audio/MSK0042.mp3[0.000,2.800]	HOW MAY I HELP YOU
audio/MSK0042.mp3[2.800,31.080]	UH I IM UH JUST COMING INTO THE CLINIC UH TODAY UH MY PARENTS TOLD ME TO COME TODAY I DONT KNOW WHAT THIS THING IS JUST MASS RIGHT BELOW OR KIND OF LIKE A LUMP OR MASS BELOW MY RIGHT KNEE AND ITS NOT PAINFUL OR ANYTHING ITS A LITTLE BIT UNCOMFORTABLE BUT I JUST WANT TO CHECK OUT AND SEE WHAT IT MIGHT BE
audio/MSK0042.mp3[31.080,40.880]	YEAH CERTAINLY OKAY WHEN WHEN DID YOU FIRST UM NOTICE THIS MASS
audio/MSK0042.mp3[40.880,55.680]	SO I THINK I NOTICED IT UM FOR THE FIRST TIME UM PROBABLY A COUPLE WEEKS AGO I WOULD SAY LIKE TWO WEEKS AGO I I NOTICED IT
audio/MSK0042.mp3[55.680,62.080]	OKAY AND UH WHERE SPECIFICALLY IS IT IS IT LOCATED
audio/MSK0042.mp3[62.080,76.920]	SO ITS ITS UH BELOW MY KNEE UH RIGHT ON LIKE UH I FEEL IT ON THE BIG BIG BONE RIGHT BELOW THE KNEE ITS UM YEAH I JUST FEEL LIKE UH LIKE A HARD LUMP
audio/MSK0042.mp3[76.920,89.600]	OKAY AND UH OKAY UM AND UH IS IT IS IT ASSOCIATED WITH ANY PAIN
audio/MSK0042.mp3[89.600,109.800]	NO ITS NOT REALLY UH THAT PAINFUL ITS UH ITS IF I PRESS ON IT ITS A LITTLE BIT UNCOMFORTABLE BUT ITS NOT LIKE I WOULDNT CALL IT PAIN
audio/MSK0042.mp3[109.800,116.560]	OKAY AND HAVE YOU HAD ANY TRAUMA TO THE TO THE KNEE OR AREA OR ANY INJURIES THERE
audio/MSK0042.mp3[116.560,142.040]	UH NO NOT THAT I CAN REMEMBER I DONT THINK IVE HAD ANY INJURIES THERE AND THIS LUMP IS LIKE PROBABLY LIKE 2 TO 3 CENTIMETRES ITS I DONT EVEN KNOW LIKE WHEN IT APPEARED OR WHY IT APPEARED I HAVENT REALLY INJURED MYSELF OR ANYTHING
audio/MSK0042.mp3[142.040,145.840]	OKAY UM AND HAVE YOU HAD ANY UH ANY FEVERS OR CHILLS
audio/MSK0042.mp3[147.440,151.800]	OKAY HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0042.mp3[151.800,155.320]	UH NO NOT THAT I CAN REMEMBER
audio/MSK0042.mp3[155.320,166.560]	OKAY UH AND HOW ABOUT UM ANY NEUROLOGICAL SYMPTOMS LIKE NUMBNESS TINGLING SENSORY LOSS
audio/MSK0042.mp3[166.560,169.320]	NO I HAVENT FELT ANY OF THOSE
audio/MSK0042.mp3[169.320,177.200]	OKAY AND HOW ABOUT UH ANY MUSCLE WEAKNESS IN THE LOWER EXTREMITY OR UPPER EXTREMITY
audio/MSK0042.mp3[177.200,181.960]	NO NO WEAKNESS
audio/MSK0042.mp3[181.960,189.560]	OKAY UM HAVE YOU HAD ANY UH LIKE FEVERS OR CHILLS
audio/MSK0042.mp3[190.880,194.200]	UH HOW ABOUT NIGHT SWEATS
audio/MSK0042.mp3[194.200,196.680]	UH NO NIGHT SWEATS
audio/MSK0042.mp3[196.680,204.680]	OKAY AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE UH LIKE A RUNNY NOSE OR A SORE THROAT
audio/MSK0042.mp3[205.920,211.440]	OKAY HAVE YOU HAD UH HAD A COUGH OR SHORTNESS OF BREATH
audio/MSK0042.mp3[211.440,213.920]	NO IVE BEEN PRETTY WELL RECENTLY
audio/MSK0042.mp3[213.920,218.920]	OKAY THATS GOOD AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION
audio/MSK0042.mp3[218.920,221.280]	NO NOTHING LIKE THAT
audio/MSK0042.mp3[221.280,231.080]	OKAY AND ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SMELL OR TASTE
audio/MSK0042.mp3[231.080,233.680]	UH NO NOTHING LIKE THAT
audio/MSK0042.mp3[233.680,236.680]	OKAY HAVE YOU HAD ANY CHEST PAIN
audio/MSK0042.mp3[237.520,242.800]	HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/MSK0042.mp3[243.880,248.320]	OKAY HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0042.mp3[248.320,252.320]	NO NOTHING LIKE THAT
audio/MSK0042.mp3[252.320,260.080]	OKAY UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0042.mp3[260.080,262.720]	UM NO NO NAUSEA OR VOMITING
audio/MSK0042.mp3[262.720,269.080]	OKAY UH HAVE YOU HAD ANY CHANGES OR LOSS TO APPETITE
audio/MSK0042.mp3[269.440,272.800]	HOW ABOUT ANY ABDOMINAL PAIN
audio/MSK0042.mp3[272.800,274.880]	NO NO ABDOMINAL PAIN
audio/MSK0042.mp3[274.880,284.000]	ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR UH BLOOD IN THE STOOL
audio/MSK0042.mp3[284.000,284.880]	UM NO
audio/MSK0042.mp3[284.880,296.080]	OKAY AND HOW ABOUT ANY CHANGES TO YOUR URINARY PATTERNS LIKE PAIN OR OR FREQUENCY
audio/MSK0042.mp3[296.080,299.040]	NO NO CHANGES AT ALL
audio/MSK0042.mp3[299.040,307.560]	OKAY AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN LIKE SUCH AS RASHES OR OR ANY CHANGES TO YOUR HAIR OR NAILS
audio/MSK0042.mp3[307.560,310.920]	NO NOT ANYTHING THAT IVE NOTICED
audio/MSK0042.mp3[310.920,317.640]	ALRIGHT SO THEN HOW ABOUT YOUR ENERGY HAVE YOU HAD ANY FATIGUE
audio/MSK0042.mp3[317.640,322.240]	UM NO MY ENERGYS BEEN FINE
audio/MSK0042.mp3[322.240,330.560]	OKAY AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR UH ANY JOINT PAINS
audio/MSK0042.mp3[330.560,357.760]	NO I MEAN LIKE ALL THE OTHER JOINTS AND OTHER LIKE BONES AND MUSCLES HAVE BEEN FINE ITS JUST EVEN I WOULDNT DESCRIBE THIS AS PAIN ITS JUST UH I THINK MY PARENTS GOT A BIT CONCERNED UM SINCE THERE WAS LIKE A LUMP THEY WERE SCARED AND I WAS A LITTLE BIT SCARED TOO SO I JUST CAME IN TO CHECK IT OUT
audio/MSK0042.mp3[357.760,368.880]	YEAH CERTAINLY OKAY UM AND UH HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR SEE A DOCTOR FOR ANY REASON
audio/MSK0042.mp3[368.880,375.240]	UM NO IVE BEEN PRETTY HEALTHY UP UNTIL NOW
audio/MSK0042.mp3[375.240,382.360]	OKAY UH AND DO YOU TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED
audio/MSK0042.mp3[382.360,386.320]	UH NO NO MEDICATIONS
audio/MSK0042.mp3[386.320,391.160]	OKAY UH AND DO YOU HAVE ANY ALLERGIES
audio/MSK0042.mp3[392.800,397.240]	ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0042.mp3[397.240,402.600]	YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE
audio/MSK0042.mp3[402.600,407.560]	OKAY UH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/MSK0042.mp3[407.560,413.880]	NO I HAVENT HAD UH ANY HOSPITALIZATIONS OR SURGERIES
audio/MSK0042.mp3[413.880,423.200]	OKAY UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND UH WHERE
audio/MSK0042.mp3[423.200,440.560]	YEAH SO IM LIVING UM WITH MY PARENTS AND OLDER BROTHER UM AND WE LIVE IN A JUST A HOUSE UM RIGHT OUTSIDE OF THE CITY
audio/MSK0042.mp3[440.560,447.120]	OKAY AND ARE YOU CURRENTLY IN SCHOOL AND WORKING OR OR WORKING
audio/MSK0042.mp3[447.120,459.840]	NO I I DONT WORK IM CURRENTLY IN SCHOOL RIGHT NOW SO YEAH TOO BUSY WITH SCHOOL AND THEN JUST EXTRACURRICULAR ACTIVITIES
audio/MSK0042.mp3[459.840,467.400]	YEAH ABSOLUTELY OKAY UM AND UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0042.mp3[469.720,473.920]	OKAY AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0042.mp3[473.920,477.920]	NO WEVE ALL JUST BEEN AT HOME
audio/MSK0042.mp3[477.920,492.320]	OKAY UM AND UH AND DO YOU SMOKE CIGARETTES OR UH OR USE ANY CANNABIS PRODUCTS
audio/MSK0042.mp3[492.320,499.760]	NO I HAVENT TRIED UM ANY DRUGS OR ANYTHING LIKE THAT
audio/MSK0042.mp3[499.760,505.720]	OKAY WELL THATS GOOD AND UM ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0042.mp3[506.720,510.040]	NO OKAY HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST
audio/MSK0042.mp3[510.040,513.680]	NO I HAVENT
audio/MSK0042.mp3[513.680,526.960]	OKAY UM AND UH ANY CONCERNS FOR SAFETY AT HOME WITH EITHER PHYSICAL VIOLENCE OR UM VERBAL ABUSE EITHER TO YOURSELF OR ANYBODY IN THE HOME
audio/MSK0042.mp3[526.960,552.200]	UH NO WE LIKE UM ME AND MY BROTHER FEEL SAFE AT HOME SCHOOL IS GOING WELL TOO UM IM PRETTY PRETTY ATHLETIC AT SCHOOL LIKE UH I HAVE GOOD FRIENDS SO NO BULLYING OR ANYTHING LIKE THAT FEELS PRETTY SAFE OVERALL
audio/MSK0042.mp3[552.200,568.440]	OKAY NOW THATS GOOD IM HAPPY TO HEAR THAT AND UH IS THERE ANY UM CONDITIONS IN THE IN THE FAMILY UH EITHER LIKE MUSCULOSKELETAL OR NEUROLOGICAL THINGS THAT YOU CAN THINK OF
audio/MSK0042.mp3[568.440,585.560]	UM I DONT THINK ANYTHING RELATED TO THIS BUT UM I KNOW MY MY DAD HAS DIABETES UM AND MY MOM HAS UH SOME ANXIETY
audio/MSK0042.mp3[585.560,601.520]	OKAY AND ANYBODY IN THE FAMILY EVER UM HAVE ANY CANCERS OR OR ANY BONE TUMOURS OR SOFT TISSUE UM TUMOURS OR GROWTHS
audio/MSK0042.mp3[601.520,625.480]	UM I DONT THINK ANYONES HAD LIKE A BONE TUMOUR OR ANYTHING LIKE THAT I I KNOW MY UNCLE UM HE HE DOES HAVE A HE HAD LIKE MELANOMA WHICH HE HAD TO GET SURGICALLY REMOVED
audio/MSK0042.mp3[625.480,632.000]	OKAY UM AND ANY GENETIC DISEASES IN THE FAMILY OR OR CONGENITAL DISEASES
audio/MSK0042.mp3[632.000,636.640]	UM NOT THAT IVE BEEN TOLD NO
audio/MSK0042.mp3[636.640,649.200]	OKAY UM SO UM NEXT I JUST WANTED TO MOVE ON TO THE PHYSICAL EXAM COMPONENT AND UM FIRSTLY ARE YOU HAVING ANY ISSUES WITH UH WALKING
audio/MSK0042.mp3[649.200,660.560]	NO IVE BEEN LIKE UH NO NO PAIN NO I CAN WALK JUST FINE NO ISSUES THERE
audio/MSK0042.mp3[660.560,673.680]	OKAY EXCELLENT SO NO ANTALGIC GAIT AND WHEN LOOKING AT UM THE AREA ARE YOU SEEING ANY SWELLING OR OR REDNESS OR SKIN DISCOLOURATION
audio/MSK0042.mp3[673.680,686.320]	NO NO NOTHING LIKE THAT ITS JUST UH I CAN TELL THERES LIKE A LUMP THERE AND IF I PRESS IT I CAN FEEL LIKE THE HARD LUMP BUT UM NO CHANGES IN THE SKIN ABOVE IT
audio/MSK0042.mp3[686.320,693.560]	OKAY AND ARE YOU SEEING ANY UM MUSCLE ATROPHY AROUND THE AREA
audio/MSK0042.mp3[693.560,697.240]	NO UM NOTHING LIKE THAT
audio/MSK0042.mp3[697.240,707.520]	OKAY AND ARE YOU SEEING ANY UH LIKE JOINT DEFORMITIES OR OR ANYTHING LIKE THAT
audio/MSK0042.mp3[707.520,716.400]	UM NO NOT THAT I CAN TELL
audio/MSK0042.mp3[716.400,725.000]	OKAY UM AND UH YOU DONT HAVE ANY ANY PAIN SO IF YOU PRESS ON THE AREA OR ON THE THE KNEE JOINT YOU CAN JUST FEEL THE MASS AND NO PAIN THERE
audio/MSK0042.mp3[725.000,742.880]	YEAH IT JUST FEELS WEIRD I DONT IM NOT IN ANY PAIN OR ANYTHING BUT ITS LIKE ITS WEIRD TO LOOK AT AND THEN WEIRD TO FEEL UH AS WELL
audio/MSK0042.mp3[742.880,751.240]	OKAY UM AND UM UH OKAY THEN NO LIMITATIONS WITH UH WITH LIKE RANGE OF MOTION OF ANY OF YOUR JOINTS INCLUDING LIKE UH KNEE AND ANKLE
audio/MSK0042.mp3[751.240,754.360]	YEAH NO I CAN MOVE EVERYTHING JUST FINE
audio/MSK0042.mp3[754.360,775.840]	OKAY AWESOME AND SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY AND UH UH CHECK ON THE PHYSICAL AS WELL UM SO WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR ANYTHING YOU WANTED TO ADD
audio/MSK0042.mp3[775.840,805.160]	YEAH NO I UM NOTHING ELSE I WANTED TO ADD BUT I I THINK MY PARENTS AND I WERE JUST SCARED ABOUT IT BEING LIKE UH CANCER OR LIKE A TUMOUR UM SO I JUST DONT KNOW WHAT I SHOULD DO IF I NEED TO GET ANY TESTS DONE OR XRAYS OR ANYTHING LIKE THAT
audio/MSK0042.mp3[805.160,856.520]	OKAY UM YEAH WE SO UM THE FIRST THING WE WILL WANT TO GET UH AN XRAY UM OF THE KNEE AND ALSO OF THE UH LONG BONES SO OF YOUR FEMUR UM AS WELL AS YOUR LEG TOO UH AND BECAUSE RIGHT NOW WE UM MOST LIKELY THINK IS CALLED SOMETHING UM AN OSTEOCHONDROMA UM WHICH IS THE MOST COMMON UH PRIMARY BENIGN BONE TUMOUR UM HOWEVER THERE ARE OTHER THINGS THAT IT IT COULD BE UM AND SO SUCH AS LIKE AN OSTEOMA OR UM AN ENDOCHONDROMA UM SO WELL WELL WANT TO UM GET THAT XRAY AND UM KIND OF GO GO FROM THERE
audio/MSK0042.mp3[856.520,860.360]	OKAY UH YEAH THAT THAT SOUNDS GOOD
audio/MSK0042.mp3[860.360,868.760]	ALRIGHT SO WELL GET THAT WELL GET THAT ORDERED
audio/MSK0042.mp3[868.760,873.320]	ALRIGHT PERFECT THANK YOU SO MUCH
audio/RES0193.mp3[0.000,2.160]	WHAT BRINGS YOU HERE TODAY
audio/RES0193.mp3[2.160,18.840]	HI I BRING YOU MY SON TODAY BECAUSE IVE NOTICED HES HAD BEEN HAVING THIS COUGH SOMETIMES HE’LL HAVE IT AT NIGHT AND AND HELL HAVE SOME WHEEZING AND DIFFICULTIES BREATHING AS WELL
audio/RES0193.mp3[18.840,22.120]	OK AND WHEN DID THIS ALL START
audio/RES0193.mp3[22.120,41.080]	SO I IVE BEEN NOTICING IT OVER THE LAST SEVERAL MONTHS ITS BEEN HAPPENING UM A COUPLE OF TIMES PER WEEK WHERE HELL GET THIS COUGH AND THAT AT NIGHT TIME AND YEAH SO OVER THE LAST SEVERAL MONTHS
audio/RES0193.mp3[41.080,50.320]	OK AND WHAT DID IT START WITH COUGHING OR LIKE THE SHORTNESS OF BREATH WHAT WOULD IT KIND OF START WITH
audio/RES0193.mp3[50.320,76.840]	ARE MORE THE UH THE COUGHING YEAH HE JUST GET IT AT NIGHT TIME AND THEN SOMETIMES HE WOULD GET IT UM LIKE IT AT AT SCHOOL AS WELL OR EVEN IF YOU WENT OVER TO ONE OF US HIS FRIENDS HOUSES SOMETIMES HE WOULD COME HOME AND OR AFTERWARDS HE WOULD HAVE A COUGH AND WHEEZE AND AND BE SHORT OF BREATH
audio/RES0193.mp3[76.840,86.440]	OK AND SO IS IT USUALLY AFTER HES WORKED HIMSELF UP AND LIKE EXERCISE OR LIKE JUST BEEN REALLY ACTIVE
audio/RES0193.mp3[86.440,91.960]	YEAH THAT DEFINITELY I NOTICED THAT AFTER THOSE TIMES FOR FOR SURE
audio/RES0193.mp3[91.960,100.320]	OK AND ARE THESE LIKE THE COUGHING IS IT WET OR DRY
audio/RES0193.mp3[100.320,102.240]	ITS ITS A DRY COUGH
audio/RES0193.mp3[102.240,109.120]	DRY COUGH OK SO NO YELLOW GREEN MATERIAL OR BLOOD COUGHED UP
audio/RES0193.mp3[109.120,112.120]	NO NOTHING LIKE THAT UH COUGHED UP
audio/RES0193.mp3[112.120,117.160]	OK AND YOURE SAYING YOU ALSO HEAR WHEEZING RIGHT
audio/RES0193.mp3[117.160,126.800]	YEAH ILL HEAR A WHEEZE HE HAS THIS LIKE HIGH PITCHED WHISTLING SOUND WHEN HE EXHALES
audio/RES0193.mp3[126.800,135.600]	OK AND HAS HE AT ALL HAD THIS HAPPEN BEFORE OR IS THIS THE FIRST TIME THIS IS HAPPENING
audio/RES0193.mp3[135.600,154.880]	UM LIKE WHEN HE WAS REALLY YOUNG I THINK LIKE TWO HE HAD LIKE BRONCHIOLITIS OR SOMETHING LIKE THAT I THINK IT WAS CALLED YOU HAD A COUGH AND UM LIKE A WHEEZE AT THAT TIME BUT I THINK IT WAS BECAUSE OF A LIKE AN INFECTION OR VIRAL A VIRAL ILLNESS
audio/RES0193.mp3[154.880,162.480]	I SEE UM HAS HE HAD ANY UH SORE THROAT RUNNY NOSE COLD LIKE SYMPTOMS AT ALL RECENTLY
audio/RES0193.mp3[162.480,166.520]	NO HE HASNT HAD ANYTHING LIKE THAT
audio/RES0193.mp3[166.520,177.840]	OK OK SO HIS SYMPTOMS MAINLY OCCUR WHEN HES VERY ACTIVE UM SO THEY KIND OF COME AND GO AND HAVE YOU TRIED IT AT ALL ANYTHING THAT HAS HELPED WITH THE SYMPTOMS
audio/RES0193.mp3[177.840,180.960]	NO I HAVENT TRIED ANYTHING
audio/RES0193.mp3[180.960,191.320]	OK ANY KIND OF DIZZINESS CHANGES IN HIS BEHAVIOR AT ALL FROM BEING VERY IRRITABLE TO VERY FATIGUED ANYTHING LIKE THAT
audio/RES0193.mp3[191.320,194.520]	NO NOTHING LIKE THAT
audio/RES0193.mp3[194.520,197.920]	OK UM ANY FEVERS OR CHILLS
audio/RES0193.mp3[199.080,203.760]	OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK
audio/RES0193.mp3[205.840,208.920]	OK ANY NAUSEA OR VOMITING
audio/RES0193.mp3[210.400,213.360]	OK ANY CHANGES IN HIS BOWEL MOVEMENTS
audio/RES0193.mp3[213.360,219.560]	NO HE HASNT HAD ANY DIARRHEA SO NO DIARRHEA NO CONSTIPATION
audio/RES0193.mp3[219.560,223.840]	OK AND UM ANY CHANGES IN HIS APPETITE AT ALL
audio/RES0193.mp3[223.840,227.880]	UM NO HES BEEN EATING AND GROWING WELL
audio/RES0193.mp3[227.880,232.960]	OK ANY CHANGES IN HIS WEIGHT
audio/RES0193.mp3[232.960,239.120]	YEAH YEAH HES BEEN GAINING WEIGHT UH OVER THE LAST OVER THE LAST LITTLE WHILE I THINK HES BEEN GAINING
audio/RES0193.mp3[239.120,242.840]	WEIGHT APPROPRIATELY
audio/RES0193.mp3[242.840,251.240]	OK UM DO YOU FIND THAT HIS SYMPTOMS GET WORSE IN ANY PARTICULAR SEASON LIKE THE WINTER OR ANYTHING LIKE THAT
audio/RES0193.mp3[251.240,270.960]	UM I YEAH I MEAN SOMETIMES I GUESS LIKE IN THE IN THE FALL OR WHEN THE SEASONS CHANGE SHE DOES GET LIKE ITCHY EYES AND LIKE A RUNNY NOSE I THINK HE DOES HAVE MAYBE SOME ENVIRONMENTAL ALLERGIES
audio/RES0193.mp3[270.960,279.200]	OK OK AND AT HOME OR AT SCHOOL ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS
audio/RES0193.mp3[279.200,290.480]	UM NO ANIMALS AT AT HOME BUT THE FRIENDS HOUSE HE GOES OVER TO SOMETIMES THEY HAVE UM A CAT THERE
audio/RES0193.mp3[290.480,294.280]	OK AND DOES DOES HE GET THOSE SYMPTOMS AT HIS FRIENDS HOUSE
audio/RES0193.mp3[294.280,314.960]	YEAH SOMETIMES HELL COME HELL UM HELL HAVE A BIT OF A COUGH AND YOU CAN HEAR A WHEEZE SOMETIMES THAT AFTER IT GOES AWAY UHH RELATIVELY QUICKLY WE LIKE WITHIN 30 TO 60 MINUTES AND BUT UM YEAH
audio/RES0193.mp3[314.960,319.680]	OK ANY PAST MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH
audio/RES0193.mp3[319.680,329.120]	NO HE JUST HAD THAT YEAH THE EPISODE OF I THINK BRONCHIOLITIS WHEN HE WAS YOUNG BUT THAT WAS IT
audio/RES0193.mp3[329.120,334.360]	OK ANY UM MEDICATIONS THAT HE HAS TO TAKE REGULARLY
audio/RES0193.mp3[336.360,339.720]	NO ANY ALLERGIES TRAINING MEDICATIONS
audio/RES0193.mp3[339.720,342.920]	UHM NO
audio/RES0193.mp3[342.920,348.400]	NO OR ANY ALLERGIES TO ANY ENVIRONMENTAL OR FOOD FACTORS
audio/RES0193.mp3[348.400,351.360]	UHM NO I DONT THINK SO
audio/RES0193.mp3[351.360,357.120]	OK HAVE YOU HAD ANY RASHES AT ALL PREVIOUSLY
audio/RES0193.mp3[357.120,363.800]	UHM NO YEAH HE HASNT HAD ANY RASHES
audio/RES0193.mp3[363.800,369.600]	OK AND UM ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0193.mp3[369.600,374.440]	UH NOPE
audio/RES0193.mp3[374.440,381.480]	OK AND ANY FAMILY HISTORY OF ANY HEART LUNG CONDITIONS ANY HISTORY OF ASTHMA AT ALL
audio/RES0193.mp3[381.480,393.200]	UM YEAH HIS MOM HAS A HAS ASTHMA UM AND SHE USES A AN INHALER LIKE DAILY FOR IT
audio/RES0193.mp3[393.200,401.440]	OK HAS WHEN DID UM THE MOM GET DIAGNOSED WITH ASTHMA WAS IT DURING CHILDHOOD
audio/RES0193.mp3[401.440,420.440]	YEAH SHE WAS YOUNGER UM EVER SINCE IVE KNOWN HER SHE SAID SHES HAD SHES HAD ASTHMA IT HASNT HAD ANY LIKE REAL I GUESS EXACERBATIONS THAT THAT IVE NOTICED OR BEEN ABLE TO CONTROL HER SYMPTOMS WITH WITH UM INHALERS
audio/RES0193.mp3[420.440,427.240]	AND UM FOR HIM HOW MANY TIMES WOULD YOU SAY HES HAVING THESE EPISODES IN AN AVERAGE WEEK NOW
audio/RES0193.mp3[427.240,429.160]	UH I WOULD SAY 2
audio/RES0193.mp3[429.160,434.680]	2 AND IS HE GETTING ANY OF THESE SYMPTOMS AT NIGHT TIME LIKE HIM WAKING UP
audio/RES0193.mp3[434.680,438.800]	HE IS YEAH ITS IT IT IS HAPPENING AT NIGHT
audio/RES0193.mp3[438.800,445.120]	OK AND THEN AS HE MISSED ANY DAYS OF SCHOOL DUE TO THIS
audio/RES0193.mp3[445.120,466.120]	YEAH UM HES MISSED A COUPLE OF DAYS IN THE PAST MONTH BECAUSE UH HE JUST DIDNT SLEEP WELL AND THEN NOT FEELING GOOD THE NEXT DAY SO UM YEAH HE HAS
audio/RES0193.mp3[466.120,471.760]	OK YEAH SO AND ANY ISSUES WITH THE MOTHERS PREGNANCY WITH HIM AT ALL
audio/RES0193.mp3[471.760,485.240]	NO SHES HEALTHY AND THE DELIVERY WAS AT TERM WITH A NORMAL BODY WEIGHT OR BIRTH WEIGHT RATHER AND HE HE WAS HEALTHY WHEN HE WAS BORN
audio/RES0193.mp3[485.240,491.400]	SO NO PROLONGED STAY IN THE ICU OR HOSPITAL AFTER THAT
audio/RES0193.mp3[491.400,495.240]	NO HE WAS ABLE TO GO HOME LUCKILY
audio/RES0193.mp3[495.240,509.560]	OK AND AFTERWARDS HAS HE BEEN MEETING ALL HIS MILESTONES LIKE HIS MOTOR GROSS MOTOR FINE MOTOR SOCIAL SKILLS AND GROWTH AND ALL OF THOSE HAVE BEEN MEETING THEM WELL
audio/RES0193.mp3[509.560,515.200]	HE HAS YEAH YEAH HES BEEN MEETING ALL OF HIS MILESTONES AND GROWING WELL
audio/RES0193.mp3[515.200,523.600]	OK AND UM ANY AT ALL ISSUES FROM THE SCHOOL IN TERMS OF LEARNING DIFFICULTIES OR ANYTHING LIKE THAT
audio/RES0193.mp3[523.600,526.320]	NO HES BEEN DOING WELL UH IN SCHOOL
audio/RES0193.mp3[526.320,531.960]	OK THATS GOOD UM DOES HE HAVE ANY SIBLINGS
audio/RES0193.mp3[531.960,535.560]	UM NO HES A IT ITS JUST HIM HES OUR ONLY CHILD
audio/RES0193.mp3[535.560,541.920]	AND WHATS THE HOME SITUATION LIKE WHO DOES HE LIVE WITH
audio/RES0193.mp3[541.920,554.320]	SO ITS MYSELF AND MY WIFE WHICH HIS MOM AND SO ITS JUST US THREE AND WE LIVE IN A UM IN A HOUSE
audio/RES0193.mp3[554.320,558.800]	OK UH AND ANYONE IN THE HOUSEHOLD UH DOES ANYONE SMOKE AT ALL
audio/RES0193.mp3[558.800,562.600]	NO THERE ARENT ANY SMOKERS IN THE HOME
audio/RES0193.mp3[562.600,571.840]	OK AND ANY NEW CARPETS OR ANY DUST RUNNING OR MOLD OR ANYTHING LIKE THAT IN THE HOUSE
audio/RES0193.mp3[571.840,581.440]	THAT THERE IS A CARPET AND IN THE BASEMENT THAT HE USES THAT AS HIS PLAYROOM SOMETIMES
audio/RES0193.mp3[581.440,586.880]	OK OK YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS AT ALL
audio/RES0193.mp3[586.880,595.640]	YEAH I WAS JUST WONDERING LIKE IF THIS COULD BE MAYBE ASTHMA AS WELL
audio/RES0193.mp3[595.640,638.400]	YEAH SO DEFINITELY THATS SOMETHING THATS AT THE TOP OF OUR HEAD RIGHT NOW ESPECIALLY DUE TO HIS AGE AND THE SYMPTOMS THAT HES BEEN HAVING AFTER EXERTION IN PARTICULAR AND THE FAMILY HISTORY OF ASTHMA AS WELL SO DEFINITELY THATS SOMETHING THAT WE WANT TO INVESTIGATE SO WHAT WELL DO FOR HIM IS FIRST WELL DO LIKE A FULL PHYSICAL EXAMINATION LISTEN TO HIS ALONGS AND JUST ASSESS HIS BREATHING AND THEN AFTERWARDS WE WILL ORDER SOME TESTS FOR HIM SO HES SIX YEARS OLD RIGHT
audio/RES0193.mp3[638.400,639.720]	HE IS YES
audio/RES0193.mp3[639.720,647.160]	OK SO WELL SEE IF WE CAN DO SOMETHING CALLED A PULMONARY FUNCTION TEST SOMETIMES IT DEPENDS ON THE CHILD
audio/RES0193.mp3[647.160,690.320]	IF THEYRE ABLE TO FOLLOW INSTRUCTIONS AND SO THAT TEST REQUIRES A COMPLETELY BREATHING OUT AND FOLLOWING SOME INSTRUCTIONS DURING THE TEST SO SINCE HES SIX HE MIGHT BE ABLE TO DO THAT WE WE CAN TRY THAT AND THEN AFTERWARDS WELL SEE IF HE REQUIRES ANYTHING LIKE AN ALLERGY TESTING OR WE WILL WE MIGHT NEED TO HELP MANAGE HIS SYMPTOMS WITH A PUFFER FOR EXAMPLE LIKE VENTILIN AND AN  INHALED CORTICO STEROID BUT THOSE ARE JUST SOME DISCUSSIONS WILL HAVE IN THE NEAR FUTURE AFTER WEVE DONE ALL THESE INVESTIGATIONS
audio/RES0193.mp3[690.320,692.320]	OK GREAT THANK YOU
audio/RES0193.mp3[692.320,694.640]	YOURE WELCOME ALRIGHT TAKE CARE
audio/RES0137.mp3[0.000,2.720]	SO WHAT UH BRINGS YOU HERE TODAY
audio/RES0137.mp3[2.720,14.200]	I AM HERE WITH UH WITH MY DAUGHTER WHO HAS JUST BEEN HAVING A COUGH FOR THE PAST UM TWO WEEKS
audio/RES0137.mp3[14.200,29.080]	OKAY UM AND CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT A DRY COUGH OR IS SHE BRINGING ANYTHING UP
audio/RES0137.mp3[29.080,61.440]	UM IT IS A IT IS A DRY COUGH UM BUT SHE JUST KEEPS COUGHING AND COUGHING AND AND THEN SHE JUST YOU KNOW ONCE SHELL START COUGHING SHE JUST DOESNT STOP AND THEN UM THERES BEEN TIMES WHEN SHE JUST TURNS BLUE SHES COUGHING SO MUCH UM AND THEN IT JUST GETS GETS BETTER UM ON ITS OWN BUT YEAH ITS A DRY COUGH
audio/RES0137.mp3[61.440,76.960]	OKAY AND UM WHAT DOES THE COUGH SOUND LIKE IS IT LIKE A HARSH COUGH A BARKY COUGH
audio/RES0137.mp3[76.960,86.760]	UM ITS JUST SHE JUST MAKES THIS NOISE WHEN SHES LIKE BREATHE TRYING TO TAKE A BREATH IN ITS ITS YEAH
audio/RES0137.mp3[86.760,90.760]	OKAY IS IT KIND OF A WHEEZE
audio/RES0137.mp3[90.760,94.920]	YEAH SURE
audio/RES0137.mp3[94.920,101.680]	OKAY UM AND SO THERES EPISODES WHERE SHE ALSO TURNS BLUE
audio/RES0137.mp3[101.680,104.880]	WHEN SHES COUGHING A LOT YEAH SHE DOES
audio/RES0137.mp3[105.520,109.640]	SHES ALSO VOMITED ONCE OR TWICE
audio/RES0137.mp3[109.640,117.440]	OH I SEE OKAY UM ANY BLOOD IN THE VOMIT OR IS SHE COUGHING UP ANY BLOOD
audio/RES0137.mp3[118.840,133.320]	NO OKAY UM ANY SO THIS STARTED TWO WEEKS AGO ANY KIND OF SYMPTOMS OF RUNNY NOSE OR UM COLDLIKE SYMPTOMS BEFORE THEN
audio/RES0137.mp3[133.320,168.440]	YEAH YEAH SHE DID HAVE A BIT OF A RUNNY NOSE IT WAS JUST UH WATERY UH SINCE DISCHARGE AND AT THAT TIME HER COUGH SHE HAD A COUGH AS WELL UM BUT I THOUGHT IT WAS YOU KNOW ITS NOTHING IT WAS JUST LIKE ANOTHER FLU AND IT WOULD GET BETTER BUT THEN SHE JUST THE RUNNY NOSE GOT BETTER WITHOUT IN A COUPLE OF DAYS BUT THE COUGH STAYED AND IT GOT GOT PRETTY WORSE UH IT GOT WORSE
audio/RES0137.mp3[168.440,174.800]	OKAY UM OTHER THAN THE COUGH UH ANY ANY FEVERS OR CHILLS
audio/RES0137.mp3[174.800,179.480]	NO I DONT THINK SHES HAD FEVERS I HAVENT CHECKED THOUGH
audio/RES0137.mp3[179.480,184.360]	OKAY AND THE COUGH IS PRETTY CONSTANT OR IS IT DOES IT COME AND GO
audio/RES0137.mp3[184.360,202.960]	YEAH SHE JUST HAS THESE EPISODES WHERE SHE JUST COUGHS AND COUGHS AND COUGHS AND THEN SHELL EITHER VOMIT OR JUST TURN BLUE OR JUST UM GET BETTER IN A COUPLE COUPLE MINUTES THIS KIND OF COMES AND GOES LIKE THAT
audio/RES0137.mp3[202.960,209.640]	OKAY AND IS THERE ANYTHING THAT HAS HELPED HER AT ALL LIKE ANY OVER THE COUNTER MEDICATIONS OR ANYTHING LIKE THAT
audio/RES0137.mp3[209.640,224.080]	I HAVENT TRIED ANYTHING IM JUST WORRIED ABOUT YOU KNOW SHES MY FIRST CHILD AND I DONT KNOW WHAT TO GIVE HER AND WHAT NOT TO GIVE HER AT THIS AGE SO I JUST DECIDED TO COME IN AND NOT TRY ANYTHING OVER THE COUNTER
audio/RES0137.mp3[224.080,229.000]	OKAY UM AND SO HAS THIS HAPPENED BEFORE AT ALL
audio/RES0137.mp3[230.120,244.720]	NO THIS IS THE FIRST TIME OKAY UM ANY SO SHE SHE IS VOMITING UM IS THE VOMIT LIKE GREEN IN COLOUR OR IS SHE JUST VOMITING UP WHAT SHE HAS EATEN WHATS THE CONTENT OF THE MOMENT
audio/RES0137.mp3[244.720,248.520]	ITS USUALLY JUST WHAT SHES EATEN
audio/RES0137.mp3[248.520,253.320]	OKAY UM ANY SICK CONTACTS RECENTLY OR ANY TRAVEL
audio/RES0137.mp3[253.320,258.920]	NO I DONT THINK SO NOT NOTHING REALLY
audio/RES0137.mp3[258.920,265.200]	UM AND HOW ABOUT HER BEHAVIOUR DOES SHE SEEM LIKE UH VERY TIRED OR FATIGUED OR MORE IRRITABLE
audio/RES0137.mp3[265.200,274.960]	SHE DOES GET TIRED ESPECIALLY AFTER AND THEN SHES IRRITABLE AND CRYING AFTER YOU KNOW SHE HAS THESE FITS OF COUGHS
audio/RES0137.mp3[278.560,284.560]	OKAY UM ANY SYMPTOMS OF DIARRHEA OR CONSTIPATION
audio/RES0137.mp3[286.640,293.000]	OKAY ANY UM ANY TROUBLE WITH URINATING AT ALL
audio/RES0137.mp3[293.720,296.320]	NO HOWS HER SLEEPING LIKE
audio/RES0137.mp3[296.320,315.240]	UH NOT GREAT ITS JUST THE COUGH KEEPS UH WAKING HER UP AND SHE JUST DOESNT CANT FALL ASLEEP
audio/RES0137.mp3[315.240,323.600]	OKAY ANY UH EXPOSURE TO DUST OR FUMES OR ANIMALS OR PETS AT HOME
audio/RES0137.mp3[323.600,337.760]	WE WE DID GET A CAT UM ABOUT A MONTH AGO
audio/RES0137.mp3[337.760,341.480]	OKAY UM AND ANY HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0137.mp3[344.600,349.320]	UM AND ANY ALLERGIES THAT YOU KNOW OF
audio/RES0137.mp3[349.320,353.000]	UM NO
audio/RES0137.mp3[353.000,358.080]	AND UM ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0137.mp3[360.160,365.800]	AND HOW WAS YOUR PREGNANCY YOUR PREGNANCY WITH HER LIKE ANY COMPLICATIONS AT ALL
audio/RES0137.mp3[365.800,371.440]	NO NO COMPLICATIONS IT WAS UH IT WAS VERY YEAH IT WENT WELL
audio/RES0137.mp3[371.440,374.520]	AND WAS SHE AT TERM OR PREMATURE
audio/RES0137.mp3[374.520,377.440]	SHE WAS AT TERM SHE WAS BORN AT TERM
audio/RES0137.mp3[377.440,380.920]	WAS IT A VAGINAL DELIVERY OR UH A CSECTION
audio/RES0137.mp3[380.920,383.720]	UH VAGINAL
audio/RES0137.mp3[383.720,389.440]	AND DID SHE HAVE TO STAY IN THE NICU AT ALL AT THE HOSPITAL AFTERWARDS
audio/RES0137.mp3[390.680,395.640]	OKAY AND IS SHE FEEDING WELL LIKE WHAT DOES SHE USUALLY EAT
audio/RES0137.mp3[395.640,408.160]	SHES FEEDING WELL SHES DOING UH SHE EATS EVERYTHING YEAH
audio/RES0137.mp3[408.160,411.160]	UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0137.mp3[414.840,422.400]	UM AND DOES ANYONE SMOKE IN THE HOUSE
audio/RES0137.mp3[422.400,429.920]	UM HER DAD BUT HE HE DOESNT SMOKE IN FRONT OF HER
audio/RES0137.mp3[429.920,440.360]	AND WHATS HER LIVING SITUATION LIKE WHO DOES SHE LIVE WITH AND DO YOU LIVE IN A HOUSE APARTMENT
audio/RES0137.mp3[440.360,449.240]	OH YEAH WE LIVE IN AN APARTMENT ITS UH ME MY PARTNER HER AND THE CAT
audio/RES0137.mp3[449.240,457.400]	OKAY AND ANY DIFFICULTIES OR COMPLICATIONS WITH HER GROWTH LIKE IN TERMS OF HER WEIGHT OR HER HEIGHT
audio/RES0137.mp3[457.400,461.160]	NO NO COMPLICATIONS SHES DOING OKAY
audio/RES0137.mp3[461.160,464.920]	OKAY AND IN TERMS OF HER MILESTONES HAS SHE BEEN MEETING ALL OF THEM ON TIME
audio/RES0137.mp3[467.840,474.120]	OKAY ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0137.mp3[474.120,479.480]	UH NO
audio/RES0137.mp3[479.480,489.320]	YEAH SO BASED ON THE SYMPTOMS OH YEAH SORRY I FORGOT TO ASK ONE OTHER QUESTION HAS SHE ARE HER IMMUNIZATIONS ALL UP TO DATE
audio/RES0137.mp3[489.320,511.840]	OH NO NO I DONT I DONT GET THOSE MY FRIENDS MY FRIENDS DAUGHTER DEVELOPED AUTISM AND IM JUST I DONT WANT THAT YOU KNOW SO NO I DONT VACCINATE MY KIDS OR I DONT VACCINATE MY DAUGHTER AND I HAVENT BEEN YEAH UH NO I WONT BE DOING THAT
audio/RES0137.mp3[511.840,516.840]	AND HAVE YOU BEEN VACCINATED THROUGHOUT YOUR LIFE
audio/RES0137.mp3[516.840,525.240]	UM MAYBE WHEN I WAS YOUNG BUT I YEAH I DONT I JUST DONT BELIEVE IN VACCINATIONS I YEAH NO I DONT I DONT GET THOSE
audio/RES0137.mp3[525.240,628.400]	YEAH SO THERE IS DEFINITELY UH THERES A LOT OF RESEARCH DONE BESIDE BEHIND VACCINATIONS AND A LOT OF PREVENTION GOES INTO THEM BUT DEFINITELY THERE IS SOME ANECDOTAL EVIDENCE OF VERY LOOSE ASSOCIATIONS TO AUTISM THAT HAVE BEEN FOUND TO BE INVALID AND LIKE THEY HAVE BEEN INVALIDATED BY THE RESEARCH SO DEFINITELY ITS VERY IMPORTANT TO GET YOUR CHILD VACCINATED IN FACT THE SUM OF THE SYMPTOMS THAT YOUR CHILD MAY BE HAVING RIGHT NOW CAN BE CAUSED BY SOMETHING CALLED PERTUSSIS AND UM THERES USUALLY A VACCINATION FOR THAT LIKE AFTER PREGNANCY AS WELL SO THATS SOMETHING THAT IS DEFINITELY ON THE DIFFERENTIAL AND AT THIS TIME WE DEFINITELY NEED TO MAKE SURE SHES OKAY AND GET HER VITALS DONE SEE HER OXYGENATION SATURATION AND JUST DO SUPPORTIVE CARE WHILE SHES IN THE HOSPITAL AND WE MAY NEED TO ADMIT HER BUT WELL DO THE FULL PHYSICAL EXAMINATION TODAY GET A COVISWAB DONE AS WELL AND USUALLY IT SHES CURRENTLY IN THE IT SEEMS TO BE THE SECOND PHASE WHERE SHES VOMITING AND COUGHING A LOT AND THEN IT USUALLY AFTER THAT PHASE TWO OR THREE MORE WEEKS OF JUST COUGHING AND SO WERE GOING TO DO SOME SUPPORTIVE CARE FOR HER RIGHT NOW BUT YEAH DEFINITELY YOU SHOULD CONSIDER VACCINATING YOUR CHILD WE RECOMMEND THAT TO EVERY PARENT AS THERES A LOT OF DISEASES OUT THERE THAT CAN BE COMPLETELY PREVENTED IF YOU VACCINATE YOUR CHILD
audio/RES0137.mp3[628.400,633.120]	OKAY ILL THINK ABOUT IT
audio/RES0137.mp3[633.120,637.440]	ALRIGHT SO SO FOR NOW WERE GONNA JUST MAKE SURE THAT SHES DOING WELL OKAY
audio/RES0137.mp3[638.560,640.560]	ALRIGHT TAKE CARE
audio/RES0122.mp3[0.000,2.800]	WHAT BRINGS YOU IN TODAY
audio/RES0122.mp3[2.800,24.960]	UH YEAH SO I I JUST CAME IN BECAUSE IVE BEEN HAVING FOR THE LAST I WOULD SAY 2 WEEKS JUST A LOT OF CONGESTION IN MY NOSE AND THEN IVE ALSO BEEN FEELING A LOT OF PRESSURE IN MY HEAD AS WELL AS JUST AROUND MY JAWS AND MY FACE OVERALL
audio/RES0122.mp3[24.960,35.280]	OKAY AND UM YOU SAID IT STARTED TWO WEEKS AGO HAS IT GOTTEN BETTER OR WORSE OR BEEN THE SAME SINCE THEN
audio/RES0122.mp3[35.280,42.400]	UM ID SAY ITS PRETTY MUCH BEEN THE SAME EXCEPT LIKE THE PRESSURES GETTING WORSE
audio/RES0122.mp3[42.400,59.880]	OKAY AND DO YOU FIND THAT THE PRESSURE IS WORSE WHEN YOURE BENDING DOWN OR UM YEAH WHEN YOURE LIKE SQUATTING OR SITTING DOWN
audio/RES0122.mp3[59.880,72.440]	UM WHEN IM SITTING DOWN I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL LIKE FOR EXAMPLE WHEN IM LYING ON ONE SIDE IT GETS REALLY BAD ON THAT ONE SIDE AND I HAVE TO KIND OF SWITCH OVER TO THE OTHER SIDE
audio/RES0122.mp3[72.440,77.360]	OKAY ALRIGHT AND UH WHEN DID YOUR HEADACHES START
audio/RES0122.mp3[77.360,101.560]	UM ITS I GUESS ITS NOT SO MUCH AS A HEADACHE AS JUST KIND OF UM JUST PAIN IN AND AROUND THE CHEEKS AND JUST GOING UP TO MY HEAD AND IT STARTED ABOUT I WOULD SAY AROUND 2 WEEKS AGO
audio/RES0122.mp3[101.560,105.320]	UM AND DO YOU HAVE A STUFFY NOSE
audio/RES0122.mp3[105.320,114.920]	YEAH I DEFINITELY HAVE A STUFFY NOSE AND IT STARTED UM IT SOMETIMES GETS LIKE LIKE A RUNNY NOSE AS WELL
audio/RES0122.mp3[114.920,119.120]	YEAH OKAY AND WHATS THE DISCHARGE LIKE
audio/RES0122.mp3[119.120,122.040]	UH ITS USUALLY CLEAR
audio/RES0122.mp3[122.040,125.800]	OKAY AND DO YOU HAVE A COUGH
audio/RES0122.mp3[125.800,126.880]	NO NO COUGHS
audio/RES0122.mp3[126.880,128.640]	SORE THROAT
audio/RES0122.mp3[130.400,135.680]	UM AND DO YOU HAVE ANY DIFFICULTIES BREATHING
audio/RES0122.mp3[135.680,143.720]	UM NO NOT THAT IVE NOTICED SOMETIMES WHEN IT GETS REALLY STUFFY I UH HAVE TO BREATHE THROUGH MY MOUTH
audio/RES0122.mp3[143.720,147.680]	YEAH I SEE DO YOU HAVE ANY DIFFICULTY SWALLOWING
audio/RES0122.mp3[147.680,148.760]	UH NO
audio/RES0122.mp3[148.760,154.440]	ANY CHEST PAIN OR ANY HEART UM PALPITATIONS
audio/RES0122.mp3[155.680,159.080]	UM ANY PAIN IN YOUR BELLY
audio/RES0122.mp3[159.080,160.040]	UH NOPE
audio/RES0122.mp3[160.040,161.840]	NAUSEA OR VOMITING
audio/RES0122.mp3[162.040,165.920]	CHANGES IN YOUR BOWEL MOVEMENT
audio/RES0122.mp3[166.560,169.240]	ANY URINARY SYMPTOMS
audio/RES0122.mp3[170.000,172.120]	ANY MUSCLE ACHES
audio/RES0122.mp3[173.120,176.960]	UM ANY FEVERS OR CHILLS
audio/RES0122.mp3[176.960,178.920]	NO NOT THAT IVE NOTICED
audio/RES0122.mp3[178.920,183.640]	ANY WEIGHT CHANGES IN YOUR WEIGHT RECENTLY
audio/RES0122.mp3[183.640,185.160]	NO NO CHANGES
audio/RES0122.mp3[185.160,188.440]	ANY UH NIGHT SWEATS
audio/RES0122.mp3[188.440,189.360]	UH NO
audio/RES0122.mp3[189.360,200.640]	OKAY UM ALRIGHT SO HAVE YOU HAD ANY CONTACT WITH ANYONE WHO COULD HAVE BEEN SICK IN THE PAST TWO WEEKS OR BEFORE THAT
audio/RES0122.mp3[200.640,206.160]	NO NO IM VERY LIKE CAREFUL UM I BARELY GO OUT
audio/RES0122.mp3[206.160,211.280]	GOOD THATS VERY GOOD UM ARE YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE
audio/RES0122.mp3[212.000,219.160]	OKAY AND UM DO YOU CURRENTLY WORK
audio/RES0122.mp3[219.160,223.200]	I WORK FROM HOME RIGHT NOW UM IM AN ACCOUNTANT
audio/RES0122.mp3[223.200,227.840]	OKAY AND DO YOU LIVE WITH ANYONE ELSE OR DO YOU LIVE ALONE
audio/RES0122.mp3[227.840,234.840]	UH SO I LIVE WITH MY FAMILY I LIVE WITH MY HUSBAND AND UM TWO DAUGHTERS
audio/RES0122.mp3[234.840,238.360]	HAVE ANY OF THEM BEEN SICK RECENTLY
audio/RES0122.mp3[238.360,239.920]	NO THEYVE BEEN FINE
audio/RES0122.mp3[239.920,244.080]	OKAY GOOD UM AND DO YOU SMOKE
audio/RES0122.mp3[244.080,245.480]	NO NOT AT ALL
audio/RES0122.mp3[245.480,249.520]	DO YOU SMOKE MARIJUANA OR CONSUME ANY RECREATIONAL DRUGS
audio/RES0122.mp3[249.520,254.640]	PROBABLY THE LAST TIME WAS IN COLLEGE UM FOR MARIJUANA
audio/RES0122.mp3[254.640,258.320]	I SEE UM WHAT ABOUT ALCOHOL
audio/RES0122.mp3[258.320,262.720]	ALCOHOL ILL PROBABLY HAVE A GLASS OF RED WINE A DAY
audio/RES0122.mp3[262.720,278.440]	ALRIGHT OKAY AND UM HAVE YOU DO YOU HAVE ANY UM I GUESS CARPETS OR OR UM CURTAINS OR ANY SORT OF ANIMALS AROUND ANYTHING THAT MIGHT CAUSE ANY KIND OF ENVIRONMENTAL ALLERGIES
audio/RES0122.mp3[278.440,281.440]	UH NO NOTHING LIKE THAT
audio/RES0122.mp3[281.440,289.600]	OKAY UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0122.mp3[289.600,291.880]	NO IVE BEEN COMPLETELY HEALTHY
audio/RES0122.mp3[291.880,294.960]	ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0122.mp3[294.960,300.640]	I DID HAVE A UM CSECTION WITH BOTH MY BOTH MY CHILDREN
audio/RES0122.mp3[300.640,303.800]	I SEE ANY COMPLICATIONS AFTER
audio/RES0122.mp3[303.800,308.240]	NO COMPLICATIONS AFTER THEY WERE BOTH HEALTHY I I DIDNT HAVE TO STAY IN THE HOSPITAL
audio/RES0122.mp3[308.240,316.880]	GREAT GREAT UM AND ANY ALLERGIES UH TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES
audio/RES0122.mp3[316.880,318.280]	NOPE NOT THAT I KNOW OF
audio/RES0122.mp3[318.280,322.800]	ANY MEDICATIONS INCLUDING OVER THE COUNTER HERBAL MEDICATIONS
audio/RES0122.mp3[322.800,331.320]	I HAVE UH I DO TAKE UH TYLENOL COLD IN BED SOMETIMES TO RELIEVE SOME OF THE PAIN AND PRESSURE
audio/RES0122.mp3[331.320,339.600]	THATS GOOD THATS GOOD IS THERE ANYTHING ELSE THAT MAKES THE THE PRESSURE AND THE PAIN BETTER
audio/RES0122.mp3[339.600,349.360]	UM I HAVE DONE THOSE LIKE KIND OF THOSE STEAM UM THERAPIES THAT SOMETIMES HELPS
audio/RES0122.mp3[349.360,362.440]	OKAY GOOD GOOD GOOD UM ANY UH ANYTHING THAT MAKES THE THAT MAKES IT WORSE I KNOW THAT LYING ON ONE SIDE YOU SAID MAKES THINGS WORSE FOR YOU ANYTHING ELSE THATS MADE THE PRESSURE WORSE
audio/RES0122.mp3[362.440,364.480]	UM NO I WOULD SAY THATS THATS ABOUT IT
audio/RES0122.mp3[364.480,370.120]	OKAY ANY CHANGES IN YOUR SENSE OF SMELL
audio/RES0122.mp3[370.120,375.320]	YEAH DEFINITELY UH WHEN I GET REALLY STUFF STUFFY LIKE I DONT REALLY SMELL ANYTHING
audio/RES0122.mp3[375.320,378.360]	WHAT ABOUT SENSE OF TASTE
audio/RES0122.mp3[378.360,394.200]	UM TASTE I GUESS LIKE WITH THE SMELL GONE SOMETIMES LIKE THE TASTE FEELS WEIRD TOO BUT LIKE NOT NOT REALLY
audio/RES0122.mp3[394.200,400.160]	I SEE OKAY UM AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0122.mp3[400.160,410.600]	UM MY MY FATHER DID HAVE A HEART ATTACK IN HIS UH I THINK IT WAS LATE 50S BUT HES WELL AND ALIVE RIGHT NOW SO HES FINE
audio/RES0122.mp3[410.600,500.360]	GOOD ALRIGHT WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THE SYMPTOMS THAT YOUVE SHARED WITH ME IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED UM RHINOSINUSITIS UH WHICH IS BASICALLY INFLAMMATION OF THE SINUSES AND OF THE UH OF THE NASAL CAVITY OR THE AREA INSIDE YOUR NOSE AND UH OFTEN ITS JUST TREATED WITH CONSERVATIVE MANAGEMENT SO JUST CONTINUE TO TAKE UM TYLENOL IF THAT SEEMS TO HELP YOU AND DO THE STEAM THERAPY IT WILL TAKE TIME TO GET BETTER UM BUT IF YOU FEEL THAT ITS UM ITS NOT GETTING BETTER IN THE NEXT WEEK OR SO GIVE US A CALL AGAIN AND WE CAN MAYBE SEE IF ITS A BACTERIAL INFECTION AND SEE IF UM IF ANTIBIOTICS MIGHT BE NEEDED BUT OFTENTIMES ITS USUALLY A VIRAL INFECTION AND ANTIBIOTICS ARE NOT NEEDED AND SORT OF JUST RESTING AND TAKING CARE OF YOURSELF UM AND TRYING TO MANAGE THE SYMPTOMS THAT WAY CAN HELP UM BUT ALSO CHECK YOUR TEMPERATURE HERE TO SEE IF YOU HAVE ANY FEVERS AND UH GO FROM THERE WELL ALSO I GUESS WELL ALSO DO A COVISWAB BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SOME OF THOSE SYMPTOMS UM AND WED RECOMMEND THAT YOU QUARANTINE UNTIL AT LEAST UH SWABS SWAB RESULTS ARE OUT AND THEN PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO
audio/RES0122.mp3[500.720,503.040]	DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0122.mp3[503.040,505.560]	UH NO THATS ALL THANK YOU SO MUCH
audio/RES0122.mp3[505.560,506.120]	YOURE WELCOME
audio/RES0089.mp3[0.000,3.760]	CAN YOU TELL ME WHAT BROUGHT YOU IN HERE TODAY
audio/RES0089.mp3[3.760,25.160]	SURE IVE BEEN FEELING VERY SHORT OF BREATH FOR THE PAST UH TWO WEEKS BUT EVEN BEFORE THAT I STARTED FEELING A LITTLE BIT SHORT OF BREATH AND I CANT STOP COUGHING AND IT JUST FEELS LIKE ITS REALLY HARD FOR ME TO BREATHE
audio/RES0089.mp3[25.160,28.000]	OK SO THIS STARTED TWO WEEKS AGO
audio/RES0089.mp3[28.000,30.480]	YEAH IT STARTED TWO WEEKS AGO
audio/RES0089.mp3[30.480,32.520]	OK AND YOURE ALSO COUGHING
audio/RES0089.mp3[35.120,38.720]	OK AND HOW LONG HAVE YOU BEEN COUGHING FOR
audio/RES0089.mp3[38.720,44.800]	THE SAME AMOUNT OF TIME IT STARTED ABOUT MAYBE THREE WEEKS AGO I STARTED COUGHING MORE UM BUT NOW ITS WORSE
audio/RES0089.mp3[44.800,54.960]	OK AND WHAT KIND OF COUGH ARE YOU HAVING IS IT A WET COUGH OR A DRY COUGH
audio/RES0089.mp3[54.960,61.320]	ITS DEFINITELY WET MY PHLEGM LOOKS GREEN
audio/RES0089.mp3[61.320,63.960]	OK AND HOW LONG HAVE YOU NOTICED IT BEING GREEN
audio/RES0089.mp3[63.960,71.520]	ITS BEEN LIKE THAT FOR THE PAST TWO WEEKS
audio/RES0089.mp3[71.520,80.000]	OK AND BEFORE THAT WERE YOU HAVING COUGHING AS WELL
audio/RES0089.mp3[80.000,85.800]	YEAH BEFORE THAT I WAS STILL COUGHING BUT NOT AS MUCH
audio/RES0089.mp3[85.800,96.680]	OK UHM AND WAS THERE ANYTHING THAT HAPPENED UH DID YOU GET SICK AT ALL RECENTLY OR WERE YOU IN CONTACT WITH ANYONE WHO WAS SICK
audio/RES0089.mp3[96.680,100.120]	NO NOT THAT I KNOW OF
audio/RES0089.mp3[100.120,104.160]	OK ANY KIND OF FEVERS AT ALL
audio/RES0089.mp3[104.160,109.520]	NO NO FEVERS
audio/RES0089.mp3[109.520,116.960]	OK HAVE YOU NOTICED ANY KIND OF UH COUGHING UP BLOOD OR BLOOD TINGED SPUTUM AT ALL
audio/RES0089.mp3[116.960,121.840]	UHM NO NOT THAT NO BLOOD
audio/RES0089.mp3[121.840,128.240]	OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP IN AN AVERAGE DAY NOW
audio/RES0089.mp3[128.240,145.040]	UHM IM BRINGING UP ABOUT ID SAY IT WOULD FILL LIKE TWO TWO OF MY PALMS LIKE THE INSIDE OF MY PALM
audio/RES0089.mp3[145.040,152.000]	OK ALRIGHT AND IS YOUR COUGHING LIKE CONSTANT OR DOES IT COME AND GO
audio/RES0089.mp3[152.000,157.720]	ITS PRETTY CONSTANT NOW
audio/RES0089.mp3[157.720,162.040]	OK AND HAVE YOU HAD AT ALL ANY KIND OF UH FEVERS OR ANYTHING LIKE THAT
audio/RES0089.mp3[162.040,165.680]	NO FEVERS
audio/RES0089.mp3[165.680,183.240]	OK AND HOW ABOUT YOUR SHORTNESS OF BREATH IS THAT WHEN DOES THAT HAPPEN IS IT MAINLY WITH EXERCISE AND EXERTION OR CAN IT HAPPEN EVEN WHEN YOURE JUST GOING ON ABOUT YOUR DAY
audio/RES0089.mp3[183.240,192.920]	UHM ITS UH OK ITS MORE WITH EXERTION BUT RIGHT NOW EVEN AT REST IM COUGHING AND FEELING SHORT OF BREATH
audio/RES0089.mp3[192.920,200.680]	OK AND ARE YOU FEELING AT ALL ANY KIND OF UH CHEST TIGHTNESS OR PAIN
audio/RES0089.mp3[200.680,204.280]	UH YEAH SOME CHEST TIGHTNESS
audio/RES0089.mp3[204.280,215.160]	AND IS THAT MAINLY WHEN YOURE COUGHING AND SHORT OF BREATH OR UHM AT OTHER TIMES AS WELL
audio/RES0089.mp3[215.160,218.840]	UHM OTHER TIMES AS WELL
audio/RES0089.mp3[218.840,232.400]	OK ARE YOU HAVING ANY OTHER ANY OTHER LIKE CAN YOU DESCRIBE YOUR CHEST PAIN A LITTLE BIT IS IT KIND OF A PRESSURE PAIN OR IS IT A SHARP PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT
audio/RES0089.mp3[232.400,240.840]	UHM I WOULD SAY ITS A UH ITS A TIGHTNESS IN MY CHEST AND IT FEELS I GUESS THROBBING OR ACHY
audio/RES0089.mp3[240.840,251.640]	OK AND DOES THIS PAIN UHM MOVE TO ANYWHERE ELSE OR DOES IT JUST STAY IN YOUR CHEST
audio/RES0089.mp3[251.640,254.480]	UH IT JUST STAYS IN MY CHEST
audio/RES0089.mp3[254.480,259.280]	OK HAVE YOU BEEN FEELING DIZZY OR HAVE YOU FAINTED AT ALL
audio/RES0089.mp3[259.280,260.360]	UH NO
audio/RES0089.mp3[260.360,266.800]	HAVE YOU BEEN FEELING INCREASED SWEATING AND CONFUSION ANYTHING LIKE THAT
audio/RES0089.mp3[269.920,277.040]	OK HAVE YOU FELT YOUR HEART RACING AND ANYTHING LIKE THAT
audio/RES0089.mp3[278.520,288.280]	OK ALRIGHT AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
audio/RES0089.mp3[288.280,301.880]	UHM I GUESS ACTIVITY MAKES IT WORSE UN AND LIKE COLD AIR THINGS LIKE THAT
audio/RES0089.mp3[301.880,311.720]	OK AND OTHER THAN THAT HAVE YOU RECENTLY AT ALL TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE
audio/RES0089.mp3[311.720,314.600]	UH NO NO NOT RECENTLY
audio/RES0089.mp3[314.600,321.640]	OK NOW ARE YOU HAVING ANY WHEEZING AT ALL
audio/RES0089.mp3[321.640,326.160]	UHM SOME WHEEZING YEAH
audio/RES0089.mp3[326.160,333.320]	OK AND ANY KIND OF HEADACHES OR NAUSEA OR VOMITING
audio/RES0089.mp3[333.320,336.240]	NO NOTHING LIKE THAT
audio/RES0089.mp3[336.240,341.200]	OK AND ANY FEVERS OR CHILLS
audio/RES0089.mp3[341.200,344.040]	AH NOPE NOTHING LIKE THAT
audio/RES0089.mp3[344.040,346.560]	ANY NIGHT SWEATS
audio/RES0089.mp3[346.560,353.120]	AH SOMETIMES I FEEL SWEATY BUT THATS JUST WITH THE SHORTNESS OF BREATH
audio/RES0089.mp3[353.120,357.400]	OK AND HOW LONG DOES YOUR SHORTNESS OF BREATH USUALLY LAST
audio/RES0089.mp3[357.400,377.240]	IT LASTS ABOUT UH I DONT KNOW I KIND OF FEEL SHORT OF BREATH ALL THE TIME BUT WHEN ITS REALLY BAD IT LASTS ABOUT FIVETEN MINUTES AND THEN IT GOES BACK TO LIKE MY NORMAL SHORTNESS OF BREATH
audio/RES0089.mp3[377.240,382.440]	OK AND HAS THIS HAPPENED TO YOU BEFORE
audio/RES0089.mp3[382.440,386.360]	UHM NO I DONT THINK SO
audio/RES0089.mp3[387.600,392.800]	LIKE NOT NOT THIS BAD IVE ALWAYS HAD SOME SHORTNESS OF BREATH BUT NOTHING LIKE THIS
audio/RES0089.mp3[392.800,401.720]	OK AND  UH DO YOU HAVE ANY KIND OF DIARRHEA OR CONSTIPATION
audio/RES0089.mp3[401.720,405.480]	UHM NO NOTHING LIKE THAT
audio/RES0089.mp3[405.480,408.040]	OK HOW ABOUT FATIGUE
audio/RES0089.mp3[408.040,411.400]	YEAH I FEEL FATIGUED
audio/RES0089.mp3[411.400,422.720]	OK AND IS THAT JUST ABOUT TODAY OR IS IT DO YOU THINK ITS BECAUSE OF YOUR SHORTNESS OF BREATH
audio/RES0089.mp3[422.720,425.520]	YEAH ITS PROBABLY CAUSE OF MY SHORTNESS OF BREATH
audio/RES0089.mp3[425.520,430.600]	ARE YOU HAVING ANY OF THESE SYMPTOMS WHEN YOURE TRYING TO SLEEP
audio/RES0089.mp3[430.600,446.640]	UH YEAH I THINK ITS YEAH WHEN IM LAYING DOWN SOMETIMES I FEEL MORE SHORT OF BREATH THAN USUAL BUT ONCE I SHIFT POSITIONS IT GOES BACK TO ITS NORMAL
audio/RES0089.mp3[446.640,452.840]	OK IS IT DO YOU EVER HAVE TO WAKE UP AT NIGHT TO CATCH A BREATH OR ANYTHING LIKE THAT
audio/RES0089.mp3[452.840,456.560]	AH NO IT DOESNT WAKE ME UP
audio/RES0089.mp3[456.560,467.040]	AND HAVE YOU NOTICED ANY KIND OF UH SIGNIFICANT WEIGHT LOSS OR ANYTHING LIKE THAT RECENTLY
audio/RES0089.mp3[467.800,480.840]	OK AND HAVE YOU AT ALL HAD ANY CHANGES IN YOUR APPETITE OR ANYTHING LIKE THAT
audio/RES0089.mp3[480.840,486.320]	NO NO CHANGE IN APPETITE
audio/RES0089.mp3[486.320,492.840]	OK ANY EXPOSURES TO ANY LIKE DUST FUMES OR ANY IRRITANTS RECENTLY
audio/RES0089.mp3[494.440,501.720]	OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0089.mp3[501.720,508.480]	UHM  JUST COPUHM AND I ALSO HAVE SOME CONGESTIVE HEART FAILURE
audio/RES0089.mp3[508.480,512.960]	OK AND WHEN WERE YOU DIAGNOSED WITH BOTH OF THEM
audio/RES0089.mp3[512.960,523.680]	COPIVE BEEN I GOT DIAGNOSED ABOUT SEVEN YEARS AGO CHF ABOUT TWO YEARS AGO
audio/RES0089.mp3[523.680,535.000]	OK AND UH RIGHT NOW DO YOU HAVE ANY SYMPTOMS OF ANY SWELLING IN YOUR EXTREMITIES LIKE LEGS HANDS OR ANYTHING LIKE THAT
audio/RES0089.mp3[535.000,540.880]	SOME SWELLING IN SOME SWELLING IN MY LEGS YEAH
audio/RES0089.mp3[540.880,550.200]	OK AND DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH WHEN YOURE LYING DOWN AT ALL
audio/RES0089.mp3[550.200,559.560]	UH A LITTLE BIT YEAH A LITTLE BIT I WOULD SAY
audio/RES0089.mp3[559.560,562.760]	OK AND ANY OTHER MEDICAL CONDITIONS
audio/RES0089.mp3[562.760,564.760]	NOPE NO OTHERS
audio/RES0089.mp3[564.760,566.440]	ANY ALLERGIES
audio/RES0089.mp3[567.040,571.560]	ANY MEDICATIONS YOURE ON RIGHT NOW
audio/RES0089.mp3[571.560,600.120]	YEAH IM ON UH AN ACE INHIBITOR IM ON UH SPIRONOLACTONE UHM IM ON I HAVE SOME PUFFERS FOR MY COPI BELIEVE WHAT DO I HAVE I HAVE UM I HAVE A LONG ACTING BETA AGONIST AND I GUESS I HAVE A SHORT ACTING AS WELL FOR WHEN I NEED IT
audio/RES0089.mp3[600.120,612.720]	OK AND DO YOU HAVE SO IS IT JUST THE TWO TWO PUFFERS
audio/RES0089.mp3[618.560,635.640]	OK AND ARE YOU USING LIKE THE BLUE ONE THE BLUE ONE MORE AT ALL ARE YOU HAVING TO USE THE SHORT ACTING ONE MORE
audio/RES0089.mp3[635.640,642.600]	IM DEFINITELY USING THE SHORT ACTING MORE LIKE IM USING IT ALMOST EVERY DAY
audio/RES0089.mp3[642.600,646.720]	AND DOES IT HELP AT ALL
audio/RES0089.mp3[646.720,651.720]	UH I4 THINK SO
audio/RES0089.mp3[651.720,658.320]	OK YEAH SO OTHER THAN THAT ARE YOU ON ANY OTHER MEDICATIONS
audio/RES0089.mp3[659.360,665.760]	NO OK AND HAVE YOU BEEN TAKING YOUR SPIRONOLACTONE
audio/RES0089.mp3[665.760,669.640]	YEAH IVE BEEN TAKING ALL MY MEDICATIONS
audio/RES0089.mp3[669.640,674.600]	OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0089.mp3[674.600,686.040]	I WAS HOSPITALISED TWO YEARS AGO FOR SHORTNESS OF BREATH AND SOME LOW OXYGEN THATS WHEN THEY DIAGNOSED ME WITH CHF
audio/RES0089.mp3[686.040,703.240]	I SEE OK AND DID THEY SAY AT ALL IT WAS CAUSED BY LIKE YOUR COPOR WHAT WAS IT CAUSED BY DO YOU REMEMBER
audio/RES0089.mp3[703.240,717.120]	UHM  I GUESS JUST YEAH IM NOT REALLY TOO SURE THEY SAID I HAD SOME HEART CONDITION AND MY HEART ISNT FUNCTIONING AS WELL AS IT SHOULD BE THEY DID AN ECHO ON ME
audio/RES0089.mp3[717.120,723.360]	OK AND HAVE YOU AT ALL HAD ANY KIND OF HEART ATTACKS OR ANYTHING LIKE THAT
audio/RES0089.mp3[724.120,741.000]	NO OK AND DID THEY WHEN YOU WERE HAVING SHORTNESS OF BREATH DID YOU HAVE A LIKE A PNEUMONIA OR INFECTION THAT YOU HAD TO GET ANTIBIOTICS FOR ANY OR ANYTHING LIKE THAT
audio/RES0089.mp3[741.000,752.680]	UHM NO ACTUALLY I MIGHT HAVE GOTTEN SOME ANTIBIOTICS AT ONE POINT BUT NOT DURING THAT VISIT
audio/RES0089.mp3[752.680,757.600]	OK OK AND CURRENTLY RIGHT NOW DO YOU SMOKE
audio/RES0089.mp3[757.600,765.360]	NO I STOPPED SMOKING TWO YEARS AGO
audio/RES0089.mp3[765.360,785.800]	YEAH NO THATS REALLY GOOD AND DEFINITELY WITH THESE SYMPTOMS AND YOUR CONDITION THAT DEFINITELY HELPS TO QUIT SMOKING WHENEVER YOU CAN SO CONGRATULATIONS FOR THAT ANY ALCOHOL AT ALL
audio/RES0089.mp3[785.800,789.320]	I DRINK SOME ALCOHOL I DRINK MAYBE ONCE A WEEK
audio/RES0089.mp3[789.320,795.160]	OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0089.mp3[795.160,802.640]	I SMOKE ONCE IN A WHILE
audio/RES0089.mp3[802.640,805.680]	OK HOW OFTEN WOULD YOU SAY YOU SMOKE MARIJUANA
audio/RES0089.mp3[805.680,820.840]	I SMOKE ABOUT A JOINT A WEEK
audio/RES0089.mp3[820.840,831.120]	OK AND UH DO YOU USE A LIKE THE PROVINCIAL MARIJUANA OR DO YOU HAVE ANY OTHER SOURCE WHAT WOULD YOU SAY YOU USE
audio/RES0089.mp3[831.120,839.760]	I USE UHM PARDON ME WHAT WAS THAT DO I USE
audio/RES0089.mp3[839.760,846.000]	LIKE UH DO YOU GET IT FROM A STORE THAT SELLS THE JOINT
audio/RES0089.mp3[846.000,852.240]	YEAH I GET IT FROM LIKE A MEDICAL DISPENSARY
audio/RES0089.mp3[852.240,865.080]	OK OK I SEE YEAH I JUST WANT TO MAKE SURE BECAUSE SOME IF YOU GET IT FROM OTHER SOURCES THERE MIGHT BE MORE IRRITANTS IN THERE THAT CAN CAUSE SOME OF YOUR SYMPTOMS AND FOR THEM TO GET WORSE AS WELL SO YEAH
audio/RES0089.mp3[865.080,867.720]	OH I SEE I SEE OK
audio/RES0089.mp3[867.720,877.120]	YEAH AND OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL
audio/RES0089.mp3[877.120,879.920]	NO WHAT DO YOU THINK I SHOULD DO FROM FOR NOW
audio/RES0089.mp3[879.920,974.520]	YEAH SO RIGHT NOW WHAT WERE GOING TO DO IS BECAUSE YOURE HAVING THE COUGHING SHORTNESS OF BREATH AND YOU HAVE A HISTORY OF COP CHF WE DEFINITELY WANT TO MAKE SURE THAT YOURE NOT HAVING UHM WHAT I THINK YOU MIGHT BE HAVING ISNT JUST AN EXACERBATION OF YOUR COPAND ESPECIALLY WITH THE GREEN SPUTUM IT MIGHT BE LIKE A BACTERIAL INFECTION THATS CAUSING YOUR SYMPTOMS TO GET WORSE SO WELL DO ALL THE APPROPRIATE TESTING WELL DO A CHEST XRAY WELL GET SOME BLOOD WORK DONE AS WELL WELL GIVE YOU SOME UH VENTOLIN AS WELL WHILE YOURE HERE AND WE MIGHT GIVE YOU LIKE A STEROID MEDICATION AS WELL SO WELL DO SOME OF THOSE THINGS RIGHT NOW FOR YOU TO KIND OF HELP YOU RIGHT NOW AS WELL AS DO SOME OF THOSE TESTS THAT I MENTIONED DEPENDING ON WHAT COMES BACK YOU MIGHT REQUIRE AN ADMISSION TO THE HOSPITAL JUST BECAUSE WE WANT TO MAKE SURE YOU DONT GO HOME WITH AN EXACERBATION ESPECIALLY WITH THE CHF AS WELL WE NEED TO WE WILL NEED TO GET THAT UNDER CONTROL BECAUSE THAT CAN GET WORSE WITH YOUR COPEXACERBATION AS WELL SO WE NEED TO MAKE SURE SOME OF THAT SWELLING GOES DOWN IF WE NEED TO ADJUST YOUR MEDICATIONS WHILE YOURE HERE SO YEAH LETS JUST ILL GET BACK TO YOU WELL DO SOME OF THOSE TESTING AND THEN SEE WHERE TO GO FROM THERE IS THAT OK
audio/RES0089.mp3[974.520,976.720]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0089.mp3[976.720,981.840]	YOURE WELCOME
audio/MSK0038.mp3[0.000,1.800]	WHAT BRINGS YOU IN
audio/MSK0038.mp3[1.800,37.280]	HI IVE IVE HAD UM THIS PAIN IN MY LEFT KNEE THATS BEEN GOING ON NOW FOR THE LAST UH THREE OR FOUR MONTHS UM BUT ITS GOTTEN A BIT A BIT WORSE IT USED TO ONLY REALLY BUG ME WHILE I WAS DOING ACTIVITY AND NOW ITS STARTED TO UH HURT EVEN MORE UM AFTERWARDS AS WELL SO IM GETTING THE PAIN AT AT REST AND SO I WANTED TO COME AND GET THAT CHECKED OUT
audio/MSK0038.mp3[37.280,46.160]	OK YEAH FOR SURE UM AND YOU SAID IT STARTED A FEW WEEKS AGO
audio/MSK0038.mp3[46.160,62.720]	UH WELL I THINK IT FIRST STARTED A FEW MONTHS AGO BUT IN THE PAST COUPLE OF WEEKS IT HAS STARTED TO UM KINDA LIKE LAST LONGER AND AND HAPPEN AT REST AS WELL
audio/MSK0038.mp3[62.720,79.480]	YEAH AND SO DOES ANYTHING MAKE IT WORSE OR BETTER I ASSUME DOING ANY SORT OF PHYSICAL ACTIVITY MAKES IT WORSE AND REST MAKES IT BETTER BUT HOW ABOUT ANYTHING OTHER THAN THAT
audio/MSK0038.mp3[79.480,98.240]	UHM NOT REALLY YEAH ITS MOSTLY JUST THE THE ACTIVITY IF IM GOING UPSTAIRS OR UM DOWNSTAIRS OR UH DURING RUNNING IS REALLY WHERE IT HURTS THE MOST AND THATS WHATS BUGGED ME THE UM YEAH THE MOST RUNNING
audio/MSK0038.mp3[98.240,107.400]	OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY SHARP DULL ACHY CRAMPY
audio/MSK0038.mp3[107.400,123.240]	UH ITS A SHARP PAIN UH ALMOST LIKE EVERY TIME MY FOOT HITS THE GROUND I GET LIKE A SHARP STABBING PAIN AND WHILE IM AT AT REST IT FEELS A BIT MORE DULL WHILE YEAH YEAH WHILE IM AT REST
audio/MSK0038.mp3[123.240,130.600]	OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN
audio/MSK0038.mp3[130.600,132.960]	A SIX
audio/MSK0038.mp3[132.960,139.200]	OK ALRIGHT AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE
audio/MSK0038.mp3[139.200,180.000]	UH I DID HAVE SOMETHING SIMILAR LIKE MANY YEARS AGO I USED TO BE A ROWER UH IN UNDERGRAD AND I GOT SOME SIMILAR PAINS BEFORE AND I MEAN WITH SOME STRETCHING AND UM OTHER I DONT KNOW KIND OF STRENGTHENING STUFF IT IT KIND OF HELPED BUT I DIDNT GO SEE ANYBODY FOR IT AT THAT TIME BECAUSE IT IT KIND OF WENT AWAY AFTER A LITTLE WHILE
audio/MSK0038.mp3[180.000,183.920]	OK OK UM AND YOU SAID YOU WERE ARE YOU STILL ROWING
audio/MSK0038.mp3[183.920,187.280]	NO NO THE ONLY ACTIVITY THAT IM DOING NOW IS IS RUNNING
audio/MSK0038.mp3[187.280,201.360]	RUNNING OK AND FROM WHEN IT STARTED TO NOW IN THE PAST COUPLE OF WEEKS HAS IT CHANGED LIKE DRAMATICALLY UM IS IT AFFECTING YOUR DAY TO DAY LIFE
audio/MSK0038.mp3[201.360,216.320]	UH A LITTLE BIT YEAH LIKE EVEN NOW JUST WALKING I CAN I CAN FEEL IT UM THE PAINS NOT AS SEVERE BUT LIKE AS WHEN IM RUNNING BUT I CAN IM STARTING TO NOTICE IT UH DAILY
audio/MSK0038.mp3[216.320,224.160]	OK ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY UM SYMPTOMS LIKE FEVERS OR CHILLS
audio/MSK0038.mp3[224.160,227.400]	NO NOTHING LIKE THAT
audio/MSK0038.mp3[227.400,232.240]	NO ANY WEIGHT LOSS
audio/MSK0038.mp3[232.240,233.760]	UH NO WEIGHT LOSS
audio/MSK0038.mp3[233.760,237.240]	NO ANY RASHES
audio/MSK0038.mp3[237.240,240.120]	UH NO RASHES
audio/MSK0038.mp3[240.120,247.160]	NO UH CHANGES TO YOUR UH VISION HEARING TASTE OR SMELL
audio/MSK0038.mp3[247.160,251.280]	UH NO CHANGES THERE
audio/MSK0038.mp3[251.280,257.520]	OK HOW ABOUT A COUGH SHORTNESS OF BREATH OR UM WHEEZING
audio/MSK0038.mp3[257.520,259.600]	NOTHING LIKE THAT
audio/MSK0038.mp3[259.600,265.480]	OK HOW ABOUT UH CHEST PAIN HEART PALPITATIONS
audio/MSK0038.mp3[265.480,269.240]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0038.mp3[269.240,273.720]	OK UM ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/MSK0038.mp3[273.720,278.240]	NO I HAVENT HAD ANY DIARRHEA OR YEAH EVERYTHINGS BEEN NORMAL THERE
audio/MSK0038.mp3[278.240,281.120]	OK NAUSEA OR VOMITING
audio/MSK0038.mp3[283.080,286.120]	NO UM HOW ABOUT ABDOMINAL PAIN
audio/MSK0038.mp3[286.120,293.240]	NO I HAVENT HAD ANY UH ANY ABDOMINAL PAIN NOTHING LIKE THAT
audio/MSK0038.mp3[293.240,296.880]	OK ANY CHANGES TO YOUR URINE
audio/MSK0038.mp3[296.880,299.840]	NO UH NO I HAVENT HAD ANY ISSUES WITH THAT
audio/MSK0038.mp3[299.840,301.080]	OK HOW ABOUT UH HEADACHES
audio/MSK0038.mp3[301.080,307.320]	NO I HAVENT HAD ANY HEADACHES
audio/MSK0038.mp3[307.320,311.640]	OK UM ANY PAIN ELSEWHERE ON YOUR BODY
audio/MSK0038.mp3[311.640,316.440]	UH NOPE IVE ITS JUST MY YEAH JUST MY KNEE
audio/MSK0038.mp3[316.440,320.960]	OK ANY NUMBNESS OR TINGLING IN THE AREA
audio/MSK0038.mp3[320.960,325.880]	NO I HAVENT HAD ANYTHING LIKE THAT ITS JUST THE UH SHARP PAIN
audio/MSK0038.mp3[325.880,331.320]	OK HOW ABOUT CONFUSION OR MEMORY LOSS
audio/MSK0038.mp3[331.320,334.840]	NO I HAVENT HAD THAT
audio/MSK0038.mp3[334.840,348.840]	OK UM ANY UM MUSCLE ACHES AROUND THE KNEE LIKE SO JUST ABOVE YOUR KNEE WHERE YOUR QUADS ARE OR JUST BELOW
audio/MSK0038.mp3[348.840,351.040]	UM NO NOTHING NOTHING LIKE THAT
audio/MSK0038.mp3[351.040,358.480]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0038.mp3[358.480,366.360]	UM YEAH IM OTHERWISE HEALTHY I ITS NOTHING THAT I SEE THE DOCTOR FOR IVE NEVER BEEN DIAGNOSED WITH ANYTHING
audio/MSK0038.mp3[366.360,374.840]	OK UM HOW ABOUT HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0038.mp3[374.840,377.160]	UM NOTHING LIKE THAT NO
audio/MSK0038.mp3[377.160,382.480]	NO OK UM ANY MEDICATIONS THAT YOURE ON
audio/MSK0038.mp3[382.480,391.080]	UM NOPE I I DONT TAKE ANYTHING JUST WELL NO MEDICATIONS BUT I DO TAKE A LIKE A MULTIVITAMIN
audio/MSK0038.mp3[391.080,396.560]	OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/MSK0038.mp3[396.560,401.840]	I AM YEAH ILL GET THE FLU SHOT EACH YEAR
audio/MSK0038.mp3[401.840,405.040]	OK HOW ABOUT ALLERGIES DO YOU HAVE ANY
audio/MSK0038.mp3[405.040,406.120]	UM NO I I DONT
audio/MSK0038.mp3[406.120,414.200]	NO OK UM ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES
audio/MSK0038.mp3[414.200,416.600]	UH NOPE I DONT THINK SO
audio/MSK0038.mp3[416.600,420.640]	HOW ABOUT UM HEART OR LUNG CONDITIONS
audio/MSK0038.mp3[420.640,433.840]	UH I THINK MY DAD HAS LIKE HIGH BLOOD PRESSURE UM AND HIGH CHOLESTEROL BUT UH NOBODYS HAD A HEART ATTACK OR AND NO CANCER
audio/MSK0038.mp3[433.840,444.600]	OK UM HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0038.mp3[444.600,450.000]	UH NO I DONT THINK SO
audio/MSK0038.mp3[450.000,454.600]	NO OK UM ANY UM DO YOU DO YOU DO ANY SMOKING
audio/MSK0038.mp3[454.600,465.520]	UH NO IVE TRIED UH LIKE SMOKING MARIJUANA IN THE PAST BUT DIDNT REALLY LIKE IT SO IVE STAYED AWAY FROM THAT
audio/MSK0038.mp3[465.520,468.920]	OK HOW ABOUT UM OTHER RECREATIONAL DRUGS
audio/MSK0038.mp3[468.920,473.720]	UH NO NO I I I HAVENT USED ANYTHING LIKE THAT BEFORE
audio/MSK0038.mp3[473.720,478.200]	OK UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH
audio/MSK0038.mp3[478.200,493.480]	SO UM RIGHT NOW I JUST LIVE ON MY OWN ACTUALLY IM UM JUST FINISHING UP MY MY MY MASTERS UM AND JUST LIVE IN A SMALL APARTMENT
audio/MSK0038.mp3[493.480,506.320]	OK ALRIGHT AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/MSK0038.mp3[506.320,511.080]	NO I DONT BELIEVE SO
audio/MSK0038.mp3[511.080,516.720]	OK UM HOW ABOUT UM TRAVEL
audio/MSK0038.mp3[516.720,523.680]	UH NO IVE JUST BEEN YEAH FINISHING UP THE THE THESIS AND RUNNING
audio/MSK0038.mp3[523.680,542.880]	OK ALRIGHT UM THOSE WERE ALL THE QUESTIONS I HAD FOR YOU UM WELL MOVE ON TO THE PHYSICAL EXAM COMPONENT OF THIS UM SO IF YOU CAN TAKE A LOOK AT BOTH YOUR KNEES UM DO YOU SEE ANY VISIBLE REDNESS OR SWELLING IN THE AREA
audio/MSK0038.mp3[542.880,551.280]	UH NO NO SWELLING OR YEAH NOTHING VISIBLE THAT I CAN SEE
audio/MSK0038.mp3[551.280,554.640]	OK SO NO BRUISES
audio/MSK0038.mp3[554.640,557.280]	UH NO NO NO BRUISES
audio/MSK0038.mp3[557.280,565.880]	OK DO YOU NOTICE ANY LIKE MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES OTHERWISE
audio/MSK0038.mp3[565.880,568.880]	NO EVERYTHING LOOKS LOOKS NORMAL
audio/MSK0038.mp3[568.880,585.200]	OK AND IF YOU CAN JUST UM PLACE YOUR HAND JUST KINDA AT THE TOP OF YOUR ON TOP OF YOUR KNEECAP ON BOTH SIDES DO YOU NOTICE ANY TEMPERATURE CHANGES FROM YOUR UH BETWEEN YOUR RIGHT KNEE TO YOUR LEFT KNEE
audio/MSK0038.mp3[585.200,590.000]	NO NO TEMPERATURE CHANGES THEY THEY FEEL THE SAME
audio/MSK0038.mp3[590.000,604.680]	OK UM AND THEN WHEN YOU PALPATE YOUR KNEE CAP AS WELL AS UM YEAH JUST IF YOU COULD PALPATE JUST AT THE CENTER OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE
audio/MSK0038.mp3[604.680,607.720]	NO PAIN OVER THE KNEECAP THAT FEELS FINE
audio/MSK0038.mp3[607.720,615.920]	OK HOW ABOUT WHEN YOU PALPATE KIND OF LIKE THE MEDIAL LIGAMENTS OF YOUR KNEECAP DO YOU FEEL ANY PAIN THERE
audio/MSK0038.mp3[615.920,621.360]	NO EVERYTHING ON THE MEDIAL SIDE FEELS FEELS NORMAL AND FINE
audio/MSK0038.mp3[621.360,625.280]	HOW ABOUT WHEN YOU PALPATE THE LATERAL LIGAMENTS OF YOUR KNEECAP
audio/MSK0038.mp3[625.280,639.000]	YEAH THE LIGAMENTS FEEL FEEL OK ON THE LATERAL SIDE THOUGH I I DO GET SOME PAIN ALONG THE UM LIKE ABOVE THE JOINT LINE
audio/MSK0038.mp3[639.000,644.680]	ABOVE THE JOINT LINE
audio/MSK0038.mp3[646.720,656.720]	OK OK AND HOW ABOUT WHEN YOU PALPATE UH THAT BIG MUSCLE GROUP ON YOUR THIGHS LIKE THE QUADRICEPS
audio/MSK0038.mp3[656.720,659.840]	THAT FEELS OK NO PAIN IN THE MUSCLES
audio/MSK0038.mp3[659.840,662.600]	OK HOW ABOUT LIKE THE PATELLAR TENDON
audio/MSK0038.mp3[662.600,665.360]	UH NO PAIN THERE
audio/MSK0038.mp3[665.360,678.360]	OK AND THEN WHEN YOU GO LOWER BELOW YOUR KNEECAP UM WHEN YOU PALPATE LIKE THE TOP PART WHERE THE PROXIMAL PARTS OF YOUR TIBIA AND FIBULA ARE DO YOU FEEL ANY PAIN THERE
audio/MSK0038.mp3[678.360,680.440]	UH YEAH NO PAIN THERE
audio/MSK0038.mp3[680.440,689.600]	OK AND NOW LETS DO SOME UM MOVEMENTS WITH YOUR LEG UM ARE YOU SITTING DOWN
audio/MSK0038.mp3[689.600,692.280]	UH YEAH I AM
audio/MSK0038.mp3[692.280,700.240]	OK IM GONNA GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT IS THAT PAINFUL
audio/MSK0038.mp3[700.240,711.440]	IT IS YEAH ITS I GET A SHARP PAIN IF WHEN DOING THAT
audio/MSK0038.mp3[711.440,719.400]	OK YEAH UHM HOW ABOUT WHEN YOU UM SIT BACK DOWN DOES THAT HURT
audio/MSK0038.mp3[719.400,722.080]	UM YEAH THAT HURTS TOO
audio/MSK0038.mp3[722.080,736.840]	THAT HURTS TOO OK UM AND THEN HOW ABOUT WHEN YOU FLEX YOUR KNEE INWARDS UM SO THAT YOUR HEEL IS TOUCHING YOUR BUM LIKE DOES THAT HURT
audio/MSK0038.mp3[736.840,742.080]	UH LIKE I ILL GET UP UH NO THAT DOESNT HURT THAT FEELS OK
audio/MSK0038.mp3[742.080,752.400]	OK HOW ABOUT WHEN YOU EXTEND YOUR KNEE BACK OUT STRAIGHTEN IT ALL THE WAY
audio/MSK0038.mp3[752.400,763.240]	YEAH THAT FEELS OK TOO IF IM JUST SITTING AND DOING THAT I CAN UM I CAN DO THAT OK
audio/MSK0038.mp3[763.240,787.880]	OK UM HOW ABOUT WHEN YOU SO YOURE STANDING AND THEN YOU UH YOU ABDUCT YOUR HIP SO YOU BASICALLY UM YOU FLEX YOUR HIP BUT LATERALLY AND YOU KIND OF BRING IT UPWARDS SO THAT ITS ALMOST SO THAT YOUR YOUR THE ACTION IS LIKE YOURE UH TRYING TO TOUCH THE CEILING
audio/MSK0038.mp3[787.880,809.320]	OK YEAH I UM IT IF IT DOES FEEL IT FEELS LIKE ITS KIND OF PULLING UM LIKE IT FEELS TIGHT WHEN I DO THAT UH LIKE ON THAT SIDE ITS I DONT GET THE SAME SHARP PAIN BUT ITS UNCOMFORTABLE
audio/MSK0038.mp3[809.320,827.200]	OK UHM SO IM GONNA TRY A SPECIAL TEST ITS CALLED THE OBER TEST SO CAN I GET YOU TO LIE ON THE SIDE UM WITH THE INJURED KNEE
audio/MSK0038.mp3[830.160,860.000]	OK AND THEN IM GONNA GET YOU TO FLEX YOUR KNEE AT 90 DEGREES AND UM ABDUCT AND EXTEND THE HIP UH WHILE YOUR THIGHS MAINTAIN IN LINE WITH YOUR TRUNK UM SO IM GONNA GET YOU TO ADDUCT YOUR THIGH SO BRING IT BACK TOWARDS YOU THE THE MEDIAN UM AS FAR AS POSSIBLE
audio/MSK0038.mp3[860.000,873.880]	OH YEAH I CANT REALLY ITS KIND OF LIKE STUCK OUT THERE IT FEELS REALLY TIGHT IF IM TRYING TO LIKE BRING IT BRING IT BACK DOWN MY LEG ALMOST LIKE FLOATS UP IF I JUST LEAVE IT THERE
audio/MSK0038.mp3[873.880,1027.000]	OK SO THAT IS A POSITIVE OBER TEST UM OK SO WHAT IT SOUNDS LIKE IS YOU IT SOUNDS LIKE YOU HAVE SOMETHING CALLED UM ILIOTIBIAL UM BAND SYNDROME SO ITB SYNDROME AND BASICALLY THAT HAPPENS IN UM ATHLETES SO DEPENDING ON YOUR LIKE POSITION LIKE HOW MUCH YOURE USING THOSE JOINTS UM AND LIKE REPETITIVE ACTIONS UM OF LIKE KNEE FLEXION EXTENSION UM KIND OF TRIGGERS THAT AND TO TREAT IT UH WE CAN TRY SOME CONSERVATIVE UM THINGS FIRST SO THE FIRST THING WOULD BE UM FOR YOU UM TO HAVE SOME SORT OF ACTIVITY MODIFICATION TO PREVENT AGGRAVATING THAT JOINT EVEN MORE SO YOURE DOING A LOT OF RUNNING SO MAYBE UH SWITCHING TO THINGS LIKE SWIMMING UM FOR THE TIME BEING CAN HELP WITH THAT AND THEN OTHER THINGS INCLUDE ICE OR HEATING PADS UH TAPING AND STRETCHING UM AND THEN IF THE PAIN IS IF THE PAIN UH PERSISTS YOU CAN TRY SOME LIKE IBUPROFEN FOR TEMPORARY RELIEF UM WE CAN TALK ABOUT OTHER TREATMENTS AS WELL LIKE PHYSIOTHERAPY BECAUSE UM ITLL BE IMPORTANT TO KIND OF STRENGTHEN THOSE MUSCLES AROUND THAT JOINT AS WELL AS UM INCREASE YOUR RANGE OF MOTION SO WE CAN DO WE CAN PUT IN A REFERRAL FOR THAT UM AND IF NONE OF THOSE WORK WE CAN ALSO DISCUSS UM SOME OTHER THINGS LIKE ULTRASOUND THERAPY OR LIKE MUSCLE STIMULATION UM SHOCKWAVE THERAPY AND THEN EVENTUALLY IF NONE OF THOSE OTHER THINGS WORK WE CAN DISCUSS SURGICAL MANAGEMENT BUT UH ITS RARE THAT IT EVER GETS TO THAT POINT DOES THAT SOUND OK
audio/MSK0038.mp3[1027.000,1028.920]	IT DOES YEAH THANK YOU SO MUCH
audio/MSK0038.mp3[1028.920,1031.040]	OK YEAH NO WORRIES
audio/RES0156.mp3[0.000,2.240]	WHAT BRINGS YOU HERE TODAY
audio/RES0156.mp3[2.240,40.000]	YEAH SO IM BRINGING MY UM DAUGHTER BECAUSE UH OVER THESE LAST UH SEVERAL MONTHS SHES HAD THIS UH THIS COUGH THAT THAT COMES ON UM ITLL BE AT NIGHT TIME OR SOMETIMES UH AFTER IN GYM CLASS UM AND I KNOW DURING THESE EPISODES SHELL HAVE A REALLY HARD TIME KIND OF CATCHING HER BREATH AND AND SOMETIMES WILL HAVE A WHEEZE AS WELL AND AND ITS JUST GONE AWAY QUICKLY IN THE PAST BUT BEEN NOTICING IT HAPPENING MORE OFTEN RECENTLY
audio/RES0156.mp3[40.000,45.240]	OK SO ITS BEEN GOING ON FOR THE LAST FEW MONTHS BUT ITS KIND OF GETTING WORSE
audio/RES0156.mp3[45.240,47.520]	YEAH EXACTLY YEAH
audio/RES0156.mp3[47.520,55.680]	AND HOW ABOUT THE THE COUGHING AND THE WHEEZING AND THE DOES SHE HAVE ANY KIND OF SHORTNESS OF BREATH
audio/RES0156.mp3[55.680,62.560]	UM YEAH SHE WILL LIKE WHEN IT COMES ON UH YEAH SHE SHE HAS SOME SHORTNESS OF BREATH
audio/RES0156.mp3[62.560,73.360]	OK AND UM DOES THIS HAPPEN AT ALL LIKE WHEN SHES EXPOSED TO DUST OR KIND OF AFTER EXERTING HERSELF
audio/RES0156.mp3[73.360,87.400]	YEAH IT DOES YEAH I THINK THE LIKE THE FIRST TIME THAT UM THAT I WAS MADE AWARE OF IT WAS YEAH IN IN GYM CLASS SO IT WOULDVE BEEN AFTER SOME EXERCISE UM AND DUST UH IM IM NOT SURE
audio/RES0156.mp3[87.400,97.880]	OK UM DOES SHE HAVE A DRY COUGH OR WET COUGH WHEN SHE GETS THESE SPELLS
audio/RES0156.mp3[97.880,100.400]	UH DRY
audio/RES0156.mp3[100.400,106.760]	DRY OK UM DID SHE BRING UP ANY SPUTUM OR BLOOD AT ALL
audio/RES0156.mp3[108.800,116.080]	OK AND ARE HER SYMPTOMS AT ALL CONSTANT OR DO THEY COME AND GO BASED ON HOW MUCH SHES EXERTING HERSELF
audio/RES0156.mp3[116.080,133.360]	THEY COME AND GO YEAH LIKE MOST OF THE TIME SHES BEEN OK BUT UH AND SOMETIMES SHELL GET A COUGH AT NIGHT TIME TOO
audio/RES0156.mp3[133.360,139.640]	OK UM SO AND THEN HAS DOES ANYTHING MAKE HELP YOU WITH YOUR SYMPTOMS AT ALL OR HER SYMPTOMS
audio/RES0156.mp3[139.640,143.360]	UH UM NOT REALLY NO
audio/RES0156.mp3[144.360,149.560]	JUST RESTING I GUESS SORRY YEAH JUST JUST TRYING TO RELAX
audio/RES0156.mp3[149.560,158.520]	OK AND ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS OR SORE THROAT CHEST PAIN ANYTHING LIKE THAT
audio/RES0156.mp3[158.520,164.360]	NO NOTHING LIKE THAT UM YEAH JUST THE WHEEZE
audio/RES0156.mp3[164.360,169.800]	OK ANY LOSS OF HER SENSE OF TASTE OR SMELL
audio/RES0156.mp3[173.000,176.640]	OK UM ANY RECENT TRAVEL
audio/RES0156.mp3[176.640,179.440]	UH NO
audio/RES0156.mp3[179.440,184.040]	UM ANY CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0156.mp3[184.040,199.000]	UH SHE HAS A UH A YOUNGER BROTHER THAT GOES TO DAYCARE UH AND I KNOW UM THOSE KIDS CAN BE SICK ALL THE TIME BUT UM HER BROTHERS BEEN OK
audio/RES0156.mp3[199.000,206.680]	OK UM DOES SHE COMPLAIN OF ANY KIND OF HEADACHES OR UH NAUSEA OR VOMITING
audio/RES0156.mp3[206.680,213.120]	NO SHE DOESNT
audio/RES0156.mp3[213.120,216.640]	OK UM ANY HAVE YOU NOTICED ANY FEVERS OR CHILLS
audio/RES0156.mp3[219.040,221.960]	OK UM ANY NIGHT SWEATS
audio/RES0156.mp3[223.920,231.160]	OK UM ANY CHANGES IN HER BOWEL MOVEMENTS LIKE CONSTIPATION OR DIARRHEA
audio/RES0156.mp3[231.160,236.880]	NOPE SHE HASNT HAD ANY CHANGE CHANGES LIKE THAT
audio/RES0156.mp3[236.880,244.480]	OK AND ANY KIND OF UH CHANGES IN HER SLEEP OR APPETITE
audio/RES0156.mp3[244.480,250.320]	NO SHES BEEN EATING WELL AND AND GAINING WEIGHT
audio/RES0156.mp3[250.320,267.520]	OK UM ANY UH SO SHES BEEN GAINING WEIGHT UM ANY EXPOSURE TO ANY MOLD DUST UM NEW RUGS OR ANIMALS AT HOME
audio/RES0156.mp3[267.520,273.360]	YEAH WE DO HAVE UM 2 CATS AT HOME
audio/RES0156.mp3[274.800,278.600]	YEAH THERE ARE ANIMALS AT HOME
audio/RES0156.mp3[278.600,282.320]	OK HOW LONG HAVE YOU HAD THEM
audio/RES0156.mp3[282.320,291.320]	UM FOR FOR ABOUT UM YEAH JUST UNDER A YEAR SO YEAH JUST UNDER A YEAR
audio/RES0156.mp3[291.320,298.560]	OK UM HAS SHE BEEN DIAGNOSED AT ALL WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0156.mp3[298.560,316.680]	UM NO NO AND WHEN SHE WAS BORN SHE HAD TO UH GO IN THE JUST BE OBSERVED FOR A FEW UM A COUPLE OF DAYS FOR JAUNDICE SHE DIDNT NEED TO HAVE ANY THERAPY FOR IT IT WENT AWAY ON ITS OWN BUT THATS ABOUT IT
audio/RES0156.mp3[316.680,323.000]	OK AND ANY UM COMPLICATIONS DURING THE PREGNANCY WITH HER
audio/RES0156.mp3[323.000,331.480]	NO EVERYTHING WAS WAS NORMAL AND IT WAS A VAGINAL DELIVERY AT AT TERM
audio/RES0156.mp3[331.480,341.320]	OK UM ANY ISSUES WITH THE DEVELOPMENT UH IS SHE MEETING HER MILESTONES IN HER GROWTH UM MEETING HER MILESTONES ON HER GROWTH CHART AS WELL
audio/RES0156.mp3[341.320,344.800]	YEAH ALL OF THAT HAS BEEN HAS BEEN NORMAL
audio/RES0156.mp3[344.800,352.800]	OK UM ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENTAL FACTORS THAT YOU KNOW OF
audio/RES0156.mp3[352.800,375.080]	NOT TO UM ANY MEDICATIONS THAT IM AWARE OF BUT UM SHE HASNT BEEN TESTED BUT SHE DOES GET SYMPTOMS THAT UH KIND OF CHANGE WITH UM SEASONS LIKE SHELL GET A RUNNY NOSE AND SOME ITCHY EYES UM AT DIFFERENT TIMES THROUGHOUT THE YEAR
audio/RES0156.mp3[375.080,379.520]	OK UM ANY MEDICATIONS THAT SHE HAS BEEN ON AT ALL
audio/RES0156.mp3[379.520,399.880]	SO WHEN THAT HAPPENS WE JUST USE UM LIKE SHELL JUST TAKE A UH LIKE REACTINE OR LIKE I DONT KNOW SOMETHING LIKE THAT BUT JUST AN ALLERGY PILL UM BUT ITS YEAH THATS IT
audio/RES0156.mp3[399.880,404.200]	OK UM AND ANY HOSPITALIZATIONS OR PAST SURGERIES
audio/RES0156.mp3[404.200,410.960]	NO LUCKILY SHES BEEN HEALTHY THAT WAY
audio/RES0156.mp3[410.960,416.680]	OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0156.mp3[416.680,424.600]	I THINK UH YEAH YEAH HER GRANDFATHER HAS DIABETES BUT UM THATS IT
audio/RES0156.mp3[424.600,431.480]	OK UH AND CURRENTLY WHATS HER HOME SITUATION LIKE WHO DOES SHE LIVE WITH
audio/RES0156.mp3[431.480,443.880]	YEAH SO SHE LIVES WITH UM MYSELF AND UH HER FATHER AND THEN YOUNGER YOUNGER BROTHER THATS IT YEAH THATS FOUR
audio/RES0156.mp3[443.880,449.440]	OK UM OK AND DOES ANYONE SMOKE IN THE HOUSEHOLD
audio/RES0156.mp3[449.440,452.520]	UM NO THEY DONT
audio/RES0156.mp3[452.520,461.880]	OK UM OK SO THOSE WERE ALL THE QUESTIONS I HAD UM DO YOU HAVE ANY QUESTIONS
audio/RES0156.mp3[461.880,468.280]	UH NO I JUST UH YEAH JUST WANTED TO FIGURE OUT WHATS GOING ON WITH THIS COUGH
audio/RES0156.mp3[468.280,533.800]	OK YEAH SO IT SEEMS LIKE THE SYMPTOMS HAVE BEEN GOING ON FOR A FEW MONTHS NOW IT SEEMS THAT SHE GETS THEM ON EXERTION AND UM THEYRE WORSENED BY EXERTION UM AT THIS AGE ONE THING THAT DEFINITELY WE WANT TO CHECK IS IF SHE HAS ASTHMA UM SHE DOES HAVE SOME OTHER SYMPTOMS THAT UM ARE ASSOCIATED WITH ASTHMA LIKE IT SEEMS THAT SHE GETS UM SOME IRRITATION THROUGH ENVIRONMENTAL FACTORS AS WELL SO WHAT WELL DO UH FOR HER IS GET SOMETHING CALLED A PULMONARY FUNCTION TEST FOR HER TO SEE THATLL TEST IF SHE IN FACT HAS ASTHMA OR NOT AND THEN BASED ON THAT WE WILL UH SEE IF SHE NEEDS ANY PUFFERS UM THAT CAN HELP RELIEVE SOME OF HER SYMPTOMS UH AND LASTLY SINCE SHES HAVING A COUGH WELL ALSO DO A LIKE A COVID TEST JUST IN CASE AS WELL
audio/RES0156.mp3[533.800,537.400]	OK YEAH THAT THAT SOUNDS GOOD THANK YOU
audio/RES0156.mp3[537.400,541.400]	YEAH AND NO WORRIES AND THEN WELL ALSO DO LIKE A FULL PHYSICAL EXAMINATION
audio/RES0156.mp3[541.400,546.800]	THAT SOUNDS GREAT
audio/RES0182.mp3[0.000,2.440]	HOW MAY I HELP YOU
audio/RES0182.mp3[2.440,27.200]	HI YEAH IM HERE BECAUSE IM OVER THE PAST LIKE COUPLE OF MONTHS IVE BEEN LOSING A LOT OF WEIGHT UHM BUT I DIDNT REALLY HAVE ANY OTHER SYMPTOMS BUT SINCE LIKE 2 WEEKS AGO IVE BEEN COUGHING UP SOME BLOOD AND NOW I HAVE A FEVER AS WELL
audio/RES0182.mp3[27.200,34.360]	OK SO YOU MENTIONED YOU NOTICE THE WEIGHT LOSS FIRST HOW MUCH WEIGHT HAVE YOU LOST OR ROUGHLY
audio/RES0182.mp3[34.360,41.080]	IVE LOST ABOUT 30 POUNDS IN THE PAST PAST LIKE 8 MONTHS
audio/RES0182.mp3[41.080,47.560]	OK SO AND HAVE YOU BEEN TRYING TO LOSE WEIGHT
audio/RES0182.mp3[49.560,53.880]	OK AND ANY LIKE ANY CHANGES TO YOUR DIET OR EXERCISE
audio/RES0182.mp3[53.880,57.200]	NO NOTHING LIKE THAT
audio/RES0182.mp3[57.200,64.160]	OK AND MORE RECENTLY YOU STARTED TO HAVE A COUGH WHEN DID THAT START
audio/RES0182.mp3[64.160,67.520]	THE COUGH STARTED TWO WEEKS AGO
audio/RES0182.mp3[67.520,73.320]	OK AND PRIOR TO THIS DID YOU HAVE A COUGH
audio/RES0182.mp3[76.280,80.480]	NO AND ARE YOU BRINGING BRINGING UP ANY SPUTUM OR PHLEGM
audio/RES0182.mp3[80.480,88.280]	UH YEAH ITS YEAH THERES SPUTUM FOR SURE AND IT LOOKS BLOODY
audio/RES0182.mp3[88.280,92.760]	OK SO YOURE YOURE YOURE COUGHING UP BLOOD AS WELL
audio/RES0182.mp3[92.760,94.920]	YES THATS RIGHT
audio/RES0182.mp3[94.920,101.160]	OK UH AND THATS BEEN GOING GOING ON FOR THE LAST TWO WEEKS TOO
audio/RES0182.mp3[102.560,114.400]	OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP ROUGHLY IF YOU CAN THINK OF IT IN LIKE TERMS OF TABLESPOONS OR TEASPOONS
audio/RES0182.mp3[114.400,121.240]	LIKE EVERY TIME I COUGH ITS ABOUT THE SIZE OF A TEASPOON
audio/RES0182.mp3[121.240,127.240]	OK AND ARE THERE ANY TRIGGERS FOR YOUR COUGH THAT YOU CAN THINK OF
audio/RES0182.mp3[127.240,134.680]	UHM I DONT THINK SO THEY JUST HAPPEN THROUGHOUT THE DAY
audio/RES0182.mp3[134.680,139.240]	OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH
audio/RES0182.mp3[139.240,158.400]	I TRIED THIS COUGH SUPPRESSANTS I TRIED LIKE SALT WATER RINSES LIKE JUST LIKE AT HOME REMEDIES AND OVER THE COUNTER PRODUCTS BUT NOTHING IS HELPING
audio/RES0182.mp3[158.400,174.160]	OK AND SO HAVE YOU HAD ANY LIKE VIRAL INFECTIOUS TYPE SYMPTOMS SUCH AS LIKE EYE EYE DISCHARGE OR RED EYES OR RUNNY NOSE OR EVEN A SORE THROAT
audio/RES0182.mp3[174.160,181.560]	NO NOTHING LIKE THAT
audio/RES0182.mp3[181.560,188.320]	OK AND AND HAVE YOU HAD ANY ANY HEADACHES
audio/RES0182.mp3[188.320,192.040]	NO NO HEADACHES
audio/RES0182.mp3[192.040,199.360]	OK HAVE YOU HAD ANY HAVE YOU HAD A RUNNY NOSE
audio/RES0182.mp3[201.000,208.200]	OK HOW ABOUT ANY HAVE YOU HAD ANY LOSS OF SMELL OR OR TASTE
audio/RES0182.mp3[210.440,215.480]	OK HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0182.mp3[215.480,217.200]	UH NO
audio/RES0182.mp3[217.200,219.880]	HAVE YOU HAD ANY WHEEZING
audio/RES0182.mp3[219.880,222.840]	UHM NO NO WHEEZING
audio/RES0182.mp3[222.840,227.160]	OK HAVE YOU HAD ANY CHEST PAIN
audio/RES0182.mp3[228.960,232.960]	OK HAVE YOU HAD ANY DIZZINESS OR FAINTING
audio/RES0182.mp3[232.960,235.320]	UHM NO NOTHING LIKE THAT
audio/RES0182.mp3[235.320,237.480]	HEART PALPITATIONS
audio/RES0182.mp3[240.920,250.000]	OK AND HAVE YOU HAD ANY ANY NAUSEA OR VOMITING
audio/RES0182.mp3[251.440,253.840]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0182.mp3[255.120,260.680]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0182.mp3[261.200,265.320]	HAVE YOU HAD ANY PAIN WITH URINATION OR OR FREQUENCY
audio/RES0182.mp3[265.320,266.920]	UH NO
audio/RES0182.mp3[266.920,269.880]	OK HAVE YOU HAD ANY RASHES
audio/RES0182.mp3[270.480,274.880]	HOW ABOUT MUSCLE ACHES OR BODY PAINS
audio/RES0182.mp3[274.880,281.800]	UHM MUSCLE ACHES YEAH YEAH THATS BEEN HAPPENING
audio/RES0182.mp3[281.800,286.200]	ANY PARTICULAR MUSCLES OR IS IT MORE GENERAL
audio/RES0182.mp3[286.200,288.520]	ITS MORE GENERAL
audio/RES0182.mp3[288.520,297.080]	HAVE HAVE YOU BEEN HAVING ANY BONE PAIN LIKE ANY IN YOUR BACK OR ANYTHING LIKE THAT
audio/RES0182.mp3[301.400,304.240]	OK AND UH HOW HAS YOUR ENERGY BEEN
audio/RES0182.mp3[304.240,307.240]	AH PRETTY LOW
audio/RES0182.mp3[307.240,310.680]	OK AND HOW IS YOUR APPETITE BEEN
audio/RES0182.mp3[310.680,316.800]	UHM ALSO PRETTY LOW
audio/RES0182.mp3[316.800,321.760]	OK AND IN THE IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0182.mp3[321.760,328.320]	UHM NO IVE BEEN PRETTY HEALTHY SO FAR
audio/RES0182.mp3[328.320,333.920]	OK UHM SO DO YOU TAKE ANY MEDICATIONS REGULARLY FOR ANYTHING
audio/RES0182.mp3[336.600,342.880]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OR ANYTHING ENVIRONMENTAL
audio/RES0182.mp3[342.880,345.280]	UH NO
audio/RES0182.mp3[345.280,351.760]	OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES
audio/RES0182.mp3[351.760,355.280]	UHM NO
audio/RES0182.mp3[355.280,367.200]	OK AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN AH WHEREABOUTS YOURE LIVING
audio/RES0182.mp3[367.200,375.400]	UHM I LIVE ALONE BY MYSELF I LIVE IN AN APARTMENT DOWNTOWN
audio/RES0182.mp3[375.400,380.760]	OK AND ARE YOU WORKING CURRENTLY OR IN SCHOOL OR
audio/RES0182.mp3[380.760,386.000]	UM IM WORKING FROM HOME RIGHT NOW
audio/RES0182.mp3[386.000,389.600]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0182.mp3[391.280,394.800]	HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0182.mp3[394.800,398.320]	NO NOT SINCE I MOVED HERE
audio/RES0182.mp3[398.320,402.960]	OK WHEN DID YOU MOVE HERE AND WHERE DID YOU MOVE FROM
audio/RES0182.mp3[402.960,414.000]	I MOVED HERE A YEAR BACK FROM SRI LANKA
audio/RES0182.mp3[414.000,424.920]	OK AND AND IN SRI LANKA WERE ANY OF YOUR FAMILY MEMBERS OR PEOPLE THAT YOU SPENT TIME AROUND EVER DIAGNOSED WITH TUBERCULOSIS
audio/RES0182.mp3[424.920,431.800]	I MEAN ITS PRETTY COMMON IN SRI LANKA NONE OF MY IMMEDIATE FAMILY MEMBERS WERE
audio/RES0182.mp3[431.800,437.560]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0182.mp3[439.520,447.960]	AND AH DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS
audio/RES0182.mp3[451.280,456.000]	OK AND DO YOU DRINK ALCOHOL
audio/RES0182.mp3[456.000,456.800]	I DONT
audio/RES0182.mp3[456.800,461.040]	OK HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS
audio/RES0182.mp3[461.040,466.680]	UH NO
audio/RES0182.mp3[466.680,472.480]	OK AND UH ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS
audio/RES0182.mp3[472.480,475.640]	HEART OR LUNG UH NO NOT THAT I KNOW OF
audio/RES0182.mp3[475.640,485.200]	OK AND HOW ABOUT ANY CANCERS IN THE FAMILY
audio/RES0182.mp3[485.200,486.960]	NO NO CANCERS
audio/RES0182.mp3[486.960,497.400]	I SEE ALRIGHT DID YOU HAVE ANY OTHER QUESTIONS FOR ME TODAY I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT FOR NOW
audio/RES0182.mp3[497.400,504.000]	AH NO WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE AND HOW DO YOU THINK I SHOULD TREAT IT
audio/RES0182.mp3[504.000,557.560]	SO UH YEAH ITS SOUNDING LIKE LIKE IT COULD BE TUBERCULOSIS BASED ON THE KIND OF TIMELINE OF YOUR SYMPTOMS AND SO AND COUGH AND HEMOPTYSIS AND SO WELL DO A TEST FOR THAT LIKE AN ACID FAST TEST OF THE SPUTUM GET A CHEST X RAY AND IF IT IS TUBERCULOSIS IT WILL REQUIRE A PROLONGED COURSE OF ANTIBIOTICS SO THAT ILL BE OVER SEVERAL MONTHS UMM AND SO I WELL GET THE INFECTIOUS DISEASE TEAM INVOLVED TO HELP KIND OF GUIDE OUR MANAGEMENT WITH THE APPROPRIATE ANTIBIOTIC CHOICE IF IT DOES COME BACK TO BE TUBERCULOSIS
audio/RES0182.mp3[557.560,566.200]	OK OK THAT SOUNDS GOOD THANK YOU
audio/GAS0005.mp3[0.000,5.080]	WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN TODAY
audio/GAS0005.mp3[5.080,47.720]	YEAH SO IM JUST COMING IN WITH MY SON HES SIX YEARS OLD AND YEAH JUST OVER THE LAST FEW DAYS HES NOT BEEN HIMSELF AND HES BEEN HAVING THIS STOMACH ACHE UH SO IT STARTED AROUND LIKE I WOULD SAY 3 DAYS AGO AND THEN HES ALSO HAVING VOMITING FOR THE LAST TWO DAYS HES VOMITED IN TOTAL SIX TIMES OVER THE LAST TWO DAYS AND THEN YESTERDAY HE ALSO DEVELOPED A FEVER AS WELL I MANAGED TO MEASURE IT AND IT WAS 383 DEGREES CELSIUS
audio/GAS0005.mp3[47.720,69.160]	OK I SEE SO I JUST SO THAT I UNDERSTAND THE TIMELINE SO HE STARTED TO HAVE ABDOMINAL PAIN ABOUT 3 DAYS AGO STARTED WITH HAVING VOMITING AND DIARRHEA TWO DAYS AGO AND YOU CHECKED HIS TEMPERATURE HE HAD A FEVER AS OF YESTERDAY
audio/GAS0005.mp3[70.360,80.840]	OK AND UH WAS THERE ANYTHING THAT THAT HE ATE THAT WAS DIFFERENT OVER OVER THESE LAST FEW DAYS
audio/GAS0005.mp3[80.840,90.960]	NO WEVE BEEN STRICTLY HOME FOOD DURING LIKE A PANDEMIC LIKE NO NO REAL CHANGES
audio/GAS0005.mp3[90.960,99.120]	OK AND WHATS HIS KIND OF BEHAVIOR BEEN LIKE OVER THESE LAST COUPLE OF DAYS
audio/GAS0005.mp3[99.120,117.600]	YEAH SO AT FIRST WITH THE STOMACH PAIN HE WAS A BIT JUST IRRITABLE AND JUST NOT HIMSELF BUT ESPECIALLY YESTERDAY WITH THE FEVER JUST BEEN VERY QUIET AND JUST KIND OF SLEEPING PRETTY MUCH THE WHOLE DAY
audio/GAS0005.mp3[117.600,123.640]	OK I SEE AND UH COULD YOU DESCRIBE THE VOMIT
audio/GAS0005.mp3[123.640,146.440]	YES SO VOMIT LIKE IT STARTED TWO DAYS AGO THE FIRST DAY IT WAS JUST LIKE HE PUKED UP THE THINGS THAT HE HAD EATEN BUT YESTERDAY IT WAS IT WAS MAINLY JUST LIKE UH JUST YELLOWISH MATERIAL I COULDNT REALLY TELL IF IT WAS FOOD OR NOT
audio/GAS0005.mp3[146.440,152.520]	OK HAVE YOU NOTICED ANY BILE OR BLOOD IN THE VOMIT
audio/GAS0005.mp3[152.520,164.120]	UH NO I DIDNT NOTICE ANY BLOOD AND I DIDNT NOTICE ANY GREEN MATERIAL IT WAS MAINLY JUST LIKE LIKE NORMAL VOMIT LIKE YELLOWISH COLOR
audio/GAS0005.mp3[164.120,177.120]	OK I SEE AND HAS THE WHAT WAS THE VOMITING TRIGGERED BY ANYTHING THAT YOURE AWARE OF LIKE EATING OR DRINKING
audio/GAS0005.mp3[177.120,193.240]	UHM YEAH TWO DAYS AGO IT WAS IT WAS AFTER AFTER LUNCH WHEN HE FIRST VOMITED BUT AFTER THAT ITS JUST BEEN KIND OF RANDOM
audio/GAS0005.mp3[193.240,199.440]	I SEE OK AND UH AND WITH REGARDS TO HIS DIARRHEA HAS THERE BEEN ANY ANY BLOOD OR OR ANY COLOR CHANGES
audio/GAS0005.mp3[199.440,216.360]	NO NO I DIDNT NOTICE ANY BLOOD AT ALL ITS DEFINITELY JUST VERY VERY WATERY AND HES HAD TO GO PROBABLY EVEN JUST IN THE LAST DAY PROBABLY AROUND LIKE SIX OR SEVEN TIMES
audio/GAS0005.mp3[216.360,221.120]	OK UM AND HES VOMITED HOW MANY TIMES
audio/GAS0005.mp3[221.120,226.240]	SO IN TOTAL I CAN COUNT 6 TIMES
audio/GAS0005.mp3[226.240,235.000]	OK AND HAS HE BEEN COMPLAINING OF ANY HEADACHES AT ALL
audio/GAS0005.mp3[235.000,237.880]	NO NOT THAT I KNOW
audio/GAS0005.mp3[237.880,242.800]	NO OK AND HOW ABOUT ANY EAR PAIN OR OR EYE PAIN
audio/GAS0005.mp3[242.800,245.360]	NO NOT THAT HES MENTIONED TO ME
audio/GAS0005.mp3[245.360,248.280]	OK AND ANY EYE REDNESS
audio/GAS0005.mp3[249.440,253.280]	OK AND AS HE HAD A RUNNY NOSE
audio/GAS0005.mp3[253.280,254.880]	NO NOT REALLY
audio/GAS0005.mp3[254.880,263.080]	OK AND HAS HE HAD A SORE THROAT OR ANY PAIN WITH SWALLOWING
audio/GAS0005.mp3[264.200,271.200]	OK HAVE YOU HAD ANY LOSS OF TASTE OR LOSS OF SMELL
audio/GAS0005.mp3[271.200,275.920]	UH NO NOT THAT HE HAS MENTIONED TO ME NOW
audio/GAS0005.mp3[275.920,279.360]	OK AND HAS HE HAD A COUGH
audio/GAS0005.mp3[279.360,281.840]	UH NO NOT REALLY
audio/GAS0005.mp3[281.840,288.520]	OK AND HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING
audio/GAS0005.mp3[289.600,296.040]	OK AND HAS HE HAD ANY ANY PAIN ANYWHERE ANY CHEST PAIN
audio/GAS0005.mp3[296.040,307.080]	UM HE DID HE DID POINT TO HIS STOMACH LIKE IT SEEMS LIKE HE WAS HAVING WITH ALL THE VOMITING LIKE HE WAS HAVING SOME STOMACH PAIN AS WELL
audio/GAS0005.mp3[307.080,314.440]	OK IS THERE ANY SPECIFIC LOCATION THAT THAT HES FEELING THE PAIN
audio/GAS0005.mp3[314.440,328.240]	WELL ITS HARD TO SAY HE WAS JUST POINTING AT THE CENTER OF HIS BELLY LIKE I DONT KNOW IF ITS LIKE I TRIED PRESSING ON IT AND HE DIDNT FEEL ANY PAIN THEN BUT I THINK ITS JUST KIND OF ALL OVER HIS STOMACH
audio/GAS0005.mp3[328.240,337.920]	OK AND HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL VOIDING OR BEEN PEEING MORE OFTEN
audio/GAS0005.mp3[337.920,341.880]	NO THATS BEEN OK
audio/GAS0005.mp3[341.880,347.400]	HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES
audio/GAS0005.mp3[347.400,352.960]	UH NO NOT NOT REALLY NO
audio/GAS0005.mp3[352.960,360.960]	OK AND HAS HE HAD ANY MUSCLE ACHES OR UH OR JOINT PAINS THAT THAT HES MENTIONED
audio/GAS0005.mp3[360.960,364.600]	NO NO HE HASNT MENTIONED ANYTHING LIKE THAT
audio/GAS0005.mp3[364.600,369.800]	OK AND HES HAD A FEVER HAS HE HAD THE CHILLS
audio/GAS0005.mp3[369.800,390.360]	YEAH SO THATS THATS WHAT I THAT PROMPTED ME TO TAKE HIS TEMPERATURE YESTERDAY AROUND THE AFTERNOON LIKE WE HAD TO WRAP HIM UP WITH LIKE MORE THAN TWO BLANKETS AND HE WAS STILL FEELING COLD SO YEAH DEFINITELY WAS HAVING CHILLS
audio/GAS0005.mp3[390.360,397.000]	OK AND AND HAS THERE BEEN ANY CONCERNS WITH HIS GROWTH EITHER WEIGHT OR OR HEIGHT
audio/GAS0005.mp3[397.000,407.600]	SO HES BEEN GOING ALONG THE CHARTS PRETTY WELL LIKE NO CONCERNS DURING HIS GROWTH OTHERWISE HES A VERY HEALTHY CHILD
audio/GAS0005.mp3[407.600,412.760]	OK SO NO MEDICAL DIAGNOSIS PREVIOUSLY
audio/GAS0005.mp3[412.760,414.760]	NO NOTHING LIKE THAT
audio/GAS0005.mp3[414.760,428.080]	OK AND UH YEAH IS HE MEETING ALL DEVELOPMENTAL MILESTONES OK LIKE GROSS MOTOR FINE MOTOR DOING WELL AT SCHOOL
audio/GAS0005.mp3[428.080,440.960]	YEAH YEAH HE DIDNT HAVE ANY ISSUES WITH WALKING RUNNING HES PRETTY SOCIAL WITH ALL HIS PEERS HES DOING WELL AT SCHOOL NO COMPLAINTS
audio/GAS0005.mp3[440.960,453.160]	OK EXCELLENT AND YOU KNOW NO MEDICAL CONDITIONS BUT HAS THERE BEEN ANY REASONS FOR BEING IN THE HOSPITAL BEFORE
audio/GAS0005.mp3[453.160,463.600]	NO NOT AT ALL WE YEAH WE HAVENT REALLY GONE TO THE DOCTOR WITH HIM AFTER LIKE ALL THOSE VACCINATIONS THAT HE HAD TO DO SO HES BEEN GOOD
audio/GAS0005.mp3[463.600,467.520]	OK GREAT SO IMMUNIZATIONS ARE UP TO DATE
audio/GAS0005.mp3[467.520,470.040]	YEAH IMMUNIZATIONS ALL UP TO DATE
audio/GAS0005.mp3[470.040,473.120]	EXCELLENT AND DOES HE HAVE ANY ALLERGIES
audio/GAS0005.mp3[473.120,478.320]	UH NO UH NOT NOT ANYTHING THAT WE KNOW OF YET
audio/GAS0005.mp3[478.320,494.440]	OK AND I JUST WANTED TO ASK ABOUT HIS BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT THROUGHOUT PREGNANCY EITHER MOM BEING SICK OR HAVING ANY ANY ISSUES HERSELF
audio/GAS0005.mp3[494.440,514.000]	NO SO IT WAS A NORMAL VAGINAL DELIVERY UH NO ISSUES UH HE WAS BORN AT 39 WEEKS DIDNT NEED TO STAY IN THE HOSPITAL AT ALL YEAH IT WAS A PRETTY SMOOTH PREGNANCY COMPARED TO SOME OF THE OTHER ONES
audio/GAS0005.mp3[514.000,523.720]	OK OH THATS THATS GREAT DO YOU REMEMBER THE APGAR SCORE OR HIS BIRTH WEIGHT
audio/GAS0005.mp3[523.720,549.640]	UHM I DONT EXACTLY REMEMBER HIS APGAR SCORES I THINK THEY WERE LIKE JUST JUST THEY THEY WERE NORMAL LIKE THERE WAS NOTHING CONCERNING ABOUT THEM AND BIRTH WEIGHT I THINK HE WAS PROBABLY AROUND 3 KILOGRAMS
audio/GAS0005.mp3[549.640,560.280]	OK GREAT SO YEAH HEALTHY BIRTH WEIGHT AT TERM IT SOUNDS LIKE AND SO HEALTHY DOES HE TAKE ANY MEDICATIONS REGULARLY
audio/GAS0005.mp3[560.280,563.040]	NO NO MEDICATIONS
audio/GAS0005.mp3[563.040,571.880]	OK AND COULD YOU TELL ME ABOUT WHO IS LIVING WITH CURRENTLY AND THEN WHOS LOOKING AFTER HIM
audio/GAS0005.mp3[571.880,592.440]	YEAH SO HES LIVING WITH MYSELF HIS MOTHER AND AND THEN MY HUSBAND AND HE HAS TWO OLDER SIBLINGS ONE IS A BOY SEVEN YEARS OLD AND ANOTHER ONE LIKE A 10 YEAR OLD GIRL
audio/GAS0005.mp3[592.440,596.280]	OK AND HAS ANYBODY IN THE HOUSE BEEN SICK
audio/GAS0005.mp3[596.280,613.480]	UH NO NO ONE HAS BEEN SICK RECENTLY HOWEVER HE DOES THEY DID LET THEM GO BACK INTO SCHOOL AT ONE POINT SO I DONT KNOW I DONT KNOW SO THAT WAS JUST LAST WEEK SO I DONT KNOW IF HE CAUGHT SOMETHING FROM SCHOOL
audio/GAS0005.mp3[613.480,617.600]	OK BUT NOBODY THAT YOU KNOW THATS HAD SIMILAR SYMPTOMS
audio/GAS0005.mp3[618.920,624.400]	OK AND HAVE YOU TRAVELED ANYWHERE
audio/GAS0005.mp3[624.400,630.920]	NO WEVE BEEN WEVE BEEN AT HOME
audio/GAS0005.mp3[630.920,636.480]	OK UH AND THEN YOU KNOW RECENT CHANGES TO ANYTHING IN THE DIET YOUVE MENTIONED
audio/GAS0005.mp3[636.480,640.920]	NO THATS BEEN FINE
audio/GAS0005.mp3[640.920,653.320]	OK AND ANY CONCERNS FOR SAFETY IN THE HOME WHETHER PHYSICAL OR OR VERBAL ABUSE
audio/GAS0005.mp3[653.320,655.760]	NO NO CONCERNS LIKE THAT
audio/GAS0005.mp3[655.760,665.280]	OK YEAH A QUESTION THAT WE HAVE TO ASK EVERYBODY AND IS THERE ANY SMOKING IN THE HOME
audio/GAS0005.mp3[665.280,667.720]	NO NO WE DONT SMOKE
audio/GAS0005.mp3[667.720,672.720]	OK GREAT THEN ARE THERE ANY PETS
audio/GAS0005.mp3[672.720,676.200]	NOPE NO PETS
audio/GAS0005.mp3[676.200,685.800]	ALRIGHT AND UH AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY HEART PROBLEMS OR ANY LUNG PROBLEMS
audio/GAS0005.mp3[685.800,695.600]	UH WE ARE GETTING THE 10 YEAR OLD TESTED FOR JUST UH ASTHMA
audio/GAS0005.mp3[696.640,701.680]	BUT NOTHING DIAGNOSED YET NO
audio/GAS0005.mp3[701.680,710.800]	OK ANYBODY IN THE FAMILY HAVE ANY CONGENITAL DISEASES OR ANY GENETIC DISEASES
audio/GAS0005.mp3[710.800,715.360]	NO NOT THAT I KNOW OF
audio/GAS0005.mp3[715.360,720.960]	OK UH ANYBODY IN THE FAMILY HAVE CELIAC DISEASE OR CROHNS DISEASE
audio/GAS0005.mp3[720.960,727.960]	NO NO UH NO HISTORY OF ANY KIND OF BOWEL DISEASES
audio/GAS0005.mp3[727.960,742.040]	OK SO I THINK THATS UH EVERYTHING I WANT I WANTED TO ASK ABOUT TODAY UH WAS THERE ANYTHING THAT MAYBE I I FORGOT TO ASK OR OR THAT I MISSED THAT YOU WANTED TO TELL ME
audio/GAS0005.mp3[742.040,756.880]	UH YEAH NO ITS ITS ALSO JUST LIKE I WAS JUST READING UP LIKE CAN IT BE LIKE I DONT KNOW IF IT CAN BE COVIAS WELL IF IT CAN IT CAN DO THIS AS WELL
audio/GAS0005.mp3[756.880,824.920]	IT IS POSSIBLE UH ITS UH ESPECIALLY WITH NONSPECIFIC SYMPTOMS COVICAN CAUSE A VARIETY OF DIFFERENT PRESENTATIONS AND THERE FOR SOME PEOPLE IT CAN BE MORE GASTROINTESTINAL ISSUES LIKE LIKE YOUR SON HAS WITH VOMITING AND DIARRHEA AND BELLY PAIN BUT IT ALSO COULD BE WELL UH ANOTHER TYPE OF GASTROINTESTINAL VIRUS ITSELF OR OR A VIRAL ILLNESS LIKE THE COMMON COLD WHICH CAN ALSO END UP CAUSING SYMPTOMS LIKE THIS AS WELL SO WE WILL I WILL GO AHEAD AND DO A COVITEST TODAY ALONG WITH SOME OTHER BLOOD WORK AND MAYBE INCREASE THE HYDRATION AS WELL BECAUSE IT SOUNDS LIKE HE HAS LOST A LOT OF FLUID OVER THESE LAST COUPLE OF DAYS SO WE WILL CHECK ELECTROLYTES AND GO FROM THERE ON THE TEST RESULTS
audio/GAS0005.mp3[824.920,828.840]	ALRIGHT SOUNDS GOOD THANK YOU SO MUCH
audio/MSK0016.mp3[0.000,1.600]	WHAT BRINGS YOU IN
audio/MSK0016.mp3[1.600,16.600]	IVE UM IVE BEEN HAVING THIS NUMBNESS AND TINGLING AND I GUESS KIND OF BURNING SENSATION THAT WELL UH ITS BEEN HAPPENING MORE OFTEN IN MY UH LEFT HAND
audio/MSK0016.mp3[16.600,20.560]	ON YOUR LEFT HAND OK AND SORRY WHEN DID YOU SAY THIS STARTED
audio/MSK0016.mp3[20.560,26.080]	UH ITS BEEN GOING ON FOR PROBABLY FOUR OR FIVE MONTHS UM
audio/MSK0016.mp3[27.040,47.200]	YEAH IT FIRST UH IT WOULD ONLY BUG ME FOR A COUPLE OF MINUTES AT A TIME AND I COULD KIND OF SHAKE MY HAND OUT LIKE FLICK LIKE FLICK MY WRIST AND UM AND IT WOULD GO AWAY AFTER A FEW MINUTES BUT NOW IM STARTING TO GET UH LIKE SYMPTOMS AT NIGHT SOMETIMES AS WELL
audio/MSK0016.mp3[47.200,53.640]	OK SO UM ITS GOTTEN WORSE THEN YOU SAID OVER THE PAST FEW WEEKS
audio/MSK0016.mp3[53.640,54.800]	YEAH IT HAS
audio/MSK0016.mp3[54.800,62.400]	OK UM AND IS IT ALWAYS THERE IS IT PERSISTENT OR DOES IT COME AND GO
audio/MSK0016.mp3[62.400,63.880]	IT COMES AND GOES
audio/MSK0016.mp3[63.880,68.160]	OK AND WHAT MAKES IT BETTER OR WORSE
audio/MSK0016.mp3[68.160,90.840]	UH BETTER UH IVE TRIED SOME UM ADVIL UM AND TYLENOL AND ITS KIND OF THE HASNT DONE MUCH UM FOR THE PAIN REALLY UH I THINK ONLY THE THING THAT KIND OF HELPS IT IS JUST NOT USING IT AS MUCH UM YEAH
audio/MSK0016.mp3[90.840,100.680]	YEAH ALRIGHT UM HAVE YOU TRIED ANY LIKE COLD COMPRESSES UM TOPICAL CREAMS ANYTHING LIKE THAT
audio/MSK0016.mp3[101.560,118.960]	NO OK AND UHM IF YOU WERE TO DESCRIBE THE QUALITY OF HOW IT FEELS LIKE DOES IT DOES IT IS IT PAINFUL IS IT TENDER OR IS IT JUST NUMB AND TINGLING KIND OF LIKE WHEN YOUR FOOT GOES TO SLEEP
audio/MSK0016.mp3[118.960,127.920]	UH I GUESS I HAVE IT IS A BIT PAINFUL AS WELL YEAH I HAVE UM LIKE A BURNING KIND OF PAIN
audio/MSK0016.mp3[127.920,134.480]	OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS THIS PAIN
audio/MSK0016.mp3[134.480,140.760]	UH WHEN IT GETS TO ITS WORST I WOULD SAY ABOUT A 6
audio/MSK0016.mp3[140.760,149.000]	OK OK UM AND HAVE YOU EVER EXPERIENCED THIS BEFORE OR IS THIS KIND OF LIKE THE FIRST TIME YOURE EXPERIENCING THIS
audio/MSK0016.mp3[149.000,165.600]	YEAH THIS IS THE FIRST UH REALLY LIKE OVER THESE LAST THREE MONTHS THE FIRST TIME IVE BEEN EXPERIENCING IT I THINK UH THE FIRST TIME THAT IT STARTED IT STARTED TO WAKE ME UP AT NIGHT THOUGH HAS BEEN LIKE ABOUT A COUPLE OF WEEKS AGO
audio/MSK0016.mp3[165.600,177.760]	OH I SEE OK UM ALRIGHT AND DO YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE OVER THE PAST FEW WEEKS OR IS IT KIND OF THE SAME
audio/MSK0016.mp3[177.760,185.160]	UH OVER THESE PAST COUPLE OF WEEKS ABOUT THE SAME ITS WOKEN ME UP UH LIKE TWO OR THREE TIMES AT NIGHT
audio/MSK0016.mp3[185.160,190.800]	OK ALRIGHT AND DO YOU HAVE ANY NUMBNESS OR TINGLING ELSEWHERE ON YOUR BODY
audio/MSK0016.mp3[190.800,199.200]	NO ITS JUST UM JUST KIND OF THE THE OUTSIDE OF MY HAND HERE ITS REALLY ONLY THE FIRST LIKE 3 FINGERS
audio/MSK0016.mp3[199.200,211.800]	OK FIRST THREE FINGERS SO YOUR UM THUMB INDEX FINGER AND UH MIDDLE FINGER OR YOUR PINKY TO MIDDLE FINGER
audio/MSK0016.mp3[211.800,217.040]	YEAH ITS JUST THE UH MY THUMB INDEX FINGER AND RING FINGER
audio/MSK0016.mp3[217.040,220.600]	AND RING FINGER OK
audio/MSK0016.mp3[220.600,232.000]	AND MAYBE JUST LIKE A LITTLE BIT OF THE UM LIKE OF THE RING FINGER TOO BUT NOT ALL OF IT
audio/MSK0016.mp3[232.000,240.400]	OK UM ALRIGHT SO UM ANY WEAKNESS IN YOUR ARMS OR DO YOU FEEL LIKE YOU CAN STILL USE YOUR ARMS OK
audio/MSK0016.mp3[240.400,263.920]	UH YEAH I HAVENT HAD ANY UH ANY MUSCLE UM WEAKNESS I GUESS I MAY BE A BIT MORE CLUMSY UM WITH UH WITH MY LEFT HAND LIKE IVE DROPPED A FEW THINGS IVE HAD IT A LITTLE BIT MORE DIFFICULT TIME LIKE OPENING JARS OR LIKE CAR DOORS AND STUFF LIKE THAT
audio/MSK0016.mp3[263.920,270.440]	OK OK AND ANY CONFUSION OR MEMORY LOSS
audio/MSK0016.mp3[274.600,278.000]	OK UM HOW ABOUT WEIGHT LOSS
audio/MSK0016.mp3[278.000,279.960]	NO I HAVENT HAD ANY WEIGHT LOSS
audio/MSK0016.mp3[279.960,282.880]	UH FEVERS OR CHILLS
audio/MSK0016.mp3[283.960,286.360]	UH RASHES
audio/MSK0016.mp3[286.360,287.320]	NO RASHES
audio/MSK0016.mp3[287.320,291.920]	CHANGES IN YOUR VISION HEARING SMELL OR TASTE
audio/MSK0016.mp3[291.920,293.360]	NO THATS BEEN NORMAL
audio/MSK0016.mp3[293.360,296.880]	OK HOW ABOUT UM A COUGH
audio/MSK0016.mp3[296.880,300.720]	UH NO I HAVENT HAD A COUGH
audio/MSK0016.mp3[300.720,303.960]	OK UM WHEEZING OR SHORTNESS OF BREATH
audio/MSK0016.mp3[303.960,305.560]	NOPE NEITHER OF THOSE
audio/MSK0016.mp3[305.560,310.840]	OK CHEST PAIN OR HEART PALPITATIONS
audio/MSK0016.mp3[310.840,313.280]	UM NOPE I HAVENT HAD THAT
audio/MSK0016.mp3[313.280,318.720]	OK HOW ABOUT UM CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0016.mp3[318.720,326.240]	UH NOPE I HAVENT HAD ANY DIARRHEA AND NO NO CONSTIPATION AND NO BLOOD EITHER
audio/MSK0016.mp3[326.240,330.360]	OK GOOD ANY NAUSEA OR VOMITING
audio/MSK0016.mp3[330.360,333.640]	NO I HAVENT HAD ANY OF THAT
audio/MSK0016.mp3[333.640,337.240]	OK ANY CHANGES IN YOUR VOIDING
audio/MSK0016.mp3[337.240,343.920]	UH NO I I UM HAVENT HAD ANY PROBLEMS WITH URINATION
audio/MSK0016.mp3[343.920,349.880]	OK UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0016.mp3[349.880,367.040]	UM I HAVE HYPOTHYROIDISM SO I TAKE UM LIKE UH THYROXINE FOR THAT AND UM I AM OVERWEIGHT AS WELL OR IN OBESITY CLASS ONE I THINK
audio/MSK0016.mp3[367.040,378.040]	OK AND UM DO YOU TAKE ANY MEDICATIONS FOR THE HYPOTHYROID
audio/MSK0016.mp3[378.040,385.040]	YEAH I DO I TAKE UM I TAKE UH SYNTHROID I THINK
audio/MSK0016.mp3[385.040,389.680]	OK ALRIGHT AND ARE YOU ON ANY WEIGHT LOSS MEDICATIONS
audio/MSK0016.mp3[389.680,409.800]	NO IVE JUST BEEN TRYING TO UH CHANGE DIET AROUND WHEN I CAN AND UM AND TRYING TO UM EXERCISE A BIT MORE BUT UH ITS BEEN ITS BEEN TOUGH ESPECIALLY NOW WITH MY WRIST OR MY HAND BUGGING ME
audio/MSK0016.mp3[409.800,418.040]	YEAH FOR SURE UM ALRIGHT AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/MSK0016.mp3[418.040,421.640]	I AM YEAH AND I GET THE FLU SHOT EVERY YEAR
audio/MSK0016.mp3[421.640,431.760]	OK THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0016.mp3[431.760,436.040]	UM I I NO I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0016.mp3[436.040,439.880]	NO OK UM ANY ALLERGIES
audio/MSK0016.mp3[439.880,442.800]	UH NO ALLERGIES
audio/MSK0016.mp3[442.800,447.680]	OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/MSK0016.mp3[447.680,459.840]	UM MY GRANDFATHER HAD A STROKE WHEN HE WAS IN HIS UH 70S UM AND MY DAD HAS HIGH CHOLESTEROL
audio/MSK0016.mp3[459.840,466.480]	HAVE YOU BEEN WORKED UP FOR ALL OF THAT LIKE HIGH BLOOD PRESSURE DIABETES CHOLESTEROL
audio/MSK0016.mp3[466.480,480.760]	UH YEAH I THINK MY FAMILY DOCTOR CHECKED A FEW YEARS AGO BUT IVE BEEN HEALTHY BESIDES THIS UM UH THIS THIS PAIN UM SO MAYBE THAT YEAH MAYBE THAT COULD BE INVESTIGATED AS WELL
audio/MSK0016.mp3[480.760,489.680]	OK UM ANY NEURAL NEUROLOGICAL OR MUSCULOSKELETAL ISSUES IN THE FAMILY
audio/MSK0016.mp3[489.680,498.960]	UM I THINK OSTEOARTHRITIS A FEW FEW PEOPLE HAVE THAT
audio/MSK0016.mp3[498.960,506.240]	OK UM HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0016.mp3[506.240,513.120]	UH NO I THINK IM THE ONLY ONE WITH THE THYROID
audio/MSK0016.mp3[513.120,516.520]	OK UM HOW ABOUT CANCERS
audio/MSK0016.mp3[516.520,518.400]	UH NO CANCER
audio/MSK0016.mp3[518.400,528.160]	NO CANCERS OK UM ALRIGHT AND THEN DO YOU SMOKE
audio/MSK0016.mp3[528.160,539.280]	I DO YEAH I SMOKE ABOUT UM 5 TO 10 CIGARETTES PER DAY
audio/MSK0016.mp3[539.280,542.960]	OK AND UM FOR HOW LONG HAVE YOU BEEN DOING THAT
audio/MSK0016.mp3[542.960,554.560]	UH PROBABLY YEAH ABOUT THE LAST 10 YEARS IT WAS KIND OF AROUND WHEN I STARTED WORKING UM IN THE WAREHOUSE HERE UM YEAH
audio/MSK0016.mp3[554.560,562.200]	OK AND HAVE YOU EVER THOUGHT ABOUT QUITTING
audio/MSK0016.mp3[562.200,580.200]	I HAVE YEAH IVE TRIED ITS JUST SUCH UH I MEAN PEOPLE JUST GO OUT AND I MEAN HAVE THEIR COFFEE AND CIGARETTES AND ITS SORT OF A SOCIAL THING WHILE AT WORK IT ITS KIND OF WHAT PEOPLE DO SO I HAVE BEEN TRYING TO CUT DOWN THOUGH
audio/MSK0016.mp3[580.200,592.840]	OK OK THATS GOOD IF YOU NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO UM AND DO YOU CONSUME MARIJUANA IN ANY FORM
audio/MSK0016.mp3[592.840,594.640]	UM NO I DONT
audio/MSK0016.mp3[594.640,600.840]	NO OK ANY RECREATIONAL DRUGS
audio/MSK0016.mp3[600.840,603.640]	UM NOPE I DONT USE ANYTHING LIKE THAT
audio/MSK0016.mp3[603.640,606.720]	OK HOW ABOUT ALCOHOL DO YOU DRINK
audio/MSK0016.mp3[606.720,616.440]	UM ILL HAVE WINE EVERY ONCE IN AWHILE ON THE WEEKENDS MAYBE MAYBE A DRINK PER WEEK SOMETHING LIKE THAT
audio/MSK0016.mp3[616.440,623.600]	OK UM AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/MSK0016.mp3[623.600,627.840]	UH NO I DONT BELIEVE SO
audio/MSK0016.mp3[627.840,631.080]	OK HOW ABOUT TRAVEL
audio/MSK0016.mp3[631.080,638.120]	NO IVE BEEN IVE BEEN AT HOME AND AND JUST GOING TO WORK
audio/MSK0016.mp3[638.120,642.480]	OK UM AND AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH
audio/MSK0016.mp3[642.480,648.880]	SO I LIVE WITH MY HUSBAND AND OUR TWO DAUGHTERS AND WE LIVE AND WE LIVE IN A HOUSE
audio/MSK0016.mp3[648.880,657.440]	OK UM ANY CONCERNS FOR STIS
audio/MSK0016.mp3[657.440,669.840]	NO IM JUST UM IVE BEEN MONOGAMOUS WITH MY PARTNER NOW FOR UH OVER 10 YEARS AND UM NO CONCERNS FOR UH AN STI AT THIS TIME
audio/MSK0016.mp3[669.840,694.280]	OK ALRIGHT GOOD UM SO NOW WERE JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART UM OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR ARMS HANDS AND WRISTS UM SIDE BY SIDE DOES YOUR LEFT ONE SEEM AT ALL MORE RED SWOLLEN UH OR HOT
audio/MSK0016.mp3[694.280,702.400]	NO NO SYMPTOMS LIKE THAT
audio/MSK0016.mp3[702.400,717.960]	NO OK AND UM DO YOU DOES THAT ONE SEEM TO BE MORE ATROPHIED OR ARE THERE ANY DEFORMITIES OR SKIN CHANGES ON THAT ONE
audio/MSK0016.mp3[717.960,726.800]	UM MAYBE UH A LITTLE LESS MUSCLE BULK ON THE LIKE WHERE MY THUMB IS
audio/MSK0016.mp3[726.800,756.920]	OK OK UM AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS OF THAT ARM SO LETS START UM AT THE TOP WHEN YOU WHEN YOU PRESS DOWN ON YOUR SHOULDER BLADES OR JUST AT THE VERY TOP OF YOUR UM ARM WHERE YOUR OR AT THE VERY TOP WHERE YOUR ARM CONNECTS TO YOUR SHOULDER DOES IT HURT OVER THERE
audio/MSK0016.mp3[756.920,758.600]	NO NO PAIN THERE
audio/MSK0016.mp3[758.600,768.880]	OK SO NO PAIN ON THE ACROMION PROCESS OR THE SCAPULA UM ANY PAIN WHERE YOUR BICEPS ARE
audio/MSK0016.mp3[769.280,772.080]	NO OK HOW ABOUT AT YOUR ELBOWS
audio/MSK0016.mp3[772.080,784.800]	UH NO PAIN AT THE ELBOWS AND FULL I CAN MOVE MY ELBOWS AND SHOULDERS UH NO PROBLEM EITHER AND MY NECK DOESNT HURT AT ALL EITHER I CAN MOVE MY NECK AROUND
audio/MSK0016.mp3[784.800,792.360]	HOW ABOUT WHEN YOU UM PALPATE YOUR WRISTS BOTH SIDES MEDIAL AND LATERAL
audio/MSK0016.mp3[792.360,800.080]	UH YEAH NO NO PAIN IF IM JUST PRESSING OR PALPATING THE WRIST
audio/MSK0016.mp3[800.080,812.680]	OK UM AND IM GOING TO GET YOU TO UM STRAIGHTEN OUT YOUR ARM AND FLEX AT YOUR SHOULDER AND EXTEND AT YOUR SHOULDER DOES THAT HURT
audio/MSK0016.mp3[814.360,818.720]	HOW ABOUT WHEN YOU FLEX YOUR ELBOW AND EXTEND YOUR ELBOW
audio/MSK0016.mp3[819.520,823.200]	UM HOW ABOUT WHEN YOU FLEX YOUR WRIST AND EXTEND YOUR WRIST
audio/MSK0016.mp3[823.560,877.680]	OK SO IM GOING TO DO A SPECIAL TEST FOR SOMETHING CALLED CARPAL TUNNEL SYNDROME UM SO UM IM GONNA GET YOU TO STRAIGHTEN OUT YOUR LEFT ARM AGAIN UM AND RIGHT WHERE UM ALRIGHT HOW DO WE DO THIS OK SO WITH YOUR RIGHT HAND OR WITH YOUR YEAH WITH YOUR RIGHT INDEX FINGER AND MIDDLE FINGER YOURE GOING TO TAP UM JUST BELOW UH WHERE THE BULK OF YOUR THUMB MUSCLES ARE UM CONNECTING TO YOUR WRIST IM JUST GOING TO GET YOU TO TAP THAT AREA DO YOU FEEL TINGLING LIKE AN ELECTRIC SHOCK SENSATION IN YOUR HAND OR ANYTHING LIKE THAT
audio/MSK0016.mp3[877.680,879.520]	I DO YEAH
audio/MSK0016.mp3[879.520,914.960]	YOU DO OK SO THATS A POSITIVE TINELS SIGN UM AND THEN WERE GOING TO DO ONE MORE TEST SO IM GOING TO OK SO MAKE LIKE A PRAYER MOTION WITH YOUR HANDS LIKE UM PUTTING YOUR 2 PALMS TOGETHER AND THEN UM AND THEN INSTEAD INVERT YOUR HAND SO THAT THE OUTER PARTS ARE TOUCHING AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND
audio/MSK0016.mp3[916.240,941.080]	SO KIND OF LIKE UPSIDE DOWN BUT WITH YOUR OUTER PARTS OF YOUR HANDS TOUCHING UM AND THEN IM GOING TO GET YOU TO UH JUST HOLD YOUR ARMS LIKE THAT UM FOR ABOUT 60 SECONDS DO YOU FEEL ANY TINGLING NUMBNESS OR PAIN IN THOSE FINGERS
audio/MSK0016.mp3[941.080,946.800]	YEAH I GET A BIT OF UH NUMBNESS AND TINGLING WHEN WHEN I DO THAT
audio/MSK0016.mp3[946.800,962.840]	OK SO THATS A POSITIVE PHALENS SIGN TEST UM ALRIGHT SO THAT BRINGS ME TO THE END OF UM THIS INTERVIEW DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP
audio/MSK0016.mp3[962.840,967.600]	UH JUST WONDERING ABOUT UM WHAT THIS COULD BE
audio/MSK0016.mp3[967.600,1095.280]	OH YEAH SO UM IT SEEMS LIKE YOU HAVE SOMETHING CALLED CARPAL TUNNEL SYNDROME UM AND THAT IS ITS PRETTY COMMON UM SO IT CAN BE CAUSED BY UM A LOT OF THINGS BUT BASICALLY YOUR MEDIAN NERVE RUNS THROUGH YOUR FOREARM INTO YOUR WRIST AND ANYTHING THAT SQUEEZES OR IRRITATES THAT MEDIAN NERVE CAN LEAD TO CARPAL TUNNEL SYNDROME UM AND SOME THINGS INCLUDE UM LIKE REPETITIVE MOVEMENTS AT WORK UM OBESITY UM ANY NERVE DAMAGING CONDITIONS LIKE DIABETES UM INFLAMMATORY CONDITIONS BUT MOSTLY JUST LIKE WORKPLACE FACTORS CAN CAN DO IT UM ESPECIALLY IF YOURE WORKING WITH LIKE VIBRATING TOOLS OR ON AN ASSEMBLY LINE THAT REQUIRES LIKE REPETITIVE AND PROLONGED FLEXING OF THE WRIST UM SO UH DIAGNOSIS WE JUST DO THAT THROUGH LIKE SYMPTOMS PHYSICAL EXAM UM WE DONT REALLY NEED TO DO ANY IMAGING AT THIS AT THIS POINT AND TO TREAT IT UM BASICALLY WORK MODIFICATION SO TAKING FREQUENT BREAKS UH NOT DOING THOSE REPETITIVE MOVEMENTS UM AS OFTEN UM AND THEN YOU CAN DO THINGS AT HOME LIKE APPLY COLD PACKS UM AND THEN WE ALSO HAVE SOME LIKE NONSURGICAL TREATMENTS WHERE WE CAN UH SPLINT WE CAN PUT LIKE A WRIST SPLINT UM WHILE YOU SLEEP TO RELIEVE THOSE NIGHTTIME SYMPTOMS UH YOU CAN TAKE SOME NSAIDS TO RELIEVE PAIN UM AND IF THOSE DONT WORK WE CAN TRY CORTICOSTEROIDS UM AND IF THAT DOESNT WORK THEN WE CAN ALSO DISCUSS SURGERY SOMETIME DOWN THE LINE DOES THAT SOUND OK
audio/MSK0016.mp3[1095.280,1098.400]	IT DOES YEAH THANK YOU
audio/MSK0016.mp3[1098.400,1100.160]	YEAH NO PROBLEM
audio/RES0117.mp3[0.000,2.480]	WHAT BRINGS YOU IN
audio/RES0117.mp3[2.480,19.800]	YEAH SO I JUST CAME IN TODAY UH A BIT CONCERNED UH IVE BEEN JUST HAVING THIS NASTY COUGH FOR LIKE THE LAST WEEK AND THEN TODAY MORNING UH LIKE I THOUGHT THE COUGH WOULD JUST GO AWAY BUT TODAY MORNING I ALSO NOTICED IM COUGHING UP SOME BLOOD
audio/RES0117.mp3[19.800,21.320]	OH OK
audio/RES0117.mp3[22.080,25.560]	SO WHEN DID YOU FIRST START COUGHING
audio/RES0117.mp3[25.560,43.040]	UM SO LET ME THINK UH I JUST RETURNED FROM A MISSION TRIP UH TO THE PHILIPPINES 2 WEEKS AGO THIS COUGH STARTED UH JUST LAST WEEK SO I WOULD SAY AROUND SIX TO SEVEN DAYS
audio/RES0117.mp3[43.040,50.960]	OK AND THAT AND THE BLOOD IN YOUR COUGH UM THAT WAS ABOUT YESTERDAY YOU SAID OR
audio/RES0117.mp3[50.960,54.680]	YEAH TODAY UH
audio/RES0117.mp3[54.680,61.240]	TODAY OK OK UM ARE YOU BRINGING UP ANY PHLEGM AT ALL BESIDES THE BLOOD
audio/RES0117.mp3[61.240,73.440]	UH NO ITS JUST UH LIKE I SAW IT ON MY HAND LIKE THERE WASNT ANYTHING LIKE MY COUGH IS LIKE PRETTY DRY
audio/RES0117.mp3[73.440,77.480]	OK ARE YOU SHORT OF BREATH AT ALL
audio/RES0117.mp3[77.480,81.480]	NO IM NOT SHORT OF BREATH UM JUST ITS JUST THE COUGH
audio/RES0117.mp3[81.480,85.040]	OK AND ARE YOU HAVING ANY WHEEZINESS
audio/RES0117.mp3[85.040,87.560]	UH NO WHEEZINESS
audio/RES0117.mp3[87.560,91.760]	OK UM ANY RUNNY NOSE OR STUFFY NOSE
audio/RES0117.mp3[91.760,94.040]	NO NO UH RUNNY OR STUFFY NOSE
audio/RES0117.mp3[94.040,98.600]	CHANGES IN VISION HEARING SMELL OR TASTE
audio/RES0117.mp3[99.640,104.000]	UH WEIGHT LOSS
audio/RES0117.mp3[104.000,127.560]	UM I HAVE NOTICED UH WEIGHT LOSS OVER THE LAST UH I WOULD SAY FEW MONTHS SO IVE BEEN IVE BEEN DOING LIKE LIKE I I CAME BACK FROM PHILIPPINES LAST WEEK BUT UM I HAD GONE EARLIER LIKE DURING THIS YEAR OR TWO AND IVE KIND OF NOTICED THIS WEIGHT CHANGE PROBABLY LOST AROUND 15 POUNDS WITHIN THE LAST FEW MONTHS
audio/RES0117.mp3[127.560,133.760]	15 POUNDS OK WOW THATS A LOT YEAH UM ANY NIGHT SWEATS
audio/RES0117.mp3[133.760,136.160]	UM NO I DONT THINK SO NO
audio/RES0117.mp3[136.160,139.720]	ANY FEVERS OR CHILLS
audio/RES0117.mp3[139.720,146.320]	I DID HAVE A I DID HAVE SOME CHILLS OVER THE LAST WEEK UM BUT I DIDNT REALLY THINK TOO MUCH OF IT
audio/RES0117.mp3[146.320,152.120]	OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY RASHES
audio/RES0117.mp3[153.160,155.280]	ANY CHEST PAIN
audio/RES0117.mp3[155.280,156.640]	NO CHEST PAIN
audio/RES0117.mp3[156.640,158.840]	UH SWELLING IN YOUR LIMBS
audio/RES0117.mp3[159.760,162.560]	FAINTING SPELLS OR DIZZINESS
audio/RES0117.mp3[162.560,163.520]	NO NOTHING LIKE THAT
audio/RES0117.mp3[163.520,167.080]	CONFUSION OR MEMORY LOSS
audio/RES0117.mp3[169.960,171.080]	NO HEADACHES
audio/RES0117.mp3[171.080,173.320]	UH JOINT PAIN
audio/RES0117.mp3[177.000,178.200]	UH NO
audio/RES0117.mp3[178.200,182.240]	UM CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0117.mp3[182.240,183.920]	UH NO NOT AT ALL
audio/RES0117.mp3[183.920,186.480]	NO CHANGES IN YOUR URINE
audio/RES0117.mp3[187.400,190.120]	UH NAUSEA OR VOMITING
audio/RES0117.mp3[190.120,191.560]	NO NAUSEA OR VOMITING
audio/RES0117.mp3[191.560,194.480]	OK HOW ABOUT ABDOMINAL PAIN
audio/RES0117.mp3[194.480,196.320]	NO NOTHING LIKE THAT
audio/RES0117.mp3[196.320,201.720]	OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0117.mp3[201.720,211.520]	YEAH NO IM OTHERWISE I UM I DONT IM REALLY HEALTHY I DONT TAKE ANY MEDICATIONS SO THIS WAS SOMETHING THAT HAPPENED OUT OF THE BLUE
audio/RES0117.mp3[211.520,216.640]	OK ANY UM HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0117.mp3[218.720,223.280]	NO UM MEDICATIONS ARE YOU ON ANY
audio/RES0117.mp3[223.280,227.240]	NO I HAVENT UM TRIED ANY MEDICATIONS
audio/RES0117.mp3[227.240,232.240]	OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0117.mp3[232.240,237.800]	UH I IVE BEEN YEAH PRETTY UP TO DATE WITH ALL MY IMMUNIZATIONS
audio/RES0117.mp3[237.800,241.800]	OK UH ALLERGIES DO YOU HAVE ANY
audio/RES0117.mp3[242.920,247.680]	SORRY FORGOT TO ASK IMMUNIZATIONS DID YOU GET THE FLU SHOT THIS YEAR
audio/RES0117.mp3[247.680,248.840]	YEAH I DID
audio/RES0117.mp3[248.840,253.520]	OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0117.mp3[253.520,254.880]	NO NOT AT ALL
audio/RES0117.mp3[254.880,257.600]	NO ANY LUNG CANCERS
audio/RES0117.mp3[258.600,261.480]	NO OK DO YOU SMOKE
audio/RES0117.mp3[261.480,263.480]	NO I HAVE NEVER SMOKED A DAY IN MY LIFE
audio/RES0117.mp3[263.480,266.760]	OK RECREATIONAL DRUGS
audio/RES0117.mp3[266.760,269.760]	NO I WOULD NEVER TAKE DRUGS
audio/RES0117.mp3[269.760,272.800]	OK DO YOU DRINK ALCOHOL
audio/RES0117.mp3[272.800,274.880]	NO NO NOT AT ALL
audio/RES0117.mp3[274.880,277.960]	OK UM WHERE DO YOU LIVE RIGHT NOW
audio/RES0117.mp3[277.960,286.240]	SO I I JUST LIVE IN A SMALL APARTMENT BY MYSELF UH JUST BEEN MOVING AROUND A LOT
audio/RES0117.mp3[286.240,296.280]	OK FOR SURE UM ANY LIKE ASBESTOS MOLD OR LIKE OLD CARPETS DUST ANYTHING LIKE THAT AT YOUR APARTMENT
audio/RES0117.mp3[296.280,297.920]	NO I DONT THINK SO
audio/RES0117.mp3[297.920,300.080]	NO ANY SICK CONTACTS RECENTLY
audio/RES0117.mp3[300.080,318.640]	UM NOT UH I DONT THINK SO LIKE WE UM MAYBE IN THE PHILIPPINES WE DO PROVIDE A SO I GO ON LIKE THESE MISSION TRIPS WITH THE CHURCH AND UM WE DO SOMETIMES GO TO THE HOSPITAL AS WELL
audio/RES0117.mp3[320.200,323.680]	SOMETIMES YEAH WE WE DO SEE SOME SICK PEOPLE
audio/RES0117.mp3[323.680,324.360]	MHMM OK
audio/RES0117.mp3[324.360,329.000]	BUT OTHER THAN THAT NOT SINCE IVE BEEN HERE NO
audio/RES0117.mp3[329.000,333.680]	ANY TRAVEL OUTSIDE THE PHILIPPINES RECENTLY
audio/RES0117.mp3[333.680,350.200]	UHM SO I THINK SO THIS YEAR HAS JUST BEEN THE PHILIPPINES BEFORE I USED TO GO TO INDIA AS WELL UM BUT RECENTLY NOTHING OUTSIDE OF THE PHILIPPINES
audio/RES0117.mp3[350.200,354.920]	OK OK UM THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0117.mp3[354.920,369.560]	YEAH I I WAS VERY WORRIED UM UH ABOUT THE BLOOD I WAS JUST READING SOME THINGS UP AND UH ABOUT TUBERCULOSIS SO I WAS REALLY STRESSED OUT TODAY
audio/RES0117.mp3[369.560,440.200]	YEAH SO UM THATS DEFINITELY HIGH ON OUR DIFFERENTIAL SO WELL DO A COUPLE OF THINGS WELL DO A COVID SWAB ON YOU UM JUST TO RULE THAT IN OR OUT YOU SHOULD HEAR BACK FOR ABOUT THOSE RESULTS IN 24 TO 48 HOURS WHILE YOURE HERE IN THE HOSPITAL WERE ALSO GOING TO DO A CHEST XRAY AND OR LIKE AN AFB SMEAR TO SEE IF YOU HAVE ACTIVE TB OR LATENT TB IF THOSE COME BACK POSITIVE UM WE WILL REQUIRE YOU TO ISOLATE BECAUSE THIS UH BECAUSE TB IS HIGHLY INFECTIOUS AND ITS AIRBORNE UM SO WE HAVE A COUPLE OF UH WE HAVE LIKE A REGIMEN THAT WED PUT YOU ON ITS CALLED THE RIPE MEDICATIONS THAT WE KEEP YOU ON FOR TWO MONTHS AND THEN WE CONTINUE A COUPLE OF THOSE FOR ANOTHER FOUR MONTHS UM BUT WE WILL UH KEEP YOU HERE UNTIL WE HAVE MORE ANSWERS ON UM LIKE FROM THIS TB STANDPOINT HOW DOES THAT SOUND
audio/RES0117.mp3[440.200,447.320]	YEAH THAT SOUNDS GOOD UM YEAH IM REALLY WORRIED BUT HOPEFULLY ITS NOT TB
audio/RES0117.mp3[447.320,460.520]	YEAH HOPEFULLY ITS NOT UM BUT IF IT IS ITS ITS OK LIKE UM WELL GET INFECTIOUS DISEASE INVOLVED UH WELL GET THE ISOLATION GOING AND WELL GET YOU ON THE CORRECT TREATMENT
audio/RES0117.mp3[460.520,462.960]	OK THANK YOU SO MUCH
audio/RES0117.mp3[462.960,464.360]	YEAH NO PROBLEM
audio/RES0113.mp3[0.000,3.760]	WHAT CAN I DO FOR YOU TODAY
audio/RES0113.mp3[3.760,21.040]	UM YEAH SO IM HERE BECAUSE IVE HAD THIS FEVER THIS COUGH AND NOW MY HEAD HURTS THATS BEEN GOING ON FOR ABOUT THE PAST FOUR DAYS AND I JUST WANT TO MAKE SURE UM ITS NOTHING TOO SERIOUS
audio/RES0113.mp3[21.040,28.280]	YEAH YEAH THATS GREAT SO CAN YOU TELL ME HAVE YOU DID YOU MEASURE YOUR TEMPERATURE
audio/RES0113.mp3[28.280,32.400]	UH NO I HAVENT ACTUALLY MEASURED IT I JUST FEEL HOT AND FEEL CHILLS
audio/RES0113.mp3[32.400,43.680]	OK BUT WE CAN TAKE YOUR VITALS HERE UM AND UH YOU YOU SAID THAT YOUVE HAD A COUGH FOR THE PAST FOUR DAYS DRY COUGH OR WET COUGH
audio/RES0113.mp3[43.680,51.560]	UM ITS BEEN PRETTY DRY
audio/RES0113.mp3[51.560,57.360]	UM ANY UH NO BLOOD OR ANY UM SPUTUM UM COMING UP RIGHT
audio/RES0113.mp3[57.360,58.800]	NO NO
audio/RES0113.mp3[58.800,68.200]	OK AND HAS THE THE COUGH GOTTEN WORSE OR BETTER OR THE SAME HAS IT BEEN THE SAME SINCE THE PAST FOUR DAYS
audio/RES0113.mp3[68.200,70.840]	UM ITS ITS ACTUALLY GETTING WORSE
audio/RES0113.mp3[70.840,78.160]	OK IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE
audio/RES0113.mp3[78.160,80.640]	UH NO I DONT THINK SO
audio/RES0113.mp3[80.640,85.240]	OK UH HAVE YOU TRIED ANYTHING FOR YOUR COUGH
audio/RES0113.mp3[85.240,95.440]	IVE TRIED LIKE DECONGEST LIKE COUGH SUPPRESSANTS BUT IT DOESNT SEEM TO HAVE HELPED
audio/RES0113.mp3[95.440,101.640]	OK OK AND THEN TELL ME ABOUT YOUR HEADACHE THAT STARTED FOUR DAYS AGO AS WELL
audio/RES0113.mp3[103.280,106.760]	AND UH WHERE EXACTLY IS IT
audio/RES0113.mp3[106.760,112.440]	SO ITS LIKE JUST ON THE FRONT PART OF MY HEAD
audio/RES0113.mp3[112.440,124.520]	AND DOES IT FEEL LIKE UH WHAT DOES IT FEEL LIKE IS IT LIKE A THROBBING SENSATION A BAND LIKE SENSATION UM IS IT SHARP IS IT DULL
audio/RES0113.mp3[124.520,129.240]	UH IT FEELS PRETTY THROBBING RIGHT NOW
audio/RES0113.mp3[129.240,133.280]	IS IT BOTH SIDES OR ON THE UH LEFT OR RIGHT
audio/RES0113.mp3[133.280,137.360]	UH ITS IT SEEMS LIKE ITS BOTH SIDES
audio/RES0113.mp3[137.360,144.000]	IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE MOST SEVERE PAIN EVER WHAT NUMBER WOULD YOU GIVE IT
audio/RES0113.mp3[144.000,148.320]	UH I WOULD GIVE IT ABOUT LIKE A SEVEN
audio/RES0113.mp3[148.320,152.560]	OH WOW OK AND HOWS IT CHANGED OVER THE PAST FOUR DAYS
audio/RES0113.mp3[152.560,155.120]	UH ITS JUST GOTTEN A LITTLE BIT WORSE
audio/RES0113.mp3[155.120,163.920]	UM IS IT UH IS IT WHAT WAS I GONNA SAY IS IT CONSTANT OR DOES IT COME AND GO
audio/RES0113.mp3[163.920,168.160]	UM IT SEEMS PRETTY IT SEEMS PRETTY CONSTANT
audio/RES0113.mp3[168.160,171.440]	HAVE YOU TAKEN ANYTHING FOR IT
audio/RES0113.mp3[171.440,179.200]	I TRIED LIKE SOME TYLENOL FOR IT AND IT SEEMS TO HELP A LITTLE BIT
audio/RES0113.mp3[179.200,188.480]	DOES IT IS THERE A CERTAIN TIME OF THE DAY WHEN ITS WORSE BEFORE GOING TO BED AT THE END OF THE DAY WAKING UP ANYTHING LIKE THAT
audio/RES0113.mp3[188.480,190.080]	NO NOTHING LIKE THAT
audio/RES0113.mp3[190.080,194.840]	HAVE YOU HAD A SIMILAR HEADACHE IN THE PAST
audio/RES0113.mp3[194.840,202.560]	UH YEAH I GUESS I HAVE A LITTLE BIT IN THE PAST BUT THAT WAS ALSO WHEN I WAS LIKE SICK
audio/RES0113.mp3[202.560,207.320]	SURE UM DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT
audio/RES0113.mp3[207.320,211.160]	UH NO IT HASNT WOKEN ME UP
audio/RES0113.mp3[211.160,222.600]	OK UM I GUESS OTHER THAN THE HEADACHE ILL ASK YOU ABOUT AND THE COUGH AND FEVER ILL ASK YOU IF YOUVE HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD ANY CONFUSION
audio/RES0113.mp3[222.600,224.560]	UH NO NO CONFUSION
audio/RES0113.mp3[224.560,227.800]	ANY CHANGES IN YOUR VISION OR YOUR HEARING
audio/RES0113.mp3[232.360,234.920]	UM ANY UM REDNESS IN YOUR EYES
audio/RES0113.mp3[235.920,240.560]	ANY LOSS OF TASTE OR LOSS OF SMELL
audio/RES0113.mp3[241.880,246.400]	UM ANY RUNNY NOSE OR STUFFY NOSE
audio/RES0113.mp3[246.400,247.840]	UH NOPE
audio/RES0113.mp3[247.840,250.080]	OK ANY SORE THROAT
audio/RES0113.mp3[251.800,255.960]	OK ANY CHEST PAIN OR DIFFICULTIES BREATHING
audio/RES0113.mp3[257.640,261.080]	ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0113.mp3[262.160,265.240]	OK ANY BELLY PAIN
audio/RES0113.mp3[265.240,266.400]	NO BELLY PAIN
audio/RES0113.mp3[268.560,271.880]	OK ANY ACHES OR PAINS IN YOUR BODY
audio/RES0113.mp3[273.000,276.560]	UH ANY RASHES THAT YOUVE NOTICED
audio/RES0113.mp3[276.560,278.120]	NO NO RASHES
audio/RES0113.mp3[278.120,281.520]	ANY DISCOLOURATION OF YOUR FINGERS OR TOES
audio/RES0113.mp3[281.520,283.200]	UH I DONT THINK SO
audio/RES0113.mp3[283.200,290.960]	OK ALRIGHT UM AND DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0113.mp3[290.960,293.880]	NO I THINK IM HEALTHY OTHERWISE
audio/RES0113.mp3[293.880,299.280]	OK ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0113.mp3[299.280,300.120]	UH NO
audio/RES0113.mp3[300.120,308.280]	OK UM WHAT ABOUT MEDICATIONS ARE YOU TAKING ANY OVER THE COUNTER OR OTHERWISE
audio/RES0113.mp3[308.280,311.800]	UH I TAKE SOME MULTIVITAMINS THATS IT THOUGH
audio/RES0113.mp3[311.800,318.400]	OK ANY FAMILY HISTORY OF LUNG OR HEART PROBLEMS UH OR ANYTHING ELSE OR CANCERS
audio/RES0113.mp3[319.400,325.080]	AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH SOMEONE ELSE OR WITH OTHER PEOPLE
audio/RES0113.mp3[325.080,328.320]	I LIVE WITH UM MY HUSBAND AND OUR OUR DAUGHTER
audio/RES0113.mp3[328.320,333.760]	OK HAVE YOU HAD ANY HAVE YOU TRAVELED ANYWHERE
audio/RES0113.mp3[333.760,335.880]	NO NOT RECENTLY
audio/RES0113.mp3[335.880,343.240]	HAVE YOU UH WHAT DO YOU MEAN BY RECENTLY
audio/RES0113.mp3[343.240,346.280]	UH LIKE I HAVE TRAVELED IN THE PAST TWO YEARS
audio/RES0113.mp3[346.280,357.600]	OK THATS FINE THATS FINE HAVE YOU HAD ANY CONTACT WITH ANYONE WHO MIGHT BE SICK EITHER YOU OR YOUR HUSBAND OR YOUR DAUGHTER
audio/RES0113.mp3[357.600,359.000]	UH NO I DONT THINK SO
audio/RES0113.mp3[359.000,361.920]	HAVE YOU GONE OUT OF THE HOME AT ALL
audio/RES0113.mp3[361.920,367.320]	UH JUST TO DO LIKE ESSENTIAL THINGS LIKE GROCERIES AND THE BANK AND THINGS LIKE THAT
audio/RES0113.mp3[367.320,370.480]	DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING
audio/RES0113.mp3[373.440,379.400]	OK UM ALRIGHT UH DO YOU DRINK ALCOHOL
audio/RES0113.mp3[379.400,383.720]	I DRINK LIKE ONCE ONCE IN A WHILE HAVE A GLASS OF WINE
audio/RES0113.mp3[383.720,387.280]	OK HOW I GUESS HOW OFTEN WOULD YOU SAY
audio/RES0113.mp3[387.280,388.640]	UH ONCE A WEEK
audio/RES0113.mp3[388.640,392.120]	OK AND DO YOU SMOKE
audio/RES0113.mp3[392.120,393.680]	UM NO NOT ANYMORE
audio/RES0113.mp3[393.680,397.160]	UH HOW MUCH DID YOU SMOKE IN THE PAST
audio/RES0113.mp3[397.160,405.960]	I ID HAVE LIKE HALF A PACK UM BUT I ONLY SMOKED BETWEEN LIKE THE AGE OF 20 TO LIKE 25
audio/RES0113.mp3[405.960,412.360]	OK DO YOU SMOKE MARIJUANA OR HAVE ANY EDIBLES WITH MARIJUANA IN IT
audio/RES0113.mp3[413.400,415.120]	ANY RECREATIONAL DRUGS
audio/RES0113.mp3[415.920,424.920]	OK UM ALRIGHT WELL UH AND YOU SAID THAT YOU DONT HAVE A FAMILY HISTORY OF ANY PROBLEM
audio/RES0113.mp3[425.400,506.120]	YEAH OK ALRIGHT I THINK THATS ALL THE QUESTIONS I HAD FOR YOU SO UH LOOKS LIKE YOUVE HAD A FEVER COUGH AND A UM AND A HEADACHE THATS GOTTEN WORSE IN THE PAST FOUR DAYS AND YOUR HEADACHES PRETTY BAD A SEVEN OUT OF TEN UM AND UH IT COULD BE THAT YOU HAVE UH SOME SORT OF AN INFECTION UH INCLUDING UM WITH COVID BEING ONE OF THE POSSIBILITIES AND SO UM CONTINUE TO TAKE TYLENOL AND AND UM MONITOR YOUR UH FEVER IF IT CONTINUES TO GET WORSE OR YOU UM NOTICE THAT YOUR SYMPTOMS ARE JUST NOT GETTING BETTER UM YOU SHOULD COME BACK YOU SHOULD UH WELL ALSO DO A COVID WELL ALSO SEND IN A REQUEST FOR A COVID SWAB UM AND UH WELL ASK YOU TO QUARANTINE FOR THE FOR THE NEXT 14 DAYS AND TRY TO STAY AWAY FROM YOUR HUSBAND AND DAUGHTER AS WELL IF YOU CAN AT HOME UM AND UH I GUESS A COUPLE OF OTHER QUESTIONS THAT I WANTED TO ASK AND I SHOULD HAVE ASKED EARLIER DO YOU HAVE ANY UM ANY STIFFNESS IN YOUR NECK OR ANY DIFFICULTIES MOVING YOUR NECK
audio/RES0113.mp3[506.120,513.120]	UH NO NOTHING LIKE THAT
audio/RES0113.mp3[513.120,518.640]	OK ALRIGHT AND UM DO YOU HAVE ANY QUESTIONS
audio/RES0113.mp3[518.640,521.040]	UH NO THATS IT THANK YOU SO MUCH
audio/RES0014.mp3[0.000,3.440]	WHAT BRINGS YOU IN TODAY
audio/RES0014.mp3[3.440,11.480]	THIS AFTERNOON IM JUST HERE BECAUSE IVE BEEN EXPERIENCING SOME BREATHLESSNESS AS WELL AS A BIT OF COUGH
audio/RES0014.mp3[11.480,14.640]	OK WHEN DID IT START
audio/RES0014.mp3[14.640,25.440]	SO I THINK ITS A IT STARTED AROUND THREE MONTHS AGO AND I BELIEVE ITS JUST BEEN GETTING WORSE
audio/RES0014.mp3[25.440,32.120]	OK UM HOW OFTEN ARE YOU EXPERIENCING THE SHORTNESS OF BREATH
audio/RES0014.mp3[32.120,44.600]	I FEEL IT LIKE A LOT OF THE TIME ESPECIALLY OUTSIDE WHEN IM IN THE COLD OR AT AT NIGHT WHEN I GO OUTSIDE AT NIGHT MY CHEST FEELS A LITTLE TIGHT TOO AT THE SAME TIME
audio/RES0014.mp3[44.600,49.040]	OK AND HOW LONG DOES IT LAST
audio/RES0014.mp3[49.040,59.600]	I WOULD SAY IT LASTS UP TO AN HOUR EVERY TIME IM OUT IN THE COLD AND THEN ONCE I COME BACK IN SO ID SAY IT LASTS AT LEAST ONE HOUR
audio/RES0014.mp3[59.600,70.040]	OK DOES ANYTHING ELSE MAKE IT WORSE LIKE DUST YOU KNOW LAYING DOWN ANYTHING LIKE THAT
audio/RES0014.mp3[70.040,81.600]	SOMETIMES WHEN IM NEAR DUST SOMETIMES WHEN IM RUNNING DURING GYM CLASS INCREASED ACTIVITY DOES MAKE IT WORSE
audio/RES0014.mp3[81.600,98.080]	OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHING DIFFICULTIES IS IT MORE LIKE A BURNING KIND OF FEELING IS IT LIKE YOU CANT CATCH YOUR BREATH WHAT DOES IT FEEL LIKE
audio/RES0014.mp3[98.080,111.640]	I THINK ITS MORE JUST A I CANT CATCH MY BREATH AND IT FEELS LIKE MY MY THROAT IS JUST KIND OF LIKE CLOSING OFF AND I CANT TAKE DEEP BREATHS
audio/RES0014.mp3[111.640,121.320]	OK YEAH THATS SCARY AND ONE TO 10 10 BEING THE WORST HOW BAD IS YOUR SHORTNESS OF BREATH
audio/RES0014.mp3[121.320,135.000]	IT CAN GET UP TO I WOULD SAY LIKE AN 8 AT TIMES IT CAN GET PRETTY SCARY AND SOMETIMES LIKE I FEEL LIKE HEAVINESS IN MY CHEST TOO WHEN IT HAPPENS
audio/RES0014.mp3[135.000,143.120]	YEAH AND THE COUGHING HAS IT BEEN GOING ON FOR AS LONG AS YOUR BREATHLESSNESS
audio/RES0014.mp3[143.120,150.680]	I WOULD SAY AROUND THE SAME SAME TIME FRAME LIKE 3 MONTHS BUT IM NOT ALWAYS COUGHING IT COMES AND GOES
audio/RES0014.mp3[150.680,160.240]	OK AND FOR YOUR COUGHING IS IT KIND OF LIKE THE SAME TRIGGERS THE COLD DUST THINGS LIKE THAT
audio/RES0014.mp3[160.240,161.880]	YEAH I WOULD SAY SO
audio/RES0014.mp3[161.880,165.400]	AND DO YOU EVER HAVE DO YOU EVER COUGH UP BLOOD
audio/RES0014.mp3[165.400,171.120]	NO I DONT ITS MOSTLY JUST A DRY COUGH I DONT COUGH UP ANYTHING
audio/RES0014.mp3[171.120,181.520]	OK SO NO SPUTUM OR PHLEGM NO OK DO YOU EVER FEEL WHEEZY
audio/RES0014.mp3[181.520,192.760]	I I I DO HEAR LIKE A LIKE A WEIRD SOUND WHEN I BREATHE OUT SOMETIMES I I THINK IT MIGHT BE WHEEZINESS
audio/RES0014.mp3[192.760,197.880]	OK OK DO YOU HAVE A SORE THROAT
audio/RES0014.mp3[197.880,200.960]	UH NO I DONT HAVE A SORE THROAT NO
audio/RES0014.mp3[200.960,205.520]	NO UM HOW ABOUT A RUNNY NOSE OR STUFFY NOSE
audio/RES0014.mp3[205.520,207.920]	NO NOTHING LIKE THAT
audio/RES0014.mp3[207.920,211.880]	ANY CHANGES IN YOUR SMELL
audio/RES0014.mp3[211.880,214.640]	NO NO CHANGES IN MY SMELL NO
audio/RES0014.mp3[214.640,220.080]	OK HOW ABOUT HEARING
audio/RES0014.mp3[220.080,222.600]	UH NO HEARING IS FINE
audio/RES0014.mp3[222.600,228.120]	OK AND LIKE NO PUS OR LIQUIDS COMING OUT OF YOUR EAR OR ANYTHING LIKE THAT RIGHT
audio/RES0014.mp3[228.880,230.480]	NO EAR PAIN
audio/RES0014.mp3[231.280,234.840]	OK AND HOW ABOUT YOUR VISION EVERYTHING OK THERE
audio/RES0014.mp3[234.840,236.600]	YEAH EVERYTHING IS OK
audio/RES0014.mp3[236.600,240.080]	OK ANY FEVERS
audio/RES0014.mp3[240.080,251.320]	I DONT KNOW ABOUT A FEVER I HAVENT CHECKED BUT SOME NIGHTS I DO ESPECIALLY IN THE LAST WEEK I HAVE WOKEN UP FEELING A BIT CHILLY I HAVENT REALLY CHECKED
audio/RES0014.mp3[251.320,255.160]	OK SO YOU WOKE UP FEELING CHILLY ANY NIGHT SWEATS
audio/RES0014.mp3[255.160,256.640]	UH NO
audio/RES0014.mp3[256.640,259.200]	OK ANY WEIGHT LOSS
audio/RES0014.mp3[259.200,260.160]	NO NO
audio/RES0014.mp3[260.160,266.280]	HOW ABOUT CHANGES IN YOUR SKIN LIKE HAVE YOU NOTICED A RASH ANYWHERE
audio/RES0014.mp3[266.280,271.240]	UH NOT THAT IVE REALLY NOTICED NO NO RASHES
audio/RES0014.mp3[271.240,276.000]	OK AND ANY CHEST PAIN AT ALL
audio/RES0014.mp3[276.000,289.120]	NO JUST SOMETIMES WHEN I IM COUGHING A LOT I FEEL A LITTLE BIT OF JUST TENSION AND HEAVINESS IN THERE BUT THATS JUST WHEN IM LIKE REALLY COUGHING A LOT
audio/RES0014.mp3[289.120,294.360]	YEAH OK AND ANY ANY FEELINGS LIKE YOUR HEARTS RACING
audio/RES0014.mp3[295.280,303.640]	NO OK AND HOW ABOUT SWELLING HAVE YOU NOTICED SWELLING ANYWHERE IN YOUR BODY
