMIC GOING ON AND UM A RUNNY NOSE CAN BE A SYMPTOM UH OF COVID AS WELL BUT UH IT CAN ALSO BE A SYMPTOM OF JUST THE COMMON COLD OR ANY OTHER VIRUS UM BUT SINCE YOURE HAVING UH YOURE SYMPTOMATIC RIGHT NOW WE WILL DEFINITELY GET LIKE A COVID SWAB TEST DONE FOR YOU audio/MSK0005.mp3[579.320,585.440] OK UM AND THEN ARE YOU ON ANY MEDICATIONS audio/RES0213.mp3[199.960,217.040] YEAH I MEAN BESIDES JUST KIND OF FEELING STRESSED I UH LIKE I IVE BEEN TRYING TO QUIT SMOKING AND THATS BEEN THATS BEEN KIND OF HARD AND SCHOOLS JUST VERY VERY BUSY RIGHT NOW audio/RES0044.mp3[199.440,206.280] OK UM IS IT HARD FOR YOU TO SWALLOW FOODS OR FLUIDS audio/RES0083.mp3[195.600,211.920] NO THATS OK I MEAN A BIT LIKE I DONT KNOW LIKE KIND OF ACHY I GUESS WITH MY UPPER BACK AND SHOULDERS FEEL A BIT SORE BUT YEAH I CAN MOVE MY HEAD AROUND OK audio/MSK0009.mp3[115.840,126.320] OK UM AND DID YOUR KNEE HURT BEFORE THIS AT ALL OR DID YOU HAVE ANY TRAUMA TO THE LEG BEFORE audio/RES0161.mp3[268.280,272.480] UH NO NO ALLERGIES audio/RES0179.mp3[161.560,166.080] OK UHM AND SORRY YOU SAID IT WAS AT THE CENTRE OF YOUR CHEST audio/RES0047.mp3[745.280,752.360] UM MAYBE I MEAN I I USUALLY WILL SEE UH A COUPLE OF FRIENDS WELL MEET UP TO GRAB SOME COFFEE audio/RES0033.mp3[340.600,345.040] NO IVE BEEN PEEING ALRIGHT NO ISSUES THERE audio/MSK0049.mp3[321.120,328.880] ALRIGHT AND HAVE YOU HAD ANY CHANGES IN APPETITE LIKE A LOSS OF APPETITE audio/RES0028.mp3[456.120,475.800] NO CANCER BUT MY MOTHER DIED OF A HEART ATTACK WHEN SHE WAS 43 AND MY GRANDMA ALSO HAD A HEART ATTACK WHEN SHE WHEN SHE WAS YOUNGER I WANNA SAY IN HER 50S BUT I DONT EXACTLY REMEMBER HOW OLD audio/MSK0007.mp3[164.000,173.840] ID SAY ABOUT 5 audio/RES0177.mp3[347.600,352.640] OH NO NOT IT WAS A VAGINAL DELIVERY AND IT WAS NORMAL audio/RES0169.mp3[127.680,129.640] UM NO NOTHING LIKE THAT audio/RES0061.mp3[691.440,695.280] OK AND DO YOU SMOKE AT ALL audio/RES0120.mp3[400.720,406.680] OKAY AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS OR DIAGNOSES audio/RES0209.mp3[45.280,52.680] SO YOURE USING YOUR BRONCHODILATOR MORE THIS IS THE ONE THAT YOU USE KIND OF AS NEEDED audio/MSK0050.mp3[83.160,101.360] UM I WOULD SAY ITS SOMEWHAT CONSTANT BUT ITS WORSE WHEN UM WHEN IM TRYING TO LIKE HOLD THE STEERING WHEEL OR USING MY PHONE OR YOU KNOW READING A BOOK audio/RES0078.mp3[500.520,502.200] NO ALLERGIES audio/RES0126.mp3[85.320,100.800] LITTLE STREAKS OF BLOOD OK AND HAVE YOU EVER COUGHED UP ANY JUST WITHOUT WITHOUT IT BEING IN THE SPUTUM JUST ONTO A TISSUE OR ANYTHING LIKE THAT JUST COUGHING UP ANY BLOOD audio/RES0190.mp3[51.440,58.000] OK UH HAVE YOU NOTICED ANY REDNESS IN THE BACK OF YOUR MOUTH audio/MSK0017.mp3[194.400,202.160] UH YEAH IVE IVE HURT MY LOWER BACK BEFORE LIKE MANY YEARS AGO UM BUT ITS BEEN OK SINCE THEN audio/RES0199.mp3[385.520,390.960] NO IM IM PRETTY HEALTHY I DONT REALLY I DONT REALLY EVEN TAKE ANY MEDICATIONS audio/RES0096.mp3[304.040,309.320] OK AND SO HOW HOW LONG WAS THAT WEIGHT LOSS OVER audio/MSK0046.mp3[384.120,386.960] UM I CAN BUT IT HURTS audio/RES0015.mp3[596.840,605.720] OK AND AND IS THERE ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/MSK0035.mp3[576.400,584.280] OK AND ARE YOU NOTICING ANY MUSCLE ATROPHY OR OR ANY DEFORMITY AT THE WRIST audio/RES0020.mp3[628.800,635.200] OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS audio/MSK0013.mp3[148.760,156.960] OK UM AND UM OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0209.mp3[82.880,91.840] OK AND YOURE USING IT MORE THAN NORMAL SO HOW OFTEN WERE YOU NORMALLY USING IT audio/RES0025.mp3[80.080,90.880] SURE OK AND SINCE IT STARTED HAVE I KNOW THESE ALL KIND OF STARTED AT DIFFERENT TIMES BUT HAS HAVE YOUR SYMPTOMS GOTTEN WORSE OVERTIME audio/RES0145.mp3[98.800,109.240] OK ALRIGHT OTHER UH AND AND I GUESS THIS SORE THROAT HAS JUST GOTTEN WORSE OVER THE PAST FOUR DAYS OR HAS BEEN KIND OF THE SAME OR BETTER audio/RES0076.mp3[613.160,628.240] YEAH WELL ITS REALLY GREAT THAT YOURE THINKING ABOUT QUITTING WE CAN DEFINITELY HELP YOU WITH SOME RESOURCES AND SOME MEDICATIONS HAVE YOU TRIED ANYTHING BEFORE THAT I SHOULD KNOW OF TO HELP YOU QUIT audio/RES0160.mp3[50.160,60.480] AND WHAT IS WHAT DOES YOUR STOOL LOOK LIKE IS IT COMPLETELY WATERY audio/CAR0001.mp3[476.840,480.880] OK AND DO YOU SMOKE CANNABIS audio/RES0016.mp3[143.440,147.320] OK AND YOU MENTIONED ITS GRADUALLY BEEN GETTING WORSE RIGHT audio/RES0005.mp3[249.520,252.240] HOW ABOUT ANY NIGHT SWEATS audio/MSK0027.mp3[733.720,738.000] OK THAT SOUNDS GOOD THANK YOU audio/RES0037.mp3[649.360,655.400] OK AND HAVE ANY OF THEM BEEN SICK audio/MSK0031.mp3[52.520,54.840] OK AND WHEN WAS THIS audio/RES0062.mp3[740.000,743.880] NO TRAVEL audio/RES0211.mp3[170.440,174.800] I HAVE I HAVE ALLERGIES USUALLY IN LIKE THE SPRING IN THE FALL audio/RES0200.mp3[241.120,245.640] UHM NO NO NOT THAT I KNOW audio/RES0060.mp3[2.640,21.000] SO IVE HAD A FEVER THAT I MEASURED THIS MORNING AND I HAD A COUGH IVE HAD A COUGH THESE LAST SEVERAL DAYS YEAH TODAY IS FRIDAY SO IT STARTED MONDAY SO I GUESS LIKE YEAH THE COUGH STARTED FOUR DAYS AGO audio/RES0045.mp3[204.480,221.200] YEAH YEAH EXERTION UM AS WELL AS LIKE THE COUGH ITSELF IM FINDING THAT IM COUGHING SO MUCH THROUGHOUT THE DAY THAT IM HAVING A HARD TIME CATCHING UP AND CATCHING MY BREATH AFTERWARDS audio/RES0104.mp3[219.080,230.520] OK AND DO YOU NOTICE ANY KIND OF SWELLING IN YOUR FEET ANKLES ARMS LEGS ANYTHING LIKE THAT audio/RES0185.mp3[310.440,312.520] NO I HAVENT audio/RES0204.mp3[419.040,446.800] YEAH ITS LIKE TAKING PICTURE OF YOUR BODY ON THE INSIDE ITS PRETTY COOL SO IT GIVES US AN IDEA OF WHATS GOING ON IN THE INSIDE ALSO THIS REALLY THIS PART IS KIND OF NOT SO MUCH FUN BUT I THINK WE SHOULD PROBABLY DO A COVID SWAB BECAUSE WERE DOING THAT WITH ANYONE THAT COMES IN WITH THESE SYMPTOMS LATELY AND THATS NOT A LOT OF FUN WE GOTTA STICK SOMETHING UP YOUR NOSE BUT I THINK THAT YOURE REALLY BRAVE AND I THINK THAT YOULL BE JUST FINE WITH IT OK audio/MSK0022.mp3[853.600,856.880] UH NO NOTHING LIKE THAT NO DEFORMITY audio/RES0177.mp3[297.120,309.240] NO HE DOESNT THATS UH THIS WAS SO SURPRISING HES BEEN HEALTHY audio/MSK0003.mp3[52.600,60.600] OK AND WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A DULL ACHING PAIN IS IT A SHARP STABBING PAIN HOW WOULD YOU DESCRIBE IT audio/MSK0042.mp3[693.560,697.240] NO UM NOTHING LIKE THAT audio/RES0056.mp3[428.480,429.760] NO NOT THAT I KNOW audio/RES0140.mp3[267.000,281.360] YEAH I DO HAVE A NURSE COMING IN LIKE EVERY EVERYDAY BUT I DONT THEY THEY DIDNT COME LIKE YESTERDAY audio/RES0006.mp3[335.040,338.280] ANY BOWEL PROBLEMS audio/RES0123.mp3[307.480,311.800] ANY PALPITATIONS OR FEEL LIKE YOUR HEARTS BEATING VERY FAST audio/RES0204.mp3[204.840,207.040] ANY HEADACHES audio/RES0106.mp3[171.920,173.440] UHM NO audio/MSK0005.mp3[346.600,349.680] NO NO NO NAUSEA OR VOMITING audio/RES0121.mp3[126.480,132.360] NO NOTHING LIKE THAT audio/RES0152.mp3[276.640,279.920] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0103.mp3[295.520,298.360] NOT THAT IM AWARE OF audio/RES0085.mp3[70.040,74.960] YEAH I THINK IT WAS LIKE 38 7 OR SOMETHING LIKE THAT audio/GAS0002.mp3[89.680,99.480] OK AND WHEN DID THE PAIN START OR IF YOU COULD TELL ME WHAT WERE YOU DOING RIGHT PRIOR TO THE PAIN STARTING audio/RES0088.mp3[289.760,302.680] NO OK AND HAVE YOU HAD A CHANCE TO AT ALL LOOK INTO HER MOUTH AND THROAT AND IF YOU HAVE HAVE YOU NOTICED ANY KIND OF REDNESS SWELLING audio/RES0068.mp3[120.600,123.120] OK ANY SORE THROAT audio/RES0214.mp3[190.600,194.720] UH YEAH JUST ME AND MY HUSBAND AT HOME audio/RES0021.mp3[485.120,497.240] I LIVE WITH TWO OF MY CHILDREN THEY ARE FIVE AND THREE AS WELL AS MY NEW BOYFRIEND audio/RES0121.mp3[326.800,330.080] LAST YEAR OKAY AND HOW LONG DID YOU SMOKE FOR audio/RES0113.mp3[425.400,506.120] YEAH OK ALRIGHT I THINK THATS ALL THE QUESTIONS I HAD FOR YOU SO UH LOOKS LIKE YOUVE HAD A FEVER COUGH AND A UM AND A HEADACHE THATS GOTTEN WORSE IN THE PAST FOUR DAYS AND YOUR HEADACHES PRETTY BAD A SEVEN OUT OF TEN UM AND UH IT COULD BE THAT YOU HAVE UH SOME SORT OF AN INFECTION UH INCLUDING UM WITH COVID BEING ONE OF THE POSSIBILITIES AND SO UM CONTINUE TO TAKE TYLENOL AND AND UM MONITOR YOUR UH FEVER IF IT CONTINUES TO GET WORSE OR YOU UM NOTICE THAT YOUR SYMPTOMS ARE JUST NOT GETTING BETTER UM YOU SHOULD COME BACK YOU SHOULD UH WELL ALSO DO A COVID WELL ALSO SEND IN A REQUEST FOR A COVID SWAB UM AND UH WELL ASK YOU TO QUARANTINE FOR THE FOR THE NEXT 14 DAYS AND TRY TO STAY AWAY FROM YOUR HUSBAND AND DAUGHTER AS WELL IF YOU CAN AT HOME UM AND UH I GUESS A COUPLE OF OTHER QUESTIONS THAT I WANTED TO ASK AND I SHOULD HAVE ASKED EARLIER DO YOU HAVE ANY UM ANY STIFFNESS IN YOUR NECK OR ANY DIFFICULTIES MOVING YOUR NECK audio/RES0186.mp3[212.640,221.880] UHM SO I ACTUALLY YEAH WITH THE SENSE OF SMELL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL NOW THAT YOU ASK AGAIN YEAH SORRY audio/RES0184.mp3[352.640,360.240] OK AND HAVE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/MSK0010.mp3[376.280,384.600] OK AND HOW ABOUT ANY NAUSEA OR VOMITING audio/MSK0050.mp3[564.520,570.760] NO PAIN UM YEAH NO PAIN audio/RES0061.mp3[522.800,533.680] NO MY WEIGHTS BEEN UH ABOUT THE SAME UNFORTUNATELY AND I HAVENT HAD ANY NIGHT SWEATS BUT I MEAN NOW THAT YOU ASKED IF I FELT MORE HOT THAN THAN USUAL MAYBE audio/RES0088.mp3[419.520,431.600] OK AND HAS SHE HAD ANY LOSS OF TASTE OF SMELL OR SORRY LOSS OF SENSE OF TASTE OR SMELL AT ALL audio/MSK0044.mp3[475.600,478.200] NO NOTHING LIKE THAT audio/GAS0007.mp3[319.760,324.000] IT TOOK AWHILE TO GET HERE audio/RES0102.mp3[602.320,610.160] OK AND DO YOU HAVE ANY PAST MEDICAL DIAGNOSIS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA ANYTHING LIKE THAT audio/RES0160.mp3[166.040,172.880] RIGHT NOW LIKE TODAY I TOOK TYLENOL SO I DONT KNOW IF ITS JUST BETTER BECAUSE OF THAT audio/RES0009.mp3[0.000,3.920] TO START COULD YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TODAY audio/RES0211.mp3[57.440,65.040] OK YOU HAVENT BEEN NOTICING BEEN RUNNING A TEMPERATURE AT HOME HAVE YOU HOT FEVERS audio/GAS0002.mp3[126.640,143.160] I THINK ITS GOTTEN IT WAS ITS THE WORST TODAY LIKE ESPECIALLY LIKE A FEW HOURS AGO LIKE 3 HOURS AGO IT WAS MUCH WORSE THAN THE OTHER TWO DAYS audio/CAR0003.mp3[365.800,371.920] OK APART FROM THE BREATHLESSNESS WHEN LAYING DOWN ANY OTHER ISSUES WITH YOUR SLEEP audio/RES0173.mp3[315.200,324.240] OK I MEAN HOW WAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS IS IT LIKE HAVE YOU LOST WEIGHT OR GAINING WEIGHT OR IS UP IN THE SAME audio/RES0046.mp3[213.120,216.440] UH NO MY THROATS FELT OK audio/RES0141.mp3[172.040,174.280] OKAY ANY CHEST PAIN audio/RES0137.mp3[461.160,464.920] OKAY AND IN TERMS OF HER MILESTONES HAS SHE BEEN MEETING ALL OF THEM ON TIME audio/GAS0004.mp3[101.520,107.920] UM NOT REALLY I DONT THINK SO I DONT LOOK THAT MUCH TO BE HONEST audio/RES0205.mp3[273.440,282.080] OK OR DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULAR THING audio/RES0179.mp3[588.320,592.280] NO PETS audio/RES0204.mp3[75.120,77.720] YEAH NO NO NOTHING LIKE THAT audio/RES0217.mp3[511.080,511.680] GREAT THANKS audio/GAS0003.mp3[416.520,418.920] WHAT DO YOU MEAN audio/RES0032.mp3[551.480,554.120] OK AND DO YOU CURRENTLY DRINK audio/RES0053.mp3[0.000,23.600] I WAS JUST BRINGING MY SON AND HES JUST HAD COUGH FOR THE LAST COUPLE OF DAYS I THOUGHT ABOUT A DAY AND A HALF AGO IT DOESNT FEEL LIKE A COLD HE HASNT BEEN TOO SICK BUT I WAS A LITTLE BIT WORRIED AND I WANTED TO GET HIM SEEN TO SEE IF THERES ANYTHING WE COULD DO audio/MSK0017.mp3[625.080,627.520] UH NO NOTHING LIKE THAT audio/RES0186.mp3[287.880,296.480] I HAVE DIABETES TYPE 2 DIABETES AND I HAVE HIGH BLOOD PRESSURE AS WELL audio/RES0123.mp3[324.360,326.560] NO NOT THAT IVE NOTICED audio/RES0049.mp3[32.880,37.000] I WOULD SAY LAST WEEK SO LIKE 7 SEVEN DAYS AGO audio/RES0148.mp3[136.480,143.720] ALRIGHT AND UM HAVE YOU HAD ANY EYE REDNESS RUNNY NOSE OR EVEN A SORE THROAT audio/RES0111.mp3[197.000,206.200] UH YEAH THE ONLY ONE THAT I HAVENT GOTTEN IS UM THAT HPV VACCINE audio/MSK0015.mp3[759.200,765.520] NO I THINK THATS ALL JUST JUST WAS WONDERING WHAT MIGHT BE GOING ON audio/RES0094.mp3[426.840,430.760] OK GREAT THANK YOU audio/RES0070.mp3[458.640,461.320] NO NO NO audio/RES0116.mp3[463.400,466.000] YEAH HES ALL UP TO DATE audio/RES0114.mp3[569.120,580.160] UHM I DONT KNOW PROBABLY I WENT THROUGH A LIKE A WHOLE PACK EVERY DAY I WOULD SAY FOR AT LEAST 30 YEARS OF MY LIFE audio/RES0212.mp3[401.960,407.120] OH LIKE MAYBE LIKE ONCE EVERY LIKE 2 WEEKS OR SOMETHING audio/RES0038.mp3[242.400,246.440] UH NOPE NO HEADACHE NAUSEA OR VOMITING audio/RES0111.mp3[16.200,19.800] HAVE YOU CHECKED YOUR TEMPERATURE audio/CAR0001.mp3[11.320,20.520] OK BEFORE WE START COULD YOU REMIND ME OF YOUR GENDER AND AGE audio/RES0091.mp3[58.240,62.800] NO COUGHING UHM ANY FEVERS OR CHILLS audio/RES0028.mp3[136.680,140.080] IT GETS WORSE EVERY TIME I BREATHE IN audio/RES0194.mp3[301.360,315.120] OK UM HAVE YOU HAD ANY FOODS RECENTLY THAT A THAT YOUVE TRIED MAYBE LIKE FOR THE FIRST TIME OR HAVE YOU EATEN OUTSIDE AT ALL audio/RES0005.mp3[307.160,308.520] NO HEADACHES audio/RES0212.mp3[78.040,79.120] UM NO audio/RES0053.mp3[615.640,617.200] ANY ALLERGIES audio/RES0015.mp3[678.800,682.240] AROUND 10 YEARS audio/RES0208.mp3[654.240,656.320] YOURE WELCOME audio/RES0039.mp3[525.400,530.680] PROBABLY ABOUT FIVE YEARS AGO audio/MSK0009.mp3[444.080,456.360] OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES BEFORE audio/RES0042.mp3[164.320,170.920] OK AND ANY ISSUES WITH VISION OR HEARING audio/MSK0035.mp3[598.200,605.000] UHM NO BUMPS BUT JUST A GENERAL KIND OF SWELLING IN THE AREA THAT MAKES IT LOOK RAISED audio/RES0099.mp3[104.560,107.360] I THINK ITS LIKE BOTH SIDES audio/RES0118.mp3[19.440,30.200] OK YEAH NO I COMPLETELY UNDERSTAND WHY YOU MIGHT BE WORRIED UM WITH EVERYTHING GOING ON SO JUST TO GET AN IDEA OF THE TIMELINE SO WHEN DID THIS START audio/RES0032.mp3[11.720,15.480] I THINK IT STARTED ABOUT A MONTH AGO audio/MSK0004.mp3[23.840,25.400] IT WAS JUST YESTERDAY audio/RES0039.mp3[372.560,380.040] JUST AFTER THE LIKE COUGHING REALLY BUT OTHERWISE AH NO audio/RES0027.mp3[402.200,407.120] I HAVE HYPOTHYROIDISM audio/MSK0009.mp3[243.640,253.560] OK UH OK AND WHEN YOU FELL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR YOUR HANDS OR WRISTS audio/RES0016.mp3[133.920,138.320] OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE audio/MSK0036.mp3[559.720,562.760] UHM NOPE audio/RES0020.mp3[0.000,2.840] COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY audio/RES0144.mp3[318.080,322.560] OK HAS HE BEEN LIMP AND LETHARGIC audio/RES0034.mp3[340.920,346.160] OK WOULD YOU SAY INCONSOLABLE AT TIMES audio/RES0110.mp3[423.760,426.560] ANY NAUSEA OR VOMITING audio/RES0147.mp3[549.680,559.520] NO I HAVENT BUT I FEEL LIKE I COULD BE RIGHT NOW ITS LIKE REALLY IM SHORT OF BREATH audio/MSK0027.mp3[465.320,469.000] NO NOTHING LIKE THAT audio/RES0105.mp3[369.680,378.040] YEAH IVE IVE HAD SOME CHILLS LAST NIGHT LIKE I JUST COULDNT GET WARM I WAS LOADING UP ON BLANKETS AND IT DIDNT SEEM TO HELP audio/MSK0025.mp3[563.480,565.480] AND ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0216.mp3[96.000,102.920] OK DID YOU FEEL ANXIOUS OR SWEATY OR THE FEELING OF IMPENDING DOOM AT ALL audio/RES0191.mp3[33.480,38.640] OK SO NO YELLOW GREEN OR OR RED TO INDICATE ANY BLOOD audio/RES0050.mp3[196.640,199.360] OK HAVE YOU HAD A RUNNY NOSE audio/RES0051.mp3[273.960,280.280] PROBLEMS LIKE DIARRHEA OR CONSTIPATION audio/RES0170.mp3[157.320,166.760] OK OTHER THAN THE AND I GUESS THE COUGH IS HE COUGHING UP ANYTHING OR IS IT KIND OF A DRY COUGH audio/RES0153.mp3[0.000,4.120] UH HOW MAY I HELP YOU TODAY audio/RES0098.mp3[677.360,680.120] YEP SOUNDS GOOD audio/GAS0005.mp3[592.440,596.280] OK AND HAS ANYBODY IN THE HOUSE BEEN SICK audio/RES0056.mp3[450.320,459.400] HES AROUND LIKE 60S RIGHT NOW SO PROBABLY LIKE IN HIS 40S audio/RES0192.mp3[362.400,378.240] UM KNOW ITS VERY MILD I IT’S YEAH SO I HAVENT REALLY I WAS JUST RECENTLY DIAGNOSED SO UHM I HAVENT BEEN STARTED ON ANY MEDICATIONS JUST YET audio/RES0211.mp3[531.120,538.920] LIKE I TRIED MARIJUANA ONCE AT A PARTY LIKE A COUPLE YEARS AGO BUT LIKE I HAD I NEVER DID IT AGAIN audio/RES0182.mp3[557.560,566.200] OK OK THAT SOUNDS GOOD THANK YOU audio/RES0022.mp3[267.880,279.560] SO GENERALLY PATIENTS WOULD WILL SAY THAT THEIR SHEETS ARE SOAKED AND IT WILL WAKE THEM UP SOMETIMES BECAUSE ITS UNCOMFORTABLE audio/RES0129.mp3[151.440,156.000] NO I HAVENT HEARD THAT audio/RES0001.mp3[297.920,299.680] HEARING HAS BEEN OK audio/RES0167.mp3[2.280,30.440] IVE JUST HAD A REAL LIKE A REAL BAD COUGH UMM ITS BEEN GOING ON FOR 4 OR 5 DAYS NOW UMM AND IM JUST IM HAVING SOME TROUBLE BREATHING IM COUGHING UP LIKE GUNKY GREEN STUFF UHM YEAH ITS JUST REALLY BAD I HAVENT HAD ANYTHING LIKE THIS BEFORE audio/RES0098.mp3[245.920,249.040] HAVE YOU HAD ANY FATIGUE audio/RES0159.mp3[441.880,446.080] YEAH IVE BEEN SMOKING FOR MY WHOLE LIFE audio/MSK0008.mp3[328.240,336.320] OK AND IN THE PAST HAVE YOU HAD OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/CAR0003.mp3[473.040,483.920] OK AND AFTER THEY MANAGED YOUR HEART ATTACK HAVE YOU EVER HAD SIMILAR SYMPTOMS TO WHEN YOU HAD YOUR HEART ATTACK audio/RES0162.mp3[270.960,282.280] UHM OK ALRIGHT HAVE YOU HAD ANY OTHER SYMPTOMS SO ANYTHING ANY PAIN IN YOUR BELLY OR ANY NAUSEA OR VOMITING audio/RES0120.mp3[300.200,304.120] ARE YOU HAVING ANY NIGHT SWEATS audio/MSK0045.mp3[309.560,317.040] UH I HAVE UM I HAVE DIABETES BUT THATS ABOUT IT audio/MSK0029.mp3[316.360,318.800] ANY HEADACHES audio/RES0184.mp3[76.720,79.720] HAVE YOU HAD A COUGH audio/RES0066.mp3[115.640,117.760] NO NO BLOOD audio/RES0004.mp3[232.920,251.520] UM NO ITS NOT NOTHING LIKE THAT ITS JUST PINK AND RED AND ITS JUST KIND OF SHOWN UP OVER THE LAST LITTLE WHILE IVE NOTICED IT ON MY UM LIKE HANDS A LITTLE BIT TOO audio/RES0083.mp3[337.680,343.880] YEAH I TAKE A STATIN audio/RES0049.mp3[382.720,388.320] YEAH YEAH THAT MAKES SENSE ANY NAUSEA OR VOMITING audio/RES0074.mp3[174.440,181.560] OK AND HAVE YOU NOTICED ANY REALLY LIKE DARK OR TARRY LOOKING STOOL audio/RES0120.mp3[349.600,351.920] NO ANY NAUSEA OR VOMITING audio/RES0209.mp3[379.240,384.960] OK AND YOU SAID BESIDES THE BRONCHODILATOR YOURE NOT TAKING ANY MEDICATIONS audio/RES0102.mp3[814.040,819.600] OK AND HAVE YOU LOST ANY WEIGHT RECENTLY audio/RES0190.mp3[101.960,114.920] YEAH DEFINITELY LIKE MORE ON THE FRONT SIDE OF MY NECK ON BOTH SIDES I FEEL KIND OF LIKE SOME SWELLING AND LUMPS audio/RES0156.mp3[278.600,282.320] OK HOW LONG HAVE YOU HAD THEM audio/RES0202.mp3[494.120,504.520] UM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING audio/RES0117.mp3[274.880,277.960] OK UM WHERE DO YOU LIVE RIGHT NOW audio/RES0160.mp3[397.320,400.680] UH I PROBABLY HAVE A BEER EVERY DAY audio/MSK0013.mp3[436.960,439.280] NO I DONT BELIEVE SO audio/RES0109.mp3[161.480,165.400] OK YEAH AND THEN ANY FEVERS audio/RES0083.mp3[100.400,121.400] SO WITHIN THE LAST COUPLE OF DAYS YEAH IVE HAD A HEADACHE WANT TO SAY MOST OF THE TIME AND IVE BEEN USING TYLENOL OR ACETAMINOPHEN TO HELP WITH THOSE ITS TAKEN THE EDGE OFF OF THE HEADACHES FOR SURE audio/MSK0042.mp3[473.920,477.920] NO WEVE ALL JUST BEEN AT HOME audio/MSK0032.mp3[41.640,57.200] I THINK IT STARTED UH AFTER WE WENT FOR A WALK LAST UH EVENING UM AND WE JUST WENT TO THE PARK AND SINCE THEN LIKE SHES BEEN HAVING THAT PAIN audio/MSK0011.mp3[529.200,533.680] ILL PROBABLY I GUESS PROBABLY LIKE TWO OR THREE GLASSES OF WINE A DAY audio/RES0168.mp3[647.160,650.560] YEAH I THINK THAT SOUNDS THAT SOUNDS FAIR YEAH THANK YOU audio/MSK0006.mp3[690.000,692.680] YEAH FOR SURE audio/MSK0037.mp3[215.760,232.800] OK YEAH CERTAINLY OK AND WHAT HAVE YOU HAD ANY PROBLEMS WITH YOUR HAND BEFORE LIKE ANY TRAUMA THERE OR ANYTHING LIKE THAT audio/RES0108.mp3[65.800,80.120] NOT REALLY I HAVENT UH NOTHINGS REALLY HELPED UM I ALSO TRIED A COUGH SYRUP UM IT DIDNT IT HELPED FOR A COUPLE HOURS BUT THEN IT WAS BACK AGAIN THE COUGH WAS BACK AGAIN audio/RES0160.mp3[444.040,445.720] NOT THAT I KNOW OF NO audio/RES0188.mp3[300.240,309.680] OK SO HES HITTING ALL THE DEVELOPMENTAL MILESTONES LIKE IN TERMS OF MOTOR MOVEMENTS AH SPEECH BEHAVIOUR ALL OF THAT audio/RES0095.mp3[44.280,50.040] OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE audio/RES0203.mp3[232.200,235.560] OK ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0107.mp3[163.840,166.360] UM I DONT THINK SO audio/RES0027.mp3[672.840,678.880] OK UM AND DID YOUR PARENTS HAVE ANY HEART PROBLEMS audio/MSK0032.mp3[332.000,336.520] YEAH WEVE HAD WEVE GOT ALL THE IMMUNIZATION audio/RES0064.mp3[1.760,7.720] MY CHILD HAS BEEN HAVING A SORE THROAT AND CHILLS YESTERDAY AS WELL audio/RES0187.mp3[541.280,557.440] NO NO ONES BEEN SICK UHM I DO MEET UP WITH SOME FRIENDS ON THE WEEKENDS SOME OF THEM ARE FROM WORK SOME OF THEM ARE JUST THAT THAT I KNOW OUTSIDE OF WORK audio/RES0197.mp3[342.000,346.720] OK AND HAVE YOU BEEN PREVIOUSLY HOSPITALIZED FOR ANY REASON audio/RES0091.mp3[205.040,210.840] OK AND HAS THIS AFFECTED YOUR WORK IN ANY WAY audio/CAR0002.mp3[123.960,131.480] OK AND DOES IT CHANGE AT ALL FROM YOU CHANGING POSITIONS LIKE IF YOURE STANDING UP VERSUS SITTING DOWN OR LAYING DOWN audio/MSK0044.mp3[309.560,315.400] OKAY ANYTHING THAT YOUVE TRIED THAT HAS HELPED OR MADE YOUR PAIN WORSE audio/RES0213.mp3[0.000,6.320] YEAH SO YOURE A 26 YEAR OLD GENERALLY HEALTHY AND WITH SORRY BACK PAIN audio/RES0043.mp3[320.440,325.080] OK UM AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE audio/RES0065.mp3[259.040,263.680] OK ANY ISSUES WITH BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION audio/MSK0006.mp3[294.440,300.000] YEAH IVE IVE HAD SOME NUMBNESS AND TINGLING DOWN THE THE RIGHT LEG audio/DER0001.mp3[27.600,31.200] OK UH HOW LONG IS THIS BEEN GOING ON FOR audio/MSK0019.mp3[293.360,296.840] OKAY AND ANY LUNG OR HEART CONDITIONS audio/RES0146.mp3[379.400,385.960] OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED audio/RES0093.mp3[536.680,548.600] YEAH I SMOKE UHM A HALF A PACK OF CIGARETTES PER DAY IT WAS WELL OVER A PACK BEFORE SO IVE CUT DOWN A LITTLE BIT audio/RES0007.mp3[491.440,497.840] WHAT I DONT KNOW LIKE NOT THAT I THOUGHT BUT MAYBE LIKE CATS audio/RES0183.mp3[2.280,25.600] HI THERE I BROUGHT IN MY HERE BECAUSE HES BEEN BARKING WELL NOT BARKING HES HAD THIS COUGH THAT SOUNDS LIKE A BARKING COUGH AND HES HAVING A REALLY HARD TIME TAKING IN A DEEP BREATH AND MONEY DOES IT SOUNDS IT SOUNDS HARSH audio/RES0154.mp3[162.160,170.480] LAST NIGHT I WOULD SAY I HAD NIGHT SWEATS MY SHEETS WERE A BIT DRENCHED audio/RES0012.mp3[2.920,19.240] I CANT I CAN BARELY BREATHE FOR LIKE 2 DAYS NOW AND IVE BEEN COUGHING AND BEEN HAVING LIKE A LITTLE BIT OF PAIN IN MY CHEST audio/RES0105.mp3[538.200,544.000] OK I SEE DO YOU HAVE ANY SWELLING INCREASED SWELLING RIGHT NOW audio/RES0123.mp3[269.840,273.760] UM AND DO YOU HAVE A RUNNY NOSE OR STUFFY NOSE audio/RES0004.mp3[870.040,897.640] OK ALRIGHT SO I WILL WILL GO OFF A FEW WELL TRY TO COVER OUR BASIS AND GET YOU TESTED FOR MONO WHICH I WOULD HAVE TO DO LIKE A MONOSPOT TEST AND WE CAN DO RAPID STREP TEST AS WELL TO SEE IF HE HAS SOMETHING CALLED STREP THROAT BUT YEAH WELL SEE WHAT THOSE RESULTS COME BACK AS AND WELL GO FROM THERE DOES THAT SOUND GOOD audio/RES0039.mp3[710.920,717.200] OK THAT THAT SOUNDS GOOD YEAH MAYBE MAYBE NEXT APPOINTMENT WE CAN TALK ABOUT THAT audio/RES0138.mp3[190.240,193.320] OH OKAY WELL WHEN WAS THAT audio/MSK0014.mp3[115.760,124.600] OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THE CHARACTER OF IT IS IT SHARP DULL OR ACHY audio/RES0207.mp3[429.120,431.040] YEAH THATS GREAT audio/MSK0010.mp3[744.280,808.880] OK UM SO BASED ONI KNOW THAT THE SYMPTOMS TODAY ALONG WITH YOUR AGE AND PRIOR HISTORY OF AN OVERUSE INJURY OF THE LEFT SHOULDER IT CERTAINLY RAISES CONCERN OF HAVING A ROTATOR CUFF TEAR OR UM A ROTATOR CUFF IMPINGEMENT SYNDROME AND WHERE THERE IS INFLAMMATION THERE NOT NECESSARILY ACTUALLY A FULL TEAR OF THE MUSCLE THATS CAUSING THE PAIN SO UH THOSE WOULD BE THE TWO MOST LIKELY THINGS YEAH THEIR ROTATOR CUFF TEAR OR SUBACROMIAL IMPINGEMENT SYNDROME AND SO WE WERE GOING TO GET AN ULTRASOUND OF THE LEFT SHOULDER TO EVALUATE THE STRUCTURES AND POSSIBLY SOME OTHER IMAGING SUCH AS AN X RAY OR MRI TO DETERMINE THE EXTENT OF THE INJURY IN THE LEFT SHOULDER audio/MSK0016.mp3[877.680,879.520] I DO YEAH audio/RES0048.mp3[120.840,132.760] UM NO NOT REALLY I IVE DONE SOME UH HOME REMEDIES LIKE TRYING TO DO ONE OF THOSE STEAM STEAM MASKS AND SEE IF THAT HELPS BUT IT DIDNT REALLY DO ANYTHING audio/RES0214.mp3[62.240,66.720] OK AND HAVE YOU BEEN ABLE TO EAT AND DRINK DURING THIS TIME PERIOD audio/RES0208.mp3[286.520,289.320] NO I DONT THINK SO audio/CAR0002.mp3[428.680,440.320] OK AND HOW ABOUT YOUR DIET WELL HOWS YOUR DIET LIKE JUST REGULARLY audio/RES0105.mp3[544.000,548.520] NO I THATS BEEN ABOUT THIS BEEN PRETTY CONSTANT audio/MSK0036.mp3[694.240,697.240] IN MY FAMILY HISTORY I THINK THERE IS audio/RES0043.mp3[243.960,258.720] I DONT LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD audio/RES0066.mp3[105.240,110.880] UM I GUESS A LITTLE BIT YEAH YEAH I GUESS A LITTLE BIT AND ITS YELLOW audio/RES0183.mp3[38.440,42.120] IT SOUNDS PRETTY DRY YEAH audio/MSK0015.mp3[310.160,317.000] OK AND ANY MUSCLE ACHES OR BODY PAINS OR ANY OTHER PAINS ANYWHERE ELSE audio/RES0129.mp3[103.520,118.360] UHM NO HES BEEN GAINING WEIGHT ACTUALLY SORRY I THINK IT YEAH HE HAS HAD A FEVER THE FEVER YEAH THE FEVER STARTED LIKE YESTERDAY audio/RES0161.mp3[63.000,68.840] YEAH DO YOU FEEL LIKE ITS WORSE WHEN YOURE BENDING DOWN OR SQUATTING audio/RES0155.mp3[129.880,134.480] OK YEAH SO AT REST YOURE FINE BUT LIKE WHEN YOU EXERT YOURSELF IT GETS WORSE audio/RES0016.mp3[347.040,354.640] NO OK UM HOW ABOUT CONFUSION OR MEMORY LOSS audio/RES0028.mp3[9.320,12.880] OK AND WHERE WHERE DOES IT HURT EXACTLY audio/RES0116.mp3[336.040,340.360] ANY APPETITE CHANGE audio/GAS0007.mp3[366.560,370.640] NO JUST HOPING TO GET AN ANSWER TO WHATEVER IS GOING ON audio/RES0060.mp3[718.640,737.960] OK AND I FORGET IF I ASKED YOU EARLIER BUT HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS ANY CHANGES IN YOUR URINE ITSELF OR VOIDING FREQUENCY audio/RES0175.mp3[131.040,140.640] OK UM HAVE YOU HAD ANY UH UM SYMPTOMS SUCH AS RED EYES OR OR ITCHY EYES OR RUNNY NOSE audio/RES0142.mp3[53.520,61.680] OKAY UM HAVE YOU HAD ANY DIFFICULTIES SWALLOWING audio/RES0195.mp3[363.960,368.440] OK ANY CHANGES IN YOUR URINARY PATTERN audio/GEN0001.mp3[225.120,230.840] NO AND LIKE I HAVENT HAD LIKE HAD A SEXUAL PARTNER IN A FEW YEARS audio/MSK0041.mp3[757.400,762.120] I CAN audio/RES0058.mp3[403.520,407.440] NOTHING LIKE THAT NO WEIGHT CHANGE ITS BEEN THE SAME audio/MSK0049.mp3[421.040,433.640] IM ON INSULIN FOR DIABETES UM IM ON RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ALSO ON A STATIN FOR THE CHOLESTEROL audio/RES0217.mp3[484.960,489.760] YEAH TOTALLY FINE IT WAS JUST A LITTLE TENDER THERE AND THATS THE ONLY REASON I LOOKED audio/RES0117.mp3[354.920,369.560] YEAH I I WAS VERY WORRIED UM UH ABOUT THE BLOOD I WAS JUST READING SOME THINGS UP AND UH ABOUT TUBERCULOSIS SO I WAS REALLY STRESSED OUT TODAY audio/RES0080.mp3[452.560,466.440] YEAH I LIVE WITH MY WIFE ABOUT TEN MINUTES AWAY FROM HERE WE LIVE IN AN APARTMENT UH YEAH audio/RES0160.mp3[532.040,542.880] UHM APPETITES PRETTY OK LIKE I FEEL LIKE IVE BEEN MORE HUNGRY WITH THE CARRY I FEEL LIKE I NEED TO EAT MORE audio/RES0026.mp3[334.960,340.000] OK AND HAVE YOU HAD ANY CHEST PAIN audio/CAR0004.mp3[68.840,77.480] OK DOES THE PAIN COME ON WHEN YOURE DOING ANY ACTIVITIES OR WHEN DOES THE PAIN USUALLY COME ON audio/RES0095.mp3[688.400,746.880] YEAH SO THE FIRST THING ILL SPEAK TO YOUR DAUGHTER AND WE WILL UHM GET A LOOK AT SOME OF THE OLD OR SOME OF THE REPORTS FROM UHM OVER THE LAST SEVERAL MONTHS FROM AND FROM THE CARDIOLOGIST YOU SEE BUT ITS UH AND THEN UH ALSO WELL GET SOME BLOOD WORK AND A CHEST XRAY BUT IT IS SOUNDING LIKE THIS COULD BE A HEART FAILURE EXACERBATION WHICH SO SOME OF THE SHORTNESS OF BREATH IT COULD BE COMING FROM FLUID UHM THAT HAS ACCUMULATED IN YOUR LUNGS AND SO UH WELL GIVE YOU OH ANOTHER TYPE OF WATER PILL NOW FUROSEMIDE TO TRY AND HELP GET RID OF SOME OF THAT FLUID SO IT WILL HELP WITH THE BREATHING AND IN THE MEANTIME WELL WAIT FOR THE INVESTIGATIONS TO COME BACK audio/RES0110.mp3[139.720,145.480] UHM AND UH ARE YOU HEARING ANY WHEEZING SOUNDS audio/MSK0005.mp3[487.440,493.440] OK HOW ABOUT WHEN YOU EXTEND YOUR SHOULDER ALL THE WAY UP audio/RES0062.mp3[261.240,265.400] OK ANY CONFUSION OR MEMORY LOSS audio/RES0023.mp3[445.760,468.000] OK UM OK AND IN TERMS OF YOUR LIFESTYLE THAT SOUNDS LIKE YOU LIVE WITH YOUR WIFE AND KIDS YOU WORK AT A GROCERY STORE ON A WEEKLY BASIS DO YOU DO YOU DRINK ALCOHOL audio/MSK0016.mp3[16.600,20.560] ON YOUR LEFT HAND OK AND SORRY WHEN DID YOU SAY THIS STARTED audio/RES0012.mp3[322.320,326.400] ANY DO YOU HAVE LIKE A STUFFY NOSE RUNNY NOSE audio/MSK0028.mp3[786.840,792.480] OK SO YEAH SO IS THAT SO YOU HAVE REDUCED SUPINATION AS WELL audio/MSK0003.mp3[350.640,355.000] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS audio/MSK0036.mp3[542.680,554.560] NO I IVE BEEN PRETTY HEALTHY SOMETIMES I TAKE SOME ADVIL FOR HEADACHES AND STUFF OR TYLENOL BUT THATS IT audio/RES0155.mp3[306.880,311.320] OK UM AND HAVE YOU HAD ANY HEADACHES OR CHANGES IN YOUR VISION OR ANYTHING LIKE THAT audio/RES0179.mp3[148.360,154.200] OK AND IS IT ALWAYS THERE OR IS IT WORSE WITH LIKE EXERTION audio/RES0183.mp3[547.160,552.280] OK AND UH ANY CONCERNS FOR HIS VISION OR HEARING audio/RES0048.mp3[786.000,795.400] VIRUS LIKE MAINLY IM WORRIED ABOUT COVID AND YOU KNOW JUST HOW FAST THATS SPREADING EVERYWHERE audio/RES0136.mp3[0.000,3.840] WHAT BRINGS YOU IN HERE TODAY audio/RES0076.mp3[362.400,367.720] MAYBE TEN TO FIFTEEN POUNDS audio/MSK0040.mp3[709.280,716.800] OK SO DORSIFLEXION IS LIMITED AND HOW ABOUT PUSHING YOUR FOOT DOWN LIKE YOURE PRESSING ON THE GAS PEDAL audio/RES0017.mp3[408.640,419.320] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS LIKE IN YOUR HANDS AND YOUR FEET OR ANKLES audio/RES0116.mp3[511.720,516.520] OK UM AND WHO DOES HE LIVE WITH audio/RES0109.mp3[189.720,196.880] NO RASHES OK UM ANY UH SORRY I ASKED YOU IF YOU HAD CHEST PAIN UH DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/MSK0037.mp3[625.680,636.080] OK I I SEE AND THATS GOOD THEN UHM ANYBODY IN THE FAMILY HAVE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY audio/MSK0039.mp3[403.120,406.760] HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT audio/RES0005.mp3[300.640,307.160] OK UM AND HAVE YOU BEEN HAVING ANY HEADACHES audio/RES0184.mp3[57.680,60.640] NO I HAVENT HAD THAT audio/RES0179.mp3[109.840,137.480] UH YEAH IVE HAD THIS KIND OF LIKE DULL KIND OF ACHING PAIN THAT THAT IVE HAD KIND OF WORK JUST ON THE RIGHT SIDE OF MY CHEST IT YEAH ITS KIND OF ACHING AND NOT THAT BAD BUT UNCOMFORTABLE audio/RES0038.mp3[293.200,296.600] OK HAVE YOU HAD ANY FEVERS OR CHILLS RECENTLY audio/RES0208.mp3[416.560,422.880] I TAKE AVODART audio/RES0160.mp3[22.560,38.120] THE COUGH STARTED AROUND 5 DAYS AGO AND ITS IT GOT WORSE BUT NOW I THINK ITS A LITTLE BIT BETTER audio/MSK0050.mp3[226.320,231.840] OK AND DO YOU HAVE ANY NECK PAIN audio/RES0159.mp3[419.760,424.360] NO IM IM FAIRLY INDEPENDENT IN THOSE MATTERS audio/RES0022.mp3[536.320,543.480] OK UH AND THEN IM NOT SURE IF I ASKED BUT DID YOU HAVE A SORE THROAT audio/MSK0022.mp3[719.960,735.240] YEAH I CAN IT CAN GIVE ME A LITTLE BIT OF PAIN BUT ONCE MY HANDS START MOVING ITS ITS OK ITS JUST IM A BIT SLOWER AT MY JOB WITH WITH HOW IT IS ESPECIALLY STARTING IN THE MORNING audio/MSK0004.mp3[344.040,352.240] OK AND DO YOUR GRANDPARENTS HAVE RHEUMATOID ARTHRITIS OR OSTEOARTHRITIS DO YOU KNOW audio/RES0113.mp3[232.360,234.920] UM ANY UM REDNESS IN YOUR EYES audio/MSK0017.mp3[727.640,729.560] NO NO PAIN THERE audio/GAS0005.mp3[630.920,636.480] OK UH AND THEN YOU KNOW RECENT CHANGES TO ANYTHING IN THE DIET YOUVE MENTIONED audio/RES0156.mp3[341.320,344.800] YEAH ALL OF THAT HAS BEEN HAS BEEN NORMAL audio/DER0001.mp3[245.120,249.680] YEAH YEAH IT DOES ACTUALLY CHANGING SOCKS THE OTHER DAY YEAH audio/RES0173.mp3[567.000,571.960] OK AND DO YOU HAVE ANY PETS AT YOUR HOUSE audio/RES0125.mp3[301.080,307.000] NO OKAY UM HAVE YOU HAD TO MISS WORK AT ALL OR DO YOU CURRENTLY WORK audio/RES0012.mp3[675.240,698.320] LIKE I I ALWAYS I ALWAYS GOT LIKE THE ONES I WAS SUPPOSED TO UM I NORMALLY LIKE NORMALLY WHERE I GO INTO WORK THERES LIKE A PHARMACY OUTSIDE AND I WOULD GET MY FLU SHOT BUT THIS YEAR ITS LIKE IM WORKING FROM HOME I HAVENT EVEN BEEN AROUND THERE SO I DIDNT GET IT THIS YEAR BUT I HAVE ALL THE NORMAL ONES audio/MSK0040.mp3[269.080,276.480] OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING audio/RES0004.mp3[251.520,257.400] OK AND YOU SAID THIS STARTED WHEN LIKE WAS THIS BEFORE THE SORE THROAT OR AFTER audio/RES0023.mp3[74.440,84.640] OH GEEZ THATS TOO BAD DO YOU FIND THAT IT DOES IT FEEL REALLY DRY OR ARE YOU BRINGING UP LIKE GUNKY STUFF audio/MSK0018.mp3[2.280,29.880] I JUST CAME IN BECAUSE OF I JUST GOT INTO LIKE THIS UH INCIDENT WHILE I WAS PLAYING RUGBY I KIND OF GOT TACKLED AND THEN FELL ONTO MY RIGHT SHOULDER UM AND AFTER I GOT UP I HAVENT IVE JUST BEEN THIS JUST HAPPENED A COUPLE HOURS AGO ACTUALLY AND UH IVE JUST BEEN IN INTENSE PAIN IN MY RIGHT SHOULDER AND I CANT SEEM TO MOVE IT AT ALL audio/RES0212.mp3[69.200,71.040] UH NO NOT THAT audio/RES0099.mp3[647.160,660.080] YEAH SO I I I DONT KNOW IF I SHOULD GET A TEST DONE LIKE FOR COVID UHM YEAH THATS ALL JUST WONDERING IF I IF I CAN DO THAT HERE audio/RES0124.mp3[529.680,531.280] NO I HAVENT audio/RES0190.mp3[407.600,418.680] YEAH I I LIVE WITH MY PARENTS RIGHT NOW IN A IN A HOUSE JUST IN THE CITY AND I ALSO LIVE WITH MY OLDER BROTHER audio/RES0199.mp3[174.480,184.160] OK ONLY SAYING AN AND ANY CHEST PAIN audio/RES0212.mp3[462.920,465.920] YEAH WE USE UH LIKE CONDOMS audio/GAS0007.mp3[12.320,19.320] OK SO FOR THREE DAYS AGO FOR THE LAST THREE DAYS YOU SAID ITS BEEN HURTING MORE DID YOU HAVE PAIN BEFORE THAT audio/DER0001.mp3[437.040,439.080] AND WHAT HAPPENS WHEN YOU TAKE PENICILLIN audio/RES0035.mp3[220.840,223.520] UH NO NO audio/MSK0006.mp3[363.800,365.400] NO NOTHING LIKE THAT audio/RES0051.mp3[93.640,102.760] OK UM ARE YOU HAVING ANY PAIN WITH SWALLOWING EITHER LIQUIDS OR FOOD audio/RES0146.mp3[67.080,95.640] YEAH SO I I STARTED TO GET A LITTLE BIT OF A HEADACHE LAST NIGHT SO I TRIED SOME TYLENOL IT HELPED RELIEVE THE PAIN A LITTLE BIT SO I CAN SLEEP THEN AND THIS MORNING I WOKE UP BUT I UH DIDNT HAVE A HEADACHE AT FIRST BUT IT CAME ON MAYBE AN HOUR AFTER WAKING UP AND IT FEELS LIKE A THERES A BAND AROUND SQUEEZING MY HEAD audio/RES0167.mp3[98.880,106.280] FOUR DAYS AGO OK AND DID YOU HAVE LIKE A RUNNY NOSE OR STUFFY NOSE AT THAT POINT audio/MSK0003.mp3[137.480,139.640] RIGHT YEAH ITS BEEN GETTING WORSE audio/RES0046.mp3[531.600,540.400] OK WELL THATS GOOD UH YOU DONT HAVE ANY LONGSTANDING MEDICAL CONDITIONS LIKE UH HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT audio/RES0037.mp3[703.400,710.880] OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/MSK0021.mp3[38.520,44.480] YEAH I WOULD SAY MAYBE ITS BEEN GOING ON FOR THE PAST FOUR WEEKS FOR THE PAST MONTH audio/RES0214.mp3[59.960,62.240] UM NO NO HEADACHES audio/RES0065.mp3[533.880,540.360] NO LIKE WHAT DO YOU THINK I HAVE DO YOU THINK ITS COVID audio/RES0035.mp3[97.040,106.960] UM IT COMES AND GOES BUT THERE THERE ITS ALWAYS LIKE I HAVE A TICKLE IN MY THROAT OR SOMETHING audio/RES0062.mp3[789.520,795.720] OK OK IF ITS LOWEST DOSE IT MIGHT BE 25 MILLIGRAMS audio/RES0102.mp3[154.960,169.400] NO I HAVENT UH TRAVELED ANYWHERE I HAVE BEEN DOING VOLUNTEERING AND AND THINGS AT THE HOMELESS SHELTER HERE IN IN TOWN ITS BEEN REALLY COLD OUT audio/RES0012.mp3[386.240,397.880] OK OK UM DO YOU GET THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN YOURE LAYING DOWN audio/RES0210.mp3[344.680,346.360] OK IS THAT THE ONLY ONE audio/RES0163.mp3[380.320,383.760] ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0128.mp3[242.480,247.040] OK HOW ABOUT NAUSEA OR VOMITING audio/RES0196.mp3[74.120,83.240] THREE DAYS AGO OK WAS SHE IRRITABLE LIKE OR WAS HE KIND OF TUGGING HER EARS IN PAIN OR HOW HOW WOULD YOU DESCRIBE IT audio/RES0207.mp3[361.680,368.160] RIGHT OK SO ARE YOU CURRENTLY WORKING audio/MSK0024.mp3[235.400,239.640] ANY UM SKIN CHANGES OR RASHES audio/RES0114.mp3[187.000,191.000] UM I DONT THINK SO audio/RES0119.mp3[552.480,560.760] OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS THAT I HAD FOR HER TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/MSK0004.mp3[191.880,197.320] OK AND IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE audio/RES0117.mp3[87.560,91.760] OK UM ANY RUNNY NOSE OR STUFFY NOSE audio/MSK0016.mp3[784.800,792.360] HOW ABOUT WHEN YOU UM PALPATE YOUR WRISTS BOTH SIDES MEDIAL AND LATERAL audio/RES0136.mp3[31.440,38.240] AND DID IT WAKE YOU UP FROM SLEEP AT ALL LIKE DID YOU WAKE UP TRYING TO CATCH A BREATH OR ANYTHING audio/RES0014.mp3[135.000,143.120] YEAH AND THE COUGHING HAS IT BEEN GOING ON FOR AS LONG AS YOUR BREATHLESSNESS audio/RES0177.mp3[536.560,633.000] OK OK YEAH THATS GOOD TO KNOW UHM SO BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A SWAB ON HIM AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS AND HE SHOULD ISOLATE FOR 14 DAYS BECAUSE OF THOSE SYMPTOMS AND IT DOESNT IT SOUNDS MORE IN KEEPING WITH THE PICTURE OF COMMUNITY ACQUIRED PNEUMONIA SO FOR THAT WE WILL GET A CHEST XRAY WELL CHECK HIS OXYGEN AND HIS TEMPERATURE AND IF THE CHEST XRAY SHOWS CONSOLIDATION UMM OR SOME SORT OF INFILTRATE IT IS LIKELY THAT HE HAS PNEUMONIA SO WE WILL START BY GIVING HIM SOME AMOXICILLIN POPULATE OR CEFUROXIME FOR FIVE DAYS AND JUST KEEP MONITORING HIS SYMPTOMS THEY SHOULD RESOLVE IN ABOUT 5 DAYS WHEN THE COURSE OF ANTIBIOTICS IS COMPLETE IF HIS CONDITION GETS WORSE LIKE HES GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES JUST TAKE HIM TO THE ER AND IF SYMPTOMS DONT RESOLVE IN FIVE TO SEVEN DAYS WE CAN DO FURTHER WORK UP OR THINGS LIKE FUNGAL INFECTIONS OR TB OR THINGS LIKE THAT HOW DOES THAT SOUND audio/MSK0034.mp3[367.560,370.200] AT TERM audio/RES0056.mp3[183.400,187.960] OK GOOD ANY CHANGES IN YOUR TASTE OR SMELL audio/RES0127.mp3[551.000,558.120] YEAH ITS HARD TO SMELL AND MY NOSE IS STUFFY BUT NO LOSS OF TASTE audio/RES0025.mp3[387.120,393.480] OK THERE HOW ARE THEY FEELING RIGHT NOW audio/RES0119.mp3[491.720,496.800] OK AND UM AT HOME UH WHAT IS THE ENVIRONMENT LIKE audio/RES0081.mp3[470.640,474.400] OK HAS HE EVER NEEDED TO BE HOSPITALIZED FOR ONE audio/RES0123.mp3[106.320,115.280] UM I I TAKE LIKE TYLENOL THEN LIKE IT GETS RELIEVED FOR A BIT FOR LIKE A FEW HOURS AND THEN COMES BACK audio/CAR0004.mp3[31.520,36.560] ITS KIND OF RIGHT HERE RIGHT OVER MY HEART I THINK THATS WHERE ITS THE WORST audio/RES0124.mp3[286.400,305.880] OKAY GOOD GOOD GOOD UM DOES THE COUGH SOUND LIKE A BARKY COUGH OR A MUFFLED COUGH OR UM DOES IT HAVE A SPECIFIC CHARACTERISTIC DOES IT SOUND DIFFERENT THAN WHEN YOURE SORT OF COUGHING TO CLEAR YOUR THROAT FOR INSTANCE audio/RES0173.mp3[115.520,130.720] COUGH OK AND WHAT WHAT WERE YOU AROUND ANY TRIGGERS YESTERDAY OR LIKE AROUND ANY ANYTHING THAT WAS OUT OF THE NORMAL FOR YOU audio/MSK0032.mp3[164.120,170.960] UH NO I HAVENT TRIED ANY MEDICATIONS OR ANYTHING I JUST WANTED TO COME IN BEFORE I TRIED ANYTHING audio/MSK0011.mp3[577.040,590.280] OK OK SO IM JUST GOING TO ASK YOU QUESTIONS ABOUT SPECIFICALLY TO EXAMINE YOUR WRIST SO YOU NOTICE SO CAN YOU ARE YOU ABLE TO MOVE YOUR WRIST AROUND ARE YOU ABLE TO MAKE A FIST audio/RES0077.mp3[764.640,836.480] OK YEAH THOSE ARE ALL THE QUESTIONS I HAD TODAY AND IT SEEMS THAT DEFINITELY THERE ARE SOME CONCERNING SYMPTOMS LIKE THE SHORTNESS OF BREATH AND THE COUGH ESPECIALLY ALSO THE LOSS OF SMELL THAT YOURE HAVING WE DEFINITELY WANT TO MAKE SURE THAT YOU DONT HAVE CORONAVIRUS SO WE WILL DO A TEST FOR YOU TODAY AND WHAT WE RECOMMEND IN THE MEANTIME IS TO SELF ISOLATE EVEN IN YOUR HOME WEAR A MASK AROUND YOUR FAMILY IF YOU CAN LIKE EAT SEPARATELY DONT GO OUTSIDE AND BE OFF OF WORK UNTIL THE TEST RESULTS COME BACK AND THEN EVEN AFTER THAT YOU MIGHT NEED TO FOLLOW INSTRUCTIONS OF PUBLIC HEALTH AND SELF ISOLATE FOR 14 DAYS IF NOT CORONAVIRUS HOPEFULLY THEN IT CAN ALSO BE OTHER THINGS LIKE OTHER VIRUSES CAN CAUSE SIMILAR SYMPTOMS AS WELL BUT YEAH SO WELL JUST GET THAT TEST DONE AND THEN SEE WHERE TO GO FROM THERE audio/RES0017.mp3[443.880,447.360] JUST ONE SAME AS BEFORE audio/MSK0046.mp3[231.640,236.520] OK UM ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS audio/RES0192.mp3[569.560,573.880] UH ONCE IN A WHILE I’LL HAVE A GLASS OF WINE ONCE A WEEK audio/RES0204.mp3[114.400,118.640] OK OK HAVE YOU BEEN HAVING A RUNNY NOSE audio/RES0047.mp3[280.240,291.720] OK AND DO YOU THINK ITS TIGHT BECAUSE OF THE COUGHING OR UM THE SHORTNESS OF BREATH audio/RES0140.mp3[250.440,252.040] UH NO ALLERGIES audio/RES0093.mp3[619.520,625.160] UH I DO I HAVENT SEEN MY FAMILY DOCTOR IN A NUMBER OF YEARS NOW THOUGH audio/RES0155.mp3[311.320,319.440] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0120.mp3[219.880,224.520] THEYVE BEEN GOING ON FOR THE PAST THREE DAYS audio/RES0120.mp3[154.960,162.320] OKAY UM WOULD YOU SAY LIKE YOUR SYMPTOMS ARE CONSTANT OR DO THEY KIND OF COME AND GO audio/MSK0017.mp3[281.480,284.240] OK WEIGHT LOSS audio/RES0130.mp3[149.160,158.040] UM YEAH NOW THAT YOU MENTION IT MAYBE MAYBE A LITTLE BIT LIKE 5 TO 10 POUNDS OVER THE LAST THE LAST MONTH audio/RES0008.mp3[115.960,127.600] OK OK UM AND IS THERE ANYTHING THAT YOUVE CHANGED RECENTLY IN YOUR LIFE OR ANY KIND OF THINGS THAT HAVE PROVOKED YOUR COUGH THAT YOU KNOW OF audio/RES0190.mp3[509.720,515.720] NO I FEEL PRETTY SAFE MY PARENTS ARE PRETTY CARING AND LOVING audio/RES0155.mp3[465.440,475.440] OK UM AND DO YOU HAVE ANY PAST MEDICAL HISTORY UH ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH audio/RES0185.mp3[118.120,122.520] NO WHEEZING OK ANY CHEST PAIN audio/RES0066.mp3[639.840,643.640] YOURE WELCOME YEAH SO WELL WILL BE UPDATING YOU SHORTLY audio/RES0135.mp3[229.800,235.960] ANY SUGGESTION THAT SHE MIGHT HAVE UM LIKE ANY EAR PAIN OR OR ANY EAR DISCHARGE audio/GAS0002.mp3[494.400,499.560] OK HAVE YOU EVER FELT ANNOYED BY PEOPLE CRITICIZING YOUR DRINKING audio/RES0126.mp3[37.280,42.920] ITS JUST IT JUST DOESNT GO AWAY audio/RES0142.mp3[152.400,157.360] UH NO NOTHING LIKE THAT audio/CAR0004.mp3[266.800,269.400] OK UM DO YOU TAKE ANY MEDICATIONS audio/RES0123.mp3[254.560,259.320] DO THE HEADACHES COME AND GO OR IS IT ALWAYS THERE audio/RES0214.mp3[201.040,210.840] OK SOUNDS GOOD SO YOU HAVE SOME MUSCLE ACHES LITTLE BIT OF FEVER STUFFY NOSE SORE THROAT DO YOU HAVE ANY DIFFICULTY SWALLOWING audio/GAS0005.mp3[640.920,653.320] OK AND ANY CONCERNS FOR SAFETY IN THE HOME WHETHER PHYSICAL OR OR VERBAL ABUSE audio/MSK0022.mp3[235.400,236.960] YEAH THAT YOUR KNUCKLES audio/RES0050.mp3[325.840,328.000] NO NOTHING LIKE THAT audio/MSK0019.mp3[505.840,511.640] SO ON THE INSIDE UM NOT SO MUCH NO audio/RES0027.mp3[205.880,214.680] UM ALRIGHT AND DO YOU HAVE A SORE THROAT NOW audio/MSK0018.mp3[65.080,71.640] ITS ITS SHARP LIKE IF I TRY TO MOVE IT AT ALL ITS LIKE A SHARP PAIN audio/MSK0049.mp3[433.640,441.600] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0101.mp3[33.760,44.440] YEAH CERTAINLY SO WHEN SO YOU HAD A KNEE SURGERY LAST WEEK WERE YOU LIKE IMMOBILIZED AFTERWARDS FOR PERIODS OF TIME audio/RES0073.mp3[705.000,709.080] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH audio/RES0123.mp3[287.000,289.640] IS IT LIKE A DRY COUGH OR WET COUGH audio/RES0144.mp3[244.120,251.520] HAVE YOU EVER BEEN HAS BEEN LEFT ALONE OVER THE PAST TWO DAYS AT SOME POINT DO YOU FEEL LIKE YOU MIGHT HAVE TAKEN SOMETHING IN HIS MOUTH ACCIDENTALLY audio/RES0199.mp3[42.080,47.160] ITS BEEN PRETTY PERSISTENT BESIDES WHEN I TAKE SOME TYLENOL audio/RES0009.mp3[697.080,735.400] FAIR ENOUGH VACATION WOULD BE GREAT UM OK SO BUT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY WERE GOING TO RUN SOME INVESTIGATIONS I AM CONCERNED THAT YOU MIGHT HAVE A PULMONARY EMBOLISM AND SO WERE GOING TO DO SOME LAB WORK AND IMAGING TO INVESTIGATE THAT audio/CAR0003.mp3[12.960,16.920] OK AND WHEN DID YOU FIRST START FEELING BREATHLESS audio/RES0116.mp3[491.320,503.040] OK OK ANY UM EAR ISSUES LIKE CONGENITAL EAR SORRY UM GENETIC HEARING ISSUES OR EAR ISSUES audio/RES0205.mp3[133.800,140.280] IS THERE ANYTHING YOU CAN THINK OF THAT TRIGGERS THE COUGH OR IS IT SPONTANEOUS audio/RES0124.mp3[171.480,174.960] OKAY ANY SORE THROAT audio/RES0155.mp3[326.240,330.480] UM ANY INCREASED FATIGUE audio/RES0061.mp3[378.640,382.880] NO I THINK IVE BEEN OK audio/MSK0018.mp3[147.160,148.960] FEVERS OR CHILLS audio/RES0034.mp3[660.640,666.800] OK AND THROUGHOUT PREGNANCY WERE THERE ANY COMPLICATIONS audio/MSK0007.mp3[620.760,629.760] OK AND HOW ABOUT PAIN WITH PRONATION AND SUPINATION audio/RES0022.mp3[443.240,450.720] OK HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST audio/RES0096.mp3[489.400,492.840] AND ARE YOU CURRENTLY SMOKING audio/MSK0015.mp3[573.240,583.480] YEAH SO IM A LAWYER AND MY WIFE IS A MUSIC TEACHER audio/RES0119.mp3[415.880,423.080] 34 WEEKS OK AND UM WAS IT A VAGINAL DELIVERY OR WAS IT A CSECTION audio/RES0043.mp3[629.160,630.320] NO GO AHEAD audio/RES0151.mp3[302.720,310.600] ALRIGHT AND HOW HAS YOUR ENERGY BEEN OVER THIS PAST WEEK HAVE YOU HAD FATIGUE audio/MSK0026.mp3[0.000,1.440] HOW MAY I HELP YOU audio/MSK0005.mp3[158.920,161.440] UH NO I HAVENT audio/RES0012.mp3[415.960,424.320] OK AND HAVE YOU NOTICED ANY SWELLING audio/RES0038.mp3[586.400,590.880] YEAH I WORK AS A A SCHOOL TEACHER audio/MSK0050.mp3[725.080,729.520] OK YEAH THAT SOUNDS GOOD audio/RES0082.mp3[40.160,50.120] YEAH ALRIGHT AND HAVE YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A FEVER audio/RES0037.mp3[361.040,367.040] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0198.mp3[298.880,307.120] OK AND CURRENTLY RIGHT NOW DO YOU WORK OR DO YOU GO TO SCHOOL audio/CAR0001.mp3[431.480,443.640] SURE I LIVE IN AN APARTMENT BY MYSELF I UH YEP THATS ABOUT IT audio/RES0191.mp3[42.200,48.760] OK AND YOU MENTIONED SO WITH THE OBSTRUCTION HAVE YOU HAD DIFFICULTIES BREATHING audio/RES0030.mp3[274.560,280.560] UH YEAH I WOULD SAY OR SORRY NO MY SLEEP HAS BEEN HAS BEEN POOR audio/RES0141.mp3[148.640,154.520] AND SENSE OF TASTE audio/MSK0029.mp3[415.440,419.920] ANY CHANGES IN YOUR WEIGHT audio/RES0194.mp3[405.760,419.680] UM I DID HAVE SURGERY LIKE AN ACL REPAIR AND REPAIRED KNEE AND KNEE SURGERY ABOUT 10 YEARS AGO AND BUT THAT YEAH THATS THE ONLY SURGERY audio/MSK0026.mp3[224.680,229.960] OK AND HAVE YOU HAD A PAIN LIKE THIS IN YOUR RIGHT KNEE BEFORE audio/RES0107.mp3[685.280,688.360] OH YEAH HES DOING GREAT audio/RES0089.mp3[3.760,25.160] SURE IVE BEEN FEELING VERY SHORT OF BREATH FOR THE PAST UH TWO WEEKS BUT EVEN BEFORE THAT I STARTED FEELING A LITTLE BIT SHORT OF BREATH AND I CANT STOP COUGHING AND IT JUST FEELS LIKE ITS REALLY HARD FOR ME TO BREATHE audio/RES0026.mp3[90.520,98.880] OK SO YOURE SEEING SOME LIKE RED WHEN WHEN YOURE COUGHING UP audio/RES0082.mp3[212.840,217.960] OK ALRIGHT AND ANY DIFFICULTIES BREATHING audio/MSK0022.mp3[916.200,924.920] OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0069.mp3[43.080,51.480] AND UHM HAVE YOU HAD ANY UHM PROBLEMS WITH SWALLOWING LIKE FOOD OR LIQUIDS audio/RES0003.mp3[516.760,528.600] SO HE LIVES WITH MY MYSELF AND HIS FATHER AND THEN SISTER SO THERES JUST THE FOUR OF US AT HOME audio/MSK0043.mp3[706.720,714.640] UH I DO YEAH I I I SMOKE UM ABOUT HALF A PACK UH TO A PACK A DAY audio/RES0167.mp3[405.040,412.960] OK OK AND ALRIGHT AND THEN UHM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0004.mp3[728.040,740.360] UM I WELL I I GUESS I KINDA HAVE A GIRLFRIEND NOW UM THAT WE THAT I STARTED HANGING OUT WITH ABOUT TWO MONTHS AGO audio/RES0074.mp3[615.360,632.000] OH YEAH CANCER UH SO MY FATHER HAS ITS NOT THE BAD SKIN CANCER ITS THE ONE WHERE THEY CAN JUST ZAP IT OFF audio/RES0007.mp3[732.360,761.960] OH WELL MY MOM ALWAYS LIKE MAKES ME A LUNCH LIKE ILL HAVE LIKE A SANDWICH FOR LUNCH WITH LIKE YOU KNOW HAM AND CHEESE OR SOMETHING ILL USUALLY HAVE LIKE CEREAL FOR BREAKFAST AND MY MOM MAKES DINNER ITS USUALLY LIKE MEAT LIKE POTATOES AND VEGETABLES OR SOMETHING I THINK ITS LIKE PRETTY NORMAL audio/RES0020.mp3[341.040,344.760] ANY ABDOMINAL PAINS audio/MSK0005.mp3[423.520,431.240] NO PAIN OK AND HOW ABOUT WHEN YOU PALPATE YOUR UM FOREARM AND YOUR BICEPS audio/RES0004.mp3[40.480,47.840] UH I WOULD SAY ITS KINDA YEAH LIKE BURNIN OR BURNING OR SCRATCHY audio/RES0183.mp3[573.320,575.200] OH NO audio/RES0114.mp3[87.680,89.280] I WOULD SAY ITS HARSH audio/RES0089.mp3[254.480,259.280] OK HAVE YOU BEEN FEELING DIZZY OR HAVE YOU FAINTED AT ALL audio/RES0093.mp3[152.320,165.160] OK SO YOUVE HAD THIS BAD COUGH AND YOUVE HAD SOME DIFFICULTIES BREATHING SINCE YESTERDAY HAVE YOU HAD A HEADACHE AT ALL audio/MSK0045.mp3[410.760,416.800] AND UH UH IN TERMS OF YOUR DAILY LIFE DO YOU SMOKE AT ALL audio/RES0142.mp3[120.880,125.360] AND UM ANY DIFFICULTIES BREATHING audio/RES0108.mp3[169.040,174.880] ISSUES UH ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0106.mp3[92.280,97.040] OK OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0096.mp3[292.840,294.560] UH NO audio/MSK0021.mp3[2.600,30.680] HI THERE YEAH IVE HAD THIS PAIN IN MY KNEE THATS BEEN GOING ON FOR A FEW WEEKS NOW AND IT HASNT GONE AWAY AND AND SO I THOUGHT I WOULD GET CHECKED OUT ITS BEEN REALLY IMPACTING MY RUNNING I JUST HAVENT BEEN ABLE TO RUN AS OFTEN AS I WOULD LIKE TO AND SO THATS WHY I WANTED TO GET THIS LOOKED AT audio/CAR0002.mp3[101.080,110.520] OK UH IS THERE ANYTHING THAT YOU DO THAT MAKES THE PAIN EITHER GET WORSE OR GO AWAY OR LIKE GET BETTER audio/RES0020.mp3[560.520,563.720] WE HAVE A CAT audio/RES0151.mp3[269.000,273.240] HAVE YOU HAD ANY DIARRHEA audio/RES0116.mp3[291.280,295.440] LIKE ANYTHING THAT WOULD INDICATE HE HAS CHEST PAIN OR PALPITATIONS OF HIS HEART audio/MSK0026.mp3[489.640,493.560] AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0102.mp3[812.440,814.040] YEAH IVE HAD SOME FATIGUE FOR SURE audio/RES0210.mp3[430.000,431.720] LONG IS THAT BEEN GOING ON FOR audio/MSK0050.mp3[433.400,435.240] I DONT audio/RES0019.mp3[636.400,637.800] NONE THAT I KNOW OF audio/RES0079.mp3[375.120,379.760] HAS SHE BEEN QUARANTINING OR ARE YOU BOTH SPENDING TIME TOGETHER audio/RES0012.mp3[638.680,646.720] OK UM IM GONNA NAME A FEW THINGS AND YOU LET ME KNOW IF THIS IS IN YOUR HISTORY OK IN YOUR audio/RES0013.mp3[456.760,460.720] OH LIKE MAYBE YOU KNOW A BEER ON THE WEEKEND audio/RES0088.mp3[392.800,395.360] UHM SHES BEEN ABLE TO SLEEP WELL YEAH audio/MSK0022.mp3[571.400,591.880] UH YEAH I HAVE A LOW THYROID AND OR OR HYPOTHYROIDISM I THINK ITS CALLED I AND I ALSO HAVE UH HIGH BLOOD PRESSURE SO I TAKE MY MEDICATION FOR HIGH BLOOD PRESSURE AND AND SOMETHING FOR THE THYROID AS WELL audio/MSK0027.mp3[535.080,550.320] NO I DONT SEE THAT I ALSO ACTUALLY IT MIGHT BE SLIGHTLY IT LOOKS A LITTLE BIT AWKWARD THE WAY SHES HOLDING IT SO I CANT TELL IF ITS MISALIGNED audio/RES0079.mp3[302.840,311.400] UH WELL USE EDIBLES EVERY ONCE IN A WHILE I BUY THEM FROM THE LIKE I GUESS GOVERNMENT STORE OCS audio/RES0189.mp3[245.320,259.720] ITS MORE JUST AN ACHE AND ITS KIND OF MORE OF A DISCOMFORT THAN A PAIN AND IT KIND OF GOES AWAY ONCE MY EPISODE OF COUGHING AND SHORTNESS OF BREATH IS RELIEVED WITH SOME REST audio/RES0109.mp3[282.400,288.120] ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0035.mp3[260.680,264.680] HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING audio/RES0148.mp3[392.480,397.560] OK UM AND ITS BEEN STABLE SINCE THEN audio/RES0164.mp3[57.920,65.760] WATERY OK SO NOW ARE YOU NOTICING ANY KIND OF YELLOW OR GREENISH MATERIAL audio/RES0036.mp3[628.000,634.720] OK AND DO YOU CURRENTLY SMOKE AT ALL audio/MSK0017.mp3[365.840,379.200] UH I IVE HAD A FEW SPORTS INJURIES WHEN I WAS YOUNGER UH LIKE TO MY MY KNEE BUT THATS IT IVE BEEN HEALTHY OTHERWISE audio/RES0209.mp3[328.920,333.600] OK ANY ANY NAUSEA OR VOMITING audio/RES0069.mp3[175.880,186.680] OK AND SO YOU HAVENT HAD ANY COUGH OR SHORTNESS OF BREATH BUT HAVE YOU NOTICED ANY WHEEZING audio/MSK0006.mp3[375.440,378.600] OK AND THEN HOW ABOUT NAUSEA OR VOMITING audio/RES0126.mp3[297.120,303.520] OK ANY NAUSEA OR VOMITING audio/RES0087.mp3[402.280,404.360] NO MEDICATIONS audio/RES0193.mp3[434.680,438.800] HE IS YEAH ITS IT IT IS HAPPENING AT NIGHT audio/RES0092.mp3[332.120,334.320] JUST A FEW DRINKS audio/RES0033.mp3[160.080,176.440] OH YEAH I WOULD SAY LIKE IM COUGHING ESPECIALLY THE LAST FEW DAYS COUGHING SEVERAL TIMES A DAY UM ITS PRETTY RANDOM BUT LIKE I WOULD SAY THROUGHOUT THE DAY IM COUGHING audio/MSK0045.mp3[188.720,204.920] UM I DID BUT NOT BUT I DIDNT FINISH THE FULL COURSE I JUST WENT FOR A WEEK OR SO AND THEN UM I HAD TO GO BACK TO WORK UM SO I STOPPED DOING THAT audio/RES0195.mp3[530.800,534.440] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA audio/RES0138.mp3[299.920,302.520] UM ITS BEEN ITS BEEN THE SAME audio/RES0191.mp3[286.560,295.280] OK AND CAN YOU TELL ME ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH audio/RES0096.mp3[695.560,699.520] THANK YOU audio/RES0162.mp3[337.720,347.760] UM NO NOT REALLY IVE IVE BEEN REALLY UMM I MOVED BACK TO MY PARENTS HOME JUST FOR A BIT RIGHT NOW audio/RES0044.mp3[116.600,121.000] UH SO I DONT I CANT THINK OF ANYTHING BUT I DONT THINK SO audio/RES0045.mp3[100.280,117.480] UH I TRIED UM DRINKING SOME UH LIKE TEA AND SOME OTHER COUGH SYRUPS AND IT DIDNT DIDNT HELP audio/RES0059.mp3[282.960,300.760] MAYBE AS A KID I MEAN I REMEMBER GETTING THE FLU I HAD A COUGH AND THAT SORT OF THING BUT I HAVENT BEEN SICK FOR SEVERAL YEARS NOW audio/RES0116.mp3[450.640,454.040] THAT KIND OF WENT AWAY audio/GAS0004.mp3[482.440,489.000] HAVE YOU EVER BEEN HOSPITALIZED IN THE PAST audio/GAS0001.mp3[73.680,79.360] AND THIS HAS ALL BEEN OVER THE PAST WEEK WEEK TWO WEEKS OR SO audio/RES0037.mp3[0.000,4.920] I WOULD JUST LIKE TO START WITH WHAT BROUGHT YOU IN HERE TODAY TO THE FAMILY CLINIC audio/RES0012.mp3[735.360,741.040] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK AROUND YOU audio/RES0109.mp3[101.840,105.360] UM NO NO I DONT THINK SO audio/RES0156.mp3[443.880,449.440] OK UM OK AND DOES ANYONE SMOKE IN THE HOUSEHOLD audio/RES0098.mp3[320.800,328.400] THE BLUE ONE BEFORE YESTERDAY PROBABLY THE LAST TIME I USED IT WAS PROBABLY LIKE A MONTH AGO audio/RES0145.mp3[612.680,704.880] UHM SO IT SOUNDS LIKE YOU YOUR SYMPTOMS HAVE EVOLVED QUITE A BIT OVER THE PAST TWO WEEKS IT COULD HAVE IT COULD BE POTENTIALLY THAT YOU HAD A VIRAL INFECTION INITIALLY AND MIGHT YOU MIGHT HAVE LIKE A SUPERIMPOSED BACTERIAL INFECTION BUT WE DONT KNOW THAT FOR SURE UHM WE WELL DO A PHYSICAL EXAM HAVE A LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH LOOK AT YOUR THROAT UHM WE UHM I GUESS THE ORIGINAL SYMPTOMS YOU HAD LAST WEEK UHM WERE SEEM A LITTLE BIT DIFFERENT IT COULD BE PHARYNGITIS MAYBE WHAT YOU HAVE RIGHT NOW COULD POTENTIALLY BE PHARYNGITIS WITH A SORE THROAT AND THE FEVER THAT YOUVE DEVELOPED OVER THE PAST THREE OR FOUR DAYS SO ILL DEFINITELY HAVE A LOOK INSIDE YOUR THROAT AS WELL AND IF NECESSARY WE COULD DO A RAPID STREP TEST UHM AND WE WOULD ALSO HAVE TO DO A COVID TEST JUST IN CASE AND I WOULD RECOMMEND THAT YOU QUARANTINE AT HOME THE RESULTS SHOULD COME OUT IN THE NEXT 12 TO 20 FOR 24 TO 48 HOURS JUST SELF ISOLATE STAY AWAY FROM OTHER FAMILY MEMBERS AND THEN YOULL FIND OUT THE RESULTS IF ITS POSITIVE SOMEONE WILL CALL YOU FROM PUBLIC HEALTH AND THEN LET YOU KNOW WHAT TO DO audio/RES0036.mp3[678.280,686.880] OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU THINK YOU GET ENOUGH EXERCISE audio/RES0187.mp3[199.560,204.720] CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/MSK0012.mp3[733.720,745.200] OK ALRIGHT SO YEAH THOSE ARE JUST SOME OF THE QUESTIONS I I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0016.mp3[195.560,202.680] OK UM HAVE THERE BEEN ANY CHANGES TO YOUR TASTE RECENTLY audio/RES0016.mp3[423.440,424.320] NO NO ALLERGIES audio/RES0151.mp3[97.160,100.960] UM NO CHEST PAIN audio/RES0100.mp3[447.920,457.160] OK AND HAS THAT HAS THAT SPREAD ANYWHERE OR HAS IT GONE AWAY audio/RES0165.mp3[284.960,291.080] OK HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY audio/RES0204.mp3[329.160,330.480] AND WHAT ELSE audio/RES0133.mp3[75.520,82.000] ALRIGHT AND HAVE YOU HAD ANY UH CHEST PAIN WITH THE COUGH audio/RES0083.mp3[487.480,503.280] UH WELL I DID GO TO A FAMILY PARTY JUST LAST WEEKEND IT WAS OUTSIDE AND WE WERE MAINTAINING DISTANCING BUT YEAH audio/RES0051.mp3[389.560,392.400] NO EVERYTHINGS VIRTUAL RIGHT NOW audio/RES0076.mp3[665.840,667.920] THAT SOUNDS GREAT audio/RES0127.mp3[193.520,200.600] THAT HELPED OK THATS GOOD AND ARE YOU TAKING REACTIN RIGHT NOW audio/RES0079.mp3[257.600,263.520] SORRY I DO TAKE UM I TAKE UH AN SSRI CITALOPRAM AS WELL audio/GAS0004.mp3[338.920,343.720] OK IS THERE ANYTHING THAT HAS BEEN MAKING IT WORSE audio/RES0029.mp3[20.680,23.400] OK AND WHEN DID THIS PAIN START audio/RES0045.mp3[400.480,403.200] ANY CHANGES TO YOUR URINE audio/RES0073.mp3[464.360,470.560] OK UHM AND WHAT WAS DONE AT THAT TIME audio/RES0182.mp3[53.880,57.200] NO NOTHING LIKE THAT audio/MSK0006.mp3[560.400,566.640] SO I LIVE IN A HOUSE WITH MY UM WITH MY WIFE UH YEAH AND SON audio/RES0075.mp3[305.400,311.960] OK AND HAVE YOU HAD ANY MUSCLE ACHES JOINT PAINS OR SKIN CHANGES audio/RES0167.mp3[299.720,304.960] JUST THAT ONE FOR THE REFLUX ITS UHM OH IT STARTS WITH AN R UHM RABEPRAZOLE audio/RES0017.mp3[585.120,587.440] OK AND MORE OF THE FATIGUE audio/RES0056.mp3[385.960,389.840] ARE YOU ON ANY MEDICATIONS audio/RES0122.mp3[258.320,262.720] ALCOHOL ILL PROBABLY HAVE A GLASS OF RED WINE A DAY audio/RES0025.mp3[117.120,127.400] OK AND JUST IF YOU NOTICE LIKE A LIKE A REALLY BRIGHT KIND OF YELLOW GREEN SUBSTANCE IN YOUR VOMIT audio/RES0184.mp3[375.280,376.880] I DONT audio/MSK0020.mp3[151.960,158.440] SEVEN OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE audio/RES0215.mp3[568.320,571.240] AND DOES ANYONE SMOKE IN THE HOUSEHOLD audio/RES0079.mp3[389.760,396.120] FAIR ENOUGH FAIR ENOUGH OK HAVE YOU HAD ANY TRAVELS audio/RES0005.mp3[48.120,54.720] OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP AN IN A DAY audio/MSK0033.mp3[304.400,310.520] NOPE NOTHING LIKE THAT audio/RES0161.mp3[179.920,183.720] NO OK ANY MUSCLE ACHES audio/MSK0013.mp3[32.400,42.240] ITS BEEN ON GOING FOR THE PAST LIKE 2 YEARS BUT RECENTLY IVE SEEN THE PAST LIKE 3 MONTHS ITS GOTTEN WORSE audio/RES0014.mp3[436.600,450.040] UH DONT THINK SO MY SISTER I THINK SHE THEY WERE SAYING SHE MIGHT HAVE ASTHMA AND SHE ALSO HAS ECZEMA NO ONE ELSE IN THE FAMILY HAS ANY OTHER CONDITIONS audio/RES0036.mp3[551.600,559.680] OK AND CURRENTLY DO YOU WORK audio/RES0017.mp3[794.200,797.200] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/RES0097.mp3[319.320,324.880] OK AND OVER THE LAST SEVERAL MONTHS HAS HE HAD ANY WEIGHT LOSS audio/RES0181.mp3[285.040,294.320] OK AND YOU CAN RECOGNIZE THOSE SIGNS LIKE FEELING JITTERY AND SWEATY MIGHT MAYBE A LITTLE ANXIOUS WHEN THAT COMES ON audio/RES0210.mp3[329.760,335.360] YEAH HE’S GIVEN ME A PILL FOR A CHOLESTEROL audio/RES0073.mp3[502.240,504.280] ANY SURGERIES audio/CAR0004.mp3[158.360,166.720] NO NO NOTHING ELSE THATS IT JUST HAVE THESE SHARP EPISODES OF PAIN THAT LAST A COUPLE OF SECONDS audio/MSK0038.mp3[763.240,787.880] OK UM HOW ABOUT WHEN YOU SO YOURE STANDING AND THEN YOU UH YOU ABDUCT YOUR HIP SO YOU BASICALLY UM YOU FLEX YOUR HIP BUT LATERALLY AND YOU KIND OF BRING IT UPWARDS SO THAT ITS ALMOST SO THAT YOUR YOUR THE ACTION IS LIKE YOURE UH TRYING TO TOUCH THE CEILING audio/RES0022.mp3[846.680,847.800] NO NOTHING LIKE THAT audio/MSK0004.mp3[467.720,477.720] I CAN YEAH JUST FOR SHORT PERIODS OF TIME CAUSE ITS JUST CAUSE OF THE PAIN BUT I CAN WALK ON IT audio/RES0082.mp3[146.320,152.240] NO OK HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS audio/GAS0003.mp3[485.840,489.120] NO I DONT audio/MSK0001.mp3[251.440,254.520] OK AND HOW HAS YOUR APPETITE BEEN audio/MSK0038.mp3[98.240,107.400] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY SHARP DULL ACHY CRAMPY audio/RES0067.mp3[65.040,70.240] OK AND WHEN DID THE TROUBLE SWALLOWING START audio/MSK0022.mp3[534.680,539.400] OK AND ANY MUSCLE WEAKNESS audio/RES0020.mp3[706.320,819.200] YEAH CERTAINLY UH SO IT COULD POSSIBLY BE SOMETHING RELATED TO THE HEART I DONT AND SOMETIMES ESPECIALLY PEOPLE IN YOUR AGE GROUP WHO HAVE DIABETES CAN HAVE CHEST PAIN AND SYMPTOMS THAT COULD BE NONSPECIFIC AND SO WE WILL WE WILL CHECK THAT FOR SURE WELL GET AN ECG AND SOME LAB WORK WITH THE TROPONIN AND ALSO A CHEST X RAY SO THAT WE CAN INVESTIGATE FOR THAT AND ALSO THE CHEST X RAY COULD HELP US LOOK TO SEE IF YOU HAVE SOMETHING GOING ON IN YOUR LUNGS LIKE A POSSIBLE PNEUMONIA OR MAYBE A VIRAL INFECTION AS WELL WHICH COULD INCLUDE SOMETHING LIKE COVID19 SO WELL BE ORDERING A PCR NASAL SWAB AS WELL TO TEST FOR THAT AND SO IN THE MEANTIME BECAUSE WELL BE DOING THAT TEST IT REQUIRES SELF QUARANTINE FOR 14 DAYS SO IF POSSIBLE THAT WOULD MEAN DISTANCING FROM YOUR HUSBAND IN THE HOME AS WELL FOR THAT 14 DAY PERIOD BUT THE RESULTS SHOULD COME BACK FROM THAT TEST WITHIN THE NEXT SEVERAL DAYS AND AND SORRY ALSO IF IT IS POSITIVE WE WILL HAVE TO NOTIFY PUBLIC HEALTH AS WELL SO THAT THE APPROPRIATE CONTACT TRACING CAN BE DONE audio/RES0105.mp3[711.840,745.960] YOURE WELCOME AND YEAH SO WELL WELL ALSO DO SOME LAB WORK AS WELL WELL GET SOME BLOOD WORK DONE WANT TO MAKE SURE WE DONT MISS ANY KIND OF INFECTION UMM YOURE IN LIKE YOUR YOU CAN BE HAVING ANOTHER COPEXACERBATION BUT WE ALSO WANT TO MAKE SURE YOU DONT HAVE LIKE PNEUMONIA OR ANYTHING LIKE THAT SO WE MIGHT HAVE TO DO A CHEST XRAY AS WELL BUT FOR NOW I WOULD SAY JUST SIT TIGHT WELL GET ALL YOUR VITALS DONE AND THEN GO ON FROM THERE DOES THAT SOUND GOOD audio/RES0165.mp3[424.240,428.360] UM ONCE ONCE A DAY MAYBE ONE CLASS OF WINE AT NIGHT audio/RES0083.mp3[585.800,591.720] OK THANK YOU audio/MSK0017.mp3[257.120,263.520] UH YEAH IM ABLE TO WALK STILL audio/MSK0008.mp3[134.040,136.400] JUST A LITTLE BIT audio/RES0046.mp3[505.600,510.640] OK UM ANY MEMORY LOSS OR CONFUSION audio/MSK0024.mp3[356.680,361.120] AND SO CURRENTLY ARE YOU WORKING OR DID YOU HAVE TO TAKE TIME OFF WORK audio/RES0090.mp3[535.280,542.280] SO THOSE ARE THOSE ARE SOME OF THE THINGS THAT WELL GET STARTED WITH IS THAT OK WITH YOU ANY QUESTIONS OR CONCERNS audio/MSK0050.mp3[276.120,280.640] ALRIGHT HAVE YOU HAD A SORE THROAT OR A COUGH PERHAPS audio/MSK0038.mp3[259.600,265.480] OK HOW ABOUT UH CHEST PAIN HEART PALPITATIONS audio/RES0171.mp3[487.640,496.640] YEAH ILL HAVE SOME WINE ON THE ON THE WEEKENDS BUT MAYBE THATS LIKE A GLASS OR TWO audio/DER0001.mp3[555.520,559.720] WHEN I AM WORKING IM AN ACCOUNTANT audio/RES0082.mp3[376.000,385.280] OK GREAT SO HAVE YOU SPENT ANY TIME OUTDOORS OR SPENT ANY TIME WITH PEOPLE WHO YOU THINK MIGHT BE SICK audio/RES0071.mp3[522.280,527.280] UH NO audio/CAR0002.mp3[78.040,79.720] UH SEVEN audio/RES0215.mp3[60.600,63.320] OK HAS SHE EVER HAD ANYTHING LIKE THIS BEFORE audio/MSK0017.mp3[88.960,99.880] OK OK UM AND IS THIS A PERSISTENT KIND OF BACK PAIN OR DOES IT COME AND GO audio/RES0095.mp3[594.320,604.520] WITH OTHERS RECENTLY OK HAVE YOU SO YOU HAVENT TRAVELED ANYWHERE audio/MSK0026.mp3[397.720,402.160] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0214.mp3[282.680,284.440] UH NO audio/RES0063.mp3[54.680,61.840] THREE DAYS AGO OK OK ARE YOU HAVING ANY TROUBLE SWALLOWING FOODS OR FLUIDS audio/RES0107.mp3[429.840,431.720] NO EVEN FOR HIS ECZEMA audio/CAR0005.mp3[5.960,16.440] YEAH SO THIS CHEST PAIN HAS JUST BEEN COMING ON FOR THE LAST COUPLE OF WEEKS NOW audio/RES0048.mp3[359.280,369.320] OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY WEIGHT LOSS OVER THE PAST FEW WEEKS audio/MSK0025.mp3[424.400,427.720] ITS ITS IT FEELS LIKE ITS GETTING WORSE audio/RES0012.mp3[859.480,888.480] A FEW THINGS AND WE KIND OF LIKE TO GO THROUGH AND MAKE SURE WERE NOT MISSING ANYTHING SO IN TERMS OF LIKE VASCULAR STUFF IT COULD BE SOMETHING LIKE LIKE CHF OR PULMONARY EMBOLISM AND THAT STANDS FOR CONGESTIVE HEART FAILURE BUT YOURE VERY YOUNG YOU SEEM LIKE YOURE VERY HEALTHY SO THATS PROBABLY LOWER ON OUR DIFFERENTIAL OBVIOUSLY audio/RES0050.mp3[400.360,404.000] ANY SURGERIES IN THE PAST audio/RES0077.mp3[13.680,19.080] OK AND SO WHAT CAME FIRST DID THE COUGH COME FIRST audio/RES0168.mp3[315.840,317.360] OH RIGHT YEAH OK audio/RES0104.mp3[512.120,516.800] OK ANY ILL CONTACTS AT ALL audio/RES0064.mp3[190.680,200.080] HE WAS COMPLAINING OF A HEADACHE A FEW DAYS AGO BUT IT KIND OF WENT AWAY ON ITS OWN audio/RES0062.mp3[812.240,834.680] OK IF ITS SPECIFICALLY TO HELP YOU SLEEP WE CAN ACTUALLY TRY AND SEE IF THERE ARE OTHER OPTIONS FOR YOU YOU KNOW THERE ARE PILLS LIKE THEY ARE SLEEP AIDS OR EVEN THINGS LIKE MELATONIN THAT CAN HELP REGULATE YOUR SLEEP SO WE CAN REVISIT OTHER OPTIONS FOR YOU IF YOURE OPEN TO THAT AS WELL audio/MSK0033.mp3[607.760,622.920] OK ALRIGHT YEAH SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS audio/RES0127.mp3[228.640,230.600] ANY NAUSEA OR VOMITING audio/MSK0041.mp3[222.880,224.560] NO NO HEADACHES audio/RES0034.mp3[616.040,621.800] OK AND HAVE YOU GUYS TRAVELED ANYWHERE RECENTLY audio/RES0073.mp3[284.920,293.600] ALRIGHT AND ANY LIGHTHEADEDNESS OR FEELING DIZZY audio/RES0114.mp3[775.920,778.640] OK THAT SOUNDS GOOD THANK YOU SO MUCH audio/GAS0007.mp3[351.240,353.440] DO YOU CANNABIS audio/RES0176.mp3[538.640,546.800] OK ANY EXPOSURES IN THE HOUSE LIKE CARPETS OR RUGS OR ITS LIKE LIKE THINGS LIKE THAT audio/CAR0002.mp3[401.960,408.840] I I LIVE IN A HOUSE WITH UM MY PARENTS audio/MSK0004.mp3[435.920,446.160] UH A LITTLE BIT OF PAIN NOW THAT RIGHT UH LIKE OUTSIDE BUT ITS NOT UH IT DOESNT HURT THAT BAD YEAH ILL SAY NO audio/MSK0017.mp3[249.520,257.120] NO OK ARE YOU STILL ABLE TO WALK AND DO THINGS THAT YOU NORMALLY WOULD DO IN A DAY audio/RES0116.mp3[185.640,191.920] OK OK HES NEVER HAD TO GET LIKE TUBES INSERTED OR ANYTHING LIKE THAT audio/RES0099.mp3[467.520,469.600] NO NOT THAT I KNOW OF audio/RES0211.mp3[72.920,80.960] YOU NOTICED ANY NIGHT SWEATS BY NIGHT SWEATS I MEAN YOU WAKE UP SHEETS ARE SOAKED audio/RES0075.mp3[293.920,295.840] NO NOTHING LIKE THAT audio/RES0193.mp3[445.120,466.120] YEAH UM HES MISSED A COUPLE OF DAYS IN THE PAST MONTH BECAUSE UH HE JUST DIDNT SLEEP WELL AND THEN NOT FEELING GOOD THE NEXT DAY SO UM YEAH HE HAS audio/GAS0001.mp3[82.000,91.920] OK UM ANY OTHER SYMPTOMS THAT YOU HAVE audio/RES0072.mp3[425.360,437.040] DO YOU FEEL THAT YOU HAVE ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANY RASHES OR SKIN CHANGES audio/MSK0025.mp3[129.680,139.360] OK AND SO AND THEN YOURE ALSO HAVING THE URINARY INCONTINENCE HOW LONG IS THAT BEEN GOING ON FOR audio/RES0059.mp3[28.640,29.840] ITS DRY audio/RES0171.mp3[193.480,207.280] YEAH OK UHM YOU SAID THIS STARTED YESTERDAY WERE YOU LIKE COMPLETELY FINE THE DAY BEFORE audio/RES0175.mp3[282.120,294.880] YEAH I DO I DO TAKE A I THINK A MEDICATION FOR THAT UHM ITS CALLED TAMSULOSIN audio/RES0141.mp3[323.400,329.480] OKAY OKAY UM AND ANY UM FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0089.mp3[387.600,392.800] LIKE NOT NOT THIS BAD IVE ALWAYS HAD SOME SHORTNESS OF BREATH BUT NOTHING LIKE THIS audio/GAS0003.mp3[329.960,331.880] NO I DONT SORRY NO audio/MSK0039.mp3[520.400,528.000] OK YEAH UM DO YOU NOTICE ANY OBVIOUS LIKE BREAKS IN THE SKIN audio/RES0046.mp3[441.320,450.440] OK THE ABDOMINAL PAIN IS IT WHERE IS IT LOCATED IS IT PRETTY CENTRAL IS IT GENERAL audio/MSK0022.mp3[885.120,895.440] NOT COMPLETELY I CAN CLOSE MY HANDS PART OF THE WAY BUT I CANT MAKE A FULL FIST audio/MSK0017.mp3[456.760,460.120] OK AND DO YOU CONSUME MARIJUANA audio/RES0167.mp3[467.040,467.440] NO NEVER audio/RES0130.mp3[649.240,651.680] THAT SOUNDS LIKE A GOOD PLAN THANK YOU audio/RES0020.mp3[547.600,549.560] NO NOTHING LIKE THAT audio/RES0101.mp3[450.840,453.120] NOT THAT I KNOW OF audio/RES0024.mp3[271.800,277.480] OK AND WHEN DID YOU START BIRTH CONTROL audio/RES0178.mp3[82.000,87.600] OK THE FEVER DID YOU MEASURE IT YOURSELF audio/MSK0032.mp3[352.520,355.120] UH LUNG OR HEART CONDITIONS audio/RES0122.mp3[278.440,281.440] UH NO NOTHING LIKE THAT audio/RES0127.mp3[296.120,319.320] WELL ITS REALLY GREAT THAT YOURE YOU KNOW TRYING TO LOSE WEIGHT AND DIETING AND AND HAVING LIKE A HEALTHIER LIFESTYLE IT IS DEFINITELY HARDER WITH THE PANDEMIC GOING ON RIGHT NOW TO TO GET IN THE ACTIVITIES AND ITS HARD LIKE BEING AT HOME AND SOMETIMES ITS REALLY DIFFICULT TO LIKE NOT EAT RIGHT audio/RES0134.mp3[758.160,758.520] UH NO audio/MSK0001.mp3[335.760,339.520] UH I UM INSULIN FOR DIABETES audio/RES0016.mp3[19.760,23.000] YEAH I WOULD SAY APPROXIMATELY AROUND THE SAME TIME audio/RES0035.mp3[358.520,360.800] ANY PREVIOUS SURGERIES audio/RES0171.mp3[154.760,164.480] NO I JUST HAD UM YEAH THE SHORTNESS OF BREATH AND CHEST PAIN audio/RES0158.mp3[194.040,196.320] OK AND UM WHERE DO YOU GO FOR WORK audio/RES0075.mp3[444.240,448.520] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/RES0168.mp3[125.400,128.120] FEVERS OR CHILLS audio/RES0075.mp3[364.040,370.760] I LIVE IN LIKE A STUDENT HOUSING SITUATION audio/RES0039.mp3[219.960,234.120] OK I SEE AND HOW OFTEN ARE YOU COUGHING IN LIKE AN AVERAGE DAY ARE YOU COUGHING THROUGHOUT THE DAY OR DOES IT COME AND GO audio/RES0015.mp3[35.440,46.480] THE FEVER IVE KIND OF HAD ON AND OFF IN THE LAST COUPLE WEEKS I WOULD SAY TWO TO THREE WEEKS audio/RES0005.mp3[439.280,443.080] OK DO YOU USE ANY INHALERS FOR COPD audio/RES0083.mp3[184.320,187.160] NO ANY NAUSEA OR VOMITING audio/RES0182.mp3[391.280,394.800] HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0170.mp3[645.000,650.240] YOU SAID THE WHEEZING SORT OF LASTS ONLY 30 TO 30 MINUTES TO AN HOUR AND THEN GETS BETTER audio/RES0047.mp3[769.960,784.200] NO OK OK WELL I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS audio/RES0215.mp3[275.200,286.560] OK SO NOTHING WHEN YOU WERE PREGNANT WITH HER NO TOXIC CONGESTIONS BY THAT I MEAN UM DID YOU DRINK ANY ALCOHOL SMOKE AT ALL WHEN YOU WERE PREGNANT WITH HER audio/RES0174.mp3[611.800,616.120] OK HAVE YOU TRAVELED ANYWHERE audio/RES0042.mp3[289.040,293.600] OH NOT REALLY JUST THAT AND UH ECZEMA audio/RES0166.mp3[179.600,181.400] UM NO audio/RES0151.mp3[17.400,25.200] I SEE ALRIGHT AND WHEN DID THE UH COUGH START WAS IT 7 DAYS AGO audio/RES0159.mp3[570.920,582.400] NO I DONT REMEMBER THE LAST TIME I HAD ONE audio/RES0158.mp3[39.480,44.480] NO I HAVENT BEEN audio/RES0074.mp3[278.440,281.960] ANY FEELING AS THOUGH YOUR HEART IS RACING audio/RES0079.mp3[298.280,302.840] ALRIGHT DO YOU CONSUME MARIJUANA audio/RES0134.mp3[364.560,367.880] UM NO NOT THAT IVE NOTICED audio/MSK0024.mp3[260.360,265.120] HAVE YOU RECENTLY HAD ANY CHANGES TO YOUR WEIGHT audio/RES0163.mp3[495.440,498.760] I LIVE WITH MY PARENTS audio/RES0151.mp3[204.640,210.120] OK UM AND HAVE YOU HAD ANY EYE REDNESS OR UM EYE DISCHARGE audio/RES0124.mp3[282.800,286.400] UH YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE audio/RES0185.mp3[124.320,129.120] NO UM ANY FAINTING SPELLS OR DIZZINESS audio/MSK0029.mp3[179.040,195.600] I DID TRY SOME LIKE ADVIL LAST NIGHT BUT LIKE WHEN I WHEN THE PAIN WAS COMING ON AND IT MUSTVE HELPED ME SLEEP I GUESS BUT I HAVENT TRIED ANY ICE OR ANYTHING LIKE THAT JUST MOSTLY I GUESS RESTING audio/RES0186.mp3[457.000,463.480] I DONT BELIEVE SO NO WE YEAH ITS A NEW A NEWER HOME AND WEVE DONE SOME RENOVATIONS audio/MSK0029.mp3[490.760,503.480] UHM NO I AM OTHERWISE HEALTHY I JUST ID TAKE BIRTH CONTROL AND I AM A MULTI VITAMIN BUT THATS IT SO NO MEDICAL CONDITIONS audio/RES0086.mp3[649.560,651.320] NO NOTHING LIKE THAT audio/MSK0012.mp3[360.720,368.120] ANY UH ANY COUGH OR COLD SYMPTOMS RECENTLY audio/RES0110.mp3[0.000,3.240] HOW MAY I HELP YOU TODAY audio/RES0102.mp3[21.760,27.520] SO YEAH LIKE THE COUGH STARTED UH STARTED MAYBE A COUPLE OF WEEKS AGO audio/RES0099.mp3[512.360,518.400] OK AND RIGHT NOW SO YOU MENTIONED YOUR SON AND WIFE IS THAT WHO YOURE LIVING WITH audio/RES0161.mp3[467.000,498.040] UHM ALSO SORRY BEFORE FOR IN THE CALL BECAUSE THE SYMPTOMS ARE STARTED RECENTLY AND THEY DO UHM OVERLAP WITH SOME OF THE SYMPTOMS THAT IF PATIENT WITH COVIMIGHT HAVE IT MIGHT BE A GOOD IDEA TO GET A COVISWAB DONE AS WELL SO WELL DO THAT TODAY AND YOU WOULD HAVE TO QUARANTINE AND STAY AWAY FROM THE PEOPLE AT YOUR HOME AS WELL UNTIL THE RESULTS ARE OUT AND THEN IF ITS POSITIVE PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO audio/MSK0011.mp3[107.120,117.240] UM YEAH I DO GET SOME PAIN PAIN IF IM TRYING TO MOVE THE WRIST AROUND AND IT HURTS HER TO PRESS ON IT AS WELL audio/RES0132.mp3[384.840,392.000] OKAY UM AND HAVE YOU HAD ANY SURGERIES OR OR UM HOSPITALIZATIONS audio/RES0020.mp3[602.680,606.680] UH NO NO NOTHING LIKE THAT audio/RES0168.mp3[0.000,2.160] WHAT BRINGS YOU IN audio/MSK0018.mp3[246.920,250.640] NO NOT THAT I KNOW OF audio/RES0045.mp3[228.800,236.440] OK UM HOW ABOUT FEELING LIKE YOUR HEARTS RACING audio/RES0012.mp3[381.520,386.240] I HAVENT LIKE WIPED OUT LIKE I SAID audio/RES0103.mp3[91.840,110.120] THEYVE BEEN PRETTY CONSTANT AND THEYVE GOTTEN A LITTLE BIT WORSE SINCE THEY STARTED THREE OR FOUR DAYS AGO I I THINK NOW YEAH HER SYMPTOMS ARE AT HER AT THE WORST RIGHT NOW JUST NOT FEELING VERY WELL audio/RES0145.mp3[295.080,299.440] UHM DO YOU STILL HAVE YOUR TONSILS OR HAVE YOU audio/RES0171.mp3[313.920,323.240] UM YEAH YEAH AND I HAVE A HIGH BMI TYPE 2 DIABETES AND ANXIETY audio/MSK0003.mp3[495.600,513.960] UHM YEAH IM IM GENERALLY ALRIGHT I DO HAVE ASTHMA ACTUALLY AND JUST I HAD DIARRHEA A FEW MONTHS AGO AFTER EATING AT A BUFFET SO I THINK MAYBE IT YEAH IT WAS FOOD POISONING OR MAYBE SOMETHING LIKE THAT audio/RES0033.mp3[536.840,537.800] NO SURGERIES audio/RES0166.mp3[444.280,446.760] OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0117.mp3[266.760,269.760] NO I WOULD NEVER TAKE DRUGS audio/RES0187.mp3[599.560,605.320] NO OK AND WHERE DO YOU LIVE RIGHT NOW audio/RES0122.mp3[35.280,42.400] UM ID SAY ITS PRETTY MUCH BEEN THE SAME EXCEPT LIKE THE PRESSURES GETTING WORSE audio/MSK0020.mp3[0.000,1.480] WHAT BRINGS YOU IN audio/RES0078.mp3[364.600,371.960] NO OK WHAT ABOUT FATIGUE OR MUSCLE ACHES audio/RES0142.mp3[101.560,120.880] UM NO NOT NOT NO COUGH REALLY IVE ALSO NOTICED ALSO LIKE THE BACK OF MY THROAT WHEN I LOOK IN THE MIRROR IS LIKE JUST VERY RED AND LIKE ANGRY LOOKING audio/RES0032.mp3[298.880,308.440] UH JUST THE UH SWEATING AT NIGHT HAS BEEN ANNOYING BECAUSE IT WAKES ME UP SOMETIMES BUT OTHER THAN THAT SLEEP HAS BEEN OK audio/RES0027.mp3[235.760,240.960] NO WELL NO NO I WOULD SAY NO audio/MSK0038.mp3[585.200,590.000] NO NO TEMPERATURE CHANGES THEY THEY FEEL THE SAME audio/RES0199.mp3[261.480,264.960] CONFUSION OR MEMORY LOSS audio/CAR0004.mp3[393.240,398.240] OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA OR COCAINE audio/RES0052.mp3[105.960,115.080] OK AND YOU MENTIONED THE RED EYES WHEN DID YOU NOTICE THAT audio/RES0023.mp3[20.920,24.400] UM ABOUT FIVE DAYS 5 DAYS audio/RES0208.mp3[267.440,273.400] OK HAVE YOU HAD ANY PAIN IN YOUR BELLY audio/RES0044.mp3[444.600,448.960] OK ANY CHANGES TO YOUR URINE audio/RES0030.mp3[100.280,108.760] OK AND YOU MENTIONED YOUVE BEEN HAVING THIS COUGH OVER THE PAST FEW YEARS HAS IT BEEN GETTING WORSE AT ALL audio/RES0066.mp3[41.840,51.880] I WAS TREATED WITH SOME ANTIBIOTICS I DONT KNOW EXACTLY WHICH ONES THEY SAID I HAD SOME SORT OF BACTERIAL PNEUMONIA audio/GAS0005.mp3[665.280,667.720] NO NO WE DONT SMOKE audio/RES0009.mp3[251.880,261.720] ALRIGHT AND HAVE YOU FELT AS THOUGH YOUR HEART IS RACING OR BEATING OUT OF YOUR CHEST AT ALL audio/RES0062.mp3[421.480,429.640] YEAH I HAVE ATRIAL FIBRILLATION AND I DO TAKE METOPROLOL FOR THAT audio/MSK0016.mp3[53.640,54.800] YEAH IT HAS audio/MSK0019.mp3[431.800,433.440] NO THEY LOOK PRETTY SIMILAR TO ME audio/RES0186.mp3[141.080,145.760] OK THATS GOOD ANY RASHES audio/RES0176.mp3[339.200,347.200] I SEE ALRIGHT AND ANY CHEST PAIN audio/MSK0021.mp3[397.240,399.800] NO I DONT BELIEVE SO audio/RES0029.mp3[140.560,146.320] NO NO I MEAN IVE NEVER HAD ANY PAIN IN MY CHEST BEFORE audio/RES0209.mp3[441.120,448.320] COOL ARE YOU CURRENTLY GOING TO SCHOOL ONLINE OR IN PERSON audio/MSK0041.mp3[90.320,98.880] ITS INTENSE ITS SHARP audio/RES0004.mp3[122.440,131.200] OK SO ITS NOT PREVENTING YOU FROM SLEEPING GOING TO SCHOOL PLAYING THINGS LIKE THAT audio/RES0060.mp3[98.040,102.320] OK AND DO YOU HAVE A SORE THROAT AT ALL audio/RES0172.mp3[2.200,22.120] SO TWO DAYS AGO I STARTED TO HAVE THIS COUGH CAME OUT OF NOWHERE I HAVENT HAD A COUGH BEFORE AND I JUST TODAY IVE NOTICED THE FEVER AS WELL AND AND IVE HAD A HEADACHE THE LAST FEW DAYS audio/RES0093.mp3[532.160,536.680] AND UH DO YOU SMOKE audio/MSK0013.mp3[196.920,199.240] HAVE YOU HAD ANY CHEST PAIN audio/RES0106.mp3[135.840,138.760] OK SURE ANY RASHES audio/RES0098.mp3[226.680,238.080] UH NO I I DO HAVE JUST LIKE THE GENERAL LIKE ECZEMA THAT I USE A CREAM FOR BUT THATS JUST NORMAL FOR ME audio/RES0167.mp3[422.440,445.520] YEAH YEAH I THINK SO I TRY TO YOU KNOW COOK YOU KNOW WHOLE FOODS FOR US LIKE LOTS OF VEGGIES AND YOU KNOW FISH AND GOOD MEAT ALTHOUGH IN THE PAST YOU KNOW FEW DAYS I JUST CAUSE I FELT REALLY RUNDOWN AND FATIGUED I HAVENT BEEN EATING AS MUCH AS I NORMALLY DO audio/CAR0005.mp3[357.160,364.000] AND IS THERE ANY HISTORY OF HEART PROBLEMS IN YOUR FAMILY audio/MSK0040.mp3[572.760,588.160] SO I THERES A LIKE THERES A BRUISE ABOUT 4 CENTIMETERS WIDE AND IT APPEAR SWOLLEN BUT JUST BY RIGHT ANKLE audio/RES0140.mp3[313.320,323.320] PROBABLY SMOKED FOR PROBABLY 15 15 YEARS PROBABLY LIKE LIKE HALF A PACK A DAY audio/RES0181.mp3[330.200,336.840] IM IN SCHOOL IM IN GRADE 10 AND WERE DOING HALF DAYS NOW audio/RES0167.mp3[203.440,205.040] NO BELLYACHES audio/RES0189.mp3[368.640,372.000] ANY MUSCLE ACHES OR JOINT PAINS audio/RES0166.mp3[474.160,479.400] YEAH I DO I UM IM A BANKER audio/MSK0025.mp3[159.800,164.080] UM I WOULD SAY ITS LIKE AN 8 OR 9 audio/RES0049.mp3[584.880,588.480] NO NO IVE NEVER TRIED MARIJUANA audio/RES0101.mp3[653.320,688.160] OK SO WELL GET THE LAB WORK STARTED AS WELL AS THE IMAGING ORDERED IT WILL LOOK FOR TO SEE IF THERE IS ANY PULMONARY EMBOLISM PRESENT BECAUSE WITH THE SURGERY LAST WEEK AND BEING IMMOBILIZED FOR A PERIOD OF TIME IT IS A RISK FACTOR FOR IT AND LEG SWELLING WITH UHM COUGHING UP BLOOD CAN BE SYMPTOMS OF THIS SO WELL WANNA MAKE SURE TO TO DO TO INVESTIGATE FOR A PULMONARY EMBOLISM audio/MSK0025.mp3[470.680,473.840] OK CURRENTLY DO YOU WORK audio/MSK0044.mp3[325.560,332.040] OKAY UM HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS audio/RES0110.mp3[122.360,131.720] UM IT WAS IT WAS A DRY COUGH AT FIRST BUT NOW IM SEEING SOME PHLEGM UM AND IT LOOKS KIND OF YELLOW audio/RES0032.mp3[481.040,483.200] AND ANY SURGERIES IN THE PAST audio/RES0132.mp3[469.720,472.640] AND DO YOU DRINK ALCOHOL audio/RES0039.mp3[543.800,548.840] OK UM ANY PREVIOUS HOSPITALIZATIONS audio/MSK0013.mp3[298.680,312.920] OK UH AND HAVE YOU HAD ANY MEMORY CHANGES OR ANY CONFUSION audio/RES0149.mp3[253.960,259.040] HOW ABOUT ANY CHANGES TO YOUR SENSE OF UH TASTE OR YOUR SENSE OF SMELL audio/RES0215.mp3[0.000,2.680] HOW CAN I HELP YOU TODAY audio/RES0117.mp3[94.040,98.600] CHANGES IN VISION HEARING SMELL OR TASTE audio/MSK0050.mp3[63.680,73.120] UM THERE IS A LITTLE BIT ON MY MIDDLE AND RING FINGER BUT ITS LIKE ITS VERY VERY MILD audio/GAS0004.mp3[521.640,527.360] OK AND DO YOU LIVE DO YOU LIVE ON YOUR OWN WITH FAMILY WITH ROOMMATES audio/RES0008.mp3[506.000,508.800] OK DO YOU DRINK ALCOHOL audio/RES0052.mp3[345.240,354.640] OK AND HOW ABOUT ANY ACHES OR PAINS ANYWHERE audio/RES0134.mp3[729.560,732.360] A BLEEDING DISORDER NO audio/RES0082.mp3[365.000,376.000] YEAH IM FINISHING UP GRADE 8 AND WERE DOING THE COURSES ONLINE audio/RES0123.mp3[330.880,333.120] ANY NUMBNESS OR TINGLING audio/RES0175.mp3[456.560,473.880] OK AND OK AND UH SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANY ANYTHING ELSE THAT YOU WANTED TO MENTION OR ANYTHING YOU WERE CONCERNED ABOUT audio/MSK0015.mp3[338.960,347.840] NO OK AND ANY CONFUSION OR OR MEMORY LOSS audio/MSK0010.mp3[167.680,176.920] BUT BUT CERTAIN LIKE SOME MOVEMENTS SO IT CAN GET LIKE KIND OF SHARP audio/RES0102.mp3[691.480,704.200] MY DAD HAD A STROKE WHEN HE WAS IN HIS LATE 60S BUT THATS THE ONLY THING I CAN THINK OF audio/RES0087.mp3[383.640,388.000] OK ALRIGHT IS HE OTHERWISE HEALTHY audio/MSK0016.mp3[580.200,592.840] OK OK THATS GOOD IF YOU NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO UM AND DO YOU CONSUME MARIJUANA IN ANY FORM audio/MSK0046.mp3[614.520,617.000] OK YEAH THAT SOUNDS GREAT THANK YOU audio/RES0181.mp3[175.320,184.720] OK AND SO YOU DONT YOU HAVENT HAD ANY COUGH BUT HAVE YOU HAD ANY INSTANCES OF BRINGING UP ANY SPUTUM OR OR ANY BLOOD audio/RES0168.mp3[147.120,154.120] SO MY THERMOMETER SAID THATS HIGH I DONT I DONT REALLY KNOW BUT YEAH audio/RES0022.mp3[326.040,334.080] OK AND HAVE YOU FELT AS THOUGH YOUR HEART WAS RACING AT ANY POINT audio/RES0192.mp3[130.680,133.480] ARE YOU COUGHING UP ANY BLOOD audio/RES0038.mp3[246.440,254.320] OK IS YOUR COUGH AT ALL WORSE DURING THE DAY OR AT NIGHT OR DOES IT JUST IS AT AROUND THE SAME THROUGHOUT THE DAY audio/RES0052.mp3[439.400,441.200] OK ARE THERE ANY PETS AROUND audio/RES0056.mp3[67.800,75.920] OK UMM DOES IT GET BETTER WITH ANYTHING HAVE YOU TRIED ANY OVER THE COUNTER COUGH SYRUP audio/RES0195.mp3[513.880,516.720] OK AND HOWS YOUR LIVING SITUATION LIKE RIGHT NOW audio/RES0173.mp3[16.440,22.480] OK WHEN DID THE SHORTNESS OF BREATH START AND ARE YOU SHORT OF BREATH NOW audio/RES0071.mp3[356.880,359.680] OK ANY FATIGUE audio/RES0110.mp3[460.160,461.400] UH NO audio/RES0197.mp3[78.960,86.720] OK AND HAVE YOU HAD TO DO YOU HAVE Y TO MISS ANY SCHOOL OR ANYTHING LIKE THAT OVER THE PAST WEEK audio/RES0105.mp3[611.640,617.320] THATS GOOD CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR ARE YOU RETIRED audio/RES0207.mp3[87.000,91.200] OK OK UH HAVE YOU HAD ANY CHEST PAIN audio/RES0011.mp3[448.600,454.000] OK UM AND HAVE YOU HAD ANY SKIN RASHES audio/RES0132.mp3[273.480,274.440] UH NO audio/RES0076.mp3[204.720,208.320] OK ANY RECENT TRAVEL OUTSIDE OF THE COUNTRY audio/RES0158.mp3[313.200,319.280] OK AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS audio/MSK0006.mp3[812.760,821.520] OK AND NO PAIN ON HIP ADDUCTION OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR MYSELF audio/RES0091.mp3[40.480,44.720] YEAH THAT STARTED A WEEK AND A HALF AGO audio/RES0182.mp3[251.440,253.840] HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0042.mp3[272.800,274.880] NO NO ABDOMINAL PAIN audio/MSK0050.mp3[337.600,344.760] ALRIGHT AND UH HAVE YOU HAD ANY OTHER PAINS IN YOUR JOINTS OR ANY JOINT SWELLING audio/RES0064.mp3[214.120,218.840] OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL audio/RES0204.mp3[137.480,145.000] ITS PRETTY CLEAR audio/RES0023.mp3[227.480,232.240] NO IVE ACTUALLY PUT ON PROBABLY 5 OR 10 POUNDS audio/RES0058.mp3[689.080,695.520] ILL JUST CONTINUE ON ASKING YOU SOME OTHER QUESTIONS DO YOU DRINK ALCOHOL audio/RES0085.mp3[220.520,224.840] OK OK HAVE YOU NOTICED ANY RASHES ON HIM audio/MSK0003.mp3[464.960,470.720] OK ALRIGHT AND IS YOUR PARTNER FINE OR IS SHE HAVING ANY SYMPTOMS AT ALL audio/MSK0015.mp3[590.400,592.800] NO NONE OF US SMOKE audio/DER0001.mp3[14.400,18.800] HI SO YOU I UNDERSTAND YOU HAVE A RASH ON YOUR LEG audio/RES0201.mp3[536.400,541.240] UM NO I DONT THINK SO audio/RES0215.mp3[28.240,39.960] OK SO FOR THE WHEN IT FIRST PRESENTED ABOUT FOUR TO FIVE DAYS AGO WHAT DID YOU NOTICE NOTICE FIRST audio/MSK0021.mp3[226.040,227.880] NO NOTHING NOTHING LIKE THAT audio/RES0055.mp3[96.720,104.440] NO I DONT THINK SO BUT THERES DEFINITELY LIKE A LOT MORE THAN WHAT I USUALLY PRODUCE audio/RES0176.mp3[640.760,651.360] UHM PROSTATE CANCER MY UNCLE HAD IT audio/RES0049.mp3[521.880,527.440] UM NO I DONT THINK SO audio/RES0211.mp3[538.920,543.560] GOT IT SO NONE OF THE HARDER DRUGS COCAINE HEROIN audio/RES0048.mp3[411.080,415.720] NO NO NO NO CONGESTION REALLY audio/RES0062.mp3[153.760,163.920] UH WELL I CANT TELL IF ITS THAT OR THE COUGH I MEAN BETWEEN THOSE TWO THINGS ITS BEEN DEFINITELY INTERRUPTING MY SLEEP audio/RES0165.mp3[33.600,49.400] IT STARTED WITH A SORE THROAT TWO NIGHTS AGO AND THEN IT GOT WORSE IN THE MORNING WHEN I WOKE UP AND THEN I DEVELOPED THE COUGH LIKE ABOUT A DAY AGO A DAY AND A HALF audio/RES0035.mp3[64.800,68.280] UM LIKE UM IN TOTAL PER DAY audio/GAS0001.mp3[137.720,142.120] DO YOU WAKE UP AT NIGHT TO PEE audio/RES0022.mp3[450.720,459.840] UM I MEAN ONLY WHEN THERE IS LIKE REASONS FOR IT LIKE BEING REALLY OVERTIRED OR UH YEAH audio/RES0100.mp3[174.560,180.920] ALRIGHT HOW ABOUT ANY EYE REDNESS OR RUNNY NOSE OR audio/RES0012.mp3[138.400,145.200] NO OK UM AND IS IT IS YOUR SHORTNESS OF BREATH WORSE WITH EXERTION audio/RES0179.mp3[37.080,60.520] WELL IVE HAD A COUGH BEFORE UH LIKE A SMOKERS COUGH AH AND THATS BEEN LIKE A FEW COUPLE OF YEARS BUT THATS JUST A COUGH THAT I WOULD HAVE IN THE MORNING AND IT WOULD JUST GO AWAY BUT I MEAN AROUND SIX MONTHS AGO I STARTED HAVING THIS COUGH ALL DAY audio/RES0047.mp3[682.720,691.560] YEAH A FEW BEERS ON THE WEEKEND audio/RES0006.mp3[576.920,582.600] ALRIGHT AND HAS ANYTHING SIMILAR LIKE THIS HAPPENED IN YOUR FAMILY BEFORE audio/RES0048.mp3[621.120,630.360] JUST UH LIKE MULTI VITAMINS FOR MEN OVER 50 audio/RES0193.mp3[363.800,369.600] OK AND UM ANY HOSPITALIZATIONS OR SURGERIES audio/RES0036.mp3[518.920,526.760] OK ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA audio/RES0209.mp3[477.240,481.480] NO PETS WE HAVE JUST LIKE WELL I GUESS WE HAVE GOLDFISH audio/RES0149.mp3[353.720,370.000] OH YEAH YEAH I CAME BACK UM TWO DAYS AGO UM I WENT TO UM I WENT TO INDIA TO VISIT MY FAMILY THERE WAS A DEATH SO HAD TO TO GO I CAME BACK YEAH TWO DAYS AGO audio/RES0025.mp3[653.960,656.800] OK THAT SOUNDS GOOD audio/RES0117.mp3[440.200,447.320] YEAH THAT SOUNDS GOOD UM YEAH IM REALLY WORRIED BUT HOPEFULLY ITS NOT TB audio/RES0142.mp3[95.920,97.120] UH NO audio/RES0117.mp3[99.640,104.000] UH WEIGHT LOSS audio/RES0194.mp3[242.920,246.400] OK UM ANY NAUSEA OR VOMITING audio/MSK0010.mp3[551.120,562.720] YEAH SO IM LIVING WITH WITH MY WIFE IN A SMALL CONDOMINIUM IN DOWNTOWN audio/RES0005.mp3[378.040,382.240] ALRIGHT AND UH HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN audio/RES0164.mp3[482.560,487.680] HES GOING TO SCHOOL UM ONLINE audio/MSK0040.mp3[353.880,360.320] OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY RECENTLY audio/MSK0050.mp3[15.160,22.840] YEAH CERTAINLY SO SO WHEN DID THIS EXACTLY START audio/MSK0045.mp3[430.560,431.400] UH NO NO audio/CAR0002.mp3[498.920,503.880] UM SIX DAYS AGO audio/RES0066.mp3[96.920,105.240] ARE YOU PRODUCING ANY SPUTUM audio/MSK0025.mp3[578.080,585.080] ARE YOU ABLE TO BEND DOWN OR EXTEND YOUR BACK AT ALL OR IS IT TOO PAINFUL audio/RES0159.mp3[83.640,90.840] DO YOU FEEL LIKE YOU HAVE TO RAISE YOUR HEAD OR HAVE MULTIPLE PILLOWS TO SLEEP AT NIGHT SO YOU DONT FEEL SHORT OF BREATH audio/RES0145.mp3[341.160,353.400] UH I DID HAVE A COUPLE OF EAR INFECTIONS WHEN I WAS WHEN I WAS YOUNGER BUT I HAVENT HAD ANY SINCE audio/RES0164.mp3[516.520,521.680] OK AND HAS ANYONE BEEN SICK RECENTLY OR HAD SIMILAR SYMPTOMS audio/RES0044.mp3[570.520,577.080] UH YEAH YEAH audio/RES0072.mp3[206.800,209.840] NO NOTHING LIKE THAT audio/MSK0010.mp3[389.160,397.240] OK AND UM HOW HAS YOUR SLEEP BEEN THESE PAST COUPLE OF NIGHTS SO YOU MENTIONED YOU HAVENT BEEN ABLE TO LAY ON YOUR LEFT SIDE audio/RES0091.mp3[269.080,271.560] OK ANY ALLERGIES THAT YOU KNOW OF audio/CAR0004.mp3[345.880,353.000] NO IM A STUDENT I WELL AS A PART TIME JOB I DO WORK AS A POST MAN audio/RES0210.mp3[241.640,251.680] NO NEVER ACTUALLY DOC YOURE SAYING SOMETHING THAT MAKES IT FEEL WORSE TAKING A DEEP BREATH MAKES IT FEEL PRETTY BAD audio/RES0121.mp3[246.880,251.200] OTHERWISE HEALTHY OKAY ANY ALLERGIES TO ANY MEDICATIONS audio/RES0179.mp3[346.160,347.160] NO NUMBNESS OR TINGLING audio/RES0102.mp3[279.880,290.120] OK AND UH WOULD YOU DESCRIBE IT AS SO YOU SAID ITS KIND OF A SHARP PAIN DOES IT MOVE AROUND ANYWHERE audio/MSK0035.mp3[545.160,547.640] UHM NO I DONT SEE ANYTHING LIKE THAT audio/RES0004.mp3[290.280,295.000] NO I HAVENT HAD A COUGH NO audio/RES0085.mp3[486.200,512.480] YEAH SO FOR NOW BECAUSE IF HE IS IN ANY DISTRESS AND IF HE NEEDS OXYGEN AND IV HYDRATION HELL NEED TO STAY IN THE HOSPITAL UNTIL HES BETTER FROM THAT STANDPOINT I SHOULD ALSO MENTION WE SHOULD DO A COVID SWAB ON HIM AS WELL BECAUSE HIS SYMPTOMS ARE IN LINE WITH COVID AS WELL SO WELL HAVE TO DO THAT TO RULE IT OUT audio/MSK0009.mp3[362.000,367.160] ALRIGHT SO HAVE YOU HAD ANY RECENT WEIGHT CHANGES audio/RES0105.mp3[681.400,682.160] NO I DONT audio/RES0159.mp3[81.360,83.640] UH NO NOTHING LIKE THAT audio/RES0185.mp3[1.840,19.600] IVE I IVE HAD A AH REALLY RUNNY NOSE AND KIND OF FEELING LIKE LIKE MY NOSE HAS BEEN OBSTRUCTED AND IVE KIND OF HAD THIS LIKE SORE THROAT AS WELL OVER THE LAST SEVERAL DAYS audio/MSK0028.mp3[558.560,572.600] YEAH SO IM LIVING WITH MY WIFE AND UM DAUGHTER AND IM LIVING JUST IN A CONDOMINIUM IN THE CITY audio/RES0216.mp3[0.000,3.920] SO I UNDERSTAND YOURE HAVING SOME CHEST TIGHTNESS audio/RES0141.mp3[306.720,312.040] NOT TO ANY MEDICATIONS BUT I DO HAVE AN ALLERGY TO PEANUTS audio/MSK0017.mp3[65.480,88.960] NO I CANT THINK OF ANYTHING UH LIKE SPECIFIC THAT HAPPENED BUT THERE WAS ONE NIGHT WHERE UM LIKE AFTER WORK I WAS SITTING DOWN AFTER DINNER AND UM I GOT PRETTY STIFF THAT NIGHT IT WAS PRETTY SORE AND KIND OF EVER SINCE THEN ITS BEEN BEEN SORE audio/CAR0002.mp3[494.720,498.920] OK AND WHEN WAS THE LAST TIME THAT YOU USED CRYSTAL METH audio/RES0200.mp3[81.680,96.960] NO IM BRINGING UP LIKE THIS ITS USUALLY BEFORE THIS WEEK IT WAS LIKE KIND OF A CLEAR TO YELLOW SORRY CLEAR TO WHITE MATERIAL BUT THIS PAST WEEK ITS BEEN MORE YELLOW IN COLOR audio/RES0088.mp3[130.400,137.120] SHES EATING AND DRINKING OK BUT I SUSPECT THERE IS SOME PAIN audio/RES0173.mp3[293.600,297.000] OK HAVE YOU HAD ANY HEADACHES audio/RES0071.mp3[0.000,2.920] WHAT BRINGS YOU IN HERE audio/RES0036.mp3[225.680,231.640] OK AND HAVE YOU EVER NOTICED ANY BLOOD IN THE COUGH audio/RES0077.mp3[506.360,509.520] NO I DONT HAVE ANYTHING LIKE THAT audio/MSK0038.mp3[700.240,711.440] IT IS YEAH ITS I GET A SHARP PAIN IF WHEN DOING THAT audio/RES0075.mp3[423.280,431.480] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0028.mp3[622.880,632.000] OK WELL ITS GOOD THAT YOURE STAYING ACTIVE AND UM DO YOU SMOKE CIGARETTES audio/RES0104.mp3[316.640,317.960] I HAVE YEAH audio/RES0060.mp3[45.360,64.240] OK SO THATS DEFINITELY A FEVER SO WE CAN TAKE YOUR TEMPERATURE TODAY AS WELL UMM SO HAVE YOUR SYMPTOMS BEEN THE SAME OR GETTING WORSE OR BE GETTING BETTER OVER THE PAST FEW DAYS audio/MSK0029.mp3[449.000,451.960] HOW ABOUT ISSUES WITH THEIR BOWEL MOVEMENTS audio/MSK0028.mp3[83.680,91.000] UM IM NOT SURE IF I HEARD A POP ACTUALLY I THINK I MIGHT HAVE THOUGH audio/RES0072.mp3[59.840,70.400] YEAH THIS IS OVER THE LAST DAY I VOMITED THREE TIMES YESTERDAY AND ONCE TODAY audio/RES0087.mp3[294.680,298.280] NO OK NO NUMBNESS NO TINGLING audio/RES0128.mp3[28.400,37.720] OK UHM SO YOU MENTIONED A COUGH IS IT A HARSH BARKY COUGH OR IS IT MORE LIKE A MUFFLED COUGH audio/RES0175.mp3[476.080,509.760] OK UM SO WITH YOUR YOUR SYMPTOMS TODAY THEY DO OVERLAP POTENTIALLY WITH COVID AND SO WHAT WELL NEED TO DO OR WILL WELL ITLL BE IMPORTANT TO DO A SWAB TO TEST FOR COVID IT COULD BE SOMETHING ELSE LIKE THE COMMON COLD LIKE ANOTHER TYPE OF VIRAL ILLNESS BUT BECAUSE OF THE PANDEMIC IT WILL BE IMPORTANT TO SELF ISOLATE INCLUDING FROM YOUR WIFE FOR THE NEXT 14 DAYS AND WELL GET BACK TO YOU WITH THE RESULTS AS SOON AS WE CAN audio/RES0059.mp3[242.200,244.880] I HAVENT NOTICED ANY RASHES audio/RES0162.mp3[348.640,359.560] NOW WHILE THE UNIVERSITY HAS CLOSED DOWN AND BY THAT IVE LIVED THERE ALL MY LIFE BEFORE SO I DONT KNOW IF THAT HAD ANYTHING TO DO WITH IT audio/RES0159.mp3[451.680,476.280] UM PROBABLY FOR ALMOST I GUESS 50 YEARS OR MAYBE EVEN MORE MAYBE LIKE 55 YEARS AND UH IVE BEEN SMOKING AT ONE POINT I EVEN SMOKED UP TO LIKE TWO TWO PACKS A DAY BUT NOW LIKE FOR THE LAST AT LEAST 20 30 YEARS ITS BEEN LIKE ONE PACK A DAY audio/RES0103.mp3[467.320,485.040] OK SO YEAH BASED ON HER SYMPTOMS SHE DOES SEEM TO HAVE SOME JUST A COLD LIKE SYMPTOMS VIRAL SYMPTOMS AND ITS BEEN ITS BEEN YOU SAID THREE OR FOUR DAYS IN TOTAL RIGHT audio/RES0155.mp3[227.520,231.720] NO I JUST FELT FEVERISH audio/RES0077.mp3[219.240,231.640] OK AND HAVE YOU HAD ANYTHING LIKE A BLOOD CLOT EITHER IN YOUR LEGS OR TRAVELING UP TO YOUR LUNGS IN THE PAST BEFORE audio/RES0036.mp3[267.400,276.560] I NOTICE SOME WHEEZING YEAH ITS ITS ITS NOT THAT MUCH THOUGH audio/RES0107.mp3[256.760,268.320] OK OK UM AND THEN HAVE YOU NOTICED THAT HES LIKE TAKING IN LIKE RAPID BREATHS audio/RES0017.mp3[457.400,462.360] OK ANY URINARY PROBLEMS LIKE PAIN OR OR GOING REALLY OFTEN audio/RES0006.mp3[0.000,3.360] WHAT BRINGS YOU IN TO SEE US audio/RES0204.mp3[44.320,48.560] I AM audio/RES0176.mp3[508.040,518.400] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH audio/RES0131.mp3[385.000,390.800] UH SINCE HIGH SCHOOL SO I YEAH SINCE I WAS 18 SO EIGHT YEARS audio/RES0031.mp3[550.800,555.600] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS audio/MSK0020.mp3[501.200,503.680] NO NO OTHER RECREATIONAL DRUGS audio/RES0191.mp3[439.520,443.680] OK AND WHO WAS THAT AND HOW OLD WERE THEY audio/MSK0034.mp3[283.520,288.440] OK AND YOU TAKE ANY MEDICATIONS ON A DAILY BASIS audio/MSK0040.mp3[1.480,26.040] SO IVE HAD THIS ANKLE PAIN FOR THE PAST DAY AND AND IT DOESNT SEEM TO BE GETTING BETTER MY RIGHT ANKLE LOOKS SWOLLEN AND ITS BRUISED AND IS PRETTY PAINFUL SO I JUST WANTED TO COME HERE TO CHECK CHECK IT OUT SEE IF I NEED ANY THING DONE TO IT audio/RES0020.mp3[364.480,366.680] HAVE YOU HAD ANY WEAKNESS audio/RES0175.mp3[53.880,57.920] AND IS THE COUGH BEEN UM PRODUCING ANY PHLEGM OR SPUTUM audio/MSK0001.mp3[368.720,373.560] UH I HAD HEMORRHOIDS REMOVED THREE YEARS AGO audio/RES0136.mp3[381.880,385.160] OKAY ANY SLEEP OR APPETITE ISSUES audio/RES0132.mp3[380.720,384.840] YES I BELIEVE SO audio/RES0150.mp3[198.280,205.760] OK I SEE YEAH WELL ITS GOOD THAT YOU BROUGHT HIM IN UM HAS HE BEEN HAVING ANY NIGHT SWEATS audio/RES0160.mp3[245.400,257.400] UHM MAYBE A LITTLE BIT I HAVENT REALLY YEAH I WOULD SAY IN THE LAST FEW DAYS MAYBE A LITTLE LIKE IVE BEEN ABLE TO SMELL LESS audio/RES0143.mp3[181.520,183.840] NAUSEA OR VOMITING audio/CAR0001.mp3[299.080,303.000] OK YOU HAVENT BROUGHT UP ANY BLOOD audio/RES0192.mp3[324.000,330.320] OK OK AND HOW IS YOUR ENERGY BEEN UH RECENTLY HAVE YOU HAD ANY FATIGUE OR MALAISE audio/RES0044.mp3[238.240,246.080] NO OK HOW ABOUT ANY CHANGES TO YOUR HEARING OR VISION audio/RES0087.mp3[531.880,543.760] NO NO ISSUES FROM LIKE WHEN HE WAS YOUNGER LIKE NO COMPLAINTS AT ALL I THINK HE WAS DOING THE SAME AS EVERY OTHER CHILD audio/RES0014.mp3[599.720,613.640] UH NOT REALLY JUST MAYBE LIKE THE NORMAL AMOUNT LIKE IF IM RUNNING AROUND TOO MUCH I FEEL SHORTNESS OF BREATH BUT I THINK IT JUST GOT WORSE OVER THE LAST FEW MONTHS audio/MSK0019.mp3[136.320,145.400] OKAY UM HOW ABOUT UM IN TERMS OF LIKE TIMELINE IS IT GETTING WORSE audio/RES0203.mp3[33.520,38.160] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/MSK0021.mp3[235.480,244.760] OK ALRIGHT HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING audio/RES0020.mp3[125.600,132.280] OK AND AND HAS THE PAIN GET BEEN GETTING WORSE GETTING BETTER STAYING THE SAME audio/RES0202.mp3[370.320,376.000] OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES audio/RES0215.mp3[390.400,395.280] OK UH DOES SHE HAVE ANY ALLERGIES audio/RES0048.mp3[527.040,532.560] OK UM HOW ABOUT MUSCLE ACHES OR JOINT PAINS audio/RES0035.mp3[0.000,4.160] MAY I JUST BEGIN WITH ASKING YOU WHAT BROUGHT YOU IN HERE TODAY audio/RES0007.mp3[927.640,943.680] YEAH THANK YOU I REALLY WANNA KNOW THAT LIKE THAT WAS MY PLAN AND NOW IM LIKE KINDA WORRIED I CAN DO THAT audio/RES0167.mp3[161.800,165.360] BUT NOTHING LIKE MAJOR audio/MSK0034.mp3[99.720,108.400] OK AND YOURE STILL LIMPING ON HAVE YOU NOTICED SO ANY PAIN ANYWHERE ELSE OR IS IT JUST YOUR HIP audio/RES0201.mp3[120.160,128.480] THAT ACTUALLY STARTED YESTERDAY AND ITS GOTTEN ME VERY CONCERNED audio/RES0021.mp3[24.440,32.240] OK YEAH YOUVE BEEN FEELING HOT HAVE YOU CHECKED YOUR TEMPERATURE audio/RES0138.mp3[525.320,597.200] OKAY SO THERES A FEW THINGS THAT WE THINK ABOUT WITH THE CHRONIC SHORTNESS OF BREATH AND A COUGH ONE COULD BE JUST A COPDIAGNOSIS WITH YOUR LONG HISTORY OF SMOKING AND THIS PULMONARY FUNCTION TEST GET AN XRAY CHEST XRAY AS WELL UM ANOTHER THING THAT WE NEED TO LOOK OUT FOR IS UH LUNG CANCER AND SINCE YOU HAVE BEEN SMOKING FOR A PRETTY LONG TIME EVEN THOUGH YOU MAY HAVE QUIT WHICH IS REALLY GREAT BUT THAT LONG HISTORY OF SMOKING ESPECIALLY ALSO WITH UM YOU WORKING IN A MINE THOSE ARE SOME THINGS THAT MEANS WE CAN TEST AS WELL AND SO WE MAY REQUIRE LIKE A CHEST XRAY AND EVEN UM A CT SCAN OF YOUR LUNGS AS WELL UM SO YEAH FIRST WELL JUST DO A COUPLE TESTS DO A PHYSICAL EXAMINATION GET YOUR VITALS DO SOME BLOOD WORK AND DO SOME OF THOSE TESTS AND THEN WELL ALSO GET A COVISWAB TEST DONE FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD audio/RES0151.mp3[2.400,17.400] HI YES IM JUST COMING IN UH OVER THE LAST WEEK IVE BEEN HAVING UM LIKE A COUGH RUNNY NOSE AND A LOT OF CONGESTION AS WELL SO I JUST WANTED TO COME IN HERE TO MAKE SURE NOTHINGS WRONG audio/RES0013.mp3[137.400,139.080] DOES IT OH SORRY GO AHEAD audio/RES0072.mp3[530.040,534.280] OK AND CURRENTLY DO YOU WORK audio/RES0074.mp3[63.840,69.680] OK HAVE YOU NOTICED ANY NECK SWELLING audio/RES0128.mp3[119.880,123.440] NO WEIGHT LOSS OVER THE PAST FEW WEEKS audio/RES0185.mp3[331.080,333.520] OK ANY ALLERGIES audio/MSK0043.mp3[0.000,4.720] WHAT BRINGS YOU HERE TODAY audio/MSK0021.mp3[640.440,643.720] THAT DOES HURT YEAH SQUATTING HURTS audio/MSK0001.mp3[527.040,529.840] OK ALRIGHT SO NOW IM JUST GOING TO GET THE PATIENTS VITALS audio/MSK0018.mp3[95.280,104.680] OKAY UM AND DO YOU ARE YOU EXPERIENCING ANY TINGLING OR NUMBNESS audio/RES0019.mp3[100.240,106.680] OK DOES THE HEADACHE GET WORSE WITH LYING FLAT audio/RES0121.mp3[121.160,126.480] DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE HEADACHE ANYTHING LIKE THAT audio/RES0092.mp3[360.560,431.440] OK UHM OK ALRIGHT SO THATS ALL THAT I I WANTED TO KNOW IT SOUNDS LIKE YOU HAD A YOU HAD A COLD LAST WEEK AND YOU JUST HAVE THIS RESIDUAL COUGH THATS STILL THERE AND ITS BEEN TWO WEEKS AND YOURE JUST WORRIED ABOUT IT BUT OTHERWISE YOURE FEELING WELL YOU DONT HAVE ANY OTHER SYMPTOMS OFTEN TIMES WHEN WE GET SICK OR WE HAVE AN INFECTION OR INFLAMMATION OF THE UHM THE AIRWAY WE CAN GET A COUGH THAT LASTS A LONG TIME AND IT MIGHT JUST TAKE YOU A COUPLE MORE WEEKS FOR THE COUGH TO GO AWAY BUT IF YOU FEEL THAT ITS GETTING ANY WORSE OR YOURE YOU HAVE THOSE SYMPTOMS COME BACK AGAIN OR YOU DEVELOP A FEVER WE CAN YOU CAN DEFINITELY WE CAN DO SOMETHING MORE ABOUT THAT ILL ALSO DO A PHYSICAL EXAM AND AND SEE HOW YOURE DOING AND THEN WE CAN GO FROM THERE audio/RES0031.mp3[24.000,28.560] I THINK IT STARTED LAST NIGHT audio/RES0189.mp3[567.480,575.240] ALRIGHT SO HAVE YOU TRAVELED ANYWHERE audio/MSK0021.mp3[388.320,391.440] NO NOTHING LIKE THAT audio/MSK0042.mp3[775.840,805.160] YEAH NO I UM NOTHING ELSE I WANTED TO ADD BUT I I THINK MY PARENTS AND I WERE JUST SCARED ABOUT IT BEING LIKE UH CANCER OR LIKE A TUMOUR UM SO I JUST DONT KNOW WHAT I SHOULD DO IF I NEED TO GET ANY TESTS DONE OR XRAYS OR ANYTHING LIKE THAT audio/MSK0005.mp3[299.440,302.320] OK SO NO WEIGHT LOSS audio/RES0167.mp3[600.600,602.960] YEAH FOR SURE WELL UHM THANK YOU audio/MSK0005.mp3[643.560,647.960] NO I I DONT USE THAT audio/RES0074.mp3[226.640,229.960] OK AND HAVE YOU HAD A RUNNY NOSE audio/RES0112.mp3[192.080,202.240] YEAH HES NOT TAKING HES NOT HES NOT TAKING ANYTHING ELSE LIKE HES BEEN SO FUSSY AND SO LIKE HES UNWILLING TO TRY ANYTHING audio/RES0047.mp3[327.120,333.000] OK UM ANY CHANGES TO YOUR VISION OR HEARING audio/RES0104.mp3[202.560,215.480] ITS OK DO YOU HAVE TO WAKE UP AT NIGHT TO TAKE A DEEP BREATH OR DO YOU FEEL ANY KIND OF SHORTNESS OF BREATH WITH LAYING DOWN AT ALL audio/GAS0004.mp3[190.360,199.040] OK WHAT DID YOU HAVE THERE audio/MSK0039.mp3[262.440,263.960] NO NO HEADACHES audio/RES0194.mp3[639.680,656.000] YEAH NO WORRIES AND IT CAN DEFINITELY ALSO BE ANOTHER VIRAL INFECTION AS WELL EVEN IF ITS NOT COVID IN WHICH CASE IT JUST YOU JUST NEED TO GET SOME REST STAY HYDRATED AND LET IT TAKE ITS COURSE audio/RES0163.mp3[92.360,97.520] OK AND SO ITS JUST ON THE LEFT SIDE IT NEVER MOVES TO THE RIGHT SIDE audio/RES0050.mp3[395.840,400.360] UM JUST SOME CALCIUM AND VITAMIN D audio/RES0023.mp3[272.560,285.160] OK OK UM SO IM JUST GOING TO ASK YOU SOME QUESTIONS OR SORRY FEW MORE QUESTIONS ON THIS AND THEN WELL MOVE ON TO JUST YOUR HEALTH IN GENERAL HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0093.mp3[94.640,103.520] OK WHEN DO YOU HAVE DIFFICULT LIKE IS THERE ANYTHING THAT MAKES THE SHORTNESS OF BREATH WORSE audio/RES0089.mp3[251.640,254.480] UH IT JUST STAYS IN MY CHEST audio/MSK0022.mp3[352.920,360.560] OK AND HOW MUCH WOULD YOU RATE THE PAIN FROM ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE audio/RES0212.mp3[105.320,110.600] GREENISH OK AND ALSO ANY RED OR ANY BLOOD WITH IT audio/RES0012.mp3[573.280,579.720] UH I THEY JUST SAID CAUSE I LIKE HAD DIABETES THAT I SHOULD PROBABLY START TAKING IT audio/RES0118.mp3[300.000,305.440] UHM NO NO NOTHING NOTHING LONG STANDING audio/RES0059.mp3[759.040,767.640] YEAH THANK YOU audio/MSK0006.mp3[442.720,444.080] NO NOTHING LIKE THAT audio/RES0077.mp3[721.320,731.520] NO THEYVE BEEN GOOD MY WIFE WORKS FROM HOME AND MY SON HES BEEN HIS PLAYFUL SELF audio/RES0136.mp3[340.000,345.560] NO NO I HAVENT NOTICED ANY OF THAT audio/MSK0023.mp3[79.000,86.880] ITS PRETTY SHARP IT FEELS LIKE THERES PEOPLE JUST STABBING ME IN THE KNEE audio/RES0143.mp3[344.800,356.440] OKAY OKAY UM AND HAVE YOU UM IS THERE ANYONE ELSE AROUND IN THE HOME OR JUST YOUR PARENTS AND YOU audio/RES0141.mp3[3.200,31.120] HI SO I JUST CAME IN TODAY BECAUSE IVE BEEN JUST BEEN FEELING UM LIKE MY HEADS JUST BEEN HURTING FOR THE PAST THREE OR FOUR DAYS AND I ALSO FELT REALLY COLD THROUGHOUT THE DAY FOR THE LAST FEW DAYS AS WELL SO UM I DID END UP CHECKING MY TEMPERATURE JUST YESTERDAY AFTERNOON AND IT WAS UM 387 DEGREES CELSIUS audio/MSK0024.mp3[32.480,40.720] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A SHARP STABBING PAIN OR IS THAT A DULL ACHING PAIN audio/RES0099.mp3[288.720,289.680] UH NO NOPE audio/RES0068.mp3[118.600,120.600] UH NO audio/RES0051.mp3[406.280,414.600] I LIVE WITH TWO OF MY YOUNGER SIBLINGS AND MY MOM AND DAD audio/RES0049.mp3[333.920,335.480] UH NO NOT REALLY audio/RES0030.mp3[0.000,5.760] CAN YOU JUST TELL ME A LITTLE BIT ABOUT WHAT BRINGS YOU IN HERE TODAY audio/RES0012.mp3[727.600,731.880] OH LIKE IF IM LIKE WITH FRIENDS MAYBE ON A WEEKEND audio/CAR0001.mp3[232.640,237.080] JUST FROM THE FROM HAVING ISSUES BREATHING audio/RES0181.mp3[88.880,92.400] THAT STARTED TWO DAYS AGO audio/RES0156.mp3[176.640,179.440] UH NO audio/RES0034.mp3[666.800,672.960] NO MY PREGNANCY WAS COMPLETELY NORMAL NO COMPLICATIONS DURING THE PREGNANCY audio/RES0100.mp3[323.800,328.400] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0022.mp3[750.560,755.320] OK I SEE SO HE HASNT HAD ANY SYMPTOMS THOUGH audio/MSK0009.mp3[102.160,111.080] OK OK UH WHAT IS THE INTENSITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT audio/MSK0003.mp3[72.360,81.440] ITS ABOUT A FOUR OR FIVE I MEAN SOME DAYS IT CAN BE BETTER BUT YEAH SOME DAYS IT CAN BE WORSE audio/RES0026.mp3[157.640,162.320] AH YES I HAVENT BEEN SLEEPING WELL audio/GAS0007.mp3[79.360,85.560] IS THERE ANYTHING THAT YOU CAN THINK OF THIS MADE IT FEEL BETTER audio/RES0101.mp3[0.000,2.480] HOW MAY I HELP YOU audio/RES0024.mp3[197.400,201.720] OR FELT CONGESTED AT ALL audio/RES0009.mp3[436.480,438.880] NO NO audio/RES0065.mp3[600.040,602.480] OK SURE I CAN DO THAT audio/RES0009.mp3[679.120,690.320] UM NO NO I MEAN WHEN I WAS LIKE YOUNGER I SOMETIMES LIKE WOULD USE MARIJUANA BUT I HAVENT REALLY RECENTLY audio/RES0081.mp3[180.960,181.880] UH NO audio/RES0123.mp3[302.880,306.040] ANY DIFFICULTIES WITH BREATHING audio/RES0005.mp3[270.360,273.680] OK HAVE YOU BEEN TRYING TO LOSE WEIGHT audio/RES0204.mp3[110.160,114.400] YEAH I THINK SO audio/MSK0010.mp3[500.160,505.320] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0169.mp3[219.760,225.120] NO I HAVENT HAD ANYTHING LIKE THAT BEFORE audio/MSK0033.mp3[161.880,169.640] NO I HAVENT HAD ANY ANY ISSUES WITH MY KNEE BEFORE audio/RES0022.mp3[432.440,443.240] COME TO THINK OF IT A LITTLE BIT I JUST THOUGHT I WAS LIKE IT WAS MAYBE BECAUSE I WAS TIRED BUT YEAH IVE HAD HEADACHES audio/RES0074.mp3[220.480,224.480] OK HOW ABOUT ANY HEADACHES audio/RES0043.mp3[351.240,353.000] I THINK THOSE ARE FINE audio/MSK0036.mp3[100.000,103.000] IM RIGHT HANDED audio/RES0069.mp3[364.840,369.680] OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS audio/GAS0005.mp3[307.080,314.440] OK IS THERE ANY SPECIFIC LOCATION THAT THAT HES FEELING THE PAIN audio/RES0188.mp3[76.280,86.680] OK OK UHM SO YOU MENTIONED THAT HES HAD A FEVER HES BEEN GRUNTING AND HE JUST SEEMS A LITTLE BIT MORE FUSSY IS THAT RIGHT audio/RES0039.mp3[575.080,594.080] UM YEAH BUT WELL MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED FOR HIS ENTIRE LIFE AND MY MOM HAS HAD DIABETES FOR QUITE SOME TIME BUT NO NO LUNG PROBLEMS audio/RES0089.mp3[564.760,566.440] ANY ALLERGIES audio/RES0006.mp3[411.960,415.640] UM NO NOT REALLY audio/RES0134.mp3[484.880,486.920] NO NOT THAT I KNOW audio/RES0058.mp3[840.840,843.120] YEAH THAT MAKES SENSE audio/CAR0005.mp3[217.240,230.760] UHM IVE TRIED SOME ADVIL SOME TYLENOL AND ACTUALLY SOME TUMS AS WELL AND IT HASNT REALLY HELPED audio/RES0014.mp3[81.600,98.080] OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHING DIFFICULTIES IS IT MORE LIKE A BURNING KIND OF FEELING IS IT LIKE YOU CANT CATCH YOUR BREATH WHAT DOES IT FEEL LIKE audio/MSK0038.mp3[860.000,873.880] OH YEAH I CANT REALLY ITS KIND OF LIKE STUCK OUT THERE IT FEELS REALLY TIGHT IF IM TRYING TO LIKE BRING IT BRING IT BACK DOWN MY LEG ALMOST LIKE FLOATS UP IF I JUST LEAVE IT THERE audio/RES0010.mp3[219.760,223.880] WHEN DID THAT START audio/RES0067.mp3[232.840,250.080] I MEAN SHE GOES TO DAYCARE SO SHE MIGHT HAVE PICKED SOMETHING UP FROM THERE YEAH LAST I CHECKED NO ONE AT DAYCARE WAS SICK LIKE RIGHT NOW BUT THREE WEEKS AGO THERE WAS SOMEONE WHO WAS SICK audio/RES0131.mp3[380.080,385.000] OKAY HOW LONG HAVE YOU BEEN ON THAT FOR audio/RES0194.mp3[549.680,558.040] I WILL SOMETIMES USE LIKE THE CBOR YEAH LIKE THE OILS BUT THAT THATS IT audio/RES0192.mp3[621.760,625.360] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0062.mp3[95.720,99.800] NOTHING LIKE THAT I NOTICED audio/MSK0007.mp3[277.520,280.880] AND HOW ABOUT ANY MUSCLE WEAKNESS audio/RES0029.mp3[174.960,176.440] NO I FEEL IM FINE audio/GAS0003.mp3[186.520,193.720] I AM A LITTLE NAUSEOUS BUT NO I DIDNT HAVENT HAD I HAVENT VOMITED YET NO audio/RES0057.mp3[113.800,121.760] I AM A LITTLE BIT I MEAN I FEEL I JUST HAVENT BEEN FEELING VERY GOOD OVERALL SO IVE BEEN RESTING THESE LAST COUPLE OF DAYS MOSTLY audio/RES0045.mp3[142.320,143.880] UH 6 audio/RES0034.mp3[531.240,537.280] I WOULD SAY NOT LIKE MAYBE A COUPLE HOURS FOR THE LAST FEW NIGHTS audio/RES0182.mp3[307.240,310.680] OK AND HOW IS YOUR APPETITE BEEN audio/RES0171.mp3[0.000,3.320] WHAT BRINGS YOU IN TODAY audio/RES0215.mp3[218.960,223.000] UH YEAH SHES BEEN YEAH SHES BEEN ON PAR WITH HER PEERS audio/MSK0001.mp3[396.800,398.640] UH IM A RETIRED SCHOOL TEACHER audio/RES0217.mp3[493.000,494.400] NOTHING LIKE THAT audio/RES0110.mp3[55.840,82.320] UH ITS BEEN SOMETIMES ITS NOT SO BAD SOME OTHER TIMES ITS REALLY BAD UM AT FIRST IT WASNT THAT BAD BUT NOW LIKE IM HAVING A HARD TIME TAKING A DEEP BREATH IN UM IT HURTS AND I JUST FEEL LIKE I CANT WALK LIKE 2 BLOCKS EVEN BEFORE GETTING SHORT OF BREATH audio/RES0088.mp3[249.600,252.280] OK AND NO FEVERS RIGHT audio/RES0191.mp3[88.800,102.800] UHM NO MAYBE A LITTLE BIT BUT NO NOT REALLY I CAN STILL EAT I CAN STILL SMELL LIKE CANDLES AND THINGS LIKE THAT SO MAYBE GO WITH NO audio/RES0158.mp3[216.920,236.600] UH NO NOBODY THAT IM AWARE OF THATS THATS TESTED POSITIVE BUT THERE HAS BEEN PEOPLE UH RECENTLY UM THAT WITHIN THE PAST WEEK THAT WEVE SEEN COME IN WITH WITH COUGH AND UM THINGS LIKE LIKE THAT SO audio/MSK0011.mp3[2.120,37.000] YEAH I HAD LAST NIGHT UM SO IM HAVING THIS PAIN IN MY RIGHT WRIST YEAH BUT LAST NIGHT I I TRIPPED OVER SOMETHING AND I I ENDED UP LIKE LANDING ON MY HAND TO HELP BREAK THE FALL AND THIS MORNING I WOKE UP AND I HAVE SOME LIKE BRUISING ON MY HAND AND ITS ITS REALLY SORE TO TOUCH IT audio/DER0001.mp3[389.280,413.600] IM TAKING 4 PILLS RIGHT NOW ONE OF THEM IS FOR THE CHOLESTEROL I THINK ITS CALLED ROSUVASTATIN THE OTHER THREE THEYRE ALL DIABETES MEDICATIONS BUT I DONT REMEMBER METFORMIN IS ONE OF THEM SIDASSOMETHING I HAVE A LIST SOMEWHERE ILL GIVE IT TO YOU LATER audio/RES0038.mp3[297.640,299.480] ANY NIGHT SWEATS audio/RES0019.mp3[76.600,84.480] IT YOU KNOW IT FEELS CRAMPY audio/MSK0026.mp3[138.080,144.360] I WOULD SAY MOSTLY ACHY BUT IT CAN BE SHARP audio/RES0144.mp3[338.880,340.400] NO I DONT THINK SO audio/RES0013.mp3[368.440,385.600] NO NO THEY JUST THEY JUST PUT THE THING ON MY ARM BUT MY DOCTORS OFFICE AND SAID THAT IT WAS HIGH SO THEY SAID TO YOU KNOW EAT BETTER AND I DONT I DONT WANNA START ANY DRUGS SO I DIDNT DO ANYTHING IVE BEEN FINE EVER SINCE audio/RES0215.mp3[64.560,71.960] NOTHING LIKE THAT OK AND HAS IT BEEN FAIRLY STEADY SINCE THEN OR HAS IT BEEN FLUCTUATING audio/MSK0006.mp3[566.640,591.400] OK ALRIGHT AND OK SO NOW IM JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS UM AND IM GOING TO ASK YOU TO DO A FEW THINGS OK SO WELL JUST BY LOOKING AT YOUR LEGS OR IF YOU HAVE A MIRROR UM AND YOU CAN LOOK AT YOUR RIGHT BUTTOCK AREA UM DO YOU SEE ANY SWELLING OR REDNESS audio/RES0200.mp3[424.920,429.200] YEAH NOT EVEN A VACCINE audio/RES0166.mp3[507.600,514.080] UH SOMETIMES ILL HAVE MARIJUANA WITH MY FRIENDS BUT I HAVENT REALLY DONE THAT SINCE THE PANDEMIC STARTED audio/MSK0024.mp3[60.720,66.560] OK AND IT IS THIS BACK PAIN CONSTANT OR DOES IT COME COME AND GO audio/RES0038.mp3[339.720,345.840] OK HAVE YOU NOTICED ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA audio/RES0204.mp3[253.840,257.840] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/RES0210.mp3[283.720,287.960] KIND OF DULL audio/RES0066.mp3[407.320,421.160] I DO I TAKE SOME MULTIVITAMINS PARTICULARLY CALCIUM AND VITAMIN AND IM ALSO ON SYNTHROID audio/RES0075.mp3[339.440,345.240] ANY HOSPITALIZATIONS IN THE PAST OR ANY SURGERIES audio/RES0014.mp3[456.160,458.400] NO UH NO NOT THAT I KNOW audio/RES0159.mp3[26.760,35.000] YEAH THAT THAT ITS ITS REALLY GOOD THAT YOU DECIDED TO COME IN UM HOW BAD IS YOUR SHORTNESS OF BREATH audio/MSK0025.mp3[164.080,172.120] EIGHT OR NINE OK AND DOES IT GET WORSE WITH ANY ANY MOTIONS AT ALL audio/MSK0034.mp3[385.040,396.280] NO UM I HIT ALL MY MILESTONES AND OTHERWISE DOING PRETTY WELL ON PAR WITH MY PEERS IN TERMS OF MILESTONES audio/RES0118.mp3[264.600,268.120] OK AND CURRENTLY ARE YOU SEXUALLY ACTIVE audio/MSK0045.mp3[78.280,84.600] OK AND UH IS IT AN ACHING PAIN OR IS IT A SHARP STABBING PAIN audio/MSK0025.mp3[616.040,628.320] ARE YOU ABLE TO RAISE YOUR LEGS WHEN IN A LYING POSITION WITH STRAIGHT LEGS KNEES NOT BENDING AT ALL THEY ARE ABLE TO RAISE WITHOUT ANY PAIN audio/RES0121.mp3[252.840,259.240] ANY ALLERGIES TO ANY ENVIRONMENTAL OR ANY ENVIRONMENTAL FACTORS audio/RES0198.mp3[345.560,347.360] OH NO audio/RES0148.mp3[581.120,591.760] OK UM I SEE AND UH HAVE YOU HAD ANY UM HISTORY OF HEART OR LUNG CONDITIONS IN THE FAMILY audio/RES0134.mp3[109.160,111.840] OKAY WHERE DO YOU FEEL THE PAIN audio/MSK0028.mp3[474.160,497.560] A FEW YEARS AGO I DID HAVE SOME PAIN UM WITH LIKE SOME THEY THEY TOLD ME NOT TO DO LIKE OVERHEAD WORK LIKE JUST THINGS THAT REQUIRE LIKE WITH PHYSIO I NEED TO DO SOME STRENGTHENING AS WELL AND IT WAS IT WASNT THE SAME SAME SHOULDER audio/RES0018.mp3[527.880,530.920] JUST MY WIFE NO OTHER SEXUAL PARTNERS audio/RES0044.mp3[374.640,376.200] UH NO audio/RES0007.mp3[871.280,927.640] OK UM SO OVERALL ITS ITS SOUNDING LIKE YOU BEEN HAVING THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING EPISODES THAT YOURE SAYING THAT ITS MADE WORSE WHEN YOURE EXERCISING OUT IN THE COLD AND THEN AROUND PETS AND SOMETIMES WHEN THE SEASON CHANGES AS WELL AND IN THE SPRING AND SO AND THEN THE RECENT DIAGNOSIS ON PULMONARY FUNCTION TESTS A FEW MONTHS AGO SO I THINK IT WOULD BE IMPORTANT TO CLEAR UP THE MEDICATIONS TODAY AND TRY TO GET THAT BETTER ORGANIZED MOVING FORWARD BECAUSE IT SOUNDS LIKE YOURE STILL PRETTY SYMPTOMATIC WITH NEEDING TO USE THEM DAILY CURRENTLY AND SO WILL LOOK INTO THAT AND THEN ALSO THE QUESTION ABOUT THE MARINES UH INTEREST WITH ASTHMA audio/MSK0003.mp3[593.080,601.080] I DO YEAH I WORK UH AT A BANK audio/GAS0005.mp3[549.640,560.280] OK GREAT SO YEAH HEALTHY BIRTH WEIGHT AT TERM IT SOUNDS LIKE AND SO HEALTHY DOES HE TAKE ANY MEDICATIONS REGULARLY audio/RES0089.mp3[54.960,61.320] ITS DEFINITELY WET MY PHLEGM LOOKS GREEN audio/RES0028.mp3[493.160,497.680] YEAH IM IN CHARGE OF UM A RETAIL STORE AS A MANAGER THERE audio/RES0204.mp3[191.480,194.400] OK ANY ANY NAUSEA OR VOMITING audio/RES0031.mp3[469.920,481.480] UH I DONT KNOW ABOUT THE REST BUT I I MY DAD DOES HAVE TYPE 2 DIABETES BUT NO CANCERS OR NO LIKE HEART ATTACKS OR ANYTHING LIKE THAT audio/RES0215.mp3[71.960,73.800] ITS BEEN FLUCTUATING audio/RES0125.mp3[367.000,369.920] UH NO IM PRETTY HEALTHY audio/RES0194.mp3[442.600,446.600] OK CURRENTLY DO YOU WORK AT ALL audio/RES0201.mp3[455.600,461.680] I DID I SMOKED FOR 40 YEARS audio/RES0084.mp3[416.480,419.840] OK ANY CHEST PAIN audio/RES0085.mp3[281.200,289.240] YEAH SO UH HEALTHY BUT HE WAS BORN PREMATURE AT 36 WEEKS audio/RES0191.mp3[344.120,346.480] ARE YOU SEXUALLY ACTIVE audio/RES0065.mp3[82.000,99.640] I WOULD SAY THAT IT DOESNT REALLY HAVE A PATTERN THE SORE THROAT IS ALWAYS THERE AND THE FEVER STARTED A DAY BACK AND IT SEEMS TO BREAK SOMETIMES BUT RIGHT NOW THERE IS NO REAL PATTERN TO IT audio/MSK0024.mp3[373.520,384.440] I LIVE IN AN APARTMENT WITH MY WIFE AND OUR TEENAGE SON audio/RES0066.mp3[262.720,269.680] OK AND SINCE YOUVE BEEN OUT OF THE HOSPITAL HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS SICK audio/GAS0005.mp3[563.040,571.880] OK AND COULD YOU TELL ME ABOUT WHO IS LIVING WITH CURRENTLY AND THEN WHOS LOOKING AFTER HIM audio/RES0205.mp3[304.440,311.880] NO NO I USED TO TAKE I USED TO TAKE SOMETHING FOR ANXIETY TWO THREE YEARS AGO audio/GAS0003.mp3[451.040,455.520] AND DO YOU DO YOU DRINK ALCOHOL audio/RES0012.mp3[561.440,573.280] OK IS THAT BECAUSE YOU HAVE HIGH TRIGLYCERIDES OR LIKE CHOLESTEROL audio/RES0206.mp3[238.840,252.960] I THINK I THINK I HAVE A IVE HAD A BIT OF A LIKE THIS PRESSURE IN THE SINUS AREA BUT ITS BEEN THE COUGH HAS BEEN THE THING THATS BEEN THE MOST BOTHERSOME audio/RES0168.mp3[400.000,402.440] OK AND WHAT IS THAT FOR audio/RES0009.mp3[167.600,172.880] MMM I THINK ITS JUST THOSE THOSE THE TWO THINGS THAT I SAID audio/MSK0009.mp3[82.880,91.840] OK AND HAS THE PAIN BEEN GETTING UM ANY BETTER OR ANY WORSE audio/MSK0023.mp3[299.200,308.760] OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS audio/RES0182.mp3[139.240,158.400] I TRIED THIS COUGH SUPPRESSANTS I TRIED LIKE SALT WATER RINSES LIKE JUST LIKE AT HOME REMEDIES AND OVER THE COUNTER PRODUCTS BUT NOTHING IS HELPING audio/RES0201.mp3[503.680,505.120] I WORKED FOR GM audio/RES0059.mp3[157.440,160.040] NOTHING LIKE THAT audio/RES0056.mp3[75.920,93.080] YES I TRIED TYLENOL COLD AND LIKED IT I THINK IT MADE IT A BIT BETTER LIKE IT HELPED ME SLEEP OTHER THAN THAT DURING THE DAY ITS STILL AROUND THE SAME audio/RES0123.mp3[340.920,357.320] UM I HAVENT NOTICED BUT I I DO GO TO WORK UM AND WE RECENTLY SWITCHED TO LIKE IN PERSON INSTEAD OF I I USED TO DO UM HOME WORK BUT FOR THE LAST MONTH IVE BEEN GOING INTO THE OFFICE audio/RES0094.mp3[0.000,7.480] UH HOW MAY I HELP YOU audio/RES0024.mp3[345.640,351.800] I SEE OK SO IMPORTANT TO HAVE THE EPIPEN THEN FOR SURE audio/RES0052.mp3[134.680,140.560] OK UMM AND HAS SHE COMPLAINED ABOUT ANY LIKE CHANGES TO VISION audio/RES0130.mp3[192.680,197.480] OKAY UM AND THEN CHANGE IN YOUR SMELL OR TASTE audio/RES0072.mp3[348.080,353.680] OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER audio/RES0105.mp3[297.840,303.080] OK ANYONE SICK AROUND YOU RECENTLY audio/MSK0029.mp3[978.800,985.440] OK SO YOURE ABLE TO DO ALL OF THESE ITS JUST THAT YOU HAVE SOME PAIN WHEN YOU DO THAT audio/MSK0029.mp3[537.160,546.160] NO ITS BEEN GOOD DAY I IVE BEEN REALLY HAPPY WITH IT OVERALL TOO THEY HELP REGULATE MY CYCLES audio/RES0136.mp3[534.920,538.800] OKAY AND DO YOU WORK CURRENTLY audio/RES0100.mp3[240.080,250.360] HAVE YOU HAD ANY HEART PALPITATIONS OR OR FEELING LIKE YOUR HEARTS RACING audio/RES0201.mp3[61.720,68.400] UM THE SORE THROAT HAS ITS GOT ITS GETTING WORSE FOR SURE audio/GEN0001.mp3[411.080,412.480] YEAH YEAH I DO audio/RES0215.mp3[456.400,469.240] UM USUALLY WHEN SHE IS OUT AND ABOUT RUNNING AROUND IN THE BACKYARD WITH HER FRIENDS UM IS WHEN IVE MOSTLY NOTICED IT YEAH audio/RES0007.mp3[725.560,727.760] SORRY I MISSED THAT audio/MSK0040.mp3[0.000,1.480] HOW MAY I HELP YOU audio/RES0098.mp3[480.640,485.080] OK AND WAS THIS UH DID YOU HAVE SIMILAR SYMPTOMS AT THAT TIME audio/RES0050.mp3[279.760,288.000] OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THE CHEST PAIN SOME PEOPLE WILL SAY SHARP DULL ACHY audio/RES0107.mp3[380.240,386.000] OK UM ANY COMPLICATIONS WHEN YOU WERE PREGNANT WITH HIM audio/RES0158.mp3[445.000,451.600] OK AND UH DO YOU DRINK ALCOHOL audio/RES0206.mp3[303.320,305.120] UH NO NOTHING LIKE THAT audio/MSK0008.mp3[419.600,422.480] ALRIGHT AND DO YOU SMOKE CIGARETTES audio/RES0080.mp3[466.440,468.800] OK ARE YOU WORKING ARE YOU RETIRED audio/RES0118.mp3[327.520,338.800] UM I WAS HOSPITALIZED FOR UM LIKE AN APPENDECTOMY WHEN I WAS YOUNGER UM BUT THATS ABOUT IT audio/RES0156.mp3[149.560,158.520] OK AND ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS OR SORE THROAT CHEST PAIN ANYTHING LIKE THAT audio/MSK0003.mp3[370.240,382.280] OK AND HAVE YOU NOTICED ANY DIFFICULTIES OR CHANGES WITH YOUR VISION OR ANY EYE PROBLEMS audio/RES0095.mp3[628.360,645.560] OK CERTAINLY SOUNDS LIKE SOMETHING UH COMMON IN THE FAMILY HAS THERE BEEN ANY OTHER UH CONDITIONS THAT RUN IN THE FAMILY audio/RES0033.mp3[517.360,520.760] OK AND ANY HOSPITALIZATIONS audio/RES0215.mp3[175.960,181.760] OK AND HAS SHE HAD ANY RECENT INFECTIONS audio/RES0164.mp3[46.760,54.240] DRY COUGH OK AND AND SO WITH THE CONGESTION IS HE ALSO HAVING ANY KIND OF NASAL DRAINAGE audio/RES0016.mp3[205.520,208.280] ANY CHANGES TO YOUR SMELL audio/RES0210.mp3[388.920,394.960] YEAH I STILL WORK A CONSULTANT FOR THE CHEMICAL PLANT SO WEST MAINLY IN SARNIA audio/MSK0046.mp3[166.240,179.400] OK ALRIGHT AND IS THERE ANY DO YOU DO ANY KIND OF REPETITIVE WORK THAT REQUIRES GRIPPING OR LIFTING UM WITH THAT HAND ANYTHING REPETITIVE audio/RES0033.mp3[528.000,533.280] NO IVE BEEN IVE BEEN PRETTY MUCH BEEN AT HOME SO NO ONE audio/RES0081.mp3[189.360,192.960] ITS USUALLY NOT THIS BAD audio/RES0048.mp3[286.000,288.280] NO I DONT THINK SO audio/RES0016.mp3[377.080,382.040] OK AND HAVE YOU BEEN SICK IN THE PAST audio/RES0214.mp3[177.480,180.960] UH THE SAME AS ME audio/RES0003.mp3[218.000,221.040] AH NO VOMITING audio/MSK0026.mp3[439.280,443.560] OK COULD YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS audio/RES0150.mp3[337.440,350.480] OK UM AND AND SO HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE UM DOES HE TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIBED OR OVER THE COUNTER audio/RES0138.mp3[380.680,388.160] UM THEY JUST UH THEY SAID IT WAS MY MY DIET audio/GAS0004.mp3[451.120,453.600] OK DO YOU TAKE ANY MEDICATION audio/GAS0005.mp3[221.120,226.240] SO IN TOTAL I CAN COUNT 6 TIMES audio/RES0050.mp3[288.000,292.520] UM I WOULD SAY DULL audio/RES0188.mp3[383.040,386.800] OK ANY TRAVEL RECENTLY audio/RES0113.mp3[57.360,58.800] NO NO audio/RES0021.mp3[254.160,258.320] ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/RES0013.mp3[165.200,166.120] NO NO audio/RES0044.mp3[66.560,70.440] NO OK NO SHORTNESS OF BREATH audio/RES0097.mp3[0.000,2.040] HOW CAN I HELP YOU TODAY audio/RES0114.mp3[389.440,391.800] OK SO THATS FOR YOUR BLOOD PRESSURE audio/RES0032.mp3[271.240,280.400] OK AND HOW ABOUT SHORTNESS OF BREATH HAVE YOU BEEN EXPERIENCING ANYTHING LIKE THAT audio/RES0019.mp3[567.280,580.240] OK GREAT YEAH CAUSE YOU COULD NEVER BE SURE WHERE ELSE WHAT THE DOSING IS SO ITS GOOD TO GET IT FROM THE APPROPRIATE STORES FOR SURE audio/RES0112.mp3[291.360,294.560] DID HE DEVELOP JAUNDICE audio/RES0014.mp3[200.960,205.520] NO UM HOW ABOUT A RUNNY NOSE OR STUFFY NOSE audio/RES0014.mp3[0.000,3.440] WHAT BRINGS YOU IN TODAY audio/RES0191.mp3[164.080,167.640] OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/MSK0001.mp3[30.080,38.800] OK SO AND DID YOU KIND OF MAKE ANY KIND OF MOVEMENT OR DID YOU PICK UP SOMETHING REALLY HEAVY audio/RES0058.mp3[49.200,65.280] YEAH I REALLY NOTICED IT WITH THE PIZZA BUT WITH LIKE OTHER THINGS TOO ITS JUST A YEAH REALLY PLAIN IT DOESNT REALLY HAVE ANY FLAVOR WITH THE FOOD THAT IM EATING audio/RES0025.mp3[292.480,303.960] OK IN ADDITION TO THE SYMPTOMS THAT YOURE DESCRIBING TO ME HAVE YOU HAD ANY FEVERS audio/RES0175.mp3[119.160,124.320] UH UH SORRY CAN YOU SAY THAT AGAIN audio/RES0211.mp3[451.480,454.200] NOTHING LIKE THAT audio/RES0078.mp3[628.760,636.280] I HAVE A BEER A COUPLE OF TIMES PER WEEK audio/RES0014.mp3[428.440,431.560] AS FAR AS I KNOW YEAH EVERYTHINGS UP TO DATE audio/MSK0044.mp3[382.560,385.320] UM NO NOT NOT EVER audio/CAR0005.mp3[520.360,527.360] OK THATS GOOD TO HEAR AND HAVE YOU EVER HAD PROBLEMS WITH HEARTBURN audio/MSK0037.mp3[643.400,650.440] OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR HYPOTHYROIDISM audio/RES0100.mp3[252.120,256.560] OK UHM AND MAYBE YOU HAD ANY LIGHTHEADEDNESS OR OR DIZZINESS audio/MSK0017.mp3[922.240,925.480] OK SOUNDS GOOD THANK YOU audio/RES0011.mp3[439.800,447.280] OK SO YOU HAVENT HAD ANY DIARRHEA audio/RES0045.mp3[516.920,522.160] I LIVE IN A HOUSE UM WITH MY WIFE AND UH 3 KIDS audio/RES0052.mp3[328.640,331.640] OK AND ANY DIARRHEA audio/RES0208.mp3[228.320,229.080] YEAH YEAH audio/RES0147.mp3[34.280,39.360] OK WHAT ARE YOU ABLE I GUESS WHEN DO YOU FEEL SHORT OF BREATH audio/RES0155.mp3[210.080,222.920] YEAH UH NOW THAT YOU MENTIONED I DO THINK I I FEEL A BIT FEVERISH UM UH YEAH AND I IVE NOTICED THAT ACTUALLY OVER THE LAST UH COUPLE OF DAYS audio/RES0023.mp3[179.120,184.520] YEAH NOW THAT YOU SAY IT I MEAN WELL I GUESS THIS MORNING audio/RES0216.mp3[423.080,430.240] AND UH SOMETIMES A TYLENOL IF YOU KNOW IF I HAVE A HEADACHE OR SOMETHING BUT NOT VERY OFTEN audio/MSK0017.mp3[174.800,185.880] OK OK AND THEN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD OR UH HOW SEVERE WOULD YOU RATE IT audio/RES0083.mp3[211.920,222.200] ALRIGHT OK AND UHM LETS SEE SO HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0097.mp3[239.800,243.640] OK AND HAS HE HAD ANY SHORTNESS OF BREATH audio/RES0038.mp3[529.760,541.560] OK THATS IT OK UH ANY HEART ATTACKS IN YOUR FAMILY ANY OTHER MEDICAL CONDITIONS audio/RES0083.mp3[137.720,152.920] IT IS YEAH ITS YEAH IT FEELS LIKE MY HEAD IS BEING SQUEEZED AND I KIND OF HAVE A PRESSURE WHERE YEAH THAT KIND OF SQUEEZING SENSATION ON MY FOREHEAD audio/RES0102.mp3[632.640,643.760] I THINK AN ACE INHIBITOR AND AND I THINK RAMIPRIL AND UH METFORMIN audio/RES0032.mp3[291.560,294.760] NO RASHES audio/RES0078.mp3[292.000,298.560] OK UHM AND HAS THAT PAIN GOTTEN WORSE OVERTIME audio/MSK0010.mp3[16.520,20.600] OK AND WHEN WHEN DID THIS PAIN START audio/RES0215.mp3[443.400,451.160] AND DO THESE EPISODES EVER HAPPEN IN YOUR HOME audio/RES0194.mp3[534.040,537.440] UH NO SHE HASNT SHES BEEN BEEN FEELING GOOD audio/RES0171.mp3[436.680,445.160] I DO YES I I SMOKE ABOUT A HALF A PACK PER DAY audio/RES0128.mp3[123.440,125.480] NO HES BEEN GAINING WEIGHT WELL audio/RES0046.mp3[401.880,408.720] OK UM HAVE YOU NOTICED ANY MALODOURS WELL I GUESS UH OUT OF THE ORDINARY audio/RES0059.mp3[207.080,218.440] DID THAT START AROUND THE SAME TIME THAT YOU EXPERIENCED YOUR COUGH AND POSSIBLE FEVER audio/RES0087.mp3[79.840,88.520] YEAH