audio/RES0014.mp3[303.640,308.520]	NO NOTHING LIKE THAT
audio/RES0014.mp3[308.520,317.520]	NO OK UM OK HOW ABOUT UM DOES YOUR SHORTNESS OF BREATH GET WORSE WHEN YOURE FALLING ASLEEP
audio/RES0014.mp3[317.520,327.160]	NO NOTHING LIKE THAT I THINK ITS MAINLY JUST WORSE IF I GO OUT IN THE COLD OR IM LIKE RUNNING AROUND DOING MORE ACTIVITIES
audio/RES0014.mp3[327.160,330.520]	DOES IT EVER WAKE YOU UP AT NIGHT
audio/RES0014.mp3[330.520,332.040]	NO NEVER
audio/RES0014.mp3[332.040,337.480]	OK AND ANY NAUSEA OR VOMITING
audio/RES0014.mp3[337.480,339.160]	NO NO NAUSEA OR VOMITTING
audio/RES0014.mp3[339.160,344.120]	OK HOW ABOUT CHANGES IN YOUR IN YOUR BOWEL MOVEMENT
audio/RES0014.mp3[344.120,346.280]	NO BOWEL MOVEMENTS ARE NORMAL
audio/RES0014.mp3[346.280,351.280]	HOW ABOUT IN TERMS OF URINATING ANY CHANGES THERE
audio/RES0014.mp3[351.280,351.760]	NO NO
audio/RES0014.mp3[351.760,354.520]	OK ANY HEADACHES
audio/RES0014.mp3[355.600,359.320]	NO ANY DIZZINESS OR FAINTING SPELLS
audio/RES0014.mp3[359.560,363.360]	CONFUSION MEMORY LOSS
audio/RES0014.mp3[363.360,366.200]	NO NOTHING LIKE THAT
audio/RES0014.mp3[366.200,370.160]	OK GOOD ARE YOU OTHERWISE HEALTHY
audio/RES0014.mp3[370.160,381.080]	YEAH I DONT HAVE ANY OTHER CONDITION I I DO REMEMBER MY DOCTORS SAYING I HAVE HAY FEVER BEFORE BUT THATS ABOUT IT
audio/RES0014.mp3[381.080,383.040]	WHEN WAS THAT
audio/RES0014.mp3[383.040,386.880]	I THINK THAT WAS LIKE MORE THAN THREE YEARS AGO
audio/RES0014.mp3[386.880,391.480]	OK UM ANY RECENT SURGERIES
audio/RES0014.mp3[392.440,396.480]	NO ARE YOU ON ANY MEDICATIONS
audio/RES0014.mp3[396.480,407.840]	I JUST TAKE SOME TYLENOL SOMETIMES FOR THE LIKE TYLENOL COLD SOMETIMES FOR THE SYMPTOMS I DONT THINK IT HAS REALLY HELPED
audio/RES0014.mp3[407.840,415.080]	NO OK DO YOU HAVE ANY ALLERGIES NOT JUST TO MEDICATIONS BUT TO ANYTHING ELSE
audio/RES0014.mp3[415.080,421.520]	UH JUST LIKE HAY FEVER BUT NOTHING NOTHING ELSE THAT I CAN THINK OF NO
audio/RES0014.mp3[421.520,428.440]	OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0014.mp3[428.440,431.560]	AS FAR AS I KNOW YEAH EVERYTHINGS UP TO DATE
audio/RES0014.mp3[431.560,436.600]	OK ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0014.mp3[436.600,450.040]	UH DONT THINK SO MY SISTER I THINK SHE THEY WERE SAYING SHE MIGHT HAVE ASTHMA AND SHE ALSO HAS ECZEMA NO ONE ELSE IN THE FAMILY HAS ANY OTHER CONDITIONS
audio/RES0014.mp3[450.040,456.160]	NOT NOT EVEN LIKE HEART CONDITIONS CANCER
audio/RES0014.mp3[456.160,458.400]	NO UH NO NOT THAT I KNOW
audio/RES0014.mp3[458.400,464.560]	OK OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0014.mp3[466.600,470.320]	NO OK AND ANY TRAVEL RECENTLY
audio/RES0014.mp3[470.320,476.160]	NO IVE BEEN HERE IN ONTARIO
audio/RES0014.mp3[476.160,477.920]	OK AND WHERE DO YOU LIVE
audio/RES0014.mp3[477.920,491.360]	SO I CURRENTLY LIVE IN LONDON BUT I JUST RECENTLY MOVED INTO A NEW FLAT AROUND TWO MONTHS AGO
audio/RES0014.mp3[491.360,497.880]	TWO MONTHS AGO OK UM IS IT MORE IS IT AN OLDER FLAT
audio/RES0014.mp3[497.880,514.440]	UH NO ITS FAIRLY NEW BUT ONE THING I DID NOTICE I DONT KNOW IF THIS HAS ANYTHING TO DO WITH IT BUT MY FLATMATE ACTUALLY SMOKES SOMETIMES THAT CAN REALLY IRRITATE AND MAKE ME COUGH MORE SOMETIMES AT NIGHT
audio/RES0014.mp3[514.440,519.560]	YEAH ANY ANY PETS
audio/RES0014.mp3[519.560,522.240]	OH NO I DONT HAVE ANY PETS
audio/RES0014.mp3[522.240,523.680]	OK AND AND DO YOU SMOKE
audio/RES0014.mp3[523.680,525.680]	NO I DONT SMOKE NO
audio/RES0014.mp3[525.680,528.560]	OK AND DO YOU SMOKE MARIJUANA
audio/RES0014.mp3[528.560,531.600]	NOPE NEVER TRIED MARIJUANA
audio/RES0014.mp3[531.600,535.160]	OK ANY RECREATIONAL DRUGS
audio/RES0014.mp3[535.160,541.320]	NO I DONT SMOKE MARIJUANA OR CIGARETTES
audio/RES0014.mp3[541.320,544.320]	OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0014.mp3[544.320,552.880]	UM JUST LIKE MAYBE SOMETIMES AT PARTIES BUT VERY RARELY MAYBE I WOULD SAY ONCE A MONTH
audio/RES0014.mp3[552.880,562.720]	OK OK UM AND IS THERE ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED
audio/RES0014.mp3[562.720,575.680]	UH SO NO I THINK THAT THAT WAS ALL LIKE JUST THE SHORTNESS OF BREATH WAS SCARING ME A LOT BUT YEAH JUST THE COUGHING BUT OTHER THAN THAT I JUST WANT TO KNOW WHATS GOING ON
audio/RES0014.mp3[575.680,584.360]	OK YEAH AND YOU MENTIONED YOU ARE OTHERWISE HEALTHY SO YOU DONT HAVE ANY HISTORY OF ASTHMA OR ANYTHING LIKE THAT RIGHT
audio/RES0014.mp3[584.360,594.200]	NO NO ONES EVER TOLD ME THAT BUT MY SISTER HAS ASTHMA SO I WAS WONDERING MAYBE
audio/RES0014.mp3[594.200,599.720]	UM HAVE YOU EVER EXPERIENCED SHORTNESS OF BREATH WHEN YOU WERE YOUNGER WITH LIKE EXERCISE
audio/RES0014.mp3[599.720,613.640]	UH NOT REALLY JUST MAYBE LIKE THE NORMAL AMOUNT LIKE IF IM RUNNING AROUND TOO MUCH I FEEL SHORTNESS OF BREATH BUT I THINK IT JUST GOT WORSE OVER THE LAST FEW MONTHS
audio/RES0014.mp3[613.640,623.240]	OK AND THEN HAVE YOU EVER HAD ANY IMAGING DONE IN THE PAST LIKE A CHEST XRAY OR INVESTIGATIONS LIKE A PULMONARY FUNCTION TEST
audio/RES0014.mp3[623.240,625.640]	NO I DONT RECALL HAVING ANY OF THAT DONE
audio/RES0014.mp3[625.640,684.480]	OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU IF YOU DIDNT HAVE ANYTHING ELSE TO ADD I GUESS WE WILL CONCLUDE BY SAYING THAT WHAT YOU HAVE WE HAVE A DIFFERENTIAL DIAGNOSIS FOR THIS UM IT SOUNDS LIKE WHAT YOU HAVE IS ASTHMA SINCE YOUR SYMPTOMS STARTED THREE MONTHS AGO WHEN YOU MOVED INTO A FLAT WITH YOUR FRIENDS AND IT SEEMS LIKE THIS SMOKING AND COLD IS TRIGGERING THAT AND SO WELL WORK YOU UP WITH A PULMONARY FUNCTION TEST TO START AND WELL SEE IF BRONCHODILATORS WILL HELP WITH YOUR SYMPTOMS AND IF IT DOESNT WELL ALSO RULE OUT OTHER THINGS LIKE PNEUMONIA OR LIKE ALLERGIC RHINITIS HOW DOES THAT SOUND
audio/RES0014.mp3[684.480,685.440]	YEAH THAT SOUNDS GOOD
audio/RES0014.mp3[685.440,689.360]	OK SOUNDS GREAT WELL WELL SEE YOU SOON THEN
audio/RES0014.mp3[689.360,691.360]	ALRIGHT THANK YOU
audio/RES0014.mp3[691.360,692.320]	TAKE CARE
audio/RES0014.mp3[692.320,696.120]	YOU TOO
audio/RES0185.mp3[0.000,1.840]	WHAT BRINGS YOU IN
audio/RES0185.mp3[1.840,19.600]	IVE I IVE HAD A AH REALLY RUNNY NOSE AND KIND OF FEELING LIKE LIKE MY NOSE HAS BEEN OBSTRUCTED AND IVE KIND OF HAD THIS LIKE SORE THROAT AS WELL OVER THE LAST SEVERAL DAYS
audio/RES0185.mp3[19.600,27.160]	OK SO DID THE RHINO START FIRST OR THE NASAL OBSTRUCTION
audio/RES0185.mp3[27.160,30.760]	YEAH THEY THEY KIND OF STARTED IT AROUND THE SAME TIME
audio/RES0185.mp3[30.760,33.320]	OK AND WHEN WAS THAT
audio/RES0185.mp3[33.320,35.760]	ABOUT FOUR DAYS AGO
audio/RES0185.mp3[35.760,39.880]	FOUR DAYS AGO AND THEN WHEN DID THE SORE THROAT START
audio/RES0185.mp3[39.880,45.480]	UH YEAH THAT STARTED ABOUT TWO DAYS AGO
audio/RES0185.mp3[45.480,54.920]	TWO DAYS AGO OK AND AND THE UH DISCHARGE IS IT IS IT CLEAR OR ARE YOU SEEING COLORS
audio/RES0185.mp3[54.920,58.600]	ITS PRETTY CLEAR AND WATERY
audio/RES0185.mp3[58.600,62.400]	SO YOURE NOT SEEING ANYTHING YELLOW GREEN OR BLOODY
audio/RES0185.mp3[62.400,66.840]	NO NOT NOTHING LIKE THAT I HAVENT SEEN ANY YELLOW GREEN OR OR BLOODY
audio/RES0185.mp3[66.840,75.800]	OK AND THEN YOUR SORE THROAT IS IT MAKING IT HARD FOR YOU TO SWALLOW SOLIDS AND FLUIDS
audio/RES0185.mp3[75.800,80.320]	NO PAIN WITH SWALLOWING JUST CAN KIND OF FEEL IT THERE
audio/RES0185.mp3[80.320,84.520]	YEAH ANY COUGHING
audio/RES0185.mp3[84.520,94.480]	YEAH ACTUALLY I STARTED TO HAVE A BIT OF A COUGH UH JUST THIS PAST DAY ITS ITS JUST STARTED
audio/RES0185.mp3[94.480,98.880]	IS IT A DRY COUGH OR IS IT A WET COUGH
audio/RES0185.mp3[98.880,100.200]	ITS DRY
audio/RES0185.mp3[100.200,105.840]	ITS DRY OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD
audio/RES0185.mp3[105.840,107.680]	NO SPUTUM OR OR BLOOD
audio/RES0185.mp3[107.680,113.200]	OK GOOD AND AND THEN ANY SHORTNESS OF BREATH
audio/RES0185.mp3[114.360,116.920]	NO ANY WHEEZING
audio/RES0185.mp3[118.120,122.520]	NO WHEEZING OK ANY CHEST PAIN
audio/RES0185.mp3[124.320,129.120]	NO UM ANY FAINTING SPELLS OR DIZZINESS
audio/RES0185.mp3[131.240,135.120]	NO OK AND THEN ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0185.mp3[135.920,141.040]	ANY CHANGES TO YOUR SMALLER TASTE
audio/RES0185.mp3[142.200,145.960]	OK AND ANY WEIGHT LOSS
audio/RES0185.mp3[145.960,148.400]	NO ITS BEEN STABLE
audio/RES0185.mp3[148.400,153.360]	OK HOW ABOUT FEVERS
audio/RES0185.mp3[153.360,156.640]	NO I DONT THINK IVE HAD A FEVER
audio/RES0185.mp3[156.640,160.760]	NO OK UH CHILLS OR NIGHT SWEATS
audio/RES0185.mp3[164.480,168.720]	NO OK UHM ANY RASHES
audio/RES0185.mp3[171.760,177.840]	NO OK UHM AND THEN ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0185.mp3[177.840,183.400]	NO I HAVENT HAD ANY DIARRHEA OR OR CONSTIPATION NOTHING LIKE THAT
audio/RES0185.mp3[183.400,187.280]	OK AND NAUSEA OR VOMITING
audio/RES0185.mp3[188.880,196.200]	NO OK AND THEN HOW ABOUT ABDOMINAL PAIN
audio/RES0185.mp3[196.200,198.680]	NO ABDOMINAL PAIN
audio/RES0185.mp3[198.680,201.840]	OK ANY CHANGES IN YOUR URINE
audio/RES0185.mp3[201.840,206.160]	NO NO PAIN WITH URINATION
audio/RES0185.mp3[206.160,212.240]	OK HOW ABOUT UHM GASSINESS OR BLOATING
audio/RES0185.mp3[212.240,215.360]	NO I HAVENT FELT ANYTHING LIKE THAT
audio/RES0185.mp3[215.360,217.680]	OK HEADACHES
audio/RES0185.mp3[217.680,229.520]	YEAH I HAVE HAD A BIT OF A HEADACHE I FELT KIND OF LIKE A A PRESSURE OF WELL I FELT KIND OF LIKE A PRESSURE IN MY FACE AND A HEADACHE
audio/RES0185.mp3[229.520,240.120]	OK UHM PRESSURE IN YOUR FACE AND A HEADACHE OK AND DO YOU NORMALLY GET THESE
audio/RES0185.mp3[240.120,260.000]	WAIT NO I THINK I GET HEADACHES WHEN IM SICK OR I DONT DONT SLEEP WELL AND I MEAN I I HAVE BEEN FEELING PRETTY FATIGUED THE LAST FEW DAYS AND UH YEAH
audio/RES0185.mp3[260.000,265.960]	YEAH IS IT THE WORST HEADACHE YOUVE EVER HAD
audio/RES0185.mp3[265.960,272.200]	NO THERE ITS PRETTY MILD ITS JUST KIND OF ANNOYING CAUSE ITS STILL THERE
audio/RES0185.mp3[272.200,282.000]	YEAH FOR SURE UHM ALRIGHT AND THEN ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0185.mp3[282.000,287.480]	NO NOTHING LIKE THAT
audio/RES0185.mp3[287.480,297.680]	NO OK GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0185.mp3[297.680,302.400]	IM HEALTHY I HAVENT HAD ANY ANY CONDITIONS
audio/RES0185.mp3[302.400,310.440]	OK THATS GOOD HAVE YOU BEEN HOSPITALIZED FOR ANYTHING HAVE YOU EVER NEEDED SURGERIES
audio/RES0185.mp3[310.440,312.520]	NO I HAVENT
audio/RES0185.mp3[312.520,318.600]	OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS
audio/RES0185.mp3[318.600,321.680]	NO MEDICATIONS
audio/RES0185.mp3[321.680,328.680]	ALRIGHT THATS GOOD AND THEN IM ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0185.mp3[328.680,331.080]	THEY ARE YES
audio/RES0185.mp3[331.080,333.520]	OK ANY ALLERGIES
audio/RES0185.mp3[333.520,334.920]	NO ALLERGIES
audio/RES0185.mp3[334.920,339.520]	OK ANY OF YOUR FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0185.mp3[339.520,344.960]	NO NO EVERYONE IN THE FAMILY IS HEALTHY
audio/RES0185.mp3[344.960,348.080]	OK DO YOU SMOKE
audio/RES0185.mp3[348.080,349.960]	NOPE I DONT
audio/RES0185.mp3[349.960,352.920]	HOW ABOUT RECREATIONAL DRUGS
audio/RES0185.mp3[352.920,367.400]	NO WELL I I USE LIKE ILL HAVE A JOINT EVERY ONCE IN AWHILE LIKE SOCIALLY WITH FRIENDS BUT UH THATS I MEAN MAYBE A COUPLE OF TIMES PER MONTH
audio/RES0185.mp3[367.400,371.360]	OK OK HOW ABOUT ALCOHOL DO YOU DRINK
audio/RES0185.mp3[371.360,385.280]	YEAH ILL HAVE UHM LIKE I DONT KNOW A FEW BEERS ON THE WEEKEND MAYBE SO I DONT KNOW MAYBE LIKE FOUR OR FIVE DRINKS PER WEEK
audio/RES0185.mp3[385.280,394.040]	OK AND THEN HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0185.mp3[394.040,408.520]	NO I AM I DONT I DONT THINK SO I LIVE UH IN A STUDENT HOUSE THOUGH WITH THAT LIKE FOUR OTHER PEOPLE
audio/RES0185.mp3[408.520,409.800]	OH I SEE
audio/RES0185.mp3[409.800,415.000]	YEAH JUST FINISHING UP SOME SCHOOL HERE IN TOWN
audio/RES0185.mp3[415.000,421.720]	OK AND HAD THEY BEEN SICK AT ALL OR HAD SIMILAR SYMPTOMS
audio/RES0185.mp3[421.720,434.920]	I THINK ONE OF THE GUYS LAST WEEK HAD I HAD A LITTLE BIT OF A COUGH AND I DONT KNOW THAT YEAH SAID HE WASNT WASNT FEELING WELL
audio/RES0185.mp3[434.920,441.760]	OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0185.mp3[441.760,448.240]	NO BEEN BEEN JUST AT HOME
audio/RES0185.mp3[448.240,453.840]	OK ALRIGHT NO TRAVEL AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0185.mp3[453.840,457.520]	SO I I JUST LIVE IN A STUDENT HOUSE WITH A
audio/RES0185.mp3[457.520,459.880]	OH YEAH SORRY YOU SAID THAT
audio/RES0185.mp3[459.880,461.920]	OH NO PROBLEM
audio/RES0185.mp3[461.920,475.680]	I GUESS IM TRYING TO GET AT UH ARE THERE ANY OLD CARPETS YOU KNOW REASONS FOR YOU TO BELIEVE THAT THERE MAY BE A LOT OF MOLD OR ASBESTOS OR ANYTHING LIKE THAT IN THE HOUSE THAT MAY BE MAKING YOUR SYMPTOMS WORSE
audio/RES0185.mp3[475.680,488.200]	ITS MOSTLY LIKE HARDWOOD OR LIKE KIND OF CERAMIC FLOORING SO THERE ARENT MANY CARPETS AND THINGS LIKE THAT SO I GUESS NO
audio/RES0185.mp3[488.200,506.240]	NO OK ALRIGHT AND THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING TO ADD OR ANYTHING YOU WANTED TO DISCUSS TODAY
audio/RES0185.mp3[506.240,513.120]	NO I WAS JUST I WONDERING WHAT MIGHT BE GOING ON ITS BEEN A FEW DAYS
audio/RES0185.mp3[513.120,559.520]	YEAH FOR SURE UHM SO IT SOUNDS LIKE YOU MAY HAVE A VIRAL INFECTION AND BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A COVID SWAB ON YOU JUST TO RULE THAT OUT UHM BUT FROM THE SOUNDS OF WHAT YOUR SYMPTOMS ARE IT IT IS MOST LIKELY TO BE A COMMON COLD IN WHICH CASE YOU CAN JUST MANAGE IT WITH A LOT OF HYDRATION NUTRITION GOOD SLEEP BUT IF YOUR SYMPTOMS GET WORSE OR THEYRE NOT GOING AWAY AFTER A COUPLE OF WEEKS OR YOURE HAVING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES YOU SHOULD GET HELP FROM THE ER DOES THAT SOUND OK
audio/RES0185.mp3[559.520,566.360]	YEAH FOR SURE I HAVENT HAD ANY ANY SYMPTOMS LIKE THAT SO SO FAR SO THATS GOOD
audio/RES0185.mp3[566.360,569.080]	YEAH FOR SURE ALRIGHT TAKE CARE
audio/RES0185.mp3[569.080,574.600]	TAKE CARE THANK YOU
audio/CAR0001.mp3[0.000,2.040]	WHAT BROUGHT YOU IN TODAY
audio/CAR0001.mp3[2.040,11.320]	SURE IM IM JUST HAVING A LOT OF CHEST PAIN AND AND SO I THOUGHT I SHOULD GET IT CHECKED OUT
audio/CAR0001.mp3[11.320,20.520]	OK BEFORE WE START COULD YOU REMIND ME OF YOUR GENDER AND AGE
audio/CAR0001.mp3[20.520,24.560]	SURE 39 IM A MALE
audio/CAR0001.mp3[24.560,30.800]	OK AND SO WHEN DID THIS CHEST PAIN START
audio/CAR0001.mp3[30.800,39.160]	IT STARTED LAST NIGHT BUT ITS BECOMING SHARPER
audio/CAR0001.mp3[39.160,42.560]	OK AND WHERE IS THIS PAIN LOCATED
audio/CAR0001.mp3[42.560,46.800]	ITS LOCATED ON THE LEFT SIDE OF MY CHEST
audio/CAR0001.mp3[46.800,55.520]	OK AND SO HOW LONG HAS IT BEEN GOING ON FOR THEN IF IT STARTED LAST NIGHT
audio/CAR0001.mp3[55.520,62.560]	SO I GUESS IT WOULD BE A COUPLE OF HOURS NOW MAYBE LIKE 8
audio/CAR0001.mp3[62.560,71.600]	OK HAS IT BEEN CONSTANT THROUGHOUT THAT TIME OR UH OR CHANGING
audio/CAR0001.mp3[71.600,76.360]	I WOULD SAY ITS BEEN PRETTY CONSTANT YEAH
audio/CAR0001.mp3[76.360,86.400]	OK AND HOW WOULD YOU DESCRIBE THE PAIN PEOPLE WILL USE WORDS SOMETIMES LIKE SHARP BURNING ACHY
audio/CAR0001.mp3[86.400,90.400]	ID SAY ITS PRETTY SHARP YEAH
audio/CAR0001.mp3[90.400,99.080]	SHARP OK UH ANYTHING THAT YOU HAVE DONE TRIED SINCE LAST NIGHT THATS MADE THE PAIN BETTER
audio/CAR0001.mp3[99.080,103.600]	UM NOT LAYING DOWN HELPS
audio/CAR0001.mp3[103.600,108.680]	OK SO DO YOU FIND LAYING DOWN MAKES THE PAIN WORSE
audio/CAR0001.mp3[108.680,111.080]	YES DEFINITELY
audio/CAR0001.mp3[111.080,117.760]	OK DO YOU FIND THAT THE PAIN IS RADIATING ANYWHERE
audio/CAR0001.mp3[121.000,127.280]	OK AND IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE BESIDES LAYING DOWN
audio/CAR0001.mp3[127.280,130.720]	NOT THAT IVE NOTICED NO
audio/CAR0001.mp3[130.720,136.040]	OK SO NOT LIKE TAKING A DEEP BREATH OR ANYTHING LIKE THAT
audio/CAR0001.mp3[136.040,140.040]	MAYBE TAKING A DEEP BREATH YEAH
audio/CAR0001.mp3[140.040,151.840]	OK AND WHEN THE PAIN STARTED COULD YOU TELL ME UH COULD YOU THINK OF ANYTHING THAT YOU WERE DOING AT THE TIME
audio/CAR0001.mp3[151.840,160.160]	I MEAN I WAS MOVING SOME FURNITURE AROUND BUT THAT IVE DONE THAT BEFORE
audio/CAR0001.mp3[160.160,166.600]	OK SO YOU DIDNT FEEL LIKE YOU HURT YOURSELF WHEN YOU WERE DOING THAT
audio/CAR0001.mp3[168.040,182.160]	OK AND IN REGARDS TO HOW SEVERE THE PAIN IS ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW SEVERE WOULD YOU SAY THE PAIN IS
audio/CAR0001.mp3[182.160,186.480]	ID SAY ITS LIKE A SEVEN OR EIGHT ITS PRETTY BAD
audio/CAR0001.mp3[186.480,193.560]	OK AND WITH THE PAIN DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS
audio/CAR0001.mp3[193.560,199.920]	I FEEL A LITTLE LIGHTHEADED AND IM HAVING SOME TROUBLE BREATHING
audio/CAR0001.mp3[199.920,211.120]	OK HAVE YOU HAD ANY LOSS OF CONSCIOUSNESS
audio/CAR0001.mp3[212.440,223.240]	OK UH HAVE YOU BEEN EXPERIENCING ANY LIKE RACING OF THE HEART
audio/CAR0001.mp3[223.240,226.880]	UM A LITTLE BIT YEAH
audio/CAR0001.mp3[226.880,232.640]	OK AND HAVE YOU BEEN SWEATY AT ALL
audio/CAR0001.mp3[232.640,237.080]	JUST FROM THE FROM HAVING ISSUES BREATHING
audio/CAR0001.mp3[237.080,242.560]	OK HAVE YOU BEEN HAVING ISSUES BREATHING SINCE THE PAIN STARTED
audio/CAR0001.mp3[248.120,264.720]	OK UM RECENTLY HAVE YOU HAD ANY PERIODS OF TIME WHERE YOU LIKE HAVE BEEN IMMOBILIZED OR OR YOU HAVENT BEEN LIKE ABLE TO MOVE AROUND A LOT
audio/CAR0001.mp3[264.720,266.120]	NO NO
audio/CAR0001.mp3[266.120,271.840]	OK AND HAVE YOU BEEN FEELING SICK AT ALL ANY INFECTIOUS SYMPTOMS
audio/CAR0001.mp3[273.680,276.600]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/CAR0001.mp3[277.840,280.680]	ANY FEVERS OR CHILLS
audio/CAR0001.mp3[281.880,286.120]	OK HOW ABOUT ANY ABDOMINAL PAIN
audio/CAR0001.mp3[287.680,290.320]	ANY URINARY PROBLEMS
audio/CAR0001.mp3[291.320,293.160]	OR BOWEL PROBLEMS
audio/CAR0001.mp3[294.520,298.000]	OK HAVE YOU HAD A COUGH
audio/CAR0001.mp3[299.080,303.000]	OK YOU HAVENT BROUGHT UP ANY BLOOD
audio/CAR0001.mp3[305.320,310.440]	OK HAVE YOU HAD A WHEEZE WITH YOUR DIFFICULTY BREATHING
audio/CAR0001.mp3[310.440,312.920]	NO NOT THAT IVE HEARD
audio/CAR0001.mp3[312.920,320.320]	OK ANY CHANGES TO THE BREATH SOUNDS AT ALL LIKE ANY NOISY BREATHING
audio/CAR0001.mp3[320.320,326.000]	NO WELL I GUESS IF WHEN IM REALLY HAVING TROUBLE BREATHING YEAH
audio/CAR0001.mp3[326.000,331.440]	OK HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE
audio/CAR0001.mp3[335.080,340.920]	NO OK AND HAVE YOU HAD ANY NIGHT SWEATS
audio/CAR0001.mp3[342.160,347.120]	ALRIGHT AND THEN HOW ABOUT ANY RASHES OR SKIN CHANGES
audio/CAR0001.mp3[347.120,354.280]	NO RASHES BUT I GUESS LIKE MY NECK SEEMS TO BE A LITTLE SWOLLEN
audio/CAR0001.mp3[354.280,357.680]	OK DO YOU HAVE ANY NECK PAIN
audio/CAR0001.mp3[359.200,369.880]	OK HAVE YOU HAD ANY LIKE ACCIDENTS LIKE A CAR ACCIDENT OR ANYTHING WHERE YOU REALLY JERKED YOUR NECK
audio/CAR0001.mp3[371.160,380.560]	OK UM ANY ANY TRAUMA AT ALL TO THE CHEST OR OR BACK
audio/CAR0001.mp3[381.720,391.200]	OK SO JUST IN REGARDS TO PAST MEDICAL HISTORY DO YOU HAVE ANY PRIOR MEDICAL CONDITIONS
audio/CAR0001.mp3[392.440,395.520]	OK ANY RECENT HOSPITALIZATIONS
audio/CAR0001.mp3[397.040,400.520]	OK ANY PRIOR SURGERIES
audio/CAR0001.mp3[401.840,407.840]	OK DO YOU TAKE ANY MEDICATIONS REGULARLY ARE THEY PRESCRIBED OR OVER THE COUNTER
audio/CAR0001.mp3[409.240,413.640]	ALRIGHT HOW ABOUT ANY ALLERGIES TO MEDICATIONS
audio/CAR0001.mp3[414.800,419.040]	ALRIGHT ANY IMMUNIZATIONS OR ARE THEY UP TO DATE
audio/CAR0001.mp3[419.040,420.760]	THEY ARE ALL UP TO DATE
audio/CAR0001.mp3[420.760,431.480]	EXCELLENT ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY
audio/CAR0001.mp3[431.480,443.640]	SURE I LIVE IN AN APARTMENT BY MYSELF I UH YEP THATS ABOUT IT
audio/CAR0001.mp3[443.640,449.440]	OK AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY
audio/CAR0001.mp3[449.440,452.560]	IM AN ACCOUNTANT
audio/CAR0001.mp3[452.560,461.320]	OK SOUNDS LIKE A PRETTY STRESSFUL JOB OR THAT IT CAN BE DO YOU SMOKE CIGARETTES
audio/CAR0001.mp3[461.320,463.080]	I DO
audio/CAR0001.mp3[463.080,464.440]	OK AND HOW MUCH DO YOU SMOKE
audio/CAR0001.mp3[464.440,469.800]	I SMOKE ABOUT A PACK A DAY
audio/CAR0001.mp3[469.800,472.520]	OK HOW LONG HAVE YOU BEEN SMOKING FOR
audio/CAR0001.mp3[472.520,476.840]	FOR THE PAST 10 TO 15 YEARS
audio/CAR0001.mp3[476.840,480.880]	OK AND DO YOU SMOKE CANNABIS
audio/CAR0001.mp3[480.880,482.920]	UH SOMETIMES
audio/CAR0001.mp3[482.920,487.960]	UH HOW MUCH MARIJUANA WOULD YOU SMOKE PER PER WEEK
audio/CAR0001.mp3[487.960,493.120]	PER WEEK MAYBE ABOUT 5 MILLIGRAMS NOT THAT MUCH
audio/CAR0001.mp3[493.120,504.720]	OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OPIOIDS
audio/CAR0001.mp3[505.280,509.880]	OK HAVE YOU USED IV DRUGS BEFORE
audio/CAR0001.mp3[510.400,514.400]	OK AND DO YOU DRINK ALCOHOL
audio/CAR0001.mp3[514.400,514.880]	I DO
audio/CAR0001.mp3[514.880,522.160]	OK HOW MUCH ALCOHOL DO YOU DRINK EACH WEEK
audio/CAR0001.mp3[522.160,529.880]	UHM ABOUT I WOULD SAY I HAVE LIKE ONE OR TWO DRINKS A DAY SO ABOUT 10 DRINKS A WEEK
audio/CAR0001.mp3[529.880,541.880]	OK UH YEAH AND UM ALRIGHT AND THEN BRIEFLY COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIKE DIET AND EXERCISE
audio/CAR0001.mp3[541.880,561.720]	SURE I TRY TO EAT HEALTHY FOR DINNER AT LEAST BUT MOST OF MY LUNCHES ARE UH I EAT OUT AND THEN IN TERMS OF EXERCISE I TRY TO EXERCISE EVERY OTHER DAY I RUN FOR ABOUT HALF AN HOUR
audio/CAR0001.mp3[561.720,573.640]	OK WELL THATS GREAT THAT YOUVE BEEN WORKING ON THE THE ACTIVITY AND THE DIET AS WELL SO HAS ANYTHING LIKE THIS HAPPENED IN YOUR FAMILY BEFORE
audio/CAR0001.mp3[575.640,579.000]	OK HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE
audio/CAR0001.mp3[579.000,585.600]	ACTUALLY YES MY FATHER HAD A HEART ATTACK WHEN HE WAS 45
audio/CAR0001.mp3[585.600,593.720]	OK AND ANYBODY IN THE FAMILY HAVE CHOLESTEROL PROBLEMS
audio/CAR0001.mp3[593.720,595.240]	I THINK MY FATHER DID
audio/CAR0001.mp3[595.240,600.720]	I SEE OK AND HOW ABOUT ANYBODY IN THE FAMILY HAVE A STROKE
audio/CAR0001.mp3[600.720,602.880]	NO STROKES
audio/CAR0001.mp3[602.880,610.440]	OK AND THEN ANY CANCERS IN THE FAMILY
audio/CAR0001.mp3[611.760,619.320]	OK AND IS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT TODAY THAT THAT I ON ON HISTORY
audio/CAR0001.mp3[619.320,625.760]	NO I DONT THINK SO I THINK YOU ASKED ME EVERYTHING
audio/MSK0044.mp3[0.000,3.280]	WHAT BRINGS YOU HERE TODAY
audio/MSK0044.mp3[3.280,36.240]	I JUST HAD UH WELL IT WAS JUST UH I CAME FROM FOOTBALL PRACTICE I UH JUST FELT LIKE SOMEBODY FELL ON ME WHILE LIKE WHILE I WAS ON THE GROUND AND ITS LIKE IVE HAD THIS SHOULDER PAIN IMMEDIATELY AFTERWARDS AND I CAN SEE A LIKE LUMP UM KIND OF POINTING OUT LIKE IN MY SKIN HERE ON MY ON MY UM CLAVICLE OR SHOULDER BONE
audio/MSK0044.mp3[36.240,39.960]	OKAY IS IT THE RIGHT SIDE OR THE LEFT SIDE
audio/MSK0044.mp3[39.960,43.520]	UH ITS THE RIGHT SIDE
audio/MSK0044.mp3[43.520,50.200]	THE RIGHT SIDE OKAY UM OKAY AND HOW LONG AGO DID THIS HAPPEN
audio/MSK0044.mp3[50.200,58.360]	IT HAPPENED ABOUT JUST A COUPLE OF HOURS AGO YEAH JUST ABOUT 2 HOURS AGO
audio/MSK0044.mp3[58.360,73.160]	OKAY UM UM DID SOMEONE DID SOMEONE FALL ONTO YOUR SIDE OKAY UH SO YOUR MAIN ARE YOU HAVING MAINLY PAIN IN THAT IN THAT AREA OR IS IT GOING TO OTHER PLACES
audio/MSK0044.mp3[73.160,80.640]	ITS MOSTLY JUST THE PAIN LIKE RIGHT IN THAT AREA IM NOT FEELING IT ANYWHERE ELSE
audio/MSK0044.mp3[80.640,87.560]	OKAY AND UM WHAT KIND OF PAIN ARE YOU FEELING IS IT SHARP STABBING OR IS IT ACHING
audio/MSK0044.mp3[87.560,93.200]	ITS REALLY SHARP IT FEELS LIKE IM IM GETTING STABBED IN THE SHOULDER
audio/MSK0044.mp3[93.200,100.120]	OKAY I SEE AND ON A SCALE OF 0 TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT
audio/MSK0044.mp3[100.120,103.880]	UH THIS IS LIKE A 10 IT HURTS REALLY BAD
audio/MSK0044.mp3[103.880,112.960]	OKAY AND UM ARE ABLE TO DO ANY MOVEMENTS OR ARE YOU JUST KIND OF HOLDING YOUR ARM UP WITH YOUR OTHER OTHER ARM
audio/MSK0044.mp3[112.960,136.480]	I YEAH IVE JUST BEEN HOLDING MY ARM UP BY UH I KIND OF MADE A SLING OUT OF YEAH LIKE THE COACHES HELPED MAKE A SLING OUT OF ONE OF THE UH WHAT WE LIKE A SHIRT OR SOMETHING LIKE THAT AT THE PRACTICE AND SO IVE BEEN JUST KIND OF HOLDING MY ARM AGAINST MY CHEST WITH MY ELBOW FLEXED I HAVENT REALLY MOVED IT AT ALL
audio/MSK0044.mp3[136.480,148.200]	I SEE OKAY UM AND IF YOU WERE TO DESCRIBE JUST WHAT IT LOOKS LIKE RIGHT NOW DOES YOUR SHOULDER KIND OF SEEM LIKE ITS SAGGING
audio/MSK0044.mp3[148.200,150.560]	YEAH IT DOES
audio/MSK0044.mp3[150.560,167.320]	OKAY AND DO YOU NOTICE ANY POINT NEAR YOUR SHOULDER LIKE CLAVICLE AREA THAT HAS ANY BRUISING SWELLING LOOKS LIKE RED ANYTHING LIKE THAT
audio/MSK0044.mp3[167.320,182.400]	UM LIKE MAYBE A LITTLE BIT OF BRUISING AND SWELLING LIKE OVER THE AREA WHERE I CAN SEE LIKE MY MY SKIN POINTING UP BUT UM YEAH THATS THE ONLY AREA
audio/MSK0044.mp3[182.400,191.320]	OKAY I SEE OKAY ANY OTHER SYMPTOMS LIKE ANY PAIN IN ANY OTHER JOINTS MUSCLES
audio/MSK0044.mp3[191.320,200.560]	NO JUST THE PAIN RIGHT THERE
audio/MSK0044.mp3[200.560,206.720]	OKAY ALRIGHT UM AND UH OTHER THAN THAT HAVE YOU PREVIOUSLY HAD ANY POPPED JOINTS BEFORE
audio/MSK0044.mp3[206.720,208.280]	UH I NO I HAVENT
audio/MSK0044.mp3[208.280,214.720]	OKAY AND NO OTHER TRAUMA OR ANYTHING IN THE SAME REGION
audio/MSK0044.mp3[214.720,222.720]	NO I HAVENT HAD ANY PAINS THERE BEFORE OR ANYTHING LIKE THAT
audio/MSK0044.mp3[222.720,230.720]	OKAY I SEE OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0044.mp3[230.720,231.920]	UH NO I HAVENT
audio/MSK0044.mp3[231.920,246.360]	OKAY ALRIGHT AND DID YOU HURT YOURSELF ANYWHERE ELSE LIKE DID YOU HURT YOUR HEAD AT ALL UM SUFFER ANY LOSS OF CONSCIOUSNESS OR ANYTHING LIKE THAT
audio/MSK0044.mp3[246.360,256.640]	NO NO I I DIDNT I WAS KIND OF JUST LIKE LAYING ON MY SIDE AND THEY FELL LIKE ON MY LEFT SHOULDER AND I I JUST GOT SQUISHED
audio/MSK0044.mp3[256.640,263.640]	OKAY AND DID IT HAVE ANY IMPACT ON YOUR CHEST LIKE YOU DO YOU FEEL SHORT OF BREATH OR ANYTHING LIKE THAT
audio/MSK0044.mp3[263.640,271.800]	NO SHORTNESS OF BREATH KIND OF KNOCKED THE WIND OUT OF ME AT AT FIRST BUT IM OKAY NOW
audio/MSK0044.mp3[271.800,285.880]	OKAY I SEE THATS GOOD UM OKAY AND OTHER THAN UH SO NO MEDICAL CONDITIONS DO YOU TAKE ANY MEDICATIONS AT ALL
audio/MSK0044.mp3[285.880,299.720]	UM YEAH ILL TAKE LIKE UH JUST SOME ALLERGY MEDICATION EVERY ONCE IN A WHILE WHEN ITS LIKE JUST SEASONAL ALLERGIES I THINK TO JUST SOME ENVIRONMENTAL TRIGGERS IS ALL
audio/MSK0044.mp3[299.720,306.120]	OKAY AND AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/MSK0044.mp3[306.120,309.560]	UH NO I DONT BELIEVE SO
audio/MSK0044.mp3[309.560,315.400]	OKAY ANYTHING THAT YOUVE TRIED THAT HAS HELPED OR MADE YOUR PAIN WORSE
audio/MSK0044.mp3[315.400,325.560]	NO I HAVENT I HAVENT TAKEN ANYTHING YET I JUST UH LIKE BASICALLY CAME RIGHT FROM PRACTICE TO THE TO THE HOSPITAL
audio/MSK0044.mp3[325.560,332.040]	OKAY UM HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS
audio/MSK0044.mp3[333.000,336.120]	ANY SKIN CHANGES LIKE RASHES
audio/MSK0044.mp3[336.120,339.840]	NO I HAVENT HAD ANY RASHES
audio/MSK0044.mp3[339.840,349.360]	OKAY ANY WEAKNESS IN YOUR UPPER OR LOWER EXTREMITIES BESIDES LIKE THE AREA THATS AFFECTED
audio/MSK0044.mp3[351.200,355.360]	NO OKAY UM ANY DIZZINESS FAINTING EPISODES
audio/MSK0044.mp3[355.360,358.160]	UH NO NOTHING LIKE THAT
audio/MSK0044.mp3[358.160,361.280]	OKAY AND YOUR HEARING AND VISION IS ALRIGHT RIGHT NOW
audio/MSK0044.mp3[361.280,364.800]	IT IS YEAH I HAVENT HAD ANY PROBLEMS WITH THAT
audio/MSK0044.mp3[364.800,369.040]	OKAY AND HAVE YOU HAD ANY KIND OF CONCUSSIONS OR ANYTHING IN THE PAST
audio/MSK0044.mp3[369.040,373.640]	UM NO I HAVENT HAD ANY
audio/MSK0044.mp3[373.640,382.560]	ALRIGHT UH HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/MSK0044.mp3[382.560,385.320]	UM NO NOT NOT EVER
audio/MSK0044.mp3[385.320,389.840]	OKAY ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/MSK0044.mp3[389.840,398.600]	UH NO NO NOTHING THAT I CAN THINK OF EVERYBODYS PRETTY HEALTHY
audio/MSK0044.mp3[398.600,403.000]	OKAY UM AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/MSK0044.mp3[403.000,416.720]	SO I LIVE WITH BOTH OF MY PARENTS AND UM I HAVE A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL WE LIVE IN A IN A HOUSE
audio/MSK0044.mp3[416.720,420.760]	OKAY ALRIGHT AND UM DO YOU WORK CURRENTLY OR ARE YOU A STUDENT
audio/MSK0044.mp3[420.760,442.760]	YEAH IM IN HIGH SCHOOL AND UM I I WORK PARTTIME AT THE GROCERY STORE AS WELL BUT UH ITS NOT THAT OFTEN THOUGH BECAUSE IVE JUST BEEN BEEN PLAYING SPORTS ON THE FOOTBALL TEAM WE HAVE A LOT OF PRACTICES AND GAMES AND STUFF
audio/MSK0044.mp3[442.760,448.880]	OKAY UM DO YOU DRINK ALCOHOL
audio/MSK0044.mp3[448.880,470.080]	UH I SOMETIMES I WITH FRIENDS UM WEVE HAD A COUPLE OF BEERS HERE AND HERE AND THERE BUT I MEAN ITS ITS NOT SOMETHING THAT IVE DONE VERY OFTEN YEAH WEVE BEEN PRETTY SAFE I FEEL LIKE
audio/MSK0044.mp3[470.080,475.600]	OKAY AND DO YOU SMOKE CIGARETTES OR MARIJUANA OR USE ANY RECREATIONAL DRUGS
audio/MSK0044.mp3[475.600,478.200]	NO NOTHING LIKE THAT
audio/MSK0044.mp3[478.200,548.800]	OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION OF THE AREA UM WE WE WILL DEFINITELY GET AN XRAY OF THE SHOULDER AND CLAVICLE TO SEE WHAT KIND OF IT SEEMS LIKE YOU HAVE A CLAVICULAR FRACTURE FROM JUST THE MECHANISM OF THE INJURY AS WELL AS EVERYTHING YOU WERE DESCRIBING UM BUT IT IS IMPORTANT TO UNDERSTAND HOW LIKE WHAT KIND OF CLAVICLE INJURY IT IS AND WHERE ITS AFFECTED IF ITS IN THE MIDDLE AREA ON LIKE THE OUTER AREAS OF THE CLAVICLE UM AND HOW MUCH ITS DISPLACED BECAUSE THAT WILL DETERMINE IF WE JUST NEED TO REDUCE IT HERE AND THEN GIVE YOU A SLING AND THEN YOU CAN GO HOME THATS USUALLY THE CASE BUT SOMETIMES YOU MAY REQUIRE SURGERY AS WELL AND WE WOULD NEED TO REFER YOU TO AN ORTHOPAEDIC SURGEON SO YEAH WELL WELL GET THE XRAY DONE AND IF YOU NEED ANYTHING FOR PAIN CURRENTLY WE WILL GIVE YOU SOME MEDICATIONS HERE UM AND THEN WELL GO FROM THERE
audio/MSK0044.mp3[548.800,550.800]	ALRIGHT THANK YOU
audio/MSK0044.mp3[550.800,555.200]	YOURE WELCOME UM ILL BE HERE WITH YOU SHORTLY
audio/MSK0044.mp3[555.200,557.120]	THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0085.mp3[0.000,2.440]	WHAT BRINGS YOU IN
audio/RES0085.mp3[2.440,43.800]	YEAH SO I JUST BROUGHT MY SON WENT TO THE HOSPITAL IVE JUST BEEN GETTING VERY CONCERNED BECAUSE HES MAKING LIKE THESE LIKE GRUNTING NOISES FOR THE LAST DAY AND LIKE ITS ITS REALLY WORRYING ME I DONT KNOW IF HES LIKE NOT BREATHING AND I ALSO JUST DID LIKE A TEMPERATURE ON HIM JUST THIS MORNING AND IT CAME UP TO LIKE LIKE A HIGH 38 SO I DONT KNOW WHATS GOING ON AND THEN HES JUST VERY LIKE IRRITABLE AND JUST NOT HIMSELF I THINK
audio/RES0085.mp3[43.800,47.640]	OK SO ALL OF THIS STARTED A DAY AGO YOU MENTIONED
audio/RES0085.mp3[47.640,66.120]	YEAH IT STARTED YESTERDAY BUT THE GRUNTING STARTED TODAY LIKE I THINK HE WAS A BIT ON THE WARMER SIDE LAST NIGHT AS WELL MORE IRRITABLE LAST NIGHT BUT THE GRUNTING STARTED THIS MORNING
audio/RES0085.mp3[66.120,70.040]	OK UHM AND YOU MENTIONED HIS FEVER WAS 38 CORRECT
audio/RES0085.mp3[70.040,74.960]	YEAH I THINK IT WAS LIKE 38 7 OR SOMETHING LIKE THAT
audio/RES0085.mp3[74.960,79.720]	OK IS HE COUGHING AT ALL
audio/RES0085.mp3[79.720,89.560]	UHM YEAH I WOULD SAY WITH THE GRUNTING THERE IS SOME COUGHING IN BETWEEN AS WELL
audio/RES0085.mp3[89.560,92.920]	OK AND IS HE BRINGING UP ANY PHLEGM
audio/RES0085.mp3[92.920,110.080]	UHM HES BEEN HAVING SOME SPIT UPS AS WELL THEYRE MAINLY LIKE CLEAR AND WHITISH BUT YEAH I DONT KNOW IF HES BRINGING ANYTHING ELSE UP THERES NO GREEN OR YELLOW MATERIAL THOUGH
audio/RES0085.mp3[110.080,115.120]	OK ANY BLOOD IN THERE
audio/RES0085.mp3[115.120,117.680]	NO I HAVENT NOTICE ANY BLOOD
audio/RES0085.mp3[117.680,120.640]	DOES HE SOUND WHEEZY
audio/RES0085.mp3[120.640,127.640]	UH NO ITS MAINLY JUST THE GRUNTING
audio/RES0085.mp3[127.640,131.280]	OK OK DOES HE LOOK SWOLLEN TO YOU
audio/RES0085.mp3[131.280,135.960]	UH SWOLLEN AS IN JUST UH LIKE IN HIS
audio/RES0085.mp3[135.960,140.400]	IN HIS UH LIKE UH LEGS ARMS OR BELLY AREA
audio/RES0085.mp3[140.400,148.200]	NO I DONT THINK SO
audio/RES0085.mp3[148.200,154.600]	NO OK AND UH DOES HE HAVE A RUNNY NOSE OR A STUFFY NOSE
audio/RES0085.mp3[154.600,156.360]	NO I DONT THINK SO
audio/RES0085.mp3[156.360,160.880]	NO OK HOW IS HIS FEEDING
audio/RES0085.mp3[160.880,176.840]	YEAH ITS ITS BEEN DIFFICULT SO RIGHT NOW LIKE HIS MOM IS AT HOME BUT SHE WAS HAVING DIFFICULTY FEEDING HES MAINLY BREASTFED RIGHT NOW
audio/RES0085.mp3[177.680,186.040]	AND HES NOT REALLY BEEN FEEDING TOO MUCH EITHER
audio/RES0085.mp3[186.040,190.960]	OK AND HOW ABOUT LIKE THE NUMBER OF WET DIAPERS HE HAS
audio/RES0085.mp3[190.960,197.320]	JUST THE NORMAL LIKE THAT HASNT CHANGED HE HAS LIKE THREE OR FOUR IN A DAY
audio/RES0085.mp3[197.320,203.280]	OK OK GOOD HAVE YOU NOTICED ANY CHANGES TO HIS BOWEL MOVEMENTS OR URINE
audio/RES0085.mp3[203.280,205.920]	NO PRETTY MUCH BEEN THE SAME
audio/RES0085.mp3[205.920,209.560]	OK IS HE THROWING UP AT ALL
audio/RES0085.mp3[209.560,220.520]	NOPE JUST SOME SPIT UPS I DONT KNOW IF THATS JUST BECAUSE OF THE COUGHING OR IF THEYRE JUST SPIT UPS LIKE BUT NOTHING AFTER EATING
audio/RES0085.mp3[220.520,224.840]	OK OK HAVE YOU NOTICED ANY RASHES ON HIM
audio/RES0085.mp3[224.840,230.640]	NO NO RASHES
audio/RES0085.mp3[230.640,237.960]	OK UHM HAS HE HAD ANY FAINTING SPELLS OR SEIZURES
audio/RES0085.mp3[237.960,250.920]	UH NO IVE BEEN REALLY TRYING TO MAKE SURE LIKE I WAS WORRIED IF HE GETS BLUE OR SOMETHING THAT WE WOULD RUSH TO THE EMERGENCY DEPARTMENT BUT I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0085.mp3[250.920,258.520]	OK OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0085.mp3[258.520,266.560]	NO I DONT THINK SO WEVE BEEN TRYING TO BE VERY CAREFUL WITH THE PANDEMIC AND EVERYTHING GOING ON
audio/RES0085.mp3[266.560,275.160]	FOR SURE ANY TRAVEL TO ANYWHERE RECENTLY
audio/RES0085.mp3[277.000,281.200]	OK AND IS HE AN OTHERWISE HEALTHY BABY
audio/RES0085.mp3[281.200,289.240]	YEAH SO UH HEALTHY BUT HE WAS BORN PREMATURE AT 36 WEEKS
audio/RES0085.mp3[290.600,300.440]	AND NO COMPLICATIONS REALLY WITH THE PREGNANCY OR AFTER HE WAS BORN BUT YEAH HE WAS PREMATURE
audio/RES0085.mp3[300.440,311.000]	OK AND SO HE DIDNT NEED ANY HOSPITALIZATIONS RIGHT AFTER BIRTH RIGHT
audio/RES0085.mp3[311.000,314.680]	NO HE WAS FINE AFTER BIRTH
audio/RES0085.mp3[314.680,318.920]	AND NO LONGSTANDING MEDICAL CONDITIONS AFTER BIRTH
audio/RES0085.mp3[320.600,326.840]	HAS HE NEEDED HOSPITALIZATIONS FOR ANYTHING IN THE PAST OR SURGERIES
audio/RES0085.mp3[326.840,328.520]	NO NOTHING LIKE THAT
audio/RES0085.mp3[328.520,334.440]	OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0085.mp3[334.440,343.000]	YEAH THE TWO MONTHS VACCINATIONS ARE ALL UP TO DATE
audio/RES0085.mp3[343.000,347.480]	OK GOOD MEDICATIONWISE IS HE ON ANYTHING
audio/RES0085.mp3[347.480,349.360]	NO NO MEDICATIONS
audio/RES0085.mp3[349.360,352.360]	OK ANY ALLERGIES
audio/RES0085.mp3[353.920,357.720]	ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0085.mp3[357.720,361.080]	NO NOT THAT WE KNOW OF
audio/RES0085.mp3[361.080,364.920]	OK ANY CANCERS IN THE FAMILY
audio/RES0085.mp3[368.400,373.200]	AND WHO DOES HE LIVE WITH AT HOME
audio/RES0085.mp3[373.200,376.440]	JUST ME AND MY WIFE
audio/RES0085.mp3[376.440,382.160]	OK UHM IN A HOUSE APARTMENT
audio/RES0085.mp3[382.160,385.920]	IN A HOUSE
audio/RES0085.mp3[385.920,393.640]	OK ANY OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING LIKE THAT AT HOME
audio/RES0085.mp3[393.640,395.840]	NO NOTHING LIKE THAT
audio/RES0085.mp3[395.840,400.040]	OK AND DOES ANYONE AT HOME SMOKE
audio/RES0085.mp3[403.640,410.640]	OK WELL THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0085.mp3[410.640,422.400]	YEAH NO I WAS JUST REALLY WORRIED LIKE THE GRUNTING IS JUST REALLY SCARING US SO DO YOU I WAS JUST WONDERING IF YOU KNOW WHAT IT COULD BE
audio/RES0085.mp3[422.400,480.800]	YEAH SO THE GRUNTING IS WORRISOME HE COULD HAVE ANYTHING FROM BRONCHIOLITIS TO PNEUMONIA SO WHAT WELL DO IS WELL FIRST GET HIS TEMPERATURE WELL GET HIS O2 SAT AND WE WILL GET SOME IMAGING DONE AS WELL TO SEE IF ITS MORE IN LINE WITH BRONCHIOLITIS OR PNEUMONIA IF ITS BRONCHIOLITIS IT WILL BE SUPPORTIVE TREATMENT SO WE CAN KEEP HIM HERE AT THE HOSPITAL BECAUSE HE IS IN SOME DISTRESS AND WELL KEEP HIM HYDRATED AND GIVE HIM SOME OXYGEN AND IF ITS PNEUMONIA WELL PRESCRIBE HIM SOME ANTIBIOTICS HOW DOES THAT SOUND
audio/RES0085.mp3[480.800,486.200]	YEAH AND WILL HE NEED TO STAY IN THE HOSPITAL AT ALL
audio/RES0085.mp3[486.200,512.480]	YEAH SO FOR NOW BECAUSE IF HE IS IN ANY DISTRESS AND IF HE NEEDS OXYGEN AND IV HYDRATION HELL NEED TO STAY IN THE HOSPITAL UNTIL HES BETTER FROM THAT STANDPOINT I SHOULD ALSO MENTION WE SHOULD DO A COVID SWAB ON HIM AS WELL BECAUSE HIS SYMPTOMS ARE IN LINE WITH COVID AS WELL SO WELL HAVE TO DO THAT TO RULE IT OUT
audio/RES0085.mp3[512.480,517.600]	OK YEAH THAT SOUNDS GOOD UH UH YEAH THANK YOU SO MUCH
audio/RES0085.mp3[517.600,523.040]	YEAH NO WORRIES
audio/MSK0024.mp3[0.000,1.960]	WHAT BRINGS YOU HERE TODAY
audio/MSK0024.mp3[1.960,17.960]	HI IVE BEEN HAVING THIS BACK PAIN FOR THE PAST MONTH SO ID JUST LIKE SOMETHING FOR IT AN AND YOU KNOW IMAGE IT IF POSSIBLE JUST TO FIGURE OUT WHAT IT IS
audio/MSK0024.mp3[17.960,24.320]	YOUVE BEEN HAVING IT FOR THE LAST MONTH IS THIS THE FIRST TIME YOURE HAVING THIS BACK PAIN
audio/MSK0024.mp3[24.320,25.440]	YEAH YES
audio/MSK0024.mp3[25.440,29.880]	OK AND WHERE EXACTLY ARE YOU HAVING THE BACK PAIN
audio/MSK0024.mp3[29.880,32.480]	ITS IN MY LOWER BACK
audio/MSK0024.mp3[32.480,40.720]	OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A SHARP STABBING PAIN OR IS THAT A DULL ACHING PAIN
audio/MSK0024.mp3[40.720,52.280]	ITS KIND OF DULL AND ACHY BUT SOMETIMES I FEEL LIKE I HAVE LITTLE SPASMS IN MY BACK
audio/MSK0024.mp3[52.280,55.360]	OK AND HOW OFTEN ARE YOU GETTING THESE SPASMS
audio/MSK0024.mp3[55.360,60.720]	UM ID SAY LIKE TWO TO THREE TIMES A WEEK
audio/MSK0024.mp3[60.720,66.560]	OK AND IT IS THIS BACK PAIN CONSTANT OR DOES IT COME COME AND GO
audio/MSK0024.mp3[66.560,72.680]	ITS PRETTY CONSTANT BUT IT GETS WORSE WITH CERTAIN THINGS
audio/MSK0024.mp3[72.680,87.280]	SO ONE MONTH AGO WHEN IT STARTED BEFORE THEN DID YOU INJURE YOURSELF AT ALL OR WERE YOU DOING ANYTHING THAT BROUGHT ON THE PAIN OR DID THE PAIN COME ON GRADUALLY
audio/MSK0024.mp3[87.280,107.600]	SO I WORK IN THIS FACTORY WHERE I MOVE A LOT OF BOXES AND I THINK I MAY HAVE LIKE LIFTED A REALLY HEAVY BOX OR LIFTED IT IN AN IMPROPER POSITION BECAUSE THATS WHEN THAT NIGHT IS WHEN MY BACK STARTED HURTING
audio/MSK0024.mp3[107.600,112.360]	OK I SEE AND HOW LONG HAVE YOU WORKED IN THIS ROLE
audio/MSK0024.mp3[112.360,115.280]	FOR THE PAST 30 YEARS
audio/MSK0024.mp3[115.280,124.720]	OK ALRIGHT AND HAS THE PAIN BECOME WORSE AT ALL OR HAS IT STAYED THE SAME SINCE IT STARTED
audio/MSK0024.mp3[124.720,129.280]	ID SAY ITS PRETTY ITS BEEN PRETTY SIMILAR TO THE START
audio/MSK0024.mp3[129.280,143.840]	OK AND DOES THE BACK PAIN MOVE ANYWHERE LIKE FOR EXAMPLE DOES IT SHOOT DOWN YOUR LEGS AT ALL
audio/MSK0024.mp3[143.840,148.320]	NO OK HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU
audio/MSK0024.mp3[148.320,165.960]	IVE TRIED SOME TOPICAL ANALGESICS AND YOU KNOW THOSE FIRE AND ICE GELS AND I THINK SOMETIMES THAT HELPS BUT ITS ALWAYS TEMPORARY
audio/MSK0024.mp3[165.960,174.960]	OK AND WHAT KIND OF THINGS MAKE YOUR PAIN WORSE LIKE BENDING DOWN AS OPPOSED TO STRETCHING BACKWARDS
audio/MSK0024.mp3[174.960,183.160]	YEAH BENDING DOWN LIKE IT WHEN I FLEX MY BACK THAT HURTS MORE THAN IF I STRAIGHTEN IT OUT
audio/MSK0024.mp3[183.160,188.840]	OK IS A BENDING HURTS MORE AND WHAT ABOUT BENDING TOWARDS THE SIDES
audio/MSK0024.mp3[188.840,196.600]	UM A LITTLE BIT MORE TOWARDS MY RIGHT SIDE
audio/MSK0024.mp3[196.600,204.440]	OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE NUMBNESS OR TINGLING IN YOUR EXTREMITIES OR BACK AT ALL
audio/MSK0024.mp3[206.200,219.320]	AND ANY KIND OF NUMBNESS OR LOSS OF SENSATION IN YOUR BUTTOCKS AREA OR JUST BELOW YOUR LOWER BACK
audio/MSK0024.mp3[219.320,222.160]	UM NO
audio/MSK0024.mp3[222.160,227.480]	OK AND ANY FEVERS OR CHILLS
audio/MSK0024.mp3[230.200,232.960]	ANY NIGHT SWEATS
audio/MSK0024.mp3[235.400,239.640]	ANY UM SKIN CHANGES OR RASHES
audio/MSK0024.mp3[243.200,249.640]	ANY HAVE YOU BEEN ILL RECENTLY AT ALL WITH COUGH COLD SYMPTOMS AT ALL
audio/MSK0024.mp3[252.080,257.720]	DO YOU FEEL PAIN IN ANYWHERE ELSE IN ANY OTHER MUSCLES OR JOINTS AT ALL
audio/MSK0024.mp3[257.720,260.360]	UM NO
audio/MSK0024.mp3[260.360,265.120]	HAVE YOU RECENTLY HAD ANY CHANGES TO YOUR WEIGHT
audio/MSK0024.mp3[266.920,278.600]	OK AND ANY KIND OF CHANGES TO YOUR BOWEL MOVEMENTS
audio/MSK0024.mp3[279.760,284.560]	OK ANY KIND OF ISSUES WITH URINATION AT ALL
audio/MSK0024.mp3[286.360,292.640]	AND ANY URINARY OR FECAL RETENTION OR INCONTINENCE
audio/MSK0024.mp3[297.800,315.600]	RIGHT SO ITS JUST THIS PAIN THATS BEEN THERE FOR THE LAST MONTH STAYED AROUND THE SAME IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH THE HAVE ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0024.mp3[315.600,323.480]	I HAVE A HIGH BLOOD PRESSURE WHICH I TAKE SOME RAMIPRIL FOR
audio/MSK0024.mp3[323.480,326.280]	OK ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0024.mp3[329.600,333.560]	OK AND HAVE YOU ARE USING ANY OTHER MEDICATIONS AT ALL
audio/MSK0024.mp3[336.640,341.000]	HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/MSK0024.mp3[344.080,349.640]	OK DO YOU HAVE ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITION
audio/MSK0024.mp3[351.200,356.040]	ANY CANCERS IN THE FAMILY
audio/MSK0024.mp3[356.680,361.120]	AND SO CURRENTLY ARE YOU WORKING OR DID YOU HAVE TO TAKE TIME OFF WORK
audio/MSK0024.mp3[361.120,370.800]	IM TAKING SOME TIME OFF WORK UNTIL I FIGURE OUT WHAT THIS BACK PAIN IS
audio/MSK0024.mp3[370.800,373.520]	OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE
audio/MSK0024.mp3[373.520,384.440]	I LIVE IN AN APARTMENT WITH MY WIFE AND OUR TEENAGE SON
audio/MSK0024.mp3[384.440,387.200]	OK AND DO YOU SMOKE AT ALL
audio/MSK0024.mp3[387.200,394.640]	I USED TO SMOKE I HAVENT SMOKED IN OVER 10 YEARS
audio/MSK0024.mp3[394.640,400.560]	OK AND DO YOU DRINK ALCOHOL AT ALL
audio/MSK0024.mp3[400.560,410.240]	I DRINK OCCASIONALLY ILL HAVE LIKE A BEER ON THE WEEKEND
audio/MSK0024.mp3[410.240,414.240]	ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0024.mp3[417.640,423.560]	OK ALRIGHT SO IM JUST GONNA ASK A FEW QUESTIONS MAYBE GET YOU TO DO SOME MOVEMENTS AND SEE WHAT HURTS THE MOST
audio/MSK0024.mp3[424.640,436.280]	SO WHEN YOU PRESS YOUR HAND DOWN DOWN YOUR SPINE IS IT HURT AT ALL IN THE LOWER BACK WITH PALPATION
audio/MSK0024.mp3[436.280,449.880]	UM IT KINDA HURTS RIGHT IN THE MIDDLE UH JUST ABOVE THE BUTTOCKS AREA AN WHERE LIKE MY TAILBONE ALMOST IS
audio/MSK0024.mp3[449.880,462.960]	I SEE AND UH ANY KIND OF PAIN WITH LYING DOWN AND THEN RAISING YOUR LEGS STRAIGHT UP WITHOUT BENDING THE KNEES
audio/MSK0024.mp3[462.960,470.240]	I CAN TRY THAT UM THAT HURTS A LITTLE BIT YEAH
audio/MSK0024.mp3[470.240,474.320]	AND DOES IT HURT IN THE LOWER BACK OR NEAR THE FRONT OF YOUR HIPS
audio/MSK0024.mp3[474.320,478.120]	THAT HURTS IN MY LOWER BACK
audio/MSK0024.mp3[478.120,488.720]	AND ANY KIND OF REDNESS OR SWELLING THAT YOUVE NOTICED AT ALL I KNOW ITS IN THE BACK SO IT MIGHT BE MORE DIFFICULT TO SEE
audio/MSK0024.mp3[488.720,494.000]	UM NO I DONT SEE ANYTHING LIKE THAT
audio/MSK0024.mp3[494.000,501.400]	OK AND ARE YOU HAS YOUR GAIT CHANGED AT ALL OR IS IT ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING
audio/MSK0024.mp3[501.400,505.560]	IM ABLE TO WALK WITHOUT A LIMP
audio/MSK0024.mp3[505.560,514.080]	OK ALRIGHT SO AND THEN UH BENDING DOWN YOU SAID HURTS MORE THAN STANDING UP OR EXTENDING YOUR BACK RIGHT
audio/MSK0024.mp3[515.560,522.920]	OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME
audio/MSK0024.mp3[522.920,528.400]	NO JUST LIKE HOW CAN I TREAT THIS
audio/MSK0024.mp3[528.400,631.480]	YEAH FOR SURE SO THIS HAS BEEN GOING ON FOR THE LAST MONTH IT SOUNDS MORE LIKE WHATS CALLED MECHANICAL BACK PAIN AND DUE TO THE NATURE OF YOUR WORK HAVING BEEN LIFTING HEAVY OBJECTS FOR THE LAST 30 OR SO YEARS ITS USUALLY SOMETHING THAT OCCURS WITH REPETITIVE REPETITIVE WORK AND STRENUOUS WORK LIKE THAT THAT AFFECTS YOUR BACK AND WHAT YOURE DESCRIBING WITH THE FLEXION SEEMS MORE PAIN COMING FROM THE DISCS THEMSELVES INSTEAD OF THE FACETS AT THE BACK SO EVERY TIME YOU FLEX YOU HAVE SOME COMPRESSION OF YOUR DISCS SO WHAT WE WHAT WE NEED TO DO RIGHT NOW IS ITS BEEN ONE MONTH ALMOST AND THEN USUALLY WE GET IMAGING IF THE PAIN DOES NOT IMPROVE AFTER SIX WEEKS OF CONSERVATIVE MANAGEMENT SO WHAT WE CAN TRY IS TO GIVE YOU SOME PAIN MANAGEMENT FIRST AND SOME ANTIINFLAMMATORY MEDICATION AND THEN AS WELL AS TRY SOME PHYSIOTHERAPY SOME EXERCISES TO HELP YOU WITH THE BACK PAIN AND THEN IF THE PAIN DOES NOT IMPROVE AND SINCE THERE IS NO RED FLAGS THAT WERE TOO WORRIED ABOUT RIGHT NOW WITH YOUR BACK PAIN WE CAN WAIT TO GET SOME IMAGING BUT FIRST WE WOULD JUST LIKE TO TRY SOME OF THE CONSERVATIVE MANAGEMENT IS THAT OK WITH YOU
audio/MSK0024.mp3[631.480,633.200]	YEAH THAT SOUNDS GREAT THANK YOU
audio/MSK0024.mp3[633.200,635.720]	YOURE WELCOME ALRIGHT TAKE CARE
audio/RES0021.mp3[0.000,4.800]	I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU IN
audio/RES0021.mp3[4.800,16.240]	SURE YOU KNOW IVE BEEN FEELING A LITTLE HOT FOR THE PAST TWO DAYS IVE HAD THIS AWFUL COUGH AND I JUST FEEL SO TIRED
audio/RES0021.mp3[16.240,21.280]	OK AND THIS STARTED TWO DAYS AGO
audio/RES0021.mp3[21.280,24.440]	AH YES TWO DAYS AGO
audio/RES0021.mp3[24.440,32.240]	OK YEAH YOUVE BEEN FEELING HOT HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0021.mp3[32.240,40.800]	UM NO I HAVENT ACTUALLY CHECKED MY TEMPERATURE I JUST KIND OF PUT MY HAND ON MY FOREHEAD AND I JUST FEEL REALLY REALLY HOT
audio/RES0021.mp3[40.800,66.560]	OK SO WELL WELL CHECK IT RIGHT NOW AND OK SO WERE SEEING THAT ITS YOUR TEMPERATURE IS ELEVATED AT 383 RIGHT NOW SO IT DOES SOUND LIKE YOU YOU HAVE A FEVER OK AND YOU MENTIONED THAT YOU HAD YOU HAVE A COUGH
audio/RES0021.mp3[66.560,74.000]	YEAH I DO ITS ITS A DRY COUGH AND ITS AWFUL IVE BEEN HACKING FOR THE PAST TWO DAYS
audio/RES0021.mp3[74.000,82.560]	OH NO THAT DOESNT SOUND VERY NICE HAS IT BEEN ANY BLOOD OR ANY SPUTUM
audio/RES0021.mp3[82.560,88.160]	NO BLOOD AND NO DEFINITELY NO SPUTUM OK
audio/RES0021.mp3[88.160,94.040]	ANYTHING THATS LIKE TRIGGERED THE COUGH
audio/RES0021.mp3[94.040,100.880]	UM I DONT I DONT THINK SO UM NO I DONT THINK SO
audio/RES0021.mp3[100.880,108.080]	NO OK HAVE YOU HAD A COUGH LIKE THIS BEFORE
audio/RES0021.mp3[108.080,121.680]	MAYBE LIKE 10 YEARS AGO WHEN I HAD SOME SORT OF VIRAL INFECTION THEY SAID UM I HAD A DRY COUGH BUT NOTHING TO THIS EXTENT
audio/RES0021.mp3[121.680,138.440]	OK UM HAVE YOU HAD ANY INFECTIONS RECENTLY LIKE IN THE LAST MONTH OR SO LIKE A VIRAL ILLNESS UM LIKE WHERE YOU HAD MAYBE LIKE A RUNNY NOSE SORE THROAT AND AND A COUGH
audio/RES0021.mp3[138.440,142.080]	NO NO NOT NOT RECENTLY
audio/RES0021.mp3[142.080,149.280]	OK SO YOUVE BEEN FEELING WELL RECENTLY
audio/RES0021.mp3[150.760,164.240]	OK AND YOUVE YOU BEEN FATIGUED CAN YOU TELL ME A LITTLE BIT ABOUT ABOUT HOW YOU BEEN FEELING
audio/RES0021.mp3[164.240,168.720]	AH YEAH LIKE YOU MEAN IN TERMS OF MY FEVER OR COUGH
audio/RES0021.mp3[168.720,172.240]	OH SORRY I MEAN IN TERMS OF YOUR ENERGY
audio/RES0021.mp3[172.240,185.960]	OH MY ENERGY YEAH IVE JUST BEEN FEELING SO TIRED IT SEEMS LIKE I CANT DO NORMALLY WOULD BE I WOULD NORMALLY HAVE NO ISSUES DOING
audio/RES0021.mp3[185.960,196.600]	I SEE OK AND ANY CHANGES TO SLEEP OR ANY KIND OF STRESSFUL EVENTS HAPPEN IN THE LAST FEW DAYS THAT MIGHT BE CAUSING YOU TO BE MORE TIRED
audio/RES0021.mp3[196.600,203.200]	I DONT THINK SO NOTHING NOTHING BIG HAS HAPPENED IN MY LIFE NO BIG CHANGES
audio/RES0021.mp3[203.200,219.200]	OK UM AND SO YOUVE HAD A FEVER COUGH AND BEING TIRED HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS THESE LAST FEW DAYS
audio/RES0021.mp3[219.200,229.360]	UM YEP FEVER COUGH FATIGUE BUT UM I DONT HAVE ANYTHING ANY OTHER SYMPTOMS BESIDES THOSE
audio/RES0021.mp3[229.360,233.000]	OK SO YOU YOU DO YOU HAVE ANY HEADACHES
audio/RES0021.mp3[233.000,235.960]	OH HEADACHES NO NO
audio/RES0021.mp3[235.960,243.520]	OK HOW ABOUT ANY EYE OR OR EAR SYMPTOMS LIKE DISCHARGE OR PAIN
audio/RES0021.mp3[243.520,247.480]	NO NOTHING LIKE THAT
audio/RES0021.mp3[247.480,251.960]	OK HAVE YOU HAD A LOSS OF TASTE OR A LOSS OF SMELL
audio/RES0021.mp3[254.160,258.320]	ALRIGHT AND HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/RES0021.mp3[261.120,265.320]	OK HAVE YOU HAD ANY CHEST PAIN
audio/RES0021.mp3[265.320,268.480]	NOPE NO CHEST PAIN
audio/RES0021.mp3[268.480,274.080]	AND HOW ABOUT DIFFICULTY BREATHING OR SHORTNESS OF BREATH
audio/RES0021.mp3[274.080,276.440]	NOPE NO
audio/RES0021.mp3[276.440,283.160]	OK AND ANY WHEEZING OR WHISTLING NOISES WHILE YOURE BREATHING
audio/RES0021.mp3[285.120,289.240]	OK AND HAVE YOU FELT LIKE YOUR HEARTS RACING AT ALL
audio/RES0021.mp3[289.240,291.680]	AH NO
audio/RES0021.mp3[291.680,297.760]	HAVE YOU HAD ANY LIKE FAINTING SPELLS OR FEELING AS THOUGH YOU MIGHT PASS OUT
audio/RES0021.mp3[297.760,298.640]	UM NOPE NO
audio/RES0021.mp3[298.640,304.080]	ALRIGHT AND HOW ABOUT ANY DIZZINESS
audio/RES0021.mp3[304.080,307.560]	OH NO NO DIZZINESS EITHER
audio/RES0021.mp3[307.560,313.360]	ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0021.mp3[314.920,320.000]	ALRIGHT AND HOW ABOUT ANY DIARRHEA OR CONSTIPATION
audio/RES0021.mp3[321.560,325.360]	ALRIGHT UM ANY ABDOMINAL PAIN
audio/RES0021.mp3[326.920,336.080]	AND ANY LIKE PAINFUL URINATION OR OR LIKE GOING TO THE BATHROOM FREQUENTLY
audio/RES0021.mp3[337.760,339.800]	ALRIGHT ANY NIGHT SWEATS
audio/RES0021.mp3[341.000,344.360]	AND HOW ABOUT ANY CHILLS OR RIGORS
audio/RES0021.mp3[345.800,349.960]	HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0021.mp3[351.320,356.520]	ALRIGHT HAVE YOU NOTICED ANY RASHES OR SKIN CHANGES OVER THIS PAST WEEK
audio/RES0021.mp3[359.080,364.440]	ALRIGHT AND HOW ABOUT ANY MUSCLE ACHES OR OR JOINT PAINS
audio/RES0021.mp3[364.440,368.520]	UM NO
audio/RES0021.mp3[368.520,379.000]	ALRIGHT SO IS THERE ANY REASON THAT YOU SEE A PHYSICIAN REGULARLY FOR OR BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0021.mp3[379.000,382.720]	MMM I HAVE RHEUMATOID ARTHRITIS
audio/RES0021.mp3[382.720,387.800]	OK UH ARE YOU TAKING MEDICATIONS FOR THAT
audio/RES0021.mp3[387.800,395.360]	UM YEAH YOU KNOW THEY PUT ME ON SOME SORT OF DMARD
audio/RES0021.mp3[395.360,399.920]	OK SO YOURE YOURE SEEING A RHEUMATOLOGIST FOR THAT
audio/RES0021.mp3[399.920,400.760]	MMM I AM
audio/RES0021.mp3[400.760,406.600]	OK GREAT UM ANY OTHER DIAGNOSES
audio/RES0021.mp3[408.360,418.280]	OK AND SO UH ARE THERE ANY OTHER MEDICATIONS THAT YOU THAT YOU TAKE EITHER OVER THE COUNTER OR PRESCRIPTION BESIDES THE DMARD
audio/RES0021.mp3[418.280,426.440]	I TAKE IRON AND VITAMIN AS WELL AS BIOTIN
audio/RES0021.mp3[426.440,431.040]	OK UH WHATS THE REASON FOR TAKING IRON
audio/RES0021.mp3[431.040,445.000]	UHH AT ONE POINT OR ANOTHER THEY SAID MY IRON LEVELS WERE LOW BUT IT WENT BACK TO BEING NORMAL BUT I JUST TAKE IT NOW TO MAINTAIN THOSE LEVELS
audio/RES0021.mp3[445.000,450.000]	OK UM DO YOU HAVE LIKE HEAVY MENSTRUAL PERIODS
audio/RES0021.mp3[452.840,465.720]	OK AND HAVE YOU NOTICED ANY BLOOD IN THE STOOL EITHER EITHER BEING RED OR OR YOUR STOOL BEING REALLY DARK KIND OF LIKE A BLACK COLOUR
audio/RES0021.mp3[468.920,473.840]	OK UM AND DO YOU HAVE ANY ALLERGIES
audio/RES0021.mp3[473.840,475.760]	NO ALLERGIES
audio/RES0021.mp3[475.760,485.120]	ALRIGHT UH AND THEN CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0021.mp3[485.120,497.240]	I LIVE WITH TWO OF MY CHILDREN THEY ARE FIVE AND THREE AS WELL AS MY NEW BOYFRIEND
audio/RES0021.mp3[497.240,507.000]	OK GREAT AND FOR EITHER OF YOUR PREGNANCIES WERE THERE ANY COMPLICATIONS
audio/RES0021.mp3[507.640,515.680]	OK GREAT UM AND ARE THERE ANY CONCERNS FOR SAFETY IN THE HOME
audio/RES0021.mp3[516.680,521.480]	OK EXCELLENT AND WHAT DO YOU DO FOR WORK
audio/RES0021.mp3[521.480,527.720]	I WORK AS A SECRETARY FOR AN ACCOUNTING FIRM
audio/RES0021.mp3[527.720,536.960]	OK THAT SOUNDS LIKE A GREAT JOB AND UH DO YOU SMOKE CIGARETTES
audio/RES0021.mp3[536.960,539.760]	I USED TO I QUIT FIVE YEARS AGO
audio/RES0021.mp3[539.760,544.840]	ALRIGHT AND DO YOU SMOKE MARIJUANA
audio/RES0021.mp3[545.480,552.840]	OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0021.mp3[553.680,563.640]	OK UM AND HAS ANYBODY IN THE HOUSE BEEN SICK EITHER YOUR BOYFRIEND OR OR YOUR CHILDREN
audio/RES0021.mp3[564.400,571.440]	OK ARE THEY GOING TO LIKE DAYCARE RIGHT NOW OR IN SCHOOL
audio/RES0021.mp3[571.440,574.560]	THEY ARE IN DAYCARE YEAH
audio/RES0021.mp3[574.560,580.520]	OK UM ANY KIDS IN THEIR DAYCARE THAT HAVE BEEN SICK
audio/RES0021.mp3[580.520,582.920]	NO I CHECKED NO ONES BEEN SICK
audio/RES0021.mp3[582.920,588.040]	ALRIGHT EXCELLENT IS THAT ANYBODY IN THE OFFICE WHERE YOU WORK BEEN SICK
audio/RES0021.mp3[588.680,590.800]	AND HAVE YOU TRAVELED ANYWHERE
audio/RES0021.mp3[593.120,603.200]	OK AND THEN ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR OR LUNG CONDITION
audio/RES0021.mp3[603.880,608.480]	OK NO AN ANY CANCER THAT THATS RUNS IN THE FAMILY
audio/RES0021.mp3[608.480,615.080]	UM ONE OF MY AUNTS HAD PANCREATIC CANCER
audio/RES0021.mp3[615.080,618.480]	OK ANY RELATIVES HAVE BREAST CANCER
audio/RES0021.mp3[619.120,628.080]	HOW ABOUT ANY RELATIVES WITH OVARIAN OR COLON CANCER
audio/RES0021.mp3[628.800,642.920]	OK AND SO I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ACTUALLY I JUST REMEMBERED ONE HAVE YOU HAD ANY PRIOR SURGERIES
audio/RES0021.mp3[642.920,647.040]	NO NO PRIORS
audio/RES0021.mp3[647.040,662.520]	OK SORRY SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT ON ON HISTORY UM WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I MAYBE I DIDNT ASK ABOUT
audio/RES0021.mp3[662.520,666.000]	NO I THINK YOU COVERED IT ALL
audio/RES0021.mp3[666.000,733.480]	OK EXCELLENT SO WITH YOUR SYMPTOMS OF HAVING A KIND OF A FEVER COUGH AND BEING TIRED DEFINITELY CONCERNED OF VIRAL INFECTION AND POSSIBLY COVID19 OR SOMETHING MORE COMMON LIKE THE COMMON COLD LIKE AN ADENOVIRUS AND SO WILL DO SOME TESTING FOR FOR COVID19 WITH A NASAL PCR SWAB AS WELL AS RUN SOME BLOOD WORK UM BECAUSE THERE IS A POSSIBILITY THAT THERES A BACTERIAL INFECTION SUCH AS LIKE A PNEUMONIA OR LOWER RESPIRATORY TRACT INFECTION THAT WOULD BE TREATED WITH ANTIBIOTICS SO WE UH YEAH WELL ORDER THOSE INVESTIGATIONS ALONG WITH A CHEST X RAY AND WE WILL GO FROM THERE
audio/RES0021.mp3[733.480,735.960]	OK THAT SOUNDS GREAT THANK YOU SO MUCH
audio/RES0021.mp3[735.960,736.760]	YOURE WELCOME
audio/RES0055.mp3[0.000,2.360]	WHAT BRINGS YOU IN
audio/RES0055.mp3[2.360,20.200]	HI YES I JUST CAME IN TODAY BECAUSE IVE BEEN A BIT CONCERNED ABOUT SOME BREATHING DIFFICULTIES OVER THE LAST FEW DAYS IT ALL STARTED OUT WITH LIKE A COUGH OVER THE LAST WEEK BUT NOW IM HAVING TROUBLE BREATHING AS WELL
audio/RES0055.mp3[20.200,32.760]	OH OK WELL IM SORRY TO HEAR THAT SO YOU SAID A COUGH AS WELL SO THE COUGH AT LEAST A WEEK BACK AND THE SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN DID THAT START
audio/RES0055.mp3[32.760,66.760]	SO YEAH THE COUGH I USUALLY HAVE A COUGH IVE HAD COPFOR A LONG TIME BUT THIS PAST WEEK THE COUGHING HAS BEEN MUCH WORSE WITH A LOT OF MORE SPUTUM AND OTHER THAN THAT IT STARTED I WOULD SAY TWO TO THREE DAYS AGO THE COUGH GOT WORSE AND THEN EVERY TIME IM MOVING AROUND I LIKE HAVE TO SIT DOWN AND CATCH MY BREATH WHICH IS PRETTY ABNORMAL FOR ME
audio/RES0055.mp3[66.760,75.800]	OK YEAH SO ALRIGHT SO LETS FOCUS ON THE COUGH FIRST YOU SAID ITS A WET COUGH
audio/RES0055.mp3[75.800,80.960]	YES I AM PRODUCING A LOT OF SPUTUM
audio/RES0055.mp3[80.960,84.200]	OK WHAT COLOR IS YOUR SPUTUM
audio/RES0055.mp3[84.200,89.200]	ITS MAINLY LIKE CLEAR WHITE
audio/RES0055.mp3[89.200,96.720]	OK YEAH SO YOU DONT SEE YELLOW PUS OR ANYTHING GREEN OR BLOODY IN THERE
audio/RES0055.mp3[96.720,104.440]	NO I DONT THINK SO BUT THERES DEFINITELY LIKE A LOT MORE THAN WHAT I USUALLY PRODUCE
audio/RES0055.mp3[104.440,116.200]	OK UMM THIS COUGH DOES IT SOUND HARSH BARKY OR DOES IT SOUND MUFFLED
audio/RES0055.mp3[116.200,129.760]	I WOULD SAY ITS A BIT HARSH AT TIMES I WOULDNT SAY ITS BARKY OR MUFFLED I DO FIND MYSELF WHEEZING A LITTLE OVER THE LAST FEW DAYS AS WELL
audio/RES0055.mp3[129.760,137.400]	OK DO YOU FIND YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THE SHORTNESS OF BREATH
audio/RES0055.mp3[137.400,140.920]	OH NO I DONT REALLY HAVE ANY PAINS
audio/RES0055.mp3[140.920,147.840]	OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE
audio/RES0055.mp3[147.840,155.320]	I DID A COUPLE OF YEARS AGO I HAD TO BE ADMITTED BECAUSE I HAD SOME SHORTNESS OF BREATH
audio/RES0055.mp3[157.320,161.600]	BUT THAT WAS I THINK TWO YEARS AGO
audio/RES0055.mp3[161.600,174.120]	OK AND WHEN YOU WERE ADMITTED TWO YEARS AGO DID THEY TELL YOU WHAT YOU HAD
audio/RES0055.mp3[174.120,184.560]	YEAH THEY SAID I HAD SOME KIND OF LUNG INFECTION AT THAT TIME SO THEY GAVE ME SOME ANTIBIOTICS WHILE I WAS IN THE HOSPITAL
audio/RES0055.mp3[184.560,194.040]	OK DID THEY EVER SAY TO YOU THAT YOU HAD ANYTHING ELSE LIKE ASTHMA COPANY LONGSTANDING CONDITIONS
audio/RES0055.mp3[194.040,204.480]	YEAH SO IVE HAD COPFOR MORE THAN I GUESS MORE THAN 10 YEARS NOW SO I THINK IT JUST GOT A LOT WORSE WITH THE INFECTION
audio/RES0055.mp3[204.480,211.080]	OK YEAH ALRIGHT SO THIS TIME AROUND HAVE YOU HAD ANY FEVERS
audio/RES0055.mp3[211.080,223.400]	IVE BEEN HAVING A COUPLE OF CHILLS BUT LIKE THEY WOULD COME AND GO I DIDNT REALLY THINK IT WAS A FEVER
audio/RES0055.mp3[223.400,226.000]	OK ANY WEIGHT LOSS
audio/RES0055.mp3[227.200,236.080]	OK HOW ABOUT CHANGES IN YOUR HAIR OR NAILS LIKE OR OR SKIN LIKE RASHES
audio/RES0055.mp3[236.080,237.600]	UMM NO
audio/RES0055.mp3[237.600,241.280]	ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0055.mp3[243.200,247.200]	AND HOW ABOUT SMELL OR TASTE
audio/RES0055.mp3[247.200,250.440]	UMM NO I THINK THEYRE THE SAME
audio/RES0055.mp3[250.440,256.480]	OK HAVE A STUFFY NOSE OR RUNNY NOSE
audio/RES0055.mp3[256.480,266.680]	I DO FEEL A BIT STUFFY BUT ITS NOT TOO BAD
audio/RES0055.mp3[266.680,272.520]	OK AND ANY SWELLING IN YOUR IN YOUR LEGS OR UPPER LIMBS
audio/RES0055.mp3[272.520,275.080]	NO NOT THAT I KNOW
audio/RES0055.mp3[275.080,278.040]	HOW ABOUT CALF PAIN
audio/RES0055.mp3[280.120,284.960]	DIZZINESS OR FAINTING SPELLS
audio/RES0055.mp3[288.760,290.480]	NO HEADACHES
audio/RES0055.mp3[290.480,293.400]	MEMORY LOSS OR CONFUSION
audio/RES0055.mp3[294.080,303.600]	CHANGES IN YOUR BOWEL MOVEMENT OR ABDOMINAL PAIN
audio/RES0055.mp3[305.320,310.880]	CHANGES TO URINATING
audio/RES0055.mp3[310.880,316.280]	NO THATS ALL FINE
audio/RES0055.mp3[316.280,324.280]	OK SO BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING CONDITIONS
audio/RES0055.mp3[324.280,337.280]	I DO HAVE SOME HIGH BLOOD PRESSURE WHICH I TAKE I THINK I TAKE ONE OF THESE MEDICATIONS CALLED METOPROLOL
audio/RES0055.mp3[337.280,343.200]	OK AND WHEN WAS THE LAST TIME YOU HAD YOUR BLOOD PRESSURE CHECKED
audio/RES0055.mp3[343.200,360.400]	UMM PROBABLY LIKE A MONTH AGO AND IT WAS PRETTY GOOD IVE BEEN CHECKING BY MYSELF AT HOME TOO AND IT HASNT BEEN CHANGING TOO MUCH I THINK THE LAST ONE I TOOK WAS PROBABLY LIKE 135  80
audio/RES0055.mp3[360.400,369.040]	OH I SEE OK ANY HOSPITALIZATIONS BESIDES THE ONE THAT YOU HAD FOR COPA YEAR BACK
audio/RES0055.mp3[369.040,374.320]	UMM BACK WHEN I WAS A KID I HAD MY TONSILS REMOVED
audio/RES0055.mp3[374.320,382.320]	OK ARE YOU ON ANY MEDICATIONS BESIDES THE METOPROLOL
audio/RES0055.mp3[382.320,395.400]	I DO TAKE MULTIVITAMINSI THINK THATS YEAH THATS ABOUT IT
audio/RES0055.mp3[395.400,399.120]	DO YOU TAKE ANY PUFFERS FOR YOUR COPD
audio/RES0055.mp3[399.120,425.480]	YEAH SO I DO HAVE THREE LIKE DIFFERENT PUFFERS I TAKE I CANT REMEMBER THE NAME I DO HAVE SOME PUFFERS I DONT TAKE IVE BEEN USING THEM RIGHT NOW IT HAS BEEN HELPING WITH SOME OF MY SHORTNESS OF BREATH BUT IVE DEFINITELY BEEN HAVING TO USE THEM WAY MORE THAN I USED TO
audio/RES0055.mp3[425.480,430.160]	OK DO YOU KNOW WHICH PUFFER YOURE ON
audio/RES0055.mp3[430.160,443.360]	YEAH SO I THINK ONE OF THEM IS CALLED VENTOLIN OK AND THEN I THINK THE SECOND ONE IS CALLED THE SPIRIVA
audio/RES0055.mp3[443.360,444.400]	OK SURE YEP
audio/RES0055.mp3[444.400,460.400]	SO ONE OF THEM SHOULD BE A SHORT ACTING BETA AGONIST
audio/RES0055.mp3[460.400,475.160]	JUST WANNA MAKE SURE THAT YOU HAVE ONE WITH A LONG ACTING AND THEN THE OTHER ONE IS A LONG ACTING BETA AGONIST OK GOOD ALRIGHT ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0055.mp3[475.160,478.680]	YEAH I THINK SO
audio/RES0055.mp3[478.680,481.960]	AND ARE YOU ALLERGIC TO ANYTHING
audio/RES0055.mp3[481.960,485.160]	NO NOT THAT I KNOW
audio/RES0055.mp3[485.160,488.840]	ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0055.mp3[488.840,497.080]	UMM NO I DONT THINK SO YEAH NO I DONT THINK SO
audio/RES0055.mp3[497.080,501.880]	OK HOW ABOUT HEART CONDITIONS
audio/RES0055.mp3[501.880,507.920]	YEAH MY FATHER DIED OF A HEART ATTACK IN HIS 60S
audio/RES0055.mp3[507.920,512.040]	OK ALRIGHT ANY CANCERS
audio/RES0055.mp3[512.040,515.520]	MY UNCLE HAD SKIN CANCER
audio/RES0055.mp3[515.520,526.080]	OK DO YOU KNOW WHAT TYPE OF SKIN CANCER LIKE MELANOMA BASAL CELL SQUAMOUS CELL
audio/RES0055.mp3[526.080,540.920]	NO I THINK IT WASNT THE BAD ONE IT WAS LIKE THE ONE THEY CAN REMOVE RIGHT AWAY
audio/RES0055.mp3[540.920,546.480]	OH I SEE OK OK THATS GOODDO YOU SMOKE
audio/RES0055.mp3[546.480,557.320]	YEAH IVE BEEN SMOKING FOR AROUND I WOULD SAY THE LAST 20 YEARS
audio/RES0055.mp3[557.320,559.280]	OK HOW MUCH DO YOU SMOKE
audio/RES0055.mp3[559.280,565.840]	PROBABLY I WOULD SAY PACK A DAY FOR THE LAST 20 YEARS
audio/RES0055.mp3[565.840,569.520]	UMM HAVE YOU EVER THOUGHT ABOUT QUITTING
audio/RES0055.mp3[569.520,580.920]	YEAH I DID I DID ONCE AND THEN WENT BACK ONTO IT I DEFINITELY DO SMOKE LESS THAN BEFORE THOUGH OK BUT YEAH I DONT THINK IM READY TO QUIT YET
audio/RES0055.mp3[580.920,586.520]	OK YEAH NO PROBLEM DO YOU DRINK ALCOHOL
audio/RES0055.mp3[586.520,593.280]	UMM YEAH MAYBE ONCE A WEEK I WOULD HAVE A SMALL CUP OF WHISKEY
audio/RES0055.mp3[593.280,604.160]	OK SURE THATS FINE AND ANY OTHER DRUGS
audio/RES0055.mp3[604.160,608.320]	NO NO MARIJUANA NO OTHER DRUGS
audio/RES0055.mp3[608.320,611.760]	OK AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0055.mp3[611.760,617.560]	RIGHT NOW I LIVE IN A SMALL BUNGALOW IN LONDON
audio/RES0055.mp3[617.560,629.840]	OK ANY REASONS TO BELIEVE THERE ARE CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING YOUR COPD
audio/RES0055.mp3[629.840,633.800]	UMM I DONT THINK SO EVERYTHING IS PRETTY UP TO DATE
audio/RES0055.mp3[633.800,639.640]	OK HAVE YOU HAD ANY CONTACT WITH ANYONE THATS BEEN SICK RECENTLY
audio/RES0055.mp3[639.640,647.880]	NO IVE BEEN MOSTLY TRYING TO ISOLATE AND LIKE JUST BE IN MY OWN HOME
audio/RES0055.mp3[647.880,653.360]	OK HOW ABOUT TRAVEL TO ANYWHERE
audio/RES0055.mp3[653.360,659.880]	NOPE IVE BEEN IN ONTARIO SINCE THE BEGINNING OF THE PANDEMIC
audio/RES0055.mp3[659.880,670.880]	YEAH OK THAT MAKES SENSE WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0055.mp3[670.880,682.200]	YEAH I WAS JUST WORRIED IF IT CAN BE COVIOR IF ITS JUST LIKE ANOTHER INFECTION THAT I HAD LIKE BEFORE
audio/RES0055.mp3[682.200,755.320]	YEAH SO WERE DEFINITELY GOING TO DO A COVISWAB ON YOU AND THOSE RESULTS SHOULD TAKE ABOUT 24 TO 48 HOURS TO COME BACK TO YOU AND IN THE MEANTIME BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVIYOU SHOULD ISOLATE FOR 14 DAYS PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE TO DO SOME CONTACT TRACING IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND DURING THIS TIME OF YEAR WHICH IS LIKELY BECAUSE YOU HAVE COPSINCE YOURE ALREADY COUGHING MORE THAN YOU USUALLY ARE AND SEEING MORE SPUTUM WE WILL REASSESS TO SEE WHETHER YOUR PUFFERS ARE WORKING IF WE NEED TO ADD ANY ADDITIONAL THINGS LIKE INHALED CORTICOSTEROIDS AS WELL AS ANTIBIOTICS AND SO JUST KEEP AN EYE ON YOUR SYMPTOMS FOR NOW AND WILL ALSO WANT TO DO PROBABLY A CHEST X RAY AND POSSIBLY A PULMONARY FUNCTION TEST HOW DOES THAT SOUND
audio/RES0055.mp3[755.320,756.560]	THANK YOU
audio/RES0055.mp3[756.560,761.840]	OK YEAH NO PROBLEM
audio/RES0003.mp3[0.000,2.320]	ITS NICE TO MEET YOU WHATS YOUR NAME
audio/RES0003.mp3[2.320,17.840]	ITS NICE TO MEET YOU AS WELL MY NAME IS JENN AND IM HERE WITH MY SON JOEY HERE WHO HES HAD A SORE THROAT NOW FOR THE LAST COUPLE OF DAYS
audio/RES0003.mp3[17.840,20.680]	OK HOW OLD IS HE JOEY
audio/RES0003.mp3[20.680,24.080]	UH HE IS 3 YEARS OLD
audio/RES0003.mp3[24.080,30.920]	HES THREE YEARS OLD OK AND YOU SAID FOR THE PAST COUPLE DAYS SO ABOUT 23 DAYS
audio/RES0003.mp3[30.920,50.480]	YEAH PROBABLY YEAH ABOUT 3 DAYS AGO HE HE DIDNT GO TO SCHOOL FOR THE LAST TWO DAYS BECAUSE OR I MEAN DAYCARE I SHOULD SAY BECAUSE THE PAINS BUT WAS BUGGING HIM SO BAD
audio/RES0003.mp3[50.480,56.320]	OK YEAH UM SO HOW LONG HAS HE BEEN GOING TO DAYCARE FOR
audio/RES0003.mp3[56.320,64.880]	HE STARTED THIS YEAR SO UM HES BEEN GOING FOR ABOUT SIX MONTHS
audio/RES0003.mp3[64.880,71.120]	OK IS HE HAVING ISSUES SWALLOWING FOOD DOES IT HURT WHEN HE SWALLOWS FOOD
audio/RES0003.mp3[71.120,88.800]	YEAH HES UH HES DEFINITELY THE LAST COUPLE OF DAYS HASNT BEEN EATING AS MUCH LIKE SOLID FOOD HES DRINKING COLD LIQUIDS OKAY BUT YEAH HE HASNT BEEN EATING AS MUCH
audio/RES0003.mp3[90.200,95.080]	HE SAYS ITS HARD TO HE DOES SAY IT HURTS TO SWALLOW AS WELL
audio/RES0003.mp3[95.080,103.160]	OK AND DOES DOES HE EVER CLUTCH TO HIS NECK LIKE HIS NECK HURTS
audio/RES0003.mp3[103.160,107.160]	NO HE HASNT SAID ANYTHING LIKE THAT I MEAN NOTHING ABOUT HIS NECK
audio/RES0003.mp3[107.160,113.360]	OK UM HAVE YOU TAKEN HIS TEMPERATURE AT ALL
audio/RES0003.mp3[113.360,120.400]	YEAH WE DID AND ITS UH ITS PRETTY HIGH ACTUALLY IT WAS LIKE 394
audio/RES0003.mp3[120.400,126.280]	OK WOW YEAH THATS PRETTY HIGH HAVE YOU NOTICED ANY SWOLLEN AREAS ON HIS NECK
audio/RES0003.mp3[126.280,132.680]	NO NOT I HAVENT NOTICED ANYTHING ON HIS NECK
audio/RES0003.mp3[132.680,135.840]	OK ANY RASHES THAT YOUVE NOTICED
audio/RES0003.mp3[135.840,137.600]	NO RASHES
audio/RES0003.mp3[137.600,146.160]	NO OK AND HAS HE BEEN HAVING CHILLS OR NIGHT SWEATS
audio/RES0003.mp3[146.160,152.520]	UM NOTHING LIKE THAT THAT WEVE NOTICED NO SHAKING OR OR SWEATY BED
audio/RES0003.mp3[152.520,157.560]	OK AND HOW ABOUT LIKE A STUFFY NOSE OR RUNNY NOSE
audio/RES0003.mp3[157.560,159.760]	UH NO NOTHING LIKE THAT
audio/RES0003.mp3[159.760,161.720]	OK AND COUGHING
audio/RES0003.mp3[161.720,162.960]	NO COUGH
audio/RES0003.mp3[162.960,169.200]	NO AND HOW ABOUT IS HE COMPLAINING OF ANY BODY ACHES
audio/RES0003.mp3[169.200,176.320]	NO ITS MOSTLY JUST BEEN IS HIS THROAT HIS THROAT THAT HES COMPLAINING ABOUT
audio/RES0003.mp3[176.320,179.360]	OK HOW ABOUT HEADACHES
audio/RES0003.mp3[179.360,182.600]	UH HE HASNT MENTIONED ANYTHING WITH HIS HEAD
audio/RES0003.mp3[182.600,189.120]	OK AND HAS HE BEEN AROUND ANYONE WHOS BEEN SICK  MAYBE AT HIS DAYCARE
audio/RES0003.mp3[189.120,202.720]	I I MEAN HIS SISTER HAS HAD HAD SOME COLDS SHES ALSO IN HIS DAYCARE SO I MEAN MAYBE HER
audio/RES0003.mp3[202.720,205.200]	OK HOW OLD IS SHE
audio/RES0003.mp3[205.200,209.200]	UM SHES 2
audio/RES0003.mp3[209.200,212.480]	SHES TWO OK SO SHES YOUNGER
audio/RES0003.mp3[213.600,218.000]	OK ANY NAUSEA OR VOMITING
audio/RES0003.mp3[218.000,221.040]	AH NO VOMITING
audio/RES0003.mp3[221.040,227.880]	OK HOW ABOUT UM DIARRHEA CONSTIPATION
audio/RES0003.mp3[227.880,232.120]	HAVENT NOTICED ANYTHING LIKE THAT HIS HIS BOWEL MOVEMENTS HAVE BEEN NORMAL
audio/RES0003.mp3[232.120,238.160]	HOW ABOUT URINATING HAS THAT BEEN NORMAL
audio/RES0003.mp3[238.160,243.920]	HIS USUAL AMOUNT IS AS AS FAR AS I KNOW
audio/RES0003.mp3[243.920,254.200]	OK AND OK ANY ISSUES WITH HIS EYES ANY LIKE PUS OR BLEEDING OR REDNESS
audio/RES0003.mp3[254.200,257.040]	NO HIS EYES OF HAVE LOOKED NORMAL TO ME
audio/RES0003.mp3[257.040,258.720]	OK HOW ABOUT HIS EARS
audio/RES0003.mp3[258.720,261.960]	THOSE HAVE ALSO BEEN NORMAL
audio/RES0003.mp3[261.960,267.160]	OK ANY SORES ON HIS MOUTH OR INSIDE
audio/RES0003.mp3[267.160,279.280]	UM NO IT DOES KINDA LOOK LIKE THERE ITS PRETTY RED IN THE BACK OF HIS THROAT WHEN I WAS ABLE TO LOOK BUT YEAH
audio/RES0003.mp3[279.280,287.120]	OK AND HAS HE EVER EXPERIENCED ANY OF THESE SYMPTOMS BEFORE
audio/RES0003.mp3[287.120,299.400]	UM HES HAD SORE THROATS BEFORE BUT I THINK THIS ONE IS A BIT MORE SEVERE HE HASNT COMPLAINED THIS BAD BEFORE
audio/RES0003.mp3[299.400,306.440]	OK OK UM HAS HE TRIED ANYTHING FOR IT HAVE YOU GIVEN HIM ANY OVER THE COUNTER MEDICATIONS
audio/RES0003.mp3[306.440,329.320]	YEAH WE WE DID USE SOME TYLENOL AND IT BROUGHT THE FEVER DOWN SO THAT WAS PART OF THE REASON WHY WE WE DIDNT COME IN CAUSE HES HAD SORE THROATS BEFORE BUT THE FEVER BOUNCED BACK AND AND THE PAIN SEEMS TO HAVE CONTINUED SO WE CAME IN
audio/RES0003.mp3[329.320,336.320]	OK OK AND IS HE OTHERWISE HEALTHY DOES HE HAVE ANY MEDICAL CONDITIONS
audio/RES0003.mp3[336.320,344.720]	UH YEAH HES OTHERWISE HEALTHY NO MEDICAL CONDITIONS UM HASNT BEEN HAD A REASON TO SEE A DOCTOR BEFORE
audio/RES0003.mp3[344.720,354.840]	NO OK AND THEN JUST HOW WAS PREGNANCY WITH HIM WAS IT NORMAL ANY COMPLICATIONS
audio/RES0003.mp3[354.840,374.800]	UM YEAH THERE SO HAD UM GESTATIONAL DIABETES BUT IT WAS TREATED IT WAS TREATED WITH DIET UM AND BLOOD SUGARS HAVE BEEN FINE NOW BUT NO COMPLICATIONS TO THE PREGNANCY FROM THAT REGARD AS FAR AS I KNOW
audio/RES0003.mp3[374.800,380.880]	OK ANY ALCOHOL OR RECREATIONAL DRUGS USED DURING THE PREGNANCY
audio/RES0003.mp3[380.880,385.800]	NO NOTHING LIKE THAT NO NO SMOKING EITHER
audio/RES0003.mp3[385.800,394.840]	OK OK GOOD UM AND HOW FAR ALONG WERE YOU WHEN WHEN YOU DELIVERED HIM
audio/RES0003.mp3[394.840,402.040]	UM IT WAS A VAGINAL DELIVERY JUST AFTER 38 WEEKS OK SO HE WAS FULL TERM
audio/RES0003.mp3[402.040,407.840]	AND YOU SAID VAGINAL DELIVERY DID THEY HAVE TO INDUCE YOU AT ALL
audio/RES0003.mp3[407.840,409.400]	UM NO NO
audio/RES0003.mp3[409.400,412.920]	OK AND WAS HE A NORMAL BIRTH WEIGHT
audio/RES0003.mp3[412.920,419.560]	YEAH HE WAS YEAH I THINK HE WAS LIKE JUST OVER 3 KILOGRAMS
audio/RES0003.mp3[419.560,430.000]	OK GOOD AND WAS HE HEALTHY AFTER BIRTH DID HE HAVE ANY BREATHING ISSUES JAUNDICE ANYTHING LIKE THAT
audio/RES0003.mp3[430.000,437.440]	UM NO BREATHING ISSUES OR OR JAUNDICE HE CAME HOME WITH US RIGHT AWAY
audio/RES0003.mp3[437.440,450.760]	OK OK AND THEN AFTER THAT POINT TO NOW HAS HE BEEN NORMAL IN TERMS OF HIS WEIGHT HEIGHT HEAD CIRCUMFERENCE
audio/RES0003.mp3[450.760,460.400]	YEAH YEAH HES BEEN GROWING NORMALLY AND EATING WELL UP UP TO THIS POINT
audio/RES0003.mp3[460.400,472.720]	OK AND I SHOULD ASK UM HAS HE BEEN HITTING ALL HIS MILESTONES LIKE IS HE DOING THE THINGS THAT HIS PEERS ARE DOING
audio/RES0003.mp3[472.720,479.320]	YEAH I WOULD SAY HES KEEPING UP WITH HIS HIS PEERS IN DAYCARE AND NO CONCERNS WITH HIS DEVELOPMENT
audio/RES0003.mp3[479.320,483.280]	OK GOOD IS HE ON ANY MEDICATIONS
audio/RES0003.mp3[483.280,484.920]	NO MEDICATIONS
audio/RES0003.mp3[484.920,488.480]	NO OK AND IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0003.mp3[488.480,492.000]	HE IS YES
audio/RES0003.mp3[492.000,495.560]	OK AND ANY ALLERGIES
audio/RES0003.mp3[495.560,499.480]	NOT THAT WERE AWARE OF
audio/RES0003.mp3[499.480,505.920]	OK ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0003.mp3[505.920,509.120]	UM NO NO FAMILY HISTORY OF ANY LUNG CONDITIONS
audio/RES0003.mp3[509.120,516.760]	OK AND SO WHO DOES WHO DOES HE LIVE WITH AT HOME
audio/RES0003.mp3[516.760,528.600]	SO HE LIVES WITH MY MYSELF AND HIS FATHER AND THEN SISTER SO THERES JUST THE FOUR OF US AT HOME
audio/RES0003.mp3[528.600,541.640]	OK AND WHATS THE RELATIONSHIP LIKE BETWEEN ALL OF YOU ANY DOMESTIC ISSUES OR ARE THINGS OK
audio/RES0003.mp3[541.640,546.160]	OH THINGS ARE ARE GREAT AT HOME ITS A REALLY SUPPORTIVE ENVIRONMENT
audio/RES0003.mp3[546.160,549.840]	OK GOOD AND DOES ANYONE SMOKE AT HOME
audio/RES0003.mp3[549.840,553.560]	NO ONE SMOKES AT HOME
audio/RES0003.mp3[553.560,557.440]	NO OK UM ANY CARPETS AT HOME OLD CARPETS
audio/RES0003.mp3[557.440,563.880]	I THINK THERES THERES A FEW AREA RUGS AROUND BUT MOST OF THE CARPETS ARE GONE
audio/RES0003.mp3[563.880,584.720]	OK OK UM ALRIGHT SO IT SOUNDS LIKE UM GROM WHAT YOURE TELLING ME HE OHH SORRY I SHOULD HAVE ASKED YOU THIS EARLIER HAS HE HAD ANY ISSUES BREATHING
audio/RES0003.mp3[584.720,593.120]	UM NO PROBLEMS BREATHING BUT HIS VOICE DOES SOUND A BIT A LITTLE BIT OFF A BIT HUSKY
audio/RES0003.mp3[593.120,600.640]	A BIT HUSKY OK UM ALRIGHT AND NOTHING LIKE A SEIZURE LIKE A FEBRILE SEIZURE RIGHT
audio/RES0003.mp3[600.640,605.200]	NO I HAVENT SEEN ANY LIKE LIMB JERKING OR ANYTHING LIKE THAT
audio/RES0003.mp3[605.200,646.080]	OK SO UM JUST ROUGHLY DOING FROM THE SOUNDS OF IT IT SOUNDS LIKE HE HAS A SORE THROAT THATS BEEN PERSISTENT AND WE DO THIS THING CALLED THE CENTOR SCORE SO IT SOUNDS LIKE HES HAD A FEVER NO COUGH A SORE THROAT SO THE FIRST THING THAT WE WANT TO CHECK TO SEE OR TO RULE OUT WOULD BE A STREP THROAT AND THEN WELL IF THAT COMES BACK NEGATIVE WE WILL GO FROM THERE AND THINK ABOUT OTHER VIRAL CAUSES VERSUS STREP THROAT AS WELL
audio/RES0003.mp3[646.080,651.480]	DID YOU HAVE ANY QUESTIONS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY
audio/RES0003.mp3[651.480,658.680]	UM NO WE WERE THINKING THAT IT COULD BE UH MAYBE STREP THROAT SO UM YEAH THANK YOU
audio/RES0003.mp3[658.680,660.360]	OK GREAT THANK YOU
audio/RES0197.mp3[0.000,2.480]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0197.mp3[2.480,29.480]	YEAH HI IM SO I HAVE BEEN VERY WHEEZY FOR THE PAST WEEK UM AND IM ALSO LIKE CONSISTENTLY COUGHING ALL THE TIME AND ITS NOT GETTING ANY BETTER UM I DO HAVE ASTHMA AND I THINK ITS ITS ACTING UP
audio/RES0197.mp3[29.480,36.680]	OK AND HOW LONG HAVE YOU HAD ASTHMA FOR
audio/RES0197.mp3[36.680,40.960]	SINCE I WAS LIKE 5
audio/RES0197.mp3[40.960,44.120]	OK AND ARE YOU USING ANY PUFFERS
audio/RES0197.mp3[44.120,54.920]	YES SO I AM ON A SHORT ACTING AS WELL AS AN INHALED CORTICO STEROID AND I ONLY TAKE THE SHORT ACTING LIKE WHEN I HAVE THE SYMPTOMS
audio/RES0197.mp3[54.920,61.840]	OK AND SO HOW HOW LONG HAVE YOU BEEN SYMPTOMS WORSENING FOR
audio/RES0197.mp3[61.840,65.240]	FOR THE PAST WEEK I WOULD SAY
audio/RES0197.mp3[65.240,69.080]	OK AND HOW HOW OFTEN HAVE YOU USED THE VENTILIN
audio/RES0197.mp3[69.080,73.920]	THE VENTILIN THAT I USE IS ALMOST EVERY DAY LIKE A COUPLE TIMES A DAY
audio/RES0197.mp3[73.920,77.960]	OK SO WOULD YOU SAY MORE THAN 10 TIMES
audio/RES0197.mp3[78.960,86.720]	OK AND HAVE YOU HAD TO DO YOU HAVE Y TO MISS ANY SCHOOL OR ANYTHING LIKE THAT OVER THE PAST WEEK
audio/RES0197.mp3[86.720,88.360]	I MISSED TWO DAYS
audio/RES0197.mp3[88.360,97.400]	TWO DAYS OK AND ARE YOU JUST GETTING DAYTIME SYMPTOMS OR ARE YOU WAKING UP FROM SLEEP OR NOT BEING ABLE TO SLEEP BECAUSE OF YOUR SYMPTOMS
audio/RES0197.mp3[97.400,104.160]	I WOKE UP TWICE LAST WEEK
audio/RES0197.mp3[104.160,115.480]	OK OK SO YEAH DEFINITELY SEEMS LIKE YOUR SYMPTOMS ARE REALLY ACTING UPON AND SO YOURE GETTING SOME WHEEZING AND YOU SAY YOURE ALSO GETTING A COUGH
audio/RES0197.mp3[115.480,116.880]	YES THATS RIGHT
audio/RES0197.mp3[116.880,133.560]	OK AND WHAT KIND OF THINGS WOULD YOU BE DOING THAT YOU GET THESE SYMPTOMS IS IT MOSTLY EXERTION OR IS IT EXPOSURE TO DUST OR ANY OTHER ENVIRONMENTAL FACTORS
audio/RES0197.mp3[133.560,139.480]	UH BUT ITS MOSTLY EXERTION BUT THINGS LIKE COLD AIR CAN TRIGGER IT TOO
audio/RES0197.mp3[139.480,152.720]	OK I SEE OK ANY HAVE YOU BEEN EXPOSED TO ANY NEW ENVIRONMENTS WHERE THERE IS YOU KNOW DUSTY CARPETS MOLD NEW ANIMALS ANYTHING LIKE THAT
audio/RES0197.mp3[152.720,156.200]	UH NO NOTHING LIKE THAT
audio/RES0197.mp3[156.200,162.800]	OK OK AND HOW WOULD YOU DESCRIBE THE COUGH IS IT WET OR DRY
audio/RES0197.mp3[162.800,163.320]	ITS DRY
audio/RES0197.mp3[163.320,174.400]	OK AND AND HOW ABOUT THE WHEEZING ARE YOU GETTING IT LIKE FREQUENTLY EVERY TIME YOU HAVE AN EPISODE OR JUST SOMETIMES
audio/RES0197.mp3[174.400,184.760]	I IM GETTING AN ON AND OFF BUT BASICALLY EVERY TIME I COUGH AFTER THAT ILL BE WHEEZY FOR A LITTLE BIT
audio/RES0197.mp3[184.760,197.680]	OK OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE SHORTNESS OF BREATH ANYTHING LIKE THAT
audio/RES0197.mp3[197.680,200.440]	NO NOTHING LIKE THAT
audio/RES0197.mp3[200.440,204.800]	OK AND ANY BLOOD IN YOUR SPUTUM AT ALL
audio/RES0197.mp3[204.800,205.840]	NO NO BLOOD
audio/RES0197.mp3[205.840,214.920]	OK OK AND HAS THE VENTILIN BEEN HELPING AT ALL OR DO YOU FIND THAT ITS LESS EFFECTIVE
audio/RES0197.mp3[214.920,221.720]	VENTILIN UM ITS BEEN HELPING TEMPORARILY BUT IT DEFINITELY DOESNT HELP AS MUCH AS IT USED TO
audio/RES0197.mp3[221.720,230.960]	OK UM AND HAVE YOU TRAVELED AT ALL RECENTLY OR BEEN IN TOUCH WITH ANYONE WHOS BEEN SICK
audio/RES0197.mp3[230.960,237.040]	UHM NO NOTHING LIKE THAT
audio/RES0197.mp3[237.040,241.360]	OK AND AND ANY HEADACHES NAUSEA OR VOMITING
audio/RES0197.mp3[241.360,243.840]	HE NO NOTHING LIKE THAT
audio/RES0197.mp3[243.840,247.320]	NOTHING LIKE THAT OK ANY DIZZINESS OR FAINTING
audio/RES0197.mp3[249.160,251.280]	NO OK ANY FEVERS OR CHILLS
audio/RES0197.mp3[252.960,255.880]	NO ANY FATIGUE
audio/RES0197.mp3[255.880,262.840]	UM A LITTLE BIT BECAUSE I HAVENT BEEN SLEEPING TOO WELL
audio/RES0197.mp3[262.840,268.680]	OK ANY SENSATION OF CHEST PAIN OR RACING OF YOUR HEART
audio/RES0197.mp3[269.560,272.440]	NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0197.mp3[272.440,274.480]	UH NO
audio/RES0197.mp3[274.480,277.880]	ANY CHANGES IN YOUR APPETITE OR WEIGHT
audio/RES0197.mp3[279.520,286.440]	NO ANY CHANGES IN YOUR SENSE OF SMELL OR TASTE
audio/RES0197.mp3[287.640,297.640]	OK OK AN OTHER THAN ASTHMA SINCE YOU WERE FIVE AN DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL
audio/RES0197.mp3[297.640,307.240]	OK DO YOU TAKE SO YOU TAKE THE VENTILIN AND THEN DO YOU TAKE THE INHALED CORTICO STEROID PUFFER AS WELL
audio/RES0197.mp3[307.240,308.520]	I DO
audio/RES0197.mp3[308.520,311.200]	OK AND YOU TAKE THAT DAILY
audio/RES0197.mp3[311.200,313.600]	UM YES
audio/RES0197.mp3[313.600,317.440]	ANY OTHER MEDICATIONS THAT YOU TAKE
audio/RES0197.mp3[317.440,322.560]	NO JUST SOME MULTI VITAMINS THATS ABOUT IT
audio/RES0197.mp3[322.560,327.120]	OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW
audio/RES0197.mp3[327.120,333.680]	NOT TO MEDICATION I’M ALLERGIC TO LIKE STRAWBERRIES AND KIWIS
audio/RES0197.mp3[333.680,337.280]	OK AND WHAT KIND OF REACTION DO YOU GET
audio/RES0197.mp3[337.280,342.000]	I JUST BREAK OUT IN HIVES
audio/RES0197.mp3[342.000,346.720]	OK AND HAVE YOU BEEN PREVIOUSLY HOSPITALIZED FOR ANY REASON
audio/RES0197.mp3[347.320,352.120]	OK ANY PAST SURGERIES
audio/RES0197.mp3[352.120,354.600]	AH NOPE
audio/RES0197.mp3[354.600,359.200]	OK AND CURRENTLY LIKE WHO DO YOU LIVE WITH
audio/RES0197.mp3[359.200,364.000]	I LOVE WITH BOTH MY PARENTS AND TWO OF MY SIBLINGS
audio/RES0197.mp3[364.000,366.520]	OK AND ARE ANY OF THEM SICK AT ALL
audio/RES0197.mp3[366.520,369.320]	NO EVERYONES PRETTY HEALTHY
audio/RES0197.mp3[369.320,390.280]	OK AND SO CURRENTLY RIGHT NOW YOURE 16 THIS IS AN AGE WHERE SOMETIMES YOUR PEERS OR YOURSELF MIGHT EXPERIMENT WITH ALCOHOL SMOKING OR RECREATIONAL DRUGS HAVE YOU HAVE YOU TRIED ANYTHING AT ALL
audio/RES0197.mp3[390.280,392.800]	NO I HAVEN’T
audio/RES0197.mp3[392.800,398.800]	OK DO YOU HAVE ANY FRIENDS OR PEERS THAT HAVE TRIED ALCOHOL OR RECREATIONAL DRUGS
audio/RES0197.mp3[398.800,402.040]	I DONT THINK SO
audio/RES0197.mp3[402.040,413.840]	OK AND IN TERMS OF JUST YOUR HOME ENVIRONMENT SCHOOL DO YOU FEEL SAFE OR DO YOU FIND YOURSELF FEELING UNSAFE OR HAVING BEEN BULLIED AT ALL
audio/RES0197.mp3[413.840,417.760]	OH IM PRETTY I FEEL PRETTY SAFE
audio/RES0197.mp3[417.760,423.760]	OK THATS GOOD AND ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS AT ALL
audio/RES0197.mp3[427.160,432.920]	NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS
audio/RES0197.mp3[432.920,443.400]	YEAH SO WHAT CAN I DO ABOUT THESE THESE SYMPTOMS SHOULD I CONTINUE TAKING MY PUFFERS
audio/RES0197.mp3[443.400,490.040]	YEAH SO WHAT WELL HAVE TO DO IS RE ASSESS SO RIGHT NOW WE WILL NEED TO ALLEVIATE SOME OF YOUR SYMPTOMS SO WE WILL GET YOU GET YOU SOME VENTILIN AND YOU MATE WILL DO LIKE A FULL PHYSICAL EXAMINATION AND GET YOUR OXYGEN SATURATION AND EVERYTHING AN YOU MIGHT NEED SOME CORTICO  STEROIDS AS WELL AND THEN WELL TALK ABOUT CHANGING YOUR REGIMENT FOR YOUR PUFFERS AS WELL AND WHETHER OR NOT WE NEED TO ADD SOMETHING ELSE INTO YOUR THERAPY SO WELL DO A FULL PHYSICAL EXAMINATION AND THEN GO ON FROM THERE DOES THAT SOUND GOOD
audio/RES0197.mp3[490.040,491.600]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0197.mp3[491.600,493.680]	YOURE WELCOME
audio/RES0061.mp3[0.000,1.880]	HOW ARE YOU
audio/RES0061.mp3[1.880,11.680]	IM NOT SO GOOD THESE LAST FEW DAYS I HAVENT BENN ABLE TO REALLYKEEP ANYTHING DOWN AND NOT FEELING SO GOOD
audio/RES0061.mp3[11.680,20.800]	OK IM SORRY TO HEAR THAT UM WHEN YOU SAY LAST FEW DAYS DID YOU MEAN THE PAST TWO DAYS 3 DAYS
audio/RES0061.mp3[20.800,37.440]	WELL I FEEL LIKE MAYBE THE LAST FIVE DAYS I JUST HAVENT BEEN FEELING SO GOOD AND I HAVENT REALLY FELT LIKE EATING BUT THESE LAST TWO DAYS IVE BEEN REALLY NAUSEOUS AND IVE THROWN UP A FEW TIMES
audio/RES0061.mp3[37.440,50.280]	OK WHEN YOU SAY YOU HAVENT BEEN FEELING GOOD FOR THE PAST FIVE DAYS IS IT THAT YOU FEEL ACHY DO YOU FEEL HOT LIKE YOU HAVE A FEVER OR DO YOU FEEL WEAK
audio/RES0061.mp3[50.280,57.680]	YEAH I DO FEEL HOT AND UM YEAH MAYBE A BIT TIRED
audio/RES0061.mp3[57.680,67.520]	TIRED OK AND NAUSEA AND VOMITING ARE YOU THROWING UP OR JUST FEELING NAUSEOUS
audio/RES0061.mp3[67.520,80.240]	MOSTLY NAUSEOUS BUT YEAH YESTERDAY I THREW UP LIKE THREE OR FOUR TIMES AND THEN AGAIN TODAY I THREW UP LIKE TWO OR THREE TIMES
audio/RES0061.mp3[80.240,84.960]	OK ARE YOU THROWING UP ANY BLOOD
audio/RES0061.mp3[84.960,102.760]	NO I DIDNT SEE ANY RED IT WAS MOSTLY LIKE YELLOW AND UMM LIQUIDY BEACUSE I HAVENT BEEN EATING MUCH SOLIDS OR LIKE JUST LIKE FOOD IVE BEEN MOSTLY JUST HAVING DRINKS
audio/RES0061.mp3[102.760,107.920]	OK UM AND SO MOSTLY FLUID YOU SAID
audio/RES0061.mp3[108.760,111.760]	OK AND WHAT COLOR IS IT
audio/RES0061.mp3[111.760,121.520]	UHH YEAH USUALLY USUALLY KIND OF LIKE YELLOWISH CLEAR
audio/RES0061.mp3[121.520,127.640]	OK ARE YOU HAVING ANY ABDOMINAL PAIN
audio/RES0061.mp3[127.640,141.760]	MAYBE LIKE AFTER I VOMIT IT KIND OF FEELS LIKE SQUEEZING A LITTLE BIT BUT I THINK YEAH I THINK YEAH THATS JUST REALLY JUST WITH WHEN IM HEAVING
audio/RES0061.mp3[141.760,149.680]	RIGHT UM ARE YOU DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0061.mp3[149.680,154.720]	UMM NO I HAVENT NOTICED ANYTHING THERE
audio/RES0061.mp3[154.720,159.560]	OK AND SO NO DIARRHEA NO CONSTIPATION
audio/RES0061.mp3[159.560,161.800]	NO NOTHING LIKE THAT
audio/RES0061.mp3[161.800,164.640]	OK NO BLOOD IN YOUR STOOL
audio/RES0061.mp3[164.640,168.200]	PNO BLOOD I HAVENT SEEN ANY RED
audio/RES0061.mp3[168.200,173.320]	OK AND HOW ABOUT ISSUES SWALLOWING FOOD
audio/RES0061.mp3[173.320,178.320]	OH YEAH NO PROBLEM SWALLOWING JUST HAVENT FELT HUNGRY
audio/RES0061.mp3[178.320,182.440]	OK SO YOU DONT HAVE MUCH OF AN APPETITE THEN
audio/RES0061.mp3[182.440,186.640]	NO NOT NOT REALLY
audio/RES0061.mp3[186.640,193.160]	OK ALRIGHT SO UM ANY CHANGES IN IN TASTE
audio/RES0061.mp3[193.160,202.640]	UM MAYBE I MEAN YEAH I THINK I MIGHT NOT BE REALLY TASTING THINGS THE SAME
audio/RES0061.mp3[202.640,205.320]	OK HOW ABOUT SMELL
audio/RES0061.mp3[205.320,215.640]	NOW THAT YOU SAY IT I MIGHT UH YEAH I THINK MY SMELL HAS BEEN IMPACTED AS WELL I CANT REALLY SMELL ANYTHING
audio/RES0061.mp3[216.560,224.080]	I THOUGHT THAT WAS KIND OF WEIRD BUT DIDNT THINK ANYTHING OF IT ACTUALLY UNTIL YOU JUST ASKED ME
audio/RES0061.mp3[224.080,231.920]	YEAH FOR SURE AND HOW ABOUT ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0061.mp3[231.920,235.880]	NO CHANGES TO VISION OR HEARING
audio/RES0061.mp3[235.880,240.200]	OK ANY DISCHARGE
audio/RES0061.mp3[240.200,248.520]	UH NOTHING LIKE THAT THAT BUT I MEAN MY EYES WERE A BIT THEYVE BEEN A BIT RED THESE LAST TWO DAYS
audio/RES0061.mp3[248.520,253.640]	OK HAVE THEY BEEN IN ANY PAIN
audio/RES0061.mp3[253.640,271.400]	NOPE NO PAIN AND IVE BEEN ABLE TO SEE EVERYTHING OK ITS JUST I JUST NOTICED THEY WERE A LITTLE BIT MORE RED I JUST THOUGHT MAYBE I DONT KNOW I WAS IVE JUST BEEN TIRED
audio/RES0061.mp3[271.400,274.960]	YEAH FOR SURE ANY COUGHING
audio/RES0061.mp3[274.960,290.440]	UHH YEAH I HAVENT HAD A COUGH BUT UM IVE HAD A COUGH FOR A FEW YEARS NOW SO YEAH THATS NOT REALLY A CHANGE FOR ME
audio/RES0061.mp3[290.440,296.680]	ALRIGHT SO NO CHANGE IN YOUR COUGH IS IT A DRY COUGH OR A WET COUGH
audio/RES0061.mp3[296.680,303.200]	ITS UH OH A DRY COUGH USUALLY
audio/RES0061.mp3[303.200,308.800]	DRY COUGH OK ANY BLOOD THAT YOU PRODUCE
audio/RES0061.mp3[308.800,310.560]	NO BLOOD NO BLOOD
audio/RES0061.mp3[310.560,315.440]	OK ANY SHORTNESS OF BREATH
audio/RES0061.mp3[315.440,321.960]	IM NOT REALLY ABLE TO EXERCISE AND STUFF LIKE THAT
audio/RES0061.mp3[321.960,326.200]	OK HAVE ANY WHEEZINESS
audio/RES0061.mp3[326.200,331.520]	UM NO I HAVENT HAD A A WHEEZE
audio/RES0061.mp3[331.520,337.360]	OK HOW ABOUT ANY FATIGUE OR TIREDNESS
audio/RES0061.mp3[337.360,349.840]	YEAH IVE DEFINITELY FELT A LITTLE BIT MORE KIND OF GROGGY AND TIRED THIS LAST WEEK REALLY
audio/RES0061.mp3[349.840,353.760]	OK AND MUSCLE ACHES TO GO ALONG WITH THAT
audio/RES0061.mp3[353.760,362.680]	YEAH BIT IN MY LIKE KIND OF UPPER ARMS AND LEGS A LITTLE BIT
audio/RES0061.mp3[362.680,369.400]	OK YOU SAID YOUVE BEEN FEELING GROGGY DO YOU FEEL DIZZY AT ALL
audio/RES0061.mp3[369.400,374.160]	NOT DIZZY JUST MAYBE THAT IM LIKE MOVING IN SLOW MOTION
audio/RES0061.mp3[374.160,378.640]	OK YEAH ANY CONFUSION OR MEMORY LOSS
audio/RES0061.mp3[378.640,382.880]	NO I THINK IVE BEEN OK
audio/RES0061.mp3[382.880,385.840]	OK ANY RASHES
audio/RES0061.mp3[385.840,388.840]	NO I HAVENT NOTICED ANY RASHES
audio/RES0061.mp3[388.840,392.560]	OK HOW ABOUT HEADACHES
audio/RES0061.mp3[392.560,405.440]	YEAH THESE LAST FEW DAYS IVE HAD A BIT OF A HEADACHE AS WELLIT HASNT BEEN VERY INTENSE SO UM IM NOT WORRIED ABOUT IT TOO MUCH
audio/RES0061.mp3[405.440,414.400]	RIGHT OK IT HASNT BEEN INTENSE YOU SAID SO HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST
audio/RES0061.mp3[414.400,432.200]	YEAH I HAD SIMILAR HEADACHES BEFORE I THINK THEY COME LIKE THIS LIKE IF I DIDNT GET A GOOD SLEEP OR FROM NOT DRINKING ENOUGH WATER OR SOMETHING ILL KIND OF GET A HEADACHE LIKE THIS KIND OF FEELS LIKE ITS SQUEEZING
audio/RES0061.mp3[432.200,441.680]	YEAH THATS UNDERSTANDABLE BUT ITS NOT LIKE THE WORST HEADACHE YOUVE EVER HAD
audio/RES0061.mp3[441.680,446.600]	NO NO ITS PRETTY SIMILAR TO HEADACHES THAT IVE HAD BEFORE
audio/RES0061.mp3[446.600,452.600]	OK OK GOOD AND ARE YOU OTHERWISE HEALTHY
audio/RES0061.mp3[452.600,469.760]	YEAH WELL I HAVE HIGH BLOOD PRESSURE AND ALSO HIGH CHOLESTEROL SO I DO TAKE MEDICATIONS FOR BOTH OF THOSE SO YEAH I TAKE A STATIN AND AMLODIPINE I THINK
audio/RES0061.mp3[469.760,482.760]	DOK OK GOOD ITS GOOD THAT YOURE ON BOTH OF THOSE DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS
audio/RES0061.mp3[482.760,494.960]	YEAH IVE BEEN TAKING VITAMIN AND ALSO A MULTIVITAMIN I HEARD THAT THAT WE DONT GET ENOUGH VITAMIN THROUGHOUT THE WINTER
audio/RES0061.mp3[494.960,522.800]	YEAH ITS A GREAT IDEA TO TAKE THAT ESPECIALLY AS WE GET OLDER AND IF WE LIVE IN A COUNTRY WHERE WE DONT GET A LOT OF SUN EXPOSURE LIKE CANADA SO THATS GOOD AND SORRY BEFORE I MOVE ON I FORGOT TO ASK YOU EARLIER IF YOU HAVE EXPERIENCED ANY WEIGHT LOSS OR NIGHT SWEATS RECENTLY
audio/RES0061.mp3[522.800,533.680]	NO MY WEIGHTS BEEN UH ABOUT THE SAME UNFORTUNATELY AND I HAVENT HAD ANY NIGHT SWEATS BUT I MEAN NOW THAT YOU ASKED IF I FELT MORE HOT THAN THAN USUAL MAYBE
audio/RES0061.mp3[533.680,537.840]	OK AND DID YOU TAKE YOUR TEMPERATURE
audio/RES0061.mp3[537.840,555.560]	UH I DID AND THE LAST TIME I CHECKED IT WAS A FEW DAYS AGO AND AT THAT TIME I DIDNT HAVE A FEVER BUT I MEAN IM STILL FEELING HOT SO IM NOT SURE
audio/RES0061.mp3[555.560,568.600]	YEAH OK ALRIGHT SO ILL GO BACK TO YOUR PAST MEDICAL HISTORY HAVE YOU BEEN HOSPITALIZED OR HAVE YOU EVER NEEDED SURGERIES IN THE PAST
audio/RES0061.mp3[568.600,578.720]	UM NO LIKE THE LAST TIME I WAS IN THE HOSPITAL WITH IT WAS FOR A COLONOSCOPY A FEW YEARS AGO WHICH CAME BACK NORMAL
audio/RES0061.mp3[578.720,586.360]	OK THATS GOOD UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0061.mp3[586.360,591.000]	UH YEAH ACTUALLY GOT THE SHINGLES VACCINE A FEW MONTHS AGO
audio/RES0061.mp3[592.040,596.400]	PROBABLY CLOSER TO A YEAR AGO NOW ACTUALLY
audio/RES0061.mp3[596.400,605.680]	OH GREAT OK THATS AWESOME AND ARE YOU ALLERGIC TO ANYTHING
audio/RES0061.mp3[605.680,608.000]	JUST PEANUTS
audio/RES0061.mp3[608.000,622.960]	PEANUTS OK DO YOU KNOW IF YOU HAVE A FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0061.mp3[622.960,637.840]	YEAH MY SON HAS ASTHMA BUT NOBODY IN MY FAMILYS HAD A HEART PROBLEM THOUGH
audio/RES0061.mp3[637.840,648.560]	OK HOW ABOUT ANY STOMACH PROBLEMS OR LIVER PROBLEMS COLON PROBLEMS
audio/RES0061.mp3[648.560,671.360]	YEAH MY DAD ACTUALLY HAD COLON CANCER HE WAS 70 AND SO THATS WHY WE WENT AND DECIDED TO GET A COLONOSCOPY INSTEAD OF JUST DOING THE IMMUNOHISTOCHEMISTRY TEST
audio/RES0061.mp3[671.360,685.280]	OK YEAH THATS A GOOD IDEA UM SO IT SOUNDS LIKE YOURE YOU KNOW PREEMPTIVE WITH YOUR HEALTH WHICH IS GOOD ANY OTHER CANCERS THAT RUN IN THE FAMILY
audio/RES0061.mp3[685.280,691.440]	NO JUST MY DAD HAD COLON CANCER
audio/RES0061.mp3[691.440,695.280]	OK AND DO YOU SMOKE AT ALL
audio/RES0061.mp3[695.280,696.440]	NO I DONT
audio/RES0061.mp3[696.440,700.440]	DOK HOW ABOUT MARIJUANA
audio/RES0061.mp3[700.440,703.160]	UM NO I DONT SMOKE MARIJUANA
audio/RES0061.mp3[703.160,707.080]	OK HOW ABOUT OTHER RECREATIONAL DRUGS
audio/RES0061.mp3[707.080,720.640]	I MEAN I BRIEFLY LIKE DABBLED IN THE PAST AT PARTIES AND STUFF LIKE THAT BUT THAT WAS WHEN I WAS WAY YOUNGER LIKE IN IN MY COLLEGE YEARS
audio/RES0061.mp3[720.640,723.560]	OK WHAT KIND OF DRUGS
audio/RES0061.mp3[723.560,737.480]	I THINK MAYBE WE USED COCAINE A FEW TIMES AND MDMA UH BUT THAT WAS LIKE A LONG TIME PROBABLY LIKE 30 YEARS AGO
audio/RES0061.mp3[737.480,744.680]	OK WERE ANY OF THESE DRUGS INJECTED IV
audio/RES0061.mp3[744.680,746.680]	NO NO IVE NEVER DONE THAT
audio/RES0061.mp3[746.680,754.440]	OK OK THATS GOOD DO YOU DRINK ALCOHOL
audio/RES0061.mp3[754.440,761.800]	PI HAVE LIKE MAYBE I DONT KNOW A COUPLE OF DRINKS A WEEK
audio/RES0061.mp3[761.800,769.920]	OK THATS GOOD WHAT KIND OF DRINKS DO YOU HAVE AND HOW MUCH OF IT DO YOU HAVE
audio/RES0061.mp3[769.920,777.760]	USUALLY ITLL JUST BE ONE OR TWO GLASSES OF WINE AT A TIME AND MAYBE TWO NIGHTS A WEEK
audio/RES0061.mp3[779.160,782.520]	AND I USUALLY STICK WITH RED WINE
audio/RES0061.mp3[782.520,786.080]	OK GREAT AND WHO DO YOU LIVE WITH
audio/RES0061.mp3[786.080,792.200]	SO UM ITS JUST ME AND MY SON
audio/RES0061.mp3[792.200,795.360]	HOW OLD IS YOUR SON
audio/RES0061.mp3[795.360,800.080]	UH HES 18
audio/RES0061.mp3[800.080,804.960]	OK AND DO YOU LIVE IN A HOUSE OR AN APARTMENT
audio/RES0061.mp3[804.960,814.680]	UM YEAH WE LIVE IN AN APARTMENT YEAH ON THE 8TH FLOOR
audio/RES0061.mp3[814.680,822.680]	ON THE 8TH FLOOR OK ANY ISSUES IN TERMS OF LIKE OLD CARPET OR MOLD OR ASBESTOS IN THE APARTMENT
audio/RES0061.mp3[822.680,835.400]	ITS A NEWISH BUILDING SO THERE ISNT REALLY ANY CARPET ACTUALLY IN THE UNIT SO YEAH ITS PRETTY CLEAN THAT WAY
audio/RES0061.mp3[835.400,848.040]	OK GOOD THATS GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE ENDED THE INTERVIEW
audio/RES0061.mp3[848.040,857.360]	WELL IM JUST HOPING TO TO GET THIS SORTED OUT AND FEEL BETTER
audio/RES0061.mp3[857.360,946.600]	YEAH FOR SURE SO YOU KNOW RIGHT NOW WERE THINKING IT COULD BE A VIRAL GI VIRAL INFECTION BECAUSE OF YOUR COMPLAINTS OF NAUSEA VOMITING LOSS OF APPETITE AND FEVER BUT IT COULD ALSO BE COVIAND WE ARE GOING TO HAVE TO DO A SWAB FOR YOU AND RUN THAT TEST BECAUSE YOU HAVE A LOT OF SYMPTOMS THAT OVERLAP WITH THOSE SYMPTOMS UM AND THEN SO JUST GOING OFF OF THAT WELL WAIT FOR THE SWABS TO COME BACK IF THEY COME BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL DO A TRACE TO SEE WHERE YOU COULD HAVE GOTTEN THIS INFECTION FROM AND THEN MEANWHILE WE DO SUGGEST THAT YOU ISOLATE FOR TWO WEEKS SO THAT YOU DONT SPREAD THE ILLNESS AND EVEN IF THE SWAB COMES BACK NEGATIVE THERE IS STILL A CHANCE THAT YOU MAY HAVE COVIAND ITS A FALSE NEGATIVE TEST SO WELL START THERE IF IT TURNS OUT YOU DONT HAVE ANY OF THOSE VIRAL ILLNESSES AND YOU HAVE MORE OF A YOU KNOW BACTERIAL PICTURE WE CAN WORK YOU UP FOR THAT AND PRESCRIBE ANTIBIOTICS SO THATS WHERE WE WILL START HOW DOES THAT SOUND
audio/RES0061.mp3[946.600,950.560]	YEAH THAT SOUNDS LIKE A GREAT START THANK YOU
audio/RES0061.mp3[950.560,963.960]	ALRIGHT GREAT
audio/RES0128.mp3[0.000,2.320]	HOW CAN I HELP YOU
audio/RES0128.mp3[2.320,19.640]	HI SO I BROUGHT MY 6 YEAR OLD SON IN TODAY BECAUSE YESTERDAY DURING SOCCER PRACTICE HE HE DEVELOPED THIS PRETTY SEVERE COUGH AND HE COULDNT CATCH HIS BREATH
audio/RES0128.mp3[19.640,23.240]	OK SO THIS HAPPENED YESTERDAY YOU MENTIONED
audio/RES0128.mp3[23.240,28.400]	YEAH IT HAPPENED YESTERDAY AFTERNOON
audio/RES0128.mp3[28.400,37.720]	OK UHM SO YOU MENTIONED A COUGH IS IT A HARSH BARKY COUGH OR IS IT MORE LIKE A MUFFLED COUGH
audio/RES0128.mp3[37.720,40.000]	I WOULD SAY ITS MORE MUFFLED
audio/RES0128.mp3[40.000,45.400]	OK AND IS IT A DRY COUGH OR IS IT BRINGING UP ANY PHLEGM
audio/RES0128.mp3[46.400,50.720]	DRY OK SO NO BLOOD IN THE WITH THE COUGHING
audio/RES0128.mp3[50.720,52.680]	NO BLOOD
audio/RES0128.mp3[52.680,55.480]	AND DOES HE SOUND WHEEZY TO YOU
audio/RES0128.mp3[55.480,66.000]	HE DOES YEAH HES STILL SOUNDING A LITTLE BIT WHEEZY NOW ITS ITS BETTER THAN LAST NIGHT HE WAS A BIT MORE WHEEZY LAST NIGHT
audio/RES0128.mp3[66.000,73.640]	OK UHM HOW ABOUT SHORTER BREATH DOES HE SOUND SHORT OF BREATH AT ALL
audio/RES0128.mp3[73.640,88.920]	NO THAT THATS GOTTEN A BIT BETTER THAT RESOLVED ABOUT AN HOUR LIKE AFTER HE STOPPED PLAYING BUT HE WAS HE WAS SHORT OF BREATH YESTERDAY
audio/RES0128.mp3[88.920,101.000]	OK AND HAVE YOU TRIED ANYTHING FOR HIS COUGH FOR HIS SHORTNESS OF BREATH OR WHEEZING
audio/RES0128.mp3[101.000,102.480]	NO WE HAVENT
audio/RES0128.mp3[102.480,108.480]	NO OK DOES HE HAVE A FEVER AT ALL
audio/RES0128.mp3[108.480,114.120]	NO HE DOESNT MENTION ANYTHING ABOUT FEELING HOT OR OR OR HAVING CHILLS EITHER
audio/RES0128.mp3[114.120,119.080]	NO OK AND ANY RASHES THAT YOUVE NOTICED
audio/RES0128.mp3[119.880,123.440]	NO WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0128.mp3[123.440,125.480]	NO HES BEEN GAINING WEIGHT WELL
audio/RES0128.mp3[125.480,131.240]	OK GOOD HAS HE HAD A STUFFY NOSE OR RUNNY NOSE
audio/RES0128.mp3[131.240,151.640]	WELL SOMETIMES HE WILL GET A RUNNY NOSE HE TAKES LIKE REACTIN OR CLARITIN OR SOME SORT OF ALLERGY PILL FOR THAT SOMETIMES BUT THATS USUALLY LIKE THE CHANGING OF SEASONS THAT WILL HAPPEN MORE OFTEN
audio/RES0128.mp3[151.640,155.800]	OK OK DOES HE HAVE ANY ALLERGIES
audio/RES0128.mp3[155.800,167.840]	YEAH TO MOSTLY ENVIRONMENTAL TRIGGERS IM NOT SURE IF THE SPECIFIC THINGS ARE BUT I JUST KNOW IT GETS WORSE MAYBE IN THE SPRING SPRINGTIME
audio/RES0128.mp3[167.840,171.600]	OK AND DOES HE HAVE ASTHMA
audio/RES0128.mp3[171.600,181.600]	HES NEVER BEEN DIAGNOSED BUT HE HAS HAD UHM OR HIS SISTER HAS ASTHMA
audio/RES0128.mp3[181.600,188.720]	OK OK AND HAS HE HAVE YOU NOTICED ANY CHANGES IN HIS VISION OR HEARING
audio/RES0128.mp3[190.440,194.920]	NO OK HOW ABOUT CHANGE IN HIS SMELL OR TASTE
audio/RES0128.mp3[196.960,202.400]	NO HOW ABOUT LIKE DOES HE SEEM LIKE HE HAS ANY CHEST PAIN
audio/RES0128.mp3[202.400,205.960]	NO HE HASNT MENTIONED ANYTHING LIKE THAT
audio/RES0128.mp3[205.960,209.880]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0128.mp3[210.880,214.440]	NO CONFUSION OR MEMORY LOSS
audio/RES0128.mp3[216.200,221.760]	OK UHM HOW ABOUT CONFUSION OR SORRY YOU SAID NO HEADACHES
audio/RES0128.mp3[221.760,223.320]	NO HEADACHES
audio/RES0128.mp3[223.320,228.920]	NO OK ANY JOINT PAINS MUSCLE ACHES
audio/RES0128.mp3[231.920,238.560]	OK AND HOW ABOUT CHANGES TO HIS BOWEL MOVEMENTS
audio/RES0128.mp3[238.560,242.480]	NO EVERYTHINGS BEEN NORMAL THERE
audio/RES0128.mp3[242.480,247.040]	OK HOW ABOUT NAUSEA OR VOMITING
audio/RES0128.mp3[247.040,249.120]	NOTHING LIKE THAT
audio/RES0128.mp3[249.120,263.720]	OK OK SO YOU MENTIONED HE HAS ASTHMA HE MIGHT HAVE ASTHMA HE WAS NEVER FORMALLY DIAGNOSED DOES IS HE OTHERWISE HEALTHY OR DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0128.mp3[263.720,278.680]	HES BEEN HEALTHY YEAH I KNOW HE DID HAVE LIKE HE WOULD GET SOME ITCHY SKIN WHEN HE WAS A BIT WHEN HE WAS LIKE A BABY BUT HE HASNT NEEDED ANY CREAMS FOR THAT FOR A LONG TIME
audio/RES0128.mp3[278.680,283.560]	OK SO HE MIGHT HAVE SOMETHING LIKE ECZEMA YOU THINK
audio/RES0128.mp3[283.560,287.000]	YEAH YEAH I THINK HE DID
audio/RES0128.mp3[287.000,293.240]	OK OK AND IS HE ON ANY MEDICATIONS RIGHT NOW
audio/RES0128.mp3[293.240,296.120]	NO HE DOESNT TAKE ANYTHING RIGHT NOW
audio/RES0128.mp3[296.120,304.440]	OK UHM DURING HIS MOMS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS
audio/RES0128.mp3[304.440,317.960]	NO SHE WAS UHM HEALTHY AND HE WAS BORN AT TERM WITH A NORMAL WEIGHT AND ABLE TO GO HOME RELATIVELY QUICKLY SO THERE WERENT ANY CONCERNS
audio/RES0128.mp3[317.960,326.560]	OK THATS GOOD AND WAS HE HEALTHY LIKE AFTER BIRTH
audio/RES0128.mp3[326.560,336.240]	YEAH SO HES HES DONE WELL THERE WERENT REALLY ANY CONCERNS WITH DEVELOPMENT OR OR GROWTH AND HES DOING WELL IN SCHOOL
audio/RES0128.mp3[336.240,344.280]	OK OK GOOD HOW ABOUT UHM SO WAS HE A FULL TERM BABY AND WAS IT A VAGINAL DELIVERY
audio/RES0128.mp3[344.280,346.600]	YES YES FOR BOTH
audio/RES0128.mp3[346.600,350.240]	OK ANY COMPLICATIONS DURING THE DELIVERY
audio/RES0128.mp3[351.080,357.880]	OK AND HE DIDNT NEED ANY HOSPITALIZATIONS LIKE RIGHT AFTER BIRTH AS AN AS A NEWBORN
audio/RES0128.mp3[358.800,363.560]	NO OK GOOD UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0128.mp3[363.560,367.760]	HE IS YEAH
audio/RES0128.mp3[367.760,373.400]	OK AND YOU MENTIONED THAT HE MAY HAVE SOME SEASONAL ALLERGIES ANY OTHER ALLERGIES THAT YOU KNOW OF
audio/RES0128.mp3[373.400,375.680]	NOT THAT I KNOW OF
audio/RES0128.mp3[375.680,388.720]	NO OK YOU MENTIONED THAT HIS SISTER HAS ASTHMA ANY OTHER LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY
audio/RES0128.mp3[388.720,395.960]	NO NOTHING LIKE THAT
audio/RES0128.mp3[395.960,399.560]	NO OK OK UHM AND DOES ANYONE AT HOME SMOKE
audio/RES0128.mp3[399.880,407.600]	NO OK ANY OLD CARPETS DOES MOLD ASBESTOS ANYTHING LIKE THAT AT HOME
audio/RES0128.mp3[407.600,417.080]	WE WE TOOK OUT THE CARPETS AND STUFF WHEN HIS SISTER WAS DIAGNOSED WITH ASTHMA SO ITS GOOD FROM THAT PERSPECTIVE
audio/RES0128.mp3[417.080,423.040]	OK GOOD AND WHO LIVES AT HOME WITH HIM
audio/RES0128.mp3[423.040,427.600]	SO ITS MYSELF HIS MOM AND THEN HIS SISTER
audio/RES0128.mp3[427.600,433.160]	OK OK ANY PETS AT HOME
audio/RES0128.mp3[433.160,439.840]	HES GOT A FISH
audio/RES0128.mp3[439.840,446.400]	A FISH OK AND HAS HE HAS COME INTO CONTACT WITH ANYONE SICK RECENTLY
audio/RES0128.mp3[446.400,465.120]	NO I DONT THINK SO I MEAN WHEN AT SCHOOL THEYVE BEEN PRETTY DILIGENT WITH I MEAN COVID AND EVERYTHING RIGHT NOW SO I THINK HES BEEN OK
audio/RES0128.mp3[465.120,468.840]	OK UHM HAS HE TRAVELED ANYWHERE RECENTLY
audio/RES0128.mp3[472.080,478.920]	NO OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
audio/RES0128.mp3[478.920,491.200]	YEAH I WAS JUST WONDERING IF IF MY SON HAD ASTHMA AS WELL AND IF LIKE YOU NEED A PRESCRIPTION FOR INHALERS
audio/RES0128.mp3[491.200,563.360]	YEAH SO WERE GONNA SINCE HES NEVER BEEN DIAGNOSED BEFORE WERE GONNA DO SOME INVESTIGATIONS FOR HIM JUST TO START SO WE CAN DO WE CAN START BY DOING A PULMONARY FUNCTION TEST FOR HIM TO SEE WHAT HIS LUNG ACTIVITY IS LIKE UHM SO WELL START THERE AND THEN WELL ALSO BECAUSE YOURE SAYING HES SHORT OF BREATH WELL TAKE HIS OXYGEN SATURATION AS WELL AND MAYBE EVEN DO SOME LIKE SOME BASIC BLOOD WORK FOR HIM AND IF IT TURNS OUT HE HAS ASTHMA WHICH IN THIS CASE I DO STRONGLY SUSPECT WELL PRESCRIBE HIM SOME BRONCHODILATORS LIKE A SHORT ACTING BETA AGONIST AS WELL AS AN INHALED CORTICOSTEROID BECAUSE HIS SYMPTOMS DO SEEM SOMEWHAT SEVERE THIS TIME AROUND AND THEN I SHOULD ALSO MENTION BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THAT OF COVIHE WILL ALSO GET A COVID SWAB AND YOU SHOULD HEAR BACK ABOUT THAT IN 24 TO 48 HOURS HOW DOES THAT SOUND
audio/RES0128.mp3[563.360,566.360]	THAT SOUNDS GOOD THANK YOU
audio/RES0128.mp3[566.360,568.000]	ALRIGHT GREAT THANK YOU
audio/MSK0003.mp3[0.000,11.240]	MY BACK IT JUST REALLY HURTS I FEEL REALLY STIFF IN THE MORNING AND UM YEAH ITS JUST BEEN GOING ON FOR A FEW MONTHS NOW
audio/MSK0003.mp3[11.240,20.200]	OK SO FOR A FEW MONTHS STIFFNESS IN THE MORNING SO YOUR BACK HURTS WHERE EXACTLY WOULD YOU SAY IT HURTS
audio/MSK0003.mp3[20.200,34.600]	IT KINDA HURTS ALL OVER I CANT REALLY PINPOINT ANY SPECIFIC LOCATIONS THAT HURTS MOST KIND OF HURTS LIKE ALL DOWN MY MY BACK
audio/MSK0003.mp3[34.600,41.880]	OK ALL THE WAY UP TO I GUESS YOUR NECK AND ALL THE WAY DOWN TO YOUR LOWER BACK
audio/MSK0003.mp3[41.880,50.400]	SO I WOULDNT REALLY SAY THE NECK AND I GUESS MORE OF THE THE LOWER PARTS MAYBE LIKE THE MIDDLE OF MY BACK AND
audio/MSK0003.mp3[50.400,50.960]	I SEE
audio/MSK0003.mp3[50.960,52.600]	AND DOWN
audio/MSK0003.mp3[52.600,60.600]	OK AND WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A DULL ACHING PAIN IS IT A SHARP STABBING PAIN HOW WOULD YOU DESCRIBE IT
audio/MSK0003.mp3[60.600,63.040]	ITS A DULL PAIN
audio/MSK0003.mp3[63.040,72.360]	DULL PAIN OK OK AND ON A SCALE OF 0 TO 10 WITH 0 BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT
audio/MSK0003.mp3[72.360,81.440]	ITS ABOUT A FOUR OR FIVE I MEAN SOME DAYS IT CAN BE BETTER BUT YEAH SOME DAYS IT CAN BE WORSE
audio/MSK0003.mp3[81.440,85.960]	OK AND WHEN DID THIS START
audio/MSK0003.mp3[85.960,94.880]	I THINK THIS STARTED ABOUT LIKE FOUR OR FIVE MONTHS AGO ITS BEEN GOING ON YEAH FOR PROBABLY ABOUT HALF A YEAR NOW
audio/MSK0003.mp3[94.880,109.200]	OK AND WHEN IT FIRST STARTED UP WAS THERE ANYTHING THAT CAUSED THE BACK PAIN LIKE ANY KIND OF TRAUMA OR INJURY ANYTHING THAT YOU CAN THINK OF THAT MIGHT HAVE LED TO THIS
audio/MSK0003.mp3[109.200,130.040]	NO NOTHING THAT ITS I I CAN THINK OF ITS SORT OF ITS COME ON SO SLOWLY LIKE WHEN I FIRST STARTED NOTICING THE BACK PAIN IT IT WAS MAYBE LIKE A 0 TO A ONE I DIDNT REALLY NOTICE IT TOO MUCH BUT OVER THESE LAST 5 6 MONTHS IT HAS GOTTEN HAS GOTTEN A BIT WORSE
audio/MSK0003.mp3[130.040,137.480]	OK SO IT KIND OF CAME ON PROGRESSIVELY DIDNT JUST COME ON SUDDENLY AT SOME POINT
audio/MSK0003.mp3[137.480,139.640]	RIGHT YEAH ITS BEEN GETTING WORSE
audio/MSK0003.mp3[139.640,145.560]	OK AND HAVE YOU EVER HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO THIS
audio/MSK0003.mp3[145.560,159.600]	UH NOT NOT IN MY BACK PAIN I DO GET PAIN IN MY RIGHT KNEE AND IN MY HANDS SOMETIMES BUT THOSE PAINS JUST KIND OF COME AND GO
audio/MSK0003.mp3[159.600,164.360]	OK AND WHEN DID THOSE PAINS START
audio/MSK0003.mp3[164.360,174.160]	UHM THOSE ONES STARTED PROBABLY SIMILAR TIMELINE AROUND SIX MONTHS AGO
audio/MSK0003.mp3[174.160,180.960]	OK OK AND IN THE BACK PAIN THAT YOURE HAVING DOES IT RADIATE OR MOVE TO ANY OTHER PART OF YOUR BODY
audio/MSK0003.mp3[180.960,183.080]	NO I DONT FEEL IT ANYWHERE ELSE
audio/MSK0003.mp3[183.080,192.240]	OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED RELIEVE SOME OF THE PAIN ANY MEDICATIONS OR ANYTHING
audio/MSK0003.mp3[192.240,207.440]	YEAH IVE TRIED SOME TYLENOL AND ADVIL AND THAT THE ADVIL IS ACTUALLY HELPED TAKING THE EDGE OFF A LITTLE BIT BUT THE NEXT MORNING I I HAVE THE STIFFNESS AND AND PAIN AGAIN
audio/MSK0003.mp3[207.440,223.640]	OK AND FOR YOUR PAIN ARE THERE ANY KIND OF FACTORS THAT MAKE THE PAIN WORSE LIKE BENDING DOWN OR STANDING STRAIGHT UP OR LAYING DOWN ANYTHING THAT MAKES YOUR PAIN WORSE
audio/MSK0003.mp3[223.640,229.360]	UH NO NOTHING THAT I CAN THINK OF THAT REALLY MAKES IT ANY WORSE
audio/MSK0003.mp3[229.360,238.080]	OK AND IS YOUR PAIN WORSE WHEN YOU WAKE UP IN THE MORNING OR IS IT WORSE AS THE DAY PROGRESSES
audio/MSK0003.mp3[238.080,254.880]	ITS WORSE IN THE MORNING IT GETS A BIT BETTER AS THE DAY GOES ON I ASKED ABOUT IT AN HOUR INTO THE DAY I FEEL MY BEST IT TAKES A LITTLE BIT OF TIME TO TO MOVE AROUND A LITTLE BIT FIRST
audio/MSK0003.mp3[254.880,262.280]	OK APPROXIMATELY HOW MUCH TIME WOULD YOU SAY AFTER YOU WAKE UP THE STIFFNESS AND PAIN GOES AWAY
audio/MSK0003.mp3[262.280,266.760]	I WOULD SAY MAYBE 30 TO 60 MINUTES
audio/MSK0003.mp3[266.760,274.520]	OK ALRIGHT AND NO YOU HAVENT HAD ANY TRAUMA INJURIES IN RECENTLY RIGHT
audio/MSK0003.mp3[274.520,276.760]	NO TRAUMA OR INJURIES
audio/MSK0003.mp3[276.760,279.840]	OK AND NO FEVERS OR CHILLS
audio/MSK0003.mp3[281.040,283.560]	OK ANY NIGHT SWEATS
audio/MSK0003.mp3[285.360,288.280]	ANY FATIGUE OR MALAISE
audio/MSK0003.mp3[288.280,299.320]	YEAH I HAVE BEEN A BIT MORE FATIGUED THAN USUAL AND YEAH I IVE HAD SOME MALAISE AS WELL
audio/MSK0003.mp3[299.320,303.120]	OK AND FOR HOW LONG HAVE YOU HAD THIS
audio/MSK0003.mp3[303.120,324.000]	ITS BEEN SIMILARLY GETTING A LITTLE BIT MORE PROGRESSIVE I MEAN SOME DAYS IM JUST FEELING LIKE I JUST WANT TO LAY AROUND AND REST CAUSE IM FEELING JUST SO BURNT OUT AND OTHER DAYS IM OK BUT IM CERTAINLY MORE TIRED THAN USUAL
audio/MSK0003.mp3[324.000,334.920]	OK I SEE OTHER THAN THAT HAVE YOU NOTICED ANY KIND OF RASHES OR SKIN CHANGES OR CHANGES IN YOUR NAILS AT ALL
audio/MSK0003.mp3[334.920,346.040]	UHM NO I HAVENT NOTICED ANY ANY RASHES OR ANY NAIL CHANGES
audio/MSK0003.mp3[346.040,349.040]	OK ANY SHORTNESS OF BREATH
audio/MSK0003.mp3[350.640,355.000]	ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS
audio/MSK0003.mp3[355.000,361.160]	NO I HAVENT HAD ANY DIARRHEA OR ANY ANY URINARY PROBLEMS
audio/MSK0003.mp3[361.160,366.360]	OK HAVE YOU NOTICED ANY CHANGES IN YOUR APPETITE OR YOUR WEIGHT
audio/MSK0003.mp3[366.360,370.240]	NO MY APPETITES BEEN NORMAL AND MY WEIGHTS BEEN STABLE
audio/MSK0003.mp3[370.240,382.280]	OK AND HAVE YOU NOTICED ANY DIFFICULTIES OR CHANGES WITH YOUR VISION OR ANY EYE PROBLEMS
audio/MSK0003.mp3[382.280,386.640]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/MSK0003.mp3[386.640,398.000]	OK HAVE YOU NOTICED ANY KIND OF NUMBNESS OR TINGLING SENSATION IN YOUR LIMBS SPECIFICALLY LIKE YOUR BACK AND YOUR LEGS
audio/MSK0003.mp3[398.000,401.800]	NO NO TINGLING OR NUMBNESS
audio/MSK0003.mp3[401.800,404.440]	OK ANY MUSCLE WEAKNESS AT ALL
audio/MSK0003.mp3[404.440,407.040]	NOPE I HAVENT NOTICED ANY MUSCLE WEAKNESS
audio/MSK0003.mp3[407.040,416.760]	OK AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH ANY VIRAL OR BACTERIAL INFECTIONS
audio/MSK0003.mp3[416.760,434.320]	UM I HAD A UH AND THEN I WAS DIARRHEA LIKE SEVERAL MONTHS AGO AND I HAD SOME ANTIBIOTICS BUT THAT WAS A YEAH SO A FEW MONTHS AGO
audio/MSK0003.mp3[434.320,440.960]	OK AND OTHER THAN THAT CURRENTLY ARE YOU SEXUALLY ACTIVE
audio/MSK0003.mp3[440.960,454.920]	YES I AM UH I I HAVE A GIRLFRIEND THEN WEVE UH WE STARTED DATING ABOUT ABOUT UH SIX MONTHS AGO
audio/MSK0003.mp3[454.920,460.880]	OK AND DO EITHER OF YOU HAVE ANY HISTORY OF ANY STIS AT ALL
audio/MSK0003.mp3[460.880,464.960]	UH NO HISTORY OF STIS
audio/MSK0003.mp3[464.960,470.720]	OK ALRIGHT AND IS YOUR PARTNER FINE OR IS SHE HAVING ANY SYMPTOMS AT ALL
audio/MSK0003.mp3[470.720,482.800]	NO SHE SHE HASNT BEEN HAVING ANY SYMPTOMS THEN WE WEVE BEEN USING A CONDOM MOSTLY
audio/MSK0003.mp3[482.800,495.600]	OK ALRIGHT AND OTHERWISE ARE YOU GENERALLY HEALTHY OR DO YOU HAVE ANY MEDICAL CONDITIONS
audio/MSK0003.mp3[495.600,513.960]	UHM YEAH IM IM GENERALLY ALRIGHT I DO HAVE ASTHMA ACTUALLY AND JUST I HAD DIARRHEA A FEW MONTHS AGO AFTER EATING AT A BUFFET SO I THINK MAYBE IT YEAH IT WAS FOOD POISONING OR MAYBE SOMETHING LIKE THAT
audio/MSK0003.mp3[514.440,518.040]	BUT YEAH SO ASTHMA AND THATS IT
audio/MSK0003.mp3[518.040,521.400]	OK AND DO YOU USE ANY MEDICATIONS FOR YOUR ASTHMA
audio/MSK0003.mp3[521.400,530.400]	YEAH USE THAT BLUE INHALER SOMETIMES I GUESS THAT JUST WHEN I WHEN I NEED IT BUT THAT HASNT BEEN VERY OFTEN
audio/MSK0003.mp3[530.400,536.680]	OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL FACTORS
audio/MSK0003.mp3[536.680,546.960]	I DO HAVE ENVIRONMENTAL ALLERGIES I IM NOT SURE IF ITS LIKE RAGWEED OR OR POLLEN BUT SOMETHING LIKE THAT
audio/MSK0003.mp3[546.960,553.440]	OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES
audio/MSK0003.mp3[553.440,556.000]	UHM NEVER
audio/MSK0003.mp3[556.000,570.720]	OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY AUTOIMMUNE CONDITIONS OR ANY MUSCULOSKELETAL CONDITIONS
audio/MSK0003.mp3[570.720,576.480]	YEAH MY MOTHER HAS A UH PSORIASIS
audio/MSK0003.mp3[580.200,588.400]	YEAH AND SO SHES HAD TO I KNOW USE LIKE LIKE CREAMS AND STUFF LIKE THAT FOR HER SKIN
audio/MSK0003.mp3[588.400,593.080]	OK AND CURRENTLY RIGHT NOW DO YOU WORK
audio/MSK0003.mp3[593.080,601.080]	I DO YEAH I WORK UH AT A BANK
audio/MSK0003.mp3[601.080,610.240]	OK AND YOUR MOTHER SO SHE HAD PSORIASIS DID SHE EVER HAVE ANY JOINT PAINS ALONGSIDE THE PSORIASIS
audio/MSK0003.mp3[610.240,616.800]	I DONT BELIEVE SO I THINK SHE HAD JUST MORE ISSUES WITH HER WITH HER SKIN
audio/MSK0003.mp3[616.800,625.200]	OK AND SO YOU WORK AND THEN WHATS YOUR LIVING SITUATION LIKE
audio/MSK0003.mp3[625.200,632.840]	YEAH SO I LIVE WITH MY GIRLFRIEND IN A CONDO IN THE CITY HERE
audio/MSK0003.mp3[632.840,639.280]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0003.mp3[639.280,651.480]	YES SOMETIMES YEAH ILL SMOKE LIKE ONCE OR TWICE PER WEEK WITH THAT WITH A FRIEND OR SOMETHING LIKE THAT
audio/MSK0003.mp3[651.480,654.720]	OK AND DO YOU SMOKE
audio/MSK0003.mp3[654.720,657.520]	NO CIGARETTES NO NEVER
audio/MSK0003.mp3[657.520,662.560]	OK AND YOU DRINK ALCOHOL
audio/MSK0003.mp3[662.560,667.920]	SOMETIMES YEAH ILL HAVE A BEER OR TWO ON WEEKENDS OR OR A COCKTAIL WITH FRIENDS
audio/MSK0003.mp3[667.920,691.240]	OK ALRIGHT SO THOSE WERE JUST SOME OF THE QUESTIONS I HAD NOW IM JUST GOING TO QUICKLY UH ASK SOME SPECIFIC QUESTIONS SO HAVE YOU NOTICED ANY KIND OF SWELLING IN THE AREAS THAT YOU ARE HAVING PAIN OR REDNESS OR ANYTHING LIKE THAT
audio/MSK0003.mp3[691.240,701.080]	UHM NO I HAVENT NOTICED REALLY ANY ANY UH REDNESS OR OR SWELLING
audio/MSK0003.mp3[701.080,724.280]	OK AND NO SO ARE YOU ABLE TO BEND DOWN AND STAND UP STRAIGHT OR EXTEND BACKWARDS SO WITHOUT PAIN OR ARE YOU IN ANY PAIN
audio/MSK0003.mp3[724.280,745.040]	UHM I DO GET IT ITS A BIT STIFF UHM I UH YEAH IM NOT REALLY TOO SURE ITS LIKE NOT REALLY ITS MORE MORE MORE STIFF
audio/MSK0003.mp3[745.040,753.160]	OK AND YEAH OTHER THAN THAT DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/MSK0003.mp3[753.160,763.280]	UHM YEAH I WAS JUST WONDERING YEAH LIKE LIKE WHAT WHAT THIS COULD BE POSSIBLY
audio/MSK0003.mp3[763.280,779.160]	YEAH SO DEFINITELY WHAT SO THIS THIS SEEMS LIKE IT STARTED OFF LIKE 3 MONTHS OR SIX MONTHS AGO AND ITS BEEN GOING ON AND ITS HAPPENING IN THE MORNING AND HOW OLD DID YOU SAY YOU WERE
audio/MSK0003.mp3[779.160,783.000]	UHM IM 26
audio/MSK0003.mp3[783.000,909.480]	OK YEAH SO UH IT SEEMS PROGRESSIVE AND YOURE GETTING SOME PAIN IN YOUR OTHER JOINTS AS WELL AND ITS MAINLY FROM YOUR MIDDLE TO LOWER BACK IT CAN BE MULTIPLE THINGS THAT WE WOULD HAVE TO RULE OUT SO YOU FIRST YOU HAVE A FAMILY HISTORY OF PSORIASIS SO IT CAN BE PSORIATIC ARTHRITIS YOU DONT HAVE ANY OTHER SKINS CHANGES OR ANY OTHER SYMPTOMS IT CAN ALSO BE SINCE YOU HAVE HAD A YOU WERE SICK FOR MONTHS AGO WITH A WHAT MIGHT BE GASTROENTERITIS IT CAN BE SOMETIMES A FEW MONTHS AFTERWARDS YOU CAN GET SOMETHING CALLED REACTIVE ARTHRITIS  WHERE YOU GET THIS PROGRESSIVE PAIN IN YOUR JOINTS AND STIFFNESS AND OTHERWISE IT CAN ALSO BE SOMETHING CALLED ANKYLOSING SPONDYLITIS WHICH CAN PRESENT IN MEN YOUR AGE AND ITS KIND OF LIKE A PROGRESSIVE DULL BACK PAIN AND THAT HAS SOME MORNING STIFFNESS AS WELL SO YEAH THERES DEFINITELY MULTIPLE THINGS THAT IT CAN BE SO FIRST WE WOULD NEED TO DO A FULL PHYSICAL EXAMINATION AND BOOK AN APPOINTMENT OR FOR THAT IN PERSON AND WE WILL GET SOME LAB WORK DONE AS WELL AS WELL AS A X RAY OF THE OF THE SPINE AND YOUR SACROILIAC JOINTS AND WELL ALSO GET SOME BLOOD WORK WITH CBC CRAND ESR SO THOSE ARE JUST INFLAMMATORY MARKERS AS WELL AS THE RHEUMATOID FACTOR ANTINUCLEAR ANTIBODIES THOSE ARE JUST SOME THINGS THAT WILL TEST FOR DIFFERENT KIND OF RHEUMATOLOGICAL ISSUES AND TO SEE IF YOU HAVE ANY ARTHRITIS SO YEAH THOSE ARE AND THEN WILL ALSO GET AN X RAY OF YOUR HANDS AND KNEES SINCE YOURE HAVING PAIN THERE AS WELL SO YEAH THOSE ARE SOME STEPS THAT WELL TAKE DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/MSK0003.mp3[909.480,914.560]	NO THAT THAT SOUNDS THAT SOUNDS GREAT THANK YOU
audio/MSK0003.mp3[914.560,919.760]	ALRIGHT YEAH SO I WILL GET IN TOUCH WITH YOU SHORTLY
audio/MSK0003.mp3[919.760,921.720]	SOUNDS GREAT THANK YOU
audio/MSK0003.mp3[921.720,923.080]	ALRIGHT TAKE CARE
audio/MSK0045.mp3[0.000,1.760]	WHAT BRINGS YOU HERE TODAY
audio/MSK0045.mp3[1.760,17.360]	UM SO IM HERE BECAUSE MY SHOULDER HAS BEEN REALLY PAINFUL FOR THE PAST WEEK UM AND ANY MOVEMENT OF THAT SHOULDER OF MY RIGHT SHOULDER CAUSES A LOT OF PAIN
audio/MSK0045.mp3[17.360,21.080]	OK AND HOW LONG HAVE YOU BEEN HAVING UH THIS PAIN FOR
audio/MSK0045.mp3[21.080,23.040]	FOR THE PAST WEEK
audio/MSK0045.mp3[23.040,32.040]	PAST WEEK OK UM AND DID YOU INJURE YOUR SHOULDER AT ALL RECENTLY ANY TRAUMA TO THE AREA OR ANYTHING LIKE THAT
audio/MSK0045.mp3[32.040,63.440]	UM SO ABOUT LIKE A COUPLE OF MONTHS AGO I UM WAS DO I I WORK IN CONSTRUCTION SO UM I WAS MOVING AROUND SOME HEAVY OBJECTS AND UM I GUESS LIKE THE REPETITIVE MOTIONS CAUSED SOME SORT OF ROTATOR CUFF INJURY BUT I HAD THAT UM LIKE I GOT THAT TREATED AND EVERYTHING WAS FINE FOR A COUPLE OF MONTHS BUT THIS PAIN JUST STARTED A WEEK AGO
audio/MSK0045.mp3[63.440,67.440]	OK AND WHERE IS THIS PAIN LOCATED EXACTLY
audio/MSK0045.mp3[67.440,78.280]	UM ITS ITS JUST LIKE IN MY SHOULDER LIKE AT THE JOINT BETWEEN MY UPPER ARM AND UM SHOULDER
audio/MSK0045.mp3[78.280,84.600]	OK AND UH IS IT AN ACHING PAIN OR IS IT A SHARP STABBING PAIN
audio/MSK0045.mp3[84.600,101.000]	SO AT REST IT SEEMS TO BE LIKE ACHY AND STIFF BUT UM BUT WHEN I MOVE MY SHOULDER WHEN I TRY TO MOVE IT IT IT CAUSES MORE OF A SHARP PAIN
audio/MSK0045.mp3[101.000,113.120]	SHARP PAIN OK AND WHAT KIND OF MOVEMENTS CAUSE THE SHARP PAIN OR IS IT JUST ANY MOVEMENT
audio/MSK0045.mp3[113.120,116.280]	UH ANY MOVEMENT
audio/MSK0045.mp3[116.280,122.040]	OK ARE THERE ANY UH MOVEMENTS THAT ARE WORSE IN PARTICULAR
audio/MSK0045.mp3[122.040,126.240]	UM I THINK UM LIKE NO ANYTHING HURTS
audio/MSK0045.mp3[126.240,136.320]	OK OK AND HOW MUCH WOULD YOU RATE THIS PAIN OUT ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE
audio/MSK0045.mp3[136.320,138.720]	ID GIVE IT ABOUT A 7
audio/MSK0045.mp3[138.720,140.360]	SEVEN OK
audio/MSK0045.mp3[141.200,147.920]	AND ARE YOU HAVING UH IS THIS PAIN MOVING TO ANY OTHER UH JOINTS OR ANY OTHER PART OF YOUR BODY
audio/MSK0045.mp3[149.240,152.920]	OK SO JUST JUST IN THE AREA THAT YOU DESCRIBED
audio/MSK0045.mp3[154.800,162.560]	OK AND DO YOU NOTICE ANY KIND OF UM JUST LOOKING AT YOUR SHOULDER OUTSIDE FROM THE OUTSIDE ANY SWELLING REDNESS ANY MASSES OR DEFORMITIES
audio/MSK0045.mp3[162.560,171.800]	NO I DONT SEE ANYTHING LIKE THAT
audio/MSK0045.mp3[171.800,175.960]	OK ALRIGHT AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED WITH YOUR PAIN
audio/MSK0045.mp3[175.960,183.160]	UM IVE TRIED SOME IBUPROFEN SOME ICE IT SEEMS TO HELP TEMPORARILY
audio/MSK0045.mp3[183.160,188.720]	OK AND EARLIER WHEN YOU HAD THE ROTATOR CUFF INJURY DID YOU GET PHYSIOTHERAPY
audio/MSK0045.mp3[188.720,204.920]	UM I DID BUT NOT BUT I DIDNT FINISH THE FULL COURSE I JUST WENT FOR A WEEK OR SO AND THEN UM I HAD TO GO BACK TO WORK UM SO I STOPPED DOING THAT
audio/MSK0045.mp3[204.920,220.400]	I SEE UM YEAH SO THATS SOMETHING DEFINITELY UH ITS VERY IMPORTANT AND WELL NEED TO CONSIDER GOING FORWARD AS WELL OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF ANY FEVERS OR CHILLS
audio/MSK0045.mp3[220.400,223.720]	UH NO NOTHING LIKE THAT
audio/MSK0045.mp3[223.720,229.200]	OK AND HAVE YOU BEEN SICK RECENTLY AT ALL OR MET WITH SOMEONE WHO WAS SICK
audio/MSK0045.mp3[231.760,240.680]	OK ANY ANY WEIGHT LOSS UM OR LOSS OF APPETITE ANYTHING LIKE THAT
audio/MSK0045.mp3[240.680,243.280]	UH NO NOTHING LIKE THAT
audio/MSK0045.mp3[243.280,246.720]	OK ANY NUMBNESS OR TINGLING
audio/MSK0045.mp3[249.040,251.920]	ANY WEAKNESS IN YOUR EXTREMITIES
audio/MSK0045.mp3[253.720,262.160]	ANY UM ANY JUST SYMPTOMS OR ANYTHING ELSE LIKE DIARRHEA CONSTIPATION URINARY CHANGES ANYTHING ELSE IS GOING ON
audio/MSK0045.mp3[264.000,267.600]	NO OK SO ITS MAINLY JUST THE SHOULDER PAIN
audio/MSK0045.mp3[270.000,281.720]	OK UM ALRIGHT AND DOES REST HELP AT ALL LIKE WHEN YOURE LYING DOWN JUST NOT MOVING YOUR SHOULDER DOES THAT HELP WITH YOUR PAIN
audio/MSK0045.mp3[281.720,285.840]	UH YEAH I WOULD SAY SO
audio/MSK0045.mp3[285.840,293.920]	OK AND IS IS THIS STIFFNESS THERE JUST THROUGHOUT THE DAY OR IS IT THERE IN THE MORNING AND THEN GETS BETTER DURING THE DAY
audio/MSK0045.mp3[293.920,298.640]	ITS PRETTY MUCH THERE ALL DAY
audio/MSK0045.mp3[298.640,309.560]	OK ALRIGHT UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0045.mp3[309.560,317.040]	UH I HAVE UM I HAVE DIABETES BUT THATS ABOUT IT
audio/MSK0045.mp3[317.040,319.920]	OK AND DO YOU TAKE ANY MEDICATIONS
audio/MSK0045.mp3[319.920,323.400]	IM ON METFORMIN
audio/MSK0045.mp3[323.400,328.160]	OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0045.mp3[328.160,332.160]	NO NO ALLERGIES TO MEDICATIONS
audio/MSK0045.mp3[332.160,338.120]	HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/MSK0045.mp3[339.360,344.280]	NO OK UM ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGICAL CONDITIONS
audio/MSK0045.mp3[345.840,352.560]	OK AND CURRENTLY RIGHT NOW SO YOU SAID YOU WORK AS A CONSTRUCTION WORKER RIGHT
audio/MSK0045.mp3[353.640,362.920]	AND ARE YOU OFF OF WORK RIGHT NOW OR HAVE YOU BEEN OFF WORK UM DUE TO YOUR PREVIOUS INJURY AND PAIN OR ARE YOU STILL WORKING
audio/MSK0045.mp3[362.920,374.720]	IM STILL WORKING BUT MODIFIED UM SO I AM NOT UH LIFTING ANY HEAVY OBJECTS OR ANYTHING LIKE THAT IM JUST DOING SOME LIKE GROUNDWORK
audio/MSK0045.mp3[374.720,394.280]	OK THATS GOOD YEAH I MEAN UM WE MIGHT ALSO NEED TO IF YOURE DOING ANY KIND OF OVERHEAD LIKE WORK WHERE YOURE RAISING YOUR ARMS ABOVE YOUR SHOULDERS THAT MIGHT UH CAUSE FURTHER PROBLEMS AS WELL SO WELL LOOK INTO SOME OF THOSE MODIFIED DUTIES AS WELL
audio/MSK0045.mp3[395.600,400.120]	UM YEAH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW WHO DO YOU LIVE WITH
audio/MSK0045.mp3[400.120,402.840]	UM I LIVE BY MYSELF RIGHT NOW
audio/MSK0045.mp3[402.840,407.120]	DO YOU LIVE IN A HOUSE OR APARTMENT
audio/MSK0045.mp3[407.120,410.760]	UM I LIVE IN AN APARTMENT
audio/MSK0045.mp3[410.760,416.800]	AND UH UH IN TERMS OF YOUR DAILY LIFE DO YOU SMOKE AT ALL
audio/MSK0045.mp3[416.800,423.400]	UM I DONT SMOKE I USED TO SMOKE BEFORE BUT THAT WAS LIKE 20 YEARS AGO
audio/MSK0045.mp3[423.400,430.560]	OK THATS GOOD AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY OTHER DRUGS
audio/MSK0045.mp3[430.560,431.400]	UH NO NO
audio/MSK0045.mp3[431.400,441.080]	HOW ABOUT SMOKING YOU SMOKE CIGARETTES SORRY YOU SAID YOU YOU QUIT UM DO YOU DRINK ALCOHOL
audio/MSK0045.mp3[441.080,450.360]	ILL DRINK LIKE A GLASS OF WINE HERE AND THERE
audio/MSK0045.mp3[450.360,466.080]	OK ALRIGHT UM YEAH AND THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU IN TERMS OF JUST A PHYSICAL EXAMINATION UH WHEN YOU PRESS ON THE AREA THAT YOU DESCRIBE UM WHEN YOU PRESS AROUND THE AREA DOES IT HURT
audio/MSK0045.mp3[466.080,469.240]	I HAVE TO PRESS PRETTY HARD FOR IT TO HURT
audio/MSK0045.mp3[469.240,472.720]	OK BUT OTHERWISE ITS NOT TENDER
audio/MSK0045.mp3[473.120,479.520]	OK AND AGAIN NO SWELLING REDNESS OR ANYTHING LIKE THAT JUST ITS MAINLY JUST ON THE INSIDE
audio/MSK0045.mp3[481.080,498.640]	OK AND UM AND ANY KIND OF MOVEMENT HURTS RIGHT THERES NO PARTICULAR MOVEMENT THAT LIKE IF YOU WERE INSTEAD OF UM TRYING TO RAISE THAT SHOULDER BY ITSELF IF YOU WERE TO JUST MOVE IT WITH THE OTHER ARM DOES IT HURT
audio/MSK0045.mp3[498.640,503.160]	THE OTHER ARM THE OTHER ARM DOESNT HURT AT ALL
audio/MSK0045.mp3[503.160,517.880]	OR LIKE IF YOU WERE TO USE YOUR LEFT ARM TO TO PASSIVELY MOVE YOUR RIGHT ARM AND SHOULDER DOES THAT HURT OR IS IT WHEN YOU JUST TRY TO MOVE THE RIGHT ARM BY ITSELF
audio/MSK0045.mp3[517.880,525.160]	ITS OH IT STILL HURTS ANY ANY MOVING OF THE SHOULDER HURTS
audio/MSK0045.mp3[525.160,573.040]	OK ALRIGHT SO YEAH SO BASED ON WHAT UM YOUVE TOLD ME SO FAR IN YOUR RECENT SHOULDER CUFF INJURY WHAT CAN SOMETIMES HAPPEN IS UH WITH THOSE INJURIES YOU MIGHT GET SOME UM INFLAMMATION AND WHAT MIGHT HAPPEN IS SOMETHING CALLED UH ADHESIVE CAPSULITIS OR JUST COMMONLY KNOWS AS KNOWN AS A FROZEN SHOULDER AND THERES DIFFERENT STAGES SO THAT MIGHT HAPPEN SO IN THE INITIAL STAGES LIKE FREEZING UM AND THEN THERES STIFFENING IN STAGE TWO AND THEN USUALLY AFTER 6 TO 12 MONTHS IT STARTS UH GETTING BETTER
audio/MSK0045.mp3[573.640,662.040]	UM AND IT MIGHT ALSO AFFECT YOUR OTHER SHOULDER AS WELL SO WHAT WELL UM END UP DOING TODAY IS SEE IF UM WE CAN GET SOME UM IMAGING DONE SO WE CAN DO AN XRAY OF YOUR SHOULDER IM SURE YOUVE HAD X RAYS BEFORE SO WELL KIND OF COMPARE THEM TO YOUR SHOULDER X RAYS FROM BEFORE WE IF WE NEED TO WE CAN ALSO GET AN ULTRASOUND IF UM WE DONT UH WE CANT REALLY TELL FROM THE X RAYS AND THEN FROM THERE UM WE CAN GET SOME BLOOD WORK AS WELL UM JUST YOUR NORMAL BLOOD WORK AS WELL AS INFLAMMATION MARKERS AND THEN UM FROM THERE WELL NEED TO UH REALLY UM DISCUSS SOME MANAGEMENT STRATEGIES SO YOUVE ALREADY TRIED SOME PHYSIOTHERAPY BUT NOW WE NEED TO MAKE SURE THATS UH ITS ITS CONSISTENT BECAUSE THIS IS SOMETHING THAT HAS A HIGH RECURRENCE RATE AND WE WILL DEFINITELY NEED TO FINISH THE FULL COURSE OF PHYSIOTHERAPY WHATEVER IT MAY BE UM BECAUSE IF PHYSIOTHERAPY DOESNT WORK WE MAY HAVE TO CONSIDER LIKE OTHER OPTIONS LIKE UM CORTICOSTEROID INJECTIONS RIGHT INTO YOUR SHOULDER
audio/MSK0045.mp3[663.240,673.840]	FOR SOME RELIEF  BUT YEAH SO FIRST WELL JUST TRY SOME CONSERVATIVE METHODS LIKE PHYSIOTHERAPY PAIN MANAGEMENT UH AND THEN GO FROM THERE HOW DOES THAT SOUND
audio/MSK0045.mp3[673.840,675.840]	THAT SOUNDS PRETTY GOOD THANK YOU
audio/MSK0045.mp3[675.840,681.240]	WELCOME ALRIGHT SO WELL CALL YOU FOR THE XRAYS AND THEN WELL GO FROM THERE
audio/MSK0045.mp3[681.240,682.600]	OK SOUNDS GOOD
audio/RES0153.mp3[0.000,4.120]	UH HOW MAY I HELP YOU TODAY
audio/RES0153.mp3[4.120,14.840]	HI IVE BEEN UM JUST HAVING THIS JUST SORE THROAT FOR THE LAST UH LETS SAY THREE OR FOUR DAYS