I TRIED TO TAKE A LOOK WITH A FLASHLIGHT I COULDNT REALLY SEE TOO MUCH audio/MSK0050.mp3[270.200,274.520] ALRIGHT HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED audio/RES0097.mp3[70.160,80.120] YEAH HIS COUGH IS USUALLY WORSE UHM AT NIGHT audio/MSK0038.mp3[722.080,736.840] THAT HURTS TOO OK UM AND THEN HOW ABOUT WHEN YOU FLEX YOUR KNEE INWARDS UM SO THAT YOUR HEEL IS TOUCHING YOUR BUM LIKE DOES THAT HURT audio/RES0073.mp3[0.000,4.160] WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN audio/RES0132.mp3[237.960,240.760] ANY DIARRHEA audio/RES0174.mp3[143.120,147.080] ILL JUST SAY GO AND LIE DOWN AND CLOSE MY EYES audio/GAS0005.mp3[314.440,328.240] WELL ITS HARD TO SAY HE WAS JUST POINTING AT THE CENTER OF HIS BELLY LIKE I DONT KNOW IF ITS LIKE I TRIED PRESSING ON IT AND HE DIDNT FEEL ANY PAIN THEN BUT I THINK ITS JUST KIND OF ALL OVER HIS STOMACH audio/MSK0010.mp3[741.720,744.280] NO I THINK THATS IT audio/RES0203.mp3[199.320,202.040] OK HAVE YOU TRAVELED ANYWHERE audio/RES0209.mp3[516.680,531.000] IT SOUNDS REALLY COOL HOPEFULLY WE CAN GET THIS FIGURED OUT FOR YOU SO YOU DONT HAVE ANY YOU DONT HAVE TO USE YOUR YOUR MEDICATIONS EVERY TIME YOU PLAY SPORTS CAUSE THATS NO FUN AND audio/RES0013.mp3[195.920,199.360] OK HOW ABOUT WHEN YOURE LAYING DOWN audio/CAR0002.mp3[251.600,256.320] OK HAVE YOU BEEN FEELING TIRED AT ALL LIKE INCREASINGLY FATIGUED audio/RES0128.mp3[278.680,283.560] OK SO HE MIGHT HAVE SOMETHING LIKE ECZEMA YOU THINK audio/MSK0025.mp3[44.040,46.280] WHERE DID THE PAIN START audio/RES0159.mp3[165.640,183.400] UM NOT FEVERS BUT I I HAVE BEEN GETTING NIGHT SWEATS UM FOR THE LAST COUPLE WEEKS TO MAYBE EVEN A MONTH OR ONCE OR TWICE A WEEK I JUST WAKE UP COMPLETELY DRENCHED audio/MSK0042.mp3[310.920,317.640] ALRIGHT SO THEN HOW ABOUT YOUR ENERGY HAVE YOU HAD ANY FATIGUE audio/RES0012.mp3[772.400,783.960] OK OK IS IT POSSIBLE THAT SHE WAS IN CONTACT WITH SOMEONE WHO MAY HAVE BEEN SICK audio/RES0120.mp3[151.160,154.960] UM NOTHING LIKE THIS audio/RES0034.mp3[807.840,816.280] OK UH AND COULD YOU TELL ME ABOUT HER EATING HABITS AND TYPICAL APPETITE audio/MSK0031.mp3[339.080,344.880] NO UHM HOW ABOUT AUTOIMMUNE CONDITIONS audio/MSK0020.mp3[735.360,754.480] NO OK ALRIGHT AND IM GOING TO GET YOU TO UH EXTEND YOUR KNEE SO STRAIGHTEN IT OUT YEAH DOES THAT HURT audio/RES0045.mp3[132.600,142.320] HARSH OK AND IF YOU WERE TO RATE YOUR SYMPTOMS 1 TO 10 10 BEING THE WORST HOW BAD IS IT audio/RES0001.mp3[97.160,110.200] OK UM DO DID ANYTHING TRIGGER THIS A WEEK BACK ANY TRAUMA TO THE CHEST AREA ANYTHING LIKE THAT audio/RES0194.mp3[349.640,352.960] NO NOTHING LIKE THAT audio/RES0177.mp3[120.200,122.240] II DID YEAH audio/RES0092.mp3[341.080,350.040] UH SOMETIMES WITH LIKE SOCIALLY WITH FRIENDS BUT THAT MIGHT BE ONCE A MONTH OR PROBABLY EVEN LESS audio/RES0056.mp3[495.520,498.440] NO I DONT SMOKE audio/MSK0018.mp3[205.760,213.640] OKAY I SEE UM ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS audio/RES0045.mp3[182.280,189.960] OK AND UH WHEN WHEN DID WHEN DID YOUR SHORTNESS OF BREATH START audio/RES0035.mp3[391.960,395.280] IN AN APARTMENT audio/RES0200.mp3[153.320,166.560] NO OK SO NO ORTHOPNEA OR PNALRIGHT AND THE PUFFERS THAT YOURE ON CAN YOU REMIND ME WHICH ONES YOURE ON AGAIN audio/RES0167.mp3[529.600,572.280] YEAH FOR SURE SO WELL START WITH DOING A COVID SWAB BECAUSE YOU HAVE SOME SYMPTOMS THAT OVERLAP WITH IT SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS BUT IT DOES SOUND LIKE WHAT YOURE TELLING ME WITH THE WET COUGH AND YOU KNOW A LITTLE BIT OF SHORTNESS OF BREATH I THINK ITS WORTHWHILE TO GET A CHEST XRAY TO SEE IF YOU MIGHT POSSIBLY HAVE A PNEUMONIA AND IF YOU DO IF THERE IS SOME CONSOLIDATION WELL PROBABLY PRESCRIBE SOME ANTIBIOTICS FOR THAT UMM HOW DOES THAT SOUND TO YOU audio/RES0001.mp3[634.440,655.280] UM I I SMOKE I MAY BE ABOUT HALF A PACK OF CIGARETTES PER DAY IVE SMOKED EVER SINCE I WAS A TEENAGER IVE TRIED TO QUIT MULTIPLE TIMES I I WAS SMOKING ABOUT A PACK PER DAY BEFORE SO I HAVE audio/RES0005.mp3[643.880,670.960] NO NOT THAT I KNOW OF MY FATHER PASSED AWAY FROM A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY MOTHER HAD A UM LIKE I THINK ONE OF THE LIKE AN ARTHRITIS BUT YEAH LIKE BUT I THINK THAT WAS JUST LIKE THE ONE THAT YOU GET WITH OLD AGE audio/RES0058.mp3[624.080,626.600] UH NO OH BUT I GUESS I USE A VAPE EVERY ONCE IN A WHILE audio/RES0129.mp3[195.960,202.360] OK OK AND HOW HAVE HIS BOWEL MOVEMENTS BEEN audio/RES0066.mp3[247.600,252.480] NO NOT THAT I NOTICED audio/RES0083.mp3[391.040,402.840] NO I QUIT SMOKING WHEN I HAD MY FIRST KID SO THAT WAS ABOUT YEAH THAT WAS 17 YEARS AGO audio/RES0059.mp3[136.120,142.400] UMM I GOT GLASSES LAST YEAR BUT NOTHING RECENTLY audio/GAS0002.mp3[314.520,319.000] OK AND HOW HAS YOUR APPETITE BEEN audio/RES0198.mp3[206.640,207.760] UM NO audio/MSK0011.mp3[590.280,600.400] I I CAN BUT IT I CANT REALLY BAD MY THUMB AND IT IT IT HURTS A LOT SO I CAN BEND MY FINGERS BUT MY THUMB IS KINDA OUT audio/RES0189.mp3[359.760,361.960] HAVE YOU HAD ANY CONSTIPATION audio/RES0206.mp3[408.400,409.400] OK OK audio/RES0017.mp3[328.160,336.720] IVE ACTUALLY I THINK LOST A COUPLE POUNDS BUT NOT NOT TOO MUCH audio/RES0106.mp3[527.000,534.240] NO I WAS JUST WORRIED THIS COUGH ISNT ISNT SERIOUS RIGHT YOU DONT THINK I HAVE COVID audio/RES0032.mp3[224.480,229.840] OK AND HAVE YOU BEEN FEELING MORE MORE TIRED MORE FATIGUED AT ALL RECENTLY audio/RES0198.mp3[140.880,147.560] UHM NO I DONT THINK SO MY I HAVE UM A NEPHEW WHO I LIVE WITH WHO GOES TO DAYCARE audio/RES0027.mp3[341.360,343.640] UM NO audio/RES0018.mp3[408.320,412.520] OK UM HAVE YOU HAD TO MISS WORK OVER THE LAST FEW DAYS audio/MSK0034.mp3[329.320,339.960] OK AND WHEN WHEN YOU WERE BORN ANY COMPLICATIONS AFTER BIRTH ANY STAY IN THE HOSPITAL FOR ANY REASON audio/RES0192.mp3[196.120,198.400] NO NO HEADACHES audio/MSK0044.mp3[416.720,420.760] OKAY ALRIGHT AND UM DO YOU WORK CURRENTLY OR ARE YOU A STUDENT audio/MSK0018.mp3[172.880,178.400] UM OKAY AND THEN WITH REGARDS TO THIS PAIN DOES ANYTHING MAKE IT BETTER OR WORSE audio/RES0086.mp3[540.240,543.280] OK AND DO YOU SMOKE audio/RES0042.mp3[453.000,461.720] UM LIKE I DID FOR A COUPLE YEARS WHEN I WAS LIKE 18 AND THEN I HAVENT EVER SINCE audio/RES0058.mp3[642.240,647.520] ITS LIKE A FEW TIMES A DAY audio/MSK0012.mp3[70.520,75.960] NO NOT I MEAN NO NOT REALLY audio/RES0114.mp3[45.720,51.200] UH IM PRETTY MUCH ALWAYS BRINGING UP LIKE THIS UH WHITE MATERIAL audio/RES0190.mp3[360.360,365.960] OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0207.mp3[391.640,397.440] DO YOU DRINK ALCOHOL audio/MSK0015.mp3[269.760,272.240] ANY NIGHT SWEATS audio/RES0016.mp3[0.000,2.520] HOW ARE YOU DOING audio/RES0212.mp3[32.880,36.440] OK HAVE YOU HAD ANY CHEST PAIN audio/MSK0029.mp3[859.360,870.840] OK SO KIND OF LIKE WHERE SO THERES PAIN ON THEIR TRAPEZIUS AND DELTOID MUSCLES audio/MSK0033.mp3[548.280,558.120] AND UH ANY ANY KIND OF LIKE ARE YOU ABLE TO FLEX AND EXTEND YOUR KNEE RIGHT NOW IF YOU TRIED audio/RES0025.mp3[247.360,259.800] I WAS THERE FOR ONE NIGHT AND GOT BACK FIVE DAYS AGO audio/RES0212.mp3[407.120,411.120] GOT IT ANY OTHER SUBSTANCES SLASH DRUGS audio/RES0182.mp3[232.960,235.320] UHM NO NOTHING LIKE THAT audio/MSK0037.mp3[68.560,74.520] NO ITS JUST THOSE TWO audio/RES0096.mp3[408.600,413.200] UH I TAKE LIPITOR audio/RES0196.mp3[62.600,68.440] RIGHT EAR AND WHEN DID YOU NOTICE THAT SHE STARTED HAVING THIS PAIN audio/RES0012.mp3[344.360,355.560] OK OK UM AND HAVE YOU HAD ANY LIKE PRESSURE BEHIND YOUR EYES IN YOUR HEAD audio/RES0094.mp3[18.600,32.160] I WOULD SO THE RUNNY NOSE STARTED UH ABOUT FIVE DAYS AGO AND AND THE SORE THROAT UHM ABOUT THE SAME audio/RES0058.mp3[605.080,607.280] UMM IM NOT audio/RES0080.mp3[54.920,62.000] OK AND HAVE YOU HAD UH SHORTNESS OF BREATH ON EXERTION LIKE THIS BEFORE audio/MSK0009.mp3[253.560,258.840] UM JUST A FEW SCRATCHES ON MY HANDS BUT NOTHING TOO BAD audio/RES0119.mp3[66.560,70.920] OK SO ITS BEEN UH HAS BEEN MORE THAN A WEEK YOU SAID audio/RES0067.mp3[82.120,98.160] OK SO ITS BOTH SOLIDS AND FLUIDS OK HAVE YOU NOTICED ANY SWELLING IN HER NECK AREA OR REDNESS OR SWELLING IN HER THROAT audio/RES0214.mp3[100.840,109.480] OH ACTUALLY UM NOT IN MY JOINTS BUT IVE JUST THERE THERE HAS BEEN SOME MUSCLE ACHE audio/RES0179.mp3[487.160,500.400] OH I SEE OK DO YOU KNOW WHAT TYPE OF LUNG CANCER THEY GOT audio/RES0015.mp3[455.320,464.720] UH NO I I DONT THINK SO I I DONT REALLY NOTICE ANY NOISES WHEN IM BREATHING audio/RES0096.mp3[329.400,344.800] OK UHM SO YEAH ABOUT A 10 REDUCTION IN YOUR WEIGHT OVER THE LAST COUPLE OF MONTHS IT SOUNDS LIKE OK HOW IS YOUR APPETITE BEEN audio/RES0080.mp3[530.880,533.760] OK HAVE YOU THOUGHT ABOUT QUITTING audio/RES0175.mp3[217.120,220.000] UH AND HOW IS YOUR ENERGY BEEN audio/RES0017.mp3[95.920,110.520] I DONT KNOW IF THIS IS JUST DUE TO OLD AGE BUT LIKE IVE NOTICED SOME JOINT PAIN AS WELL LIKE IN MY HANDS AND FEET I JUST ASSUMED THAT WAS CAUSE IM GETTING OLD audio/MSK0025.mp3[42.440,44.040] YES THATS RIGHT audio/RES0057.mp3[527.120,532.360] I SEE OK AND ANY HOSPITALIZATIONS audio/RES0095.mp3[0.000,1.640] HOW CAN I HELP YOU audio/CAR0004.mp3[23.440,31.520] THREE DAYS AGO OK AND WHERE EXACTLY IN YOUR CHEST DO YOU FEEL IT audio/RES0018.mp3[332.120,336.960] OH OK AND ANY NAUSEA OR VOMITING audio/RES0101.mp3[387.520,400.640] I DO HAVE UH SO WITH MY WITH MY KNEE AND THEN I DO HAVE HIGH BLOOD PRESSURE UH I HAVE DIABETES audio/RES0014.mp3[525.680,528.560] OK AND DO YOU SMOKE MARIJUANA audio/RES0181.mp3[309.320,315.280] ANY AND ALL YOUR IMMUNIZATIONS UP TO DATE audio/CAR0003.mp3[508.720,515.480] JUST THE STENTING AND APART FROM THAT HAVE YOU HAD ANY OTHER PREVIOUS HOSPITALIZATIONS audio/RES0165.mp3[97.320,103.400] OKAY ARE YOU SYMPTOM GETTING ANY BETTER OR WORSE audio/RES0019.mp3[248.800,257.840] UM NO I HAVENT FORGOTTEN THINGS IT JUST FEELS LIKE IM REALLY SLOW AT DOING THINGS audio/MSK0022.mp3[539.400,557.200] I I DONT THINK SO IVE JUST I I HAVE HAD TROUBLE LIKE OPENING JARS AND VARIOUS THINGS BUT I THINK THATS PART OF THE UM LIKE PAIN THAT IM HAVING IN MY IN MY HANDS IT MAKES IT HARD TO GRIP audio/GAS0002.mp3[508.400,532.000] UHM NO AT THE AT THIS TIME JUST WANTING TO GAUGE A SENSE OF HOW YOU FEEL ABOUT YOUR DRINKING LEVELS AT THIS TIME AND THE FOLLOW UP QUESTION TO THAT WOULD BE HAVE YOU EVER FELT THE NEED TO HAVE A DRINK EARLY IN THE MORNING audio/MSK0020.mp3[503.680,509.880] OK THATS GOOD DO YOU DRINK ALCOHOL audio/RES0008.mp3[492.840,498.560] OK COOL AND YOU MENTIONED THAT YOURE A SMOKER audio/RES0190.mp3[384.680,387.080] NO NOT THAT I KNOW OF audio/MSK0026.mp3[501.560,505.320] OK WELL THEN WHAT WHAT DO YOU DO audio/RES0011.mp3[165.640,175.000] OK UM AND HAVE YOU BEEN HAVING ANY PAIN WITH SWALLOWING audio/RES0130.mp3[384.960,398.040] MY UH GRANDFATHER HAD HAD LUNG CANCER AND HE WAS IN HIS UH 70S WHEN HE WHEN HE PASSED AWAY I REMEMBER audio/RES0113.mp3[58.800,68.200] OK AND HAS THE THE COUGH GOTTEN WORSE OR BETTER OR THE SAME HAS IT BEEN THE SAME SINCE THE PAST FOUR DAYS audio/RES0199.mp3[173.160,174.480] UHM NO NO WHEEZING audio/RES0213.mp3[408.160,412.360] AND YOU DONT HAVE ASTHMA NOW audio/RES0111.mp3[0.000,2.400] HOW CAN I HELP YOU TODAY audio/RES0105.mp3[483.960,488.440] OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS audio/RES0104.mp3[269.720,273.080] AH NO NOT REALLY audio/RES0005.mp3[680.720,689.080] UM NOT THAT ONE OF MY UNCLES HAD LIKE UM BLADDER CANCER BUT THATS THATS THATS ABOUT IT audio/RES0004.mp3[300.280,301.760] NOTHING LIKE THAT audio/RES0070.mp3[547.240,548.520] IS THERE ANYTHING ELSE audio/MSK0013.mp3[239.080,243.120] OK AND ANY MUSCLE ACHES OR JOINT PAINS audio/MSK0027.mp3[199.440,202.200] OK AND IT HAS SHE HAD ANY HEADACHES audio/MSK0016.mp3[300.720,303.960] OK UM WHEEZING OR SHORTNESS OF BREATH audio/RES0113.mp3[413.400,415.120] ANY RECREATIONAL DRUGS audio/RES0066.mp3[530.360,532.800] OK AND WHEN DID YOU QUIT audio/RES0159.mp3[550.480,570.920] YOU DO OK UM HAVE YOU BEEN UH SOMETIMES FOR PEOPLE WHO HAVE BEEN SMOKING FOR A LONG TIME THEY DO UH THESE SCANS OF THE LUNGS UHM HAVE YOU BEEN GETTING THOSE audio/RES0176.mp3[44.560,49.080] I SAY ABOUT FIVE OR SIX WEEKS AGO audio/RES0149.mp3[348.520,353.720] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OVER ANY LONG DISTANCES RECENTLY audio/RES0111.mp3[430.040,433.320] YEAH IT LOOKS PRETTY SWOLLEN AND RED audio/RES0024.mp3[176.560,178.160] UH NO audio/RES0088.mp3[455.400,459.440] UHM NO audio/RES0168.mp3[410.520,411.760] MHMM OK audio/RES0178.mp3[337.240,362.760] AH NO I THINK IT WAS LIKE LABOR WAS TAKING IT WAS PROLONGED I MEAN SO IT THEY ENDED UP DECIDING TO JUST CONVERT THROUGHOUT IT WASNT AN EMERGENCY BUT LIKE THEY COULD HAVE WAITED A BIT LONGER THEY WERE SAYING BUT JUST KIND OF WHAT WENT MADE THE DECISION audio/RES0187.mp3[204.720,206.840] NOT THAT IVE NOTICED audio/RES0016.mp3[397.800,404.560] OK UM HOW LONG HAVE YOU BEEN ON THAT MEDICATION FOR audio/RES0217.mp3[276.800,286.560] OK THATS REASSURING NOW ANY ITD BE PRETTY UNLIKELY FOR YOU TO HAVE OTHER SYMPTOMS BUT JUST IN CASE DO YOU HAVE ANY OTHER JOINT PAIN audio/MSK0013.mp3[86.160,97.800] OK DO YOU RECALL HITTING YOUR FOOT OR OFF OF ANYTHING OR STEPPING ON ANY OBJECTS THAT COULD HAVE CAUSED TRAUMA TO YOUR FEET audio/RES0185.mp3[408.520,409.800] OH I SEE audio/MSK0008.mp3[367.000,373.760] SURE I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS audio/MSK0022.mp3[509.280,512.880] OK ANY CHANGES IN YOUR URINARY PATTERNS audio/RES0169.mp3[431.320,502.800] OK OK SO YEAH IT SOUNDS LIKE YOU MIGHT HAVE SOME SORT OF VIRAL INFECTION WHICH COULD POTENTIALLY BE COVID BUT COULD ALSO BE ANOTHER SORT OF ANOTHER VIRAL ILLNESS JUST LIKE THE COMMON COLD OR THE FLU UM SO ILL REQUEST THAT WE GET A COVID SWAB DONE AND THE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND UM JUST TRY TO SELF ISOLATE AS MUCH AS POSSIBLE DONT GO TO SCHOOL DONT MEET OTHER PEOPLE TRY TO STAY AWAY FROM YOUR MOM AS WELL AND BASED ON THE RESULTS YOULL GET MORE GUIDANCE FROM PUBLIC HEALTH NURSES AND YOU SHOULD JUST CONTINUE TO SORT OF REST AND DRINK LOTS OF WATER MAYBE TAKE TYLENOL OR ADVIL IF THATS MAKING YOU FEEL BETTER AND HOPEFULLY YOUR SYMPTOMS WILL GET BETTER IF NOT IF YOU FEEL LIKE YOUR SYMPTOMS ARE PERSISTING FOR DAYS OR WEEK OR SO OR YOURE HAVING WORSENING SYMPTOMS DEFINITELY COME BACK OR GIVE US A CALL audio/RES0010.mp3[277.640,288.240] YOUR THROAT FEELS SWOLLEN HAVE YOU HAVE YOU NOTICED ANY CHANGES IN HAVE YOU FOUND THAT ITS DIFFICULT FOR YOU TO TALK IS YOUR SPEECH SLURRED audio/RES0207.mp3[92.480,100.120] OK UM HAVE YOU FELT AT ALL LIKE YOURE GOING TO FAINT audio/RES0123.mp3[253.240,254.560] NO NOTHING LIKE THAT audio/RES0125.mp3[177.560,178.520] NO NO NO audio/MSK0039.mp3[212.800,219.080] HOW ABOUT ANY NUMBNESS OR TINGLING IN THE AREA audio/RES0188.mp3[30.000,34.200] YEAH FOR SURE WHAT STARTED FIRST audio/RES0009.mp3[523.960,534.600] I THINK SO UM YEAH YEAH I DONT YEAH I DONT THINK I DIDNT GET ANYTHING THAT WAS SUPPOSED TO audio/RES0113.mp3[357.600,359.000] UH NO I DONT THINK SO audio/RES0089.mp3[867.720,877.120] YEAH AND OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL audio/MSK0027.mp3[577.680,584.200] IT HURTS SHES IN PAIN WHENEVER I TOUCH ANYWHERE NEAR THE ELBOW AREA audio/RES0096.mp3[281.240,284.240] OK DO YOU FEEL HOT NOW audio/RES0194.mp3[656.000,662.160] OK NOW THAT SOUNDS THAT SOUNDS GOOD SO IT COULD BE COVID OR LIKE ANOTHER VIRAL ILLNESS audio/RES0072.mp3[371.800,377.840] YEAH I FELT HOT BUT NO CHILLS audio/RES0051.mp3[523.880,526.360] MY FATHER audio/MSK0027.mp3[191.200,195.760] OK AND HAS SHE HAD ANY audio/RES0084.mp3[304.560,324.360] YEAH I HAVE BEEN FEELING PRETTY TIRED AND JUST UH I HAVENT EVEN GONE TO WORK THIS WHOLE WEEK JUST KIND OF LAYING IN BED HONESTLY WITH ALL THE PAIN AND THE FEVER AND HEADACHES JUST YEAH ITS EXHAUSTING audio/RES0047.mp3[378.040,392.240] OK UM ALRIGHT AND ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES audio/MSK0044.mp3[470.080,475.600] OKAY AND DO YOU SMOKE CIGARETTES OR MARIJUANA OR USE ANY RECREATIONAL DRUGS audio/RES0084.mp3[212.560,222.440] YEAH AND THEN HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE audio/RES0099.mp3[589.000,592.800] OK AND DO YOU SMOKE CIGARETTES audio/MSK0031.mp3[402.400,414.040] I LIVE WITH UHM JUST MY HUSBAND AND AND WE JUST LIVE IN A SMALL APARTMENT audio/MSK0011.mp3[346.320,349.680] AND VITAMIN AS WELL audio/RES0150.mp3[226.480,232.560] UM HOW ABOUT ANY LIKE CHANGES TO HIS APPETITE audio/RES0106.mp3[470.920,475.000] YEAH I HAVE A GLASS AT NIGHT audio/RES0198.mp3[63.280,71.760] OK AND IS IT MAINLY JUST CONGESTION AND DRAINAGE FROM YOUR NOSE OR ARE YOU FEELING AND GO AT THE BACK OF YOUR THROAT AS WELL audio/RES0001.mp3[681.560,686.040] OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/MSK0031.mp3[189.440,193.560] CONFUSION OR MEMORY LOSS audio/RES0055.mp3[497.080,501.880] OK HOW ABOUT HEART CONDITIONS audio/RES0073.mp3[556.560,564.920] NO WERE PRETTY CAREFUL RIGHT NOW WITH THE PANDEMIC audio/RES0017.mp3[202.040,211.240] OK HAVE YOU BEEN HAVING JOINT STIFFNESS OR OR MUSCLE STIFFNESS EARLY IN THE MORNING audio/RES0108.mp3[319.040,321.560] UH YEAH I DRINK ON THE WEEKENDS audio/MSK0032.mp3[487.840,494.400] UM NO I DONT SEE ANYTHING LIKE THAT audio/RES0188.mp3[185.080,190.720] NO OK AND HE SAID HE HASNT HAD ANY LIKE FAINTING SPELLS audio/RES0181.mp3[96.120,100.120] IT WAS 388 audio/RES0021.mp3[521.480,527.720] I WORK AS A SECRETARY FOR AN ACCOUNTING FIRM audio/MSK0025.mp3[374.800,381.040] OK ANY TINGLING SENSATION EITHER IN YOUR BACK OR SHOOTING DOWN YOUR LEGS audio/RES0163.mp3[268.240,277.480] OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVER CHILLS COUGH SORE THROAT ANYTHING LIKE THAT audio/RES0170.mp3[378.000,384.800] OK GOOD HAS WAS HE KEPT IN THE IN ICU FOR A COUPLE OF DAYS AFTER WAS HE SENT HOME audio/CAR0004.mp3[251.120,260.680] NO OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE ANY OTHER DIAGNOSIS audio/RES0032.mp3[137.160,143.360] OK AND UH ARE YOU COUGHING EVERY DAY OR EVERY OTHER DAY LIKE HOW OFTEN WOULD YOU SAY YOURE COUGHING audio/MSK0012.mp3[495.440,498.600] NO DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0083.mp3[503.280,512.000] ARE YOU VACCINATED audio/RES0037.mp3[432.040,439.000] OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS OR HANDS OR ANYWHERE ELSE IN YOUR BODY audio/RES0017.mp3[110.520,120.520] OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE COUGH WORSE audio/MSK0045.mp3[441.080,450.360] ILL DRINK LIKE A GLASS OF WINE HERE AND THERE audio/RES0047.mp3[333.960,338.600] NO UM DO YOU HAVE A STUFFY NOSE OR RUNNY NOSE audio/MSK0022.mp3[669.640,682.200] OK SO ANYTHING ELSE LIKE RHEUMATOID ARTHRITIS ULCERTAIVE COLITIS CROHNS DISEASE TYPE ONE DIABETES ANYTHING LIKE THAT audio/RES0080.mp3[573.040,583.240] OK AND DO USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE audio/RES0131.mp3[548.200,559.360] OKAY OKAY WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS UM OR ANYTHING THAT YOU WANTED TO BRING UP THAT I HAVENT COVERED audio/RES0172.mp3[454.080,465.560] OK I GUESS I FORGOT TO ASK ABOUT A SYMPTOM HAVE YOU FELT THAT YOUVE LOST YOUR SENSE OF SMELL OR SENSE OF TASTE HAS IT JUST BEEN DIFFERENT audio/RES0154.mp3[420.800,428.480] NO I PROBABLY SMOKED FOR A VERY SHORT TIME FOR LIKE PROBABLY FIVE YEARS OF MY LIFE IN MY 20S audio/RES0048.mp3[896.840,899.880] OK SOUNDS GOOD audio/RES0047.mp3[579.400,586.040] YEAH OK AND UM DO YOU HAVE ANY ALLERGIES audio/RES0133.mp3[506.680,519.280] OKAY UM AND I SOMETIMES PEOPLE THAT KIND OF IN THIS AGE GROUP MIGHT EXPERIENCE WITH EITHER DRUGS OR ALCOHOL HAVE ANY OF YOUR FRIENDS DONE THAT OR OR YOURSELF audio/RES0147.mp3[413.560,426.920] YEAH I I DO I CURRENTLY WELL I JUST DO SOME VOLUNTEERING AT THE GOLF COURSE IN THE SUMMER BUT OTHERWISE RETIRED audio/RES0146.mp3[140.960,149.080] AND WHAT WAS THE DISCHARGE OR WHAT WAS THE DISCHARGE LIKE audio/RES0192.mp3[290.640,294.840] OK UM HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0039.mp3[41.880,43.800] WHEN DID THIS HAPPEN audio/RES0071.mp3[615.000,618.840] DO YOU SMOKE CIGARETTES AT ALL audio/MSK0006.mp3[958.880,961.160] OK YEAH NO PROBLEM audio/RES0105.mp3[451.680,454.440] ANY WHEEZING audio/RES0057.mp3[500.240,507.520] UH AND OTHER THAN THAT HAVE YOU HAD ANY ANY SURGERIES IN THE PAST audio/RES0163.mp3[216.200,220.400] I DONT THINK SO NO audio/RES0015.mp3[303.720,305.400] NO NO SORE THROAT audio/MSK0035.mp3[273.560,274.600] UH NOPE audio/RES0050.mp3[213.680,219.320] CHANGES TO YOUR SENSE OF SMELL OR TASTE audio/MSK0032.mp3[282.480,295.480] UM NO IT WAS LIKE A NORMAL PREGNANCY NO COMPLICATIONS SHE WAS BORN AT 39 WEEKS LIKE WITH VAGINAL DELIVERY DIDNT HAVE TO STAY IN THE HOSPITAL OR ANYTHING LIKE THAT audio/RES0078.mp3[47.840,61.120] UHM NOT REALLY ITS KIND OF I JUST FEEL LIKE ITS JUST MORE DIFFICULT TO BREATHE UH MOST OF THE TIME audio/RES0136.mp3[465.360,472.160] UM I HAD MY WISDOM TEETH REMOVED BUT NO I WASNT I WASNT HOSPITALIZED audio/MSK0012.mp3[529.360,534.080] UM NO NOT THAT I KNOW OF audio/MSK0050.mp3[282.120,284.880] ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0211.mp3[454.880,455.960] YOU KEEP ANY ANIMALS ON THE FARM audio/RES0013.mp3[166.120,170.040] NO YOURE NOT COUGHING UP ANY BLOOD audio/RES0068.mp3[661.360,664.960] YOU TOO audio/RES0204.mp3[105.440,110.160] DO YOU FEEL LIKE YOU CAN TASTE AND SMELL THINGS NORMALLY audio/RES0138.mp3[263.720,267.680] ANY NUMBNESS OR TINGLING ANYWHERE audio/RES0202.mp3[354.720,359.880] OK HOW ABOUT VISION OR HEARING audio/RES0093.mp3[675.520,687.200] OK OK I SEE UHM ALRIGHT AND DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE audio/RES0188.mp3[34.200,55.720] I WOULD SAY THE THERE WAS A LITTLE BIT OF COUGHING EARLIER LIKE YESTERDAY BUT THEN LATER ON DURING THE NIGHT IT KIND OF TURNED INTO THIS GRUNTING NOISE AND HES KIND OF LIKE HIS CHEST IS MOVING A LOT MORE WHEN HES TAKING A BREATH IN AND ALL THAT audio/RES0045.mp3[51.200,55.200] ITS ITS MOSTLY DRY audio/RES0011.mp3[0.000,4.120] COULD YOU START WITH TELLING ME WHAT BROUGHT YOU IN TODAY audio/RES0142.mp3[97.120,101.560] OKAY WHAT ABOUT UH COUGH audio/RES0046.mp3[652.920,656.400] UH NO NO CANCERS audio/RES0035.mp3[346.920,349.680] OK HAVE YOU EVER BEEN HOSPITALIZED audio/MSK0007.mp3[357.960,362.680] OK SO ITS THE TO THE FRACTURE WAS ON THE OTHER ARM audio/RES0032.mp3[468.440,473.480] ANY ALLERGIES AT ALL TO ANY ENVIRONMENTAL EXPOSURES audio/MSK0043.mp3[45.240,57.760] UH UM NO NOTHING IN MY JOINTS IVE HAD OTHER INFECTIONS BEFORE LIKE IN MY SKIN UM LIKE CELLULITIS BUT I IVE NEVER HAD A KNEE KNEE PROBLEM LIKE THIS BEFORE audio/RES0027.mp3[157.280,166.760] OK HOW ABOUT ANY DISCHARGE LIKE MUCUS OR TEARS FROM YOUR EYES OR EARS audio/RES0044.mp3[312.440,318.280] LITTLE HIGH LIKE I DONT KNOW IF IT WAS LIKE A FEVER BUT IVE BEEN FEELING HOT SO audio/RES0039.mp3[490.400,497.560] UH NO MY MY PARENTS HAVE A DOG AT HOME BUT IVE BEEN AWAY AT SCHOOL SO audio/RES0049.mp3[581.480,584.880] DO YOU DO MARIJUANA audio/RES0056.mp3[649.840,652.840] OK GREAT THANK YOU audio/RES0140.mp3[182.520,201.360] UM NO THEY GAVE ME LIKE SOME PAIN MEDICATIONS I SEEM TO UH UM I GOT HYDROMORPHONE MEDICATION IVE BEEN TRYING TO STAY AWAY FROM IT THOUGH JUST TAKING TYLENOL INSTEAD audio/RES0076.mp3[351.480,358.240] OH YEAH MY APPETITES BEEN LESS IVE LOST SOME WEIGHT OVER THE LAST FEW MONTHS audio/RES0111.mp3[19.800,25.920] NO I HAVENT CHECKED MY TEMPERATURE IM JUST REALLY HOT audio/RES0058.mp3[443.760,451.080] YEAH THERE IS THIS GUY IN MY CLASS WHO WAS SICK IN CLASS LAST WEEK audio/RES0026.mp3[554.040,564.120] OK AND IN REGARDS TO YOUR FAMILY HISTORY HAVE THERE BEEN PEOPLE WHOVE HAD EARLY HEART ATTACKS OR STROKES IN THE FAMILY audio/RES0131.mp3[2.120,18.760] HI THERE I IVE HAD THIS COUGH THAT STARTED UM THREE DAYS AGO AND OVER THESE PAST COUPLE OF DAYS IVE JUST BEEN REALLY ACHY ALL OVER AND SO IVE HAD A HEADACHE AS WELL audio/RES0129.mp3[357.680,361.960] OK DOES HE HAVE ANY ALLERGIES audio/MSK0042.mp3[231.080,233.680] UH NO NOTHING LIKE THAT audio/MSK0029.mp3[819.600,828.400] YEAH I THINK LIKE A LITTLE BIT OF TENDERNESS IN THE THE FRONT OF THE NECK MUSCLES THERE audio/RES0097.mp3[113.360,131.120] HMMM HE HASNT WELL HES JUST BEEN BREATHING WITH HIS MOUTH OPEN SO THATS WHAT HE DOES AT NIGHT AS WELL HE ALSO HAS THIS NASAL VOICE RIGHT NOW PROBABLY BECAUSE ITS ITS YOU KNOW HE HAS THIS STUFFY NOSE BUT HE HASNT REALLY COMPLAINED ABOUT IT audio/CAR0003.mp3[455.280,462.240] OK AND DO YOU REMEMBER WHAT THEY DID FOR YOUR HEART ATTACK audio/MSK0006.mp3[114.560,118.280] OK UM AND DOES IS IT HELPING audio/MSK0024.mp3[344.080,349.640] OK DO YOU HAVE ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITION audio/RES0079.mp3[139.560,143.720] YEAH MY NOSE HAS BEEN A LITTLE BIT RUNNY audio/RES0014.mp3[339.160,344.120] OK HOW ABOUT CHANGES IN YOUR IN YOUR BOWEL MOVEMENT audio/RES0141.mp3[329.480,346.200] UH SO ON MY DADS SIDE THEY LIKE ALL LIKE ALL THE MEN SEEM TO HAVE DIABETES SO ITS GOOD THAT IM STARTING ON THE MEDICATION UM ON MY MOMS SIDE THEYRE PRETTY HEALTHY I DONT THINK MY MOM HAS ANY MEDICAL CONDITIONS audio/RES0038.mp3[304.480,317.600] AH NO MY ENERGYS BEEN BEEN GOOD I JUST GET SHORT OF BREATH OR OR HAVE THESE COUGHING FITS IF I IF I EXERT MYSELF audio/RES0025.mp3[566.280,576.560] UMM NO BUT I I USED TO I I QUIT ABOUT SEVEN YEARS AGO YEAH SO I QUIT ABOUT SEVEN YEARS AGO audio/RES0171.mp3[181.920,193.480] NO BELLY PAIN OR CHANGES TO BOWEL MOVEMENTS BUT I DO FEEL LIKE MY HEART IS BEATING REALLY FAST REALLY FAST THOUGH audio/MSK0029.mp3[439.720,441.320] NO NOTHING LIKE THAT audio/RES0173.mp3[483.640,486.360] IM GOING TO SCHOOL audio/RES0127.mp3[343.320,353.840] OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU HAVE BEEN DIAGNOSED WITH LIKE ASTHMA ECZEMA ANYTHING LIKE THAT audio/RES0073.mp3[420.480,429.120] NO OTHER THAN THAT I TAKE MULTIVITAMINS audio/RES0215.mp3[600.280,616.520] ALRIGHT EXCELLENT SO I THINK I HAVE ALL THE INFORMATION I NEED WERE JUST GOING TO DO A PHYSICAL EXAM AND THEN IM GOING TO GO TALK TO THE PHYSICIAN AND ILL COME IN AND SEE YOUR DAUGHTER AND WELL TALK ABOUT NEXT STEPS FROM THERE DO YOU HAVE ANY QUESTIONS THAT YOUD LIKE ME TO DIRECT TO HIM BEFORE THAT HAPPENS audio/MSK0008.mp3[266.400,272.680] ALRIGHT HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0046.mp3[37.000,46.000] OK AND HAVE YOU HAD ANY UH IF YOU WERE TO DESCRIBE THE PAIN WHERE IS IT LOCATED EXACTLY audio/RES0013.mp3[10.240,15.280] IM IM 50 IM GONNA BE 50 SOON audio/RES0124.mp3[751.280,823.720] UM SO WE CAN TALK ABOUT THAT UM GIVEN THAT YOUR SYMPTOMS ARE YES THEYVE BEEN OCCURRING FOR THE PAST COUPLE OF MONTHS BUT BECAUSE YOU HAVE HAD A COUGH IT MIGHT BE A GOOD IDEA JUST TO HAVE A COVITEST DONE ONCE UM I DONT THINK THATS WHAT YOU HAVE SEEING THAT THIS THESE SYMPTOMS HAVE BEEN LASTING FOR HAVE BEEN OCCURRING FOR THE PAST TWO MONTHS SO WELL JUST KIND OF DO THAT TEST TO RULE IT OUT UM IN THE MEANTIME I WOULD RECOMMEND THAT YOU UM TRY THIS INHALED CORTICOSTEROID PUFFER THAT YOU CAN USE THAT YOU SHOULD USE ON A DAILY BASIS AND TRY TO AVOID UH THE TRIGGERS SO THE THINGS THAT YOU THAT CAUSE THESE SYMPTOMS UM WE CAN GO OVER HOW TO USE UH A PUFFER PROPERLY AND I WILL ALSO GIVE YOU A SPACER WHICH WILL HELP DELIVER MOST OF THAT MEDICATION IN THE UH TO YOUR LUNGS DO YOU HAVE ANY QUESTIONS audio/RES0112.mp3[331.880,340.320] UM OK AND UH DOES HE I FORGOT TO ASK HAS HE HAD ANY HOSPITALIZATIONS IN THE PAST audio/RES0146.mp3[3.280,25.800] UH YESTERDAY RIGHT AFTER LEAVING WORK I STARTED TO NOT FEEL WELL AND THIS MORNING I WOKE UP WITH FEVER AH THIS LIKE BAD HEADACHE AND JUST FEELING REALLY REALLY SORE ALL OVER audio/RES0077.mp3[241.680,244.800] NO I HAVENT audio/RES0022.mp3[472.040,481.520] OK WOULD YOU SAY THIS WAS THE WORST HEADACHE OF YOUR LIFE OR A KIND OF LIKE A THUNDER CLAP SENSATION audio/RES0122.mp3[234.840,238.360] HAVE ANY OF THEM BEEN SICK RECENTLY audio/RES0001.mp3[290.760,295.360] YEAH NO MY VISIONS BEEN BEEN BEEN FINE audio/RES0024.mp3[491.280,504.480] OK SO THAT THAT WAS ALL I WANTED TO ASK ABOUT ON UH THE HISTORY TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT audio/MSK0033.mp3[576.600,587.360] NO WEAKNESS I JUST FEEL LIKE MY MUSCLES ARE REALLY TIGHT LIKE MY FLY AND MY HAMSTRING MUSCLES THINK I NEED TO STRETCH THEM OUT SOME MORE THEY DO JUST FEEL TIGHT audio/RES0097.mp3[500.400,505.080] HES IN GRADE SIX audio/RES0095.mp3[294.960,308.320] FOR SURE YEAH I COULD GO THROUGH GO THROUGH THAT UHM HERE UHM SO BUT FIRST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0179.mp3[566.600,580.600] OK OK ALRIGHT THATS GOOD ANY REASONS TO THINK YOU HAVE LIKE OLD CARPETS DUST ASBESTOS MOLD ANYTHING LIKE THAT IN THE HOUSE audio/DER0001.mp3[197.400,213.120] SYMPTOMS UM I FEEL A LITTLE HOT ACTUALLY WHEN THE SWELLING STARTED ITS IT ALSO STARTED LEAKING THIS LIKE WHITE STUFF FROM ONE OF THE ONE OF WHAT USED TO BE A SCAB SO NOW LIKE KIND OF AN OPEN WOUND NOW audio/MSK0009.mp3[343.160,345.400] HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0114.mp3[241.360,252.240] OH OK OK UM HOW ABOUT PALPITATIONS LIKE FEELING LIKE YOUR HEART IS RACING audio/RES0027.mp3[283.000,288.960] HAVE YOU HAD ANY CHEST PAIN audio/MSK0029.mp3[985.440,990.960] YEAH EXACTLY I COULD DO ALL OF THE MOVEMENTS BUT YEAH ITS PAIN AND STIFFNESS audio/RES0169.mp3[401.120,417.920] ALRIGHT AND UH LETS SEE SO UH YOUVE HAD A FEVER A COUGH AND A RUNNY NOSE FOR THE PAST FEW DAYS AND HAVE YOU BEEN GOING TO SCHOOL IN THE PAST COUPLE OF DAYS OR NO audio/RES0075.mp3[588.760,595.640] OK ALRIGHT SOUNDS GOOD THANK YOU SO MUCH audio/DER0001.mp3[232.840,234.800] ANY CHEST PAIN audio/RES0170.mp3[630.400,644.720] UHM YEAH I WOULD THINK SO BUT AGAIN WELL GET THE TESTING DONE AND SEE IF THERE ARE ANY OTHER ANY OTHER CAUSES audio/RES0136.mp3[477.280,479.680] ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0170.mp3[501.800,515.800] I SEE OK AND UH HOW ARE THINGS AT HOME IS HE IS HE DOING WELL OTHERWISE LIKE AT SCHOOL AND THINGS LIKE THAT ANY STRESSORS IN HIS LIFE audio/DER0001.mp3[275.480,284.080] OK YEAH YOU DID THE RIGHT THING IM GLAD THAT YOURE IN TODAY IS THE PAIN ON YOUR LEGS WORSE WHEN YOU TOUCH IT audio/RES0141.mp3[154.520,167.200] I JUST HAD BREAKFAST TODAY SO UM BREAKFAST WAS OKAY I DIDNT UH BUT YEAH DEFINITELY SENSE OF SMELL audio/MSK0026.mp3[443.560,448.200] YEAH SO JUST WITH MY HUSBAND OF 10 YEARS audio/RES0167.mp3[572.280,577.560] SOUNDS GREAT TO ME YEAH I JUST YOU KNOW HOPE THERES NOTHING SERIOUS GOING ON audio/RES0066.mp3[269.680,272.880] NO I WENT STRAIGHT HOME audio/RES0051.mp3[147.040,153.000] OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE audio/RES0137.mp3[184.360,202.960] YEAH SHE JUST HAS THESE EPISODES WHERE SHE JUST COUGHS AND COUGHS AND COUGHS AND THEN SHELL EITHER VOMIT OR JUST TURN BLUE OR JUST UM GET BETTER IN A COUPLE COUPLE MINUTES THIS KIND OF COMES AND GOES LIKE THAT audio/RES0056.mp3[319.360,333.240] MY WIFE WAS ACTUALLY JUST SICK LAST WEEK BUT SHE RECOVERED SHE DID HAVE A FEVER FOR ONE OF THE DAYS AND SHE ALSO HAD A COUGH audio/MSK0043.mp3[761.600,769.720] NO THOSE FEEL FINE I CAN MOVE MY HIP AND ANKLE OKAY AND NO PAIN audio/RES0085.mp3[2.440,43.800] YEAH SO I JUST BROUGHT MY SON WENT TO THE HOSPITAL IVE JUST BEEN GETTING VERY CONCERNED BECAUSE HES MAKING LIKE THESE LIKE GRUNTING NOISES FOR THE LAST DAY AND LIKE ITS ITS REALLY WORRYING ME I DONT KNOW IF HES LIKE NOT BREATHING AND I ALSO JUST DID LIKE A TEMPERATURE ON HIM JUST THIS MORNING AND IT CAME UP TO LIKE LIKE A HIGH 38 SO I DONT KNOW WHATS GOING ON AND THEN HES JUST VERY LIKE IRRITABLE AND JUST NOT HIMSELF I THINK audio/RES0179.mp3[86.960,99.240] UHM I HAVE YEAH THE SHORTNESS OF BREATH HAS BEEN LIKE SIMILARLY GETTING A BIT WORSE OVER THE LAST OVER THE LAST SIX MONTHS audio/RES0007.mp3[95.200,104.440] OK AND HOW LONG DOES IT TAKE FOR THE BREATHING DIFFICULTY TO GO AWAY audio/MSK0037.mp3[561.800,570.640] YEAH I SMOKE PROBABLY A PACK A DAY FOR THE LAST I DONT KNOW LIKE 10 YEARS audio/RES0087.mp3[88.520,95.440] OK YEAH THATS FAIR AND YOU MENTIONED HES HAD A RUNNY NOSE TOO WHEN DID THAT START audio/MSK0037.mp3[716.720,728.920] OK AND UH ARE THERE ANY AREAS THAT THAT YOU CAN PALPATE OVER YOUR HAND THAT CAUSES PAIN audio/RES0046.mp3[284.160,290.400] NO CHILLS OK HAVE YOU TAKEN YOUR TEMPERATURE audio/MSK0050.mp3[354.320,365.240] NO NOT THAT I CAN THINK OF YEAH NO WHEN I WAS YOUNGER I HAD LIKE CHILDHOOD ASTHMA BUT NOTHING SINCE audio/RES0043.mp3[417.840,425.720] AND IS HE AN IS HE AN OTHERWISE HEALTHY CHILD audio/MSK0029.mp3[530.440,537.160] FIVE YEARS OK ANY SIDE EFFECTS OR ANY ISSUES WITH THAT audio/RES0107.mp3[47.200,52.760] PAST TWO WEEKS OK WHAT STARTED FIRST THE SNEEZING OR RUNNY NOSE audio/RES0180.mp3[434.040,446.480] SO I LIVE IN A HOUSE DOWNTOWN IN THE CITY HERE AND I LIVE WITH MY WIFE AND OUR TWO SONS audio/DER0001.mp3[284.080,293.560] YEAH MAYBE NOT SO MUCH WHEN I TOUCH IT WHEN I WALK WITH IT AND I START FLEXING IT IT IT DOESNT LIKE THAT audio/RES0167.mp3[139.480,141.160] UH NO audio/RES0069.mp3[142.040,149.560] YEAH I DONT UH YES I SAID I WAS EATING BREAKFAST THIS MORNING BUT IT JUST TASTED REALLY BLAND audio/RES0037.mp3[486.080,491.360] OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS audio/MSK0035.mp3[42.040,52.080] YEA YEAH SO I KIND OF YEAH HAD MY ARM STRETCHED OUT AND I FELL RIGHT ON IT audio/MSK0016.mp3[439.880,442.800] UH NO ALLERGIES audio/MSK0037.mp3[651.400,661.800] OK AND AS ANYBODY IN THE FAMILY HAD A DUPUYTRENS CONTRACTURE BEFORE audio/RES0134.mp3[411.400,417.480] I SEE AND HAVE YOU TRIED ANYTHING TO MAKE MAKE THE SYMPTOMS BETTER audio/RES0052.mp3[31.720,37.640] TWO DAYS AGO audio/RES0084.mp3[599.160,605.080] HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/MSK0034.mp3[459.720,461.640] SURE THAT SOUNDS GOOD audio/RES0163.mp3[417.400,424.480] I SEE OK AND DO YOU KNOW HOW LONG YOUVE BEEN DOING THIS FOR audio/RES0056.mp3[121.040,127.680] ITS USUALLY LIKE A UH LIKE A WHITE AND SOMETIMES LIKE A LITTLE BIT YELLOW AS WELL audio/RES0034.mp3[302.640,308.400] OK AND NOTICE ANY DISCHARGE FROM EITHER EYE audio/RES0116.mp3[116.840,122.760] YEAH RIGHT EAR HE HASNT BEEN COMPLAINING UH AT ALL I HAVENT EVEN LOOKED AT THE RIGHT EAR YET audio/RES0165.mp3[496.160,497.520] SURE THANK YOU audio/RES0004.mp3[276.400,283.000] OK OK AND HAVE YOU NOTICED THAT YOUR THAT YOUR GLANDS ARE SWOLLEN audio/RES0026.mp3[326.320,333.680] OK UM HAVE YOU BEEN FEELING TIRED OR FATIGUED audio/GAS0001.mp3[323.840,329.600] NOTHING LIKE THAT audio/RES0168.mp3[490.320,494.160] WE HAVE A DOG ITS A LABRADOODLE audio/RES0113.mp3[43.680,51.560] UM ITS BEEN PRETTY DRY audio/RES0124.mp3[506.480,508.880] WHAT HAPPENS THEN audio/RES0129.mp3[370.360,377.120] NO OK DOES ANYONE AT HOME SMOKE audio/RES0093.mp3[322.400,323.360] OK OK audio/RES0126.mp3[611.200,615.640] MY DAD HAD COPAS WELL audio/RES0166.mp3[101.280,105.440] OK IS IT WORSE AT ALL THAN IT WAS THIS MORNING audio/RES0200.mp3[101.680,108.280] OK AND YOU SAID YOU WERE ALSO SHORT OF BREATH UHM WHEN DID THAT START audio/MSK0005.mp3[302.320,305.400] NO MY WEIGHTS BEEN STABLE OVER THESE LAST FEW MONTHS audio/RES0105.mp3[270.080,274.000] DID YOU HAVE IT BEFORE THESE SYMPTOMS STARTED audio/MSK0022.mp3[485.680,489.440] OK BUT YOU DONT NOTICE ANY CHANGES ANYWHERE ELSE audio/RES0128.mp3[247.040,249.120] NOTHING LIKE THAT audio/MSK0025.mp3[434.240,443.840] I HAD HYPOTHYROID SO IVE BEEN TAKING SYNTHROID FOR THAT audio/CAR0004.mp3[444.600,446.360] THANK YOU audio/RES0144.mp3[395.680,404.960] OK AND WERE THERE ANY COMPLICATIONS AT THAT TIME INCLUDING COMPLICATIONS RELATED TO THE LUNG SOMETHING LIKE RESPIRATORY DISTRESS SYNDROME audio/RES0081.mp3[291.400,301.000] YEAH UH CERTAINLY POSSIBLE AND WAS IT LIKE A PARTICULARLY COLD DAY audio/RES0206.mp3[514.440,521.440] YOU I GUESS I SHOULD HAVE ASKED YOU EARLIER BUT HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL audio/RES0013.mp3[492.000,511.280] OH LIKE MY UH MY MOM AND DAD HAVE HIGH BLOOD PRESSURE TOO SO I WASNT SURPRISED WHEN I HEARD THAT I DID audio/RES0131.mp3[439.760,442.280] OKAY UM AND DO YOU SMOKE audio/RES0124.mp3[49.400,66.600] UM OKAY OKAY WHAT DID YOU IS THERE ANYTHING SO ITS BASICALLY WORSE WHEN YOURE UM DOING SOME SORT OF AN EXERCISE SUCH AS WALKING UM OR BEING IN THE GYM CLASS AND ITS ALSO WORSE IN THE COLD audio/MSK0031.mp3[213.880,217.360] ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE audio/RES0034.mp3[39.080,44.720] OK AND HAS THE FEVER AND COUGH BEEN PRESENT THE WHOLE TIME audio/RES0135.mp3[108.760,120.600] UM SHES BRINGING UP SOME UM SHES SHE ACTUALLY SHE USED TO BRING UP SOME PHLEGM BUT NOW ITS ITS PRETTY DRY audio/RES0043.mp3[335.640,346.920] AH THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT audio/CAR0004.mp3[203.800,210.400] OK ANY COUGH RUNNY NOSE ANY VIRAL SYMPTOMS audio/RES0043.mp3[148.080,153.360] OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD audio/RES0020.mp3[399.440,404.520] NO ACTUALLY SORRY I HAVE DIABETES audio/RES0172.mp3[446.280,454.080] NO BEEN BESIDES THAT THE FAMILY PARTY LAST WEEKEND BUT I MEAN THAT WAS JUST HERE IN TOWN SO IT WAS CLOSE BY audio/RES0187.mp3[332.600,337.640] NO OK AND HOW ABOUT MEDICATIONS ARE YOU ON ANY audio/MSK0016.mp3[756.920,758.600] NO NO PAIN THERE audio/RES0020.mp3[273.080,278.960] HOW ABOUT ANY EYE SYMPTOMS LIKE DISCHARGE OR OR EYE PAIN audio/RES0001.mp3[234.760,239.360] THEYVE BEEN PRETTY MUCH THE THE THE SAME audio/MSK0012.mp3[381.160,386.360] ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/MSK0035.mp3[414.920,418.240] I LIVE BY MYSELF IN AN APARTMENT DOWNTOWN audio/RES0136.mp3[479.680,482.840] UH NO audio/RES0116.mp3[144.520,149.560] OK OK AND HAVE YOU NOTICED THAT HIS HEARING HAS CHANGED AT ALL audio/RES0063.mp3[38.920,45.640] SO THE FEVER I THINK I HAVENT MEASURED IT BUT I STARTED HAVING CHILLS LIKE 3 DAYS AGO audio/RES0203.mp3[0.000,3.440] DO YOU WANT TO TELL ME WHAT BROUGHT YOU IN TODAY audio/RES0066.mp3[403.120,407.320] OK DO YOU TAKE ANY MEDICATIONS audio/RES0155.mp3[53.960,64.680] YEAH IM BRINGING UP SPUTUM UH PRETTY MUCH UM LIKE EVERY TIME IM COUGHING UP IM BRINGING UP SOME YELLOWISH OR GREENISH UH SPUTUM audio/RES0161.mp3[59.680,59.960] I SEE audio/GAS0005.mp3[478.320,494.440] OK AND I JUST WANTED TO ASK ABOUT HIS BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT THROUGHOUT PREGNANCY EITHER MOM BEING SICK OR HAVING ANY ANY ISSUES HERSELF audio/RES0076.mp3[470.320,476.280] OK ANY CONTACTS OF YOURS THAT HAVE BEEN SICK RECENTLY audio/GAS0005.mp3[0.000,5.080] WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN TODAY audio/MSK0017.mp3[280.120,281.480] UH NOPE audio/MSK0024.mp3[323.480,326.280] OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0093.mp3[230.960,245.560] UH NO BUT WELL I GUESS I HAVE FELT A LITTLE NAUSEOUS WITH THE UHM BAD TASTE IN MY MOUTH audio/RES0010.mp3[238.520,243.320] BUT I PROBABLY SHOULDNT JUST EAT ICE CREAM audio/RES0102.mp3[650.440,659.560] I USED TO TAKE A A CITALOPRAM BUT I STOPPED AND AND THINGS HAVE BEEN BEEN STABLE audio/RES0106.mp3[115.800,118.280] HAVE YOU NOTICED ANY FEVERS audio/RES0131.mp3[294.200,297.280] NO IVE BEEN UH REGULAR audio/RES0097.mp3[255.200,262.200] ANY LIGHTHEADEDNESS DIZZINESS OR FAINTING audio/RES0024.mp3[312.520,317.840] OK ANY REASON REASON FOR HOSPITALIZATION audio/MSK0026.mp3[48.440,52.080] YEAH JUST JUST A LITTLE BIT BELOW audio/RES0130.mp3[368.640,373.120] YEAH IT DOES YEAH I JUST DIDNT KNOW ABOUT THEM UNTIL THAT TIME audio/RES0029.mp3[89.840,97.840] OK AND DO YOU FEEL THE PAIN ANYWHERE ELSE OR IS IT JUST ON THE LEFT SIDE OF YOUR CHEST audio/MSK0024.mp3[336.640,341.000] HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/RES0216.mp3[207.200,210.080] ANY UNEXPLAINED WEIGHT LOSS AT ALL audio/MSK0025.mp3[185.320,190.480] OK SO YOU JUST IMPROVED WITH REST COMPLETE REST audio/CAR0003.mp3[237.320,247.840] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE CHEST PAIN DIZZINESS ANYTHING LIKE THAT audio/MSK0021.mp3[456.960,464.440] OK OK UHM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0101.mp3[44.440,60.320] PYEAH IVE BEEN JUST TAKING SOME REST NOT REALLY DOING TOO MUCH AND EVEN IN THE HOSPITAL LIKE I WAS THERE FOR A DAY AND WAS PRETTY IMMOBILIZED audio/RES0104.mp3[409.480,413.680] OK ANY PAST MEDICAL CONDITIONS THAT I SHOULD KNOW OF audio/RES0087.mp3[502.440,510.600] OK OK ANY OLD CARPET MOLD OR ASBESTOS IN THE BUILDING audio/MSK0005.mp3[270.360,274.120] NO NO NO NUMBNESS OR TINGLING audio/MSK0034.mp3[95.800,99.720] IT WAS DIFFICULT AN IM STILL LIMPING audio/RES0131.mp3[162.280,172.200] YEAH UM SIDES OF YOUR HEAD OKAY AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW HOW WOULD YOU RATE IT audio/RES0011.mp3[217.920,224.440] ALRIGHT UM AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0044.mp3[586.760,592.120] UM LIKE MY MY UNCLE HAD A HEART ATTACK audio/RES0201.mp3[302.880,306.600] HAVE YOU HAD ANY FEVERS audio/RES0129.mp3[22.040,28.040] OK SO YOU SAID THE RUNNY NOSE STARTED TWO DAYS AGO audio/RES0149.mp3[587.440,597.160] OK HAVE YOU BEEN TESTED FOR UH DIABETES AS WELL audio/RES0067.mp3[42.840,47.800] OK AND WHEN DID SHE START GETTING SHORT OF BREATH audio/RES0024.mp3[209.320,212.200] OK AND THEN ANY RASHES ON YOUR SKIN audio/RES0131.mp3[303.600,307.640] NOPE I HAVENT HAD ANYTHING LIKE THAT audio/MSK0037.mp3[278.800,280.720] OK SO NO MUSCLE WEAKNESS audio/RES0138.mp3[437.280,442.120] AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED audio/RES0093.mp3[856.160,859.400] AND YOU DONT HAVE ANY ALLERGIES TO ANY CORRECT audio/RES0005.mp3[714.240,731.680] UM YEAH JUST THE BLOOD I KIND OF GOT SCARED MAYBE I THOUGHT LIKE YOU KNOW WHAT IF ITS A CANCER ONE OF MY FRIENDS HAD LUNG CANCER AND I I KNOW IVE BEEN SMOKING FOR MOST OF MY LIFE SO THATS SOMETHING I WAS WORRIED ABOUT audio/RES0130.mp3[555.760,567.720] NO I WAS JUST REALLY CONCERNED WHEN I STARTED TO SEE UM THE BLOOD COMING UP MORE RECENTLY AND SO I WAS JUST HOPING TO GET THIS FIGURED OUT audio/MSK0009.mp3[62.480,67.960] YEAH IN MY RIGHT KNEE audio/RES0094.mp3[200.760,205.880] ITS NOT TOO BAD ITS PRETTY MILD BUT ITS THERE audio/MSK0019.mp3[561.360,566.000] UH STRAIGHTENING OUT NO IT DOESNT HURT audio/RES0206.mp3[210.440,215.280] I I DONT HAVE A THERMOMETER AT HOME audio/RES0214.mp3[393.880,397.080] UM ABOUT ONE OR TWO GLASSES OF WINE audio/RES0135.mp3[566.560,571.200] NO NOTHING LIKE THAT audio/RES0057.mp3[369.600,372.440] ANY CHEST PAIN audio/MSK0034.mp3[349.040,357.760] OK AND WAS THERE THE USE OF ANY KIND OF INSTRUMENTS LIKE FORCEPS OR VACUUM FOR ANY REASON audio/RES0112.mp3[202.240,211.000] OK UM AND OK DO YOU FEEL LIKE HES BEEN DROWSY UH AND UM LETHARGIC audio/RES0083.mp3[4.880,21.480] IVE BEEN FEELING REALLY JUST BAD THESE LAST COUPLE OF DAYS IVE HAD THESE UH MUSCLE ACHES AND HEADACHE AND COUGH THAT HAVE BEEN REALLY BOTHERING ME audio/RES0193.mp3[581.440,586.880] OK OK YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS AT ALL audio/RES0209.mp3[229.440,236.120] WHEN IT GETS REALLY BAD LIKE WHEN I GET SO EASY THAT I FIND IT HARD TO BREATHE audio/RES0003.mp3[499.480,505.920] OK ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0112.mp3[233.800,245.600] OK AND JUST A COUPLE OF QUESTIONS ABOUT UM HIS PAST MEDICAL HISTORY DOES HE HAVE ANY UH MEDICAL CONDITIONS UH THAT HE WAS DIAGNOSED WITH audio/MSK0006.mp3[771.600,784.000] OK SO SOME PAIN ON UM PLANTER FLEXION OF THE RIGHT FOOT AND HOW ABOUT IF YOU UM POINT YOUR FEET AND TOES TOWARDS THE GROUND audio/MSK0023.mp3[347.040,351.480] AND HAVE YOU HAD A SIMILAR INJURY AT ALL IN THE PAST audio/RES0102.mp3[193.480,218.120] THERE ARE CERTAINLY SOME PEOPLE AROUND THAT THAT HAD SOME THAT WOULD HAVE A COUGH OR WERE NOT FEELING VERY WELL BUT UH AND SOMETIMES I WOULD SEE PEOPLE WHO WOULD EVEN HAVE A HOSPITAL GOWN ON THAT THAT THAT UH CAME FROM THE HOSPITAL SO YEAH THERE WERE DEFINITELY SOME PEOPLE WHO WERENT FEELING WELL audio/RES0077.mp3[463.160,471.400] MY BED WASNT DRENCHED OR ANYTHING BUT I WAS SWEATING audio/RES0117.mp3[227.240,232.240] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/CAR0002.mp3[84.760,87.640] NO IVE NEVER HAD ANY CHEST PAIN BEFORE audio/RES0039.mp3[380.040,381.960] ANY CHEST PAIN audio/RES0102.mp3[44.960,58.400] UH IT IT GOT WORSE INITIALLY BUT ITS BEEN ABOUT THE UH WELL ACTUALLY YEAH ITS BEEN GETTING WORSE CAUSE NOW IVE IVE STARTED TO NOTICE BLOOD IN THE SPUTUM THAT WASNT THERE AT FIRST audio/RES0123.mp3[91.880,100.000] UM ITS ACTUALLY A BIT BETTER NOW BUT YEAH LIKE OVER THE LAST WEEK ITS BEEN A 7 I WOULD SAY NOW ITS PROBABLY AROUND 5 audio/MSK0050.mp3[595.440,601.920] OK UM ARE THERE ANY ANY ISSUES WITH LIKE MOVING YOUR ELBOW OR YOUR SHOULDER audio/RES0106.mp3[292.720,296.840] OK WHICH ONE audio/RES0151.mp3[249.280,253.880] AND HOW WAS YOUR WEIGHT BEEN RECENTLY ANY CHANGES audio/RES0044.mp3[178.000,199.440] MAYBE A LITTLE BIT THIS MORNING YEAH LIKE AT FIRST IT JUST FELT DRY LIKE I WAS THINKING LIKE OH ITS LIKE YOU KNOW I NEED TO TAKE A SIP OF WATER OR SOMETHING AND NOW IT JUST FEELS NOW ITS STARTING TO THINK I FEEL A LITTLE BIT SORE I THINK audio/RES0008.mp3[486.200,492.840] I DO YEAH I LIVE WITH MY WIFE AND AT A HOUSE NEARBY audio/RES0192.mp3[301.880,306.240] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0168.mp3[340.840,343.760] OK ANY ALLERGIES audio/RES0110.mp3[640.120,642.600] JUST SOME UM CALCIUM VITAMIN D audio/RES0001.mp3[434.520,445.800] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY PAST MEDICAL HISTORY OF ANY CONDITIONS REALLY audio/MSK0050.mp3[181.280,204.000] RECENTLY I FOUND ITS HARD FOR ME TO HOLD THINGS UM IN MY RIGHT HAND SO LIKE IF IM TRYING TO OPEN UP A JAR UM LIKE ITS HARD FOR ME TO HOLD IT AND SOMETIMES I FIND UH LIKE ITLL JUST FALL OUT OF MY HAND audio/RES0213.mp3[11.000,23.680] UM SO I I GUESS I I DONT KNOW IF ID REALLY CALL IT PAIN ITS ITS BEEN JUST VERY UNCOMFORTABLE LIKE IT JUST FELT A LITTLE ODD FOR LIKE A WEEK AND A HALF ITS KIND OF audio/RES0182.mp3[342.880,345.280] UH NO audio/RES0070.mp3[132.040,140.840] SURE YEAH SO ITS LIKE RIGHT IN THE FRONT JUST KIND OF FEELS LIKE A BAND JUST LIKE THIS PRESSURE IN THE FRONT OF MY HEAD audio/RES0003.mp3[483.280,484.920] NO MEDICATIONS audio/RES0133.mp3[394.520,400.000] HAS ANYBODY ELSE BEEN SICK OR HAVE SIMILAR SYMPTOMS audio/RES0181.mp3[100.120,110.640] OK ALRIGHT SO YEAH CERTAINLY A FEVER OK AND HAVE YOU HAD ANY UH LIKE ANY RUNNY NOSE audio/GAS0001.mp3[495.520,500.040] AND DO YOU USE PROTECTION WHILE HAVING SEX audio/RES0208.mp3[125.120,129.560] HAS THAT EVER HAPPENED TO YOU BEFORE audio/RES0094.mp3[284.600,295.160] I HAVE ALLERGIES TO DUST AND SOME ENVIRONMENTAL THINGS LIKE POLLEN OR RAGWEED I THINK MAYBE audio/RES0147.mp3[202.280,207.480] ANY CHEST PAIN audio/MSK0040.mp3[307.840,310.800] ALRIGHT AND HAVE YOU HAD A COUGH audio/RES0193.mp3[22.120,41.080] SO I IVE BEEN NOTICING IT OVER THE LAST SEVERAL MONTHS ITS BEEN HAPPENING UM A COUPLE OF TIMES PER WEEK WHERE HELL GET THIS COUGH AND THAT AT NIGHT TIME AND YEAH SO OVER THE LAST SEVERAL MONTHS audio/RES0058.mp3[132.120,137.280] AND DO YOU FEEL WHEEZY AT ALL audio/RES0020.mp3[574.400,579.720] ALRIGHT UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY RIGHT NOW audio/RES0003.mp3[221.040,227.880] OK HOW ABOUT UM DIARRHEA CONSTIPATION audio/RES0183.mp3[246.160,248.680] OK WELL THATS GOOD AND HAS HE HAD ANY CHEST PAIN audio/RES0037.mp3[551.480,555.000] OK ANY PREVIOUS HOSPITALIZATIONS audio/RES0085.mp3[266.560,275.160] FOR SURE ANY TRAVEL TO ANYWHERE RECENTLY audio/RES0179.mp3[107.080,109.840] HOW ABOUT CHEST PAIN audio/RES0118.mp3[472.640,474.840] TAKE CARE BYE audio/RES0098.mp3[48.520,67.600] P MORE SO WHEN IM LIKE EXERTING MYSELF IF IM SITTING DOWN ITS BETTER BUT I STILL HAVE I WOULD SAY LIKE MY BREATHING IS NOT NORMAL RIGHT NOW LIKE ITS I STILL HAVE TO TAKE DEEPER BREATHS AND I DO HAVE THAT CHEST TIGHTNESS WHEN I TAKE THOSE DEEP BREATHS audio/RES0076.mp3[265.880,274.480] OK AND HAVE YOU BEEN HAVING ANY KIND OF DIARRHEA OR CONSTIPATION CHANGES IN YOUR BOWEL MOVEMENT audio/RES0058.mp3[310.920,325.280] UMM A LITTLE BIT DIZZY I WHEN I GOT OUT OF BED THIS MORNING BUT WE SAT BACK DOWN FOR A COUPLE OF MINUTES I FELT BETTER audio/MSK0012.mp3[222.880,224.800] NO I DONT audio/RES0014.mp3[255.160,256.640] UH NO audio/RES0159.mp3[424.360,434.120] OK DO YOU REQUIRE ANY ASSISTANCE UH WITH WALKING ANY CANE OR WALKER OR WHEELCHAIR ANYTHING LIKE THAT audio/RES0006.mp3[68.520,75.200] UH OK AND IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE audio/RES0187.mp3[502.840,505.240] OK AND HOW MUCH OF THAT audio/MSK0050.mp3[101.360,114.040] OK I SEE AND UM IS THERE ANYTHING THAT YOU DO UH AT THOSE TIMES TO TRY TO HELP GET THE SYMPTOMS TO GO AWAY audio/RES0113.mp3[333.760,335.880] NO NOT RECENTLY audio/RES0160.mp3[38.120,39.200] WHAT ABOUT THE DIARRHEA audio/RES0144.mp3[404.960,421.120] YEAH SO WHEN HE WAS BORN THERE WAS THEY NEEDED TO DO I FORGOT WHAT IT WAS BUT THEY TOLD ME THAT INITIALLY HE WASNT BREATHING BUT THEN RIGHT AFTERWARDS AFTER LIKE WITHIN 5 MINUTES HE WAS FINE audio/RES0142.mp3[258.320,262.680] AND WHAT ABOUT UM MARIJUANA audio/RES0042.mp3[308.200,313.520] YEAH FOR SURE HOW LONG HAVE YOU HAD ECZEMA FOR audio/RES0138.mp3[187.880,190.240] I HAD A HEART ATTACK audio/RES0126.mp3[473.400,475.840] YEAH YEAH THEY DID THEY DID audio/RES0006.mp3[177.680,193.880] UH OVER THE LAST YEAR LIKE IVE HAD A COUPLE OF CHEST INFECTIONS AFTER GOING TO THE ER THEY GAVE ME SOME ANTIBIOTICS BUT YEAH WHEN THAT HAPPENS IT USUALLY GETS WORSE THE SHORTNESS OF BREATH AND THE COUGH audio/MSK0023.mp3[404.600,415.040] NO NOTHING LIKE THAT I SEE KIDS AT SCHOOL UM SMOKING AND STUFF BUT YOU KNOW AS AN ATHLETE I TRY TO STAY AWAY FROM THAT KIND OF STUFF AS MUCH AS POSSIBLE audio/RES0048.mp3[109.720,120.840] OK OK AND UM HAVE YOU TRIED ANYTHING TO MAKE IT BETTER audio/MSK0016.mp3[592.840,594.640] UM NO I DONT audio/RES0047.mp3[624.480,640.800] UH I DO YES IVE BEEN TRYING TO QUIT I UM I SMOKE ABOUT A PACK OF CIGARETTES PER DAY NOW I USED TO SMOKE LIKE 2 PACKS PER DAY audio/MSK0001.mp3[290.080,295.520] OK HAVE YOU BEEN UH HAVING ANY UH KIND OF ERECTILE DYSFUNCTION audio/RES0009.mp3[315.680,321.080] OK AND HAVE YOU HAD ANY WHEEZING WITH YOUR WITH YOUR BREATH audio/MSK0036.mp3[732.200,747.080] I SEE ALRIGHT AND UM SO NEXT I WANTED TO JUST MOVE TO THE PHYSICAL EXAM PORTION AND SO JUST FIRST INSPECTING THE HAND AND WRIST DO YOU SEE ANY SWELLING OR REDNESS audio/RES0198.mp3[251.680,258.480] OK AND SO YOU HAVE YOUR INSULIN MEDICATION AND YOUR ARE YOU ALL UP TO DATE WITH THAT audio/RES0199.mp3[308.880,313.280] NO IVE BEEN TRYING TO KEEP HYDRATED audio/MSK0034.mp3[308.440,326.440] NO OK AND YEAH ILL JUST ASK YOU AS WELL AS YOUR MOTHER DURING THE TIME SHE WAS PREGNANT WITH YOU DID YOU HAVE ANY KIND OF COMPLICATIONS DURING PREGNANCY AT ALL audio/RES0048.mp3[225.840,231.880] UH PROBABLY LIKE A FIVE IT KIND OF JUST STARTED OUT WITH UH THREE DAYS AGO WAS KIND OF LIKE I JUST audio/RES0114.mp3[252.240,254.640] UH NO I DONT THINK SO audio/RES0073.mp3[67.200,78.440] UH ITS FAIRLY CLEAR AND SOMETIMES LIKE A BIT WHITE BUT LIKE ITS NOT LIKE GREEN OR YELLOW audio/RES0200.mp3[447.480,450.360] UH NO NOT THAT I KNOW audio/RES0025.mp3[207.960,213.520] OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/RES0182.mp3[351.760,355.280] UHM NO audio/RES0163.mp3[470.440,474.840] OK AND HOW OLD WAS YOUR DAD WHEN HE HAD A HEART ATTACK audio/RES0164.mp3[615.240,654.120] NO NOTHING LIKE THAT OK ALRIGHT SO YEAH WELL DO IT LIKE A FULL PHYSICAL EXAMINATION AND IF ITS MORE JUST A VIRAL ITLL BE SOMETHING THAT WELL JUST HAVE TO MONITOR AND DO SUPPORTIVE CARE FOR BUT IF ITS ANYTHING ELSE WE MIGHT NEED TO DO FURTHER INVESTIGATIONS OK AND WELL JUST DO A COVISWAB FOR HIM TODAY AS WELL AS SOME OF THE SYMPTOMS OVERLAP WITH COVISYMPTOMS AND YOU WILL GET THE RESULTS BACK IN 24 HOURS TO 48 HOURS AND THEN FURTHER INSTRUCTION FROM PUBLIC HEALTH audio/RES0008.mp3[417.000,421.800] OK OK AND DO YOU HAVE ANY HISTORY OF HEART PROBLEMS audio/MSK0036.mp3[579.000,586.920] IM LIVING WITH MY HUSBAND AND TWO KIDS IN A SMALL TOWNHOUSE audio/RES0004.mp3[556.760,568.000] UM MOSTLY SEASONAL ALLERGIES BUG ME LIKE UM YEAH LIKE SEASONAL ALLERGIES AND DUST MAYBE audio/RES0087.mp3[43.840,50.360] OK AND HAVE YOU NOTICED ANY FLUID COMING OUT OF HIS EARS audio/RES0021.mp3[138.440,142.080] NO NO NOT NOT RECENTLY audio/RES0120.mp3[179.760,191.920] OKAY AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HELPS YOU WITH YOUR BREATHING OR RELIEVES YOUR CHEST PAIN ANYTHING THAT WORKS FOR YOU audio/MSK0035.mp3[676.360,687.320] OK AND OK SO NO PAIN AT THE THE DORSAL ANATOMICAL SNUFFBOX AND IN TERMS OF RANGE OF MOTION ARE YOU ABLE TO FLEX AND EXTEND YOUR WRIST audio/RES0018.mp3[291.120,292.160] NO NOTHING LIKE THAT audio/RES0125.mp3[313.640,318.480] OKAY AND ANY CHANGES IN YOUR SLEEP OR APPETITE audio/RES0104.mp3[111.960,116.960] NO IT WASNT REALLY RED ITS KINDA ORANGE audio/RES0068.mp3[436.720,444.920] UM I KNOW THAT THERES SOME ASTHMA THAT RUNS IN THE FAMILY audio/RES0018.mp3[151.560,154.800] NO NOT REALLY JUST MOSTLY CHILLS audio/RES0078.mp3[127.280,138.480] IVE BEEN BRINGING UP SOME LIKE UH WHITISH SPUTUM ITS LIKE YEAH WHITISH OR CLEAR audio/RES0107.mp3[466.040,483.200] OK OK AND I WAS GONNA ASK YOU SOMETHING ELSE UM HIS SYMPTOMS LIKE THE SNEEZING AND THE AND THE RUNNY NOSE LIKE HAS HE EXPERIENCED THIS BEFORE audio/RES0108.mp3[365.360,369.240] YEAH THEYRE ALL HEALTHY audio/RES0020.mp3[375.400,379.480] OK AND HAVE YOU HAD A FEVER audio/RES0052.mp3[387.320,389.960] UM NO audio/RES0200.mp3[306.120,318.320] UHM MAYBE A FEW TIMES THIS LIKE FROM THAT LAST COUPLE DAYS IVE BEEN FEELING A BIT CHILLY BUT I I DONT KNOW IF I HAVE A FEVER OR ANYTHING LIKE THAT audio/RES0100.mp3[691.880,696.560] OK AND DO YOU DRINK ALCOHOL audio/RES0190.mp3[276.080,282.080] ALRIGHT SO HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS audio/MSK0032.mp3[439.200,441.800] HAVE YOU DONE ANY TRAVEL RECENTLY audio/RES0093.mp3[625.160,666.800] YEAH WELL YOU KNOW ITS ITS A GOOD IDEA TO SEE YOUR FAMILY DOCTOR ON A REGULAR BASIS SPECIALLY WHEN YOURE GETTING OLDER BECAUSE SOMETIMES YOU MIGHT NEED CHANGES IN YOUR MEDICATIONS OR THERE MIGHT BE CHECKUPS OR SCREENINGS THAT THEY MIGHT WANT TO DO ITS FOR YOUR OWN BENEFIT YOU KNOW MAYBE EVEN JUST SEEING THEM ONCE A YEAR WOULD BE A GOOD IDEA I WOULD DEFINITELY RECOMMEND THAT YOU BOOK AN APPOINTMENT WITH THEM JUST FOR A CHECKUP IN THE NEXT COUPLE OF WEEKS IS THERE A REASON WHY YOU DONT SEE YOUR FAMILY DOCTOR TOO OFTEN audio/RES0018.mp3[412.520,419.640] YEAH I ACTUALLY DIDNT GO TO WORK YESTERDAY JUST FELT TERRIBLE YESTERDAY audio/RES0134.mp3[208.800,214.600] OKAY AND DID IS THIS NEW OR DID YOU HAVE THIS BEFORE audio/RES0216.mp3[102.920,105.520] UH NO I CANT SAY THAT I DID audio/RES0046.mp3[616.720,617.640] OK ANY ALLERGIES audio/RES0124.mp3[508.880,525.440] UM JUST SOMETIMES LIKE UH I DONT KNOW IF ITS LIKE A POLLEN ALLERGY LIKE I I DO GET SOME I GUESS I DO GET LIKE SOME NASAL CONGESTION AND THINGS LIKE THAT audio/RES0010.mp3[129.480,154.440] I DEFINITELY FEEL LIKE REALLY TIRED I THINK I HAD I THINK I HAD CHILLS LIKE YESTERDAY AND I THINK WHEN I FIRST GOT HERE THEY TOOK MY TEMPERATURE AND SAID IT WAS LIKE IT WAS LIKE PRETTY HIGH THE NURSE WHEN I FIRST GOT HERE audio/MSK0006.mp3[471.640,482.640] I HAVE YEAH IVE CUT DOWN OVER THE YEARS UM I USED TO SMOKE MORE ITS JUST THE CULTURE WITH UH I DONT KNOW EVERYBODYS DRIVING A TRUCK AND SMOKING audio/RES0053.mp3[439.800,445.200] OK AND THEN HOW ABOUT CHANGES IN HIS APPETITE audio/RES0017.mp3[476.680,480.640] UH NOPE audio/RES0179.mp3[335.520,339.400] OK HOW ABOUT HEADACHES audio/MSK0029.mp3[446.880,449.000] NO NONE OF THAT audio/RES0053.mp3[515.240,521.240] OK WAS HE ALSO UNDERWEIGHT TOO YOU MENTIONED JUST A LITTLE BIT audio/RES0001.mp3[385.040,387.000] NOT WHEN IM LAYING DOWN audio/RES0175.mp3[57.920,61.720] NO ITS KIND OF DRY COUGH NOTHING audio/RES0010.mp3[382.320,394.200] I HAVENT I HAVENT SEEN HER IN A FEW DAYS BUT YEAH LIKE I SAW HER I SAW HER REALLY A FEW DAYS AGO audio/RES0024.mp3[218.040,227.480] OK AND IN REGARDS TO YOUR PAST HEALTH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOURE FOLLOWED FOR audio/RES0196.mp3[307.120,310.240] NO NO audio/RES0160.mp3[287.560,291.680] SO I WORK AT LIKE A CAR SHOP audio/RES0076.mp3[375.400,381.320] OK SO YEAH TEN TO FIFTEEN POUNDS IN THE LAST HOW MANY MONTHS WOULD YOU SAY audio/RES0163.mp3[35.320,39.840] OK AND HOW LONG HAS THIS BEEN GOING ON FOR audio/RES0026.mp3[303.920,309.400] OK AND UM HAVE YOU HAD ANY CHILLS audio/CAR0002.mp3[21.560,27.480] OK AND DID IT JUST COME ON RANDOMLY OR WERE YOU DOING SOMETHING STRENUOUS audio/MSK0037.mp3[338.320,343.920] ANY LIGHTHEADEDNESS DIZZINESS OR FEELING AS THOUGH YOU MIGHT FAINT audio/RES0168.mp3[94.600,115.000] UHM UH SO MY THROAT NOT SORE IN LIKE THE WAY THAT YOU GET CATCH A SORE THROAT BUT I GET A LOT OF POST NASAL DRIP AND IT MAKES IT LIKE STINGY SO ITS LIKE ITS SORE IN THAT WAY BUT ITS NOT LIKE YOU KNOW IF YOU HAVE LIKE STREP THROAT OR SOMETHING audio/RES0146.mp3[328.960,332.240] AND DO YOU HAVE ANY ALLERGIES audio/RES0017.mp3[12.680,20.480] NO ITS COMPLETELY DRY I CANT BRING ANYTHING UP audio/MSK0024.mp3[266.920,278.600] OK AND ANY KIND OF CHANGES TO YOUR BOWEL MOVEMENTS audio/MSK0032.mp3[218.840,221.680] ANY WEIGHT LOSS RECENTLY audio/MSK0039.mp3[390.800,396.760] UM SO MY MOTHER HAS SOMETHING CALLED OSTEOPOROSIS audio/RES0011.mp3[601.000,616.760] I DONT THINK SO I MEAN WEVE ALL LIKE YOU KNOW CAUGHT COLDS AND YOU KNOW STUFF LIKE BUGS AND STUFF BUT NOT NOT QUITE LIKE THIS LIKE I CAN BARELY GET UP audio/RES0071.mp3[733.800,735.840] OK SOUNDS GOOD audio/MSK0037.mp3[702.760,713.040] OK AND ARE YOU ARE YOU SEEING ANY UH LIKE MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF YOUR JOINTS IN THE FINGERS OR THE WRIST audio/RES0206.mp3[571.320,578.800] YEAH I UH LIKE IVE BEEN WORKING FROM HOME I WORKED FOR THE MUNICIPALITY audio/MSK0049.mp3[127.360,128.840] I DO audio/MSK0025.mp3[461.560,467.720] ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS audio/RES0013.mp3[312.640,319.520] THEY TOLD ME A YEAR AGO I HAVE LIKE HIGH BLOOD PRESSURE SO IVE BEEN CUTTING OUT LIKE SALT AND TRYING TO WALK MORE audio/RES0003.mp3[374.800,380.880] OK ANY ALCOHOL OR RECREATIONAL DRUGS USED DURING THE PREGNANCY audio/RES0019.mp3[561.400,565.680] OK SO FOR ONE OF THE ONTARIO STORES audio/RES0062.mp3[517.640,522.760] OK ANY COMPLICATIONS FROM THAT audio/RES0128.mp3[317.960,326.560] OK THATS GOOD AND WAS HE HEALTHY LIKE AFTER BIRTH audio/MSK0037.mp3[420.120,422.480] UHM NO audio/RES0100.mp3[262.640,281.920] UHM ACTUALLY YEAH YESTERDAY WHEN I WAS UHM LIKE WHEN I WAS HAVING THE BODY PAIN I ALSO NOTICED A LITTLE BIT OF ABDOMINAL PAIN JUST LIKE ON THE UPPER I WOULD SAY UPPER LEFT SIDE audio/RES0060.mp3[284.400,290.120] OK AND ANY ABDOMINAL PAIN audio/MSK0033.mp3[508.360,511.520] NO LIMP I CAN I CAN WALK OK audio/MSK0043.mp3[602.080,608.360] OKAY AND WERE YOU ADMITTED AT ALL OR WERE YOU TREATED AS AN OUTPATIENT audio/RES0122.mp3[364.480,370.120] OKAY ANY CHANGES IN YOUR SENSE OF SMELL audio/RES0059.mp3[32.800,33.960] NO BLOOD audio/MSK0038.mp3[216.320,224.160] OK ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY UM SYMPTOMS LIKE FEVERS OR CHILLS audio/MSK0046.mp3[402.960,406.960] ITS JUST WHEN IM MOVING THE THUMB audio/RES0111.mp3[132.960,134.400] UM NO HEADACHES audio/RES0005.mp3[358.120,364.920] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES audio/RES0098.mp3[259.520,267.200] NO ITS JUST ASTHMA AND IT WAS DIAGNOSED I THINK WHEN I WAS LIKE PROBABLY 11 OR 12 YEARS OLD audio/MSK0006.mp3[649.560,650.880] NO I DONT audio/RES0034.mp3[67.720,76.320] OK CAN YOU THINK OF ANYTHING LEADING UP TO THESE SYMPTOMS audio/RES0172.mp3[110.040,119.560] I DID YEAH TODAY I CHECKED IT AND IT WAS LIKE JUST OVER 38 I THINK LIKE 381 OR TWO audio/RES0071.mp3[147.880,151.560] FIVE DAYS AGO AND HAS IT BEEN GETTING WORSE audio/RES0193.mp3[270.960,279.200] OK OK AND AT HOME OR AT SCHOOL ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS audio/RES0210.mp3[304.120,308.600] WENT TO SARNIA ABOUT A WEEK BACK FOR WORK BUT audio/MSK0024.mp3[174.960,183.160] YEAH BENDING DOWN LIKE IT WHEN I FLEX MY BACK THAT HURTS MORE THAN IF I STRAIGHTEN IT OUT audio/RES0094.mp3[303.960,316.120] UH I THINK MY DAD HAS HIGH BLOOD PRESSURE HE TAKES A MEDICATION FOR THAT UHM NOTHING SERIOUS THOUGH THAT I KNOW OF audio/RES0100.mp3[575.880,577.960] ANY ALLERGIES TO MEDICATIONS audio/RES0177.mp3[258.720,262.760] OK MUSCLE ACHES OR JOINT ACHES audio/RES0124.mp3[201.480,202.880] UH NO NOT AT ALL audio/RES0151.mp3[324.040,331.120] I SEE OK UM AND UH HAVE YOU HAD ANY CHANGES TO YOUR UM TO YOUR VOICE audio/RES0162.mp3[55.680,61.880] HMM UM AND IS THIS COUGH A DRY COUGH OR DO YOU BRING UP SOME MUCUS audio/RES0077.mp3[231.640,234.320] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0194.mp3[177.320,183.800] UM I HAVE I I HAVE FELT A LITTLE BIT FEVERISH YEAH I HAVENT HAD ANY CHILLS THOUGH audio/RES0077.mp3[718.040,721.320] OK AND ANY ONE OF THEM HAVING ANY SIMILAR SYMPTOMS audio/RES0078.mp3[469.560,479.480] YEAH OK AND YOU MENTIONED THAT YOU DONT HAVE A HISTORY OF ASTHMA OR COPDO YOU HAVE ANY OTHER MEDICAL CONDITIONS audio/RES0103.mp3[317.280,328.480] UHM I I HAVE HIGH CHOLESTEROL BUT AND AH AND IM TAKING A A MEDICATION FOR IT BUT NO NOTHING ELSE audio/MSK0006.mp3[482.640,490.880] OK YEAH THATS HARD IF YOU EVER NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO audio/RES0035.mp3[128.080,131.840] UM I GUESS WALKING audio/MSK0037.mp3[351.040,354.800] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0033.mp3[402.240,407.640] OK AND WHATS YOUR HOME SITUATION LIKE DO YOU WHO DO YOU LIVE WITH audio/RES0031.mp3[176.040,181.320] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE YOURSELF audio/RES0165.mp3[56.480,58.800] ITS A DRY COUGH audio/RES0198.mp3[185.520,195.920] OK ANY SORT OF LIKE CHEST PAIN OR RACING SENSATION OF RACING OF YOURBHEART OR ANYTHING LIKE THAT audio/RES0114.mp3[203.680,209.280] MHMM OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING audio/RES0183.mp3[275.000,282.080] I DONT THINK SO HE HASNT COMPLAINED OF THAT audio/RES0125.mp3[325.280,334.440] UM INITIALLY I GUESS THE COUGHS FIRST FEW DAYS MY NOSE WAS A LITTLE STUFFY SO YEAH I COULDNT SMELL VERY WELL BUT SINCE THEN ITS BEEN FINE audio/MSK0007.mp3[582.920,587.560] OK AND DOES THE JOINT FEEL LIKE ITS HOT audio/RES0030.mp3[188.880,190.760] NO NIGHT SWEATS audio/MSK0004.mp3[318.040,319.840] NO ALLERGIES NO audio/RES0114.mp3[612.280,620.600] UH WE JUST LIVE UH OUTSIDE OF THE CITY IN IN A CONDOMINIUM audio/RES0045.mp3[376.160,379.000] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/MSK0009.mp3[547.760,553.200] OK AND ARE YOU WORKING CURRENTLY audio/RES0110.mp3[100.480,104.560] YEAH I THINK SO audio/RES0160.mp3[172.880,177.200] I SEE AND HAVE YOU TAKEN ANY OTHER MEDICATIONS TO HELP WITH YOUR SYMPTOMS audio/RES0047.mp3[784.200,791.280] UM NO I JUST WANTED TO UM YEAH COME IN BECAUSE ITS BEEN REALLY DIFFICULT TO BREATHE audio/RES0167.mp3[253.160,264.680] UHM I DONT I DONT HAVE TOO MUCH LUCKILY KNOCK ON WOOD UHM I I TAKE A MEDICATION FOR MY REFLUX audio/MSK0024.mp3[87.280,107.600] SO I WORK IN THIS FACTORY WHERE I MOVE A LOT OF BOXES AND I THINK I MAY HAVE LIKE LIFTED A REALLY HEAVY BOX OR LIFTED IT IN AN IMPROPER POSITION BECAUSE THATS WHEN THAT NIGHT IS WHEN MY BACK STARTED HURTING audio/RES0161.mp3[185.400,189.040] ANY FATIGUE OR MALAISE audio/RES0179.mp3[185.320,203.160] NO OK UHM AND HM HAVE YOU EVER BEEN WORKED UP FOR THE CHEST PAIN IN THE PAST LIKE TO RULE OUT HEART ATTACKS BLOCKED ARTERIES ANYTHING LIKE THAT audio/RES0108.mp3[215.240,221.120] NO OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/GAS0003.mp3[455.520,456.960] UH SOMETIMES audio/RES0070.mp3[91.960,97.560] OK UHM AND THE FATIGUE WHEN DID THAT START audio/RES0210.mp3[455.040,458.400] DO YOU HAVE ANY FAMILY HISTORY OF ANY RESPIRATORY ILLNESSES audio/MSK0038.mp3[416.600,420.640] HOW ABOUT UM HEART OR LUNG CONDITIONS audio/RES0211.mp3[432.680,434.960] LIKE JUST OUTSIDE audio/RES0048.mp3[489.000,494.520] OK ANY SOLIDS AT ALL LIKE IS IT SEMI SOLID AT ALL audio/RES0098.mp3[564.920,569.720] OK I SEE AND DO YOU DRINK ALCOHOL audio/RES0015.mp3[121.360,142.080] I THINK ITS MORE I JUST CANT SEEM TO TAKE LIKE DEEP BREATHS AND THEN WHEN I GET BREATHLESS I I REALLY TRY TO TAKE A DEEP BREATH BUT I JUST CANT FIND MYSELF CATCHING MY BREATH AT THAT TIME SO ITS JUST MORE NOT BEING ABLE TO CATCH MY BREATH audio/RES0187.mp3[493.400,498.360] OK OK AND SORRY WHAT KIND OF ALCOHOL DO YOU DRINK EVERY FEW DAYS audio/GAS0007.mp3[43.880,60.680] YEAH KINDA LIKE NEAR MY RIGHT HIP LIKE LOWER WHERE MY STOMACH IS THAT KIND OF RIGHT AND BELOW MY BELLY BUTTON SOMETIMES A LITTLE BIT ON THE TOP JUST BELOW MY BELLY BUTTON BUT MAINLY JUST IN THAT RIGHT LOWER SIDE YEAH audio/RES0106.mp3[324.040,327.760] OK DID YOU GET THE FLU SHOT THIS YEAR audio/CAR0001.mp3[2.040,11.320] SURE IM IM JUST HAVING A LOT OF CHEST PAIN AND AND SO I THOUGHT I SHOULD GET IT CHECKED OUT audio/RES0052.mp3[468.680,475.600] OK UMMM AND UHH ANYBODY IN THE FAMILY BEEN SICK audio/RES0097.mp3[497.200,500.400] OK AND UH IS HE UH WHAT GRADE IS HE IN RIGHT NOW audio/MSK0012.mp3[204.640,219.800] I USED TO WORK ON AN ASSEMBLY LINE SO I USED TO LIKE CARRY HEAVY OBJECTS AND THINGS LIKE THAT LIKE CAR PARTS audio/MSK0021.mp3[55.560,61.080] IT COMES AND GOES YEAH AND IT DEPENDS ON WHAT IM DOING audio/RES0193.mp3[117.160,126.800] YEAH ILL HEAR A WHEEZE HE HAS THIS LIKE HIGH PITCHED WHISTLING SOUND WHEN HE EXHALES audio/RES0018.mp3[260.920,264.000] NO NOTHING LIKE THAT audio/RES0190.mp3[437.440,452.160] MY BROTHER DID HAVE LIKE SIMILAR SORE THROAT SYMPTOMS I THINK MAYBE TWO WEEKS AGO AND HE DID GET SOME MEDICATIONS FROM THE DOCTOR audio/RES0123.mp3[597.680,622.680] OKAY ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A HEADACHE FOR THE PAST WEEK WHICH HAS BEEN KIND OF CONSTANT ABOUT 7 OUT OF 10 AND THEN YOUVE ALSO DEVELOPED A FEVER BUT YOU HAVENT OR I GUESS YOUVE BEEN FEELING YOUVE BEEN HAVING CHILLS UH AND WE CAN MEASURE TEMPERATURE HERE AND YOU ALSO HAD A COUGH THAT STARTED YESTERDAY WHAT ABOUT UM SENSE OF TASTE HAVE YOU NOTICED ANY CHANGES THERE audio/MSK0009.mp3[231.720,243.640] I DONT SEE ANY RASHES OR REDNESS BUT IT DEFINITELY DOES SEEM SWOLLEN AND THEN IT HURTS AS WELL WHEN I MOVE IT OR PRESS IT audio/RES0008.mp3[194.400,199.960] AND WHAT KIND OF PAIN IS IT THAT YOURE EXPERIENCING audio/GEN0001.mp3[108.000,111.840] I HAD ONE LIKE 3 MONTHS AGO MAYBE audio/RES0045.mp3[46.240,51.200] OH OK UM IS IT A DRY COUGH OR ARE YOU PRODUCING SPUTUM audio/RES0080.mp3[438.400,442.720] I HAD UH I HAD A KNEE REPLACEMENT audio/RES0188.mp3[55.720,61.080] OK UHM DID YOU MEASURE HIS TEMPERATURE AT HOME audio/RES0107.mp3[268.320,271.000] NO NO HIS BREATHING HAS BEEN GOOD audio/RES0174.mp3[259.760,263.200] HOW ABOUT ANY FEVERS OR CHILLS audio/RES0043.mp3[707.600,713.240] YEAH SOUNDS GOOD audio/RES0092.mp3[245.040,248.280] YEAH IM TAKING A BIRTH CONTROL audio/CAR0001.mp3[401.840,407.840] OK DO YOU TAKE ANY MEDICATIONS REGULARLY ARE THEY PRESCRIBED OR OVER THE COUNTER audio/RES0151.mp3[586.320,594.240] UH NO I JUST YEAH I WAS JUST WONDERING IF LIKE I SHOULD BE WORRIED AT ALL ABOUT COVID audio/RES0102.mp3[676.560,679.640] NO EVERYTHING WAS WAS GOOD audio/MSK0025.mp3[226.160,233.520] OK AND ANYTHING THAT YOUVE TRIED THAT HAS HELPED RELIEVE SOME OF YOUR SYMPTOMS audio/MSK0010.mp3[541.440,551.120] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS audio/RES0014.mp3[351.280,351.760] NO NO audio/RES0126.mp3[438.200,442.680] YEAH YEAH ABOUT FOUR HOSPITALIZATIONS LAST YEAR audio/RES0112.mp3[115.800,125.120] OK HAS HE BEEN UM HAS HE BEEN HOW MANY DIAPERS IS HE UM ARE YOU CHANGING A DAY audio/RES0015.mp3[323.240,326.120] CHANGES IN YOUR VISION audio/RES0123.mp3[273.760,280.640] UH NO NO I DONT I I THINK IM KIND OF IM DEVELOPING A LITTLE COUGH THOUGH audio/RES0203.mp3[347.960,352.760] YEAH I THINK SO audio/RES0027.mp3[522.240,531.000] NO I TRIED TO BRING HIM TODAY BUT HE REFUSED audio/GEN0001.mp3[57.840,62.520] UM LIKE 2 WEEKS AGO audio/RES0121.mp3[76.600,80.760] OKAY UM AND AFTER THAT DID YOU HAVE ANY FEVERS AT ALL audio/RES0024.mp3[287.840,301.320] ITS KIND OF LIKE GOES IN LIKE FLARES SO LIKE THIS CAUSE ITS WINTER IVE BEEN USING IT LIKE MAYBE A COUPLE TIMES A WEEK audio/RES0201.mp3[165.160,166.680] UM NO NO NO NOT LIKE THIS audio/RES0074.mp3[595.800,605.320] NO NO NOT THAT I KNOW OF I DO YOU THINK MY BROTHER MY OLDER BROTHER HAS HIGH BLOOD PRESSURE audio/MSK0023.mp3[192.840,225.520] I WOULD SAY JUST LIKE BENDING MY KNEE LIKE YEAH FLEXING MY KNEE UP AS WELL AS LIKE IF I TRY TO PUT ANY WEIGHT ON IT LIKE I CANT WALK ON IT RIGHT NOW I CANT PUT ANY WEIGHT ON MY KNEE RIGHT NOW AND ALSO EVEN STRAIGHTENING IT OUT HURTS AS WELL IF IM REALLY FLEXING THE MUSCLE SO JUST TRYING TO STAY PRETTY IMMOBILE RIGHT NOW audio/RES0170.mp3[655.040,662.240] YES ITS POSSIBLY I MEAN I WOULD THINK ITS ASTHMA BUT THEN WELL GET THE TESTING DONE AND SEE audio/RES0203.mp3[338.040,338.880] YES YEAH audio/RES0209.mp3[126.440,141.720] UM I FIND I USE IT MORE BOTH LIKE WHEN IT WHEN ITS RIGHT AFTER I LIKE RUN AROUND AFTER GYM DURING RECESS UM AND YEAH THE COLD ALSO MAKES IT WORSE audio/RES0217.mp3[209.600,261.040] OK ABSOLUTELY WHAT WE CAN DO IS WE CAN SEND THIS TICK OFF TO THE LAB AND THEYLL BE ABLE TO IDENTIFY THE SPECIES FOR IT BUT FOR TICK BITES IN GENERAL ONE OF THE KEY CONSIDERATIONS IS FOR HOW LONG ITS BEEN ON YOUR BODY FOR SO UNFORTUNATELY IF YOURE OUT ON FRIDAY AND SATURDAY THATD MEAN THAT THIS TICK HAS BEEN ON YOU FOR LONGER THAN AT LEAST 72 HOURS SO I THINK ONE WAY OR ANOTHER WERE LIKELY GOING TO HAVE TO PUT YOU ON ANTIBIOTICS JUST AS KIND OF A PROPHYLACTIC AT THE VERY LEAST JUST WANT TO MAKE SURE THAT UM YOURE NOT AT RISK OF DEVELOPING LYME DISEASE IM SURE YOUVE HEARD FROM THE NEWS THAT LYME DISEASE CAN PRESENT IN A VARIETY OF WAYS BUT ITS A DISEASE THAT WE TRY OUR BEST TO AVOID AND JUST IN TERMS OF YOUR SYMPTOMS SO YOU SAY YOUVE HAD A BITE IN THE PAST AND YOU YOUVE GOT THAT RASH BEFORE THAT KIND OF BULLSEYE RASH DO YOU HAVE THAT RASH NOW audio/RES0036.mp3[192.400,196.440] OK AND IS IT WORSE IN THE MORNING OR AT NIGHT audio/RES0167.mp3[239.320,245.880] JUST LIKE JUST FATIGUED LIKE MORE THAN USUAL YEAH audio/MSK0031.mp3[466.600,479.000] OK OK ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES LIKE BRUISES audio/RES0153.mp3[188.440,190.800] HAVE YOU HAD A RUNNY NOSE audio/RES0123.mp3[115.280,126.680] ANYTHING THAT YOU FEEL MAKES THE HEADACHES WORSE ANY POSTURES OR POSITIONS OR ACTIVITY OR UM ANY KIND OF EXPOSURE TO LIGHT OR SOUNDS audio/RES0104.mp3[311.920,316.640] OK ANY FEVERS OR YOU SAID YOU HAVE HAD SOME CHILLS RIGHT audio/RES0013.mp3[655.080,665.040] YEAH FOR SURE AND THEN IN THE MEANTIME WELL KEEP MONITORING YOU TO MAKE SURE YOUR VITALS ARE OK AND IF WE NEED TO GIVE YOU OXYGEN WE WILL audio/RES0147.mp3[338.480,342.720] WHY WERE YOU ON A BLOOD THINNER audio/RES0212.mp3[370.560,375.160] NO LIKE IM PLANNING TO ON MARCH BREAK BUT I HAVENT GONE ANYWHERE audio/RES0044.mp3[281.640,299.560] UM LIKE WHEN I CAME IN HERE WHEN THE NURSE TOOK MY TEMPERATURE SHE SAID I HAD UM LIKE SHE SAID I HAD A FEVER UH I DONT HAVE A THERMOMETER AT HOME UM BUT LIKE IVE BEEN FEELING REALLY HOT SO WOULD PROBABLY IVE PROBABLY BEEN HAVING IT FOR A COUPLE OF DAYS audio/RES0171.mp3[231.480,242.520] WHAT HAVE YOU BEEN DOING THESE PAST TWO WEEKS IN TERMS OF SORT OF PHYSICAL ACTIVITY HAVE YOU BEEN MOVING AROUND OR NO audio/RES0029.mp3[263.200,268.560] ALRIGHT AND WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT OR DRINK audio/RES0094.mp3[107.680,110.720] NO I DONT THINK SO audio/GAS0003.mp3[223.840,230.240] HAVE YOU BEEN FEELING AT ALL VERY TIRED NOT YOUR USUAL SELF FATIGUED audio/RES0046.mp3[592.080,601.680] THE COUGH STARTED FIRST AND THEN UH YEAH STARTED TO GET SOME MORE OF THE ABDOMINAL PAIN AND NAUSEA AND YEAH THE DIARRHEA THE LAST FEW DAYS audio/RES0035.mp3[376.400,378.720] OK AND CURRENTLY DO YOU WORK audio/RES0074.mp3[27.160,31.800] OK AND SO WHEN DID THE SORE THROAT START audio/RES0165.mp3[331.120,334.480] UM NO audio/RES0198.mp3[218.800,221.840] NO NO NO NOTHING LIKE THAT audio/RES0016.mp3[14.840,19.760] OK THE COUGH AND BREATHLESSNESS BOTH STARTED TWO YEARS AGO audio/RES0202.mp3[473.680,478.920] NO NO LIKE EVERYTHING IS THINGS REALLY GOOD audio/RES0203.mp3[470.000,473.440] OK WELL THANKS FOR COMING IN TODAY WILL DEFINITELY GET YOU TAKEN CARE OF SHORTLY audio/RES0185.mp3[35.760,39.880] FOUR DAYS AGO AND THEN WHEN DID THE SORE THROAT START audio/RES0042.mp3[156.840,161.720] DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE audio/MSK0039.mp3[275.280,278.360] UM WEIGHT LOSS RECENTLY audio/RES0105.mp3[247.160,249.600] NO NOTHING TODAY audio/MSK0049.mp3[561.040,566.880] OK AND ARE THERE ANY TEMPERATURE CHANGES LIKE DOES THE KNEE FEEL HOT OR OR WARM audio/RES0195.mp3[424.960,426.800] DO YOU TAKE ANY MEDICATIONS audio/RES0189.mp3[27.120,34.480] OK UH THE SHORTNESS OF BREATH IS IT HAPPENING AT REST OR EXERTION AND HOW MUCH EXERTION audio/RES0020.mp3[637.480,645.600] OK AND AND HAS ANYBODY IN YOUR FAMILY HAD A HEART CONDITION BEFORE audio/RES0101.mp3[316.040,321.800] OK AND HAVE YOU HAD ANY ANY WHEEZING audio/RES0207.mp3[0.000,4.120] WELL CAN YOU TELL ME WHAT BROUGHT YOU IN TODAY audio/RES0081.mp3[192.960,198.280] OK HAS HE BEEN HAVING ANY ABDOMINAL PAIN audio/MSK0017.mp3[659.680,668.120] UM A LITTLE BIT I CAN FEEL IT PULLING AND STRETCHING YEAH audio/RES0007.mp3[801.640,806.440] OK BUT HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/RES0130.mp3[437.120,444.120] YEAH NO PROBLEM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT audio/RES0019.mp3[592.240,603.160] UM MOST DAYS I WOULD SAY MAYBE LIKE FOUR OR FIVE DAYS OF THE SEVEN DAYS OF THE WEEK audio/MSK0012.mp3[703.080,715.360] OK GREAT AND OTHER THAN THAT LIKE WHEN YOU WHEN YOU DO ANY OF THOSE MOVEMENTS CAN YOU DO YOU GET LIKE THAT TINGLING AGAIN audio/RES0087.mp3[142.560,146.040] YEAH NO I HAVENT SEEN ANY CHANGES IN THE SKIN audio/RES0128.mp3[216.200,221.760] OK UHM HOW ABOUT CONFUSION OR SORRY YOU SAID NO HEADACHES audio/RES0172.mp3[485.160,566.480] GOOD WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THAT YOUR SYMPTOMS SORT OF SOUND LIKE YOU MAY HAVE A VIRAL OR BACTERIAL INFECTION AND SEEING THAT YOU WERE YOU HAD SOME EXPOSURE TO TO OTHER PEOPLE EVEN THOUGH THEY WERENT SICK IT COULD IT COULD BE THAT THEY THEY HAD SOME SORT OF AN ILLNESS THAT THEY COULD TRANSMIT THAT THEY WERENT JUST SHOWING SYMPTOMS AT THE TIME WE WILL GET A COVID SWAB DONE JUST TO MAKE SURE THAT THATS NOT WHATS HAPPENING IT COULD BE THAT AND ILL RECOMMEND THAT YOU CONTINUE TO YOU KNOW TAKE TYLENOL AND REST AND TAKE CARE OF YOURSELF AND IF YOUR SYMPTOMS WORSEN OR STAY THE SAME FOR LONG PERIOD OF TIME DEFINITELY COME BACK OR CALL PUBLIC HEALTH TO GET SOME GUIDANCE AND TRY TO STAY AWAY FROM OTHERS AND SELF ISOLATE FOR THE NEXT COUPLE OF DAYS OR AT LEAST CLEAR COVID SWABS BACK OR YOUR SYMPTOMS IMPROVE OR THE NEXT 14 DAYS SO THATS ALL I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME audio/RES0161.mp3[128.200,137.080] LIKE THAT OK HAVE YOU UHM HAD ANY CHEST PAIN audio/MSK0043.mp3[215.360,228.760] UM I HAVE FELT UH UH FEVERISH YEAH BUT THEN YEAH I I FELT FEVERISH AND UM BUT I HAVENT HAD ANY CHILLS THOUGH audio/RES0035.mp3[155.680,159.200] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE THE EIGHT MONTHS audio/RES0169.mp3[234.160,241.760] OK AND ALLERGIES TO FOOD OR MEDICATIONS OR ENVIRONMENTAL ALLERGIES audio/RES0114.mp3[209.280,211.960] NO I HAVENT EXPERIENCED THAT audio/MSK0035.mp3[476.000,477.200] NO I DONT audio/RES0123.mp3[2.880,32.640] SO IVE BEEN JUST OVER THE LAST WEEK IVE BEEN FEELING PRETTY SICK I HAVE THIS PRETTY BAD HEADACHE THAT STARTED LIKE PROBABLY A WEEK AGO AND THEN FOR THE LAST FEW DAYS IVE BEEN HAVING THESE CHILLS UM AND I DIDNT GET A CHANCE TO MEASURE MY TEMPERATURE AT ALL UM BUT THE WORST THING HAS BEEN JUST THESE MUSCLE ACHES ALL OVER MY BODY AND THATS BEEN GOING ON FOR THE LAST THREE TO FOUR DAYS audio/RES0007.mp3[708.560,717.240] I MEAN SOMETIMES WELL DRINK BEER LIKE AT PARTIES ON THE WEEKEND I DONT I DONT DRINK A LOT audio/RES0132.mp3[226.800,231.120] UH NO ITS BEEN PRETTY STABLE audio/MSK0016.mp3[149.000,165.600] YEAH THIS IS THE FIRST UH REALLY LIKE OVER THESE LAST THREE MONTHS THE FIRST TIME IVE BEEN EXPERIENCING IT I THINK UH THE FIRST TIME THAT IT STARTED IT STARTED TO WAKE ME UP AT NIGHT THOUGH HAS BEEN LIKE ABOUT A COUPLE OF WEEKS AGO audio/RES0183.mp3[130.480,138.280] OK SO THAT SOUNDS LIKE HES HAVING SOME STRIDOR HAS HE BEEN HAVING ANY WHEEZING audio/RES0207.mp3[214.880,220.400] OK HAVE YOU TRAVELED ANYWHERE audio/RES0076.mp3[367.720,369.480] OK AND HOW MUCH DO YOU WEIGH audio/MSK0025.mp3[628.320,634.520] NO I CANT DO THAT ITS YEAH ITS TOO PAINFUL audio/RES0004.mp3[568.000,571.600] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0020.mp3[250.480,262.760] OK HAS THERE BEEN ANY CHANGE TO YOUR SLEEP OR ANY STRESSFUL EVENTS HAPPEN THAT MIGHT BE TIRING YOU OUT audio/RES0074.mp3[69.680,72.200] UH NO NOT REALLY audio/RES0087.mp3[247.120,250.600] NO OK ANY WHEEZING audio/RES0006.mp3[353.160,360.040] ALRIGHT AND YOU MENTIONED ASTHMA BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS audio/RES0205.mp3[94.400,105.960] OK OK AND DO YOU FEEL LIKE THE INTENSITY OF THE COUGH GOT WORSE OVER THE LAST TWO WEEKS OR HAS IT GOTTEN ANY BETTER audio/RES0127.mp3[128.640,131.960] YEAH THAT YEAH I DO audio/RES0098.mp3[207.000,212.600] OK AND HAVE YOU HAD ANY NIGHT SWEATS OVER THE LAST SEVERAL WEEKS TO MONTHS audio/RES0187.mp3[393.360,399.680] OK OK ANY CANCERS IN THE FAMILY audio/RES0202.mp3[378.720,388.320] ANY CHANGES IN HIS BOWEL MOVEMENTS PARDON audio/RES0072.mp3[573.400,578.960] NO NOT THAT I AM AWARE OF audio/RES0031.mp3[207.960,224.440] I DEFINITELY FELT A BIT CHILLY YESTERDAY IN THE MORNING I I DIDNT TAKE ANY TEMPERATURES I THINK YOU GUYS DID TAKE A TEMPERATURE WHEN I CAME IN TODAY I I DONT KNOW WHAT IT WAS audio/RES0159.mp3[35.000,54.480] UM SO USUALLY LIKE I I WOULD BE ABLE TO WALK A FEW BLOCKS UM NO PROBLEM BUT NOW I HAVE TO TAKE A BREAK AND CATCH MY BREATH AND EVEN GOING UP AND DOWN STAIRS HAS BEEN TOUGH audio/RES0077.mp3[395.880,406.120] UHM YEAH I TOOK AN ADVIL THIS MORNING ITS TAKEN THE EDGE OFF A LITTLE BIT I WILL USE THAT SOMETIMES WHEN I GET HEADACHES audio/RES0129.mp3[70.360,76.720] HES BEEN A BIT MORE IRRITABLE AND NOT EATING AS MUCH BUT IM NOT SURE audio/RES0124.mp3[335.400,348.120] NO NO THAT HASNT HAPPEN YET audio/RES0088.mp3[181.160,189.480] OK ARE THERE ANY HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER THAT HAS HELPED HER audio/RES0057.mp3[478.040,486.240] I SEE DID YOU USE IT OVER THE PAST THREE DAYS AT ALL audio/RES0195.mp3[521.640,527.800] OK UM AND DO YOU CURRENTLY SMOKE audio/RES0125.mp3[349.600,358.720] OKAY UM AND ANY EXPOSURE IN YOUR HOME ENVIRONMENT TO DUST FUMES ANY ANIMALS IN THE HOUSEHOLD audio/RES0210.mp3[185.240,190.440] HAS ANYTHING HELPED IT TO FEEL BETTER AT ALL audio/RES0188.mp3[354.080,359.000] OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0161.mp3[279.840,302.560] UHM YEAH SO HARD CONDITIONS BOTH MY DAD AND UNCLE HAVE HAD HEART ATTACKS IN THEIR 50S BUT YEAH THATS THATS IT THATS ALL THATS ALL THAT I KNOW AND WE ALSO HAVE CANCER ON MY MOTHERS SIDE MY UNCLE FROM MY MOTHERS SIDE HAD BLADDER CANCER audio/MSK0009.mp3[76.640,82.880] ITS KIND OF LIKE A DULL ACHING PAIN audio/RES0134.mp3[91.480,93.920] OKAY HAVE YOU NOTICED ANY BLOOD audio/RES0018.mp3[546.960,550.600] NO NOT REALLY NOT NOTHING LIKE THIS audio/RES0001.mp3[178.600,185.920] OK AND YOU MENTIONED HOW HOW FAR CAN YOU WALK BEFORE YOU NEED TO REST audio/RES0175.mp3[421.640,441.160] UHM YEAH I THINK ITS CALLED HYPERTROPHIC CARDIOMYOPATHY WHERE PEOPLE KIND OF DIE EARLY PEOPLE GET LIKE PEOPLE IN MY FAMILY GOT HEART ATTACKS VERY EARLY ON IN THEIR 30S MY BROTHER DIED AND WHEN HE WAS 15 audio/RES0206.mp3[252.960,256.200] I SEE AND HAVE YOU HAD A SORE THROAT AT ALL audio/RES0037.mp3[228.280,241.160] I SEE AND UM IN TERMS OF THINGS THAT MAKE IT WORSE ANYTHING YOU DO AROUND THE HOUSE OR AT WORK THAT MAKES THE COUGHING WORSE audio/RES0105.mp3[334.280,344.280] OK AND DO YOU FEEL THAT YOUR SYMPTOMS ARE SIMILAR WORSE OR HOW DO THEY COMPARE TO LAST TIME IF YOU REMEMBER audio/DER0001.mp3[59.560,77.480] YEAH ITS RED ITS TURNING MORE RED KIND OF IN THE AREA AROUND IT IVE GOT THESE I GOT THESE SCABS IVE GOT DIABETES AND IM NOT EXACTLY THE BEST WITH IT AND SCRATCHING AT IT AND NORMALLY ITS NOT THAT BAD BUT THIS IS JUST STRANGE LOOKING AND THERES NO OTHER WORD FOR IT audio/RES0195.mp3[431.960,433.600] NO ALLERGIES audio/RES0035.mp3[426.080,429.560] OK AND HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY audio/MSK0014.mp3[27.520,36.680] OK SO WHEN DID YOU FIRST NOTICE THAT THIS PAIN LIKE WHEN DID IT GET MORE SWOLLEN AND PAINFUL THAN USUAL audio/RES0117.mp3[194.480,196.320] NO NOTHING LIKE THAT audio/CAR0003.mp3[393.600,400.960] OK ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR HOME OR WORK ENVIRONMENT audio/RES0098.mp3[459.280,470.480] OK AND SORRY JUST HAD TO BACKTRACK A LITTLE BIT HAVE YOU HAD ANY HOSPITALIZATIONS EITHER DUE TO ASTHMA OR FOR ANY OTHER REASON audio/RES0194.mp3[562.520,573.800] YEAH ILL HAVE A FEW BEERS ON THE WEEKEND SOMETIMES LIKE BUT THAT THATS THATS ABOUT IT MAYBE LIKE 3 OR 4 BEERS A WEEK audio/RES0056.mp3[502.360,512.520] MARIJUANA JUST MAYBE LIKE ONE OR TWO JOINTS IN A MONTH JUST WHEN IM FEELING THAT I NEED TO RELAX A LITTLE audio/RES0102.mp3[679.640,683.120] OK ANY OTHER SURGERIES OR HOSPITALIZATIONS audio/RES0006.mp3[582.600,601.920] UH I THINK MY UM SISTER HAS A COPLIKE SHE SMOKES A LOT TOO BUT THATS THATS ABOUT I DONT KNOW IF THATS GENETIC audio/RES0130.mp3[136.240,141.840] NO OKAY UM AND HAVE YOU HAD A FEVER RECENTLY audio/RES0022.mp3[870.160,876.880] MY DAD HAD LIKE HIGH BLOOD PRESSURE audio/MSK0008.mp3[592.520,598.520] OK SO JUST LET ME OK AND ANY PAIN OVER THE PATELLA audio/MSK0043.mp3[351.680,358.200] OKAY I SEE OKAY UM ANY SKIN CHANGES OR RASHES ANYWHERE ON YOUR BODY audio/RES0127.mp3[137.160,139.240] JUST IN THE MORNING audio/MSK0011.mp3[358.040,373.880] YEAH I HAD MY MY TONSILS OUT AND MY WISDOM TEETH OUT WHEN I WAS A TEENAGER AND OR TONSILS WHEN I WAS A KID ACTUALLY UM AND A CSECOND FOR MY SON audio/RES0132.mp3[152.840,160.280] OKAY AND HAVE YOU HAD ANY SHORTNESS OF BREATH AFTER LIKE IF YOU LIE DOWN FLAT audio/RES0176.mp3[38.120,44.560] OK UH SO WHEN THE SHORTNESS OF BREATH START audio/RES0169.mp3[417.920,431.320] I KNOW IVE TAKEN THE LAST COUPLE OF DAYS OFF JUST BEEN SO TIRED AND NOT FEELING GOOD SO YEAH WELL audio/RES0014.mp3[396.480,407.840] I JUST TAKE SOME TYLENOL SOMETIMES FOR THE LIKE TYLENOL COLD SOMETIMES FOR THE SYMPTOMS I DONT THINK IT HAS REALLY HELPED audio/RES0072.mp3[480.720,492.280] OK UHM DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE ASTHMA OR ANYTHING ELSE audio/RES0196.mp3[197.880,201.120] OK AND ANY ISSUES THAT ARE SLEEP OR APPETITE audio/RES0057.mp3[311.520,317.920] ANY REDNESS IN THE EYES OR ANY RUNNY NOSE OR SORE THROAT LIKE FLULIKE SYMPTOMS audio/MSK0006.mp3[378.600,380.960] NO I HAVENT HAD ANY NAUSEA OR VOMITING audio/GAS0003.mp3[344.360,350.480] NO NO I HAVENT EVER IVE BEEN VERY UH HEALTHY NO HOSPITALIZATIONS audio/MSK0041.mp3[287.120,296.520] OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS audio/RES0109.mp3[258.240,259.960] IM IM ON PROZAC audio/RES0192.mp3[424.200,429.200] OK AND ARE YOU CURRENTLY WORKING audio/RES0006.mp3[473.040,483.680] ALRIGHT AND UM ANY EXPOSURES AT WORK TOO LIKE DUST OR ANY TYPES OF LIKE CHEMICALS LIKE THAT audio/GEN0001.mp3[429.040,430.680] UH NO audio/RES0125.mp3[129.960,143.160] YEAH I THINK UM YEAH I USUALLY DONT PAY MUCH ATTENTION TO IT YOU KNOW I THINK MUST HAVE HAPPENED LAST YEAR OR THE YEAR BEFORE IT JUST KIND OF GOES AWAY ON ITS OWN audio/RES0163.mp3[284.960,285.680] UHM NO audio/RES0131.mp3[104.960,107.440] NO CHEST PAIN audio/RES0023.mp3[108.840,121.720] YEAH AFTER COUGHING IT CAN ITS ITS STARTING TO HURT IT DIDNT AT FIRST BUT NOW THAT IVE I THINK IVE COUGHED SO MUCH ITS STARTING TO FEEL PAIN THERE audio/RES0047.mp3[119.760,129.320] UM YEAH IVE TRIED SOME OVER THE COUNTER UH COUGH SYRUPS IN THE PAST BUT IT HASNT HELPED audio/RES0037.mp3[623.080,630.360] NO I HAVENT HEARD OF ANYTHING LIKE THAT IN MY FAMILY audio/RES0094.mp3[56.120,64.040] UH IT DID GET A LITTLE BIT WORSE INITIALLY AND SINCE THEN ITS BEEN KIND OF STABLE audio/MSK0027.mp3[421.640,438.560] AND SHES LIVING WITH BOTH HER PARENTS AND MYSELF AS WELL AS HER DAD AND SHE HAS A 7 YEAR OLD BROTHER AND WE LIVE IN A HOUSE JUST OUTSIDE OF LONDON audio/MSK0026.mp3[471.080,483.600] UM I LIVE IN DOWNTOWN LONDON I LIVE IN A HOUSE WITH MY HUSBAND AND MY DAUGHTER audio/RES0202.mp3[716.280,721.880] YEAH SOUNDS GOOD audio/RES0020.mp3[391.760,399.440] ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN REGULARLY FOR audio/MSK0016.mp3[118.960,127.920] UH I GUESS I HAVE IT IS A BIT PAINFUL AS WELL YEAH I HAVE UM LIKE A BURNING KIND OF PAIN audio/RES0129.mp3[291.280,296.480] OK ANY COMPLICATIONS DURING THE DELIVERY audio/RES0181.mp3[56.160,60.560] NO NOT REALLY NO audio/MSK0019.mp3[73.080,82.920] OKAY UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP BURNING THROBBING ACHY audio/RES0099.mp3[54.280,64.480] OK AND ANY PARTICULAR MUSCLES THAT WERE ACHY OR IS THIS MORE OF A UHM GENERAL KIND OF WHOLE BODY FEELING audio/RES0190.mp3[323.000,327.640] OK UHM HAVE YOU HAD ANY RASHES audio/MSK0005.mp3[637.880,639.960] UH NO I HAVENT SMOKED BEFORE audio/RES0033.mp3[466.960,473.960] JUST JUST LIKE WITH THE SKIN I I I HAVE ECZEMA BUT NOTHING ELSE audio/GAS0002.mp3[568.640,573.320] AND CAN YOU TELL ME A LITTLE BIT ABOUT THE HOME SITUATION audio/RES0177.mp3[327.120,338.720] NOPE EVERYTHING WENT WENT WELL NO COMPLICATIONS AND HE WAS LIKE A GOOD BIRTH WEIGHT AND WENT HOME RIGHT AWAY audio/RES0062.mp3[717.000,725.960] OK AND HAVE THERE BEEN ANY COVIOUTBREAKS AT THE LONG TERM CARE audio/RES0119.mp3[115.760,124.680] OK AND AT ALL IS SHE BRINGING UP ANY YELLOWISH OR WHITE UH OR GREEN MATERIAL OR ANY BLOOD AT ALL audio/RES0096.mp3[38.680,49.680] AND PRIOR TO THIS CHANGE HOW FAR WERE YOU ABLE TO WALK AND AND HOW LONG AGO DID YOU DID YOU NOTICE THIS CHANGE audio/MSK0005.mp3[148.240,151.240] IT IS ABOUT A FOUR audio/RES0048.mp3[630.360,636.320] OK OK UM ANY FAMILY HISTORY OF HEART CONDITIONS OR LUNG CONDITIONS THAT YOU KNOW OF audio/RES0208.mp3[525.240,538.800] NO I I MAYBE DID FOR MAYBE LIKE THREE YEARS IN MY 20S IT WASN’T HEAVILY YES audio/RES0139.mp3[133.120,136.800] THREE WEEKS AGO OKAY ANY HEADACHES AT ALL audio/RES0162.mp3[578.240,602.520] I JUST WANTED TO LIKE I REALLY DO YOU WANT TO BECOME FIT AND ITS JUST THESE SYMPTOMS ARE STOPPING ME AND KIND OF AFFECTING MY DAILY ROUTINE SO I JUST WANTED TO KNOW WHAT I CAN DO TO STOP LIKE HAVING THESE SYMPTOMS audio/RES0158.mp3[155.120,160.040] AND WHEN DID THAT HAPPEN audio/GAS0003.mp3[123.320,130.520] OK AND HAVE YOU HAD ANY SIMILAR PAIN LIKE THIS IN THE PAST audio/RES0027.mp3[372.680,385.760] I SEE OK AND HAVE YOU HAD ANY PAINFUL URINATION OR FEELING THE NEED TO URINATE FREQUENTLY audio/RES0216.mp3[3.920,38.360] YEAH ITS UH FOR THE LAST MAYBE THREE DAYS UM ITS NOT REALLY PAIN NOT IN ANY SPECIFIC SPOT IT JUST FEELS A BIT TIGHT IN MY CHEST AREA WHEN I BREATHE IN ESPECIALLY AND IT JUST GETS A BIT HARDER TO BREATHE AND IT FEELS MORE TIGHT LIKE ESPECIALLY WHEN I GO FOR MY WALKS WHICH I DO EVERYDAY UH I TRY TO WALK MY DOG SO I WAS JUST YOU KNOW WORRIED THAT IT COULD BE SOMETHING SERIOUS AND I WANTED TO COME AND GET CHECKED OUT audio/RES0061.mp3[414.400,432.200] YEAH I HAD SIMILAR HEADACHES BEFORE I THINK THEY COME LIKE THIS LIKE IF I DIDNT GET A GOOD SLEEP OR FROM NOT DRINKING ENOUGH WATER OR SOMETHING ILL KIND OF GET A HEADACHE LIKE THIS KIND OF FEELS LIKE ITS SQUEEZING audio/GAS0007.mp3[297.240,306.000] NO NO I GOT FAMILY ME THE WIFE GOT TWO KIDS ONE OF THEM IS COLLEGE BOUND NOW BUT YEAH audio/GEN0001.mp3[447.920,449.080] NO NOTHING LIKE THAT audio/RES0058.mp3[631.560,634.920] NO ITS LIKE THOSE FLAVORED ONES audio/RES0059.mp3[45.360,51.680] NOW I RAN TO CATCH THE BUS YESTERDAY AND I WAS A BIT MORE SHORT OF BREATH THAN I WOULD USUALLY BE audio/RES0210.mp3[216.280,224.200] YEAH BIT OF 1 BACK IN THE DAY MAYBE A WEEK AGO BUT THAT KIND OF GONE AWAY BY NOW audio/RES0136.mp3[85.480,95.120] FOR THE SHORTNESS OF BREATH CAN YOU DESCRIBE IT A LITTLE BIT IS IT ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU BREATHING FASTER CAN YOU DESCRIBE IT audio/MSK0025.mp3[384.240,388.920] LITTLE BIT OF BURNING SENSATION audio/MSK0025.mp3[331.320,333.640] OK ANY FEVERS OR CHILLS audio/CAR0001.mp3[103.600,108.680] OK SO DO YOU FIND LAYING DOWN MAKES THE PAIN WORSE audio/RES0144.mp3[446.640,453.560] OK UHM HAS HOW HAS HE BEEN SINCE THEN OVER THE PAST SIX MONTHS audio/MSK0041.mp3[254.040,258.400] ALRIGHT AND HAVE YOU HAD A SORE THROAT OR RUNNY NOSE audio/RES0081.mp3[779.520,781.880] ALRIGHT THANK YOU audio/MSK0013.mp3[904.040,905.440] OK OK THANK YOU audio/MSK0012.mp3[227.640,230.040] ABOUT THREE YEARS BACK audio/DER0001.mp3[639.400,641.040] THANK YOU DOC YEAH SOUNDS GREAT audio/RES0031.mp3[39.520,50.960] OK AND UH HAS ANYTHING HAS THE PAIN BEEN GETTING ANY BETTER ANY WORSE audio/RES0113.mp3[3.760,21.040] UM YEAH SO IM HERE BECAUSE IVE HAD THIS FEVER THIS COUGH AND NOW MY HEAD HURTS THATS BEEN GOING ON FOR ABOUT THE PAST FOUR DAYS AND I JUST WANT TO MAKE SURE UM ITS NOTHING TOO SERIOUS audio/RES0113.mp3[276.560,278.120] NO NO RASHES audio/RES0057.mp3[560.440,572.120] YEAH I HAVE ENVIRONMENTAL ALLERGIES I THINK LIKE USUALLY THEY COME ON IN THE SPRINGTIME audio/RES0153.mp3[510.280,515.800] UH NO THEY THEYRE PRETTY HEALTHY MY MOM AND DAD audio/RES0150.mp3[321.160,323.400] HOW ABOUT ANY DIARRHEA audio/RES0058.mp3[147.840,158.520] OK SURE YEAH AND HOW ABOUT ANY FATIGUE DO YOU FEEL LIKE YOURE MORE TIRED THAN USUAL audio/RES0097.mp3[231.000,236.080] OK HAS HE HAD ANY RED EYES OR OR EYE DISCHARGE OR EYE PAIN audio/RES0148.mp3[127.280,135.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS audio/RES0099.mp3[186.720,190.600] OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR WORSE audio/RES0158.mp3[30.960,32.240] ITS DRY audio/RES0038.mp3[118.800,127.680] OK HAVE YOU HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO HOW YOURE FEELING NOW audio/RES0148.mp3[614.920,669.080] OK UM SO WE WILL START WITH UM SOME INVESTIGATIONS INCLUDING A A COVID SWAB TODAY JUST BECAUSE OF YOUR UH GENERAL SYMPTOMS WHICH DO OVERLAP WITH WITH COVID UM ALTHOUGH IT COULD AS YOU MENTIONED UH BE SOMETHING LIKE THE COMMON COLD UM AS WELL UM AND SO WE WILL UH BE SURE TO TEST FOR COVID AND IN THE MEANTIME WE ASK YOU TO SELF ISOLATE UM FOR FOR 14 DAYS UM AND WE WILL GET BACK THE RESULTS UM AS SOON AS WE CAN AND IF YOUR SYMPTOMS GET WORSE AT ANY POINT UM THEN WE WILL UH ACT ACCORDINGLY audio/RES0094.mp3[316.120,320.400] OK ALRIGHT AND WHO DO YOU CURRENTLY LIVE WITH audio/RES0033.mp3[625.040,640.360] UM JUST JUST MARIJUANA I I TRY SOMETIMES AT PARTIES BUT NOTHING LIKE REGULAR UH OTHER THAN THAT LIKE JUST SOMETIMES IVE BEEN OFFERED LIKE SOME PILLS AT PARTIES BUT OTHER THAN THAT NOTHING ELSE audio/RES0125.mp3[476.760,486.000] OKAY AND UH DOES YOUR DAUGHTER GO TO SCHOOL RIGHT NOW OR IS SHE DOING SCHOOL FROM HOME audio/RES0068.mp3[228.160,231.040] OK ANY NAUSEA OR VOMITING audio/RES0194.mp3[664.520,667.120] WELCOME TAKE CARE TAKE CARE audio/MSK0007.mp3[665.240,672.880] DOWN UH YES THAT HURTS TOO audio/MSK0041.mp3[307.280,313.240] ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION audio/RES0120.mp3[331.400,340.600] OKAY ARE YOU UM HAVING ANY KIND OF CHANGES IN YOUR BOWEL MOVEMENTS AT ALL ANY CONSTIPATION OR DIARRHEA audio/MSK0029.mp3[789.440,799.280] NO OK AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS SO WELL START WITH THE CHIN DOES THAT HURT WHEN YOU PRESS DOWN audio/RES0089.mp3[512.960,523.680] COPIVE BEEN I GOT DIAGNOSED ABOUT SEVEN YEARS AGO CHF ABOUT TWO YEARS AGO audio/RES0204.mp3[210.880,215.960] OK HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK audio/RES0118.mp3[131.840,140.400] UHM AND IS IT JUST A CONSTANT ISSUE THAT GOES ON THROUGHOUT THE DAY OR IS IT WORSE AT NIGHT DURING THE DAY HOW WOULD YOU DESCRIBE IT audio/MSK0012.mp3[562.400,567.520] ILL HAVE A GLASS OF WINE LIKE ONCE A WEEK audio/RES0125.mp3[243.880,245.600] NOT ANYMORE audio/RES0137.mp3[224.080,229.000] OKAY UM AND SO HAS THIS HAPPENED BEFORE AT ALL audio/MSK0009.mp3[91.840,102.160] UHM ITS KIND OF GETTING WORSE ACTUALLY JUST IN MY RIGHT KNEE AS WELL AS MY WHOLE RIGHT CALF AS WELL audio/RES0018.mp3[251.680,254.880] OK AND HAVE YOU HOW MANY PILLOWS DO YOU USUALLY SLEEP WITH audio/RES0089.mp3[408.040,411.400] YEAH I FEEL FATIGUED audio/RES0155.mp3[543.120,550.040] OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY LUNG OR HEART CONDITIONS audio/MSK0033.mp3[294.920,299.800] NO I HAVENT HAD ANY ANY RASHES audio/RES0149.mp3[463.640,468.760] ALRIGHT AND UM HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS audio/RES0166.mp3[479.400,486.360] BANKER OK UHM AND WHATS YOUR LIVING SITUATION LIKE WHERE DO YOU LIVE WITH ANYONE OR INWARD WHERE DO YOU LIVE audio/RES0126.mp3[123.160,129.800] YEAH SOMETIMES RESTING DOES HELP I FIND THAT ITS WORSE WHEN IM MOVING AROUND IM HUFFING AND PUFFING MORE audio/RES0074.mp3[320.640,324.600] NO NOT THAT IVE NOTICED audio/RES0189.mp3[299.160,303.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS audio/RES0014.mp3[491.360,497.880] TWO MONTHS AGO OK UM IS IT MORE IS IT AN OLDER FLAT audio/RES0118.mp3[211.240,213.920] ANY NIGHT SWEATS OR FATIGUE audio/RES0156.mp3[100.400,106.760] DRY OK UM DID SHE BRING UP ANY SPUTUM OR BLOOD AT ALL audio/RES0024.mp3[93.800,99.480] OK AND HAVE YOU BROUGHT UP ANY LIKE SPUTUM OR ANY BLOOD audio/RES0096.mp3[299.480,301.000] HOW MUCH WEIGHT audio/MSK0003.mp3[145.560,159.600] UH NOT NOT IN MY BACK PAIN I DO GET PAIN IN MY RIGHT KNEE AND IN MY HANDS SOMETIMES BUT THOSE PAINS JUST KIND OF COME AND GO audio/RES0003.mp3[137.600,146.160] NO OK AND HAS HE BEEN HAVING CHILLS OR NIGHT SWEATS audio/RES0033.mp3[307.640,312.720] OK AND HAVE YOU HAD ANY SYMPTOMS OF FATIGUE audio/RES0016.mp3[282.920,286.400] NOT THAT I KNOW NO audio/CAR0002.mp3[334.760,338.680] OK AND DO YOU TAKE ANY MEDICATIONS FOR THE THESE THINGS audio/RES0039.mp3[381.960,383.760] NO CHEST PAIN audio/RES0066.mp3[302.200,306.160] OK AND DO YOU FEEL AT ALL THAT YOUR HEART IS RACING audio/RES0104.mp3[390.520,405.520] OK SO JUST MAINLY THE COUGHING WITH THE RUSTY MATERIAL AS WELL AS JUST THE SHORTNESS OF BREATH UMM AND DO YOU GET ANY PAIN AT ALL IN YOUR CHEST WHEN YOU BREATHE IN OR OUT audio/RES0162.mp3[558.400,578.240] ALRIGHT OK WELL UH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A PHYSICAL EXAM NOW AND ILL GO TALK TO MY ATTENDING AND WELL UH COME TALK TO YOU RIGHT AFTER I GUESS BEFORE BEFORE I DO SO WHAT EXACTLY ARE YOU HOPING TO GET OUT OF TODAYS VISIT audio/RES0171.mp3[697.120,700.680] OK YEAH THAT SOUNDS REALLY GOOD THANK YOU audio/RES0096.mp3[376.280,377.720] ANY URINARY PROBLEMS audio/RES0193.mp3[86.440,91.960] YEAH THAT DEFINITELY I NOTICED THAT AFTER THOSE TIMES FOR FOR SURE audio/MSK0042.mp3[754.360,775.840] OKAY AWESOME AND SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY AND UH UH CHECK ON THE PHYSICAL AS WELL UM SO WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR ANYTHING YOU WANTED TO ADD audio/RES0011.mp3[308.480,313.560] OK UM HAVE YOU HAD A COUGH audio/RES0075.mp3[260.280,262.760] NO I DONT THINK SO audio/MSK0001.mp3[135.040,151.680] OK AND IS IT THE SAME KIND OF ACHING OR LIKE STABBING PAIN THAT GOES INTO YOUR RIGHT LEG OR IS IT UH JUST LIKE AN ACHING PAIN audio/RES0211.mp3[260.160,265.280] OK SOUNDS GOOD SO YOUVE SEEN AN ALLERGIST ANY OTHER DOCTORS THAT YOUVE SEEN IN YOUR LIFE audio/RES0188.mp3[201.000,204.680] PROBABLY 5 OR 6 audio/RES0029.mp3[344.800,349.800] OK AND HOW DO YOU SUPPORT YOURSELF CURRENTLY FINANCIALLY audio/RES0070.mp3[75.160,91.960] IVE BEEN FEELING REALLY TIRED I TOOK THE DAY OFF YESTERDAY AND TODAY IM WORKING FROM HOME BUT I STILL DECIDED NOT TO GET ANY WORK DONE TODAY OR YESTERDAY audio/RES0150.mp3[455.200,468.000] UH YEAH I DID HAVE TO TAKE INSULIN UM HE WAS HE WAS ALSO A PRETTY BIG BABY WHEN HE WAS BORN UM WE HAD TO I HAD TO GIVE GET A CSECTION DONE audio/RES0154.mp3[28.480,40.280] SO I THINK THE COUGH STARTED LIKE 4 DAYS AGO AND THEN THE SHORTNESS OF BREATH STARTED UH JUST YESTERDAY audio/RES0014.mp3[231.280,234.840] OK AND HOW ABOUT YOUR VISION EVERYTHING OK THERE audio/RES0168.mp3[81.480,94.600] NO WHEEZINESS OK AND HOW ABOUT HOW ABOUT LIKE SORE THROAT OR LOSS OF TASTE audio/RES0209.mp3[245.920,250.080] OK ARE YOU HAVING ANY SYMPTOMS AT NIGHT TIME audio/RES0147.mp3[592.480,599.800] NO I IVE JUST BEEN HELPING OUT AT THE GOLF COURSE BUT THATS ALL KIND OF OUTSIDE audio/RES0018.mp3[276.480,278.560] FEELING LIKE YOUR HEARTS RACING audio/RES0039.mp3[22.840,29.280] UHM YEAH IVE NEVER I NEVER NOTICED BLOOD IN MY SPUTUM BEFORE audio/RES0168.mp3[185.080,193.160] I STILL HAVE LIKE IM ABLE TO SMELL LIKE ESPECIALLY AFTER I DO THE RINSES IT HELPS A LITTLE BIT audio/RES0148.mp3[122.640,127.280] YEAH I DID UM I HAD THE CHILLS YESTERDAY audio/RES0032.mp3[565.640,581.320] YES I I DO SMOKE CIGARETTES I IVE SMOKED MOST OF MY LIFE SIMILAR TO MY MY FATHER PROBABLY 1 TO 2 PACKS PER DAY audio/RES0211.mp3[517.640,528.000] OH LIKE I MEAN OUR PARENTS WOULD SOMETIMES LET US HAVE LIKE A COUPLE COOLERS BUT LIKE THAT WAS IT audio/RES0091.mp3[416.080,417.200] YOU TOO audio/RES0168.mp3[270.440,275.680] OK OK UHM AND ARE YOU ON ANY MEDICATIONS audio/RES0053.mp3[686.240,699.800] YOU KNOW LIKE 5 DAYS AGO WE HAD A PLAYDATE WITH HIS COUSIN AND WE KIND OF THOUGHT THAT THATS WHERE HE GOT THE COLD FROM LIKE THE RUNNY NOSE BUT IT JUST TURNED WEIRD YOU KNOW audio/RES0062.mp3[342.320,344.840] NO MY THROAT FELT OK audio/RES0078.mp3[509.760,513.600] IN A TOWNHOUSE JUST OUTSIDE OF THE CITY HERE audio/RES0069.mp3[4.520,17.000] YEAH ABSOLUTELY UHM I DONT KNOW IVE JUST BEEN FEELING A LITTLE FEVERISH UHM AND I ALSO HAVE A A BIT OF A SORE THROAT audio/CAR0003.mp3[439.440,444.800] YEP SO I TAKE ASPIRIN RAMIPRIL AND SIMVASTATIN audio/RES0084.mp3[725.200,728.280] DO YOU STILL GO TO WORK audio/MSK0029.mp3[760.160,762.160] NO I DON’T audio/RES0153.mp3[266.400,272.040] OK HAVE YOU HAD ANY ANY UM SKIN CHANGES OR RASHES ANYWHERE audio/MSK0032.mp3[182.240,189.520] OKAY AND THEN UM HAS SHE EVER EXPERIENCED PAIN LIKE THIS IN THE PAST audio/RES0132.mp3[455.560,462.960] OH FOR LIKE 40PLUS YEARS UM I USED TO SMOKE A PACK A DAY audio/RES0075.mp3[198.120,202.720] OK ALRIGHT IS THE COUGH DRY OR HAVE YOU BROUGHT UP SPUTUM audio/RES0173.mp3[5.400,16.440] IM IM HERE BECAUSE I IVE ODDLY BEEN FEELING REALLY SHORT OF BREATH AND HAVE A FEVER OR AND A COUGH audio/RES0215.mp3[46.360,51.960] OK NOW WAS THIS WITH ANY TYPE OF ACTIVITY OR JUST AT REST audio/RES0026.mp3[293.000,296.360] ALRIGHT AND HAVE YOU HAD A RUNNY NOSE AT ALL audio/RES0199.mp3[469.400,473.000] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0181.mp3[347.200,350.920] NO NO ONE AT SCHOOLS BEEN SICK ACTUALLY audio/CAR0001.mp3[140.040,151.840] OK AND WHEN THE PAIN STARTED COULD YOU TELL ME UH COULD YOU THINK OF ANYTHING THAT YOU WERE DOING AT THE TIME audio/RES0070.mp3[315.760,317.240] I DONT THINK SO audio/RES0060.mp3[194.760,198.200] OK DO YOU FEEL WHEEZY AT ALL audio/RES0022.mp3[911.000,916.760] I JUST FEEL TIRED I JUST FEEL LIKE REALLY TIRED audio/MSK0035.mp3[338.840,341.360] ALRIGHT AND HAVE YOU HAD ANY NIGHT SWEATS audio/RES0193.mp3[227.880,232.960] OK ANY CHANGES IN HIS WEIGHT audio/RES0052.mp3[278.800,286.880] OK SO HOT WE WILL DEFINITELY CHECK FOR FEVER TODAY ANY NIGHT SWEATS audio/RES0097.mp3[64.920,70.160] OK AND HAS THE COUGH INTERFERED WITH SLEEP audio/RES0122.mp3[249.520,254.640] PROBABLY THE LAST TIME WAS IN COLLEGE UM FOR MARIJUANA audio/RES0027.mp3[407.120,412.400] I SEE OK AND UM ARE YOU TAKING ANY MEDICATIONS FOR THAT audio/RES0127.mp3[319.320,321.960] YEAH YEAH TRUE audio/RES0105.mp3[67.880,78.840] YEAH I HAVE YEAH UH IVE HAD A COUGH FOR A LONG TIME NOW BUT ITS BEEN WORSE OVER THIS LAST DAY audio/RES0026.mp3[74.120,90.520] UM ITS NOT REALLY PHLEGM BUT SOMETIMES I COUGH UP LIKE BITS OF LIKE YOU KNOW LITTLE BITS THAT LOOK LIKE BLOOD OR SOMETHING audio/RES0118.mp3[313.480,317.240] UH NOT MEDICATIONS audio/MSK0005.mp3[342.680,345.680] OK CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0210.mp3[293.440,294.560] NO NOT REALLY audio/RES0075.mp3[96.560,107.640] OK SO THE PAIN IS INTERMITTENT THEN IT SOUNDS LIKE AND HAS THERE BEEN ANYTHING YOUVE TRIED THATS MADE THE PAIN BETTER audio/RES0153.mp3[492.680,496.040] NO I HAVE A PRETTY PRETTY LOVING FAMILY audio/RES0140.mp3[160.280,164.080] UM DO YOU TAKE ANY MEDICATIONS audio/RES0102.mp3[568.800,572.960] OK DO YOU LIVE WITH ANYONE RIGHT NOW audio/MSK0018.mp3[463.640,482.960] UM AND IF THAT CLOSED REDUCTION DOESNT WORK THEN UH YOU MAY NEED SURGERY FOR LIKE A UM A WEAK SHOULDER JOINT OR IF LIKE LIGAMENTS UM ARENT LIKE STRONG ENOUGH AND ITS IT CONTINUES TO HAPPEN audio/RES0120.mp3[124.440,135.960] UM ITS A ITS ITS LIKE A I DONT KNOW I GUESS ITS A SHARP PAIN WHEN I TRY TO TAKE A DEEP BREATH IN audio/RES0201.mp3[591.640,594.200] OK GREAT THANK YOU audio/MSK0043.mp3[285.840,302.040] UH I DONT THINK SO IVE BEEN JUST IN WELL IN THE CITY I HAVENT TRAVELED ANYWHERE AND I UH I HAVENT BEEN SEXUALLY ACTIVE FOR FOR QUITE A WHILE NOW SO audio/RES0182.mp3[266.920,269.880] OK HAVE YOU HAD ANY RASHES audio/RES0138.mp3[332.600,338.640] YEAH LOTS OF CHEMICALS AND THINGS LIKE THAT audio/RES0127.mp3[0.000,5.240] WHAT BRINGS YOU IN HERE TODAY audio/MSK0021.mp3[509.640,512.280] DO YOU SEE ANY REDNESS audio/MSK0005.mp3[383.560,385.920] NO IT LOOKS IT LOOKS THE SAME audio/RES0175.mp3[441.160,447.800] OH WOW SORRY TO HEAR THAT AND UH HAS THAT BEEN LOOKED INTO FOR YOURSELF audio/RES0187.mp3[373.720,380.360] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/CAR0003.mp3[391.040,393.600] NOT THAT I KNOW OF audio/RES0049.mp3[493.240,501.560] ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY audio/RES0009.mp3[265.760,275.640] OK HAVE YOU HAD ANY EPISODES OF LIGHTHEADEDNESS OR FEELING LIKE YOU YOU MIGHT MIGHT FAINT audio/RES0200.mp3[250.520,254.560] CONFUSION OR MEMORY LOSS audio/RES0210.mp3[287.960,293.440] OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY audio/RES0166.mp3[601.920,605.400] THANK YOU audio/RES0189.mp3[305.320,312.720] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/MSK0035.mp3[86.520,92.280] I CAN BUT ITS VERY PAINFUL audio/MSK0027.mp3[610.400,613.800] NO THATS FINE audio/RES0018.mp3[336.960,344.520] I DID FEEL A BIT NAUSEOUS OVER THE LAST TWO DAYS BUT I HAVENT VOMITED audio/RES0006.mp3[75.200,93.520] UM NOT REALLY ITS PRETTY PRETTY MUCH THE SAME SOMETIMES IT IS WORSE IN THE MORNING YEAH AND SOMETIMES IT GETS BETTER WHEN I GO OUT FOR A SMOKE audio/RES0078.mp3[344.720,357.440] UHM NO I HAVENT NOTICED THAT TOUCHING IT DOESNT MAKE IT WORSE audio/RES0036.mp3[295.080,303.560] YEAH OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CHEST PAIN ANYTHING LIKE THAT audio/RES0185.mp3[385.280,394.040] OK AND THEN HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0021.mp3[387.800,395.360] UM YEAH YOU KNOW THEY PUT ME ON SOME SORT OF DMARD audio/RES0106.mp3[197.320,204.040] YEAH FOR SURE WHEN YOU HAD THIS IN THE PAST WERE YOU EVER DONE GIVEN A DIAGNOSIS audio/RES0029.mp3[146.320,151.680] OK ARE YOU DID YOU HAVE A LOSS OF CONSCIOUSNESS WHEN YOU FELL OFF YOUR BIKE audio/RES0134.mp3[111.840,115.680] UH IT SEEMS TO BE CENTRAL ON MY CHEST audio/RES0009.mp3[337.480,344.840] OK AND HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0122.mp3[188.440,189.360] UH NO audio/RES0046.mp3[635.120,638.720] UM NO NOTHING LIKE THAT audio/RES0049.mp3[762.480,766.440] ALRIGHT THANK YOU SO MUCH audio/RES0047.mp3[140.920,156.320] UH YEAH I WOULD SAY IT SOUNDS PRETTY HARSH YOU CAN KIND OF IT SOUNDS LIKE THERES UM MUCUS MOVING AROUND I GUESS WITH WITH THE COUGH IN MY CHEST I CAN I CAN KIND OF FEEL IT audio/MSK0027.mp3[278.000,282.800] OK BUT NO FATIGUE audio/RES0075.mp3[48.120,60.160] OK AND WERE YOU DOING ANYTHING AT THE TIME WHEN THE CHEST PAIN STARTED LIKE DID YOU GET IN A CAR ACCIDENT MAYBE OR ANY TRAUMA TO THE CHEST OR ANYTHING YOU CAN THINK OF audio/RES0086.mp3[480.160,488.320] OK OK GOOD AND ALRIGHT AND THEN ANY MEDICATIONS THAT YOURE ON audio/MSK0025.mp3[349.760,352.800] ANY COUGH OR COLD LIKE SYMPTOMS audio/RES0214.mp3[290.600,309.360] UM I IN THE PAST COUPLE OF YEARS UH JUST FOR THINGS LIKE LIKE THIS I GUESS UM COLDS UM IM PRE DIABETIC SO IVE BEEN CHECKING MY GLUCOSE LEVELS YEAH OTHER THAN THAT NOTHING ELSE audio/RES0079.mp3[256.000,257.600] AND UH audio/RES0035.mp3[336.920,341.160] I TAKE SOME VITAMIN TABLETS audio/RES0073.mp3[308.120,310.720] HAVE YOU HAD ANY DIARRHEA audio/MSK0007.mp3[297.200,301.880] OK AND HAVE YOU HAD ANY FATIGUE audio/RES0067.mp3[101.480,105.720] OK YOU SEE A LOT OF REDNESS IN THERE audio/RES0043.mp3[0.000,3.280] WHAT BRINGS YOU ALL IN TODAY audio/DER0001.mp3[550.280,555.520] I SEE AND WHAT DO YOU WHAT DO YOU DO WHEN WHEN YOU ARE WORKING IDEALLY audio/RES0003.mp3[146.160,152.520] UM NOTHING LIKE THAT THAT WEVE NOTICED NO SHAKING OR OR SWEATY BED audio/RES0019.mp3[56.920,60.800] UH THE SAME AMOUNT OF TIME SO LIKE THE PAST THREE DAYS audio/MSK0019.mp3[458.040,460.400] YEAH ITS LIKE SORE IF I PRESS DOWN audio/RES0086.mp3[643.480,649.560] OK OK ANY OLD CARPETS PETS MOLD OR ASBESTOS IN THE HOUSE audio/RES0024.mp3[139.720,141.920] MMM NO audio/RES0204.mp3[22.680,29.080] CAN YOU TELL ME ABOUT WHAT BROUGHT YOU IN TODAY audio/RES0039.mp3[838.560,842.560] WELL ALSO GET SOME BLOOD WORK DONE AS WELL SO THATLL BE DONE BEFORE YOUR NEXT APPOINTMENT audio/RES0181.mp3[563.000,643.840] OK YEAH UM ALRIGHT SO ITS SOUNDING LIKE MOST LIKELY THIS WOULD BE STREP THROAT OR OR GROUP A STREP PHARYNGITIS WITH BECAUSE YOU HAVE NO COUGH AND WITH A HIGH FEVER AND SWELLING THAT YOUVE BEEN REDNESS THAT YOU NOTICE IN THE BACK OF YOUR MOUTH AND SO WELL DO A RAPID STREP ANTIGEN TEST AND IT WILL REQUIRE JUST A THROAT SWAB TO SEE TO TO DETECT FOR THAT HOWEVER WITH A UH UMM YEAH I GUESS THATS IT THATS WHAT I YEAH WELL WELL START WITH WITH THAT NOW AND IT COULD POTENTIALLY BE SOMETHING LIKE UHM A VIRAL ILLNESS BUT THATS LOWER ON THE ON THE DIFFERENTIAL THEN THE BACTERIAL INFECTION IS RIGHT NOW AND BECAUSE OF COVIIT WILL BE WELL DO A SWAB AS WELL BECAUSE PEOPLE CAN GET FEVER AND SORE THROAT WITH WITH COVIAS WELL audio/RES0145.mp3[462.320,481.040] OK ALSO I JUST WANT TO REMIND YOU THAT THESE QUESTIONS WILL REMAIN CONFIDENTIAL BETWEEN YOU AND ME IN CASE YOURE WORRIED NO ONES GOING TO FIND OUT ABOUT WHAT WERE TALKING ABOUT UNLESS YOU UNLESS THERES CONCERN ABOUT HARM TO YOU OR HARM TO ANYONE ELSE DO YOU FEEL SAFE AT HOME audio/MSK0017.mp3[263.520,267.840] OK UM ANY DIZZINESS OR FAINTING SPELLS audio/RES0195.mp3[506.360,513.880] I WORK FROM HOME YEAH I TEACH I TEACH ONLINE audio/RES0202.mp3[465.520,467.240] YEAH TOTALLY audio/RES0105.mp3[385.720,394.000] UH NOT NECESSARILY IT JUST IT JUST HARDER TO TO FEEL LIKE I CANT CATCH MY BREATH audio/MSK0005.mp3[2.000,18.440] HI IVE IVE HAD THIS PAIN ON THE OUTSIDE OF MY UH RIGHT ELBOW NOW ITS IT I FIRST STARTED KNOWING NOTICING IT SEVERAL MONTHS AGO BUT RECENTLY ITS JUST BEEN MORE PAINFUL audio/RES0112.mp3[375.240,379.040] PARDON ME audio/RES0062.mp3[747.320,762.920] I USED TO SMOKE A PACK OF CIGARETTES A DAY BUT I QUIT ABOUT UH ABOUT FIVE YEARS AGO I KNOW FOUR YEARS AGO IT WAS WHEN I FOUND OUT I HAD ATRIAL FIBRILLATION I QUIT audio/RES0192.mp3[189.400,196.120] I SEE OK AND HAVE YOU EXPERIENCED ANY UM ANY HEADACHES audio/RES0058.mp3[504.080,509.120] YEAH I HAVENT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0104.mp3[763.920,766.080] THANK YOU BYE audio/MSK0015.mp3[510.240,514.680] NO NO NO MEDICATIONS audio/RES0141.mp3[240.920,243.360] WHEN WERE YOU STARTED ON METFORMIN audio/RES0061.mp3[178.320,182.440] OK SO YOU DONT HAVE MUCH OF AN APPETITE THEN audio/RES0086.mp3[69.760,76.920] SO I WAS DIAGNOSED WHEN I WAS I THINK IT WAS LIKE WHEN I WAS 13 YEARS OLD audio/RES0124.mp3[584.760,590.200] OKAY OKAY AND THINGS ARE GOOD AT HOME DO YOU FEEL SAFE audio/RES0069.mp3[0.000,4.520] WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN audio/RES0035.mp3[39.480,43.760] YEAH I THINK ITS BEEN GETTING WORSE audio/RES0030.mp3[5.760,7.960] YEAH I I HAVE A COUGH audio/MSK0001.mp3[284.720,286.880] OK ANY MUSCLE WEAKNESS AT ALL audio/RES0001.mp3[617.800,631.960] UH NO I I HAVE MIGHT HAVE HEARD OF SOMETHING LIKE THAT HAPPENING IN MY MOM ACTUALLY IT MIGHT HAVE BEEN RELATED TO HER HEART ATTACK BUT IM NOT SPECIFICALLY SURE audio/RES0077.mp3[491.240,495.760] THAT MAY BE WITHIN THE LAST TWO DAYS AS WELL audio/RES0194.mp3[255.520,264.560] NO ANY NIGHT SWEATS OR FATIGUE audio/RES0022.mp3[633.440,648.360] OK UM AND WHEN WHAT TYPES OF SITUATIONS WHERE YOU FINDING YOURSELF NEEDING TO USE IT MORE OFTEN OR RATHER WHERE THERE ANY KIND OF TRIGGERS TO THOSE EVENTS audio/RES0048.mp3[435.000,444.520] MAYBE JUST A LITTLE BIT LIKE I DONT REALLY FEEL LIKE EATING WHEN IM COUGHING ALL THE TIME BUT OTHER THAN THAT NO NOT REALLY audio/MSK0033.mp3[407.640,420.240] SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A A YOUNGER SISTER AS WELL SHES IN GRADE GRADE 7 AND WE HAVE A DOG AS WELL audio/RES0013.mp3[468.800,478.480] LIKE I DONT I THINK I GOT ALL THE ONES WHEN I WAS LIKE A KID WHAT ELSE SHOULD I HAVE audio/RES0203.mp3[355.240,357.000] UH NO audio/RES0014.mp3[121.320,135.000] IT CAN GET UP TO I WOULD SAY LIKE AN 8 AT TIMES IT CAN GET PRETTY SCARY AND SOMETIMES LIKE I FEEL LIKE HEAVINESS IN MY CHEST TOO WHEN IT HAPPENS audio/MSK0050.mp3[114.040,125.760] UM I GUESS I LIKE SHAKE OUT MY HAND UM OR YEAH TRY TO PUT PRESSURE ON THOSE NUMB NUMB AREAS audio/RES0034.mp3[400.360,408.560] OK AND WITH THE COUGH HAVE YOU NOTICED ANY DIFFICULTIES BREATHING audio/RES0099.mp3[577.120,580.440] JUST IN CASE ANYTHING GOES WRONG audio/RES0001.mp3[68.200,74.040] OK AND THE SHORTNESS OF BREATH DO YOU HAVE THAT AT REST AS WELL audio/MSK0032.mp3[437.720,439.200] UM NO audio/RES0189.mp3[312.720,317.400] NO I THINK MY WEIGHTS BEEN PRETTY STEADY audio/RES0056.mp3[464.920,471.960] I DO HAVE AN AUNT ON MY MOTHERS SIDE WHO HAD OVARIAN CANCER audio/MSK0015.mp3[662.520,670.640] NO I CANT YEAH I DONT SEE ANYTHING IN THE HIPS OR LEGS THAT REALLY POINTS OUT TO ME audio/RES0116.mp3[425.160,429.960] OK OK UM AND HES YOU MENTIONED HE WAS FULL TERM audio/MSK0026.mp3[523.960,525.480] YES THATS RIGHT audio/MSK0028.mp3[33.520,39.960] OK AND SO WHAT ACTIVITY WERE YOU DOING SPECIFICALLY audio/RES0151.mp3[530.400,535.240] UH JUST LIKE ONCE OR TWICE IN A WEEK audio/RES0007.mp3[568.200,574.960] UM TO TO THE THE SCHOOL UM LIKE HIGH SCHOOL DOWN THE ROAD audio/MSK0008.mp3[607.000,613.520] ANY PAIN OVER YOUR OVER THE FIBULAR HEAD OR THE LATERAL PART OF THE KNEE audio/RES0016.mp3[223.520,228.000] CHANGES IN YOUR VISION OR EYE PAIN audio/RES0082.mp3[129.440,136.040] OK ANY FATIGUE MALAISE ANY ACHES OR PAINS audio/RES0022.mp3[388.800,395.280] OK AND AND APPROXIMATELY HOW MANY TIMES DID YOU GO TO THE BATHROOM WOULD YOU SAY audio/MSK0042.mp3[510.040,513.680] NO I HAVENT audio/MSK0018.mp3[213.640,224.440] NO YEAH OTHERWISE IM HEALTHY IVE NEVER BEEN TO THE DOCTOR MUCH audio/RES0004.mp3[417.720,436.640] UM NO THAT WELL DID THEY MIGHT HAVE LOOKED MAYBE A LITTLE BIT MORE MORE RED RED THEN USUAL BUT I HAVENT NOTICED ANY ANYTHING IN TERMS OF ITCHINESS OR UM DISCHARGE audio/CAR0002.mp3[466.760,470.480] OK HOW MUCH DO YOU SMOKE ON AN AVERAGE DAY audio/RES0126.mp3[310.840,317.120] NO OK ANY FEVERS OR CHILLS RECENTLY audio/RES0078.mp3[515.480,523.600] NO I LIVE WITH MY WIFE AND DAUGHTER audio/RES0200.mp3[434.400,441.840] OK GOOD CONGRATS DID YOU ALSO GET THE SHINGLES VACCINE AND THE PNEUMOCOCCAL VACCINE audio/MSK0029.mp3[595.160,600.880] I THINK MAYBE OSTEOARTHRITIS AND MY GRANDPA GRANDPARENTS BUT audio/CAR0003.mp3[276.880,283.960] OK DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY audio/RES0064.mp3[317.640,320.800] ANY MEDICATIONS THAT HES ON audio/RES0195.mp3[337.560,342.680] OK IS IT JUST LIKE A DISCOMFORT OR IS IT A PRESSURE OR STABBING PAIN audio/RES0123.mp3[552.760,560.400] UM SO I THINK MY MOTHER SHE SHE HAS LIKE TYPE 2 DIABETES audio/RES0199.mp3[318.880,322.040] NO ANY NAUSEA OR VOMITING audio/RES0033.mp3[601.640,616.680] UH NOT OFTEN LIKE JUST WHEN IM AT LIKE PARTIES AND LIKE WHEN I WAS AT SCHOOL JUST MAYBE SOMETIMES ON THE WEEKENDS BUT NOTHING REGULARLY audio/RES0150.mp3[249.000,251.160] AND THATS BEEN THE LAST FEW DAYS audio/RES0104.mp3[215.480,219.080] NO I HAVENT HAD ANY ISSUES LIKE THAT audio/MSK0001.mp3[521.080,527.040] YES ALWAYS USE UH CONDOMS audio/RES0128.mp3[55.480,66.000] HE DOES YEAH HES STILL SOUNDING A LITTLE BIT WHEEZY NOW ITS ITS BETTER THAN LAST NIGHT HE WAS A BIT MORE WHEEZY LAST NIGHT audio/MSK0022.mp3[397.080,401.120] UM I DO I HAVE FELT A BIT WARM audio/RES0106.mp3[330.760,352.000] NO OK YEAH WE RECOMMEND GETTING IT OUT ONCE A YEAR JUST YEAH FOR YOUR SAFETY AND FOR EVERYONE ELSES AND EVEN IF YOU GET THE FLU MAYBE YOUR SYMPTOMS WONT BE AS SEVERE AND THEN DO YOU HAVE ANY ALLERGIES audio/RES0024.mp3[437.440,442.880] OK UM AND THEN DO YOU DRINK ALCOHOL audio/RES0071.mp3[592.800,598.480] OK ANYONE SICK IN YOUR HOUSEHOLD AT ALL audio/RES0208.mp3[134.440,147.800] ME TOO UM OK WHAT ABOUT YOUR SENSE OF SMELL DO YOU FEEL LIKE YOURE NOT YOU ARE NOT ABLE TO SMELL WELL EITHER audio/RES0100.mp3[482.160,484.520] NO JOIN PAINS NO audio/MSK0025.mp3[588.960,594.480] DO YOU NOTICE ANY KIND OF REDNESS SWELLING IN AND AROUND YOUR BACK audio/RES0011.mp3[406.600,411.840] I MEAN IM NOT REALLY EATING A LOT SO ITS KIND OF LIKE GURGLING audio/RES0060.mp3[639.280,642.280] AND ARE YOU ON ANY MEDICATIONS audio/RES0046.mp3[754.400,769.120] UM MY MY WIFE WAS TALKING ABOUT BEING REALLY FATIGUED AND UH SHE DID MENTION A COUGH COMING ON audio/RES0061.mp3[622.960,637.840] YEAH MY SON HAS ASTHMA BUT NOBODY IN MY FAMILYS HAD A HEART PROBLEM THOUGH audio/RES0126.mp3[601.000,606.320] 10 YEARS AGO audio/CAR0004.mp3[240.840,250.040] OK HAVE YOU BEEN NOTICING ANY KIND OF WEAKNESS OR NUMBNESS audio/RES0134.mp3[161.760,164.960] UH A LITTLE BIT YES audio/RES0091.mp3[299.240,306.000] OK AND CURRENTLY RIGHT NOW DO YOU SMOKE CIGARETTES AT ALL audio/RES0096.mp3[620.160,626.080] OK AND HOW OLD WERE YOUR PARENTS APPROXIMATELY audio/RES0174.mp3[324.160,326.280] UHM NO audio/RES0112.mp3[190.160,192.080] THATS IT audio/RES0172.mp3[216.960,220.920] ANY DIZZINESS OR FAINTING IN THE PAST COUPLE OF DAYS audio/RES0004.mp3[332.200,338.280] NO OK AND HOWS YOUR APPETITE ARE YOU STILL EATING WELL audio/RES0134.mp3[175.680,182.200] ALRIGHT AND HAVE YOU HAD ANY EPISODES OF FEELING LIKE YOUR HEARTS RACING OR IS IT SPEEDING REALLY FAST audio/RES0064.mp3[236.360,251.480] YEAH JUST WITH THE TROUBLE SWALLOWING IM TRYING TO MAKE SURE THAT HE GETS LIKE LIQUIDS BECAUSE OVER THE LAST FEW DAYS HE CANT TOLERATE LIKE SOLID FOODS AT ALL audio/MSK0027.mp3[676.800,733.720] AN JUST BECAUSE OF THE STRUCTURES THERE NOT YET FULLY MATURED AND STRONG AND SOMEBODY WHOS THAT YOUNG AND SO IT WILL CAUSE PAIN REDUCED RANGE OF MOTION AT THE ELBOW AND YOU WONT REALLY SEE MUCH SWELLING OR REDNESS AND WITH JUST THE PHYSICAL EXAM MANEUVER YOU CAN REDUCE IT AND THEN PUT THE HEAD OF THE RADIUS BACK INTO PLACE AND THINGS WILL BE USUALLY BACK TO BACK TO NORMAL BUT IF THERE IS A FRACTURE WHICH WILL LOOK FOR AN XRAY THEN THERE THE PAIN MIGHT BE LAST A LITTLE BIT LONGER BUT IMMOBILIZATION OF THE ARM IS NOT REQUIRED AND MOST KIDS WILL REGAIN FULL MOBILITY IN IN A SHORT TIME AFTER THE REDUCTION audio/MSK0050.mp3[551.720,553.280] UM NO audio/RES0202.mp3[174.960,178.880] OK HOW ABOUT SHORT OF BREATH audio/RES0024.mp3[277.480,281.920] MAYBE LIKE THREE YEARS audio/RES0014.mp3[259.200,260.160] NO NO audio/RES0034.mp3[603.680,616.040] UM YEAH ITS DIFFICULT TO SAY I THINK I LIKE YESTERDAY CHANGED FOUR TO FIVE TIMES THEY WERE ALL DIARRHEA SO NOT REALLY SURE BUT MAYBE AROUND 5 audio/RES0127.mp3[28.120,36.400] OH YEAH I KNOW IT MUST BE VERY VERY IRRITATING HOW LONG HAS IT BEEN GOING ON FOR audio/RES0122.mp3[119.120,122.040] UH ITS USUALLY CLEAR audio/GAS0007.mp3[136.200,139.160] HAVE YOU NOTICED ANY FEVERS LATELY audio/MSK0024.mp3[351.200,356.040] ANY CANCERS IN THE FAMILY audio/RES0026.mp3[788.920,861.400] WELL ITS DEFINITELY A POSSIBILITY WITH THE SYMPTOMS THAT YOURE HAVING SINCE THEY CAN BE SO NON SPECIFIC FOR COVID IT CAN BE A LOT OF SYMPTOMS THAT OVERLAP SO WITH HAVING HEADACHE WHAT SOUNDS LIKE YOU MIGHT HAVE A FEVER AND AND THIS COUGH THAT SOUNDS LIKE ITS PRETTY BAD IF YOURE BRINGING UP SOME BLOOD IT SOUNDS LIKE YOU MIGHT HAVE IRRITATED SOME OF THE BRONCHIOLES WITH THE THE COUGHING SO WE WILL TEST FOR THAT AND CHECK A PCR NASAL SWAB FOR COVIIM NOT BUT WE WILL ALSO TEST FOR OTHER VIRAL ILLNESSES AND BACTERIAL ILLNESSES AS WELL IT DOESNT SOUND LIKE YOU HAVE MENINGITIS RIGHT NOW JUST BASED ON THE SYMPTOMS WHERE YOU DONT HAVE NECK STIFFNESS BUT ITLL BE CERTAINLY SOMETHING THAT WE KEEP KEEP IN MIND WHILE WE ARE DOING OUR INVESTIGATIONS audio/RES0007.mp3[71.040,81.960] OK AND UH WHEN YOURE EXERCISING OR IN GYM CLASS DO YOU GET SHORT OF BREATH OR DO YOU FIND THAT YOU HAVE DIFFICULTY BREATHING audio/RES0038.mp3[541.560,544.000] UH NO EVERYONES HEALTHY audio/RES0151.mp3[83.160,85.280] UH NO NO BLOOD audio/RES0069.mp3[214.040,216.880] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0003.mp3[380.880,385.800] NO NOTHING LIKE THAT NO NO SMOKING EITHER audio/MSK0041.mp3[193.680,198.280] NO NEVER audio/MSK0040.mp3[26.040,41.880] YEAH ABSOLUTELY UH OK SO YOU SAID THAT THIS STARTED YESTERDAY WAS THERE ANY LIKE TRAUMA TO THE ANKLE OR LEG OR DID YOU HAVE A FALL OR OR SOME SORT OF INJURY audio/MSK0011.mp3[378.480,383.480] NO NO EVERY EVERY THAT WAS OK audio/MSK0012.mp3[143.480,152.920] OK AND ARE THERE ANY KIND OF MOTIONS OR POSITIONS THAT CAUSE YOU MORE PAIN audio/MSK0016.mp3[68.160,90.840] UH BETTER UH IVE TRIED SOME UM ADVIL UM AND TYLENOL AND ITS KIND OF THE HASNT DONE MUCH UM FOR THE PAIN REALLY UH I THINK ONLY THE THING THAT KIND OF HELPS IT IS JUST NOT USING IT AS MUCH UM YEAH audio/RES0017.mp3[374.240,378.160] OK ABOUT A LOSS OF SMELL audio/RES0215.mp3[233.880,237.520] SO HER WEIGHT HER HEIGHT THEYVE BEEN GOOD FOR HER AGE audio/RES0116.mp3[460.320,463.400] NO MEDICATIONS UP TO DATE WITH HIS IMMUNIZATIONS audio/RES0102.mp3[431.840,444.800] YEAH THERE THERE HAVE BEEN A FEW FEW NIGHTS FOR SURE BUT IT DOESNT HAPPEN EVERY NIGHT BUT OVER THESE LAST SEVERAL MONTHS ITS BEEN WEIRD IVE WOKEN UP SOAKED audio/MSK0016.mp3[349.880,367.040] UM I HAVE HYPOTHYROIDISM SO I TAKE UM LIKE UH THYROXINE FOR THAT AND UM I AM OVERWEIGHT AS WELL OR IN OBESITY CLASS ONE I THINK audio/RES0052.mp3[95.680,100.480] OK AND HAS THERE BEEN ANY WHEEZING audio/RES0058.mp3[564.320,574.760] I AM YEAH I HAVE MY IMMUNIZATION CARD HERE ACTUALLY audio/CAR0001.mp3[264.720,266.120] NO NO audio/MSK0042.mp3[0.000,2.800] HOW MAY I HELP YOU audio/RES0118.mp3[47.320,53.200] AND ARE YOU COUGHING AT ALL audio/MSK0027.mp3[383.480,387.280] OK WAS SHE AT TERM OR WHERE SHE PRE TERM audio/RES0032.mp3[251.440,258.560] IS THIS PAIN WHAT KIND OF PAIN IS IT audio/RES0134.mp3[783.920,855.560] YEAH SO WELL WELL CHECK YOUR TEMPERATURE AND AND CONFIRM THE FEVER AND UM CHECK YOUR OXYGEN LEVELS AS WELL YOU MIGHT NEED OXYGEN UM YOURE MENTIONING WITH YOUR SHORTNESS OF BREATH UM AND WE WILL GET A CHEST XRAY AND IF UM WERE SEEING CONSOLIDATION THERE SUGGESTIVE OF PNEUMONIA YOU MAY NEED ANTIBIOTICS THAT WILL COVER COVER THOSE THOSE BUGS HOWEVER YOUR SYMPTOMS DO OVERLAP WITH COVIAS WELL AND SO IT WILL BE IMPORTANT TO GET A UM COVISWAB BUT TO ANSWER IF YOU WILL NEED A HOSPITAL STAY I THINK WELL NEED TO AT LEAST WAIT UNTIL SOME OF THE INVESTIGATIONS COME BACK AND UM THAT WILL HELP DETERMINE HOW SEVERE THE SYMPTOMS ARE AND WELL OBSERVE YOU OVER THE NEXT FEW HOURS AND IF YOU ARE GETTING ANY WORSE OR UM ANYTHING LIKE THAT THEN IT MIGHT BE A GOOD IDEA UM TO UH TO BE ADMITTED audio/RES0146.mp3[98.720,103.360] ITS ON BOTH SIDES KIND OF FEEL THAT REAL WRAPPING AROUND audio/MSK0014.mp3[110.040,115.760] YEAH IT COMES AND GOES IN SEVERITY THOUGH audio/MSK0035.mp3[628.960,641.400] OK UH ALRIGHT AND IS THIS ON THE BACK OF THE HAND OR THE THAT THE PALM SIDE audio/MSK0031.mp3[164.520,168.200] UHM NO NOT THAT I CAN TELL NO audio/RES0185.mp3[19.600,27.160] OK SO DID THE RHINO START FIRST OR THE NASAL OBSTRUCTION audio/MSK0039.mp3[301.120,303.240] NO NO NOTHING LIKE THAT audio/RES0049.mp3[228.280,233.880] NO CHEST PAIN audio/RES0049.mp3[590.840,596.280] NO UM BESIDES ALCOHOL NOTHING ELSE audio/RES0091.mp3[317.880,324.960] ONCE IN A WHILE ILL HAVE LIKE A GLASS OF WINE EVERY WEEK audio/RES0171.mp3[18.240,20.400] WHEN DID THIS START audio/MSK0025.mp3[261.960,266.080] YES THAT WAS YEAH THAT WAS TWO MONTHS AGO audio/RES0145.mp3[481.040,482.080] I DO YES audio/RES0198.mp3[307.120,310.600] I’M IN SCHOOL RIGHT NOW audio/RES0045.mp3[55.200,58.280] OK SO NO SPUTUM NO BLOOD audio/RES0101.mp3[308.080,313.760] OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS OR OR FEELING LIKE YOURE GOING TO PASS OUT audio/RES0027.mp3[271.480,277.640] OK SO YOU WERE A BIT CHILLY AND AND THEN SWEATY LATE LAST NIGHT audio/RES0060.mp3[755.440,758.720] UM NO I DO NOT audio/RES0093.mp3[203.400,208.960] OK HAVE YOU HAD ANY PALPITATIONS OR YOU FEEL LIKE YOUR HEARTS RACING audio/RES0117.mp3[261.480,263.480] NO I HAVE NEVER SMOKED A DAY IN MY LIFE audio/RES0169.mp3[51.440,56.320] AND YOUR COUGH WHEN DID THAT START audio/RES0165.mp3[234.680,242.240] OK ANY MUSCLE ACHES AT ALL audio/RES0060.mp3[248.520,258.720] NO ITS BEEN ABOUT THE SAME MAYBE DOWN A FEW POUNDS OVER THIS WEEK AS I JUST HAVENT BEEN EATING AS MUCH audio/RES0167.mp3[467.440,472.240] OK DO YOU DRINK ALCOHOL audio/RES0028.mp3[328.800,335.280] OK AND TO JUST GO AWAY BY ITSELF OR DID YOU HAVE TO TAKE ANY MEDICATIONS audio/RES0089.mp3[341.200,344.040] AH NOPE NOTHING LIKE THAT audio/RES0004.mp3[392.960,395.040] UM IM NOT SURE audio/RES0070.mp3[344.840,346.560] ANY URINARY PROBLEMS audio/RES0085.mp3[480.800,486.200] YEAH AND WILL HE NEED TO STAY IN THE HOSPITAL AT ALL audio/RES0113.mp3[319.400,325.080] AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH SOMEONE ELSE OR WITH OTHER PEOPLE audio/RES0088.mp3[280.960,285.000] OK ANY RUNNY NOSE OR CONGESTION audio/RES0153.mp3[305.800,315.760] OK SO QUITE A WHILE AGO YEAH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/MSK0031.mp3[68.240,73.440] OK DOES ANYTHING MAKE IT BETTER OR WORSE audio/MSK0008.mp3[435.320,440.320] OK ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0015.mp3[327.920,330.760] NO NOT THAT SHES MENTIONED NO audio/RES0126.mp3[178.200,182.200] OK AND WHAT ARE YOU USING THE INHALERS FOR audio/RES0046.mp3[14.800,21.920] OK UM SORRY HOW LONG DID YOU SAY YOUR COUGH HAS BEEN GOING ON FOR audio/RES0097.mp3[150.680,156.760] OK AND UH DID THOSE DID THAT START A FEW DAYS AGO AS WELL audio/RES0049.mp3[490.120,493.240] YEAH THEYRE ALL UP TO DATE audio/RES0177.mp3[0.000,1.280] WHAT BRINGS YOU IN audio/RES0110.mp3[544.520,547.040] IVE HAD A BLOOD CLOT audio/MSK0034.mp3[301.680,306.400] OK AND HAVE YOU EVER BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/MSK0010.mp3[682.840,695.160] OK OK SO IT SOUNDS LIKE A POSITIVE JOBES TEST AND A POSITIVE NEERS TEST AS WELL AS A PAINFUL ARC FOR YOUR SHOULDER AND IS THERE PAIN TO PALPATION audio/RES0185.mp3[206.160,212.240] OK HOW ABOUT UHM GASSINESS OR BLOATING audio/MSK0039.mp3[447.320,454.320] OK OK UM HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT audio/RES0033.mp3[670.480,706.520] I FEEL LIKE IM FAIRLY ACTIVE EVEN THOUGH LIKE I COUGH WHEN IM EXERCISING I STILL PLAY SOCCER WITH MY FRIENDS AND ON A TEAM OTHER THAN THAT I LIKE TO GO BIKING UM YEAH I FEEL LIKE IM STILL PRETTY ACTIVE BUT IT IS GETTING MORE DIFFICULT WITH MY COUGH OTHER THAN THAT MY DIET HAS BEEN PRETTY PRETTY GOOD LIKE AT HOME ESPECIALLY IM GETTING THREE MEALS A DAY AND HAVING A BALANCED DIET SO YEAH I FEEL IM DOING WELL THERE audio/RES0104.mp3[686.200,699.800] OK WELL IF YOU AT ALL ARE WANTING ANY INFORMATION OR WANT TO TALK ABOUT QUITTING AT ALL UM WE CAN PROVIDE MORE RESOURCES DO YOU BESIDES SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0127.mp3[55.080,69.840] YEAH OK AND ARE THERE ANY BESIDES DURING THE SPRING TIME ANY KIND OF ALLERGENS OR ANY ANYTHING IN THE HOUSE OR AROUND YOU THAT TRIGGERS IT LIKE DUST OR ANYTHING LIKE THAT audio/GEN0001.mp3[444.920,447.920] NOTHING TO CONCERNING NO DRUG ALLERGIES audio/RES0039.mp3[328.000,336.120] UHM ALSO A FEW TIMES THIS PAST WEEK IVE WHAT WOKE UP SOAKED audio/RES0111.mp3[176.480,180.000] WEIGHT LOSS UNINTENTIONAL audio/RES0104.mp3[449.160,467.200] YEAH MY MY LEFT HAND STILL STILL IT GIVES ME SOME SOME PROBLEMS I GET UH UH BOTULINUM TOXIN INJECTIONS FOR FOR THE TIGHTNESS IN MY HAND audio/RES0133.mp3[246.080,249.800] HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS audio/RES0183.mp3[240.120,246.160] HES BEEN EATING LESS BUT NOT LIKE MUCH LESS I STILL TRY TO GET SOMETHING IN HIM audio/RES0037.mp3[42.280,52.000] OH I SEE OK I DONT KNOW MAYBE A FEW TEASPOONS THROUGHOUT THE DAY audio/RES0082.mp3[25.920,34.280] OK AND SINCE THEN YOUVE DEVELOPED THIS NASAL CONGESTION AND SNEEZING AS WELL audio/MSK0008.mp3[706.600,712.360] OK UM AND THE IS THEIR FULL RANGE OF MOTION OF THE KNEE audio/MSK0011.mp3[291.160,295.280] OK ANY DIARRHEA CONSTIPATION audio/MSK0049.mp3[344.480,351.120] ALRIGHT UM AND HOW ABOUT ANY URINARY PROBLEMS audio/MSK0028.mp3[229.680,249.320] OK ALRIGHT WELL I SKIP LOOK AT THAT DURING THE PHYSICAL EXAM COMPONENT THANK YOU AND SO LIKE ARE YOU SEEING SWELL IS THERE LIKE SWELLING THERE IS AS WELL OR IS IS THAT PART PAINFUL audio/MSK0044.mp3[398.600,403.000] OKAY UM AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW audio/RES0099.mp3[561.280,566.520] YEAH SO NOBODY THAT YOURE AWARE OF WHOS BEEN SICK THOUGH audio/RES0126.mp3[845.120,851.440] GREAT ILL BE WITH YOU SHORTLY audio/GAS0005.mp3[341.880,347.400] HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES audio/RES0064.mp3[272.720,283.160] YEAH OTHERWISE HES A VERY HEALTHY CHILD WE HAVE RARELY GONE TO A DOCTOR FOR HIM BEFORE SO YEAH NOTHING NOTHING ELSE WITH HIM audio/RES0082.mp3[303.760,314.200] NO WE USED TO HAVE A CAT BUT UNFORTUNATELY WE WERE UNABLE TO KEEP IT BECAUSE ALLERGIES WERE SO BAD audio/RES0028.mp3[497.680,500.440] OK AND DO DRINK audio/RES0022.mp3[700.320,707.600] OK AND UM HAVE YOU BEEN ANYBODY SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/MSK0042.mp3[322.240,330.560] OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR UH ANY JOINT PAINS audio/RES0062.mp3[700.440,717.000] WELL I VISITED MY MOTHER AT A LONG TERM CARE FACILITY JUST THIS PAST WEEKEND SO I GUESS ABOUT JUST OVER A WEEK AGO I VISITED THERE audio/MSK0022.mp3[907.360,915.040] OK AND ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING LIKE THAT audio/RES0158.mp3[303.360,310.160] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST AT ALL audio/RES0067.mp3[120.240,122.800] OK ALRIGHT ANY COUGHING audio/RES0020.mp3[404.520,406.000] OK IS THAT TYPE 2 audio/MSK0018.mp3[143.560,146.200] UH WEIGHT LOSS audio/RES0076.mp3[47.960,55.760] ITS USUALLY A DRY COUGH BUT RECENTLY IVE BEEN BRINGING UP A LITTLE BIT OF BLOOD audio/RES0037.mp3[214.840,228.280] UH ITS PRETTY ITS PRETTY BAD ALL DAY ACTUALLY AND ITS BEEN IMPACTING MY SLEEP BECAUSE IVE BEEN COUGHING AT NIGHT TOO audio/RES0140.mp3[62.680,66.120] ANY URINARY SYMPTOMS audio/RES0030.mp3[236.480,249.880] UM I ONLY HAVE TROUBLE BREATHING IF I WALK A FEW BLOCKS OR GO UP A FEW FLIGHTS OF STAIRS INTO MY APARTMENT audio/RES0123.mp3[0.000,2.880] WHAT CAN I DO FOR YOU audio/MSK0013.mp3[193.080,195.840] OK HAVE YOU HAD ANY WHEEZING audio/RES0140.mp3[287.960,295.920] I USED TO SMOKE IN PROBABLY IN MY 20S AND 30S BUT THEN I STOPPED WHEN I HAD KIDS AND STUFF audio/RES0191.mp3[138.120,139.560] UH NO audio/MSK0032.mp3[405.400,409.600] OKAY UM AND DOES ANYONE AT HOME SMOKE audio/RES0003.mp3[344.720,354.840] NO OK AND THEN JUST HOW WAS PREGNANCY WITH HIM WAS IT NORMAL ANY COMPLICATIONS audio/RES0090.mp3[138.160,144.200] OK GREAT SO IT STARTED ONE YOU SAID AROUND ONE AND A HALF WEEKS AGO audio/RES0178.mp3[150.880,155.160] AH NOPE NO EAR PAIN OR OR DISCHARGE audio/RES0165.mp3[351.040,355.440] I WAS WORKING BEFORE THE SYMPTOMS STARTED audio/RES0111.mp3[164.800,168.000] ANY NAUSEA OR VOMITING audio/RES0112.mp3[381.360,383.440] OH UH NO ALLERGIES audio/RES0167.mp3[185.440,188.320] NO I DONT THINK SO audio/RES0099.mp3[570.000,575.520] YEAH AT HOME EVERYONES GOOD I KIND OF JUST DISTANCE MYSELF INTO LIKE ONE ROOM audio/RES0149.mp3[81.400,86.840] OK AND HAVE YOU BEEN HAVING ANY UH ANY CHEST PAIN audio/RES0163.mp3[293.720,305.400] OK UH AND OTHERWISE ANY RECENT TRAVEL OR IN CONTACT WITH ANYONE WHOS BEEN SICK audio/RES0050.mp3[39.840,52.080] UHM NO I WAS I DID GROCERIES I CAME HOME AND THEN I STARTED COUGHING A LITTLE BIT MORE AND I HAVENT BEEN ABLE TO STOP SINCE audio/RES0086.mp3[780.480,786.560] YEAH NO PROBLEM audio/RES0151.mp3[300.400,302.720] UHM NO NOTHING LIKE THAT audio/RES0018.mp3[148.600,151.560] OK I HAVE YOU HAD NIGHT SWEATS audio/RES0059.mp3[539.000,543.560] SURE AND AND WHERE DO YOU LIVE audio/RES0110.mp3[104.560,111.040] AND WHAT ABOUT THE COUGH DID THAT START AT THE SAME TIME AS THE AS THE DIFFICULTY WITH BREATHING audio/RES0019.mp3[35.200,46.160] OK UH AND UH IN TERMS OF THE HEADACHE UH DOES YOUR HEAD HURT IN ANY PARTICULAR LOCATION audio/RES0101.mp3[566.320,569.760] OK AND DO YOU DRINK ALCOHOL audio/RES0010.mp3[317.600,326.600] UH UH NO I THINK THATS GOOD YEAH YEAH I THINK I MEAN MOSTLY EATING LIKE REALLY COLD STUFF BUT I CAN TASTE IT ALL audio/MSK0024.mp3[361.120,370.800] IM TAKING SOME TIME OFF WORK UNTIL I FIGURE OUT WHAT THIS BACK PAIN IS audio/RES0111.mp3[282.440,288.280] AND UHM ARE YOU UM ARE YOU CURRENTLY LIVING ALONE OR DO YOU LIVE WITH SOMEONE audio/RES0139.mp3[410.040,417.000] OKAY UM OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0120.mp3[585.680,588.400] OKAY AND DO YOU DRINK ALCOHOL AT ALL audio/MSK0035.mp3[157.960,166.360] OK AND IS THE PAIN CONSTANT OR INTERMITTENT audio/RES0091.mp3[136.760,147.360] NO DIZZINESS I FEEL LIKE SOMETIMES I HAVE A HEADACHE THOUGH BECAUSE I FEEL LIKE THERES A LOT OF FLUID OR SOMETHING BACKED UP INTO MY SINUSES audio/RES0026.mp3[766.880,780.440] OK SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I I MAYBE FORGOT audio/RES0214.mp3[255.560,264.880] OK ALRIGHT ILL JUST KIND OF GO INTO OTHER THINGS JUST IN TERMS OF ANYTHING ELSE THAT YOU MIGHT HAVE HAD IN THE PAST UH HAVE YOU EVER BEEN HOSPITALIZED FOR ANY REASON IN YOUR LIFE audio/RES0015.mp3[83.720,100.240] UH ITS KIND OF JUST THERE BUT THEN WHEN ITS GETTING WORSE LIKE IT LASTS A COUPLE MINUTES TO I WOULD SAY LIKE 10 TO 15 MINUTES AND THEN IT GOES BACK TO LIKE JUST THE NORMAL BREATHLESSNESS audio/MSK0005.mp3[80.840,91.800] RIGHT OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN IS IT SHARP THROBBY ACHY audio/RES0060.mp3[619.280,627.480] OK SOUNDS GOOD HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST audio/MSK0016.mp3[819.520,823.200] UM HOW ABOUT WHEN YOU FLEX YOUR WRIST AND EXTEND YOUR WRIST audio/RES0034.mp3[352.480,361.000] OK AND UH I KNOW YOU SAID NO VOMITING BUT HAS SHE BEEN COUGHING UP ANY SPUTUM audio/RES0212.mp3[518.840,523.800] GOT IT GOT IT WELL SEE WHAT WE CAN DO OK THANK YOU VERY MUCH audio/MSK0022.mp3[76.160,94.560] YEAH I WOULD SAY IN THE MORNING TIME OR IF THERES ANY PERIOD OF TIME WHERE I IM LIKE SITTING AND RESTING FOR AWHILE AND I GET UP TO MOVE I HAVE A LOT OF STIFFNESS AND IT TAKES ME OVER AN HOUR SOMETIMES TO JUST GET MOVING audio/RES0009.mp3[384.960,398.560] REALLY IT WAS NOT REALLY LONG THAT I MAY BE A FEW DAYS I WASNT I WASNT WALKING AS MUCH BUT I THOUGHT IT WAS LIKE BACK TO MY NORMAL SELF audio/RES0193.mp3[690.320,692.320] OK GREAT THANK YOU audio/RES0072.mp3[274.800,279.160] OK AND IS IT CONSTANT OR DOES IT COME AND GO audio/RES0201.mp3[15.360,21.720] AWESOME OK IT SAYS HERE THAT YOU HAVE BEEN HAVING A SORE THROAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT audio/MSK0018.mp3[241.960,246.920] ANY FAMILY HISTORY OF MUSCULOSKELETAL DISEASES audio/RES0034.mp3[361.000,374.680] YEAH I WOULD SAY UH THIS GREEN SLIMY CONTENT YEAH ITS LIKE GREEN AND SLIMY audio/RES0179.mp3[291.520,292.840] NO DIARRHEA audio/RES0206.mp3[492.760,494.360] UH NO NO audio/RES0136.mp3[264.560,270.920] OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY FEVERS OR CHILLS audio/RES0187.mp3[175.920,190.720] AND I HAVE BEEN FEELING CHILLY OVER THE LAST FEW DAYS JUST I HAVE BEEN WEARING LIKE MULTIPLE LAYERS HAVING TO PUT ON AN EXTRA BLANKET SO I MIGHT HAVE BEEN HAVING A FEVER audio/MSK0009.mp3[280.760,285.760] OK HAVE YOU HAD ANY CHEST PAIN audio/RES0017.mp3[403.440,406.680] ALRIGHT AND HOW ABOUT WHEEZING audio/RES0101.mp3[224.200,234.160] HAVE YOU BEEN HAVING ANY CHEST PAIN OR OR SHORTNESS OF BREATH audio/RES0070.mp3[197.520,207.760] OK AND HAVE YOU HAD ANY LIKE VISUAL CHANGES audio/RES0098.mp3[404.560,409.400] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0013.mp3[540.480,542.840] AND FOR HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0003.mp3[409.400,412.920] OK AND WAS HE A NORMAL BIRTH WEIGHT audio/RES0091.mp3[195.400,197.880] HOW ABOUT FATIGUE OR DO YOU FEEL TIRED audio/MSK0037.mp3[281.880,286.960] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0209.mp3[451.160,454.320] OK HOW ARE YOU FINDING THAT audio/RES0122.mp3[170.000,172.120] ANY MUSCLE ACHES audio/RES0143.mp3[329.080,332.800] AND IN TERMS OF YOUR LIVING SITUATION DO YOU LIVE ALONE audio/RES0216.mp3[61.480,70.880] NO NOTHING IN PARTICULAR UM YEAH IT JUST KIND OF CAME ON AND NOW ITS BEEN PRETTY STEADY audio/MSK0036.mp3[504.040,515.480] OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR BODY PAINS audio/GAS0005.mp3[824.920,828.840] ALRIGHT SOUNDS GOOD THANK YOU SO MUCH audio/RES0118.mp3[187.720,189.560] UH NO audio/RES0061.mp3[795.360,800.080] UH HES 18 audio/RES0187.mp3[351.400,364.480] NO NOT THAT JUST LIKE UH SEASONAL ALLERGIES I SOMETIMES GET JUST ITCHY EYES AND RUNNY NOSE SNEEZING IN THE SPRINGTIME audio/MSK0022.mp3[389.200,397.080] OK ARE YOU FEELING ANY OTHER SYMPTOMS AT ALL LIKE FEVERS OR CHILLS audio/RES0158.mp3[244.720,249.000] OK ANY UM NIGHT SWEATS audio/MSK0050.mp3[453.480,454.520] UH NO audio/MSK0015.mp3[518.120,519.760] NO NOT THAT I KNOW audio/RES0213.mp3[465.600,471.840] OK AND WHEN YOURE PRETTY PREOCCUPIED DO YOU EVER GET THE CHEST PAIN audio/RES0109.mp3[253.800,258.240] 15 OK UM ARE YOU ON ANY MEDICATIONS audio/RES0039.mp3[497.560,506.160] OK OK UH IN TERMS OF YOUR OVERALL HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0109.mp3[322.440,325.520] UH JUST YOU KNOW JUST TO RELAX audio/RES0149.mp3[86.840,93.120] YEAH I KIND OF I GUESS IT JUST HURTS A LITTLE BIT WHEN I TAKE A WHEN I BREATHE IN audio/RES0119.mp3[45.120,66.560] UM THAT STARTED ABOUT THE SAME TIME LIKE I SHOULD I SHOULD MENTION SHE DOES HAVE LIKE EPISODES LIKE THIS UM SHES HAD EPISODES LIKE THIS FOR THE PAST LIKE 2 YEARS UH BUT THEY USUALLY GO AWAY IN A COUPLE OF DAYS BUT THIS TIME ITS ITS TAKING A LOT LIKE A LOT LONGER TO GO AWAY audio/RES0184.mp3[371.960,375.280] OK AND YOU SMOKE CIGARETTES audio/RES0204.mp3[366.960,368.120] NOPE NO audio/GAS0004.mp3[393.760,397.360] OK HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN audio/RES0204.mp3[271.040,274.520] OK HAVE YOU EVER BEEN IN THE HOSPITAL audio/RES0194.mp3[284.760,294.440] OK A DIARRHEA FOR SO JUST FOR THE PAST DAY HAVE YOU NOTICE ANY CHANGES IN COLOR OR HAVE YOU NOTICED ANY BLOOD IN IT audio/RES0197.mp3[54.920,61.840] OK AND SO HOW HOW LONG HAVE YOU BEEN SYMPTOMS WORSENING FOR audio/RES0066.mp3[3.880,33.000] WELL I THOUGHT I SHOULD START BY SAYING I WAS RECENTLY HOSPITALISED FOR PNEUMONIA I LEFT FIVE DAYS AGO BUT AS SOON AS I LEFT THAT EVENING I STARTED COUGHING AGAIN AND NOW I HAVE ALL THE SAME SYMPTOMS I HAVE A COUGH IM FEELING SHORT OF BREATH AND I HAVE A FEELING LIKE I HAVE A FEVER audio/RES0145.mp3[556.040,592.720] OK UHM ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SOUNDS LIKE LAST WEEK YOU HAD ITCHY EYES RUNNY NOSE YOU WERE SNEEZING AND YOU HAD A DRY COUGH AND THEN OVER TIME SOME OF THOSE SYMPTOMS RESOLVED AND YOU CONTINUED TO HAVE A COUGH THAT WAS ALSO GETTING BETTER BUT YOU THEN DEVELOPED A SORE THROAT AND YOU HAVE BEEN FEELING FEVERISH OVER THE PAST TWO DAYS DID YOU MEASURE DID YOU CHECK YOUR TEMPERATURE LAST WEEK audio/RES0038.mp3[459.280,462.640] UH NO MEDICATIONS audio/RES0029.mp3[170.080,174.960] OK HOW ABOUT ANY FEVER CHILLS audio/RES0047.mp3[495.480,509.840] YEAH THERES ONE FOR BLOOD PRESSURE UM AND I TAKE VITAMIN UM AND THATS IT audio/RES0038.mp3[45.880,63.520] IT IT COMES AND GOES I WOULD SAY SOMETIMES IT CAN BE WORSE YEAH DEPENDING ON ON WHAT IM WHAT IM DOING I GUESS IF IM EXERCISING OR IF ITS IF ITS REALLY COLD OUTSIDE IT MIGHT GET WORSE audio/RES0065.mp3[430.360,440.960] UHM I KNOW THERES SOME ASTHMA AND ECZEMA THAT RUN IN THE FAMILY TOO audio/RES0205.mp3[12.880,19.280] I KNOW THAT YOUVE BEEN HAVING EXPERIENCING A COUGH CAN YOU TELL ME A LITTLE BIT ABOUT THAT audio/RES0143.mp3[303.840,310.040] ALLERGIES INCLUDING ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES AND ALLERGIES TO MEDICATIONS audio/RES0093.mp3[3.120,13.760] YEAH SO IVE HAD THIS COUGH THAT STARTED WITHIN THE LAST DAY AND UHM IVE ALSO BEEN PARTICULARLY SHORT OF BREATH AS WELL audio/MSK0005.mp3[140.040,148.240] OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN audio/RES0165.mp3[314.720,322.200] OK ANY PREVIOUS SO SORRY ARE YOU TAKING ANY MEDICATIONS AT ALL RIGHT NOW audio/RES0025.mp3[221.120,226.280] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0008.mp3[42.200,45.520] OK IN WHAT WAY IS THIS DIFFERENT audio/MSK0031.mp3[212.720,213.880] UH NO audio/MSK0028.mp3[395.400,413.640] JUST JUST IN THE IN THAT AREA I CANT REALLY LIKE I CANT REALLY FLEX AN REALLY MOVE MY UPPER UPPER ARM IN MY ELBOW audio/RES0189.mp3[533.400,548.720] YEAH SO I I CURRENTLY LIVE ALONE IN IN AN APARTMENT JUST IN THE CITY AND YEAH IVE BEEN LIVING ALONE FOR PROBABLY THE LAST FIVE YEARS audio/RES0025.mp3[313.800,315.880] ANY SHAKES audio/MSK0049.mp3[78.240,86.120] I WOULD SAY SO SLOWLY GETTING WORSE audio/RES0007.mp3[166.480,170.360] YEAH MOSTLY JUST WITH THE CAT audio/RES0163.mp3[111.240,121.120] SOMETIMES I GET A LITTLE BIT BLEEDING audio/RES0071.mp3[485.680,495.560] OK WERE YOU ON ANY KIND OF MEDICATIONS OR ANTIBIOTICS AT ALL audio/RES0125.mp3[26.240,36.440] OKAY YEAH SO ITS BEEN GOING ON FOR LIKE MORE THAN A WEEK UM CAN YOU DESCRIBE TO ME WHAT KIND OF COUGH YOURE HAVING IS IT LIKE A WET COUGH OR A DRY COUGH audio/RES0205.mp3[468.960,482.800] OK WELL IM GONNA HAVE A QUICK LISTEN TO YOUR HEART AND LUNGS ILL DO A QUICK PHYSICAL EXAM AND THEN I WILL GO GET THE DOCTOR THAT IM WORKING WITH ALL KIND OF GO OVER EVERYTHING YOU TALKED ABOUT AND THEN WELL COME BACK AND TALK TO YOU ABOUT WHERE TO GO FROM HERE audio/RES0039.mp3[615.160,623.960] OK AND SO DO YOU WORK RIGHT NOW OR YOU JUST A STUDENT RIGHT NOW audio/RES0179.mp3[322.760,335.520] NO I MEAN SOMETIMES I CAN HAVE A I MEAN HARDER TIME TO GO CAUSE AS AN OLD GUY HAVE LARGE PROSTATE I THINK THEY SAID BUT I MEAN THATS BEEN OK audio/MSK0025.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY audio/RES0210.mp3[251.680,266.640] OK AND IM JUST GOING TO CIRCLE BACK TO THIS CHEST PAIN YOU SAID YOU FEEL IT ON THE RIGHT SIDE IS IT ALWAYS THERE OR IS IT JUST WHEN YOU TAKE A DEEP BREATH OR IS IT KIND OF ON AND OFF audio/RES0197.mp3[205.840,214.920] OK OK AND HAS THE VENTILIN BEEN HELPING AT ALL OR DO YOU FIND THAT ITS LESS EFFECTIVE audio/RES0021.mp3[94.040,100.880] UM I DONT I DONT THINK SO UM NO I DONT THINK SO audio/MSK0029.mp3[604.160,605.520] BUT YEAH audio/RES0058.mp3[96.200,101.040] OK AND DO YOU HAVE A FEVER AT ALL audio/MSK0006.mp3[418.240,422.440] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0076.mp3[246.680,254.880] IT KINDA COMES AND GOES IVE HAD THAT PROBLEM FOR THE LAST TWO MONTHS OR SO audio/MSK0050.mp3[239.920,244.280] NO NOTHING THAT I CAN THINK OF audio/RES0129.mp3[177.120,180.520] OK ANY DISCHARGE OH SORRY GO AHEAD audio/RES0032.mp3[310.920,315.640] I FEEL LIKE IVE BEEN EATING OK REGULAR DIET audio/RES0155.mp3[672.120,683.480] NO THAT WAS UH ABOUT IT I WAS UH I WAS WONDERING IF YOU THINK I I HAVE AN INFECTION OR IS THIS UH COPACTING UP OR WHATS GOING ON audio/MSK0026.mp3[610.400,627.880] UM SO JUST BELOW THAT KNEECAP AREA THERE IS SOME SWELLING THERE AND WHEN I PRESS DOWN ON THAT SWOLLEN AREA IT CAUSES A BIT OF PAIN audio/RES0052.mp3[272.920,278.800] UM SHE DID FEEL A LITTLE BIT HOT BUT I DIDNT TAKE HER TEMPERATURE audio/RES0096.mp3[192.080,199.800] OK IS THIS A CHANGE FROM PREVIOUSLY DID YOU HAVE A DRY COUGH BEFORE audio/RES0106.mp3[128.200,135.840] UH NO NOT REALLY IVE HAVENT BEEN FATIGUED I THINK IM IM FINE AND FEEL NORMAL OTHER THAN THE COUGH OF COURSE audio/RES0046.mp3[698.240,717.560] OK WELL CONGRATS THATS A BIG FEAT UM IF YOU NEED ADDITIONAL RESOURCES TO TRY AND HELP YOU QUIT PLEASE DO LET US KNOW UM I WILL ASK YOU MY NEXT QUESTION THEN UM DO YOU DO MARIJUANA AT ALL audio/RES0009.mp3[594.920,610.560] OK UM SO THE NEXT FEW QUESTIONS I JUST WANTED TO ASK ABOUT YOUR PERSONAL AND KIND OF LIFESTYLE HABITS A LITTLE BIT BUT FIRST COULD YOU TELL ME ABOUT YOUR LIVING SITUATION audio/RES0005.mp3[197.400,203.240] OK HAVE YOU BEEN DIAGNOSED WITH CHRONIC BRONCHITIS BEFORE audio/RES0141.mp3[225.000,231.480] OKAY UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/MSK0014.mp3[774.320,785.280] NO YEAH NO I WAS JUST I I JUST DONT KNOW IF LIKE THIS IS SERIOUS AND IF I NEED SURGERY OR SOMETHING BECAUSE ITS BEEN REALLY PAINFUL audio/MSK0014.mp3[137.880,143.000] UHM I DONT THINK SO NO audio/RES0189.mp3[642.880,657.880] UHM NOT I MEAN LIKE NO LUNG CONDITIONS BUT I HAVE A FAMILY HISTORY LIKE MY BOTH MY GRANDATHER AND FATHER BOTH HAD HEART ATTACKS IN THEIR 60S audio/RES0143.mp3[447.960,507.320] THATS GOOD ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A COUGH FOR THE PAST TWO WEEKS AND YOU UH HAVE DEVELOPED A RUNNY NOSE LAST WEEK AND YOUR MOM WAS ILL THE WEEK BEFORE ITS POSSIBLE THAT YOU JUST HAVE A COMMON COLD UH AND THAT SYMPTOMS WILL GET BETTER OVER TIME BUT JUST IN CASE WE WOULD ALSO LIKE TO DO A COVISWAB UM TO MAKE SURE THAT YOU JUST TO RULE OUT COVIIN THE MEANTIME I WOULD REQUEST THAT YOU ISOLATE SELF ISOLATE AT HOME STAY AWAY FROM YOUR PARENTS AS WELL UM THE TEST RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND PUBLIC HEALTH WILL GIVE YOU A CALL IF YOUR RESULTS ARE POSITIVE AND WELL LET YOU KNOW WHAT TO DO UM WE WILL ALSO DO A PHYSICAL EXAM HERE AND CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AT ALL AND UM YEAH DOES THAT SOUND GOOD TO YOU audio/RES0173.mp3[292.080,293.600] OH YEAH audio/RES0009.mp3[65.800,101.880] LIKE WHEN I WHEN IT STARTED I WAS JUST I WAS JUST LIKE SITTING ON MY COUCH UM AND NOW ITS HARDER IF IM ITS WORSE IF IM WALKING AROUND LIKE IF I WALK JUST DOWN THE STREET TO GET THE MAIL BUT OTHERWISE ITS KIND OF KIND OF JUST THERE LIKE I TOOK SOME TYLENOL AND ADVIL AND THEY MAYBE TAKE THE EDGE OFF A LITTLE BIT BUT ITS ALWAYS THERE AND ITS WORSE WHEN I WHEN I TAKE A DEEP BREATH THEN I REALLY FEEL IT audio/MSK0010.mp3[46.680,64.720] UHM I HAVE BEEN JUST GOING TO THE GYM MORE FREQUENTLY OVER THE LAST FEW MONTHS AND LIFTING WEIGHTS AND THINGS LIKE THAT BUT JUST THIS WEEK I WASNT EVEN REALLY ABLE TO DO THAT EITHER audio/RES0110.mp3[677.000,692.000] AND UH ARE YOU ABLE TO TAKE CARE OF THINGS LIKE UH DRESSING UH CHANGING GOING TO THE BATHROOM ON YOUR OWN DO YOU NEED HELP audio/RES0069.mp3[432.040,437.080] NO THATS ABOUT IT audio/RES0055.mp3[443.360,444.400] OK SURE YEP audio/RES0014.mp3[330.520,332.040] NO NEVER audio/RES0049.mp3[0.000,2.280] WHAT BRINGS YOU IN audio/RES0056.mp3[127.680,132.480] OK IS IT EVER GREEN OR DO YOU EVER SEE BLOOD IN THERE audio/RES0110.mp3[239.760,247.400] NO NO I HAD TURNED IT OFF I JUST FORGOT I LEFT LIKE THE POT ON THE STOVE AND MADE DINNER audio/RES0068.mp3[302.520,306.360] ANY ISSUES WITH URINATING audio/RES0174.mp3[671.080,677.000] OH YEAH HE WAS A BIG SMOKER audio/RES0020.mp3[668.720,672.600] ALRIGHT AND ANYBODY HAVE ANY LUNG CONDITIONS audio/RES0171.mp3[526.440,530.360] NO I I HAVENT HAD ANYTHING LIKE THAT audio/RES0021.mp3[108.080,121.680] MAYBE LIKE 10 YEARS AGO WHEN I HAD SOME SORT OF VIRAL INFECTION THEY SAID UM I HAD A DRY COUGH BUT NOTHING TO THIS EXTENT audio/RES0205.mp3[311.880,315.120] OK AND WHAT DO YOU DO FOR YOUR REFLUX audio/CAR0002.mp3[191.480,194.200] OK SO BUT THE PAIN JUST STARTED HALF AN HOUR AGO audio/MSK0033.mp3[191.200,203.160] OK AND UH HAVE YOU TRIED ANYTHING THAT IMPROVES THE PAIN AT ALL OR ANYTHING THAT MAKES IT WORSE audio/RES0183.mp3[600.000,605.800] UH NO THAT WAS KIND OF IT WHAT SHOULD I DO FOR HIM audio/RES0191.mp3[128.400,131.240] OK HAVE YOU HAD A SORE THROAT audio/RES0193.mp3[210.400,213.360] OK ANY CHANGES IN HIS BOWEL MOVEMENTS audio/RES0166.mp3[392.240,394.320] UHM NO I DONT audio/MSK0020.mp3[920.200,923.120] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH audio/MSK0034.mp3[470.480,472.960] I DO audio/RES0105.mp3[280.440,284.600] OK AND HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0192.mp3[219.280,227.720] OK HOW ABOUT UM ANY CHANGES TO OR HAVE YOU HAD ANY LOSS OF SMELL OR ANY LOSS OF TASTE audio/RES0197.mp3[354.600,359.200] OK AND CURRENTLY LIKE WHO DO YOU LIVE WITH audio/RES0069.mp3[162.680,169.320] I GUESS YEAH NOW THAT I THINK ABOUT IT audio/RES0027.mp3[352.840,359.040] ALRIGHT AND THEN HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0137.mp3[286.640,293.000] OKAY ANY UM ANY TROUBLE WITH URINATING AT ALL audio/RES0120.mp3[283.280,291.360] NO NOT REALLY I GUESS ITS I GET TIRED WITH THE SHORTNESS OF BREATH audio/RES0123.mp3[259.320,269.840] UH THEYRE PRETTY MUCH LIKE CONSTANT THROUGHOUT THE DAY audio/RES0213.mp3[61.000,83.920] YEAH ITS UH NO ITS ITS PRETTY ITS PRETTY WELL IT SEEMS THE SAME EACH TIME IT KIND OF LASTS LIKE 20 MINUTES OR SO UM AND IVE TRIED TYLENOL AND IVE TRIED ADVIL UM AND IVE EVEN TRIED LIKE A LIKE AN ALKASELTZER AND IT HASNT REALLY HELPED VERY MUCH audio/MSK0001.mp3[264.240,268.480] OK ANY RECENT INFECTIONS THAT YOU KNOW OF audio/GAS0003.mp3[174.000,180.320] I TRIED TYLENOL BUT THAT DIDNT DO ANYTHING audio/RES0019.mp3[151.040,165.800] OK AND HOW WOULD YOU RATE IT IN TERMS OF SEVERITY WITH 10 BEING THE MOST SEVERE THAT YOU COULD POSSIBLY HAVE AND ONE BEING NOT PAINFUL AT ALL HOW WOULD YOU RATE IT audio/RES0144.mp3[140.720,156.040] PROBABLY AROUND THE SAME LIKE USUALLY HAS LIKE FIVE TO SIX WEIGHT DIAPERS AND ITS AROUND THE SAME audio/RES0014.mp3[317.520,327.160] NO NOTHING LIKE THAT I THINK ITS MAINLY JUST WORSE IF I GO OUT IN THE COLD OR IM LIKE RUNNING AROUND DOING MORE ACTIVITIES audio/RES0168.mp3[317.360,330.680] AND LIKE I WENT TO THE EMERGENCY DEPARTMENT ONCE WHEN I HAD A BAD SINUS INFECTION BUT I DIDNT LIKE STAY OVER AT THE HOSPITAL audio/RES0100.mp3[666.080,668.000] AND DO YOU SMOKE CIGARETTES audio/MSK0041.mp3[493.880,512.040] OK ALRIGHT AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW WHO YOURE LIVING WITH AND AND WHERE audio/RES0035.mp3[142.920,150.280] JUST RESTING OK HOW MUCH CAN YOU WALK OR RUN UNTIL YOU FEEL THE COUGHING OR SHORTNESS OF BREATH audio/RES0011.mp3[380.840,392.560] UH NOT LIKE IVE BEEN FEELING REALLY TIRED BUT ITS NOT BEEN LIKE I DONT THINK ITS BEEN LIKE FAINTING audio/RES0057.mp3[153.080,160.440] OK AND IS THERE ANYTHING THATS MAKING THE COUGH BETTER DID YOU TAKE ANYTHING ANY MEDICATIONS FOR IT audio/MSK0027.mp3[219.120,223.080] OK HAS SHE HAD ANY NIGHT SWEATS audio/RES0065.mp3[164.840,172.120] ANYTHING THAT MAKES YOUR SORE THROAT WORSE audio/RES0019.mp3[502.560,507.960] ALRIGHT AND IN IN THE HOME IS THERE ANYBODY WHOS SICK RIGHT NOW audio/RES0076.mp3[243.680,246.680] OK AND WHEN DID YOU START FEELING NAUSEOUS audio/RES0163.mp3[546.080,614.240] OK SO THERE CAN BE MANY DIFFERENT REASONS FOR THIS CHRONIC CONGESTION AND WELL DO A FULL PHYSICAL EXAMINATION FOR YOU TODAY UH AND SOME OF THE POSSIBLE THINGS THAT CAN BE HAPPENING IS YOU MIGHT BE HAVING A SINUS ISSUE LIKE A CHRONIC SINUSITIS YOU CAN BE HAVING AN ALLERGIC RHINITIS OR WITH THE SNORING AND JUST THE CHRONIC CONGESTION YOU MAY BE ALSO HAVING SOMETHING CALLED OBSTRUCT OBSTRUCTIVE SLEEP APNEA AND THERE CAN BE STRUCTURES IN YOUR MOUTH THROATS THAT CAN CAUSE YOU TO KIND OF OBSTRUCT AND SNORE AT NIGHT AS WELL AND THAT EVEN THE CONGESTION MIGHT CAUSE THAT AS WELL SO YEAH WELL DO A COUPLE TEST FIRST AND THEN IF REQUIRED WE MIGHT NEED TO DO SOME IMAGING AND EVEN PERHAPS SEND YOU TO AN EMT SPECIALIST IF WE THINK ITS OBSTRUCTIVE SLEEP APNEA THERE FOR NOW WELL JUST DO THE PHYSICAL EXAMINATION TO GO FROM THERE audio/MSK0014.mp3[670.360,693.560] OH OK THATS GOOD AND ALRIGHT SO I JUST WANTED TO THE I GUESS PHYSICAL EXAM PIECE YOUVE ALREADY MENTIONED THAT ITS RED ITS SWOLLEN AND IS WARM TO TOUCH COMPARED TO THE OTHER KNEE AND UM PAINFUL TO MOVE ARE YOU HAVING ANY LIMPING WITH YOUR GAIT audio/MSK0045.mp3[264.000,267.600] NO OK SO ITS MAINLY JUST THE SHOULDER PAIN audio/RES0165.mp3[0.000,2.160] WHAT BRINGS YOU IN HERE TODAY audio/RES0045.mp3[509.520,514.040] UH NO audio/RES0163.mp3[2.640,35.320] HEY I JUST UM I JUST KIND OF CAME IN TO TALK ABOUT MY STUFFY NOSE ITS YEAH ITS BEEN A PROBLEM FOR I DONT EVEN KNOW HOW MANY YEARS ITS ALWAYS BEEN THERE AND NOW THAT SCHOOL IS A LITTLE LESS BUSY AND THINGS ARE VIRTUAL AND HAVE MORE TIME I DECIDED ILL GET SOMETHING DONE UM TO GET IT FIXED audio/RES0118.mp3[379.480,386.800] UM I LIVE IN AN APARTMENT WITH UM MY PARTNER AND WE HAVE A DOG audio/RES0194.mp3[0.000,2.280] WHAT BRINGS YOU IN HERE TODAY audio/RES0025.mp3[362.640,374.680] NO I HAVENT NOTICED ANY CHANGES TO THOSE audio/RES0037.mp3[10.960,19.440] OK AND HOW MANY MONTHS HAVE YOU BEEN COUGHING FOR audio/RES0138.mp3[510.400,525.080] OKAY SO YEAH THERES DEFINITELY LIKE THE COUGHING AND SHORTNESS OF BREATH ARE DEFINITELY CONCERNING AND THEYVE BEEN GOING ON FOR A PRETTY LONG TIME DO YOU EVER HAVE ANY NIGHT SWEATS OR ANYTHING LIKE THAT audio/RES0183.mp3[85.160,98.520] OK UH AND ANY CHANGES TO UH TO THE VOICE OR UHM YEAH LIKE THIS IS SAYING DOES HE SOUND ANY DIFFERENT LIKE A HOT POTATO VOICE audio/RES0215.mp3[434.680,440.640] ITS BEEN ACROSS DIFFERENT SETTINGS BUT I WILL SAY ITS WORSE WHEN UM WHEN WHEN THERES COLDER WEATHER audio/RES0148.mp3[273.760,290.040] YEAH UM YEAH I MEAN WHEN I I GUESS I GET SICK I DO GET SIMILAR SYMPTOMS LIKE WHEN I GET THE COLD OR THE FLU BUT I USUALLY HAVE LIKE A RUNNY NOSE UM OR LIKE A STUFFY NOSE BUT THATS KIND OF DIFFERENT THIS TIME A LITTLE BIT audio/RES0139.mp3[29.040,36.840] OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR BLOOD AT ALL audio/RES0020.mp3[451.280,459.400] YES I TAKE SOME VITAMINS AND YOU KNOW LIKE VITAMIN AND CALCIUM BUT THATS IT audio/MSK0029.mp3[1111.000,1114.640] OK YEAH NO WORRIES audio/RES0121.mp3[28.200,33.840] ITS DRY OKAY UM ARE YOU COUGHING UP BLOOD AT ALL audio/RES0161.mp3[68.840,74.200] HOW IM NOT SURE ACTUALLY audio/RES0161.mp3[464.960,467.000] GREAT SOUNDS GOOD THANK YOU audio/MSK0015.mp3[592.800,597.920] OK UM OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS audio/RES0073.mp3[470.560,495.960] AT THAT TIME IT KIND OF JUST WENT AWAY ON ITS OWN IT GOT BETTER I FEEL ITS DEFINITELY WORSE THIS TIME BUT AT THAT TIME I DIDNT EVEN GO TO THE DOCTOR IT KIND OF JUST WENT AWAY audio/RES0136.mp3[40.320,59.840] OKAY SO IT HAPPENED AFTER YOU HAD WOKEN UP AND GOTTEN OUT OF BED AND UM SO CAN YOU DESCRIBE YOUR COUGH A LITTLE BIT IS IT WET OR IS IT DRY audio/MSK0001.mp3[351.360,359.920] UH MAYBE ITS TAKING THE EDGE OFF A LITTLE BIT BUT IT HASNT DONE TOO MUCH UH TO HELP THE PAIN audio/RES0144.mp3[325.960,338.880] OK HAS YOU SAID THAT HE HASNT HAD HIS FORMULA MUCH BUT WHAT ABOUT DRINKING LIKE HAS HE HAD ANYTHING TO DRINK ANY MILK OR ANYTHING LIKE THAT OR NO audio/RES0063.mp3[61.840,71.560] A LITTLE BIT WITH SOLIDS WITH A SORE THROAT BUT LIQUIDS IM DOING OK RIGHT NOW audio/RES0051.mp3[382.760,389.560] AWESOME AND HAS THERE BEEN ANYBODY IN YOUR CLASS WHOS BEEN SICK audio/MSK0036.mp3[803.520,829.400] OK UH AND IS THERE ANY UH SO THAT THEN THE NEXT TEST ILL JUST ASK YOU TO JUST TAP ON THE THE KIND OF BASE OF YOUR PALM THERE WITH YOUR INDEX FINGER AND MIDDLE FINGER OF YOUR LEFT HAND AND WHEN YOU DO THAT DO YOU FEEL ANY BURNING OR TINGLING audio/RES0118.mp3[194.320,195.920] ANY UH HEADACHES audio/RES0200.mp3[474.960,478.080] JUST YOUR FATHER OK HOW MUCH DO YOU SMOKE audio/RES0179.mp3[203.160,213.880] UH YEAH ACTUALLY I HAD A STRESS TEST ABOUT A YEAR AGO AND IT THE RESULTS OF THAT WERE WERE NORMAL audio/RES0183.mp3[224.600,229.600] OK HOW IS HIS LIKE MOOD AND BEHAVIOUR BEEN audio/GAS0003.mp3[34.840,49.280] OH I GUESS ITS A ITS AN ACHING PAIN ID SAY IT KIND OF JUST UM IT WOULD INITIALLY JUST COME AND GO BUT NOW ITS JUST ITS STAYING ITS NOT GOING AWAY audio/MSK0015.mp3[765.520,879.200] YEAH CERTAINLY SO A COUPLE OF THINGS THAT IT COULD BE ONE IS THAT IT CAN BE COMMON IN THIS AGE GROUP IS SOMETHING CALLED TRANSIENT SYNOVITIS WHERE WHICH CAN HAPPEN IN THE HIP WHERE THERES SOME INFLAMMATION AND IT CAUSES SOME PAIN FOLLOWING A VIRAL INFECTION AND IT SOUNDS LIKE SHE HAD A VIRAL INFECTION LAST WEEK WITH THE COUGH FEVER AND AND RUNNY NOSE AND HER SHE WAS FEELING A BIT WARM AND MAYBE FEVERISH TODAY AS WELL WHICH COULD BE A SIGN WITH THE LOWER KIND OF SLIGHTLY ELEVATED TEMPERATURE POINTING TOWARDS TRANSIENT SYNOVITIS WHICH IS A CONDITION THAT WILL BE SELF LIMITING AND CAN USE ANTI INFLAMMATORIES TO HELP WITH THE PAIN SUCH AS IBUPROFEN BUT ALSO SOMETHING THAT WOULD BE IMPORTANT TO RULE OUT WOULD BE IS SEPTIC ARTHRITIS BECAUSE IT COULD COULD LEAD TO DAMAGE OF THE JOINT BUT THIS WILL BE LOWER ON THE DIFFERENTIAL AND THEN FINALLY SOMETHING TO CONSIDER IS LEGGCALVEPERTHES DISEASE AND BUT THIS WOULD BE MORE OF PROGRESSIVE ONSET BUT IF SHES NOT GETTING ANY BETTER AND OR IF SHE BECOMES MORE SICK LIKE DEVELOPS A REALLY HIGH FEVER OR A RED HOT SWOLLEN JOINT THEN WED BE THINKING MORE ALONG THE LINES OF SEPTIC ARTHRITIS AND WE WANT TO REASSESS audio/MSK0017.mp3[291.640,295.680] UM RASHES audio/RES0127.mp3[110.480,117.040] ITS USUALLY WORSE AROUND SPRINGTIME audio/RES0131.mp3[519.800,521.840] OKAY OKAY WOW CONGRATS audio/MSK0021.mp3[162.480,168.520] ANY JOINT PAINS OR MUSCLE ACHES OUTSIDE OF THE AREA OF THIS LEFT KNEE audio/GEN0001.mp3[344.920,351.000] ANYTHING ELSE THEYVE USED RECENTLY LIKE ANY MEDICATIONS YOURE ON RIGHT NOW I SUPPOSE audio/RES0044.mp3[43.920,48.400] OK IS IT A DRY COUGH OR A WET COUGH audio/RES0062.mp3[56.400,59.680] OK SO YEAH YELLOWISH GREEN YOU SAID audio/RES0057.mp3[247.800,262.960] AND SO YOU TALKED ABOUT BEING TIRED HAVING A HEADACHE DIFFICULTIES BREATHING AND COUGHING OVER THE PAST THREE DAYS HAVE ANY OF THESE SYMPTOMS GOTTEN WORSE OVERTIME audio/MSK0035.mp3[565.880,569.800] OK ALRIGHT AND BUT THERES NO SWELLING THERE audio/RES0131.mp3[524.080,527.120] UM AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH audio/MSK0032.mp3[295.480,300.360] OKAY AND NO ISSUES AS A NEONATE audio/RES0055.mp3[324.280,337.280] I DO HAVE SOME HIGH BLOOD PRESSURE WHICH I TAKE I THINK I TAKE ONE OF THESE MEDICATIONS CALLED METOPROLOL audio/RES0099.mp3[389.200,394.960] YEAH IVE BEEN ON METFORMIN audio/MSK0001.mp3[151.680,156.120] UH ITS ITS A UH AN ACHING PAIN audio/RES0210.mp3[335.360,342.200] OK AND DO YOU KNOW THE NAMES OF ANY MEDICATIONS THAT YOU TAKE audio/RES0108.mp3[352.320,357.600] NO OK AND WHERE DO YOU LIVE RIGHT NOW audio/RES0110.mp3[709.440,713.440] NO IVE BEEN TRYING TO STAY AT HOME BECAUSE OF COVID audio/MSK0019.mp3[200.240,202.440] NO ANY HEADACHES audio/RES0092.mp3[325.040,330.320] SOMETIMES YEAH I I WILL WITH FRIENDS KIND OF SOCIALLY audio/RES0127.mp3[125.560,128.640] OK AND ARE YOU BRINGING UP ANY SPUTUM audio/RES0010.mp3[423.600,432.560] YEAH YEA AND DO DO YOU DO YOU KNOW IF THEYVE BEEN RECENTLY TESTED OR IF THEY MIGHT HAVE HAD CONTACT WITH ANYONE UM WHO MAYBE audio/RES0164.mp3[379.640,383.280] ANY CHANGES IN HIS URINATION audio/RES0001.mp3[159.120,171.280] NO WHEEZING OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST THE MOST SEVERE HOW BAD IS YOUR SHORTNESS OF BREATH audio/MSK0037.mp3[412.400,415.240] NO NOTHING LIKE THAT audio/MSK0037.mp3[58.840,68.560] ABOUT TWO MONTHS AGO AND ITS THE 4TH AND 5TH DIGITS OR ANY OTHER FINGERS INVOLVED OR ANY PARTS OTHER PARTS OF YOUR HAND audio/RES0008.mp3[45.520,57.240] ITS BEEN HAPPENING MORE OFTEN THROUGHOUT THE DAY AND AND BRINGING UP MORE MORE MUCUS IT SEEMS LIKE audio/RES0153.mp3[126.320,134.960] OK UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS audio/RES0089.mp3[480.840,486.320] NO NO CHANGE IN APPETITE audio/RES0064.mp3[447.280,457.240] OKAY WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR HIM ANYTHING THAT YOU WANTED TO ADD OR ANYTHING THAT I MISSED TODAY audio/RES0135.mp3[54.800,63.840] YEAH AND NOW I SHOULD MENTION LIKE UM I CHECKED TODAY AND SHE DIDNT HAVE A FEVER TODAY BUT SHE SOUNDS REALLY WHEEZY NOW audio/MSK0024.mp3[505.560,514.080] OK ALRIGHT SO AND THEN UH BENDING DOWN YOU SAID HURTS MORE THAN STANDING UP OR EXTENDING YOUR BACK RIGHT audio/RES0004.mp3[191.240,210.360] UH HUH YEAH ITS PRETTY WELL I MEAN ITS KIND OF UM SPREAD OUT OVER OVER AN AREA LIKE ITS NOT ALL CONTINUOUS I GUESS YOU CAN KIND OF SEE PATCHES OR BLOTCHES audio/MSK0050.mp3[299.720,303.200] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0138.mp3[399.520,402.920] UH THEY PUT IN I THINK THEY PUT IN STENTS audio/RES0112.mp3[341.160,343.960] ANY SURGERIES audio/RES0034.mp3[672.960,679.000] OK SO NO GESTATIONAL DIABETES OR HYPERTENSION audio/RES0021.mp3[408.360,418.280] OK AND SO UH ARE THERE ANY OTHER MEDICATIONS THAT YOU THAT YOU TAKE EITHER OVER THE COUNTER OR PRESCRIPTION BESIDES THE DMARD audio/RES0001.mp3[614.000,617.800] YEAH ANYTHING LIKE THAT THAT YOU KNOW OF audio/RES0064.mp3[203.040,208.920] OK HAVE ANY CONFUSION OR MEMORY LOSS audio/RES0057.mp3[513.400,517.480] ANY REASON FOR THAT audio/RES0125.mp3[77.760,80.120] NO IT WAS WATERY audio/RES0162.mp3[157.240,171.840] NO NONE OF THOSE BUT I DID IT INITIALLY I USED TO GET JUST AN IRRITATION IN MY THROAT BUT NOW ITS JUST MORE OF A COUGH audio/RES0044.mp3[608.080,613.640] OK UM AND DO YOU SMOKE audio/RES0139.mp3[455.200,459.520] UM AND UH DO YOU USE SO NO OTHER RECREATIONAL DRUGS RIGHT audio/RES0198.mp3[71.760,75.000] UH NO ITS JUST MOSTLY FOR MY NOSE audio/RES0135.mp3[360.840,377.680] I MEAN WHEN SHE WAS A FEW MONTHS OLD SHE HAD SIMILAR SYMPTOMS UM AND SHE WAS LIKE HOSPITALIZED FOR MAYBE A DAY OR TWO BUT SHE BECAME BETTER audio/RES0169.mp3[308.840,317.520] UHM I MEAN MAYBE AT THE SCHOOL OR SOMETHING LIKE THAT BUT I CANT THINK OF ANYBODY WHO WHOS BEEN SICK audio/RES0204.mp3[456.480,459.920] THANK YOU GUYS FOR CHATTING WITH ME audio/RES0192.mp3[25.000,32.720] OK HOW FAR ARE YOU ABLE TO WALK BEFORE YOU GET SHORTER BREATH OR HOW MANY FLIGHTS OF STAIRS ARE YOU ABLE TO DO audio/RES0045.mp3[394.000,398.800] NO OK ANY ABDOMINAL PAINS audio/MSK0021.mp3[311.000,318.280] OK OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS audio/RES0189.mp3[431.880,443.600] OK SO YOU TAKE MEDICATIONS FOR CHOLESTEROL AND HIGH BLOOD PRESSURE AND YOU USE ANY INHALERS audio/MSK0007.mp3[247.040,250.640] HAVE YOU HAD ANY HEART PALPITATIONS audio/RES0171.mp3[144.240,154.760] OK ANY OTHER FLU LIKE SYMPTOMS RUNNY NOSE STUFFY NOSE SORE THROAT ANYTHING LIKE THAT audio/RES0030.mp3[451.680,457.040] OK AND HAVE YOU HAD ANY OTHER SURGERIES OTHER THAN YOUR CSECTION audio/RES0176.mp3[679.080,723.080] ALRIGHT SO WE WILL DO SOME PULMONARY FUNCTION TESTING AND GET SOME IMAGING OF YOUR LUNGS TODAY AS WELL AS AN ECG AND MAYBE A MONITOR FOR YOUR HEART AS WELL TO JUST CHECK YOUR HEART RACING FOR THE NEXT 48 HOURS MENTIONING THAT YOUR HEART WAS RACING AND SO TO RULE OUT THAT ANY ABNORMAL RHYTHMS OF YOUR HEART OR TO CHECK FOR THAT AND WE WILL KIND OF GO FROM THERE DID YOU HAVE ANY QUESTIONS audio/RES0069.mp3[286.400,293.440] WELL YEAH I USUALLY GET A COLD ONCE A YEAR IN THE FALL IT DOES FEEL SIMILAR TO THAT audio/RES0135.mp3[556.320,559.960] NO NO audio/RES0063.mp3[128.120,131.560] NO I PROBABLY HAVE GAINED WEIGHT audio/RES0135.mp3[439.760,443.680] IT WAS UH FULL TIME AND IT WAS VAGINAL audio/MSK0014.mp3[353.560,360.960] OK AND HAVE YOU HAD ANY CHANGES TO YOUR MEMORY OR ANY CONFUSION audio/RES0018.mp3[128.800,134.960] OK AND YEAH YOU MENTIONED YOU HAD A FEVER BUT DID HAVE YOU CHECKED YOUR TEMPERATURE audio/CAR0002.mp3[137.560,150.480] OK AND OTHER THAN THE PAIN THAT YOUVE BEEN HAVING HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR DIFFICULTY BREATHING OR ANY PAIN WHEN YOURE BREATHING IN OR OUT audio/RES0197.mp3[88.360,97.400] TWO DAYS OK AND ARE YOU JUST GETTING DAYTIME SYMPTOMS OR ARE YOU WAKING UP FROM SLEEP OR NOT BEING ABLE TO SLEEP BECAUSE OF YOUR SYMPTOMS audio/RES0033.mp3[218.920,230.080] OK SO EXERCISING BRINGS OUT THE COUGH ANY OTHER SYMPTOMS YOUVE BEEN EXPERIENCING BESIDES THE COUGH audio/RES0042.mp3[262.720,270.520] HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0127.mp3[265.120,272.560] IVE BEEN LOSING WEIGHT BUT IVE BEEN DIETING AND WORKING OUT MORE audio/RES0089.mp3[260.360,266.800] HAVE YOU BEEN FEELING INCREASED SWEATING AND CONFUSION ANYTHING LIKE THAT audio/RES0052.mp3[477.000,481.800] OK AND HOW ABOUT ANYBODY YOU MENTIONED AT THE DAYCARE WAS ANYBODY BEEN SICK THERE audio/RES0121.mp3[389.360,422.720] YEAH SO THIS COUGH UM ITS BEEN GOING ON FOR THE LAST FOUR DAYS SINCE YOU DO HAVE A COUGH UM AND RIGHT NOW THAT LIKE IS CONSIDERED A SYMPTOM LIKE LIKE A POTENTIAL SYMPTOM FOR COVIWE DEFINITELY WANT TO DO A COVISWAB TEST FOR YOU WHICH WILL COME BACK IN 24 HOURS TO 48 HOURS YOU SHOULD STILL TRY AND ISOLATE AS MUCH AS YOU CAN AWAY FROM ANY ROOMMATES OR FAMILY MEMBERS FOR THE NEXT SO 14 DAYS SINCE YOU FIRST EXPERIENCED THE THE COUGH audio/MSK0034.mp3[82.120,83.400] YES THATS RIGHT audio/RES0135.mp3[67.400,71.880] UH YEAH audio/RES0082.mp3[253.200,262.440] OK AND ANY MEDICATIONS THAT YOURE TAKING CURRENTLY INCLUDING OVER THE COUNTER PILLS audio/CAR0001.mp3[160.160,166.600] OK SO YOU DIDNT FEEL LIKE YOU HURT YOURSELF WHEN YOU WERE DOING THAT audio/RES0093.mp3[0.000,3.120] WHAT BRINGS YOU IN TODAY audio/RES0049.mp3[211.760,218.640] OK AND THEN UM HAVE YOU EXPERIENCED ANY SHORTNESS OF BREATH audio/MSK0012.mp3[745.200,753.520] UM NO WHAT CAN I DO ABOUT THIS BACK PAIN AND HOW LONG DO YOU THINK ILL HAVE IT FOR audio/RES0087.mp3[242.160,246.440] OK AND DOES HE HAVE ANY SHORTNESS OF BREATH audio/RES0116.mp3[42.120,55.280] OK UHM ALRIGHT SO LETS BACK UP JUST A LITTLE BIT THE EAR PAIN WHEN DID THAT START YOU SAID A COUPLE OF DAYS AGO SO WAS THAT TWO THREE FOUR DAYS audio/RES0055.mp3[475.160,478.680] YEAH I THINK SO audio/RES0052.mp3[404.240,411.360] ANY CONCERNS WITH HER GROWTH OR DEVELOPMENT audio/RES0034.mp3[547.360,557.800] NO OK AND AND HAVE YOU NOTICE AN HER BEING LIKE REALLY LETHARGIC AT ALL audio/RES0052.mp3[57.680,65.000] I DONT THINK SO ALTHOUGH SHE DOES GO TO DAYCARE audio/RES0024.mp3[399.000,402.440] DO YOU SMOKE MARIJUANA audio/RES0203.mp3[25.720,29.200] OK YOU SAID FOR A COUPLE DAYS audio/MSK0029.mp3[911.720,915.280] IT DOES BUT YOURE ABLE TO FULLY FLEX YOUR NECK audio/RES0047.mp3[835.600,923.640] IF WE THINK YOU HAVE MODERATE UM MODERATE EXACERBATION WELL ALSO PRESCRIBE UH ANTIBIOTICS AND OR STEROIDS TO GO ALONG WITH THE SHORT ACTING BETA AGONIST AND IF IT IS SEVERE OR IF IT BECOMES SEVERE UM PLEASE DO SEEK OUT AID UM IN THE ER AND THEYLL TRY THEYLL PROBABLY PUT YOU ON UM UH SOME SORT OF UM OXY LIKE UM SOME SORT OF SUPPLEMENTAL OXYGEN WHETHER ITS BIPAOR CPAUM AND AGAIN THEYLL CONTINUE GIVING YOU YOUR BRONCHODILATORS AND STEROIDS AS WELL AS ANTIBIOTICS TO UM MAKE SURE THAT YOU DONT HAVE ANY BAD COMPLICATIONS OF UH PNEUMONIA UM AND IT DOES SOUND LIKE IT IS A COPEXACERBATION AT THIS POINT BUT IF YOU DEVELOP ANY OTHER SYMPTOMS LIKE UM FEVERS OR ANY SYMPTOMS THAT OVERLAP WITH UH VIRAL VIRAL ILLNESSES WELL WELL WELL WORK YOU UP FOR THAT WELL DO I THINK WE WILL STILL DO A COVID SWAB ON YOU JUST TO MAKE SURE YOU DONT HAVE THAT UH BUT WELL START WITH UM WORKING YOU UP FOR COPHOW DOES THAT SOUND audio/RES0047.mp3[372.560,377.360] LAST COUPLE OF YEARS OK WAS IT INTENTIONAL WEIGHT LOSS OR UNINTENTIONAL audio/RES0084.mp3[848.400,860.840] YEAH IF YOU CAN LIKE ITS RECOMMENDED THAT YOU TRY TO ISOLATE IN YOUR OWN ROOM FOR THE NEXT 14 DAYS BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID YEAH audio/MSK0040.mp3[413.640,417.160] UM NO IVE NEVER YEAH IVE NEVER BEEN HOSPITALIZED audio/MSK0028.mp3[180.600,186.040] OK AND SINCE THEN HAS THE PAIN GETTING ANY BETTER OR ANY WORSE audio/RES0166.mp3[277.360,289.040] YEAH I DONT KNOW THEY HAVENT REALLY BEEN COMING IN AND I I ASKED THE NURSE AND SHE SAID SHES GONNA LOOK INTO IT MAYBE SOMETHING WENT WRONG THERE audio/RES0100.mp3[718.000,726.680] OK AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY CANCERS audio/MSK0041.mp3[171.960,182.360] ALRIGHT AND HOW WOULD YOU DESCRIBE THE SEVERITY OF THIS PAIN ONE BEING THE LEAST PAIN AND 10 BEING THE WORST PAIN YOUVE EVER FELT audio/RES0075.mp3[355.320,363.040] YEAH SO I JUST LIVE WITH UH A COUPLE OF MY ROOMMATES IM GOING TO UNIVERSITY audio/MSK0001.mp3[328.160,335.760] OK AND DO YOU TAKE ANY MEDICATIONS FOR IT audio/MSK0014.mp3[593.040,604.520] YEAH I I DO I DO DRINK PROBABLY DRINK LIKE THREE OR FOUR BEERS A NIGHT audio/RES0130.mp3[474.960,489.920] YEAH THEYRE FOR THEY WERE UH MY FRIEND SAID THAT THEY WORKED FOR HER AND SO I JUST GAVE THEM A TRY AND I I FOUND THAT THEYVE HELPED audio/RES0024.mp3[427.800,436.320] OK AND UM ANY SEXUALLY TRANSMITTED INFECTIONS IN THE PAST audio/RES0127.mp3[46.680,55.080] YEAH IT KIND OF KIND OF COMES ON LIKE AROUND THE SPRING TIME IT JUST GETS REALLY BAD AT THAT TIME audio/MSK0031.mp3[583.520,654.720] YEAH SO IT SOUNDS LIKE YOU HAVE A HIP FRACTURE FROM YOUR FALL UHM SO THE WAY TO TREAT THIS IS A COMBINATION OF SURGERIES AND REHAB AND MEDICATION SO WE WILL DEFINITELY LOOK INTO THE SURGICAL OPTION FIRST WHICH IS DONE USING SOME INTERNAL REPAIR WITH SCREWS OR YOU CAN DO A TOTAL HIP REPLACEMENT OR A PARTIAL HIP REPLACEMENT THE ORTHOPAEDIC SURGEON WILL UH DECIDE LIKE WHICH OPTION IS BEST FOR YOU AFTER WE REFER YOU FOR A CONSULT WITH THEM AND THEN AFTER THAT SURGERY THEYLL LIKELY REFER YOU TO SOME REHAB SO PHYSIOTHERAPY WILL FOCUS ON IMPROVING YOUR RANGE OF MOTION AND STRENGTHENING THE MUSCLES IN THAT AREA UHM AND FOR MANAGEMENT OF PAIN YOU CAN TAKE IBUPROFEN OR ANY OVER THE COUNTER PAIN MEDICATIONS FOR NOW DOES THAT SOUND OK audio/MSK0011.mp3[311.560,326.320] OK ALRIGHT AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH audio/RES0179.mp3[81.600,86.960] OK AND HAVE YOU BEEN FEELING SHORT OF BREATH AT ALL audio/RES0043.mp3[3.280,71.480] ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DONT KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH UM AND THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED OR SORRY ITS TODAY TODAY IS FRIDAY UM HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH audio/MSK0036.mp3[79.000,88.000] OK I SEE AND DID YOU HAVE ANY TRAUMA TO THE WRIST OR OR ANY INJURY OR HAVE YOU HAD AN INJURY IN THE PAST audio/GEN0001.mp3[252.160,257.160] OK AND NO CHANGES TO YOUR POOPS TO YOUR BOWEL MOVEMENTS audio/GAS0007.mp3[236.600,241.120] WHAT MEDICATION ARE YOU CURRENTLY TAKING audio/RES0028.mp3[538.440,547.360] UH NOT REALLY LIFES A BIT TOO BUSY AND HECTIC RIGHT NOW RIGHT NOW UNFORTUNATELY audio/RES0034.mp3[0.000,9.440] HI THERE I WAS JUST HOPING TO ASK YOU A FEW QUESTIONS TODAY BUT I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN TODAY audio/RES0129.mp3[330.440,335.520] YEAH HE IS YEAH EVERYTHINGS BEEN NORMAL THAT WAY AND HES BEEN GROWING WELL TOO audio/RES0022.mp3[238.200,243.360] ITS NOT ITS NOT PARTICULARLY CONGESTED OR ANYTHING audio/RES0131.mp3[290.280,294.200] UM CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0089.mp3[789.320,795.160] OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0041.mp3[483.920,493.880] NO NOT REALLY IVE JUST BEEN IVE ALSO BEEN START DRINKING LIKE A BEER EVERY DAY AS WELL RECENTLY audio/RES0174.mp3[777.920,788.280] OK SO YOU YOU HAVE THE HEART RACING ARE THERE ANY OTHER SYMPTOMS AS WELL audio/RES0217.mp3[412.000,416.520] OK GOT IT AND DO YOU HAVE ANY ALLERGIES audio/RES0172.mp3[144.480,148.520] I WOULD SAY MAYBE A 5 audio/RES0055.mp3[633.800,639.640] OK HAVE YOU HAD ANY CONTACT WITH ANYONE THATS BEEN SICK RECENTLY audio/RES0043.mp3[559.600,576.760] NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KIND OF HARD TO SAY THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING audio/RES0146.mp3[215.080,219.720] ANY NAUSEA OR VOMITING audio/MSK0014.mp3[785.280,843.360] YEAH CERTAINLY SO RIGHT NOW THE TOP THING ON TOP TWO THINGS ON THE DIFFERENTIAL WOULD BE GOUT OR PSEUDOGOUT THEY DO HAVE SOME RISK FACTORS FOR THAT INCLUDING A DIURETIC MEDICATION AS WELL AS ALCOHOL AND OBESITY ARE ALL RISK FACTORS FOR IT HOWEVER YOU ALSO HAD A KNEE INJECTION A WEEK AGO WHICH COULD PREDISPOSE TO AN INFECTION SO GOUT AND SEPTIC ARTHRITIS ARE THE TWO THINGS THAT I AM THINKING ABOUT AN SO WELL DO A KNEE ASPIRATION AND SEND THAT OFF FOR SOME INVESTIGATIONS AND THAT WILL HELP US DETERMINE WHICH WHAT THE CAUSE IS AND WE CAN CHOOSE THE APPROPRIATE APPROPRIATE TREATMENT audio/RES0092.mp3[294.560,313.200] NO NOT THAT I COULD THINK OF I MEAN WE WENT OUT ONE NIGHT LAST WEEK AND THATS KIND OF WHEN I HAD THOSE OTHER SYMPTOMS FOR A FEW DAYS AFTER THAT audio/RES0172.mp3[465.560,485.160] YEAH I SAID SOME ACTUALLY NOW THAT YOU MENTION IT RIGHT SENSE OF SMELL HAS BEEN DIFFERENT WHICH IS KIND OF WEIRD CAUSE I I DONT HAVE EVERYBODY KNOWS OR I DONT FEEL CONGESTED OR ANYTHING SO YEAH BUT MY TASTE HAS BEEN OK audio/RES0011.mp3[373.880,380.840] OK HAVE YOU FELT LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT OR FAINT audio/RES0023.mp3[422.320,427.960] OK OK SO NOT ANY ALLERGIES TO ANY MEDICATIONS audio/RES0142.mp3[131.120,134.640] UM DO YOU FEEL LIKE YOUR HEART IS RACING audio/RES0011.mp3[62.440,86.040] YEAH I MEAN AT FIRST I WAS ALREADY KIND OF WORKING IM IM A TRUCK DRIVER SO YOU KNOW ONCE YOU START THE JOB YOU KIND OF HAVE TO FINISH THAT I WAS SUPPOSED TO GO ON ANOTHER ANOTHER TRIP LIKE 4 DAYS AGO AND I JUST COULDNT I HAD TO CALL MY BOSS AND SAY THAT I CANT audio/RES0065.mp3[286.320,290.920] OK AND HOW ABOUT YOUR APPETITE audio/RES0116.mp3[308.840,310.880] UH NOT THAT I KNOW OF audio/RES0038.mp3[597.200,598.240] NO I DONT audio/MSK0026.mp3[172.000,180.520] OK AND HAVE YOU TRIED HAS ANYTHING MADE THE PAIN WORSE audio/RES0108.mp3[324.200,328.320] ILL HAVE MAYBE TWO OR THREE UH BOTTLES OF BEER audio/MSK0024.mp3[474.320,478.120] THAT HURTS IN MY LOWER BACK audio/RES0090.mp3[335.440,341.440] NO I DONT THINK SO I HAVENT ASKED THEM BUT NOTHING IVE SEEN audio/RES0136.mp3[493.680,500.800] UM ANY UH AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH SOMEONE audio/RES0141.mp3[271.040,272.920] NO THATS THATS ALL audio/MSK0042.mp3[469.720,473.920] OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0087.mp3[577.560,588.480] YEAH I DONT KNOW IF UH LIKE LAST TIME WE DID GET SOME ANTIBIOTICS I DONT KNOW IF HE NEEDS THEM RIGHT NOW OR WHAT WOULD YOU RECOMMEND audio/MSK0041.mp3[60.320,69.920] ITS JUST BELOW MY BIG TOE KIND OF LIKE ON THE MEDIAL SIDE audio/RES0164.mp3[3.120,15.280] HEY IM IM THE MOM OF OF THE PATIENT HES HES A KID HE HAS HAD HE JUST HAD A COUGH AND STUFFY NOSE FOR THE PAST THREE DAYS audio/RES0152.mp3[480.560,481.480] UH NO audio/RES0069.mp3[406.360,411.400] OK HAVE YOU TRAVELED TRAVELED ANYWHERE audio/RES0173.mp3[445.840,453.440] OK AND ANY POTENTIAL FOR BEING AROUND ANYBODY WHOS BEEN SICK LIKE YOUR BOYFRIEND OR HIS FAMILY OR OR ANYWHERE ELSE audio/RES0019.mp3[429.760,434.160] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/RES0160.mp3[193.400,199.640] OK AND HAVE YOU HAD ANY CHEST PAIN OR ANY DIFFICULTIES BREATHING audio/RES0039.mp3[189.880,196.200] UM IT WAS PRETTY RED IT AH YEAH IT WAS BRIGHT RED AND IT WAS COVERING THE THE ISSUE audio/RES0059.mp3[127.800,131.040] OK ANY EAR PAIN audio/MSK0017.mp3[450.400,454.240] OK UM AND DO YOU SMOKE audio/MSK0025.mp3[68.840,107.240] TWO MONTHS AGO I WAS IN A MOTOR VEHICLE ACCIDENT UM AN I THINK MY BACK STARTED HURTING THEN BUT THEY DID SOME IMAGING ITS AND TURNED OUT LIKE ONE OF THE DISCS THERE WAS A SLIP IN A DISC OR SOMETHING BUT AT THAT POINT THE PAIN WAS JUST ACHEY AND I DONT REALLY HAVE ANY IN ANY OF THESE OTHER ISSUES BUT OVER THE PAST TWO WEEKS ITS GOTTEN SHARP AND IM HAVING ALL THESE OTHER SYMPTOMS audio/RES0214.mp3[82.640,92.200] NOTHING LIKE THAT WHAT ABOUT OTHER CHANGES IN YOUR BODY HAVE YOU NOTICED ANY FEVERS OR ANY RASHES ANY SKIN CHANGES audio/MSK0014.mp3[370.000,372.480] AND HOW ABOUT ANY NIGHT SWEATS audio/RES0073.mp3[530.320,538.600] OK SO NO SICK CONTACTS AND HAVE YOU TRAVELED ANYWHERE OUT OF THE CITY OR PROVINCE audio/RES0050.mp3[305.440,314.560] AND HOW ABOUT ANY EPISODES WHERE YOU FELT LIKE YOU WERE GOING TO FAINT OR YEAH PASS OUT audio/MSK0021.mp3[567.040,569.680] AND THEN THE MEDIAL ASPECTS OF YOUR KNEE audio/RES0150.mp3[362.520,364.200] UM NO audio/RES0017.mp3[599.200,618.360] UH I DONT REALLY I CANT REALLY THINK OF NOTHING MY MOM AND DAD WERE COMPLETELY HEALTHY SO I KNOW AND I DONT HAVE ANY SIBLINGS SO YEAH NOT NOTHING THAT I KNOW OF audio/RES0194.mp3[30.440,31.840] ITS DRY audio/MSK0014.mp3[221.840,224.320] NO I DIDNT audio/GAS0001.mp3[365.520,372.520] HAVE YOU YOU HAVENT HAD ANY PALPITATIONS OR CHEST PAIN OR ANYTHING OF THAT SORT audio/RES0192.mp3[287.400,290.640] UM NO audio/RES0151.mp3[241.200,243.680] ANY FEVERS OR CHILLS audio/MSK0046.mp3[238.720,246.200] NO ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS WHETHER ITS MUSCULOSKELETAL RHEUMATOLOGICAL ANY CONDITIONS audio/MSK0049.mp3[607.840,618.400] OK AND ARE YOU ABLE TO BEND YOUR KNEE UH LIKE LIKE FLEX IT STRAIGHTEN IT audio/RES0180.mp3[211.000,217.640] BUT YEAH I HAVE HAVENT REALLY NOTICED BEING ABLE TO SMELL OR TASTE audio/RES0209.mp3[64.320,72.160] OK YOU JUST HAVE THE ONE THAT YOU TAKE IS NEEDED DO YOU TAKE ANY OTHER MEDICATIONS audio/RES0014.mp3[544.320,552.880] UM JUST LIKE MAYBE SOMETIMES AT PARTIES BUT VERY RARELY MAYBE I WOULD SAY ONCE A MONTH audio/RES0007.mp3[182.560,187.160] OK AND HAVE YOU HAD A COUGH audio/MSK0037.mp3[314.400,317.840] HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED audio/RES0094.mp3[295.160,303.960] I SEE ALRIGHT AND UHM DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0098.mp3[41.000,48.520] OK AND UH IS THE SHORTNESS OF BREATH HERE NOW IS IT IS AT REST OR ARE YOU HAVING THAT WHEN YOURE EXERTING YOURSELF audio/RES0202.mp3[146.000,156.720] UH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING YEAH HE YEAH ITS JUST LIKE LITTLE COUGH audio/RES0106.mp3[0.000,1.560] WHAT BRINGS YOU IN audio/RES0015.mp3[698.880,701.760] NOT CURRENTLY NO audio/RES0011.mp3[842.120,847.080] BUT THATS THE PERSON THAT WOULD CHECK ON ME IF I NEEDED IT audio/RES0070.mp3[185.920,190.120] I DONT THINK SO audio/RES0125.mp3[193.600,203.560] OKAY OKAY AND HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK AROUND YOU AT ALL audio/RES0135.mp3[578.800,594.560] OKAY UM SO WERE THERE ANY OTHER UM SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY BEFORE I WENT ON TO THE PHYSICAL EXAM UM WAS THERE ANYTHING ELSE THAT YOU THAT YOU WANTED TO ADD OR WERE WONDERING ABOUT THAT I MAYBE FORGOT TO ASK audio/RES0084.mp3[473.960,498.440] YEAH I HAVE A COUPLE CONDITIONS THAT I SEE MY FAMILY DOCTOR FOR I DO HAVE DIABETES THEN I HAVE HIGH CHOLESTEROL I ALSO HAVE THIS THING CALLED FATTY LIVER BUT THATS THATS ABOUT IT AND A HIGH BLOOD PRESSURE audio/RES0122.mp3[147.680,148.760] UH NO audio/RES0123.mp3[55.520,60.320] OKAY AND WHAT DOES IT FEEL LIKE HOW WOULD YOU DESCRIBE IT audio/RES0026.mp3[417.040,422.440] OK IS THERE ANYTHING IN REGARDS TO YOUR PAST HEALTH THAT YOU SEE A PHYSICIAN REGULARLY FOR audio/MSK0014.mp3[1.440,27.520] I JUST CAME IN HERE TODAY I USUALLY DONT COME TO THE DOCTOR THAT MUCH UNLESS I ABSOLUTELY NEED IT FIVE DAYS AGO I STARTED HAVING THIS PAIN AND SWELLING IN MY RIGHT KNEE SO AND AT FIRST I THOUGHT IT WAS JUST LIKE MY ARTHRITIS ACTING UP BUT ITS BEEN GETTING MORE SWOLLEN AND PAINFUL THAN USUAL SO I JUST WANTED TO COME IN AND CHECK IT OUT audio/RES0138.mp3[345.440,345.840] UH NO audio/RES0134.mp3[556.520,558.920] AND DO YOU HAVE ANY ALLERGIES audio/MSK0034.mp3[109.920,113.240] OK AND WHERE EXACTLY IS YOUR PAIN ON THE HIP audio/MSK0005.mp3[553.440,563.760] I HAD A SURGERY FOR UM A CSECTION FOR UH MY MY SON UM BUT THATS THATS IT audio/RES0017.mp3[710.120,723.600] UM NOT REALLY BUT I I DO THINK LIKE THE OLD BUILDING THAT WE LIVED IN MIGHT HAVE HAD ASBESTOS DOES THAT DOES THAT LIKE COUNT AT ALL audio/RES0058.mp3[451.080,456.320] WHAT KIND OF SYMPTOMS DID HE HAVE audio/RES0197.mp3[86.720,88.360] I MISSED TWO DAYS audio/RES0124.mp3[206.040,207.280] UH NO audio/RES0059.mp3[218.440,223.720] YEAH I WOULD SAY IT STARTED AROUND THE SAME TIME audio/RES0074.mp3[529.600,546.000] IT WAS JUST FIVE PEAOPLE SO WE SATYED WITHIN THE LIMITS STATED FOR THE CITY AND THEY WERE PEOPLE IN LIKE MY CIRCLE AS WELL SO YEAH I DONT THINK I WAS DOING ANYTHING WRONG audio/RES0212.mp3[209.720,218.760] OK BUT HOW ABOUT OTHER PARTS OF YOUR BODY ANY PAIN TENDERNESS ANYWHERE audio/RES0203.mp3[293.640,296.280] DO YOU HAVE ANY ALLERGIES audio/RES0052.mp3[225.080,231.800] UM SHES BEEN EATING OK I GUESS SHES BEEN EATING ALITTLE LESS THAN USUAL audio/RES0211.mp3[119.520,122.560] ANY ACHES IN YOUR JOINTS ANYWHERE audio/RES0215.mp3[528.360,534.520] UM YEAH SHES UH SHES IN GRADE 3 NOW audio/RES0042.mp3[484.400,492.560] AH I LIKE I MIGHT HAVE LIKE A COUPLE BEERS ON THE WEEKEND BUT NOT A LOT audio/RES0073.mp3[538.600,548.720] NO IVE TRIED TO STAY HOME BESIDES GOING TO WORK I JUST WORK AT THE GROCERY STORE BESIDES THAT NO NOWHERE ELSE audio/RES0043.mp3[287.680,291.960] NO I DONT THINK SO audio/MSK0019.mp3[454.920,458.040] OKAY SO LIKE THE LATERAL ASPECT OF YOUR ELBOW audio/RES0035.mp3[121.280,128.080] NO OK IS THERE ANYTHING YOU DO THAT MAKES THE COUGHING OR SHORTNESS OF BREATH WORSE audio/RES0034.mp3[333.160,340.920] OH SHES BEEN PRETTY LIKE SHES NOT HERSELF OVER THE LAST FEW DAYS SHES BEEN CRYING A LOT MORE JUST VERY IRRITABLE audio/MSK0017.mp3[301.120,302.800] NO CHANGES LIKE THAT audio/RES0066.mp3[499.760,503.360] OK AND ANY ONE OF THEM HAVE SIMILAR SYMPTOMS OR HAVE BEEN SICK RECENTLY audio/RES0058.mp3[34.120,49.200] OK SO LOSS OF TASTE SO YOU CANT TASTE ANYTHING OR YOU CAN ONLY TASTE SOME THINGS OR YOURE JUST NOT GETTING THE FULL DEPTH OF YOUR TASTE audio/RES0211.mp3[54.040,57.440] NO NOTHING audio/RES0187.mp3[462.960,470.040] PROBABLY JUST WHEN IM MEETING UP WITH FRIENDS SO EVERY WEEKEND I WOULD SAY audio/RES0203.mp3[93.480,109.280] AND WHEN YOU SAY SORRY YOU SAID MILD COUGH AND I MY NEXT QUESTION WAS DO YOU FEEL LIKE ITS A DRY COUGH OR YOU PRODUCING ANY SPUTUM ANY BLOOD OR IS IT TO NOT NOT BRINGING UP ANYTHING audio/RES0052.mp3[210.520,214.800] OK UMM ANY SORE THROAT audio/RES0120.mp3[201.000,205.640] OKAY AND HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS audio/RES0134.mp3[525.520,533.360] YEAH THEY THINK IT HAPPENED RIGHT AFTER MY UM GALLBLADDER REMOVAL CAUSE I WAS IN THE HOSPITAL FOR A WHILE audio/RES0174.mp3[238.080,240.160] OH NO OK IM SORRY audio/MSK0042.mp3[142.040,145.840] OKAY UM AND HAVE YOU HAD ANY UH ANY FEVERS OR CHILLS audio/RES0194.mp3[499.040,504.440] OK AND SINCE YOUVE HAD THESE SYMPTOMS HAVE YOU GONE INTO WORK AT ALL audio/RES0199.mp3[583.280,586.280] OK GREAT NO PROBLEM audio/RES0178.mp3[508.000,516.800] NO I I I JUST WANTED TO FIGURE OUT WHAT THIS WAS audio/RES0149.mp3[259.040,262.240] NO THOSE ARE OK audio/RES0070.mp3[541.520,547.240] YEAH THAT SOUNDS RIGHT audio/RES0125.mp3[203.560,206.880] UM MY DAUGHTER HAD THE SNIFFLES audio/RES0129.mp3[208.800,211.400] NAUSEA OR VOMITING audio/RES0139.mp3[36.840,38.400] UH NO audio/MSK0018.mp3[303.960,306.440] UM NO IVE BEEN AT HOME audio/RES0070.mp3[308.280,315.760] OK UH AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OVER THE LAST SEVERAL MONTHS audio/RES0202.mp3[631.560,634.520] YEAH LIKE SORRY GO AHEAD audio/RES0187.mp3[611.680,619.080] OK ANY OLD CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD MAKE YOUR CONDITION WORSE audio/RES0134.mp3[493.600,509.520] UM I HAD MY WISDOM TEETH TAKEN OUT IVE HAD MY GALLBLADDER TAKEN OUT UM AND I I HAD LIKE UM I HAD A PE UM A LONG TIME AGO audio/DER0001.mp3[128.520,145.360] I STOPPED MEASURING THEM YEAH LAST TIME I MEASURED IT WAS PRETTY BAD I THINK MY A1C LAST TIME WAS LIKE 9 SOMETHING IM TRYING IM TRYING BETTER TO BE WITH IT ITS HARD WITH WORK YOU KNOW audio/RES0031.mp3[320.280,328.000] NO I I I WEIGH AROUND 150 AND THAT HASNT REALLY CHANGED AT ALL audio/RES0147.mp3[584.360,587.040] NOT THAT I CAN THINK OF audio/RES0193.mp3[348.400,351.360] UHM NO I DONT THINK SO audio/RES0182.mp3[192.040,199.360] OK HAVE YOU HAD ANY HAVE YOU HAD A RUNNY NOSE audio/MSK0032.mp3[154.120,160.680] UM IT KIND OF GOES INTO HER UPPER ARM LIKE FROM HER ELBOWS TO HER UPPER UPPER ARM audio/RES0171.mp3[430.440,436.680] THATS GREAT THATS GREAT OK AND YOU SMOKE AT ALL audio/MSK0035.mp3[279.480,286.920] OK YEAH AND SO DID YOU LOSE CONSCIOUSNESS AT ALL DURING THE FALL audio/MSK0042.mp3[506.720,510.040] NO OKAY HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST audio/RES0164.mp3[487.680,495.280] ONLINE RIGHT NOW OK YEAH AND ANY ISSUES AT SCHOOL AT ALL ANY COMPLAINTS THAT WEVE BEEN TOLD audio/RES0098.mp3[314.080,320.800] OK AND PRIOR TO THAT HOW OFTEN HAVE YOU BEEN USING UHM THE BLUE ONE audio/RES0181.mp3[18.240,26.320] YEAH FOR SURE SO YOU SAID THAT THE SORE THROAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE audio/RES0109.mp3[119.960,123.200] YEAH I DO HAVE A STUFFY NOSE audio/RES0094.mp3[227.960,231.120] MAYBE THE LAST TIME I WAS I WAS SICK audio/RES0091.mp3[203.040,205.040] I WORK FROM HOME RIGHT NOW audio/RES0001.mp3[492.560,497.640] OK YEAH UM ARE YOU ON ANY MEDICATIONS audio/RES0172.mp3[148.520,152.080] OK AND YOU MENTIONED THAT THE TYLENOL HELPED audio/RES0131.mp3[455.360,464.080] YEAH SOMETIMES ILL HAVE A OR MAYBE A COCKTAIL ON THE WEEKEND OR UM A GLASS OF WINE WITH DINNERS audio/MSK0019.mp3[269.480,271.800] DO YOU HAVE ANY ALLERGIES audio/CAR0005.mp3[341.040,349.000] UHM I DO NOT NO MEDICATIONS JUST THE TYLENOL AND ADVIL I TRIED FOR THE PAIN audio/RES0216.mp3[402.480,410.520] OK HOW ABOUT WE JUST TALK ABOUT YOUR MEDICATIONS A LITTLE BIT WHAT ARE YOU TAKING CURRENTLY audio/RES0207.mp3[79.680,83.680] OK THAT WAS JUST THIS MORNING audio/RES0110.mp3[247.400,257.240] OK OK AND YOU FEEL LIKE THIS IS VERY NEW THAT THIS HAS NOT BEEN GOING ON FOR WEEKS OR MONTHS WHERE YOU FORGET THINGS OR HAVING DIFFICULTIES WITH CONCENTRATION audio/RES0027.mp3[387.640,392.160] OK AND ANY SKIN RASHES OR OR SKIN CHANGES audio/RES0080.mp3[584.120,591.560] OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS audio/GAS0007.mp3[324.000,329.960] IM SURE IT WAS VERY HARD WORK IN GENERAL DO YOU DRINK ALCOHOL audio/RES0167.mp3[169.440,176.440] FEELS A LITTLE LIKE IT HURTS A LITTLE BIT LIKE WHEN I WHEN I BREATHE IN audio/RES0061.mp3[337.360,349.840] YEAH IVE DEFINITELY FELT A LITTLE BIT MORE KIND OF GROGGY AND TIRED THIS LAST WEEK REALLY audio/RES0108.mp3[51.080,56.320] UHM NO I DONT I DONT THINK ITS BARKY OR HARSH audio/RES0089.mp3[550.200,559.560] UH A LITTLE BIT YEAH A LITTLE BIT I WOULD SAY audio/RES0046.mp3[327.320,331.160] UH MAYBE THE LAST LIKE TWO DAYS audio/MSK0043.mp3[718.480,721.960] UH SO THIS HAS BEEN UH ABOUT 20 YEARS audio/RES0047.mp3[354.640,360.520] OK ANY WEIGHT LOSS audio/RES0066.mp3[575.720,585.840] OK YEAH SO IS THERE ANYTHING ELSE ANY OTHER QUESTIONS THAT YOU HAVE FOR ME TODAY audio/RES0034.mp3[234.320,247.040] CONSISTENCY ID SAY ITS PRETTY WATERY LIKE DIARRHEA AND COLOUR I DIDNT REALLY THINK THERES ANY CHANGES IN IN THE COLOUR audio/RES0060.mp3[676.320,679.840] NO NO I HAVENT HAD ANY ANTIBIOTICS FOR A LONG TIME audio/RES0023.mp3[219.480,227.480] OK OK HAVE YOU LOST ANY WEIGHT RECENTLY LIKE UNINTENTIONALLY audio/GAS0005.mp3[715.360,720.960] OK UH ANYBODY IN THE FAMILY HAVE CELIAC DISEASE OR CROHNS DISEASE audio/RES0106.mp3[372.160,375.880] OK UHM AND THEN ANY CANCERS IN THE FAMILY audio/RES0109.mp3[198.040,201.600] NO OK ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0210.mp3[43.240,52.160] OK SO ALMOST A WEEK IT SOUNDS LIKE AND WHAT EXACTLY CHANGED ON SUNDAY THAT YOU MADE IT WORSE IN YOUR OPINION audio/RES0194.mp3[324.000,329.320] OK ANY CHANGES IN YOUR APPETITE OR WEIGHT audio/RES0120.mp3[27.600,46.880] SO WHAT STARTED FIRST SO I WOULD SAY THE SHORTNESS OF BREATH STARTED FIRST UM AND THEN I STARTED HAVING THESE CHILLS AND NOW IT HURTS LIKE MY CHEST HURTS EVERY TIME I TRY TO TAKE TRY TO TAKE A DEEP BREATH IN audio/RES0214.mp3[309.360,315.360] SO NO HIGH BLOOD PRESSURE audio/MSK0007.mp3[453.440,461.200] AND DO YOU DRINK ALCOHOL audio/RES0047.mp3[0.000,2.600] WHAT BRINGS YOU IN audio/RES0136.mp3[182.840,192.320] AND SO YOU TOOK AN EXTRA MORPHINE LAST NIGHT AND THEN WENT TO SLEEP UM DID YOU WAKE UP COUGHING OR CATCHING YOUR BREATH OR ANYTHING LIKE THAT audio/RES0017.mp3[88.960,95.920] OK UM AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/MSK0040.mp3[638.000,641.800] UH THERES A LOT OF PAIN ON THE LATERAL MALLEOLUS audio/RES0168.mp3[66.560,75.200] UHM I DONT HAVE A REAL LIKE SHORTNESS OF BREATH BUT IT DOES FEEL CONGESTED audio/RES0075.mp3[79.200,91.120] OK AND SO THE PAIN COMES ON WHEN YOU BREATHE IN OR YEAH WHEN YOU TAKE A DEEP BREATH DOES THE PAIN COME ON AT ANY OTHER POINTS OR DOES IT GO AWAY audio/RES0212.mp3[71.040,78.040] NOTHING LIKE THAT OK HAVE YOU NOTICED ANY UNEXPLAINED WEIGHT LOSS OVER THE LAST LITTLE WHILE audio/RES0089.mp3[104.160,109.520] NO NO FEVERS audio/MSK0035.mp3[569.800,576.400] UHM THERES MAYBE A LITTLE BIT OF SWELLING COMPARED TO MY LEFT audio/RES0138.mp3[285.800,294.560] OKAY HAVE YOU NOTICED ANY SWELLING UM IN YOUR FEET ANKLES LEGS AT ALL audio/RES0043.mp3[208.600,230.040] OK UM AND DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS audio/RES0195.mp3[302.480,310.360] OK AND ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK audio/RES0072.mp3[42.760,50.080] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT audio/RES0071.mp3[153.960,159.400] AND DO YOU HAVE ANY DIFFICULTY UH SWALLOWING AT ALL audio/RES0193.mp3[199.080,203.760] OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK audio/RES0028.mp3[144.600,149.680] ITS A SHARP STABBING PAIN audio/RES0139.mp3[418.880,422.680] OKAY UM AND DO YOU DRINK ALCOHOL audio/RES0118.mp3[235.480,238.560] UH ANY ISSUES WITH YOUR SLEEP OR APPETITE audio/RES0165.mp3[339.360,342.680] JUST HIGH BLOOD PRESSURE MY MOM HAS IT audio/RES0212.mp3[198.000,200.680] SO NO NAUSEA NO VOMITING audio/RES0065.mp3[227.920,231.840] NO NOTHING LIKE THAT audio/RES0095.mp3[225.360,231.400] NOT RECENTLY I HAD THAT ABOUT TWO MONTHS AGO BUT THAT GOT BETTER audio/RES0199.mp3[155.160,156.080] NO NO audio/RES0179.mp3[503.000,512.680] OK NO PROBLEM AND OK SO I THINK YOU MENTIONED THAT YOU SMOKE HOW MUCH DO YOU SMOKE AND FOR HOW LONG HAVE YOU BEEN SMOKING audio/RES0104.mp3[661.680,668.920] NO I WAS TESTED ACTUALLY UH A COUPLE OF YEARS AGO AND THAT THE RESULTS WERE NORMAL audio/RES0091.mp3[105.000,115.120] NO I HAVENT TRIED ANYTHING IVE BEEN THINKING ABOUT USING SOME NASAL DECONGESTION BUT I DONT WANT TO MAKE MY RUNNY NOSE ANY WORSE audio/MSK0032.mp3[199.720,203.600] UM NO NOT THAT I KNOW OF audio/RES0125.mp3[273.480,280.800] NOT ANYMORE OKAY SO ANY KIND OF CHEST PAIN OR SENSATION THAT YOUR HEART IS RACING audio/RES0047.mp3[758.120,768.880] YEAH OK HOW ABOUT UM TRAVEL HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0026.mp3[505.320,514.320] I WORK AS A FULL TIME GARDENER FOR A LANDSCAPING COMPANY audio/RES0080.mp3[199.280,204.760] OK HAVE YOU HAD A LOSS OF SMELL OR A LOSS OF TASTE audio/RES0039.mp3[0.000,5.520] I JUST WANTED TO START WITH WHAT BRINGS YOU HERE TODAY TO THE FAMILY CLINIC audio/RES0158.mp3[236.600,241.360] OK UM ARE YOU HAVING ANY NAUSEA OR VOMITING audio/MSK0022.mp3[489.440,491.600] NO NOWHERE ELSE audio/RES0047.mp3[322.720,327.120] UH I HAVENT HAD ANYTHING LIKE THAT audio/GAS0004.mp3[292.120,294.800] ITS ON AND OFF audio/RES0051.mp3[478.600,484.240] NO I DONT THINK SO audio/RES0073.mp3[606.240,614.200] OK UH AND ANYBODY IN THE FAMILY HAVE ANY LUNG OR HEART CONDITIONS audio/RES0033.mp3[317.960,322.480] OK UM DO YOU HAVE ANY CHEST PAIN audio/RES0104.mp3[49.880,62.360] OK AND THE SHORTNESS OF BREATH IS IT JUST WITH THE EXERTION OR IT CAN IS IT HAPPENING AT REST HOW ARE YOU FEELING RIGHT NOW audio/RES0116.mp3[98.960,102.720] OK CLEAR TO YOU SAID WHITEISH audio/MSK0032.mp3[258.840,262.400] UM NO NO NO CHANGES audio/RES0092.mp3[202.640,204.560] UHM NO NOTHING LIKE THAT audio/RES0073.mp3[591.440,598.720] I SEE OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0133.mp3[242.640,244.680] OR ANY URINARY PROBLEMS audio/RES0065.mp3[368.920,378.000] I AM ON SOMETHING FOR IT I THINK ITS SULFASALAZINE OR SOMETHING LIKE THAT audio/MSK0018.mp3[58.640,65.080] 8 OR 9 OKAY UM AND IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHING audio/MSK0032.mp3[230.280,234.040] UH CHANGES IN VISION HEARING SMELL OR TASTE audio/RES0110.mp3[700.120,703.560] UH NO IM PRETTY INDEPENDENT IN IN THAT ASPECT AS WELL audio/RES0052.mp3[395.880,397.880] UMM NO audio/RES0075.mp3[211.840,219.760] HOW ABOUT A LOSS OF TASTE OR A LOSS OF SMELL audio/CAR0001.mp3[121.000,127.280] OK AND IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE BESIDES LAYING DOWN audio/MSK0039.mp3[413.400,418.400] UM HAVE YOU BEEN HAVE YOU EVER LIKE BEEN TESTED FOR THAT audio/RES0178.mp3[80.280,82.000] NO NO audio/RES0122.mp3[42.400,59.880] OKAY AND DO YOU FIND THAT THE PRESSURE IS WORSE WHEN YOURE BENDING DOWN OR UM YEAH WHEN YOURE LIKE SQUATTING OR SITTING DOWN audio/MSK0034.mp3[291.360,293.800] OK ANY ALLERGIES THAT YOU KNOW OF audio/RES0027.mp3[313.960,321.800] ALRIGHT AND ANY INSTANCES WHERE YOU FELT LIKE YOU WERE GONNA FAINT OR MAYBE BLACKOUT audio/RES0110.mp3[163.480,171.520] OK AND YOU MENTIONED YOU ALSO YOU ALSO HAVE A FEVER DID YOU CHECK YOUR TEMPERATURE audio/RES0084.mp3[633.480,636.440] OK DO YOU SMOKE audio/RES0058.mp3[203.680,205.520] NO NOTHING LIKE THAT audio/RES0087.mp3[0.000,2.480] WHAT BRINGS YOU IN audio/RES0085.mp3[382.160,385.920] IN A HOUSE audio/MSK0024.mp3[196.600,204.440] OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE NUMBNESS OR TINGLING IN YOUR EXTREMITIES OR BACK AT ALL audio/MSK0027.mp3[241.520,245.320] HAS SHE HAD ANY WHEEZING OR CHEST PAIN audio/RES0158.mp3[23.520,30.960] OK YEAH SO ITS BEEN GOING ON FOR THE LAST UH FOUR DAYS IS IT KIND OF LIKE A DRY COUGH OR A WET COUGH audio/RES0082.mp3[289.360,293.400] OK AND DO YOU HAVE ANY ALLERGIES audio/RES0056.mp3[395.640,400.000] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0116.mp3[149.560,157.280] UM HE STILL LIKE ANSWERS TO US AND LIKE I DONT THINK HIS EAR HEARING IS AFFECTED audio/RES0137.mp3[315.240,323.600] OKAY ANY UH EXPOSURE TO DUST OR FUMES OR ANIMALS OR PETS AT HOME audio/RES0039.mp3[432.760,435.880] OK ANY CHANGES IN YOUR APPETITE audio/RES0184.mp3[83.560,87.520] OK HAVE YOU HAD ANY HEADACHES audio/RES0108.mp3[91.360,99.040] ONCE A YEAR OK UM DO YOU EXPERIENCE ANY SHORTNESS OF BREATH WITH THIS COUGH audio/RES0097.mp3[433.400,434.960] NO NOT REALLY audio/RES0134.mp3[571.000,577.720] UM I LIVE IN AN APARTMENT BY MYSELF AND UM ITS IN LONDON audio/RES0063.mp3[0.000,2.880] WHAT BRINGS YOU IN audio/RES0137.mp3[377.440,380.920] WAS IT A VAGINAL DELIVERY OR UH A CSECTION audio/RES0199.mp3[581.440,583.280] YEAH THAT SOUNDS GOOD THANK YOU audio/RES0106.mp3[459.680,466.240] I TRIED A FEW IN HIGH SCHOOL BUT NOT SINCE THEN I HAD YEAH I HAD COCAINE ONCE audio/CAR0004.mp3[296.760,306.680] YEAH MY FATHER HE HE HAD A HEART ATTACK TWO WEEKS AGO AND HE AND HE PASSED AWAY AND IM WORRIED I AM HAVING A HEART ATTACK TOO audio/GAS0005.mp3[414.760,428.080] OK AND UH YEAH IS HE MEETING ALL DEVELOPMENTAL MILESTONES OK LIKE GROSS MOTOR FINE MOTOR DOING WELL AT SCHOOL audio/RES0147.mp3[223.920,230.480] UHM I SEE OK DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST audio/RES0035.mp3[417.120,422.080] NO I SMOKED WHEN I WAS YOUNGER BUT NOT ANYMORE audio/MSK0014.mp3[637.640,656.040] OK AND OK AND THEN I ABOUT YOUR UM FAMILY HISTORY IS THERE ANYBODY IN THE FAMILY THAT HAS ANY HEART OR LUNG CONDITIONS audio/RES0032.mp3[143.360,144.480] UH DAILY audio/RES0055.mp3[670.880,682.200] YEAH I WAS JUST WORRIED IF IT CAN BE COVIOR IF ITS JUST LIKE ANOTHER INFECTION THAT I HAD LIKE BEFORE audio/RES0099.mp3[584.120,589.000] NO WEVE BEEN WEVE BEEN AT HOME THIS WHOLE TIME audio/MSK0031.mp3[146.640,157.320] 10 OK AND DO YOU HAVE YOU EVER HAD PAIN LIKE THIS BEFORE LIKE HAVE YOU EVER HAD A FALL IN THE PAST audio/MSK0006.mp3[423.840,426.440] OK ANY ALLERGIES audio/RES0025.mp3[286.640,292.480] UM NO I I I HAVENT BEEN IN CONTACT WITH ANYBODY ANYBODY WHOS BEEN SICK audio/RES0139.mp3[299.200,302.720] UM NO NO I DONT THINK SO audio/MSK0029.mp3[646.040,653.960] EVERY ONCE IN A WHILE ILL HAVE A GLASS OF WINE BUT ITS USUALLY A SOCIAL THING OR OR AT CHRISTMAS audio/RES0033.mp3[66.000,86.720] UM SO I THINK IT STARTED AROUND LIKE I WOULD SAY SIX MONTHS AGO AND ITS KIND OF JUST COMING IT JUST KEEPS COMING AND GOING HERE AND THERE BUT ITS RECENTLY JUST STARTING TO GET VERY IRRITATING audio/RES0096.mp3[161.480,167.440] DID IT HAPPEN EACH TIME OR HAS IT ONLY BEEN A COUPLE OF TIMES audio/RES0006.mp3[558.160,560.120] DO YOU DRINK ALCOHOL audio/RES0185.mp3[448.240,453.840] OK ALRIGHT NO TRAVEL AND WHERE DO YOU LIVE RIGHT NOW audio/GEN0001.mp3[430.680,432.880] ANY RECENT TRAVEL audio/MSK0037.mp3[188.840,202.640] OK AND HAS THERE BEEN ANYTHING THAT THAT YOUVE TRIED RECENTLY THATS IMPROVED THE DISCOMFORT OR OR HELPED WITH THE RANGE OF MOTION audio/RES0153.mp3[219.920,224.240] OK HAVE YOU HAD ANY UM ANY CHEST PAIN audio/RES0142.mp3[38.040,53.520] UM CHILLS IVE BEEN FEELING THEM OVER THE LAST FEW NIGHTS UM AND IVE ALSO JUST BEEN FEELING VERY TIRED AND UM OVER THE LAST WHOLE WEEK AS WELL audio/RES0173.mp3[243.720,248.960] K AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0003.mp3[404.440,407.040] NOPE I HAVENT NOTICED ANY MUSCLE WEAKNESS audio/RES0033.mp3[537.800,543.800] OK ANY FAMILY HISTORY OF ASTHMA OR OR ECZEMA audio/RES0125.mp3[623.040,704.600] YEAH SO DEFINITELY RIGHT NOW ANY OF THESE SYMPTOMS LIKE COVICAN HAVE A LOT OF DIFFERENT SYMPTOMS UM SO WE SHOULD DEFINITELY MAKE SURE THAT WE TO CHECK IF YOU HAVE COVIOR NOT AND WELL GET A COVISWAB TEST DONE FOR YOU TODAY AND THE RESULTS WILL COME BACK IN 24 TO 48 HOURS UH AND IN THAT TIME YOU WILL NEED TO ISOLATE EVEN IN YOUR OWN HOME TRY TO WEAR A MASK AROUND YOUR FAMILY MEMBERS UM TRYING TO EAT SEPARATELY AND USE ALL THOSE METHODS AND AND THEN AFTER THE TEST COMES BACK YOU MAY YOULL BE CONTACTED BY PUBLIC HEALTH IF ITS POSITIVE AND KIND OF GIVEN MORE INSTRUCTION ON WHAT TO DO AND IT DOESNT NECESSARILY HAVE TO BE COVIEITHER IT CAN BE JUST ANOTHER VIRUS UH LIKE IT CAN BE JUST YOUR COMMON COLD THATS BEEN GOING ON SO IT DOES SEEM THAT YOUR SYMPTOMS HAVE GOTTEN BETTER OFTENTIMES UH A COUGH CAN BE THE LAST THING TO GO IT CAN TAKE UP TO TWO WEEKS OR MORE FOR THE COUGH TO GET RELIEVED BUT IT SEEMS THAT YOURE NOT HAVING ANY SYSTEMIC SYMPTOMS LIKE NO FEVERS OR ANYTHING ELSE RIGHT NOW SO ITS ITS UH THATS THATS PRETTY GOOD audio/RES0029.mp3[180.960,185.680] DO YOU FEEL AS THOUGH YOUR HEARTS RACING audio/RES0093.mp3[748.480,756.880] JUST ON MY MY LEFT KNEE I HAD A LEFT KNEE REPLACEMENT A FEW YEARS AGO audio/RES0053.mp3[417.720,421.560] OK YEAH ID SAY SO audio/MSK0006.mp3[637.760,649.560] OK ALRIGHT AND THEN UM IF YOU PRESS DOWN ON YOUR HIPBONE DO YOU FEEL ANY PAIN THERE ON YOUR RIGHT HIP BONE audio/RES0174.mp3[23.080,39.560] YEAH CERTAINLY UM FEELING SHORT OF BREATH LIKE THAT CAN BE QUITE SCARY FOR SURE WHEN WHEN DO THESE EPISODES KIND OF HAPPEN ARE THEY SPONTANEOUS OR CAN YOU THINK OF THINGS THAT YOURE DOING WHEN THEY WHEN THEY COME ON audio/RES0128.mp3[210.880,214.440] NO CONFUSION OR MEMORY LOSS audio/RES0085.mp3[135.960,140.400] IN HIS UH LIKE UH LEGS ARMS OR BELLY AREA audio/GAS0002.mp3[245.840,251.160] OK AND HOW HAS YOUR ENERGY LEVELS BEEN audio/RES0003.mp3[546.160,549.840] OK GOOD AND DOES ANYONE SMOKE AT HOME audio/MSK0007.mp3[289.560,296.200] OK AND ANY CHANGES TO YOUR MEMORY OR OR ANY CONFUSION audio/RES0052.mp3[331.640,335.160] UMM NO audio/MSK0026.mp3[61.560,65.880] OK AND WHEN DID THIS PAIN START audio/RES0206.mp3[563.920,571.320] OK AND DO YOU CURRENTLY WORK audio/RES0074.mp3[224.480,226.640] UH NO audio/RES0204.mp3[362.720,366.960] AND DOES ANYONE SMOKE IN THE HOME audio/RES0055.mp3[316.280,324.280] OK SO BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING CONDITIONS audio/RES0024.mp3[238.120,241.880] I SEE OK DO YOU HAVE AN EPIPEN audio/RES0159.mp3[54.480,63.920] UM DO YOU FEEL THAT UH DO YOU FEEL THAT YOUR UH DIFFICULTY WITH BREATHING IS WORSE WHEN YOURE EXERTING YOURSELF audio/RES0060.mp3[132.520,137.400] NO I FEEL LIKE IVE BEEN TASTING MY FOOD OK audio/RES0022.mp3[302.760,305.920] NO I THINK IVE BEEN PRETTY WELL THE SAME audio/RES0166.mp3[452.840,457.120] OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0160.mp3[335.520,347.200] NO SHES BEEN FINE AND SHE DOESNT HAVE ANY SYMPTOMS AND SHES SHES A SCHOOL TEACHER RIGHT NOW THAT SHE IS WORKING FROM CANADA audio/MSK0004.mp3[2.120,19.120] HI THERE IVE JUST LAST NIGHT I WAS I WENT FOR A RUN AND I TWISTED MY ANKLE I THINK I STEPPED ON SOMETHING AND IT IT REALLY HURTS audio/RES0131.mp3[362.240,372.400] NO WELL I IVE HAD MY MY WISDOM TEETH TAKEN OUT AND ACTUALLY YEAH I HAD MY TONSILS OUT AS WELL WHEN I WAS 12 audio/RES0087.mp3[250.600,251.960] NO NO WHEEZING audio/RES0189.mp3[601.480,610.640] UH PROBABLY AT LEAST 45 YEARS audio/RES0020.mp3[441.400,451.280] I SEE OK SO THAT SOUNDS LIKE A GREAT A GREAT PLAN DO YOU TAKE ANY OTHER MEDICATIONS audio/MSK0006.mp3[662.920,666.000] OK HOW ABOUT THE BACK OF YOUR LEGS audio/RES0126.mp3[393.840,406.120] OK AND HOW IS THERE LIKE HOW MUCH DO YOU WALK OR MOVE AROUND THAT YOU GET SHORT OF BREATH OR ARE YOU SHORT OF BREATH AT REST AS WELL audio/RES0059.mp3[523.360,526.560] OK ANY OTHER RECREATIONAL DRUGS audio/RES0024.mp3[0.000,3.800] COULD YOU START BY TELLING ME WHAT BROUGHT YOU IN audio/DER0001.mp3[119.280,124.880] RIGHT NOW ITS ON MY RIGHT SO MY ANKLE audio/RES0039.mp3[356.640,367.240] YEAH BUT IVE DEFINITELY BEEN MORE MORE TIRED I HAVENT BEEN ABLE TO CONCENTRATE ON UMM ON MY SCHOOLWORK audio/RES0049.mp3[465.960,471.560] OK DO YOU HAVE ANY ALLERGIES audio/RES0121.mp3[210.200,214.560] OKAY ANY UM NAUSEA OR VOMITING audio/MSK0042.mp3[357.760,368.880] YEAH CERTAINLY OKAY UM AND UH HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR SEE A DOCTOR FOR ANY REASON audio/RES0202.mp3[318.440,329.040] I DONT KNOW IF HES HAVING TROUBLE SWALLOWING BUT HE DOESNT SEEM TO HAVE A BIG APPETITE RIGHT NOW audio/RES0213.mp3[443.080,465.600] UM I TRY TO I TRY TO LIKE SET SOME TIME ASIDE JUST TO READ BOOKS THAT LIKE I LIKE TO READ INSTEAD OF LIKE SCHOOL BOOKS UH AT NIGHT TIME AND UH I DO REALLY ENJOY RUNNING ITS IVE BEEN A LITTLE BIT NERVOUS TO DO IT LATELY BUT USUALLY I RUN LIKE A FEW TIMES A WEEK audio/RES0104.mp3[387.760,390.520] NO NOTHING LIKE THAT audio/CAR0005.mp3[581.080,599.640] YOU NEVER HAD ANYTHING LIKE THAT BEFORE AND YOU HAVE BEEN IT SOUNDS LIKE EXPERIENCING SOME STRESS IN YOUR LIFE IT DEFINITELY CAN PLAY INTO THAT AS WELL OK IS THERE ANYTHING ELSE THAT YOU WANTED TO TO TELL ME ABOUT THAT I DIDNT ASK YOU TODAY audio/RES0004.mp3[551.600,556.760] OK WHAT ARE YOU ALLERGIC TOO audio/RES0135.mp3[253.160,259.320] OKAY AND DID THAT START AROUND THE SAME TIME AS THE COUGH AND AND FEVER audio/MSK0005.mp3[219.320,229.120] UH NO I IVE BEEN BEEN ABLE TO MANAGE SO FAR AT WORK BUT UM IT IS STARTING TO BECOME AN ISSUE UM YEAH WITH MY JOB audio/RES0116.mp3[429.960,434.120] YEAH HE WAS BORN AT UH 40 WEEKS audio/RES0177.mp3[486.960,493.280] SO ITS ME HIS MOM AND THEN HIS YOUNGER SISTER audio/RES0113.mp3[506.120,513.120] UH NO NOTHING LIKE THAT audio/RES0165.mp3[415.280,419.520] AND DO YOU SMOKE MARIJUANA audio/MSK0001.mp3[507.680,516.600] UH YES I HAVE UM UM TWO WOMEN OVER THE PAST YEAR audio/MSK0034.mp3[156.400,161.320] I CAN MOVE IT BUT IT COMES WITH A LOT OF PAIN audio/MSK0009.mp3[149.600,154.600] OK HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE audio/RES0154.mp3[428.480,432.840] OK UH DO YOU SMOKE UM MARIJUANA audio/RES0147.mp3[599.800,602.560] ARE YOU WEARING A MASK AND MAINTAINING SOCIAL DISTANCING audio/RES0053.mp3[343.320,347.600] OK SO HE HAS A LITTLE BIT OF A SORE THROAT AS WELL audio/RES0133.mp3[437.280,443.720] NO NO NOT RECENTLY audio/RES0003.mp3[437.440,450.760] OK OK AND THEN AFTER THAT POINT TO NOW HAS HE BEEN NORMAL IN TERMS OF HIS WEIGHT HEIGHT HEAD CIRCUMFERENCE audio/RES0052.mp3[6.240,28.520] SURE MY 5 YEAR OLD DAUGHTER I NOTICED THAT SHES BEEN COUGHING A LOT OVER THE PAST TWO DAYS SHE SOUNDS LIKE SHE HAS A STUFFY NOSE AND NOW SHES GOT THIS PINK EYE SO I JUST WANTED TO GET IT CHECKED OUT BY YOU audio/RES0093.mp3[498.320,511.320] I MEAN I IM RETIRED NOW SO UHM I DONT KNOW I I FEEL LIKE ITS BEEN FINE MAYBE UH I FEEL LIKE ITS BEEN FINE audio/RES0077.mp3[176.720,190.040] YEAH IF I TAKE LIKE A DEEP BREATH IN LIKE IT JUST FEELS TIGHT LIKE I CANT GET A DEEP BREATH audio/RES0026.mp3[543.480,551.040] ALRIGHT ANY MEDICATIONS BESIDES THE STATIN THAT YOU TAKE audio/RES0105.mp3[421.960,424.360] NO IM NOT audio/RES0110.mp3[277.720,280.560] UM NO NO HEADACHE audio/RES0025.mp3[576.560,592.920] UM OK SO DO YOU USE ANY OTHER SUBSTANCES LIKE CANNABIS audio/RES0209.mp3[0.000,3.280] SO WHAT BRINGS YOU IN audio/MSK0050.mp3[312.160,315.880] ALRIGHT HOW ABOUT ANY URINARY PROBLEMS audio/RES0019.mp3[497.720,502.560] YEP THEY ARE audio/RES0039.mp3[548.840,551.080] NO IVE NEVER BEEN IN THE HOSPITAL BEFORE audio/RES0192.mp3[236.240,241.840] OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/MSK0034.mp3[216.680,220.000] NO JUST STAYS IN THAT AREA audio/RES0039.mp3[345.120,349.360] NO I HAVENT MEASURED MY TEMPERATURE YET audio/RES0087.mp3[131.960,135.600] OK ANY WEIGHT LOSS OVER THE PAST MONTH OR SO audio/RES0102.mp3[138.160,154.960] OK AND DO YOU REMEMBER 2 WEEKS AGO PRIOR TO THAT WERE THERE ANY FACTORS THAT MIGHT HAVE CAUSED THIS LIKE FOR EXAMPLE DID YOU TRAVEL ANYWHERE OR SEE OR WAS IN CONTACT WITH ANYONE THAT WAS SICK audio/RES0004.mp3[586.920,604.280] NO I THOUGHT I WOULD HAVE FELT BETTER BY NOW AND SO I HAVENT SEEN ANYBODY BUT ITS KIND OF JUST BEEN GOING ON NOW NOT SEEMING TO GET BETTER SO WANNA COME SEE SOMEBODY audio/RES0160.mp3[417.240,436.080] UHM I TAKE THIS MEDICATION CALLED I THINK ITS ITS LIKE A LIPITOR AND THEN I TAKE UH RAMIPRIL FOR THE BLOOD PRESSURE audio/CAR0001.mp3[464.440,469.800] I SMOKE ABOUT A PACK A DAY audio/RES0005.mp3[772.960,775.120] SOUNDS GOOD audio/RES0012.mp3[888.480,891.680] OK YEAH HOPEFULLY audio/RES0194.mp3[170.760,177.320] OK HAVE YOU HAD ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS audio/MSK0050.mp3[691.840,694.880] UM NO NO QUESTIONS THANK YOU SO MUCH audio/MSK0003.mp3[651.480,654.720] OK AND DO YOU SMOKE audio/RES0204.mp3[118.640,126.320] OH YES I HAVE HAD THAT FOR THE PAST COUPLE OF DAYS AS WELL audio/MSK0013.mp3[670.240,675.720] FROM PREVIOUS ONES THAT HAVE THAT HAVE HEALED audio/RES0062.mp3[466.680,481.720] UH MAYBE JUST A COUPLE OF MONTHS AGO I THINK EVERY TIME THAT I COME IN TO SEE MY FAMILY DOCTOR THEY THEY DO ONE audio/RES0084.mp3[692.360,697.240] OK NO RECREATIONAL DRUGS AND WHERE DO YOU LIVE RIGHT NOW audio/RES0192.mp3[673.240,721.440] WELL YEAH SO AT THIS TIME IT WILL BE IMPORTANT TO GET SOME LUNG IMAGING AND AND POSSIBLY SOME OTHER INVESTIGATIONS AS WELL BECAUSE OF YOUR EXPOSURE UH TO INHALANTS AND FUMES AND POSSIBLY ASBESTOS SO I’M CONCERNED THERE COULD BE POSSIBLY AN ASBESTOS RELATED LUNG ILLNESS THAT THAT YOU HAVE UM AND SO IT WILL BE IMPORTANT TO INVESTIGATE FOR YEAH POSSIBLY A ASBESTOS RELATED LUNG CANCER audio/GAS0001.mp3[59.200,65.360] I SEE OK UM HAVE YOU HAD ANY VOMITING audio/RES0050.mp3[369.960,373.400] I SEE ARE YOU ON ANY MEDICATIONS FOR THOSE audio/RES0125.mp3[100.960,110.440] OKAY AND IS THERE A PATTERN TO IT LIKE UH DO YOU COUGH MORE WHEN YOURE EXERTING YOURSELF OR ANY TIME A CERTAIN TIME OF THE DAY audio/RES0020.mp3[244.000,250.480] THAT STARTED A FEW DAYS BEFORE LIKE MAYBE TWO DAYS BEFORE audio/RES0148.mp3[467.920,476.360] OK AND UM ARE YOU CURRENTLY WORKING OR UM audio/RES0107.mp3[419.960,423.920] HIS ECZEMA COMES AND GOES audio/RES0023.mp3[3.280,10.800] IM DOING OK I JUST HAD THIS COUGH THATS REALLY STARTED TO BUG ME audio/RES0110.mp3[312.680,317.720] UM A LITTLE BIT OF A RUNNY NOSE YEAH audio/MSK0039.mp3[314.560,316.560] UH NO NOT THAT IVE NOTICED audio/RES0143.mp3[201.320,205.000] UM OKAY UH ANY FEVERS OR CHILLS audio/RES0009.mp3[219.040,227.720] I SEE OK BUT FEELING FINE ENERGYWISE PRIOR TO THE TWO 5 DAYS AGO audio/RES0095.mp3[466.200,475.160] I DONT KNOW I I DONT KNOW ALL OF THAT I DONT KNOW YOU HAVE TO ASK MY DAUGHTER SHE KNOWS MUCH MORE ABOUT ME audio/RES0035.mp3[253.200,256.640] ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA audio/DER0001.mp3[626.480,639.400] OK YEAH WE WILL DEFINITELY DO THAT FOR YOU SO YEAH IM GOING TO HAVE A LOOK AT IT AND THEN AFTER THAT I WILL GO TALK TO THE DOCTOR THAT IM WORKING WITH AND WELL SEE WHAT WE CAN DO FOR YOU THAT SOUNDS GOOD audio/RES0176.mp3[195.960,204.560] OK DID YOU FEEL LIKE YOU WERE GOING TO PASS OUT audio/GAS0002.mp3[251.160,269.560] UH ENERGY UH WHEN ITS HURTING A LOT LIKE TODAY IVE BEEN ITS BEEN DIFFICULT TO MOVE AROUND IVE BEEN PRETTY DRAINED FROM THE PAIN BUT UH OTHERWISE OVER THE LAST FEW DAYS IT HASNT AFFECTED ME TOO MUCH BUT TODAY I WOULD SAY MY ENERGY LEVELS ARE DOWN audio/RES0127.mp3[353.840,372.440] I HAVENT BEEN DIAGNOSED WITH ANYTHING NO I DID HAVE LIKE I KNOW THAT I WOULD SOMETIMES GET KIND OF SHORT OF BREATH AS A CHILD BUT MY MOM DOESNT REALLY TRUST DOCTORS SO SHE WOULDNT TAKE ME TO ONE audio/RES0200.mp3[593.400,674.480] YEAH YOU KNOW IT SOUNDS LIKE YOU HAVE A COUGH AND SHORTNESS OF BREATH AND BOTH OF THESE THINGS YOUVE HAD FOR A WHILE BUT NOW THEYRE GETTING WORSE AND BASED ON YOUR PAST HISTORY OF COPI WOULD SAY THIS SOUNDS LIKE A COPEXACERBATION SO FOR THAT WE WILL START OFF WITH SOME BASIC BLOOD WORK LIKE CBC ELECTROLYTES YOUR KIDNEY FUNCTION ABG’S AS WELL AS LIKE A CHEST X RAY AND BASICALLY WE SHOULD TREAT IT WERE GOING TO TAKE YOUR OXYGEN SATURATION AN GIVE YOU SOME EXTRA OXYGEN IF YOU NEED WE’LL CONTINUE TO USE YOUR BRONCHODILATORS AN AND IN ADDITION TO BOTH OF THAT WILL ALSO GIVE YOU SOME STEROIDS AS WELL AS ANTIBIOTICS AND JUST TO PREVENT ANY INFECTIONS OR IF YOU ALREADY HAVE IT THEN IT CAN HELP WITH THAT AS WELL AND BECAUSE YOUR SYMPTOMS SOMEWHAT OVERLAP WITH THOSE OF COVID WILL ALSO DO A COVID SWAB JUST TO MAKE SURE ITS NOT THAT AND YOU SHOULD HEAR BACK ABOUT THOSE RESULTS IN 24 TO 48 HOURS HOW DOES THAT SOUND audio/CAR0003.mp3[486.760,489.400] NOTHING LIKE THAT OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS audio/RES0039.mp3[631.280,642.240] UHM IMM SMOKE MAYBE MAYBE SOCIALLY SO MAYBE A PACK OF CIGARETTES A WEEK AT THE AT THE MOST audio/RES0052.mp3[268.880,272.920] OK ANY FEVERS OR CHILLS audio/RES0010.mp3[500.720,509.640] OH AGAIN A LITTLE BIT OF A RUNNY NOSE LIKE IN THE SPRING BUT THATS IT audio/MSK0029.mp3[280.240,288.000] OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN audio/RES0087.mp3[519.680,531.880] OK AND IS HE OTHERWISE LIKE DEVELOPMENTALWISE HES OK THERES NO PAST HISTORY OF LIKE DEVELOPMENTAL DISORDERS ANYTHING LIKE THAT audio/RES0127.mp3[131.960,137.160] LIKE UH HOW MUCH WOULD YOU SAY DO YOU JUST BRING IT UP IN THE MORNING OR LIKE THROUGHOUT THE DAY audio/RES0124.mp3[603.640,606.320] NO NO MY PARENTS WOULD KILL ME audio/GEN0001.mp3[295.640,301.280] ANY RASHES OR ANY CHANGES ON YOUR FACE audio/RES0046.mp3[719.040,723.000] NO OK HOW ABOUT OTHER RECREATIONAL DRUGS audio/RES0068.mp3[112.080,113.720] YEAH THATS RIGHT audio/CAR0004.mp3[383.600,387.520] RIGHT AND YOU DRINK AT ALL ANY ALCOHOL audio/RES0007.mp3[497.840,510.720] OK AND DO YOU HAVE ANY LIKE SEASONAL ALLERGIES DO YOU FIND LIKE IN THE SPRING OR FALL TIME OR EVEN SUMMER THAT YOU GET UM LIKE DRY EYES OR REALLY ITCHY audio/MSK0037.mp3[51.160,58.840] PROBABLY TWO MONTHS AGO MONTHS AGO audio/CAR0002.mp3[440.320,454.320] UHH USUALLY I FEEL LIKE ITS FAIRLY BALANCED OVERALL I MIGHT I EAT OUT A LITTLE BIT TOO OFTEN BUT TRY TO EAT AS MANY VEGETABLES AS I CAN audio/RES0083.mp3[21.480,23.880] WHEN DID ALL THIS START audio/RES0020.mp3[165.680,172.880] NO IT IT IT ITS JUST ALWAYS THERE audio/MSK0026.mp3[483.600,488.080] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/RES0011.mp3[48.320,62.440] OK UM AND SO IT SOUNDS LIKE YOU HAVENT BEEN GOING TO WORK OR LIKE ANYTHING LIKE THAT BECAUSE YOU HAVE BEEN SO KIND OF TIRED AND WEAK audio/RES0105.mp3[145.200,159.520] YEAH I THINK IT ITS THERE KIND OF MOST OF THE TIME LIKE THE CHEST PRESSURE I KIND OF FEEL IT THROUGHOUT MY CHEST WHEN WHEN IM BREATHING BUT BUT ALSO JUST KIND OF SITTING HERE I CAN KIND OF FEEL IT audio/RES0017.mp3[358.800,361.840] NO NOT REALLY audio/RES0187.mp3[370.920,371.560] NO OK audio/RES0140.mp3[46.320,56.040] OKAY UM HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS A HEADACHE OR COUGH OR RUNNY NOSE CONGESTION SORE THROAT audio/RES0018.mp3[508.360,516.960] OK DO YOU USE RECREATIONAL DRUGS LIKE IV DRUG USE OR OPIOIDS OR CRYSTAL METH ANYTHING LIKE THAT audio/RES0126.mp3[195.120,201.240] UHM IM TAKING UHM IM TAKING TWO PUFFERS audio/MSK0009.mp3[173.040,179.720] OK IS THERE ANYTHING SHE SAID RESTING THAT HELPS IS THERE ANYTHING ELSE THATS HELPED audio/RES0197.mp3[139.480,152.720] OK I SEE OK ANY HAVE YOU BEEN EXPOSED TO ANY NEW ENVIRONMENTS WHERE THERE IS YOU KNOW DUSTY CARPETS MOLD NEW ANIMALS ANYTHING LIKE THAT audio/RES0196.mp3[301.880,302.920] SHE WAS AT TERM audio/RES0199.mp3[152.760,155.160] OK SO NO SPUTUM OR BLOOD audio/RES0215.mp3[534.520,536.240] OK AND DOES SHE LIVE WITH YOU audio/RES0097.mp3[434.960,439.480] OK AND HAS HE HAD ANY SURGERIES audio/RES0101.mp3[589.440,599.760] OK AND ANYBODY IN THE FAMILY HAVE A BLEEDING DISORDER OR OR A CLOTTING DISORDER audio/MSK0027.mp3[470.960,478.920] UHM NO NO ONE SMOKES AT HOME audio/RES0108.mp3[167.000,168.480] NO ANY RASHES audio/RES0149.mp3[510.720,518.600] OK UM AND UH ANY POTENTIAL EXPOSURES TO UH TB UH EITHER IN YOUR ON YOUR TRAVELS OR OR ANYBODY THAT YOU THAT YOU KNOW OF audio/MSK0020.mp3[239.520,247.040] NO OK HOW ABOUT JOINT PAINS OR MUSCLE ACHES ELSEWHERE audio/CAR0002.mp3[10.480,14.600] ITS JUST RIGHT OVER ON THE ON THE LEFT SIDE audio/RES0017.mp3[36.600,50.360] OK AND SIX MONTHS AGO CAN YOU THINK OF ANYTHING THAT THAT CHANGED INCLUDING LIKE TRAVELING ANYWHERE OR CHANGING IN IN YOUR WORK OR OR LIVING ENVIRONMENT audio/RES0216.mp3[476.760,485.120] OK GOT IT ANY ALLERGIES THAT YOU HAVE audio/MSK0045.mp3[67.440,78.280] UM ITS ITS JUST LIKE IN MY SHOULDER LIKE AT THE JOINT BETWEEN MY UPPER ARM AND UM SHOULDER audio/MSK0014.mp3[143.000,152.400] OK SO YOURE FEELING IT JUST IN THE KNEE AND YOU SAID MOVING THE KNEES IS PAINFUL IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE audio/RES0170.mp3[435.480,439.560] OK AND IS HE GOING TO SCHOOL audio/RES0005.mp3[592.400,597.320] YEAH I SMOKE ID SAY AROUND 20 CIGARETTES A DAY RIGHT NOW audio/RES0058.mp3[28.720,34.120] I WOULD SAY THE LAST TWO DAYS YEAH JUST YESTERDAY AND TODAY audio/MSK0007.mp3[650.160,658.120] WRIST FLEXION YEAH THAT HURTS TOO audio/CAR0004.mp3[194.960,203.080] ANY HEADACHES NAUSEA OR VOMITING FEVERS OR CHILLS ANY OF THOSE SYMPTOMS audio/RES0156.mp3[223.920,231.160] OK UM ANY CHANGES IN HER BOWEL MOVEMENTS LIKE CONSTIPATION OR DIARRHEA audio/RES0200.mp3[676.320,679.360] OK YEAH NO PROBLEM audio/RES0012.mp3[769.000,772.400] LIKE SHE I DONT THINK SHE WAS SICK audio/RES0096.mp3[368.440,371.840] OK HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0095.mp3[548.400,552.640] OK I SEE AND DO YOU DO YOU SMOKE CIGARETTES audio/RES0014.mp3[11.480,14.640] OK WHEN DID IT START audio/RES0026.mp3[374.080,377.040] UM NO NO ABDOMINAL PAIN audio/RES0114.mp3[282.600,295.920] PROBABLY UH IVE HAD THIS ISSUE FOR LIKE A PRETTY LONG TIME UM PROBABLY I WOULD SAY THE LAST YEAR AT LEAST audio/RES0181.mp3[184.760,190.000] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0015.mp3[520.600,522.240] NO NOTHING LIKE THAT audio/RES0118.mp3[365.200,370.400] I DO I WORK FROM HOME THOUGH audio/RES0186.mp3[336.600,342.040] OK ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS audio/RES0108.mp3[282.920,285.640] OK ANY ALLERGIES audio/RES0044.mp3[90.520,101.160] UH LIKE I HAVE IVE JUST BEEN DRINKING TEA AND JUST LIKE TEA WITH HONEY JUST TO LIKE MAKE IT FEEL BETTER I I DIDNT LIKE TAKE ANY MEDICINE audio/RES0209.mp3[43.440,45.280] THATS RIGHT audio/RES0037.mp3[427.840,430.320] OK AND YOU MENTIONED NO CHEST PAIN RIGHT audio/RES0182.mp3[158.400,174.160] OK AND SO HAVE YOU HAD ANY LIKE VIRAL INFECTIOUS TYPE SYMPTOMS SUCH AS LIKE EYE EYE DISCHARGE OR RED EYES OR RUNNY NOSE OR EVEN A SORE THROAT audio/CAR0003.mp3[283.960,287.960] UH I WOULD SAY SO YEAH audio/RES0026.mp3[243.960,256.080] OK UM AND UM AND YOU HAVENT CHECKED THE TEMPERATURE YET YOU SAID BUT YOU FELT HOT audio/MSK0015.mp3[292.560,299.320] ALRIGHT AND ANY PROBLEMS WITH URINATION LIKE PAIN OR FREQUENCY audio/RES0020.mp3[384.800,386.480] NO CHILLS audio/RES0076.mp3[725.880,760.800] OK SO IF YOU THINK YOU CAN PRODUCE THAT WE CAN EVEN TAKE A SAMPLE OF THAT AS WELL AND SEE IF THERE IS ANY PRESENCE THE ONE THING THAT WE ARE CONCERNED ABOUT WITH SOME OF YOUR SYMPTOMS AND A LONG HISTORY OF SMOKING AS WELL IS LUNG CANCER SO YEAH WE WILL DO A CHEST XRAY GET SOME CYTOLOGY DONE AS WELL AND THEN ONCE WE HAVE THAT IN THE FUTURE WE MAY NEED TO MAYBE DO A BIOPSY BUT RIGHT NOW WELL DO A FEW OF THE FIRST THINGS THAT I MENTIONED AND THEN GO FROM THERE audio/RES0105.mp3[321.080,328.360] OK AND BESIDES THE TIME YOU GOT HOSPITALIZED HAVE YOU HAD ANY EXACERBATIONS AFTER THAT audio/MSK0008.mp3[445.320,447.880] I AM WEVE BEEN TOGETHER FOR A YEAR audio/MSK0042.mp3[368.880,375.240] UM NO IVE BEEN PRETTY HEALTHY UP UNTIL NOW audio/RES0205.mp3[167.160,177.320] UM I DID INITIALLY UM FOR THE FIRST TWO OR THREE DAYS AND THEN THAT GOT BETTER audio/RES0048.mp3[899.880,902.800] ALRIGHT TAKE CARE audio/RES0090.mp3[87.720,93.200] I RECENTLY IMMIGRATED TO CANADA FROM INDIA audio/MSK0012.mp3[433.600,440.440] IM FINDING IT HARD TO WALK audio/RES0201.mp3[182.520,195.560] UM I HAVE NO I DONT LEAVE THE HOUSE MUCH NOWADAYS I GO TO THE GROCERY STORE I GO TO THE BANK JUST ESSENTIAL THINGS audio/RES0188.mp3[312.680,319.200] OK AND HOW ABOUT MEDICATIONS IS HE ON ANY audio/RES0037.mp3[752.200,766.240] OK ALRIGHT WELL YEAH WELL AFTER THOSE TESTS HAVE COME BACK WELL SEE YOU IN THE NEXT APPOINTMENT FOR FOLLOW UP audio/RES0101.mp3[60.320,69.560] OK AND HAVE YOU HAD ANY PAIN IN YOUR CALF AND IF SO WHICH WHICH ONE audio/RES0110.mp3[422.240,423.760] UH NO audio/RES0064.mp3[60.320,68.280] UH EVERYTHING LOOKS SWOLLEN IN THERE I DONT KNOW WHATS WHAT BUT IT DOES LOOK VERY ANGRY IN THERE audio/RES0209.mp3[177.520,181.960] OK SO YOU HAVE ALLERGIES TOO audio/RES0020.mp3[654.160,664.440] OK UM UH OK AND HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE audio/MSK0005.mp3[151.240,158.920] ABOUT A FOUR OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE audio/RES0199.mp3[430.560,438.600] OK AND HOW ABOUT OTHER RECREATIONAL DRUGS LIKE COCAINE HEROIN AND OPIOIDS audio/RES0088.mp3[459.440,467.160] NO OK DOES SHE HAVE ANY MEDICAL CONDITIONS AT ALL THAT SHES BEEN DIAGNOSED WITH IN THE PAST audio/RES0084.mp3[90.880,94.320] LIKE 38 TO 39 audio/GAS0002.mp3[342.640,346.640] OK AND HAVE YOU HAD ANY RECENT INFECTIONS audio/GEN0001.mp3[67.120,83.480] LIKE YES AND NO ITS IM IM NOT SUPER IRREGULAR BUT I I SOMETIMES HAVE LIKE BASICALLY ITS LIKE I ALTERNATE SOMETIMES I MY CYCLES LIKE 4 WEEKS AND SOMETIMES ITS MORE LIKE 5 audio/RES0145.mp3[43.040,53.800] OK AND HAS IT GOTTEN BETTER OR WORSE OR STAYED THE SAME SINCE LAST WEEK audio/MSK0020.mp3[367.480,378.800] AND THEN FOR THE CHOLESTEROL IM TAKING AND THIS MEDICATION CALLED ATORVASTATIN audio/RES0152.mp3[198.880,216.720] UHM NOW THAT YOU MENTION IT LIKE I I WOULD SAY TWO TWO DAYS OUT OF THE LAST WEEK IVE HAD NIGHT SWEATS WHERE MY SHEETS WERE KIND OF JUST DRENCHED WHEN I AND THEN I WOKE UP NOTICING THAT audio/RES0096.mp3[284.240,288.760] NOT REALLY NO audio/MSK0022.mp3[740.680,751.200] SO I LIVE WITH MY HUSBAND AS WELL AS OUR UH OUR DAUGHTER SHES 4 audio/MSK0015.mp3[583.480,590.400] OK IS THERE ANYBODY WHO SMOKES IN THE HOME audio/RES0169.mp3[101.280,108.000] YEAH YEAH SORRY THAT STARTED ABOUT FOUR DAYS AGO AS WELL SO ABOUT THE SAME TIME AS THE COUGH audio/RES0030.mp3[87.440,92.800] OK AND IS THERE ANYTHING THAT BRINGS ON YOUR COUGH audio/RES0101.mp3[371.720,378.640] OK OR YEAH LIKE A DEEP VEIN THROMBOSIS OR HAVE YOU HAD A PULMONARY EMBOLISM BEFORE audio/MSK0041.mp3[153.480,157.800] OK AND ARE YOU ABLE TO WALK audio/MSK0016.mp3[717.960,726.800] UM MAYBE UH A LITTLE LESS MUSCLE BULK ON THE LIKE WHERE MY THUMB IS audio/RES0202.mp3[504.520,510.520] IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0060.mp3[80.280,98.040] I MEAN MAYBE A REALLY LONG TIME AGO WHEN I WAS A KID OR SOMETHING LIKE THAT MAYBE I HAD THE FLU BUT NOTHING RECENTLY audio/RES0094.mp3[99.520,102.240] YEAH IT DOES YES audio/RES0021.mp3[418.280,426.440] I TAKE IRON AND VITAMIN AS WELL AS BIOTIN audio/RES0005.mp3[581.360,583.840] OK DO YOU HAVE ANY PETS audio/RES0161.mp3[92.880,96.120] OK IN THE PAST FIVE DAYS audio/RES0111.mp3[269.960,282.440] NO I JUST TAKE MY MULTIVITAMINS audio/RES0175.mp3[43.040,46.960] I HAD CHILLS LAST NIGHT audio/MSK0050.mp3[297.920,299.720] UH NO audio/RES0173.mp3[177.800,182.480] OK AND IT DOES THIS HAPPEN EACH TIME THAT YOU GO GO TO HIS HOUSE audio/RES0163.mp3[511.920,514.320] OH GOD NO NEVER audio/RES0050.mp3[410.640,414.120] OK ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0074.mp3[247.720,250.400] OK HAVE YOU HAD A COUGH audio/MSK0012.mp3[219.800,222.880] OK AND DO YOU STILL WORK THERE audio/MSK0017.mp3[284.240,286.200] NO I HAVENT HAD ANY WEIGHT LOSS audio/MSK0031.mp3[489.040,496.760] OK ALRIGHT AND THEN WHEN YOU PLACE THE BACK OF YOUR HAND ON BOTH HIPS DO YOU NOTICE ANY TEMPERATURE CHANGES IS ONE SIDE WARMER THAN THE OTHER audio/RES0086.mp3[660.960,674.520] YEAH I WAS JUST WONDERING IF I SHOULD GO BACK ON THE PUFFERS I DONT HAVE ANY RIGHT NOW I JUST DONT KNOW IF MY ASTHMA HAS JUST UH COME BACK audio/RES0050.mp3[253.000,265.640] AH NO NO CHEST WELL MY CHEST FEELS I GUESS SOMETIMES I IT FEELS PAINFUL BECAUSE IM COUGHING SO MUCH BUT NOTHING MORE THAN THAT audio/RES0110.mp3[145.480,151.800] YEAH A LITTLE BIT audio/MSK0008.mp3[205.280,214.000] OK UM AND UH UM ALRIGHT SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0014.mp3[392.440,396.480] NO ARE YOU ON ANY MEDICATIONS audio/MSK0044.mp3[246.360,256.640] NO NO I I DIDNT I WAS KIND OF JUST LIKE LAYING ON MY SIDE AND THEY FELL LIKE ON MY LEFT SHOULDER AND I I JUST GOT SQUISHED audio/RES0155.mp3[156.960,165.520] ITS ITS KIND OF JUST ALWAYS ITS JUST KIND OF BEEN THERE OVER THESE PAST UH LIKE FOUR OR FIVE DAYS audio/RES0059.mp3[7.720,10.800] OK UMM HOW OLD ARE YOU audio/MSK0010.mp3[329.200,334.000] OK SO EVEN OVER THE AREA YOU HAVENT NOTICED ANY REDNESS OR LIKE SOFT TISSUE SWELLING audio/RES0139.mp3[2.080,13.440] UM IM JUST IM HERE BECAUSE IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND UH ITS JUST NOT GOING AWAY audio/MSK0023.mp3[295.200,299.200] NO NOTHING LIKE THAT audio/RES0154.mp3[124.640,134.040] OK OR HAVE YOU HAD ANY UH TIMES WHERE YOUVE UH WOKEN UP UM FROM SLEEP BECAUSE YOU WERE SHORT OF BREATH AND YOU HAD TO SIT UP audio/RES0063.mp3[31.320,38.920] OK ALRIGHT SO THE SORE THROAT STARTED 5 DAYS AGO AND THEN THE FEVER STARTED WHEN audio/RES0001.mp3[570.120,578.400] YEAH ITS JUST MY MOM HAD A HEART ATTACK WHEN SHE WAS 56 audio/MSK0015.mp3[231.960,233.680] NO NO HEADACHES audio/RES0009.mp3[429.880,436.480] OK UM AND HAVE YOU HAD ANY BOWEL PROBLEMS audio/MSK0039.mp3[465.680,470.160] OK OK UM AND THEN HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY audio/MSK0015.mp3[143.680,170.040] SHES DEFINITELY BEEN MORE JUST A BIT ANXIOUS ABOUT THE PAIN VERY SCARED ABOUT PUTTING HER FOOT DOWN AND JUST OVERALL I THINK ALSO MORE IRRITABLE CRYING MORE BECAUSE OF THE PAIN SO BUT I I GUESS I UNDERSTAND IF THERES SOMETHING GOING ON IT MUST BE VERY PAINFUL audio/RES0032.mp3[165.720,170.200] UH NOTHING I CAN THINK OF JUST JUST THIS COUGH THATS BEEN BUGGING ME audio/RES0038.mp3[102.840,113.120] I SEE DID YOU HAVE ANY COLD SYMPTOMS LIKE RUNNY NOSE SORE THROAT UM ANY ANYTHING LIKE THAT WHEN YOU WERE THERE OR AFTER YOU CAME BACK audio/MSK0020.mp3[474.080,478.680] PROBABLY A PACK A DAY PACK A DAY audio/RES0046.mp3[277.640,281.400] OK HOW ABOUT FEVERS OR CHILLS audio/RES0031.mp3[328.000,331.440] ALRIGHT AND UH HAVE YOU HAD ANY INFECTIONS RECENTLY audio/RES0011.mp3[320.920,326.760] MAYBE MAYBE A LITTLE BIT BUT NOT LIKE TOO NOTICEABLE audio/RES0029.mp3[48.600,57.240] OK I AM HOW WOULD YOU DESCRIBE THE PAIN SOMETIMES PEOPLE WILL USE WORDS LIKE BURNING DULL ACHY audio/RES0179.mp3[342.280,346.160] NUMBNESS OR TINGLING audio/RES0044.mp3[527.160,537.200] OH YEAH I SEE OK UM HAVE YOU EVER HAD ANY HOSPITALIZATIONS OR SURGERIES audio/RES0083.mp3[417.200,423.280] YEAH ILL HAVE THREE OR FOUR GLASSES OF WINE OVER THE WEEKEND audio/MSK0038.mp3[240.120,247.160] NO UH CHANGES TO YOUR UH VISION HEARING TASTE OR SMELL audio/RES0135.mp3[480.640,487.000] UM SO ITS HER DAD AND I AS WELL AS HER UM HER GRANDMA audio/RES0091.mp3[223.080,229.720] OK AND ANY MOLD OR DUST OR FUMES ANYTHING IN YOUR HOUSEHOLD audio/RES0097.mp3[507.080,522.760] SCHOOLS GOING WELL ITS JUST THE YEAH THE HOSPITALIZATIONS CAN SOMETIMES BE DISRUPTIVE BUT ITS GOING WELL HES HES GETTING BS IN HIS CLASS HES DOING WELL HES GOT A GOOD GROUP OF FRIENDS audio/MSK0008.mp3[637.840,646.200] TO THE VARUS STRESS I GUESS IT WOULD BE THERE WILL BE PAIN IF I PRESS DOWN IN THAT AREA audio/RES0018.mp3[98.480,115.480] UM I DID JUST JUST LAST NIGHT ACTUALLY I THOUGHT THAT I HAD SOME SHORTNESS OF BREATH AS WELL I DONT KNOW IF THATS BEING CAUSED BY ALL THE COUGHING BUT YEAH I GOT PRETTY SCARED SO THATS WHY IM HERE TODAY audio/RES0032.mp3[435.800,441.280] UH JUST A CHRONIC BRONCHITIS WITH A SMOKERS COUGH audio/RES0203.mp3[76.800,82.160] OK IS THAT BEEN PRETTY CONSISTENT THROUGHOUT THE LAST COUPLE OF DAYS OR IS IT ON AND OFF audio/RES0164.mp3[174.000,189.520] OK ANYTHING NEW AT ALL THAT HE HAS EITHER EATEN OR ANY NEW CLOTHING OR NEW LAUNDRY DETERGENT OR SOAP SO ANYTHING AT ALL audio/RES0136.mp3[527.680,534.520] HAVE YOU SMOKED IN THE PAST audio/RES0058.mp3[754.200,769.160] OK GOOD UMM ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS THAT YOU WANTED TO BRING UP audio/RES0001.mp3[711.280,718.880] I WORK AS AN ADMINISTRATOR AT AT A BANK audio/DER0001.mp3[220.760,222.920] OK YOU TAKE YOUR TEMPERATURE AT ALL audio/CAR0001.mp3[452.560,461.320] OK SOUNDS LIKE A PRETTY STRESSFUL JOB OR THAT IT CAN BE DO YOU SMOKE CIGARETTES audio/RES0123.mp3[326.560,330.240] ANY WEAKNESS IN ANY ONE SIDE OF YOUR BODY audio/RES0101.mp3[536.480,547.160] OK YEAH WE NEED TO RECOVER AFTER THE KNEE SURGERY OK AND DO YOU SMOKE CIGARETTES audio/RES0055.mp3[272.520,275.080] NO NOT THAT I KNOW audio/RES0024.mp3[320.480,331.080] SORRY I WENT TO THE EMERGENCY DEPARTMENT LIKE WHEN I HAD MY PEANUT LIKE THE FIRST TIME I REALIZED I WAS ALLERGIC TO PEANUTS BUT THAT WAS IT audio/RES0021.mp3[32.240,40.800] UM NO I HAVENT ACTUALLY CHECKED MY TEMPERATURE I JUST KIND OF PUT MY HAND ON MY FOREHEAD AND I JUST FEEL REALLY REALLY HOT audio/RES0012.mp3[939.960,951.160] YEAH YEAH AND THEN OTHER THINGS LIKE COPPULMONARY FIBROSIS AND LIKE LIKE CANCER STUFF IS SUPER audio/MSK0017.mp3[334.640,338.280] NOPE NOTHING LIKE THAT audio/RES0123.mp3[320.480,324.360] ANY UH DIARRHEA OR CONSTIPATION audio/RES0173.mp3[250.400,253.160] ALRIGHT AND ANY ABDOMINAL PAIN OR DIARRHEA audio/RES0128.mp3[155.800,167.840] YEAH TO MOSTLY ENVIRONMENTAL TRIGGERS IM NOT SURE IF THE SPECIFIC THINGS ARE BUT I JUST KNOW IT GETS WORSE MAYBE IN THE SPRING SPRINGTIME audio/RES0208.mp3[645.280,648.640] OK OK NO THAT SOUNDS FAIR audio/GAS0007.mp3[354.760,358.480] ANY OTHER SUBSTANCES audio/RES0191.mp3[245.080,250.960] NO IM ACTUALLY PRETTY HEALTHY audio/RES0001.mp3[16.320,19.080] UM 52 audio/MSK0017.mp3[343.600,348.400] UM NOPE IVE BEEN EATING UH IVE BEEN EATING WELL audio/GAS0002.mp3[51.040,63.320] OK AND HOW LONG IS IT BEEN SINCE ITS LIKE GOT GOT WORSE HAS THIS BEEN A FEW HOURS OR OR HOW LONG IS THAT BEEN audio/RES0036.mp3[303.560,310.880] I DO HAVE THIS SHARP CHEST PAIN THAT GETS WORSE WITH COUGHING audio/RES0074.mp3[132.800,142.280] YEAH I WOULD SAY UH I DONT KNOW IF ITS BECAUSE OF THE PAIN BUT I DEFINITELY FEEL A LOT MORE TIRED audio/MSK0035.mp3[296.360,299.400] ANY ABDOMINAL PAIN audio/GEN0001.mp3[351.000,362.920] NO NOTHING NO NOTHING ELSE YEAH I GUESS I HAVE LIKE I HAVE AN INHALER BUT I DONT USE IT ALL THE TIME LIKE I HAVENT HAD TO audio/RES0109.mp3[135.120,136.160] ITS CLEAR YEAH audio/RES0007.mp3[415.080,425.640] SO UH OVERNIGHT WHEN YOURE SLEEPING YOU WAKE UP WITH EITHER YOUR LIKE PAJAMAS DRENCHED OR YOUR YOUR SHEETS DRENCHED DRENCHED FROM SWEATING audio/RES0204.mp3[249.640,251.760] AT LEAST NOT THAT WE KNOW OF OK audio/RES0202.mp3[534.360,541.640] UM HE LIVES WITH JUST ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE THIS IN TOWN HERE audio/RES0037.mp3[389.880,392.360] AH NO HEADACHES audio/RES0095.mp3[520.320,548.400] OH SHE SHE SHE HAS TO HELP ME OUT UHM SHE HAS TO HELP ME OUT I UHM I SOMETIMES NEED HELP WITH THE SHOWERING SIMPLY BECAUSE I GET REALLY SHORT OF BREATH AND THEN SO I HAVE TO STOP AND ITS JUST SHES JUST WORRIED THAT ITS UNSAFE SO SHE HELPS ME OUT WITH THAT UHM SHE GETS MOST OF THE THINGS DONE AT HOME SHE DOES THE GROCERIES AND EVERYTHING audio/MSK0031.mp3[202.640,206.440] FEVERS OR CHILLS audio/RES0124.mp3[2.880,19.040] UH YEAH HI I JUST CAME IN HERE TODAY CAUSE UH LATELY FOR THE LAST COUPLE OF MONTHS IVE BEEN GETTING THESE COUGHING FITS THEY DONT REALLY SEEM TO BE GOING AWAY AND I WAS A BIT CONCERNED audio/RES0064.mp3[320.800,322.120] NO NO MEDICATION audio/MSK0042.mp3[397.240,402.600] YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE audio/CAR0001.mp3[42.560,46.800] ITS LOCATED ON THE LEFT SIDE OF MY CHEST audio/RES0005.mp3[634.280,637.600] NO NOTHING LIKE THAT audio/RES0204.mp3[194.400,197.280] UH NO NO NAUSEA OR VOMITING audio/MSK0010.mp3[176.920,186.480] OK AND HAS THERE BEEN ANYTHING THAT HAS MADE THE PAIN WORSE audio/RES0138.mp3[390.400,392.760] YEAH SOMETHING ABOUT CHOLESTEROL audio/MSK0012.mp3[631.000,645.800] OK AND DO YOU HAVE YOU NOTICE ANY KIND OF SWELLING IN YOUR LEGS OR NEAR THE AREAS WHERE YOU HAVE PAIN SWELLING OR REDNESS OR ANY WARMTH audio/RES0141.mp3[367.680,387.520] UM JUST UH SO MY WIFE IS A SCHOOL TEACHER UM AND THEY DID HAVE INPERSON JUST UH SHES A HIGH SCHOOL TEACHER AND THEY HAD SOME THEY HAVE INPERSON CLASSES SO YEAH I DONT KNOW BUT SHES BEEN FEELING WELL MY KIDS ARE FEELING WELL TOO audio/RES0195.mp3[329.320,334.360] AND ANY CHEST PAIN audio/MSK0040.mp3[41.880,79.960] YEAH SO I PLAY RUGBY AND I MIGHT HAVE SO I FELL DURING A TACKLE MOTION TYPE THING AND I FELL ON THAT LEG AND MY LEG MY FOOT KIND OF IN POINTED INWARDS AS I FELL AN I KIND OF FELL ON UM ON MY ANKLE KIND OF JUST ABOVE ABOVE MY LATERAL SIDE OF THE FOOT SO WHERE THAT BONY PROMINENCE IS audio/RES0160.mp3[378.200,380.640] ONLY LIKE 15 15 YEARS audio/RES0117.mp3[211.520,216.640] OK ANY UM HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0068.mp3[161.920,167.640] UM I WOULD SAY ITS GETTING WORSE audio/RES0034.mp3[346.160,352.480] SOMETIMES LIKE YESTERDAY LIKE SHE I COULDNT GET HER TO STOP CRYING audio/MSK0045.mp3[223.720,229.200] OK AND HAVE YOU BEEN SICK RECENTLY AT ALL OR MET WITH SOMEONE WHO WAS SICK audio/RES0003.mp3[593.120,600.640] A BIT HUSKY OK UM ALRIGHT AND NOTHING LIKE A SEIZURE LIKE A FEBRILE SEIZURE RIGHT audio/MSK0019.mp3[511.640,535.400] NO OKAY AND NOW IM GONNA GET YOU TO WALK THROUGH SOME MOVEMENTS WITH ME UM CAN YOU UH GET A PIECE OF PAPER AND ACTUALLY CAN YOU GET A PENCIL AND GRIP IT AS TIGHT AS YOU CAN UM DO YOU FIND THAT YOU FEEL WEAK WHEN YOU DO THAT audio/MSK0015.mp3[527.080,537.440] OK ALL RIGHT WELL TALK MORE ABOUT THAT HAS SHE HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS audio/RES0080.mp3[250.920,254.400] ALRIGHT AND ANY URINARY PROBLEMS audio/RES0022.mp3[1013.840,1017.200] OK THANKS DOC audio/RES0161.mp3[242.120,246.560] UH I JUST HAVE A HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE audio/RES0069.mp3[317.600,327.440] NO NO IM NOT ITS NOT BAD I SOMETIMES JUST TAKE LIKE ADVIL WHENEVER MY HEADACHES COMING ON audio/MSK0033.mp3[299.800,304.400] OK AND ANY KIND OF SHORTNESS OF BREATH CHEST PAIN audio/MSK0004.mp3[158.160,163.800] ITS ON THE RIGHT KIND OF OUTSIDE OF THE ANKLE audio/RES0078.mp3[283.200,292.000] NO I FEEL IT JUST IN THE ONE SPOT audio/RES0060.mp3[518.600,522.560] OK AND IS IT HELPING WITH THE CHOLESTEROL LEVELS audio/MSK0003.mp3[50.960,52.600] AND DOWN audio/RES0174.mp3[172.600,178.520] OK AND HAVE YOU HAD ANY ANY CHEST PAIN audio/RES0156.mp3[206.680,213.120] NO SHE DOESNT audio/RES0060.mp3[501.040,503.080] NOTHING LIKE THAT NO audio/RES0057.mp3[357.880,360.080] UMM NO I HAVENT audio/RES0155.mp3[222.920,227.520] OH HAVE YOU HAD A CHANCE TO TAKE YOUR TEMPERATURE AT ALL audio/RES0006.mp3[503.960,510.960] OK AND HOW LONG HAVE YOU SMOKED FOR audio/RES0151.mp3[310.600,324.040] UH NO IVE BEEN I HAVENT BEEN TIRED OR LIKE ITS JUST BEEN LIKE THESE SYMPTOMS THAT DONT SEEM TO GO AWAY audio/RES0148.mp3[438.240,447.120] UHM HE WAS SICK LAST WEEK BUT HE GOT BETTER ON HIS OWN audio/RES0140.mp3[2.200,20.400] HI I JUST CAME IN UH I JUST HAD THIS SUDDEN JUST THIS MORNING AFTER I WOKE UP THIS SUDDEN SHORTNESS OF BREATH AND LIKE EACH TIME I TAKE A DEEP BREATH IM GETTING THIS CHEST PAIN audio/RES0169.mp3[231.600,234.160] NO IM NOT audio/RES0060.mp3[400.600,407.360] OK YEAH DO YOU FEEL FATIGUED OR TIRED AT ALL audio/CAR0001.mp3[86.400,90.400] ID SAY ITS PRETTY SHARP YEAH audio/RES0093.mp3[20.520,39.760] ITS WET IVE BEEN BRINGING UP UH SPUTUM THATS UH ITS JUST IT LEAVES A REALLY BAD TASTE IN MY MOUTH WHEN BRINGING IT UP audio/RES0206.mp3[136.800,148.400] I SEE OK AND UH HAVE YOU EVER HAD ANY HOSPITALIZATIONS IN THE PAST SPECIFICALLY FOR COPEXACERBATIONS audio/MSK0010.mp3[652.440,665.200] OK AND IF YOUR ARM IS OUTSTRETCHED AND YOUR THUMB POINTING DOWN SO YOUR ARM IS INTERNALLY ROTATED DOES THAT GIVE YOU PAIN audio/RES0192.mp3[229.640,234.120] OK AND HAVE YOU HAD A LOSS OF APPETITE audio/RES0045.mp3[328.320,333.840] YEAH AND HAVE YOU HAD A FEVER OR CHILLS IN THE PAST FEW DAYS audio/RES0019.mp3[540.720,543.920] OK DO YOU SMOKE MARIJUANA audio/RES0113.mp3[359.000,361.920] HAVE YOU GONE OUT OF THE HOME AT ALL audio/MSK0012.mp3[241.400,254.320] OK OK AND JUST GETTING BACK TO THE PAIN SO ITS KIND OF IN YOUR LOWER BACK YOUR BUTTOCKS AND THEN IT GOES TO YOUR RIGHT UPPER LEG audio/MSK0016.mp3[279.960,282.880] UH FEVERS OR CHILLS audio/RES0065.mp3[266.040,269.160] OK ANY CHANGES IN YOUR URINATION audio/RES0143.mp3[436.280,439.400] ANY UH ALCOHOL audio/RES0146.mp3[434.800,449.160] MY GRANDFATHER HAD LUNG CANCER HE SMOKED HIS WHOLE LIFE AND YEAH I KNOW MY DAD HAD YOU HAD A HEART ATTACK WHEN HE WAS IN HIS 70S audio/RES0175.mp3[241.520,245.560] NO THATS I THINK THAT COVERS IT ALL audio/RES0088.mp3[467.160,469.280] UHM NO NOTHING LIKE THAT audio/RES0078.mp3[97.800,112.200] OK SO YOURE JUST HAVING DIFFICULTIES BREATHING FOR THE PAST THREEFOUR DAYS DO YOU HAVE ANY UH DO YOU HAVE A COUGH audio/RES0180.mp3[446.480,452.600] OK ANY ARE THEY THEYRE OK THEYRE ALL HEALTHY audio/RES0066.mp3[66.960,77.320] OK WORSE OK SO YOURE HAVING A COUGH SHORTNESS OF BREATH AND FEVER AND DID THAT ALL START TOGETHER OR DID ONE COME BEFORE ANOTHER audio/RES0096.mp3[251.720,254.840] ANY RUNNY NOSE OR SORE THROAT audio/RES0111.mp3[261.640,263.200] ANYTHING ELSE audio/RES0207.mp3[236.240,238.960] UM NO NO I audio/RES0068.mp3[296.880,301.000] CONSTIPATION OR DIARRHEA audio/RES0098.mp3[442.960,459.280] UHM I DECIDED LIKE I YESTERDAY I WENT HOME LIKE TO MY PARENTS HOUSE AND HELPED MY DAD THATS WHERE I WAS CLEANING THE BASEMENT BUT BESIDES THAT THAT WAS THAT WAS UH THAT WAS IT audio/GAS0005.mp3[123.640,146.440] YES SO VOMIT LIKE IT STARTED TWO DAYS AGO THE FIRST DAY IT WAS JUST LIKE HE PUKED UP THE THINGS THAT HE HAD EATEN BUT YESTERDAY IT WAS IT WAS MAINLY JUST LIKE UH JUST YELLOWISH MATERIAL I COULDNT REALLY TELL IF IT WAS FOOD OR NOT audio/RES0015.mp3[77.000,83.720] OK SO ALRIGHT AND HOW LONG DOES IT LAST WHEN YOU DO GET IT OR IS IT JUST ALWAYS THERE audio/RES0129.mp3[345.280,350.120] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/GAS0001.mp3[337.760,341.320] ANY FEVERS audio/MSK0035.mp3[342.120,349.880] AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/RES0186.mp3[315.400,322.960] OK ALRIGHT AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/RES0140.mp3[238.600,240.880] AN INJECTION IN MY TUMMY UM audio/RES0013.mp3[178.000,189.880] NO OK HOW ABOUT ON EXERTION LIKE WHEN YOU WALK OR RUN OR YOU KNOW DOES IT HURT MORE OR DOES I MEAN SORRY DOES YOUR SHORTNESS OF BREATH GET WORSE audio/RES0028.mp3[104.160,108.880] UM NOTHING LIKE THIS BEFORE audio/MSK0034.mp3[461.640,470.480] YEAH SO AT HOME DO YOU FIND THAT YOURE IN A SAFE ENVIRONMENT EVEN OUTSIDE OF YOUR HOME IN YOUR NEIGHBORHOOD DO YOU FEEL SAFE audio/MSK0045.mp3[183.160,188.720] OK AND EARLIER WHEN YOU HAD THE ROTATOR CUFF INJURY DID YOU GET PHYSIOTHERAPY audio/RES0173.mp3[558.240,567.000] OH YEAH YEAH HE HAS THIS CUTE LITTLE PARROT AND HE ALSO HAS A CAT audio/MSK0001.mp3[363.240,368.720] OK ANY PREVIOUS SURGERIES audio/RES0200.mp3[529.760,536.240] COUPLE TIMES A MONTH OK AND ARE YOU CURRENTLY MARRIED audio/MSK0041.mp3[360.840,380.040] UM NO I AM ACTUALLY SORRY I HAVE UM HIGH BLOOD PRESSURE AS WELL AS DIABETES AND I AM A LITTLE OVERWEIGHT BUT OTHER THAN THAT NOTHING ELSE audio/MSK0008.mp3[536.320,547.640] OK AND ALRIGHT ON GAIT OR WALKING IS THERE ANY LIMP OR ANTALGIA audio/RES0099.mp3[275.760,278.800] NO WHEEZING audio/RES0024.mp3[369.720,379.680] OK AND AT LIKE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK AT WORK OR SCHOOL audio/RES0061.mp3[202.640,205.320] OK HOW ABOUT SMELL audio/RES0165.mp3[204.240,207.840] WELL OK HAVE YOU TRAVELED AT ALL RECENTLY UTSIDE OF THE PROVINCE audio/RES0123.mp3[740.160,741.960] YOURE WELCOME audio/MSK0024.mp3[633.200,635.720] YOURE WELCOME ALRIGHT TAKE CARE audio/RES0059.mp3[2.280,7.720] OH NOT TOO GREAT IVE HAD THIS COUGH THE LAST FEW DAYS audio/RES0107.mp3[176.400,181.520] OK SO HIS LIKE EYELIDS ARENT SWOLLEN OR HIS EYES ARENT RED audio/RES0144.mp3[358.400,379.200] OK UHM OK WELL UHM I I OK SO THATS ALL I WANTED TO DO KNOW IN TERMS OF HIS CURRENT STATUS I WOULD OBVIOUSLY WANT TO EXAMINE HIM VERY CAREFULLY AND SEE WHATS GOING ON UHM HOW HAS UH HOW IS HE LIKE JUST GOING BACK HOW WAS YOUR PREGNANCY audio/RES0163.mp3[614.240,616.320] GREAT THANK YOU audio/RES0134.mp3[619.520,629.080] OKAY WELL THATS GREAT IT SOUNDS LIKE YOURE MANAGING REALLY WELL ON YOUR OWN UM DO YOU HAVE ANY OTHER SUPPORTS NEARBY LIKE FAMILY OR OR FRIENDS audio/RES0060.mp3[350.120,358.160] OK YEAH YOU SAID PAST SEVERAL DAYS HAVE YOU EVER HAD HEADACHES BEFORE THAT audio/RES0172.mp3[220.920,223.080] NO NOTHING LIKE THAT audio/RES0204.mp3[414.240,416.720] DO YOU KNOW WHAT AN X RAY IS audio/RES0005.mp3[328.440,331.200] ANY RUNNY NOSE OR SORE THROAT audio/CAR0005.mp3[621.920,626.920] THANKS FOR COMING IN audio/RES0005.mp3[105.800,120.080] UM IT DEFINITELY GETS WORSE WHEN IM DOING MORE ACTIVITIES AND THEN ALSO WHEN I GET LIKE SOME VIRAL INFECTIONS BUT OTHER THAN THAT ITS PRETTY MUCH ALWAYS THERE audio/RES0024.mp3[331.080,335.320] OH DID YOU HAVE AN ANAPHYLACTIC REACTION audio/RES0204.mp3[221.720,226.200] OK UHM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0042.mp3[407.560,413.880] NO I HAVENT HAD UH ANY HOSPITALIZATIONS OR SURGERIES audio/RES0127.mp3[169.960,171.600] BUT NO FEVERS audio/RES0072.mp3[390.160,395.280] YEAH LAST NIGHT I FELT PRETTY HOT SWEATY audio/RES0196.mp3[175.080,178.720] UH NOPE audio/RES0128.mp3[52.680,55.480] AND DOES HE SOUND WHEEZY TO YOU audio/RES0020.mp3[820.960,826.640] NOW YOURE VERY WELCOME WELL GET THE INVESTIGATIONS STARTED NOW audio/RES0066.mp3[282.800,285.760] NO HEADACHES audio/RES0044.mp3[359.640,366.120] NO OK HOW ABOUT UM CHEST PAIN audio/MSK0029.mp3[370.400,376.640] OK ANY ISSUES WITH VISION LIKE IS IT BLURRY audio/RES0068.mp3[656.080,661.360] TAKE CARE audio/RES0059.mp3[358.440,366.920] I HAVENT HEARD OF ANYBODY BEING SICK audio/RES0164.mp3[145.800,153.240] YEAH LIKE IT WAS ON HIS FACE AND ITS KIND OF A LITTLE BIT ON HIS NECK audio/RES0208.mp3[260.120,265.240] ANY DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST audio/RES0087.mp3[543.760,552.960] OK NO COMPLICATIONS DURING YOUR PREGNANCY WITH HIM NO COMPLICATIONS DURING THE ACTUAL DELIVERY AND THEN WHEN HE WAS A NEWBORN audio/RES0131.mp3[123.040,126.440] UH NUMBNESS OR TINGLING audio/RES0050.mp3[272.960,274.360] UHM NO audio/MSK0003.mp3[109.200,130.040] NO NOTHING THAT ITS I I CAN THINK OF ITS SORT OF ITS COME ON SO SLOWLY LIKE WHEN I FIRST STARTED NOTICING THE BACK PAIN IT IT WAS MAYBE LIKE A 0 TO A ONE I DIDNT REALLY NOTICE IT TOO MUCH BUT OVER THESE LAST 5 6 MONTHS IT HAS GOTTEN HAS GOTTEN A BIT WORSE audio/RES0216.mp3[262.000,268.160] OK SO YOU DONT HAVE ANY ANYMORE OF THE AS NEEDED BUT YOU HAVE USED IT IN THE PAST audio/MSK0039.mp3[573.800,578.560] YEAH I FEEL LIKE ITS ITS WARMER audio/RES0064.mp3[228.280,232.800] NO NO HE HASNT TOLD ME ANYTHING ABOUT THAT audio/MSK0022.mp3[895.440,901.800] I SEE OK AND ARE YOU ABLE TO COMPLETELY EXTEND YOUR FINGERS AND SHOW YOUR PALMS audio/MSK0027.mp3[298.680,308.320] OK AND HOW ABOUT SKIN CHANGES SUCH AS RASHES OR ANY CHANGES TO HER HAIR OR NAILS audio/MSK0015.mp3[628.600,640.120] OK SO NEXT ON UM JUST THE EXAM UM WHEN YOURE LOOKING AT THE RIGHT HIP ARE YOU SEEING ANY SWELLING REDNESS audio/RES0046.mp3[281.400,284.160] UM I I FELT HOT BUT NO CHILLS audio/MSK0008.mp3[63.480,68.800] ID SAY ITS PRETTY SHARP audio/RES0075.mp3[107.640,114.960] NOT REALLY JUST MORE SHALLOW BREATHING AND IT HURTS LESS WITH THAT BUT THATS ABOUT IT audio/MSK0043.mp3[444.280,454.760] OKAY I SEE UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS audio/RES0016.mp3[409.280,413.360] OK AND NO ISSUES SIDE EFFECTS WITH THAT RIGHT audio/MSK0026.mp3[407.560,414.400] OR HAVE YOU HAD ANY HOSPITALIZATIONS FOR ANY REASON audio/RES0099.mp3[398.120,408.800] NO NO IVE NEVER HAD TO USE INSULIN ITS PRETTY STABLE LIKE MY FAMILY DOCTORS EVEN CONSIDERING TAKING ME OFF THE METFORMIN audio/RES0196.mp3[302.920,307.120] ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER audio/RES0011.mp3[741.440,748.120] OK AND HOW ABOUT CIGARETTES DO YOU SMOKE CIGARETTES audio/RES0068.mp3[491.440,501.040] OK A JOINT OR TWO OK AND IS THAT IS THAT JUST RECREATIONALLY OR HAS IT BEEN HELPING AT ALL WITH YOUR SYMPTOMS audio/RES0032.mp3[384.280,387.600] OK BUT NOTHING SINCE YOUVE BEEN BACK AT ALL audio/MSK0007.mp3[263.240,265.520] HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0053.mp3[568.320,581.400] OK AND THEN HOW ABOUT OTHER MILESTONES LIKE SPEECH MOVEMENT FINE MOVEMENT ALL OF THAT LIKE HAVE THOSE BEEN NORMAL IS HE ON PAR WITH HIS PEERS audio/RES0068.mp3[124.560,127.400] ANY TROUBLE BREATHING audio/RES0074.mp3[515.040,524.280] NO IT WAS JUST HERE IN LONDON SO NOTHING OTHER THAN THAT I HAVENT LEFT THE PROVINCE audio/RES0058.mp3[239.400,247.840] OK HOW ABOUT YOUR STOOL SEEMING LIKE ITS VERY DARK ALMOST TO THE POINT WHERE IT LOOKS BLACK audio/RES0012.mp3[414.360,415.960] DONT THINK ITS WORSE NO audio/RES0134.mp3[245.040,248.480] OKAY UM AND HAVE YOU HAD ANY HEADACHES audio/RES0211.mp3[514.760,517.640] OK HOW MUCH WOULD YOU DRINK WHEN YOU WENT OUT audio/RES0196.mp3[58.920,61.000] OK IN WHICH WHICH EAR IS IT audio/RES0018.mp3[555.400,560.040] OK AND THEN HOW ABOUT SO ANY CANCERS IN THE FAMILY audio/RES0117.mp3[329.000,333.680] ANY TRAVEL OUTSIDE THE PHILIPPINES RECENTLY audio/RES0071.mp3[17.600,33.560] YEAH SO I MEAN SOMETIMES I PRODUCE SPUTUM AND SOMETIMES I DONT ITS UH WHITE AND WHITEISH CLEAR IN COLOR audio/RES0198.mp3[272.400,273.800] UH NO audio/RES0061.mp3[605.680,608.000] JUST PEANUTS audio/RES0004.mp3[803.680,810.160] UM YEAH SCHOOLS BEEN BEEN GOING OK FOR THE MOST PART ITS BEEN TOUGH THESE LAST FEW WEEKS FEELING LIKE THIS THOUGH audio/RES0073.mp3[87.800,105.240] YEAH SO AT NIGHT SOMETIMES I HAVE TO LIKE TURN BECAUSE ONE SIDE OF MY NOSE GETS DIFFICULT TO BREATHE FROM AND THEN IT KIND OF BALANCES OUT ON THE OTHER SIDE SO YEAH I DO HAVE SOME OBSTRUCTION audio/RES0173.mp3[501.760,507.160] YEP OK ANY CONCERN FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME audio/RES0131.mp3[413.320,420.000] NO MEDICINES OKAY ANY FAMILY HISTORY OF LUNG OR HEART DISEASES audio/RES0083.mp3[234.800,237.720] RUNNY NOSE CONGESTION audio/RES0126.mp3[264.200,269.600] OK ARE YOU HAVING ANY KIND OF DIZZINESS OR FAINTING SPELLS audio/MSK0007.mp3[0.000,2.080] HOW MAY I HELP YOU audio/MSK0006.mp3[291.160,294.440] OK UM ANY NUMBNESS OR TINGLING audio/RES0197.mp3[0.000,2.480] WHAT BRINGS YOU IN HERE TODAY audio/RES0108.mp3[40.760,51.080] OK OK UHM WHAT HOW WOULD YOU DESCRIBE YOUR COUGH LIKE IS IT BARKY IS IT HARSH IS IT MUFFLED audio/RES0201.mp3[41.560,45.720] OK SO YOU SAID FOUR DAYS AGO audio/RES0072.mp3[383.760,390.160] OK WE CAN DO THAT HERE TODAY SO YOU JUST FELT LIKE A BIT HOT LAST NIGHT audio/RES0142.mp3[214.640,226.800] UM MY MY BOYFRIEND HE KIND OF HAD SIMILAR SYMPTOMS I WOULD SAY A FEW WEEKS AGO audio/RES0145.mp3[497.160,505.080] OK AND YOU SAID YOU DONT SMOKE HAVE YOU TRIED ANY OTHER ANY RECREATIONAL DRUGS ANY MARIJUANA audio/RES0009.mp3[690.320,695.360] OK AND HAVE YOU BEEN ANY BEEN ON ANY LIKE LONG TRIPS RECENTLY audio/RES0145.mp3[0.000,2.680] WHAT BRINGS YOU IN TODAY audio/RES0107.mp3[322.320,327.120] UM YEAH JUST LIKE HIS FACE IS ITCHY audio/RES0074.mp3[524.280,529.600] OK AND WHAT WAS THE APPROXIMATE NUMBER OF PEOPLE audio/MSK0029.mp3[909.560,911.720] IT DOES YEAH audio/RES0062.mp3[395.080,399.920] OK ANY DISCHARGE OR PAIN IN YOUR EYES OR EARS audio/RES0018.mp3[51.240,55.920] OK SO UM AND ARE YOU COUGHING ALL THROUGHOUT THE DAY audio/RES0027.mp3[323.760,327.720] OK AND HAVE YOU FELT DIZZY AT ALL audio/MSK0026.mp3[349.600,355.320] OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE audio/RES0204.mp3[67.440,75.120] OK SO AT NO POINT WERE YOU BRINGING UP ON GUNK WITH YOUR COUGH audio/RES0182.mp3[222.840,227.160] OK HAVE YOU HAD ANY CHEST PAIN audio/MSK0031.mp3[228.240,232.960] OK HOW ABOUT CHEST PAIN OR HEART PALPITATIONS audio/RES0170.mp3[564.880,620.600] FROM THE SYMPTOMS THAT YOUVE DESCRIBED SO FAR IT SOUNDS LIKE HE MIGHT ALSO HAVE ASTHMA BUT WE WILL OBVIOUSLY HAVE TO DO SOME TESTING AND CONFIRM THAT UHM AND ALSO ITS GIVEN SORT OF THE RESULTS OR EVEN JUST LIKE GIVING HIS SYMPTOMS PRESCRIBE SOME BUFFERS TO HELP WITH THOSE SYMPTOMS CLEARLY ITS AFFECTING HIS LIFE HE CANT GO TO SCHOOL OR CANT PARTICIPATE IN SOCCER OR SOMETIMES WAKES UP IN THE MIDDLE OF THE NIGHT AND THATS NOT GOOD SO WELL WE CAN BE PRESCRIBED SOME PUFFERS AND SEE IF THOSE HELP AND ALSO GET SOME TESTING DONE DO YOU HAVE ANY OTHER QUESTIONS FOR ME audio/RES0001.mp3[321.720,331.880] OK AND YOU MENTIONED SOME CHEST PAIN ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING audio/RES0016.mp3[214.080,217.160] RUNNY NOSE OR STUFFY NOSE audio/RES0141.mp3[408.640,412.640] OKAY ANY RECREATIONAL DRUGS audio/RES0201.mp3[291.760,296.160] ITS ITS ITS BEEN PRETTY CONSTANT audio/RES0046.mp3[540.400,542.960] UM NO NOTHING LIKE THAT audio/RES0046.mp3[235.880,243.320] UH UEAH I FEEL LIKE IVE UM HAD PROBLEMS WITH BOTH TASTE AND SMELL audio/RES0113.mp3[211.160,222.600] OK UM I GUESS OTHER THAN THE HEADACHE ILL ASK YOU ABOUT AND THE COUGH AND FEVER ILL ASK YOU IF YOUVE HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD ANY CONFUSION audio/RES0060.mp3[299.520,304.280] NO I HAVENT VOMITED BUT IVE CERTAINLY FELT LIKE IT A FEW TIMES audio/RES0059.mp3[314.800,319.880] I WOULD SAY I FEEL A BIT WORSE audio/RES0046.mp3[775.800,785.480] NO OK UM HAVE YOU TRAVELED TO ANYWHERE RECENTLY audio/MSK0027.mp3[270.680,278.000] ITS BEEN THE SAME SHES JUST NOT DOING AS MUCH BECAUSE HER ARM IS IN PAIN audio/RES0172.mp3[47.920,50.840] ITS DRY audio/RES0082.mp3[229.800,233.720] OK ANY URINARY SYMPTOMS audio/RES0216.mp3[376.760,381.280] SO ITS REALLY NOT STOPPING TOO MUCH OF YOUR DAY TO DAY FUNCTIONING BUT ITS NOTICEABLE audio/MSK0020.mp3[265.440,270.800] NO OK HOW ABOUT AND FEVERS OR CHILLS audio/RES0145.mp3[372.240,377.600] ALRIGHT ARE YOU TAKING ANY MEDICATIONS audio/RES0005.mp3[273.680,289.880] NO NOT REALLY IVE JUST BEEN SITTING AROUND LIKE I CAN BARELY WALK THAT MUCH ANYMORE TOO I USED TO BE ABLE TO WALK AT LEAST 400 METERS AROUND THE BLOCK BUT NOW I CAN BARELY EVEN GO TO THE KITCHEN audio/RES0005.mp3[566.400,581.360] SO THIS THIS IS LIKE THE ONE IM LIVING IN IS A NEW PLACE BUT BEFORE THAT I LIVED IN ANOTHER APARTMENT FOR AROUND FIVE YEARS AND THAT WAS A PRETTY OLD BUILDING audio/RES0136.mp3[3.840,20.960] I JUST STARTED HAVING UM DIFFICULTY WITH BREATHING UM STARTING YESTERDAY AND I ALSO DEVELOPED THIS COUGH UM YESTERDAY MORNING audio/RES0119.mp3[506.400,514.560] OK AND UM DOES ANYONE SMOKE IN THE HOUSE AT ALL audio/RES0076.mp3[551.520,558.920] AND DO YOU KNOW IF THERES ANY LIKE ASBESTOS EXPOSURE IN YOUR HOME AT ALL audio/RES0151.mp3[515.640,519.920] OK AND THAT INCLUDES CIGARETTES AND MARIJUANA audio/RES0181.mp3[650.520,655.320] OK THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0016.mp3[539.400,543.040] OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/RES0035.mp3[141.640,142.920] JUST RESTING audio/RES0038.mp3[598.240,601.720] HAVE YOU EVER SMOKED audio/RES0166.mp3[149.720,161.480] OK AND AND HAVE YOU TRIED ANYTHING THATS HELPED YOU IMPROVE THOSE SYMPTOMS LIKE TAKING A REST OR LAYING DOWN FLAT ANYTHING LIKE THAT audio/MSK0011.mp3[649.480,652.840] OK IS IT WARM AT ALL TO TOUCH audio/RES0057.mp3[271.480,278.800] OK AND HAVE YOU HAD ANY CHILLS OR HAVE YOU CHECKED YOUR TEMPERATURE audio/RES0065.mp3[67.240,71.880] I THINK ITS GETTING WORSE YEAH audio/RES0022.mp3[117.040,140.560] YEAH LIKE I AGAIN LIKE I DO NORMALLY BECAUSE OF MY COPBUT ITS JUST BEEN REALLY ITS BEEN EVEN WORSE THIS WEEK AND USUALLY WHEN I GET SICK ITS MORE LIKE IM LIKE BRINGING UP A LOT OF LIKE YELLOWISH GUNK BUT THIS TIME ITS NOT BEEN QUITE AS LIKE GUNKIE ITS BEEN PRETTY DRY audio/RES0153.mp3[30.400,44.680] OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE LIKE HAVING A HOT POTATO VOICE OR OR FEELING AS THOUGH YOUR UM YOUR THROAT IS KIND OF CLOSING OFF audio/RES0042.mp3[133.160,138.520] UM NO audio/MSK0035.mp3[482.880,486.800] ILL HAVE A BEER ONCE IN AWHILE audio/MSK0024.mp3[115.280,124.720] OK ALRIGHT AND HAS THE PAIN BECOME WORSE AT ALL OR HAS IT STAYED THE SAME SINCE IT STARTED audio/RES0140.mp3[385.640,389.920] OKAY ILL BE ILL BE HERE FOR A WHILE THEN audio/RES0122.mp3[339.600,349.360] UM I HAVE DONE THOSE LIKE KIND OF THOSE STEAM UM THERAPIES THAT SOMETIMES HELPS audio/RES0136.mp3[68.240,79.160] OKAY YOURE NOT BRINGING UP ANY SPUTUM OR ANY OTHER MATERIAL audio/RES0151.mp3[545.760,553.480] UH NO NOTHING ELSE audio/RES0047.mp3[615.880,624.480] NO OK UM DO YOU CURRENTLY SMOKE audio/RES0133.mp3[459.680,462.840] OKAY AND WHAT GRADE ARE YOU IN audio/RES0118.mp3[78.440,93.760] UM I DONT THINK ITS IMPROVING ITS CHANGED CAUSE IT USED TO BE STUFFY NOW ITS MORE OF A RUNNY NOSE UM BUT YEAH IT SEEMS TO BE RUNNY LIKE ITS THE SAME AMOUNT OF RUNNINESS FOR THE PAST COUPLE OF DAYS audio/RES0181.mp3[493.960,513.640] OK SO UMM OK UHM SO THAT WAS ALL THE QUESTIONS THAT UHM THAT THAT I WANTED TO ASK WAS THERE ANYTHING ELSE THAT YOU WANTED TO UMM MENTION TODAY audio/RES0064.mp3[200.080,202.440] OK SO THE HEADACHES GONE COMPLETELY NOW audio/RES0138.mp3[445.120,449.240] OKAY AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE audio/RES0113.mp3[246.400,247.840] UH NOPE audio/MSK0038.mp3[382.480,391.080] UM NOPE I I DONT TAKE ANYTHING JUST WELL NO MEDICATIONS BUT I DO TAKE A LIKE A MULTIVITAMIN audio/RES0107.mp3[617.560,622.600] OK HOW ABOUT YOUR SON HAS HE BEEN ALLERGY TESTED audio/MSK0046.mp3[2.280,25.000] UM IM HERE BECAUSE MY LEFT HAND KIND OF JUST LIKE AT THE BASE OF MY THUMB HAS BEEN HURTING FOR THE PAST TWO DAYS AND IT SEEMS TO BE GETTING WORSE UM AND IM LEFT HANDED SO ITS REALLY HARD FOR ME TO WRITE OR DO ANYTHING UM WHERE I HAVE TO LIKE CLENCH OR GRIP THINGS audio/RES0058.mp3[485.280,496.200] OH NO IVE BEEN AT HOME WE JUST STARTED BACK AT GOING IN PERSON TO SCHOOL AGAIN audio/RES0095.mp3[552.640,555.800] I I DONT audio/RES0079.mp3[158.480,160.280] NO PAIN audio/RES0118.mp3[279.000,283.320] NO IVE BEEN WITH THE SAME PARTNER FOR THE PAST FIVE YEARS audio/RES0137.mp3[296.320,315.240] UH NOT GREAT ITS JUST THE COUGH KEEPS UH WAKING HER UP AND SHE JUST DOESNT CANT FALL ASLEEP audio/RES0151.mp3[88.800,92.720] NO NO WHEEZING audio/RES0168.mp3[440.120,444.080] NO OK AND WHERE DO YOU LIVE audio/RES0161.mp3[96.120,104.160] YEAH I PROBABLY HAD LIKE ITS USUALLY IN THE MORNING I SOMETIMES GET A RUNNY NOSE audio/RES0204.mp3[336.680,343.720] OK AND SO YOU LIVE YOU LIVE WITH YOUR MOM DO YOU LIVE WITH ANYONE ELSE IN YOUR FAMILY audio/RES0011.mp3[754.000,763.960] I SMOKED I SMOKED PROBABLY LIKE 12 A PACK A DAY FOR FOR A WHILE MAYBE 20 YEARS audio/DER0001.mp3[0.000,14.400] HEY DOC IM A 45 YEAR OLD MAN COMING IN IM WORRIED THERES A LITTLE OLD RASH ON MY LEG THAT IM GETTING NERVOUS ABOUT audio/RES0099.mp3[201.080,203.040] NO NO NO BLOOD audio/RES0074.mp3[92.600,97.560] OK AND