audio/RES0153.mp3[14.840,19.240]	OK AND UM ARE YOU HAVING PAIN WITH SWALLOWING
audio/RES0153.mp3[19.240,30.400]	UM YEAH A LITTLE BIT IVE NOTICED UH WITH SWALLOWING ESPECIALLY SOLIDS AS WELL
audio/RES0153.mp3[30.400,44.680]	OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE LIKE HAVING A HOT POTATO VOICE OR OR FEELING AS THOUGH YOUR UM YOUR THROAT IS KIND OF CLOSING OFF
audio/RES0153.mp3[44.680,62.120]	UM NOT CLOSING OFF BUT LIKE I DEFINITELY DO UH MAYBE A LITTLE BIT OF HOARSENESS BUT NOT NOT TOO MUCH MAINLY ITS JUST THE PAIN THATS CONCERNING ME
audio/RES0153.mp3[62.120,68.760]	OK AND HAVE YOU HAD UH A COUGH
audio/RES0153.mp3[68.760,74.760]	UH NO I HAVENT HAD A COUGH AT ALL
audio/RES0153.mp3[74.760,80.240]	OK UM AND HAVE YOU HAD ANY UM ANY NECK SWELLING
audio/RES0153.mp3[80.240,95.760]	UM I I I HAVE ACTUALLY NOTICED LIKE A LITTLE BIT OF NECK SWELLING JUST RIGHT AT THE FRONT ON BOTH UM YEAH JUST AT THE FRONT
audio/RES0153.mp3[95.760,103.440]	OK UM IS IT IS IT ON BOTH SIDES OF YOUR NECK OR KIND OF IN THE MIDDLE
audio/RES0153.mp3[103.440,110.560]	UM I WOULD SAY ITS MORE UH ON BOTH SIDES
audio/RES0153.mp3[111.480,116.280]	AND JUST KIND OF LIKE AT THE FRONT FRONT OF MY NECK
audio/RES0153.mp3[116.280,124.840]	OK AND YOUVE NOTICED THAT UM WITHIN THE LAST THREE FOUR DAYS AS WELL
audio/RES0153.mp3[126.320,134.960]	OK UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS
audio/RES0153.mp3[134.960,156.080]	UHM I HAVE HAD A FEVER IN THE LAST DAY LIKE IVE BEEN FEELING WARM I DIDNT GET A CHANCE TO TAKE MY TEMPERATURE UM AND ALSO UH JUST TO CORRECT MYSELF I ITS MORE SO THE SWELLING IS JUST ON ONE SIDE IVE NOTICED LIKE THIS LUMPINESS ON ONE SIDE OF MY NECK
audio/RES0153.mp3[156.080,167.240]	OK THANK YOU YEAH WELL CERTAINLY UH ILL LOOK AT IT DURING THE IN THE PHYSICAL EXAM RIGHT SO SO YEAH YOUVE HAD A FEVER FOR THE LAST TWO DAYS
audio/RES0153.mp3[167.240,170.680]	YEAH I WOULD SAY SO
audio/RES0153.mp3[170.680,177.960]	OK UM AND HAVE YOU HAD ANY HEADACHES
audio/RES0153.mp3[177.960,180.240]	UM NO NO HEADACHES
audio/RES0153.mp3[180.240,186.680]	ALRIGHT AND HAVE YOU HAD ANY UM LIKE EYE REDNESS OR EYE DISCHARGE
audio/RES0153.mp3[186.680,188.440]	NO NOTHING LIKE THAT
audio/RES0153.mp3[188.440,190.800]	HAVE YOU HAD A RUNNY NOSE
audio/RES0153.mp3[192.440,202.960]	OK AND ANY UM LOSS OF UH SMELL OR OR LOSS OF TASTE
audio/RES0153.mp3[202.960,206.080]	NO NOTHING LIKE THAT
audio/RES0153.mp3[206.080,211.920]	OK UM AND HAVE YOU HAD ANY ANY SHORTNESS OF BREATH OR DIFFICULTIES BREATHING
audio/RES0153.mp3[211.920,214.760]	UH NO NO SHORTNESS OF BREATH
audio/RES0153.mp3[214.760,217.880]	HAVE YOU HAD ANY WHEEZE
audio/RES0153.mp3[217.880,219.920]	NO NO WHEEZE
audio/RES0153.mp3[219.920,224.240]	OK HAVE YOU HAD ANY UM ANY CHEST PAIN
audio/RES0153.mp3[224.240,225.760]	NO CHEST PAIN
audio/RES0153.mp3[225.760,230.120]	ALRIGHT ANY DIZZINESS OR FEELING LIKE YOU WERE GONNA FAINT
audio/RES0153.mp3[231.760,237.160]	OK DO YOU FEEL LIKE YOURE BREATHING FASTER OR YOUR HEARTS BEATING FASTER
audio/RES0153.mp3[237.160,244.200]	UH NO I HAVENT REALLY FELT THAT NO
audio/RES0153.mp3[244.200,248.520]	OK UM AND HAVE YOU HAD ANY UH ANY BELLY PAIN
audio/RES0153.mp3[250.080,253.760]	HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0153.mp3[253.760,258.040]	UM NOT NO I HAVENT FELT THAT AT ALL
audio/RES0153.mp3[258.040,261.040]	OK HAVE YOU HAVE YOU HAD ANY DIARRHEA
audio/RES0153.mp3[262.600,265.000]	HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0153.mp3[266.400,272.040]	OK HAVE YOU HAD ANY ANY UM SKIN CHANGES OR RASHES ANYWHERE
audio/RES0153.mp3[272.040,275.440]	UH NO NOT THAT IVE NOTICED
audio/RES0153.mp3[275.440,279.920]	ALRIGHT HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS
audio/RES0153.mp3[281.880,290.120]	OK HAVE YOU HAD ANY UM ANY SYMPTOMS LIKE THIS BEFORE
audio/RES0153.mp3[290.120,305.800]	UH NO NOT THAT I CAN RECALL UM MAYBE WHEN I WAS LIKE LIKE 7 YEARS OLD LIKE I MAY HAVE HAD LIKE A SORE THROAT
audio/RES0153.mp3[305.800,315.760]	OK SO QUITE A WHILE AGO YEAH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0153.mp3[316.920,322.520]	OK UM AND UH SO DO YOU TAKE ANY MEDICATIONS OR ANYTHING OVER THE COUNTER
audio/RES0153.mp3[322.520,328.840]	UM IVE TRIED LIKE TYLENOL COLD BUT IT DIDNT REALLY WORK
audio/RES0153.mp3[328.840,333.720]	OK AND ANY ALLERGIES TO MEDICATIONS OR ENVIRONMENT
audio/RES0153.mp3[334.080,337.480]	ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0153.mp3[337.480,340.520]	UH YEAH THEYRE ALL UP TO DATE
audio/RES0153.mp3[340.520,346.840]	OK EXCELLENT AND UM HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES
audio/RES0153.mp3[346.840,351.760]	UM NO IVE BEEN PRETTY HEALTHY
audio/RES0153.mp3[351.760,357.080]	ALRIGHT EXCELLENT AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0153.mp3[357.080,363.640]	NO I IVE MAINLY STAYED AT HOME I IM MAINLY DOING VIRTUAL SCHOOL
audio/RES0153.mp3[363.640,371.440]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN BEEN SICK
audio/RES0153.mp3[371.440,382.400]	UM MY MY SISTER SHE SHE JUST GOT BACK FROM COLLEGE AND SHE SHE WAS COMPLAINING OF LIKE A SORE THROAT UH TWO WEEKS AGO
audio/RES0153.mp3[382.400,386.560]	OK I SEE UM UH WHO ARE YOU LIVING WITH CURRENTLY AND WHERE ARE YOU LIVING
audio/RES0153.mp3[386.560,400.000]	SO IM LIVING WITH MY PARENTS AND MY SISTER AT IN A IN A HOUSE JUST OUTSIDE OF THE CITY
audio/RES0153.mp3[400.000,406.440]	OK UM AND IS YOUR SISTER DOING BETTER NOW OR UM WHAT HAPPENED WITH HER
audio/RES0153.mp3[406.440,422.640]	YEAH YEAH IM NOT SURE I THINK SHE DID GO TO THE DOCTOR NOW SHES DOING BETTER SHE DID GET SOME MEDICATIONS BUT I DONT KNOW WHAT THEY WERE
audio/RES0153.mp3[422.640,433.480]	OK I SEE UM AND UH I KNOW SOME PEOPLE IN YOUR AGE GROUP WILL SOMETIMES EXPERIENCE WITH UH LIKE SMOKING OR ANYTHING LIKE THAT DO YOU UM DO YOU SMOKE CIGARETTES OR ANY OF YOUR FRIENDS
audio/RES0153.mp3[433.480,438.360]	NO I HAVENT I HAVENT DONE THAT
audio/RES0153.mp3[438.360,450.720]	OK THIS SAME TYPE OF QUESTIONING FOR UH CANNABIS AND ALCOHOL UM HAVE YOU EXPERIMENTED WITH ANY OF THOSE SUBSTANCES OR ANY RECREATIONAL DRUGS
audio/RES0153.mp3[450.720,452.720]	NO NOT AT ALL
audio/RES0153.mp3[452.720,459.040]	OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0153.mp3[460.200,464.960]	OK UM AND HOWS SCHOOL GOING
audio/RES0153.mp3[464.960,478.720]	UH SCHOOL IS GOING WELL LIKE UH IT WAS UH IT WAS WEIRD ADJUSTING TO ALL THE ONLINE STUFF BUT NOW I FEEL LIKE I KIND OF GOT THE HANG OF IT
audio/RES0153.mp3[478.720,492.680]	OK EXCELLENT UM AND UM ANY CONCERNS FOR UM LIKE SAFETY AT HOME ANYTHING THAT WE TALK ABOUT IS UH IS CONFIDENTIAL
audio/RES0153.mp3[492.680,496.040]	NO I HAVE A PRETTY PRETTY LOVING FAMILY
audio/RES0153.mp3[496.040,510.280]	OK WELL THATS GREAT UM AND I JUST WANTED TO FINISH HERE WITH YOUR FAMILY HISTORY UM DOES ANYBODY IN THE FAMILY HAVE HEART OR LUNG CONDITIONS
audio/RES0153.mp3[510.280,515.800]	UH NO THEY THEYRE PRETTY HEALTHY MY MOM AND DAD
audio/RES0153.mp3[515.800,522.240]	OK AND ANY UH OTHER CONDITIONS THAT RUN IN THE FAMILY
audio/RES0153.mp3[522.240,527.000]	UH NO I DONT THINK SO
audio/RES0153.mp3[527.000,540.600]	OK UM UH SO THAT WAS EVERYTHING I WANTED TO ASK UM ON THE HISTORY TODAY DID YOU HAVE ANY OTHER QUESTIONS FOR ME OR ANYTHING THAT THAT I DIDNT ASK ABOUT YOU WANTED TO MENTION
audio/RES0153.mp3[540.600,550.480]	UH NO NOTHING THAT I WANTED TO ASK JUST UH WAS JUST WONDERING IF I NEED ANY MEDICATIONS
audio/RES0153.mp3[550.480,605.840]	OK YEAH SO UM ITS POSSIBLE SO BASED ON YOUR SYMPTOMS CURRENTLY IT DOES SUGGEST THAT UH IT IT IS A BACTERIAL CAUSE WITH UH SINCE YOU DONT HAVE A COUGH AND YOU HAVE UM LIKE IT SOUNDS LIKE SOUNDS LIKE LYMPH NODE ENLARGEMENT UM WELL WELL LOOK AND SEE IF THERES EXUDATES OR OR PURULENCE ON YOUR UM THAT WE CAN SEE IN YOUR IN YOUR THROAT AS WELL AS CHECKING TEMPERATURE AND DO A RAPID STREP TEST UM SEE IF UM IF THATS THE CAUSE AND IF SO UM THEN YEAH THERE WILL BE A COURSE OF ANTIBIOTICS UM WILL BE REQUIRED BUT UM WE WILL UH WAIT FOR UM THE PHYSICAL EXAM AND THEN THE UH THE RAPID TEST
audio/RES0153.mp3[605.840,610.480]	ALRIGHT SOUNDS GOOD
audio/RES0132.mp3[0.000,4.360]	I WAS UH WONDERING WHAT I COULD HELP YOU WITH TODAY
audio/RES0132.mp3[4.360,22.400]	YEAH HI UM I HAVE BEEN COUGHING NONSTOP FOR THE PAST THREE DAYS AND TODAY I HAVE BEEN FEELING VERY SHORT OF BREATH SO I JUST WANTED TO GET IT ALL CHECKED OUT
audio/RES0132.mp3[22.400,33.240]	YEAH FOR SURE AND SO YOU SAID THE COUGH STARTED UH THREE DAYS AGO WERE THERE ANY TRIGGERS TO THE COUGH OR ANYTHING THAT UH THAT CHANGED THREE DAYS AGO
audio/RES0132.mp3[33.240,58.560]	NO NOTHING THAT I CAN THINK OF UM I HAVE LIKE THE ONLY THING THAT IVE BEEN DOING IS GOING TO THE GROCERY STORES UH THE BANK AND LAUNDROMAT UM AND ONCE I RAN ALL THESE ERRANDS LIKE I JUST STARTED HAVING THIS COUGHING FIT THAT HASNT STOPPED
audio/RES0132.mp3[58.560,66.920]	OKAY UH HAS THE COUGH GOTTEN ANY BETTER OR STAYED THE SAME OR GOTTEN WORSE THESE PAST THREE DAYS
audio/RES0132.mp3[66.920,70.960]	UH IT SEEMS LIKE ITS GETTING WORSE
audio/RES0132.mp3[70.960,75.600]	OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR PHLEGM
audio/RES0132.mp3[75.600,80.320]	UM YES ITS YELLOW
audio/RES0132.mp3[80.320,92.480]	OKAY IS THIS UM ANY DIFFERENT FROM BEFORE LIKE HAVE YOU HAD A COUGH IN THE PAST AND AND BROUGHT UP PHLEGM OR IS THIS ENTIRELY NEW FOR YOU
audio/RES0132.mp3[92.480,112.200]	UM NO THIS HAS HAPPENED TO ME BEFORE UM LIKE I DONT KNOW LIKE MAYBE A YEAR OR TWO YEARS BACK UH AND IT KIND OF FEELS THE SAME BUT JUST A LITTLE BIT WORSE
audio/RES0132.mp3[112.200,115.480]	OKAY UM AND UH HAVE YOU SEEN ANY BLOOD IN THE SPUTUM
audio/RES0132.mp3[115.480,120.400]	NO NO BLOOD
audio/RES0132.mp3[120.400,127.640]	OKAY UM AND YOU MENTIONED YOUVE BEEN SHORT OF BREATH AS WELL UH HOW HAS THAT COME ON
audio/RES0132.mp3[127.640,137.920]	UM IT WAS I I DONT KNOW IF ITS BECAUSE OF ALL THE COUGHING THAT IVE BEEN DOING BUT IT JUST STARTED THIS MORNING
audio/RES0132.mp3[137.920,148.480]	OKAY UM AND HAVE YOU BEEN EXPERIENCING UH SHORTNESS OF BREATH UM ON EXERTION OTHERWISE LIKE PRIOR TO THIS
audio/RES0132.mp3[148.480,152.840]	UM NO NO
audio/RES0132.mp3[152.840,160.280]	OKAY AND HAVE YOU HAD ANY SHORTNESS OF BREATH AFTER LIKE IF YOU LIE DOWN FLAT
audio/RES0132.mp3[160.280,163.720]	UM NO NOT THAT IVE NOTICED
audio/RES0132.mp3[163.720,167.160]	ALL RIGHT AND HAVE YOU HAD A WHEEZE
audio/RES0132.mp3[167.160,173.200]	A LITTLE BIT YEAH
audio/RES0132.mp3[173.200,184.360]	OKAY UM UH AND HAVE YOU HAD ANY UM INFECTIOUSLIKE SYMPTOMS SUCH AS LIKE RED EYES RUNNY NOSE OR OR A SORE THROAT
audio/RES0132.mp3[184.360,187.200]	NO NOTHING LIKE THAT
audio/RES0132.mp3[187.200,192.240]	OKAY UM HAVE YOU HAD ANY ANY CHEST PAIN
audio/RES0132.mp3[192.240,194.600]	NOPE NOTHING LIKE THAT
audio/RES0132.mp3[194.600,198.560]	HAVE YOU HAD ANY LIGHTHEADEDNESS OR OR FEELING DIZZY
audio/RES0132.mp3[200.000,206.240]	OR FEELING LIKE YOUR HEARTS RACING OR OR BEATING REALLY FAST
audio/RES0132.mp3[208.080,213.760]	OKAY AND UM HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0132.mp3[213.760,216.320]	NO NOT THAT IVE NOTICED
audio/RES0132.mp3[216.320,220.280]	HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0132.mp3[221.520,226.800]	AND HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS OR GAIN
audio/RES0132.mp3[226.800,231.120]	UH NO ITS BEEN PRETTY STABLE
audio/RES0132.mp3[231.120,235.600]	OKAY UM AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0132.mp3[235.600,237.960]	UM NO
audio/RES0132.mp3[237.960,240.760]	ANY DIARRHEA
audio/RES0132.mp3[242.000,243.840]	OR ANY URINARY PROBLEMS
audio/RES0132.mp3[247.200,256.160]	OKAY UM AND IN THE PAST UM OH SORRY BEFORE THAT HAVE YOU HAD ANY NAUSEA OR OR VOMITING
audio/RES0132.mp3[259.160,264.200]	OKAY UH AND ANY CONFUSION OR OR CHANGES TO UM UM MEMORY
audio/RES0132.mp3[265.000,273.480]	OKAY UH OR LOSS OF TASTE OR SENSE OF SMELL
audio/RES0132.mp3[273.480,274.440]	UH NO
audio/RES0132.mp3[274.440,287.720]	OKAY UH SO THE YOUVE BEEN EXPERIENCING THIS COUGH THATS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AS BRINGING UP SOME YELLOW SPUTUM UM AND BEEN SHORT OF BREATH HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0132.mp3[287.720,290.360]	NO THATS PRETTY MUCH IT
audio/RES0132.mp3[290.360,298.440]	OKAY UM AND IN THE PAST HAVE YOU UM BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0132.mp3[298.440,305.720]	UM I HAVE DIABETES I HAVE HIGH BLOOD PRESSURE AND I HAVE HIGH CHOLESTEROL
audio/RES0132.mp3[305.720,312.080]	I SEE ALRIGHT AND DO YOU TAKE UH MEDICATIONS FOR THOSE THINGS
audio/RES0132.mp3[312.080,323.440]	YES SO I AM ON RAMIPRIL FOR THE HIGH BLOOD PRESSURE ROSUVASTATIN FOR THE CHOLESTEROL AND INSULIN FOR THE DIABETES
audio/RES0132.mp3[323.440,335.080]	OKAY THANK YOU AND UH YOU MENTIONED YOU HAD A SIMILAR EPISODE IN THE PAST UM WHAT UH WERE YOU DIAGNOSED WITH COPBEFORE
audio/RES0132.mp3[335.080,340.760]	I WAS I WAS DIAGNOSED WITH COPABOUT FIVE YEARS BACK
audio/RES0132.mp3[340.760,347.480]	OKAY DID YOU HAVE PULMONARY FUNCTION TESTS FOR THIS THE TEST WHERE YOU HAD TO BREATHE INTO A TUBE
audio/RES0132.mp3[347.480,352.000]	UM YEAH I HAD THAT DONE LIKE FIVE YEARS AGO
audio/RES0132.mp3[352.000,370.760]	OKAY UM ALRIGHT UM JUST WANTED TO SEE IF IT WAS UH LIKE FORMALLY DIAGNOSED SOMETIMES PEOPLE UH UM YEAH ITS IMPORTANT TO HAVE THAT UH THOSE TESTS DONE UM AND DO YOU HAVE ANY ALLERGIES
audio/RES0132.mp3[370.760,374.640]	UM NO NONE NONE YEAH
audio/RES0132.mp3[374.640,380.720]	OKAY UM AND UH ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0132.mp3[380.720,384.840]	YES I BELIEVE SO
audio/RES0132.mp3[384.840,392.000]	OKAY UM AND HAVE YOU HAD ANY SURGERIES OR OR UM HOSPITALIZATIONS
audio/RES0132.mp3[392.000,406.280]	UM I HAD MY GALLBLADDER REMOVED WHEN I WAS IN MY 50S UM AND I HAD A HIP FRACTURE THREE YEARS AGO
audio/RES0132.mp3[406.280,410.480]	OKAY AND HOW IS YOUR MOBILITY NOW
audio/RES0132.mp3[410.480,419.720]	UM PRETTY GOOD MY HIPS STILL GIVE ME SOME ISSUES ONCE IN AWHILE BUT UM FOR THE MOST PART ITS BEEN OKAY
audio/RES0132.mp3[419.720,424.360]	OKAY THATS GOOD IT SOUNDS LIKE THE REHAB WENT WELL
audio/RES0132.mp3[425.080,433.320]	AND UH RIGHT NOW CAN YOU TELL ME UM A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0132.mp3[433.320,440.040]	UM I LIVE BY MYSELF IN AN APARTMENT ON THE 1ST FLOOR
audio/RES0132.mp3[440.040,445.200]	OKAY UM AND DO YOU SMOKE CIGARETTES
audio/RES0132.mp3[445.200,448.720]	UH NO I QUIT TWO YEARS AGO
audio/RES0132.mp3[448.720,455.560]	OKAY AND THATS THATS GREAT UM PRIOR TO THAT HOW LONG DID YOU SMOKE FOR AND HOW MUCH
audio/RES0132.mp3[455.560,462.960]	OH FOR LIKE 40PLUS YEARS UM I USED TO SMOKE A PACK A DAY
audio/RES0132.mp3[462.960,467.800]	OKAY WELL THATS GREAT THAT UH THAT YOU QUIT SO CONGRATULATIONS
audio/RES0132.mp3[467.800,469.720]	THANK YOU
audio/RES0132.mp3[469.720,472.640]	AND DO YOU DRINK ALCOHOL
audio/RES0132.mp3[472.640,479.080]	I DRINK ONCE IN A WHILE LIKE MAYBE EVERY OTHER DAY ILL HAVE A GLASS OF WINE
audio/RES0132.mp3[479.080,488.520]	OKAY AND UM UH ANYBODY OR SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/RES0132.mp3[488.520,490.000]	UH NO
audio/RES0132.mp3[490.000,492.840]	YOU SAID YOU WENT TO THE STORES AND STUFF LIKE THAT
audio/RES0132.mp3[492.840,497.240]	YEAH MAYBE FROM THERE YEAH
audio/RES0132.mp3[497.240,503.960]	OKAY AND HAVE YOU TRAVELED ANYWHERE ELSE OUTSIDE OF THE CITY
audio/RES0132.mp3[503.960,508.360]	UM NOT RECENTLY NO
audio/RES0132.mp3[508.360,516.240]	ALRIGHT UM AND ANY EXPOSURES TO ANY LIKE DUST CHEMICALS THINGS LIKE THAT
audio/RES0132.mp3[516.240,523.280]	UM I LIVE IN AN OLD BUILDING SO MAYBE UM BUT IT HASNT BUGGED ME BEFORE
audio/RES0132.mp3[523.280,528.520]	OKAY UH AND ARE YOU WORKING CURRENTLY OR OR RETIRED
audio/RES0132.mp3[528.520,531.040]	IM RETIRED
audio/RES0132.mp3[531.040,533.000]	OKAY WELL WHAT DID YOU DO BEFORE
audio/RES0132.mp3[533.000,539.440]	I USED TO WORK UH ON THE ASSEMBLY LINE FOR CHRYSLER
audio/RES0132.mp3[539.440,547.400]	OKAY WERE THERE ANY EXPOSURES UH THERE THAT YOU WERE AWARE OF LIKE THINGS THAT YOU WERE BREATHING IN
audio/RES0132.mp3[547.400,557.320]	UH NOT THAT I WAS AWARE OF BUT THEY WERE ALWAYS LIKE SMOKE AND FUMES AND THINGS LIKE THAT BECAUSE IT WAS LIKE A FACTORY SO MAYBE
audio/RES0132.mp3[557.320,569.880]	RIGHT OKAY THAT MAKES SENSE UM AND IN THE FAMILY ARE THERE ANYBODY WHO WHOS HAD PROBLEMS WITH THEIR HEARTS OR LUNGS
audio/RES0132.mp3[569.880,586.360]	UM MY MOM HAD LUNG CANCER WHEN SHE WAS 50 AND LIKE ALL THE LIKE DIABETES HYPERTENSION AND HIGH CHOLESTEROL RUNS ON MY RAN ON MY FATHERS SIDE OF THE FAMILY
audio/RES0132.mp3[586.360,591.720]	I SEE DID ANYBODY HAVE UH HEART ATTACKS OR OR STROKE
audio/RES0132.mp3[591.720,605.120]	UH YEAH SO MY FATHER HAD A HEART ATTACK WHEN HE WAS 49 UH STROKE IM NOT TOO SURE ABOUT
audio/RES0132.mp3[605.120,616.200]	OKAY THANK YOU AND UM SO THAT WAS ALL I WANTED TO ASK ABOUT UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT
audio/RES0132.mp3[616.200,624.680]	UM NO THATS ABOUT IT BUT I HOW CAN I TREAT MYSELF NOW HOW DO I MAKE THIS COUGH GO AWAY
audio/RES0132.mp3[624.680,699.680]	FOR SURE SO UM WE WILL FIRST GET YOUR VITALS HERE AND WELL SEE IF YOUR OXYGEN LEVELS UM ARE LOW THEN IT WOULD BE IMPORTANT TO PUT ON SOME OXYGEN FIRST UM JUST TO MAKE SURE THAT THATS STABLE UM AND FROM THERE WE WILL UM GET A CHEST XRAY UM AND UH RUN SOME LAB WORK TO TO TRY TO HELP FIGURE OUT THE THE DIAGNOSIS BETTER BUT IN THE MEANTIME WELL USE UM SOME INHALERS BECAUSE ITS POSSIBLE THAT THIS IS A COPEXACERBATION SIMILAR TO UH LAST YEAR UM AND THE INHALERS SHOULD HELP OPEN UP THE AIRWAYS AND DILATE SO MAKE BREATHING EASIER AND THEN UM ALSO IF IT IS A COPEXACERBATION IT WILL LIKELY REQUIRE ANTIBIOTICS AS WELL AS SOME STEROIDS FOR THE THE INFLAMMATION FOR FIVE DAYS UH BUT SINCE YOUR SYMPTOMS CURRENTLY OVERLAP WITH UH COVIAS WELL YOULL HAVE TO GET A A COVINASAL SWAB
audio/RES0132.mp3[699.680,701.520]	OKAY OKAY FOR SURE
audio/RES0132.mp3[701.520,705.840]	OKAY SO UH WELL GET THAT STARTED
audio/RES0132.mp3[705.840,707.160]	OKAY THANK YOU SO MUCH
audio/RES0164.mp3[0.000,3.120]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0164.mp3[3.120,15.280]	HEY IM IM THE MOM OF OF THE PATIENT HES HES A KID HE HAS HAD HE JUST HAD A COUGH AND STUFFY NOSE FOR THE PAST THREE DAYS
audio/RES0164.mp3[15.280,25.680]	OK AND SO DID THEY BOTH START AROUND THE SAME TIME OR ONE STARTED BEFORE THE OTHER
audio/RES0164.mp3[25.680,39.400]	THEY STARTED THE SAME TIME HES ALSO HAD LIKE THESE THESE HIS EYES HAVE BEEN LIKE KIND OF RED AND WATERY AS WELL
audio/RES0164.mp3[39.400,44.800]	OK AND IS HE WHAT KIND OF COUGH IS HE HAVING A DRY COUGH OR WET COUGH
audio/RES0164.mp3[44.800,46.760]	ITS A DRY COUGH
audio/RES0164.mp3[46.760,54.240]	DRY COUGH OK AND AND SO WITH THE CONGESTION IS HE ALSO HAVING ANY KIND OF NASAL DRAINAGE
audio/RES0164.mp3[54.240,57.920]	YEAH ITS ITS LIKE WATERY
audio/RES0164.mp3[57.920,65.760]	WATERY OK SO NOW ARE YOU NOTICING ANY KIND OF YELLOW OR GREENISH MATERIAL
audio/RES0164.mp3[66.920,73.760]	OK AND HE HASNT IS HE COUGHING UP ANY BLOOD AT ALL AT ANY POINT
audio/RES0164.mp3[73.760,74.720]	NO NO NO
audio/RES0164.mp3[74.720,82.200]	AND SO THIS STARTED JUST RECENTLY THREE DAYS AGO WAS HE IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY
audio/RES0164.mp3[82.200,94.280]	I DONT THINK SO BUT HE HAS BEEN LIKE PLAYING OUTSIDE QUITE A BIT AND SOMETIMES HES JUST PLAYING WITH THE NEIGHBOURS KIDS
audio/RES0164.mp3[94.280,97.960]	OK HAS THIS HAPPENED BEFORE
audio/RES0164.mp3[97.960,111.280]	YEAH IT HAS BUT I GUESS WHAT IM CONCERNED ABOUT IS THE RASH THAT HE HAS NOW THAT HES NEVER HAD BEFORE
audio/RES0164.mp3[111.280,113.960]	OK AND WHERE IS THE RASH EXACTLY
audio/RES0164.mp3[113.960,117.800]	ITS ON HIS FACE IT STARTED THIS MORNING
audio/RES0164.mp3[117.800,127.520]	OK AND CAN YOU DESCRIBE THE RASH FOR ME LIKE ITS COLOR SHAPES AND WHAT KIND OF LOOKS LIKE
audio/RES0164.mp3[127.520,142.200]	SMALL REALLY SMALL DOTS LIKE KIND OF UHM LIKE ID SAY LIKE BROWN IN COLOR LIKE BROWNISH DARK REDDISH
audio/RES0164.mp3[142.200,145.800]	OK LETS JUST ARE THEY JUST LOCATED ON HIS FACE
audio/RES0164.mp3[145.800,153.240]	YEAH LIKE IT WAS ON HIS FACE AND ITS KIND OF A LITTLE BIT ON HIS NECK
audio/RES0164.mp3[153.240,159.240]	OK UH AND IS HE SCRATCHING AT THEM AT ALL
audio/RES0164.mp3[164.800,170.800]	OK UM OK AND SO THEY JUST STARTED TODAY HAVE YOU HAD THESE RASHES BEFORE AT ALL
audio/RES0164.mp3[170.800,174.000]	NO NO HE HASNT
audio/RES0164.mp3[174.000,189.520]	OK ANYTHING NEW AT ALL THAT HE HAS EITHER EATEN OR ANY NEW CLOTHING OR NEW LAUNDRY DETERGENT OR SOAP SO ANYTHING AT ALL
audio/RES0164.mp3[189.520,190.520]	NO NO
audio/RES0164.mp3[190.520,198.000]	OK OK AND HAS HE HAD ANY FEVERS OR CHILLS ANYTHING LIKE THAT
audio/RES0164.mp3[198.000,209.520]	UH HE HAS BEEN FEELING A LITTLE BIT WARM I DIDNT REALLY CHECK HIS TEMPERATURE
audio/RES0164.mp3[209.520,220.760]	AND AND BUSY SO IT STARTED THREE DAYS AGO ANYTHING HAPPENED BEFORE 3 DAYS AT ALL THAT MIGHT HAVE CAUSED THE SYMPTOMS
audio/RES0164.mp3[220.760,231.120]	I DONT THINK SO AS I SAID HE HAS BEEN PLAYING AROUND WITH OTHERS SO COULD HAVE CAUGHT SOMETHING
audio/RES0164.mp3[231.120,241.440]	OK AND OK ANY KIND OF AH HAVE YOU TRIED ANYTHING THAT HAS HELPED HIM AT ALL ANY MEDICATIONS
audio/RES0164.mp3[241.440,246.480]	UHM I HAVENT TRIED ANYTHING YET NO
audio/RES0164.mp3[246.480,257.160]	OK AND HOW OFTEN IS HE COUGHING IS HE COUGHING THROUGHOUT THE DAY OR IS IT MORE SO WITH EXERTING HIMSELF
audio/RES0164.mp3[257.160,271.600]	UM ITS JUST KIND OF ALL THROUGH THE DAY ITS ACTUALLY GOTTEN A LITTLE BIT BETTER UHM THE COUGH HAS GOTTEN BETTER BUT WHAT IM CONCERNED ABOUT IS THE THE RASH
audio/RES0164.mp3[271.600,279.120]	OK COUGHS GOTTEN BETTER YEAH DOES HE HAVE VISIT RUSH IT SO IS IT MAINLY JUST ON HIS FOREHEAD OR ALSO ON HIS CHEEKS
audio/RES0164.mp3[279.120,296.120]	ITS ON HIS CHEEKS ON HIS CHIN ITS KIND OF ON HIS NECK ITS KIND OF LIKE THIS BLOTCHY REDDISH BROWNISH LIKE LITTLE DOTS KIND OF ITS NOT LIKE ITS NOT RAISED ITS LIKE FLAT
audio/RES0164.mp3[296.120,305.640]	OK AND UH IS IT KIND OF JUST A BIT LIKE A BRIGHT RED RASH THATS KIND OF COVERING THE CHEEKS OR LITTLE LITTLE DOTS EVERYWHERE
audio/RES0164.mp3[305.640,309.280]	KIND OF LITTLE DOTS
audio/RES0164.mp3[309.280,313.120]	OK ANY ANYTHING ON HIS NOSE
audio/RES0164.mp3[313.120,319.840]	YEAH YEAH ITS ON HIS NOSE AS WELL
audio/RES0164.mp3[319.840,322.040]	OK UM OK BUT NO FEVERS RIGHT
audio/RES0164.mp3[322.040,331.000]	HE I GUESS HE MIGHT HAVE HAD A FEVER HE WAS FEELING WARM
audio/RES0164.mp3[331.000,339.040]	OK AND ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH SORE THROAT ANYTHING LIKE THAT
audio/RES0164.mp3[339.040,342.280]	NO NO NOTHING LIKE THAT
audio/RES0164.mp3[342.280,353.360]	OK AND OTHERWISE ANY OTHER SYMPTOMS LIKE JUST NOT LIKE BEHAVIOURAL CHANGES NOT BEING HIMSELF BEING MORE IRRITABLE AT ALL
audio/RES0164.mp3[353.360,360.040]	SO YEAH HES JUST BEEN TIRED HE HASNT BEEN DOING ANYTHING HES JUST BEEN LYING IN BED HASNT EATEN
audio/RES0164.mp3[360.040,370.800]	OK ANY AT ALL IS HE HAVING ANY NAUSEA OR VOMITING
audio/RES0164.mp3[371.160,375.640]	ANY DIARRHEA OR CONSTIPATION
audio/RES0164.mp3[379.640,383.280]	ANY CHANGES IN HIS URINATION
audio/RES0164.mp3[384.480,390.560]	ANY CHANGES IN HIS SLEEP OR APPETITE
audio/RES0164.mp3[390.560,396.080]	NO WELL HE HAS BEEN EATING LITTLE LESS BUT NOTHING LIKE NOTHING ELSE
audio/RES0164.mp3[396.080,405.760]	OK AND HAS HE BEEN COMPLAINING AT ALL OF ANY ABDOMINAL PAIN OR ANYTHING LIKE THAT
audio/RES0164.mp3[411.200,418.760]	OK OTHERWISE THAT HAS HE BEEN HEALTHY OR IF HE HAD ANY MEDICAL CONDITIONS DIAGNOSED
audio/RES0164.mp3[418.760,422.840]	HES BEEN HEALTHY
audio/RES0164.mp3[422.840,430.040]	OK AND AND ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS
audio/RES0164.mp3[431.080,437.640]	ANY MEDICATIONS THAT HE TAKES REGULARLY
audio/RES0164.mp3[439.480,443.160]	AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0164.mp3[444.280,453.840]	CONCURRENTLY OR LIKE DURING YOUR PREGNANCY WITH HIM ANY COMPLICATIONS AT ALL
audio/RES0164.mp3[456.440,468.440]	AND DID WAS HE MEETING HIS MILESTONES THAT DEVELOPMENTALLY IN TERMS OF ALSO WITH GROWTH AND HEIGHT AND EVERYTHING LIKE THAT
audio/RES0164.mp3[468.440,476.320]	YEAH HE SEEMS TO BE DOING OK COME WHEN HES DOING AS WELL AS HIS OTHER BROTHER HIS TWO BROTHERS
audio/RES0164.mp3[476.320,482.560]	OK AND DOES HE GO TO SCHOOL AT ALL WHAT GRADE IS HE IN
audio/RES0164.mp3[482.560,487.680]	HES GOING TO SCHOOL UM ONLINE
audio/RES0164.mp3[487.680,495.280]	ONLINE RIGHT NOW OK YEAH AND ANY ISSUES AT SCHOOL AT ALL ANY COMPLAINTS THAT WEVE BEEN TOLD
audio/RES0164.mp3[499.880,506.840]	OK GREAT SO UH AND HOW IS THE HOUSES OR YOUR LIVING SITUATION LIKE
audio/RES0164.mp3[506.840,516.520]	ITS UH THINGS ARE GOOD SO ITS HIM HIS TWO OLDER BROTHERS MY HUSBAND AND ME
audio/RES0164.mp3[516.520,521.680]	OK AND HAS ANYONE BEEN SICK RECENTLY OR HAD SIMILAR SYMPTOMS
audio/RES0164.mp3[527.560,536.760]	OK ALRIGHT HAS ANYONE IN THE FAMILY EVER HAD ANY DIAGNOSIS OF ASTHMA ECZEMA ALLERGIC RHINITIS
audio/RES0164.mp3[537.960,545.920]	NO NOTHING LIKE THAT OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0164.mp3[549.960,581.440]	OK SO YEAH SO WELL WELL BE DOING A COUPLE WELL DO A PHYSICAL EXAMINATION I WANT TO SEE EXAMINED WITH THE RASH LOOKS LIKE AND THERES MANY THINGS THAT CAN CAUSE A RASH THERES UH VIRAL INFECTIONS THAT CAN CAUSE SOME OF THE SYMPTOMS THE SYMPTOMS HES HAVING MAINLY SEEN VIRAL WITH A DRY COUGH AND RUNNY NOSE AND THEN YOU CAN WE HAVE A RASH AS WELL ONE THING I FORGOT TO ASK ACTUALLY IS IS HE FULLY IMMUNIZED
audio/RES0164.mp3[581.440,608.760]	UM HE I GUESS HE DIDNT GET ALL HIS IMMUNIZATIONS DONE EARLIER HE DID GET THEM A LITTLE BIT LATER SO WE CAME FROM SYRIA AS REFUGEES BUT I IM THINKING HE GOT ALL HIS IMMUNIZATIONS WHEN HE UH CAME TO WHEN WE MOVED TO CANADA
audio/RES0164.mp3[608.760,613.600]	OK AND IS HE COMPLAINING OF JOINT OR MUSCLE ACHES AT ALL
audio/RES0164.mp3[615.240,654.120]	NO NOTHING LIKE THAT OK ALRIGHT SO YEAH WELL DO IT LIKE A FULL PHYSICAL EXAMINATION AND IF ITS MORE JUST A VIRAL ITLL BE SOMETHING THAT WELL JUST HAVE TO MONITOR AND DO SUPPORTIVE CARE FOR BUT IF ITS ANYTHING ELSE WE MIGHT NEED TO DO FURTHER INVESTIGATIONS OK AND WELL JUST DO A COVISWAB FOR HIM TODAY AS WELL AS SOME OF THE SYMPTOMS OVERLAP WITH COVISYMPTOMS AND YOU WILL GET THE RESULTS BACK IN 24 HOURS TO 48 HOURS AND THEN FURTHER INSTRUCTION FROM PUBLIC HEALTH
audio/RES0164.mp3[654.120,659.800]	SOUNDS GREAT
audio/RES0164.mp3[659.800,662.000]	ALRIGHT WELL TAKE CARE TALK TO YOU SOON
audio/RES0049.mp3[0.000,2.280]	WHAT BRINGS YOU IN
audio/RES0049.mp3[2.280,22.880]	YEAH NICE TO MEET YOU I IVE BEEN HAVING JUST OVER THE LAST WEEK MY COUGH THATS BEEN GETTING WORSE AND I HAD A FEVER A COUPLE OF NIGHTS AND JUST YESTERDAY I NOTICED THAT I STARTED HAVING A LOSS OF TASTE AND SMELL SO THAT GOT ME REALLY WORRIED
audio/RES0049.mp3[22.880,32.880]	OK SO YEAH LETS REWIND A LITTLE BIT THE COUGH YOU SAID STARTED A COUPLE OF WEEKS AGO SO WOULD THAT BE ABOUT 2 WEEKS THREE WEEKS
audio/RES0049.mp3[32.880,37.000]	I WOULD SAY LAST WEEK SO LIKE 7 SEVEN DAYS AGO
audio/RES0049.mp3[37.000,44.240]	SEVEN DAYS AGO OK SO THAT STARTED SEVEN DAYS AGO AND THEN WHEN DID THE FEVER START
audio/RES0049.mp3[44.240,61.640]	THE FEVER I HASNT BEEN CONSTANT BUT IVE LIKE HAD SOME NIGHTS WHERE I JUST FEEL REALLY CHILLY AND THEN DURING THE DAY SOMETIMES EVEN GETTING THESE CHILLS IVE BEEN RECORDED AT A TEMPERATURE BUT I THINK IVE HAD A FEVER AT LEAST THREE TIMES IN THE LAST WEEK
audio/RES0049.mp3[61.640,67.600]	OK SO YOU HAVENT ACTUALLY TAKEN YOUR TEMPERATURE BUT IT YOU JUST FEEL LIKE YOU HAVE CHILLS
audio/RES0049.mp3[68.800,79.400]	OK WE COULD TAKE YOUR TEMPERATURE TODAY AND THEN THE LOSS OF SMELL AND TASTE DO THEY BOTH HAPPEN AT THE SAME TIME
audio/RES0049.mp3[79.400,96.120]	I THINK THE TASTE HAPPENED LIKE BEFORE BUT THAT WAS JUST YESTERDAY AND THEN YESTERDAY MORNING LIKE AT BREAKFAST I COULDNT REALLY TASTE ANYTHING AND THEN CONTINUED DURING LUNCH AND DINNER BUT SMELL I KIND OF LOST AROUND THE EVENING
audio/RES0049.mp3[97.840,100.920]	YEAH ALL JUST STARTED YESTERDAY
audio/RES0049.mp3[100.920,112.120]	OK UM ALRIGHT SO LETS GO BACK TO THE COUGH AND HAS IT BEEN CONSTANT SINCE IT STARTED
audio/RES0049.mp3[112.120,127.360]	YEAH ITS BEEN PRETTY CONSTANT ITS BEEN GETTING WORSE ESPECIALLY LIKE IN THE LAST FEW DAYS IM MAINLY COUGHING LIKE BEFORE I WAS COUGHING MAINLY AT NIGHT BUT NOW IM COUGHING THROUGHOUT THE DAY
audio/RES0049.mp3[127.360,145.200]	OK UM SO YEAH YOU MENTIONED POSSIBLY A TRIGGER WOULD BE LIKE TIME OF DAY AT NIGHT OR DID YOU NOTICE ANY OTHER TRIGGERS LIKE YOU KNOW THE COLD AIR OR DUST OR ANYTHING AT HOME THAT COULD BE POTENTIALLY TRIGGERING YOUR COUGH
audio/RES0049.mp3[145.200,157.280]	UH NO NOT REALLY LIKE IVE LIVED IN THE SAME PLACE FOR AWHILE NO NEW CHANGES AND IVE BEEN BARELY GOING OUTSIDE SO I DONT THINK THERE ARE ANY TRIGGERS
audio/RES0049.mp3[157.280,167.440]	OK AND IN TERMS OF THE QUALITY OF YOUR COUGH IS THAT WOULD YOU SAY ITS HARSH BARKY
audio/RES0049.mp3[167.440,181.280]	UHM I WOULD JUST SAY ITS LIKE KIND OF HARSH AT TIMES BUT MAINLY ITS A DRY COUGH LIKE IM NOT BRINGING ANYTHING UP
audio/RES0049.mp3[181.280,189.440]	OK OK AND THEN YOU SAID DRY COUGH SO NO SPUTUM OR BLOOD RIGHT
audio/RES0049.mp3[190.520,196.320]	OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0049.mp3[196.320,211.760]	NOT THE LOSS OF TASTE AND SMELL BUT LIKE THE OTHER STUFF WHEN I JUST HAD A COLD OR FLU LIKE SYMPTOMS PREVIOUSLY BUT THE TASTE AND SMELL IS SOMETHING COMPLETELY NEW
audio/RES0049.mp3[211.760,218.640]	OK AND THEN UM HAVE YOU EXPERIENCED ANY SHORTNESS OF BREATH
audio/RES0049.mp3[218.640,221.880]	UM NOT REALLY NO
audio/RES0049.mp3[221.880,225.000]	NO OK HOW ABOUT WE WHEEZINESS
audio/RES0049.mp3[225.320,228.280]	CHEST PAIN
audio/RES0049.mp3[228.280,233.880]	NO CHEST PAIN
audio/RES0049.mp3[233.880,238.000]	OK UH EXPERIENCED ANY WEIGHT LOSS RECENTLY
audio/RES0049.mp3[238.000,239.600]	NO NOT THAT I KNOW
audio/RES0049.mp3[239.600,243.880]	OK HOW ABOUT FATIGUE
audio/RES0049.mp3[243.880,257.520]	I HAVE BEEN A BIT TIRED IN THE LAST FEW DAYS THE FEVERS AT NIGHT AND MORNING JUST FEELING A LITTLE BIT CRUMMY JUST NOT REALLY ENERGETIC ENERGETIC TO DO ANYTHING
audio/RES0049.mp3[257.520,258.800]	YEAH FOR SURE
audio/RES0049.mp3[258.800,263.040]	JUST BEEN PLANNER JUST SITTING ON THE COUCH
audio/RES0049.mp3[263.040,269.280]	OK ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0049.mp3[269.280,272.480]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0049.mp3[272.480,279.080]	OK YOU MENTIONED LOSS OF SMELL DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE
audio/RES0049.mp3[279.080,293.360]	I DID HAVE A RUNNY NOSE EARLIER THIS WEEK BUT THATS KIND OF SUBSIDED OTHER THAN THAT I DONT REALLY FEEL TOO MUCH CONGESTION IVE BEEN TAKING TYLENOL THE TYLENOL COLD SO I DONT KNOW IF THAT HELPED
audio/RES0049.mp3[293.360,299.680]	OK HOW OFTEN ARE YOU TAKING THE TYLENOL COLD
audio/RES0049.mp3[299.680,309.200]	I JUST TOOK IT LIKE FOR FOUR DAYS JUST BEFORE GOING TO SLEEP IN THE LAST WEEK
audio/RES0049.mp3[309.200,316.200]	OH I SEE OK OK AND THEN ANY I DO HAVE A SORE THROAT
audio/RES0049.mp3[317.720,323.240]	NO OK HOW ABOUT ANY CHANGES TO YOUR VISION OR HEARING
audio/RES0049.mp3[323.240,324.560]	NO NOTHING LIKE THAT
audio/RES0049.mp3[324.560,328.880]	ANY PAIN OR DISCHARGE IN THE EYES OR EARS
audio/RES0049.mp3[329.800,333.920]	OK DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0049.mp3[333.920,335.480]	UH NO NOT REALLY
audio/RES0049.mp3[335.480,340.760]	NO OK AND ANY SWELLING IN YOUR LIMBS
audio/RES0049.mp3[340.760,343.160]	UH NO I DONT THINK SO
audio/RES0049.mp3[343.160,347.800]	OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0049.mp3[349.200,353.000]	OK CONFUSION OR MEMORY LOSS
audio/RES0049.mp3[353.000,355.480]	NO NOT THAT I CAN TELL
audio/RES0049.mp3[355.480,363.560]	OK ANY CHANGES IN YOUR BOWEL HABITS LIKE CONSTANT CONSTIPATION OR DIARRHEA
audio/RES0049.mp3[363.560,365.040]	OH NO NOT REALLY
audio/RES0049.mp3[365.040,367.520]	NO NO BLOOD IN THE STOOL RIGHT
audio/RES0049.mp3[368.680,372.760]	OK ANY CHANGES TO YOUR APPETITE
audio/RES0049.mp3[372.760,382.720]	UM JUST MAYBE IN LIKE A LITTLE BIT WITH THE LOSS OF SMELL AND TASTE THE FOOD IS NOT REALLY THE SAME IN THE LAST DAY LAST FEW DAYS
audio/RES0049.mp3[382.720,388.320]	YEAH YEAH THAT MAKES SENSE ANY NAUSEA OR VOMITING
audio/RES0049.mp3[389.480,397.240]	NO OK AND ANY CHANGES IN TERMS OF URINE
audio/RES0049.mp3[397.240,401.720]	NO IVE BEEN PEEING ALRIGHT
audio/RES0049.mp3[401.720,408.280]	OK GOOD ANY MAJOR OR A LONGSTANDING MEDICAL CONDITIONS OR ARE YOU OTHERWISE HEALTHY
audio/RES0049.mp3[408.280,418.680]	NO IVE BEEN FORTUNATE OTHERWISE HEALTHY I HAD ASTHMA AS A KID BUT LIKE I HAVENT HAD TO USE THE PUFFERS FOR MORE THAN A DECADE
audio/RES0049.mp3[418.680,425.400]	OH OK OK AND WHAT TRIGGERS YOUR ASTHMA
audio/RES0049.mp3[425.400,436.400]	I THINK BACK THEN IT WAS JUST WHEN I DID SPORTS AND I WAS RUNNING AROUND A LOT IVE BEEN FINE FOR THE LAST 10 YEARS AT LEAST
audio/RES0049.mp3[436.400,443.000]	OK OK THATS GOOD AND ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST
audio/RES0049.mp3[444.440,449.320]	NO OK ANY ARE YOU ON ANY MEDICATIONS
audio/RES0049.mp3[449.320,457.760]	CURRENTLY JUST THE OTHER THING TYLENOL COLD BUT OTHER THAN THAT NO OTHER MEDICATIONS
audio/RES0049.mp3[457.760,462.760]	OK NOT EVEN OTHER OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS
audio/RES0049.mp3[462.760,465.960]	NO NOTHING LIKE THAT
audio/RES0049.mp3[465.960,471.560]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0049.mp3[471.560,482.080]	UM SOMETIMES IN THE FALL LIKE I GET A BIT SNIFFLY AND BUT OTHER THAN THAT I DONT KNOW OF ANY ALLERGIES TO ANY FOODS OR MEDICATIONS
audio/RES0049.mp3[482.080,490.120]	OK AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
audio/RES0049.mp3[490.120,493.240]	YEAH THEYRE ALL UP TO DATE
audio/RES0049.mp3[493.240,501.560]	ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY
audio/RES0049.mp3[501.560,516.800]	UH MY FATHER DID RECENTLY HAVE A HEART ATTACK AT AGE OF 58 I THINK HE WAS HE HES FINE THOUGH BUT THATS THATS ABOUT IT
audio/RES0049.mp3[516.800,521.880]	OK UM ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0049.mp3[521.880,527.440]	UM NO I DONT THINK SO
audio/RES0049.mp3[527.440,530.960]	OK AND AND DO YOU SMOKE
audio/RES0049.mp3[530.960,534.120]	UH YEAH YEAH I DO
audio/RES0049.mp3[534.120,535.800]	OK HOW MUCH DO YOU SMOKE
audio/RES0049.mp3[535.800,539.960]	PROBABLY I WOULD SAY A PACK A DAY
audio/RES0049.mp3[539.960,542.360]	PACK A DAY OK FOR HOW LONG
audio/RES0049.mp3[542.360,550.680]	AH PROBABLY SINCE IN MY 20S SO AT LEAST 10 YEARS NOW
audio/RES0049.mp3[550.680,553.640]	OK HAVE YOU EVER THOUGHT ABOUT CUTTING DOWN
audio/RES0049.mp3[553.640,572.400]	YEAH ESPECIALLY WITH THIS PANDEMIC GOING ON ITS BEEN IVE BEEN TRYING TO CUT DOWN JUST BECAUSE LIKE I DONT WANT TO GET THE GET COVIAND THEN YOU KNOW MY LUNGS ARE PROBABLY ALREADY WEAKER BECAUSE OF THE SMOKING SO IVE BEEN TRYING TO CUT DOWN
audio/RES0049.mp3[572.400,578.880]	YEAH FOR SURE ITS GOOD THAT YOURE TRYING TO CUT DOWN WE HAVE RESOURCES TO HELP YOU IF YOU EVER NEED THEM
audio/RES0049.mp3[578.880,581.480]	YEAH FOR SURE
audio/RES0049.mp3[581.480,584.880]	DO YOU DO MARIJUANA
audio/RES0049.mp3[584.880,588.480]	NO NO IVE NEVER TRIED MARIJUANA
audio/RES0049.mp3[588.480,590.840]	OK HOW ABOUT OTHER RECREATIONAL DRUGS
audio/RES0049.mp3[590.840,596.280]	NO UM BESIDES ALCOHOL NOTHING ELSE
audio/RES0049.mp3[596.280,604.680]	OK AND THEN UM I GUESS ILL ASK YOU ABOUT THE ALCOHOL UHM HOW MUCH DO YOU DRINK
audio/RES0049.mp3[604.680,616.760]	UM UM NOT THAT MUCH ID PROBABLY SAY LIKE A FEW TIMES A WEEK WHEN THERES A GAME ON I JUST GRAB A COUPLE OF BEERS BUT THATS ABOUT IT
audio/RES0049.mp3[616.760,623.040]	OK UHM AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0049.mp3[623.040,632.560]	YES I JUST LIVE JUST OUTSIDE OF LONDON WITH MY WIFE AND DAUGHTER IN A SMALL TOWNHOUSE
audio/RES0049.mp3[632.560,636.160]	OK AND ANYONE ELSE AT HOME SICK
audio/RES0049.mp3[636.160,651.280]	NO I IVE KIND OF STAYED AWAY ONCE I NOTICED SOME SYMPTOMS IM JUST KIND OF JUST STAYING IN MY ROOM NOT GETTING OUT I DONT WANNA MAKE ANY OF MY FAMILIES LIKE
audio/RES0049.mp3[651.280,656.040]	YEAH THAT MAKES SENSE AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY
audio/RES0049.mp3[656.040,675.640]	NO UMM I HAVENT REALLY TRAVELED I DO I DO GO TO WORK THOUGH I HAVENT IN THE LAST LAST WEEK IVE TOLD THEM THAT IVE BEEN HAVING THESE SYMPTOMS BUT OTHER THAN THAT NO TRAVELING
audio/RES0049.mp3[675.640,686.400]	OK UHM OK THATS GOOD THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY WAS THERE ANYTHING THAT YOU WANTED TO ASK ME OR ANYTHING ELSE THAT YOU WANTED TO DISCUSS THAT I MAY HAVE MISSED
audio/RES0049.mp3[686.400,702.760]	UH YEAH I I THAT IM JUST WONDERING LIKE I COULD IT BE COVII I DONT KNOW I DONT KNOW IF SOMEONE IN THE OFFICE HAD IT OR YEAH IT WAS JUST BASICALLY WORRIED ABOUT IF I HAD COVID
audio/RES0049.mp3[702.760,747.840]	YEAH FOR SURE THATS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WE WILL BE DOING A COVISWAB ON YOU AND AND YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS BUT REGARDLESS BECAUSE YOUR SYMPTOMS OVERLAP WITH SYMPTOMS OF COVIESPECIALLY UMM THE LOSS OF SMELL AND TASTE WE DO RECOMMEND THAT YOU ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM FAMILY MEMBERS AS WELL SO WELL THATS WHERE WELL START IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR BUT WELL START WITH WELL START WITH THESE COVISWABS HOW DOES THAT SOUND
audio/RES0049.mp3[747.840,759.800]	YEAH THAT SOUNDS GOOD ILL ILL LET MY WORK KNOW AND YEAH HOPEFULLY IT COMES BACK NEGATIVE BUT ILL STAY AWAY FROM EVERYONE TILL THEN
audio/RES0049.mp3[759.800,762.480]	OK SOUNDS GREAT THANK YOU
audio/RES0049.mp3[762.480,766.440]	ALRIGHT THANK YOU SO MUCH
audio/RES0051.mp3[0.000,3.760]	WOULD YOU MIND STARTING WITH TELLING ME WHAT BROUGHT YOU IN
audio/RES0051.mp3[3.760,23.160]	SURE I HAVE HAD THIS COUGH FOR THE PAST FIVE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO IM JUST HERE TO ASK YOU WHAT IT WHAT IT POSSIBLY COULD BE
audio/RES0051.mp3[23.160,28.800]	HAS THE COUGH BEEN GETTING ANY BETTER STAYING THE SAME OR GETTING WORSE OVER THESE LAST FIVE DAYS
audio/RES0051.mp3[28.800,33.520]	I THINK ITS GETTING WORSE
audio/RES0051.mp3[33.520,41.400]	ARE YOU BRINGING UP ANY ANY PHLEGM
audio/RES0051.mp3[42.840,46.240]	OKAY ARE YOU BRINGING UP ANY BLOOD
audio/RES0051.mp3[48.440,56.800]	OK HAVE YOU BEEN COUGHING AT NIGHT TIME AS WELL IS IT INTERFERING WITH YOUR SLEEP OR IS THE COUGH JUST DURING THE DAY
audio/RES0051.mp3[56.800,63.920]	UM IT IS MOSTLY DURING THE DAY AND IN THE EVENINGS IT DOESNT WAKE ME UP FROM SLEEP
audio/RES0051.mp3[63.920,74.240]	OK AND ANY TRIGGERS THAT YOUVE NOTICE 5 DAYS AGO OR ANYTHING THAT CHANGED AT THAT TIME TO BRING ON THE COUGH
audio/RES0051.mp3[74.240,78.240]	NO NOTHING
audio/RES0051.mp3[78.240,85.840]	OK AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS WITH THE COUGH
audio/RES0051.mp3[85.840,93.640]	I HAVE A SORE THROAT AND I FEEL LIKE I CANT TASTE THINGS THE SAME
audio/RES0051.mp3[93.640,102.760]	OK UM ARE YOU HAVING ANY PAIN WITH SWALLOWING EITHER LIQUIDS OR FOOD
audio/RES0051.mp3[102.760,104.960]	UM MOSTLY WITH FOODS
audio/RES0051.mp3[104.960,112.280]	OK AND WHEN DID THE SORE THROAT START
audio/RES0051.mp3[112.280,118.800]	IT STARTED UP AROUND THE SAME TIME AS MY COUGH
audio/RES0051.mp3[118.800,125.960]	OK AND YOU CANT TASTE YOUR FOOD AS WELL AND WHEN DID YOU NOTICE THAT
audio/RES0051.mp3[125.960,129.000]	THAT WAS TWO DAYS AGO
audio/RES0051.mp3[129.000,133.920]	OK HAVE YOU NOTICED ANY ANY LOSS OF SMELL
audio/RES0051.mp3[133.920,138.200]	NO NO I DONT THINK SO
audio/RES0051.mp3[138.200,145.320]	OK AND HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORT OF BREATH
audio/RES0051.mp3[147.040,153.000]	OK AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE
audio/RES0051.mp3[153.000,157.680]	NO NOTHING LIKE THIS
audio/RES0051.mp3[157.680,164.160]	OK AND HOW HAS YOUR ENERGY LEVEL BEEN HAVE YOU BEEN FATIGUED
audio/RES0051.mp3[164.160,167.840]	A LITTLE BIT YES
audio/RES0051.mp3[167.840,173.440]	OK HAVE YOU HAD ANY CHANGES TO YOUR VISION OR OR HEARING
audio/RES0051.mp3[174.680,180.680]	ANY MUCOUS OR PAIN OR DISCHARGE FROM EITHER YOUR EARS OR NOSE
audio/RES0051.mp3[182.360,192.520]	OK SO YOUR NOSE HASNT BEEN RUNNY BUT HAS IT FELT CONGESTED
audio/RES0051.mp3[192.520,193.840]	UMM NO
audio/RES0051.mp3[193.840,198.440]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0051.mp3[198.440,209.040]	I DONT KNOW ABOUT FEVERS I GUESS I WAS FEELING A LITTLE BIT HOT LAST NIGHT BUT I DIDNT TAKE MY TEMPERATURE
audio/RES0051.mp3[209.040,222.920]	OK SO POSSIBLY A FEVER I WILL CERTAINLY CHECK YOUR TEMPERATURE TODAY TO INVESTIGATE THAT HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0051.mp3[222.920,225.960]	UMM NO NIGHT SWEATS
audio/RES0051.mp3[225.960,234.080]	ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST FEW MONTHS
audio/RES0051.mp3[236.240,241.200]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0051.mp3[241.200,243.440]	NO CHEST PAIN
audio/RES0051.mp3[243.440,248.680]	HAVE YOU NOTICED ANY HEART PALPITATIONS OR HEART RACING
audio/RES0051.mp3[250.120,257.360]	RIGHT OK HAVE YOU HAD ANY WHEEZING
audio/RES0051.mp3[259.440,263.960]	ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0051.mp3[265.440,267.840]	ANY NAUSEA OR VOMITING
audio/RES0051.mp3[269.280,273.240]	OK HOW ABOUT ANY URINARY PROBLEMS
audio/RES0051.mp3[273.960,280.280]	PROBLEMS LIKE DIARRHEA OR CONSTIPATION
audio/RES0051.mp3[281.160,286.720]	OK AND ANY MUSCLE ACHES OR OR BODY PAINS
audio/RES0051.mp3[287.640,291.200]	HAVE YOU HAD ANY RASHES
audio/RES0051.mp3[294.320,307.320]	OK SO THE COUGH STARTED 5 DAYS AGO YOU HAD A SORE THROAT YOUVE BEEN FEELING A BIT MORE TIRED AND HAVENT BEEN ABLE TO TASTE YOUR FOOD FOR THE LAST COUPLE OF DAYS
audio/RES0051.mp3[308.440,314.640]	OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0051.mp3[314.640,318.000]	UM NO I DONT THINK SO
audio/RES0051.mp3[318.000,321.920]	OK NOTHING YOU SEE A PHYSICIAN REGULARLY FOR
audio/RES0051.mp3[323.840,327.800]	ALRIGHT DO YOU TAKE ANY MEDICATIONS
audio/RES0051.mp3[328.520,335.120]	ALRIGHT DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0051.mp3[335.120,339.240]	UMM POSSIBLY PENICILLIN
audio/RES0051.mp3[339.240,342.280]	OK DO YOU KNOW WHAT THE REACTION WAS
audio/RES0051.mp3[342.280,345.240]	I THINK I HAD A RASH
audio/RES0051.mp3[345.240,349.920]	OK ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0051.mp3[349.920,352.840]	I THINK YEAH I THINK SO
audio/RES0051.mp3[352.840,357.840]	EXCELLENT AND ANY SURGERIES BEFORE
audio/RES0051.mp3[357.840,359.880]	UMM NO
audio/RES0051.mp3[359.880,363.600]	AND HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON
audio/RES0051.mp3[363.600,367.280]	UMM NO NO
audio/RES0051.mp3[367.280,369.720]	OK AND ARE YOU IN SCHOOL NOW
audio/RES0051.mp3[369.720,371.840]	IM IN GRADE 6
audio/RES0051.mp3[371.840,380.320]	OK COOL WHATS YOUR FAVORITE CLASS
audio/RES0051.mp3[380.320,382.760]	I WOULD SAY ITS MATH
audio/RES0051.mp3[382.760,389.560]	AWESOME AND HAS THERE BEEN ANYBODY IN YOUR CLASS WHOS BEEN SICK
audio/RES0051.mp3[389.560,392.400]	NO EVERYTHINGS VIRTUAL RIGHT NOW
audio/RES0051.mp3[392.400,397.760]	OK COOL SO HAVE YOU TRAVELED ANYWHERE
audio/RES0051.mp3[397.760,401.360]	UMM NO
audio/RES0051.mp3[401.360,406.280]	ALRIGHT AND WHO ARE YOU LIVING WITH
audio/RES0051.mp3[406.280,414.600]	I LIVE WITH TWO OF MY YOUNGER SIBLINGS AND MY MOM AND DAD
audio/RES0051.mp3[414.600,418.720]	OK AND IS THERE ANY PHYSICAL OR VERBAL ABUSE IN THE HOME
audio/RES0051.mp3[419.280,423.920]	OK SO YOU DO FEEL SAFE IN THE HOME
audio/RES0051.mp3[423.920,426.280]	YES YES
audio/RES0051.mp3[426.280,431.640]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0051.mp3[431.640,433.160]	I DONT
audio/RES0051.mp3[433.160,452.480]	OK AND I KNOW SOME PEOPLE IN YOUR AGE GROUP MIGHT EVEN START USING OTHER TYPES OF SUBSTANCES HAVE YOU NOTICED ANYTHING LIKE THAT OR HAVE YOU USED ANYTHING LIKE THAT
audio/RES0051.mp3[452.480,453.520]	UMM NO
audio/RES0051.mp3[453.520,460.960]	OK AND SO DO YOU DRINK DO YOU DRINK ALCOHOL
audio/RES0051.mp3[460.960,467.680]	I HAVE HAD A SIP OF WINE BUT THATS THATS ABOUT IT
audio/RES0051.mp3[467.680,478.600]	OK GREAT AND HAS ANYBODY IN YOUR FAMILY HAD HAD SIMILAR SYMPTOMS
audio/RES0051.mp3[478.600,484.240]	NO I DONT THINK SO
audio/RES0051.mp3[484.240,492.640]	OK UM AND ANYBODY IN THE FAMILY HAVE ASTHMA OR LUNG CONDITIONS
audio/RES0051.mp3[492.640,507.520]	I THINK MY AUNT HAS ASTHMA BUT I WAS I WAS CHECKED FOR ASTHMA WHEN I WAS YOUNGER AND IT TURNS OUT I DONT HAVE IT
audio/RES0051.mp3[507.520,515.840]	OK AND ANY DISEASES THAT RUN IN THE FAMILY LIKE GENETIC OR CONGENITAL
audio/RES0051.mp3[515.840,517.560]	I THINK CROHNS DISEASE
audio/RES0051.mp3[517.560,523.880]	OK AND UMM WHO IN THE FAMILY HAS THAT
audio/RES0051.mp3[523.880,526.360]	MY FATHER
audio/RES0051.mp3[526.360,538.840]	OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE YOU WANTED TO TELL ME
audio/RES0051.mp3[538.840,544.760]	NO THATS IT WHAT DO YOU THINK I HAVE
audio/RES0051.mp3[544.760,592.400]	WELL IT IS SOUNDING LIKE IT COULD BE MOST LIKELY AN INFECTIOUS TYPE OF PROCESS GOING ON WITH THE POSSIBILITY OF HAVING A FEVER WITH A COUGH AND SORE THROAT SO WELL DO A PHYSICAL EXAM AND ALSO SOME INVESTIGATIONS WHICH WILL INCLUDE A COVID TEST TODAY BECAUSE SOME OF THESE SYMPTOMS DO OVERLAP BUT IT COULD BE SOMETHING LIKE THE COMMON COLD I DONT KNOW THE VIRUS THATS BRINGING THIS ON BUT ITS NOT NECESSARILY COVID BUT BECAUSE WERE DOING THE TEST IT WILL REQUIRE 14 DAYS OF SELF ISOLATION WELL GET BACK TO YOU WITH THE RESULTS AS QUICKLY AS WE CAN
audio/RES0051.mp3[592.400,596.440]	OK SOUNDS GREAT THANK YOU
audio/RES0190.mp3[0.000,1.480]	HOW MAY I HELP YOU
audio/RES0190.mp3[1.480,17.720]	YES I JUST CAME IN HERE TODAY I IVE JUST BEEN REALLY GETTING LIKE THE SORENESS IN MY THROAT FOR THE PAST I WOULD SAY FOUR DAYS AND I ALSO HAD A FEVER FOR THE LAST TWO DAYS AS WELL
audio/RES0190.mp3[17.720,26.600]	OK SO THE SORE THROAT HAVE YOU BEEN HAVING  PAIN WITH SWALLOWING FOODS OR LIQUIDS
audio/RES0190.mp3[26.600,38.400]	UHM MAYBE A LITTLE BIT WITH SOLIDS NOT SO MUCH WITH LIQUIDS BUT YEAH I DEFINITELY BEEN FEELING MORE SORE
audio/RES0190.mp3[38.400,43.480]	OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE
audio/RES0190.mp3[43.480,51.440]	UHM NO NOT REALLY NOT I HAVENT REALLY NOTICE ANY CHANGES
audio/RES0190.mp3[51.440,58.000]	OK UH HAVE YOU NOTICED ANY REDNESS IN THE BACK OF YOUR MOUTH
audio/RES0190.mp3[58.000,71.840]	YEAH IVE NOTICED SOME REDNESS AND THEN I ALSO FEEL LIKE THERES LIKE SOME MATERIAL LIKE WHITISH MATERIAL COMING UP FROM THE BACK OF MY THROAT
audio/RES0190.mp3[71.840,87.960]	OK THIS COULD BE A UH WHAT THEY CALL A TONSILLAR EXUDATE POSSIBLY WELL LOOK ON PHYSICAL EXAM OK DOES IT LOOK LIKE THERES SWELLING IN THE BACK OF YOUR MOUTH
audio/RES0190.mp3[87.960,92.600]	YEAH IT DEFINITELY LOOKS ANGRY
audio/RES0190.mp3[92.600,101.960]	OK HAVE YOU NOTICED ANY SWELLING IN YOUR NECK AS WELL LIKE EITHER ON ON THE SIDES LIKE OR ANY LUMPS THERE
audio/RES0190.mp3[101.960,114.920]	YEAH DEFINITELY LIKE MORE ON THE FRONT SIDE OF MY NECK ON BOTH SIDES I FEEL KIND OF LIKE SOME SWELLING AND LUMPS
audio/RES0190.mp3[114.920,122.680]	OK AND YOUVE HAD A FEVER AS WELL THESE LAST COUPLE OF DAYS SO HAVE YOU HAD ANY CHILLS
audio/RES0190.mp3[122.680,137.280]	YEAH IVE HAD CHILLS AND THEN ALSO BEEN FEELING WARM DURING THE DAY I THINK YESTERDAY I TOOK A TEMPERATURE AT NIGHT AND IT WAS 384 DEGREES CELSIUS
audio/RES0190.mp3[137.280,145.160]	OK SO YEAH CERTAINLY A FEVER HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0190.mp3[147.080,149.880]	OK UHM AND HAVE YOU HAD ANY HEADACHES
audio/RES0190.mp3[149.880,151.440]	NO HEADACHES
audio/RES0190.mp3[151.440,155.240]	HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE
audio/RES0190.mp3[155.960,158.520]	ANY CHANGES TO YOUR VISION OR HEARING
audio/RES0190.mp3[159.880,163.640]	OK ANY EAR PAIN
audio/RES0190.mp3[164.160,167.840]	HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
audio/RES0190.mp3[167.840,181.920]	LAST WEEK I DID HAVE A LITTLE BIT OF A RUNNY NOSE AND A LITTLE BIT OF A COUGH AS WELL BUT THIS WEEK IM NOT REALLY HAVING ANY COUGH OR RUNNY NOSE ITS JUST A SORE THROAT
audio/RES0190.mp3[181.920,186.040]	OK SO THE RUNNING NOSE AND COUGH HAVE GONE AWAY COMPLETELY
audio/RES0190.mp3[187.360,190.360]	OK AND HOW LONG DID THOSE LAST FOR
audio/RES0190.mp3[190.360,201.120]	UHM PROBABLY LIKE 5 DAYS SO ITS I THINK IT STARTED TWO WEEKS AGO
audio/RES0190.mp3[201.120,205.200]	OK AND YOURE AN ARE YOU HAVING A COUGH NOW
audio/RES0190.mp3[205.200,210.600]	NO NO COUGH RIGHT NOW
audio/RES0190.mp3[210.600,218.240]	OK UHM AND UH OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
audio/RES0190.mp3[218.240,221.240]	UH NO THEYVE BOTH BEEN THE SAME
audio/RES0190.mp3[221.240,226.600]	OK AND HAVE YOU HAD ANY LOSS OF APPETITE
audio/RES0190.mp3[226.600,242.120]	UHM NO MY APPETITES BEEN PRETTY MUCH THE SAME I I STILL TRY AND I I DO GET HUNGRY AND I TRY TO MAKE SURE EVEN THOUGH IT HURTS A LITTLE BIT TO KEEP EATING
audio/RES0190.mp3[242.120,251.600]	OK UHM AND WHEN YOU DID HAVE A COUGH OR DURING THIS TIME AS WELL HAVE YOU COUGHED UP ANY SPUTUM OR ANY BLOOD
audio/RES0190.mp3[251.600,255.360]	NO NOTHING LIKE THAT
audio/RES0190.mp3[255.360,260.000]	OK UH HAVE YOU HAD ANY WHEEZING
audio/RES0190.mp3[260.000,262.200]	UHM NO WHEEZING
audio/RES0190.mp3[262.200,266.280]	OK NOW HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0190.mp3[266.280,268.640]	NO NO SHORTNESS OF BREATH
audio/RES0190.mp3[268.640,274.160]	OK AND THEN HOW ABOUT ANY CHEST PAIN
audio/RES0190.mp3[274.160,276.080]	NO NO CHEST PAIN
audio/RES0190.mp3[276.080,282.080]	ALRIGHT SO HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS
audio/RES0190.mp3[284.240,288.720]	OK HAVE YOU HAD ANY HEART PALPITATIONS
audio/RES0190.mp3[288.720,290.880]	UH NO
audio/RES0190.mp3[290.880,295.600]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0190.mp3[295.880,299.840]	HAVE YOU HAD ANY DIARRHEA
audio/RES0190.mp3[300.440,304.240]	HAVE YOU HAD ANY CONSTIPATION
audio/RES0190.mp3[304.240,305.480]	AH NO
audio/RES0190.mp3[305.480,313.320]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN WITH VOIDING OR URINARY FREQUENCY
audio/RES0190.mp3[313.320,316.000]	NO NOTHING LIKE THAT
audio/RES0190.mp3[316.000,322.000]	OK AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0190.mp3[323.000,327.640]	OK UHM HAVE YOU HAD ANY RASHES
audio/RES0190.mp3[329.440,334.280]	HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS
audio/RES0190.mp3[334.280,339.240]	UH NO NOT THAT I KNOW OF
audio/RES0190.mp3[339.240,344.840]	OK UHM HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS
audio/RES0190.mp3[346.360,352.360]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY LIKE ANY FATIGUE OR MALAISE
audio/RES0190.mp3[352.360,360.360]	UHM NO I DONT THINK SO IM STILL I STILL FEEL LIKE PRETTY ENERGETIC
audio/RES0190.mp3[360.360,365.960]	OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0190.mp3[365.960,369.520]	NO NO IVE BEEN PRETTY HEALTHY
audio/RES0190.mp3[369.520,379.120]	ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED
audio/RES0190.mp3[381.040,384.680]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0190.mp3[384.680,387.080]	NO NOT THAT I KNOW OF
audio/RES0190.mp3[387.080,392.480]	OK AND DO YOU HAVE ANY ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0190.mp3[392.480,397.840]	YEAH AS FAR AS I KNOW
audio/RES0190.mp3[397.840,407.600]	OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION SO LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0190.mp3[407.600,418.680]	YEAH I I LIVE WITH MY PARENTS RIGHT NOW IN A IN A HOUSE JUST IN THE CITY AND I ALSO LIVE WITH MY OLDER BROTHER
audio/RES0190.mp3[418.680,421.640]	OK HAVE YOU BEEN GOING TO SCHOOL
audio/RES0190.mp3[421.640,431.160]	YEAH RIGHT NOW ITS ONLINE SCHOOL RIGHT NOW DUE TO THE PANDEMIC
audio/RES0190.mp3[431.160,437.440]	OK AND HAS ANYBODY AT HOME BEEN SICK OR HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0190.mp3[437.440,452.160]	MY BROTHER DID HAVE LIKE SIMILAR SORE THROAT SYMPTOMS I THINK MAYBE TWO WEEKS AGO AND HE DID GET SOME MEDICATIONS FROM THE DOCTOR
audio/RES0190.mp3[452.160,458.040]	OK SO DID HE GET ANTIBIOTICS
audio/RES0190.mp3[458.040,461.280]	I THINK SO I THINK HE GOT SOME ANTIBIOTICS
audio/RES0190.mp3[461.280,469.360]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0190.mp3[469.360,471.560]	UH NO
audio/RES0190.mp3[471.560,488.120]	ALRIGHT AND I KNOW IF SOME PEOPLE IN YOUR AGE GROUP MIGHT EXPERIENCE WITH SMOKING OR OR ALCOHOL HAVE YOU OR ANY OF YOUR FRIENDS TRIED ANYTHING LIKE THAT BEFORE
audio/RES0190.mp3[488.120,492.840]	NO NO NOTHING LIKE THAT
audio/RES0190.mp3[492.840,509.720]	OK AND EVERYTHING THAT WE TALK ABOUT IS ALWAYS CONFIDENTIAL SO YOU CAN FEEL SAFE SHARING WITH ME AND SO HAS THERE BEEN ANY CONCERNS WITH PHYSICAL OR EMOTIONAL VIOLENCE AT HOME
audio/RES0190.mp3[509.720,515.720]	NO I FEEL PRETTY SAFE MY PARENTS ARE PRETTY CARING AND LOVING
audio/RES0190.mp3[515.720,521.800]	OK WELL THATS EXCELLENT AND ARE YOU SEXUALLY ACTIVE
audio/RES0190.mp3[524.360,527.320]	OK HAVE YOU BEEN SEXUALLY ACTIVE IN THE PAST
audio/RES0190.mp3[527.320,534.480]	NO NOT AT ALL
audio/RES0190.mp3[534.480,544.200]	OK AND NOW IN THE FAMILY ARE THERE ANY CONDITIONS SUCH AS HEART PROBLEMS OR LUNG PROBLEMS THAT RUN IN THE FAMILY
audio/RES0190.mp3[544.200,548.160]	UH NO LIKE MY PARENTS ARE PRETTY HEALTHY
audio/RES0190.mp3[548.160,556.160]	OK UHM AND ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0190.mp3[557.400,559.680]	OK AND HOWS SCHOOL GOING
audio/RES0190.mp3[559.680,572.640]	SCHOOL IS GOING PRETTY WELL NO REAL ISSUES IT TOOK SOME TIME AND ADJUSTING TO THE NEW ONLINE CURRICULUM BUT ITS GOING PRETTY WELL NOW
audio/RES0190.mp3[572.640,588.280]	OK WELL THATS GOOD IM GLAD THAT YOU BEEN ABLE TO UH ADJUST SO I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANYTHING ELSE THAT YOU MAYBE WANTED TO ADD OR THAT I MAYBE FORGOT TO ASK ABOUT
audio/RES0190.mp3[588.280,596.880]	NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD
audio/RES0190.mp3[596.880,674.240]	OK SO WITH YOUR CURRENT SYMPTOMS RIGHT NOW WITH NO COUGH TONSILLAR EXUDATE A FEVER ALSO YOUR AGE AND THE LIKE SWELLING AND REDNESS THAT YOU NOTICE IN THE BACK OF YOUR THROAT IS LIKELY A GROUP A STREP PHARYNGITIS THATS CAUSING THIS AND WITH YOUR EXPOSURE TO YOUR BROTHER WHO ALSO RECEIVED ANTIBIOTICS COULD BE POTENTIALLY BE A SICK CONTACT FOR YOU THAT YOU WERE AROUND SO THIS WOULD REQUIRE ANTIBIOTICS AS WELL FOR YOURSELF AND WELL DO A RAPID STREP ANTIGEN TEST TO CHECK FOR THIS AND WAIT ON THE RESULT FOR THAT BECAUSE IT IT STILL COULD POSSIBLY BE A VIRAL ILLNESS AND SO THAT PASSES NEGATIVE AND WERE THINKING ITS A VIRAL ILLNESS THEN WE MIGHT HOLD OFF ON ANTIBIOTICS FOR NOW AND MONITOR SYMPTOMS AND IF AT ANY POINT THINGS GET WORSE LIKE YOU START TO GET SHORTNESS OF BREATH OR YOUR FEVERS GETTING WORSE AND ITS NOT NOT BEING CONTROLLED THEN WELL REEASSESS THE SITUATION
audio/RES0190.mp3[674.240,677.880]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0190.mp3[677.880,681.160]	THANK YOU
audio/MSK0009.mp3[0.000,8.840]	HOW MAY I HELP YOU
audio/MSK0009.mp3[8.840,35.880]	SO IVE JUST BEEN HAVING THIS PAIN IN MY KNEE SINCE I UM JUST FELL UH JUST THREE DAYS AGO SLIPPING ON THE STAIRS SINCE THEN IVE BEEN HAVING A LOT OF PAIN
audio/MSK0009.mp3[35.880,45.400]	I SEE UH SO DID THIS PAIN START RIGHT AFTER LIKE FALLING ON THE STAIRS
audio/MSK0009.mp3[45.400,50.360]	YEAH YEAH IVE BEEN HAVING THE PAIN SINCE THEN
audio/MSK0009.mp3[51.040,55.400]	AND THAT WAS THREE DAYS AGO
audio/MSK0009.mp3[55.400,62.480]	THREE DAYS AGO OK AND YOURE FEELING THE PAIN IN YOUR IN YOUR RIGHT KNEE
audio/MSK0009.mp3[62.480,67.960]	YEAH IN MY RIGHT KNEE
audio/MSK0009.mp3[67.960,76.640]	OK UH AND WHAT WOULD YOU SAY THE CHARACTER OF THE PAIN IS OR HOW WOULD YOU DESCRIBE THE PAIN
audio/MSK0009.mp3[76.640,82.880]	ITS KIND OF LIKE A DULL ACHING PAIN
audio/MSK0009.mp3[82.880,91.840]	OK AND HAS THE PAIN BEEN GETTING UM ANY BETTER OR ANY WORSE
audio/MSK0009.mp3[91.840,102.160]	UHM ITS KIND OF GETTING WORSE ACTUALLY JUST IN MY RIGHT KNEE AS WELL AS MY WHOLE RIGHT CALF AS WELL
audio/MSK0009.mp3[102.160,111.080]	OK OK UH WHAT IS THE INTENSITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT
audio/MSK0009.mp3[111.080,115.840]	PROBABLY AROUND 6
audio/MSK0009.mp3[115.840,126.320]	OK UM AND DID YOUR KNEE HURT BEFORE THIS AT ALL OR DID YOU HAVE ANY TRAUMA TO THE LEG BEFORE
audio/MSK0009.mp3[126.320,137.600]	NO NO BEFORE 3 DAYS AGO BEFORE MY SLIP I WAS FINE
audio/MSK0009.mp3[137.600,142.600]	OK ARE YOU FEELING THE PAIN ANYWHERE ELSE BESIDES YOUR RIGHT KNEE
audio/MSK0009.mp3[142.600,149.600]	IN MY CALF IM GETTING A LOT OF PAIN AS WELL IN MY RIGHT CALF
audio/MSK0009.mp3[149.600,154.600]	OK HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE
audio/MSK0009.mp3[154.600,173.040]	YEAH IF I AM IF IM WALKING OR IF IM MOVING THAT LEG AND PUTTING WEIGHT ON IT ITS DEFINITELY WORSE SO ITS DEFINITELY LIKE BETTER IF I JUST STAY SEATED AND STAY RESTING
audio/MSK0009.mp3[173.040,179.720]	OK IS THERE ANYTHING SHE SAID RESTING THAT HELPS IS THERE ANYTHING ELSE THATS HELPED
audio/MSK0009.mp3[179.720,192.960]	I DID TAKE SOME ADVIL WHICH DID HELP FOR A FEW HOURS BUT THEN IT JUST KIND OF WENT BACK TO THE SAME
audio/MSK0009.mp3[192.960,206.320]	OK UHM AND YEAH HAVE YOU HAD ANY OTHER UH LIKE ASSOCIATED SYMPTOMS WITH THE RIGHT KNEE AND CALF PAIN
audio/MSK0009.mp3[206.320,216.360]	YES I ALSO THINK THERES SOME SWELLING IN MY RIGHT CALF AS WELL SINCE YESTERDAY
audio/MSK0009.mp3[216.360,222.720]	OK OK THERES SOME SWELLING THERE
audio/MSK0009.mp3[223.800,231.720]	HAVE NOTICED IF YOUR CALF WAS RED OR IF THERE WAS A RASH OVER IT
audio/MSK0009.mp3[231.720,243.640]	I DONT SEE ANY RASHES OR REDNESS BUT IT DEFINITELY DOES SEEM SWOLLEN AND THEN IT HURTS AS WELL WHEN I MOVE IT OR PRESS IT
audio/MSK0009.mp3[243.640,253.560]	OK UH OK AND WHEN YOU FELL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR YOUR HANDS OR WRISTS
audio/MSK0009.mp3[253.560,258.840]	UM JUST A FEW SCRATCHES ON MY HANDS BUT NOTHING TOO BAD
audio/MSK0009.mp3[258.840,264.320]	AND HOW ABOUT YOUR HEAD DID YOU LOSE CONSCIOUSNESS OR OR HIT YOUR HEAD
audio/MSK0009.mp3[264.320,272.600]	NO NO I DIDNT HIT MY HEAD AT ALL I CAUGHT MYSELF BEFORE THEN AND NO I DIDNT LOSE ANY CONSCIOUSNESS
audio/MSK0009.mp3[272.600,279.280]	OK OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0009.mp3[280.760,285.760]	OK HAVE YOU HAD ANY CHEST PAIN
audio/MSK0009.mp3[286.360,289.360]	HAVE YOU HAD ANY COUGH
audio/MSK0009.mp3[289.360,292.680]	NO COUGH
audio/MSK0009.mp3[292.680,297.480]	HAVE YOU HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/MSK0009.mp3[298.680,304.400]	OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS
audio/MSK0009.mp3[306.080,314.600]	OK AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING
audio/MSK0009.mp3[314.600,319.000]	NO NOTHING LIKE THAT
audio/MSK0009.mp3[319.000,330.560]	OK UH AND HAVE YOU HAD ANY LIKE INFECTIOUS SYMPTOMS SUCH AS LIKE LIKE A RUNNY NOSE OR SORE THROAT
audio/MSK0009.mp3[330.560,334.080]	NO NOTHING LIKE THAT
audio/MSK0009.mp3[334.080,342.160]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0009.mp3[343.160,345.400]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0009.mp3[347.080,354.520]	OK HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR OR CONSTIPATION
audio/MSK0009.mp3[354.520,356.800]	NO NOTHING LIKE THAT
audio/MSK0009.mp3[356.800,361.240]	ALRIGHT SO HAVE YOU HAD ANY URINARY PROBLEMS
audio/MSK0009.mp3[362.000,367.160]	ALRIGHT SO HAVE YOU HAD ANY RECENT WEIGHT CHANGES
audio/MSK0009.mp3[367.160,376.520]	NO NOTHING LIKE THAT
audio/MSK0009.mp3[376.520,383.680]	OK UHM AND UM HAVE YOU HAVE YOU NOTICED ANY ANY RASHES ANYWHERE ELSE OVER YOUR WHOLE BODY
audio/MSK0009.mp3[383.680,386.600]	NO NOT THAT IVE NOTICED
audio/MSK0009.mp3[386.600,392.760]	ALRIGHT HAVE YOU NOTICED ANY MUSCLE WEAKNESS
audio/MSK0009.mp3[394.880,399.280]	HAVE YOU HAD ANY NUMBNESS TO THE SKIN
audio/MSK0009.mp3[399.280,403.240]	NOT THAT IVE NOTED NO
audio/MSK0009.mp3[403.240,407.320]	AND HAVE YOU HAD ANY TINGLING
audio/MSK0009.mp3[407.320,416.720]	NO OK
audio/MSK0009.mp3[416.720,423.760]	AND UM SO IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0009.mp3[423.760,429.400]	I DO HAVE SOME HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE
audio/MSK0009.mp3[429.400,433.040]	I SEE AND DO YOU TAKE ANY MEDICATIONS
audio/MSK0009.mp3[433.040,444.080]	YEAH SO CHOLESTEROL IM TAKING A LIKE A CRESTOR MEDICATION AND THEN FOR HIGH BLOOD PRESSURE IM TAKING A RAMIPRIL
audio/MSK0009.mp3[444.080,456.360]	OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES BEFORE
audio/MSK0009.mp3[456.360,471.360]	UM JUST A NO I I DONT UM JUST BESIDES A CSECTION FOR ONE OF MY CHILDREN I DONT HAVE ANY OTHER SURGERIES
audio/MSK0009.mp3[471.360,485.840]	OK IM AND HAVE YOU HAD ANY THROMBOSIS BEFORE OR A BLOOD CLOT IN THE PAST
audio/MSK0009.mp3[485.840,491.440]	NO IVE NEVER HAD ANYTHING LIKE THAT
audio/MSK0009.mp3[491.440,503.480]	OK AND UH HAVE YOU BEEN SO YOU YOUVE HAD THE BIRTH OF YOUR YOU PREGNANT AT OTHER TIMES IN THE PAST
audio/MSK0009.mp3[503.480,508.240]	UM NO THAT WAS THAT WAS IT
audio/MSK0009.mp3[508.240,511.760]	OK SO HAVE YOU HAD A MISCARRIAGE BEFORE
audio/MSK0009.mp3[513.400,517.080]	OK ANY ALLERGIES TO MEDICATIONS
audio/MSK0009.mp3[517.080,518.800]	NO ALLERGIES
audio/MSK0009.mp3[518.800,534.880]	OK AND UHM COULD YOU TELL ME A LITTLE BIT ABOUT YOUR UHM LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS YOURE LIVING
audio/MSK0009.mp3[534.880,547.760]	YEAH I LIVE WITH MY HUSBAND AND OUR DAUGHTER AND ITS JUST IN A SMALL TOWNHOUSE JUST IN THE CITY
audio/MSK0009.mp3[547.760,553.200]	OK AND ARE YOU WORKING CURRENTLY
audio/MSK0009.mp3[553.200,566.600]	I I DO WORK FROM HOME IM ACTUALLY JUST AN ACCOUNTING CLERK BUT I MOST OF MY WORK IS FROM HOME RIGHT NOW
audio/MSK0009.mp3[566.600,570.600]	OK AND ANY EXPOSURES TO ANYBODY WHOS BEEN SICK
audio/MSK0009.mp3[572.080,575.120]	HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0009.mp3[575.120,578.960]	UM NOPE
audio/MSK0009.mp3[578.960,591.480]	OK UH AND OVER THE LAST COUPLE OF DAYS WITH THAT WITH THE LEG PAIN DO YOU FEEL AS THOUGH YOUVE BEEN LIKE IMMOBILIZED
audio/MSK0009.mp3[591.480,605.440]	YEAH IVE BEEN TRYING TO JUST LIKE STAY RESTED JUST STAY SEATED OTHERWISE IT HURTS A LOT ESPECIALLY AFTER MY FALL SO IVE TRIED TO STAY IMMOBILIZED
audio/MSK0009.mp3[605.440,612.800]	OK FOR THE LAST COUPLE OF DAYS OK UH AND UH DO YOU DRINK ALCOHOL
audio/MSK0009.mp3[612.800,624.240]	JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS OR RELATIVES LIKE A GLASS OF WINE
audio/MSK0009.mp3[624.240,633.080]	OK AND DO YOU USE RECREATIONAL DRUGS LIKE MARIJUANA OR OR OTHER THINGS SUCH LIKE COCAINE
audio/MSK0009.mp3[633.080,637.360]	NO IVE NEVER TRIED THAT
audio/MSK0009.mp3[637.360,641.240]	OK AND DO YOU SMOKE CIGARETTES
audio/MSK0009.mp3[641.240,648.880]	UHM NO I DONT
audio/MSK0009.mp3[648.880,660.080]	OK IM OK SO OH AND UH IN THE FAMILY ARE THERE ANY HISTORY OF HEART OR LUNG CONDITIONS
audio/MSK0009.mp3[660.080,675.840]	UM SO I DONT KNOW ABOUT HEART OR LUNG CONDITIONS BUT UH MY MOTHER HAD A STROKE IN HER LATE 60S AND MY FATHER IS PRETTY HEALTHY
audio/MSK0009.mp3[675.840,683.840]	OK HAS THERE BEEN ANY BLOOD CLOTS IN THE FAMILY BEFORE
audio/MSK0009.mp3[683.840,695.240]	IM NOT SURE ABOUT BLOOD CLOTS BUT MY MOTHER HAD A STROKE THATS IS THAT KIND OF LIKE A BLOOD CLOT
audio/MSK0009.mp3[695.240,710.760]	IT COULD BE A STROKE COULD HAVE HAD MANY DIFFERENT TYPE OF TYPES OF CAUSES FOR IT AND ONE OF THEM COULD BE CAUSE CAUSED BY BLOOD CLOT BUT I WOULDNT BE ABLE TO SAY FOR SURE
audio/MSK0009.mp3[711.760,717.080]	JUST BECAUSE YEAH THERE ARE SO MANY DIFFERENT TYPES OR REASONS FOR FOR HAVING A STROKE
audio/MSK0009.mp3[717.080,721.480]	I SEE OK
audio/MSK0009.mp3[721.480,739.920]	SO YEAH SO YOU MENTIONED YOUR LEG HAS SOME SWELLING UM DO YOU FEEL AS THOUGH THERES ANY ANY LIKE TEMPERATURE CHANGE TO YOUR CALF LIKE IS IT HOT
audio/MSK0009.mp3[739.920,748.320]	UHM I THINK I I DONT KNOW IF ITS MAYBE A LITTLE BIT WARM BUT DEFINITELY SWOLLEN
audio/MSK0009.mp3[748.320,760.080]	OK AND DO YOU FEEL IS THERE ANY PAIN TO PALPATION LIKE IF YOU TOUCH YOUR CALF OR SOMETHING LIKE THAT IS THERE PAIN
audio/MSK0009.mp3[760.080,780.600]	YEAH IF I TOUCH MY RIGHT CALF ITS PAINFUL AND THEN IF I PRESS DOWN ON ITS REALLY PAINFUL AND THEN JUST ON THE OUTSIDE OF MY RIGHT KNEE IF I TOUCH OR PRESS DOWN IT REALLY HURTS AS WELL
audio/MSK0009.mp3[780.600,794.080]	OK AND IF YOU MOVE YOUR FOOT SO IT YEAH IF YOU DORSIFLEX YOUR ANKLE OR BENDING YOUR YOUR TOE UP TOWARDS YOUR NOSE DO YOU END UP GETTING ANY CALF PAIN DOING THE HOMAN TEST
audio/MSK0009.mp3[794.080,807.160]	YEAH YEAH ILL TRY THAT AND YEAH I THINK IT DEFINITELY HURTS WHEN I WHEN I MOVE MY OR POINT MY TOES TOWARDS MY NOSE
audio/MSK0009.mp3[807.160,823.280]	OK OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT THAT MAYBE I MISSED
audio/MSK0009.mp3[823.280,832.360]	NO I THINK THATS ALL
audio/MSK0009.mp3[832.360,921.360]	OK YEAH ALRIGHT SO WITH THE I FALL 2 DAYS AGO THINGS THAT IM THINKING ABOUT RIGHT NOW WOULD BE POSSIBLY A MUSCLE STRAIN SO THIS COULD BE A GASTROCNEMIUS STRAIN TO THE CALF MUSCLE ITSELF FROM FROM THE FALL WHICH COULD HAVE PAIN WHEN YOU TOUCH IT THERE COULD BE SOME SWELLING AND SAID IT WOULD BE AGGRAVATED BY MOVEMENTS ALSO COULD BE LIKE INJURIES TO SOME OF THAT THE LIGAMENTS THERE AS WELL AND HOWEVER WITH THIS THE SWELLING IMMOBILIZATION FOR THE LAST TWO DAYS AS WELL AS THE PAIN KIND OF BEING A BIT PROGRESSIVE THAT WITH SWELLING AND A POSITIVE HOMAN IN TEST AND YOUR TEMPERATURE IS A LITTLE BIT ELEVATED TODAY NOT QUITE A FEVER BUT FEVERISH IT DOES INCREASE THE SUSPICION FOR DEEP VEIN THROMBOSIS AND SO I THINK THE MOST LIKELY THING RIGHT NOW IS ACTUALLY A DVT OR DEEP VEIN THROMBOSIS AND SO WE WILL ORDER SOME DIAGNOSTIC STUDIES GET AN ULTRASOUND OF YOUR RIGHT CALF AS WELL AS AN X RAY OF THE RIGHT KNEE TO TO START OK
audio/MSK0009.mp3[921.360,925.600]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0129.mp3[0.000,2.160]	WHAT BRINGS YOU IN
audio/RES0129.mp3[2.160,22.040]	I JUST BRINGING MY SON IN TODAY BECAUSE HES HAD THIS COUGH THATS BEEN GOING ON FOR A FEW DAYS NOW AND FOR THESE PAST TWO DAYS IVE NOTICED THAT HES BEEN JUST TUGGING AT HIS EAR MORE AS WELL
audio/RES0129.mp3[22.040,28.040]	OK SO YOU SAID THE RUNNY NOSE STARTED TWO DAYS AGO
audio/RES0129.mp3[28.040,34.080]	YEAH YEAH HE HAD A COUGH YEAH COUGH AND RUNNY NOSE STARTED ABOUT YEAH 23 DAYS AGO
audio/RES0129.mp3[34.080,40.240]	OKAY THE RUNNY NOSE WHAT COLOR IS THE DISCHARGE
audio/RES0129.mp3[40.240,43.360]	PRETTY CLEAR AND WATERY
audio/RES0129.mp3[43.360,49.000]	OK AND THE COUGHING IS IT DRY OR IS IT BRINGING UP ANY PHLEGM
audio/RES0129.mp3[49.000,50.640]	ITS BEEN DRY
audio/RES0129.mp3[50.640,56.880]	ITS BEEN DRY OK AND DOES IT SOUND HARSH
audio/RES0129.mp3[56.880,58.520]	NOT REALLY
audio/RES0129.mp3[59.840,65.520]	I DONT KNOW IT SOUNDS KINDA LIKE A TYPICAL COUGH
audio/RES0129.mp3[65.520,70.360]	OK HAS HE LOST HIS SENSE OF TASTE OR SMELL
audio/RES0129.mp3[70.360,76.720]	HES BEEN A BIT MORE IRRITABLE AND NOT EATING AS MUCH BUT IM NOT SURE
audio/RES0129.mp3[76.720,83.240]	OK HOW ABOUT CHANGES IN HIS VISION OR HEARING
audio/RES0129.mp3[85.560,90.120]	OK ANY FEVERS
audio/RES0129.mp3[90.120,99.560]	UHM I DONT THINK SO BUT HE WE HAVENT CHECKED AND HES BEEN YEAH AS I SAID KINDA A LITTLE BIT IRRITABLE
audio/RES0129.mp3[99.560,103.520]	OK ANY WEIGHT LOSS RECENTLY
audio/RES0129.mp3[103.520,118.360]	UHM NO HES BEEN GAINING WEIGHT ACTUALLY SORRY I THINK IT YEAH HE HAS HAD A FEVER THE FEVER YEAH THE FEVER STARTED LIKE YESTERDAY
audio/RES0129.mp3[118.360,122.960]	OH OK DID YOU TAKE HIS TEMPERATURE
audio/RES0129.mp3[122.960,132.800]	YEAH MY MY WIFE JUST TEXTED ME AND TOLD ME THAT SHE CHECKED IT CHECKED IT AND SAID IT WAS OVER 38
audio/RES0129.mp3[132.800,144.360]	OH OK YEAH WELL DEFINITELY TAKE A TEMPERATURE HERE AS WELL JUST TO MAKE SURE HAS HE HAD ANY RASHES
audio/RES0129.mp3[145.560,151.440]	NO RASHES OK AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING
audio/RES0129.mp3[151.440,156.000]	NO I HAVENT HEARD THAT
audio/RES0129.mp3[156.000,163.440]	NO OK AND THEN HAVE YOU ACTUALLY TAKEN A LOOK INTO HIS EARS
audio/RES0129.mp3[163.440,166.680]	NO I HAVENT HE HAS JUST BEEN TUGGING AT THE RIGHT ONE
audio/RES0129.mp3[166.680,170.600]	IS HE ITCHING IT AT ALL
audio/RES0129.mp3[170.600,177.120]	UH YEAH I GUESS JUST KIND OF LIKE REALLY RUBBING IT AROUND THE OUTSIDE AND PULLING ON THE LOBE A LITTLE BIT
audio/RES0129.mp3[177.120,180.520]	OK ANY DISCHARGE OH SORRY GO AHEAD
audio/RES0129.mp3[180.520,186.400]	SORRY IM JUST GONNA SAY YEAH HES BEEN KIND OF FUSSY AND POINTING AT IT AND NO DISCHARGE FROM THE EAR
audio/RES0129.mp3[186.400,192.320]	NO DISCHARGE OK DOES IT LOOK SWOLLEN
audio/RES0129.mp3[192.320,195.960]	NO THE OUTSIDE OF THE EAR LOOKS NORMAL
audio/RES0129.mp3[195.960,202.360]	OK OK AND HOW HAVE HIS BOWEL MOVEMENTS BEEN
audio/RES0129.mp3[202.360,203.640]	THATS BEEN NORMAL
audio/RES0129.mp3[203.640,206.880]	NORMAL ANY CHANGES IN HIS URINE
audio/RES0129.mp3[206.880,208.800]	NO ITS BEEN NORMAL
audio/RES0129.mp3[208.800,211.400]	NAUSEA OR VOMITING
audio/RES0129.mp3[212.960,215.640]	UHM HEADACHES
audio/RES0129.mp3[215.640,217.680]	NO I DONT THINK SO
audio/RES0129.mp3[217.680,222.160]	OK HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0129.mp3[223.280,227.440]	NO ANY CONFUSION OR MEMORY LOSS
audio/RES0129.mp3[227.440,230.720]	NO I DONT THINK SO
audio/RES0129.mp3[230.720,236.120]	NO OK IS HE AN OTHERWISE HEALTHY CHILD
audio/RES0129.mp3[236.120,253.440]	YEAH HE HE IS I MEAN HE UHM ABOUT SIX MONTHS AGO HE HAD UHM CROUP I THINK BUT HE RECOVERED QUICKLY FROM THAT AND HE DIDNT NEED TO BE HOSPITALIZED OR ANYTHING
audio/RES0129.mp3[253.440,260.160]	OK AND HIS MOTHERS PREGNANCY WITH HIM WAS IT COMPLICATED IN ANY WAY
audio/RES0129.mp3[260.160,274.080]	SHE HAD GESTATIONAL DIABETES BUT IT WAS DIET CONTROLLED AND SHES HEALTHY NOW FROM THAT PERSPECTIVE
audio/RES0129.mp3[274.080,280.520]	OK OK THATS GOOD UHM AND THEN WAS HE BORN AT TERM
audio/RES0129.mp3[280.520,285.640]	HE WAS YEAH HE WAS BORN OVER LIKE 38 WEEKS I THINK
audio/RES0129.mp3[285.640,290.080]	OH OK GOOD AND WAS IT A CSECTION OR A VAGINAL DELIVERY
audio/RES0129.mp3[290.080,291.280]	UHH VAGINAL
audio/RES0129.mp3[291.280,296.480]	OK ANY COMPLICATIONS DURING THE DELIVERY
audio/RES0129.mp3[296.480,301.280]	UHH NO
audio/RES0129.mp3[301.280,309.200]	NO OK HOW ABOUT UHM AFTER BIRTH WAS HE HOSPITALIZED FOR ANY REASON
audio/RES0129.mp3[309.200,313.360]	NO HE WASNT HE WAS ABLE TO GO HOME
audio/RES0129.mp3[313.360,330.440]	OK THATS GOOD UHM AND HAS HE BEEN DEVELOPING NORMALLY IN TERMS OF HIS MOTOR MOVEMENTS LIKE BEHAVIOR WISE SOCIAL WISE LIKE IS HE ON PAR WITH HIS PEERS IN TERMS OF MILESTONES
audio/RES0129.mp3[330.440,335.520]	YEAH HE IS YEAH EVERYTHINGS BEEN NORMAL THAT WAY AND HES BEEN GROWING WELL TOO
audio/RES0129.mp3[335.520,343.080]	OK GOOD GROWING WHILE GAINING WEIGHT WELL OK IS HE ON ANY MEDICATIONS
audio/RES0129.mp3[343.080,345.280]	NO HES NOT
audio/RES0129.mp3[345.280,350.120]	OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0129.mp3[350.120,357.680]	HE IS YEAH WEVE BEEN FOLLOWING ALONG WITH WITH THAT
audio/RES0129.mp3[357.680,361.960]	OK DOES HE HAVE ANY ALLERGIES
audio/RES0129.mp3[361.960,363.840]	I DONT THINK SO
audio/RES0129.mp3[363.840,369.440]	NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0129.mp3[369.440,370.360]	UH NO
audio/RES0129.mp3[370.360,377.120]	NO OK DOES ANYONE AT HOME SMOKE
audio/RES0129.mp3[377.120,388.680]	UHM I DO BUT NOT LIKE IN THE HOUSE OR ANYTHING LIKE THAT USUALLY JUST WELL IT WILL ALWAYS BE EITHER OUTSIDE OR WHEN IM AT WORK
audio/RES0129.mp3[388.680,396.280]	OK OK ANY OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT IN YOUR HOME
audio/RES0129.mp3[397.480,399.560]	NO OK WHO DOES HE LIVE WITH
audio/RES0129.mp3[399.560,404.880]	SO YEAH HE LIVES WITH ME ITS JUST ME AND MY WIFE
audio/RES0129.mp3[404.880,409.720]	OK ANY PETS AT HOME
audio/RES0129.mp3[409.720,410.760]	WE HAVE A A DOG
audio/RES0129.mp3[410.760,420.680]	OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0129.mp3[420.680,423.240]	UH NOT THAT I CAN THINK OF
audio/RES0129.mp3[423.240,427.680]	OK IS HE IN LIKE DAYCARE
audio/RES0129.mp3[427.680,440.160]	NO NO MY WIFES BEEN BEEN LOOKING LOOKING AFTER HIM AT HOME SHES THE PRIMARY CAREGIVER WELL WHILE IM AT WORK
audio/RES0129.mp3[440.160,443.080]	OK ANY TROUBLE RECENTLY
audio/RES0129.mp3[443.080,446.120]	NO NO
audio/RES0129.mp3[446.120,455.080]	NO OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0129.mp3[455.080,461.600]	UHH NO JUST WAS WONDERING WHAT WHAT MIGHT BE GOING ON
audio/RES0129.mp3[461.600,545.280]	YEAH FOR SURE SO RIGHT NOW IT SOUNDS LIKE A VIRAL PICTURE IT SOUNDS LIKE HE HAS A COLD AND POSSIBLY AN EAR INFECTION ID HAVE TO TAKE A LOOK INTO HIS EAR TO BE ABLE TO TELL MORE UHM BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WELL PROBABLY DO A SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UHM AND SO AFTER I TAKE A LOOK INTO HIS EARS WE CAN DO ONE OF A COUPLE OF THINGS SO IF HIS TYMPANIC MEMBRANE LOOKS LIKE ITS BEEN PERFORATED OR IF THERES PUS IN THERE THEN WELL PRESCRIBE HIM A 10 DAY COURSE OF ANTIBIOTICS AND IF I SEE LIKE MIDDLE EAR EFFUSION OR HIS TYMPANIC MEMBRANES BULGING AND HE SEEMS REALLY SICK LIKE HE HAS A HIGH FEVER WHAT SHE DOES I WILL AGAIN PRESCRIBE HIM 10 DAYS OF ANTIBIOTICS AND IF HE HAS A MIDDLE EAR EFFUSION OR A BULGING TYMPANIC MEMBRANE JUST ONE OF THOSE TWO AND HE DOESNT SEEM TO BE TOO SICK WE CAN REASSESS HIM IN 24 TO 48 HOURS UHM AN ANTIBIOTIC THAT WE USUALLY PRESCRIBE IS AMOXICILLIN UHH HOW DOES THAT SOUND
audio/RES0129.mp3[545.280,547.120]	THAT SOUNDS REALLY GOOD THANK YOU
audio/RES0129.mp3[547.120,548.760]	OK NO WORRIES TAKE CARE
audio/RES0140.mp3[0.000,2.200]	UM WHAT BRINGS YOU IN TODAY
audio/RES0140.mp3[2.200,20.400]	HI I JUST CAME IN UH I JUST HAD THIS SUDDEN JUST THIS MORNING AFTER I WOKE UP THIS SUDDEN SHORTNESS OF BREATH AND LIKE EACH TIME I TAKE A DEEP BREATH IM GETTING THIS CHEST PAIN
audio/RES0140.mp3[20.400,24.680]	OKAY AND THIS JUST STARTED THIS MORNING YOU SAID
audio/RES0140.mp3[28.840,31.440]	WERE YOU ABSOLUTELY FINE LAST NIGHT
audio/RES0140.mp3[31.440,37.920]	YEAH I DIDNT HAVE ANY TROUBLE LAST NIGHT
audio/RES0140.mp3[37.920,43.400]	I SEE I SEE OKAY UM ANY OTHER DOES THE CHEST PAIN ONLY OCCUR WHEN YOURE TAKING A DEEP BREATH IN
audio/RES0140.mp3[43.400,46.320]	YEAH MAINLY ITS DURING THAT TIME
audio/RES0140.mp3[46.320,56.040]	OKAY UM HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS A HEADACHE OR COUGH OR RUNNY NOSE CONGESTION SORE THROAT
audio/RES0140.mp3[56.040,58.480]	UM NO NO NOTHING LIKE THAT
audio/RES0140.mp3[58.480,62.200]	AND CHANGES IN YOUR BOWEL MOVEMENT ANY PAIN IN YOUR BELLY
audio/RES0140.mp3[62.680,66.120]	ANY URINARY SYMPTOMS
audio/RES0140.mp3[67.800,71.040]	ANY UM ANY PAIN IN YOUR LEGS
audio/RES0140.mp3[71.040,88.400]	UM I DID NOTICE LAST LAST NIGHT AND FOR THE LAST FEW DAYS THAT MY RIGHT CALF LIKE JUST FEELS UM PAINFUL AND IT SEEMS A BIT MORE SWOLLEN
audio/RES0140.mp3[88.400,105.920]	UM WAS THERE ANYTHING THAT YOU WERE DOING A COUPLE OF DAYS AGO ANY SAY ANY FLIGHTS OR PERIODS UM WHERE YOU MIGHT BE SITTING STILL OR LYING STILL FOR AWHILE ANY SURGERIES ANYTHING LIKE THAT
audio/RES0140.mp3[105.920,119.440]	I WAS I WAS JUST DISCHARGED FROM THE HOSPITAL UM LAST WEEK AFTER A HIP SURGERY
audio/RES0140.mp3[119.440,125.480]	UM OKAY WERE YOU MOVING AROUND AT HOME AFTER THE HIP SURGERY
audio/RES0140.mp3[125.480,139.320]	UM NOT NOT REALLY LIKE I WAS I WAS TOLD I SHOULD MOVE AROUND A BIT BUT ITS BEEN QUITE HARD
audio/RES0140.mp3[139.320,146.080]	UM ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0140.mp3[146.080,160.280]	YES I HAVE UH HIGH BLOOD PRESSURE AND UM I ALSO HAVE THIS THING LIKE LIKE VARICOSE VEINS
audio/RES0140.mp3[160.280,164.080]	UM DO YOU TAKE ANY MEDICATIONS
audio/RES0140.mp3[164.080,176.680]	I I TAKE THIS MEDICATION CALLED UM LISINOPRIL
audio/RES0140.mp3[176.680,182.520]	AND ANY NEW MEDICATIONS THAT WERE STARTED AFTER YOUR HOSPITAL STAY
audio/RES0140.mp3[182.520,201.360]	UM NO THEY GAVE ME LIKE SOME PAIN MEDICATIONS I SEEM TO UH UM I GOT HYDROMORPHONE MEDICATION IVE BEEN TRYING TO STAY AWAY FROM IT THOUGH JUST TAKING TYLENOL INSTEAD
audio/RES0140.mp3[201.360,204.640]	IS YOUR PAIN CONTROLLED WELL WITH TYLENOL
audio/RES0140.mp3[204.640,210.920]	YEAH I TRIED TO SUCK IT UP I JUST DONT WANNA GO ON THOSE OTHER MEDICATIONS IVE HEARD LIKE YOU CAN GET ADDICTED TO THEM
audio/RES0140.mp3[210.920,238.600]	YEAH THATS FAIR THATS A FAIR POINT BUT ITS ALSO I GUESS ITS IMPORTANT THAT YOU MOVE AROUND AT HOME UM SO MAYBE TRY TO MAYBE WE CAN INCREASE YOUR TYLENOL DOSE OR MAYBE UM SEE IF THERES ANOTHER PAIN MED THAT YOU CAN BE STARTED ON IF YOURE NOT INTERESTED IN OPIOIDS JUST TO MAKE SURE THAT YOURE MOVING AROUND CAUSE THATS VERY IMPORTANT AT THE HOSPITAL DID YOU RECEIVE AN INJECTION IN YOUR IN YOUR TUMMY
audio/RES0140.mp3[238.600,240.880]	AN INJECTION IN MY TUMMY UM
audio/RES0140.mp3[240.880,242.960]	EVERY DAY ONCE A DAY
audio/RES0140.mp3[242.960,244.720]	I THINK SO YEAH I DID
audio/RES0140.mp3[244.720,250.440]	OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY ALLERGIES
audio/RES0140.mp3[250.440,252.040]	UH NO ALLERGIES
audio/RES0140.mp3[252.040,257.040]	OKAY UM AND WHO DO YOU LIVE WITH
audio/RES0140.mp3[257.040,264.080]	I LIVE ALONE YEAH RIGHT NOW I LIVE ALONE IN AN APARTMENT
audio/RES0140.mp3[264.080,267.000]	WERE YOU DISCHARGED WITH ANY SUPPORT
audio/RES0140.mp3[267.000,281.360]	YEAH I DO HAVE A NURSE COMING IN LIKE EVERY EVERYDAY BUT I DONT THEY THEY DIDNT COME LIKE YESTERDAY
audio/RES0140.mp3[281.360,287.960]	OKAY OKAY UM AND DO YOU SMOKE OR DID YOU EVER SMOKE IN THE PAST
audio/RES0140.mp3[287.960,295.920]	I USED TO SMOKE IN PROBABLY IN MY 20S AND 30S BUT THEN I STOPPED WHEN I HAD KIDS AND STUFF
audio/RES0140.mp3[295.920,300.280]	DO YOU DRINK ALCOHOL
audio/RES0140.mp3[300.280,305.080]	UM YEAH PROBABLY UH A GLASS ONCE OR TWICE UM EVERY COUPLE DAYS
audio/RES0140.mp3[305.080,313.320]	UM AND SORRY JUST GOING BACK HOW MUCH DID YOU SMOKE IN YOUR 20S AND 30S AND FOR HOW MANY YEARS
audio/RES0140.mp3[313.320,323.320]	PROBABLY SMOKED FOR PROBABLY 15 15 YEARS PROBABLY LIKE LIKE HALF A PACK A DAY
audio/RES0140.mp3[323.320,332.600]	ALRIGHT UM AND DO YOU CONSUME ANY MARIJUANA OR ANY RECREATIONAL DRUGS
audio/RES0140.mp3[335.680,385.640]	OKAY ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WITH THE WITH THE SWELLING AND THE PAIN IN THE RIGHT CALF AND THE DIFFICULTIES BREATHING ITS VERY LIKELY THAT YOU HAVE UM AND YOUR RECENT HOSPITALIZATION AND HIP INJURY UM IT SOUNDS LIKE YOU MIGHT HAVE SOMETHING CALLED OR PULMONARY EMBOLISM BASICALLY WHICH IS A BLOOD CLOT INSIDE YOUR LUNGS AND SO WELL DO A SCAN OF YOUR LUNGS TO SEE WHATS GOING ON WELL ALSO DO AN ULTRASOUND OF YOUR LEG AND THEN UM WE MIGHT HAVE TO TREAT UH THIS WITH BLOOD THINNERS AND WE DEFINITELY HAVE TO HOSPITALIZE YOU AND WELL BE MEASURING YOUR VITALS AND SEEING IF YOU NEED ANY OXYGEN TO HELP YOU OUT
audio/RES0140.mp3[385.640,389.920]	OKAY ILL BE ILL BE HERE FOR A WHILE THEN
audio/RES0140.mp3[389.920,401.160]	WELL WELL KEEP YOU FOR A BIT AT LEAST THE NEXT COUPLE OF DAYS UNTIL YOUR YOUR BREATHING GETS BETTER AND YOUVE YOUVE BEEN STARTED ON ANTI ON BLOOD THINNERS
audio/RES0140.mp3[401.920,436.120]	AND WE CAN BE SURE THAT YOURE YOURE DOING OKAY WELL ALSO CONTINUOUSLY MONITOR YOUR VITAL SIGNS UM TO MAKE SURE THAT YOURE DOING WELL AND THEN WELL MAKE SURE THAT YOURE DISCHARGED WE WILL ALSO GET YOU SOME PHYSIOTHERAPY HERE WHILE IN THE HOSPITAL TO HELP YOU UM MOBILIZE BETTER WHEN YOU GET HOME UM AND WELL ALSO DO A COVISWAB JUST IN CASE DID YOU HAVE ANY EXPOSURES TO ANYONE IN THE PAST COUPLE OF DAYS BEFORE YOU CAME AT HOME AFTER YOU CAME HOME
audio/RES0140.mp3[436.120,440.080]	NO IVE BEEN JUST AT HOME JUST THE NURSE
audio/RES0140.mp3[440.080,449.440]	I SEE I SEE OKAY WELL WELL DO A COVISWAB JUST IN CASE AND GO FROM THERE DO YOU HAVE ANY QUESTIONS
audio/RES0140.mp3[449.440,452.200]	NO UM YEAH THAT THAT SOUNDS GOOD
audio/RES0140.mp3[452.200,454.000]	OKAY GREAT
audio/RES0053.mp3[0.000,23.600]	I WAS JUST BRINGING MY SON AND HES JUST HAD COUGH FOR THE LAST COUPLE OF DAYS I THOUGHT ABOUT A DAY AND A HALF AGO IT DOESNT FEEL LIKE A COLD HE HASNT BEEN TOO SICK BUT I WAS A LITTLE BIT WORRIED AND I WANTED TO GET HIM SEEN TO SEE IF THERES ANYTHING WE COULD DO
audio/RES0053.mp3[23.600,33.080]	YEAH FOR SURE ITS A GOOD THING THAT YOU BROUGHT HIM IN SO THE COUGH IS IT CONSISTENT OR DOES IT COME AND GO
audio/RES0053.mp3[33.080,58.280]	IT SEEMS TO BE A LITTLE BIT WORSE AT NIGHT HELL HAVE THIS COUGH DURING THE DAY SOMETIMES ILL NOTICE WHEN HES PLAYING HES HAD THESE COUGHING FITS THAT LAST FOR UP TO A MINUTE BUT USUALLY RECOVERS FROM HE HASNT BEEN TOO ACTIVE TO BE HONEST HES BEEN A LITTLE BIT SLOWED DOWN THESE LAST COUPLE OF DAYS BUT IN REGARDS TO CONSISTENCY ID SAY ITS A LITTLE BIT WORSE AT NIGHT
audio/RES0053.mp3[58.280,64.720]	OK ANY OTHER TRIGGERS LIKE DUST OR THE COLD AIR ANYTHING LIKE THAT
audio/RES0053.mp3[64.720,86.760]	I HAVENT REALLY NOTICED ANYTHING WEVE BEEN MAINLY KEEPING INSIDE DUE TO COVID RIGHT I THINK MY WIFE LEFT A WINDOW OPEN THE OTHER NIGHT AND MAYBE THE COUGH WAS A LITTLE BIT BETTER IM NOT SURE ITS KIND OF HARD TO TELL WHEN WE SLEEP
audio/RES0053.mp3[86.760,93.280]	YEAH HAVE YOU TRIED ANYTHING FOR IT LIKE HAVE YOU GIVEN HIM ANY OVER THE COUNTER COUGH MEDICATIONS
audio/RES0053.mp3[93.280,100.640]	NO WERE A LITTLE SCARED TO GIVE HIM ANYTHING HES SO YOUNG HES 2 12 WE HAVENT BEEN REALLY GIVING HIM ANY MEDICATIONS TO BE HONEST
audio/RES0053.mp3[100.640,110.640]	OK GOOD AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS BARKY IS IT HARSH
audio/RES0053.mp3[110.640,130.480]	BARKY MIGHT BE A GOOD WORD TO DESCRIBE IT LIKE HES HAD COLDS BEFORE HIS COUGHS WERE QUIET BUT THIS SOUNDS HARSH IT SOUNDS LIKE HES REALLY TRYING TO COUGH HARD THERE VERY VIOLENT SOMETIMES
audio/RES0053.mp3[130.480,134.680]	OK OK AND HAS HE EVER HAD A COUGH LIKE THIS IN THE PAST
audio/RES0053.mp3[134.680,137.480]	NO NEVER
audio/RES0053.mp3[137.480,144.640]	OK AND THEN IN TERMS OF THE TIMELINE IS IT GETTING WORSE HIS COUGH
audio/RES0053.mp3[144.640,169.920]	I THINK IT HAS BEEN TO BE HONEST HE WAS A LITTLE ILL LIKE HE HAD A RUNNY NOSE A COUPLE OF DAYS AGO MAYBE TWO DAYS AGO AND THEN THE COUGH STARTED BUT IT ONLY REALLY STARTED GETTING NOTICEABLY DIFFERENT ABOUT THE NIGHT OF THE FIRST DAY ABOUT TWO DAYS AGO SO NOW ITS BEEN MORE PRESENT I SUPPOSETHAN IT WAS WHEN HE JUST FIRST HAD IT
audio/RES0053.mp3[169.920,177.240]	OK AND IS IT A DRY COUGH OR DOES HE BRING UP SPUTUM
audio/RES0053.mp3[177.240,183.800]	SPUTUM LIKE PHLEGMNO HE DOESNT BRING ANYTHING UP REALLY SO DRY
audio/RES0053.mp3[183.800,187.160]	OK SO NO BLOOD AS WELL RIGHT
audio/RES0053.mp3[187.160,189.840]	NO BLOOD
audio/RES0053.mp3[189.840,195.120]	OK  DOES HE HAVE ANY SHORTNESS OF BREATH WITH HIS COUGH
audio/RES0053.mp3[195.120,212.720]	I FEEL LIKE WHEN HE HAS THE COUGHING FITS HES WINDED HES WEAK AFTER THEM SOMETIMES HE CRIES AFTER THEM OR BEFORE THE MIDDLE CAN BE A TRIGGER FOR IT BUT JUST RESTING NORMALLY HE DOESNT SEEM THAT OUT OF BREATH NO
audio/RES0053.mp3[212.720,214.520]	OK ANY WHEEZINESS
audio/RES0053.mp3[214.520,235.280]	NO NOT REALLY HES ABLE TO BREATHE I CANT REALLY HEAR HIM BREATHING THAT MUCH SOMETIMES AT NIGHT AFTER A BAD COUGH HELL BE REALLY WINDED AND YEAH IT DOES SOUND LIKE A LITTLE DIFFERENT WHEN HES BREATHING BUT JUST RIGHT NOW HE SOUNDS NORMAL
audio/RES0053.mp3[235.280,242.680]	OK AND ANY REASON FOR YOU TO THINK HE HAS CHEST PAIN
audio/RES0053.mp3[242.680,255.640]	HE HASNT ANY SORT OF CHEST PAIN HE SAYS HIS THROAT HURTS BUT I DONT THINK ITS HIS CHEST
audio/RES0053.mp3[255.640,258.520]	HAS HE HAD ANY FEVERS
audio/RES0053.mp3[260.800,266.200]	ANY CHANGE IN HIS HAIR NAILS OR SKIN LIKE RASHES
audio/RES0053.mp3[266.200,268.600]	NO NO RASHES
audio/RES0053.mp3[268.600,271.880]	HOW ABOUT WEIGHT LOSS
audio/RES0053.mp3[271.880,276.120]	NO WEIGHT LOSS HES A FAIRLY HEALTHY KID
audio/RES0053.mp3[276.120,280.920]	AND HIS VISION AND HEARING ARE NORMAL
audio/RES0053.mp3[280.920,296.960]	YOU KNOW I HAVENT GOTTEN HIM FORMALLY ASSESSED YET BUT SEEMS TO BE ABLE TO READ PRETTY WELL FROM A DISTANCE HES NOT IN SCHOOL YET BUT I HAVENT NOTICED ANYTHING AND HE CAN HEAR FINE I THINK HE RESPONDS WHEN I CALL
audio/RES0053.mp3[296.960,301.320]	OK HAS HE HAD A STUFFY OR RUNNY NOSE
audio/RES0053.mp3[301.320,311.040]	YEAH YEAH THATS KIND OF HOW IT FIRST STARTED THREE DAYS AGO MAYBE HAD A RUNNY NOSE OK YEAH
audio/RES0053.mp3[311.040,316.280]	DOES HE STILL HAVE A RUNNY NOSE
audio/RES0053.mp3[316.280,323.440]	UMM A LITTLE BIT LESS NOW NO NOT AS MUCH NOW
audio/RES0053.mp3[323.440,331.800]	OK AND HIS TASTE ANY REASON TO BELIEVE THERE ARE ANY CHANGES THERE
audio/RES0053.mp3[331.800,343.320]	WELL WEVE BEEN KIND OF SPOILING HIM A BIT JUST GIVING HIM ICE CREAM HIS THROAT HURTS A LITTLE BIT AND HE SEEMS TO STILL LIKE IT SO ITS HARD TO TELL
audio/RES0053.mp3[343.320,347.600]	OK SO HE HAS A LITTLE BIT OF A SORE THROAT AS WELL
audio/RES0053.mp3[350.400,359.680]	OK OK AND THEN ANY DIZZINESS OR FAINTING SPELLS THAT YOUVE NOTICED
audio/RES0053.mp3[359.680,375.040]	NO FAINTING OR DIZZY SPELLS BUT HES REALLY GASSED AFTER HE HAS LIKE A COUGHING FIT AND HE DOESNT WANT TO STAND UP HELL JUST BE SITTING DOWN OR HE WANTS TO BE HELD
audio/RES0053.mp3[375.040,377.880]	OK IS HE MORE IRRITABLE THAN USUAL
audio/RES0053.mp3[377.880,388.360]	YEAH AFTER HE HAS A BAD COUGHING FIT HE WANTS TO BE SOOTHED AND HELL BE CRYING BUT ITS JUST MORE OF BECAUSE HES WORN OUT I BELIEVE HES TIRED
audio/RES0053.mp3[388.360,393.800]	YEAH OK AND THEN ANY CONFUSION OR MEMORY LOSS
audio/RES0053.mp3[394.480,404.440]	OK AND THEN IN TERMS OF HIS BOWEL MOVEMENTS HAVE THINGS BEEN NORMAL FROM THAT STANDPOINT
audio/RES0053.mp3[404.440,410.480]	OH YEAH PROCESS OF POTTY TRAINING HIM BUT NO NO REAL CHANGES
audio/RES0053.mp3[410.480,414.320]	OK SO NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL
audio/RES0053.mp3[416.120,417.720]	OK AND HES PASSING GAS
audio/RES0053.mp3[417.720,421.560]	OK YEAH ID SAY SO
audio/RES0053.mp3[421.560,426.240]	ANY NAUSEA OR VOMITING
audio/RES0053.mp3[426.240,439.800]	NO WE HAVENT BEEN REALLY FEEDING HIM SOLID MEALS ITS BECAUSE HES BEEN SICK WEVE BEEN TRYING TO GIVE HIM SOUP AND LIQUIDS FOR THE MOST PART BECAUSE HIS THROAT HURTS BUT HES ABLE TO KEEP THEM DOWN SO NO NO NAUSEA NO VOMITING
audio/RES0053.mp3[439.800,445.200]	OK AND THEN HOW ABOUT CHANGES IN HIS APPETITE
audio/RES0053.mp3[445.200,462.000]	YEAH HES NOT EATING AS MUCH BUT STILL WERE TRYING TO FORCE FOOD INTO HIM TO KEEP HIS ENERGY UP MOST OF TIME HE ALWAYS WILL BE ASKING FOR SNACKS IN THE AFTERNOON BUT NOW NOT SO MUCH
audio/RES0053.mp3[462.000,474.480]	OK ALRIGHT AND ANY ANYTHING ELSE THAT I MISSED THAT HES BEEN EXPERIENCING OVER THE PAST FEW DAYS
audio/RES0053.mp3[474.480,479.080]	NO JUST THE COUGH
audio/RES0053.mp3[479.080,487.600]	OK AND THEN HE OTHERWISE HEALTHY DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0053.mp3[487.600,503.320]	NO LONGSTANDING MEDICAL CONDITIONS YEAH NOTHING REALLY WE HAD A LITTLE BIT OF STAY IN THE NICU JUST BECAUSE HE WAS A LITTLE BIT UNDERWEIGHT BUT NO NOTHING REALLY
audio/RES0053.mp3[503.320,511.360]	OK AND THEN HIS MOTHERS PREGNANCY WITH HIM ANY COMPLICATIONS AT THAT POINT
audio/RES0053.mp3[511.360,515.240]	YEAH HES A LITTLE PRE TERM 34 WEEKS I THINK
audio/RES0053.mp3[515.240,521.240]	OK WAS HE ALSO UNDERWEIGHT TOO  YOU MENTIONED JUST A LITTLE BIT
audio/RES0053.mp3[522.640,526.600]	OK AND ANY COMPLICATIONS DURING THE ACTUAL DELIVERY
audio/RES0053.mp3[526.600,544.120]	YEAH NOT THAT I REMEMBER LIKE SHE STARTED GOING TO LABOR EARLY LIKE EARLIER THAN WE EXPECTED WE THOUGHT IT WAS JUST A REGULAR CONTRACTION AND THAT IT WILL JUST RESOLVE BUT SHE WOUND UP PROCEEDING WHEN WE SHOWED UP AT THE HOSPITAL
audio/RES0053.mp3[544.120,557.880]	OK AND THEN IN TERMS OF GROWTH WEIGHT AND HEAD CIRCUMFERENCE HAS HE BEEN HITTING ALL THOSE MILESTONES FOR THE PAST 2 12 YEARS
audio/RES0053.mp3[557.880,568.320]	YEAH WE WE BRING HIM TO THE FAMILY DOCTOR EVERY COUPLE OF MONTH FOR HIS REGULAR CHECKUPS AND NOTHING HAS BEEN BROUGHT UP TO BE CONCERNING FOR HIS VACCINES HE HAS BEEN DOING WELL
audio/RES0053.mp3[568.320,581.400]	OK AND THEN HOW ABOUT OTHER MILESTONES LIKE SPEECH MOVEMENT FINE MOVEMENT ALL OF THAT LIKE HAVE THOSE BEEN NORMAL IS HE ON PAR WITH HIS PEERS
audio/RES0053.mp3[581.400,592.760]	YEAH THIS IS OUR FIRST KID BUT COMPARED TO HIS COUSINS HE SEEMS TO BE DOING WELL HES SPEAKING HES GOT LITTLE SENTENCES NOW HE HAS GOOD EYE CONTACT HES A GOOD KID
audio/RES0053.mp3[592.760,598.240]	OK GOOD GOOD ANY HOSPITALIZATIONS OR SURGERIES ASIDE FROM WHEN HE WAS BORN
audio/RES0053.mp3[598.240,599.160]	NO NO
audio/RES0053.mp3[599.160,603.560]	OK GOOD AND IS HE ON ANY MEDICATIONS
audio/RES0053.mp3[603.560,607.200]	NO OK WE GIVE HIM LIKE A FLINTSTONE GUMMY
audio/RES0053.mp3[607.200,614.520]	OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0053.mp3[615.640,617.200]	ANY ALLERGIES
audio/RES0053.mp3[617.200,619.040]	NOT THAT WE KNOW OF
audio/RES0053.mp3[619.040,622.880]	ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0053.mp3[622.880,643.720]	SO MY GRANDFATHER SO HIS GREATGRANDFATHER I SUPPOSE PASSED AWAY FROM LUNG CANCER HE WAS A HEAVY SMOKER THOUGH ON MY MOMS SIDE THERES SOME BREAST CANCER NO  NOTHING REALLY THAT COMES TO MIND FOR LUNGS
audio/RES0053.mp3[643.720,645.880]	AND ANY HEART CONDITIONS
audio/RES0053.mp3[645.880,649.440]	NO NOT THAT WE KNOW OF
audio/RES0053.mp3[649.440,655.240]	AND HOW ABOUT OTHER CANCERS
audio/RES0053.mp3[655.240,658.360]	NO NOT THAT I KNOW OF
audio/RES0053.mp3[658.360,666.960]	OK HOW ABOUT ASTHMA ECZEMA OR ALLERGIES IN THE FAMILY
audio/RES0053.mp3[666.960,679.280]	YOU KNOW I THINK MY SISTER IS ALLERGIC TO PEAS BUT SHE WAS NEVER SICK FROM THEM LIKE GO TO THE HOSPITAL  I DONT THINK THERE ARE ANY ALLERGIES IN THE FAMILY
audio/RES0053.mp3[679.280,686.240]	OK GOOD HAS HE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0053.mp3[686.240,699.800]	YOU KNOW LIKE 5 DAYS AGO WE HAD A PLAYDATE WITH HIS COUSIN AND WE KIND OF THOUGHT THAT THATS WHERE HE GOT THE COLD FROM LIKE THE RUNNY NOSE BUT IT JUST TURNED WEIRD YOU KNOW
audio/RES0053.mp3[699.800,702.880]	OK AND HOWS THIS COUSIN DOING
audio/RES0053.mp3[702.880,710.320]	LAST TIME I TALKED TO CHARLOTTE HANK SEEMS TO BE DOING WELL SO
audio/RES0053.mp3[710.320,717.000]	ALRIGHT AND HAS HE TRAVELED TO ANYWHERE RECENTLY HAVE YOU ANY OF YOU TRAVELED ANYWHERE RECENTLY
audio/RES0053.mp3[717.000,724.400]	NO WITH COVID AND EVERYTHING WE HAVE JUST BEEN KEEPING TO OURSELVES
audio/RES0053.mp3[724.400,726.720]	AND WITH WHO AND WHERE DOES HE LIVE
audio/RES0053.mp3[726.720,729.120]	HE LIVES WITH ME AND HIS MOTHER IN A HOUSE
audio/RES0053.mp3[729.120,737.760]	OK ANY OLD CARPETS OR MOLD OR CONCERNS FOR ASBESTOS ANYTHING LIKE THAT AT HOME
audio/RES0053.mp3[737.760,745.960]	I DONT KNOW WHEN THIS HOUSE IS BUILT I DONT THINK THERES ANY ASBESTOS IN IT AND ITS ALL HARDWOOD SO NO
audio/RES0053.mp3[745.960,750.560]	OK GOOD ANYONE AT HOME SMOKE
audio/RES0053.mp3[750.560,755.720]	NO NO
audio/RES0053.mp3[755.720,764.520]	OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0053.mp3[764.520,768.400]	NO NO THATS IT NO
audio/RES0053.mp3[768.400,871.440]	OK WELL FROM THE SOUNDS OF IT HE MOST LIKELY HAS SOME SORT OF VIRAL INFECTION WE WILL DO A COVISWAP TO RULE THAT OUT BECAUSE SOME SYMPTOMS DO SEEM TO OVERLAP WITH COVIAND WE WANT TO MAKE SURE TO RULE THAT OUT SO WELL TAKE A SWAB THOSE PCR RESULTS SHOULD COME BACK IN ABOUT 24 TO 48 HOURS IN THE MEANTIME HE SHOULD ISOLATE FOR 14 DAYS AT HOME AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION LIKE PARAINFLUENZA ALSO KNOWN AS CROUP SO FOR THAT FOR ANY OF THESE VIRAL INFECTIONS ACTUALLY THE BEST TREATMENT IS TO STAY AT HOME AND MAKE SURE THAT HES VERY WELL HYDRATED AND EATING WELL IF HIS SYMPTOMS PERSIST FOR THREE TO FIVE DAYS OR MORE OR IF HIS SYMPTOMS WORSEN ESPECIALLY IF HE HAS LIKE A SEIZURE OR UROLOGICAL ISSUES HE SHOULD GO TO THE ER AND IF HIS SYMPTOMS DO BECOME WORSE WE CAN ALSO PRESCRIBE HIM SOME STEROIDS OR EPINEPHRINE JUST TO OPEN UP HIS AIRWAYS AND IF ITS REALLY REALLY BAD HE MIGHT BE HOSPITALISED AS WELL SO JUST KEEP AN EYE ON ON THAT FOR NOW AND IF YOU HAVE ANY
audio/RES0053.mp3[871.440,878.640]	QUESTIONS OR CONCERNS JUST GIVE US A CALL HOW DOES THAT SOUND
audio/RES0053.mp3[878.640,888.280]	A LITTLE SCARY SOUNDS GOOD OK ILL JUST KEEP AN EYE ON HIM FOR THE NEXT FIVE DAYS
audio/RES0053.mp3[888.280,914.360]	GIVE US A CALL IF HIS SYMPTOMS ARE BECOMING WORSE OR IF THEYRE NOT RESOLVING AND WE WILL TRY TO DO AN ASSESSMENT ON HIM OF COURSE WE WILL DO A PHYSICAL EXAM TODAY AND WILL LET YOU KNOW HOW SEVERE HIS SYMPTOMS ARE MOST CHILDREN WILL GET OVER THEIR INFECTION ON THEIR OWN AND HE LIKELY WONT NEED ANY ADDITIONAL TREATMENTS
audio/RES0053.mp3[914.360,915.880]	OK SOUNDS GOOD
audio/RES0053.mp3[915.880,917.160]	ALRIGHT TAKE CARE
audio/RES0053.mp3[917.160,921.520]	THANK YOU
audio/RES0167.mp3[0.000,2.280]	WHAT BRINGS YOU IN
audio/RES0167.mp3[2.280,30.440]	IVE JUST HAD A REAL LIKE A REAL BAD COUGH UMM ITS BEEN GOING ON FOR 4 OR 5 DAYS NOW UMM AND IM JUST IM HAVING SOME TROUBLE BREATHING IM COUGHING UP LIKE GUNKY GREEN STUFF UHM YEAH ITS JUST REALLY BAD I HAVENT HAD ANYTHING LIKE THIS BEFORE
audio/RES0167.mp3[30.440,34.160]	OK SO WHEN DID THE COUGH START
audio/RES0167.mp3[34.160,38.560]	ABOUT FOUR OR FIVE DAYS AGO
audio/RES0167.mp3[38.560,50.640]	FOUR OR FIVE DAYS AGO OK AND UHM OK SO FOR 5 DAYS DID YOU DO HAVE ANY SHORTNESS OF BREATH WITH THAT
audio/RES0167.mp3[50.640,61.600]	YEAH ITS UH IM JUST I FEEL LIKE I CANT CANT QUITE LIKE BREATHE FULLY
audio/RES0167.mp3[61.600,72.840]	OK UHM YOU CANT QUITE BREATHE FULLY SO LIKE WHEN YOU TAKE A DEEP BREATH IN YOU CANT EXPAND YOUR LUNGS FULLY IS THAT WHAT YOU MEAN
audio/RES0167.mp3[72.840,79.520]	YEAH YEAH I JUST OVERALL I JUST FEEL LIKE YEAH IM IM SHORT OF BREATH I GUESS THATS THE BEST WAY TO PUT IT
audio/RES0167.mp3[79.520,87.960]	OK SO YOURE SHORT OF BREATH AND HOW ABOUT WHEEZING DO YOU HAVE ANY OF THAT
audio/RES0167.mp3[87.960,89.920]	I DONT THINK SO
audio/RES0167.mp3[89.920,96.400]	OK SO WHEN DID THIS START AGAIN YOU SAID IF A COUPLE DAYS AGO OR A FEW WEEKS AGO
audio/RES0167.mp3[96.400,98.880]	I THINK IT WAS FOUR DAYS AGO
audio/RES0167.mp3[98.880,106.280]	FOUR DAYS AGO OK AND DID YOU HAVE LIKE A RUNNY NOSE OR STUFFY NOSE AT THAT POINT
audio/RES0167.mp3[106.280,116.600]	MAYBE A LITTLE BIT I WASNT REALLY THINKING ABOUT IT TOO MUCH
audio/RES0167.mp3[116.600,118.360]	OK UHM SORE THROAT
audio/RES0167.mp3[118.360,122.120]	NO NOT A SORE THROAT
audio/RES0167.mp3[122.120,129.360]	NOT A SORE THROAT OK UHM HOW ABOUT CHANGES IN YOUR TASTE OR SMELL
audio/RES0167.mp3[129.360,134.640]	NO NONE OF THOSE
audio/RES0167.mp3[134.640,139.480]	OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING
audio/RES0167.mp3[139.480,141.160]	UH NO
audio/RES0167.mp3[141.160,144.320]	FEVER WEIGHT LOSS
audio/RES0167.mp3[144.320,153.200]	I FEEL LIKE IVE IVE PROBABLY HAD A FEVER THE LAST COUPLE NIGHTS IVE JUST BEEN REALLY HOT IN THE EVENINGS
audio/RES0167.mp3[154.320,160.000]	YEAH I FEEL LIKE IVE HAD A FEVER I DONT KNOW BOUT MY WEIGHT I DONT WEIGH MYSELF ALL THE TIME
audio/RES0167.mp3[161.800,165.360]	BUT NOTHING LIKE MAJOR
audio/RES0167.mp3[165.360,169.440]	ANY CHEST PAIN
audio/RES0167.mp3[169.440,176.440]	FEELS A LITTLE LIKE IT HURTS A LITTLE BIT LIKE WHEN I WHEN I BREATHE IN
audio/RES0167.mp3[176.440,185.440]	OK UHM DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0167.mp3[185.440,188.320]	NO I DONT THINK SO
audio/RES0167.mp3[188.320,194.040]	ALRIGHT AND ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0167.mp3[194.040,196.440]	NO NO THATS ALL THE SAME
audio/RES0167.mp3[196.440,198.800]	NO BELLYACHES
audio/RES0167.mp3[203.440,205.040]	NO BELLYACHES
audio/RES0167.mp3[206.560,209.920]	OK HOW ABOUT CHANGES TO YOUR URINE
audio/RES0167.mp3[209.920,211.920]	UH NO
audio/RES0167.mp3[211.920,216.240]	NO ANY DIZZINESS OR CONFUSION
audio/RES0167.mp3[216.240,224.640]	NO UH NO NOT DIZZINESS OR CONFUSION BUT I HAVE JUST BEEN FEELING VERY WEAK AND TIRED
audio/RES0167.mp3[224.640,232.160]	WHEN YOU SAY WEAK HAVE YOU LIKE LOST ANY OF YOUR LIKE MOTOR MOVEMENTS LIKE YOUR ARMS LEGS
audio/RES0167.mp3[232.160,238.160]	NO NO NOT LIKE THAT KIND OF WEAK I JUST HAVE FELT LIKE VERY RUNDOWN
audio/RES0167.mp3[239.320,245.880]	JUST LIKE JUST FATIGUED LIKE MORE THAN USUAL YEAH
audio/RES0167.mp3[245.880,253.160]	OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0167.mp3[253.160,264.680]	UHM I DONT I DONT HAVE TOO MUCH LUCKILY KNOCK ON WOOD UHM I I TAKE A MEDICATION FOR MY REFLUX
audio/RES0167.mp3[267.880,277.640]	AND I DID I DID HAVE A KNEE REPLACEMENT FIVE YEARS AGO
audio/RES0167.mp3[278.800,285.320]	OTHER THAN THAT LIKE I DONT I HAVENT REALLY BEEN TO THE DOCTOR FOR MUCH
audio/RES0167.mp3[285.320,295.320]	OK UHM ALRIGHT DO YOU HAVE SOMETHING CALLED COPD
audio/RES0167.mp3[295.960,299.720]	NO OK UHM ARE YOU ON ANY MEDICATIONS
audio/RES0167.mp3[299.720,304.960]	JUST THAT ONE FOR THE REFLUX ITS UHM OH IT STARTS WITH AN R UHM RABEPRAZOLE
audio/RES0167.mp3[308.520,317.040]	ALRIGHT AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0167.mp3[317.040,318.960]	UH YEAH
audio/RES0167.mp3[318.960,325.040]	INCLUDING LIKE THE PNEUMOVAX VACCINE AND THE SHINGRIX
audio/RES0167.mp3[325.040,334.800]	I HAD THE SHINGRIX THE PNEUMO I THINK THE DOCTOR SAID WE WERE GOING TO LOOK AT THAT THE NEXT TIME I CAME IN
audio/RES0167.mp3[334.800,336.600]	OK SURE
audio/RES0167.mp3[336.600,351.800]	SO I IM NOT SURE I I KNOW THAT I ALWAYS SAY YES TO THESE THINGS BUT IM NOT SURE BECAUSE OF COVID AND STUFF IF IVE BEEN GETTING EVERYTHING EXACTLY ON TIME
audio/RES0167.mp3[351.800,361.160]	MHMM OK AND HOW ABOUT UH HOW ABOUT ALLERGIES DO YOU HAVE ANY ALLERGIES
audio/RES0167.mp3[361.160,370.360]	OH LIKE UH JUST SEASONAL NOT TO ANY MEDICATIONS OR ANYTHING
audio/RES0167.mp3[370.360,376.680]	OK UHM HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY AROUND YOU
audio/RES0167.mp3[376.680,405.040]	NO LIKE THE ONLY PERSON I SEE IS MY HUSBAND I GUESS HIM AND SO HE HAS A PSW THAT COMES IN TO TAKE CARE OF HIM HE HAS A COUPLE MORE PROBLEMS THAN I DO SO BASICALLY WE SEE I SEE HIM AND HER AND WE SEE WE SEE OUR KIDS BUT JUST LIKE OUTSIDE
audio/RES0167.mp3[405.040,412.960]	OK OK AND ALRIGHT AND THEN UHM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0167.mp3[412.960,413.560]	NO NO
audio/RES0167.mp3[413.560,422.440]	NO OK DIETARY WISE ARE YOU LIKE EATING HEALTHY
audio/RES0167.mp3[422.440,445.520]	YEAH YEAH I THINK SO I TRY TO YOU KNOW COOK YOU KNOW WHOLE FOODS FOR US LIKE LOTS OF VEGGIES AND YOU KNOW FISH AND GOOD MEAT ALTHOUGH IN THE PAST YOU KNOW FEW DAYS I JUST CAUSE I FELT REALLY RUNDOWN AND FATIGUED I HAVENT BEEN EATING AS MUCH AS I NORMALLY DO
audio/RES0167.mp3[446.560,455.960]	OTHERWISE I THINK WE PRETTY HEALTHY I TRY TO YOU KNOW FOLLOW HEALTHY RECIPES AND FIND THEM ONLINE
audio/RES0167.mp3[455.960,460.360]	YEAH FOR SURE YEAH THATS GOOD DO YOU DO YOU SMOKE
audio/RES0167.mp3[460.360,461.640]	NO NO
audio/RES0167.mp3[461.640,467.040]	NO OK AND ANY OTHER RECREATIONAL DRUGS
audio/RES0167.mp3[467.040,467.440]	NO NEVER
audio/RES0167.mp3[467.440,472.240]	OK DO YOU DRINK ALCOHOL
audio/RES0167.mp3[472.240,481.520]	ILL HAVE THE OCCASIONAL GLASS OF WINE ON A SPECIAL OCCASION BUT NOT FREQUENTLY AND NOT NOT HEAVILY
audio/RES0167.mp3[481.520,485.480]	OK AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH RIGHT NOW
audio/RES0167.mp3[485.480,493.120]	UH JUST ME AND MY HUSBAND WE LIVE OUTSIDE OF TOWN WE LIVE IN THE COUNTRY ON A LITTLE FARM
audio/RES0167.mp3[493.120,503.960]	OK ANY OLD CARPETS OR DUST OR MOLD OR ASBESTOS IN THE IN THE HOME
audio/RES0167.mp3[503.960,515.880]	NO NO WE RENOVATED PROBABLY 15 YEARS AGO AND THERES NO NO MORE CARPET AND THERE WERE NEVER ANY ASBESTOS PROBLEMS OR ANYTHING
audio/RES0167.mp3[515.880,523.160]	OK OK WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS FOR MYSELF
audio/RES0167.mp3[523.160,529.600]	I DONT THINK SO I JUST I HOPE YOU KNOW WE CAN GET THIS FIGURED OUT
audio/RES0167.mp3[529.600,572.280]	YEAH FOR SURE SO WELL START WITH DOING A COVID SWAB BECAUSE YOU HAVE SOME SYMPTOMS THAT OVERLAP WITH IT SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS BUT IT DOES SOUND LIKE WHAT YOURE TELLING ME WITH THE WET COUGH AND YOU KNOW A LITTLE BIT OF SHORTNESS OF BREATH I THINK ITS WORTHWHILE TO GET A CHEST XRAY TO SEE IF YOU MIGHT POSSIBLY HAVE A PNEUMONIA AND IF YOU DO IF THERE IS SOME CONSOLIDATION WELL PROBABLY PRESCRIBE SOME ANTIBIOTICS FOR THAT UMM HOW DOES THAT SOUND TO YOU
audio/RES0167.mp3[572.280,577.560]	SOUNDS GREAT TO ME YEAH I JUST YOU KNOW HOPE THERES NOTHING SERIOUS GOING ON
audio/RES0167.mp3[577.560,595.240]	YEAH YEAH AND IT SHOULDNT BE ITS PROBABLY 1 SOMETHING THATS BEEN GOING AROUND IN THE COMMUNITY AND YOU HAVENT HAD ANY RECENT HOSPITALIZATIONS OR SURGERY SO I WOULDNT WORRY ABOUT LIKE ANY OF THOSE ATYPICAL BUGS JUST YET
audio/RES0167.mp3[595.240,600.600]	OK OK THATS GOOD TO HEAR
audio/RES0167.mp3[600.600,602.960]	YEAH FOR SURE WELL UHM THANK YOU
audio/RES0167.mp3[602.960,608.560]	OK THANK YOU
audio/RES0088.mp3[0.000,3.360]	UH WHAT BRINGS YOU IN HERE TODAY
audio/RES0088.mp3[3.360,24.840]	YEAH SO MY DAUGHTER SHES HAD THIS HOARSE VOICE FOR THE PAST LIKE TWO OR THREE DAYS IT DOESNT SEEM TO BE GETTING BETTER IN FACT ITS GETTING WORSE AND SHE JUST DOESNT SOUND LIKE HERSELF ANYMORE AND SHES NOT SPEAKING AS MUCH
audio/RES0088.mp3[24.840,27.480]	OK AND WHEN DID THIS START
audio/RES0088.mp3[27.480,51.440]	OK SO SHE HAD A COUGH LIKE FOUR DAYS AGO AND SHES STILL COUGHING A LITTLE BIT BUT NOT AS MUCH AS SHE WAS BEFORE BUT ITS MORE HER VOICE THAT IM CONCERNED ABOUT IT SOUNDS VERY HOARSE AND HARSH
audio/RES0088.mp3[51.440,58.440]	OK AND SO HOW MANY DAYS HAS SHE HAD THE HOARSE VOICE FOR
audio/RES0088.mp3[58.440,61.440]	ID SAY ABOUT TWO OR THREE DAYS NOW
audio/RES0088.mp3[61.440,75.600]	TWO OR THREE DAYS OK AND WHEN SHE WAS COUGHING YOU MENTIONED LIKE PREVIOUSLY WAS SHE COUGHING UP ANY SPUTUM OR WAS IT MORE OF A DRY COUGH
audio/RES0088.mp3[75.600,77.720]	IT WAS MORE OF A DRY COUGH
audio/RES0088.mp3[77.720,83.640]	AND THE COUGH HAS PRETTY MUCH RESOLVED BY NOW
audio/RES0088.mp3[83.640,91.280]	YEAH SHE STILL GETS THEM ONCE IN A WHILE BUT YEAH ITS PRETTY MUCH GONE
audio/RES0088.mp3[91.280,99.200]	OK AND WHEN SHE WAS COUGHING DID SHE AT ALL BRING UP ANY KIND OF BLOOD OR ANY GREEN OR YELLOWISH MATERIAL
audio/RES0088.mp3[100.480,106.360]	NO OK DID SHE HAVE ANY FEVERS AT ALL RECENTLY
audio/RES0088.mp3[106.360,110.080]	UH NO NO FEVERS
audio/RES0088.mp3[110.080,119.240]	OK AND DOES SHE HAVE ANY KIND OF UH ALONG WITH A HOARSE VOICE DOES SHE HAVE ANY PAIN WITH TALKING
audio/RES0088.mp3[119.240,122.360]	YES I THINK SO
audio/RES0088.mp3[122.360,130.400]	OK AND DOES SHE HAVE ANY PAIN WITH SWALLOWING ANY FOODS OR LIQUIDS
audio/RES0088.mp3[130.400,137.120]	SHES EATING AND DRINKING OK BUT I SUSPECT THERE IS SOME PAIN
audio/RES0088.mp3[137.120,146.000]	OK SO HOW LONG HAS SHE SO SHE HAS A SORE THROAT HOW LONG HAS SHE HAD THAT FOR
audio/RES0088.mp3[146.000,153.200]	THE SORE THROAT UHM I WOULD SAY FOR THE PAST TWO OR THREE DAYS AS WELL
audio/RES0088.mp3[153.200,172.200]	OK AND WAS THERE ANYTHING THAT SO SHE HAD KIND OF LIKE A COUGH PREVIOUSLY BUT ANYTHING ELSE ANYONE SICK AROUND HER OR ANYTHING YOU THINK MIGHT HAVE PRECIPITATED SOME OF HER SYMPTOMS
audio/RES0088.mp3[172.200,181.160]	NO NOT THAT I KNOW OF I DONT THINK SHES HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY
audio/RES0088.mp3[181.160,189.480]	OK ARE THERE ANY HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER THAT HAS HELPED HER
audio/RES0088.mp3[189.480,206.640]	UHM NOT OVER THE COUNTER MEDICATIONS BUT LIKE I TRIED TO GET HER TO LIKE GARGLE WITH LIKE SALT WATER AND ALL THAT KIND OF STUFF BUT THAT DIDNT SEEM TO HELP
audio/RES0088.mp3[206.640,215.800]	OK AND HAVE HER SYMPTOMS BEEN JUST CONSTANT OR DO THEY COME AND GO
audio/RES0088.mp3[215.800,218.120]	THEYVE BEEN PRETTY CONSTANT
audio/RES0088.mp3[218.120,222.560]	OK AND YOU THINK HER SYMPTOMS ARE GETTING WORSE
audio/RES0088.mp3[222.560,234.320]	UH NO THEYVE BEEN PRETTY CONSISTENT BUT MAYBE THE HARSH VOICE IS GETTING WORSE
audio/RES0088.mp3[234.320,246.560]	OK AND OTHER THAN THE SYMPTOMS THAT YOUVE MENTIONED HAS SHE HAD ANY KIND OF SHORTNESS OF BREATH WHEEZING CHEST PAIN OR ANYTHING LIKE THAT
audio/RES0088.mp3[246.560,249.600]	NO NOTHING LIKE THAT
audio/RES0088.mp3[249.600,252.280]	OK AND NO FEVERS RIGHT
audio/RES0088.mp3[254.600,262.920]	OK HAS SHE TRAVELED AT ALL RECENTLY OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE
audio/RES0088.mp3[262.920,265.480]	NO NO NOTHING LIKE THAT
audio/RES0088.mp3[265.480,272.400]	OK AND ANY HEADACHES AT ALL
audio/RES0088.mp3[272.400,273.080]	UHM NO
audio/RES0088.mp3[273.080,277.920]	NO ANY NAUSEA OR VOMITING
audio/RES0088.mp3[277.920,280.960]	UH NO NOTHING LIKE THAT
audio/RES0088.mp3[280.960,285.000]	OK ANY RUNNY NOSE OR CONGESTION
audio/RES0088.mp3[289.760,302.680]	NO OK AND HAVE YOU HAD A CHANCE TO AT ALL LOOK INTO HER MOUTH AND THROAT AND IF YOU HAVE HAVE YOU NOTICED ANY KIND OF REDNESS SWELLING
audio/RES0088.mp3[302.680,317.680]	I HAVENT LOOKED IN THERE TOO MUCH LIKE JUST AN INSPECTION THE OTHER DAY IT LOOKED A LITTLE BIT RED BUT I DIDNT SEE ANY DISCHARGE
audio/RES0088.mp3[317.680,326.240]	OK AND HAVE YOU NOTICED ANY KIND OF SWELLING AROUND HER NECK EARS LIKE AROUND HER LYMPH NODES
audio/RES0088.mp3[326.240,331.680]	UHM I HAVENT ACTUALLY TAKEN A LOOK THERE
audio/RES0088.mp3[331.680,347.000]	OK WE CAN DO THAT OTHER THAN THOSE SYMPTOMS HAS SHE BEEN EXPERIENCING ANY KIND OF LIKE FATIGUE OR HAVE YOU NOTICE HER BEING JUST VERY TIRED
audio/RES0088.mp3[347.000,352.320]	UM SHE HAS SEEMED A LITTLE BIT MORE TIRED THAN USUAL
audio/RES0088.mp3[352.320,361.080]	OK AND RIGHT NOW IS SHE GOING TO SCHOOL OR IS RIGHT NOW ALL LIKE VIRTUAL IS SHE AT HOME
audio/RES0088.mp3[361.080,364.520]	UHM SHES AT HOME RIGHT NOW
audio/RES0088.mp3[364.520,372.840]	OK AND DOES SHE HAVE ANY SYMPTOMS OF ANY CHEST PAIN AT ALL
audio/RES0088.mp3[372.840,374.200]	NO CHEST PAIN
audio/RES0088.mp3[374.200,378.800]	OK ANY CHANGES IN HER BOWEL MOVEMENTS ANY CONSTIPATION DIARRHEA
audio/RES0088.mp3[380.160,383.160]	OK ANY URINARY PROBLEMS
audio/RES0088.mp3[385.120,392.800]	OK HAS SHE BEEN ABLE TO SLEEP WELL OR DOES SHE WAKE UP A LOT MORE AT NIGHT
audio/RES0088.mp3[392.800,395.360]	UHM SHES BEEN ABLE TO SLEEP WELL YEAH
audio/RES0088.mp3[395.360,399.480]	OK HOW ABOUT HER APPETITE
audio/RES0088.mp3[399.480,408.560]	ITS BEEN PRETTY NORMAL SHES NOT EATING AS MUCH AS SHE USED TO BUT SHES STILL EATING AND DRINKING OK
audio/RES0088.mp3[408.560,415.040]	OK AND HAVE YOU NOTICED ANY KIND OF WEIGHT CHANGES AT ALL RECENTLY HAS SHE LOST ANY WEIGHT
audio/RES0088.mp3[419.520,431.600]	OK AND HAS SHE HAD ANY LOSS OF TASTE OF SMELL OR SORRY LOSS OF SENSE OF TASTE OR SMELL AT ALL
audio/RES0088.mp3[431.600,433.200]	UH NO
audio/RES0088.mp3[433.200,437.840]	ANY MUSCLE ACHES OR ANYTHING LIKE THAT
audio/RES0088.mp3[437.840,440.960]	UH NO NOTHING LIKE THAT
audio/RES0088.mp3[440.960,446.760]	OK ANY EXPOSURE TO FUMES DUST ANIMALS OR PETS AT HOME
audio/RES0088.mp3[446.760,449.280]	UH NO NOTHING LIKE THAT
audio/RES0088.mp3[449.280,455.400]	OK HAS THIS HAPPENED AT ALL IN THE PAST
audio/RES0088.mp3[455.400,459.440]	UHM NO
audio/RES0088.mp3[459.440,467.160]	NO OK DOES SHE HAVE ANY MEDICAL CONDITIONS AT ALL THAT SHES BEEN DIAGNOSED WITH IN THE PAST
audio/RES0088.mp3[467.160,469.280]	UHM NO NOTHING LIKE THAT
audio/RES0088.mp3[469.280,475.440]	ANY LIKE ASTHMA OR ANY OTHER CONDITIONS
audio/RES0088.mp3[477.320,479.880]	OK ANY ALLERGIES THAT YOU KNOW OF
audio/RES0088.mp3[479.880,486.520]	I KNOW SHE HAS SEASONAL ALLERGIES BUT THATS ABOUT IT
audio/RES0088.mp3[486.520,491.760]	OK AND DOES SHE TAKE ANY MEDICATIONS AT ALL ON A DAILY BASIS
audio/RES0088.mp3[491.760,497.000]	UH NO SHE JUST TAKES MULTI VITAMINS
audio/RES0088.mp3[497.000,507.600]	OK AND CURRENTLY OR PREVIOUSLY HAS SHE HAD ANY SURGERIES OR HOSPITALIZATIONS
audio/RES0088.mp3[512.160,518.080]	NO OK ARE THERE ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0088.mp3[518.080,519.520]	UH NO
audio/RES0088.mp3[519.520,522.920]	ANY CANCERS
audio/RES0088.mp3[522.920,530.240]	THERES SOME COLON CANCER ON HER DAD SIDE OF THE FAMILY
audio/RES0088.mp3[530.240,544.240]	OK AND IS THERE ANY SO DO YOU REMEMBER WHO THE PERSON IS AND ALSO LIKE WHEN THEY GOT DIAGNOSED WITH THE COLON CANCER
audio/RES0088.mp3[544.240,554.680]	SO IT WAS HER UNCLE HE WAS DIAGNOSED WHEN HE WAS FORTY FIVE
audio/RES0088.mp3[554.680,568.360]	OK OTHER THAN THAT WERE THERE ANY DEVELOPMENTAL CHALLENGES AT ALL WHILE SHE WAS GROWING UP DID SHE WAS SHE MEETING HER MILESTONES ANY CONCERNS AT ALL
audio/RES0088.mp3[568.360,574.960]	P NO CONCERNS SHE WAS MEETING ALL HER MILESTONES FROM WHAT I REMEMBER
audio/RES0088.mp3[574.960,587.840]	OK AND UH IN TERMS OF HER PREGNANCY WERE THERE ANY OR YOUR PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT ALL EITHER DURING THE PREGNANCY OR AFTER SHE WAS BORN
audio/RES0088.mp3[587.840,592.240]	NO NO COMPLICATIONS
audio/RES0088.mp3[592.240,596.280]	AND RIGHT NOW WHERE DOES SHE LIVE AND WHO DOES SHE LIVE WITH
audio/RES0088.mp3[596.280,605.520]	SHES AT HOME WITH MYSELF MY HUSBAND AND SHE HAS ONE YOUNGER SIBLING
audio/RES0088.mp3[605.520,610.160]	OK AND IS EVERYONE AT HOME WELL DOES ANYONE HAVE ANY OF THESE SYMPTOMS
audio/RES0088.mp3[610.160,615.080]	NO OK
audio/RES0088.mp3[615.080,621.800]	RIGHT SO AND IN TERMS OF THE HOME ENVIRONMENT DOES ANYONE SMOKE IN THE HOUSE
audio/RES0088.mp3[624.800,632.840]	NO OK ALRIGHT SO I THINK THATS ALL THE QUESTIONS I HAD RIGHT NOW DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0088.mp3[632.840,640.960]	NO NO QUESTIONS BUT UHM ACTUALLY WHAT DO YOU THINK SHE HAS AND HOW CAN WE TREAT HER
audio/RES0088.mp3[640.960,720.280]	YEAH SO IT SEEMS LIKE THAT THE HOARSENESS OF VOICE AND THE SORE THROAT AND HER SYMPTOMS MOSTLY ALIGN WITH WHATS CALLED LARYNGITIS AND THIS IS USUALLY CAUSED BY LIKE JUST A VIRAL RESPIRATORY INFECTION THE HOARSENESS OF VOICE WILL USUALLY LAST MORE THAN A WEEK AND UP TO LIKE TEN DAYS AND IT SHOULD RESOLVE ON ITS OWN BUT WELL DEFINITELY TAKE A BETTER LOOK AND DO A PROPER PHYSICAL EXAMINATION SEE IF I SEE ANY KIND OF SWELLING REDNESS OR ANY LIKE WHITE STREAKS OR EXUDATES AROUND HER PHARYNX AS WELL SO AFTER WE TAKE A LOOK WELL SEE WHAT WE CAN DO IT DOESNT SEEM LIKE IT CAN ALSO BE A BACTERIAL INFECTION IN WHICH CASE WE WOULD NEED TO GIVE HER ANTIBIOTICS BUT USUALLY ITS A VIRAL INFECTION THAT SHOULD GO AWAY ON ITS OWN SO WE WOULD JUST KIND OF WAIT AND SEE AND POTENTIALLY JUST GIVE HER VOICE SOME REST DURING THIS PERIOD AND JUST GO ON FROM THERE DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS
audio/RES0088.mp3[720.280,723.640]	UH NO THAT SOUNDS GREAT THANK YOU
audio/RES0088.mp3[723.640,729.840]	YOURE WELCOME AND YEAH WELL JUST DO A FULL EXAMINATION AND THEN GO FROM THERE
audio/RES0088.mp3[729.840,732.000]	OK SOUNDS GREAT THANKS
audio/RES0088.mp3[732.000,733.120]	YOURE WELCOME  TAKE CARE
audio/RES0088.mp3[733.120,740.160]	YOU TOO
audio/MSK0022.mp3[0.000,1.840]	WHAT BRINGS YOU HERE TODAY
audio/MSK0022.mp3[1.840,16.880]	I HAVE BEEN HAVING THIS PAINS IN MY IN MY JOINTS THATS BEEN ONGOING NOW FOR THE LAST SEVERAL MONTHS AND ITS BEEN GETTING WORSE OVER THIS PERIOD OF TIME
audio/MSK0022.mp3[16.880,25.040]	OK SO SEVERAL MONTHS IS THE PAIN SO WHERE WHERE EXACTLY IS THE PAIN
audio/MSK0022.mp3[25.040,36.280]	SO I GET IT IN SOME OF THE JOINTS IN MY HANDS AND THEN ALSO MY FEET AS WELL SO YEAH MY YEAH REALLY IN MY FEET AND MY HANDS
audio/MSK0022.mp3[36.280,55.080]	OK AND WHAT KIND OF PAIN IS IT IS IT LIKE AN ACHING PAIN IS IT SHARP PAIN
audio/MSK0022.mp3[55.080,69.160]	ITLL BE A BIT AT ACHEY WHEN ITS THERE BUT I IF I MOVE THE JOINTS AT ALL WHEN ITS REALLY SORE I CAN GET A SHARP PAIN AS WELL
audio/MSK0022.mp3[69.160,76.160]	OK AND IS THIS PAIN WORSE AT ALL AT ANY PARTICULAR TIME OF THE DAY
audio/MSK0022.mp3[76.160,94.560]	YEAH I WOULD SAY IN THE MORNING TIME OR IF THERES ANY PERIOD OF TIME WHERE I IM LIKE SITTING AND RESTING FOR AWHILE AND I GET UP TO MOVE I HAVE A LOT OF STIFFNESS AND IT TAKES ME OVER AN HOUR SOMETIMES TO JUST GET MOVING
audio/MSK0022.mp3[94.560,111.720]	OK UM SO SO IF I UNDERSTAND IT CLEARLY ITS YOU GET DO YOU GET LIKE MORNING YOU GET MORNING STIFFNESS AND THEN WHEN YOURE NOT VERY ACTIVE OR NOT DOING THINGS BUT THEN IT GETS BETTER WITH MOVEMENT
audio/MSK0022.mp3[111.720,118.920]	YEAH EXACTLY YEAH THERES MORNING STIFFNESS AND IT DOES GET A LITTLE BIT BETTER WITH WITH MOVEMENT
audio/MSK0022.mp3[118.920,130.160]	OK DO YOU HAVE ANY OF THIS PAIN OR STIFFNESS IN THE BIGGER JOINTS IN YOUR BODY LIKE THE HIPS OR THE KNEES OR YOUR SHOULDERS
audio/MSK0022.mp3[130.160,134.880]	UH NO NOTHING NO JUST REALLY THE SMALL JOINTS
audio/MSK0022.mp3[134.880,140.520]	OK IN THE MORNING STIFFNESS LASTS MORE THAN 30 MINUTES YOU SAID
audio/MSK0022.mp3[140.520,142.760]	IT DOES YEAH
audio/MSK0022.mp3[142.760,157.720]	YES OK IS IS IT SYMMETRICAL LIKE IS THE PAIN SYMMETRICAL AS IN IS IT HAPPENING IN BOTH HANDS IN THE SAME AREAS AND BOTH FEET IN THE SAME AREAS
audio/MSK0022.mp3[157.720,172.360]	YEAH IT IS ACTUALLY NOW THAT YOU MENTIONED THAT IT IS SYMMETRICAL IM NOTICING THAT ITS THE SAME ITS THE SAME JOINTS ON BOTH SIDES OF MY BODY THAT IM SEEING THAT ARE AFFECTED
audio/MSK0022.mp3[172.360,201.200]	OK NOW YEAH I I JUST HAVE YEAH THIS ONE PARTICULAR QUESTION ITS PRETTY SPECIFIC SO WHEN YOU LOOK AT YOUR HANDS IN WHICH JOINTS ARE PAINFUL IN YOUR FINGERS IS DO YOU DO YOU HAVE ANY PAIN OR SWELLING IN THE LAST JOINTS LIKE SO JUST UM JUST BELOW THE TIP OF YOUR FINGERS
audio/MSK0022.mp3[201.200,216.200]	NO ACTUALLY LIKE THE THOSE JOINTS ARE ALL HAVE BEEN FINE I CAN MOVE THE TIPS OF MY FINGERS NO PROBLEM AND I HAVENT HAD ANY JOINT SWELLING OR PAIN IN THE TIPS OF MY FINGERS
audio/MSK0022.mp3[216.200,233.040]	OK AND HOW ABOUT HAVE YOU HAD ANY PAIN AT ALL IN THE I GUESS THE FIRST JOINTS OF THE FINGER SO WHEN YOU MAKE A FIST LIKE THE FIRST JOINT THAT BENDS
audio/MSK0022.mp3[233.040,235.400]	OH YEAH LIKE MY KNUCKLES YOU MEAN
audio/MSK0022.mp3[235.400,236.960]	YEAH THAT YOUR KNUCKLES
audio/MSK0022.mp3[236.960,256.040]	YEAH YEAH THOSE ACTUALLY THOSE ARE THE WORST I CAN NOTICE THOSE KIND OF ON THE LIKE ON MY INDEX FINGER MIDDLE FINGER AND AND RING FINGER ON BOTH SIDES THEY THEY ALL LOOK LIKE THEYRE SWOLLEN AND AND THOSE HURT HURT REALLY BAD
audio/MSK0022.mp3[256.040,263.240]	OK AND IN YOUR FEET WHICH JOINTS WOULD YOU SAY ARE HURTING THE MOST
audio/MSK0022.mp3[263.240,282.560]	I I WOULD SAY THE LIKE THE BIG TOE JOINT ON BOTH OF MY FEET THOSE BOTHER ME YEAH BUT MY BIG MY BIG TOE ON ON BOTH FEET BUT MY RIGHT FOOTS WORSE THAN THE OTHER
audio/MSK0022.mp3[282.560,290.120]	OK I SEE OK AND ARE YOU GETTING ANY PAIN IN ANY OTHER JOINTS
audio/MSK0022.mp3[290.120,315.120]	UM ACTUALLY YEAH MY MY RIGHT ANKLE BUGS ME A LITTLE BIT IM SORRY IF THATS CONSIDERED A LARGE JOINT BUT YEAH MY ANKLE HURTS AND THEN ALSO MY IN MY HANDS I HAVE LIKE THE MIDDLE ONE NOT PROXIMAL INTERPHALANGEAL JOINT YEAH THOSE ONES HURT TOO
audio/MSK0022.mp3[315.840,321.520]	I THINK I HAVE LIKE MORE THAN 10 JOINTS THAT ARE SWOLLEN AND PAINFUL
audio/MSK0022.mp3[321.520,330.840]	OK I SEE AND HAS THIS PAIN BEEN PRETTY CONSTANT OR HAVE THERE BEEN DAYS THAT YOU DONT HAVE THE PAIN
audio/MSK0022.mp3[330.840,352.920]	YEAH THERE ARE DAYS THAT ARE BETTER THAN OTHERS FOR SURE IT JUST IM NOT REALLY TOO SURE WHAT THE REASON IT IS LIKE MAYBE IM JUST MORE RESTED OR SOMETHING LIKE THAT BUT THERE ARE DAYS THAT THAT ARE BETTER BUT OVER THE LAST SEVERAL MONTHS ITS BEEN GETTING GETTING WORSE
audio/MSK0022.mp3[352.920,360.560]	OK AND HOW MUCH WOULD YOU RATE THE PAIN FROM ZERO TO 10 10 BEING THE WORST PAIN YOU FELT IN YOUR LIFE
audio/MSK0022.mp3[360.560,364.800]	I WOULD SAY ITS PROBABLY A 6
audio/MSK0022.mp3[364.800,371.640]	OK HAVE YOU TRIED ANY MEDICATIONS AT ALL TO HELP WITH YOUR HELP RELIEVE YOUR SYMPTOMS
audio/MSK0022.mp3[371.640,389.200]	YEAH IVE BEEN TRYING UM ACETAMINOPHEN AND DIFFERENT TYPES OF ANTIINFLAMMATORIES LIKE IBUPROFEN OR ADVIL AND IVE TRIED CREAMS AND STUFF TOO BUT IT IT DOESNT SEEM TO HELP
audio/MSK0022.mp3[389.200,397.080]	OK ARE YOU FEELING ANY OTHER SYMPTOMS AT ALL LIKE FEVERS OR CHILLS
audio/MSK0022.mp3[397.080,401.120]	UM I DO I HAVE FELT A BIT WARM
audio/MSK0022.mp3[401.120,406.000]	A BIT WARM OK AND HOW LONG HAS THAT BEEN GOING ON FOR
audio/MSK0022.mp3[406.000,424.000]	SO IT THAT VARIES AS WELL LIKE SOME DAYS ILL GET ILL FEEL LIKE FEVERISH FOR A LITTLE BIT AND IT WILL KIND OF GO AWAY I HAVENT CHECKED MY TEMPERATURE BUT IT I HAVE FELT WARM AT TIMES
audio/MSK0022.mp3[424.000,432.280]	OK AND HAVE YOU LOST ANY MOVEMENT IN ANY OF THESE JOINTS AT ALL
audio/MSK0022.mp3[432.280,442.200]	UH IT IS HARDER TO TO MAKE A FIST YEAH I CANT FULLY CLOSE MY MY FINGERS ALL THE WAY DOWN TO MAKE A FIST
audio/MSK0022.mp3[442.200,451.800]	I SEE OK ANY KIND OF A UM NIGHT SWEATS AT ALL
audio/MSK0022.mp3[453.680,456.840]	ANY WEIGHT LOSS
audio/MSK0022.mp3[456.840,468.600]	UM WELL I THINK A FEW POUNDS I JUST HAVENT REALLY BEEN AS AS HUNGRY NOW YEAH MY APPETITE HASNT BEEN BEEN AS GOOD RECENTLY
audio/MSK0022.mp3[468.600,473.040]	OK ANY SKIN CHANGES OR RASHES
audio/MSK0022.mp3[473.040,485.680]	I OVER A COUPLE OF THE JOINTS I DO NOTICE SOME SOME REDNESS BUT JUST OVER THE THE JOINTS ON MY HAND I CAN HAVE SOME REDNESS
audio/MSK0022.mp3[485.680,489.440]	OK BUT YOU DONT NOTICE ANY CHANGES ANYWHERE ELSE
audio/MSK0022.mp3[489.440,491.600]	NO NOWHERE ELSE
audio/MSK0022.mp3[491.600,495.520]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/MSK0022.mp3[495.520,499.400]	NO CHANGES TO VISION OR HEARING
audio/MSK0022.mp3[499.400,502.640]	OK ANY SHORTNESS OF BREATH CHEST PAIN
audio/MSK0022.mp3[504.200,507.400]	ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0022.mp3[507.400,509.280]	NO THATS BEEN NORMAL
audio/MSK0022.mp3[509.280,512.880]	OK ANY CHANGES IN YOUR URINARY PATTERNS
audio/MSK0022.mp3[512.880,516.560]	NOPE I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT
audio/MSK0022.mp3[516.560,522.600]	OK ANY NUMBNESS OR TINGLING SENSATION ANYWHERE ANYWHERE IN YOUR BODY
audio/MSK0022.mp3[522.600,524.920]	NOPE I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0022.mp3[524.920,532.440]	OK HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH LIKE COLD SYMPTOMS OF ANY VIRAL SYMPTOMS
audio/MSK0022.mp3[532.440,534.680]	NO I FELT OK
audio/MSK0022.mp3[534.680,539.400]	OK AND ANY MUSCLE WEAKNESS
audio/MSK0022.mp3[539.400,557.200]	I I DONT THINK SO IVE JUST I I HAVE HAD TROUBLE LIKE OPENING JARS AND VARIOUS THINGS BUT I THINK THATS PART OF THE UM LIKE PAIN THAT IM HAVING IN MY IN MY HANDS IT MAKES IT HARD TO GRIP
audio/MSK0022.mp3[557.200,571.400]	OK UHM AND IN TERMS OF YOUR MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS
audio/MSK0022.mp3[571.400,591.880]	UH YEAH I HAVE A LOW THYROID AND OR OR HYPOTHYROIDISM I THINK ITS CALLED I AND I ALSO HAVE UH HIGH BLOOD PRESSURE SO I TAKE MY MEDICATION FOR HIGH BLOOD PRESSURE AND AND SOMETHING FOR THE THYROID AS WELL
audio/MSK0022.mp3[591.880,596.360]	OK AND WHEN WERE YOU DIAGNOSED WITH THE HYPOTHYROIDISM
audio/MSK0022.mp3[596.360,601.360]	UM THIS WAS ABOUT I LIKE FOUR YEARS AGO
audio/MSK0022.mp3[601.360,607.640]	OK TODAY TELL YOU WHAT IT WAS CAUSED BY IT AT ALL
audio/MSK0022.mp3[607.640,612.800]	OH I THINK I WAS I THINK THEY SAID HASHIMOTOS
audio/MSK0022.mp3[612.800,617.600]	OK OK OK AND SINCE THEN YOUVE BEEN ON THE THYROID MEDICATION
audio/MSK0022.mp3[617.600,623.440]	YEAH I THINK ITS LIKE SYNTHROID OR OR SOMETHING LIKE THAT YEAH I THINK SYNTHROID
audio/MSK0022.mp3[623.440,627.360]	ALRIGHT ANY OTHER MEDICATIONS AT ALL THAT YOU TAKE REGULARLY
audio/MSK0022.mp3[627.360,634.560]	YEAH I THINK IT IM TAKING AN ACE INHIBITOR FOR THE BLOOD PRESSURE
audio/MSK0022.mp3[634.560,638.440]	OK ANY ALLERGIES TO ANY MEDICATIONS THAT YOU KNOW
audio/MSK0022.mp3[638.440,640.880]	UH NO
audio/MSK0022.mp3[640.880,647.800]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0022.mp3[652.000,659.440]	OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS
audio/MSK0022.mp3[659.440,669.640]	MY MOM HAD HYPOTHYROIDISM AS WELL AND UH AND THATS IT
audio/MSK0022.mp3[669.640,682.200]	OK SO ANYTHING ELSE LIKE RHEUMATOID ARTHRITIS ULCERTAIVE COLITIS CROHNS DISEASE TYPE ONE DIABETES ANYTHING LIKE THAT
audio/MSK0022.mp3[682.200,696.560]	I I THINK MY COUSIN ACTUALLY HAS TYPE ONE DIABETES HES A LIKE HES MUCH YOUNGER THAN ME BUT YEAH I THINK HE I HAVE A COUSIN WITH TYPE ONE DIABETES AS WELL
audio/MSK0022.mp3[696.560,702.080]	OK ALRIGHT AND UM CURRENTLY DO YOU WORK
audio/MSK0022.mp3[702.080,717.000]	YEAH IVE BEEN WORKING AS A ADMINISTRATOR SO ITS BEEN TOUGH ON THE COMPUTER WITH WITH HOW MY HANDS HAVE BEEN CAUSING ME PAIN
audio/MSK0022.mp3[717.000,719.960]	OH SO FROM THE TYPING ALSO GIVES YOU SOME PAIN
audio/MSK0022.mp3[719.960,735.240]	YEAH I CAN IT CAN GIVE ME A LITTLE BIT OF PAIN BUT ONCE MY HANDS START MOVING ITS ITS OK ITS JUST IM A BIT SLOWER AT MY JOB WITH WITH HOW IT IS ESPECIALLY STARTING IN THE MORNING
audio/MSK0022.mp3[735.240,740.680]	OK I SEE OK AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE
audio/MSK0022.mp3[740.680,751.200]	SO I LIVE WITH MY HUSBAND AS WELL AS OUR UH OUR DAUGHTER SHES 4
audio/MSK0022.mp3[751.200,759.080]	OK AND ARE YOU CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL
audio/MSK0022.mp3[759.080,775.440]	I I DONT I QUIT SMOKING FOUR YEARS AGO WHEN MY DAUGHTER WAS BORN AND BEFORE THAT I DIDNT SMOKE MUCH TO ME ANYWAY IT WAS I WAS ONLY SMOKING LIKE YOU LIKE MAYBE FOUR OR FIVE CIGARETTES A DAY SO I JUST STOPPED THEN
audio/MSK0022.mp3[775.440,779.000]	OK THATS REALLY GOOD UH UH CONGRATULATIONS
audio/MSK0022.mp3[779.000,781.200]	THANK YOU
audio/MSK0022.mp3[781.200,786.800]	YEAH AND OTHER THAN THAT DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0022.mp3[786.800,793.280]	UH NO I DONT OK HOW ABOUT ALCOHOL
audio/MSK0022.mp3[793.280,801.200]	ILL HAVE A GLASS OF WINE SOMETIMES BUT VERY RARELY
audio/MSK0022.mp3[801.200,822.720]	OK UM YEAH SO THOSE ARE JUST SOME OF THE QUESTIONS I HAD FOR YOU NOW I JUST WANTED TO ASK A FEW QUESTIONS REGARDING JUST PHYSICALLY EXAMINING THE JOINTS THAT HURT SO WHEN YOU LOOK AT THOSE JOINTS DO YOU NOTICE ANY KIND OF SWELLING REDNESS OR WHEN YOU FEEL ANY WARMTH TO THEM
audio/MSK0022.mp3[822.720,828.400]	YES I YEAH I DO I FEEL SWELLING WARMTH AND REDNESS
audio/MSK0022.mp3[828.400,853.600]	OK AND DO YOU NOTICE ANY KIND OF DEFORMITIES FOR EXAMPLE LIKE YOURE NOT ABLE TO BEND YOUR FINGER OR ANY KIND OF DEFORMITIES THAT YOU DIDNT SEE BEFORE OR LIKE FOR EXAMPLE YOUR WRIST IS TURNED UH OUTWARDS A LITTLE BIT ANYTHING LIKE THAT
audio/MSK0022.mp3[853.600,856.880]	UH NO NOTHING LIKE THAT NO DEFORMITY
audio/MSK0022.mp3[856.880,869.400]	NO DEFORMITIES OK WHEN YOU GO OVER YOUR JOINTS DO YOU NOTICE ANY KIND OF LIKE NODULES OR HARDER MATERIALS THAT DONT SEEM TO BE YOUR BONES
audio/MSK0022.mp3[869.400,878.840]	NOT REALLY NO NO I DONT NOTICE ANYTHING LIKE THAT THEY JUST SHARE A BIT LARGER FROM THE SWELLING IT FEELS LIKE
audio/MSK0022.mp3[878.840,885.120]	OK I SEE ARE YOU ABLE TO MAKE A FIST WITH BOTH BOTH HANDS
audio/MSK0022.mp3[885.120,895.440]	NOT COMPLETELY I CAN CLOSE MY HANDS PART OF THE WAY BUT I CANT MAKE A FULL FIST
audio/MSK0022.mp3[895.440,901.800]	I SEE OK AND ARE YOU ABLE TO COMPLETELY EXTEND YOUR FINGERS AND SHOW YOUR PALMS
audio/MSK0022.mp3[901.800,907.360]	YEAH I CAN DO I CAN DO THAT
audio/MSK0022.mp3[907.360,915.040]	OK AND ARE YOU ABLE TO WALK WITHOUT A LIMP OR ANYTHING LIKE THAT
audio/MSK0022.mp3[915.040,916.200]	UM YES I CAN
audio/MSK0022.mp3[916.200,924.920]	OK ALRIGHT SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/MSK0022.mp3[924.920,929.640]	UM NO IM JUST WONDERING WHAT WHAT THIS COULD BE
audio/MSK0022.mp3[929.640,1036.680]	YEAH SO FROM WHAT YOURE DESCRIBING TO ME YOU DO FIT INTO THE AGE RANGE AND ALL THE SYMPTOMS ARE KIND OF POINT TOWARDS ARTHRITIS AND IN THIS CASE IT SOUNDS MORE LIKE RHEUMATOID ARTHRITIS DDEFINITELY IT CAN BE DIFFERENT TYPES OF ARTHRITIS THAT WE WILL INVESTIGATE JUST IN CASE AS WELL BUT GIVEN THAT ITS SYMMETRICAL YOU HAVE THE MORNING STIFFNESS THAT DOESNT GO AWAY FOR MORE THAN 30 MINUTES AND JUST THE PATTERN OF WHERE THOSE WHERE THE STIFFNESS AND PAIN IS OCCURRING ITT SOUNDS MORE LIKELY TO BE RHEUMATOID ARTHRITIS ESPECIALLY SINCE YOUVE ALSO YOU ALSO HAVE ANOTHER AUTOIMMUNE CONDITION WITH HYPOTHYROIDISM ITS MORE LIKELY TO BE ANOTHER AUTOIMMUNE CONDITION SO WHAT WE WILL DO IS GET A FEW TESTS DONE THIS WILL INVOLVE SOME BLOOD WORK AS WELL AND WE WILL ALSO GET SOME IMAGING DONE SO WE WILL GET LIKE THE CRAND ESR FOR INFLAMMATORY MARKERS WE WILL GET LIKE YOUR FULL CBC BLOOD COUNT WE WILL GET RHEUMATOID FACTOR TEST DONE AS WELL AS ANTINUCLEAR ANTIBODY AND A LOT OF OTHER DIFFERENT JUST MARKERS TO RULE OUT ANYTHING ELSE BESIDES RHEUMATOID ARTHRITIS AND THEN WE WILL ALSO GET JUST XRAYS OF YOUR HANDS AND FEET AS WELL SO DOES THAT SOUND GOOD
audio/MSK0022.mp3[1036.680,1039.200]	IT DOES YEAH THANK YOU
audio/MSK0022.mp3[1039.200,1057.160]	YOURE WELCOME AND THEN IF IT DOES COME OUT TO BE RHEUMATOID ARTHRITIS ARTHRITIS WHICH SEEMS LIKELY YOU WILL NEED A REFERRAL TO A RHEUMATOLOGIST TO MANAGE AND TREAT YOUR UH TREAT YOU WITH MEDICATIONS
audio/MSK0022.mp3[1057.160,1060.280]	OK THANK YOU ALRIGHT YOURE WELCOME TAKE CARE
audio/RES0024.mp3[0.000,3.800]	COULD YOU START BY TELLING ME WHAT BROUGHT YOU IN
audio/RES0024.mp3[3.800,42.040]	SO LIKE I DONT REALLY FEEL SICK I JUST I LOST I CANT I FOR THE PAST TWO DAYS I CANT SMELL ANYTHING I CANT TASTE ANY OF MY FOOD ITS SUPER WEIRD I LIKE LIVE WITH MY BOYFRIEND AND HE WAS LIKE HERE TAKE A BITE OF THIS ONION AND I LIKE BIT INTO IT AND I LITERALLY DIDNT TASTE ANYTHING OTHERWISE LIKE I FEEL TOTALLY FINE I JUST HEARD THAT THIS HAPPENS SOMETIMES LIKE WITH COVIAND IM JUST KIND OF WORRIED THAT I HAVE COVID
audio/RES0024.mp3[42.040,72.680]	OK FOR SURE I WILL WE WILL UM DEFINITELY LOOK INTO THAT TODAY AND YOU ARE RIGHT IT IS A SYMPTOM THAT CAN OCCUR WITH WITH COVID BUT WE WILL WANT TO MAKE SURE THAT IT ISNT SOMETHING ELSE AND SO I WANTED TO JUST ASK YOU A FEW MORE QUESTIONS ABOUT HOW YOUVE BEEN FEELING SO YOU SAID YOU HAVENT FELT SICK SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0024.mp3[72.680,86.920]	I MEAN I MAY BE EVEN A BIT TIRED BUT REALLY OTHERWISE NO I GUESS MAYBE I FELT LIKE A LITTLE DRY BUT I HAVENT ACTUALLY BEEN COUGHING
audio/RES0024.mp3[86.920,92.280]	OK SO NO COUGH HAVE YOU FELT A LIKE SHORT OF BREATH AT ALL
audio/RES0024.mp3[93.800,99.480]	OK AND HAVE YOU BROUGHT UP ANY LIKE SPUTUM OR ANY BLOOD
audio/RES0024.mp3[101.400,107.920]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0024.mp3[108.800,113.960]	OK ANY FEELING LIKE YOUR HEART IS READY RACING
audio/RES0024.mp3[115.760,120.160]	ALRIGHT UM ANY NAUSEA OR VOMITING
audio/RES0024.mp3[121.160,125.680]	ANY DIARRHEA OR CONSTIPATION
audio/RES0024.mp3[126.120,135.000]	OK ANY CHANGES TO URINARY HABITS ANY PAINFUL URINATION OR NEEDING TO GO MORE OFTEN
audio/RES0024.mp3[136.920,139.720]	ALRIGHT AND HAVE YOU HAD ANY HEADACHES
audio/RES0024.mp3[139.720,141.920]	MMM NO
audio/RES0024.mp3[141.920,145.240]	UH HOW ABOUT ANY FEVERS
audio/RES0024.mp3[145.240,154.960]	I DONT LIKE I DONT HAVE A THERMOMETER I LIKE MAYBE FELT A LITTLE HOT BUT LIKE LIKE I DONT REALLY KNOW
audio/RES0024.mp3[154.960,159.640]	OK AND HAVE YOU HAD ANY CHILLS
audio/RES0024.mp3[159.640,162.000]	UH NO
audio/RES0024.mp3[162.000,167.040]	ALRIGHT OR HOW ABOUT ANY NIGHT SWEATS
audio/RES0024.mp3[168.960,176.560]	AND RECENTLY OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT
audio/RES0024.mp3[176.560,178.160]	UH NO
audio/RES0024.mp3[178.160,184.760]	OK AND IN THE LAST SEVERAL DAYS HAVE YOU HAD A SORE THROAT
audio/RES0024.mp3[184.760,189.880]	LIKE I SAID IT FELT LIKE DRY BUT I DONT THINK ITS BEEN SORE
audio/RES0024.mp3[189.880,195.800]	OK UM AND HAVE YOU HAD A RUNNY NOSE
audio/RES0024.mp3[197.400,201.720]	OR FELT CONGESTED AT ALL
audio/RES0024.mp3[203.120,207.920]	OK AND THEN ANY EYE PAIN OR EAR PAIN
audio/RES0024.mp3[209.320,212.200]	OK AND THEN ANY RASHES ON YOUR SKIN
audio/RES0024.mp3[212.200,218.040]	LIKE I HAVE ECZEMA BUT NOTHING NEW
audio/RES0024.mp3[218.040,227.480]	OK AND IN REGARDS TO YOUR PAST HEALTH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOURE FOLLOWED FOR
audio/RES0024.mp3[227.480,238.120]	LIKE THE ECZEMA LIKE I HAVE LIKE A PEANUT ALLERGY THATS IT
audio/RES0024.mp3[238.120,241.880]	I SEE OK DO YOU HAVE AN EPIPEN
audio/RES0024.mp3[243.720,246.280]	OK DO YOU KEEP THAT WITH YOU REGULARLY
audio/RES0024.mp3[246.280,250.640]	YEAH YEAH ALWAYS
audio/RES0024.mp3[250.640,256.240]	OK EXCELLENT UM AND DO YOU TAKE ANY OTHER MEDICATIONS OR
audio/RES0024.mp3[256.240,271.800]	I TAKE BIRTH CONTROL AN LIKE SOMETIMES LIKE I HAD I HAD LIKE ECZEMA CREAM LIKE THE THE STEROID ONE FOR WHEN ITS REALLY BAD
audio/RES0024.mp3[271.800,277.480]	OK AND WHEN DID YOU START BIRTH CONTROL
audio/RES0024.mp3[277.480,281.920]	MAYBE LIKE THREE YEARS
audio/RES0024.mp3[281.920,287.840]	OK AND HOW OFTEN ARE YOU USING THE CREAM
audio/RES0024.mp3[287.840,301.320]	ITS KIND OF LIKE GOES IN LIKE FLARES SO LIKE THIS CAUSE ITS WINTER IVE BEEN USING IT LIKE MAYBE A COUPLE TIMES A WEEK
audio/RES0024.mp3[301.320,306.320]	OK UM AND ANY ALLERGIES TO MEDICATIONS
audio/RES0024.mp3[307.640,310.920]	AND HAVE YOU HAD ANY SURGERIES IN THE PAST
audio/RES0024.mp3[312.520,317.840]	OK ANY REASON REASON FOR HOSPITALIZATION
audio/RES0024.mp3[320.480,331.080]	SORRY I WENT TO THE EMERGENCY DEPARTMENT LIKE WHEN I HAD MY PEANUT LIKE THE FIRST TIME I REALIZED I WAS ALLERGIC TO PEANUTS BUT THAT WAS IT
audio/RES0024.mp3[331.080,335.320]	OH DID YOU HAVE AN ANAPHYLACTIC REACTION
audio/RES0024.mp3[335.320,345.640]	YEAH LIKE I WAS A KID SO I DONT REALLY REMEMBER THAT MUCH BUT THATS WHEN THEY TOLD ME I WAS ALLERGIC
audio/RES0024.mp3[345.640,351.800]	I SEE OK SO IMPORTANT TO HAVE THE EPIPEN THEN FOR SURE
audio/RES0024.mp3[353.360,357.160]	AND SO YOU MENTIONED THAT YOURE LIVING WITH YOUR BOYFRIEND
audio/RES0024.mp3[358.360,360.960]	OK ANYBODY ELSE
audio/RES0024.mp3[360.960,362.720]	NO JUST US
audio/RES0024.mp3[362.720,368.120]	OK AND AS YOUR BOYFRIEND BEEN SICK AT ALL
audio/RES0024.mp3[369.720,379.680]	OK AND AT LIKE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK AT WORK OR SCHOOL
audio/RES0024.mp3[379.680,393.000]	UM NO LIKE ALL MY CLASSES ARE ONLINE SO I DONT REALLY SEE ANYONE BESIDES HIM RIGHT NOW LIKE WE DONT EVEN OFFICIALLY LIKE TOGETHER HES JUST BEEN ESSENTIALLY STAYING AT MY APARTMENT CAUSE LIKE WE DONT SEE ANYONE ELSE
audio/RES0024.mp3[393.000,398.640]	OK UM AND DO YOU SMOKE CIGARETTES
audio/RES0024.mp3[399.000,402.440]	DO YOU SMOKE MARIJUANA
audio/RES0024.mp3[402.440,411.240]	LIKE OCCASIONALLY WE WILL LIKE DO AN EDIBLE OR SOMETHING BUT I DONT SMOKE IT
audio/RES0024.mp3[411.240,418.760]	OK AND ANY OTHER RECREATIONAL DRUGS LIKE COCAINE MDMA
audio/RES0024.mp3[420.240,425.160]	OK UM AND UH ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0024.mp3[425.160,427.800]	YEAH JUST LIKE WITH MY BOYFRIEND
audio/RES0024.mp3[427.800,436.320]	OK AND UM ANY SEXUALLY TRANSMITTED INFECTIONS IN THE PAST
audio/RES0024.mp3[437.440,442.880]	OK UM AND THEN DO YOU DRINK ALCOHOL
audio/RES0024.mp3[442.880,448.480]	LIKE MAYBE A COUPLE OF BEERS ON THE WEEKEND
audio/RES0024.mp3[448.480,455.240]	OK AND IN YOUR FAMILY HAS ANYBODY EVER LOST THEIR SMELL BEFORE
audio/RES0024.mp3[455.240,457.800]	I DONT THINK SO
audio/RES0024.mp3[457.800,463.280]	OK ANYBODY IN THE FAMILY HAVE A HEART CONDITION OR A LUNG CONDITION
audio/RES0024.mp3[463.840,473.800]	ALRIGHT AND THEN I HAVE ANYBODY IN THE FAMILY HAD CANCER BEFORE
audio/RES0024.mp3[473.800,483.000]	LIKE MY LIKE MY UNCLE UM HAD LIKE PROSTATE CANCER
audio/RES0024.mp3[483.000,489.520]	OK DO YOU KNOW BREAST CANCER OVARIAN CANCER
audio/RES0024.mp3[491.280,504.480]	OK SO THAT THAT WAS ALL I WANTED TO ASK ABOUT ON UH THE HISTORY TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT
audio/RES0024.mp3[504.480,508.760]	MMM I DONT KNOW THATS IT
audio/RES0024.mp3[508.760,552.520]	OK SO UH YEAH WITH UH THE SYMPTOMS OF LOSING YOUR SMELL OVER THE LAST DAY OR SO WE WILL CERTAINLY LOOK INTO WHETHER OR NOT THIS IS CAUSED BY COVIAND SO THAT WILL REQUIRE A NASAL SWAB TEST FOR THAT USUALLY THE RESULTS ARE COMING BACK NOW WITHIN 48 HOURS HOPEFULLY BUT STILL WILL BE REQUIRED TO SELF ISOLATE NOW FOR THE NEXT 14 DAYS AFTER YOUR SYMPTOMS ARE GONE SO WE WILL LET YOU KNOW WHEN THE RESULTS COME BACK FROM THIS TEST THOUGH
audio/RES0024.mp3[552.520,559.040]	OK OK GEEZ OK THANK YOU
audio/RES0024.mp3[559.040,562.800]	ALRIGHT YOURE WELCOME
audio/RES0126.mp3[0.000,2.800]	WHAT BRINGS YOU HERE TODAY
audio/RES0126.mp3[2.800,11.640]	HI I AM HAVING DIFFICULTIES BREATHING AND IVE JUST HAD THIS COUGH AND ITS ITS BEEN TWO MONTHS NOW
audio/RES0126.mp3[11.640,21.520]	TWO MONTHS SO DID THE TWO MONTHS OF THE DIFFICULTY BREATHING OR THE COUGH
audio/RES0126.mp3[21.520,33.880]	TWO MONTHS OF DIFFICULTY BREATHING AND THE COUGH IS GOTTEN WORSE IVE HAD A COUGH FOR A COUPLE YEARS NOW IM A SMOKER
audio/RES0126.mp3[33.880,37.280]	OK AND IS IS THIS COUGH DIFFERENT AT ALL
audio/RES0126.mp3[37.280,42.920]	ITS JUST IT JUST DOESNT GO AWAY
audio/RES0126.mp3[42.920,46.920]	OK AND WHEN DID THE SHORTNESS OF BREATH START
audio/RES0126.mp3[46.920,50.600]	ABOUT TWO MONTHS AGO
audio/RES0126.mp3[50.600,52.160]	OK AND IS IT GETTING WORSE
audio/RES0126.mp3[52.160,55.720]	OH YEAH
audio/RES0126.mp3[55.720,60.720]	OK ARE YOU BRINGING UP ANY SPUTUM AT ALL WITH YOUR COUGH
audio/RES0126.mp3[60.720,67.240]	UHM I SOMETIMES UHM YEAH I DO
audio/RES0126.mp3[67.240,70.560]	OK AND IS IS THERE ANY COLOR TO IT OR IS IT CLEAR
audio/RES0126.mp3[70.560,72.920]	ITS PINK IN COLOR
audio/RES0126.mp3[72.920,74.560]	ITS PINK IN COLOR
audio/RES0126.mp3[75.680,79.120]	OK HAVE YOU COUGHED UP ANY BLOOD AT ALL
audio/RES0126.mp3[82.640,85.320]	STREAKS OF BLOOD HERE AND THERE
audio/RES0126.mp3[85.320,100.800]	LITTLE STREAKS OF BLOOD OK AND HAVE YOU EVER COUGHED UP ANY JUST WITHOUT WITHOUT IT BEING IN THE SPUTUM JUST ONTO A TISSUE OR ANYTHING LIKE THAT JUST COUGHING UP ANY BLOOD
audio/RES0126.mp3[102.280,110.520]	OK SO AN ARE YOUR SYMPTOMS JUST CONSTANT OVER THE LAST TWO MONTHS OR DO THEY COME AND GO
audio/RES0126.mp3[110.520,116.200]	SHORTNESS OF BREATH JUST KIND OF STAYS
audio/RES0126.mp3[116.200,123.160]	OK AND IS THERE ANYTHING THAT HELPS WITH YOUR SHORTNESS OF BREATH LIKE TAKING A REST OR ANY POSITIONS IN PARTICULAR
audio/RES0126.mp3[123.160,129.800]	YEAH SOMETIMES RESTING DOES HELP I FIND THAT ITS WORSE WHEN IM MOVING AROUND IM HUFFING AND PUFFING MORE
audio/RES0126.mp3[129.800,136.000]	OK AND IS IT WORSE AT ALL WHEN YOU LAY DOWN
audio/RES0126.mp3[136.720,143.800]	NO AND DO YOU FIND YOURSELF EVER HAVING TO WAKE UP AT NIGHT AND GASP GASPING FOR AIR
audio/RES0126.mp3[143.800,159.080]	NO IT HASNT GOTTEN THAT FAR BUT SEEING HOW BAD ITS BEEN OVER THE PAST TWO MONTHS AND HOW FAST IS PROGRESSING I WONT BE SURPRISED IF I CANT EVEN SLEEP ITS BEEN QUITE DIFFICULT I I DONT EVEN KNOW WHY I WAITED SO LONG I SHOULD HAVE COME IN EARLIER
audio/RES0126.mp3[159.080,170.440]	WELL IM GLAD YOU CAME IN TODAY WE CAN DEFINITELY TRY AND HELP YOU WITH WHATS GOING ON DO YOU AT ALL USE ANY KIND OF MEDICATIONS TO HELP YOU WITH YOUR SYMPTOMS
audio/RES0126.mp3[170.440,178.200]	IVE JUST BEEN USING MY INHALERS A BIT MORE BUT THEY DONT ALWAYS HELP
audio/RES0126.mp3[178.200,182.200]	OK AND WHAT ARE YOU USING THE INHALERS FOR
audio/RES0126.mp3[182.200,183.640]	OH I HAVE COPD
audio/RES0126.mp3[183.640,187.000]	COPOK AND WHEN WERE YOU DIAGNOSED
audio/RES0126.mp3[187.000,188.440]	ITS BEEN 15 YEARS NOW
audio/RES0126.mp3[188.440,195.120]	15 YEARS AND DO YOU KNOW THE HOW MANY PUFFERS ARE YOU TAKING
audio/RES0126.mp3[195.120,201.240]	UHM IM TAKING UHM IM TAKING TWO PUFFERS
audio/RES0126.mp3[201.240,209.640]	OK AND DO YOU HAVE ONE THAT THAT YOU TAKE WHEN YOU WHEN YOU ABSOLUTELY NEED IT
audio/RES0126.mp3[209.640,217.040]	YEAH YEAH I DO THATS THE ONE THAT IVE BEEN TRYING TO USE BUT
audio/RES0126.mp3[217.040,224.040]	HAS IT BEEN LESS EFFECTIVE AT ALL RECENTLY
audio/RES0126.mp3[224.040,232.200]	YEAH IT HASNT BEEN HELPING THE BLUE ONE I TRIED TO KEEP TAKING THE BLUE ONE AND ITS JUST YOU KNOW ITS NOT HELPING
audio/RES0126.mp3[232.200,240.400]	HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS LIKE RUNNY NOSE ANY COLD LIKE SYMPTOMS
audio/RES0126.mp3[241.560,245.600]	NO NOTHING LIKE THAT HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0126.mp3[245.600,251.120]	OH NO IVE BEEN STAYING AT HOME IVE BEEN VERY CAREFUL THESE DAYS
audio/RES0126.mp3[251.120,262.560]	YEAH FOR SURE ANY SO THIS STARTED TWO MONTHS AGO ARE YOU HAVING SO YOU HAVE NOT TRAVELED THEN IM ASSUMING
audio/RES0126.mp3[264.200,269.600]	OK ARE YOU HAVING ANY KIND OF DIZZINESS OR FAINTING SPELLS
audio/RES0126.mp3[269.600,271.920]	OH NO NO NO
audio/RES0126.mp3[271.920,280.800]	NO OK ANY KIND OF SWELLING IN YOUR LEGS OR HANDS THAT YOUVE NOTICE
audio/RES0126.mp3[282.040,285.920]	OK ANY HEADACHES AT ALL
audio/RES0126.mp3[285.920,297.120]	NO WELL SOMETIMES I DO BUT ITS NOT BEEN SEVERE ITS BEEN THERE FOR THE PAST UHM ALWAYS WHEN IM STRESSED OUT I GET THESE HEADACHES ITS NOTHING NEW
audio/RES0126.mp3[297.120,303.520]	OK ANY NAUSEA OR VOMITING
audio/RES0126.mp3[304.720,309.720]	NO ANY DIARRHEA OR CONSTIPATION
audio/RES0126.mp3[310.840,317.120]	NO OK ANY FEVERS OR CHILLS RECENTLY
audio/RES0126.mp3[317.120,322.120]	I HAVE A MILD FEVER IT JUST ITS BEEN THERE
audio/RES0126.mp3[322.120,325.320]	WHEN DID YOU NOTICE
audio/RES0126.mp3[325.320,334.280]	UHM I WAS JUST CHECKING MY TEMPERATURE ABOUT A MONTH AGO AND NOTICED THAT I HAD A FEVER
audio/RES0126.mp3[334.280,337.960]	OK THIS WAS A MONTH AGO
audio/RES0126.mp3[338.840,342.360]	HAVE YOU HAD IT RECENTLY AT ALL
audio/RES0126.mp3[342.360,347.320]	I HAVENT CHECKED IT RECENTLY BUT I DO FEEL A LITTLE HOT
audio/RES0126.mp3[347.320,350.160]	OK ARE YOU GETTING NIGHT SWEATS AT ALL
audio/RES0126.mp3[352.080,360.600]	SOMETIMES OK AND ARE YOU GETTING ANY KIND OF SIGNIFICANT WEIGHT LOSS
audio/RES0126.mp3[361.240,363.080]	NO THEN YOUR WEIGHTS BEEN FINE
audio/RES0126.mp3[363.080,374.560]	ITS BEEN THE SAME ALTHOUGH I HAVE BEEN EATING QUITE A LOT MORE NOW WITH THE PANDEMIC AND BEING HOME YOU KNOW THAT MIGHT BE STILL IN THE SAME
audio/RES0126.mp3[374.560,381.040]	AND SO ARE YOU HAVING DO YOU FEEL LIKE TIRED THROUGHOUT THE DAY OR INCREASED FATIGUE
audio/RES0126.mp3[381.040,393.840]	OH MY GOD SO TIRED I CAN YOU KNOW WITH THE DIFFICULTY BREATHING I FEEL LIKE ALL MY ENERGY SPENT JUST TRYING TO TRYING TO GET TO THE BATHROOM
audio/RES0126.mp3[393.840,406.120]	OK AND HOW IS THERE LIKE HOW MUCH DO YOU WALK OR MOVE AROUND THAT YOU GET SHORT OF BREATH OR ARE YOU SHORT OF BREATH AT REST AS WELL
audio/RES0126.mp3[406.120,415.320]	UHM IM SHORT OF BREATH ALL THE TIME YEAH ITS JUST ITS ITS WORSE WHEN I AM MOVING
audio/RES0126.mp3[415.320,423.000]	AND SO YOUVE BEEN DIAGNOSED WITH COPHAVE YOU HAD TO USE OXYGEN AT HOME AT ALL
audio/RES0126.mp3[425.440,432.480]	NO OK HOW ABOUT HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST FOR YOUR COPD
audio/RES0126.mp3[432.480,436.560]	YEAH I HAD A HAD A COUPLE LAST YEAR
audio/RES0126.mp3[436.560,438.200]	A COUPLE OF HOSPITALIZATIONS
audio/RES0126.mp3[438.200,442.680]	YEAH YEAH ABOUT FOUR HOSPITALIZATIONS LAST YEAR
audio/RES0126.mp3[442.680,448.560]	OH I SEE AND AND DID YOU HAVE TO USE ANY OXYGEN IN THE HOSPITAL
audio/RES0126.mp3[448.560,450.880]	YEAH YEAH I DID I DID
audio/RES0126.mp3[450.880,457.000]	THEY NEVER SENT YOU HOME WITH ANY LIKE OXYGEN TANK OR ANYTHING LIKE THAT OK
audio/RES0126.mp3[457.000,466.800]	ALTHOUGH THEY TOLD ME MY COPWAS PRETTY BAD THAT I MIGHT NEED TO GET OXYGEN AT SOME POINT
audio/RES0126.mp3[466.800,473.400]	I SEE AND HAVE YOU WHEN YOU IN HOSPITAL DID THEY GIVE YOU ANTIBIOTICS OR WHEN YOU WENT HOME
audio/RES0126.mp3[473.400,475.840]	YEAH YEAH THEY DID THEY DID
audio/RES0126.mp3[475.840,480.320]	DID THEY TELL YOU YOU HAD PNEUMONIA AT ALL AT ANY POINT
audio/RES0126.mp3[480.320,484.280]	I DONT THINK SO
audio/RES0126.mp3[484.280,487.800]	NO OK OK ANY ANY CHANGES OR DO YOU GET ANY CHEST PAIN AT ALL
audio/RES0126.mp3[487.800,493.880]	UHM SOMETIMES WHEN I BREATHE IN VERY DEEP
audio/RES0126.mp3[493.880,504.160]	I SEE ANY ANY KIND OF SENSATION THAT YOUR HEART IS RACING
audio/RES0126.mp3[504.640,515.240]	NO OK ANY KIND OF ISSUES WITH YOUR SLEEP OR APPETITE
audio/RES0126.mp3[515.240,524.520]	UMM WELL NO NOT REALLY ITS JUST THE DIFFICULTY BREATHING SOMETIMES ITS BEEN HARD TO SLEEP
audio/RES0126.mp3[524.520,532.840]	OK ANY ANY EXPOSURE TO ANY FUMES OR ALLERGENS IN YOUR HOUSEHOLD ANY ANIMALS PETS
audio/RES0126.mp3[533.080,539.560]	OK AND OTHER THAN COPHAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0126.mp3[539.560,542.640]	NO IM PRETTY HEALTHY OTHERWISE
audio/RES0126.mp3[542.640,548.400]	OK DO YOU HAVE ANY ALLERGIES AT ALL TO MEDICATIONS OR ENVIRONMENTAL ALLERGIES
audio/RES0126.mp3[548.400,551.320]	IM ALLERGIC TO CATS
audio/RES0126.mp3[551.320,557.400]	TO CATS OK DO YOU HAVE A CAT
audio/RES0126.mp3[558.200,561.560]	NO OK HAVE YOU BEEN AROUND ANY CATS RECENTLY
audio/RES0126.mp3[562.440,566.000]	NO OK ARE YOU ON ANY MEDICATIONS BESIDES THE PUFFERS
audio/RES0126.mp3[568.800,573.760]	OK AND SO YOU USE THE VENTOLIN AND THEN WHATS THE OTHER PUFFER THAT YOU USE
audio/RES0126.mp3[573.760,579.960]	UHM I DONT REMEMBER THE NAME
audio/RES0126.mp3[579.960,583.240]	DO YOU KNOW THE COLOR AT ALL
audio/RES0126.mp3[583.240,584.240]	ITS ORANGE
audio/RES0126.mp3[584.240,593.520]	ORANGE OK SO YOUVE HAD FOUR HOSPITALIZATIONS IN THE PAST YEAR ANY SURGERIES IN THE PAST
audio/RES0126.mp3[593.520,598.480]	I HAD A KNEE REPLACEMENT ON MY RIGHT SIDE
audio/RES0126.mp3[598.480,601.000]	OK AND WHEN WAS THAT
audio/RES0126.mp3[601.000,606.320]	10 YEARS AGO
audio/RES0126.mp3[606.320,611.200]	OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS
audio/RES0126.mp3[611.200,615.640]	MY DAD HAD COPAS WELL
audio/RES0126.mp3[615.640,621.240]	OK AND ANY LUNG CANCERS IN THE FAMILY
audio/RES0126.mp3[624.880,626.720]	NO SO CURRENTLY DO YOU WORK AT ALL
audio/RES0126.mp3[626.720,629.440]	IM RETIRED
audio/RES0126.mp3[629.440,633.040]	OK AND WHAT DID YOU DO BEFORE YOU RETIRED
audio/RES0126.mp3[633.040,636.120]	I WAS I WAS A MECHANIC AT CHRYSLERS
audio/RES0126.mp3[636.120,647.880]	OK AND DURING YOUR WORK WERE YOU EVER EXPOSED TO ANY CHEMICALS OR ANY KIND OF IN YOUR
audio/RES0126.mp3[647.880,652.000]	WORKPLACE OR HOME EXPOSED TO ANY ASBESTOS OR ANYTHING LIKE THAT
audio/RES0126.mp3[652.000,655.480]	NOT THAT IM AWARE OF
audio/RES0126.mp3[655.480,662.000]	OK AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0126.mp3[662.000,665.600]	OH YEAH I WAS A TEENAGER WHEN I STARTED
audio/RES0126.mp3[665.600,669.720]	OK AND HOW MUCH DO YOU SMOKE ON A ON A DAILY BASIS
audio/RES0126.mp3[669.720,673.080]	I SMOKE I SMOKE A PACK A DAY
audio/RES0126.mp3[673.080,680.520]	OK HAVE YOU AT ALL TRIED TO QUIT BEFORE
audio/RES0126.mp3[680.520,696.920]	I CANT QUIT ITS NOT GONNA HAPPEN A LOT OF PEOPLE HAVE TOLD ME TRY TO QUIT BUT I I JUST CANT LIVE WITHOUT IT AND IM 75 NOW YOU KNOW LIKE IM NOT GONNA LIVE A LOT LONGER ANYWAY
audio/RES0126.mp3[696.920,719.160]	YEAH YEAH BUT ALSO EVEN IF YOU TRY TO CUT DOWN SOME OF YOUR SYMPTOMS MIGHT GET BETTER LIKE EVEN THOUGH YOURE 75 YOU CAN DEFINITELY HAVE IMPROVEMENT IN SOME OF YOUR SYMPTOMS THAT YOURE HAVING LIKE THE SHORTNESS OF BREATH AND COUGHING SO IF AT ALL THAT YOU YOU WANT TO CONSIDER CUTTING DOWN AND GRADUALLY WE CAN TALK ABOUT THAT MORE AS WELL
audio/RES0126.mp3[721.040,724.320]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0126.mp3[725.360,727.360]	DO YOU DRINK
audio/RES0126.mp3[730.160,735.520]	NO OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0126.mp3[735.520,749.200]	NO I JUST I GUESS I NEED TO BE ADMITTED RIGHT JUST LIKE THOSE OTHER COPEXACERBATIONS IM THINKING THIS IS EXACTLY THAT AND ILL HAVE TO STAY IN THE HOSPITAL RIGHT FOR A COUPLE OF DAYS
audio/RES0126.mp3[749.200,800.400]	YEAH SO WE DEFINITELY BEFORE DECIDING ON WHETHER OR NOT YOU SHOULD BE ADMITTED SINCE YOU SAID THE VENTOLIN IS NOT WORKING FOR YOU WE WILL DEFINITELY GIVE YOU SOME SOME VENTILATION AND PERHAPS STEROID FOR JUST TO GET RID OF SOME OF YOUR SYMPTOMS RIGHT NOW AND WE WANT TO ALSO MAKE SURE SINCE YOURE HAVING LIKE COUGH AS WELL AS SHORTNESS OF BREATH TO DO A COVID SWAB ON YOU JUST IN CASE I KNOW YOUVE BEEN LIKE ISOLATING AND EVERYTHING BUT JUST IN CASE I WILL DO THAT AND WELL GET LIKE A CHEST X RAY ON YOU AS WELL JUST TO SEE IF THERES ANY KIND OF PNEUMONIA GOING ON AND THEN FROM THERE WELL ALSO GET YOUR BLOOD WORK AND THEN FROM THERE WELL SEE WHETHER OR NOT YOU WILL REQUIRE ANOTHER ADMISSION
audio/RES0126.mp3[802.080,818.320]	OK AND THERE YOU MIGHT IM NOT 100 SURE BUT YOU MIGHT REQUIRE HOME OXYGEN IF LIKE WE TAKE YOUR VITALS AND EVERYTHING AND YOUR OXYGENATION IS VERY LOW HAVE YOU HAVE YOU BEEN TALKED ABOUT THAT AT ALL IN THE PAST
audio/RES0126.mp3[818.320,823.880]	YEAH THEY TALKED ABOUT IT LAST TIME IVE BEEN TRYING TO AVOID IT BUT IF IT HAS TO HAPPEN IT HAS TO HAPPEN
audio/RES0126.mp3[823.880,843.920]	HMM YEAH AND IT MIGHT JUST SOMETIMES JUST YOU KNOW YOUVE HAD FOUR ADMISSIONS IN THE PAST AND IT MIGHT ACTUALLY JUST HELP YOU STAY AT HOME IF YOU ARE ON OXYGEN ANYWAYS YEAH WE CAN TALK ABOUT THAT WELL DO LIKE A FULL PHYSICAL EXAMINATION EVERYTHING AND GO FROM THERE
audio/RES0126.mp3[845.120,851.440]	GREAT ILL BE WITH YOU SHORTLY
audio/MSK0031.mp3[0.000,1.960]	HOW CAN I HELP YOU
audio/MSK0031.mp3[1.960,30.640]	HI I JUST WAS BROUGHT IN HERE TODAY I HAD A FALL JUST WAKING UP COMING DOWN THE STAIRS I FELL OFF THE LAST FEW STAIRS AND JUST FELL ONTO THE RIGHT SIDE AND ON RIGHT ONTO MY HEAD AND NOW UH I COULDNT EVEN I COULD BARELY STAND UP AND PUT ANY WEIGHT ON MY HIP ITS THE RIGHT HIP
audio/MSK0031.mp3[30.640,37.520]	OK UHM SO WHAT CAUSED YOU TO FALL IN THE 1ST PLACE DID YOU JUST LOSE BALANCE WERE YOU DIZZY
audio/MSK0031.mp3[37.520,46.560]	I THINK I JUST I MISSED I WASNT DIZZY OR ANYTHING I JUST MISSED ONE OF THE STEPS AND JUST SLIPPED SLIPPED DOWN THE STAIRS
audio/MSK0031.mp3[47.120,52.520]	BUT IT WAS JUST THE LAST FEW STAIRS I DIDNT HAVE LIKE I DIDNT HIT MY HEAD OR ANYTHING LIKE THAT
audio/MSK0031.mp3[52.520,54.840]	OK AND WHEN WAS THIS
audio/MSK0031.mp3[54.840,58.200]	THIS WAS A SO I GUESS NOW TWO HOURS AGO
audio/MSK0031.mp3[58.200,64.240]	TWO HOURS AGO OK HAS A PAIN BEEN CONSTANT SINCE
audio/MSK0031.mp3[64.240,68.240]	YEAH ITS ITS REALLY EXCRUCIATING
audio/MSK0031.mp3[68.240,73.440]	OK DOES ANYTHING MAKE IT BETTER OR WORSE
audio/MSK0031.mp3[73.440,79.320]	NO ITS IM JUST IN EXTREME PAIN LIKE I I I CANT EVEN PUT ANY WEIGHT ON IT
audio/MSK0031.mp3[79.320,88.360]	OK SO YOU CANT OK SO YOU CANT WEIGHT BEAR AND YOU CANT WALK ON ON THAT LEG I GUESS
audio/MSK0031.mp3[89.760,95.200]	OK IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHY
audio/MSK0031.mp3[95.200,110.120]	ITS UH ITS PRETTY SHARP LIKE IF IM NOT PUTTING ANY WEIGHT ON IT RIGHT NOW ITS LIKE REALLY ACHY BUT IF I PUT ANY WEIGHT ON ITS REALLY SHARP
audio/MSK0031.mp3[110.120,121.920]	OK AND WHERE IS THIS PAIN EXACTLY IS IT JUST IN YOUR RIGHT HIP OR IS IT RADIATING UP INTO YOUR UPPER ANTERIOR LOWER BACK OR DOWN TO YOUR LEG
audio/MSK0031.mp3[121.920,133.080]	ITS IN THE RIGHT HIP MOSTLY JUST ON THE SIDE BUT THE PAIN IS KIND OF LIKE ALL OVER THE RIGHT SIDE OF MY GROIN AND I FEEL LIKE THERES SOME SWELLING THERE AS WELL
audio/MSK0031.mp3[133.080,142.560]	OK AND ONE TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS YOUR PAIN
audio/MSK0031.mp3[142.560,146.640]	I WOULD SAY 10 LIKE IVE NEVER EXPERIENCED PAIN LIKE THIS
audio/MSK0031.mp3[146.640,157.320]	10 OK AND DO YOU HAVE YOU EVER HAD PAIN LIKE THIS BEFORE LIKE HAVE YOU EVER HAD A FALL IN THE PAST
audio/MSK0031.mp3[157.320,160.960]	NO THIS ISNT THIS IS THE FIRST TIME IVE HAD A FALL
audio/MSK0031.mp3[160.960,164.520]	OK ANY NUMBNESS OR TINGLING
audio/MSK0031.mp3[164.520,168.200]	UHM NO NOT THAT I CAN TELL NO
audio/MSK0031.mp3[168.200,171.440]	DIZZINESS OR FAINTING SPELLS
audio/MSK0031.mp3[171.440,185.600]	UHM AFTER THE FALL OUT LIKE THIS I I DONT KNOW IF ITS DUE TO THE PAIN BUT EVEN IN THE AMBULANCE COMING OUT OF THE AMBULANCE I WAS FEELING A LITTLE BIT DIZZY BUT I DONT KNOW IF THATS JUST CAUSE OF THE PAIN
audio/MSK0031.mp3[185.600,188.920]	OK ANY HEADACHES
audio/MSK0031.mp3[189.440,193.560]	CONFUSION OR MEMORY LOSS
audio/MSK0031.mp3[194.160,198.080]	UH JOINT PAINS OR MUSCLE ACHES ELSEWHERE
audio/MSK0031.mp3[199.560,201.760]	WEIGHT LOSS RECENTLY
audio/MSK0031.mp3[202.640,206.440]	FEVERS OR CHILLS
audio/MSK0031.mp3[209.080,212.720]	UHM AND RASHES
audio/MSK0031.mp3[212.720,213.880]	UH NO
audio/MSK0031.mp3[213.880,217.360]	ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE
audio/MSK0031.mp3[218.640,226.280]	ANY UH YOU EXPERIENCING ANY COUGH UHM SHORTNESS OF BREATH OR WHEEZING
audio/MSK0031.mp3[228.240,232.960]	OK HOW ABOUT CHEST PAIN OR HEART PALPITATIONS
audio/MSK0031.mp3[232.960,237.600]	NO NOT THAT I HAVE EXPERIENCED
audio/MSK0031.mp3[237.600,242.360]	OK AND HOW ABOUT CHANGES YOUR BOWEL MOVEMENTS
audio/MSK0031.mp3[244.080,251.480]	OK HOW ABOUT CHANGES TO URINE
audio/MSK0031.mp3[251.480,256.760]	NO NOTHING
audio/MSK0031.mp3[256.760,261.880]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0031.mp3[261.880,282.880]	YEAH SO I JUST HAVE A UHM I DO HAVE SOME OSTEOARTHRITIS AND THEN I HAVE I TAKE THIS MEDICATION FOR BLOOD PRESSURE ITS CALLED UH RAMIPRIL
audio/MSK0031.mp3[282.880,287.280]	OK OK AND IS THAT THE ONLY MEDICATION THAT YOURE ON
audio/MSK0031.mp3[287.280,296.400]	UH YEAH AND THEN IM JUST ON VITAMINS LIKE VITAMIN CALCIUM AND JUST MULTIVITAMINS
audio/MSK0031.mp3[296.400,304.360]	OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/MSK0031.mp3[305.880,308.880]	YEAH OK ANY ALLERGIES
audio/MSK0031.mp3[308.880,313.120]	UH NO NOT THAT I KNOW OF
audio/MSK0031.mp3[313.120,319.560]	OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/MSK0031.mp3[319.560,328.600]	UHM I THINK UH MY FATHER HE DIED OF A HEART ATTACK IN HIS 60S
audio/MSK0031.mp3[328.600,334.320]	OK OK ANY MUSCULOSKELETAL ISSUES
audio/MSK0031.mp3[334.320,339.080]	UHM NO I DONT THINK SO
audio/MSK0031.mp3[339.080,344.880]	NO UHM HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0031.mp3[344.880,350.320]	NO NOT THAT I KNOW OF
audio/MSK0031.mp3[350.320,353.320]	ANY CANCERS
audio/MSK0031.mp3[353.320,369.480]	UH I THINK MY MY MOTHER HAD SOME SKIN CANCER BUT THE ONES THAT SHE DIDNT NEED ANY SURGERY THEY JUST ZAPPED THEM OFF
audio/MSK0031.mp3[369.480,372.080]	OK UHM AND DO YOU SMOKE
audio/MSK0031.mp3[372.080,373.560]	NO IVE NEVER SMOKED
audio/MSK0031.mp3[373.560,378.080]	OK UHM DO YOU DRINK ALCOHOL
audio/MSK0031.mp3[378.080,386.440]	JUST MAYBE LIKE A WINE WHAT EVERY OTHER DAY A GLASS OF OF WINE
audio/MSK0031.mp3[386.440,391.560]	OK AND THEN DO YOU CONSUME MARIJUANA IN ANY FORM
audio/MSK0031.mp3[394.520,402.400]	OK AND HOW ABOUT IN TERMS OF WHERE YOU LIVE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE
audio/MSK0031.mp3[402.400,414.040]	I LIVE WITH UHM JUST MY HUSBAND AND AND WE JUST LIVE IN A SMALL APARTMENT
audio/MSK0031.mp3[414.040,419.880]	OK AND HAVE YOU BEEN IN TOUCH WITH ANY ANYONE SICK RECENTLY
audio/MSK0031.mp3[419.880,430.120]	UH NO IVE IVE BEEN LIKE AT HOME WITH MY HUSBAND WE HAVENT REALLY LEFT
audio/MSK0031.mp3[430.120,434.920]	OK AND HAVE YOU DONE ANY TRAVEL RECENTLY
audio/MSK0031.mp3[434.920,437.240]	UHM NO IVE JUST STAYED AT HOME
audio/MSK0031.mp3[437.240,457.280]	OK ALRIGHT SO LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW SO IF YOU CAN IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR HIPS AS WELL AS YOUR LEGS DO YOU NOTICE ANY REDNESS OR SWELLING IN THE AREA
audio/MSK0031.mp3[457.280,466.600]	I DO NOTICE SOME SWELLING ITS A LITTLE BIT RED I CANT REALLY SEE TOO MUCH RED
audio/MSK0031.mp3[466.600,479.000]	OK OK ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES LIKE BRUISES
audio/MSK0031.mp3[479.000,489.040]	UH MAYBE SOME BRUISING BUT I I DONT NOTICE ANYTHING ELSE
audio/MSK0031.mp3[489.040,496.760]	OK ALRIGHT AND THEN WHEN YOU PLACE THE BACK OF YOUR HAND ON BOTH HIPS DO YOU NOTICE ANY TEMPERATURE CHANGES IS ONE SIDE WARMER THAN THE OTHER
audio/MSK0031.mp3[496.760,500.680]	ITS A LITTLE BIT WARMER THE RIGHT SIDE THAN THE LEFT
audio/MSK0031.mp3[500.680,518.480]	OK AND DOES ONE LIKE APPEAR TO BE SHORTER OR DOES DOES IT APPEAR TO BE MISALIGNED OR IN ANY SORT OF LIKE STRANGE POSITIONS LIKE OUTWARD TURNING OF YOUR LEG ONE COMPARED TO THE OTHER
audio/MSK0031.mp3[518.480,529.360]	I THINK ITS A BIT BUT LOOK AT IT A BIT LIKE OUTWARD TURNING AND THEN YEAH I WOULD SAY ITS MORE OUTWARD TURNS
audio/MSK0031.mp3[529.360,533.800]	OK AND IF ARE YOU SITTING DOWN RIGHT NOW
audio/MSK0031.mp3[533.800,534.760]	UH YEAH
audio/MSK0031.mp3[534.760,539.440]	OK ARE YOU ABLE TO STAND UP FROM A SITTING POSITION
audio/MSK0031.mp3[539.440,541.960]	I CAN TRY BUT ITS VERY PAINFUL
audio/MSK0031.mp3[544.760,546.400]	YES SHOULD I GO AHEAD AND TRY
audio/MSK0031.mp3[546.400,547.640]	YES PLEASE
audio/MSK0031.mp3[547.640,557.720]	YEAH SO I YEAH I CAN BARELY STAND UP I CANT ITS KIND OF JUST IM JUST SUPPORTING MYSELF WITH MY LEFT LIKE
audio/MSK0031.mp3[557.720,568.640]	OK AND SO I I GUESS YOU CANT DO ANY OF THE LIKE HIP FLEXION OR HIP EXTENSION HIP ABDUCTION OR ADDDUCTION CORRECT
audio/MSK0031.mp3[568.640,572.680]	NO I CAN BARELY MOVE IT
audio/MSK0031.mp3[572.680,577.400]	OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/MSK0031.mp3[577.400,583.520]	NO I THINK I I JUST DONT KNOW IF I NEED SURGERY OR SOMETHING
audio/MSK0031.mp3[583.520,654.720]	YEAH SO IT SOUNDS LIKE YOU HAVE A HIP FRACTURE FROM YOUR FALL UHM SO THE WAY TO TREAT THIS IS A COMBINATION OF SURGERIES AND REHAB AND MEDICATION SO WE WILL DEFINITELY LOOK INTO THE SURGICAL OPTION FIRST WHICH IS DONE USING SOME INTERNAL REPAIR WITH SCREWS OR YOU CAN DO A TOTAL HIP REPLACEMENT OR A PARTIAL HIP REPLACEMENT THE ORTHOPAEDIC SURGEON WILL UH DECIDE LIKE WHICH OPTION IS BEST FOR YOU AFTER WE REFER YOU FOR A CONSULT WITH THEM AND THEN AFTER THAT SURGERY THEYLL LIKELY REFER YOU TO SOME REHAB SO PHYSIOTHERAPY WILL FOCUS ON IMPROVING YOUR RANGE OF MOTION AND STRENGTHENING THE MUSCLES IN THAT AREA UHM AND FOR MANAGEMENT OF PAIN YOU CAN TAKE IBUPROFEN OR ANY OVER THE COUNTER PAIN MEDICATIONS FOR NOW DOES THAT SOUND OK
audio/MSK0031.mp3[654.720,656.400]	YEAH THAT SOUNDS GOOD THANK YOU SO MUCH
audio/MSK0031.mp3[656.400,662.560]	OK GREAT NO PROBLEM
audio/RES0207.mp3[0.000,4.120]	WELL CAN YOU TELL ME WHAT BROUGHT YOU IN TODAY
audio/RES0207.mp3[4.120,20.440]	YEAH I WOKE UP THIS MORNING AND I WAS JUST FEELING SUDDENLY FEELING VERY SHORT OF BREATH AND I JUST WASNT SURE WHAT WAS GOING ON SO I THOUGHT I WOULD COME IN
audio/RES0207.mp3[20.440,32.000]	OK THIS THIS MORNING SUDDENLY FEELING SHORT OF BREATH OK AND THIS COUGH WAS NOT ALSO SOMETHING THAT HAPPENS SUDDENLY THIS MORNING
audio/RES0207.mp3[35.520,39.880]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0207.mp3[39.880,48.840]	UM NO NOT I MEAN IF I I GET A CALL FROM TIME TO TIME WHEN I GET SICK BUT IVE NEVER REALLY FELT SHORT OF BREATH
audio/RES0207.mp3[48.840,55.480]	OK IS THIS COUGH A DRY COUGH OR ARE YOU BRINGING UP ANY SPUTUM
audio/RES0207.mp3[55.480,59.720]	UM ITS A DRY COUGH
audio/RES0207.mp3[59.720,64.600]	OK OK HAVE YOU HAD ANY FEVERS
audio/RES0207.mp3[64.600,79.680]	UM YEAH I CHECKED IT THIS MORNING I WAS LIKE IT WAS KIND OF MILD SO 374 I THINK
audio/RES0207.mp3[79.680,83.680]	OK THAT WAS JUST THIS MORNING
audio/RES0207.mp3[87.000,91.200]	OK OK UH HAVE YOU HAD ANY CHEST PAIN
audio/RES0207.mp3[92.480,100.120]	OK UM HAVE YOU FELT AT ALL LIKE YOURE GOING TO FAINT
audio/RES0207.mp3[100.120,124.640]	NO NO ALTHOUGH I I SHOULD LET YOU KNOW AND MAYBE I DONT KNOW IF ITS RELATED UM BUT I HAD A SEIZURE LAST NIGHT AND I WAS FINE AFTER AND THEN I WENT TO BED UM I DONT KNOW IF THATS RELATED BUT I THOUGHT I SHOULD LET YOU KNOW I DO HAVE A SEIZURE DISORDER I HAVE EPILEPSY
audio/RES0207.mp3[124.640,139.520]	OK OK THANK YOU FOR SHARING THAT WITH ME HAVE YOU EVER HAD ANY ISSUES LIKE THIS FOLLOWING SEIZURES IN THE PAST
audio/RES0207.mp3[139.520,154.360]	NO I USUALLY DONT GET SEIZURES VERY OFTEN UM I KIND OF FORGOT TO TAKE MY MED I THINK THAT MIGHT HAVE YEAH
audio/RES0207.mp3[154.360,166.960]	ALRIGHT OK NO WORRIES UM OK IS THERE ANYTHING IN TERMS OF THIS SHORTNESS OF BREATH AND THIS COUGH IS THERE ANYTHING THAT MAKES IT FEEL WORSE
audio/RES0207.mp3[166.960,168.200]	UM I
audio/RES0207.mp3[168.200,170.840]	IN ANY POSITION
audio/RES0207.mp3[170.840,184.640]	YEAH I I MEAN I HAVENT REALLY BEEN IN A LOT OF POSITIONS LIKE IT JUST STARTED THREE HOURS AGO OR SO SO I HAVENT REALLY
audio/RES0207.mp3[184.640,185.920]	THATS A HARD QUESTION
audio/RES0207.mp3[185.920,190.040]	YEAH I HAVEN’T DONE MUCH SINCE THEN
audio/RES0207.mp3[190.040,193.320]	HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0207.mp3[194.600,197.560]	ANY BELLY PAIN
audio/RES0207.mp3[197.560,199.080]	UH NO
audio/RES0207.mp3[199.080,201.240]	OK ANY DIARRHEA
audio/RES0207.mp3[201.240,207.520]	UH NO NO I DONT
audio/RES0207.mp3[207.520,211.720]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY
audio/RES0207.mp3[211.720,214.880]	UH NO I HAVENT
audio/RES0207.mp3[214.880,220.400]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0207.mp3[220.400,226.160]	NO IVE JUST BEEN AT HOME
audio/RES0207.mp3[226.160,236.240]	OK ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT
audio/RES0207.mp3[236.240,238.960]	UM NO NO I
audio/RES0207.mp3[238.960,242.720]	HAVE LOST ANY OF YOUR SENSE OF TASTE OR SMELL
audio/RES0207.mp3[242.720,245.480]	NO I HAVENT
audio/RES0207.mp3[245.480,249.960]	HAVE YOU HAD ANY SORE THROAT
audio/RES0207.mp3[251.440,254.480]	RUNNY NOSE
audio/RES0207.mp3[256.400,266.360]	OK UHM SO IN TERMS OF YOUR OVERALL HEALTH YOU SAID THAT YOU HAVE EPILEPSY ANY OTHER CHRONIC CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0207.mp3[266.360,268.880]	NO THATS IT
audio/RES0207.mp3[268.880,274.160]	YOU SAID YOU TAKE A MEDICATION WHAT MEDICATION OR MEDICATIONS ARE YOU CURRENTLY TAKING
audio/RES0207.mp3[274.160,278.080]	UM IM TAKING KEPPRA
audio/RES0207.mp3[278.080,285.240]	OK AND NORMALLY ARE YOU HAVING ANY DIFFICULTY REMEMBERING TAKING IT OR WAS IT JUST KIND OF A BRAIN FART
audio/RES0207.mp3[285.240,307.560]	NO IT JUST KIND OF HAPPENED IT WAS IT WAS MY DAUGHTERS BIRTHDAY AND WE KIND OF JUST I USUALLY SORT OF HAVE IT WITH DINNER TIME BUT WE DID THINGS A LITTLE BIT DIFFERENTLY AND HAD LIKE A CELEBRATION EARLIER ON AND SO I COMPLETELY FORGOT BECAUSE I DIDNT HAVE DINNER LATER
audio/RES0207.mp3[307.560,319.080]	OH YEAH THAT MAKES SENSE IT HAPPENS FOR SURE K DO YOU HAVE ANY ALLERGIES
audio/RES0207.mp3[319.440,326.040]	DO YOU HAVE ANY FAMILY HISTORY ANY ANY DISEASES THAT RUN IN YOUR FAMILY
audio/RES0207.mp3[326.040,331.680]	YEAH EPILEPSY RUNS IN THE FAMILY MY MOM HAD IT
audio/RES0207.mp3[331.680,344.720]	OK AND IN TERMS OF YOUR LIFESTYLE YOU SAID THAT YOU HAVE A DAUGHTER SO DO YOU LIVE WITH YOUR FAMILY DO YOU LIVE WITH YOUR DAUGHTER
audio/RES0207.mp3[344.720,349.240]	YEAH YEAH I LIVE WITH MY DAUGHTER AND MY WIFE
audio/RES0207.mp3[349.240,350.920]	HOW OLD IS YOUR DAUGHTER
audio/RES0207.mp3[350.920,352.640]	PARDON ME
audio/RES0207.mp3[352.640,354.040]	HOW OLD IS YOUR DAUGHTER
audio/RES0207.mp3[354.040,356.880]	SHES 16 YEARS OLD
audio/RES0207.mp3[356.880,359.160]	OH WOW SWEET 16
audio/RES0207.mp3[361.680,368.160]	RIGHT OK SO ARE YOU CURRENTLY WORKING
audio/RES0207.mp3[368.160,370.760]	I I AM YEAH
audio/RES0207.mp3[370.760,373.560]	WHAT DO YOU DO FOR WORK
audio/RES0207.mp3[373.560,375.440]	I’M AN ACCOUNTANT
audio/RES0207.mp3[375.440,379.640]	OK COOL ARE YOU WORKING FROM HOME OR STILL WORKING OUT
audio/RES0207.mp3[379.640,382.800]	I’M WORKING FROM HOME YEAH
audio/RES0207.mp3[382.800,385.160]	NICE AND THATS SOUNDS GREAT OK AND UH DO YOU SMOKE
audio/RES0207.mp3[385.160,391.640]	I DON’T NO
audio/RES0207.mp3[391.640,397.440]	DO YOU DRINK ALCOHOL
audio/RES0207.mp3[397.440,401.520]	ON THE WEEKENDS ONE OR TWO CLASS SAYS A WINE
audio/RES0207.mp3[401.520,405.080]	OK AND DID YOU USE ANY OTHER SUBSTANCES
audio/RES0207.mp3[405.080,408.880]	NO I DONT
audio/RES0207.mp3[408.880,429.120]	OK I THINK THAT ABOUT COVERS MY QUESTIONS FOR NOW SO IM GONNA TAKE EVERYTHING WE TALKED ABOUT IM GOING TO GO OVER IT WITH THE DOCTOR WAS WORKING TODAY AND NOW WELL COME BACK SHORTLY AND TALK TO YOU ABOUT THE NEXT STEPS IF THERES ANY TESTS WE WANT TO DO OR HOW WE WANT TO MOVE FORWARD WITH THIS SO
audio/RES0207.mp3[429.120,431.040]	YEAH THATS GREAT
audio/RES0207.mp3[431.040,434.320]	OK SURE SEE YOU SHORTLY
audio/RES0186.mp3[0.000,1.000]	WHAT BRINGS YOU IN
audio/RES0186.mp3[1.000,28.560]	HI THERE IVE BEEN HAVING THIS UHM COUGH THATS BEEN ONGOING FOR THE PAST TWO DAYS AND IVE STARTED TO BECOME SHORT OF BREATH AS WELL EVEN WITH JUST A LITTLE BIT OF EXERTION IVE ALSO BEEN FEELING FEVERISH AND I CHECKED MY TEMPERATURE AND IT WAS 38 POINT UH POINT 5
audio/RES0186.mp3[28.560,36.480]	OK WELL THATS DEFINITELY A FEVER CAN YOU TELL ME A LITTLE BIT ABOUT WHEN THE COUGHING STARTED
audio/RES0186.mp3[36.480,48.920]	YEAH I FIRST NOTICED IT TWO DAYS AGO AND ITS BEEN KIND OF JUST GETTING A LITTLE BIT WORSE OVER THESE LAST TWO DAYS TO THE POINT NOW WHERE IM IM SHORT OF BREATH AS WELL
audio/RES0186.mp3[48.920,57.160]	OK SO THATS SORT OF TWO DAYS AGO AND THEN WHEN DO THE SHORTNESS OF BREATH START
audio/RES0186.mp3[57.160,61.360]	UH THE SHORTNESS OF BREATH HAS BEEN WITHIN THE LAST DAY WITHIN THE LAST DAY
audio/RES0186.mp3[61.360,68.360]	WITHIN THE LAST DAY OK AND THE COUGHING IS THAT I DRY COUGH OR IS IT A WET COUGH
audio/RES0186.mp3[68.360,70.280]	ITS A DRY COUGH
audio/RES0186.mp3[70.280,74.200]	OK UHM SO NO SPUTUM OR BLOOD
audio/RES0186.mp3[74.200,77.760]	NO SPUTUM OR BLOOD IN THE COUGHING
audio/RES0186.mp3[77.760,84.600]	OK THATS GOOD AND ALRIGHT ANY CHEST PAIN
audio/RES0186.mp3[84.600,89.040]	NO I HAVENT HAD ANY CHEST PAIN
audio/RES0186.mp3[89.040,93.000]	OK ANY PALPITATIONS OF YOUR HEART
audio/RES0186.mp3[93.000,98.400]	NO NO HEART PALPITATIONS
audio/RES0186.mp3[98.400,104.240]	OK AND ANY HAVE YOU NOTICED LIKE A RUNNY NOSE OR A STUFFY NOSE
audio/RES0186.mp3[104.240,110.400]	NO I HAVENT REALLY HAD A RUNNY NOSE NO RUNNY NOSE
audio/RES0186.mp3[110.400,116.560]	OK NO RUNNY NOSE THATS GOOD AND THEN ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0186.mp3[116.560,118.920]	NO CHANGES TO VISION OR HEARING
audio/RES0186.mp3[118.920,123.240]	HOW ABOUT CHANGES TO YOUR SMELL OR TASTE
audio/RES0186.mp3[123.240,126.880]	NO CHANGES TO SMELL OR TASTE THATS BEEN BEEN NORMAL
audio/RES0186.mp3[126.880,136.200]	BEEN NORMAL OK THATS GOOD AND HOW ABOUT OF HOW ABOUT WEIGHT LOSS
audio/RES0186.mp3[136.200,141.080]	NO I HAVENT HAD ANY UH ANY WEIGHT LOSS
audio/RES0186.mp3[141.080,145.760]	OK THATS GOOD ANY RASHES
audio/RES0186.mp3[145.760,146.480]	UH NO RASHES
audio/RES0186.mp3[146.480,151.360]	CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0186.mp3[151.360,161.040]	NO I I HAVENT HAD ANY NO DIARRHEA I HAVE HAD A LITTLE BIT OF UH LIKE BELLY PAIN THOUGH
audio/RES0186.mp3[161.040,165.880]	OK OK WHEN DID THE BELLY PAIN START
audio/RES0186.mp3[165.880,178.560]	THATS JUST BEEN UH YEAH WITHIN THE LAST DAY UH AS WELL IT JUST FEELS A BIT UNCOMFORTABLE KIND OF ALL OVER
audio/RES0186.mp3[178.560,187.160]	OK YEAH ALRIGHT UHM AND YOU DONT FEEL GASSY OR OR BLOATED
audio/RES0186.mp3[190.040,194.160]	OK UHM AND NO NAUSEA OR VOMITING
audio/RES0186.mp3[194.160,204.280]	NO I HAVENT HAD ANY AH ACTUALLY I HAVE BEEN A BIT IVE HAD SOME NAUSEA AS WELL LIKE THATS WHAT I FEEL LIKE WITH THAT WITH THE ABDOMINAL PAIN
audio/RES0186.mp3[204.280,212.640]	MHMM OK AND ANY CHANGES IN YOUR SMELL OR TASTE
audio/RES0186.mp3[212.640,221.880]	UHM SO I ACTUALLY YEAH WITH THE SENSE OF SMELL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL NOW THAT YOU ASK AGAIN YEAH SORRY
audio/RES0186.mp3[221.880,227.320]	OK NO WORRIES AND ANY APPETITE CHANGES
audio/RES0186.mp3[227.320,234.600]	YEAH I HAVENT IVE HAD A LOSS OF APPETITE
audio/RES0186.mp3[234.600,240.600]	OK ALRIGHT ALRIGHT AND ARE YOU STILL EATING THE SAME OR A LITTLE BIT LESS
audio/RES0186.mp3[240.600,247.720]	A BIT LESS SO I GUESS I HAVENT BEEN IS HUNGRY I SAY SIMILAR AMOUNT OF TIME JUST REALLY THESE LAST TWO DAYS
audio/RES0186.mp3[247.720,254.560]	YEAH HAVE YOU HAD ANY DIZZINESS OR FAINTING SPELLS
audio/RES0186.mp3[254.560,255.880]	NO I HAVENT
audio/RES0186.mp3[255.880,259.360]	NO ANY MEMORY LOSS OR CONFUSION
audio/RES0186.mp3[260.240,263.520]	NO JOINT ACHES OR MUSCLE ACHES
audio/RES0186.mp3[263.520,280.520]	YEAH IVE HAD LIKE MUSCLE ACHES I GUESS I FEEL LIKE WEVE BEEN GETTING OLDER BUT NO YEAH IVE HAD MUSCLE ACHES THESE LAST COUPLE OF DAYS AS WELL KIND OF GENERALLY ACHY
audio/RES0186.mp3[280.520,287.880]	OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0186.mp3[287.880,296.480]	I HAVE DIABETES TYPE 2 DIABETES AND I HAVE HIGH BLOOD PRESSURE AS WELL
audio/RES0186.mp3[297.720,300.720]	YEAH MY WEIGHTS A BIT A BIT HIGH
audio/RES0186.mp3[300.720,307.080]	OK UHM AND DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS
audio/RES0186.mp3[307.080,315.400]	YEAH SO I TAKE METFORMIN AND I ALSO TAKE AN ACE INHIBITOR AND THATS IT
audio/RES0186.mp3[315.400,322.960]	OK ALRIGHT AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0186.mp3[322.960,324.560]	I BELIEVE SO YES
audio/RES0186.mp3[324.560,329.320]	YEAH OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY
audio/RES0186.mp3[329.320,336.600]	NO I DONT THINK NO NO ALLERGIES
audio/RES0186.mp3[336.600,342.040]	OK ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS
audio/RES0186.mp3[342.040,345.720]	UH NO NOTHING LIKE THAT
audio/RES0186.mp3[345.720,352.800]	OK UHM ALRIGHT ANY HISTORY OF LIKE CANCERS IN THE FAMILY
audio/RES0186.mp3[352.800,355.160]	NO HISTORY OF CANCER IN THE FAMILY
audio/RES0186.mp3[355.160,358.600]	OK DO YOU SMOKE AT ALL
audio/RES0186.mp3[358.600,360.560]	NO NOT I DONT SMOKE
audio/RES0186.mp3[360.560,367.720]	YOU DONT SMOKE OK HOW ABOUT RECREATIONAL DRUGS
audio/RES0186.mp3[367.720,370.360]	NO I DONT USE ANYTHING LIKE THAT
audio/RES0186.mp3[370.360,375.760]	NO OK DO YOU DRINK ALCOHOL
audio/RES0186.mp3[375.760,382.920]	YEAH ILL HAVE LIKE ONE BEER EACH DAY SO YEAH ABOUT YEAH ONE BEER A DAY
audio/RES0186.mp3[382.920,389.400]	ONE BEER A DAY OK AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0186.mp3[389.400,395.560]	UMM SO I LIVE IN A HOUSE WITH WITH MY WIFE AND AH AND OUR SON
audio/RES0186.mp3[395.560,401.120]	OK AND ANYONE AT HOME SICK
audio/RES0186.mp3[401.120,405.920]	UH NOBODYS BEEN SICK AT HOME
audio/RES0186.mp3[405.920,412.280]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN SICK
audio/RES0186.mp3[412.280,433.960]	UH I DONT THINK SO I MEAN IVE BEEN GOING OUT TO DO THE ESSENTIALS AND UHM I I DO WORK OUT AT A FACTORY AH AND SO I MEAN THERE MIGHT HAVE BEEN SOMEBODY THERE BUT IM NOT SURE
audio/RES0186.mp3[433.960,438.440]	OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0186.mp3[438.440,445.040]	UH NO TRAVEL JUST BEEN GOING TO WORK AND DOING THE ESSENTIALS AND HOME
audio/RES0186.mp3[445.040,457.000]	OK THATS GOOD AND ANY REASONS TO BELIEVE YOU HAVE OLD CARPET MOLD ASBESTOS PETS ANYTHING AT HOME THAT COULD BE MAKING YOUR CONDITION WORSE
audio/RES0186.mp3[457.000,463.480]	I DONT BELIEVE SO NO WE YEAH ITS A NEW A NEWER HOME AND WEVE DONE SOME RENOVATIONS
audio/RES0186.mp3[463.480,471.800]	OK THATS GOOD UHM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/RES0186.mp3[471.800,477.960]	NO I WAS JUST WORRIED THAT MAYBE I COULD HAVE COVID
audio/RES0186.mp3[477.960,525.960]	YEAH FOR SURE SO THATS KIND OF TOP ON MY LIST RIGHT NOW TO RULE OUT SO WE WILL DO A COVID SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS IN THE MEANTIME YOU SHOULD ISOLATE FOR FOR ABOUT 14 DAYS AND IF YOUR SYMPTOMS GET WORSE GO TO THE ER AND IF YOURE EXPERIENCING THINGS LIKE WEAKNESS SEIZURES LIKE AND YOURE NOT GETTING ANY BETTER IN A COUPLE OF WEEKS OR YOU FEEL DEHYDRATED OTHERWISE SUPPORTIVE CARE AT HOME KEEPING YOURSELF HYDRATED EATING WELL SLEEPING WELL ALL OF THOSE WILL DEFINITELY HELP AS WELL DOES THAT SOUND OK
audio/RES0186.mp3[525.960,527.640]	YEAH IT DOES THANK YOU
audio/RES0186.mp3[527.640,532.960]	OK YEAH NO PROBLEM
audio/RES0083.mp3[0.000,4.880]	WHAT CAN I DO FOR YOU
audio/RES0083.mp3[4.880,21.480]	IVE BEEN FEELING REALLY JUST BAD THESE LAST COUPLE OF DAYS IVE HAD THESE UH MUSCLE ACHES AND HEADACHE AND COUGH THAT HAVE BEEN REALLY BOTHERING ME
audio/RES0083.mp3[21.480,23.880]	WHEN DID ALL THIS START
audio/RES0083.mp3[23.880,41.480]	SO YEAH ABOUT 3 DAYS AGO I WOKE UP IN THE MORNING WITH UH AND YEAH I STARTED HAVING THESE LIKE MUSCLE ACHES AND A COUGH STARTED KIND OF THAT DAY
audio/RES0083.mp3[41.480,48.320]	OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH IS IT A DRY COUGH OR WET COUGH
audio/RES0083.mp3[48.320,56.320]	ITS A DRY COUGH I HAVENT BROUGHT UP ANY ANY SPUTUM AND NO BLOOD
audio/RES0083.mp3[56.320,64.760]	AND THE MUSCLE ACHES IS IT ALL OVER IS IT SPECIFIC PART OF YOUR BODY
audio/RES0083.mp3[64.760,74.360]	YEAH ITS JUST KINDA ALL OVER JUST FEELS KIND OF ICKY
audio/RES0083.mp3[74.360,81.960]	OK AND HAS THE COUGH GOTTEN BETTER OR WORSE OVER THE PAST THREE DAYS
audio/RES0083.mp3[81.960,94.600]	ITS GOT A LITTLE WORSE I THINK I WOULD SAY ITS A BIT MORE FREQUENT BUT THE COUGH ISNT THAT BAD BUT ITS GOTTEN WORSE
audio/RES0083.mp3[94.600,100.400]	OK AND YOU MENTIONED HEADACHES WHEN DID THOSE START
audio/RES0083.mp3[100.400,121.400]	SO WITHIN THE LAST COUPLE OF DAYS YEAH IVE HAD A HEADACHE WANT TO SAY MOST OF THE TIME AND IVE BEEN USING TYLENOL OR ACETAMINOPHEN TO HELP WITH THOSE ITS TAKEN THE EDGE OFF OF THE HEADACHES FOR SURE
audio/RES0083.mp3[121.400,124.640]	DO YOU USUALLY GET HEADACHES
audio/RES0083.mp3[124.640,132.280]	EVERY ONCE IN A WHILE MAYBE ONCE OR TWICE A MONTH MAYBE EVEN LESS THAN THAT
audio/RES0083.mp3[132.280,137.720]	IS YOUR CURRENT HEADACHE SIMILAR TO THE HEADACHES THAT YOU USUALLY GET
audio/RES0083.mp3[137.720,152.920]	IT IS YEAH ITS YEAH IT FEELS LIKE MY HEAD IS BEING SQUEEZED AND I KIND OF HAVE A PRESSURE WHERE YEAH THAT KIND OF SQUEEZING SENSATION ON MY FOREHEAD
audio/RES0083.mp3[152.920,156.040]	THAT FRONT PART BOTH SIDES LEFT AND RIGHT
audio/RES0083.mp3[156.040,159.200]	YEAH KIND OF BOTH SIDES
audio/RES0083.mp3[159.200,168.320]	IS IT ACCOMPANIED WITH UH SO IS THE HEADACHE WORSE WHEN YOURE IN BRIGHT LIGHT
audio/RES0083.mp3[169.600,183.440]	NO OK IS IT WORSE WHEN ARE YOU TRYING TO STAY IN A DARK ROOM WITH NO SOUND IS IT WORSE WHEN YOURE WHEN PEOPLE ARE TALKING OR THERES LOUD NOISES AROUND YOU
audio/RES0083.mp3[184.320,187.160]	NO ANY NAUSEA OR VOMITING
audio/RES0083.mp3[188.920,195.600]	ANY STIFFNESS IN YOUR NECK ANY DIFFICULTIES MOVING YOUR NECK
audio/RES0083.mp3[195.600,211.920]	NO THATS OK I MEAN A BIT LIKE I DONT KNOW LIKE KIND OF ACHY I GUESS WITH MY UPPER BACK AND SHOULDERS FEEL A BIT SORE BUT YEAH I CAN MOVE MY HEAD AROUND OK
audio/RES0083.mp3[211.920,222.200]	ALRIGHT OK AND UHM LETS SEE SO HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0083.mp3[222.200,226.320]	I DONT THINK SO
audio/RES0083.mp3[226.320,233.720]	OK AND ANY SORE THROAT
audio/RES0083.mp3[234.800,237.720]	RUNNY NOSE CONGESTION
audio/RES0083.mp3[244.040,248.280]	OK UHM ANY OTHER I GUESS ANY DIFFICULTIES BREATHING
audio/RES0083.mp3[248.280,250.760]	NO NO
audio/RES0083.mp3[250.760,253.920]	ANY CHEST PAIN
audio/RES0083.mp3[255.360,260.000]	ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0083.mp3[260.880,262.560]	ANY PAIN YOUR BELLY
audio/RES0083.mp3[262.880,269.120]	CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY FUNCTION
audio/RES0083.mp3[269.120,275.120]	NO I HAVENT HAD ANY DIARRHEA THINGS HAVE BEEN NORMAL
audio/RES0083.mp3[275.120,295.200]	OK GOOD OK I SUPPOSE OK SO YOUVE HAD THIS COUGH AND YOUVE HAD MUSCLE ACHES AND THIS HEADACHE HOW HAS UH SO YOUVE TRIED TYLENOL HAVE YOU TRIED ANYTHING ELSE
audio/RES0083.mp3[295.200,310.160]	NO I JUST USE THE TYLENOL AND I TOOK A TYLENOL COLD AND SINUS AT NIGHT WHICH HELPED WITH THE SLEEPING
audio/RES0083.mp3[310.160,317.720]	OK CAN YOU TELL ME IF YOU HAVE ANY MEDICAL PROBLEMS ANY MEDICAL CONDITIONS
audio/RES0083.mp3[317.720,324.880]	YEAH I HAVE UH HIGH CHOLESTEROL AND YEAH I JUST HAVE HIGH CHOLESTEROL
audio/RES0083.mp3[324.880,337.680]	ANY MEDICATIONS THAT YOURE ON
audio/RES0083.mp3[337.680,343.880]	YEAH I TAKE A STATIN
audio/RES0083.mp3[343.880,348.560]	AND ANY ALLERGIES
audio/RES0083.mp3[348.560,359.000]	UH MAYBE PENICILLIN I THINK I GOT HIVES WHEN I WAS A KID OR SOME SORT OF RASH
audio/RES0083.mp3[359.000,367.160]	I SEE OK AND ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY
audio/RES0083.mp3[367.160,380.000]	I KNOW MY DAD HAD A STROKE WHEN HE WAS IN HIS LATE 70S AND MY MOM HAD HIGH CHOLESTEROL AS WELL
audio/RES0083.mp3[380.000,391.040]	OK OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED
audio/RES0083.mp3[391.040,402.840]	NO I QUIT SMOKING WHEN I HAD MY FIRST KID SO THAT WAS ABOUT YEAH THAT WAS 17 YEARS AGO
audio/RES0083.mp3[402.840,405.880]	OK AND HOW MUCH DID YOU SMOKE BEFORE THAT
audio/RES0083.mp3[405.880,408.120]	I SMOKED ABOUT A HALF A PACK PER DAY
audio/RES0083.mp3[408.120,409.920]	FOR HOW MANY YEARS
audio/RES0083.mp3[409.920,413.360]	FOR ABOUT 12 YEARS I GUESS
audio/RES0083.mp3[413.360,417.200]	OK AND DO YOU CONSUME ALCOHOL
audio/RES0083.mp3[417.200,423.280]	YEAH ILL HAVE THREE OR FOUR GLASSES OF WINE OVER THE WEEKEND
audio/RES0083.mp3[423.280,428.560]	ALRIGHT AND WHAT ABOUT ANY MARIJUANA
audio/RES0083.mp3[428.560,430.040]	UH NO
audio/RES0083.mp3[430.040,434.120]	ANY RECREATIONAL DRUGS
audio/RES0083.mp3[435.280,446.480]	OK DO YOU TAKE ANY HERBAL MEDICATIONS OR ANY VITAMINS OR ANYTHING ELSE OVER THE COUNTER
audio/RES0083.mp3[446.480,463.400]	YEAH I DO TAKE MAGNESIUM AND LIKE VITAMIN AND UH A MULTI VITAMIN
audio/RES0083.mp3[463.400,470.600]	AND DO YOU HAVE YOU HAD ANY CONTACT WITH ANYONE WHO IS SICK OR YOU THINK MIGHT BE SICK
audio/RES0083.mp3[470.600,478.000]	I DONT THINK SO UM EVERYBODY IN MY FAMILY HAS BEEN BEEN OK
audio/RES0083.mp3[478.000,487.480]	HAVE YOU HAD EXPOSURE TO ANYONE OR MET ANYONE WHO YOU THINK MIGHT HAVE HAD COVID
audio/RES0083.mp3[487.480,503.280]	UH WELL I DID GO TO A FAMILY PARTY JUST LAST WEEKEND IT WAS OUTSIDE AND WE WERE MAINTAINING DISTANCING BUT YEAH
audio/RES0083.mp3[503.280,512.000]	ARE YOU VACCINATED
audio/RES0083.mp3[512.000,513.600]	NO NOT YET
audio/RES0083.mp3[513.600,585.800]	NO OK ALRIGHT OK SO YOUVE HAD THIS DRY COUGH AND MUSCLE ACHES AND HEADACHE FOR THE PAST THREE DAYS OR SO AND YOUR SYMPTOMS ARE GETTING A LITTLE BIT WORSE OR YOUR COUGHS GETTING WORSE FOR THE PAST THREE DAYS WERE GONNA IT COULD BE THAT YOU HAVE SOME SORT OF A VIRAL INFECTION LIKE AN UPPER RESPIRATORY INFECTION BUT YOU MIGHT ALSO OR YOU COULD POSSIBLY HAVE COVID SO WELL DO A COVID TEST AND I JUST RECOMMEND THAT YOU STAY HYDRATED AND CONTINUE TO EAT AND DRINK WELL AND AND MONITOR YOUR SYMPTOMS TAKE TYLENOL IT SOUNDS LIKE TYLENOL HAS BEEN HELPING A LITTLE BIT CONTINUE TO TAKE TYLENOL GET LOTS OF REST AND IF YOU HAVE ANY SHORTNESS OF BREATH OR IF YOU FEEL LIKE YOUR SYMPTOMS ARE GETTING WORSE CALL 911 FOR HELP IF YOUR CONCERNED ABOUT YOUR HEALTH AT ALL AND WELL GET A COVID TEST SET UP FOR YOU
audio/RES0083.mp3[585.800,591.720]	OK THANK YOU
audio/RES0072.mp3[0.000,2.720]	SO WHAT BRINGS YOU IN HERE
audio/RES0072.mp3[2.720,16.160]	YEAH IVE HAD THIS SORE THROAT IT STARTED REALLY YESTERDAY AND IVE BEEN HAVING PROBLEMS WITH EATING AND DRINKING
audio/RES0072.mp3[16.160,22.240]	OK SO IT JUST STARTED YESTERDAY HAS IT OCCURRED BEFORE
audio/RES0072.mp3[22.240,25.480]	NOT THIS PAINFUL BEFORE
audio/RES0072.mp3[25.480,31.960]	OK ARE YOU WERE HAVING ANY TROUBLE SWALLOWING JUST SOLIDS OR LIQUIDS AS WELL
audio/RES0072.mp3[31.960,42.760]	IT HURTS TO SWALLOW BOTH WHEN I HAVE SOMETHING REALLY COLD IT HELPS I MEAN ITS EASIER TO DRINK BUT IT STILL HURTS
audio/RES0072.mp3[42.760,50.080]	OK AND ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT
audio/RES0072.mp3[50.080,57.440]	YEAH IVE BEEN NAUSEOUS AND I VOMITED A COUPLE OF TIMES
audio/RES0072.mp3[57.440,59.840]	OK JUST WITHIN THE LAST DAY
audio/RES0072.mp3[59.840,70.400]	YEAH THIS IS OVER THE LAST DAY I VOMITED THREE TIMES YESTERDAY AND ONCE TODAY
audio/RES0072.mp3[70.400,81.280]	OK AND UH WHAT WAS THE COLOR OF THE VOMIT WAS IT JUST FOOD THAT YOU HAD EATEN OR WAS IT GREEN CAN YOU DESCRIBE IT A LITTLE BIT
audio/RES0072.mp3[81.280,99.160]	YEAH SO THE FIRST TWO TIMES IT WAS MORE OF WHAT LIKE THE FOOD THAT I HAD EATEN AND THEN THE LAST TWO TIMES ITS BEEN MORE YELLOWISH GREEN CAUSE I HAVENT REALLY EATEN MUCH SINCE YESTERDAY AFTERNOON
audio/RES0072.mp3[99.160,106.800]	OK AND DID YOU NOTICE ANY BLOOD IN IT AT ALL
audio/RES0072.mp3[106.800,108.480]	NO BLOOD
audio/RES0072.mp3[108.480,118.200]	OK AND DO YOU HAVE ANY IDEA WHAT CAUSED THE NAUSEA OR VOMITING WAS IT AFTER EATING OR LIKE WERE THERE ANY TRIGGERS
audio/RES0072.mp3[118.200,128.240]	I THINK THE FIRST TIME WAS ASSOCIATED WITH LIKE AFTER EATING BUT IM NOT SURE ABOUT THE OTHER ONES
audio/RES0072.mp3[128.240,135.040]	OK AND WITH YOUR SORE THROAT ARE YOU HAVING ANY KIND OF LIKE A GAG REFLEX OR ANYTHING LIKE THAT
audio/RES0072.mp3[135.040,142.280]	YEAH MAYBE A LITTLE BIT MAYBE THATS WHAT PROMPTED IT
audio/RES0072.mp3[142.280,152.120]	OK AND HAS YOUR SORE THROAT BEEN JUST CONSTANT OR DOES IT COME COME AND GO
audio/RES0072.mp3[152.120,156.760]	ITS BEEN PRETTY CONSTANT YEAH
audio/RES0072.mp3[156.760,164.040]	AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 1 TO 10 1 BEING THE LEAST PAIN YOUVE FELT IN YOUR LIFE 10 BEING THE WORST
audio/RES0072.mp3[164.040,171.800]	UH I WOULD SAY UH A 6 ITS PRETTY PAINFUL
audio/RES0072.mp3[171.800,181.520]	OK UM HAVE YOU NOTICED ANY KIND OF LIKE SWELLING AROUND YOUR NECK OR ANY REDNESS IN YOUR THROAT
audio/RES0072.mp3[181.520,190.520]	YEAH I FELT MY NECK THIS MORNING IN THE FRONT OF IT IT DOES FEEL SWOLLEN
audio/RES0072.mp3[190.520,195.360]	OK AND ARE YOU COUGHING AT ALL
audio/RES0072.mp3[195.360,197.960]	NO I HAVENT HAD A COUGH
audio/RES0072.mp3[197.960,206.800]	OK SO NO COUGH BUT ARE YOU PRODUCING ANY SPUTUM OR YELLOW MATERIAL
audio/RES0072.mp3[206.800,209.840]	NO NOTHING LIKE THAT
audio/RES0072.mp3[209.840,212.720]	OK ARE YOU COUGHING UP ANY BLOOD AT ALL
audio/RES0072.mp3[214.800,221.640]	IS THERE ANYTHING THAT MAKES IT BETTER OR WORSE THAT YOU HAVE TRIED
audio/RES0072.mp3[221.640,228.960]	JUST COLD DRINKS
audio/RES0072.mp3[228.960,237.080]	OK AND UH SO YOUVE ALSO HAD NAUSEA AND VOMITING ARE YOU HAVING ANY KIND OF DIARRHEA OR CONSTIPATION
audio/RES0072.mp3[237.080,243.200]	NO BUT IVE HAD A SORE STOMACH
audio/RES0072.mp3[243.200,248.600]	OK AND DID THAT ALSO START YESTERDAY
audio/RES0072.mp3[248.600,257.080]	YEAH ITS JUST BEEN LIKE FAIRLY GENERALIZED FEELS SORE
audio/RES0072.mp3[257.080,261.960]	OK SO NOT IN ANY PARTICULAR AREA JUST KIND OF ALL OVER YOUR STOMACH
audio/RES0072.mp3[261.960,274.800]	YEAH LIKE I MEAN I GUESS SORT OF LIKE IN THE CENTER MORE SO BUT I CANT REALLY PUT ONE FINGER ON THE SPOT
audio/RES0072.mp3[274.800,279.160]	OK AND IS IT CONSTANT OR DOES IT COME AND GO
audio/RES0072.mp3[279.160,283.280]	IT KIND OF COMES AND GOES
audio/RES0072.mp3[283.280,298.960]	OK AND UH IS IT ASSOCIATED WITH EATING FOOD AT ALL OR DOES IT GET BETTER WHEN YOU DEFECATE
audio/RES0072.mp3[298.960,307.960]	I HAVENT NOTICED ANYTHING LIKE THAT MAYBE ITS WORSE AFTER VOMITING THOSE FEW TIMES
audio/RES0072.mp3[307.960,324.960]	I SEE OK YEAH SO YEAH SOMETIMES WITH THE VOMITING YOU CAN ALSO GET SOME SOME DISCOMFORT SO NO DIARRHEA OR CONSTIPATION THOUGH RIGHT
audio/RES0072.mp3[325.840,338.960]	UH SO ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN OR LIKE A RUNNY NOSE ANY ANY OF THOSE SYMPTOMS
audio/RES0072.mp3[338.960,348.080]	NO NOTHING LIKE THAT IVE JUST HAD A HEADACHE AS WELL BUT ITS PRETTY MILD
audio/RES0072.mp3[348.080,353.680]	OK HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER
audio/RES0072.mp3[353.680,368.000]	YEAH I TOOK A TYLENOL CAUSE I STARTED FEELING A LITTLE BIT HOT AS WELL TO HELP ME SLEEP LAST NIGHT
audio/RES0072.mp3[368.000,371.800]	OK HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0072.mp3[371.800,377.840]	YEAH I FELT HOT BUT NO CHILLS
audio/RES0072.mp3[377.840,382.640]	AND DID YOU MANAGE TO GET LIKE A TEMPERATURE AT ALL
audio/RES0072.mp3[383.760,390.160]	OK WE CAN DO THAT HERE TODAY SO YOU JUST FELT LIKE A BIT HOT LAST NIGHT
audio/RES0072.mp3[390.160,395.280]	YEAH LAST NIGHT I FELT PRETTY HOT SWEATY
audio/RES0072.mp3[395.280,405.000]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK OR ANY RECENT TRAVEL AT ALL
audio/RES0072.mp3[405.000,413.360]	I MEAN NOT THAT I CAN THINK OF
audio/RES0072.mp3[413.360,421.640]	OK UHM SO IM JUST GOING TO LIST A FEW SYMPTOMS JUST LET ME KNOW IF YOU HAVE ANY OF THEM DO YOU DO YOU FEEL FATIGUED
audio/RES0072.mp3[425.360,437.040]	DO YOU FEEL THAT YOU HAVE ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANY RASHES OR SKIN CHANGES
audio/RES0072.mp3[437.040,440.840]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0072.mp3[440.840,445.040]	OK ANY CHANGES IN YOUR URINARY PATTERN
audio/RES0072.mp3[447.000,451.960]	OK ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0072.mp3[454.640,460.160]	OK ANY SIGNIFICANT WEIGHT LOSS OVER THE LAST MONTH
audio/RES0072.mp3[460.160,463.520]	NO MY WEIGHT HAS BEEN THE SAME
audio/RES0072.mp3[463.520,476.960]	OK AND HAVE YOU BEFORE THIS ALL STARTED HAVE YOU HAD ANY LIKE CONGESTION RUNNY NOSE OR ANY OTHER COLD LIKE SYMPTOMS
audio/RES0072.mp3[476.960,480.720]	NO IVE FELT WELL OTHERWISE
audio/RES0072.mp3[480.720,492.280]	OK UHM DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE ASTHMA OR ANYTHING ELSE
audio/RES0072.mp3[492.280,496.160]	UH NO
audio/RES0072.mp3[496.160,497.720]	OK SO YOURE HEALTHY
audio/RES0072.mp3[499.760,502.680]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0072.mp3[502.680,505.440]	NO I DONT
audio/RES0072.mp3[505.440,511.520]	OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS REGULARLY
audio/RES0072.mp3[512.160,516.600]	ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0072.mp3[518.200,526.680]	ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS OR ANY CANCERS
audio/RES0072.mp3[526.680,530.040]	NO NOTHING LIKE THAT
audio/RES0072.mp3[530.040,534.280]	OK AND CURRENTLY DO YOU WORK
audio/RES0072.mp3[534.280,540.360]	NO IM JUST GOING TO SCHOOL
audio/RES0072.mp3[540.360,548.400]	OK AND SO CURRENTLY WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH
audio/RES0072.mp3[548.400,564.560]	YEAH SO WE LIVE IN A HOUSE WITH MY PARENTS AND YOUNGER BROTHER AND WEVE BEEN BOTH BACK AT SCHOOL NOW PART TIME AND DOING SOME OF IT AT HOME ONLINE AS WELL
audio/RES0072.mp3[564.560,573.400]	OK SO ANYONE AT ALL THAT YOU NOTICE AT SCHOOL THAT WAS SICK AROUND YOU
audio/RES0072.mp3[573.400,578.960]	NO NOT THAT I AM AWARE OF
audio/RES0072.mp3[578.960,590.240]	OK SO YEAH THIS IS JUST A QUESTION THAT WE ASK EVERYONE DO YOU DRINK ALCOHOL OR SMOKE CIGARETTES OR USE ANY RECREATIONAL DRUGS
audio/RES0072.mp3[590.240,596.040]	UH NO
audio/RES0072.mp3[596.040,605.280]	OK SO THOSE ARE ALL THE QUESTIONS I HAD TO ASK YOU ANYTHING THAT I MAY HAVE MISSED OR ANYTHING YOU WANT TO TELL ME
audio/RES0072.mp3[605.280,615.560]	NO THATS EVERYTHING THATS BEEN HAPPENING OVER THE LAST COUPLE OF DAYS
audio/RES0072.mp3[615.560,672.560]	OK ALRIGHT SO YEAH IT SEEMS THAT FROM YOUR AGE AND SOME OF YOUR SYMPTOMS WE WILL DEFINITELY DO A TESTING FOR STREP THROAT IT SEEMS THAT YOU MEET THAT CRITERIA AND WE ALSO WANT TO MAKE SURE THAT SINCE YOURE HAVING OTHER SYMPTOMS AS WELL JUST TO DO A COVID TEST JUST IN CASE WELL TAKE YOUR TEMPERATURE AS WELL AND WE MIGHT GIVE YOU SOME ANTIBIOTICS AS WELL TO TREAT YOU AND RELIEVE SOME OF THOSE SYMPTOMS SO YEAH JUST HANG TIGHT WELL GET THE SWAB DONE FOR YOU FOR THE COVID TEST AS WELL AS STREP THROAT AND THEN WELL GO FROM THERE
audio/RES0072.mp3[672.560,675.080]	GREAT THANK YOU
audio/RES0072.mp3[675.080,681.200]	YOURE WELCOME TAKE CARE
audio/RES0170.mp3[0.000,3.680]	HOW MAY I HELP YOU TODAY
audio/RES0170.mp3[3.680,28.440]	IM JUST BRINGING MY SON TODAY BECAUSE HES BEEN HOW MANY EPISODES WHERE IM EAT HELL GETS ALL THIS COUGHING FIT AND BECOME WHEEZY AND BECOME SHORTER BREATH AND I MEAN AFTER A PERIOD OF TIME IT GOES AWAY BUT ITS BEEN HAPPENING EVERY SO OFTEN
audio/RES0170.mp3[28.440,31.720]	DOES HE STILL HAVE THESE SYMPTOMS
audio/RES0170.mp3[31.720,78.120]	LIKE RIGHT NOW HES OK WHEN THE SYMPTOMS COME ON THEY LAST FOR I DONT KNOW MAYBE 30 MINUTES 60 MINUTES OR OR EVEN LESS BUT YEAH IT HAPPENS MAYBE ONCE OR TWICE A WEEK WHERE AND ITS BEEN GOING ON FOR A A COUPLE OF MONTHS NOW YEAH HE ACTUALLY HAD A VIRAL INFECTION LIKE A FEW MONTHS AGO AND I THOUGHT IT WAS JUST THAT IT LEARED UP AND THEN HES JUST HAD A FEW MORE OF THESE EPISODES BUT WITHOUT THOSE KIND OF SYMPTOMS SO
audio/RES0170.mp3[78.120,81.280]	HM SO ALL THIS STARTED A COUPLE MONTHS AGO
audio/RES0170.mp3[82.440,96.200]	DO YOU FIND THAT THERE AND YOU MENTIONED THAT IT HAPPENS ABOUT ONE TO TWO TIMES A WEEK IS THERE ANYTHING SPECIFIC HAPPENING AT THAT TIME ANY TRIGGERS THAT RESULT IN THESE SYMPTOMS
audio/RES0170.mp3[96.200,126.640]	WELL I WILL SAY I THINK I LIKE EXERCISE I FIND YEAH LIKE SOCCER PRACTICE YEAH AFTER MAYBE OR EVEN DURING A GAME LIKE WHEN THINGS ARE REALLY INTENSE YEAH I THINK DURING SOCCER IVE IVE KIND OF NOTICED IT AND THEN AT NIGHT TIME AS WELL IT KIND OF RANDOMLY HELL HAVE THIS COUGH
audio/RES0170.mp3[126.640,140.560]	OK SO I GUESS ITS DO YOU FEEL LIKE ITS AFFECTED BY COLD WEATHER AS WELL OR NO
audio/RES0170.mp3[140.560,157.320]	UM MAYBE YEAH LIKE IF HE YEAH COMPLETELY IN THE WINTER TIME LIKE I KNOW WHEN HE GOES OUTSIDE IF HE YEAH HE TAKES LIKE A DEEP BREATH OR SOMETHING LIKE THAT HELL TALK ABOUT HAVING SHORTNESS OF BREATH OR DIFFICULTY BREATHING IN THE COLD WEATHER
audio/RES0170.mp3[157.320,166.760]	OK OTHER THAN THE AND I GUESS THE COUGH IS HE COUGHING UP ANYTHING OR IS IT KIND OF A DRY COUGH
audio/RES0170.mp3[166.760,169.120]	ITS DRY
audio/RES0170.mp3[169.120,178.280]	OK DOES HE HAVE ANY LIKE CHEST PAIN DURING THESE EPISODES
audio/RES0170.mp3[178.280,181.680]	NO HE HASNT SAID ANYTHING LIKE THAT
audio/RES0170.mp3[181.680,185.520]	ALRIGHT ANY FEVERS
audio/RES0170.mp3[185.520,203.360]	NO HE HAD A LITTLE BIT OF A FEVER AT THE THAT ONE TIME A FEW MONTHS AGO BUT HE HASNT SO THATS RIGHT I THINK HE HAD A SOME SORT OF ILLNESS THEN BUT HE HASNT HAD ANY FEVERS
audio/RES0170.mp3[203.360,206.080]	I SEE OK ANY HEADACHES
audio/RES0170.mp3[206.080,213.680]	NO HE HASNT SAID ANYTHING LIKE THAT
audio/RES0170.mp3[213.680,229.440]	OK AND HOW HAS HE HAD ANY OTHER SYMPTOMS SO ANYTHING LIKE RACING HEART OR BELLY PAIN OR MUSCLE ACHES OR ANY CHANGES IN HIS BOWEL MOVEMENTS OR URINARY SYMPTOMS
audio/RES0170.mp3[229.440,239.800]	UH NO I HAVENT HEARD HIM UH I COMPLAIN ABOUT ANYTHING LIKE THAT I THINK ILL EVERYTHING LIKE THATS BEEN NORMAL
audio/RES0170.mp3[239.800,248.720]	OK SO WHEN HE HAS THESE EPISODES HOW LIKE HOW SEVERE ARE THEY SO HOW DIFFICULT IS IT FOR HIM TO BREATHE
audio/RES0170.mp3[248.720,277.960]	AH WELL YOU CERTAINLY WHEN IT FIRST STARTS I MEAN FOR THE FIRST MINUTE OR TWO YEAH HE THAT WHEN I THINK PARTICULARLY AT SOCCER PRACTICE SCHOOL HAVE A REALLY HARD TIME CATCHING HIS BREATH BUT LIKE HE WOULD HE STOPS PLAYING AND RESTS AND REALLY TRIES TO MAKE SURE THAT HE IS I DONT KNOW JUST TRYING TO TO BREATHE AND IT KIND OF GOES AWAY HES BEEN ABLE TO MANAGE IT OK
audio/RES0170.mp3[277.960,294.040]	OK ALRIGHT AND I HAVE THESE SYMPTOMS THAT HAVE INTERFERED WITH HIS DAILY ACTIVITIES DOES HE FOR INSTANCE TRY TO AVOID SOCCER PRACTICE OR DOES HE HAVE DIFFICULTIES FALLING ASLEEP AT NIGHT
audio/RES0170.mp3[294.040,312.400]	YEAH DEFINITELY WAKES HIM UP A FEW AND EVERY ONCE IN AWHILE AT NIGHT AND HE DOES HAVE TO TAKE IT A LITTLE EASIER AT SOCCER FOR SURE SO YEAH I AM THINKING IT IS AFFECTING HIM
audio/RES0170.mp3[312.400,324.880]	OK AND OTHERWISE HAS HE BEEN HAS HE HAD ANY MEDICAL CONDITIONS THAT HES BEEN DIAGNOSED WITH
audio/RES0170.mp3[324.880,336.880]	UH NO WELL HE HAD SOME RASHES WHEN HE WAS YOUNGER THAT HE WOULD GET SOME SOME CREAMS FOR BUT THATS MOSTLY RESOLVED NOW
audio/RES0170.mp3[336.880,341.200]	OK ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0170.mp3[341.200,347.320]	NO HE HASNT HAD ANYTHING LIKE THAT
audio/RES0170.mp3[347.320,358.760]	OK UHM AND JUST GOING BACK TO HIS BIRTH AND YOUR PREGNANCY WERE THERE ANY COMPLICATIONS AT THE TIME OF PREGNANCY
audio/RES0170.mp3[358.760,368.680]	UM THERE WAS A PROLONGED LABOR I THINK BUT HE WAS DELIVERED VAGINALLY AND AT TERM
audio/RES0170.mp3[368.680,370.840]	OK OK THATS GREAT
audio/RES0170.mp3[370.840,378.000]	AND HE OH SORRY I WAS JUST GOING TO SAY NORMAL WEIGHT AS WELL
audio/RES0170.mp3[378.000,384.800]	OK GOOD HAS WAS HE KEPT IN THE IN ICU FOR A COUPLE OF DAYS AFTER WAS HE SENT HOME
audio/RES0170.mp3[384.800,410.680]	I THINK THEY LIKE HE WAS KEPT FOR NOT AN ICU HE WAS KEPT FOR ONE DAY I THINK SO JUST MONITOR FOR INFECTION BECAUSE IT WAS LIKE PROLONGED LABOR BUT HE WAS OK OK SO YEAH WE WERE ABLE TO GO HOME
audio/RES0170.mp3[410.680,424.600]	OK AND I WHAT WAS I GOING TO SAY FORGOT WHAT I WAS GOING TO SAY HOW YEAH HOW HAS THIS GROWTH AND DEVELOPMENT BEEN HAS HE BEEN SEEING HIS DOCTOR REGULARLY ANY CONCERNS THERE
audio/RES0170.mp3[424.600,435.480]	YEAH HES BEEN GOOD WITH WITH GROWTH NO CONCERNS FOR THAT AND HIS DEVELOPMENTS BEEN NORMAL AS WELL HES REACHED ALL OF HIS MILESTONES
audio/RES0170.mp3[435.480,439.560]	OK AND IS HE GOING TO SCHOOL
audio/RES0170.mp3[439.560,464.120]	YEAH YEAH HES BEEN GOING TO SCHOOL HE HASNT REALLY BEEN HE HASNT MISSED WELL HES MISSED ONE OR TWO DAYS ACTUALLY BECAUSE OF THE COUGH LIKE ON NIGHTS THAT HE JUST DIDNT SLEEP WELL SO IN THE MORNING HES JUST WELL NOT NOT FEELING GOOD FOR SCHOOL SO HE HAS MISSED A COUPLE OF DAYS OVER THE LAST FEW MONTHS
audio/RES0170.mp3[464.120,478.560]	OKAY AND DOES HE IS THERE ANY OTHER ANY CONDITIONS THAT RUN IN THE FAMILY INCLUDING THINGS LIKE ASTHMA OR ECZEMA OR ALLERGIC RHINITIS OR ALLERGIES
audio/RES0170.mp3[478.560,501.800]	YEAH SISTER DOES HAVE SOME BAD ALLERGIES HER NOSE RUNS ALL THE TIME AND SHE ALSO HAS THAT ASTHMA HIS SISTER USES AND A DAILY INHALER AND THEN ALSO W1
audio/RES0170.mp3[501.800,515.800]	I SEE OK AND UH HOW ARE THINGS AT HOME IS HE IS HE DOING WELL OTHERWISE LIKE AT SCHOOL AND THINGS LIKE THAT ANY STRESSORS IN HIS LIFE
audio/RES0170.mp3[515.800,524.760]	NO HES BEEN DOING UH HES BEEN DOING WELL AT SCHOOL HE LIKES MATH AND THAT THATS BEEN GOING WELL
audio/RES0170.mp3[524.760,530.480]	OK GREAT HAS HE EVER TRIED ANY PUFFERS
audio/RES0170.mp3[530.480,532.880]	NO HE HASNT ACTUALLY
audio/RES0170.mp3[532.880,538.200]	HAS HE BEEN ON ANY MEDICATIONS
audio/RES0170.mp3[538.200,539.920]	UM HE HE HAS NOT
audio/RES0170.mp3[539.920,543.600]	ANY ALLERGIES THAT HE HAS
audio/RES0170.mp3[543.600,564.880]	NOT THAT IM AWARE OF BUT I I THINK HE MIGHT I MEAN SO LIKE ENVIRONMENTAL OR I DONT KNOW SOMETHING HE DOES GET SYMPTOMS LIKE A RUNNY NOSE AND ITCHY EYES SOMETIMES BUT USUALLY GO AWAY PRETTY PRETTY QUICKLY AND HE DOESNT FUSS ABOUT IT TOO MUCH SO YEAH SO
audio/RES0170.mp3[564.880,620.600]	FROM THE SYMPTOMS THAT YOUVE DESCRIBED SO FAR IT SOUNDS LIKE HE MIGHT ALSO HAVE ASTHMA BUT WE WILL OBVIOUSLY HAVE TO DO SOME TESTING AND CONFIRM THAT UHM AND ALSO ITS GIVEN SORT OF THE RESULTS OR EVEN JUST LIKE GIVING HIS SYMPTOMS PRESCRIBE SOME BUFFERS TO HELP WITH THOSE SYMPTOMS CLEARLY ITS AFFECTING HIS LIFE HE CANT GO TO SCHOOL OR CANT PARTICIPATE IN SOCCER OR SOMETIMES WAKES UP IN THE MIDDLE OF THE NIGHT AND THATS NOT GOOD SO WELL WE CAN BE PRESCRIBED SOME PUFFERS AND SEE IF THOSE HELP AND ALSO GET SOME TESTING DONE DO YOU HAVE ANY OTHER QUESTIONS FOR ME
audio/RES0170.mp3[620.600,630.400]	UHM NO YEAH I WAS JUST WONDERING ABOUT SO LIKE THE WHEEZING AND ALL OF THAT COULD BE WITH FROM ASTHMA TOO
audio/RES0170.mp3[630.400,644.720]	UHM YEAH I WOULD THINK SO BUT AGAIN WELL GET THE TESTING DONE AND SEE IF THERE ARE ANY OTHER ANY OTHER CAUSES
audio/RES0170.mp3[645.000,650.240]	YOU SAID THE WHEEZING SORT OF LASTS ONLY 30 TO 30 MINUTES TO AN HOUR AND THEN GETS BETTER
audio/RES0170.mp3[650.240,655.040]	YEAH I DONT NOTICE THAT ANY OTHER TIMES
audio/RES0170.mp3[655.040,662.240]	YES ITS POSSIBLY I MEAN I WOULD THINK ITS ASTHMA BUT THEN WELL GET THE TESTING DONE AND SEE
audio/RES0170.mp3[662.240,667.560]	OK GREAT THANK YOU
audio/RES0205.mp3[0.000,11.760]	IM GOING TO BE HAVING A CHAT WITH YOU TODAY GET AN IDEA OF HOW THINGS ARE GOING AND THEN ILL GO OVER IT WITH THE OPPOSITION THAT IM WORKING WITH AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS THAT SOUND GOOD TO YOU
audio/RES0205.mp3[12.880,19.280]	I KNOW THAT YOUVE BEEN HAVING EXPERIENCING A COUGH CAN YOU TELL ME A LITTLE BIT ABOUT THAT
audio/RES0205.mp3[19.280,30.120]	YEAH I UM IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND IT JUST DOESNT GO
audio/RES0205.mp3[30.120,34.200]	OK HAVE NEVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0205.mp3[34.200,48.440]	I’M I USUALLY GET A COLD ONCE A YEAR OR SO BUT THE COUGH DOESNT LAST THIS LONG LIKE ITS USUALLY OVER IN A WEEK OR WEEK AND A HALF OR SO
audio/RES0205.mp3[48.440,51.760]	MM AND ITS ITS NOT LETTING UP
audio/RES0205.mp3[52.080,68.200]	OK UM IM GONNA ASK YOU A FEW QUESTIONS ABOUT THE COUGH ITSELF IS THIS A DRY COUGH THAT YOURE EXPERIENCING OR ARE YOU PRODUCING LIKE ANY ANY MUCUS OR COUGHING UP ANYTHING
audio/RES0205.mp3[68.200,76.320]	THERE WAS SOME MUCUS UM EARLIER ON BUT NOW ITS ITS ALL IT’S A DRY COUGH
audio/RES0205.mp3[76.320,82.680]	NOW ITS DRY OK HOW LONG WHAT WAS THE TIMELINE FOR THAT I GUESS HOW LONG
audio/RES0205.mp3[82.680,94.400]	YEAH SO MAYBE FOR THE FIRST FOUR OR FIVE DAYS THERE WAS THIS LIKE WHITISH CLEAR KIND OF MUCUS THAT WAS COMING UP AND THEN AFTER THAT WAS A A DRY COUGH
audio/RES0205.mp3[94.400,105.960]	OK OK AND DO YOU FEEL LIKE THE INTENSITY OF THE COUGH GOT WORSE OVER THE LAST TWO WEEKS OR HAS IT GOTTEN ANY BETTER
audio/RES0205.mp3[105.960,110.600]	KIND OF THE SAME I WOULD SAY
audio/RES0205.mp3[110.600,116.640]	AND HAS THE COUGH GOTTEN MORE FREQUENT OVER THIS TIME AS WELL
audio/RES0205.mp3[118.360,123.840]	HOW OFTEN WOULD YOU SAY THAT YOURE COUGHING
audio/RES0205.mp3[123.840,133.800]	UHM ITS HARD FOR ME TO QUANTIFY MAYBE A COUPLE OF TIMES AN HOUR MAYBE THREE OR FOUR TIMES AN HOUR OR SO
audio/RES0205.mp3[133.800,140.280]	IS THERE ANYTHING YOU CAN THINK OF THAT TRIGGERS THE COUGH OR IS IT SPONTANEOUS
audio/RES0205.mp3[140.280,148.160]	IT’S KINDA SPONTANEOUS UM CANT REALLY THINK OF ANYTHING
audio/RES0205.mp3[148.160,154.000]	OK AND ALONG WITH THE COUGH ARE YOU EXPERIENCING ANY DIFFICULTY BREATHING
audio/RES0205.mp3[156.000,159.080]	OK HAVE YOU NOTICED ANY FEVERS
audio/RES0205.mp3[159.080,162.600]	UHM NO
audio/RES0205.mp3[162.600,167.160]	OK UM HAVE YOU HAD ANY SORE THROAT
audio/RES0205.mp3[167.160,177.320]	UM I DID INITIALLY UM FOR THE FIRST TWO OR THREE DAYS AND THEN THAT GOT BETTER
audio/RES0205.mp3[177.320,180.040]	OK UM HAVE YOU HAD ANY RUNNY NOSE
audio/RES0205.mp3[180.040,196.800]	I DID INITIALLY YEAH I HAVE LIKE HAD ALL THOSE FLU SYMPTOMS FOR THE FIRST COUPLE OF DAYS BUT THE COUGH JUST KINDA STAYED EVERYTHING ELSE RESOLVED IN THE FIRST UHM THREE OR FOUR DAYS I WOULD SAY
audio/RES0205.mp3[196.800,205.360]	OK THANK YOU FOR SHARING THAT HAVE YOU HAD DID YOU HAVE ANY CHEST PAIN AT ANY POINT
audio/RES0205.mp3[205.360,211.120]	NO BUT I GUESS LIKE SOMETIMES WHEN IM COUGHING TOO MUCH MY CHEST HURTS A LITTLE BIT
audio/RES0205.mp3[211.120,215.880]	OK SO IT FEELS KIND OF SORE AFTER ALL THAT
audio/RES0205.mp3[216.480,230.480]	OK OK HAVE YOU BEEN IN CONTACT I GUESS ITS HARD TO SAY BECAUSE IT STARTED A WHILE AGO BUT BEFORE IT STARTED BRINGING CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0205.mp3[230.480,241.280]	I I WORK AT THE HOSPITAL BUT UM IM WEARING PPE ALL THE TIME AND IM VERY CAREFUL SO
audio/RES0205.mp3[241.280,245.920]	OK HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE
audio/RES0205.mp3[250.120,254.560]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0205.mp3[255.600,258.600]	OK ANY BELLY PAIN
audio/RES0205.mp3[258.600,259.760]	UHM NO
audio/RES0205.mp3[259.760,272.240]	OK UM SO IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH HAVE YOU HAD ANY RESPIRATORY PROBLEMS IN THE PAST
audio/RES0205.mp3[273.440,282.080]	OK OR DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULAR THING
audio/RES0205.mp3[282.080,290.120]	I’VE GOT ACID REFLUX AND UH I ALSO HAVE ANXIETY
audio/RES0205.mp3[290.120,295.440]	ARE YOU CURRENTLY TAKING ANY MEDICATIONS
audio/RES0205.mp3[295.440,299.360]	UM I I USED TO NOT ANYMORE
audio/RES0205.mp3[299.360,304.440]	UH WAS THERE ANY PARTICULAR MEDICATION THAT YOU STOPPED RECENTLY
audio/RES0205.mp3[304.440,311.880]	NO NO I USED TO TAKE I USED TO TAKE SOMETHING FOR ANXIETY TWO THREE YEARS AGO
audio/RES0205.mp3[311.880,315.120]	OK AND WHAT DO YOU DO FOR YOUR REFLUX
audio/RES0205.mp3[315.120,332.800]	I JUST AVOID RIGHT NOW IM JUST TRYING TO AVOID THE FOODS THAT MAKE THINGS WORSE FOR ME AND I FEEL LIKE THATS HELPED ME QUITE A BIT UHM SO YEAH I QUITE LIKE ACIDIC FOODS AND CHOCOLATES AND THINGS LIKE THAT
audio/RES0205.mp3[332.800,334.320]	SURE THATS NO FUN
audio/RES0205.mp3[337.520,340.600]	DO YOU HAVE ANY ALLERGIES
audio/RES0205.mp3[340.600,344.080]	JUST HAY FEVER
audio/RES0205.mp3[344.080,349.840]	AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS OR HEART PROBLEMS
audio/RES0205.mp3[355.120,361.880]	OK AND THIS IS IN TERMS OF YOUR LIFESTYLE DO YOU LIVE WITH FAMILY ALONE
audio/RES0205.mp3[361.880,368.280]	I I LIVE WITH MY PARTNER
audio/RES0205.mp3[368.280,373.680]	OK AND DO YOU HAVE ANY KIDS OR PETS LIVING WITH YOU
audio/RES0205.mp3[376.440,378.560]	DO YOU SMOKE
audio/RES0205.mp3[378.560,380.920]	UH I DON’T NO
audio/RES0205.mp3[380.920,382.880]	DRINK ALCOHOL
audio/RES0205.mp3[382.880,387.680]	UM OCCASIONALLY ON CHRISTMAS
audio/RES0205.mp3[387.680,393.920]	OH OK I SEE AND DO YOU USE ANY OTHER SUBSTANCES
audio/RES0205.mp3[395.000,397.720]	OK UHM AND WHAT DO YOU DO FOR WORK
audio/RES0205.mp3[397.720,401.320]	I’M A CLERK AT THE HOSPITAL
audio/RES0205.mp3[401.320,424.480]	OK RIGHT YOU JUST SAY YOU WORKING AT THE HOSPITAL AND UH I CANT THINK I THOUGHT I HAD ANOTHER QUESTION FOR YOU BUT I CANT REMEMBER IT ANYTHING ELSE THAT YOU WANTED TO TELL ME ABOUT THAT I DIDNT ASK YOU
audio/RES0205.mp3[424.480,447.840]	UM NO I GUESS I WAS JUST WONDERING WHY I STILL HAVE A COUGH ITS BEEN SUCH A LONG TIME UM YEAH AND I WAS WONDERING IF I COULD GET ANY MEDICATIONS JUST TO HELP WITH THAT ITS NOT REALLY YEAH ITS EVERYONES LIKE SCARED AT WORK WHEN I COUGH I HAVE I HAVE HAD THE COVID TEST AND I DONT HAVE IT UM SO YEAH
audio/RES0205.mp3[447.840,450.320]	WHEN WE GOT THE LAST TEST DONE
audio/RES0205.mp3[450.320,468.960]	UM I HAD THE TEST DONE WHEN I FIRST STARTED HAVING SYMPTOMS ABOUT TWO WEEKS AGO SINCE THEN IVE BEEN AT HOME AND IM JUST WAITING FOR MY SYMPTOMS TO GET BETTER BUT I YOU KNOW I KIND OF LIKE GET BACK AND I DONT WANT TO BE COUGHING WHEN I GET BACK UM YEAH
audio/RES0205.mp3[468.960,482.800]	OK WELL IM GONNA HAVE A QUICK LISTEN TO YOUR HEART AND LUNGS ILL DO A QUICK PHYSICAL EXAM AND THEN I WILL GO GET THE DOCTOR THAT IM WORKING WITH ALL KIND OF GO OVER EVERYTHING YOU TALKED ABOUT AND THEN WELL COME BACK AND TALK TO YOU ABOUT WHERE TO GO FROM HERE
audio/RES0205.mp3[482.800,484.280]	SOUNDS GREAT
audio/RES0205.mp3[484.280,486.400]	OK WELL THANKS FOR CHATTING WITH ME
audio/RES0205.mp3[486.400,489.000]	YOUR WELCOME
audio/RES0100.mp3[0.000,1.600]	HOW MAY I HELP YOU TODAY
audio/RES0100.mp3[1.600,49.320]	UMM YEAH SO I JUST CAME IN TODAY WITH IVE BEEN HAVING A FEW SYMPTOMS FOR THE LAST I WOULD SAY 5 DAYS SO IVE HAD IT STARTED WITH A SORE THROAT JUST FIVE DAYS AGO KIND OF JUST VERY IRRITATING SORE THROAT SENSATION THATS KIND OF GOTTEN WORSE OVER THE LAST FEW DAYS AND THEN I STARTED GETTING A FEVER FOUR DAYS AGO AND IT HAS BEEN GOING ON FOR THE LAST COUPLE OF DAYS AS WELL AND THE HIGHEST TEMPERATURE I MEASURED ON MYSELF WAS 388 DEGREES CELSIUS AND YEAH SO THAT THATS THATS MY MAIN CONCERN RIGHT NOW
audio/RES0100.mp3[49.320,57.920]	OK AND SINCE THE SORE THROAT STARTED 5 DAYS AGO HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME
audio/RES0100.mp3[57.920,71.240]	I WOULD SAY ITS GETTING WORSE I HAVE SOME PAIN WITH SWALLOWING FOOD AS WELL AS LIKE NOW EVEN WHEN IM TALKING A LITTLE IM GETTING SOME PAIN AS WELL
audio/RES0100.mp3[71.240,77.680]	OK HAVE YOU BEEN ABLE TO MAINTAIN YOUR APPETITE
audio/RES0100.mp3[77.680,85.000]	I DO FEEL LIKE IVE LOST A BIT OF MY APPETITE OVER THE LAST THREE TO FOUR DAYS
audio/RES0100.mp3[85.000,89.840]	OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE
audio/RES0100.mp3[89.840,100.160]	UHM I DONT THINK SO NOT YET I BUT I THINK LIKE THE WAY ITS HURTING RIGHT NOW I FEEL LIKE ITS COMING
audio/RES0100.mp3[100.160,105.240]	ALRIGHT SO HAVE YOU NOTICE ANY LIKE NECK SWELLING
audio/RES0100.mp3[105.240,117.560]	YEAH NOW THAT YOU MENTION IT I I DO HAVE LIKE THESE TWO LUMPS ON THE RIGHT SIDE OF MY NECK LIKE KIND OF RIGHT BELOW THE JAW
audio/RES0100.mp3[117.560,120.960]	OK ARE THEY PAINFUL
audio/RES0100.mp3[120.960,131.000]	UHM NOT NOT REALLY LIKE WHEN IM PRESSING ON THEM THEY DONT REALLY HURT BUT I DEFINITELY HAVE TWO LUMPS
audio/RES0100.mp3[131.000,146.880]	I SEE OK WELL CERTAINLY LOOK INTO THAT ON THE PHYSICAL EXAM OK AND UH AND YOU MENTIONED THAT YOUVE ALSO BEEN REALLY TIRED OVER THESE LAST FEW DAYS
audio/RES0100.mp3[146.880,160.200]	YEAH IVE I HAVENT REALLY HAD MUCH OF AN APPETITE KIND OF JUST IVE SKIPPED WORK JUST TRYING TO TAKE IT EASY LIKE JUST NAPPING THE WHOLE DAY AS MUCH AS I CAN
audio/RES0100.mp3[160.200,172.000]	OK AND SO YOUVE BEEN EXPERIENCING FATIGUE HAVE YOU HAD ANY ANY HEADACHES
audio/RES0100.mp3[172.000,174.560]	NO HEADACHES NO
audio/RES0100.mp3[174.560,180.920]	ALRIGHT HOW ABOUT ANY EYE REDNESS OR RUNNY NOSE OR
audio/RES0100.mp3[180.920,191.280]	UH NO NO RUNNY NOSE OR SO I I DONT HAVE HEADACHES BUT I I I THINK I WAS HAVING SOME BODY ACHES JUST YESTERDAY
audio/RES0100.mp3[191.280,196.440]	OK SO ANY PARTICULAR AREA THAT THATS ACHING
audio/RES0100.mp3[196.440,210.840]	UHM NOT REALLY ITS KIND OF JUST LIKE A GENERAL LIKE I DONT KNOW IF IT WAS IT WAS BECAUSE I WAS LYING AROUND THE WHOLE DAY BUT JUST KIND OF A GENERAL PAIN THROUGHOUT THE BODY
audio/RES0100.mp3[210.840,219.840]	OK AND HAVE YOU BEEN EXPERIENCING ANY DIFFICULTIES OR SORRY HAVE YOU BEEN EXPERIENCING ANY COUGH
audio/RES0100.mp3[219.840,222.320]	NO NOT REALLY
audio/RES0100.mp3[222.320,226.320]	OK HOW ABOUT ANY SHORTNESS OF BREATH OR TROUBLE BREATHING
audio/RES0100.mp3[228.560,232.400]	OK HAVE YOU HAD ANY WHEEZING
audio/RES0100.mp3[232.400,234.720]	NO WHEEZING
audio/RES0100.mp3[234.720,237.560]	ALRIGHT AND HOW ABOUT ANY CHEST PAIN
audio/RES0100.mp3[237.560,240.080]	NO NO NO CHEST PAIN
audio/RES0100.mp3[240.080,250.360]	HAVE YOU HAD ANY HEART PALPITATIONS OR OR FEELING LIKE YOUR HEARTS RACING
audio/RES0100.mp3[252.120,256.560]	OK UHM AND MAYBE YOU HAD ANY LIGHTHEADEDNESS OR OR DIZZINESS
audio/RES0100.mp3[256.560,259.240]	UH NO NOT REALLY
audio/RES0100.mp3[259.240,262.640]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0100.mp3[262.640,281.920]	UHM ACTUALLY YEAH YESTERDAY WHEN I WAS UHM LIKE WHEN I WAS HAVING THE BODY PAIN I ALSO NOTICED A LITTLE BIT OF ABDOMINAL PAIN JUST LIKE ON THE UPPER I WOULD SAY UPPER LEFT SIDE
audio/RES0100.mp3[281.920,290.200]	OK AND AND HOW WOULD YOU DESCRIBE THIS PAIN AND HOW LONG HAS IT BEEN GOING ON FOR
audio/RES0100.mp3[290.200,302.640]	JUST SINCE YESTERDAY ITS ITS NOT REALLY LIKE I WOULD SAY ITS MORE OF A DISCOMFORT THAN A PAIN BUT I DEFINITELY DO FEEL LIKE LIKE SOMETHINGS JUST NOT RIGHT IN THAT AREA
audio/RES0100.mp3[302.640,311.000]	I SEE IS THERE ANYTHING THAT YOU DO THAT THAT MAKES THAT THAT FEELING WORSE OR MAKE THAT MAKE IT BETTER
audio/RES0100.mp3[311.000,317.200]	YEAH LIKE I I TRY NOT TO LIE ON THAT SIDE I HAVE TO GO ON TO THE OTHER SIDE
audio/RES0100.mp3[317.200,320.880]	ALRIGHT DID YOU NOTICE THIS IN THE LAST COUPLE OF DAYS AS WELL
audio/RES0100.mp3[320.880,323.800]	YEAH THAT THAT JUST STARTED YESTERDAY
audio/RES0100.mp3[323.800,328.400]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0100.mp3[329.720,332.680]	HOW ABOUT ANY DIARRHEA
audio/RES0100.mp3[334.440,345.480]	ALRIGHT AND HAVE YOU HAD ANY FEVERS OR OR SORRY YEAH YOU MENTIONED YOU HAD A FEVER OF 382 AND HAVE YOU HAD ANY CHILLS
audio/RES0100.mp3[345.480,362.640]	UHM NO CHILLS WELL YEAH I WOULD SAY A COUPLE NIGHTS AGO I MIGHT HAVE HAD SOME CHILLS BUT MAINLY ITS JUST BEEN IVE BEEN FEELING MORE HOT AND I HAVE BEEN KIND OF GETTING LIKE NIGHT SWEATS
audio/RES0100.mp3[362.640,367.720]	OK YOUVE BEEN HAVING NIGHT SWEATS THIS WEEK OR HAVE THEY BEEN GOING ON LONGER
audio/RES0100.mp3[367.720,370.720]	NO JUST JUST THIS WEEK
audio/RES0100.mp3[370.720,375.680]	ALRIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS
audio/RES0100.mp3[375.680,378.600]	NO ITS BEEN PRETTY STEADY
audio/RES0100.mp3[378.600,386.800]	ALRIGHT AND THE FEVER THIS WEEK HAS IT BEEN THERE THE WHOLE TIME OR HAS IT COME AND GONE
audio/RES0100.mp3[386.800,413.880]	IT KIND OF COMES AND GOES IVE PROBABLY TAKEN TEMPERATURES LIKE EVERY DAY BUT I WOULD SAY ITS DEFINITELY FOR THE LAST FEW DAYS ITS BEEN MORE OF A FEVER LIKE THE NIGHTSWEATS SENSATION BEFORE IT WAS A BIT FINE LIKE BUT THE HIGHEST TEMPERATURES HAVE BEEN IN THE LAST FEW DAYS
audio/RES0100.mp3[413.880,418.320]	OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES
audio/RES0100.mp3[418.320,434.480]	UHM JUST LIKE I I DONT KNOW LIKE I DONT THINK THERE ARE ANY CHANGES BUT I DID NOTICE SOME LIKE KIND OF JUST PINK PINK SPOTS ON MY ARM THE OTHER DAY
audio/RES0100.mp3[434.480,438.120]	OK WELL UH WERE THEY ITCHY
audio/RES0100.mp3[438.120,447.920]	NO THEY WERENT REALLY ITCHY JUST LIKE A COUPLE I WOULD SAY LIKE RAISED NOT RAISED SPOTS JUST LIKE FLAT KIND OF PINKISH SPOTS
audio/RES0100.mp3[447.920,457.160]	OK AND HAS THAT HAS THAT SPREAD ANYWHERE OR HAS IT GONE AWAY
audio/RES0100.mp3[457.160,467.320]	NO HASNT REALLY STARTED SPREADING YET I JUST NOTICED IT ON ON MY ARM AND I I DONT THINK IT HAS REALLY SPREAD AT ALL
audio/RES0100.mp3[467.320,472.520]	OK THIS IS ON ON ONE ARM
audio/RES0100.mp3[473.800,482.160]	OK AND YOUVE HAD SOME BODY ACHES UH HAVE YOU HAD ANY JOINT PAINS
audio/RES0100.mp3[482.160,484.520]	NO JOIN PAINS NO
audio/RES0100.mp3[484.520,488.200]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0100.mp3[489.600,498.280]	ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNERS OR OR PARTNER AND I AND I WAS WONDERING IF YOU USE CONDOMS
audio/RES0100.mp3[498.280,528.480]	YEAH SO I I JUST HAVE ONE PARTNER RIGHT NOW MY FIANCE AND WE UH I ACTUALLY LIKE HAVE IN AN IUSO LIKE WE WE DONT USE CONDOMS BUT LIKE WERE PRETTY HONEST AND SAFE WITH EACH OTHER I FULLY TRUST HIM LIKE HE DOESNT HAVE ANY PARTNERS OR ANYTHING LIKE THAT AND I ONLY HAVE I DONT HAVE ANY OTHER PARTNERS AS WELL
audio/RES0100.mp3[528.480,531.160]	OK HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0100.mp3[531.160,533.000]	NO NEVER
audio/RES0100.mp3[533.000,539.240]	OK ANY CONCERNS CURRENTLY ANY VAGINAL DISCHARGE OR ITCHINESS OR OR PAIN
audio/RES0100.mp3[539.240,542.080]	NO NOTHING LIKE THAT
audio/RES0100.mp3[542.080,547.640]	OK AND HAVE YOU BEEN PREGNANT BEFORE
audio/RES0100.mp3[547.640,550.080]	NO I HAVENT NO
audio/RES0100.mp3[550.080,555.160]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0100.mp3[555.160,569.200]	UHM JUST UH I HAVE HAD JUST ECZEMA IN THE PAST BUT THAT THATS FAIRLY STABLE ITS BEEN TREATED I DONT REALLY HAVE IT ANYMORE
audio/RES0100.mp3[569.200,571.840]	OK DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/RES0100.mp3[571.840,575.880]	CURRENTLY NO NO
audio/RES0100.mp3[575.880,577.960]	ANY ALLERGIES TO MEDICATIONS
audio/RES0100.mp3[579.160,585.480]	ALRIGHT UHM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0100.mp3[587.320,598.000]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOU LIVE WITH AND AND WHERE
audio/RES0100.mp3[598.000,612.560]	YEAH SO IM JUST LIVING WITH MY FIANCE AND THATS WERE LIVING IN LIKE A SMALL APARTMENT AND RIGHT NOW WERE NOT REALLY SEEING ANYONE ELSE REALLY DURING THE PANDEMIC
audio/RES0100.mp3[612.560,616.480]	OK SO HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0100.mp3[616.480,637.280]	I JUST HAD TO GO INTO WORK LIKE ONE DAY LAST WEEK JUST TO GRAB SOME OF MY STUFF BUT DIDNT REALLY COME INTO CONTACT WITH ANYONE MY FIANCE DOES GO TO HIS WORK LIKE A COUPLE LIKE THREE OR FOUR TIMES DURING THE WEEK SO I DONT KNOW IF HE GOT INTO CONTACT WITH ANYONE ITS ITS HARD TO SAY
audio/RES0100.mp3[637.280,645.800]	HAS HE BEEN SICK AT ALL LIKE ANY ANY COUGH SORE THROAT ANYTHING LIKE THAT
audio/RES0100.mp3[645.800,656.280]	HE DID HAVE A SORE THROAT LAST WEEK BUT IT KIND OF JUST WENT AWAY ON ITS OWN IN A COUPLE OF DAYS AND COMPARED TO ME LIKE HIS WAS NOTHING REALLY
audio/RES0100.mp3[656.280,664.120]	OK UH AND HAVE YOU TRAVELED ANYWHERE
audio/RES0100.mp3[666.080,668.000]	AND DO YOU SMOKE CIGARETTES
audio/RES0100.mp3[668.200,672.760]	HOW ABOUT DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
audio/RES0100.mp3[672.760,682.800]	UH PROBABLY SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH
audio/RES0100.mp3[682.800,685.160]	OK SO IT SOUNDS LIKE SOCIALLY
audio/RES0100.mp3[685.480,688.840]	DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0100.mp3[688.840,691.880]	NO NOTHING ELSE
audio/RES0100.mp3[691.880,696.560]	OK AND DO YOU DRINK ALCOHOL
audio/RES0100.mp3[696.560,704.760]	YEAH I PROBABLY HAVE SOME RED WINE EVERY OTHER DAY I WOULD SAY
audio/RES0100.mp3[704.760,708.480]	OK AND THIS IS LIKE ONE GLASS OR TWO
audio/RES0100.mp3[708.480,718.000]	YEAH NO ITS JUST LIKE A NORMAL GLASS OF WINE MAYBE LIKE WE PROBABLY GO THROUGH LIKE A BOTTLE BETWEEN BOTH OF US LIKE EVERY TWO WEEKS MAYBE
audio/RES0100.mp3[718.000,726.680]	OK AND IN THE FAMILY HAS THERE BEEN ANYBODY WHOS HAD ANY CANCERS
audio/RES0100.mp3[726.680,730.120]	NO NO NO CANCER IS IN THE FAMILY
audio/RES0100.mp3[730.120,736.240]	OK HOW ABOUT ANY GENETIC DISEASES OR ANYTHING CONGENITAL THAT RUNS IN THE FAMILY
audio/RES0100.mp3[736.240,739.360]	NOT THAT I KNOW OF
audio/RES0100.mp3[739.360,758.240]	OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY AND SO NEXT WELL GO AHEAD AND GET VITALS AND DO A PHYSICAL EXAM BUT DID YOU HAVE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR ANY OTHER SYMPTOMS MAYBE
audio/RES0100.mp3[758.240,763.480]	NO I DONT THINK SO DO YOU THINK IT CAN BE COVID AT ALL
audio/RES0100.mp3[763.480,832.120]	UHM SO COVID DOES PRESENT IN A VARIETY OF NON SPECIFIC WAYS AND SO IT CERTAINLY COULD BE ON THE DIFFERENTIAL FOR CAUSING A SORE THROAT AND ABDOMINAL PAIN AND AS WELL AS A FEVER HOWEVER IT COULD BE CAUSED BY OTHER THINGS AS WELL UHM CURRENTLY YOUR CONSTELLATION OF SYMPTOMS WITH THE ENLARGED LYMPH NODES IN THE NECK SORE THROAT IT SOUNDS LIKE YOU MAY HAVE UHM AN INFLAMED SPLEEN AS WELL WHICH COULD ALL BE SIGNS AND SYMPTOMS OF SOMETHING CALLED EBV OR OR MONO AND IT SOUNDS LIKE YOU MIGHT HAVE HAD AN EXPOSURE LIKE YOUR HUSBAND OR FIANCE RATHER MAY HAVE HAD THIS LAST WEEK WITH THE SORE THROAT ALL THAT BEING SAID TODAY WELL DO THE MONOSPOT TEST TO CHECK FOR THAT AS WELL AS SOME BLOOD WORK AND WE WILL DO A COVID SWAB AS WELL JUST IN CASE
audio/RES0100.mp3[832.120,835.240]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0100.mp3[835.240,838.680]	THANK YOU
audio/RES0064.mp3[0.000,1.760]	WHAT BRINGS YOU IN
audio/RES0064.mp3[1.760,7.720]	MY CHILD HAS BEEN HAVING A SORE THROAT AND CHILLS YESTERDAY AS WELL
audio/RES0064.mp3[7.720,25.880]	OK SO YOU MENTIONED THE SORE THROAT STARTED THREE TO FOUR DAYS AGO AND THE CHILLS STARTED YESTERDAY AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS
audio/RES0064.mp3[25.880,34.640]	YEAH IT SEEMS LIKE APPETITES GONE DOWN LIKE A LOT OF PAIN IN HIS THROAT ESPECIALLY WHEN SWALLOWING SOLID FOODS
audio/RES0064.mp3[34.640,45.080]	HAVE YOU TAKEN A LOOK INTO HIS THROAT IS IT RED DO YOU SEE ANY YELLOW STREAKING WHITE STUFF ANYTHING LIKE THAT
audio/RES0064.mp3[45.080,55.960]	I DEFINITELY DID TAKE A LOOK YESTERDAY AND DEFINITELY SAW A LOT OF REDNESS I DONT KNOW IF I SAW ANY WHITE OR YELLOW STREAKS BUT DEFINITELY LOOKS VERY RED IN THERE
audio/RES0064.mp3[55.960,60.320]	OK DO HIS TONSILS LOOK ENLARGED
audio/RES0064.mp3[60.320,68.280]	UH EVERYTHING LOOKS SWOLLEN IN THERE I DONT KNOW WHATS WHAT BUT IT DOES LOOK VERY ANGRY IN THERE
audio/RES0064.mp3[68.280,76.560]	OK OK AND HAS HE HAD A STUFFY NOSE OR RUNNY NOSE
audio/RES0064.mp3[76.560,78.800]	NO NOT REALLY NO
audio/RES0064.mp3[78.800,82.560]	ANY LOSS OF TASTE OR SMELL
audio/RES0064.mp3[82.560,84.640]	NO NOTHING LIKE THAT
audio/RES0064.mp3[84.640,93.720]	OK HOW ABOUT CHANGES IN VISION OR HEARING ANY CHANGES IN HER NAILS OR SKIN LIKE RASHES
audio/RES0064.mp3[93.720,95.080]	NO NO RASHES
audio/RES0064.mp3[95.080,101.040]	OK HAVE YOU TAKEN HIS TEMPERATURE AT HOME
audio/RES0064.mp3[101.040,110.600]	NO I THINK HE MIGHT HAVE HAD A FEVER YESTERDAY BUT WE DIDNT REALLY TAKE A TEMPERATURE
audio/RES0064.mp3[110.600,119.040]	OK AND ANY FATIGUE OR EXHAUSTION
audio/RES0064.mp3[119.040,124.880]	ENERGYS PRETTY MUCH THE SAME JUST REALLY COMPLAINING A LOT ABOUT THE THROAT
audio/RES0064.mp3[124.880,131.240]	OK OK HAVE YOU NOTICED ANY SWELLING IN IN THE NECK AREA
audio/RES0064.mp3[131.240,146.080]	UHM I THINK THERE MIGHT BE LIKE A FEW LUMPS NEAR HIS NECK SO I DONT KNOW IF THATS SWELLING BUT DEFINITELY THERE IS THERES A FEW THAT I FELT OVER THE LAST FEW DAYS
audio/RES0064.mp3[146.080,149.240]	OK COUGHING
audio/RES0064.mp3[149.240,155.720]	NO HASNT BEEN COUGHING AT ALL
audio/RES0064.mp3[155.720,162.600]	OK UM AND HOW ABOUT SHORTNESS OF BREATH OR WHEEZING
audio/RES0064.mp3[162.600,164.800]	NO NOTHING LIKE THAT
audio/RES0064.mp3[164.800,168.200]	CHEST PAIN
audio/RES0064.mp3[169.440,172.440]	FEELING LIKE HIS HEART IS RACING
audio/RES0064.mp3[173.760,177.160]	SWELLING IN HIS LIMBS
audio/RES0064.mp3[177.160,178.800]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0064.mp3[178.800,184.600]	OK DIZZINESS OR FAINTING SPELLS
audio/RES0064.mp3[190.680,200.080]	HE WAS COMPLAINING OF A HEADACHE A FEW DAYS AGO BUT IT KIND OF WENT AWAY ON ITS OWN
audio/RES0064.mp3[200.080,202.440]	OK SO THE HEADACHES GONE COMPLETELY NOW
audio/RES0064.mp3[202.440,203.040]	YEAH YEAH
audio/RES0064.mp3[203.040,208.920]	OK HAVE ANY CONFUSION OR MEMORY LOSS
audio/RES0064.mp3[208.920,209.880]	NO NOT THAT I KNOW
audio/RES0064.mp3[209.880,212.880]	JOINT PAIN OR MUSCLE ACHES
audio/RES0064.mp3[214.120,218.840]	OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL
audio/RES0064.mp3[218.840,224.840]	YEAH THEYVE BEEN NORMAL NO DIARRHEA OR CONSTIPATION
audio/RES0064.mp3[224.840,228.280]	OK HOW ABOUT IN NAUSEA OR VOMITING
audio/RES0064.mp3[228.280,232.800]	NO NO HE HASNT TOLD ME ANYTHING ABOUT THAT
audio/RES0064.mp3[232.800,236.360]	ANY APPETITE CHANGES
audio/RES0064.mp3[236.360,251.480]	YEAH JUST WITH THE TROUBLE SWALLOWING IM TRYING TO MAKE SURE THAT HE GETS LIKE LIQUIDS BECAUSE OVER THE LAST FEW DAYS HE CANT TOLERATE LIKE SOLID FOODS AT ALL
audio/RES0064.mp3[251.480,258.320]	YEAH HOW ABOUT A WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0064.mp3[258.320,267.800]	NO NOT REALLY TS JUST BEEN OVER THE LAST FEW DAYS THAT HE HASNT BEEN EATING LIKE HIMSELF
audio/RES0064.mp3[267.800,272.720]	OK ALRIGHT AND HAS HE BEEN HEALTHY OTHERWISE
audio/RES0064.mp3[272.720,283.160]	YEAH OTHERWISE HES A VERY HEALTHY CHILD WE HAVE RARELY GONE TO A DOCTOR FOR HIM BEFORE SO YEAH NOTHING NOTHING ELSE WITH HIM
audio/RES0064.mp3[283.160,289.480]	OK HAVE YOU TRIED ANYTHING FOR HIS SORE THROAT ANYTHING OVER THE COUNTER
audio/RES0064.mp3[289.480,302.800]	WE DID TRY UH LIKE TYLENOL COLD IT HELPED WITH THIS HEADACHE BUT IT DIDNT REALLY HELP WITH HIS SORE THROAT
audio/RES0064.mp3[302.800,307.840]	OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0064.mp3[307.840,310.520]	NO NOT THAT I KNOW OF
audio/RES0064.mp3[310.520,316.600]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0064.mp3[317.640,320.800]	ANY MEDICATIONS THAT HES ON
audio/RES0064.mp3[320.800,322.120]	NO NO MEDICATION
audio/RES0064.mp3[322.120,326.040]	OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0064.mp3[326.040,329.200]	YEAH ALL HIS IMMUNIZATIONS ARE UP TO DATE
audio/RES0064.mp3[329.200,332.320]	OK ANY ALLERGIES
audio/RES0064.mp3[332.320,334.080]	NO NOT THAT I KNOW
audio/RES0064.mp3[334.080,339.240]	OK FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0064.mp3[339.240,345.680]	NO NO LUNG OR HEART CONDITIONS HIS FATHER DOES HAVE DIABETES THOUGH
audio/RES0064.mp3[345.680,350.040]	OK HOW OLD WAS HE WHEN HE WAS DIAGNOSED WITH DIABETES
audio/RES0064.mp3[350.040,357.360]	I THINK PROBABLY IN HIS LATE 30S WITH TYPE 2 DIABETES
audio/RES0064.mp3[357.360,370.080]	TYPE 2 OK AND THEN ANY SICK CONTACTS RECENTLY THAT HE MAY HAVE HAD
audio/RES0064.mp3[370.080,386.240]	I DONT THINK AT HOME AT LEAST UH BUT MAYBE AT SCHOOL LIKE YOU NEVER KNOW WHO THEY ARE IN CONTACT WITH SO IM WONDERING IF HE JUST PICKED IT UP SOMEWHERE FROM SCHOOL
audio/RES0064.mp3[387.720,394.400]	YEAH YEAH THEYRE ALL WEARING MASKS RIGHT NOW BUT I DONT KNOW IF HE PICKED SOMETHING SOMETHING UP FROM HIS CLASSMATES
audio/RES0064.mp3[394.400,401.480]	YEAH FOR SURE OK AND THEN ANY TRAVEL TO ANYWHERE RECENTLY
audio/RES0064.mp3[401.480,408.920]	NO WEVE BEEN AT HOME HAVENT LEFT EVEN TO GO TO LIKE A DIFFERENT CITY HAVE BEEN IN LONDON THE WHOLE TIME
audio/RES0064.mp3[408.920,414.560]	OK YEAH AND WHO DOES HE LIVE WITH AT HOME
audio/RES0064.mp3[414.560,419.480]	SO HE LIVES WITH MYSELF AND HIS DAD
audio/RES0064.mp3[419.480,422.600]	ANY SIBLINGS
audio/RES0064.mp3[422.600,425.160]	NO HES AN ONLY CHILD
audio/RES0064.mp3[425.160,435.240]	OK ANY REASON TO BELIEVE YOU HAVE OLD CARPETS MOLD ASBESTOS ANYTHING THAT COULD BE TRIGGERING HIS SYMPTOMS
audio/RES0064.mp3[435.240,447.280]	YOU KNOW WE DONT HAVE ANY PETS WE DONT HAVE ANY LIKE OLD CARPETS ITS A FAIRLY NEW APARTMENT SO I DONT THINK ANY OF THAT SHOULD BE AN ISSUE
audio/RES0064.mp3[447.280,457.240]	OKAY WELL I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR HIM ANYTHING THAT YOU WANTED TO ADD OR ANYTHING THAT I MISSED TODAY
audio/RES0064.mp3[457.240,471.960]	UH NO I THINK THOSE ARE EVERYTHING I WANTED TO TALK ABOUT BUT I JUST WAS WONDERING IF HE NEEDS TO GET TESTED OR LIKE IF THERES ANYTHING WE CAN DO TODAY FOR HIM
audio/RES0064.mp3[471.960,542.560]	YEAH SO HE DOES SEEM TO BE CHECKING OFF SOME OF THE CRITERIA FOR STREP THROAT SO JUST TO MAKE SURE BECAUSE HE DOES HAVE A SCORE OF RIGHT NOW AT LEAST THREE OR FOUR OR MAYBE EVEN FIVE DEFINITELY OVER FOUR WE CAN PRESCRIBE HIM SOME ANTIBIOTICS BUT WE WILL DO A RAPID STREP TEST FIRST IN THE CLINIC HERE TODAY JUST TO RULE OUT IN OR RULE THAT OUT IF IT COMES BACK POSITIVE AND I GUESS EVEN IF IT ISNT POSITIVE BECAUSE HE CHECKED OFF A LOT OF THE BOXES FOR STREP THROAT WE WILL GIVE HIM A PRESCRIPTION FOR PENICILLIN OR AMOXICILLIN FOR 10 DAYS AND THEN YOU CAN TAKE THAT IF HIS SYMPTOMS DONT GO AWAY IN A DAY OR TWO BECAUSE HIS SYMPTOMS ALSO OVERLAP WITH COVIWE WILL DO A SWAB FOR THAT AS WELL AND YOU SHOULD HEAR BACK WITHIN 24 TO 48 HOURS AND THEN YOU SHOULD ISOLATE FOR 14 DAYS DOES THAT SOUND GOOD
audio/RES0064.mp3[542.560,543.640]	YEAH THAT SOUNDS GOOD
audio/RES0064.mp3[543.640,546.280]	OK GREAT THANK YOU
audio/RES0064.mp3[546.280,551.960]	THANK YOU
audio/RES0050.mp3[0.000,4.720]	I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN
audio/RES0050.mp3[4.720,14.600]	SURE UM I HAVE BEEN COUGHING A LOT IVE BEEN FEELING SHORT OF BREATH AND I JUST FEEL REALLY WHEEZY SO I THOUGHT I SHOULD COME CHECK IT OUT
audio/RES0050.mp3[14.600,18.480]	OK WHEN DID THE COUGH START
audio/RES0050.mp3[18.480,31.360]	IVE ALWAYS HAD A COUGH WELL I GUESS IVE HAD A COUGH FOR THE PAST FIVE YEARS BUT OVER THE PAST THREE DAYS ITS GOTTEN A LOT WORSE
audio/RES0050.mp3[31.360,39.840]	OK DID ANYTHING HAPPEN 3 DAYS AGO THAT HAS BROUGHT THE COUGH ON
audio/RES0050.mp3[39.840,52.080]	UHM NO I WAS I DID GROCERIES I CAME HOME AND THEN I STARTED COUGHING A LITTLE BIT MORE AND I HAVENT BEEN ABLE TO STOP SINCE
audio/RES0050.mp3[52.080,59.400]	OK IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE LIKE MORNING NIGHT
audio/RES0050.mp3[59.400,64.960]	UHM IT SEEMS TO BE WORSE IN THE MORNING
audio/RES0050.mp3[64.960,70.760]	OK AND ARE YOU BRINGING UP ANY SPUTUM
audio/RES0050.mp3[70.760,78.000]	I AM UMM AND IT LOOKS YELLOW AND SOMETIMES EVEN GREEN
audio/RES0050.mp3[78.000,84.880]	OK WITH YOUR COUGH PRIOR TO THREE DAYS AGO WERE YOU BRINGING UP SPUTUM WITH THAT
audio/RES0050.mp3[84.880,89.840]	I GUESS SOME BUT IT WAS CLEAR
audio/RES0050.mp3[89.840,99.720]	OK AND ARE YOU BRINGING UP MORE SPUTUM NOW THE SAME OR LESS
audio/RES0050.mp3[99.720,103.760]	UM MORE SPUTUM AND SPUTUM JUST LOOKS DIFFERENT
audio/RES0050.mp3[103.760,107.240]	OK HAVE YOU NOTICED ANY BLOOD
audio/RES0050.mp3[107.240,110.040]	NO BLOOD
audio/RES0050.mp3[110.040,118.640]	OK AND YOU MENTIONED YOUVE BEEN YOUVE HAD A WHEEZE WHEN YOU DO YOU NOTICE THAT
audio/RES0050.mp3[118.640,124.800]	UHM I ALSO I GUESS I NOTICE THAT MOSTLY LAST NIGHT YEAH
audio/RES0050.mp3[124.800,135.080]	OK UM AND WHAT TYPES OF ACTIVITIES HAVE YOU HAD SHORTNESS OF BREATH
audio/RES0050.mp3[135.080,147.400]	UHM I GUESS WALKING DOING DAY TO DAY THINGS HAS MADE ME FEEL A LITTLE BIT MORE SHORT OF BREATH THAN I USED TO FEEL
audio/RES0050.mp3[147.400,155.280]	OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE COUGH WHEEZE AND SHORTNESS OF BREATH
audio/RES0050.mp3[155.280,163.800]	UM I FEEL A LITTLE BIT MORE TIRED BUT OTHER THAN THAT NO
audio/RES0050.mp3[163.800,169.920]	OK SO A BIT MORE TIRED HOW HAS YOUR SLEEP BEEN
audio/RES0050.mp3[169.920,181.680]	MY SLEEP HAS BEEN UM PRETTY NORMAL ITS BEEN YEAH ITS BEEN THE SAME I GUESS ITS THE COUGHING THATS MAKING ME TIRED
audio/RES0050.mp3[181.680,187.720]	OK HAVE YOU HAD ANY EAR PAIN OR EYE PAIN
audio/RES0050.mp3[187.720,190.120]	EAR PAIN OR EYE PAIN NO
audio/RES0050.mp3[190.120,195.680]	ANY DISCHARGE FROM EITHER EITHER YOUR EARS OR EYES
audio/RES0050.mp3[196.640,199.360]	OK HAVE YOU HAD A RUNNY NOSE
audio/RES0050.mp3[201.120,203.280]	OR FELT CONGESTED
audio/RES0050.mp3[204.600,207.480]	OK HAVE YOU HAD A SORE THROAT
audio/RES0050.mp3[207.480,209.160]	UH NO
audio/RES0050.mp3[209.160,212.800]	OR ANY DIFFICULTY SWALLOWING
audio/RES0050.mp3[212.800,213.680]	UHM NO
audio/RES0050.mp3[213.680,219.320]	CHANGES TO YOUR SENSE OF SMELL OR TASTE
audio/RES0050.mp3[220.720,227.400]	OK HAVE YOU HAD ANY CHANGES IN APPETITE
audio/RES0050.mp3[227.400,229.400]	UH NO I DONT THINK SO
audio/RES0050.mp3[229.400,234.800]	ALRIGHT AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0050.mp3[234.800,236.680]	WEIGHT LOSS NO
audio/RES0050.mp3[236.680,241.600]	OK HOW ABOUT HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0050.mp3[241.600,247.800]	FEVERS OR CHILLS AH NO NO NOTHING LIKE THAT
audio/RES0050.mp3[247.800,249.480]	NIGHTS HOW ABOUT NIGHT SWEATS
audio/RES0050.mp3[250.400,253.000]	HAVE YOU HAD ANY CHEST PAIN
audio/RES0050.mp3[253.000,265.640]	AH NO NO CHEST WELL MY CHEST FEELS I GUESS SOMETIMES I IT FEELS PAINFUL BECAUSE IM COUGHING SO MUCH BUT NOTHING MORE THAN THAT
audio/RES0050.mp3[265.640,272.960]	OK DO YOU GET CHEST PAIN WHEN YOU EXERT YOURSELF PHYSICALLY
audio/RES0050.mp3[272.960,274.360]	UHM NO
audio/RES0050.mp3[274.360,278.560]	OK SO ITS JUST AFTER THE COUGHING
audio/RES0050.mp3[279.760,288.000]	OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THE CHEST PAIN SOME PEOPLE WILL SAY SHARP DULL ACHY
audio/RES0050.mp3[288.000,292.520]	UM I WOULD SAY DULL
audio/RES0050.mp3[292.520,304.120]	OK AND HAVE YOU HAD ANY LIKE HEART PALPITATIONS FEELING LIKE YOUR HEARTS RACING
audio/RES0050.mp3[305.440,314.560]	AND HOW ABOUT ANY EPISODES WHERE YOU FELT LIKE YOU WERE GOING TO FAINT OR YEAH PASS OUT
audio/RES0050.mp3[316.880,325.840]	OK UHM AND HAVE YOU HAD ANY SWELLING IN YOUR FEET ANKLES HANDS
audio/RES0050.mp3[325.840,328.000]	NO NOTHING LIKE THAT
audio/RES0050.mp3[328.000,333.040]	OK AND THEN HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0050.mp3[333.040,335.080]	UM NO
audio/RES0050.mp3[335.080,336.600]	ANY BOWEL PROBLEMS
audio/RES0050.mp3[338.040,343.720]	OK AND THEN ANY JOINT PAINS OR MUSCLE ACHES
audio/RES0050.mp3[343.720,345.960]	NO NOTHING LIKE THAT
audio/RES0050.mp3[345.960,350.520]	AND HOW ABOUT ANY RASHES ANYWHERE
audio/RES0050.mp3[352.080,357.440]	OK AND THEN SORRY HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0050.mp3[357.440,358.920]	UH NO
audio/RES0050.mp3[358.920,363.960]	OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE
audio/RES0050.mp3[363.960,369.960]	UHM I HAVE HIGH BLOOD PRESSURE AND DIABETES
audio/RES0050.mp3[369.960,373.400]	I SEE ARE YOU ON ANY MEDICATIONS FOR THOSE
audio/RES0050.mp3[373.400,389.720]	UM FOR THE BLOOD PRESSURE THE HIGH BLOOD PRESSURE IM ON A BETA BLOCKER AND THEN FOR MY DIABETES IM ON METFORMIN
audio/RES0050.mp3[389.720,395.840]	OK UH DO YOU ARE YOU TAKING ANY OTHER MEDICATIONS
audio/RES0050.mp3[395.840,400.360]	UM JUST SOME CALCIUM AND VITAMIN D
audio/RES0050.mp3[400.360,404.000]	ANY SURGERIES IN THE PAST
audio/RES0050.mp3[406.400,408.080]	ANY ALLERGIES TO MEDICATIONS
audio/RES0050.mp3[410.640,414.120]	OK ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0050.mp3[414.120,427.360]	I BELIEVE SO BUT I RECENTLY LEARNED THAT I SHOULD GET SOMETHING CALLED THE PNEUMOCOCCAL VACCINE I HAVENT GOTTEN THAT YET
audio/RES0050.mp3[427.360,458.440]	YEAH YOURE YOURE RIGHT SO FOR UM IN CANADA OR ANYBODY OR IN ONTARIO AT LEAST ANYBODY WHOS OLDER THAN 65 ITS RECOMMENDED TO GET THIS VACCINE TO PROTECT AGAINST CERTAIN TYPES OF BACTERIAL INFECTIONS TYPE WHICH CAN CAUSE PNEUMONIA SO IT WOULD BE GOOD SOMETHING THAT YOU CAN SET UP WITH YOUR FAMILY DOCTOR
audio/RES0050.mp3[459.080,461.840]	YEAH AND SO ARE YOU SO DO YOU SMOKE CIGARETTES
audio/RES0050.mp3[461.840,465.960]	I USED TO
audio/RES0050.mp3[465.960,470.800]	OK AND HOW MUCH DO YOU SMOKE OR HOW MUCH DID YOU USE TO SMOKE
audio/RES0050.mp3[470.800,479.680]	UM I SMOKED A PACK A DAY AND I SMOKED FOR 45 YEARS BUT I STOPPED TWO YEARS AGO
audio/RES0050.mp3[479.680,489.560]	OK THATS GREAT THAT YOU WERE ABLE TO STOP DO YOU DRINK ALCOHOL
audio/RES0050.mp3[489.560,492.800]	UHM OCCASIONALLY LIKE ONCE EVERY TWO WEEKS
audio/RES0050.mp3[492.800,509.160]	OK AND ANY TRIGGERS THAT YOU CAN THINK OF YOU WERE EXPOSED TO EITHER AT WORK OR HOME LIKE CHEMICALS OR THINGS THAT YOU WERE EXPOSED TO THAT YOU HAD TO BREATHE THAT YOU BREATHE IN
audio/RES0050.mp3[509.160,511.840]	NO NOTHING LIKE THAT
audio/RES0050.mp3[511.840,515.240]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0050.mp3[515.880,522.400]	ALRIGHT AND HAVE YOU BEEN NEAR ANYBODY WHOS BEEN SICK OR HAS SIMILAR SYMPTOMS
audio/RES0050.mp3[522.400,523.960]	UHM NO
audio/RES0050.mp3[523.960,530.200]	ALRIGHT AND ANYBODY IN THE FAMILY HAVE A HEART OR LUNG CONDITION
audio/RES0050.mp3[530.200,532.040]	UM NO
audio/RES0050.mp3[532.040,533.440]	ANY CANCERS IN THE FAMILY
audio/RES0050.mp3[533.440,541.720]	UM THERE WAS A LIVER CANCER
audio/RES0050.mp3[541.720,556.400]	OK AND I THINK THAT OK AND THAT WAS ALL I WANTED TO ASK ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME TODAY
audio/RES0050.mp3[556.400,571.520]	UM NO JUST UM WHAT DO YOU THINK THE PROBLEM IS IVE NEVER FELT THIS BAD WITH MY SHORTNESS OF BREATH BEFORE
audio/RES0050.mp3[571.520,623.240]	YEAH CERTAINLY SO UMM IT IT SOUNDS LIKE IT COULD BE MAYBE A VIRAL INFECTION THAT I BROUGHT ON THIS COUGH AND WORSEN THE SPUTUM THIS COULD BE A BACTERIAL INFECTION IT COULD BE A COPEXACERBATION AND ALSO ONE OF THE OTHER THINGS THAT WE WOULD HAVE TO CONSIDER RIGHT NOW IS COVID AS WELL AND SO WE WILL DO A PCR NASAL SWAB FOR COVID AND A CHEST XXRAY AND SOME OTHER INVESTIGATIONS AS WELL AND UHM WE WILL TRY TO GET TO THE BOTTOM OF WHATS CAUSING YOUR YOUR SHORTNESS OF BREATH
audio/RES0050.mp3[623.240,628.440]	OK THAT SOUNDS GOOD THANK YOU
audio/MSK0035.mp3[0.000,4.400]	HOW MAY I HELP YOU
audio/MSK0035.mp3[4.400,24.400]	IM SO I WAS SKIING YESTERDAY AND I FELL ON MY ARM AND NOW AND ITS ITS MY HANDS VERY PAINFUL AND IT LOOKS SWOLLEN AND BRUISED SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT
audio/MSK0035.mp3[24.400,42.040]	YEAH CERTAINLY ALRIGHT AND SO YOU FELL WHILE WHILE YOURE SKIING SO DID YOU USE YOUR HAND TO BRACE THE FALL LIKE WITH YOUR HAND KIND OF WITH YOUR WRIST EXTENDED BACKWARDS
audio/MSK0035.mp3[42.040,52.080]	YEA YEAH SO I KIND OF YEAH HAD MY ARM STRETCHED OUT AND I FELL RIGHT ON IT
audio/MSK0035.mp3[52.080,56.640]	OK AND DID YOU FEEL PAIN RIGHT AWAY
audio/MSK0035.mp3[59.320,69.760]	OK UM AND DURING THE FALL DID YOU INJURE ANY OTHER PARTS OF YOUR BODY LIKE YOUR ELBOW OR SHOULDER OR EVEN YOUR HEAD
audio/MSK0035.mp3[69.760,78.400]	NO I DONT THINK SO I DIDNT HAVE I DONT HAVE ANY PAIN ANYWHERE ELSE
audio/MSK0035.mp3[78.400,86.520]	OK UHM AND LIKE ARE YOU ABLE TO MOVE YOUR WRIST CURRENTLY
audio/MSK0035.mp3[86.520,92.280]	I CAN BUT ITS VERY PAINFUL
audio/MSK0035.mp3[92.280,99.640]	OK AND SO WHEN DID THIS HAPPEN WAS IT YESTERDAY
audio/MSK0035.mp3[99.640,102.520]	AH YES IT WAS YESTERDAY
audio/MSK0035.mp3[102.520,109.400]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IS ITS A SHARP PAIN DULL PAIN ACHY
audio/MSK0035.mp3[109.400,112.080]	ITS PRETTY SHARP
audio/MSK0035.mp3[112.080,120.280]	SHARP OK AND ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE LIKE DOWN INTO YOUR HAND OR UP INTO YOUR ARM
audio/MSK0035.mp3[120.280,136.640]	UHM NO ITS PRETTY LOCAL THE PAIN YEAH ITS PRETTY ITS RIGHT BELOW THE THUMB AREA AND JUST KIND OF ON MY WRIST AN ON THE RIGHT SIDE
audio/MSK0035.mp3[136.640,147.880]	OK IS THERE ANYTHING YOUVE DONE THATS MADE IT THAT MADE IT BETTER LIKE HAVE YOU TRIED ANY MEDICATIONS OR ANY ICE OR TOPICAL CREAMS
audio/MSK0035.mp3[147.880,157.960]	IVE BEEN TAKING IBUPROFEN FOR THE PAIN AND TRY NOT TO MOVE IT TOO MUCH AND THATS BEEN HELPING A LITTLE BIT
audio/MSK0035.mp3[157.960,166.360]	OK AND IS THE PAIN CONSTANT OR INTERMITTENT
audio/MSK0035.mp3[166.360,171.440]	ITS CONSTANT
audio/MSK0035.mp3[171.440,178.320]	OK AND HAVE YOU DONE ANYTHING THATS THATS MADE THE PAIN WORSE
audio/MSK0035.mp3[178.320,184.480]	UM I GUESS MOVING IT
audio/MSK0035.mp3[184.480,191.640]	OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 WITH 10 BEING THE WORST PAIN YOUVE EVER FELT
audio/MSK0035.mp3[191.640,197.240]	I GIVE IT LIKE A FIVE OR SIX
audio/MSK0035.mp3[197.240,202.080]	OK HAVE YOU HAD AN INJURY LIKE THIS TO YOUR WRIST OR YOUR HAND BEFORE
audio/MSK0035.mp3[203.960,216.080]	ALRIGHT AND ARE YOU HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS TINGLING OR OR SENSORY LOSS OVER ANY AREAS
audio/MSK0035.mp3[219.320,226.000]	OK AND HOW ABOUT MUSCLE WEAKNESS
audio/MSK0035.mp3[227.720,232.760]	ALRIGHT AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/MSK0035.mp3[232.760,234.360]	NOTHING LIKE THAT
audio/MSK0035.mp3[234.360,237.360]	UM HAVE YOU BEEN HAVING ANY HEADACHES
audio/MSK0035.mp3[238.680,247.640]	HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR HEARING OR LOSS OF SMELL OR LOSS OF TASTE
audio/MSK0035.mp3[247.640,251.800]	NO NOTHING LIKE THAT
audio/MSK0035.mp3[251.800,255.480]	OK HAVE YOU HAD A RUNNY NOSE OR OR FELT CONGESTED
audio/MSK0035.mp3[256.840,259.360]	HAVE YOU HAD A SORE THROAT OR A COUGH
audio/MSK0035.mp3[260.680,264.680]	HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING
audio/MSK0035.mp3[265.760,267.760]	HAVE YOU HAD ANY CHEST PAIN
audio/MSK0035.mp3[269.040,273.560]	HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/MSK0035.mp3[273.560,274.600]	UH NOPE
audio/MSK0035.mp3[274.600,277.640]	HAVE YOU HAD ANY DIZZINESS OR FAINTING
audio/MSK0035.mp3[279.480,286.920]	OK YEAH AND SO DID YOU LOSE CONSCIOUSNESS AT ALL DURING THE FALL
audio/MSK0035.mp3[288.680,294.160]	OK AND AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0035.mp3[296.360,299.400]	ANY ABDOMINAL PAIN
audio/MSK0035.mp3[300.680,306.440]	ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL
audio/MSK0035.mp3[306.440,308.000]	UHM NOPE
audio/MSK0035.mp3[308.000,313.680]	OK AND HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/MSK0035.mp3[313.680,316.000]	UH NO NOTHING LIKE THAT
audio/MSK0035.mp3[316.000,325.720]	ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS OR LIKE ANY OTHER MUSCULOSKELETAL PAINS BESIDES THE WRIST
audio/MSK0035.mp3[330.640,337.320]	OK AND HAVE YOU HAD ANY APPETITE LOSS OR OR FATIGUE
audio/MSK0035.mp3[338.840,341.360]	ALRIGHT AND HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0035.mp3[342.120,349.880]	AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/MSK0035.mp3[349.880,351.600]	UHM NO
audio/MSK0035.mp3[351.600,358.480]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST OR DO YOU SEE A PHYSICIAN REGULARLY FOR ANY REASON
audio/MSK0035.mp3[358.480,360.320]	UH NO
audio/MSK0035.mp3[360.320,367.600]	OK SO UH DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER
audio/MSK0035.mp3[367.600,368.560]	UH NOPE
audio/MSK0035.mp3[368.560,376.080]	ALRIGHT AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0035.mp3[377.000,379.680]	OK AND YOU HAVE ANY ALLERGIES
audio/MSK0035.mp3[382.640,385.560]	ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0035.mp3[385.560,392.880]	UM I THINK SO I THINK I JUST NEED TO GET THE GARDASIL
audio/MSK0035.mp3[392.880,401.880]	OK HAVE YOU GOTTEN LIKE THE FIRST DOSE OF THAT YET OR ARE YOU STILL STILL WAITING TO GET THAT
audio/MSK0035.mp3[401.880,404.280]	IM STILL WAITING TO GET THAT
audio/MSK0035.mp3[404.280,414.920]	OK AND COULD YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND AND WHEREABOUTS
audio/MSK0035.mp3[414.920,418.240]	I LIVE BY MYSELF IN AN APARTMENT DOWNTOWN
audio/MSK0035.mp3[418.240,425.120]	OK IM AN ARE YOU IN SCHOOL OR ARE YOU WORKING RIGHT NOW
audio/MSK0035.mp3[425.120,428.600]	IM IN SCHOOL
audio/MSK0035.mp3[428.600,432.320]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0035.mp3[432.320,438.760]	UH NO NO ONES BEEN SICK AROUND ME I HAVENT REALLY BEEN LEAVING MY HOME
audio/MSK0035.mp3[438.760,446.400]	I SEE OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0035.mp3[446.400,448.960]	UH NOPE
audio/MSK0035.mp3[448.960,458.440]	ALRIGHT AND JUST STAYING ACTIVE WHICH IS GOOD DO YOU DO ANY OTHER ACTIVITIES BESIDES THE SKIING
audio/MSK0035.mp3[458.440,470.400]	I DO I LIKE I GO SNOWBOARDING IN THE WINTER I GO CAMPING I LIKE PLAYING TENNIS AND VOLLEYBALL
audio/MSK0035.mp3[470.400,476.000]	OK COOL YEAH IT SOUNDS FUN AND LIKE DO YOU SMOKE CIGARETTES
audio/MSK0035.mp3[476.000,477.200]	NO I DONT
audio/MSK0035.mp3[477.200,482.880]	OK UH DO YOU DRINK ALCOHOL
audio/MSK0035.mp3[482.880,486.800]	ILL HAVE A BEER ONCE IN AWHILE
audio/MSK0035.mp3[486.800,489.200]	OK HOW OFTEN IS ONCE IN AWHILE LIKE HOW MANY DRINKS PER WEEK
audio/MSK0035.mp3[489.200,496.440]	OH NOT THAT MANY ILL MAYBE HAVE LIKE 2 EVERY OTHER WEEK
audio/MSK0035.mp3[496.440,502.640]	I SEE OK AND YOU USE CANNABIS OR OR ANY CANNABIS PRODUCTS
audio/MSK0035.mp3[502.640,508.800]	ILL TAKE AN EDIBLE ONCE IN AWHILE AS WELL LIKE MAYBE ONCE A MONTH
audio/MSK0035.mp3[508.800,515.200]	OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS
audio/MSK0035.mp3[515.760,523.040]	ALRIGHT AND IN THE FAMILY ARE THERE ANY HISTORY OF NEUROLOGICAL OR MUSCULOSKELETAL PROBLEMS
audio/MSK0035.mp3[524.920,531.120]	HOW ABOUT ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM
audio/MSK0035.mp3[531.600,545.160]	OK SO NEXT I WILL ASK YOU TO JUST HAVE A LOOK AT THE WRIST FOR THE PHYSICAL EXAM PORTION ARE YOU SEEING ANY SWELLING OR REDNESS
audio/MSK0035.mp3[545.160,547.640]	UHM NO I DONT SEE ANYTHING LIKE THAT
audio/MSK0035.mp3[547.640,556.800]	OK AND IF YOU TOUCH THE JOINTS AROUND THE WRIST ON BOTH SIDES IS THE RIGHT WRIST DOES IT FEEL HOT
audio/MSK0035.mp3[556.800,565.880]	NO ACTUALLY YES IT DOES
audio/MSK0035.mp3[565.880,569.800]	OK ALRIGHT AND BUT THERES NO SWELLING THERE
audio/MSK0035.mp3[569.800,576.400]	UHM THERES MAYBE A LITTLE BIT OF SWELLING COMPARED TO MY LEFT
audio/MSK0035.mp3[576.400,584.280]	OK AND ARE YOU NOTICING ANY MUSCLE ATROPHY OR OR ANY DEFORMITY AT THE WRIST
audio/MSK0035.mp3[584.280,588.880]	UH I GUESS THERES LIKE A SLIGHT BRUISE
audio/MSK0035.mp3[588.880,598.200]	OK AND ARE THERE ANY LIKE RAISED BUMPS IF YOU PUT YOUR FINGER OVER IT OVER THE BONY EDGES
audio/MSK0035.mp3[598.200,605.000]	UHM NO BUMPS BUT JUST A GENERAL KIND OF SWELLING IN THE AREA THAT MAKES IT LOOK RAISED
audio/MSK0035.mp3[605.000,622.880]	ALRIGHT AND AND IF YOU PALPATE OR PRESS ON SOME AREAS OF THE WRIST ARE THERE ANY AREAS THAT YOURE FEELING PAIN LIKE AT THE DISTAL RADIAL HEAD THE DISTAL ULNA UH OR ANY AREAS OF THE WRIST
audio/MSK0035.mp3[622.880,628.960]	UHM THERES SOME PAIN AT THE DISTAL RADIUS FOR SURE
audio/MSK0035.mp3[628.960,641.400]	OK UH ALRIGHT AND IS THIS ON THE BACK OF THE HAND OR THE THAT THE PALM SIDE
audio/MSK0035.mp3[641.400,645.160]	ITS ON THE PALM SIDE
audio/MSK0035.mp3[645.160,666.440]	OK DO YOU FEEL ANY PAIN IF YOU PUSH IN THE WHATS CALLED THE ANATOMICAL STUFF BOX SO ITS AT THE BASE OF THE THUMB UM ON YEAH THE BASE OF THE THUMB ON THE BACK OF YOUR HAND
audio/MSK0035.mp3[666.440,676.360]	BASE OF THE THUMB UM NO I DONT FEEL ANY PAIN THERE
audio/MSK0035.mp3[676.360,687.320]	OK AND OK SO NO PAIN AT THE THE DORSAL ANATOMICAL SNUFFBOX AND IN TERMS OF RANGE OF MOTION ARE YOU ABLE TO FLEX AND EXTEND YOUR WRIST
audio/MSK0035.mp3[687.320,689.280]	I AM
audio/MSK0035.mp3[689.280,695.320]	OK AND THEN HOW ABOUT MOVE IT LIKE SIDE TO SIDE KIND OF DEVIATING IT
audio/MSK0035.mp3[695.320,701.680]	UHM I CAN DO ALL OF THESE THINGS IT JUST HURTS A LOT
audio/MSK0035.mp3[701.680,705.920]	OK ARE YOU ABLE TO MAKE A FIST
audio/MSK0035.mp3[706.520,714.480]	ALRIGHT AND DO YOU HAVE ANY PROBLEMS AT THE ELBOW OR ARE YOU ABLE TO FLEX AND EXTEND THE ELBOW OK
audio/MSK0035.mp3[714.480,716.840]	I CAN FLEX AND EXTEND OK
audio/MSK0035.mp3[716.840,727.240]	OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO CHECK TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS
audio/MSK0035.mp3[727.240,743.520]	UHM NO JUST DO I NEED ANY SORT OF SURGERY FOR THIS AND DO I NEED AN X RAY HOW DO I GO ABOUT TRYING TO TREAT THIS
audio/MSK0035.mp3[743.520,817.520]	YEAH SO I THINK I IT XRAY WOULD BE THE FIRST STEP HERE BECAUSE FROM WHAT YOURE DESCRIBING AND PARTICULARLY WITH THE MECHANISM OF THE INJURY AND WHERE YOURE FEELING PAIN CAN BE A COMMON CAUSE OF A DISTAL RADIAL RADIAL FRACTURE WHICH IS ONE OF THE FOREARM BONES AND SO YEAH WE WILL NEED AN XRAY TO LOOK TO SEE IF THERE IS A DISTAL RADIAL FRACTURE AND ITS NOT SOUNDING LIKE THIS RIGHT NOW BUT ANOTHER THING THAT WILL LOOK FOR ON ON THE X RAY OF THE HANDS TOO IS A SCAPHOID FRACTURE TO MAKE SURE THAT THATS OK BUT YOU DIDNT HAVE ANY PAIN IN THE AREA OF THE SCAPHOID WHICH IS REASSURING BUT WE STILL WANT TO IMAGE AND MAKE SURE ALTHOUGH THAT MOST LIKELY THING WOULD BE THE DISTAL RADIAL FRACTURE AN IF THATS THE CASE THEN THERE WILL BE LIKE WE WILL HAVE TO GO INTO A CAST FOR A PERIOD OF TIME AND DEPENDING ON HOW MUCH JOINT INVOLVEMENT THERE IS THERE MIGHT BE THE POSSIBILITY OF SURGERY BUT CANNOT COMMENT TOO MUCH ON ON THAT JUST YET WE WILL NEED TO GET THE IMAGING FIRST
audio/MSK0035.mp3[817.520,821.680]	OK OK THAT SOUNDS GOOD THANK YOU
audio/MSK0027.mp3[0.000,1.800]	HOW MAY I HELP YOU
audio/MSK0027.mp3[1.800,21.480]	HI IM HERE WITH MY 3 YEAR OLD DAUGHTER AND SHES BEEN HOLDING HER ELBOW AWKWARDLY AND UM SHE SEEMS LIKE SHES IN PAIN AND SO I WAS JUST WONDERING IF LIKE SOMETHING HAPPENED TO HER ELBOW AND IF YOU CAN FIX IT
audio/MSK0027.mp3[21.480,37.960]	YEAH FOR SURE OK SO IS SHE HOLDING HER ARM LIKE ANY PARTICULAR POSITION LIKE WITH HER ELBOW KIND OF FLEXED OR IS HER ARM EXTENDED
audio/MSK0027.mp3[37.960,48.120]	ITS IT SEEMS KIND OF FLEX IS HOLDING IT AWKWARDLY AND SHE CANT SHE SHES NOT SHES NOT STRETCHING IT
audio/MSK0027.mp3[48.120,54.960]	OK UHM AND WHEN DID THIS START WHEN DID YOU FIRST NOTICE
audio/MSK0027.mp3[54.960,60.760]	I NOTICE THIS YESTERDAY
audio/MSK0027.mp3[60.760,66.720]	OK AND AND I HAD SHE BEEN HOLDING HER HER ARM KIND OF LIKE THIS THE WHOLE TIME
audio/MSK0027.mp3[66.720,84.640]	YEAH THERES JUST LIKE A SLIGHT BEND TO IT ITS NOT FULLY STRAIGHTENED ITS NOT FULLY LIKE FULLY FLEXED ITS JUST KIND OF HANGING OUT HER SIDE
audio/MSK0027.mp3[84.640,94.200]	OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE PAIN WORSE
audio/MSK0027.mp3[94.200,106.520]	UHM NO I DONT THINK SO I THINK NO I THINK SHE SHES JUST BEEN HOLDING IT AWKWARDLY LIKE THAT I IM ASSUMING SO IT DOESNT CAUSE MORE PAIN
audio/MSK0027.mp3[106.520,112.880]	OK AND IS THE PAIN SHARP BURNING OR ACHY
audio/MSK0027.mp3[112.880,117.760]	I THINK ITS ITS ITS SHARP
audio/MSK0027.mp3[117.760,128.760]	A SHARP PAIN OK AND DOES THE PAIN RADIATE ANYWHERE ELSE LIKE PAIN IN THE HAND OR WRIST OR PAIN UP INTO THE ARM OR SHOULDER
audio/MSK0027.mp3[128.760,132.160]	I DONT THINK SO
audio/MSK0027.mp3[132.160,154.320]	OK AND HAS THERE BEEN LIKE WAS THERE ANYTHING THAT HAPPENED AROUND THE TIME THAT YOU FIRST NOTICED HER HOLDING HER ARM LIKE THIS SUCH AS A FALL OR MAYBE LIKE SOMEBODY PULLING ON ON HER HAND LIKE SWINGING HER FROM HER ARM OR ANYTHING LIKE THAT
audio/MSK0027.mp3[154.320,164.520]	UM I KNOW HER FATHER WAS SWINGING HER ARMS YESTERDAY THEY WERE PLAYING IN THE PARK SO MAYBE
audio/MSK0027.mp3[164.520,178.240]	OK SO JUST UH SHES SWINGING FROM ARMS YESTERDAY OK AND HAS SHE TALKED ABOUT HAVING ANY NUMBNESS OR TINGLING
audio/MSK0027.mp3[179.720,185.080]	OK AND ANY MUSCLE WEAKNESS THAT YOUVE NOTICED
audio/MSK0027.mp3[185.080,191.200]	AH NO NO MUSCLE WEAKNESS
audio/MSK0027.mp3[191.200,195.760]	OK AND HAS SHE HAD ANY
audio/MSK0027.mp3[195.760,197.800]	FEVERS OR CHILLS
audio/MSK0027.mp3[199.440,202.200]	OK AND IT HAS SHE HAD ANY HEADACHES
audio/MSK0027.mp3[203.360,209.040]	HAS SHE HAD ANY SENSORY CHANGES LIKE ANY ISSUES WITH VISION OR HEARING
audio/MSK0027.mp3[209.040,210.200]	UHM NO
audio/MSK0027.mp3[210.200,213.360]	ANY ISSUES WITH SENSE OF SMELL OR TASTE
audio/MSK0027.mp3[214.360,217.440]	HOW SHE HAD A COUGH OR SORE THROAT
audio/MSK0027.mp3[219.120,223.080]	OK HAS SHE HAD ANY NIGHT SWEATS
audio/MSK0027.mp3[224.320,226.960]	AND HAS SHE HAD ANY WEIGHT LOSS
audio/MSK0027.mp3[229.400,236.800]	OK  AND YOU HAS SHE HAD A RUNNY NOSE OR SORE THROAT
audio/MSK0027.mp3[237.960,240.080]	HOW ABOUT A COUGH OR SHORTNESS OF BREATH
audio/MSK0027.mp3[241.520,245.320]	HAS SHE HAD ANY WHEEZING OR CHEST PAIN
audio/MSK0027.mp3[246.880,250.040]	ALRIGHT AND ANY ABDOMINAL PAIN
audio/MSK0027.mp3[250.920,252.840]	ANY NAUSEA OR VOMITING
audio/MSK0027.mp3[253.880,258.360]	ANY DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL
audio/MSK0027.mp3[259.960,262.880]	ANY CHANGES TO HER URINARY PATTERNS
audio/MSK0027.mp3[262.880,264.600]	UM NO
audio/MSK0027.mp3[264.600,267.920]	OK AND AS YOU HAD ANY APPETITE LOSS
audio/MSK0027.mp3[268.840,270.680]	HOW IS YOUR ENERGY BEEN
audio/MSK0027.mp3[270.680,278.000]	ITS BEEN THE SAME SHES JUST NOT DOING AS MUCH BECAUSE HER ARM IS IN PAIN
audio/MSK0027.mp3[278.000,282.800]	OK BUT NO FATIGUE
audio/MSK0027.mp3[284.440,289.640]	I SEE OK AND HOW ABOUT ANY MEMORY LOSS OR CONFUSION
audio/MSK0027.mp3[289.640,292.680]	NO NOTHING LIKE THAT
audio/MSK0027.mp3[292.680,298.360]	DOES SHE HAVE ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE
audio/MSK0027.mp3[298.680,308.320]	OK AND HOW ABOUT SKIN CHANGES SUCH AS RASHES OR ANY CHANGES TO HER HAIR OR NAILS
audio/MSK0027.mp3[308.320,311.280]	NO NOTHING LIKE THAT
audio/MSK0027.mp3[311.280,321.880]	OK AND IN THE PAST HAS SHE HAD ANY MEDICAL PROBLEMS OR HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/MSK0027.mp3[321.880,325.880]	NO SHES BEEN PRETTY HEALTHY OTHERWISE
audio/MSK0027.mp3[325.880,328.760]	OK DOES SHE TAKE ANY MEDICATIONS
audio/MSK0027.mp3[330.040,333.360]	DID SHE HAVE ANY ALLERGIES
audio/MSK0027.mp3[334.520,340.120]	AND HAS SHE BEEN HOSPITALIZED FOR ANY REASON OR HAS SHE HAD ANY SURGERIES
audio/MSK0027.mp3[342.600,353.960]	OK ANY CONCERNS FOR REACHING DEVELOPMENTAL MILESTONES SUCH AS WALKING TALKING AND LIKE SOCIAL INTERACTIONS
audio/MSK0027.mp3[353.960,355.080]	NO NO ISSUES THERE
audio/MSK0027.mp3[355.080,356.000]	NO PROBLEMS
audio/MSK0027.mp3[356.360,363.720]	OK AND THEN HOW ABOUT LIKE JUST GROWTH AND AND DEVELOPMENT IS SHE GETTING TALLER AND IM GAINING WEIGHT
audio/MSK0027.mp3[363.720,367.800]	YEAH LIKE THATS BEEN PRETTY GOOD
audio/MSK0027.mp3[367.800,378.400]	OK WELL THATS GOOD AND WERE THERE ANY CONCERNS WITH THE PREGNANCY WITH HER ANY LIKE GESTATIONAL DIABETES HIGH BLOOD PRESSURE OR INFECTIONS
audio/MSK0027.mp3[378.400,383.480]	NO EVERYTHING WENT SMOOTHLY
audio/MSK0027.mp3[383.480,387.280]	OK WAS SHE AT TERM OR WHERE SHE PRE TERM
audio/MSK0027.mp3[387.280,394.360]	SHE WAS AT TERM SHE WAS LIKE A 37 12 WEEKS OR SOMETHING LIKE THAT
audio/MSK0027.mp3[394.360,397.160]	OK AND WAS IT VAGINAL DELIVERY OR CSECTION
audio/MSK0027.mp3[397.160,401.680]	IT WAS VAGINAL
audio/MSK0027.mp3[401.680,406.600]	OK AND WAS THERE ANY REASON FOR HER TO STAY IN HOSPITAL AFTERWARDS
audio/MSK0027.mp3[407.240,421.640]	OK AND CAN YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY LIKE WHO IS THE PRIMARY CAREGIVER FOR HER AND LIKE WHO SHE WHO SHES LIVING WITH THEN WHEREABOUTS
audio/MSK0027.mp3[421.640,438.560]	AND SHES LIVING WITH BOTH HER PARENTS AND MYSELF AS WELL AS HER DAD AND SHE HAS A 7 YEAR OLD BROTHER AND WE LIVE IN A HOUSE JUST OUTSIDE OF LONDON
audio/MSK0027.mp3[438.560,444.280]	I SEE OK AND IS SHE GOING TO DAYCARE RIGHT NOW OR ANYTHING LIKE THAT
audio/MSK0027.mp3[444.280,449.640]	UMM NO SHES SHES AT HOME WITH ME
audio/MSK0027.mp3[449.640,452.200]	OK SHE BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0027.mp3[452.840,454.920]	AND HAVE YOU TRAVELED ANYWHERE
audio/MSK0027.mp3[457.520,465.320]	OK AN ANY CONCERN FOR LIKE PHYSICAL OR EMOTIONAL VIOLENCE IN THE HOME
audio/MSK0027.mp3[465.320,469.000]	NO NOTHING LIKE THAT
audio/MSK0027.mp3[469.000,470.960]	OK AND IS THERE ANYBODY WHO SMOKES IN THE HOME
audio/MSK0027.mp3[470.960,478.920]	UHM NO NO ONE SMOKES AT HOME
audio/MSK0027.mp3[478.920,486.560]	OK AND ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY
audio/MSK0027.mp3[486.560,489.040]	UHM NO
audio/MSK0027.mp3[489.040,493.280]	HOW ABOUT ANY HEART OR LUNG CONDITIONS
audio/MSK0027.mp3[493.920,503.480]	OK SO I ASK YOU TO JUST HAVE A LOOK AT HER ELBOW NOW AND
audio/MSK0027.mp3[505.080,513.760]	LET ME KNOW THE IF YOURE SEEING ANY SWELLING OR REDNESS
audio/MSK0027.mp3[513.760,521.120]	OK AND SO THE ELBOWS LOOK FINE NEITHER ELBOW APPEARS RED OR SWOLLEN
audio/MSK0027.mp3[521.120,535.080]	OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY JOINT DEFORMITY OR OR MALALIGNMENT