MUSCLE ACHES LIKE WHEN DID THOSE START audio/RES0194.mp3[463.560,469.280] OK AND IN YOUR WORKPLACE HAVE YOU NOTICE ANYONE SICK AT ALL audio/RES0213.mp3[502.920,526.880] OH HES UH HES ALIVE LIKE HE HAD A HEART ATTACK AND JUST NOW HE HAS TO SEE A LOT OF HEART DOCTORS UM NO THERES NOTHING ELSE IN MY FAMILY LIKE THAT I DONT REALLY KNOW LIKE ABOUT MY GRANDPA LIKE MY DADS DAD BUT LIKE HE MIGHT HAVE ALSO UM HE JUST KIND OF HE JUST PASSED AWAY YOUNG FROM UM LIKE AN ACCIDENT SO YEAH IM NOT REALLY SURE audio/MSK0041.mp3[639.480,646.200] I SEE SOME REDNESS AND UH SOME SWELLING IN THAT AREA audio/RES0059.mp3[397.760,401.520] UMM NO I JUST TAKE A MULTIVITAMIN audio/RES0177.mp3[60.600,66.960] YEAH YEAH KIND OF LIKE THE DAY AFTER E STARTED HAVING GETTING THIS COUGH audio/RES0189.mp3[346.360,350.480] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0074.mp3[217.840,220.480] NO NOT THAT IVE NOTICED audio/RES0030.mp3[280.560,290.720] OK AND DO YOU FIND THAT YOU WAKE UP DURING THE NIGHT TO TAKE A BREATH OR ANYTHING LIKE THAT audio/RES0210.mp3[159.080,167.160] OK SO PROBABLY IF YOU WERE TO GET UP AND DO A LOT OF PHYSICAL ACTIVITY YOU WOULD FEEL WORSE audio/RES0055.mp3[565.840,569.520] UMM HAVE YOU EVER THOUGHT ABOUT QUITTING audio/RES0086.mp3[604.800,607.840] NO IVE MAINLY BEEN AT HOME audio/MSK0020.mp3[754.480,761.560] UHM YEAH A LITTLE STIFFNESS IN MY KNEES I FEEL LIKE I FEEL MORE OF THE GRATING SOUND IN MY KNEES audio/GAS0005.mp3[571.880,592.440] YEAH SO HES LIVING WITH MYSELF HIS MOTHER AND AND THEN MY HUSBAND AND HE HAS TWO OLDER SIBLINGS ONE IS A BOY SEVEN YEARS OLD AND ANOTHER ONE LIKE A 10 YEAR OLD GIRL audio/GAS0005.mp3[249.440,253.280] OK AND AS HE HAD A RUNNY NOSE audio/RES0151.mp3[266.200,269.000] UHM NO NOTHING LIKE THAT audio/RES0023.mp3[410.360,413.760] OK OK UM SO DO YOU HAVE ANY ALLERGIES audio/RES0138.mp3[74.360,77.840] NO NO audio/MSK0009.mp3[407.320,416.720] NO OK audio/RES0049.mp3[449.320,457.760] CURRENTLY JUST THE OTHER THING TYLENOL COLD BUT OTHER THAN THAT NO OTHER MEDICATIONS audio/MSK0001.mp3[5.760,11.560] OK AND WHERE EXACTLY IS UH IS THE BACK PAIN audio/RES0011.mp3[456.280,464.040] OK AND UM HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR JOINT ACHES audio/RES0197.mp3[237.040,241.360] OK AND AND ANY HEADACHES NAUSEA OR VOMITING audio/RES0029.mp3[0.000,5.000] I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU INTO THE EMERGENCY DEPARTMENT audio/RES0137.mp3[414.840,422.400] UM AND DOES ANYONE SMOKE IN THE HOUSE audio/RES0132.mp3[406.280,410.480] OKAY AND HOW IS YOUR MOBILITY NOW audio/RES0024.mp3[42.040,72.680] OK FOR SURE I WILL WE WILL UM DEFINITELY LOOK INTO THAT TODAY AND YOU ARE RIGHT IT IS A SYMPTOM THAT CAN OCCUR WITH WITH COVID BUT WE WILL WANT TO MAKE SURE THAT IT ISNT SOMETHING ELSE AND SO I WANTED TO JUST ASK YOU A FEW MORE QUESTIONS ABOUT HOW YOUVE BEEN FEELING SO YOU SAID YOU HAVENT FELT SICK SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0130.mp3[268.680,276.840] UH I GUESS I UM FORGET THINGS A LITTLE MORE EASILY NOW BUT THATS JUST PART OF GETTING OLDER audio/RES0082.mp3[209.920,212.840] UH NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0020.mp3[79.320,87.320] AH YES CENTER OF MY CHEST GOING UP TO AROUND MY THROAT AREA MAYBE audio/RES0001.mp3[151.480,156.160] NO OK AND DO YOU FEEL LIKE YOURE WHEEZING audio/RES0057.mp3[598.320,602.360] NO I DONT AND HAVE NEVER SMOKED IN THE PAST audio/RES0215.mp3[145.880,151.840] OK BUT SHES STILL BEEN GOING TO SCHOOL I SUPPOSE PLAYING WITH HER FRIENDS audio/RES0116.mp3[247.960,258.000] I JUST TOOK IT YESTERDAY BUT UH HE WAS FEELING A BIT WARM YESTERDAY SO WE JUST TOOK IT AND IT WAS LIKE UM 39 DEGREES CELSIUS audio/RES0044.mp3[58.480,64.920] YEAH UM DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH YOUR COUGHING audio/RES0141.mp3[504.800,505.560] THANK YOU audio/MSK0031.mp3[1.960,30.640] HI I JUST WAS BROUGHT IN HERE TODAY I HAD A FALL JUST WAKING UP COMING DOWN THE STAIRS I FELL OFF THE LAST FEW STAIRS AND JUST FELL ONTO THE RIGHT SIDE AND ON RIGHT ONTO MY HEAD AND NOW UH I COULDNT EVEN I COULD BARELY STAND UP AND PUT ANY WEIGHT ON MY HIP ITS THE RIGHT HIP audio/RES0126.mp3[304.720,309.720] NO ANY DIARRHEA OR CONSTIPATION audio/RES0127.mp3[372.440,378.920] OK HAVE YOU HAD SHORTNESS OF BREATH AFTER THAT LIKE WHEN LIKE AS A CHILD HOW OLD WERE YOU audio/RES0187.mp3[691.120,699.360] OK YEAH NO PROBLEM audio/RES0014.mp3[692.320,696.120] YOU TOO audio/MSK0015.mp3[486.840,499.960] OK THATS GREAT AND UH IN REGARDS TO YOU MENTIONED HER HURT HIP ANY OTHER PAST MEDICAL HISTORY audio/RES0019.mp3[367.280,373.640] ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0161.mp3[329.760,335.120] ALRIGHT AND DO YOU SMOKE AT ALL OR DID YOU SMOKE IN THE PAST audio/RES0088.mp3[106.360,110.080] UH NO NO FEVERS audio/RES0096.mp3[247.120,250.720] HOW ABOUT ANY EYE REDNESS OR OR DISCHARGE audio/RES0076.mp3[28.360,38.120] YEAH IVE HAD A COUGH BEFORE AND KIND OF FOR A LONG TIME CAUSE IVE SMOKED FOR A WHILE audio/RES0155.mp3[330.480,339.720] I I MEAN I HAVENT BEEN ABLE TO DO AS MUCH WITH UH BEING SO SHORT OF BREATH BUT MY ENERGY HAS BEEN BEEN OK audio/MSK0033.mp3[227.280,239.400] OK OK AND OTHER THAN THAT DID YOU LIKE HAVE A FALL OR DID YOU HAVE ANY INJURIES RECENTLY BEFORE YOU STARTED HAVING THIS PAIN audio/RES0125.mp3[310.440,313.640] I DIDNT HAVE TO MISS WORK SO audio/RES0069.mp3[424.720,432.040] OK AND HAS THERE BEEN ANYBODY ELSE AROUND THAT THATS BEEN SICK THAT YOURE LIVING WITH OR YOU SEE OFTEN audio/RES0190.mp3[260.000,262.200] UHM NO WHEEZING audio/RES0120.mp3[511.880,520.680] OKAY UM CURRENTLY DO YOU WORK AT ALL audio/RES0045.mp3[563.760,579.920] OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED audio/RES0079.mp3[60.360,69.400] OK AND THE COUGH THAT STARTED FOUR DAYS AGO HAS IT BEEN A DRY COUGH OR WET COUGH audio/RES0191.mp3[102.800,113.000] OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE audio/RES0144.mp3[218.560,222.640] OK WHAT ABOUT COUGHING audio/MSK0028.mp3[446.400,456.680] UHM NO IVE BEEN PRETTY HEALTHY UM I THEY THINK I DO HAVE LIKE PRE DIABETES BUT IM NOT ON ANY MEDICATION audio/RES0202.mp3[751.600,753.840] ALRIGHT SOUNDS GREAT HAVE A GOOD DAY audio/RES0035.mp3[247.160,251.720] HAVE YOU NOTICED ANY ISSUES URINATING audio/RES0049.mp3[22.880,32.880] OK SO YEAH LETS REWIND A LITTLE BIT THE COUGH YOU SAID STARTED A COUPLE OF WEEKS AGO SO WOULD THAT BE ABOUT 2 WEEKS THREE WEEKS audio/RES0081.mp3[670.920,674.640] CYSTIC FIBROSIS OR ANYTHING LIKE THAT audio/RES0088.mp3[146.000,153.200] THE SORE THROAT UHM I WOULD SAY FOR THE PAST TWO OR THREE DAYS AS WELL audio/RES0091.mp3[174.560,183.160] OK AND ANY SYMPTOMS OF A LOSS OF TASTE OF SORRY LOSS OF SENSE OF TASTE OR SMELL audio/MSK0040.mp3[277.840,284.480] OK NOW HAVE YOU NOTICED ANY SENSORY LOSS OVER YOUR LEG OR ANKLE audio/MSK0033.mp3[514.640,526.440] YEAH I CAN I CAN RUN BUT WHEN I DO IT IT CAUSES SOME PAIN IM ABLE TO STILL RUN BUT YEAH IT IT HURTS audio/RES0149.mp3[238.080,246.360] HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY I MEAN LIKE OVER THE LAST SEVERAL MONTHS audio/RES0186.mp3[36.480,48.920] YEAH I FIRST NOTICED IT TWO DAYS AGO AND ITS BEEN KIND OF JUST GETTING A LITTLE BIT WORSE OVER THESE LAST TWO DAYS TO THE POINT NOW WHERE IM IM SHORT OF BREATH AS WELL audio/RES0096.mp3[298.000,299.480] OH YEAH audio/RES0095.mp3[271.760,275.080] OK AND DO YOU USE ANY MEDICATIONS audio/RES0046.mp3[855.120,859.400] ALRIGHT NO WORRIES audio/RES0044.mp3[614.120,621.800] NO OK HOW ABOUT MARIJUANA audio/MSK0015.mp3[282.320,283.960] NO ABDOMINAL PAIN audio/MSK0035.mp3[382.640,385.560] ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0035.mp3[247.640,251.800] NO NOTHING LIKE THAT audio/RES0031.mp3[421.160,422.880] ANY HOSPITALIZATIONS audio/RES0009.mp3[735.400,739.040] OK I YEAH IS THAT SCARY IS THAT BAD audio/RES0122.mp3[24.960,35.280] OKAY AND UM YOU SAID IT STARTED TWO WEEKS AGO HAS IT GOTTEN BETTER OR WORSE OR BEEN THE SAME SINCE THEN audio/RES0048.mp3[455.720,457.440] NO DIARRHEA audio/RES0045.mp3[288.040,290.560] OK HOW SO audio/RES0027.mp3[248.520,251.160] UM NO WEIGHT LOSS audio/RES0206.mp3[636.600,688.800] ALRIGHT WELL THATS THOSE ARE ALL THE QUESTIONS I HAD FOR YOU I WILL NOW DO IT PHYSICAL EXAM AND LOOK AT YOUR VITALS AND LISTEN TO YOUR CHEST ITS LIKELY THAT WHAT YOU HAVE RIGHT NOW IS COPEXACERBATION MAYBE JUST A LIKE AN INFECTION THAT YOU GOT WHICH WORSENED SOME OF YOUR COPSYMPTOMS WE WOULD ALSO HAVE TO RULE OUT COVID SO WELL BE DOING A COVID SWAB AND WILL DECIDE BASED ON THE ON YOUR LABS IN YOUR VITAL SIGNS ITS INSTEAD OF OTHER THINGS WHETHER YOU NEED TO STAY IN THE ER AND BE ADMITTED OR IF YOU ARE GOOD TO GO HOME I WILL ALSO TALK TO MY ATTENDING AND WILL MAKE THOSE DECISIONS TOGETHER AND COME BACK AND TALK TO YOU DOES THAT SOUND GOOD TO YOU audio/RES0122.mp3[300.640,303.800] I SEE ANY COMPLICATIONS AFTER audio/RES0023.mp3[471.640,474.760] OK SO THREE TO FOUR DRINKS PER WEEK audio/RES0074.mp3[167.200,172.040] OK HAVE YOU NOTICED ANY BLOOD IN THE STOOL audio/RES0105.mp3[82.800,104.880] ITS WET I IM BRING UP SPUTUM MOST OF THE TIME BUT ITS BEEN ITS USUALLY LIKE WHITE OR CLEAR AND ITS A LOT MORE LIKE UH ITS A LOT MORE GREENISH YELLOW AND YEAH audio/RES0087.mp3[123.000,131.960] UH NO NOT THAT I I HAVENT MEASURED ANYTHING AND HE HASNT MENTIONED ANY LIKE HE HASNT FELT COLD OR ANYTHING LIKE THAT audio/RES0152.mp3[573.240,578.920] UH NO I THINK THAT THAT SOUNDS GREAT THANK YOU SO MUCH audio/GAS0005.mp3[226.240,235.000] OK AND HAS HE BEEN COMPLAINING OF ANY HEADACHES AT ALL audio/RES0048.mp3[132.760,142.920] OK UM AND HOW ABOUT UM THE QUALITY OF THAT COUGH IS IT DOES IT SOUND HARSH audio/RES0160.mp3[73.080,77.680] OK ANY BLOOD THAT YOUVE NOTICED ANYTHING RED audio/RES0113.mp3[179.200,188.480] DOES IT IS THERE A CERTAIN TIME OF THE DAY WHEN ITS WORSE BEFORE GOING TO BED AT THE END OF THE DAY WAKING UP ANYTHING LIKE THAT audio/MSK0039.mp3[289.040,293.320] NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE audio/RES0018.mp3[15.640,22.560] OK SO THE COUGH STARTED A FEW DAYS AGO HAVE YOU BEEN BRINGING UP ANY PHLEGM audio/RES0096.mp3[603.600,620.160] MY DAD DIED OF LUNG CANCER HE WAS A HE WAS A BIG SMOKER AS WELL AND MY MOM HAD A HEART ATTACK audio/RES0006.mp3[111.360,118.720] ITS AROUND TWO MONTHS AGO AROUND THE SAME TIME audio/RES0116.mp3[454.040,459.080] OK OK GOOD AND IS HE ON ANY MEDICATIONS audio/RES0125.mp3[80.120,84.240] WATERY OKAY HAVE YOU NOTICED AT ALL ANY BLOOD HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL audio/RES0113.mp3[163.920,168.160] UM IT SEEMS PRETTY IT SEEMS PRETTY CONSTANT audio/RES0110.mp3[413.080,416.200] UH NO OTHERWISE IT DOESNT HURT audio/RES0028.mp3[306.560,313.760] OK AND HAVE YOU RECENTLY HAD ANY INFECTIONS IN THE LAST MONTH audio/RES0066.mp3[457.280,472.080] OK SO YOU FINISHED THE COURSE OK GREAT AND DO YOU HAVE ANY PAST HISTORY WHEN YOU WERE ADMITTED ANY OTHER HOSPITALIZATIONS OR SURGERIES AT ALL audio/RES0070.mp3[253.440,256.400] NO NOTHING LIKE THAT audio/RES0113.mp3[251.800,255.960] OK ANY CHEST PAIN OR DIFFICULTIES BREATHING audio/RES0129.mp3[313.360,330.440] OK THATS GOOD UHM AND HAS HE BEEN DEVELOPING NORMALLY IN TERMS OF HIS MOTOR MOVEMENTS LIKE BEHAVIOR WISE SOCIAL WISE LIKE IS HE ON PAR WITH HIS PEERS IN TERMS OF MILESTONES audio/RES0045.mp3[479.320,480.040] UH NO audio/MSK0009.mp3[760.080,780.600] YEAH IF I TOUCH MY RIGHT CALF ITS PAINFUL AND THEN IF I PRESS DOWN ON ITS REALLY PAINFUL AND THEN JUST ON THE OUTSIDE OF MY RIGHT KNEE IF I TOUCH OR PRESS DOWN IT REALLY HURTS AS WELL audio/RES0162.mp3[602.520,606.400] HAVE YOU EVER TRIED ANY PUFFERS audio/MSK0015.mp3[228.240,231.960] HAS SHE HAD ANY ANY HEADACHES audio/RES0023.mp3[479.560,481.800] NO I DO NOT audio/RES0084.mp3[588.960,595.760] OK GOOD DO YOU HAVE ANY ALLERGIES audio/RES0015.mp3[245.040,253.280] IT CAN GET PRETTY BAD LIKE I I WOULD SAY UP TO AN 8 SOMETIMES MAYBE A COUPLE TIMES A WEEK audio/MSK0027.mp3[246.880,250.040] ALRIGHT AND ANY ABDOMINAL PAIN audio/RES0014.mp3[236.600,240.080] OK ANY FEVERS audio/RES0143.mp3[46.800,54.520] OKAY AND THE RUNNY NOSE WHAT WHATS THE DISCHARGE LIKE audio/MSK0039.mp3[177.200,204.080] UH NO I DIDNT BREAK IT KIND OF SO I WAS KIND OF UH I FEEL LIKE WHEN I WAS SLIPPING IT WAS AT FIRST MY LEG WAS HYPER EXTENDED BUT IT KIND OF JUST FELT LIKE IT SNAPPED AND IT WENT STRAIGHT DOWN SO THERE WAS SOME KIND OF TWISTING AS WELL AS SOME HYPEREXTENSION UM BUT IT JUST KIND OF SLIPPING ON MY DRESS AND THEN JUST STRAIGHT DOWN audio/RES0008.mp3[57.240,62.920] OK AND THEN YOU SAID IT START STARTED A COUPLE DAYS AGO IS THAT CORRECT audio/MSK0016.mp3[54.800,62.400] OK UM AND IS IT ALWAYS THERE IS IT PERSISTENT OR DOES IT COME AND GO audio/MSK0028.mp3[504.800,509.240] UH NO audio/RES0128.mp3[19.640,23.240] OK SO THIS HAPPENED YESTERDAY YOU MENTIONED audio/RES0202.mp3[595.880,605.960] NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY audio/MSK0014.mp3[315.640,320.080] HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES ANYWHERE audio/RES0112.mp3[158.800,167.240] I UM NO YOU KNOW WHAT LAST NIGHT HE DIDNT SLEEP WELL AT ALL HE WAS CRYING THE WHOLE NIGHT audio/RES0017.mp3[336.720,341.520] OK WOULD THAT BE OVER THE LAST SIX MONTHS OR SO audio/MSK0011.mp3[349.680,358.040] OK ALRIGHT AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES audio/RES0173.mp3[82.400,87.600] YEAH IT WAS AT 38 LAST NIGHT audio/RES0053.mp3[592.760,598.240] OK GOOD GOOD ANY HOSPITALIZATIONS OR SURGERIES ASIDE FROM WHEN HE WAS BORN audio/RES0083.mp3[478.000,487.480] HAVE YOU HAD EXPOSURE TO ANYONE OR MET ANYONE WHO YOU THINK MIGHT HAVE HAD COVID audio/GAS0007.mp3[260.200,264.880] AND DO YOU HAVE ANY ALLERGIES audio/RES0029.mp3[23.400,48.600] SO I THINK IT STARTED JUST AROUND 2 HOURS AGO I ACTUALLY WAS RIDING MY BICYCLE AND JUST FELL OFF ON KIND OF JUST SLIPPED AND I THINK I FELL ON THAT SIDE LIKE WHEN I THE IMPACT WAS RIGHT ON MY CHEST AND SINCE THEN ITS BEEN REALLY PAINFUL audio/RES0154.mp3[68.160,76.080] NO LIKE AT REST EVEN RIGHT NOW IM LIKE HAVING TROUBLE TAKING DEEP BREATHS audio/RES0051.mp3[339.240,342.280] OK DO YOU KNOW WHAT THE REACTION WAS audio/RES0022.mp3[629.960,633.440] OH MAYBE ONCE YOURE ONCE A WEEK audio/RES0050.mp3[328.000,333.040] OK AND THEN HAVE YOU HAD ANY URINARY PROBLEMS audio/RES0083.mp3[343.880,348.560] AND ANY ALLERGIES audio/RES0183.mp3[163.960,166.280] IS THE OTHER A RUNNY NOSE audio/CAR0003.mp3[401.640,406.240] OK ANY ANIMALS OR PETS IN THE HOUSE audio/RES0007.mp3[318.000,324.000] UH I DONT THINK SO LIKE WHAT DO YOU MEAN audio/RES0151.mp3[71.160,75.720] UH YEAH SOMETIMES I FEEL LIKE THAT OVER THE LAST WEEK audio/RES0033.mp3[276.200,280.120] OK AND HAVE YOU HAD ANY CHILLS audio/RES0105.mp3[128.200,137.000] I DO HAVE SOME CHEST PRESSURE FOR SURE I JUST FEELS LIKE I CANT CANT AH CATCH MY BREATH audio/RES0175.mp3[105.360,116.880] YEAH ITS JUST LIKE I CAN KIND OF LIKE TELL WHEN IM BREATHING LIKE IT JUST YEAH IT SOUNDS DIFFERENT I DONT KNOW WHAT A WHEEZE SOUNDS LIKE BUT IT JUST SOUNDS DIFFERENT audio/RES0119.mp3[159.600,175.560] YEAH YEAH SHES PRETTY TIRED OUT UM YEAH SHES PRETTY TIRED OUT SHES BEEN DOING A LOT OF LIKE RESTING AND UH YOU KNOW WATCHING TV SHES NOT REALLY VERY ACTIVE RIGHT NOW audio/RES0067.mp3[139.240,143.720] YEAH SHES VERY IRRITABLE audio/RES0055.mp3[290.480,293.400] MEMORY LOSS OR CONFUSION audio/RES0084.mp3[345.880,363.200] UH I DO FEEL A BIT MORE STUFFY LIKE TODAY BUT THERES NO LIKE RUNNY NOSE OR ANYTHING LIKE THAT BUT I DO FEEL A BIT MORE PRESSURE AND STUFFINESS IN MY FACE TODAY audio/RES0190.mp3[452.160,458.040] OK SO DID HE GET ANTIBIOTICS audio/RES0159.mp3[359.320,370.440] OK OK THATS GOOD UM ARE YOU TAKING ANYTHING FOR YOUR UH BPH audio/RES0183.mp3[456.360,461.600] NO EVERYONES BEEN PRETTY HEALTHY audio/RES0153.mp3[371.440,382.400] UM MY MY SISTER SHE SHE JUST GOT BACK FROM COLLEGE AND SHE SHE WAS COMPLAINING OF LIKE A SORE THROAT UH TWO WEEKS AGO audio/RES0154.mp3[304.000,307.280] OK UM AND DO YOU TAKE ANY OTHER MEDICATIONS audio/RES0068.mp3[602.560,618.280] SO ITS ONLY BEEN THREE DAY SINCE YOURE HAVING THESE SYMPTOMS RIGHT AND YOU HAVENT HAD ANY HIGH FEVER OR ANYTHING LIKE THAT HAVE YOU MEASURED YOUR TEMPERATURE audio/RES0032.mp3[23.640,27.160] YEAH SO YOURE BRINGING UP PHLEGM WHEN YOU COUGH audio/RES0147.mp3[289.600,299.920] YEAH I HAVE HIGH BLOOD PRESSURE AORTIC STENOSIS UH AND UH AND HIGH CHOLESTEROL audio/RES0142.mp3[203.480,205.040] NO ITS JUST US TWO audio/RES0162.mp3[195.600,216.480] I DO FIND THAT ITS HARDER TO TAKE A BREATH AT THOSE TIMES audio/RES0116.mp3[315.560,323.760] HIS BOWEL MOVEMENTS HAVE BEEN PRETTY MUCH THE SAME UM HES UH YEAH THERES BEEN NO REAL CHANGES audio/RES0022.mp3[466.040,472.040] LET ME KNOW ITS HARD TO SAY LIKE I AM TIRED SO YEAH I THINK SO audio/RES0182.mp3[134.680,139.240] OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH audio/MSK0021.mp3[253.360,257.840] NOPE NO CHEST PAIN OR OR ANYTHING LIKE THAT audio/RES0020.mp3[532.280,547.600] OK COOL AND SO THERES NO CONCERNS WITH LIKE OLD CARPETS OR BEING EXPOSED TO KIND OF LIKE DUST OR OR MOLDS OR ANYTHING LIKE THAT IN THE HOME audio/RES0134.mp3[184.720,195.280] OKAY AND YOU SAID IT YEAH YOUVE BEEN SHORT OF BREATH AS WELL UM ARE YOU REALLY SHORT OF BREATH NOW AND WHAT SORTS OF THINGS HAVE BEEN REALLY BRINGING IT ON FOR YOU audio/RES0078.mp3[325.840,334.120] DEEP BREATHING HURTS OK ALRIGHT AND YOUVE NEVER EXPERIENCED THIS BEFORE RIGHT audio/RES0184.mp3[193.320,211.240] UHM I HAVE HAD SOME LIKE DIARRHEA SO I THINK PART LIKE MY STOMACH HURT A LITTLE BIT DURING THAT TIME BUT I DONT HAVE THAT ANYMORE audio/MSK0027.mp3[387.280,394.360] SHE WAS AT TERM SHE WAS LIKE A 37 12 WEEKS OR SOMETHING LIKE THAT audio/RES0208.mp3[543.800,546.000] ANY ALCOHOL audio/RES0212.mp3[253.560,268.160] OK ALRIGHT IM JUST GONNA MOVE ON TALK A LITTLE BIT ABOUT YOU AND THE PAST UH SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE audio/RES0107.mp3[290.800,293.680] NO NO NO I DIDNT NOTICE ANYTHING LIKE THAT audio/CAR0005.mp3[98.640,108.160] ABOUT THE SAME OK AND HAS IT GOTTEN MORE FREQUENT THESE LIKE 20 TO 30 MINUTE EPISODES audio/RES0097.mp3[439.800,446.080] DOES HE HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0124.mp3[606.320,609.120] WHAT ABOUT ALCOHOL audio/RES0090.mp3[240.880,253.800] YES YEAH IVE BEEN HAVING NIGHT SWEATS I THOUGHT THAT WAS JUST ME BEING HOT BUT I GUESS I FEEL CHILLY AND THEN I HAVE NIGHT SWEATS SO I PROBABLY DO HAVE A FEVER audio/RES0046.mp3[437.600,441.320] UM NO VOMITING BUT IVE I FELT NAUSEOUS audio/RES0147.mp3[18.480,34.280] YEAH JUST OVER THE PAST LIKE 12 HOURS OR SO IVE JUST BEEN FINDING IT MORE AND MORE DIFFICULT TO TO BREATHE audio/MSK0017.mp3[444.040,446.920] OK CANCERS audio/RES0133.mp3[47.200,49.840] UM LIKE BEFORE THE THREE DAYS YOU MEAN audio/RES0193.mp3[554.320,558.800] OK UH AND ANYONE IN THE HOUSEHOLD UH DOES ANYONE SMOKE AT ALL audio/MSK0019.mp3[189.240,189.960] SORRY WHAT WAS THAT audio/RES0035.mp3[399.360,401.240] JUST BY MYSELF audio/RES0061.mp3[164.640,168.200] PNO BLOOD I HAVENT SEEN ANY RED audio/RES0031.mp3[64.680,69.480] NOTHING NOTHING RECENTLY THAT I CAN RECALL NO audio/RES0209.mp3[295.080,296.880] UM NO NO NOTHING LIKE THAT audio/RES0080.mp3[290.240,294.360] OK AND UH HAVE YOU CHECKED YOUR TEMPERATURE audio/RES0023.mp3[24.400,34.040] OK 5 DAYS AND HAS ANYTHING ELSE COME ON DURING THAT TIME ARE YOU HAVING ANY OTHER SYMPTOMS audio/RES0123.mp3[527.800,531.040] OKAY AND DO YOU HAVE ANY ALLERGIES audio/RES0143.mp3[227.920,232.440] NO MY WEIGHTS BEEN THE SAME audio/CAR0005.mp3[263.320,268.560] NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE audio/RES0097.mp3[530.920,538.480] UHM NO audio/RES0014.mp3[289.120,294.360] YEAH OK AND ANY ANY FEELINGS LIKE YOUR HEARTS RACING audio/RES0017.mp3[341.520,347.360] YEAH AROUND THE LAST I WOULD SAY THREE TO FOUR MONTHS audio/RES0121.mp3[228.680,230.640] UH NO audio/RES0189.mp3[337.160,342.520] OK HAVE YOU HAD A LOSS OF TASTE OR LOSS OF SMELL audio/RES0088.mp3[732.000,733.120] YOURE WELCOME TAKE CARE audio/RES0061.mp3[235.880,240.200] OK ANY DISCHARGE audio/RES0178.mp3[130.320,136.240] UH NO YEAH UH HE HASNT HAD ANY ANY EYE SYMPTOMS audio/RES0004.mp3[866.400,870.040] UM NO I THINK THATS YOU COVERED EVERYTHING audio/RES0166.mp3[438.280,441.560] OK DO YOU TAKE ANY MEDICATIONS CURRENTLY audio/RES0178.mp3[304.320,307.440] UH NO HES BEEN HEALTHY audio/RES0185.mp3[459.880,461.920] OH NO PROBLEM audio/RES0049.mp3[181.280,189.440] OK OK AND THEN YOU SAID DRY COUGH SO NO SPUTUM OR BLOOD RIGHT audio/RES0169.mp3[202.840,210.480] OK ALRIGHT UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0027.mp3[776.040,777.880] OK THANK YOU audio/RES0211.mp3[454.200,454.880] I WISH audio/RES0109.mp3[259.960,265.480] PROZAC OK AND WHEN WERE YOU DIAGNOSED UH PRESCRIBED THAT audio/RES0203.mp3[138.320,145.160] OK OK HAVE YOU HAD IN ADDITION TO THESE SYMPTOMS HAVE YOU HAD ANY FEVERS audio/RES0187.mp3[50.520,52.320] ALMOST FOUR DAYS AGO NOW audio/MSK0027.mp3[325.880,328.760] OK DOES SHE TAKE ANY MEDICATIONS audio/MSK0046.mp3[136.920,146.840] UHM NO I HAVENT REALLY TRIED TOO MUCH IVE JUST I JUST TRIED NOT TO USE IT AS MUCH audio/RES0100.mp3[587.320,598.000] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU LIVE WITH AND AND WHERE audio/MSK0022.mp3[929.640,1036.680] YEAH SO FROM WHAT YOURE DESCRIBING TO ME YOU DO FIT INTO THE AGE RANGE AND ALL THE SYMPTOMS ARE KIND OF POINT TOWARDS ARTHRITIS AND IN THIS CASE IT SOUNDS MORE LIKE RHEUMATOID ARTHRITIS DDEFINITELY IT CAN BE DIFFERENT TYPES OF ARTHRITIS THAT WE WILL INVESTIGATE JUST IN CASE AS WELL BUT GIVEN THAT ITS SYMMETRICAL YOU HAVE THE MORNING STIFFNESS THAT DOESNT GO AWAY FOR MORE THAN 30 MINUTES AND JUST THE PATTERN OF WHERE THOSE WHERE THE STIFFNESS AND PAIN IS OCCURRING ITT SOUNDS MORE LIKELY TO BE RHEUMATOID ARTHRITIS ESPECIALLY SINCE YOUVE ALSO YOU ALSO HAVE ANOTHER AUTOIMMUNE CONDITION WITH HYPOTHYROIDISM ITS MORE LIKELY TO BE ANOTHER AUTOIMMUNE CONDITION SO WHAT WE WILL DO IS GET A FEW TESTS DONE THIS WILL INVOLVE SOME BLOOD WORK AS WELL AND WE WILL ALSO GET SOME IMAGING DONE SO WE WILL GET LIKE THE CRAND ESR FOR INFLAMMATORY MARKERS WE WILL GET LIKE YOUR FULL CBC BLOOD COUNT WE WILL GET RHEUMATOID FACTOR TEST DONE AS WELL AS ANTINUCLEAR ANTIBODY AND A LOT OF OTHER DIFFERENT JUST MARKERS TO RULE OUT ANYTHING ELSE BESIDES RHEUMATOID ARTHRITIS AND THEN WE WILL ALSO GET JUST XRAYS OF YOUR HANDS AND FEET AS WELL SO DOES THAT SOUND GOOD audio/RES0086.mp3[341.320,343.040] NO CHEST PAIN audio/RES0167.mp3[232.160,238.160] NO NO NOT LIKE THAT KIND OF WEAK I JUST HAVE FELT LIKE VERY RUNDOWN audio/RES0201.mp3[487.040,495.680] OK AND ARE YOU RETIRED DO YOU WORK audio/GAS0007.mp3[205.520,215.880] OK IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR OR ANY OTHER DOCTOR audio/RES0063.mp3[195.040,204.960] NO I DONT THINK SO I GO REGULARLY ONCE A DAY AND I HAVENT NOTICED ANY WATERY STOOL OR DIARRHEA audio/MSK0034.mp3[398.360,399.640] YEAH SCHOOLS GOING WELL audio/RES0184.mp3[237.520,241.000] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0189.mp3[520.720,526.480] YEAH ALL OF MY IMMUNIZATIONS SHOULD BE UP TO DATE audio/MSK0029.mp3[717.800,738.640] OK OK OK UM THOSE ARE ALL THE QUESTIONS I HAVE FOR HISTORY WE CAN MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS BEFORE WE DID THAT audio/RES0036.mp3[339.640,342.600] UH NO audio/RES0211.mp3[604.760,608.080] SOUNDS GOOD THANKS JESSICA audio/RES0036.mp3[79.920,82.160] UHM YEAH ID SAY SO audio/RES0012.mp3[795.360,801.240] OK AND WHAT WHAT KIND OF WORK DO YOU DO JESSICA audio/RES0173.mp3[51.720,56.520] OK IS IT IS THIS COUGH NEW OR IF YOU HAD A COUGH BEFORE audio/CAR0001.mp3[0.000,2.040] WHAT BROUGHT YOU IN TODAY audio/RES0091.mp3[66.880,74.760] NO UHM AND THE FROM THE RUNNY NOSE ARE YOU HAVING ANY YELLOW OR GREEN DISCHARGE audio/MSK0021.mp3[44.480,55.560] PAST MONTH OK AND IS IT A CONSTANT TYPE OF PAIN OR DOES IT COME AND GO audio/RES0171.mp3[54.560,61.560] OK HAS IT GOTTEN WORSE SINCE YESTERDAY OR BETTER OR KIND OF BEEN THE SAME audio/RES0085.mp3[47.640,66.120] YEAH IT STARTED YESTERDAY BUT THE GRUNTING STARTED TODAY LIKE I THINK HE WAS A BIT ON THE WARMER SIDE LAST NIGHT AS WELL MORE IRRITABLE LAST NIGHT BUT THE GRUNTING STARTED THIS MORNING audio/RES0013.mp3[139.080,145.760] MAYBE LIKE YOU KNOW FIVE OR SIX audio/RES0066.mp3[258.040,262.720] UM NO NOTHING LIKE THAT audio/RES0166.mp3[457.120,463.320] UM NO LUNG OR HEART CONDITIONS NO audio/RES0132.mp3[392.000,406.280] UM I HAD MY GALLBLADDER REMOVED WHEN I WAS IN MY 50S UM AND I HAD A HIP FRACTURE THREE YEARS AGO audio/RES0128.mp3[283.560,287.000] YEAH YEAH I THINK HE DID audio/RES0124.mp3[88.560,99.040] OKAY UM ALRIGHT UH UM OKAY SORRY ONE MOMENT OKAY UM SO IS THERE ANYTHING THAT MAKES YOUR COUGH BETTER WHAT DO YOU DO TO MAKE IT GO AWAY audio/MSK0014.mp3[494.960,499.840] I HAD A COUPLE A COUPLE OF STENTS PUT IN audio/MSK0043.mp3[597.520,602.080] UH HE LAST TIME WAS ABOUT SIX MONTHS AGO audio/RES0144.mp3[475.760,486.960] HAS HE HAD ANY SURGERIES OR ANY OR NO HOSPITALIZATIONS YOU SAID AND NO UHM NO DIAGNOSIS RIGHT HE HASNT BEEN DIAGNOSED WITH ANY CONDITION audio/RES0048.mp3[457.440,464.920] DIARRHEA RIGHT UM HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT RIGHT NOW audio/RES0021.mp3[74.000,82.560] OH NO THAT DOESNT SOUND VERY NICE HAS IT BEEN ANY BLOOD OR ANY SPUTUM audio/RES0117.mp3[22.080,25.560] SO WHEN DID YOU FIRST START COUGHING audio/RES0124.mp3[615.640,638.360] OKAY OKAY JUST WANTED TO MENTION THAT THE CONVERSATION THAT WERE HAVING RIGHT NOW IS CONFIDENTIAL BETWEEN YOU AND ME UM UNLESS YOU MENTIONED ANYTHING THAT HARMS YOU OR HARMS ANYONE ELSE SO SO FEEL FREE TO DISCUSS WHATEVER OR TALK OPENLY ABOUT UM ANY ISSUES THAT YOU HAVE UM OKAY AND UM ARE YOU SEXUALLY ACTIVE audio/RES0046.mp3[668.040,674.800] UH YEAH I I I DO UM I SMOKE MAYBE ABOUT A HALF A PACK OF CIGARETTES PER DAY PROBABLY LESS UM YEAH audio/RES0113.mp3[112.440,124.520] AND DOES IT FEEL LIKE UH WHAT DOES IT FEEL LIKE IS IT LIKE A THROBBING SENSATION A BAND LIKE SENSATION UM IS IT SHARP IS IT DULL audio/RES0138.mp3[68.120,74.360] OKAY AND ARE YOU BRINGING UP ANY MATERIAL AT ALL LIKE ANY UM YELLOW OR GREEN SPUTUM audio/RES0172.mp3[328.480,338.680] OK GOOD AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART OR LUNG CONDITIONS OR CANCERS audio/RES0073.mp3[310.720,312.000] NO DIARRHEA audio/RES0058.mp3[715.760,718.840] WE LIVE IN A TOWNHOUSE audio/MSK0039.mp3[343.280,348.480] OK THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0050.mp3[389.720,395.840] OK UH DO YOU ARE YOU TAKING ANY OTHER MEDICATIONS audio/RES0033.mp3[706.520,707.440] OK GREAT audio/MSK0014.mp3[656.040,670.360] YEAH SO HEART DISEASE RUNS IN MY FAMILY MY BROTHER MY DAD THEY BOTH BOTH HAVE HAD HEART ATTACKS BUT YEAH MY ON MY MOM SIDE EVERYONES PRETTY HEALTHY THOUGH audio/RES0184.mp3[265.040,269.000] AND HOW ABOUT ANY MUSCLE ACHES OR OR BODY PAINS audio/RES0102.mp3[659.560,663.200] THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/MSK0049.mp3[559.240,561.040] NO REDNESS audio/RES0088.mp3[77.720,83.640] AND THE COUGH HAS PRETTY MUCH RESOLVED BY NOW audio/RES0066.mp3[481.640,484.880] ANY OTHER CONDITIONS THAT RUN IN THE FAMILY audio/RES0058.mp3[616.040,624.080] OK HOW ABOUT MARIJUANA audio/RES0206.mp3[84.440,104.640] I’VE HAD I HAD SOME TROUBLES LIKE WHEN IVE BEEN SICK BEFORE WHERE THE COUGH IS GOTTEN PRETTY BAD THIS IS PROBABLY THIS IS PROBABLY THE WORST THAT IVE HAD BUT I HAVE LIKE I HAVE HAD IN MY COPBEEN MADE WORSE BY BEING SICK audio/MSK0021.mp3[157.840,161.000] CONFUSION OR MEMORY LOSS audio/MSK0031.mp3[121.920,133.080] ITS IN THE RIGHT HIP MOSTLY JUST ON THE SIDE BUT THE PAIN IS KIND OF LIKE ALL OVER THE RIGHT SIDE OF MY GROIN AND I FEEL LIKE THERES SOME SWELLING THERE AS WELL audio/MSK0009.mp3[383.680,386.600] NO NOT THAT IVE NOTICED audio/MSK0043.mp3[860.760,866.360] OKAY UH THANK YOU YEAH THAT THAT SOUNDS GOOD audio/RES0098.mp3[621.840,631.200] MY GRANDFATHER DIED OF LUNG CANCER BUT HE WAS JUST JUST SMOKED ALL THROUGHOUT HIS LIFE audio/RES0060.mp3[234.760,241.480] I HAVE FELT A LITTLE CHILLY AT NIGHT BUT I HAVENT HAD ANY NIGHT SWEATS audio/RES0137.mp3[293.720,296.320] NO HOWS HER SLEEPING LIKE audio/RES0051.mp3[164.160,167.840] A LITTLE BIT YES audio/RES0066.mp3[184.760,191.280] YEAH ID SAY THEYRE GETTING WORSE NOW ITS LIKE THIS EVERYDAY AND ITS DEFINITELY GETTING WORSE audio/RES0048.mp3[386.600,391.920] UH NO NO THAT THATS ALL BEEN FINE audio/RES0128.mp3[491.200,563.360] YEAH SO WERE GONNA SINCE HES NEVER BEEN DIAGNOSED BEFORE WERE GONNA DO SOME INVESTIGATIONS FOR HIM JUST TO START SO WE CAN DO WE CAN START BY DOING A PULMONARY FUNCTION TEST FOR HIM TO SEE WHAT HIS LUNG ACTIVITY IS LIKE UHM SO WELL START THERE AND THEN WELL ALSO BECAUSE YOURE SAYING HES SHORT OF BREATH WELL TAKE HIS OXYGEN SATURATION AS WELL AND MAYBE EVEN DO SOME LIKE SOME BASIC BLOOD WORK FOR HIM AND IF IT TURNS OUT HE HAS ASTHMA WHICH IN THIS CASE I DO STRONGLY SUSPECT WELL PRESCRIBE HIM SOME BRONCHODILATORS LIKE A SHORT ACTING BETA AGONIST AS WELL AS AN INHALED CORTICOSTEROID BECAUSE HIS SYMPTOMS DO SEEM SOMEWHAT SEVERE THIS TIME AROUND AND THEN I SHOULD ALSO MENTION BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THAT OF COVIHE WILL ALSO GET A COVID SWAB AND YOU SHOULD HEAR BACK ABOUT THAT IN 24 TO 48 HOURS HOW DOES THAT SOUND audio/RES0130.mp3[63.720,75.840] TWO WEEKS AGO OKAY UM HOW MUCH BLOOD ARE YOU COUGHING UP LIKE IF UH LIKE IS IT THE SIZE OF YOUR PALM IS IT MORE THAN THAT LESS THAN THAT audio/RES0032.mp3[229.840,237.040] YEAH MY ENERGY HAS JUST BEEN REALLY DOWN IVE BEEN REALLY FATIGUED audio/RES0148.mp3[399.400,420.400] OK GREAT AND I UM I JUST WANTED TO ASK A LITTLE BIT ABOUT UM YOUR PERSONAL HISTORY I WAS JUST WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT UH WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH audio/RES0145.mp3[285.200,295.080] UH SO IVE HAD IT FOUR TIMES YEAH 4 FOUR TIMES IN THE LAST FEW YEARS audio/MSK0045.mp3[116.280,122.040] OK ARE THERE ANY UH MOVEMENTS THAT ARE WORSE IN PARTICULAR audio/RES0096.mp3[156.200,161.480] OH I DONT KNOW I THINK IT WAS IT WAS A LITTLE BIT audio/RES0171.mp3[207.280,210.240] UH I WAS YEAH audio/RES0075.mp3[414.080,417.640] OK AND DO YOU DRINK ALCOHOL audio/RES0088.mp3[449.280,455.400] OK HAS THIS HAPPENED AT ALL IN THE PAST audio/RES0164.mp3[527.560,536.760] OK ALRIGHT HAS ANYONE IN THE FAMILY EVER HAD ANY DIAGNOSIS OF ASTHMA ECZEMA ALLERGIC RHINITIS audio/RES0210.mp3[294.560,304.120] K HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0088.mp3[222.560,234.320] UH NO THEYVE BEEN PRETTY CONSISTENT BUT MAYBE THE HARSH VOICE IS GETTING WORSE audio/RES0215.mp3[302.880,304.200] NO NO audio/RES0063.mp3[566.320,574.920] YEAH I WOULD SAY TWO TO THREE TIMES AND UH I PROBABLY GO THROUGH MAYBE 1 BOTTLE EVERY TWO WEEKS audio/RES0056.mp3[167.560,172.640] IS THIS COUGH GETTING WORSE audio/RES0143.mp3[158.360,164.400] OKAY WHAT ABOUT ANY DIFFICULTIES WITH BREATHING audio/MSK0006.mp3[353.680,356.560] NO I HAVENT BEEN ANY HAVING ANY SYMPTOMS LIKE THAT audio/RES0174.mp3[370.680,375.960] OK HOW IS YOUR INTEREST IN ACTIVITIES BEEN audio/RES0098.mp3[67.600,70.520] OK DO YOU HAVE ANY CHEST PAIN audio/RES0148.mp3[500.560,501.520] I DO audio/RES0109.mp3[182.480,189.720] NO I HAVENT NOTICED ANY audio/RES0135.mp3[415.400,418.360] YEAH EVERYTHINGS UP TO DATE audio/RES0028.mp3[36.400,47.040] OK AND IF YOURE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT audio/MSK0009.mp3[572.080,575.120] HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0209.mp3[439.600,441.120] YEP THATS RIGHT audio/RES0011.mp3[718.320,727.400] OK BUT YOU GOT HOME ABOUT FIVE OR SIX DAYS AGO UM YEAH AND WHO ARE YOU LIVING WITH CURRENTLY audio/RES0038.mp3[590.880,597.200] OK AND DO YOU SMOKE AT ALL audio/RES0103.mp3[25.720,45.520] I THINK THE RUNNY NOSE IS WHAT WHAT STARTED FIRST AND LIKE KIND OF THE NASAL CONGESTION SHE WAS TELLING YOU THAT SHE FELT THAT THERE WAS LIKE PRESSURE OR CONGESTION IN HER NOSE audio/RES0206.mp3[450.360,467.720] OK OK UHM AND YOU MENTIONED THAT YOUR COPD’S ARE GETTING BETTER DO YOU FIND THAT ITS AFFECTING YOUR LIFE IN ANY WAY AFFECTING THE WAY THAT YOURE DOING YOUR DAILY ACTIVITIES AT AT HOME OR AT WORK IF YOU ARE WORKING audio/RES0070.mp3[284.240,288.480] OK HOW ABOUT ANY ANY BLOOD audio/MSK0045.mp3[400.120,402.840] UM I LIVE BY MYSELF RIGHT NOW audio/MSK0041.mp3[475.240,483.920] OK AND HAS THAT CHANGED RECENTLY FOR YOU audio/RES0192.mp3[555.520,561.360] UM I QUIT RECENTLY SINCE I FOUND OUT THAT I MIGHT HAVE COPD audio/MSK0041.mp3[916.120,918.840] OK THAT SOUNDS GREAT THANK YOU audio/RES0129.mp3[404.880,409.720] OK ANY PETS AT HOME audio/MSK0003.mp3[94.880,109.200] OK AND WHEN IT FIRST STARTED UP WAS THERE ANYTHING THAT CAUSED THE BACK PAIN LIKE ANY KIND OF TRAUMA OR INJURY ANYTHING THAT YOU CAN THINK OF THAT MIGHT HAVE LED TO THIS audio/RES0105.mp3[603.000,611.640] NO IT HELPED IT ACTUALLY FIXED THE LEAKING AT THE TIME I WAS HAVING SO WAS HAPPY WITH THAT audio/RES0057.mp3[14.560,18.800] OH IM SO SORRY TO HEAR THAT WHEN DID THIS START audio/RES0042.mp3[138.520,146.600] OK HOW ABOUT UM UM A SORE THROAT audio/RES0033.mp3[533.280,536.840] ALRIGHT AND ANY SURGERIES audio/RES0045.mp3[579.920,585.000] UM NO THAT I WAS JUST WORRIED ABOUT UH COVID audio/RES0051.mp3[349.920,352.840] I THINK YEAH I THINK SO audio/MSK0041.mp3[79.800,83.680] IM FEELING IT JUST IN THAT ONE SPOT audio/RES0073.mp3[519.400,527.840] OK AND ANYBODY THAT YOUVE BEEN AROUND WHOS HAD ANY SYMPTOMS audio/RES0209.mp3[374.480,379.240] OH NO NO NO audio/RES0111.mp3[105.320,115.240] ANY SORT OF UM CONGESTION DO YOU FEEL LIKE YOUR NOSE IS STUFFY OR HURTS YOUR UH IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN audio/RES0034.mp3[713.280,735.240] JUST HER BIG BROTHER WHO GOES TO DAYCARE WAS ALSO LIKE A BIT SICK WITH A COUGH AND SOME RUNNY NOSE FOR THE LAST FOUR DAYS BUT UHM HE DIDNT HAVE A FEVER AND HE SEEMED TO RECOVER PRETTY FAST BUT SEEMS SHE MAY HAVE CAUGHT IT FROM HIM audio/RES0026.mp3[867.720,870.760] OK SOUNDS GREAT audio/RES0144.mp3[131.160,140.720] OK AND WHAT ABOUT DIAPERS HOW MANY WET DIAPERS HAS HE HAD OVER THE PAST OR YESTERDAY AND TODAY audio/RES0062.mp3[531.480,541.280] OH YEAH I TAKE A STATIN AND BABY ASPIRIN audio/RES0211.mp3[27.160,31.960] YEAH LITTLE BIT I JUST KIND OF FEEL JUST ICKY audio/MSK0022.mp3[94.560,111.720] OK UM SO SO IF I UNDERSTAND IT CLEARLY ITS YOU GET DO YOU GET LIKE MORNING YOU GET MORNING STIFFNESS AND THEN WHEN YOURE NOT VERY ACTIVE OR NOT DOING THINGS BUT THEN IT GETS BETTER WITH MOVEMENT audio/RES0126.mp3[381.040,393.840] OH MY GOD SO TIRED I CAN YOU KNOW WITH THE DIFFICULTY BREATHING I FEEL LIKE ALL MY ENERGY SPENT JUST TRYING TO TRYING TO GET TO THE BATHROOM audio/RES0128.mp3[346.600,350.240] OK ANY COMPLICATIONS DURING THE DELIVERY audio/RES0044.mp3[422.760,424.680] UM NO I DONT THINK SO audio/RES0113.mp3[415.920,424.920] OK UM ALRIGHT WELL UH AND YOU SAID THAT YOU DONT HAVE A FAMILY HISTORY OF ANY PROBLEM audio/MSK0025.mp3[403.800,414.960] SO BOTH LIKE SEEM WEAK BUT THE RIGHT MORE THAN THE LEFT audio/RES0038.mp3[525.440,529.760] UH NO I MEAN MY SISTER HAD ECZEMA AS WELL BUT THATS IT audio/RES0118.mp3[30.200,34.680] SO IT STARTED ABOUT ID SAY SEVEN DAYS AGO audio/RES0004.mp3[210.360,214.600] OK AND IS IT RAISED audio/RES0204.mp3[291.080,307.040] OK THIS MAY BE A TRICKY ONE TO ANSWER SO MOM CAN DEFINITELY HELP US DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS audio/RES0195.mp3[371.440,377.080] OK ANY SORE THROAT RUNNY NOSE ANY COLD LIKE SYMPTOMS audio/RES0060.mp3[169.320,174.480] OK ANY PAIN OR DISCHARGE FROM EITHER YOUR EARS OR EYES audio/MSK0018.mp3[152.360,156.160] UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE audio/RES0103.mp3[542.720,544.440] ALRIGHT THANK YOU audio/MSK0043.mp3[866.360,873.560] ALRIGHT YEAH SO YEAH WELL GET ALL THAT DONE FOR YOU SHORTLY AND UH WELL GO FROM THERE audio/RES0034.mp3[60.000,67.720] UH NO EVERY TIME IVE MEASURED IT SHE HAS HAD A FEVER AND SHES BEEN COUGHING FOR THE LAST FEW DAYS HASNT REALLY CHANGED audio/RES0097.mp3[54.520,57.400] IS HE BRINGING UP ANY SPUTUM audio/RES0162.mp3[61.880,70.600] ITS USUALLY ITS USUALLY A DRY COUGH AND SOMETIMES I DO BRING UP LIKE THIS LIGHT MATERIAL BUT USUALLY ITS MOSTLY A DRY COUGH audio/RES0130.mp3[166.200,173.240] NO UM NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0101.mp3[327.920,330.520] UH NO NO ABDOMINAL PAIN audio/CAR0001.mp3[472.520,476.840] FOR THE PAST 10 TO 15 YEARS audio/RES0028.mp3[247.640,254.720] IVE BEEN REALLY TIRED WITH ALL OF THE TRAVELING SO I THINK MAYBE IM JUST JET LAGGED audio/RES0061.mp3[596.400,605.680] OH GREAT OK THATS AWESOME AND ARE YOU ALLERGIC TO ANYTHING audio/RES0162.mp3[188.440,195.600] OK DO YOU EVER FEEL LIKE YOURE SHORT OF BREATH WHEN YOURE COUGHING OR OTHERWISE audio/RES0038.mp3[700.080,702.520] UHM NOPE THAT WAS IT audio/RES0148.mp3[447.120,452.200] OK AND WERE WERE HIS SYMPTOMS SIMILAR TO YOURS OR OR UH OR WERE THEY DIFFERENT audio/RES0205.mp3[250.120,254.560] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0135.mp3[177.920,190.200] SHES BEEN PRETTY FUSSY UM YEAH SHES BEEN PRETTY FUSSY OVER THE PAST FEW DAYS BUT I JUST THOUGHT IT WAS BECAUSE OF HOW SHE WAS FEELING UM LIKE HER SYMPTOMS audio/RES0017.mp3[75.160,88.960] NOT THAT IVE NOTICED BUT I DO FIND THAT I GET A LITTLE BIT MORE TIRED WITH EXERCISE THAN I USED TO BUT NOT REALLY ANY SHORTNESS OF BREATH audio/RES0159.mp3[200.040,207.040] OK UHM HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS ALL OVER YOUR BODY DO YOU FEEL ACHY audio/RES0129.mp3[85.560,90.120] OK ANY FEVERS audio/RES0085.mp3[422.400,480.800] YEAH SO THE GRUNTING IS WORRISOME HE COULD HAVE ANYTHING FROM BRONCHIOLITIS TO PNEUMONIA SO WHAT WELL DO IS WELL FIRST GET HIS TEMPERATURE WELL GET HIS O2 SAT AND WE WILL GET SOME IMAGING DONE AS WELL TO SEE IF ITS MORE IN LINE WITH BRONCHIOLITIS OR PNEUMONIA IF ITS BRONCHIOLITIS IT WILL BE SUPPORTIVE TREATMENT SO WE CAN KEEP HIM HERE AT THE HOSPITAL BECAUSE HE IS IN SOME DISTRESS AND WELL KEEP HIM HYDRATED AND GIVE HIM SOME OXYGEN AND IF ITS PNEUMONIA WELL PRESCRIBE HIM SOME ANTIBIOTICS HOW DOES THAT SOUND audio/RES0110.mp3[556.240,565.720] UM YEAH SO IM ON INSULIN AND IM ON SYNTHROID IM ON ASPIRIN AS WELL LIKE BABY ASPIRIN audio/RES0185.mp3[156.640,160.760] NO OK UH CHILLS OR NIGHT SWEATS audio/MSK0013.mp3[807.200,904.040] WHERE YOU LOSE SENSATION AND YOU CANT FEEL PAIN AND SO BUT OTHER THINGS TO CONSIDER COULD BE POSSIBLY LIKE VITAMIN DEFICIENCIES OR THINGS LIKE THAT BUT I WOULD BE MUCH MUCH LOWER DOWN ON THE DIFFERENTIAL AND SO TO REGAIN SENSATION I THINK REALLY THE ONLY THING THAT CAN BE DONE NOW IS TO HELP PREVENT FURTHER DAMAGE TO THE NERVES AND THAT WOULD BE TO MAKE SURE THAT THE DIABETES IS UNDER GOOD CONTROL AND TRYING TO MONITOR YOUR FEET AS REGULARLY AS YOU CAN MAKING SURE THAT THE THERE ARENT ANY KIND OF OPEN WOUNDS OR SORES THAT ARE ARE NOT HEALING IF THINGS ARE NOT HEALING IT WILL BE IMPORTANT TO CHECK TO SEE IF THERE IS AN UNDERLYING INFECTION SUCH AS OSTEOMYELITIS WHICH WILL PREVENT WOUND HEALING AND SO IF THERE ARE ANY IS ANYTHING LIKE THAT IT WOULD BE IMPORTANT TO HAVE THAT CHECKED OUT SO FEET HYGIENE IS EXTREMELY IMPORTANT AS WERE WORKING ON IMPROVING THE DIABETES CONTROL AS WELL AS THINGS LIKE CUTTING DOWN ALCOHOL COULD COULD ALSO HELP AS WELL audio/RES0125.mp3[222.880,229.520] OKAY HAVE YOU TRAVELED AT ALL RECENTLY OUTSIDE OF THE PROVINCE OR THE COUNTRY audio/RES0213.mp3[360.200,375.080] OK DONT GET ANY CHEST PAIN ALL RIGHT AND JUST IN TERMS OF OTHER THINGS SO ANYTHING ELSE YOUVE SEEN A DOCTOR FOR IN THE PAST YOU MENTIONED ANXIETY ATTACKS audio/MSK0015.mp3[347.840,349.640] UM NO audio/RES0184.mp3[412.120,415.760] OK HOW MANY DRINKS WOULD YOU SAY YOU HAVE PER WEEK audio/RES0138.mp3[345.840,354.840] BESIDES YOUR MEDICAL HISTORY OF HAVING A HEART ATTACK AND SOME BLOOD PRESSURE UM ANY OTHER MEDICAL CONDITIONS audio/RES0121.mp3[108.400,114.760] I TRIED SOME OVERTHECOUNTER COUGH SUPPRESSANTS UH THEY DONT SEEM TO BE WORKING TOO WELL audio/MSK0027.mp3[132.160,154.320] OK AND HAS THERE BEEN LIKE WAS THERE ANYTHING THAT HAPPENED AROUND THE TIME THAT YOU FIRST NOTICED HER HOLDING HER ARM LIKE THIS SUCH AS A FALL OR MAYBE LIKE SOMEBODY PULLING ON ON HER HAND LIKE SWINGING HER FROM HER ARM OR ANYTHING LIKE THAT audio/RES0038.mp3[167.600,180.000] OK AND SO EXERCISE MAKES IT WORSE ANYTHING THAT YOU DO THAT HELPS YOU RELIEVE THE COUGH audio/RES0083.mp3[188.920,195.600] ANY STIFFNESS IN YOUR NECK ANY DIFFICULTIES MOVING YOUR NECK audio/RES0101.mp3[271.200,276.920] UH NO I DONT NO I DONT REALLY HAVE ANY PAIN audio/RES0216.mp3[538.680,542.920] YEAH LIKE JUST THE MORNING WAS IT WAS ENOUGH audio/MSK0021.mp3[872.320,874.600] OK YEAH NO WORRIES audio/RES0156.mp3[158.520,164.360] NO NOTHING LIKE THAT UM YEAH JUST THE WHEEZE audio/RES0129.mp3[122.960,132.800] YEAH MY MY WIFE JUST TEXTED ME AND TOLD ME THAT SHE CHECKED IT CHECKED IT AND SAID IT WAS OVER 38 audio/RES0190.mp3[559.680,572.640] SCHOOL IS GOING PRETTY WELL NO REAL ISSUES IT TOOK SOME TIME AND ADJUSTING TO THE NEW ONLINE CURRICULUM BUT ITS GOING PRETTY WELL NOW audio/MSK0041.mp3[21.560,31.400] OK SO YOU SAY IT STARTED SIX HOURS AGO HAS THE PAIN BEEN GETTING BETTER OR GETTING WORSE audio/RES0090.mp3[125.520,129.080] I HAVE A BIG FAMILY SO WE ALL LIVE TOGETHER audio/RES0008.mp3[430.040,440.440] UM SO YOU SAID THAT YOU HAVE HAD A COUGH FOR A REALLY LONG TIME A DRYER COUGH THEN YOURE HAVING SPUTUM NOW BUT IS THAT SOMETHING YOUVE SEEN THE DOCTOR FOR audio/RES0196.mp3[266.720,271.640] OK OK ANY MEDICATIONS THAT SHE TAKES EVERYDAY audio/MSK0029.mp3[42.800,69.560] IT WAS AT THE BACK SO I WAS THE DRIVER AND WAS JUST GOING OVER A SPEED BUMP IN THE PARKING LOT SO SLOWED DOWN QUITE A BIT AND THE PERSON BEHIND ME MUST NOT HAVE AND THEY BUMPED INTO ME THERES JUST SOME SCRATCHES ON THE BUMPER THEY DIDNT HIT TOO HARD BUT I I GUESS MAYBE HARD ENOUGH audio/RES0097.mp3[312.440,319.320] OH YEAH HE HASNT GONE OUT TO PLAY HE HASNT DONE ANYTHING HES JUST BEEN LYING IN BED audio/RES0021.mp3[588.680,590.800] AND HAVE YOU TRAVELED ANYWHERE audio/RES0010.mp3[1.440,9.160] YEAH SO I HAVE LIKE A REALLY SORE THROAT STARTED LAST NIGHT audio/RES0084.mp3[446.520,453.560] OK HOW ABOUT NAUSEA OR VOMITING audio/RES0216.mp3[165.120,173.200] OK SO ITS BEEN THERE PRETTY CONSTANTLY FOR THE PAST THREE DAYS BUT ITS MORE NOTICEABLE IF NOT WORSE WHEN YOURE GOING FOR A WALK audio/MSK0008.mp3[313.160,318.800] OK ANY JOINT PAINS ANYWHERE ELSE audio/RES0168.mp3[542.480,548.960] YEAH SORRY WHAT HAVE YOU TRIED AT HOME AGAIN audio/RES0192.mp3[355.680,362.400] OK UM AND DO YOU USE UH ANY MEDICATIONS OR ANY INHALERS audio/RES0043.mp3[630.320,641.640] SO I JUST WANTED TO BASICALLY SEE IF IT WAS THAT AND I MEAN HE DOES RECEIVE YOURE SO SCARED THATS KIND OF WHAT MADE ME COME IN LIKE ITS SCARING ME A LITTLE BIT audio/RES0119.mp3[87.760,105.720] I FIND ITS USUALLY WORSE IN THE WINTER UM AND IF SHES LIKE DOING SOME SORT OF UH LIKE EXTENSIVE PHYSICAL ACTIVITY SO IF SHES LIKE PLAYING TAG AND SHES RUNNING AROUND A LOT UM OR IF SHES LIKE AT HER GYM CLASS AND THEYRE RUNNING audio/RES0001.mp3[171.280,178.600] I WOULD SAY WHEN IM EXERTING MYSELF IT COULD GET UP TO LIKE A 7 OR 8 audio/MSK0040.mp3[694.440,704.760] OK AND THEN WHEN IT COMES TO MOVING THE FOOT ARE YOU ABLE TO POINT YOUR TOES ON YOUR FOOT UP TOWARDS YOUR FACE audio/RES0056.mp3[141.040,146.400] OK AND HAVE YOU EVER HAD A COUGH LIKE THIS BEFORE audio/RES0200.mp3[286.360,289.560] ANY CHANGES IN YOUR VISION OR HEARING audio/RES0034.mp3[691.440,697.240] OK AND UM ANY ALLERGIES TO MEDICATIONS audio/RES0107.mp3[575.440,578.280] OK AND IS YOUR ASTHMA SEVERE audio/RES0022.mp3[31.720,41.920] OK I SEE SO HOW MUCH ACTIVITY WERE YOU DOING THAT WAS BRINGING ON THE SHORTNESS OF BREATH audio/MSK0001.mp3[324.520,328.160] UH TYPE 2 DIABETES audio/GAS0007.mp3[293.720,294.640] YEAH YEAH I LIVE HERE audio/RES0034.mp3[309.920,314.240] HOW ABOUT ANY DISCHARGE FROM EARS audio/RES0158.mp3[332.360,345.160] YEAH ITS JUST SORT OF LIKE A LIKE A GREEN UM POWDER ITS SUPPOSED TO REPLACE UH I DONT KNOW ONE OF YOUR SERVINGS OF VEGETABLES FOR THE DAY audio/RES0078.mp3[250.960,260.080] OK AND WHERE EXACTLY IS IT IS THE PAIN audio/RES0058.mp3[2.160,5.880] IM DOING OK THANK YOU HOW ARE YOU audio/RES0062.mp3[910.120,921.680] OK WELL WE CAN TAKE A TEMPERATURE TODAY JUST TO MAKE SURE HAVE YOU BEEN FEELING LIKE YOU HAVE NIGHT SWEATS OR CHILLS audio/GAS0004.mp3[410.520,419.560] I ACTUALLY HAVENT WEIGHED MYSELF IN THE PAST FIVE DAYS SO I DONT I DONT KNOW audio/RES0121.mp3[315.960,321.880] OKAY UM AND OTHER THAN THAT DO YOU SMOKE AT ALL audio/RES0080.mp3[182.840,187.560] OK AND HAVE YOU HAD ANY HEADACHES audio/RES0190.mp3[26.600,38.400] UHM MAYBE A LITTLE BIT WITH SOLIDS NOT SO MUCH WITH LIQUIDS BUT YEAH I DEFINITELY BEEN FEELING MORE SORE audio/RES0168.mp3[379.200,382.560] YOU KNOW FIVE OR SIX PER WEEKEND audio/MSK0004.mp3[352.240,356.360] I THINK OSTEO YEAH OSTEOARTHRITIS audio/RES0190.mp3[274.160,276.080] NO NO CHEST PAIN audio/RES0012.mp3[426.560,431.400] OK ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING audio/RES0018.mp3[500.200,502.720] DO YOU DRINK ALCOHOL audio/RES0012.mp3[362.000,366.040] NO DIZZINESS OR FAINTING SPELLS audio/RES0174.mp3[351.160,355.240] OK AND HOWS YOUR ENERGY BEEN audio/MSK0009.mp3[794.080,807.160] YEAH YEAH ILL TRY THAT AND YEAH I THINK IT DEFINITELY HURTS WHEN I WHEN I MOVE MY OR POINT MY TOES TOWARDS MY NOSE audio/RES0090.mp3[350.640,353.200] OK ANY ALLERGIES audio/CAR0003.mp3[543.240,550.240] OK AND HAS THE SHORTNESS OF BREATH BEEN AFFECTING YOUR DAILY ROUTINE AT HOME OR AT WORK AT ALL audio/RES0188.mp3[152.120,154.600] OK ANY RASHES THAT YOUVE NOTICED audio/RES0037.mp3[241.160,256.400] UH YEAH I GUESS IF IM JUST MOVING AROUND A LITTLE BIT MORE IT MIGHT BRING IT ON A LITTLE BIT MORE BUT ITS PRETTY BAD ALL DAY audio/MSK0005.mp3[322.920,329.000] OK CHANGES TO YOUR SENSES LIKE VISION HEARING SMELL SMELL OR TASTE audio/RES0087.mp3[276.880,279.640] ANY HEADACHES audio/GEN0001.mp3[416.000,419.800] I WORK AT A BANK audio/RES0186.mp3[77.760,84.600] OK THATS GOOD AND ALRIGHT ANY CHEST PAIN audio/RES0207.mp3[238.960,242.720] HAVE LOST ANY OF YOUR SENSE OF TASTE OR SMELL audio/RES0068.mp3[191.040,204.680] I TRIED SOME NASAL SPRAYS AND LIKE DECONGESTIONS BUT ITS NOT REALLY HELPING audio/RES0099.mp3[336.040,342.520] OK AND HOW HAS YOUR ENERGY BEEN THESE LAST COUPLE OF DAYS audio/RES0191.mp3[470.160,520.920] OK SO WITH THE PROMINENT SYMPTOMS OF BEING NASAL DISCHARGE AND OBSTRUCTION WITHOUT FEVER AND WITHOUT LIKE CHANGES TO SMELL AND ALSO WITHOUT PAIN ITS MOST LIKELY A VIRAL RHINOSINUSITIS UHM HOWEVER THIS COULD HAVE SYMPTOMS THAT OVERLAP WITH WITH COVIAND SO WE WILL STILL END UP DOING A SWAB EVEN THOUGH THE MOST LIKELY DIAGNOSIS IS GOING TO BE A VIRAL ACUTE RHINOSINUSITIS audio/RES0152.mp3[2.320,26.360] HI UH NICE TO MEET YOU IVE JUST UH BEEN EXPERIENCING UM A COUGH FOR THE LAST FEW WEEKS AND UH I ALSO RECENTLY STARTED NOTICING THAT IM COUGHING UP SOME BLOOD AS WELL LIKE ITS MIXED INTO LIKE SPUTUM audio/RES0154.mp3[361.920,371.240] YEAH SO IM LIVING ALONE RIGHT NOW UM JUST IN AN APARTMENT audio/MSK0036.mp3[832.360,857.480] OK SO THAT WOULD BE YEAH POSITIVE TINEL SIGN AND DO YOU GET ANY SO IF YOU FLEX BOTH OF YOUR WRISTS SO THAT THE BACK OF YOUR HANDS ARE PRESSING AGAINST EACH OTHER AND IF YOU HOLD THAT POSITION DO YOU START TO GET SYMPTOMS OF THE BURNING AND TINGLING audio/RES0132.mp3[425.080,433.320] AND UH RIGHT NOW CAN YOU TELL ME UM A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0038.mp3[641.560,645.240] UM YEAH MAYBE ILL ILL SMOKE LIKE ONE OR TWO JOINTS A WEEK audio/RES0135.mp3[2.400,24.680] HI UM IM BRINGING MY ONE YEAR OLD DAUGHTER IN BECAUSE SHES HAD THIS FEVER UM THIS RUNNY NOSE AND THIS COUGH FOR THE PAST THREE FOUR DAYS UM AND NOW SHE SOUNDS PRETTY WHEEZY audio/RES0043.mp3[458.600,465.120] OK AH AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH audio/RES0019.mp3[383.880,388.920] OK UM AND ANY CONSTIPATION audio/MSK0022.mp3[321.520,330.840] OK I SEE AND HAS THIS PAIN BEEN PRETTY CONSTANT OR HAVE THERE BEEN DAYS THAT YOU DONT HAVE THE PAIN audio/RES0087.mp3[312.320,316.560] OK AND HAS HE TRAVELED TO ANYWHERE RECENTLY audio/RES0117.mp3[50.960,54.680] YEAH TODAY UH audio/RES0100.mp3[378.600,386.800] ALRIGHT AND THE FEVER THIS WEEK HAS IT BEEN THERE THE WHOLE TIME OR HAS IT COME AND GONE audio/MSK0020.mp3[761.560,771.200] OK OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES ALL THE WAY BACKWARDS YOU CAN DO ONE AT A TIME audio/MSK0034.mp3[399.640,413.560] OK AND IN TERMS OF YOUR FAMILY HISTORY ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS audio/RES0050.mp3[209.160,212.800] OR ANY DIFFICULTY SWALLOWING audio/GAS0002.mp3[485.040,491.720] OK AND DO YOU FEEL THE NEED TO CUT DOWN ON YOUR DRINKING audio/RES0156.mp3[236.880,244.480] OK AND ANY KIND OF UH CHANGES IN HER SLEEP OR APPETITE audio/RES0059.mp3[527.320,531.760] OK AND DO YOU DRINK ALCOHOL audio/RES0172.mp3[39.360,47.920] OKAY AND IS IT DRY COUGH OR WET COUGH audio/RES0120.mp3[476.760,480.720] UM NO I DONT THINK SO audio/RES0038.mp3[488.200,494.760] UH OCCASIONALLY YEAH THERE THOUGH I DO NOTICE A WHEEZE audio/RES0047.mp3[170.840,181.720] NO BLOOD OK AND YOU MENTIONED YOUVE NEVER PRODUCED SPUTUM WITH THE COUGH ESPECIALLY NOT GREEN SPUTUM IN THE PAST THREE YEARS RIGHT audio/RES0004.mp3[492.120,497.240] YEAH I DO REMEMBER GETTING ANTIBIOTICS WHEN I WAS YOUNGER audio/RES0005.mp3[256.440,270.360] YEAH IVE ACTUALLY LOST A SIGNIFICANT AMOUNT OF WEIGHT I WOULD SAY WITHIN THE LAST 1 AND A 12 MONTHS PROBABLY LOST LIKE 8 TO 10 POUNDS audio/MSK0041.mp3[214.640,217.280] NO NOTHING LIKE THAT audio/RES0108.mp3[234.840,241.440] OK AND UM HOW ABOUT MEDICATIONS ARE YOU ON ANY audio/RES0071.mp3[103.680,108.480] AND IS THE COUGH UH CONSTANT OR DOES IT COME AND GO audio/RES0090.mp3[278.720,280.920] UHM NO audio/RES0135.mp3[85.840,92.080] UM IT SOUNDS PRETTY HARSH I DONT KNOW IF IT SOUNDS BARKY audio/RES0022.mp3[296.040,302.760] OK AND HAVE OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS audio/RES0013.mp3[412.560,415.440] A PACK A WEEK OK FOR HOW LONG audio/RES0003.mp3[103.160,107.160] NO HE HASNT SAID ANYTHING LIKE THAT I MEAN NOTHING ABOUT HIS NECK audio/RES0125.mp3[241.480,243.880] ANY FEVERS OR CHILLS audio/MSK0014.mp3[68.280,75.080] IT IT DEFINITELY IT DEFINITELY LOOKS MORE RED THAN MY OTHER KNEE audio/MSK0016.mp3[185.160,190.800] OK ALRIGHT AND DO YOU HAVE ANY NUMBNESS OR TINGLING ELSEWHERE ON YOUR BODY audio/GAS0002.mp3[501.600,505.640] OK HAVE YOU FELT GUILTY ABOUT YOUR DRINKING audio/MSK0038.mp3[565.880,568.880] NO EVERYTHING LOOKS LOOKS NORMAL audio/RES0210.mp3[126.440,129.880] OK DID YOU EVER FEEL LIKE YOU WERE REALLY SHAKY audio/RES0189.mp3[354.680,356.640] NO ABDOMINAL PAIN audio/RES0081.mp3[301.000,306.440] YEAH IT WAS A VERY WINDY LITTLE BIT CHILLY TOO audio/RES0193.mp3[135.600,154.880] UM LIKE WHEN HE WAS REALLY YOUNG I THINK LIKE TWO HE HAD LIKE BRONCHIOLITIS OR SOMETHING LIKE THAT I THINK IT WAS CALLED YOU HAD A COUGH AND UM LIKE A WHEEZE AT THAT TIME BUT I THINK IT WAS BECAUSE OF A LIKE AN INFECTION OR VIRAL A VIRAL ILLNESS audio/RES0081.mp3[143.960,153.720] OK UHM AND HAS HE COMPLAINED OF HAVING A SORE THROAT OR PAINFUL EARS audio/MSK0031.mp3[529.360,533.800] OK AND IF ARE YOU SITTING DOWN RIGHT NOW audio/MSK0009.mp3[399.280,403.240] NOT THAT IVE NOTED NO audio/RES0060.mp3[166.440,169.320] NO I HAVENT NOTICED ANYTHING audio/MSK0016.mp3[447.680,459.840] UM MY GRANDFATHER HAD A STROKE WHEN HE WAS IN HIS UH 70S UM AND MY DAD HAS HIGH CHOLESTEROL audio/RES0045.mp3[448.280,452.880] OK UM OK UM ANY ALLERGIES audio/MSK0018.mp3[195.400,205.760] UH MOSTLY TOWARDS MY SHOULDER UM KIND OF DOWN TOWARDS MY UPPER ARM AS WELL audio/RES0198.mp3[94.560,98.760] AH ITS ITS AH ITS BEEN PRETTY CONSTANT FOR THE PAST WEEK audio/MSK0021.mp3[266.200,271.240] OK ANY CHANGES IN YOUR URINATION audio/RES0072.mp3[540.360,548.400] OK AND SO CURRENTLY WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH audio/RES0195.mp3[541.640,546.040] I DRINK ONCE IN AWHILE LIKE ILL HAVE A GLASS OF WINE ON FRIDAYS audio/RES0202.mp3[307.640,311.600] MM I DONT THINK SO audio/RES0052.mp3[448.240,451.840] NO NO ONE SMOKES audio/RES0055.mp3[256.480,266.680] I DO FEEL A BIT STUFFY BUT ITS NOT TOO BAD audio/RES0023.mp3[370.320,377.760] YEAH SO I HAVE A HIGH BLOOD PRESSURE AND TYPE 2 DIABETES audio/RES0020.mp3[466.000,472.760] OK HAVE YOU HAD ANTIBIOTICS RECENTLY FOR ANY REASON audio/RES0135.mp3[377.680,383.080] OKAY DID SHE NEED LIKE ANTIBIOTICS OR INHALERS OR ANYTHING LIKE THAT audio/MSK0039.mp3[454.320,465.680] UM LIKE PRETTY UH RECENTLY SO PROBABLY LIKE IN HER SIXTIES audio/RES0116.mp3[340.360,348.160] UH NO UH MAYBE A LITTLE BIT MORE FUSSY JUST BUT I DONT KNOW IF THATS PROBABLY DUE TO THE PAIN audio/RES0120.mp3[531.280,540.280] OKAY UM AND ARE YOU IS YOUR HUSBAND WELL DOES HE HAVE ANY SYMPTOMS audio/RES0120.mp3[46.880,51.320] AND HOW LONG IS THIS BEEN GOING ON FOR audio/RES0183.mp3[229.600,237.840] UHM HES BEEN A LITTLE BIT MORE FUSSY THAN USUAL audio/RES0167.mp3[122.120,129.360] NOT A SORE THROAT OK UHM HOW ABOUT CHANGES IN YOUR TASTE OR SMELL audio/RES0150.mp3[253.320,260.480] OK AND UM HAS HE HAD ANY MUSCLE ACHES OR BODY PAINS audio/CAR0001.mp3[561.720,573.640] OK WELL THATS GREAT THAT YOUVE BEEN WORKING ON THE THE ACTIVITY AND THE DIET AS WELL SO HAS ANYTHING LIKE THIS HAPPENED IN YOUR FAMILY BEFORE audio/RES0202.mp3[629.960,631.560] YEAH FOR audio/RES0034.mp3[816.280,834.480] UH SO NOW LIKE SHE IS ABLE TO EAT LIKE EVERYTHING LIKE VEGETABLES FRUITS BREADS AND MEAT BUT OVER THE LAST FEW DAYS SHE HAS BEEN JUST IRRITABLE WITH EVERYTHING SO EVEN EATING FOOD HAS JUST NOT BEEN GREAT FOR THE LAST FEW DAYS audio/RES0006.mp3[519.640,523.920] SO I AM 60 YEARS OLD NOW audio/RES0140.mp3[125.480,139.320] UM NOT NOT REALLY LIKE I WAS I WAS TOLD I SHOULD MOVE AROUND A BIT BUT ITS BEEN QUITE HARD audio/MSK0018.mp3[84.680,95.280] I COULD MOVE MY FINGERS AND HAND AND ELBOW BUT UM ELBOW A LITTLE BIT BUT LIKE UH YEAH I CANT MOVE MY SHOULDER WHATSOEVER audio/RES0183.mp3[143.880,145.160] UH YEAH audio/RES0105.mp3[41.960,64.800] NO LAST LAST NIGHT I WAS WELL I WAS JUST DOING MY REGULAR KIND OF ROUTINE AFTER DINNER CLEANING UP AND JUST THE COUGH STARTED FIRST AND OVER THE OVER THE NIGHT IT GOT WORSE I COULD JUST COULDNT CATCH MY BREATH AND THAT WAS SIMILAR THIS MORNING audio/RES0077.mp3[658.120,664.520] OK AND CURRENTLY DO YOU WORK audio/RES0107.mp3[108.680,116.440] OK GOOD SO YOU SAID NO SHORTNESS OF BREATH OR TROUBLE BREATHING HAS HE HAD ANY COUGHS audio/RES0181.mp3[439.520,444.600] OK AND UH AND DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS audio/MSK0026.mp3[287.720,291.440] ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH audio/GAS0002.mp3[143.160,152.080] OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN audio/RES0125.mp3[390.320,397.280] OKAY AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS audio/RES0090.mp3[146.080,151.760] OK AND IS IT LIKE A CONSTANT COUGH OR DOES IT COME AND GO audio/MSK0014.mp3[332.320,353.560] YEAH I JUST GOT MY GENERAL LIKE I HAVEE OSTEOARTHRITIS SO I LIKE ITS BEEN A PRETTY LONG TIME THOUGH BUT I GET SOME PAIN IN MY HIPS SOMETIMES MY KNEES SO ITS ITS THATS BEEN GOING ON FOR AWHILE BUT THIS IS SOMETHING IVE NEVER EXPERIENCED THOUGH LIKE THIS SIGNIFICANT PAIN AND SWELLING AND REDNESS audio/RES0017.mp3[450.920,457.400] NO NO PAIN IS JUST IN MY JOINTS AND SOMETIMES IN MY MUSCLES BUT OTHER THAN THAT NO audio/RES0109.mp3[315.120,322.440] OK OK AND IS THAT FOR LIKE MEDICAL PURPOSES OR JUST LIKE RECREATIONALLY audio/MSK0009.mp3[403.240,407.320] AND HAVE YOU HAD ANY TINGLING audio/RES0014.mp3[691.360,692.320] TAKE CARE audio/RES0091.mp3[294.520,297.720] OK BUT OTHER THAN THAT NOTHING ELSE audio/RES0160.mp3[380.640,387.200] OK DO YOU DO YOU SMOKE MARIJUANA OR HAVE YOU SMOKED IN THE PAST audio/RES0114.mp3[463.520,469.000] UH NO I HAVENT BEEN TO THE DOCTOR FOR A WHILE audio/MSK0043.mp3[131.960,140.520] OKAY AND ON A SCALE OF UH 1 TO 10 SORRY 0 TO 10 WITH 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS PAIN audio/RES0058.mp3[270.280,274.240] DOES IT FEEL SORE AS WELL audio/RES0137.mp3[248.520,253.320] OKAY UM ANY SICK CONTACTS RECENTLY OR ANY TRAVEL audio/RES0096.mp3[49.680,79.760] UHM I I GUESS I COULD WALK UH I DONT KNOW ITS BEEN VERY I GUESS ITS ITS BEEN A GRADUAL CHANGE UHM MAYBE A MONTH A MONTH AGO I FELT THAT I COULDNT REALLY WALK AS MUCH AS I USED TO AND THEN ITS ONLY GOTTEN WORSE TWO OR THREE MONTHS AGO I COULD I COULD WALK A KILOMETRE OR TWO OR MORE audio/RES0141.mp3[188.880,192.880] ANY MUSCLE ACHES OR JOINT PAINS audio/RES0097.mp3[274.400,277.720] ANY NAUSEA OR VOMITING audio/RES0111.mp3[288.280,296.560] I LIVE WITH MY PARENTS AND MY TWO SIBLINGS audio/RES0182.mp3[114.400,121.240] LIKE EVERY TIME I COUGH ITS ABOUT THE SIZE OF A TEASPOON audio/RES0035.mp3[371.240,376.400] NO LUNG CONDITIONS OR CANCERS audio/RES0036.mp3[374.880,379.080] UHM NO audio/RES0171.mp3[20.400,30.320] THIS STARTED YESTERDAY audio/MSK0034.mp3[524.480,533.720] UM I CAN BUT I NEED A LOT OF ASSISTANCE LIKE I HAVE TO HOLD ON TO THE DESK OR HAVE A CRUTCH OR SOMETHING LIKE THAT audio/RES0038.mp3[555.600,564.200] OK AND HAS THERE BEEN ANY HAVE YOU MOVED THERE RECENTLY OR HOW LONG HAVE YOU LIVED THERE FOR audio/RES0206.mp3[538.320,543.480] NO OK ANY MUSCLE ACHES IN YOUR BODY audio/MSK0045.mp3[84.600,101.000] SO AT REST IT SEEMS TO BE LIKE ACHY AND STIFF BUT UM BUT WHEN I MOVE MY SHOULDER WHEN I TRY TO MOVE IT IT IT CAUSES MORE OF A SHARP PAIN audio/RES0112.mp3[345.400,351.840] UH HAS HE BEEN ON ANY MEDICATIONS ANY ANTIBIOTICS RECENTLY audio/RES0014.mp3[271.240,276.000] OK AND ANY CHEST PAIN AT ALL audio/MSK0010.mp3[203.760,214.320] I JUST LIKE RESTING IT NOT CARRYING ANYTHING AND TRYING NOT TO LIE ON MY SHOULDER audio/RES0006.mp3[56.640,68.520] I WOULD SAY EVERY TIME I COUGH LIKE A TEASPOON I PROBABLY HAVE LIKE I DONT KNOW MAYBE 5 TO 10 TEASPOONS A DAY audio/RES0043.mp3[299.120,303.000] I DONT THINK SO audio/RES0165.mp3[117.400,125.360] UHM MAYBE LIKE I DONT KNOW JUST NOW EVEN LIKE AN HOUR OR TWO AGO audio/RES0069.mp3[172.000,175.880] ITS ALRIGHT audio/RES0194.mp3[199.480,204.320] UH NO IVE JUST FELT REALLY HOT audio/RES0081.mp3[657.640,662.800] OK ANY LIKE CONGENITAL DISEASES THAT RUN IN THE FAMILY audio/MSK0041.mp3[268.600,272.360] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0031.mp3[457.400,459.200] NO NO SURGERIES audio/GAS0005.mp3[90.960,99.120] OK AND WHATS HIS KIND OF BEHAVIOR BEEN LIKE OVER THESE LAST COUPLE OF DAYS audio/RES0134.mp3[688.720,692.320] UM PER WEEK MAYBE LIKE THREE audio/RES0122.mp3[155.680,159.080] UM ANY PAIN IN YOUR BELLY audio/RES0175.mp3[274.680,277.200] YEAH I THINK THATS WHAT THE DOCTOR SAID audio/RES0182.mp3[497.400,504.000] AH NO WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE AND HOW DO YOU THINK I SHOULD TREAT IT audio/RES0038.mp3[345.840,348.280] NO DIARRHEA audio/RES0052.mp3[389.960,395.880] OK DOES SHE HAVE ANY ALLERGIES TO MEDICATIONS audio/RES0071.mp3[618.840,622.440] NO I DONT audio/MSK0006.mp3[137.240,158.040] UH IT UM KIND OF LIKE A SHARP PAIN IN THE IN THE BUTTOCK AND UM IT IT UM ITS KIND OF LIKE BURNING UH DOWN THE LEG audio/RES0106.mp3[104.440,107.600] ANY DIZZINESS OR FAINTING SPELLS audio/RES0121.mp3[361.680,368.400] NOPE I DONT DRINK TOO MUCH ALCOHOL I DRINK LIKE OVER THE HOLIDAYS audio/RES0069.mp3[536.160,541.200] ITS ITS CERTAINLY POSSIBLE IT WILL BE SOMETHING WE TEST FOR audio/RES0058.mp3[705.600,712.400] I LIVE WITH MY MOM MY STEP DAD AND THEN MY YOUNGER SISTER audio/MSK0008.mp3[264.920,266.400] UM NO audio/RES0103.mp3[291.040,295.520] OK ANY ALLERGIES TO MEDICATIONS THAT YOU KNOW OF audio/RES0214.mp3[269.880,273.520] OK SO THAT WAS AROUND WHEN YOU WERE 50 YEARS OLD audio/RES0107.mp3[519.000,533.080] OK OK AND IS IT LIKE UM IMPAIRING HIS LIKE DAILY ACTIVITIES OR LIKE HIS ABILITY TO UM LIKE SLEEP audio/MSK0036.mp3[303.640,309.000] NO I HAVENT TRIED ANY MEDICATIONS OR SPLINTS audio/RES0127.mp3[538.720,551.000] OK ALRIGHT YEAH SO THOSE ARE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU SORRY JUST ONE MORE QUESTION ANY LOSS OF SENSE OF TASTE OR SMELL audio/RES0132.mp3[259.160,264.200] OKAY UH AND ANY CONFUSION OR OR CHANGES TO UM UM MEMORY audio/RES0170.mp3[312.400,324.880] OK AND OTHERWISE HAS HE BEEN HAS HE HAD ANY MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH audio/RES0108.mp3[374.440,377.280] UM NOT THAT IM AWARE OF audio/RES0022.mp3[882.000,885.320] NO NOT THAT I KNOW OF audio/RES0200.mp3[289.880,293.640] CHANGES IN YOUR SMELL OR TASTE audio/MSK0038.mp3[374.840,377.160] UM NOTHING LIKE THAT NO audio/RES0151.mp3[379.960,382.200] UHM NO NOTHING LIKE THAT audio/RES0127.mp3[401.560,407.840] NO OK DO YOU HAVE ANY KNOWN ALLERGIES TO ANY MEDICATIONS YEAH ANY MEDICATION audio/RES0051.mp3[138.200,145.320] OK AND HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORT OF BREATH audio/RES0029.mp3[199.640,207.440] BESIDES JUST I GOT SOME SCRAPES HERE AND THERE ON MY HANDS BUT NOTHING ELSE audio/GEN0001.mp3[372.400,377.520] UNDERSTOOD UNDERSTOOD ANYTHING ELSE YOUVE TAKEN MEDICATIONS FOR IN THE PAST audio/RES0137.mp3[133.320,168.440] YEAH YEAH SHE DID HAVE A BIT OF A RUNNY NOSE IT WAS JUST UH WATERY UH SINCE DISCHARGE AND AT THAT TIME HER COUGH SHE HAD A COUGH AS WELL UM BUT I THOUGHT IT WAS YOU KNOW ITS NOTHING IT WAS JUST LIKE ANOTHER FLU AND IT WOULD GET BETTER BUT THEN SHE JUST THE RUNNY NOSE GOT BETTER WITHOUT IN A COUPLE OF DAYS BUT THE COUGH STAYED AND IT GOT GOT PRETTY WORSE UH IT GOT WORSE audio/RES0130.mp3[454.240,458.600] OH OKAY ARE THOSE PRESCRIBED DROPS audio/RES0189.mp3[200.680,207.120] OK AND HAVE YOU HAD ANY WHEEZING audio/RES0197.mp3[104.160,115.480] OK OK SO YEAH DEFINITELY SEEMS LIKE YOUR SYMPTOMS ARE REALLY ACTING UPON AND SO YOURE GETTING SOME WHEEZING AND YOU SAY YOURE ALSO GETTING A COUGH audio/RES0093.mp3[318.040,322.400] AND UHM HIGH CHOLESTEROL AS WELL audio/RES0098.mp3[185.960,191.120] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/MSK0024.mp3[40.720,52.280] ITS KIND OF DULL AND ACHY BUT SOMETIMES I FEEL LIKE I HAVE LITTLE SPASMS IN MY BACK audio/RES0096.mp3[378.600,382.680] ANY SKIN RASHES OR MUSCLE ACHES audio/RES0178.mp3[333.040,337.240] OK AND WAS IT AN EMERGENCY CSECTION audio/GAS0005.mp3[560.280,563.040] NO NO MEDICATIONS audio/RES0193.mp3[429.160,434.680] 2 AND IS HE GETTING ANY OF THESE SYMPTOMS AT NIGHT TIME LIKE HIM WAKING UP audio/MSK0028.mp3[265.520,271.160] PROBABLY AT LEAST AN 8 MAYBE A 9 audio/RES0069.mp3[192.200,198.640] HAVE YOU FELT AS THOUGH YOUR HEARTSS BEEN RACING AT ALL OR OR BEATING OUT OF YOUR CHEST audio/MSK0042.mp3[299.040,307.560] OKAY AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN LIKE SUCH AS RASHES OR OR ANY CHANGES TO YOUR HAIR OR NAILS audio/MSK0027.mp3[593.400,605.960] YES WHENEVER I TRIED TO BEND IT OR STRAIGHTEN IT OUT ALL THE WAY SHE SHE COMPLAINTS OF PAIN audio/RES0058.mp3[555.000,564.320] OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0012.mp3[30.560,53.680] UM ITS HARD TO SAY I HAVENT REALLY HAD THIS BEFORE UM ITS MORE LIKE IT JUST KIND OF HURTS JUST IN THE MIDDLE AND IT GETS WORSE LIKE WHEN I COUGH AND WHEN I IF I TAKE LIKE A REALLY DEEP BREATH IT WILL HURT YEAH DOES THAT MAKE SENSE audio/RES0127.mp3[410.560,413.360] NO DO YOU TAKE ANY MEDICATIONS AT ALL ON A REGULAR BASIS audio/RES0168.mp3[420.800,429.640] OK OK ALRIGHT AND ANY SICK CONTACTS RECENTLY audio/RES0202.mp3[511.480,522.480] YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS audio/GAS0005.mp3[453.160,463.600] NO NOT AT ALL WE YEAH WE HAVENT REALLY GONE TO THE DOCTOR WITH HIM AFTER LIKE ALL THOSE VACCINATIONS THAT HE HAD TO DO SO HES BEEN GOOD audio/RES0019.mp3[60.800,76.600] OK AND UM HOW WOULD YOU DESCRIBE THE HEADACHE IS IT LIKE SHARP IS IT LIKE A VICE GRIP IS IT PULSATING PRESSURE LIKE SENSATION OR NONE OF THOSE audio/RES0024.mp3[189.880,195.800] OK UM AND HAVE YOU HAD A RUNNY NOSE audio/RES0135.mp3[33.600,48.760] YEAH I WOULD SAY SO LIKE ITS COME AND GONE BUT EVERY TIME I CHECKED HER TEMPERATURE I TRIED TO CHECK HER TWICE A DAY IT WOULD BE PRETTY HIGH LIKE 38 OR UH 39 audio/MSK0044.mp3[442.760,448.880] OKAY UM DO YOU DRINK ALCOHOL audio/RES0208.mp3[318.200,330.080] OK ALL RIGHT HAVE YOU HAD ANY EXPOSURE TO ANYONE WHO COULD POTENTIALLY BE SICK audio/MSK0038.mp3[311.640,316.440] UH NOPE IVE ITS JUST MY YEAH JUST MY KNEE audio/MSK0036.mp3[124.480,134.280] OK AND WHERE ARE YOU FINDING THAT THE PAIN IS SPECIFICALLY LOCATED audio/MSK0026.mp3[32.560,44.120] SO ITS WHERE SO RIGHT IN THE MIDDLE OF MY KNEE SO JUST BELOW THE BONE THAT THE BIG KNEE BONE audio/RES0202.mp3[218.560,238.720] OK AND IT DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UHM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS audio/RES0087.mp3[376.760,383.640] NO I THINK THAT ONLY THAT ONE I CAN RECALL audio/RES0091.mp3[87.240,92.560] OK AND DO THESE SYMPTOMS COME AND GO OR ARE THEY PRETTY CONSTANT audio/RES0095.mp3[181.880,188.680] ALRIGHT AND UHM HOW ABOUT ANY ANY CHEST PAIN audio/RES0152.mp3[264.920,268.840] NO NOTHING LIKE THAT audio/RES0005.mp3[374.600,378.040] NO IM PRETTY FINE DURING THE NIGHT audio/MSK0044.mp3[285.880,299.720] UM YEAH ILL TAKE LIKE UH JUST SOME ALLERGY MEDICATION EVERY ONCE IN A WHILE WHEN ITS LIKE JUST SEASONAL ALLERGIES I THINK TO JUST SOME ENVIRONMENTAL TRIGGERS IS ALL audio/RES0088.mp3[122.360,130.400] OK AND DOES SHE HAVE ANY PAIN WITH SWALLOWING ANY FOODS OR LIQUIDS audio/RES0057.mp3[18.800,32.440] OH SO THE COUGH STARTED ABOUT 3 DAYS AGO YEAH THE SHORTNESS OF BREATH HAS COME ON SINCE THEN audio/RES0036.mp3[379.080,383.640] OK SO YOU MENTIONED YOU HAD SOME CHILLS BUT YOU DONT KNOW IF YOU HAD A FEVER audio/RES0030.mp3[336.960,340.320] UH APPETITES BEEN GOOD I FEEL LIKE IVE BEEN EATING NORMALLY audio/RES0195.mp3[300.640,302.480] UH NO audio/RES0017.mp3[654.120,668.080] SO IM RETIRED BUT GETTING A PRETTY GOOD PENSION AS WELL AS FOR MY A HUSBANDS PENSION AS WELL BUT HE UNFORTUNATELY PASSED AWAY A COUPLE YEARS AGO audio/RES0047.mp3[679.800,682.720] NO OK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL audio/RES0065.mp3[189.400,200.200] SO YEAH NOT SWELLING OF MY ENTIRE NECK BUT I HAVE FELT SOME LUMPS IN MY NECK audio/RES0014.mp3[181.520,192.760] I I I DO HEAR LIKE A LIKE A WEIRD SOUND WHEN I BREATHE OUT SOMETIMES I I THINK IT MIGHT BE WHEEZINESS audio/MSK0044.mp3[43.520,50.200] THE RIGHT SIDE OKAY UM OKAY AND HOW LONG AGO DID THIS HAPPEN audio/RES0137.mp3[14.200,29.080] OKAY UM AND CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT A DRY COUGH OR IS SHE BRINGING ANYTHING UP audio/RES0085.mp3[203.280,205.920] NO PRETTY MUCH BEEN THE SAME audio/RES0060.mp3[214.880,219.440] OK ANY CHEST PAIN audio/RES0205.mp3[382.880,387.680] UM OCCASIONALLY ON CHRISTMAS audio/MSK0029.mp3[944.040,953.640] OK OK HOW ABOUT WHEN YOU FLEX YOUR NECK TO THE SIDE SO THAT YOUR RIGHT EAR IS TOUCHING YOUR RIGHT SHOULDER audio/MSK0038.mp3[719.400,722.080] UM YEAH THAT HURTS TOO audio/RES0068.mp3[475.320,477.880] DO YOU DRINK ALCOHOL audio/MSK0046.mp3[412.720,414.680] UH YES I CAN ROTATE MY WRIST audio/RES0162.mp3[530.440,534.920] OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED audio/RES0078.mp3[636.280,647.120] ALRIGHT AND YOU TOLD ME ABOUT YOUR MEDICAL HISTORY BUT DO YOU HAVE HAVE YOU EVER HAD ANY SURGERIES OR ANY HOSPITALIZATIONS IN THE PAST audio/RES0056.mp3[424.320,428.480] OK AND ANY FAMILY HISTORY OF LUNG CONDITIONS audio/RES0105.mp3[274.000,280.440] UHM NO IVE BEEN FEELING IVE BEEN FEELING OK audio/RES0138.mp3[423.640,426.960] SHE WAS YOUNG SHE WAS UH 55 audio/RES0140.mp3[71.040,88.400] UM I DID NOTICE LAST LAST NIGHT AND FOR THE LAST FEW DAYS THAT MY RIGHT CALF LIKE JUST FEELS UM PAINFUL AND IT SEEMS A BIT MORE SWOLLEN audio/RES0088.mp3[172.200,181.160] NO NOT THAT I KNOW OF I DONT THINK SHES HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY audio/RES0131.mp3[508.760,519.800] NOPE JUST BEEN UM GOING TO OR JUST BEEN DOING ONLINE UH CLASSES IM FINISHING UP MY MASTERS RIGHT NOW audio/RES0109.mp3[367.960,373.400] NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/RES0087.mp3[299.640,306.240] HAS HE HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY audio/RES0086.mp3[316.720,324.400] OK ANY CHANGES IN YOUR VISION OR HEARING audio/MSK0026.mp3[148.880,152.520] NO JUST ITS PRETTY LOCAL audio/RES0013.mp3[264.440,266.640] RIGHT YEAH audio/RES0112.mp3[269.360,270.800] NO NO audio/MSK0032.mp3[57.200,69.160] OKAY OKAY AND DID ANYTHING HAPPEN TO TRIGGER THIS DID SHE FALL ON THAT ARM OR LIKE INJURIES audio/MSK0040.mp3[152.320,154.480] IT FEELS SHARP audio/DER0001.mp3[105.240,107.320] DO YOU HAVE ANY ULCERS RIGHT NOW audio/RES0075.mp3[22.400,27.240] OK I SEE WHEN DID THE CHEST PAIN START audio/RES0062.mp3[359.520,367.320] YOUR SMELL HAS BEEN KIND OF FUNNY LIKE YOU CANT SMELL OR DO THINGS SMELL DIFFERENTLY THAN YOU EXPECT THEM TO audio/RES0018.mp3[371.920,373.880] ANY HOSPITALIZATIONS audio/RES0159.mp3[145.320,150.600] HAVE YOU EVER COUGHED UP ANY BLOOD OR ANYTHING LIKE THAT audio/RES0206.mp3[426.080,432.320] AND YOUVE MENTIONED THAT YOU HAVE SOME PUFFERS HOW OFTEN DO YOU USE THOSE audio/RES0070.mp3[65.760,75.160] OK UHM AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS WITH THE HEADACHE audio/RES0001.mp3[445.800,463.120] NO LIKE IVE BEEN UM PREVIOUSLY HEALTHY BUT I I GUESS I DID HAVE A HYSTERECTOMY A FEW WEEKS AGO I KNOW IT WAS I I DIDNT BRING IT UP BEFORE CAUSE ITS JUST A DAY PROCEDURE BUT I WAS DEFINITELY audio/RES0212.mp3[112.040,118.520] OK AND DOESNT SMELL AT ALL SMELL FUNKY audio/RES0024.mp3[256.240,271.800] I TAKE BIRTH CONTROL AN LIKE SOMETIMES LIKE I HAD I HAD LIKE ECZEMA CREAM LIKE THE THE STEROID ONE FOR WHEN ITS REALLY BAD audio/RES0187.mp3[403.000,407.160] AND THEN DO YOU SMOKE audio/RES0214.mp3[194.720,197.720] OK AND DO YOU LEAVE THE HOUSE FOR WORK AT ALL audio/MSK0041.mp3[807.760,916.120] YEAH FOR SURE ITS SO RIGHT NOW WITH HAVING A LIKE A RED WARM AND SWOLLEN JOINT THAT THATS EXTREMELY TENDER AND HAS LIMITED RANGE OF MOTION ITS IMPORTANT TO RULE OUT A SEPTIC ARTHRITIS HOWEVER BASED ON SEVERAL OF THE RISK FACTORS SUCH AS DIABETES AND OBESITY AS WELL AS YOUR FAMILY HISTORY OF ARTHRITIS AND GOUT TAKING THE MOST LIKELY THING IS THAT THIS IS A GOUT FLARE AND IN PARTICULAR IN THE TOE LIKE THAT IT COULD BE CALLED PODAGRA AND SO WE WILL NEED TO GET A ASPIRATION OF THE JOINT FLUID JUST TO SEND IT OFF AND MAKE SURE THAT ITS NOT NOT AN INFECTION AND THAT WERE TREATING THE RIGHT THING IF THIS IS GOUT AND IT COMES BACK THAT THIS WAY ITS TREATED WITH THAT HIGH DOSE HIGH DOSES OF ANTI INFLAMMATORIES I WILL START WITH MEDICATION CALLED COLCHICINE TO HELP WITH THIS FLARE AND IN THE MEANTIME IMPORTANT THINGS FOR PREVENTING THIS IN THE FUTURE ARE DIET AND KIND OF LIFESTYLE RELATED WITH REDUCING THINGS LIKE RED MEATS ALCOHOL WEIGHT LOSS AND UM JUST TRYING TO IMPROVE THE DIABETES MANAGEMENT AS WELL audio/RES0070.mp3[396.840,402.960] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS audio/RES0074.mp3[97.560,117.320] YEAH SO THAT STARTED JUST 3 DAYS AGO I REMEMBER WAKING UP AND MY THIGHS WERE HURTING THEN MY UPPER ARMS AND THEN IT KIND OF WENT INTO MY UPPER BACK AND NOW ITS KIND OF JUST GENERAL PAIN IN ALL OF THE MUSCLES audio/RES0087.mp3[228.360,237.320] NO IT SEEMS TO BE JUST DRY I THINK I JUST NOTICED IT LIKE THREE OR FOUR TIMES DURING THE DAY YESTERDAY audio/RES0006.mp3[560.120,565.800] NOT MUCH JUST OUT SAY ONE OR TWO BEERS ON THE WEEKEND audio/RES0056.mp3[224.280,226.200] NO NO audio/RES0135.mp3[142.440,153.400] OKAY UM AND YEAH SHES SHES HAD A WHEEZE AS WELL UM HAVE YOU NOTICED UH ANY CHEST PAIN IF SHES LIKE POINTING TO HER CHEST OR ANYTHING audio/RES0012.mp3[195.080,229.480] OH LIKE IT KIND OF VARIES I FEEL LIKE I GET UP IN THE NIGHT KIND OF SWEATY AND ILL COUGH FOR FOR A WHILE AND IT ITLL KEEP ME UP AND THEN DURING THE DAY ITS LIKE I MIGHT GO YOU KNOW A COUPLE HOURS WITHOUT BUT THEN ILL COUGH AND ILL KIND OF KEEP GOING FOR A FEW MINUTES SO ITS A LOT LIKE PROBABLY YEAH I PROBABLY DONT GO MORE THAN LIKE 2 HOURS WITHOUT audio/RES0214.mp3[426.160,429.360] IT WAS UM A YEAR AGO audio/RES0179.mp3[28.280,33.120] LIKE JUST OVER 200 AND IM IN THE 170S NOW audio/RES0202.mp3[78.880,80.040] OH OK audio/GAS0007.mp3[276.320,289.000] GAS LIKE NO I THINK MY GRANDMA DIED OF BREAST CANCER FAIRLY EARLY BUT NO NOT NOT THAT NOT THAT I CAN THINK OF audio/RES0192.mp3[508.120,516.600] I SEE IS THERE A CHANCE THAT THERE COULD HAVE BEEN ASBESTOS AT ANY OF THOSE PLACES THAT YOU WORKED audio/RES0052.mp3[48.400,57.680] OK ALRIGHT WAS THERE ANYTHING THAT CHANGED TWO DAYS AGO THAT MIGHT HAVE TRIGGERED THE COUGH audio/RES0004.mp3[484.920,486.920] ITS BEEN AWHILE audio/MSK0001.mp3[286.880,290.080] UH NO MUSCLE WEAKNESS audio/MSK0006.mp3[79.600,98.760] UM WELL IT IT GETS IT GETS WORSE WITH WALKING WITH SITTING UM REALLY ANY LIKE ANY KINDS OF MOVEMENTS LIKE IF I JUST GOTTA KIND OF STAY STILL AND THATS THE ONLY THING THAT REALLY HELPS IT audio/RES0121.mp3[202.680,207.760] OKAY ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA audio/GAS0004.mp3[360.640,365.840] DO YOU NOTICE ANY CHANGES TO YOUR URINE OR ANY DISCOMFORT WHEN GOING TO THE BATHROOM audio/MSK0032.mp3[254.280,258.840] UM HOW ABOUT CHANGES IN URINE audio/RES0031.mp3[69.480,74.560] OK ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE audio/RES0116.mp3[240.680,247.960] OK AND YOU SAID UM YOU HAD TAKEN HIS TEMPERATURE WHEN DID YOU TAKE HIS TEMPERATURE audio/RES0101.mp3[155.800,159.240] NO NOTHING LIKE THAT audio/RES0122.mp3[238.360,239.920] NO THEYVE BEEN FINE audio/MSK0012.mp3[444.120,449.280] YEAH IM PUTTING MORE WEIGHT ON MY LEFT LEG audio/RES0141.mp3[252.320,266.280] YEAH IVE IVE BEEN TOLERATING IT WELL ITS JUST THEY THEY SAID LIKE IM KIND OF JUST ON THE EDGE OF THE DIABETES LIKE MY LEVEL SO THEY JUST WANT TO ACT UM PROACTIVELY audio/RES0179.mp3[279.040,280.560] THATS BEEN NORMAL audio/RES0009.mp3[587.320,594.920] I THINK MY MOMS LIKE COUSIN BUT NOT NO ONE LIKE NOT LIKE MY PARENTS OR ANYTHING audio/RES0124.mp3[591.960,595.760] ANY CONCERNS ABOUT BULLYING AT SCHOOL audio/RES0119.mp3[356.160,363.040] OK UM DOES SHE HAVE ANY PAST HISTORY OF ANY MEDICAL CONDITIONS AT ALL audio/MSK0042.mp3[2.800,31.080] UH I IM UH JUST COMING INTO THE CLINIC UH TODAY UH MY PARENTS TOLD ME TO COME TODAY I DONT KNOW WHAT THIS THING IS JUST MASS RIGHT BELOW OR KIND OF LIKE A LUMP OR MASS BELOW MY RIGHT KNEE AND ITS NOT PAINFUL OR ANYTHING ITS A LITTLE BIT UNCOMFORTABLE BUT I JUST WANT TO CHECK OUT AND SEE WHAT IT MIGHT BE audio/RES0149.mp3[534.080,538.960] AND DO YOU DRINK ALCOHOL audio/RES0179.mp3[308.760,315.920] NO WAY MY APPETITES BEEN BEEN OK THATS WHY I WAS LIKE REALLY SHOCKED AT THE THE WEIGHT LOSS audio/MSK0011.mp3[152.240,161.920] OK AND IS IT RIGHT UNDER YOUR PALM OR UH AT THE BACK OF YOUR HAND ON THE WRIST audio/RES0176.mp3[584.640,587.560] OK AND DO YOU DRINK ALCOHOL audio/RES0011.mp3[105.120,110.640] OK AND HOW HOW HAVE YOU BEEN SLEEPING audio/RES0096.mp3[637.520,638.600] NO NO SHE DID NOT audio/RES0211.mp3[289.720,303.240] I TAKE CLARITIN FOR ALLERGIES BUT I HAVENT LIKE RIGHT NOW I JUST HAVE IT WITH ME JUST IN CASE I TAKE BIRTH CONTROL audio/RES0203.mp3[194.040,199.320] UM NO NOT THAT I CAN REMEMBER OR YEAH NOT THAT I CAN REMEMBER audio/RES0139.mp3[26.720,29.040] ITS A DRY COUGH audio/RES0173.mp3[475.760,477.680] OK AND HAVE YOU TRAVELED ANYWHERE audio/RES0027.mp3[604.320,607.240] MAYBE EVERY THREE OR FOUR DAYS audio/RES0189.mp3[548.720,554.000] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0215.mp3[418.360,434.680] OK AND THIS THESE EPISODES MAINLY HAPPEN WHEN SHES PLAYING WITH FRIENDS SO DO THEY HAPPEN IN A CERTAIN ENVIRONMENT LIKE FOR EXAMPLE IS THIS IN A FRIENDS HOUSE OR IS THIS OUTDOORS OR HAS IT BEEN ACROSS DIFFERENT SETTINGS audio/RES0108.mp3[203.440,205.120] UH NO audio/RES0166.mp3[37.560,44.920] OH I WAS JUST GOING TO THE KITCHEN TO MAKE BREAKFAST audio/MSK0037.mp3[810.320,814.080] OK AND ANY ISSUES WITH YOUR LIKE WRIST OR OR ELBOW audio/MSK0003.mp3[724.280,745.040] UHM I DO GET IT ITS A BIT STIFF UHM I UH YEAH IM NOT REALLY TOO SURE ITS LIKE NOT REALLY ITS MORE MORE MORE STIFF audio/RES0168.mp3[212.040,215.600] OK ANY CHANGES IN YOUR URINE audio/RES0104.mp3[413.680,429.400] YEAH I UMM I HAD A STROKE LIKE THAT LIKE SIX YEARS AGO AND I HAVE TYPE 2 DIABETES AS WELL AS GERD audio/RES0053.mp3[266.200,268.600] NO NO RASHES audio/RES0019.mp3[539.800,540.720] I DONT audio/RES0078.mp3[420.080,444.960] OK ALRIGHT SO SOUNDS LIKE FOR THE PAST THREEFOUR DAYS YOUVE HAD DIFFICULTIES BREATHING AND A COUGH WITH THIS WHITISH SPUTUM WHITISH OR CLEAR SPUTUM YOUVE ALSO BEEN FEELING A LITTLE BIT FEVERISH HAVE YOU CHECKED YOUR TEMPERATURE audio/RES0179.mp3[395.440,410.640] NO I I I WAS TESTED FOR THAT WITH THE LIKE THE BREATHING TEST I DID BLOW INTO TUBE BUT YEAH THEY SAID THAT I DIDNT HAVE IT audio/RES0168.mp3[521.920,542.480] I DONT THINK SO I JUST I HOPE YOU KNOW WE CAN DO SOMETHING ABOUT THIS BECAUSE YOU KNOW I TRIED ALL THIS STUFF THAT IS SUPPOSED TO BE LIKE YOU KNOW CONSERVATIVE LIKE THE FIRST STEPS AND IT JUST DOESNT SEEM LIKE ITS GETTING BETTER ITS BEEN LIKE FEW WEEKS SO I THOUGHT IT WAS PROBABLY TIME TO COME SEE YOU audio/RES0198.mp3[353.320,358.240] AND DO YOU SMOKE TOBACCO audio/RES0201.mp3[526.640,536.400] OK UHM OK I THINK THAT THAT ABOUT COVERS MY QUESTIONS FOR YOU RIGHT NOW IS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I DIDNT ASK YOU ABOUT audio/RES0187.mp3[459.000,462.960] OK AND HOW OFTEN DO YOU SMOKE CANNABIS audio/RES0016.mp3[676.760,685.080] THANK YOU TAKE CARE YOU TOO audio/RES0025.mp3[192.480,207.960] NO ITS IT IT WAS STARTED MORE LIKE YESTERDAY AND ITS REALLY ONLY BEEN DIARRHEA SINCE SO YEAH LIKE TWICE LAST NIGHT AND THEN LIKE THREE TO THREE TIMES THIS MORNING audio/RES0155.mp3[244.160,245.240] NO I DONT audio/RES0064.mp3[387.720,394.400] YEAH YEAH THEYRE ALL WEARING MASKS RIGHT NOW BUT I DONT KNOW IF HE PICKED SOMETHING SOMETHING UP FROM HIS CLASSMATES audio/RES0159.mp3[582.400,594.760] OK ALRIGHT UM OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU UHM WELL WELL DO A PHYSICAL EXAM AND UH DO YOUR VITALS UM AND SEE IF YOU UH DO SOME LABS AND THEN GO FROM THERE audio/MSK0024.mp3[252.080,257.720] DO YOU FEEL PAIN IN ANYWHERE ELSE IN ANY OTHER MUSCLES OR JOINTS AT ALL audio/RES0001.mp3[131.720,136.600] YEAH ITS UM I STILL HAVE A COUGH audio/MSK0016.mp3[47.200,53.640] OK SO UM ITS GOTTEN WORSE THEN YOU SAID OVER THE PAST FEW WEEKS audio/RES0126.mp3[110.520,116.200] SHORTNESS OF BREATH JUST KIND OF STAYS audio/RES0074.mp3[267.280,271.560] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0121.mp3[358.800,361.680] NO OKAY AND HOW ABOUT ALCOHOL audio/GAS0003.mp3[383.880,388.840] NO NOT THAT I KNOW OF audio/RES0141.mp3[48.800,51.480] AND WHAT DOES IT FEEL LIKE audio/RES0031.mp3[280.400,283.760] OK NOTICE ANY SKIN RASHES OR OR CHANGES audio/RES0017.mp3[783.240,785.720] OK AND DO YOU SMOKE CANNABIS audio/MSK0016.mp3[310.840,313.280] UM NOPE I HAVENT HAD THAT audio/RES0093.mp3[869.200,876.120] NO THAT SOUNDS GOOD THANK YOU audio/MSK0045.mp3[469.240,472.720] OK BUT OTHERWISE ITS NOT TENDER audio/RES0196.mp3[0.000,3.120] WHAT BRINGS IN YOU HERE TODAY audio/RES0035.mp3[363.320,371.240] OK DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA OR ANY OTHER LUNG CONDITION OR ANY CANCERS audio/RES0051.mp3[460.960,467.680] I HAVE HAD A SIP OF WINE BUT THATS THATS ABOUT IT audio/GAS0002.mp3[72.920,79.600] OK AND DOES THE PAIN RADIATE ANYWHERE audio/RES0023.mp3[413.760,422.320] AHH JUST TOO LIKE ENVIRONMENTAL STUFF LIKE UM POLLEN I THINK audio/RES0152.mp3[343.840,345.840] UM NO audio/MSK0027.mp3[449.640,452.200] OK SHE BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0067.mp3[211.080,218.840] OK AND DID IT JUST GO AWAY ON ITS OWN OR DID SHE NEED ANY ANTIBIOTICS OR ANY OTHER MEDICATIONS audio/RES0116.mp3[135.120,141.200] OK AND DOES IT LOOK LIKE ITS ANGRY ON THE OUTSIDE OR ON THE INSIDE OF HIS EARS audio/CAR0001.mp3[585.600,593.720] OK AND ANYBODY IN THE FAMILY HAVE CHOLESTEROL PROBLEMS audio/RES0081.mp3[769.040,779.520] THANK YOU SO MUCH DOC audio/RES0086.mp3[356.600,361.280] OK SURE ANY DIZZINESS OR FAINTING SPELLS audio/MSK0004.mp3[360.080,364.400] I DO YEAH I WORK AS A SOFTWARE ENGINEER audio/MSK0017.mp3[637.000,639.520] UH NOPE NO DEFORMITIES OR SKIN CHANGES audio/RES0064.mp3[542.560,543.640] YEAH THAT SOUNDS GOOD audio/RES0124.mp3[189.840,193.480] YEAH UM DOES IT GO AWAY WHEN YOU STOP COUGHING audio/RES0084.mp3[341.800,345.880] NO OK HOW ABOUT A STUFFY NOSE OR RUNNY NOSE audio/RES0118.mp3[283.320,286.720] OK AND UH DO YOU HAVE ANY HISTORY OF ANY STIS audio/RES0084.mp3[201.520,212.560] RIGHT NOW ITS NOT THAT BAD PROBABLY LIKE A TWO OR THREE BUT WHEN IT WAS JUST A FEW DAYS AGO IT WAS LIKE PROBABLY AN 8 OR 9 audio/RES0126.mp3[269.600,271.920] OH NO NO NO audio/RES0121.mp3[0.000,2.720] WHAT BRINGS YOU HERE TODAY audio/RES0125.mp3[525.160,546.680] WELL HALF A PACK UM HALF A PACK A DAY BUT THEN OVER THE PAST THREE YEARS IVE BEEN TRYING TO CUT IT DOWN I STARTED SMOKING WHEN I WAS 20 SO ITS BEEN UM 30 YEARS NOW audio/MSK0042.mp3[686.320,693.560] OKAY AND ARE YOU SEEING ANY UM MUSCLE ATROPHY AROUND THE AREA audio/RES0084.mp3[860.840,862.400] OK SOUNDS GOODTHANK YOU audio/MSK0039.mp3[79.600,88.000] THE MIDDLE PART OK MIDDLE PART OF YOUR LOWER LEG SO KIND OF WHERE YOUR SHINS ARE audio/RES0015.mp3[218.360,229.600] SO I ACTUALLY CAME TO CANADA ONE YEAR AGO IM ORIGINALLY FROM INDIA AND I IM I CAME HERE TO STUDY audio/RES0099.mp3[310.400,312.320] NO NOT AT ALL audio/RES0198.mp3[35.040,42.360] IT FELT PRETTY STUFFY AT FIRST BUT NOW ITS MOSTLY RUNNING audio/RES0199.mp3[524.560,581.440] UM YEAH SO THE FIRST THING WE WANT TO RULE OUT AS COVID BECAUSE A LOT OF YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID SO WELL TAKE A SWAB AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND IF YOUR RESULTS ARE POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING BUT IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND THIS TIME OF YEAR THAT COULD BE CAUSING SIMILAR SYMPTOMS AS WELL BUT EITHER WAY THE MANAGEMENT KIND OF IS SUPPORTIVE SO MAKING SURE YOURE WELL HYDRATED EATING NUTRITIOUS FOOD SLEEPING WELL TAKING ANTIPYRETICS LIKE TYLENOL FOR FEVERS IF YOU GET ANY AND YOU CAN ALSO TAKE TYLENOL OR ANSEADS FOR MUSCLE ACHE JOINT PAINS ANYTHING LIKE THAT DOES THAT SOUND OK audio/RES0004.mp3[508.640,515.920] OK AND ARE YOU ON ANY MEDICATIONS FOR THAT audio/RES0016.mp3[62.920,66.800] YEAH I WOULD SAY SO audio/RES0177.mp3[250.360,255.560] OK UHM AND THEN ANY NUMBNESS OR TINGLING audio/RES0158.mp3[424.240,429.000] OK OK AND CURRENTLY DO YOU SMOKE AT ALL audio/RES0195.mp3[242.360,250.080] OK AND YOU DO YOU HAVE ANY RED EYES OR CAN YOU SEE ANY CHANGES IN YOUR VISION AT ALL audio/RES0064.mp3[25.880,34.640] YEAH IT SEEMS LIKE APPETITES GONE DOWN LIKE A LOT OF PAIN IN HIS THROAT ESPECIALLY WHEN SWALLOWING SOLID FOODS audio/RES0141.mp3[422.880,494.640] OKAY GOT IT UM ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WE WOULD LIKE TO DO A COVISWAB JUST IN OR REQUEST A COVISWAB TO BE DONE THROUGH PUBLIC HEALTH UM JUST TO JUST TO RULE IT OUT YOUR SYMPTOMS DO SOUND LIKE OR OVERLAP WITH SOME OF THE SYMPTOMS THAT ARE SEEN IN PATIENTS WHO DO HAVE COVIIT COULD BE THAT YOU HAVE UM JUST UM JUST I GUESS LIKE YOUR HEADACHE AND FEVER UM ILL ALSO LIKE DO A PHYSICAL EXAM TO SEE THERES NOTHING ELSE GOING ON BUT IN THE MEANTIME I ID LIKE YOU TO SELF ISOLATE AND STAY AWAY FROM THE REST OF YOUR FAMILY MEMBERS AS WELL UM AT LEAST UNTIL THE RESULTS ARE OUT AND THEN WHEN THE RESULTS ARE OUT IF ITS POSITIVE YOULL RECEIVE MORE GUIDELINES FROM PUBLIC HEALTH AS TO WHAT YOU NEED TO DO audio/RES0065.mp3[609.040,612.960] YOU TOO audio/RES0183.mp3[317.080,325.920] OK HAS HE MENTIONED ANYTHING ABOUT MUSCLE ACHES OR JOINT PAINS audio/RES0089.mp3[200.680,204.280] UH YEAH SOME CHEST TIGHTNESS audio/RES0122.mp3[185.160,188.440] ANY UH NIGHT SWEATS audio/RES0200.mp3[189.640,199.120] UHM VENTILIN ARE PROBABLY USED PROBABLY ALMOST LIKE 10 TIMES THIS PAST WEEK audio/RES0162.mp3[492.600,504.440] NOT ASTHMA MY DAD ALSO GETS THOSE ALLERGIES AND IRRITATIONS JUST LIKE ME audio/RES0124.mp3[19.040,23.840] SO YOUVE HAD THIS WHEN DID THIS START audio/RES0012.mp3[714.600,717.400] WHAT LIKE ALCOHOL audio/RES0065.mp3[133.600,137.760] OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE audio/RES0142.mp3[134.640,138.120] NO NOTHING LIKE THAT audio/MSK0025.mp3[382.080,384.240] ANY BURNING SENSATION audio/RES0125.mp3[377.760,380.800] UM IM ALLERGIC TO PENICILLIN audio/RES0053.mp3[603.560,607.200] NO OK WE GIVE HIM LIKE A FLINTSTONE GUMMY audio/MSK0032.mp3[192.560,199.720] OKAY UM AND THEN DOES SHE HAVE ANY NUMBNESS OR TINGLING IN THE AREA audio/RES0070.mp3[289.520,297.840] OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL audio/RES0031.mp3[239.760,244.400] OK HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0071.mp3[225.080,230.680] OK AND HAVE YOU TAKEN ANY MEDICATIONS TO MAKE ANY OF THESE SYMPTOMS BETTER audio/RES0044.mp3[622.920,627.440] NO OK UM ANY OTHER RECREATIONAL DRUGS audio/RES0139.mp3[38.400,44.680] UM WOULD YOU DESCRIBE IT AS LIKE A A BARKING COUGH A HARSH COUGH OR A MUFFLED COUGH audio/RES0144.mp3[0.000,2.080] WHAT CAN I DO FOR YOU TODAY audio/MSK0018.mp3[109.440,115.840] NO OKAY UH HOW ABOUT ANY MUSCLE WEAKNESS audio/MSK0029.mp3[1108.440,1111.000] IT DOES YEAH THAT THAT MAKES SENSE THANK YOU audio/RES0087.mp3[54.320,59.360] IS IT MORE LIKE ONE SIDE OF HIS EARS OR IS IT BOTH EARS audio/RES0062.mp3[762.920,770.160] OK OK WELL THATS GOOD GOOD FOR YOU FOR QUITTING HOW ABOUT MARIJUANA audio/RES0195.mp3[422.760,424.960] UH NO audio/RES0176.mp3[464.840,473.800] OK AND IF YOU HAD ANY HOSPITALIZATIONS OR SURGERIES audio/MSK0037.mp3[614.480,625.680] NO I HAVENT TRIED ANYTHING BEYOND WEED I DONT WANNA TRY ANY OTHER STUFF audio/RES0081.mp3[675.480,691.720] OK UHM SO WAS THERE ANY OTHER ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR IM MISSING THAT YOUD LIKE TO ADD TODAY audio/RES0101.mp3[175.360,179.160] OK AND HOW MUCH BLOOD ARE YOU COUGHING UP audio/RES0184.mp3[40.840,44.480] OK HAVE YOU HAD ANY PAIN ON YOUR FACE audio/RES0044.mp3[672.760,675.560] OK DO YOU LIVE IN A HOUSE IN AN APARTMENT audio/RES0024.mp3[141.920,145.240] UH HOW ABOUT ANY FEVERS audio/MSK0024.mp3[478.120,488.720] AND ANY KIND OF REDNESS OR SWELLING THAT YOUVE NOTICED AT ALL I KNOW ITS IN THE BACK SO IT MIGHT BE MORE DIFFICULT TO SEE audio/RES0150.mp3[468.000,472.880] OK WERE THERE ANY COMPLICATIONS WITH THE WITH THE PROCEDURE WITH THE SURGERY audio/RES0103.mp3[135.840,142.880] OK ANY ANYTHING THAT YOUVE TRIED THAT HAS HELPED HER LIKE ANY OVER THE COUNTER COLD MEDICATIONS audio/RES0102.mp3[739.720,745.520] OK DOES UH DO YOU TAKE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0019.mp3[220.280,223.480] UH COUGHING SHORTNESS OF BREATH OR WHEEZING audio/RES0131.mp3[420.000,439.760] UM MY GRANDFATHER HAD HAD A STROKE WHEN HE WAS IN HIS 70S AND UM BUT HE WAS LIKE A SMOKER AND A DRINKER AND DIDNT REALLY LOOK AFTER HIMSELF VERY WELL UNFORTUNATELY AND UH BUT THATS ABOUT IT audio/RES0112.mp3[343.960,345.400] NO SURGERIES audio/RES0174.mp3[244.320,253.600] AND HAVE YOU OTHERWISE BEEN WELL OR IF YOU HAD ANY INFECTIOUS SYMPTOMS LIKE A RUNNY OR RED EYES RUNNY NOSE OR SORE THROAT audio/RES0121.mp3[469.080,470.640] YOURE WELCOME TAKE CARE audio/RES0073.mp3[139.200,153.080] OK AND THE SYMPTOMS HAVE GONE ON FOR FIVE DAYS HAVE YOU HAD A PERIOD OF TIME WHERE YOU GOT BETTER AND THEN GOT SICK AGAIN audio/RES0203.mp3[111.440,117.120] OK HAS THAT GOTTEN WORSE OVER THE LAST COUPLE OF DAYS audio/RES0008.mp3[76.040,83.400] YEAH I WOULD SAY UH TODAYS THE WORST DAY IVE CONTINUALLY FELT UM SICK audio/MSK0033.mp3[434.920,462.400] THATS GOOD AND AND THIS IS JUST WANTED TO LET YOU KNOW THAT ANYTHING THAT YOU TALK ABOUT IN HERE WITH US STAYS CONFIDENTIAL AND WONT LEAVE THIS ROOM UNLESS THERE IS POTENTIAL HARM TO YOURSELF OR OTHERS SO HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA HAVE YOU TRIED SMOKING OR ALCOHOL AT ALL audio/RES0150.mp3[33.960,65.280] YEAH SO THE COUGH STARTED ABOUT A WEEK AGO AND UM HIS STUFFY NOSE HES SORT OF HAD A STUFFY NOSE SINCE AROUND THE SAME TIME AND THEN UM THOSE SYMPTOMS UM SO IT CONTINUED AND GOT A LITTLE BIT BETTER OVER THE PAST FEW DAYS AND THEN HE STARTED UM HAVING THIS RASH ON HIS FACE THAT THEN KIND OF WENT DOWN TO HIS NECK audio/RES0017.mp3[237.120,241.120] NO NOT THAT I KNOW OF NOPE audio/MSK0013.mp3[694.480,705.080] UM NO NOT NOTHING LIKE THAT NO PAIN JUST UM I CANT FEEL IT audio/RES0205.mp3[177.320,180.040] OK UM HAVE YOU HAD ANY RUNNY NOSE audio/RES0043.mp3[346.920,351.240] OK HOW ABOUT VISION OR HEARING audio/RES0192.mp3[429.200,463.160] YEAH SO I IM WORKING IN CONSTRUCTION UM I USED TO WORK IN SHIPYARDS BEFORE BUT RECENTLY IVE IVE BEEN DOING SOME CONSTRUCTION NOTHING HEAVY AH JUST WORKING ON SOME OLD BUILDINGS I’LL UST TAKE THE ODD JOB OR SOMETHING THAT COMES UP ITS NOT FULL TIME audio/MSK0028.mp3[850.480,862.760] OK I SEE SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND I LOOK FOR ON ON THE PHYSICAL TODAY WAS THERE ANYTHING I MAY BE MISSED OR ANYTHING LIKE THAT audio/RES0199.mp3[150.680,152.760] ITS MOSTLY A DRY COUGH audio/RES0043.mp3[587.240,594.800] NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY audio/RES0207.mp3[370.760,373.560] WHAT DO YOU DO FOR WORK audio/RES0201.mp3[410.840,414.680] AND I ALSO TAKE A COUPLE OF VITAMINS audio/RES0080.mp3[287.360,290.240] NO I DONT THINK SO audio/RES0016.mp3[95.480,104.800] OK AND HOW WOULD YOU DESCRIBE YOUR BREATHLESSNESS IS IT THAT YOURE BREATHING TOO FAST OR YOU CANT CATCH YOUR BREATH audio/MSK0008.mp3[520.400,524.480] UM NO audio/MSK0027.mp3[452.840,454.920] AND HAVE YOU TRAVELED ANYWHERE audio/RES0158.mp3[49.880,62.520] YEAH I FEEL UH I HAVE FELT FEVERISH UH AND I THINK THAT YEAH THATS KIND OF STARTED UH LIKE WITHIN THE LAST DAY audio/RES0107.mp3[774.880,776.880] THANK YOU audio/MSK0050.mp3[258.880,262.520] OK HAVE YOU HAD ANY CHANGES TO VISION OR HEARING audio/RES0005.mp3[120.080,130.240] OK ANYTHING THAT THAT MAKES IT WORSE YOU SAID SOME VIRAL INFECTIONS HAVE YOU HAD A VIRAL INFECTION RECENTLY audio/RES0140.mp3[119.440,125.480] UM OKAY WERE YOU MOVING AROUND AT HOME AFTER THE HIP SURGERY audio/RES0030.mp3[37.080,40.880] WELL NO BLOOD audio/RES0124.mp3[154.480,155.680] UH NO audio/MSK0017.mp3[289.600,291.640] NOPE NO FEVERS OR CHILLS audio/MSK0013.mp3[165.600,170.480] OK HAVE YOU HAD ANY HEADACHES audio/MSK0043.mp3[386.280,390.640] OKAY ANY WEAKNESS UM IN YOUR EXTREMITIES audio/GAS0003.mp3[198.760,204.800] I DONT THINK SO I HAVENT CHECKED I DONT FEEL FEVERISH audio/RES0006.mp3[283.160,289.280] OK UM HAVE YOU HAD ANY INSTANCES WHERE YOU FELT LIKE YOUR HEART WAS RACING audio/RES0056.mp3[257.200,260.920] NO NO NOTHING LIKE THAT audio/MSK0006.mp3[374.160,375.440] NO BLOOD IN THE STOOL audio/RES0033.mp3[592.080,597.480] YEAH SO I MEAN RIGHT NOW ITS ALL ONLINE SO IM LIVING AT HOME WITH MY MOM audio/RES0167.mp3[116.600,118.360] OK UHM SORE THROAT audio/RES0116.mp3[125.880,135.120] UH HE WAS HE WAS ITCHING LIKE PRETTY MUCH THIS WHOLE WEEK BUT I THINK RIGHT NOW HES HESITANT TO EVEN TOUCH HIS EARS audio/RES0027.mp3[5.400,20.760] SURE IVE BEEN COUGHING FOR THE PAST THREE DAYS AND IT I CANT SEEM TO STOP ITS AFFECTING MY SLEEP SO I JUST REALLY LIKE TO GET THIS FIXED audio/RES0009.mp3[140.120,155.880] YEAH TOTALLY IVE NOT EVER HAD ANY PROBLEMS WITH MY HEART OR LUNGS OR ANYTHING I THOUGHT IT WAS MAYBE JUST LIKE A CHEST INFECTION BUT I I DONT KNOW ANYMORE audio/RES0173.mp3[517.480,525.680] SOMETIMES IF LIKE DURING LIKE PARTIES AND STUFF BUT I HAVENT REALLY BEEN DRINKING MUCH CAUSE THERES NOTHING GOING ON audio/RES0019.mp3[390.200,399.040] ALRIGHT AND THEN HOW ABOUT ANY URINARY PROBLEMS SUCH AS PAINFUL URINATION OR GOING FREQUENTLY audio/RES0206.mp3[369.840,375.720] UM YEAH I HAVE A HIGH BLOOD PRESSURE audio/RES0019.mp3[555.360,560.720] OK AND DO YOU PURCHASE THOSE AT A DISPENSARY audio/RES0184.mp3[390.720,399.920] OK UH AND USE ANY RECREATIONAL DRUGS LIKE COCAINE OR OPIOIDS audio/RES0086.mp3[368.280,373.160] ANY LIKE REFLUX HEARTBURN audio/RES0124.mp3[133.280,139.080] I SEE SO THIS STARTED A COUPLE OF MONTHS AGO HAS THIS EVER HAPPENED TO YOU BEFORE THAT audio/RES0042.mp3[412.120,422.600] RIGHT OK UM HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE audio/RES0030.mp3[434.040,447.640] NO ILL CONTACTS AND SORRY I FOR HOSPITALIZATIONS I I DID HAVE A CSECTION FOR THE BIRTH OF MY DAUGHTER AND I WAS IN THE HOSPITAL FOR A FEW DAYS FOR THAT audio/GAS0001.mp3[91.920,111.360] OH NO JUST WELL LIKE I FEEL LIKE IVE IVE HAD TO PEE A LOT MORE UM BUT I DONT I DONT THINK THATS LIKE RELATED I THINK MAYBE I HAVE JUST BEEN DRINKING A LOT OF WATER SO YEAH audio/RES0153.mp3[540.600,550.480] UH NO NOTHING THAT I WANTED TO ASK JUST UH WAS JUST WONDERING IF I NEED ANY MEDICATIONS audio/MSK0034.mp3[255.960,261.120] OK ANY PAIN IN ANY OTHER JOINTS audio/MSK0028.mp3[413.640,418.040] OK DO YOU HAVE ANY PAINS IN ANY OTHER JOINTS audio/RES0154.mp3[104.160,108.360] OK UM AND UH HAVE YOU NOTICED ANY WHEEZING audio/RES0188.mp3[143.320,152.120] UHM MORESO TODAY I WOULD SAY HES LIKE EARLIER HE WAS VERY FUSSY BUT NOW HE SEEMS A BIT MORE TIRED audio/RES0085.mp3[349.360,352.360] OK ANY ALLERGIES audio/RES0207.mp3[190.040,193.320] HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0075.mp3[383.720,393.160] OK AND DO YOU SMOKE CIGARETTES OR USE ANY LIKE VAPE PRODUCTS OR ANYTHING LIKE THAT audio/RES0026.mp3[477.160,481.240] AH YES IT WAS NORMAL audio/RES0072.mp3[526.680,530.040] NO NOTHING LIKE THAT audio/RES0156.mp3[424.600,431.480] OK UH AND CURRENTLY WHATS HER HOME SITUATION LIKE WHO DOES SHE LIVE WITH audio/RES0155.mp3[383.880,389.040] UH NO I HAVENT HAD ANY NIGHT SWEATS audio/MSK0021.mp3[470.200,473.120] OK OK AND TRAVEL ANYWHERE audio/MSK0015.mp3[1.200,44.920] YEAH SO IM IM GEORGE THE FATHER MY DAUGHTER IS 5 YEARS OLD AND I NOTICED JUST A FEW DAYS AGO THAT SHE WAS WALKING A LITTLE BIT FUNNY AND KIND OF HAVING A LIMP WHEN SHE CAME BACK FROM SCHOOL AND SINCE SINCE THAT THEN SHES BEEN SAYING THAT IT JUST HURTS TOO MUCH TO PUT ANY WEIGHT ON ON THAT LEG ON THE RIGHT LEG AND SINCE THEN IVE BEEN LIKE CARRYING HER AROUND ITS BEEN VERY PAINFUL FOR HER SO I JUST WANTED TO COME IN AND CHECK WHAT MIGHT BE GOING ON audio/RES0052.mp3[414.160,419.240] OK AND ANY CONCERNS ABOUT HER VISION OR HEARING audio/RES0214.mp3[217.760,223.000] IT DOESNT FEEL LIKE ANYTHING IS GOING DOWN THE WRONG WAY OR HAVE ANY COUGHING AFTER YOU SWALLOW audio/MSK0017.mp3[764.320,778.360] OK SO NO NUMBNESS IN THE GROIN AREA NO WEAKNESS NO UM CHANGES IN YOUR BOWEL OR BLADDER HABITS INCLUDING NO INCONTINENCE SO UH NO RED FLAGS audio/GAS0007.mp3[254.880,260.200] YEAH YEAH I NEVER HAD THAT PROBLEM AS A KID audio/RES0089.mp3[571.560,600.120] YEAH IM ON UH AN ACE INHIBITOR IM ON UH SPIRONOLACTONE UHM IM ON I HAVE SOME PUFFERS FOR MY COPI BELIEVE WHAT DO I HAVE I HAVE UM I HAVE A LONG ACTING BETA AGONIST AND I GUESS I HAVE A SHORT ACTING AS WELL FOR WHEN I NEED IT audio/MSK0035.mp3[695.320,701.680] UHM I CAN DO ALL OF THESE THINGS IT JUST HURTS A LOT audio/RES0020.mp3[239.880,244.000] ALRIGHT AND DID THAT START AROUND THE SAME TIME audio/RES0047.mp3[298.480,303.200] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS audio/RES0086.mp3[252.640,259.800] OK ALRIGHT AND DO YOU FEEL LIKE YOUR HEARTS RACING audio/RES0147.mp3[99.880,112.280] MHMM OK AND YOU SAID THAT YOU HAD A COUGH PRIOR TO THE PAST 12 HOURS AND THAT YOUR COUGH IS NOW WORSE HOW IS IT WORSE audio/MSK0045.mp3[138.720,140.360] SEVEN OK audio/RES0024.mp3[227.480,238.120] LIKE THE ECZEMA LIKE I HAVE LIKE A PEANUT ALLERGY THATS IT audio/RES0001.mp3[32.840,48.200] AHH IT IT IS BUT ITS DEFINITELY WORSE THAT UM ITS THE BREATHING THATS BEEN BOTHERING ME A LOT MORE WHEN I TAKE A DEEP BREATH THAT THE PAIN IS A LOT WORSE audio/RES0032.mp3[97.320,111.120] UH I HAD A COLD A FEW WEEKS BACK BUT IT WAS JUST A RUNNY NOSE AND IT SEEMS THAT THE COUGH HAS BEEN KIND OF LINGERING AROUND audio/RES0197.mp3[297.640,307.240] OK DO YOU TAKE SO YOU TAKE THE VENTILIN AND THEN DO YOU TAKE THE INHALED CORTICO STEROID PUFFER AS WELL audio/RES0053.mp3[544.120,557.880] OK AND THEN IN TERMS OF GROWTH WEIGHT AND HEAD CIRCUMFERENCE HAS HE BEEN HITTING ALL THOSE MILESTONES FOR THE PAST 2 12 YEARS audio/CAR0001.mp3[463.080,464.440] OK AND HOW MUCH DO YOU SMOKE audio/RES0004.mp3[408.560,417.720] NO NOTHING LIKE CRUSTING OR PUS COMING OUT OF YOUR EYES RED EYE ANYTHING LIKE THAT audio/MSK0003.mp3[346.040,349.040] OK ANY SHORTNESS OF BREATH audio/MSK0049.mp3[230.120,237.640] WEIGHT GAIN OK HOW MUCH WEIGHT HAVE YOU GAINED OVER THE LAST UH SEVERAL MONTHS audio/MSK0050.mp3[578.680,580.200] UH YEAH I CAN DO THAT audio/RES0078.mp3[605.400,607.920] NO IVE NEVER SMOKED BEFORE audio/RES0026.mp3[64.760,67.560] THE COUGH HAS STAYED THE SAME audio/RES0034.mp3[516.280,521.200] OK AND HOW HAS SHE BEEN SLEEPING THE LAST FEW DAYS audio/RES0047.mp3[252.840,260.480] NO I HAVENT HAD UH THIS DIFFICULTY BREATHING BEFORE audio/MSK0026.mp3[44.120,48.440] OK SO LIKE UNDERNEATH THE KNEECAP LIKE BELOW THAT audio/RES0083.mp3[248.280,250.760] NO NO audio/RES0001.mp3[319.800,321.720] NO RASHES audio/RES0083.mp3[463.400,470.600] AND DO YOU HAVE YOU HAD ANY CONTACT WITH ANYONE WHO IS SICK OR YOU THINK MIGHT BE SICK audio/RES0089.mp3[752.680,757.600] OK OK AND CURRENTLY RIGHT NOW DO YOU SMOKE audio/RES0043.mp3[713.240,714.480] OK GREAT audio/RES0094.mp3[355.680,360.400] AND HAVE YOU RECENTLY TRAVELED ANYWHERE audio/RES0149.mp3[223.160,225.800] UHM NO audio/CAR0003.mp3[224.120,237.320] I GUESS WHEN I IM NOT LAYING DOWN OR WHEN IM LAYING DOWN I TRY TO ADD PILLOWS STACK PILLOWS SO THAT IT GETS BETTER audio/RES0062.mp3[797.320,804.920] OK GOOD IS THERE A PARTICULAR REASON YOU TAKE THESE CBEDIBLES audio/RES0171.mp3[387.440,412.200] OK AND DO YOU HAVE ANYONE SORT OF COME IN TO HELP YOU OUT OVER THESE PAST TWO WEEKS ARE YOU GETTING ANY OUTSIDE HELP FROM NURSES ETC OR ARE YOUR ARE YOUR FAMILY MEMBERS BEING SUPPORTIVE AND HELPFUL audio/MSK0027.mp3[117.760,128.760] A SHARP PAIN OK AND DOES THE PAIN RADIATE ANYWHERE ELSE LIKE PAIN IN THE HAND OR WRIST OR PAIN UP INTO THE ARM OR SHOULDER audio/GAS0001.mp3[189.680,200.920] NO OK ALRIGHT UM DO YOU FEEL LIKE YOUVE BEEN MORE THIRSTY RECENTLY WHY DO YOU FEEL YOUVE BEEN DRINKING MORE MORE WATER audio/RES0027.mp3[590.880,592.720] AND DO YOU DRINK ALCOHOL audio/MSK0011.mp3[276.720,286.200] OK DO YOU HAVE ANY OTHER SYMPTOMS AT ALL LIKE FEVER CHILLS HEADACHE ANYTHING LIKE THAT audio/RES0114.mp3[516.040,523.080] UH YEAH I DID WITH THE PANDEMIC GOING ON I USUALLY DONT GET IT BUT I GOT IT THIS YEAR audio/RES0104.mp3[266.760,269.720] YOU HAVE ANY MUSCLE ACHES OR ANYTHING LIKE THAT audio/RES0116.mp3[506.400,510.240] OK UM DOES ANYONE AT HOME SMOKE audio/MSK0003.mp3[281.040,283.560] OK ANY NIGHT SWEATS audio/RES0180.mp3[53.720,55.680] NO BLOOD OR SPUTUM audio/RES0204.mp3[158.000,165.880] YEAH UM HE HAS HAD UH LIKE HES HAD FEVERS IN THE PAST BUT I I DIDNT REALLY CHECK THIS TIME HE DIDNT SEEM HOT HE DIDNT HAVE ANY CHILLS audio/RES0004.mp3[458.440,461.040] UM THATS BEEN OK audio/RES0130.mp3[0.000,2.200] WHAT BRINGS YOU IN audio/RES0055.mp3[80.960,84.200] OK WHAT COLOR IS YOUR SPUTUM audio/RES0021.mp3[345.800,349.960] HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/RES0028.mp3[66.400,79.120] YEAH I GOT OUTTA BED I WAS JUST TRYING TO GET DRESSED AND ALL OF A SUDDEN I GOT THIS TIGHTNESS AND AND STABBING PAIN ON THE LEFT SIDE OF MY CHEST audio/RES0010.mp3[432.560,435.480] UM I DONT THINK SO audio/RES0197.mp3[272.440,274.480] UH NO audio/RES0151.mp3[31.320,38.160] OK UM AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE OR STAYING THE SAME audio/RES0015.mp3[557.280,563.880] OK DID THEY MENTION WHAT TYPE OF CHEST INFECTION IT COULDVE BEEN audio/RES0214.mp3[390.240,393.880] OK AND WHEN YOU DRINK HOW MANY DRINKS DO YOU HAVE audio/MSK0016.mp3[140.760,149.000] OK OK UM AND HAVE YOU EVER EXPERIENCED THIS BEFORE OR IS THIS KIND OF LIKE THE FIRST TIME YOURE EXPERIENCING THIS audio/RES0136.mp3[439.960,444.320] OSTEOARTHRITIS OKAY IS THAT WHY YOURE TAKING THE audio/RES0190.mp3[557.400,559.680] OK AND HOWS SCHOOL GOING audio/RES0076.mp3[116.000,119.880] ITS BEEN ABOUT THE SAME audio/RES0025.mp3[277.320,286.640] OK HAVE YOU BEEN IN CONTACT WITH ANYONE SINCE COMING BACK THATS BEEN SICK audio/RES0125.mp3[462.800,467.160] OKAY UH AND UH DO THEY HAVE ANY SYMPTOMS AT ALL OR ARE THEY ARE THEY FINE audio/RES0049.mp3[257.520,258.800] YEAH FOR SURE audio/RES0212.mp3[330.920,340.080] NOTHING LIKE THAT OK ARE YOU TAKING ANY MEDICATIONS RIGHT NOW audio/MSK0009.mp3[612.800,624.240] JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS OR RELATIVES LIKE A GLASS OF WINE audio/MSK0010.mp3[258.800,292.720] UM NOT RECENTLY JUST JUST LIKE NORMAL WEIGHT EXERCISE MAYBE WITH THE BANDS I DO SOME OVERHEAD EXERCISES BUT IN TERMS OF SPORTS I I PLAY OR I USED TO PLAY A LOT OF TENNIS I DID HAVE SOME ISSUES WITH THE SAME SHOULDER WHICH IS WHY I KIND OF STOPPED PLAYING TENNIS MY DOCTOR SAID IT I MIGHT HAVE OVERUSED THAT SHOULDER BUT THATS THAT WAS LIKE A COUPLE OF YEARS BACK SO I THOUGHT IT MUST HAVE HEALED BY NOW audio/RES0025.mp3[326.600,336.160] UMM NO I HAVENT REALLY HAD A COUGH BY MY THROATS FELT A LITTLE LIKE SCRATCHY THOUGH audio/RES0058.mp3[306.320,310.920] HOW ABOUT DIZZINESS OR FAINTING SPELLS audio/RES0117.mp3[286.240,296.280] OK FOR SURE UM ANY LIKE ASBESTOS MOLD OR LIKE OLD CARPETS DUST ANYTHING LIKE THAT AT YOUR APARTMENT audio/RES0166.mp3[239.680,246.920] FOUR DAYS OK AND IN THOSE FOUR DAYS WHAT WERE THEY DOING FOR YOU THERE audio/MSK0037.mp3[728.920,757.400] YEAH THERES JUST SOME DISCOMFORT LIKE WHEN I AT THE BASES OF THOSE TWO FINGERS LIKE IF I PRESS ON THE NODULES LIKE ITS SOMETIMES A LITTLE BIT LIKE UNCOMFORTABLE BUT ITS NOT TOO BAD LIKE I I DONT BUT I DONT KNOW I HAVE A PRETTY HIGH PAIN THRESHOLD TOO SO ITS HARD TO SAY audio/MSK0023.mp3[273.040,276.680] NO IVE BEEN HEALTHY audio/RES0030.mp3[267.880,274.560] OK AND HAVE YOU BEEN GETTING ENOUGH SLEEP audio/RES0190.mp3[381.040,384.680] OK AND DO YOU HAVE ANY ALLERGIES audio/DER0001.mp3[517.280,525.160] AND THEN JUST ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE SO YOU SAID THAT YOU HAVE CHILDREN audio/RES0109.mp3[228.680,231.160] JUST MY BODY FEELS A LITTLE ACHY BUT audio/RES0143.mp3[519.160,524.200] OH UM WELL WE I GUESS YOU SAID THAT YOU DONT HAVE A SORE THROAT AT ALL RIGHT audio/RES0192.mp3[647.080,662.560] OK AND I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY TODAY UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT ABOUT audio/RES0100.mp3[290.200,302.640] JUST SINCE YESTERDAY ITS ITS NOT REALLY LIKE I WOULD SAY ITS MORE OF A DISCOMFORT THAN A PAIN BUT I DEFINITELY DO FEEL LIKE LIKE SOMETHINGS JUST NOT RIGHT IN THAT AREA audio/MSK0004.mp3[564.640,569.040] ALRIGHT TAKE CARE BYE audio/RES0009.mp3[172.880,181.200] OK SO HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS audio/RES0195.mp3[391.640,401.080] NOW THAT YOU MENTION IT I HAVE HAD SOME WEIGHT LOSS OVER THE PAST UM SIX MONTHS IVE LOST ABOUT 15 POUNDS audio/RES0058.mp3[423.560,426.040] OK SO KIND OF LIKE YOU HAVE A FEVER audio/RES0088.mp3[469.280,475.440] ANY LIKE ASTHMA OR ANY OTHER CONDITIONS audio/MSK0031.mp3[319.560,328.600] UHM I THINK UH MY FATHER HE DIED OF A HEART ATTACK IN HIS 60S audio/RES0010.mp3[204.440,209.920] OK ANY PAIN IN YOUR BELLY audio/RES0124.mp3[196.960,201.480] UM HAVE YOU HAD ANY BELLY PAIN audio/MSK0035.mp3[238.680,247.640] HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR HEARING OR LOSS OF SMELL OR LOSS OF TASTE audio/RES0138.mp3[149.000,150.520] NO NO I HAVENT audio/RES0072.mp3[195.360,197.960] NO I HAVENT HAD A COUGH audio/RES0126.mp3[285.920,297.120] NO WELL SOMETIMES I DO BUT ITS NOT BEEN SEVERE ITS BEEN THERE FOR THE PAST UHM ALWAYS WHEN IM STRESSED OUT I GET THESE HEADACHES ITS NOTHING NEW audio/MSK0018.mp3[309.960,325.200] NO OKAY SO NOW WERE JUST GOING TO MOVE ON TO UM THE PHYSICAL EXAM PART OF THIS SO CAN YOU TAKE A LOOK AT BOTH YOUR SHOULDERS AND LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING audio/RES0069.mp3[260.680,280.760] ID SAY THIS MORNING AS WELL YESTERDAY WAS JUST LIKE A LITTLE TICKLE IN MY THROAT AND I THOUGHT IT WOULD JUST GO AWAY YOU KNOW AND I WOKE UP THIS MORNING AND I JUST FELT HORRIBLE AND THE SORE THROAT WAS JUST WORSE AND I FELT FEVERISH AND TIRED AND I FELT REALLY CRAPPY audio/RES0114.mp3[384.600,389.440] YEAH I HAVE THIS MEDICATION UH RIGHT NOW IM TAKING IT ITS CALLED LISINOPRIL audio/MSK0049.mp3[496.400,499.720] OK AND UM DO YOU SMOKE CIGARETTES audio/RES0216.mp3[76.200,82.400] UH I THINK I FIRST NOTICED IT WHEN I WAS GONE FOR MY WALK audio/RES0021.mp3[289.240,291.680] AH NO audio/RES0043.mp3[88.560,99.960] YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE 5 DAYS audio/CAR0001.mp3[575.640,579.000] OK HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE audio/MSK0040.mp3[743.240,805.400] OK SO WE HAVE AN ANTALGIC GATES WITH AN INABILITY TO BEAR WEIGHT AS WELL OK SO THE THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY AND BASED ON THESE FEATURES IT IS STARTING LIKE IT COULD BE EITHER AN ANKLE FRACTURE OR AN ANKLE SPRAIN BUT BECAUSE OF THE PINPOINT TENDERNESS OR THAT YOURE FINDING ON THE LATERAL SIDE AS WELL AS SOME OF THE THE INABILITY TO BEAR WEIGHT AS YOURE DESCRIBING ITLL BE IMPORTANT TO GET AN XRAY TO MAKE SURE THAT THERES NOT A FRACTURE UM AND YEAH AND IF THERE IS THEN IT WILL BE IMPORTANT TO HAVE SOME SORT OF AIR BOOT OR CASTING SO THAT TO MAKE SURE THAT WERE OFFLOADING THE AREA FOR THE BONES TO HEAL BUT WELL SEE WHAT THE XRAY SHOWS audio/GAS0003.mp3[0.000,2.640] WHAT BRINGS YOU IN HERE TODAY audio/RES0018.mp3[311.560,316.720] OK AND THEN HAVE YOU HAD ANY CHANGES TO YOUR VISION audio/RES0174.mp3[826.400,830.880] SURE THANK YOU audio/RES0001.mp3[786.480,792.000] YEAH WHATEVER WHATEVER YOU THINK WE NEED TO DO audio/RES0165.mp3[2.160,22.560] UM I JUST IVE HAD A COUGH AND IVE HAD A SORE THROAT FOR THE PAST TWO DAYS AND I WAS JUST WORRIED THAT I MIGHT HAVE COVISO I THOUGHT ID COME IN JUST TO MAKE SURE THAT EVERYTHINGS OK audio/RES0055.mp3[425.480,430.160] OK DO YOU KNOW WHICH PUFFER YOURE ON audio/RES0215.mp3[295.200,297.440] YEP EVERYTHING WAS FINE audio/RES0137.mp3[109.640,117.440] OH I SEE OKAY UM ANY BLOOD IN THE VOMIT OR IS SHE COUGHING UP ANY BLOOD audio/RES0036.mp3[3.720,18.920] YEAH SO IVE BEEN PRETTY BREATHLESS FOR THE PAST SIX DAYS AND ITS ITS JUST WORSE I HAVE TO STOP FROM I HAD TO STOP SO MANY TIMES WALKING HERE FROM MY CAR audio/RES0171.mp3[98.080,116.320] I PRETTY MUCH YEAH ONLY WHEN IM TAKING A DEEP BREATH AND SAY I MEAN MAYBE THATS WHY PART OF THE I CANT TAKE A DEEP BREATH SO ITS MAKING ME FEEL ITS MAKING THE BREATHING MORE DIFFICULT MAKING ME FEEL MORE SHORT OF BREATH audio/GEN0001.mp3[464.280,467.560] NO PROBLEM audio/RES0009.mp3[292.640,313.280] OK UM SOMETIMES THINGS CAN BE ASSOCIATED WITH A COUGH SO WELL ABSOLUTELY LOOK INTO WHAT THE CAUSES OF YOUR SYMPTOMS ARE TODAY BUT YOU HAVENT BROUGHT UP ANY ANY BLOOD OR ANY SPUTUM audio/MSK0031.mp3[534.760,539.440] OK ARE YOU ABLE TO STAND UP FROM A SITTING POSITION audio/RES0139.mp3[317.520,323.880] MY MY GRANDPARENTS ON MY MOMS SIDE audio/RES0121.mp3[35.720,42.360] OKAY ARE YOU BRINGING UP ANY ALTHOUGH YOURE NOT COUGHING ARE YOU BRINGING UP ANY KIND OF SPUTUM audio/RES0060.mp3[791.600,795.280] OK DO YOU LIVE WITH ANYONE audio/RES0094.mp3[269.440,282.280] UH ILL USE LIKE REACTINE OR CLARITIN SOMETIMES FOR ALLERGIES BUT THATS IT audio/RES0135.mp3[212.280,226.720] OKAY SO YEAH STILL BEEN TO MAINTAIN HYDRATION IT SOUNDS LIKE UM YEAH OKAY AND HAS SHE HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE audio/RES0052.mp3[244.240,249.960] YEP I WOULD SAY SO audio/RES0007.mp3[795.800,801.640] NO NO LIKE I HAD MADE OUT WITH OTHER PEOPLE BEFORE BUT THIS IS LIKE THE FIRST ONE audio/RES0016.mp3[529.560,532.200] NO IVE NEVER SMOKED IN MY LIFE audio/RES0104.mp3[17.680,25.520] OK AND SO THATS BEEN GOING ON FOR A FEW DAYS audio/RES0217.mp3[332.320,337.800] OK AND WHAT GEOGRAPHIC AREA WERE YOU IN UM WHEN YOU WERE HIKING audio/RES0170.mp3[229.440,239.800] UH NO I HAVENT HEARD HIM UH I COMPLAIN ABOUT ANYTHING LIKE THAT I THINK ILL EVERYTHING LIKE THATS BEEN NORMAL audio/RES0046.mp3[785.480,788.840] UM NO I HAVENT audio/RES0154.mp3[174.360,179.800] CHANGES TO UH LOSS OF SMELL LOSS OF TASTE audio/RES0044.mp3[30.600,43.920] UH ITS LIKE 2 DAYS LIKE MAYBE THREE DAYS AGO I STARTED TO FEEL LIKE MY THROAT WAS DRY AND I WAS LIKE OH MAYBE I NEED TO DRINK MORE WATER OR SOMETHING AND THEN THE NEXT DAY I STARTED LIKE ACTUALLY COUGHING audio/RES0049.mp3[309.200,316.200] OH I SEE OK OK AND THEN ANY I DO HAVE A SORE THROAT audio/RES0027.mp3[277.640,279.640] YES A LITTLE BIT audio/RES0183.mp3[25.600,29.080] OK AND WHEN DID THE COUGH START audio/MSK0006.mp3[685.440,690.000] OK WOULD YOU MIND STANDING UP FROM A SITTING POSITION audio/MSK0016.mp3[758.600,768.880] OK SO NO PAIN ON THE ACROMION PROCESS OR THE SCAPULA UM ANY PAIN WHERE YOUR BICEPS ARE audio/RES0113.mp3[335.880,343.240] HAVE YOU UH WHAT DO YOU MEAN BY RECENTLY audio/RES0027.mp3[500.000,516.600] MY HUSBAND HAS BEEN THROWING UP FOR THE PAST TWO DAYS AND I THINK HE WAS FEELING A LITTLE HOT TOO audio/CAR0003.mp3[505.120,508.720] UM I GUESS THE STENTING audio/MSK0036.mp3[0.000,1.920] HOW MAY I HELP YOU audio/RES0170.mp3[324.880,336.880] UH NO WELL HE HAD SOME RASHES WHEN HE WAS YOUNGER THAT HE WOULD GET SOME SOME CREAMS FOR BUT THATS MOSTLY RESOLVED NOW audio/RES0012.mp3[355.560,357.480] NO NO NO audio/RES0099.mp3[64.480,67.680] JUST A GENERAL WHOLE BODY FEELING audio/RES0062.mp3[431.920,459.720] IT WAS LIKE 4 YEARS AGO I THINK IT WAS IT WAS HAVING THAT LIKE FELT LIKE MY HEART WAS RACING YOU WERE ASKING ABOUT EARLIER AND THEY DID AN ECG AND I WAS TOLD I HAD ATRIAL FIBRILLATION SO YEAH IVE BEEN ON A BETA BLOCKER FOR THREE YEARS NOW audio/RES0098.mp3[397.160,402.440] OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS audio/GAS0005.mp3[281.840,288.520] OK AND HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING audio/MSK0006.mp3[530.560,533.360] OK UM ANY TRAVEL RECENTLY audio/MSK0006.mp3[102.440,114.560] UH YEAH IM JUST TAKING SOME PAIN MEDIC MEDICATIONS OVER THE COUNTER FOR THESE LAST COUPLE OF DAYS UM LIKE ADVIL AND TYLENOL BUT THATS IT audio/RES0055.mp3[184.560,194.040] OK DID THEY EVER SAY TO YOU THAT YOU HAD ANYTHING ELSE LIKE ASTHMA COPANY LONGSTANDING CONDITIONS audio/RES0026.mp3[500.280,503.440] SURE YEAH THAT WOULD BE GREAT audio/RES0048.mp3[795.400,804.800] YEAH FOR SURE UM YEAH FOR SURE HAVE YOU TRAVELED TO ANYWHERE RECENTLY audio/RES0158.mp3[275.840,281.280] OK ANY CHANGES IN YOUR SLEEP OR APPETITE RECENTLY audio/RES0036.mp3[281.520,284.080] UH NO audio/RES0064.mp3[82.560,84.640] NO NOTHING LIKE THAT audio/RES0026.mp3[261.720,265.480] NOT THAT I CAN THINK OF audio/MSK0050.mp3[56.840,63.680] OK DO YOU FEEL IT ON YOUR RING FINGER OR UH OR SORRY OR YOUR MIDDLE FINGER audio/RES0148.mp3[167.800,168.360] UHM NO audio/RES0069.mp3[372.640,376.560] OK HAVE YOU IN THE PAST audio/CAR0001.mp3[305.320,310.440] OK HAVE YOU HAD A WHEEZE WITH YOUR DIFFICULTY BREATHING audio/RES0195.mp3[230.600,234.440] I SEE AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS audio/RES0165.mp3[322.200,325.720] UHM UM IM NOT NO audio/RES0020.mp3[826.640,831.800] SURE SOUNDS GOOD audio/RES0093.mp3[341.080,357.160] YEAH I TAKE UHM AN ACE INHIBITOR STATIN UHM AND UH MEDICATION FOR MY STOMACH I THINK LIKE PANTOPRAZOLE audio/RES0172.mp3[363.280,367.040] DO YOU EVER SMOKE IN THE PAST audio/RES0131.mp3[402.440,413.320] UH YEAH TO CATS AND UM LIKE I THINK ENVIRONMENTAL TRIGGERS NO MEDICINES audio/RES0116.mp3[601.800,615.440] UH NO NOT REALLY JUST WANTED TO KNOW IF LIKE I REMEMBER HE DID NEED ANTIBIOTICS BEFORE SO I WAS JUST WONDERING IF HE NEEDS THEM NOW audio/RES0068.mp3[618.280,621.880] I HAVENT I HAVENT NO audio/RES0103.mp3[276.920,282.600] OK HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/MSK0029.mp3[653.960,664.800] OK COME HAVE OUT IN TERMS OF SICK CONTACTS HAVE YOU HAD ANY RECENTLY audio/RES0039.mp3[178.840,189.880] OK AND HOW MUCH BLOOD WAS IN THE PHLEGM WAS IT LIKE A SIGNIFICANT AMOUNT IT FILLED THE WHOLE PRODUCTION OR JUST LITTLE STREAKS audio/RES0058.mp3[432.600,439.160] UMM NO MUSCLE ACHES audio/RES0176.mp3[546.800,558.920] WE DO HAVE CARPETS BUT I MEAN I I DONT THINK THATS A PROBLEM LIKE WEVE HAD IT FOR LIKE YEARS AND WEVE HAD THE SAME CARPETS FOR YEARS AND YEARS audio/GAS0007.mp3[309.400,316.840] IM STILL WORKING I AM A PRODUCTION OVERSEER PRODUCTION MANAGER OVER AT FAIRBANKS audio/RES0143.mp3[422.800,426.400] AND WHAT ABOUT MARIJUANA audio/RES0178.mp3[93.760,103.440] OK AND THE RUNNY NOSE IS IT CLEAR OR DOES IT HAVE LIKE A COLOUR TO IT LIKE YELLOW OR GREEN audio/RES0066.mp3[62.000,66.960] THEY ARE SIMILAR BUT I FEEL LIKE THEY ARE ALSO WORSE NOW audio/RES0187.mp3[619.720,626.200] OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/RES0045.mp3[389.760,394.000] UM NO NO audio/MSK0034.mp3[127.240,130.160] ITS PRETTY SHARP audio/RES0200.mp3[536.240,542.200] YEAH I CURRENTLY LIVE WITH MY SORRY WIFE IN AN APARTMENT audio/RES0096.mp3[222.200,228.600] OK AND YOURE COUGHING MORE OFTEN AS WELL OVER THIS LAST MONTH audio/RES0143.mp3[256.800,264.800] YEAH THE RUNNY NOSE HAS BEEN MORE UM THIS WEEK IT KIND OF LIKE STARTED WITH A COUGH LAST WEEK audio/MSK0033.mp3[571.520,576.600] NO OK OK AND NO WEAKNESS BELOW YOUR KNEE RIGHT audio/RES0086.mp3[543.280,555.440] NO IVE NEVER SMOKED IM PRETTY HEALTH FOCUSED AND I CANT EVEN TAKE IF SOMEONE ELSE IS SMOKING SO NO audio/RES0135.mp3[304.240,309.960] ALRIGHT AND ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA audio/RES0148.mp3[484.040,493.240] OK AND SO AND HAVE YOU TRAVELED ANYWHERE OR ANY OTHER UH POTENTIAL EXPOSURES audio/RES0198.mp3[266.000,272.400] OK ALRIGHT ANY MEDICATIONS THAT YOU ARE ON BESIDES INSULIN audio/MSK0003.mp3[470.720,482.800] NO SHE SHE HASNT BEEN HAVING ANY SYMPTOMS THEN WE WEVE BEEN USING A CONDOM MOSTLY audio/RES0199.mp3[473.000,493.280] NO IVE BEEN AND KIND OF AT HOME THE ONLY PLACES I MAYBE HAVE BEEN IN CONTACT WITH SOMEONE IS MAYBE AT WORK IN LIKE THE LUNCH ROOM AND THINGS LIKE THAT audio/MSK0037.mp3[482.280,487.960] COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0124.mp3[305.880,327.920] UH YEAH ITS LIKE PRETTY IT CAN GET PRETTY HARSH I ALSO NOTICED LIKE UH THERES LIKE THIS WEIRD NOISE I STARTED MAKING LIKE RIGHT AFTER WHEN IM TRYING TO TAKE DEEP BREATHS IN audio/RES0029.mp3[260.680,263.200] UM NO NOTHING LIKE THAT audio/RES0001.mp3[566.440,568.400] NO LUNG CONDITIONS audio/MSK0008.mp3[246.040,247.800] HAVE YOU HAD A COUGH audio/RES0214.mp3[121.280,123.760] THATS RIGHT audio/RES0020.mp3[579.720,585.000] UM WERE BOTH RETIRED BUT WE HAVE OUR RESSAVINGS audio/RES0169.mp3[129.640,133.480] ANY DIFFICULTIES BREATHING audio/RES0186.mp3[190.040,194.160] OK UHM AND NO NAUSEA OR VOMITING audio/RES0079.mp3[198.040,206.200] UH YEAH I HAVENT BEEN ABLE TO SMELL AS WELL audio/RES0118.mp3[386.800,392.440] UM AND CURRENTLY UH DO YOU SMOKE AT ALL audio/RES0154.mp3[417.120,420.800] NO OK UM AND AND DO YOU SMOKE CIGARETTES audio/RES0134.mp3[562.720,571.000] OKAY UH AND THEN COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW ARE YOU LIVING WITH ANYBODY AND UH WHEREABOUTS audio/RES0016.mp3[404.560,409.280] UH FOR A PRETTY LONG TIME I WOULD SAY MORE THAN 10 YEARS audio/RES0065.mp3[487.840,490.960] AND HOW ABOUT ANY OTHER DRUGS LIKE MARIJUANA audio/RES0007.mp3[306.360,310.360] OH NO NO MOSTLY LIKE GYM CLASS LIKE I SAID audio/RES0175.mp3[396.600,399.440] DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS audio/RES0159.mp3[315.640,322.320] UM I DO TAKE UH JUST PAIN MEDICATIONS LIKE ADVIL audio/RES0084.mp3[723.400,725.200] NOT THAT I KNOW OF audio/MSK0040.mp3[204.720,215.080] OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF 10 TO ONE WITH 10 BEING THE WORST PAIN YOUVE EVER FELT audio/MSK0042.mp3[725.000,742.880] YEAH IT JUST FEELS WEIRD I DONT IM NOT IN ANY PAIN OR ANYTHING BUT ITS LIKE ITS WEIRD TO LOOK AT AND THEN WEIRD TO FEEL UH AS WELL audio/RES0174.mp3[561.120,565.720] OK AND DID YOU FIND IT HELPED audio/MSK0041.mp3[447.560,449.360] NO I DONT audio/RES0162.mp3[525.600,529.360] TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY audio/RES0118.mp3[319.760,322.960] JUST YEAH SOME SEASONAL ALLERGIES audio/RES0005.mp3[670.960,673.560] OK LIKE OSTEOARTHRITIS audio/RES0074.mp3[605.320,610.480] OK NOBODYS HAD A HEART ATTACK OR A STROKE audio/RES0101.mp3[479.120,485.520] ALRIGHT AND UHM HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS OR HAVE YOU HAD ANY CHANGES audio/RES0124.mp3[595.760,597.480] NO NO NOT AT ALL audio/RES0080.mp3[91.400,95.280] OK AND ARE YOU ABLE TO LIE FLAT audio/MSK0023.mp3[576.480,579.880] IT DOES YEAH YEAH THANK YOU audio/RES0027.mp3[183.480,185.920] MMMM NO NO audio/RES0198.mp3[247.800,251.680] WHEN I WAS LIKE 7 audio/MSK0021.mp3[232.760,235.480] NOPE THATS ALL BEEN NORMAL audio/RES0091.mp3[278.040,283.720] UH NO I DONT EVEN TAKE VITAMINS audio/RES0102.mp3[132.600,138.160] BLOOD IS IM COUGHING THAT UP INTO THE TISSUE audio/RES0091.mp3[197.880,200.120] A LITTLE BIT YEAH audio/RES0089.mp3[314.600,321.640] OK NOW ARE YOU HAVING ANY WHEEZING AT ALL audio/RES0114.mp3[230.360,236.520] NOT CHEST PAIN BUT WHEN I GET INTO THOSE COUGHING FITS SOMETIMES IT FEELS JUST REALLY TIGHT IN MY CHEST audio/RES0018.mp3[436.320,455.360] THERE WAS ACTUALLY LIKE JUST WE WORK IN THE SAME KIND OF OFFICE SETTING ONE OF MY COWORKERS WAS COUGHING JUST LAST WEEK AND LIKE YOU KNOW MY BOSS TOLD US TOLD HIM TO LIKE GO HOME AND GET SOME REST AND HE WAS AWAY FOR A COUPLE DAYS audio/RES0163.mp3[339.560,340.640] CATS OK audio/RES0020.mp3[635.200,637.480] NO NO NOTHING LIKE THAT audio/RES0145.mp3[385.720,391.360] I WAS YEAH I THINK I I THINK A LIKE AMOXICILLIN audio/RES0012.mp3[731.880,733.600] OK OK audio/RES0075.mp3[290.120,293.920] ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION audio/MSK0034.mp3[169.160,177.480] YEAH IT LOOKS UM YEAH IT LOOKS LIKE IT IS audio/RES0019.mp3[615.560,617.200] NO NOTHING LIKE THAT audio/RES0039.mp3[410.920,417.120] OK ANY CHANGES IN YOUR URINATION audio/RES0209.mp3[148.120,154.320] NO NO OTHER TRIGGERS audio/MSK0039.mp3[287.200,289.040] NO NOTHING THAT IVE NOTICED audio/RES0062.mp3[858.200,863.560] YES I JUST STOPPED A FEW YEARS AGO audio/RES0021.mp3[261.120,265.320] OK HAVE YOU HAD ANY CHEST PAIN audio/RES0105.mp3[201.120,209.600] NO I WAS TOLD I DIDNT NEED ANY ANY YET BUT IF I DIDNT QUIT SMOKING I MIGHT IN THE FUTURE audio/MSK0011.mp3[309.040,311.560] YEAH EXACTLY audio/RES0033.mp3[230.080,248.800] UH THE ONLY THING THAT SOMETIMES UH LIKE I PANIC SOMETIMES WHEN UH WHEN I HAVE LIKE A REALLY BAD COUGHING FIT ESPECIALLY IN GYM CLASS IT ALMOST FEELS LIKE I CANT BREATHE AND THATS WHEN I GET REALLY SCARED audio/RES0156.mp3[213.120,216.640] OK UM ANY HAVE YOU NOTICED ANY FEVERS OR CHILLS audio/RES0037.mp3[701.200,703.400] AH NO IVE NEVER USED ANYTHING LIKE THAT audio/RES0159.mp3[333.880,359.320] YEAH I WAS GIVEN UM THIS OTHER MEDICATION FOR FOR TO TAKE WITH MY ADVIL LIKE BUT ITS ONLY WHEN IM TAKING ADVIL LIKE EVERY DAY UM AND UM I HAVENT REALLY BEEN TAKING THAT UM I PROBABLY TOOK THE LAST TIME I TOOK IT WAS PROBABLY A MONTH AGO audio/MSK0038.mp3[493.480,506.320] OK ALRIGHT AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY audio/CAR0001.mp3[619.320,625.760] NO I DONT THINK SO I THINK YOU ASKED ME EVERYTHING audio/RES0085.mp3[403.640,410.640] OK WELL THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/MSK0028.mp3[729.960,744.880] OK IS THIS THE MASS OR LUMP THAT I YOU WERE MENTIONING EARLIER THAT YOU KINDA CAN NOTICE IN THE IN YOUR RIGHT ARM audio/RES0061.mp3[754.440,761.800] PI HAVE LIKE MAYBE I DONT KNOW A COUPLE OF DRINKS A WEEK audio/RES0135.mp3[99.000,102.640] UH NO ITS ITS JUST ALWAYS THERE audio/CAR0003.mp3[52.720,60.160] OK AND WERE YOU ABLE TO WALK NORMALLY MORE THAN 50 METERS BEFORE TWO MONTHS audio/RES0063.mp3[531.760,536.760] OK GOOD GOOD FOR YOU HOW MUCH DID YOU SMOKE BEFORE YOU QUIT audio/MSK0013.mp3[767.160,777.840] JUST WHAT DO YOU THINK IS GOING ON WITH MY FEET AND HOW DO I GET SOME SENSATION BACK audio/RES0100.mp3[637.280,645.800] HAS HE BEEN SICK AT ALL LIKE ANY ANY COUGH SORE THROAT ANYTHING LIKE THAT audio/RES0143.mp3[54.520,63.080] UH ITS ITS PRETTY CLEAR IT MIGHT BE LIGHT BUT ITS NOT LIKE GREEN OR YELLOW OR ANYTHING LIKE THAT audio/RES0160.mp3[150.640,156.360] AND HOW BAD IS YOUR HEADACHE FROM 1 TO 10 WITH 10 BEING THE WORST HEADACHE EVER audio/RES0172.mp3[85.560,104.080] YEAH SOME OVER THE COUNTER COLD MEDICINES I TRIED SOME TO TAKE TYLENOL COLD AND SINUS OR SOMETHING LIKE THAT ANYWAY AND IT DID HELP ME SLEEP A LITTLE BIT WITH THAT THE HEADACHE AND JUST HAVENT BEEN FEELING VERY GOOD TO HELP WITH THAT audio/RES0197.mp3[327.120,333.680] NOT TO MEDICATION I’M ALLERGIC TO LIKE STRAWBERRIES AND KIWIS audio/MSK0008.mp3[614.400,619.400] ANY PAIN IN THE CALF OR THE THIGH MUSCLES audio/RES0078.mp3[239.160,250.960] I WOULD SAY MAYBE SIX IT FEELS PRETTY SHARP WHEN IT HAPPENS AND IT GOES AWAY AFTER A FEW MINUTES audio/RES0052.mp3[378.880,381.680] UH NO audio/RES0007.mp3[466.560,470.320] UH JUST LIKE MY WISDOM TEETH audio/RES0078.mp3[597.760,600.560] OK AND DO YOU SMOKE audio/MSK0040.mp3[649.160,661.960] UM ON THE NO NO PAIN AT THE TOP OF MY FOOT audio/RES0177.mp3[245.840,250.360] NOPE I HAVENT NOTICED ANY audio/RES0029.mp3[287.640,294.240] OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0063.mp3[161.120,165.480] NO I HAVENT REALLY NOTICED THE COUGH audio/RES0194.mp3[529.000,534.040] OK AND HAS SHE BEEN DISPLAYING ANY SYMPTOMS AT ALL audio/RES0065.mp3[71.880,82.000] AND DOES IT USUALLY HAPPEN DURING THE DAY THROUGHOUT THE NIGHT OR DOES IT HAVE ANY SORT OF PATTERN audio/RES0078.mp3[467.200,469.560] NO THATS EVERYTHING audio/RES0019.mp3[141.240,145.960] OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE IN THE PAST audio/RES0060.mp3[656.200,661.720] OK UMM DO YOU HAVE ANY ALLERGIES audio/RES0138.mp3[31.440,35.280] YEAH I WOULD THINK SO I WOULD SAY SO YEAH SO audio/RES0186.mp3[263.520,280.520] YEAH IVE HAD LIKE MUSCLE ACHES I GUESS I FEEL LIKE WEVE BEEN GETTING OLDER BUT NO YEAH IVE HAD MUSCLE ACHES THESE LAST COUPLE OF DAYS AS WELL KIND OF GENERALLY ACHY audio/RES0017.mp3[723.600,732.280] LIKE A IT COULD BE IMPORTANT UH BECAUSE UH WELL HOW LONG HOW LONG DID YOU LIVE THERE FOR audio/RES0086.mp3[259.800,262.640] NO NO NOTHING LIKE THAT audio/RES0039.mp3[514.040,518.840] OK ARE YOU ON ANY MEDICATIONS CURRENTLY audio/RES0058.mp3[662.880,687.640] OK WELL YOU SHOULD PROBABLY LOOK INTO IF IT HAS TOBACCO OR NICOTINE BECAUSE NEITHER OF THOSE ARE GOOD FOR YOUR HEALTH AND SO WE CAN YOU KNOW HAVE A DISCUSSION LATER ON TRYING TO CUT DOWN OR QUITTING COMPLETELY IF YOU ARE OPEN TO THAT audio/RES0143.mp3[185.400,188.160] DIARRHEA OR CONSTIPATION audio/MSK0015.mp3[656.160,662.520] OK AND THEN IS THERE ANY MISALIGNMENT OR DEFORMITY OF THE JOINTS THAT YOU CAN SEE audio/RES0145.mp3[482.080,488.800] OK ARE THINGS GOING WELL AT SCHOOL ANY BULLYING ARE YOU HAPPY WITH YOUR GRADES audio/RES0092.mp3[431.440,435.920] OK GREAT THANK YOU audio/RES0032.mp3[387.600,391.920] NO THE LAST TEST MUST BE AT LEAST A FEW YEARS AGO audio/MSK0005.mp3[241.040,253.600] NO ITS JUST RIGHT THERE ON THE OUTSIDE OF MY RIGHT ELBOW AND ITS REALLY ANNOYING CAUSE IM RIGHT HANDED AS WELL SO UM YEAH ITS CAUSING PROBLEMS THERE audio/RES0141.mp3[494.640,499.960] OKAY SOUNDS GOOD UM AND I WORK FROM HOME SO I DONT NEED TO audio/RES0122.mp3[130.400,135.680] UM AND DO YOU HAVE ANY DIFFICULTIES BREATHING audio/RES0183.mp3[138.280,143.880] YOU MEAN LIKE WHEN HE EXHALES audio/RES0062.mp3[416.080,421.