audio/MSK0027.mp3[535.080,550.320]	NO I DONT SEE THAT I ALSO ACTUALLY IT MIGHT BE SLIGHTLY IT LOOKS A LITTLE BIT AWKWARD THE WAY SHES HOLDING IT SO I CANT TELL IF ITS MISALIGNED
audio/MSK0027.mp3[550.320,557.240]	OK AND ANY SKIN CHANGES OVER THE ELBOW
audio/MSK0027.mp3[559.200,577.680]	ALRIGHT ANN IF YOU WERE TO PRESS OVER VARIOUS PORTIONS OF THE ELBOW ARE THERE ANY AREAS THAT CAUSE PAIN LIKE THE LATERAL SIDE MEDIAL SIDE OR ANTERIOR POSTERIOR
audio/MSK0027.mp3[577.680,584.200]	IT HURTS SHES IN PAIN WHENEVER I TOUCH ANYWHERE NEAR THE ELBOW AREA
audio/MSK0027.mp3[584.200,593.400]	OK AND UM IS THERE ANY PAIN WITH WITH MOVEMENT
audio/MSK0027.mp3[593.400,605.960]	YES WHENEVER I TRIED TO BEND IT OR STRAIGHTEN IT OUT ALL THE WAY SHE SHE COMPLAINTS OF PAIN
audio/MSK0027.mp3[605.960,610.400]	OK HOW ABOUT MOVING THE REST OR SHOULDER
audio/MSK0027.mp3[610.400,613.800]	NO THATS FINE
audio/MSK0027.mp3[613.800,629.760]	OK SO THAT THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND LOOK FOR ON THE PHYSICAL TODAY DID YOU HAVE ANYTHING ELSE THAT PERHAPS I FORGOT TO MENTION THAT MIGHT BE IMPORTANT
audio/MSK0027.mp3[629.760,637.520]	UHM NO THAT WAS KIND OF IT I JUST WAS WONDERING HOW WE CAN FIX HER ELBOW
audio/MSK0027.mp3[637.520,676.320]	I YEAH CERTAINLY SO IT WILL BE SO WHEN I GET AN ELBOW X RAY AND BUT TYPICALLY TO FIX THIS TYPE OF INJURY SO CURRENTLY IM THINKING THIS COULD BE A LIKE A RADIAL HEAD SUBLUXATION AND POSSIBLY A RADIAL HEAD FRACTURE BUT MOST LIKELY I RADIAL HEAD SUBLUXATION WHERE THERES A MECHANISM OF PULLING ON A CHILDS ARM AND ITS JUST THAT THE WHAT COULD HAPPEN IS THE PART OF THE RADIUS WHICH IS THAT A FOREARM BONE CAN PULL OUT OF THE LIGAMENT THATS HOLDING IT DOWN
audio/MSK0027.mp3[676.800,733.720]	AN JUST BECAUSE OF THE STRUCTURES THERE NOT YET FULLY MATURED AND STRONG AND SOMEBODY WHOS THAT YOUNG AND SO IT WILL CAUSE PAIN REDUCED RANGE OF MOTION AT THE ELBOW AND YOU WONT REALLY SEE MUCH SWELLING OR REDNESS AND WITH JUST THE PHYSICAL EXAM MANEUVER YOU CAN REDUCE IT AND THEN PUT THE HEAD OF THE RADIUS BACK INTO PLACE AND THINGS WILL BE USUALLY BACK TO BACK TO NORMAL BUT IF THERE IS A FRACTURE WHICH WILL LOOK FOR AN XRAY THEN THERE THE PAIN MIGHT BE LAST A LITTLE BIT LONGER BUT IMMOBILIZATION OF THE ARM IS NOT REQUIRED AND MOST KIDS WILL REGAIN FULL MOBILITY IN IN A SHORT TIME AFTER THE REDUCTION
audio/MSK0027.mp3[733.720,738.000]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0029.mp3[0.000,5.000]	I WAS WONDERING IF YOU COULD START BY TELLING ME WHAT BROUGHT YOU INTO THE EMERGENCY DEPARTMENT
audio/RES0029.mp3[5.000,10.640]	SO I CAME TO THE EMERGENCY DEPARTMENT BECAUSE IVE BEEN HAVING PAIN IN MY CHEST
audio/RES0029.mp3[10.640,13.960]	OK WHERE IS THE PAIN LOCATED
audio/RES0029.mp3[13.960,20.680]	I WOULD SAY ITS LIKE THE WHOLE PRETTY MUCH THE LEFT SIDE OF MY CHEST
audio/RES0029.mp3[20.680,23.400]	OK AND WHEN DID THIS PAIN START
audio/RES0029.mp3[23.400,48.600]	SO I THINK IT STARTED JUST AROUND 2 HOURS AGO I ACTUALLY WAS RIDING MY BICYCLE AND JUST FELL OFF ON KIND OF JUST SLIPPED AND I THINK I FELL ON THAT SIDE LIKE WHEN I THE IMPACT WAS RIGHT ON MY CHEST AND SINCE THEN ITS BEEN REALLY PAINFUL
audio/RES0029.mp3[48.600,57.240]	OK I AM HOW WOULD YOU DESCRIBE THE PAIN SOMETIMES PEOPLE WILL USE WORDS LIKE BURNING DULL ACHY
audio/RES0029.mp3[57.240,63.520]	I THINK ITS MORE LIKE SOMEONE IS JUST STABBING ME AND THEN WHOLE LEFT SIDE AREA
audio/RES0029.mp3[63.520,75.800]	OK AND UM ANYTHING THAT YOUVE BEEN DOING THATS THATS MADE THE PAIN WORSE
audio/RES0029.mp3[75.800,89.840]	IF I THINK I HAVE TO TAKE REALLY REALLY SLOW AND SHALLOW BREATHS IF I TRY TO TAKE A DEEP BREATH IT JUST REALLY HURTS LIKE TAKING THOSE SMALL SMALLER BREATHS HELPS
audio/RES0029.mp3[89.840,97.840]	OK AND DO YOU FEEL THE PAIN ANYWHERE ELSE OR IS IT JUST ON THE LEFT SIDE OF YOUR CHEST
audio/RES0029.mp3[97.840,104.480]	NO I WOULD SAY JUST ON THE LEFT SIDE
audio/RES0029.mp3[104.480,111.480]	OK AND HAS THE PAIN BEEN GETTING WORSE STAYING THE SAME OR GETTING BETTER
audio/RES0029.mp3[111.480,115.600]	ID SAY OVER THE LAST TWO HOURS ITS BEEN GETTING WORSE
audio/RES0029.mp3[115.600,123.120]	OK AND DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS
audio/RES0029.mp3[123.120,134.840]	UH LIKE I THINK I IM HAVING ALSO MAYBE ITS JUST BECAUSE IM TRYING TO BREATHE SLOWLY BUT I FEEL LIKE I CANT CATCH MY BREATH
audio/RES0029.mp3[134.840,140.560]	OK UM HAS ANYTHING LIKE THIS EVER HAPPENED TO YOU BEFORE
audio/RES0029.mp3[140.560,146.320]	NO NO I MEAN IVE NEVER HAD ANY PAIN IN MY CHEST BEFORE
audio/RES0029.mp3[146.320,151.680]	OK ARE YOU DID YOU HAVE A LOSS OF CONSCIOUSNESS WHEN YOU FELL OFF YOUR BIKE
audio/RES0029.mp3[151.680,155.520]	NO I GOT RIGHT BACK UP I JUST JUST HAD THE PAIN
audio/RES0029.mp3[155.520,159.800]	OK SO ANY INJURIES TO THE HEAD
audio/RES0029.mp3[161.720,164.280]	THATS FINE I WAS WEARING A HELMET
audio/RES0029.mp3[164.280,169.320]	OK EXCELLENT AND ANY HEADACHE RIGHT NOW
audio/RES0029.mp3[170.080,174.960]	OK HOW ABOUT ANY FEVER CHILLS
audio/RES0029.mp3[174.960,176.440]	NO I FEEL IM FINE
audio/RES0029.mp3[176.440,180.480]	ANY NAUSEA OR VOMITING
audio/RES0029.mp3[180.960,185.680]	DO YOU FEEL AS THOUGH YOUR HEARTS RACING
audio/RES0029.mp3[185.680,193.120]	I WOULD SAY LIKE IN THE LAST HOUR A LITTLE BIT MORE SO THAN USUAL
audio/RES0029.mp3[193.120,199.640]	OK ANY SKIN CHANGES OR OR RASHES YOUVE NOTICED
audio/RES0029.mp3[199.640,207.440]	BESIDES JUST I GOT SOME SCRAPES HERE AND THERE ON MY HANDS BUT NOTHING ELSE
audio/RES0029.mp3[207.440,211.480]	OK AND DO YOU HAVE A COUGH
audio/RES0029.mp3[212.880,216.720]	OK AND ANY RECENT INFECTIONS
audio/RES0029.mp3[216.720,222.960]	NO IVE BEEN PRETTY PRETTY HEALTHY RECENTLY NO NO COUGH OR NO INFECTIONS
audio/RES0029.mp3[222.960,226.880]	OK AND UH ANY DIZZINESS
audio/RES0029.mp3[226.880,228.720]	UM NO
audio/RES0029.mp3[228.720,235.680]	ALRIGHT AND I KNOW YOU MENTIONED THE FEW SCRATCHES ON YOUR HANDS BUT ANY OTHER INJURIES
audio/RES0029.mp3[235.680,241.520]	OH NO I I THINK I GOT A PRETTY LUCKY
audio/RES0029.mp3[241.520,247.920]	OH OK AND ANY ALCOHOL OR DRUG INTAKE PRIOR TO FALLING OFF YOUR BIKE
audio/RES0029.mp3[247.920,252.960]	OH NO NO I WAS COMPLETELY SOBER NO NO DRUGS OR ALCOHOL
audio/RES0029.mp3[252.960,260.680]	OK AND ANY WEAKNESS OR NUMBNESS OR TINGLING THAT YOU NOTICED
audio/RES0029.mp3[260.680,263.200]	UM NO NOTHING LIKE THAT
audio/RES0029.mp3[263.200,268.560]	ALRIGHT AND WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT OR DRINK
audio/RES0029.mp3[268.560,279.400]	I JUST HAD SOME CEREAL AND UM JUST SOME CHOCOLATE MILK AROUND BREAKFAST TIME BUT NOTHING ELSE
audio/RES0029.mp3[279.400,283.120]	OK AND HOW MANY HOURS AGO WAS THAT
audio/RES0029.mp3[283.120,287.640]	I WOULD SAY AROUND 3 HOURS AGO
audio/RES0029.mp3[287.640,294.240]	OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0029.mp3[294.240,303.680]	UH NOT OTHER THAN JUST A HAY FEVER BUT NOTHING NOTHING ELSE I HAVE LIKE A LOT OF ALLERGIES
audio/RES0029.mp3[303.680,306.640]	ANY ALLERGIES TO MEDICATIONS
audio/RES0029.mp3[306.640,323.240]	OH JUST SOMETIMES WHEN I TAKE LIKE A NASAL SPRAY I THINK I MIGHT HAVE AN ALLERGY TO THE STEROIDS THAT THEY GIVE ME AND SOMETIMES ALSO SOME OF THE ANTIHISTAMINES I THINK I GET SOME ALLERGIES FROM THEM
audio/RES0029.mp3[323.240,328.560]	OK UH AND ANY HOSPITALIZATIONS
audio/RES0029.mp3[328.560,330.080]	NO NEVER
audio/RES0029.mp3[330.080,331.880]	ANY SURGERIES
audio/RES0029.mp3[333.240,336.400]	OK ANYBODY IN THE FAMILY WHO HAVE ANY ILLNESSES
audio/RES0029.mp3[336.400,344.800]	JUST MY FATHER HE HAS TYPE 2 DIABETES BUT NOTHING ELSE
audio/RES0029.mp3[344.800,349.800]	OK AND HOW DO YOU SUPPORT YOURSELF CURRENTLY FINANCIALLY
audio/RES0029.mp3[349.800,363.360]	OH SO I WORK JUST AS LIKE A MECHANIC JUST IN THE CITY AND CURRENTLY I JUST HAVE MYSELF TO SUPPORT I LIVE ALONE IN AN APARTMENT SO IM DOING FAIRLY WELL
audio/RES0029.mp3[363.360,367.240]	OK AND DO YOU SMOKE
audio/RES0029.mp3[367.240,381.040]	I SMOKE AROUND LIKE ID SAY 2 AND A HALF TO 3 PACKS PER DAY I KNOW ITS YEAH I HAVE TRIED QUITTING BEFORE BUT I WOULD SAY IVE BEEN SMOKING SINCE I WAS 18
audio/RES0029.mp3[381.040,384.800]	OK AND DO YOU SMOKE MARIJUANA
audio/RES0029.mp3[384.800,388.080]	NO NO NO MARIJUANA NO OTHER DRUGS
audio/RES0029.mp3[388.080,392.160]	OK AND DO YOU DRINK ALCOHOL
audio/RES0029.mp3[392.160,401.680]	YEAH ITS JUST LIKE SOMETIMES ON THE WEEKEND ILL JUST HAVE A BEER OR TWO WHILE WATCHING THE GAME BUT NOT NOTHING REGULAR
audio/RES0029.mp3[401.680,404.040]	OK THANK YOU
audio/CAR0003.mp3[0.000,2.920]	WHAT BRINGS YOU IN HERE TODAY
audio/CAR0003.mp3[2.920,12.960]	YEAH IVE JUST BEEN FEELING BREATHLESS AND ITS GETTING WORSE SO I WANTED TO CHECK IT OUT
audio/CAR0003.mp3[12.960,16.920]	OK AND WHEN DID YOU FIRST START FEELING BREATHLESS
audio/CAR0003.mp3[16.920,19.920]	ABOUT TWO MONTHS AGO
audio/CAR0003.mp3[19.920,27.720]	OK AND DID IT COME ON ABOUT LIKE GRADUALLY THROUGH TIME OR SUDDENLY JUST HAPPENED
audio/CAR0003.mp3[27.720,34.640]	I GUESS GRADUALLY YEAH
audio/CAR0003.mp3[34.640,40.080]	OK AND DO YOU FEEL UH HOW OFTEN DO YOU FEEL BREATHLESS
audio/CAR0003.mp3[40.080,52.720]	ID SAY ITS WORSE WHEN I WHEN I WALK MORE THAN 50 METERS THATS KIND OF THE MAIN LIKE THATS KIND OF THE MAIN TRIGGER JUST EXERTION
audio/CAR0003.mp3[52.720,60.160]	OK AND WERE YOU ABLE TO WALK NORMALLY MORE THAN 50 METERS BEFORE TWO MONTHS
audio/CAR0003.mp3[60.160,63.280]	YEAH THREE MONTHS AGO I WAS FINE
audio/CAR0003.mp3[63.280,70.440]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE COUGH OR CHEST PAIN
audio/CAR0003.mp3[70.440,73.560]	I HAVE A COUGH SOMETIMES YEAH
audio/CAR0003.mp3[73.560,77.320]	OK BUT NOTHING LIKE CONSTANT
audio/CAR0003.mp3[80.080,90.800]	OK AND DO YOU HAVE ANY WET COUGH OR ANY PRODUCTIVE COUGH OR ARE YOU PRODUCING LIKE SPUTUM OR PHLEGM
audio/CAR0003.mp3[90.800,98.040]	YEAH I GUESS ID SAY I HAVE THIS FROTHY SPUTUM
audio/CAR0003.mp3[98.040,104.760]	OK AND HAS YOUR BREATHLESSNESS BEEN GETTING ANY WORSE AT ALL OVER THE LAST TWO MONTHS
audio/CAR0003.mp3[104.760,108.720]	I WOULD SAY SO YES
audio/CAR0003.mp3[108.720,121.560]	OK AND YOU MENTIONED LIKE EXERTION MAKES IT WORSE BUT ANYTHING ELSE LIKE GOING OUTSIDE OR EXPOSURE TO ANY CHEMICALS THAT MAKES IT WORSE
audio/CAR0003.mp3[121.560,123.680]	UH I DONT THINK SO
audio/CAR0003.mp3[123.680,129.800]	OK AND HOW ABOUT A POSITIONAL CHANGES DOES LYING FLAT AT ALL MAKE IT WORSE
audio/CAR0003.mp3[129.800,136.720]	I WOULD SAY SO YES YEAH IM BASICALLY GASPING FOR AIR WHEN I LAY DOWN
audio/CAR0003.mp3[136.720,142.600]	OK AND DO YOU EVER FIND YOURSELF WAKING UP AT NIGHT IN THE MIDDLE OF THE NIGHT TO CATCH YOUR BREATH
audio/CAR0003.mp3[146.240,154.480]	NO OK AND WHEN DO YOU FEEL THE BREATHLESSNESS THE MOST IS IT MORE SO DURING THE DAY OR AT NIGHT
audio/CAR0003.mp3[154.480,158.680]	I GUESS ITS WORSE AT NIGHT BECAUSE IM LAYING DOWN
audio/CAR0003.mp3[158.680,173.640]	OK GREAT AND IN TERMS OF HOW MANY FLIGHTS OF STAIRS YOU CAN CLIMB BEFORE YOU START FEELING BREATHLESS DO YOU HAVE A NUMBER
audio/CAR0003.mp3[173.640,178.960]	I WOULD SAY LIKE 34
audio/CAR0003.mp3[178.960,200.240]	THREE OR FOUR STEPS OK AND WAS THERE ANYTHING NEW THAT HAPPENED IN YOUR LIFE RECENTLY ANY NEW MEDICAL DIAGNOSIS RECENTLY OR ANY TRAVEL THAT HAPPENED BEFORE YOU STARTED HAVING THESE SYMPTOMS
audio/CAR0003.mp3[200.240,203.800]	NO NOTHING LIKE THAT
audio/CAR0003.mp3[203.800,208.040]	OK AND PRIOR TO TWO MONTHS HAVE YOU EVER HAD ANY SIMILAR EXPERIENCES
audio/CAR0003.mp3[208.040,211.520]	PRIOR TO 2 MONTHS NO
audio/CAR0003.mp3[211.520,224.120]	OK AND DOES ANYTHING MAKE IT BETTER LIKE ANY POSITIONAL CHANGES MAKES THE BREATHLESSNESS GO AWAY
audio/CAR0003.mp3[224.120,237.320]	I GUESS WHEN I IM NOT LAYING DOWN OR WHEN IM LAYING DOWN I TRY TO ADD PILLOWS STACK PILLOWS SO THAT IT GETS BETTER
audio/CAR0003.mp3[237.320,247.840]	OK AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SORE THROAT RUNNY NOSE CHEST PAIN DIZZINESS ANYTHING LIKE THAT
audio/CAR0003.mp3[251.960,255.960]	OK HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY
audio/CAR0003.mp3[258.280,261.480]	HAVE YOU RECENTLY HAD ANY SURGERIES
audio/CAR0003.mp3[261.480,265.080]	NO RECENT SURGERIES NO
audio/CAR0003.mp3[265.080,268.240]	OK ANY HEADACHE NAUSEA OR VOMITING
audio/CAR0003.mp3[268.240,271.440]	UM NO
audio/CAR0003.mp3[271.440,275.000]	OK ANY FEVERS OR CHILLS OR NIGHT SWEATS
audio/CAR0003.mp3[276.880,283.960]	OK DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY
audio/CAR0003.mp3[283.960,287.960]	UH I WOULD SAY SO YEAH
audio/CAR0003.mp3[287.960,293.320]	OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL
audio/CAR0003.mp3[295.960,302.880]	OK AND ANY CHEST PAIN AT ALL WITHIN THE LAST TWO MONTHS
audio/CAR0003.mp3[302.880,306.280]	NO NO CHEST PAIN
audio/CAR0003.mp3[306.280,314.880]	OK ANY SWELLING IN YOUR IN YOUR LEGS ANKLES OR IN YOUR HANDS AND ARMS
audio/CAR0003.mp3[314.880,318.120]	THERE IS SOME SWELLING
audio/CAR0003.mp3[318.120,321.880]	OK AND UH WHERE DO YOU WHERE ARE YOU GETTING THIS SWELLING
audio/CAR0003.mp3[321.880,324.920]	AROUND MY LEGS
audio/CAR0003.mp3[324.920,328.240]	OK AND HOW WHEN DID YOU FIRST NOTICE THIS
audio/CAR0003.mp3[328.240,333.920]	AROUND THE SAME TIME ACTUALLY TWO MONTHS AGO
audio/CAR0003.mp3[333.920,337.640]	OK HAVE YOU NOTICED ANY KIND OF FEVERS AT ALL
audio/CAR0003.mp3[339.720,345.960]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS BEEN ILL RECENTLY
audio/CAR0003.mp3[345.960,346.800]	NO NO
audio/CAR0003.mp3[346.800,352.760]	OK AND HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL
audio/CAR0003.mp3[355.120,356.160]	OK ANY WEIGHT LOSS
audio/CAR0003.mp3[359.200,363.400]	ANY NIGHT SWEATS OR CHILLS
audio/CAR0003.mp3[365.800,371.920]	OK APART FROM THE BREATHLESSNESS WHEN LAYING DOWN ANY OTHER ISSUES WITH YOUR SLEEP
audio/CAR0003.mp3[374.200,376.960]	ANY CHANGES IN YOUR APPETITE
audio/CAR0003.mp3[378.920,384.160]	OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD AT ALL
audio/CAR0003.mp3[385.040,391.040]	OK ANY EXPOSURE TO TUBERCULOSIS IN THE PAST
audio/CAR0003.mp3[391.040,393.600]	NOT THAT I KNOW OF
audio/CAR0003.mp3[393.600,400.960]	OK ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR HOME OR WORK ENVIRONMENT
audio/CAR0003.mp3[401.640,406.240]	OK ANY ANIMALS OR PETS IN THE HOUSE
audio/CAR0003.mp3[406.240,411.280]	NO NO
audio/CAR0003.mp3[411.280,426.920]	OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAS ANYONE TOLD YOU THAT YOU HAVE ANYTHING LIKE COPOR ANY CARDIOVASCULAR ISSUES LIKE HIGH BLOOD PRESSURE CHOLESTEROL
audio/CAR0003.mp3[426.920,435.880]	UM SO YEAH SO I HAVE HIGH BLOOD PRESSURE DIABETES AND HIGH CHOLESTEROL
audio/CAR0003.mp3[435.880,439.440]	OK AND DO YOU TAKE ANY MEDICATIONS FOR THIS
audio/CAR0003.mp3[439.440,444.800]	YEP SO I TAKE ASPIRIN RAMIPRIL AND SIMVASTATIN
audio/CAR0003.mp3[444.800,451.160]	OK AND HAVE YOU EVER HAD ANY CHEST PAIN OR HEART ATTACK IN THE PAST
audio/CAR0003.mp3[451.160,455.280]	YEAH ACTUALLY I HAD A HEART ATTACK FOUR YEARS AGO
audio/CAR0003.mp3[455.280,462.240]	OK AND DO YOU REMEMBER WHAT THEY DID FOR YOUR HEART ATTACK
audio/CAR0003.mp3[462.240,467.240]	SOMETHING LIKE A STENT OR SOMETHING
audio/CAR0003.mp3[467.240,469.360]	OK AND SINCE THEN YOUVE BEEN ON THESE MEDICATIONS
audio/CAR0003.mp3[473.040,483.920]	OK AND AFTER THEY MANAGED YOUR HEART ATTACK HAVE YOU EVER HAD SIMILAR SYMPTOMS TO WHEN YOU HAD YOUR HEART ATTACK
audio/CAR0003.mp3[483.920,486.760]	NO NO
audio/CAR0003.mp3[486.760,489.400]	NOTHING LIKE THAT OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/CAR0003.mp3[491.720,494.120]	ANY ENVIRONMENTAL ALLERGIES
audio/CAR0003.mp3[494.600,505.120]	OK AND HAVE YOU PREVIOUSLY HAD ANY SURGERIES IN THE PAST
audio/CAR0003.mp3[505.120,508.720]	UM I GUESS THE STENTING
audio/CAR0003.mp3[508.720,515.480]	JUST THE STENTING AND APART FROM THAT HAVE YOU HAD ANY OTHER PREVIOUS HOSPITALIZATIONS
audio/CAR0003.mp3[516.000,525.080]	OK AND ANY FAMILY HISTORY OF ANY CANCERS OR HEART ATTACKS
audio/CAR0003.mp3[525.080,531.480]	UM MY FATHER DIED OF A HEART ATTACK WHEN HE WAS 60
audio/CAR0003.mp3[531.480,536.680]	OK AND CURRENTLY DO YOU WORK AT ALL
audio/CAR0003.mp3[536.680,543.240]	I DO UM I WORK AS A CASHIER
audio/CAR0003.mp3[543.240,550.240]	OK AND HAS THE SHORTNESS OF BREATH BEEN AFFECTING YOUR DAILY ROUTINE AT HOME OR AT WORK AT ALL
audio/CAR0003.mp3[550.240,564.480]	YEAH I WOULD SAY SO ITS BEEN HARD TO MAKE IT TO WORK AND THEN STANDING AROUND ALL DAY OR IF I HAVE TO GO HELP OUT WITH SOMETHING AND EXERT MYSELF TOO MUCH I GET SHORT OF BREATH
audio/CAR0003.mp3[564.480,571.360]	OK AND AT HOME DO YOU CURRENTLY LIVE WITH ANYONE OR DO YOU LIVE BY YOURSELF
audio/CAR0003.mp3[571.360,574.440]	I LIVE BY MYSELF
audio/CAR0003.mp3[574.440,577.880]	OK AND DO YOU LIVE IN AN APARTMENT OR HOUSE
audio/CAR0003.mp3[577.880,580.480]	I LIVE IN AN APARTMENT
audio/CAR0003.mp3[580.480,589.120]	OK AND ARE THERE ANY EXPOSURES LIKE DUST OR MOLD OR ASBESTOS IN YOUR HOME ENVIRONMENT
audio/CAR0003.mp3[590.280,594.240]	OK AND CURRENTLY DO YOU SMOKE
audio/CAR0003.mp3[594.240,605.440]	NOT RIGHT NOW I USED TO SMOKE I USED TO SMOKE 10 A DAY FOR LIKE 40 YEARS
audio/CAR0003.mp3[605.440,609.080]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/CAR0003.mp3[612.640,614.720]	OK ANY ALCOHOL
audio/CAR0003.mp3[618.840,631.720]	OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET 3 MEALS A DAY A WELL BALANCED DIET
audio/CAR0003.mp3[631.720,638.880]	I WOULDNT SAY WELL BALANCED IM TRYING TO EAT HEALTHIER BUT DOESNT ALWAYS HAPPEN
audio/CAR0003.mp3[638.880,645.960]	OK AND HOW ABOUT EXERCISE DO YOU FIND THAT YOUR EXERCISE LEVELS OR ACTIVITY LEVELS HAVE GONE DOWN IN THE LAST TWO MONTHS
audio/CAR0003.mp3[647.360,659.520]	OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAVE OR SOMETHING I MAY HAVE MISSED TO ASK YOU TODAY
audio/CAR0003.mp3[659.520,663.680]	NO I DONT THINK SO
audio/CAR0003.mp3[663.680,714.000]	OK SO BASED ON WHAT WE TALKED ABOUT FROM YOUR SWELLING AS WELL AS BREATHLESSNESS WHILE LAYING DOWN AND YOUR PAST HISTORY OF A HEART ATTACK AND HIGH CHOLESTEROL IT MAY BE LIKELY WITH THE MEDICATIONS YOU ARE ON AS WELL AS YOUR HISTORY THAT YOU MIGHT BE HAVING WHATS CALLED CONGESTIVE HEART FAILURE SO WE WILL NEED TO DO FURTHER INVESTIGATIONS TO DETERMINE IF THAT IS WHAT IT IS AND IF WE NEED TO GET YOU ON SOMETHING LIKE LASIX OR A DIURETIC TO GET RID OF SOME OF THE FLUID THATS BUILDING UP IN YOUR BODY WHICH MAY BE CAUSED BY HEART FAILURE SO WELL DO SOME INVESTIGATIONS AND THEN GO FROM THERE
audio/RES0168.mp3[0.000,2.160]	WHAT BRINGS YOU IN
audio/RES0168.mp3[2.160,45.680]	SO IVE JUST I HAD SOME SINUS PROBLEMS IN THE PAST IVE HAD SOME SINUS INFECTIONS AND I JUST FEEL LIKE I HAVE ONE RIGHT NOW AND I KNOW THAT LIKE I KNOW THAT YOU KNOW A LOT OF THE TIME I IVE DONE ALL THE THINGS THAT IVE BEEN TOLD TO DO IN THE PAST LIKE IVE BEEN DOING LIKE SALINE RINSES AND JUST DOESNT FEEL LIKE ITS HELPING VERY MUCH RIGHT NOW WHEN I RINSE IM GETTING LIKE THIS GREENIE GROSS KIND OF MUCUS COMING OUT AND ITS JUST LIKE GIVING ME THIS LIKE HEADACHE IT JUST FEELS CRAPPY
audio/RES0168.mp3[45.680,58.680]	YEAH IM SORRY YOURE FEELING THAT WAY SO THIS RUNNY NOSE OK DO YOU HAVE A COUGH AT ALL
audio/RES0168.mp3[58.680,63.640]	UH NO I DONT HAVE A COUGH
audio/RES0168.mp3[63.640,66.560]	ANY SHORTNESS OF BREATH
audio/RES0168.mp3[66.560,75.200]	UHM I DONT HAVE A REAL LIKE SHORTNESS OF BREATH BUT IT DOES FEEL CONGESTED
audio/RES0168.mp3[75.200,80.160]	OK HOW ABOUT WHEEZINESS
audio/RES0168.mp3[80.160,81.480]	UH NO WHEEZINESS
audio/RES0168.mp3[81.480,94.600]	NO WHEEZINESS OK AND HOW ABOUT HOW ABOUT LIKE SORE THROAT OR LOSS OF TASTE
audio/RES0168.mp3[94.600,115.000]	UHM UH SO MY THROAT NOT SORE IN LIKE THE WAY THAT YOU GET CATCH A SORE THROAT BUT I GET A LOT OF POST NASAL DRIP AND IT MAKES IT LIKE STINGY SO ITS LIKE ITS SORE IN THAT WAY BUT ITS NOT LIKE YOU KNOW IF YOU HAVE LIKE STREP THROAT OR SOMETHING
audio/RES0168.mp3[115.000,119.400]	OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING
audio/RES0168.mp3[119.400,122.160]	NO NOTHING LIKE THAT
audio/RES0168.mp3[122.160,124.000]	WEIGHT LOSS
audio/RES0168.mp3[125.400,128.120]	FEVERS OR CHILLS
audio/RES0168.mp3[128.120,145.400]	I I TOOK MY TEMP LAST NIGHT IT WAS PRETTY HIGH IT WAS LIKE 99 POINT LIKE SOMETHING UHM 99 LIKE 7 OR SOMETHING
audio/RES0168.mp3[145.400,147.120]	AH OK
audio/RES0168.mp3[147.120,154.120]	SO MY THERMOMETER SAID THATS HIGH I DONT I DONT REALLY KNOW BUT YEAH
audio/RES0168.mp3[154.120,163.520]	OK AND HOW ABOUT LIKE FACIAL PAIN OR PRESSURE OR FEELING LIKE ITS FULL
audio/RES0168.mp3[163.520,169.440]	OH YEAH I HAVE THAT ITS LIKE YEAH ALL ON THE FRONT PART OF MY FACE
audio/RES0168.mp3[169.440,179.080]	OK AND THEN YOU MENTIONED SOME NASAL OBSTRUCTION SOME DISCHARGE AND YOU SAID NO LOSS OF SMELL RIGHT
audio/RES0168.mp3[179.080,184.080]	NO I DIDNT LOSE ANY SMELL LIKE SOMETIMES ITS KIND OF HARD TO SMELL BECAUSE ITS SO PLUGGED UP
audio/RES0168.mp3[185.080,193.160]	I STILL HAVE LIKE IM ABLE TO SMELL LIKE ESPECIALLY AFTER I DO THE RINSES IT HELPS A LITTLE BIT
audio/RES0168.mp3[193.160,197.040]	OK HOW ABOUT LIKE A CHEST PAIN
audio/RES0168.mp3[197.040,202.280]	UHM NO I HAVENT HAD ANY CHEST PAIN
audio/RES0168.mp3[202.280,208.760]	NO OK ANY ISSUES WITH BOWEL MOVEMENTS OR HAVE THOSE BEEN NORMAL
audio/RES0168.mp3[208.760,212.040]	THOSE HAVE BEEN NORMAL
audio/RES0168.mp3[212.040,215.600]	OK ANY CHANGES IN YOUR URINE
audio/RES0168.mp3[218.160,221.520]	NO OK ANY HEADACHES
audio/RES0168.mp3[221.520,236.320]	YEAH LIKE I GET THAT LIKE SINUSY HEADACHE THAT YOU KNOW ITS PRETTY COMMON FOR ME LIKE KIND OF JUST ALL IN LIKE THE FRONT OF MY FACE AND SOMETIMES IT KIND OF FEELS LIKE IT GOES ALL OVER
audio/RES0168.mp3[236.320,241.680]	HOW ABOUT UMM HOW ABOUT LIKE DIZZINESS OR FAINTING
audio/RES0168.mp3[245.200,250.080]	NO OK ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0168.mp3[250.080,270.440]	NO THIS IS PRETTY WELL PRETTY WELL THE ONLY THING I HAD SOME PROBLEMS WITH MY KNEE LIKE I HAD SOME PROBLEMS WITH THE ACL SO LIKE I SEE LIKE AN ORTHOPAEDIC PERSON FOR THAT BUT OTHERWISE OTHERWISE IM HEALTHY
audio/RES0168.mp3[270.440,275.680]	OK OK UHM AND ARE YOU ON ANY MEDICATIONS
audio/RES0168.mp3[275.680,282.720]	NO LIKE I I SOMETIMES LIKE I USED THIS SALINE RINSE
audio/RES0168.mp3[284.240,306.840]	FOR A BIT I USED TO USE THE NASAL STEROID SPRAY AND I I HADNT HAD AN INFECTION FOR AWHILE AND THINGS WERE FEELING OK SO I HAVENT BEEN USING IT RECENTLY UMM AND THEN I OCCASIONALLY WILL USE LIKE LIKE AN ADVIL IF MY KNEES SORE
audio/RES0168.mp3[306.840,311.560]	OK OK AND NO HOSPITALIZATIONS OR SURGERIES
audio/RES0168.mp3[311.560,315.840]	UH SO I HAD AN ACL REPAIR SURGERY
audio/RES0168.mp3[315.840,317.360]	OH RIGHT YEAH OK
audio/RES0168.mp3[317.360,330.680]	AND LIKE I WENT TO THE EMERGENCY DEPARTMENT ONCE WHEN I HAD A BAD SINUS INFECTION BUT I DIDNT LIKE STAY OVER AT THE HOSPITAL
audio/RES0168.mp3[330.680,336.240]	OK OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
audio/RES0168.mp3[336.240,340.840]	I THINK SO I NEVER REALLY DIDNT GET ANY
audio/RES0168.mp3[340.840,343.760]	OK ANY ALLERGIES
audio/RES0168.mp3[343.760,349.120]	UH LIKE A LITTLE BIT TO CATS BUT NOTHING ELSE
audio/RES0168.mp3[349.120,355.600]	OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0168.mp3[355.600,359.720]	NO NOT THAT I KNOW OF
audio/RES0168.mp3[359.720,366.520]	OK HOW ABOUT SMOKING DO YOU SMOKE
audio/RES0168.mp3[366.520,368.760]	NO NO
audio/RES0168.mp3[368.760,373.880]	NO OK DO YOU DRINK ALCOHOL
audio/RES0168.mp3[373.880,377.920]	I DRINK A FEW BEERS ON THE WEEKEND
audio/RES0168.mp3[379.200,382.560]	YOU KNOW FIVE OR SIX PER WEEKEND
audio/RES0168.mp3[382.560,390.800]	OK AND THEN FIVE OR SIX FOR WEEKEND OK AND ANY RECREATIONAL DRUGS
audio/RES0168.mp3[390.800,400.000]	I WILL OCCASIONALLY TAKE LIKE A CANNABIS LIKE A CAPSULE LIKE THE OIL IN THE CAPSULE
audio/RES0168.mp3[400.000,402.440]	OK AND WHAT IS THAT FOR
audio/RES0168.mp3[402.440,410.520]	JUST LIKE RECREATIONAL ALSO LIKE I MEAN MY KNEE MY KNEE PAIN SOMETIMES IT HELPS
audio/RES0168.mp3[410.520,411.760]	MHMM OK
audio/RES0168.mp3[411.760,420.800]	BUT ESSENTIALLY THAT THAT MIGHT BE LIKE ONCE LIKE PER MONTH OR SOMETHING
audio/RES0168.mp3[420.800,429.640]	OK OK ALRIGHT AND ANY SICK CONTACTS RECENTLY
audio/RES0168.mp3[429.640,431.840]	NO NO IVE BEEN WORKING FROM HOME
audio/RES0168.mp3[431.840,439.040]	OK OK AND ANY TRAVEL RECENTLY
audio/RES0168.mp3[440.120,444.080]	NO OK AND WHERE DO YOU LIVE
audio/RES0168.mp3[444.080,453.800]	I LIVE HERE IN TOWN WITH MY WIFE AND OUR TEENAGE SON
audio/RES0168.mp3[453.800,456.520]	OK IS ANYONE AT HOME SICK
audio/RES0168.mp3[456.520,458.360]	NO THEYRE FINE
audio/RES0168.mp3[458.360,463.280]	THEYRE FINE OK AND WHAT ABOUT SORRY
audio/RES0168.mp3[463.280,475.320]	THEYRE BOTH WORKING FROM HOME LIKE DOING SCHOOL FROM HOME TOO SO WE RARELY DONT GO ANYWHERE LIKE MY WIFE GOES TO GET GROCERIES AND THATS ABOUT IT
audio/RES0168.mp3[475.320,483.520]	OK I SEE AND ANY OLD CARPETS SMOKE ASBESTOS MOLD ANYTHING LIKE THAT AT HOME
audio/RES0168.mp3[483.520,485.600]	NO NO ITS A PRETTY NEW HOUSE
audio/RES0168.mp3[485.600,490.320]	OK ALRIGHT ANY PETS AT HOME
audio/RES0168.mp3[490.320,494.160]	WE HAVE A DOG ITS A LABRADOODLE
audio/RES0168.mp3[494.160,495.240]	OK YEAH
audio/RES0168.mp3[495.240,500.560]	AND THATS IT YEAH
audio/RES0168.mp3[500.560,504.520]	HOW LONG HAVE YOU HAD HIM
audio/RES0168.mp3[504.520,514.640]	OH LIKE HES LIKE 3 NOW LIKE MY SINUS INFECTIONS AND THAT HAVE BEEN GOING ON FOR LONGER THAN WEVE HAD HIM
audio/RES0168.mp3[514.640,521.920]	OK ALRIGHT THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
audio/RES0168.mp3[521.920,542.480]	I DONT THINK SO I JUST I HOPE YOU KNOW WE CAN DO SOMETHING ABOUT THIS BECAUSE YOU KNOW I TRIED ALL THIS STUFF THAT IS SUPPOSED TO BE LIKE YOU KNOW CONSERVATIVE LIKE THE FIRST STEPS AND IT JUST DOESNT SEEM LIKE ITS GETTING BETTER ITS BEEN LIKE FEW WEEKS SO I THOUGHT IT WAS PROBABLY TIME TO COME SEE YOU
audio/RES0168.mp3[542.480,548.960]	YEAH SORRY WHAT HAVE YOU TRIED AT HOME AGAIN
audio/RES0168.mp3[548.960,569.200]	SO I USE THE THE RINSES THE SALINE RINSES I USED A LITTLE BIT OF NASAL DECONGESTANT BUT I KNOW LIKE I KNOW IVE BEEN TOLD IM NOT SUPPOSED TO DO THAT FOR MORE THAN A FEW DAYS SO I DONT YEAH THATS I THINK THATS PRETTY WELL IT CAUSE THEY SAID THERES NOT MUCH WE CAN REALLY DO
audio/RES0168.mp3[569.200,647.160]	OK YEAH SO YOUR SYMPTOMS OK BECAUSE SOME SOME OF THESE THINGS OVERLAP WITH COVID WERE GOING TO HAVE TO SWAB YOU AND THEYLL NOTIFY YOU OF YOUR RESULTS IN LIKE 24 TO 48 HOURS BUT WHAT IT SOUNDS LIKE IS SOMETHING CALLED SINU SINUSITIS AND IT SOUNDS LIKE ACUTE BACTERIAL RHINOSINUSITIS BECAUSE OF SOME F THE SYMPTOMS THAT YOU HAVE AND ITS BEEN GOING ON FOR MORE THAN A WEEK AND ITS ITS NOT GOING AWAY WITH THE RINSE SALINE RINSES AND THESE DECONGESTANTS SO WE WILL PRESCRIBE SOME ANTIBIOTICS FOR YOU PROBABLY AMOXICILLIN TAKE THOSE FOR FIVE TO SEVEN DAYS AND SEE IF SOME OF YOUR SYMPTOMS CLEAR UP IF THEY CONTINUE TO BE SEVERE UMM ACTUALLY AT THIS WILL ALSO PRESCRIBE YOU SOME INHALED CORTICOSTEROIDS BECAUSE I THINK THOSE CAN HELP AS WELL SO WILL GIVE YOU BOTH OF THOSE FOR NOW AND THEN JUST FOLLOW UP WITH US IN A WEEK AFTER YOUVE TRIED BOTH THINGS AND WELL SEE HOW YOUR SYMPTOMS ARE HOLDING UP AT THAT POINT DOES THAT SOUND LIKE A GOOD PLAN TO YOU
audio/RES0168.mp3[647.160,650.560]	YEAH I THINK THAT SOUNDS THAT SOUNDS FAIR YEAH THANK YOU
audio/RES0168.mp3[650.560,653.040]	OK YEAH NO PROBLEM
audio/RES0068.mp3[0.000,3.920]	SO WHAT BRINGS YOU IN HERE TODAY
audio/RES0068.mp3[3.920,25.160]	SO IVE HAD THIS STUFFY NOSE FOR THE PAST THREE DAYS IM GETTING SOME YELLOW DISCHARGE FROM THE NOSE I CANT SEEM TO SMELL WELL AND I HAVE HAD THIS TERRIBLE HEADACHE FOR THE PAST TWO DAYS AS WELL
audio/RES0068.mp3[25.160,33.560]	OK SO JUST TO KIND OF GET A TIMELINE WHAT KIND OF STARTED FIRST
audio/RES0068.mp3[33.560,60.040]	SO FIRST MY NOSE WAS KIND OF STUFFY AND AND THEN I STARTED HAVING THIS YELLOW DISCHARGE FROM THE NOSE AND THEN I KIND OF LOST SOME OF MY SMELL AND THEN NOW MY HEAD HURTS ITS NOT EVEN LIKE ITS NOT LIKE A HEADACHE ITS LIKE A FACIAL PRESSURE
audio/RES0068.mp3[60.040,63.360]	OK AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE
audio/RES0068.mp3[63.360,67.360]	NO NEVER
audio/RES0068.mp3[67.360,74.920]	OK ALRIGHT HAVE YOU NOTICEDSO YOU SAID LIKE THE DISCHARGE IS YELLOW HOW MUCH OF THE DISCHARGE ARE YOU HAVING LIKE IN A DAY
audio/RES0068.mp3[74.920,84.240]	LIKE PROBABLY ENOUGH TO FILL THE INSIDE OF MY PALM
audio/RES0068.mp3[84.240,89.160]	OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0068.mp3[89.160,99.480]	UH NO  NOTHING LIKE THAT I DID HAVE WHAT THEY THOUGHT WAS A VIRAL INFECTION A WEEK BACK
audio/RES0068.mp3[99.480,105.280]	OK AND DID YOU RECOVER FROM IT LIKE ON YOUR OWN
audio/RES0068.mp3[105.280,107.800]	YEAH IT WENT AWAY ON ITS OWN
audio/RES0068.mp3[107.800,112.080]	OK SO IT WAS JUST YOU JUST HAD SOME COLDLIKE SYMPTOMS
audio/RES0068.mp3[112.080,113.720]	YEAH THATS RIGHT
audio/RES0068.mp3[113.720,118.600]	OK ALRIGHT HAVE YOU BEEN COUGHING AT ALL
audio/RES0068.mp3[118.600,120.600]	UH NO
audio/RES0068.mp3[120.600,123.120]	OK ANY SORE THROAT
audio/RES0068.mp3[124.560,127.400]	ANY TROUBLE BREATHING
audio/RES0068.mp3[129.000,134.200]	ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0068.mp3[134.200,137.160]	I GUESS LOSS OF SMELL
audio/RES0068.mp3[137.160,142.920]	OK AND DID THAT COME AFTER THE CONGESTION OR WAS IT PRESENT BEFORE
audio/RES0068.mp3[142.920,146.240]	THE LOSS OF SMELL CAME AFTER THE CONGESTION
audio/RES0068.mp3[146.240,150.080]	OK AND WOULD YOU SAY YOURE STILL PRETTY CONGESTED
audio/RES0068.mp3[150.080,152.920]	I THINK SO YEAH
audio/RES0068.mp3[152.920,161.920]	OK AND HAS IT BEEN GETTING WORSE WOULD YOU SAY OR DO YOU FEEL THAT ITS GETTING BETTER
audio/RES0068.mp3[161.920,167.640]	UM I WOULD SAY ITS GETTING WORSE
audio/RES0068.mp3[167.640,179.640]	OK AND RIGHT NOW WHAT WOULD YOU SAY IS THE MOST TROUBLING SYMPTOM FOR YOU IS IT THAT PRESSURE IN YOUR FACE OR IS IT THE CONGESTION
audio/RES0068.mp3[179.640,183.480]	ITS THEITS THE PRESSURE IN MY FACE IT HURTS
audio/RES0068.mp3[183.480,191.040]	YEAH HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER MEDICATIONS AT ALL
audio/RES0068.mp3[191.040,204.680]	I TRIED SOME NASAL SPRAYS AND LIKE DECONGESTIONS BUT ITS NOT REALLY HELPING
audio/RES0068.mp3[204.680,213.640]	OK AND SO YOUVE TRIED NASAL SPRAYS HAVE YOU TRIED ANY OF THOSE LIKE NASAL RINSES OR ANYTHING LIKE THAT
audio/RES0068.mp3[213.640,217.480]	YEAH AND THEY DONT SEEM TO BE HELPING
audio/RES0068.mp3[217.480,225.480]	I SEE OK ANY RECENT CONTACT WITH ANYONE WHOS BEEN ILL OR ANY RECENT TRAVEL
audio/RES0068.mp3[225.480,228.160]	UH NO
audio/RES0068.mp3[228.160,231.040]	OK ANY NAUSEA OR VOMITING
audio/RES0068.mp3[231.040,233.120]	UH NO
audio/RES0068.mp3[233.120,235.960]	ANY FEVERS OR CHILLS
audio/RES0068.mp3[237.600,239.440]	ANY FATIGUE
audio/RES0068.mp3[239.440,242.360]	YEAH IVE BEEN FEELING TIRED
audio/RES0068.mp3[242.360,247.880]	OK AND HOW MANY DAYS WOULD YOU SAY YOUVE BEEN FEELING TIRED FOR
audio/RES0068.mp3[247.880,253.560]	UH I WOULD SAY FOR THE PAST THREE DAYS
audio/RES0068.mp3[253.560,265.080]	OK AND DO YOU FEEL THAT YOU KNOW YOURE HAVING SOME DISCHARGE BUT DO YOU FEEL THAT THERE IS MUCOUS BUILDING UP AND DRIPPING DOWN YOUR THROAT OR ANYTHING LIKE THAT
audio/RES0068.mp3[265.080,269.400]	YEAH NOW THAT YOU MENTION IT IT DOES FEEL LIKE THAT
audio/RES0068.mp3[269.400,278.800]	OK AND HAVE YOU NOTICED AT ALL OR HAS SOMEONE TOLD YOU THAT YOUR BREATH MIGHT SMELL BAD OR HAVE YOU NOTICED IT YOURSELF
audio/RES0068.mp3[278.800,282.200]	OH GOSH I HOPE NOT NO NO ONE SAID THAT
audio/RES0068.mp3[282.200,295.480]	OK YEAH SOMETIMES WITH LIKE MUCOUS BUILDUP IT CAN AFFECT LIKE YOUR BREATH AS WELL SO YEAH JUST WONDERING ANY CHEST PAIN AT ALL
audio/RES0068.mp3[295.480,296.880]	NO NO CHEST PAIN
audio/RES0068.mp3[296.880,301.000]	CONSTIPATION OR DIARRHEA
audio/RES0068.mp3[302.520,306.360]	ANY ISSUES WITH URINATING
audio/RES0068.mp3[306.360,308.960]	NO NO ISSUES THERE
audio/RES0068.mp3[308.960,314.360]	ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0068.mp3[314.360,323.480]	WELL I GUESS SLEEPING IS A LITTLE BIT HARDER NOW BECAUSE OF THE PRESSURE IN MY FACE BUT OTHER THAN THAT NO
audio/RES0068.mp3[323.480,328.080]	OK IS THERE ANYTHING THAT HELPS YOU AT ALL THAT YOUVE TRIED
audio/RES0068.mp3[328.080,338.800]	LIKE JUST THE POSITIONS OF HOW IM SLEEPING SOMETIMES HELPS YEAH
audio/RES0068.mp3[338.800,346.000]	OK SO THIS HAS BEEN GOING ON FOR JUST REMIND ME AGAIN LIKE THE LAST FOUR DAY
audio/RES0068.mp3[346.000,351.880]	YEAH THE LAST THREE DAYS LAST THREE DAYS
audio/RES0068.mp3[351.880,356.920]	OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS AT ALL THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST
audio/RES0068.mp3[356.920,364.880]	NO NOT THAT I CAN THINK OF
audio/RES0068.mp3[364.880,373.160]	OK ALRIGHT SO HAVE YOU NOTICED AT ALL ANY WEIGHT CHANGES
audio/RES0068.mp3[376.720,387.960]	OK AND HAVE YOU BEEN EXPOSED TO LIKE FUMES OR DUST OR HOW DO YOU HAVE ANY ANIMALS OR PETS AT HOME
audio/RES0068.mp3[387.960,391.120]	NO NOTHING LIKE THAT
audio/RES0068.mp3[391.120,397.400]	OK AND DO YOU TAKE ANY MEDICATIONS OR ANYTHING REGULARLY
audio/RES0068.mp3[397.400,401.040]	UM NO I JUST TAKE SOME MULTIVITAMINS
audio/RES0068.mp3[401.040,404.720]	OK AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES
audio/RES0068.mp3[404.720,410.720]	I JUST HAVE SOME I JUST HAVE SOME SEASONAL ALLERGIES
audio/RES0068.mp3[410.720,415.280]	OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0068.mp3[415.280,425.280]	UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS 12
audio/RES0068.mp3[425.280,436.720]	OK RIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS LIKE ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS
audio/RES0068.mp3[436.720,444.920]	UM I KNOW THAT THERES SOME ASTHMA THAT RUNS IN THE FAMILY
audio/RES0068.mp3[444.920,448.080]	OK AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA
audio/RES0068.mp3[450.200,457.480]	OK WHERE CURRENTLY WHERE DO YOU LIVE
audio/RES0068.mp3[457.480,467.280]	I LIVE IN A HOUSE WITH MY HUSBAND AND MY 3 YEAR OLD DAUGHTER
audio/RES0068.mp3[467.280,470.600]	OK AND DO YOU CURRENTLY SMOKE CIGARETTES
audio/RES0068.mp3[475.320,477.880]	DO YOU DRINK ALCOHOL
audio/RES0068.mp3[477.880,480.920]	I DONT
audio/RES0068.mp3[480.920,484.880]	ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0068.mp3[484.880,491.440]	UM ILL SMOKE A JOINT OR TWO ONCE A WEEK
audio/RES0068.mp3[491.440,501.040]	OK A JOINT OR TWO OK AND IS THAT IS THAT JUST RECREATIONALLY OR HAS IT BEEN HELPING AT ALL WITH YOUR SYMPTOMS
audio/RES0068.mp3[501.040,505.000]	UH THATS JUST RECREATIONALLY
audio/RES0068.mp3[505.000,514.440]	OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL FOR ME
audio/RES0068.mp3[514.440,520.720]	UH NO WHAT WAS LIKE WHAT DO YOU THINK I HAVE
audio/RES0068.mp3[520.720,569.800]	YEAH SO FROM THE SYMPTOMS THAT YOURE DESCRIBING IT DOES SEEM MORE LIKE SINUS ISSUES THERES A SINUS BEHIND YOUR FACE AND WHAT CAN HAPPEN IS IF YOU GET AN INFECTION LIKE ALL THE THE MUCOUS AND EVERYTHING CAN BUILD UP AND INCREASE THE PRESSURE THATS THE PRESSURE YOURE FEELING UNDERNEATH YOUR FACE  ITS BECAUSE OF A SINUS INFECTION MOST LIKELY AND USUALLY LIKE ITS USUALLY LIKE A VIRAL INFECTION THAT CAN GO AWAY ON ITS OWN WE USUALLY ASK PATIENTS TO TRY THE NASAL RINSES AND THEN SOME ORAL DECONGESTENTS OR HAVE YOU TRIED ANY ANTI HISTAMINES
audio/RES0068.mp3[569.800,572.320]	NO I HAVENT
audio/RES0068.mp3[572.320,601.040]	OK SO NO ANTIHISTAMINES IT SEEMS MOST LIKELY THAT YOU HAVE A SINUS INFECTION IT CAN BE BACTERIAL WITH THE YELLOW DISCHARGE THAT YOURE HAVING AS WELL SO WE CAN GIVE YOU SOME ANTIBIOTICS SO WILL GIVE YOU SOME AMOXICILLIN
audio/RES0068.mp3[602.560,618.280]	SO ITS ONLY BEEN THREE DAY SINCE YOURE HAVING THESE SYMPTOMS RIGHT  AND YOU HAVENT HAD ANY HIGH FEVER OR ANYTHING LIKE THAT HAVE YOU MEASURED YOUR TEMPERATURE
audio/RES0068.mp3[618.280,621.880]	I HAVENT I HAVENT NO
audio/RES0068.mp3[622.160,624.640]	I DONT FEEL HOT THOUGH
audio/RES0068.mp3[624.640,648.280]	OK SINCE ITS BEEN THREE DAYS WHAT IM GOING TO DO IS STILL GIVE YOU SOME ANTIBIOTICS SO AMOXICILLIN AND THEN WELL SEE LIKE AFTER YOU FINISH THAT DOSE HOW YOU FEEL AND WILL SET UP ANOTHER APPOINTMENT FOR WHEN WE CAN DO LIKE A PHONE APPOINTMENT AND OR CLINIC APPOINTMENT WHEN YOUR DOSES ARE DONE DOES THAT SOUND GOOD
audio/RES0068.mp3[648.280,649.840]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0068.mp3[649.840,654.840]	OK YOURE WELCOME AND HOPEFULLY YOU FEEL BETTER
audio/RES0068.mp3[654.840,656.080]	THANK YOU
audio/RES0068.mp3[656.080,661.360]	TAKE CARE
audio/RES0068.mp3[661.360,664.960]	YOU TOO
audio/RES0131.mp3[0.000,2.120]	WHAT BRINGS YOU IN
audio/RES0131.mp3[2.120,18.760]	HI THERE I IVE HAD THIS COUGH THAT STARTED UM THREE DAYS AGO AND OVER THESE PAST COUPLE OF DAYS IVE JUST BEEN REALLY ACHY ALL OVER AND SO IVE HAD A HEADACHE AS WELL
audio/RES0131.mp3[18.760,25.760]	OKAY WELL IM SORRY TO HEAR THAT YOURE NOT FEELING WELL UM THE COUGH WHEN DID THAT START
audio/RES0131.mp3[25.760,30.120]	YEAH SO THAT ABOUT THREE OR FOUR DAYS AGO UM IT STARTED TO COME ON YEAH
audio/RES0131.mp3[30.120,33.880]	OKAY AND THEN HOW ABOUT THE HEADACHE
audio/RES0131.mp3[33.880,36.000]	THATS BEEN MORE IN THE LAST TWO DAYS
audio/RES0131.mp3[36.000,41.960]	TWO DAYS OKAY AND THEN THE UH MUSCLE ACHE
audio/RES0131.mp3[41.960,53.240]	YEAH ITS BEEN THERE FOR ABOUT TWO YEAH ABOUT TWO OR THREE DAYS I WAKE UP IN THE MORNING AND IVE BEEN FEELING LIKE REALLY FATIGUED AND ACHY
audio/RES0131.mp3[53.240,57.680]	UM THE COUGH IS IT DRY OR YOURE BRINGING UP PHLEGM
audio/RES0131.mp3[57.680,66.520]	ITS ITS DRY BUT ITS GOTTEN A LITTLE BIT WORSE SINCE IT STARTED ITS JUST BEEN HAPPENING MORE OFTEN
audio/RES0131.mp3[66.520,71.360]	OKAY AND DOES IT SOUND HARSH
audio/RES0131.mp3[71.360,74.120]	UH MAYBE A LITTLE BIT YEAH
audio/RES0131.mp3[74.120,78.880]	OKAY IS IT GETTING WORSE DO YOU THINK
audio/RES0131.mp3[78.880,81.680]	YEAH I THINK SO
audio/RES0131.mp3[81.680,86.880]	OKAY ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH THE COUGH
audio/RES0131.mp3[86.880,98.280]	UH A LITTLE BIT AFTER UM IF I HAVE LIKE A COUGHING FIT THATS BAD ENOUGH BUT UM FOR THE MOST PART IVE BEEN OKAY
audio/RES0131.mp3[98.280,102.440]	OKAY ANY WHEEZINESS
audio/RES0131.mp3[102.440,104.960]	UM NO
audio/RES0131.mp3[104.960,107.440]	NO CHEST PAIN
audio/RES0131.mp3[109.160,113.320]	OKAY DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0131.mp3[113.320,116.920]	NO I HAVENT FELT LIKE THAT
audio/RES0131.mp3[116.920,121.880]	OKAY UM ANY DIZZINESS OR FAINTING SPELLS
audio/RES0131.mp3[123.040,126.440]	UH NUMBNESS OR TINGLING
audio/RES0131.mp3[128.040,132.160]	UH CONFUSION OR MEMORY LOSS
audio/RES0131.mp3[134.200,138.760]	THIS HEADACHE IS IT ALWAYS THERE
audio/RES0131.mp3[138.760,162.280]	THESE PAST COUPLE OF DAYS YEAH ITS KIND OF IT ITS BEEN THERE ITS BEEN A LITTLE BIT MORE MILD AFTER USING SOME TYLENOL OR ADVIL TO HELP SETTLE IT DOWN BUT I JUST HAVE THIS YEAH ACHINESS IN THE FRONT FRONT OF MY FOREHEAD AND KIND OF SIDES OF MY HEAD
audio/RES0131.mp3[162.280,172.200]	YEAH UM SIDES OF YOUR HEAD OKAY AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW HOW WOULD YOU RATE IT
audio/RES0131.mp3[172.200,173.400]	A 4
audio/RES0131.mp3[173.400,178.600]	A 4 OKAY SO ITS NOT THE WORST HEADACHE YOUVE EVER HAD IN YOUR LIFE
audio/RES0131.mp3[178.600,185.480]	NO ITS NOT THAT BAD ITS JUST BEEN PRETTY ANNOYING
audio/RES0131.mp3[185.480,190.920]	YEAH UM OKAY AND HAVE YOU LIKE DO YOU USUALLY GET HEADACHES
audio/RES0131.mp3[190.920,204.360]	NOT REALLY IT YEAH I DONT GET THEM THAT OFTEN I GUESS THEY COME WHEN I I WELL GET SICK
audio/RES0131.mp3[204.360,211.760]	OKAY YEAH THAT MAKES SENSE UM HAVE YOU HAD ANY FEVERS RECENTLY
audio/RES0131.mp3[211.760,225.360]	UM I HAVE FELT A BIT HOT UM AND BUT I I DIDNT CHECK MY TEMPERATURE AND UM YEAH
audio/RES0131.mp3[225.360,234.400]	OKAY HOW ABOUT WEIGHT LOSS HAVE YOU EXPERIENCED ANY WEIGHT LOSS RECENTLY
audio/RES0131.mp3[234.400,238.960]	NO IVE BEEN MY WEIGHTS BEEN PRETTY STABLE
audio/RES0131.mp3[238.960,242.000]	OKAY UM ANY RASHES
audio/RES0131.mp3[242.000,245.400]	NO I HAVENT NOTICED ANY RASHES
audio/RES0131.mp3[245.400,253.120]	OKAY UM AND ANY CHANGES IN YOUR HEARING OR VISION
audio/RES0131.mp3[254.320,257.800]	RUNNY NOSE OR STUFFY NOSE
audio/RES0131.mp3[258.800,262.000]	SORE THROAT
audio/RES0131.mp3[262.000,281.520]	UM YEAH NOW THAT YOU MENTION IT I HAVE HAD A LITTLE BIT OF A SORE THROAT AS WELL HASNT BEEN TOO PAINFUL WITH UM LIKE SWALLOWING UH FOODS OR ANYTHING LIKE THAT ITS KIND OF WORSE IN THE MORNING AND ITS NOT SO BAD LATER ON
audio/RES0131.mp3[281.520,288.440]	OKAY UM ALRIGHT HOW ABOUT CHANGES IN YOUR SMELL OR TASTE
audio/RES0131.mp3[288.440,290.280]	NO NOTHING LIKE THAT
audio/RES0131.mp3[290.280,294.200]	UM CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0131.mp3[294.200,297.280]	NO IVE BEEN UH REGULAR
audio/RES0131.mp3[297.280,303.600]	OKAY UM AND THEN NAUSEA OR VOMITING
audio/RES0131.mp3[303.600,307.640]	NOPE I HAVENT HAD ANYTHING LIKE THAT
audio/RES0131.mp3[307.640,311.400]	OKAY UM CHANGES IN YOUR URINE
audio/RES0131.mp3[311.400,320.320]	NO IVE HAD UTIS LIKE ONE OR TWO IN THE PAST UM SO I KNOW WHAT THATS LIKE SO YEAH EVERYTHINGS BEEN NORMAL
audio/RES0131.mp3[320.320,328.280]	OKAY GOOD AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0131.mp3[328.280,347.080]	UH I HAVE ASTHMA WHICH I WILL LIKE ASTHMA AND ALLERGIES AND ILL USE UM JUST VENTOLIN FOR THAT EVERY LIKE ONCE IN AWHILE BUT IT HASNT BUGGED ME TOO FREQUENTLY
audio/RES0131.mp3[347.080,354.720]	OKAY UM DO YOU ALSO TAKE ANYTHING ELSE FOR THAT ASTHMA OR IS IT JUST THE VENTOLIN THAT USE
audio/RES0131.mp3[354.720,356.200]	YEAH JUST VENTOLIN
audio/RES0131.mp3[356.200,362.240]	OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0131.mp3[362.240,372.400]	NO WELL I IVE HAD MY MY WISDOM TEETH TAKEN OUT AND ACTUALLY YEAH I HAD MY TONSILS OUT AS WELL WHEN I WAS 12
audio/RES0131.mp3[372.400,376.840]	OKAY UM ARE YOU ON ANY MEDICATIONS BESIDES VENTOLIN
audio/RES0131.mp3[376.840,380.080]	YEAH I I CURRENTLY I THINK A BIRTH CONTROL
audio/RES0131.mp3[380.080,385.000]	OKAY HOW LONG HAVE YOU BEEN ON THAT FOR
audio/RES0131.mp3[385.000,390.800]	UH SINCE HIGH SCHOOL SO I YEAH SINCE I WAS 18 SO EIGHT YEARS
audio/RES0131.mp3[390.800,395.760]	OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0131.mp3[395.760,398.600]	I AM YEAH I GET THE FLU SHOT EVERY YEAR
audio/RES0131.mp3[398.600,402.440]	OKAY OKAY GOOD ANY ALLERGIES
audio/RES0131.mp3[402.440,413.320]	UH YEAH TO CATS AND UM LIKE I THINK ENVIRONMENTAL TRIGGERS NO MEDICINES
audio/RES0131.mp3[413.320,420.000]	NO MEDICINES OKAY ANY FAMILY HISTORY OF LUNG OR HEART DISEASES
audio/RES0131.mp3[420.000,439.760]	UM MY GRANDFATHER HAD HAD A STROKE WHEN HE WAS IN HIS 70S AND UM BUT HE WAS LIKE A SMOKER AND A DRINKER AND DIDNT REALLY LOOK AFTER HIMSELF VERY WELL UNFORTUNATELY AND UH BUT THATS ABOUT IT
audio/RES0131.mp3[439.760,442.280]	OKAY UM AND DO YOU SMOKE
audio/RES0131.mp3[442.280,443.320]	NO I DONT
audio/RES0131.mp3[443.320,449.640]	NO OKAY ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN OR ANYTHING LIKE THAT
audio/RES0131.mp3[449.640,451.680]	NO I DONT USE ANYTHING LIKE THAT
audio/RES0131.mp3[451.680,455.360]	OKAY HOW ABOUT UM ALCOHOL DO YOU DRINK
audio/RES0131.mp3[455.360,464.080]	YEAH SOMETIMES ILL HAVE A OR MAYBE A COCKTAIL ON THE WEEKEND OR UM A GLASS OF WINE WITH DINNERS
audio/RES0131.mp3[464.080,468.080]	OKAY ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0131.mp3[468.080,474.640]	I AM YEAH WITH UH WITH MY BOYFRIEND UM WE USE UH CONDOMS AS WELL
audio/RES0131.mp3[474.640,486.640]	OKAY SO YOU USE BOTH CONDOMS AND YOURE ON BIRTH CONTROL SO OKAY GOOD THATS A LOT OF PROTECTION UM HOW LONG HAVE YOU TWO BEEN TOGETHER
audio/RES0131.mp3[486.640,489.840]	UM UH SIX MONTHS
audio/RES0131.mp3[489.840,501.280]	OKAY OKAY GOOD AND UM ANY SICK CONTACTS RECENTLY
audio/RES0131.mp3[501.280,504.840]	UM NOT THAT IM AWARE OF
audio/RES0131.mp3[504.840,508.760]	NO OKAY ANY TRAVEL RECENTLY
audio/RES0131.mp3[508.760,519.800]	NOPE JUST BEEN UM GOING TO OR JUST BEEN DOING ONLINE UH CLASSES IM FINISHING UP MY MASTERS RIGHT NOW
audio/RES0131.mp3[519.800,521.840]	OKAY OKAY WOW CONGRATS
audio/RES0131.mp3[521.840,524.080]	THANK YOU
audio/RES0131.mp3[524.080,527.120]	UM AND WHERE DO YOU LIVE AND WHO DO YOU LIVE WITH
audio/RES0131.mp3[527.120,537.880]	YEAH SO I LIVE IN AN APARTMENT DOWNTOWN HERE UM JUST WITH UH ONE OF ONE OF MY FRIENDS WHOS A ROOMMATE
audio/RES0131.mp3[537.880,541.040]	OKAY AND IS EVERYONE AT HOME HEALTHY
audio/RES0131.mp3[541.040,548.200]	YEAH SHE HASNT HAD ANY ANY SYMPTOMS ANY SYMPTOMS EITHER
audio/RES0131.mp3[548.200,559.360]	OKAY OKAY WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS UM OR ANYTHING THAT YOU WANTED TO BRING UP THAT I HAVENT COVERED
audio/RES0131.mp3[559.360,572.520]	NO THATS IT I WAS JUST UH I MEAN CONCERNED ABOUT COVIIVE BEEN HEARING ABOUT THIS NEW VARIANT AND STUFF ON THE NEWS SO A LITTLE BIT WORRIED
audio/RES0131.mp3[572.520,631.760]	YEAH FOR SURE WE WILL DEFINITELY UM TAKE A SWAB FROM YOU TODAY AND WELL SEE UM WHAT THE RESULTS ARE YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR 14 DAYS UM AND IF ITS NOT COVIIF THAT COMES BACK NEGATIVE AND UM YEAH SOME OF YOUR SYMPTOMS ALSO SOUND LIKE OTHER TYPICAL VIRAL SYMPTOMS SO YOU COULD HAVE ONE OF THE COMMON STRAINS THATS GOING AROUND THIS TIME OF YEAR SO FOR THAT JUST ITS UM YOU SHOULD JUST UM DO SOME SUPPORTIVE CARE YOU KNOW STAYING HYDRATED EATING WELL AND IF YOUR SYMPTOMS BECOME WORSE UH YOURE RUNNING A REALLY HIGH FEVER YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES THEN YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND
audio/RES0131.mp3[631.760,634.200]	THAT SOUNDS GOOD THANK YOU
audio/RES0131.mp3[634.200,636.520]	OKAY GREAT THANK YOU
audio/RES0212.mp3[0.000,2.320]	SO WHAT BRINGS YOU IN THE CLINIC TODAY
audio/RES0212.mp3[2.320,7.640]	HEY UH I JUST HAD THIS COUGH THATS BEEN LIKE REALLY BOTHERING ME
audio/RES0212.mp3[7.640,10.200]	OK HOW LONG HAVE YOU HAD THAT FOR
audio/RES0212.mp3[10.200,32.880]	UH LIKE IN THE PAST FEW DAYS ITS BEEN REALLY LIKE GROSS AND IVE BEEN COUGHING UP THIS LIKE GUNK BUT IVE HAD IT FOR IVE HONESTLY HAD A COUGH FOR LIKE THREE MONTHS ITS JUST LIKE SOMETIMES ITS LIKE THERE AND SOMETIMES IT KIND OF GOES AWAY IT FEELS LIKE IT KEEPS COMING BACK
audio/RES0212.mp3[32.880,36.440]	OK HAVE YOU HAD ANY CHEST PAIN
audio/RES0212.mp3[36.440,48.800]	UM NO LIKE IT KINDA HURTS WHEN I COUGH NOW BUT NOT NOT LIKE ON ITS OWN
audio/RES0212.mp3[48.800,54.720]	OK HAVE YOU NOTICED ANY FEVERS AT HOME OR FEVERS AT ALL IN THE LAST COUPLE DAYS
audio/RES0212.mp3[54.720,64.160]	UH IVE BEEN FEELING LIKE HOT AT NIGHT IN THE PAST COUPLE DAYS UH BUT LIKE I DIDNT ACTUALLY TAKE MY TEMP
audio/RES0212.mp3[64.160,69.200]	OK HAVE YOU HAD ANY NIGHT SWEATS YOU WAKE UP THE SHEETS ARE SOAKED
audio/RES0212.mp3[69.200,71.040]	UH NO NOT THAT
audio/RES0212.mp3[71.040,78.040]	NOTHING LIKE THAT OK HAVE YOU NOTICED ANY UNEXPLAINED WEIGHT LOSS OVER THE LAST LITTLE WHILE
audio/RES0212.mp3[78.040,79.120]	UM NO
audio/RES0212.mp3[79.120,84.760]	SO SO YOU GO ON THE SCALE YOU LOST A FEW POUNDS BUT YOU HAVENT BEEN TRYING TO BASICALLY
audio/RES0212.mp3[84.760,88.400]	NO LIKE I I DONT REALLY WEIGH MYSELF BUT I DONT THINK SO
audio/RES0212.mp3[88.400,93.320]	SO YOU HAVENT BEEN NOTICING CLOTHES HAVE BEEN FITTING LOOSE OR ANYTHING LIKE THAT
audio/RES0212.mp3[93.320,95.840]	NO NO LIKE I WISH BUT NO
audio/RES0212.mp3[95.840,101.760]	GOT IT GOT IT NOW LETS TALK ABOUT WHAT YOURE BRINGING UP WITH YOUR COUGH WHAT COLOUR IS IT
audio/RES0212.mp3[101.760,105.320]	ITS REALLY GROSS ITS KIND OF LIKE GREENISH
audio/RES0212.mp3[105.320,110.600]	GREENISH OK AND ALSO ANY RED OR ANY BLOOD WITH IT
audio/RES0212.mp3[112.040,118.520]	OK AND DOESNT SMELL AT ALL SMELL FUNKY
audio/RES0212.mp3[118.520,122.480]	I HAVENT NOTICED
audio/RES0212.mp3[122.480,129.560]	OK SO YOUVE JUST BEEN BRINGING THIS STUFF UP FOR THE LAST COUPLE OF DAYS WHEN SPECIFICALLY TWO DAYS AGO THREE DAYS AGO
audio/RES0212.mp3[129.560,134.360]	LIKE MAYBE MAYBE THREE DAYS
audio/RES0212.mp3[134.360,144.880]	THREE DAYS AGO AND YOU SAID BEFORE THAT YOU KIND OF HAD THIS DRY COUGH BEFORE UH WHEN DID YOU FIRST NOTICE THAT THREE MONTHS AGO YOU SAID
audio/RES0212.mp3[144.880,165.360]	YEAH I WAS UH I I DO LIKE UM IT LIKE SOUNDS SILLY BUT I DO LIKE A POLE DANCING CLASS JUST FOR EXERCISE AND I WAS LIKE AT MY CLASS AND I KIND OF JUST STARTED TO LIKE FEEL LIKE I WAS LIKE A LITTLE COUGHY AND LIKE I DONT THINK THERES ANYTHING SPECIAL THAT WAS JUST LIKE WHEN I NOTICED IT
audio/RES0212.mp3[165.360,169.440]	OK ANYONE AT THE CLASS SICK AT THAT TIME
audio/RES0212.mp3[169.440,172.440]	I DONT THINK SO LIKE ITS A REALLY LONG TIME AGO I DONT REALLY REMEMBER
audio/RES0212.mp3[172.440,181.360]	GOT IT GOT IT ANYONE SICK NEAR YOU OR AROUND YOU IN THE LAST COUPLE OF WEEKS
audio/RES0212.mp3[181.360,185.640]	NO NO NOT THAT I CAN THINK OF
audio/RES0212.mp3[185.640,193.720]	OK AND REGARDING OTHER ANY WE ALREADY TALKED ABOUT CHEST PAIN UH YOUVE BEEN ABLE TO EAT FOOD ALRIGHT
audio/RES0212.mp3[193.720,198.000]	UH YEAH LIKE UH YEAH ITS LIKE PRETTY NORMAL
audio/RES0212.mp3[198.000,200.680]	SO NO NAUSEA NO VOMITING
audio/RES0212.mp3[200.680,204.440]	UH NO NONE OF THAT
audio/RES0212.mp3[204.440,207.800]	YOU DONT HAVE A STIFF NECK AT ALL DO YOU
audio/RES0212.mp3[207.800,209.720]	NO NO I DONT
audio/RES0212.mp3[209.720,218.760]	OK BUT HOW ABOUT OTHER PARTS OF YOUR BODY ANY PAIN TENDERNESS ANYWHERE
audio/RES0212.mp3[218.760,237.960]	I DONT THINK SO NO LIKE IM IM A LITTLE TIRED NOW UM LIKE THE COUGH IS LIKE MAYBE FOR LIKE A MONTH ITS BEEN KIND OF WAKING ME UP A LITTLE BIT SO MY MY SLEEP HASNT BEEN GREAT BUT I DONT THINK ITS LIKE I HAVE LIKE PAIN IM JUST LIKE TIRED
audio/RES0212.mp3[237.960,241.160]	OK SO THE COUGH DOES WAKE YOU UP AT NIGHT
audio/RES0212.mp3[242.120,247.600]	DOES IT WAKE YOU UP EVERY NIGHT
audio/RES0212.mp3[247.600,253.560]	YEAH LIKE PRETTY WELL FOR LIKE THE LAST NOT LIKE ALL THREE MONTHS BUT PROBABLY THE LAST MONTH
audio/RES0212.mp3[253.560,268.160]	OK ALRIGHT IM JUST GONNA MOVE ON TALK A LITTLE BIT ABOUT YOU AND THE PAST UH SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE
audio/RES0212.mp3[268.160,271.640]	UH JUST LIKE ECZEMA
audio/RES0212.mp3[271.640,276.880]	OK AND DO YOU TAKE ANYTHING FOR THAT
audio/RES0212.mp3[276.880,295.160]	JUST LIKE MOISTURIZING CREAMS UM LIKE MY FAMILY DOCTOR BACK HOME SAID LIKE A COUPLE TIMES WHEN IT WAS REALLY BAD SHE WOULD GIVE ME ONE LIKE TO GO GET AT LIKE SHOPPERS BUT RIGHT NOW ITS NOT BAD SO I JUST HAVE JUST LIKE A REGULAR CREAM
audio/RES0212.mp3[295.160,298.040]	GOT IT EVER BEEN HOSPITALIZED BEFORE
audio/RES0212.mp3[298.040,299.520]	UH NO
audio/RES0212.mp3[299.520,302.280]	OK ANY SURGERIES
audio/RES0212.mp3[303.640,308.880]	OK SO ASIDE FROM THE ECZEMA IT SOUNDS LIKE YOURE PRETTY HEALTHY EH
audio/RES0212.mp3[309.840,311.960]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0212.mp3[311.960,323.480]	UH I THINK MAYBE UM MAYBE CATS BECAUSE I I DONT HAVE ONE BUT SOMETIMES IVE NOTICED STUFF BUT IVE NEVER LIKE ITS NEVER REALLY BEEN TOO BIG OF AN ISSUE
audio/RES0212.mp3[323.480,330.120]	OK SO YOUVE NEVER TAKEN ANY MEDICATIONS OR GOT STUNG BY A BEE AND HAD ANY TROUBLE BREATHING OR EVEN A CERTAIN FOOD
audio/RES0212.mp3[330.920,340.080]	NOTHING LIKE THAT OK ARE YOU TAKING ANY MEDICATIONS RIGHT NOW
audio/RES0212.mp3[340.080,340.880]	UH NO
audio/RES0212.mp3[340.880,344.240]	OK AND YOU JUST GO TO WESTERN
audio/RES0212.mp3[345.120,348.360]	DO YOU LIVE UH NEAR CAMPUS WITH ANYONE
audio/RES0212.mp3[348.360,355.360]	UH I HAVE LIKE A ROOMMATE YEAH WE I LIVE IN AN APARTMENT WITH A ROOMMATE
audio/RES0212.mp3[355.360,357.960]	OK HAVE THEY BEEN SICK AT ALL IN THE LAST LITTLE WHILE
audio/RES0212.mp3[360.400,363.840]	OK AND LAST LITTLE WHILE HAVE YOU DONE ANY TRAVELING
audio/RES0212.mp3[365.280,370.560]	SO YOU HAVENT BEEN OUTSIDE THE COUNTRY OR ANY EXOTIC LOCALES IN THE LAST LITTLE WHILE
audio/RES0212.mp3[370.560,375.160]	NO LIKE IM PLANNING TO ON MARCH BREAK BUT I HAVENT GONE ANYWHERE
audio/RES0212.mp3[375.160,380.720]	GOT IT GOT IT SO YOU LIVE IN TOWN UH WITH YOUR ROOMMATE AND YOURE CURRENTLY A FULL TIME STUDENT
audio/RES0212.mp3[382.640,385.720]	OK AND JUST REGARDS TO ANYTHING DO YOU SMOKE
audio/RES0212.mp3[385.720,398.760]	NO LIKE I DONT UM I DONT SMOKE CIGARETTES LIKE I SOMETIMES SOMETIMES SMOKE MARIJUANA BUT USUALLY UM USUALLY ITS LIKE THE VAPE
audio/RES0212.mp3[398.760,401.960]	OK HOW OFTEN WE SAY YOU DO THAT A WEEK
audio/RES0212.mp3[401.960,407.120]	OH LIKE MAYBE LIKE ONCE EVERY LIKE 2 WEEKS OR SOMETHING
audio/RES0212.mp3[407.120,411.120]	GOT IT ANY OTHER SUBSTANCES SLASH DRUGS
audio/RES0212.mp3[411.120,414.360]	NO LIKE ALCOHOL SOMETIMES LIKE
audio/RES0212.mp3[414.360,417.440]	OK SO NO COCAINE NO HEROIN
audio/RES0212.mp3[418.520,422.200]	AND HAVE YOU EVER UM INJECTED DRUGS INTO YOUR BODY
audio/RES0212.mp3[422.520,429.200]	GOT IT GOT IT JUST COMING BACK TO ALCOHOL UH HOW OFTEN WOULD YOU SAY YOU DRINK
audio/RES0212.mp3[429.200,432.760]	MAYBE LIKE ONE ONE NIGHT LIKE ON THE WEEKEND
audio/RES0212.mp3[432.760,436.600]	OK AND WHAT DO YOU DRINK HOW MUCH DO YOU DRINK
audio/RES0212.mp3[436.600,441.520]	I DONT KNOW MAYBE LIKE 5 OR 6 BEERS I GUESS IT JUST DEPENDS ON THE NIGHT
audio/RES0212.mp3[441.520,449.520]	GOT IT GOT IT AND OTHER QUESTIONS WHEN WAS YOUR LAST MENSTRUAL PERIOD
audio/RES0212.mp3[449.520,450.680]	MAYBE LIKE 2 WEEKS AGO
audio/RES0212.mp3[450.680,455.120]	TWO WEEKS AGO OK ARE YOU SEXUALLY ACTIVE
audio/RES0212.mp3[455.120,458.520]	UH YEAH JUST WITH MY BOYFRIEND
audio/RES0212.mp3[458.520,462.920]	OK SO DO YOU TWO USE CONTRACEPTION BIRTH CONTROL
audio/RES0212.mp3[462.920,465.920]	YEAH WE USE UH LIKE CONDOMS
audio/RES0212.mp3[465.920,474.400]	OK ANY CHANCE YOU COULD BE PREGNANT RIGHT NOW THAT WAS A STRANGE QUESTION TO ASK IF YOURE SEXUALLY ACTIVE BUT ANY UNPROTECTED SEX IN THE LAST TWO WEEKS
audio/RES0212.mp3[474.760,507.760]	GOT IT ALRIGHT AND WERE JUST KIND OF GOING OVER THINGSSO IT SOUNDS LIKE YOUVE HAD THIS COUGH OR A COUGH FOR A LITTLE WHILE BUT ITS ONLY BECOME BAD IN THE LAST THREE DAYS YOURE WAKING UP AT NIGHT AND YOURE KIND OF BRINGING UP THIS FOUL OR NOT THIS FOUL BUT THIS KIND OF GREENISH SPUTUM BUT ITS NO BLOOD IN IT AND OTHERWISE YOU DONT HAVE ANY CONSTITUTIONAL SYMPTOMS SO I WILL GO REVIEW YOUR STORY WITH THE DOCTORS ANYTHING ELSE YOUD LIKE TO BRING UP WITH THEM BEFORE I GO
audio/RES0212.mp3[507.760,518.840]	I DONT THINK SO I JUST LIKE I LIKE I HOPE I JUST CAN FEEL BETTER CAUSE IVE BEEN MISSING LIKE MY EXERCISE STUFF CAUSE I FEEL LIKE ITS JUST LIKE COUGHING AND IT MAKES IT HARD TO LIKE DO WELL
audio/RES0212.mp3[518.840,523.800]	GOT IT GOT IT WELL SEE WHAT WE CAN DO OK THANK YOU VERY MUCH
audio/RES0212.mp3[523.800,524.800]	OK THANKS
audio/RES0006.mp3[0.000,3.360]	WHAT BRINGS YOU IN TO SEE US
audio/RES0006.mp3[3.360,14.440]	SO IVE JUST BEEN HAVING THIS COUGH THAT I FEEL HAS JUST BEEN GETTING WORSE AND IVE ALSO BEEN FEELING A BIT SHORT OF BREATH FOR THE LAST FEW MONTHS
audio/RES0006.mp3[14.440,18.680]	OK COULD YOU TELL ME WHEN THE COUGH STARTED
audio/RES0006.mp3[18.680,25.760]	SO I WOULD SAY IT STARTED AROUND TWO MONTHS AGO
audio/RES0006.mp3[25.760,32.440]	OK AND HAS THE COUGH BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM
audio/RES0006.mp3[32.440,45.560]	UH ITS USUALLY ALWAYS UH PRODUCES LIKE THE SPUTUM AND ITS USUALLY WHITE OR YELLOWISH IN COLOUR
audio/RES0006.mp3[45.560,56.640]	OK AND HOW MUCH SPUTUM ARE YOU PRODUCING EACH DAY SOME SOMETIMES ITS USEFUL TO THINK ABOUT LIKE TEASPOONS OR TABLESPOONS
audio/RES0006.mp3[56.640,68.520]	I WOULD SAY EVERY TIME I COUGH LIKE A TEASPOON I PROBABLY HAVE LIKE I DONT KNOW MAYBE 5 TO 10 TEASPOONS A DAY
audio/RES0006.mp3[68.520,75.200]	UH OK AND IS THERE ANY PARTICULAR TIME OF DAY THAT THE COUGH IS WORSE
audio/RES0006.mp3[75.200,93.520]	UM NOT REALLY ITS PRETTY PRETTY MUCH THE SAME SOMETIMES IT IS WORSE IN THE MORNING YEAH AND SOMETIMES IT GETS BETTER WHEN I GO OUT FOR A SMOKE
audio/RES0006.mp3[93.520,99.080]	OK UM AND HAVE YOU NOTICED ANY BLOOD
audio/RES0006.mp3[99.080,103.080]	NO UM I HAVENT NOTICED ANY BLOOD
audio/RES0006.mp3[103.080,111.360]	OK AND HAVE YOU HAD SO YOU HAD SHORTNESS OF BREATH WHEN DID THAT START
audio/RES0006.mp3[111.360,118.720]	ITS AROUND TWO MONTHS AGO AROUND THE SAME TIME
audio/RES0006.mp3[118.720,126.360]	OK AND IS THIS DO YOU HAVE SHORTNESS OF BREATH AT REST OR IS IT WHEN YOU EXERT YOURSELF
audio/RES0006.mp3[126.360,134.320]	UH ITS IT CAN HAPPEN LIKE AT ANYTIME BUT WORSE WHEN I AM EXERTING MYSELF
audio/RES0006.mp3[134.320,142.400]	OK AND THEN HAVE YOU HAD A COUGH BEFORE
audio/RES0006.mp3[142.400,148.680]	UH NOT AS FREQUENTLY I WOULD SAY NOT REALLY IT JUST STARTED IN THE LAST TWO TO THREE MONTHS
audio/RES0006.mp3[148.680,153.200]	OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE
audio/RES0006.mp3[153.200,165.840]	JUST THROUGHOUT MY LIFE IVE HAD ASTHMA SO WHEN I AM EXERCISING TOO MUCH OR GET EXPOSED TO LIKE DUST SOMETIMES GET SHORTNESS OF BREATH
audio/RES0006.mp3[165.840,177.680]	OK HAS THERE BEEN ANYTHING UM BESIDES EXERTING YOURSELF THATS MADE THAT EITHER THE COUGH OR OR SHORTNESS OF BREATH WORSE
audio/RES0006.mp3[177.680,193.880]	UH OVER THE LAST YEAR LIKE IVE HAD A COUPLE OF CHEST INFECTIONS AFTER GOING TO THE ER THEY GAVE ME SOME ANTIBIOTICS BUT YEAH WHEN THAT HAPPENS IT USUALLY GETS WORSE THE SHORTNESS OF BREATH AND THE COUGH
audio/RES0006.mp3[193.880,202.080]	OK AND UH DO YOUR SYMPTOMS FEEL LIKE ANY OF THOSE TIMES RIGHT NOW
audio/RES0006.mp3[202.080,211.960]	NO I I DONT FEEL LIKE I HAVE A FEVER AND NO OTHER SYMPTOMS JUST THE SHORTNESS OF BREATH AND COUGH
audio/RES0006.mp3[211.960,217.600]	OK AND HAVE YOU BEEN DOING ANYTHING THATS MADE IT BETTER
audio/RES0006.mp3[217.600,235.360]	IVE BEEN TAKING SOME TYLENOL COLD HASNT REALLY HELPED TOO MUCH IVE TRIED MY INHALERS THEY SOMETIMES HELP BUT IVE NEVER HAD HAVE THIS FREQUENT OF COUGHING AND SHORTNESS OF BREATH BEFORE
audio/RES0006.mp3[235.360,243.280]	OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING FATIGUE
audio/RES0006.mp3[243.280,253.440]	UM WHEN IT GETS REALLY BAD THEN I CANT REALLY STEP OUT OF THE HOUSE BUT OTHER THAN THAT I FEEL LIKE MY ENERGYS STILL THERE
audio/RES0006.mp3[253.440,258.520]	OK AND YOU HAVE IT HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0006.mp3[259.840,264.200]	OK HOW ABOUT AT A LOSS OF SMELL
audio/RES0006.mp3[265.400,267.680]	UM A LOSS OF TASTE
audio/RES0006.mp3[269.400,272.640]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0006.mp3[272.640,283.160]	NO JUST SOMETIMES WHEN IM LIKE COUGHING A LOT IT GETS A LITTLE BIT UNCOMFORTABLE BUT OTHER THAN THAT NO
audio/RES0006.mp3[283.160,289.280]	OK UM HAVE YOU HAD ANY INSTANCES WHERE YOU FELT LIKE YOUR HEART WAS RACING
audio/RES0006.mp3[290.280,294.640]	OK HOW ABOUT BEING LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT
audio/RES0006.mp3[296.200,301.960]	OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT
audio/RES0006.mp3[303.600,307.480]	OK AND HOW ABOUT HEADACHES
audio/RES0006.mp3[307.480,308.880]	NO HEADACHES
audio/RES0006.mp3[308.880,314.280]	ALRIGHT AND HAVE YOU HAD ANY WHEEZING
audio/RES0006.mp3[314.280,325.000]	UM SOMETIMES IVE NOTICED IT BUT I HAD IT BEFORE LIKE WITH ASTHMA AS WELL BUT NOT NOT THAT MUCH
audio/RES0006.mp3[325.000,329.520]	OK AND HOW ABOUT ABDOMINAL PAIN
audio/RES0006.mp3[329.520,331.160]	NO ABDOMINAL PAIN
audio/RES0006.mp3[331.160,334.040]	ALRIGHT THEN ANY URINARY PROBLEMS
audio/RES0006.mp3[335.040,338.280]	ANY BOWEL PROBLEMS
audio/RES0006.mp3[339.320,341.680]	ANY RASHES
audio/RES0006.mp3[342.880,350.200]	OK AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR JOINT ACHES OR OR BODY ACHES
audio/RES0006.mp3[350.200,353.160]	NO NOTHING LIKE THAT
audio/RES0006.mp3[353.160,360.040]	ALRIGHT AND YOU MENTIONED ASTHMA BUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
audio/RES0006.mp3[360.040,363.160]	NO JUST ASTHMA
audio/RES0006.mp3[363.160,371.360]	OK AND DO YOU USE INHALERS ARE THERE ANY OTHER MEDICATIONS YOURE CURRENTLY USING
audio/RES0006.mp3[371.360,377.600]	OH NO JUST THE SALBUTAMOL AND LIKE THE STEROID INHALER
audio/RES0006.mp3[377.600,383.960]	OK YEAH AND HOW OFTEN ARE YOU USING BOTH OF THOSE
audio/RES0006.mp3[383.960,402.440]	SO THE STEROID ONE I AM USING PRETTY MUCH EVERY DAY BUT THE SALBUTAMOL I FOUND IVE BEEN USING A LOT MORE RECENTLY I WOULD SAY PROBABLY AT LEAST SIX TO 10 TIMES IN A WEEK
audio/RES0006.mp3[402.440,411.960]	OK UM THAT REMINDED ME I I FORGOT TO ASK HAVE YOU NOTICE ANY CHANGES TO YOUR VOICE
audio/RES0006.mp3[411.960,415.640]	UM NO NOT REALLY
audio/RES0006.mp3[415.640,421.920]	OK UM AND I WAS WONDERING IF YOU HAD ANY ALLERGIES TO MEDICATIONS
audio/RES0006.mp3[421.920,424.600]	NO NOT THAT I KNOW OF
audio/RES0006.mp3[424.600,428.240]	ALRIGHT AND HAVE YOU BEEN IN THE HOSPITAL RECENTLY
audio/RES0006.mp3[429.600,433.360]	ALRIGHT SO WHEN WAS THE LAST TIME THAT YOU HAD ANTIBIOTICS
audio/RES0006.mp3[433.360,437.240]	I WOULD SAY LIKE SIX MONTHS AGO
audio/RES0006.mp3[437.240,441.400]	OK AND ANY SURGERIES
audio/RES0006.mp3[442.640,447.320]	OK AND DID YOU GET THE FLU SHOT THIS YEAR
audio/RES0006.mp3[448.520,458.080]	OK GREAT UM AND I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0006.mp3[458.080,465.360]	SO I LIVE IN LONDON UM IN A SMALL APARTMENT WITH MY WIFE
audio/RES0006.mp3[465.360,470.360]	OK DO YOU HAVE ANY PETS AROUND
audio/RES0006.mp3[470.360,473.040]	NO NO PETS
audio/RES0006.mp3[473.040,483.680]	ALRIGHT AND UM ANY EXPOSURES AT WORK TOO LIKE DUST OR ANY TYPES OF LIKE CHEMICALS LIKE THAT
audio/RES0006.mp3[483.680,492.520]	NO NOT REALLY MY WORK IS PRETTY MUCH A DESK JOB SO NOTHING LIKE THAT
audio/RES0006.mp3[492.520,496.600]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0006.mp3[496.600,503.960]	YEAH YEAH I SMOKE A LOT OF CIGARETTES JUST LIKE I WOULD SAY 30 CIGARETTES A DAY
audio/RES0006.mp3[503.960,510.960]	OK AND HOW LONG HAVE YOU SMOKED FOR
audio/RES0006.mp3[510.960,517.040]	ID SAY PROBABLY AT LEAST 25 YEARS
audio/RES0006.mp3[517.040,519.640]	OK AND SORRY COULD YOU REMIND ME OF YOUR YOUR AGE AGAIN
audio/RES0006.mp3[519.640,523.920]	SO I AM 60 YEARS OLD NOW
audio/RES0006.mp3[523.920,528.800]	OK SO YOU STARTED SMOKING UM AROUND 35
audio/RES0006.mp3[528.800,529.160]	YEAH YEAH
audio/RES0006.mp3[529.160,535.000]	OK HAVE YOU TRIED TO QUIT
audio/RES0006.mp3[535.000,545.000]	YEAH TRIED TO QUIT IVE EVEN QUITE A COUPLE TIMES BUT THEN JUST GOT BACK ONTO IT YEAH NOT NOT REALLY READY TO QUIT
audio/RES0006.mp3[545.000,557.920]	OK THATS FAIR ENOUGH IF THERES SOMETHING THAT YOU WANTED TO TALK ABOUT QUITTING SMOKING AT ANOTHER APPOINTMENT WE CAN ARRANGE FOLLOW UP FOR THAT
audio/RES0006.mp3[558.160,560.120]	DO YOU DRINK ALCOHOL
audio/RES0006.mp3[560.120,565.800]	NOT MUCH JUST OUT SAY ONE OR TWO BEERS ON THE WEEKEND
audio/RES0006.mp3[565.800,574.840]	ALRIGHT AND YOU USE ANY RECREATIONAL DRUGS LIKE COCAINE CRYSTAL METH OR IV DRUGS
audio/RES0006.mp3[574.840,576.920]	NO NOTHING LIKE THAT
audio/RES0006.mp3[576.920,582.600]	ALRIGHT AND HAS ANYTHING SIMILAR LIKE THIS HAPPENED IN YOUR FAMILY BEFORE
audio/RES0006.mp3[582.600,601.920]	UH I THINK MY UM SISTER HAS A COPLIKE SHE SMOKES A LOT TOO BUT THATS THATS ABOUT I DONT KNOW IF THATS GENETIC
audio/RES0006.mp3[601.920,606.400]	OH OK UM I SO I MEAN ANYBODY IN THE FAMILY HAVE CANCERS
audio/RES0006.mp3[606.400,613.160]	UM NO NOT THAT I KNOW OF
audio/RES0006.mp3[613.160,625.440]	ALRIGHT UM SO THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON HISTORY WAS THERE ANY UH ANY OTHER QUESTIONS THAT YOU HAD
audio/RES0006.mp3[625.440,633.560]	NO NOT REALLY JUST WANTED TO GET TO THE BOTTOM OF THIS
audio/RES0006.mp3[633.560,666.680]	OK FOR SURE SO UM WE WILL RUN SOME INVESTIGATIONS AND LIKELY GET A CHEST X RAY BECAUSE ITS BEEN A COUPLE OF MONTHS THAT THESE SYMPTOMS HAVE BEEN GOING ON FOR BUT I THINK IT COULD BE RELATED TO YOUR SMOKING AND MOST LIKELY UM BRONC CHRONIC BRONCHITIS BUT WE CAN DEFINITELY WILL BE LOOKING INTO THIS AND THEN ALSO WITH POSSIBLY SOME PULMONARY FUNCTION TESTS AS WELL
audio/RES0006.mp3[666.680,668.520]	OK SOUNDS GOOD
audio/RES0163.mp3[0.000,2.640]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0163.mp3[2.640,35.320]	HEY I JUST UM I JUST KIND OF CAME IN TO TALK ABOUT MY STUFFY NOSE ITS YEAH ITS BEEN A PROBLEM FOR I DONT EVEN KNOW HOW MANY YEARS ITS ALWAYS BEEN THERE AND NOW THAT SCHOOL IS A LITTLE LESS BUSY AND THINGS ARE VIRTUAL AND HAVE MORE TIME I DECIDED ILL GET SOMETHING DONE UM TO GET IT FIXED
audio/RES0163.mp3[35.320,39.840]	OK AND HOW LONG HAS THIS BEEN GOING ON FOR
audio/RES0163.mp3[39.840,47.640]	SINCE I WAS YOUNG UM LIKE MAYBE YEARS COUPLE YEARS
audio/RES0163.mp3[47.640,63.160]	OK AND THEN DO YOU LIKE HOW OFTEN ARE YOU GETTING THE STUFFINESS IS IT LIKE EVERY DAY IS IT DURING THE DAY AT NIGHT WHEN DO YOU USUALLY GET IT
audio/RES0163.mp3[63.160,92.360]	ITS KIND OF UHM ITS KIND OF ALL THE TIME TO THE POINT THAT IVE SOMEWHAT GOTTEN USED TO IT AND ITS JUST MY ITS ONLY ON THE LEFT SIDE AND ITS JUST ALWAYS KIND OF STUFFY INITIALLY I WOULD HAVE TROUBLE FALLING ASLEEP CAUSE IT WOULD I WOULD JUST FIND IT A LITTLE BIT BOTHERSOME BUT NOW IM KIND OF JUST USED TO IT
audio/RES0163.mp3[92.360,97.520]	OK AND SO ITS JUST ON THE LEFT SIDE IT NEVER MOVES TO THE RIGHT SIDE
audio/RES0163.mp3[97.520,104.440]	WELL LIKE SOMETIMES WHEN I GET ILL ITS ON BOTH SIDES BUT USUALLY ITS ON THE LEFT SIDE
audio/RES0163.mp3[104.440,111.240]	OK AND SO YOU HAVE STUFFINESS BUT DO YOU EVER GET ANY KIND OF DISCHARGE OR DRAINAGE FROM YOUR NOSE
audio/RES0163.mp3[111.240,121.120]	SOMETIMES I GET A LITTLE BIT BLEEDING
audio/RES0163.mp3[121.120,126.600]	ARE YOU OK UM BLEEDING IS IT BLOOD MIXED INTO THE DISCHARGE OR DRAINAGE OR IS IT LIKE YOU GET NOSEBLEEDS
audio/RES0163.mp3[126.600,143.240]	I GET NOSEBLEEDS LIKE MAYBE YEAH LIKE MAYBE WHEN IM EXERCISING OR SOMETHING IM LIKE AT THE GYM UHM FOM DOING THE GYM CLASS YEAH YEAH WHEN PLAYING WITH MY FRIENDS
audio/RES0163.mp3[143.240,149.880]	OK AND HOW OFTEN DO YOU GET THESE NOSE BLEEDS
audio/RES0163.mp3[149.880,159.240]	UHM MAYBE ONCE A MONTH OR ONCE IN TWO MONTHS
audio/RES0163.mp3[159.240,167.160]	OK AND UMM AND IS THERE ANY DO YOU HAVE ANY OTHER SYMPTOMS SO LIKE DO YOU HAVE ANY PRESSURE SENSATION IN YOUR FACE AROUND YOUR JAW CHEEKS FOREHEAD
audio/RES0163.mp3[169.600,180.880]	NO SO OK AND DO YOU FIND YOURSELF HAVING MORE CONGESTION WHEN YOU WAKE UP
audio/RES0163.mp3[180.880,184.080]	UHM NOT REALLY MAYBE A LITTLE BIT
audio/RES0163.mp3[184.080,191.280]	OK SO ITS NOT WORSE WHEN YOURE LYING FLAT OR ANYTHING LIKE THAT
audio/RES0163.mp3[193.040,205.400]	OK UM AND DO YOU FIND THAT YOU HAVE TO CONSTANTLY CLEAR YOUR THROAT AT ALL THROUGHOUT THE DAY
audio/RES0163.mp3[205.400,206.560]	UHM NO
audio/RES0163.mp3[206.560,216.200]	OK AND DO YOU AT ALL FEEL THAT SOME STUFFINESS DRAINS BACK INTO YOUR THROAT AT ALL ANYTIME DURING THE DAY
audio/RES0163.mp3[216.200,220.400]	I DONT THINK SO NO
audio/RES0163.mp3[220.400,227.960]	SO ITS JUST THE CONGESTION THATS BEEN GOING ON FOR QUITE SOME TIME AND DOES IT CHANGE WITH THE SEASONS AT ALL
audio/RES0163.mp3[227.960,241.920]	NO ITS JUST THERE ALL THE TIME LIKE I CANT EVEN TELL THIS IS LIKE MY NORMAL NOW BUT MY MOM SAID I SHOULD GET IT CHECKED OUT
audio/RES0163.mp3[241.920,256.760]	OK UHM HAVE YOU TRIED ANYTHING FOR IT LIKE EITHER MEDICATIONS OR THE NETI POT OR STEAMING AND HAS ANYTHING HELPED YOU AT ALL
audio/RES0163.mp3[256.760,268.240]	I TRIED STEAMING BUT IT DIDNT DO MUCH IT KIND OF GOT BETTER MAYBE FOR AN HOUR MAYBE BUT THEN YEAH IT DIDNT DO MUCH
audio/RES0163.mp3[268.240,277.480]	OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVER CHILLS COUGH SORE THROAT ANYTHING LIKE THAT
audio/RES0163.mp3[278.280,284.960]	ARE YOU HAVING ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0163.mp3[284.960,285.680]	UHM NO
audio/RES0163.mp3[285.680,291.280]	ANY SHORTNESS OF BREATH AT ALL
audio/RES0163.mp3[293.720,305.400]	OK UH AND OTHERWISE ANY RECENT TRAVEL OR IN CONTACT WITH ANYONE WHOS BEEN SICK
audio/RES0163.mp3[305.400,307.960]	UHM NO
audio/RES0163.mp3[307.960,312.080]	HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0163.mp3[312.080,315.880]	NO IM PRETTY HEALTHY
audio/RES0163.mp3[315.880,320.200]	AND DO YOU KNOW IF YOU HAVE ANY ALLERGIES TO ANY MEDICATION
audio/RES0163.mp3[320.200,325.040]	UHM NO NO ALLERGIES TO MEDICATIONS
audio/RES0163.mp3[325.040,337.920]	OK AND ANY ALLERGIES TO ANY ENVIRONMENTAL ISSUES LIKE FACTORS THAT CAUSE MORE STUFFINESS SNEEZING ITCHING RED EYES RUNNY NOSE ANYTHING LIKE
audio/RES0163.mp3[337.920,339.560]	IM ALLERGIC TO CATS
audio/RES0163.mp3[339.560,340.640]	CATS OK
audio/RES0163.mp3[340.640,345.920]	BUT I HAVENT BEEN AROUND ONE FOR AWHILE
audio/RES0163.mp3[345.920,359.280]	OK UH ANYTHING ELSE LIKE IN YOUR HOUSE OR ENVIRONMENT LIKE CARPETS DUST LIKE ANYTHING THAT MIGHT IRRITATE GIVE ME MORE IRRITATION
audio/RES0163.mp3[359.280,360.200]	NO NOT REALLY
audio/RES0163.mp3[360.200,366.560]	OK SO ITS JUST A CAT THAT YOU KNOW BUT YOU HAVENT BEEN AROUND DO YOU HAVE ANY OTHER ANIMALS AT HOME
audio/RES0163.mp3[366.560,373.160]	UH NO I DONT
audio/RES0163.mp3[373.160,379.840]	NO OK DO YOU HAVE ANY HEADACHES AT ALL
audio/RES0163.mp3[380.320,383.760]	ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0163.mp3[385.520,388.720]	ANY URINARY PROBLEMS
audio/RES0163.mp3[390.080,393.320]	HAS THIS AFFECTED YOUR SLEEP OR APPETITE
audio/RES0163.mp3[393.320,399.360]	I SNORE AT NIGHT SOMETIMES BUT THATS THATS ABOUT IT
audio/RES0163.mp3[399.360,409.560]	OK AND DO YOU SNORE WOULD YOU SAY MOST NIGHTS OR IS THAT SOMETHING LIKE HAS SOMEONE TOLD YOU THAT
audio/RES0163.mp3[409.560,417.400]	MY MOM TOLD ME AND SOMETIMES I I SLEEP WITH MY MOUTH OPEN
audio/RES0163.mp3[417.400,424.480]	I SEE OK AND DO YOU KNOW HOW LONG YOUVE BEEN DOING THIS FOR
audio/RES0163.mp3[424.480,429.080]	UHM AGAIN ITS BEEN LIKE MONTHS OR YEARS
audio/RES0163.mp3[429.080,438.920]	OK AND DO YOU EVER GET DO YOU EVER WAKE UP AT NIGHT TRYING TO TAKE A BREATH LIKE JUST GASPING FOR AIR
audio/RES0163.mp3[440.120,450.520]	OK HAVE YOU EVER HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE
audio/RES0163.mp3[452.000,458.720]	YEAH OK ON ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
audio/RES0163.mp3[458.720,462.000]	UHM JUST HEART DISEASE
audio/RES0163.mp3[462.000,464.480]	OK THEN WHO HAS IT OR WHO HAD IT
audio/RES0163.mp3[464.480,470.440]	MY MY DAD MY DAD HAS HAD A HEART ATTACK AND MY MOM HAS HIGH BLOOD PRESSURE
audio/RES0163.mp3[470.440,474.840]	OK AND HOW OLD WAS YOUR DAD WHEN HE HAD A HEART ATTACK
audio/RES0163.mp3[474.840,479.680]	HE WAS 50 YEARS OLD
audio/RES0163.mp3[479.680,489.400]	50 YEARS OLD OK  AND IM CURRENTLY RIGHT NOW UH ARE YOU A STUDENT DO YOU WORK
audio/RES0163.mp3[489.400,493.320]	IM A STUDENT
audio/RES0163.mp3[493.320,495.440]	AND WHATS YOUR LIVING SITUATION LIKE
audio/RES0163.mp3[495.440,498.760]	I LIVE WITH MY PARENTS
audio/RES0163.mp3[498.760,503.400]	OK AND DO YOU SMOKE AT ALL
audio/RES0163.mp3[506.560,508.480]	OK HAVE YOU EVER SMOKED
audio/RES0163.mp3[508.480,510.200]	NO NO NO
audio/RES0163.mp3[510.200,511.920]	UH ANY ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0163.mp3[511.920,514.320]	OH GOD NO NEVER
audio/RES0163.mp3[514.320,517.680]	NO OK AND DO YOU DRINK ALCOHOL
audio/RES0163.mp3[520.680,528.720]	OK AND HOW HOWS YOUR HOME ENVIRONMENT DO YOU GENERALLY FEEL SAFE IN YOUR HOME ENVIRONMENT AS WELL AS OUTSIDE OF YOUR HOME
audio/RES0163.mp3[528.720,533.920]	OH YEAH ITS GREAT
audio/RES0163.mp3[533.920,544.160]	OK SO YEAH SO MAINLY YEAH SO THERES ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERN
audio/RES0163.mp3[546.080,614.240]	OK SO THERE CAN BE MANY DIFFERENT REASONS FOR THIS CHRONIC CONGESTION AND WELL DO A FULL PHYSICAL EXAMINATION FOR YOU TODAY UH AND SOME OF THE POSSIBLE THINGS THAT CAN BE HAPPENING IS YOU MIGHT BE HAVING A SINUS ISSUE LIKE A CHRONIC SINUSITIS YOU CAN BE HAVING AN ALLERGIC RHINITIS OR WITH THE SNORING AND JUST THE CHRONIC CONGESTION YOU MAY BE ALSO HAVING SOMETHING CALLED OBSTRUCT OBSTRUCTIVE SLEEP APNEA AND THERE CAN BE STRUCTURES IN YOUR MOUTH THROATS THAT CAN CAUSE YOU TO KIND OF OBSTRUCT AND SNORE AT NIGHT AS WELL AND THAT EVEN THE CONGESTION MIGHT CAUSE THAT AS WELL SO YEAH WELL DO A COUPLE TEST FIRST AND THEN IF REQUIRED WE MIGHT NEED TO DO SOME IMAGING AND EVEN PERHAPS SEND YOU TO AN EMT SPECIALIST IF WE THINK ITS OBSTRUCTIVE SLEEP APNEA THERE FOR NOW WELL JUST DO THE PHYSICAL EXAMINATION TO GO FROM THERE
audio/RES0163.mp3[614.240,616.320]	GREAT THANK YOU
audio/RES0163.mp3[616.320,618.000]	WELCOME TAKE CARE
audio/MSK0023.mp3[0.000,2.280]	WHAT BRINGS YOU IN HERE TODAY
audio/MSK0023.mp3[2.280,32.280]	HI HI THERE IVE BEEN HAVING THIS KNEE PAIN IT STARTED ALMOST IMMEDIATELY AFTER I WAS I WAS PLAYING BASKETBALL ON THE HIGH SCHOOL TEAM AND IT WAS DURING PRACTICE I JUMPED UP FOR A REBOUND AND I WHEN I LANDED I HEARD A POP OF MY MY LEFT KNEE AND I IMMEDIATELY FELT PAIN I JUST WENT OFF TO THE OFF TO THE SIDELINE
audio/MSK0023.mp3[32.280,35.320]	OK AND WHEN DID THIS HAPPEN
audio/MSK0023.mp3[35.320,45.800]	UH THIS HAPPENED ABOUT PROBABLY LIKE 6 HOURS AGO MAYBE LIKE A FEW HOURS AGO
audio/MSK0023.mp3[45.800,59.480]	OK OK I SEE AND SINCE THEN HAVE YOU BEEN ABLE TO WALK AT ALL OR HAVE YOU BEEN JUST HAS IT BEEN VERY DIFFICULT
audio/MSK0023.mp3[59.480,72.840]	AT FIRST I WAS ABLE TO KIND OF LIMP OFF THE COURT BUT SINCE THEN I I HAVENT REALLY BEEN ABLE TO WALK ITS GOTTEN PRETTY SWOLLEN SINCE THEN AND IT LOOKS BRUISED AS WELL
audio/MSK0023.mp3[72.840,79.000]	OK ITS SWOLLEN AND BRUISED IN WHAT KIND OF PAIN ARE YOU HAVING IS IT LIKE SHARP OR IS IT ACHING
audio/MSK0023.mp3[79.000,86.880]	ITS PRETTY SHARP IT FEELS LIKE THERES PEOPLE JUST STABBING ME IN THE KNEE
audio/MSK0023.mp3[86.880,100.360]	OK UHM AND UM DO YOU HAVE ANY SO YOURE HAVING PAIN IN YOUR KNEE HAS IT GONE WORSE THAN WHEN IT STARTED
audio/MSK0023.mp3[100.360,120.320]	UM YEAH ITS YEAH IT FEELS A BIT MORE PAINFUL THAN IT DID EARLIER I THINK MAYBE THE ADRENALINE WAS PUMPING A LITTLE BIT BUT YEAH NOW ITS ITS PRETTY PRETTY PAINFUL
audio/MSK0023.mp3[120.320,126.640]	OK OK UHM AND HOW MUCH WOULD YOU RATE THE PAIN OUT OF 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE
audio/MSK0023.mp3[126.640,133.360]	OH ID SAY THIS IS LIKE A 9 OR A 10 THIS IS ITS REALLY PAINFUL
audio/MSK0023.mp3[133.360,138.680]	OK ARE YOU HAVING PAIN ANYWHERE ELSE OR IS IT JUST YOUR LEFT KNEE
audio/MSK0023.mp3[138.680,141.920]	JUST MY LEFT KNEE
audio/MSK0023.mp3[141.920,149.440]	OK ALRIGHT ARE YOU HAVING OTHER SYMPTOMS LIKE FAINTING DIZZINESS
audio/MSK0023.mp3[149.440,156.720]	NO I I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0023.mp3[156.720,161.480]	OK AND ARE YOU HAVING ANY FEVERS CHILLS OR ANYTHING LIKE THAT
audio/MSK0023.mp3[161.480,164.680]	NO FEVERS OR CHILLS
audio/MSK0023.mp3[164.680,171.120]	OK ANY KIND OF NUMBNESS OR TINGLING AT ALL
audio/MSK0023.mp3[171.120,175.280]	NO NO MR TINGLING
audio/MSK0023.mp3[175.280,181.280]	OK IS THE PAIN MOVING ANYWHERE ELSE FROM YOUR KNEES
audio/MSK0023.mp3[181.280,185.080]	UH NO I JUST FEEL LIKE PRETTY LIKE JUST RIGHT IN MY IN MY KNEE
audio/MSK0023.mp3[185.080,192.840]	OK AND WHAT KIND OF MOTIONS ARE HURTING YOU RIGHT NOW THE MOST
audio/MSK0023.mp3[192.840,225.520]	I WOULD SAY JUST LIKE BENDING MY KNEE LIKE YEAH FLEXING MY KNEE UP AS WELL AS LIKE IF I TRY TO PUT ANY WEIGHT ON IT LIKE I CANT WALK ON IT RIGHT NOW I CANT PUT ANY WEIGHT ON MY KNEE RIGHT NOW AND ALSO EVEN STRAIGHTENING IT OUT HURTS AS WELL IF IM REALLY FLEXING THE MUSCLE SO JUST TRYING TO STAY PRETTY IMMOBILE RIGHT NOW
audio/MSK0023.mp3[225.520,234.440]	OK I SEE OK AND IN TERMS OF OTHER SYMPTOMS ANY KIND OF CHEST PAIN SHORTNESS OF BREATH
audio/MSK0023.mp3[234.440,236.360]	NO NOTHING LIKE THAT
audio/MSK0023.mp3[236.360,239.520]	OK ANY RASHES OR SKIN CHANGES
audio/MSK0023.mp3[239.520,251.560]	NO THE ONLY SKIN CHANGE THAT I THAT I HAVE IS THE LIKE BRUISING OR LOOKS LIKE YOU LIKE BLOOD AROUND MY KNEE
audio/MSK0023.mp3[251.560,255.840]	OK YOU SEE IS IT WARM TO TOUCH
audio/MSK0023.mp3[255.840,265.840]	UM NO NO ITS NOT WARM
audio/MSK0023.mp3[265.840,273.040]	OK IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH IN THE PAST
audio/MSK0023.mp3[273.040,276.680]	NO IVE BEEN HEALTHY
audio/MSK0023.mp3[276.680,281.200]	OK ANY MEDICATIONS THAT YOU TAKE REGULARLY
audio/MSK0023.mp3[281.200,285.120]	NO I DONT I DONT THINK ANYTHING REGULARLY
audio/MSK0023.mp3[285.120,288.880]	OK ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0023.mp3[288.880,290.880]	NO I DONT
audio/MSK0023.mp3[290.880,295.200]	OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES
audio/MSK0023.mp3[295.200,299.200]	NO NOTHING LIKE THAT
audio/MSK0023.mp3[299.200,308.760]	OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS
audio/MSK0023.mp3[308.760,329.120]	UM NO NO NOTHING LIKE THAT I I I MEAN I THINK MY DAD I HAD A ROTATOR CUFF INJURY OR SOMETHING LIKE THAT BUT I MEAN HES IN HIS 50S NOW SO I THINK THAT HAPPENED AT WORK OR SOMETHING I DONT KNOW
audio/MSK0023.mp3[329.120,335.240]	OK UHM OK AND OTHER THAN THAT DO YOU SO ARE YOU AT SCHOOL RIGHT NOW
audio/MSK0023.mp3[335.240,347.040]	I AM YEAH IM IN GRADE GRADE 10 AND PLAYING WELL PLAYING ON THE THE HIGH SCHOOL BASKETBALL TEAM AND THATS HOW I GOT THIS INJURY HERE
audio/MSK0023.mp3[347.040,351.480]	AND HAVE YOU HAD A SIMILAR INJURY AT ALL IN THE PAST
audio/MSK0023.mp3[351.480,369.880]	NO I MEAN IM IVE IVE SPRAINED MY ANKLES IN THE PAST WHICH WOULD GO WOULD HEAL WITH SOME REST AFTER A FEW DAYS I NEVER GOT THOSE CHECKED OUT BECAUSE THEYRE THEY WERENT SO BAD BUT IVE NEVER INJURED MY KNEE BEFORE
audio/MSK0023.mp3[369.880,376.000]	OK AND CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE
audio/MSK0023.mp3[376.000,395.360]	SO I LIVE WITH BOTH OF MY PARENTS AND I ALSO HAVE A YOUNGER SIBLING A SISTER SHES 8 YEARS OLD AND WE HAVE A DOG AS WELL
audio/MSK0023.mp3[395.360,404.600]	OK UHM ALRIGHT AND HAVE YOU EXPERIMENTED AT ALL WITH ANY RECREATIONAL DRUGS ALCOHOL OR SMOKING CIGARETTES
audio/MSK0023.mp3[404.600,415.040]	NO NOTHING LIKE THAT I SEE KIDS AT SCHOOL UM SMOKING AND STUFF BUT YOU KNOW AS AN ATHLETE I TRY TO STAY AWAY FROM THAT KIND OF STUFF AS MUCH AS POSSIBLE
audio/MSK0023.mp3[415.040,430.360]	OK NO YEAH THATS REALLY THATS REALLY GOOD THAT YOURE THINKING LIKE THAT ANY ISSUES AT SCHOOL LIKE BULLYING OR DO YOU FEEL UNSAFE EITHER AT HOME AROUND YOUR HOME ENVIRONMENT OR AT SCHOOL
audio/MSK0023.mp3[430.360,441.320]	NO I DONT FEEL UNSAFE I MEAN I KNOW THERES ALWAYS THOSE KIDS AT SCHOOL WHO ARE MEAN TO OTHERS BUT I MEAN I I GENERALLY FEEL SAFE
audio/MSK0023.mp3[441.320,458.320]	OK ALRIGHT SO IM JUST GOING TO ASK A FEW QUESTIONS ABOUT JUST THE EXAMINATION PART OF PART OF THIS DO YOU SO YOU MENTIONED YOU CANT FLEX YOUR KNEES AT ALL CAN YOU EXTEND THEM
audio/MSK0023.mp3[458.320,470.720]	YEAH IT IT CAN UH STRAIGHTEN IT OUT ALL LIKE MOST OF THE WAY IT SEEMS LIKE ITS BENT A LITTLE STILL MAYBE FROM LIKE THE SWELLING AND ONLY I CANT STRAIGHTEN IT OUT THE FULL WAY
audio/MSK0023.mp3[470.720,478.000]	OK AND THEN YOU SAID YOU NOTICED LIKE BRUISING AND KIND OF LIKE THERES BLOOD ACCUMULATING IN THAT AREA
audio/MSK0023.mp3[478.000,488.240]	YEAH EXACTLY YEAH IT LOOKS LIKE IT CAUSE ITS A BIT LIKE BROWN I GUESS I CAN LIKE SEE OR ON MY KNEE I GUESS LIKE THE LIKE A BIG BRUISE
audio/MSK0023.mp3[488.240,576.480]	OK I SEE OK AND YEAH SO THOSE ARE KIND OF LIKE ALL THE QUESTIONS I HAD FOR YOU IT SEEMS THAT BASED ON THE DESCRIPTION OF HOW THE INJURY HAPPENED AN THE MECHANISM AND WHAT YOURE FEELING RIGHT NOW AND IN TERMS OF THE EXAMINATION ITS POSSIBLE THAT YOU HAD KNEE LIGAMENT INJURY MOST LIKELY IN THIS CASE THE ANTERIOR CRUCIATE LIGAMENT BUT JUST TO MAKE SURE WE WILL NEED TO DO AN MRI OF YOUR KNEE AND SEE WHICH LIGAMENT IS AFFECTED AND TO WHAT EXTENT UH AND USUALLY WITH THE WITH THE DEPENDING ON WHAT WE FIND ON THE MRI SOMETIMES IT CAN BE JUST CONSERVATIVE MANAGEMENT BUT HOWEVER OFTENTIMES YOU DO REQUIRE SURGERY SO IT WOULD BE JUST A SURGERY WHERE WE PUT KIND OF LIKE A SCOPE IN INTO YOUR KNEE AND THROUGH THE SCOPE WE TRY TO FIX THE LIGAMENT SO YEAH FIRST WELL JUST DO THE MRI AND SEE TO WHAT EXTENT YOUR KNEE INJURY IS AND HOW HOW AFFECTED THE LIGAMENTS ARE AND THEN WELL GO FROM THERE DOES THAT SOUND OK
audio/MSK0023.mp3[576.480,579.880]	IT DOES YEAH YEAH THANK YOU
audio/MSK0023.mp3[579.880,582.240]	WELCOME ALRIGHT TAKE CARE
audio/RES0200.mp3[0.000,1.640]	WHAT CAN I DO FOR YOU
audio/RES0200.mp3[1.640,32.360]	HEY I I CAME IN HERE TODAY I I JUST WAS FEELING JUST A BIT SHORT OF BREATH OVER THE LAST FEW DAYS AND IVE HAD A SO I NORMALLY HAVE A COUGH BUT IVE JUST BEEN COUGHING A LOT MORE OVER THE LAST WEEK AND I DONT KNOW IF ITS IF ITS SOMETHING ELSE I I DO HAVE A COPDIAGNOSIS WHICH I WAS DIAGNOSED WITH LIKE A COUPLE YEARS AGO BUT THIS IS THIS SEEMS TO BE MUCH WORSE
audio/RES0200.mp3[32.360,40.400]	OK YOU SAID YOU WERE DIAGNOSED WITH COPCOUPLE YEARS AGO WAS THAT TWO YEARS AGO THREE YEARS AGO
audio/RES0200.mp3[40.400,42.960]	IT WAS ALMOST PROBABLY FIVE YEARS AGO
audio/RES0200.mp3[42.960,50.640]	FIVE YEARS AGO OK AND HAVE YOU ALWAYS HAD THIS COUGH SINCE THEN
audio/RES0200.mp3[50.640,55.280]	YEAH I’VE PROBABLY HAD A COUGH FOR THE LAST 10 YEARS I THINK
audio/RES0200.mp3[57.360,62.520]	AND YOU YOU’VE MENTIONED THAT THIS COUGH HAS GOTTEN WORSE OVER THE LAST WEEK
audio/RES0200.mp3[62.520,76.440]	YEAH IVE BEEN COUGHING A LOT MORE EVEN JUST WALKING DOWN THE STAIRS FROM MY BEDROOM TO EVEN THE KITCHEN I JUST HAVE TO TAKE A LITTLE BIT OF A BREATHER JUST START COUGHING
audio/RES0200.mp3[76.440,81.680]	OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEM
audio/RES0200.mp3[81.680,96.960]	NO IM BRINGING UP LIKE THIS ITS USUALLY BEFORE THIS WEEK IT WAS LIKE KIND OF A CLEAR TO YELLOW SORRY CLEAR TO WHITE MATERIAL BUT THIS PAST WEEK ITS BEEN MORE YELLOW IN COLOR
audio/RES0200.mp3[96.960,99.520]	OK ANY BLOOD IN THERE
audio/RES0200.mp3[99.520,101.680]	NO I MEAN NOTICE ANY BLOOD
audio/RES0200.mp3[101.680,108.280]	OK AND YOU SAID YOU WERE ALSO SHORT OF BREATH UHM WHEN DID THAT START
audio/RES0200.mp3[108.280,130.320]	SO THATS JUST IN THE LAST FEW DAYS BUT JUST TO CLARIFY I DO GET SHORT OF BREATH HERE AND THERE SOMETIMES I HAVE TO USE PUFFERS BUT THE LAST FEW DAYS IVE JUST BEEN REALLY SHORT OF BREATH EVEN EVEN IF I WALK A LITTLE BIT AFTER LIKE SIT DOWN AND CANT REALLY CATCH MY BREATH
audio/RES0200.mp3[130.320,138.920]	OK ALRIGHT AND DO YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN
audio/RES0200.mp3[138.920,144.760]	UHM NO NOT REALLY ITS MAINLY JUST WHEN IM MOVING AROUND AND DOING STUFF
audio/RES0200.mp3[144.760,150.520]	OK HOW ABOUT WHEN YOURE ASLEEP DOES IT WAKE YOU UP AND KIND OF MAKE YOU GASP FOR AIR
audio/RES0200.mp3[153.320,166.560]	NO OK SO NO ORTHOPNEA OR PNALRIGHT AND THE PUFFERS THAT YOURE ON CAN YOU REMIND ME WHICH ONES YOURE ON AGAIN
audio/RES0200.mp3[166.560,181.960]	SO IM ON THIS ONE CALLED VENTILIN FOR THE WHICH I’VE BEEN USING A LOT MORE RECENTLY JUST FOR RELIEF AND THEN IM ON THIS OTHER PUFFER THING ITS CALLED SPIRIVA
audio/RES0200.mp3[181.960,189.640]	OK HOW OFTEN HOW HOW MANY TIMES THIS WEEK HAVE YOU HAD TO USE YOUR VENTILIN
audio/RES0200.mp3[189.640,199.120]	UHM VENTILIN ARE PROBABLY USED PROBABLY ALMOST LIKE 10 TIMES THIS PAST WEEK
audio/RES0200.mp3[199.120,204.280]	OK ALRIGHT ANY CHEST PAIN
audio/RES0200.mp3[204.280,215.160]	UHM JUST WHEN IM HAVING LIKE THOSE COUGHING FITS IN WITH THE BREATHING I FEEL SOME DISCOMFORT BUT THATS IT
audio/RES0200.mp3[215.160,222.080]	OK OK ALRIGHT AND THEN ANY PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/RES0200.mp3[222.080,226.240]	UH NO
audio/RES0200.mp3[226.240,233.520]	OK ALRIGHT AND DO YOU EVER FEEL LIKE YOUR CALVES HURT AFTER YOU WALK AWHILE
audio/RES0200.mp3[233.520,236.200]	NO NOT REALLY
audio/RES0200.mp3[236.200,241.120]	NO OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0200.mp3[241.120,245.640]	UHM NO NO NOT THAT I KNOW
audio/RES0200.mp3[245.640,249.920]	OK NUMBNESS OR TINGLING
audio/RES0200.mp3[250.520,254.560]	CONFUSION OR MEMORY LOSS
audio/RES0200.mp3[257.560,260.760]	CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0200.mp3[262.120,265.160]	UHM NAUSEA OR VOMITING
audio/RES0200.mp3[265.160,266.120]	UH NO
audio/RES0200.mp3[266.120,270.240]	CHANGES IN YOUR APPETITE
audio/RES0200.mp3[270.240,272.560]	NO NOT REALLY EATING ABOUT THE SAME
audio/RES0200.mp3[272.560,275.320]	OK CHANGES IN YOUR URINE
audio/RES0200.mp3[276.400,280.680]	RUNNY NOSE OR STUFFY NOSE
audio/RES0200.mp3[280.680,283.160]	UH NO I DON’T HAVE THAT
audio/RES0200.mp3[283.160,285.440]	OK SORE THROAT
audio/RES0200.mp3[286.360,289.560]	ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0200.mp3[289.880,293.640]	CHANGES IN YOUR SMELL OR TASTE
audio/RES0200.mp3[293.640,295.040]	NO NOT REALLY
audio/RES0200.mp3[295.040,299.080]	OK HOW ABOUT WEIGHT LOSS
audio/RES0200.mp3[299.080,301.760]	NO MY WEIGHTS BEEN PRETTY STEADY
audio/RES0200.mp3[301.760,306.120]	OK CHILLS
audio/RES0200.mp3[306.120,318.320]	UHM MAYBE A FEW TIMES THIS LIKE FROM THAT LAST COUPLE DAYS IVE BEEN FEELING A BIT CHILLY BUT I I DONT KNOW IF I HAVE A FEVER OR ANYTHING LIKE THAT
audio/RES0200.mp3[318.320,323.160]	OK SO YOU HAVENT ACTUALLY MEASURED YOUR TEMPERATURE RIGHT
audio/RES0200.mp3[324.520,330.080]	OK WE CAN DO THAT TODAY ANY RASHES
audio/RES0200.mp3[330.080,331.280]	UH NO
audio/RES0200.mp3[335.960,344.680]	OK UM AND BESIDES THE COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS
audio/RES0200.mp3[344.680,351.080]	UHM I I HAVE A LIKE HIGH CHOLESTEROL
audio/RES0200.mp3[354.440,363.800]	AND JUST I I USED TO TAKE BLOOD PRESSURE MEDICATIONS BUT I DONT RIGHT NOW
audio/RES0200.mp3[363.800,369.160]	OK AND WHAT KIND OF BLOOD PRESSURE MEDICATIONS DID YOU USE TO TAKE AND HOW COME YOU STOPPED
audio/RES0200.mp3[369.160,381.600]	I WAS ON LIKE A DIURETIC THEN THE DOCTOR SAID LIKE MY BLOOD PRESSURE WAS REALLY WELL UNDER CONTROL SO I JUST STOPPED TAKING IT
audio/RES0200.mp3[381.600,387.080]	OK OK AND THE DOCTOR WAS OK WITH THAT
audio/RES0200.mp3[387.080,395.240]	UH NO I JUST STOPPED TAKING IT I DIDNT REALLY LIKE ASK THE DOCTOR
audio/RES0200.mp3[395.240,407.480]	OK WELL WELL KEEP CHECKING YOUR BLOOD PRESSURE AND THATS SOMETHING YOU SHOULD KEEP AN EYE ON AS WELL JUST IN CASE OU HAVE COMPLICATIONS WITH YOUR KIDNEYS DOES THAT SOUND OK
audio/RES0200.mp3[409.600,417.160]	OK UHM AND ARE YOU ON ANY MEDICATIONS OTHER THAN THE PUFFERS
audio/RES0200.mp3[417.160,420.200]	JUST A TORVA STATEN
audio/RES0200.mp3[420.200,424.920]	FOR YOUR CHOLESTEROL OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0200.mp3[424.920,429.200]	YEAH NOT EVEN A VACCINE
audio/RES0200.mp3[429.200,431.520]	PARDON ME
audio/RES0200.mp3[431.520,434.400]	I EVEN GOT THE CORONAVIRUS VACCINE
audio/RES0200.mp3[434.400,441.840]	OK GOOD CONGRATS DID YOU ALSO GET THE SHINGLES VACCINE AND THE PNEUMOCOCCAL VACCINE
audio/RES0200.mp3[441.840,444.320]	YEAH I GOT THEM
audio/RES0200.mp3[444.320,447.480]	OK OK GOOD ANY ALLERGIES
audio/RES0200.mp3[447.480,450.360]	UH NO NOT THAT I KNOW
audio/RES0200.mp3[450.360,456.880]	HOW ABOUT A FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0200.mp3[456.880,474.960]	UHM MY FATHER HAD LUNG CANCER BUT HE SMOKED A LOT I ALSO SMOKE SO I SOMETIMES WORRY ABOUT THAT BUT HE HAD CANCER AND MY MOTHER SHE WAS PERFECTLY HEALTHY YEAH SO JUST MY FATHER
audio/RES0200.mp3[474.960,478.080]	JUST YOUR FATHER OK HOW MUCH DO YOU SMOKE
audio/RES0200.mp3[478.080,491.920]	PROBABLY HALF A PACK A DAY IT USED TO BE ONE PACK EVEN 2 PACKS AT ONE POINT IN TIME BUT RIGHT NOW ITS HALF THE PACKAGING
audio/RES0200.mp3[491.920,512.720]	OK ALRIGHT WELL ITS GOOD THAT YOURE CUTTING DOWN AND IF YOU NEED MORE RESOURCES TO HELP YOU DO THAT WE HAVE SOME AVAILABLE THAT WE CAN REFER YOU TO DO YOU TAKE ANY OTHER RECREATIONAL DRUGS LIKE CANNABIS HEROIN COCAINE
audio/RES0200.mp3[512.720,516.520]	NO NOTHING LIKE THAT NO
audio/RES0200.mp3[516.520,521.320]	OK AND DO YOU DRINK ALCOHOL
audio/RES0200.mp3[521.320,529.760]	UM JUST PROBABLY MAYBE LIKE A COUPLE TIMES A MONTH
audio/RES0200.mp3[529.760,536.240]	COUPLE TIMES A MONTH OK AND ARE YOU CURRENTLY MARRIED
audio/RES0200.mp3[536.240,542.200]	YEAH I CURRENTLY LIVE WITH MY SORRY WIFE IN AN APARTMENT
audio/RES0200.mp3[542.200,553.280]	OK AND ANY REASON FOR YOU TO BELIEVE YOU HAVE OLD CARPETS MOLD DUST ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS
audio/RES0200.mp3[553.280,558.160]	NO NOTHING LIKE THAT WE LIVE IN LIKE A FAIRLY NEW APARTMENT
audio/RES0200.mp3[558.160,565.600]	OK OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY
audio/RES0200.mp3[565.600,572.720]	NO NOT NOT REALLY WIE’VE BEEN JUST TO OURSELVES
audio/RES0200.mp3[572.720,576.800]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0200.mp3[576.800,580.120]	NO JUST BEEN ON OUR HOUSE
audio/RES0200.mp3[580.120,588.320]	OK ALRIGHT WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0200.mp3[588.320,593.400]	UH YEAH I WAS JUST WONDERING WHAT THIS CAN BE
audio/RES0200.mp3[593.400,674.480]	YEAH YOU KNOW IT SOUNDS LIKE YOU HAVE A COUGH AND SHORTNESS OF BREATH AND BOTH OF THESE THINGS YOUVE HAD FOR A WHILE BUT NOW THEYRE GETTING WORSE AND BASED ON YOUR PAST HISTORY OF COPI WOULD SAY THIS SOUNDS LIKE A COPEXACERBATION SO FOR THAT WE WILL START OFF WITH SOME BASIC BLOOD WORK LIKE CBC ELECTROLYTES YOUR KIDNEY FUNCTION ABG’S AS WELL AS LIKE A CHEST X RAY AND BASICALLY WE SHOULD TREAT IT WERE GOING TO TAKE YOUR OXYGEN SATURATION AN GIVE YOU SOME EXTRA OXYGEN IF YOU NEED WE’LL CONTINUE TO USE YOUR BRONCHODILATORS AN AND IN ADDITION TO BOTH OF THAT WILL ALSO GIVE YOU SOME STEROIDS AS WELL AS ANTIBIOTICS AND JUST TO PREVENT ANY INFECTIONS OR IF YOU ALREADY HAVE IT THEN IT CAN HELP WITH THAT AS WELL AND BECAUSE YOUR SYMPTOMS SOMEWHAT OVERLAP WITH THOSE OF COVID WILL ALSO DO A COVID SWAB JUST TO MAKE SURE ITS NOT THAT AND YOU SHOULD HEAR BACK ABOUT THOSE RESULTS IN 24 TO 48 HOURS HOW DOES THAT SOUND
audio/RES0200.mp3[674.480,676.320]	THAT SOUNDS GOOD THANK YOU
audio/RES0200.mp3[676.320,679.360]	OK YEAH NO PROBLEM
audio/MSK0011.mp3[0.000,2.120]	WHAT BRINGS YOU HERE TODAY
audio/MSK0011.mp3[2.120,37.000]	YEAH I HAD LAST NIGHT UM SO IM HAVING THIS PAIN IN MY RIGHT WRIST YEAH BUT LAST NIGHT I I TRIPPED OVER SOMETHING AND I I ENDED UP LIKE LANDING ON MY HAND TO HELP BREAK THE FALL AND THIS MORNING I WOKE UP AND I HAVE SOME LIKE BRUISING ON MY HAND AND ITS ITS REALLY SORE TO TOUCH IT
audio/MSK0011.mp3[37.000,40.560]	OK AND WHICH RIGHT WHICH HAND IS THIS
audio/MSK0011.mp3[40.560,43.120]	ITS MY RIGHT HAND
audio/MSK0011.mp3[43.120,47.200]	OK AND WHEN YOU HAD YOUR FALL WHEN WAS YOUR FALL
audio/MSK0011.mp3[47.200,60.720]	SO IT WAS LAST NIGHT PROBABLY LIKE AT 1000 PM SOMETHING LIKE THAT WENT OUT WITH A FEW FRIENDS FOR DINNER AND DRINKS
audio/MSK0011.mp3[60.720,67.880]	OK AND DO YOU REMEMBER HOW HIGH YOU FELL FROM OR WHAT WHAT YOU FELL ONTO
audio/MSK0011.mp3[67.880,83.720]	YEAH I WAS STANDING HEIGHT WE WERE JUST KIND OF WALKING DOWN THE STREET AND I TRIPPED OVER SOMETHING ON THE CURB I THINK THERE IS THAT YEAH MAYBE LIKE A POTHOLE OR SOMETHING LIKE THAT AND SO I FELT RIGHT ONTO THE CONCRETE WITH MY HAND
audio/MSK0011.mp3[83.720,88.080]	OK DID YOU HIT YOUR HEAD AT ALL OR LOSE CONSCIOUSNESS
audio/MSK0011.mp3[88.080,90.480]	NO NOTHING LIKE THAT
audio/MSK0011.mp3[90.480,95.200]	OK SO IT WAS IT WAS MAINLY YOUR HAND THAT GOT INJURED
audio/MSK0011.mp3[95.200,98.560]	YEAH IT WAS JUST IT MOSTLY RIGHT MY HAND
audio/MSK0011.mp3[98.560,107.120]	OK AND ARE YOU HAVING ANY PAIN ON MOVEMENT OR IF YOU PRESS ON IT
audio/MSK0011.mp3[107.120,117.240]	UM YEAH I DO GET SOME PAIN PAIN IF IM TRYING TO MOVE THE WRIST AROUND AND IT HURTS HER TO PRESS ON IT AS WELL
audio/MSK0011.mp3[117.240,121.040]	OK AND DO YOU NOTICE ANY KIND OF SWELLING OR BRUISING
audio/MSK0011.mp3[121.040,124.120]	I DO YES THERES SOME SWELLING AND BRUISING
audio/MSK0011.mp3[124.120,132.680]	OK AND IF YOU HAD TO DESCRIBE WHERE THE SWELLING AND BRUISING IN THE PAIN ARE HOW WOULD YOU DESCRIBE IT
audio/MSK0011.mp3[132.680,152.240]	UM SO I HAVE A SHARP PAIN RIGHT AT MY WRIST I KIND OF I FEEL IT MOSTLY AT THE BASE OF MY THUMB KIND OF RIGHT AT THE WRIST AND THATS WHERE THE SWELLING AND BRUISING IS AS WELL
audio/MSK0011.mp3[152.240,161.920]	OK AND IS IT RIGHT UNDER YOUR PALM OR UH AT THE BACK OF YOUR HAND ON THE WRIST
audio/MSK0011.mp3[161.920,166.360]	AT THE BACK OF THE HAND AT THE WRIST AND BASE OF THE THUMB
audio/MSK0011.mp3[166.360,173.920]	OK OK ALRIGHT AND WHAT KIND OF PAIN ARE YOU FEELING IS THIS SHARP IS IT A DULL ACHING
audio/MSK0011.mp3[173.920,180.040]	OH YEAH ITS REALLY SHARP IT FEELS LIKE SORRY JUST STABBING ME IN THE HAND
audio/MSK0011.mp3[180.040,188.160]	OK AND HOW HOW MUCH WOULD YOU RATE THE PAIN ON A SCALE OF ZERO TO 1010 BEING THE WORST PAIN YOU FELT IN YOUR LIFE
audio/MSK0011.mp3[188.160,197.720]	IF IM NOT MOVING IT AROUND ITS A THREE BUT IF I MOVE IT IT GOES UP TO LIKE A 9 OUT OF 10
audio/MSK0011.mp3[197.720,203.000]	OK AND IS IT RADIATING OR MOVING ANYWHERE ELSE ONTO YOUR HAND
audio/MSK0011.mp3[203.000,205.920]	NO I DONT FEEL IT ANYWHERE ELSE
audio/MSK0011.mp3[205.920,213.520]	OK AND DO YOU HAVE ANY KIND OF PINS AND NEEDLES SENSATION TINGLING OR NUMBNESS ANYWHERE IN YOUR HANDS
audio/MSK0011.mp3[213.520,217.360]	NO NOTHING LIKE THAT
audio/MSK0011.mp3[217.360,221.960]	OK ANYTHING THAT MAKES THE PAIN WORSE OR BETTER
audio/MSK0011.mp3[221.960,244.120]	UM YEAH I TRIED SOME ANTIINFLAMMATORIES THAT DID HELP WITH TAKING THE EDGE OFF A LITTLE BIT AND BUT THE PAIN JUST CAME RIGHT BACK AND THEN ALSO LIKE JUST MOVING IT AT ALL HURTS EVEN TEXTING ON MY PHONE WAS REALLY BUGGING ME
audio/MSK0011.mp3[244.120,251.360]	OK YEAH SO WE DEFINITELY UH YOU WENT SO YOU HAD THE FALL YESTERDAY OR
audio/MSK0011.mp3[251.360,255.560]	YEAH IT WAS YESTERDAY
audio/MSK0011.mp3[255.560,267.320]	OK OK ALRIGHT SO WHEN DID IT START HURTING DID IT START HURTING RIGHT AWAY OR HAS IT GOTTEN WORSE AT ALL
audio/MSK0011.mp3[267.320,276.720]	YEAH IT STARTED HURTING RIGHT AWAY AND ITS WELL THIS MORNING ITS A A BIT WORSE YEAH
audio/MSK0011.mp3[276.720,286.200]	OK DO YOU HAVE ANY OTHER SYMPTOMS AT ALL LIKE FEVER CHILLS HEADACHE ANYTHING LIKE THAT
audio/MSK0011.mp3[287.160,288.960]	ANY DIZZINESS OR FAINTING
audio/MSK0011.mp3[291.160,295.280]	OK ANY DIARRHEA CONSTIPATION
audio/MSK0011.mp3[296.520,300.520]	ANY CHANGES IN YOUR VISION HEARING A BALANCE
audio/MSK0011.mp3[300.520,302.760]	NOPE NOTHING LIKE THAT
audio/MSK0011.mp3[302.760,309.040]	OK BUT YEAH SO YOUR MAIN CONCERN TODAY IS THIS PAIN IN YOUR WRIST
audio/MSK0011.mp3[309.040,311.560]	YEAH EXACTLY
audio/MSK0011.mp3[311.560,326.320]	OK ALRIGHT AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH
audio/MSK0011.mp3[326.320,334.840]	YEAH I DO I HAVE A ASTHMA AND I USE AN ORANGE INHALER DAILY ITS BEEN WELL CONTROLLED ILL USE I HAVENT USED THE BLUE ONE IN AWHILE
audio/MSK0011.mp3[334.840,342.360]	OK SO ITS PRETTY WELL CONTROLLED YEAH AND DO YOU TAKE ANY OTHER MEDICATIONS AT ALL
audio/MSK0011.mp3[342.360,345.440]	JUST A MULTI VITAMIN
audio/MSK0011.mp3[346.320,349.680]	AND VITAMIN AS WELL
audio/MSK0011.mp3[349.680,358.040]	OK ALRIGHT AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES
audio/MSK0011.mp3[358.040,373.880]	YEAH I HAD MY MY TONSILS OUT AND MY WISDOM TEETH OUT WHEN I WAS A TEENAGER AND OR TONSILS WHEN I WAS A KID ACTUALLY UM AND A CSECOND FOR MY SON
audio/MSK0011.mp3[373.880,378.480]	OK ANY COMPLICATIONS AT ALL WITH THAT AT ALL
audio/MSK0011.mp3[378.480,383.480]	NO NO EVERY EVERY THAT WAS OK
audio/MSK0011.mp3[383.480,390.600]	OK OK AND HAVE YOU INJURED YOUR RIGHT HAND OR BROKEN ANY BONES BEFORE
audio/MSK0011.mp3[390.600,391.600]	NO I HAVENT
audio/MSK0011.mp3[391.600,396.720]	OK SO THIS IS THE FIRST INJURY ON YOUR RIGHT HAND
audio/MSK0011.mp3[398.040,404.520]	OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS AT ALL
audio/MSK0011.mp3[404.520,423.600]	YEAH MY MY UNCLE DIED OF A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY GRANDFATHER ALSO HAD HAD A HEART ATTACK AS WELL UM YEAH THATS ABOUT IT
audio/MSK0011.mp3[423.600,438.560]	OK AND IN TERMS OF YOUR WORK DO YOU WORK CURRENTLY
audio/MSK0011.mp3[438.560,457.280]	UM YEAH I DO I I WORK UM IN A RESTAURANT AND SO AND THIS WILL BE A DIFFICULT FOR MY JOB COMING UP WITH AN INJURED WRIST I AND HAND I I JUST RESTARTED AND ILL HAVE TO BE CARRYING A LOT OF DIFFERENT THINGS AND SO I JUST HOPE ITS NOT BROKEN
audio/MSK0011.mp3[457.280,482.080]	OH I SEE YEAH IT MIGHT DEFINITELY THATS THAT MIGHT BE CONCERNING IF YOU KNOW WELL WELL GET THAT CHECK THOUGH ON X RAY AND EVERYTHING BUT WE JUST NEED TO DO A FEW FEW MORE QUESTIONS AND SOME EXAMINATION AS WELL HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW
audio/MSK0011.mp3[482.080,492.440]	OH SO IM LIVING ON ON MY OWN ACTUALLY IN AN APARTMENT
audio/MSK0011.mp3[492.440,498.560]	OK AND DO YOU CURRENTLY SMOKE
audio/MSK0011.mp3[498.560,506.280]	UM NO IVE I IVE NEVER SMOKED I COULDNT WITH HAVING ASTHMA SO I JUST STAYED AWAY FROM ALL OF THAT
audio/MSK0011.mp3[506.280,511.920]	OK OK AND DO YOU DRINK ALCOHOL
audio/MSK0011.mp3[511.920,522.000]	YEAH I DO I I HAVE A COUPLE OF BOTTLES OF WINE PER WEEK
audio/MSK0011.mp3[522.000,529.200]	OK ALRIGHT UH A COUPLE OF BOTTLES A WEEK SO HOW MUCH WOULD YOU HAVE IN AN AVERAGE DAY
audio/MSK0011.mp3[529.200,533.680]	ILL PROBABLY I GUESS PROBABLY LIKE TWO OR THREE GLASSES OF WINE A DAY
audio/MSK0011.mp3[533.680,571.960]	OK YEAH SO WE DEFINITELY RECOMMEND FOR WOMEN UH TO LIMIT THEMSELVES TO AN MAYBE ONE TO TWO MAX 2 GLASSES OF WINE A DAY AS IT CAN HAVE HEALTH EFFECTS IN THE FUTURE IN TERMS OF DRINKING AND ON YOUR LIVER OK AND OTHER THAN THAT I JUST HAD A FEW QUESTIONS DO ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0011.mp3[571.960,577.040]	NO STAYED AWAY FROM THAT AS WELL
audio/MSK0011.mp3[577.040,590.280]	OK OK SO IM JUST GOING TO ASK YOU QUESTIONS ABOUT SPECIFICALLY TO EXAMINE YOUR WRIST SO YOU NOTICE SO CAN YOU ARE YOU ABLE TO MOVE YOUR WRIST AROUND ARE YOU ABLE TO MAKE A FIST
audio/MSK0011.mp3[590.280,600.400]	I I CAN BUT IT I CANT REALLY BAD MY THUMB AND IT IT IT HURTS A LOT SO I CAN BEND MY FINGERS BUT MY THUMB IS KINDA OUT
audio/MSK0011.mp3[600.400,608.800]	OK DUE TO THE JOINTS IN YOUR THUMB HURT AT ALL
audio/MSK0011.mp3[608.800,610.080]	UM NO
audio/MSK0011.mp3[610.080,616.800]	OK AN ANY PAIN ANYWHERE ELSE LIKE ON YOUR FINGERS OR YOUR ELBOW
audio/MSK0011.mp3[618.800,631.120]	OK AND WHAT MOVEMENT WOULD YOU SAY HURTS THE MOST
audio/MSK0011.mp3[631.120,636.840]	I I PROBABLY JUST MOVING THE THE WRIST LIKE FLEXING AND EXTENDING THE WRIST
audio/MSK0011.mp3[636.840,643.560]	OK AND WHERE THE SWELLING YOU SAID IS AT THE BASE OF THE THUMB RIGHT
audio/MSK0011.mp3[643.560,649.480]	YEAH EXACTLY AT THE BASE OF THE THUMB ON THE ON THE BACK OF THE HAND THERE ARE SOME BAD BRUISING AND SWELLING THERE
audio/MSK0011.mp3[649.480,652.840]	OK IS IT WARM AT ALL TO TOUCH
audio/MSK0011.mp3[652.840,658.040]	NO IT DOESNT FEEL WARM
audio/MSK0011.mp3[658.040,665.400]	OK OK AND IF YOU PRESS ON ARE YOU GETTING ANY BONY PAIN IN THAT AREA LIKE IF YOU PRESS ON A BONE
audio/MSK0011.mp3[665.400,681.160]	YEAH LIKE I MEAN IF I THERES ONE SPOT THAT IF I PRESS DOWN ON IT ITS LIKE 10 OF THE 10 PAIN IT HURTS REALLY BAD IF I PRESS AT THE BASE OF MY THUMB THERE
audio/MSK0011.mp3[681.160,741.880]	OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WE DEFINITELY NEED TO SINCE YOURE HAVING PAIN ON JUST TELL PALPATE PALPATING THE AREA THERE SWELLING REDNESS AND YOU DID HAVE A FALL AND YOU LANDED ON YOUR YOU CAUGHT YOURSELF WITH YOUR HAND THERE IS A COMMON FRACTURE THAT CAN HAPPEN IN THOSE CIRCUMSTANCES TO YOUR WRIST AND SO WE NEED TO DO AN XRAY AND WE WILL SEE IF YOU HAVE A FRACTURE OR NOT BUT WE ALSO NEED TO SEE IF WE NEED TO GET A CAST FOR YOU OR IF IF WE CAN MANAGE YOUR INJURY WITH A SPLINT OR AND THEN BASED ON WHAT WE SEE AND IF YOUR PHYSICAL EXAMINATION WE WILL DETERMINE HOW LONG YOU NEED TO BE IN A CAST OR SPLINT AND THEN WELL GO FROM THERE
audio/MSK0011.mp3[741.880,745.640]	OK THAT SOUNDS GOOD THANK YOU
audio/MSK0010.mp3[0.000,1.360]	HOW MAY I HELP YOU
audio/MSK0010.mp3[1.360,16.520]	I JUST CAME IN HERE TODAY IVE BEEN HAVING A LOT OF SHOULDER PAIN THATS JUST KIND OF LEFT ME NOT DOING ANY OF MY ACTIVITIES RECENTLY JUST IN MY LEFT SHOULDER
audio/MSK0010.mp3[16.520,20.600]	OK AND WHEN WHEN DID THIS PAIN START
audio/MSK0010.mp3[20.600,38.640]	IT STARTED 5 DAYS AGO BUT IT BECAME PRETTY BAD AND IVE BEEN KIND OF HAVING LIKE A SOMEWHAT OF A PAIN FOR THE LAST COUPLE WEEKS BUT IT GOT REALLY BAD JUST THIS WEEK
audio/MSK0010.mp3[38.640,46.680]	OK DID YOU HAVE ANY TRAUMA TO THE SHOULDER LIKE ANY ANY INJURIES OR TRIGGERS THAT COULD HAVE CAUSED THE PAIN
audio/MSK0010.mp3[46.680,64.720]	UHM I HAVE BEEN JUST GOING TO THE GYM MORE FREQUENTLY OVER THE LAST FEW MONTHS AND LIFTING WEIGHTS AND THINGS LIKE THAT BUT JUST THIS WEEK I WASNT EVEN REALLY ABLE TO DO THAT EITHER
audio/MSK0010.mp3[64.720,79.120]	OK WHEN YOU WERE LIFTING WEIGHTS LIKE A FEW DAYS AGO LIKE WAS THERE AN EPISODE WHERE THERE WAS AN ACUTE ONSET OF THE PAIN WHERE IT GOT WORSE KIND OF LIKE RIGHT AWAY
audio/MSK0010.mp3[79.120,101.640]	I THINK IT WAS MORE PROGRESSIVE BUT FIVE DAYS AGO I DO FEEL THAT THERE WAS LIKE JUST I WAS HAVING SOME PAIN BEFORE THAT BUT THEN I JUST NOTICED WHILE WORKING ON I I STARTED HAVING MORE PAIN BUT YEAH I DONT THINK THERE WAS ANYTHING LIKE SUDDEN THAT HAPPENED THOUGH
audio/MSK0010.mp3[101.640,112.400]	OH OK BUT IT YEAH IT WAS PROGRESSING AND THEN IT GOT ACUTELY WORSE WITH THE WEIGHT LIFTING IT SOUNDS LIKE
audio/MSK0010.mp3[112.400,124.400]	MAYBE LIKE I DID INCREASE MY WEIGHT LIKE IN THE LAST TWO WEEKS SO I DID FEEL LIKE A LITTLE BIT MORE PAIN WITH THE INCREASE LAST WEEK
audio/MSK0010.mp3[124.400,134.320]	OK I SEE AN IN THE LEFT SHOULDER DO YOU FEEL THE PAIN AT THE FRONT AT THE SIDES OR OR BACK
audio/MSK0010.mp3[134.320,141.160]	IT HURTS PARTICULARLY LIKE IN THE FRONT PART OF THE SHOULDER
audio/MSK0010.mp3[141.160,148.480]	OK DO YOU FEEL THAT ITS RADIATING ANYWHERE ELSE
audio/MSK0010.mp3[148.480,154.520]	JUST MY WHOLE LEFT SHOULDER NOTHING ELSE REALLY
audio/MSK0010.mp3[154.520,163.800]	OK AND COULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN IS IT SHARP OR IS IT A KEY
audio/MSK0010.mp3[163.800,167.080]	ITS MORE ACHY
audio/MSK0010.mp3[167.680,176.920]	BUT BUT CERTAIN LIKE SOME MOVEMENTS SO IT CAN GET LIKE KIND OF SHARP
audio/MSK0010.mp3[176.920,186.480]	OK AND HAS THERE BEEN ANYTHING THAT HAS MADE THE PAIN WORSE
audio/MSK0010.mp3[186.480,198.120]	UHM IF I JUST IF I CARRY ANYTHING WITH MY LEFT ARM OR IF I HAVE TO LIFT ANYTHING OR PLACE IT ON MY SHOULDER LIKE IT REALLY HURTS
audio/MSK0010.mp3[198.120,203.760]	OK AND HAVE YOU DONE ANYTHING THATS MADE IT BETTER
audio/MSK0010.mp3[203.760,214.320]	I JUST LIKE RESTING IT NOT CARRYING ANYTHING AND TRYING NOT TO LIE ON MY SHOULDER
audio/MSK0010.mp3[214.320,217.520]	OK SO YOURE SLEEPING ON THE OTHERS ON THE RIGHT SIDE THEN
audio/MSK0010.mp3[219.360,226.800]	OK ALRIGHT HOW WOULD WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF 1 TO 10
audio/MSK0010.mp3[226.800,241.880]	UHM IF IM NOT DOING IT DOING ANYTHING OR NOT DOING MUCH ITS PROBABLY LIKE A TWO OR THREE BUT IF I TRY TO CARRY ANYTHING IT GOES UP TO LIKE PROBABLY LIKE A 7
audio/MSK0010.mp3[241.880,258.800]	OK UH AND UM DO YOU DO ANY REPETITIVE KIND OF LIKE OVERHEAD ACTIVITIES THINGS LIKE PLAYING BASKETBALL OR JUST LIFTING THINGS LIKE ABOVE YOUR HEAD AT THE GYM
audio/MSK0010.mp3[258.800,292.720]	UM NOT RECENTLY JUST JUST LIKE NORMAL WEIGHT EXERCISE MAYBE WITH THE BANDS I DO SOME OVERHEAD EXERCISES BUT IN TERMS OF SPORTS I I PLAY OR I USED TO PLAY A LOT OF TENNIS I DID HAVE SOME ISSUES WITH THE SAME SHOULDER WHICH IS WHY I KIND OF STOPPED PLAYING TENNIS MY DOCTOR SAID IT I MIGHT HAVE OVERUSED THAT SHOULDER BUT THATS THAT WAS LIKE A COUPLE OF YEARS BACK SO I THOUGHT IT MUST HAVE HEALED BY NOW
audio/MSK0010.mp3[292.720,297.280]	OK SO PREVIOUS OVERUSE INJURY OF THE LEFT SHOULDER
audio/MSK0010.mp3[299.040,305.480]	OK AND UH IM HAVE YOU HAD ANY TRAUMA TO THE SHOULDER
audio/MSK0010.mp3[305.480,310.760]	UM NO NOT THAT I KNOW OF
audio/MSK0010.mp3[310.760,315.800]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0010.mp3[317.160,321.800]	HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0010.mp3[322.600,327.600]	OK HAVE YOU HAD ANY SKIN RASHES OR OR SKIN CHANGES
audio/MSK0010.mp3[329.200,334.000]	OK SO EVEN OVER THE AREA YOU HAVENT NOTICED ANY REDNESS OR LIKE SOFT TISSUE SWELLING
audio/MSK0010.mp3[334.560,339.280]	OK HAVE YOU HAD ANY CHEST PAIN
audio/MSK0010.mp3[340.320,345.040]	OK HOW ABOUT ANY SHORTNESS OF BREATH
audio/MSK0010.mp3[345.040,349.080]	NO NOT THAT IVE NOTICED
audio/MSK0010.mp3[349.080,355.560]	OK HAVE YOU HAD PAINS AND ANY OTHER JOINTS
audio/MSK0010.mp3[355.560,359.200]	NO JUST MY SHOULDER
audio/MSK0010.mp3[359.200,371.880]	OK AND UM HAVE YOU HAD ANY RECENT INFECTIONS OR OR SYMPTOMS SUCH AS LIKE A RUNNY NOSE OR SORE THROAT OR EVEN A COUGH
audio/MSK0010.mp3[371.880,376.280]	NO NOTHING LIKE THAT
audio/MSK0010.mp3[376.280,384.600]	OK AND HOW ABOUT ANY NAUSEA OR VOMITING
audio/MSK0010.mp3[384.600,389.160]	UM NOPE
audio/MSK0010.mp3[389.160,397.240]	OK AND UM HOW HAS YOUR SLEEP BEEN THESE PAST COUPLE OF NIGHTS SO YOU MENTIONED YOU HAVENT BEEN ABLE TO LAY ON YOUR LEFT SIDE
audio/MSK0010.mp3[397.240,408.280]	YEAH ITS BEEN PRETTY PAINFUL LIKE I KIND OF WAKE UP EVERY TIME I ACCIDENTALLY GO ON TO MY LEFT SIDE
audio/MSK0010.mp3[408.280,412.000]	OK SO YOURE GETTING WORSE THING A PAIN AT NIGHT
audio/MSK0010.mp3[412.520,425.760]	OK HAVE YOU HAD ANY WEAKNESS DO YOU FEEL LIKE YOU HAVE LESS STRENGTH IN YOUR ARM
audio/MSK0010.mp3[425.760,438.840]	UM I DO YOU FEEL THAT THERE MIGHT BE SOME LESS STRENGTH IN MY LEFT ARM BUT ITS IM NOT REALLY USING IT MUCH SO ITS HARD TO TELL
audio/MSK0010.mp3[438.840,453.080]	OK  AND HOW ABOUT A RANGE OF MOTION DO YOU FEEL AS THOUGH YOU COULD LIFT YOUR LEFT ARM UP TO LIKE SCRATCH YOUR HEAD AND BACK
audio/MSK0010.mp3[453.080,459.840]	IT DOES HURT LIKE WHEN I TRY TO LIFT MY ARM UP
audio/MSK0010.mp3[459.840,464.960]	OK SO IT SOUNDS LIKE A RANGE OF MOTION IS DECREASED
audio/MSK0010.mp3[466.480,478.600]	OK AND HAVE YOU HAD ANY ALTERED SENSATION OF YOUR ARMS BEING LIKE NUMBNESS OR TINGLING
audio/MSK0010.mp3[478.600,482.720]	NO I HAVENT FELT ANY OF THAT
audio/MSK0010.mp3[482.720,488.720]	OK UM AND HAVE YOU HAD ANY CHANGES TO YOUR BOWEL HABITS LIKE CONSTIPATION OR DIARRHEA
audio/MSK0010.mp3[488.720,490.560]	NOPE NOTHING LIKE THAT
audio/MSK0010.mp3[490.560,492.840]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0010.mp3[493.960,498.760]	AND HAVE YOU HAD ANY URINARY PROBLEMS
audio/MSK0010.mp3[500.160,505.320]	OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0010.mp3[505.320,514.440]	UH NO IVE BEEN A PRETTY HEALTHY ACTUALLY JUST JUST THAT OVERUSE INJURY LIKE TWO YEARS AGO
audio/MSK0010.mp3[514.440,518.240]	OK GREAT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0010.mp3[519.880,522.320]	OK DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/MSK0010.mp3[522.320,531.560]	JUST RECENTLY IVE BEEN TAKING A LOT MORE OF THE ADVIL BUT THATS ABOUT IT
audio/MSK0010.mp3[531.560,537.000]	OK I AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES
audio/MSK0010.mp3[537.000,541.440]	NO NO PRIOR SURGERIES OR HOSPITALIZATIONS
audio/MSK0010.mp3[541.440,551.120]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AND WHEREABOUTS
audio/MSK0010.mp3[551.120,562.720]	YEAH SO IM LIVING WITH WITH MY WIFE IN A SMALL CONDOMINIUM IN DOWNTOWN
audio/MSK0010.mp3[562.720,565.160]	OK AND ARE YOU WORKING CURRENTLY
audio/MSK0010.mp3[565.160,570.640]	YEAH IM WORKING AS A REAL ESTATE AGENT
audio/MSK0010.mp3[570.640,577.720]	OK UH AND DO YOU DRINK ALCOHOL
audio/MSK0010.mp3[577.720,583.400]	RARELY JUST ON SOME OCCASIONS BUT NOT REGULARLY
audio/MSK0010.mp3[583.400,588.760]	NO OK HOW ABOUT SMOKING CIGARETTES OR CANNABIS
audio/MSK0010.mp3[588.760,591.040]	NO IVE NEVER SMOKED
audio/MSK0010.mp3[591.040,597.120]	DO YOU USE ANY RECREATIONAL DRUGS OR HAVE YOU IN THE PAST
audio/MSK0010.mp3[601.040,611.600]	OK UM AND SO SO THE NEXT PART JUST FOR THE PHYSICAL EXAM SO DO YOU HAVE PAIN WITH SHOULDER AB DUCTION
audio/MSK0010.mp3[611.600,629.200]	UHM YES SO JUST TO YEAH I DO HAVE SOME PAIN ESPECIALLY FROM YEAH YEAH PAIN THROUGHOUT AB DUCTION
audio/MSK0010.mp3[629.200,638.520]	OK IS THERE ANY LIKE PAIN THATS LIKE PARTS OF THAT THAT RANGE OF MOTION THAT ARE MORE PAINFUL FOR YOU
audio/MSK0010.mp3[638.520,652.440]	YEAH SO PROBABLY FROM 60 DEGREES TO 120 DEGREES IS MORE PAINFUL
audio/MSK0010.mp3[652.440,665.200]	OK AND IF YOUR ARM IS OUTSTRETCHED AND YOUR THUMB POINTING DOWN SO YOUR ARM IS INTERNALLY ROTATED DOES THAT GIVE YOU PAIN
audio/MSK0010.mp3[665.200,682.840]	YEAH IF YEAH NOT NOT JUST LIKE THAT BUT IF YOU WERE TO LIKE PRESS DOWN ON IT IT THE INTERNAL ROTATION DOES CAUSE A LITTLE BIT OF PAIN
audio/MSK0010.mp3[682.840,695.160]	OK OK SO IT SOUNDS LIKE A POSITIVE JOBES TEST AND A POSITIVE NEERS TEST AS WELL AS A PAINFUL ARC FOR YOUR SHOULDER AND IS THERE PAIN TO PALPATION
audio/MSK0010.mp3[695.160,713.560]	UH JUST TO YEAH DEFINITELY JUST AT THE FRONT OF THE SHOULDER THERE IS SOME SOME PAIN OVER WITH PALPATION
audio/MSK0010.mp3[713.560,741.720]	OK THAT SENSATION IS NORMAL REFLEXES ARE NORMAL AND STRENGTH IS SLIGHTLY REDUCED AS WELL OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK ON THE PHYSICAL EXAM AS WELL WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION TODAY THAT I MAYBE FORGOT
audio/MSK0010.mp3[741.720,744.280]	NO I THINK THATS IT
audio/MSK0010.mp3[744.280,808.880]	OK UM SO BASED ONI KNOW THAT THE SYMPTOMS TODAY ALONG WITH YOUR AGE AND PRIOR HISTORY OF AN OVERUSE INJURY OF THE LEFT SHOULDER IT CERTAINLY RAISES CONCERN OF HAVING A ROTATOR CUFF TEAR OR UM A ROTATOR CUFF IMPINGEMENT SYNDROME AND WHERE THERE IS INFLAMMATION THERE NOT NECESSARILY ACTUALLY A FULL TEAR OF THE MUSCLE THATS CAUSING THE PAIN SO UH THOSE WOULD BE THE TWO MOST LIKELY THINGS YEAH THEIR ROTATOR CUFF TEAR OR SUBACROMIAL IMPINGEMENT SYNDROME AND SO WE WERE GOING TO GET AN ULTRASOUND OF THE LEFT SHOULDER TO EVALUATE THE STRUCTURES AND POSSIBLY SOME OTHER IMAGING SUCH AS AN X RAY OR MRI TO DETERMINE THE EXTENT OF THE INJURY IN THE LEFT SHOULDER
audio/MSK0010.mp3[808.880,815.200]	OK SOUNDS GOOD THANK YOU
audio/RES0194.mp3[0.000,2.280]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0194.mp3[2.280,20.160]	HI I’VE COME IN TODAY BECAUSE I HAD THIS COUGH IT STARTED THREE DAYS AGO AND SINCE THAT TIME IVE ALSO STARTED TO HAVE UM THESE HEADACHES AND BEEN FEELING REALLY KINDA ACHY ALL OVER
audio/RES0194.mp3[20.160,24.280]	OK SO WHAT WHAT KIND OF STARTED FIRST TO COUGH OR THE ACHES
audio/RES0194.mp3[24.280,27.760]	THE COUGH STARTED FIRST
audio/RES0194.mp3[27.760,30.440]	OK AND IS IT DRY COUGH OR A WET COUGH
audio/RES0194.mp3[30.440,31.840]	ITS DRY
audio/RES0194.mp3[31.840,37.640]	OK SO YOURE NOT BRINGING UP ANY SPUTUM OR BLOOD OR ANYTHING LIKE THAT
audio/RES0194.mp3[37.640,42.920]	NO IM NOT COUGHING UP ANY SPUTUM OR OR BLOOD
audio/RES0194.mp3[42.920,59.800]	OK THATS GOOD AND THE MUSCLE ACHES UH SO WERE YOU DOING ANYTHING RECENTLY LIKE ANYTHING STRENUOUS INCREASED EXERCISE LIFTING ANYTHING OR ANY INJURIES AT ALL RECENTLY
audio/RES0194.mp3[59.800,64.800]	NO NOT NOTHING I CAN THINK OF LIKE THAT
audio/RES0194.mp3[64.800,68.720]	OK AND WHERE ARE YOU GETTING YOUR MUSCLE ACHES
audio/RES0194.mp3[68.720,74.320]	ITS LIKE KIND OF ALL OVER THE FEEL JUST GENERALLY ACHY
audio/RES0194.mp3[74.320,84.040]	OK GENERALLY ACHE OK AND ARE YOU GETTING ANY KIND OF HEADACHES OR ANYTHING LIKE THAT
audio/RES0194.mp3[84.040,94.800]	YEAH IVE HAD THIS HEADACHE AS WELL ITS KIND OF COME AND GONE A LITTLE BIT OVER THE LAST COUPLE OF DAYS BUT HAD A LITTLE BIT OF A HEADACHE EACH DAY
audio/RES0194.mp3[94.800,99.360]	OK AND THE HEADACHE WHERE WHERE IS IT EXACTLY LOCATED
audio/RES0194.mp3[99.360,114.200]	I FEEL IT RIGHT AT THE FRONT OF MY MY FOREHEAD KIND OF ON BOTH SIDES OF MY HEAD IT FEELS LIKE A BAND JUST SQUEEZING AROUND
audio/RES0194.mp3[114.200,122.680]	OK AND UM IS IT WHAT KIND OF PAIN IS IT IS IT LIKE ACHING PAIN IS IT KIND OF LIKE A PULSATING PAIN PRESSURE LIKE PAIN HOW WOULD YOU DESCRIBE IT
audio/RES0194.mp3[122.680,125.520]	ITS MORE LIKE PRESSURE
audio/RES0194.mp3[125.520,133.440]	PRESSURE OK AND HAVE YOU DO YOU ARE YOU ARE YOU SOMEONE THAT USUALLY HAS HEADACHES
audio/RES0194.mp3[133.440,142.680]	EVERY ONCE IN AWHILE BUT I MEAN I DONT GET THEM THAT OFTEN MAYBE WHEN IM SICK OR DONT SLEEP VERY WELL
audio/RES0194.mp3[142.680,147.040]	OK HAVE YOU TRIED ANYTHING FOR YOUR PAINS OR HEADACHES
audio/RES0194.mp3[147.040,161.320]	UH YEAH I DID TAKE SOME TYLENOL AND IT IT HELPS TAKE THAT THE EYE DROP A BIT I TRIED SOME ADVIL TOO ITS SO MEAN THAT THE HEADACHES KIND OF COME AND GONE A LITTLE BIT BUT I THINK ONCE THAT WEARS OFF IT THE HEADACHES COME BACK
audio/RES0194.mp3[161.320,166.800]	OK AND HAVE YOU TRIED ANYTHING FOR YOUR COUGH
audio/RES0194.mp3[166.800,170.760]	UM NO I HAVENT TRIED ANYTHING FOR THE COUGH
audio/RES0194.mp3[170.760,177.320]	OK HAVE YOU HAD ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS
audio/RES0194.mp3[177.320,183.800]	UM I HAVE I I HAVE FELT A LITTLE BIT FEVERISH YEAH I HAVENT HAD ANY CHILLS THOUGH
audio/RES0194.mp3[183.800,188.720]	OK AND UM WHEN DID YOU START FEELING FEVERISH
audio/RES0194.mp3[188.720,195.880]	UM YEAH MAYBE WITHIN THE LAST COUPLE OF DAYS AS WELL
audio/RES0194.mp3[195.880,199.480]	AND DID YOU MANAGE TO GET A TEMPERATURE AT ALL
audio/RES0194.mp3[199.480,204.320]	UH NO IVE JUST FELT REALLY HOT
audio/RES0194.mp3[204.320,213.320]	OK UH ANY OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT UH CHEST PAIN ANYTHING LIKE THAT
audio/RES0194.mp3[213.320,220.880]	UM NO I HAVEN’T UH HAD ANY ANY SORE THROAT OR CHEST PAIN NO RUNNY NOSE EITHER
audio/RES0194.mp3[220.880,223.640]	OK ANY SHORTNESS OF BREATH
audio/RES0194.mp3[225.880,230.920]	OK ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN ILL
audio/RES0194.mp3[230.920,242.920]	UM YEAH I DONT I DONT THINK SO I MEAN I I HAVENT TRAVELED ANYWHERE IM IN IN MY NOBODY IN MY FAMILYS BEEN SICK AT HOME
audio/RES0194.mp3[242.920,246.400]	OK UM ANY NAUSEA OR VOMITING
audio/RES0194.mp3[247.720,253.240]	OK ANY LOSS OF TASTE OR SMELL
audio/RES0194.mp3[253.240,255.520]	UM AH NO
audio/RES0194.mp3[255.520,264.560]	NO ANY NIGHT SWEATS OR FATIGUE
audio/RES0194.mp3[264.560,267.440]	I NO NO NO
audio/RES0194.mp3[267.440,272.920]	OK UM ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION
audio/RES0194.mp3[272.920,284.760]	UH YEAH I HAVE HAD I ACTUALLY HAD UM YOU MENTIONED DIARRHEA FOR THE PAST A DAY AS WELL
audio/RES0194.mp3[284.760,294.440]	OK A DIARRHEA FOR SO JUST FOR THE PAST DAY HAVE YOU NOTICE ANY CHANGES IN COLOR OR HAVE YOU NOTICED ANY BLOOD IN IT
audio/RES0194.mp3[294.440,301.360]	NO BLOOD IN THE STOOL IM JUST ITS JUST BEEN REALLY LOOSE
audio/RES0194.mp3[301.360,315.120]	OK UM HAVE YOU HAD ANY FOODS RECENTLY THAT A THAT YOUVE TRIED MAYBE LIKE FOR THE FIRST TIME OR HAVE YOU EATEN OUTSIDE AT ALL
audio/RES0194.mp3[315.120,324.000]	NO ITS BEEN PRETTY STABLE SO YEAH I HAVENT HAD ANY CHANGES LIKE THAT
audio/RES0194.mp3[324.000,329.320]	OK ANY CHANGES IN YOUR APPETITE OR WEIGHT
audio/RES0194.mp3[329.320,341.880]	UHM IVE BEEN LESS HUNGRY FOR SURE YEAH SO I IVE HAD A DECREASED APPETITE BUT MY WEIGHTS BEEN STABLE RECENTLY SO NO CHANGES IN WEIGHT
audio/RES0194.mp3[341.880,349.640]	OK AND ANY EXPOSURE TO FUMES OR DUST OR ANIMALS WITHIN YOUR HOME ENVIRONMENT OR WORK ENVIRONMENT
audio/RES0194.mp3[349.640,352.960]	NO NOTHING LIKE THAT
audio/RES0194.mp3[352.960,358.880]	UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0194.mp3[358.880,361.800]	NO IVE BEEN HEALTHY
audio/RES0194.mp3[361.800,366.160]	OK UH DO YOU TAKE ANY MEDICATIONS
audio/RES0194.mp3[366.160,371.520]	NO JUST I IM A MULTI VITAMIN AND VITAMIN D
audio/RES0194.mp3[371.520,376.320]	OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/RES0194.mp3[376.320,379.880]	NO NO ALLERGIES
audio/RES0194.mp3[379.880,387.120]	OK ANY ALLERGIES TO ANY ENVIRONMENTAL FACTORS OR FOODS
audio/RES0194.mp3[387.120,400.040]	I I DO HAVE AN ALLERGY TO PEANUTS AND SO I CARRY AN EPIPEN FOR THAT BUT UH THATS THE ONLY FOOD
audio/RES0194.mp3[400.040,405.760]	OK UM AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0194.mp3[405.760,419.680]	UM I DID HAVE SURGERY LIKE AN ACL REPAIR AND REPAIRED KNEE AND KNEE SURGERY ABOUT 10 YEARS AGO AND BUT THAT YEAH THATS THE ONLY SURGERY
audio/RES0194.mp3[419.680,423.960]	OK ANY FAMILY HISTORY OF ANY LONGER HEART CONDITIONS
audio/RES0194.mp3[423.960,442.600]	UH MY DAD HAD HIGH HIGH BLOOD PRESSURE AND MY YEAH MY GRANDFATHER I HAD HAD LUNG CANCER ACTUALLY WHEN HE WAS IN HIS 80S WHEN HE PASSED AWAY FROM THAT AND HE WAS A SMOKERS WHOLE LIFE
audio/RES0194.mp3[442.600,446.600]	OK CURRENTLY DO YOU WORK AT ALL
audio/RES0194.mp3[446.600,463.560]	YEAH I I HAVE BEEN WORKING I WORK FOR A A PHARMACY COMPANY SO IVE BEEN HAVING TO GO INTO THE OFFICE SOMETIMES TO HELP KIND OF PREPARE STUFF
audio/RES0194.mp3[463.560,469.280]	OK AND IN YOUR WORKPLACE HAVE YOU NOTICE ANYONE SICK AT ALL
audio/RES0194.mp3[469.280,482.520]	UM NO I DONT THINK I DON’T HAVENT NOTICED ANYBODY BEEN WHOS BEEN SICK BUT WEVE BEEN THERE HAVE BEEN OTHER PEOPLE WHO HAVE BEEN GOING INTO THE OFFICE AS WELL
audio/RES0194.mp3[482.520,487.240]	OK AND DO YOU USUALLY WEAR MASKS AROUND OTHER PEOPLE
audio/RES0194.mp3[487.240,499.040]	YEAH WEVE BEEN WEARING MASKS AND AND THERE ARE CLEANING PROTOCOLS AND DISTANCING PROTOCOLS AS WELL TRYING TO KEEP EVERYBODY SAFE
audio/RES0194.mp3[499.040,504.440]	OK AND SINCE YOUVE HAD THESE SYMPTOMS HAVE YOU GONE INTO WORK AT ALL
audio/RES0194.mp3[504.440,509.520]	NO NO IVE ACTUALLY IVE BEEN OFF FOR THE THE LAST COUPLE OF DAYS
audio/RES0194.mp3[510.280,514.040]	YEAH IVE JUST BEEN BEEN DOING WHAT I CAN FROM HOME
audio/RES0194.mp3[514.040,518.120]	OK AND WHATS YOUR HOME SITUATION LIKE WHO DO YOU LIVE WITH
audio/RES0194.mp3[518.120,529.000]	YEAH SO I LIVE WITH MY I LIVE WITH MY WIFE AND WE LIVE IN A TOWNHOUSE JUST RIGHT IN THE CITY HERE
audio/RES0194.mp3[529.000,534.040]	OK AND HAS SHE BEEN DISPLAYING ANY SYMPTOMS AT ALL
audio/RES0194.mp3[534.040,537.440]	UH NO SHE HASNT SHES BEEN BEEN FEELING GOOD
audio/RES0194.mp3[537.440,542.200]	OK THATS GOOD AND CURRENTLY DO YOU SMOKE
audio/RES0194.mp3[542.200,543.640]	NO IM NOT A SMOKER
audio/RES0194.mp3[543.640,549.680]	OK ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0194.mp3[549.680,558.040]	I WILL SOMETIMES USE LIKE THE CBOR YEAH LIKE THE OILS BUT THAT THATS IT
audio/RES0194.mp3[558.040,562.520]	OK AND DO YOU DRINK ALCOHOL
audio/RES0194.mp3[562.520,573.800]	YEAH ILL HAVE A FEW BEERS ON THE WEEKEND SOMETIMES LIKE BUT THAT THATS THATS ABOUT IT MAYBE LIKE 3 OR 4 BEERS A WEEK
audio/RES0194.mp3[573.800,582.920]	ALRIGHT OK SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL
audio/RES0194.mp3[582.920,591.640]	YEAH I WAS JUST WORRIED THAT IT COULD BE COVID WITH HOW EVERYTHINGS GOING ON AND THATS JUST SORT OF WHAT I WAS WONDERING ABOUT TODAY
audio/RES0194.mp3[591.640,636.560]	YEAH SO THATS SOMETHING WE DEFINITELY WANT TO RULE OUT YOUR SYMPTOMS DEFINITELY OVERLAP WITH THE CLUSTER OF SYMPTOMS THAT SOMEONE MAY GET WITH COVID SO WE WILL DO A SWAB ON YOU TODAY AND RECOMMEND THAT YOU ISOLATE FOR TWO WEEKS UNTIL YOUR SYMPTOMS HAVE GONE AND THE TEST RESULT YOU WILL GET YOU WILL GET BACK IN THE NEXT 24 TO 48 HOURS AND ALONGSIDE YOUR TEST RESULTS SO YOU WILL ALSO GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH ABOUT WHETHER OR NOT YOU NEED ANOTHER SWAB LATER ON AND WHEN TO RETURN TO WORK
audio/RES0194.mp3[636.560,639.680]	OK THAT YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0194.mp3[639.680,656.000]	YEAH NO WORRIES AND IT CAN DEFINITELY ALSO BE ANOTHER VIRAL INFECTION AS WELL EVEN IF ITS NOT COVID IN WHICH CASE IT JUST YOU JUST NEED TO GET SOME REST STAY HYDRATED AND LET IT TAKE ITS COURSE
audio/RES0194.mp3[656.000,662.160]	OK NOW THAT SOUNDS THAT SOUNDS GOOD SO IT COULD BE COVID OR LIKE ANOTHER VIRAL ILLNESS
audio/RES0194.mp3[663.160,664.520]	OK THANK YOU
audio/RES0194.mp3[664.520,667.120]	WELCOME TAKE CARE TAKE CARE
audio/RES0020.mp3[0.000,2.840]	COULD YOU TELL ME WHAT BROUGHT YOU IN TODAY
audio/RES0020.mp3[2.840,17.360]	SURE YOU KNOW IVE BEEN HAVING THIS CHEST PAIN FOR THE SINCE LAST NIGHT UM AND IM ALSO HAVING A HARD TIME BREATHING SO THOUGHT I SHOULD CHECK IT OUT
audio/RES0020.mp3[17.360,29.240]	OK UM AND SO THE CHEST PAIN CAME ON LAST NIGHT WERE YOU DOING ANYTHING BEFORE BEFORE IT COMING ON
audio/RES0020.mp3[29.240,37.480]	NO I WAS JUST ABOUT TO HEAD TO BED AND SUDDENLY I FELT THIS CRAMPY PAIN IN MY CHEST
audio/RES0020.mp3[37.480,43.880]	OK AND WHERE IS THIS PAIN LOCATED
audio/RES0020.mp3[43.880,48.880]	ID SAY LIKE THE CENTER OF MY CHEST
audio/RES0020.mp3[48.880,56.000]	OK UH HAS THE PAIN BEEN GOING ON CONSTANTLY SINCE LAST NIGHT
audio/RES0020.mp3[56.000,58.640]	YEAH I WOULD SAY SO
audio/RES0020.mp3[58.640,65.560]	OK HAS IT CHANGED IN CHARACTER AT ALL YOU SAID IT WAS CRAMPY BUT HAS IT FELT LIKE ANYTHING ELSE
audio/RES0020.mp3[65.560,70.920]	UM NO JUST JUST CRAMPY YEAH
audio/RES0020.mp3[70.920,79.320]	I SEE DID YOU FEEL THE PAIN ANYWHERE ELSE OR DO YOU FEEL IT JUST IN THE CENTER OF YOUR CHEST
audio/RES0020.mp3[79.320,87.320]	AH YES CENTER OF MY CHEST GOING UP TO AROUND MY THROAT AREA MAYBE
audio/RES0020.mp3[87.320,100.680]	OK I SEE AND ANYTHING THAT YOUVE DONE THATS MADE THE PAIN WORSE
audio/RES0020.mp3[100.680,105.560]	UM I GUESS TAKING IN A DEEP BREATH
audio/RES0020.mp3[105.560,116.200]	OK AND HOW ABOUT CHANGING POSITIONS DOES THE PAIN GET WORSE IF YOU LIE FLAT OR OR IF YOU LEAN FORWARD
audio/RES0020.mp3[118.280,123.280]	OK UM AND HAVE YOU EVER HAD A PAIN LIKE THIS IN YOUR CHEST BEFORE
audio/RES0020.mp3[125.600,132.280]	OK AND AND HAS THE PAIN GET BEEN GETTING WORSE GETTING BETTER STAYING THE SAME
audio/RES0020.mp3[132.280,136.120]	ITS BEEN THE SAME
audio/RES0020.mp3[136.120,142.520]	OK HAVE YOU TAKEN ANYTHING FOR IT TO HELP WITH THE PAIN
audio/RES0020.mp3[144.400,151.960]	OK AND THE SHORTNESS OF BREATH YOU MENTIONED UH WHEN DID THAT START
audio/RES0020.mp3[151.960,156.160]	AROUND THE SAME TIME
audio/RES0020.mp3[156.160,165.680]	OK AND IS THIS TROUBLE BREATHING LIKE AFTER WALKING A CERTAIN DISTANCE OR EXERTING YOURSELF
audio/RES0020.mp3[165.680,172.880]	NO IT IT IT ITS JUST ALWAYS THERE
audio/RES0020.mp3[172.880,182.880]	OK AND HAVE YOU NOTICED ANY CHANGES TO THE SOUNDS OF YOUR BREATHING LIKE A WHEEZE OR WHISTLING SOUND
audio/RES0020.mp3[182.880,186.840]	YEAH MAYBE MAYBE A SLIGHT WHEEZE
audio/RES0020.mp3[186.840,193.280]	OK DO YOU THINK THAT YOURE BREATHING MORE QUICKLY
audio/RES0020.mp3[195.520,198.600]	OK UM HAVE YOU HAD A COUGH
audio/RES0020.mp3[198.600,202.880]	NO COUGH NO
audio/RES0020.mp3[202.880,211.320]	ALRIGHT AND SO YOU HAVENT BEEN BRINGING UP ANY SPUTUM OR OR ANY BLOOD
audio/RES0020.mp3[212.760,217.600]	OK AND HAVE YOU HAD A SORE THROAT
audio/RES0020.mp3[217.600,220.640]	NO SORE THROAT
audio/RES0020.mp3[220.640,234.680]	ALRIGHT SO YOUVE HAD THIS CHEST PAIN SINCE LAST NIGHT AND SHORTNESS OF BREATH THAT STARTED AROUND A SIMILAR TIME LAST NIGHT HAVE YOU HAD ANY OTHER SYMPTOMS
audio/RES0020.mp3[234.680,239.880]	JUST JUST SOME FATIGUE SOME TIREDNESS
audio/RES0020.mp3[239.880,244.000]	ALRIGHT AND DID THAT START AROUND THE SAME TIME
audio/RES0020.mp3[244.000,250.480]	THAT STARTED A FEW DAYS BEFORE LIKE MAYBE TWO DAYS BEFORE
audio/RES0020.mp3[250.480,262.760]	OK HAS THERE BEEN ANY CHANGE TO YOUR SLEEP OR ANY STRESSFUL EVENTS HAPPEN THAT MIGHT BE TIRING YOU OUT
audio/RES0020.mp3[266.200,270.560]	OK AND HAVE YOU HAD ANY HEADACHES
audio/RES0020.mp3[270.560,273.080]	NOPE NO HEADACHES