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS audio/MSK0005.mp3[253.600,259.560] RIGHT UM AND IS THE PAIN RADIATING UPWARDS OR DOWNWARDS audio/RES0089.mp3[562.760,564.760] NOPE NO OTHERS audio/RES0081.mp3[536.200,567.320] YEAH SO HE LIVES WITH ME HIS DAD AND HIS BROTHER WHO IS 2 YEARS OLDER AND HES NOT GOING TO SCHOOL RIGHT NOW WERE JUST KEEPING HIM AT HOME DUE TO COVID AND TRYING TO DO SOME HOME SCHOOLING IM A HOMEMAKER SO I DO HAVE ENOUGH TIME TO SPEND TIME WITH HIM AND HIS OLDER BROTHER AND YEAH audio/RES0001.mp3[679.640,681.560] NO NO audio/RES0146.mp3[389.000,392.520] AND MARIJUANA audio/RES0147.mp3[199.040,200.880] SORE THROAT audio/RES0072.mp3[596.040,605.280] OK SO THOSE ARE ALL THE QUESTIONS I HAD TO ASK YOU ANYTHING THAT I MAY HAVE MISSED OR ANYTHING YOU WANT TO TELL ME audio/MSK0027.mp3[154.320,164.520] UM I KNOW HER FATHER WAS SWINGING HER ARMS YESTERDAY THEY WERE PLAYING IN THE PARK SO MAYBE audio/RES0055.mp3[266.680,272.520] OK AND ANY SWELLING IN YOUR IN YOUR LEGS OR UPPER LIMBS audio/RES0177.mp3[230.280,233.280] UH SMELL OR TASTE audio/RES0181.mp3[372.760,378.360] OK AND ANYBODY AT HOME HAVE ANY SORE THROAT OR COUGH OR OR ANYTHING LIKE THAT audio/RES0042.mp3[229.880,234.040] UM CHANGES IN YOUR BOWEL HABITS audio/RES0044.mp3[135.200,139.120] OK AND UM IS IT GETTING WORSE DO YOU THINK audio/MSK0035.mp3[477.200,482.880] OK UH DO YOU DRINK ALCOHOL audio/RES0147.mp3[246.520,249.040] ANY MUSCLE ACHES audio/RES0038.mp3[482.080,488.200] OK AND WHEN YOU COUGH HAVE YOU EVER NOTICED LIKE WHEEZING NOISES AT ALL audio/RES0128.mp3[287.000,293.240] OK OK AND IS HE ON ANY MEDICATIONS RIGHT NOW audio/RES0069.mp3[333.680,338.000] OK AND DO YOU SMOKE CIGARETTES audio/RES0039.mp3[273.240,283.000] UHM NOTHING LIKE LIKE THAT I MEAN THE BACK OF MY THROAT MIGHT FEEL A LITTLE ITCHY FROM THE COUGHING BUT NOT REALLY SURE audio/RES0168.mp3[202.280,208.760] NO OK ANY ISSUES WITH BOWEL MOVEMENTS OR HAVE THOSE BEEN NORMAL audio/MSK0032.mp3[506.000,512.560] UM SHE DOESNT REALLY LET ME BUT IF I TRY TO I THINK THAT DOES CAUSE HER SOME PAIN audio/RES0036.mp3[362.960,370.920] IT JUST STARTS GRADUALLY GOING AWAY AT WHEN I STOP COUGHING audio/RES0063.mp3[45.640,50.640] THREE DAYS AGO OK AND THE MUSCLE ACHES STARTED TWO DAYS AGO audio/MSK0008.mp3[279.600,283.080] HAVE YOU HAD ANY WEIGHT LOSS UNEXPECTEDLY audio/RES0030.mp3[340.320,346.200] OK AND HAVE YOU HAD ANY RECENT INFECTIONS AT ALL audio/RES0205.mp3[105.960,110.600] KIND OF THE SAME I WOULD SAY audio/RES0184.mp3[147.840,152.520] WAS IT DRY OR DID YOU WERE BRINGING UP ANY SPUTUM OR PHLEGM audio/RES0186.mp3[345.720,352.800] OK UHM ALRIGHT ANY HISTORY OF LIKE CANCERS IN THE FAMILY audio/RES0196.mp3[50.560,56.880] OK AND SO IS IT JUST ONE EAR THAT SHES HAVING THE PAIN OR IS IT BOTH audio/RES0106.mp3[352.000,355.720] UH I DONT NO audio/RES0059.mp3[452.640,458.440] YEAH I AM YEAH I GET THE FLU SHOT EVERY YEAR audio/RES0152.mp3[143.240,147.840] UH NO NOTHING LIKE THAT audio/RES0125.mp3[361.280,367.000] OKAY AND OTHERWISE UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST audio/RES0128.mp3[478.920,491.200] YEAH I WAS JUST WONDERING IF IF MY SON HAD ASTHMA AS WELL AND IF LIKE YOU NEED A PRESCRIPTION FOR INHALERS audio/MSK0036.mp3[400.400,404.680] OK ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0151.mp3[154.520,158.000] UH NO NOTHING LIKE THAT audio/RES0070.mp3[140.840,147.880] OK AND HAS THERE BEEN ANYTHING THATS MADE THE HEADACHE WORSE LIKE LIGHTS OR OR SOUNDS audio/RES0076.mp3[119.880,125.360] OK IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE audio/MSK0028.mp3[512.440,517.720] HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES audio/RES0097.mp3[269.240,273.480] OK AND HAS HE HAD ANY ABDOMINAL PAIN audio/RES0128.mp3[46.400,50.720] DRY OK SO NO BLOOD IN THE WITH THE COUGHING audio/MSK0034.mp3[113.240,119.640] ITS LIKE ON THE SIDE OF MY HIP AS WELL AS LIKE IN THE GROIN AREA audio/RES0183.mp3[466.440,470.440] NO NO ONES TRAVELED RECENTLY audio/RES0138.mp3[182.920,187.880] ASPIRIN OKAY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0069.mp3[93.960,101.000] NO I DONT HAVE A THERMOMETER AT HOME audio/RES0111.mp3[54.840,65.880] YEAH OK BUT ITS NOT THAT YOU CANT UM YOU CANT SORT OF LIKE YOU DONT FEEL LIKE ITS GETTING STUCK audio/RES0075.mp3[27.240,48.120] SO THERE WAS SOME DISCOMFORT LIKE JUST 2 DAYS AGO BUT THEN JUST YESTERDAY IT STARTED GETTING VERY PAINFUL WHEN I WAS BREATHING SO YEAH I WOULD SAY 1 DAY AGO audio/RES0125.mp3[118.880,125.120] COUPLE OF SECONDS MAYBE audio/MSK0046.mp3[107.920,113.720] OK AND WHAT KIND OF MOTIONS UH CAUSE THE MOST PAIN audio/RES0160.mp3[329.520,335.520] DO YOU THINK SHE MIGHT HAVE HAD ANY EXPOSURES audio/RES0030.mp3[190.760,198.160] OK ANY INCREASED FATIGUE OR JUST FEELING TIRED OVERALL audio/RES0021.mp3[399.920,400.760] MMM I AM audio/RES0064.mp3[357.360,370.080] TYPE 2 OK AND THEN ANY SICK CONTACTS RECENTLY THAT HE MAY HAVE HAD audio/RES0058.mp3[70.120,81.840] YEAH KIND OF AND I THINK LIKE I MEAN PART OF THAT IS THAT I MAYBE NOT SMELLING IT AS WELL EITHER audio/RES0031.mp3[265.400,271.760] ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING ANY FATIGUE audio/RES0179.mp3[553.480,560.520] EVERY DAY OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW audio/RES0059.mp3[244.880,259.680] OK SO ITS YOUR COUGH AND JUST IN GENERAL HOW YOU FEEL DOES IT GET BETTER OR WORSE WITH ANYTHING HAVE YOU TRIED YOU KNOW TYLENOL AND ANY ANTIPYRETICS audio/RES0086.mp3[573.920,579.040] OK AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY audio/MSK0015.mp3[358.960,388.560] SHE DID HAVE THIS CONDITION WITH HER HIPS DYSPLASIA LIKE DEVELOPMENTAL DYSPLASIA OF THE HIP SO WHEN SHE WAS BORN SHE SHE WAS GETTING LIKE THIS CLICKING NOISE AND HER IN HER HIPS AND SO SHE WAS IN THIS SPLINT FOR PROBABLY ALMOST TWO MONTHS AT THE START LIKE AFTER SHE WAS BORN audio/RES0149.mp3[1.920,28.920] HI I UM I JUST DEVELOPED UH OR I GUESS I JUST STARTED HAVING DIFFICULTIES WITH UH BREATHING STARTING THIS MORNING IT WAS JUST VERY ODD I WAS FINE YESTERDAY NIGHT AND THEN JUST THIS MORNING IVE HAD A REALLY HARD TIME BREATHING UM AND YEAH I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT I DONT KNOW WHATS GOING ON audio/RES0007.mp3[225.920,269.560] WELL IM A LITTLE CONFUSED NOW BECAUSE I THE 1 SUPPOSED TO USE LIKE EVERY DAY A COUPLE TIMES AND THEN THERE WAS A DIFFERENT ONE THAT I THOUGHT IT WAS ONLY SUPPOSED TO BE USED IF THE OTHER ONE DIDNT WORK BUT NOW THE NURSE JUST TOLD ME THAT IM SUPPOSED TO USE THEM BOTH SO I ONLY GOT THE ONE AT THE PHARMACY SO I DONT REALLY I DONT REALLY KNOW I FEEL LIKE A BIT CONFUSED NOW BUT I ALWAYS USE THE 1 SUPPOSED TO BE LIKE 2 TIMES A DAY THE ONE THAT STARTS WITH AN S UM BUT SOMETIMES I JUST DO IT ONCE A DAY IF I FORGET THE SECOND ONE audio/RES0066.mp3[525.400,530.360] I USED TO SMOKE I DONT SMOKE ANYMORE audio/MSK0038.mp3[237.240,240.120] UH NO RASHES audio/RES0167.mp3[472.240,481.520] ILL HAVE THE OCCASIONAL GLASS OF WINE ON A SPECIAL OCCASION BUT NOT FREQUENTLY AND NOT NOT HEAVILY audio/RES0174.mp3[629.560,633.120] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0202.mp3[171.720,174.960] NO NO NOT THAT IVE NOTICED audio/RES0008.mp3[68.720,76.040] OK AND SINCE YOU NOTICED IT HAS IT GOTTEN WORSE OVER THOSE THREE DAYS audio/MSK0004.mp3[311.440,318.040] OK ANY ALLERGIES TO MEDICATIONS OR ANY ENVIRONMENTAL ISSUES audio/RES0027.mp3[392.160,394.360] AH NO audio/RES0179.mp3[250.480,253.000] NOTHING LIKE THAT audio/RES0062.mp3[1054.280,1060.760] YEAH THAT SOUNDS LIKE A GREAT PLAN audio/RES0044.mp3[894.440,896.160] ALRIGHT THANK YOU audio/MSK0025.mp3[233.520,249.280] IVE TRIED LIKE OVER THE COUNTER COUNTER AND IBUPROFEN IVE TRIED SOME TOPICAL ANALGESICS AND NOTHING SEEMS TO BE WORKING audio/MSK0031.mp3[557.720,568.640] OK AND SO I I GUESS YOU CANT DO ANY OF THE LIKE HIP FLEXION OR HIP EXTENSION HIP ABDUCTION OR ADDDUCTION CORRECT audio/RES0136.mp3[613.560,620.040] UM ANY ALRIGHT SO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS FOR ME audio/RES0080.mp3[394.800,403.160] OK AND HOW ARE YOUR SYMPTOMS FEELING NOW WHEN COMPARED TO UH THAT TIME audio/RES0009.mp3[647.560,649.560] OK AND DO YOU SMOKE CIGARETTES audio/RES0111.mp3[88.320,93.120] OK OK AND UH HAVE YOU HAD A RUNNY NOSE audio/RES0167.mp3[216.240,224.640] NO UH NO NOT DIZZINESS OR CONFUSION BUT I HAVE JUST BEEN FEELING VERY WEAK AND TIRED audio/RES0071.mp3[402.880,421.120] YEAH I FEEL IT LIKE MORE LIKE IT DOES HURT WHEN WHEN IM COUGHING THATS KIND OF WHAT IM FEELING IT I THINK ITS BEING CAUSED BY HOW MUCH IM COUGHINGI KIND OF FEEL IT THERE IN THE CENTER audio/RES0063.mp3[121.480,124.200] NO NO CHANGES audio/MSK0008.mp3[442.960,445.320] OK ARE YOU IN A RELATIONSHIP audio/RES0003.mp3[450.760,460.400] YEAH YEAH HES BEEN GROWING NORMALLY AND EATING WELL UP UP TO THIS POINT audio/RES0046.mp3[473.240,480.600] OK AND IF YOU WERE TO DESCRIBE THE PAIN IS IT SHARP DULL OR ACHY audio/MSK0043.mp3[729.160,739.200] UM SOMETIMES YEAH ILL ILL HAVE UH JUST A FEW BEERS MAYBE A FEW BEERS A WEEK audio/RES0066.mp3[568.000,575.200] OK ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0191.mp3[212.520,216.640] HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION audio/RES0068.mp3[63.360,67.360] NO NEVER audio/RES0212.mp3[172.440,181.360] GOT IT GOT IT ANYONE SICK NEAR YOU OR AROUND YOU IN THE LAST COUPLE OF WEEKS audio/RES0211.mp3[431.680,432.680] OK IN LONDON audio/RES0149.mp3[248.120,252.720] OK AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0205.mp3[123.840,133.800] UHM ITS HARD FOR ME TO QUANTIFY MAYBE A COUPLE OF TIMES AN HOUR MAYBE THREE OR FOUR TIMES AN HOUR OR SO audio/RES0106.mp3[227.640,238.000] OK GOOD IF YOU WERE TO DESCRIBE YOUR COUGH IS IT BARKY HARSH MUFFLED LIKE WHAT WHAT WOULD YOU SAY THE SOUND OF IT IS audio/MSK0041.mp3[414.160,424.000] I WAS RECENTLY HOSPITALISED FOR KIDNEY STONES BUT THAT SINCE HAS RESOLVED audio/RES0141.mp3[136.120,138.080] RUNNY NOSE OR CONGESTION audio/MSK0004.mp3[275.440,282.440] IM UH I HAD DIARRHEA A FEW MONTHS AGO AND I WAS GIVEN A FLUOROQUINOLONE AS AN ANTIBIOTIC audio/RES0075.mp3[206.120,210.360] OK AND HAVE YOU HAD A SORE THROAT audio/RES0121.mp3[166.120,169.000] OKAY ANY SHORTNESS OF BREATH audio/MSK0007.mp3[483.240,487.760] OK ALRIGHT AND IS THERE ANY FAMILY HISTORY OF ANY HEART OR LUNG PROBLEMS audio/RES0010.mp3[201.960,204.440] NO NO NOTHING IN MY EYES audio/RES0028.mp3[392.400,396.160] NO I IM HEALTHY audio/RES0176.mp3[263.200,269.400] YEAH IT WAS audio/MSK0022.mp3[134.880,140.520] OK IN THE MORNING STIFFNESS LASTS MORE THAN 30 MINUTES YOU SAID audio/RES0126.mp3[665.600,669.720] OK AND HOW MUCH DO YOU SMOKE ON A ON A DAILY BASIS audio/MSK0005.mp3[30.960,51.000] NO THERE WASNT ANY ANY TRAUMA OR ANY TRIGGERS THAT THAT I NOTICED I WAS JUST UM FEELING IT UH A BIT MORE AT THE END OF OF WORK UM YEAH I WAS JUST HAVING IT UH FEELING THE PAIN A BIT MORE AT THE END OF WORK audio/RES0093.mp3[511.320,530.120] OK OK I SUPPOSE WE COULD TALK A LITTLE BIT MORE ABOUT THAT LATER IF YOU WANT UHM AS FOUR TO SIX BEERS IS QUITE A LOT ACTUALLY AND IT CAN AFFECT YOUR HEALTH IN CERTAIN WAYS BUT WE CAN WE CAN CHAT MORE ABOUT THAT LATER audio/RES0102.mp3[517.000,530.240] OK BEFORE THE TWO WEEKS OR A COUPLE OF WEEKS THAT YOU HAD THIS WERE YOU SICK AT ALL RECENTLY LIKE WITH A COLD OR ANY FLU LIKE SYMPTOMS audio/RES0019.mp3[218.320,231.080] OK WELL BE SURE TO CHECK THAT TODAY IN CLINIC AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0185.mp3[27.160,30.760] YEAH THEY THEY KIND OF STARTED IT AROUND THE SAME TIME audio/RES0036.mp3[252.600,259.400] UH NO audio/GAS0004.mp3[107.920,115.400] OK UM HAVE YOU NOTICED ANY ANY PAIN ASSOCIATED WITH IT audio/RES0026.mp3[190.400,197.800] NO ITS ITS NOT THAT BAD BUT IT JUST SEEMS TO BE THERE ALL DAY LONG audio/RES0076.mp3[284.800,289.280] YEAH A LITTLE BIT MORE TIRED RECENTLY YEAH audio/RES0180.mp3[369.640,374.200] NO NOTHING LIKE THAT audio/MSK0014.mp3[36.680,49.080] SO LIKE I WOULD SAY AROUND 5 DAYS AGO IT STARTED GETTING MORE AND USUALLY I DO GET PAIN IN SOME OF MY JOINTS BUT I I DONT REALLY GET SWELLING SO THAT WAS A BIT DIFFERENT audio/RES0130.mp3[444.120,454.240] YEAH SINCE I OH CBDROPS I AT NIGHT I FIND THAT HELPS WITH UH SLEEP AND AND THE PAIN IN MY KNEES audio/RES0072.mp3[325.840,338.960] UH SO ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN OR LIKE A RUNNY NOSE ANY ANY OF THOSE SYMPTOMS audio/MSK0018.mp3[387.240,405.280] OKAY SO SOME TENDERNESS AND PAIN IN THE ACROMION PROCESS AND SCAPULA UM AND IF YOU PRESS DOWN ON YOUR BICEPS TRICEPS DOES THAT HURT audio/RES0212.mp3[458.520,462.920] OK SO DO YOU TWO USE CONTRACEPTION BIRTH CONTROL audio/RES0065.mp3[347.080,350.960] UM I HAVE CROHNS DISEASE audio/RES0015.mp3[708.920,720.800] NO OK OK UM DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING YOU WANTED TO DISCUSS THAT I HADNT ASKED YOU ABOUT audio/RES0102.mp3[629.560,632.640] OK AND DO YOU KNOW WHAT MEDICATIONS YOU TAKE audio/RES0007.mp3[510.720,513.400] EYES OR RUNNY NOSE audio/MSK0039.mp3[566.320,573.800] NO OK AND THEN UH PLACING YOUR HAND ON ONE LEG COMPARED TO THE OTHER DOES IT SEEM WARMER audio/RES0174.mp3[279.240,288.080] OK YEAH UM OK AND HOW IS YOUR WEIGHT BEEN RECENTLY ANY WEIGHT GAIN OR LOSS audio/RES0112.mp3[325.560,331.880] UH NO JUST LIKE SOME HEART ISSUES audio/RES0011.mp3[563.240,568.880] ALRIGHT AND ANY RECENT HOSPITALIZATIONS audio/RES0137.mp3[168.440,174.800] OKAY UM OTHER THAN THE COUGH UH ANY ANY FEVERS OR CHILLS audio/GAS0002.mp3[152.080,156.600] SO ITS LIKE A SHARP I WOULD DESCRIBE IT AS LIKE A SHARP PAIN audio/RES0123.mp3[668.880,735.560] WE WILL ALSO GET A COVISWAB DONE SIMPLY BECAUSE YOUR SYMPTOMS SOUND VERY SIMILAR TO UM OR I GUESS A LOT OF THESE SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVISO WELL DO THAT AND UM I WOULD REQUIRE WOULD REQUEST THAT YOU CONTINUE TO UH STAY AT HOME IF YOU HAVENT BEEN DOING SO SO FAR UM TAKE A LEAVE FROM WORK TRY TO DO WORK FROM HOME AND QUARANTINE AT HOME AS MUCH AS POSSIBLE AND STAY AWAY FROM YOUR WIFE AND YOUR DAUGHTER AS WELL AT LEAST UNTIL THE SWAB IS BACK AND YOU GET SOME MORE GUIDANCE FROM UH PUBLIC HEALTH IF IT IS POSITIVE THEY WILL GIVE YOU A CALL UM THERE ARE LOTS OF GUIDELINES ON HOW TO SELF ISOLATE AND I I CAN SHARE THAT WITH YOU UM ITS BEST THAT YOU DO THAT FOR NOW UM WE WILL RUN A COUPLE OF TESTS DO LABS AND BASED ON THOSE RESULTS UH WELL DECIDE IF YOU NEED TO STAY IN THE ER OR IF WE CAN UM IF YOU CAN BE DISCHARGED LATER TODAY DO YOU HAVE ANY QUESTIONS FOR ME audio/MSK0017.mp3[651.800,654.400] UM YEAH I I CAN GET PART PART WAY DOWN audio/RES0137.mp3[323.600,337.760] WE WE DID GET A CAT UM ABOUT A MONTH AGO audio/RES0044.mp3[64.920,66.560] I DONT THINK SO audio/RES0207.mp3[256.400,266.360] OK UHM SO IN TERMS OF YOUR OVERALL HEALTH YOU SAID THAT YOU HAVE EPILEPSY ANY OTHER CHRONIC CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0048.mp3[324.680,330.160] OK HOW ABOUT UM PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS audio/RES0090.mp3[299.440,312.320] OK AND UH CURRENTLY RIGHT NOW HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE DO YOU GO TO WORK OR ANYONE LIVING WITH YOU RIGHT NOW audio/MSK0039.mp3[57.000,64.960] OK OK AND UM IF YOU WERE TO LOCALIZE THIS PAIN WHERE EXACTLY IS IT audio/MSK0027.mp3[0.000,1.800] HOW MAY I HELP YOU audio/RES0100.mp3[345.480,362.640] UHM NO CHILLS WELL YEAH I WOULD SAY A COUPLE NIGHTS AGO I MIGHT HAVE HAD SOME CHILLS BUT MAINLY ITS JUST BEEN IVE BEEN FEELING MORE HOT AND I HAVE BEEN KIND OF GETTING LIKE NIGHT SWEATS audio/RES0195.mp3[311.760,322.520] DO YOU SEE ANY OR DO YOU NOTICE ANY LIKE FLUID COMING OUT FROM YOUR EYES OR ANYTHING LIKE THAT audio/RES0081.mp3[128.680,132.240] OK AND HAS HE BEEN BRINGING UP ANY SPUTUM audio/CAR0002.mp3[49.960,62.120] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT KIND OF LIKE AN ACHING PAIN OR IS IT A SHARP OR TIGHT TIGHTNESS KIND OF PAIN HOW WOULD YOU DESCRIBE IT audio/RES0165.mp3[221.720,224.800] NOW I KNOW audio/MSK0029.mp3[104.960,118.360] OK OK AND DOES ANYTHING FEEL BROKEN DO ARE THERE BRUISES ANYWHERE ANY OBVIOUS SIGNS OF TRAUMA audio/RES0209.mp3[448.320,451.160] UH BOTH WE DO HALF DAYS audio/RES0071.mp3[510.000,513.840] NO I DONT IM HEALTHY audio/MSK0024.mp3[112.360,115.280] FOR THE PAST 30 YEARS audio/MSK0046.mp3[214.160,215.680] NO SO YOURE HEALTHY audio/RES0175.mp3[269.760,274.680] OK SO I HAVE YOU HEARD OF BPH BEFORE audio/RES0075.mp3[175.720,188.000] HOW ABOUT ANY VIRAL SYMPTOMS LIKE EYE REDNESS NASAL DISCHARGE OR NASAL CONGESTION OR COUGH audio/RES0003.mp3[152.520,157.560] OK AND HOW ABOUT LIKE A STUFFY NOSE OR RUNNY NOSE audio/RES0110.mp3[116.000,122.360] CAN YOU UH IS IT A DRY COUGH OR A WET COUGH audio/RES0032.mp3[258.560,271.240] ID SAY ITS KIND OF LIKE A UH ITS A STABBING KIND OF UH UH PAIN AND I ONLY REALLY NOTICE IT WHEN I TAKE A DEEP BREATH audio/RES0123.mp3[521.480,526.000] HAVE YOU DO YOU TAKE ANYTHING OVER THE COUNTER ANY HERBAL PILLS VITAMINS MINERALS ETC audio/RES0195.mp3[360.440,363.960] NO NOTHING LIKE THAT audio/RES0030.mp3[499.520,505.600] OK AND DO YOU CURRENTLY WORK audio/MSK0038.mp3[830.160,860.000] OK AND THEN IM GONNA GET YOU TO FLEX YOUR KNEE AT 90 DEGREES AND UM ABDUCT AND EXTEND THE HIP UH WHILE YOUR THIGHS MAINTAIN IN LINE WITH YOUR TRUNK UM SO IM GONNA GET YOU TO ADDUCT YOUR THIGH SO BRING IT BACK TOWARDS YOU THE THE MEDIAN UM AS FAR AS POSSIBLE audio/RES0178.mp3[161.240,164.280] NO OK WEIGHT LOSS audio/RES0053.mp3[915.880,917.160] ALRIGHT TAKE CARE audio/RES0001.mp3[769.000,776.960] WORK UP FOR BUT ALSO WE DONT WANT TO MISS OTHER THINGS YOU KNOW LIKE audio/MSK0028.mp3[349.360,353.080] OK UH AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/MSK0045.mp3[113.120,116.280] UH ANY MOVEMENT audio/RES0095.mp3[204.480,207.480] UH NO audio/RES0119.mp3[612.200,637.280] AND UH USUALLY WHEN SHE GETS THESE TYPES OF SYMPTOMS SHE CAN USE THE PUFFER TO HELP HER UH AND IF IT UM HELPS HER THEN ITS MOST LIKELY THAT SHE DOES HAVE ASTHMA AND SHE WILL NEED UM THAT PUFFER AND THEN SHE MIGHT ALSO NEED ANOTHER PUFFER WHICH IS AN INHALED CORTICOSTEROID UM FOR THE FUTURE TO DECREASE UM THE LIKELIHOOD THAT THIS ASTHMA GETS WORSE IN THE FUTURE audio/RES0211.mp3[238.800,248.560] THOSE ARE THE ONES THAT ID HAVE LIKE ONCE USUALLY LIKE ONCE A WEEK FOR A LITTLE WHILE LIKE IN THE WINTER BEFORE audio/RES0021.mp3[582.920,588.040] ALRIGHT EXCELLENT IS THAT ANYBODY IN THE OFFICE WHERE YOU WORK BEEN SICK audio/RES0029.mp3[333.240,336.400] OK ANYBODY IN THE FAMILY WHO HAVE ANY ILLNESSES audio/MSK0033.mp3[310.520,317.040] OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS audio/RES0063.mp3[239.920,251.440] OK OK AND ANY ISSUES WITH JOINT PAIN YOU SAID YOUR MUSCLE ACHES BUT HOW ABOUT JOINTS audio/RES0197.mp3[230.960,237.040] UHM NO NOTHING LIKE THAT audio/RES0185.mp3[328.680,331.080] THEY ARE YES audio/MSK0050.mp3[233.840,239.920] OK AND HAVE YOU HAD ANY TRAUMA OR INJURIES TO YOUR WRIST OR HAND audio/RES0131.mp3[225.360,234.400] OKAY HOW ABOUT WEIGHT LOSS HAVE YOU EXPERIENCED ANY WEIGHT LOSS RECENTLY audio/GAS0004.mp3[284.560,292.120] AND ARE YOU NAUSEATED ALL THE TIME OR IS IT KIND OF ON AND OFF audio/GAS0001.mp3[356.120,364.840] OK AND HAVE YOU NOTICED ANY BLOOD IN YOUR STOOLS audio/MSK0034.mp3[227.480,232.040] NO OK ANY FEVERS OR CHILLS audio/RES0092.mp3[105.080,127.000] YEAH I HAD A SORE THROAT AND A LITTLE BIT OF A HEADACHE AS WELL UHM AND AND SOME ACHES AND FATIGUE THOSE WERE UH YEAH THAT WAS LAST WEEK FOR ABOUT THREE DAYS AND THEN I STARTED TO FEEL BETTER BUT I STILL HAVE THIS COUGH THAT ITS STILL GOING ON audio/RES0134.mp3[135.000,139.960] HOW LONG DOES THE PAIN LAST FOR AND IS THERE ANYTHING THAT YOU DO THAT MAKES IT GO AWAY audio/MSK0008.mp3[656.640,667.960] YEAH SO WHEN I PRESS WHEN I DO THAT IT HURTS ON THE MEDIAL ASPECT BUT NOT THE LATERAL ASPECT audio/MSK0045.mp3[481.080,498.640] OK AND UM AND ANY KIND OF MOVEMENT HURTS RIGHT THERES NO PARTICULAR MOVEMENT THAT LIKE IF YOU WERE INSTEAD OF UM TRYING TO RAISE THAT SHOULDER BY ITSELF IF YOU WERE TO JUST MOVE IT WITH THE OTHER ARM DOES IT HURT audio/RES0076.mp3[643.920,653.840] UH I DID HEAR OF IT ACTUALLY YEAH SO ONE OF MY FRIENDS TRIED IT AND IT WORKED WELL FOR THEM SO YEAH audio/RES0019.mp3[543.920,545.480] I DONT audio/RES0210.mp3[422.360,427.360] HOW MUCH WOULD YOU SAY THAT YOU SMOKE audio/RES0090.mp3[547.600,595.200] YEAH SO WE WILL KEEP YOU IN AN ISOLATED ROOM RIGHT NOW WHEN YOURE GETTING ALL THOSE TESTS AND IF YOU DO HAVE TB YOU WILL NEED TO ISOLATE UHM AND STAY AWAY FROM CONTACTS NOT BE AT WORK WE WILL IF YOU DO IN FACT HAVE TB WHICH IT SEEMS LIKELY RIGHT NOW YOU WILL BE STARTED IN HOSPITAL ON A LIKE ANTIBIOTIC THERAPY UH WHICH CONSISTS OF LIKE FOUR DIFFERENT MEDICATIONS AND PEOPLE WITH THE ACTIVE TB WILL DO HAVE TO ISOLATE DURING THAT TIME PERIOD SO YEAH WELL GET SOME OF THOSE TESTS DONE AND WELL GET BACK TO YOU AS SOON AS POSSIBLE audio/GAS0001.mp3[306.520,323.200] ALRIGHT UM OK UH HAVE YOU ILL JUST ASK YOU A COUPLE MORE QUESTIONS ABOUT YOUR SYMPTOMS SO I KNOW THAT YOUVE BEEN NAUSEOUS AND HAVE VOMITED A COUPLE OF TIMES IN THE PAST TWO WEEKS AND YOU HAVE HAD SOME CRAMPS IN YOUR BELLY HAVE YOU HAD ANY FLU LIKE SYMPTOMS audio/RES0082.mp3[403.360,416.120] OK UHM ALRIGHT AND DO YOU UHM HAVE YOU HAD THESE SYMPTOMS ANYTIME RECENTLY BEFORE audio/RES0009.mp3[15.680,20.560] OH OK UM WHERE ARE YOU FEELING THIS PAIN audio/MSK0040.mp3[464.080,469.160] OK AND HOW ABOUT HAVE YOU TRAVELING ANYWHERE audio/RES0199.mp3[125.640,140.480] OK SO THIS ISNT YOU ALRIGHT AND LETS GO ON TO THE COUGH THE COUGH STARTED AROUND THE SAME TIME YOU SAID HAS THAT GOTTEN BETTER OR WORSE OVER THE PAST FOUR DAYS audio/RES0112.mp3[263.960,269.360] NO OK DID YOU HAVE ANY VIRAL INFECTIONS DURING THAT TIME DURING PREGNANCY audio/RES0106.mp3[47.080,48.720] SOMETIMES YEAH audio/RES0085.mp3[334.440,343.000] YEAH THE TWO MONTHS VACCINATIONS ARE ALL UP TO DATE audio/RES0098.mp3[81.760,91.640] AND YOU MENTIONED A COUGH AS WELL WITH THE COUGH IS IT HAS IT BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM audio/RES0075.mp3[556.000,561.200] OK YEAH SOUNDS GOOD SHOULD BE LIKE WORRIED AT ALL audio/MSK0040.mp3[452.360,456.720] GOING PRETTY WELL audio/RES0091.mp3[213.200,217.040] OK UHM WHERE WHERE DO YOU LIVE DO YOU LIVE IN AN APARTMENT A HOUSE audio/RES0058.mp3[217.880,228.760] NONE BEFORE THAT THOUGH IT WAS JUST THE ONE OR KIND OF TWO TIMES BUT IT HASNT HAPPENED SINCE THEN audio/RES0178.mp3[142.640,143.960] AND VISIONS BEEN NORMAL audio/RES0148.mp3[91.760,101.200] YEAH I GUESS A LITTLE BIT audio/RES0022.mp3[96.480,107.080] OK UM AND HAS IT BEEN GETTING WORSE OVER THIS PAST WEEK OR HAS IT STAYED THE SAME audio/RES0183.mp3[519.280,526.360] ALRIGHT AND ANY COMPLICATIONS WITH DELIVERY AND WAS IT VAGINAL OR CSECTION audio/RES0089.mp3[336.240,341.200] OK AND ANY FEVERS OR CHILLS audio/RES0004.mp3[155.640,160.440] YEAH ID SAY THATS A FEVER WE CAN ALSO DO ANOTHER TEMPERATURE CHECK TODAY audio/RES0006.mp3[666.680,668.520] OK SOUNDS GOOD audio/CAR0003.mp3[444.800,451.160] OK AND HAVE YOU EVER HAD ANY CHEST PAIN OR HEART ATTACK IN THE PAST audio/MSK0038.mp3[662.600,665.360] UH NO PAIN THERE audio/RES0191.mp3[530.480,533.560] THANK YOU audio/RES0016.mp3[55.760,62.920] OK OK UM AND SAME THING WITH THE COUGH IT GETS WORSE WHEN YOURE WALKING AROUND audio/MSK0019.mp3[184.160,189.240] NO OKAY HOW ABOUT UM PAIN ELSEWHERE ON YOUR BODY audio/RES0073.mp3[364.000,374.080] OK AND UH SORRY TO GO BACK TO THIS I DONT THINK I ASKED DID YOU NOTICE ANY DISCHARGE FROM YOUR EYES OR ANY EYE REDNESS audio/RES0087.mp3[490.640,497.120] OK DO YOU LIVE IN AN APARTMENT OR IN A HOUSE audio/RES0073.mp3[315.400,316.720] UH NO audio/RES0047.mp3[472.920,480.400] OK OK ANY OTHER SURGERIES OR HOSPITALIZATIONS audio/RES0214.mp3[316.160,318.000] NO CHOLESTEROL ISSUES audio/RES0136.mp3[475.440,477.280] YEAH NO THATS IT audio/RES0031.mp3[505.760,510.640] I SEE OK AND DO YOU DRINK ALCOHOL audio/RES0083.mp3[260.880,262.560] ANY PAIN YOUR BELLY audio/RES0077.mp3[373.000,377.880] YEAH I FEEL IT ON BOTH KINDA LIKE RIGHT UP INTO MY FOREHEAD THERE audio/RES0006.mp3[415.640,421.920] OK UM AND I WAS WONDERING IF YOU HAD ANY ALLERGIES TO MEDICATIONS audio/RES0072.mp3[505.440,511.520] OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS REGULARLY audio/RES0211.mp3[68.000,71.880] YOU FELT HOT AT HOME OK audio/MSK0012.mp3[498.600,506.360] NO I DONT I JUST TAKE CALCIUM AND VITAMIN AND OTHER BUT MULTI VITAMINS audio/RES0095.mp3[327.880,328.480] WHATS THAT audio/RES0097.mp3[180.080,185.480] ALRIGHT ITS CERTAINLY A FEVER UHM HAS HE HAD ANY CHILLS OR NIGHT SWEATS audio/MSK0026.mp3[369.000,383.080] UHM I HAVE CLASS 2 OBESITY AND THEN ALSO ARTHRITIS IN MY LEFT KNEE AS WELL AS HIGH BLOOD PRESSURE audio/RES0042.mp3[119.760,125.040] NO DO YOU EVER FEEL LIKE YOUR HEART IS RACING audio/MSK0017.mp3[454.240,456.760] UM NO I DONT SMOKE audio/RES0070.mp3[323.000,325.800] UHM ITS FINE audio/RES0121.mp3[132.360,135.800] OKAY HAVE YOU BEEN AROUND ANYONE THATS SICK RECENTLY audio/RES0175.mp3[84.360,89.440] ALRIGHT AND HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH audio/RES0191.mp3[349.440,359.480] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS audio/CAR0005.mp3[73.320,84.600] IT COMES AND GOES I WOULD SAY I IT MIGHT LAST FOR UM 2030 MINUTES AT A TIME AND THEN IT GOES AWAY audio/RES0143.mp3[288.880,293.600] NO IVE BEEN UH COMPLETELY HEALTHY OTHERWISE audio/RES0199.mp3[217.720,220.600] NO OK CHANGES IN YOUR VISION OR HEARING audio/RES0014.mp3[575.680,584.360] OK YEAH AND YOU MENTIONED YOU ARE OTHERWISE HEALTHY SO YOU DONT HAVE ANY HISTORY OF ASTHMA OR ANYTHING LIKE THAT RIGHT audio/MSK0036.mp3[342.400,357.200] I SEE OK AND HAVE YOU HAD ANY LIKE NUMBNESS AND AND THAT TINGLING IN THE HAND OR ANYWHERE ELSE audio/RES0047.mp3[461.120,472.920] UM YEAH I HAVE UH HIGH BLOOD PRESSURE AND UM I HAD MY GALLBLADDER TAKEN OUT UH A FEW YEARS AGO audio/MSK0008.mp3[447.880,454.640] OK IS THERE ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION audio/RES0037.mp3[129.000,139.480] OK AND DID THIS ALL START AFTER THE CHEST INFECTION OR DID YOU HAVE SOMETHING LIKE THIS OCCUR BEFORE audio/RES0093.mp3[385.040,392.880] SO THE PPI HASNT COMPLETELY CURBED THE THE ACID REFLUX YOU STILL GET IT audio/RES0179.mp3[99.240,105.160] OK ALRIGHT AND IS THERE WHEEZINESS AS WELL audio/RES0191.mp3[421.240,425.280] HOW ABOUT THINGS LIKE DIABETES OR OR HIGH BLOOD PRESSURE audio/RES0004.mp3[131.200,137.640] NO ITS MORE SO THE SORE THROAT WHEN SWALLOWING audio/MSK0035.mp3[367.600,368.560] UH NOPE audio/RES0152.mp3[328.040,336.200] OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES OR ANY REASONS TO BE HOSPITALIZED BEFORE audio/RES0187.mp3[267.240,271.360] UHM NO audio/RES0050.mp3[532.040,533.440] ANY CANCERS IN THE FAMILY audio/RES0149.mp3[566.360,571.600] OK UM AND ANY HEART CONDITIONS LUNG CONDITIONS audio/RES0071.mp3[347.960,350.080] ANY NAUSEA OR VOMITING audio/RES0118.mp3[399.200,406.400] UH I DRINK LIKE A GLASS OF WINE EVERY OTHER DAY audio/RES0012.mp3[664.160,666.080] I DONT THINK SO NO audio/GAS0002.mp3[335.360,339.680] OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR WEIGHT RECENTLY audio/RES0007.mp3[858.840,871.280] MMMM LIKE MY DAD ALSO REALLY DAD GETS LIKE A RUNNY NOSE IN THE SPRING SO YEAH I THINK THATS ALLERGIES audio/RES0173.mp3[438.840,445.840] I LIVE ALONE UH I HAVE AN APARTMENT NEXT TO THE UNIVERSITY audio/MSK0014.mp3[507.640,515.520] OK UHM ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH audio/RES0086.mp3[231.040,240.080] OK AND WHEN YOU COUGH DO YOU BRING UP PHLEGM OR IS IT MORE LIKE A DRY COUGH audio/RES0213.mp3[348.480,360.200] UHM NO ONLY IF I ONLY IF I IF I IF IM HAVING KIND OF AN ANXIETY ATTACK THATS FELT LIKE THAT BEFORE BUT NOT ANY OTHER TIME audio/RES0007.mp3[833.000,834.600] NO I HAVENT audio/RES0122.mp3[162.040,165.920] CHANGES IN YOUR BOWEL MOVEMENT audio/RES0011.mp3[202.480,210.240] UH NO I DONT THINK SO I MEAN I LIVE I LIVE ALONE SO I CANT REALLY ASK SOMEONE ELSE IF I HAVE audio/RES0167.mp3[460.360,461.640] NO NO audio/RES0176.mp3[631.440,636.560] OK AND IN THE FAMILY IS THERE IS THERE ANYBODY WHO HAS ANY HEART OR LUNG CONDITIONS audio/RES0136.mp3[578.120,582.280] OKAY UM HOW HOW OFTEN WOULD YOU SAY YOU USE IT audio/MSK0005.mp3[113.600,140.040] UM SO LIKE REALLY ITS MOSTLY THE MOVEMENTS AT MY WRIST IF IM BENDING MY WRIST DOWN UH I CAN I CAN FEEL IT OR UM IF IM HAVING TO PICK THINGS UP OR HOLD HEAVY OBJECTS AT WORK I DO A LOT OF REPETITIVE UH THINGS AT AT WORK I WORK ON A LINE audio/RES0202.mp3[412.200,416.520] ANY DIZZINESS OR FAINTING SPELLS audio/RES0064.mp3[258.320,267.800] NO NOT REALLY TS JUST BEEN OVER THE LAST FEW DAYS THAT HE HASNT BEEN EATING LIKE HIMSELF audio/RES0154.mp3[222.560,226.000] OK ANY RASHES audio/MSK0036.mp3[780.480,792.640] I SEE OK AND IS THERE ANY AREAS OF YOUR HANDS OVER LIKE ANY OF THE JOINTS OR OVER THE REST THAT IF YOU PRESS YOU FEEL PAIN audio/MSK0007.mp3[27.640,31.600] OK AND SORRY WHEN DID THIS PAIN EXACTLY START audio/RES0051.mp3[269.280,273.240] OK HOW ABOUT ANY URINARY PROBLEMS audio/RES0110.mp3[337.040,341.280] OK AND UM ANY CHEST PAIN audio/RES0079.mp3[128.560,131.640] ANY CHEST PAIN OR PRESSURE audio/RES0033.mp3[125.160,140.920] I THINK IT WAS PRETTY IT WAS PRETTY MUCH THE SAME OVER THE LAST FEW MONTHS BUT THEN OVER THE LAST WEEK I WOULD SAY JUST GOT REALLY BAD AND OVER THE LAST FEW DAYS ITS JUST BEEN GETTING WORSE AND WORSE audio/RES0134.mp3[371.800,377.800] SENSE OF SMELL OR TASTE NO NO CHANGES THERE audio/RES0091.mp3[76.320,84.800] ITS CLEAR OK HAVE YOU AT ALL COUGHED UP ANY BLOOD AT ALL audio/MSK0037.mp3[176.240,188.840] UHM I WOULD SAY THERE IS A YEAH THERES SOME LIKE CATCHING I WOULD SAY IF WHEN IM TRYING TO EXTEND audio/RES0010.mp3[97.400,100.560] ANY DIFFICULTIES BREATHING audio/RES0001.mp3[463.120,471.280] SPENDING A LOT MORE TIME UM RELAXING AT HOME AFTER THAT A FEW WEEKS AGO audio/MSK0024.mp3[1.960,17.960] HI IVE BEEN HAVING THIS BACK PAIN FOR THE PAST MONTH SO ID JUST LIKE SOMETHING FOR IT AN AND YOU KNOW IMAGE IT IF POSSIBLE JUST TO FIGURE OUT WHAT IT IS audio/RES0174.mp3[235.200,238.080] NO NO I HAVE NOT HAD A COUGH audio/RES0153.mp3[19.240,30.400] UM YEAH A LITTLE BIT IVE NOTICED UH WITH SWALLOWING ESPECIALLY SOLIDS AS WELL audio/RES0034.mp3[653.520,656.360] ANY PREVIOUS HOSPITALIZATIONS audio/RES0022.mp3[370.000,380.480] MAYBE MAYBE A LITTLE DIARRHEA OH BUT I DIDNT KNOW IF THAT WAS JUST SOMETHING I ATE OR WHAT audio/MSK0001.mp3[233.680,240.720] ANY CHANGES IN YOUR UM BOWEL MOVEMENTS AT ALL LIKE DIARRHEA CONSTIPATION OR ANYTHING audio/RES0116.mp3[82.480,98.960] UH I THINK WE DID SEE SOME UH JUST LIKE IT WASNT RED OR ANYTHING BUT I THINK WE DID UH SEE SOME UM JUST KIND OF CLEAR TO ALMOST UH CLEAR TO YELLOWISH FLUID FROM HIS AFFECTED EAR audio/RES0063.mp3[427.600,439.760] UHM M SON ACTUALLY GOT DIAGNOSED WITH COLORECTAL CANCER JUST A FEW YEARS AGO audio/RES0028.mp3[281.920,287.360] IVE HAD A COUGH SINCE LAST WEEK BUT IT FEELS MUCH WORSE TODAY audio/RES0138.mp3[122.720,130.280] NO AND DO YOU EVER WAKE UP GASPING FOR AIR audio/RES0035.mp3[329.160,332.560] NO ITS JUST BEING CONTROLLED BY DIET audio/MSK0032.mp3[176.520,182.240] I WOULD SAY ITS PROBABLY AT LEAST A 7 audio/RES0071.mp3[421.120,427.560] AND BESIDES WHEN YOURE COUGHING DO YOU HAVE ANY PAIN IN YOUR CHEST WHEN YOURE BREATHING IN OR OUT audio/RES0049.mp3[335.480,340.760] NO OK AND ANY SWELLING IN YOUR LIMBS audio/RES0177.mp3[415.200,419.960] OK HAVE ABOUT CANCERS IN THE FAMILY audio/RES0166.mp3[118.080,125.480] MAYBE WHEN I TAKE A VERY DEEP BREATH THEN YEAH IT JUST KIND OF I FEEL LIKE THIS SHARP PAIN audio/RES0130.mp3[311.520,314.080] OR ACID REFLUX YEAH audio/RES0128.mp3[563.360,566.360] THAT SOUNDS GOOD THANK YOU audio/RES0105.mp3[303.080,311.280] NO I DONT I DONT THINK SO audio/RES0145.mp3[217.960,221.160] DIFFICULTIES BREATHING audio/RES0063.mp3[574.920,582.400] OK OK AND THEN ANY MARIJUANA audio/RES0062.mp3[325.320,327.280] I HAVENT NOTICED ANY BLOOD NO audio/MSK0022.mp3[617.600,623.440] YEAH I THINK ITS LIKE SYNTHROID OR OR SOMETHING LIKE THAT YEAH I THINK SYNTHROID audio/RES0042.mp3[445.800,453.000] OK AND HOW ABOUT YOUR SMOKING HISTORY DO YOU SMOKE AT ALL audio/RES0105.mp3[654.600,659.200] UHM I DO YEAH CURRENTLY YEAH MAYBE HALF A PACK TO A PACK PER DAY audio/RES0176.mp3[558.920,568.120] OK I SEE AND ARE YOU WORKING CURRENTLY OR OR AT HOME audio/RES0120.mp3[64.080,78.880] OKAY SO JUST SHORTNESS OF BREATH AND CAN YOU DESCRIBE YOUR SHORTNESS OF BREATH A LITTLE BIT IS IT UH ARE YOU HAVING CATCHING YOUR BREATH OR WOULD YOU SAY YOURE HAVING TROUBLE TAKING DEEP BREATHS OR HOW WOULD YOU DESCRIBE IT audio/RES0114.mp3[580.160,587.600] OK OK UM SO ITS GOOD THAT YOU STOPPED UM DO YOU TAKE ANY OTHER RECREATIONAL DRUGS audio/RES0005.mp3[151.680,166.040] IVE TRIED THE TYLENOL COLD HASNT REALLY WORKED TRIED JUST OTHER OVER THE COUNTER MEDICATIONS HAVENT REALLY WORKED audio/RES0065.mp3[38.240,47.440] OK AND DID YOU GET ANY TEMPERATURE MEASUREMENTS audio/MSK0036.mp3[361.360,365.440] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS audio/RES0089.mp3[567.040,571.560] ANY MEDICATIONS YOURE ON RIGHT NOW audio/RES0125.mp3[446.960,458.320] NO OKAY UM CURRENTLY SO YOU WORK FROM HOME SO WHATS YOUR HOME AND LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN LIKE A HOUSE APPARTMENT audio/RES0094.mp3[39.720,46.920] UH ITS BEEN KIND OF WATERY ITS CLEAR audio/RES0158.mp3[451.600,458.320] UM I HAD SOME LIKE A COUPLE OF BEERS ON THE WEEKEND LIKE ONE OR TWO audio/RES0011.mp3[807.320,808.440] NO NO audio/MSK0028.mp3[0.000,1.880] HOW MAY I HELP YOU audio/RES0102.mp3[905.440,975.920] OK UHM SO WE DEFINITELY WANT TO DO TESTING FOR TB WILL DO US A SMEAR TODAY OF YOUR SPUTUM AND WE WILL SINCE YOU HAVE BEEN IN CONTACT WITH YOUR FAMILY WE WILL HAVE TO CONTACT A PUBLIC HEALTH IF THE TESTS COME BACK POSITIVE AND IT SEEMS THAT WELL ALSO DO SOME OTHER TESTING SOMETIMES WITH TUBERCULOSIS YOU CAN GET SOMETHING CALLED PERICARDITIS AND SOME OF THE SYMPTOMS YOU ARE HAVING MAY POINT TO PERICARDITIS AS WELL SO WE MIGHT HAVE TO DO AN EKG WE MIGHT HAVE TO FURTHER DO AN ULTRASOUND AN XRAY FOR EXAMPLE SO FIRST WELL JUST GET THE TB TEST DONE AND THEN IF IT COMES BACK POSITIVE YOU WILL NEED TO ISOLATE BE ADMITTED TO THE HOSPITAL AS WELL AND BE ON A COURSE OF ANTIBIOTICS SO I KNOW THIS IS A LOT TO TAKE IN DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL audio/RES0100.mp3[370.720,375.680] ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS audio/RES0056.mp3[12.440,18.720] OK SO YOU SAID THE COUGH STARTED A WEEK AGO audio/MSK0017.mp3[497.440,502.320] OK AND HOW ABOUT ALCOHOL DO YOU CONSUME ALCOHOL audio/RES0194.mp3[482.520,487.240] OK AND DO YOU USUALLY WEAR MASKS AROUND OTHER PEOPLE audio/RES0075.mp3[300.280,304.880] HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0044.mp3[206.280,213.760] OH SORRY COULD YOU REPEAT THAT I JUST MISSED THE LAST PART audio/RES0107.mp3[301.680,305.080] NO OK UM HAS HE BEEN LIKE EXCESSIVELY ITCHING ANYWHERE audio/RES0104.mp3[564.960,575.520] UHM YEAH MY DAD HAD HAD A HEART ATTACK ACTUALLY BUT HE WAS IN HIS 80S WHEN THAT WHEN THAT HAPPENED audio/CAR0001.mp3[449.440,452.560] IM AN ACCOUNTANT audio/MSK0040.mp3[219.680,227.680] OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE TO THE ANKLE OR EVER INJURED YOUR FOOT BEFORE audio/RES0046.mp3[457.880,465.920] OK AND WHAT MAKES IT WORSE WHAT MAKES IT BETTER audio/RES0025.mp3[524.760,535.120] OK AND IT SOUNDS SO IT SOUNDS LIKE YOU LIVE AT HOME WITH YOUR FAMILY DO YOU WHAT DO YOU DO FOR WORK audio/RES0136.mp3[119.080,125.080] OKAY AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE TO YOU audio/MSK0019.mp3[209.440,211.240] FEVERS OR CHILLS audio/RES0006.mp3[18.680,25.760] SO I WOULD SAY IT STARTED AROUND TWO MONTHS AGO audio/RES0044.mp3[691.200,696.640] UH NO ITS LIKE A NEW A NEW BUILDING audio/MSK0041.mp3[783.800,796.680] OK ALRIGHT AND SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY SO DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT I MAYBE FORGOT TO ASK ABOUT YOU WANTED TO MENTION TODAY audio/MSK0014.mp3[0.000,1.440] HOW MAY I HELP YOU audio/MSK0020.mp3[407.320,418.880] NO OK THEN HOW ABOUT UHM LUNG OR HEART CONDITIONS audio/RES0175.mp3[93.640,97.840] HAVE YOU HAD ANY WHEEZING WITH THE COUGH audio/RES0003.mp3[254.200,257.040] NO HIS EYES OF HAVE LOOKED NORMAL TO ME audio/RES0105.mp3[634.600,642.640] OK ANY EXPOSURES TO ANY DUST FUMES ASBESTOS OR ANYTHING LIKE THAT IN YOUR HOME audio/RES0113.mp3[346.280,357.600] OK THATS FINE THATS FINE HAVE YOU HAD ANY CONTACT WITH ANYONE WHO MIGHT BE SICK EITHER YOU OR YOUR HUSBAND OR YOUR DAUGHTER audio/RES0186.mp3[89.040,93.000] OK ANY PALPITATIONS OF YOUR HEART audio/RES0065.mp3[223.040,227.920] OK DO YOU HAVE ANY HEADACHES OR NAUSEA OR VOMITING audio/RES0120.mp3[78.880,84.160] ITS MOSTLY WHEN IM TRYING TO TAKE A DEEP BREATH IN audio/MSK0012.mp3[717.240,726.280] OK ALRIGHT AND WHEN YOU STAND UP AND WALK HOW WOULD YOU DESCRIBE ARE YOU HAVING ANY KIND OF LIMPING AT ALL audio/RES0156.mp3[344.800,352.800] OK UM ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL FACTORS THAT YOU KNOW OF audio/RES0012.mp3[296.600,297.960] BUT DO YOU FEEL HOT audio/RES0130.mp3[419.160,433.080] OKAY WELL CONGRATULATIONS ON CUTTING DOWN UM YEAH IF YOU NEED HELP CUTTING THAT DOWN EVEN MORE LET US KNOW WE HAVE RESOURCES THAT YOU MAY BE ABLE TO USE audio/RES0183.mp3[289.240,296.640] OK DOES HE HAVE ANY ABDOMINAL PAIN audio/RES0062.mp3[481.720,487.280] OK AND THE LAST TIME THAT IT WAS DONE WAS IT NORMAL audio/MSK0018.mp3[75.800,77.880] UH NO NEVER audio/RES0043.mp3[73.080,88.560] 101 OR SOMETHING OR MAYBE 1001 BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW THOUGHT HE COULD HAVE MAYBE GOT COVIAND GET SCHOOL OR SOMETHING audio/RES0060.mp3[137.400,140.160] OK HOW ABOUT SMELL audio/RES0059.mp3[228.880,233.480] ANY CONFUSION OR MEMORY LOSS audio/RES0008.mp3[273.320,277.720] YEAH YEAH MORE OF A SHARP PAIN audio/RES0085.mp3[186.040,190.960] OK AND HOW ABOUT LIKE THE NUMBER OF WET DIAPERS HE HAS audio/RES0134.mp3[655.680,657.040] THANK YOU audio/MSK0029.mp3[2.280,30.720] HI YESTERDAY I WAS GROCERY SHOPPING AND YEAH JUST IN THE PARKING LOT SOMEBODY BUMPED INTO MY CAR AND THIS MORNING I WOKE UP AND MY NECK IS JUST REALLY PAINFUL IT HURT YESTERDAY A LITTLE BIT BUT I MEAN IT WAS SO MILD I DIDNT THINK MUCH OF IT BUT TODAY ITS ITS QUITE A BIT WORSE audio/MSK0027.mp3[330.040,333.360] DID SHE HAVE ANY ALLERGIES audio/RES0052.mp3[397.880,401.800] ALRIGHT ANY SURGERIES BEFORE audio/RES0032.mp3[69.000,78.760] OK AND SO THIS STARTED FOUR WEEKS AGO IT HAS IT BEEN A CONSTANT LIKE YOUVE BEEN CONSTANTLY COUGHING OR DOES IT COME AND GO audio/RES0012.mp3[603.640,615.720] OK OK AND THEN YEAH I GUESS I WILL TALK ABOUT FAMILY HISTORY SINCE YOU BROUGHT IT UP ANY LUNG ISSUES IN THE FAMILY audio/RES0214.mp3[338.120,340.600] OK ANY TROUBLE BREATHING audio/MSK0009.mp3[298.680,304.400] OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS audio/RES0129.mp3[186.400,192.320] NO DISCHARGE OK DOES IT LOOK SWOLLEN audio/MSK0045.mp3[122.040,126.240] UM I THINK UM LIKE NO ANYTHING HURTS audio/RES0001.mp3[422.880,431.600] OK OK AND HAVE YOU ALREADY RECEIVED ANY SORT OF IMAGING OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT FOR THIS RECENTLY audio/RES0094.mp3[167.400,185.040] I DID USE UH SOME UHM LIKE COLD MEDICATION TO HELP BECAUSE I WAS HAVING A HEADACHE AS WELL AND A LOT OF I GUESS JUST LIKE PRESSURE FROM THE NOSE STUFFINESS audio/RES0077.mp3[347.760,354.080] OK AND ANY HEADACHES audio/RES0089.mp3[109.520,116.960] OK HAVE YOU NOTICED ANY KIND OF UH COUGHING UP BLOOD OR BLOOD TINGED SPUTUM AT ALL audio/RES0101.mp3[400.640,403.680] OK THEN WAS IT A KNEE REPLACEMENT YOU HAD DONE audio/RES0056.mp3[40.800,48.760] OK SO LETS FOCUS ON THE COUGH IS IT PERSISTENT OR DOES IT COME AND GO audio/MSK0032.mp3[170.960,176.520] YEAH 1 TO 10 10 BEING THE WORST TYPE OF PAIN HOW BAD IS THIS PAIN FOR HER audio/RES0004.mp3[752.840,761.760] UH WELL SHE SHE WAS WASNT FEELING WELL FOR AWHILE BACK BUT I DONT THINK IT WAS THIS BAD FOR HER audio/RES0210.mp3[347.560,351.960] OK HAVE YOU EVER HAD ANY SURGERIES audio/MSK0012.mp3[619.960,627.680] OK SO WHAT KIND OF PAIN IS IT LIKE SHARP OR IS IT KIND OF A DULL ACHING PAIN audio/RES0151.mp3[210.120,215.080] NO I DONT THINK SO audio/RES0072.mp3[156.760,164.040] AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 1 TO 10 1 BEING THE LEAST PAIN YOUVE FELT IN YOUR LIFE 10 BEING THE WORST audio/CAR0003.mp3[80.080,90.800] OK AND DO YOU HAVE ANY WET COUGH OR ANY PRODUCTIVE COUGH OR ARE YOU PRODUCING LIKE SPUTUM OR PHLEGM audio/RES0031.mp3[187.400,201.800] YEAH I DEFINITELY THINK UM LIKE WHEN I WOKE UP THIS MORNING MY VOICE WAS DEFINITELY MORE LIKE HOARSE AND MORE LIKE RASPY ALMOST BUT YEAH I WOULD SAY MY VOICE HAS CHANGED audio/RES0064.mp3[93.720,95.080] NO NO RASHES audio/RES0053.mp3[710.320,717.000] ALRIGHT AND HAS HE TRAVELED TO ANYWHERE RECENTLY HAVE YOU ANY OF YOU TRAVELED ANYWHERE RECENTLY audio/RES0062.mp3[503.320,510.040] OK GOOD AND THEN HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0116.mp3[166.160,176.440] UH NO HEARING ISSUES BUT HE DID HAVE UH LIKE HE USED TO PROBABLY WHEN HE WAS UH LIKE 2 YEARS OLD HE DID HAVE A COUPLE EAR INFECTIONS audio/MSK0035.mp3[622.880,628.960] UHM THERES SOME PAIN AT THE DISTAL RADIUS FOR SURE audio/RES0050.mp3[363.960,369.960] UHM I HAVE HIGH BLOOD PRESSURE AND DIABETES audio/MSK0029.mp3[256.480,261.400] NO THIS IS THE FIRST TIME audio/GAS0003.mp3[257.960,262.320] OK ANY CHANGES IN YOUR URINE COLOR audio/MSK0001.mp3[11.560,16.080] SO THE PAINS JUST RIGHT IN THE IN THE LOWER BACK audio/CAR0001.mp3[248.120,264.720] OK UM RECENTLY HAVE YOU HAD ANY PERIODS OF TIME WHERE YOU LIKE HAVE BEEN IMMOBILIZED OR OR YOU HAVENT BEEN LIKE ABLE TO MOVE AROUND A LOT audio/CAR0002.mp3[62.120,68.440] IT FEELS DULL I FEEL LIKE THERES A LOT OF PRESSURE ON MY CHEST audio/GAS0002.mp3[532.000,540.280] UH NO NO IVE NEVER DRANK I DONT DRINK IN THE MORNING audio/RES0136.mp3[447.280,450.320] AND ARE YOU TAKING ANY OTHER MEDICATIONS audio/RES0143.mp3[431.960,434.960] ANY RECREATIONAL DRUGS audio/CAR0004.mp3[19.720,23.440] SO ABOUT 3 DAYS AGO audio/RES0201.mp3[251.680,255.040] AH NOPE NO CHEST PAIN audio/MSK0033.mp3[288.920,294.920] OK UHM ANY CHANGES IN YOUR SKIN LIKE ANY RASHES audio/RES0126.mp3[217.040,224.040] HAS IT BEEN LESS EFFECTIVE AT ALL RECENTLY audio/RES0187.mp3[324.120,330.000] OK THATS GOOD AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0007.mp3[220.920,225.920] OK HOW MANY DAYS PER WEEK ARE YOU USING THAT audio/RES0096.mp3[101.800,109.960] OK AND HAVE YOU NOTICED ANY LIKE ANKLE SWELLING OR OR LEG SWELLING audio/RES0103.mp3[239.240,244.200] OK ANY ISSUES WITH THEIR SLEEP OR APPETITE audio/RES0131.mp3[572.520,631.760] YEAH FOR SURE WE WILL DEFINITELY UM TAKE A SWAB FROM YOU TODAY AND WELL SEE UM WHAT THE RESULTS ARE YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR 14 DAYS UM AND IF ITS NOT COVIIF THAT COMES BACK NEGATIVE AND UM YEAH SOME OF YOUR SYMPTOMS ALSO SOUND LIKE OTHER TYPICAL VIRAL SYMPTOMS SO YOU COULD HAVE ONE OF THE COMMON STRAINS THATS GOING AROUND THIS TIME OF YEAR SO FOR THAT JUST ITS UM YOU SHOULD JUST UM DO SOME SUPPORTIVE CARE YOU KNOW STAYING HYDRATED EATING WELL AND IF YOUR SYMPTOMS BECOME WORSE UH YOURE RUNNING A REALLY HIGH FEVER YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES THEN YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND audio/RES0207.mp3[197.560,199.080] UH NO audio/RES0133.mp3[0.000,2.360] HOW MAY I HELP YOU audio/RES0073.mp3[495.960,498.560] OK I SEE ANY RECENT HOSPITALIZATIONS audio/RES0152.mp3[180.240,185.240] OK HAVE YOU FELT FEVERISH OR HAVE YOU FELT HOT AT ANY POINT audio/RES0148.mp3[527.040,536.720] UHM I DID BUT THEN I JUST DIDNT UH I JUST WENT BACK TO IT UM BUT IM TRYING TO CUT DOWN audio/CAR0002.mp3[303.640,309.440] OK AND HAVE YOU BEEN FEELING DIZZY AT ALL OR HAVE YOU FAINTED audio/RES0169.mp3[260.960,265.760] OK DO YOU HAVE ANY PETS AT HOME audio/MSK0015.mp3[175.000,202.840] UHM I DID NOTICE A COUPLE OF DAYS AGO SHE FELT A BIT WARM BUT WE DIDNT REALLY MEASURE HER TEMPERATURE OVER THE LAST FEW WEEKS THOUGH SHE HAS HAD A KIND OF A RUNNY NOSE AND A COUGH AND I THINK SHE MIGHT HAVE HAD A FEVER LAST WEEK AS WELL SO SHE HAS BEEN SICK RECENTLY audio/MSK0015.mp3[443.120,458.040] OK EXCELLENT AND WERE THERE ANY CONCERNS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HYPERTENSION OR ANY EXPOSURES TO INFECTIONS audio/RES0165.mp3[405.520,415.280] I USED TO I DONT ANYMORE I I SMOKED WHEN I WAS IN HIGH SCHOOL MAYBE A COUPLE TIMES audio/RES0126.mp3[72.920,74.560] ITS PINK IN COLOR audio/RES0185.mp3[475.680,488.200] ITS MOSTLY LIKE HARDWOOD OR LIKE KIND OF CERAMIC FLOORING SO THERE ARENT MANY CARPETS AND THINGS LIKE THAT SO I GUESS NO audio/RES0182.mp3[210.440,215.480] OK HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0142.mp3[163.680,165.960] NO IVE BEEN PRETTY HEALTHY ALL MY LIFE audio/RES0018.mp3[194.200,214.440] YEAH NOW THAT I THINK OF IT I I I I CANT I CAN BARELY TASTE TASTE THE FOOD THAT IM EATING I DONT KNOW ABOUT SMELL I IM PRETTY STUFF STUFF STUFFY RIGHT NOW SO THAT MIGHT JUST BE BECAUSE OF THAT I DEFINITELY NOTICE I CANT REALLY TASTE MY FOOD audio/RES0118.mp3[392.440,393.240] UH NO audio/MSK0036.mp3[496.760,502.240] ALRIGHT HAVE YOU NOTICED ANY SKIN CHANGES OR LIKE RASHES OR ANYTHING LIKE THAT audio/RES0068.mp3[480.920,484.880] ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0004.mp3[543.320,551.600] UH SOMETIMES ILL TAKE UM LIKE REACTINE OR SOME OTHER TYPE OF ALLERGY PILL BUT THATS IT audio/RES0156.mp3[404.200,410.960] NO LUCKILY SHES BEEN HEALTHY THAT WAY audio/MSK0041.mp3[720.040,724.440] UM NO PAIN AT THE ANKLE audio/RES0051.mp3[357.840,359.880] UMM NO audio/RES0182.mp3[402.960,414.000] I MOVED HERE A YEAR BACK FROM SRI LANKA audio/MSK0007.mp3[658.120,665.240] OK AND THEN HOW ABOUT IF YOU PASSIVELY EXTEND YOUR YOUR WRIST AS FAR DOWN AS AS YOU CAN GO audio/RES0177.mp3[636.200,642.160] OK YEAH NO PROBLEM audio/RES0007.mp3[562.560,568.200] OK AND UM WHERE DO YOU GO TO SCHOOL audio/MSK0031.mp3[434.920,437.240] UHM NO IVE JUST STAYED AT HOME audio/RES0109.mp3[109.400,114.360] CHEST PAIN audio/RES0019.mp3[435.640,442.280] OK AND ANY I GUESS LIKE VAGINAL DISCHARGE OR VAGINAL DISCOMFORT audio/RES0107.mp3[773.320,774.880] OK GREAT audio/RES0095.mp3[63.920,87.040] YEAH YEAH I WAS FEELING ALL I WAS FEELING JUST LIKE THIS WAS FEELING AWFUL I WENT TO THE HOSPITAL THEY STARTED ME ON A WATER PILL KEPT ME FOR A COUPLE OF DAYS AND THEN SENT ME BACK HOME UHM THEY CHANGED SOME OF MY MEDS I THINK INCREASED THE DOSE OF SOMETHING AND YEAH THATS WHAT HAPPENED audio/RES0200.mp3[283.160,285.440] OK SORE THROAT audio/RES0210.mp3[427.360,430.000] GOT A PACK A DAY audio/CAR0003.mp3[121.560,123.680] UH I DONT THINK SO audio/RES0067.mp3[51.440,56.480] HAS HER FEVER BEEN GETTING WORSE OR HAS IT STAYED AROUND THE SAME audio/MSK0024.mp3[230.200,232.960] ANY NIGHT SWEATS audio/RES0142.mp3[27.280,38.040] UM OKAY AND UM WHEN DID UH SO YOUR SORE THROAT STARTED UM A WEEK AGO WHAT ABOUT UM THE CHILLS audio/RES0149.mp3[200.480,215.880] OK UM AND HAVE YOU HAD ANY EPISODES WHERE UM OR ACTUALLY RATHER LIKE DO YOU HAVE ANY ISSUES WITH LYING FLAT AND HAVING SHORTNESS OF BREATH audio/GAS0002.mp3[282.120,292.920] OK AND HOW ABOUT ANY CHANGES TO URINARY HABITS LIKE PAINFUL URINATION OR THE COLOR OF YOUR URINE audio/MSK0050.mp3[435.240,440.080] OK AND UH DO YOU DRINK ALCOHOL audio/RES0182.mp3[92.760,94.920] YES THATS RIGHT audio/MSK0032.mp3[517.960,522.120] UM NO NOT AS MUCH audio/RES0129.mp3[34.080,40.240] OKAY THE RUNNY NOSE WHAT COLOR IS THE DISCHARGE audio/RES0077.mp3[487.360,491.240] OK AND WHEN DID THAT START audio/RES0196.mp3[336.800,346.880] OK ALRIGHT AND CURRENTLY RIGHT NOW SO IS SHE DOING ONLINE SCHOOL OR SHE DOING IN PERSON audio/RES0133.mp3[190.000,195.080] OKAY UM AND HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0037.mp3[283.920,301.520] MORE PINK OK YEAH SO YOU TRAVELED TO INDIA JUST TWO MONTHS AGO DO YOU REMEMBER WHAT KIND OF PLACE YOU STAYED IN INDIA WAS IT A A IN A CROWDED PLACE OR WERE YOU BY YOURSELF audio/RES0193.mp3[294.280,314.960] YEAH SOMETIMES HELL COME HELL UM HELL HAVE A BIT OF A COUGH AND YOU CAN HEAR A WHEEZE SOMETIMES THAT AFTER IT GOES AWAY UHH RELATIVELY QUICKLY WE LIKE WITHIN 30 TO 60 MINUTES AND BUT UM YEAH audio/RES0195.mp3[42.080,46.200] THATS BEEN ON AND OFF FOR THE PAST TWO MONTHS AS WELL audio/RES0096.mp3[497.440,512.200] IVE GOT IT DOWN QUITE A BIT I ONLY HAVE TWO CIGARETTES A DAY I USED TO HAVE A PACK AND A HALF UH BUT IVE GOT IT DOWN A LOT IM TRYING TO IM TRYING TO QUIT BUT ITS HARD audio/RES0203.mp3[296.280,299.040] NO ALLERGIES audio/RES0031.mp3[369.320,373.720] OK UM ANY CHANGES TO THE SMELL OF YOUR BREATH audio/RES0071.mp3[456.720,459.080] NO ITS BEEN THE SAME audio/RES0086.mp3[294.280,299.720] OK ANY RASHES OR CHANGES IN YOUR HAIR OR SKIN OR NAILS audio/RES0213.mp3[196.720,199.960] NO YOUVE BEEN FEELING WELL OTHERWISE audio/RES0093.mp3[565.360,574.120] YEAH YEAH THATS FAIR ALRIGHT WHAT ABOUT MARIJUANA DO YOU CONSUME MARIJUANA audio/RES0136.mp3[217.040,222.000] AND IS THIS ARE YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO audio/RES0215.mp3[82.800,112.560] YEAH ITS JUST IT WOULD SHE WOULD HAVE THESE THESE UH EPISODES BUT IT WOULD RESOLVE ON ITS OWN AND THEN SHE WOULD YOU KNOW GO BACK TO DOING SOME SORT OF ACTIVITY AND THEN SHE WOULD HAVE ALL THESE SYMPTOMS ALL OVER AGAIN BUT WHEN SHE RESTS UM THEN IT GOES AWAY SO I WASNT REALLY SURE TOO SURE WHAT TO THINK OF IT BUT NOW I THINK ITS IMPORTANT TO GET IT CHECKED OUT SO HERE WE ARE audio/RES0107.mp3[405.000,409.000] UM I DONT THINK SO I KNOW HES NOT audio/RES0077.mp3[645.680,649.520] OK AND DO YOU HAVE ANY ALLERGIES audio/MSK0040.mp3[462.440,464.080] NO NO ONES BEEN SICK audio/RES0027.mp3[678.880,691.880] NO THEY WERE BOTH HEALTHY AND THEY PASSED AWAY A FEW YEARS AGO BUT THEY DIED OF OLD AGE I GUESS YOU CAN SAY audio/RES0044.mp3[675.560,681.040] UM MY FIANCÉ AND I LIVE IN A TOWNHOUSE audio/RES0074.mp3[142.280,150.440] OK AND YOU MENTIONED DIARRHEA AS WELL WHEN DID THAT START audio/RES0043.mp3[403.560,407.440] ANY DIZZINESS OR FAINTING SPELLS audio/RES0121.mp3[189.640,190.960] UM NO audio/MSK0041.mp3[665.160,687.520] UH SO IN TERMS OF DEFORMITY IS LIKE IT JUST LOOKS SWOLLEN AND SO THERES LIKE A BIG BUMP ON THE RIGHT SIDE OF MY FOOT WHEREAS ITS COMPLETELY STRAIGHT ON MY LEFT BUT OTHER THAN THAT NO DEFORMITIES audio/RES0088.mp3[440.960,446.760] OK ANY EXPOSURE TO FUMES DUST ANIMALS OR PETS AT HOME audio/RES0003.mp3[213.600,218.000] OK ANY NAUSEA OR VOMITING audio/RES0007.mp3[618.680,643.200] YEAH SO ITS SOMETHING THAT WE WILL LOOK INTO TODAY IM IM NOT TOO SURE WHAT THE DETAILS ARE REGARDING THAT INFORMATION BUT THANK YOU FOR BRINGING THAT UP AND WELL BE FOR SURE TO LOOK INTO THAT TOGETHER AND THAT REMINDED ME OF A QUESTION I WANTED TO ASK EARLIER AND SO HAVE YOU HAD PULMONARY FUNCTION TESTS DONE BEFORE audio/RES0110.mp3[369.200,372.560] UM NO NOT REALLY NO audio/RES0110.mp3[790.320,802.280] WELCOME UM SO THE LIKELY DIAGNOSIS IS UM A PNEUMONIA EITHER BACTERIAL OR VIRAL BUT GIVEN YEAH YEAH COULD BE EITHER OK audio/RES0038.mp3[19.280,25.320] YEAH EVER SINCE I GOT BACK FROM MEXICO ITS BEEN YEAH SO ABOUT ABOUT TWO WEEKS audio/RES0051.mp3[423.920,426.280] YES YES audio/DER0001.mp3[413.600,419.080] OK ARE YOU ON INSULIN RIGHT NOW audio/RES0102.mp3[394.640,406.360] OK AND UHM OTHER THAN THESE SYMPTOMS DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH DO YOU HAVE ANY DIZZINESS OR INCREASED SWEATING ANY OF THOSE SYMPTOMS audio/RES0014.mp3[470.320,476.160] NO IVE BEEN HERE IN ONTARIO audio/MSK0028.mp3[91.000,99.280] OK AND DID THE PAIN START IMMEDIATELY OR OR A BIT LATER ON audio/MSK0035.mp3[515.760,523.040] ALRIGHT AND IN THE FAMILY ARE THERE ANY HISTORY OF NEUROLOGICAL OR MUSCULOSKELETAL PROBLEMS audio/MSK0015.mp3[597.920,606.400] UHM NO NO FAMILY HISTORY OUR FAMILY IS PRETTY HEALTHY audio/RES0021.mp3[368.520,379.000] ALRIGHT SO IS THERE ANY REASON THAT YOU SEE A PHYSICIAN REGULARLY FOR OR BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/MSK0027.mp3[438.560,444.280] I SEE OK AND IS SHE GOING TO DAYCARE RIGHT NOW OR ANYTHING LIKE THAT audio/RES0001.mp3[351.400,356.000] UM YEAH MY LEFT MY LEFT LEGS ACTUALLY A LITTLE BIT SORE audio/RES0028.mp3[4.280,9.320] YEAH MY CHEST IS REALLY HURTING audio/MSK0040.mp3[194.640,204.720] UM JUST PUTTING WEIGHT OR LIKE TRYING TO BEAR ANY WEIGHT ON THAT ANKLE HAS MADE IT WORSE audio/RES0047.mp3[2.600,14.480] YEAH SO IVE HAD THIS CHEST TIGHTNESS AND AND BEEN SHORT OF BREATH AND BRINGING UP SPUTUM WITH THIS UH COUGH audio/MSK0043.mp3[393.560,403.280] OKAY UM DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH ANY DIABETES HIGH BLOOD PRESSURE audio/RES0049.mp3[363.560,365.040] OH NO NOT REALLY audio/MSK0020.mp3[114.080,122.760] ITS KIND OF LIKE THIS UH ACHY PAIN KIND OF DEEP WITHIN THE JOINTS THEMSELVES audio/MSK0012.mp3[110.240,115.520] OK AND DO YOU FEEL ANY KIND OF NUMBNESS OR TINGLING WITH IT audio/MSK0012.mp3[544.520,553.280] I WOULD SAY I ITS ITS OK I LIVE IN AN APARTMENT WITH MY HUSBAND audio/RES0066.mp3[636.880,639.840] YEAH THATS GREAT THANK YOU audio/MSK0017.mp3[750.760,760.680] OK SO NO PAIN ON DORSIFLEXION AND THEN SORRY I FORGOT TO ASK YOU EARLIER DO YOU HAVE ANY SORT OF NUMBNESS IN THE GROIN AREA audio/MSK0034.mp3[702.440,725.480] AND SEE LIKE WHAT WE CAN FIND ON THE XRAY AND THEN WILL ALSO DO A FULL EXAMINATION AND IT IF IT DOES TURN OUT THAT THERE IS A FRACTURE OR THERES A SLIPPED CAPITAL FEMORAL EPIPHYSIS WE WILL NEED TO SEND OUT A REFERRAL TO PEDIATRIC ORTHOPEDIC SURGERY audio/RES0123.mp3[166.960,174.480] ANY OTHER VISUAL CHANGES NO OKAY UM AND YOUVE ALSO HAD CHILLS BUT YOU SAID YOU HAVENT CHECKED YOUR TEMPERATURE RIGHT audio/RES0089.mp3[326.160,333.320] OK AND ANY KIND OF HEADACHES OR NAUSEA OR VOMITING audio/RES0121.mp3[374.040,376.320] NO NOTHING LIKE THAT audio/RES0006.mp3[363.160,371.360] OK AND DO YOU USE INHALERS ARE THERE ANY OTHER MEDICATIONS YOURE CURRENTLY USING audio/RES0089.mp3[785.800,789.320] I DRINK SOME ALCOHOL I DRINK MAYBE ONCE A WEEK audio/RES0051.mp3[367.280,369.720] OK AND ARE YOU IN SCHOOL NOW audio/RES0003.mp3[402.040,407.840] AND YOU SAID VAGINAL DELIVERY DID THEY HAVE TO INDUCE YOU AT ALL audio/RES0113.mp3[290.960,293.880] NO I THINK IM HEALTHY OTHERWISE audio/RES0176.mp3[518.400,527.080] YEAH IM LIVING WITH MY HUSBAND AND MY SON WE LIVE IN A HOUSE ABOUT 30 MINUTES FROM HERE audio/RES0192.mp3[32.720,37.160] UH MAYBE LIKE 2 FLIGHTS OF STAIRS audio/RES0089.mp3[717.120,723.360] OK AND HAVE YOU AT ALL HAD ANY KIND OF HEART ATTACKS OR ANYTHING LIKE THAT audio/RES0179.mp3[301.080,304.280] OK NAUSEA OR VOMITING audio/RES0214.mp3[92.200,94.440] UH NO NOTHING LIKE THAT audio/RES0014.mp3[251.320,255.160] OK SO YOU WOKE UP FEELING CHILLY ANY NIGHT SWEATS audio/RES0042.mp3[170.920,175.080] AH NO audio/MSK0029.mp3[250.240,256.480] OK ALRIGHT AND HAVE YOU EVER HAD IT HAD PAIN LIKE THIS IN THE PAST audio/MSK0041.mp3[530.080,532.880] UM NO NO TRAVEL RECENTLY audio/RES0017.mp3[141.440,159.040] NO NOTHING IVE TRIED LIKE EVERYTHING IVE TRIED TYLENOL COLD IVE TRIED OTHER HOME REMEDIES BUT LIKE LIKE STEAMING AND EVERYTHING LIKE THAT BUT NOTHING HAS REALLY HELPED audio/RES0133.mp3[63.960,67.240] OKAY HAVE YOU NOTICED ANY BLOOD audio/MSK0029.mp3[923.960,932.440] AND THE FRONT OK AND THEN HOW ABOUT WHEN YOU EXTEND YOUR HEAD ALL THE WAY BACK SO THAT YOURE LOOKING AT THE CEILING audio/RES0097.mp3[471.080,491.160] THATS GREAT THATS REALLY IMPORTANT FOR SURE UHM AND SO I JUST WANTED TO ASK ABOUT LIFE AT HOME A LITTLE BIT SO WHOS IN THE HOUSE AND WHOS THE PRIMARY CAREGIVER FOR HIM audio/RES0103.mp3[203.440,207.080] ANY HEADACHES NAUSEA OR VOMITING audio/MSK0036.mp3[248.640,255.120] OK AN ANYTHING THAT YOUVE DONE THAT MAKES THE PAIN WORSE audio/RES0080.mp3[676.680,679.600] THANK YOU audio/RES0072.mp3[518.200,526.680] ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS OR ANY CANCERS audio/RES0168.mp3[366.520,368.760] NO NO audio/RES0142.mp3[187.360,192.680] UM I THINK UM MY MOM HAS DIABETES BUT THATS ABOUT IT audio/RES0073.mp3[598.720,606.240] UH JUST IN A MONTH MAYBE ONCE OR TWICE I SMOKE A JOINT audio/MSK0038.mp3[247.160,251.280] UH NO CHANGES THERE audio/RES0187.mp3[113.960,128.560] UHM ITS NOT I I CAN WALK AND THERES NO ISSUES BUT I I DO FEEL LIKE JUST OVERALL GENERAL WEAKNESS I DONT KNOW IF THATS TO DO WITH THE PAIN OR JUST FEELING UNWELL audio/GAS0002.mp3[349.680,364.720] OK SO NEXT JUST TO ASK SOME QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0186.mp3[367.720,370.360] NO I DONT USE ANYTHING LIKE THAT audio/RES0061.mp3[216.560,224.080] I THOUGHT THAT WAS KIND OF WEIRD BUT DIDNT THINK ANYTHING OF IT ACTUALLY UNTIL YOU JUST ASKED ME audio/MSK0013.mp3[136.960,146.880] OK HAVE YOU HAD ANY PROBLEMS WITH BALANCE OR HAVE IT YOU HAD ANY FALLS audio/RES0131.mp3[288.440,290.280] NO NOTHING LIKE THAT audio/RES0072.mp3[0.000,2.720] SO WHAT BRINGS YOU IN HERE audio/RES0081.mp3[516.640,526.760] NO NO THE DOC WAS PRETTY HAPPY WHEN HE DID THE REGULAR THE CHECKUP AND YEAH THINGS ARE GOOD WITH HIM HES A GOOD KID audio/RES0125.mp3[495.600,499.200] UM HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY audio/RES0189.mp3[662.720,667.280] NO NOT THAT I KNOW OF audio/RES0028.mp3[50.280,55.920] SIX OK AND WHEN DID IT START audio/RES0111.mp3[382.800,388.160] OK AND ARE YOU MAINTAINING SOCIAL DISTANCING AT SCHOOL WEARING A MASK audio/RES0083.mp3[269.120,275.120] NO I HAVENT HAD ANY DIARRHEA THINGS HAVE BEEN NORMAL audio/RES0012.mp3[534.920,538.840] NO LIKE I HAVE BEEN IVE BEEN REALLY HEALTHY audio/RES0150.mp3[564.240,590.480] OK UM SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON HISTORY UM SO IT SOUNDS LIKE UM HES HAD A COUGH UM A RUNNY NOSE UM SOME RED EYE RED EYES THAT WITH SOME TEARING AS WELL AS A RASH THAT THAT STARTED AND AND A FEVER WAS THERE ANY OTHER SYMPTOMS audio/RES0100.mp3[832.120,835.240] OK THAT SOUNDS GOOD THANK YOU audio/RES0060.mp3[200.560,205.240] OK HOW ABOUT SHORTNESS OF BREATH audio/MSK0009.mp3[111.080,115.840] PROBABLY AROUND 6 audio/RES0078.mp3[2.680,10.000] IVE BEEN HAVING DIFFICULTIES BREATHING OVER THESE LAST FEW DAYS audio/RES0026.mp3[310.360,314.160] HOW ABOUT NIGHT SWEATS audio/RES0035.mp3[215.480,220.840] GREAT HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE COUNTRY RECENTLY audio/RES0122.mp3[378.360,394.200] UM TASTE I GUESS LIKE WITH THE SMELL GONE SOMETIMES LIKE THE TASTE FEELS WEIRD TOO BUT LIKE NOT NOT REALLY audio/RES0204.mp3[126.320,137.480] AND IS IT A RUNNY NOSE WITH KIND OF CLEAR STUFF IS IT WATERY OR IS IT THICK DOES IT HAVE A COLOR TO IT A YUCKY THE COLOR audio/RES0057.mp3[147.120,153.080] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/MSK0039.mp3[115.440,122.720] ITS LIKE SHARP AND THROBBING ITS LIKE PROBABLY ONE OF THE WORST PAINS THAT IVE FELT IN MY LIFE audio/RES0212.mp3[345.120,348.360] DO YOU LIVE UH NEAR CAMPUS WITH ANYONE audio/RES0068.mp3[237.600,239.440] ANY FATIGUE audio/RES0133.mp3[415.080,430.960] SO ONE OF MY FRIENDS ACTUALLY HAD LIKE A RUNNY NOSE AND A COUGH AS WELL A COUPLE OF DAYS AGO BUT UH SHE SEEMS TO BE BETTER NOW AND HER VOICE IS OKAY audio/RES0039.mp3[234.120,239.200] UHM ITS BEEN PRETTY SEVERE THROUGH THROUGHOUT THE DAY IVE BEEN JUST COUGHING OR COUGHING A TON audio/RES0215.mp3[163.720,167.520] UH NOT THAT IVE NOTICED NO audio/RES0076.mp3[236.160,243.680] UHM YEAH I HAVE BEEN A BIT MORE NAUSEOUS RECENTLY BUT I HAVENT HAD ANY VOMITING audio/RES0180.mp3[428.640,434.040] OK OK UHM AND WHERE DO YOU LIVE RIGHT NOW audio/RES0199.mp3[333.160,336.560] OK AND ARE YOU THROWING UP ANY BLOOD audio/MSK0016.mp3[90.840,100.680] YEAH ALRIGHT UM HAVE YOU TRIED ANY LIKE COLD COMPRESSES UM TOPICAL CREAMS ANYTHING LIKE THAT audio/GAS0002.mp3[203.680,216.640] OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS SUCH AS NAUSEA OR OR VOMITING audio/RES0067.mp3[383.280,387.800] YEAH DO YOU KNOW HOW LONG WILL SHE HAVE TO BE IN THE HOSPITAL audio/MSK0028.mp3[666.720,674.240] OK AND UH ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS THAT THAT RUN IN THE FAMILY audio/RES0036.mp3[45.000,51.400] OK AND SO YOURE HAVING THE SHORTNESS OF BREATH BUT ARE YOU HAVING ANY LIKE COUGHING AT ALL audio/RES0023.mp3[171.880,179.120] OK OK UM AND WHEN DID THAT START audio/RES0023.mp3[64.880,74.440] ITS BEEN GETTING WORSE FOR SURE ITS LIKE GOING ALL ALL THROUGHOUT THE DAY AND ITS BEEN EVEN INTERRUPTING SLEEP audio/MSK0029.mp3[353.560,362.000] OK I KNOW YOU SAID YOU HAVE SOME PAIN WITH CERTAIN MOVEMENTS BUT DO YOU FIND ITS HARD TO MOVE YOUR NECK AT ALL audio/MSK0023.mp3[458.320,470.720] YEAH IT IT CAN UH STRAIGHTEN IT OUT ALL LIKE MOST OF THE WAY IT SEEMS LIKE ITS BENT A LITTLE STILL MAYBE FROM LIKE THE SWELLING AND ONLY I CANT STRAIGHTEN IT OUT THE FULL WAY audio/MSK0003.mp3[324.000,334.920] OK I SEE OTHER THAN THAT HAVE YOU NOTICED ANY KIND OF RASHES OR SKIN CHANGES OR CHANGES IN YOUR NAILS AT ALL audio/MSK0041.mp3[217.280,222.880] ALRIGHT AND HAVE YOU HAD ANY ANY HEADACHES audio/RES0120.mp3[574.280,580.160] I SEE UM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0071.mp3[438.680,441.400] ANY URINARY ISSUES audio/RES0001.mp3[776.960,783.560] CANCER INFECTION AUTOIMMUNE THINGS THAT COULD AFFECT YOUR LUNGS SO WELL JUST DO A audio/RES0011.mp3[315.920,320.920] OK HOW ABOUT A RUNNY NOSE audio/RES0076.mp3[280.200,284.800] OK HAVE YOU BEEN FEELING FATIGUED AT ALL audio/RES0175.mp3[1.800,25.200] HEY IVE JUST BEEN FEELING KIND OF ILL OVER THE PAST TWO DAYS AND UH I THOUGHT ID JUST COME IN TO SEE WHATS GOING ON SO IVE HAD UM UM I WAS FEELING VERY ACHY AND I HAD A COUGH AND THEN I THINK YESTERDAY NIGHT I DEVELOPED A FEVER audio/RES0113.mp3[207.320,211.160] UH NO IT HASNT WOKEN ME UP audio/RES0134.mp3[280.200,286.000] OKAY HAVE YOU HAD A SORE THROAT audio/RES0169.mp3[68.840,74.160] IVE BEEN BRINGING UP ANY BLOOD OR ANY MUCUS OR ANYTHING LIKE THAT audio/RES0117.mp3[247.680,248.840] YEAH I DID audio/RES0012.mp3[483.360,496.920] NO I MEAN I LIKE I SAID IM REALLY ACTIVE I DO A LOT OF LIKE RIGHT IVE BEEN LIKE TRAINING FOR A TRIATHLON LIKE I HAVENT HAD ANY PROBLEMS BEFORE audio/RES0009.mp3[610.560,627.920] UH YEAH I LIVE UM LIKE I SAID LIKE IM DONE HAVING KIDS BUT I HAVE 2 TWO KIDS THEYRE TEENAGERS I LIVE UM WITH THEM AND MY HUSBAND AND UH WE LIVE NOT FAR FROM HERE audio/RES0190.mp3[190.360,201.120] UHM PROBABLY LIKE 5 DAYS SO ITS I THINK IT STARTED TWO WEEKS AGO audio/RES0023.mp3[394.120,398.200] OK AND HAVE YOU EVER HAD ANY SURGERIES audio/RES0200.mp3[262.120,265.160] UHM NAUSEA OR VOMITING audio/RES0015.mp3[160.520,173.760] OK UM AND WAS THERE ANY SORT OF TRIGGER SIX WEEKS AGO THAT YOU THINK MAY HAVE LIKE CAUSED ALL OF YOUR SYMPTOMS audio/RES0100.mp3[418.320,434.480] UHM JUST LIKE I I DONT KNOW LIKE I DONT THINK THERE ARE ANY CHANGES BUT I DID NOTICE SOME LIKE KIND OF JUST PINK PINK SPOTS ON MY ARM THE OTHER DAY audio/RES0120.mp3[558.000,561.560] UM I USED TO BUT NOT ANYMORE audio/RES0151.mp3[92.720,97.160] OK AND HOW ABOUT UM ANY CHEST PAIN audio/RES0160.mp3[362.800,367.000] HOW MUCH DID YOU SMOKE BACK THEN audio/RES0146.mp3[336.600,343.000] OK UHM AND YOU DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE audio/RES0126.mp3[673.080,680.520] OK HAVE YOU AT ALL TRIED TO QUIT BEFORE audio/RES0202.mp3[359.880,361.680] I THINK THOSE ARE FINE audio/GAS0007.mp3[244.160,248.320] AND HAVE YOU EVER HAD ANY SURGERIES IN THE PAST audio/MSK0027.mp3[478.920,486.560] OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0076.mp3[158.160,171.280] NO I MEAN I HAVENT HAD ANY SHORTNESS OF BREATH IVE JUST HAD UH WELL YEAH ACTUALLY SORRY I HAVE HAD DIFFICULTIES BREATHING AS WELL audio/RES0089.mp3[635.640,642.600] IM DEFINITELY USING THE SHORT ACTING MORE LIKE IM USING IT ALMOST EVERY DAY audio/RES0037.mp3[571.960,577.480] YEAH MY MOTHER OUT A HEART ATTACK WHEN SHE WAS 48 audio/RES0015.mp3[803.520,807.520] THAT SOUNDS GOOD THANK YOU audio/MSK0008.mp3[345.000,347.200] ARE YOU CURRENTLY TAKING ANY MEDICATIONS audio/RES0005.mp3[463.560,476.240] I JUST DIDNT HAVE ANY SYMPTOMS FOR A PRETTY LONG TIME AND MY DOC SAID LIKE IF I DONT REALLY NEED THEM THEN I COULD JUST STOP audio/RES0141.mp3[212.080,216.720] NO IVE ONLY BEEN GAINING WEIGHT audio/RES0148.mp3[143.720,146.200] NO I HAVENT audio/RES0131.mp3[347.080,354.720] OKAY UM DO YOU ALSO TAKE ANYTHING ELSE FOR THAT ASTHMA OR IS IT JUST THE VENTOLIN THAT USE audio/RES0007.mp3[538.800,552.520] OK AND SO I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT PERSONAL AND KIND OF LIFESTYLE HABITS BUT FIRST I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/RES0047.mp3[166.600,169.640] GREEN OK ANY BLOOD audio/RES0144.mp3[421.120,433.160] HMM UHM OK UHM WAS HE KEPT IN THE HOSPITAL IN THE NICU AFTER BEING BORN audio/RES0022.mp3[78.040,96.480] MMM LIKE IT IVE BEEN I FEEL LIKE ITS BEEN SORT OF GETTING WORSE OVER THE PAST FEW YEARS BUT JUST LIKE A WEEK AGO IT JUST GOT REALLY BAD LIKE VERY SUDDENLY audio/MSK0007.mp3[85.000,90.200] ITS USUALLY ACHEY BUT IT CAN BE SHARP audio/RES0052.mp3[0.000,6.240] WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN audio/RES0155.mp3[566.240,571.040] OK UM AND ANY CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE audio/RES0035.mp3[439.560,443.440] OK AND YOU DRINK ALCOHOL audio/GAS0002.mp3[573.320,584.120] YEAH THE HOME SITUATION IS FINE LIKE KIDS ARE DOING GREAT AND MY PARTNER IS VERY SUPPORTIVE NO NO ISSUES THAT I CAN THINK OF AT HOME audio/RES0094.mp3[46.920,56.120] OK ALRIGHT AND HAS YOUR SORE THROAT GOTTEN BETTER OR WORSE OVER THE PAST FIVE DAYS audio/RES0165.mp3[387.320,389.920] OK AND DO YOU LIVE IN LIKE AN APARTMENT OR HOUSE audio/MSK0015.mp3[349.640,358.960] OK IM AND IN THE PAST HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0127.mp3[232.040,235.680] ANY FEVERS OR CHILLS audio/RES0150.mp3[592.480,637.640] ALRIGHT UM SO NEXT WELL GO ON TO THE PHYSICAL EXAM WELL WANT TO HAVE A LOOK UM AT THE RASH AND GET THE VITALS UM BUT THERE IS A CONCERN THAT THIS IS COULD BE UH MEASLES AND SO UM ITLL BE IMPORTANT TO UM SUPPORTIVE MANAGEMENT AND UM ENSURE THAT UM ITS NOT PASSED ON TO UM ANYBODY ELSE THAT REMINDS ME YEAH HE WAS OUT PLAYING WITH OTHER CHILDREN WERE ANY OTHER KIDS EXPERIENCING SIMILAR SYMPTOMS audio/RES0166.mp3[134.000,137.880] OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0079.mp3[270.440,275.760] OK SPECIFICALLY ALLERGIES TO MEDICATIONS audio/RES0016.mp3[293.320,301.560] UM YEAH I FEEL PRETTY TIRED SOMETIMES BUT I JUST THOUGHT IT WAS BECAUSE IM GETTING OLDER audio/RES0181.mp3[526.760,535.360] OK AND HAVE YOU LOOKED DOES IT LOOK LIKE YOU HAVE LIKE REDNESS IN THE BACK OF YOUR BACK OF YOUR MOUTH audio/RES0126.mp3[593.520,598.480] I HAD A KNEE REPLACEMENT ON MY RIGHT SIDE audio/CAR0002.mp3[201.720,204.440] NO BEEN AT HOME audio/RES0180.mp3[190.960,195.040] NO OK HOW ABOUT THAT LOSS OF SMELL OR TASTE audio/RES0103.mp3[455.640,465.480] AND I THINK THATS ALL ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0039.mp3[507.880,512.440] SO LIKE NO ASTHMA OR ANYTHING LIKE THAT audio/MSK0020.mp3[403.080,407.320] NOT THAT I KNOW OF NO audio/RES0203.mp3[324.600,332.400] I LIVE WITH MY PARENTS AND MY YOUNGER SIBLING audio/RES0211.mp3[101.080,105.160] I DONT I DONT THINK SO I HAVENT REALLY BEEN LOOKING BUT YOU KNOW audio/MSK0040.mp3[289.800,293.680] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS audio/RES0076.mp3[675.960,678.680] NO I DONT audio/RES0180.mp3[495.800,569.640] YEAH FOR SURE SO WE ARE YOURE A LOT OF YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE ARE GOING TO TAKE A SWAB TODAY AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY FAMILY MEMBERS IF POSSIBLE UHM AND BASICALLY JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY GET WORSE OR YOURE HAVING LIKE NEUROLOGICAL SYMPTOMS YOU SHOULD SEEK HELP FROM THE ER BUT OTHERWISE KEEP YOURSELF HYDRATED EAT WELL IF YOU HAVE A HUMIDIFIER IN THE BASEMENT USE IT AND FOR YOUR FEVERS YOU CAN TAKE ANTIPYRETICS LIKE TYLENOL AND JUST ITS ITS JUST A LOT OF SUPPORTIVE CARE HOW DOES THAT SOUND AND OBVIOUSLY LIKE IF YOUR SYMPTOMS ARENT GOING AWAY AFTER LIKE A FEW WEEKS CALL US BACK AND IT COULD BE SOMETHING LIKE BACTERIAL IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS audio/RES0203.mp3[176.400,186.600] OK SO GENERALLY IT SEEMS LIKE YOURE PRETTY WELL OTHER THAN THIS LOSS OF TASTE SLASH SMELL AND THE DRY COUGH THAT CORRECT audio/RES0039.mp3[171.840,178.840] YEAH OR MORESO CLEAR ACTUALLY UP UNTIL TODAY WHERE I SAW SOME BLOOD audio/MSK0012.mp3[534.080,544.520] OK AN AND CURRENTLY YOU SAID YOU WORK FROM HOME HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION LIKE audio/MSK0046.mp3[336.080,347.120] UM I SMOKE I USED TO SMOKE LIKE FIVE YEARS AGO AND I ONLY DID THAT FOR LIKE A YEAR OR TWO UM AND IT WASNT VERY MUCH BUT I DONT SMOKE ANYMORE audio/RES0016.mp3[363.720,377.080] I DO HAVE HIGH BLOOD PRESSURE AND I THINK THEY SAID LIKE MY PROSTATE IS LARGER THAN NORMAL UM BUT NOTHING ELSE audio/RES0159.mp3[221.560,227.560] UM HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS audio/MSK0035.mp3[524.920,531.120] HOW ABOUT ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM audio/MSK0034.mp3[726.040,736.440] YEAH SO YEAH FIRST WELL JUST GET THE IMAGE NG DONE AND SEE WHATS GOING ON IN THERE AND THEN WELL GET BACK TO YOU SHORTLY audio/GAS0003.mp3[215.240,220.840] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0193.mp3[177.840,180.960] NO I HAVENT TRIED ANYTHING audio/RES0043.mp3[137.360,148.080] AH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING UMM YEAH HE YEAH ITS JUST BEEN LIKE LITTLE COUGHS audio/RES0156.mp3[179.440,184.040] UM ANY CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/MSK0041.mp3[650.680,654.640] YES AND THE RIGHT ONE IS DEFINITELY WARMER THAN THE LEFT audio/RES0095.mp3[150.960,157.400] OK AND DO YOU UH TYPICALLY HAVE PROBLEMS WITH SHORTNESS OF BREATH IF YOU LIE FLAT audio/RES0193.mp3[638.400,639.720] HE IS YES audio/RES0152.mp3[92.200,105.240] UM NO I DONT THINK SO BUT KIND OF LIKE I DO FEEL SOME DISCOMFORT IN MY CHEST LIKE I JUST ASSOCIATED IT WITH THE COUGH audio/RES0043.mp3[513.880,516.960] UH NO EVERYONE IS REALLY HEALTHY audio/RES0199.mp3[202.720,212.920] I GUESS JUST A LITTLE BIT TIRED OVER THE LAST FEW DAYS BUT I DONT KNOW THATS JUST JUST FROM THE DIARRHEA AND JUST BEING SICK audio/RES0137.mp3[179.480,184.360] OKAY AND THE COUGH IS PRETTY CONSTANT OR IS IT DOES IT COME AND GO audio/RES0010.mp3[308.080,317.600] OK WHAT ABOUT TASTE I KNOW THAT YOURE NOT EATING MUCH CAUSE YOU CANT SWALLOW BUT DO YOU FEEL LIKE YOU CAN TASTE YOUR SENSE OF TASTE IS DECREASED audio/RES0061.mp3[746.680,754.440] OK OK THATS GOOD DO YOU DRINK ALCOHOL audio/RES0091.mp3[50.720,52.880] NO IT STAYED ABOUT THE SAME audio/RES0181.mp3[43.720,56.160] OK UH AND HOW IS YOUR UMM HAVE YOU HAD ANY VOICE CHANGES LIKE A HOT POTATO VOICE OR SOUND LIKE MUFFLED OR ANY VOICE CHANGES AT ALL audio/CAR0004.mp3[172.040,178.280] YEAH I TOOK SOME UM I TOOK SOME TYLENOL AND THAT DID HELP audio/RES0195.mp3[660.920,662.080] YOU TOO audio/MSK0008.mp3[714.240,717.360] AND FULL RANGE OF MOTION OF THE HIP AND ANKLE audio/MSK0016.mp3[199.200,211.800] OK FIRST THREE FINGERS SO YOUR UM THUMB INDEX FINGER AND UH MIDDLE FINGER OR YOUR PINKY TO MIDDLE FINGER audio/RES0059.mp3[613.160,692.160] YEAH FOR SURE AND I THINK THATS A VALID CONCERN SO RIGHT NOW IM JUST GOING THROUGH YOU KNOW A LIST OF DIFFERENTIAL DIAGNOSES THAT YOU COULD POSSIBLY HAVE AND COVIITS DEFINITELY TOP ON MY LIST AND SO WE WILL LIKELY GET A SWAB AND RUN THOSE TESTS AND TRY TO GET THAT BACK TO YOU AS SOON AS WE CAN IT COULD ALSO BE OTHER RESPIRATORY INFECTIONS ESPECIALLY VIRAL INFECTIONS THIS TIME OF THE YEAR AND SO IF IT COMES BACK NEGATIVE FOR COVIITS PROBABLY YOU KNOW SOMETHING ELSE LIKE RESPIRATORY VIRUS OR EVEN THE FLU SO WELL GO FROM THERE AND IF IT TURNS OUT ITS NOT A VIRAL INFECTION WE WILL LIKELY SEE IF ITS SOME SORT OF BACTERIAL INFECTION IN WHICH WE CAN PRESCRIBE ANTIBIOTICS FOR THOSE BUT IT DEFINITELY SOUNDS LIKE THERES AN INFECTIOUS PICTURE GOING ON HERE BECAUSE OF THE ACUTENESS OF THE PRESENTATION AND JUST YOUR SYMPTOMS SO WE WILL DO AFOLLOW UP IN A WEEK OR SO UNTIL THEN WE WILL RUN ALL THESE LABS DOES THAT SOUND GOOD audio/RES0018.mp3[266.840,268.560] NO NO CHEST PAIN audio/CAR0003.mp3[550.240,564.480] YEAH I WOULD SAY SO ITS BEEN HARD TO MAKE IT TO WORK AND THEN STANDING AROUND ALL DAY OR IF I HAVE TO GO HELP OUT WITH SOMETHING AND EXERT MYSELF TOO MUCH I GET SHORT OF BREATH audio/RES0052.mp3[65.000,75.960] OK UH AND SO HAS SHE BEEN BRINGING UP ANY SPUTUM WITH THE COUGH audio/MSK0013.mp3[594.760,598.960] OK AND HOW ABOUT ANY CANCERS THAT RUN IN THE FAMILY audio/RES0169.mp3[135.560,138.400] ANY PAIN IN YOUR CHEST audio/RES0186.mp3[260.240,263.520] NO JOINT ACHES OR MUSCLE ACHES audio/RES0180.mp3[311.040,318.600] OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0190.mp3[421.640,431.160] YEAH RIGHT NOW ITS ONLINE SCHOOL RIGHT NOW DUE TO THE PANDEMIC audio/RES0069.mp3[344.920,348.040] OK AND HAVE YOU TRIED TO QUIT audio/RES0066.mp3[487.400,495.200] OK AND CURRENTLY WHERE DO YOU LIVE audio/MSK0021.mp3[120.880,122.640] UH NO I HAVENT audio/RES0123.mp3[532.640,539.760] OKAY GOOD UM AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS audio/RES0042.mp3[629.320,667.280] AND YEAH AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR JUST SO JUST MAKE SURE YOURE STAYING HYDRATED YOURE EATING NUTRITIOUS FOODS AND GETTING GOOD SLEEP IF YOUR SYMPTOMS DO BECOME WORSE AND IF THEY BECOME UHM SEVERE LIKE YOU HAVE A REALLY HIGH TEMPERATURE YOU HAVE TROUBLE BREATHING OR YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR FAINTING SPELLS PLEASE DO GO TO THE ER AND SEEK HELP HOW DOES THAT SOUND audio/RES0029.mp3[155.520,159.800] OK SO ANY INJURIES TO THE HEAD audio/RES0183.mp3[98.520,109.920] UHM NO IT DOESNT SOUND LIKE THAT audio/RES0133.mp3[123.520,134.920] OKAY YEAH SO IT SOUNDS YEAH JUST SORT OF CAME ON ON ITS OWN ALRIGHT AND HAVE YOU HAD ANY LIKE EYE REDNESS OR DISCHARGE OR A RUNNY NOSE audio/RES0200.mp3[272.560,275.320] OK CHANGES IN YOUR URINE audio/RES0064.mp3[162.600,164.800] NO NOTHING LIKE THAT audio/MSK0032.mp3[636.480,640.240] NO I THINK THATS UM THATS A GOOD PLAN audio/RES0099.mp3[128.600,137.080] NO ITS ITS KIND OF JUST THERE ITS ABOUT THE SAME AS WHEN IT WAS WHEN IT STARTED audio/MSK0013.mp3[536.000,540.480] TALK ABOUT HALF A PACK A DAY audio/RES0060.mp3[556.120,567.960] YEAH I THINK MY A1C WAS LIKE 62 SO UH ON THE CUSP audio/RES0174.mp3[658.960,661.680] OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS audio/RES0009.mp3[438.880,444.200] OK HOW ABOUT ANY SKIN CHANGES OR OR RASHES audio/RES0021.mp3[66.560,74.000] YEAH I DO ITS ITS A DRY COUGH AND ITS AWFUL IVE BEEN HACKING FOR THE PAST TWO DAYS audio/MSK0034.mp3[358.640,367.560] NO OK SO IT WAS LIKE A FAIRLY NORMAL PREGNANCY AND WERE YOU AT TERM OR PREMATURE audio/RES0031.mp3[292.320,295.040] NO I HAVENT HAD ANY COFFEE audio/RES0194.mp3[74.320,84.040] OK GENERALLY ACHE OK AND ARE YOU GETTING ANY KIND OF HEADACHES OR ANYTHING LIKE THAT audio/RES0200.mp3[293.640,295.040] NO NOT REALLY audio/RES0134.mp3[596.560,608.880] SO I AM PRETTY INDEPENDENT FOR MOST THINGS UM THERE WILL BE LIKE A CCAC CARE WORKER WHO COMES IN UH ONCE IN A WHILE JUST TO HELP ME CLEAN THE HOUSE audio/RES0020.mp3[56.000,58.640] YEAH I WOULD SAY SO audio/MSK0006.mp3[186.320,191.360] NO I FEEL IT JUST UH JUST IN THE BUTTOCK AND DOWN THE LEG audio/RES0099.mp3[614.080,631.960] YEAH WELL JUST OCCASIONALLY LIKE I WOULD SAY MAYBE MAYBE SOME WINE ONCE UH LIKE ONCE EVERY COUPLE DAYS MAYBE A BEER ON THE WEEKEND BUT THATS IT audio/RES0204.mp3[197.280,200.600] HAVE YOU EVER HAD ANY PAIN IN YOUR BELLY audio/RES0200.mp3[270.240,272.560] NO NOT REALLY EATING ABOUT THE SAME audio/RES0146.mp3[95.640,98.720] IS IT ON BOTH SIDES OR ONLY ONE SIDE audio/RES0214.mp3[515.160,527.240] SO ITS ALSO A POSSIBILITY IT MIGHT BE INFLUENZA JUST THE SEASONAL FLU BUT UNTIL WE I SUPPOSE RULE OUT COVID ITD BE BEST JUST TO KEEP TO YOURSELF JUST IN CASE YOU ARE INFECTIOUS FOR THE MEANWHILE audio/MSK0008.mp3[646.200,656.640] OK AND IS THERE ANY JOINT YEAH THE JOINT LAXITY OR PAIN TOO LIKE A VALGUS STRESS OF THE KNEE audio/RES0060.mp3[466.120,471.880] OK AND YOU WERE WEARING YOUR MASK EVERYONE ELSE WAS WEARING THEIR MASK audio/RES0120.mp3[388.480,400.720] NO ITS NOT THAT BOTHERSOME THOUGH ITS MORE THE CHILLS AND THE SHORTNESS OF BREATH AND THIS CHEST PAIN NOW THAT IS WORRYING ME audio/RES0122.mp3[135.680,143.720] UM NO NOT THAT IVE NOTICED SOMETIMES WHEN IT GETS REALLY STUFFY I UH HAVE TO BREATHE THROUGH MY MOUTH audio/RES0187.mp3[82.960,97.000] PRETTY MUCH LIKE THROUGHOUT MY BODY BUT I WOULD SAY MORE SO LIKE UPPER BACK MY THIGHS THEN MY ARMS YEAH KIND OF JUST ALL OVER audio/MSK0039.mp3[47.000,52.160] HOUR AGO OK ARE YOU ABLE TO BEAR ANY WEIGHT ON IT AT ALL audio/RES0098.mp3[439.640,442.960] AND HAVE YOU TRAVELED ANYWHERE audio/RES0063.mp3[2.880,31.320] YEAH SO IVE BEEN FEELING JUST REALLY DOWN RECENTLY IN THE LAST WEEK I STARTED OFF BY HAVING THIS SORE THROAT WHICH STARTED AROUND 5 DAYS AGO AND THEN I ALSO NOTICED IVE BEEN GETTING SOME CHILLS OVER THE LAST FEW DAY AND ON TOP OF ALL OF THAT WITHIN THE LAST THREE TO FOUR DAYS IVE BEEN GETTING MUSCLE ACHES ALL OVER MY BODY audio/RES0217.mp3[287.960,292.640] HAVE YOU BEEN FEELING ILL OR HAVE BEEN FEVERISH IN THE LAST LITTLE WHILE audio/RES0215.mp3[544.360,547.400] UM YEP IN A TOWNHOUSE audio/MSK0003.mp3[536.680,546.960] I DO HAVE ENVIRONMENTAL ALLERGIES I IM NOT SURE IF ITS LIKE RAGWEED OR OR POLLEN BUT SOMETHING LIKE THAT audio/MSK0006.mp3[267.960,272.560] OH I SEE OK OK AND JUST IN YOUR RIGHT LEG RIGHT audio/RES0121.mp3[335.400,348.920] OKAY YEAH SO CONGRATULATIONS THATS A REALLY GREAT THING TO DO ESPECIALLY LIKE RIGHT NOW WITH THE PANDEMIC GOING ON AND EVERYTHING ITS EARLIER YOU STOP ITS REALLY GOOD audio/RES0105.mp3[691.000,694.240] UH VERY RARELY DONT REALLY DRINK IT ANYMORE audio/CAR0005.mp3[489.320,492.760] AND HAVE YOU EVER BEEN TOLD YOU HAVE LIKE HIGH CHOLESTEROL audio/RES0125.mp3[546.680,559.760] OKAY SO 30 YEARS OKAY AND UM ARE YOU JUST ARE YOU USING ANYTHING TO HELP YOU QUIT SMOKING OR ARE YOU DOING IT WITHOUT ANY MEDICATIONS OR UM LIKE HAVE YOU USED ANYTHING IN THE PAST THAT HAS WORKED FOR YOU audio/RES0100.mp3[256.560,259.240] UH NO NOT REALLY audio/RES0211.mp3[380.600,386.840] OK SO YOU LIVE IN A HOUSE WITH BOTH YOUR PARENTS OK ANY BROTHERS SISTERS audio/RES0076.mp3[345.720,351.480] OK AND HOW ABOUT YOUR SLEEP AND APPETITE HAVE THEY CHANGED IT ALL audio/RES0051.mp3[236.240,241.200] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0080.mp3[591.560,594.400] UHM HIGH BLOOD PRESSURE audio/RES0001.mp3[48.200,59.760] OK OK UM AND WHEN YOU DO GET THAT GET THAT PAIN HOW LONG DOES IT LAST audio/RES0009.mp3[649.560,663.320] I DO IM TRYING TO STOP I SMOKE MAYBE LIKE I DONT KNOW LIKE 5 PER DAY OR SOMETHING AT THIS POINT audio/RES0095.mp3[33.120,39.640] OK AND HOW FAR WERE YOU ABLE TO TO WALK BEFORE THAT audio/RES0139.mp3[151.840,155.440] NO ANY SHORTNESS OF BREATH audio/RES0214.mp3[378.360,385.000] OK AND DO YOU SMOKE audio/MSK0038.mp3[187.280,201.360] RUNNING OK AND FROM WHEN IT STARTED TO NOW IN THE PAST COUPLE OF WEEKS HAS IT CHANGED LIKE DRAMATICALLY UM IS IT AFFECTING YOUR DAY TO DAY LIFE audio/MSK0037.mp3[1.520,46.520] YEAH I JUST CAME IN HERE TODAY IVE BEEN EXPERIENCING SOME DIFFICULTIES WITH MY RIGHT HAND ESPECIALLY AT THE BASES OF THE 4TH AND 5TH DIGITS I NOTICE THIS HAPPENING OVER THE LAST ID SAY PROBABLY LAST FEW MONTHS ITS BEEN GETTING WORSE IVE BEEN HAVING TROUBLE JUST KIND OF EXTENDING THOSE TWO FINGERS AND I KIND OF SEE LIKE THIS LITTLE BUMP AT THE BASE OF THOSE TWO FINGERS SO YEAH OVERALL ITS JUST BEEN DIFFICULT WORKING IM A CONSTRUCTION WORKER AND I DONT KNOW IF THIS JUST KEEPS GETTING WORSE audio/GAS0004.mp3[458.000,461.080] OK NOTHING ELSE audio/MSK0007.mp3[377.200,385.120] I LIVE WITH MY PARTNER OF FIVE YEARS WE LIVE IN AN APARTMENT TOGETHER audio/RES0209.mp3[503.520,516.680] OH IM I LIKE PLAYING GAMES ONLINE WITH MY FRIENDS AND AND BEFORE COVID WE USED TO GET TOGETHER AND HAVE MOVIE NIGHTS AND PLAY SPORTS TOGETHER audio/RES0165.mp3[22.560,33.600] OK WELL THATS A GOOD IDEA THAT YOU CAME IN SO ITS BEEN HAPPENING FOR THE LAST TWO DAYS DID YOU START HAVING THE COUGH FIRST OR THE SORE THROAT OR BOTH AROUND THE SAME TIME audio/RES0122.mp3[394.200,400.160] I SEE OKAY UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0016.mp3[104.800,117.800] ITS I THINK ITS MORE SO JUST I CANT CATCH MY BREATH AND SOMETIMES I JUST HAVE TROUBLE BEING ABLE TO TAKE LIKE A FULL BREATH audio/RES0087.mp3[30.280,31.720] I WOULD SAY FOUR DAYS NOW audio/MSK0036.mp3[623.640,625.600] DO YOU SMOKE CIGARETTES audio/RES0058.mp3[247.840,254.400] OH NO IT IT WASNT DARK LIKE THAT audio/RES0136.mp3[515.440,523.400] HE JUST SAID THAT I WAS I WAS JUST EXTREMELY DROWSY YESTERDAY AND I WAS VERY HARD TO WAKE UP audio/MSK0037.mp3[514.080,517.840] OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0100.mp3[362.640,367.720] OK YOUVE BEEN HAVING NIGHT SWEATS THIS WEEK OR HAVE THEY BEEN GOING ON LONGER audio/RES0166.mp3[125.480,133.320] OK HOW HAVE YOU HAVING IVE BEEN HAVING ANY CHILLS OR FEVER OR ANYTHING LIKE THAT audio/RES0081.mp3[440.720,447.000] OK AND DOES HE HAVE ANY ALLERGIES audio/CAR0001.mp3[71.600,76.360] I WOULD SAY ITS BEEN PRETTY CONSTANT YEAH audio/RES0038.mp3[502.360,505.240] OK ANY PREVIOUS SURGERIES audio/RES0076.mp3[229.000,236.160] ANY NAUSEA OR VOMITING audio/RES0021.mp3[536.960,539.760] I USED TO I QUIT FIVE YEARS AGO audio/MSK0036.mp3[408.960,412.080] HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0151.mp3[448.760,454.160] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0017.mp3[406.680,408.640] NO NOT REALLY audio/RES0065.mp3[104.160,108.240] NO NO COUGH audio/RES0078.mp3[701.920,704.240] SOUNDS GOOD THANK YOU audio/RES0119.mp3[301.440,311.160] ID SAY SHES GETTING ABOUT 6 TO 7 HOURS SHE USED TO SLEEP ABOUT 8 HOURS BEFORE audio/RES0061.mp3[374.160,378.640] OK YEAH ANY CONFUSION OR MEMORY LOSS audio/RES0166.mp3[92.520,99.800] OK AND SO IT IT STARTED THIS MORNING IS IT STILL CONTINUING OR IS IT UH audio/RES0121.mp3[88.840,103.000] YEAH ITS HAPPENED TO ME IN THE PAST UM YEAH IT YEAH IT HAS UM BUT ITS JUST MORE BOTHERSOME THIS TIME CAUSE IM COUGHING A LOT MORE audio/MSK0007.mp3[608.280,617.800] OK WHEN ARE YOU STRAIGHTENING IT OUT ALL THE WAY OK BUT NO PAIN WITH SHOULDER MOVEMENTS AND FULL RANGE OF MOTION audio/RES0159.mp3[487.400,493.520] OK HAVE YOU UM HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS audio/RES0119.mp3[204.320,212.080] UH YEAH NOW THAT I THINK ABOUT IT WHEN SHES LAYING DOWN SHE DOES HAVE A HARD TIME audio/RES0172.mp3[119.560,125.360] OK WHAT ABOUT YOUR HEADACHE WHERE EXACTLY IS IT audio/RES0158.mp3[269.000,273.800] UM NO BURNING SENSATION OR PAIN AT ALL audio/RES0166.mp3[319.440,321.320] UH NO audio/RES0077.mp3[639.680,645.680] NO NOT THAT I KNOW OF audio/RES0009.mp3[52.120,55.440] YEAH YEAH EXACTLY audio/RES0186.mp3[1.000,28.560] HI THERE IVE BEEN HAVING THIS UHM COUGH THATS BEEN ONGOING FOR THE PAST TWO DAYS AND IVE STARTED TO BECOME SHORT OF BREATH AS WELL EVEN WITH JUST A LITTLE BIT OF EXERTION IVE ALSO BEEN FEELING FEVERISH AND I CHECKED MY TEMPERATURE AND IT WAS 38 POINT UH POINT 5 audio/RES0035.mp3[203.320,208.480] OK SO JUST THE DIFFICULTY BREATHING AND THE COUGH audio/RES0207.mp3[245.480,249.960] HAVE YOU HAD ANY SORE THROAT audio/RES0060.mp3[187.800,189.480] YEAH IT IS audio/RES0012.mp3[615.720,618.440] UH NOT THAT I KNOW OF LIKE audio/RES0108.mp3[298.000,301.880] UH NO NOTHING LIKE THAT audio/RES0154.mp3[410.400,417.120] NO IVE BEEN AT HOME audio/RES0171.mp3[3.320,18.240] YEAH IVE HAD A SHORTNESS OF BREATH AND EVEN AT AT REST REALLY FEELING LIKE ITS DIFFICULT TO BREATHE AND WHEN I TAKE A DEEP BREATH I GET A CHEST PAIN audio/RES0049.mp3[623.040,632.560] YES I JUST LIVE JUST OUTSIDE OF LONDON WITH MY WIFE AND DAUGHTER IN A SMALL TOWNHOUSE audio/RES0126.mp3[251.120,262.560] YEAH FOR SURE ANY SO THIS STARTED TWO MONTHS AGO ARE YOU HAVING SO YOU HAVE NOT TRAVELED THEN IM ASSUMING audio/RES0172.mp3[385.280,395.120] SIMILAR LIKE SOMETIMES AT A PARTY BUT I MEAN YEAH ITS BEEN AWHILE FOR SOMETHING LIKE THAT SO I HAVENT REALLY HAD ANY ALCOHOL ON IN MONTHS audio/RES0210.mp3[431.720,435.640] GEEZ MUST HAVE PICKED IT UP WHEN I WAS 15 audio/RES0026.mp3[177.120,190.400] OK AND WITH THIS HEADACHE WHEN IT FIRST CAME ON DID YOU EXPERIENCE A LIKE WORST HEADACHE OF YOUR LIFE OR A THUNDER CLAP SENSATION audio/RES0019.mp3[399.040,402.000] NO NO CHANGES audio/RES0114.mp3[162.520,172.920] YOURE FINE NOW OK UH ALRIGHT AND SORRY FORGOT TO ASK YOU EARLIER DO YOU SEE ANY BLOOD IN YOUR PHLEGM audio/RES0019.mp3[112.520,124.360] OK AND ARE YOU FEELING ANY PAIN DOWN INTO YOUR NECK OR INTO YOUR SHOULDERS OR BACK audio/MSK0015.mp3[646.360,652.760] NO OK AND IS THERE ANY LIKE MUSCLE ATROPHY AROUND THE HIP audio/RES0194.mp3[504.440,509.520] NO NO IVE ACTUALLY IVE BEEN OFF FOR THE THE LAST COUPLE OF DAYS audio/RES0051.mp3[401.360,406.280] ALRIGHT AND WHO ARE YOU LIVING WITH audio/RES0074.mp3[650.280,664.200] YEAH I WAS JUST WONDERING I DONT KNOW THE RESULTS OF THE CONTACT THAT I HAD UH SO SHOULD I ALSO GET TESTED TODAY audio/RES0133.mp3[50.800,54.800] UM NO I WAS PRETTY HEALTHY BEFORE THEN audio/MSK0026.mp3[144.360,148.880] OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE ELSE audio/RES0042.mp3[535.160,554.120] AH I MEAN MY KIDS JUST LEFT THIS WEEKEND UHM THERES REALLY ONLY PEOPLE IVE BEEN AROUND I CAN I MAYBE I SHOULD HAVE ASKED HIM BEFORE COMING HERE IF THEY LIKE KNEW THEY HAD SEEN ANYONE BUT THEY WERE FINE OVER THE WEEKEND audio/RES0203.mp3[473.440,475.000] THANK YOU audio/RES0034.mp3[473.560,477.760] UH SO LIKE UHM LIKE WHAT DO YOU MEAN BY THAT audio/MSK0018.mp3[406.680,423.760] NO OKAY AND THEN CAN I GET YOU TO UM CAN YOU LIFT YOUR SHOULDER UP AT ALL LIKE TO WHERE TO THE POINT WHERE YOUR FINGERS ARE TOUCH LIKE REACHING THE CEILING audio/RES0121.mp3[423.800,466.240] BASED ON LIKE PUBLIC HEALTH WILL CALL YOU AS WELL SO YOU CAN FOLLOW THEIR INSTRUCTIONS AND IF IT CAN BE ANYTHING ELSE TOO LIKE WITH A COUGH THERE CAN BE MULTIPLE THINGS GOING ON YOU CAN HAVE UM LIKE AN UPPER RESPIRATORY VIRAL OR BACTERIAL INFECTION BUT SINCE YOURE NOT HAVING TOO MANY OTHER SYMPTOMS RIGHT NOW IT CAN JUST BE BRONCHITIS UM THIS IS SOMETHING THAT WELL TRY AND KEEP AN EYE ON AND MAKE SURE ITS NOTHING ELSE LIKE UH PNEUMONIA FOR EXAMPLE BUT RIGHT NOW YEAH WELL GET THAT TESTING DONE AND THEN JUST KIND OF WAIT AND WATCH audio/RES0135.mp3[487.000,492.080] OKAY AND HAS ANYBODY IN THE HOME BEEN SICK RECENTLY audio/MSK0004.mp3[147.440,158.160] OK AND DOES THIS PAIN JUST STAY WHERES THE PAIN EXACTLY ON THE RIGHT SIDE OF YOUR ANKLE OR ON YOUR LEFT LIKE INTERIOR SIDE audio/RES0082.mp3[293.400,294.600] UM YEAH TO CATS audio/CAR0001.mp3[46.800,55.520] OK AND SO HOW LONG HAS IT BEEN GOING ON FOR THEN IF IT STARTED LAST NIGHT audio/RES0151.mp3[122.920,129.480] YEAH ITS MORE LIKE KIND OF A CLEAR TO MAYBE WHITISH DISCHARGE audio/RES0125.mp3[605.440,613.240] OKAY AND UH YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/MSK0013.mp3[50.280,63.600] OK AND WHERE ABOUT DO YOU FEEL THE NUMBNESS AND TINGLING TINGLING DO YOU FEEL LIKE ALL THE WAY UP YOUR UP YOUR LEG OR IS IT ONLY PART WAY audio/MSK0039.mp3[593.120,598.560] NO NOT NOT AT ALL LIKE I IM IM TOO SCARED TO TRY audio/MSK0036.mp3[569.400,572.120] NO I HAVENT audio/RES0126.mp3[749.200,800.400] YEAH SO WE DEFINITELY BEFORE DECIDING ON WHETHER OR NOT YOU SHOULD BE ADMITTED SINCE YOU SAID THE VENTOLIN IS NOT WORKING FOR YOU WE WILL DEFINITELY GIVE YOU SOME SOME VENTILATION AND PERHAPS STEROID FOR JUST TO GET RID OF SOME OF YOUR SYMPTOMS RIGHT NOW AND WE WANT TO ALSO MAKE SURE SINCE YOURE HAVING LIKE COUGH AS WELL AS SHORTNESS OF BREATH TO DO A COVID SWAB ON YOU JUST IN CASE I KNOW YOUVE BEEN LIKE ISOLATING AND EVERYTHING BUT JUST IN CASE I WILL DO THAT AND WELL GET LIKE A CHEST X RAY ON YOU AS WELL JUST TO SEE IF THERES ANY KIND OF PNEUMONIA GOING ON AND THEN FROM THERE WELL ALSO GET YOUR BLOOD WORK AND THEN FROM THERE WELL SEE WHETHER OR NOT YOU WILL REQUIRE ANOTHER ADMISSION audio/RES0056.mp3[269.600,272.000] NO NOTHING LIKE THAT audio/RES0087.mp3[240.560,242.160] NO NO audio/MSK0036.mp3[210.840,238.000] IT KIND OF GOES FROM THE PALM ALONG SO IT GOES FROM THE PALM IT GOES UPWARDS LIKE TO MY FINGERS BUT ALSO BACKWARDS LIKE INTO MY LOWER ARM AS WELL LIKE MY FOREARM audio/MSK0012.mp3[402.520,416.040] OK AND ANY KIND OF NUMBNESS OR PARESTHESIA LIKE AROUND JUST YOUR LOWER BACK AND BUTTOCKS audio/RES0085.mp3[290.600,300.440] AND NO COMPLICATIONS REALLY WITH THE PREGNANCY OR AFTER HE WAS BORN BUT YEAH HE WAS PREMATURE audio/RES0027.mp3[185.920,199.160] ALRIGHT AND WITHIN THE LAST MONTH OR SO HAVE YOU HAD ANY COLD LIKE SYMPTOMS WITH A RUNNY NOSE HEADACHE SORE THROAT AND OR A COUGH audio/RES0180.mp3[275.480,279.800] NO NAUSEA OR VOMITING audio/RES0023.mp3[102.720,108.840] OK OK UM HAVE YOU HAD ANY CHEST PAIN audio/RES0039.mp3[33.960,41.840] UH YEAH I HAVE UH HAD A COUGH RECENTLY LEADING UP TO THIS audio/MSK0025.mp3[507.120,513.000] I LIVE AT HOME WITH TWO OF MY CHILDREN audio/RES0110.mp3[332.080,337.040] UHM NO NO SORE THROAT audio/RES0171.mp3[61.560,77.520] ITS MOSTLY BEEN THAT BEEN THE SAME OR ACTUALLY SORRY ITS GOT GOT A LITTLE BIT WORSE AT FIRST IT WAS MORE MORE WITH EXERTION AND NOW ITS AT REST AS WELL SO YEAH ITS GOT WORSE audio/RES0107.mp3[202.560,213.400] AND UH YEAH HES JUST HES JUST ITCHING ALL THE TIME JUST ITCHING HIS NOSE ITCHING HIS UM EARS YEAH BUT NO NO SWELLING audio/RES0144.mp3[114.600,117.120] IT HAPPENS WHEN YOU TRY TO FEED HIM audio/RES0176.mp3[73.640,80.440] OK HOW FAR ARE YOU ABLE TO WALK OR EXERT YOURSELF BEFORE YOURE SHORT OF BREATH audio/MSK0009.mp3[67.960,76.640] OK UH AND WHAT WOULD YOU SAY THE CHARACTER OF THE PAIN IS OR HOW WOULD YOU DESCRIBE THE PAIN audio/RES0046.mp3[311.080,319.760] UM UEAH I MEAN MAYBE IVE HAD A BIT OF UH MUSCLE ACHES UM AND FATIGUE audio/RES0212.mp3[295.160,298.040] GOT IT EVER BEEN HOSPITALIZED BEFORE audio/RES0186.mp3[280.520,287.880] OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0035.mp3[301.920,304.720] LIKE FIVE YEARS AGO audio/RES0070.mp3[190.120,196.400] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0059.mp3[164.400,169.760] OK AND THEN HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0073.mp3[78.440,87.800] OK UH AND HAVE YOU FELT THAT ITS DIFFICULT TO BREATHE IN THROUGH EITHER OF YOUR NOSTRILS LIKE ITS OBSTRUCTED audio/RES0097.mp3[140.680,146.800] OK HOW ABOUT ANY CHANGES TO SMELL OR LOSS OF SMELL audio/RES0038.mp3[582.400,586.400] OK AND DO YOU CURRENTLY WORK audio/RES0030.mp3[299.600,304.160] OK AND DO YOU EVER HAVE TO USE A MULTIPLE PILLOWS audio/RES0110.mp3[507.960,525.560] UM SURE I HAD A DVT UH TWO YEARS AGO I HAVE DIABETES FOR WHICH I AM ON INSULIN AND I HAVE HYPOTHYROID audio/RES0005.mp3[308.520,313.680] ALRIGHT AND HOW ABOUT AND HOW IS YOUR APPETITE BEEN audio/RES0001.mp3[405.160,407.920] OK ANY HEADACHES audio/RES0125.mp3[249.400,260.480] I THINK I HAD LIKE A VERY IT MUST HAVE BEEN 374 UM IN THE FIRST TWO THREE DAYS BUT IT GOT BETTER REALLY QUICKLY audio/RES0026.mp3[5.600,25.880] SURE IVE HAD THIS TERRIBLE HEADACHE FOR THE PAST FOUR DAYS DOESNT SEEM TO BE GETTING ANY BETTER AND I FEEL HOT LIKE I HAVE A FEVER IVE BEEN COUGHING A LOT SO I AM IM WORRIED I HAVE COVISO IM HERE audio/RES0080.mp3[28.320,30.960] OK AND YOU SAID THIS STARTED audio/MSK0008.mp3[695.680,697.320] UM NO audio/RES0030.mp3[402.080,407.440] OK AND DO YOU TAKE ANY MEDICATIONS FOR YOUR BLOOD PRESSURE audio/RES0194.mp3[636.560,639.680] OK THAT YEAH THAT SOUNDS GOOD THANK YOU audio/RES0072.mp3[440.840,445.040] OK ANY CHANGES IN YOUR URINARY PATTERN audio/RES0199.mp3[140.480,145.600] ITS THE COUGH IS AROUND THE SAME AS WELL audio/RES0069.mp3[300.360,307.960] YEAH CERTAINLY HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0153.mp3[290.120,305.800] UH NO NOT THAT I CAN RECALL UM MAYBE WHEN I WAS LIKE LIKE 7 YEARS OLD LIKE I MAY HAVE HAD LIKE A SORE THROAT audio/RES0154.mp3[241.080,253.160] YEAH I WOULD SAY SO I JUST FEEL LIKE I DONT KNOW IF ITS TO DO WITH THE SHORT OF BEING SHORT OF BREATH BUT YEAH I JUST FEEL LIKE IVE JUST BEEN NEEDING MORE REST audio/RES0104.mp3[0.000,3.720] CAN YOU TELL ME WHAT BRINGS YOU IN HERE TODAY audio/RES0028.mp3[97.000,104.160] ITS GETTING WORSE OK AND HAVE YOU HAD ANY SIMILAR SORT OF PAIN IN THE PAST BEFORE audio/MSK0029.mp3[745.080,760.160] OK SO IF YOU HAVE SOMEONE THERE WITH YOU OR IF YOU HAVE A MIRROR OR IF THERES ANY WAY YOU CAN TAKE A LOOK AT THE BACK OF YOUR NECK AS WELL AS THE FRONT OF YOUR NECK UM DO YOU SEE ANY REDNESS OR SWELLING IN THAT AREA audio/RES0119.mp3[377.040,386.160] I THINK SHE MIGHT HAVE SOME ENVIRONMENTAL ALLERGIES WE HAVENT GOTTEN HER OFFICIALLY TESTED THOUGH audio/RES0019.mp3[170.680,176.520] OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0006.mp3[32.440,45.560] UH ITS USUALLY ALWAYS UH PRODUCES LIKE THE SPUTUM AND ITS USUALLY WHITE OR YELLOWISH IN COLOUR audio/MSK0006.mp3[384.000,387.600] UH NO NO CHANGES TO THE URINE audio/MSK0042.mp3[649.200,660.560] NO IVE BEEN LIKE UH NO NO PAIN NO I CAN WALK JUST FINE NO ISSUES THERE audio/RES0017.mp3[510.160,515.640] OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIPTION OR OVER THE COUNTER audio/RES0176.mp3[361.720,365.480] ANY URINARY PROBLEMS audio/MSK0039.mp3[499.640,501.120] THANK YOU audio/RES0125.mp3[398.560,402.800] NO OKAY AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES audio/RES0076.mp3[404.400,411.880] NO IVE BEEN BEEN MOSTLY AT HOME I HAVENT REALLY BEEN SEEING MANY PEOPLE LATELY audio/RES0145.mp3[407.240,410.520] WHAT HAPPENS audio/RES0179.mp3[277.120,279.040] SMELL OR TASTE audio/MSK0045.mp3[416.800,423.400] UM I DONT SMOKE I USED TO SMOKE BEFORE BUT THAT WAS LIKE 20 YEARS AGO audio/RES0001.mp3[706.080,711.280] OK OK AND AND WHAT DO YOU DO FOR WORK JENN audio/RES0187.mp3[533.040,541.280] OK OK ALRIGHT AND HAVE YOU BEEN IN TOUCH WITH OR IN CONTACT WITH ANYONE SICK RECENTLY audio/RES0084.mp3[427.680,432.080] NO NOTHING LIKE THAT audio/MSK0028.mp3[172.960,179.560] OK AND UH SORRY HOW LONG IS HOW MANY DAYS IS THE PAIN BEEN ON GOING ON FOR JUST JUST STARTED YESTERDAY audio/RES0182.mp3[270.480,274.880] HOW ABOUT MUSCLE ACHES OR BODY PAINS audio/RES0078.mp3[334.120,336.640] NO I HAVENT HAD A PAIN LIKE THIS BEFORE audio/RES0056.mp3[279.400,281.840] HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL audio/RES0113.mp3[28.280,32.400] UH NO I HAVENT ACTUALLY MEASURED IT I JUST FEEL HOT AND FEEL CHILLS audio/RES0113.mp3[171.440,179.200] I TRIED LIKE SOME TYLENOL FOR IT AND IT SEEMS TO HELP A LITTLE BIT audio/RES0060.mp3[123.320,132.520] OK YOU HAVENT BEEN AS HUNGRY UM HAVE YOU HAD ANY CHANGES TO YOUR TASTE audio/RES0186.mp3[74.200,77.760] NO SPUTUM OR BLOOD IN THE COUGHING audio/RES0055.mp3[488.840,497.080] UMM NO I DONT THINK SO YEAH NO I DONT THINK SO audio/RES0196.mp3[350.560,354.760] OK AND HOW ABOUT HER LIVING SITUATION CURRENTLY audio/RES0110.mp3[642.600,643.680] WELL THATS GREAT audio/RES0102.mp3[406.360,412.080] I HAVE BEEN SWEATING AT NIGHT BUT UH YEAH THATS IT audio/RES0162.mp3[606.400,607.760] NO I HAVENT audio/RES0129.mp3[363.840,369.440] NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/MSK0032.mp3[252.400,254.280] UH NO audio/RES0081.mp3[573.080,587.480] OK AND ANYBODY AT WORK OR ANY OTHER PLACES THAT YOU MAYBE TRAVELED TO THAT UH BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0144.mp3[266.400,275.120] YEAH HES RECEIVED ALL HIS IMMUNIZATIONS UP TO DATE audio/RES0088.mp3[352.320,361.080] OK AND RIGHT NOW IS SHE GOING TO SCHOOL OR IS RIGHT NOW ALL LIKE VIRTUAL IS SHE AT HOME audio/RES0210.mp3[232.960,241.640] OK HAVE YOU EVER HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/RES0142.mp3[170.320,172.800] ANY ALLERGIES audio/RES0145.mp3[175.640,181.200] YEAH AND IVE BEEN REALLY LIKE ACHY AND AND TIRED AS WELL audio/RES0135.mp3[194.720,204.960] YEAH WEVE MANAGED TO GET HER TO DRINK AND EAT OKAY UM SO IN THAT SENSE NO CHANGES THERE audio/RES0135.mp3[443.680,453.000] OKAY ANY CONCERNS AT BIRTH LIKE JAUNDICE OR OR ANY TYPES OF DISTRESS audio/RES0182.mp3[127.240,134.680] UHM I DONT THINK SO THEY JUST HAPPEN THROUGHOUT THE DAY audio/RES0070.mp3[461.320,470.480] OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY YOU WENT OUT FOR DINNER A COUPLE DAYS AGO audio/RES0029.mp3[57.240,63.520] I THINK ITS MORE LIKE SOMEONE IS JUST STABBING ME AND THEN WHOLE LEFT SIDE AREA audio/RES0009.mp3[330.000,337.480] NO I MEAN THE PAIN IS LIKE YEAH ITS IN MY CHEST YEAH THATS NOT IN MY ITS NOT IN MY BELLY AT ALL audio/RES0103.mp3[110.120,121.960] OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE AT HOME OR AT SCHOOL IF SHES GOING TO SCHOOL VERSUS AT HOME FOR THE PANDEMIC RIGHT NOW BUT ANY ILL CONTACTS AT ALL audio/RES0059.mp3[81.800,83.520] NO CHEST PAIN audio/RES0099.mp3[502.080,508.720] OK UHM YOU DONT HAVE ANY ASTHMA OR PROBLEMS BREATHING LIKE THAT audio/RES0001.mp3[723.640,728.960] UM NO I I CANT REMEMBER THE LAST VACATION audio/RES0194.mp3[122.680,125.520] ITS MORE LIKE PRESSURE audio/RES0133.mp3[322.280,327.760] OKAY AND UH ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE audio/RES0061.mp3[173.320,178.320] OH YEAH NO PROBLEM SWALLOWING JUST HAVENT FELT HUNGRY audio/RES0094.mp3[360.400,364.440] NO WEVE BEEN DOING CLASSES VIRTUALLY audio/RES0161.mp3[302.560,313.720] OK OK UHM AND DO YOU YOU MENTIONED THAT YOU HAVE A DAUGHTER DO YOU WHO DO YOU CURRENTLY LIVE WITH audio/RES0213.mp3[316.200,323.360] OK NOW WHEN YOU GET THIS THIS CHEST PAIN DO YOU EVER FEEL SHORT OF BREATH audio/RES0195.mp3[561.320,593.480] YEAH SO DEFINITELY ONE THING WE NEED TO RULE OUT WITH THE SHORTNESS OF BREATH IS ANY VIRAL OR VIRAL INFECTION LIKE CORONAVIRUS SO WE WILL GET A TEST DONE FOR YOU TODAY HOWEVER SINCE THIS SEEMS TO BE KIND OF A CHRONIC ISSUE BEEN GOING ON FOR A FEW MONTHS AND YOURE HAVING WITH THE SHORTNESS OF BREATH SOME OTHER SYMPTOMS THE RASH BELOW KNEES OR IS WHAT WE CALLED ERYTHEMA NODOSUM AND IRRITATION IN YOUR EYES AND YOU HAVE A FAMILY HISTORY audio/CAR0002.mp3[256.320,259.600] NO MY ENERGY HAS BEEN GOOD audio/MSK0041.mp3[386.280,394.240] UM I TAKE RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ON INSULIN FOR THE DIABETES audio/RES0007.mp3[352.960,357.520] WHEN I WAS A KID BUT NOT REALLY NOW audio/RES0017.mp3[808.640,820.520] OK SO THOSE ARE THE QUESTIONS THAT I WANTED TO GO OVER TO MAKE SURE I ASKED ON HISTORY WAS THERE ANYTHING THAT ELSE YOU WANTED TO TELL ME audio/RES0183.mp3[282.080,287.520] OK ANY EAR PAIN OR OR EAR DISCHARGE audio/RES0051.mp3[453.520,460.960] OK AND SO DO YOU DRINK DO YOU DRINK ALCOHOL audio/CAR0001.mp3[487.960,493.120] PER WEEK MAYBE ABOUT 5 MILLIGRAMS NOT THAT MUCH audio/RES0074.mp3[573.440,577.880] OK AND UH DO YOU USE ANY RECREATIONAL DRUGS audio/RES0046.mp3[247.840,267.520] UM I THINK THIS MORNING UM YEAH I REALLY NOTICED THAT WHEN I WAS I WAS TRYING TO HAVE SOME BREAKFAST BUT UM I THOUGHT IT WAS MY LACK OF APPETITE THAT WAS THAT WAS CAUSING ISSUES BUT I HAVENT REALLY BEEN ABLE TO SMELL OR TASTE FOOD audio/RES0190.mp3[266.280,268.640] NO NO SHORTNESS OF BREATH audio/RES0089.mp3[659.360,665.760] NO OK AND HAVE YOU BEEN TAKING YOUR SPIRONOLACTONE audio/RES0184.mp3[364.640,369.360] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0134.mp3[216.360,224.360] OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR IN YOUR LEGS OR EXTREMITIES audio/RES0014.mp3[351.760,354.520] OK ANY HEADACHES audio/RES0155.mp3[380.800,383.880] OK ANY NIGHT SWEATS audio/RES0200.mp3[32.360,40.400] OK YOU SAID YOU WERE DIAGNOSED WITH COPCOUPLE YEARS AGO WAS THAT TWO YEARS AGO THREE YEARS AGO audio/RES0140.mp3[449.440,452.200] NO UM YEAH THAT THAT SOUNDS GOOD audio/RES0188.mp3[124.600,128.480] OK HAS HE HAD ANY WEIGHT LOSS audio/RES0214.mp3[264.880,269.880] I HAD MY GALLBLADDER TAKEN OUT FIVE YEARS AGO audio/MSK0026.mp3[129.520,132.240] YES IT HAS BEEN audio/RES0042.mp3[370.400,382.080] UM JUST LIKE THE HYDROCORTISONE CREAM ON OCCASION audio/RES0176.mp3[404.960,412.120] OK I DO YOU SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0163.mp3[479.680,489.400] 50 YEARS OLD OK AND IM CURRENTLY RIGHT NOW UH ARE YOU A STUDENT DO YOU WORK audio/RES0188.mp3[320.360,327.040] NO MEDICATIONS OK AND IS UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0138.mp3[101.360,112.920] OKAY OKAY AND UM SO THIS IS OVER THE LAST EIGHT OR NINE MONTHS HAVE YOU NOTICED ANY OTHER SYMPTOMS AT ALL LIKE CHEST PAIN DIZZINESS OR FAINTING NO audio/MSK0042.mp3[707.520,716.400] UM NO NOT THAT I CAN TELL audio/RES0029.mp3[294.240,303.680] UH NOT OTHER THAN JUST A HAY FEVER BUT NOTHING NOTHING ELSE I HAVE LIKE A LOT OF ALLERGIES audio/RES0163.mp3[320.200,325.040] UHM NO NO ALLERGIES TO MEDICATIONS audio/RES0180.mp3[147.120,149.400] NO I HAVENT FELT LIKE THAT audio/RES0021.mp3[196.600,203.200] I DONT THINK SO NOTHING NOTHING BIG HAS HAPPENED IN MY LIFE NO BIG CHANGES audio/RES0168.mp3[411.760,420.800] BUT ESSENTIALLY THAT THAT MIGHT BE LIKE ONCE LIKE PER MONTH OR SOMETHING audio/RES0214.mp3[387.320,390.240] UH I DRINK ONCE ONCE IN A WHILE audio/RES0110.mp3[301.200,303.280] SENSE OF TASTE audio/RES0110.mp3[673.000,677.000] UH NO WE DONT HAVE ANY PETS OR ANIMALS audio/RES0030.mp3[596.680,598.520] OK OK ALRIGHT audio/MSK0007.mp3[600.640,608.280] ACTUALLY SORRY WITH THE ELBOW WHEN I STRAIGHTEN IT OUT ALL THE WAY IT HURTS A LITTLE BIT audio/RES0094.mp3[338.720,344.440] ALRIGHT WHAT ABOUT MARIJUANA audio/RES0097.mp3[601.680,607.720] I DONT I DONT THINK SO audio/MSK0044.mp3[333.000,336.120] ANY SKIN CHANGES LIKE RASHES audio/RES0046.mp3[359.280,378.040] PRETTY LOOSE OK AND HOW MUCH UM HOW HOW MUCH STOOL ARE YOU PRODUCING EVERY TIME YOU GO IS IT FILLING THE TOILET BOWL OR UM IS IT UH RELATIVELY LITTLE audio/RES0123.mp3[578.160,589.480] UM YEAH SOMETIMES I WHEN IM LIKE STRESSED AT WORK AND LIKE I UH ITS NOT LIKE ANYTHING REGULAR THAT HAPPENS TO ME I PROBABLY HAVE HAD MIGRAINES IN THE PAST audio/RES0203.mp3[145.160,147.760] FEVERS NO FEVERS audio/RES0039.mp3[774.800,793.120] UHM I DONT KNOW IM REALLY CONCERNED ABOUT THE THE BLOOD THAT I BROUGHT UP LIKE I MEAN IS THIS CANCER OR UH UH TUBERCULOSIS LIKE ONE OF THOSE TUBERCULOSIS INFECTIONS THAT I HEARD ABOUT WHILE I WAS AWAY audio/RES0059.mp3[564.960,578.200] OK UM ANY CONCERNS WITH YOUR LIVING ARRANGEMENTS YOU KNOW LIKE OLD CARPETS OR ANYTHING LIKE THAT audio/RES0031.mp3[288.600,292.320] OK AND HAVE YOU HAD A COUGH audio/RES0066.mp3[0.000,3.880] SO WHAT BRINGS YOU IN HERE TO THE ER audio/RES0051.mp3[592.400,596.440] OK SOUNDS GREAT THANK YOU audio/RES0072.mp3[675.080,681.200] YOURE WELCOME TAKE CARE audio/RES0047.mp3[291.720,298.480] YEAH I KIND OF FEEL IT UM WITH THE COUGHING audio/RES0072.mp3[257.080,261.960] OK SO NOT IN ANY PARTICULAR AREA JUST KIND OF ALL OVER YOUR STOMACH audio/GAS0005.mp3[328.240,337.920] OK AND HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL VOIDING OR BEEN PEEING MORE OFTEN audio/RES0109.mp3[47.320,53.120] DRY COUGH OK UM AND IS IT PERSISTENT OR DOES IT COME AND GO audio/RES0137.mp3[202.960,209.640] OKAY AND IS THERE ANYTHING THAT HAS HELPED HER AT ALL LIKE ANY OVER THE COUNTER MEDICATIONS OR ANYTHING LIKE THAT audio/RES0148.mp3[592.560,609.040] OK YEAH AND I THINK THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY TODAY BEFORE WE GO AHEAD ON TO THE PHYSICAL EXAM UH DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD MAYBE BEFORE UM THAT I FORGOT TO ASK ABOUT audio/MSK0025.mp3[427.720,434.240] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU HAVE BEEN DIAGNOSED WITH audio/RES0091.mp3[155.920,164.840] OK HAVE YOU AT ALL IN THE PAST COUPLE WEEKS TO A MONTH HAD CONTACT WITH ANYONE THAT WAS SICK audio/RES0110.mp3[692.000,695.040] UH NO I AM PRETTY INDEPENDENT audio/RES0100.mp3[550.080,555.160] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0155.mp3[279.960,284.400] OK UM HOW OFTEN ARE YOU HAVING TO USE IT audio/RES0098.mp3[654.720,677.360] OH YOURE WELCOME SO YEAH WELL WELL UHMTRIAL SOME MORE PUFFERS AND SEE WHAT WE COULD DO CAUSE CERTAINLY ITS SOUNDING LIKE AN ASTHMA EXACERBATION AND SO DEFINITELY LET SOMEBODY KNOW IF YOUR YOUR BREATHING IS GETTING MORE DIFFICULT audio/RES0027.mp3[47.480,54.160] AH YOU KNOW IT SEEMS TO BE GETTING WORSE AND NOW I EVEN FEEL HOT LIKE I HAVE A FEVER OR SOMETHING audio/RES0138.mp3[53.320,57.440] SO WHEN IM WHEN IM WITH ACTIVITY audio/RES0176.mp3[5.280,38.120] I UM I JUST HAVENT BEEN FEELING VERY WELL OVER THE PAST COUPLE MONTHS AND I HAVE DECIDED I JUST COME IN AND SEE WHATS HAPPENING SO IVE JUST IVE BEEN FEELING SHORT OF BREATH AND I KIND OF PASSED OUT SOMETIMES AND IM REALLY WORRIED ABOUT IT audio/RES0020.mp3[487.440,499.600] OK GREAT YEAH I WAS WONDERING ABOUT THAT ONE SO WE CAN LOOK INTO THAT CERTAINLY AND DO YOU KNOW IF YOUVE HAD THE ZOSTER OR THE SHINGLES VACCINE audio/RES0036.mp3[120.120,122.440] ITS BOTH OK audio/RES0013.mp3[270.440,286.320] I DONT KNOW LIKE I I FEEL LIKE THAT ITS STILL KIND OF ACHING LIKE IT DOESNT ITS NOT REALLY LIKE CHANGING VERY MUCH audio/MSK0009.mp3[258.840,264.320] AND HOW ABOUT YOUR HEAD DID YOU LOSE CONSCIOUSNESS OR OR HIT YOUR HEAD audio/RES0022.mp3[290.160,296.040] NO NOT REALLY JUST JUST LIKE THERE REALLY I THINK LIKE FEVER I THINK FEVERS audio/RES0101.mp3[501.160,512.320] YEAH SO IM LIVING WITH MY WIFE IN A HOUSE I DO HAVE TWO KIDS BUT THEYRE OFF TO COLLEGE RIGHT NOW SO ITS JUST US 2 audio/RES0028.mp3[179.640,183.040] OK HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0192.mp3[602.000,610.600] UM NO NOT THAT I CAN THINK OF audio/RES0074.mp3[231.320,236.920] HAVE YOU HAD A LOSS OF SMELL OR TASTE audio/RES0013.mp3[171.320,174.280] ANY SWELLING IN YOUR LEGS audio/RES0135.mp3[270.600,277.040] OKAY ON FEEDS OR ANYTHING LIKE THAT DID YOU NOTICE LIKE ANY REDNESS IN HER IN THE BACK OF HER THROAT audio/RES0121.mp3[230.640,235.800] AND UM HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY audio/RES0179.mp3[598.760,600.680] NO I DONT THINK SO audio/RES0129.mp3[223.280,227.440] NO ANY CONFUSION OR MEMORY LOSS audio/RES0092.mp3[248.280,250.960] I SEE OK ANY ALLERGIES audio/RES0158.mp3[86.040,99.880] UH YEAH IVE BEEN HAVING A HEADACHE LIKE I DONT KNOW ON AND OFF FOR THIS PAST THREE OR FOUR DAYS AS WELL AND I HAVE HAD MUSCLE ACHES MY WHOLE BODY KIND OF ACHES audio/RES0193.mp3[342.920,348.400] NO OR ANY ALLERGIES TO ANY ENVIRONMENTAL OR FOOD FACTORS audio/RES0212.mp3[385.720,398.760] NO LIKE I DONT UM I DONT SMOKE CIGARETTES LIKE I SOMETIMES SOMETIMES SMOKE MARIJUANA BUT USUALLY UM USUALLY ITS LIKE THE VAPE audio/MSK0005.mp3[502.640,515.480] OK ALRIGHT AND THEN HOW ABOUT WHEN YOU PRONATE AND SUPINATE YOUR FOREARMS audio/RES0138.mp3[44.720,53.320] OKAY AND IS IT SHORT OF BREATH WITH ACTIVITIES OR ARE YOU GETTING SHORT OF BREATH WITH UH SITTING OR RESTING AS WELL audio/RES0213.mp3[222.520,233.840] UM SO LIKE I GUESS IM TRYING TO QUIT IM SMOKING LESS THAN I USED TO I PROBABLY SMOKED 5 CIGARETTES A DAY BUT IT USED TO BE A LITTLE BIT MORE audio/RES0071.mp3[50.520,60.800] OK HAVE YOU NOTICED AT ALL UM LIKE GREEN OR YELLOW COLOR OF YOUR SPUTUM OR ANY BLOOD TINGED SPUTUM audio/CAR0002.mp3[408.840,412.200] OK AND DO YOU CURRENTLY WORK audio/CAR0005.mp3[527.360,533.360] UH I DONT THINK SO NO audio/RES0036.mp3[516.600,518.920] NO ALLERGIES audio/MSK0017.mp3[427.200,432.840] OK HOW ABOUT UM HEART OR LUNG DISEASES audio/RES0034.mp3[9.440,18.160] I AM JUST CALLING ABOUT MY DAUGHTER SHES BEEN SICK OVER THE LAST FEW DAYS SHE HAS FEVER AND A COUGH audio/RES0085.mp3[237.960,250.920] UH NO IVE BEEN REALLY TRYING TO MAKE SURE LIKE I WAS WORRIED IF HE GETS BLUE OR SOMETHING THAT WE WOULD RUSH TO THE EMERGENCY DEPARTMENT BUT I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0200.mp3[580.120,588.320] OK ALRIGHT WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/MSK0029.mp3[395.080,408.320] UM YEAH THIS MORNING I I GUESS ITS BEEN A LITTLE BIT MORE DIFFICULT TO FOCUS ON THINGS BUT MAYBE I WAS JUST WORRIED LIKE FOCUSING ON THE PAIN IN MY NECK audio/GAS0005.mp3[275.920,279.360] OK AND HAS HE HAD A COUGH audio/RES0181.mp3[424.440,439.520] UHM I TRIED ONCE BUT I DONT EVER DO IT REGULARLY audio/RES0106.mp3[270.920,274.080] I HAVE MY WISDOM TEETH REMOVED audio/RES0076.mp3[439.680,445.120] MULTI VITAMINS OK ANY ALLERGIES THAT YOU KNOW OF TO MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES audio/MSK0046.mp3[386.960,392.880] OK IT HURTS IN THAT LOCATION THAT YOU MENTIONED audio/RES0056.mp3[349.680,356.920] OK ANY TRAVEL RECENTLY audio/RES0020.mp3[460.960,466.000] IM ALLERGIC TO PENICILLIN audio/RES0125.mp3[260.480,266.120] OKAY I SEE ANY NIGHT SWEATS audio/RES0071.mp3[527.280,533.120] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0108.mp3[308.080,314.080] NO HOW ABOUT UH MARIJUANA OR OTHER RECREATIONAL DRUGS audio/RES0022.mp3[395.280,401.880] SO PROBABLY LIKE TWICE WHERE IT WAS REALLY LOOSE audio/RES0200.mp3[354.440,363.800] AND JUST I I USED TO TAKE BLOOD PRESSURE MEDICATIONS BUT I DONT RIGHT NOW audio/RES0005.mp3[674.720,680.720] OK ANY CANCERS IN THE FAMILY audio/RES0210.mp3[228.440,232.960] YEAH YEAH I GOT PAIN KINDA ON THE RIGHT audio/RES0164.mp3[117.800,127.520] OK AND CAN YOU DESCRIBE THE RASH FOR ME LIKE ITS COLOR SHAPES AND WHAT KIND OF LOOKS LIKE audio/MSK0013.mp3[97.800,120.240] UM I MEAN ITS POSSIBLE UM BUT I DIDNT FEEL ANYTHING SO IM NOT TOO SURE ABOUT THAT IT IS THE SUMMER SO IVE BEEN LIKE GOING TO THE BEACH AND WHEN IM AT THE PARK LIKE ILL TAKE OFF MY FLIP FLOPS audio/RES0016.mp3[307.520,310.920] ANY SWELLING IN YOUR ARMS OR LEGS audio/RES0039.mp3[101.040,124.720] YEAH WE WERE KIND OF LIKE LIVING WITH THE LOCALS WHILE WE WHILE WE WERE THERE IT WAS PART OF THE EXPERIENCE FOR VOLUNTEERING I WAS THERE FOR ALMOST TWO MONTHS AS PART OF PART OF MY MY SUMMER BREAK THROUGH UNIVERSITY audio/RES0183.mp3[297.440,302.640] DOES HE HAVE ANY DIARRHEA OR CONSTIPATION audio/RES0111.mp3[65.880,70.280] NO NO NOTHING LIKE THAT audio/MSK0041.mp3[436.160,438.920] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0014.mp3[324.080,332.320] OK AND ANY OTHER PAINFUL JOINTS OR MUSCLE ACHES OR BODY PAINS audio/RES0164.mp3[422.840,430.040] OK AND AND ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS audio/RES0081.mp3[181.880,189.360] OK AND YOU MENTIONED UH A WHEEZE HAVE YOU BEEN ABLE TO HEAR A WHEEZE LIKE THIS BEFORE audio/MSK0026.mp3[1.440,19.920] IM IM HERE BECAUSE MY RIGHT KNEE IS VERY PAINFUL IT LOOKS KIND OF SWOLLEN AND ITS ITS ALSO A LITTLE BIT WARM SO IM JUST WORRIED IM WORRIED ABOUT IT AND I WAS WONDERING IF YOU COULD LOOK AT IT audio/RES0147.mp3[602.560,610.240] YEAH WE ARE LIKE IM LIKE HELPING OUT WITH CLEANING THE CARTS AND KIND OF HELPING OUT WITH THE GROUNDS audio/RES0042.mp3[674.600,677.360] NO THANK YOU HAVE A GOOD DAY audio/RES0149.mp3[161.200,167.360] OK UH HAVE YOU TRIED ANYTHING FOR A FOR THE PAIN audio/RES0024.mp3[483.000,489.520] OK DO YOU KNOW BREAST CANCER OVARIAN CANCER audio/RES0095.mp3[163.960,167.360] IS THIS A NIGHTLY THING audio/MSK0038.mp3[257.520,259.600] NOTHING LIKE THAT audio/GAS0002.mp3[292.920,294.560] NO NO NO CHANGES audio/RES0045.mp3[93.160,100.280] OK AND UM HAS ANYTHING MADE IT BETTER HAVE YOU TRIED ANYTHING FOR THIS COUGH audio/MSK0004.mp3[446.160,455.000] OK AND IF YOU KIND OF UH ARE YOU ABLE TO MOVE YOUR ANKLE AT ALL audio/RES0180.mp3[1.920,18.000] HI I UMM SO I STARTED TO HAVE THIS COUGH THAT STARTED LIKE 2 DAYS AGO AND ALSO THESE LAST COUPLE OF DAYS IVE JUST HAD THIS HEADACHE AND FEELING REALLY ACHY ALL OVER audio/RES0194.mp3[59.800,64.800] NO NOT NOTHING I CAN THINK OF LIKE THAT audio/RES0128.mp3[88.920,101.000] OK AND HAVE YOU TRIED ANYTHING FOR HIS COUGH FOR HIS SHORTNESS OF BREATH OR WHEEZING audio/RES0038.mp3[630.600,631.400] OK THANK YOU audio/RES0159.mp3[382.560,385.000] UH MOT THAT I KNOW OF NO audio/RES0149.mp3[312.320,319.040] OK IS IT IS IT SWOLLEN OR HAVE YOU NOTICED ANY REDNESS OF THE SKIN THERE audio/MSK0020.mp3[255.880,261.440] OK AND ANY WEIGHT LOSS RECENTLY audio/RES0074.mp3[388.280,393.360] OK HAVE YOU BEEN HOSPITALIZED BEFORE audio/RES0018.mp3[284.840,286.600] NO ABDOMINAL PAINS audio/RES0213.mp3[494.360,502.920] UNDERSTOOD AND YOU SAID YOUR FATHER PASSED EARLY FROM A HEART ATTACK IM SORRY BUT ANYONE ELSE IN YOUR FAMILY EITHER YOUR PARENTS OR MUM HAVE ANY HEALTH ISSUES audio/RES0099.mp3[250.480,255.280] NO I I DIDNT HAVE ANY NIGHT SWEATS audio/RES0056.mp3[18.720,32.880] YEAH AROUND A WEEK AGO OK AND THE FEVER STARTED TWO TO THREE DAYS AGO YEAH I HAVENT REALLY MEASURED IT BUT LIKE I DEFINITELY HAVE BEEN FEELING CHILLSIVE BEEN WEARING LIKE MULTIPLE BLANKETS OVER THE LAST FEW DAYS audio/RES0060.mp3[627.480,639.280] YEAH I HAD AN INGUINAL HERNIA REPAIRED ABOUT FIVE YEARS AGO audio/RES0058.mp3[396.560,403.520] OK ANY WEIGHT LOSS OVER THE PAST COUPLE OF MONTHS audio/MSK0029.mp3[686.400,692.600] OK OK THATS GOOD AND HOW ABOUT TRAVEL HAVE YOU HAD ANY RECENTLY audio/RES0064.mp3[457.240,471.960] UH NO I THINK THOSE ARE EVERYTHING I WANTED TO TALK ABOUT BUT I JUST WAS WONDERING IF HE NEEDS TO GET TESTED OR LIKE IF THERES ANYTHING WE CAN DO TODAY FOR HIM audio/RES0039.mp3[523.040,525.400] OK UM AND WHEN DID YOU START THAT audio/RES0084.mp3[192.080,201.520] OK OK AND SEVERITYWISE 1 TO 10 10 BEING THE WORST HEADACHE YOUVE EVER WORST PAIN YOUVE EVER FELT HOW BAD IS IT audio/RES0031.mp3[446.880,454.360] NO IT IT STARTED I THINK AROUND 2 WEEKS AGO AND IT STOPPED LAST WEEK audio/MSK0044.mp3[112.960,136.480] I YEAH IVE JUST BEEN HOLDING MY ARM UP BY UH I KIND OF MADE A SLING OUT OF YEAH LIKE THE COACHES HELPED MAKE A SLING OUT OF ONE OF THE UH WHAT WE LIKE A SHIRT OR SOMETHING LIKE THAT AT THE PRACTICE AND SO IVE BEEN JUST KIND OF HOLDING MY ARM AGAINST MY CHEST WITH MY ELBOW FLEXED I HAVENT REALLY MOVED IT AT ALL audio/RES0051.mp3[118.800,125.960] OK AND YOU CANT TASTE YOUR FOOD AS WELL AND WHEN DID YOU NOTICE THAT audio/RES0072.mp3[283.280,298.960] OK AND UH IS IT ASSOCIATED WITH EATING FOOD AT ALL OR DOES IT GET BETTER WHEN YOU DEFECATE audio/RES0202.mp3[338.320,344.240] OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE audio/RES0042.mp3[182.000,189.560] NO NO FEVER I MEAN I I TOOK MY TEMP WAS HIGH I GUESS I FELT HOT BUT I DIDNT THERE WERE NO CHILLS audio/MSK0027.mp3[469.000,470.960] OK AND IS THERE ANYBODY WHO SMOKES IN THE HOME audio/RES0100.mp3[228.560,232.400] OK HAVE YOU HAD ANY WHEEZING audio/RES0184.mp3[270.680,276.080] ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE audio/RES0037.mp3[598.040,623.080] AND IT CAN RUN IN THE FAMILY AND THAT CAN CAUSE SOME OF THE SYMPTOMS LIKE A CHRONIC COUGH IT CAN CAUSE SOMETIMES SHORTNESS OF BREATH AND IT CAN SOMETIMES BE ASSOCIATED WITH THE LIKE SOME CONNECTIVE TISSUE DISORDERS THAT CAN RUN IN THE FAMILY UMM ANY OF THOSE RING A BELL audio/MSK0029.mp3[78.760,91.160] UH NO ITS I LIKE NOT IMMEDIATELY YEAH I THINK IT STARTED A BIT LATER ON AND THEN WORSE A BIT A BIT TODAY audio/RES0037.mp3[501.160,510.480] UM YEAH I MEANT UH HIGH BLOOD PRESSURE TYPE 2 DIABETES AND HIGH CHOLESTEROL audio/MSK0022.mp3[652.000,659.440] OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS audio/RES0027.mp3[136.480,149.760] WELL BECAUSE THE COUGHS BEEN KEEPING YOU UP OK UM SO HAVE YOU HAD ANY HEADACHES audio/RES0070.mp3[446.720,449.320] MIGRAINES OK audio/RES0111.mp3[450.320,521.760] UH ALL RIGHT WELL UM THATS ALL THE QUESTIONS I HAD WELL DO A PHYSICAL EXAM HAVE A LOOK INSIDE YOUR THROAT UM GIVEN UH THE SYMPTOMS THAT YOU HAVE IT SOUNDS LIKE YOU HAVE UM AN AN INFLAMMATION OR SWELLING OF YOUR THROAT WHICH COULD BE CAUSED BY BACTERIA OR VIRUSES IT COULD BE SOMETHING LIKE UM MONO OR IT COULD BE UM STREP THROAT UM IT COULD BE OTHER THINGS AS WELL UM SEEING THAT YOUR SYMPTOMS ARE SOMEWHAT OVERLAPPING WITH THE SYMPTOMS FOR COVID WE WOULD ALSO LIKE TO DO A COVID TEST UM WELL DO A RAPID STREP TEST HERE AS WELL UM JUST TO RULE IT OUT AND THEN UH WELL UH ASK YOU TO QUARANTINE FOR THE NEXT 14 DAYS UM UNTIL OR AT LEAST UNTIL YOUR COVID SWABS ARE BACK OR YOUR SYMPTOMS IMPROVE UM AND WELL LET YOU KNOW ABOUT UM THE MANAGEMENT BASED ON THE STREP TEST RESULT DO YOU HAVE ANY QUESTIONS audio/RES0202.mp3[3.280,78.880] HI SO I JUST BROUGHT IN MY SON HES 5 ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DON’T KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED UH SORRY TODAY TODAY IS FRIDAY HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH audio/MSK0025.mp3[477.440,495.160] OK UH AND DO YOU DID YOU DO ANY WORK PREVIOUSLY THAT REQUIRED HEAVY LIFTING OR STRENUOUS ACTIVITIES REGARDING YOUR BACK AT ALL audio/RES0116.mp3[440.480,450.120] NO HE WASNT HOSPITALIZED UH WE STAYED THERE MAYBE ONE DAY EXTRA JUST BECAUSE UM THERE WAS SOME JUST KIND OF MISSHAPING OF HIS HEAD audio/RES0191.mp3[302.120,307.520] OK AND ARE YOU GOT WORKING RIGHT NOW OR ARE YOU GOING TO SCHOOL OR BOTH audio/RES0152.mp3[125.320,131.440] UH NO NOTHING LIKE THAT audio/RES0023.mp3[354.360,360.600] YEAH SHES BEEN SHES BEEN HOME AS WELL audio/MSK0042.mp3[40.880,55.680] SO I THINK I NOTICED IT UM FOR THE FIRST TIME UM PROBABLY A COUPLE WEEKS AGO I WOULD SAY LIKE TWO WEEKS AGO I I NOTICED IT audio/RES0007.mp3[123.120,159.600] OH LIKE SOMETIMES WHEN ITS REALLY COLD OUTSIDE ILL GO OUT AND LIKE IT MY CHEST FEELS TIGHT AND JUST FEEL LIKE I CANT BREATHE AND KIND OF SUCKS LIKE MY GIRLFRIEND WANTED TO BUILD A SNOWMAN AND DO SNOW ANGELS AND STUFF AND I COULDNT DO IT OH ANOTHER TIME LIKE I WENT TO MY FRIENDS HOUSE AND THEY HAD LIKE A BUNCH OF CATS I I FELT LIKE I GOT WHEEZY SOUND AND I FELT LIKE THAT TIME IT TOOK LONGER FOR FOR THE BREATHING TO GET EASIER LIKE I HAD TO LEAVE audio/RES0024.mp3[162.000,167.040] ALRIGHT OR HOW ABOUT ANY NIGHT SWEATS audio/RES0079.mp3[78.680,85.120] OK HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS audio/RES0071.mp3[208.000,209.520] BOTH SIDES audio/RES0042.mp3[313.520,328.800] OH LIKE WHEN I WAS STARTED WHEN I WAS LIKE A KID AND THEN I FEEL LIKE WHEN I WAS A TEENAGER I DIDNT REALLY AND THEN PART OF IT AS AN ADULT I REALLY HAVE TO TAKE CARE OF IT OR ELSE IT GETS BAD audio/RES0011.mp3[768.160,770.920] UH ABOUT 10 YEARS AGO YEAH audio/RES0048.mp3[330.160,333.200] NO IVE BEEN FINE THAT WAY audio/RES0051.mp3[85.840,93.640] I HAVE A SORE THROAT AND I FEEL LIKE I CANT TASTE THINGS THE SAME audio/RES0046.mp3[139.680,145.920] OK AND ANY SHORTNESS OF BREATH audio/RES0013.mp3[665.040,668.520] THATD BE GREAT audio/RES0183.mp3[477.800,490.280] ALRIGHT THEN ANY CONCERNS FOR HIM BEING EXPOSED TO ANY FORMS OF PHYSICAL OR EMOTIONAL OR VERBAL ABUSE OR ANY VIOLENCE IN THE HOME audio/RES0135.mp3[76.920,78.160] YEAH THATS RIGHT audio/RES0038.mp3[325.120,326.800] NO DIZZINESS audio/RES0152.mp3[527.680,533.600] NOT THAT I KNOW OF audio/RES0019.mp3[106.680,112.520] UH NO I WOULDNT SAY SO NO audio/RES0191.mp3[425.280,428.120] UHM I DONT THINK SO audio/RES0075.mp3[295.840,299.040] AND ANY ABDOMINAL PAIN audio/MSK0014.mp3[449.560,455.360] UM JUST TO HAVE A PENICILLIN ALLERGY audio/RES0050.mp3[345.960,350.520] AND HOW ABOUT ANY RASHES ANYWHERE audio/RES0036.mp3[196.440,198.480] IT IT DOESNT MATTER audio/RES0022.mp3[876.880,882.000] OK ANYBODY EVER HEARD ATTACK audio/RES0014.mp3[552.880,562.720] OK OK UM AND IS THERE ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED audio/RES0154.mp3[227.520,231.800] UM AND THEN ANY MUSCLE ACHES OR BODY PAINS audio/RES0063.mp3[209.080,226.720] YEAH WITH A SORE THROAT I TEND TO LIKE EAT SOFTER FOODS RIGHT NOW I CANT REALLY I DONT REALLY FEEL LIKE EATING audio/RES0135.mp3[71.880,76.920] OKAY UM AND THE COUGH THAT STARTED ABOUT THREE OR FOUR DAYS AGO AS WELL audio/RES0063.mp3[251.440,278.120] UM NO I DONT THINK ITS SPECIFICALLY MY JOINTS I THINK MORE SO I WOULD SAY LIKE AROUND IN MY THIGHS THEN I WOULD SAY JUST MY UPPER ARMS HURT A LOT AND EVEN UH MY UPPER BACK AREA HURTS A LOT AS WELL SO ITS KIND OF JUST EVERYWHERE BUT THOSE ARE SOME AREAS THAT HURT THE MOST audio/RES0184.mp3[215.680,219.480] LAST WEEK AS WELL audio/RES0174.mp3[555.720,559.120] OK WHAT DID YOU USE THAT IF YOU CAN REMEMBER audio/RES0199.mp3[87.520,90.360] NO NOT REALLY audio/RES0197.mp3[174.400,184.760] I IM GETTING AN ON AND OFF BUT BASICALLY EVERY TIME I COUGH AFTER THAT ILL BE WHEEZY FOR A LITTLE BIT audio/MSK0032.mp3[106.720,117.120] OKAY ALRIGHT UM AND IN TERMS OF THE TYPE OF PAIN SHES HAVING RIGHT NOW DID SHE SAY IF IT WAS A DULL ACHY KIND OF PAIN OR IS IT SHARP audio/RES0081.mp3[691.720,706.600] NO IM JUST WORRIED THAT HES GOING TO HAVE A BIG ASTHMA ATTACK LIKE LAST YEAR I JUST ALSO WANT TO MAKE SURE NOTHING ELSE IS GOING ON AND IF HE CAN BE TAKEN CARE OF AND HES JUST HES FEELING AWFUL audio/RES0187.mp3[483.960,493.400] YEAH I DRINK ALCOHOL PROBABLY A COUPLE OF DRINKS EVERY FEW DAYS audio/RES0171.mp3[30.320,33.440] HOW BAD IS YOUR SHORTNESS OF BREATH audio/RES0064.mp3[218.840,224.840] YEAH THEYVE BEEN NORMAL NO DIARRHEA OR CONSTIPATION audio/GAS0005.mp3[636.480,640.920] NO THATS BEEN FINE audio/RES0140.mp3[436.120,440.080] NO IVE BEEN JUST AT HOME JUST THE NURSE audio/MSK0004.mp3[137.360,147.440] IM I I FEEL LIKE IVE MAYBE I IVE DONE SOMETHING LIKE THIS WHEN I WAS YOUNGER MAYBE PLAYING BASKETBALL OR SOMETHING LIKE THIS WHEN I WAS A KID I TWISTED MY ANKLE BEFORE audio/RES0130.mp3[405.120,419.160] I DO YES YEAH I I SMOKE UM I DONT KNOW MAYBE HALF A PACK A DAY NOW WHICH IS ITS A LOT LESS THAN I USED TO I WAS SMOKING TWO PACKS A DAY AT ONE POINT audio/RES0192.mp3[263.400,265.720] HAVE YOU HAD ANY CHILLS audio/RES0037.mp3[439.000,442.400] NO SWELLING audio/RES0084.mp3[159.440,164.880] ITS JUST ACHY AND ITS KIND OF ALL OVER THE FRONT OF MY FOREHEAD audio/MSK0028.mp3[144.880,150.080] YEAH ITS SHARP YEAH I JUST FEEL LIKE SOMETHING STABBING IN THERE audio/RES0065.mp3[355.600,360.600] THAT WOULD HAVE BEEN LAST YEAR audio/RES0059.mp3[410.200,435.320] NO ILL USE MY TYLENOL OR IBUPROFEN OR ADVIL I GUESS IF I GET THE OCCASIONAL HEADACHE AND I GUESS UMM SOMETHING LIKE REACTINE OR CLARITIN FOR THE SEASONAL ALLERGIES BUT THATS ABOUT IT audio/RES0015.mp3[279.720,289.320] OK YEAH THAT WAS A GOOD CALL AND HAVE YOU HAD ANY CHANGES TO YOUR SMELL RECENTLY audio/RES0139.mp3[131.000,133.120] UM THREE WEEKS AGO audio/RES0184.mp3[403.640,408.520] AND DO YOU DRINK ALCOHOL audio/MSK0008.mp3[58.360,63.480] OK COULD YOU DESCRIBE THE PAIN IS IT SHARP ACHY audio/GAS0005.mp3[494.440,514.000] NO SO IT WAS A NORMAL VAGINAL DELIVERY UH NO ISSUES UH HE WAS BORN AT 39 WEEKS DIDNT NEED TO STAY IN THE HOSPITAL AT ALL YEAH IT WAS A PRETTY SMOOTH PREGNANCY COMPARED TO SOME OF THE OTHER ONES audio/RES0093.mp3[357.160,362.520] OK AND UH HOW WELL HAS YOUR GERD BEEN CONTROLLED audio/RES0022.mp3[546.760,557.800] OK UM AND NEXT JUST WANTED TO ASK ABOUT YOUR PAST HEALTH UM IS THERE ANYTHING YOU SEE A PHYSICIAN FOR REGULARLY audio/RES0030.mp3[576.080,580.320] DO YOU SMOKE AT ALL audio/RES0057.mp3[89.080,113.800] OK SO THERES REALLY NO RELATIONSHIP WITH ACTIVITY WITH YOUR SHORTNESS OF BREATH OK AND I CAN SEE THAT YOURE ABLE TO SORT OF TALK IN FULL SENTENCES OK HOW IS IT MAKING IT DIFFICULT FOR YOU TO DO THINGS AT HOME YOUR DIFFICULTY BREATHING audio/RES0085.mp3[148.200,154.600] NO OK AND UH DOES HE HAVE A RUNNY NOSE OR A STUFFY NOSE audio/RES0119.mp3[644.520,645.960] OK SOUNDS GREAT audio/RES0093.mp3[666.800,675.520] I JUST HAVENT BEEN UHM SICK AND IVE BEEN ABLE TO TO REFILL MY PRESCRIPTIONS MOSTLY FROM JUST CALLING IN SO audio/MSK0022.mp3[869.400,878.840] NOT REALLY NO NO I DONT NOTICE ANYTHING LIKE THAT THEY JUST SHARE A BIT LARGER FROM THE SWELLING IT FEELS LIKE audio/MSK0043.mp3[511.400,524.400] YEAH THE THE LIKELY CAUSE WAS UM I WAS TOLD IT WAS THROUGH IV UH DRUG USE IVE BEEN USING NOW FOR UH FOR ABOUT 10 YEARS audio/RES0027.mp3[569.400,576.080] UM SO I DO MARKETING STUFF ONLINE BUT I I WORK FROM HOME audio/MSK0025.mp3[653.160,770.480] YEAH SO BASED ON YOUR SYMPTOMS ITS SOMETHING THATS PRETTY URGENT ITS SEEMS LIKE YOU MAY BE HAVING SOMETHING CALLED CAUDA EQUINA SYNDROME THAT MAY BE CAUSED BY YOUR BACK PAIN AND THATS WHY YOURE FEELING THAT GROIN WOULD BE CALLED SADDLE ANESTHESIA AND THEN THE URINARY INCONTINENCE SO THIS MAY BE FROM THE INJURY THAT YOU HAD WITH THE CAR ACCIDENT AND IT MAY BE DUE TO SOME COMPRESSION OF WHAT WE CALL LIKE COMPRESSION OF THE NERVES IN THE AREA WHICH MIGHT BE GIVING YOU SOME OF THESE SYMPTOMS SO THE FIRST THING WE DO NEED TO DO IS GET AN MRI OF YOUR LOWER BACK JUST TO MAKE SURE THERES NOTHING GOING ON LIKE FOR EXAMPLE LIKE ANY MASSES IN THE AREA OR ANY KIND OF ABSCESSES THAT MIGHT BE WE MAY BE WORRIED ABOUT JUST TO MAKE SURE WELL JUST TO SEE WHATS GOING ON IN THERE THATS CAUSING THESE SYMPTOMS AND THEN BASED ON WHAT WE FIND UH WE WILL WE WILL TARGET LIKE THE CAUSE OF THE SYMPTOMS LIKE FOR EXAMPLE IF ITS AN INFECT INFECTION THATS CAUSING THIS YOU MIGHT NEED TO BE ADMITTED AND REQUIRE ANTIBIOTICS IF THERE IS ANY MASSES CAUSING IT YOU MAY REQUIRE SURGERY FOR EXAMPLE IF ITS MAINLY RELATED TO YOUR BACK IT IS SOMETHING THAT WE WILL HAVE TO TREAT WITH WITH AN ADMISSION SO ITS GOOD THAT YOU CAME IN HERE TODAY DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS audio/RES0082.mp3[357.400,365.000] ALRIGHT AND ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL audio/RES0173.mp3[357.520,370.960] NO NO WHICH IS WHY I WAS KIND OF SURPRISED IM USUALLY FINE AND I SPEND A LOT OF TIME OUTDOORS SO I DONT KNOW YEAH I WAS SURPRISED WHEN THIS HAPPENED WHEN I WENT TO HIS PLACE audio/MSK0013.mp3[158.000,160.240] HAVE YOU HAD ANY NIGHT SWEATS audio/RES0004.mp3[328.680,332.200] UH NO I HAVENT REALLY HAD ANY HEADACHES audio/RES0042.mp3[128.200,133.160] OK ANY SWELLING IN YOUR LIMBS audio/RES0211.mp3[326.720,330.280] YEAH YEAH JUST THE PILL GOT IT audio/GAS0005.mp3[279.360,281.840] UH NO NOT REALLY audio/RES0032.mp3[466.240,468.440] NO ALLERGIES audio/RES0106.mp3[327.760,330.760] NO I DIDNT audio/RES0070.mp3[245.000,253.440] OK AND HAVE YOU HAD ANY NECK STIFFNESS DOES IT HURT IF YOU IF YOU MOVE YOUR NECK AROUND audio/MSK0027.mp3[259.960,262.880] ANY CHANGES TO HER URINARY PATTERNS audio/RES0057.mp3[340.680,343.880] NO I HAVENT NOTICED THAT audio/RES0178.mp3[65.480,67.400] NO NO NO SPUTUM OR BLOOD audio/RES0112.mp3[270.800,275.960] WAS HE BORN VIA CAESAREAN SECTION OR UH CSECTION OR A VAGINAL BIRTH audio/RES0103.mp3[84.400,91.840] OK SO AND ARE HER SYMPTOMS CONSTANT OR DO THEY COME AND GO audio/MSK0016.mp3[63.880,68.160] OK AND WHAT MAKES IT BETTER OR WORSE audio/MSK0029.mp3[772.520,773.760] NO NOTHING LIKE THAT audio/RES0119.mp3[391.160,406.280] WHEN SHE WAS A BABY WHEN SHE WAS FIRST BORN SHE WAS HOSPITALIZED UM FOR SOMETHING ABOUT HAVING LIKE UH NOT FULLY DEVELOPED LUNGS audio/RES0061.mp3[321.960,326.200] OK HAVE ANY WHEEZINESS audio/RES0003.mp3[205.200,209.200] UM SHES 2 audio/RES0158.mp3[391.880,404.200] OK HAS ANYONE IN THE HOUSE HAD SIMILAR SYMPTOMS OR BEEN FEELING SICK LATELY audio/RES0120.mp3[434.720,442.360] NO OKAY UM DO YOU TAKE ANY MEDICATIONS FOR YOUR MEDICAL CONDITIONS audio/MSK0027.mp3[363.720,367.800] YEAH LIKE THATS BEEN PRETTY GOOD audio/RES0214.mp3[535.600,537.160] TAKE CARE audio/RES0118.mp3[62.760,70.960] NO NO I MEAN THERES SOME DISCHARGE FROM MY NOSE LIKE ITS RUNNY BUT ITS ITS NOT YELLOW OR ANYTHING ITS CLEAR audio/CAR0002.mp3[375.480,377.880] NO HOSPITALIZATIONS audio/RES0004.mp3[218.200,221.840] OK OK IS IT ITCHY audio/RES0212.mp3[54.720,64.160] UH IVE BEEN FEELING LIKE HOT AT NIGHT IN THE PAST COUPLE DAYS UH BUT LIKE I DIDNT ACTUALLY TAKE MY TEMP audio/RES0172.mp3[29.920,39.360] SO IT ITS A ITS BEEN ABOUT WELL IT GOT WORSE AT FIRST AND THEN ITS BEEN ABOUT THE SAME SINCE THEN audio/RES0011.mp3[430.720,439.800] NO I MEAN YOU KNOW I HAVENT BEEN EATING THAT MUCH SO I HAVENT BEEN GOING AS MUCH AS NORMAL BUT ITS I DONT THINK THERES PROBLEMS audio/RES0073.mp3[564.920,570.000] I SEE YEAH THATS GREAT OK AND DO YOU SMOKE CIGARETTES audio/RES0106.mp3[220.720,226.400] I HAD SOME LIKE LOZENGES AND I HAVENT AND THOSE HAVE BEEN HELPING ME audio/MSK0042.mp3[248.320,252.320] NO NOTHING LIKE THAT audio/RES0144.mp3[201.560,208.440] OK UHM HAVE YOU NOTICED HAS HE BEEN DROOLING AT ALL audio/RES0134.mp3[629.080,643.720] UM I HAVE SOME FAMILY CLOSE BY UM MY SON LIVES CLOSE BY UH AND MY DAUGHTER LIVES ABOUT 2 HOURS AWAY ILL SEE THEM ABOUT ONCE A MONTH audio/RES0217.mp3[315.160,320.880] THATS GOOD AND DID YOU BRING A PET WITH YOU AT ALL WHEN YOU WERE HIKING AND GARDENING audio/RES0022.mp3[597.320,604.040] OK SO WHEN WAS THE LAST TIME YOU USED AN INHALER A A WEEK AGO A MONTH AGO audio/RES0120.mp3[523.680,528.400] OKAY AND WHATS YOUR LIVING SITUATION LIKE audio/RES0206.mp3[609.520,614.400] OK OK AND DO YOU CONSUME MARIJUANA OR ANY RECREATIONAL DRUGS audio/RES0156.mp3[537.400,541.400] YEAH AND NO WORRIES AND THEN WELL ALSO DO LIKE A FULL PHYSICAL EXAMINATION audio/MSK0034.mp3[2.680,38.480] YEAH IM SO IM HERE WITH MY MOM BECAUSE I AM HAVING THIS PAIN IN MY RIGHT HIP AND GROIN AREA UM I WAS PLAYING WITH MY FRIENDS TOO MAYBE YEAH YESTERDAY AND I FELL DOWN I DIDNT FALL DOWN HARD BUT I HAD A SMALL FALL AND SINCE THEN MY HIP HAS BEEN HURTING AND ITS PAINFUL FOR ME TO BEAR ANY WEIGHT ON MY RIGHT LEG audio/RES0043.mp3[122.480,137.360] TODAY IS FRIDAY OK UM OK YEAH SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH audio/RES0044.mp3[220.680,226.800] UH NO ITS NOT HARD ITS NOT HARD TO SWALLOW THINGS audio/RES0048.mp3[694.960,697.760] NO NO NO NO DRUGS audio/MSK0001.mp3[44.240,56.000] OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A DULL CRAMPING PAIN OR IS IT MORE LIKE A SHARP OR STABBING PAIN audio/RES0082.mp3[193.840,202.840] NO SCHOOLS BEEN PRETTY GOOD WEVE BEEN DOING A LOT OF STUFF ONLINE SO UH YEAH THATS BEEN GOOD audio/RES0107.mp3[224.640,228.640] NO HES BEEN GAINING WEIGHT SO UM GOOD THAT HES BEEN EATING WELL audio/RES0177.mp3[86.360,92.880] UH ITS A MAYBE LIKE LIKE GREENISH GREENISH YELLOW audio/RES0005.mp3[403.160,407.880] NOT WEAKNESS ILL JUST SAY MORE FATIGUE audio/RES0171.mp3[242.520,259.280] ITS ITS CERTAINLY BEEN LESS I IVE BEEN MOVING A LITTLE BIT BUT IVE HAD A LOT OF PAIN SO I JUST HAVENT BEEN DOING AS MUCH ACTIVITY THATS FOR SURE audio/RES0095.mp3[231.400,234.200] OK DID YOU NEED ANTIBIOTICS TWO MONTHS AGO audio/RES0099.mp3[533.560,561.280] UH UNFORTUNATELY I DO HAVE TO UH IM ONE OF THE UNLUCKY ONES THAT STILL HAS TO GO INTO WORK AND YEAH ITS ITS HARD TO SAY LIKE AT WORK THERE ARE TIMES WHEN WE LIKE AT LUNCH WE EAT LIKE WITHOUT A MASK I DONT KNOW IF I DIDNT NOTICE ANYONE HAVING ANY SYMPTOMS BUT LIKE I DONT KNOW IF SOMEONE YOU KNOW WHO KNOWS WHERE ANYONE HAS BEEN audio/RES0212.mp3[365.280,370.560] SO YOU HAVENT BEEN OUTSIDE THE COUNTRY OR ANY EXOTIC LOCALES IN THE LAST LITTLE WHILE audio/RES0103.mp3[57.040,60.560] OK DOES SHE HAVE ANY COUGHING AT ALL audio/RES0204.mp3[241.520,247.040] OK OK UHM AND HAS ANYONE IN YOUR SCHOOL BEEN SICK audio/RES0142.mp3[126.280,129.400] ANY UM PAIN IN YOUR CHEST audio/MSK0027.mp3[112.880,117.760] I THINK ITS ITS ITS SHARP audio/MSK0037.mp3[359.120,365.200] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0113.mp3[95.440,101.640] OK OK AND THEN TELL ME ABOUT YOUR HEADACHE THAT STARTED FOUR DAYS AGO AS WELL audio/RES0043.mp3[154.400,163.080] NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU audio/RES0208.mp3[370.160,374.760] NO NO audio/RES0101.mp3[411.520,424.640] YEAH SO FOR THE BLOOD PRESSURE IM TAKING MEDICATION CALLED RAMIPRIL AND THEN FOR DIABETES IM TAKING METFORMIN audio/RES0025.mp3[127.400,136.160] UMM NOT REALLY BRIGHT BUT I MEAN MAYBE MORE LIKE DARK GREEN OR YEAH NOTHING BRIGHT audio/RES0215.mp3[223.000,226.920] OK SO DOES SHE HAVE A FAMILY PHYSICIAN audio/RES0123.mp3[416.600,418.840] NO WEVE BEEN UH AT HOME audio/RES0096.mp3[384.520,393.560] OK AND UH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0171.mp3[591.320,606.960] YEAH I REALLY TRY TO EAT MORE VEGETABLES AND HAVE BEEN TRYING TO DO THAT SORT OF THING IVE LOST A FEW POUNDS BUT NOT ENOUGH DEFINITELY WANT TO KEEP GOING audio/RES0212.mp3[422.520,429.200] GOT IT GOT IT JUST COMING BACK TO ALCOHOL UH HOW OFTEN WOULD YOU SAY YOU DRINK audio/RES0126.mp3[680.520,696.920] I CANT QUIT ITS NOT GONNA HAPPEN A LOT OF PEOPLE HAVE TOLD ME TRY TO QUIT BUT I I JUST CANT LIVE WITHOUT IT AND IM 75 NOW YOU KNOW LIKE IM NOT GONNA LIVE A LOT LONGER ANYWAY audio/RES0163.mp3[493.320,495.440] AND WHATS YOUR LIVING SITUATION LIKE audio/RES0066.mp3[252.480,258.040] OK AND DO YOU FEEL ANY KIND OF CHEST PAIN WITH SHORTNESS OF BREATH audio/MSK0029.mp3[625.920,630.040] NO I DONT NO IVE NEVER SMOKED BEFORE audio/RES0194.mp3[68.720,74.320] ITS LIKE KIND OF ALL OVER THE FEEL JUST GENERALLY ACHY audio/RES0105.mp3[64.800,67.880] OK SO YOUVE ALSO HAD A COUGH audio/RES0038.mp3[431.960,436.320] WEVE HAD THEM FOR FOR ALMOST A YEAR audio/RES0089.mp3[80.000,85.800] YEAH BEFORE THAT I WAS STILL COUGHING BUT NOT AS MUCH audio/RES0128.mp3[433.160,439.840] HES GOT A FISH audio/GAS0003.mp3[358.320,363.040] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY audio/RES0127.mp3[272.560,279.640] OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST OVER THE LAST FEW MONTHS audio/MSK0028.mp3[186.040,205.040] I THINK ITS THE SAME PROBABLY A BIT WORSE THAN SO IT JUST HAPPENED LAST EVENING AND I I DIDNT END UP COMING LAST NIGHT BUT I WANTED TO MAKE SURE IM JUST COMING THIS MORNING SINCE ITS JUST BEEN A REALLY PAINFUL NIGHT audio/MSK0035.mp3[496.440,502.640] I SEE OK AND YOU USE CANNABIS OR OR ANY CANNABIS PRODUCTS audio/RES0080.mp3[337.800,348.720] YEAH I HAVE HIGH BLOOD PRESSURE AND MY CHOLESTEROL IS ALSO A LITTLE BIT ON THE HIGH SIDE audio/RES0032.mp3[119.840,123.680] AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS audio/RES0131.mp3[98.280,102.440] OKAY ANY WHEEZINESS audio/MSK0006.mp3[674.280,684.080] NO OK ALRIGHT UM AND THEN IM GONNA JUST GET YOU TO DO A FEW MOVEMENTS UM WITH ME AS WELL WOULD YOU UH OK SO ARE YOU SITTING DOWN RIGHT NOW audio/RES0199.mp3[409.040,411.240] OK DO YOU SMOKE audio/RES0146.mp3[356.280,366.600] YEAH YEAH WE HAVE WE WE HAVE SEPARATE AH ROOMS THAT WEVE BEEN ABLE TO DISTANCE FOR THE LAST FEW DAYS audio/MSK0014.mp3[380.240,415.480] I DO HAVE SO I HAVE A COUPLE CONDITIONS I HAVE OSTEOARTHRITIS IN BOTH MY KNEES AND HIPS I HAVE HIGH BLOOD PRESSURE I DID HAVE A HEART ATTACK FOUR YEARS AGO AND I ALSO HAVE HAD HEART FAILURE AND ALSO IM JUST A BIT ON THE OVERWEIGHT SIDE audio/MSK0006.mp3[603.280,606.960] OK AND DO YOU SEE ANY SKIN CHANGES audio/MSK0034.mp3[437.680,459.720] ALRIGHT YEAH SO ANYTHING THAT WE TALKED ABOUT HERE TODAY WILL STAY CONFIDENTIAL AS LONG AS THERE IS NO HARM TO YOURSELF OR OTHERS OR RISK OF HARM TO YOURSELF OR OTHERS SO YEAH IM JUST GOING TO ASK YOU A FEW QUESTIONS PERTAINING TO YOUR HEALTH audio/CAR0003.mp3[378.920,384.160] OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD AT ALL audio/GAS0007.mp3[75.360,79.360] I FEEL ITS BEEN GETTING WORSE TO BE HONEST audio/MSK0026.mp3[310.720,314.000] OK UM AN HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0090.mp3[260.040,263.480] UH YEAH I WOULD SAY SO audio/RES0022.mp3[364.560,370.000] OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION audio/RES0120.mp3[354.440,358.960] OKAY ANY CHANGES IN YOUR URINARY PATTERN audio/MSK0010.mp3[562.720,565.160] OK AND ARE YOU WORKING CURRENTLY audio/MSK0034.mp3[436.680,437.680] SURE YEAH audio/RES0061.mp3[835.400,848.040] OK GOOD THATS GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE ENDED THE INTERVIEW audio/RES0067.mp3[155.360,162.360] OK AND SORRY WHEN DID THE SHORTNESS OF BREATH START IS IT GETTING WORSE AT ALL audio/RES0166.mp3[410.040,414.160] OK ANY DIARRHEA OR CONSTIPATION audio/RES0058.mp3[430.840,432.600] SURE ANY MUSCLE ACHES audio/MSK0035.mp3[385.560,392.880] UM I THINK SO I THINK I JUST NEED TO GET THE GARDASIL audio/RES0059.mp3[20.920,23.240] I THINK 3 THREE DAYS audio/RES0070.mp3[300.000,306.920] ANY CHANGES TO YOUR SENSE OF TASTE audio/RES0125.mp3[286.600,289.840] ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL audio/RES0194.mp3[423.960,442.600] UH MY DAD HAD HIGH HIGH BLOOD PRESSURE AND MY YEAH MY GRANDFATHER I HAD HAD LUNG CANCER ACTUALLY WHEN HE WAS IN HIS 80S WHEN HE PASSED AWAY FROM THAT AND HE WAS A SMOKERS WHOLE LIFE audio/RES0155.mp3[27.760,48.760] YEAH I MEAN IVE HAD UM A COUGH AND UH IN THE IN THE IN THE PAST AND AND AND SHORTNESS OF BREATH IN THE PAST BUT YEAH JUST OVER THESE PAST FIVE DAYS ITS BEEN THERE UM AT ALL LIKE ITS BEEN THERE ALL DAY AND ITS BEEN GETTING UH WORSE AS WELL audio/RES0048.mp3[318.120,324.680] NO I DIDNT NOTICE ANYTHING LIKE THAT audio/RES0121.mp3[64.080,76.600] UM YOU KNOW A WEEK BACK I HAD A RUNNY NOSE UM AND SOMETIMES LIKE A STUFFY NOSE BUT THAT WENT AWAY audio/RES0099.mp3[448.080,460.160] NO THATS GREAT THOUGH GOOD FOR YOU I ENCOURAGE YOU TO KEEP THAT UP FOR SURE OK AND SO DO YOU TAKE ANY OTHER MEDICATIONS OTHER OVER THE COUNTER OR PRESCRIBED audio/RES0216.mp3[542.920,587.600] OK ALRIGHT JOHN I THINK IVE GOT MOST OF THE INFORMATION I NEED JUST TO GO TALK TO THE DOC AND TALK ABOUT YOUR STORY NEXT OF COURSE WERE GOING TO DO A QUICK PHYSICAL EXAM GOING TO TAKE A LISTEN TO YOUR LUNGS AND SEE WHAT ELSE WE MIGHT WANT TO DO IN TERMS OF INVESTIGATIONS I HAVE A FEELING THAT THIS ACTUALLY MIGHT BE YOUR ASTHMA REOCCURRING IN SOME CAPACITY OR THAT WOULD BE ON THE TOP OF THE DIFFERENTIAL FOR NOW BARRING ANY OTHER NEW FINDINGS SO I THINK MAYBE WHAT WE WOULD LIKE TO DO IS WED LIKE TO TRY HAVING THOSE RESCUE PUFFERS AVAILABLE TO SEE IF THAT HELPS AT ALL WHEN YOU ARE ON WALKS AND IF THEY DONT HELP THEN WELL COME BACK TO THE TABLE AND SEE WHAT OTHER POSSIBLE DIRECTIONS WE COULD HEAD IN IN ORDER TO HELP YOU NEXT DOES THAT SOUND GOOD JOHN audio/RES0001.mp3[110.200,120.640] UH NO NO ONE ELSE HAS BEEN SICK I I HAD A COUGH ABOUT A WEEK AGO SO I THOUGHT IT MIGHT BE A audio/RES0075.mp3[448.520,450.400] NO NEVER audio/MSK0027.mp3[559.200,577.680] ALRIGHT ANN IF YOU WERE TO PRESS OVER VARIOUS PORTIONS OF THE ELBOW ARE THERE ANY AREAS THAT CAUSE PAIN LIKE THE LATERAL SIDE MEDIAL SIDE OR ANTERIOR POSTERIOR audio/CAR0004.mp3[387.520,393.240] I DRINK OCCASIONALLY MAYBE ONE OR TWO DRINKS ON THE WEEKENDS audio/RES0035.mp3[465.640,470.320] UM YEAH ID SAY SO audio/MSK0014.mp3[257.560,259.400] NO NOTHING LIKE THAT audio/RES0071.mp3[649.200,724.400] YEAH SO WHAT WE WILL DO TODAY IS UH FIRST OF ALL WITH THE PANDEMIC GOING ON WITH SOME OF THESE SYMPTOMS WE NEED TO RULE OUT CORONAVIRUS AND SO WE WILL BE GETTING A SWAB DONE FOR YOU AS WELL TODAY AND CONSIDERING YOU ARE HAVING THESE SYMPTOMS WE WILL ALSO GET ANOTHER TEST DONE FOR YOU TODAY TO SEE IF THERES ANY BACTERIA CAUSING WHAT WE CALL WALKING PNEUMONIA ITS COMMUNITY ACQUIRED PNEUMONIA THATS FAIRLY COMMON IN LIKE THE YOUNGER POPULATION AND SO WELL SEE IF YOU COULD HAVE THAT AND SO FROM THERE WELL SEE IF WE NEED TO PUT YOU ON ANY ANTIBIOTICS WHICH WILL HELP YOU AND IF WE NEED TO GET ANY BLOOD WORK OR X RAYS WELL LET YOU KNOW AS WELL IS THAT OK AND IF YOU FEEL LIKE YOU HAVE WORSENING SYMPTOMS LIKE SHORTNESS OF BREATH YOU NEED TO MAKE SURE YOU COME BACK TO THE EMERGENCY DEPARTMENT audio/MSK0049.mp3[172.800,179.600] OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE audio/RES0110.mp3[573.520,577.000] HEART ATTACK OR ANY HEART RELATED PROBLEMS audio/MSK0015.mp3[0.000,1.200] HOW MAY I HELP YOU audio/RES0080.mp3[403.160,427.160] I WASNT PRODUCING THIS GREEN YELLOW THING THATS COMING OUT OF MY MOUTH RIGHT NOW IT WAS NOT THAT BAD ITS JUST LAST TIME I WAS HAVING DIFFICULTIES BREATHING SO I DECIDED TO COME IN BUT THIS TIME I JUST HAVE THIS WEIRD THING I DONT EVEN FEEL LIKE LOOKING AT IT audio/RES0089.mp3[501.720,508.480] UHM JUST COPUHM AND I ALSO HAVE SOME CONGESTIVE HEART FAILURE audio/RES0048.mp3[534.720,543.440] OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONG UH STANDING MEDICAL CONDITIONS audio/RES0129.mp3[0.000,2.160] WHAT BRINGS YOU IN audio/RES0175.mp3[145.800,147.360] ANY NAUSEA OR VOMITING audio/MSK0042.mp3[375.240,382.360] OKAY UH AND DO YOU TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED audio/MSK0017.mp3[524.520,537.400] OK OK UM ALRIGHT AND ANY CONCERNS FOR STIS AT ALL audio/RES0045.mp3[438.640,448.280] UH NOPE JUST UH TAKE A MULTIVITAMIN AND UH AND THATS ABOUT IT audio/RES0017.mp3[320.400,324.000] MY APPETITE HAS BEEN AROUND THE SAME NO CHANGES THERE audio/RES0152.mp3[302.680,307.960] HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS audio/RES0060.mp3[407.360,426.400] YEAH FOR SURE I HAVENT REALLY HAD ANY CHANGES BUT JUST HAVENT BEEN REALLY GETTING MY WORK DONE THROUGHOUT THE DAY BECAUSE I HAVE JUST BEEN FEELING SO TIRED audio/RES0057.mp3[349.320,352.120] YEAH I THINK SO audio/RES0032.mp3[357.560,368.800] I BELIEVE SOME OF THE UH PEOPLE I WAS HELPING OVER THERE DID IN FACT HAVE TUBERCULOSIS audio/RES0200.mp3[236.200,241.120] NO OK ANY DIZZINESS OR FAINTING SPELLS audio/RES0114.mp3[79.360,87.680] OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS HARSH BARKY MUFFLED audio/RES0141.mp3[387.520,393.480] OKAY AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE audio/MSK0027.mp3[505.080,513.760] LET ME KNOW THE IF YOURE SEEING ANY SWELLING OR REDNESS audio/RES0087.mp3[424.120,436.680] NO LUNG OR HEART CONDITIONS JUST HIS FATHER DOES HAVE LIKE CELIAC DISEASE SO I DONT KNOW IF THATS RELATED AT ALL audio/RES0202.mp3[108.800,113.960] OK OK SO LETS FOCUS ON THE COUGH audio/RES0017.mp3[470.000,472.160] NO NOT THAT I KNOW OF audio/RES0082.mp3[421.200,427.600] NO HAVE YOU BEEN TESTED FOR COVID ANYTIME IN THE RECENT PAST audio/RES0106.mp3[119.360,122.200] ANY WEIGHT LOSS audio/RES0055.mp3[444.400,460.400] SO ONE OF THEM SHOULD BE A SHORT ACTING BETA AGONIST audio/GAS0001.mp3[483.200,483.960] NO NO audio/RES0189.mp3[228.120,236.080] JUST WHEN IM COUGHING AND GETTING SHORT OF BREATH I DO HAVE SOME DISCOMFORT IN MY CHEST audio/RES0161.mp3[234.560,242.120] OK AND ALRIGHT ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0172.mp3[395.120,400.080] AND ARE YOU CURRENTLY WORKING OR audio/RES0079.mp3[408.280,412.160] OK ALRIGHT AND UH ANY YOU DONT HAVE ANY ASTHMA OR COPOR ANY LUNG CONDITIONS RIGHT audio/RES0108.mp3[293.440,298.000] OK OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0137.mp3[29.080,61.440] UM IT IS A IT IS A DRY COUGH UM BUT SHE JUST KEEPS COUGHING AND COUGHING AND AND THEN SHE JUST YOU KNOW ONCE SHELL START COUGHING SHE JUST DOESNT STOP AND THEN UM THERES BEEN TIMES WHEN SHE JUST TURNS BLUE SHES COUGHING SO MUCH UM AND THEN IT JUST GETS GETS BETTER UM ON ITS OWN BUT YEAH ITS A DRY COUGH audio/MSK0017.mp3[561.680,565.920] OK ANY TRAVEL RECENTLY audio/RES0197.mp3[252.960,255.880] NO ANY FATIGUE audio/MSK0042.mp3[169.320,177.200] OKAY AND HOW ABOUT UH ANY MUSCLE WEAKNESS IN THE LOWER EXTREMITY OR UPPER EXTREMITY audio/MSK0019.mp3[120.400,128.000] OKAY ALRIGHT UM AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE audio/MSK0034.mp3[250.720,254.560] OK ANY SHORTNESS OF BREATH CHEST PAIN audio/CAR0001.mp3[90.400,99.080] SHARP OK UH ANYTHING THAT YOU HAVE DONE TRIED SINCE LAST NIGHT THATS MADE THE PAIN BETTER audio/RES0076.mp3[533.840,539.560] I WORKED AS A BUS DRIVER FOR QUITE A NUMBER OF YEARS NOW audio/RES0048.mp3[716.080,720.320] OK UM AND WHERE DO YOU LIVE RIGHT NOW audio/RES0150.mp3[260.480,264.040] UH NO NOT REALLY audio/RES0187.mp3[101.040,104.000] UH NO I DONT THINK SO audio/RES0104.mp3[273.080,284.360] OK AND GIVE ANY OTHER SYMPTOMS LIKE CHEST PAIN RUNNY NOSE SORE THROAT ANYTHING LIKE THAT audio/RES0005.mp3[710.200,714.240] OK UM WAS THERE ANYTHING THAT YOURE WORRIED THAT THIS COULD BE audio/RES0005.mp3[349.600,358.120] SOMETIMES I WOULD SAY LIKE WHEN WHEN IT GETS WORSE WHEN IM EXERTING MYSELF MORE I I CAN GET SOME WHEEZING audio/RES0123.mp3[456.320,457.320] FOR HOW LONG audio/RES0168.mp3[250.080,270.440] NO THIS IS PRETTY WELL PRETTY WELL THE ONLY THING I HAD SOME PROBLEMS WITH MY KNEE LIKE I HAD SOME PROBLEMS WITH THE ACL SO LIKE I SEE LIKE AN ORTHOPAEDIC PERSON FOR THAT BUT OTHERWISE OTHERWISE IM HEALTHY audio/GAS0007.mp3[145.720,151.560] OK OK AND WHAT SPECIFICALLY PROMPTED YOU TO COME IN TODAY TO THE EMERGENCY DEPARTMENT audio/RES0090.mp3[263.480,268.960] OK AND DO YOU HAVE ANY SYMPTOMS LIKE CHEST PAIN OR RACING HEART OR ANYTHING LIKE THAT audio/RES0198.mp3[168.160,171.880] OK ANY FATIGUE audio/RES0075.mp3[134.600,143.320] OK AND UH YOU MENTIONED YOU HAD SHORTNESS OF BREATH AS WELL WHEN DOES THIS COME ON audio/RES0036.mp3[118.480,120.120] ITS ITS BOTH audio/RES0162.mp3[302.200,306.640] MUSCLE ACHES JOINT PAIN audio/RES0014.mp3[458.400,464.560] OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY audio/RES0216.mp3[194.560,197.840] NO CANT SAY THAT NO audio/RES0018.mp3[232.280,251.680] I WAS ACTUALLY JUST LAYING DOWN AND I WAS SLEEPING AND I JUST NOTICED THAT I COULDNT REALLY TAKE DEEP BREATHS SO I KIND OF JUST GOT BACK UP AND IT WAS JUST DURING LAST NIGHT IT HASNT HAPPENED AFTER THAT BUT IM SCARED IT WILL HAPPEN AGAIN audio/GAS0003.mp3[204.800,207.000] ANY SWEATS OR LIKE CHILLS audio/RES0197.mp3[36.680,40.960] SINCE I WAS LIKE 5 audio/RES0081.mp3[356.520,363.280] OK YOU TRIED SOME INHALERS HOW OFTEN HAVE YOU BEEN USING THEM audio/RES0039.mp3[835.720,838.560] OK THANK YOU audio/MSK0006.mp3[340.240,342.640] UH RASHES audio/RES0200.mp3[444.320,447.480] OK OK GOOD ANY ALLERGIES audio/RES0066.mp3[545.640,553.160] BEFORE THAT I WOULD SAY ITS LIKE GOSH 20 YEARS AND THEN ABOUT A PACK A DAY audio/RES0048.mp3[304.200,309.840] OK UM DO YOU FEEL LIKE YOUR HEARTS RACING AT ALL audio/RES0100.mp3[688.840,691.880] NO NOTHING ELSE audio/RES0188.mp3[295.080,300.240] BUT YEAH AFTER THAT LIKE THERE HAVENT REALLY BEEN TOO MANY CONCERNS audio/RES0090.mp3[399.440,409.200] OK UHM CURRENTLY RIGHT NOW SO YOU LIVE WITH ROOMMATES IS IT LIKE AN APARTMENT IS IT A HOME LIKE A HOUSE audio/RES0025.mp3[592.920,609.800] UM I WILL HAVE A JOINT EVERY ONCE IN AWHILE IF I WITH FRIENDS BUT THATS BEEN ITS BEEN AWHILE CAUSE OF THE PANDEMIC HAVENT REALLY BEEN HANGING OUT WITH ANYBODY audio/RES0190.mp3[572.640,588.280] OK WELL THATS GOOD IM GLAD THAT YOU BEEN ABLE TO UH ADJUST SO I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANYTHING ELSE THAT YOU MAYBE WANTED TO ADD OR THAT I MAYBE FORGOT TO ASK ABOUT audio/RES0049.mp3[272.480,279.080] OK YOU MENTIONED LOSS OF SMELL DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE audio/RES0161.mp3[123.080,128.200] UHM NO I I DONT NO audio/RES0045.mp3[458.520,464.000] CATS OK AND HAVE YOU BEEN AROUND ANY CATS RECENTLY audio/RES0012.mp3[659.840,664.160] OK ALPHA ONE ANTITRYPSIN DEFICIENCY audio/MSK0015.mp3[65.000,86.680] SORRY UM NO NOT THAT I KNOW OF AT LEAST AND SHE HASNT TOLD ME ANYTHING LIKE THAT SHE DOES DO SOME ACTIVITIES SOME SPORTS BUT I HAVENT SEEN HER FALL ANYWHERE audio/RES0156.mp3[55.680,62.560] UM YEAH SHE WILL LIKE WHEN IT COMES ON UH YEAH SHE SHE HAS SOME SHORTNESS OF BREATH audio/CAR0004.mp3[51.640,62.000] A SHARP PAIN OK UM SO IT STARTED THREE DAYS AGO HAS IT BEEN COMING AND GOING OR HAS IT BEEN CONSTANT audio/RES0065.mp3[143.920,152.600] I WOULD SAY ITS PRETTY CONSTANT NOW audio/RES0216.mp3[120.320,125.920] OK AND WAS THIS TIGHTNESS ALL ACROSS YOUR CHEST OR WAS IT IN ONE PARTICULAR AREA audio/RES0182.mp3[485.200,486.960] NO NO CANCERS audio/MSK0015.mp3[242.520,247.960] OK ANY UM SORE THROAT OR COUGH audio/RES0108.mp3[155.960,158.280] UM LOSS OF SMELL OR TASTE audio/RES0173.mp3[107.640,111.680] HOW ABOUT A RUNNY NOSE OR FEELING CONGESTED audio/RES0050.mp3[14.600,18.480] OK WHEN DID THE COUGH START audio/RES0181.mp3[35.840,43.720] ITS PAINFUL TO SWALLOW SOLIDS YEAH audio/MSK0049.mp3[370.440,375.480] OK AND ANY OTHER JOINT PAINS OR HAVE YOU OR DO YOU HAVE ANY JOINT SWELLING audio/CAR0002.mp3[369.800,375.480] OK HAVE YOU AT ALL IN THE PAST BEEN HOSPITALIZED FOR ANY REASON audio/MSK0046.mp3[95.960,104.400] OK AND DOES THIS PAIN MOVE ANYWHERE ELSE IN YOUR HAND OR DOES IT JUST STAY WHERE YOU DESCRIBED audio/RES0176.mp3[62.640,73.640] UHM KIND OF THE SAME MAYBE A LITTLE BIT WORSE BUT I YEAH MAYBE THE SAME DEFINITELY NOT GETTING BETTER audio/RES0014.mp3[466.600,470.320] NO OK AND ANY TRAVEL RECENTLY audio/RES0173.mp3[255.760,260.200] ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY audio/RES0110.mp3[455.600,460.160] NO OK ANY PAINS IN YOUR JOINTS OR MUSCLES audio/RES0141.mp3[416.280,422.880] YEAH I PROBABLY DRINK UM A COUPLE OF BEERS DURING THE WEEKEND audio/RES0129.mp3[76.720,83.240] OK HOW ABOUT CHANGES IN HIS VISION OR HEARING audio/RES0174.mp3[508.240,518.400] OK AND HAVE YOU HAD ANY CONCERNS WITH EATING DISORDERS IN THE PAST audio/RES0149.mp3[105.640,112.000] UM ITS KIND OF ON MY UM RIGHT SIDE audio/RES0137.mp3[86.760,90.760] OKAY IS IT KIND OF A WHEEZE audio/RES0080.mp3[318.800,328.720] OK FAIR ENOUGH AND UH HAVE YOU NOTICED ANY LIKE LEG SWELLING OR ANY SWELLING IN YOUR BELLY audio/RES0091.mp3[250.280,252.600] ANY URINARY TROUBLE audio/RES0176.mp3[208.560,215.840] OK HAS ANYTHING LIKE THAT HAPPENED TO YOU BEFORE audio/MSK0021.mp3[481.000,506.280] OK OK UHM ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW IF THATS OK WITH YOU SO IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR KNEES AND LET ME KNOW IF YOU SEE MORE REDNESS OR SWELLING IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT audio/MSK0038.mp3[320.960,325.880] NO I HAVENT HAD ANYTHING LIKE THAT ITS JUST THE UH SHARP PAIN audio/RES0007.mp3[761.960,766.400] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0112.mp3[379.040,381.360] ANY ALLERGIES audio/RES0127.mp3[36.400,40.880] ITS BEEN YEARS I DONT EVEN REMEMBER audio/RES0138.mp3[297.560,299.920] OKAY UM AND HOWS YOUR APPETITE BEEN LIKE audio/RES0007.mp3[783.640,789.920] OH YEAH EVERY TIME ITS NOT DOING THAT MANY TIMES BUT YEAH audio/RES0007.mp3[204.280,220.920] LIKE I HAVE THE UH UM INHALER THAT THE DOCTOR GAVE ME LAST TIME SO YEAH LIKE IVE BEEN USING IT IN GYM CLASS NOW audio/RES0083.mp3[56.320,64.760] AND THE MUSCLE ACHES IS IT ALL OVER IS IT SPECIFIC PART OF YOUR BODY audio/RES0144.mp3[343.960,344.680] YEAH MOSTLY audio/RES0110.mp3[461.400,464.520] ANY FATIGUE UH IN THE PAST WEEK audio/RES0110.mp3[320.920,328.840] ITS ALSO YELLOW audio/RES0065.mp3[466.960,470.480] AND DO YOU AT ALL DRINK ALCOHOL audio/RES0200.mp3[233.520,236.200] NO NOT REALLY audio/MSK0027.mp3[401.680,406.600] OK AND WAS THERE ANY REASON FOR HER TO STAY IN HOSPITAL AFTERWARDS audio/RES0099.mp3[302.120,304.040] AND ANY DIARRHEA audio/GAS0003.mp3[95.600,104.920] I WAS JUST ABOUT TO GO TO SLEEP I WASNT DOING ANYTHING IN PARTICULAR AT THE TIME audio/MSK0017.mp3[760.680,764.320] NO NO NUMBNESS IN THE GROIN AREA audio/RES0003.mp3[50.480,56.320] OK YEAH UM SO HOW LONG HAS HE BEEN GOING TO DAYCARE FOR audio/RES0031.mp3[234.040,237.040] UH OK HAVE YOU HAD ANY HEADACHES audio/MSK0019.mp3[463.360,470.560] UM SO YEAH ON THE INSIDE NOT SO MUCH MAYBE A LITTLE BIT NOT NOT THAT MUCH audio/RES0093.mp3[392.880,403.240] YEAH I STILL GET IT ITS DEFINITELY HELPED THOUGH IT WAS A LOT WORSE BEFORE UH STARTING IT IVE BEEN ON BEEN ON IT NOW FOR A FEW YEARS audio/RES0166.mp3[181.400,188.040] ANY UH CONTACTED SOMEONE WHOS BEEN SICK RECENTLY audio/RES0147.mp3[146.200,159.440] YEAH THATS NEW THATS JUST STARTING NEW IT WAS MORE LIKE I DONT KNOW WHITISH OR YEAH WHITE I GUESS BEFORE audio/RES0093.mp3[143.880,148.800] OK UH AND SAY TWO DAYS AGO WERE YOU FEELING PERFECTLY FINE audio/RES0211.mp3[269.680,274.280] OK HAS THERE BEEN ANY HEALTH ISSUES THAT YOUVE HAD IN THE PAST audio/RES0026.mp3[661.880,668.120] AT WORK NO NO ONES BEEN SICK audio/RES0035.mp3[227.680,230.400] ANY FEVER CHILLS OR NIGHT SWEATS audio/RES0032.mp3[315.640,320.360] AND HAVE YOU HAD ANY SIGNIFICANT WEIGHT CHANGES RECENTLY audio/RES0150.mp3[65.280,70.560] OK AND IS THE RASH STILL UH THERE RIGHT NOW audio/RES0073.mp3[125.760,129.360] NO TASTE IS FINE audio/RES0105.mp3[745.960,748.320] YEAH THAT SOUNDS GOOD THANK YOU audio/RES0160.mp3[20.280,22.560] HM WHEN DID THE COUGH START audio/RES0164.mp3[127.520,142.200] SMALL REALLY SMALL DOTS LIKE KIND OF UHM LIKE ID SAY LIKE BROWN IN COLOR LIKE BROWNISH DARK REDDISH audio/RES0178.mp3[139.680,142.640] UH HEARING HAS BEEN BEEN NORMAL audio/MSK0038.mp3[278.240,281.120] OK NAUSEA OR VOMITING audio/RES0013.mp3[150.880,155.720] YEAH ITS LIKE ITS LIKE SHARP audio/MSK0038.mp3[62.720,79.480] YEAH AND SO DOES ANYTHING MAKE IT WORSE OR BETTER I ASSUME DOING ANY SORT OF PHYSICAL ACTIVITY MAKES IT WORSE AND REST MAKES IT BETTER BUT HOW ABOUT ANYTHING OTHER THAN THAT audio/RES0023.mp3[539.600,544.400] OK WELL THANKS FOR CHATTING WITH ME WE WILL GET THAT SWAB DONE RIGHT AWAY audio/RES0197.mp3[427.160,432.920] NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS audio/RES0140.mp3[335.680,385.640] OKAY ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WITH THE WITH THE SWELLING AND THE PAIN IN THE RIGHT CALF AND THE DIFFICULTIES BREATHING ITS VERY LIKELY THAT YOU HAVE UM AND YOUR RECENT HOSPITALIZATION AND HIP INJURY UM IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED OR PULMONARY EMBOLISM BASICALLY WHICH IS A BLOOD CLOT INSIDE YOUR LUNGS AND SO WELL DO A SCAN OF YOUR LUNGS TO SEE WHATS GOING ON WELL ALSO DO AN ULTRASOUND OF YOUR LEG AND THEN UM WE MIGHT HAVE TO TREAT UH THIS WITH BLOOD THINNERS AND WE DEFINITELY HAVE TO HOSPITALIZE YOU AND WELL BE MEASURING YOUR VITALS AND SEEING IF YOU NEED ANY OXYGEN TO HELP YOU OUT audio/RES0089.mp3[486.320,492.840] OK ANY EXPOSURES TO ANY LIKE DUST FUMES OR ANY IRRITANTS RECENTLY audio/RES0113.mp3[361.920,367.320] UH JUST TO DO LIKE ESSENTIAL THINGS LIKE GROCERIES AND THE BANK AND THINGS LIKE THAT audio/MSK0021.mp3[705.840,869.200] OK ALRIGHT YEAH GIVEN YOUR YOUNG AGE AND THE FACT THAT YOU DO A LOT OF RUNNING AND A LOT OF PHYSICAL ACTIVITY LIKE CYCLING AND LIFTING WEIGHTS WHAT YOU HAVE IS MOST LIKELY SOMETHING CALLED A PATELLOFEMORAL SYNDROME AND THAT IS BASICALLY A NERVE UH KIND OF PAIN AND THEN IN THE IN THE SOFT TISSUES AND BONE AROUND YOUR KNEECAP UHM AND ITS BASICALLY HAPPENS BECAUSE OF OVERUSE SO VIGOROUS PHYSICAL ACTIVITIES THAT PUT REPEATED STRESS ON YOUR KNEES LIKE RUNNING AND CYCLING UHM CAN CAUSE THAT OR JUST LIKE IMPROPER SPORTS TRAINING TECHNIQUES UHM WE CAN DO A FEW THINGS THAT THATLL HELP WITH THE PAIN SO FOR A LITTLE BIT IF YOU COULD HOLD OFF ON THE RUNNING THAT WOULD BE GOOD SO IN THE MEANTIME WHILE YOU WHILE YOU SWITCH TO LIKE LOW IMPACT ACTIVITIES WHETHER THATS LIKE RIDING A STATIONARY BIKE OR SWIMMING YOU CAN ALSO TRY SOMETHING CALLED THE RICE METHOD AND SO THAT STANDS FOR RESTING UHM SO AVOIDING PUTTING ANY STRAIN ON THAT KNEE USING ICE PACKS FOR SEVERAL DAYS COMPRESSION SO WRAPPING YOUR KNEE IN LIKE AN ELASTIC BANDAGE AS WELL AS ELEVATING YOUR KNEES HIGHER THAN YOUR THEN THE LEVEL OF YOUR CHEST CAN HELP AND THEN WITH THE SHARP PAIN YOU COULD ALSO ALSO TAKE IBUPROFEN FOR PAIN MANAGEMENT UHM YEAH SO WE CAN START THERE IF IT DOESNT GET BETTER WE CAN ALSO ORDER AN XRAY JUST TO RULE OUT OTHER THINGS THAT COULD HAVE CAUSED THIS PAIN IN YOUR KNEE AND IF NONE OF THOSE NONSURGICAL TREATMENTS WORK OH SORRY I ALSO FORGOT TO MENTION WILL ALSO REFER YOU TO PHYSIOTHERAPY TO HELP YOU WITH THE RANGE OF MOTION AND STRENGTH AND ENDURANCE BUT OF THOSE NON SURGICAL TREATMENTS WORK WELL ALSO REFER YOU TO LIKE AM ARTHROSCOPY OR SOME SORT OF SURGERY THAT MAY BE ABLE TO FIX THE ISSUE MORE PERMANENTLY DOES THAT SOUND OK audio/RES0155.mp3[5.320,21.920] YEAH SO OVER THIS PAST FIVE DAYS IVE HAD UM WORSENING SHORTNESS OF BREATH AND UH SOME DISCOMFORT IN MY CHEST UM AND THIS COUGH THAT THATS BEEN GETTING WORSE AS WELL audio/RES0127.mp3[469.520,476.880] NO OK AND WHAT AT HOME WHATS YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH audio/RES0171.mp3[530.360,552.880] OK ALRIGHT SO I GUESS COME TO IN TERMS OF SMOKING YOU SAID THAT YOUVE TRIED TO QUIT A COUPLE OF TIMES IN THE PAST DO YOU INTEND ON TRYING AGAIN I KNOW IT CAN BE VERY HARD TO TO QUIT SMOKING audio/RES0178.mp3[600.360,605.080] YEAH NO PROBLEM audio/RES0063.mp3[392.000,397.120] OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0074.mp3[316.960,320.640] OK AND ANY RASHES ANYWHERE audio/RES0176.mp3[329.280,339.200] UM I KIND OF DID WHEN I WAS WHEN I WAS LIKE RUNNING OUTSIDE BUT I JUST THOUGHT MAYBE MAYBE I WAS EXERTING MYSELF TOO MUCH audio/RES0093.mp3[77.840,94.640] YEAH ITS BEEN ITS BEEN GETTING WORSE UHM AND THE PHLEGM ALSO SMELLS REALLY BAD audio/RES0069.mp3[401.160,406.360] BUT NO NOTHING NOTHING ELSE IVE JUST BEEN AT HOME FOR THE MOST PART audio/RES0082.mp3[79.720,84.480] NO I HAVENT HAD A COUGH audio/RES0134.mp3[43.400,53.480] FEVERISH MAYBE AROUND THE SAME TIME LIKE RIGHT AFTER THE COUGH AND SHORTNESS OF BREATH STARTED MAYBE LIKE A DAY AND A HALF AGO audio/RES0017.mp3[324.000,328.160] OK HAVE YOU EXPERIENCED ANY WEIGHT LOSS audio/RES0184.mp3[179.720,184.320] OK HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING audio/RES0015.mp3[404.640,427.520] UH I DONT THINK SO SOMETIMES LIKE WHEN I COUGH UP LIKE SPUTUM THERE IS LIKE A LITTLE BIT OF PINK PINK TINGED SPUTUM AS WELL SOMETIMES ITS LIKE BROWNISH IN COLOR AND SOMETIMES ITS GREEN BUT I HAVENT ACTUALLY COUGHED UP ANY BLOOD audio/RES0086.mp3[197.040,201.360] OK HOW LONG DOES IT LAST BEFORE IT GOES AWAY audio/RES0162.mp3[373.760,386.600] NO BUT I HAVE NOTICED THAT WHEN I WHEN WE VACUUM I I DO GET SOME OF THOSE SYMPTOMS AS WELL JUST MORE OF AN IRRITATION MORES THAN THE COUGH audio/RES0182.mp3[219.880,222.840] UHM NO NO WHEEZING audio/RES0005.mp3[36.720,41.400] OK AND ITS BEEN GRADUALLY GETTING WORSE OVER THAT TIME audio/RES0031.mp3[417.960,419.720] ANY MEDICATIONS audio/MSK0022.mp3[634.560,638.440] OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW audio/RES0104.mp3[352.640,361.560] OK ANY EXPOSURE TO ANY DUSTS OR ANIMALS FUMES ANYTHING THAT MIGHT HAVE TRIGGERED SOME OF THESE SYMPTOMS audio/RES0081.mp3[611.960,620.560] ALRIGHT ANY CARPETS OR LIKE UH CURTAINS OR ANYTHING LIKE THAT COVERING THE WINDOWS audio/RES0070.mp3[236.160,240.560] ABOUT THE SAME TIME audio/MSK0026.mp3[448.200,459.160] OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION LIKE VAGINAL DISCHARGE OR OR PAIN OR ITCHINESS audio/RES0104.mp3[232.160,237.840] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS SICK RECENTLY audio/RES0036.mp3[51.400,55.640] OH YEAH A LOT OF COUGHING TOO YEAH audio/RES0174.mp3[301.960,310.880] OH YEAH IVE BEEN EATING QUITE A BIT BEEN BAKING A LOT AT HOME audio/RES0010.mp3[520.800,523.320] NO OK DO YOU CONSUME ALCOHOL audio/RES0191.mp3[329.880,337.800] I SEE OK UHM AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0049.mp3[372.760,382.720] UM JUST MAYBE IN LIKE A LITTLE BIT WITH THE LOSS OF SMELL AND TASTE THE FOOD IS NOT REALLY THE SAME IN THE LAST DAY LAST FEW DAYS audio/RES0036.mp3[402.880,405.960] NOT THAT I KNOW OF NO audio/RES0196.mp3[271.640,277.440] UH NO JUST MULTIVITAMINS audio/RES0082.mp3[337.080,353.840] YEAH OK SO IN TERMS OF YOUR UH SO GENERAL INFORMATION DO YOU LIVE ALONE OR DO YOU LIVE WITH YOUR PARENTS OR ANYONE ELSE audio/RES0099.mp3[261.320,263.360] NO NO CHEST PAIN audio/RES0117.mp3[253.520,254.880] NO NOT AT ALL audio/RES0075.mp3[248.960,260.280] OK AND HAVE YOU HAD ANY EPISODES WHERE YOU FEEL LIKE YOUR HEART IS LIKE RACING OR BEATING OUT OF YOUR CHEST audio/RES0073.mp3[382.920,388.160] UHM YEAH A LITTLE BIT I WOULD SAY THEY HAVE BEEN A BIT ITCHY audio/RES0074.mp3[711.800,716.080] OK YEAH THAT SOUNDS GOOD THANK YOU SO MUCH audio/RES0121.mp3[182.240,189.640] OKAY AND DO YOU HAVE ANY KIND OF UM INCREASED TIRED LIKE GETTING MORE TIRED OR FATIGUED audio/RES0170.mp3[248.720,277.960] AH WELL YOU CERTAINLY WHEN IT FIRST STARTS I MEAN FOR THE FIRST MINUTE OR TWO YEAH HE THAT WHEN I THINK PARTICULARLY AT SOCCER PRACTICE SCHOOL HAVE A REALLY HARD TIME CATCHING HIS BREATH BUT LIKE HE WOULD HE STOPS PLAYING AND RESTS AND REALLY TRIES TO MAKE SURE THAT HE IS I DONT KNOW JUST TRYING TO TO BREATHE AND IT KIND OF GOES AWAY HES BEEN ABLE TO MANAGE IT OK audio/RES0089.mp3[204.280,215.160] AND IS THAT MAINLY WHEN YOURE COUGHING AND SHORT OF BREATH OR UHM AT OTHER TIMES AS WELL audio/MSK0033.mp3[378.760,388.680] OK IN GRADE 10 OK AND SCHOOL GOING WELL ANY ISSUES AT ALL WITH BULLYING OR ANYTHING LIKE THAT audio/RES0018.mp3[217.440,219.280] NO NO WHEEZING audio/RES0062.mp3[278.920,285.560] ALRIGHT YEAH MAYBE A BIT KIND OF AND WEAK audio/RES0184.mp3[360.240,364.640] NO NOT THAT I CAN THINK OF audio/RES0074.mp3[299.560,305.600] OK UH AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0138.mp3[460.840,464.840] HOW LONG WOULD YOU SAY YOU SMOKED FOR audio/MSK0044.mp3[448.880,470.080] UH I SOMETIMES I WITH FRIENDS UM WEVE HAD A COUPLE OF BEERS HERE AND HERE AND THERE BUT I MEAN ITS ITS NOT SOMETHING THAT IVE DONE VERY OFTEN YEAH WEVE BEEN PRETTY SAFE I FEEL LIKE audio/RES0043.mp3[500.720,505.040] IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0003.mp3[646.080,651.480] DID YOU HAVE ANY QUESTIONS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY audio/RES0018.mp3[115.480,119.160] OK UM HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE audio/RES0016.mp3[321.360,325.640] OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS audio/MSK0045.mp3[63.440,67.440] OK AND WHERE IS THIS PAIN LOCATED EXACTLY audio/RES0123.mp3[151.440,156.480] UH IT IT SEEMS LIKE ITS ON BOTH SIDES audio/MSK0040.mp3[296.480,306.320] OK AND AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE HAVING LIKE A RUNNY NOSE OR FEELING CONGESTED OR MAYBE EVEN A SORE THROAT audio/RES0029.mp3[384.800,388.080] NO NO NO MARIJUANA NO OTHER DRUGS audio/MSK0025.mp3[172.120,185.320] I THINK ITS WORSE WITH UM I DONT KNOW LIKE ITS WORSE WITH ANYTHING ANYTIME ANYTIME I TRIED TO MOVE IT IT HURTS audio/MSK0022.mp3[779.000,781.200] THANK YOU audio/RES0072.mp3[248.600,257.080] YEAH ITS JUST BEEN LIKE FAIRLY GENERALIZED FEELS SORE audio/RES0187.mp3[190.720,195.440] OK BUT YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT audio/RES0125.mp3[706.320,707.280] ALRIGHT YEAH audio/MSK0040.mp3[322.400,325.480] HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS audio/GAS0007.mp3[124.480,125.520] MHM MHM audio/RES0082.mp3[153.640,168.920] ALRIGHT AND JUST HAVE A COUPLE MORE QUESTIONS JUST TO SEE IF ANYTHING ELSE IS GOING ON DO YOU HAVE A HEADACHE AT ALL audio/RES0005.mp3[495.960,501.120] OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR SOCIAL SITUATION OR LIVING SITUATION audio/RES0130.mp3[94.600,125.520] YEAH NOW THAT YOU MENTION IT I HAVE BEEN ITS UH YOU KNOW I THOUGHT THAT WAS JUST KIND OF ME GETTING OLDER AND THE SMOKING BUT IVE CERTAINLY BEEN ABLE I HAVENT BEEN ABLE TO WALK AS FAR AND EVEN UH TO THE END OF THE DRIVEWAY GETTING THE MAIL NOW IS IS PRETTY ILL GET SHORT OF BREATH BEFORE I USED TO BE ABLE TO WALK A LOT FURTHER THAN THAT JUST A COUPLE OF YEARS AGO audio/RES0083.mp3[152.920,156.040] THAT FRONT PART BOTH SIDES LEFT AND RIGHT audio/RES0055.mp3[275.080,278.040] HOW ABOUT CALF PAIN audio/MSK0049.mp3[375.480,390.000] UH I HAVE SOME JOINT UM SWELLING ITS ITS NOT VERY VISIBLE BUT ITS IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY LEFT SORRY THAN MY RIGHT KNEE audio/RES0057.mp3[682.600,718.560] ALRIGHT SO I GUESS THATS ALL I WANTED TO KNOW ILL GO TALK TO THE ATTENDING AND WELL COME BACK AND DO A PHYSICAL EXAM AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN DISCUSS THE MANAGEMENT WITH YOU DOES THAT SOUND GOOD TO YOU audio/RES0123.mp3[292.040,295.400] ANY SPUTUM OR ANY BLOOD COME OUT audio/RES0015.mp3[623.520,637.160] SO I LIVE IN ITS WE HAVE LIKE A STUDENT HOUSE WITH SOME OF THE STUDENTS WHO CAME FROM INDIA AS WELL AND THERES SIX OF US LIVING TOGETHER IN IN A HOUSE audio/RES0066.mp3[386.560,402.320] OK OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA COPANYTHING LIKE THAT audio/RES0152.mp3[408.320,417.360] I SEE OK UM DO YOU INTERACT WITH MANY OF THE PEOPLE IN THE HOUSE AND AND HAS ANYBODY ELSE BEEN SICK audio/RES0062.mp3[255.800,261.240] NO DIZZINESS AND I HAVENT FAINTED OR ANYTHING LIKE THAT audio/RES0056.mp3[260.920,265.000] OK HOW ABOUT A CALF PAIN audio/RES0106.mp3[44.000,47.080] ANY WHEEZING audio/RES0114.mp3[182.080,185.320] NOT THAT IVE NOTICED NO audio/RES0127.mp3[560.400,570.920] NO I JUST I I JUST WANNA GET SOME MEDICATIONS TO HELP WITH THIS IM JUST SICK AND TIRED OF MY RUNNY NOSE audio/RES0117.mp3[146.320,152.120] OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY RASHES audio/RES0180.mp3[69.720,74.880] OK AND ANY CHEST PAIN audio/MSK0049.mp3[487.200,490.560] UM ILL HAVE A GLASS OF WINE EVERY NIGHT audio/RES0124.mp3[211.880,214.920] ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0072.mp3[209.840,212.720] OK ARE YOU COUGHING UP ANY BLOOD AT ALL audio/RES0024.mp3[463.840,473.800] ALRIGHT AND THEN I HAVE ANYBODY IN THE FAMILY HAD CANCER BEFORE audio/GAS0001.mp3[129.000,137.720] PROBABLY EVERY PROBABLY EVERY LIKE 2 MAYBE MAYBE EVERY HOUR I GET CERTAIN TIMES IN A DAY audio/RES0137.mp3[489.320,511.840] OH NO NO I DONT I DONT GET THOSE MY FRIENDS MY FRIENDS DAUGHTER DEVELOPED AUTISM AND IM JUST I DONT WANT THAT YOU KNOW SO NO I DONT VACCINATE MY KIDS OR I DONT VACCINATE MY DAUGHTER AND I HAVENT BEEN YEAH UH NO I WONT BE DOING THAT audio/RES0114.mp3[528.120,542.080] UHM LUNG CONDITIONS I DONT THINK SO HEART CONDITIONS UH MY FATHER DID HAVE A HEART ATTACK IN HIS 60S BUT HES FINE HES HES LIVING RIGHT NOW audio/RES0195.mp3[462.760,468.800] UM NO LUNG OR HEART CONDITIONS THERE ARE SOME AUTOIMMUNE CONDITIONS IN MY FAMILY THOUGH audio/RES0086.mp3[395.440,399.400] UH NO THOSE THOSE ARE THE ONLY ONES audio/RES0102.mp3[856.560,865.200] OK I SEE YEAH SO DO YOU HAVE ANY QUESTIONS THOSE ARE ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0096.mp3[557.320,570.960] OK AND ARE YOU UHM DO YOU HELP LOOKING AFTER THE HOME AND UH LIKE FUNCTIONALLY INDEPENDENT RIGHT NOW audio/RES0175.mp3[381.760,391.120] I USED TO I QUIT I QUIT 10 YEARS AGO I USED TO SMOKE ABOUT TWO OR THREE CIGARETTES A DAY FOR 20 YEARS audio/RES0124.mp3[461.760,469.720] YEAH AS FAR AS I KNOW I I DIDNT REALLY HAVE ANY CONCERNS FROM LIKE THE SCHOOL OR HOME AT ALL audio/RES0049.mp3[324.560,328.880] ANY PAIN OR DISCHARGE IN THE EYES OR EARS audio/MSK0037.mp3[166.080,176.240] OK AND IS THERE ANY LIKE LIKE CLICKING OR YEAH ANY ANY CLICKING OR CATCHING WHEN YOURE TRYING TO LIKE EXTEND THE FINGER audio/GEN0001.mp3[111.840,119.800] 3 MONTHS AGO OK AND THEY PRESCRIBED YOU ANTIBIOTICS AND IT WENT AWAY FAIRLY QUICKLY audio/MSK0007.mp3[495.360,502.320] OK I GOT ANY AUTOIMMUNE DISEASES LIKE THYROID DISEASE OR DIABETES audio/MSK0013.mp3[23.400,32.400] OK AND WHEN DID YOU FIRST NOTICE THE NUMBNESS AND TINGLING audio/MSK0039.mp3[538.680,542.680] OK AND DO YOU NOTICE ANY LIKE BONY PIECES THAT ARE PUSHING ON THE SKIN audio/RES0075.mp3[466.280,484.320] OK GREAT AND HAS ANYBODY IN THE FAMILY HAD LIKE A SIMILAR PRESENTATION BEFORE LIKE ANY LUNG PROBLEMS OR HEART PROBLEMS audio/RES0049.mp3[44.240,61.640] THE FEVER I HASNT BEEN CONSTANT BUT IVE LIKE HAD SOME NIGHTS WHERE I JUST FEEL REALLY CHILLY AND THEN DURING THE DAY SOMETIMES EVEN GETTING THESE CHILLS IVE BEEN RECORDED AT A TEMPERATURE BUT I THINK IVE HAD A FEVER AT LEAST THREE TIMES IN THE LAST WEEK audio/MSK0033.mp3[569.720,571.520] NO NOTHING LIKE THAT audio/RES0153.mp3[253.760,258.040] UM NOT NO I HAVENT FELT THAT AT ALL audio/RES0039.mp3[168.200,171.840] UP UNTIL THIS MORNING audio/RES0163.mp3[385.520,388.720] ANY URINARY PROBLEMS audio/MSK0045.mp3[681.240,682.600] OK SOUNDS GOOD audio/RES0071.mp3[544.080,554.200] I THINK MY MOM HAS HIGH BLOOD PRESSURE BUT THATS ABOUT IT audio/MSK0043.mp3[667.840,671.680] OKAY AND UM DO YOU CURRENTLY WORK audio/MSK0022.mp3[473.040,485.680] I OVER A COUPLE OF THE JOINTS I DO NOTICE SOME SOME REDNESS BUT JUST OVER THE THE JOINTS ON MY HAND I CAN HAVE SOME REDNESS audio/MSK0024.mp3[183.160,188.840] OK IS A BENDING HURTS MORE AND WHAT ABOUT BENDING TOWARDS THE SIDES audio/RES0061.mp3[84.960,102.760] NO I DIDNT SEE ANY RED IT WAS MOSTLY LIKE YELLOW AND UMM LIQUIDY BEACUSE I HAVENT BEEN EATING MUCH SOLIDS OR LIKE JUST LIKE FOOD IVE BEEN MOSTLY JUST HAVING DRINKS audio/RES0197.mp3[359.200,364.000] I LOVE WITH BOTH MY PARENTS AND TWO OF MY SIBLINGS audio/RES0096.mp3[650.400,695.560] OK SO THAT WAS ALL THE QUESTIONS I WANTED TO ASK ON ON HISTORY UHM CERTAINLY IT SOUNDS LIKE YOURE BRINGING UP SOME BLOOD WITH WITH WITH THE INCREASED COUGH AND WITH DIFFICULTIES BREATHING SO WE WILL GET A UHM A CHEST XRAY AND POSSIBLY A CT IMAGE OF YOUR CHEST AS WELL TO SEE IF THERES ANYTHING GOING ON IN YOUR LUNGS AND WE MIGHT DO SOME BLOOD WORK AS WELL TO CHECK A FEW THINGS SO UHM WELL GET THOSE ORDERED AND AND SEE WHAT SEE WHAT THAT SHOWS audio/RES0082.mp3[84.480,88.640] OK UHM AND DO YOU HAVE A RUNNY NOSE ANY DISCHARGE audio/RES0141.mp3[0.000,3.200] HOW CAN I UH HELP YOU TODAY audio/RES0082.mp3[428.760,432.000] HAVE YOU TAKEN ANY ANTIBIOTICS RECENTLY audio/RES0195.mp3[92.560,100.920] OK AND HAS THIS HAPPENED TO YOU BEFORE AT ALL OF THESE SYMPTOMS audio/MSK0041.mp3[557.160,574.720] OK AND OK AND ANYBODY IN THE FAMILY HAVE A HISTORY OF MUSCULOSKELETAL OR OR NEUROLOGICAL CONDITIONS audio/RES0133.mp3[157.160,165.640] YEAH THATS GONE YEAH THATS GONE THAT WENT AWAY BUT LIKE UM YEAH TWO DAYS AGO MAYBE audio/MSK0029.mp3[212.000,229.480] UHM MAYBE A LITTLE BIT TO THE UPPER BACK LIKE WHEN I LIKE TRAP TRAPEZIUS MUSCLE AREA OR THE TRAPS LIKE IT IF I PUSH ON THOSE MUSCLES AROUND THAT AREA I DO GET A LITTLE BIT OF TENDERNESS audio/MSK0034.mp3[370.200,385.040] ALRIGHT AND ANY COMPLICATIONS DIFFICULTIES WHILE YOU WERE GROWING UP AT ALL WITH YOUR GROWTH LIKE HEIGHT OR WEIGHT OR ANY KIND OF DEVELOPMENTAL ISSUES THAT YOU KNOW audio/RES0168.mp3[2.160,45.680] SO IVE JUST I HAD SOME SINUS PROBLEMS IN THE PAST IVE HAD SOME SINUS INFECTIONS AND I JUST FEEL LIKE I HAVE ONE RIGHT NOW AND I KNOW THAT LIKE I KNOW THAT YOU KNOW A LOT OF THE TIME I IVE DONE ALL THE THINGS THAT IVE BEEN TOLD TO DO IN THE PAST LIKE IVE BEEN DOING LIKE SALINE RINSES AND JUST DOESNT FEEL LIKE ITS HELPING VERY MUCH RIGHT NOW WHEN I RINSE IM GETTING LIKE THIS GREENIE GROSS KIND OF MUCUS COMING OUT AND ITS JUST LIKE GIVING ME THIS LIKE HEADACHE IT JUST FEELS CRAPPY audio/MSK0007.mp3[461.200,468.680] UM ILL HAVE A GLASS OF WINE EVERY OTHER DAY audio/RES0162.mp3[23.320,25.240] WHEN DID THIS START audio/RES0211.mp3[31.960,36.520] OK AND YOU SAY IVE BEEN FEELING THAT FOR THREE TO FOUR DAYS NOW audio/MSK0016.mp3[190.800,199.200] NO ITS JUST UM JUST KIND OF THE THE OUTSIDE OF MY HAND HERE ITS REALLY ONLY THE FIRST LIKE 3 FINGERS audio/RES0064.mp3[425.160,435.240] OK ANY REASON TO BELIEVE YOU HAVE OLD CARPETS MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING HIS SYMPTOMS audio/RES0086.mp3[378.520,381.000] CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0214.mp3[405.080,407.120] SO NO MARIJUANA HEROIN COCAINE audio/RES0016.mp3[446.960,473.720] UH SO YEAH MY DAD HAD QUITE A FEW PROBLEMS HE HAD TYPE 2 DIABETES THEN HE SUFFERED FROM 2 STROKES AND THEN HE ALSO HAD A HEART ATTACK UH IN I THINK WHEN HE WAS LIKE 56 BUT THEN HE ACTUALLY ENDED UP DYING OF BOWEL CANCER IN HIS 70S audio/RES0039.mp3[314.520,324.160] YEAH IVE BEEN HAVING AH SO FEVERS THROUGHOUT THE DAY BUT FEELING REALLY HOT AND AND REALLY SWEATY AT NIGHT audio/RES0102.mp3[453.040,457.120] HAVE YOU MEASURED A TEMPERATURE AT ALL audio/RES0098.mp3[78.800,81.760] SO YEAH THATS THATS THAT audio/RES0055.mp3[174.120,184.560] YEAH THEY SAID I HAD SOME KIND OF LUNG INFECTION AT THAT TIME SO THEY GAVE ME SOME ANTIBIOTICS WHILE I WAS IN THE HOSPITAL audio/RES0122.mp3[308.240,316.880] GREAT GREAT UM AND ANY ALLERGIES UH TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES audio/CAR0003.mp3[104.760,108.720] I WOULD SAY SO YES audio/MSK0015.mp3[547.520,566.520] YEAH SO SHES CURRENTLY LIVING AT HOME WITH ME MY WIFE AND SHE HAS AN OLDER BROTHER WE LIVE IN A SMALL HOUSE JUST NEAR NEAR THE CITY audio/RES0051.mp3[431.640,433.160] I DONT audio/RES0030.mp3[553.280,557.360] OK HOW ABOUT ALCOHOL audio/RES0060.mp3[825.320,837.720] OK I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE END THE INTERVIEW audio/MSK0025.mp3[342.760,348.400] ANY KIND OF CHEST PAIN SHORT OF AH SORRY SHORTNESS OF BREATH audio/RES0075.mp3[238.720,241.600] YEAH WEIGHT HAS BEEN STABLE audio/MSK0020.mp3[304.440,308.000] UH CHANGES IN YOUR URINATING audio/RES0179.mp3[267.720,269.560] NOT REALLY NO audio/RES0106.mp3[410.400,419.280] MAYBE WHEN IM OUT WITH MY FRIENDS I MIGHT SOMETIMES HAVE A CIGARETTE OR TWO I USED TO SMOKE A LOT MORE BUT IM TRYING TO CUT IT DOWN audio/RES0065.mp3[409.560,423.600] LAST YEAR OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS THAT RUN IN THE FAMILY LIKE DO YOU HAVE ANY CROHNS DISEASE OR ULCERATIVE COLITIS THAT RUN IN THE FAMILY audio/RES0026.mp3[422.440,447.360] UM NO AH ACTUALLY I I THINK AT ONE POINT UM I WAS WORKED UP FOR SOMETHING CALLED FAMILIAL HYPERCHOLESTEROLEMIA BECAUSE IT RAN IN THE FAMILY BUT I THINK THOSE RESULTS WERE NORMAL audio/MSK0032.mp3[300.360,306.520] UH NO SHE WE WERE ABLE TO BRING HER HOME PRETTY QUICK audio/RES0012.mp3[297.960,300.920] I FEEL HOT YEAH audio/RES0055.mp3[546.480,557.320] YEAH IVE BEEN SMOKING FOR AROUND I WOULD SAY THE LAST 20 YEARS audio/RES0057.mp3[372.440,376.000] NO I HAVENT HAD ANY audio/RES0098.mp3[646.680,654.720] UH NO I I I THINK I KNOW WHAT THIS WAS CAUSED BY BUT YEAH LETS LETS SEE THANKS FOR YOUR HELP audio/RES0132.mp3[112.200,115.480] OKAY UM AND UH HAVE YOU SEEN ANY BLOOD IN THE SPUTUM audio/RES0207.mp3[48.840,55.480] OK IS THIS COUGH A DRY COUGH OR ARE YOU BRINGING UP ANY SPUTUM audio/MSK0021.mp3[630.760,635.160] OH NO THAT DOESNT HURT audio/RES0086.mp3[292.520,294.280] NO NOTHING LIKE THAT audio/RES0132.mp3[433.320,440.040] UM I LIVE BY MYSELF IN AN APARTMENT ON THE 1ST FLOOR audio/MSK0017.mp3[379.200,385.320] OK AND UM THOSE INJURIES ARE THEY ALL HEALED audio/RES0065.mp3[470.480,482.280] NO I DRANK ONCE OR TWICE IN THE PAST BUT I DIDNT LIKE IT IT MAKES MY CROHNS WORSE SO I STAY AWAY FROM IT audio/RES0099.mp3[737.640,741.920] OK ILL DO THAT THAT SOUNDS GOOD audio/RES0023.mp3[534.040,537.720] DOES THAT SOUND LIKE A GOOD PLAN TO YOU audio/RES0010.mp3[546.320,547.400] NO NO audio/RES0147.mp3[310.520,338.480] YEAH I I TAKE A UH A STATIN MEDICATION I THINK SOME TYPE OF BLOOD THINNER AS WELL AS SOMETHING FOR THE BLOOD PRESSURE AS WELL I CANT REMEMBER THE THE NAMES OF THEM audio/MSK0003.mp3[238.080,254.880] ITS WORSE IN THE MORNING IT GETS A BIT BETTER AS THE DAY GOES ON I ASKED ABOUT IT AN HOUR INTO THE DAY I FEEL MY BEST IT TAKES A LITTLE BIT OF TIME TO TO MOVE AROUND A LITTLE BIT FIRST audio/MSK0005.mp3[605.640,615.600] OK FAMILY HISTORY OF ANY UH SKELETAL OR MUSCULAR UM ISSUES audio/MSK0034.mp3[146.920,156.400] AND ARE YOU ABLE TO MOVE YOUR HIP AT ALL LIKE ARE YOU ABLE TO FLEX IT OR EXTEND IT ROTATE IT audio/MSK0018.mp3[169.480,171.880] CHANGES IN VOIDING audio/RES0212.mp3[36.440,48.800] UM NO LIKE IT KINDA HURTS WHEN I COUGH NOW BUT NOT NOT LIKE ON ITS OWN audio/RES0004.mp3[575.880,586.920] OK GOOD AND ITS OK HAVE YOU SEEN ANOTHER DOCTOR FOR THE SYMPTOMS AT ALL HAVE YOU BEEN WORKED UP FOR THAT ANY BLOOD WORK TESTING DONE FOR IT ALREADY audio/RES0201.mp3[237.240,241.040] HAVE YOU HAD A RUNNY NOSE audio/MSK0013.mp3[598.960,602.120] NO CANCERS THAT I KNOW OF audio/GEN0001.mp3[443.920,444.920] NO LIKE YEAH audio/RES0011.mp3[798.360,807.320] OK UM AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/RES0023.mp3[203.240,208.800] OK UM AND YOU SAID YOU FELT REALLY HOT HAVE YOU TAKEN YOUR TEMPERATURE AT ALL audio/MSK0011.mp3[267.320,276.720] YEAH IT STARTED HURTING RIGHT AWAY AND ITS WELL THIS MORNING ITS A A BIT WORSE YEAH audio/RES0193.mp3[2.160,18.840] HI I BRING YOU MY SON TODAY BECAUSE IVE NOTICED HES HAD BEEN HAVING THIS COUGH SOMETIMES HE’LL HAVE IT AT NIGHT AND AND HELL HAVE SOME WHEEZING AND DIFFICULTIES BREATHING AS WELL audio/RES0204.mp3[357.800,362.720] UM NO NO PETS audio/MSK0034.mp3[130.160,145.560] ITS SHARP OK AND DO YOU EXPERIENCE ANY OTHER SYMPTOMS LIKE ANY DIZZINESS OR FAINTING SPELLS audio/RES0158.mp3[350.520,360.280] I I HAD LIKE A SCOPE ON MY KNEE WHEN I WAS UM LIKE A TEENAGER I INJURED IT PLAYING SOCCER BUT THATS IT audio/RES0084.mp3[140.160,144.080] HOW LONG DOES THE HEADACHE LAST WHEN YOU GET IT audio/RES0017.mp3[548.680,553.800] NO IVE BEEN AT HOME audio/RES0104.mp3[156.320,173.920] AH NO I MEAN A FEW WEEKS AGO PROBABLY LIKE A YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND AND SORE THROAT FOR A COUPLE OF DAYS IT WENT AWAY ON ITS OWN THOUGH audio/RES0213.mp3[130.080,144.760] OK SO THESE CHEST PAINS LAST FOR ABOUT 20 MINUTES IT ONLY HAPPENS WHEN YOU TAKE A DEEP BREATH IN AND AFTER THE 20 MINUTES DO THEY COME AND GO IS IT SOMETHING THAT GRADUALLY WEANS OFF OR IS IT FAIRLY SHARP audio/RES0172.mp3[370.360,374.880] GOOD ANY MARIJUANA OR RECREATIONAL DRUGS audio/RES0089.mp3[71.520,80.000] OK AND BEFORE THAT WERE YOU HAVING COUGHING AS WELL audio/RES0103.mp3[486.600,542.720] YEAH AND SO MOST LIKELY ITS JUST CAUSED BY A VIRAL INFECTION LIKE COMMON COLD PERHAPS IT SHE DOESNT HAVE ANY WORRYING SIGNS OF ANY SYSTEMIC THINGS GOING ON RIGHT NOW SO AND NO SIGNS OF LIKE A BACTERIAL INFECTION THAT I WOULD BE CONCERNED ABOUT THAT I WOULD GIVE ANTIBIOTICS FOR RIGHT NOW BUT DEFINITELY IF HER SYMPTOMS GET WORSE AT HOME AND IF SHE STARTS HAVING ANY KIND OF SHORTNESS OF BREATH INCREASED COUGHING WITH PRODUCING MORE YELLOW OR GREEN MATERIAL AND IF SHE GETS MORE FEVERISH SO WILL ALSO DO A PHYSICAL EXAM AND TAKE HER TEMPERATURE TODAY AS WELL BUT YEAH SOME OF THESE THINGS YOU JUST LOOK OUT FOR BUT YEAH SO THAT THAT WELL DO THE PHYSICAL EXAMINATION AND GO FROM THERE audio/RES0185.mp3[421.720,434.920] I THINK ONE OF THE GUYS LAST WEEK HAD I HAD A LITTLE BIT OF A COUGH AND I DONT KNOW THAT YEAH SAID HE WASNT WASNT FEELING WELL audio/MSK0035.mp3[69.760,78.400] NO I DONT THINK SO I DIDNT HAVE I DONT HAVE ANY PAIN ANYWHERE ELSE audio/RES0173.mp3[389.280,400.040] OK AND YOU GET SEASONAL SYMPTOMS LIKE THROUGHOUT THE YEAR YOU GET LIKE ITCHY RUNNY EYES OR LIKE LIKE A RUNNY NOSE audio/RES0201.mp3[429.040,435.640] DO YOU AH LIVE ALONE OR WITH FAMILY audio/RES0207.mp3[408.880,429.120] OK I THINK THAT ABOUT COVERS MY QUESTIONS FOR NOW SO IM GONNA TAKE EVERYTHING WE TALKED ABOUT IM GOING TO GO OVER IT WITH THE DOCTOR WAS WORKING TODAY AND NOW WELL COME BACK SHORTLY AND TALK TO YOU ABOUT THE NEXT STEPS IF THERES ANY TESTS WE WANT TO DO OR HOW WE WANT TO MOVE FORWARD WITH THIS SO audio/MSK0016.mp3[792.360,800.080] UH YEAH NO NO PAIN IF IM JUST PRESSING OR PALPATING THE WRIST audio/RES0103.mp3[232.480,239.240] NO SHE HAD A URINARY TRACT INFECTION WHEN SHE WAS LIKE LITTLE BUT HASNT HAD ANY SINCE audio/RES0096.mp3[427.560,434.560] OK SO YEAH YOUVE TRIED THEM WHEN YOU WERE SHORT OF BREATH AND THEY HAVENT HELPED audio/RES0111.mp3[367.040,374.800] NO IVE BEEN UM JUST AT SCHOOL AND HOME audio/RES0009.mp3[313.280,315.680] NO NO audio/RES0169.mp3[317.520,321.600] OK ALRIGHT HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE audio/RES0215.mp3[128.680,134.440] OK AND HAS SHE HAD ANY SICK CONTACTS RECENTLY ANYONE AROUND HER OR HER FRIENDS BEEN SICK audio/RES0036.mp3[405.960,410.680] OK HAVE YOU EXPERIENCED ANY NIGHT SWEATS audio/RES0064.mp3[414.560,419.480] SO HE LIVES WITH MYSELF AND HIS DAD audio/RES0065.mp3[141.920,143.920] AND IS THE SORE THROAT CONSTANT OR DOES IT COME AND GO audio/RES0181.mp3[217.640,220.880] ALRIGHT ANY MUSCLE ACHES OR BODY PAINS audio/RES0141.mp3[200.640,204.680] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FINGERS OR TOES audio/RES0117.mp3[0.000,2.480] WHAT BRINGS YOU IN audio/RES0032.mp3[7.640,11.720] OK AND HOW LONG HAVE YOU BEEN HAVING THIS COUGH FOR audio/RES0163.mp3[312.080,315.880] NO IM PRETTY HEALTHY audio/RES0058.mp3[65.280,70.120] OK SO IT KIND OF TASTES LIKE CARDBOARD audio/RES0044.mp3[516.080,520.040] I WISH I KNEW EXACTLY BUT THEY JUST SAID YEAH THEY DONT REALLY KNOW audio/RES0125.mp3[487.040,495.120] SCHOOL FROM HOME OKAY UM AND DO YOU AT ALL SMOKE SO YOU MENTIONED YOUR SYMPTOMS GET WORSE WITH SMOKING audio/MSK0019.mp3[195.280,198.800] OKAY UM AND HAVE YOU NOTICED ANY MUSCLE WEAKNESS audio/RES0107.mp3[595.920,597.080] OH I SEE audio/MSK0013.mp3[2.080,23.400] HI IM HERE BECAUSE IVE HAD THIS NUMBNESS AND TINGLING IN MY FEET FOR AWHILE NOW AND I STARTED TO NOTICE THESE OPEN WOUNDS ON MY FEET AS WELL AND IM NOT FEELING IT BUT ITS THERE audio/RES0120.mp3[385.200,388.480] OKAY NOW IT HASNT GONE AWAY audio/MSK0004.mp3[26.720,30.680] YEAH IT WAS JUST JUST YESTERDAY THAT IT HAPPENED audio/RES0081.mp3[156.880,168.680] OK AND HAVE YOU NOTICED ANY EYE REDNESS OR OR ANY DISCHARGE FROM HIS EYES OR NOSE audio/RES0044.mp3[537.760,547.360] NO OK UM ARE YOU ON ANY MEDICATIONS audio/RES0177.mp3[402.440,406.360] HE IS YEAH audio/RES0032.mp3[425.160,435.800] AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING ELSE audio/RES0136.mp3[395.520,403.880] OKAY UM HAVE YOU BEEN EXPOSED TO ANYONE WHO MAY HAVE HAD TUBERCULOSIS audio/MSK0017.mp3[560.600,561.680] NO I DONT THINK SO audio/MSK0016.mp3[220.600,232.000] AND MAYBE JUST LIKE A LITTLE BIT OF THE UM LIKE OF THE RING FINGER TOO BUT NOT ALL OF IT audio/RES0088.mp3[640.960,720.280] YEAH SO IT SEEMS LIKE THAT THE HOARSENESS OF VOICE AND THE SORE THROAT AND HER SYMPTOMS MOSTLY ALIGN WITH WHATS CALLED LARYNGITIS AND THIS IS USUALLY CAUSED BY LIKE JUST A VIRAL RESPIRATORY INFECTION THE HOARSENESS OF VOICE WILL USUALLY LAST MORE THAN A WEEK AND UP TO LIKE TEN DAYS AND IT SHOULD RESOLVE ON ITS OWN BUT WELL DEFINITELY TAKE A BETTER LOOK AND DO A PROPER PHYSICAL EXAMINATION SEE IF I SEE ANY KIND OF SWELLING REDNESS OR ANY LIKE WHITE STREAKS OR EXUDATES AROUND HER PHARYNX AS WELL SO AFTER WE TAKE A LOOK WELL SEE WHAT WE CAN DO IT DOESNT SEEM LIKE IT CAN ALSO BE A BACTERIAL INFECTION IN WHICH CASE WE WOULD NEED TO GIVE HER ANTIBIOTICS BUT USUALLY ITS A VIRAL INFECTION THAT SHOULD GO AWAY ON ITS OWN SO WE WOULD JUST KIND OF WAIT AND SEE AND POTENTIALLY JUST GIVE HER VOICE SOME REST DURING THIS PERIOD AND JUST GO ON FROM THERE DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS audio/CAR0002.mp3[510.240,515.120] UM I WOULD SAY A COUPLE OF TIMES A MONTH audio/RES0014.mp3[161.880,165.400] AND DO YOU EVER HAVE DO YOU EVER COUGH UP BLOOD audio/RES0196.mp3[61.000,62.600] ITS THE RIGHT EAR audio/MSK0025.mp3[124.720,129.680] UHM IT SEEMS LIKE ITS BOTH SIDES audio/RES0070.mp3[500.200,503.360] OK HAVE YOU TRAVELED ANYWHERE audio/MSK0026.mp3[278.280,280.800] ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE audio/RES0046.mp3[649.840,652.920] OK ANY CANCERS THAT RUN IN THE FAMILY audio/RES0175.mp3[323.760,328.160] DO YOU HAVE ANY ALLERGIES audio/MSK0017.mp3[274.000,277.360] NO JUST JUST THE LOWER BACK YEAH audio/RES0126.mp3[224.040,232.200] YEAH IT HASNT BEEN HELPING THE BLUE ONE I TRIED TO KEEP TAKING THE BLUE ONE AND ITS JUST YOU KNOW ITS NOT HELPING audio/RES0028.mp3[445.160,456.120] OK IN YOUR FAMILY HAS ANYONE HAD ANY CONDITIONS LIKE HAS ANYONE PASSED AWAY FROM A HEART ATTACK ANY CANCERS ANYTHING LIKE THAT audio/RES0109.mp3[340.000,358.040] UM I WENT TO I WENT GROCERY SHOPPING AND AND SOMEONE NEAR ME WAS COUGHING I WAS STILL LIKE SIX YOU KNOW I WAS AWAY FROM THEM BUT I DONT LIKE YEAH I DONT KNOW audio/RES0068.mp3[295.480,296.880] NO NO CHEST PAIN audio/RES0088.mp3[733.120,740.160] YOU TOO audio/MSK0026.mp3[765.920,776.160] OK THAT SOUNDS GOOD THANK YOU audio/RES0216.mp3[38.360,47.760] OK FOR SURE SO YOU SAID IT STARTED ABOUT 3 DAYS AGO HAVE YOU NOTICED ITS BEEN GETTING BETTER WORSE OR ABOUT STAYING THE SAME audio/RES0145.mp3[261.720,281.120] IVE HAD UHM LIKE TONSILLITIS A FEW TIMES IN THE IN THE PAST THE LAST TIME HAPPENED ABOUT ABOUT SIX MONTHS AGO IM WONDERING IF I HAVE STREP THROAT audio/RES0104.mp3[657.000,661.680] AND HAVE YOU AT ALL BEEN DIAGNOSED WITH COPOR ANYTHING LIKE THAT audio/RES0074.mp3[87.200,92.600] UHM A LITTLE BIT I WOULDNT SAY TOO SIGNIFICANT audio/GAS0005.mp3[146.440,152.520] OK HAVE YOU NOTICED ANY BILE OR BLOOD IN THE VOMIT audio/RES0062.mp3[525.200,531.480] OK AND THEN BESIDES THE METOPROLOL ARE YOU ON ANY OTHER MEDICATIONS audio/RES0065.mp3[403.440,405.240] OK AND WHEN WAS THAT audio/RES0059.mp3[468.240,477.600] I KNOW MOM HAS HIGH BLOOD PRESSURE BUT NOBODYS HAD A HEART ATTACK OR UH NO LUNG CONDITIONS EITHER audio/RES0029.mp3[306.640,323.240] OH JUST SOMETIMES WHEN I TAKE LIKE A NASAL SPRAY I THINK I MIGHT HAVE AN ALLERGY TO THE STEROIDS THAT THEY GIVE ME AND SOMETIMES ALSO SOME OF THE ANTIHISTAMINES I THINK I GET SOME ALLERGIES FROM THEM audio/RES0073.mp3[321.160,323.600] NO NOT THAT I KNOW audio/RES0035.mp3[25.600,30.000] UH BUT ITS BEEN A WET COUGH audio/MSK0043.mp3[95.520,96.760] IT IS YEAH ITS REALLY RED audio/GAS0002.mp3[319.000,335.360] ITS IT WAS AROUND THE SAME BEFORE THE PAIN ACTUALLY STARTED GETTING WORSE SO TODAY I DIDNT REALLY FEEL LIKE EATING I DID HAVE NAUSEA OVER THE PAST FEW DAYS BUT MY APPETITE I WOULD SAY IS THE WORST TODAY audio/RES0071.mp3[431.200,436.960] NO OK ALRIGHT ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA audio/RES0006.mp3[433.360,437.240] I WOULD SAY LIKE SIX MONTHS AGO audio/RES0101.mp3[295.120,300.800] ALRIGHT AND HOW ABOUT YOUR BREATHING DO YOU FEEL LIKE YOURE BREATHING FASTER audio/RES0001.mp3[551.840,557.240] NO AND ARE YOU UP TO DATE WITH ANY WITH ALL YOUR IMMUNIZATIONS audio/RES0019.mp3[291.760,300.000] OK WITH THIS FATIGUE HAVE YOU HAD ANY ACHES AND PAINS audio/RES0004.mp3[850.560,866.400] ITS ITS LIKELY IT COULD BE UP THERE IN TERMS OF WHAT YOU HAVE SO I THINK THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME ANYTHING YOU WANTED TO ADD audio/RES0197.mp3[115.480,116.880] YES THATS RIGHT audio/MSK0014.mp3[715.200,724.280] OK UH AND IS THERE ANY INSTABILITY TO EITHER VARUS OR VALGUS STRESS audio/RES0066.mp3[532.800,536.960] ABOUT SEVEN YEARS AGO audio/MSK0027.mp3[407.240,421.640] OK AND CAN YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY LIKE WHO IS THE PRIMARY CAREGIVER FOR HER AND LIKE WHO SHE WHO SHES LIVING WITH THEN WHEREABOUTS audio/MSK0040.mp3[332.720,335.880] HOW ABOUT ANY LOSS OF APPETITE audio/RES0089.mp3[865.080,867.720] OH I SEE I SEE OK audio/RES0077.mp3[244.800,252.080] OK UHM SO WOULD YOU SAY THE COUGHING AND THE SHORTNESS OF BREATH IS GETTING WORSE OR ITS ABOUT THE SAME audio/MSK0008.mp3[424.840,427.960] UM DO YOU DRINK ALCOHOL audio/RES0113.mp3[293.880,299.280] OK ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES audio/RES0014.mp3[594.200,599.720] UM HAVE YOU EVER EXPERIENCED SHORTNESS OF BREATH WHEN YOU WERE YOUNGER WITH LIKE EXERCISE audio/RES0105.mp3[675.720,681.400] OK UHM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0035.mp3[418.240,425.120] OK IM AN ARE YOU IN SCHOOL OR ARE YOU WORKING RIGHT NOW audio/RES0062.mp3[302.560,306.680] OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING audio/RES0113.mp3[268.560,271.880] OK ANY ACHES OR PAINS IN YOUR BODY audio/RES0211.mp3[202.840,210.400] PROBABLY LIKE IN A FEW WEEKS THEYD BE REALLY BAD audio/RES0032.mp3[237.040,243.360] AND DO YOU FIND THAT YOU EVER HAVE ANY CHEST PAIN OR SHORTNESS OF BREATH audio/RES0059.mp3[506.880,510.000] DID YOU SAY A JOINT ON THE WEEKENDS audio/RES0119.mp3[496.800,506.400] UM SHE LIVES AT HOME WITH BOTH OF US LIKE UM HER MOM AND HER DAD AND UH SHE HAS A YOUNGER SIBLING WHO IS 4 YEARS OLD audio/RES0081.mp3[603.360,607.960] NO NO WERE JUST STAYING AT HOME audio/MSK0004.mp3[124.120,130.440] DULL AND ACHY audio/MSK0012.mp3[30.720,39.480] OK AND HAS GONE WORSE AT ALL LIKE DID YOU HAVE THE IT RADIATING THROUGH YOUR LEG BEFORE OR IS THAT SOMETHING THAT HAPPENED AFTER audio/CAR0003.mp3[605.440,609.080] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0206.mp3[688.800,690.720] YEAH THAT SOUNDS GREAT THANK YOU audio/RES0017.mp3[241.120,248.320] OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING A LOT OF FATIGUE audio/RES0123.mp3[312.800,315.520] OKAY ANY BELLY PAIN audio/RES0097.mp3[544.560,558.280] OK AND IN REGARDS TO UHM BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR OR AT BIRTH audio/RES0213.mp3[282.840,298.920] OK SO IT COMES ON SEVERAL TIMES A DAY NOT NECESSARILY TRIGGERED BY ANYTHING AND YOU SAID YOU SMOKE WHEN DID YOU START SMOKING audio/RES0136.mp3[350.120,355.240] MAYBE A LITTLE BIT audio/RES0169.mp3[48.240,51.440] ITS BEEN ABOUT THE SAME BOTH BOTH DAYS audio/RES0163.mp3[360.200,366.560] OK SO ITS JUST A CAT THAT YOU KNOW BUT YOU HAVENT BEEN AROUND DO YOU HAVE ANY OTHER ANIMALS AT HOME audio/MSK0035.mp3[727.240,743.520] UHM NO JUST DO I NEED ANY SORT OF SURGERY FOR THIS AND DO I NEED AN X RAY HOW DO I GO ABOUT TRYING TO TREAT THIS audio/RES0133.mp3[298.760,301.080] UH NO IVE BEEN PRETTY HEALTHY audio/MSK0040.mp3[513.800,522.160] UM YEAH SHES BEEN MY GIRLFRIEND FOR THE PAST TWO YEARS AND WE USE PROTECTION audio/RES0057.mp3[121.760,134.520] OK AND YOUR COUGH YOU SAID THAT STARTED THREE DAYS AGO IS IT A DRY COUGH OR WET COUGH audio/RES0204.mp3[257.840,271.040] NO IVE BEEN PRETTY HEALTHY OTHERWISE IVE NEVER HAD LIKE IVE NEVER HAD LIKE A DRY COUGH LIKE THIS IVE HAD RUNNY NOSE IN THE PAST BUT THEY NEVER LASTED THIS LONG audio/RES0023.mp3[232.240,245.200] OK OK UM HAVE YOU HAD FELT ANY ANY CHILLS OR SHAKES audio/RES0004.mp3[743.640,752.840] OK ALRIGHT WELL THATS GOOD UM HAVE HAS SHE HAD ANY OF THESE SYMPTOMS audio/RES0122.mp3[160.040,161.840] NAUSEA OR VOMITING audio/RES0212.mp3[340.080,340.880] UH NO audio/RES0105.mp3[621.760,627.480] OK UH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW audio/RES0052.mp3[154.040,160.920] SHES BEEN RUBBING IT AND SO ITS POSSIBLY ITCHY audio/RES0098.mp3[591.880,610.160] YEAH SO MY MY OLDER SISTER ACTUALLY ALSO WAS DIAGNOSED WITH ASTHMA SHE ALSO HAS THE ECZEMA THAT I HAVE AND MY MOM WAS ALSO DIAGNOSED WITH ASTHMA WHEN SHE WAS A CHILD BUT SHES BEEN COMPLETELY FINE SINCE THEN audio/RES0045.mp3[469.760,473.240] YEAH I AM audio/RES0199.mp3[449.120,455.800] I LIVE JUST IN AN APARTMENT JUST IN THE CITY SO YEAH JUST BY MYSELF THOUGH audio/MSK0043.mp3[232.000,240.280] UH JUST LIKE TODAY ITS KIND OF YEAH IT STARTED WITHIN THE LAST DAY audio/MSK0013.mp3[368.640,382.720] I DO SO IM ON INSULIN SHORT ACTING AND LONG ACTING IM ON RAMIPRIL IM ON ATORVASTATIN YEAH audio/RES0029.mp3[97.840,104.480] NO I WOULD SAY JUST ON THE LEFT SIDE audio/RES0151.mp3[167.360,172.880] YEAH THAT HAPPENS AND SOMETIMES THE NOSTRILS KEEP SWITCHING audio/RES0141.mp3[312.040,314.760] OKAY WHAT HAPPENS audio/MSK0032.mp3[390.080,394.000] OKAY AND WHO DOES SHE LIVE WITH AT HOME audio/RES0057.mp3[134.520,137.160] ITS DRY ITS A DRY COUGH audio/RES0106.mp3[389.880,393.280] NO IVE JUST BEEN STAYING AT HOME audio/MSK0017.mp3[269.760,274.000] OK ANY PAIN ELSEWHERE ON YOUR BODY audio/RES0087.mp3[552.960,566.600] UH NO NO COMPLICATIONS IT WAS JUST A VAGINAL BIRTH AT 39 WEEKS AND WE DIDNT NEED TO STAY IN THE HOSPITAL AT ALL AFTERWARDS audio/MSK0040.mp3[310.800,312.200] NO COUGH audio/RES0024.mp3[393.000,398.640] OK UM AND DO YOU SMOKE CIGARETTES audio/MSK0025.mp3[569.400,577.520] OK IM JUST GETTING AT YOU TO DO A FEW THINGS ON JUST JUST AS PART OF THE PHYSICAL EXAMINATION audio/RES0051.mp3[352.840,357.840] EXCELLENT AND ANY SURGERIES BEFORE audio/RES0055.mp3[20.200,32.760] OH OK WELL IM SORRY TO HEAR THAT SO YOU SAID A COUGH AS WELL SO THE COUGH AT LEAST A WEEK BACK AND THE SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN DID THAT START audio/MSK0045.mp3[517.880,525.160] ITS OH IT STILL HURTS ANY ANY MOVING OF THE SHOULDER HURTS audio/RES0042.mp3[671.120,674.600] YEAH UNFORTUNATELY OR YEAH WELL THANK YOU AGAIN audio/RES0037.mp3[177.040,184.400] OK I SEE AND HOW OFTEN ARE YOU COUGHING IN A DAY audio/RES0143.mp3[189.360,193.760] ANY ACHES IN YOUR ANY MUSCLE ACHES audio/RES0042.mp3[328.800,336.760] OK OK UM HAVE YOU EVER BEEN HOSPITALIZED OR HAVE YOU HAD ANY SURGERIES IN THE PAST audio/RES0030.mp3[221.800,228.600] OK AND HAVE YOU BEEN HAVING ANY PALPITATIONS LIKE A RACING HEART OR ANY CHEST PAIN AT ALL audio/RES0145.mp3[449.000,461.360] OK AND UHM ARE YOU UHM ARE YOU CURRENTLY SMOKING OR HAVE YOU EVER SMOKED IN THE PAST audio/RES0097.mp3[214.200,217.480] ALRIGHT HAS HE HAD A SORE THROAT audio/RES0016.mp3[544.360,548.720] OK AND DO YOU STILL WORK audio/RES0093.mp3[574.120,578.600] NO I DONT audio/RES0043.mp3[204.520,208.600] I THINK IT KINDA JUST THERE THE WHOLE DAY audio/MSK0006.mp3[41.240,58.880] YEAH I DO HAVE A BIT OF PAIN UH DOWN IN MY UH IN IN MY BUTTOCK AREA UM BUT UM ITS JUST GOTTEN REALLY UH ITS GOTTEN MORE PAINFUL OVER THESE LAST COUPLE OF DAYS audio/RES0190.mp3[17.720,26.600] OK SO THE SORE THROAT HAVE YOU BEEN HAVING PAIN WITH SWALLOWING FOODS OR LIQUIDS audio/RES0028.mp3[94.160,97.000] UH ITS ITS GETTING WORSE audio/RES0067.mp3[143.720,149.680] OK DO YOU NOTICE ANY KIND OF PALENESS OR BLUENESS IN HER SKIN ANYTHING LIKE THAT audio/MSK0013.mp3[458.440,464.200] I LIVE IN A HOUSE DOWNTOWN WITH MY WIFE audio/RES0089.mp3[686.040,703.240] I SEE OK AND DID THEY SAY AT ALL IT WAS CAUSED BY LIKE YOUR COPOR WHAT WAS IT CAUSED BY DO YOU REMEMBER audio/RES0039.mp3[299.840,309.800] UH ITS COMING AFTER LIKE IF IM HAVING A REALLY BIG COUGH COUGHING FIT I COULD FEEL A LITTLE NAUSEOUS AFTER BUT IT DOESNT LAST VERY LONG audio/RES0172.mp3[125.360,134.560] I KIND OF FEEL IT ALL OVER ITS LIKE A BAND NIGHT FEELS LIKE ITS JUST AROUND MY HEAD AND SQUEEZING audio/GEN0001.mp3[152.920,156.600] EXACTLY LIKE FOR THE PAST COUPLE DAYS ITS FELT LIKE THAT audio/RES0020.mp3[558.320,560.520] OK AND DO YOU HAVE ANY PETS IN THE HOME audio/RES0109.mp3[0.000,2.000] WHAT BRINGS YOU IN audio/MSK0032.mp3[117.120,119.200] SHE SAYS ITS ACHING A LOT audio/MSK0017.mp3[729.560,738.560] OK SO NO PAIN ON KNEE EXTENSION OR FLEXION UM HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING audio/RES0176.mp3[412.120,433.640] UHM I JUST TAKE SOME PUFFERS FOR ASTHMA BUT I HAVENT HAD ASTHMA IN AWHILE I ACTUALLY THOUGHT MAYBE MY ASTHMA WAS GETTING WORSE OVER THE PAST TWO THREE MONTHS I DIDNT REALLY I JUST I DIDNT THINK TOO MUCH OF IT BUT THEN WHEN I FAINTED I WAS JUST KIND OF SCARED audio/MSK0044.mp3[336.120,339.840] NO I HAVENT HAD ANY RASHES audio/RES0076.mp3[151.240,158.160] OK SO WITH YOUR COUGHING YOU DONT FEEL LIKE YOU HAVE ANY DIFFICULTY BREATHING audio/RES0165.mp3[196.120,201.480] OK ANY HOARSENESS IN YOUR VOICE AT ALL audio/RES0190.mp3[316.000,322.000] OK AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0205.mp3[424.480,447.840] UM NO I GUESS I WAS JUST WONDERING WHY I STILL HAVE A COUGH ITS BEEN SUCH A LONG TIME UM YEAH AND I WAS WONDERING IF I COULD GET ANY MEDICATIONS JUST TO HELP WITH THAT ITS NOT REALLY YEAH ITS EVERYONES LIKE SCARED AT WORK WHEN I COUGH I HAVE I HAVE HAD THE COVID TEST AND I DONT HAVE IT UM SO YEAH audio/MSK0009.mp3[179.720,192.960] I DID TAKE SOME ADVIL WHICH DID HELP FOR A FEW HOURS BUT THEN IT JUST KIND OF WENT BACK TO THE SAME audio/RES0212.mp3[429.200,432.760] MAYBE LIKE ONE ONE NIGHT LIKE ON THE WEEKEND audio/RES0182.mp3[34.360,41.080] IVE LOST ABOUT 30 POUNDS IN THE PAST PAST LIKE 8 MONTHS audio/RES0185.mp3[164.480,168.720] NO OK UHM ANY RASHES audio/RES0209.mp3[481.480,488.800] OH OK THOSE ARE COOL PETS DOES ANYONE IN THE HOUSE SMOKE audio/RES0191.mp3[522.440,525.480] DO YOU HAVE ANY OTHER QUESTIONS audio/RES0015.mp3[676.560,678.800] OK HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0166.mp3[88.480,90.400] SO ITS JUST THE SHORTNESS OF BREATH audio/RES0214.mp3[157.440,167.960] OK DOES ANYONE AROUND YOU OR IN YOUR IMMEDIATE CIRCLE COME DOWN WITH ANYTHING SIMILAR RECENTLY audio/RES0153.mp3[460.200,464.960] OK UM AND HOWS SCHOOL GOING audio/MSK0019.mp3[229.360,231.800] UH CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0214.mp3[323.080,328.440] EXCELLENT OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OTHERWISE audio/MSK0017.mp3[401.640,405.160] NO I I DONT UH TAKE ANY MEDICATIONS audio/RES0132.mp3[410.480,419.720] UM PRETTY GOOD MY HIPS STILL GIVE ME SOME ISSUES ONCE IN AWHILE BUT UM FOR THE MOST PART ITS BEEN OKAY audio/RES0183.mp3[193.160,198.560] OK AND UH NO SHORTNESS OF BREATH I THINK YOU SAID audio/RES0214.mp3[366.680,368.000] WHAT DO YOU TWO DO FOR WORK audio/RES0149.mp3[102.000,105.640] AND WHERE DO YOU FEEL THE PAIN audio/CAR0001.mp3[111.080,117.760] OK DO YOU FIND THAT THE PAIN IS RADIATING ANYWHERE audio/RES0098.mp3[544.240,549.160] NO LIKE I CANT EVEN STAND CIGARETTE SMOKE audio/RES0151.mp3[337.400,356.440] ALRIGHT UM SO IT SOUNDS LIKE OVER THE PAST UH WEEK YOUVE BEEN HAVING THIS DRY COUGH UH AS WELL AS SOME NASAL DISCHARGE AND SOME CONGESTION WITH UM A LITTLE BIT OF A SCRATCHY THROAT UM ANY OTHER SYMPTOMS audio/RES0020.mp3[48.880,56.000] OK UH HAS THE PAIN BEEN GOING ON CONSTANTLY SINCE LAST NIGHT audio/RES0081.mp3[73.320,79.400] IF HE WAS LIKE HE SAID THAT HE WAS HAVING SOME DIFFICULTY BREATHING YEAH audio/RES0216.mp3[276.960,282.520] OK AND YOU HAVENT STOPPED TAKING THE DAILY ONE IN LAST THREE DAYS EITHER audio/RES0095.mp3[363.440,364.720] SURE YEAH audio/RES0001.mp3[513.600,520.960] OK AND SORRY WHAT WAS THE HYSTERECTOMY FOR audio/RES0027.mp3[434.560,444.560] ALRIGHT EXCELLENT DO YOU TAKE ANY OTHER MEDICATIONS OR OVER THE COUNTER audio/RES0089.mp3[269.920,277.040] OK HAVE YOU FELT YOUR HEART RACING AND ANYTHING LIKE THAT audio/RES0075.mp3[337.040,339.440] NO NO ALLERGIES audio/RES0051.mp3[467.680,478.600] OK GREAT AND HAS ANYBODY IN YOUR FAMILY HAD HAD SIMILAR SYMPTOMS audio/RES0135.mp3[204.960,209.720] OKAY HOW MANY DIAPERS IS SHE HOW MANY WET DIAPERS PER DAY audio/MSK0043.mp3[302.040,316.720] OKAY OKAY UH HAVE YOU RECENTLY AT ALL HAD UM ANY PROCEDURES DONE ON YOUR KNEE LIKE ANY SURGERIES OR ANY JOINT LIKE UM INJECTIONS OR ASPIRATIONS audio/RES0092.mp3[313.200,320.160] OK OK UHM AND HAVE YOU TRAVELED OUTSIDE THE CITY OR COUNTRY audio/MSK0036.mp3[864.600,870.800] OK ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK TODAY UM DID YOU HAVE ANY QUESTIONS audio/GAS0003.mp3[410.840,416.520] OK AND CURRENTLY WHAT IS YOUR HOME SITUATION LIKE audio/RES0032.mp3[183.080,189.240] AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS OR NIGHT SWEATS audio/RES0152.mp3[258.080,264.920] HAVE YOU HAD ANY UH LIKE FAINTING OR DIZZINESS audio/RES0173.mp3[92.480,94.600] YEAH A LITTLE BIT audio/RES0022.mp3[823.560,830.040] LIKE MAYBE LIKE A GLASS OF WINE ON A FRIDAY audio/RES0058.mp3[722.280,731.880] YEAH YEAH I LIVE CLOSE I GO TO HIGH SCHOOL NOT TOO FAR FROM HERE audio/RES0046.mp3[415.360,418.920] BUT I HAVENT BEEN ABLE TO SMELL SO WHO KNOWS audio/MSK0017.mp3[409.160,410.600] I AM YEP audio/RES0018.mp3[524.680,527.880] OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR YOUR PARTNER OR PARTNERS audio/RES0090.mp3[27.080,33.520] IT THE COUGHING UP BLOOD STARTED ABOUT A WEEK AND A HALF AGO audio/RES0196.mp3[203.800,212.720] OK AND ANY MEDICAL CONDITIONS THAT SHES BEEN DIAGNOSED WITH IN THE PAST audio/RES0011.mp3[331.080,334.600] OH ITS ALL LIKE AROUND THE SAME TIME audio/MSK0011.mp3[244.120,251.360] OK YEAH SO WE DEFINITELY UH YOU WENT SO YOU HAD THE FALL YESTERDAY OR audio/RES0176.mp3[349.880,353.640] AND UH OK HAVE YOU HAD ANY ANY NAUSEA OR VOMITING audio/MSK0016.mp3[498.960,506.240] OK UM HOW ABOUT AUTOIMMUNE CONDITIONS audio/RES0123.mp3[283.280,287.000] PROBABLY JUST YESTERDAY I NOTICED MYSELF COUGHING audio/RES0211.mp3[231.680,233.320] YEAH YEAH EXACTLY audio/RES0138.mp3[283.000,285.800] UM NO audio/RES0070.mp3[256.400,263.760] OK UH AND WITH THE WITH THE COUGH HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORTNESS OF BREATH audio/RES0194.mp3[352.960,358.880] UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/MSK0026.mp3[281.960,286.280] OK HAVE YOU HAD ANY SORE THROAT OR COUGH audio/RES0184.mp3[242.400,245.480] HOW ABOUT ANY FEVERS OR CHILLS audio/RES0154.mp3[58.080,68.160] ALRIGHT UM AND THE SHORTNESS OF BREATH ARE YOU EXPERIENCING THIS AT REST OR UM OR WITH EXERTION audio/RES0114.mp3[172.920,175.840] NO NO I HAVENT NOTICED ANY BLOOD audio/RES0191.mp3[341.200,342.640] OK ARE YOU IN A RELATIONSHIP audio/RES0099.mp3[145.920,158.760] OK AND SO AND THEN LAST QUESTION FOR THE HEADACHE PIECE DOES IT FEEL LIKE IT WAS A LIKE KIND OF SUDDEN ONSET WORST HEADACHE OF YOUR LIFE SENSATION audio/RES0019.mp3[165.800,170.680] I WOULD SAY I WOULD GIVE IT AROUND A 6 OR SEVEN audio/RES0188.mp3[165.560,173.120] NO OK SO HES RESPONDING TO LIKE SOUNDS AND HES STILL LOOKING AT YOU AND THINGS LIKE THAT audio/RES0027.mp3[394.360,402.200] ALRIGHT UM IN REGARDS TO YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0053.mp3[599.160,603.560] OK GOOD AND IS HE ON ANY MEDICATIONS audio/RES0071.mp3[140.440,144.880] OK AND WHEN DID THE SORE THROAT START audio/MSK0031.mp3[656.400,662.560] OK GREAT NO PROBLEM audio/RES0068.mp3[505.000,514.440] OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL FOR ME audio/RES0134.mp3[286.000,288.960] NO SORE THROAT audio/RES0195.mp3[118.960,124.560] OK AND CAN YOU DESCRIBE THE RASH A LITTLE BIT WHAT DOES IT LOOK LIKE audio/RES0114.mp3[237.240,241.360] BUT IT TENDS TO GO AWAY WITH UH JUST SOME REST audio/RES0085.mp3[230.640,237.960] OK UHM HAS HE HAD ANY FAINTING SPELLS OR SEIZURES audio/RES0076.mp3[22.720,28.360] SIX MONTHS AND HAVE YOU HAD THIS COUGH BEFORE THEN audio/MSK0018.mp3[188.560,195.400] OKAY AND THE PAINS IN YOUR SHOULDER DOES IT RADIATE DOWN OR UP ELSEWHERE audio/RES0033.mp3[434.960,444.400] ANY EXPOSURES TO INHALANTS LIKE SMOKE OR OR DUST OR FUMES audio/RES0124.mp3[234.720,238.160] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS audio/RES0044.mp3[368.040,374.640] NO CHEST PAIN OK UM SWELLING IN YOUR LIMBS audio/MSK0009.mp3[154.600,173.040] YEAH IF I AM IF IM WALKING OR IF IM MOVING THAT LEG AND PUTTING WEIGHT ON IT ITS DEFINITELY WORSE SO ITS DEFINITELY LIKE BETTER IF I JUST STAY SEATED AND STAY RESTING audio/RES0137.mp3[101.680,104.880] WHEN SHES COUGHING A LOT YEAH SHE DOES audio/RES0215.mp3[386.240,388.480] YOU DONT GIVE HER ANYTHING FOR IT audio/RES0211.mp3[36.520,38.520] YEAH YEAH EXACTLY audio/MSK0034.mp3[241.360,247.560] UHM NO IT DOESNT SEEM TO BE RED MAYBE SOME SLIGHT SWELLING audio/MSK0021.mp3[539.800,542.080] UH NO PAIN THERE audio/RES0168.mp3[119.400,122.160] NO NOTHING LIKE THAT audio/RES0049.mp3[534.120,535.800] OK HOW MUCH DO YOU SMOKE audio/RES0142.mp3[234.120,251.680] NO HE DIDNT WANT TO GO TO THE DOCTOR AND IT KIND OF JUST RESOLVED LIKE HE IT WENT AWAY ON ITS OWN audio/MSK0016.mp3[669.840,694.280] OK ALRIGHT GOOD UM SO NOW WERE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART UM OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR ARMS HANDS AND WRISTS UM SIDE BY SIDE DOES YOUR LEFT ONE SEEM AT ALL MORE RED SWOLLEN UH OR HOT audio/RES0037.mp3[187.800,195.240] OK ANYTHING THAT MAKES YOUR COUGH GO AWAY NOW YOUVE TRIED audio/MSK0026.mp3[540.960,546.080] OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/RES0089.mp3[35.120,38.720] OK AND HOW LONG HAVE YOU BEEN COUGHING FOR audio/RES0135.mp3[63.840,67.400] OKAY IS THE WHEEZE NEW TODAY audio/RES0147.mp3[232.440,239.480] OK DO YOU HAVE ANY BELLY PAIN OR ANY NAUSEA OR VOMITING audio/RES0159.mp3[228.840,231.880] ANY ABDOMINAL PAIN audio/RES0006.mp3[126.360,134.320] UH ITS IT CAN HAPPEN LIKE AT ANYTIME BUT WORSE WHEN I AM EXERTING MYSELF audio/RES0148.mp3[503.480,507.720] UH TWO OR THREE A DAY audio/MSK0026.mp3[106.560,121.480] OK I SEE AN ALRIGHT LIKE ARE YOU DOING A LOT OF KNEELING ON ON OR DURING THE GARDENING WORK audio/RES0163.mp3[489.400,493.320] IM A STUDENT audio/MSK0023.mp3[281.200,285.120] NO I DONT I DONT THINK ANYTHING REGULARLY audio/RES0109.mp3[220.880,223.400] FAINTING SPELLS OR DIZZINESS audio/MSK0040.mp3[469.160,474.520] NO WE HAVENT BEEN DOING ANY OF THAT SO SINCE COVID audio/MSK0008.mp3[505.120,517.040] IT LOOKS OR IS THAT A BRUISE IT LOOKS RED AND I WOULD SAY ITS A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT ONLY audio/RES0060.mp3[764.600,766.600] ANY OTHER RECREATIONAL DRUG audio/RES0076.mp3[84.760,89.960] OK AND HAVE YOU NOTICED ANY KIND OF GREENISH OR YELLOWISH COLOR OF YOUR SPUTUM audio/RES0180.mp3[0.000,1.920] WHAT BRINGS YOU IN audio/RES0022.mp3[140.560,146.080] OK SO YOURE NOT BRINGING UP ANY SPUTUM WITH YOUR COUGH audio/RES0053.mp3[410.480,414.320] OK SO NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL audio/RES0191.mp3[406.440,410.360] I DO ILL HAVE LIKE A GLASS OF WINE EVERY DAY audio/RES0037.mp3[106.440,115.760] OK BUT HOW ABOUT THE SPUTUM THAT YOURE BRINGING UP HAS THAT INCREASED audio/RES0149.mp3[521.840,532.080] OK UM AND DO YOU SMOKE CIGARETTES audio/RES0081.mp3[674.640,675.480] NO NO NO audio/RES0097.mp3[217.480,231.000] YEAH ITS USUALLY WORSE IN THE MORNING I THINK ITS MORE OF A I GUESS THE POST NASAL DRIP YOU KNOW WITH THE WITH A RUNNY NOSE ITS JUST ITS PRETTY BAD IN THE MORNING audio/RES0166.mp3[446.760,452.840] UHM NO audio/MSK0006.mp3[490.880,492.480] THANK YOU audio/MSK0049.mp3[213.800,220.240] NO NOT THAT I CAN THINK OF audio/RES0017.mp3[618.360,625.480] OK UH ANY CANCERS IN THE FAMILY LIKE COLON CANCER OR ANYTHING LIKE THAT audio/GAS0005.mp3[624.400,630.920] NO WEVE BEEN WEVE BEEN AT HOME audio/RES0183.mp3[314.200,317.080] NO NOT THAT IVE NOTICED audio/RES0045.mp3[165.440,169.440] NO I HAVENT HEARD ANY ANY WHEEZES audio/RES0173.mp3[328.160,334.440] OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0081.mp3[0.000,1.680] HOW CAN I HELP YOU audio/RES0195.mp3[30.000,32.840] OK AND WHEN DID THIS ALL KIND OF START audio/RES0043.mp3[732.400,740.600] HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE A IT SOUNDS LIKE AN INFECTION audio/RES0037.mp3[164.920,177.040] YEAH ABOUT THAT PROBABLY CLOSER TO THREE OR FOUR BUT YEAH RIGHT AROUND THE TIME THAT THAT I THINK THIS UHM COUGH STARTED OR JUST BEFORE I GOT BACK audio/RES0069.mp3[216.880,224.680] UHM IM OFTEN CONSTIPATED BUT NOTHING NEW THERE audio/RES0198.mp3[310.600,314.600] OK AND SO ARE YOU LIVING WHERE ARE YOU LIVING RIGHT NOW audio/MSK0019.mp3[482.560,496.400] UM JUST YEAH SO JUST ON THE OUTSIDE OF MY FOREARM CLOSE TO WHERE THE ELBOW PAIN IS IF I GO DOWN A LITTLE BIT AND PRESS DOWN IT DOES DEFINITELY FEEL SORE audio/GAS0002.mp3[407.520,412.400] OK AND UH ANY UM HOSPITALIZATIONS audio/RES0011.mp3[659.360,668.000] THAT WAS LIKE ABOUT A WEEK AGO I PROBABLY GOT BACK FIVE OR SIX DAYS AGO audio/RES0018.mp3[176.040,188.240] NO NOT REALLY I DID HAVE LIKE A I DONT KNOW IF IT WAS SORENESS BUT JUST LIKE A TICKLE IN MY THROAT JUST A FEW DAYS BACK BEFORE THE COUGHING STARTED audio/RES0123.mp3[74.520,83.120] UM IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST UM PAIN EVER WHAT NUMBER WOULD YOU GIVE IT audio/RES0215.mp3[112.560,115.040] HAS SHE HAD ANY FEVERS AT HOME audio/RES0194.mp3[272.920,284.760] UH YEAH I HAVE HAD I ACTUALLY HAD UM YOU MENTIONED DIARRHEA FOR THE PAST A DAY AS WELL audio/RES0037.mp3[279.400,283.920] NOT ANYTHING THAT WAS REALLY BRIGHT RED MORE PINK audio/RES0147.mp3[610.240,673.880] MHMM OK ALRIGHT SO WELL DO A COVID SWAB HERE JUST IN CASE AND SEEING THAT YOURE NOT FEELING VERY WELL YOU MIGHT REQUIRE OXYGEN WERE GOING TO KEEP YOU HERE IN THE ER AND WE MIGHT HAVE TO YOU MIGHT HAVE TO BE HOSPITALIZED WELL MEASURE YOUR VITALS DO A PHYSICAL EXAM DO A CHEST XRAY AND YOU MIGHT BE HAVING AS I MENTIONED EARLIER IN EXACERBATION UPPER COPOR A WORSENING OF YOUR COPPOTENTIALLY BECAUSE YOU MIGHT HAVE AN INFECTION EITHER A VIRAL INFECTION OR BACTERIAL INFECTION THAT CAN SOMETIMES WORSEN YOUR COPSYMPTOMS YOU MIGHT BE STARTED ON AN ANTIBIOTIC WELL BE PUTTING YOU IN OXYGEN AND GIVING YOU SOME STEROID SOME ARE YOU ACTUALLY ABOUT THAT ARE YOU ARE YOU USING ANY PUFFERS AT HOME audio/MSK0020.mp3[43.640,48.360] YEAH MAYBE UP TO TWO MONTHS ACTUALLY YEAH I WOULD SAY TWO MONTHS audio/RES0006.mp3[45.560,56.640] OK AND HOW MUCH SPUTUM ARE YOU PRODUCING EACH DAY SOME SOMETIMES ITS USEFUL TO THINK ABOUT LIKE TEASPOONS OR TABLESPOONS audio/RES0017.mp3[787.520,792.200] ALRIGHT DO YOU DRINK ALCOHOL audio/RES0076.mp3[0.000,2.480] WHAT BRINGS YOU IN HERE TODAY audio/RES0202.mp3[635.000,650.320] I’M JUST BASICALLY WANTED TO SEE IF IT WAS BAD I MEAN HE DOESNT RECEIVE YOUR SO SCARED THATS KIND OF WHAT MAKES HIM IN LIKE ITS GONNA BE A LITTLE BIT audio/RES0036.mp3[453.040,457.120] UHM NO audio/RES0005.mp3[673.560,674.720] YEAH THAT THAT WAS THE ONE audio/MSK0039.mp3[267.960,273.560] UM CONFUSION OR MEMORY LOSS audio/RES0066.mp3[77.320,85.160] UM SO THE COUGH CAME FIRST THEN THE SHORTNESS OF BREATH AND THEN THE FEVER audio/RES0103.mp3[334.440,341.920] NO SHE HASNT SAID ANY ANYTHING LIKE THAT JUST THE NASAL CONGESTION audio/RES0215.mp3[237.520,238.120] YEAH YEAH audio/RES0087.mp3[274.200,276.880] YEAH UH NO CHANGES AT ALL audio/RES0018.mp3[320.200,321.720] NO NOTHING LIKE THAT audio/RES0028.mp3[490.080,493.160] OK AND DO YOU CURRENTLY WORK audio/CAR0004.mp3[145.360,151.760] OK ANY ANY PALPITATIONS audio/RES0180.mp3[46.600,49.000] ITS PRETTY DRY audio/RES0124.mp3[139.080,141.600] NO BEFORE THAT IVE BEEN FINE audio/RES0112.mp3[64.200,72.160] SO YOU SAID THAT ALL OF THIS STARTED ABOUT A DAY AGO HOW WAS HE DOING BEFORE THAT audio/RES0081.mp3[24.960,28.160] SO WHAT SYMPTOM IS HE EXPERIENCING NOW audio/RES0193.mp3[485.240,491.400] SO NO PROLONGED STAY IN THE ICU OR HOSPITAL AFTER THAT audio/RES0166.mp3[190.840,201.720] I DID JUST SAY SORRY I I DID JUST GET OUT OF THE HOSPITAL SO MAYBE I COULD HAVE HAD SOME CONTACT THERES SOME EXPOSURE THERE audio/RES0100.mp3[311.000,317.200] YEAH LIKE I I TRY NOT TO LIE ON THAT SIDE I HAVE TO GO ON TO THE OTHER SIDE audio/RES0194.mp3[582.920,591.640] YEAH I WAS JUST WORRIED THAT IT COULD BE COVID WITH HOW EVERYTHINGS GOING ON AND THATS JUST SORT OF WHAT I WAS WONDERING ABOUT TODAY audio/MSK0017.mp3[398.880,401.640] OK ARE YOU ON ANY MEDICATIONS audio/MSK0025.mp3[218.520,226.160] YEAH IM HAVING A HARD TIME LIKE GETTING UP FROM A CHAIR AND THINGS LIKE THAT audio/RES0156.mp3[144.360,149.560] JUST RESTING I GUESS SORRY YEAH JUST JUST TRYING TO RELAX audio/RES0126.mp3[338.840,342.360] HAVE YOU HAD IT RECENTLY AT ALL audio/RES0079.mp3[324.560,332.600] I LIVE WITH OTHERS I LIVE WITH MY GIRLFRIEND AND A DOG audio/RES0194.mp3[366.160,371.520] NO JUST I IM A MULTI VITAMIN AND VITAMIN D audio/RES0159.mp3[159.960,165.640] OK UHM DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE ANY FEVERS OR CHILLS audio/MSK0013.mp3[354.920,368.640] OK AND ARE YOU CURRENTLY ON ANY MEDICATIONS LIKE DO YOU HAVE DO YOU USE INSULIN audio/RES0129.mp3[350.120,357.680] HE IS YEAH WEVE BEEN FOLLOWING ALONG WITH WITH THAT audio/RES0172.mp3[383.920,385.280] ALRIGHT ANY ALCOHOL audio/RES0128.mp3[373.400,375.680] NOT THAT I KNOW OF audio/RES0212.mp3[474.760,507.760] GOT IT ALRIGHT AND WERE JUST KIND OF GOING OVER THINGSSO IT SOUNDS LIKE YOUVE HAD THIS COUGH OR A COUGH FOR A LITTLE WHILE BUT ITS ONLY BECOME BAD IN THE LAST THREE DAYS YOURE WAKING UP AT NIGHT AND YOURE KIND OF BRINGING UP THIS FOUL OR NOT THIS FOUL BUT THIS KIND OF GREENISH SPUTUM BUT ITS NO BLOOD IN IT AND OTHERWISE YOU DONT HAVE ANY CONSTITUTIONAL SYMPTOMS SO I WILL GO REVIEW YOUR STORY WITH THE DOCTORS ANYTHING ELSE YOUD LIKE TO BRING UP WITH THEM BEFORE I GO audio/RES0088.mp3[372.840,374.200] NO CHEST PAIN audio/RES0105.mp3[21.360,32.520] LESS THAN A DAY MAYBE JUST REALLY KIND OF STARTED LAST NIGHT AND HAS CARRIED OUT THROUGHOUT THIS MORNING I I CALLED THIS MORNING TO GET AN APPOINTMENT audio/RES0138.mp3[57.440,64.800] WITH ACTIVITY OKAY AND THE COUGH THAT YOURE GETTING IS IT A WET COUGH OR A DRY COUGH audio/RES0206.mp3[352.840,369.840] THATS OK OK AND YOU MENTIONED THAT YOU HAD COPTHAT WAS DIAGNOSED FOUR OR FIVE YEARS AGO ANY OTHER MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0015.mp3[448.320,455.320] OK AND DO YOU EVER FEEL LIKE YOURE WHEEZING audio/MSK0041.mp3[316.080,322.280] OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS LIKE PAIN FREQUENCY OR INCONTINENCE audio/RES0015.mp3[464.720,469.360] OK AND ALRIGHT SO ANY CHEST PAIN audio/MSK0006.mp3[307.560,314.880] OK UM ALRIGHT AND OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS audio/RES0132.mp3[274.440,287.720] OKAY UH SO THE YOUVE BEEN EXPERIENCING THIS COUGH THATS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AS BRINGING UP SOME YELLOW SPUTUM UM AND BEEN SHORT OF BREATH HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0162.mp3[407.720,412.800] UHM I DONT THINK SO NOT THAT I KNOW OF audio/MSK0049.mp3[650.080,657.000] OK AND ANY ISSUES WITH MOVING YOUR HIP OR YOUR ANKLE audio/MSK0039.mp3[0.000,2.240] WHAT BRINGS YOU IN audio/RES0100.mp3[528.480,531.160] OK HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/MSK0004.mp3[423.880,426.240] NO NOTHING LIKE THAT audio/RES0046.mp3[773.400,775.800] UH NO audio/RES0077.mp3[29.400,36.760] THAT STARTED PROBABLY ABOUT TWO DAYS AGO audio/RES0113.mp3[78.160,80.640] UH NO I DONT THINK SO audio/RES0031.mp3[532.200,546.320] NO NO I TRY TO STAY AWAY FROM ALL DRUGS BECAUSE I IM ALSO AN ATHLETE SO I NEED TO MAKE SURE THAT MY BODY IS COMPLETELY HEALTHY audio/RES0043.mp3[379.760,381.800] IM SORRY NO CHANGES audio/RES0110.mp3[665.120,668.120] UM I LIVE WITH MY HUSBAND audio/RES0061.mp3[946.600,950.560] YEAH THAT SOUNDS LIKE A GREAT START THANK YOU audio/RES0173.mp3[348.320,357.520] OK ANY ALLERGIES TO MEDICATIONS YOURE AWARE OF OR OR ENVIRONMENTAL THINGS LIKE OR DUST OR POLLEN audio/RES0160.mp3[66.480,73.080] JUST NORMAL COLOUR NO ITS NOT DARK OR ANYTHING LIKE THAT audio/RES0059.mp3[179.480,186.480] NO DIARRHEA NO CONSTIPATION AND I HAVENT NOTICED ANY BLOOD audio/RES0083.mp3[348.560,359.000] UH MAYBE PENICILLIN I THINK I GOT HIVES WHEN I WAS A KID OR SOME SORT OF RASH audio/MSK0043.mp3[108.520,112.200] ITS A A STABBING PAIN audio/RES0077.mp3[286.240,291.040] OK AND HAVE YOU TRIED ANY KIND OF MEDICATIONS AT ALL OVER THE COUNTER audio/RES0149.mp3[571.600,587.440] UM JUST A HEART ATTACK UHM BOTH MY GRANDPARENTS ON MY DADS SIDE UH HAD A HEART ATTACK AND UH DIABETES AS WELL UM I THINK BOTH MY PARENTS HAVE DIABETES audio/MSK0015.mp3[458.040,486.840] NO HER MOMS PREGNANCY WAS PERFECTLY NORMAL SHE WAS BORN LIKE SHE WAS DELIVERED VAGINALLY AT 39 WEEKS SHE WAS BREECH AT THAT TIME WHICH THE DOCTOR SAID MIGHT HAVE TO DO WITH HER CLICKING HIPS BUT YEAH BUT SINCE THEN OR DURING PREGNANCY NO OTHER COMPLICATIONS audio/RES0097.mp3[654.400,664.880] OK AND WERE THERE ANY OTHER SYMPTOMS THAT OR ANYTHING ELSE THAT YOU WANTED TO TELL ME THAT MAYBE I FORGOT TO ASK ABOUT audio/MSK0046.mp3[68.120,84.840] UHM ITS ITS LIKE A UM AT BASELINE ITS AN ACHY PAIN BUT IF I TRY TO MOVE IT OR UM TRY TO WRITE OR YOU KNOW USE A COMPUTER OR ANYTHING LIKE THAT IT BECOMES SHARP audio/RES0107.mp3[327.120,337.000] HMM OK UM HAS HE COME INTO ANY CONTACT WITH SICK PEOPLE RECENTLY audio/RES0199.mp3[493.280,496.680] OK OK AND SORRY WHERE DO YOU WORK audio/DER0001.mp3[525.160,525.920] YEAH I DO audio/RES0044.mp3[896.160,898.200] OK THANKS audio/RES0145.mp3[67.960,72.720] YEAH ITS ITS ITS REALLY SORE audio/RES0181.mp3[201.520,203.440] UH NO audio/RES0167.mp3[325.040,334.800] I HAD THE SHINGRIX THE PNEUMO I THINK THE DOCTOR SAID WE WERE GOING TO LOOK AT THAT THE NEXT TIME I CAME IN audio/RES0139.mp3[142.040,143.880] ANY NIGHT SWEATS audio/RES0050.mp3[234.800,236.680] WEIGHT LOSS NO audio/RES0152.mp3[459.960,468.800] I SEE OK UM AND UH DO YOU SMOKE CIGARETTES audio/RES0213.mp3[556.440,558.320] OK THANK YOU audio/RES0102.mp3[86.240,97.840] OK AND BEFORE THAT WERE YOU GETTING ANY PRODUCTION THROUGHOUT YOUR COUGHS FOR THE LAST FEW WEEKS LIKE WERE YOU PRODUCING ANY SPUTUM audio/MSK0004.mp3[319.840,325.760] OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES audio/RES0053.mp3[212.720,214.520] OK ANY WHEEZINESS audio/RES0006.mp3[528.800,529.160] YEAH YEAH audio/RES0135.mp3[571.200,575.440] OKAY UM AND FAMILY HISTORY OF ANY CANCER audio/RES0212.mp3[247.600,253.560] YEAH LIKE PRETTY WELL FOR LIKE THE LAST NOT LIKE ALL THREE MONTHS BUT PROBABLY THE LAST MONTH audio/CAR0004.mp3[358.320,362.520] IM STUDYING ENGINEERING AT WESTERN audio/RES0037.mp3[555.000,558.080] UH NOPE audio/MSK0035.mp3[251.800,255.480] OK HAVE YOU HAD A RUNNY NOSE OR OR FELT CONGESTED audio/RES0166.mp3[349.320,359.560] LEUKAEMIA OK AND ARE YOU STILL ON ANY KIND OF TREATMENT OR DO YOU SEE AN ONCOLOGIST OR A MYTHOLOGIST audio/RES0209.mp3[470.680,477.240] OK DID DO YOU GUYS HAVE ANY PETS IN THE HOME audio/RES0141.mp3[92.320,101.840] YEAH I TOOK A TYLENOL I TOOK UM ADVIL IT HELPS FOR LIKE A FEW HOURS AND THEN IT JUST COMES BACK audio/RES0119.mp3[212.080,221.360] OK AND IS SHE HAVING ANY OTHER SYMPTOMS AT ALL LIKE UH SHORTNESS OF BREATH UM OR SORE THROATANYTHING LIKE THAT audio/RES0181.mp3[208.040,210.840] UM NO NOTHING LIKE THAT audio/MSK0008.mp3[38.800,41.880] OK AND HOW MANY DAYS AGO WAS THIS audio/RES0175.mp3[61.720,65.800] ALRIGHT HOW ABOUT ANY ANY BLOOD audio/RES0073.mp3[129.360,134.600] OK AND HAVE YOU HAD ANY COUGH OR SORE THROAT audio/RES0064.mp3[177.160,178.800] NO I HAVENT NOTICED ANYTHING LIKE THAT audio/RES0058.mp3[126.240,129.640] OK SO NO SPUTUM NO BLOOD audio/CAR0003.mp3[663.680,714.000] OK SO BASED ON WHAT WE TALKED ABOUT FROM YOUR SWELLING AS WELL AS BREATHLESSNESS WHILE LAYING DOWN AND YOUR PAST HISTORY OF A HEART ATTACK AND HIGH CHOLESTEROL IT MAY BE LIKELY WITH THE MEDICATIONS YOU ARE ON AS WELL AS YOUR HISTORY THAT YOU MIGHT BE HAVING WHATS CALLED CONGESTIVE HEART FAILURE SO WE WILL NEED TO DO FURTHER INVESTIGATIONS TO DETERMINE IF THAT IS WHAT IT IS AND IF WE NEED TO GET YOU ON SOMETHING LIKE LASIX OR A DIURETIC TO GET RID OF SOME OF THE FLUID THATS BUILDING UP IN YOUR BODY WHICH MAY BE CAUSED BY HEART FAILURE SO WELL DO SOME INVESTIGATIONS AND THEN GO FROM THERE audio/RES0027.mp3[464.880,469.480] UM I HAD MY APPENDIX REMOVED WHEN I WAS A TEENAGER audio/RES0132.mp3[533.000,539.440] I USED TO WORK UH ON THE ASSEMBLY LINE FOR CHRYSLER audio/RES0179.mp3[0.000,1.400] WHAT BRINGS YOU IN audio/MSK0035.mp3[508.800,515.200] OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS audio/RES0136.mp3[450.320,452.960] I TAKE UH ADVIL audio/CAR0001.mp3[381.720,391.200] OK SO JUST IN REGARDS TO PAST MEDICAL HISTORY DO YOU HAVE ANY PRIOR MEDICAL CONDITIONS audio/RES0033.mp3[196.920,218.920] SO YEAH JUST LIKE WHEN IM DOING MORE ACTIVITIES ESPECIALLY RUNNING I FIND UH I JUST GET LIKE THESE COUGHING FITS AND IT JUST GETS WORSE WHEN IM RUNNING YEAH ITS PRETTY ANNOYING BECAUSE EVEN SOMETIMES WHEN IM JUST IN CLASS I JUST START COUGHING RANDOMLY BUT I WOULD SAY ITS THE WORST WHEN IM DOING ACTIVITIES audio/MSK0022.mp3[1.840,16.880] I HAVE BEEN HAVING THIS PAINS IN MY IN MY JOINTS THATS BEEN ONGOING NOW FOR THE LAST SEVERAL MONTHS AND ITS BEEN GETTING WORSE OVER THIS PERIOD OF TIME audio/RES0072.mp3[590.240,596.040] UH NO audio/RES0138.mp3[469.360,474.560] AND HOW MUCH WOULD YOU SMOKE IN AN AVERAGE DAY audio/MSK0042.mp3[155.320,166.560] OKAY UH AND HOW ABOUT UM ANY NEUROLOGICAL SYMPTOMS LIKE NUMBNESS TINGLING SENSORY LOSS audio/RES0097.mp3[302.280,309.120] YEAH YEAH HE DEFINITELY HAS THAT HES COMPLAINING A LOT ABOUT MUSCLE ACHES audio/RES0105.mp3[446.320,451.680] NO I DONT THINK SO I FEEL LIKE THATS BEEN OK audio/RES0023.mp3[84.640,88.960] IT ITS REALLY DRY audio/MSK0032.mp3[475.840,487.840] OKAY HOW ABOUT UM ANY MUSCLE ATROPHY DEFORMITIES OR SKIN CHANGES LIKE BRUISES audio/RES0145.mp3[442.480,449.000] LIVE IN A HOUSE WITH UHM WITH MY PARENTS AND OLDER SISTER audio/RES0089.mp3[192.920,200.680] OK AND ARE YOU FEELING AT ALL ANY KIND OF UH CHEST TIGHTNESS OR PAIN audio/RES0180.mp3[345.480,351.280] UH I AM YES I THINK SO audio/RES0128.mp3[223.320,228.920] NO OK ANY JOINT PAINS MUSCLE ACHES audio/MSK0039.mp3[544.720,549.160] NO OK UH ANY BRUISES IN THE AREA audio/RES0109.mp3[224.720,226.680] JOINT PAIN audio/RES0150.mp3[493.000,502.200] OK UM THATS GOOD AND UH WHOS HE LIVING WITH AND WHOS THE PRIMARY CAREGIVER CURRENTLY audio/RES0095.mp3[94.560,104.160] YEAH OH MY GOODNESS ITS SO BAD I COULDNT WEAR MY SHOES THIS MORNING ITS GOTTEN WORSE OVER THE PAST ONE MONTH audio/RES0171.mp3[164.480,181.920] OK UHM AND HAVE YOU I GUESS I JUST INVITED MORE GENERAL QUESTIONS ABOUT OTHERS POTENTIAL SYMPTOMS DO YOU FEEL LIKE YOUR HEART IS RACING OR DO YOU FEEL LIKE YOU HAVE UHM DO YOU HAVE ANY BELLY PAIN OR ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0068.mp3[239.440,242.360] YEAH IVE BEEN FEELING TIRED audio/MSK0014.mp3[419.200,445.240] YEAH SO I AM TAKING JUST UM FUROSEMIDE THEN RAMIPRIL FOR MY BLOOD PRESSURE BUT YEAH THATS THATS ABOUT IT RIGHT NOW AND LIKE JUST PAINKILLERS OVER THE COUNTER audio/RES0042.mp3[405.760,412.120] ITS JUST LIKE THIS ENVIRONMENTAL ITS NOT LIKE NOT LIKE THE REALLY DANGEROUS ALLERGIES YOU KNOW audio/RES0009.mp3[663.320,679.120] OK BUT IT SOUNDS LIKE YOUVE BEEN WORKING ON CUTTING DOWN WHICH IS GREAT UM AND HAVE YOU USED ANY OTHER RECREATIONAL DRUGS audio/MSK0050.mp3[678.960,691.840] OK UM I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK ON THE EXAM DID YOU HAVE ANY QUESTIONS FOR ME audio/RES0125.mp3[159.120,166.480] OKAY AND UM HAVE YOU FOUND THAT ITS BEEN HELPING OVER LIKE TO HELP IMPROVE YOUR COUGH OVER THE LAST FEW DAYS audio/RES0131.mp3[307.640,311.400] OKAY UM CHANGES IN YOUR URINE audio/RES0179.mp3[530.520,534.720] OH WOW OK WELL ITS GOOD THAT YOU CUT DOWN audio/RES0180.mp3[55.680,61.000] OK DO YOU FEEL SHORT OF BREATH audio/RES0199.mp3[406.880,409.040] UH NO NOT THAT I KNOW OF audio/RES0016.mp3[30.560,55.760] UM I THINK ITS I FEEL SHORT OF BREATH MOST OF THE TIMES BUT ITS MAINLY JUST GETS WORSE WHEN IM EXERTING MYSELF WHEN IM WALKING MORE THAN USUAL OR JUST WORKING IN THE GARDEN audio/RES0038.mp3[336.120,338.360] OK AND YOU SAID NO CHEST PAIN RIGHT audio/RES0058.mp3[517.960,526.080] POSSIBLY CATS BUT WE DONT HAVE ANY PETS AT HOME audio/RES0149.mp3[303.080,308.480] OK WHEREABOUTS UH WHERE DOES IT HURT UM ON YOUR LEFT LEG audio/RES0215.mp3[116.400,118.600] HAS SHE HAD A RUNNY NOSE AT ALL AT HOME audio/MSK0031.mp3[544.760,546.400] YES SHOULD I GO AHEAD AND TRY audio/RES0075.mp3[168.080,174.280] OK AND HAVE YOU BEEN EXPERIENCING ANY HEADACHES audio/RES0120.mp3[543.400,553.400] OKAY THATS GOOD UM ANY KIND OF DUST OR MOLD ASBESTOS OR ANY PETS IN YOUR IN YOUR HOME audio/MSK0038.mp3[351.040,358.480] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0020.mp3[585.000,602.680] OH EXCELLENT OK AND FOR YOUR PREVIOUS OCCUPATION WERE YOU EXPOSED TO ANY CHEMICALS OR LIKE ASBESTOS OR INHALANTS THAT YOURE AWARE OF audio/RES0064.mp3[302.800,307.840] OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0048.mp3[578.040,587.200] YEAH IVE BEEN TAKING THAT REGULARLY AND MY BLOOD PRESSURE IVE BEEN MEASURING ITS BEEN PRETTY STEADY NO CHANGES audio/RES0197.mp3[366.520,369.320] NO EVERYONES PRETTY HEALTHY audio/MSK0019.mp3[301.720,306.520] OKAY AND HOW ABOUT CANCERS audio/MSK0043.mp3[490.600,494.560] THAT WAS ABOUT UH TWO YEARS AGO audio/RES0154.mp3[281.440,287.720] OK UM AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0059.mp3[88.520,95.680] YEAH MY THROATS BEEN A LITTLE SORE BUT I THOUGHT IT WAS MAYBE JUST BECAUSE I WAS COUGHING SO MUCH audio/RES0125.mp3[112.960,118.880] WHEN YOURE SMOKING OKAY AND UH HOW LONG DO THOSE EPISODES LAST audio/MSK0037.mp3[46.520,51.160] OK AND YOU NOTICED UM AND SORRY WHEN EXACTLY DID IT START audio/RES0063.mp3[442.400,448.400] HES DOING OK THOUGH LIKE IT WAS PRETTY SCARY AT THE TIME audio/RES0175.mp3[142.040,144.600] OK HAVE YOU HAD A SORE THROAT audio/RES0202.mp3[113.960,134.680] IT’S FRIDAY ITS BEEN MORE LIKE LIKE 3 DAYS WEDNESDAY IS WHEN HE CAME HOME AND THEN UM HE AND THEN TODAY IS FRIDAY SO YEAH SORRY audio/RES0148.mp3[363.400,366.040] UM YEAH audio/RES0164.mp3[153.240,159.240] OK UH AND IS HE SCRATCHING AT THEM AT ALL audio/RES0147.mp3[389.000,401.160] OK DO YOU HAVE A OR WHATS YOUR CURRENT LIVING SITUATION ARE YOU LIVING IN AN APARTMENT OR HOUSE DO YOU LIVE ALONE DO YOU LIVE WITH OTHER PEOPLE audio/RES0058.mp3[395.160,396.560] NO RASH audio/RES0150.mp3[477.280,490.160] OK DID HE HAVE ANY UM LIKE BREATHING PROBLEMS OR JAUNDICE OR ANY REASONS TO STAY IN THE HOSPITAL WHEN WHEN HE WAS BORN audio/RES0144.mp3[517.040,520.200] ANYTHING LIKE CYSTIC FIBROSIS IN THE FAMILY audio/MSK0041.mp3[128.720,148.160] OK AND SO LIKE ANY MOVEMENT MAKES IT IT WORSE IS THERE ANYTHING ELSE THAT MAKES IT WORSE LIKE PUTTING SOCKS ON OR EVEN HAVING I DONT KNOW CLOTHING TOUCH IT OR YOUR SHOES TOUCH IT audio/RES0185.mp3[45.480,54.920] TWO DAYS AGO OK AND AND THE UH DISCHARGE IS IT IS IT CLEAR OR ARE YOU SEEING COLORS audio/MSK0007.mp3[410.720,422.280] OK YEAH DO YOU NOTICE THIS UH PAIN AFTER MORE SO AFTER A SHIFT OR AFTER AFTER A LONG DAY audio/GAS0003.mp3[108.800,123.320] OH YEAH DEFINITELY IT WOULD COME AND GO BUT NOW FOR THE PAST ID SAY FIVE TO SIX HOURS ITS BEEN CONSTANT JUST THERE ALL THE TIME audio/RES0163.mp3[149.880,159.240] UHM MAYBE ONCE A MONTH OR ONCE IN TWO MONTHS audio/DER0001.mp3[124.880,128.520] OK HOW HAVE YOUR SUGARS BEEN CONTROLLED RECENTLY audio/RES0124.mp3[492.840,497.600] OKAY GOOD ARE YOU ALLERGIC TO ANYTHING audio/RES0048.mp3[707.720,716.080] YEAH I PROBABLY HAVE MAYBE UM SOME WHISKEY MAYBE A COUPLE TIMES A WEEK audio/RES0085.mp3[110.080,115.120] OK ANY BLOOD IN THERE audio/RES0186.mp3[165.880,178.560] THATS JUST BEEN UH YEAH WITHIN THE LAST DAY UH AS WELL IT JUST FEELS A BIT UNCOMFORTABLE KIND OF ALL OVER audio/RES0076.mp3[38.120,47.960] OK I SEE UHM WHAT KIND OF COUGH DO YOU HAVE IS IT PRODUCTIVE LIKE IS IT A WET COUGH OR IS IT A DRY COUGH audio/RES0182.mp3[240.920,250.000] OK AND HAVE YOU HAD ANY ANY NAUSEA OR VOMITING audio/RES0149.mp3[409.600,422.120] UHM I IVE HAD UM ANXIETY AND UH YEAH THATS THATS ABOUT IT I HAD ASTHMA AS A CHILD BUT NOTHING SINCE THEN audio/RES0147.mp3[92.240,99.880] ITS LIKE GREENISH AND YELLOW audio/RES0150.mp3[637.640,643.000] UM IM NOT SURE I I GUESS I NEED TO TALK TO THEIR THEIR PARENTS NOW audio/RES0129.mp3[65.520,70.360] OK HAS HE LOST HIS SENSE OF TASTE OR SMELL audio/RES0151.mp3[253.880,257.000] NO NO CHANGES audio/MSK0035.mp3[458.440,470.400] I DO I LIKE I GO SNOWBOARDING IN THE WINTER I GO CAMPING I LIKE PLAYING TENNIS AND VOLLEYBALL audio/RES0003.mp3[257.040,258.720] OK HOW ABOUT HIS EARS audio/MSK0011.mp3[0.000,2.120] WHAT BRINGS YOU HERE TODAY audio/RES0051.mp3[392.400,397.760] OK COOL SO HAVE YOU TRAVELED ANYWHERE audio/RES0101.mp3[144.720,155.800] OK AND DO YOU HAVE A HISTORY OF LIKE VARICOSE VEINS OR ANYTHING LIKE THAT audio/RES0211.mp3[153.280,170.440] OH NO NO ITS PERFECTLY VALID WE CALLED THAT MALAYS IN GENERAL JUST FEELING A LITTLE BIT OFF ALRIGHT SO THIS IS GOING TO TALK ABOUT YOU FOR A LITTLE BIT BUT FIRST WELL GET TO THAT LATER SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE audio/MSK0042.mp3[109.800,116.560] OKAY AND HAVE YOU HAD ANY TRAUMA TO THE TO THE KNEE OR AREA OR ANY INJURIES THERE audio/RES0048.mp3[371.520,378.080] OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES audio/RES0124.mp3[580.840,584.760] YEAH SO I LIVE WITH MY OLDER SISTER AND MY MOM AND DAD audio/MSK0012.mp3[197.320,199.520] OK WAS IT YOUR LOWER BACK audio/RES0081.mp3[79.400,91.080] OK HAS HE UH ABLE TO TALK LIKE IN FULL SENTENCES LIKE HOW IS HE RIGHT NOW audio/RES0060.mp3[737.960,747.360] NO I HAVENT HAD ANY CHANGES THERE AND I HAVENT NOTICED ANY LIKE BLOOD OR COLOR CHANGES NO PAIN audio/RES0005.mp3[295.640,300.640] YEAH THAT AND I JUST START COUGHING SO MUCH THAT I JUST HAVE TO SIT DOWN audio/RES0077.mp3[586.320,589.440] NO I DONT TAKE ANY MEDICATIONS audio/MSK0034.mp3[559.160,575.440] OK AND YEAH I FORGOT TO ASK YOU THIS EARLIER I DONT I DONT THINK WE WEIGHED YOU WHEN YOU WERE COMING IN BUT APPROXIMATELY HOW MUCH WOULD YOU SAY YOU WEIGH audio/RES0112.mp3[362.360,365.520] YEAH THEYRE ALL UP TO DATE SO FAR audio/MSK0042.mp3[196.680,204.680] OKAY AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE UH LIKE A RUNNY NOSE OR A SORE THROAT audio/RES0172.mp3[104.080,110.040] AND TELL ME ABOUT YOUR FEVER DID YOU CHECK IT CHECK IT CHECK YOUR TEMPERATURE audio/RES0077.mp3[82.840,95.720] I WOULD SAY UH MAYBE LIKE TWO TEASPOONS A DAY ITS ONLY LIKE A LITTLE BIT IN THE TISSUES AND IM NOT BRINGING UP SPUTUM EVERY TIME audio/RES0197.mp3[61.840,65.240] FOR THE PAST WEEK I WOULD SAY audio/RES0150.mp3[368.560,382.840] UM WELL NO I DONT I DONT I DONT VACCINATE MY KIDS IM JUST IM IM WORRIED THAT THEYLL UH GET AUTISM audio/CAR0002.mp3[18.400,21.560] IT STARTED JUST 30 MINUTES AGO audio/MSK0010.mp3[322.600,327.600] OK HAVE YOU HAD ANY SKIN RASHES OR OR SKIN CHANGES audio/RES0051.mp3[538.840,544.760] NO THATS IT WHAT DO YOU THINK I HAVE audio/MSK0018.mp3[138.280,141.360] CONFUSION OR MEMORY LOSS audio/RES0051.mp3[287.640,291.200] HAVE YOU HAD ANY RASHES audio/RES0110.mp3[3.240,36.440] HI UM SO FOR THE PAST WEEK OR SO IVE UM IVE HAD THIS COUGH UM AND SOME SHORTNESS OF BREATH I FEEL HOT AND I JUST FEEL KIND OF UH FUZZY LIKE I JUST I CANT CONCENTRATE ON THINGS VERY WELL I GET CONFUSED SOMETIMES SO I THOUGHT ILL COME TO YOU TO GET IT CHECKED OUT audio/RES0046.mp3[556.640,557.920] OK AND WHEN WAS THAT audio/RES0077.mp3[672.480,680.640] AND HAVE YOU BEEN OFF OF WORK RIGHT NOW WITH YOUR SYMPTOMS HOW IS THAT GOING audio/MSK0008.mp3[242.000,245.120] HAVE YOU HAD A RUNNY NOSE OR SORE THROAT audio/RES0116.mp3[709.400,711.760] OK GREAT THANK YOU audio/RES0036.mp3[532.720,536.320] OK ANY HOSPITALIZATIONS FOR ANY REASON audio/GAS0004.mp3[519.320,521.640] I AM audio/RES0181.mp3[448.920,459.480] OK AND AND IS THERE A FAMILY HISTORY OF ANY HEART OR OR LUNG CONDITIONS audio/RES0051.mp3[544.760,592.400] WELL IT IS SOUNDING LIKE IT COULD BE MOST LIKELY AN INFECTIOUS TYPE OF PROCESS GOING ON WITH THE POSSIBILITY OF HAVING A FEVER WITH A COUGH AND SORE THROAT SO WELL DO A PHYSICAL EXAM AND ALSO SOME INVESTIGATIONS WHICH WILL INCLUDE A COVID TEST TODAY BECAUSE SOME OF THESE SYMPTOMS DO OVERLAP BUT IT COULD BE SOMETHING LIKE THE COMMON COLD I DONT KNOW THE VIRUS THATS BRINGING THIS ON BUT ITS NOT NECESSARILY COVID BUT BECAUSE WERE DOING THE TEST IT WILL REQUIRE 14 DAYS OF SELF ISOLATION WELL GET BACK TO YOU WITH THE RESULTS AS QUICKLY AS WE CAN audio/RES0060.mp3[646.120,654.400] OK AND ANY OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS audio/MSK0003.mp3[514.440,518.040] BUT YEAH SO ASTHMA AND THATS IT audio/RES0107.mp3[486.120,502.880] IT USUALLY GETS WORSE UM UH I GUESS LIKE AROUND THIS TIME UH I CAN TELL WHEN SPRING IS COMING UP UM IT GETS PRETTY BAD BUT HE ALWAYS HAS A RUNNY NOSE UM AND HE SNEEZES SOMETIMES HERE AND THERE audio/RES0109.mp3[218.360,220.880] UHM NO audio/RES0173.mp3[486.360,492.720] OK COOL AND UH AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0008.mp3[584.440,592.520] AT JUST THE MEDIAL PART OF IT LIKE THE I GUESS WHERE THE LIGAMENT WOULD BE audio/RES0057.mp3[0.000,2.400] HOW MAY I HELP YOU audio/RES0165.mp3[334.480,339.360] NO OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITION audio/RES0090.mp3[411.080,414.440] OK UHM DO YOU CURRENTLY SMOKE audio/RES0012.mp3[802.520,808.520] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY I KNOW WITH COVIOBVIOUSLY THATS HARD audio/RES0166.mp3[415.680,422.880] OK AND BESIDES THE CANCER ANY PREVIOUS MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0050.mp3[479.680,489.560] OK THATS GREAT THAT YOU WERE ABLE TO STOP DO YOU DRINK ALCOHOL audio/MSK0038.mp3[689.600,692.280] UH YEAH I AM audio/RES0156.mp3[2.240,40.000] YEAH SO IM BRINGING MY UM DAUGHTER BECAUSE UH OVER THESE LAST UH SEVERAL MONTHS SHES HAD THIS UH THIS COUGH THAT THAT COMES ON UM ITLL BE AT NIGHT TIME OR SOMETIMES UH AFTER IN GYM CLASS UM AND I KNOW DURING THESE EPISODES SHELL HAVE A REALLY HARD TIME KIND OF CATCHING HER BREATH AND AND SOMETIMES WILL HAVE A WHEEZE AS WELL AND AND ITS JUST GONE AWAY QUICKLY IN THE PAST BUT BEEN NOTICING IT HAPPENING MORE OFTEN RECENTLY audio/RES0100.mp3[612.560,616.480] OK SO HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0132.mp3[192.240,194.600] NOPE NOTHING LIKE THAT audio/RES0152.mp3[39.000,49.080] OK WHEN THE COUGH STARTED UH WERE YOU BRINGING UP UM WERE YOU BRINGING UP SPUTUM OR PHLEGM AT THAT TIME audio/MSK0049.mp3[332.520,337.120] ALRIGHT UH HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0212.mp3[165.360,169.440] OK ANYONE AT THE CLASS SICK AT THAT TIME audio/MSK0017.mp3[47.400,56.760] YEAH AND WERE LIKE ALWAYS LIKE CARRYING HEAVY THINGS AND YEAH ITS A LOT A LOT OF LIKE LIFTING AND STANDING audio/MSK0050.mp3[135.080,142.920] OK AND UH LIKE HOW WOULD YOU DESCRIBE THE THE PAINS IN YOUR HAND LIKE DULL ACHY SHARP audio/RES0192.mp3[1.760,14.000] HI IM IM COMING IN BECAUSE UM IVE HAD A LOT OF SHORTNESS OF BREATH AND I IVE HAD THIS COUGH THAT WONT SEEM TO GO AWAY audio/RES0203.mp3[467.160,470.000] NO UH THANK YOU SO MUCH audio/RES0153.mp3[334.080,337.480] ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0088.mp3[720.280,723.640] UH NO THAT SOUNDS GREAT THANK YOU audio/MSK0008.mp3[273.600,278.640] HAVE YOU HAD ANY CHANGES TO YOUR APPETITE LIKE LOSS OF APPETITE audio/RES0158.mp3[177.760,181.760] OK HAVE YOU TRAVELED AT ALL RECENTLY audio/RES0204.mp3[29.080,41.040] YEAH IVE HAD THIS COUGH FOR THE PAST FOUR OR FIVE DAYS AND IT DOESNT SEEM TO BE GOING AWAY OR GETTING BETTER SO I THOUGHT I SHOULD GET IT CHECKED OUT audio/RES0047.mp3[396.200,400.600] OK AND HOW ARE YOUR BOWEL MOVEMENTS EVERYTHING NORMAL THERE audio/RES0006.mp3[307.480,308.880] NO HEADACHES audio/RES0154.mp3[287.720,304.000] I DO HAVE UH I TAKE MEDICATIONS FOR HIGH BLOOD PRESSURE UM THEN I TAKE MEDICATIONS FOR HIGH CHOLESTEROL AS WELL audio/MSK0013.mp3[397.520,427.680] A1C HAS BEEN PRETTY HIGH ESPECIALLY RECENTLY I THINK IT WAS EIGHT POINT 81 OR SOMETHING THE LAST TIME I GOT IT CHECKED I HAVENT HAD MY EYES CHECKED IN AWHILE AND IN TERMS OF MY KIDNEYS I THINK I DID A URINALYSIS RECENTLY AND EVERYTHING CAME BACK NORMAL audio/RES0022.mp3[836.160,840.640] ALRIGHT AND UM DO YOU SMOKE MARIJUANA audio/RES0161.mp3[140.440,150.200] OK UHM ANY OTHER ANY OTHER SYMPTOMS THAT YOUVE EXPERIENCED OVER THE PAST FIVE DAYS audio/RES0086.mp3[182.400,189.040] SO ONCE YOU STOP ACTIVITY DOES YOUR SHORTNESS OF BREATH AND WHEEZING EVENTUALLY RESOLVE audio/RES0103.mp3[159.480,171.400] UH SHE DID FEEL A BIT WARM TO TOUCH AND HAS LOOKED A BIT FLUSHED IN HER FACE JUST DOESNT LOOK LIKE HERSELF audio/RES0131.mp3[138.760,162.280] THESE PAST COUPLE OF DAYS YEAH ITS KIND OF IT ITS BEEN THERE ITS BEEN A LITTLE BIT MORE MILD AFTER USING SOME TYLENOL OR ADVIL TO HELP SETTLE IT DOWN BUT I JUST HAVE THIS YEAH ACHINESS IN THE FRONT FRONT OF MY FOREHEAD AND KIND OF SIDES OF MY HEAD audio/RES0139.mp3[254.240,255.440] NO ASTHMA audio/RES0109.mp3[45.040,47.320] UM ITS MOSTLY A DRY COUGH audio/RES0057.mp3[620.520,625.760] OK SOUNDS GOOD AND HAVE YOU EVER HAD ANY STREET DRUGS audio/RES0174.mp3[601.200,605.440] I I LIVE I LIVE WITH MY GIRLFRIEND audio/RES0009.mp3[275.640,281.760] NO NO JUST THE DIFFICULTY BREATHING THAT SCARES TO ME BUT IT HASNT BEEN LIKE THAT audio/RES0195.mp3[310.360,311.760] UM NO audio/RES0011.mp3[820.640,831.040] UH NO UH LIKE I HAVE I HAVE A FRIEND THAT I SEE AND WE BOTH UM WE BOTH LOST OUR SPOUSES UM SEVERAL YEARS AGO AND I audio/RES0062.mp3[671.040,682.040] NO I THINK MY AUNT HAD LUNG CANCER BUT SHE SMOKED HER ENTIRE LIFE audio/RES0117.mp3[162.560,163.520] NO NOTHING LIKE THAT audio/MSK0022.mp3[627.360,634.560] YEAH I THINK IT IM TAKING AN ACE INHIBITOR FOR THE BLOOD PRESSURE audio/RES0073.mp3[307.040,308.120] SORRY WHAT WAS THAT audio/RES0105.mp3[480.680,483.960] ABOUT 10 YEARS AGO audio/RES0209.mp3[159.600,177.520] I I GUESS NO NO BIG CHANGES THERE I FIND THE COLD AIR MAKES IT WORSE LIKE WINTER MAKES IT WORSE OR LIKE YEAH MAYBE ALSO THE SPRING SPRING WITH LIKE POLLEN AND STUFF LIKE THAT audio/RES0131.mp3[66.520,71.360] OKAY AND DOES IT SOUND HARSH audio/RES0127.mp3[236.920,241.040] ANY KIND OF FATIGUE OR TIREDNESS THROUGHOUT THE DAY audio/RES0067.mp3[270.600,275.160] UM YES SHE DIDNT GET THE H FLU VACCINE THOUGH audio/RES0159.mp3[378.120,382.560] OK ALRIGHT ANY ALLERGIES TO MEDICATIONS OR OTHERWISE audio/RES0064.mp3[322.120,326.040] OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0122.mp3[227.840,234.840] UH SO I LIVE WITH MY FAMILY I LIVE WITH MY HUSBAND AND UM TWO DAUGHTERS audio/RES0087.mp3[566.600,577.560] OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/MSK0024.mp3[55.360,60.720] UM ID SAY LIKE TWO TO THREE TIMES A WEEK audio/RES0052.mp3[542.800,582.600] YEAH RIGHT THAT COULD BE CONJUNCTIVITIS OK SO AT THIS POINT WE WILL CERTAINLY RUN SOME INVESTIGATIONS TO LOOK INTO WHAT THIS COULD BE IT SOUNDS LIKE A VIRAL INFECTIOUS TYPE OF PROCESS ESPECIALLY IF ITS INVOLVING THE EYES NOSE AND AND WITH A COUGH AND SO WE WILL TEST WITH A SWAB FOR COVID FOR SURE BUT IT COULD BE SOMETHING MORE COMMON LIKE THE COMMON COLD WE JUST NEED TO MAKE SURE THAT WERE COMPREHENSIVE IN THAT WITH THE TESTING audio/RES0210.mp3[380.360,384.960] CAT YEAH audio/MSK0023.mp3[164.680,171.120] OK ANY KIND OF NUMBNESS OR TINGLING AT ALL audio/MSK0041.mp3[394.240,399.160] OK HAVE YOU HAD ANY MEDICATION CHANGES RECENTLY audio/RES0042.mp3[571.840,575.120] I DONT THINK SO I THINK THATS IT audio/RES0178.mp3[461.520,469.200] OK UHM ALRIGHT AND DOES ANYONE AT HOME SMOKE audio/MSK0045.mp3[249.040,251.920] ANY WEAKNESS IN YOUR EXTREMITIES audio/RES0170.mp3[347.320,358.760] OK UHM AND JUST GOING BACK TO HIS BIRTH AND YOUR PREGNANCY WERE THERE ANY COMPLICATIONS AT THE TIME OF PREGNANCY audio/RES0069.mp3[515.200,531.160] OK UHM AND UHM OK YEAH I THINK THATS ALL I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME OR MAYBE THAT I FORGOT TO ASK ABOUT audio/RES0206.mp3[284.880,287.240] ABDOMINAL PAIN audio/RES0209.mp3[61.680,64.320] UHM NO I DONT HAVE THAT ONE audio/RES0106.mp3[143.880,145.360] NO NO CONCERNS THERE audio/RES0016.mp3[310.920,313.680] NO NOT THAT IVE NOTICED audio/RES0025.mp3[33.560,40.200] OK SO THATS THREE OR FOUR DAYS AGO FOR THE NAUSEA AND VOMITING IS THAT CORRECT audio/RES0078.mp3[622.480,625.240] NOPE NOTHING LIKE THAT audio/RES0028.mp3[108.880,116.520] NO OK AND IS THE PAIN GOING ANYWHERE ELSE OR IS IT JUST STAYING IN YOUR CHEST audio/RES0036.mp3[124.720,140.680] AND DO YOU REMEMBER IF YOU WERE DOING SOMETHING AT THE TIME WHEN THE SHORTNESS OF BREATH FIRST STARTED HAVE YOU RECENTLY HAD ANY INFECTIONS OR ANYTHING LIKE THAT PREVIOUSLY audio/RES0150.mp3[472.880,477.280] NO NO NO COMPLICATIONS AT ALL audio/RES0145.mp3[209.920,215.600] OK ALRIGHT AND ANY CHEST PAIN audio/RES0118.mp3[220.640,223.480] UH NO NOTHING LIKE THAT audio/RES0014.mp3[256.640,259.200] OK ANY WEIGHT LOSS audio/CAR0003.mp3[136.720,142.600] OK AND DO YOU EVER FIND YOURSELF WAKING UP AT NIGHT IN THE MIDDLE OF THE NIGHT TO CATCH YOUR BREATH audio/RES0113.mp3[397.160,405.960] I ID HAVE LIKE HALF A PACK UM BUT I ONLY SMOKED BETWEEN LIKE THE AGE OF 20 TO LIKE 25 audio/RES0021.mp3[473.840,475.760] NO ALLERGIES audio/RES0197.mp3[390.280,392.800] NO I HAVEN’T audio/GEN0001.mp3[9.560,53.840] HI SO I FEEL LIKE I MIGHT HAVE A BLADDER INFECTION I SEE A UROLOGIST BECAUSE IVE HAD SOME ISSUES WITH LIKE AN OVERACTIVE BLADDER FOR AWHILE IVE HAD A FEW BLADDER INFECTIONS IN THE PAST AND THIS IS USUALLY HOW HOW THEY FEEL I FEEL LIKE A LITTLE BIT OF BURNING WHEN I GO TO THE BATHROOM AND I HAVE TO GO LIKE A LOT RIGHT NOW BUT THEN ALSO SOMETIMES IT MEANS THAT LIKE IT GETS LIKE THIS WHEN I HAVE MY PERIOD AND I DONT HAVE MY PERIOD RIGHT NOW BUT I YOU KNOW I I COULD BE GETTING IT BUT I ALSO JUST DONT WANNA LET IT GO KEEP GOING IF I DO HAVE AN INFECTION I JUST LIKE RATHER GET IT LIKE TREATED IF I DO audio/RES0009.mp3[181.200,183.120] NO NOTHING LIKE THAT audio/RES0134.mp3[509.520,525.520] OKAY AND WHAT HAPPENED AROUND THAT TIME WITH THE PULMONARY EMBOLISM DID YOU WAS THERE A TRIGGER LIKE A SURGERY AROUND THAT TIME OR WERE YOU IMMOBILIZED OR ANYTHING audio/RES0195.mp3[211.240,220.360] AND WHEN YOUR SHORTNESS OF BREATH IS IT MORE SO THAT YOURE NOT ABLE TO TAKE DEEP BREATHS OR YOU TAKING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT audio/GEN0001.mp3[94.320,97.680] OK ARE YOU SEXUALLY ACTIVE AT ALL audio/MSK0049.mp3[270.840,276.040] OK UM HAVE YOU HAD ANY CHANGES TO YOUR VISION OR HEARING audio/MSK0042.mp3[552.200,568.440] OKAY NOW THATS GOOD IM HAPPY TO HEAR THAT AND UH IS THERE ANY UM CONDITIONS IN THE IN THE FAMILY UH EITHER LIKE MUSCULOSKELETAL OR NEUROLOGICAL THINGS THAT YOU CAN THINK OF audio/RES0064.mp3[68.280,76.560] OK OK AND HAS HE HAD A STUFFY NOSE OR RUNNY NOSE audio/MSK0038.mp3[227.400,232.240] NO ANY WEIGHT LOSS audio/RES0168.mp3[122.160,124.000] WEIGHT LOSS audio/RES0171.mp3[294.040,301.880] UM NO I DONT NOTICE ANYTHING LIKE THAT JUST I JUST REALLY HURTS audio/RES0145.mp3[704.880,707.200] OK YEAH THAT SOUNDS GOOD audio/RES0212.mp3[64.160,69.200] OK HAVE YOU HAD ANY NIGHT SWEATS YOU WAKE UP THE SHEETS ARE SOAKED audio/RES0168.mp3[221.520,236.320] YEAH LIKE I GET THAT LIKE SINUSY HEADACHE THAT YOU KNOW ITS PRETTY COMMON FOR ME LIKE KIND OF JUST ALL IN LIKE THE FRONT OF MY FACE AND SOMETIMES IT KIND OF FEELS LIKE IT GOES ALL OVER audio/RES0145.mp3[391.360,403.280] RIGHT AND UH DO YOU HAVE ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES OR ALLERGIES TO ANY MEDICATIONS audio/RES0026.mp3[265.480,275.680] OK THERES JUST A FEW OTHERS THAT I WANTED TO ASK ABOUT TO BE COMPREHENSIVE HAVE YOU HAD ANY EYE PAIN OR EAR PAIN audio/RES0021.mp3[298.640,304.080] ALRIGHT AND HOW ABOUT ANY DIZZINESS audio/CAR0005.mp3[194.680,217.240] OK IM SORRY TO HEAR THAT BUT IM GLAD THAT YOURE COMING IN AND WE CAN HOPEFULLY GET TO THE BOTTOM OF THIS NOT THAT I THINK THATS NECESSARILY THE SOURCE OF YOUR PAIN AND WE DEFINITELY WANT TO LOOK INTO EVERYTHING BUT IT IS REALLY HELPFUL TO KNOW THAT SO WHEN YOUVE HAD THESE EPISODES HAVE YOU TAKEN ANYTHING TO HELP WITH THE PAIN OR DONE ANYTHING THATS THAT YOU FELT IT MADE IT GO AWAY audio/RES0076.mp3[628.240,634.680] IVE TRIED NICOTINE PATCHES AND GUM BUT THATS IT audio/RES0056.mp3[290.880,293.120] OK HOW ABOUT URINATING WISE audio/MSK0012.mp3[462.240,471.960] NO OK ALRIGHT DO YOU HAVE ANY KIND OF URINARY OR FECAL RETENTION LIKE AT ALL audio/RES0006.mp3[339.320,341.680] ANY RASHES audio/RES0011.mp3[499.400,509.640] OH OK UM AND DO YOU TAKE MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES audio/RES0121.mp3[82.280,88.840] OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL LIKE A COUGH LASTING MORE THAN FOUR DAYS audio/RES0133.mp3[477.160,485.760] UH NO NO ONE SMOKES AT HOME audio/RES0193.mp3[491.400,495.240] NO HE WAS ABLE TO GO HOME LUCKILY audio/MSK0044.mp3[373.640,382.560] ALRIGHT UH HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST audio/DER0001.mp3[145.360,157.480] FOR SURE I CAN IMAGINE SO IN GENERAL EVEN IF YOU DONT KNOW YOUR NUMBERS FOR YOUR SUGARS HAVE YOU FELT WORSE THAN USUAL LATELY HAVE YOU FELT RUNDOWN AT ALL audio/RES0212.mp3[436.600,441.520] I DONT KNOW MAYBE LIKE 5 OR 6 BEERS I GUESS IT JUST DEPENDS ON THE NIGHT audio/MSK0028.mp3[164.240,172.960] NO NOTHINGS I TRIED LIKE ADVIL NOTHINGS REALLY WORKED audio/RES0035.mp3[261.560,263.600] UH NO audio/MSK0009.mp3[748.320,760.080] OK AND DO YOU FEEL IS THERE ANY PAIN TO PALPATION LIKE IF YOU TOUCH YOUR CALF OR SOMETHING LIKE THAT IS THERE PAIN audio/RES0199.mp3[439.800,449.120] OK UHM AND WHERE DO YOU CURRENTLY LIVE audio/MSK0046.mp3[406.960,412.720] OK AND IF YOU WERE ABLE TO ARE YOU ABLE TO UH ROTATE YOUR WRIST audio/RES0146.mp3[53.720,64.640] YEAH I CHECKED IT THIS MORNING AND IT WAS 385 audio/RES0126.mp3[515.240,524.520] UMM WELL NO NOT REALLY ITS JUST THE DIFFICULTY BREATHING SOMETIMES ITS BEEN HARD TO SLEEP audio/RES0110.mp3[476.360,483.880] OK ANY UM NIGHT SWEATS DO YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT audio/GAS0001.mp3[510.280,515.480] FEEL LIKE LIKE KIND OF SICK SO I DONT USE THAT ANYMORE audio/RES0189.mp3[180.720,189.680] OK SO A CHANGE IN THE SPUTUM COLOR AND ALSO SOUNDS LIKE YOURE BRINGING UP MORE SPUTUM AS WELL audio/MSK0008.mp3[383.520,393.200] ITS BEEN GOING OK WEVE BEEN DOING PART ONLINE PART INPERSON audio/MSK0014.mp3[467.760,475.400] I SEE OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES audio/RES0187.mp3[371.560,373.720] I FEEL COMPLETELY DIFFERENT audio/RES0213.mp3[33.680,47.360] BUT I DONT NOTICE IT ALL THE TIME ITS JUST ITS OFTEN WHEN UM IM SITTING AND STUDYING OR WHEN IM WALKING WHEN IM WALKING TO SCHOOL audio/MSK0040.mp3[474.520,495.200] OK AND AND I KNOW SOMETIMES PEOPLE AT LIKE IN HIGH SCHOOL AND CERTAINLY IN YOUR AGE GROUP MAY EXPERIENCE WITH THINGS LIKE SMOKING SMOKING TOBACCO OR CIGARETTES DRINKING ALCOHOL OR USING MARIJUANA HAVE YOU USED ANY OF THOSE THOSE SUBSTANCES audio/RES0147.mp3[368.000,377.080] OK AND ANY HOSPITALIZATIONS audio/RES0020.mp3[172.880,182.880] OK AND HAVE YOU NOTICED ANY CHANGES TO THE SOUNDS OF YOUR BREATHING LIKE A WHEEZE OR WHISTLING SOUND audio/RES0215.mp3[547.400,550.600] OK AND WHAT DO YOU TWO DO FOR WORK audio/RES0114.mp3[476.000,482.800] UM I THINK I HAVE ALLERGIES TO UH LIKE UM AMOXICILLIN I GOT LIKE A RASH ONCE audio/RES0196.mp3[289.120,295.400] HOW ABOUT HER BIRTH WAS IT A VAGINAL DELIVERY OR CSECTION audio/RES0201.mp3[461.680,465.680] OK DO YOU DRINK ALCOHOL audio/MSK0043.mp3[759.200,761.600] ANY SYMPTOMS AT ALL IN YOUR HIPS OR ANKLE audio/RES0050.mp3[78.000,84.880] OK WITH YOUR COUGH PRIOR TO THREE DAYS AGO WERE YOU BRINGING UP SPUTUM WITH THAT audio/RES0164.mp3[82.200,94.280] I DONT THINK SO BUT HE HAS BEEN LIKE PLAYING OUTSIDE QUITE A BIT AND SOMETIMES HES JUST PLAYING WITH THE NEIGHBOURS KIDS audio/MSK0032.mp3[640.240,642.800] OKAY GREAT UM THANK YOU audio/RES0042.mp3[0.000,2.960] WHAT BRINGS YOU IN TODAY audio/RES0217.mp3[292.640,296.560] NO NO IVE BEEN FINE audio/RES0196.mp3[170.040,171.600] UH NO audio/RES0001.mp3[262.680,274.440] OK OK THIS YOU MENTIONED NO FEVERS NO CHILLS AND NO NIGHT SWEATS TOO I GUESS audio/RES0096.mp3[570.960,573.760] UH YEAH I USE A CANE audio/RES0084.mp3[508.200,527.720] YEAH PROBABLY LIKE IT ALL KIND OF WENT DOWN IN MY 40S I DID GAIN A LOT OF WEIGHT AT SOME POINT DURING MY 40S AND THATS WHEN ALL THESE THINGS STARTED HAPPENING audio/RES0187.mp3[285.920,289.320] UHM APPETITES BEEN THE SAME audio/MSK0033.mp3[169.640,178.080] OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ANY NUMBNESS TINGLING audio/RES0091.mp3[0.000,3.080] UH WHAT BRINGS YOU IN HERE TODAY audio/RES0026.mp3[55.240,64.760] OK UM SO UH THE COUGH IS STARTED FOUR DAYS AGO HAS THE COUGH GOTTEN BETTER WORSE OR STAYED THE SAME audio/RES0155.mp3[571.040,579.880] YEAH SO UM IM LIVING WITH UM WITH JUST MY UH DAUGHTER IN A IN AN APARTMENT audio/RES0142.mp3[201.480,203.480] ANYONE ELSE AT THE HOUSE audio/RES0014.mp3[407.840,415.080] NO OK DO YOU HAVE ANY ALLERGIES NOT JUST TO MEDICATIONS BUT TO ANYTHING ELSE audio/RES0056.mp3[229.160,233.960] NO I DONT THINK IVE RECENTLY audio/RES0033.mp3[661.240,670.480] OK AND AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AND EXERCISE audio/RES0079.mp3[192.680,198.040] ANY CHANGES IN YOUR SENSE OF TASTE OR YOUR SENSE OF SMELL audio/RES0086.mp3[529.520,540.240] UHM NO I DONT THINK ANYONE IN THE FAMILY HAS ANY CANCERS audio/RES0125.mp3[166.480,172.000] IT GOES AWAY FOR A COUPLE HOURS AND THEN IT COMES BACK audio/RES0162.mp3[283.760,288.120] ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS audio/RES0132.mp3[347.480,352.000] UM YEAH I HAD THAT DONE LIKE FIVE YEARS AGO audio/RES0087.mp3[325.160,339.720] HE DID HAVE A SIMILAR PAIN I THINK WHEN HE WAS LIKE AROUND THREE YEARS OLD BUT IT HAPPENED WITH HIS LEFT LEFT EAR NOT THE RIGHT ONE audio/RES0191.mp3[76.280,79.800] OK HOW ABOUT ANY HEADACHES audio/MSK0009.mp3[637.360,641.240] OK AND DO YOU SMOKE CIGARETTES audio/MSK0035.mp3[666.440,676.360] BASE OF THE THUMB UM NO I DONT FEEL ANY PAIN THERE audio/RES0109.mp3[227.400,228.680] NO OK audio/RES0007.mp3[461.840,466.560] OK AND ANY SURGERIES audio/RES0028.mp3[287.360,295.920] OK AND HAS THERE BEEN ANY KIND OF GREEN SLIMY MUCUS IN YOUR COUGH AT ALL audio/RES0184.mp3[291.960,296.120] ALRIGHT AND UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0177.mp3[189.520,191.080] UH NO audio/RES0181.mp3[222.400,228.200] AND ANY AND HOWS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE audio/MSK0008.mp3[318.800,320.000] UM NO audio/MSK0022.mp3[55.080,69.160] ITLL BE A BIT AT ACHEY WHEN ITS THERE BUT I IF I MOVE THE JOINTS AT ALL WHEN ITS REALLY SORE I CAN GET A SHARP PAIN AS WELL audio/RES0003.mp3[261.960,267.160] OK ANY SORES ON HIS MOUTH OR INSIDE audio/RES0026.mp3[130.640,136.720] OK UM AND ANY TRIGGERS FOR THE COUGH YOU CAN THINK OF audio/MSK0001.mp3[476.640,478.520] YES I AM audio/RES0209.mp3[275.600,278.520] YEP THATS RIGHT audio/RES0067.mp3[0.000,2.840] SO WHAT BRINGS YOU HERE TODAY audio/RES0038.mp3[265.720,274.760] WELL YEAH SO IT AFFECTS ME IF IM OUTSIDE AND THAT THATS ACTUALLY USUALLY WHEN MY EYES WILL GET ITCHY TOO audio/RES0181.mp3[92.400,96.120] OK OK AND DID DID YOU CHECK IT audio/MSK0005.mp3[316.200,321.400] OK HOW ABOUT UM RASHES audio/RES0213.mp3[471.840,494.360] UM LIKE WHEN IM REALLY WHEN IM WORK LIKE WORKING WITH CLASSMATES OR UH LIKE THINKING REALLY LIKE IF IM TALKING TO SOMEONE ELSE I DONT REALLY GET IT OR IF I IF IM LIKE WORKING ON A TASK WITH MY HANDS BUT ITS WHEN IM WALKING AND I AM ALONE KIND OF WITH MY THOUGHTS OR WHEN IM STUDYING THATS WHEN I WHEN I GET IT audio/RES0186.mp3[329.320,336.600] NO I DONT THINK NO NO ALLERGIES audio/RES0215.mp3[265.200,270.720] OK HOW WAS THE BIRTH WAS THERE ANY COMPLICATIONS WHEN SHE WAS BORN audio/MSK0009.mp3[721.480,739.920] SO YEAH SO YOU MENTIONED YOUR LEG HAS SOME SWELLING UM DO YOU FEEL AS THOUGH THERES ANY ANY LIKE TEMPERATURE CHANGE TO YOUR CALF LIKE IS IT HOT audio/RES0059.mp3[132.360,136.120] OK ANY CHANGES IN YOUR VISION audio/RES0003.mp3[484.920,488.480] NO OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/MSK0006.mp3[697.440,723.640] OK SO THAT CAUSES SO UM HIP HIP EXTENSION UH THAT CAUSES SOME PAIN UM AND AS WELL AS KNEE EXTENSION SO WOULD YOU MIND UM KICKING YOUR RIGHT LEG UP IN FRONT OF YOU ALL THE WAY UP AS FAR AS YOU CAN GO audio/CAR0001.mp3[392.440,395.520] OK ANY RECENT HOSPITALIZATIONS audio/RES0105.mp3[266.720,270.080] NO NO I I I DONT audio/RES0208.mp3[473.600,477.200] UH NO I LIVE WITH MY WIFE audio/GAS0004.mp3[326.680,338.920] I HAVE BEEN EATING LESS SPECIALLY SINCE YESTERDAY WHEN I HAD MY THESE ABDOMINAL CRAMPS STARTED I JUST DONT FEEL LIKE EATING audio/RES0077.mp3[392.240,395.880] OK UH HAVE YOU TRIED ANY MEDICATIONS FOR IT audio/MSK0029.mp3[579.560,590.840] I THINK MY DAD HAS HIGH BLOOD PRESSURE AND DIABETES YEAH BUT NO HEART OR OR LUNG CONDITIONS audio/RES0001.mp3[525.840,532.320] OK SO WERE THEY THINKING IT WAS LIKE A CANCER OR SOMETHING audio/RES0179.mp3[33.120,37.080] OK SO THAT WAS IN THE PAST SIX MONTHS WHEN DO THE COUGH START audio/MSK0016.mp3[211.800,217.040] YEAH ITS JUST THE UH MY THUMB INDEX FINGER AND RING FINGER audio/RES0120.mp3[672.400,674.440] OKAY GREAT audio/RES0136.mp3[538.800,545.760] UH I I DO audio/RES0215.mp3[404.720,413.480] SOMETIMES SHE TAKES LIKE REACTINE OR LIKE OVER THE COUNTER STUFF BUT UM NO NO PRESCRIBED MEDICATIONS audio/RES0142.mp3[426.520,428.720] OKAY SOUNDS GOOD THANK YOU SO MUCH audio/RES0074.mp3[181.560,187.440] NO ITS USUALLY JUST BEEN LOOSE WATERY STOOLS audio/MSK0025.mp3[399.120,403.800] OK SO YOU HAVE MUSCLE WEAKNESS IS IT JUST ONE LIKE THATS AH WEAK OR BOTH LEGS audio/RES0182.mp3[265.320,266.920] UH NO audio/RES0165.mp3[68.040,76.960] NO OK AND UH SO THIS STARTED 2 DAYS AGO IS IT CONSTANT ARE YOUR SYMPTOMS CONSTANT OR THEY COME AND GO audio/RES0086.mp3[383.480,395.440] OK SO YOU MENTIONED YOU WERE DIAGNOSED WITH ASTHMA AND ECZEMA IN THE PAST ANY OTHER LONGSTANDING MEDICAL CONDITIONS THAT YOU HAVE audio/RES0113.mp3[383.720,387.280] OK