audio/RES0020.mp3[273.080,278.960]	HOW ABOUT ANY EYE SYMPTOMS LIKE DISCHARGE OR OR EYE PAIN
audio/RES0020.mp3[278.960,281.760]	NO NOTHING LIKE THAT
audio/RES0020.mp3[281.760,284.480]	ANY ANY REDNESS OF YOUR EYE
audio/RES0020.mp3[286.080,289.320]	ALRIGHT SO HAVE YOU HAD A RUNNY NOSE
audio/RES0020.mp3[290.960,298.800]	ALRIGHT AND UH HAVE YOU FELT LIKE YOUR HEART IS RACING AT ALL
audio/RES0020.mp3[301.720,307.000]	OK HAVE YOU HAD A LOSS OF TASTE OR SMELL
audio/RES0020.mp3[308.880,314.600]	AND HAVE YOU HAD A DECREASE IN YOUR APPETITE
audio/RES0020.mp3[314.600,316.320]	UM NO
audio/RES0020.mp3[316.320,324.480]	I SEE OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS
audio/RES0020.mp3[325.160,329.760]	ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0020.mp3[331.320,337.600]	ALRIGHT AND HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0020.mp3[337.600,341.040]	UH NONE
audio/RES0020.mp3[341.040,344.760]	ANY ABDOMINAL PAINS
audio/RES0020.mp3[346.480,356.040]	ALRIGHT AND HOW ABOUT ANY CONFUSION OR OR CONCERNS AROUND MEMORY
audio/RES0020.mp3[357.440,361.080]	ALRIGHT AND ANY MUSCLE ACHES OR PAINS
audio/RES0020.mp3[361.080,364.480]	MAYBE SLIGHT MUSCLE ACHES
audio/RES0020.mp3[364.480,366.680]	HAVE YOU HAD ANY WEAKNESS
audio/RES0020.mp3[368.800,373.440]	OK AND ANY RASHES YOU NOTICED ANYWHERE
audio/RES0020.mp3[373.440,375.400]	NO NONE
audio/RES0020.mp3[375.400,379.480]	OK AND HAVE YOU HAD A FEVER
audio/RES0020.mp3[379.480,381.000]	UM NOPE
audio/RES0020.mp3[381.000,384.800]	HOW ABOUT ANY ANY CHILLS
audio/RES0020.mp3[384.800,386.480]	NO CHILLS
audio/RES0020.mp3[386.480,388.640]	ALRIGHT AND THEN ANY NIGHT SWEATS
audio/RES0020.mp3[391.760,399.440]	ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN REGULARLY FOR
audio/RES0020.mp3[399.440,404.520]	NO ACTUALLY SORRY I HAVE DIABETES
audio/RES0020.mp3[404.520,406.000]	OK IS THAT TYPE 2
audio/RES0020.mp3[406.000,409.160]	TYPE 2
audio/RES0020.mp3[409.160,417.200]	OK AND ARE YOU TAKING ANY MEDICATIONS FOR THAT OR IS IT KIND OF DIET OR LIFESTYLE CONTROLLED
audio/RES0020.mp3[417.200,423.080]	IM ON INSULIN FOR THAT
audio/RES0020.mp3[423.080,428.360]	OK AND YOU USE A SLIDING SCALE OR DO YOU HAVE A REGIMEN YOU USE
audio/RES0020.mp3[428.360,441.400]	UM I HAVE SO I HAVE LIKE A LONG ACTING AND SHORT ACTING SO I JUST TAKE THE LONG ACTING BEFORE I GO TO BED AND THEN THE SHORT ACTING BEFORE MEALS
audio/RES0020.mp3[441.400,451.280]	I SEE OK SO THAT SOUNDS LIKE A GREAT A GREAT PLAN DO YOU TAKE ANY OTHER MEDICATIONS
audio/RES0020.mp3[451.280,459.400]	YES I TAKE SOME VITAMINS AND YOU KNOW LIKE VITAMIN AND CALCIUM BUT THATS IT
audio/RES0020.mp3[459.400,460.960]	OK ANY ALLERGIES
audio/RES0020.mp3[460.960,466.000]	IM ALLERGIC TO PENICILLIN
audio/RES0020.mp3[466.000,472.760]	OK HAVE YOU HAD ANTIBIOTICS RECENTLY FOR ANY REASON
audio/RES0020.mp3[473.360,477.360]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0020.mp3[477.360,487.440]	I THINK SO I THINK THE ONLY THING IS I HAVE TO SEE IF IM UP TO DATE WITH MY PNEUMOVAX
audio/RES0020.mp3[487.440,499.600]	OK GREAT YEAH I WAS WONDERING ABOUT THAT ONE SO WE CAN LOOK INTO THAT CERTAINLY AND DO YOU KNOW IF YOUVE HAD THE ZOSTER OR THE SHINGLES VACCINE
audio/RES0020.mp3[499.600,502.080]	YES I HAD THAT ONE
audio/RES0020.mp3[502.080,512.840]	OK GREAT UM AND UM NEXT COULD YOU I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0020.mp3[512.840,526.280]	SURE I LIVE WITH MY HUSBAND WE LIVE IN A 3 BEDROOM TOWNHOUSE ITS A FAIRLY NEW HOME
audio/RES0020.mp3[526.280,529.120]	OK GREAT DID YOU RECENTLY MOVE THERE
audio/RES0020.mp3[529.120,532.280]	YES WE DID
audio/RES0020.mp3[532.280,547.600]	OK COOL AND SO THERES NO CONCERNS WITH LIKE OLD CARPETS OR BEING EXPOSED TO KIND OF LIKE DUST OR OR MOLDS OR ANYTHING LIKE THAT IN THE HOME
audio/RES0020.mp3[547.600,549.560]	NO NOTHING LIKE THAT
audio/RES0020.mp3[549.560,556.280]	OK AND UM HAS YOUR HUSBAND BEEN SICK AT ALL
audio/RES0020.mp3[556.280,558.320]	NO HES BEEN FINE
audio/RES0020.mp3[558.320,560.520]	OK AND DO YOU HAVE ANY PETS IN THE HOME
audio/RES0020.mp3[560.520,563.720]	WE HAVE A CAT
audio/RES0020.mp3[563.720,568.480]	OK AND DO YOU HAVE ANY ALLERGIES TO PETS
audio/RES0020.mp3[574.400,579.720]	ALRIGHT UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY RIGHT NOW
audio/RES0020.mp3[579.720,585.000]	UM WERE BOTH RETIRED BUT WE HAVE OUR RESSAVINGS
audio/RES0020.mp3[585.000,602.680]	OH EXCELLENT OK AND FOR YOUR PREVIOUS OCCUPATION WERE YOU EXPOSED TO ANY CHEMICALS OR LIKE ASBESTOS OR INHALANTS THAT YOURE AWARE OF
audio/RES0020.mp3[602.680,606.680]	UH NO NO NOTHING LIKE THAT
audio/RES0020.mp3[606.680,608.920]	OK AND YOU SMOKE CIGARETTES
audio/RES0020.mp3[608.920,610.880]	I DONT
audio/RES0020.mp3[610.880,612.920]	DO YOU DRINK ALCOHOL
audio/RES0020.mp3[612.920,619.200]	I HAVE MAYBE A GLASS OR TWO GLASSES OF WINE OVER THE WEEKENDS
audio/RES0020.mp3[619.200,626.560]	OK AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
audio/RES0020.mp3[626.560,628.800]	NO I DONT
audio/RES0020.mp3[628.800,635.200]	OK AND HOW ABOUT THE USE OF ANY OTHER RECREATIONAL DRUGS
audio/RES0020.mp3[635.200,637.480]	NO NO NOTHING LIKE THAT
audio/RES0020.mp3[637.480,645.600]	OK AND AND HAS ANYBODY IN YOUR FAMILY HAD A HEART CONDITION BEFORE
audio/RES0020.mp3[645.600,654.160]	MY MOTHER PASSED AWAY WHEN SHE WAS 80 SHE HAD SOME VALVULAR ISSUES
audio/RES0020.mp3[654.160,664.440]	OK UM UH OK AND HAS ANYBODY IN THE FAMILY HAD A HEART ATTACK BEFORE
audio/RES0020.mp3[664.440,668.720]	NO NOT THAT I KNOW OF
audio/RES0020.mp3[668.720,672.600]	ALRIGHT AND ANYBODY HAVE ANY LUNG CONDITIONS
audio/RES0020.mp3[675.280,679.760]	ALRIGHT AND THEN ANY CANCER THAT RUNS IN THE FAMILY
audio/RES0020.mp3[679.760,684.320]	CANCER NO NO
audio/RES0020.mp3[684.320,699.080]	OK UM I THINK THATS ALL I WANTED TO COVER ON THE THE HISTORY TODAY WAS THERE ANYTHING ELSE YOUD LIKE TO TELL ME THAT I WAS THAT I MAYBE DIDNT ASK ABOUT
audio/RES0020.mp3[699.080,706.320]	UH NO I THINK YOU ASKED ME ALL THOSE OTHER QUESTIONS IM JUST WONDERING WHAT DO YOU LIKE WHAT DO YOU THINK I HAVE
audio/RES0020.mp3[706.320,819.200]	YEAH CERTAINLY UH SO IT COULD POSSIBLY BE SOMETHING RELATED TO THE HEART I DONT AND SOMETIMES ESPECIALLY PEOPLE IN YOUR AGE GROUP WHO HAVE DIABETES CAN HAVE CHEST PAIN AND SYMPTOMS THAT COULD BE NONSPECIFIC AND SO WE WILL WE WILL CHECK THAT FOR SURE WELL GET AN ECG AND SOME LAB WORK WITH THE TROPONIN AND ALSO A CHEST X RAY SO THAT WE CAN INVESTIGATE FOR THAT AND ALSO THE CHEST X RAY COULD HELP US LOOK TO SEE IF YOU HAVE SOMETHING GOING ON IN YOUR LUNGS LIKE A POSSIBLE PNEUMONIA OR MAYBE A VIRAL INFECTION AS WELL WHICH COULD INCLUDE SOMETHING LIKE COVID19 SO WELL BE ORDERING A PCR NASAL SWAB AS WELL TO TEST FOR THAT AND SO IN THE MEANTIME BECAUSE WELL BE DOING THAT TEST IT REQUIRES SELF QUARANTINE FOR 14 DAYS SO IF POSSIBLE THAT WOULD MEAN DISTANCING FROM YOUR HUSBAND IN THE HOME AS WELL FOR THAT 14 DAY PERIOD BUT THE RESULTS SHOULD COME BACK FROM THAT TEST WITHIN THE NEXT SEVERAL DAYS AND AND SORRY ALSO IF IT IS POSITIVE WE WILL HAVE TO NOTIFY PUBLIC HEALTH AS WELL SO THAT THE APPROPRIATE CONTACT TRACING CAN BE DONE
audio/RES0020.mp3[819.200,820.960]	OK OK WELL THANK YOU VERY MUCH
audio/RES0020.mp3[820.960,826.640]	NOW YOURE VERY WELCOME WELL GET THE INVESTIGATIONS STARTED NOW
audio/RES0020.mp3[826.640,831.800]	SURE SOUNDS GOOD
audio/RES0199.mp3[0.000,1.960]	WHAT BRINGS YOU IN
audio/RES0199.mp3[1.960,27.040]	HI I JUST CAME IN TODAY I HAVE BEEN HAVING JUST BEEN FEELING REALLY SICK OVER THE LAST THREE OR FOUR DAYS IT STARTED WITH JUST LIKE A HEADACHE AND COUGH FOUR DAYS AGO AND THEN I STARTED GETTING SOME NAUSEA AND VOMITING FEW DAYS BACK AS WELL AS DIARRHEA
audio/RES0199.mp3[27.040,30.960]	OK SO THE HEADACHE AND COUGH STARTED FIRST YOU SAID RIGHT
audio/RES0199.mp3[32.240,42.080]	OK LETS TALK ABOUT THE HEADACHE FIRST THAT CAME ON FOUR DAYS AGO HAS IT BEEN PERSISTENT OR DOES IT COME AND GO
audio/RES0199.mp3[42.080,47.160]	ITS BEEN PRETTY PERSISTENT BESIDES WHEN I TAKE SOME TYLENOL
audio/RES0199.mp3[47.160,51.080]	OK AND DOES ANYTHING MAKE IT BETTER OR WORSE
audio/RES0199.mp3[51.080,57.120]	JUST A TYLENOL NOTHING REALLY YEAH ITS PRETTY CONSTANT
audio/RES0199.mp3[57.120,67.440]	OK AND HAVE A AN AND SORRY WHERE EXACTLY IS IT IS IT ON ITS LIKE AT THE TOP OF YOUR HEAD TEMPLES FOREHEAD
audio/RES0199.mp3[67.440,72.240]	ITS KIND OF LIKE MY FOREHEAD IN THE TOP OF MY HEAD ON BOTH SIDES
audio/RES0199.mp3[72.240,77.800]	OK AND DOES IT RADIATE YOUR NECK OR ANYWHERE ELSE
audio/RES0199.mp3[77.800,82.000]	NO I THINK IT’S IT DOESNT GO TO MY NECK OR ANYWHERE ELSE
audio/RES0199.mp3[82.000,87.520]	OK AND DO YOU HAVE NECK STIFFNESS OR NECK PAIN WITH THAT
audio/RES0199.mp3[87.520,90.360]	NO NOT REALLY
audio/RES0199.mp3[90.360,96.240]	AND ONE TO TEN TEN BEING THE WORST PAIN YOUVE EVER HAD HOW BAD IS IT
audio/RES0199.mp3[96.240,101.760]	UH THE HEADACHE PROBABLY LIKE 7
audio/RES0199.mp3[101.760,109.160]	OK UHM AND TIMELINE WISE HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS
audio/RES0199.mp3[109.160,112.640]	ITS KIND OF STAYED AROUND THE SAME ACTUALLY
audio/RES0199.mp3[112.640,118.400]	OK OK AND HAVE YOU EVER HAD A HEADACHE LIKE THIS IN THE PAST
audio/RES0199.mp3[118.400,125.640]	NOT REALLY I DONT REALLY GET TOO MANY HEADACHES
audio/RES0199.mp3[125.640,140.480]	OK SO THIS ISNT YOU ALRIGHT AND LETS GO ON TO THE COUGH THE COUGH STARTED AROUND THE SAME TIME YOU SAID HAS THAT GOTTEN BETTER OR WORSE OVER THE PAST FOUR DAYS
audio/RES0199.mp3[140.480,145.600]	ITS THE COUGH IS AROUND THE SAME AS WELL
audio/RES0199.mp3[145.600,150.680]	OK AND IS IT A DRY COUGH OR ARE YOU BREAKING UP ANY FLEM
audio/RES0199.mp3[150.680,152.760]	ITS MOSTLY A DRY COUGH
audio/RES0199.mp3[152.760,155.160]	OK SO NO SPUTUM OR BLOOD
audio/RES0199.mp3[155.160,156.080]	NO NO
audio/RES0199.mp3[156.080,165.920]	OK GOOD ALRIGHT AND ARE YOU SHORT OF BREATH AT ALL
audio/RES0199.mp3[165.920,169.200]	UHM NO NOT REALLY
audio/RES0199.mp3[169.200,173.160]	NO OK AND HOW ABOUT WHEEZING
audio/RES0199.mp3[173.160,174.480]	UHM NO NO WHEEZING
audio/RES0199.mp3[174.480,184.160]	OK ONLY SAYING AN AND ANY CHEST PAIN
audio/RES0199.mp3[186.960,193.040]	NO OK AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS
audio/RES0199.mp3[193.040,194.800]	NO I HAVENT
audio/RES0199.mp3[194.800,197.400]	ANY FEVERS OR CHILLS
audio/RES0199.mp3[198.680,202.720]	NO OK UHM HOW ABOUT FATIGUE
audio/RES0199.mp3[202.720,212.920]	I GUESS JUST A LITTLE BIT TIRED OVER THE LAST FEW DAYS BUT I DONT KNOW THATS JUST JUST FROM THE DIARRHEA AND JUST BEING SICK
audio/RES0199.mp3[212.920,216.400]	UM OK AND HOW ABOUT RASHES
audio/RES0199.mp3[217.720,220.600]	NO OK CHANGES IN YOUR VISION OR HEARING
audio/RES0199.mp3[221.720,227.040]	UH ITCHY EYES DISCHARGE ANYTHING LIKE THAT
audio/RES0199.mp3[227.040,229.440]	NO NOTHING LIKE THAT
audio/RES0199.mp3[229.440,233.200]	ABOUT A STUFFY OR RUNNY NOSE
audio/RES0199.mp3[233.200,235.200]	NO NOTHING LIKE THAT
audio/RES0199.mp3[235.200,239.840]	OK HOW ABOUT CHANGES IN YOUR SMELL OR TASTE
audio/RES0199.mp3[239.840,253.520]	UHM SMELL I FEEL LIKE A LITTLE BIT IVE BEEN KIND OF LOSING MY SMELL OVER THE LAST I WOULD SAY ONE DAY
audio/RES0199.mp3[253.520,259.520]	OK OK ALRIGHT AND ANY DIZZINESS OR FAINTING SPELLS
audio/RES0199.mp3[259.520,261.480]	NO NOTHING LIKE THAT
audio/RES0199.mp3[261.480,264.960]	CONFUSION OR MEMORY LOSS
audio/RES0199.mp3[266.200,273.880]	UHM ALRIGHT AND JOINT PAINS OR MUSCLE ACHES
audio/RES0199.mp3[273.880,275.320]	UH NO
audio/RES0199.mp3[275.320,283.080]	ALRIGHT YOU MENTIONED YOU ALSO HAVE HAD DIARRHEA WHEN DID THAT START
audio/RES0199.mp3[283.080,295.000]	SO PROBABLY LIKE 2 DAYS AGO I STARTED GETTING SOME LIQUID STOOLS AND I JUST HAD TO GO LIKE PROBABLY FIVE OR SIX TIMES A DAY
audio/RES0199.mp3[295.000,300.680]	OK ALRIGHT AND UHM ARE YOU NOTICING ANY BLOOD IN THERE
audio/RES0199.mp3[300.680,304.320]	NO I HAVENT SEEN ANY BLOOD
audio/RES0199.mp3[304.320,308.880]	OK DO YOU FEEL DEHYDRATED
audio/RES0199.mp3[308.880,313.280]	NO IVE BEEN TRYING TO KEEP HYDRATED
audio/RES0199.mp3[313.280,317.520]	OK GOOD ANY CHANGES IN YOUR APPETITE
audio/RES0199.mp3[317.520,318.880]	UH NO
audio/RES0199.mp3[318.880,322.040]	NO ANY NAUSEA OR VOMITING
audio/RES0199.mp3[322.040,333.160]	YEAH I WAS HAVING SOME IM HAVING SOME NAUSEA TODAY BUT I HAD SOME VOMITING YESTERDAY I VOMITED TWO TIMES
audio/RES0199.mp3[333.160,336.560]	OK AND ARE YOU THROWING UP ANY BLOOD
audio/RES0199.mp3[337.640,339.960]	WHAT COLOR IS IT
audio/RES0199.mp3[339.960,347.400]	UHM ITS USUALLY I FEEL LIKE WHATEVER I EAT YEAH CONTENTS FOOD CONTENTS
audio/RES0199.mp3[347.400,354.920]	OK DO YOU THINK ANYTHING TRIGGERED THAT EPISODE OF VOMITING
audio/RES0199.mp3[354.920,364.280]	NO I HAVENT REALLY ATE ANYTHING NEW IM JUST IN MY HOUSE YEAH I I DONT KNOW WHAT TRIGGERED IT
audio/RES0199.mp3[364.280,371.120]	OK ALRIGHT ANY FEELINGS OF LIKE FEELING LIKE YOURE BLOATED OR GASSY
audio/RES0199.mp3[371.120,374.240]	UHM NO NOTHING LIKE THAT
audio/RES0199.mp3[374.240,377.200]	OK ANY CONSTIPATION
audio/RES0199.mp3[379.560,385.520]	OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0199.mp3[385.520,390.960]	NO IM IM PRETTY HEALTHY I DONT REALLY I DONT REALLY EVEN TAKE ANY MEDICATIONS
audio/RES0199.mp3[390.960,395.520]	OK AND ARE YOU UP TO DATE WITH HER IMMUNIZATIONS
audio/RES0199.mp3[397.280,400.600]	UHM DO YOU HAVE ANY ALLERGIES
audio/RES0199.mp3[400.600,402.520]	NO NOT THAT I KNOW
audio/RES0199.mp3[402.520,406.880]	NO ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0199.mp3[406.880,409.040]	UH NO NOT THAT I KNOW OF
audio/RES0199.mp3[409.040,411.240]	OK DO YOU SMOKE
audio/RES0199.mp3[412.840,422.440]	NO OK HOW  ABOUT MARIJUANA OR YEAH HOW ABOUT MARIJUANA DO YOU EITHER TAKE EDIBLES OR SMOKE IT
audio/RES0199.mp3[422.440,430.560]	I’VE TRIED A COUPLE TIMES BUT IT WAS NOT REALLY MY THING
audio/RES0199.mp3[430.560,438.600]	OK AND HOW ABOUT OTHER RECREATIONAL DRUGS LIKE COCAINE HEROIN AND OPIOIDS
audio/RES0199.mp3[438.600,439.800]	NO NOTHING LIKE THAT
audio/RES0199.mp3[439.800,449.120]	OK UHM AND WHERE DO YOU CURRENTLY LIVE
audio/RES0199.mp3[449.120,455.800]	I LIVE JUST IN AN APARTMENT JUST IN THE CITY SO YEAH JUST BY MYSELF THOUGH
audio/RES0199.mp3[455.800,467.000]	OK ANY LIKE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING THAT COULD BE TRIGGERING YOUR SYMPTOMS
audio/RES0199.mp3[467.000,469.400]	NO NOT REALLY
audio/RES0199.mp3[469.400,473.000]	OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0199.mp3[473.000,493.280]	NO IVE BEEN AND KIND OF AT HOME THE ONLY PLACES I MAYBE HAVE BEEN IN CONTACT WITH SOMEONE IS MAYBE AT WORK IN LIKE THE LUNCH ROOM AND THINGS LIKE THAT
audio/RES0199.mp3[493.280,496.680]	OK OK AND SORRY WHERE DO YOU WORK
audio/RES0199.mp3[496.680,500.920]	I WORK AT A CAR DEALERSHIP
audio/RES0199.mp3[500.920,504.520]	OK OK AN ANY TRAVEL RECENTLY
audio/RES0199.mp3[504.840,508.240]	OK HAS ANYONE AT YOUR WORK BEEN SICK AS WELL
audio/RES0199.mp3[508.240,511.840]	NO I HAVENT REALLY NOTICED ANYONE BEING SICK
audio/RES0199.mp3[511.840,521.640]	OK OK WELL THOSE WERE THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
audio/RES0199.mp3[521.640,524.560]	NO I I WAS JUST WONDERING WHAT THIS CAN BE
audio/RES0199.mp3[524.560,581.440]	UM YEAH SO THE FIRST THING WE WANT TO RULE OUT AS COVID BECAUSE A LOT OF YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID SO WELL TAKE A SWAB AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND IF YOUR RESULTS ARE POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING BUT IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND THIS TIME OF YEAR THAT COULD BE CAUSING SIMILAR SYMPTOMS AS WELL BUT EITHER WAY THE MANAGEMENT KIND OF IS SUPPORTIVE SO MAKING SURE YOURE WELL HYDRATED EATING NUTRITIOUS FOOD SLEEPING WELL TAKING ANTIPYRETICS LIKE TYLENOL FOR FEVERS IF YOU GET ANY AND YOU CAN ALSO TAKE TYLENOL OR ANSEADS FOR MUSCLE ACHE JOINT PAINS ANYTHING LIKE THAT DOES THAT SOUND OK
audio/RES0199.mp3[581.440,583.280]	YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0199.mp3[583.280,586.280]	OK GREAT NO PROBLEM
audio/RES0181.mp3[0.000,2.280]	HOW MAY I HELP YOU
audio/RES0181.mp3[2.280,18.240]	HI UMM SO IVE HAD A SORE THROAT FOR THE PAST THREE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER AND IVE ALSO HAD A FEVER SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU
audio/RES0181.mp3[18.240,26.320]	YEAH FOR SURE SO YOU SAID THAT THE SORE THROAT STARTED THREE DAYS AGO HAS IT BEEN GETTING ANY BETTER OR ANY WORSE
audio/RES0181.mp3[26.320,30.520]	NEITHER ITS BEEN THE SAME
audio/RES0181.mp3[30.520,35.840]	OK IS IT PAINFUL TO SWALLOW FOOD OR LIQUIDS
audio/RES0181.mp3[35.840,43.720]	ITS PAINFUL TO SWALLOW SOLIDS YEAH
audio/RES0181.mp3[43.720,56.160]	OK UH AND HOW IS YOUR UMM HAVE YOU HAD ANY VOICE CHANGES LIKE A HOT POTATO VOICE OR SOUND LIKE MUFFLED OR ANY VOICE CHANGES AT ALL
audio/RES0181.mp3[56.160,60.560]	NO NOT REALLY NO
audio/RES0181.mp3[60.560,65.360]	OK AND HAVE YOU NOTICED ANY LIKE NECK SWELLING
audio/RES0181.mp3[69.880,75.040]	OK AND HOW ABOUT YOUR APPETITE HAS THAT CHANGED
audio/RES0181.mp3[75.040,80.960]	UHM IM STILL HUNGRY I JUST DONT EAT AS MUCH CAUSE MY THROAT IS SORE
audio/RES0181.mp3[80.960,88.880]	RIGHT OK THAT MAKES SENSE AND SO YOU MENTIONED THAT YOU ALSO HAD A FEVER WHEN DID THAT START
audio/RES0181.mp3[88.880,92.400]	THAT STARTED TWO DAYS AGO
audio/RES0181.mp3[92.400,96.120]	OK OK AND DID DID YOU CHECK IT
audio/RES0181.mp3[96.120,100.120]	IT WAS 388
audio/RES0181.mp3[100.120,110.640]	OK ALRIGHT SO YEAH CERTAINLY A FEVER OK AND HAVE YOU HAD ANY UH LIKE ANY RUNNY NOSE
audio/RES0181.mp3[110.640,115.440]	NO NOT THAT IVE NOTICED
audio/RES0181.mp3[115.440,119.720]	HOW ABOUT ANY RED EYES OR ITCHY EYES OR EYE DISCHARGE
audio/RES0181.mp3[121.280,130.400]	OK HOW ABOUT ANY LOSS OR CHANGES TO YOUR SENSE OF SMELL OR TASTE
audio/RES0181.mp3[131.720,134.840]	OK HAVE YOU HAD ANY ANY HEADACHES
audio/RES0181.mp3[134.840,138.440]	UM NO HEADACHES NO
audio/RES0181.mp3[138.440,143.280]	OK HOW ABOUT ANY COUGH
audio/RES0181.mp3[143.280,144.440]	NO COUGH
audio/RES0181.mp3[144.440,151.800]	NO COUGHING OK AND HOW ABOUT ANY SHORTNESS OF BREATH
audio/RES0181.mp3[153.680,156.360]	OK HAVE YOU HAD ANY WHEEZING
audio/RES0181.mp3[157.880,160.640]	HOW ABOUT ANY CHEST PAIN
audio/RES0181.mp3[160.640,162.240]	NO CHEST PAIN
audio/RES0181.mp3[162.240,164.240]	ANY FAINTING OR DIZZINESS
audio/RES0181.mp3[165.840,173.800]	OK AND HAVE YOU HAD ANY HEART PALPITATIONS
audio/RES0181.mp3[173.800,175.320]	UH NO
audio/RES0181.mp3[175.320,184.720]	OK AND SO YOU DONT YOU HAVENT HAD ANY COUGH BUT HAVE YOU HAD ANY INSTANCES OF BRINGING UP ANY SPUTUM OR OR ANY BLOOD
audio/RES0181.mp3[184.760,190.000]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0181.mp3[191.040,195.920]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0181.mp3[196.960,201.520]	YOU HAD ANY DIARRHEA OR OR CONSTIPATION
audio/RES0181.mp3[201.520,203.440]	UH NO
audio/RES0181.mp3[203.440,208.040]	OK HOW ABOUT ANY URINARY PROBLEMS
audio/RES0181.mp3[208.040,210.840]	UM NO NOTHING LIKE THAT
audio/RES0181.mp3[210.840,216.120]	I SEE OK AND ANY SKIN CHANGES OR RASHES
audio/RES0181.mp3[217.640,220.880]	ALRIGHT ANY MUSCLE ACHES OR BODY PAINS
audio/RES0181.mp3[222.400,228.200]	AND ANY AND HOWS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE
audio/RES0181.mp3[228.200,231.320]	I HAVE BEEN YEAH IVE BEEN TIRED
audio/RES0181.mp3[231.320,240.960]	OK AND HAVE YOU HAD ANY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0181.mp3[240.960,246.800]	UM I HAVE TYPE ONE DIABETES
audio/RES0181.mp3[246.800,255.440]	OK AND UH INSULIN WISE DO YOU USE A PUMP OR IS IT LIKE HOW DO YOU MANAGE DIABETES
audio/RES0181.mp3[255.440,259.520]	I USE AN INSULIN PUMP YEAH
audio/RES0181.mp3[259.520,263.520]	OK EXCELLENT AND DO YOU SEE AN ENDOCRINOLOGIST FOR THAT
audio/RES0181.mp3[263.520,265.000]	I DO
audio/RES0181.mp3[265.000,273.200]	OK WELL THATS GOOD AND HAVE YOU HAD ANY COMPLICATIONS OR HAVE THINGS BEEN STABLE
audio/RES0181.mp3[273.200,285.040]	THINGS HAVE BEEN PRETTY STABLE I HAD WHEN I WAS YOUNGER I HAD A FEW EPISODES OF LIKE HYPOGLYCEMIA BUT NOW THINGS ARE PRETTY STABLE
audio/RES0181.mp3[285.040,294.320]	OK AND YOU CAN RECOGNIZE THOSE SIGNS LIKE FEELING JITTERY AND SWEATY MIGHT MAYBE A LITTLE ANXIOUS WHEN THAT COMES ON
audio/RES0181.mp3[294.320,297.240]	YES IM AN EXPERT NOW
audio/RES0181.mp3[297.240,306.920]	OK THATS GREAT THAT YOU CAN RECOGNIZE THAT THOSE SIGNS ITS IMPORTANT AND HAVE YOU HAD ANY ALLERGIES
audio/RES0181.mp3[306.920,309.320]	UHM NO ALLERGIES
audio/RES0181.mp3[309.320,315.280]	ANY AND ALL YOUR IMMUNIZATIONS UP TO DATE
audio/RES0181.mp3[315.280,316.600]	AH YES
audio/RES0181.mp3[316.600,322.480]	OK UHM AND ANY HOSPITALIZATIONS OR SURGERIES BEFORE
audio/RES0181.mp3[325.280,330.200]	OK UH AND UH CURRENTLY ARE YOU IN IN SCHOOL OR WORKING
audio/RES0181.mp3[330.200,336.840]	IM IN SCHOOL IM IN GRADE 10 AND WERE DOING HALF DAYS NOW
audio/RES0181.mp3[336.840,339.520]	OK ERR HALF DAYS LIKE IN PERSON
audio/RES0181.mp3[339.520,343.000]	YEAH HALF IN PERSON AND HALF ONLINE
audio/RES0181.mp3[343.000,347.200]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0181.mp3[347.200,350.920]	NO NO ONE AT SCHOOLS BEEN SICK ACTUALLY
audio/RES0181.mp3[350.920,357.400]	OK UHM AND HAVE YOU TRAVELED ANYWHERE
audio/RES0181.mp3[357.400,361.440]	AH NOPE NOT NOT SINCE COVID
audio/RES0181.mp3[361.440,363.720]	OK I SEE AN ARE YOU AH WHO ARE YOU LIVING WITH
audio/RES0181.mp3[363.720,372.760]	I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS
audio/RES0181.mp3[372.760,378.360]	OK AND ANYBODY AT HOME HAVE ANY SORE THROAT OR COUGH OR OR ANYTHING LIKE THAT
audio/RES0181.mp3[378.360,392.480]	UHM SO MY YOUNGER SISTER HAD A SORE THROAT LIKE A WEEK BACK BUT THATS ALL SHE HAD SHE NEVER HAD A FEVER AND HER SORE THROAT WENT AWAY IN LIKE 2 DAYS
audio/RES0181.mp3[392.480,400.200]	OK UH OK AND DOES SHE NEED ANY TREATMENT
audio/RES0181.mp3[405.560,416.800]	OK UH AND UH AND I I KNOW PEOPLE AROUND YOUR AGE MIGHT EXPERIMENT WITH DRUGS OR ALCOHOL HAVE YOU USED ANYTHING LIKE THAT OR YOUR FRIENDS
audio/RES0181.mp3[416.800,420.680]	OH NO NO NOTHING LIKE THAT
audio/RES0181.mp3[420.680,424.440]	OK AND DO YOU SMOKE CIGARETTES OR HAVE YOU TRIED
audio/RES0181.mp3[424.440,439.520]	UHM I TRIED ONCE BUT I DONT EVER DO IT REGULARLY
audio/RES0181.mp3[439.520,444.600]	OK AND UH AND DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS
audio/RES0181.mp3[444.600,448.920]	UM NO I NEVER HAVE TRIED
audio/RES0181.mp3[448.920,459.480]	OK AND AND IS THERE A FAMILY HISTORY OF ANY HEART OR OR LUNG CONDITIONS
audio/RES0181.mp3[459.480,466.320]	UHM I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE USED TO SMOKE
audio/RES0181.mp3[466.320,470.000]	OK I SEE HOW OLD WAS HE ROUGHLY
audio/RES0181.mp3[470.000,472.960]	UHM HE WAS IN HIS LATE 60S
audio/RES0181.mp3[472.960,486.360]	OK IM SORRY TO HEAR THAT AND THANK YOU AND OH SORRY I FORGOT TO ASK HER ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0181.mp3[488.280,492.040]	OK HAVE YOU BEEN SEXUALLY ACTIVE BEFORE
audio/RES0181.mp3[492.040,493.960]	UH NO
audio/RES0181.mp3[493.960,513.640]	OK SO UMM OK UHM SO THAT WAS ALL THE QUESTIONS THAT UHM THAT THAT I WANTED TO ASK WAS THERE ANYTHING ELSE THAT YOU WANTED TO UMM MENTION TODAY
audio/RES0181.mp3[513.640,526.760]	UH NO I DONT THINK SO IS IT WHEN YOU ASKED ME IF MY NECK WAS SWOLLEN MY NECKS NOT SWOLLEN BUT I FEEL LIKE INSIDE THE BACK OF MY THROAT MY TONSILS FEEL A LITTLE BIT SWOLLEN
audio/RES0181.mp3[526.760,535.360]	OK AND HAVE YOU LOOKED DOES IT LOOK LIKE YOU HAVE LIKE REDNESS IN THE BACK OF YOUR BACK OF YOUR MOUTH
audio/RES0181.mp3[535.360,538.960]	YEAH IT LOOKS PRETTY RED AND ANGRY
audio/RES0181.mp3[538.960,540.920]	OK AND ITS SORE
audio/RES0181.mp3[542.880,560.640]	OK SO ITS JUST TO KIND OF SUMMARIZE THIS HAPPENS LIKE THIS SOMETIMES YOU BEEN HAVING SO THE SORE THROAT LIKE THE REDNESS AND SWELLING OF THE TONSILS IN THE BACK OF YOUR MOUTH AS WELL AS A FEVER AND BEING PRETTY TIRED OVER THESE LAST FEW DAYS
audio/RES0181.mp3[563.000,643.840]	OK YEAH UM ALRIGHT SO ITS SOUNDING LIKE MOST LIKELY THIS WOULD BE STREP THROAT OR OR GROUP A STREP PHARYNGITIS WITH BECAUSE YOU HAVE NO COUGH AND WITH A HIGH FEVER AND SWELLING THAT YOUVE BEEN REDNESS THAT YOU NOTICE IN THE BACK OF YOUR MOUTH AND SO WELL DO A RAPID STREP ANTIGEN TEST AND IT WILL REQUIRE JUST A THROAT SWAB TO SEE TO TO DETECT FOR THAT HOWEVER WITH A UH UMM YEAH I GUESS THATS IT THATS WHAT I YEAH WELL WELL START WITH WITH THAT NOW AND IT COULD POTENTIALLY BE SOMETHING LIKE UHM A VIRAL ILLNESS BUT THATS LOWER ON THE ON THE DIFFERENTIAL THEN THE BACTERIAL INFECTION IS RIGHT NOW AND BECAUSE OF COVIIT WILL BE WELL DO A SWAB AS WELL BECAUSE PEOPLE CAN GET FEVER AND SORE THROAT WITH WITH COVIAS WELL
audio/RES0181.mp3[644.920,650.520]	SO JUST TO MAKE SURE THAT WERE BEING COMPREHENSIVE
audio/RES0181.mp3[650.520,655.320]	OK THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0181.mp3[655.320,658.160]	THANK YOU
audio/RES0081.mp3[0.000,1.680]	HOW CAN I HELP YOU
audio/RES0081.mp3[1.680,24.960]	HI MY SON DAVE WHOS 5 YEARS OLD WHO COMES TO THE CLINIC QUITE OFTEN HAS UH HIS ASTHMA HAS BEEN REALLY BAD OVER THE PAST FEW DAYS IVE TRIED HIS PUFFERS BUT THEYRE NOT REALLY HELPING MUCH AND IM JUST WORRIED ABOUT HIM
audio/RES0081.mp3[24.960,28.160]	SO WHAT SYMPTOM IS HE EXPERIENCING NOW
audio/RES0081.mp3[28.160,60.840]	UHM SO HES JUST HAVING THIS WHEEZING THAT JUST DOESNT GO AWAY LIKE I CAN ACTUALLY HEAR IT ITS FRIGHTENING HES HAVING LIKE HES HAVING DIFFICULTIES FALLING ASLEEP HES JUST BEEN VERY IRRITABLE UHM HE DIDNT GO TO SCHOOL YESTERDAY ITS JUST YEAH ITS JUST IT SEEMS LIKE ITS JUST HES NOT EATING WELL EITHER
audio/RES0081.mp3[60.840,73.320]	OK SO YEAH ITS BEEN AFFECTING UH SLEEP APPETITE HIS MOOD HAS HE BEEN SHORT OF BREATH
audio/RES0081.mp3[73.320,79.400]	IF HE WAS LIKE HE SAID THAT HE WAS HAVING SOME DIFFICULTY BREATHING YEAH
audio/RES0081.mp3[79.400,91.080]	OK HAS HE UH ABLE TO TALK LIKE IN FULL SENTENCES LIKE HOW IS HE RIGHT NOW
audio/RES0081.mp3[91.080,112.520]	YEAH HES  ABLE TO TALK IN FULL SENTENCES BUT HE JUST GETS A LITTLE BIT BREATHLESS WHEN HES EATING WHICH I THINK IS PROBABLY WHY HES NOT EATING MUCH BUT YEAH HES ABLE TO TALK HES NOT TALKING MUCH EITHER JUST BEEN LIKE JUST BEEN IN A MOOD YOU KNOW HE GETS A LITTLE BIT BREATHLESS WHEN HES CRYING
audio/RES0081.mp3[112.520,117.920]	OK I SEE AND HAS HE HAD A COUGH
audio/RES0081.mp3[117.920,121.720]	YEAH HE DOES HE DOES HAVE A COUGH YEAH
audio/RES0081.mp3[121.720,125.040]	OK AND WHEN DID THE COUGH START
audio/RES0081.mp3[125.040,128.680]	I WANT TO SAY ABOUT TWO DAYS AGO
audio/RES0081.mp3[128.680,132.240]	OK AND HAS HE BEEN BRINGING UP ANY SPUTUM
audio/RES0081.mp3[133.200,136.200]	OR ANY BLOOD
audio/RES0081.mp3[136.200,137.480]	NO NO NO
audio/RES0081.mp3[137.480,142.160]	OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE
audio/RES0081.mp3[142.160,143.960]	ITS BEEN THE SAME
audio/RES0081.mp3[143.960,153.720]	OK UHM AND HAS HE COMPLAINED OF HAVING A SORE THROAT OR PAINFUL EARS
audio/RES0081.mp3[153.720,156.880]	NO HE HASNT COMPLAINED OF THOSE
audio/RES0081.mp3[156.880,168.680]	OK AND HAVE YOU NOTICED ANY EYE REDNESS OR OR ANY DISCHARGE FROM HIS EYES OR NOSE
audio/RES0081.mp3[170.040,180.960]	OK AND HAS HE BEEN HAVING ANY CHEST PAIN
audio/RES0081.mp3[180.960,181.880]	UH NO
audio/RES0081.mp3[181.880,189.360]	OK AND YOU MENTIONED UH A WHEEZE HAVE YOU BEEN ABLE TO HEAR A WHEEZE LIKE THIS BEFORE
audio/RES0081.mp3[189.360,192.960]	ITS USUALLY NOT THIS BAD
audio/RES0081.mp3[192.960,198.280]	OK HAS HE BEEN HAVING ANY ABDOMINAL PAIN
audio/RES0081.mp3[199.400,202.040]	ANY NAUSEA OR VOMITING
audio/RES0081.mp3[203.200,208.280]	HAS HE HAD ANY URINARY PROBLEMS LIKE PAINFUL WHEN HES GOING TO THE BATHROOM
audio/RES0081.mp3[208.280,213.840]	NO HE HASNT COMPLAINED OF ANYTHING LIKE THAT
audio/RES0081.mp3[213.840,220.160]	I SEE OK AND HAS HE HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0081.mp3[221.080,226.280]	OK HAS HE HAD ANY SKIN CHANGES OR RASHES
audio/RES0081.mp3[226.280,237.560]	NO NO I CHECKED FOR THOSE VERY CAREFULLY HE USED TO GET RASHES WHEN HE WAS A CHILD BUT NO HE DOESNT HE DOESNT HAVE ANYTHING RIGHT NOW
audio/RES0081.mp3[237.560,242.400]	ALRIGHT AND HAS HE HAD ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0081.mp3[242.400,259.400]	UH HES JUST BEEN HES JUST BEEN NOT HES NOT BEEN AS ACTIVE AS HE USUALLY IS SO I DONT HE HASNT SAID THAT ANY ANYTHING IN PARTICULAR ABOUT MUSCLE PAINS BUT I DONT KNOW IF HE KNOWS HOW TO YOU KNOW HES JUST BEEN YEAH
audio/RES0081.mp3[259.400,274.440]	OK AND TWO DAYS AGO CAN YOU THINK OF ANY TRIGGERS LIKE WAS THERE ANY EXPOSURE TO DUST OR SMOKE OR MAYBE EVEN PETS THAT COULD HAVE BROUGHT THIS ON
audio/RES0081.mp3[274.440,291.400]	YEAH YOU KNOW IF I THINK ABOUT IT HE DID GO OUTSIDE TO PLAY WITH HIS BROTHER AND I DONT KNOW HE MIGHT HAVE GOT SOMETHING OUT THERE MAYBE
audio/RES0081.mp3[291.400,301.000]	YEAH UH CERTAINLY POSSIBLE AND WAS IT LIKE A PARTICULARLY COLD DAY
audio/RES0081.mp3[301.000,306.440]	YEAH IT WAS A VERY WINDY LITTLE BIT CHILLY TOO
audio/RES0081.mp3[306.440,312.360]	AND WHEN LIKE DURING THE WINTER TIME DOES COLD AIR TRIGGER ATTACKS FOR DAVE
audio/RES0081.mp3[312.360,313.120]	OH YEAH
audio/RES0081.mp3[313.120,317.440]	OK AND HOW ABOUT EXERCISE
audio/RES0081.mp3[317.440,335.360]	NO I DONT THINK WELL THEY WENT OUTSIDE TO PLAY SO I MEAN HE WAS UHM EXERCISE DOES MAKE IT WORSE SOMETIMES SO IT COULD BE THAT TOO
audio/RES0081.mp3[335.360,351.280]	OK AND SO HAS DAVE BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE THE WHEEZING AND THE IRRITABILITY AND WHAT YOUVE DESCRIBED SO FAR
audio/RES0081.mp3[351.280,356.520]	NO I DONT THINK SO THATS I THINK THATS IT
audio/RES0081.mp3[356.520,363.280]	OK YOU TRIED SOME INHALERS HOW OFTEN HAVE YOU BEEN USING THEM
audio/RES0081.mp3[363.280,377.680]	YEAH WE USED HIS BLUE INHALER ABOUT FIVE TIMES YESTERDAY AND ANOTHER TWO OR THREE TIMES EARLIER TODAY
audio/RES0081.mp3[377.680,382.040]	OK AND DO YOU USE A SPACER
audio/RES0081.mp3[382.040,389.680]	UHM NO WE DONT I HAVE TO GO GET THAT AND LEARN HOW TO USE IT
audio/RES0081.mp3[389.680,400.800]	OK FOR SURE WE CAN GO THROUGH UH THE PROPER TECHNIQUE THROUGHOUT THIS VISIT AS WELL JUST TO REVIEW THAT AGAIN
audio/RES0081.mp3[400.800,404.040]	I WOULD LOVE THAT
audio/RES0081.mp3[404.040,413.440]	THATS GREAT AND HAS HE BEEN USING ANY OTHER MEDICATIONS TO HELP OVER THESE LAST COUPLE OF DAYS BESIDES THE INHALERS
audio/RES0081.mp3[413.440,424.440]	NO JUST THE INHALERS WEVE ALSO KEPT IT THE USUAL ONE THE ONE THAT HE TAKES THE OTHER INHALER
audio/RES0081.mp3[424.440,430.120]	OK DOES HE HAVE ONE THAT HE USES ONCE LIKE HE USES DAILY
audio/RES0081.mp3[430.120,434.360]	YEAH YEAH THE ONE THAT HE USES I THINK THE ORANGE ONE
audio/RES0081.mp3[434.360,439.720]	OK SO HE DOES USE A STEROID INHALER
audio/RES0081.mp3[440.720,447.000]	OK AND DOES HE HAVE ANY ALLERGIES
audio/RES0081.mp3[447.000,450.240]	UHM NO HE DOESNT
audio/RES0081.mp3[450.240,456.640]	OK AND DOES HE HAVE ANY MEDICAL CONDITIONS THAT HAVE DIAGNOSED PREVIOUSLY
audio/RES0081.mp3[456.640,460.640]	JUST THE DERMATITIS AND ASTHMA
audio/RES0081.mp3[460.640,468.360]	OK AND WHEN WAS HIS LAST ASTHMA EXACERBATION
audio/RES0081.mp3[468.360,470.640]	LAST YEAR
audio/RES0081.mp3[470.640,474.400]	OK HAS HE EVER NEEDED TO BE HOSPITALIZED FOR ONE
audio/RES0081.mp3[474.400,479.240]	OH NO NO NOTHING LIKE THAT HES A HEALTHY KID
audio/RES0081.mp3[479.240,485.840]	OK THATS GOOD HAS HE HAD ANY SURGERIES BEFORE
audio/RES0081.mp3[486.920,496.160]	OK AND IN REGARDS TO BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR WITH DELIVERY
audio/RES0081.mp3[496.160,508.280]	OH NO EVERYTHING WAS NORMAL HE WAS BORN VIA VAGINAL DELIVERY AND NO COMPLICATIONS HE WAS A HEALTHY BABY
audio/RES0081.mp3[508.280,516.640]	OK AND HAVE YOU HAD ANY CONCERNS WITH GROWTH OR DEVELOPMENTAL MILESTONES
audio/RES0081.mp3[516.640,526.760]	NO NO THE DOC WAS PRETTY HAPPY WHEN HE DID THE REGULAR THE CHECKUP AND YEAH THINGS ARE GOOD WITH HIM HES A GOOD KID
audio/RES0081.mp3[526.760,536.200]	AWESOME OK AND COULD YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION LIKE WHOS THE MAIN CAREGIVER AND WHO HES LIVING WITH
audio/RES0081.mp3[536.200,567.320]	YEAH SO HE LIVES WITH ME HIS DAD AND HIS BROTHER WHO IS 2 YEARS OLDER AND HES NOT GOING TO SCHOOL RIGHT NOW WERE JUST KEEPING HIM AT HOME DUE TO COVID AND TRYING TO DO SOME HOME SCHOOLING IM A HOMEMAKER SO I DO HAVE ENOUGH TIME TO SPEND TIME WITH HIM AND HIS OLDER BROTHER AND YEAH
audio/RES0081.mp3[567.320,572.440]	OK HAS ANYBODY IN THE HOME BEEN SICK EITHER HIS BROTHER YOURSELF OR FATHER
audio/RES0081.mp3[572.440,573.080]	UH NO
audio/RES0081.mp3[573.080,587.480]	OK AND ANYBODY AT WORK OR ANY OTHER PLACES THAT YOU MAYBE TRAVELED TO THAT UH BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0081.mp3[587.480,600.680]	UHM NO I DONT THINK SO I DONT THINK THERE WAS ANYONE THAT WAS SICK
audio/RES0081.mp3[600.680,603.360]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0081.mp3[603.360,607.960]	NO NO WERE JUST STAYING AT HOME
audio/RES0081.mp3[607.960,610.440]	OK AND ARE THERE ANY PETS IN THE HOME
audio/RES0081.mp3[611.960,620.560]	ALRIGHT ANY CARPETS OR LIKE UH CURTAINS OR ANYTHING LIKE THAT COVERING THE WINDOWS
audio/RES0081.mp3[620.560,627.840]	NO WE GOT ALL THOSE REMOVED WHEN HE HAD HIS BIG EXACERBATION LAST YEAR
audio/RES0081.mp3[627.840,634.000]	I SEE OK AND DOES ANYBODY SMOKE IN THE HOME EITHER CIGARETTES OR MARIJUANA
audio/RES0081.mp3[634.000,639.760]	UHM MY HUSBAND SMOKES BUT HE SMOKES OUTSIDE HE NEVER SMOKES IN FRONT OF THE KIDS
audio/RES0081.mp3[639.760,648.600]	OK I SEE AND UH DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS
audio/RES0081.mp3[648.600,657.640]	NO UHH I HAVE SOME I HAVE HIGH BLOOD PRESSURE BUT THATS IT
audio/RES0081.mp3[657.640,662.800]	OK ANY LIKE CONGENITAL DISEASES THAT RUN IN THE FAMILY
audio/RES0081.mp3[667.240,669.560]	OR HOW ABOUT ANY GENETIC DISEASES
audio/RES0081.mp3[670.920,674.640]	CYSTIC FIBROSIS OR ANYTHING LIKE THAT
audio/RES0081.mp3[674.640,675.480]	NO NO NO
audio/RES0081.mp3[675.480,691.720]	OK UHM SO WAS THERE ANY OTHER ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT OR IM MISSING THAT YOUD LIKE TO ADD TODAY
audio/RES0081.mp3[691.720,706.600]	NO IM JUST WORRIED THAT HES GOING TO HAVE A BIG ASTHMA ATTACK LIKE LAST YEAR I JUST ALSO WANT TO MAKE SURE NOTHING ELSE IS GOING ON AND IF HE CAN BE TAKEN CARE OF AND HES JUST HES FEELING AWFUL
audio/RES0081.mp3[706.600,769.040]	FOR SURE YEAH WELL UH CHECK HIS HIS VITAL SIGNS AND DO A PHYSICAL EXAM AND IT DOES SOUND LIKE IT COULD BE AN ASTHMA EXACERBATION AND SO WE CAN TRIAL SOME INHALER MEDICATIONS A LITTLE BIT DIFFERENT THAN WHAT YOU USE AT HOME BUT ALSO USING VENTOLIN AS WELL AND WELL ASSESS THE NEED FOR POTENTIAL UH ANTIBIOTICS AND ALSO STEROID IF NECESSARY AND IF HIS BREATHING GETS WORSE OR YOURE STARTING TO HEAR THAT THE WHEEZING IS GETTING WORSE OR HIS WORK OF BREATHING IS BECOMING MORE INTENSE THEN CERTAINLY WELL NEED TO ADD ON SOME OXYGEN AND POSSIBLY SOME OTHER THERAPIES
audio/RES0081.mp3[769.040,779.520]	THANK YOU SO MUCH DOC
audio/RES0081.mp3[779.520,781.880]	ALRIGHT THANK YOU
audio/RES0067.mp3[0.000,2.840]	SO WHAT BRINGS YOU HERE TODAY
audio/RES0067.mp3[2.840,42.840]	YEAH I HAVE MY 2 YEAR OLD DAUGHTER HERE WITH ME I DONT KNOW WHATS HAPPENING WITH HER BUT SHE SEEMS TO BE GETTING REALLY SICK SO ILL GIVE YOU THAT KIND OF TIMELINE SO TWO DAYS AGO SHE WAS FEELING HOT AND HER FEVER HASNT BROKEN WEVE BEEN GIVING HER TYLENOL BUT SHE STILL SEEMS TO HAVE A FEVER THE LAST TIME I CHECKED HER TEMPERATURE WAS 385 AND SHE SEEMS TO HAVE ISSUES SWALLOWING FOOD SHES DROOLING AND SHE SEEMS SHORT OF BREATH
audio/RES0067.mp3[42.840,47.800]	OK AND WHEN DID SHE START GETTING SHORT OF BREATH
audio/RES0067.mp3[47.800,51.440]	THAT STARTED YESTERDAY
audio/RES0067.mp3[51.440,56.480]	HAS HER FEVER BEEN GETTING WORSE OR HAS IT STAYED AROUND THE SAME
audio/RES0067.mp3[56.480,65.040]	SO I JUST CHECKED THE FIRST DAY IT WAS LIKE 38 385
audio/RES0067.mp3[65.040,70.240]	OK AND WHEN DID THE TROUBLE SWALLOWING START
audio/RES0067.mp3[70.240,73.760]	THAT STARTED YESTERDAY AS WELL
audio/RES0067.mp3[73.760,77.600]	OK AND HAS IT BEEN GETTING WORSE AT ALL
audio/RES0067.mp3[77.600,82.120]	I THINK SO NOW SHES BARELY EVEN DRINKING FLUIDS
audio/RES0067.mp3[82.120,98.160]	OK SO ITS BOTH SOLIDS AND FLUIDS OK HAVE YOU NOTICED ANY SWELLING IN HER NECK AREA OR REDNESS OR SWELLING IN HER THROAT
audio/RES0067.mp3[98.160,101.480]	YEAH IVE NOTICED SOME OF THAT
audio/RES0067.mp3[101.480,105.720]	OK YOU SEE A LOT OF REDNESS IN THERE
audio/RES0067.mp3[105.720,110.440]	I SEE YEAH I SEE QUITE A BIT OF REDNESS IN THERE
audio/RES0067.mp3[110.440,114.760]	AND HAS SHE BEEN DROOLING AT ALL
audio/RES0067.mp3[114.760,120.240]	YEAH A LITTLE BIT TODAY
audio/RES0067.mp3[120.240,122.800]	OK ALRIGHT ANY COUGHING
audio/RES0067.mp3[122.800,126.240]	NOT HAT I NOTICED
audio/RES0067.mp3[126.240,139.240]	NO COUGHING OK AND DO YOU NOTICE THAT SHES INCREASINGLY FATIGUED OR JUST NOT HERSELF OR IS SHE IRRITABLE
audio/RES0067.mp3[139.240,143.720]	YEAH SHES VERY IRRITABLE
audio/RES0067.mp3[143.720,149.680]	OK DO YOU NOTICE ANY KIND OF PALENESS OR BLUENESS IN HER SKIN ANYTHING LIKE THAT
audio/RES0067.mp3[149.680,155.360]	SHES NOT BLUE SHES LOOKING A LITTLE PALE THOUGH
audio/RES0067.mp3[155.360,162.360]	OK AND SORRY WHEN DID THE SHORTNESS OF BREATH START IS IT GETTING WORSE AT ALL
audio/RES0067.mp3[162.360,169.680]	SHORTNESS OF BREATH STARTED YESTERDAY AS WELL MORESO TODAY WHICH IS WHY I BROUGHT HER IN
audio/RES0067.mp3[169.680,177.000]	OK ANY OTHER SYMPTOMS LIKE NAUSEA OR VOMITING OR DIARRHEA OR CONSTIPATION
audio/RES0067.mp3[177.000,180.520]	UM NO NOTHING LIKE THAT
audio/RES0067.mp3[180.520,187.240]	OK AND HOWS HER APPETITE AND SLEEP
audio/RES0067.mp3[187.240,198.560]	ITS BEEN ITS BEEN NOT GREAT SHES NOT EATING WELL I GUESS BECAUSE SHES IN A LO OF PAIN AND SHE DIDNT SLEEP WELL FOR THE PAST TWO NIGHTS EITHER
audio/RES0067.mp3[198.560,205.520]	OK UHM HAS SHE HAD ANY RECENT INFECTIONS AT ALL LIKE A COLD OR ANYTHING LIKE THAT
audio/RES0067.mp3[205.520,211.080]	SHE DID HAVE A COUGH 2 WEEKS AGO YEAH
audio/RES0067.mp3[211.080,218.840]	OK AND DID IT JUST GO AWAY ON ITS OWN OR DID SHE NEED ANY ANTIBIOTICS OR ANY OTHER MEDICATIONS
audio/RES0067.mp3[218.840,227.960]	I THINK NO SHE DIDNT NEED ANY ANTIBIOTICS IT KIND OF WENT AWAY ON ITS OWN
audio/RES0067.mp3[227.960,232.840]	OK ANY SICK CONTACTS WITHIN THE LAST WEEK OR TWO WEEKS
audio/RES0067.mp3[232.840,250.080]	I MEAN SHE GOES TO DAYCARE SO SHE MIGHT HAVE PICKED SOMETHING UP FROM THERE YEAH LAST I CHECKED NO ONE AT DAYCARE WAS SICK LIKE RIGHT NOW BUT THREE WEEKS AGO THERE WAS SOMEONE WHO WAS SICK
audio/RES0067.mp3[250.080,253.440]	OK ANY PAST MEDICAL HISTORY
audio/RES0067.mp3[253.440,257.800]	UM NO SHES BEEN PRETTY HEALTHY OTHERWIS
audio/RES0067.mp3[257.800,265.040]	ANY ISSUES DURING PREGNANCY OR AFTER BIRTH AT ALL
audio/RES0067.mp3[265.520,270.600]	ARE HER IMMUNIZATIONS ARE UP TO DATE
audio/RES0067.mp3[270.600,275.160]	UM YES SHE DIDNT GET THE H FLU VACCINE THOUGH
audio/RES0067.mp3[275.160,280.840]	OK OK ANY HOSPITALIZATIONS OR ANYTHING LIKE THAT IN THE PAST
audio/RES0067.mp3[280.840,282.720]	UM NO
audio/RES0067.mp3[282.720,286.880]	OK AND ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0067.mp3[286.880,288.720]	UM NO
audio/RES0067.mp3[288.720,292.520]	AND CURRENTLY WHO DOES SHE LIVE WITH AT HOME
audio/RES0067.mp3[292.520,301.920]	IM SHE LIVES WITH MYSELF AS WELL AS HER OLDER BROTHER
audio/RES0067.mp3[301.920,305.640]	OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS THAT I HAVE
audio/RES0067.mp3[305.640,310.960]	DO YOU THINK THIS IS LIKE AN URGENT MATTER
audio/RES0067.mp3[310.960,383.280]	BECAUSE SHE HAS NOT BEEN VACCINATED WITH THE HFLU VACCINE AND SOME OF THE SYMPTOMS THAT SHES DISPLAYING LIKE THE DROOLING AND TROUBLE SWALLOWING AND NOW ESPECIALLY THE SHORTNESS OF BREATH ARE VERY CONCERNING I REALLY THINK WE SHOULD GO TO THE EMERGENCY DEPARTMENT ILL GIVE THEM A CALL TO LE THEM KNOW THAT YOURE COMING YEAH AND WHAT THEY WILL MOST LIKELY DO THERE IS GET A TEST DONE TO SEE IF SHE HAS H FLU AND ALSO THEY MIGHT DO PERHAPS LIKE A COVISWAB AS WELL THEY MIGHT GET AN X RAY OF HER NECK AS WELL TO SEE IT SO WHAT I THINK MIGHT BE GOING ON IS WITH H FLU YOU CAN GET SWELLING OF YOUR EPIGLOTTIS AND IT CAN KIND OF OBSTRUCT YOUR THROAT ITS VERY URGENT MATTER SO THATS WHY WE WILL MAKE SURE YOU GET TO THE ER AND UH YOU KNOW WELL GO FROM THERE DOES THAT SOUND I KNOW IT MAY BE VERY WORRYING RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL
audio/RES0067.mp3[383.280,387.800]	YEAH DO YOU KNOW HOW LONG WILL SHE HAVE TO BE IN THE HOSPITAL
audio/RES0067.mp3[387.800,425.120]	SO RIGHT NOW WE JUST NEED TO MAKE SURE THAT SHES STABLE LIKE ALL HER VITALS YOU KNOW WHEN SHE GETS TO THE ER THEY CAN GIVE HER THE APPROPRIATE ANTIBIOTICS AS WELL AND BASED ON THAT WE NEED TO MAKE SURE HER BREATHING GET STABILIZED SO SHE MIGHT BE IN THE ER FOR ONE DAY IF THEY THINK SHE NEEDS TO BE ON IV ANTIBIOTICS IN THE HOSPITAL SHE MIGHT BE IN THE HOSPITAL FOR A FEW MORE DAYS OR EVEN A WEEK SO ITS REALLY HARD TO SAY RIGHT NOW BUT OUR PRIORITY RIGHT NOW IS TO MAKE SURE SHES STABILIZED IN THE ER
audio/RES0067.mp3[425.120,428.560]	OK OK YEAH THAT SOUNDS GOOD
audio/RES0067.mp3[428.560,437.480]	SO ILL GIVE THEM A CALL RIGHT NOW AND UH YOU CAN HEAD OVER TO THE ER OR IF YOU NEED A RIDE WE CAN ARRANGE TO DO THAT FOR YOU TOO
audio/RES0067.mp3[437.480,438.880]	OK GREAT THAT SOUNDS GREAT
audio/RES0067.mp3[438.880,443.040]	THANK YOU
audio/RES0067.mp3[443.040,448.720]	YOU TOO
audio/RES0160.mp3[0.000,2.920]	WHAT CAN I DO FOR YOU TODAY
audio/RES0160.mp3[2.920,20.280]	HI YES THANK YOU FOR SEEING ME I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING FOR THE LAST WEEK THIS COUGH AND RECENTLY ALSO STARTED NOTICING THAT IVE BEEN HAVING SOME DIARRHEA AS WELL
audio/RES0160.mp3[20.280,22.560]	HM WHEN DID THE COUGH START
audio/RES0160.mp3[22.560,38.120]	THE COUGH STARTED AROUND 5 DAYS AGO AND ITS IT GOT WORSE BUT NOW I THINK ITS A LITTLE BIT BETTER
audio/RES0160.mp3[38.120,39.200]	WHAT ABOUT THE DIARRHEA
audio/RES0160.mp3[39.200,50.160]	THE DIARRHEA STARTED JUST TWO DAYS AGO AND IM HAVING TO GO LIKE ALMOST 8 TO 10 TIMES IN THE LAST TWO DAYS
audio/RES0160.mp3[50.160,60.480]	AND WHAT IS WHAT DOES YOUR STOOL LOOK LIKE IS IT COMPLETELY WATERY
audio/RES0160.mp3[60.480,63.560]	YEAH ITS MOSTLY WATERY
audio/RES0160.mp3[63.560,66.480]	AND WHAT COLOUR IS IT
audio/RES0160.mp3[66.480,73.080]	JUST NORMAL COLOUR NO ITS NOT DARK OR ANYTHING LIKE THAT
audio/RES0160.mp3[73.080,77.680]	OK ANY BLOOD THAT YOUVE NOTICED ANYTHING RED
audio/RES0160.mp3[77.680,78.840]	NO BLOOD
audio/RES0160.mp3[78.840,90.800]	AND YOUVE HAD THIS COUGH BUT YOUR COUGH IS GETTING BETTER WHATS THE COUGH LIKE IS IT A DRY COUGH OR WET COUGH
audio/RES0160.mp3[90.800,99.040]	ITS UH ITS MORE OF A DRY COUGH
audio/RES0160.mp3[99.040,102.720]	HAVE YOU COUGHED UP ANYTHING AT ALL LIKE BLOOD OR ANY ANY MUCUS
audio/RES0160.mp3[102.720,108.000]	NO NO I HAVENT COUGHED UP ANYTHING
audio/RES0160.mp3[108.000,129.000]	OK AND OTHER THAN THE COUGH HAVE YOU HAD ANY OTHER LIKE FLU LIKE SYMPTOMS HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE SORE THROAT ANY OF THOSE SYMPTOMS
audio/RES0160.mp3[129.000,138.320]	NO NONE OF THOSE BUT I I HAVE ALSO BEEN HAVING LIKE A LITTLE BIT OF A HEADACHE AS WELL IN THE LAST FEW DAYS
audio/RES0160.mp3[138.320,141.360]	WHERE IS WHERE IS YOUR HEADACHE
audio/RES0160.mp3[141.360,146.320]	JUST IN THE LIKE ON MY FOREHEAD ON BOTH SIDES
audio/RES0160.mp3[146.320,147.840]	WHAT DOES IT FEEL LIKE
audio/RES0160.mp3[147.840,150.640]	ACHING SENSATION
audio/RES0160.mp3[150.640,156.360]	AND HOW BAD IS YOUR HEADACHE FROM 1 TO 10 WITH 10 BEING THE WORST HEADACHE EVER
audio/RES0160.mp3[156.360,161.880]	RIGHT NOW PROBABLY A 5 BUT IT WAS PROBABLY LIKE A 7 YESTERDAY
audio/RES0160.mp3[161.880,166.040]	SO DO YOU FEEL LIKE YOUR HEADACHES GETTING BETTER
audio/RES0160.mp3[166.040,172.880]	RIGHT NOW LIKE TODAY I TOOK TYLENOL SO I DONT KNOW IF ITS JUST BETTER BECAUSE OF THAT
audio/RES0160.mp3[172.880,177.200]	I SEE AND HAVE YOU TAKEN ANY OTHER MEDICATIONS TO HELP WITH YOUR SYMPTOMS
audio/RES0160.mp3[184.320,189.400]	OK UHM HAVE YOU HAD A FEVER OR CHILLS
audio/RES0160.mp3[189.400,193.400]	UHM I KNOW I HAVENT FELT ANY FEVER CHILLS
audio/RES0160.mp3[193.400,199.640]	OK AND HAVE YOU HAD ANY CHEST PAIN OR ANY DIFFICULTIES BREATHING
audio/RES0160.mp3[205.000,209.080]	OK UHM HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0160.mp3[209.080,211.800]	UH NO NOTHING LIKE THAT
audio/RES0160.mp3[211.800,215.160]	OK ANY PAIN IN YOUR BELLY
audio/RES0160.mp3[215.160,225.360]	UM JUST LIKE A LITTLE DISCOMFORT WITH GOING TO THE WASHROOM SO MUCH
audio/RES0160.mp3[225.360,229.880]	AND ANY MUSCLE ACHES IN YOUR BODY
audio/RES0160.mp3[231.320,233.800]	OK ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET
audio/RES0160.mp3[233.800,238.520]	UH NO NOTHING LIKE THAT
audio/RES0160.mp3[238.520,245.400]	ANY CHANGE IN YOUR SENSE OF SMELL
audio/RES0160.mp3[245.400,257.400]	UHM MAYBE A LITTLE BIT I HAVENT REALLY YEAH I WOULD SAY IN THE LAST FEW DAYS MAYBE A LITTLE LIKE IVE BEEN ABLE TO SMELL LESS
audio/RES0160.mp3[257.400,260.600]	ANY CHANGE IN YOUR SENSE OF TASTE
audio/RES0160.mp3[260.600,262.440]	UH NO
audio/RES0160.mp3[262.440,270.400]	OK HAVE YOU HAVE YOU BEEN IN CONTACT WITH SOMEONE WHO YOU THINK COULD POTENTIALLY BE SICK
audio/RES0160.mp3[270.400,285.000]	UH NO NOT THAT I KNOW OF I DO I DO GO TO WORK IN LIKE IN PERSON UNFORTUNATELY IM I CANT WORK FROM HOME BUT IVE BEEN NOTICING ANYONE SICK AROUND ME THOUGH
audio/RES0160.mp3[285.000,287.560]	AND WHAT DO YOU DO FOR WORK
audio/RES0160.mp3[287.560,291.680]	SO I WORK AT LIKE A CAR SHOP
audio/RES0160.mp3[291.680,296.360]	OK AND DO YOU WEAR A MASK AND MAINTAIN SOCIAL DISTANCING
audio/RES0160.mp3[296.360,322.720]	YEAH MOST OF THE TIMES I WOULD SAY WERE PRETTY STRICT STRICT WITH THAT UHM SOMETIMES WHEN WERE IN OUR OFFICE I TAKE OFF MY MASK BUT USUALLY WHEN WERE SEEING OTHER PEOPLE OR WITHIN CLOSE PROXIMITY WE KEEP THE MASKS ON
audio/RES0160.mp3[322.720,327.720]	OK AND UH DO YOU I I GUESS WHO DO YOU LIVE WITH AT HOME
audio/RES0160.mp3[327.720,329.520]	I JUST LIVE WITH MY WIFE
audio/RES0160.mp3[329.520,335.520]	DO YOU THINK SHE MIGHT HAVE HAD ANY EXPOSURES
audio/RES0160.mp3[335.520,347.200]	NO SHES BEEN FINE AND SHE DOESNT HAVE ANY SYMPTOMS AND SHES SHES A SCHOOL TEACHER RIGHT NOW THAT SHE IS WORKING FROM CANADA
audio/RES0160.mp3[347.200,354.640]	OK AND DO YOU SMOKE AT ALL OR HAVE YOU SMOKED IN THE PAST
audio/RES0160.mp3[354.640,362.800]	OH YEAH I DO OR I USED TO SMOKE IN MY 20S AND 30S BUT I QUIT SMOKING
audio/RES0160.mp3[362.800,367.000]	HOW MUCH DID YOU SMOKE BACK THEN
audio/RES0160.mp3[367.000,374.280]	PROBABLY HALF A PACK A DAY
audio/RES0160.mp3[374.280,378.200]	AND FOR HOW MANY YEARS
audio/RES0160.mp3[378.200,380.640]	ONLY LIKE 15 15 YEARS
audio/RES0160.mp3[380.640,387.200]	OK DO YOU DO YOU SMOKE MARIJUANA OR HAVE YOU SMOKED IN THE PAST
audio/RES0160.mp3[387.200,391.640]	UH IVE TRIED IT A COUPLE TIMES I DONT REALLY LIKE IT SO NO
audio/RES0160.mp3[391.640,394.280]	ANY RECREATIONAL DRUGS
audio/RES0160.mp3[397.320,400.680]	UH I PROBABLY HAVE A BEER EVERY DAY
audio/RES0160.mp3[400.680,406.560]	DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0160.mp3[406.560,414.760]	UHM I I TAKE UH MEDICATIONS FOR BLOOD PRESSURE AND HIGH CHOLESTEROL
audio/RES0160.mp3[414.760,417.240]	WHAT DO YOU TAKE
audio/RES0160.mp3[417.240,436.080]	UHM I TAKE THIS MEDICATION CALLED I THINK ITS ITS LIKE A LIPITOR AND THEN I TAKE UH RAMIPRIL FOR THE BLOOD PRESSURE
audio/RES0160.mp3[436.080,444.040]	ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY MEDICATION ALLERGIES TO MEDICATIONS
audio/RES0160.mp3[444.040,445.720]	NOT THAT I KNOW OF NO
audio/RES0160.mp3[445.720,452.080]	ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0160.mp3[452.080,477.720]	UHM SO I THINK UH DIABETES AND FOR MY FAMILY BUT I I I DONT HAVE IT SO AND I THINK THATS PRETTY MUCH ABOUT IT ON MY DADS SIDE ON MY MOMS SIDE AND THERE WAS SOMEONE LIKE MY AUNT DID HAVE OVARIAN CANCER
audio/RES0160.mp3[477.720,486.720]	OK AND HAVE YOU I GUESS HAVE YOU I FORGOT TO ASK EARLIER HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS
audio/RES0160.mp3[486.720,500.600]	UHM I HAD A SURGERY TO REMOVE MY APPENDIX IN MY 20S AND SINCE THEN NO NO SURGERIES OR HOSPITALIZATIONS
audio/RES0160.mp3[500.600,515.440]	OK  ALRIGHT AND I GUESS THATS ALL THE QUESTIONS I HAVE FOR YOU YOU HAVENT HAD ANY DIFFICULTIES BREATHING RIGHT
audio/RES0160.mp3[516.440,532.040]	NO OK DO YOU OK AND YOUVE HAD DIARRHEA FOR TWO DAYS HOWS YOUR APPETITE AND HAVE YOU BEEN EATING AND DRINKING OK
audio/RES0160.mp3[532.040,542.880]	UHM APPETITES PRETTY OK LIKE I FEEL LIKE IVE BEEN MORE HUNGRY WITH THE CARRY I FEEL LIKE I NEED TO EAT MORE
audio/RES0160.mp3[542.880,607.560]	UHM ITS ALSO IMPORTANT WITH THE DIARRHEA TO DRINK LOTS OF FLUIDS AND TO MAKE SURE THAT YOURE NOT LOSING IMPORTANT MINERALS AND YOURE NOT LOSING LIKE SODIUM OR POTASSIUM IN DIARRHEA AND OTHER THINGS LIKE CALCIUM THAT COULD CREATE PROBLEMS SO CONTINUE TO EAT WELL AND CONTINUE TO DRINK LOTS OF WATER I GUESS SO WHAT WELL DO IS WELL DO A COVISWAB JUST TO JUST TO CHECK IF YOU HAVE COVIOR NOT WELL ALSO DO A FEW LABS TO SEE HOW YOUR ELECTROLYTES ARE DO YOUR VITALS TO SEE IF YOU HAVE FEVER MEASURE YOUR HEART RATE AND DO A PHYSICAL EXAM AND THEN GO FROM THERE AND ILL OFF  ILL TALK TO MY ATTENDING AS WELL AND WELL COME BACK AND DISCUSS THE MANAGEMENT PLAN WITH YOU
audio/RES0160.mp3[607.560,613.560]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0136.mp3[0.000,3.840]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0136.mp3[3.840,20.960]	I JUST STARTED HAVING UM DIFFICULTY WITH BREATHING UM STARTING YESTERDAY AND I ALSO DEVELOPED THIS COUGH UM YESTERDAY MORNING
audio/RES0136.mp3[20.960,24.800]	OKAY SO DID DID THE COUGH COME FIRST OR THE BREATHING DIFFICULTY BREATHING
audio/RES0136.mp3[24.800,31.440]	KIND OF AROUND THE SAME TIME WHEN I WOKE UP IN THE MORNING
audio/RES0136.mp3[31.440,38.240]	AND DID IT WAKE YOU UP FROM SLEEP AT ALL LIKE DID YOU WAKE UP TRYING TO CATCH A BREATH OR ANYTHING
audio/RES0136.mp3[40.320,59.840]	OKAY SO IT HAPPENED AFTER YOU HAD WOKEN UP AND GOTTEN OUT OF BED AND UM SO CAN YOU DESCRIBE YOUR COUGH A LITTLE BIT IS IT WET OR IS IT DRY
audio/RES0136.mp3[59.840,68.240]	UM ITS JUST UM ITS JUST A DRY COUGH
audio/RES0136.mp3[68.240,79.160]	OKAY YOURE NOT BRINGING UP ANY SPUTUM OR ANY OTHER MATERIAL
audio/RES0136.mp3[80.640,83.320]	AND UH ARE YOU COUGHING UP ANY BLOOD BY ANY CHANCE
audio/RES0136.mp3[85.480,95.120]	FOR THE SHORTNESS OF BREATH CAN YOU DESCRIBE IT A LITTLE BIT IS IT ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU BREATHING FASTER CAN YOU DESCRIBE IT
audio/RES0136.mp3[95.120,119.080]	YEAH I JUST FEEL LIKE UM IM GETTING OUT OF BREATH REALLY EASILY JUST LIKE UM WALKING EVEN WALKING TO THE KITCHEN FROM MY BEDROOM IM GETTING SHORT OF BREATH AND IT IT JUST STARTED YESTERDAY MORNING ITS SO ODD
audio/RES0136.mp3[119.080,125.080]	OKAY AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE TO YOU
audio/RES0136.mp3[126.000,138.360]	NO WERE YOU DOING ANYTHING BEFORE IT STARTED LIKE WERE YOU DOING ANY ANY ACTIVITIES OR ANY ARE WERE YOU DOING ANY EXERTIONS AT ALL
audio/RES0136.mp3[138.360,176.880]	NO I WAS JUST UH I I SLEPT IN I SLEPT IN A BIT MORE THAN USUAL UM AND I WAS FEELING QUITE UM DROWSY MY MY DOC INCREASED MY PAIN MEDS AND I TOOK THE FIRST DOSE UM YESTERDAY NIGHT UM I ACTUALLY TOOK AN EXTRA PILL UM UM OF THE MORPHINE UM AND YEAH I DONT KNOW MAYBE IT ITS AN ALLERGIC REACTION TO THE MORPHINE
audio/RES0136.mp3[176.880,180.960]	HAVE YOU HAD ANY ALLERGIC REACTIONS BEFORE
audio/RES0136.mp3[182.840,192.320]	AND SO YOU TOOK AN EXTRA MORPHINE LAST NIGHT AND THEN WENT TO SLEEP UM DID YOU WAKE UP COUGHING OR CATCHING YOUR BREATH OR ANYTHING LIKE THAT
audio/RES0136.mp3[192.320,217.040]	NO I ACTUALLY I ENDED UP WAKING UP AT 100 PM OR 200 PM I WAS JUST VERY DROWSY AND UH I THINK I I THINK I MIGHT HAVE TAKEN A BIT TOO MUCH I DONT KNOW THE THE ARTHRITIS PAIN WAS JUST KILLING ME LAST NIGHT AND I THOUGHT TAKING AN EXTRA PILL WOULD HELP
audio/RES0136.mp3[217.040,222.000]	AND IS THIS ARE YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO
audio/RES0136.mp3[222.000,232.840]	THEYRE CONSTANT FOR THE PAST TWO DAYS IVE ALSO NOTICED THAT I HAVE MY BREATH JUST SMELLS REALLY BAD I DONT KNOW WHY
audio/RES0136.mp3[232.840,237.880]	IS THAT SOMETHING YOU NOTICED RECENTLY OR IN THE LAST TWO DAYS
audio/RES0136.mp3[237.880,243.920]	YEAH SINCE YESTERDAY ACTUALLY NOT EVEN YESTERDAY THIS MORNING I WOULD SAY
audio/RES0136.mp3[243.920,257.120]	THIS MORNING OKAY UM AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE LIKE DOES LYING DOWN MAKE YOUR SYMPTOMS WORSE
audio/RES0136.mp3[257.120,259.520]	NOT REALLY
audio/RES0136.mp3[259.520,263.360]	NO HOW ABOUT EXERTING YOURSELF DOES IT MAKE YOUR SYMPTOMS WORSE
audio/RES0136.mp3[264.560,270.920]	OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY FEVERS OR CHILLS
audio/RES0136.mp3[270.920,279.360]	I CHECKED MY FEVER LAST NIGHT IT WAS UM 372
audio/RES0136.mp3[279.360,292.200]	OKAY SO YOU DIDNT HAVE A FEVER LAST NIGHT OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE DIZZINESS UH ANY FAINTING SPELLS
audio/RES0136.mp3[293.320,300.640]	OKAY HOW ABOUT SORE THROAT HEADACHES MUSCLE PAIN ANYTHING LIKE THAT
audio/RES0136.mp3[302.080,305.080]	OKAY ANY CHEST PAIN
audio/RES0136.mp3[305.080,308.920]	NO I DONT
audio/RES0136.mp3[308.920,313.640]	AND UM HAVE YOU BEEN TRAVELING AT ALL RECENTLY
audio/RES0136.mp3[314.360,325.680]	ANY CONTACT WITH ANYONE WHO HAS BEEN SICK RECENTLY
audio/RES0136.mp3[326.360,329.560]	NO UH ANY NAUSEA OR VOMITING
audio/RES0136.mp3[331.360,333.920]	OKAY ANY NIGHT SWEATS
audio/RES0136.mp3[336.000,340.000]	OKAY ANY SWELLING IN YOUR LEGS OR ARMS HANDS
audio/RES0136.mp3[340.000,345.560]	NO NO I HAVENT NOTICED ANY OF THAT
audio/RES0136.mp3[345.560,350.120]	ANY FATIGUE JUST FEELING MORE TIRED TODAY
audio/RES0136.mp3[350.120,355.240]	MAYBE A LITTLE BIT
audio/RES0136.mp3[355.240,363.000]	OKAY HAVE YOU BEEN HAVING ANY COLDLIKE SYMPTOMS BEFORE THE TWO DAYS LIKE IN THE LAST WEEK LIKE RUNNY NOSE SORE THROAT
audio/RES0136.mp3[363.000,369.520]	NO I WAS LIKE I WAS ABSOLUTELY FINE
audio/RES0136.mp3[369.520,376.720]	OKAY UM HOW ABOUT DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA
audio/RES0136.mp3[377.120,381.400]	NO ANY TROUBLE WITH URINATING
audio/RES0136.mp3[381.880,385.160]	OKAY ANY SLEEP OR APPETITE ISSUES
audio/RES0136.mp3[387.480,394.960]	OKAY HAVE YOU LOST UH SIGNIFICANT WEIGHT IN THE LAST FEW MONTHS
audio/RES0136.mp3[395.520,403.880]	OKAY UM HAVE YOU BEEN EXPOSED TO ANYONE WHO MAY HAVE HAD TUBERCULOSIS
audio/RES0136.mp3[403.880,410.840]	I DONT THINK SO
audio/RES0136.mp3[410.840,414.280]	NO AND UH DO YOU HAVE ANY PETS OR ANIMALS AT HOME
audio/RES0136.mp3[414.280,417.600]	UM I HAVE A DOG
audio/RES0136.mp3[417.600,422.840]	HAVE YOU EVER HAD ANY ALLERGIES TO ANY PETS OR ANIMALS
audio/RES0136.mp3[423.520,428.600]	ANY EXPOSURE TO FUMES OR DUST UH WITH WHERE YOU LIVE
audio/RES0136.mp3[430.440,434.280]	OKAY AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY DIAGNOSES
audio/RES0136.mp3[434.280,439.960]	I UM I JUST HAVE THE OSTEOARTHRITIS
audio/RES0136.mp3[439.960,444.320]	OSTEOARTHRITIS OKAY IS THAT WHY YOURE TAKING THE
audio/RES0136.mp3[444.320,447.280]	YEAH YEAH
audio/RES0136.mp3[447.280,450.320]	AND ARE YOU TAKING ANY OTHER MEDICATIONS
audio/RES0136.mp3[450.320,452.960]	I TAKE UH ADVIL
audio/RES0136.mp3[452.960,456.440]	ADVIL OKAY ANY ALLERGIES THAT YOU KNOW OF
audio/RES0136.mp3[456.440,460.920]	UM NO
audio/RES0136.mp3[460.920,465.360]	OKAY ANY PREVIOUS HOSPITALIZATIONS
audio/RES0136.mp3[465.360,472.160]	UM I HAD MY WISDOM TEETH REMOVED BUT NO I WASNT I WASNT HOSPITALIZED
audio/RES0136.mp3[472.160,475.440]	OKAY IS THAT THE ONLY SURGERY THAT YOUVE HAD OR HAVE YOU HAD ANYTHING ELSE
audio/RES0136.mp3[475.440,477.280]	YEAH NO THATS IT
audio/RES0136.mp3[477.280,479.680]	ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0136.mp3[479.680,482.840]	UH NO
audio/RES0136.mp3[482.840,483.920]	ANY CANCERS
audio/RES0136.mp3[483.920,493.680]	UM BREAST CANCER MY GRANDMA HAD IT
audio/RES0136.mp3[493.680,500.800]	UM ANY UH AND CURRENTLY WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH SOMEONE
audio/RES0136.mp3[500.800,503.840]	UM I LIVE WITH MY HUSBAND
audio/RES0136.mp3[504.760,506.680]	AND MY DOG
audio/RES0136.mp3[506.680,515.440]	AND YOUR DOG OKAY AND DID YOUR HUSBAND TELL YOU ANYTHING LIKE THAT HAS CHANGED IN YOUR BEHAVIOUR AT ALL UH RECENTLY
audio/RES0136.mp3[515.440,523.400]	HE JUST SAID THAT I WAS I WAS JUST EXTREMELY DROWSY YESTERDAY AND I WAS VERY HARD TO WAKE UP
audio/RES0136.mp3[523.400,527.080]	OKAY OKAY UM DO YOU SMOKE CURRENTLY
audio/RES0136.mp3[527.680,534.520]	HAVE YOU SMOKED IN THE PAST
audio/RES0136.mp3[534.920,538.800]	OKAY AND DO YOU WORK CURRENTLY
audio/RES0136.mp3[538.800,545.760]	UH I I DO
audio/RES0136.mp3[545.760,549.600]	AND UH HOW WOULD YOU SORRY DIS YOU SAY YOU DONT WORK OR DO YOU WORK
audio/RES0136.mp3[549.600,557.840]	IM A BANKER BUT IM WORKING VIRTUALLY UH REMOTELY RIGHT NOW
audio/RES0136.mp3[557.840,566.480]	OKAY AND UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0136.mp3[566.480,578.120]	I UM NO WELL SOMETIMES ILL USE MARIJUANA FOR THE PAIN BUT I HAVENT BEEN DOING THAT RECENTLY FOR THE PAST TWO MONTHS
audio/RES0136.mp3[578.120,582.280]	OKAY UM HOW HOW OFTEN WOULD YOU SAY YOU USE IT
audio/RES0136.mp3[582.280,591.040]	ONLY WHEN THE PAIN GETS UH TOO BAD SO MAYBE UM THREE OR FOUR TIMES A MONTH
audio/RES0136.mp3[591.040,601.600]	OKAY AND DO YOU USE ANY ALCOHOL
audio/RES0136.mp3[601.600,613.560]	UM YEAH ILL UH ILL DRINK ONCE A WEEK TWO GLASSES TWO OR THREE GLASSES OF WINE
audio/RES0136.mp3[613.560,620.040]	UM ANY ALRIGHT SO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS FOR ME
audio/RES0136.mp3[620.040,624.480]	UM NO
audio/RES0136.mp3[624.480,682.720]	OKAY SO YEAH DEFINITELY WITH THE COUGHING AND SHORTNESS OF BREATH WE WILL DEFINITELY GET A COVISWAB TEST DONE UM THAT SHOULD COME BACK IN THE NEXT 24 TO 48 HOURS AND THEN PUBLIC HEALTH WILL CONTACT YOU UM YEAH BASED ON WHAT YOURE TELLING ME SO FAR WE WILL DEFINITELY DO A PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION AND EVERYTHING DONE BUT I ALSO THINK SINCE YOU WERE VERY DROWSY AND WERE HAD FALLEN ASLEEP AND WERE REALLY DIFFICULT TO WAKE UP SOMETIMES YOU CAN GET WHATS CALLED ASPIRATION PNEUMONIA UM AND THATS THAT CAN ALSO BE A POSSIBILITY AND WHAT WE WILL DO IS GET A CHEST XRAY GET SOME BLOOD WORK DONE AS WELL TODAY UM NOW WE MAY REQUIRE ANTIBIOTICS AND IF YOUR VITALS UNSTABLE WE MIGHT ACTUALLY ADMIT YOU AS WELL UM DOES THAT SOUND GOOD
audio/RES0136.mp3[683.360,691.600]	ALRIGHT SO YEAH WELL GET THOSE TESTS DONE AND WELL BE THERE WITH YOU SHORTLY WELL ALSO GET LIKE AN EKG DONE AS WELL
audio/RES0136.mp3[692.200,694.200]	ALRIGHT OKAY
audio/RES0102.mp3[0.000,2.400]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0102.mp3[2.400,17.520]	I IVE HAD THIS COUGH THATS BEEN ONGOING AND AND GETTING WORSE AND AND NOW IVE BEEN HAVING THIS LIKE SHARP PAIN IN MY IN MY CHEST
audio/RES0102.mp3[17.520,21.760]	OK AND WHEN DID THE COUGH FIRST START
audio/RES0102.mp3[21.760,27.520]	SO YEAH LIKE THE COUGH STARTED UH STARTED MAYBE A COUPLE OF WEEKS AGO
audio/RES0102.mp3[27.520,44.960]	A COUPLE WEEKS AGO OK AND HAS IT GOTTEN WORSE SINCE THEN OR HAS IT STAYED ABOUT THE SAME
audio/RES0102.mp3[44.960,58.400]	UH IT IT GOT WORSE INITIALLY BUT ITS BEEN ABOUT THE UH WELL ACTUALLY YEAH ITS BEEN GETTING WORSE CAUSE NOW IVE IVE STARTED TO NOTICE BLOOD IN THE SPUTUM THAT WASNT THERE AT FIRST
audio/RES0102.mp3[58.400,61.240]	OK AND WHEN DID YOU FIRST NOTICE THAT
audio/RES0102.mp3[61.240,86.240]	SO I I FIRST SAW SOME BLOOD UHM TWO DAYS AGO IT WAS A REALLY SMALL AMOUNT SO I DIDNT WORRY TOO MUCH BUT I I BROUGHT UP BLOOD YESTERDAY AND AGAIN THIS MORNING ITS BEEN JUST ABOUT ENOUGH TO COVER A TISSUE SO ITS NOT A LOT OF BLOOD EACH TIME BUT ITS PRETTY RED
audio/RES0102.mp3[86.240,97.840]	OK AND BEFORE THAT WERE YOU GETTING ANY PRODUCTION THROUGHOUT YOUR COUGHS FOR THE LAST FEW WEEKS LIKE WERE YOU PRODUCING ANY SPUTUM
audio/RES0102.mp3[97.840,101.360]	UH NO
audio/RES0102.mp3[101.360,112.080]	NO OK CAN YOU JUST DESCRIBE YOUR COUGH CURRENTLY IS IT MORE OF A WET COUGH OR DRY COUGH
audio/RES0102.mp3[112.080,120.520]	UH IT YEAH ITS ITS DRY MOSTLY WITH THE EXCEPTION OF BRINGING UP SOME OF THE BLOOD
audio/RES0102.mp3[120.520,132.600]	AND IS THE BLOOD JUST IN LIKE SPUTUM THAT YOURE BRINGING UP OR ARE YOU COUGHING UP BLOOD INTO THE TISSUE FOR EXAMPLE
audio/RES0102.mp3[132.600,138.160]	BLOOD IS IM COUGHING THAT UP INTO THE TISSUE
audio/RES0102.mp3[138.160,154.960]	OK AND DO YOU REMEMBER 2 WEEKS AGO PRIOR TO THAT WERE THERE ANY FACTORS THAT MIGHT HAVE CAUSED THIS LIKE FOR EXAMPLE DID YOU TRAVEL ANYWHERE OR SEE OR WAS IN CONTACT WITH ANYONE THAT WAS SICK
audio/RES0102.mp3[154.960,169.400]	NO I HAVENT UH TRAVELED ANYWHERE I HAVE BEEN DOING VOLUNTEERING AND AND THINGS AT THE HOMELESS SHELTER HERE IN IN TOWN ITS BEEN REALLY COLD OUT
audio/RES0102.mp3[169.400,174.680]	OK UH AND HOW LONG HAVE YOU BEEN VOLUNTEERING THERE
audio/RES0102.mp3[174.680,182.760]	UH I STARTED THIS WINTER SO THE LAST THREE THREE OR FOUR MONTHS
audio/RES0102.mp3[182.760,193.480]	OK AND WERE YOU IN CONTACT WITH ANYONE THERE THAT WAS SICK OR WAS HAVING SIMILAR SYMPTOMS AT ALL
audio/RES0102.mp3[193.480,218.120]	THERE ARE CERTAINLY SOME PEOPLE AROUND THAT THAT HAD SOME THAT WOULD HAVE A COUGH OR WERE NOT FEELING VERY WELL BUT UH AND SOMETIMES I WOULD SEE PEOPLE WHO WOULD EVEN HAVE A HOSPITAL GOWN ON THAT THAT THAT UH CAME FROM THE HOSPITAL SO YEAH THERE WERE DEFINITELY SOME PEOPLE WHO WERENT FEELING WELL
audio/RES0102.mp3[218.120,228.480]	OK AND DO YOU KNOW IF ANYONE AT THE HOMELESS SHELTER OR ANYWHERE ELSE AROUND YOUR SURROUNDING HAS HAD TUBERCULOSIS
audio/RES0102.mp3[228.480,234.600]	NO NOT THAT IM AWARE OF I HAVENT HEARD OF THAT
audio/RES0102.mp3[234.600,246.680]	OK ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE THE COUGHING AND THE BLOOD LIKE COUGHING UP BLOOD AS WELL
audio/RES0102.mp3[246.680,262.000]	YEAH IVE BEEN UH STARTING TO GET LIKE THIS SHARP CHEST PAIN AS WELL I KIND OF FEEL IT ON THE LEFT SIDES AND IN CENTER I GUESS KINDA MORE SO
audio/RES0102.mp3[262.000,271.960]	OK AND YOUR CHEST PAIN WHEN DID THAT START
audio/RES0102.mp3[271.960,279.880]	SO UH THIS STARTED YEAH BOUT A FEW DAYS AGO AS WELL ITS BEEN WITHIN THE LAST WEEK
audio/RES0102.mp3[279.880,290.120]	OK AND UH WOULD YOU DESCRIBE IT AS SO YOU SAID ITS KIND OF A SHARP PAIN DOES IT MOVE AROUND ANYWHERE
audio/RES0102.mp3[290.120,298.080]	NO THE PAIN I FEEL IT ABOUT IN THE SAME SPOT EACH TIME
audio/RES0102.mp3[298.080,311.800]	OK AND ARE YOU FEELING THE PAIN WHEN YOURE COUGHING OR IS IT WHEN YOURE EXERTING YOURSELF LIKE WHEN DO YOU FEEL THE PAIN AND HOW LONG DOES IT LAST
audio/RES0102.mp3[311.800,338.120]	I YEAH I WILL FEEL IT WHEN I COUGH I ALSO FEEL IT UH IF IM MAYBE MOVING AROUND AS WELL LIKE CHANGING POSITIONS OR THINGS LIKE THAT IT HURTS FOR A FEW MINUTES AND THEN IT IT WILL KIND OF SETTLE DOWN IF IF IM IF I STAY STATIONARY AND SORT OF LEAN FORWARD A LITTLE BIT IT WILL IT WILL START TO FEEL BETTER
audio/RES0102.mp3[338.120,351.000]	SORT OF FEELS BETTER OK AND BESIDES BESIDES LIKE LEANING FORWARD HAS ANYTHING HELPED REDUCE THAT PAIN AT ALL
audio/RES0102.mp3[351.000,370.760]	YEAH WELL IF I LIE FLAT UHM IT ITS UH OR SORRY NO ACTUALLY THE PAIN GETS WORSE IF I I LIE FLAT OR IF IM IF IM TAKING A DEEP BREATH IN BUT REALLY THE ONLY THING THAT HELPS THE PAIN IS IF I TRY TO LEAN FORWARD WHEN IM SITTING DOWN
audio/RES0102.mp3[370.760,375.800]	OK I SEE AND DO YOU HAVE ANY PAIN WHEN BREATHING IN OR OUT
audio/RES0102.mp3[375.800,394.640]	I DO YEAH IT IT GETS WORSE IF I IF IM TAKING A DEEP BREATH IN AND EVEN MORE SO AFTER I AFTER I COUGH IF IM TRYING TO CATCH MY BREATH ILL FEEL IT THEN TOO
audio/RES0102.mp3[394.640,406.360]	OK AND UHM OTHER THAN THESE SYMPTOMS DO YOU HAVE ANY KIND OF SHORTNESS OF BREATH DO YOU HAVE ANY DIZZINESS OR INCREASED SWEATING ANY OF THOSE SYMPTOMS
audio/RES0102.mp3[406.360,412.080]	I HAVE BEEN SWEATING AT NIGHT BUT UH YEAH THATS IT
audio/RES0102.mp3[412.080,415.400]	AND HOW ABOUT ANY FEVERS OR CHILLS
audio/RES0102.mp3[415.400,424.480]	I I HAVE FELT A BIT HOT THATS MORE SO YEAH MAYBE WHEN IVE BEEN HAVING NIGHT SWEATS BUT I FEEL OK NOW
audio/RES0102.mp3[424.480,431.840]	OK AND WHEN YOU SAY NIGHT SWEATS ARE YOUR SHEETS AND BLANKETS LIKE SOAKED YOUR PILLOWS
audio/RES0102.mp3[431.840,444.800]	YEAH THERE THERE HAVE BEEN A FEW FEW NIGHTS FOR SURE BUT IT DOESNT HAPPEN EVERY NIGHT BUT OVER THESE LAST SEVERAL MONTHS ITS BEEN WEIRD IVE WOKEN UP SOAKED
audio/RES0102.mp3[444.800,451.320]	OK UH DO YOU HAVE ANY OTHER SYMPTOMS LIKE A HEADACHE OR NAUSEA VOMITING
audio/RES0102.mp3[453.040,457.120]	HAVE YOU MEASURED A TEMPERATURE AT ALL
audio/RES0102.mp3[457.120,458.560]	UHM NO I HAVENT
audio/RES0102.mp3[458.560,469.840]	OK WE CAN DO THAT TODAY DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEELING LIKE POUNDING YOUR CHEST RACING HEART ANYTHING LIKE THAT
audio/RES0102.mp3[469.840,471.760]	NO NOTHING LIKE THAT
audio/RES0102.mp3[471.760,478.160]	HAVE YOU NOTICED ANY SWELLING IN YOUR EXTREMITIES LIKE YOUR LEGS AND HANDS
audio/RES0102.mp3[480.440,486.040]	OK AND DO YOU HAVE ANY ISSUES WITH YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
audio/RES0102.mp3[487.440,490.640]	ANY URINARY ISSUES
audio/RES0102.mp3[491.880,497.680]	OK ANY ISSUES WITH YOUR SLEEP AND APPETITE
audio/RES0102.mp3[497.680,517.000]	UH NO SLEEPS BEEN OK AND IVE BEEN EATING WELL BUT I HAVE UHM LOST SOME WEIGHT AND AND IVE BEEN MORE FATIGUED OVER THE LAST COUPLE MONTHS
audio/RES0102.mp3[517.000,530.240]	OK BEFORE THE TWO WEEKS OR A COUPLE OF WEEKS THAT YOU HAD THIS WERE YOU SICK AT ALL RECENTLY LIKE WITH A COLD OR ANY FLU LIKE SYMPTOMS
audio/RES0102.mp3[530.240,543.760]	NO I I UH I GUESS IVE BEEN FATIGUED OVER THE LAST COUPLE OF MONTHS BUT I HAVENT HAD ANY FLU LIKE SYMPTOMS
audio/RES0102.mp3[543.760,552.920]	OK AND DO YOU HAVE ANY EXPOSURE TO DUST FUMES ANIMALS ANYWHERE IN YOUR SURROUNDING
audio/RES0102.mp3[552.920,568.800]	I DO HAVE UH TWO CATS AT HOME BUT IVE HAD THEM FOR SEVEN YEARS NOW AND IVE BEEN TESTED FOR ALLERGIES AND AND IM CLEAR THERE
audio/RES0102.mp3[568.800,572.960]	OK DO YOU LIVE WITH ANYONE RIGHT NOW
audio/RES0102.mp3[572.960,580.760]	YEAH I LIVE WITH MY HUSBAND AND WE HAVE THREE DAUGHTERS AS WELL
audio/RES0102.mp3[580.760,589.000]	OK AND ARE ANY OF THEM SICK AT ALL OR HAVE ANY SIMILAR SYMPTOMS
audio/RES0102.mp3[589.000,602.320]	YEAH MY MY HUSBANDS HAD A COUGH UH AS WELL HE HASNT BROUGHT UP ANY BLOOD OR ANYTHING THOUGH BUT MY MY DAUGHTERS HAVE FELT OK
audio/RES0102.mp3[602.320,610.160]	OK AND DO YOU HAVE ANY PAST MEDICAL DIAGNOSIS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA ANYTHING LIKE THAT
audio/RES0102.mp3[610.160,629.560]	YEAH I DO HAVE UH TYPE 2 DIABETES AS WELL AS HIGH BLOOD PRESSURE IVE BEEN DIAGNOSED WITH DEPRESSION BEFORE AS WELL I DO TAKE A FEW MEDICATIONS FOR DIABETES AND BLOOD PRESSURE IM NOT ON INSULIN THOUGH
audio/RES0102.mp3[629.560,632.640]	OK AND DO YOU KNOW WHAT MEDICATIONS YOU TAKE
audio/RES0102.mp3[632.640,643.760]	I THINK AN ACE INHIBITOR AND AND I THINK RAMIPRIL AND UH METFORMIN
audio/RES0102.mp3[643.760,650.440]	OK AND DO YOU TAKE ANYTHING FOR DEPRESSION
audio/RES0102.mp3[650.440,659.560]	I USED TO TAKE A A CITALOPRAM BUT I STOPPED AND AND THINGS HAVE BEEN BEEN STABLE
audio/RES0102.mp3[659.560,663.200]	THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0102.mp3[663.200,670.840]	I HAD TWO C SECTIONS FOR MY SECOND DAUGHTER AND AND 3RD
audio/RES0102.mp3[670.840,676.560]	OK ANY COMPLICATIONS AT ALL WITH THOSE C SECTIONS
audio/RES0102.mp3[676.560,679.640]	NO EVERYTHING WAS WAS GOOD
audio/RES0102.mp3[679.640,683.120]	OK ANY OTHER SURGERIES OR HOSPITALIZATIONS
audio/RES0102.mp3[683.480,691.480]	OK DO YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS
audio/RES0102.mp3[691.480,704.200]	MY DAD HAD A STROKE WHEN HE WAS IN HIS LATE 60S BUT THATS THE ONLY THING I CAN THINK OF
audio/RES0102.mp3[704.200,711.240]	OK AND I KNOW YOU SAID YOU VOLUNTEER AT THE HOMELESS SHELTER BUT DO YOU DO ANYTHING ELSE FOR WORK AT ALL
audio/RES0102.mp3[711.240,724.000]	YEAH IVE BEEN DOING SOME ADMINISTRATIVE WORK FROM FROM HOME BECAUSE OF COVID SO WITH THE EXTRA TIME IVE BEEN TRYING TO TO DO SOME EXTRA VOLUNTEERING
audio/RES0102.mp3[724.000,737.080]	THATS REALLY GOOD AND SO BESIDES SO YOU LIVE WITH YOUR HUSBAND AND THREE KIDS DOES ANYONE IN SMOKE IN THE HOUSE OR DO YOU SMOKE AT ALL
audio/RES0102.mp3[737.080,739.720]	NO I DONT NO ONE SMOKES IN THE HOUSE
audio/RES0102.mp3[739.720,745.520]	OK DOES UH DO YOU TAKE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0102.mp3[747.280,748.280]	AND HOW ABOUT ALCOHOL
audio/RES0102.mp3[748.280,759.360]	SOMETIMES ILL HAVE SOME LIKE RED WINE WITH DINNER BUT THATS ONLY ON LIKE CHRISTMAS OR AN OCCASION
audio/RES0102.mp3[759.360,774.840]	OK YEAH ALRIGHT SO UH OTHER THAN THAT SORRY I THINK I MIGHT HAVE FORGOTTEN TO ASK YOU A COUPLE QUESTIONS SO NO FAINTING SPELLS NO SHORTNESS OF BREATH NOTHING LIKE THAT
audio/RES0102.mp3[774.840,781.640]	NO I HAVENT HAD ANYTHING LIKE THAT JUST A STERN COUGH
audio/RES0102.mp3[781.640,784.600]	OK AND NO CHEST PAIN ON EXERTION
audio/RES0102.mp3[784.600,808.560]	NO ITS THE CHEST PAIN WELL I GUESS IF IM LIKE MOVING AROUND A LOT BUT ITS NOT IT DOESNT COME ON UH LIKE BECAUSE OF LIKE PHYSICAL ACTIVITY I JUST FEEL IT LIKE ANYTIME IM LIKE WHEN IM BREATHING IN OR EVEN JUST MOVING MY BODY AROUND IN THE CHAIR
audio/RES0102.mp3[808.560,812.440]	AND ANY LIKE FATIGUE OR INCREASED TIREDNESS
audio/RES0102.mp3[812.440,814.040]	YEAH IVE HAD SOME FATIGUE FOR SURE
audio/RES0102.mp3[814.040,819.600]	OK AND HAVE YOU LOST ANY WEIGHT RECENTLY
audio/RES0102.mp3[819.600,831.920]	YEAH I I HAVE ACTUALLY IM IM DOWN 20 POUNDS I THOUGHT THAT WAS GREAT I I WAS 200 POUNDS JUST TWO MONTHS AGO
audio/RES0102.mp3[831.920,842.560]	AND HAVE YOU BEEN TRYING TO LOSE WEIGHT OR THAT 20 POUNDS JUST WENT AWAY SPONTANEOUSLY
audio/RES0102.mp3[842.560,856.560]	UH I MEAN I I GUESS IVE TRIED TO MAKE CHANGES TO MY DIET HERE AND THERE BECAUSE OF THE DIABETES BUT I DONT REALLY THINK THAT IT WOULD BE ENOUGH TO LOSE 20 POUNDS
audio/RES0102.mp3[856.560,865.200]	OK I SEE YEAH SO DO YOU HAVE ANY QUESTIONS THOSE ARE ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0102.mp3[865.200,869.640]	NO I WAS JUST I GUESS JUST CONCERNED ABOUT THE THE BLOOD IN THE IN THE COUGH
audio/RES0102.mp3[869.640,904.560]	YEAH SO DEFINITELY THATS SOMETHING CONCERNING WE WANT TO MAKE SURE THERE WAS NO SO YOU WORK AT A HOMELESS SHELTER WHERE THERE MAY BE A TUBERCULOSIS CASE AND YOUR SYMPTOMS OF COUGHING UP BLOOD AS WELL AS LOSING A SIGNIFICANT WEIGHT RECENTLY AND SOME OF THE OTHER SYMPTOMS THAT YOU DESCRIBED AS WELL POINT TOWARDS UH TB AS ONE OF THE CAUSES NO LUNG CANCER HISTORY RIGHT IN YOUR FAMILY
audio/RES0102.mp3[905.440,975.920]	OK UHM SO WE DEFINITELY WANT TO DO TESTING FOR TB WILL DO US A SMEAR TODAY OF YOUR SPUTUM AND WE WILL SINCE YOU HAVE BEEN IN CONTACT WITH YOUR FAMILY WE WILL HAVE TO CONTACT A PUBLIC HEALTH IF THE TESTS COME BACK POSITIVE AND IT SEEMS THAT WELL ALSO DO SOME OTHER TESTING SOMETIMES WITH TUBERCULOSIS YOU CAN GET SOMETHING CALLED PERICARDITIS AND SOME OF THE SYMPTOMS YOU ARE HAVING MAY POINT TO PERICARDITIS AS WELL SO WE MIGHT HAVE TO DO AN EKG WE MIGHT HAVE TO FURTHER DO AN ULTRASOUND AN XRAY FOR EXAMPLE SO FIRST WELL JUST GET THE TB TEST DONE AND THEN IF IT COMES BACK POSITIVE YOU WILL NEED TO ISOLATE BE ADMITTED TO THE HOSPITAL AS WELL AND BE ON A COURSE OF ANTIBIOTICS SO I KNOW THIS IS A LOT TO TAKE IN DO YOU HAVE ANY QUESTIONS OR CONCERNS AT ALL
audio/RES0102.mp3[975.920,984.960]	NOT RIGHT NOW GUESS WILL WAIT UNTIL SOME OF THE RESULTS COME BACK AND YEAH GET STARTED
audio/RES0102.mp3[984.960,989.480]	YEAH SO WELL JUST DO THE TB TEST FIRST ALRIGHT
audio/RES0102.mp3[989.480,992.000]	ALRIGHT THANK YOU
audio/RES0102.mp3[992.000,995.000]	WELCOME TAKE CARE
audio/MSK0012.mp3[0.000,1.760]	WHAT BRINGS YOU IN HERE TODAY
audio/MSK0012.mp3[1.760,24.480]	IVE HAD THIS PAIN IN MY BACK THATS KIND OF LIKE IN MY LOWER BACK AND MY BUTTOCKS AND ITS NOW RADIATING DOWN TO MY RIGHT LEG IVE HAD THIS FOR AWHILE NOW BUT ITS GETTING WORSE AND I JUST WANT TO COME GET IT CHECKED OUT
audio/MSK0012.mp3[24.480,27.560]	OK AND HOW LONG HAVE YOU HAD THIS PAIN FOR
audio/MSK0012.mp3[27.560,30.720]	ABOUT A MONTH
audio/MSK0012.mp3[30.720,39.480]	OK AND HAS GONE WORSE AT ALL LIKE DID YOU HAVE THE IT RADIATING THROUGH YOUR LEG BEFORE OR IS THAT SOMETHING THAT HAPPENED AFTER
audio/MSK0012.mp3[39.480,46.480]	THATS SOMETHING THAT HAPPENED AFTER THAT HAPPENS THAT THATS BEEN GOING ON FOR THE PAST WEEK
audio/MSK0012.mp3[46.480,50.400]	OK AND IS THIS PAIN CONSTANT OR DOES IT COME AND GO
audio/MSK0012.mp3[50.400,64.720]	AND ITS PRETTY MUCH ALWAYS THERE BUT CERTAIN THINGS CAN MAKE IT WORSE LIKE IF IM WALKING OR DOING CERTAIN ACTIVITIES IT CAN IT CAN MAKE IT WORSE
audio/MSK0012.mp3[64.720,70.520]	OK AND DID YOU HAVE ANY BACK PAIN BEFORE THIS MONTH
audio/MSK0012.mp3[70.520,75.960]	NO NOT I MEAN NO NOT REALLY
audio/MSK0012.mp3[75.960,86.240]	OK AN WHAT KIND OF PAIN WOULD YOU SAY IT IS IS IT LIKE A SHARP STABBING PAIN OR IS IT MORE SO A DULL ACHING PAIN
audio/MSK0012.mp3[86.240,98.920]	UM USUALLY OR WELL BEFORE IT WAS LIKE A MILD ACHY PAIN BUT NOW IT CAN BE ITS SHARP AND IT FEELS LIKE A BURNING SENSATION
audio/MSK0012.mp3[98.920,104.360]	OK A BURNING SENSATION WHERE WOULD YOU SAY THAT BURNING SENSATION IS
audio/MSK0012.mp3[104.360,110.240]	ITS LIKE DOWN MY BUTTOCKS TO THE RIGHT LEG
audio/MSK0012.mp3[110.240,115.520]	OK AND DO YOU FEEL ANY KIND OF NUMBNESS OR TINGLING WITH IT
audio/MSK0012.mp3[115.520,124.440]	UM A LITTLE A LITTLE BIT OF TINGLING YEAH A LITTLE BIT OF TINGLING
audio/MSK0012.mp3[124.440,133.080]	OK AND HOW WOULD YOU RATE THE PAIN FROM A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE HAD IN YOUR LIFE
audio/MSK0012.mp3[133.080,143.480]	SO USUALLY ITS ABOUT LIKE A 5 TO 6 OUT OF 10 BUT WHEN IT GETS BAD AND UM SHARP ID GIVE IT AN 8 OUT OF 10
audio/MSK0012.mp3[143.480,152.920]	OK AND ARE THERE ANY KIND OF MOTIONS OR POSITIONS THAT CAUSE YOU MORE PAIN
audio/MSK0012.mp3[152.920,161.960]	YEAH SO ID SAY LIKE JUST ANY SORT OF PHYSICAL ACTIVITY LIKE IF IM ON MY FEET A LOT IT HURTS
audio/MSK0012.mp3[164.480,169.040]	YEAH THATS PRETTY MUCH THE ONLY THING THAT I CAN THINK OF RIGHT NOW
audio/MSK0012.mp3[169.040,181.080]	OK DID ANYTHING HAPPEN ONE MONTH AGO OR BEFORE THIS PAIN STARTED LIKE ANY INJURIES OR FALLS THAT MIGHT HAVE CAUSED THIS PAIN
audio/MSK0012.mp3[181.080,197.320]	UM NO LIKE A LONG TIME AGO LIKE 67 YEARS AGO I INJURED MY BACK AT WORK BUT I JUST DID SOME CONSERVATIVE TREATMENTS FOR THAT AND IT WENT AWAY
audio/MSK0012.mp3[197.320,199.520]	OK WAS IT YOUR LOWER BACK
audio/MSK0012.mp3[200.520,204.640]	OK AND WHAT DO YOU DO FOR WORK
audio/MSK0012.mp3[204.640,219.800]	I USED TO WORK ON AN ASSEMBLY LINE SO I USED TO LIKE CARRY HEAVY OBJECTS AND THINGS LIKE THAT LIKE CAR PARTS
audio/MSK0012.mp3[219.800,222.880]	OK AND DO YOU STILL WORK THERE
audio/MSK0012.mp3[222.880,224.800]	NO I DONT
audio/MSK0012.mp3[224.800,227.640]	OK WHEN DID YOU STOP WORKING THERE
audio/MSK0012.mp3[227.640,230.040]	ABOUT THREE YEARS BACK
audio/MSK0012.mp3[230.040,234.080]	OK AND IS THERE ANY OTHER WORK YOU DO CURRENTLY
audio/MSK0012.mp3[234.080,241.400]	UM I WORK FROM HOME NOW I DO DAYCARE AT HOME
audio/MSK0012.mp3[241.400,254.320]	OK OK AND JUST GETTING BACK TO THE PAIN SO ITS KIND OF IN YOUR LOWER BACK YOUR BUTTOCKS AND THEN IT GOES TO YOUR RIGHT UPPER LEG
audio/MSK0012.mp3[255.200,260.600]	DOES IT MOVE ANYWHERE ELSE BESIDES THAT OR THOSE ARE THE REGIONS THAT IT STAYS IN
audio/MSK0012.mp3[260.600,266.880]	NO THOSE ARE KIND OF THE ONLY REGIONS THAT IM EXPERIENCING IT RIGHT NOW
audio/MSK0012.mp3[266.880,276.200]	OK AND DO YOU GET MORE PAIN LEANING BENDING FORWARD OR WOULD YOU SAY EXTENDING YOUR BACK
audio/MSK0012.mp3[276.200,280.320]	I WOULD SAY EXT EXTENDING MY BACK HURTS MORE
audio/MSK0012.mp3[280.320,287.600]	OK AND YOU GET PAIN WITH SITTING DOWN
audio/MSK0012.mp3[287.600,290.680]	UM SOMETIMES
audio/MSK0012.mp3[290.680,294.200]	OK HOW ABOUT LYING DOWN
audio/MSK0012.mp3[294.200,310.160]	UM LYING DOWN I GUESS IT DEPENDS ON THE POSITION IF I AM STRAIGHT ON MY BACK ITS ITS NOT TOO BAD BUT IF I LIKE IM HUNCHED OVER OR SOMETHING LIKE THAT IT HURTS
audio/MSK0012.mp3[310.160,319.800]	OK I SEE OK AND HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER AND PAINKILLERS THAT HAVE HELPED
audio/MSK0012.mp3[319.800,336.720]	I TRIED SOME IBUPROFEN AND SOME LIKE TOPICAL UM LIKE OINTMENTS BUT IT HELPS TEMPORARILY AND THEN THE PAIN COMES BACK
audio/MSK0012.mp3[336.720,347.120]	OK LETS SEE AND OTHER THAN THAT SO OTHER THAN THIS PAIN THATS BEEN GOING ON DO YOU HAVE ANY FEVERS OR CHILLS
audio/MSK0012.mp3[347.120,349.760]	UHM NO NO FEVERS OR CHILLS
audio/MSK0012.mp3[349.760,354.200]	OK NO NIGHT SWEATS
audio/MSK0012.mp3[354.360,356.680]	ANY INCREASED FATIGUE
audio/MSK0012.mp3[356.680,358.080]	NO NO
audio/MSK0012.mp3[358.080,360.120]	ANY RASHES OR SKIN CHANGES
audio/MSK0012.mp3[360.720,368.120]	ANY UH ANY COUGH OR COLD SYMPTOMS RECENTLY
audio/MSK0012.mp3[368.120,371.280]	UM NO NOTHING LIKE THAT
audio/MSK0012.mp3[371.280,380.400]	OK AND APART FROM YOUR BACK ANY KIND OF JOINT OR MUSCLE PAIN ANYWHERE ELSE IN YOUR BODY
audio/MSK0012.mp3[381.160,386.360]	ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0012.mp3[387.840,391.840]	OK ANY URINARY PROBLEMS
audio/MSK0012.mp3[393.920,400.680]	ANY STOOL INCONTINENCE FOR YOUR URINARY INCONTINENCE
audio/MSK0012.mp3[402.520,416.040]	OK AND ANY KIND OF NUMBNESS OR PARESTHESIA LIKE AROUND JUST YOUR LOWER BACK AND BUTTOCKS
audio/MSK0012.mp3[416.040,421.320]	NO NO NUMBNESS JUST LIKE THAT TINGLING BURNING FEELING
audio/MSK0012.mp3[421.320,428.800]	OK OK ANY RECENT WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS
audio/MSK0012.mp3[431.560,433.600]	OK ANY MUSCLE WEAKNESS AT ALL IN THAT AREA
audio/MSK0012.mp3[433.600,440.440]	IM FINDING IT HARD TO WALK
audio/MSK0012.mp3[440.440,444.120]	HARDER TO WALK OK ARE YOU LIMPING AT ALL
audio/MSK0012.mp3[444.120,449.280]	YEAH IM PUTTING MORE WEIGHT ON MY LEFT LEG
audio/MSK0012.mp3[449.280,459.360]	OK AND DO YOU FEEL SO YOU MENTION YOU FEEL TINGLING GOING DOWN YOUR RIGHT LEG DO YOU FEEL ANY KIND OF NUMBNESS AT ALL
audio/MSK0012.mp3[462.240,471.960]	NO OK ALRIGHT DO YOU HAVE ANY KIND OF URINARY OR FECAL RETENTION LIKE AT ALL
audio/MSK0012.mp3[471.960,476.680]	NO IM GOING IM USING THE WASHROOM OK
audio/MSK0012.mp3[476.680,486.000]	OK UH DO YOU HAVE ANY HISTORY OF ANY CANCERS AT ALL
audio/MSK0012.mp3[487.880,494.760]	NO OK ARE YOU ON ANY SO DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOUVE BEEN DIAGNOSED WITH
audio/MSK0012.mp3[495.440,498.600]	NO DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/MSK0012.mp3[498.600,506.360]	NO I DONT I JUST TAKE CALCIUM AND VITAMIN AND OTHER BUT MULTI VITAMINS
audio/MSK0012.mp3[506.360,510.200]	OK ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0012.mp3[511.160,517.880]	HAVE YOU HAD ANY PREVIOUS SURGERIES OR HAVE YOU BEEN HOSPITALIZED FOR ANY REASON
audio/MSK0012.mp3[518.880,529.360]	NO OK ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS ANY HEART OR LUNG CONDITIONS
audio/MSK0012.mp3[529.360,534.080]	UM NO NOT THAT I KNOW OF
audio/MSK0012.mp3[534.080,544.520]	OK AN AND CURRENTLY YOU SAID YOU WORK FROM HOME HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION LIKE
audio/MSK0012.mp3[544.520,553.280]	I WOULD SAY I ITS ITS OK I LIVE IN AN APARTMENT WITH MY HUSBAND
audio/MSK0012.mp3[553.280,556.480]	OK AND CURRENTLY DO YOU SMOKE
audio/MSK0012.mp3[558.320,562.400]	OK AND DO YOU DRINK ALCOHOL
audio/MSK0012.mp3[562.400,567.520]	ILL HAVE A GLASS OF WINE LIKE ONCE A WEEK
audio/MSK0012.mp3[567.520,571.040]	OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/MSK0012.mp3[571.040,581.360]	UM SO IVE IVE BEEN USING CANNABIS OIL FOR THE PAST MONTH JUST TO SEE IF IT HELPS WITH THE PAIN
audio/MSK0012.mp3[581.360,585.960]	OK AND HAS THAT BEEN WORKING FOR YOU AT ALL
audio/MSK0012.mp3[585.960,588.120]	A LITTLE BIT I THINK
audio/MSK0012.mp3[588.120,617.200]	OK OK SO THOSE ARE SOME OF THE QUESTIONS I HAD AND IM JUST GONNA ASK A FEW QUESTIONS ABOUT JUST EXAMINING THE AREAS THAT ARE GIVING YOU TROUBLE SO ALONG YOUR BACK IF YOU IF YOU WERE TO PRESS DOWN ON FROM THE MIDDLE TO YOUR LOWER BACK ANY KIND OF PAIN WHEN YOU PRESS DOWN
audio/MSK0012.mp3[617.200,619.960]	UM LOWER BACK YES
audio/MSK0012.mp3[619.960,627.680]	OK SO WHAT KIND OF PAIN IS IT LIKE SHARP OR IS IT KIND OF A DULL ACHING PAIN
audio/MSK0012.mp3[627.680,631.000]	WHEN I PRESS DOWN IT FEELS SHARP
audio/MSK0012.mp3[631.000,645.800]	OK AND DO YOU HAVE YOU NOTICE ANY KIND OF SWELLING IN YOUR LEGS OR NEAR THE AREAS WHERE YOU HAVE PAIN SWELLING OR REDNESS OR  ANY WARMTH
audio/MSK0012.mp3[645.800,655.320]	UM IT SEEMS TO ACTUALLY NO ITS NOT ITS NOT WARM
audio/MSK0012.mp3[655.320,663.640]	OK AND IN TERMS OF JUST MOVEMENT ARE YOU ABLE TO BEND DOWN
audio/MSK0012.mp3[663.640,670.600]	I CAN BEND DOWN ITS JUST HARD FOR ME TO GET BACK UP
audio/MSK0012.mp3[670.600,675.320]	OK SEE AND HOW ABOUT LIKE BEND SIDEWAYS
audio/MSK0012.mp3[675.320,677.200]	I CAN DO THAT
audio/MSK0012.mp3[677.200,690.920]	OK ND HOW ABOUT IF YOURE LAYING FLAT ARE YOU ABLE TO RAISE YOUR LEGS WITHOUT BENDING YOUR KNEES
audio/MSK0012.mp3[690.920,698.600]	I CAN DO THAT YEAH ACTUALLY NO I CANT SORRY THAT THAT HURTS
audio/MSK0012.mp3[698.600,701.480]	SO YOUR RIGHT LEG HURTS WHEN YOU DO THAT
audio/MSK0012.mp3[703.080,715.360]	OK GREAT AND OTHER THAN THAT LIKE WHEN YOU WHEN YOU DO ANY OF THOSE MOVEMENTS CAN YOU DO YOU GET LIKE THAT TINGLING AGAIN
audio/MSK0012.mp3[715.360,717.240]	YEAH IT DOES YEAH
audio/MSK0012.mp3[717.240,726.280]	OK ALRIGHT AND WHEN YOU STAND UP AND WALK HOW WOULD YOU DESCRIBE ARE YOU HAVING ANY KIND OF LIMPING AT ALL
audio/MSK0012.mp3[726.280,733.720]	UM A LITTLE BIT OF LIMP YEAH  IM PUTTING MORE WEIGHT ON THE LEFT LEG
audio/MSK0012.mp3[733.720,745.200]	OK ALRIGHT SO YEAH THOSE ARE JUST SOME OF THE QUESTIONS I I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS AT ALL
audio/MSK0012.mp3[745.200,753.520]	UM NO WHAT CAN I DO ABOUT THIS BACK PAIN AND HOW LONG DO YOU THINK ILL HAVE IT FOR
audio/MSK0012.mp3[753.520,806.480]	YEAH SO ITS BEEN HAPPENING FOR ONE MONTH RIGHT AND YOURE GETTING SOME SYMPTOMS IN IN YOUR LOWER LEG SO NORMALLY WE WOULD WAIT BEFORE WE DO ANY KIND OF DIAGNOSTIC IMAGING BUT SINCE YOURE ALSO HAVING THESE OTHER SYMPTOMS WE WE WERE WORRYING ABOUT SOMETIMES LOWER BACK PAIN CAN LEAD TO SOMETHING CALLED SCIATICA ITS JUST WHEN ONE OF THE NERVES GET PINCHED AND THEN THATS WHY YOURE GETTING THE TINGLING AROUND YOUR RIGHT UPPER LEG SO WHAT WE CAN DO IS WE CAN DO IF YOU HAVENT HAD AN X RAY WE CAN DO AN X RAY OF YOUR LOWER BACK AND THEN WE CAN ALSO DO AN MRI
audio/MSK0012.mp3[809.000,847.920]	AND BASED ON WHAT RESULTS COME BACK AT THE SAME TIME WE WILL I WILL GIVE YOU SOME INFORMATION ABOUT SOME ANTI INFLAMMATORY MEDICATIONS YOU COULD TAKE TO HELP RELIEVE SOME OF YOUR PAIN BUT OTHER THAN THAT I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL HELP YOU DO SOME EXERCISES AT HOME JUST WAYS TO PROTECT YOUR BACK AS WELL AS STRENGTHEN SOME OF YOUR MUSCLES TO HELP DEAL WITH SOME OF THAT PAIN YEAH SO WELL GET THE RESULTS BACK AND THEN WELL GO FROM THERE
audio/MSK0012.mp3[847.920,850.240]	OK SOUNDS GOOD THANK YOU
audio/MSK0012.mp3[850.240,852.080]	YOURE WELCOME TAKE CARE
audio/RES0001.mp3[0.000,2.360]	WHAT BRINGS YOU IN TODAY
audio/RES0001.mp3[2.360,12.840]	I SO IVE JUST HAD THIS PAIN IN MY CHEST FOR JUST OVER A WEEK NOW AND ITS CAUSED ME TO HAVE TROUBLE BREATHING
audio/RES0001.mp3[12.840,16.320]	OK UM HOW OLD ARE YOU JEN
audio/RES0001.mp3[16.320,19.080]	UM 52
audio/RES0001.mp3[19.080,23.480]	OK WHEN DID THIS PAIN START YOU SAID A WEEK BACK
audio/RES0001.mp3[23.480,27.640]	UH YEAH JUST ABOUT THAT I I THINK MAYBE 8 DAYS AGO
audio/RES0001.mp3[27.640,32.840]	OK AND IS IT A CONSTANT PAIN IS IT ALWAYS THERE
audio/RES0001.mp3[32.840,48.200]	AHH IT IT IS BUT ITS DEFINITELY WORSE THAT UM ITS THE BREATHING THATS BEEN BOTHERING ME A LOT MORE WHEN I TAKE A DEEP BREATH THAT THE PAIN IS A LOT WORSE
audio/RES0001.mp3[48.200,59.760]	OK OK UM AND WHEN YOU DO GET THAT GET THAT PAIN HOW LONG DOES IT LAST
audio/RES0001.mp3[59.760,68.200]	UM I WOULD SAY UH AROUND 1520 MINUTES ITS IT GOES AWAY OVER OVERTIME
audio/RES0001.mp3[68.200,74.040]	OK AND THE SHORTNESS OF BREATH DO YOU HAVE THAT AT REST AS WELL
audio/RES0001.mp3[74.040,97.160]	UH NO IF I IF I TAKE A BREAK OR SIT DOWN TO REST THEN I CAN USUALLY CATCH MY BREATH BUT IF EVEN IF IM DOING A LITTLE BIT OF EXERTION LIKE WALKING A FEW A FEW BLOCKS OR SOMETHING LIKE THAT IM FINDING IT IM IM SHORT OF BREATH
audio/RES0001.mp3[97.160,110.200]	OK UM DO DID ANYTHING TRIGGER THIS A WEEK BACK ANY TRAUMA TO THE CHEST AREA ANYTHING LIKE THAT
audio/RES0001.mp3[110.200,120.640]	UH NO NO ONE ELSE HAS BEEN SICK I I HAD A COUGH ABOUT A WEEK AGO SO I THOUGHT IT MIGHT BE A
audio/RES0001.mp3[120.640,128.280]	CHEST INFECTION BUT IM NOT FEVERISH SO IM NOT SURE
audio/RES0001.mp3[128.280,131.720]	OK THE COUGH IS IT STILL THERE
audio/RES0001.mp3[131.720,136.600]	YEAH ITS UM I STILL HAVE A COUGH
audio/RES0001.mp3[136.600,139.600]	OK AND ARE YOU COUGHING UP ANY BLOOD
audio/RES0001.mp3[139.600,145.680]	NO I HAVENT I HAVENT NOTICED ANY ANY BLOOD
audio/RES0001.mp3[145.680,149.200]	OK HOW ABOUT SPUTUM
audio/RES0001.mp3[149.200,151.480]	UM NO SPUTUM
audio/RES0001.mp3[151.480,156.160]	NO OK AND DO YOU FEEL LIKE YOURE WHEEZING
audio/RES0001.mp3[156.160,159.120]	OH NO WHEEZING
audio/RES0001.mp3[159.120,171.280]	NO WHEEZING OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST THE MOST SEVERE HOW BAD IS YOUR SHORTNESS OF BREATH
audio/RES0001.mp3[171.280,178.600]	I WOULD SAY WHEN IM EXERTING MYSELF IT COULD GET UP TO LIKE A 7 OR 8
audio/RES0001.mp3[178.600,185.920]	OK AND YOU MENTIONED HOW HOW FAR CAN YOU WALK BEFORE YOU NEED TO REST
audio/RES0001.mp3[185.920,200.240]	I I WOULD SAY MAYBE 100 METERS BUT BEFORE I WAS ABLE TO RUN UH LIKE I WAS RUNNING A FEW DAYS PER WEEK SO SO THIS IS NOT LIKE ME
audio/RES0001.mp3[200.240,208.800]	OK AND THE CHEST PAIN IS IT SHARP OR IS A DULL CRAMPY WHAT DOES IT FEEL LIKE
audio/RES0001.mp3[208.800,211.000]	I SAY ITS SHARP
audio/RES0001.mp3[211.000,215.320]	OK HAVE YOU EVER EXPERIENCED THIS BEFORE
audio/RES0001.mp3[215.320,223.480]	NO NOTHING LIKE LIKE THIS BEFORE AT ALL I I HAVE NEVER HAD ANY ANY PROBLEMS LIKE THIS BEFORE
audio/RES0001.mp3[223.480,234.760]	OK UM AND HAS IT CHANGED SINCE IT STARTED A WEEK BACK OR HAS HAVE YOUR SYMPTOMS BEEN PRETTY MUCH THE SAME
audio/RES0001.mp3[234.760,239.360]	THEYVE BEEN PRETTY MUCH THE THE THE SAME
audio/RES0001.mp3[239.360,249.360]	OK OK UM DO YOU HAVE ANYTHING LIKE COPCONGESTIVE HEART FAILURE ANYTHING LIKE THAT
audio/RES0001.mp3[249.360,262.680]	NO IVE NEVER HAD ANY HEART PROBLEMS UH IN THE PAST IVE BEEN HEALTHY UP TO THIS POINT THOUGH NOTHING I SEE A DOCTOR REGULARLY FOR
audio/RES0001.mp3[262.680,274.440]	OK OK THIS YOU MENTIONED NO FEVERS NO CHILLS AND NO NIGHT SWEATS TOO I GUESS
audio/RES0001.mp3[274.440,276.280]	YEAH NO NIGHT SWEATS
audio/RES0001.mp3[276.280,280.160]	OK AND HOW ABOUT WEIGHT LOSS ANY WEIGHT LOSS
audio/RES0001.mp3[280.160,282.480]	NO WEIGHT LOSS
audio/RES0001.mp3[282.480,290.760]	NO OK UM HAVE YOU EXPERIENCED ANY CHANGES IN YOUR VISION
audio/RES0001.mp3[290.760,295.360]	YEAH NO MY VISIONS BEEN BEEN BEEN FINE
audio/RES0001.mp3[295.360,297.920]	OK HEARING
audio/RES0001.mp3[297.920,299.680]	HEARING HAS BEEN OK
audio/RES0001.mp3[299.680,302.120]	OK HOW ABOUT SMELL
audio/RES0001.mp3[302.120,303.680]	NO CHANGES IN SMELL
audio/RES0001.mp3[303.680,310.200]	NO UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE IN THE PAST WEEK OR SO
audio/RES0001.mp3[310.200,314.240]	NO ITS JUST THAT THE DRY COUGH
audio/RES0001.mp3[314.240,319.800]	OK DRY COUGH ANY CHANGES IN YOUR SKIN LIKE RASHES
audio/RES0001.mp3[319.800,321.720]	NO RASHES
audio/RES0001.mp3[321.720,331.880]	OK AND YOU MENTIONED SOME CHEST PAIN ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0001.mp3[331.880,344.960]	UH ACTUALLY I DID FEEL LIKE THAT A LITTLE BIT ESPECIALLY WHEN I WAS MOVING A LITTLE BIT MORE I FELT LIKE MY HEART WAS RACING
audio/RES0001.mp3[344.960,351.400]	OK UM ANY CALF PAIN
audio/RES0001.mp3[351.400,356.000]	UM YEAH MY LEFT MY LEFT LEGS ACTUALLY A LITTLE BIT SORE
audio/RES0001.mp3[356.000,360.960]	OK ANY SWELLING IN THE AREA
audio/RES0001.mp3[360.960,369.960]	UM UH NOPE I DONT SEE ANY SWELLING THERE
audio/RES0001.mp3[369.960,372.080]	OK NO
audio/RES0001.mp3[372.080,373.840]	UM YEAH WELL SAY THAT THERE IS SWELLING
audio/RES0001.mp3[373.840,385.040]	OH OK AND AND YOU MENTIONED SHORTNESS SOME SHORTNESS OF BREATH ON EXERTION HOW ABOUT WHEN YOURE LAYING DOWN
audio/RES0001.mp3[385.040,387.000]	NOT WHEN IM LAYING DOWN
audio/RES0001.mp3[387.000,395.080]	NO OK AND NOT WHEN YOURE OK NOT WHEN YOURE LAYING DOWN OK UM ALRIGHT AND IN TERMS OF LIKE
audio/RES0001.mp3[395.080,403.200]	YOUR STOOL SO BOWEL MOVEMENTS AND URINATION LIKE ALL OF THATS NORMAL
audio/RES0001.mp3[403.200,405.160]	YEAH ALL THATS BEEN NORMAL
audio/RES0001.mp3[405.160,407.920]	OK ANY HEADACHES
audio/RES0001.mp3[407.920,410.200]	UM NO HEADACHES
audio/RES0001.mp3[410.200,413.200]	NO NO CONFUSION
audio/RES0001.mp3[413.200,415.280]	NO CONFUSION
audio/RES0001.mp3[415.280,419.480]	OK HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0001.mp3[419.480,422.880]	UM NO FAINTING SPELLS
audio/RES0001.mp3[422.880,431.600]	OK OK AND HAVE YOU ALREADY RECEIVED ANY SORT OF IMAGING OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT FOR THIS RECENTLY
audio/RES0001.mp3[431.600,434.520]	OH NO I I I HAVENT
audio/RES0001.mp3[434.520,445.800]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY PAST MEDICAL HISTORY OF ANY CONDITIONS REALLY
audio/RES0001.mp3[445.800,463.120]	NO LIKE IVE BEEN UM PREVIOUSLY HEALTHY BUT I I GUESS I DID HAVE A HYSTERECTOMY A FEW WEEKS AGO I KNOW IT WAS I I DIDNT BRING IT UP BEFORE CAUSE ITS JUST A DAY PROCEDURE BUT I WAS DEFINITELY
audio/RES0001.mp3[463.120,471.280]	SPENDING A LOT MORE TIME UM RELAXING AT HOME AFTER THAT A FEW WEEKS AGO
audio/RES0001.mp3[471.280,478.720]	OK OK SO YOU HAVENT BEEN MOVING AROUND AS MUCH I GUESS SINCE THE HYSTERECTOMY
audio/RES0001.mp3[478.720,492.560]	YEAH EXACTLY ITS STARTING TO IT WAS STARTING TO GET THE PAIN WAS STARTING TO IMPROVE BUT IT WAS KEEPING ME ON THE COUCH A LOT OF DAYS
audio/RES0001.mp3[492.560,497.640]	OK YEAH UM ARE YOU ON ANY MEDICATIONS
audio/RES0001.mp3[497.640,513.600]	UM NO I TRY IVE TRIED SOME TYLENOL AND ADVIL FOR THE PAIN THROUGHOUT THIS WEEK AND IT DIDNT REALLY HELP MUCH BUT OTHER THAN THAT DONT TAKE ANY ANY MEDICATIONS NOTHING FOR BLOOD PRESSURE OR ANYTHING LIKE THAT
audio/RES0001.mp3[513.600,520.960]	OK AND SORRY WHAT WAS THE HYSTERECTOMY FOR
audio/RES0001.mp3[520.960,525.840]	UM I I WAS HAVING A LOT OF BLEEDING
audio/RES0001.mp3[525.840,532.320]	OK SO WERE THEY THINKING IT WAS LIKE A CANCER OR SOMETHING
audio/RES0001.mp3[532.320,539.280]	UM I THINK IT WAS UM IT WAS FROM FIBROIDS
audio/RES0001.mp3[539.280,548.280]	OK OK AND THEN  SO YOU MENTIONED NO MEDICATIONS ANY ALLERGIES
audio/RES0001.mp3[548.280,551.840]	UM NO ALLERGIES TO MEDICATIONS
audio/RES0001.mp3[551.840,557.240]	NO AND ARE YOU UP TO DATE WITH ANY WITH ALL YOUR IMMUNIZATIONS
audio/RES0001.mp3[557.240,559.960]	UM I AM YEAH
audio/RES0001.mp3[559.960,566.440]	YOU ARE OK ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0001.mp3[566.440,568.400]	NO LUNG CONDITIONS
audio/RES0001.mp3[568.400,570.120]	BUT HOW ABOUT HEART
audio/RES0001.mp3[570.120,578.400]	YEAH ITS JUST MY MOM HAD A HEART ATTACK WHEN SHE WAS 56
audio/RES0001.mp3[578.400,594.160]	OK OK IM SORRY TO HEAR THAT AND ANY HISTORY OF FAMILY HISTORY OF SOMETHING CALLED PULMONARY EMBOLISM OR DVTS
audio/RES0001.mp3[594.160,600.160]	UH NO I HAVENT HEARD OF A HEARD OF PULMONARY EMBOLISM BEFORE
audio/RES0001.mp3[600.160,612.800]	OK SO ITS BASICALLY BLOOD CLOTS IN YOUR LUNG AND THEN DVTS ARE DEEP VEIN THROMBOSIS SO ALSO BLOOD CLOTS BUT IN DIFFERENT PARTS OF YOUR BODY
audio/RES0001.mp3[614.000,617.800]	YEAH ANYTHING LIKE THAT THAT YOU KNOW OF
audio/RES0001.mp3[617.800,631.960]	UH NO I I HAVE MIGHT HAVE HEARD OF SOMETHING LIKE THAT HAPPENING IN MY MOM ACTUALLY IT MIGHT HAVE BEEN RELATED TO HER HEART ATTACK BUT IM NOT SPECIFICALLY SURE
audio/RES0001.mp3[631.960,634.440]	OK SURE UM AN THEN DO YOU SMOKE
audio/RES0001.mp3[634.440,655.280]	UM I I SMOKE I MAY BE ABOUT HALF A PACK OF CIGARETTES PER DAY IVE SMOKED EVER SINCE I WAS A TEENAGER IVE TRIED TO QUIT MULTIPLE TIMES I I WAS SMOKING ABOUT A PACK PER DAY BEFORE SO I HAVE
audio/RES0001.mp3[655.280,660.480]	CUT IT DOWN BUT STILL SOMETHING THAT IM WORKING ON
audio/RES0001.mp3[660.480,666.880]	OK GOOD IM GLAD YOURE TRYING TO CUT DOWN UM WE HAVE RESOURCES AVAILABLE IF YOURE INTERESTED
audio/RES0001.mp3[666.880,673.400]	IN SOME MORE HELP AND YOU SMOKE UM MARIJUANA
audio/RES0001.mp3[673.400,675.800]	NO I DONT
audio/RES0001.mp3[675.800,679.640]	OK ANY USE OF OTHER RECREATIONAL DRUGS
audio/RES0001.mp3[679.640,681.560]	NO NO
audio/RES0001.mp3[681.560,686.040]	OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0001.mp3[686.040,693.240]	UH MAY BE A GLASS OF WINE ON THE WEEKENDS BUT OTHER THAN THAT NO
audio/RES0001.mp3[693.240,702.520]	OK I MEAN HAVE YOU HAD ANY SICK CONTACTS RECENTLY PEOPLE AROUND YOU PEOPLE YOU LIVE WITH AT WORK
audio/RES0001.mp3[702.520,706.080]	I CANT THINK OF ANY ANYBODY WHOS BEEN SICK NO
audio/RES0001.mp3[706.080,711.280]	OK OK AND AND WHAT DO YOU DO FOR WORK JENN
audio/RES0001.mp3[711.280,718.880]	I WORK AS AN ADMINISTRATOR AT AT A BANK
audio/RES0001.mp3[718.880,723.640]	OK OK IM AND I HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0001.mp3[723.640,728.960]	UM NO I I CANT REMEMBER THE LAST VACATION
audio/RES0001.mp3[728.960,744.320]	OK ALRIGHT AND SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD ANYTHING THAT I HADNT TOUCHED ON
audio/RES0001.mp3[744.320,747.480]	UM NO I THINK YOU COVERED EVERYTHING THANK YOU
audio/RES0001.mp3[747.480,769.000]	OK YEAH NO WORRIES SO I GUESS AT THIS POINT WE WOULD DO A PHYSICAL EXAM JUST TAKE A LISTEN TO YOUR LUNGS AND YOUR CHEST AFTER THAT SO RIGHT NOW IT SOUNDS LIKE IT COULD BE SOMETHING VASCULAR YOU KNOW LIKE A PULMONARY EMBOLISM LIKE WE TALKED ABOUT THATS KIND OF HIGH ON MY LIST OF THINGS TO
audio/RES0001.mp3[769.000,776.960]	WORK UP FOR BUT ALSO WE DONT WANT TO MISS OTHER THINGS YOU KNOW LIKE
audio/RES0001.mp3[776.960,783.560]	CANCER INFECTION AUTOIMMUNE THINGS THAT COULD AFFECT YOUR LUNGS SO WELL JUST DO A
audio/RES0001.mp3[783.560,786.480]	WORK UP FOR ALL OF THAT HOW DOES THAT SOUND
audio/RES0001.mp3[786.480,792.000]	YEAH WHATEVER WHATEVER YOU THINK WE NEED TO DO
audio/RES0001.mp3[792.000,794.960]	OK SOUNDS GOOD THANK YOU FOR YOUR TIME
audio/RES0001.mp3[794.960,798.960]	YEAH THANKS
audio/RES0176.mp3[0.000,5.280]	HOW MAY I HELP YOU
audio/RES0176.mp3[5.280,38.120]	I UM I JUST HAVENT BEEN FEELING VERY WELL OVER THE PAST COUPLE MONTHS AND I HAVE DECIDED I JUST COME IN AND SEE WHATS HAPPENING SO IVE JUST IVE BEEN FEELING SHORT OF BREATH AND I KIND OF PASSED OUT SOMETIMES AND IM REALLY WORRIED ABOUT IT
audio/RES0176.mp3[38.120,44.560]	OK UH SO WHEN THE SHORTNESS OF BREATH START
audio/RES0176.mp3[44.560,49.080]	I SAY ABOUT FIVE OR SIX WEEKS AGO
audio/RES0176.mp3[49.080,56.520]	OK AND AND DO YOU GET SHORT OF BREATH AT REST
audio/RES0176.mp3[57.440,62.640]	AND HAS IT BEEN GETTING WORSE OR STAYING THE SAME
audio/RES0176.mp3[62.640,73.640]	UHM KIND OF THE SAME MAYBE A LITTLE BIT WORSE BUT I YEAH MAYBE THE SAME DEFINITELY NOT GETTING BETTER
audio/RES0176.mp3[73.640,80.440]	OK HOW FAR ARE YOU ABLE TO WALK OR EXERT YOURSELF BEFORE YOURE SHORT OF BREATH
audio/RES0176.mp3[80.440,98.680]	I CAN WALK QUITE A BIT UM BUT I I GUESS LIKE WHEN I GO FOR MY MY RUNS IN THE MORNING I START FEELING SHORT OF BREATH ITS MAYBE LIKE TWO BLOCKS OR THREE BLOCKS
audio/RES0176.mp3[98.680,110.360]	OK AND ANY ANY SYMPTOMS WHERE YOU GET SHORT OF BREATH AT NIGHT AND WHERE YOU HAD TO GET UP AND AND PUT YOUR FEET OVER THE BED
audio/RES0176.mp3[112.000,120.680]	ARE YOU ABLE TO LAY FLAT WITHOUT BEING SHORT OF BREATH
audio/RES0176.mp3[120.680,122.800]	UHM YEAH
audio/RES0176.mp3[122.800,133.800]	OR DOES IT OK AND EVERY HAD ANY SWELLING IN YOUR FEET OR ANKLES
audio/RES0176.mp3[135.560,145.000]	OK AND YOU MENTIONED THAT YOU YOU PASSED OUT AS WELL CAN YOU TELL ME A LITTLE BIT ABOUT A LITTLE BIT ABOUT THAT
audio/RES0176.mp3[145.000,173.000]	YEAH UH IT JUST HAPPENED TWO OR THREE DAYS AGO AND I WAS JUST I WASI WASNT REALLY DOING MUCH I WAS I GUESS JUST LIKE GOING UP THE STAIRS AND WHEN I GOT TO THE TOP I JUST KIND OF SUDDENLY COLLAPSED AND THEN I GOT BACK UP
audio/RES0176.mp3[173.000,176.640]	WERE YOU REALLY SHORT OF BREATH AT THE TOP OF THE STAIRS
audio/RES0176.mp3[176.640,186.240]	I FELT LIKE MY HEART WAS LIKE BEATING KIND OF FAST AND I FELT LITTLE BIT DIZZY
audio/RES0176.mp3[186.240,192.720]	OK SEE WHERE YOU SWEATY AT THE TIME AS WELL
audio/RES0176.mp3[192.720,195.960]	I DONT REMEMBER MAYBE
audio/RES0176.mp3[195.960,204.560]	OK DID YOU FEEL LIKE YOU WERE GOING TO PASS OUT
audio/RES0176.mp3[208.560,215.840]	OK HAS ANYTHING LIKE THAT HAPPENED TO YOU BEFORE
audio/RES0176.mp3[215.840,217.720]	NO NO
audio/RES0176.mp3[217.720,224.240]	OK AND DID YOU BITE YOUR TONGUE DURING THIS OR
audio/RES0176.mp3[225.800,233.560]	OK AND DID YOU WET YOURSELF AT ALL LIKE PEE YOUR PANTS OR ANYTHING LIKE THAT
audio/RES0176.mp3[235.240,240.440]	OK AND HOW LONG DID IT LAST FOR
audio/RES0176.mp3[240.440,253.800]	MAYBE A COUPLE OF SECONDS ITS YEAH I DONT KNOW I I CANT REALLY TELL I WAS ALONE AT HOME AT THE TIME AND ID LIKE I COULDNT TELL HOW LONG IT TOOK FOR ME TO GET BACK UP
audio/RES0176.mp3[253.800,263.200]	OK YOU PICTURE THAT YOUR HEART WAS RACING DID IT FEEL LIKE IT WAS LIKE DID YOU HAVE HEART PALPITATIONS OR IS YOUR HEART BEATING REALLY FAST
audio/RES0176.mp3[263.200,269.400]	YEAH IT WAS
audio/RES0176.mp3[269.400,280.800]	OK AND DID YOU HIT YOUR HEAD OR OR HURT YOURSELF WHEN YOU FELL
audio/RES0176.mp3[280.800,282.480]	NO NO
audio/RES0176.mp3[282.480,296.160]	OK AND RECENTLY HAVE YOU BEEN OTHERWISE FEELING WELL OR IF YOU HAD ANY VIRAL INFECTIOUS SYMPTOMS LIKE RED EYES OR ITCHY EYES OR RUNNY NOSE SORE THROAT
audio/RES0176.mp3[297.280,304.000]	OK NOTHING LIKE THAT AND HAVE YOU HAD A COUGH
audio/RES0176.mp3[305.400,309.720]	OK AND HAVE YOU HAD ANY WHEEZING
audio/RES0176.mp3[311.880,314.440]	AND IF YOU HAD ANY CHEST PAIN
audio/RES0176.mp3[316.280,329.280]	OK HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOU WERE HAVING HEART PALPITATIONS AT ANY OTHER TIMES AND NOT JUST DURING THE TIME THAT YOU HAD THE FAINTING EPISODE
audio/RES0176.mp3[329.280,339.200]	UM I KIND OF DID WHEN I WAS WHEN I WAS LIKE RUNNING OUTSIDE BUT I JUST THOUGHT MAYBE MAYBE I WAS EXERTING MYSELF TOO MUCH
audio/RES0176.mp3[339.200,347.200]	I SEE ALRIGHT AND ANY CHEST PAIN
audio/RES0176.mp3[349.880,353.640]	AND UH OK HAVE YOU HAD ANY ANY NAUSEA OR VOMITING
audio/RES0176.mp3[354.840,358.280]	ANY ABDOMINAL PAIN
audio/RES0176.mp3[361.720,365.480]	ANY URINARY PROBLEMS
audio/RES0176.mp3[365.680,369.800]	OK ANY MUSCLE ACHES OR BODY PAINS
audio/RES0176.mp3[371.560,373.400]	ANY FEVERS OR CHILLS
audio/RES0176.mp3[374.720,378.560]	HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT IN THE LAST SEVERAL MONTHS
audio/RES0176.mp3[379.400,382.560]	HAVE YOU HAD ANY CHANGES TO YOUR APPETITE
audio/RES0176.mp3[383.160,391.880]	AND HAVE YOU NOTICE ANY SKIN CHANGES LIKE RASHES OR OR ANYTHING LIKE THAT
audio/RES0176.mp3[393.640,401.560]	OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0176.mp3[401.560,404.960]	NO IVE BEEN VERY HEALTHY
audio/RES0176.mp3[404.960,412.120]	OK I DO YOU SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER
audio/RES0176.mp3[412.120,433.640]	UHM I JUST TAKE SOME PUFFERS FOR ASTHMA BUT I HAVENT HAD ASTHMA IN AWHILE I ACTUALLY THOUGHT MAYBE MY ASTHMA WAS GETTING WORSE OVER THE PAST TWO THREE MONTHS I DIDNT REALLY I JUST I DIDNT THINK TOO MUCH OF IT BUT THEN WHEN I FAINTED I WAS JUST KIND OF SCARED
audio/RES0176.mp3[433.640,442.640]	YEAH FOR SURE UMM CERTAINLY WOULD BE FRIGHTENING OK AND DO YOU USE THE INHALER EVERYDAY
audio/RES0176.mp3[442.640,455.120]	NO I USED TO WHEN I WAS YOUNG I DIDNT HAVE ASTHMA FOR A COUPLE OF YEARS FOR LIKE ID SAY 20 YEARS OR SO SO THEN I STOPPED TAKING INHALERS
audio/RES0176.mp3[455.120,459.240]	OK SO YOU HAVENT USED THEM RECENTLY
audio/RES0176.mp3[460.280,463.760]	AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENTAL
audio/RES0176.mp3[464.840,473.800]	OK AND IF YOU HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0176.mp3[475.360,479.720]	OK AND HAVE YOU BEEN PREGNANT IN THE PAST
audio/RES0176.mp3[479.720,489.960]	UHM I I WAS YEAH I HAVE A SON ABOUT EIGHT YEARS AGO HE WAS BORN EIGHT YEARS AGO
audio/RES0176.mp3[489.960,495.960]	OK WAS THIS A VAGINAL DELIVERY OR A CSECTION
audio/RES0176.mp3[497.520,505.440]	AND ANY COMPLICATIONS EITHER DURING PREGNANCY OR DELIVERY OR AFTERWARDS
audio/RES0176.mp3[505.440,508.040]	OH NO EVERYTHING WAS GOOD NO PROBLEMS
audio/RES0176.mp3[508.040,518.400]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH
audio/RES0176.mp3[518.400,527.080]	YEAH IM LIVING WITH MY HUSBAND AND MY SON WE LIVE IN A HOUSE ABOUT 30 MINUTES FROM HERE
audio/RES0176.mp3[527.080,530.160]	OK UH HAS ANYBODY BEEN SICK IN THE HOUSE
audio/RES0176.mp3[530.160,534.160]	NO EVERYONES BEEN WELL
audio/RES0176.mp3[534.160,536.200]	ALRIGHT HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0176.mp3[538.640,546.800]	OK ANY EXPOSURES IN THE HOUSE LIKE CARPETS OR RUGS OR ITS LIKE LIKE THINGS LIKE THAT
audio/RES0176.mp3[546.800,558.920]	WE DO HAVE CARPETS BUT I MEAN I I DONT THINK THATS A PROBLEM LIKE WEVE HAD IT FOR LIKE YEARS AND WEVE HAD THE SAME CARPETS FOR YEARS AND YEARS
audio/RES0176.mp3[558.920,568.120]	OK I SEE AND ARE YOU WORKING CURRENTLY OR OR AT HOME
audio/RES0176.mp3[568.120,574.560]	YEAH IM AT HOME BUT I WORK FROM HOME IM A WRITER
audio/RES0176.mp3[574.560,578.120]	OK COOL YEAH I DO YOU SMOKE CIGARETTES
audio/RES0176.mp3[578.480,583.680]	DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS
audio/RES0176.mp3[584.640,587.560]	OK AND DO YOU DRINK ALCOHOL
audio/RES0176.mp3[587.560,594.600]	I DO ILL JUST DRINK ON THE WEEKENDS
audio/RES0176.mp3[594.600,598.800]	OK AND I LIKE HOW MANY DRINKS WOULD YOU TYPICALLY HAVE IN A WEEK
audio/RES0176.mp3[598.800,603.520]	UHM NOT MUCH ID SAY ONE OR TWO GLASSES OF WINE
audio/RES0176.mp3[603.520,606.040]	OK DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0176.mp3[613.440,628.360]	OK AND LIKE YOU SAID YOURE A WRITER CURRENTLY IN THE PAST DID YOU WORK ANY JOBS WHERE YOU WERE EXPOSED TO ASBESTOS OR LIKE ANY CHEMICALS OR FUMES IN THE AIR
audio/RES0176.mp3[628.360,631.440]	NO NO I HAVENT
audio/RES0176.mp3[631.440,636.560]	OK AND IN THE FAMILY IS THERE IS THERE ANYBODY WHO HAS ANY HEART OR LUNG CONDITIONS
audio/RES0176.mp3[637.120,640.760]	HOW ABOUT ANY CLOTTING DISORDERS OR OR CANCERS
audio/RES0176.mp3[640.760,651.360]	UHM PROSTATE CANCER MY UNCLE HAD IT
audio/RES0176.mp3[651.360,674.240]	I SEE OK SO IT SOUNDS LIKE OVER THE LAST LITTLE MONTH YOUVE BEEN HAVING SOME MORE SHORT SHORTNESS OF BREATH AS WELL AS WELL THIS FAINTING EPISODE MORE RECENTLY SO WE WILL WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD
audio/RES0176.mp3[674.240,679.080]	HUM NO
audio/RES0176.mp3[679.080,723.080]	ALRIGHT SO WE WILL DO SOME PULMONARY FUNCTION TESTING AND GET SOME IMAGING OF YOUR LUNGS TODAY AS WELL AS AN ECG AND MAYBE A MONITOR FOR YOUR HEART AS WELL TO JUST CHECK YOUR HEART RACING FOR THE NEXT 48 HOURS MENTIONING THAT YOUR HEART WAS RACING AND SO TO RULE OUT THAT ANY ABNORMAL RHYTHMS OF YOUR HEART OR TO CHECK FOR THAT AND WE WILL KIND OF GO FROM THERE DID YOU HAVE ANY QUESTIONS
audio/RES0087.mp3[0.000,2.480]	WHAT BRINGS YOU IN
audio/RES0087.mp3[2.480,25.040]	YEAH IM JUST COMING IN WITH MY SON HES BEEN HAVING HES BEEN COMPLAINING OF JUST SEEMS LIKE PAIN IN HIS RIGHT EAR FOR THE LAST I WOULD SAY THREE TO FOUR DAYS AND IT SEEMS LIKE HES JUST MORE IRRITABLE JUST NOT HIMSELF RIGHT NOW
audio/RES0087.mp3[25.040,30.280]	YEAH OK SO HOW LONG DID YOU SAY HES HAD THIS EAR PAIN
audio/RES0087.mp3[30.280,31.720]	I WOULD SAY FOUR DAYS NOW
audio/RES0087.mp3[31.720,39.920]	FOUR DAYS OK HAVE YOU NOTICED ANY HEARING LOSS
audio/RES0087.mp3[39.920,43.840]	UH NO HE STILL RESPONDS WHEN I CALL HIS NAME
audio/RES0087.mp3[43.840,50.360]	OK AND HAVE YOU NOTICED ANY FLUID COMING OUT OF HIS EARS
audio/RES0087.mp3[50.360,54.320]	UH NO I DONT THINK SO
audio/RES0087.mp3[54.320,59.360]	IS IT MORE LIKE ONE SIDE OF HIS EARS OR IS IT BOTH EARS
audio/RES0087.mp3[59.360,61.080]	ITS JUST HIS RIGHT EAR
audio/RES0087.mp3[61.080,68.200]	JUST HIS RIGHT EAR OK AND HAVE YOU NOTICED THAT ITS LIKE SWOLLEN RED OR WARM
audio/RES0087.mp3[68.200,73.960]	UH NO I DONT SEE ANY SWELLING OR REDNESS AT ALL
audio/RES0087.mp3[73.960,79.840]	OK OK GOOD AND HAVE YOU TAKEN A LOOK INSIDE HIS EARS
audio/RES0087.mp3[79.840,88.520]	YEAH I TRIED TO TAKE A LOOK WITH A FLASHLIGHT I COULDNT REALLY SEE TOO MUCH
audio/RES0087.mp3[88.520,95.440]	OK YEAH THATS FAIR AND YOU MENTIONED HES HAD A RUNNY NOSE TOO WHEN DID THAT START
audio/RES0087.mp3[95.440,117.680]	YEAH SO THAT KIND OF LIKE LAST WEEK HE WAS RECOVERING FROM I THINK IT WAS JUST A COLD AND HE HAD A RUNNY NOSE AND JUST WAS A BIT CONGESTED BUT THEN OVER THE LAST WEEK IT KIND OF JUST RESOLVED BUT THEN THIS WEEK HE STARTED HAVING JUST THIS EAR PAIN
audio/RES0087.mp3[117.680,123.000]	OK ANY FEVERS
audio/RES0087.mp3[123.000,131.960]	UH NO NOT THAT I I HAVENT MEASURED ANYTHING AND HE HASNT MENTIONED ANY LIKE HE HASNT FELT COLD OR ANYTHING LIKE THAT
audio/RES0087.mp3[131.960,135.600]	OK ANY WEIGHT LOSS OVER THE PAST MONTH OR SO
audio/RES0087.mp3[136.560,142.560]	NO ANY CHANGE IN HIS HAIR OR NAILS LIKE RASHES OR SORRY OR SKIN
audio/RES0087.mp3[142.560,146.040]	YEAH NO I HAVENT SEEN ANY CHANGES IN THE SKIN
audio/RES0087.mp3[146.040,151.760]	OK ANY CHANGES IN HIS VISION OR SMELL OR TASTE
audio/RES0087.mp3[153.400,155.600]	NO OK HIS RUNNY NOSE WHAT COLOR IS IT
audio/RES0087.mp3[155.600,169.240]	IT WAS MAINLY UH IT SEEMED TO ME LIKE IT WAS MAINLY CLEAR WHEN IT WAS HAPPENING LIKE HE WASNT BRINGING UP ANY YELLOW OR GREEN MATERIAL
audio/RES0087.mp3[169.240,178.960]	OK GOOD DOES HE HAVE A SORE THROAT AT ALL
audio/RES0087.mp3[178.960,187.920]	NO NOT THAT HES TOLD ME HES STILL EATING THINGS AND I DONT THINK HES HAVING ANY TROUBLE WITH EATING ANYTHING SO I DONT THINK SO
audio/RES0087.mp3[187.920,192.920]	OK THATS GOOD HAS HE HAD A COUGH
audio/RES0087.mp3[192.920,214.960]	UHM ACTUALLY HE DID HE DID START COUGHING LIKE YESTERDAY BUT JUST A FEW TIMES A DAY I DONT KNOW IF ITS BECAUSE OF THIS OR LIKE WHAT ELSE MIGHT BE GOING ON
audio/RES0087.mp3[214.960,219.880]	OK AND YOU SAID FOR THE PAST FEW DAYS HES HAD THE COUGH
audio/RES0087.mp3[219.880,222.680]	YEAH I THINK JUST MAYBE STARTED YESTERDAY
audio/RES0087.mp3[222.680,228.360]	STARTED YESTERDAY OK IS IT A DRY COUGH OR IS IT IS HE BRINGING UP ANY PHLEGM
audio/RES0087.mp3[228.360,237.320]	NO IT SEEMS TO BE JUST DRY I THINK I JUST NOTICED IT LIKE THREE OR FOUR TIMES DURING THE DAY YESTERDAY
audio/RES0087.mp3[237.320,240.560]	OK SO NO BLOOD THAT HES BRINGING UP RIGHT
audio/RES0087.mp3[240.560,242.160]	NO NO
audio/RES0087.mp3[242.160,246.440]	OK AND DOES HE HAVE ANY SHORTNESS OF BREATH
audio/RES0087.mp3[246.440,247.120]	NO NO
audio/RES0087.mp3[247.120,250.600]	NO OK ANY WHEEZING
audio/RES0087.mp3[250.600,251.960]	NO NO WHEEZING
audio/RES0087.mp3[251.960,254.480]	NO CHEST PAIN
audio/RES0087.mp3[255.520,260.200]	OK UHM ANY NAUSEA OR VOMITING
audio/RES0087.mp3[260.200,262.400]	NO NAUSEA OR VOMITING
audio/RES0087.mp3[262.400,265.880]	ANY CHANGES TO HIS BOWEL MOVEMENTS
audio/RES0087.mp3[268.400,274.200]	NO OK AND HOW ABOUT URINE IS THAT NORMAL
audio/RES0087.mp3[274.200,276.880]	YEAH UH NO CHANGES AT ALL
audio/RES0087.mp3[276.880,279.640]	ANY HEADACHES
audio/RES0087.mp3[279.640,283.560]	NOT THAT HES TOLD ME ABOUT
audio/RES0087.mp3[283.560,286.760]	OK DIZZINESS OR FAINTING SPELLS
audio/RES0087.mp3[287.000,292.800]	FEELING LIKE HES OFF BALANCE OR LOST COORDINATION
audio/RES0087.mp3[292.800,294.680]	NO I DONT THINK SO
audio/RES0087.mp3[294.680,298.280]	NO OK NO NUMBNESS NO TINGLING
audio/RES0087.mp3[299.640,306.240]	HAS HE HAD ANY CONTACTS WITH SICK PEOPLE RECENTLY
audio/RES0087.mp3[306.240,312.320]	UHM NO I DONT THINK ANYONES BEEN SICK AROUND HIM
audio/RES0087.mp3[312.320,316.560]	OK AND HAS HE TRAVELED TO ANYWHERE RECENTLY
audio/RES0087.mp3[316.560,321.160]	UH NO LIKE HES MAINLY JUST BEEN INSIDE HIS HOME
audio/RES0087.mp3[321.160,325.160]	OK HAS HE EVER HAD EAR PAIN BEFORE
audio/RES0087.mp3[325.160,339.720]	HE DID HAVE A SIMILAR PAIN I THINK WHEN HE WAS LIKE AROUND THREE YEARS OLD BUT IT HAPPENED WITH HIS LEFT LEFT EAR NOT THE RIGHT ONE
audio/RES0087.mp3[339.720,346.120]	OK WAS HE PRESCRIBED ANY MEDICATIONS
audio/RES0087.mp3[346.120,370.000]	UH YEAH HE WAS GIVEN A LIKE A COURSE OF ANTIBIOTICS AT THAT TIME I FORGOT WHAT IT WAS CALLED BUT I THINK AT THAT TIME IT WAS MUCH WORSE LIKE HE I DONT KNOW IF HE WAS JUST YOUNGER AND COULDNT TOLERATE IT BUT I THINK HE ALSO HAD A FEVER AT THAT TIME
audio/RES0087.mp3[370.000,376.760]	OK OK AND THEN ANY OTHER EAR INFECTIONS OUTSIDE OF THAT ONE TIME
audio/RES0087.mp3[376.760,383.640]	NO I THINK THAT ONLY THAT ONE I CAN RECALL
audio/RES0087.mp3[383.640,388.000]	OK ALRIGHT IS HE OTHERWISE HEALTHY
audio/RES0087.mp3[388.000,393.800]	YEAH OTHERWISE HES HEALTHY NO OTHER CONDITIONS OR ANYTHING LIKE THAT
audio/RES0087.mp3[393.800,397.120]	NO HOSPITALIZATIONS OR SURGERIES
audio/RES0087.mp3[397.440,402.280]	AND IS HE ON ANY MEDICATIONS
audio/RES0087.mp3[402.280,404.360]	NO MEDICATIONS
audio/RES0087.mp3[404.360,409.200]	OK IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0087.mp3[409.200,412.320]	YEAH ALL HIS IMMUNIZATIONS ARE GOOD
audio/RES0087.mp3[412.320,413.760]	OK ANY ALLERGIES
audio/RES0087.mp3[413.760,418.400]	NOT THAT WE KNOW OF SO FAR
audio/RES0087.mp3[418.400,424.120]	AND ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0087.mp3[424.120,436.680]	NO LUNG OR HEART CONDITIONS JUST HIS FATHER DOES HAVE LIKE CELIAC DISEASE SO I DONT KNOW IF THATS RELATED AT ALL
audio/RES0087.mp3[436.680,439.600]	OK HOW OLD WAS HE WHEN WAS DIAGNOSED WITH CELIAC
audio/RES0087.mp3[439.600,446.200]	FAIRLY YOUNG I WOULD SAY IN HIS 20S
audio/RES0087.mp3[446.200,470.240]	OK OK UHM ALRIGHT WELL KEEP AN EYE ON IT IN HIM LIKE IF HE HAS ANY CHANGES IN HIS BOWEL MOVEMENTS OR IF HES GETTING SEVERE ABDOMINAL PAIN AFTER EATING CERTAIN FOODS WITH GLUTEN YOU CAN GET HIM CHECKED UP FOR THAT AS WELL
audio/RES0087.mp3[473.480,480.320]	YEAH AND THEN IN TERMS OF WHERE HE LIVES DOES HE LIVE WITH YOU AND YOUR PARTNER
audio/RES0087.mp3[480.320,490.640]	YEAH SO ITS JUST HES AN ONLY CHILD LIVES WITH ME AND MY HUSBAND AND ALSO WE HAVE LIKE A PET DOG
audio/RES0087.mp3[490.640,497.120]	OK DO YOU LIVE IN AN APARTMENT OR IN A HOUSE
audio/RES0087.mp3[497.120,502.440]	WE LIVE IN A ITS LIKE A CONDOMINIUM
audio/RES0087.mp3[502.440,510.600]	OK OK ANY OLD CARPET MOLD OR ASBESTOS IN THE BUILDING
audio/RES0087.mp3[510.600,519.680]	NO NO NOTHING LIKE THAT ITS FAIRLY WELL KEPT
audio/RES0087.mp3[519.680,531.880]	OK AND IS HE OTHERWISE LIKE DEVELOPMENTALWISE HES OK THERES NO PAST HISTORY OF LIKE DEVELOPMENTAL DISORDERS ANYTHING LIKE THAT
audio/RES0087.mp3[531.880,543.760]	NO NO ISSUES FROM LIKE WHEN HE WAS YOUNGER LIKE NO COMPLAINTS AT ALL I THINK HE WAS DOING THE SAME AS EVERY OTHER CHILD
audio/RES0087.mp3[543.760,552.960]	OK NO COMPLICATIONS DURING YOUR PREGNANCY WITH HIM NO COMPLICATIONS DURING THE ACTUAL DELIVERY AND THEN WHEN HE WAS A NEWBORN
audio/RES0087.mp3[552.960,566.600]	UH NO NO COMPLICATIONS IT WAS JUST A VAGINAL BIRTH AT 39 WEEKS AND WE DIDNT NEED TO STAY IN THE HOSPITAL AT ALL AFTERWARDS
audio/RES0087.mp3[566.600,577.560]	OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0087.mp3[577.560,588.480]	YEAH I DONT KNOW IF UH LIKE LAST TIME WE DID GET SOME ANTIBIOTICS I DONT KNOW IF HE NEEDS THEM RIGHT NOW OR WHAT WOULD YOU RECOMMEND
audio/RES0087.mp3[588.480,667.680]	YEAH UHM SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE I CAN COME UP WITH LIKE A MANAGEMENT PLAN FOR HIM SO ONCE I DO IF I SEE UHM IF HIS TYMPANIC MEMBRANE HAS BEEN PERFORATED OR I SEE PUS IN THERE WELL PRESCRIBE HIM LIKE 10 DAYS OF ANTIBIOTICS WE CAN GIVE HIM EITHER AMOXICILLIN OR IF HE HAS BAD REACTIONS TO PENICILLINS  WE CAN GIVE HIM CEFUROXIME AND THEN IF UH IT DOESNT SEEM TO HAVE ANY SYSTEMIC SYMPTOMS SO IF HE HAS SYSTEMIC SYMPTOMS LIKE FEVER WHICH WELL CHECK FOR TODAY AND IF HES LIKE BEEN REALLY ILL AND HE HAS LIKE A MIDDLE EAR EFFUSION OR BULGING TYMPANIC MEMBRANE AGAIN WELL GIVE HIM ANTIBIOTICS FOR 10 DAYS BUT IF HIS TYMPANIC MEMBRANE IS JUST BULGING A LITTLE BIT OR IF HE HAS SOME MIDDLE EAR EFFUSION BUT NO SYSTEMIC SYMPTOMS LIKE NO FEVERS AND HE SEEMS TO BE FINE OTHERWISE WELL REASSESS HIM IN 24 TO 48 HOURS TO SEE IF HES BETTER AND IF HES NOT AGAIN WILL PRESCRIBE HIM ANTIBIOTICS HOW DOES THAT SOUND
audio/RES0087.mp3[667.680,668.960]	YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0087.mp3[668.960,675.640]	OK YEAH NO WORRIES
audio/RES0011.mp3[0.000,4.120]	COULD YOU START WITH TELLING ME WHAT BROUGHT YOU IN TODAY
audio/RES0011.mp3[4.120,32.280]	HI IVE JUST BEEN BEEN SO LIKE WEAK AND SO TIRED I JUST I CANT I CANT SEEM TO LIKE GET OFF THE COUCH LIKE ILL GET UP FROM MY BED AND GO LAY ON THE COUCH AND THEN YOU KNOW I MIGHT BE ABLE TO GET SOMETHING TO EAT BUT I JUST I GET SO TIRED SO FAST AND I DONT KNOW I DONT KNOW WHATS WRONG
audio/RES0011.mp3[32.280,36.160]	OK WHEN DID THESE SYMPTOMS START
audio/RES0011.mp3[36.160,48.320]	UM LIKE IVE BEEN FEELING PRETTY TIRED FOR LIKE A WEEK BUT LIKE THIS BAD FOR LIKE MAYBE FOUR DAYS
audio/RES0011.mp3[48.320,62.440]	OK UM AND SO IT SOUNDS LIKE YOU HAVENT BEEN GOING TO WORK OR LIKE ANYTHING LIKE THAT BECAUSE YOU HAVE BEEN SO KIND OF TIRED AND WEAK
audio/RES0011.mp3[62.440,86.040]	YEAH I MEAN AT FIRST I WAS ALREADY KIND OF WORKING IM IM A TRUCK DRIVER SO YOU KNOW ONCE YOU START THE JOB YOU KIND OF HAVE TO FINISH THAT I WAS SUPPOSED TO GO ON ANOTHER ANOTHER TRIP LIKE 4 DAYS AGO AND I JUST COULDNT I HAD TO CALL MY BOSS AND SAY THAT I CANT
audio/RES0011.mp3[86.040,97.480]	OK UM HAVE YOU HAD ANY LIKE SPECIFIC MUSCLE WEAKNESS LIKE IN YOUR LEGS OR OR IN YOUR ARMS OR WOULD YOU SAY ITS OVERALL LIKE A GENERAL WEAKNESS
audio/RES0011.mp3[97.480,105.120]	ITS JUST EVERYWHERE ITS ITS NOT LIKE I CANT MOVE IM JUST REALLY REALLY TIRED
audio/RES0011.mp3[105.120,110.640]	OK AND HOW HOW HAVE YOU BEEN SLEEPING
audio/RES0011.mp3[110.640,122.400]	I MEAN IVE JUST BEEN SLEEPING LIKE ALL THE TIME I HAVE BEEN SLEEPING ALL NIGHT AND THEN LIKE I SAID I GET UP AND I GO TO THE COUCH AND LIKE JUST FALL BACK ASLEEP
audio/RES0011.mp3[122.400,128.880]	OK UH HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS
audio/RES0011.mp3[128.880,135.320]	I MEAN MY MY THROAT IS MAYBE A LITTLE SORE BUT NOTHING NOTHING ELSE
audio/RES0011.mp3[135.320,143.120]	OK UH WHEN WHEN DID THE SORE THROAT FIRST START
audio/RES0011.mp3[143.120,153.840]	PROBABLY PROBABLY ABOUT A WEEK AGO ITS NOT REALLY BAD ITS JUST KINDA THERE
audio/RES0011.mp3[153.840,163.200]	OK SO ITS IT STARTED JUST BEFORE UH THE WEAKNESS AND FATIGUE
audio/RES0011.mp3[163.200,165.640]	YEAH AROUND THE SAME TIME
audio/RES0011.mp3[165.640,175.000]	OK UM AND HAVE YOU BEEN HAVING ANY PAIN WITH SWALLOWING
audio/RES0011.mp3[175.000,176.440]	UH I MEAN MAYBE A LITTLE BIT
audio/RES0011.mp3[176.440,182.600]	OK LIKE WITH UH LIKE SOLID FOODS OR LIQUIDS OR BOTH
audio/RES0011.mp3[182.600,197.160]	IT ITS JUST LIKE ITS JUST LIKE ITS A LITTLE A LITTLE TENDER ITS NOT LIKE REALLY ITS NOT LIKE HARD TO SWALLOW OR ANYTHING IT JUST FEELS LIKE ITS LIKE MY THROATS KINDA TIRED
audio/RES0011.mp3[197.160,202.480]	OK HAVE YOU HAD ANY CHANGES TO YOUR VOICE
audio/RES0011.mp3[202.480,210.240]	UH NO I DONT THINK SO I MEAN I LIVE I LIVE ALONE SO I CANT REALLY ASK SOMEONE ELSE IF I HAVE
audio/RES0011.mp3[210.240,214.480]	OK BUT YOUR VOICE SOUNDS THE SAME TO YOU
audio/RES0011.mp3[214.480,217.920]	YEAH I THINK SO
audio/RES0011.mp3[217.920,224.440]	ALRIGHT UM AND SO HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0011.mp3[224.440,229.840]	UM IVE BEEN IVE BEEN FEELING REALLY COLD
audio/RES0011.mp3[229.840,236.920]	OK HAVE YOU HAD ANY UH LIKE SHAKES OR OR RIGORS
audio/RES0011.mp3[236.920,240.840]	IVE BEEN LIKE KIND OF KIND OF SHIVERING
audio/RES0011.mp3[240.840,245.320]	OK HOW ABOUT ANY NIGHT SWEATS
audio/RES0011.mp3[245.320,270.600]	UM YEAH COME TO THINK OF IT LIKE I WAS I WAS WHEN I WAS LAST TRAVELING WITH WHEN I WAS LAST ON IT BECAUSE IM A TRUCK DRIVER I I WAS IN THE STATES I I HAD TO BRING SOMETHING TO OHIO AND I HAD TO CHANGE MY CLOTHES IN THE NIGHT THEY WERE JUST LIKE SO DRENCHED IN SWEAT
audio/RES0011.mp3[270.600,277.520]	OK HAS THAT HAPPENED MORE THAN THAT THAT ONE TIME
audio/RES0011.mp3[277.520,289.840]	MAYBE A COUPLE TIMES THAT IT WASNT AS BAD THAT ONE TIME WAS REALLY BAD BUT HERE AND THERE LIKE I IVE BEEN FEELING PRETTY SWEATY AT NIGHT IN GENERAL
audio/RES0011.mp3[289.840,298.720]	OK AND HAVE YOU HAD ANY UH LIKE DIFFICULTIES BREATHING OR SHORTNESS OF BREATH
audio/RES0011.mp3[298.720,308.480]	NOT REALLY JUST LIKE KIND OF TIRED BUT ITS NOT LIKE HARD TO BREATHE
audio/RES0011.mp3[308.480,313.560]	OK UM HAVE YOU HAD A COUGH
audio/RES0011.mp3[313.560,315.920]	UH NO
audio/RES0011.mp3[315.920,320.920]	OK HOW ABOUT A RUNNY NOSE
audio/RES0011.mp3[320.920,326.760]	MAYBE MAYBE A LITTLE BIT BUT NOT LIKE TOO NOTICEABLE
audio/RES0011.mp3[326.760,331.080]	OK AND WHEN DID THE RUNNY NOSE START
audio/RES0011.mp3[331.080,334.600]	OH ITS ALL LIKE AROUND THE SAME TIME
audio/RES0011.mp3[334.600,340.760]	OK AND HAVE YOU BEEN HAVING ANY HEADACHES
audio/RES0011.mp3[340.760,344.600]	A LITTLE
audio/RES0011.mp3[344.600,352.960]	OK AND THEN HOW ABOUT ANY CHEST PAIN
audio/RES0011.mp3[352.960,357.200]	NO NO NO CHEST PAIN
audio/RES0011.mp3[357.200,361.760]	ALRIGHT AND HOW ABOUT ANY WHEEZING
audio/RES0011.mp3[361.760,366.160]	NO NO I DONT THINK SO
audio/RES0011.mp3[366.160,371.880]	ALRIGHT THEN ANY HEART PALPITATIONS
audio/RES0011.mp3[373.880,380.840]	OK HAVE YOU FELT LIGHTHEADED OR OR LIKE YOU WERE GOING TO PASS OUT OR FAINT
audio/RES0011.mp3[380.840,392.560]	UH NOT LIKE IVE BEEN FEELING REALLY TIRED BUT ITS NOT BEEN LIKE I DONT THINK ITS BEEN LIKE FAINTING
audio/RES0011.mp3[392.560,406.600]	OK SO KIND OF LIKE YOU ARE FATIGUED THAT YOUVE BEEN EXPERIENCING UM HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0011.mp3[406.600,411.840]	I MEAN IM NOT REALLY EATING A LOT SO ITS KIND OF LIKE GURGLING
audio/RES0011.mp3[411.840,416.840]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0011.mp3[416.840,419.560]	UH NO
audio/RES0011.mp3[419.560,424.320]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0011.mp3[426.520,430.720]	ANY BOWEL PROBLEMS
audio/RES0011.mp3[430.720,439.800]	NO I MEAN YOU KNOW I HAVENT BEEN EATING THAT MUCH SO I HAVENT BEEN GOING AS MUCH AS NORMAL BUT ITS I DONT THINK THERES PROBLEMS
audio/RES0011.mp3[439.800,447.280]	OK SO YOU HAVENT HAD ANY DIARRHEA
audio/RES0011.mp3[448.600,454.000]	OK UM AND HAVE YOU HAD ANY SKIN RASHES
audio/RES0011.mp3[454.000,456.280]	NO NOT THAT IVE NOTICED
audio/RES0011.mp3[456.280,464.040]	OK AND UM HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR JOINT ACHES
audio/RES0011.mp3[464.040,471.600]	I MEAN I FEEL KIND OF ACHY ALL OVER BUT NOT IN LIKE ONE PARTICULAR SPOT
audio/RES0011.mp3[471.600,480.920]	OK AND IN TERMS OF YOUR PAST HEALTH HAVE YOU BEEN IS THERE ANY REASON YOU YOU SEE A DOCTOR REGULARLY
audio/RES0011.mp3[480.920,499.400]	OH OH YEAH LIKE I HAVE I HAVE HIGH BLOOD PRESSURE AND DIABETES YEAH THATS THATS PRETTY WELL IT BUT YEAH THOSE TWO THINGS OH AND I TAKE A MEDICATION FOR MY PROSTATE
audio/RES0011.mp3[499.400,509.640]	OH OK UM AND DO YOU TAKE MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES
audio/RES0011.mp3[509.640,547.040]	I YEAH YEAH I UM OH GEEZ WHATS IT CALLED I TAKE RAMIPRIL AND I TAKE METFORMIN I WAS ON INSULIN BUT I PRETTY WELL I JUST HAVE BEEN ABLE TO EAT WELL SO IM NOT TAKING IT NOW AND THEN UH I CANT REMEMBER THE UH THE PROSTATE ONE LIKE TAM TAM SOMETHING
audio/RES0011.mp3[547.040,550.480]	OK MAYBE TAMSULOSIN
audio/RES0011.mp3[550.480,552.320]	THAT SOUNDS RIGHT YEAH
audio/RES0011.mp3[552.320,561.520]	OK I CAN CHECK ON THE CHART AS WELL TO CONFIRM UM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0011.mp3[563.240,568.880]	ALRIGHT AND ANY RECENT HOSPITALIZATIONS
audio/RES0011.mp3[568.880,572.360]	NO NO IVE BEEN PRETTY GOOD
audio/RES0011.mp3[572.360,577.600]	OK AND ANY SURGERIES
audio/RES0011.mp3[577.600,590.880]	UH NOT FOR A REALLY LONG TIME I I HAD MY GALLBLADDER OUT LIKE 20 YEARS AGO YEAH THATS IT
audio/RES0011.mp3[590.880,601.000]	OK UM AND HAS ANYTHING LIKE THIS HAPPENED TO YOU OR ANY OF YOUR FAMILY MEMBERS BEFORE SUDDENLY THEY START STARTED TO FEEL FATIGUE LIKE THIS
audio/RES0011.mp3[601.000,616.760]	I DONT THINK SO I MEAN WEVE ALL LIKE YOU KNOW CAUGHT COLDS AND YOU KNOW STUFF LIKE BUGS AND STUFF BUT NOT NOT QUITE LIKE THIS LIKE I CAN BARELY GET UP
audio/RES0011.mp3[616.760,625.480]	OK ANYBODY IN THE FAMILY HAVE A HISTORY OF HEART DISEASE OR CARDIOVASCULAR DISEASE
audio/RES0011.mp3[625.480,634.080]	MY DAD HAD HIGH BLOOD PRESSURE THATS IT
audio/RES0011.mp3[634.080,640.440]	OK ANYBODY IN THE FAMILY HAVE CANCER
audio/RES0011.mp3[640.440,645.040]	MY MOM MY MOM HAD BREAST CANCER
audio/RES0011.mp3[645.040,659.360]	OK AND YOU TOLD ME THAT THAT YOU WORK AS A TRUCKER SO YOU WERE OVER IN THE STATES IT SOUNDS LIKE HOW RECENTLY WERE YOU IN THE UNITED STATES
audio/RES0011.mp3[659.360,668.000]	THAT WAS LIKE ABOUT A WEEK AGO I PROBABLY GOT BACK FIVE OR SIX DAYS AGO
audio/RES0011.mp3[668.000,670.400]	OK DO YOU TRAVEL THERE OFTEN
audio/RES0011.mp3[670.400,676.000]	OH YEAH YEAH I MEAN THATS YOU KNOW THE ROUTE THAT I USUALLY TAKE
audio/RES0011.mp3[676.000,687.720]	OK UH ANY ANYBODY YOU INTERACTED WITH THAT WAS SICK DO YOU BELIEVE
audio/RES0011.mp3[687.720,718.320]	I DONT I DONT REALLY INTERACT WITH WITH MANY PEOPLE I KIND OF JUST GO THERE AND UM AND THEN YOU KNOW I STAYED IN A HOTEL BUT YOU KNOW I DIDNT REALLY SEE ANYONE BESIDES LIKE THE LADY THAT WORKS THERE AND MAYBE YOU KNOW THE PEOPLE AT THE MCDONALDS LIKE COUNTER I DIDNT I DIDNT LIKE SEE ANYONE THAT I KNOW THAT I SAT WITH FOR A LONG TIME OR ANYTHING
audio/RES0011.mp3[718.320,727.400]	OK BUT YOU GOT HOME ABOUT FIVE OR SIX DAYS AGO UM YEAH AND WHO ARE YOU LIVING WITH CURRENTLY
audio/RES0011.mp3[727.400,729.680]	JUST ME
audio/RES0011.mp3[729.680,736.920]	OK AND DO YOU DRINK ALCOHOL
audio/RES0011.mp3[736.920,741.440]	OH NO NO I USED TO A LITTLE BIT BUT NOT NOT ANYMORE
audio/RES0011.mp3[741.440,748.120]	OK AND HOW ABOUT CIGARETTES DO YOU SMOKE CIGARETTES
audio/RES0011.mp3[748.120,750.640]	I QUIT UM 10 YEARS AGO
audio/RES0011.mp3[754.000,763.960]	I SMOKED I SMOKED PROBABLY LIKE 12 A PACK A DAY FOR FOR A WHILE MAYBE 20 YEARS
audio/RES0011.mp3[763.960,768.160]	OK BUT YOU QUIT OVER 10 YEARS AGO
audio/RES0011.mp3[768.160,770.920]	UH ABOUT 10 YEARS AGO YEAH
audio/RES0011.mp3[770.920,773.920]	OK AND DO YOU SMOKE MARIJUANA
audio/RES0011.mp3[773.920,776.400]	NO NO
audio/RES0011.mp3[776.400,784.080]	ALRIGHT AND HOW ABOUT ANY OTHER RECREATIONAL DRUG USE INCLUDING THE USE OF IV DRUGS
audio/RES0011.mp3[784.080,787.960]	NO NOTHING LIKE THAT
audio/RES0011.mp3[787.960,792.720]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0011.mp3[792.720,798.360]	NO NO
audio/RES0011.mp3[798.360,807.320]	OK UM AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0011.mp3[807.320,808.440]	NO NO
audio/RES0011.mp3[808.440,820.640]	OK UH AND ARE YOU CURRENTLY IN A IN A RELATIONSHIP
audio/RES0011.mp3[820.640,831.040]	UH NO UH LIKE I HAVE I HAVE A FRIEND THAT I SEE AND WE BOTH UM WE BOTH LOST OUR SPOUSES UM SEVERAL YEARS AGO AND I
audio/RES0011.mp3[831.040,841.320]	MEAN WE WE SEE EACH OTHER AND LIKE WE LIVE IN THE SAME APARTMENT BUILDING AND OFTEN HAVE MEALS TOGETHER BUT WERE JUST LIKE FRIENDS
audio/RES0011.mp3[842.120,847.080]	BUT THATS THE PERSON THAT WOULD CHECK ON ME IF I NEEDED IT
audio/RES0011.mp3[847.080,891.960]	OK THATS GREAT IT SOUNDS LIKE YOU HAVE SOME GOOD SUPPORT NEARBY IM SORRY TO HEAR ABOUT YOUR WIFE BUT I THINK THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK ON THE THE HISTORY TODAY SO NEXT I WERE GONNA ORDER SOME SOME LAB WORK FOR SURE TO START WITH THEN AND MAYBE WELL GO FROM THERE SO WELL GIVE YOU SOME FLUIDS AND MAYBE SOME TYLENOL AND WE WILL SEE WHAT THE LAB WORK SHOWS
audio/RES0011.mp3[891.960,895.640]	OK THANK YOU
audio/RES0011.mp3[895.640,905.680]	OH YOURE WELCOME
audio/RES0026.mp3[0.000,5.600]	I WAS WONDERING IF WE COULD START WITH YOU TELLING US WHAT BROUGHT YOU IN
audio/RES0026.mp3[5.600,25.880]	SURE IVE HAD THIS TERRIBLE HEADACHE FOR THE PAST FOUR DAYS DOESNT SEEM TO BE GETTING ANY BETTER AND I FEEL HOT LIKE I HAVE A FEVER IVE BEEN COUGHING A LOT SO I AM IM WORRIED I HAVE COVISO IM HERE
audio/RES0026.mp3[25.880,33.520]	OK SO ILL START WITH THE HEADACHES WHEN DID WHEN DID THAT EXACTLY STARTED
audio/RES0026.mp3[33.520,55.240]	UH THE HEADACHE STARTED OK SO THE COUGHING STARTED FOUR DAYS AGO THE HEADACHE STARTED SHORTLY AFTER SO I WOULD SAY LATER ON DURING THAT DAY AND THEN THE FEVER IVE HAD FOR FEVER I THINK IVE HAD FOR THE PAST TWO DAYS I HAVENT ACTUALLY TAKEN MY TEMPERATURE THOUGH
audio/RES0026.mp3[55.240,64.760]	OK UM SO UH THE COUGH IS STARTED FOUR DAYS AGO HAS THE COUGH GOTTEN BETTER WORSE OR STAYED THE SAME
audio/RES0026.mp3[64.760,67.560]	THE COUGH HAS STAYED THE SAME
audio/RES0026.mp3[67.560,74.120]	OK ARE YOU BRINGING UP ANY PHLEGM OR SPUTUM WITH THE COUGH
audio/RES0026.mp3[74.120,90.520]	UM ITS NOT REALLY PHLEGM BUT SOMETIMES I COUGH UP LIKE BITS OF LIKE YOU KNOW LITTLE BITS THAT LOOK LIKE BLOOD OR SOMETHING
audio/RES0026.mp3[90.520,98.880]	OK SO YOURE SEEING SOME LIKE RED WHEN WHEN YOURE COUGHING UP
audio/RES0026.mp3[99.440,109.200]	OK AND HOW MUCH OF THIS ARE YOU SEEING LIKE IS IT LIKE A TEASPOON AMOUNT OR OR MORE
audio/RES0026.mp3[109.200,120.040]	OH ITS ITS VERY LITTLE ITS LIKE MAYBE A LITTLE BIT BIGGER THAN LIKE THE TIP OF A PENCIL
audio/RES0026.mp3[120.040,129.040]	OH OK ARE YOU OK ARE YOU SEEING THIS ON LIKE KIND OF TISSUES AFTERWARDS SORT OF THING
audio/RES0026.mp3[130.640,136.720]	OK UM AND ANY TRIGGERS FOR THE COUGH YOU CAN THINK OF
audio/RES0026.mp3[136.720,145.600]	NO IT JUST SEEMS TO BE THERE ALL DAY UM DOESNT REALLY GET BETTER WITH ME TRYING TO REST OR NOT
audio/RES0026.mp3[145.600,150.440]	OK AND IS THE COUGH THERE AT NIGHT TIME TOO
audio/RES0026.mp3[150.440,153.400]	YES IT IS DEFINITELY THERE AT NIGHT
audio/RES0026.mp3[153.400,157.640]	OK UM IS IT INTERFERING WITH SLEEP
audio/RES0026.mp3[157.640,162.320]	AH YES I HAVENT BEEN SLEEPING WELL
audio/RES0026.mp3[162.320,169.240]	OK UM AND WITH YOUR COUGH HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING
audio/RES0026.mp3[169.240,171.560]	UM NO
audio/RES0026.mp3[171.560,175.520]	ALRIGHT AND NOW HOW ABOUT ANY WHEEZING
audio/RES0026.mp3[175.520,177.120]	NO WHEEZING
audio/RES0026.mp3[177.120,190.400]	OK AND WITH THIS HEADACHE WHEN IT FIRST CAME ON DID YOU EXPERIENCE A LIKE WORST HEADACHE OF YOUR LIFE OR A THUNDER CLAP SENSATION
audio/RES0026.mp3[190.400,197.800]	NO ITS ITS NOT THAT BAD BUT IT JUST SEEMS TO BE THERE ALL DAY LONG
audio/RES0026.mp3[197.800,203.720]	OK UM HAVE YOU HAD HEADACHES LIKE THIS BEFORE
audio/RES0026.mp3[203.720,208.840]	NO IVE NEVER GOTTEN HEADACHES IN THE PAST
audio/RES0026.mp3[208.840,213.480]	OK UH IS THE HEADACHE ASSOCIATED WITH ANY NAUSEA OR VOMITING
audio/RES0026.mp3[215.280,222.680]	OK AND IS THE HEADACHE WORSE IN THE MORNING WHEN YOU FIRST WAKE UP
audio/RES0026.mp3[224.520,230.160]	OK AND DOES IT HAVE TO GET WORSE IF YOU LIE FLAT
audio/RES0026.mp3[232.280,240.120]	OK AND HAS THIS HEADACHE BEEN GETTING WORSE STAYING THE SAME GETTING BETTER
audio/RES0026.mp3[240.120,243.960]	ITS ITS ABOUT THE SAME
audio/RES0026.mp3[243.960,256.080]	OK UM AND UM AND YOU HAVENT CHECKED THE TEMPERATURE YET YOU SAID BUT YOU FELT HOT
audio/RES0026.mp3[256.080,257.760]	YES THATS RIGHT
audio/RES0026.mp3[257.760,261.720]	OK ANY OTHER SYMPTOMS THAT YOUVE BEEN EXPERIENCING
audio/RES0026.mp3[261.720,265.480]	NOT THAT I CAN THINK OF
audio/RES0026.mp3[265.480,275.680]	OK THERES JUST A FEW OTHERS THAT I WANTED TO ASK ABOUT TO BE COMPREHENSIVE HAVE YOU HAD ANY EYE PAIN OR EAR PAIN
audio/RES0026.mp3[276.960,280.400]	HOW ABOUT ANY DISCHARGE FROM EITHER YOUR EYES OR EARS
audio/RES0026.mp3[280.400,283.280]	NO NOTHING LIKE THAT
audio/RES0026.mp3[283.280,290.920]	ALRIGHT HAVE YOU HAD ANY CHANGES TO EITHER YOUR SENSE OF SMELL OR YOUR SENSE OF TASTE
audio/RES0026.mp3[293.000,296.360]	ALRIGHT AND HAVE YOU HAD A RUNNY NOSE AT ALL
audio/RES0026.mp3[296.360,298.160]	UM NO
audio/RES0026.mp3[298.160,302.360]	AND HOW ABOUT A SORE THROAT
audio/RES0026.mp3[303.920,309.400]	OK AND UM HAVE YOU HAD ANY CHILLS
audio/RES0026.mp3[309.400,310.360]	UM NO CHILLS
audio/RES0026.mp3[310.360,314.160]	HOW ABOUT NIGHT SWEATS
audio/RES0026.mp3[314.160,317.600]	UM NO NOTHING LIKE THAT
audio/RES0026.mp3[317.600,323.240]	I SEE OK AND OVER THE LAST FEW MONTHS HAS YOUR WEIGHT CHANGED
audio/RES0026.mp3[323.240,326.320]	AH NO NOT THAT I NOTICED
audio/RES0026.mp3[326.320,333.680]	OK UM HAVE YOU BEEN FEELING TIRED OR FATIGUED
audio/RES0026.mp3[334.960,340.000]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0026.mp3[340.000,340.680]	UM NO
audio/RES0026.mp3[340.680,348.440]	ALRIGHT AND HOW ABOUT ANY HEART PALPITATIONS
audio/RES0026.mp3[350.240,354.880]	ALRIGHT IN ANY EPISODES OF FEELING REALLY DIZZY OR LIGHTHEADED
audio/RES0026.mp3[356.440,363.680]	OK AND HOW ABOUT ANY FAINTING SPELLS OR FEELING LIKE YOU MIGHT FAINT
audio/RES0026.mp3[363.680,368.080]	NO NOTHING LIKE THAT
audio/RES0026.mp3[368.080,374.080]	OK AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0026.mp3[374.080,377.040]	UM NO NO ABDOMINAL PAIN
audio/RES0026.mp3[377.040,379.360]	ANY DIARRHEA OR CONSTIPATION
audio/RES0026.mp3[382.240,389.240]	HOW ABOUT ANY PAINFUL URINATION OR FEELING AS THOUGH YOU NEED TO URINATE REALLY FREQUENTLY
audio/RES0026.mp3[389.240,393.120]	AH NO NOTHING LIKE THAT
audio/RES0026.mp3[393.120,401.480]	OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT
audio/RES0026.mp3[402.320,409.360]	OK AND HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES OR JUST OVERALL LIKE BODY PAINS
audio/RES0026.mp3[409.360,417.040]	MMM NO NOT THAT I THAT NOT NOT THAT IVE NOTICED NO
audio/RES0026.mp3[417.040,422.440]	OK IS THERE ANYTHING IN REGARDS TO YOUR PAST HEALTH THAT YOU SEE A PHYSICIAN REGULARLY FOR
audio/RES0026.mp3[422.440,447.360]	UM NO AH ACTUALLY I I THINK AT ONE POINT UM I WAS WORKED UP FOR SOMETHING CALLED FAMILIAL HYPERCHOLESTEROLEMIA BECAUSE IT RAN IN THE FAMILY BUT I THINK THOSE RESULTS WERE NORMAL
audio/RES0026.mp3[447.360,452.200]	OK SO DO YOU UM DO YOU TAKE A STATIN MEDICATION THEN
audio/RES0026.mp3[452.200,457.560]	YEAH I TAKE A LOW DOSE STATIN
audio/RES0026.mp3[457.560,465.240]	OK AND WHEN WAS YOUR LAST LIPID PANEL CHECKED
audio/RES0026.mp3[465.240,468.120]	I THINK IT WAS TWO YEARS AGO
audio/RES0026.mp3[468.120,477.160]	I SEE AND UM DO YOU REMEMBER IF THE LDL WAS NORMAL AT THAT TIME
audio/RES0026.mp3[477.160,481.240]	AH YES IT WAS NORMAL
audio/RES0026.mp3[481.240,500.280]	OK BUT SINCE THE IT WAS ABOUT TWO YEARS AGO IT MIGHT BE WORTHWHILE TODAY JUST TO ALSO CHECK A LIPID PANEL JUST TO BE SAFE BUT THATLL BE SOMETHING WE CAN TALK ABOUT THAT MORE SO AT THE END IF THATS OK
audio/RES0026.mp3[500.280,503.440]	SURE YEAH THAT WOULD BE GREAT
audio/RES0026.mp3[503.440,508.680]	OK AND ANY OTHER MEDICAL CONDITIONS
audio/RES0026.mp3[511.560,513.600]	OK HAVE YOU HAD ANY SURGERIES BEFORE
audio/RES0026.mp3[519.640,521.400]	HOW MANY CHILDREN DO YOU HAVE
audio/RES0026.mp3[521.400,524.120]	AH JUST THE ONE
audio/RES0026.mp3[524.120,528.360]	OK AND WERE THERE ANY COMPLICATIONS WITH THE CSECTION
audio/RES0026.mp3[528.360,531.200]	UM NO NO COMPLICATIONS
audio/RES0026.mp3[531.200,536.240]	OK ANY REASONS FOR HOSPITALIZATIONS
audio/RES0026.mp3[538.440,542.760]	OK ANY ALLERGIES TO MEDICATIONS
audio/RES0026.mp3[543.480,551.040]	ALRIGHT ANY MEDICATIONS BESIDES THE STATIN THAT YOU TAKE
audio/RES0026.mp3[554.040,564.120]	OK AND IN REGARDS TO YOUR FAMILY HISTORY HAVE THERE BEEN PEOPLE WHOVE HAD EARLY HEART ATTACKS OR STROKES IN THE FAMILY
audio/RES0026.mp3[565.600,572.440]	OK BUT YOU DO HAVE FAMILIAL HYPERCHOLESTEROLEMIA DO YOU HAVE FAMILY MEMBERS WHO HAVE THAT
audio/RES0026.mp3[572.440,582.680]	YES OK SO MY AUNTS HAD IT AS WELL AS MY MOTHER
audio/RES0026.mp3[582.680,589.800]	OK UM AND HAS THERE BEEN ANY LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0026.mp3[589.800,592.720]	UM NO LUNG CONDITIONS
audio/RES0026.mp3[592.720,598.760]	HOW ABOUT ANY MALIGNANCYS OR OR CANCERS
audio/RES0026.mp3[598.760,606.840]	AH THERE WAS COLON CANCER ON MY DAD SIDE OF THE FAMILY BUT IM NOT TOO SURE WHO HAD IT
audio/RES0026.mp3[606.840,610.160]	OK HAVE YOU HEARD OF ANYBODY HAVING BREAST CANCER
audio/RES0026.mp3[610.160,613.440]	BREAST CANCER NO
audio/RES0026.mp3[613.440,618.920]	ALRIGHT AND HOW ABOUT OVARIAN CANCER
audio/RES0026.mp3[618.920,621.080]	NO OVARIAN CANCER
audio/RES0026.mp3[621.080,634.960]	OK AND NEXT I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PERSONAL AND LIFESTYLE HABITS BUT FIRST COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW
audio/RES0026.mp3[634.960,642.640]	I LIVE WITH MY HUSBAND AND MY ONE SON
audio/RES0026.mp3[642.640,646.040]	OK AND SORRY HOW OLD IS YOUR SON
audio/RES0026.mp3[646.040,648.640]	HE IS 10
audio/RES0026.mp3[648.640,654.600]	OK UM IS ANYBODY IN THE HOME BEEN SICK RECENTLY
audio/RES0026.mp3[657.320,661.880]	OK AND HOW ABOUT IS THERE ANYBODY AT WORK
audio/RES0026.mp3[661.880,668.120]	AT WORK NO NO ONES BEEN SICK
audio/RES0026.mp3[668.120,672.080]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0026.mp3[672.080,702.640]	WE WENT UP TO WE JUST WENT TO UM LIKE A WE WENT ON A HIKING TRAIL THAT WAS OUTSIDE THE CITY RECENTLY AND THERE WERE A LOT OF PEOPLE THERE AND AND WE WERENT WEARING MASKS BUT WE IT SEEMED LIKE WE WERE KEEPING A GOOD DISTANCE BETWEEN EACH OTHER SO THAT THAT WOULD BE MY ONLY CONCERN
audio/RES0026.mp3[702.640,709.640]	OK FOR SURE WERE PEOPLE PRETTY CLOSE TO EACH OTHER ON THE PATHS WHEN WALKING BY ON THE HIKE
audio/RES0026.mp3[709.640,719.600]	AHH NOT LIKE THE WHOLE TIME BUT THERE WOULD BE TIMES WHEN YOU KNOW PEOPLE JUST KIND OF BRUSHED BY YOU TO TRY TO GET AHEAD OF YOU OR SOMETHING LIKE THAT
audio/RES0026.mp3[719.600,725.960]	I SEE OK AND DO YOU SMOKE CIGARETTES
audio/RES0026.mp3[727.200,729.480]	UM DO YOU SMOKE MARIJUANA
audio/RES0026.mp3[729.480,731.800]	UM NO
audio/RES0026.mp3[731.800,733.840]	OK AND DO YOU DRINK ALCOHOL
audio/RES0026.mp3[733.840,736.000]	I DONT
audio/RES0026.mp3[736.000,738.880]	DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0026.mp3[738.880,742.480]	UM NO
audio/RES0026.mp3[742.480,764.560]	OK SO THAT WAS ALL I WANTED TO ASK ABOUT OH ACTUALLY ONE THING THAT I I DID WANT TO I FORGOT TO ASK WAS DO YOU HAVE ANY NECK STIFFNESS
audio/RES0026.mp3[764.560,766.880]	NO NOT THAT I NOTICED
audio/RES0026.mp3[766.880,780.440]	OK SO THAT WAS THE LAST QUESTION THAT I WANTED TO ASK ABOUT WAS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I I MAYBE FORGOT
audio/RES0026.mp3[780.440,788.920]	NO I THINK YOU COVERED IT ALL  IM JUST WONDERING DO YOU DO YOU THINK ITS COVIOR SOMETHING ELSE
audio/RES0026.mp3[788.920,861.400]	WELL ITS DEFINITELY A POSSIBILITY WITH THE SYMPTOMS THAT YOURE HAVING SINCE THEY CAN BE SO NON SPECIFIC FOR COVID IT CAN BE A LOT OF SYMPTOMS THAT OVERLAP SO WITH HAVING HEADACHE WHAT SOUNDS LIKE YOU MIGHT HAVE A FEVER AND AND THIS COUGH THAT SOUNDS LIKE ITS PRETTY BAD IF YOURE BRINGING UP SOME BLOOD IT SOUNDS LIKE YOU MIGHT HAVE IRRITATED SOME OF THE BRONCHIOLES WITH THE THE COUGHING SO WE WILL TEST FOR THAT AND CHECK A PCR NASAL SWAB FOR COVIIM NOT BUT WE WILL ALSO TEST FOR OTHER VIRAL ILLNESSES AND BACTERIAL ILLNESSES AS WELL IT DOESNT SOUND LIKE YOU HAVE MENINGITIS RIGHT NOW JUST BASED ON THE SYMPTOMS WHERE YOU DONT HAVE NECK STIFFNESS BUT ITLL BE CERTAINLY SOMETHING THAT WE KEEP KEEP IN MIND WHILE WE ARE DOING OUR INVESTIGATIONS
audio/RES0026.mp3[861.400,864.680]	OK GREAT THANK YOU
audio/RES0026.mp3[864.680,867.720]	ALRIGHT YOURE WELCOME WELL GET THOSE STARTED
audio/RES0026.mp3[867.720,870.760]	OK SOUNDS GREAT
audio/RES0152.mp3[0.000,2.320]	HOW HOW MAY I HELP YOU
audio/RES0152.mp3[2.320,26.360]	HI UH NICE TO MEET YOU IVE JUST UH BEEN EXPERIENCING UM A COUGH FOR THE LAST FEW WEEKS AND UH I ALSO RECENTLY STARTED NOTICING THAT IM COUGHING UP SOME BLOOD AS WELL LIKE ITS MIXED INTO LIKE SPUTUM
audio/RES0152.mp3[26.360,33.560]	I SEE ALRIGHT SO YOU SAID A FEW WEEKS FOR THE COUGH IS THIS MORE THAN THREE WEEKS MORE THAN FOUR WEEKS OR A FEW MONTHS
audio/RES0152.mp3[33.560,39.000]	I WOULD SAY ITS ALMOST I WOULD SAY ALMOST LIKE THREE WEEKS NOW
audio/RES0152.mp3[39.000,49.080]	OK WHEN THE COUGH STARTED UH WERE YOU BRINGING UP UM WERE YOU BRINGING UP SPUTUM OR PHLEGM AT THAT TIME
audio/RES0152.mp3[49.080,63.280]	UH YEAH INITIALLY IT WAS JUST LIKE UM KIND OF WHITE TOO SOMETIMES YELLOWISH PHLEGM BUT NOW OVER THE LAST WEEK IVE BEEN ALSO NOTICING UM SOME BLOOD IN IT AS WELL
audio/RES0152.mp3[63.280,76.880]	OK AND HOW MUCH BLOOD HAVE YOU BEEN BRINGING UP UM JUST TRYING TO THINK IN MAYBE UH TEASPOON SIZES IF YOU CAN
audio/RES0152.mp3[76.880,86.040]	UH YEAH I WOULD SAY MAYBE HALF A HALF A TEASPOON
audio/RES0152.mp3[86.040,92.200]	OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH
audio/RES0152.mp3[92.200,105.240]	UM NO I DONT THINK SO BUT KIND OF LIKE I DO FEEL SOME DISCOMFORT IN MY CHEST LIKE I JUST ASSOCIATED IT WITH THE COUGH
audio/RES0152.mp3[105.240,109.560]	I SEE HAVE YOU HAD ANY UH ANY CHEST PAIN
audio/RES0152.mp3[109.560,115.680]	UH NO ITS MORE OF JUST THE DISCOMFORT WITH THE COUGHING
audio/RES0152.mp3[115.680,125.320]	OK AND UM HAVE YOU HAD ANY CHANGES TO YOUR BREATHING LIKE LIKE WHEEZING
audio/RES0152.mp3[125.320,131.440]	UH NO NOTHING LIKE THAT
audio/RES0152.mp3[131.440,143.240]	ALRIGHT UM AND HAVE YOU HAD ANY INFECTIOUS OR VIRAL TYPE SYMPTOMS LIKE ITCHY EYES OR RUNNY RUNNY NOSE SORE THROAT
audio/RES0152.mp3[143.240,147.840]	UH NO NOTHING LIKE THAT
audio/RES0152.mp3[147.840,151.040]	OK AND UM HOW HAS YOUR ENERGY BEEN ANY ANY FATIGUE
audio/RES0152.mp3[151.040,165.200]	UM ITS KIND OF BEEN A BIT LOW OVER THE LAST FEW WEEKS JUST I FEEL MORE TIRED UM YEAH I HAD TO MISS A FEW DAYS OF WORK AS WELL
audio/RES0152.mp3[165.200,171.640]	I SEE ALRIGHT UM HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0152.mp3[171.640,180.240]	UH DEFINITELY I FEEL LIKE I HAVE HAD SOME CHILLS OVER THE LAST WEEK UM I HAVENT HAD A CHANCE TO MEASURE MY TEMPERATURE THOUGH
audio/RES0152.mp3[180.240,185.240]	OK HAVE YOU FELT FEVERISH OR HAVE YOU FELT HOT AT ANY POINT
audio/RES0152.mp3[185.240,193.560]	UM YEAH I WOULD SAY LIKE A FEW TIMES THIS WEEK IVE ALSO FELT LIKE HOT
audio/RES0152.mp3[193.560,198.880]	ALRIGHT HAVE YOU HAD ANY UM LIKE NIGHT SWEATS
audio/RES0152.mp3[198.880,216.720]	UHM NOW THAT YOU MENTION IT LIKE I I WOULD SAY TWO TWO DAYS OUT OF THE LAST WEEK IVE HAD NIGHT SWEATS WHERE MY SHEETS WERE KIND OF JUST DRENCHED WHEN I AND THEN I WOKE UP NOTICING THAT
audio/RES0152.mp3[216.720,226.800]	ALRIGHT AND HOW ABOUT YOUR UM YOUR WEIGHT HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT OVER THE LAST SEVERAL MONTHS
audio/RES0152.mp3[226.800,234.280]	YEAH I THINK IVE LOST MAYBE 10 POUNDS IN THE LAST COUPLE MONTHS
audio/RES0152.mp3[234.280,242.560]	OK THAT SOUNDS LIKE SOME UH SOME WEIGHT LOST SIGNIFICANT WEIGHT LOSS HAVE YOU BEEN TRYING TO LOSE WEIGHT
audio/RES0152.mp3[242.560,248.520]	NO NOT REALLY
audio/RES0152.mp3[248.520,256.240]	OK UHM AND HAVE YOU FELT AS THOUGH UM LIKE YOUR HEARTS RACING OR BEATING REALLY FAST
audio/RES0152.mp3[256.240,258.080]	NO NOTHING LIKE THAT
audio/RES0152.mp3[258.080,264.920]	HAVE YOU HAD ANY UH LIKE FAINTING OR DIZZINESS
audio/RES0152.mp3[264.920,268.840]	NO NOTHING LIKE THAT
audio/RES0152.mp3[268.840,274.080]	OK UM AND HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0152.mp3[274.080,276.640]	NO NO NO NAUSEA OR VOMITING
audio/RES0152.mp3[276.640,279.920]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0152.mp3[280.960,283.560]	ANY DIARRHEA
audio/RES0152.mp3[284.720,290.720]	ANY URINARY PROBLEMS LIKE PAIN OR OR GOING OFTEN
audio/RES0152.mp3[290.720,295.520]	UH NO NOTHING LIKE THAT
audio/RES0152.mp3[295.520,299.440]	OK UH HAVE YOU NOTICED ANY RASHES ANYWHERE
audio/RES0152.mp3[299.440,302.680]	NO NO RASHES
audio/RES0152.mp3[302.680,307.960]	HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0152.mp3[307.960,314.280]	UM NO NOTHING LIKE THAT
audio/RES0152.mp3[314.280,321.600]	OK AND UM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0152.mp3[321.600,328.040]	NO UM IVE BEEN FAIRLY HEALTHY
audio/RES0152.mp3[328.040,336.200]	OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES OR ANY REASONS TO BE HOSPITALIZED BEFORE
audio/RES0152.mp3[338.440,343.840]	DO YOU TAKE ANY MEDICATIONS OR ANY OVER THE COUNTER SUPPLEMENTS
audio/RES0152.mp3[343.840,345.840]	UM NO
audio/RES0152.mp3[345.840,349.080]	ALRIGHT ANY ALLERGIES THAT YOURE AWARE OF
audio/RES0152.mp3[349.080,352.200]	NOT THAT I KNOW NO
audio/RES0152.mp3[352.200,357.440]	OK AND UM ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0152.mp3[357.440,363.640]	UM IMMUNIZATIONS ARE ALL UP TO DATE YEAH
audio/RES0152.mp3[363.640,371.800]	ALRIGHT AND CURRENTLY UM CAN YOU TELL ME A LITTLE BIT ABOUT WHO YOURE LIVING WITH AND UH WHERE YOURE LIVING
audio/RES0152.mp3[371.800,408.320]	YEAH CURRENTLY IM LIVING UH JUST IN UM ITS KIND OF LIKE A A HOME WITH JUST A I DONT REALLY KNOW THE PEOPLE TOO WELL JUST KIND OF LIKE A HOME WHERE UM A BUNCH OF GUYS ARE JUST LIVING AND WORKING SEPARATELY I JUST ACTUALLY RECENTLY MOVED HERE FROM UM THE PHILIPPINES SIX MONTHS AGO
audio/RES0152.mp3[408.320,417.360]	I SEE OK UM DO YOU INTERACT WITH MANY OF THE PEOPLE IN THE HOUSE AND AND HAS ANYBODY ELSE BEEN SICK
audio/RES0152.mp3[417.360,428.520]	UHM I DONT KNOW IF ANYONE ELSE HAS BEEN SICK I HAVENT REALLY NOTICED THAT I DONT REALLY SEE THEM TOO MUCH
audio/RES0152.mp3[428.520,442.920]	OK AND SIX MONTHS AGO PRIOR TO UM YEAH COMING FROM THE PHILIPPINES WAS ANYBODY SICK THERE OR DID YOU HEAR OF ANYBODY THAT YOU SPENT TIME WITH HAVING UM TUBERCULOSIS
audio/RES0152.mp3[442.920,459.960]	UM YEAH THERES BEEN NOT ANYONE THAT I KNOW OF BUT THERES DEFINITELY LIKE EVEN WHERE I WORKED AND THINGS LIKE THAT THERES DEFINITELY PEOPLE WHO HAVE HAD TUBERCULOSIS IN THE PAST
audio/RES0152.mp3[459.960,468.800]	I SEE OK UM AND UH DO YOU SMOKE CIGARETTES
audio/RES0152.mp3[469.720,474.560]	AND UH HOW ABOUT SMOKING CANNABIS OR USING ANY PRODUCTS
audio/RES0152.mp3[474.560,477.000]	NO NOTHING LIKE THAT
audio/RES0152.mp3[477.000,480.560]	OK AND YOU USE ANY RECREATIONAL DRUGS
audio/RES0152.mp3[480.560,481.480]	UH NO
audio/RES0152.mp3[481.480,488.400]	OK UM AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0152.mp3[488.400,491.560]	UH CURRENTLY NO
audio/RES0152.mp3[491.560,498.080]	OK UM SO NO CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME
audio/RES0152.mp3[499.240,507.000]	OK UM AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0152.mp3[507.000,513.440]	UM NOT RECENTLY NO
audio/RES0152.mp3[513.440,517.400]	OK BUT UH AND ANYBODY IN THE FAMILY UM HAVE UH HEART OR LUNG CONDITIONS
audio/RES0152.mp3[519.920,527.680]	OK UM AND ANY CANCER THAT RUN IN THE FAMILY
audio/RES0152.mp3[527.680,533.600]	NOT THAT I KNOW OF
audio/RES0152.mp3[533.600,573.240]	OK UM SO UH I THINK THATS EVERYTHING I WANTED TO ASK ON ON HISTORY TODAY SO IT SOUNDS LIKE YOUVE BEEN HAVING THIS COUGH UM THATS BEEN GOING ON FOR JUST OVER THREE WEEKS NOW AND STARTING WITH SOME UM WHITISH CLEAR SPUTUM AND MORE RECENTLY EVEN STARTED TO BE COUGHING UP SOME BLOOD AS WELL AND YOUVE ALSO BEEN REALLY UM FATIGUED AND HAVE HAD SOME MALAISE OVER THE LAST SEVERAL WEEKS UM AND ANY OTHER SYMPTOMS OR OH AND ALSO YEAH YOUVE HAD SOME NIGHT SWEATS CHILLS AND UH BEEN FEELING FEVERISH AS WELL SO WELL CERTAINLY CHECK YOUR TEMPERATURE TODAY TOO OK SO ANYTHING I MISSED
audio/RES0152.mp3[573.240,578.920]	UH NO I THINK THAT THAT SOUNDS GREAT THANK YOU SO MUCH
audio/RES0152.mp3[578.920,591.360]	OK SO WELL GET THE UM TESTING STARTED FOR UH FOR THE INVESTIGATIONS AND YEAH IF UH AT ANY POINT SYMPTOMS GET WORSE WELL REEVALUATE
audio/RES0152.mp3[591.360,595.000]	YEAH SOUNDS GOOD THANK YOU SO MUCH
audio/RES0216.mp3[0.000,3.920]	SO I UNDERSTAND YOURE HAVING SOME CHEST TIGHTNESS
audio/RES0216.mp3[3.920,38.360]	YEAH ITS UH FOR THE LAST MAYBE THREE DAYS UM ITS NOT REALLY PAIN NOT IN ANY SPECIFIC SPOT IT JUST FEELS A BIT TIGHT IN MY CHEST AREA WHEN I BREATHE IN ESPECIALLY AND IT JUST GETS A BIT HARDER TO BREATHE AND IT FEELS MORE TIGHT LIKE ESPECIALLY WHEN I GO FOR MY WALKS WHICH I DO EVERYDAY UH I TRY TO WALK MY DOG SO I WAS JUST YOU KNOW WORRIED THAT IT COULD BE SOMETHING SERIOUS AND I WANTED TO COME AND GET CHECKED OUT
audio/RES0216.mp3[38.360,47.760]	OK FOR SURE SO YOU SAID IT STARTED ABOUT 3 DAYS AGO HAVE YOU NOTICED ITS BEEN GETTING BETTER WORSE OR ABOUT STAYING THE SAME
audio/RES0216.mp3[47.760,51.680]	I THINK ITS STAYING THE SAME
audio/RES0216.mp3[51.680,61.480]	OK WAS THERE ANYTHING THAT HAPPENED 3 DAYS AGO THAT YOU CAN RECALL WHERE YOU FIRST NOTICED IT
audio/RES0216.mp3[61.480,70.880]	NO NOTHING IN PARTICULAR UM YEAH IT JUST KIND OF CAME ON AND NOW ITS BEEN PRETTY STEADY
audio/RES0216.mp3[70.880,76.200]	OK AND WHEN IT CAME ON THREE DAYS AGO WHAT WERE YOU DOING
audio/RES0216.mp3[76.200,82.400]	UH I THINK I FIRST NOTICED IT WHEN I WAS GONE FOR MY WALK
audio/RES0216.mp3[82.400,89.080]	OK NOW WHEN YOURE WALKING YOU SAY YOU HAVE SOME CHEST TIGHTNESS DO YOU HAVE ANY CHEST PAIN
audio/RES0216.mp3[89.080,96.000]	NO THERES NOT THERES NOT PAIN IT JUST FEELS LIKE WHEN I BREATHE IN IT FEELS TIGHT
audio/RES0216.mp3[96.000,102.920]	OK DID YOU FEEL ANXIOUS OR SWEATY OR THE FEELING OF IMPENDING DOOM AT ALL
audio/RES0216.mp3[102.920,105.520]	UH NO I CANT SAY THAT I DID
audio/RES0216.mp3[105.520,112.040]	NOTHING LIKE THAT OK AND DID YOU FEEL YOURSELF BECOMING OUT OF BREATH AT ALL
audio/RES0216.mp3[112.040,120.320]	UH I I FEEL LIKE IT WAS KIND OF HARDER TO GET A WHOLE BREATH UM SO YEAH YEAH I GUESS
audio/RES0216.mp3[120.320,125.920]	OK AND WAS THIS TIGHTNESS ALL ACROSS YOUR CHEST OR WAS IT IN ONE PARTICULAR AREA
audio/RES0216.mp3[125.920,132.320]	KIND OF JUST ALL OVER
audio/RES0216.mp3[132.320,140.720]	OK AND SINCE THEN THAT HAPPENED WHEN YOU WERE OUT FOR A WALK HOW MANY TIMES DOES IT HAPPEN A DAY WOULD YOU SAY
audio/RES0216.mp3[140.720,165.120]	WELL I FEEL LIKE ITS KIND OF ALWAYS THERE BUT IT GETS WORSE WHEN I GO FOR MY WALK UM AND WELL SOMETIMES I GO FOR MORE THAN ONE WALK RIGHT CAUSE I WALK MY DOG ITS ALWAYS KIND OF THERE AND ESPECIALLY WHEN IM LIKE GETTING UP OUT OF THE CHAIR I CAN FEEL IT MORE OR WHEN I TAKE A BIG LIKE A BIG BREATH IN AS I SAID
audio/RES0216.mp3[165.120,173.200]	OK SO ITS BEEN THERE PRETTY CONSTANTLY FOR THE PAST THREE DAYS BUT ITS MORE NOTICEABLE IF NOT WORSE WHEN YOURE GOING FOR A WALK
audio/RES0216.mp3[174.760,179.800]	OK HAVE YOU HAD ANY COUGH AT ALL IN THE LAST LITTLE WHILE
audio/RES0216.mp3[179.800,191.120]	UH NO LIKE I FEEL A LITTLE MORE HOARSE AND LIKE THERES MAYBE SOME MORE PHLEGM LIKE IM CLEARING MY THROAT MORE BUT I HAVENT ACTUALLY BEEN COUGHING
audio/RES0216.mp3[191.120,194.560]	OK ANY FEVERS
audio/RES0216.mp3[194.560,197.840]	NO CANT SAY THAT NO
audio/RES0216.mp3[197.840,202.760]	OK ANY NIGHT SWEATS SO WAKING UP AND THE SHEETS ARE SOAKED
audio/RES0216.mp3[204.120,206.200]	ANY CHILLS
audio/RES0216.mp3[207.200,210.080]	ANY UNEXPLAINED WEIGHT LOSS AT ALL
audio/RES0216.mp3[213.080,217.840]	OK AND HAVE YOU EVER HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE
audio/RES0216.mp3[217.840,242.880]	UHM I MEAN I HAVE ASTHMA UM SO IVE HAD SOME TROUBLE BREATHING BEFORE IT THIS FEELS FEELS UH DIFFERENT THAN OTHER TIMES I I GUESS IT COULD BE RELATED BUT UH I DONT KNOW THIS THIS FEELS A BIT DIFFERENT THATS WHY I WANTED TO COME IN AND GET IT CHECKED OUT
audio/RES0216.mp3[242.880,247.360]	OK SO YOU HAVE ASTHMA DO YOU USE ANY PUFFERS AT THE MOMENT
audio/RES0216.mp3[247.360,262.000]	YEAH I JUST USE THE ONE THAT UM I TAKE EVERY DAY I DONT REALLY USE THE UHM THE ONE THATS AS NEEDED BECAUSE I JUST HAVENT HAD TO IN A REALLY LONG TIME SO I DIDNT REFILL MY LAST ONE
audio/RES0216.mp3[262.000,268.160]	OK SO YOU DONT HAVE ANY ANYMORE OF THE AS NEEDED BUT YOU HAVE USED IT IN THE PAST
audio/RES0216.mp3[268.160,276.960]	YEAH EXACTLY LIKE ITS BEEN A COUPLE OF YEARS SINCE I NEEDED THAT BUT I STILL I STILL TAKE THE DAILY ONE
audio/RES0216.mp3[276.960,282.520]	OK AND YOU HAVENT STOPPED TAKING THE DAILY ONE IN LAST THREE DAYS EITHER
audio/RES0216.mp3[282.520,300.560]	NO I ALWAYS TAKE IT UM SO IM SUPPOSED TO ACTUALLY TAKE IT MORNING AND NIGHT UM FOR A WHILE THOUGH SOMETIMES I WAS SKIPPING THE NIGHT ONE BECAUSE I DIDNT FEEL THAT I WAS NEEDING IT UM SO SO LATELY IVE BEEN TAKING IT EVERYDAY BUT IVE JUST BEEN TAKING IT IN THE MORNING
audio/RES0216.mp3[300.560,309.800]	OK UH WHAT MAKES YOU SAY YOU HAVENT REALLY NEEDED THE ONE AT NIGHT HAVE YOU JUST BEEN DOING WELL WITHOUT IT
audio/RES0216.mp3[309.800,322.000]	EXACTLY LIKE I HAVENT NEEDED THE RESCUE ONE IN A FEW YEARS AND EVEN WHEN I WAS JUST TAKING IT IN THE MORNING I I HAVENT HAD ANY PROBLEMS
audio/RES0216.mp3[322.000,328.880]	OK UNDERSTOOD AND THEN HAVE YOU HAD I SHOULD HAVE ASKED DO YOU WORK CURRENTLY
audio/RES0216.mp3[328.880,335.880]	UH I I IM A FINANCIAL ADVISOR IM LIKE SEMI RETIRED SO I DO SOME STUFF FROM HOME
audio/RES0216.mp3[335.880,346.960]	OK GOT IT I SUPPOSE JUST HAS THIS KIND OF CHEST TIGHTNESS STOPPED YOU FROM DOING ACTIVITIES THAT YOU NORMALLY WOULD DO ANY MISSED TIME FROM WORK
audio/RES0216.mp3[346.960,376.760]	I HAVENT MISSED ANY WORK BUT IM NOT IM NOT DOING A TON OF WORK RIGHT NOW I DONT THINK IT WOULD STOP ME IT JUST WOULD MAKE ME UNCOMFORTABLE UM DURING WORK AND IT KEEPS ME MAYBE THIS THE LAST FEW DAYS ITS KEPT ME FROM I USUALLY GO ON A COUPLE OF WALKS A DAY THE LAST COUPLE DAYS IVE JUST GONE ON ONE USUALLY SO YEAH ITS A LITTLE BIT YEAH
audio/RES0216.mp3[376.760,381.280]	SO ITS REALLY NOT STOPPING TOO MUCH OF YOUR DAY TO DAY FUNCTIONING BUT ITS NOTICEABLE
audio/RES0216.mp3[381.280,384.160]	EXACTLY YEAH
audio/RES0216.mp3[384.160,391.960]	OK NOW IS THERE ANY OTHER ISSUE THAT YOU SEE YOUR DOCTOR REGULARLY FOR ASIDE FROM THE ASTHMA
audio/RES0216.mp3[391.960,402.480]	UHM I HAVE UH HIGH BLOOD PRESSURE I DONT REALLY SEE MY DOCTOR VERY MUCH I JUST AM ON UM MEDICATION
audio/RES0216.mp3[402.480,410.520]	OK HOW ABOUT WE JUST TALK ABOUT YOUR MEDICATIONS A LITTLE BIT WHAT ARE YOU TAKING CURRENTLY
audio/RES0216.mp3[410.520,413.280]	UH I TAKE THE UH SALBUTAMOL
audio/RES0216.mp3[414.720,421.640]	THAT WE TALKED ABOUT AND I TAKE UM RAMIPRIL
audio/RES0216.mp3[423.080,430.240]	AND UH SOMETIMES A TYLENOL IF YOU KNOW IF I HAVE A HEADACHE OR SOMETHING BUT NOT VERY OFTEN
audio/RES0216.mp3[430.240,436.040]	OK UNDERSTOOD SO ASIDE FROM THE HIGH BLOOD PRESSURE YOURE REALLY NOT TAKING MEDICATIONS FOR MUCH ELSE
audio/RES0216.mp3[436.040,437.640]	NO NO
audio/RES0216.mp3[437.640,443.360]	OK DO YOU HAVE ANY OTHER LUNG ISSUES OR ANY TROUBLE WITH YOUR LUNGS IN THE PAST
audio/RES0216.mp3[443.360,450.640]	NO NOTHING MAJOR JUST THE ASTHMA BUT YOU KNOW LIKE I SAID ITS BEEN A FEW YEARS SINCE IT HAS BOTHERED ME
audio/RES0216.mp3[450.640,459.040]	OK GOT IT AND JUST IN TERMS OF YOUR LIFE ITSELF SO DO YOU SMOKE AT ALL
audio/RES0216.mp3[459.040,459.760]	NO NEVER
audio/RES0216.mp3[459.760,465.240]	OK SO NO SMOKING ANY OTHER RECREATIONAL SUBSTANCES DRUGS
audio/RES0216.mp3[465.240,476.760]	OH NO NO I MEAN I I HAVE UM YOU KNOW A FEW BEERS ON THE WEEKEND BUT I DONT DO VERY I DONT DO ANY DRUGS AND I DONT DRINK MUCH OTHER THAN THAT
audio/RES0216.mp3[476.760,485.120]	OK GOT IT ANY ALLERGIES THAT YOU HAVE
audio/RES0216.mp3[485.120,507.160]	UHM NO NO LIKE I UH WHEN I WAS YOUNGER I GOT SOME SEASONAL ALLERGIES SOMETIMES IN THE SPRINGTIME BUT OTHER THAN THAT I I LIKE I ITS REALLY BEEN UH MANY YEARS SINCE IVE NOTICED THAT
audio/RES0216.mp3[507.160,516.040]	OK AND SO NOTHING NEW IN THE ENVIRONMENT YOU HAVENT CHANGED WHERE YOUVE BEEN LIVING OR YOU HAVENT INTRODUCED A NEW PET OR A NEW DOG
audio/RES0216.mp3[517.520,538.680]	OK SO SOUNDS LIKE YOURE PRETTY MUCH STAYING THE COURSE LAST LITTLE WHILE JUST KIND OF A NEW ONSET OF THIS NEW CHEST TIGHTNESS AND ASIDE FROM THAT SEEMS THAT IT COMES ON MAINLY ON WALKS OUTDOORS BUT YOUVE KIND OF BEEN LIMITING THE SOME OF THE MEDICATION YOURE TAKING FOR ASTHMA THE LAST COUPLE OF YEARS BECAUSE YOU HAVENT REALLY FELT THAT YOU NEEDED IT AS MUCH
audio/RES0216.mp3[538.680,542.920]	YEAH LIKE JUST THE MORNING WAS IT WAS ENOUGH
audio/RES0216.mp3[542.920,587.600]	OK ALRIGHT JOHN I THINK IVE GOT MOST OF THE INFORMATION I NEED JUST TO GO TALK TO THE DOC AND TALK ABOUT YOUR STORY NEXT OF COURSE WERE GOING TO DO A QUICK PHYSICAL EXAM GOING TO TAKE A LISTEN TO YOUR LUNGS AND SEE WHAT ELSE WE MIGHT WANT TO DO IN TERMS OF INVESTIGATIONS I HAVE A FEELING THAT THIS ACTUALLY MIGHT BE YOUR ASTHMA REOCCURRING IN SOME CAPACITY OR THAT WOULD BE ON THE TOP OF THE DIFFERENTIAL FOR NOW BARRING ANY OTHER NEW FINDINGS SO I THINK MAYBE WHAT WE WOULD LIKE TO DO IS WED LIKE TO TRY HAVING THOSE RESCUE PUFFERS AVAILABLE TO SEE IF THAT HELPS AT ALL WHEN YOU ARE ON WALKS AND IF THEY DONT HELP THEN WELL COME BACK TO THE TABLE AND SEE WHAT OTHER POSSIBLE DIRECTIONS WE COULD HEAD IN IN ORDER TO HELP YOU NEXT DOES THAT SOUND GOOD JOHN
audio/RES0216.mp3[587.600,594.680]	SOUNDS GREAT IM JUST YOU KNOW GLAD TO KNOW THAT ITS PROBABLY NOT MY HEART
audio/RES0216.mp3[594.680,618.520]	NO IT SOUNDS WELL I SUPPOSE YOU SAID THAT YOU DIDNT REALLY GET OUT OF BREATH WITH EXERCISE MORE SOUNDS LIKE A CHEST TIGHTNESS AND YOU HAVENT HAD ANY PAIN ASSOCIATED WITH IT SO THAT PUTS MORE CARDIAC ISCHEMIC PICTURES KIND OF LOWER ON THE DIFFERENTIAL BUT OF COURSE WERE GOING TO TRY ONE THING AT A TIME AND THEN WELL COME BACK TO THE TABLE UM DEPENDING ON HOW YOURE FEELING AFTER THAT OK
audio/RES0216.mp3[618.520,621.080]	SOUNDS GREAT THANK YOU
audio/RES0216.mp3[621.080,624.960]	NO PROBLEM OK ILL GO TALK TO THE DOCTOR ILL BE BACK WITH YOU IN A MOMENT
audio/RES0216.mp3[624.960,627.640]	THANK YOU
audio/RES0173.mp3[0.000,5.400]	HOW MAY I HELP YOU
audio/RES0173.mp3[5.400,16.440]	IM IM HERE BECAUSE I IVE ODDLY BEEN FEELING REALLY SHORT OF BREATH AND HAVE A FEVER OR AND A COUGH
audio/RES0173.mp3[16.440,22.480]	OK WHEN DID THE SHORTNESS OF BREATH START AND ARE YOU SHORT OF BREATH NOW
audio/RES0173.mp3[22.480,30.320]	IT STARTED ABOUT UH I GUESS I COULD START YESTERDAY AND A LITTLE BIT BUT ITS GETTING BETTER
audio/RES0173.mp3[30.320,40.840]	STARTED YESTERDAY OK WELL IM GLAD ITS GETTING BETTER WHEN DID THE COUGH START
audio/RES0173.mp3[40.840,46.480]	IT STARTED AROUND THE SAME TIME
audio/RES0173.mp3[46.480,50.200]	OK IT IS IT A DRY COUGH OR OR WET COUGH
audio/RES0173.mp3[50.200,51.720]	ITS A DRY COUGH
audio/RES0173.mp3[51.720,56.520]	OK IS IT IS THIS COUGH NEW OR IF YOU HAD A COUGH BEFORE
audio/RES0173.mp3[56.520,59.440]	NO ITS ITS KIND OF NEW
audio/RES0173.mp3[59.440,64.760]	ALRIGHT HAVE YOU BROUGHT UP ANY I KNOW YOU SAID ITS BEEN BUT HAVE YOU BROUGHT UP ANY BLOOD
audio/RES0173.mp3[66.480,72.800]	OK AND HAVE YOU HAD ANY WHEEZING
audio/RES0173.mp3[74.360,82.400]	OK AND YOU MENTIONED A FEVER AS WELL HAVE YOU CHECKED YOUR YOUR TEMPERATURE TODAY OR YESTERDAY
audio/RES0173.mp3[82.400,87.600]	YEAH IT WAS AT 38 LAST NIGHT
audio/RES0173.mp3[87.600,92.480]	ARE YOU FEELING FEVERISH TODAY AS WELL
audio/RES0173.mp3[92.480,94.600]	YEAH A LITTLE BIT
audio/RES0173.mp3[94.600,106.640]	OK AND UH SO HAVE YOU HAD ANY ANY INFECTIOUS SYMPTOMS LIKE RUNNY OR RED EYES
audio/RES0173.mp3[107.640,111.680]	HOW ABOUT A RUNNY NOSE OR FEELING CONGESTED
audio/RES0173.mp3[111.680,115.520]	NO NO ITS JUST A COUGH
audio/RES0173.mp3[115.520,130.720]	COUGH OK AND WHAT WHAT WERE YOU AROUND ANY TRIGGERS YESTERDAY OR LIKE AROUND ANY ANYTHING THAT WAS OUT OF THE NORMAL FOR YOU
audio/RES0173.mp3[130.720,177.800]	I GOT A NOTICE THAT THIS HAPPENS TO ME EVERY TIME I GO TO MY BOYFRIENDS PLACE SO I STARTED DATING I STARTED DATING SOMEONE NEW ABOUT SIX MONTHS AGO AND EVERY TIME I GO TO HIS PLACE A COUPLE HOURS LATER I JUST LIKE DEVELOP THESE SYMPTOMS JUST KIND OF ODD I THOUGHT THAT I WAS JUST GETTING A COLD BUT NOW THAT ITS HAPPENED LIKE THREE TIMES IM THINKING MAYBE YOU HAVE SOME SORT OF AN ALLERGY LIKE MAYBE  I DONT KNOW MAYBE ITS LIKE YEAH IM JUST ALLERGIC TO SOMETHING MAYBE HIS PLANTS OR SOMETHING I DONT KNOW
audio/RES0173.mp3[177.800,182.480]	OK AND IT DOES THIS HAPPEN EACH TIME THAT YOU GO GO TO HIS HOUSE
audio/RES0173.mp3[182.480,200.920]	UM YEAH YEAH KIND OF ALMOST YEAH THATS LIKE YOU HAVENT LIKE I HAVENT BEEN TO HIS PLACE VERY OFTEN BECAUSE OF THE PANDEMIC BUT YEAH EVERY TIME I GO KINDA FEEL REALLY CRAPPY AFTER
audio/RES0173.mp3[200.920,214.280]	I SEE OK AND UH ARE THERE ANY OTHER ENVIRONMENTS YOU CAN THINK OF WHERE THIS HAPPENS OR HAVE THESE SYMPTOMS HAPPEN AT ANY OTHER POINT
audio/RES0173.mp3[214.280,220.520]	NO I DONT THINK SO
audio/RES0173.mp3[220.520,227.760]	OK AND HAVE YOU HAD A SORE THROAT
audio/RES0173.mp3[228.920,235.640]	HOW ABOUT ANY LOSSES OF SMELL OR OR TASTE
audio/RES0173.mp3[236.080,242.440]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0173.mp3[242.440,243.720]	NO NO I HAVENT
audio/RES0173.mp3[243.720,248.960]	K AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0173.mp3[250.400,253.160]	ALRIGHT AND ANY ABDOMINAL PAIN OR DIARRHEA
audio/RES0173.mp3[255.760,260.200]	ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY
audio/RES0173.mp3[261.640,264.840]	HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS
audio/RES0173.mp3[264.840,275.400]	YEAH YEAH JUST ACT DIFFERENT FEELING ACHY AND KINDA TIRED THESE PAST WELL LIKE 12 TO 14 HOURS
audio/RES0173.mp3[275.400,284.280]	I SEE OK SO IT HAS BEEN KIND OF LIKE ALL OVER OR THERE ARE PARTICULAR MUSCLES SORE OR OUR BODY PART
audio/RES0173.mp3[284.280,287.760]	NO ITS ITS LIKE ALL OVER
audio/RES0173.mp3[287.760,292.080]	OK AND YOUVE BEEN FATIGUED AS WELL
audio/RES0173.mp3[292.080,293.600]	OH YEAH
audio/RES0173.mp3[293.600,297.000]	OK HAVE YOU HAD ANY HEADACHES
audio/RES0173.mp3[298.040,302.840]	ANY SKIN CHANGES OR RASHES
audio/RES0173.mp3[302.840,304.320]	UH NO
audio/RES0173.mp3[304.320,310.560]	ALRIGHT AND THEN HOW ABOUT ANY NIGHT SWEATS OR CHILLS I KNOW YOU MENTIONED FEVERS
audio/RES0173.mp3[310.560,315.200]	NO IVE JUST BEEN FEELING HOT
audio/RES0173.mp3[315.200,324.240]	OK I MEAN HOW WAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS IS IT LIKE HAVE YOU LOST WEIGHT OR GAINING WEIGHT OR IS UP IN THE SAME
audio/RES0173.mp3[324.240,328.160]	KIND OF IN THE SAME
audio/RES0173.mp3[328.160,334.440]	OK AND UH IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0173.mp3[334.440,338.080]	NO IM PRETTY HEALTHY
audio/RES0173.mp3[338.080,347.560]	OK YOU SEE YEAH YOU HAVENT HAD ASTHMA IN THE PAST OR OR ANYTHING LIKE THAT
audio/RES0173.mp3[348.320,357.520]	OK ANY ALLERGIES TO MEDICATIONS YOURE AWARE OF OR OR ENVIRONMENTAL THINGS LIKE OR DUST OR POLLEN
audio/RES0173.mp3[357.520,370.960]	NO NO WHICH IS WHY I WAS KIND OF SURPRISED IM USUALLY FINE AND I SPEND A LOT OF TIME OUTDOORS SO I DONT KNOW YEAH I WAS SURPRISED WHEN THIS HAPPENED WHEN I WENT TO HIS PLACE
audio/RES0173.mp3[370.960,388.040]	OK DID YOU EVER GET THESE KIND OF SYMPTOMS IF YOU ARE LIKE YEAH OR AROUND SMOKE OR OR ANYTHING LIKE THAT YOU COULD MAYBE BE INHALING OR OR EVEN IF YOU ARE OUTSIDE IN THE COLD
audio/RES0173.mp3[389.280,400.040]	OK AND YOU GET SEASONAL SYMPTOMS LIKE THROUGHOUT THE YEAR YOU GET LIKE ITCHY RUNNY EYES OR LIKE LIKE A RUNNY NOSE
audio/RES0173.mp3[400.040,403.920]	NO NO THAT HASNT HAPPENED TO ME
audio/RES0173.mp3[403.920,406.720]	OK AND DO YOU TAKE ANY MEDICATIONS
audio/RES0173.mp3[406.720,411.040]	I JUST TAKE A BIRTH CONTROL PILL
audio/RES0173.mp3[411.040,417.480]	AND WHEN HOW LONG HAVE YOU BEEN ON THAT FOR
audio/RES0173.mp3[417.480,420.560]	ABOUT THREE YEARS
audio/RES0173.mp3[420.560,427.720]	OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/RES0173.mp3[427.720,428.520]	OH NO
audio/RES0173.mp3[428.520,438.840]	ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND TWO YOURE LIVING WITH
audio/RES0173.mp3[438.840,445.840]	I LIVE ALONE UH I HAVE AN APARTMENT NEXT TO THE UNIVERSITY
audio/RES0173.mp3[445.840,453.440]	OK AND ANY POTENTIAL FOR BEING AROUND ANYBODY WHOS BEEN SICK LIKE YOUR BOYFRIEND OR HIS FAMILY OR OR ANYWHERE ELSE
audio/RES0173.mp3[453.440,475.760]	NO IVE JUST BEEN VISITING HIM AND I JUST GO GROCERY SHOPPING IVE JUST IVE BEEN DOING SCHOOLING ONLINE YEAH I DONT THINK SO IM USUALLY VERY CAREFUL IM NOT YEAH IM NOT MAINTAINING SOCIAL DISTANCING WITH MY BOYFRIEND HES IN MY SOCIAL CIRCLE BUT YEAH OTHER THAN THAT NO ONE I THINK YEAH
audio/RES0173.mp3[475.760,477.680]	OK AND HAVE YOU TRAVELED ANYWHERE
audio/RES0173.mp3[479.080,483.640]	ALRIGHT THEN ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL
audio/RES0173.mp3[483.640,486.360]	IM GOING TO SCHOOL
audio/RES0173.mp3[486.360,492.720]	OK COOL AND UH AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0173.mp3[494.240,501.760]	OK AND ARE YOU USING BIRTH CONTROL ARE YOU USING CONDOMS
audio/RES0173.mp3[501.760,507.160]	YEP OK ANY CONCERN FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME
audio/RES0173.mp3[507.160,510.440]	NO NO IM VERY CAREFUL
audio/RES0173.mp3[510.440,513.160]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0173.mp3[514.360,517.480]	DO YOU DRINK ALCOHOL
audio/RES0173.mp3[517.480,525.680]	SOMETIMES IF LIKE DURING LIKE PARTIES AND STUFF BUT I HAVENT REALLY BEEN DRINKING MUCH CAUSE THERES NOTHING GOING ON
audio/RES0173.mp3[525.680,531.840]	OK YEAH I SEE AND UH DO USE ANY RECREATIONAL DRUGS
audio/RES0173.mp3[532.920,539.880]	ALRIGHT THEN UMM IN THE FAMILY IS THERE A HISTORY OF ANY LUNG PROBLEMS OR ANY ANY HEART PROBLEMS
audio/RES0173.mp3[539.880,546.160]	UM JUST HIGH BLOOD PRESSURE MY MOM AND DAD HAVE IT
audio/RES0173.mp3[546.160,558.240]	OK AND SO I WANTED TO ASK ABOUT THE BOYFRIENDS HOUSE AS WELL IS THERE ANY PETS IN THE HOME THERE
audio/RES0173.mp3[558.240,567.000]	OH YEAH YEAH HE HAS THIS CUTE LITTLE PARROT AND HE ALSO HAS A CAT
audio/RES0173.mp3[567.000,571.960]	OK AND DO YOU HAVE ANY PETS AT YOUR HOUSE
audio/RES0173.mp3[571.960,574.520]	NO NO I DONT
audio/RES0173.mp3[574.520,585.400]	OH OK SO THAT I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON ON HISTORY TODAY WAS THERE ANYTHING ELSE I FORGOT TO MENTION OR YOU WANTED TO TO BRING UP
audio/RES0173.mp3[585.400,589.800]	I DONT THINK SO NO
audio/RES0173.mp3[589.800,640.480]	OK SO IT SOUNDS LIKE THERES POTENTIALLY COULD BE CAUSED BY AN ALLERGEN SUCH AS WHICH COULD BE   FROM AN ANIMAL LIKE A PARROT OR A CAT THAT IS CAUSING JUST A REACTION AND ITS BRINGING THESE SYMPTOMS ON LIKE CALLED HYPERSENSITIVITY PNEUMONITIS BUT ALSO WE CANT RULE OUT ASTHMA AS WELL AS BEING A TRIGGER OF KIND OF THE COUGH AND SHORTNESS OF BREATH IS BEING AROUND ALLERGENS AS WELL SO WELL ORDER PULMONARY FUNCTION TEST AND MAYBE SOME UH UH IMAGING AND CHEST XRAY AND WE WILL GO FROM THERE
audio/RES0173.mp3[640.480,646.040]	GREAT THANK YOU
audio/MSK0008.mp3[0.000,2.320]	HOW MAY I HELP YOU
audio/MSK0008.mp3[2.320,27.440]	UM SO I WAS PLAYING SOCCER THE OTHER DAY AND I GOT KICKED IN THE KNEE AND SINCE THEN MY KNEE HAS BEEN HURTING AND IT LOOKS A LITTLE BIT RED AND A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT OF MY RIGHT KNEE
audio/MSK0008.mp3[27.440,36.720]	OK AND AND THIS STARTED RIGHT AFTER THE KICK AT SOCCER
audio/MSK0008.mp3[38.800,41.880]	OK AND HOW MANY DAYS AGO WAS THIS
audio/MSK0008.mp3[41.880,45.080]	THIS WAS TWO DAYS AGO
audio/MSK0008.mp3[45.080,51.440]	OK SINCE THEN HAS THE PAIN BEGIN GETTING ANY BETTER OR WORSE OR STAYING THE SAME
audio/MSK0008.mp3[51.440,58.360]	NO ITS STAYING THE SAME OR A LITTLE BIT WORSE
audio/MSK0008.mp3[58.360,63.480]	OK COULD YOU DESCRIBE THE PAIN IS IT SHARP ACHY
audio/MSK0008.mp3[63.480,68.800]	ID SAY ITS PRETTY SHARP
audio/MSK0008.mp3[68.800,76.840]	OK UHM AND DO YOU FEEL THE PAIN RADIATE ANYWHERE LIKE DOWN THE LEG OR OR UP INTO THE THIGH
audio/MSK0008.mp3[76.840,79.720]	UM NO
audio/MSK0008.mp3[79.720,89.520]	OK ANY PAIN IN THE POSTERIOR ASPECT OF THE KNEE OR THE LATERAL ASPECT
audio/MSK0008.mp3[90.880,98.920]	OK UM AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE
audio/MSK0008.mp3[98.920,112.960]	I GUESS IF I PRESS ON THAT AREA OR I TRY TO AND I DONT KNOW FLEX OR EXTEND MY KNEE TOO MUCH
audio/MSK0008.mp3[112.960,121.960]	OK AN ANYTHING THAT YOUVE TRIED TO MAKE THE PAIN BETTER
audio/MSK0008.mp3[121.960,127.560]	UM SOME ICE HELPS
audio/MSK0008.mp3[127.560,134.040]	OK UH AND HAVE YOU NOTICED SWELLING OVER THE AREA
audio/MSK0008.mp3[134.040,136.400]	JUST A LITTLE BIT
audio/MSK0008.mp3[136.400,138.320]	OK AND REDNESS AS WELL
audio/MSK0008.mp3[141.440,154.600]	OK UHM AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS A 10 BEING THE WORST PAIN THAT YOUVE EVER FELT AND 1 BEING LOW INTENSITY PAIN
audio/MSK0008.mp3[154.600,159.600]	UM ID GIVE IT ABOUT A 5
audio/MSK0008.mp3[159.600,167.320]	OK AND HAVE YOU HAD ANY INJURIES OR ANY KNEE PAIN BEFORE
audio/MSK0008.mp3[170.160,178.600]	OK AT THE TIME OF THE INJURY DID YOU HEAR A POP SOUND OR OR ANY KIND OF SOUNDS LIKE THAT
audio/MSK0008.mp3[178.600,182.400]	I DONT RECALL
audio/MSK0008.mp3[182.400,191.920]	OK AND HOW ABOUT ANY DIFFICULTIES WALKING OR HAVING ANY KNEE INSTABILITY
audio/MSK0008.mp3[191.920,205.280]	UM A LITTLE BIT ONLY WHEN I LIKE TRY TO EXTEND OR FLEX MY KNEE TOO MUCH
audio/MSK0008.mp3[205.280,214.000]	OK UM AND UH UM ALRIGHT SO HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/MSK0008.mp3[215.360,228.760]	ALRIGHT SO JUST TO BE COMPREHENSIVE SO ILL RUN THROUGH A REVIEW SO HAVE YOU BEEN HAVING ANY ANY HEADACHES
audio/MSK0008.mp3[229.880,235.280]	ANY SENSORY CHANGES LIKE CHANGES TO VISION HEARING SMELL OR TASTE
audio/MSK0008.mp3[237.080,240.640]	OK ANY EYE SYMPTOMS OR YOUR SYMPTOMS
audio/MSK0008.mp3[242.000,245.120]	HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/MSK0008.mp3[246.040,247.800]	HAVE YOU HAD A COUGH
audio/MSK0008.mp3[248.640,250.240]	ANY SHORTNESS OF BREATH
audio/MSK0008.mp3[251.400,253.960]	HAVE YOU HAD ANY WHEEZING
audio/MSK0008.mp3[254.560,256.760]	HAVE YOU HAD ANY CHEST PAIN
audio/MSK0008.mp3[257.600,260.560]	ANY HEART PALPITATIONS OR HEART RACING
audio/MSK0008.mp3[261.600,264.920]	OK HAVE YOU HAD ANY FAINTING OR DIZZINESS
audio/MSK0008.mp3[264.920,266.400]	UM NO
audio/MSK0008.mp3[266.400,272.680]	ALRIGHT HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0008.mp3[273.600,278.640]	HAVE YOU HAD ANY CHANGES TO YOUR APPETITE LIKE LOSS OF APPETITE
audio/MSK0008.mp3[279.600,283.080]	HAVE YOU HAD ANY WEIGHT LOSS UNEXPECTEDLY
audio/MSK0008.mp3[284.520,289.240]	OK HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0008.mp3[289.240,290.040]	UM NO
audio/MSK0008.mp3[290.040,295.120]	ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA CONSTIPATION
audio/MSK0008.mp3[296.800,301.480]	OK HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/MSK0008.mp3[302.920,311.480]	ALRIGHT AND HAVE YOU HAD ANY SKIN CHANGES SUCH AS RA RASHES OR ANYTHING LIKE THAT
audio/MSK0008.mp3[313.160,318.800]	OK ANY JOINT PAINS ANYWHERE ELSE
audio/MSK0008.mp3[318.800,320.000]	UM NO
audio/MSK0008.mp3[320.000,326.400]	OK AND ANY FATIGUE
audio/MSK0008.mp3[328.240,336.320]	OK AND IN THE PAST HAVE YOU HAD OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0008.mp3[336.320,338.120]	UM NO
audio/MSK0008.mp3[338.120,343.120]	OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0008.mp3[343.120,345.000]	NO NO NOT THAT I KNOW OF
audio/MSK0008.mp3[345.000,347.200]	ARE YOU CURRENTLY TAKING ANY MEDICATIONS
audio/MSK0008.mp3[348.760,353.040]	ALRIGHT AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE
audio/MSK0008.mp3[355.280,367.000]	OK AND UM CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE YOU YOURE LIVING WITH AND WHEREABOUTS
audio/MSK0008.mp3[367.000,373.760]	SURE I LIVE WITH BOTH MY PARENTS AND THREE OF MY SIBLINGS
audio/MSK0008.mp3[373.760,376.120]	OK AND ARE YOU GOING TO SCHOOL
audio/MSK0008.mp3[376.120,381.600]	I AM IM IN MY LAST YEAR OF GRADE 12
audio/MSK0008.mp3[381.600,383.520]	OK WELL THATS GOOD HOW IS THAT BEEN GOING
audio/MSK0008.mp3[383.520,393.200]	ITS BEEN GOING OK WEVE BEEN DOING PART ONLINE PART INPERSON
audio/MSK0008.mp3[393.200,396.120]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0008.mp3[398.160,403.000]	ALRIGHT THEN AND YOU PLAY SOCCER DO YOU PLAY ANY OTHER SPORTS
audio/MSK0008.mp3[403.000,407.920]	AND I PLAY FOOTBALL
audio/MSK0008.mp3[407.920,416.240]	OK COOL AND ANY INJURIES BEFORE TO YOUR KNEE OR ANYTHING LIKE THAT
audio/MSK0008.mp3[416.240,419.600]	UM NOT THAT IN THE PAST
audio/MSK0008.mp3[419.600,422.480]	ALRIGHT AND DO YOU SMOKE CIGARETTES
audio/MSK0008.mp3[424.840,427.960]	UM DO YOU DRINK ALCOHOL
audio/MSK0008.mp3[428.760,434.080]	OK DID YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING ELSE
audio/MSK0008.mp3[435.320,440.320]	OK ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0008.mp3[440.320,442.960]	I AM
audio/MSK0008.mp3[442.960,445.320]	OK ARE YOU IN A RELATIONSHIP
audio/MSK0008.mp3[445.320,447.880]	I AM WEVE BEEN TOGETHER FOR A YEAR
audio/MSK0008.mp3[447.880,454.640]	OK IS THERE ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION
audio/MSK0008.mp3[454.640,459.280]	NO WE WERE BOTH TESTED
audio/MSK0008.mp3[459.280,470.760]	OK GREAT UM AND ANY CHANCE THAT YOU COULD BE PREGNANT
audio/MSK0008.mp3[471.560,478.920]	OK AND UH IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS
audio/MSK0008.mp3[478.920,479.880]	UM NO
audio/MSK0008.mp3[479.880,505.120]	OK UM AND SO THAT I THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO FOR THE PHYSICAL EXAM WHEN INSPECTING THE KNEE ARE YOU SEEING ANY JOINT EFFUSIONS OR JOINT SWELLING OR ECCHYMOSIS OR BRUISING
audio/MSK0008.mp3[505.120,517.040]	IT LOOKS OR IS THAT A BRUISE IT LOOKS RED AND I WOULD SAY ITS A LITTLE BIT SWOLLEN ON THE MEDIAL ASPECT ONLY
audio/MSK0008.mp3[517.040,520.400]	OK IS THERE ANY MUSCLE ATROPHY
audio/MSK0008.mp3[520.400,524.480]	UM NO
audio/MSK0008.mp3[524.480,532.320]	OK AND IS THERE ANY MISALIGNMENT OR JOINT DEFORMITIES
audio/MSK0008.mp3[532.320,536.320]	NO NOT THAT I NOTICE
audio/MSK0008.mp3[536.320,547.640]	OK AND ALRIGHT ON GAIT OR WALKING IS THERE ANY LIMP OR ANTALGIA
audio/MSK0008.mp3[547.640,548.360]	UM NO
audio/MSK0008.mp3[548.360,553.280]	YOURE ABLE TO WALK NORMALLY
audio/MSK0008.mp3[553.280,562.640]	I AM ABLE TO WALK NORMALLY AND IT HURTS BUT I THINK IM WALKING OK
audio/MSK0008.mp3[562.640,571.120]	OK UHM AND NEXT IS THERE ANY CHANGES TO TEMPERATURE LIKE THE JOINT ITSELF FEEL HOT
audio/MSK0008.mp3[574.480,584.440]	OK AND ARE THERE ANY AREAS OF THE JOINT LINE ITSELF OF THE KNEE THAT IS PAINFUL TO PALPATION
audio/MSK0008.mp3[584.440,592.520]	AT JUST THE MEDIAL PART OF IT LIKE THE I GUESS WHERE THE LIGAMENT WOULD BE
audio/MSK0008.mp3[592.520,598.520]	OK SO JUST LET ME OK AND ANY PAIN OVER THE PATELLA
audio/MSK0008.mp3[600.520,605.760]	ANY PAIN OVER THE TIBIAL TUBEROSITY OR PATELLAR TENDON
audio/MSK0008.mp3[607.000,613.520]	ANY PAIN OVER YOUR OVER THE FIBULAR HEAD OR THE LATERAL PART OF THE KNEE
audio/MSK0008.mp3[614.400,619.400]	ANY PAIN IN THE CALF OR THE THIGH MUSCLES
audio/MSK0008.mp3[620.040,625.720]	ANY PAIN IN THE HAMSTRING MUSCLES
audio/MSK0008.mp3[626.640,637.840]	OK AND IS THERE ANY PAIN TO A LIKE VARUS STRESS OF THE KNEE
audio/MSK0008.mp3[637.840,646.200]	TO THE VARUS STRESS I GUESS IT WOULD BE THERE WILL BE PAIN IF I PRESS DOWN IN THAT AREA
audio/MSK0008.mp3[646.200,656.640]	OK AND IS THERE ANY JOINT YEAH THE JOINT LAXITY OR PAIN TOO LIKE A VALGUS STRESS OF THE KNEE
audio/MSK0008.mp3[656.640,667.960]	YEAH SO WHEN I PRESS WHEN I DO THAT IT HURTS ON THE MEDIAL ASPECT BUT NOT THE LATERAL ASPECT
audio/MSK0008.mp3[667.960,678.200]	OK UHM AND DOES IT FEEL IS AS THOUGH THERES SOME LIKE THE JOINTS OPENING MORE WHEN YOU PUT THE VALGUS STRESS
audio/MSK0008.mp3[678.200,686.320]	A LITTLE BIT YES
audio/MSK0008.mp3[686.320,695.680]	OK UHM AND IS THERE ANY INSTABILITY MOVING THE TIBIA ANTERIORLY IF YOURE LIKE PULL IT OUTWARDS
audio/MSK0008.mp3[695.680,697.320]	UM NO
audio/MSK0008.mp3[697.320,702.240]	AND HOW ABOUT IF YOU PULL THE TIBIA POSTERIORLY ANY INSTABILITY
audio/MSK0008.mp3[706.600,712.360]	OK UM AND THE IS THEIR FULL RANGE OF MOTION OF THE KNEE
audio/MSK0008.mp3[714.240,717.360]	AND FULL RANGE OF MOTION OF THE HIP AND ANKLE
audio/MSK0008.mp3[718.480,729.080]	OK UM AND DO YOU HAVE ANY LIKE NUMBNESS TINGLING OR MUSCLE WEAKNESS
audio/MSK0008.mp3[729.840,735.360]	OK AND ANY SENSORY CHANGES TO THE SKIN
audio/MSK0008.mp3[735.360,737.680]	NO NO
audio/MSK0008.mp3[737.680,744.560]	OK AND REFLEXES ARE NORMAL
audio/MSK0008.mp3[745.760,758.680]	OK SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND AND KIND OF GO THROUGH ON THE PHYSICAL EXAM DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT MAYBE I FORGOT TO MENTION TODAY
audio/MSK0008.mp3[758.680,766.720]	AH NO THAT WAS IT JUST WHAT CAN I DO ABOUT MY MY KNEE
audio/MSK0008.mp3[766.720,819.920]	YEAH SO RIGHT NOW ITS SOUNDING LIKE THIS COULD BE AN MCL OR MEDIAL COLLATERAL LIGAMENT STRAIN OR INJURY AND SO THESE TYPES OF INJURIES ARE USUALLY TREATED CONSERVATIVELY LIKE WITH THINGS LIKE NSAIDS OR ANTIINFLAMMATORIES TO HELP THAT PAIN AND SWELLING IF THE PAIN DEPENDING ON HOW SEVERE IT IS IT MIGHT BE USEFUL TO USE MAYBE CRUTCHES FOR A DAY OR TWO TO TRY TO HELP LET THE PAIN TO SUBSIDE AND ALLOW YOU TO BE ABLE TO DO SOME PHYSICAL THERAPY EXERCISES LIKE STRENGTHENING THE QUADRICEPS AND HAMSTRING MUSCLES
audio/MSK0008.mp3[820.960,871.920]	BUT TYPICALLY INJURIES THAT ARE LOWER GRADE WILL HEAL WITHIN TWO WEEKS AND SO IF ITS MORE MORE SEVERE IT COULD TAKE A BIT LONGER AND ALTHOUGH THAT ITS MOST LIKELY AN MCL INJURY THAT YOURE DESCRIBING IT COULD BE A MEDIAL MENISCAL INJURY AS WELL OR POSSIBLY EVEN A BURSITIS AT THE MEDIAL ASPECT OF THE KNEE BUT THE TREATMENT TO START WITH WOULD BE THE SAME AND MAYBE WE WILL GET ANY XRAY IF THINGS ARENT IMPROVING
audio/MSK0008.mp3[871.920,874.200]	OK THAT SOUNDS GOOD THANK YOU
audio/CAR0002.mp3[0.000,2.680]	WHAT BRINGS YOU IN HERE TODAY
audio/CAR0002.mp3[2.680,7.120]	YEAH I HAVE THIS PAIN IN MY CHEST
audio/CAR0002.mp3[7.120,10.480]	OK AND WHERE IS THE PAIN EXACTLY
audio/CAR0002.mp3[10.480,14.600]	ITS JUST RIGHT  OVER ON THE ON THE LEFT SIDE
audio/CAR0002.mp3[14.600,18.400]	OK AND WHEN DID THIS PAIN START
audio/CAR0002.mp3[18.400,21.560]	IT STARTED JUST 30 MINUTES AGO
audio/CAR0002.mp3[21.560,27.480]	OK AND DID IT JUST COME ON RANDOMLY OR WERE YOU DOING SOMETHING STRENUOUS
audio/CAR0002.mp3[27.480,34.640]	I WAS JUST SHOVELLING THE DRIVEWAY AND IT CAME ON
audio/CAR0002.mp3[34.640,41.920]	OK AND HAS THAT PAIN BEEN GETTING WORSE AT ALL OVER THE LAST HALF AN HOUR
audio/CAR0002.mp3[41.920,49.960]	NO IT JUST CAME ON SUDDENLY AND ITS UH UH IM SORRY YEAH THE PAIN HAS BEEN THERE THIS WHOLE TIME AND ITS GOTTEN WORSE EVER SINCE IT STARTED
audio/CAR0002.mp3[49.960,62.120]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT KIND OF LIKE AN ACHING PAIN OR IS IT A SHARP OR TIGHT TIGHTNESS KIND OF PAIN HOW WOULD YOU DESCRIBE IT
audio/CAR0002.mp3[62.120,68.440]	IT FEELS DULL I FEEL LIKE THERES A LOT OF PRESSURE ON MY CHEST
audio/CAR0002.mp3[68.440,78.040]	AND HOW DO YOU RATE THE PAIN RIGHT NOW ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE 10 BEING THE WORST
audio/CAR0002.mp3[78.040,79.720]	UH SEVEN
audio/CAR0002.mp3[79.720,84.760]	SEVEN OK HAVE YOU HAD NY SIMILAR EPISODES BEFORE
audio/CAR0002.mp3[84.760,87.640]	NO IVE NEVER HAD ANY CHEST PAIN BEFORE
audio/CAR0002.mp3[87.640,96.520]	OK AND IS THE PAIN JUST STAYING IN THE REGION OF THE LEFT CHEST AREA THAT YOU MENTIONED OR IS IT TRAVELING TO ANY OTHER PART OF YOUR BODY
audio/CAR0002.mp3[96.520,101.080]	NO IM KIND OF JUST FEELING IT RIGHT HERE ON THE LEFT SIDE
audio/CAR0002.mp3[101.080,110.520]	OK UH IS THERE ANYTHING THAT YOU DO THAT MAKES THE PAIN EITHER GET WORSE OR GO AWAY OR LIKE GET BETTER
audio/CAR0002.mp3[110.520,123.960]	UH I THINK ITS A BIT BIT WORSE IF IM MOVING AROUND OR WHEN I WAS WALKING IN HERE I THINK IT IT MADE IT A BIT WORSE BUT NOTHING HAS SEEMED TO MAKE IT ANY BETTER SINCE IT STARTING
audio/CAR0002.mp3[123.960,131.480]	OK AND DOES IT CHANGE AT ALL FROM YOU CHANGING POSITIONS LIKE IF YOURE STANDING UP VERSUS SITTING DOWN OR LAYING DOWN
audio/CAR0002.mp3[131.480,137.560]	I THINK ITS A LITTLE BIT WORSE WHEN I WHEN IM LAYING DOWN
audio/CAR0002.mp3[137.560,150.480]	OK AND OTHER THAN THE PAIN THAT YOUVE BEEN HAVING HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR DIFFICULTY BREATHING OR ANY PAIN WHEN YOURE BREATHING IN OR OUT
audio/CAR0002.mp3[150.480,168.320]	UH IVE FELT A LITTLE BIT UH SHORT OF BREATH OR HAVING DIFFICULTY BREATHING SINCE YESTERDAY WHEN THE SORRY SINCE THE PAIN STARTED BUT UH JUST THE DIFFICULTY BREATHING
audio/CAR0002.mp3[168.320,178.080]	OK AND HAVE YOU RECENTLY INJURED YOUR CHEST OR SURROUNDING AREA AT ALL LIKE FROM A FALL OR ANYTHING LIKE THAT
audio/CAR0002.mp3[178.080,191.480]	I DO I PLAY RUGBY AND WAS TACKLED BY ANOTHER PLAYER YESTERDAY BUT BUT MY CHEST FELT FINE AFTER THAT
audio/CAR0002.mp3[191.480,194.200]	OK SO BUT THE PAIN JUST STARTED HALF AN HOUR AGO
audio/CAR0002.mp3[196.640,201.720]	OK HAVE YOU HAVE YOU BEEN TRAVELING AT ALL RECENTLY
audio/CAR0002.mp3[201.720,204.440]	NO BEEN AT HOME
audio/CAR0002.mp3[204.440,208.480]	OK HAS ANYONE AROUND YOU BEEN SICK AT ALL
audio/CAR0002.mp3[209.800,216.880]	OK HAVE YOU BEEN HAVING ANY SYMPTOMS LIKE NAUSEA OR VOMITING OR ANY FEVERS OR CHILLS
audio/CAR0002.mp3[216.880,226.560]	NO NAUSEA OR VOMITING BUT I DO FEEL A LITTLE BIT HOT TODAY
audio/CAR0002.mp3[226.560,234.800]	OK BUT HAVE YOU MEASURED YOUR TEMPERATURE AT ALL
audio/CAR0002.mp3[234.800,237.200]	UH I DID AND IT WAS 38 DEGREES
audio/CAR0002.mp3[237.200,246.080]	OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LEGS OR FEET
audio/CAR0002.mp3[246.080,251.600]	UH NO SWELLING IN MY LEGS
audio/CAR0002.mp3[251.600,256.320]	OK HAVE YOU BEEN FEELING TIRED AT ALL LIKE INCREASINGLY FATIGUED
audio/CAR0002.mp3[256.320,259.600]	NO MY ENERGY HAS BEEN GOOD
audio/CAR0002.mp3[259.600,267.480]	HAVE YOU BEEN HAVING ANY KIND OF THUMPING OR PALPITATIONS OR FEEL LIKE YOUR HEART HAS BEEN RACING AT ALL
audio/CAR0002.mp3[267.480,275.440]	IT UHH IT DOES FEEL LIKE ITS BEATING FASTER RIGHT NOW IT USUALLY ONLY FEELS LIKE THIS WHEN IM PLAYING SPORTS
audio/CAR0002.mp3[275.440,282.600]	OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR SKIN AT ALL ANY RASHES
audio/CAR0002.mp3[282.600,285.760]	NO RASHES
audio/CAR0002.mp3[285.760,293.040]	OK HAVE YOU HAD ANY COUGH OR RUNNY NOSE OR SORE THROAT ANY KIND OF THOSE SYMPTOMS AND IN THE PAST MONTH
audio/CAR0002.mp3[293.040,303.640]	UH FEW WEEKS AGO I WAS A LITTLE RUNNY BUT THAT WENT AWAY ON ITS OWN I HAVENT HAD ANY COUGH
audio/CAR0002.mp3[303.640,309.440]	OK AND HAVE YOU BEEN FEELING DIZZY AT ALL OR HAVE YOU FAINTED
audio/CAR0002.mp3[309.440,315.240]	NO DIZZINESS AND UH NO I HAVENT FAINTED AT ALL
audio/CAR0002.mp3[315.240,327.600]	OK JUST A FEW MORE QUESTIONS HAVE YOU HAD ANY DIAGNOSIS MADE BY ANY PHYSICIAN OR ANY ANYTHING LIKE DIABETES OR HIGH BLOOD PRESSURE
audio/CAR0002.mp3[327.600,334.760]	YEAH IVE BEEN TOLD I HAVE HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE
audio/CAR0002.mp3[334.760,338.680]	OK AND DO YOU TAKE ANY MEDICATIONS FOR THE THESE THINGS
audio/CAR0002.mp3[338.680,358.600]	UM I DO TAKE MEDICATIONS FOR BOTH BLOOD PRESSURE AND CHOLESTEROL ROSUVASTATIN AND UM LISINOPRIL AND I TAKE A MULTI VITAMIN
audio/CAR0002.mp3[358.600,367.440]	OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/CAR0002.mp3[367.440,369.800]	NO ALLERGIES
audio/CAR0002.mp3[369.800,375.480]	OK HAVE YOU AT ALL IN THE PAST BEEN HOSPITALIZED FOR ANY REASON
audio/CAR0002.mp3[375.480,377.880]	NO HOSPITALIZATIONS
audio/CAR0002.mp3[377.880,379.960]	ANY PREVIOUS SURGERIES
audio/CAR0002.mp3[382.080,390.480]	OK AND WITHIN YOUR FAMILY HAS ANYONE PASSED AWAY FROM A HEART ATTACK OR ANY CANCERS THAT RUN IN THE FAMILY
audio/CAR0002.mp3[393.400,401.960]	OK AND CURRENTLY RIGHT NOW DO YOU LIVE ALONE DO YOU LIVE WITH SOMEONE AND WHERE DO YOU LIVE LIKE AN APARTMENT OR HOUSE
audio/CAR0002.mp3[401.960,408.840]	I I LIVE IN A HOUSE WITH UM MY PARENTS
audio/CAR0002.mp3[408.840,412.200]	OK AND DO YOU CURRENTLY WORK
audio/CAR0002.mp3[412.200,417.000]	YEAH I I DRIVE A BUS FOR THE CITY
audio/CAR0002.mp3[417.000,426.520]	OK AND IN YOUR DAILY ROUTINE WOULD YOU SAY YOU GET ENOUGH EXERCISE THROUGHOUT THE WEEK
audio/CAR0002.mp3[426.520,428.680]	UHH YEAH USUALLY ON SUNDAYS ILL GO FOR A RUN
audio/CAR0002.mp3[428.680,440.320]	OK AND HOW ABOUT YOUR DIET WELL HOWS YOUR DIET LIKE JUST REGULARLY
audio/CAR0002.mp3[440.320,454.320]	UHH USUALLY I FEEL LIKE ITS FAIRLY BALANCED OVERALL I MIGHT I EAT OUT A LITTLE BIT TOO OFTEN BUT TRY TO EAT AS MANY VEGETABLES AS I CAN
audio/CAR0002.mp3[454.320,460.160]	OK AND DO YOU SMOKE CIGARETTES AT ALL
audio/CAR0002.mp3[460.160,466.760]	I DO YES BEEN SMOKING FOR THE LAST 20 YEARS ROUGHLY
audio/CAR0002.mp3[466.760,470.480]	OK HOW MUCH DO YOU SMOKE ON AN AVERAGE DAY
audio/CAR0002.mp3[470.480,473.840]	ABOUT A HALF A PACK TO A PACK A DAY
audio/CAR0002.mp3[473.840,478.160]	OK AND DO YOU DRINK
audio/CAR0002.mp3[478.160,480.760]	NO ALCOHOL
audio/CAR0002.mp3[480.760,485.680]	OK AND ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/CAR0002.mp3[485.680,494.720]	UM NO MARIJUANA BUT I HAVE USED CRYSTAL METH IN THE PAST
audio/CAR0002.mp3[494.720,498.920]	OK AND WHEN WAS THE LAST TIME THAT YOU USED CRYSTAL METH
audio/CAR0002.mp3[498.920,503.880]	UM SIX DAYS AGO
audio/CAR0002.mp3[503.880,510.240]	SIX DAYS AGO OK AND HOW OFTEN DO YOU USE CRYSTAL METH
audio/CAR0002.mp3[510.240,515.120]	UM I WOULD SAY A COUPLE OF TIMES A MONTH
audio/CAR0002.mp3[515.120,524.880]	A COUPLE OF TIMES A MONTH OK ALRIGHT AND FOR HOW LONG HAVE YOU BEEN USING CRYSTAL METH
audio/CAR0002.mp3[524.880,526.000]	UH FOR THE LAST SEVEN YEARS
audio/CAR0002.mp3[526.000,530.320]	SEVEN YEARS OK
audio/MSK0036.mp3[0.000,1.920]	HOW MAY I HELP YOU
audio/MSK0036.mp3[1.920,19.440]	IVE JUST BEEN EXPERIENCING A SOME PAIN AND NUMBNESS AND TINGLING IN IN JUST MY WRIST AREA AND THUMB MIDDLE FINGER AND INDEX FINGER
audio/MSK0036.mp3[19.440,28.680]	OK AND WHEN DID THIS PAIN START AND IS IT THE RIGHT HAND OR OR LEFT HAND
audio/MSK0036.mp3[28.680,79.000]	HUM ITS THE RIGHT ITS A THE RIGHT HAND BUT I ALSO FIND IT SO STARTING TO HAPPEN IN THE LEFT HAND AS WELL BUT MORE SO ON THE RIGHT HAND I FEEL THIS KIND OF SENSATION OVER MY PALMS AND FINGERS IT STARTED I WOULD SAY PROBABLY 2 WEEKS AGO AND ITS BEEN I THINK ITS GRADUALLY BEEN GETTING WORSE IM HAVING MORE DIFFICULTY AT NIGHTTIME ESPECIALLY ITS ALSO WAKING ME UP FROM SLEEP AND ITS YEAH JUST AFFECTING MY DAILY ROUTINE MY WORK SO YEAH I JUST WANTED TO UNDERSTAND WHAT WAS GOING ON
audio/MSK0036.mp3[79.000,88.000]	OK I SEE AND DID YOU HAVE ANY TRAUMA TO THE WRIST OR OR ANY INJURY OR HAVE YOU HAD AN INJURY IN THE PAST
audio/MSK0036.mp3[88.000,97.400]	NO I HAVENT HAD ANY FALLS NO ACCIDENTS NOTHING LIKE THAT
audio/MSK0036.mp3[97.400,100.000]	OK AND ARE YOU RIGHT OR LEFT HANDED
audio/MSK0036.mp3[100.000,103.000]	IM RIGHT HANDED
audio/MSK0036.mp3[103.000,112.560]	OK YEAH AND YOU MENTIONED IT WAS THE RIGHT HAND THAT STARTED TO HURT FIRST AND THEN THE LEFT ONE HAS STARTED SINCE THEN
audio/MSK0036.mp3[112.560,124.480]	YEAH YEAH AND I DONT KNOW IF ITS JUST CAUSE I USE MY RIGHT HAND MORE THAT I FEEL MORE PAIN AND THE SYMPTOMS BUT YEAH I DEFINITELY WOULD SAY ITS WORSE
audio/MSK0036.mp3[124.480,134.280]	OK AND WHERE ARE YOU FINDING THAT THE PAIN IS SPECIFICALLY LOCATED
audio/MSK0036.mp3[134.280,163.280]	SO THE PAIN I FEEL LIKE ITS MORE LIKE A DISCOMFORT JUST OVER THE LIKE PALM LIKE NEAR THE WRIST AND THE LOWER PALM AREA IS WHERE THE DISCOMFORT IS AND THEN THE NUMBNESS AND TINGLING IS JUST LIKE IN THUMB AN THE 1ST 2 DIGITS
audio/MSK0036.mp3[163.280,174.440]	OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OF THIS SENSATION IS IT BURNING IS IT SHARP ACHY OR OR STABBY
audio/MSK0036.mp3[174.440,199.120]	UM I WOULD SAY ITS MORE OF KIND OF LIKE AN ACHING ACHING PAIN UM IT DOES SOMETIMES TURN INTO KIND OF LIKE A BURNING SENSATION WITH THE TINGLING BUT YEAH MORE SO ON THE PALMER LIKE ON THE PALM SIDE OF THINGS ITS MORE LIKE AN ACHING PAIN
audio/MSK0036.mp3[199.120,201.640]	OK AND YOU HAVE SOME BURNING AS WELL
audio/MSK0036.mp3[202.960,210.840]	OK AND IS THE DOES IT RADIATE ANYWHERE ARE YOU FEELING THIS IN IN YOUR NECK SHOULDER OR DOWN YOUR ARM AT ALL
audio/MSK0036.mp3[210.840,238.000]	IT KIND OF GOES FROM THE PALM ALONG SO IT GOES FROM THE PALM IT GOES UPWARDS LIKE TO MY FINGERS BUT ALSO BACKWARDS LIKE INTO MY LOWER ARM AS WELL LIKE MY FOREARM
audio/MSK0036.mp3[238.000,244.840]	OK AND DO YOU HAVE ANY PAIN IN THE NECK
audio/MSK0036.mp3[244.840,246.760]	IN MY NECK
audio/MSK0036.mp3[248.640,255.120]	OK AN ANYTHING THAT YOUVE DONE THAT MAKES THE PAIN WORSE
audio/MSK0036.mp3[255.120,282.240]	UH I I JUST HAVE TO LIKE I WORK AS AN ACCOUNTANT THERES A LOT OF WORK I DO ON THE COMPUTER WITH A KEYBOARD MOUSE SO I FEEL LIKE ITS HARD TO REALLY DO THAT ALL DAY RIGHT NOW SO I THINK IF I DO THAT ILL MAKE IT WORSE BUT IF I TAKE A REST AND KIND OF JUST SHAKE MY HANDS A LITTLE BIT THEN IT GETS BETTER
audio/MSK0036.mp3[282.240,289.040]	OK UM SO KIND OF LIKE FLICKING YOUR WRIST SORT OF THING SO KIND OF SHAKE OUT THE
audio/MSK0036.mp3[290.240,303.640]	OK UM AN ANYTHING THAT YOU DO THAT MAKES IT BETTER BESIDES THOSE MOVES LIKE HAVE YOU TAKEN ANY MEDICATIONS OR TRIED ANY LIKE WRIST SPLINTS OR ANYTHING LIKE THAT
audio/MSK0036.mp3[303.640,309.000]	NO I HAVENT TRIED ANY MEDICATIONS OR SPLINTS
audio/MSK0036.mp3[309.000,326.720]	OK AND WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 10 BEING THE WORST YOUVE EVER FELT AND DO YOU FEEL THIS PAIN AT ANY PARTICULAR TIME OF DAY MORE THAN THAN OTHERS
audio/MSK0036.mp3[326.720,342.400]	THE PAIN IS PROBABLY LIKE A A 5  AND I FEEL IT MORE DURING THE NIGHT AS WELL AS LIKE WHEN IM WORKING I FEEL ITS DEFINITELY MORE AS I CONTINUE TO DO MORE WORK
audio/MSK0036.mp3[342.400,357.200]	I SEE OK AND HAVE YOU HAD ANY LIKE NUMBNESS AND AND THAT TINGLING IN THE HAND OR ANYWHERE ELSE
audio/MSK0036.mp3[357.200,361.360]	NO JUST IN THE AREAS THAT I DESCRIBED NOWHERE ELSE
audio/MSK0036.mp3[361.360,365.440]	OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS
audio/MSK0036.mp3[365.440,371.480]	UHM NO I DONT THINK SO
audio/MSK0036.mp3[371.480,382.160]	OK AND HOW ABOUT ANY ISSUES WITH LIKE GRIPPING OBJECTS DROPPING OBJECTS OR LIKE OPENING JARS
audio/MSK0036.mp3[382.160,400.400]	YEAH I I DO I DO HAVE LIKE WHEN IM LIFTING THINGS AND OPENING JARS OPENING LIDS LIKE I DO HAVE THE SIMILAR DISCOMFORT PAIN AS WELL AS THE NUMBNESS AND TINGLING
audio/MSK0036.mp3[400.400,404.680]	OK ALRIGHT AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0036.mp3[405.600,407.960]	HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0036.mp3[408.960,412.080]	HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0036.mp3[413.600,416.600]	OK HAVE YOU HAD ANY HEADACHES
audio/MSK0036.mp3[417.800,425.920]	HOW ABOUT ANY LIKE SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION OR HEARING
audio/MSK0036.mp3[425.920,427.880]	NO NO NOTHING LIKE THAT
audio/MSK0036.mp3[427.880,433.440]	HOW ABOUT A LOSS OF YOUR SENSE OF TASTE OR SENSE OF SMELL
audio/MSK0036.mp3[434.400,439.320]	HAVE YOU HAD ANY RUNNY NOSE OR FEELING CONGESTED
audio/MSK0036.mp3[439.320,441.040]	NO NOTHING LIKE THAT
audio/MSK0036.mp3[441.040,444.440]	HOW ABOUT A SORE THROAT OR A COUGH
audio/MSK0036.mp3[444.440,446.640]	NO OK
audio/MSK0036.mp3[446.640,454.080]	HAVE YOU HAD ANY SHORTNESS OF BREATH OR WHEEZING
audio/MSK0036.mp3[454.080,456.560]	UHM NO NOTHING LIKE THAT
audio/MSK0036.mp3[456.560,462.240]	HAVE YOU HAD ANY CHEST PAIN OR FEELING AS THOUGH YOUR HEARTS RACING
audio/MSK0036.mp3[463.080,470.040]	OK HAVE YOU HAD ANY DIZZINESS OR OR LIGHTHEADEDNESS
audio/MSK0036.mp3[471.800,477.200]	ALRIGHT AND HAVE YOU HAD ANY OF NAUSEA OR VOMITING
audio/MSK0036.mp3[478.640,481.200]	AND ANY ABDOMINAL PAIN
audio/MSK0036.mp3[482.480,488.240]	OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL
audio/MSK0036.mp3[489.560,495.040]	ALRIGHT HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/MSK0036.mp3[496.760,502.240]	ALRIGHT HAVE YOU NOTICED ANY SKIN CHANGES OR LIKE RASHES OR ANYTHING LIKE THAT
audio/MSK0036.mp3[504.040,515.480]	OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR OR BODY PAINS
audio/MSK0036.mp3[517.120,520.080]	OK AND ANY CONFUSION OR MEMORY LOSS
audio/MSK0036.mp3[522.640,527.160]	OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0036.mp3[527.160,533.680]	NO IVE BEEN FAIRLY HEALTHY
audio/MSK0036.mp3[533.680,542.680]	OK AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER
audio/MSK0036.mp3[542.680,554.560]	NO I IVE BEEN PRETTY HEALTHY SOMETIMES I TAKE SOME ADVIL FOR HEADACHES AND STUFF OR TYLENOL BUT THATS IT
audio/MSK0036.mp3[554.560,559.720]	OK UHM AND DO YOU HAVE ANY ALLERGIES
audio/MSK0036.mp3[559.720,562.760]	UHM NOPE
audio/MSK0036.mp3[562.760,569.400]	AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES
audio/MSK0036.mp3[569.400,572.120]	NO I HAVENT
audio/MSK0036.mp3[572.120,579.000]	ALRIGHT AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH
audio/MSK0036.mp3[579.000,586.920]	IM LIVING WITH MY HUSBAND AND TWO KIDS IN A SMALL TOWNHOUSE
audio/MSK0036.mp3[586.920,595.120]	I SEE AND YOU MENTIONED YOURE AN ACCOUNTANT ARE YOU WORKING RIGHT NOW
audio/MSK0036.mp3[595.120,614.920]	YEAH I I AM IN IM AN ACCOUNTING TIME OFF AND JUST TAKING A LITTLE BIT EASY BEFORE I FIND OUT LIKE WHAT THIS IS AND HOW THIS WILL REALLY IMPACT MY WORK
audio/MSK0036.mp3[614.920,618.960]	I SEE OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/MSK0036.mp3[621.200,623.320]	HAVE YOU TRAVELED ANYWHERE
audio/MSK0036.mp3[623.640,625.600]	DO YOU SMOKE CIGARETTES
audio/MSK0036.mp3[628.280,633.840]	OK AND HOW ABOUT SMOKING MARIJUANA
audio/MSK0036.mp3[633.840,636.600]	NO NO NO DRUGS
audio/MSK0036.mp3[636.600,638.600]	OK SO NO RECREATIONAL DRUGS
audio/MSK0036.mp3[640.280,646.400]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0036.mp3[646.400,650.320]	YES JUST JUST WITH MY HUSBAND
audio/MSK0036.mp3[650.320,655.120]	OK UH AND ANY CONCERN FOR SEXUALLY TRANSMITTED INFECTION
audio/MSK0036.mp3[658.920,663.520]	OK UM AND DO YOU DRINK ALCOHOL
audio/MSK0036.mp3[663.520,668.480]	UH JUST MAYBE SOME WINE EVERY OTHER DAY
audio/MSK0036.mp3[668.480,678.720]	OK UM AND IN THE FAMILY ARE THERE ANY MUSCULOSKELETAL OR LIKE NEUROLOGICAL CONDITIONS
audio/MSK0036.mp3[679.760,694.240]	OK AND HOW ABOUT AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR LIKE HYPOTHYROIDISM OR TYPE ONE DIABETES
audio/MSK0036.mp3[694.240,697.240]	IN MY FAMILY HISTORY I THINK THERE IS
audio/MSK0036.mp3[697.440,718.120]	SOME THERES DEFINITELY SOME DIABETES ON MY FATHERS SIDE BUT OTHER THAN THAT I THINK ONE OF MY AUNTS ON MY MOTHER SIDE HAD UM A HYSTERECTOMY FOR CANCER
audio/MSK0036.mp3[718.120,721.920]	OK ALRIGHT AND WAS IT ENDOMETRIAL CANCER
audio/MSK0036.mp3[721.920,732.200]	NOT SURE ACTUALLY BUT SHE I JUST KNOW THAT SHE HAD HER UTERUS REMOVED
audio/MSK0036.mp3[732.200,747.080]	I SEE ALRIGHT AND UM SO NEXT I WANTED TO JUST MOVE TO THE PHYSICAL EXAM PORTION AND SO JUST FIRST INSPECTING THE HAND AND WRIST DO YOU SEE ANY SWELLING OR REDNESS
audio/MSK0036.mp3[748.240,754.240]	HOW ABOUT ANY CHANGES TO TEMPERATURE DO ANY OF THE JOINTS FEEL WARM
audio/MSK0036.mp3[757.120,768.200]	AND ARE YOU SEEING ANY MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF THE JOINTS IN THE HAND
audio/MSK0036.mp3[768.200,780.480]	UHM MAYBE LIKE JUST A LITTLE BIT LIKE I FEEL LIKE IVE LOST SOME OF LIKE THE FAT PAD JUST RIGHT NEAR MY THUMB
audio/MSK0036.mp3[780.480,792.640]	I SEE OK AND IS THERE ANY AREAS OF YOUR HANDS OVER LIKE ANY OF THE JOINTS OR OVER THE REST THAT IF YOU PRESS YOU FEEL PAIN
audio/MSK0036.mp3[792.640,796.160]	UM NO
audio/MSK0036.mp3[796.160,800.600]	OK AND ARE YOU ABLE TO TO MOVE YOUR WRIST OR THE FULL RANGE OF MOTION
audio/MSK0036.mp3[800.600,803.520]	YEAH I CAN MOVE IT
audio/MSK0036.mp3[803.520,829.400]	OK UH AND IS THERE ANY UH SO THAT THEN THE NEXT TEST ILL JUST ASK YOU TO JUST TAP ON THE THE KIND OF BASE OF YOUR PALM THERE WITH YOUR INDEX FINGER AND MIDDLE FINGER OF YOUR LEFT HAND AND WHEN YOU DO THAT DO YOU FEEL ANY BURNING OR TINGLING
audio/MSK0036.mp3[829.400,832.360]	YEAH YEAH I DEFINITELY DO
audio/MSK0036.mp3[832.360,857.480]	OK SO THAT WOULD BE YEAH POSITIVE TINEL SIGN AND DO YOU GET ANY SO IF YOU FLEX BOTH OF YOUR WRISTS SO THAT THE BACK OF YOUR HANDS ARE PRESSING AGAINST EACH OTHER AND IF YOU HOLD THAT POSITION DO YOU START TO GET SYMPTOMS OF THE BURNING AND TINGLING
audio/MSK0036.mp3[857.480,864.600]	UM YEAH I DO FEEL IT AS WELL THERE
audio/MSK0036.mp3[864.600,870.800]	OK ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK TODAY UM DID YOU HAVE ANY QUESTIONS
audio/MSK0036.mp3[870.800,875.440]	NO I JUST WANTED TO KNOW HOW I CAN FIX THIS
audio/MSK0036.mp3[875.440,949.560]	YEAH CERTAINLY SO ITS SOUNDING LIKE A CARPAL TUNNEL SYNDROME WHICH THAT THE DIFFERENTIAL WOULD BE SOMETHING LIKE RADICULOPATHY COMING UP UP FROM THE NECK WHICH YOURE NOT HAVING ANY NECK SYMPTOMS AND THE POSITIVE TENEL SIGN AND POSITIVE PHALEN SIGN ARE HIGHLY SUGGESTIVE OF CARPAL TUNNEL SYNDROME ALONG WITH THE NIGHTTIME SYMPTOMS AND THE BURNING AND TINGLING SENSATION YOURE EXPERIENCING AND SO TO HELP WITH THIS ONE OF THE FIRST THINGS THAT THAT CAN BE DONE IS TRYING TO USE LIKE WRIST SPLINTS AT NIGHT TO TRY TO KEEP YOUR HAND IN A NEUTRAL POSITION BUT ALSO UH DEPENDING ON LIKE IF THERE IS INFLAMMATION THERE NSAIDS MIGHT HELP A LITTLE BIT LIKE IBUPROFEN OR OR THINGS LIKE THAT BUT THE MAJORITY OF THE THERAPY WILL BE KIND OF AN ACTIVITY MODIFICATION AND IF SYMPTOMS DONT IMPROVE OVER A PERIOD OF TIME THEN SURGERY COULD BE A POTENTIAL OPTION AS WELL
audio/MSK0036.mp3[949.560,952.000]	OK SOUNDS GOOD
audio/RES0077.mp3[0.000,2.720]	SO WHAT BRINGS YOU HERE TODAY
audio/RES0077.mp3[2.720,13.680]	YEAH SO IVE HAD THIS COUGH ONGOING NOW FOR THE LAST THREE DAYS AND I FOUND IVE HAD A MORE DIFFICULT TIME BREATHING AS WELL
audio/RES0077.mp3[13.680,19.080]	OK AND SO WHAT CAME FIRST DID THE COUGH COME FIRST
audio/RES0077.mp3[19.080,21.480]	YEAH THE COUGH STARTED FIRST
audio/RES0077.mp3[21.480,23.720]	OK AND SO IT STARTED THREE DAYS AGO
audio/RES0077.mp3[24.960,29.400]	WHEN DID THE SHORTNESS OF BREATH START
audio/RES0077.mp3[29.400,36.760]	THAT STARTED PROBABLY ABOUT TWO DAYS AGO
audio/RES0077.mp3[36.760,48.280]	OK AND THE COUGH CAN YOU DESCRIBE IT A LITTLE BIT IS IT LIKE A WET COUGH A DRY COUGH HOW WOULD YOU DESCRIBE IT
audio/RES0077.mp3[48.280,72.280]	YEAH I BROUGHT UP A LITTLE BIT OF SPUTUM ITS BEEN CLEAR MOSTLY CLEAR AND SOMETIMES DRY AS WELL THE COUGHS BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS AS WELL AND HASNT REALLY STOPPED EITHER ITS JUST KIND OF ONGOING ALL DAY
audio/RES0077.mp3[72.280,75.400]	OK SO ITS ITS PRETTY CONSTANT
audio/RES0077.mp3[75.400,78.000]	YEAH ITS BEEN CONSTANT
audio/RES0077.mp3[78.000,82.840]	OK AND HOW MUCH SPUTUM WOULD YOU SAY YOURE BRINGING UP
audio/RES0077.mp3[82.840,95.720]	I WOULD SAY UH MAYBE LIKE TWO TEASPOONS A DAY ITS ONLY LIKE A LITTLE BIT IN THE TISSUES AND IM NOT BRINGING UP SPUTUM EVERY TIME
audio/RES0077.mp3[95.720,106.040]	OK AND IS YOUR SPUTUM AT ALL YELLOW GREEN OR DOES IT HAVE ANY BLOOD TINGE CONTENT IN IT
audio/RES0077.mp3[106.040,108.760]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0077.mp3[108.760,112.800]	OK SO ITS MAINLY JUST WHITE OR CLEAR
audio/RES0077.mp3[112.800,118.720]	YEAH ITS MOSTLY YEAH LIKE WHITEISH OR CLEAR
audio/RES0077.mp3[118.720,125.400]	OK UHM AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN BEFORE
audio/RES0077.mp3[125.400,128.360]	NO I HAVENT
audio/RES0077.mp3[128.360,140.520]	OK AND HOW WOULD YOU DESCRIBE THE SHORTNESS OF BREATH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR ARE YOU HAVING TROUBLE BREATHING WHEN EXERTING YOURSELF LIKE HOW WOULD YOU DESCRIBE IT
audio/RES0077.mp3[140.520,154.080]	YEAH I HAVE LIKE A CHEST TIGHTNESS I FIND WHEN I EXERT MYSELF IT GETS WORSE AND AFTER I COUGH I HAVE A LITTLE BIT OF TROUBLE CATCHING MY BREATH AS WELL
audio/RES0077.mp3[154.080,163.760]	OK WHEN DO YOU HAVE THE CHEST TIGHTNESS WHEN DID THAT START
audio/RES0077.mp3[163.760,170.560]	UH YEAH THATS STARTED WITHIN THE LAST TWO DAYS AS WELL WITH THE COUGH
audio/RES0077.mp3[170.560,176.720]	OK SO IS IT JUST THE TIGHTNESS WHEN YOU COUGH OR IS IT THERE JUST THROUGHOUT
audio/RES0077.mp3[176.720,190.040]	YEAH IF I TAKE LIKE A DEEP BREATH IN LIKE IT JUST FEELS TIGHT LIKE I CANT GET A DEEP BREATH
audio/RES0077.mp3[190.040,202.280]	OK AND HAVE YOU HAD ANY KIND OF LIKE SWELLING IN YOUR CALVES OR PAIN IN YOUR CALVES AT ALL
audio/RES0077.mp3[202.280,204.920]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0077.mp3[204.920,214.160]	OK AND HAVE YOU HAD ANY SURGERIES RECENTLY OR HAVE YOU BEEN IMMOBILIZED FOR A LONG TIME OR ADMITTED TO A HOSPITAL OR ANYTHING LIKE THAT
audio/RES0077.mp3[214.160,219.240]	NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN HEALTHY
audio/RES0077.mp3[219.240,231.640]	OK AND HAVE YOU HAD ANYTHING LIKE A BLOOD CLOT EITHER IN YOUR LEGS OR TRAVELING UP TO YOUR LUNGS IN THE PAST BEFORE
audio/RES0077.mp3[231.640,234.320]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0077.mp3[234.320,241.680]	OK AND HAVE YOU BEEN DIAGNOSED WITH CANCER OR ANY OTHER MEDICAL CONDITIONS
audio/RES0077.mp3[241.680,244.800]	NO I HAVENT
audio/RES0077.mp3[244.800,252.080]	OK UHM SO WOULD YOU SAY THE COUGHING AND THE SHORTNESS OF BREATH IS GETTING WORSE OR ITS ABOUT THE SAME
audio/RES0077.mp3[252.080,258.880]	ID SAY ITS GOTTEN A LITTLE BIT WORSE OVER THESE LAST COUPLE OF DAYS
audio/RES0077.mp3[258.880,264.440]	OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
audio/RES0077.mp3[264.440,272.720]	YEAH IF I EXERT MYSELF IT DOES MAKE IT A BIT WORSE ITLL BRING ON THE COUGH MORE AND SHORTNESS OF BREATH
audio/RES0077.mp3[272.720,282.960]	OK AND HOW ABOUT ANY POSITIONAL CHANGES LIKE DOES LYING DOWN HELP DOES RESTING HELP RELIEVE SOME OF THAT TIGHTNESS COUGH AND SHORTNESS OF BREATH
audio/RES0077.mp3[282.960,286.240]	NO NOTHING LIKE THAT HAS HELPED
audio/RES0077.mp3[286.240,291.040]	OK AND HAVE YOU TRIED ANY KIND OF MEDICATIONS AT ALL OVER THE COUNTER
audio/RES0077.mp3[291.040,297.000]	NO I HAVENT TRIED ANYTHING
audio/RES0077.mp3[297.000,313.520]	OK ALRIGHT SO IT SEEMS THAT YOUR SHORTNESS OF BREATH IS IT UH MAINLY WHEN YOURE BREATHING IN OR BREATHING OUT OR ARE YOU HAVING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT
audio/RES0077.mp3[313.520,336.200]	I WOULD SAY IT YEAH I KIND OF GO BACK TO THE CHEST TIGHTNESS IT JUST FEELS LIKE IM NOT ABLE TO LIKE BREATH IN ALL THE WAY AND CATCH MY BREATH AFTER I EXERT MYSELF OR COUGHING ITS EASY UH LIKE IF I REST IM NOT SHORT OF BREATH
audio/RES0077.mp3[336.200,341.480]	OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT ANYTHING LIKE THAT
audio/RES0077.mp3[341.480,347.760]	UHM NOTHING LIKE THAT
audio/RES0077.mp3[347.760,354.080]	OK AND ANY HEADACHES
audio/RES0077.mp3[354.080,364.680]	I HAVE HAD A LITTLE BIT OF A HEADACHE OVER THE LAST DAY USUALLY I GET HEADACHES LIKE THIS WHEN I HAVENT SLEPT WELL
audio/RES0077.mp3[364.680,373.000]	OK AND IS IT LIKE A DIFFERENT TYPE OF HEADACHE AND IS IT ON ONE SIDE OF YOUR HEAD OR BOTH
audio/RES0077.mp3[373.000,377.880]	YEAH I FEEL IT ON BOTH KINDA LIKE RIGHT UP INTO MY FOREHEAD THERE
audio/RES0077.mp3[377.880,386.040]	OK AND IS IT KIND OF LIKE A PRESSURE LIKE PAIN IS IT PULSATING PAIN HOW WOULD YOU DESCRIBE IT
audio/RES0077.mp3[386.040,392.240]	I WOULD SAY ITS MORE OF A PRESSURE YEAH
audio/RES0077.mp3[392.240,395.880]	OK UH HAVE YOU TRIED ANY MEDICATIONS FOR IT
audio/RES0077.mp3[395.880,406.120]	UHM YEAH I TOOK AN ADVIL THIS MORNING ITS TAKEN THE EDGE OFF A LITTLE BIT I WILL USE THAT SOMETIMES WHEN I GET HEADACHES
audio/RES0077.mp3[406.120,410.880]	ARE YOU HAVING ANY NAUSEA OR VOMITING
audio/RES0077.mp3[410.880,413.760]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0077.mp3[413.760,419.400]	OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY OR OUTSIDE OF THE PROVINCE AT ALL
audio/RES0077.mp3[419.400,421.880]	NO I HAVENT
audio/RES0077.mp3[421.880,427.040]	HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY
audio/RES0077.mp3[427.040,444.520]	I DONT THINK SO I WORK AT THE TOYOTA FACTORY AND THERE HAVE BEEN A FEW PEOPLE THAT HAVE BEEN SICK WHO WORKED THERE BUT I DONT THINK IVE BEEN IN CONTACT WITH THEM
audio/RES0077.mp3[444.520,449.720]	OK AND ARE YOU HAVING ANY FEVERS OR CHILLS AT ALL
audio/RES0077.mp3[449.720,460.200]	I HAVE FELT PRETTY HOT YEAH I WAS SWEATY LAST NIGHT I DIDNT CHECK A TEMPERATURE BUT I FELT FEVERISH
audio/RES0077.mp3[460.200,463.160]	OK WERE YOU HAVING NIGHT SWEATS
audio/RES0077.mp3[463.160,471.400]	MY BED WASNT DRENCHED OR ANYTHING BUT I WAS SWEATING
audio/RES0077.mp3[471.400,482.600]	OK ARE YOU FEELING LIKE YOU HAVE LOST ANY SENSE OF TASTE OR SMELL AT ALL
audio/RES0077.mp3[482.600,487.360]	UHM YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL
audio/RES0077.mp3[487.360,491.240]	OK AND WHEN DID THAT START
audio/RES0077.mp3[491.240,495.760]	THAT MAY BE WITHIN THE LAST TWO DAYS AS WELL
audio/RES0077.mp3[495.760,506.360]	OK AND ARE YOU CONGESTED AT ALL LIKE DO YOU HAVE A RUNNY NOSE OR ANYTHING LIKE THAT
audio/RES0077.mp3[506.360,509.520]	NO I DONT HAVE ANYTHING LIKE THAT
audio/RES0077.mp3[509.520,518.360]	OK YEAH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA
audio/RES0077.mp3[518.360,521.560]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0077.mp3[521.560,526.920]	OK ANY MUSCLE ACHES
audio/RES0077.mp3[526.920,532.000]	YEAH I HAVE FELT A BIT SORE
audio/RES0077.mp3[532.000,534.320]	WHERE WOULD YOU SAY YOU FEEL SORE
audio/RES0077.mp3[534.320,538.840]	JUST KIND OF ALL OVER MY WHOLE BODY JUST KIND OF FEELS A BIT ACHY
audio/RES0077.mp3[538.840,543.040]	OK AND WHEN DID THIS START
audio/RES0077.mp3[543.040,555.800]	YEAH PROBABLY LIKE LAST NIGHT THIS MORNING WHEN I WAS LAYING DOWN AND JUST FELT A BIT TIRED AND ACHY
audio/RES0077.mp3[555.800,562.400]	OK HAS YOUR SLEEP OR APPETITE CHANGED AT ALL
audio/RES0077.mp3[562.400,578.160]	I DIDNT SLEEP VERY GOOD LAST NIGHT I JUST DONT FEEL VERY RESTED THIS MORNING AND YEAH I HAVENT FELT VERY HUNGRY EITHER
audio/RES0077.mp3[578.160,586.320]	OK UHM ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU TAKE ANY MEDICATIONS FOR
audio/RES0077.mp3[586.320,589.440]	NO I DONT TAKE ANY MEDICATIONS
audio/RES0077.mp3[589.440,599.640]	OK AND HAVE YOU HAD ANY SURGERIES OR HAVE BEEN HOSPITALIZED BEFORE
audio/RES0077.mp3[599.640,608.360]	I DID HAVE TUBES IN MY EARS WHEN I WAS LITTLE BUT THATS IT THOUGH
audio/RES0077.mp3[608.360,611.920]	OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
audio/RES0077.mp3[611.920,633.800]	YEAH MY DAD HAD A TRIPLE BYPASS SURGERY DONE LAST LAST YEAR HE WAS SIXTYTHREE AT THE TIME AND THATS ABOUT IT
audio/RES0077.mp3[633.800,639.680]	OK AND YOU DONT HAVE ANY HIGH BLOOD PRESSURE OR ANYTHING LIKE THAT RIGHT
audio/RES0077.mp3[639.680,645.680]	NO NOT THAT I KNOW OF
audio/RES0077.mp3[645.680,649.520]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0077.mp3[649.520,658.120]	UHM JUST ENVIRONMENTAL STUFF I THINK JUST LIKE IN THE SPRINGTIME ILL GET ITCHY EYES OR A RUNNY NOSE
audio/RES0077.mp3[658.120,664.520]	OK AND CURRENTLY DO YOU WORK
audio/RES0077.mp3[664.520,672.480]	I DO YEAH I WORK AT A CAR FACTORY NEARBY JUST ON THE ASSEMBLY LINE
audio/RES0077.mp3[672.480,680.640]	AND HAVE YOU BEEN OFF OF WORK RIGHT NOW WITH YOUR SYMPTOMS HOW IS THAT GOING
audio/RES0077.mp3[680.640,703.360]	OH YEAH JUST LIKE THESE LAST TWO DAYS I CALLED IN AND I LET THEM KNOW AND I LEFT WORK EARLY YESTERDAY WHEN I REALIZED THAT I WAS FEELING SICK AND DIDNT GO IN THIS MORNING
audio/RES0077.mp3[703.360,710.360]	OK UH AND WHATS YOUR LIVING SITUATION LIKE
audio/RES0077.mp3[710.360,718.040]	SO I LIVE WITH MY GIRLFRIEND AND WE HAVE A SON WHOS FOUR YEARS OLD
audio/RES0077.mp3[718.040,721.320]	OK AND ANY ONE OF THEM HAVING ANY SIMILAR SYMPTOMS
audio/RES0077.mp3[721.320,731.520]	NO THEYVE BEEN GOOD MY WIFE WORKS FROM HOME AND MY SON HES BEEN HIS PLAYFUL SELF
audio/RES0077.mp3[731.520,741.640]	OK THATS GOOD OK LAST FEW QUESTIONS DO YOU SMOKE AT ALL
audio/RES0077.mp3[741.640,742.840]	NO I DONT
audio/RES0077.mp3[742.840,749.440]	DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0077.mp3[749.440,750.920]	UH NO I DONT
audio/RES0077.mp3[750.920,756.760]	OK AND DO YOU DRINK ALCOHOL
audio/RES0077.mp3[756.760,764.640]	ILL HAVE SOME WINE WITH DINNER MAYBE TWO OR THREE NIGHTS A WEEK
audio/RES0077.mp3[764.640,836.480]	OK YEAH THOSE ARE ALL THE QUESTIONS I HAD TODAY AND IT SEEMS THAT DEFINITELY THERE ARE SOME CONCERNING SYMPTOMS LIKE THE SHORTNESS OF BREATH AND THE COUGH ESPECIALLY ALSO THE LOSS OF SMELL THAT YOURE HAVING WE DEFINITELY WANT TO MAKE SURE THAT YOU DONT HAVE CORONAVIRUS SO WE WILL DO A TEST FOR YOU TODAY AND WHAT WE RECOMMEND IN THE MEANTIME IS TO SELF ISOLATE EVEN IN YOUR HOME WEAR A MASK AROUND YOUR FAMILY IF YOU CAN LIKE EAT SEPARATELY DONT GO OUTSIDE AND BE OFF OF WORK UNTIL THE TEST RESULTS COME BACK AND THEN EVEN AFTER THAT YOU MIGHT NEED TO FOLLOW INSTRUCTIONS OF PUBLIC HEALTH AND SELF ISOLATE FOR 14 DAYS IF NOT CORONAVIRUS HOPEFULLY THEN IT CAN ALSO BE OTHER THINGS LIKE OTHER VIRUSES CAN CAUSE SIMILAR SYMPTOMS AS WELL BUT YEAH SO WELL JUST GET THAT TEST DONE AND THEN SEE WHERE TO GO FROM THERE
audio/RES0077.mp3[836.480,839.120]	OK THAT SOUNDS GREAT THANK YOU
audio/RES0077.mp3[839.120,843.240]	YOU WELCOME TAKE CARE BYE
audio/RES0175.mp3[0.000,1.800]	HOW MAY I HELP YOU
audio/RES0175.mp3[1.800,25.200]	HEY IVE JUST BEEN FEELING KIND OF ILL OVER THE PAST TWO DAYS AND UH I THOUGHT ID JUST COME IN TO SEE WHATS GOING ON SO IVE HAD UM UM I WAS FEELING VERY ACHY AND I HAD A COUGH AND THEN I THINK YESTERDAY NIGHT I DEVELOPED A FEVER
audio/RES0175.mp3[25.200,33.960]	OK AND SO UM LAST NIGHT YOU DEVELOPED A FEVER WHAT UH DID YOU CHECK YOUR TEMPERATURE
audio/RES0175.mp3[33.960,38.960]	UM I DIDNT BUT IM PRETTY SURE I HAVE A FEVER AND LIKE I CAN FEEL IT
audio/RES0175.mp3[38.960,43.040]	OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS
audio/RES0175.mp3[43.040,46.960]	I HAD CHILLS LAST NIGHT
audio/RES0175.mp3[46.960,51.200]	OK UH SO YOU MENTIONED YOUVE HAD A COUGH AS WELL AND WHEN DID THAT START
audio/RES0175.mp3[51.200,53.880]	TWO DAYS AGO
audio/RES0175.mp3[53.880,57.920]	AND IS THE COUGH BEEN UM PRODUCING ANY PHLEGM OR SPUTUM
audio/RES0175.mp3[57.920,61.720]	NO ITS KIND OF DRY COUGH NOTHING
audio/RES0175.mp3[61.720,65.800]	ALRIGHT HOW ABOUT ANY ANY BLOOD
audio/RES0175.mp3[66.560,78.600]	OK AND YOUVE HAD MUSCLE ACHES HAS THIS BEEN LIKE A WHOLE BODY TYPE OF FEELING OR IS IT ANY PARTICULAR MUSCLES THAT HURT
audio/RES0175.mp3[78.600,80.600]	ITS ALL OVER
audio/RES0175.mp3[80.600,82.760]	OK HAVE YOU HAD ANY HEADACHES
audio/RES0175.mp3[84.360,89.440]	ALRIGHT AND HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH
audio/RES0175.mp3[89.440,93.640]	ITS A NEW COUGH
audio/RES0175.mp3[93.640,97.840]	HAVE YOU HAD ANY WHEEZING WITH THE COUGH
audio/RES0175.mp3[97.840,100.200]	A LITTLE BIT
audio/RES0175.mp3[100.200,105.360]	YEAH SO YOUVE HAD WHEEZING AS WELL ARE YOU ABLE TO TO HEAR IT
audio/RES0175.mp3[105.360,116.880]	YEAH ITS JUST LIKE I CAN KIND OF LIKE TELL WHEN IM BREATHING LIKE IT JUST YEAH IT SOUNDS DIFFERENT I DONT KNOW WHAT A WHEEZE SOUNDS LIKE BUT IT JUST SOUNDS DIFFERENT
audio/RES0175.mp3[116.880,119.160]	OK UM AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0175.mp3[119.160,124.320]	UH UH SORRY CAN YOU SAY THAT AGAIN
audio/RES0175.mp3[124.320,129.760]	SORRY UM DID YOU HAVE ANY CHEST PAIN
audio/RES0175.mp3[129.760,131.040]	UH NO
audio/RES0175.mp3[131.040,140.640]	OK UM HAVE YOU HAD ANY UH UM SYMPTOMS SUCH AS RED EYES OR OR ITCHY EYES OR RUNNY NOSE
audio/RES0175.mp3[142.040,144.600]	OK HAVE YOU HAD A SORE THROAT
audio/RES0175.mp3[145.800,147.360]	ANY NAUSEA OR VOMITING
audio/RES0175.mp3[152.280,158.240]	OK HOW ABOUT A LOSS OF TASTE OR LOSS OF SMELL
audio/RES0175.mp3[158.240,167.960]	UH YEAH I KIND OF JUST FOODS HAVE JUST BEEN TASTING LITTLE BLAND SINCE YESTERDAY
audio/RES0175.mp3[167.960,173.360]	OK SO YEAH I LOST OF TASTE TODAY HAVE YOU HAD A RUNNY NOSE AT ALL
audio/RES0175.mp3[174.640,181.440]	OK ANY ABDOMINAL PAIN OR DIARRHEA
audio/RES0175.mp3[182.960,187.920]	ANY URINARY PROBLEMS LIKE UH PAIN OR FREQUENCY
audio/RES0175.mp3[187.920,204.520]	UHM I UH I IVE HAD THAT FOR A WHILE LIKE ITS JUST I THINK MY PROSTATES KIND OF LARGE SO ITS ITS HARD FOR ME TO LIKE I PEE VERY FREQUENTLY
audio/RES0175.mp3[204.520,215.120]	OK AND OK HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES
audio/RES0175.mp3[217.120,220.000]	UH AND HOW IS YOUR ENERGY BEEN
audio/RES0175.mp3[220.000,223.480]	IVE BEEN FEELING A LITTLE TIRED
audio/RES0175.mp3[223.480,241.520]	ALRIGHT SO YOUVE HAD THIS DRY COUGH THAT STARTED TWO DAYS AGO BEEN FEELING FEVERISH HAVE HAD SOME MUSCLE ACHES BEEN TIRED AND ALSO A LOSS OF TASTE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0175.mp3[241.520,245.560]	NO THATS I THINK THAT COVERS IT ALL
audio/RES0175.mp3[245.560,259.080]	OK OH SORRY I ASKED ABOUT CHEST PAIN BUT HAVE YOU HAD ANY LIKE DIZZINESS OR FEELING LIKE YOURE GOING TO FAINT OR EVEN LIKE YOUR HEARTS RACING REALLY FAST
audio/RES0175.mp3[260.320,264.120]	OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0175.mp3[264.120,269.760]	UM JUST A LARGE PROSTATE ITS NOT CANCER OR ANYTHING ITS JUST KIND OF LARGE
audio/RES0175.mp3[269.760,274.680]	OK SO I HAVE YOU HEARD OF BPH BEFORE
audio/RES0175.mp3[274.680,277.200]	YEAH I THINK THATS WHAT THE DOCTOR SAID
audio/RES0175.mp3[277.200,282.120]	OK AND DO YOU TAKE ANY MEDICATIONS FOR THAT OR FOR ANY OTHER REASON
audio/RES0175.mp3[282.120,294.880]	YEAH I DO I DO TAKE A I THINK A MEDICATION FOR THAT UHM ITS CALLED TAMSULOSIN
audio/RES0175.mp3[294.880,303.440]	OK YEAH CALL ME WHAT IS LIKE FLOMAX OR OR TAMSULOSIN BUT THERE ARE THERE ARE OTHERS FOR SURE
audio/RES0175.mp3[303.440,306.520]	YEAH I THINK I THINK ITS CALLED FLOMAX
audio/RES0175.mp3[306.520,322.640]	OK YEAH ITS THE BRAND NAME FOR IT BUT LOTS OF YEAH LOTS OF DIFFERENT NAMINGS CAN BE HARD FOR THE MEDICATION SOMETIMES AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS
audio/RES0175.mp3[323.760,328.160]	DO YOU HAVE ANY ALLERGIES
audio/RES0175.mp3[332.000,340.000]	OK UM AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0175.mp3[340.000,346.240]	I JUST LIVE WITH WIFE IN AN APARTMENT
audio/RES0175.mp3[346.240,349.600]	OK AND HAS SHE HAD ANY SYMPTOMS OR BEEN SICK AT ALL
audio/RES0175.mp3[349.600,351.520]	OH NO SHES FEELING GOOD
audio/RES0175.mp3[351.520,357.200]	HAVE YOU HAD ANY SICK CONTACTS
audio/RES0175.mp3[357.200,371.720]	I DONT NO I HAVENT I DONT THINK SO I MEAN POTENTIALLY I WAS I WAS ACTUALLY OUT WITH MY FRIENDS BUT NO ONE WAS SICK
audio/RES0175.mp3[371.720,376.560]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0175.mp3[378.720,381.760]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0175.mp3[381.760,391.120]	I USED TO I QUIT I QUIT 10 YEARS AGO I USED TO SMOKE ABOUT TWO OR THREE CIGARETTES A DAY FOR 20 YEARS
audio/RES0175.mp3[391.120,394.200]	OK WELL CONGRATULATIONS ON QUITTING THATS GREAT
audio/RES0175.mp3[396.600,399.440]	DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS
audio/RES0175.mp3[400.440,402.240]	DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0175.mp3[404.320,407.480]	AND DO YOU DRINK ALCOHOL
audio/RES0175.mp3[407.480,416.760]	YEAH MAYBE SOMETIMES ONCE OR TWICE A MONTH MAYBE A GLASS OR TWO AT A TIME
audio/RES0175.mp3[416.760,421.640]	OK UH AND ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS
audio/RES0175.mp3[421.640,441.160]	UHM YEAH I THINK ITS CALLED HYPERTROPHIC CARDIOMYOPATHY WHERE PEOPLE KIND OF DIE EARLY PEOPLE GET LIKE PEOPLE IN MY FAMILY GOT HEART ATTACKS VERY EARLY ON IN THEIR 30S MY BROTHER DIED AND WHEN HE WAS 15
audio/RES0175.mp3[441.160,447.800]	OH WOW SORRY TO HEAR THAT AND UH HAS THAT BEEN LOOKED INTO FOR YOURSELF
audio/RES0175.mp3[447.800,456.560]	OH YEAH I SEE A CARDIOLOGIST I GET REGULAR CHECKUPS DONE
audio/RES0175.mp3[456.560,473.880]	OK AND OK AND UH SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY DID YOU HAVE ANY ANYTHING ELSE THAT YOU WANTED TO MENTION OR ANYTHING YOU WERE CONCERNED ABOUT
audio/RES0175.mp3[476.080,509.760]	OK UM SO WITH YOUR YOUR SYMPTOMS TODAY THEY DO OVERLAP POTENTIALLY WITH COVID AND SO WHAT WELL NEED TO DO OR WILL WELL ITLL BE IMPORTANT TO DO A SWAB TO TEST FOR COVID IT COULD BE SOMETHING ELSE LIKE THE COMMON COLD LIKE ANOTHER TYPE OF VIRAL ILLNESS BUT BECAUSE OF THE PANDEMIC IT WILL BE IMPORTANT TO SELF ISOLATE INCLUDING FROM YOUR WIFE FOR THE NEXT 14 DAYS AND WELL GET BACK TO YOU WITH THE RESULTS AS SOON AS WE CAN
audio/RES0175.mp3[509.760,513.000]	SURE THANK YOU
audio/RES0078.mp3[0.000,2.680]	HOW MAY I HELP YOU
audio/RES0078.mp3[2.680,10.000]	IVE BEEN HAVING DIFFICULTIES BREATHING OVER THESE LAST FEW DAYS
audio/RES0078.mp3[10.000,16.600]	WHEN DID IT START
audio/RES0078.mp3[16.600,22.920]	IT STARTED ABOUT LIKE THREE OR FOUR DAYS AGO
audio/RES0078.mp3[22.920,26.720]	OK AND SINCE THEN HAS IT GOTTEN ANY BETTER OR WORSE
audio/RES0078.mp3[26.720,35.360]	IT HAS MAYBE GOTTEN A LITTLE BIT WORSE BUT NOT MAYBE A LITTLE WORSE
audio/RES0078.mp3[35.360,47.840]	AND ARE THERE CERTAIN TIMES WHEN YOU FEEL THAT YOURE MORE SHORT OF BREATH THAN OTHER TIMES ANYTHING IN PARTICULAR THAT YOURE DOING THAT MAKES IT WORSE
audio/RES0078.mp3[47.840,61.120]	UHM NOT REALLY ITS KIND OF I JUST FEEL LIKE ITS JUST MORE DIFFICULT TO BREATHE UH MOST OF THE TIME
audio/RES0078.mp3[61.120,63.280]	AND HAS THIS HAPPENED TO YOU BEFORE
audio/RES0078.mp3[63.280,73.880]	UHM NOT LIKE NO NOTHING LIKE THIS HAS HAPPENED BEFORE
audio/RES0078.mp3[73.880,78.600]	OK DO YOU HAVE A HISTORY OF ANY LUNG PROBLEMS
audio/RES0078.mp3[78.600,80.760]	NO I DONT IVE BEEN HEALTHY
audio/RES0078.mp3[80.760,88.440]	SO NO COPNO ASTHMA NOTHING LIKE THAT  RIGHT
audio/RES0078.mp3[88.440,97.800]	NO NOTHING LIKE THAT
audio/RES0078.mp3[97.800,112.200]	OK SO YOURE JUST HAVING DIFFICULTIES BREATHING FOR THE PAST THREEFOUR DAYS DO YOU HAVE ANY UH DO YOU HAVE A COUGH
audio/RES0078.mp3[112.200,123.760]	I DID HAVE A UH YEAH IVE HAD A COUGH AS WELL OVER THESE LAST FEW DAYS
audio/RES0078.mp3[123.760,127.280]	AND HAS IT BEEN A DRY COUGH OR WET COUGH
audio/RES0078.mp3[127.280,138.480]	IVE BEEN BRINGING UP SOME LIKE UH WHITISH SPUTUM ITS LIKE YEAH WHITISH OR CLEAR
audio/RES0078.mp3[138.480,144.680]	AND YOU HAVENT SEEN BLOOD ANYTIME RIGHT IN YOUR SPUTUM
audio/RES0078.mp3[147.600,155.000]	OK AND HAS THE COUGH GOTTEN ANY WORSE OVERTIME
audio/RES0078.mp3[155.000,162.920]	UH ITS BEEN ABOUT THE SAME
audio/RES0078.mp3[162.920,167.040]	AND HAVE YOU HAD FEVERS OR CHILLS
audio/RES0078.mp3[167.040,178.080]	I HAVE FELT HOT BUT NO CHILLS
audio/RES0078.mp3[178.080,186.520]	OK WHAT ABOUT ANY REDNESS IN YOUR EYES OR ANY CONGESTION IN YOUR NOSE
audio/RES0078.mp3[186.520,189.320]	UH I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0078.mp3[189.320,193.080]	OK HAVE YOU HAD A SORE THROAT
audio/RES0078.mp3[193.080,207.800]	UH ITS FELT A LITTLE ITCHY I GUESS BUT NO PAIN WITH SWALLOWING
audio/RES0078.mp3[207.800,216.440]	AND DO YOU HAVE ANY CHEST PAIN OR CHEST PRESSURE
audio/RES0078.mp3[216.440,225.680]	YEAH WHEN I LIKE UH TAKE A DEEP BREATH OR AFTER AFTER I COUGH IVE BEEN HAVING SOME CHEST PAIN
audio/RES0078.mp3[225.680,239.160]	TO GIVE IT A NUMBER FROM ONE TO TEN WHAT WOULD YOU SAY IN TERMS OF HOW SEVERE IT IS WITH TEN BEING THE WORST PAIN EVER
audio/RES0078.mp3[239.160,250.960]	I WOULD SAY MAYBE SIX IT FEELS PRETTY SHARP WHEN IT HAPPENS AND IT GOES AWAY AFTER A FEW MINUTES
audio/RES0078.mp3[250.960,260.080]	OK AND WHERE EXACTLY IS IT IS THE PAIN
audio/RES0078.mp3[260.080,266.160]	UH YEAH I KIND OF FEEL IT YEAH JUST OVER ON THE RIGHT SIDE OF THE STERNUM
audio/RES0078.mp3[266.160,283.200]	OK ALRIGHT AND DOES IT RADIATE ANYWHERE DOES IT GO ANYWHERE OTHER THAN THAT ONE LOCATION
audio/RES0078.mp3[283.200,292.000]	NO I FEEL IT JUST IN THE ONE SPOT
audio/RES0078.mp3[292.000,298.560]	OK UHM AND HAS THAT PAIN GOTTEN WORSE OVERTIME
audio/RES0078.mp3[298.560,310.240]	NO THAT PAIN STARTED I GUESS LIKE TWO DAYS AGO MORE RECENT THAN THE COUGH OR SHORTNESS OF BREATH
audio/RES0078.mp3[310.240,324.000]	I SEE I SEE OK AND SO YOU SAID THAT COUGHING MAKES IT WORSE AND SOMETIMES BREATHING IN SO IS IT JUST NORMAL BREATHING OR WHEN YOURE DOING LIKE DEEP BREATHING
audio/RES0078.mp3[324.000,325.840]	DEEP BREATHING
audio/RES0078.mp3[325.840,334.120]	DEEP BREATHING HURTS OK ALRIGHT AND YOUVE NEVER EXPERIENCED THIS BEFORE RIGHT
audio/RES0078.mp3[334.120,336.640]	NO I HAVENT HAD A PAIN LIKE THIS BEFORE
audio/RES0078.mp3[336.640,344.720]	OK WHEN YOU SORT OF TOUCH THAT AREA OVER YOUR CHEST DOES TOUCHING IT MAKE IT WORSE
audio/RES0078.mp3[344.720,357.440]	UHM NO I HAVENT NOTICED THAT TOUCHING IT DOESNT MAKE IT WORSE
audio/RES0078.mp3[357.440,362.520]	OK UHM ALRIGHT HAVE YOU HAD A HEADACHE
audio/RES0078.mp3[362.520,364.600]	UH NO
audio/RES0078.mp3[364.600,371.960]	NO OK WHAT ABOUT FATIGUE OR MUSCLE ACHES
audio/RES0078.mp3[371.960,378.240]	IVE BEEN FATIGUED NO MUSCLE ACHES
audio/RES0078.mp3[378.240,380.720]	OK ANY PAIN IN YOUR BELLY
audio/RES0078.mp3[382.200,385.280]	ANY DIARRHEA
audio/RES0078.mp3[389.560,397.840]	ANY CHANGES IN YOUR UH ANY CHANGES WHEN YOU PEE
audio/RES0078.mp3[397.840,400.640]	UH NOTHING THERE
audio/RES0078.mp3[400.640,404.800]	NO OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN
audio/RES0078.mp3[405.880,411.240]	OK ANY CHANGES IN YOUR SENSE OF TASTE
audio/RES0078.mp3[411.960,415.440]	CHANGES IN YOUR SENSE OF SMELL
audio/RES0078.mp3[420.080,444.960]	OK ALRIGHT SO SOUNDS LIKE FOR THE PAST THREEFOUR DAYS YOUVE HAD DIFFICULTIES BREATHING AND A COUGH WITH THIS WHITISH SPUTUM WHITISH OR CLEAR SPUTUM YOUVE ALSO BEEN FEELING A LITTLE BIT FEVERISH HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0078.mp3[444.960,448.960]	NO I HAVENT I DONT HAVE A THERMOMETER AT HOME
audio/RES0078.mp3[448.960,467.200]	YEAH NO PROBLEM AND YOUR THROATS BEEN A LITTLE BIT ITCHY AND THEN TWO DAYS AGO YOU ALSO STARTED HAVING THIS PAIN IN YOUR CHEST IS THERE ANY OTHER SYMPTOM THAT I HAVE NOT MENTIONED THAT YOU HAVE BEEN EXPERIENCING OVER THE PAST COUPLE OF DAYS
audio/RES0078.mp3[467.200,469.560]	NO THATS EVERYTHING
audio/RES0078.mp3[469.560,479.480]	YEAH OK AND YOU MENTIONED THAT YOU DONT HAVE A HISTORY OF ASTHMA OR COPDO YOU HAVE ANY OTHER MEDICAL CONDITIONS
audio/RES0078.mp3[479.480,485.800]	I HAVE HIGH BLOOD PRESSURE AND I TAKE AMLODIPINE FOR THAT
audio/RES0078.mp3[485.800,496.040]	OK ANY OTHER OVER THE COUNTER MEDICATIONS OR ANY OTHER MEDICATION THAT YOURE ON
audio/RES0078.mp3[497.960,500.520]	ANY ALLERGIES
audio/RES0078.mp3[500.520,502.200]	NO ALLERGIES
audio/RES0078.mp3[502.200,509.760]	OK AND WHERE DO YOU CURRENTLY LIVE
audio/RES0078.mp3[509.760,513.600]	IN A TOWNHOUSE JUST OUTSIDE OF THE CITY HERE
audio/RES0078.mp3[513.600,515.480]	I SEE DO YOU LIVE ALONE
audio/RES0078.mp3[515.480,523.600]	NO I LIVE WITH MY WIFE AND DAUGHTER
audio/RES0078.mp3[523.600,540.600]	AND HAVE YOUR WIFE AND DAUGHTER BEEN SICK RECENTLY OR HAVE EITHER OF YOU HAD CONTACT WITH SOMEONE WHOS BEEN SICK
audio/RES0078.mp3[540.600,561.440]	IVE BEEN WORKING FROM HOME UHM BUT MY DAUGHTER HAS RECENTLY STARTED GOING BACK TO HIGH SCHOOL AND SHES HAD A RUNNY NOSE RECENTLY AND A SORE THROAT BUT THATS ABOUT IT
audio/RES0078.mp3[561.440,564.040]	AND WHAT ABOUT YOUR WIFE
audio/RES0078.mp3[564.040,566.880]	SHES BEEN FINE YEAH SHES BEEN HEALTHY
audio/RES0078.mp3[566.880,585.280]	OK GOOD OTHER THAN YOUR DAUGHTER HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE WHO MIGHT HAVE WHO MIGHT BE SICK OR MIGHT HAVE SYMPTOMS SIMILAR TO WHAT YOUR DAUGHTER HAS
audio/RES0078.mp3[585.280,588.880]	I DONT THINK SO
audio/RES0078.mp3[588.880,593.520]	OK ALRIGHT AND DO YOU HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0078.mp3[593.520,597.760]	NO IVE BEEN JUST UH WORKING FROM HOME
audio/RES0078.mp3[597.760,600.560]	OK AND DO YOU SMOKE
audio/RES0078.mp3[603.640,605.400]	EVER SMOKED IN THE PAST
audio/RES0078.mp3[605.400,607.920]	NO IVE NEVER SMOKED BEFORE
audio/RES0078.mp3[609.760,617.480]	I MEAN ILL HAVE A JOINT SOMETIMES WITH FRIENDS AT A PARTY OR SOMETHING BUT THATS MAYBE ONCE A MONTH
audio/RES0078.mp3[617.480,622.480]	SURE AND ANY STREET DRUGS
audio/RES0078.mp3[622.480,625.240]	NOPE NOTHING LIKE THAT
audio/RES0078.mp3[625.240,628.760]	OK AND DO YOU DRINK ALCOHOL
audio/RES0078.mp3[628.760,636.280]	I HAVE A BEER A COUPLE OF TIMES PER WEEK
audio/RES0078.mp3[636.280,647.120]	ALRIGHT AND YOU TOLD ME ABOUT YOUR MEDICAL HISTORY BUT DO YOU HAVE HAVE YOU EVER HAD ANY SURGERIES OR ANY HOSPITALIZATIONS IN THE PAST
audio/RES0078.mp3[647.120,658.000]	UH IVE HAD A HERNIA REPAIR ABOUT SEVEN YEARS AGO I HAVENT HAD ANY ISSUES SINCE
audio/RES0078.mp3[658.000,666.160]	ALRIGHT OK UHM AND ARE THERE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY
audio/RES0078.mp3[666.160,679.960]	UHM MY GRANDFATHER HAD A HEART ATTACK IN HIS SEVENTIES AND I THINK MY DAD HAS HIGH BLOOD PRESSURE AS WELL BUT I THINK THATS IT
audio/RES0078.mp3[679.960,701.920]	ALRIGHT WELL SO I THINK THATS ALL THAT I WANTED TO KNOW I CAN SEE THAT YOU HAVENT BEEN FEELING WELL OVER THE PAST COUPLE OF DAYS AND ILL GO BACK TO MY ATTENDING AND WE WILL COME BACK AND CHAT WITH YOU LITTLE BIT MORE AND DO A PHYSICAL EXAM AND GO FROM THERE
audio/RES0078.mp3[701.920,704.240]	SOUNDS GOOD THANK YOU
audio/RES0078.mp3[704.240,712.880]	YOURE WELCOME
audio/RES0208.mp3[0.000,2.800]	WHAT BRINGS YOU IN TODAY
audio/RES0208.mp3[2.800,23.240]	HEY SO I JUST FOR THE LAST COUPLE DAYS IVE JUST BEEN FEELING REALLY SHORT OF BREATH REALLY RUNDOWN JUST LIKE SUPER TIRED AND YOU KNOW NORMALLY REALLY ACTIVE AND IM JUST IM JUST HAVING A ROUGH GO
audio/RES0208.mp3[23.240,27.760]	IS THERE IS THE SHORTNESS OF BREATH KNEW FOR YOU
audio/RES0208.mp3[27.760,50.920]	YEAH YEAH ITS JUST LIKE JUST LIKE I CANT I DONT KNOW LIKE I CANT CATCH UP I KIND OF JUST FEEL I FEEL A BIT WEAK LIKE IVE JUST BEEN FEELING REALLY TIRED AND THEN BECAUSE OF THAT I HAVENT REALLY BEEN EATING A LOT SO YEAH I DONT KNOW
audio/RES0208.mp3[50.920,61.280]	SO YOUVE JUST BEEN FEELING VERY TIRED CAN YOU I GUESS LIKE TELL ME A LITTLE BIT MORE ABOUT YOUR DIFFICULTY WITH BREATHING WHEN DOES IT HAPPEN
audio/RES0208.mp3[61.280,79.800]	I THINK JUST LIKE OVERALL IM FINDING IT LIKE ITS HARD TO HARD TO GET LIKE SUPER DEEP BREATHS ITS NOT LIKE I I CANT I DONT GET THE FEELING THAT I CANT BREATHE ITS JUST THAT EVERYTHINGS A LITTLE BIT MORE LIKE LABORIOUS
audio/RES0208.mp3[79.800,98.600]	OK AND YOU SAID THAT IT STARTED A FEW DAYS AGO HAVE YOU HAD ANY OTHER SYMPTOMS OTHER THAN THE DIFFICULTY BREATHING AND THE FATIGUE
audio/RES0208.mp3[98.600,125.120]	I MEAN I FELT I THINK I FELT REALLY HOT YESTERDAY I DONT KNOW THE THERMOMETER BUT I HAD MY WIFE PUT HER PUT HER HAND ON MY FOREHEAD AND SHE GOT A I FELT PRETTY WARM AND COME TO THINK OF IT I THIS MORNING I I REALLY I DIDNT EAT MUCH BECAUSE I JUST HAVENT BEEN THAT HUNGRY BUT I DONT REALLY FEEL LIKE I COULDNT REALLY TASTE MY BREAKFAST
audio/RES0208.mp3[125.120,129.560]	HAS THAT EVER HAPPENED TO YOU BEFORE
audio/RES0208.mp3[129.560,134.440]	NO NEVER I LIKE I LIKE MY FOOD
audio/RES0208.mp3[134.440,147.800]	ME TOO UM OK WHAT ABOUT YOUR SENSE OF SMELL DO YOU FEEL LIKE YOURE NOT YOU ARE NOT ABLE TO SMELL WELL EITHER
audio/RES0208.mp3[147.800,154.880]	I HAVENT THOUGHT ABOUT IT TOO HARD BUT YEAH KIND OF
audio/RES0208.mp3[154.880,161.240]	OK AND HAVE YOU HAD A COUGH
audio/RES0208.mp3[161.240,165.040]	UH I DONT KNOW I I FEEL LIKE I MAYBE COULD BE STARTING STARTING ONE
audio/RES0208.mp3[166.000,171.440]	LIKE ITS WHEN IT FEELS DRY LIKE ITS ON ITS WAY HAVENT REALLY BEEN COUGHING MUCH
audio/RES0208.mp3[171.440,175.480]	I SEE WHAT ABOUT A SORE THROAT
audio/RES0208.mp3[175.480,184.560]	I’M STARTING TO FEEL A LITTLE BIT LIKE THAT LIKE I DONT KNOW IF IM IMAGINING IT BUT YEAH I I THINK SO
audio/RES0208.mp3[184.560,191.280]	I SEE OK HAVE YOU HAD A RUNNY NOSE OR ANY CONGESTION
audio/RES0208.mp3[192.760,195.520]	ANY HEADACHES
audio/RES0208.mp3[195.520,210.280]	UH GOOD QUESTION I I KIND OF I GET I GET HEADACHES FAIRLY OFTEN I DONT THINK IM GETTING ANY MORE THAN USUAL BUT I HAVE HAD A LITTLE BIT
audio/RES0208.mp3[210.280,219.720]	OK IS THE HEADACHE THAT YOUVE HAD DIFFERENT IN QUALITY FROM THE HEADACHES THAT YOU USUALLY GET
audio/RES0208.mp3[219.720,228.320]	I MEAN I DONT KNOW I DONT KNOW I USUALLY GET KIND OF DIFFICULT STRESS HEADACHE YOU KNOW
audio/RES0208.mp3[228.320,229.080]	YEAH YEAH
audio/RES0208.mp3[229.080,236.360]	PRETTY WELL I AM STRESSED JUST THAT I YOU KNOW MIGHT BE SICK
audio/RES0208.mp3[236.360,240.840]	AND HAVE YOU HAD ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0208.mp3[240.880,246.760]	IN THE PAST THREE FOUR DAYS NO OK ANY NAUSEA OR VOMITING
audio/RES0208.mp3[246.760,248.960]	NO NO I HAVENT
audio/RES0208.mp3[248.960,256.120]	HAVE YOU HAD ANY CHEST PAIN
audio/RES0208.mp3[256.120,260.120]	UH LIKE ITS NO YEAH NO NO CHEST PAIN
audio/RES0208.mp3[260.120,265.240]	ANY DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST
audio/RES0208.mp3[265.240,267.440]	NO I WOULDNT SAY SO
audio/RES0208.mp3[267.440,273.400]	OK HAVE YOU HAD ANY PAIN IN YOUR BELLY
audio/RES0208.mp3[273.400,282.160]	NO CAUSE I I MEANT I HAVEN’T REALLY BEEN EATING BUT YEAH
audio/RES0208.mp3[282.160,286.520]	OK ANY URINARY SYMPTOMS
audio/RES0208.mp3[286.520,289.320]	NO I DONT THINK SO
audio/RES0208.mp3[289.320,300.960]	OK AND YOU MENTIONED YOU HAVE MUSCLE ACHES IS IT SO ALL OVER YOUR BODY OR IS IT A SPECIFIC PART SPECIFIC AREA
audio/RES0208.mp3[300.960,304.040]	I WOULD JUST SAY I FEEL KIND OF OVERALL ACHY
audio/RES0208.mp3[304.800,307.880]	UM NOT ANY ONE SPOT
audio/RES0208.mp3[307.880,311.760]	ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS
audio/RES0208.mp3[311.760,318.200]	UH NO
audio/RES0208.mp3[318.200,330.080]	OK ALL RIGHT HAVE YOU HAD ANY EXPOSURE TO ANYONE WHO COULD POTENTIALLY BE SICK
audio/RES0208.mp3[330.080,358.920]	WELL MY GRANDKIDS UH VISITED LAST WEEKEND AND MY GRANDSON HAS A COLD HE GOES TO DAYCARE YEAH SO IM NOT REALLY IM NOT REALLY SURE LIKE HES BEEN STAYING HOME AND THEY DIDNT THEY DIDNT REALLY KNOW THAT WHEN THEY CAME TO VISIT
audio/RES0208.mp3[358.920,370.160]	OK THATS YEAH UHM OK AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE
audio/RES0208.mp3[370.160,374.760]	NO NO
audio/RES0208.mp3[374.760,384.760]	OK ALRIGHT DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0208.mp3[384.760,411.600]	UHM IM PRETTY IM PRETTY HEALTHY I HAVE SOME UM LIKE REFLUX THAT I SEE MY DOCTOR FOR AND IVE HAD IVE HAD SOME DIFFICULTIES LIKE WITH LIKE URINATING A LITTLE BIT YEAH MY MY PROSTATES A LITTLE BIG LIKE ITS NOT CANCER BUT SO JUST THOSE TWO THINGS THAT ARENT THAT ARENT THERE THAT REALLY BIG DEAL THEY DONT AFFECT MY LIFE TOO MUCH
audio/RES0208.mp3[411.600,416.560]	ARE YOU TAKING ANY MEDICATIONS FOR EITHER PROBLEM
audio/RES0208.mp3[416.560,422.880]	I TAKE AVODART
audio/RES0208.mp3[424.360,438.240]	AND FOR THE THE REFLUX I TAKE A TUMS HERE AND THERE I USED TO BE ON A MEDICATION BUT IT SEEMED LIKE I KIND OF FIGURED OUT THE FOODS THAT WERE GOING TO HELP SO I STOPPED
audio/RES0208.mp3[438.240,446.960]	GREAT THATS GREAT ANY ALLERGIES TO MEDICATIONS FOODS OR ENVIRONMENTAL ALLERGIES
audio/RES0208.mp3[446.960,448.800]	UH NO NO
audio/RES0208.mp3[448.800,457.960]	NO AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY SPECIFICALLY ANYTHING RELATED TO THE LUNGS
audio/RES0208.mp3[457.960,464.840]	NO NOT THAT I CAN THINK OF
audio/RES0208.mp3[464.840,473.600]	AND DO YOU YOU MENTIONED THAT YOUR GRANDKIDS HAVE CAME TO VISIT DO YOU LIVE ALONE
audio/RES0208.mp3[473.600,477.200]	UH NO I LIVE WITH MY WIFE
audio/RES0208.mp3[477.200,485.840]	AND ARE YOU CURRENTLY WORKING OR ARE YOU STAYING AT HOME
audio/RES0208.mp3[485.840,507.880]	UH IM WORKING FROM HOME I I IVE GONE OUT A FEW TIMES TO SEE CLIENTS I WORK AS A FINANCIAL ADVISOR IVE GONE TO SEE A COUPLE CLIENTS THAT ARE REALLY OLD AND HAVE A HARD TIME DOING STUFF OVER THE PHONE OR OVER THE COMPUTER BUT IM LIKE 95 FROM HOME
audio/RES0208.mp3[507.880,514.240]	HAVE YOU GONE TO SEE ANY CLIENTS IN THE PAST THREE OR FOUR DAYS OR IN THE PAST WEEK
audio/RES0208.mp3[514.240,517.640]	NO NO ITS PROBABLY BEEN A COUPLE WEEKS SINCE I SAW ANYONE
audio/RES0208.mp3[517.640,525.240]	SURE OK AND DO YOU SMOKE OR DID YOU EVER SMOKE AT THE PAST
audio/RES0208.mp3[525.240,538.800]	NO I I MAYBE DID FOR MAYBE LIKE THREE YEARS IN MY 20S IT WASN’T HEAVILY YES
audio/RES0208.mp3[538.800,541.760]	ANY MARIJUANA OR RECREATIONAL DRUGS
audio/RES0208.mp3[543.800,546.000]	ANY ALCOHOL
audio/RES0208.mp3[546.000,552.040]	I USUALLY HAVE A WHISKEY OR TWO ON THE WEEKENDS
audio/RES0208.mp3[552.040,585.720]	OK ALRIGHT UH SO IT SOUNDS LIKE YOU HAVE SOME SORT OF AN INFECTION WITH THE FEVERS AND FATIGUE AND MUSCLE ACHES AND THEN THE DIFFICULTY BREATHING OF COURSE AND THEN YOUR SENSATION THAT SENSATION THAT YOU ARE HAVING A VERY COOL SORT OF A SORE THROAT AND COUGH THAT YOU MIGHT BE GETTING WE CANT NECESSARILY RULE OUT COVID JUST YET
audio/RES0208.mp3[585.720,589.240]	THATS WHAT I WAS WORRIED ABOUT
audio/RES0208.mp3[589.240,645.280]	YEAH AND GIVEN THAT YOURE HAVING DIFFICULTIES BREATHING WERE ALSO GOING TO HAVE A LOOK AT YOUR CHEST AND DO IT PHYSICAL EXAM BUT ALSO DO A CHEST X RAY JUST TO MAKE SURE OR JUST TO SEE IF THERES ANYTHING A INFECTION THAT IS SETTLING IN YOUR CHEST AND A COVID SWAB AND THEN UH GO FROM THERE WE’LL DECIDE WHETHER YOU NEED TO STAY IN THE YOU NEED TO STAY IN THE HOSPITAL AND IF YOU CAN GO HOME BASED ON THOSE RESULTS BUT IF YOU ARE TO GO HOME WE WOULD REQUEST THAT YOU STAY AWAY FROM FROM EVERYONE SO INCLUDING YOUR WIFE TRY TO SELF ISOLATE AS MUCH AS POSSIBLE AND YOUR RESULTS SHOULD COME OUT IN 24 TO 48 HOURS AND THEN THE PUBLIC HEALTH NURSE SHOULD TELL YOU WHAT TO DO IF YOUR RESULTS ARE POSITIVE
audio/RES0208.mp3[645.280,648.640]	OK OK NO THAT SOUNDS FAIR
audio/RES0208.mp3[648.640,651.640]	ALL RIGHT WELL LETS DO A PHYSICAL EXAM AND THEN GO FROM THERE
audio/RES0208.mp3[651.640,654.240]	OK THANK YOU
audio/RES0208.mp3[654.240,656.320]	YOURE WELCOME
audio/MSK0015.mp3[0.000,1.200]	HOW MAY I HELP YOU
audio/MSK0015.mp3[1.200,44.920]	YEAH SO IM IM GEORGE THE FATHER MY DAUGHTER IS 5 YEARS OLD AND I NOTICED JUST A FEW DAYS AGO THAT SHE WAS WALKING A LITTLE BIT FUNNY AND KIND OF HAVING A LIMP WHEN SHE CAME BACK FROM SCHOOL AND SINCE SINCE THAT THEN SHES BEEN SAYING THAT IT JUST HURTS TOO MUCH TO PUT ANY WEIGHT ON ON THAT LEG ON THE RIGHT LEG AND SINCE THEN IVE BEEN LIKE CARRYING HER AROUND ITS BEEN VERY PAINFUL FOR HER SO I JUST WANTED TO COME IN AND CHECK WHAT MIGHT BE GOING ON
audio/MSK0015.mp3[44.920,50.720]	OK AND SO SO AND THIS WHEN DID THIS EXACTLY START
audio/MSK0015.mp3[50.720,53.880]	SO JUST TWO DAYS AGO
audio/MSK0015.mp3[53.880,65.000]	OK AN UM DID SHE HAVE ANY TRAUMA TO HER RIGHT HIP OR OR TO HURT YOUR RIGHT LEG LIKE A FALL OR ANY INJURIES
audio/MSK0015.mp3[65.000,86.680]	SORRY UM NO NOT THAT I KNOW OF AT LEAST AND SHE HASNT TOLD ME ANYTHING LIKE THAT SHE DOES DO SOME ACTIVITIES SOME SPORTS BUT I HAVENT SEEN HER FALL ANYWHERE
audio/MSK0015.mp3[86.680,96.520]	OK UM ALRIGHT AND UH HAS SHE HAS SHE NOT NOT BEEN ABLE TO WALK THEN
audio/MSK0015.mp3[96.520,133.480]	YEAH SO IVE IVE BEEN CARRYING AROUND FOR AT LEAST LIKE SHES MISSED SCHOOL TOO BUT BEEN CARRYING HER AROUND FOR THE LAST 1 12 TO TWO DAYS AS SOON AS I HAD LIKE ASK HER TO WALK SHE STARTS KIND OF A HOPPING AND SAYING THAT THERES A LOT OF PAIN NEAR THE TOP OF HER LEG AND BY YOUR HIPS WHENEVER SHE PUTS HER FOOT LIKE A FOOT DOWN SO YEAH SHES IN PAIN CRYING SO I KIND OF HAVE TO CARRY HER
audio/MSK0015.mp3[133.480,143.680]	OK AND UH HOW HAS HER BEHAVIOUR BEEN RECENTLY LIKE HER MOOD AND THINGS LIKE THAT
audio/MSK0015.mp3[143.680,170.040]	SHES DEFINITELY BEEN MORE JUST A BIT ANXIOUS ABOUT THE PAIN VERY SCARED ABOUT PUTTING HER FOOT DOWN AND JUST OVERALL I THINK ALSO MORE IRRITABLE CRYING MORE BECAUSE OF THE PAIN SO BUT I I GUESS I UNDERSTAND IF THERES SOMETHING GOING ON IT MUST BE VERY PAINFUL
audio/MSK0015.mp3[170.040,175.000]	OK AND ALRIGHT HAS SHE HAD ANY FEVERS OR CHILLS
audio/MSK0015.mp3[175.000,202.840]	UHM I DID NOTICE A COUPLE OF DAYS AGO SHE FELT A BIT WARM BUT WE DIDNT REALLY MEASURE HER TEMPERATURE OVER THE LAST FEW WEEKS THOUGH SHE HAS HAD A KIND OF A RUNNY NOSE AND A COUGH AND I THINK SHE MIGHT HAVE HAD A FEVER LAST WEEK AS WELL SO SHE HAS BEEN SICK RECENTLY
audio/MSK0015.mp3[202.840,211.480]	OK SO IT SOUNDS LIKE SHE MIGHT HAVE HAD A COLD LAST WEEK AND DID LIKE THE RUNNY NOSE AND COUGH GO AWAY
audio/MSK0015.mp3[211.480,222.120]	YEAH THE RUNNY NOSE AND COUGH ARE GONE FEVER WAS GONE TOO BUT SHE DID FEEL A LITTLE BIT WARM YESTERDAY SO IM NOT SURE ABOUT THAT
audio/MSK0015.mp3[222.120,227.120]	OK SO SHES AT A A BIT WARM NOW STILL OK
audio/MSK0015.mp3[228.240,231.960]	HAS SHE HAD ANY ANY HEADACHES
audio/MSK0015.mp3[231.960,233.680]	NO NO HEADACHES
audio/MSK0015.mp3[233.680,241.840]	ANY SENSORY CHANGES LIKE THINGS TO HER VISION OR HEARING OR TASTE OR SMELL
audio/MSK0015.mp3[242.520,247.960]	OK ANY UM SORE THROAT OR COUGH
audio/MSK0015.mp3[249.320,251.520]	ALRIGHT ANY SHORTNESS OF BREATH
audio/MSK0015.mp3[252.320,255.400]	ANY CHEST PAIN
audio/MSK0015.mp3[257.320,260.720]	HAS SHE HAD A LOSS OF APPETITE
audio/MSK0015.mp3[262.360,267.480]	OK AND HAS SHE HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0015.mp3[267.480,269.760]	OH NO NOTHING LIKE THAT
audio/MSK0015.mp3[269.760,272.240]	ANY NIGHT SWEATS
audio/MSK0015.mp3[273.520,277.080]	ANY NAUSEA OR VOMITING
audio/MSK0015.mp3[278.160,282.320]	ANY ABDOMINAL PAIN
audio/MSK0015.mp3[282.320,283.960]	NO ABDOMINAL PAIN
audio/MSK0015.mp3[283.960,289.360]	OK ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL
audio/MSK0015.mp3[289.360,292.560]	NO NOTHING LIKE THAT
audio/MSK0015.mp3[292.560,299.320]	ALRIGHT AND ANY PROBLEMS WITH URINATION LIKE PAIN OR FREQUENCY
audio/MSK0015.mp3[299.320,303.880]	NO NOT THAT SHES MENTIONED NO
audio/MSK0015.mp3[303.880,307.720]	OK AND ANY SKIN RASHES OR CHANGES
audio/MSK0015.mp3[310.160,317.000]	OK AND ANY MUSCLE ACHES OR BODY PAINS OR ANY OTHER PAINS ANYWHERE ELSE
audio/MSK0015.mp3[317.000,323.360]	NO ITS MAINLY JUST HER UPPER RIGHT LEG AND HIP
audio/MSK0015.mp3[323.360,327.920]	OK I HAVE SHE HAD ANY NUMBNESS OR TINGLING
audio/MSK0015.mp3[327.920,330.760]	NO NOT THAT SHES MENTIONED NO
audio/MSK0015.mp3[330.760,337.160]	OK AND AND HOW ABOUT A MUSCLE WEAKNESS
audio/MSK0015.mp3[338.960,347.840]	NO OK AND ANY CONFUSION OR OR MEMORY LOSS
audio/MSK0015.mp3[347.840,349.640]	UM NO
audio/MSK0015.mp3[349.640,358.960]	OK IM AND IN THE PAST HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0015.mp3[358.960,388.560]	SHE DID HAVE THIS CONDITION WITH HER HIPS DYSPLASIA LIKE DEVELOPMENTAL DYSPLASIA OF THE HIP SO WHEN SHE WAS BORN SHE SHE WAS GETTING LIKE THIS CLICKING NOISE AND HER IN HER HIPS AND SO SHE WAS IN THIS SPLINT FOR PROBABLY ALMOST TWO MONTHS AT THE START LIKE AFTER SHE WAS BORN
audio/MSK0015.mp3[388.560,397.840]	OK AND DID HER HIPS DID LIKE WAS SHE ABLE TO WALK AFTERWARDS
audio/MSK0015.mp3[397.840,410.880]	YEAH YEAH AND WE WERE SEEING A SPECIALIST AN ORTHOPEDIC SURGEON AND THEY WERE MANAGING HER AND AFTER ONE YEAR THEY STOPPED FOLLOWING HER SHE WAS WELL LIKE SHE WAS WALKING NO ISSUES
audio/MSK0015.mp3[410.880,413.600]	OK SO SHES WALKING AROUND ONE YEAR
audio/MSK0015.mp3[414.080,422.600]	HAVE YOU HAD ANY OTHER CONCERNS ABOUT HER EITHER SOCIAL OR PHYSICAL DEVELOPMENT
audio/MSK0015.mp3[422.600,443.120]	NO SHES BEEN REALLY GREAT SHES GOOD WITH PEOPLE SHES HAS GREAT SOCIAL SKILLS SHE HAS GROWN WELL MET ALL HER MILESTONES SHES DOING REALLY WELL AT SCHOOL AND GETS ALONG WELL WITH HER PEERS AS WELL
audio/MSK0015.mp3[443.120,458.040]	OK EXCELLENT AND WERE THERE ANY CONCERNS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HYPERTENSION OR ANY EXPOSURES TO INFECTIONS
audio/MSK0015.mp3[458.040,486.840]	NO HER MOMS PREGNANCY WAS PERFECTLY NORMAL SHE WAS BORN LIKE SHE WAS DELIVERED VAGINALLY AT 39 WEEKS SHE WAS BREECH AT THAT TIME WHICH THE DOCTOR SAID MIGHT HAVE TO DO WITH HER CLICKING HIPS BUT YEAH BUT SINCE THEN OR DURING PREGNANCY NO OTHER COMPLICATIONS
audio/MSK0015.mp3[486.840,499.960]	OK THATS GREAT AND UH IN REGARDS TO YOU MENTIONED HER HURT HIP ANY OTHER PAST MEDICAL HISTORY
audio/MSK0015.mp3[499.960,503.520]	UM NO OTHER THAN THAT SHES BEEN HEALTHY
audio/MSK0015.mp3[503.520,510.240]	OK AND DOES SHE TAKE ANY MEDICATIONS REGULARLY OVER THE COUNTER OR PRESCRIBED
audio/MSK0015.mp3[510.240,514.680]	NO NO NO MEDICATIONS
audio/MSK0015.mp3[514.680,518.120]	OK ANY ALLERGIES TO MEDICATIONS
audio/MSK0015.mp3[518.120,519.760]	NO NOT THAT I KNOW
audio/MSK0015.mp3[519.760,521.440]	AND SORRY HAS SHE TAKING ANYTHING FOR THE THE PAIN
audio/MSK0015.mp3[521.440,527.080]	NO I HAVENT REALLY GIVEN HER ANYTHING I DIDNT KNOW WHAT TO GIVE
audio/MSK0015.mp3[527.080,537.440]	OK ALL RIGHT WELL TALK MORE ABOUT THAT HAS SHE HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/MSK0015.mp3[538.040,547.520]	CAN YOU TELL ME ABOUT WHO SHES LIVING WITH AND WHEREABOUTS SHES LIVING
audio/MSK0015.mp3[547.520,566.520]	YEAH SO SHES CURRENTLY LIVING AT HOME WITH ME MY WIFE AND SHE HAS AN OLDER BROTHER WE LIVE IN A SMALL HOUSE JUST NEAR NEAR THE CITY
audio/MSK0015.mp3[566.520,573.240]	OK AND WHAT DO YOU GUYS DO FOR WORK
audio/MSK0015.mp3[573.240,583.480]	YEAH SO IM A LAWYER AND MY WIFE IS A MUSIC TEACHER
audio/MSK0015.mp3[583.480,590.400]	OK IS THERE ANYBODY WHO SMOKES IN THE HOME
audio/MSK0015.mp3[590.400,592.800]	NO NONE OF US SMOKE
audio/MSK0015.mp3[592.800,597.920]	OK UM OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS
audio/MSK0015.mp3[597.920,606.400]	UHM NO NO FAMILY HISTORY OUR FAMILY IS PRETTY HEALTHY
audio/MSK0015.mp3[606.400,614.400]	OK HOW ABOUT ANY FAMILY HISTORY OF ANY AUTOIMMUNE CONDITIONS SUCH AS HYPOTHYROIDISM
audio/MSK0015.mp3[614.400,616.840]	NO NOTHING LIKE THAT
audio/MSK0015.mp3[616.840,625.680]	OK AND THEN ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS IN THE FAMILY
audio/MSK0015.mp3[628.600,640.120]	OK SO NEXT ON UM JUST THE EXAM UM WHEN YOURE LOOKING AT THE RIGHT HIP ARE YOU SEEING ANY SWELLING REDNESS
audio/MSK0015.mp3[640.120,646.360]	UH NO NOT THAT I SEE ANYTHING
audio/MSK0015.mp3[646.360,652.760]	NO OK AND IS THERE ANY LIKE MUSCLE ATROPHY AROUND THE HIP
audio/MSK0015.mp3[652.760,656.160]	NO NOT THAT I SEE AT ALL
audio/MSK0015.mp3[656.160,662.520]	OK AND THEN IS THERE ANY MISALIGNMENT OR DEFORMITY OF THE JOINTS THAT YOU CAN SEE
audio/MSK0015.mp3[662.520,670.640]	NO I CANT YEAH I DONT SEE ANYTHING IN THE HIPS OR LEGS THAT REALLY POINTS OUT TO ME
audio/MSK0015.mp3[670.640,678.200]	OK UM AND IS THERE ANY PAIN TO PALPATION OVER THE HIP OR OR KNEE
audio/MSK0015.mp3[678.200,693.400]	UH IF I IF I PRESS ON IT I DONT THINK SHES IN THAT MUCH PAIN ITS MAINLY JUST WHEN SHES TRYING TO WALK OR PUT PUT WEIGHT ON IT
audio/MSK0015.mp3[693.400,703.760]	OK AND IS SHE ABLE TO MOVE THE HIP IN A FULL RANGE OF MOTION OF LIKE FLEXION AND EXTENSION ABDUCTION ADDUCTION
audio/MSK0015.mp3[703.760,721.840]	UHM SO SHE DOES SHE IS ABLE TO MOVE IT IF SHE REALLY TRIES BUT ITS MAINLY JUST THE PUTTING HER WEIGHT ON IT AND ANYTIME SHE PUTS HER WEIGHT ON IT IS IS WHEN IT REALLY HURTS
audio/MSK0015.mp3[721.840,732.720]	OK SO MORE ABOUT THE WEIGHT ON IT AND IS SHE ABLE TO MOVE THAT HER KNEE WITH A FULL RANGE OF MOTION
audio/MSK0015.mp3[733.720,742.240]	OK AND ANY ANY MUSCLE WEAKNESS WHEN TESTING AROUND THE JOINT
audio/MSK0015.mp3[743.320,759.200]	NO OK SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY AND CHECK WAS THERE ANYTHING I MAYBE FORGOT ABOUT YOU THOUGHT WOULD BE MORE IMPORTANT TODAY
audio/MSK0015.mp3[759.200,765.520]	NO I THINK THATS ALL JUST JUST WAS WONDERING WHAT MIGHT BE GOING ON
audio/MSK0015.mp3[765.520,879.200]	YEAH CERTAINLY SO A COUPLE OF THINGS THAT IT COULD BE ONE IS THAT IT CAN BE COMMON IN THIS AGE GROUP IS SOMETHING CALLED TRANSIENT SYNOVITIS WHERE WHICH CAN HAPPEN IN THE HIP WHERE THERES SOME INFLAMMATION AND IT CAUSES SOME PAIN FOLLOWING A VIRAL INFECTION AND IT SOUNDS LIKE SHE HAD A VIRAL INFECTION LAST WEEK WITH THE COUGH FEVER AND AND RUNNY NOSE AND HER SHE WAS FEELING A BIT WARM AND MAYBE FEVERISH TODAY AS WELL WHICH COULD BE A SIGN WITH THE LOWER KIND OF SLIGHTLY ELEVATED TEMPERATURE POINTING TOWARDS TRANSIENT SYNOVITIS WHICH IS A CONDITION THAT WILL BE SELF LIMITING AND CAN USE ANTI INFLAMMATORIES TO HELP WITH THE PAIN SUCH AS IBUPROFEN BUT ALSO SOMETHING THAT WOULD BE IMPORTANT TO RULE OUT WOULD BE IS SEPTIC ARTHRITIS BECAUSE IT COULD COULD LEAD TO DAMAGE OF THE JOINT BUT THIS WILL BE LOWER ON THE DIFFERENTIAL AND THEN FINALLY SOMETHING TO CONSIDER IS LEGGCALVEPERTHES DISEASE AND BUT THIS WOULD BE MORE OF PROGRESSIVE  ONSET BUT IF SHES NOT GETTING ANY BETTER AND OR IF SHE BECOMES MORE SICK LIKE DEVELOPS A REALLY HIGH FEVER OR A RED HOT SWOLLEN JOINT THEN WED BE THINKING MORE ALONG THE LINES OF SEPTIC ARTHRITIS AND WE WANT TO REASSESS
audio/MSK0015.mp3[879.200,881.280]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0023.mp3[0.000,3.280]	HOW ARE YOU DOING TODAY
audio/RES0023.mp3[3.280,10.800]	IM DOING OK I JUST HAD THIS COUGH THATS REALLY STARTED TO BUG ME
audio/RES0023.mp3[10.800,20.920]	OK THANKS FOR COMING INTO THE EMERGENCY DEPARTMENT TODAY WE WILL REALLY TRY TO GET THIS SORTED OUT FOR YOU HOW LONG IS THIS COUGH BEEN GOING ON FOR
audio/RES0023.mp3[20.920,24.400]	UM ABOUT FIVE DAYS 5 DAYS
audio/RES0023.mp3[24.400,34.040]	OK 5 DAYS AND HAS ANYTHING ELSE COME ON DURING THAT TIME ARE YOU HAVING ANY OTHER SYMPTOMS
audio/RES0023.mp3[34.040,42.880]	YEAH IVE BEEN FEELING PRETTY PRETTY HOT AND JUST HAVENT BEEN REALLY FEELING VERY GOOD OVERALL IVE BEEN JUST EXHAUSTED
audio/RES0023.mp3[42.880,47.960]	OH IM SAD TO HEAR THAT HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0023.mp3[47.960,54.320]	YEAH MAYBE WHEN I WAS YOUNGER I DONT KNOW WHEN I HAD THE FLU OR SOMETHING LIKE THAT
audio/RES0023.mp3[54.320,64.880]	OK OK SO ILL ASK YOU FEW MORE QUESTIONS ABOUT YOUR COUGH SO IT STARTED 5 DAYS AGO HAS IT GOTTEN ANY WORSE OR BETTER SINCE THEN
audio/RES0023.mp3[64.880,74.440]	ITS BEEN GETTING WORSE FOR SURE ITS LIKE GOING ALL ALL THROUGHOUT THE DAY AND ITS BEEN EVEN INTERRUPTING SLEEP
audio/RES0023.mp3[74.440,84.640]	OH GEEZ THATS TOO BAD DO YOU FIND THAT IT DOES IT FEEL REALLY DRY OR ARE YOU BRINGING UP LIKE GUNKY STUFF
audio/RES0023.mp3[84.640,88.960]	IT ITS REALLY DRY
audio/RES0023.mp3[88.960,94.680]	OK AND HE IS THERE ANYTHING THAT SEEMS TO MAKE IT WORSE OR BETTER
audio/RES0023.mp3[94.680,102.720]	NOT REALLY ITS PRETTY CONSISTENT THROUGHOUT THE DAY
audio/RES0023.mp3[102.720,108.840]	OK OK UM HAVE YOU HAD ANY CHEST PAIN
audio/RES0023.mp3[108.840,121.720]	YEAH AFTER COUGHING IT CAN ITS ITS STARTING TO HURT IT DIDNT AT FIRST BUT NOW THAT IVE I THINK IVE COUGHED SO MUCH ITS STARTING TO FEEL PAIN THERE
audio/RES0023.mp3[121.720,128.000]	OK WHAT WHAT PART SPECIFICALLY IN YOUR CHEST ARE YOU FEELING PAIN IN
audio/RES0023.mp3[128.000,138.200]	UH ACTUALLY NOW THAT I THINK ABOUT OF IT ITS MORE MORE IN MY THROAT ACTUALLY WITH THE COUGH I WOULD SAY WITH THE COUGH YEAH YEAH MORE OF THE THROAT
audio/RES0023.mp3[138.200,141.680]	WOULD YOU SAY YOU HAVE YOUVE HAD A SORE THROAT
audio/RES0023.mp3[141.680,154.760]	YEAH I GUESS SO YEAH I WOULD LIKE NOW WITH THE COUGH THATS REALLY KIND OF WHAT I MEAN BY WHATS BEEN BUGGING ME
audio/RES0023.mp3[154.760,167.080]	OK OK THANKS FOR SHARING THAT WITH ME UM AND ALONG WITH THIS HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL OR TASTE
audio/RES0023.mp3[167.080,171.880]	UM YEAH MY SMELL IS DEFINITELY BEEN OFF AHH WHICH IS KIND OF WEIRD MY TASTE HAS BEEN FINE THOUGH
audio/RES0023.mp3[171.880,179.120]	OK OK UM AND WHEN DID THAT START
audio/RES0023.mp3[179.120,184.520]	YEAH NOW THAT YOU SAY IT I MEAN WELL I GUESS THIS MORNING
audio/RES0023.mp3[184.520,196.400]	OK MMM HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0023.mp3[196.400,203.240]	UH NO NOTHING LIKE THAT
audio/RES0023.mp3[203.240,208.800]	OK UM AND YOU SAID YOU FELT REALLY HOT HAVE YOU TAKEN YOUR TEMPERATURE AT ALL
audio/RES0023.mp3[208.800,219.480]	NO I HAVENT THATS WHY BUT IVE BEEN FEELING PRETTY SWEATY SO THAT THATS WHERE I I FEEL LIKE I HAVE A FEVER SO I WANTED TO COME IN
audio/RES0023.mp3[219.480,227.480]	OK OK HAVE YOU LOST ANY WEIGHT RECENTLY LIKE UNINTENTIONALLY
audio/RES0023.mp3[227.480,232.240]	NO IVE ACTUALLY PUT ON PROBABLY 5 OR 10 POUNDS
audio/RES0023.mp3[232.240,245.200]	OK OK UM HAVE YOU HAD FELT ANY ANY CHILLS OR SHAKES
audio/RES0023.mp3[245.200,248.960]	MMMM NOTHING LIKE THAT
audio/RES0023.mp3[248.960,253.000]	OK HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0023.mp3[253.000,263.800]	UM YEAH ACTUALLY LIKE YEAH LAST NIGHT MY SHIRT WAS WAS SOAKED THROUGH WHEN I WHEN I GOT UP
audio/RES0023.mp3[263.800,267.280]	OH NO OK AND WAS THAT JUST LAST NIGHT
audio/RES0023.mp3[267.280,272.560]	YEAH YEAH THAT WAS JUST LAST NIGHT
audio/RES0023.mp3[272.560,285.160]	OK OK UM SO IM JUST GOING TO ASK YOU SOME QUESTIONS OR SORRY FEW MORE QUESTIONS ON THIS AND THEN WELL MOVE ON TO JUST YOUR HEALTH IN GENERAL HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0023.mp3[285.160,289.360]	UM NO IVE BEEN BEEN WELL JUST GOING TO WORK AN AN HOME
audio/RES0023.mp3[289.360,299.240]	OK UM HAVE YOU BEEN IN CONTACT WITH ANYONE THAT MIGHT BE SICK
audio/RES0023.mp3[299.240,315.360]	UM ITS WELL ITS HARD TO SAY AT THE GROCERY STORE I GUESS I SEE A LOT OF CUSTOMERS THAT COME THROUGH BUT UM I GENERALLY THINGS ARE WIPED DOWN PRETTY FREQUENTLY SO
audio/RES0023.mp3[315.360,318.000]	SO YOU WORK AT THE GROCERY STORE
audio/RES0023.mp3[319.600,322.800]	OK AND DO YOU LIVE ALONE OR WITH FAMILY
audio/RES0023.mp3[322.800,330.080]	ALRIGHT YEAH I LIVE WITH FAMILY I I LIVE WITH MY WIFE AND TWO CHILDREN
audio/RES0023.mp3[330.080,336.280]	OH NICE YEAH DO THEY WORK OUT OF THE HOME HAVE THEY BEEN IN CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0023.mp3[336.280,353.320]	WELL THEYRE IN HIGH SCHOOL UM AND THEYVE ACTUALLY BEEN DOING A LOT OF THEIR COURSEWORK ON ONLINE SO YEAH I HAVENT REALLY BEEN AROUND TO ANY OTHER OTHER PEOPLE
audio/RES0023.mp3[353.320,354.360]	AND YOUR WIFE
audio/RES0023.mp3[354.360,360.600]	YEAH SHES BEEN SHES BEEN HOME AS WELL