HOW I GUESS HOW OFTEN WOULD YOU SAY audio/RES0127.mp3[578.240,606.000] YEAH SO ONE METHOD IS TO DEFINITELY LIKE STAY AWAY FROM SOME OF THOSE ALLERGENS THAT ARE POTENTIALLY CAUSING YOUR SYMPTOMS BUT I I DO REALLY THINK SO YOU MIGHT HAVE SOMETHING CALLED LIKE ALLERGIC RHINITIS AND I THINK IT MIGHT BE BENEFICIAL TO FOR YOU TO SEE LIKE AN ALLERGIST audio/RES0133.mp3[134.920,141.640] I HAVE HAD UH IVE HAD A RUNNY NOSE BEFORE BUT NO EYE DISCHARGE audio/RES0006.mp3[437.240,441.400] OK AND ANY SURGERIES audio/MSK0029.mp3[692.600,701.760] NO IVE BEEN PUT AT HOME BUT LOOKING FORWARD TO A VACATION THOUGH audio/RES0027.mp3[715.640,771.040] CERTAINLY ONE OF THE TOP THINGS THAT IM CONSIDERING AFTER HEARING ABOUT YOUR SYMPTOMS OF HAVING THIS COUGH AND FEVER AND BEING TIRED THESE LAST FEW DAYS ESPECIALLY WITH YOUR HUSBAND BEING SICK WITH NAUSEA VOMITING AND NOT FEELING WELL THAT BEING SAID IT COULD BE ANOTHER TYPE OF VIRAL ILLNESS OR POSSIBLY A BACTERIAL INFECTION BUT CERTAINLY WE WILL ORDER SOME INVESTIGATIONS SOME BLOOD WORK A PCR NASAL SWAB THAT WILL ACTUALLY TEST FOR COVIAS WELL AS A CHEST X RAY TO START WITH UM AND WE WILL WAIT FOR SOME OF THOSE RESULTS TO COME BACK audio/RES0046.mp3[145.920,152.160] UH NOT REALLY I MEAN I WELL I GUESS IVE BEEN SHORT OF BREATH AFTER I COUGH SO YEAH audio/RES0068.mp3[179.640,183.480] ITS THEITS THE PRESSURE IN MY FACE IT HURTS audio/MSK0046.mp3[224.080,227.800] NO OK ANY ALLERGIES TO ANY MEDICATIONS audio/RES0143.mp3[177.800,180.120] ANY PAIN IN YOUR BELLY audio/RES0092.mp3[353.760,360.000] OK ALRIGHT AND ANY LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0061.mp3[159.560,161.800] NO NOTHING LIKE THAT audio/RES0101.mp3[202.760,208.280] NO NOT REALLY audio/RES0068.mp3[328.080,338.800] LIKE JUST THE POSITIONS OF HOW IM SLEEPING SOMETIMES HELPS YEAH audio/RES0035.mp3[412.840,417.120] OK DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0100.mp3[547.640,550.080] NO I HAVENT NO audio/MSK0023.mp3[2.280,32.280] HI HI THERE IVE BEEN HAVING THIS KNEE PAIN IT STARTED ALMOST IMMEDIATELY AFTER I WAS I WAS PLAYING BASKETBALL ON THE HIGH SCHOOL TEAM AND IT WAS DURING PRACTICE I JUMPED UP FOR A REBOUND AND I WHEN I LANDED I HEARD A POP OF MY MY LEFT KNEE AND I IMMEDIATELY FELT PAIN I JUST WENT OFF TO THE OFF TO THE SIDELINE audio/RES0124.mp3[217.080,220.080] ANY ACID REFLUX audio/RES0052.mp3[115.080,117.480] THAT WAS JUST YESTERDAY audio/RES0026.mp3[389.240,393.120] AH NO NOTHING LIKE THAT audio/GAS0002.mp3[312.800,314.520] NO NO BLOOD audio/RES0084.mp3[81.120,90.880] OK OK AND YOU SAID YOUR HIGHEST RECORDED TEMPERATURE WAS 39 audio/RES0143.mp3[426.400,431.960] YEAH SAME SAME THING LIKE IVE TRIED IT PROBABLY LIKE FOUR OR FIVE TIMES SO FAR audio/RES0106.mp3[179.200,197.320] I KIND OF HAD THIS ABOUT I DONT KNOW THREE OR FOUR YEARS AGO I JUST HAD THIS COUGH BUT THEN IT KIND OF WENT AWAY ON ITS OWN IN ABOUT A WEEK BUT NOW ITS BEEN LIKE 2 WEEKS SO I DONT KNOW WHATS HAPPENING IF ITS SOMETHING I JUST WANT TO MAKE SURE ITS NOTHING SERIOUS audio/RES0021.mp3[608.480,615.080] UM ONE OF MY AUNTS HAD PANCREATIC CANCER audio/RES0028.mp3[243.600,247.640] OK AND HAVE YOU BEEN FEELING AT ALL FATIGUED AT ALL audio/RES0104.mp3[467.200,475.320] OK OK AND ARE YOU TAKING ANY OTHER MEDICATIONS AT ALL audio/RES0032.mp3[0.000,2.760] WHAT BRINGS YOU IN HERE TODAY audio/RES0133.mp3[69.040,71.680] ALRIGHT AND HAVE YOU HAD A WHEEZE audio/RES0172.mp3[134.560,144.480] AND HOW LIKE IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO 10 WHAT NUMBER WOULD YOU GIVE IT WITH 10 BEING THE WORST HEADACHE EVER audio/MSK0033.mp3[333.640,337.680] NO I I HAVENT HAD ANYTHING LIKE THAT audio/RES0027.mp3[298.120,302.800] ALRIGHT ANY WHEEZING audio/MSK0013.mp3[483.560,486.760] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0188.mp3[107.920,112.120] UH NO audio/RES0159.mp3[534.200,540.680] UM DO YOU GO TO YOUR FAMILY DOCTOR FOR YOUR UH HEALTH CHECKUPS audio/MSK0049.mp3[550.640,556.360] UM IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY RIGHT KNEE audio/RES0039.mp3[41.840,48.960] OK AND HOW LONG HAVE YOU HAD THE COUGH FOR audio/RES0055.mp3[593.280,604.160] OK SURE THATS FINE AND ANY OTHER DRUGS audio/MSK0049.mp3[73.880,78.240] OK AND SO SO HAS IT BEEN GETTING WORSE audio/RES0158.mp3[138.400,144.280] NO THEY WELL I INITIALLY THEY DID BUT UM THEYVE KIND OF STAYED THE SAME audio/RES0095.mp3[207.480,213.760] ALRIGHT HAVE YOU HAD ANY WHEEZING audio/MSK0035.mp3[112.080,120.280] SHARP OK AND ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE LIKE DOWN INTO YOUR HAND OR UP INTO YOUR ARM audio/RES0210.mp3[224.200,228.440] HAVE YOU FELT ANY CHEST PAIN audio/RES0072.mp3[496.160,497.720] OK SO YOURE HEALTHY audio/RES0201.mp3[326.440,336.440] I I FELT TIRED MAYBE NOT WEAK BUT MY I FEEL LIKE MY MUSCLES ALL ACHE audio/RES0098.mp3[372.320,376.680] OK AND AND DO YOU USE ANY OTHER MEDICATIONS audio/RES0031.mp3[427.920,443.080] UH SO JUST A COUPLE OF WEEKS AGO AROUND THE TIME WHEN I HAD SOME COLD SYMPTOMS MY GIRLFRIEND ALSO HAD A SORE THROAT AND IT LASTED FOR AROUND A WEEK YEAH SO I WOULD SAY JUST MY GIRLFRIEND audio/MSK0013.mp3[171.920,179.560] ALRIGHT HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING OR SENSE OF SMELL OR TASTE audio/RES0038.mp3[387.880,390.040] NO BEEN EATING WELL audio/RES0006.mp3[510.960,517.040] ID SAY PROBABLY AT LEAST 25 YEARS audio/RES0011.mp3[313.560,315.920] UH NO audio/RES0004.mp3[540.040,543.320] OK OK AND ANY OTHER MEDICATIONS audio/RES0080.mp3[594.400,597.480] OK HAS ANYBODY IN THE FAMILY HAD LUNG CANCER audio/RES0087.mp3[169.240,178.960] OK GOOD DOES HE HAVE A SORE THROAT AT ALL audio/RES0032.mp3[243.360,251.440] I SOMETIMES I DO HAVE SOME PAIN OVER ON THE RIGHT SIDE OF MY CHEST audio/RES0057.mp3[367.680,369.600] NO NO NOTHING LIKE THAT audio/RES0209.mp3[202.920,208.760] LAST TWO WEEKS IS YOUR COUGH AND A DRY COUGH audio/GEN0001.mp3[62.520,67.120] ABOUT TWO WEEKS AGO ARE YOU FAIRLY REGULAR audio/MSK0032.mp3[423.640,431.320] SCHOOLS BEEN WELL LIKE ITS BEEN DIFFICULT WITH THE PANDEMIC BUT UM SHES DOING WELL audio/RES0143.mp3[264.800,269.640] IT IT SORRY SO IT STARTED WITH THE COUGH LAST WEEK audio/MSK0034.mp3[0.000,2.680] WHAT BRINGS YOU HERE TODAY audio/RES0112.mp3[245.600,249.920] UH NO HES BEEN HEALTHY OTHERWISE audio/RES0063.mp3[455.400,461.480] OK WELL HES YEAH THATS YOUNG HAVE YOU HAD A COLONOSCOPY audio/RES0090.mp3[370.360,377.240] UHM NO JUST SOME VITAMINS audio/RES0052.mp3[436.240,439.400] HER FATHER audio/RES0045.mp3[480.040,482.640] HOW ABOUT CANCERS audio/RES0035.mp3[304.720,307.640] OK BUT NO ISSUES BEFORE THE EIGHT MONTHS audio/RES0108.mp3[149.160,150.880] UH NO audio/RES0020.mp3[361.080,364.480] MAYBE SLIGHT MUSCLE ACHES audio/MSK0037.mp3[312.680,314.400] NO NOTHING LIKE THAT audio/RES0065.mp3[137.760,141.920] NO NOTHING LIKE THIS audio/RES0187.mp3[380.360,386.720] UHM THINK MY UNCLE HAD A HEART ATTACK IN HIS 50S audio/RES0069.mp3[579.000,580.880] OK SOUNDS GOOD audio/RES0104.mp3[602.640,613.360] OK WELL CONGRATULATIONS ON YOUR NEW HOME ARE YOU AT ALL YOU OR YOUR HUSBAND REQUIRING ANY KIND OF SUPPORTS OUTSIDE OF THE HOME AT ALL audio/RES0045.mp3[385.360,386.600] UH NO audio/MSK0016.mp3[962.840,967.600] UH JUST WONDERING ABOUT UM WHAT THIS COULD BE audio/RES0107.mp3[135.520,138.360] UM A LITTLE BIT audio/RES0194.mp3[20.160,24.280] OK SO WHAT WHAT KIND OF STARTED FIRST TO COUGH OR THE ACHES audio/RES0073.mp3[614.200,617.000] NO NOT THAT I KNOW OF audio/RES0123.mp3[60.320,74.520] UH YEAH IT FEELS LIKE KIND OF LIKE UH ACHING UM I I HAVE HAD HEADACHES WITH THROBBING BEFORE BUT ITS NOT SO MUCH THROBBING ITS MORE JUST CONSTANT ACHING PAIN audio/RES0036.mp3[527.520,531.720] ANY PREVIOUS SURGERIES audio/RES0063.mp3[233.680,239.920] NO NO NOTHING LIKE THAT audio/RES0135.mp3[527.480,539.000] OKAY ANY OTHER EXPOSURES TO LIKE TRIGGERS OR POTENTIALLY THINGS THAT THAT COULD BE EXPOSED OR STUFF LIKE THAT COULD BE INHALED audio/MSK0022.mp3[607.640,612.800] OH I THINK I WAS I THINK THEY SAID HASHIMOTOS audio/RES0038.mp3[348.280,352.840] OK ANY CHANGES IN YOUR URINARY PATTERNS audio/RES0154.mp3[434.560,442.040] OK AND DO YOU USE ANY RECREATIONAL DRUGS audio/MSK0036.mp3[471.800,477.200] ALRIGHT AND HAVE YOU HAD ANY OF NAUSEA OR VOMITING audio/MSK0036.mp3[800.600,803.520] YEAH I CAN MOVE IT audio/MSK0044.mp3[548.800,550.800] ALRIGHT THANK YOU audio/CAR0005.mp3[318.600,320.520] UHM NO I HAVENT audio/MSK0035.mp3[401.880,404.280] IM STILL WAITING TO GET THAT audio/RES0019.mp3[376.320,380.400] OK HAVE YOU HAD ANY DIARRHEA audio/RES0113.mp3[168.160,171.440] HAVE YOU TAKEN ANYTHING FOR IT audio/RES0094.mp3[351.280,354.640] DO YOU DRINK ALCOHOL audio/MSK0017.mp3[128.520,135.200] ID SAY I GET KIND OF UH ITS A SHARP PAIN audio/RES0043.mp3[551.960,559.600] NO OK UM HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY audio/RES0043.mp3[193.360,204.520] OK YEAH OK AND IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING audio/RES0133.mp3[223.480,230.000] OKAY WELL THATS GOOD AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0068.mp3[624.640,648.280] OK SINCE ITS BEEN THREE DAYS WHAT IM GOING TO DO IS STILL GIVE YOU SOME ANTIBIOTICS SO AMOXICILLIN AND THEN WELL SEE LIKE AFTER YOU FINISH THAT DOSE HOW YOU FEEL AND WILL SET UP ANOTHER APPOINTMENT FOR WHEN WE CAN DO LIKE A PHONE APPOINTMENT AND OR CLINIC APPOINTMENT WHEN YOUR DOSES ARE DONE DOES THAT SOUND GOOD audio/RES0169.mp3[29.640,34.720] HOW DID YOU MEASURE YOUR MAGIC TEMPERATURE audio/RES0120.mp3[61.920,64.080] NO COUGH audio/MSK0007.mp3[536.640,538.320] NO I DONT SEE ANY OF THAT audio/RES0073.mp3[331.320,340.200] OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS audio/RES0141.mp3[195.960,199.640] OKAY UM DO YOU FEEL LIKE YOUR NECK IS STIFF audio/RES0006.mp3[483.680,492.520] NO NOT REALLY MY WORK IS PRETTY MUCH A DESK JOB SO NOTHING LIKE THAT audio/RES0120.mp3[311.680,323.400] UH I GUESS WHEN I WENT TO THE GROCERY STORE THE OTHER DAY AND THERE WERE PEOPLE COUGHING AROUND ME audio/RES0204.mp3[412.160,414.240] I DONT THINK SO NO audio/RES0191.mp3[295.280,302.120] UHM I LIVE BY MYSELF RIGHT NOW I LIVE IN AN APARTMENT DOWNTOWN audio/MSK0004.mp3[180.760,191.880] I CAN KIND OF FEEL IT AROUND ON THE THE SOLE OF MY FOOT AS WELL BUT MOSTLY ON THE OUTSIDE THOUGH audio/RES0044.mp3[357.920,359.640] UH NO audio/RES0165.mp3[358.280,361.120] I WORK AS A CUSTODIAN AT THE HOSPITAL audio/RES0179.mp3[453.920,458.760] OK ANY ALLERGIES audio/RES0103.mp3[405.680,413.640] OK AND WERE THERE ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER OR AFTER THE PREGNANCY audio/MSK0005.mp3[362.600,373.760] OK SO IF YOU LOOK AT THAT RIGHT ELBOW UM DO YOU NOTICE ANY REDNESS OR SWELLING audio/RES0195.mp3[64.960,70.200] DRY COUGH OK ARE YOU BRINGING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL audio/RES0100.mp3[105.240,117.560] YEAH NOW THAT YOU MENTION IT I I DO HAVE LIKE THESE TWO LUMPS ON THE RIGHT SIDE OF MY NECK LIKE KIND OF RIGHT BELOW THE JAW audio/RES0181.mp3[306.920,309.320] UHM NO ALLERGIES audio/RES0084.mp3[0.000,1.800] WHAT BRINGS YOU IN audio/RES0049.mp3[97.840,100.920] YEAH ALL JUST STARTED YESTERDAY audio/RES0197.mp3[243.840,247.320] NOTHING LIKE THAT OK ANY DIZZINESS OR FAINTING audio/MSK0017.mp3[247.320,249.520] UH NO MUSCLE WEAKNESS audio/RES0122.mp3[122.040,125.800] OKAY AND DO YOU HAVE A COUGH audio/RES0080.mp3[442.720,452.560] OK AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHEREABOUTS audio/RES0027.mp3[484.560,494.600] SURE I LIVE WITH MY HUSBAND AND TWO CHILDREN WHO ARE BOTH TEENAGERS I WE LIVE IN A IN A TOWNHOUSE AND WE MOVED RECENTLY audio/MSK0038.mp3[809.320,827.200] OK UHM SO IM GONNA TRY A SPECIAL TEST ITS CALLED THE OBER TEST SO CAN I GET YOU TO LIE ON THE SIDE UM WITH THE INJURED KNEE audio/RES0096.mp3[274.920,278.520] OK SO YEAH THAT WOULD BE A FEVER audio/RES0170.mp3[515.800,524.760] NO HES BEEN DOING UH HES BEEN DOING WELL AT SCHOOL HE LIKES MATH AND THAT THATS BEEN GOING WELL audio/RES0182.mp3[461.040,466.680] UH NO audio/RES0031.mp3[485.720,505.760] SO I AM CURRENTLY NOT WORKING IM GOING TO COLLEGE RIGHT NOW MAJORING IN THE ARTS RIGHT NOW IM LIVING IN DORM IVE BEEN FORTUNATE MY PARENTS SUPPORT ME FINANCIALLY SO IM CURRENTLY NOT WORKING JUST A STUDENT audio/RES0087.mp3[588.480,667.680] YEAH UHM SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE I CAN COME UP WITH LIKE A MANAGEMENT PLAN FOR HIM SO ONCE I DO IF I SEE UHM IF HIS TYMPANIC MEMBRANE HAS BEEN PERFORATED OR I SEE PUS IN THERE WELL PRESCRIBE HIM LIKE 10 DAYS OF ANTIBIOTICS WE CAN GIVE HIM EITHER AMOXICILLIN OR IF HE HAS BAD REACTIONS TO PENICILLINS WE CAN GIVE HIM CEFUROXIME AND THEN IF UH IT DOESNT SEEM TO HAVE ANY SYSTEMIC SYMPTOMS SO IF HE HAS SYSTEMIC SYMPTOMS LIKE FEVER WHICH WELL CHECK FOR TODAY AND IF HES LIKE BEEN REALLY ILL AND HE HAS LIKE A MIDDLE EAR EFFUSION OR BULGING TYMPANIC MEMBRANE AGAIN WELL GIVE HIM ANTIBIOTICS FOR 10 DAYS BUT IF HIS TYMPANIC MEMBRANE IS JUST BULGING A LITTLE BIT OR IF HE HAS SOME MIDDLE EAR EFFUSION BUT NO SYSTEMIC SYMPTOMS LIKE NO FEVERS AND HE SEEMS TO BE FINE OTHERWISE WELL REASSESS HIM IN 24 TO 48 HOURS TO SEE IF HES BETTER AND IF HES NOT AGAIN WILL PRESCRIBE HIM ANTIBIOTICS HOW DOES THAT SOUND audio/RES0153.mp3[337.480,340.520] UH YEAH THEYRE ALL UP TO DATE audio/RES0171.mp3[33.440,54.560] LIKE I DONT KNOW I FEEL LIKE IM OK LIKE N TERMS OF BEING ABLE TO BREATHE BUT I MEAN IF I EXERT MYSELF AT ALL THERES NO WAY I WOULD BE ABLE TO ITS I JUST FEEL LIKE EVEN AT REST ITS HARD TO BREATHE audio/MSK0025.mp3[205.760,209.600] IS IT BOTH LEGS OR JUST ONE audio/RES0188.mp3[333.840,338.480] OK HOW ABOUT ALLERGIES DOES HE HAVE ANY audio/MSK0005.mp3[682.800,688.960] UH NO I WAS JUST WONDERING WHAT THIS PAIN COULD BE ON MY IN MY ELBOW audio/MSK0026.mp3[52.080,59.920] OK SO SLIGHTLY BELOW THE PATELLA SOUNDS LIKE SOMEWHERE IN THE REGION OF THE TIBIAL THROUGH TUBEROSITY audio/RES0010.mp3[401.760,403.400] NO I WISH audio/RES0143.mp3[439.400,447.960] UH YEAH JUST NOT NOT MUCH RIGHT NOW BUT LIKE WHEN I WHEN WE WERE AT SCHOOL LIKE WE WOULD DRINK ON THE WEEKENDS audio/MSK0037.mp3[301.600,305.320] OK AND HAVE YOU HAD ANY HEADACHES audio/RES0129.mp3[446.120,455.080] NO OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN audio/MSK0050.mp3[484.360,506.280] OK UH AND SO NEXT I WOULD LIKE TO JUST UM UH DO A PHYSICAL EXAM AND FOR THE FIRST PART ILL ASK YOU TO JUST HAVE A LOOK AT THE HAND AND WRIST AND ARE YOU SEEING ANY SWELLING ERYTHEMA OR REDNESS OR LIKE ANY MUSCLE WASTING OR OR ATROPHY audio/RES0214.mp3[528.960,533.960] ALRIGHT WELL IM GOING TO GO TALK TO THE DOCTOR AND ILL BE COMING BACK IN TO SEE YOU OK audio/RES0189.mp3[481.880,484.720] AND WHAT REACTION audio/RES0102.mp3[2.400,17.520] I IVE HAD THIS COUGH THATS BEEN ONGOING AND AND GETTING WORSE AND AND NOW IVE BEEN HAVING THIS LIKE SHARP PAIN IN MY IN MY CHEST audio/RES0106.mp3[97.640,103.120] OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LEGS ARMS OR ABDOMEN audio/RES0004.mp3[706.680,709.960] NO NO ALCOHOL audio/RES0048.mp3[27.040,33.280] OK SO YEAH LETS BREAK THIS DOWN THE COUGH WHEN DID THAT START audio/RES0158.mp3[267.320,269.000] NO NOTHING LIKE THAT audio/RES0106.mp3[318.280,321.200] AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0120.mp3[0.000,2.680] SO WHAT BRINGS YOU IN HERE TODAY audio/MSK0028.mp3[751.400,757.600] UHM I CANT REALLY TELL IF ITS WARM OR NOT audio/DER0001.mp3[428.920,433.120] DO YOU HAVE ANY ALLERGIES audio/RES0208.mp3[240.880,246.760] IN THE PAST THREE FOUR DAYS NO OK ANY NAUSEA OR VOMITING audio/RES0193.mp3[336.360,339.720] NO ANY ALLERGIES TRAINING MEDICATIONS audio/MSK0042.mp3[221.280,231.080] OKAY AND ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SMELL OR TASTE audio/GAS0004.mp3[147.720,157.920] UH NO I DO GET A WARNING BUT ITS JUST I I DO NEED TO GET TO THE TOILET REALLY FAST YEAH audio/MSK0016.mp3[409.800,418.040] YEAH FOR SURE UM ALRIGHT AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS audio/RES0055.mp3[617.560,629.840] OK ANY REASONS TO BELIEVE THERE ARE CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING YOUR COPD audio/RES0201.mp3[435.640,440.120] I LIVE ALONE audio/RES0008.mp3[407.560,417.000] OH YEAH I DO IT STARTS WITH AN A I THINK AMLODIPINE audio/RES0063.mp3[500.320,508.040] NO YEAH I LIVE ALONE NOW AND I LIVE IN LONDON IN AN APARTMENT audio/RES0127.mp3[516.480,518.760] NO NO audio/RES0122.mp3[200.640,206.160] NO NO IM VERY LIKE CAREFUL UM I BARELY GO OUT audio/RES0110.mp3[208.640,238.160] THAT STARTED ABOUT UM I THINK LIKE YESTERDAY MORNING UM I JUST FEEL FUZZY LIKE I CANT CONCENTRATE ON THINGS AS MUCH AS I USED TO BE ABLE TO AND THE OTHER DAY I UH WAS COOKING SOMETHING AND THEN I FORGOT I WAS COOKING IT UM YEAH JUST A LITTLE BIT CONFUSED audio/RES0078.mp3[112.200,123.760] I DID HAVE A UH YEAH IVE HAD A COUGH AS WELL OVER THESE LAST FEW DAYS audio/RES0022.mp3[543.480,546.760] UH NO audio/MSK0034.mp3[198.800,206.080] OK AND ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE FOUND IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS audio/RES0019.mp3[320.080,323.600] NO SHORTNESS OF BREATH EITHER audio/CAR0005.mp3[58.360,63.000] OK DOES IT FEEL DULL AND ACHY OR DOES IT FEEL MORE SHARP audio/MSK0010.mp3[186.480,198.120] UHM IF I JUST IF I CARRY ANYTHING WITH MY LEFT ARM OR IF I HAVE TO LIFT ANYTHING OR PLACE IT ON MY SHOULDER LIKE IT REALLY HURTS audio/RES0064.mp3[350.040,357.360] I THINK PROBABLY IN HIS LATE 30S WITH TYPE 2 DIABETES audio/RES0198.mp3[347.360,352.240] NO AND YOU DRINK ALCOHOL audio/RES0199.mp3[273.880,275.320] UH NO audio/RES0046.mp3[805.520,852.200] OK NO PROBLEM SO WELL WHAT WELL DO IS WELL GET A COVID SWAB ON YOU JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID UM SO WE WANT TO MAKE SURE THAT THATS NOT WHAT YOU HAVE SO WELL TAKE A SWAB YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS UM BUT IN THE MEANTIME YOU STILL SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR FAMILY MEMBERS AS WELL WHEN WHEN POSSIBLE AND UH PUBLIC HEALTH WILL BE IN TOUCH TO LET YOU KNOW UH TO DO SOME CONTACT TRACING IF ITS NOT COVID YOU YOU COULD POSSIBLY HAVE UM SOME SORT OF OTHER VIRAL INFECTION THATS GOING AROUND THESE DAYS UM HOW DOES THAT SOUND audio/GAS0004.mp3[280.480,284.560] NO ITS JUST WATERY audio/RES0038.mp3[455.280,459.280] OK ANY MEDICATIONS THAT YOU ARE ON CURRENTLY audio/MSK0017.mp3[687.080,688.360] YEAH THAT HURTS audio/RES0098.mp3[389.920,397.160] YEAH I USE LIKE ITS ITS I THINK ITS LIKE A MIXTURE OF LIKE A STEROID CREAM audio/RES0015.mp3[379.560,381.680] NO NOTHING LIKE THAT audio/RES0020.mp3[379.480,381.000] UM NOPE audio/RES0007.mp3[375.760,378.600] AHH I DONT I DONT THINK SO audio/RES0132.mp3[472.640,479.080] I DRINK ONCE IN A WHILE LIKE MAYBE EVERY OTHER DAY ILL HAVE A GLASS OF WINE audio/RES0217.mp3[494.400,495.680] NOTHING LIKE THAT audio/RES0031.mp3[158.960,165.120] OK HAVE YOU HAD ANYTHING TO EAT TODAY OR WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT audio/RES0028.mp3[263.000,269.640] YEAH SINCE THIS MORNING ITS FELT LIKE MY HEART IS IS RACING audio/MSK0021.mp3[609.760,615.440] YEAH OK UHM AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES audio/MSK0049.mp3[290.720,295.800] HAVE YOU HAD A COUGH OR OR ANY SHORTNESS OF BREATH audio/RES0027.mp3[369.400,372.680] A LITTLE BIT OF BOTH YEAH audio/RES0092.mp3[321.480,325.040] NO OK DO YOU DRINK ALCOHOL audio/RES0107.mp3[228.640,233.800] YEAH THATS GOOD ANY FEVERS OR CHILLS audio/RES0081.mp3[153.720,156.880] NO HE HASNT COMPLAINED OF THOSE audio/RES0123.mp3[100.000,106.320] OKAY UM ANYTHING THAT MAKES THE HEADACHE BETTER audio/RES0154.mp3[76.080,79.080] OK ARE YOU FEELING ANY UH ANY CHEST PAIN audio/RES0012.mp3[357.480,360.600] OK NO HEADACHES audio/RES0022.mp3[508.440,528.480] I MEAN IM A LITTLE I FEEL LIKE I HAVENT BEEN MOVING AS MUCH FEEL A LITTLE SORE I THOUGHT IT WAS MAYBE JUST CAUSE I YOU KNOW WASNT GOING FOR MY LONG WALKS AND MY BODY WAS LIKE GETTING TIRED AND STIFF BUT YEAH I FEEL A BIT ACHEY WHEN I COME TO THINK OF IT audio/RES0019.mp3[315.240,320.080] ALRIGHT HOW ABOUT SHORTNESS OF BREATH audio/MSK0026.mp3[383.080,385.600] I SEE AND DO YOU TAKE ANY MEDICATIONS audio/GAS0003.mp3[180.320,186.520] OK AND BESIDES UH THE PAIN THAT YOURE HAVING DO YOU HAVE ANY NAUSEA AND VOMITING audio/RES0167.mp3[370.360,376.680] OK UHM HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY AROUND YOU audio/MSK0007.mp3[193.720,196.280] HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0019.mp3[54.200,62.720] OKAY OKAY THATS GOOD AND UM YOU SAID ITS WORSE WITH ACTIVITY AND BETTER WITH REST HAVE YOU TRIED ANYTHING ELSE FOR IT audio/RES0175.mp3[174.640,181.440] OK ANY ABDOMINAL PAIN OR DIARRHEA audio/CAR0005.mp3[131.280,152.160] OK UH CAN YOU THINK OF ANYTHING THAT THAT YOUVE DONE DIFFERENTLY RECENTLY THAT COULD HAVE BROUGHT IT ON OR IS THERE ANY KIND OF COMMON FACTOR BETWEEN THE TIMES THAT YOU HAD THE PAIN audio/RES0114.mp3[587.600,590.880] UH NO NOTHING LIKE THAT audio/RES0199.mp3[438.600,439.800] NO NOTHING LIKE THAT audio/MSK0001.mp3[56.000,61.800] IT FEELS LIKE ITS STABBING JUST RIGHT IN MY LOWER BACK audio/RES0089.mp3[674.600,686.040] I WAS HOSPITALISED TWO YEARS AGO FOR SHORTNESS OF BREATH AND SOME LOW OXYGEN THATS WHEN THEY DIAGNOSED ME WITH CHF audio/RES0078.mp3[336.640,344.720] OK WHEN YOU SORT OF TOUCH THAT AREA OVER YOUR CHEST DOES TOUCHING IT MAKE IT WORSE audio/RES0003.mp3[563.880,584.720] OK OK UM ALRIGHT SO IT SOUNDS LIKE UM GROM WHAT YOURE TELLING ME HE OHH SORRY I SHOULD HAVE ASKED YOU THIS EARLIER HAS HE HAD ANY ISSUES BREATHING audio/RES0033.mp3[39.880,47.800] OK AND ANY BLOOD IN THE SPUTUM audio/RES0136.mp3[363.000,369.520] NO I WAS LIKE I WAS ABSOLUTELY FINE audio/RES0011.mp3[471.600,480.920] OK AND IN TERMS OF YOUR PAST HEALTH HAVE YOU BEEN IS THERE ANY REASON YOU YOU SEE A DOCTOR REGULARLY audio/RES0143.mp3[121.880,124.520] UH NO NOTHING LIKE THAT audio/RES0066.mp3[330.960,336.040] AND ANY URINARY TROUBLE audio/MSK0027.mp3[60.760,66.720] OK AND AND I HAD SHE BEEN HOLDING HER HER ARM KIND OF LIKE THIS THE WHOLE TIME audio/RES0185.mp3[98.880,100.200] ITS DRY audio/RES0177.mp3[207.720,213.720] NO OK UHM HOW ABOUT ANY DIZZINESS OR FAINTING SPELLS audio/RES0108.mp3[230.040,234.400] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0031.mp3[133.960,158.960] UM SO I I DO FIND THAT LIKE MY MOM TOLD ME THAT I HAVE MY VOICE IS KIND OF ROUGH AND LIKE JUST A LITTLE BIT HOARSE BUT OTHER THAN THAT BESIDES THE SWALLOWING UM NOTHING ELSE REALLY IM STILL ABLE TO SWALLOW LIQUIDS BUT ITS JUST THE SOLIDS THAT CAUSES SOME PAIN audio/RES0194.mp3[133.440,142.680] EVERY ONCE IN AWHILE BUT I MEAN I DONT GET THEM THAT OFTEN MAYBE WHEN IM SICK OR DONT SLEEP VERY WELL audio/RES0107.mp3[370.120,376.960] OK OK GOOD UM IS HE AN OTHERWISE HEALTHY KID AT THE MOMENT audio/RES0009.mp3[237.000,241.280] UH NO NO I HAVENT audio/RES0203.mp3[268.560,277.880] OK AND IN TERMS OF YOUR GENERAL HEALTH DO YOU DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU LIVE WITH audio/MSK0034.mp3[182.480,188.640] I JUST TOOK SOME IBUPROFEN audio/RES0049.mp3[686.400,702.760] UH YEAH I I THAT IM JUST WONDERING LIKE I COULD IT BE COVII I DONT KNOW I DONT KNOW IF SOMEONE IN THE OFFICE HAD IT OR YEAH IT WAS JUST BASICALLY WORRIED ABOUT IF I HAD COVID audio/RES0053.mp3[187.160,189.840] NO BLOOD audio/MSK0015.mp3[44.920,50.720] OK AND SO SO AND THIS WHEN DID THIS EXACTLY START audio/RES0060.mp3[151.920,161.080] MAYBE A LITTLE RUNNY BUT NOT TOO BAD audio/MSK0024.mp3[436.280,449.880] UM IT KINDA HURTS RIGHT IN THE MIDDLE UH JUST ABOVE THE BUTTOCKS AREA AN WHERE LIKE MY TAILBONE ALMOST IS audio/RES0110.mp3[630.560,640.120] OK AND I FORGOT TO ASK IN TERMS OF MEDICATIONS ARE YOU TAKING ANYTHING OVER THE COUNTER ANY HERBAL PILLS ANY VITAMINS ETC audio/RES0076.mp3[304.680,314.600] OK AND WHEN DO YOU GET SHORT OF BREATH IS IT WHEN YOU DO ANY ACTIVITIES IS IT WHEN YOURE LAYING DOWN IS THERE ANYTHING RELATED TO IT audio/RES0106.mp3[145.360,149.760] HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE audio/MSK0009.mp3[394.880,399.280] HAVE YOU HAD ANY NUMBNESS TO THE SKIN audio/RES0063.mp3[595.800,617.240] YEAH UH WITH ALL THIS COVIAND THE PANDEMIC GOING ON I DONT KNOW I LIKE IVE BEEN MAINLY AT MY HOUSE BUT LIKE I SAID I DO GO TO DO MY OWN GROCERIES OF COURSE I WEAR A MASK BUT I DONT KNOW IF I MIGHT HAVE CAUGHT COVI SO THATS SOMETHING I WAS WORRIED ABOUT audio/RES0195.mp3[385.520,391.640] OK WE CAN CHECK HAVE YOU HAD ANY RECENT WEIGHT CHANGES audio/RES0035.mp3[310.720,319.320] OK IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU MENTIONED ASTHMA BUT ANYTHING ELSE LIKE DIABETES HIGH BLOOD PRESSURE audio/RES0215.mp3[453.160,456.400] AND WHATS THE CONTEXT FROM THEM HAPPENING IN YOUR HOME audio/RES0090.mp3[290.080,297.760] OK AND UM ANY EXPOSURES TO FUMES OR DUST OR ANIMALS OR PETS audio/RES0184.mp3[211.240,215.680] OK WHEN DID YOU HAVE DIARRHEA audio/MSK0034.mp3[119.640,127.240] OK I SEE AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT A SHARP PAIN OR IS IT A DULL ACHING PAIN audio/MSK0011.mp3[506.280,511.920] OK OK AND DO YOU DRINK ALCOHOL audio/RES0060.mp3[198.200,200.560] I HAVENT NOTICED ANY WHEEZING audio/RES0027.mp3[414.200,421.760] OK GREAT WHEN WAS YOUR LAST TSH CHECKED audio/RES0097.mp3[86.160,90.880] ITS JUST UH ITS WATERY audio/RES0119.mp3[221.360,231.360] UH NO SORE THROAT SHE SOUNDS WHEEZY SO SHE MIGHT HAVE LIKE SOME DIFFICULTY BREATHING BUT SHE DOESNT SOUND SHORT OF BREATH audio/RES0091.mp3[221.120,223.080] NO JUST BY MYSELF audio/RES0209.mp3[40.120,43.440] YOURE 10 NOW audio/RES0004.mp3[667.840,673.880] OK GOOD AND HAVE YOU GUYS TRAVELED RECENTLY audio/RES0144.mp3[251.520,257.640] UHM NO I I TRIED CHECKING HIS MOUTH LIKE I WAS THERE WITH HIM LIKE ALL ALL THE TIME audio/RES0017.mp3[225.800,229.200] NO NOTHING LIKE THAT audio/RES0216.mp3[436.040,437.640] NO NO audio/MSK0017.mp3[710.520,713.520] UH NOT REALLY audio/GAS0004.mp3[353.240,360.640] NOT REALLY I DONT THINK SO audio/RES0117.mp3[263.480,266.760] OK RECREATIONAL DRUGS audio/RES0057.mp3[343.880,349.320] WHAT ABOUT YOUR SENSE OF TASTE ARE YOU ABLE TO TASTE THINGS audio/MSK0029.mp3[261.400,267.520] OK AND DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN SINCE IT STARTED YESTERDAY audio/RES0123.mp3[481.960,485.720] NO NOTHING LIKE THAT audio/RES0076.mp3[17.480,22.720] I WOULD SAY MAYBE SIX MONTHS audio/RES0123.mp3[547.480,552.760] GOOD ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/MSK0017.mp3[586.720,595.520] UM YEAH IT DOES I I DO FEEL A LITTLE BIT OF A A TWINGE THERE audio/RES0211.mp3[49.160,52.440] OK SO YOU HAVENT BEEN BRINGING ANYTHING UP WITH IT audio/RES0034.mp3[288.560,293.360] NO NO SHE DOESNT SEEM TO HAVE ANY IRRITATION THERE audio/RES0068.mp3[356.920,364.880] NO NOT THAT I CAN THINK OF audio/MSK0044.mp3[358.160,361.280] OKAY AND YOUR HEARING AND VISION IS ALRIGHT RIGHT NOW audio/MSK0043.mp3[478.680,489.080] UM IVE HAD IT WAS UH HEPATITIS C AND UH I WAS UM TREATED I WAS TREATED FOR IT audio/RES0063.mp3[448.400,451.400] HOW OLD WAS HE WHEN HE WAS DIAGNOSED audio/GEN0001.mp3[119.800,137.120] YEAH YEAH IT WENT AWAY LIKE I ALWAYS I ALWAYS HAVE AN OVERACTIVE BLADDER AND I ALWAYS HAVE TO GO PRETTY FREQUENTLY LIKE EVERY HOUR SOMETIMES HALF HOUR BUT SO THATS STILL THERE BUT LIKE IT HASNT EVER SINCE THEN I HAVENT HAD ANY LIKE PAIN WITH IT audio/MSK0039.mp3[495.440,499.640] OK THAT SOUNDS GOOD YEAH WELL WELL TRY OUR BEST audio/RES0124.mp3[220.080,222.640] UH NO audio/RES0044.mp3[21.600,30.600] YEAH OF COURSE THAT THAT WAS A GREAT IDEA THANKS FOR COMING IN UM HOW LONG HAVE YOU HAD THIS COUGH FOR audio/RES0027.mp3[773.600,776.040] ALRIGHT SO WELL GET THAT STARTED audio/RES0028.mp3[235.560,240.720] OK SO THEY HAVE SWOLLEN UP BEFORE BUT YOU SAW THEM SWOLLEN THIS TIME AS WELL audio/MSK0044.mp3[39.960,43.520] UH ITS THE RIGHT SIDE audio/RES0001.mp3[156.160,159.120] OH NO WHEEZING audio/RES0187.mp3[97.000,101.040] OK ANY JOINT PAINS AS WELL audio/RES0053.mp3[702.880,710.320] LAST TIME I TALKED TO CHARLOTTE HANK SEEMS TO BE DOING WELL SO audio/RES0007.mp3[677.520,686.600] YEAH LIKE THE LAST TIME I WAS HERE LIKE COUPLE MONTHS AGO I DID THAT AND IT SAID THAT SHE SAID THAT MY ASTHMA WAS BACK audio/RES0190.mp3[369.520,379.120] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED audio/RES0092.mp3[0.000,5.600] I UNDERSTAND THAT YOUVE HAD A COUGH CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT audio/RES0005.mp3[603.080,612.440] YEAH I THINK IVE BEEN SMOKING FOR ALMOST LIKE 40 YEARS NOW AND I USED TO SMOKE UP TO 30 CIGARETTES A DAY audio/RES0104.mp3[575.520,583.240] OK UHM AND CURRENTLY RIGHT NOW ARE YOU WORKING AT ALL audio/RES0027.mp3[607.240,612.280] OK SO A COUPLE OF DRINKS PER WEEK audio/RES0051.mp3[129.000,133.920] OK HAVE YOU NOTICED ANY ANY LOSS OF SMELL audio/RES0139.mp3[323.880,330.440] UM AND CURRENTLY DO YOU WORK UM OR ARE YOU RETIRED audio/RES0160.mp3[327.720,329.520] I JUST LIVE WITH MY WIFE audio/RES0174.mp3[209.360,216.080] I SEE AND DOES THIS LAST AROUND 15 MINUTES AS WELL audio/RES0008.mp3[548.400,559.960] OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME IM GOING TO GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL KIND OF COME BACK AND LET YOU KNOW ABOUT THE NEXT STEPS audio/MSK0020.mp3[167.920,177.840] UHM I THINK SO LIKE OVER THE LAST TWO MONTHS I FEEL LIKE MY PAIN THERES MORE STIFFNESS THERES MORE PAIN THROUGHOUT THE DAY audio/RES0048.mp3[519.640,524.480] NO OK UM ANY CONFUSION OR MEMORY LOSS audio/RES0180.mp3[178.480,183.080] OK RUNNING OR STUFFY NOSE audio/RES0113.mp3[194.840,202.560] UH YEAH I GUESS I HAVE A LITTLE BIT IN THE PAST BUT THAT WAS ALSO WHEN I WAS LIKE SICK audio/RES0034.mp3[91.680,97.880] OK UH HAVE THE SYMPTOMS HAVE GOTTEN WORSE OR STAYED THE SAME audio/RES0095.mp3[433.400,458.120] NO I HAVENT HAD CHEST PAIN I HAVE A UHM A HEART DOCTOR WHO UHM I WENT TO SEE AFTER THE LAST HOSPITALIZATION SIX MONTHS AGO THINGS WERE LOOKING OK AT THE TIME HE ORDERED A BUNCH OF TESTS I HAVENT DONE ALL OF THEM YET audio/RES0048.mp3[216.080,225.840] OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST HOW BAD IS IT audio/MSK0016.mp3[694.280,702.400] NO NO SYMPTOMS LIKE THAT audio/RES0022.mp3[64.360,69.520] OK AND DID YOU HAVE ANY CHEST PAIN WITH THIS audio/MSK0043.mp3[167.440,178.560] OKAY AND ARE YOU ABLE TO WEIGHT BEAR ARE YOU ABLE TO STAND AND WALK BY YOURSELF audio/RES0063.mp3[559.880,566.320] OK COUPLE TIMES A WEEK SO TWO TO THREE TIMES audio/MSK0014.mp3[80.720,85.200] ITS THE RIGHT KNEE audio/RES0001.mp3[783.560,786.480] WORK UP FOR ALL OF THAT HOW DOES THAT SOUND audio/RES0194.mp3[387.120,400.040] I I DO HAVE AN ALLERGY TO PEANUTS AND SO I CARRY AN EPIPEN FOR THAT BUT UH THATS THE ONLY FOOD audio/RES0066.mp3[278.880,282.800] OK ANY HEADACHES audio/RES0020.mp3[409.160,417.200] OK AND ARE YOU TAKING ANY MEDICATIONS FOR THAT OR IS IT KIND OF DIET OR LIFESTYLE CONTROLLED audio/RES0201.mp3[414.680,418.920] OK DO YOU HAVE ANY ALLERGIES audio/RES0147.mp3[159.440,165.760] OK ALRIGHT AND I GUESS HAS THIS EVER HAPPENED TO YOU BEFORE audio/RES0137.mp3[429.920,440.360] AND WHATS HER LIVING SITUATION LIKE WHO DOES SHE LIVE WITH AND DO YOU LIVE IN A HOUSE APARTMENT audio/RES0131.mp3[25.760,30.120] YEAH SO THAT ABOUT THREE OR FOUR DAYS AGO UM IT STARTED TO COME ON YEAH audio/RES0185.mp3[461.920,475.680] I GUESS IM TRYING TO GET AT UH ARE THERE ANY OLD CARPETS YOU KNOW REASONS FOR YOU TO BELIEVE THAT THERE MAY BE A LOT OF MOLD OR ASBESTOS OR ANYTHING LIKE THAT IN THE HOUSE THAT MAY BE MAKING YOUR SYMPTOMS WORSE audio/RES0206.mp3[483.680,492.760] THATS GOOD THATS GOOD DO YOU HAVE ANY ALLERGIES audio/RES0062.mp3[15.160,18.600] I WOULD SAY ABOUT 3 DAYS AGO audio/RES0214.mp3[335.240,338.120] UM I GET A RASH audio/RES0080.mp3[144.600,149.160] OK AND UH SO HAVE YOU HAD A COUGH THEN audio/MSK0020.mp3[610.880,616.240] NO NOT REALLY audio/RES0108.mp3[131.680,137.000] NO ANY FAINTING SPELLS audio/RES0092.mp3[136.240,138.280] THOSE ARE BOTH YEAH THEYRE GONE audio/RES0062.mp3[688.200,700.440] AND HAVE YOU BEEN IN TOUCH OR DO YOU THINK YOUVE BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY audio/RES0193.mp3[420.440,427.240] AND UM FOR HIM HOW MANY TIMES WOULD YOU SAY HES HAVING THESE EPISODES IN AN AVERAGE WEEK NOW audio/RES0189.mp3[443.600,469.840] NO SORRY INHALERS I USE UH TWO DIFFERENT KINDS OF INHALERS SO ONE OF THEM IS JUST WHEN I LIKE NEED IT UH LIKE IVE BEEN USING A LOT MORE RECENTLY LIKE THE VENTOLIN AND THEN I ALSO HAVE ANOTHER INHALER CALLED SPIRIVA THAT IVE BEEN USING AS WELL audio/RES0065.mp3[57.960,67.240] OK AND HAVE YOUR SORE THROAT OR FEVER GONE WORSE AT ALL audio/RES0131.mp3[86.880,98.280] UH A LITTLE BIT AFTER UM IF I HAVE LIKE A COUGHING FIT THATS BAD ENOUGH BUT UM FOR THE MOST PART IVE BEEN OKAY audio/RES0033.mp3[280.120,283.440] I DONT THINK SO NO audio/MSK0010.mp3[38.640,46.680] OK DID YOU HAVE ANY TRAUMA TO THE SHOULDER LIKE ANY ANY INJURIES OR TRIGGERS THAT COULD HAVE CAUSED THE PAIN audio/RES0174.mp3[645.400,648.600] OK AND DO YOU SMOKE CIGARETTES audio/MSK0017.mp3[56.760,65.480] OK DID ANYTHING TRIGGER THIS BACK PAIN TWO WEEKS AGO DID YOU HAVE SOME SORT OF INJURY OR TRAUMA TO THE AREA audio/RES0132.mp3[92.480,112.200] UM NO THIS HAS HAPPENED TO ME BEFORE UM LIKE I DONT KNOW LIKE MAYBE A YEAR OR TWO YEARS BACK UH AND IT KIND OF FEELS THE SAME BUT JUST A LITTLE BIT WORSE audio/RES0030.mp3[407.440,410.560] YES I TAKE UM LISINOPRIL audio/RES0052.mp3[300.920,310.360] OK AND HAS SHE BEEN COMPLAINING ABOUT HAVING ANY STOMACH PAINS audio/RES0181.mp3[228.200,231.320] I HAVE BEEN YEAH IVE BEEN TIRED audio/RES0062.mp3[946.200,955.640] NO NOTHING TODAY I WAS JUST REALLY HOPING TO GET UH WHATEVER THIS IS SORTED OUT audio/RES0133.mp3[467.240,477.160] OH AWESOME AND UH I DONT IS THERE ANY SMOKING IN THE HOME audio/RES0070.mp3[41.680,43.120] NO NO audio/RES0036.mp3[172.320,182.280] OK AND BESIDES LIKE THE EXERTION DOES IT GET WORSE WITH ANY WHEN YOURE NEAR POLLEN WHEN YOURE OUTSIDE IN THE COLD ANYTHING LIKE THAT audio/RES0042.mp3[2.960,50.200] SO JUST FOR THE PAST LIKE 3 DAYS IVE BEEN COUGHING ITS I I DONT FEEL PARTICULARLY SICK IM JUST KIND OF DRY LIKE ANNOYING CALL THAT WONT GO AWAY AND THEN TODAY I TOOK MY TEMP IN IT ITS PRETTY HIGH IT WAS LIKE 99 POINT LIKE 9 I DIDNT REALLY TAKE IT THE OTHER DAYS SO I GUESS SO I JUST THOUGHT ID BETTER COME GET IT CHECKED OUT BECAUSE I I AM ON LIKE A BIOLOGIC MEDICATION SO FOR MY CROHNS DISEASE audio/MSK0027.mp3[629.760,637.520] UHM NO THAT WAS KIND OF IT I JUST WAS WONDERING HOW WE CAN FIX HER ELBOW audio/RES0189.mp3[516.520,520.720] OK AND ARE YOUR IMMUNIZATIONS UP TO DATE audio/MSK0029.mp3[932.440,944.040] I’M ABLE TO DO IT STILL IS A BIT STIFF AND ITS SLOW TO GET THERE BUT AGAIN I I GET PAIN AT THE BACK IN THE FRONT OF MY NECK WHEN IM DOING THIS audio/RES0200.mp3[181.960,189.640] OK HOW OFTEN HOW HOW MANY TIMES THIS WEEK HAVE YOU HAD TO USE YOUR VENTILIN audio/RES0117.mp3[237.800,241.800] OK UH ALLERGIES DO YOU HAVE ANY audio/RES0101.mp3[221.080,224.200] NO NOTHING LIKE THAT audio/MSK0006.mp3[727.840,741.840] OK SO RIGHT HIP FLEXION UM ALSO CAUSES PAIN AND THEN WOULD YOU MIND UH FOLDING YOUR KNEES BACKWARDS UM AND JUST SORT OF FLEXING IT DOES THAT HURT audio/CAR0005.mp3[492.760,499.360] I HAVENT BUT IVE ACTUALLY NEVER BEEN TESTED EITHER audio/RES0212.mp3[348.360,355.360] UH I HAVE LIKE A ROOMMATE YEAH WE I LIVE IN AN APARTMENT WITH A ROOMMATE audio/RES0070.mp3[403.920,406.080] OK ANY SURGERIES audio/RES0087.mp3[287.000,292.800] FEELING LIKE HES OFF BALANCE OR LOST COORDINATION audio/MSK0028.mp3[295.320,300.160] OK AND HAVE YOU HAD ANY HEADACHES audio/GAS0002.mp3[63.320,72.920] SO I WOULD SAY IT GOT WORSE JUST THREE OR FOUR HOURS AGO BEFORE I CAME TO THE EMERGENCY DEPARTMENT audio/RES0206.mp3[79.560,84.440] OK AND HAS THIS EVER HAPPENED TO YOU BEFORE audio/RES0107.mp3[589.080,589.960] OK OK audio/RES0086.mp3[627.120,643.480] I JUST LIVE IN AN APARTMENT BY MYSELF I DID HAVE A ROOMMATE LIKE UH THAT MOVED OUT JUST A COUPLE OF MONTHS AGO BUT YEAH RIGHT NOW IM JUST BY MYSELF audio/RES0055.mp3[478.680,481.960] AND ARE YOU ALLERGIC TO ANYTHING audio/RES0062.mp3[626.560,633.880] NO I HAVENT HAD ANY ANTIBIOTICS SO NO REALLY NO CHANGES audio/RES0005.mp3[74.120,83.440] OK AND HOW MUCH BLOOD WOULD YOU SAY THAT YOURE YOURE BRINGING UP WOULD BE TEASPOONS OR A CUP OR audio/RES0150.mp3[445.520,448.320] UH I DID HAVE GESTATIONAL DIABETES audio/MSK0035.mp3[645.160,666.440] OK DO YOU FEEL ANY PAIN IF YOU PUSH IN THE WHATS CALLED THE ANATOMICAL STUFF BOX SO ITS AT THE BASE OF THE THUMB UM ON YEAH THE BASE OF THE THUMB ON THE BACK OF YOUR HAND audio/RES0212.mp3[193.720,198.000] UH YEAH LIKE UH YEAH ITS LIKE PRETTY NORMAL audio/RES0201.mp3[583.040,591.640] OK WELL THANKS FOR CHATTING WITH ME WE SHOULD BE BACK SHORTLY TO KIND OF LET YOU KNOW WITH THE NEXT STEP audio/MSK0011.mp3[391.600,396.720] OK SO THIS IS THE FIRST INJURY ON YOUR RIGHT HAND audio/MSK0004.mp3[327.240,336.360] OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS ANY RHEUMATOLOGICAL CONDITIONS ANYTHING THAT YOU KNOW OF audio/RES0204.mp3[226.200,229.360] UH NOPE audio/RES0176.mp3[217.720,224.240] OK AND DID YOU BITE YOUR TONGUE DURING THIS OR audio/MSK0046.mp3[326.840,331.680] UH I LIVE IN AN APARTMENT BY MYSELF audio/RES0050.mp3[292.520,304.120] OK AND HAVE YOU HAD ANY LIKE HEART PALPITATIONS FEELING LIKE YOUR HEARTS RACING audio/MSK0031.mp3[282.880,287.280] OK OK AND IS THAT THE ONLY MEDICATION THAT YOURE ON audio/RES0090.mp3[18.840,27.080] OK YEAH NO DEFINITELY THAT THATS DEFINITELY CONCERNING IS SO WHEN DID THIS START audio/RES0194.mp3[31.840,37.640] OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD OR ANYTHING LIKE THAT audio/RES0197.mp3[133.560,139.480] UH BUT ITS MOSTLY EXERTION BUT THINGS LIKE COLD AIR CAN TRIGGER IT TOO audio/MSK0046.mp3[479.120,489.720] YEAH AND DID THAT HURT AT ALL LIKE WHEN YOU SO THIS IS JUST CALLED ULNAR DEVIATION OR YOUR UM OF YOUR WRIST DOES THAT HURT AT ALL audio/RES0209.mp3[337.960,340.440] ANY BELLY PAIN audio/MSK0021.mp3[428.920,430.880] NO I DONT audio/RES0182.mp3[188.320,192.040] NO NO HEADACHES audio/RES0084.mp3[459.640,473.960] OK AND THOSE WERE ALL THE QUESTIONS I HAD ABOUT YOUR SYMPTOMS ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0004.mp3[70.640,81.880] UM A LITTLE TENDER IVE NOTICED THE UM SOME LUMPS AT THE FRONT OF FRONT OF MY NECK THAT HAVE BEEN A BIT SORE audio/RES0067.mp3[282.720,286.880] OK AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS audio/RES0111.mp3[94.960,96.480] UH A COUGH audio/RES0058.mp3[769.160,774.040] I GUESS THE ONLY THING THAT I WAS CONCERNED ABOUT WAS POSSIBLY HAVING COVI audio/RES0134.mp3[359.760,364.560] OKAY HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS audio/RES0065.mp3[47.440,57.960] I DIDNT TAKE ANY MYSELF BUT I FELT HOT AND I FELT CHILLS audio/RES0180.mp3[198.640,202.320] OK BOTH audio/RES0196.mp3[187.760,192.520] HAS SHE HAD TO MISS ANY SCHOOL OR ANYTHING LIKE THAT audio/GAS0004.mp3[571.200,596.640] OH GOSH UM WELL I LIKE TO HAVE OATMEAL FOR BREAKFAST I USUALLY MAKE SOMETHING QUICK FOR LUNCH MAYBE LIKE A SALAD AND THEN I MIGHT HAVE MY ILL PROBABLY JUST LIKE EAT OUT AT NIGHT MAYBE GET LIKE A BURGER OR FRIES OR SOMETHING audio/RES0211.mp3[174.800,178.240] DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS audio/RES0177.mp3[66.960,72.840] OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH audio/MSK0009.mp3[695.240,710.760] IT COULD BE A STROKE COULD HAVE HAD MANY DIFFERENT TYPE OF TYPES OF CAUSES FOR IT AND ONE OF THEM COULD BE CAUSE CAUSED BY BLOOD CLOT BUT I WOULDNT BE ABLE TO SAY FOR SURE audio/RES0128.mp3[566.360,568.000] ALRIGHT GREAT THANK YOU audio/RES0037.mp3[367.040,372.400] YEAH I FEEL I FEEL LIKE IVE BEEN PRETTY PRETTY HOT SOMETIMES audio/RES0168.mp3[169.440,179.080] OK AND THEN YOU MENTIONED SOME NASAL OBSTRUCTION SOME DISCHARGE AND YOU SAID NO LOSS OF SMELL RIGHT audio/CAR0005.mp3[349.000,353.560] OK DO YOU HAVE ANY ALLERGIES audio/RES0026.mp3[162.320,169.240] OK UM AND WITH YOUR COUGH HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING audio/RES0064.mp3[84.640,93.720] OK HOW ABOUT CHANGES IN VISION OR HEARING ANY CHANGES IN HER NAILS OR SKIN LIKE RASHES audio/RES0129.mp3[202.360,203.640] THATS BEEN NORMAL audio/MSK0027.mp3[84.640,94.200] OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE audio/RES0199.mp3[266.200,273.880] UHM ALRIGHT AND JOINT PAINS OR MUSCLE ACHES audio/RES0059.mp3[223.720,226.880] OK ANY DIZZINESS audio/CAR0004.mp3[2.680,11.560] IM JUST HAVING THIS REALLY SHARP PAIN IN MY CHEST AND IM SCARED I THINK IM HAVING A HEART ATTACK audio/RES0096.mp3[467.600,468.040] YEAH YEAH audio/RES0056.mp3[572.320,573.640] YEAH FOR SURE audio/RES0098.mp3[70.520,77.360] NO ITS MORE SO JUST THE TIGHTNESS I WOULDNT CALL IT PAIN BUT I DO STILL HAVE A LITTLE BIT OF WHEEZING audio/RES0037.mp3[589.720,597.800] SO PULMONARY FIBROSIS IS A CONDITION IN YOUR LUNG WHERE YOU START GETTING LIKE THESE NODULES audio/MSK0032.mp3[642.800,644.560] THANK YOU audio/RES0190.mp3[262.200,266.280] OK NOW HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0011.mp3[240.840,245.320] OK HOW ABOUT ANY NIGHT SWEATS audio/RES0067.mp3[205.520,211.080] SHE DID HAVE A COUGH 2 WEEKS AGO YEAH audio/MSK0001.mp3[379.160,387.480] OK ANY FAMILY HISTORY OF ANY UM CONDITIONS UH OR LIKE ANY CANCERS audio/MSK0026.mp3[80.600,106.560] NOTHING LIKE THAT BUT I RECENTLY FOUND OUT THAT I HAD SOME OSTEOARTHRITIS ON MY LEFT KNEE SO I WAS TRYING TO PUT MORE PRESSURE ON MY RIGHT KNEE ONE WHENEVER I WAS DOING LIKE GARDENING WORK UM AND I THINK SOMETHING SOMETHING MAY HAVE HAPPENED WHEN I WAS DOING THAT SOMETHING MAYBE MAYBE I PUT TOO MUCH STRAIN ON IT audio/RES0044.mp3[472.320,495.920] UM LIKE I HAVE UM I HAVE UH LIKE SOME UM LIKE DIGESTIVE PROBLEMS GENERALLY LIKE I HAVENT HAD ANY CHANGES TO THAT BUT THEY THINK IT MIGHT BE LIKE CROHNS OR SOMETHING UM BUT OTHER THAN THAT NO audio/RES0004.mp3[0.000,2.600] ITS NICE TO MEET YOU WHATS YOUR NAME audio/RES0111.mp3[118.400,132.960] NO OK UM SO ALL YOU HAVE IS A SORE THROAT AND THIS FEVER OK UM AND UM OK YOU HAVE A HEADACHE audio/RES0084.mp3[442.760,446.520] NO NOTHING audio/RES0026.mp3[340.000,340.680] UM NO audio/RES0172.mp3[374.880,383.920] YEAH SOMETIMES WELL WELL SMOKE WITH LIKE FRIENDS AT A PARTY I GUESS BUT I HAVENT HAD ANY I HAVENT DONE THAT IN AWHILE audio/RES0095.mp3[567.640,573.600] ALRIGHT THEN UH DO YOU UHM USE ANY OTHER RECREATIONAL DRUGS audio/MSK0040.mp3[547.680,551.040] OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS audio/RES0207.mp3[185.920,190.040] YEAH I HAVEN’T DONE MUCH SINCE THEN audio/RES0208.mp3[98.600,125.120] I MEAN I FELT I THINK I FELT REALLY HOT YESTERDAY I DONT KNOW THE THERMOMETER BUT I HAD MY WIFE PUT HER PUT HER HAND ON MY FOREHEAD AND SHE GOT A I FELT PRETTY WARM AND COME TO THINK OF IT I THIS MORNING I I REALLY I DIDNT EAT MUCH BECAUSE I JUST HAVENT BEEN THAT HUNGRY BUT I DONT REALLY FEEL LIKE I COULDNT REALLY TASTE MY BREAKFAST audio/RES0190.mp3[469.360,471.560] UH NO audio/RES0152.mp3[507.000,513.440] UM NOT RECENTLY NO audio/CAR0001.mp3[30.800,39.160] IT STARTED LAST NIGHT BUT ITS BECOMING SHARPER audio/RES0093.mp3[257.840,260.880] OK ANY SORE THROAT audio/RES0033.mp3[263.880,267.240] OK AND HAVE YOU HAD A FEVER audio/MSK0005.mp3[349.680,351.720] NO I HAVENT HAD ANY NAUSEA OR VOMITING audio/RES0021.mp3[321.560,325.360] ALRIGHT UM ANY ABDOMINAL PAIN audio/MSK0035.mp3[351.600,358.480] OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR DO YOU SEE A PHYSICIAN REGULARLY FOR ANY REASON audio/RES0034.mp3[697.240,699.160] NO ALLERGIES audio/RES0177.mp3[213.720,218.800] NO HE DOESNT HAVE ANYTHING LIKE THAT audio/MSK0010.mp3[355.560,359.200] NO JUST MY SHOULDER audio/RES0180.mp3[256.920,262.640] OK ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/MSK0026.mp3[331.040,338.000] OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR JOINT PAINS ANYWHERE ELSE audio/MSK0013.mp3[204.960,209.640] HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING audio/RES0158.mp3[471.720,521.440] OK YEAH SO THATS DEFINITELY UH WITH YOU WORKING IN THE IN THE HOSPITAL CLINICAL SETTING UM THERE IS DEFINITELY A POSSIBILITY AND A LOT OF THE SYMPTOMS THAT YOURE HAVING OVERLAP WITH COVID SYMPTOMS UH SO WE WILL DEFINITELY GET A COVID SWAB TEST DONE FOR YOU TODAY IT USUALLY COMES BACK IN THE NEXT 24 TO 48 HOURS AND UNTIL THEN UH I WOULD RECOMMEND THAT YOU ISOLATE EITHER IN A ROOM SEPARATELY WEAR A MASK AROUND YOUR FAMILY MEMBERS UM ISOLATE TO THE BEST OF YOUR ABILITIES NOT GO OUTSIDE SEE IF SOMEONE ELSE CAN GET GROCERIES FOR YOU GUYS UH AS WELL AND THEN UM DEPENDING ON THE TEST PUBLIC HEALTH WILL CONTACT YOU WITH FURTHER INSTRUCTIONS audio/RES0075.mp3[224.200,234.720] MY APPETITES BEEN PRETTY GOOD ITS LIKE DEFINITELY WITH THE PAIN I DONT REALLY FEEL LIKE EATING TODAY BUT I DONT THINK ITS CHANGED audio/RES0076.mp3[193.440,197.080] NO NO CHEST PAIN audio/RES0042.mp3[65.560,70.040] 3 DAYS AGO OK AND WHEN DID YOUR FEVER START audio/MSK0016.mp3[389.680,409.800] NO IVE JUST BEEN TRYING TO UH CHANGE DIET AROUND WHEN I CAN AND UM AND TRYING TO UM EXERCISE A BIT MORE BUT UH ITS BEEN ITS BEEN TOUGH ESPECIALLY NOW WITH MY WRIST OR MY HAND BUGGING ME audio/RES0027.mp3[709.960,715.640] UM NO I WAS JUST CURIOUS IF YOU THINK I HAD COVID audio/RES0028.mp3[350.480,360.480] OK AND I KNOW YOU MENTIONED SOME SWELLING IN YOUR LEGS AND YOUR ANKLES BUT HAVE HAS ANY OF YOUR LEGS BEEN HURTING AT ALL audio/RES0185.mp3[367.400,371.360] OK OK HOW ABOUT ALCOHOL DO YOU DRINK audio/RES0044.mp3[101.160,112.000] OK AND DO YOU HAVE YOU NOTICED THAT THERE ARE ANY TRIGGERS FOR YOUR COUGH LIKE THE COLD OR DUST OR ANY LIKE ENVIRONMENTAL TRIGGERS audio/RES0151.mp3[202.280,204.640] UH NO audio/RES0059.mp3[126.240,127.800] NO CHANGES THERE audio/RES0020.mp3[195.520,198.600] OK UM HAVE YOU HAD A COUGH audio/RES0134.mp3[253.720,255.360] UH NO audio/MSK0011.mp3[482.080,492.440] OH SO IM LIVING ON ON MY OWN ACTUALLY IN AN APARTMENT audio/RES0004.mp3[375.600,378.360] OK OK AND WHEN WAS THIS audio/RES0062.mp3[851.880,858.200] OK AND DID YOU USED TO DRINK BEFORE audio/MSK0001.mp3[373.560,377.760] OK UM ANY HOSPITALIZATIONS BEFORE audio/RES0004.mp3[461.040,466.680] OK OK UM HAVE YOU EVER HAD THESE SYMPTOMS BEFORE audio/RES0191.mp3[410.360,420.000] OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR LUNG CONDITIONS THAT RUN IN THE FAMILY audio/RES0036.mp3[0.000,3.720] CAN WE JUST BEGIN WITH WHAT BRINGS YOU IN HERE TODAY audio/RES0007.mp3[0.000,5.160] I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN audio/RES0107.mp3[435.760,450.200] OK UM HAS HAVE YOU EVER LIKE GIVEN HIM UM REACTINE OR LIKE ANY OF THE THOSE ANTI ALLERGY MEDICATIONS IN THE PAST audio/RES0073.mp3[709.080,711.920] THANK YOU audio/RES0027.mp3[531.000,543.240] I SEE OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK THAT YOURE AWARE OF LIKE AT WORK OR ANYTHING audio/MSK0005.mp3[671.240,672.720] UH NOPE IVE BEEN AT HOME audio/MSK0050.mp3[417.520,422.680] OK UM AND ARE YOU WORKING CURRENTLY OR ARE YOU IN SCHOOL audio/RES0085.mp3[92.920,110.080] UHM HES BEEN HAVING SOME SPIT UPS AS WELL THEYRE MAINLY LIKE CLEAR AND WHITISH BUT YEAH I DONT KNOW IF HES BRINGING ANYTHING ELSE UP THERES NO GREEN OR YELLOW MATERIAL THOUGH audio/RES0089.mp3[63.960,71.520] ITS BEEN LIKE THAT FOR THE PAST TWO WEEKS audio/RES0113.mp3[299.280,300.120] UH NO audio/RES0029.mp3[226.880,228.720] UM NO audio/RES0144.mp3[469.200,475.760] NO HES BEEN PRETTY LIKE HES BEEN MEETING HIS MILESTONES ACCORDING TO LIKE THE FAMILY DOCTOR audio/RES0031.mp3[352.960,360.160] OK AND HAVE YOU NOTICED ANY LUMPS IN YOUR IN YOUR NECK OR UNDER YOUR CHIN audio/RES0061.mp3[744.680,746.680] NO NO IVE NEVER DONE THAT audio/RES0007.mp3[776.760,780.080] YEAH YEAH audio/RES0106.mp3[484.840,494.600] UH I LIVE I LIVE IN AN APARTMENT WITH MY BOYFRIEND ABOUT 20 MINUTES FROM HERE audio/RES0098.mp3[539.240,544.240] OK YEAH FOR SURE UH AND DO YOU SMOKE CIGARETTES audio/RES0169.mp3[34.720,43.360] YEAH IT WAS 38 POINT 5 WHEN I WHEN I CHECKED IT audio/RES0148.mp3[298.560,305.480] I HAVE FIBROMYALGIA AND UH I UM ALSO HAVE SCHIZOPHRENIA audio/RES0028.mp3[547.360,552.120] OK AND HOW ABOUT YOUR DIET LIKE WHAT IS YOUR REGULAR DIET LOOK LIKE audio/RES0155.mp3[495.800,497.520] UH ABOUT THREE YEARS AGO audio/RES0066.mp3[521.800,525.400] OK AND DO YOU SMOKE AT ALL audio/RES0035.mp3[286.880,296.080] AND DO YOU HAVE EXPOSURE TO FUMES OR DUST OR ANIMALS OR PETS IN YOUR WORK OR HOME ENVIRONMENT audio/RES0087.mp3[668.960,675.640] OK YEAH NO WORRIES audio/CAR0003.mp3[129.800,136.720] I WOULD SAY SO YES YEAH IM BASICALLY GASPING FOR AIR WHEN I LAY DOWN audio/MSK0012.mp3[181.080,197.320] UM NO LIKE A LONG TIME AGO LIKE 67 YEARS AGO I INJURED MY BACK AT WORK BUT I JUST DID SOME CONSERVATIVE TREATMENTS FOR THAT AND IT WENT AWAY audio/RES0173.mp3[574.520,585.400] OH OK SO THAT I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON ON HISTORY TODAY WAS THERE ANYTHING ELSE I FORGOT TO MENTION OR YOU WANTED TO TO BRING UP audio/RES0117.mp3[191.560,194.480] OK HOW ABOUT ABDOMINAL PAIN audio/MSK0035.mp3[392.880,401.880] OK HAVE YOU GOTTEN LIKE THE FIRST DOSE OF THAT YET OR ARE YOU STILL STILL WAITING TO GET THAT audio/RES0203.mp3[147.760,150.240] OK ANY DIFFICULTY BREATHING audio/RES0079.mp3[318.080,324.560] OK AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHERS audio/RES0193.mp3[374.440,381.480] OK AND ANY FAMILY HISTORY OF ANY HEART LUNG CONDITIONS ANY HISTORY OF ASTHMA AT ALL audio/RES0153.mp3[433.480,438.360] NO I HAVENT I HAVENT DONE THAT audio/RES0202.mp3[541.640,546.720] OK AND IS SHE HEALTHY audio/RES0119.mp3[522.640,532.800] UM IT WAS UM SO HER DAD USED TO SMOKE UM AND HE STOPPED WHEN SHE WAS LIKE 3 audio/RES0137.mp3[525.240,628.400] YEAH SO THERE IS DEFINITELY UH THERES A LOT OF RESEARCH DONE BESIDE BEHIND VACCINATIONS AND A LOT OF PREVENTION GOES INTO THEM BUT DEFINITELY THERE IS SOME ANECDOTAL EVIDENCE OF VERY LOOSE ASSOCIATIONS TO AUTISM THAT HAVE BEEN FOUND TO BE INVALID AND LIKE THEY HAVE BEEN INVALIDATED BY THE RESEARCH SO DEFINITELY ITS VERY IMPORTANT TO GET YOUR CHILD VACCINATED IN FACT THE SUM OF THE SYMPTOMS THAT YOUR CHILD MAY BE HAVING RIGHT NOW CAN BE CAUSED BY SOMETHING CALLED PERTUSSIS AND UM THERES USUALLY A VACCINATION FOR THAT LIKE AFTER PREGNANCY AS WELL SO THATS SOMETHING THAT IS DEFINITELY ON THE DIFFERENTIAL AND AT THIS TIME WE DEFINITELY NEED TO MAKE SURE SHES OKAY AND GET HER VITALS DONE SEE HER OXYGENATION SATURATION AND JUST DO SUPPORTIVE CARE WHILE SHES IN THE HOSPITAL AND WE MAY NEED TO ADMIT HER BUT WELL DO THE FULL PHYSICAL EXAMINATION TODAY GET A COVISWAB DONE AS WELL AND USUALLY IT SHES CURRENTLY IN THE IT SEEMS TO BE THE SECOND PHASE WHERE SHES VOMITING AND COUGHING A LOT AND THEN IT USUALLY AFTER THAT PHASE TWO OR THREE MORE WEEKS OF JUST COUGHING AND SO WERE GOING TO DO SOME SUPPORTIVE CARE FOR HER RIGHT NOW BUT YEAH DEFINITELY YOU SHOULD CONSIDER VACCINATING YOUR CHILD WE RECOMMEND THAT TO EVERY PARENT AS THERES A LOT OF DISEASES OUT THERE THAT CAN BE COMPLETELY PREVENTED IF YOU VACCINATE YOUR CHILD audio/RES0087.mp3[306.240,312.320] UHM NO I DONT THINK ANYONES BEEN SICK AROUND HIM audio/RES0145.mp3[369.200,372.240] NO I HAVENT HEARD OF THOSE BEFORE audio/RES0110.mp3[436.880,454.280] OK UM ANY UM DIFFICULTIES WITH UH PEEING DO YOU HAVE UH ANY PAIN OR ANY INCREASE IN HOW OFTEN YOURE GOING TO THE BATHROOM OR HOW UM URGENTLY YOU NEED TO GET TO THE BATHROOM ANYTHING LIKE THAT audio/RES0215.mp3[297.440,302.880] OK AND WHEN SHE WAS BORN SHE DIDNT HAVE TO STAY IN THE HOSPITAL AT ALL audio/RES0122.mp3[148.760,154.440] ANY CHEST PAIN OR ANY HEART UM PALPITATIONS audio/RES0014.mp3[421.520,428.440] OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0018.mp3[136.720,138.280] UM NO audio/GAS0002.mp3[308.800,312.800] OK SO NOTICE ANY BLOOD IN THE STOOL audio/GEN0001.mp3[161.000,169.720] UM MAYBE A LITTLE BIT I I FEEL LIKE NOW I CAN RECOGNIZE IT PRETTY EARLY WHEN ITS NOT TOO BAD TO KIND OF GET AHEAD OF IT audio/RES0181.mp3[153.680,156.360] OK HAVE YOU HAD ANY WHEEZING audio/MSK0031.mp3[308.880,313.120] UH NO NOT THAT I KNOW OF audio/MSK0004.mp3[356.360,360.080] OK AND DO YOU CURRENTLY WORK audio/RES0042.mp3[677.360,685.240] YOU TOO audio/RES0030.mp3[7.960,17.040] OK AND UH WHAT KIND OF COUGH IS IT LIKE A DRY COUGH OR IS IT MORE LIKE PRODUCTIVE COUGH audio/RES0031.mp3[307.760,317.160] YEAH OVER THE LAST FEW DAYS ESPECIALLY TODAY I JUST FEEL LIKE WITH THE PAIN I DONT REALLY FEEL LIKE EATING AT ALL audio/MSK0041.mp3[69.920,79.800] OK DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE OR YOU JUST FEELING IT AT THAT ONE SPOT audio/MSK0019.mp3[259.720,263.880] NO NO MEDICATIONS IVE JUST BEEN TAKING SOME ADVIL FOR THIS PAIN audio/RES0135.mp3[342.920,360.840] ALRIGHT UM JUST YEAH SHES BEEN A LITTLE BIT MORE UM IRRITABLE AS WELL UM OKAY AND HAS SHE HAD ANY SYMPTOMS LIKE THIS BEFORE audio/RES0105.mp3[104.880,111.720] OK AND ARE YOU HAVING ANY KIND OF FEVERS OR CHILLS ANYTHING LIKE THAT audio/RES0005.mp3[226.840,241.800] UM SOMETIMES I ALSO FEEL MORE BREATHLESS ON WHEN IM EXERTING MYSELF MORE audio/RES0212.mp3[311.960,323.480] UH I THINK MAYBE UM MAYBE CATS BECAUSE I I DONT HAVE ONE BUT SOMETIMES IVE NOTICED STUFF BUT IVE NEVER LIKE ITS NEVER REALLY BEEN TOO BIG OF AN ISSUE audio/RES0097.mp3[185.480,189.160] YEAH HES BUT HES BEEN FEELING PRETTY CHILLY audio/RES0194.mp3[161.320,166.800] OK AND HAVE YOU TRIED ANYTHING FOR YOUR COUGH audio/RES0129.mp3[377.120,388.680] UHM I DO BUT NOT LIKE IN THE HOUSE OR ANYTHING LIKE THAT USUALLY JUST WELL IT WILL ALWAYS BE EITHER OUTSIDE OR WHEN IM AT WORK audio/RES0029.mp3[193.120,199.640] OK ANY SKIN CHANGES OR OR RASHES YOUVE NOTICED audio/RES0029.mp3[111.480,115.600] ID SAY OVER THE LAST TWO HOURS ITS BEEN GETTING WORSE audio/MSK0008.mp3[678.200,686.320] A LITTLE BIT YES audio/RES0202.mp3[580.360,584.160] BUT THEY HAVENT THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING audio/RES0201.mp3[45.720,48.400] YES FOUR DAYS AGO audio/RES0027.mp3[349.880,352.840] NO DIARRHEA audio/RES0068.mp3[233.120,235.960] ANY FEVERS OR CHILLS audio/RES0192.mp3[726.000,730.080] OK THANK YOU audio/RES0011.mp3[426.520,430.720] ANY BOWEL PROBLEMS audio/RES0199.mp3[504.840,508.240] OK HAS ANYONE AT YOUR WORK BEEN SICK AS WELL audio/MSK0003.mp3[34.600,41.880] OK ALL THE WAY UP TO I GUESS YOUR NECK AND ALL THE WAY DOWN TO YOUR LOWER BACK audio/RES0170.mp3[539.920,543.600] ANY ALLERGIES THAT HE HAS audio/RES0188.mp3[227.040,238.520] NO OK OK AND THEN YOU SAID HE WAS FUSSY IS HE STILL EATING AND DRINKING OK audio/RES0153.mp3[400.000,406.440] OK UM AND IS YOUR SISTER DOING BETTER NOW OR UM WHAT HAPPENED WITH HER audio/GAS0001.mp3[123.080,129.000] OK SO SAY EVERY TWO HOURS EVERY HOUR EVERY FIVE HOURS audio/RES0107.mp3[195.840,200.200] NO NO I HAVENT ITS JUST HIS NOSE IS LIKE A LITTLE BIT RED audio/RES0128.mp3[23.240,28.400] YEAH IT HAPPENED YESTERDAY AFTERNOON audio/RES0187.mp3[163.840,166.040] SHORTNESS OF BREATH audio/RES0171.mp3[337.080,348.240] OK OK AND DO YOU TAKE ANY MEDICATION audio/RES0016.mp3[265.640,269.800] OK OK UM ANY WEIGHT LOSS audio/RES0031.mp3[299.640,303.320] NO I THINK MY BREATHING HAS BEEN FINE audio/RES0097.mp3[94.240,102.760] A LITTLE A LITTLE AFTER THE UHM YEAH ACTUALLY AROUND THE SAME TIME AROUND THE SAME TIME YEAH audio/MSK0040.mp3[807.840,809.680] THANK YOU audio/RES0070.mp3[470.480,474.880] YEAH UHM I DONT THINK ANYONE WAS SICK audio/RES0101.mp3[166.920,175.360] JUST THIS MORNING ACTUALLY SO JUST UH LIKE I WOULD SAY A COUPLE HOURS AGO audio/RES0019.mp3[443.520,457.840] OK AND SO NEXT JUST WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0130.mp3[178.360,182.440] CHANGES IN YOUR VISION OR HEARING audio/RES0070.mp3[330.840,334.120] OK UHM ANY LIGHTHEADEDNESS OR OR FEELING DIZZY audio/RES0073.mp3[134.600,139.200] UH NO NO COUGH OR SORE THROAT audio/MSK0008.mp3[398.160,403.000] ALRIGHT THEN AND YOU PLAY SOCCER DO YOU PLAY ANY OTHER SPORTS audio/RES0120.mp3[418.600,423.240] I WAS DIAGNOSED ABOUT 10 YEARS AGO audio/RES0075.mp3[123.320,134.600] NOT REALLY ITS UH ITS PRETTY MUCH THE SAME I THINK audio/RES0151.mp3[382.200,387.520] ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER audio/RES0008.mp3[397.720,407.560] OK DO YOU TAKE MEDICATION FOR THAT audio/MSK0049.mp3[501.760,509.360] ALRIGHT HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR UH OR ANYTHING ELSE audio/RES0089.mp3[311.720,314.600] UH NO NO NOT RECENTLY audio/MSK0035.mp3[432.320,438.760] UH NO NO ONES BEEN SICK AROUND ME I HAVENT REALLY BEEN LEAVING MY HOME audio/RES0212.mp3[218.760,237.960] I DONT THINK SO NO LIKE IM IM A LITTLE TIRED NOW UM LIKE THE COUGH IS LIKE MAYBE FOR LIKE A MONTH ITS BEEN KIND OF WAKING ME UP A LITTLE BIT SO MY MY SLEEP HASNT BEEN GREAT BUT I DONT THINK ITS LIKE I HAVE LIKE PAIN IM JUST LIKE TIRED audio/MSK0024.mp3[243.200,249.640] ANY HAVE YOU BEEN ILL RECENTLY AT ALL WITH COUGH COLD SYMPTOMS AT ALL audio/MSK0031.mp3[54.840,58.200] THIS WAS A SO I GUESS NOW TWO HOURS AGO audio/RES0126.mp3[415.320,423.000] AND SO YOUVE BEEN DIAGNOSED WITH COPHAVE YOU HAD TO USE OXYGEN AT HOME AT ALL audio/RES0098.mp3[91.640,103.360] UHM IT WAS IT WAS MAINLY DRY YESTERDAY LIKE LIKE THE COUGH HAS KIND OF GONE AWAY BUT YESTERDAY NIGHT I WAS COUGHING A LOT AND IT WAS MOSTLY DRY audio/RES0043.mp3[407.440,411.320] NO JUST LIKE FATIGUE audio/RES0137.mp3[0.000,2.720] SO WHAT UH BRINGS YOU HERE TODAY audio/MSK0015.mp3[86.680,96.520] OK UM ALRIGHT AND UH HAS SHE HAS SHE NOT NOT BEEN ABLE TO WALK THEN audio/MSK0032.mp3[0.000,2.360] WHAT BRINGS YOU IN audio/RES0207.mp3[385.160,391.640] I DON’T NO audio/RES0077.mp3[72.280,75.400] OK SO ITS ITS PRETTY CONSTANT audio/MSK0028.mp3[526.720,537.200] OK AND FOR THE SHOULDER IN THE PAST DID YOU HAVE ANY IMAGING DONE LIKE AN ULTRASOUND OR OR MRI MAYBE TO LOOK AT THE STRUCTURES audio/RES0022.mp3[604.040,620.920] I PROBABLY RAN OUT LIKE TWO MONTHS AGO BUT I WASNT USING IT EVERY DAY IT WAS LIKE ONE OF THOSE ONES FOR LIKE WHEN YOU NEED IT AND NOW NOW THIS WEEK I WISH I WOULD HAVE HAD IT audio/RES0108.mp3[266.080,270.360] YEAH BECAUSE I THINK ITS ITS GOOD FOR MY HEART OR SOMETHING audio/MSK0021.mp3[527.320,539.800] NO OK IM GONNA GET YOU TO PRESS DOWN AND PALPATE ON YOUR QUADRICEPS ON BOTH KNEE SORRY ON BOTH THIGHS DO YOU FEEL ANY PAIN THERE audio/RES0063.mp3[81.720,104.560] NO I THINK MY VOICE HAS BEEN THE SAME ITS JUST WHEN IM NOT TALKING ESPECIALLY IF IM SWALLOWING MY OWN LIKE SPIT IT STILL HURTS SOMETIMES BUT MAINLY WITH SOLID FOOD audio/RES0171.mp3[503.120,513.560] JUST UH YEAH MY FATHER ACTUALLY HAD A STROKE WHEN HE WAS 68 AND THATS IT audio/MSK0049.mp3[657.000,658.680] UH NO audio/RES0046.mp3[120.320,129.160] OK UH IS THE COUGH A DRY COUGH OR IS IT OR DO YOU HAVE SPUTUM COMING UP AS WELL audio/RES0151.mp3[85.280,88.800] OK HAVE YOU HAD ANY WHEEZING audio/RES0212.mp3[414.360,417.440] OK SO NO COCAINE NO HEROIN audio/RES0097.mp3[174.680,180.080] YEAH I DID I DID IT WAS UH 39 LAST NIGHT audio/MSK0016.mp3[293.360,296.880] OK HOW ABOUT UM A COUGH audio/MSK0012.mp3[387.840,391.840] OK ANY URINARY PROBLEMS audio/RES0216.mp3[391.960,402.480] UHM I HAVE UH HIGH BLOOD PRESSURE I DONT REALLY SEE MY DOCTOR VERY MUCH I JUST AM ON UM MEDICATION audio/RES0134.mp3[123.880,128.440] OKAY HOW WOULD YOU DESCRIBE THE PAIN LIKE SHARP DULL audio/RES0189.mp3[469.840,475.880] OK AND DO YOU HAVE ANY ALLERGIES audio/RES0084.mp3[269.760,273.200] ANY NECK PAIN audio/RES0102.mp3[819.600,831.920] YEAH I I HAVE ACTUALLY IM IM DOWN 20 POUNDS I THOUGHT THAT WAS GREAT I I WAS 200 POUNDS JUST TWO MONTHS AGO audio/RES0201.mp3[448.320,455.600] OH CONGRATULATIONS BEFORE THAT DID YOU DID YOU SMOKE FOR MANY YEARS audio/MSK0017.mp3[749.200,750.760] NO PAIN THERE audio/RES0150.mp3[77.280,85.920] OK UM AND IS THE COUGH UH PRODUCTIVE IS HE BRINGING UP SPUTUM audio/MSK0036.mp3[371.480,382.160] OK AND HOW ABOUT ANY ISSUES WITH LIKE GRIPPING OBJECTS DROPPING OBJECTS OR LIKE OPENING JARS audio/RES0193.mp3[369.600,374.440] UH NOPE audio/MSK0009.mp3[367.160,376.520] NO NOTHING LIKE THAT audio/RES0079.mp3[341.160,358.200] UH SHE JUST CAME BACK FROM A WORK TRIP IVE BEEN WORKING FROM HOME BUT SHE WAS UHM IN SASKATCHEWAN AND JUST GOT BACK LAST WEEK audio/RES0084.mp3[432.080,436.600] NO OK ANY SWELLING THAT YOUVE NOTICED IN YOUR LIMBS audio/RES0011.mp3[245.320,270.600] UM YEAH COME TO THINK OF IT LIKE I WAS I WAS WHEN I WAS LAST TRAVELING WITH WHEN I WAS LAST ON IT BECAUSE IM A TRUCK DRIVER I I WAS IN THE STATES I I HAD TO BRING SOMETHING TO OHIO AND I HAD TO CHANGE MY CLOTHES IN THE NIGHT THEY WERE JUST LIKE SO DRENCHED IN SWEAT audio/CAR0004.mp3[269.400,273.440] I SOMETIMES TAKE TYLENOL audio/RES0141.mp3[289.600,295.200] OKAY SURGERIES audio/CAR0003.mp3[318.120,321.880] OK AND UH WHERE DO YOU WHERE ARE YOU GETTING THIS SWELLING audio/RES0122.mp3[219.160,223.200] I WORK FROM HOME RIGHT NOW UM IM AN ACCOUNTANT audio/RES0148.mp3[452.200,467.920] UM THEY WERE KIND OF DIFFERENT I WOULD SAY HE JUST HAD A UM HE HAD A SORE THROAT AND UH THAT KIND OF LASTED FOR THREE OR FOUR DAYS AND THEN HE JUST GOT BETTER audio/RES0097.mp3[418.920,433.400] OK UHM AND HAS THERE BEEN LIKE AN INCREASE IN THE SPUTUM PRODUCTION OR LIKE WORSENING SHORTNESS OF BREATH OVER THESE LAST FEW DAYS audio/RES0154.mp3[218.760,221.320] ANY DIARRHEA audio/RES0203.mp3[109.280,111.440] ITS DRY audio/RES0049.mp3[127.360,145.200] OK UM SO YEAH YOU MENTIONED POSSIBLY A TRIGGER WOULD BE LIKE TIME OF DAY AT NIGHT OR DID YOU NOTICE ANY OTHER TRIGGERS LIKE YOU KNOW THE COLD AIR OR DUST OR ANYTHING AT HOME THAT COULD BE POTENTIALLY TRIGGERING YOUR COUGH audio/RES0028.mp3[484.280,490.080] YEAH I LIVE IN AN APARTMENT BY MYSELF audio/RES0177.mp3[1.280,24.000] I BROUGHT MY SON IN TODAY BECAUSE HE HAD A FEVER THAT STARTED TWO DAYS AGO AND AND THEN SINCE THEN HE HES HAD A COUGH THAT STARTED AS WELL AND IT IT HES BEEN SHORT OF BREATH IT LOOKS LIKE HES LIKE BREATHING FASTER AND JUST HAVING A HARDER TIME TO BREATHE audio/MSK0038.mp3[736.840,742.080] UH LIKE I ILL GET UP UH NO THAT DOESNT HURT THAT FEELS OK audio/GAS0007.mp3[241.120,244.160] METFORMIN METFORMIN audio/MSK0033.mp3[181.840,187.880] OK AND ANY WEAKNESS IN YOUR LEGS audio/RES0172.mp3[278.280,286.000] OK ALRIGHT GOOD AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0155.mp3[48.760,53.960] OK AND WHAT IS THE COUGH LIKE IS IT WET OR DRY audio/RES0078.mp3[16.600,22.920] IT STARTED ABOUT LIKE THREE OR FOUR DAYS AGO audio/RES0078.mp3[448.960,467.200] YEAH NO PROBLEM AND YOUR THROATS BEEN A LITTLE BIT ITCHY AND THEN TWO DAYS AGO YOU ALSO STARTED HAVING THIS PAIN IN YOUR CHEST IS THERE ANY OTHER SYMPTOM THAT I HAVE NOT MENTIONED THAT YOU HAVE BEEN EXPERIENCING OVER THE PAST COUPLE OF DAYS audio/MSK0008.mp3[600.520,605.760] ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON audio/MSK0007.mp3[113.840,127.960] I AM TAKING SOME NSAIDS THAT HELPS WITH THE PAIN TEMPORARILY audio/RES0015.mp3[291.960,297.040] ANY ANYTHING LIKE A RUNNY NOSE OR STUFFY NOSE audio/RES0108.mp3[139.120,143.840] NO OK DO YOU EVER FEEL LIKE YOUR NOSE IS STUFFY OR RUNNY audio/RES0075.mp3[2.440,22.400] YEAH SO UH JUST RANDOMLY LIKE 2 DAYS AGO I JUST STARTED HAVING THIS CHEST PAIN WHEN IM BREATHING AND ITS JUST BEEN GETTING WORSE AND THEN BECAUSE OF THAT IM FINDING THAT IM VERY SHORT OF BREATH AS WELL SO I JUST GOT REALLY CONCERNED audio/RES0009.mp3[288.200,292.640] NO NO THATS THE THING THAT IT SEEMS WEIRD RIGHT audio/RES0019.mp3[534.760,539.800] ALRIGHT AND DO YOU SMOKE CIGARETTES audio/RES0036.mp3[686.880,690.280] PROBABLY NOT audio/RES0209.mp3[91.840,113.600] UM I WAS ONLY USING IT LIKE I DONT KNOW MAYBE ONCE EVERY TWO WEEKS OR SO NOT VERY OFTEN BUT NOW IM USING IT LIKE ALMOST EVERYDAY LIKE FIVE SIX TIMES A WEEK audio/MSK0014.mp3[85.200,96.880] OK AND SO THIS PAIN HAS BEEN GOING ON FOR THE LAST FIVE DAYS HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME audio/RES0102.mp3[984.960,989.480] YEAH SO WELL JUST DO THE TB TEST FIRST ALRIGHT audio/RES0216.mp3[381.280,384.160] EXACTLY YEAH audio/RES0180.mp3[165.640,169.800] NO NOTHING LIKE THAT audio/RES0011.mp3[277.520,289.840] MAYBE A COUPLE TIMES THAT IT WASNT AS BAD THAT ONE TIME WAS REALLY BAD BUT HERE AND THERE LIKE I IVE BEEN FEELING PRETTY SWEATY AT NIGHT IN GENERAL audio/RES0046.mp3[511.040,516.720] NO OK ARE THINGS NORMAL WITH YOUR URINE audio/MSK0006.mp3[158.040,174.880] OK OK SO A RADICULAR KIND OF PAIN THEN UM OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR PAIN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT WHAT WOULD YOU RATE IT audio/RES0104.mp3[62.360,71.640] YEAH EVEN RIGHT NOW IT FEELS LIKE IM NOT ABLE TO GET I DONT KNOW A FULL BREATH IT JUST FEELS LIKE ITS MORE DIFFICULT TO TO BREATHE audio/RES0019.mp3[514.480,525.760] IM IM A TEACHER UM SO I WORK WITH A LOT OF CHILDREN BUT NO ONE THAT I NO ONE I KNOW OF HAS BEEN SICK audio/MSK0039.mp3[294.680,301.120] UM HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING audio/MSK0021.mp3[204.760,209.760] OK HOW ABOUT FEVERS OR CHILLS audio/RES0018.mp3[321.720,327.760] ANY CHANGES TO YOUR VOICE LIKE IT SOUNDS MORE HOARSE TO YOU OR audio/RES0204.mp3[165.880,174.280] OK WELL THATS GOOD UHM OK HAVE YOU HAD ANY BACK OR MUSCLE PAIN audio/RES0004.mp3[504.560,508.640] I WAS DIAGNOSED WITH UH WITH ASTHMA audio/MSK0020.mp3[731.800,735.360] NO NOT REALLY audio/RES0085.mp3[209.560,220.520] NOPE JUST SOME SPIT UPS I DONT KNOW IF THATS JUST BECAUSE OF THE COUGHING OR IF THEYRE JUST SPIT UPS LIKE BUT NOTHING AFTER EATING audio/RES0097.mp3[689.480,730.240] YEAH FOR SURE ITS ITS BEEN UHM SO ITS BEEN THREE OR FOUR DAYS BUT WITH A FEVER THIS HIGH AND HIS SYMPTOMS WITH UH HAVING OBSTRUCTION DISCHARGE UHM CHANGES TO SMELL OR LOSS OF SMELL IT DOES SOUND LIKE IT COULD BE BACTERIAL AND SO I THINK IT WOULD BE REASONABLE TO POSSIBLY TO START ANTIBIOTICS IN THIS CASE BUT WELL GO THROUGH THROUGH A PHYSICAL EXAM CHECK SOME VITALS AND GO FROM THERE audio/RES0022.mp3[620.920,629.960] OK I SEE SO BEFORE LIKE TWO MONTHS AGO HOW OFTEN WOULD YOU SAY YOU WERE USING IT audio/MSK0045.mp3[423.400,430.560] OK THATS GOOD AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY OTHER DRUGS audio/RES0003.mp3[394.840,402.040] UM IT WAS A VAGINAL DELIVERY JUST AFTER 38 WEEKS OK SO HE WAS FULL TERM audio/RES0162.mp3[311.440,319.200] NO IVE IVE BEEN VERY HEALTHY audio/MSK0021.mp3[569.680,570.880] NO PAIN THERE audio/RES0126.mp3[50.600,52.160] OK AND IS IT GETTING WORSE audio/MSK0023.mp3[138.680,141.920] JUST MY LEFT KNEE audio/RES0119.mp3[294.440,301.440] I SEE IS SHE GETTING ENOUGH SLEEP LIKE HOW HOW HOW MANY HOURS WOULD YOU SAY ON AVERAGE SHES GETTING PER DAY audio/MSK0039.mp3[253.120,256.840] BUT ITS HARD TO TELL LIKE ITS JUST VERY PAINFUL RIGHT NOW audio/RES0108.mp3[363.160,365.360] OK UH ARE THEY HEALTHY audio/RES0187.mp3[296.360,298.840] CONFUSION OR MEMORY LOSS audio/MSK0010.mp3[519.880,522.320] OK DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0083.mp3[405.880,408.120] I SMOKED ABOUT A HALF A PACK PER DAY audio/MSK0008.mp3[79.720,89.520] OK ANY PAIN IN THE POSTERIOR ASPECT OF THE KNEE OR THE LATERAL ASPECT audio/RES0071.mp3[167.000,173.520] OK AND HAVE YOU NOTICED ANY KIND OF REDNESS IN YOUR THROAT OR ANY SWELLING AROUND YOUR NECK audio/RES0199.mp3[295.000,300.680] OK ALRIGHT AND UHM ARE YOU NOTICING ANY BLOOD IN THERE audio/RES0107.mp3[367.680,370.120] NO WEVE JUST BEEN STAYING AT HOME audio/RES0154.mp3[485.200,494.120] OK UM AND HAVE YOU HAD ANTIBIOTICS RECENTLY OR WITHIN THE LAST SIX MONTHS FOR ANY REASON audio/RES0152.mp3[442.920,459.960] UM YEAH THERES BEEN NOT ANYONE THAT I KNOW OF BUT THERES DEFINITELY LIKE EVEN WHERE I WORKED AND THINGS LIKE THAT THERES DEFINITELY PEOPLE WHO HAVE HAD TUBERCULOSIS IN THE PAST audio/RES0187.mp3[437.120,448.080] OK OK UHM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE audio/RES0061.mp3[703.160,707.080] OK HOW ABOUT OTHER RECREATIONAL DRUGS audio/RES0004.mp3[664.200,666.920] SHES 12 IS SHE HEALTHY audio/RES0026.mp3[350.240,354.880] ALRIGHT IN ANY EPISODES OF FEELING REALLY DIZZY OR LIGHTHEADED audio/RES0043.mp3[425.720,438.600] YEAH ABSOLUTELY HE HASNT LIKE DECIDE TO LIKE VACCINES HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT audio/RES0120.mp3[502.400,509.320] OKAY UM ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS audio/RES0124.mp3[567.760,580.840] ALRIGHT AND YOU MENTIONED THAT THINGS ARE GOING WELL AT SCHOOL UM WHO DO YOU LIVE WITH AT HOME audio/RES0152.mp3[417.360,428.520] UHM I DONT KNOW IF ANYONE ELSE HAS BEEN SICK I HAVENT REALLY NOTICED THAT I DONT REALLY SEE THEM TOO MUCH audio/MSK0039.mp3[327.400,330.320] NO NOTHING LIKE THAT audio/RES0110.mp3[280.560,291.600] OK ANY CHANGES IN YOUR VISION OR YOUR UH HEARING THAT HAS THAT HAS UH BEEN VERY SUDDEN OR THAT HAS HAPPENED OVER THE PAST WEEK audio/RES0089.mp3[422.720,425.520] YEAH ITS PROBABLY CAUSE OF MY SHORTNESS OF BREATH audio/RES0139.mp3[22.760,26.720] HOW WOULD YOU DESCRIBE THE COUGH IS IT A WET COUGH OR A DRY COUGH audio/RES0034.mp3[224.600,234.320] OK UH YOU MENTIONED LIQUID APPEARING STOOL WHAT WOULD YOU SAY SAY SO I GUESS COULD YOU COMMENT ON THE CONSISTENCY AND COLOUR audio/RES0197.mp3[279.520,286.440] NO ANY CHANGES IN YOUR SENSE OF SMELL OR TASTE audio/RES0021.mp3[326.920,336.080] AND ANY LIKE PAINFUL URINATION OR OR LIKE GOING TO THE BATHROOM FREQUENTLY audio/MSK0009.mp3[578.960,591.480] OK UH AND OVER THE LAST COUPLE OF DAYS WITH THAT WITH THE LEG PAIN DO YOU FEEL AS THOUGH YOUVE BEEN LIKE IMMOBILIZED audio/MSK0025.mp3[558.760,562.120] OK DO YOU DRINK ALCOHOL audio/RES0121.mp3[17.360,25.840] OKAY SO UH SO YOUVE BEEN HAVING THE COUGH FOR FOUR DAYS CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT LIKE A DRY COUGH OR WET COUGH audio/MSK0023.mp3[171.120,175.280] NO NO MR TINGLING audio/RES0144.mp3[58.480,82.120] OK AND SO YOUVE BEEN HEARING THIS GRUNTING SOUND AND HES BEEN TRYING TO BREATHE AND YOU SEE THAT HIS CHEST IS MOVING MORE THAN USUAL AND HES CRYING HAS HE BEEN SLEEPING WELL OR NO audio/RES0062.mp3[323.160,325.320] OK AND NO BLOOD IN YOUR STOOL audio/MSK0039.mp3[64.960,79.600] ITS PRETTY MUCH MY WHOLE LOWER LEG IS PAINFUL BUT I THINK WHERE IT LOOKS LIKE IT BROKE IS LIKE THE MIDDLE PART OF MY LOWER LEG audio/RES0045.mp3[2.640,12.200] IVE HAD A COUGH THAT STARTED LIKE 4 DAYS AGO UM AND ITS JUST BEEN GETTING WORSE SO I I WANTED TO COME IN audio/RES0108.mp3[105.080,107.160] NO ITS A DRY COUGH audio/MSK0027.mp3[311.280,321.880] OK AND IN THE PAST HAS SHE HAD ANY MEDICAL PROBLEMS OR HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0015.mp3[691.040,697.240] NO I I DONT DRINK AND I DONT DO ANY DRUGS EITHER audio/MSK0046.mp3[564.920,596.040] AND A SLING FOR YOUR THUMB THAT UH HELPS RELIEVE SOME OF THESE SYMPTOMS UH RESTRICTS SOME OF YOUR MOVEMENTS REDUCES SOME OF THE SWELLING AND IF IT DOES GET REALLY BAD AND ITS AFFECTING YOUR WORK AND CONSERVATIVE MANAGEMENT WITH PAIN AND THE SPLINT DONT WORK AND WITH PHYSIOTHERAPY WE DO UH OFFER INJECTING CORTICOSTEROIDS INTO JUST RIGHT LIKE IN THE AREA THAT YOU MENTIONED RIGHT BELOW THE THUMB audio/RES0202.mp3[99.160,107.680] YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS audio/RES0073.mp3[294.960,297.960] OK HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0210.mp3[403.320,414.400] NOW THEYVE ALWAYS BEEN PRETTY GOOD FOR KEEPING US SAFE IM ON THE ENGINEERING SIDE OF THINGS SO I DONT REALLY WORK TOO MUCH IN THE PLANT DIRECTLY YOU KNOW audio/RES0126.mp3[539.560,542.640] NO IM PRETTY HEALTHY OTHERWISE audio/MSK0014.mp3[604.520,606.840] OK ANN AND AT THE SMOKE CIGARETTES audio/RES0197.mp3[40.960,44.120] OK AND ARE YOU USING ANY PUFFERS audio/RES0072.mp3[279.160,283.280] IT KIND OF COMES AND GOES audio/MSK0041.mp3[449.360,454.200] HOW ABOUT MARIJUANA OR USING OTHER CANNABIS PRODUCTS audio/MSK0049.mp3[202.920,207.800] UHM I WOULD GIVE IT MAYBE UH 7 audio/RES0082.mp3[144.720,146.320] UH NO audio/MSK0027.mp3[106.520,112.880] OK AND IS THE PAIN SHARP BURNING OR ACHY audio/RES0022.mp3[707.600,750.560] WELL WE HAVENT REALLY SEEN ANYONE BECAUSE OF THE COVID STUFF SO ITS JUST MY MY HUSBAND HAS SOMEONE LIKE HAS A FRIEND THAT COMES OVER FOR THEM TO THE THEY WATCH LIKE THE SPORTS GAMES TOGETHER LIKE OUR FRIEND LIVES ALONE SO THATS REALLY THE ONLY PERSON THATS BEEN COMING INTO OUR HOUSE AND I DONT I DONT KNOW THAT I DONT THINK HES BEEN SICK BUT HE HE MIGHT HAVE BEEN AROUND PEOPLE THAT WERE SICK audio/CAR0003.mp3[60.160,63.280] YEAH THREE MONTHS AGO I WAS FINE audio/RES0052.mp3[194.960,202.680] OK UMM AND HAS SHE MENTIONED ANYTHING ABOUT BEING CONGESTED audio/RES0097.mp3[297.920,302.280] AND HOW ABOUT ANY MUSCLE ACHES OR JOINT PAINS audio/RES0156.mp3[449.440,452.520] UM NO THEY DONT audio/RES0206.mp3[494.360,500.440] NO NO ALLERGIES TO MEDICATIONS audio/MSK0006.mp3[507.960,515.440] UM YEAH ILL HAVE A BEER OR TWO ON THE WEEKEND SO MAYBE A COUPLE OF DRINKS PER WEEK audio/RES0021.mp3[662.520,666.000] NO I THINK YOU COVERED IT ALL audio/RES0166.mp3[537.200,585.520] OK SO YEAH RIGHT NOW ONE OF THE MAIN THINGS WE WANT TO RULE OUT ESPECIALLY SINCE YOU HAD THE SUDDEN SHORTNESS OF BREATH TODAY AFTER A HISTORY OF JUST RECENT DISCHARGE AND THE HIP FRACTURE OR INJURY AND YOURE IMMOBILIZED WE NEED TO MAKE SURE YOU HAVENT DEVELOPED A CLOT THAT HAS TRAVELED TO YOUR LUNGS SO WELL DO A FULL PHYSICAL EXAMINATION AND GET SOME BLOOD WORK DONE INITIALLY AND THEN SEE IF YOU REQUIRE ANY MEDICATIONS FOR IF YOU NEED THROMBOLYSIS FOR TO BREAK UP THE CLOT WELL WE MIGHT DO SOME IMAGING AS WELL SO YEAH WELL WELL JUST START WITH THAT AND THEN WELL GO FROM THERE audio/RES0188.mp3[260.320,266.840] YEAH OK ALRIGHT AND IS HE AN OTHERWISE HEALTHY CHILD audio/RES0166.mp3[414.160,415.680] NO NONE OF THOSE audio/RES0018.mp3[292.160,295.120] ANY BOWEL PROBLEMS LIKE DIARRHEA audio/RES0114.mp3[564.520,569.120] OK CONGRATS UM HOW MUCH DID YOU USED TO SMOKE audio/MSK0042.mp3[89.600,109.800] NO ITS NOT REALLY UH THAT PAINFUL ITS UH ITS IF I PRESS ON IT ITS A LITTLE BIT UNCOMFORTABLE BUT ITS NOT LIKE I WOULDNT CALL IT PAIN audio/RES0026.mp3[240.120,243.960] ITS ITS ABOUT THE SAME audio/RES0199.mp3[109.160,112.640] ITS KIND OF STAYED AROUND THE SAME ACTUALLY audio/MSK0023.mp3[225.520,234.440] OK I SEE OK AND IN TERMS OF OTHER SYMPTOMS ANY KIND OF CHEST PAIN SHORTNESS OF BREATH audio/RES0017.mp3[422.160,434.200] ALRIGHT AT NIGHT HAVE YOU HAD ANY PERIODS WHERE YOU WOKE UP EXTREMELY SHORT OF BREATH AND YOU HAD TO SIT ON THE EDGE OF THE BED WITH YOUR FEET OVER audio/CAR0003.mp3[333.920,337.640] OK HAVE YOU NOTICED ANY KIND OF FEVERS AT ALL audio/MSK0010.mp3[408.280,412.000] OK SO YOURE GETTING WORSE THING A PAIN AT NIGHT audio/RES0200.mp3[265.160,266.120] UH NO audio/RES0118.mp3[261.640,264.600] UH NO NOTHING LIKE THAT audio/RES0180.mp3[66.560,69.720] NO WHEEZING audio/MSK0028.mp3[590.520,607.360] OK AND UM DO YOU AND HOBBY WISE YOU MENTIONED LIKE WEIGHT LIFTING ARE YOU AN ACTIVE PERSON LIKE BODYBUILDING AND THAT SORT OF THING REGULARLY audio/RES0104.mp3[71.640,76.040] OK HAVE YOU FELT ANY KIND OF DIZZINESS OR FAINTING EPISODES audio/RES0135.mp3[153.400,157.240] NO NOTHING LIKE THAT audio/RES0191.mp3[168.800,170.960] HAVE YOU HAD A NIGHT SWEATS audio/GAS0002.mp3[24.480,38.200] SO ITS JUST IN THE UPPER RIGHT CORNER OF MY ABDOMEN RIGHT BELOW WHERE THE LUNGS ARE AND IT YEAH ITS JUST I HAVE THIS SEVERE PAIN THATS GOING ON audio/RES0015.mp3[320.320,323.040] OK ANY EYE PAIN audio/RES0043.mp3[258.720,265.640] OK AND ARE HIS SYMPTOMS GETTING WORSE audio/RES0056.mp3[389.840,395.640] NO I JUST TAKE SOME MULTI VITAMINS audio/MSK0004.mp3[224.840,227.960] NO JUST MY MY RIGHT ANKLE audio/RES0197.mp3[65.240,69.080] OK AND HOW HOW OFTEN HAVE YOU USED THE VENTILIN audio/RES0192.mp3[0.000,1.760] HOW MAY I HELP YOU audio/RES0171.mp3[373.560,377.280] NO I DONT audio/RES0001.mp3[215.320,223.480] NO NOTHING LIKE LIKE THIS BEFORE AT ALL I I HAVE NEVER HAD ANY ANY PROBLEMS LIKE THIS BEFORE audio/RES0198.mp3[212.920,218.800] OK ANY WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS RECENTLY audio/RES0027.mp3[458.720,464.880] ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE audio/RES0016.mp3[340.560,345.600] OK UM ANY DIZZINESS OR FAINTING SPELLS audio/RES0130.mp3[535.520,539.720] OKAY GOOD HOW ABOUT TRAVEL audio/RES0071.mp3[630.960,637.200] OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/RES0034.mp3[293.360,297.840] OK UH HOW ABOUT ANY VOMITING OR REGURGITATION audio/MSK0035.mp3[219.320,226.000] OK AND HOW ABOUT MUSCLE WEAKNESS audio/RES0138.mp3[456.640,460.000] HAVE YOU EVER SMOKED audio/RES0161.mp3[119.320,123.080] HAVE YOU HAD ANY DIFFICULTIES BREATHING audio/CAR0002.mp3[267.480,275.440] IT UHH IT DOES FEEL LIKE ITS BEATING FASTER RIGHT NOW IT USUALLY ONLY FEELS LIKE THIS WHEN IM PLAYING SPORTS audio/RES0018.mp3[73.120,76.120] ANYTHING YOUVE TRIED TO MAKE THE COUGH GO AWAY audio/RES0123.mp3[622.680,627.800] UH NO NOT THAT IVE REALLY NOTICED audio/RES0109.mp3[133.280,135.120] NO OK SO ITS CLEAR audio/RES0032.mp3[320.360,334.600] UH YEAH IM DOWN LIKE 15 POUNDS OVER THE LAST FEW MONTHS AND I HAVENT REALLY MADE ANY CHANGES TO MY DIET OR EXERCISE SO I HAVENT REALLY BEEN TRYING audio/RES0161.mp3[150.200,170.040] I ALSO LIKE I I DO ALSO FEEL LIKE A FULLNESS AND PRESSURE GOING INTO MY EARS AS WELL AND THEN IM NOT SURE BUT YESTERDAY I WAS FEELING A LITTLE WARM THROUGHOUT THE DAY I DIDNT GET A TEMPERATURE BUT I DONT KNOW IF I HAD A FEVER OR NOT audio/RES0091.mp3[244.200,248.960] OK ANY CHANGES IN YOUR BOWEL MOVEMENT LIKE DIARRHEA OR CONSTIPATION audio/RES0147.mp3[687.920,698.560] OK GREAT GREAT YEAH SO WELL BE WELL BE GIVING YOU SOME PUFFERS HERE AS WELL AND YEAH WELL SEE HOW THINGS GO DO YOU HAVE ANY QUESTIONS audio/RES0201.mp3[440.120,444.760] OK AND DO YOU SMOKE audio/RES0017.mp3[646.360,654.120] OK UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY audio/RES0071.mp3[66.600,75.360] OK LITTLE YELLOWISH OK AND HOW MUCH WOULD YOU SAY YOU BRING UP UM ON AN AVERAGE DAY audio/RES0116.mp3[592.720,601.800] NO OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS THAT YOU WANTED TO ASK ME TODAY BEFORE WE END THE INTERVIEW audio/RES0185.mp3[371.360,385.280] YEAH ILL HAVE UHM LIKE I DONT KNOW A FEW BEERS ON THE WEEKEND MAYBE SO I DONT KNOW MAYBE LIKE FOUR OR FIVE DRINKS PER WEEK audio/RES0033.mp3[358.280,361.600] OK ANY CHANGES TO YOUR WEIGHT audio/RES0134.mp3[158.320,161.760] ALRIGHT AND HAVE YOU HAD ANY WHEEZE audio/RES0004.mp3[611.440,629.480] UM YEAH IVE TRIED SOME TYLENOL AND ITS I I THINK WHAT IS IT ADVIL AND THAT DEFINITELY IS HELPED WITH SOME OF THE KIND OF ACHES AND PAINS BUT THEYVE COME RIGHT BACK audio/RES0215.mp3[319.480,323.840] SORRY 8 POUNDS 8 POUNDS audio/MSK0024.mp3[424.640,436.280] SO WHEN YOU PRESS YOUR HAND DOWN DOWN YOUR SPINE IS IT HURT AT ALL IN THE LOWER BACK WITH PALPATION audio/RES0028.mp3[360.480,370.920] MY LEFT LEG HURTS REALLY BAD RIGHT NOW BUT MY ENTIRE BODY HAS BEEN ACHY THESE PAST FEW DAYS audio/RES0061.mp3[353.760,362.680] YEAH BIT IN MY LIKE KIND OF UPPER ARMS AND LEGS A LITTLE BIT audio/RES0211.mp3[0.000,5.080] SO WHAT BRINGS YOU TO THE CLINIC TODAY audio/RES0053.mp3[214.520,235.280] NO NOT REALLY HES ABLE TO BREATHE I CANT REALLY HEAR HIM BREATHING THAT MUCH SOMETIMES AT NIGHT AFTER A BAD COUGH HELL BE REALLY WINDED AND YEAH IT DOES SOUND LIKE A LITTLE DIFFERENT WHEN HES BREATHING BUT JUST RIGHT NOW HE SOUNDS NORMAL audio/RES0099.mp3[592.800,595.040] NO IVE NEVER SMOKED audio/RES0006.mp3[211.960,217.600] OK AND HAVE YOU BEEN DOING ANYTHING THATS MADE IT BETTER audio/RES0047.mp3[926.120,928.520] ALRIGHT TAKE CARE audio/RES0187.mp3[104.000,113.960] OK AND IS IT HARD FOR YOU TO WALK LIKE USE YOUR ARMS DO YOU HAVE ANY SORT OF LIKE MOTOR WEAKNESS audio/RES0213.mp3[278.080,282.840] NO NO NOT BEFORE THIS audio/RES0202.mp3[447.160,456.360] OK UM SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM audio/MSK0045.mp3[450.360,466.080] OK ALRIGHT UM YEAH AND THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU IN TERMS OF JUST A PHYSICAL EXAMINATION UH WHEN YOU PRESS ON THE AREA THAT YOU DESCRIBE UM WHEN YOU PRESS AROUND THE AREA DOES IT HURT audio/RES0023.mp3[544.400,545.000] THANK YOU audio/MSK0043.mp3[753.160,757.080] AND ITS VERY RED AND SWOLLEN AND WARM AS WELL audio/RES0151.mp3[371.880,379.960] OK THATS GOOD AND UH ANY UH PRIOR HOSPITALIZATIONS OR SURGERIES audio/RES0061.mp3[161.800,164.640] OK NO BLOOD IN YOUR STOOL audio/RES0186.mp3[234.600,240.600] OK ALRIGHT ALRIGHT AND ARE YOU STILL EATING THE SAME OR A LITTLE BIT LESS audio/GAS0003.mp3[479.160,485.840] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/MSK0049.mp3[351.120,353.200] UH NO URINARY PROBLEMS audio/RES0019.mp3[487.000,489.920] JUST SEASONAL ALLERGIES audio/MSK0013.mp3[657.640,660.440] OK AND ANY SCARRING FROM ANY OF THE TRAUMA audio/RES0119.mp3[287.480,294.440] UM NO NO IT DOESNT WAKE HER UP AT NIGHT IT JUST MAKES IT HARD FOR HER TO FALL ASLEEP audio/RES0030.mp3[182.560,186.600] NO FEVER AND NO CHILLS audio/RES0073.mp3[302.920,307.040] HAVE YOU HAD ANY DIARRHEA audio/RES0087.mp3[251.960,254.480] NO CHEST PAIN audio/MSK0013.mp3[563.800,564.840] I AM audio/RES0096.mp3[228.600,231.160] OH YEAH OH YEAH audio/RES0031.mp3[5.240,9.480] SO I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING A SORE THROAT audio/RES0052.mp3[202.680,210.520] SHE JUST SOUNDS LIKE SHES CONGESTED audio/MSK0001.mp3[391.440,396.800] OK AND CURRENTLY RIGHT NOW UH DO YOU WORK audio/RES0102.mp3[182.760,193.480] OK AND WERE YOU IN CONTACT WITH ANYONE THERE THAT WAS SICK OR WAS HAVING SIMILAR SYMPTOMS AT ALL audio/RES0187.mp3[30.240,34.360] OK WHAT STARTED FIRST audio/MSK0032.mp3[340.160,344.040] UM NO ALLERGIES audio/RES0111.mp3[254.080,261.640] UHM I GOT MY APPENDIX REMOVED WHEN I WAS 13 audio/RES0007.mp3[780.080,783.640] EVERY TIME OR SOMETIMES audio/RES0011.mp3[577.600,590.880] UH NOT FOR A REALLY LONG TIME I I HAD MY GALLBLADDER OUT LIKE 20 YEARS AGO YEAH THATS IT audio/RES0205.mp3[19.280,30.120] YEAH I UM IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT JUST DOESNT GO audio/RES0129.mp3[59.840,65.520] I DONT KNOW IT SOUNDS KINDA LIKE A TYPICAL COUGH audio/RES0049.mp3[596.280,604.680] OK AND THEN UM I GUESS ILL ASK YOU ABOUT THE ALCOHOL UHM HOW MUCH DO YOU DRINK audio/GAS0003.mp3[363.040,368.720] NO I DONT THINK SO audio/RES0182.mp3[394.800,398.320] NO NOT SINCE I MOVED HERE audio/RES0147.mp3[367.080,368.000] UH NO I HAVENT audio/RES0177.mp3[81.720,86.360] OK WHAT COLOR IS THE SPUTUM audio/MSK0006.mp3[69.160,74.080] UM ITS UH PERSISTENT ITS IT IT DOES GET WORSE THOUGH DEPENDING ON WHAT WHAT IM DOING audio/RES0163.mp3[366.560,373.160] UH NO I DONT audio/RES0176.mp3[587.560,594.600] I DO ILL JUST DRINK ON THE WEEKENDS audio/RES0027.mp3[20.760,28.120] OK AH IS THE COUGH WITH THE COUGH HAVE YOU BEEN BRINGING UP ANY SPUTUM audio/MSK0026.mp3[433.080,437.720] AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0130.mp3[88.440,94.600] OKAY SURE UM AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH YOUR COUGH audio/RES0017.mp3[822.440,872.760] OK SO NEXT WELL DO YOUR PHYSICAL EXAM AND ORDER SOME INVESTIGATIONS BUT CURRENTLY THINKING THAT IT COULD BE RELATED TO ASBESTOS EXPOSURE AS WELL AS UM SOMETHING CALLED WELL IT COULD CAUSE PULMONARY FIBROSIS AND THEN ALSO THE JOINT PAINS THAT YOUVE BEEN EXPERIENCING MIGHT BE ANOTHER SYMPTOM THAT IS SUGGESTIVE OF A CONNECTIVE TISSUE DISEASE AND IT DOESNT SOUND LIKE YOU HAVE A FAMILY HISTORY OF THOSE BUT WE WILL DO SOME LAB WORK AND INVESTIGATIONS FOR FOR THOSE INCLUDING A CHEST XRAY AND A CHEST CT audio/MSK0005.mp3[600.000,603.280] OK DO YOU HAVE ANY ALLERGIES audio/RES0215.mp3[209.400,218.960] AND IN TERMS OF HOW SHES BEEN DOING HAS SHE BEEN KEEPING UP WITH HER PEERS IN TERMS OF EDUCATION AND HOW SHE MOVES HOW SHE ACTS audio/RES0195.mp3[349.920,355.120] UH NO audio/RES0096.mp3[373.280,375.160] ANY DIARRHEA OR CONSTIPATION audio/RES0166.mp3[208.920,211.280] UHM TWO DAYS AGO audio/RES0181.mp3[143.280,144.440] NO COUGH audio/RES0209.mp3[296.880,303.360] K DOES ANYONE THAT LIVES WITH YOU OR ANYONE THAT YOURE AROUND OFTEN HAS ANYONE BEEN SICK audio/RES0208.mp3[50.920,61.280] SO YOUVE JUST BEEN FEELING VERY TIRED CAN YOU I GUESS LIKE TELL ME A LITTLE BIT MORE ABOUT YOUR DIFFICULTY WITH BREATHING WHEN DOES IT HAPPEN audio/RES0134.mp3[305.960,310.520] OKAY AND UH HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN FATIGUED audio/RES0199.mp3[253.520,259.520] OK OK ALRIGHT AND ANY DIZZINESS OR FAINTING SPELLS audio/RES0089.mp3[30.480,32.520] OK AND YOURE ALSO COUGHING audio/RES0130.mp3[340.400,358.480] YEAH YEAH I REMEMBER GETTING ONE NOT TOO LONG AGO ACTUALLY WELL SEVEN YEARS AGO I GUESS NOW BUT I DIDNT REALIZE THAT WE UH HAD TO GET ANYMORE audio/MSK0036.mp3[444.440,446.640] NO OK audio/RES0208.mp3[282.160,286.520] OK ANY URINARY SYMPTOMS audio/RES0015.mp3[483.320,492.600] NO LEG SWELLING OK UM HOW ABOUT DO YOU FEELING LIKE YOUR HEARTS RACING audio/RES0084.mp3[413.960,416.480] NO NO WHEEZING audio/RES0215.mp3[226.920,228.480] UM YES audio/RES0185.mp3[409.800,415.000] YEAH JUST FINISHING UP SOME SCHOOL HERE IN TOWN audio/RES0155.mp3[134.480,146.320] YEAH WELL IM I STILL HAVE THIS LIKE UH CHEST DISCOMFORT UM SO WHILE WHILE SITTING HERE IT DOESNT FEEL UM LIKE MY BREATHING IS NORMAL audio/RES0190.mp3[534.480,544.200] OK AND NOW IN THE FAMILY ARE THERE ANY CONDITIONS SUCH AS HEART PROBLEMS OR LUNG PROBLEMS THAT RUN IN THE FAMILY audio/RES0003.mp3[162.960,169.200] NO AND HOW ABOUT IS HE COMPLAINING OF ANY BODY ACHES audio/RES0092.mp3[178.480,186.640] YEAH FOR THE MOST PART YEAH FEELING BETTER BUT I STILL HAVE A COUGH audio/RES0150.mp3[328.200,329.640] UM NOPE audio/MSK0036.mp3[586.920,595.120] I SEE AND YOU MENTIONED YOURE AN ACCOUNTANT ARE YOU WORKING RIGHT NOW audio/MSK0017.mp3[202.160,214.880] OK UH DID YOU GET ANY SORT OF TREATMENT OR MANAGEMENT FOR THAT PAIN UM BACK IN THE DAY audio/RES0007.mp3[552.520,559.320] YOU KNOW LIKE I LIVE WITH MY MOM AND DAD AND I LIKE MY LITTLE BROTHER audio/RES0116.mp3[285.840,290.320] NO COUGHING HOW ABOUT WHEEZING OR SHORTNESS OF BREATH audio/RES0109.mp3[251.440,253.800] UH WHEN I WAS 15 YEARS OLD audio/MSK0049.mp3[337.880,343.680] HOW ABOUT ANY ABDOMINAL PAIN audio/RES0100.mp3[668.200,672.760] HOW ABOUT DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS audio/RES0025.mp3[55.920,61.800] OK OK OK AND BEFORE THAT YOU WERE FEELING WELL audio/RES0179.mp3[365.760,377.240] OK YEAH UMM ALRIGHT AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED THAT YOU HAVE AFIB AND PROSTATE ISSUES ANYTHING ELSE audio/RES0137.mp3[422.400,429.920] UM HER DAD BUT HE HE DOESNT SMOKE IN FRONT OF HER audio/RES0104.mp3[516.800,520.400] NO NO audio/RES0020.mp3[2.840,17.360] SURE YOU KNOW IVE BEEN HAVING THIS CHEST PAIN FOR THE SINCE LAST NIGHT UM AND IM ALSO HAVING A HARD TIME BREATHING SO THOUGHT I SHOULD CHECK IT OUT audio/RES0127.mp3[476.880,479.800] I LIVE WITH MY MOM DAD AND MY YOUNGER BROTHER audio/RES0177.mp3[24.000,31.440] OK UHM BEFORE THE FEVER DID YOU NOTICE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE OR A STUFFY NOSE audio/RES0052.mp3[510.400,518.800] OK AND HOW ABOUT ANY GENETIC CONDITIONS OR CONGENITAL CONDITIONS IN THE FAMILY audio/RES0186.mp3[178.560,187.160] OK YEAH ALRIGHT UHM AND YOU DONT FEEL GASSY OR OR BLOATED audio/RES0113.mp3[308.280,311.800] UH I TAKE SOME MULTIVITAMINS THATS IT THOUGH audio/RES0147.mp3[2.080,13.160] IVE JUST HAD THIS COUGH THAT IT THAT HAS GOTTEN A LOT WORSE AND REALLY SHORT OF BREATH audio/RES0108.mp3[301.880,304.760] NO OK DO YOU SMOKE audio/RES0207.mp3[59.720,64.600] OK OK HAVE YOU HAD ANY FEVERS audio/RES0174.mp3[2.680,23.080] HI I JUST WANT TO TALK ABOUT THESE THESE TIMES WHEN I FEEL LIKE IM JUST IM SUFFOCATING AND I JUST CANT BREATHE ITS PRETTY SCARY AND I DONT KNOW WHATS GOING ON audio/RES0060.mp3[549.800,556.120] OK AND THATS WHEN YOU WERE TOLD YOU WERE PREDIABETIC audio/RES0106.mp3[289.000,292.720] IM JUST TAKING THIS BIRTH CONTROL PILL audio/RES0193.mp3[558.800,562.600] NO THERE ARENT ANY SMOKERS IN THE HOME audio/RES0110.mp3[464.520,470.840] YEAH IVE BEEN FEELING TIRED audio/RES0061.mp3[0.000,1.880] HOW ARE YOU audio/RES0033.mp3[520.760,523.680] NO NO NO NEVER BEEN HOSPITALIZED audio/RES0016.mp3[354.640,358.160] NOT THAT I KNOW OF NO audio/RES0167.mp3[79.520,87.960] OK SO YOURE SHORT OF BREATH AND HOW ABOUT WHEEZING DO YOU HAVE ANY OF THAT audio/RES0078.mp3[88.440,97.800] NO NOTHING LIKE THAT audio/RES0193.mp3[595.640,638.400] YEAH SO DEFINITELY THATS SOMETHING THATS AT THE TOP OF OUR HEAD RIGHT NOW ESPECIALLY DUE TO HIS AGE AND THE SYMPTOMS THAT HES BEEN HAVING AFTER EXERTION IN PARTICULAR AND THE FAMILY HISTORY OF ASTHMA AS WELL SO DEFINITELY THATS SOMETHING THAT WE WANT TO INVESTIGATE SO WHAT WELL DO FOR HIM IS FIRST WELL DO LIKE A FULL PHYSICAL EXAMINATION LISTEN TO HIS ALONGS AND JUST ASSESS HIS BREATHING AND THEN AFTERWARDS WE WILL ORDER SOME TESTS FOR HIM SO HES SIX YEARS OLD RIGHT audio/RES0136.mp3[403.880,410.840] I DONT THINK SO audio/RES0143.mp3[195.000,199.480] ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET audio/RES0071.mp3[645.840,647.640] YOU SAID ITS MORE THAN A WEEK NOW RIGHT audio/RES0006.mp3[253.440,258.520] OK AND YOU HAVE IT HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0110.mp3[402.400,413.080] OK OK DOES IT GET BETTER RIGHT AWAY AFTER YOU UM SORT OF STOP TAKING THAT DEEP STOP DOING DEEP BREATHING audio/MSK0021.mp3[869.200,872.320] IT DOES YEAH THANK YOU audio/RES0077.mp3[534.320,538.840] JUST KIND OF ALL OVER MY WHOLE BODY JUST KIND OF FEELS A BIT ACHY audio/RES0161.mp3[74.200,82.680] OK ALRIGHT AND DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A RUNNY NOSE OR SORE THROAT OR COUGH audio/RES0026.mp3[709.640,719.600] AHH NOT LIKE THE WHOLE TIME BUT THERE WOULD BE TIMES WHEN YOU KNOW PEOPLE JUST KIND OF BRUSHED BY YOU TO TRY TO GET AHEAD OF YOU OR SOMETHING LIKE THAT audio/RES0178.mp3[471.480,474.200] NO OK AND WHO DOES HE LIVE WITH audio/RES0104.mp3[317.960,326.160] OK AND THEN A FEVER TOO KIND OF A SENSATION OF YOUR HEART RACING AT ALL audio/RES0015.mp3[200.160,205.120] YEAH SOME OF THEM LIKE DONT REALLY HAVE THE SHORTNESS OF BREATH AND ITS JUST LIKE A COUGH audio/RES0032.mp3[144.480,150.680] DAILY OK IS THERE ANYTHING THAT MAKES YOUR COUGH GO AWAY OR GET WORSE audio/RES0013.mp3[385.600,389.840] OK SO YOURE NOT ON ANY MEDICATIONS audio/RES0019.mp3[549.280,555.360] I SOMETIMES TAKE SOME MARIJUANA EDIBLES BUT THATS ABOUT IT audio/RES0037.mp3[158.760,164.920] OK AND HOW MANY MONTHS WAS THAT WAS THAT ALSO LIKE TWO MONTHS AGO audio/RES0073.mp3[641.080,655.800] NO I THINK THATS ALL I JUST DIDNT KNOW IF I NEEDED ANY LIKE MEDICATIONS OR IF I NEEDED TO GET TESTED I JUST WANTED TO MAKE SURE audio/MSK0003.mp3[779.160,783.000] UHM IM 26 audio/RES0124.mp3[708.440,711.800] DOES IT WAKE YOU UP AT NIGHT audio/RES0111.mp3[302.640,306.040] OK ARE YOU UM CURRENTLY SEXUALLY ACTIVE audio/RES0036.mp3[414.640,421.920] OK ANY SIGNIFICANT WEIGHT LOSS RECENTLY audio/RES0037.mp3[143.640,152.320] OK I SEE WAS THERE ANYTHING THAT HAPPENED AROUND THAT TIME ANY NEW ENVIRONMENT THAT YOU WERE EXPOSED TO audio/RES0181.mp3[26.320,30.520] NEITHER ITS BEEN THE SAME audio/RES0163.mp3[359.280,360.200] NO NOT REALLY audio/RES0215.mp3[346.120,353.120] UH NO SHES BEEN GOING PRETTY FREQUENTLY AND SHES YEAH NO CHANGES THERE audio/RES0060.mp3[544.560,549.800] I THINK UH SIX MONTHS AGO audio/RES0174.mp3[578.560,586.120] ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES audio/RES0001.mp3[372.080,373.840] UM YEAH WELL SAY THAT THERE IS SWELLING audio/RES0152.mp3[349.080,352.200] NOT THAT I KNOW NO audio/RES0215.mp3[167.520,172.000] OK NOTHING LIKE THAT HAS SHE COMPLAINED OF ANY PAIN ANYWHERE audio/RES0166.mp3[211.280,220.240] TWO DAYS AGO OK AND WHAT WERE YOU IN THE HOSPITAL FOR audio/RES0096.mp3[356.080,359.840] ANY ANY WHEEZE audio/RES0147.mp3[378.880,387.160] OK UHM DO YOU HAVE ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY ALLERGIES TO MEDICATIONS audio/RES0042.mp3[361.080,370.400] OK THATS GOOD TO HEAR YOU MENTIONED YOURE ON BIOLOGICS FOR CROHNS DISEASE ARE THERE ANY OTHER MEDICATIONS THAT YOURE ON audio/RES0192.mp3[625.360,628.160] I AM audio/RES0149.mp3[225.800,229.760] HAVE YOU HAD ANY UH FEVERS OR CHILLS audio/RES0153.mp3[231.760,237.160] OK DO YOU FEEL LIKE YOURE BREATHING FASTER OR YOUR HEARTS BEATING FASTER audio/RES0064.mp3[345.680,350.040] OK HOW OLD WAS HE WHEN HE WAS DIAGNOSED WITH DIABETES audio/RES0159.mp3[598.480,603.160] YOURE WELCOME audio/CAR0004.mp3[48.240,51.640] I WOULD SAY ITS A SHARP PAIN audio/RES0015.mp3[528.720,535.520] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS audio/RES0037.mp3[115.760,129.000] UH ITS ABOUT THE SAME BUT IT DEFINITELY I WOULD SAY THERES A PINK TINGE IN THE SPUTUM NOW EVERY ONCE IN AWHILE IVE NOTICED MORE THAN THAN BEFORE audio/RES0066.mp3[172.360,180.040] THE SHORTNESS OF BREATH IS MORE WITH LIKE ACTIVITY WHEN IM WALKING AROUND audio/RES0029.mp3[392.160,401.680] YEAH ITS JUST LIKE SOMETIMES ON THE WEEKEND ILL JUST HAVE A BEER OR TWO WHILE WATCHING THE GAME BUT NOT NOTHING REGULAR audio/RES0053.mp3[189.840,195.120] OK DOES HE HAVE ANY SHORTNESS OF BREATH WITH HIS COUGH audio/RES0139.mp3[417.000,418.880] NO I DONT audio/RES0062.mp3[306.680,311.040] NO NOTHING LIKE THAT audio/RES0015.mp3[516.440,520.600] ANY DIZZINESS OR FAINTING SPELLS audio/RES0149.mp3[484.400,493.080] ALRIGHT AND CURRENTLY UH WHEREABOUTS ARE YOU LIVING AND UH WHO ARE YOU LIVING WITH audio/RES0176.mp3[57.440,62.640] AND HAS IT BEEN GETTING WORSE OR STAYING THE SAME audio/RES0092.mp3[97.520,105.080] OK OK UHM ITS JUST OK LAST WEEK WHAT ELSE WHAT OTHER SYMPTOMS DID YOU HAVE LAST WEEK audio/MSK0029.mp3[91.160,97.560] OK ALRIGHT AND IS THERE PAIN ANYWHERE ELSE ON YOUR BODY audio/RES0060.mp3[274.520,280.720] OK AND HOW HAVE YOUR BOWEL MOVEMENTS BEEN audio/RES0179.mp3[173.760,175.560] NOT REALLY NO audio/RES0021.mp3[475.760,485.120] ALRIGHT UH AND THEN CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/RES0215.mp3[526.680,528.360] AND SHES IN SCHOOL audio/RES0089.mp3[646.720,651.720] UH I4 THINK SO audio/RES0211.mp3[391.360,392.480] LIKE 14 NOW audio/RES0088.mp3[544.240,554.680] SO IT WAS HER UNCLE HE WAS DIAGNOSED WHEN HE WAS FORTY FIVE audio/MSK0041.mp3[335.200,342.080] OK AND HOW ABOUT YOUR ENERGY HAVE YOU HAD A FATIGUE OR MALAISE RECENTLY audio/RES0197.mp3[432.920,443.400] YEAH SO WHAT CAN I DO ABOUT THESE THESE SYMPTOMS SHOULD I CONTINUE TAKING MY PUFFERS audio/RES0027.mp3[166.760,170.280] NO NOTHING LIKE THAT audio/RES0129.mp3[455.080,461.600] UHH NO JUST WAS WONDERING WHAT WHAT MIGHT BE GOING ON audio/CAR0001.mp3[397.040,400.520] OK ANY PRIOR SURGERIES audio/MSK0020.mp3[378.800,383.360] OK ALRIGHT AND DO YOU HAVE ANY ALLERGIES audio/RES0097.mp3[615.440,623.120] OK UHM AND HAS ANYBODY IN THE ELSE IN THE FAMILY HAVE CYSTIC FIBROSIS audio/RES0150.mp3[215.120,222.520] ALRIGHT THATS GREAT UM AND HAS HE HAD ANY ANY ANY WHEEZING audio/RES0035.mp3[18.400,25.600] OK AND IS YOUR COUGH HAS IT BEEN A WET COUGH OR A DRY COUGH audio/RES0011.mp3[687.720,718.320] I DONT I DONT REALLY INTERACT WITH WITH MANY PEOPLE I KIND OF JUST GO THERE AND UM AND THEN YOU KNOW I STAYED IN A HOTEL BUT YOU KNOW I DIDNT REALLY SEE ANYONE BESIDES LIKE THE LADY THAT WORKS THERE AND MAYBE YOU KNOW THE PEOPLE AT THE MCDONALDS LIKE COUNTER I DIDNT I DIDNT LIKE SEE ANYONE THAT I KNOW THAT I SAT WITH FOR A LONG TIME OR ANYTHING audio/RES0070.mp3[215.640,220.880] UHM IVE HAD A BIT OF A SORE THROAT audio/CAR0003.mp3[564.480,571.360] OK AND AT HOME DO YOU CURRENTLY LIVE WITH ANYONE OR DO YOU LIVE BY YOURSELF audio/RES0196.mp3[134.080,136.720] UH 388 audio/MSK0038.mp3[307.320,311.640] OK UM ANY PAIN ELSEWHERE ON YOUR BODY audio/GEN0001.mp3[0.000,9.560] HI WHAT BRINGS YOU TO CLINIC TODAY audio/MSK0029.mp3[467.680,471.560] UH NO THAT MY APPETITES BEEN GOOD audio/RES0214.mp3[81.240,82.640] UM NO audio/MSK0025.mp3[36.360,42.440] OK AND SO THIS PAIN STARTED TWO MONTHS AGO BUT ITS PROGRESSED TO LIKE THESE OTHER SYMPTOMS AS WELL audio/MSK0036.mp3[697.440,718.120] SOME THERES DEFINITELY SOME DIABETES ON MY FATHERS SIDE BUT OTHER THAN THAT I THINK ONE OF MY AUNTS ON MY MOTHER SIDE HAD UM A HYSTERECTOMY FOR CANCER audio/RES0164.mp3[189.520,190.520] NO NO audio/RES0047.mp3[601.760,613.040] OK AND IN TERMS OF FAMILY HISTORY UH ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY audio/RES0106.mp3[504.280,513.400] I DONT KNOW I HAVE NOT REALLY HAD A PROBLEM BUT BEEN HERE AT THIS PLACE FOR ABOUT A YEAR AND A HALF audio/RES0059.mp3[549.280,557.680] SURE IS IT AN APARTMENT COMPLEX OR IS IT LIKE A FULL HOUSE audio/RES0195.mp3[657.840,660.920] ALRIGHT TAKE CARE audio/RES0135.mp3[559.960,566.560] OKAY HOW ABOUT A FAMILY HISTORY OF ANY CONGENITAL DISEASES OR UM ANY GENETIC DISEASES audio/RES0119.mp3[183.840,198.240] UH I CANT YOU KNOW I CANT TELL IT COMES AND GOES SO IN THAT SENSE ITS BEEN PRETTY CONSTANT UM THERE HASNT BEEN A DAY WHEN SHE HASNT HAD THESE SYMPTOMS audio/RES0021.mp3[553.680,563.640] OK UM AND HAS ANYBODY IN THE HOUSE BEEN SICK EITHER YOUR BOYFRIEND OR OR YOUR CHILDREN audio/RES0060.mp3[358.160,371.640] YEAH IVE HAD I THINK THEYRE CALLED TENSION HEADACHES I GET THOSE EVERY SO OFTEN AND WILL TAKE ADVIL OR SOMETHING LIKE THAT FOR THEM AND THEY USUALLY GO AWAY audio/RES0062.mp3[863.560,868.120] OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW audio/MSK0007.mp3[148.720,152.960] OK SO ITS A MOVEMENT OK AND STRAIGHTENING THE ELBOW audio/RES0119.mp3[568.560,583.440] YEAH SO WHAT WE SHOULD DO FOR HER RIGHT NOW IS SHES SEVEN YEARS OLD UM WHAT IM THINKING RIGHT NOW WITH HER SYMPTOMS ESPECIALLY COMING ON AFTER UH EXERTION BEING WORSE IN THE WINTER SHE MAY HAVE ASTHMA audio/RES0133.mp3[590.400,640.680] OKAY UM AND SO FOR IF IT IS A VIRAL INFECTION THEN UM ITS JUST SUPPORTIVE KIND OF MANAGEMENT SO THAT WILL MEAN TRYING TO STAY AS HYDRATED AS YOU POSSIBLY CAN OVER THESE NEXT UM NEXT FEW DAYS AND THEN ALSO YOU CAN USE THINGS LIKE IF THEY HELP LIKE LOZENGES OR SOMETHING ALONG THOSE LINES UM BUT IT WILL IT WILL JUST TAKE SOME TIME FOR IT TO COME BACK ON ITS OWN A FEW DAYS TO A COUPLE OF WEEKS SOMETIMES AND THE COUGH COULD POSSIBLY LAST FOR UM TWO TO FOUR WEEKS AFTER UM AFTER HAVING A VIRAL TYPE ILLNESS audio/MSK0041.mp3[106.520,128.720] UM NO I HAVENT REALLY TRIED ANYTHING IVE I CANT SEEM TO MOVE IT SO EVERY TIME I MOVE IT IT HURTS IM TRYING TO KEEP IT PRETTY STILL AND STATIONARY I TOOK AN IBUPROFEN THATS NOT THAT DOESNT SEEM TO HELP audio/RES0038.mp3[233.240,242.400] OK AND DO YOU HAVE ANY SYMPTOMS LIKE A HEADACHE OR NAUSEA OR VOMITING audio/RES0007.mp3[81.960,95.200] YEAH YEAH LIKE I WILL IF I IF I TRY TO RUN FAST LIKE I KINDA CANT BREATHE ANYMORE SO I KIND OF STOP OR GO SLOWER audio/RES0169.mp3[56.320,59.640] COUGH STARTED FOUR DAYS AGO audio/RES0028.mp3[203.600,216.960] NO NO NAUSEA OR VOMITING I DID TAKE MY TEMPERATURE NO SORRY I DID NOT TAKE MY TEMPERATURE BUT IVE BEEN HAVING CHILLS THE LAST FEW DAYS audio/RES0148.mp3[168.360,171.320] ANY UH DIARRHEA audio/RES0086.mp3[209.000,209.960] OK OK audio/RES0053.mp3[487.600,503.320] NO LONGSTANDING MEDICAL CONDITIONS YEAH NOTHING REALLY WE HAD A LITTLE BIT OF STAY IN THE NICU JUST BECAUSE HE WAS A LITTLE BIT UNDERWEIGHT BUT NO NOTHING REALLY audio/RES0193.mp3[541.920,554.320] SO ITS MYSELF AND MY WIFE WHICH HIS MOM AND SO ITS JUST US THREE AND WE LIVE IN A UM IN A HOUSE audio/RES0055.mp3[247.200,250.440] UMM NO I THINK THEYRE THE SAME audio/MSK0039.mp3[472.760,479.680] NO OK HAVE YOU DONE ANY TRAVEL RECENTLY audio/RES0046.mp3[175.760,178.800] UM SWELLING IN YOUR LIMBS audio/RES0199.mp3[275.320,283.080] ALRIGHT YOU MENTIONED YOU ALSO HAVE HAD DIARRHEA WHEN DID THAT START audio/RES0003.mp3[258.720,261.960] THOSE HAVE ALSO BEEN NORMAL audio/MSK0021.mp3[595.000,605.400] OK SO FROM A SITTING POSITION IM GOING TO GET YOU TO STAND UP UHM AND YOU LET ME KNOW IF THAT IS PAINFUL audio/RES0171.mp3[496.640,503.120] OK OK UHM AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT LONG RUN IN THE FAMILY audio/RES0092.mp3[127.000,136.240] SO THOSE OTHER SYMPTOMS THAT YOU HAD LAST WEEK THAT LASTED ABOUT THREE DAYS ARE THEY ALL GONE ARE YOU STILL FEELING FATIGUED OR HAVING A HEADACHE audio/RES0013.mp3[481.880,485.720] OH I GET THAT LIKE MY WIFE MY WIFE MAKES ME GET THAT audio/RES0153.mp3[450.720,452.720] NO NOT AT ALL audio/MSK0031.mp3[518.480,529.360] I THINK ITS A BIT BUT LOOK AT IT A BIT LIKE OUTWARD TURNING AND THEN YEAH I WOULD SAY ITS MORE OUTWARD TURNS audio/RES0056.mp3[303.000,307.680] JOINT PAIN OR MUSCLE ACHE audio/MSK0031.mp3[500.680,518.480] OK AND DOES ONE LIKE APPEAR TO BE SHORTER OR DOES DOES IT APPEAR TO BE MISALIGNED OR IN ANY SORT OF LIKE STRANGE POSITIONS LIKE OUTWARD TURNING OF YOUR LEG ONE COMPARED TO THE OTHER audio/RES0011.mp3[676.000,687.720] OK UH ANY ANYBODY YOU INTERACTED WITH THAT WAS SICK DO YOU BELIEVE audio/RES0152.mp3[268.840,274.080] OK UM AND HOW ABOUT ANY NAUSEA OR VOMITING audio/RES0206.mp3[690.720,692.360] YOUR WELCOME audio/MSK0001.mp3[254.520,258.040] UH APPETITES BEEN NORMAL audio/RES0003.mp3[279.280,287.120] OK AND HAS HE EVER EXPERIENCED ANY OF THESE SYMPTOMS BEFORE audio/RES0168.mp3[236.320,241.680] HOW ABOUT UMM HOW ABOUT LIKE DIZZINESS OR FAINTING audio/MSK0005.mp3[385.920,392.000] LOOKS THE SAME OK SO NO UM SKIN CHANGES OR DEFORMITIES THERE audio/RES0156.mp3[184.040,199.000] UH SHE HAS A UH A YOUNGER BROTHER THAT GOES TO DAYCARE UH AND I KNOW UM THOSE KIDS CAN BE SICK ALL THE TIME BUT UM HER BROTHERS BEEN OK audio/RES0111.mp3[215.280,254.080] OK WELL WE RECOMMEND THAT YOU YOU GET YOUR VACCINES AND UM ALSO THE UH HPV VACCINE UM ITS ITS BEST TO GET THE HPV VACCINE EARLIER ON ITS A LITTLE BIT LESS EFFECTIVE AS YOU UM GO PAST A CERTAIN AGE YOU ARE STILL OBVIOUSLY NOWHERE CLOSE TO THAT BUT ITS I I DONT BELIEVE ITS COVERED AFTER THE AGE OF 26 EITHER SO ITS BEST IF YOU GET IT DONE EARLIER AND LETS GO BACK TO YOUR SYMPTOMS THEN HAVE YOU HAD ANY SURGERIES audio/RES0066.mp3[427.920,438.800] NO WORRIES THEN WHEN YOU WENT HOME AND YOU WERE DISCHARGED DID THEY GIVE YOU ANY ANTIBIOTICS TO FINISH AT HOME audio/RES0166.mp3[231.000,235.200] OK SO HOW LONG WERE YOU IN THE HOSPITAL FOR audio/MSK0046.mp3[461.800,477.720] AND WITH YOUR OTHER HAND CAN YOU FROM ABOVE PUSH YOUR WRIST DOWNWARDS SO YOUR UH PINKY FINGER IS UH POINTING TO THE POINTING TO THE GROUND audio/MSK0043.mp3[321.360,332.640] OKAY OKAY UM SO YEAH WELL TAKE A TEMPERATURE OF YOUR UH FEVER AND SO ARE YOU ABLE TO FLEX OR EXTEND YOUR KNEE AT ALL OR IS IT VERY PAINFUL audio/RES0089.mp3[100.120,104.160] OK ANY KIND OF FEVERS AT ALL audio/RES0001.mp3[280.160,282.480] NO WEIGHT LOSS audio/RES0007.mp3[521.480,527.280] OK AND UH ARE IMMUNIZATIONS UP TO DATE audio/MSK0006.mp3[15.600,20.160] OK AND SORRY WHEN DID YOU SAY IT STARTED audio/RES0057.mp3[614.760,620.520] I WILL HAVE SOME WINE ON THE WEEKENDS MAYBE A GLASS OR TWO WITH DINNER audio/MSK0009.mp3[807.160,823.280] OK OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT THAT MAYBE I MISSED audio/MSK0014.mp3[226.880,243.800] I I DID HAVE LIKE A STEROID INJECTION TO THE SAME KNEE JUST A WEEK AGO BUT NO I I HAVENT FALLEN ON IT I HAVENT HAD ANY OPERATIONS audio/RES0209.mp3[560.160,562.480] OK GREAT THANKS audio/RES0078.mp3[400.640,404.800] NO OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN audio/RES0017.mp3[382.880,388.320] ALRIGHT HAVE YOU BEEN EXPERIENCING ANY CHEST PAINS audio/RES0090.mp3[595.200,597.200] OK GREAT THANK YOU audio/RES0194.mp3[125.520,133.440] PRESSURE OK AND HAVE YOU DO YOU ARE YOU ARE YOU SOMEONE THAT USUALLY HAS HEADACHES audio/RES0072.mp3[237.080,243.200] NO BUT IVE HAD A SORE STOMACH audio/RES0027.mp3[99.040,102.280] ITS JUST ALL DAY audio/MSK0042.mp3[237.520,242.800] HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING audio/RES0073.mp3[45.200,48.600] OK IS YOUR NOSE STILL RUNNING audio/MSK0045.mp3[281.720,285.840] UH YEAH I WOULD SAY SO audio/RES0031.mp3[510.640,520.120] JUST JUST ON THE WEEKENDS WHEN THERES A LIKE GET TOGETHERS AND PARTIES BUT THROUGHOUT THE WEEK I I DONT DRINK ANYTHING audio/MSK0008.mp3[27.440,36.720] OK AND AND THIS STARTED RIGHT AFTER THE KICK AT SOCCER audio/RES0111.mp3[25.920,39.040] WELL CHECK THAT HERE THEN AND UH DO YOU OK SO YOUVE HAD THIS SORE THROAT FOR FOUR DAYS AND A FEVER HAVE YOU HAD ANY DIFFICULTY SWALLOWING audio/DER0001.mp3[573.400,579.120] LAST COUPLE OF WEEKS IVE BEEN SMOKING MORE MAYBE LIKE 2 PACKS A WEEK audio/RES0077.mp3[703.360,710.360] OK UH AND WHATS YOUR LIVING SITUATION LIKE audio/RES0135.mp3[434.000,439.760] OKAY AND WAS IT A FULL TERM DELIVERY AND VAGINAL OR CSECTION audio/RES0057.mp3[160.440,166.720] I TRIED SOME OVER THE COUNTER STUFF BUT IT DIDNT HELP audio/MSK0005.mp3[517.800,530.240] SO LIKE TWIST YOUR UM ARM INWARDS SO THAT YOUR PALM IS FACING THE FLOOR audio/MSK0050.mp3[427.440,433.400] OK EXCELLENT AND UM DO YOU SMOKE CIGARETTES audio/RES0108.mp3[333.960,347.520] NO NO IVE JUST BEEN STAYING AT HOMEIM JUST SCARED OF COVID BUT IM IM STILL WORRIED I MIGHT HAVE SOMEHOW GOTTEN IT audio/RES0060.mp3[642.280,646.120] JUST ROSUVASTATIN RIGHT NOW audio/RES0056.mp3[274.400,278.440] CONFUSION OR MEMORY LOSS audio/RES0111.mp3[344.640,347.240] YES I WOULD SAY SO audio/RES0194.mp3[379.880,387.120] OK ANY ALLERGIES TO ANY ENVIRONMENTAL FACTORS OR FOODS audio/RES0046.mp3[589.360,591.160] YEAH THATS CORRECT YEAH audio/RES0164.mp3[113.960,117.800] ITS ON HIS FACE IT STARTED THIS MORNING audio/RES0030.mp3[266.720,267.880] UM NO BOWEL ISSUES audio/RES0065.mp3[172.120,178.760] I GUESS SWALLOWING FOODS MAKES IT WORSE OR AT LEAST ITS PAINFUL audio/RES0177.mp3[410.640,415.200] UH NO NOTHING LIKE THAT audio/RES0023.mp3[88.960,94.680] OK AND HE IS THERE ANYTHING THAT SEEMS TO MAKE IT WORSE OR BETTER audio/RES0208.mp3[246.760,248.960] NO NO I HAVENT audio/RES0188.mp3[266.840,294.000] YEAH HE WAS HE WAS PREMATURE BY THREE WEEKS SO OTHER THAN THAT LIKE I REMEMBER WHEN HE WAS BORN THEY DID HAVE EARLIER SOME ISSUES WITH HIS OXYGEN NOT BEING HIGH ENOUGH AND THEY HAD TO LIKE KEEPING KEEP US IN THE HOSPITAL FOR A BIT LONGER audio/RES0171.mp3[480.840,484.520] NO DONT USE ANYTHING LIKE THAT audio/RES0059.mp3[446.720,452.640] OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/MSK0015.mp3[566.520,573.240] OK AND WHAT DO YOU GUYS DO FOR WORK audio/RES0008.mp3[22.280,26.200] OK UM HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE audio/RES0089.mp3[259.280,260.360] UH NO audio/RES0108.mp3[183.920,189.880] OK CONSTIPATION AND IM SORRY WHEN DID YOUR CONSTIPATION START audio/RES0090.mp3[196.560,211.480] I HAVE BEEN FEELING CHILLS AND UHM I HAVENT ACTUALLY TAKEN MY TEMPERATURE BUT I FEEL HOT SO ITS POSSIBLE THAT I HAVE A FEVER audio/RES0091.mp3[84.800,87.240] NO NOTHING LIKE THAT audio/RES0205.mp3[332.800,334.320] SURE THATS NO FUN audio/RES0116.mp3[364.840,380.280] YEAH HES PRETTY HEALTHY THERE HAVE BEEN NO CONCERNS AT ALL THAT WEVE HAD FOR THE DOCTOR UH HES BEEN GROWING WELL UM MEETING ALL OF HIS MILESTONES UM YEAH NO NOTHING THATS CONCERNING audio/RES0044.mp3[398.640,404.160] UM NO LIKE IVE BEEN JUST TIRED audio/MSK0001.mp3[89.120,99.000] UH ANYTIME I I MOVE OR BEND MY BACK OR UH EVEN COUGH IT IT WORSENS THE PAIN SIGNIFICANTLY audio/MSK0020.mp3[682.800,694.640] OK OK SO SOME STIFFNESS ON HIP EXTENSION HOW ABOUT WHEN YOU BEND YOUR HIPS ALL THE WAY audio/RES0196.mp3[151.200,154.280] NO NOT THAT IVE NOTICED audio/CAR0004.mp3[377.400,383.600] I LIVE WITH MY PARENTS WELL MY MOM NOW IN A HOUSE audio/RES0037.mp3[272.200,279.400] OK BESIDES THE PAIN TINGED SPUTUM HAVE YOU EVER COUGHED UP BLOOD LIKE RED BLOOD audio/RES0194.mp3[542.200,543.640] NO IM NOT A SMOKER audio/RES0136.mp3[624.480,682.720] OKAY SO YEAH DEFINITELY WITH THE COUGHING AND SHORTNESS OF BREATH WE WILL DEFINITELY GET A COVISWAB TEST DONE UM THAT SHOULD COME BACK IN THE NEXT 24 TO 48 HOURS AND THEN PUBLIC HEALTH WILL CONTACT YOU UM YEAH BASED ON WHAT YOURE TELLING ME SO FAR WE WILL DEFINITELY DO A PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION AND EVERYTHING DONE BUT I ALSO THINK SINCE YOU WERE VERY DROWSY AND WERE HAD FALLEN ASLEEP AND WERE REALLY DIFFICULT TO WAKE UP SOMETIMES YOU CAN GET WHATS CALLED ASPIRATION PNEUMONIA UM AND THATS THAT CAN ALSO BE A POSSIBILITY AND WHAT WE WILL DO IS GET A CHEST XRAY GET SOME BLOOD WORK DONE AS WELL TODAY UM NOW WE MAY REQUIRE ANTIBIOTICS AND IF YOUR VITALS UNSTABLE WE MIGHT ACTUALLY ADMIT YOU AS WELL UM DOES THAT SOUND GOOD audio/MSK0011.mp3[658.040,665.400] OK OK AND IF YOU PRESS ON ARE YOU GETTING ANY BONY PAIN IN THAT AREA LIKE IF YOU PRESS ON A BONE audio/RES0080.mp3[34.840,40.000] AND SINCE THAT TIME HAS THE SHORTNESS OF BREATH BEEN GETTING WORSE OR STAYING THE SAME audio/MSK0015.mp3[879.200,881.280] OK SOUNDS GOOD THANK YOU SO MUCH audio/RES0056.mp3[568.440,572.320] ARE YOU CONCERNED ABOUT THAT audio/RES0094.mp3[70.080,81.600] NO IT IT IS A BIT SORE UHM TO SWALLOW SO IT TAKES ME A LITTLE BIT LONGER TO EAT BUT IVE BEEN ABLE TO STILL STILL EAT audio/MSK0044.mp3[150.560,167.320] OKAY AND DO YOU NOTICE ANY POINT NEAR YOUR SHOULDER LIKE CLAVICLE AREA THAT HAS ANY BRUISING SWELLING LOOKS LIKE RED ANYTHING LIKE THAT audio/RES0019.mp3[124.360,127.120] NO NO audio/RES0149.mp3[152.080,154.040] AND WHEN DID YOU FIRST NOTICE THIS PAIN audio/RES0055.mp3[310.880,316.280] NO THATS ALL FINE audio/RES0160.mp3[322.720,327.720] OK AND UH DO YOU I I GUESS WHO DO YOU LIVE WITH AT HOME audio/RES0072.mp3[548.400,564.560] YEAH SO WE LIVE IN A HOUSE WITH MY PARENTS AND YOUNGER BROTHER AND WEVE BEEN BOTH BACK AT SCHOOL NOW PART TIME AND DOING SOME OF IT AT HOME ONLINE AS WELL audio/MSK0023.mp3[265.840,273.040] OK IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH IN THE PAST audio/RES0036.mp3[317.480,320.200] I GUESS WHEN IM COUGHING A LOT audio/RES0101.mp3[378.640,383.400] NO IVE NEVER HAD ANYTHING LIKE THAT BEFORE audio/RES0035.mp3[169.200,179.960] OK AND UM HOW OFTEN ARE YOU COUGHING ARE YOU COUGHING THROUGHOUT THE DAY OR IS IT MORE SO DURING THE DAY AND THEN OR MORE AT NIGHT audio/RES0108.mp3[222.960,226.520] OK HOW LONG HAVE YOU HAD DIABETES audio/RES0042.mp3[112.640,118.720] NO OK UHM ANY CHEST PAIN audio/MSK0037.mp3[814.080,825.520] NO NOT THAT I KNOW OF audio/RES0026.mp3[531.200,536.240] OK ANY REASONS FOR HOSPITALIZATIONS audio/RES0095.mp3[576.760,583.760] ALRIGHT UHM HAVE YOU BEEN AROUND ANYBODY WHO YOU THINK MIGHT HAVE BEEN SICK audio/RES0074.mp3[150.440,167.200] YEAH DIARRHEA ALSO STARTED AROUND 3 DAYS AGO I NORMALLY GO 1 OR 2 TIMES A DAY BUT NOW IM GOING LIKE 6 OR 7 TIMES A DAY AND ITS ALL USUALLY PRETTY WATERY audio/RES0131.mp3[204.360,211.760] OKAY YEAH THAT MAKES SENSE UM HAVE YOU HAD ANY FEVERS RECENTLY audio/RES0165.mp3[250.720,254.320] MAYBE TWO DAYS AGO audio/MSK0022.mp3[801.200,822.720] OK UM YEAH SO THOSE ARE JUST SOME OF THE QUESTIONS I HAD FOR YOU NOW I JUST WANTED TO ASK A FEW QUESTIONS REGARDING JUST PHYSICALLY EXAMINING THE JOINTS THAT HURT SO WHEN YOU LOOK AT THOSE JOINTS DO YOU NOTICE ANY KIND OF SWELLING REDNESS OR WHEN YOU FEEL ANY WARMTH TO THEM audio/RES0146.mp3[221.440,230.800] OK ANY BELLY PAIN audio/RES0095.mp3[615.640,628.360] OH YEAH EVERYONE IN MY FAMILY HAS HIGH BLOOD PRESSURE MY MOM HAD A HEART ATTACK MY BROTHER HAD A HEART ATTACK MY SISTER HAD A HEART ATTACK EVERYONE EVERYONE HAS HEART PROBLEMS audio/RES0012.mp3[340.760,344.360] SO ITS A LITTLE STUFFY MAYBE A LITTLE audio/RES0024.mp3[362.720,368.120] OK AND AS YOUR BOYFRIEND BEEN SICK AT ALL audio/RES0061.mp3[441.680,446.600] NO NO ITS PRETTY SIMILAR TO HEADACHES THAT IVE HAD BEFORE audio/RES0205.mp3[205.360,211.120] NO BUT I GUESS LIKE SOMETIMES WHEN IM COUGHING TOO MUCH MY CHEST HURTS A LITTLE BIT audio/MSK0033.mp3[426.880,434.920] I DO YEAH MY I GET ALONG WELL WITH MY PARENTS AND WE YEAH BUT MY PARENTS ARE GREAT audio/MSK0021.mp3[445.080,456.960] SO I LIVE WITH A COUPLE OF ROOMMATES AT SCHOOL JUST FINISHING UP MY UNDERGRADUATE DEGREE audio/RES0126.mp3[442.680,448.560] OH I SEE AND AND DID YOU HAVE TO USE ANY OXYGEN IN THE HOSPITAL audio/MSK0022.mp3[442.200,451.800] I SEE OK ANY KIND OF A UM NIGHT SWEATS AT ALL audio/RES0171.mp3[274.760,281.040] YEAH I HAVE HAD ACTUALLY YEAH MY RIGHT MY RIGHT CALF IS PRETTY SORE audio/RES0011.mp3[298.720,308.480] NOT REALLY JUST LIKE KIND OF TIRED BUT ITS NOT LIKE HARD TO BREATHE audio/RES0069.mp3[59.160,72.440] OK UH ANY LIKE CHANGES THAT UHM OTHER SYMPTOMS THAT YOUVE BEEN HAVING WITH THE SORE THROAT audio/RES0172.mp3[198.120,200.760] UH NO NOTHING LIKE THAT audio/RES0166.mp3[605.400,606.440] WELCOME TAKE CARE audio/RES0110.mp3[416.200,422.240] IT DOESNT HURT OK GOOD UM ALRIGHT AND ANY UH BELLY PAIN audio/RES0113.mp3[51.560,57.360] UM ANY UH NO BLOOD OR ANY UM SPUTUM UM COMING UP RIGHT audio/RES0014.mp3[205.520,207.920] NO NOTHING LIKE THAT audio/MSK0044.mp3[263.640,271.800] NO SHORTNESS OF BREATH KIND OF KNOCKED THE WIND OUT OF ME AT AT FIRST BUT IM OKAY NOW audio/RES0121.mp3[56.160,64.080] OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS RUNNY NOSE UM ANY COLD LIKE SYMPTOMS audio/RES0107.mp3[643.440,660.400] UH WEVE GOT ALL OF WE GOT OUR CARPETS UH REMOVED UH TWO YEARS AGO THATS ACTUALLY HELPED UH WITH HIS SYMPTOMS UH AND I KNOW WE TRIED IT WE REMOVED THE CURTAINS AS WELL AND WEVE USED BLINDS SO YEAH audio/RES0004.mp3[304.520,308.760] YEAH I FELT SO SOME MUSCLE ACHES FOR SURE audio/MSK0014.mp3[527.320,533.200] OK UH ARE YOU CURRENTLY WORKING OR UH ARE YOU RETIRED audio/RES0179.mp3[699.120,704.320] OK YEAH NO PROBLEM audio/RES0087.mp3[436.680,439.600] OK HOW OLD WAS HE WHEN WAS DIAGNOSED WITH CELIAC audio/RES0066.mp3[272.880,276.360] AND ANY RECENT TRAVEL audio/RES0176.mp3[173.000,176.640] WERE YOU REALLY SHORT OF BREATH AT THE TOP OF THE STAIRS audio/MSK0014.mp3[729.400,748.560] OK AND ANY INSTABILITY WHEN TESTING THE ACL OR PCL WITH THE ANTERIOR AND POSTERIOR KIND OF TRANSLATION TEST PULLING AND PUSHING IT audio/RES0064.mp3[155.720,162.600] OK UM AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING audio/MSK0022.mp3[557.200,571.400] OK UHM AND IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS audio/MSK0046.mp3[455.120,459.800] AND THEN BRING YOUR UH ARM OUT audio/RES0167.mp3[118.360,122.120] NO NOT A SORE THROAT audio/RES0007.mp3[944.600,946.720] K THANK YOU audio/RES0187.mp3[2.000,30.240] HI IM JUST COMING IN HERE TODAY BECAUSE IVE BEEN JUST ON WALL RECENTLY OVER THE LAST I WOULD SAY THREE TO FOUR DAYS I STARTED GETTING THESE LIKE REALLY BAD MUSCLE PAINS ALL THROUGHOUT MY BODY AND THEN OVER THE PAST FEW DAYS IVE ALSO BEEN FEELING CHILLY SO UHM I WONDER IF I HAVE A FEVER AND IVE ALSO JUST BEEN HAVING THIS COUGH FOR THE LAST FEW DAYS AS WELL audio/RES0007.mp3[578.120,584.160] AND IM IN GRADE 11 audio/RES0034.mp3[656.360,660.640] NO JUST THE LIGHT TREATMENT BUT OTHER THAN THAT NOTHING audio/RES0057.mp3[352.120,357.880] HAVE YOU NOTICED ANY RASH ANYWHERE ON YOUR BODY audio/RES0052.mp3[582.600,588.680] THAT SOUNDS GREAT THANK YOU audio/MSK0041.mp3[98.880,106.520] OK AND AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED THATS MADE THE PAIN BETTER audio/RES0130.mp3[379.240,381.400] UH I DONT THINK SO audio/RES0024.mp3[402.440,411.240] LIKE OCCASIONALLY WE WILL LIKE DO AN EDIBLE OR SOMETHING BUT I DONT SMOKE IT audio/RES0147.mp3[522.240,529.880] IM SURE WHAT ABOUT WHAT ABOUT THINGS LIKE WALKING DO YOU USE A CANE OR A WALKER audio/RES0090.mp3[211.480,216.800] OK AND DO YOU DO YOU HAVE ANY SIGNIFICANT WEIGHT LOSS AT ALL IN THE PAST FEW WEEKS audio/RES0061.mp3[950.560,963.960] ALRIGHT GREAT audio/RES0033.mp3[140.920,160.080] OK UM SO ITS BEEN THE COUGH HAS BEEN HAPPENING ON AND OFF UP UNTIL FOUR DAYS AGO IT SOUNDS LIKE UH IS THE COUGH HAPPENING DAILY NOW audio/RES0029.mp3[303.680,306.640] ANY ALLERGIES TO MEDICATIONS audio/MSK0021.mp3[542.080,546.200] OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR KNEE CAPS audio/MSK0037.mp3[911.920,913.480] OK SOUNDS GOOD audio/RES0124.mp3[248.200,252.640] ITS USUALLY UH ITS USUALLY DRY audio/MSK0019.mp3[433.440,447.160] OKAY ALRIGHT AND THEN IM GONNA GET YOU TO PRESS DOWN ON CERTAIN AREAS OF YOUR RIGHT ARM SO YOU CAN START WITH THE BACK OF YOUR ELBOW DOES THAT HURT audio/RES0007.mp3[104.440,117.840] IF I STOP DOING LIKE THE THING IM DOING IT I I DONT KNOW NOT VERY LONG LIKE COUPLE OF MINUTES audio/RES0090.mp3[144.200,146.080] YEAH THATS RIGHT audio/GAS0002.mp3[18.600,24.480] OK AND SO UH WHEN WHERE IS THIS PAINTING LOCATED EXACTLY audio/RES0172.mp3[255.760,265.800] OK UHM ANY CHANGES IN YOUR URINATION ANY DIFFICULTIES OR ANY PAIN OR ANY INCREASE IN FREQUENCY audio/RES0095.mp3[558.360,560.680] NOT ANYMORE audio/RES0018.mp3[63.680,66.840] OK ANYTHING THATS MADE THE COUGH WORSE audio/RES0110.mp3[238.160,239.760] DID YOU LEAVE THE STOVE ON audio/RES0070.mp3[32.120,41.680] OK AND WHEN THE HEADACHE STARTED WAS IT LIKE A THUNDER CLAP KIND OF WORST HEADACHE OF YOUR LIFE WHEN IT CAME ON audio/RES0170.mp3[439.560,464.120] YEAH YEAH HES BEEN GOING TO SCHOOL HE HASNT REALLY BEEN HE HASNT MISSED WELL HES MISSED ONE OR TWO DAYS ACTUALLY BECAUSE OF THE COUGH LIKE ON NIGHTS THAT HE JUST DIDNT SLEEP WELL SO IN THE MORNING HES JUST WELL NOT NOT FEELING GOOD FOR SCHOOL SO HE HAS MISSED A COUPLE OF DAYS OVER THE LAST FEW MONTHS audio/RES0110.mp3[525.560,544.520] OK IVE GOT TO SAY ITS QUITE IMPRESSIVE THAT YOU KNOW UH THE WORD DVT MOST PATIENTS DONT KNOW THAT audio/RES0065.mp3[242.120,246.480] UMM YEAH IVE BEEN FEELING REALLY TIRED audio/RES0072.mp3[395.280,405.000] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK OR ANY RECENT TRAVEL AT ALL audio/MSK0003.mp3[654.720,657.520] NO CIGARETTES NO NEVER audio/RES0043.mp3[105.400,122.480] SORRY ITS BEEN MORE LIKE 3 THREE DAYS LIKE WEDNESDAY IS WHEN HE CAME HOME AND THEN AND THEN TODAYS FRIDAY SO YEAH SORRY audio/RES0201.mp3[278.240,291.760] OK OK TASTE TWO DAYS AGO HAS IT BEEN ON AND OFF OR HAS IT BEEN KIND OF CONSTANTLY LIKE A REDUCED SENSE OF TASTE audio/RES0114.mp3[599.560,602.720] OK UM ARE YOU UM LIVING WITH ANYONE RIGHT NOW audio/RES0094.mp3[14.320,18.600] HMM UHM WHEN DID THIS START audio/MSK0050.mp3[50.800,56.840] UM ITS PARTICULAR ITS THE WORST ON MY THUMB AND INDEX FINGER audio/RES0062.mp3[351.320,359.520] NO LOSS OF TASTE BUT IVE NOTICED YEAH MY SMELL HAS BEEN KIND OF FUNNY audio/RES0078.mp3[216.440,225.680] YEAH WHEN I LIKE UH TAKE A DEEP BREATH OR AFTER AFTER I COUGH IVE BEEN HAVING SOME CHEST PAIN audio/MSK0035.mp3[102.520,109.400] OK AND HOW WOULD YOU DESCRIBE THE PAIN IS ITS A SHARP PAIN DULL PAIN ACHY audio/CAR0005.mp3[417.960,437.320] YEAH I SMOKE ABOUT HALF A PACK TO A PACK PER DAY IVE BEEN TRYING TO QUIT AND I WAS SMOKING MORE ONE PACK PER DAY BUT SO IT IS DOWN A LITTLE BIT BUT ITS STILL SOMETHING IM TRYING TO WORK ON audio/GAS0007.mp3[40.080,43.880] CAN YOU TELL ME KIND OF WHERE YOURE FEELING THE PAIN THE MOST audio/MSK0003.mp3[662.560,667.920] SOMETIMES YEAH ILL HAVE A BEER OR TWO ON WEEKENDS OR OR A COCKTAIL WITH FRIENDS audio/RES0195.mp3[411.200,417.200] OK OK AND HAVE YOU HAD ANY EXPOSURE TO ANY FUMES DUST ANIMALS OR PETS IN YOUR ENVIRONMENT audio/RES0004.mp3[820.840,821.880] UH I I THINK SO YEAH audio/RES0204.mp3[55.320,59.000] FOR YEAH FOUR TO FIVE DAYS ISH YEAH audio/RES0058.mp3[426.040,430.840] YEAH I GUESS SO MAYBE audio/MSK0019.mp3[566.000,570.840] EVEN WITH UH LIKE THE WRIST UM STRAIGHTENED OUT audio/RES0135.mp3[141.000,142.440] UH NO NO BLOOD audio/RES0049.mp3[239.600,243.880] OK HOW ABOUT FATIGUE audio/RES0171.mp3[383.400,387.440] UH NO I LIVE WITH MY HUSBAND AND AND OUR TWO SONS audio/RES0063.mp3[169.920,176.360] NO NO SHORTNESS OF BREATH OR WHEEZING audio/RES0177.mp3[338.720,347.600] OK OK AND HOW ABOUT THE DELIVERY ITSELF ANY COMPLICATIONS DURING THAT THAT POINT audio/RES0100.mp3[569.200,571.840] OK DO YOU TAKE ANY MEDICATIONS REGULARLY audio/RES0106.mp3[88.560,92.280] DULL PAIN IN THE MIDDLE OF MY CHEST THEN IT GOES AWAY audio/RES0074.mp3[305.600,309.520] NO NOT REALLY audio/RES0063.mp3[124.200,128.120] ANY WEIGHT LOSS OVER THE PAST FEW WEEKS audio/RES0214.mp3[167.960,175.320] UM MY HUSBAND HAS ALSO BEEN EXPERIENCING SIMILAR SYMPTOMS FOR THE PAST WEEK audio/RES0032.mp3[176.640,183.080] YES IVE BEEN WORKING IN THE PHILIPPINES FOR THE LAST THREE YEARS audio/CAR0002.mp3[150.480,168.320] UH IVE FELT A LITTLE BIT UH SHORT OF BREATH OR HAVING DIFFICULTY BREATHING SINCE YESTERDAY WHEN THE SORRY SINCE THE PAIN STARTED BUT UH JUST THE DIFFICULTY BREATHING audio/RES0201.mp3[383.000,387.840] UM I HAVE MILD COPD audio/RES0216.mp3[242.880,247.360] OK SO YOU HAVE ASTHMA DO YOU USE ANY PUFFERS AT THE MOMENT audio/MSK0017.mp3[778.360,780.760] YEAH NOTHING LIKE THAT audio/MSK0040.mp3[440.760,444.800] OK AND ARE YOU CURRENTLY IN SCHOOL audio/RES0105.mp3[558.360,561.120] NO I HAVENT ONLY BROUGHT ISSUES LIKE THAT audio/MSK0041.mp3[185.880,193.680] OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE AND IN YOUR TOES OR OR ANY OF YOUR OTHER JOINTS audio/RES0084.mp3[222.440,234.520] NO IM NOT USUALLY ONE TO GET HEADACHES MY WIFE SHE GETS MIGRAINES BUT LIKE I RARELY EVER HAVE HEADACHES audio/MSK0018.mp3[385.760,387.240] YEAH IT HURTS A LOT audio/MSK0040.mp3[554.840,572.760] OK AND SO I NEXT WANTED TO MOVE TO THE PHYSICAL EXAM COMPONENT AND ASK YOU TO HAVE A LOOK AT YOUR ANKLES AND ARE YOU SEEING ANY SWELLING OR REDNESS OR DISCOLOURATION audio/MSK0043.mp3[739.200,748.560] OKAY AND YEAH WE WERE JUST TALKING ABOUT SOME OF UH LIKE THE MOVEMENT BUT YOURE SAYING YOU HAVE PAIN WITH ANY KIND OF MOVEMENT AT ALL RIGHT audio/RES0121.mp3[25.840,28.200] UH ITS DRY audio/RES0051.mp3[198.440,209.040] I DONT KNOW ABOUT FEVERS I GUESS I WAS FEELING A LITTLE BIT HOT LAST NIGHT BUT I DIDNT TAKE MY TEMPERATURE audio/MSK0010.mp3[713.560,741.720] OK THAT SENSATION IS NORMAL REFLEXES ARE NORMAL AND STRENGTH IS SLIGHTLY REDUCED AS WELL OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK ON THE PHYSICAL EXAM AS WELL WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY THAT I MAYBE FORGOT audio/RES0148.mp3[237.440,242.320] I DONT THINK SO audio/RES0214.mp3[123.760,129.600] NOW HAVE YOU HAD ANY CONTACT WITH ANYONE WHOS BEEN SICK IN THE LAST LITTLE WHILE audio/MSK0009.mp3[272.600,279.280] OK OK HAVE YOU HAD ANY FEVERS OR CHILLS audio/RES0022.mp3[71.760,78.040] OK AND WHEN DID THE SHORTNESS OF BREATH SYMPTOMS START COMING ON audio/RES0023.mp3[138.200,141.680] WOULD YOU SAY YOU HAVE YOUVE HAD A SORE THROAT audio/GAS0005.mp3[618.920,624.400] OK AND HAVE YOU TRAVELED ANYWHERE audio/RES0216.mp3[47.760,51.680] I THINK ITS STAYING THE SAME audio/RES0198.mp3[149.880,153.080] NO HES BEEN FINE audio/RES0214.mp3[513.920,515.160] NO I HAVENT audio/RES0123.mp3[306.040,307.480] UH NO audio/RES0021.mp3[619.120,628.080] HOW ABOUT ANY RELATIVES WITH OVARIAN OR COLON CANCER audio/RES0089.mp3[651.720,658.320] OK YEAH SO OTHER THAN THAT ARE YOU ON ANY OTHER MEDICATIONS audio/RES0068.mp3[84.240,89.160] OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS audio/RES0007.mp3[527.280,538.800] I THINK SO LIKE IVE HAD ALL THE STUFF THAT IM SUPPOSED TO I THINK I DONT KNOW THE NAMES OF EVERYTHING audio/RES0017.mp3[521.560,524.200] NO NOT THAT I KNOW OF audio/RES0203.mp3[375.040,381.000] UM I HAVE TAKEN EDIBLES BEFORE BUT ALSO NOT VERY REGULARLY audio/RES0118.mp3[189.560,193.000] ANY SORE THROAT OR MUSCLE ACHES audio/RES0022.mp3[764.480,778.320] OH HES BEEN WELL HE SAID HE LIKE HE HAD A BIT OF A SCRATCHY THROAT BUT I DONT THINK HES HE HASNT REALLY FELT SICK I DONT THINK audio/RES0056.mp3[402.800,406.440] OK HOW ABOUT ALLERGIES audio/RES0034.mp3[687.560,691.440] NO EVERYTHING CAME BACK CLEAR ALL THE TESTS WERE NORMAL audio/RES0162.mp3[449.720,455.880] DO YOU TAKE ANY MEDICATIONS FOR THAT audio/RES0121.mp3[262.200,269.400] OKAY UM ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RELATED TO THE HEART LUNGS ANY CANCERS AT ALL audio/RES0009.mp3[641.520,647.560] UM MAYBE A GLASS OF WINE ON LIKE THE WEEKENDS BUT NOT OTHER THAN NO audio/MSK0022.mp3[702.080,717.000] YEAH IVE BEEN WORKING AS A ADMINISTRATOR SO ITS BEEN TOUGH ON THE COMPUTER WITH WITH HOW MY HANDS HAVE BEEN CAUSING ME PAIN audio/RES0048.mp3[593.280,601.600] I DID HAVE MY APPENDIX REMOVED PROBABLY IN MY 20S BUT UH THAT WAS THE ONLY THING audio/RES0181.mp3[160.640,162.240] NO CHEST PAIN audio/RES0110.mp3[668.120,673.000] OK AND ARE YOU UM IS THERE ANYBODY ELSE IN THE HOUSE ANY PETS ANIMALS audio/RES0029.mp3[216.720,222.960] NO IVE BEEN PRETTY PRETTY HEALTHY RECENTLY NO NO COUGH OR NO INFECTIONS audio/RES0125.mp3[143.160,148.480] OKAY AND IS THERE ANY ANYTHING THAT MAKES IT BETTER OR WORSE audio/RES0153.mp3[522.240,527.000] UH NO I DONT THINK SO audio/RES0055.mp3[288.760,290.480] NO HEADACHES audio/RES0188.mp3[96.240,99.800] I THINK SO I MEAN NOTNOTHING REALLY CAME OUT audio/RES0188.mp3[104.200,107.920] OK AND DID HE SEEM WHEEZY audio/RES0122.mp3[244.080,245.480] NO NOT AT ALL audio/RES0168.mp3[456.520,458.360] NO THEYRE FINE audio/RES0195.mp3[296.040,297.400] OK ANY HEADACHES audio/RES0003.mp3[528.600,541.640] OK AND WHATS THE RELATIONSHIP LIKE BETWEEN ALL OF YOU ANY DOMESTIC ISSUES OR ARE THINGS OK audio/RES0055.mp3[140.920,147.840] OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE audio/MSK0032.mp3[268.440,271.560] SHES BEEN HEALTHY SO FAR NO CONCERNS AT ALL audio/RES0203.mp3[123.960,132.360] OK IS THERE HAVE YOU DONE ANYTHING TO TRY TO MAKE IT BETTER HAVE YOU TAKEN ANY OVER THE COUNTER MEDICATIONS OR audio/RES0175.mp3[391.120,394.200] OK WELL CONGRATULATIONS ON QUITTING THATS GREAT audio/RES0133.mp3[443.720,458.240] ALRIGHT AND UM IN THE HOME IS THERE ANY UH LIKE ARE YOU EXPOSED TO ANY VIOLENCE OF ANY SORT LIKE PHYSICAL OR EMOTIONAL EITHER YOURSELF OR OR WITNESSING audio/RES0119.mp3[584.320,611.760] AND ALTHOUGH SHE DOESNT HAVE ANY FAMILY HISTORY OF IT IT CAN HAPPEN WITHOUT FAMILY HISTORY AS WELL UM SO WE WOULD LIKE TO UH TRY AND DO UH WHATS CALLED A PULMONARY FUNCTION TEST THAT WILL HELP US KIND OF UNDERSTAND UH IF SHE HAS UM ASTHMA OR NOT AND THEN WE CAN TRY HER ON UM ITS CALLED A SHORT ACTING BETA AGONIST SO ITS A PUFFER audio/RES0170.mp3[620.600,630.400] UHM NO YEAH I WAS JUST WONDERING ABOUT SO LIKE THE WHEEZING AND ALL OF THAT COULD BE WITH FROM ASTHMA TOO audio/MSK0035.mp3[171.440,178.320] OK AND HAVE YOU DONE ANYTHING THATS THATS MADE THE PAIN WORSE audio/RES0215.mp3[358.920,363.640] UH NO I HAVENT NOTICED ANY PHLEGM NO audio/GAS0003.mp3[499.360,519.440] YES SO INITIALLY IT WOULD COME AND GO BUT NOW SO FOR THE FIRST 2 HOURS IT WOULD COME AND GO AND WHEN I WOULD HAVE THIS PAIN WHEN I WAS EATING IT WOULD COME AND GO BUT OVER THE PAST SIX HOURS ITS JUST BEEN CONSTANT audio/RES0034.mp3[280.400,288.560] OK UH DID YOU NOTICE ANY TUGGING OR PULLING AT HER EAR audio/RES0199.mp3[339.960,347.400] UHM ITS USUALLY I FEEL LIKE WHATEVER I EAT YEAH CONTENTS FOOD CONTENTS audio/MSK0026.mp3[361.280,369.000] OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0018.mp3[478.800,485.520] OK HAS HAVE YOU TRAVELED ANYWHERE OR HAS ANYBODY IN YOUR OFFICE BEEN BEEN TRAVELING ANYWHERE audio/RES0183.mp3[287.520,289.240] UH NO audio/CAR0003.mp3[63.280,70.440] OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE COUGH OR CHEST PAIN audio/RES0135.mp3[102.640,108.760] OKAY UH IS SHE BRINGING UP ANY ANY PHLEGM OR SPUTUM audio/RES0059.mp3[354.600,358.440] OK AND THEYRE FINE NO ONE IS SICK audio/CAR0005.mp3[452.480,462.840] UM I DO BUT UH ILL HAVE MAYBE ONE OR TWO GLASSES OF WINE ON THE WEEKEND audio/MSK0017.mp3[598.960,609.240] KIND OF JUST YEAH ON THE LOWER UH LOWER RIGHT SIDE LIKE MORE ON THE MORE ON THE RIGHT SIDE audio/RES0146.mp3[254.920,262.360] DID YOU GET TESTED DO YOU KNOW IF YOU WENT TO SEE A DOCTOR OR WAS HE TESTED FOR COVID audio/RES0030.mp3[92.800,100.280] I CANT THINK OF ANYTHING THAT TRIGGERS THE COUGH JUST WORSE WHEN I GET UP IN THE MORNING audio/RES0200.mp3[257.560,260.760] CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0207.mp3[405.080,408.880] NO I DONT audio/RES0037.mp3[407.120,419.520] NO I I WAS KIND OF SURPRISED I THOUGHT I WOULD HAVE GAINED WEIGHT CAUSE IVE BEEN A BIT MORE LAZY RECENTLY BUT THE WEIGHT SEEMS TO BE DOWN ANYWAY audio/RES0006.mp3[470.360,473.040] NO NO PETS audio/RES0132.mp3[231.120,235.600] OKAY UM AND HAVE YOU HAD ANY ABDOMINAL PAIN audio/RES0144.mp3[175.400,189.240] OK AND UH IN TERMS OF HIS ACTIVITIES YOU MENTIONED THAT HES NOT AS HES NOT MOVING AND AS ACTIVE AS HE USUALLY IS audio/RES0029.mp3[207.440,211.480] OK AND DO YOU HAVE A COUGH audio/RES0179.mp3[288.200,291.520] UHM CHANGES IN YOUR BOWEL MOVEMENT audio/RES0020.mp3[182.880,186.840] YEAH MAYBE MAYBE A SLIGHT WHEEZE audio/RES0151.mp3[387.520,398.000] UM IVE JUST BEEN TAKING LIKE TYLENOL COLD BUT ITS NOT REALLY BEEN HELPING TOO MUCH audio/RES0120.mp3[162.320,167.560] UM THEYRE PRETTY CONSTANT audio/RES0189.mp3[678.400,686.360] UHM NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD AND EVERYTHING WAS COVERED audio/RES0099.mp3[580.440,584.120] OK AND HAVE YOU TRAVELED ANYWHERE audio/RES0123.mp3[83.120,86.080] UH PROBABLY LIKE A 7 audio/RES0058.mp3[745.600,754.200] NO I LIVE IN A NICE PLACE ITS USUALLY LIKE REALLY CLEAN audio/GAS0001.mp3[469.880,473.720] OK WHEN WAS THE LAST DRINK THAT YOU HAD audio/RES0081.mp3[460.640,468.360] OK AND WHEN WAS HIS LAST ASTHMA EXACERBATION audio/MSK0037.mp3[519.600,529.800] OK AND SORRY AS A CONSTRUCTION WORKER I HAVE YOU HAD ANY LIKE ANY PUNCTURE WOUNDS TO YOUR HANDS OR ANYTHING THAT LIKE ANY LIKE SLIVERS OR THINGS THAT HAVE GONE INTO THE SKIN audio/RES0070.mp3[474.880,482.480] OK AND YOU DIDNT FEEL THAT YOU HAD ANY TRIGGERS TO YOUR MIGRAINES AT THAT TIME audio/RES0102.mp3[580.760,589.000] OK AND ARE ANY OF THEM SICK AT ALL OR HAVE ANY SIMILAR SYMPTOMS audio/RES0024.mp3[473.800,483.000] LIKE MY LIKE MY UNCLE UM HAD LIKE PROSTATE CANCER audio/RES0027.mp3[122.040,128.360] OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS audio/RES0184.mp3[296.120,299.720] UH NO IVE BEEN PRETTY HEALTHY audio/RES0196.mp3[41.320,44.640] OK WHEN WAS THEIR LAST EAR INFECTION DO YOU REMEMBER audio/RES0034.mp3[53.240,60.000] OK SO HAS THERE BEEN A PERIOD WHEN SHE HASNT HAD A FEVER OR A COUGH audio/RES0180.mp3[217.640,221.960] OK ANY CHANGES IN YOUR VISION OR HEARING audio/GAS0001.mp3[235.240,249.720] AH NO I DONT THINK SO WELL MY STOMACH HAS BEEN LIKE IT FEELS LIKE A LITTLE CRAMPY I THOUGHT THAT MAYBE IT COULD BE MY PERIOD BUT LIKE IM NOT ON MY PERIOD audio/RES0024.mp3[411.240,418.760] OK AND ANY OTHER RECREATIONAL DRUGS LIKE COCAINE MDMA audio/RES0147.mp3[250.200,252.960] FEVERS OR CHILLS audio/CAR0003.mp3[462.240,467.240] SOMETHING LIKE A STENT OR SOMETHING audio/MSK0038.mp3[478.200,493.480] SO UM RIGHT NOW I JUST LIVE ON MY OWN ACTUALLY IM UM JUST FINISHING UP MY MY MY MASTERS UM AND JUST LIVE IN A SMALL APARTMENT audio/CAR0003.mp3[590.280,594.240] OK AND CURRENTLY DO YOU SMOKE audio/RES0179.mp3[377.240,385.080] UH YEAH LIKE HIGH BLOOD PRESSURE AND UH YEAH UH JUST HIGH BLOOD PRESSURE audio/RES0086.mp3[148.520,156.920] OK SO ITS MOSTLY WHEN YOURE EXERCISING OR WITH ACTIVITIES audio/RES0064.mp3[34.640,45.080] HAVE YOU TAKEN A LOOK INTO HIS THROAT IS IT RED DO YOU SEE ANY YELLOW STREAKING WHITE STUFF ANYTHING LIKE THAT audio/RES0059.mp3[72.040,81.800] OK SO WE CAN TAKE YOUR TEMPERATURE TODAY ANY CHEST PAIN audio/RES0190.mp3[339.240,344.840] OK UHM HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS audio/RES0043.mp3[394.920,398.680] OK ANY CHANGES IN HIS URINE audio/RES0213.mp3[258.680,265.680] OK IS THERE ANYTHING SPECIAL ABOUT THE LAST COUPLE OF WEEKS THATS MADE YOU MORE STRESSED THAN PREVIOUSLY audio/RES0150.mp3[306.440,310.280] NO HES PRETTY HEALTHY audio/RES0132.mp3[445.200,448.720] UH NO I QUIT TWO YEARS AGO audio/RES0028.mp3[442.040,445.160] NO SURGERIES audio/RES0126.mp3[21.520,33.880] TWO MONTHS OF DIFFICULTY BREATHING AND THE COUGH IS GOTTEN WORSE IVE HAD A COUGH FOR A COUPLE YEARS NOW IM A SMOKER audio/RES0216.mp3[247.360,262.000] YEAH I JUST USE THE ONE THAT UM I TAKE EVERY DAY I DONT REALLY USE THE UHM THE ONE THATS AS NEEDED BECAUSE I JUST HAVENT HAD TO IN A REALLY LONG TIME SO I DIDNT REFILL MY LAST ONE audio/RES0098.mp3[191.120,193.440] NO NO NAUSEA OR VOMITTING audio/GAS0004.mp3[468.600,471.520] UM NO I DONT audio/RES0028.mp3[47.040,50.280] I THINK AT 6 audio/RES0064.mp3[124.880,131.240] OK OK HAVE YOU NOTICED ANY SWELLING IN IN THE NECK AREA audio/RES0081.mp3[587.480,600.680] UHM NO I DONT THINK SO I DONT THINK THERE WAS ANYONE THAT WAS SICK audio/RES0179.mp3[512.680,525.280] I SMOKE ABOUT A PACK PER DAY AND I GUESS PROBABLY EVEN SMOKING NOW FOR I MEAN I I GUESS LIKE 60 YEARS ALMOST MAYBE LONGER audio/CAR0003.mp3[158.680,173.640] OK GREAT AND IN TERMS OF HOW MANY FLIGHTS OF STAIRS YOU CAN CLIMB BEFORE YOU START FEELING BREATHLESS DO YOU HAVE A NUMBER audio/RES0080.mp3[40.000,54.920] YEAH SO INITIALLY IT WAS JUST IT WAS JUST CLIMBING STAIRS YOU KNOW BUT THEN AFTER THAT I MEAN THIS MORNING I WAS JUST SHORT OF BREATH GOING TO THE BATHROOM audio/RES0113.mp3[222.600,224.560] UH NO NO CONFUSION audio/RES0012.mp3[708.800,710.160] NO NO audio/CAR0005.mp3[50.800,58.360] NO I DONT REALLY FEEL IT ANYWHERE ELSE YEAH I JUST FEEL IT IN THAT ONE SPOT ON THE LEFT SIDE audio/RES0079.mp3[275.760,278.880] UHM YEAH NO NO MEDICATIONS I DONT THINK SO audio/RES0208.mp3[585.720,589.240] THATS WHAT I WAS WORRIED ABOUT audio/MSK0040.mp3[326.880,331.480] ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0131.mp3[234.400,238.960] NO IVE BEEN MY WEIGHTS BEEN PRETTY STABLE audio/MSK0018.mp3[178.400,188.560] UM UM NOT ANYTHING THAT IVE TRIED THATS MADE IT BETTER WORSE IS PROBABLY JUST IF I TRY TO MOVE IT AT ALL audio/RES0176.mp3[578.480,583.680] DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS audio/GAS0001.mp3[563.520,570.760] YOURE WELCOME audio/RES0180.mp3[279.800,286.880] OK CHANGES TO YOUR APPETITE audio/MSK0028.mp3[744.880,745.240] YEAH YEAH audio/RES0101.mp3[321.800,323.520] NO WHEEZING audio/RES0107.mp3[409.000,413.880] NO HES NEVER BEEN DIAGNOSED WITH LIKE ECZEMA OR ASTHMA audio/RES0117.mp3[223.280,227.240] NO I HAVENT UM TRIED ANY MEDICATIONS audio/RES0007.mp3[771.280,776.760] OK AND DO YOU USE A CONDOM audio/RES0039.mp3[465.360,478.960] UH WELL I I MEAN MY MY APPENDIX WAS TAKEN OUT A FEW MONTHS AGO AND SO I GUESS AFTER THAT I WELL MAYBE WASNT EATING AND EATING AS MUCH BUT I MEAN I WASNT REALLY TRYING TO LOSE WEIGHT audio/RES0065.mp3[29.960,34.680] OK AND HOW ABOUT THE FEVER audio/MSK0026.mp3[596.880,610.400] OK AND ARE YOU HAVING PAIN TO LIKE PALPATION IS THERE A SPECIFIC SPOT YOU CAN PRESS ON THAT CAUSES A SHARP PAIN audio/RES0196.mp3[124.560,127.560] UM ANY FEVERS OR CHILLS audio/MSK0046.mp3[438.800,440.320] NO GO AHEAD audio/RES0182.mp3[424.920,431.800] I MEAN ITS PRETTY COMMON IN SRI LANKA NONE OF MY IMMEDIATE FAMILY MEMBERS WERE audio/RES0058.mp3[21.160,28.720] OK WHEN YOU SAY THE PAST COUPLE OF DAYS DO YOU MEAN TWO DAYS THREE DAYS FOUR DAYS audio/RES0086.mp3[328.240,332.600] STUFFY NOSE RUNNY NOSE CHANGES IN YOUR TASTE audio/RES0011.mp3[270.600,277.520] OK HAS THAT HAPPENED MORE THAN THAT THAT ONE TIME audio/RES0174.mp3[264.240,267.000] HAVE YOU HAD ANY NIGHT SWEATS audio/RES0028.mp3[176.320,179.640] UM NO audio/RES0152.mp3[307.960,314.280] UM NO NOTHING LIKE THAT audio/RES0108.mp3[279.080,282.920] UH YEAH I THINK SO audio/RES0203.mp3[286.320,293.200] OK HAVE YOU EVER HAD ANY SURGERY OR BEEN HOSPITALIZED FOR ANOTHER REASON audio/RES0022.mp3[830.040,835.000] OK SO VERY IT SOUNDS OCCASIONALLY MAYBE A DRINK A WEEK audio/RES0134.mp3[236.960,239.840] AND HOW MANY PILLOWS DO YOU SLEEP WITH audio/RES0160.mp3[414.760,417.240] WHAT DO YOU TAKE audio/MSK0004.mp3[41.160,44.200] INWARDS YEAH I FEEL LIKE I INVERTED MY ANKLE audio/RES0013.mp3[347.160,353.480] OK AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED YOU HAVE HIGH BLOOD PRESSURE ANYTHING ELSE audio/RES0022.mp3[415.840,418.160] OH NO I DIDNT GO TODAY audio/RES0178.mp3[74.000,76.280] OK WHEEZINESS audio/CAR0003.mp3[339.720,345.960] OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS BEEN ILL RECENTLY audio/MSK0008.mp3[343.120,345.000] NO NO NOT THAT I KNOW OF audio/RES0170.mp3[181.680,185.520] ALRIGHT ANY FEVERS audio/RES0192.mp3[42.960,56.760] SO IVE HAD THIS SHORTNESS OF BREATH LIKE AT FIRST IT WAS PRETTY MILD IT STARTED ABOUT FOUR MONTHS AGO BUT OVER THE PAST MONTH OR SO ITS BEEN ITS BEEN WORSE audio/RES0214.mp3[413.800,417.200] UNDERSTOOD AND HAVE YOU EVER USED IV DRUGS audio/MSK0028.mp3[812.920,830.800] YEAH THE SHOULDER SEEMS TO BE OK I AM ABLE TO LIFT UP BUT ITS JUST IF I TRY TO MOVE MY UPPER ARMS AT ALL IT HURTS A LOT audio/RES0012.mp3[929.080,939.960] SEE I NEVER COME IN BESIDES LIKE BECAUSE I YOU KNOW NEED MY INSULIN I NEVER EVEN GO TO THE I DIDNT EVEN WANT TO COME IN AND JUST LIKE IT WASNT GOING AWAY audio/MSK0005.mp3[173.040,182.120] ITS BEEN GETTING WORSE OK OK UM HAVE YOU TRIED ANY LIKE TOPICAL OINTMENTS OR ANYTHING LIKE THAT FOR IT audio/RES0183.mp3[544.720,547.160] YEAH THATS RIGHT audio/RES0056.mp3[233.960,235.200] DOK CHEST PAIN audio/RES0022.mp3[208.200,214.760] UM PRETTY YEAH YEAH IM PRETTY SURE I COULDNT REALLY TASTE MY BREAKFAST audio/RES0065.mp3[350.960,355.600] AND WHEN DID YOU GET DIAGNOSED WITH CROHNS audio/RES0093.mp3[42.560,49.760] ITS KIND OF UH LIKE YELLOWISH GREEN TYPE COLOR audio/MSK0019.mp3[198.800,200.240] UH NO audio/RES0012.mp3[307.960,310.680] NO I MEAN ID LIKE TO BUT NO NO audio/RES0141.mp3[300.800,306.720] OKAY ANY ALLERGIES TO MEDICATIONS FOODS OR ANY ENVIRONMENTAL ALLERGIES audio/RES0089.mp3[0.000,3.760] CAN YOU TELL ME WHAT BROUGHT YOU IN HERE TODAY audio/RES0131.mp3[537.880,541.040] OKAY AND IS EVERYONE AT HOME HEALTHY audio/RES0136.mp3[692.200,694.200] ALRIGHT OKAY audio/RES0208.mp3[552.040,585.720] OK ALRIGHT UH SO IT SOUNDS LIKE YOU HAVE SOME SORT OF AN INFECTION WITH THE FEVERS AND FATIGUE AND MUSCLE ACHES AND THEN THE DIFFICULTY BREATHING OF COURSE AND THEN YOUR SENSATION THAT SENSATION THAT YOU ARE HAVING A VERY COOL SORT OF A SORE THROAT AND COUGH THAT YOU MIGHT BE GETTING WE CANT NECESSARILY RULE OUT COVID JUST YET audio/RES0144.mp3[82.120,96.320] UH YEAH SO LAST NIGHT IT WAS REALLY HARD TO GET HIM TO SLEEP HE DID SLEEP I WOULD SAY LIKE AROUND LIKE 4 HOURS LAST NIGHT BUT IT WAS REALLY DIFFICULT audio/RES0192.mp3[473.840,508.120] UM WERE GIVEN A UM PERSONAL PROTECTIVE EQUIPMENT UM FOR THOSE CONCERNS BUT WHEN I WAS YOUNGER I USED TO WORK A IN SHIPYARDS AND CONSTRUCTIONS AND LIKE OLD BUILDINGS AND STUFF AND I KNOW THERE WAS SOME CONCERN FOR NOT BEING AH PROPERLY EQUIPPED WITH THE RIGHT EQUIPMENT FOR PROTECTION AND SAFETY AT THAT POINT SO UH YEAH ITS POSSIBLE IVE BEEN EXPOSED TO SOME THINGS audio/RES0111.mp3[97.560,101.040] OK HAVE YOU HAD ANY DIFFICULTIES BREATHING audio/RES0125.mp3[424.240,426.000] COLON CANCER audio/RES0012.mp3[579.720,580.760] OK YEAH ALRIGHT audio/RES0199.mp3[118.400,125.640] NOT REALLY I DONT REALLY GET TOO MANY HEADACHES audio/RES0050.mp3[571.520,623.240] YEAH CERTAINLY SO UMM IT IT SOUNDS LIKE IT COULD BE MAYBE A VIRAL INFECTION THAT I BROUGHT ON THIS COUGH AND WORSEN THE SPUTUM THIS COULD BE A BACTERIAL INFECTION IT COULD BE A COPEXACERBATION AND ALSO ONE OF THE OTHER THINGS THAT WE WOULD HAVE TO CONSIDER RIGHT NOW IS COVID AS WELL AND SO WE WILL DO A PCR NASAL SWAB FOR COVID AND A CHEST XXRAY AND SOME OTHER INVESTIGATIONS AS WELL AND UHM WE WILL TRY TO GET TO THE BOTTOM OF WHATS CAUSING YOUR YOUR SHORTNESS OF BREATH audio/RES0103.mp3[211.200,217.400] OK ANY CHEST PAIN THAT SHES DESCRIBED audio/RES0197.mp3[241.360,243.840] HE NO NOTHING LIKE THAT audio/RES0149.mp3[43.680,62.720] UM IT WAS KIND OF AFTER I WOKE UP AND I WAS SORT OF UM JUST WALKING AROUND THAT I I NOTICED THAT I WAS FEELING SHORT OF BREATH JUST WALKING AROUND WHICH WAS SO WEIRD YOU KNOW THAT THAT DOESNT REALLY HAPPEN TO ME audio/RES0004.mp3[770.560,784.800] OK ALRIGHT SO YOU MENTIONED YOURE NOT SEXUALLY ACTIVE IF YOU WERE TO BE MAKE SURE YOU USE PROTECTION UM AND OK SO EVERYTHING AT audio/RES0045.mp3[221.200,225.840] YEAH FOR SURE UM OK AND ANY CHEST PAIN audio/RES0182.mp3[41.080,47.560] OK SO AND HAVE YOU BEEN TRYING TO LOSE WEIGHT audio/RES0213.mp3[391.680,405.000] I DONT OH SORRY NO NOTHING ELSE I JUST I THOUGHT I WAS KIND OF WHEN I WAS IN HIGH SCHOOL I HAD THOSE AND THEN I REALLY HAVENT FOR A LONG TIME BUT UM LATELY I FELT LIKE THIS LIKE I COULD MAYBE GET THEM AGAIN audio/RES0103.mp3[251.720,256.240] OK UHM HAS SHE LOST ANY WEIGHT RECENTLY audio/RES0086.mp3[560.320,573.920] NO I DONT DRINK ALCOHOL NO DRUGS YEAH IM PRETTY I LIKE TO STAY VERY FIT AND HEALTHY SO NOTHING LIKE THAT audio/MSK0032.mp3[522.120,526.400] OKAY HOW ABOUT HER BICEPS AND TRICEPS audio/RES0026.mp3[657.320,661.880] OK AND HOW ABOUT IS THERE ANYBODY AT WORK audio/RES0064.mp3[307.840,310.520] NO NOT THAT I KNOW OF audio/MSK0034.mp3[62.840,78.000] SURE UM WE WERE PLAYING SOCCER ON LIKE A FIELD AND I AND I JUST FELL ON THE GRASS LIKE IT WAS A FLAT SURFACE audio/RES0180.mp3[409.240,428.640] NO I I DONT THINK SO I MEAN IVE BEEN WORKING FROM WELL SOME DAYS IVE HAD TO GO INTO THE OFFICE FOR WORK BUT IVE BEEN MOSTLY JUST WORKING FROM FROM HOME audio/RES0160.mp3[445.720,452.080] ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY audio/RES0016.mp3[117.800,123.040] OK OK UM AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS audio/RES0057.mp3[137.160,147.120] OK AND THERES NO SPUTUM PRODUCTION WITH IT ANYTHING COMING UP AT ALL audio/MSK0044.mp3[271.800,285.880] OKAY I SEE THATS GOOD UM OKAY AND OTHER THAN UH SO NO MEDICAL CONDITIONS DO YOU TAKE ANY MEDICATIONS AT ALL audio/RES0011.mp3[773.920,776.400] NO NO audio/CAR0005.mp3[482.240,489.320] NO IVE NEVER BEEN TOLD IVE IVE HAD HIGH BLOOD PRESSURE audio/RES0037.mp3[332.480,344.240] OK AND ONCE YOU CAME BACK DID ANYONE ELSE IN YOUR FAMILY GET SICK OR WAS IT JUST YOU audio/RES0200.mp3[330.080,331.280] UH NO audio/RES0004.mp3[321.440,328.680] OK YEAH AND OR DO YOU HAVE ANY HEADACHES audio/RES0039.mp3[29.280,33.960] OK BUT HAVE YOU BEEN COUGHING RECENTLY audio/RES0077.mp3[190.040,202.280] OK AND HAVE YOU HAD ANY KIND OF LIKE SWELLING IN YOUR CALVES OR PAIN IN YOUR CALVES AT ALL audio/RES0187.mp3[0.000,2.000] WHAT BRINGS YOU IN audio/MSK0033.mp3[239.400,246.840] NO ITS KIND OF COME ON ON ITS OWN NO FALLS OR LIKE TRAUMA TO THE KNEE audio/RES0100.mp3[835.240,838.680] THANK YOU audio/RES0124.mp3[202.880,206.040] DO YOU FEEL LIKE YOUR HEARTS RACING audio/MSK0035.mp3[349.880,351.600] UHM NO audio/MSK0019.mp3[251.880,259.720] OKAY THATS GOOD UM HOW ABOUT UM MEDICATIONS ARE YOU ON ANY audio/RES0141.mp3[266.280,271.040] YEAH THATS GOOD UM ANY OTHER MEDICAL CONDITIONS audio/RES0100.mp3[1.600,49.320] UMM YEAH SO I JUST CAME IN TODAY WITH IVE BEEN HAVING A FEW SYMPTOMS FOR THE LAST I WOULD SAY 5 DAYS SO IVE HAD IT STARTED WITH A SORE THROAT JUST FIVE DAYS AGO KIND OF JUST VERY IRRITATING SORE THROAT SENSATION THATS KIND OF GOTTEN WORSE OVER THE LAST FEW DAYS AND THEN I STARTED GETTING A FEVER FOUR DAYS AGO AND IT HAS BEEN GOING ON FOR THE LAST COUPLE OF DAYS AS WELL AND THE HIGHEST TEMPERATURE I MEASURED ON MYSELF WAS 388 DEGREES CELSIUS AND YEAH SO THAT THATS THATS MY MAIN CONCERN RIGHT NOW audio/RES0048.mp3[504.320,514.720] NO IVE BEEN CHECKING UH NO I DIDNT NOTICE ANY BLOOD OR CHANGE IN COLOUR ITS MAINLY JUST UM LIQUID DIARRHEA audio/RES0160.mp3[347.200,354.640] OK AND DO YOU SMOKE AT ALL OR HAVE YOU SMOKED IN THE PAST audio/RES0105.mp3[171.960,175.280] OK AND HAVE YOU HAD THIS HAPPEN TO YOU BEFORE audio/MSK0044.mp3[208.280,214.720] OKAY AND NO OTHER TRAUMA OR ANYTHING IN THE SAME REGION audio/RES0113.mp3[124.520,129.240] UH IT FEELS PRETTY THROBBING RIGHT NOW audio/RES0100.mp3[645.800,656.280] HE DID HAVE A SORE THROAT LAST WEEK BUT IT KIND OF JUST WENT AWAY ON ITS OWN IN A COUPLE OF DAYS AND COMPARED TO ME LIKE HIS WAS NOTHING REALLY audio/RES0172.mp3[81.320,85.560] HOW DO YOU TAKE ANY MEDICATIONS TO HELP WITH YOUR SYMPTOMS audio/RES0047.mp3[486.840,495.480] OK AND BESIDES THE INHALERS ARE YOU ON ANY OTHER MEDICATION audio/RES0135.mp3[388.920,397.520] OKAY UM HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0107.mp3[398.160,399.960] ANY SURGERIES audio/RES0206.mp3[409.400,414.880] MY PRESSURE AND THEN I LOST WEIGHT AND STARTED THIS WALKING MORE audio/RES0019.mp3[489.920,497.720] OK AND SO ARE IMMUNIZATIONS UP TO DATE audio/RES0076.mp3[461.360,470.320] I JUST HAD CATARACT REMOVED FROM MY RIGHT EYE AND UH THATS ABOUT IT audio/RES0139.mp3[255.440,261.960] OKAY AND ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES audio/RES0126.mp3[562.440,566.000] NO OK ARE YOU ON ANY MEDICATIONS BESIDES THE PUFFERS audio/CAR0001.mp3[414.800,419.040] ALRIGHT ANY IMMUNIZATIONS OR ARE THEY UP TO DATE audio/RES0167.mp3[376.680,405.040] NO LIKE THE ONLY PERSON I SEE IS MY HUSBAND I GUESS HIM AND SO HE HAS A PSW THAT COMES IN TO TAKE CARE OF HIM HE HAS A COUPLE MORE PROBLEMS THAN I DO SO BASICALLY WE SEE I SEE HIM AND HER AND WE SEE WE SEE OUR KIDS BUT JUST LIKE OUTSIDE audio/RES0149.mp3[167.360,186.960] UH I DONT KNOW ITS JUST I JUST TRY NOT TO TAKE DEEP BREATHS IM JUST TRYING TO JUST TAKE A NORMAL BREATH AND TRY NOT TO TALK TOO MUCH AND YEAH JUST LIKE NOT DOING ANYTHING THAT WORSENS THE PAIN audio/MSK0037.mp3[137.520,166.080] UHM I THINK JUST A EXTENDING ITS ITS I WOULD SAY MORE THAN THE PAIN ITS JUST LIKE DISCOMFORT AND JUST NOT BEING ABLE TO EXTEND THAT IS IS FRUSTRATING UH LIKE THE PAIN ISNT THAT BAD LIKE THERES LIKE MINIMAL PAIN audio/RES0050.mp3[59.400,64.960] UHM IT SEEMS TO BE WORSE IN THE MORNING audio/RES0154.mp3[0.000,3.240] UH HOW MAY I HELP YOU audio/RES0105.mp3[569.800,576.680] OK ANY INCREASED SWEATING ASSOCIATED WITH YOUR CHEST TIGHT OR PRESSURE OR ANYTHING LIKE THAT audio/MSK0010.mp3[299.040,305.480] OK AND UH IM HAVE YOU HAD ANY TRAUMA TO THE SHOULDER audio/RES0126.mp3[655.480,662.000] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0107.mp3[271.000,275.000] OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL audio/RES0009.mp3[20.560,42.160] UM ITS ITS KIND OF UM ON THE LEFT SIDE OF MY CHEST AND ITS JUST LIKE A TINY ITS LIKE A LINGERING SHARP PAIN I DONT REALLY FEEL IT ANYWHERE ELSE ITS JUST KIND OF THERE ALL THE TIME RIGHT NOW I IVE NEVER HAD ANYTHING LIKE THIS BEFORE audio/RES0065.mp3[440.960,451.640] OK AND YOU MENTIONED YOU HAVENT BEEN AROUND ANYONE THAT WAS SICK OR RECENTLY GOT SICK audio/RES0047.mp3[696.800,702.560] I LIVE IN AN APARTMENT BY MYSELF audio/RES0045.mp3[173.680,182.280] YEAH IVE DEFINITELY NOTICED SOME DIFFICULTY BREATHING UM YEAH audio/MSK0025.mp3[266.080,276.200] OK AND THEN WERE YOU IN THE HOSPITAL ADMITTED TO THE HOSPITAL FOR FOR A WHILE OR HOW WHAT HAPPENED IN YOUR TREATMENT audio/RES0168.mp3[115.000,119.400] OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING audio/GAS0003.mp3[17.040,21.200] ITS MOSTLY UP HERE ON THE RIGHT SIDE audio/RES0085.mp3[320.600,326.840] HAS HE NEEDED HOSPITALIZATIONS FOR ANYTHING IN THE PAST OR SURGERIES audio/RES0198.mp3[75.000,83.320] OK ANY OTHER SYMPTOMS LIKE SORE THROAT SHORTNESS OF BREATH FEVERS OR CHILLS audio/RES0132.mp3[312.080,323.440] YES SO I AM ON RAMIPRIL FOR THE HIGH BLOOD PRESSURE ROSUVASTATIN FOR THE CHOLESTEROL AND INSULIN FOR THE DIABETES audio/RES0018.mp3[374.200,379.440] HAVE YOU HAD ANY PRIOR SURGERIES audio/RES0028.mp3[342.640,350.480] I HAVE A LITTLE BIT OF YEAH UM DIZZINESS WHEN I WHEN THE PAIN GETS REALLY BAD audio/RES0114.mp3[143.840,148.760] OK OK THATS GOOD UM AND ANY WHEEZING audio/RES0159.mp3[207.040,215.880] YEAH BUT IVE PROBABLY FELT LIKE THAT FOR THE LAST FIVE YEARS UM SO I HAVE UH OSTEOARTHRITIS audio/RES0185.mp3[66.840,75.800] OK AND THEN YOUR SORE THROAT IS IT MAKING IT HARD FOR YOU TO SWALLOW SOLIDS AND FLUIDS audio/GAS0002.mp3[194.080,203.680] I TRIED TAKING JUST LIKE ADVIL AND TYLENOL BUT IT DIDNT REALLY SEEM TO HELP THE PAIN TOO MUCH audio/RES0107.mp3[139.800,145.200] ITS THE SAME STUFF THAT COMES OUT OF HIS NOSE audio/RES0062.mp3[182.360,194.120] NO THE COUGH HAS BEEN KIND OF GOING ON ALL DAY UM RIGHT WHEN I GET UP IN THE MORNING AND GOES ON ALL NIGHT ITS BEEN GETTING WORSE TO THESE LAST FEW DAYS audio/RES0086.mp3[282.560,288.520] OK ANY WEIGHT LOSS RECENTLY audio/MSK0037.mp3[261.040,271.240] HAVE YOU BEEN HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR LOSS OF SENSATION TO ANY PARTS OF YOUR HAND OR UPPER EXTREMITY audio/RES0204.mp3[330.480,332.880] PARDON ME audio/MSK0050.mp3[317.400,322.200] HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA CONSTIPATION audio/RES0005.mp3[386.040,387.200] UH NO audio/MSK0023.mp3[100.360,120.320] UM YEAH ITS YEAH IT FEELS A BIT MORE PAINFUL THAN IT DID EARLIER I THINK MAYBE THE ADRENALINE WAS PUMPING A LITTLE BIT BUT YEAH NOW ITS ITS PRETTY PRETTY PAINFUL audio/RES0114.mp3[2.680,20.520] YEAH SO UM I JUST CAME IN BECAUSE UH SO I I HAVE THIS COUGH THATS BEEN GOING ON FOR THE LAST FIVE YEARS BUT OVER THE LAST MONTH ITS REALLY BEEN GETTING WORSE UM AND LIKE LAST WEEK I IVE JUST BEEN CONSTANTLY COUGHING SO YEAH I WAS JUST A BIT CONCERNED audio/RES0203.mp3[372.200,375.040] OK UM AND I DO USE MARIJUANA audio/RES0135.mp3[120.600,128.560] OKAY UM SO SHE WAS BRINGING UP PHLEGM INITIALLY AND IS NO LONGER WHAT COLOUR WAS IT audio/RES0119.mp3[245.720,250.200] UM NO NOTHING THAT WEVE TRIED audio/MSK0033.mp3[76.080,87.920] YEAH IT TAKE YOU OK AND DOES THE PAIN TRAVEL ANYWHERE ELSE OR DOES IT ITS JUST RIGHT BELOW YOUR KNEECAP audio/RES0148.mp3[340.760,350.360] UM MY FAMILY DOC AND THEN UM YEAH ITS PRETTY MUCH JUST HIM UM HE YEAH audio/MSK0006.mp3[533.360,553.360] UH JUST FOR THE DROP OFFS THAT I THAT I MAKE UM DRIVING I DO HAVE TO MAKE SOME PRETTY UM LONG HAULS UH BACK AND FORTH UM THE YEAH audio/RES0066.mp3[402.320,403.120] UM NO NOTHING LIKE THAT audio/RES0043.mp3[641.640,707.600] RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVISWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESNT HAVE IT AND THOSE RESULTS WILL COME BACK IN 24 TO 48 HOURS UMM WE DO SUGGEST BECAUSE HIS SYMPTOMS OVERLAP WITH SYMPTOMS OF COVITHAT HE ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER IF POSSIBLE AND THEN IF THE SWAP COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND NOWADAYS IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR IF HES FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND UHM SO FOR NOW ILL JUST WAIT FOR THOSE COVISWABS TO COME BACK HOW DOES THAT SOUND audio/RES0174.mp3[568.280,575.720] OK THATS GOOD ANY ALLERGIES TO MEDICATIONS audio/RES0082.mp3[97.400,108.120] ANY EAR PAIN OR ANY PAIN IN YOUR CHEEKS OR YOUR HEAD WHEN YOURE BENDING OVER ANYTHING LIKE THAT audio/RES0107.mp3[772.080,773.320] SOUNDS GREAT audio/MSK0041.mp3[522.320,530.080] ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/CAR0005.mp3[499.360,505.080] OK AND DO YOU EXERCISE REGULARLY audio/RES0061.mp3[108.760,111.760] OK AND WHAT COLOR IS IT audio/RES0118.mp3[113.360,131.840] UH I DONT THINK SO I VISITED MY SISTER AND SHE HAS A NEPHEW WHO GOES TO DAYCARE BUT MY NEPHEWS BEEN OK NO NO RUNNY NOSE OR STUFFY NOSE audio/GAS0007.mp3[60.680,64.760] OK HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST audio/RES0171.mp3[87.480,90.880] I COULD TALK IN FULL SENTENCES audio/RES0067.mp3[280.840,282.720] UM NO audio/MSK0043.mp3[494.560,511.400] OKAY AND UH DID THEY TELL YOU LIKE HOW IT MAY HAVE BEEN TRANSMITTED AT ALL WAS IT UH SEXUALLY UM WAS IT THROUGH UM USE OF IV DRUG USE AND DID THEY TELL YOU WHAT THE LIKELY CAUSE WAS audio/RES0099.mp3[115.720,119.400] I THINK ITS MORE CONTINUOUS CONSTANT audio/MSK0018.mp3[48.760,55.200] OKAY 1 TO 10 10 BEING THE WORST HOW BAD IS THIS PAIN audio/RES0125.mp3[2.280,26.240] HI IM UM IM JUST SO I AM HERE BECAUSE I HAVE THIS COUGH THAT IVE HAD FOR THE PAST UM WEEK AND A HALF AND IM JUST UH I USUALLY DONT COME IN WITH SYMPTOMS THIS MINOR BUT BECAUSE ITS BECAUSE WERE IN THE MIDDLE OF A PANDEMIC I THOUGHT I SHOULD COME IN AND GET CHECKED OUT audio/RES0034.mp3[432.600,436.600] UH NO I HAVENT NOTICED THAT audio/RES0166.mp3[441.560,444.280] NO NO NOT ANYMORE audio/RES0037.mp3[690.160,695.880] AH PROBABLY LIKE 30 YEARS audio/RES0059.mp3[578.200,583.760] ACTUALLY LAST YEAR WE HAD MOST OF THE CARPETS TAKEN OUT SO NOT ANYMORE audio/RES0051.mp3[74.240,78.240] NO NOTHING audio/RES0070.mp3[104.040,113.440] OK AND SORRY BACK TO THE HEADACHE HAVE YOU TRIED ANYTHING FOR IT audio/MSK0021.mp3[681.160,691.720] OK ALRIGHT AND YEAH YOU MENTIONED THAT YOU DO A LOT OF RUNNING DO YOU DO ANY OTHER SORTS OF EXERCISES audio/RES0195.mp3[546.040,554.720] OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS FOR ME audio/GAS0002.mp3[505.640,508.400] UH NO SO SHOULD I BE audio/RES0058.mp3[286.920,292.240] UMM NOT REALLY audio/MSK0049.mp3[183.160,186.400] AND YOU FEEL IT RADIATE ANYWHERE ELSE audio/RES0116.mp3[333.720,336.040] UH NO NO NO NAUSEA OR VOMITING audio/CAR0001.mp3[482.920,487.960] UH HOW MUCH MARIJUANA WOULD YOU SMOKE PER PER WEEK audio/RES0026.mp3[621.080,634.960] OK AND NEXT I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PERSONAL AND LIFESTYLE HABITS BUT FIRST COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW audio/RES0030.mp3[582.800,588.440] OK AND HOW MUCH ARE YOU SMOKING AN AVERAGE DAY audio/RES0058.mp3[774.040,840.840] YEAH YOU KNOW THATS PROBABLY TOP ON MY LIST OF THINGS TO INVESTIGATE YOU FOR SO I WOULD SAY COVIOR OTHER VIRAL ILLNESSES THAT COULD BE GOING AROUND THIS TIME OF YEAR THAT WOULD HAVE LESS OF A SIMILAR PRESENTATION AND SO WE WILL DO A COVISWAB FOR YOU AND IN THE MEANTIME IF YOU COULD ISOLATE FOR 14 DAYS REGARDLESS OF WHETHER THE SWAB COMES BACK POSITIVE OR NEGATIVE AND THAT WOULD BE GREAT IF THE SWAB COMES BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL TRY TO TRACE WHERE YOU COULD HAVE CAUGHT THIS FROM AND IF IT TURNS OUT ITS NOT A VIRAL ILLNESS WE WILL TRY TO WORK YOU UP FOR ANY BACTERIAL INFECTIONS WHICH CAN BE TREATED WITH ANTIBIOTICS SO THATS WHERE WE WILL START DOES THAT SOUND GOOD audio/GAS0003.mp3[275.560,289.080] WELL I GUESS BECAUSE ITS THIS THING HAPPENS USUALLY HAPPENS AFTER I EAT I THINK IVE BEEN EATING LESS THAN USUAL JUST BECAUSE I DONT I DONT WANT TO YOU KNOW I DONT LIKE THE PAIN audio/RES0072.mp3[578.960,590.240] OK SO YEAH THIS IS JUST A QUESTION THAT WE ASK EVERYONE DO YOU DRINK ALCOHOL OR SMOKE CIGARETTES OR USE ANY RECREATIONAL DRUGS audio/RES0058.mp3[496.200,504.080] OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY audio/MSK0010.mp3[466.480,478.600] OK AND HAVE YOU HAD ANY ALTERED SENSATION OF YOUR ARMS BEING LIKE NUMBNESS OR TINGLING audio/RES0205.mp3[401.320,424.480] OK RIGHT YOU JUST SAY YOU WORKING AT THE HOSPITAL AND UH I CANT THINK I THOUGHT I HAD ANOTHER QUESTION FOR YOU BUT I CANT REMEMBER IT ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT THAT I DIDNT ASK YOU audio/RES0069.mp3[338.000,344.920] I SMOKE UH TWO OR THREE A DAY audio/RES0084.mp3[437.920,442.760] NO OK ANY ISSUES WITH YOUR BOWEL MOVEMENTS OR URINE audio/RES0125.mp3[267.320,271.600] NO OKAY ANY UM DO YOU FEEL TIRED THROUGHOUT THE DAY audio/MSK0025.mp3[139.360,141.640] THE PAST WEEK audio/RES0057.mp3[642.200,669.320] NOT THAT I KNOW OF I MEAN I WENT TO A FEW STORES HERE AND THERE THAT I HAD BEEN GOING TO IVE BEEN WORKING FROM HOME SO MAYBE AT ONE OF THE STORES AND I WOULD IMAGINE I WERE WEARING A MASK AND OF COURSE TRYING TO MAINTAIN SOCIAL DISTANCING AS MUCH AS POSSIBLE BUT YEAH YOU NEVER REALLY KNOW audio/RES0014.mp3[211.880,214.640] NO NO CHANGES IN MY SMELL NO audio/RES0118.mp3[100.880,102.880] HOW ABOUT LOSS OF TASTE audio/MSK0025.mp3[200.000,205.760] YEAH SO IT DOES SHOOT DOWN MY LEGS AND IM HAVING A HARD TIME WALKING BECAUSE OF THAT audio/RES0039.mp3[793.120,835.720] YEAH SO DEFINITELY A CANCER IS PRETTY UNLIKELY BECAUSE YOURE FAIRLY YOUNG AND YOUVE JUST RECENTLY STARTED SMOKING BUT ONE OF THE THINGS THAT WERE CONCERNED ABOUT IS YOUR RECENT TRAVEL HISTORY BEING IN CLOSE QUARTERS SO DEFINITELY WE NEED TO GET A CHEST XRAY AND WE CAN EVEN DO A SPUTUM CULTURE TO TEST FOR TUBERCULOSIS AND THEN BASED ON THE RESULTS WE MIGHT HAVE TO START YOU ON LIKE A WHOLE ANTIBIOTIC REGIMENT IF IT DOES COME BACK AS TUBERCULOSIS YEAH WELL WELL WELL GET THOSE INVESTIGATIONS DONE FIRST AND THEN WELL GO FROM THERE audio/RES0216.mp3[132.320,140.720] OK AND SINCE THEN THAT HAPPENED WHEN YOU WERE OUT FOR A WALK HOW MANY TIMES DOES IT HAPPEN A DAY WOULD YOU SAY audio/RES0039.mp3[5.520,17.720] HI THIS MORNING I READ AFTER I WOKE UP BY I COUGHED UP SOME PHLEGM AND THERE WAS SOME BLOOD IN IT AND IT IT TOTALLY SCARED ME audio/RES0196.mp3[363.800,369.160] OK UH AND UH ANY ANYONE SMOKE IN THE HOUSE AT ALL audio/MSK0013.mp3[492.880,498.080] UM YEAH ILL HAVE SOME ALCOHOL EVERY DAY audio/MSK0043.mp3[882.640,883.040] OKAY THANK YOU audio/RES0010.mp3[541.320,546.320] OK ALRIGHT DO YOU CONSUME ANY OTHER DRUGS audio/RES0104.mp3[475.320,486.560] YEAH I USE METFORMIN EMPAGLIFLOZIN OR AN SGLT2 INSULIN AND UH AND ASPIRIN I THINK audio/RES0163.mp3[121.120,126.600] ARE YOU OK UM BLEEDING IS IT BLOOD MIXED INTO THE DISCHARGE OR DRAINAGE OR IS IT LIKE YOU GET NOSEBLEEDS audio/RES0215.mp3[513.520,515.280] OK IS SHE TAKING MEDICATIONS RIGHT NOW audio/RES0125.mp3[704.600,706.320] GREAT IM GLAD audio/RES0108.mp3[56.320,65.800] OK AND DOES ANYTHING MAKE IT BETTER OR WORSE LIKE YOU KNOW LIKE THE COLD AIR LAYING DOWN AT PARTICULAR TIME OF DAY audio/RES0150.mp3[502.200,517.200] IM THE PRIMARY CAREGIVER UM HES GOT AN OLDER BROTHER WHOS SEVEN YEARS OLD AND HIS DAD ITS THE FOUR OF US AND WE ALSO HAVE A DOG audio/MSK0022.mp3[856.880,869.400] NO DEFORMITIES OK WHEN YOU GO OVER YOUR JOINTS DO YOU NOTICE ANY KIND OF LIKE NODULES OR HARDER MATERIALS THAT DONT SEEM TO BE YOUR BONES audio/GAS0004.mp3[639.120,646.800] OK OK THANK YOU FOR SHARING THAT WITH ME SO I THINK THATS EVERYTHING THAT I WANTED TO ASK YOU FOR TODAY audio/RES0030.mp3[509.240,518.960] OK AND JUST IN YOUR DAILY ROUTINE HOW WOULD YOU SAY HOW IS YOUR DIET AND EXERCISE LIKE audio/RES0138.mp3[64.800,68.120] ITS A DRY COUGH audio/RES0044.mp3[384.600,398.640] NO OK UM HOW ABOUT UM HOW ABOUT ANY DIZZINESS OR OR FAINTING SPELLS audio/RES0153.mp3[116.280,124.840] OK AND YOUVE NOTICED THAT UM WITHIN THE LAST THREE FOUR DAYS AS WELL audio/RES0138.mp3[36.440,44.720] SO IT WAS JUST UM I FEEL LIKE I JUST GET SHORT OF BREATH MORE EASILY NOW audio/RES0003.mp3[329.320,336.320] OK OK AND IS HE OTHERWISE HEALTHY DOES HE HAVE ANY MEDICAL CONDITIONS audio/RES0032.mp3[345.800,357.560] OK UM AND HAVE YOU AT ALL EITHER HERE OR WHEN YOU WERE WORKING IN THE PHILIPPINES HAVE BEEN EXPOSED TO SOMEONE WITH TUBERCULOSIS audio/RES0011.mp3[454.000,456.280] NO NOT THAT IVE NOTICED audio/RES0044.mp3[332.560,335.000] UH NO audio/RES0212.mp3[268.160,271.640] UH JUST LIKE ECZEMA audio/RES0207.mp3[352.640,354.040] HOW OLD IS YOUR DAUGHTER audio/RES0200.mp3[40.400,42.960] IT WAS ALMOST PROBABLY FIVE YEARS AGO audio/RES0122.mp3[77.360,101.560] UM ITS I GUESS ITS NOT SO MUCH AS A HEADACHE AS JUST KIND OF UM JUST PAIN IN AND AROUND THE CHEEKS AND JUST GOING UP TO MY HEAD AND IT STARTED ABOUT I WOULD SAY AROUND 2 WEEKS AGO audio/RES0117.mp3[277.960,286.240] SO I I JUST LIVE IN A SMALL APARTMENT BY MYSELF UH JUST BEEN MOVING AROUND A LOT audio/RES0012.mp3[310.680,316.280] OK AND ANY CHANGES IN YOUR VISION audio/MSK0049.mp3[361.240,367.800] ALRIGHT AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES OR CHANGES TO YOUR HAIR OR NAILS audio/GEN0001.mp3[218.840,225.120] LIKE ANY LESIONS ANYTHING LIKE THAT ANYTHING CONCERNED FOR AN STI THAT YOURE WORRIED ABOUT audio/MSK0038.mp3[139.200,180.000] UH I DID HAVE SOMETHING SIMILAR LIKE MANY YEARS AGO I USED TO BE A ROWER UH IN UNDERGRAD AND I GOT SOME SIMILAR PAINS BEFORE AND I MEAN WITH SOME STRETCHING AND UM OTHER I DONT KNOW KIND OF STRENGTHENING STUFF IT IT KIND OF HELPED BUT I DIDNT GO SEE ANYBODY FOR IT AT THAT TIME BECAUSE IT IT KIND OF WENT AWAY AFTER A LITTLE WHILE audio/MSK0001.mp3[516.600,521.080] OK AND UM DO YOU USE ANY KIND OF PROTECTION audio/RES0071.mp3[132.240,140.440] UH YEAH IVE HAD UM A SORE THROAT UH AND A HEADACHE AS WELL audio/RES0060.mp3[837.720,845.760] UH NO WELL I GUESS I WAS JUST CONCERNED ABOUT ABOUT COVI audio/RES0022.mp3[173.880,202.800] UM I MEAN IVE BEEN I DONT HAVE A THERMOMETER AT HOME BUT I HAVE FELT LIKE REALLY HOT AND JUST THIS MORNING LIKE MY HUSBAND YOU KNOW HE WAS TRYING TO MAKE SURE I WAS STILL EATING AND DRINKING A LOT AND I DONT REALLY FEEL LIKE I AM TASTING MY FOOD ALL THAT WELL audio/RES0034.mp3[113.480,118.040] OK HAS SHE BEEN SICK LIKE THIS BEFORE audio/RES0004.mp3[515.920,531.240] UM YEAH SO I I JUST USE AH VENTOLIN AS NEEDED BUT OTHERWISE OH AND THEN I TAKE FLOVENT DAILY SO UM audio/RES0073.mp3[575.520,584.200] OH THATS GREAT ITS NOT EASY TO QUIT SO THATS AWESOME AND DO YOU DRINK ALCOHOL audio/RES0073.mp3[323.600,329.520] OK THEN HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES audio/RES0214.mp3[407.120,413.800] IVE TRIED MARIJUANA BEFORE JUST LIKE EDIBLES BUT NOT NOT REGULARLY audio/RES0209.mp3[461.040,466.400] COOL NOT TO HAVE TO GET OUT OF YOUR PJS SOME DAYS audio/MSK0025.mp3[339.480,341.360] NO RASHES OR SKIN CHANGES audio/RES0089.mp3[357.400,377.240] IT LASTS ABOUT UH I DONT KNOW I KIND OF FEEL SHORT OF BREATH ALL THE TIME BUT WHEN ITS REALLY BAD IT LASTS ABOUT FIVETEN MINUTES AND THEN IT GOES BACK TO LIKE MY NORMAL SHORTNESS OF BREATH audio/MSK0012.mp3[663.640,670.600] I CAN BEND DOWN ITS JUST HARD FOR ME TO GET BACK UP audio/MSK0021.mp3[409.280,414.080] OK AND AND DO YOU SMOKE audio/GAS0001.mp3[160.800,165.240] OH I I I CAN CONTROL IT ITS JUST LIKE UNCOMFORTABLE RIGHT audio/MSK0032.mp3[416.240,420.080] NO LIKE WERE LIKE NO I DONT THINK SO audio/RES0200.mp3[1.640,32.360] HEY I I CAME IN HERE TODAY I I JUST WAS FEELING JUST A BIT SHORT OF BREATH OVER THE LAST FEW DAYS AND IVE HAD A SO I NORMALLY HAVE A COUGH BUT IVE JUST BEEN COUGHING A LOT MORE OVER THE LAST WEEK AND I DONT KNOW IF ITS IF ITS SOMETHING ELSE I I DO HAVE A COPDIAGNOSIS WHICH I WAS DIAGNOSED WITH LIKE A COUPLE YEARS AGO BUT THIS IS THIS SEEMS TO BE MUCH WORSE audio/RES0010.mp3[180.600,188.360] OK UM YOU HAVE BEEN HAVE YOU HAD ANY MUSCLE ACHES OR PAINS audio/GAS0003.mp3[399.880,405.520] OK AND UM CURRENTLY RIGHT NOW DO YOU WORK audio/RES0045.mp3[656.160,659.800] THANK YOU audio/RES0072.mp3[190.520,195.360] OK AND ARE YOU COUGHING AT ALL audio/RES0067.mp3[77.600,82.120] I THINK SO NOW SHES BARELY EVEN DRINKING FLUIDS audio/RES0018.mp3[214.440,217.440] ALRIGHT UH AND UH HAVE YOU BEEN HAVING ANY WHEEZING audio/MSK0009.mp3[126.320,137.600] NO NO BEFORE 3 DAYS AGO BEFORE MY SLIP I WAS FINE audio/RES0094.mp3[89.560,99.520] NO OK AND DO YOU HAVE ANY NASAL CONGESTION DOES YOUR NOSE FEEL STUFFY audio/RES0100.mp3[489.600,498.280] ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNERS OR OR PARTNER AND I AND I WAS WONDERING IF YOU USE CONDOMS audio/RES0134.mp3[4.040,17.960] YEAH UM I HAVENT BEEN FEELING VERY WELL OVER THE PAST TWO DAYS I HAVE HAD THIS COUGH IM FEELING VERY SHORT OF BREATH AND IM FEELING VERY FEVERISH AS WELL audio/RES0162.mp3[534.920,537.240] NO NEVER SMOKED audio/RES0123.mp3[370.960,375.480] ARE YOU MAINTAINING SOCIAL DISTANCING WHEN YOURE TAKING YOUR MASK OFF audio/RES0074.mp3[200.600,209.640] UHM NO I DONT THINK SO THOSE ARE PROBABLY ALL OF THE SYMPTOMS audio/RES0007.mp3[310.360,318.000] OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS audio/CAR0001.mp3[136.040,140.040] MAYBE TAKING A DEEP BREATH YEAH audio/RES0078.mp3[658.000,666.160] ALRIGHT OK UHM AND ARE THERE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY audio/RES0138.mp3[488.240,495.520] YEAH I DO UM ILL ILL DRINK A GLASS AT NIGHT EVERY NIGHT audio/MSK0017.mp3[565.920,573.480] UH NO I HAVENT TRAVELED ANYWHERE audio/RES0003.mp3[430.000,437.440] UM NO BREATHING ISSUES OR OR JAUNDICE HE CAME HOME WITH US RIGHT AWAY audio/RES0017.mp3[176.280,181.440] YEAH I SOMETIMES I I DO HAVE COUGHING FITS AT NIGHT THAT WAKE ME UP I DO HAVE audio/RES0032.mp3[538.880,541.640] OK AND DO YOU WORK CURRENTLY audio/RES0099.mp3[190.600,195.880] UHM SINCE YESTERDAY I WOULD SAYITS PROBABLY A BIT WORSE NOW audio/RES0110.mp3[91.800,100.480] NO OK UM DO YOU FEEL THAT THE SHORTNESS OF BREATH HAS GOTTEN KIND OF WORSE OVER TIME audio/RES0079.mp3[108.440,110.200] UH NO audio/RES0021.mp3[452.840,465.720] OK AND HAVE YOU NOTICED ANY BLOOD IN THE STOOL EITHER EITHER BEING RED OR OR YOUR STOOL BEING REALLY DARK KIND OF LIKE A BLACK COLOUR audio/RES0204.mp3[380.240,383.000] OH COOL SO WHATS YOUR FAVORITE GAME audio/RES0011.mp3[748.120,750.640] I QUIT UM 10 YEARS AGO audio/RES0202.mp3[156.720,161.960] OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD audio/RES0057.mp3[486.240,500.240] YEAH I DID TRY IT AND IT DIDNT REALLY SEEM TO HELP THAT MUCH audio/RES0044.mp3[747.800,757.480] SO YEAH I THINK THATS ANOTHER REASON I WAS CONCERNED THAT I I FEEL LIKE SOME PEOPLE MIGHT HAVE BEEN SICK AND I DIDNT REALLY KNOW THE WHOLE STORY audio/RES0196.mp3[222.000,226.200] NOT THAT IVE NOTICED audio/MSK0008.mp3[547.640,548.360] UM NO audio/MSK0049.mp3[237.640,244.120] OVER THE PAST SIX MONTHS ID SAY IVE GAINED ABOUT 20 POUNDS audio/MSK0027.mp3[21.480,37.960] YEAH FOR SURE OK SO IS SHE HOLDING HER ARM LIKE ANY PARTICULAR POSITION LIKE WITH HER ELBOW KIND OF FLEXED OR IS HER ARM EXTENDED audio/RES0023.mp3[54.320,64.880] OK OK SO ILL ASK YOU FEW MORE QUESTIONS ABOUT YOUR COUGH SO IT STARTED 5 DAYS AGO HAS IT GOTTEN ANY WORSE OR BETTER SINCE THEN audio/CAR0005.mp3[364.000,380.480] YEAH MY FATHER HAD A HEART ATTACK WHEN HE WAS 60 JUST LAST YEAR AND ITS ACTUALLY ONE OF THE REASONS WHAT CONCERNS ME ABOUT THE CHEST PAIN THAT I THOUGHT I WAS HAVING audio/MSK0042.mp3[181.960,189.560] OKAY UM HAVE YOU HAD ANY UH LIKE FEVERS OR CHILLS audio/RES0057.mp3[333.320,340.680] OK AND HAVE YOU HAD ANY CHANGE IN YOUR SENSE OF SMELL audio/RES0064.mp3[408.920,414.560] OK YEAH AND WHO DOES HE LIVE WITH AT HOME audio/RES0120.mp3[496.680,501.840] OKAY AND WERE THERE ANY COMPLICATIONS AT ALL audio/RES0112.mp3[167.240,179.120] UM AND UH IN TERMS OF UH SO HOW MUCH HAS HE HAS HE HAD TO EAT OR DRINK IN THE PAST UH DAY OR TWO audio/RES0146.mp3[506.200,508.320] THAT SOUNDS REALLY GOOD YEAH THANK YOU audio/RES0131.mp3[102.440,104.960] UM NO audio/RES0138.mp3[442.120,445.120] IM RETIRED audio/RES0126.mp3[548.400,551.320] IM ALLERGIC TO CATS audio/RES0058.mp3[696.080,705.600] AND WHO DO YOU LIVE WITH audio/RES0119.mp3[475.680,478.120] NO NOTHING LIKE THAT audio/RES0081.mp3[447.000,450.240] UHM NO HE DOESNT audio/RES0200.mp3[441.840,444.320] YEAH I GOT THEM audio/RES0151.mp3[332.040,336.280] OR ANY ANY NECK SWELLING audio/RES0160.mp3[500.600,515.440] OK ALRIGHT AND I GUESS THATS ALL THE QUESTIONS I HAVE FOR YOU YOU HAVENT HAD ANY DIFFICULTIES BREATHING RIGHT audio/MSK0028.mp3[546.200,558.560] I SEE OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE YOURE LIVING WITH AND WHERE audio/RES0132.mp3[4.360,22.400] YEAH HI UM I HAVE BEEN COUGHING NONSTOP FOR THE PAST THREE DAYS AND TODAY I HAVE BEEN FEELING VERY SHORT OF BREATH SO I JUST WANTED TO GET IT ALL CHECKED OUT audio/MSK0003.mp3[276.760,279.840] OK AND NO FEVERS OR CHILLS audio/MSK0008.mp3[45.080,51.440] OK SINCE THEN HAS THE PAIN BEGIN GETTING ANY BETTER OR WORSE OR STAYING THE SAME audio/RES0199.mp3[379.560,385.520] OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS audio/RES0133.mp3[196.960,199.200] OR ANY ANY NIGHT SWEATS audio/RES0214.mp3[115.640,118.760] SO AROUND THE SAME TIME THAT YOUVE HAD THIS FEVER audio/MSK0039.mp3[96.640,105.360] UH NO NOTHING I JUST LIKE I JUST WANT TO MAKE SURE I KEEP IT AS STILL AS POSSIBLE UM I DIDNT WANNA EVEN TRY ANYTHING audio/RES0123.mp3[423.880,429.920] I LIVE WITH MY YOUNG LIKE UH DAUGHTER AND THEN MY WIFE AS WELL audio/MSK0042.mp3[459.840,467.400] YEAH ABSOLUTELY OKAY UM AND UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0116.mp3[542.760,556.240] NO WEVE BEEN PRETTY UH FORTUNATE LIKE IT ITS NO FINANCIAL ISSUES UH AND WE HAVE A LOT OF SUPPORT FROM OUR PARENTS AS WELL UH THE RELATIONSHIP IS GREAT SO NO NO ISSUES audio/RES0128.mp3[50.720,52.680] NO BLOOD audio/MSK0021.mp3[559.120,560.560] NO PAIN THERE audio/RES0192.mp3[610.600,618.480] OK AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0028.mp3[1.880,33.520] I JUST CAME IN BECAUSE IVE BEEN HAVING THIS JUST JUST YESTERDAY IT STARTED THIS SUDDEN JUST PAIN OVER THE FRONT OF MY KIND OF LIKE A SHOULDER AN ALSO ELBOW AND IT WAS RIGHT AFTER DOING I WAS JUST DOING SOME WORKOUT AND THIS PAIN JUST STARTED AND ITS JUST LIKE A STABBING SHARP PAIN THAT HASNT REALLY GONE AWAY SINCE THEN audio/RES0145.mp3[604.920,612.680] BUT YEAH BUT BUT THOSE ARE THE SYMPTOMS THAT THAT IVE BEEN HAVING audio/RES0046.mp3[192.480,201.800] UH YEAH THIS MORNING I HAD IT I FELT DIZZY UM WHEN I WHEN I GOT WHEN I YEAH WHEN I GOT UP audio/RES0188.mp3[1.880,30.000] HI I WAS JUST REALLY WORRIED MY SON JUST YESTERDAY NIGHT I NOTICED THAT HE WAS MAKING THESE GRUNTING NOISES AND I DID NOTICE THAT HE WAS A BIT WARM YESTERDAY AS WELL AND TODAY I HE JUST HASNT BEEN HIMSELF JUST VERY VERY IRRITABLE CRYING A LOT YEAH I JUST GOT BIT WORRIED audio/RES0127.mp3[518.760,520.520] HOW ABOUT SMOKING audio/RES0134.mp3[63.160,70.120] OKAY UH DID YOU HAVE A COUGH PRIOR TO THIS OR IS IT NEW audio/RES0053.mp3[598.240,599.160] NO NO audio/RES0091.mp3[229.720,235.120] I HAVE SOME OLD CARPETS BUT THATS ABOUT IT audio/GAS0004.mp3[401.000,410.520] OK HAVE YOU NOTICED ANY MAJOR CHANGES TO YOUR WEIGHT I KNOW THAT YOU MIGHT NOT WEIGH YOURSELF EVERYDAY BUT ANYTHING THAT JUMPS OUT TO YOU audio/RES0114.mp3[542.080,546.040] OK OK ANY CANCERS audio/RES0102.mp3[169.400,174.680] OK UH AND HOW LONG HAVE YOU BEEN VOLUNTEERING THERE audio/MSK0039.mp3[234.000,245.480] OK UM AND THEN HOW ABOUT HOW ABOUT ANY UM LIKE FEELINGS OF LIKE LOSING SENSATION OR FEELING COLD IN THAT AREA audio/MSK0010.mp3[808.880,815.200] OK SOUNDS GOOD THANK YOU audio/GAS0001.mp3[3.520,20.840] IVE JUST BEEN FEELING LIKE VERY NAUSEATED FOR IT FEELS LIKE ALL THE TIME RIGHT NOW audio/RES0010.mp3[359.520,374.760] UH MY MY GIRLFRIEND SAID THAT SHE WAS KIND OF THAT HER THROAT WAS FEELING A LITTLE SORE I DONT THINK IT WAS AS BAD AS AS THIS BUT YEAH SHE SAID THAT audio/MSK0012.mp3[449.280,459.360] OK AND DO YOU FEEL SO YOU MENTION YOU FEEL TINGLING GOING DOWN YOUR RIGHT LEG DO YOU FEEL ANY KIND OF NUMBNESS AT ALL audio/RES0033.mp3[552.360,557.360] OK UH AND WHAT ARE YOU DOING RIGHT NOW FOR WORK audio/RES0034.mp3[221.360,224.600] THINK YEAH SHES BEEN HAVING DIARRHEA FOR THE LAST TWO DAYS audio/RES0176.mp3[192.720,195.960] I DONT REMEMBER MAYBE audio/CAR0003.mp3[146.240,154.480] NO OK AND WHEN DO YOU FEEL THE BREATHLESSNESS THE MOST IS IT MORE SO DURING THE DAY OR AT NIGHT audio/RES0005.mp3[313.680,324.600] UM I THINK ITS BEEN PRETTY MUCH THE SAME SOMETIMES WHEN IM COUGHING A LOT I DONT FEEL LIKE EATING BUT OTHER THAN THAT ITS BEEN AROUND THE SAME audio/MSK0005.mp3[229.120,241.040] OK UM ALRIGHT AND THEN DO YOU HAVE ANY SORTS OF ACHES OR PAINS UH IN ANY OTHER JOINT OR MUSCLE GROUPS audio/RES0053.mp3[462.000,474.480] OK ALRIGHT AND ANY ANYTHING ELSE THAT I MISSED THAT HES BEEN EXPERIENCING OVER THE PAST FEW DAYS audio/RES0010.mp3[254.320,261.840] ALRIGHT ALRIGHT ANY NAUSEA OR VOMITING audio/RES0087.mp3[153.400,155.600] NO OK HIS RUNNY NOSE WHAT COLOR IS IT audio/MSK0040.mp3[154.480,162.000] OK AND DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE audio/MSK0022.mp3[491.600,495.520] OK ANY CHANGES IN YOUR VISION OR HEARING audio/MSK0029.mp3[419.920,423.720] NO MY WEIGHT ITS BEEN BEEN THE SAME audio/CAR0003.mp3[574.440,577.880] OK AND DO YOU LIVE IN AN APARTMENT OR HOUSE audio/RES0194.mp3[446.600,463.560] YEAH I I HAVE BEEN WORKING I WORK FOR A A PHARMACY COMPANY SO IVE BEEN HAVING TO GO INTO THE OFFICE SOMETIMES TO HELP KIND OF PREPARE STUFF audio/RES0156.mp3[0.000,2.240] WHAT BRINGS YOU HERE TODAY audio/RES0210.mp3[442.360,443.280] LIKE DRUGS audio/GEN0001.mp3[328.720,332.200] OK AND HAVE THEY GIVEN YOU ANY MEDICATIONS FOR IT audio/RES0056.mp3[146.400,160.520] UMM YEAH PROBABLY LIKE IN THE LAST YEAR MAYBE I HAVE GOTTEN SICK LIKE ONCE AND HAD A SIMILAR COUGH audio/RES0195.mp3[177.360,184.000] OK UH HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU RELIEVE THESE SYMPTOMS audio/RES0214.mp3[368.000,378.360] SO I WORK FROM HOME AS A DIGITAL MARKETING AGENT AND MY HUSBAND IS A COMPUTER PROGRAMMER audio/MSK0036.mp3[326.720,342.400] THE PAIN IS PROBABLY LIKE A A 5 AND I FEEL IT MORE DURING THE NIGHT AS WELL AS LIKE WHEN IM WORKING I FEEL ITS DEFINITELY MORE AS I CONTINUE TO DO MORE WORK audio/MSK0019.mp3[82.920,101.960] ITS MORE UM LIKE IF I DONT EXTEND MY WRIST ITS KIND OF LIKE ACHY BUT THEN IF I EXTEND MY WRIST I FEEL LIKE A SHARP PAIN AT UM ON THE UM JUST ON THE OUTSIDE OF MY ELBOW audio/RES0174.mp3[417.160,422.840] OK YOU HAVENT BEEN ABLE TO FOCUS AND HAVE YOU FELT LIKE THINGS ARE MOVING IN SLOW MOTION audio/RES0084.mp3[373.160,393.400] YEAH I THINK JUST LAST NIGHT DINNER IT WAS JUST KIND OF A FUNKY LIKE DIFFERENT TASTE I COULDNT REALLY TELL UH EVERYTHING WAS KIND OF A BIT BLAND YEAH I THINK MY TASTE BUDS ARE ACTING ALL WEIRD TOO audio/RES0165.mp3[125.360,136.640] OK UHM HAVE YOU HAD ANY RECENT EXPOSURE TO ANYONE THATS BEEN SICK RECENTLY AT ALL audio/RES0023.mp3[141.680,154.760] YEAH I GUESS SO YEAH I WOULD LIKE NOW WITH THE COUGH THATS REALLY KIND OF WHAT I MEAN BY WHATS BEEN BUGGING ME audio/RES0057.mp3[472.400,478.040] I DO BUT I DONT USE IT VERY OFTEN audio/RES0006.mp3[202.080,211.960] NO I I DONT FEEL LIKE I HAVE A FEVER AND NO OTHER SYMPTOMS JUST THE SHORTNESS OF BREATH AND COUGH audio/RES0036.mp3[645.440,650.840] OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0123.mp3[193.720,198.720] IT SEEMS LIKE ITS ALL OVER audio/RES0060.mp3[376.520,382.920] YEAH THEY THEY FEEL ABOUT THE SAME KIND OF LIKE A PRESSURE OR VICE GRIP ON MY HEAD audio/RES0058.mp3[205.520,210.880] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0049.mp3[747.840,759.800] YEAH THAT SOUNDS GOOD ILL ILL LET MY WORK KNOW AND YEAH HOPEFULLY IT COMES BACK NEGATIVE BUT ILL STAY AWAY FROM EVERYONE TILL THEN audio/RES0061.mp3[37.440,50.280] OK WHEN YOU SAY YOU HAVENT BEEN FEELING GOOD FOR THE PAST FIVE DAYS IS IT THAT YOU FEEL ACHY DO YOU FEEL HOT LIKE YOU HAVE A FEVER OR DO YOU FEEL WEAK audio/MSK0043.mp3[548.640,554.120] UH YEAH I ABOUT UH ABOUT TWO DAYS AGO WAS THE LAST TIME audio/RES0175.mp3[264.120,269.760] UM JUST A LARGE PROSTATE ITS NOT CANCER OR ANYTHING ITS JUST KIND OF LARGE audio/RES0213.mp3[98.160,104.240] OK ANYTHING THAT YOU THINK TRIGGERS IT audio/RES0158.mp3[273.800,275.840] NO NOTHING LIKE THAT audio/RES0036.mp3[73.040,79.920] AND DID YOUR COUGH STARTED AROUND THE SAME TIME AS WHEN YOUR SHORTNESS OF BREATH STARTED audio/RES0100.mp3[555.160,569.200] UHM JUST UH I HAVE HAD JUST ECZEMA IN THE PAST BUT THAT THATS FAIRLY STABLE ITS BEEN TREATED I DONT REALLY HAVE IT ANYMORE audio/RES0216.mp3[618.520,621.080] SOUNDS GREAT THANK YOU audio/RES0199.mp3[354.920,364.280] NO I HAVENT REALLY ATE ANYTHING NEW IM JUST IN MY HOUSE YEAH I I DONT KNOW WHAT TRIGGERED IT audio/RES0072.mp3[405.000,413.360] I MEAN NOT THAT I CAN THINK OF audio/MSK0012.mp3[260.600,266.880] NO THOSE ARE KIND OF THE ONLY REGIONS THAT IM EXPERIENCING IT RIGHT NOW audio/RES0179.mp3[695.600,699.120] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH audio/MSK0035.mp3[438.760,446.400] I SEE OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0034.mp3[160.600,171.120] OK AND ANYTHING YOU NOTICE THATS MADE THE COUGH OR FEVER WORSE OVER THE LAST THREE OR FOUR DAYS audio/RES0014.mp3[531.600,535.160] OK ANY RECREATIONAL DRUGS audio/MSK0036.mp3[562.760,569.400] AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES audio/MSK0023.mp3[133.360,138.680] OK ARE YOU HAVING PAIN ANYWHERE ELSE OR IS IT JUST YOUR LEFT KNEE audio/RES0057.mp3[262.960,271.480] YES I WOULD SAY BUT BOTH THE COUGH AND THE SHORTNESS OF BREATH HAS BEEN GETTING WORSE OVER THESE LAST FEW DAYS audio/RES0095.mp3[128.160,137.360] OK UHM AND HAVE YOU HAD ANY UH INSTANCES WHERE YOUVE WOKE UP IN THE MIDDLE OF THE NIGHT EXTREMELY SHORT OF BREATH audio/RES0131.mp3[185.480,190.920] YEAH UM OKAY AND HAVE YOU LIKE DO YOU USUALLY GET HEADACHES audio/MSK0041.mp3[548.960,557.160] I EAT A LOT OF RED MEATS BUT NOT A LOT OF UM SEAFOOD audio/RES0144.mp3[232.200,238.000] OK SORRY IS HE IS ABLE TO SIT UP ON HIS OWN audio/MSK0035.mp3[288.680,294.160] OK AND AND HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0176.mp3[145.000,173.000] YEAH UH IT JUST HAPPENED TWO OR THREE DAYS AGO AND I WAS JUST I WASI WASNT REALLY DOING MUCH I WAS I GUESS JUST LIKE GOING UP THE STAIRS AND WHEN I GOT TO THE TOP I JUST KIND OF SUDDENLY COLLAPSED AND THEN I GOT BACK UP audio/MSK0007.mp3[434.600,446.560] YEAH I USED TO PLAY GOLF BEFORE THIS PAIN IN MY ARM AND MY ELBOW SO I HAVENT PLAYED IT IN THE PAST LIKE SIX MONTHS audio/RES0004.mp3[761.760,766.400] OK ACTUALLY AND SHES BETTER NOW audio/MSK0012.mp3[431.560,433.600] OK ANY MUSCLE WEAKNESS AT ALL IN THAT AREA audio/RES0022.mp3[1017.200,1020.520] ALRIGHT YOURE WELCOME audio/RES0043.mp3[291.960,299.120] NO OK DOES HE HAVE A SORE THROAT audio/RES0088.mp3[587.840,592.240] NO NO COMPLICATIONS audio/MSK0025.mp3[473.840,477.440] I DO I WORK FROM HOME RIGHT NOW IM A TEACHER audio/RES0194.mp3[315.120,324.000] NO ITS BEEN PRETTY STABLE SO YEAH I HAVENT HAD ANY CHANGES LIKE THAT audio/RES0214.mp3[533.960,535.600] ALRIGHT GREAT THANK YOU audio/RES0186.mp3[445.040,457.000] OK THATS GOOD AND ANY REASONS TO BELIEVE YOU HAVE OLD CARPET MOLD ASBESTOS PETS ANYTHING AT HOME THAT COULD BE MAKING YOUR CONDITION WORSE audio/MSK0009.mp3[429.400,433.040] I SEE AND DO YOU TAKE ANY MEDICATIONS audio/RES0133.mp3[327.760,335.960] UH SO I HAVE EVERYTHING EXCEPT FOR THAT HPV VACCINE audio/CAR0003.mp3[571.360,574.440] I LIVE BY MYSELF audio/RES0062.mp3[231.880,243.360] AS SOON AS I BREATH WELL I JUST HAVENT FELT GOOD LIKE TIRED KIND OF WEAKISH audio/RES0005.mp3[100.560,105.800] OK AND UM IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY audio/RES0014.mp3[386.880,391.480] OK UM ANY RECENT SURGERIES audio/RES0150.mp3[149.040,154.280] OK HAS HE MENTIONED ANYTHING ABOUT CHEST PAIN audio/RES0059.mp3[543.560,549.280] IM JUST LIKE 20 MINUTES DOWN THE ROAD IN A HOUSE HERE audio/RES0081.mp3[627.840,634.000] I SEE OK AND DOES ANYBODY SMOKE IN THE HOME EITHER CIGARETTES OR MARIJUANA audio/MSK0009.mp3[648.880,660.080] OK IM OK SO OH AND UH IN THE FAMILY ARE THERE ANY HISTORY OF HEART OR LUNG CONDITIONS audio/RES0034.mp3[837.920,848.280] SO IT WAS AROUND ONE MONTH AGO AND EVERYTHING WAS FINE THEN NO CONCERNS FROM THE DOCTOR audio/MSK0032.mp3[512.560,517.960] OKAY HOW ABOUT WHEN YOU PALPATE HER LIKE FOREARM MUSCLES audio/MSK0001.mp3[82.800,89.120] OK UM AND WHEN DOES IT GET WORSE audio/RES0209.mp3[201.720,202.920] LAST TWO WEEKS audio/RES0081.mp3[634.000,639.760] UHM MY HUSBAND SMOKES BUT HE SMOKES OUTSIDE HE NEVER SMOKES IN FRONT OF THE KIDS audio/MSK0005.mp3[308.400,310.840] NO I HAVENT HAD ANY FEVERS OR CHILLS audio/MSK0004.mp3[197.320,203.400] ALRIGHT IT GETS WORSE REALLY TO IF IF I MOVE MY ANKLE OR IF IM STANDING ON IT audio/RES0070.mp3[147.880,153.960] NO NO LIKE I SAID ITS LIKE NOTHING LIKE MY USUAL MIGRAINE HEADACHES audio/RES0089.mp3[377.240,382.440] OK AND HAS THIS HAPPENED TO YOU BEFORE audio/MSK0036.mp3[554.560,559.720] OK UHM AND DO YOU HAVE ANY ALLERGIES audio/RES0005.mp3[612.440,613.720] OK DO YOU SMOKE CANNABIS audio/RES0063.mp3[508.040,513.640] OK ANY OLD CARPETS MOLD DUST ASBESTOS audio/MSK0028.mp3[354.320,356.240] ANY NAUSEA OR VOMITING audio/RES0198.mp3[0.000,1.880] WHAT BRINGS YOU HERE TODAY audio/MSK0027.mp3[195.760,197.800] FEVERS OR CHILLS audio/RES0140.mp3[401.920,436.120] AND WE CAN BE SURE THAT YOURE YOURE DOING OKAY WELL ALSO CONTINUOUSLY MONITOR YOUR VITAL SIGNS UM TO MAKE SURE THAT YOURE DOING WELL AND THEN WELL MAKE SURE THAT YOURE DISCHARGED WE WILL ALSO GET YOU SOME PHYSIOTHERAPY HERE WHILE IN THE HOSPITAL TO HELP YOU UM MOBILIZE BETTER WHEN YOU GET HOME UM AND WELL ALSO DO A COVISWAB JUST IN CASE DID YOU HAVE ANY EXPOSURES TO ANYONE IN THE PAST COUPLE OF DAYS BEFORE YOU CAME AT HOME AFTER YOU CAME HOME audio/MSK0042.mp3[284.000,284.880] UM NO audio/RES0046.mp3[396.600,400.480] YEAH OK AND THEN ANY BLOOD IN YOUR STOOL audio/RES0196.mp3[218.040,222.000] OK HAS HER HEARING BEEN AFFECTED AT ALL audio/RES0024.mp3[3.800,42.040] SO LIKE I DONT REALLY FEEL SICK I JUST I LOST I CANT I FOR THE PAST TWO DAYS I CANT SMELL ANYTHING I CANT TASTE ANY OF MY FOOD ITS SUPER WEIRD I LIKE LIVE WITH MY BOYFRIEND AND HE WAS LIKE HERE TAKE A BITE OF THIS ONION AND I LIKE BIT INTO IT AND I LITERALLY DIDNT TASTE ANYTHING OTHERWISE LIKE I FEEL TOTALLY FINE I JUST HEARD THAT THIS HAPPENS SOMETIMES LIKE WITH COVIAND IM JUST KIND OF WORRIED THAT I HAVE COVID audio/MSK0029.mp3[630.040,636.400] OK HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM audio/RES0207.mp3[124.640,139.520] OK OK THANK YOU FOR SHARING THAT WITH ME HAVE YOU EVER HAD ANY ISSUES LIKE THIS FOLLOWING SEIZURES IN THE PAST audio/RES0149.mp3[446.880,454.560] I SEE OK SO DO YOU TAKE ANY MEDICATIONS LIKE EITHER PRESCRIBED OR OVER THE COUNTER audio/RES0206.mp3[591.440,594.160] AND DO YOU DRINK ALCOHOL audio/RES0046.mp3[686.560,690.360] OK HAVE YOU EVER THOUGHT OF QUITTING audio/RES0174.mp3[648.600,649.840] I DONT audio/RES0191.mp3[81.720,88.800] ALL RIGHT HAVE YOU HAD ANY CHANGES OR TO YOUR SENSE OF SMELL OR ANY LOSS OF SMELL audio/RES0177.mp3[136.760,155.760] OK UMM AND IT DOES ANYTHING HELP WITH THAT SO DOES SITTING UP HELP OR UH YOU KNOW GETTING FRESH AIR OR ANYTHING LIKE THAT audio/RES0176.mp3[176.640,186.240] I FELT LIKE MY HEART WAS LIKE BEATING KIND OF FAST AND I FELT LITTLE BIT DIZZY audio/RES0154.mp3[134.040,135.920] UH NO audio/CAR0004.mp3[0.000,2.680] WHAT BRINGS YOU HERE TODAY audio/RES0028.mp3[183.040,192.040] I WAS IN IN ITALY FOR THE PAST THREE WEEKS ACTUALLY JUST GOT BACK LAST NIGHT audio/RES0043.mp3[487.840,500.720] UHM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING SO FAR audio/MSK0003.mp3[174.160,180.960] OK OK AND IN THE BACK PAIN THAT YOURE HAVING DOES IT RADIATE OR MOVE TO ANY OTHER PART OF YOUR BODY audio/RES0046.mp3[605.000,606.960] NO I DONT TAKE ANYTHING audio/RES0063.mp3[278.120,283.400] OK OK ARE YOU OTHERWISE HEALTHY audio/RES0167.mp3[129.360,134.640] NO NONE OF THOSE audio/RES0017.mp3[732.280,733.840] I WOULD SAY ALMOST 20 YEARS audio/RES0046.mp3[292.520,302.680] OK WELL WE CAN DO THAT TODAY IN THE CLINIC AND WELL LET YOU KNOW UM AND CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES audio/MSK0012.mp3[358.080,360.120] ANY RASHES OR SKIN CHANGES audio/RES0049.mp3[527.440,530.960] OK AND AND DO YOU SMOKE audio/RES0134.mp3[377.800,382.200] OKAY UM AND THEN ANY SKIN CHANGES OR RASHES audio/MSK0042.mp3[205.920,211.440] OKAY HAVE YOU HAD UH HAD A COUGH OR SHORTNESS OF BREATH audio/RES0016.mp3[301.560,305.520] OK FAIR ENOUGH HOW ABOUT CHEST PAIN audio/MSK0027.mp3[353.960,355.080] NO NO ISSUES THERE audio/RES0036.mp3[33.400,38.480] OK AND WERE YOU DOING ANYTHING BEFORE IT FIRST HAPPENED audio/MSK0003.mp3[546.960,553.440] OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES audio/RES0165.mp3[293.720,299.600] OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH audio/RES0141.mp3[86.080,92.320] DID YOU DO ANYTHING FOR THE PAIN DID YOU TAKE ANY MEDICATIONS ANYTHING THAT MAKES IT BETTER audio/MSK0006.mp3[448.560,459.280] UM YEAH I SMOKE UH ABOUT UM HALF A PACK OF CIGARETTES PER DAY audio/RES0105.mp3[32.520,41.960] OK AND IT WAS IT BROUGHT ON BY ANY ACTIVITIES OR WERE YOU DOING ANYTHING AT THAT TIME BEFORE IT STARTED audio/MSK0012.mp3[476.680,486.000] OK UH DO YOU HAVE ANY HISTORY OF ANY CANCERS AT ALL audio/RES0189.mp3[657.880,662.720] OK AND ANY LUNG CANCER IN THE FAMILY audio/MSK0021.mp3[103.400,105.920] UH ITS A SHARP PAIN audio/RES0060.mp3[668.280,676.320] OK AND DID YOU NEED TO BE TREATED WITH ANY SORT OF ANTIBIOTICS RECENTLY audio/RES0074.mp3[288.480,299.560] UHM MAYBE JUST A LITTLE BIT WITH ALL THE DIARRHEA I FEEL LIKE I DO HAVE SOME JUST TENDERNESS IN MY ABDOMEN audio/MSK0038.mp3[542.880,551.280] UH NO NO SWELLING OR YEAH NOTHING VISIBLE THAT I CAN SEE audio/RES0068.mp3[282.200,295.480] OK YEAH SOMETIMES WITH LIKE MUCOUS BUILDUP IT CAN AFFECT LIKE YOUR BREATH AS WELL SO YEAH JUST WONDERING ANY CHEST PAIN AT ALL audio/RES0028.mp3[399.120,401.880] NO ALLERGIES audio/RES0050.mp3[99.720,103.760] UM MORE SPUTUM AND SPUTUM JUST LOOKS DIFFERENT audio/CAR0002.mp3[216.880,226.560] NO NAUSEA OR VOMITING BUT I DO FEEL A LITTLE BIT HOT TODAY audio/MSK0044.mp3[420.760,442.760] YEAH IM IN HIGH SCHOOL AND UM I I WORK PARTTIME AT THE GROCERY STORE AS WELL BUT UH ITS NOT THAT OFTEN THOUGH BECAUSE IVE JUST BEEN BEEN PLAYING SPORTS ON THE FOOTBALL TEAM WE HAVE A LOT OF PRACTICES AND GAMES AND STUFF audio/RES0103.mp3[50.680,57.040] SURELY AFTER THAT PROBABLY MAYBE THE SAME DAY OR OR THE NEXT DAY audio/RES0107.mp3[401.360,405.000] UM ANY ALLERGIES audio/RES0005.mp3[66.400,74.120] UH IN THIS ITS KIND OF MIXED INTO THE SPUTUM I WOULD SAY LIKE BUT IT DEFINITELY IS RED audio/RES0165.mp3[190.160,196.120] ITS JUST IRRITATION IN MY THROAT audio/RES0022.mp3[496.720,508.440] OK AND NEXT QUESTION WOULD BE HAVE YOU HAVE ANY ANY JOINT ACHES OR MUSCLE ACHES OR GENERAL BODY ACHES audio/RES0190.mp3[329.440,334.280] HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS audio/RES0022.mp3[346.720,352.240] OK AND ANY ABDOMINAL PAIN audio/MSK0016.mp3[330.360,333.640] NO I HAVENT HAD ANY OF THAT audio/RES0015.mp3[508.440,510.840] NO ITS BEEN FINE audio/RES0017.mp3[159.040,166.120] OK AND IS THE COUGH WORSE IN THE MORNING THROUGHOUT THE DAY OR OR AT NIGHT audio/RES0103.mp3[201.040,203.440] NO WEVE BEEN AT HOME audio/RES0001.mp3[303.680,310.200] NO UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE IN THE PAST WEEK OR SO audio/RES0061.mp3[310.560,315.440] OK ANY SHORTNESS OF BREATH audio/RES0026.mp3[521.400,524.120] AH JUST THE ONE audio/MSK0005.mp3[392.000,394.680] UH NO audio/MSK0027.mp3[613.800,629.760] OK SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND LOOK FOR ON THE PHYSICAL TODAY DID YOU HAVE ANYTHING ELSE THAT PERHAPS I FORGOT TO MENTION THAT MIGHT BE IMPORTANT audio/RES0168.mp3[402.440,410.520] JUST LIKE RECREATIONAL ALSO LIKE I MEAN MY KNEE MY KNEE PAIN SOMETIMES IT HELPS audio/MSK0014.mp3[515.520,527.320] YEAH I LIVE WITH MY WIFE AND DAUGHTER AND KIND OF LIVE IN A SMALL LITTLE TOWNHOUSE JUST IN THE CITY audio/RES0211.mp3[337.200,340.440] OK ANY FAMILY HISTORY OF ASTHMA audio/RES0055.mp3[756.560,761.840] OK YEAH NO PROBLEM audio/MSK0022.mp3[360.560,364.800] I WOULD SAY ITS PROBABLY A 6 audio/RES0043.mp3[279.440,287.680] OK AND UM IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING audio/RES0126.mp3[504.640,515.240] NO OK ANY KIND OF ISSUES WITH YOUR SLEEP OR APPETITE audio/MSK0005.mp3[688.960,819.640] YEAH SO RIGHT NOW IT SEEMS LIKE YOU MAY HAVE A CASE OF SOMETHING CALLED UM LATERAL EPICONDYLITIS SO ITS ALSO KNOWN AS UH TENNIS ELBOW UM AND THERE ARE A LOT OF THINGS THAT COULD KIND OF PREDISPOSE YOU TO THIS UM SO IT COULD BE LIKE THE REPETITIVE STRAIN AT WORK UM AND LIKE CONTINUOUS CONTRACTION OF YOUR WRIST EXTENSOR MUSCLE GROUP THERE UM SO FOR THIS WE BASICALLY RECOMMEND UM A COUPLE OF THINGS TO MANAGE THE PAIN UH BUT FIRST LIKE IN TERMS OF IMAGING I DONT THINK IT IS NECESSARY BECAUSE IT DOESNT SEEM LIKE THERE WAS ANY TRAUMA AND IM NOT TOO WORRIED ABOUT ANY FRACTURES UM SO TO HELP YOU TREAT THIS UM WE RECOMMEND SOME ACTIVITY MODIFICATIONS SO UM AT WORK NOT DOING THINGS THAT ARE TOO REPETITIVE ESPECIALLY IF ITS USING THOSE UM EXTENSOR FOREARM MUSCLES UM AND THEN YOU CAN USE SOME USE A COMPRESSION SLEEVE AS WELL CONTINUE TAKING TYLENOL OR NSAIDS FOR THE PAIN AND UH REALLY IMPORTANT IS PHYSICAL THERAPY UM TO INCREASE MOBILITY AND STRENGTH IN THAT ARM UH AND AS WELL YOU CAN APPLY THINGS LIKE ICE UM TO IT FOR LIKE THE PAIN AND SWELLING IF YOU SEE ANY UH YEAH SO IT SHOULD RESOLVE IN ABOUT SIX MONTHS TO TWO YEARS AT MOST UH BUT NORMALLY IT DOES UM GO AWAY IN A COUPLE OF MONTHS WITH SOME PHYSICAL THERAPY AND THE COMPRESSION AND SPLINTS IF YOU CHOOSE TO DO THAT HOW DOES THAT SOUND audio/MSK0043.mp3[542.920,548.640] OKAY AND HAVE YOU UM INJECTED UH DRUGS RECENTLY AT ALL audio/RES0211.mp3[441.800,446.440] NO LIKE I JUST JUST CAME HERE BUT LIKE I DONT REALLY LEAVE THE HOUSE audio/RES0143.mp3[366.480,374.600] UH MY MOM HAD THE SNIFFLES LIKE LAST WEEK BUT SHE PRETTY MUCH GOT OVER IT audio/RES0038.mp3[511.480,512.960] EVERYBODYS BEEN HEALTHY audio/RES0147.mp3[62.120,70.200] AND BEFORE THESE 12 HOURS WHERE DID YOU HAVE ANY DIFFICULTIES WITH BREATHING audio/RES0126.mp3[652.000,655.480] NOT THAT IM AWARE OF audio/RES0153.mp3[346.840,351.760] UM NO IVE BEEN PRETTY HEALTHY audio/MSK0001.mp3[73.480,82.800] IF IM SITTING UH COMPLETELY STILL LIKE LIKE I AM RIGHT NOW ITS A 2 OUT OF 10 audio/RES0123.mp3[357.320,360.280] I SEE AND HAVE YOU BEEN WEARING A MASK audio/MSK0010.mp3[531.560,537.000] OK I AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES audio/RES0189.mp3[579.960,583.960] MAYBE A COUPLE OF YEARS A WEEK audio/RES0214.mp3[67.800,71.640] EXCELLENT OK YOUVE HAD A COUGH AT ALL audio/MSK0001.mp3[449.800,453.400] UH NEVER audio/GAS0005.mp3[360.960,364.600] NO NO HE HASNT MENTIONED ANYTHING LIKE THAT audio/MSK0040.mp3[363.520,373.280] ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS OR ANY REASON TO SEE A DOCTOR REGULARLY audio/RES0132.mp3[624.680,699.680] FOR SURE SO UM WE WILL FIRST GET YOUR VITALS HERE AND WELL SEE IF YOUR OXYGEN LEVELS UM ARE LOW THEN IT WOULD BE IMPORTANT TO PUT ON SOME OXYGEN FIRST UM JUST TO MAKE SURE THAT THATS STABLE UM AND FROM THERE WE WILL UM GET A CHEST XRAY UM AND UH RUN SOME LAB WORK TO TO TRY TO HELP FIGURE OUT THE THE DIAGNOSIS BETTER BUT IN THE MEANTIME WELL USE UM SOME INHALERS BECAUSE ITS POSSIBLE THAT THIS IS A COPEXACERBATION SIMILAR TO UH LAST YEAR UM AND THE INHALERS SHOULD HELP OPEN UP THE AIRWAYS AND DILATE SO MAKE BREATHING EASIER AND THEN UM ALSO IF IT IS A COPEXACERBATION IT WILL LIKELY REQUIRE ANTIBIOTICS AS WELL AS SOME STEROIDS FOR THE THE INFLAMMATION FOR FIVE DAYS UH BUT SINCE YOUR SYMPTOMS CURRENTLY OVERLAP WITH UH COVIAS WELL YOULL HAVE TO GET A A COVINASAL SWAB audio/RES0005.mp3[534.000,557.960] OH YES I WORKED IN THE STEEL FACTORY FOR MOST OF MY WORKING LIFE I THINK YEAH THERE MIGHT HAVE BEEN SOME EXPOSURES TO CHEMICALS AND DUST PARTICLES ASBESTOS I DONT THINK THERE WAS EXPOSURE BUT DEFINITELY I MAY HAVE LIVED IN PLACES THAT HAD ASBESTOS I MEAN YEAH audio/RES0038.mp3[601.720,613.400] I DID YEAH I I SMOKED A PACK A DAY UP UNTIL JUST ABOUT A MONTH AGO I MADE IT WAS A NEW YEARS RESOLUTION TO QUIT audio/RES0096.mp3[634.680,637.520] I SEE DID YOUR MOM SURVIVE THE HEART ATTACK audio/RES0208.mp3[210.280,219.720] OK IS THE HEADACHE THAT YOUVE HAD DIFFERENT IN QUALITY FROM THE HEADACHES THAT YOU USUALLY GET audio/RES0211.mp3[217.240,228.920] UH LIKE IT FEELS LIKE A LITTLE BIT LIKE PLUGGED UP AN LIKE WHATS THAT CALLED LIKE POST NASAL DRIP BUT I DONT REALLY FEEL LIKE I CANT BREATHE audio/RES0159.mp3[370.440,378.120] OH YEAH SORRY SO IM TAKING UH THIS MEDICATION CALLED TAMSULOSIN audio/RES0214.mp3[25.520,30.160] OK SO IF I UNDERSTAND IT STARTED WITH A STUFFY NOSE audio/CAR0005.mp3[84.600,94.160] OK AND OVER THE LAST TWO WEEKS SINCE YOU SAID IT STARTED HAS IT GOTTEN ANY WORSE audio/RES0077.mp3[410.880,413.760] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0015.mp3[506.120,508.440] OK HOW ABOUT CHANGES IN URINATING audio/MSK0040.mp3[685.320,689.880] OK AND THEN HOW ABOUT ANY PAINS ON THAT LIKE MEDIAL SIDE OF YOUR FOOT audio/RES0182.mp3[228.960,232.960] OK HAVE YOU HAD ANY DIZZINESS OR FAINTING audio/RES0183.mp3[461.600,466.440] OK HAS THERE BEEN ANY TRAVEL RECENTLY audio/RES0058.mp3[234.360,239.400] I KNOW I DIDNT SEE ANYTHING RED audio/RES0008.mp3[421.800,430.040] NO NOT THAT I KNOW NO I HAVENT REALLY HAD ANY CHEST PAIN ON THE LEFT SIDE ANYWAY audio/MSK0009.mp3[823.280,832.360] NO I THINK THATS ALL audio/RES0036.mp3[699.360,704.560] I EAT A LOT OF FAST FOOD AND JUNK FOOD audio/MSK0042.mp3[636.640,649.200] OKAY UM SO UM NEXT I JUST WANTED TO MOVE ON TO THE PHYSICAL EXAM COMPONENT AND UM FIRSTLY ARE YOU HAVING ANY ISSUES WITH UH WALKING audio/RES0199.mp3[90.360,96.240] AND ONE TO TEN TEN BEING THE WORST PAIN YOUVE EVER HAD HOW BAD IS IT audio/RES0211.mp3[282.920,284.760] UH NO NO audio/GAS0005.mp3[596.280,613.480] UH NO NO ONE HAS BEEN SICK RECENTLY HOWEVER HE DOES THEY DID LET THEM GO BACK INTO SCHOOL AT ONE POINT SO I DONT KNOW I DONT KNOW SO THAT WAS JUST LAST WEEK SO I DONT KNOW IF HE CAUGHT SOMETHING FROM SCHOOL audio/RES0033.mp3[431.920,434.960] OH NO NO NOT THAT I KNOW audio/RES0025.mp3[427.240,428.760] UH UH ESCITALOPRAM audio/RES0097.mp3[90.880,94.240] AND THIS STARTED THREE OR FOUR DAYS AGO AS WELL audio/RES0165.mp3[308.920,311.920] ANY ENVIRONMENTAL ALLERGY audio/DER0001.mp3[31.200,44.920] AH ITS BEEN ITS BEEN LOOKING WEIRD FOR ABOUT A WEEK BUT ONLY YES IT STARTED HURTING YESTERDAY AND STARTED LOOKING STRANGE AND I JUST WANTED TO COME IN TO GET IT CHECKED OUT audio/MSK0016.mp3[296.880,300.720] UH NO I HAVENT HAD A COUGH audio/RES0124.mp3[66.600,88.560] YEAH YEAH AND THEN ALSO LIKE I REMEMBER WHEN I WAS WALKING DOWN THE STREET AND SOMEONE WAS SMOKING AND THEN I JUST COMPLETELY JUST STARTED HAVING THAT EPISODE RIGHT AFTER I WALKED PAST THEM audio/RES0076.mp3[562.880,565.840] OK AND CURRENTLY DO YOU SMOKE audio/MSK0012.mp3[558.320,562.400] OK AND DO YOU DRINK ALCOHOL audio/RES0190.mp3[288.720,290.880] UH NO audio/CAR0003.mp3[467.240,469.360] OK AND SINCE THEN YOUVE BEEN ON THESE MEDICATIONS audio/RES0134.mp3[249.880,253.720] AND HOW ABOUT ANY EYE REDNESS OR DISCHARGE audio/RES0046.mp3[180.600,188.120] NO HOW ABOUT UH PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS audio/RES0058.mp3[300.800,304.320] OK AND ARE THINGS NORMAL WITH YOUR URINE audio/RES0091.mp3[306.640,309.760] HAVE YOU SMOKED IN THE PAST audio/RES0204.mp3[48.560,55.320] HI MUM UM OK YOU GOT A COUGH YOU SAID IM SORRY YOU SAID FOR FIVE DAYS audio/MSK0006.mp3[428.640,436.960] NO UH FAMILY HISTORY OF UM MUSCULOSKELETAL OR NEUROLOGICAL ISSUES audio/RES0093.mp3[406.600,409.960] NO I HAVENT HAD ANY ANY PANIC ATTACKS audio/MSK0036.mp3[614.920,618.960] I SEE OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/MSK0042.mp3[190.880,194.200] UH HOW ABOUT NIGHT SWEATS audio/RES0202.mp3[333.680,338.320] MAYBE A BIT OF LIKE A LOOK AT RUNNY NOSE audio/RES0160.mp3[211.800,215.160] OK ANY PAIN IN YOUR BELLY audio/RES0125.mp3[39.080,45.520] OKAY AND HAS IT BEEN GETTING WORSE OVER THE OVER THE TIME PERIOD YOU DESCRIBED audio/RES0016.mp3[23.000,30.560] OK OK UM DO YOU ALWAYS HAVE THE BREATHLESSNESS OR DOES IT COME AND GO audio/RES0033.mp3[348.000,349.880] UH NO audio/MSK0050.mp3[466.880,474.200] UM THERES RHEUMATOID ARTHRITIS IN THE FAMILY BUT THATS ABOUT IT audio/RES0057.mp3[433.840,446.720] OK UMM ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS audio/MSK0009.mp3[534.880,547.760] YEAH I LIVE WITH MY HUSBAND AND OUR DAUGHTER AND ITS JUST IN A SMALL TOWNHOUSE JUST IN THE CITY audio/RES0026.mp3[503.440,508.680] OK AND ANY OTHER MEDICAL CONDITIONS audio/RES0187.mp3[364.480,369.280] OK AND DO YOUR CURRENT SYMPTOMS FEEL LIKE THAT audio/RES0072.mp3[31.960,42.760] IT HURTS TO SWALLOW BOTH WHEN I HAVE SOMETHING REALLY COLD IT HELPS I MEAN ITS EASIER TO DRINK BUT IT STILL HURTS audio/RES0129.mp3[212.960,215.640] UHM HEADACHES audio/GEN0001.mp3[201.640,211.520] IT MAYBE LOOKED LIKE A LITTLE CLOUDY BUT NOTHING NOTHING ELSE OUT OF THE ORDINARY LIKE IVE NEVER HAD BLOOD IN IT OR ANYTHING audio/RES0201.mp3[154.800,159.760] ITS ITS JUST THERE ALL THE TIME audio/RES0059.mp3[51.680,58.200] OK AND HAVE YOU HAD A FEVER audio/RES0139.mp3[62.440,64.800] OKAY ANY FEVERS OR CHILLS audio/RES0085.mp3[154.600,156.360] NO I DONT THINK SO audio/MSK0036.mp3[456.560,462.240] HAVE YOU HAD ANY CHEST PAIN OR FEELING AS THOUGH YOUR HEARTS RACING audio/RES0198.mp3[321.120,329.200] OK AND CURRENTLY DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING audio/RES0053.mp3[511.360,515.240] YEAH HES A LITTLE PRE TERM 34 WEEKS I THINK audio/MSK0017.mp3[432.840,436.720] UH NO NO HEART OR LUNG DISEASES audio/MSK0021.mp3[414.080,423.240] NO I I TRY TO STAY AWAY FROM THAT WITH ALL THE RUNNING AND STUFF THAT IM DOING IM UH I WANT TO MAKE SURE THAT IM ABLE TO TO IMPROVE audio/RES0072.mp3[463.520,476.960] OK AND HAVE YOU BEFORE THIS ALL STARTED HAVE YOU HAD ANY LIKE CONGESTION RUNNY NOSE OR ANY OTHER COLD LIKE SYMPTOMS audio/RES0039.mp3[435.880,440.000] UH NO IVE BEEN EATING OK audio/RES0126.mp3[282.040,285.920] OK ANY HEADACHES AT ALL audio/RES0069.mp3[418.280,424.720] SHE SHE DOES GO TO DAYCARE YEAH audio/MSK0006.mp3[597.880,602.160] OK AND DOES IT FEEL HOT audio/RES0186.mp3[438.440,445.040] UH NO TRAVEL JUST BEEN GOING TO WORK AND DOING THE ESSENTIALS AND HOME audio/RES0059.mp3[67.240,72.040] I JUST GOT HOT audio/RES0051.mp3[380.320,382.760] I WOULD SAY ITS MATH audio/CAR0004.mp3[11.560,19.720] OH WOW YEAH UM THAT MUST BE REALLY SCARY WHEN DID THIS WHEN DID THIS PAIN START audio/RES0095.mp3[50.040,60.320] YEAH UHM SIX MONTHS AGO audio/MSK0003.mp3[440.960,454.920] YES I AM UH I I HAVE A GIRLFRIEND THEN WEVE UH WE STARTED DATING ABOUT ABOUT UH SIX MONTHS AGO audio/RES0012.mp3[655.520,657.840] OK CYSTIC FIBROSIS audio/MSK0007.mp3[552.800,554.200] I DO audio/RES0217.mp3[407.920,412.000] UH YEAH I TAKE A UH STATIN CANT REMEMBER WHICH ONE audio/RES0068.mp3[89.160,99.480] UH NO NOTHING LIKE THAT I DID HAVE WHAT THEY THOUGHT WAS A VIRAL INFECTION A WEEK BACK audio/RES0210.mp3[106.440,115.520] SORRY I KNOW THESE ARE TRICKY QUESTIONS AND YOU SAID THAT YOUVE HAD SOME FEVERS CAN YOU TELL ME A LITTLE BIT ABOUT THAT WHEN DID THAT START audio/GEN0001.mp3[362.920,365.320] OH SO YOU HAVE ASTHMA audio/MSK0013.mp3[272.280,284.320] UM YEAH DEFINITELY SOME OF THAT LIKE ILL FIND IT HARD TO LIKE OPEN CANS AND BOTTLES audio/RES0003.mp3[306.440,329.320] YEAH WE WE DID USE SOME TYLENOL AND IT BROUGHT THE FEVER DOWN SO THAT WAS PART OF THE REASON WHY WE WE DIDNT COME IN CAUSE HES HAD SORE THROATS BEFORE BUT THE FEVER BOUNCED BACK AND AND THE PAIN SEEMS TO HAVE CONTINUED SO WE CAME IN audio/RES0206.mp3[0.000,4.800] WHAT BRINGS YOU IN TODAY audio/RES0200.mp3[266.120,270.240] CHANGES IN YOUR APPETITE audio/MSK0007.mp3[475.480,483.240] ILL SMOKE A JOINT ONCE A WEEK audio/RES0033.mp3[354.160,358.280] NO I THINK IVE BEEN EATING THE SAME AMOUNT audio/RES0161.mp3[82.680,92.880] UHM I DONT HAVE A COUGH I DONT HAVE A SORE THROAT I DO SOMETIMES GET A RUNNY NOSE THOUGH LIKE EVERY EVERY NOW AND THEN audio/RES0097.mp3[448.680,451.400] AND THE REACTION IS audio/RES0192.mp3[415.120,422.360] OK AND HAS YOUR HUSBAND BEEN SICK OR ANYBODY YOUVE BEEN AROUND BEEN SICK audio/RES0166.mp3[493.600,499.640] OK AND YOU SMOKE IT ALL audio/MSK0031.mp3[261.880,282.880] YEAH SO I JUST HAVE A UHM I DO HAVE SOME OSTEOARTHRITIS AND THEN I HAVE I TAKE THIS MEDICATION FOR BLOOD PRESSURE ITS CALLED UH RAMIPRIL audio/RES0188.mp3[61.080,65.840] YEAH SO I THINK IT WAS 385 DEGREES CELSIUS audio/RES0173.mp3[334.440,338.080] NO IM PRETTY HEALTHY audio/MSK0049.mp3[477.840,483.480] NO I RETIRED EARLY audio/DER0001.mp3[217.840,220.760] HONESTLY LAST 12 HOURS audio/RES0062.mp3[219.480,221.440] NO I HAVENT audio/RES0027.mp3[214.680,215.960] UM NO audio/RES0014.mp3[14.640,25.440] SO I THINK ITS A IT STARTED AROUND THREE MONTHS AGO AND I BELIEVE ITS JUST BEEN GETTING WORSE audio/MSK0005.mp3[597.960,600.000] UH I I AM YES audio/RES0048.mp3[49.240,58.080] OK AND THEN THE THE BOWEL BOWEL CHANGES WHEN DID THAT START audio/RES0102.mp3[992.000,995.000] WELCOME TAKE CARE audio/RES0101.mp3[439.440,447.600] NO NOTHING ELSE I ACTUALLY I DO TAKE SOME MULTIVITAMINS BUT BESIDES THAT NOTHING audio/MSK0022.mp3[1039.200,1057.160] YOURE WELCOME AND THEN IF IT DOES COME OUT TO BE RHEUMATOID ARTHRITIS ARTHRITIS WHICH SEEMS LIKELY YOU WILL NEED A REFERRAL TO A RHEUMATOLOGIST TO MANAGE AND TREAT YOUR UH TREAT YOU WITH MEDICATIONS audio/RES0163.mp3[514.320,517.680] NO OK AND DO YOU DRINK ALCOHOL audio/RES0167.mp3[106.280,116.600] MAYBE A LITTLE BIT I WASNT REALLY THINKING ABOUT IT TOO MUCH audio/RES0048.mp3[486.160,489.000] LIKE A LITTLE BIT BUT ITS MOSTLY LIQUIDY audio/RES0117.mp3[77.480,81.480] NO IM NOT SHORT OF BREATH UM JUST ITS JUST THE COUGH audio/MSK0041.mp3[468.480,475.240] UM ALCOHOL HAVE ABOUT I USUALLY HAVE ABOUT 2 GLASSES OF WINE A DAY audio/RES0078.mp3[357.440,362.520] OK UHM ALRIGHT HAVE YOU HAD A HEADACHE audio/RES0001.mp3[600.160,612.800] OK SO ITS BASICALLY BLOOD CLOTS IN YOUR LUNG AND THEN DVTS ARE DEEP VEIN THROMBOSIS SO ALSO BLOOD CLOTS BUT IN DIFFERENT PARTS OF YOUR BODY audio/RES0151.mp3[43.720,48.480] OK AND ARE YOU BRINGING UP ANY UH SPUTUM WITH THE COUGH audio/MSK0011.mp3[608.800,610.080] UM NO audio/RES0143.mp3[232.440,256.800] OKAY ALRIGHT AND UM SO IT SOUNDS LIKE YOU HAVE A COUGH THAT STARTED TWO WEEKS AGO AND THEN YOU ONLY AND THEN YOU HAD TWO NIGHTS OF UH TWO NIGHTS WHERE YOU FELT SORT OF COLD AND YOU HAD THE CHILLS UM LAST WEEK BUT YOU UH STARTED YOU DEVELOPED A RUNNY NOSE UM A WEEK AGO audio/RES0035.mp3[446.520,453.120] AND HOW OFTEN WOULD YOU SAY ON AN AVERAGE WEEK HOW MANY DRINKS OF ALCOHOL WOULD YOU SAY YOU HAVE audio/RES0007.mp3[844.240,855.480] LIKE MAY MY DAD I THINK HE MAYBE HAD ASTHMA WHEN HE WAS YOUNGER BUT LIKE HE DOESNT REALLY HAVE IT NOW audio/RES0173.mp3[264.840,275.400] YEAH YEAH JUST ACT DIFFERENT FEELING ACHY AND KINDA TIRED THESE PAST WELL LIKE 12 TO 14 HOURS audio/RES0126.mp3[75.680,79.120] OK HAVE YOU COUGHED UP ANY BLOOD AT ALL audio/CAR0004.mp3[283.400,287.320] OK AND ANY PREVIOUS SURGERIES audio/RES0020.mp3[58.640,65.560] OK HAS IT CHANGED IN CHARACTER AT ALL YOU SAID IT WAS CRAMPY BUT HAS IT FELT LIKE ANYTHING ELSE audio/RES0044.mp3[599.000,602.640] OK I SEE UM ANY CANCERS IN THE FAMILY audio/RES0003.mp3[227.880,232.120] HAVENT NOTICED ANYTHING LIKE THAT HIS HIS BOWEL MOVEMENTS HAVE BEEN NORMAL audio/MSK0017.mp3[321.960,329.040] UH NO CHANGES TO BOWEL MOVEMENTS NO DIARRHEA AND NO INCONTINENCE OR ANYTHING LIKE THAT audio/RES0160.mp3[257.400,260.600] ANY CHANGE IN YOUR SENSE OF TASTE audio/RES0035.mp3[268.760,271.880] HAVE YOU HAD ANY RECENT INFECTIONS THAT YOU KNOW OF audio/RES0015.mp3[46.480,55.000] OK OK UM AND DO YOU HOW OFTEN ARE YOU HAVING THIS BREATHLESSNESS audio/RES0120.mp3[553.400,556.280] NO NOTHING LIKE THAT audio/RES0196.mp3[127.560,130.320] YEAH SHES HAD A FEVER FOR THE PAST TWO DAYS audio/RES0124.mp3[238.920,248.200] OKAY LETS GET BACK OKAY GREAT IT SOUNDS LIKE THAT THE THE COUGH IS SORT OF THE MAIN SYMPTOM HERE THAT YOU HAVE UM IS THE COUGH DRY OR WET audio/MSK0020.mp3[147.640,151.960] PROBABLY LIKE A 7 audio/RES0094.mp3[110.720,114.400] OK ANY DIFFICULTIES BREATHING audio/RES0132.mp3[352.000,370.760] OKAY UM ALRIGHT UM JUST WANTED TO SEE IF IT WAS UH LIKE FORMALLY DIAGNOSED SOMETIMES PEOPLE UH UM YEAH ITS IMPORTANT TO HAVE THAT UH THOSE TESTS DONE UM AND DO YOU HAVE ANY ALLERGIES audio/RES0132.mp3[497.240,503.960] OKAY AND HAVE YOU TRAVELED ANYWHERE ELSE OUTSIDE OF THE CITY audio/RES0064.mp3[422.600,425.160] NO HES AN ONLY CHILD audio/RES0174.mp3[766.600,777.920] I CAN KIND OF TELL ITS GONNA COME ON LIKE I HAVE A SENSE OF IT AND THEN IT JUST LIKE STARTS IT SUDDENLY JUST HAPPENS audio/RES0004.mp3[821.880,845.440] OK I ASK BECAUSE THERES SOMETHING CALLED WHAT YOU MAY BE FAMILIAR WITH UM ITS CALLED THE KISSING DISEASE IN MEDICAL TERMINOLOGY ITS CALLED MONO AS CAUSED BY A VIRUS CALLED EBV AND SO IT COULD BE THAT SO WERE COVERING ALL OUR BASES audio/RES0031.mp3[182.520,187.400] HAVE YOU NOTICED ANY CHANGES TO YOUR LIKE DO YOU THINK YOUR VOICE SOUNDS DIFFERENT TOO audio/MSK0037.mp3[294.480,300.400] AND HAVE YOU BEEN HAVING ANY UNEXPECTED HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/RES0141.mp3[351.720,359.000] YEAH SO I LIVE WITH MY WIFE I LIVE WITH MY TWO KIDS A SON AND DAUGHTER audio/RES0087.mp3[279.640,283.560] NOT THAT HES TOLD ME ABOUT audio/DER0001.mp3[480.240,485.640] OK OK IS THAT THE ONLY SURGERY THAT YOU HAD audio/MSK0022.mp3[495.520,499.400] NO CHANGES TO VISION OR HEARING audio/RES0160.mp3[516.440,532.040] NO OK DO YOU OK AND YOUVE HAD DIARRHEA FOR TWO DAYS HOWS YOUR APPETITE AND HAVE YOU BEEN EATING AND DRINKING OK audio/RES0083.mp3[295.200,310.160] NO I JUST USE THE TYLENOL AND I TOOK A TYLENOL COLD AND SINUS AT NIGHT WHICH HELPED WITH THE SLEEPING audio/RES0003.mp3[243.920,254.200] OK AND OK ANY ISSUES WITH HIS EYES ANY LIKE PUS OR BLEEDING OR REDNESS audio/RES0080.mp3[220.080,227.440] NO I DONT THINK SO I DONT KNOW I CANT TELL audio/RES0086.mp3[351.360,356.600] NO JUST WHEN IM EXERCISING ESPECIALLY RUNNING audio/RES0103.mp3[0.000,1.720] WHAT BRINGS YOU IN HERE TODAY audio/MSK0037.mp3[786.560,803.240] OK AND WITH THE ON THE NODULES AND STUFF DO YOU FEEL ANY LIKE CREPITATIONS OR LIKE CRACKLING OR RUBBING OVER THOSE THOSE AREAS OR YOUR PALM audio/RES0134.mp3[553.560,556.520] UM NO NO OTHER MEDICATIONS audio/RES0026.mp3[283.280,290.920] ALRIGHT HAVE YOU HAD ANY CHANGES TO EITHER YOUR SENSE OF SMELL OR YOUR SENSE OF TASTE audio/RES0114.mp3[331.360,340.160] NO OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING CONDITIONS I KNOW YOU SAID YOU HAVE COPANYTHING ELSE audio/RES0083.mp3[48.320,56.320] ITS A DRY COUGH I HAVENT BROUGHT UP ANY ANY SPUTUM AND NO BLOOD audio/RES0146.mp3[170.480,174.960] UHM HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING audio/RES0212.mp3[382.640,385.720] OK AND JUST REGARDS TO ANYTHING DO YOU SMOKE audio/MSK0029.mp3[799.640,805.960] NO OK HOW ABOUT JUST WHERE THE THYROID WOULD BE audio/RES0117.mp3[218.720,223.280] NO UM MEDICATIONS ARE YOU ON ANY audio/RES0062.mp3[868.120,873.520] I LIVE IN A HOUSE WITH MY WIFE audio/RES0120.mp3[205.640,217.240] UH YEAH IVE IVE HAD CHILLS FOR SURE I FELT HOT I HAVENT ACTUALLY TAKEN MY TEMPERATURE SO IM NOT TOO SURE ABOUT IF I ACTUALLY HAVE A FEVER audio/MSK0017.mp3[654.400,659.680] YOU CAN GET PARTWAY DOWN DOES IT HURT audio/RES0096.mp3[573.760,576.800] MHM OK audio/RES0093.mp3[323.360,336.120] AND IVE ALSO BEEN HAD ISSUES WITH ANXIETY IN THE PAST AS WELL audio/RES0061.mp3[779.160,782.520] AND I USUALLY STICK WITH RED WINE audio/RES0026.mp3[702.640,709.640] OK FOR SURE WERE PEOPLE PRETTY CLOSE TO EACH OTHER ON THE PATHS WHEN WALKING BY ON THE HIKE audio/RES0101.mp3[334.040,337.000] HAVE YOU HAD ANY DIARRHEA audio/GAS0002.mp3[42.360,51.040] SO ITS BEEN GOING ON FOR THE LAST FEW DAYS AND IT GOT WORSE TODAY audio/RES0146.mp3[103.360,109.160] AND IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST PAIN EVER WHAT WOULD YOU SAY audio/RES0163.mp3[220.400,227.960] SO ITS JUST THE CONGESTION THATS BEEN GOING ON FOR QUITE SOME TIME AND DOES IT CHANGE WITH THE SEASONS AT ALL audio/RES0113.mp3[393.680,397.160] UH HOW MUCH DID YOU SMOKE IN THE PAST audio/RES0210.mp3[414.400,417.800] OK HERE WELL DO YOU DRINK ALCOHOL audio/MSK0019.mp3[496.400,505.840] OKAY AND THEN HOW ABOUT WITH YOUR FOREARM UH FLEXOR FLEXORS audio/RES0130.mp3[547.640,555.760] OKAY OKAY GOOD UM THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME audio/RES0125.mp3[509.080,525.160] WOW YEAH THATS REALLY GOOD THATS REALLY GREAT PROGRESS UM ITS REALLY DIFFICULT TO QUIT BUT ITS GREAT TO SEE THAT YOURE TRYING TO QUIT UM SO HOW MUCH WOULD YOU SAY YOU USED TO SMOKE audio/RES0038.mp3[254.320,258.880] I THINK THE COUGHS WORSE AT NIGHT audio/MSK0029.mp3[1016.000,1108.440] YEAH AND FOR SURE UM SO RIGHT NOW IT JUST TO ME IT SOUNDS LIKE A WHIPLASH INJURY AND SO KIND OF LIKE LOW IMPACT BUT JUST TO BE CERTAIN WE CAN ORDER AN X RAY TO RULE OUT ANY FRACTURES OR DISLOCATIONS AND IN TERMS OF LIKE THE MANAGEMENT PLAN FOR PAIN MANAGEMENT YOU CAN REST YOU CAN EITHER APPLY HEAT OR COLD PACKS TO YOUR NECK FOR 15 MINUTES EVERY COUPLE OF HOURS OR SO YOU CAN TRY SOME OVER THE COUNTER PAIN MEDICATIONS LIKE IBUPROFEN OR TYLENOL AND IF IT STILL DOESNT GET BETTER WE CAN TRY LIKE WE CAN TRY INJECTIONS TO THE AREA TO RELIEVE SOME OF THAT PAIN BUT SOMETHING ELSE IN CONJUNCTION WE CAN TRY AS PHYSIOTHERAPY AND THEYLL BASICALLY HELP YOU WITH RANGE OF MOTION EXERCISES AND TRY TO STRENGTHEN THE MUSCLES IN THAT AREA AND TO IMPROVE YOUR POSTURE AND NORMAL MOVEMENT AND THATS KIND OF WHERE WE CAN START FOR NOW AND IF IT DOESNT GET ANY BETTER WE CAN TALK ABOUT ALTERNATIVE MANAGEMENT PLANS DOES THAT SOUND OK audio/RES0004.mp3[486.920,492.120] YEAH LIKE A STREP THROAT KIND OF THING OR OR MORE VIRAL audio/RES0048.mp3[169.640,179.640] NO NO I HAVENT SEEN ANY BLOOD AT ALL AND RARELY DO I BRING LIKE UP SOME SPUTUM BUT LIKE MOST OF THE TIME ITS JUST A DRY COUGH audio/RES0021.mp3[164.240,168.720] AH YEAH LIKE YOU MEAN IN TERMS OF MY FEVER OR COUGH audio/RES0051.mp3[345.240,349.920] OK ARE YOUR IMMUNIZATIONS UP TO DATE audio/RES0003.mp3[495.560,499.480] NOT THAT WERE AWARE OF audio/RES0132.mp3[22.400,33.240] YEAH FOR SURE AND SO YOU SAID THE COUGH STARTED UH THREE DAYS AGO WERE THERE ANY TRIGGERS TO THE COUGH OR ANYTHING THAT UH THAT CHANGED THREE DAYS AGO audio/RES0076.mp3[340.720,343.720] OK HAVE YOU HAD ANY NIGHT SWEATS audio/RES0186.mp3[48.920,57.160] OK SO THATS SORT OF TWO DAYS AGO AND THEN WHEN DO THE SHORTNESS OF BREATH START audio/MSK0043.mp3[875.240,882.640] AND UM WE MIGHT ALSO NEED AN XRAY SO JUST SIT TIGHT WELL WELL COME CALL YOU audio/RES0018.mp3[219.280,232.280] ALRIGHT AND SHORTNESS OF BREATH WERE YOU AT REST WHEN THAT THAT HAPPENED OR WERE YOU EXERCISING OR EXERTING YOURSELF WHAT HOW DID THE SHORTNESS OF BREATH COME ON audio/RES0215.mp3[582.000,589.160] WE HAVE CARPETS BUT THEYRE NEW CARPETS WE JUST GOT THEM UH MAYBE SIX MONTHS AGO AND NOTHING ELSE audio/MSK0010.mp3[241.880,258.800] OK UH AND UM DO YOU DO ANY REPETITIVE KIND OF LIKE OVERHEAD ACTIVITIES THINGS LIKE PLAYING BASKETBALL OR JUST LIFTING THINGS LIKE ABOVE YOUR HEAD AT THE GYM audio/RES0190.mp3[313.320,316.000] NO NOTHING LIKE THAT audio/RES0164.mp3[439.480,443.160] AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS audio/RES0077.mp3[562.400,578.160] I DIDNT SLEEP VERY GOOD LAST NIGHT I JUST DONT FEEL VERY RESTED THIS MORNING AND YEAH I HAVENT FELT VERY HUNGRY EITHER audio/RES0032.mp3[294.760,298.880] AND HOW ABOUT YOUR SLEEP HAVE YOU BEEN GETTING ENOUGH SLEEP ON A DAILY BASIS audio/RES0049.mp3[471.560,482.080] UM SOMETIMES IN THE FALL LIKE I GET A BIT SNIFFLY AND BUT OTHER THAN THAT I DONT KNOW OF ANY ALLERGIES TO ANY FOODS OR MEDICATIONS audio/RES0165.mp3[325.720,331.120] ANY PAST HOSPITALIZATIONS OR SURGERIES audio/RES0063.mp3[492.120,500.320] YEAH OK AND YOU SAID YOURE RETIRED DO YOU LIVE ALONE DO YOU LIVE WITH ANYONE audio/RES0153.mp3[225.760,230.120] ALRIGHT ANY DIZZINESS OR FEELING LIKE YOU WERE GONNA FAINT audio/RES0009.mp3[477.960,487.400] OK SO NO PRESCRIPTION MEDICATIONS OR OVER THE COUNTER MEDICATIONS YOU TAKE REGULARLY LIKE SUPPLEMENTS OR audio/RES0174.mp3[668.240,671.080] DID HE SMOKE FOR A LONG TIME audio/RES0215.mp3[473.640,478.880] AND SHE DOESNT HAVE ANY SYMPTOMS AT NIGHT audio/MSK0015.mp3[606.400,614.400] OK HOW ABOUT ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM audio/RES0070.mp3[351.840,354.320] A LITTLE BIT audio/RES0166.mp3[269.320,273.640] YEAH THEY DID A NURSE COMES IN ONCE A DAY audio/RES0049.mp3[444.440,449.320] NO OK ANY ARE YOU ON ANY MEDICATIONS audio/RES0118.mp3[159.680,170.720] UM I TRIED SOME ANTIHISTAMINES BECAUSE I DO HAVE SEASONAL ALLERGIES UH BUT THEY DONT SEEM TO BE HELPING audio/RES0097.mp3[664.880,689.480] UHM NO I WAS JUST UH IM JUST WORRIED ABOUT HIM UHM ABOUT HIS FEVER SPECIFICALLY ITS BEEN HIGH AND I KNOW THAT USUALLY WHEN HE HAS THESE HOSPITALIZATIONS HE PRESENTS PRETTY SIMILARLY SO JUST WONDERING IF HE WOULD NEED TO BE HOSPITALIZED AGAIN AND IF HE NEEDS ANTIBIOTICS audio/RES0159.mp3[259.480,263.400] UH ANY TIME WHEN YOUVE LOST CONSCIOUSNESS audio/RES0010.mp3[492.080,500.720] ALRIGHT UM DO YOU HAVE ANY ALLERGIES INCLUDING ENVIRONMENTAL ALLERGIES audio/MSK0049.mp3[664.440,671.240] UM YEAH SO UM HOW DO YOU HOW CAN I TREAT MY KNEE audio/RES0056.mp3[400.000,402.800] YEAH AS FAR AS I KNOW audio/RES0176.mp3[282.480,296.160] OK AND RECENTLY HAVE YOU BEEN OTHERWISE FEELING WELL OR IF YOU HAD ANY VIRAL INFECTIOUS SYMPTOMS LIKE RED EYES OR ITCHY EYES OR RUNNY NOSE SORE THROAT audio/RES0089.mp3[559.560,562.760] OK AND ANY OTHER MEDICAL CONDITIONS audio/GAS0004.mp3[382.240,393.760] UM IVE JUST BEEN FEELING REALLY TIRED AND AND I DONT KNOW MAYBE I HAVENT CHECKED MY CHECKED MY TEMPERATURE audio/CAR0005.mp3[380.480,417.960] FOR SURE IT ALWAYS FEELS VERY CONCERNING WHEN WHEN YOU HAVE THESE THESE SYMPTOMS AND THAT AND YOU KNOW PEOPLE IN YOUR LIFE THAT HAVE HAD ISSUES LIKE SIMILAR ISSUES IN THE PAST I DONT KNOW THAT THIS IS RELATED TO THAT I I PERSONALLY DONT THINK SO AT THIS POINT BUT WERE DEFINITELY GOING TO DO EVERYTHING TO LOOK INTO IT AND AND RULE OUT SOMETHING THAT WOULD BE SCARY LIKE THAT IM GOING TO ASK YOU FEW MORE QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU SMOKE CIGARETTES audio/RES0069.mp3[489.360,506.800] OK AND JUST TO GET TO KNOW YOU A LITTLE BIT BETTER AS WELL I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/RES0084.mp3[745.560,749.800] I HAVE STOPPED GOING TO WORK THOUGH LIKE JUST IN CASE audio/MSK0043.mp3[4.720,17.800] IVE HAD THIS LIKE PAIN IN MY KNEE IT STARTED WITHIN THE LAST FEW HOURS AND MY KNEES SWOLLEN ITS PAINFUL UM I CAN BARELY MOVE IT audio/RES0167.mp3[461.640,467.040] NO OK AND ANY OTHER RECREATIONAL DRUGS audio/RES0150.mp3[123.800,126.920] OK UM HAS HE HAD A SORE THROAT audio/RES0003.mp3[412.920,419.560] YEAH HE WAS YEAH I THINK HE WAS LIKE JUST OVER 3 KILOGRAMS audio/RES0216.mp3[300.560,309.800] OK UH WHAT MAKES YOU SAY YOU HAVENT REALLY NEEDED THE ONE AT NIGHT HAVE YOU JUST BEEN DOING WELL WITHOUT IT audio/RES0178.mp3[297.720,304.320] OK ANY HOSPITALIZATIONS OR SURGERIES audio/RES0165.mp3[58.800,66.360] OK ARE YOU HAVING ANY KIND OF ARE YOU BRINGING UP ANY BLOOD OR SPUTUM AT ALL audio/RES0062.mp3[117.760,119.760] I DONT KNOW I GUESS HACKING audio/RES0169.mp3[185.760,188.720] CHANGES IN YOUR SENSE OF TASTE audio/RES0170.mp3[370.840,378.000] AND HE OH SORRY I WAS JUST GOING TO SAY NORMAL WEIGHT AS WELL audio/MSK0042.mp3[166.560,169.320] NO I HAVENT FELT ANY OF THOSE audio/MSK0050.mp3[315.880,317.400] UH NO audio/RES0038.mp3[0.000,3.960] SO WHAT BRINGS YOU HERE TODAY AT THE FAMILY CLINIC audio/RES0196.mp3[192.520,197.880] YEAH SHE WASNT GOING TO SCHOOL FOR THE PAST THREE DAYS audio/RES0077.mp3[680.640,703.360] OH YEAH JUST LIKE THESE LAST TWO DAYS I CALLED IN AND I LET THEM KNOW AND I LEFT WORK EARLY YESTERDAY WHEN I REALIZED THAT I WAS FEELING SICK AND DIDNT GO IN THIS MORNING audio/RES0025.mp3[0.000,8.480] SO I HEAR YOUVE BEEN HAVING SOME SOME NAUSEA VOMITING DIARRHEA CAN YOU TELL ME A LITTLE MORE ABOUT THAT audio/RES0108.mp3[158.720,161.080] ANY WEIGHT LOSS audio/MSK0038.mp3[554.640,557.280] UH NO NO NO BRUISES audio/RES0197.mp3[162.800,163.320] ITS DRY audio/RES0014.mp3[3.440,11.480] THIS AFTERNOON IM JUST HERE BECAUSE IVE BEEN EXPERIENCING SOME BREATHLESSNESS AS WELL AS A BIT OF COUGH audio/RES0031.mp3[99.800,107.680] UM I WOULD SAY WHEN I UH ESPECIALLY WHEN IM EATING WHEN IM SWALLOWING IT HURTS A LOT BUT THATS ABOUT IT audio/RES0030.mp3[427.920,434.040] AND DO YOU HAVE ANY ILL CONTACTS NEAR ANYONE THAT HAS BEEN SICK AROUND YOU RECENTLY audio/RES0003.mp3[419.560,430.000] OK GOOD AND WAS HE HEALTHY AFTER BIRTH DID HE HAVE ANY BREATHING ISSUES JAUNDICE ANYTHING LIKE THAT audio/RES0133.mp3[237.200,238.800] UH NO audio/RES0045.mp3[153.200,154.280] GETTING WORSE audio/RES0065.mp3[219.720,223.040] NO NOWHERE audio/RES0178.mp3[253.640,261.160] HE IS YEAH HES STILL EATING SOLIDS JUST A LITTLE BIT PROBABLY JUST JUST SMALLER PORTIONS THOUGH audio/RES0135.mp3[399.520,406.880] OKAY AND BESIDES THAT ONE TIME GOING LIKE GOING TO THE HOSPITAL HAS SHE BEEN HOSPITALIZED OR HAD ANY SURGERIES audio/MSK0029.mp3[621.080,625.920] OK AND THEN DO YOU SMOKE audio/CAR0001.mp3[62.560,71.600] OK HAS IT BEEN CONSTANT THROUGHOUT THAT TIME OR UH OR CHANGING audio/RES0015.mp3[299.600,303.720] NO OK HOW ABOUT A SORE THROAT audio/RES0098.mp3[1.320,41.000] SO I JUST CAME IN HERE BECAUSE FOR THE LAST DAY IVE BEEN JUST GETTING SHORTNESS OF BREATH I RECENTLY YESTERDAY ACTUALLY WAS JUST BUSY AT HOME CLEANING OUT MY BASEMENT AND LIKE THAT WAS YESTERDAY AFTERNOON I DID THAT FOR A COUPLE HOURS AND THEN AT NIGHT I JUST STARTED TO GET THE SHORTNESS OF BREATH ITS CONTINUED UNTIL TODAY IM ALSO GETTING SOME WHEEZING AND TIGHTNESS IN MY CHEST AS WELL AS SOME COUGH SO YEAH THATS ALL JUST BEEN HAPPENING OVER THE LAST DAY audio/RES0090.mp3[285.440,288.360] OK ANY ISSUES WITH YOUR SLEEP OR APPETITE audio/RES0049.mp3[389.480,397.240] NO OK AND ANY CHANGES IN TERMS OF URINE audio/RES0084.mp3[422.880,427.680] HOW ABOUT FEELING LIKE YOUR HEARTS RACING audio/RES0166.mp3[255.520,260.240] AND LIKE GIVING ME PAIN MEDICATIONS audio/RES0027.mp3[32.120,36.240] OK HAVE YOU BROUGHT UP ANY BLOOD audio/MSK0041.mp3[687.520,709.560] OK AND IF YOU WERE TO A PALPATE OR PRESS ON AREAS OF YOUR FOOT OR JOINTS OF YOUR TOES ARE YOU FEELING ANY ANY PAINS ALONG THE TOP OF YOUR FOOT OR OR IN ANY OF YOUR OTHER TOES audio/MSK0016.mp3[303.960,305.560] NOPE NEITHER OF THOSE audio/RES0211.mp3[467.760,469.440] UH NO audio/RES0065.mp3[540.360,600.040] YEAH SO DEFINITELY AT THIS TIME YOU KNOW WHENEVER PEOPLE HAVE ANY RESPIRATORY SYMPTOMS WE ALWAYS WANT TO RULE OUT COVI SO WILL DEFINITELY GET A SWAB FOR COVITESTING DONE FOR YOU TODAY WHICH SHOULD COME BACK WITHIN 24 TO 48 HOURS AND IN THE MEANTIME YOU SHOULD SELF ISOLATE AND OTHER THAN THAT IT CAN ALSO BE DUE TO THIS SWELLING IN YOUR LYMPH NODES AND ALSO JUST THE OTHER SYMPTOMS IT CAN BE OTHER VIRAL INFECTIONS IT CAN BE MONO SO WE DEFINITELY HAVE TO DO A COUPLE OF TESTS AND THERES ONE TEST THAT WILL DO FOR MONO AS WELL WHICH IS CALLED EBV ANTIBODY TESTING SO WELL DO A COUPLE OF THESE TESTS TODAY AND THEN SEE WHAT WHAT COMES BACK AND IN THE MEANTIME YOU SHOULD DEFINITELY SELF ISOLATE IF YOU HAVENT BEEN DOING SO ALREADY audio/RES0105.mp3[361.120,369.680] OK OK UH ALRIGHT SO UH HAVE YOU HAD ANY FEVERS AT ALL OR CHILLS audio/RES0013.mp3[424.360,443.600] UH NO NO AND I I SMOKE IM TRYING TO SMOKE LESS YOU KNOW SINCE THEY TOLD ME I HAVE THE HIGH BLOOD PRESSURE SO I USED TO SMOKE A LITTLE MORE BUT THIS IS THIS IS LESS BUT NOT SINCE IVE BEEN HAVING TROUBLE BREATHING IS IT YEAH audio/RES0130.mp3[226.600,231.560] OKAY ANY CHANGES TO YOUR BOWEL MOVEMENTS audio/RES0131.mp3[258.800,262.000] SORE THROAT audio/RES0010.mp3[569.840,594.040] ALRIGHT ALRIGHT UM OK WELL ILL I ILL GO SPEAK TO MY ATTENDING AND WE WILL I WILL DISCUSS YOUR MEDICAL HISTORY AND WITH HIM AND I WILL COME BACK AND DISCUSS THE PLAN WITH YOU audio/RES0196.mp3[112.520,115.720] YEAH SHES CRIED A FEW TIMES audio/RES0183.mp3[559.200,563.440] YEAH HES HAD ALL HIS MILESTONES audio/RES0143.mp3[95.440,99.560] OKAY UM AND UH HAVE YOU HAD A HEADACHE AT ALL IN THESE PAST TWO WEEKS audio/RES0113.mp3[85.240,95.440] IVE TRIED LIKE DECONGEST LIKE COUGH SUPPRESSANTS BUT IT DOESNT SEEM TO HAVE HELPED audio/RES0021.mp3[571.440,574.560] THEY ARE IN DAYCARE YEAH audio/MSK0001.mp3[247.680,251.440] UH NO NOTHING TO REPORT THERE audio/MSK0023.mp3[329.120,335.240] OK UHM OK AND OTHER THAN THAT DO YOU SO ARE YOU AT SCHOOL RIGHT NOW audio/RES0193.mp3[162.480,166.520] NO HE HASNT HAD ANYTHING LIKE THAT audio/RES0128.mp3[407.600,417.080] WE WE TOOK OUT THE CARPETS AND STUFF WHEN HIS SISTER WAS DIAGNOSED WITH ASTHMA SO ITS GOOD FROM THAT PERSPECTIVE audio/MSK0019.mp3[406.280,411.800] OKAY UM SO LIKE WITH MOVEMENT audio/RES0102.mp3[97.840,101.360] UH NO audio/RES0181.mp3[363.720,372.760] I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS audio/RES0206.mp3[64.080,71.360] I SEE OK SO THIS IS HAPPENED IN THE PAST THREE DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE OVER THIS TIME audio/RES0089.mp3[401.720,405.480] UHM NO NOTHING LIKE THAT audio/RES0127.mp3[431.120,451.320] YEAH I THINK IT KIND OF RUNS IN MY FAMILY LIKE EVERYONE IN MY FAMILY IS JUST KIND OF ALWAYS HAVING THIS RUNNY NOSE AND SNEEZING MY MOM HAS IT MY YOUNGER BROTHER HAS IT BUT LIKE WE HAVENT REALLY BEEN DIAGNOSED WITH ANYTHING LIKE WE WE RARELY GO TO THE DOCTOR audio/RES0022.mp3[4.800,31.720] YEAH I I ITS JUST OVER THE LAST WEEK I CANT LIKE DO ANYTHING WITHOUT JUST FEELING REALLY LIKE SHORT OF BREATH IM HAVING A REALLY HARD TIME BREATHING LIKE KIND OF DO ANYWAYS BECAUSE I HAVE COPSO I FEEL LIKE OVER A FEW YEARS ITS BEEN GETTING WORSE BUT THIS WEEK IT JUST GOT REALLY BAD IN PARTICULAR audio/GAS0001.mp3[151.360,160.800] YEAH DO YOU FEEL LIKE YOU HAVE CONTROL OVER WHEN YOU ARE GOING TO BATHROOM OR IS IT DIFFICULT FOR YOU TO HOLD IT IN audio/MSK0028.mp3[810.840,812.920] IN FRONT OF YOU audio/RES0060.mp3[229.120,230.440] NO I DONT audio/RES0005.mp3[407.880,415.400] ALRIGHT SO I KNOW YOU TOLD ME A COPBUT DO YOU HAVE ANY OTHER MEDICAL DIAGNOSIS audio/RES0053.mp3[617.200,619.040] NOT THAT WE KNOW OF audio/RES0203.mp3[158.280,161.120] OK ANY SORE THROAT audio/MSK0040.mp3[504.840,513.800] OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR OR PARTNER audio/MSK0015.mp3[257.320,260.720] HAS SHE HAD A LOSS OF APPETITE audio/RES0072.mp3[70.400,81.280] OK AND UH WHAT WAS THE COLOR OF THE VOMIT WAS IT JUST FOOD THAT YOU HAD EATEN OR WAS IT GREEN CAN YOU DESCRIBE IT A LITTLE BIT audio/RES0050.mp3[515.880,522.400] ALRIGHT AND HAVE YOU BEEN NEAR ANYBODY WHOS BEEN SICK OR HAS SIMILAR SYMPTOMS audio/MSK0021.mp3[674.880,681.160] YEAH YEAH SOMETIMES I WILL HEAR UHM SOME SOME LIKE YEAH CRACKLING SOUNDS audio/RES0053.mp3[130.480,134.680] OK OK AND HAS HE EVER HAD A COUGH LIKE THIS IN THE PAST audio/RES0078.mp3[502.200,509.760] OK AND WHERE DO YOU CURRENTLY LIVE audio/RES0056.mp3[573.640,649.840] HONESTLY SOME OF YOUR SYMPTOMS DO SEEM TO BE OVERLAPPING WITH THAT OF COVIESPECIALLY THE COUGH AND FEVER SO WE ARE GOING TO DO A COVISWAB JUST TO RULE THAT OUT SO YOU WILL GET THOSE RESULTS IN 24 TO 48 HOURS AND YOU SHOULD ISOLATE FOR 14 DAYS BECAUSE YOUR SYMPTOMS OVERLAP PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE JUST TO DO SOME CONTACT TRACING BUT IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR IF YOURE EXPERIENCING SYMPTOMS LIKE NEUROLOGICAL DEFICITS OR WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT GET HELP FROM THE ER RIGHT AWAY AND IF YOUR SYMPTOMS ARE PERSISTING BEYOND LIKE SEVEN DAYS TO 10 DAYS ALSO YOU SHOULD GIVE US A CALL BACK TO SEE WHATS GOING ON BECAUSE IT COULD BE SOMETHING LIKE A BACTERIAL INFECTION IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS DOES THAT SOUND OK audio/RES0088.mp3[624.800,632.840] NO OK ALRIGHT SO I THINK THATS ALL THE QUESTIONS I HAD RIGHT NOW DO YOU HAVE ANY QUESTIONS OR CONCERNS audio/MSK0020.mp3[923.120,928.440] OK YEAH NO WORRIES audio/RES0056.mp3[266.760,269.600] ANY DIZZINESS OR FAINTING SPELLS audio/RES0042.mp3[70.040,78.280] SO I DIDNT TAKE MY TEMP BUT LIKE THE OTHER DAYS BUT LIKE FOR SURE THIS MORNING audio/RES0200.mp3[324.520,330.080] OK WE CAN DO THAT TODAY ANY RASHES audio/RES0036.mp3[391.160,395.640] UH NO audio/MSK0025.mp3[393.120,399.120] JUST NUMBNESS AROUND THE GROIN AREA BUT MY LOWER LIMBS DO SEEM WEAK audio/RES0108.mp3[386.360,391.120] UH NO I JUST WANT TO GET TESTED FOR COVID audio/RES0011.mp3[640.440,645.040] MY MOM MY MOM HAD BREAST CANCER audio/RES0203.mp3[188.640,194.040] OK AND THEN RECENTLY HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK audio/MSK0009.mp3[354.520,356.800] NO NOTHING LIKE THAT audio/RES0038.mp3[384.160,387.880] OK ANY CHANGES IN YOUR APPETITE audio/RES0136.mp3[545.760,549.600] AND UH HOW WOULD YOU SORRY DIS YOU SAY YOU DONT WORK OR DO YOU WORK audio/RES0047.mp3[406.520,410.400] YEAH THATS BEEN NORMAL audio/RES0191.mp3[142.720,148.280] OK AND HAVE YOU COUGHED UP ANY BLOOD audio/RES0118.mp3[98.360,100.880] NO NO LOSS OF SMELL audio/MSK0009.mp3[55.400,62.480] THREE DAYS AGO OK AND YOURE FEELING THE PAIN IN YOUR IN YOUR RIGHT KNEE audio/MSK0041.mp3[771.000,783.800] SOMEWHAT BECAUSE IM TRYING NOT TO PUT TOO MUCH WEIGHT ON MY RIGHT BIG TOE audio/RES0030.mp3[177.760,182.560] OK AND HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS audio/RES0179.mp3[607.520,616.160] AT HOME OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF audio/RES0066.mp3[163.760,172.360] YEAH OK AND HOW ABOUT THE SHORTNESS OF BREATH IS THAT JUST DURING ACTIVITY OR YOU CAN HAVE THAT WHEN YOURE SLEEPING OR RESTING AS WELL audio/MSK0011.mp3[522.000,529.200] OK ALRIGHT UH A COUPLE OF BOTTLES A WEEK SO HOW MUCH WOULD YOU HAVE IN AN AVERAGE DAY audio/RES0215.mp3[497.280,510.480] OK ALRIGHT SO WE ALREADY TALKED ABOUT SO SHE DOESNT REALLY HAVE ANY PAST MEDICAL ISSUES THAT SHES SEEN A DOCTOR FOR UH ANY SURGERIES audio/MSK0049.mp3[86.120,94.080] OK UH AND WHEN YOU GET UH PAIN IN THE LEFT KNEE HOW LONG DOES IT TYPICALLY LAST FOR audio/RES0135.mp3[539.000,551.120] NO I DONT HAVE ANYTHING LIKE THAT AT HOME ITS A FAIRLY NEW HOME AND UH ITS HARDWOOD FLOORS YEAH audio/RES0004.mp3[395.040,396.600] NO OK NO WORRIES audio/GAS0002.mp3[233.320,235.120] UH YEAH audio/CAR0002.mp3[426.520,428.680] UHH YEAH USUALLY ON SUNDAYS ILL GO FOR A RUN audio/RES0127.mp3[388.880,394.320] OH OK DO YOU HAVE THAT AT ALL NOW audio/RES0174.mp3[267.000,279.240] NO BUT I GET REALLY SWEATY WHEN THESE EPISODES HAPPEN JUST LIKE YEAH MY FACE IS LIKE SWEATING AND MY NECK audio/RES0139.mp3[572.520,575.640] ALRIGHT TAKE CARE audio/MSK0017.mp3[348.400,352.480] CHANGES IN YOUR VOIDING audio/RES0107.mp3[171.840,176.400] NO NO SOMETIMES HE DOES HAVE THAT BUT NO NOT IN THE PAST TWO WEEKS audio/MSK0006.mp3[467.880,471.640] 40 YEARS OK HAVE YOU EVER THOUGHT OF QUITTING audio/RES0190.mp3[431.160,437.440] OK AND HAS ANYBODY AT HOME BEEN SICK OR HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0072.mp3[413.360,421.640] OK UHM SO IM JUST GOING TO LIST A FEW SYMPTOMS JUST LET ME KNOW IF YOU HAVE ANY OF THEM DO YOU DO YOU FEEL FATIGUED audio/RES0107.mp3[213.400,217.520] NO SWELLING HAVE YOU NOTICED ANY RASHES ON HIM audio/RES0047.mp3[181.720,186.400] I WOULD BRING UP SPUTUM BUT ITS USUALLY CLEAR AND WHITE audio/RES0013.mp3[7.480,10.240] OK HOW OLD ARE YOU ROB audio/RES0143.mp3[293.600,300.040] ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER OR HERBAL MEDICATIONS OR VITAMINS OR MINERALS audio/RES0164.mp3[241.440,246.480] UHM I HAVENT TRIED ANYTHING YET NO audio/RES0099.mp3[385.080,389.200] OK AND ARE YOU USING MEDICATIONS FOR YOUR DIABETES audio/RES0035.mp3[43.760,51.400] OK AND SO ITS BEEN A WET COUGH DO YOU RELEASE ANY KIND OF LIKE PHLEGM OR SPUTUM audio/RES0167.mp3[334.800,336.600] OK SURE audio/RES0097.mp3[623.120,643.400] NO NO NO NO ONE ELSE DOES BUT WE GOT TESTED AND WE WERE BOTH FOUND MY MY HUSBAND AND I WERE FOUND OUT HAVE THE GENE FOR IT WE WERE CARRIERS audio/MSK0011.mp3[457.280,482.080] OH I SEE YEAH IT MIGHT DEFINITELY THATS THAT MIGHT BE CONCERNING IF YOU KNOW WELL WELL GET THAT CHECK THOUGH ON X RAY AND EVERYTHING BUT WE JUST NEED TO DO A FEW FEW MORE QUESTIONS AND SOME EXAMINATION AS WELL HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW audio/RES0084.mp3[595.760,599.160] NO NO ALLERGIES audio/MSK0022.mp3[640.880,647.800] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/GAS0002.mp3[294.560,305.160] OK AND HAVE YOU HAD ANY CHANGES TO BOWEL PATTERNS SUCH AS DIARRHEA OR CHANGES IN COLOR OF YOUR STOOL audio/RES0132.mp3[148.480,152.840] UM NO NO audio/MSK0014.mp3[693.560,715.200] YEAH I BARELY LIKE I CANT REALLY PUT TOO MUCH AWAY OR MOVE THAT KNEE AROUND SO YEAH IF I STOOD UP I WOULD HAVE A LIMP audio/DER0001.mp3[49.240,56.280] SWOLLEN IT LOOKS BIGGER THAN IT DID BEFORE AND MEANER IF THAT MAKES SENSE audio/MSK0038.mp3[37.280,46.160] OK YEAH FOR SURE UM AND YOU SAID IT STARTED A FEW WEEKS AGO audio/RES0132.mp3[586.360,591.720] I SEE DID ANYBODY HAVE UH HEART ATTACKS OR OR STROKE audio/RES0132.mp3[287.720,290.360] NO THATS PRETTY MUCH IT audio/RES0089.mp3[425.520,430.600] ARE YOU HAVING ANY OF THESE SYMPTOMS WHEN YOURE TRYING TO SLEEP audio/GAS0005.mp3[467.520,470.040] YEAH IMMUNIZATIONS ALL UP TO DATE audio/RES0199.mp3[27.040,30.960] OK SO THE HEADACHE AND COUGH STARTED FIRST YOU SAID RIGHT audio/MSK0050.mp3[401.320,417.520] SO UM I LIVE WITH MY BOYFRIEND AND WE LIVE IN A RENTED BASEMENT APARTMENT DOWNTOWN audio/RES0132.mp3[508.360,516.240] ALRIGHT UM AND ANY EXPOSURES TO ANY LIKE DUST CHEMICALS THINGS LIKE THAT audio/RES0144.mp3[257.640,266.400] NO OK NOTHING LIKE THAT OK HOW HAS HIS IMMUNIZATIONS BEEN SO FAR HAS HE AS HE RECEIVED THEM audio/RES0097.mp3[80.120,86.160] OK AND YOU SAY THAT HES ALSO HAD A RUNNY NOSE WHAT DOES THE DISCHARGE LOOK LIKE audio/RES0132.mp3[419.720,424.360] OKAY THATS GOOD IT SOUNDS LIKE THE REHAB WENT WELL audio/MSK0014.mp3[499.840,503.760] OK AND YOU TAKE ASPIRIN FOR THAT audio/RES0031.mp3[604.840,616.320] UH I I ALWAYS TRY TO USE A CONDOM LIKE THE LAST THING MY PARENTS WOULD PROBABLY KICK ME OUT IF I EVER GOT A GIRL PREGNANT SO YEAH I ALWAYS ALWAYS USE A CONDOM audio/RES0196.mp3[31.560,37.400] SHES HAD SOME EAR INFECTIONS ON AND OFF SINCE SHE WAS LIKE UH 2 audio/DER0001.mp3[237.280,245.120] HAVE YOU NOTICED THAT YOUR LEFT SORRY YOUR RIGHT LEG FEELS ANY HOTTER THAN THE LEFT audio/MSK0015.mp3[519.760,521.440] AND SORRY HAS SHE TAKING ANYTHING FOR THE THE PAIN audio/RES0156.mp3[250.320,267.520] OK UM ANY UH SO SHES BEEN GAINING WEIGHT UM ANY EXPOSURE TO ANY MOLD DUST UM NEW RUGS OR ANIMALS AT HOME audio/RES0089.mp3[25.160,28.000] OK SO THIS STARTED TWO WEEKS AGO audio/RES0121.mp3[152.000,160.680] OKAY AND OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF KIND OF MUSCLE ACHES UH OR ANYTHING LIKE THAT audio/MSK0025.mp3[770.480,775.640] NO THAT WAS IT THANK YOU SO MUCH FOR YOUR HELP audio/RES0031.mp3[403.560,411.000] OK AND HAVE YOU BEEN DIAGNOSED OR TREATED FOR ANY MEDICAL CONDITIONS IN THE PAST audio/MSK0028.mp3[210.320,229.680] NO I JUST TRIED TO JUST REST AND I TRIED TO USE SOME ICE BUT NOTHING NOTHINGS BEEN WORKING AND I KIND OF ALSO HAVE LIKE THIS IT ITS WEIRD ITS JUST LIKE THIS MASS RIGHT WHERE MY BICEPS IS IT KIND OF JUST MAKES MY BICEPS LOOK REALLY BIG audio/RES0036.mp3[715.960,751.560] OK SO YEAH BASED ON WHAT WE DISCUSSED TODAY IT SEEMS THAT YOU MAY HAVE AN UPPER RESPIRATORY TRACT INFECTION THE OTHER THINGS ON DIFFERENTIAL WOULD BE A COPEXACERBATION DUE TO YOUR SIGNIFICANT SMOKING HISTORY SO WE WILL DO SOME INVESTIGATIONS TI FIGURE OUT WHAT THIS IS AND THEN PERHAPS CAN GIVE YOU ANTIBIOTICS OR OTHER MEDICATIONS TO HELP YOU UNLESS ITS A VIRAL INFECTION audio/RES0136.mp3[237.880,243.920] YEAH SINCE YESTERDAY ACTUALLY NOT EVEN YESTERDAY THIS MORNING I WOULD SAY audio/RES0082.mp3[223.080,227.800] OK ANY PAIN IN YOUR BELLY OR ANY PROBLEMS WITH YOUR BOWEL MOVEMENTS audio/MSK0031.mp3[437.240,457.280] OK ALRIGHT SO LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW SO IF YOU CAN IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR HIPS AS WELL AS YOUR LEGS DO YOU NOTICE ANY REDNESS OR SWELLING IN THE AREA audio/GAS0007.mp3[0.000,4.320] SO I UNDERSTAND YOU HAVE BEEN EXPERIENCING SOME ABDOMINAL PAIN audio/RES0178.mp3[237.800,242.520] OK UHM HOW ABOUT CHANGES TO HIS APPETITE audio/RES0052.mp3[520.760,536.160] OK SO THE MAIN SYMPTOMS ARE THE COUGH THAT STARTED TWO DAYS AGO AND ALSO YOUVE NOTICED SHES BEEN CONGESTED AND SORRY WHAT WAS THE LAST SYMPTOM audio/RES0126.mp3[52.160,55.720] OH YEAH audio/MSK0023.mp3[72.840,79.000] OK ITS SWOLLEN AND BRUISED IN WHAT KIND OF PAIN ARE YOU HAVING IS IT LIKE SHARP OR IS IT ACHING audio/RES0141.mp3[134.920,136.120] NO NO COUGH audio/RES0136.mp3[460.920,465.360] OKAY ANY PREVIOUS HOSPITALIZATIONS audio/RES0101.mp3[517.080,536.480] YES SO I ACTUALLY WORK AS A MECHANIC AND RIGHT NOW IM KIND OF OFF OF WORK WITH I JUST NEED TO RECOVER AND KIND OF GET THAT PHYSIOTHERAPY DONE AND THEN I CAN RETURN HOPEFULLY IN A MONTH OR TWO audio/MSK0006.mp3[806.760,811.640] OK SO NO PAIN ON RIGHT HIP ABDUCTION AND THEN HOW ABOUT WHEN YOU BRING IT BACK DOWN audio/RES0180.mp3[475.320,478.640] UH NO NOTHING LIKE THAT audio/MSK0033.mp3[420.240,426.880] OK AND DO YOU GENERALLY FEEL SAFE AT HOME AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT audio/MSK0044.mp3[93.200,100.120] OKAY I SEE AND ON A SCALE OF 0 TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT audio/RES0016.mp3[305.520,307.520] NO CHEST PAIN NO NO audio/RES0174.mp3[163.160,167.640] OK AND HAVE YOU HAD A COUGH audio/RES0119.mp3[275.080,277.440] ANY URINARY PROBLEMS audio/RES0111.mp3[143.760,149.000] OK ANY UH CHANGES IN YOUR HEARING OR YOUR VISION audio/RES0130.mp3[314.080,318.840] SURE DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS audio/RES0010.mp3[403.400,416.360] DO YOU FEEL LIKE YOUVE HAD ANY CONTACT WITH ANYONE WITH WHO MIGHT HAVE COVID audio/RES0042.mp3[277.560,289.040] OK AND ARE YOU OTHERWISE HEALTHY I KNOW YOU MENTIONED YOU HAVE CROHNS DISEASE DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS audio/RES0105.mp3[441.280,446.320] OK ANY CONFUSION AT ALL THAT ANYONES NOTICED audio/RES0158.mp3[202.120,216.920] OK AND HAVE YOU UH AT ALL BEEN EXPOSED TO ANYONE WHOS BEEN SICK UH ANYONE WHO HAS TESTED POSITIVE FOR COVID audio/RES0180.mp3[286.880,293.800] YEAH IVE BEEN LESS INTERESTED IN FOOD FOR SURE I THINK IVE BEEN BEEN BEEN HAD A DECREASED APPETITE audio/RES0183.mp3[411.680,415.320] NO ITS BEEN A PRETTY HEALTHY CHILD audio/RES0144.mp3[31.960,39.800] IT WAS TWO DAYS AGO audio/RES0074.mp3[121.680,127.160] UHM I WOULD SAY ITS MAINLY PAIN I DONT REALLY FEEL WEAKNESS audio/MSK0020.mp3[495.880,501.200] GO TO OTHER RECREATIONAL DRUGS audio/RES0169.mp3[258.000,260.960] YEAH SO I I JUST LIVE WITH MY WITH MY MOM audio/RES0179.mp3[169.320,173.760] OK DOES IT GET WORSE WITH LIKE DEEP BREATHS audio/RES0096.mp3[288.760,292.840] OK HAVE YOU HAD ANY NIGHT SWEATS audio/RES0006.mp3[217.600,235.360] IVE BEEN TAKING SOME TYLENOL COLD HASNT REALLY HELPED TOO MUCH IVE TRIED MY INHALERS THEY SOMETIMES HELP BUT IVE NEVER HAD HAVE THIS FREQUENT OF COUGHING AND SHORTNESS OF BREATH BEFORE audio/RES0088.mp3[137.120,146.000] OK SO HOW LONG HAS SHE SO SHE HAS A SORE THROAT HOW LONG HAS SHE HAD THAT FOR audio/RES0014.mp3[228.880,230.480] NO EAR PAIN audio/RES0119.mp3[152.520,159.600] WOW OK UM AND WHEN SHES AT HOME IS SHE IS SHE LIKE VERY TIRED IS SHE UM audio/RES0153.mp3[214.760,217.880] HAVE YOU HAD ANY WHEEZE audio/RES0099.mp3[203.040,209.640] AND HAVE YOU HAD ANY SHORTNESS OF BREATH audio/RES0138.mp3[241.160,243.320] NAUSEA OR VOMITING audio/RES0126.mp3[662.000,665.600] OH YEAH I WAS A TEENAGER WHEN I STARTED audio/RES0001.mp3[136.600,139.600] OK AND ARE YOU COUGHING UP ANY BLOOD audio/RES0100.mp3[234.720,237.560] ALRIGHT AND HOW ABOUT ANY CHEST PAIN audio/MSK0024.mp3[394.640,400.560] OK AND DO YOU DRINK ALCOHOL AT ALL audio/RES0213.mp3[6.320,7.320] CHEST PAIN audio/RES0081.mp3[351.280,356.520] NO I DONT THINK SO THATS I THINK THATS IT audio/RES0164.mp3[198.000,209.520] UH HE HAS BEEN FEELING A LITTLE BIT WARM I DIDNT REALLY CHECK HIS TEMPERATURE audio/RES0004.mp3[604.280,611.440] YEAH FOR SURE HAVE YOU TRIED ANYTHING FOR YOUR SYMPTOMS ANY MEDICATIONS ANYTHING OVER THE COUNTER audio/RES0186.mp3[370.360,375.760] NO OK DO YOU DRINK ALCOHOL audio/RES0104.mp3[76.040,79.080] NO I HAVENT audio/RES0190.mp3[155.960,158.520] ANY CHANGES TO YOUR VISION OR HEARING audio/RES0014.mp3[623.240,625.640] NO I DONT RECALL HAVING ANY OF THAT DONE audio/RES0155.mp3[261.920,279.960] YEAH I I DID TRY UH USING AN INHALER I HAVE UM A COUPLE UP THOSE AND UM USUALLY THAT THAT HELPS BUT HASNT REALLY BEEN ABLE TO UM HELP MUCH THIS TIME audio/RES0063.mp3[50.640,54.680] I WOULD SAY 3 DAYS AGO AS WELL audio/RES0076.mp3[517.000,530.160] OK AND IN THE PAST HAVE YOU WORKED IN ANY ENVIRONMENT WHERE YOU WERE EXPOSED TO ANY METALS TOXINS ANY ASBESTOS OR ANYTHING LIKE THAT audio/RES0080.mp3[208.480,213.200] OK AND HAVE YOU HAD ANY WHEEZING audio/RES0111.mp3[397.400,419.960] YEAH SURE OK UM AND UHM I SUPPOSE JUST UM OK WHAT WAS I GONNA ASK UM DO YOU UH SO NO TRAVELS OK DO YOU FEEL LIKE YOUVE BEEN IN CONTACT WITH SOMEONE WHO MIGHT BE SICK OR MIGHT HAVE COVID audio/RES0120.mp3[145.840,151.160] OKAY AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE IN THE PAST audio/RES0203.mp3[277.880,279.600] UM NO NO audio/RES0050.mp3[541.720,556.400] OK AND I THINK THAT OK AND THAT WAS ALL I WANTED TO ASK ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME TODAY audio/RES0120.mp3[191.920,201.000] UM I GUESS SITTING FORWARD HELPS TIME NOW TO TAKE A SUPER DEEP BREATH IN audio/RES0065.mp3[423.600,424.400] YEAH BOTH DO audio/RES0083.mp3[0.000,4.880] WHAT CAN I DO FOR YOU audio/RES0113.mp3[21.040,28.280] YEAH YEAH THATS GREAT SO CAN YOU TELL ME HAVE YOU DID YOU MEASURE YOUR TEMPERATURE audio/RES0098.mp3[122.760,150.520] UHM NOT A SORE THROAT BUT IT DOES FEEL LIKE IT ITS KIND OF LIKE JUST CONSTRICTED IN THERE LIKE UHM I DONT KNOW IF ITS RELEVANT BUT I I DO HAVE ASTHMA UH LIKE I WAS DIAGNOSED TEN YEARS AGO BUT ITS BEEN PRETTY STABLE LIKE ITS LIKE JUST RIGHT NOW I HAVENT HAD SHORTNESS OF BREATH FOR A PRETTY LONG TIME audio/RES0026.mp3[528.360,531.200] UM NO NO COMPLICATIONS audio/RES0081.mp3[620.560,627.840] NO WE GOT ALL THOSE REMOVED WHEN HE HAD HIS BIG EXACERBATION LAST YEAR audio/RES0114.mp3[20.520,28.760] YEAH OK SO YOU SAID THE PAST COUPLE OF YEARS YOUVE BEEN COUGHING SO HOW MANY YEARS EXACTLY WOULD THAT BE TWO THREE FOUR audio/RES0152.mp3[491.560,498.080] OK UM SO NO CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME audio/RES0029.mp3[164.280,169.320] OK EXCELLENT AND ANY HEADACHE RIGHT NOW audio/RES0213.mp3[188.200,193.440] OK ANY FEVERS SICK AT ALL LAST LITTLE WHILE audio/RES0203.mp3[257.160,264.760] OK HAVE YOU HAD ANY CHEST PAIN THATS THE OTHER THING IM NOT SURE IF I ASKED YOU audio/RES0105.mp3[642.640,650.360] NO I DONT BELIEVE SO audio/MSK0033.mp3[87.920,103.200] ITS RIGHT BELOW MY KNEECAP YEAH I FEEL LIKE ITS JUST OVER A KIND OF A SMALL AREA ITS A PRETTY SPECIFIC SPOT AND IF I PRESS ON THAT AREA AT ALL IT GIVES ME A PRETTY ITS A SHARP PAIN IF I IF I PRESS ON IT SHARP PAIN audio/MSK0041.mp3[265.840,268.600] NO NOTHING LIKE THAT audio/RES0027.mp3[257.400,262.920] MAYBE A LITTLE BIT LAST NIGHT NOW THAT I THINK ABOUT IT audio/RES0015.mp3[229.600,245.040] OK OK UM ALRIGHT IF YOU WERE TO RATE YOUR BREATHLESSNESS FROM ONE TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS audio/RES0012.mp3[552.680,561.440] AND LIKE I TAKE I TAKE A STATIN IS THAT WHAT ITS CALLED audio/MSK0012.mp3[645.800,655.320] UM IT SEEMS TO ACTUALLY NO ITS NOT ITS NOT WARM audio/RES0004.mp3[741.320,743.640] AND SO I GUESS YES audio/RES0178.mp3[285.760,297.720] NO HES HES BEEN UM HES BEEN PRETTY HEALTHY YEAH I MEAN HES GOT GOT GETS A COLD EVERY ONCE IN AWHILE MAYBE IN THE WINTER BUT THATS ABOUT IT audio/MSK0007.mp3[342.600,357.960] I I HAD A FRACTURE WHEN I WAS YOUNGER IT WAS IN MY HUMERUS BONE ON THE RIGHT SIDE audio/MSK0010.mp3[629.200,638.520] OK IS THERE ANY LIKE PAIN THATS LIKE PARTS OF THAT THAT RANGE OF MOTION THAT ARE MORE PAINFUL FOR YOU audio/MSK0035.mp3[687.320,689.280] I AM audio/RES0154.mp3[195.520,202.320] UH NO NOTHING LIKE THAT audio/RES0125.mp3[571.080,595.600] OKAY AND THATS REALLY GOOD AND YEAH IF YOU AT ALL NEED ANY RESOURCES TO HELP YOU QUIT SMOKING ITS GREAT THAT YOURE DOING REALLY WELL BUT IF YOU NEED TO TALK MORE ABOUT IT OR NEED ANY MORE RESOURCES WE CAN PROVIDE THAT FOR YOU UM OTHER THAN UH SMOKING CIGARETTES DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA AT ALL audio/RES0077.mp3[341.480,347.760] UHM NOTHING LIKE THAT audio/RES0046.mp3[21.920,23.040] LAST FOUR DAYS audio/RES0005.mp3[616.600,620.040] ALRIGHT DO YOU DRINK ALCOHOL audio/RES0037.mp3[685.120,690.160] OK AND HOW LONG HAVE YOU BEEN SMOKING FOR audio/RES0012.mp3[285.040,296.600] WELL I DONT KNOW IT JUST FEELS LIKE WHEN YOU KNOW WHEN YOURE I DONT LIKE WHEN YOURE A KID AND YOU GET REALLY SICK AND YOUR PARENT TELLS YOU HAVE FEVER LIKE I DONT HAVE AN ACTUAL TEMPERATURE audio/RES0133.mp3[171.040,181.280] UM I HAVE SO IT HURTS BECAUSE IM COUGHING BUT IT DOESNT SEEM LIKE ITS MY ACTUAL THROAT audio/RES0086.mp3[621.440,627.120] OK DO YOU LIVE IN A HOUSE APARTMENT WHO DO YOU LIVE WITH audio/RES0075.mp3[220.480,224.200] OK HOW HAS YOUR APPETITE BEEN audio/RES0065.mp3[178.760,189.400] OK AND HAVE YOU AT ALL NOTICED ANY LIKE SWELLING AROUND YOUR NECK REGION LIKE SWELLING OF YOUR LYMPH NODES audio/RES0065.mp3[457.800,466.960] I LIVE IN AN APARTMENT BY MYSELF SORRY NOT BY MYSELF WITH MY PARENTS AND MY YOUNGER BROTHER audio/RES0152.mp3[474.560,477.000] NO NOTHING LIKE THAT audio/RES0021.mp3[364.440,368.520] UM NO audio/RES0167.mp3[38.560,50.640] FOUR OR FIVE DAYS AGO OK AND UHM OK SO FOR 5 DAYS DID YOU DO HAVE ANY SHORTNESS OF BREATH WITH THAT audio/RES0062.mp3[381.640,387.920] NO I HAVENT HAD TO BLOW MY NOSE OR ANYTHING audio/RES0145.mp3[53.800,58.000] UH ITS ITS GOTTEN A LITTLE BIT LITTLE BIT BETTER audio/MSK0046.mp3[179.400,192.760] SO I DO A LOT OF WORK AT THE COMPUTER AND UM I GUESS I TEND TO TYPE A LOT WITH MY LEFT HAND SO MAYBE THAT audio/RES0101.mp3[367.800,371.720] NO IVE NEVER HAD ANYTHING LIKE THAT audio/RES0026.mp3[764.560,766.880] NO NOT THAT I NOTICED audio/MSK0013.mp3[498.080,504.440] OK OK HOW MANY DRINKS PER DAY WOULD YOU HAVE FOR AND HOW MANY DRINKS PER WEEK audio/MSK0012.mp3[124.440,133.080] OK AND HOW WOULD YOU RATE THE PAIN FROM A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE HAD IN YOUR LIFE audio/RES0100.mp3[49.320,57.920] OK AND SINCE THE SORE THROAT STARTED 5 DAYS AGO HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME audio/RES0211.mp3[274.280,280.120] NO LIKE IVE BEEN REALLY HEALTHY ITS JUST LIKE THE ALLERGIES AND audio/RES0117.mp3[201.720,211.520] YEAH NO IM OTHERWISE I UM I DONT IM REALLY HEALTHY I DONT TAKE ANY MEDICATIONS SO THIS WAS SOMETHING THAT HAPPENED OUT OF THE BLUE audio/RES0010.mp3[332.520,348.520] UH NO LIKE I I HAD A COLD LIKE 2 WEEKS AGO BUT IT WASNT LIKE THIS THOUGH THAT WAS MORE LIKE RUNNY NOSE AND STUFF audio/MSK0008.mp3[524.480,532.320] OK AND IS THERE ANY MISALIGNMENT OR JOINT DEFORMITIES audio/MSK0007.mp3[182.120,188.880] UM NO UM NOT REALLY I IM OTHERWISE PRETTY HEALTHY audio/MSK0014.mp3[724.280,729.400] UHM NO I DONT THINK SO audio/MSK0010.mp3[1.360,16.520] I JUST CAME IN HERE TODAY IVE BEEN HAVING A LOT OF SHOULDER PAIN THATS JUST KIND OF LEFT ME NOT DOING ANY OF MY ACTIVITIES RECENTLY JUST IN MY LEFT SHOULDER audio/RES0093.mp3[479.920,490.560] I USUALLY LIKE LIKE FOUR TO SIX BEERS A DAY BUT UH YEAH YESTERDAY WAS CERTAINLY MORE THAN THAT audio/RES0008.mp3[395.480,397.720] I DO YES audio/RES0180.mp3[254.840,256.920] NO RASHES audio/RES0019.mp3[279.560,291.760] MY SLEEP HAS BEEN PRETTY NORMAL I GO TO BED AROUND THE SAME TIME WAKE UP AROUND THE SAME TIME YEAH ID SAY THAT THERES NO ISSUE THERE audio/RES0048.mp3[822.480,833.120] YEAH NO I JUST UH WAS WONDERING IF I CAN GET THE COVID TEST THAT WOULD JUST I WANTED TO MAKE SURE I DONT GIVE ANYONE COVID IF I DO HAVE IT audio/RES0169.mp3[140.160,144.600] OK ANY HEADACHES audio/RES0015.mp3[469.360,472.040] NO NO CHEST PAIN AT ALL audio/RES0167.mp3[196.440,198.800] NO BELLYACHES audio/MSK0018.mp3[325.200,340.000] UM I DONT THINK I SEE ANY REDNESS OR SWELLING BUT UM MY RIGHT SHOULDER AND MY ARM JUST SEEMS A LITTLE BIT LOWER THAN MY LEFT ONE audio/RES0165.mp3[113.640,117.400] A RUNNY NOSE AS WELL OK WHEN DID THAT START audio/RES0159.mp3[187.600,200.040] YEAH NOW THAT YOU MENTION IT I PROBABLY LOST 15 POUNDS IN THE LAST TWO MONTHS audio/RES0022.mp3[814.960,823.560] OK AND DO YOU DRINK ALCOHOL audio/MSK0009.mp3[518.800,534.880] OK AND UHM COULD YOU TELL ME A LITTLE BIT ABOUT YOUR UHM LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS YOURE LIVING audio/RES0012.mp3[131.760,138.400] I I DONT THINK SO audio/RES0036.mp3[704.560,712.600] OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAD FOR US TODAY audio/GAS0004.mp3[419.560,434.280] OK OK IM IM JUST GONNA JUMP TO YOU AND YOUR GENERAL HISTORY DO YOU HAVE ANY HISTORY OF PROBLEMS WITH YOUR DIGESTIVE SYSTEM audio/RES0091.mp3[411.960,414.920] YEAH THAT SOUNDS GREAT THANK YOU SO MUCH audio/MSK0038.mp3[516.720,523.680] UH NO IVE JUST BEEN YEAH FINISHING UP THE THE THESIS AND RUNNING audio/RES0101.mp3[348.560,351.240] UH NO audio/RES0072.mp3[307.960,324.960] I SEE OK YEAH SO YEAH SOMETIMES WITH THE VOMITING YOU CAN ALSO GET SOME SOME DISCOMFORT SO NO DIARRHEA OR CONSTIPATION THOUGH RIGHT audio/RES0152.mp3[481.480,488.400] OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/MSK0039.mp3[365.480,374.040] OK OK UM AND THEN UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS audio/RES0177.mp3[96.640,99.800] NO I HAVENT NOTICED ANY ANY BLOOD audio/RES0037.mp3[658.960,666.960] OK AND DO YOU WORK CURRENTLY audio/RES0181.mp3[472.960,486.360] OK IM SORRY TO HEAR THAT AND THANK YOU AND OH SORRY I FORGOT TO ASK HER ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0036.mp3[474.400,479.520] HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST audio/MSK0013.mp3[542.840,547.960] FOR THE PAST ALMOST 20 YEARS audio/RES0147.mp3[540.680,542.960] OH YEAH THOSE THINGS ARE OK audio/RES0076.mp3[721.200,725.880] YEAH THATS BEEN COMING UP A DAILY STILL audio/GEN0001.mp3[377.520,387.800] OH I USED TO TAKE BIRTH CONTROL LIKE THE THE PILL BUT LIKE I JUST I DONT HAVE A BOYFRIEND RIGHT NOW AND I JUST DIDNT REALLY FEEL LIKE I NEEDED IT OTHERWISE audio/RES0180.mp3[252.840,254.840] OK ANY RASHES audio/RES0090.mp3[327.160,335.440] OK AND ANYONE AT WORK OR YOUR HOUSEMATES ANYONE SHOWING ANY SIMILAR SYMPTOMS AT ALL audio/RES0190.mp3[548.160,556.160] OK UHM AND ANY CANCERS THAT RUN IN THE FAMILY audio/MSK0003.mp3[355.000,361.160] NO I HAVENT HAD ANY DIARRHEA OR ANY ANY URINARY PROBLEMS audio/RES0122.mp3[505.560,506.120] YOURE WELCOME audio/GAS0003.mp3[392.240,399.880] MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS 60S BUT THATS IT audio/RES0189.mp3[110.280,125.160] OK SURE ITS BEEN A LOT WORSE IN THE LAST WEEK IT SOUNDS LIKE OK UHM HAVE YOU ARE YOU ABLE TO LIE FLAT LIKE ON YOUR BACK WITHOUT EXPERIENCING SHORTER BREATH SHORTNESS OF BREATH audio/GEN0001.mp3[423.600,429.040] OK AND IN REGARDS TO ANYTHING SO ANY SICK CONTACTS audio/RES0039.mp3[512.440,514.040] NO NOTHING LIKE THAT audio/RES0030.mp3[228.600,231.160] UM NO CHEST PAIN audio/RES0199.mp3[221.720,227.040] UH ITCHY EYES DISCHARGE ANYTHING LIKE THAT audio/RES0034.mp3[848.280,850.200] OK THANK YOU audio/RES0119.mp3[516.360,522.640] OK UM HOW LONG AGO UH DID SOMEONE SMOKE audio/RES0201.mp3[117.320,120.160] DID THAT START AROUND THE SAME TIME audio/MSK0039.mp3[436.360,439.400] ANY CANCERS audio/RES0091.mp3[171.800,174.560] UHM NO audio/MSK0028.mp3[576.720,590.520] YEAH SO IM AN ACCOUNTANT IM WORKING FROM HOME SO ITS NOT THAT BAD BUT I I MIGHT JUST TAKE A FEW DAYS OFF DEPENDING ON WHAT I HAVE TO DO WITH THIS INJURY audio/RES0205.mp3[290.120,295.440] ARE YOU CURRENTLY TAKING ANY MEDICATIONS audio/CAR0003.mp3[27.720,34.640] I GUESS GRADUALLY YEAH audio/RES0129.mp3[547.120,548.760] OK NO WORRIES TAKE CARE audio/RES0128.mp3[125.480,131.240] OK GOOD HAS HE HAD A STUFFY NOSE OR RUNNY NOSE audio/RES0025.mp3[504.800,524.760] UM YEAH NO ONE IN MY FAMILIES HAD ANY PROBLEMS WITH THEIR STOMACH OR I HAVENT HEARD OF ANY LIKE COLON CANCER I MEAN MY MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS LATE 60S BUT THATS KIND OF THE ONLY THING THAT I CAN THINK HAPPENED IN MY FAMILY IN TERMS OF HEALTH audio/RES0104.mp3[284.360,301.400] UH NO JUST BEEN REALLY TIRED THESE LAST COUPLE OF DAYS AND IVE JUST FELT LIKE SLEEPING ALL DAY HAVENT FELT LIKE EATING EITHER MY APPETITE HAS BEEN REALLY POOR audio/GAS0005.mp3[216.360,221.120] OK UM AND HES VOMITED HOW MANY TIMES audio/RES0091.mp3[289.520,294.520] I HAD AN ARM FRACTURE WHEN I WAS YOUNGER BUT THATS IT audio/MSK0039.mp3[481.600,489.520] OK UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING YOU WANTED TO ADD BEFORE WE MOVE TO THE PHYSICAL EXAM COMPONENT audio/GAS0004.mp3[499.160,502.400] HAVE YOU BEEN IN CONTACT WITH ANYONE RECENTLY THATS BEEN SICK audio/RES0117.mp3[272.800,274.880] NO NO NOT AT ALL audio/MSK0032.mp3[241.240,246.280] UH ANY CHEST PAIN OR HEART PALPITATIONS audio/CAR0005.mp3[279.560,289.360] AND JUST JUMPING BACK TO THESE PAIN EPISODES WHEN YOU HAVE THEM DO YOU EXPERIENCE ANYTHING ELSE DO YOU GET ANY NAUSEA OR VOMITING audio/RES0182.mp3[57.200,64.160] OK AND MORE RECENTLY YOU STARTED TO HAVE A COUGH WHEN DID THAT START audio/RES0104.mp3[301.400,309.560] OK UHM AND OTHER THAN THAT HAVE YOU EXPERIENCED ANY KIND OF HEADACHES NAUSEA OR VOMITING audio/MSK0026.mp3[318.600,322.760] HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL audio/RES0093.mp3[13.760,20.520] OK CAN YOU TELL ME ABOUT THE THE COUGH HOW IS IT DRY COUGH OR WET COUGH audio/RES0182.mp3[304.240,307.240] AH PRETTY LOW audio/RES0162.mp3[386.600,398.120] OK OK AND DO YOU FEEL THAT YOURE PARTICULARLY ANXIOUS WHEN THESE EPISODES ARE OCCURRING DO YOU HAVE ANY NEW STRESSORS IN LIFE audio/RES0109.mp3[2.000,12.360] HI IVE JUST HAD A RUNNY NOSE AND A COUGH FOR THE PAST UH WEEK audio/RES0126.mp3[568.800,573.760] OK AND SO YOU USE THE VENTOLIN AND THEN WHATS THE OTHER PUFFER THAT YOU USE audio/RES0201.mp3[166.680,182.520] OK UH HAVE YOU HAVE YOU RECENTLY BEEN IN CONTACT WITH ANYONE THATS BEEN SICK audio/RES0020.mp3[664.440,668.720] NO NOT THAT I KNOW OF audio/MSK0004.mp3[208.400,213.920] ALRIGHT JUST IF I REST AND AVOID MOVING IT audio/RES0004.mp3[313.120,321.440] I SAY I GOT A WHOLE BODY I JUST FEEL LIKE MY MUSCLES AND JOINTS ARE SORE audio/RES0107.mp3[564.680,572.080] OK ANY FAMILY HISTORY OF ASTHMA ECZEMA OR SOMETHING CALLED ALLERGIC RHINITIS audio/RES0011.mp3[763.960,768.160] OK BUT YOU QUIT OVER 10 YEARS AGO audio/RES0186.mp3[297.720,300.720] YEAH MY WEIGHTS A BIT A BIT HIGH audio/RES0168.mp3[163.520,169.440] OH YEAH I HAVE THAT ITS LIKE YEAH ALL ON THE FRONT PART OF MY FACE audio/RES0102.mp3[424.480,431.840] OK AND WHEN YOU SAY NIGHT SWEATS ARE YOUR SHEETS AND BLANKETS LIKE SOAKED YOUR PILLOWS audio/RES0190.mp3[187.360,190.360] OK AND HOW LONG DID THOSE LAST FOR audio/RES0133.mp3[379.040,381.560] UH NO audio/RES0074.mp3[385.280,388.280] JUST MULTIVITAMINS audio/RES0099.mp3[342.520,348.360] YESTERDAY I FELT A BIT DRAINED I JUST KIND OF LIKE STAYED IN BED THE WHOLE DAY audio/RES0059.mp3[149.880,157.440] OK AND HAVE YOU HAD ANY NIGHT SWEATS OR CHILLS audio/RES0032.mp3[541.640,551.480] YEAH IVE BEEN DOING SOME HOUSING WORK IN THE PHILIPPINES THE LAST SEVEN SEVERAL YEARS