audio/RES0023.mp3[360.600,370.320]	OK SO IN TERMS YOUR OVERALL HEALTH DO YOU ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY
audio/RES0023.mp3[370.320,377.760]	YEAH SO I HAVE A HIGH BLOOD PRESSURE AND TYPE 2 DIABETES
audio/RES0023.mp3[381.600,385.720]	AND SO I I TAKE A RAMIPRIL AND METFORMIN
audio/RES0023.mp3[385.720,390.840]	OK RAMIPRIL AND METFORMIN ANY OTHER MEDICATIONS
audio/RES0023.mp3[390.840,394.120]	UMM VITAMIN D
audio/RES0023.mp3[394.120,398.200]	OK AND HAVE YOU EVER HAD ANY SURGERIES
audio/RES0023.mp3[398.200,410.360]	UM YEAH I HAD MY GALLBLADDER TAKEN OUT ABOUT 10 YEARS AGO OR SO
audio/RES0023.mp3[410.360,413.760]	OK OK UM SO DO YOU HAVE ANY ALLERGIES
audio/RES0023.mp3[413.760,422.320]	AHH JUST TOO LIKE ENVIRONMENTAL STUFF LIKE UM POLLEN I THINK
audio/RES0023.mp3[422.320,427.960]	OK OK SO NOT ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0023.mp3[433.680,439.480]	OK UM OK DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS
audio/RES0023.mp3[439.480,445.760]	UM I THINK UM MY BROTHER HAS ASTHMA AND I THINK MY MOM HAS ASTHMA TOO
audio/RES0023.mp3[445.760,468.000]	OK UM OK AND IN TERMS OF YOUR LIFESTYLE THAT SOUNDS LIKE YOU LIVE WITH YOUR WIFE AND KIDS YOU WORK AT A GROCERY STORE ON A WEEKLY BASIS DO YOU DO YOU DRINK ALCOHOL
audio/RES0023.mp3[468.000,471.640]	MAYBE ILL HAVE LIKE 3 OR 4 BEERS ON THE WEEKEND
audio/RES0023.mp3[471.640,474.760]	OK SO THREE TO FOUR DRINKS PER WEEK
audio/RES0023.mp3[474.760,476.040]	YEAH ABOUT THAT
audio/RES0023.mp3[476.040,479.560]	DO YOU SMOKE
audio/RES0023.mp3[479.560,481.800]	NO I DO NOT
audio/RES0023.mp3[481.800,487.120]	DO YOU USE CANNABIS OR ANY OTHER SUBSTANCES
audio/RES0023.mp3[487.120,490.360]	NO I DONT USE ANYTHING LIKE THAT
audio/RES0023.mp3[490.360,533.600]	OK OK WELL I THINK THAT JUST ABOUT COVERS THE THINGS THAT I WANTED TO ASK YOU TODAY SO BASED ON THE SYMPTOMS YOURE EXPERIENCING IT SOUNDS LIKE IT COULD BE SOME KIND OF INFECTIVE PROCESS LIKE MAYBE SOME KIND OF VIRAL INFECTION THAT WERE CONCERNED ABOUT PARTICULARLY THIS YEAR ID REALLY LIKE TO GET A SWAB DONE ON YOU ITS NOT NECESSARILY COVID BUT IT POTENTIALLY COULD BE SO WHAT WERE GOING TO HAVE TO ASK YOU TO DO IS TO SELF ISOLATE YOU AND YOUR FAMILY FOR 14 DAYS AND HOPEFULLY WILL GET THE RESULTS BACK SHORTLY AND YOULL KNOW WHETHER YOUR COVITEST IS POSITIVE OR NOT
audio/RES0023.mp3[534.040,537.720]	DOES THAT SOUND LIKE A GOOD PLAN TO YOU
audio/RES0023.mp3[537.720,539.600]	YEAH THAT SOUNDS GOOD
audio/RES0023.mp3[539.600,544.400]	OK WELL THANKS FOR CHATTING WITH ME WE WILL GET THAT SWAB DONE RIGHT AWAY
audio/RES0023.mp3[544.400,545.000]	THANK YOU
audio/RES0025.mp3[0.000,8.480]	SO I HEAR YOUVE BEEN HAVING SOME SOME NAUSEA VOMITING DIARRHEA CAN YOU TELL ME A LITTLE MORE ABOUT THAT
audio/RES0025.mp3[8.480,33.560]	YEAH SO UH LIKE AROUND THREE OR FOUR DAYS AGO I STARTED UH TO GET REALLY NAUSEOUS AND SINCE THEN IVE BEEN VOMITING EVERY FEW HOURS AND REALLY I DONT KNOW JUST YESTERDAY STARTED TO STARTED TO HAVE SOME DIARRHEA AS WELL
audio/RES0025.mp3[33.560,40.200]	OK SO THATS THREE OR FOUR DAYS AGO FOR THE NAUSEA AND VOMITING IS THAT CORRECT
audio/RES0025.mp3[40.200,55.920]	UH YEAH YEAH THE NAUSEA START KIND OF STARTED THREE OR FOUR DAYS AGO AND THEN AFTER THAT THAT THE VOMITING CAME SO YEAH MAYBE THE VOMITING WAS MORE LIKE 2 DAYS AGO IT STARTED AND THEN DIARRHEA KIND OF THE LAST DAY
audio/RES0025.mp3[55.920,61.800]	OK OK OK AND BEFORE THAT YOU WERE FEELING WELL
audio/RES0025.mp3[61.800,80.080]	YEAH WELL I WAS FEELING MAYBE LIKE A LITTLE TIRED FOR A DAY OR TWO BEFORE BUT UM I DONT KNOW SOMETIMES YOU JUST FEEL LIKE THAT SO I DIDNT REALLY THINK MUCH OF IT BUT
audio/RES0025.mp3[80.080,90.880]	SURE OK AND SINCE IT STARTED HAVE I KNOW THESE ALL KIND OF STARTED AT DIFFERENT TIMES BUT HAS HAVE YOUR SYMPTOMS GOTTEN WORSE OVERTIME
audio/RES0025.mp3[90.880,105.080]	YEAH THEY THEY THEYVE GOTTEN WORSE AT FIRST THEY WERE KINDA REALLY SPREAD IT LIKE FAR ENOUGH APART THAT I WOULD THOUGHT IT WAS JUST GOING TO GO AWAY ON ITS OWN AND THEN IT IT HASNT SO HAS ME CONCERNED
audio/RES0025.mp3[105.080,114.000]	OK IM JUST GOING TO ASK YOU A FEW MORE QUESTIONS ABOUT THE VOMITING HAVE YOU NOTICED ANY BLOOD IN YOUR VOMIT
audio/RES0025.mp3[114.000,117.120]	NO ITS BEEN KIND OF YELLOWISH
audio/RES0025.mp3[117.120,127.400]	OK AND JUST IF YOU NOTICE LIKE A LIKE A REALLY BRIGHT KIND OF YELLOW GREEN SUBSTANCE IN YOUR VOMIT
audio/RES0025.mp3[127.400,136.160]	UMM NOT REALLY BRIGHT BUT I MEAN MAYBE MORE LIKE DARK GREEN OR YEAH NOTHING BRIGHT
audio/RES0025.mp3[136.160,143.240]	OK AND YOU SAID NOW ITS ITS HAPPENING EVERY COUPLE HOURS FOR YOU
audio/RES0025.mp3[143.240,156.320]	UM YEAH EVERY FEW EVERY FEW HOURS ITS BEEN AH IT SEEMS TO BE WHAT IM LIKE LIKE AFTER EATING IT IS JUST MAKING ME MAKING ME NAUSEOUS
audio/RES0025.mp3[156.320,163.480]	OK OK SO HAVE YOU BEEN ABLE TO EAT ANYTHING WHENS THE LAST TIME YOU ACTUALLY HAD SOMETHING TO EAT
audio/RES0025.mp3[163.480,174.520]	YESTERDAY I DID I HAD SOME SOUP AND WAS ABLE TO TO KEEP MOST OF IT DOWN BUT UM BUT ITS BEEN MOSTLY LIQUIDS IVE BEEN DRINKING
audio/RES0025.mp3[176.480,180.120]	MY APPETITE REALLY HASNT BEEN THERE
audio/RES0025.mp3[180.120,192.480]	OK UH IN TERMS OF DIARRHEA SO THAT STARTED A COUPLE DAYS AGO IF YOU ONLY HAD DIARRHEA SINCE THEN OR HAVE YOU HAD LIKE ANY FORM STOOLS
audio/RES0025.mp3[192.480,207.960]	NO ITS IT IT WAS STARTED MORE LIKE YESTERDAY AND ITS REALLY ONLY BEEN DIARRHEA SINCE SO YEAH LIKE TWICE LAST NIGHT AND THEN LIKE THREE TO THREE TIMES THIS MORNING
audio/RES0025.mp3[207.960,213.520]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0025.mp3[213.520,221.120]	NO I HAVENT BEEN SICK LIKE THIS BEFORE
audio/RES0025.mp3[221.120,226.280]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0025.mp3[226.280,232.120]	I JUST GOT BACK FROM A TRIP IN THE US WAS THERE FOR WORK
audio/RES0025.mp3[232.120,235.920]	OK AND HOW DID YOU TRAVEL THERE
audio/RES0025.mp3[235.920,240.160]	I I TRAVELED BY A TRAIN
audio/RES0025.mp3[240.160,247.360]	OK AND HOW LONG WERE YOU THERE FOR AND WHEN DID YOU GET BACK
audio/RES0025.mp3[247.360,259.800]	I WAS THERE FOR ONE NIGHT AND GOT BACK FIVE DAYS AGO
audio/RES0025.mp3[259.800,267.240]	OK UM OK FIVE DAYS AGO AND WHEN YOU WERE THERE WERE YOU IN CONTACT WITH ANYONE
audio/RES0025.mp3[267.240,277.320]	I WELL I STAYED IN A HOTEL SO I I GUESS THAT THE PEOPLE UH THAT UM YEAH THE PEOPLE THAT WERE STAYING AT THE HOTEL
audio/RES0025.mp3[277.320,286.640]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE SINCE COMING BACK THATS BEEN SICK
audio/RES0025.mp3[286.640,292.480]	UM NO I I I HAVENT BEEN IN CONTACT WITH ANYBODY ANYBODY WHOS BEEN SICK
audio/RES0025.mp3[292.480,303.960]	OK IN ADDITION TO THE SYMPTOMS THAT YOURE DESCRIBING TO ME HAVE YOU HAD ANY FEVERS
audio/RES0025.mp3[303.960,308.280]	IVE I STARTED TO FEEL HOT THIS MORNING
audio/RES0025.mp3[308.280,311.320]	OK HAVE YOU HAD ANY CHILLS
audio/RES0025.mp3[311.320,313.800]	NOTHING LIKE THAT
audio/RES0025.mp3[313.800,315.880]	ANY SHAKES
audio/RES0025.mp3[316.320,319.720]	K NIGHT SWEATS
audio/RES0025.mp3[319.720,322.880]	UM NO NIGHT SWEATS
audio/RES0025.mp3[322.880,326.600]	HAVE YOU HAD ANY COUGH
audio/RES0025.mp3[326.600,336.160]	UMM NO I HAVENT REALLY HAD A COUGH BY MY THROATS FELT A LITTLE LIKE SCRATCHY THOUGH
audio/RES0025.mp3[336.160,340.680]	OK SCRATCHY THROAT OK HAVE YOU HAD ANY SORE THROAT
audio/RES0025.mp3[340.680,354.000]	NO I WOULDNT REALLY SAY ITS SORE BUT YEAH I MEAN WE JUST KINDA LIKE LIKE ITCHY
audio/RES0025.mp3[354.000,362.640]	OK OK HAVE YOU NOTICED ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE
audio/RES0025.mp3[362.640,374.680]	NO I HAVENT NOTICED ANY CHANGES TO THOSE
audio/RES0025.mp3[374.680,380.560]	OK MMMM AND YOU LIVE DO YOU LIVE ALONE OR WITH FAMILY
audio/RES0025.mp3[380.560,387.120]	I I LIVE WITH FAMILY I LIVE WITH MY WIFE AND TWO CHILDREN
audio/RES0025.mp3[387.120,393.480]	OK THERE HOW ARE THEY FEELING RIGHT NOW
audio/RES0025.mp3[393.480,397.600]	THEY WERE THEYVE BEEN FEELING FINE
audio/RES0025.mp3[397.600,410.360]	OK OK UM SO JUST IN TERMS OF YOUR GENERAL HEALTH ARE THERE ANY CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY
audio/RES0025.mp3[410.360,417.120]	I HAVE ANXIETY AND BACK PAIN SO UH I DO GET AH SOME HYDROMORPHONE FOR FOR THAT
audio/RES0025.mp3[418.440,421.800]	FOR THE BACK PAIN ANYWAY
audio/RES0025.mp3[421.800,427.240]	OK UM AND WHAT MEDICATIONS DO YOU TAKE BESIDES THE HYDROMORPHONE
audio/RES0025.mp3[427.240,428.760]	UH UH ESCITALOPRAM
audio/RES0025.mp3[429.880,446.080]	AND THAT WEVE BEEN WORKING ON TRYING ON DECREASING THE HYDROMORPHONE NOW OVER THE LAST YEAR SO ITS A WORK IN PROGRESS THOUGH
audio/RES0025.mp3[446.080,451.360]	OK AND HAVE YOU EVER HAD ANY SURGERIES
audio/RES0025.mp3[451.360,466.080]	UH YEAH ON MY ON MY BACK I WAS IN AN ACCIDENT A FEW YEARS BACK SO UM WELL THATS WHERE THE PAIN IS FROM
audio/RES0025.mp3[466.080,471.560]	OK SAD TO HEAR THAT DO YOU HAVE ANY ALLERGIES
audio/RES0025.mp3[471.560,476.720]	UM YEAH TO PENICILLIN I HAD A HIVES WHEN I WAS A KID
audio/RES0025.mp3[476.720,504.800]	OK UM OK UM LET ME SEE UH SO IN TERMS OF YOUR FAMILY HISTORY DO YOU HAVE ANY FAMILY HISTORY OF YOUR DIGESTIVE SYSTEM PROBLEMS OR RESPIRATORY PROBLEMS
audio/RES0025.mp3[504.800,524.760]	UM YEAH NO ONE IN MY FAMILIES HAD ANY PROBLEMS WITH THEIR STOMACH OR I HAVENT HEARD OF ANY LIKE COLON CANCER I MEAN MY MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS LATE 60S BUT THATS KIND OF THE ONLY THING THAT I CAN THINK HAPPENED IN MY FAMILY IN TERMS OF HEALTH
audio/RES0025.mp3[524.760,535.120]	OK AND IT SOUNDS SO IT SOUNDS LIKE YOU LIVE AT HOME WITH YOUR FAMILY DO YOU WHAT DO YOU DO FOR WORK
audio/RES0025.mp3[535.120,551.000]	YEAH I I WORK FOR A TECH COMPANY SO I WAS GOING DOWN TO MEET A POTENTIAL BUYER FOR ONE OF OUR PRODUCTS
audio/RES0025.mp3[551.000,556.760]	OK OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU DRINK ALCOHOL
audio/RES0025.mp3[556.760,563.080]	UM YEAH I WILL HAVE WINE MAYBE ONE OR TWO GLASSES ON ON THE WEEKEND
audio/RES0025.mp3[563.080,566.280]	OK DO YOU SMOKE CIGARETTES
audio/RES0025.mp3[566.280,576.560]	UMM NO BUT I I USED TO I I QUIT ABOUT SEVEN YEARS AGO YEAH SO I QUIT ABOUT SEVEN YEARS AGO
audio/RES0025.mp3[576.560,592.920]	UM OK SO DO YOU USE ANY OTHER SUBSTANCES LIKE CANNABIS
audio/RES0025.mp3[592.920,609.800]	UM I WILL HAVE A JOINT EVERY ONCE IN AWHILE IF I WITH FRIENDS BUT THATS BEEN ITS BEEN AWHILE CAUSE OF THE PANDEMIC HAVENT REALLY BEEN HANGING OUT WITH ANYBODY
audio/RES0025.mp3[609.800,653.960]	SURE UM OK I THINK THATS ALL THE QUESTIONS THAT I HAD FOR YOU TODAY SO IT SOUNDS LIKE THERES PROBABLY SOME KIND OF INFECTION GOING ON WHAT IT IS EXACTLY ITS HARD TO SAY THERE ARE SOME CASES OF COVID19 THAT THAT ARE MORE LIKE GI SYMPTOMS THEN THAN SIMPLY RESPIRATORY SYMPTOMS SO I THINK WE SHOULD PROBABLY GIVE YOU A COVISWAB AND THEN WE ASK THAT YOU AND EVERYONE IN YOUR HOUSE SELFISOLATES FOR A FEW DAYS UNTIL YOUVE GOT IT IN A NEGATIVE RESULT AND IN A FEW DAYS WITHOUT SYMPTOMS
audio/RES0025.mp3[653.960,656.800]	OK THAT SOUNDS GOOD
audio/RES0025.mp3[656.800,702.080]	SO YEAH WELL GET THAT STARTED FOR YOU AND OTHERWISE REALLY WE WANT TO KNOW IF ITS COVIIS JUST FOR INFECTION CONTROL PURPOSES BUT I THINK THAT ESSENTIALLY YOU SHOULD BE DRINKING LOTS OF FLUIDS AND GETTING A LOT OF REST AND ITS SOMETHING THAT LIKELY SHOULD GO AWAY ON ITS OWN I MEAN IF THINGS START TO BECOME A LOT WORSE AND YOU GET REALLY DEHYDRATED AND YOU HAVE FEVERS THAT YOU CANT CONTROL WITH TYLENOL THEN PLEASE COME BACK TO THE EMERGENCY DEPARTMENT BUT I THINK IN GENERAL IT WILL JUST BE KIND OF SUPPORTIVE TREATMENTS FOR WHAT YOURE EXPERIENCING
audio/RES0025.mp3[702.080,705.720]	OK THAT SOUNDS GOOD ILL GET SOME GATORADE ON THE WAY HOME
audio/RES0025.mp3[705.720,714.120]	PERFECT ACTUALLY DONT GO INTO THE STORE HAVE SOMEONE ELSE GET IT FOR YOU BUT
audio/RES0025.mp3[714.120,715.280]	OK WILL DO THANK YOU
audio/RES0025.mp3[715.280,718.600]	HAVE A GOOD HAVE A GOOD DAY THANKS FOR CHATTING WITH ME
audio/RES0025.mp3[718.600,721.760]	THANK YOU
audio/RES0201.mp3[0.000,12.360]	I’M JUST GOING TO HAVE A CHAT WITH YOU GET AN IDEA OF WHATS GOING ON AND THEN I CAN GO OVER IT WITH THE DOCTOR WILL COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS HOW DOES THAT SOUND TO YOU
audio/RES0201.mp3[12.360,15.360]	THATS GREAT THANK YOU
audio/RES0201.mp3[15.360,21.720]	AWESOME OK IT SAYS HERE THAT YOU HAVE BEEN HAVING A SORE THROAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT
audio/RES0201.mp3[21.720,41.560]	SURE YEAH THE SORE THROAT IT STARTED ABOUT FOUR DAYS AGO AND ITS REALLY ITS ITS VERY SORE I CAN DRINK FLUIDS OK BUT IM EVEN HAVING SOME ISSUES SWALLOWING FOOD
audio/RES0201.mp3[41.560,45.720]	OK SO YOU SAID FOUR DAYS AGO
audio/RES0201.mp3[45.720,48.400]	YES FOUR DAYS AGO
audio/RES0201.mp3[48.400,61.720]	OK SO ITS BEEN KIND OF SORE SOME ISSUES SWALLOWING FOOD OK AND OVER THE LAST FOUR DAYS HAS IT GOTTEN WORSE BETTER THAT IT STAYED THE SAME
audio/RES0201.mp3[61.720,68.400]	UM THE SORE THROAT HAS ITS GOT ITS GETTING WORSE FOR SURE
audio/RES0201.mp3[68.400,73.040]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0201.mp3[73.040,85.200]	I I I GUESS WHEN I WAS YOUNGER I HAD MONO AND I HAD A SORE THROAT WHEN I HAD THAT YEAH
audio/RES0201.mp3[85.200,92.760]	OK IS THERE ANYTHING THAT MAKES IT WORSE OR LIKE ANYTHING THAT MAKES IT FEEL BETTER RIGHT NOW
audio/RES0201.mp3[92.760,111.720]	NO NOT REALLY IVE TRIED YOU KNOW IVE TRIED GARGLING WITH SALT WATER IVE TRIED SOME PAINKILLERS LIKE NOTHING NOTHING SEEMS TO BE WORKING
audio/RES0201.mp3[111.720,115.040]	UHM OK AND YOU SAID YOUVE ALSO HAD SOME DIFFICULTY BREATHING
audio/RES0201.mp3[115.040,117.320]	YEAH THATS RIGHT
audio/RES0201.mp3[117.320,120.160]	DID THAT START AROUND THE SAME TIME
audio/RES0201.mp3[120.160,128.480]	THAT ACTUALLY STARTED YESTERDAY AND ITS GOTTEN ME VERY CONCERNED
audio/RES0201.mp3[128.480,145.000]	OK YEAH I CAN UNDERSTAND HOW THAT WOULD BE CONCERNING WERE DEFINITELY GOING TO TRY TO GET TO THE BOTTOM OF IT TODAY UM OK SO STARTED YESTERDAY SAID THEN HAS IT GOTTEN ANY WORSE IS IT THE SAME WAY BETTER
audio/RES0201.mp3[145.000,149.480]	UM THE WELL I GUESS ITS GETTING WORSE YEAH
audio/RES0201.mp3[149.480,154.800]	DO YOU FEEL LIKE ITS ALL THE TIME OR IS IT ON AND OFF
audio/RES0201.mp3[154.800,159.760]	ITS ITS JUST THERE ALL THE TIME
audio/RES0201.mp3[159.760,165.160]	HAVE YOU EVER HAD ANY DIFFICULTY BREATHING IN THE PAST
audio/RES0201.mp3[165.160,166.680]	UM NO NO NO NOT LIKE THIS
audio/RES0201.mp3[166.680,182.520]	OK UH HAVE YOU HAVE YOU RECENTLY BEEN IN CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0201.mp3[182.520,195.560]	UM I HAVE NO I DONT LEAVE THE HOUSE MUCH NOWADAYS I GO TO THE GROCERY STORE I GO TO THE BANK JUST ESSENTIAL THINGS
audio/RES0201.mp3[195.560,201.080]	OK HAVE YOU TRAVELED RECENTLY
audio/RES0201.mp3[201.080,209.040]	UM NO NO I HAVENT LEFT THE CITY FOR ANYTHING
audio/RES0201.mp3[209.040,216.280]	OK DO YOU KNOW IF YOUR IMMUNIZATIONS ARE UP TO DATE
audio/RES0201.mp3[216.280,222.160]	AH YES EVERYTHINGS UP TO DATE
audio/RES0201.mp3[222.160,234.640]	OK THAT’S GOOD SEE YOU SO IM JUST GONNA ASK YOU ABOUT A FEW OTHER SYMPTOMS I JUST LIKE TO GET AN IDEA IF THERES ANYTHING ELSE YOU BEEN EXPERIENCING HAVE YOU HAD A COUGH AT ALL
audio/RES0201.mp3[237.240,241.040]	HAVE YOU HAD A RUNNY NOSE
audio/RES0201.mp3[241.040,244.160]	NO RUNNY NOSE
audio/RES0201.mp3[244.160,246.160]	HAVE YOU HAD ANY HEADACHES
audio/RES0201.mp3[247.960,251.680]	HAVE YOU HAD ANY CHEST PAIN
audio/RES0201.mp3[251.680,255.040]	AH NOPE NO CHEST PAIN
audio/RES0201.mp3[255.040,261.040]	HAVE YOU HAVE YOU LOST ANY OF YOUR SENSE OF SMELL OR TASTE
audio/RES0201.mp3[261.040,265.360]	UM MAYBE TASTE A LITTLE BIT BUT NOT SMELL
audio/RES0201.mp3[265.360,270.320]	OK OK WHEN DID THAT START
audio/RES0201.mp3[270.320,278.240]	THE TASTE AH MAYBE TWO DAYS AGO
audio/RES0201.mp3[278.240,291.760]	OK OK TASTE TWO DAYS AGO HAS IT BEEN ON AND OFF OR HAS IT BEEN KIND OF CONSTANTLY LIKE A REDUCED SENSE OF TASTE
audio/RES0201.mp3[291.760,296.160]	ITS ITS ITS BEEN PRETTY CONSTANT
audio/RES0201.mp3[296.160,298.560]	OK HAVE YOU HAD ANYTHING LIKE THAT BEFORE
audio/RES0201.mp3[302.880,306.600]	HAVE YOU HAD ANY FEVERS
audio/RES0201.mp3[306.600,311.280]	I DONT THINK SO
audio/RES0201.mp3[311.280,317.520]	OK HAVE YOU HAD ANY CHILLS OR NIGHT SWEATS
audio/RES0201.mp3[318.320,326.440]	HAVE YOU FELT OVERALL REALLY TIRED AND WEAK
audio/RES0201.mp3[326.440,336.440]	I I FELT TIRED MAYBE NOT WEAK BUT MY I FEEL LIKE MY MUSCLES ALL ACHE
audio/RES0201.mp3[336.440,342.240]	OK OK AND WHEN DID THAT START
audio/RES0201.mp3[342.240,352.800]	THAT STARTED LIKE IMMEDIATELY AFTER MY SORE THROAT
audio/RES0201.mp3[352.800,383.000]	OK OK OK WELL WE MIGHT CIRCLE BACK I THINK THERE IS ANY MORE QUESTIONS YOU WANT TO ASK RIGHT NOW BUT JUST IN GENERAL IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU TAKE MEDICATIONS FOR OR SEE A DOCTOR FOR REGULARLY
audio/RES0201.mp3[383.000,387.840]	UM I HAVE MILD COPD
audio/RES0201.mp3[387.840,396.120]	OK AND WHAT MEDICATIONS ARE YOU CURRENTLY TAKING
audio/RES0201.mp3[396.120,403.600]	UM IM ON A LONG ACTING BETA AGONIST
audio/RES0201.mp3[403.600,405.240]	OK IS THAT THE ONLY MEDICATION YOU TAKE
audio/RES0201.mp3[405.240,408.000]	PARDON ME
audio/RES0201.mp3[408.000,410.840]	IS THAT THE ONLY MEDICATION THAT YOU TAKE
audio/RES0201.mp3[410.840,414.680]	AND I ALSO TAKE A COUPLE OF VITAMINS
audio/RES0201.mp3[414.680,418.920]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0201.mp3[418.920,423.480]	UM NO NO ALLERGIES
audio/RES0201.mp3[423.480,428.520]	JUST GONNA ASK YOU FEW QUESTIONS ABOUT YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN
audio/RES0201.mp3[428.520,429.040]	I DO
audio/RES0201.mp3[429.040,435.640]	DO YOU AH LIVE ALONE OR WITH FAMILY
audio/RES0201.mp3[435.640,440.120]	I LIVE ALONE
audio/RES0201.mp3[440.120,444.760]	OK AND DO YOU SMOKE
audio/RES0201.mp3[444.760,448.320]	I QUIT TWO YEARS AGO
audio/RES0201.mp3[448.320,455.600]	OH CONGRATULATIONS BEFORE THAT DID YOU DID YOU SMOKE FOR MANY YEARS
audio/RES0201.mp3[455.600,461.680]	I DID I SMOKED FOR 40 YEARS
audio/RES0201.mp3[461.680,465.680]	OK DO YOU DRINK ALCOHOL
audio/RES0201.mp3[465.680,473.840]	I DRINK OCCASIONALLY MAYBE LIKE ON THE WEEKENDS
audio/RES0201.mp3[473.840,482.160]	OK UHM AND DO YOU USE CANNABIS
audio/RES0201.mp3[484.760,485.600]	OK ANY OTHER DRUGS
audio/RES0201.mp3[485.600,487.040]	NO NO OTHER DRUGS
audio/RES0201.mp3[487.040,495.680]	OK AND ARE YOU RETIRED DO YOU WORK
audio/RES0201.mp3[495.680,500.520]	I AM RETIRED YEAH
audio/RES0201.mp3[500.520,503.680]	OK WHAT DID YOU DO FOR WORK BEFORE
audio/RES0201.mp3[503.680,505.120]	I WORKED FOR GM
audio/RES0201.mp3[505.120,524.640]	CROCK OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS HEART PROBLEMS AND
audio/RES0201.mp3[526.640,536.400]	OK UHM OK I THINK THAT THAT ABOUT COVERS MY QUESTIONS FOR YOU RIGHT NOW IS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I DIDNT ASK YOU ABOUT
audio/RES0201.mp3[536.400,541.240]	UM NO I DONT THINK SO
audio/RES0201.mp3[541.240,580.800]	OK I’M GOING TO GO OVER THIS WITH THE DOCUMENT IM WORKING WITH TODAY IM GUESSING JUST BECAUSE SOME OF YOUR SYMPTOMS ARE IN LINE WITH COMMON SYMPTOMS OF COVID 19 THAT WILL PROBABLY DO A COVID SWAB AND WHAT HAPPENS WITH THAT IS SINCE WE DO HAVE SOME SYPTOMS WILL HAVE TO ISOLATE UNTIL THE RESULT COME BACK AND POTENTIALLY AFTER THAT IF YOU STILL HAVE SYMPTOMS EVEN IF IT IS NEGATIVE SO THATS JUST KIND OF A HEADS UP ON THAT MAYBE ONE OF THE NEXT THINGS THAT HAPPENS WE WILL PROBABLY GET YOU A CHEST XRAY CAUSE WE WANT TO GET AN IDEA OF WHATS GOING ON IN THERE DID YOU HAVE ANY OTHER QUESTIONS
audio/RES0201.mp3[580.800,583.040]	NO THANK YOU VERY MUCH
audio/RES0201.mp3[583.040,591.640]	OK WELL THANKS FOR CHATTING WITH ME WE SHOULD BE BACK SHORTLY TO KIND OF LET YOU KNOW WITH THE NEXT STEP
audio/RES0201.mp3[591.640,594.200]	OK GREAT THANK YOU
audio/RES0118.mp3[0.000,2.400]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0118.mp3[2.400,19.440]	HI IM COMING IN BECAUSE IVE HAD THIS LIKE ON AND OFF RUNNY NOSE AND STUFFY NOSE FOR THE PAST WEEK UM AND I JUST CAME TO MAKE SURE ITS NOT SOMETHING SERIOUS LIKE COVID
audio/RES0118.mp3[19.440,30.200]	OK YEAH NO I COMPLETELY UNDERSTAND WHY YOU MIGHT BE WORRIED UM WITH EVERYTHING GOING ON SO JUST TO GET AN IDEA OF THE TIMELINE SO WHEN DID THIS START
audio/RES0118.mp3[30.200,34.680]	SO IT STARTED ABOUT ID SAY SEVEN DAYS AGO
audio/RES0118.mp3[34.680,40.440]	SEVEN DAYS AGO OK AND WAS IT JUST A RUNNY NOSE THAT STARTED OR DID YOU HAVE ANY OTHER SYMPTOMS
audio/RES0118.mp3[40.440,47.320]	SO AT FIRST I FELT KIND OF STUFFY UM AND THEN NOW ITS MORE RUNNY UM AND NO OTHER SYMPTOMS
audio/RES0118.mp3[47.320,53.200]	AND ARE YOU COUGHING AT ALL
audio/RES0118.mp3[55.680,62.760]	ARE YOU BRINGING UP ANY DISCHARGE FROM LIKE YOUR NOSE OR ARE YOU COUGHING ANY MATERIAL UP
audio/RES0118.mp3[62.760,70.960]	NO NO I MEAN THERES SOME DISCHARGE FROM MY NOSE LIKE ITS RUNNY BUT ITS ITS NOT YELLOW OR ANYTHING ITS CLEAR
audio/RES0118.mp3[70.960,78.440]	OK AND DO YOU THINK THIS ISSUE HAS GONE WORSE OVER THE LAST SEVEN DAYS OR IS IT IMPROVING AT ALL
audio/RES0118.mp3[78.440,93.760]	UM I DONT THINK ITS IMPROVING ITS CHANGED CAUSE IT USED TO BE STUFFY NOW ITS MORE OF A RUNNY NOSE UM BUT YEAH IT SEEMS TO BE RUNNY LIKE ITS THE SAME AMOUNT OF RUNNINESS FOR THE PAST COUPLE OF DAYS
audio/RES0118.mp3[93.760,98.360]	AND ARE YOU HAVING ANY SYMPTOMS OF LOSS OF SMELL AT ALL
audio/RES0118.mp3[98.360,100.880]	NO NO LOSS OF SMELL
audio/RES0118.mp3[100.880,102.880]	HOW ABOUT LOSS OF TASTE
audio/RES0118.mp3[106.920,113.360]	UM WERE YOU UH WITH ANYONE AROUND YOU SICK AT ALL BEFORE THOSE SEVEN DAYS
audio/RES0118.mp3[113.360,131.840]	UH I DONT THINK SO I VISITED MY SISTER AND SHE HAS A NEPHEW WHO GOES TO DAYCARE BUT MY NEPHEWS BEEN OK NO NO RUNNY NOSE OR STUFFY NOSE
audio/RES0118.mp3[131.840,140.400]	UHM AND IS IT JUST A CONSTANT ISSUE THAT GOES ON THROUGHOUT THE DAY OR IS IT WORSE AT NIGHT DURING THE DAY HOW WOULD YOU DESCRIBE IT
audio/RES0118.mp3[140.400,153.600]	UM ITS ITS PRETTY CONSTANT THROUGHOUT THE DAY ITS JUST IT JUST FEELS BAD AT NIGHT BECAUSE IT UM MAKES IT HARD FOR ME TO FALL ASLEEP
audio/RES0118.mp3[153.600,159.680]	OK UH HAVE YOU TRIED ANY MEDICATIONS AT ALL OVER THE COUNTER THAT WOULD HELP
audio/RES0118.mp3[159.680,170.720]	UM I TRIED SOME ANTIHISTAMINES BECAUSE I DO HAVE SEASONAL ALLERGIES UH BUT THEY DONT SEEM TO BE HELPING
audio/RES0118.mp3[170.720,179.160]	UM ANY ANYTHING THAT MAKES YOUR SYMPTOMS WORSE AT ALL LIKE ANY EXERTION OR ANY KIND OF UH POSITION
audio/RES0118.mp3[181.320,187.720]	UM DO YOU HAVE ANY SHORTNESS OF BREATH OR CHEST PAIN AT ALL
audio/RES0118.mp3[187.720,189.560]	UH NO
audio/RES0118.mp3[189.560,193.000]	ANY SORE THROAT OR MUSCLE ACHES
audio/RES0118.mp3[194.320,195.920]	ANY UH HEADACHES
audio/RES0118.mp3[197.960,200.080]	HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0118.mp3[202.200,204.760]	HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0118.mp3[204.760,206.960]	UH NO
audio/RES0118.mp3[206.960,208.880]	ANY FEVERS OR CHILLS
audio/RES0118.mp3[211.240,213.920]	ANY NIGHT SWEATS OR FATIGUE
audio/RES0118.mp3[216.160,220.640]	OK UM ANY KIND OF SENSATION THAT YOUR HEART IS RACING
audio/RES0118.mp3[220.640,223.480]	UH NO NOTHING LIKE THAT
audio/RES0118.mp3[223.480,228.240]	ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA
audio/RES0118.mp3[229.600,233.080]	ANY CHANGES IN YOUR URINARY PATTERN
audio/RES0118.mp3[235.480,238.560]	UH ANY ISSUES WITH YOUR SLEEP OR APPETITE
audio/RES0118.mp3[240.360,248.000]	HAVE YOU LOST ANY WEIGHT SIGNIFICANT WEIGHT UH RECENTLY IN THE LAST FEW MONTHS
audio/RES0118.mp3[249.280,261.640]	AND UH DO YOU HAVE ANY EXPOSURE TO LIKE FUMES DUST OR LIKE UH CARPET PETS OR ANIMALS ANYTHING THAT YOU MIGHT HAVE AN ALLERGIC REACTION TO
audio/RES0118.mp3[261.640,264.600]	UH NO NOTHING LIKE THAT
audio/RES0118.mp3[264.600,268.120]	OK AND CURRENTLY ARE YOU SEXUALLY ACTIVE
audio/RES0118.mp3[268.120,270.040]	I AM
audio/RES0118.mp3[270.040,279.000]	AND UM CAN YOU JUST TELL ME A LITTLE A LITTLE BIT OF A DETAIL LIKE ABOUT LIKE A PARTNER UH AND IF YOUVE HAD ANY NEW PARTNERS RECENTLY AT ALL
audio/RES0118.mp3[279.000,283.320]	NO IVE BEEN WITH THE SAME PARTNER FOR THE PAST FIVE YEARS
audio/RES0118.mp3[283.320,286.720]	OK AND UH DO YOU HAVE ANY HISTORY OF ANY STIS
audio/RES0118.mp3[289.760,300.000]	OK NICE UM IN TERMS OF YOUR UH PAST MEDICAL HISTORY DO YOU HAVE ANY UM DIAGNOSES OR ANYTHING ANY MEDICAL CONDITIONS AT ALL
audio/RES0118.mp3[300.000,305.440]	UHM NO NO NOTHING NOTHING LONG STANDING
audio/RES0118.mp3[305.440,307.680]	UM ANYTHING YOU TAKE MEDICATIONS FOR
audio/RES0118.mp3[308.360,313.480]	ARE YOU ALLERGIC TO ANY MEDICATIONS
audio/RES0118.mp3[313.480,317.240]	UH NOT MEDICATIONS
audio/RES0118.mp3[317.240,319.760]	UH ANY ENVIRONMENTAL ALLERGIES
audio/RES0118.mp3[319.760,322.960]	JUST YEAH SOME SEASONAL ALLERGIES
audio/RES0118.mp3[322.960,327.520]	OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0118.mp3[327.520,338.800]	UM I WAS HOSPITALIZED FOR UM LIKE AN APPENDECTOMY WHEN I WAS YOUNGER UM BUT THATS ABOUT IT
audio/RES0118.mp3[338.800,340.680]	AND WHEN WAS THAT
audio/RES0118.mp3[340.680,344.320]	THAT WAS WHEN I WAS 18
audio/RES0118.mp3[344.320,347.320]	AND ANY COMPLICATIONS AFTER THAT
audio/RES0118.mp3[349.760,358.160]	AND UH IN TERMS OF YOUR FAMILY HISTORY DOES ANYONE HAVE ANY LUNG CONDITIONS HEART CONDITIONS OR ANY CANCERS
audio/RES0118.mp3[358.160,361.840]	UH NOPE NOTHING LIKE THAT
audio/RES0118.mp3[361.840,365.200]	AND CURRENTLY UH DO YOU WORK
audio/RES0118.mp3[365.200,370.400]	I DO I WORK FROM HOME THOUGH
audio/RES0118.mp3[370.400,379.480]	OK AND HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW
audio/RES0118.mp3[379.480,386.800]	UM I LIVE IN AN APARTMENT WITH UM MY PARTNER AND WE HAVE A DOG
audio/RES0118.mp3[386.800,392.440]	UM AND CURRENTLY UH DO YOU SMOKE AT ALL
audio/RES0118.mp3[392.440,393.240]	UH NO
audio/RES0118.mp3[393.240,396.000]	DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0118.mp3[396.760,399.200]	HOW ABOUT UH ANY ALCOHOL
audio/RES0118.mp3[399.200,406.400]	UH I DRINK LIKE A GLASS OF WINE EVERY OTHER DAY
audio/RES0118.mp3[406.400,434.240]	OK UM YEAH SO THOSE WERE SOME OF THE QUESTIONS I HAD FOR YOU I KNOW ITS A BIT CONCERNING BECAUSE OF THE PANDEMIC GOING ON AND UM A RUNNY NOSE CAN BE A SYMPTOM UH OF COVID AS WELL BUT UH IT CAN ALSO BE A SYMPTOM OF JUST THE COMMON COLD OR ANY OTHER VIRUS UM BUT SINCE YOURE HAVING UH YOURE SYMPTOMATIC RIGHT NOW WE WILL DEFINITELY GET LIKE A COVID SWAB TEST DONE FOR YOU
audio/RES0118.mp3[435.600,461.560]	AND IF YOU START HAVING ANY JUST MONITOR FOR YOUR SYMPTOMS UM YOU SHOULD HAVE THE TEST BACK WITHIN 48 HOURS UNTIL THEN UH AT LEAST FOR 14 DAYS YOU SHOULD TRY TO ISOLATE IN YOUR OWN ROOM WEAR A MASK AROUND UH YOUR PARTNER UH AND NOT GO OUTSIDE SO JUST SELF ISOLATE
audio/RES0118.mp3[462.120,469.320]	AND AND THEN YOU WILL GET THE TEST RESULTS BACK IN A HOPEFULLY IN A FEW DAYS SO DO YOU HAVE ANY QUESTIONS AT ALL
audio/RES0118.mp3[469.320,472.640]	UH NO THANK YOU THAT WAS GOOD
audio/RES0118.mp3[472.640,474.840]	TAKE CARE BYE
audio/RES0118.mp3[474.840,477.200]	YOU TOO
audio/RES0210.mp3[0.000,4.360]	SO CAN YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN HERE TODAY
audio/RES0210.mp3[4.360,13.120]	YEAH IVE NOTICED IVE HAD THIS PRETTY BAD COUGH FOR LIKE THE LAST COUPLE OF DAYS A LITTLE BIT WORRIED WANNA TALK TO SOMEONE
audio/RES0210.mp3[13.120,16.120]	OK SO STARTED TWO DAYS AGO
audio/RES0210.mp3[16.120,25.480]	NO ABOUT WHAT DAY IS IT TODAY TODAY IS WEDNESDAY IT STARTED ON SUNDAY SUNDAY I NOTICED IT GETTING REALLY BAD
audio/RES0210.mp3[25.480,32.800]	OK SO IT GOT REALLY BAD THEN IT WAS IT WAS IT STILL PRESENT BUT NOT AS BAD BEFORE THAT
audio/RES0210.mp3[32.800,43.240]	YEAH I THINK I HAD LIKE A BIT OF LIKE A RASPY COUGH ON LIKE FRIDAY BUT SUNDAY IT WAS WHEN I STARTED GETTING NERVOUS ABOUT IT
audio/RES0210.mp3[43.240,52.160]	OK SO ALMOST A WEEK IT SOUNDS LIKE AND WHAT EXACTLY CHANGED ON SUNDAY THAT YOU MADE IT WORSE IN YOUR OPINION
audio/RES0210.mp3[52.160,61.560]	SO SUNDAY I STARTED BRINGING I NOTICED LIKE LITTLE SPOTS OF RED KIND OF THE THE GUNK I WAS BRINGING UP
audio/RES0210.mp3[62.200,70.760]	AND I KIND OF IGNORED IT BUT THE NEXT DAY THEY WERE STILL THERE I STARTED GETTING FEVER JUST IN I FELT OFF YOU KNOW
audio/RES0210.mp3[70.760,85.520]	OK OK SO THAT YOU FIRST NOTICE THAT ON SUNDAY WERE YOU BRINGING UP SPUTUM BEFORE THAT AND IT JUST DIDNT HAVE THESE SPOTS OR DID IT DID THAT PART JUST START ON SUNDAY
audio/RES0210.mp3[85.520,95.920]	SPUTUM IS KIND OF LIKE THE GUNK UP AND BRING IT UP YEAH IT WAS ITS LIKE THIS YELLOW CUSTARD IT’S GOT LIKE WELL SPOTS ARE RED ON IT ON SUNDAY
audio/RES0210.mp3[95.920,102.520]	OK AND BEFORE THAT DID YOU HAVE LIKE THE YELLOW CUSTARD WITHOUT RED OR IT ALL STARTED AT ONCE ALL KIND OF STARTED
audio/RES0210.mp3[102.520,106.440]	IT ALL STARTED AT ONCE TO BE HONEST
audio/RES0210.mp3[106.440,115.520]	SORRY I KNOW THESE ARE TRICKY QUESTIONS AND YOU SAID THAT YOUVE HAD SOME FEVERS CAN YOU TELL ME A LITTLE BIT ABOUT THAT WHEN DID THAT START
audio/RES0210.mp3[115.520,126.440]	SO THAT STARTED THE MONDAY REALLY IS WHEN I FIRST STARTED I NEVER TOOK MY TEMPERATURE I JUST FELT HOT YOU KNOW THATS BEEN GOING ON PRETTY MUCH UNTIL TODAY
audio/RES0210.mp3[126.440,129.880]	OK DID YOU EVER FEEL LIKE YOU WERE REALLY SHAKY
audio/RES0210.mp3[129.880,136.600]	YEAH IVE BEEN GETTING THE CHILLS ESPECIALLY LAST TWO DAYS
audio/RES0210.mp3[136.600,144.960]	OK SO OVER THIS TIME YOUVE HAD THIS COUGH HAVE YOU FELT LIKE YOUVE HAD DIFFICULTY BREATHING
audio/RES0210.mp3[144.960,159.080]	NOT REALLY I FEEL A LITTLE BIT WINDED DOING THINGS I USED TO DO LIKE I TAKE THE STAIRS UP TO MY APARTMENT BUT I HAVE JUST HAPPENED REALLY TRYING TO EXERT MYSELF THATS BEEN TAKING IT EASY SO I HAVENT REALLY NOTICED BEING OUT OF BREATH
audio/RES0210.mp3[159.080,167.160]	OK SO PROBABLY IF YOU WERE TO GET UP AND DO A LOT OF PHYSICAL ACTIVITY YOU WOULD FEEL WORSE
audio/RES0210.mp3[167.160,176.400]	YEAH I COULD PROBABLY I CAN STILL TAKE THE TWO STAIRS UP TO MY APARTMENT BUT AFTER THAT I STARTED TO FEEL PRETTY CRUMMY
audio/RES0210.mp3[176.400,183.120]	OK IS THERE ANYTHING ELSE THAT YOU CAN THINK OF THAT MAKES IT FEEL WORSE
audio/RES0210.mp3[185.240,190.440]	HAS ANYTHING HELPED IT TO FEEL BETTER AT ALL
audio/RES0210.mp3[190.440,195.200]	BRINGING UP GUNK MAKES IT FEEL BETTER FOR A LITTLE WHILE
audio/RES0210.mp3[195.200,198.440]	SO YOU KIND OF JUST CLEAR IT UP AND THAT FEELS A LITTLE BIT BETTER
audio/RES0210.mp3[198.440,203.520]	YEAH I HAVENT TAKEN SOME TYLENOL AT HOME AND THAT HELPS A LITTLE BIT
audio/RES0210.mp3[203.520,207.720]	OK HAVE YOU FELT A SORE THROAT AT THE SAME TIME
audio/RES0210.mp3[207.720,212.960]	AFTER AN AWFUL LOT OF COUGHING YEAH IT STARTS TO FEEL A LITTLE RAW
audio/RES0210.mp3[212.960,216.280]	HAVE YOU HAD A RUNNY NOSE
audio/RES0210.mp3[216.280,224.200]	YEAH BIT OF 1 BACK IN THE DAY MAYBE A WEEK AGO BUT THAT KIND OF GONE AWAY BY NOW
audio/RES0210.mp3[224.200,228.440]	HAVE YOU FELT ANY CHEST PAIN
audio/RES0210.mp3[228.440,232.960]	YEAH YEAH I GOT PAIN KINDA ON THE RIGHT
audio/RES0210.mp3[232.960,241.640]	OK HAVE YOU EVER HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0210.mp3[241.640,251.680]	NO NEVER ACTUALLY DOC YOURE SAYING SOMETHING THAT MAKES IT FEEL WORSE TAKING A DEEP BREATH MAKES IT FEEL PRETTY BAD
audio/RES0210.mp3[251.680,266.640]	OK AND IM JUST GOING TO CIRCLE BACK TO THIS CHEST PAIN YOU SAID YOU FEEL IT ON THE RIGHT SIDE IS IT ALWAYS THERE OR IS IT JUST WHEN YOU TAKE A DEEP BREATH OR IS IT KIND OF ON AND OFF
audio/RES0210.mp3[266.640,273.840]	ITS KIND OF ALWAYS THERE IT GETS A LITTLE BIT WORSE WITH COUGHING AND WHEN I TAKE A PRETTY BIG DEEP BREATH
audio/RES0210.mp3[273.840,280.400]	YEAH OK BUT IF YOU WERE JUST LAYING DOWN NOT COUGHING IS THAT PAIN THERE
audio/RES0210.mp3[280.400,283.400]	YEAH YEAH SPECIALLY NOTICE OVER THE LAST DAY
audio/RES0210.mp3[283.720,287.960]	KIND OF DULL
audio/RES0210.mp3[287.960,293.440]	OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY
audio/RES0210.mp3[293.440,294.560]	NO NOT REALLY
audio/RES0210.mp3[294.560,304.120]	K HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0210.mp3[304.120,308.600]	WENT TO SARNIA ABOUT A WEEK BACK FOR WORK BUT
audio/RES0210.mp3[308.600,314.280]	OK WERE YOU IN CONTACT WITH ANYONE THAT THAT WAS SICK
audio/RES0210.mp3[314.280,319.760]	NOPE JUST BEEN KEEPING TO MYSELF MOSTLY
audio/RES0210.mp3[319.760,329.760]	OK SO IN TERMS OF YOUR OWN MEDICAL HISTORY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY
audio/RES0210.mp3[329.760,335.360]	YEAH HE’S GIVEN ME A PILL FOR A CHOLESTEROL
audio/RES0210.mp3[335.360,342.200]	OK AND DO YOU KNOW THE NAMES OF ANY MEDICATIONS THAT YOU TAKE
audio/RES0210.mp3[344.680,346.360]	OK IS THAT THE ONLY ONE
audio/RES0210.mp3[347.560,351.960]	OK HAVE YOU EVER HAD ANY SURGERIES
audio/RES0210.mp3[351.960,357.400]	UH MY WISDOM TEETH OUT AS A AS A KID 15 OR SO I THINK
audio/RES0210.mp3[357.400,361.160]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0210.mp3[363.280,368.720]	I’M JUST GOING TO ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE AND LIKE DO YOU LIVE HERE IN TOWN
audio/RES0210.mp3[368.720,371.680]	YEAH I LIVE HERE IN TOWN GOT A GIRLFRIEND LIVING IN APARTMENT
audio/RES0210.mp3[371.680,373.640]	OK YOU LIVE WITH YOUR GIRLFRIEND
audio/RES0210.mp3[377.320,380.360]	DO YOU HAVE ANY PETS
audio/RES0210.mp3[380.360,384.960]	CAT YEAH
audio/RES0210.mp3[384.960,388.920]	DO YOU DO ANYTHING FOR WORK OR ARE YOU RETIRED
audio/RES0210.mp3[388.920,394.960]	YEAH I STILL WORK A CONSULTANT FOR THE CHEMICAL PLANT SO WEST MAINLY IN SARNIA
audio/RES0210.mp3[394.960,403.320]	SO HAVE YOU HAD A LOT OF EXPOSURE TO CHEMICALS THROUGHOUT YOUR CAREER
audio/RES0210.mp3[403.320,414.400]	NOW THEYVE ALWAYS BEEN PRETTY GOOD FOR KEEPING US SAFE IM ON THE ENGINEERING SIDE OF THINGS SO I DONT REALLY WORK TOO MUCH IN THE PLANT DIRECTLY YOU KNOW
audio/RES0210.mp3[414.400,417.800]	OK HERE WELL DO YOU DRINK ALCOHOL
audio/RES0210.mp3[417.800,420.280]	ONCE IN A BLUE MOON
audio/RES0210.mp3[420.280,421.840]	DO YOU SMOKE
audio/RES0210.mp3[422.360,427.360]	HOW MUCH WOULD YOU SAY THAT YOU SMOKE
audio/RES0210.mp3[427.360,430.000]	GOT A PACK A DAY
audio/RES0210.mp3[430.000,431.720]	LONG IS THAT BEEN GOING ON FOR
audio/RES0210.mp3[431.720,435.640]	GEEZ MUST HAVE PICKED IT UP WHEN I WAS 15
audio/RES0210.mp3[435.640,442.360]	OK DO YOU USE ANY OTHER SUBSTANCES
audio/RES0210.mp3[442.360,443.280]	LIKE DRUGS
audio/RES0210.mp3[443.280,447.720]	YEAH CANNABIS OR ANY OTHER RECREATIONAL DRUGS
audio/RES0210.mp3[447.720,455.040]	SMOKE THE ODD JOINT FROM TIME TO TIME BUT HAVENT IN YEARS NOW
audio/RES0210.mp3[455.040,458.400]	DO YOU HAVE ANY FAMILY HISTORY OF ANY RESPIRATORY ILLNESSES
audio/RES0210.mp3[458.400,461.600]	RESPIRATORY ILLNESS LIKE LUNGS
audio/RES0210.mp3[461.600,463.200]	YEAH EXACTLY
audio/RES0210.mp3[463.200,467.720]	THINK MY GRANDPA DIED OF LUNG CANCER ACTUALLY HE WAS A PRETTY BIG SMOKER TOO THOUGH
audio/RES0210.mp3[467.720,483.400]	OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME SO IM GOING TO GO OVER THIS WITH THE PHYSICIAN I’M WORKING WITH AND WE SHOULD BE BACK SHORTLY TOGETHER TO TALK TO YOU ABOUT THE NEXT STEPS
audio/RES0210.mp3[483.400,484.240]	THANK YOU KINDLY
audio/RES0210.mp3[484.240,486.320]	K THANKS
audio/RES0149.mp3[0.000,1.920]	HOW MAY I HELP YOU
audio/RES0149.mp3[1.920,28.920]	HI I UM I JUST DEVELOPED UH OR I GUESS I JUST STARTED HAVING DIFFICULTIES WITH UH BREATHING STARTING THIS MORNING IT WAS JUST VERY ODD I WAS FINE YESTERDAY NIGHT AND THEN JUST THIS MORNING IVE HAD A REALLY HARD TIME BREATHING UM AND YEAH I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT I DONT KNOW WHATS GOING ON
audio/RES0149.mp3[28.920,43.680]	YEAH CERTAINLY AND SO UH LIKE DID THIS SHORTNESS OF BREATH WAKE YOU UH LIKE DID YOU WAKE UP UM LIKE JUST LIKE UH TO KIND OF SIT UP TO CATCH YOUR BREATH UM OR WHEN DID THE SHORTNESS OF BREATH START
audio/RES0149.mp3[43.680,62.720]	UM IT WAS KIND OF AFTER I WOKE UP AND I WAS SORT OF UM JUST WALKING AROUND THAT I I NOTICED THAT I WAS FEELING SHORT OF BREATH JUST WALKING AROUND WHICH WAS SO WEIRD YOU KNOW THAT THAT DOESNT REALLY HAPPEN TO ME
audio/RES0149.mp3[62.720,71.720]	OK UM AND WITH THIS WITH THE SHORTNESS OF BREATH HAVE YOU HAD HAD A COUGH
audio/RES0149.mp3[72.440,78.040]	OK AND UM HAVE YOU HAD ANY WHEEZE
audio/RES0149.mp3[78.040,81.400]	UM NO
audio/RES0149.mp3[81.400,86.840]	OK AND HAVE YOU BEEN HAVING ANY UH ANY CHEST PAIN
audio/RES0149.mp3[86.840,93.120]	YEAH I KIND OF I GUESS IT JUST HURTS A LITTLE BIT WHEN I TAKE A WHEN I BREATHE IN
audio/RES0149.mp3[93.120,97.800]	OK IS IS THIS PAIN WHEN YOU TAKE A DEEP BREATH IN
audio/RES0149.mp3[97.800,102.000]	YEAH I GUESS SO YEAH
audio/RES0149.mp3[102.000,105.640]	AND WHERE DO YOU FEEL THE PAIN
audio/RES0149.mp3[105.640,112.000]	UM ITS KIND OF ON MY UM RIGHT SIDE
audio/RES0149.mp3[112.000,119.680]	OK DOES THE PAIN UH LIKE RADIATE ANYWHERE OR DO YOU FEEL IT JUST IN THAT ONE SPOT
audio/RES0149.mp3[119.680,152.080]	ITS JUST UH ITS JUST IN THAT ONE SPOT ITS JUST THIS SUDDEN AND LIKE LIKE THIS STABBING SENSATION UM WHEN IM LIKE TAKING A BREATH IN UHM ACTUALLY NOW THAT I THINK ABOUT IT ITS ITS KIND OF THERE EVEN WHEN IM LIKE BREATHING NORMAL BUT ITS NOT AS BAD WHEN I TAKE A DEEP BREATH ITS LIKE REALLY REALLY BAD OR WHEN I UM YEAH WHEN I LIKE COUGH OR LIKE IM LAUGHING OR SOMETHING IT JUST GETS REALLY BAD
audio/RES0149.mp3[152.080,154.040]	AND WHEN DID YOU FIRST NOTICE THIS PAIN
audio/RES0149.mp3[154.040,161.200]	KIND OF UM LATE THIS MORNING
audio/RES0149.mp3[161.200,167.360]	OK UH HAVE YOU TRIED ANYTHING FOR A FOR THE PAIN
audio/RES0149.mp3[167.360,186.960]	UH I DONT KNOW ITS JUST I JUST TRY NOT TO TAKE DEEP BREATHS IM JUST TRYING TO JUST TAKE A NORMAL BREATH AND TRY NOT TO TALK TOO MUCH AND YEAH JUST LIKE NOT DOING ANYTHING THAT WORSENS THE PAIN
audio/RES0149.mp3[186.960,196.600]	OK I SEE AND UM DID YOU HAVE ANY TRAUMA TO THAT TO THAT AREA RECENTLY LIKE A CAR ACCIDENT OR I DONT KNOW GETTING HIT IN THE RIBS OR ANYTHING LIKE THAT
audio/RES0149.mp3[196.600,200.480]	NO NO I DIDNT
audio/RES0149.mp3[200.480,215.880]	OK UM AND HAVE YOU HAD ANY EPISODES WHERE UM OR ACTUALLY RATHER LIKE DO YOU HAVE ANY ISSUES WITH LYING FLAT AND HAVING SHORTNESS OF BREATH
audio/RES0149.mp3[217.040,223.160]	OK AND UM HAVE YOU HAD ANY HEADACHES
audio/RES0149.mp3[223.160,225.800]	UHM NO
audio/RES0149.mp3[225.800,229.760]	HAVE YOU HAD ANY UH FEVERS OR CHILLS
audio/RES0149.mp3[229.760,232.840]	NO I DONT THINK SO
audio/RES0149.mp3[232.840,236.480]	OK AND HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0149.mp3[238.080,246.360]	HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY I MEAN LIKE OVER THE LAST SEVERAL MONTHS
audio/RES0149.mp3[246.360,248.120]	UH NO
audio/RES0149.mp3[248.120,252.720]	OK AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0149.mp3[253.960,259.040]	HOW ABOUT ANY CHANGES TO YOUR SENSE OF UH TASTE OR YOUR SENSE OF SMELL
audio/RES0149.mp3[259.040,262.240]	NO THOSE ARE OK
audio/RES0149.mp3[262.240,268.000]	ALRIGHT AND HAVE YOU HAD UH A RUNNY NOSE OR A SORE THROAT
audio/RES0149.mp3[270.120,272.200]	ALRIGHT UM AND HAVE YOU HAD ANY DIARRHEA
audio/RES0149.mp3[275.440,277.960]	HOW ABOUT ANY URINARY PROBLEMS
audio/RES0149.mp3[279.320,285.120]	AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES
audio/RES0149.mp3[285.960,291.720]	OK UM AND HOW ABOUT ANY UH MUSCLE ACHES OR BODY PAINS
audio/RES0149.mp3[291.720,303.080]	UM YEAH I KIND OF HAVE UH ITS JUST MY LEFT LEG HURTS A LITTLE BIT IM NOT QUITE SURE WHY BUT YEAH NOTHING ELSE
audio/RES0149.mp3[303.080,308.480]	OK WHEREABOUTS UH WHERE DOES IT HURT UM ON YOUR LEFT LEG
audio/RES0149.mp3[308.480,312.320]	UM KIND OF IN THE CALF AREA
audio/RES0149.mp3[312.320,319.040]	OK IS IT IS IT SWOLLEN OR HAVE YOU NOTICED ANY REDNESS OF THE SKIN THERE
audio/RES0149.mp3[319.040,328.120]	YEAH IT IS IT IS SWOLLEN ACTUALLY COMPARED TO MY RIGHT LEG ITS A LITTLE BIT WARM TOO
audio/RES0149.mp3[328.120,342.200]	OK UM HAVE YOU HAD ANY UH LIKE PERIODS OF TIME WHERE YOU WERE BEDRIDDEN OVER THE LAST SEVERAL DAYS OR OR LAST SEVERAL WEEKS
audio/RES0149.mp3[343.880,346.840]	OK ANY SURGERIES RECENTLY
audio/RES0149.mp3[348.520,353.720]	ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OVER ANY LONG DISTANCES RECENTLY
audio/RES0149.mp3[353.720,370.000]	OH YEAH YEAH I CAME BACK UM TWO DAYS AGO UM I WENT TO UM I WENT TO INDIA TO VISIT MY FAMILY THERE WAS A DEATH SO HAD TO TO GO I CAME BACK YEAH TWO DAYS AGO
audio/RES0149.mp3[370.000,382.080]	OK YEAH THATS QUITE A LONG FLIGHT AND IM SORRY TO HEAR ABOUT UM THE LOSS OF THE FAMILY UM OK UM OH AND THAT REMINDS ME HAVE YOU COUGHED UP UH ANY BLOOD AT ALL
audio/RES0149.mp3[382.080,387.120]	UH NO
audio/RES0149.mp3[387.120,409.600]	OK UM AND UM I JUST WANTED TO SWITCH GEARS A LITTLE BIT AND ASK ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0149.mp3[409.600,422.120]	UHM I IVE HAD UM ANXIETY AND UH YEAH THATS THATS ABOUT IT I HAD ASTHMA AS A CHILD BUT NOTHING SINCE THEN
audio/RES0149.mp3[422.120,431.400]	I SEE AND DO YOU UH TAKE ANY MEDICATIONS FOR ANXIETY OR HAVE YOU
audio/RES0149.mp3[431.400,446.880]	UH NO IM JUST TRYING TO UM JUST TRYING TO REDUCE MY STRESS AND AND TRYING OTHER OTHER WAYS TO SORT OF HANDLE MY ANXIETY BEFORE I IM JUST TRYING TO AVOID BUILDS ACTUALLY
audio/RES0149.mp3[446.880,454.560]	I SEE OK SO DO YOU TAKE ANY MEDICATIONS LIKE EITHER PRESCRIBED OR OVER THE COUNTER
audio/RES0149.mp3[454.560,455.480]	UH NO
audio/RES0149.mp3[455.480,462.840]	DO YOU HAVE ANY ALLERGIES TO UM TO MEDICATIONS OR OR ENVIRONMENTAL
audio/RES0149.mp3[463.640,468.760]	ALRIGHT AND UM HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS
audio/RES0149.mp3[468.760,476.560]	UH I HAD MY APPENDIX REMOVED WHEN I WAS UH 30 YEARS OLD
audio/RES0149.mp3[476.560,483.520]	OK UM AND ANY COMPLICATIONS WITH THAT
audio/RES0149.mp3[484.400,493.080]	ALRIGHT AND CURRENTLY UH WHEREABOUTS ARE YOU LIVING AND UH WHO ARE YOU LIVING WITH
audio/RES0149.mp3[493.080,502.440]	UM IM JUST LIVING WITH MY SISTER AND UH YEAH WE WE LIVE IN AN APARTMENT TOGETHER
audio/RES0149.mp3[502.440,509.840]	OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN ANY AROUND ANYBODY WHOS BEEN SICK
audio/RES0149.mp3[510.720,518.600]	OK UM AND UH ANY POTENTIAL EXPOSURES TO UH TB UH EITHER IN YOUR ON YOUR TRAVELS OR OR ANYBODY THAT YOU THAT YOU KNOW OF
audio/RES0149.mp3[518.600,521.840]	I DONT THINK SO NO
audio/RES0149.mp3[521.840,532.080]	OK UM AND DO YOU SMOKE CIGARETTES
audio/RES0149.mp3[534.080,538.960]	AND DO YOU DRINK ALCOHOL
audio/RES0149.mp3[542.480,545.880]	UH HOW ABOUT THE USE OF ANY UH RECREATIONAL DRUGS
audio/RES0149.mp3[548.720,558.000]	OK UM AND IN THE FAMILY IS THERE A HISTORY OF ANY BLEEDING DISORDERS OR ANY UH CLOTTING DISORDERS
audio/RES0149.mp3[558.000,566.360]	UHM NO I DONT THINK SO
audio/RES0149.mp3[566.360,571.600]	OK UM AND ANY HEART CONDITIONS LUNG CONDITIONS
audio/RES0149.mp3[571.600,587.440]	UM JUST A HEART ATTACK UHM BOTH MY GRANDPARENTS ON MY DADS SIDE UH HAD A HEART ATTACK AND UH DIABETES AS WELL UM I THINK BOTH MY PARENTS HAVE DIABETES
audio/RES0149.mp3[587.440,597.160]	OK HAVE YOU BEEN TESTED FOR UH DIABETES AS WELL
audio/RES0149.mp3[597.160,606.320]	UH YEAH YEAH YEAH I GO TO SEE MY FAMILY DOCTOR AND MY UH HE SAID MY SUGARS WERE GOOD
audio/RES0149.mp3[606.320,635.400]	OK GREAT UM ALRIGHT SO UM YOUVE BEEN EXPERIENCING UH SO THIS THIS CHEST PAIN WHEN YOU BREATHE IN DEEPLY SINCE THIS MORNING UM AS WELL AS SOME MORE DIFFICULTY BREATHING AND SOME LEFT PAIN UH LEFT LEG PAIN WITH WITH SOME SWELLING UH HAVE YOU BEEN AFTER TRAVELS AS WELL HAVE YOU HAD ANY OTHER SYMPTOMS
audio/RES0149.mp3[635.400,637.480]	NO I DONT THINK SO
audio/RES0149.mp3[637.480,683.160]	OK SO THAT WAS ALL I WANTED TO ASK TODAY ON ON HISTORY AND BEFORE I WENT ON TO UH THE PHYSICAL EXAM WE WANT TO CHECK UH VITAL SIGNS AND HAVE A LISTEN TO YOUR HEART AND LUNGS AND UM MEASURE THE DIAMETER OF YOUR OF YOUR SHINS AS WELL UM BUT UM ITLL BE IMPORTANT TO GET UH SOME IMAGING OF YOUR OF YOUR LUNGS UM TO ASSESS WHETHER OR NOT THERES A PULMONARY EMBOLISM UM UH BECAUSE THAT WOULD BE ONE OF THE MORE UM LIFE THREATENING OR POTENTIALLY UM COMPLICATING UH CAUSES OF WHATS GOING ON RIGHT NOW
audio/RES0135.mp3[0.000,2.400]	HOW CAN I HELP YOU TODAY
audio/RES0135.mp3[2.400,24.680]	HI UM IM BRINGING MY ONE YEAR OLD DAUGHTER IN BECAUSE SHES HAD THIS FEVER UM THIS RUNNY NOSE AND THIS COUGH FOR THE PAST THREE FOUR DAYS UM AND NOW SHE SOUNDS PRETTY WHEEZY
audio/RES0135.mp3[24.680,33.600]	OKAY AND UM AS SHE HAD A FEVER THE ENTIRE TIME OVER THE PAST THREE OR FOUR DAYS
audio/RES0135.mp3[33.600,48.760]	YEAH I WOULD SAY SO LIKE ITS COME AND GONE BUT EVERY TIME I CHECKED HER TEMPERATURE I TRIED TO CHECK HER TWICE A DAY IT WOULD BE PRETTY HIGH LIKE 38 OR UH 39
audio/RES0135.mp3[48.760,54.800]	OKAY SO IT WAS BETWEEN 38 AND 39 EACH TIME YOU CHECKED IT
audio/RES0135.mp3[54.800,63.840]	YEAH AND NOW I SHOULD MENTION LIKE UM I CHECKED TODAY AND SHE DIDNT HAVE A FEVER TODAY BUT SHE SOUNDS REALLY WHEEZY NOW
audio/RES0135.mp3[63.840,67.400]	OKAY IS THE WHEEZE NEW TODAY
audio/RES0135.mp3[67.400,71.880]	UH YEAH
audio/RES0135.mp3[71.880,76.920]	OKAY UM AND THE COUGH THAT STARTED ABOUT THREE OR FOUR DAYS AGO AS WELL
audio/RES0135.mp3[76.920,78.160]	YEAH THATS RIGHT
audio/RES0135.mp3[78.160,85.840]	AND HOW HOW DOES THE COUGH SOUND DOES IT SOUND LIKE BARKY OR LIKE A SEALLIKE COUGH
audio/RES0135.mp3[85.840,92.080]	UM IT SOUNDS PRETTY HARSH I DONT KNOW IF IT SOUNDS BARKY
audio/RES0135.mp3[92.080,99.000]	OKAY AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE MORNING OR NIGHT
audio/RES0135.mp3[99.000,102.640]	UH NO ITS ITS JUST ALWAYS THERE
audio/RES0135.mp3[102.640,108.760]	OKAY UH IS SHE BRINGING UP ANY ANY PHLEGM OR SPUTUM
audio/RES0135.mp3[108.760,120.600]	UM SHES BRINGING UP SOME UM SHES SHE ACTUALLY SHE USED TO BRING UP SOME PHLEGM BUT NOW ITS ITS PRETTY DRY
audio/RES0135.mp3[120.600,128.560]	OKAY UM SO SHE WAS BRINGING UP PHLEGM INITIALLY AND IS NO LONGER WHAT COLOUR WAS IT
audio/RES0135.mp3[128.560,132.720]	IT WAS CLEAR
audio/RES0135.mp3[132.720,141.000]	OKAY ANY BLOOD THAT YOU NOTICED THERE
audio/RES0135.mp3[141.000,142.440]	UH NO NO BLOOD
audio/RES0135.mp3[142.440,153.400]	OKAY UM AND YEAH SHES SHES HAD A WHEEZE AS WELL UM HAVE YOU NOTICED UH ANY CHEST PAIN IF SHES LIKE POINTING TO HER CHEST OR ANYTHING
audio/RES0135.mp3[153.400,157.240]	NO NOTHING LIKE THAT
audio/RES0135.mp3[157.240,164.840]	OKAY AND HAS SHE HAD ANY ANY LIKE FAINTING SPELLS
audio/RES0135.mp3[166.200,173.120]	OKAY UM AND YEAH SO SHES HAD A FEVER HAS SHE HAD ANY LIKE CHILLS OR NIGHT SWEATS LIKE WHERE SHES SHAKING
audio/RES0135.mp3[173.120,175.640]	OH NO NO
audio/RES0135.mp3[175.640,177.920]	AND HOW HAS HER MOOD BEEN
audio/RES0135.mp3[177.920,190.200]	SHES BEEN PRETTY FUSSY UM YEAH SHES BEEN PRETTY FUSSY OVER THE PAST FEW DAYS BUT I JUST THOUGHT IT WAS BECAUSE OF HOW SHE WAS FEELING UM LIKE HER SYMPTOMS
audio/RES0135.mp3[190.200,194.720]	YEAH CERTAINLY HAS SHE BEEN EATING AND DRINKING OKAY
audio/RES0135.mp3[194.720,204.960]	YEAH WEVE MANAGED TO GET HER TO DRINK AND EAT OKAY UM SO IN THAT SENSE NO CHANGES THERE
audio/RES0135.mp3[204.960,209.720]	OKAY HOW MANY DIAPERS IS SHE HOW MANY WET DIAPERS PER DAY
audio/RES0135.mp3[209.720,212.280]	UH ABOUT FIVE
audio/RES0135.mp3[212.280,226.720]	OKAY SO YEAH STILL BEEN TO MAINTAIN HYDRATION IT SOUNDS LIKE UM YEAH OKAY AND HAS SHE HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE
audio/RES0135.mp3[226.720,229.800]	UH NO NOTHING LIKE THAT
audio/RES0135.mp3[229.800,235.960]	ANY SUGGESTION THAT SHE MIGHT HAVE UM LIKE ANY EAR PAIN OR OR ANY EAR DISCHARGE
audio/RES0135.mp3[237.760,241.160]	OKAY AND HAS SHE HAD A RUNNY NOSE
audio/RES0135.mp3[241.160,253.160]	UM YEAH NOW THAT YOU MENTION IT YEAH SHE DID HAVE A RUNNY NOSE UM IT SEEMS TO BE LESS NOW BUT SHE DID HAVE A LOT A FEW DAYS AGO
audio/RES0135.mp3[253.160,259.320]	OKAY AND DID THAT START AROUND THE SAME TIME AS THE COUGH AND AND FEVER
audio/RES0135.mp3[262.440,267.040]	OKAY UM ITS STILL GOING ON BUT BUT JUST LESS
audio/RES0135.mp3[267.040,270.600]	THATS RIGHT YEAH
audio/RES0135.mp3[270.600,277.040]	OKAY ON FEEDS OR ANYTHING LIKE THAT DID YOU NOTICE LIKE ANY REDNESS IN HER IN THE BACK OF HER THROAT
audio/RES0135.mp3[277.040,293.400]	UM I NOTICED SOME UM YEAH I NOTICED SOME REDNESS BUT I JUST THOUGHT IT WAS BECAUSE OF HER COUGHING A LOT
audio/RES0135.mp3[293.400,302.240]	OKAY UM AND UM HAVE YOU NOTICED ANY SKIN CHANGES OR OR RASHES
audio/RES0135.mp3[304.240,309.960]	ALRIGHT AND ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA
audio/RES0135.mp3[309.960,312.560]	UH NO NO CHANGES THERE
audio/RES0135.mp3[312.560,318.880]	OKAY THEN ANY CHANGES TO UM LIKE URINARY HABITS AS WELL
audio/RES0135.mp3[318.880,321.280]	UH NO NO CHANGES THERE
audio/RES0135.mp3[321.280,330.240]	OKAY AND HAVE YOU NOTICED ANY LIKE BULGING ON HER ON HER FOREHEAD OR ON THE ANTERIOR FONTANELLE
audio/RES0135.mp3[334.160,339.600]	OKAY UM AND UH HAS SHE HAD ANY NAUSEA OR VOMITING
audio/RES0135.mp3[339.600,342.920]	NO NOT THAT IVE NOTICED
audio/RES0135.mp3[342.920,360.840]	ALRIGHT UM JUST YEAH SHES BEEN A LITTLE BIT MORE UM IRRITABLE AS WELL UM OKAY AND HAS SHE HAD ANY SYMPTOMS LIKE THIS BEFORE
audio/RES0135.mp3[360.840,377.680]	I MEAN WHEN SHE WAS A FEW MONTHS OLD SHE HAD SIMILAR SYMPTOMS UM AND SHE WAS LIKE HOSPITALIZED FOR MAYBE A DAY OR TWO BUT SHE BECAME BETTER
audio/RES0135.mp3[377.680,383.080]	OKAY DID SHE NEED LIKE ANTIBIOTICS OR INHALERS OR ANYTHING LIKE THAT
audio/RES0135.mp3[383.080,388.920]	I THINK THEY JUST GAVE HER SOME OXYGEN AND THEN UM SOME FLUIDS
audio/RES0135.mp3[388.920,397.520]	OKAY UM HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0135.mp3[399.520,406.880]	OKAY AND BESIDES THAT ONE TIME GOING LIKE GOING TO THE HOSPITAL HAS SHE BEEN HOSPITALIZED OR HAD ANY SURGERIES
audio/RES0135.mp3[406.880,410.800]	UH NO BEFORE THAT SHE WAS FINE
audio/RES0135.mp3[410.800,415.400]	ALRIGHT UH ARE THE IMMUNIZATIONS UP TO DATE
audio/RES0135.mp3[415.400,418.360]	YEAH EVERYTHINGS UP TO DATE
audio/RES0135.mp3[418.360,431.080]	EXCELLENT UM AND IN TERMS OF THE PREGNANCY ITSELF WERE THERE ANY COMPLICATIONS THROUGHOUT UM WITH MOM
audio/RES0135.mp3[431.080,434.000]	UH NO NO NO COMPLICATIONS
audio/RES0135.mp3[434.000,439.760]	OKAY AND WAS IT A FULL TERM DELIVERY AND VAGINAL OR CSECTION
audio/RES0135.mp3[439.760,443.680]	IT WAS UH FULL TIME AND IT WAS VAGINAL
audio/RES0135.mp3[443.680,453.000]	OKAY ANY CONCERNS AT BIRTH LIKE JAUNDICE OR OR ANY TYPES OF DISTRESS
audio/RES0135.mp3[453.000,456.640]	UH NO NOTHING LIKE THAT
audio/RES0135.mp3[456.640,461.440]	AND HOW IS HER GROWTH AND DEVELOPMENT BEEN THUS FAR ANY CONCERNS
audio/RES0135.mp3[466.760,480.640]	OKAY UM THATS GREAT AND IN TERMS OF UM THE HOME ENVIRONMENT WHOS LIVING WITH HER AND UM WHOS PRIMARILY LOOKING AFTER HER
audio/RES0135.mp3[480.640,487.000]	UM SO ITS HER DAD AND I AS WELL AS HER UM HER GRANDMA
audio/RES0135.mp3[487.000,492.080]	OKAY AND HAS ANYBODY IN THE HOME BEEN SICK RECENTLY
audio/RES0135.mp3[492.080,495.160]	NO EVERYONES BEEN HEALTHY
audio/RES0135.mp3[495.160,499.240]	OKAY UM AND HAS THERE BEEN ANY TRAVEL
audio/RES0135.mp3[499.240,506.960]	UM NO WE HAVENT GONE ANYWHERE RECENTLY
audio/RES0135.mp3[506.960,515.120]	OKAY UM AND DOES ANYBODY UH IN THE HOUSE SMOKE
audio/RES0135.mp3[515.120,517.400]	UH NOPE
audio/RES0135.mp3[517.400,526.040]	OKAY AND ARE THERE ARE THERE ANY PETS OR ARE THERE ANY LIKE CARPETS OR UM LINENS THAT CAN HOLD HOLD A LOT OF DUST OR DANDER
audio/RES0135.mp3[527.480,539.000]	OKAY ANY OTHER EXPOSURES TO LIKE TRIGGERS OR POTENTIALLY THINGS THAT THAT COULD BE EXPOSED OR STUFF LIKE THAT COULD BE INHALED
audio/RES0135.mp3[539.000,551.120]	NO I DONT HAVE ANYTHING LIKE THAT AT HOME ITS A FAIRLY NEW HOME AND UH ITS HARDWOOD FLOORS YEAH
audio/RES0135.mp3[551.120,556.320]	OKAY UM AND UH ANY FAMILY HISTORY OF LUNG PROBLEMS OR HEART PROBLEMS
audio/RES0135.mp3[556.320,559.960]	NO NO
audio/RES0135.mp3[559.960,566.560]	OKAY HOW ABOUT A FAMILY HISTORY OF ANY CONGENITAL DISEASES OR UM ANY GENETIC DISEASES
audio/RES0135.mp3[566.560,571.200]	NO NOTHING LIKE THAT
audio/RES0135.mp3[571.200,575.440]	OKAY UM AND FAMILY HISTORY OF ANY CANCER
audio/RES0135.mp3[578.800,594.560]	OKAY UM SO WERE THERE ANY OTHER UM SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY BEFORE I WENT ON TO THE PHYSICAL EXAM UM WAS THERE ANYTHING ELSE THAT YOU THAT YOU WANTED TO ADD OR WERE WONDERING ABOUT THAT I MAYBE FORGOT TO ASK
audio/RES0135.mp3[594.560,604.720]	YEAH UM WHAT WHAT CAN WE DO FOR HER UM TO MAKE HER BETTER AND ARE YOU CONCERNED ABOUT HER BREATHING
audio/RES0135.mp3[604.720,617.560]	UM SO THE THE PHYSICAL EXAM AND THE THE VITAL SIGNS WILL REALLY WILL HELP WITH UM TO ASSESS HER BREATHING AND TO SEE OXYGEN LEVELS
audio/RES0135.mp3[619.360,675.600]	UM AND UM THIS COULD BE UH CAUSED BY UM A VIRAL INFECTION WHICH COULD BE SOMETHING ALONG THE LINES OF UH LIKE A COMMON COLD TYPE PICTURE AND WE CAN GET LIKE INFLAMMATION OF UH REALLY SMALL AIRWAYS UM AND IT CAN CAUSE THAT COUGH AND FEVER AND SOME OF THE SYMPTOMS THAT SHES EXPERIENCING AND ALSO UM THESE SYMPTOMS DO OVERLAP WITH COVIAS WELL UM AND SO ITLL BE IMPORTANT TO GET A COVISWAB JUST IN CASE UM BUT UM IF THAT IS THE THE SCENARIO THEN IT WILL BE UM SUPPORTIVE CARE WITH OXYGEN FLUIDS AND WELL MAKE SURE THAT UM THAT HER HER BREATHING IS UH OKAY AND POSSIBLY WELL NEED STEROIDS AND UM AND UH AN INHALER IF NECESSARY
audio/RES0135.mp3[675.600,684.280]	OKAY OKAY THAT SOUNDS GOOD THANK YOU
audio/RES0035.mp3[0.000,4.160]	MAY I JUST BEGIN WITH ASKING YOU WHAT BROUGHT YOU IN HERE TODAY
audio/RES0035.mp3[4.160,18.400]	SURE UM IVE BEEN EXPERIENCING SOME ISSUES BREATHING UM AND JUST A LOT OF COUGHING OVER THE PAST YEAR OR SO
audio/RES0035.mp3[18.400,25.600]	OK AND IS YOUR COUGH HAS IT BEEN A WET COUGH OR A DRY COUGH
audio/RES0035.mp3[25.600,30.000]	UH BUT ITS BEEN A WET COUGH
audio/RES0035.mp3[30.000,33.400]	OK YOU MENTIONED IT STARTED OVER A YEAR
audio/RES0035.mp3[33.400,35.920]	WELL ABOUT ABOUT 8 MONTHS
audio/RES0035.mp3[35.920,39.480]	8 MONTHS AND HAS IT BEEN GETTING WORSE AT ALL
audio/RES0035.mp3[39.480,43.760]	YEAH I THINK ITS BEEN GETTING WORSE
audio/RES0035.mp3[43.760,51.400]	OK AND SO ITS BEEN A WET COUGH DO YOU RELEASE ANY KIND OF LIKE PHLEGM OR SPUTUM
audio/RES0035.mp3[51.400,59.640]	UM YEAH ITS USUALLY CLEAR BUT SOMETIMES IT CAN LOOK YELLOW OR GREEN
audio/RES0035.mp3[59.640,64.800]	OK AND HOW HOW MUCH WOULD YOU SAY YOU PRODUCE EVERY DAY
audio/RES0035.mp3[64.800,68.280]	UM LIKE UM IN TOTAL PER DAY
audio/RES0035.mp3[68.280,72.680]	OR JUST MAYBE EVERY TIME YOU COUGH
audio/RES0035.mp3[72.680,78.480]	EVERY TIME I COUGH MAYBE LIKE THE SIZE OF MY THUMBPRINT
audio/RES0035.mp3[78.480,82.600]	OK AND HAVE YOU NOTICE AT ALL COUGHING UP ANY BLOOD
audio/RES0035.mp3[84.080,87.480]	IS THE BLOOD EVER MIXED INTO THE PHLEGM
audio/RES0035.mp3[90.000,97.040]	OK AND UH HAS IT BEEN CONSTANT COUGHING OR DOES IT COME AND GO OVER THE LAST EIGHT MONTHS
audio/RES0035.mp3[97.040,106.960]	UM IT COMES AND GOES BUT THERE THERE ITS ALWAYS LIKE I HAVE A TICKLE IN MY THROAT OR SOMETHING
audio/RES0035.mp3[106.960,117.640]	OK AND WHEN IT FIRST STARTED HAD ANYTHING CHANGED IN YOUR LIFE UH HAD YOU MOVE TO A NEW PLACE OR STARTED SMOKING OR ANYTHING LIKE THAT
audio/RES0035.mp3[121.280,128.080]	NO OK IS THERE ANYTHING YOU DO THAT MAKES THE COUGHING OR SHORTNESS OF BREATH WORSE
audio/RES0035.mp3[128.080,131.840]	UM I GUESS WALKING
audio/RES0035.mp3[131.840,141.640]	WALKING IS THERE ANYTHING THAT MAKES IT BETTER AT ALL
audio/RES0035.mp3[141.640,142.920]	JUST RESTING
audio/RES0035.mp3[142.920,150.280]	JUST RESTING OK HOW MUCH CAN YOU WALK OR RUN UNTIL YOU FEEL THE COUGHING OR SHORTNESS OF BREATH
audio/RES0035.mp3[150.280,155.680]	ABOUT LIKE 200 METERS
audio/RES0035.mp3[155.680,159.200]	OK AND HAS THIS EVER HAPPENED TO YOU BEFORE THE EIGHT MONTHS
audio/RES0035.mp3[159.200,169.200]	NO ACTUALLY I GET WHEEZY BECAUSE I HAVE ASTHMA BUT IT DOESNT ITS NOT AS BAD AS THIS
audio/RES0035.mp3[169.200,179.960]	OK AND UM HOW OFTEN ARE YOU COUGHING ARE YOU COUGHING THROUGHOUT THE DAY OR IS IT MORE SO DURING THE DAY AND THEN OR MORE AT NIGHT
audio/RES0035.mp3[179.960,184.680]	UH ITS JUST KIND OF ALWAYS THERE UM THROUGHOUT THE DAY
audio/RES0035.mp3[184.680,200.880]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE DIFFICULTY BREATHING AND THE COUGH DO YOU HAVE A SORE THROAT RUNNY NOSE DIZZINESS ANYTHING LIKE THAT
audio/RES0035.mp3[203.320,208.480]	OK SO JUST THE DIFFICULTY BREATHING AND THE COUGH
audio/RES0035.mp3[209.400,211.760]	DO YOU GET ANY CHEST PAIN AT ALL
audio/RES0035.mp3[211.760,215.480]	NO CHEST PAIN
audio/RES0035.mp3[215.480,220.840]	GREAT HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE COUNTRY RECENTLY
audio/RES0035.mp3[220.840,223.520]	UH NO NO
audio/RES0035.mp3[223.520,226.040]	ANY HEADACHES NAUSEA OR VOMITING
audio/RES0035.mp3[227.680,230.400]	ANY FEVER CHILLS OR NIGHT SWEATS
audio/RES0035.mp3[232.040,236.440]	DO YOU FEEL INCREASINGLY FATIGUED THROUGHOUT THE DAY
audio/RES0035.mp3[236.440,240.880]	YEAH I GUESS COUGHING A LOT MAKES ME TIRED
audio/RES0035.mp3[240.880,244.920]	OK DO YOU EVER FEEL THAT YOUR HEART IS RACING OR YOU HAVE ANY KIND OF CHEST PAIN
audio/RES0035.mp3[247.160,251.720]	HAVE YOU NOTICED ANY ISSUES URINATING
audio/RES0035.mp3[253.200,256.640]	ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
audio/RES0035.mp3[258.880,261.560]	ANY ISSUES WITH YOUR SLEEP OR APPETITE
audio/RES0035.mp3[261.560,263.600]	UH NO
audio/RES0035.mp3[263.600,266.720]	ANY SIGNIFICANT CHANGES IN YOUR WEIGHT
audio/RES0035.mp3[268.760,271.880]	HAVE YOU HAD ANY RECENT INFECTIONS THAT YOU KNOW OF
audio/RES0035.mp3[271.880,274.120]	NOT THAT I KNOW OF
audio/RES0035.mp3[274.120,277.600]	ANY ANTIBIOTICS THAT YOUVE HAD TO USE FOR ANY INFECTIONS
audio/RES0035.mp3[279.280,284.640]	UM DO YOU THINK YOU HAVE HAD ANY EXPOSURE TO TUBERCULOSIS IN THE PAST
audio/RES0035.mp3[286.880,296.080]	AND DO YOU HAVE EXPOSURE TO FUMES OR DUST OR ANIMALS OR PETS IN YOUR WORK OR HOME ENVIRONMENT
audio/RES0035.mp3[296.080,297.920]	I HAVE A BIRD
audio/RES0035.mp3[297.920,301.920]	A BIRD AND WHEN DID YOU GET THE BIRD
audio/RES0035.mp3[301.920,304.720]	LIKE FIVE YEARS AGO
audio/RES0035.mp3[304.720,307.640]	OK BUT NO ISSUES BEFORE THE EIGHT MONTHS
audio/RES0035.mp3[310.720,319.320]	OK IN TERMS OF YOUR OVERALL HEALTH DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU MENTIONED ASTHMA BUT ANYTHING ELSE LIKE DIABETES HIGH BLOOD PRESSURE
audio/RES0035.mp3[319.320,325.760]	I HAVE TYPE 2 DIABETES AND HIGH BLOOD PRESSURE
audio/RES0035.mp3[325.760,329.160]	OK AND OR DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS
audio/RES0035.mp3[329.160,332.560]	NO ITS JUST BEING CONTROLLED BY DIET
audio/RES0035.mp3[332.560,336.920]	OK ANY MEDICATIONS FOR ANY OTHER REASONS
audio/RES0035.mp3[336.920,341.160]	I TAKE SOME VITAMIN TABLETS
audio/RES0035.mp3[341.160,344.840]	OK ANY ALLERGIES ENVIRONMENTAL OR TO MEDICATIONS
audio/RES0035.mp3[346.920,349.680]	OK HAVE YOU EVER BEEN HOSPITALIZED
audio/RES0035.mp3[352.160,356.600]	ANY ILL CONTACTS NEAR YOU AT HOME OR WORK
audio/RES0035.mp3[358.520,360.800]	ANY PREVIOUS SURGERIES
audio/RES0035.mp3[360.800,363.320]	NO PREVIOUS SURGERIES
audio/RES0035.mp3[363.320,371.240]	OK DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA OR ANY OTHER LUNG CONDITION OR ANY CANCERS
audio/RES0035.mp3[371.240,376.400]	NO LUNG CONDITIONS OR CANCERS
audio/RES0035.mp3[376.400,378.720]	OK AND CURRENTLY DO YOU WORK
audio/RES0035.mp3[378.720,381.200]	I DO
audio/RES0035.mp3[381.200,382.640]	AND WHERE DO YOU WORK
audio/RES0035.mp3[382.640,386.120]	I WORK AS AN ACCOUNTANT
audio/RES0035.mp3[386.120,391.960]	OK AND DO YOU CURRENTLY LIVE IN AN APARTMENT OR A HOUSE
audio/RES0035.mp3[391.960,395.280]	IN AN APARTMENT
audio/RES0035.mp3[395.280,399.360]	OK AND DO YOU LIVE BY YOURSELF OR DO YOU LIVE WITH ANYONE ELSE
audio/RES0035.mp3[399.360,401.240]	JUST BY MYSELF
audio/RES0035.mp3[401.240,411.040]	OK ANY NEW CHANGES TO YOUR HOUSE UHM ANY NEW CARPETS OR ANYTHING LIKE THAT OR HAVE YOU MOVED INTO A NEW NEW PLACE RECENTLY
audio/RES0035.mp3[412.840,417.120]	OK DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0035.mp3[417.120,422.080]	NO I SMOKED WHEN I WAS YOUNGER BUT NOT ANYMORE
audio/RES0035.mp3[422.080,424.440]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0035.mp3[424.440,426.080]	I DO
audio/RES0035.mp3[426.080,429.560]	OK AND HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY
audio/RES0035.mp3[429.560,432.200]	UHM ABOUT HALF A PACK A DAY
audio/RES0035.mp3[432.200,435.920]	OK AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0035.mp3[435.920,439.560]	SINCE I WAS 18
audio/RES0035.mp3[439.560,443.440]	OK AND YOU DRINK ALCOHOL
audio/RES0035.mp3[443.440,446.520]	UHM SOMETIMES
audio/RES0035.mp3[446.520,453.120]	AND HOW OFTEN WOULD YOU SAY ON AN AVERAGE WEEK HOW MANY DRINKS OF ALCOHOL WOULD YOU SAY YOU HAVE
audio/RES0035.mp3[453.120,456.680]	UHM MAYBE 2 GLASSES OF WINE A WEEK
audio/RES0035.mp3[456.680,465.640]	OK AND IN TERMS OF YOUR DIET AND EXERCISE WOULD YOU SAY YOU GET 3 MEALS A DAY WELL BALANCE WELL BALANCED DIET
audio/RES0035.mp3[465.640,470.320]	UM YEAH ID SAY SO
audio/RES0035.mp3[470.320,476.200]	OK AND LASTLY IN TERMS OF EXERCISE WOULD YOU SAY YOURE FAIRLY ACTIVE THROUGHOUT THE WEEK
audio/RES0035.mp3[476.200,479.120]	UHM YEP
audio/RES0035.mp3[479.120,484.960]	AND WHAT KIND OF THINGS DO YOU DO FOR ACTIVITY
audio/RES0035.mp3[484.960,496.000]	UM I TAKE WALKS WHEN I CAN UM BEFORE THIS WHOLE SHORTNESS OF BREATH THING I USED TO RIDE MY BIKE
audio/RES0004.mp3[0.000,2.600]	ITS NICE TO MEET YOU WHATS YOUR NAME
audio/RES0004.mp3[2.600,6.320]	IT MY NAME IS SCOTT ITS NICE TO MEET YOU TOO
audio/RES0004.mp3[6.320,10.360]	ALRIGHT UM SO SCOTT HOW OLD ARE YOU
audio/RES0004.mp3[11.640,14.720]	OK WHAT BRINGS YOU IN TODAY
audio/RES0004.mp3[14.720,22.760]	UM IVE HAD A SORE THROAT NOW FOR A COUPLE OF WEEKS AND ITS JUST NOT GOING AWAY
audio/RES0004.mp3[22.760,27.920]	COUPLE OF WEEKS OK SO ABOUT TWO WEEKS THREE WEEKS
audio/RES0004.mp3[27.920,29.960]	YEAH ABOUT TWO TO THREE WEEKS
audio/RES0004.mp3[29.960,40.480]	OK UM WHAT DOES IT FEEL LIKE IS IT IS IT KIND OF LIKE A BURNING FEELING IS IT MORE LIKE AN ITCHY FEELING WHAT DOES IT FEEL LIKE
audio/RES0004.mp3[40.480,47.840]	UH I WOULD SAY ITS KINDA YEAH LIKE BURNIN OR BURNING OR SCRATCHY
audio/RES0004.mp3[47.840,53.000]	OK AND DOES IT HURT WHEN YOU SWALLOW
audio/RES0004.mp3[53.000,66.960]	IT DOES YEAH UH IF MY THROAT HURTS WHEN IM EATING OR UM UH OR SWALLOWING LIKE LIQUIDS AS WELL BUT COLD STUFF SEEMS TO MAKE IT FEEL A LITTLE BIT BETTER
audio/RES0004.mp3[66.960,70.640]	OK GOOD AND DOES YOUR NECK HURT TOO
audio/RES0004.mp3[70.640,81.880]	UM A LITTLE TENDER IVE NOTICED THE UM SOME LUMPS AT THE FRONT OF FRONT OF MY NECK THAT HAVE BEEN A BIT SORE
audio/RES0004.mp3[81.880,91.480]	OK AND IS IT MOSTLY SORE KIND OF LIKE MIDLINE OR IS IT MORE SORTA ONE SIDE VERSUS THE OTHER
audio/RES0004.mp3[91.480,101.160]	UM ID SAY MAYBE THE UH THE RIGHT SIDE IS A LITTLE BIT MORE SORE BUT I THINK I CAN FEEL IT ON BOTH SIDES OF MY NECK
audio/RES0004.mp3[101.160,109.600]	OK AND HOW BAD WOULD YOU SAY YOUR DISCOMFORT IS 1 TO 10 10 BEING THE WORST
audio/RES0004.mp3[109.600,122.440]	UM I WOULD SAY MAYBE A TWO OR THREE IF I MOVE MY NECK I I CAN FEEL IT MORE BUT OTHERWISE I CAN JUST BARELY NOTICE THAT ITS THERE
audio/RES0004.mp3[122.440,131.200]	OK SO ITS NOT PREVENTING YOU FROM SLEEPING GOING TO SCHOOL PLAYING THINGS LIKE THAT
audio/RES0004.mp3[131.200,137.640]	NO ITS MORE SO THE SORE THROAT WHEN SWALLOWING
audio/RES0004.mp3[137.640,143.280]	OK OK UM HAVE YOU NOTICED A FEVER AT ALL
audio/RES0004.mp3[143.280,155.640]	UM I HAVE YEAH I FELT HOT AND UM I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 387 I THINK IT WAS IS THAT A FEVER
audio/RES0004.mp3[155.640,160.440]	YEAH ID SAY THATS A FEVER WE CAN ALSO DO ANOTHER TEMPERATURE CHECK TODAY
audio/RES0004.mp3[161.280,170.280]	UM YEAH BUT THAT DEFINITELY SOUNDS LIKE A FEVER UM HAVE YOU NOTICED RASHES ANYWHERE
audio/RES0004.mp3[170.280,182.960]	UM YEAH IVE HAD THIS UH THIS LIKE RED I GUESS PINK RASH THAT I HAVE NOTICED ITS COME OVER MY CHEST AND AND BELLY AREA
audio/RES0004.mp3[182.960,191.240]	OK HOW BIG IS IT IS IT MORE THAN A CENTIMETER
audio/RES0004.mp3[191.240,210.360]	UH HUH YEAH ITS PRETTY WELL I MEAN ITS KIND OF UM SPREAD OUT OVER OVER AN AREA LIKE ITS NOT ALL CONTINUOUS I GUESS YOU CAN KIND OF SEE PATCHES OR BLOTCHES
audio/RES0004.mp3[210.360,214.600]	OK AND IS IT RAISED
audio/RES0004.mp3[214.600,218.200]	NO ITS ITS NOT RAISED
audio/RES0004.mp3[218.200,221.840]	OK OK IS IT ITCHY
audio/RES0004.mp3[221.840,223.720]	UH NO ITS NOT ITCHY
audio/RES0004.mp3[226.600,228.080]	NO NOT PAINFUL
audio/RES0004.mp3[228.080,232.920]	OK AND IS IT BLEEDING OR OOZING ANYTHING LIKE PUS
audio/RES0004.mp3[232.920,251.520]	UM NO ITS NOT NOTHING LIKE THAT ITS JUST PINK AND RED AND ITS JUST KIND OF SHOWN UP OVER THE LAST LITTLE WHILE IVE NOTICED IT ON MY UM LIKE HANDS A LITTLE BIT TOO
audio/RES0004.mp3[251.520,257.400]	OK AND YOU SAID THIS STARTED WHEN LIKE WAS THIS BEFORE THE SORE THROAT OR AFTER
audio/RES0004.mp3[257.400,276.400]	OH I CANT LIKE REMEMBER THE ONSET I I THINK THAT THE SORE THROAT STARTED FIRST AND MAYBE A RASH CAME A LITTLE BIT LATER
audio/RES0004.mp3[276.400,283.000]	OK OK AND HAVE YOU NOTICED THAT YOUR THAT YOUR GLANDS ARE SWOLLEN
audio/RES0004.mp3[283.000,287.040]	I THINK SO UM MAYBE THATS WHATS SWOLLEN IN MY NECK
audio/RES0004.mp3[287.040,290.280]	OK OK UM HOW ABOUT COUGHING
audio/RES0004.mp3[290.280,295.000]	NO I HAVENT HAD A COUGH NO
audio/RES0004.mp3[295.000,300.280]	AND HOW ABOUT A STUFFY NOSE OR OR A RUNNY NOSE
audio/RES0004.mp3[300.280,301.760]	NOTHING LIKE THAT
audio/RES0004.mp3[301.760,304.520]	OK BODY ACHES
audio/RES0004.mp3[304.520,308.760]	YEAH I FELT SO SOME MUSCLE ACHES FOR SURE
audio/RES0004.mp3[308.760,313.120]	OK UPPER LIMBS OR LOWER LIMBS
audio/RES0004.mp3[313.120,321.440]	I SAY I GOT A WHOLE BODY I JUST FEEL LIKE MY MUSCLES AND JOINTS ARE SORE
audio/RES0004.mp3[321.440,328.680]	OK YEAH AND OR DO YOU HAVE ANY HEADACHES
audio/RES0004.mp3[328.680,332.200]	UH NO I HAVENT REALLY HAD ANY HEADACHES
audio/RES0004.mp3[332.200,338.280]	NO OK AND HOWS YOUR APPETITE ARE YOU STILL EATING WELL
audio/RES0004.mp3[338.280,353.520]	UM IT MIGHT BE A LITTLE AH MIGHT HAVE BEEN A LITTLE BIT DOWN I JUST KIND OF HAVENT BEEN FEELING SO GREAT SO IM IVE PROBABLY EATING LESS THE LAST FEW WEEKS YEAH
audio/RES0004.mp3[353.520,361.120]	HAVE YOU BEEN AROUND ANYONE WHO MAY HAVE BEEN SICK RECENTLY
audio/RES0004.mp3[361.120,375.600]	YEAH ACTUALLY I THINK A FEW OF MY FRIENDS OR THERE WAS SOMEBODY IN MY GYM CLASS KNEW THAT I SOUNDED LIKE THEY HAD SIMILAR SYMPTOMS
audio/RES0004.mp3[375.600,378.360]	OK OK AND WHEN WAS THIS
audio/RES0004.mp3[378.360,387.320]	UM UH NOW THAT I THINK ABOUT IT PROBABLY ABOUT THREE OR FOUR WEEKS AGO
audio/RES0004.mp3[387.320,392.960]	OK AND WERE THEY EVER TREATED FOR THAT DID THEY SEE A DOCTOR
audio/RES0004.mp3[392.960,395.040]	UM IM NOT SURE
audio/RES0004.mp3[395.040,396.600]	NO OK NO WORRIES
audio/RES0004.mp3[396.600,401.000]	I JUST REMEMBER THEM BEING OFF FOR SCHOOL CAUSE THEY WERE THEY WERE SICK
audio/RES0004.mp3[401.000,407.000]	OK YEAH ANY ISSUES WITH YOUR EYES
audio/RES0004.mp3[408.560,417.720]	NO NOTHING LIKE CRUSTING OR PUS COMING OUT OF YOUR EYES RED EYE ANYTHING LIKE THAT
audio/RES0004.mp3[417.720,436.640]	UM NO THAT WELL DID THEY MIGHT HAVE LOOKED MAYBE A LITTLE BIT MORE MORE RED RED THEN USUAL BUT I HAVENT NOTICED ANY ANYTHING IN TERMS OF ITCHINESS OR UM DISCHARGE
audio/RES0004.mp3[436.640,441.480]	OK ANY NAUSEA OR VOMITING
audio/RES0004.mp3[441.480,443.320]	UM NO NAUSEA OR VOMITING
audio/RES0004.mp3[443.320,452.600]	OK HOW HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL HAVE YOU HAD DIARRHEA CONSTIPATION ANYTHING LIKE THAT
audio/RES0004.mp3[452.600,455.520]	NO CHANGES TO BOWEL HABITS
audio/RES0004.mp3[455.520,458.440]	OK HOW ABOUT URINE
audio/RES0004.mp3[458.440,461.040]	UM THATS BEEN OK
audio/RES0004.mp3[461.040,466.680]	OK OK UM HAVE YOU EVER HAD THESE SYMPTOMS BEFORE
audio/RES0004.mp3[466.680,476.760]	UM I MEAN IVE HAD SORE THROATS IN THE PAST BUT NOT WHILE FEELING LIKE THIS THOUGH
audio/RES0004.mp3[476.760,479.640]	YEAH OK WHEN WAS THE LAST TIME YOU HAD A SORE THROAT
audio/RES0004.mp3[479.640,484.400]	UM I DONT KNOW MAYBE WHEN I WAS A KID
audio/RES0004.mp3[484.920,486.920]	ITS BEEN AWHILE
audio/RES0004.mp3[486.920,492.120]	YEAH LIKE A STREP THROAT KIND OF THING OR OR MORE VIRAL
audio/RES0004.mp3[492.120,497.240]	YEAH I DO REMEMBER GETTING ANTIBIOTICS WHEN I WAS YOUNGER
audio/RES0004.mp3[497.240,504.560]	OK OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0004.mp3[504.560,508.640]	I WAS DIAGNOSED WITH UH WITH ASTHMA
audio/RES0004.mp3[508.640,515.920]	OK AND ARE YOU ON ANY MEDICATIONS FOR THAT
audio/RES0004.mp3[515.920,531.240]	UM YEAH SO I I JUST USE AH VENTOLIN AS NEEDED BUT OTHERWISE OH AND THEN I TAKE FLOVENT DAILY SO UM
audio/RES0004.mp3[531.880,540.040]	I THINK THATS THE ONE THERES THERES A COUPLE INHALERS THAT THAT I TAKE
audio/RES0004.mp3[540.040,543.320]	OK OK AND ANY OTHER MEDICATIONS
audio/RES0004.mp3[543.320,551.600]	UH SOMETIMES ILL TAKE UM LIKE REACTINE OR SOME OTHER TYPE OF ALLERGY PILL BUT THATS IT
audio/RES0004.mp3[551.600,556.760]	OK WHAT ARE YOU ALLERGIC TOO
audio/RES0004.mp3[556.760,568.000]	UM MOSTLY SEASONAL ALLERGIES BUG ME LIKE UM YEAH LIKE SEASONAL ALLERGIES AND DUST MAYBE
audio/RES0004.mp3[568.000,571.600]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0004.mp3[571.600,575.880]	YEAH MY MOM MAKES ME GET THE FLU SHOT EVERY YEAR
audio/RES0004.mp3[575.880,586.920]	OK GOOD AND ITS OK HAVE YOU SEEN ANOTHER DOCTOR FOR THE SYMPTOMS AT ALL HAVE YOU BEEN WORKED UP FOR THAT ANY BLOOD WORK TESTING DONE FOR IT ALREADY
audio/RES0004.mp3[586.920,604.280]	NO I THOUGHT I WOULD HAVE FELT BETTER BY NOW AND SO I HAVENT SEEN ANYBODY BUT ITS KIND OF JUST BEEN GOING ON NOW NOT SEEMING TO GET BETTER SO WANNA COME SEE SOMEBODY
audio/RES0004.mp3[604.280,611.440]	YEAH FOR SURE HAVE YOU TRIED ANYTHING FOR YOUR SYMPTOMS ANY MEDICATIONS ANYTHING OVER THE COUNTER
audio/RES0004.mp3[611.440,629.480]	UM YEAH IVE TRIED SOME TYLENOL AND ITS I I THINK WHAT IS IT ADVIL AND THAT DEFINITELY IS HELPED WITH SOME OF THE KIND OF ACHES AND PAINS BUT THEYVE COME RIGHT BACK
audio/RES0004.mp3[629.480,633.680]	OK UM ANY FAMILY HISTORY OF LUNG ISSUES HEART ISSUES
audio/RES0004.mp3[633.680,642.880]	UM NO NOTHING LIKE THAT UM NO
audio/RES0004.mp3[642.880,645.440]	YEAH OK HOW ABOUT CANCERS
audio/RES0004.mp3[645.440,654.680]	I I THINK MY GRANDFATHER HAD A LIKE PANCREATIC CANCER
audio/RES0004.mp3[654.680,659.640]	OK OK UM ALRIGHT SO DO YOU LIVE AT HOME CORRECT
audio/RES0004.mp3[659.640,664.200]	YEAH I LIVE WITH MY PARENTS AND MY YOUNGER SISTER SHES 12
audio/RES0004.mp3[664.200,666.920]	SHES 12 IS SHE HEALTHY
audio/RES0004.mp3[666.920,667.840]	YEAH SHE IS
audio/RES0004.mp3[667.840,673.880]	OK GOOD AND HAVE YOU GUYS TRAVELED RECENTLY
audio/RES0004.mp3[673.880,677.880]	UM NO WEVE BEEN WEVE BEEN AT HOME
audio/RES0004.mp3[677.880,684.080]	OK OK UM AND DO YOU SMOKE
audio/RES0004.mp3[684.080,685.000]	NO I DONT SMOKE
audio/RES0004.mp3[685.000,687.440]	NO HOW ABOUT MARIJUANA
audio/RES0004.mp3[687.440,698.120]	I IVE TRIED IT ONCE OR TWICE BUT IT WAS JUST THOSE COUPLE TIMES NOTHING THAT I DO OR USED REGULARLY
audio/RES0004.mp3[698.120,706.680]	OK AND HOW ABOUT ALCOHOL
audio/RES0004.mp3[706.680,709.960]	NO NO ALCOHOL
audio/RES0004.mp3[709.960,713.680]	NO ALCOHOL OK ARE YOU SEXUALLY ACTIVE
audio/RES0004.mp3[713.680,717.560]	NO IM NOT
audio/RES0004.mp3[717.560,728.040]	NO OK UM IS THERE A POSSIBILITY THAT OR ACTUALLY SORRY I SHOULD REPHRASE THAT HAVE YOU KISSED ANYONE RECENTLY
audio/RES0004.mp3[728.040,740.360]	UM I WELL I I GUESS I KINDA HAVE A GIRLFRIEND NOW UM THAT WE THAT I STARTED HANGING OUT WITH ABOUT TWO MONTHS AGO
audio/RES0004.mp3[740.360,741.320]	OK OK
audio/RES0004.mp3[741.320,743.640]	AND SO I GUESS YES
audio/RES0004.mp3[743.640,752.840]	OK ALRIGHT WELL THATS GOOD UM HAVE HAS SHE HAD ANY OF THESE SYMPTOMS
audio/RES0004.mp3[752.840,761.760]	UH WELL SHE SHE WAS WASNT FEELING WELL FOR AWHILE BACK BUT I DONT THINK IT WAS THIS BAD FOR HER
audio/RES0004.mp3[761.760,766.400]	OK ACTUALLY AND SHES BETTER NOW
audio/RES0004.mp3[766.400,770.560]	YEAH SHES BETTER NOW
audio/RES0004.mp3[770.560,784.800]	OK ALRIGHT SO YOU MENTIONED YOURE NOT SEXUALLY ACTIVE IF YOU WERE TO BE MAKE SURE YOU USE PROTECTION UM AND OK SO EVERYTHING AT
audio/RES0004.mp3[784.800,792.120]	HOME IS OK THEN NO ONES NO ONES SICK AT HOME YOU MENTIONED RIGHT
audio/RES0004.mp3[792.120,796.640]	YEAH NO ONES NO ONES SICK AT HOME
audio/RES0004.mp3[796.640,803.680]	OK AND SCHOOL IS GOING OK
audio/RES0004.mp3[803.680,810.160]	UM YEAH SCHOOLS BEEN BEEN GOING OK FOR THE MOST PART ITS BEEN TOUGH THESE LAST FEW WEEKS FEELING LIKE THIS THOUGH
audio/RES0004.mp3[810.160,820.840]	YEAH FOR SURE AND ARE YOU AND YOUR GIRLFRIEND IN AN EXCLUSIVE RELATIONSHIP
audio/RES0004.mp3[820.840,821.880]	UH I I THINK SO YEAH
audio/RES0004.mp3[821.880,845.440]	OK I ASK BECAUSE THERES SOMETHING CALLED WHAT YOU MAY BE FAMILIAR WITH UM ITS CALLED THE KISSING DISEASE IN MEDICAL TERMINOLOGY ITS CALLED MONO AS CAUSED BY A VIRUS CALLED EBV AND SO IT COULD BE THAT SO WERE COVERING ALL OUR BASES
audio/RES0004.mp3[845.440,848.280]	OH IVE HEARD OF MONO BEFORE
audio/RES0004.mp3[850.560,866.400]	ITS ITS LIKELY IT COULD BE UP THERE IN TERMS OF WHAT YOU HAVE SO I THINK THOSE WERE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME ANYTHING YOU WANTED TO ADD
audio/RES0004.mp3[866.400,870.040]	UM NO I THINK THATS YOU COVERED EVERYTHING
audio/RES0004.mp3[870.040,897.640]	OK ALRIGHT SO I WILL WILL GO OFF A FEW WELL TRY TO COVER OUR BASIS AND GET YOU TESTED FOR MONO WHICH I WOULD HAVE TO DO LIKE A MONOSPOT TEST AND WE CAN DO RAPID STREP TEST AS WELL TO SEE IF HE HAS SOMETHING CALLED STREP THROAT BUT YEAH WELL SEE WHAT THOSE RESULTS COME BACK AS AND WELL GO FROM THERE DOES THAT SOUND GOOD
audio/RES0004.mp3[897.640,900.200]	YEAH NO THAT SOUNDS GOOD
audio/RES0004.mp3[900.200,902.120]	OK THANK YOU
audio/RES0098.mp3[0.000,1.320]	HOW MAY I HELP YOU
audio/RES0098.mp3[1.320,41.000]	SO I JUST CAME IN HERE BECAUSE FOR THE LAST DAY IVE BEEN JUST GETTING SHORTNESS OF BREATH I RECENTLY YESTERDAY ACTUALLY WAS JUST BUSY AT HOME CLEANING OUT MY BASEMENT AND LIKE THAT WAS YESTERDAY AFTERNOON I DID THAT FOR A COUPLE HOURS AND THEN AT NIGHT I JUST STARTED TO GET THE SHORTNESS OF BREATH ITS CONTINUED UNTIL TODAY IM ALSO GETTING SOME WHEEZING AND TIGHTNESS IN MY CHEST AS WELL AS SOME COUGH SO YEAH THATS ALL JUST BEEN HAPPENING OVER THE LAST DAY
audio/RES0098.mp3[41.000,48.520]	OK AND UH IS THE SHORTNESS OF BREATH HERE NOW IS IT IS AT REST OR ARE YOU HAVING THAT WHEN YOURE EXERTING YOURSELF
audio/RES0098.mp3[48.520,67.600]	P MORE SO WHEN IM LIKE EXERTING MYSELF IF IM SITTING DOWN ITS BETTER BUT I STILL HAVE I WOULD SAY LIKE MY BREATHING IS NOT NORMAL RIGHT NOW LIKE ITS I STILL HAVE TO TAKE DEEPER BREATHS AND I DO HAVE THAT CHEST TIGHTNESS WHEN I TAKE THOSE DEEP BREATHS
audio/RES0098.mp3[67.600,70.520]	OK DO YOU HAVE ANY CHEST PAIN
audio/RES0098.mp3[70.520,77.360]	NO ITS MORE SO JUST THE TIGHTNESS I WOULDNT CALL IT PAIN BUT I DO STILL HAVE A LITTLE BIT OF WHEEZING
audio/RES0098.mp3[78.800,81.760]	SO YEAH THATS THATS THAT
audio/RES0098.mp3[81.760,91.640]	AND YOU MENTIONED A COUGH AS WELL WITH THE COUGH IS IT HAS IT BEEN DRY OR HAVE YOU BEEN BRINGING UP SPUTUM
audio/RES0098.mp3[91.640,103.360]	UHM IT WAS IT WAS MAINLY DRY YESTERDAY LIKE LIKE THE COUGH HAS KIND OF GONE AWAY BUT YESTERDAY NIGHT I WAS COUGHING A LOT AND IT WAS MOSTLY DRY
audio/RES0098.mp3[103.360,106.840]	OK HAVE YOU BROUGHT UP ANY BLOOD
audio/RES0098.mp3[109.920,122.760]	OK AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE EYE TEARING OR RED EYES MAYBE A RUNNY NOSE OR SORE THROAT
audio/RES0098.mp3[122.760,150.520]	UHM NOT A SORE THROAT BUT IT DOES FEEL LIKE IT ITS KIND OF LIKE JUST CONSTRICTED IN THERE LIKE UHM I DONT KNOW IF ITS RELEVANT BUT I I DO HAVE ASTHMA UH LIKE I WAS DIAGNOSED TEN YEARS AGO BUT ITS BEEN PRETTY STABLE LIKE ITS LIKE JUST RIGHT NOW I HAVENT HAD SHORTNESS OF BREATH FOR A PRETTY LONG TIME
audio/RES0098.mp3[150.520,177.200]	OK UH AND UH WELL GET BACK TO THE PAST MEDICAL HISTORY SHORTLY I JUST WANTED TO ASK A FEW MORE SYMPTOMS BUT CERTAINLY COULD BE RELEVANT TODAY UHM SO UHM SO YOU MENTIONED THAT YOU HAVE HAD SOME THROAT TIGHTNESS HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE
audio/RES0098.mp3[177.200,179.440]	NO NOTHING LIKE THAT
audio/RES0098.mp3[179.440,184.280]	OK AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0098.mp3[185.960,191.120]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0098.mp3[191.120,193.440]	NO NO NAUSEA OR VOMITTING
audio/RES0098.mp3[193.440,197.800]	HOW ABOUT ANY DIARRHEA OR CONSTIPATION
audio/RES0098.mp3[199.240,206.040]	AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL OR FREQUENCY
audio/RES0098.mp3[207.000,212.600]	OK AND HAVE YOU HAD ANY NIGHT SWEATS OVER THE LAST SEVERAL WEEKS TO MONTHS
audio/RES0098.mp3[212.600,214.480]	NO NOTHING LIKE THAT
audio/RES0098.mp3[214.480,218.840]	AND UHM HAVE YOU HAD ANY WEIGHT CHANGES OVER THE LAST LITTLE WHILE
audio/RES0098.mp3[220.600,226.680]	OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR RASHES
audio/RES0098.mp3[226.680,238.080]	UH NO I I DO HAVE JUST LIKE THE GENERAL LIKE ECZEMA THAT I USE A CREAM FOR BUT THATS JUST NORMAL FOR ME
audio/RES0098.mp3[238.080,244.240]	OK AND ANY MUSCLE ACHES OR OR JOINT PAINS
audio/RES0098.mp3[245.920,249.040]	HAVE YOU HAD ANY FATIGUE
audio/RES0098.mp3[250.520,259.520]	OK ALRIGHT YOU MENTIONED ASTHMA AS PART OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY OTHER CONDITIONS
audio/RES0098.mp3[259.520,267.200]	NO ITS JUST ASTHMA AND IT WAS DIAGNOSED I THINK WHEN I WAS LIKE PROBABLY 11 OR 12 YEARS OLD
audio/RES0098.mp3[267.200,271.480]	OK AND DO YOU USE INHALERS FOR THAT
audio/RES0098.mp3[271.480,314.080]	YEAH I HAVE TWO INHALERS UH LIKE ONE ONE IS LIKE A BLUE ONE ONE IS LIKE AN LIKE AN ORANGE ONE UH ITS SO I THINK ITS ONE OF THEM IS JUST LIKE I TAKE WHENEVER I REALLY NEED TO AND THE OTHER ONE I TAKE EVERY DAY UHM AND I HAVENT BEEN TAKING THE ONE UH I THINK ITS CALLED VENTOLIN BUT I TOOK IT LIKE UH HAD TO TAKE IT LIKE THREE OR FOUR TIMES LAST NIGHT AND LIKE THROUGHOUT THE DAY YESTERDAY AND IT IT DID HELP BUT IT DIDNT REALLY RELIEVE SOME OF MY SYMPTOMS
audio/RES0098.mp3[314.080,320.800]	OK AND PRIOR TO THAT HOW OFTEN HAVE YOU BEEN USING UHM THE BLUE ONE
audio/RES0098.mp3[320.800,328.400]	THE BLUE ONE BEFORE YESTERDAY PROBABLY THE LAST TIME I USED IT WAS PROBABLY LIKE A MONTH AGO
audio/RES0098.mp3[328.400,331.880]	OK SO YOU DONT NEED IT THAT THAT OFTEN THEN
audio/RES0098.mp3[332.920,350.640]	DO YOU HAVE ANY TRIGGERS FOR ASTHMA THAT YOURE AWARE OF LIKE EXERCISING OR GOING OUT INTO THE COLD OR EVEN LIKE ALLERGIES LIKE DUST OR OR OR POLLEN
audio/RES0098.mp3[350.640,372.320]	UHM I DO HAVE ALLERGIES IN THE SPRING I THINK ITS TO POLLEN AND IN THE WINTER IT DOES LIKE MY SYMPTOMS DO GET A BIT WORSE AND I HAVE TO USE THE VENTIL MORE BUT RECENTLY FOR THE LAST FEW MONTHS AT LEAST ITS BEEN PRETTY STABLE I HAVENT REALLY HAD TO USE USE IT TOO MUCH
audio/RES0098.mp3[372.320,376.680]	OK AND AND DO YOU USE ANY OTHER MEDICATIONS
audio/RES0098.mp3[376.680,384.000]	UH JUST WHEN I HAVE ALLERGIES I I JUST USE OVER THE COUNTER ALLERGY MEDS
audio/RES0098.mp3[384.000,389.920]	OK AND YOU USE A CREAM FOR FOR YOUR SKIN TOO LIKE YEAH
audio/RES0098.mp3[389.920,397.160]	YEAH I USE LIKE ITS ITS I THINK ITS LIKE A MIXTURE OF LIKE A STEROID CREAM
audio/RES0098.mp3[397.160,402.440]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0098.mp3[402.440,404.560]	NOT THAT I KNOW OF
audio/RES0098.mp3[404.560,409.400]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0098.mp3[411.040,420.400]	ALRIGHT AND RIGHT NOW WHO ARE YOU LIVING WITH AND WHEREABOUTS ARE YOU LIVING
audio/RES0098.mp3[420.400,434.160]	YEAH SO IM JUST LIVING WITH A COUPLE ROOMMATES I JUST GO TO COLLEGE AND IM LIVING WITH THREE OTHER ROOMMATES
audio/RES0098.mp3[434.160,436.600]	OK AND HAS ANYBODY BEEN SICK
audio/RES0098.mp3[436.600,439.640]	P NO EVERYONES BEEN FINE
audio/RES0098.mp3[439.640,442.960]	AND HAVE YOU TRAVELED ANYWHERE
audio/RES0098.mp3[442.960,459.280]	UHM I DECIDED LIKE I YESTERDAY I WENT HOME LIKE TO MY PARENTS HOUSE AND HELPED MY DAD THATS WHERE I WAS CLEANING THE BASEMENT BUT BESIDES THAT THAT WAS THAT WAS UH THAT WAS IT
audio/RES0098.mp3[459.280,470.480]	OK AND  SORRY JUST HAD TO BACKTRACK A LITTLE BIT HAVE YOU HAD ANY HOSPITALIZATIONS EITHER DUE TO ASTHMA OR FOR ANY OTHER REASON
audio/RES0098.mp3[470.480,480.640]	UHM I THINK WHEN I WAS 15 I I HAD TO GO TO THE EMERGENCY DEPARTMENT BUT I I WASNT HOSPITALIZED
audio/RES0098.mp3[480.640,485.080]	OK AND WAS THIS UH DID YOU HAVE SIMILAR SYMPTOMS AT THAT TIME
audio/RES0098.mp3[485.080,504.680]	YEAH IT WAS UH IT WAS FOR ASTHMA AND LIKE UH THAT TIME IT WAS DEFINITELY MUCH MUCH WORSE AND I REMEMBER LIKE I WAS BREATHING A LOT UH THE SHORTNESS OF BREATH WAS REALLY BAD AND THE VENTOLIN LIKE PUFFERS WERENT EVEN HELPING ME AT THAT TIME
audio/RES0098.mp3[504.680,510.800]	OK YEAH OK AND HAVE YOU HAD ANY SURGERIES BEFORE
audio/RES0098.mp3[511.800,523.800]	ALRIGHT SO YEAH YOU MENTIONED THAT YOURE YOURE CLEANING UP THE BASEMENT YESTERDAY WAS THERE A LOT OF DUST DOWN THERE OR ANYTHING LIKE THAT THAT MIGHT HAVE TRIGGERED IT
audio/RES0098.mp3[523.800,539.240]	YEAH WE WERE LIKE JUST MOVING BOXES THERE WERE BOOKS HERE AND THERE THAT DEFINITELY THERE WOULD HAVE BEEN DUST I SHOULD HAVE BEEN MORE CAREFUL LIKE WORE A MASK BUT I DIDNT THINK ABOUT IT AT THAT TIME
audio/RES0098.mp3[539.240,544.240]	OK YEAH FOR SURE UH AND DO YOU SMOKE CIGARETTES
audio/RES0098.mp3[544.240,549.160]	NO LIKE I CANT EVEN STAND CIGARETTE SMOKE
audio/RES0098.mp3[549.160,554.320]	OK THATS GOOD AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
audio/RES0098.mp3[554.320,564.920]	UH NO IF I IF I REALLY WANT MARIJUANA I WOULD HAVE TO GO WITH EDIBLES I I CANT TAKE THE SMOKE
audio/RES0098.mp3[564.920,569.720]	OK I SEE AND DO YOU DRINK ALCOHOL
audio/RES0098.mp3[569.720,581.160]	UH JUST I WOULD SAY PROBABLY ON THE WEEKENDS I MIGHT HAVE FOUR OR FIVE BEERS
audio/RES0098.mp3[581.160,591.880]	OK AND ANYBODY ELSE IN THE FAMILY HAVE ASTHMA OR SKIN IRRITATION LIKE LIKE YOU HAVE
audio/RES0098.mp3[591.880,610.160]	YEAH SO MY MY OLDER SISTER ACTUALLY ALSO WAS DIAGNOSED WITH ASTHMA SHE ALSO HAS THE ECZEMA THAT I HAVE AND MY MOM WAS ALSO DIAGNOSED WITH ASTHMA WHEN SHE WAS A CHILD BUT SHES BEEN COMPLETELY FINE SINCE THEN
audio/RES0098.mp3[610.160,621.840]	OK WELL THATS GOOD THAT THAT SHES BEEN OK DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR OR LUNG CONDITIONS OR ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0098.mp3[621.840,631.200]	MY GRANDFATHER DIED OF LUNG CANCER BUT HE WAS JUST JUST SMOKED ALL THROUGHOUT HIS LIFE
audio/RES0098.mp3[631.200,646.680]	OK UHM ALRIGHT SO THAT WAS ALL OF THE QUESTIONS THAT I WANTED TO ASK TODAY SO THE NEXT PART WELL GO ON TO DO A PHYSICAL EXAM BUT DID YOU HAVE ANY THING ELSE THAT MAYBE I FORGOT TO ASK ABOUT TODAY
audio/RES0098.mp3[646.680,654.720]	UH NO I I I THINK I KNOW WHAT THIS WAS CAUSED BY BUT YEAH LETS LETS SEE THANKS FOR YOUR HELP
audio/RES0098.mp3[654.720,677.360]	OH YOURE WELCOME SO YEAH WELL WELL UHMTRIAL SOME MORE PUFFERS AND SEE WHAT WE COULD DO CAUSE CERTAINLY ITS SOUNDING LIKE AN ASTHMA EXACERBATION AND SO DEFINITELY LET SOMEBODY KNOW IF YOUR YOUR BREATHING IS GETTING MORE DIFFICULT
audio/RES0098.mp3[677.360,680.120]	YEP SOUNDS GOOD
audio/RES0123.mp3[0.000,2.880]	WHAT CAN I DO FOR YOU
audio/RES0123.mp3[2.880,32.640]	SO IVE BEEN JUST OVER THE LAST WEEK IVE BEEN FEELING PRETTY SICK I HAVE THIS PRETTY BAD HEADACHE THAT STARTED LIKE PROBABLY A WEEK AGO AND THEN FOR THE LAST FEW DAYS IVE BEEN HAVING THESE CHILLS UM AND I DIDNT GET A CHANCE TO MEASURE MY TEMPERATURE AT ALL UM BUT THE WORST THING HAS BEEN JUST THESE MUSCLE ACHES ALL OVER MY BODY AND THATS BEEN GOING ON FOR THE LAST THREE TO FOUR DAYS
audio/RES0123.mp3[32.640,47.440]	SORRY TO HEAR THAT YOURE FEELING SO UH HORRIBLE OVER THE PAST WEEK UM LETS UH LETS TRY TO UNDERSTAND THIS A LITTLE BIT BETTER SO YOUVE HAD THIS HEADACHE FOR THE PAST WEEK OR SO WHERE EXACTLY IS IT
audio/RES0123.mp3[47.440,55.520]	ITS KIND OF JUST UH ALL ACROSS MY FOREHEAD ITS BEEN GOING TO THE SIDES LIKE INTO MY TEMPLES AS WELL
audio/RES0123.mp3[55.520,60.320]	OKAY AND WHAT DOES IT FEEL LIKE HOW WOULD YOU DESCRIBE IT
audio/RES0123.mp3[60.320,74.520]	UH YEAH IT FEELS LIKE KIND OF LIKE UH ACHING UM I I HAVE HAD HEADACHES WITH THROBBING BEFORE BUT ITS NOT SO MUCH THROBBING ITS MORE JUST CONSTANT ACHING PAIN
audio/RES0123.mp3[74.520,83.120]	UM IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST UM PAIN EVER WHAT NUMBER WOULD YOU GIVE IT
audio/RES0123.mp3[83.120,86.080]	UH PROBABLY LIKE A 7
audio/RES0123.mp3[86.080,91.880]	OH WOW YEAH THAT SOUNDS SEVERE HOW LONG HAVE YOU HOW LONG HAS IT BEEN A 7 FOR
audio/RES0123.mp3[91.880,100.000]	UM ITS ACTUALLY A BIT BETTER NOW BUT YEAH LIKE OVER THE LAST WEEK ITS BEEN A 7 I WOULD SAY NOW ITS PROBABLY AROUND 5
audio/RES0123.mp3[100.000,106.320]	OKAY UM ANYTHING THAT MAKES THE HEADACHE BETTER
audio/RES0123.mp3[106.320,115.280]	UM I I TAKE LIKE TYLENOL THEN LIKE IT GETS RELIEVED FOR A BIT FOR LIKE A FEW HOURS AND THEN COMES BACK
audio/RES0123.mp3[115.280,126.680]	ANYTHING THAT YOU FEEL MAKES THE HEADACHES WORSE ANY POSTURES OR POSITIONS OR ACTIVITY OR UM ANY KIND OF EXPOSURE TO LIGHT OR SOUNDS
audio/RES0123.mp3[126.680,132.400]	UH NO ITS ITS JUST KIND OF THERE NOTHING MAKES IT WORSE
audio/RES0123.mp3[132.400,136.000]	DO YOU HAVE NAUSEA OR VOMITING
audio/RES0123.mp3[136.000,138.200]	UH NO NO NAUSEA OR VOMITING
audio/RES0123.mp3[138.200,142.720]	NO ANY SENSITIVITY TO LIGHT OR SOUNDS
audio/RES0123.mp3[143.840,151.440]	OKAY UH AND IS IT ONLY IS IT ONLY ON ONE ON ONE SIDE OF YOUR HEAD OR FOREHEAD OR IS IT ON BOTH SIDES
audio/RES0123.mp3[151.440,156.480]	UH IT IT SEEMS LIKE ITS ON BOTH SIDES
audio/RES0123.mp3[156.480,164.960]	AND HAVE YOU NOTICED ANY VISUAL CHANGES ANY BLURRY VISION WITH THE HEADACHES
audio/RES0123.mp3[166.960,174.480]	ANY OTHER VISUAL CHANGES NO OKAY UM AND YOUVE ALSO HAD CHILLS BUT YOU SAID YOU HAVENT CHECKED YOUR TEMPERATURE RIGHT
audio/RES0123.mp3[174.480,178.160]	NO I HAVENT UH IVE BEEN HAVING CHILLS FOR THE LAST FEW NIGHTS
audio/RES0123.mp3[178.160,193.720]	YEAH WE CAN DEFINITELY CHECK YOUR TEMPERATURE HERE IN THE UM HERE UM AND YOU MENTIONED THAT THE MUSCLE ACHES HAVE BEEN QUITE BOTHERSOME FOR YOU IS IT ALL OVER YOUR BODY OR ANYONE UH IN ANY ONE MUSCLE GROUP
audio/RES0123.mp3[193.720,198.720]	IT SEEMS LIKE ITS ALL OVER
audio/RES0123.mp3[198.720,214.280]	OKAY OKAY AND UM ILL ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST TO RULE OUT UM ANY OTHER ISSUES THAT YOU MIGHT BE HAVING SO HAVE YOU NOTICED THAT YOUVE BEEN CONFUSED AT ALL OVER THE PAST FEW DAYS
audio/RES0123.mp3[214.280,216.040]	UH NO I DONT THINK SO
audio/RES0123.mp3[216.040,221.760]	HAVE YOU HAD ANY LIKE STIFFNESS OR RIGIDITY IN YOUR NECK
audio/RES0123.mp3[221.760,227.840]	MAYBE A LITTLE BIT OF A STIFFNESS IN IN MY NECK
audio/RES0123.mp3[228.360,234.320]	THEN LIKE I I DONT KNOW IF THATS JUST THE MUSCLE PAIN ITS LIKE KIND OF ON MY UPPER BACK LOWER NECK AREA
audio/RES0123.mp3[234.320,253.240]	WE CAN DEFINITELY UM EXAMINE THAT UM WHEN IM DOING PHYSICAL EXAMINE AND SEE HOW THAT IS UM OKAY AND UH HAVE YOU HAD ANY UM REDNESS IN YOUR EYES OR ANY TEARY EYES
audio/RES0123.mp3[253.240,254.560]	NO NOTHING LIKE THAT
audio/RES0123.mp3[254.560,259.320]	DO THE HEADACHES COME AND GO OR IS IT ALWAYS THERE
audio/RES0123.mp3[259.320,269.840]	UH THEYRE PRETTY MUCH LIKE CONSTANT THROUGHOUT THE DAY
audio/RES0123.mp3[269.840,273.760]	UM AND DO YOU HAVE A RUNNY NOSE OR STUFFY NOSE
audio/RES0123.mp3[273.760,280.640]	UH NO NO I DONT I I THINK IM KIND OF IM DEVELOPING A LITTLE COUGH THOUGH
audio/RES0123.mp3[280.640,283.280]	OKAY WHEN DID THAT START
audio/RES0123.mp3[283.280,287.000]	PROBABLY JUST YESTERDAY I NOTICED MYSELF COUGHING
audio/RES0123.mp3[287.000,289.640]	IS IT LIKE A DRY COUGH OR WET COUGH
audio/RES0123.mp3[289.640,292.040]	UH A DRY COUGH
audio/RES0123.mp3[292.040,295.400]	ANY SPUTUM OR ANY BLOOD COME OUT
audio/RES0123.mp3[296.360,298.560]	ANY SORE THROAT
audio/RES0123.mp3[299.760,302.120]	UH ANY CHEST PAIN
audio/RES0123.mp3[302.880,306.040]	ANY DIFFICULTIES WITH BREATHING
audio/RES0123.mp3[306.040,307.480]	UH NO
audio/RES0123.mp3[307.480,311.800]	ANY PALPITATIONS OR FEEL LIKE YOUR HEARTS BEATING VERY FAST
audio/RES0123.mp3[312.800,315.520]	OKAY ANY BELLY PAIN
audio/RES0123.mp3[317.080,319.600]	ANY UH NAUSEA OR VOMITING
audio/RES0123.mp3[320.480,324.360]	ANY UH DIARRHEA OR CONSTIPATION
audio/RES0123.mp3[324.360,326.560]	NO NOT THAT IVE NOTICED
audio/RES0123.mp3[326.560,330.240]	ANY WEAKNESS IN ANY ONE SIDE OF YOUR BODY
audio/RES0123.mp3[330.880,333.120]	ANY NUMBNESS OR TINGLING
audio/RES0123.mp3[334.320,340.920]	NO OKAY UM ANY EXPOSURES UH TO ANYONE WHO COULD BE SICK
audio/RES0123.mp3[340.920,357.320]	UM I HAVENT NOTICED BUT I I DO GO TO WORK UM AND WE RECENTLY SWITCHED TO LIKE IN PERSON INSTEAD OF I I USED TO DO UM HOME WORK BUT FOR THE LAST MONTH IVE BEEN GOING INTO THE OFFICE
audio/RES0123.mp3[357.320,360.280]	I SEE AND HAVE YOU BEEN WEARING A MASK
audio/RES0123.mp3[360.280,370.960]	YEAH WELL I TRY TO WEAR THE MASK SOMETIMES LIKE UH IN THE IN THE STOCK LIKE LOUNGE WE LIKE TAKE TAKE OFF THE MASK TO EAT AND STUFF BUT THATS ABOUT IT
audio/RES0123.mp3[370.960,375.480]	ARE YOU MAINTAINING SOCIAL DISTANCING WHEN YOURE TAKING YOUR MASK OFF
audio/RES0123.mp3[375.480,390.200]	YEAH ITS UH MOST OF THE TIMES WERE PRETTY SOCIALLY DISTANCED WHEN WERE EATING BUT SOMETIMES ITS LIKE HARD TO CONTROL WHEN YOU KNOW WHEN YOURE GOING NEAR THE MICROWAVE TO HEAT UP YOUR FOOD AND SOMETIMES IT GETS HARD ITS A ITS A FAIRLY SMALL ROOM SO
audio/RES0123.mp3[390.200,416.600]	YEAH WELL I WOULD I WOULD RECOMMEND THAT YOU TRY TO EAT WHEN PEOPLE ARE NOT IN THE ROOM IF POSSIBLE BECAUSE YOU ARE PUTTING YOURSELF AT RISK  LIKE IF ITS A SMALL ROOM I THINK YOU SHOULD ALSO TALK TO MANAGEMENT OR TRY TO LIMIT THE NUMBER OF PEOPLE WHO CAN BE IN THE ROOM AT A TIME UM FOR YOUR OWN SAFETY YOU KNOW AND FOR THE SAFETY OF OTHERS UH WORKING WITH YOU UM OKAY AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0123.mp3[416.600,418.840]	NO WEVE BEEN UH AT HOME
audio/RES0123.mp3[418.840,423.880]	OKAY GOOD UM AND WHO DO YOU LIVE WITH
audio/RES0123.mp3[423.880,429.920]	I LIVE WITH MY YOUNG LIKE UH DAUGHTER AND THEN MY WIFE AS WELL
audio/RES0123.mp3[429.920,435.120]	OKAY AND YOU DO YOU THINK THEY MIGHT HAVE GOT ANY CONTACTS TO ANYONE WHO IS SICK
audio/RES0123.mp3[435.120,445.440]	UH NO THEYVE BEEN COMPLETELY FINE UH MY DAUGHTER IS LIKE IS UH DOING SCHOOL FROM HOME RIGHT NOW SO SHES NOT REALLY SEEING ANYONE
audio/RES0123.mp3[445.440,450.440]	OKAY THATS GOOD AND UM DO YOU CURRENTLY SMOKE
audio/RES0123.mp3[450.440,456.320]	I DO I DO SMOKE UM PROBABLY HALF A PACK A DAY
audio/RES0123.mp3[456.320,457.320]	FOR HOW LONG
audio/RES0123.mp3[457.320,462.160]	UM FOR PROBABLY THE LAST 20 YEARS
audio/RES0123.mp3[462.160,466.600]	OKAY AND DO YOU UH CONSUME MARIJUANA
audio/RES0123.mp3[466.600,469.560]	JUST UM MAYBE ONCE OR TWICE A MONTH
audio/RES0123.mp3[470.320,474.800]	JUST UH SOMETIMES IT HELPS ME SLEEP SOMETIMES
audio/RES0123.mp3[474.800,481.960]	SURE DO YOU TAKE ANY RECREATIONAL DRUGS LIKE COCAINE AMPHETAMINE LSECSTASY ETC
audio/RES0123.mp3[481.960,485.720]	NO NOTHING LIKE THAT
audio/RES0123.mp3[485.720,486.840]	ANY ALCOHOL
audio/RES0123.mp3[486.840,492.840]	YEAH I DRINK PROBABLY UH A BEER OR TWO EVERY COUPLE DAYS
audio/RES0123.mp3[492.840,499.640]	ALRIGHT AND UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0123.mp3[499.640,511.880]	UH YEAH SO I DO THEYRE SAYING I MIGHT HAVE UM HIGH BLOOD PRESSURE UM THEY LIKE IT ITS STILL ONGOING UM THEYRE TESTING TESTING ME FOR THINGS
audio/RES0123.mp3[511.880,518.320]	SURE YEAH AND HAVE YOU UH TAKEN ANY MEDICATIONS FOR IT
audio/RES0123.mp3[518.320,521.480]	NO NOT YET I HAVENT BEEN PUT ON ANY MEDICATIONS
audio/RES0123.mp3[521.480,526.000]	HAVE YOU DO YOU TAKE ANYTHING OVER THE COUNTER ANY HERBAL PILLS VITAMINS MINERALS ETC
audio/RES0123.mp3[527.800,531.040]	OKAY AND DO YOU HAVE ANY ALLERGIES
audio/RES0123.mp3[531.040,532.640]	NO ALLERGIES
audio/RES0123.mp3[532.640,539.760]	OKAY GOOD UM AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR ANY HOSPITALIZATIONS
audio/RES0123.mp3[539.760,547.480]	UM I WAS PRETTY YOUNG I HAD MY TONSILS REMOVED UM BUT OTHER THAN THAT NO NO OTHER SURGERIES OR HOSPITALIZATIONS
audio/RES0123.mp3[547.480,552.760]	GOOD ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0123.mp3[552.760,560.400]	UM SO I THINK MY MOTHER SHE SHE HAS LIKE TYPE 2 DIABETES
audio/RES0123.mp3[561.840,566.600]	AND UH MY FATHER HAS BEEN PRETTY HEALTHY LIKE NO ISSUES WITH HIM
audio/RES0123.mp3[566.600,578.160]	GOOD UM OKAY HAVE YOU HAD ANY UM HAVE YOU HAD MIGRAINES IN THE PAST
audio/RES0123.mp3[578.160,589.480]	UM YEAH SOMETIMES I WHEN IM LIKE STRESSED AT WORK AND LIKE I UH ITS NOT LIKE ANYTHING REGULAR THAT HAPPENS TO ME I PROBABLY HAVE HAD MIGRAINES IN THE PAST
audio/RES0123.mp3[589.480,596.280]	OKAY OKAY AND HAVE YOU EVER BEEN DIAGNOSED WITH ASTHMA OR UM WITH UH COPD
audio/RES0123.mp3[597.680,622.680]	OKAY ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A HEADACHE FOR THE PAST WEEK WHICH HAS BEEN KIND OF CONSTANT ABOUT 7 OUT OF 10 AND THEN YOUVE ALSO DEVELOPED A FEVER BUT YOU HAVENT OR I GUESS YOUVE BEEN FEELING YOUVE BEEN HAVING CHILLS UH AND WE CAN MEASURE TEMPERATURE HERE AND YOU ALSO HAD A COUGH THAT STARTED YESTERDAY WHAT ABOUT UM SENSE OF TASTE HAVE YOU NOTICED ANY CHANGES THERE
audio/RES0123.mp3[622.680,627.800]	UH NO NOT THAT IVE REALLY NOTICED
audio/RES0123.mp3[627.800,632.920]	WHAT ABOUT YOUR SENSE OF SMELL
audio/RES0123.mp3[632.920,647.520]	UM MY SMELL I DONT THINK SO BUT LIKE SOMETIMES I DO FEEL A BIT LIKE STUFFY AS WELL LIKE NOT NOT RIGHT NOW BUT BEFORE WHEN I FELT STUFFY I LOST MY SENSE OF SMELL
audio/RES0123.mp3[647.520,666.880]	SURE YEAH OKAY UM OKAY WELL THATS ALL THE QUESTIONS I HAVE FOR YOU WELL DO A PHYSICAL EXAM UM GET A CHEST XRAY DONE ALSO EXAMINE YOUR NECK AS WELL A LITTLE BIT JUST TO MAKE SURE THERES NO STIFFNESS OR RIGIDITY HAVE A LOOK INSIDE YOUR MOUTH UM LISTEN TO YOUR CHEST
audio/RES0123.mp3[668.880,735.560]	WE WILL ALSO GET A COVISWAB DONE SIMPLY BECAUSE YOUR SYMPTOMS SOUND VERY SIMILAR TO UM OR I GUESS A LOT OF THESE SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVISO WELL DO THAT AND UM I WOULD REQUIRE WOULD REQUEST THAT YOU CONTINUE TO UH STAY AT HOME IF YOU HAVENT BEEN DOING SO SO FAR UM TAKE A LEAVE FROM WORK TRY TO DO WORK FROM HOME AND QUARANTINE AT HOME AS MUCH AS POSSIBLE AND STAY AWAY FROM YOUR WIFE AND YOUR DAUGHTER AS WELL AT LEAST UNTIL THE SWAB IS BACK AND YOU GET SOME MORE GUIDANCE FROM UH PUBLIC HEALTH IF IT IS POSITIVE THEY WILL GIVE YOU A CALL UM THERE ARE LOTS OF GUIDELINES ON HOW TO SELF ISOLATE AND I I CAN SHARE THAT WITH YOU UM ITS BEST THAT YOU DO THAT FOR NOW UM WE WILL RUN A COUPLE OF TESTS DO LABS AND BASED ON THOSE RESULTS UH WELL DECIDE IF YOU NEED TO STAY IN THE ER OR IF WE CAN UM IF YOU CAN BE DISCHARGED LATER TODAY DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0123.mp3[735.560,740.160]	UH NO THAT THAT ALL SOUNDS GREAT THANKS FOR EXPLAINING IT TO ME
audio/RES0123.mp3[740.160,741.960]	YOURE WELCOME
audio/RES0044.mp3[0.000,2.480]	WHAT BRINGS YOU IN
audio/RES0044.mp3[2.480,21.600]	UM I JUST UH I HAVE I HAVE A COUGH THAT IVE HAD FOR A COUPLE OF DAYS AND LIKE NORMALLY IF I HAD A COUGH OR COLD I WOULD JUST LIKE STAY HOME AND REST BUT JUST BECAUSE YOU KNOW THERES LIKE COVID I I WANTED TO MAKE SURE LIKE I WANTED TO GET CHECKED OUT
audio/RES0044.mp3[21.600,30.600]	YEAH OF COURSE THAT THAT WAS A GREAT IDEA THANKS FOR COMING IN UM HOW LONG HAVE YOU HAD THIS COUGH FOR
audio/RES0044.mp3[30.600,43.920]	UH ITS LIKE 2 DAYS LIKE MAYBE THREE DAYS AGO I STARTED TO FEEL LIKE MY THROAT WAS DRY AND I WAS LIKE OH MAYBE I NEED TO DRINK MORE WATER OR SOMETHING AND THEN THE NEXT DAY I STARTED LIKE ACTUALLY COUGHING
audio/RES0044.mp3[43.920,48.400]	OK IS IT A DRY COUGH OR A WET COUGH
audio/RES0044.mp3[48.400,50.520]	YEAH ITS REALLY DRY
audio/RES0044.mp3[50.520,54.160]	REALLY DRY OK SO NO SPUTUM NO BLOOD THAT YOURE BRINGING UP
audio/RES0044.mp3[54.160,58.480]	NO NOTHING LIKE THAT ITS JUST KIND OF ANNOYING
audio/RES0044.mp3[58.480,64.920]	YEAH UM DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH YOUR COUGHING
audio/RES0044.mp3[64.920,66.560]	I DONT THINK SO
audio/RES0044.mp3[66.560,70.440]	NO OK NO SHORTNESS OF BREATH
audio/RES0044.mp3[70.440,80.280]	NO NO IVE BEEN I FEEL LIKE IVE BEEN TIRED BUT I DONT THINK ITS BEEN ACTUALLY HARD TO BREATHE I JUST FEEL OVERALL LIKE REALLY TIRED
audio/RES0044.mp3[80.280,90.520]	OK OK AND HAVE YOU TRIED ANYTHING FOR THE COUGH LIKE UM OVER THE COUNTER COUGH SYRUP OR ANYTHING LIKE THAT
audio/RES0044.mp3[90.520,101.160]	UH LIKE I HAVE IVE JUST BEEN DRINKING TEA AND JUST LIKE TEA WITH HONEY JUST TO LIKE MAKE IT FEEL BETTER I I DIDNT LIKE TAKE ANY MEDICINE
audio/RES0044.mp3[101.160,112.000]	OK AND DO YOU HAVE YOU NOTICED THAT THERE ARE ANY TRIGGERS FOR YOUR COUGH LIKE THE COLD OR DUST OR ANY LIKE ENVIRONMENTAL TRIGGERS
audio/RES0044.mp3[112.000,116.600]	I MEAN IVE BEEN JUST BECAUSE OF COVID AND STUFF IVE BEEN STAYING HOME EVER SINCE I HAD IT
audio/RES0044.mp3[116.600,121.000]	UH SO I DONT I CANT THINK OF ANYTHING BUT I DONT THINK SO
audio/RES0044.mp3[121.000,131.960]	OK AND DO YOU FIND THAT ITS CONSTANTLY THERE OR UM IS IT WORSE DURING A PARTICULAR TIME OF DAY LIKE MORNING AFTERNOON OR EVENING
audio/RES0044.mp3[131.960,133.520]	ITS KIND OF JUST BEEN THERE
audio/RES0044.mp3[133.520,135.200]	ALL THE TIME RIGHT NOW
audio/RES0044.mp3[135.200,139.120]	OK AND UM IS IT GETTING WORSE DO YOU THINK
audio/RES0044.mp3[139.120,154.840]	I THINK SO I THINK LIKE TODAY IS WORSE THAN YESTERDAY AND THE DAY BEFORE THAT IT JUST FELT LIKE DRY AND THEN AND THEN LIKE THE NEXT DAY I STARTED COUGHING SO YEAH
audio/RES0044.mp3[154.840,161.640]	OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0044.mp3[161.640,172.280]	I MEAN IVE HAD COUGHS BEFORE UM THIS ONE FEELS LIKE PARTICULARLY DRY BUT UH LIKE IT ITS NOT TOO DIFFERENT THAN LIKE WHEN IM JUST LIKE LIKE HAD A COUGH IN OTHER YEARS
audio/RES0044.mp3[172.280,178.000]	OK OK UM AND YOU MENTIONED THAT YOUR THROAT WAS ALSO DRY DO YOU HAVE A SORE THROAT
audio/RES0044.mp3[178.000,199.440]	MAYBE A LITTLE BIT THIS MORNING YEAH LIKE AT FIRST IT JUST FELT DRY LIKE I WAS THINKING LIKE OH ITS LIKE YOU KNOW I NEED TO TAKE A SIP OF WATER OR SOMETHING AND NOW IT JUST FEELS NOW ITS STARTING TO THINK I FEEL A LITTLE BIT SORE I THINK
audio/RES0044.mp3[199.440,206.280]	OK UM IS IT HARD FOR YOU TO SWALLOW FOODS OR FLUIDS
audio/RES0044.mp3[206.280,213.760]	OH SORRY COULD YOU REPEAT THAT I JUST MISSED THE LAST PART
audio/RES0044.mp3[213.760,220.680]	OH NO WORRIES IS IT HARD FOR YOU TO SWALLOW FOOD OR FLUIDS
audio/RES0044.mp3[220.680,226.800]	UH NO ITS NOT HARD ITS NOT HARD TO SWALLOW THINGS
audio/RES0044.mp3[226.800,235.160]	OK UM AND THEN HAVE YOU HAD A RUNNY NOSE OR A STUFFY NOSE
audio/RES0044.mp3[235.160,238.240]	NO NOT PARTICULARLY
audio/RES0044.mp3[238.240,246.080]	NO OK HOW ABOUT ANY CHANGES TO YOUR HEARING OR VISION
audio/RES0044.mp3[247.320,254.560]	NO HOW ABOUT CHANGES IN SMELL OR TASTE
audio/RES0044.mp3[254.560,265.840]	UH NO THATS LIKE A COVID THING RIGHT LIKE I WAS HOPING BECAUSE I COULD STILL I COULD STILL LIKE TASTE MY COFFEE THIS MORNING I WAS HOPING THAT THAT MEANS I DONT HAVE COVID BUT YEAH I DONT REALLY KNOW
audio/RES0044.mp3[265.840,281.640]	I MEAN YEAH SOME PEOPLE HAVE IT SOME PEOPLE DONT UM I GUESS PEOPLE WITH COVID PRESENT IN DIFFERENT WAYS YEAH YEAH DO YOU HAVE A FEVER AT ALL
audio/RES0044.mp3[281.640,299.560]	UM LIKE WHEN I CAME IN HERE WHEN THE NURSE TOOK MY TEMPERATURE SHE SAID I HAD UM LIKE SHE SAID I HAD A FEVER UH I DONT HAVE A THERMOMETER AT HOME UM BUT LIKE IVE BEEN FEELING REALLY HOT SO WOULD PROBABLY IVE PROBABLY BEEN HAVING IT FOR A COUPLE OF DAYS
audio/RES0044.mp3[299.560,306.600]	OK OK WE CAN TAKE YEAH WE CAN TAKE YOUR TEMPERATURE SORRY DID YOU SAY YOU ALREADY TOOK YOUR TEMPERATURE TODAY AND
audio/RES0044.mp3[306.600,312.440]	THE NURSE TOOK IT YEAH I DONT KNOW WHAT IT WAS BUT THE NURSE KEPT COMING IN AND SHE SAID IT WAS A
audio/RES0044.mp3[312.440,318.280]	LITTLE HIGH LIKE I DONT KNOW IF IT WAS LIKE A FEVER BUT IVE BEEN FEELING HOT SO
audio/RES0044.mp3[318.280,332.560]	OK OK YEAH SO YEAH WELL DOUBLE CHECK TO MAKE SURE THAT UM YOU EITHER DO OR DONT HAVE A FEVER UM HAVE YOU EXPERIENCED ANY CHILLS OR NIGHT SWEATS OVER THE PAST FEW DAYS
audio/RES0044.mp3[332.560,335.000]	UH NO
audio/RES0044.mp3[335.000,339.680]	NO OK OK HOW ABOUT UM ANY WEIGHT LOSS
audio/RES0044.mp3[339.680,348.520]	NO LIKE I DONT WEIGH MYSELF REGULARLY BUT I DONT THINK SO
audio/RES0044.mp3[348.520,357.920]	OK UM ANY CHANGES TO YOUR HAIR OR UH NAILS OR SKIN LIKE RASHES
audio/RES0044.mp3[357.920,359.640]	UH NO
audio/RES0044.mp3[359.640,366.120]	NO OK HOW ABOUT UM CHEST PAIN
audio/RES0044.mp3[366.120,368.040]	UH NO
audio/RES0044.mp3[368.040,374.640]	NO CHEST PAIN OK UM SWELLING IN YOUR LIMBS
audio/RES0044.mp3[374.640,376.200]	UH NO
audio/RES0044.mp3[376.200,381.960]	NO DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0044.mp3[381.960,384.600]	UH NO
audio/RES0044.mp3[384.600,398.640]	NO OK UM HOW ABOUT UM HOW ABOUT ANY DIZZINESS OR OR FAINTING SPELLS
audio/RES0044.mp3[398.640,404.160]	UM NO LIKE IVE BEEN JUST TIRED
audio/RES0044.mp3[404.160,405.640]	JUST TIRED OK
audio/RES0044.mp3[405.640,409.880]	YEAH I DONT I DONT I HAVENT FAINTED OR ANYTHING
audio/RES0044.mp3[409.880,414.000]	OK ANY HEADACHES
audio/RES0044.mp3[416.080,422.760]	NO OK UH HOW ABOUT CONFUSION OR MEMORY LOSS
audio/RES0044.mp3[422.760,424.680]	UM NO I DONT THINK SO
audio/RES0044.mp3[424.680,433.320]	OK UM ANY CHANGES TO YOUR BOWEL HABITS
audio/RES0044.mp3[433.320,435.800]	UM NO
audio/RES0044.mp3[435.800,442.800]	NO OK SO NO CONSTIPATION OR DIARRHEA OR BLOOD IN YOUR STOOL
audio/RES0044.mp3[442.800,444.600]	YEAH EXACTLY
audio/RES0044.mp3[444.600,448.960]	OK ANY CHANGES TO YOUR URINE
audio/RES0044.mp3[450.800,455.360]	OK ANY NAUSEA OR VOMITING
audio/RES0044.mp3[456.320,462.680]	NO OK AND UM NO ABDOMINAL ACHES
audio/RES0044.mp3[467.360,472.320]	NO OK UM ARE YOU OTHERWISE HEALTHY
audio/RES0044.mp3[472.320,495.920]	UM LIKE I HAVE UM I HAVE UH LIKE SOME UM LIKE DIGESTIVE PROBLEMS GENERALLY LIKE I HAVENT HAD ANY CHANGES TO THAT BUT THEY THINK IT MIGHT BE LIKE CROHNS OR SOMETHING UM BUT OTHER THAN THAT NO
audio/RES0044.mp3[495.920,502.440]	UM YOU SAID YOU HAD DIGESTIVE PROBLEMS DID YOU SAY IT MIGHT BE CROHNS
audio/RES0044.mp3[502.440,513.520]	YEAH LIKE I IVE BEEN SEEING MY FAMILY DOCTOR AND THEY THEY SAID THEY THOUGHT IT MIGHT BE UM BUT WE DONT REALLY KNOW JUST LIKE IN GENERAL I GUESS THEYVE BEEN CALLING IT IBS
audio/RES0044.mp3[513.520,516.080]	OH I SEE OK UM OK
audio/RES0044.mp3[516.080,520.040]	I WISH I KNEW EXACTLY BUT THEY JUST SAID YEAH THEY DONT REALLY KNOW
audio/RES0044.mp3[522.800,527.160]	BUT THERE HAVENT BEEN ANY CHANGES RIGHT NOW
audio/RES0044.mp3[527.160,537.200]	OH YEAH I SEE OK UM HAVE YOU EVER HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0044.mp3[537.760,547.360]	NO OK UM ARE YOU ON ANY MEDICATIONS
audio/RES0044.mp3[550.040,555.000]	OK AND HOW ABOUT UM ANY ALLERGIES
audio/RES0044.mp3[555.000,563.800]	UM JUST UH PINEAPPLE LIKE NOT ANY MEDICATIONS OR ANYTHING
audio/RES0044.mp3[563.800,570.520]	PINEAPPLE OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0044.mp3[570.520,577.080]	UH YEAH YEAH
audio/RES0044.mp3[577.080,586.760]	OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0044.mp3[586.760,592.120]	UM LIKE MY MY UNCLE HAD A HEART ATTACK
audio/RES0044.mp3[593.040,599.000]	I DONT LIKE NOT MY PARENTS
audio/RES0044.mp3[599.000,602.640]	OK I SEE UM ANY CANCERS IN THE FAMILY
audio/RES0044.mp3[602.640,608.080]	UH NO
audio/RES0044.mp3[608.080,613.640]	OK UM AND DO YOU SMOKE
audio/RES0044.mp3[614.120,621.800]	NO OK HOW ABOUT MARIJUANA
audio/RES0044.mp3[622.920,627.440]	NO OK UM ANY OTHER RECREATIONAL DRUGS
audio/RES0044.mp3[627.440,631.360]	UM NO NO
audio/RES0044.mp3[631.360,637.200]	OK HOW ABOUT ALCOHOL
audio/RES0044.mp3[637.200,650.000]	UH LIKE I DRINK I DONT KNOW MAYBE ILL DRINK LIKE A BOTTLE OF WINE ON LIKE A WEEKEND LIKE OVER A WHOLE WEEKEND OR SOMETHING SO LIKE I DONT KNOW MAYBE LIKE 3 OR 4 DRINKS OVER THE WEEKEND
audio/RES0044.mp3[650.000,653.320]	THREE OR FOUR DRINKS A WEEKEND OK
audio/RES0044.mp3[653.320,655.760]	YEAH SOMETHING LIKE THAT
audio/RES0044.mp3[655.760,657.520]	SURE OK
audio/RES0044.mp3[657.520,658.600]	IM NOT AT ALL LIKE
audio/RES0044.mp3[658.600,663.880]	OK SO OCCASIONALLY
audio/RES0044.mp3[666.680,668.240]	OK AND WHERE DO YOU LIVE
audio/RES0044.mp3[668.240,672.760]	UH I LIVE IN TOWN HERE
audio/RES0044.mp3[672.760,675.560]	OK DO YOU LIVE IN A HOUSE IN AN APARTMENT
audio/RES0044.mp3[675.560,681.040]	UM MY FIANCÉ AND I LIVE IN A TOWNHOUSE
audio/RES0044.mp3[681.040,691.200]	IN A TOWNHOUSE OK UM ANY UM CONCERNS FOR LIKE OLD CARPETS OR MOLD OR ASBESTOS ANYTHING LIKE THAT
audio/RES0044.mp3[691.200,696.640]	UH NO ITS LIKE A NEW A NEW BUILDING
audio/RES0044.mp3[696.640,703.880]	OK OK AND DO YOU THINK YOU MAY HAVE BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0044.mp3[703.880,747.640]	WELL SO UM I WORK UH IN LIKE I WORK IN AN OFFICE THATS ATTACHED TO A FACTORY UM AND I SO LIKE I HAVE TO ACTUALLY BE THERE I HAVENT BEEN ABLE TO WORK FROM HOME UM AND THERE WAS SOMEONE ELSE IN MY OFFICE THAT I THINK WAS COUGHING IN THAT LIKE LAST WEEK AND I I DONT KNOW I QUESTIONED IT BUT I I DIDNT ACTUALLY GET TO TALK TO THEM AND ASK THEM OR LIKE I DONT KNOW IF THEY WERE ACTUALLY SICK OR SOMETHING SO I MIGHT HAVE BEEN AND WE WEAR MASKS AND EVERYTHING LIKE WERE REALLY GOOD BUT I DONT KNOW I FEEL LIKE THE OFFICES ARENT LIKE SUPER LIKE THE AIR FLOWS NOT THAT GREAT
audio/RES0044.mp3[747.800,757.480]	SO YEAH I THINK THATS ANOTHER REASON I WAS CONCERNED THAT I I FEEL LIKE SOME PEOPLE MIGHT HAVE BEEN SICK AND I DIDNT REALLY KNOW THE WHOLE STORY
audio/RES0044.mp3[757.480,763.200]	RIGHT OK SO POTENTIALLY FROM FROM THE WORKPLACE THEN OK
audio/RES0044.mp3[764.680,767.800]	AND OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0044.mp3[772.000,782.920]	NO OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY WAS THERE UM ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS TODAY
audio/RES0044.mp3[782.920,786.240]	UH NOT THAT I CAN THINK OF
audio/RES0044.mp3[786.240,883.080]	NO OK SO RIGHT NOW IT SEEMS LIKE IF IM GOING THROUGH MY DIFFERENTIAL DIAGNOSIS LIST FOR YOU AT THE TOP IS THE THING THAT WE HAVE TO RULE OUT IS COVID SO WELL TAKE A SWAB AND SEND IT OFF FOR THOSE PCR RESULTS AND YOULL HEAR BACK EITHER TOMORROW OR THE DAY AFTER ABOUT THE RESULTS BUT IN THE MEAN TIME AND I GUESS EVEN IF THE TEST IS NEGATIVE UM AND YOURE STILL HAVING SYMPTOMS PLEASE DO ISOLATE FOR 14 DAYS UM AND IF YOUR SYMPTOMS GET WORSE UM LIKE YOU KNOW YOURE HAVING TROUBLE BREATHING UH YOUR FEVER YOUR TEMPERATURE IS OFF THE CHARTS UM OR YOURE HAVING ANY SORT OF NEUROLOGICAL SYMPTOM PLEASE DO UM GO TO THE ER AND SEEK OUT HELP UM IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT DURING THIS TIME OF YEAR UM AND USUALLY THE TREATMENT FOR THAT KIND OF STUFF IS SUPPORTIVE SO MAKE SURE YOURE STAYING WELL HYDRATED YOURE EATING NUTRITIOUS FOODS UH YOURE GETTING GOOD SLEEP UM AND IF NOT AND YOUR SYMPTOMS YOU KNOW YOURE HAVING A PRODUCTIVE COUGH UM YOURE REALLY SHORT OF BREATH UH WE CAN TEST YOU TO SEE IF YOU HAVE SOME SORT OF BACTERIAL PNEUMONIA AND THOSE ARE USUALLY TREATED WITH ANTIBIOTICS SO THATS KIND OF THE PLAN RIGHT NOW UM SO WELL JUST START WITH THAT COVID SWAB FOR NOW HOW DOES THAT SOUND
audio/RES0044.mp3[883.080,889.800]	YEAH THAT THAT SOUNDS GREAT THATS REALLY WHAT IT LIKE I I DONT FEEL SUPER SICK I JUST REALLY WANNA KNOW IF I HAVE COVID OR NOT
audio/RES0044.mp3[889.800,892.360]	YEAH FOR SURE AND I AND I THINK ITS GOOD THAT YOU CAME IN
audio/RES0044.mp3[894.440,896.160]	ALRIGHT THANK YOU
audio/RES0044.mp3[896.160,898.200]	OK THANKS
audio/RES0213.mp3[0.000,6.320]	YEAH SO YOURE A 26 YEAR OLD GENERALLY HEALTHY AND WITH SORRY BACK PAIN
audio/RES0213.mp3[6.320,7.320]	CHEST PAIN
audio/RES0213.mp3[7.320,11.000]	CHEST PAIN OK WHEN DID THE CHEST PAIN START
audio/RES0213.mp3[11.000,23.680]	UM SO I I GUESS I I DONT KNOW IF ID REALLY CALL IT PAIN ITS ITS BEEN JUST VERY UNCOMFORTABLE LIKE IT JUST FELT A LITTLE ODD FOR LIKE A WEEK AND A HALF ITS KIND OF
audio/RES0213.mp3[23.680,25.240]	A WEEK AND A HALF
audio/RES0213.mp3[25.240,32.120]	YEAH ITS KIND OF LIKE A VERY SHARP STRONG PAIN UH WHEN I TAKE A DEEP BREATH
audio/RES0213.mp3[33.680,47.360]	BUT I DONT NOTICE IT ALL THE TIME ITS JUST ITS OFTEN WHEN UM IM SITTING AND STUDYING OR WHEN IM WALKING WHEN IM WALKING TO SCHOOL
audio/RES0213.mp3[47.360,53.280]	OK DID YOU HAVE ANY ACCIDENTS OR INJURIES AROUND THAT TIME
audio/RES0213.mp3[53.280,55.960]	UH NO NOTHING THAT I CAN THINK OF
audio/RES0213.mp3[55.960,61.000]	OK DID IT COME ON SUDDENLY OR IS IT MORE GRADUAL
audio/RES0213.mp3[61.000,83.920]	YEAH ITS UH NO ITS ITS PRETTY ITS PRETTY WELL IT SEEMS THE SAME EACH TIME IT KIND OF LASTS LIKE 20 MINUTES OR SO UM AND IVE TRIED TYLENOL AND IVE TRIED ADVIL UM AND IVE EVEN TRIED LIKE A LIKE AN ALKASELTZER AND IT HASNT REALLY HELPED VERY MUCH
audio/RES0213.mp3[83.920,90.920]	OK SO ITS PRETTY ITS NOT CONSISTENT THROUGHOUT THE DAY IT ONLY HAPPENS AT CERTAIN TIMES OF THE DAY
audio/RES0213.mp3[90.920,98.160]	YEAH ITLL COME ON FOR LIKE 20 MINUTES LIKE HERE AND THERE
audio/RES0213.mp3[98.160,104.240]	OK ANYTHING THAT YOU THINK TRIGGERS IT
audio/RES0213.mp3[104.240,130.080]	I DONT I DONT REALLY KNOW UH I WAS KIND OF WORRIED UM I WAS KIND OF WORRIED THAT IT COULD BE A HEART THING I I FEEL LIKE IT MIGHT IT MIGHT BE IT COULD BE STRESS UHM BUT IM IM NOT REALLY SURE MY DAD HAD A HEART ATTACK LAST YEAR HE WAS PRETTY YOUNG HES LIKE IN HIS 50S AND IT IT JUST KIND OF SCARES ME BECAUSE NOW HES HAVING THESE HEART PROBLEMS
audio/RES0213.mp3[130.080,144.760]	OK SO THESE CHEST PAINS LAST FOR ABOUT 20 MINUTES IT ONLY HAPPENS WHEN YOU TAKE A DEEP BREATH IN AND AFTER THE 20 MINUTES DO THEY COME AND GO IS IT SOMETHING THAT GRADUALLY WEANS OFF OR IS IT FAIRLY SHARP
audio/RES0213.mp3[144.760,163.240]	IT SEEMS LIKE IT KIND OF GOES AWAY ONCE I ONCE IM AT SCHOOL AND LIKE TALKING TO PEOPLE AND DOING OTHER THINGS ITS KIND OF WHEN IM I NOTICE IT WHEN IM ON MY WALKS WHEN IM ALONE OR LIKE WHEN IM STUDYING ALONE MORE LIKE MAYBE I HAVE IT WHEN IM TALKING TO OTHER PEOPLE BUT I DONT REALLY NOTICE IT
audio/RES0213.mp3[163.240,167.320]	OK DOES IT GET WORSE WITH EXERCISE
audio/RES0213.mp3[167.320,180.360]	UH I DONT THINK SO IT JUST KIND OF LIKE WHEN IM WALKING TO SCHOOL IT KIND OF STAYS THE SAME I HAVENT DONE ANY STRENUOUS EXERCISE LATELY CAUSE IVE JUST HAD SO MUCH UH SCHOOLWORK PILING UP
audio/RES0213.mp3[180.360,184.880]	SO YOU MAINLY GET IT AT SO YOU CAN GET IT AT REST I SHOULD SAY
audio/RES0213.mp3[184.880,188.200]	EXACTLY YEAH LIKE WHEN IM STUDYING
audio/RES0213.mp3[188.200,193.440]	OK ANY FEVERS SICK AT ALL LAST LITTLE WHILE
audio/RES0213.mp3[193.440,196.720]	UH NO NO I DONT THINK SO
audio/RES0213.mp3[196.720,199.960]	NO YOUVE BEEN FEELING WELL OTHERWISE
audio/RES0213.mp3[199.960,217.040]	YEAH I MEAN BESIDES JUST KIND OF FEELING STRESSED I UH LIKE I IVE BEEN TRYING TO QUIT SMOKING AND THATS BEEN THATS BEEN KIND OF HARD AND SCHOOLS JUST VERY VERY BUSY RIGHT NOW
audio/RES0213.mp3[217.040,222.520]	WHEN DID YOU STOP SMOKING
audio/RES0213.mp3[222.520,233.840]	UM SO LIKE I GUESS IM TRYING TO QUIT IM SMOKING LESS THAN I USED TO I PROBABLY SMOKED 5 CIGARETTES A DAY BUT IT USED TO BE A LITTLE BIT MORE
audio/RES0213.mp3[233.840,240.440]	OK COMING BACK TO THE STRESS IS THERE ANYTHING RECENTLY THATS CAUSING YOU MORE WORRIES
audio/RES0213.mp3[240.440,258.680]	UM ITS JUST THAT IM IM DOING MY MASTERS OF SOCIAL WORK AND IM GETTING TOWARDS THE END AND ITS JUST ITS VERY SCARY BECAUSE IM WORKING ON MY FINAL UH THESIS AND THERES JUST A LOT INVOLVED AND ITS ITS JUST MAKING ME VERY NERVOUS
audio/RES0213.mp3[258.680,265.680]	OK IS THERE ANYTHING SPECIAL ABOUT THE LAST COUPLE OF WEEKS THATS MADE YOU MORE STRESSED THAN PREVIOUSLY
audio/RES0213.mp3[265.680,273.200]	UH I THINK JUST THE THE TIME CRUNCH OF HAVING TO TO FINISH THIS IVE NEVER FELT LIKE SO LIKE THERE IS SO LITTLE TIME TO DO THE WORK THAT I NEED TO DO
audio/RES0213.mp3[273.200,278.080]	GOT IT HAVE YOU EVER FELT THIS PAIN BEFORE ANYTIME IN YOUR LIFE
audio/RES0213.mp3[278.080,282.840]	NO NO NOT BEFORE THIS
audio/RES0213.mp3[282.840,298.920]	OK SO IT COMES ON SEVERAL TIMES A DAY NOT NECESSARILY TRIGGERED BY ANYTHING AND YOU SAID YOU SMOKE WHEN DID YOU START SMOKING
audio/RES0213.mp3[298.920,316.200]	UM LIKE WHEN I WAS PROBABLY 18 I I SOMETIMES SMOKED A LITTLE AND THEN I SMOKED A LITTLE MORE UM MAYBE LIKE 10 CIGARETTES A DAY FOR UH LIKE THE LAST TWO YEARS BUT THEN A FEW MONTHS AGO IVE BEEN IVE BEEN CUTTING IT IN HALF
audio/RES0213.mp3[316.200,323.360]	OK NOW WHEN YOU GET THIS THIS CHEST PAIN DO YOU EVER FEEL SHORT OF BREATH
audio/RES0213.mp3[323.360,339.960]	UM I I THINK I I MAKE MYSELF NERVOUS WITH IT AND THEN I KIND OF START BREATHING FASTER BUT I DONT HAVE A HARD I DONT HAVE A HARD TIME BREATHING OTHERWISE AND ITS HARD TO GET A DEEP BREATH CAUSE IM IT MAKES ME REALLY NERVOUS
audio/RES0213.mp3[339.960,348.480]	DOES YOUR HEART EVER FLUTTER FEEL LIKE ITS SKIPPING A BEAT
audio/RES0213.mp3[348.480,360.200]	UHM NO ONLY IF I ONLY IF I IF I IF IM HAVING KIND OF AN ANXIETY ATTACK THATS FELT LIKE THAT BEFORE BUT NOT ANY OTHER TIME
audio/RES0213.mp3[360.200,375.080]	OK DONT GET ANY CHEST PAIN ALL RIGHT AND JUST IN TERMS OF OTHER THINGS SO ANYTHING ELSE YOUVE SEEN A DOCTOR FOR IN THE PAST YOU MENTIONED ANXIETY ATTACKS
audio/RES0213.mp3[375.080,389.040]	YEAH UM LIKE I TALKED TO MY FAMILY DOCTOR ABOUT THAT WHEN I WAS A TEENAGER BUT I REALLY HAVENT YOU KNOW SEEN MY DOCTOR FOR IT ANYTIME IN THE LAST LIKE EIGHT YEARS OR SO
audio/RES0213.mp3[389.040,391.680]	ANYTHING ELSE YOU SEE YOUR FAMILY
audio/RES0213.mp3[391.680,405.000]	I DONT OH SORRY NO NOTHING ELSE I JUST I THOUGHT I WAS KIND OF WHEN I WAS IN HIGH SCHOOL I HAD THOSE AND THEN I REALLY HAVENT FOR A LONG TIME BUT UM LATELY I FELT LIKE THIS LIKE I COULD MAYBE GET THEM AGAIN
audio/RES0213.mp3[405.000,407.040]	SO YOUVE NEVER HAD ASTHMA AS A CHILD
audio/RES0213.mp3[407.040,408.160]	UH NO
audio/RES0213.mp3[408.160,412.360]	AND YOU DONT HAVE ASTHMA NOW
audio/RES0213.mp3[413.440,417.200]	OK DO YOU TAKE ANY MEDICATIONS RIGHT NOW
audio/RES0213.mp3[417.200,422.600]	UH NO LIKE I TAKE LIKE A MULTI VITAMIN BUT THATS IT
audio/RES0213.mp3[422.600,424.800]	OK AND YOU LIVE IN LONDON
audio/RES0213.mp3[424.800,427.160]	MHMM LIKE FOR SCHOOL
audio/RES0213.mp3[427.160,433.360]	GOT IT YOURE DOING A MASTERS IN SOCIAL WORK ANYONE AROUND YOU BEEN SICK AT ALL LAST LITTLE WHILE
audio/RES0213.mp3[433.360,438.080]	NO LIKE I LIVE ALONE I HAVENT REALLY SEEN VERY MANY PEOPLE LATELY
audio/RES0213.mp3[438.080,443.080]	OK AND HOW DO YOU MANAGE STRESS WHEN YOU DO GET IT
audio/RES0213.mp3[443.080,465.600]	UM I TRY TO I TRY TO LIKE SET SOME TIME ASIDE JUST TO READ BOOKS THAT LIKE I LIKE TO READ INSTEAD OF LIKE SCHOOL BOOKS UH AT NIGHT TIME AND UH I DO REALLY ENJOY RUNNING ITS IVE BEEN A LITTLE BIT NERVOUS TO DO IT LATELY BUT USUALLY I RUN LIKE A FEW TIMES A WEEK
audio/RES0213.mp3[465.600,471.840]	OK AND WHEN YOURE PRETTY PREOCCUPIED DO YOU EVER GET THE CHEST PAIN
audio/RES0213.mp3[471.840,494.360]	UM LIKE WHEN IM REALLY WHEN IM WORK LIKE WORKING WITH CLASSMATES OR UH LIKE THINKING REALLY LIKE IF IM TALKING TO SOMEONE ELSE I DONT REALLY GET IT OR IF I IF IM LIKE WORKING ON A TASK WITH MY HANDS BUT ITS WHEN IM WALKING AND I AM ALONE KIND OF WITH MY THOUGHTS OR WHEN IM STUDYING THATS WHEN I WHEN I GET IT
audio/RES0213.mp3[494.360,502.920]	UNDERSTOOD AND YOU SAID YOUR FATHER PASSED EARLY FROM A HEART ATTACK IM SORRY BUT ANYONE ELSE IN YOUR FAMILY EITHER YOUR PARENTS OR MUM HAVE ANY HEALTH ISSUES
audio/RES0213.mp3[502.920,526.880]	OH HES UH HES ALIVE LIKE HE HAD A HEART ATTACK AND JUST NOW HE HAS TO SEE A LOT OF HEART DOCTORS UM NO THERES NOTHING ELSE IN MY FAMILY LIKE THAT I DONT REALLY KNOW LIKE ABOUT MY GRANDPA LIKE MY DADS DAD BUT LIKE HE MIGHT HAVE ALSO UM HE JUST KIND OF HE JUST PASSED AWAY YOUNG FROM UM LIKE AN ACCIDENT SO YEAH IM NOT REALLY SURE
audio/RES0213.mp3[526.880,535.960]	GOT IT SO NO ONE HAS DIED SUDDENLY WITH NO EXPLANATION WHEN THEY WERE YOUNG OR WHILE THEY WERE SWIMMING
audio/RES0213.mp3[536.800,541.560]	NO ONES EVER TALKED ABOUT ARRHYTHMIAS OR IS THAT A WORD FAMILIAR TO YOU
audio/RES0213.mp3[541.560,547.280]	NO NO JUST MY DAD AND HIS HEART ATTACK THATS LIKE THE ONLY THING I KNOW OF
audio/RES0213.mp3[547.280,556.440]	OK SOUNDS GOOD I THINK IVE GOT ALL THE INFORMATION I NEED AND ILL PASS IT ON TO THE DOCTOR WHOLL TAKE A LOOK AT YOU OK HAVE A GOOD ONE
audio/RES0213.mp3[556.440,558.320]	OK THANK YOU
audio/RES0065.mp3[0.000,7.560]	SO WHAT BRINGS YOU INTO THE FAMILY CLINIC TODAY
audio/RES0065.mp3[7.560,21.600]	YEAH IVE HAD THIS SORE THROAT FOR THE PAST THREE DAYS AND IT DOESNT SEEM TO BE GETTING ANY BETTER AT ALL I FEEL SORT OF FEVERISH SO I JUST THOUGHT I SHOULD COME IN AND GET THIS CHECKED OUT
audio/RES0065.mp3[21.600,26.880]	OK AND WHEN DID YOU START HAVING THIS SORE THROAT
audio/RES0065.mp3[26.880,29.960]	THREE DAYS AGO
audio/RES0065.mp3[29.960,34.680]	OK AND HOW ABOUT THE FEVER
audio/RES0065.mp3[34.680,38.240]	THE FEVER I NOTICED MAYBE A DAY BACK
audio/RES0065.mp3[38.240,47.440]	OK AND DID YOU GET ANY TEMPERATURE MEASUREMENTS
audio/RES0065.mp3[47.440,57.960]	I DIDNT TAKE ANY MYSELF BUT I FELT HOT AND I FELT CHILLS
audio/RES0065.mp3[57.960,67.240]	OK AND HAVE YOUR SORE THROAT OR FEVER GONE WORSE AT ALL
audio/RES0065.mp3[67.240,71.880]	I THINK ITS GETTING WORSE YEAH
audio/RES0065.mp3[71.880,82.000]	AND DOES IT USUALLY HAPPEN DURING THE DAY THROUGHOUT THE NIGHT OR DOES IT HAVE ANY SORT OF PATTERN
audio/RES0065.mp3[82.000,99.640]	I WOULD SAY THAT IT DOESNT REALLY HAVE A PATTERN THE SORE THROAT IS ALWAYS THERE AND THE FEVER STARTED A DAY BACK AND IT SEEMS TO BREAK SOMETIMES BUT RIGHT NOW THERE IS NO REAL PATTERN TO IT
audio/RES0065.mp3[99.640,104.160]	OK AND BESIDES THAT DO YOU HAVE ANY COUGH
audio/RES0065.mp3[104.160,108.240]	NO NO COUGH
audio/RES0065.mp3[108.240,116.920]	OK AND HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU AT ALL
audio/RES0065.mp3[116.920,133.600]	I TRIED JUST LIKE THOSE LOZENGES AND SEEMS TO BE HELPING JUST SOOTHE MY THROAT BUT ITS A TEMPORARY RELIEF
audio/RES0065.mp3[133.600,137.760]	OK AND HAVE YOU HAD ANYTHING LIKE THIS HAPPEN TO YOU BEFORE
audio/RES0065.mp3[137.760,141.920]	NO NOTHING LIKE THIS
audio/RES0065.mp3[141.920,143.920]	AND IS THE SORE THROAT CONSTANT OR DOES IT COME AND GO
audio/RES0065.mp3[143.920,152.600]	I WOULD SAY ITS PRETTY CONSTANT NOW
audio/RES0065.mp3[152.600,160.320]	OK AND HAVE YOU BEEN AROUND ANYONE THAT HAS BEEN SICK RECENTLY
audio/RES0065.mp3[160.320,164.840]	NOT THAT I KNOW OF
audio/RES0065.mp3[164.840,172.120]	ANYTHING THAT MAKES YOUR SORE THROAT WORSE
audio/RES0065.mp3[172.120,178.760]	I GUESS SWALLOWING FOODS MAKES IT WORSE OR AT LEAST ITS PAINFUL
audio/RES0065.mp3[178.760,189.400]	OK AND HAVE YOU AT ALL NOTICED ANY LIKE SWELLING AROUND YOUR NECK REGION LIKE SWELLING OF YOUR LYMPH NODES
audio/RES0065.mp3[189.400,200.200]	SO YEAH NOT SWELLING OF MY ENTIRE NECK BUT I HAVE FELT SOME LUMPS IN MY NECK
audio/RES0065.mp3[200.200,204.760]	OK AND HOW ABOUT ANY SWELLING ANYWHERE ELSE ON YOUR BODY
audio/RES0065.mp3[204.760,205.720]	NOWHERE ELSE
audio/RES0065.mp3[205.720,211.240]	OK HAVE YOU NOTICED ANY KIND OF SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT
audio/RES0065.mp3[215.960,219.720]	OK AND HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0065.mp3[219.720,223.040]	NO NOWHERE
audio/RES0065.mp3[223.040,227.920]	OK DO YOU HAVE ANY HEADACHES OR NAUSEA OR VOMITING
audio/RES0065.mp3[227.920,231.840]	NO NOTHING LIKE THAT
audio/RES0065.mp3[231.840,235.120]	OK AND ANY NIGHT SWEATS
audio/RES0065.mp3[237.160,242.120]	AND DO YOU FEEL FATIGUED LIKE INCREASED TIREDNESS AT ALL
audio/RES0065.mp3[242.120,246.480]	UMM YEAH IVE BEEN FEELING REALLY TIRED
audio/RES0065.mp3[246.480,253.560]	OK ANY CHEST PAIN OR FEELING THAT YOUR HEART IS RACING
audio/RES0065.mp3[253.560,259.040]	NO NOTHING LIKE THAT
audio/RES0065.mp3[259.040,263.680]	OK ANY ISSUES WITH BOWEL MOVEMENTS LIKE ANY DIARRHEA OR CONSTIPATION
audio/RES0065.mp3[263.680,266.040]	NO NO THATS BEEN NORMAL
audio/RES0065.mp3[266.040,269.160]	OK ANY CHANGES IN YOUR URINATION
audio/RES0065.mp3[269.160,270.720]	NO NO CHANGES
audio/RES0065.mp3[270.720,280.080]	HAVE YOU BEEN GETTING SLEEP AT NIGHT OR DO YOU HAVE TO KEEP WAKING UP
audio/RES0065.mp3[280.080,286.320]	UM IVE BEEN GETTING OK I SLEEP LIKE IVE BEEN SLEEPING ABOUT 7 TO 8 HOURS
audio/RES0065.mp3[286.320,290.920]	OK AND HOW ABOUT YOUR APPETITE
audio/RES0065.mp3[290.920,301.400]	I WOULD SAY THATS BEEN OK AS WELL ITS JUST HARD TO EAT A LOT OF FOOD BECAUSE OF THIS SORE THROAT
audio/RES0065.mp3[301.400,307.920]	AND IS IT JUST WITH SOLIDS OR DO YOU GET THE SORENESS WITH LIQUIDS TOO
audio/RES0065.mp3[307.920,318.440]	I WOULD SAY MOSTLY WITH SOLIDS SOMETIMES WITH LIQUID IF ITS LIKE REALLY COLD OR SOMETHING
audio/RES0065.mp3[318.440,332.160]	OK DO YOU HAVE ANY KIND OF ALLERGIES TO ANYTHING IN YOUR HOUSE LIKE CARPETS PETS OR ANYTHING LIKE THAT
audio/RES0065.mp3[333.600,339.920]	OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD
audio/RES0065.mp3[340.960,347.080]	NO OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS
audio/RES0065.mp3[347.080,350.960]	UM I HAVE CROHNS DISEASE
audio/RES0065.mp3[350.960,355.600]	AND WHEN DID YOU GET DIAGNOSED WITH CROHNS
audio/RES0065.mp3[355.600,360.600]	THAT WOULD HAVE BEEN LAST YEAR
audio/RES0065.mp3[360.600,368.920]	LAST YEAR OK AND ARE YOU TAKING ANY MEDICATIONS FOR YOUR CROHNS DISEASE
audio/RES0065.mp3[368.920,378.000]	I AM ON SOMETHING FOR IT I THINK ITS SULFASALAZINE OR SOMETHING LIKE THAT
audio/RES0065.mp3[378.000,383.360]	OK AND ANY OTHER MEDICATIONS BESIDES THAT
audio/RES0065.mp3[383.360,388.320]	UHM NO I DONT THINK SO
audio/RES0065.mp3[388.320,394.120]	ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0065.mp3[394.120,403.440]	UM I HAD A COLONOSCOPY DONE I JUST NEEDED HOSPITALIZATION FOR JUST THE DAY I GUESS
audio/RES0065.mp3[403.440,405.240]	OK AND WHEN WAS THAT
audio/RES0065.mp3[405.240,409.560]	THAT WAS ALSO LAST YEAR
audio/RES0065.mp3[409.560,423.600]	LAST YEAR OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY CONDITIONS THAT RUN IN THE FAMILY LIKE DO YOU HAVE ANY CROHNS DISEASE OR ULCERATIVE COLITIS THAT RUN IN THE FAMILY
audio/RES0065.mp3[423.600,424.400]	YEAH BOTH DO
audio/RES0065.mp3[424.400,430.360]	BOTH DO OK ANY ANYTHING ELSE THAT RUNS IN THE FAMILY
audio/RES0065.mp3[430.360,440.960]	UHM I KNOW THERES SOME ASTHMA AND ECZEMA THAT RUN IN THE FAMILY TOO
audio/RES0065.mp3[440.960,451.640]	OK AND YOU MENTIONED YOU HAVENT BEEN AROUND ANYONE THAT WAS SICK OR RECENTLY GOT SICK
audio/RES0065.mp3[454.560,457.800]	OK AND WHERE DO YOU CURRENTLY LIVE
audio/RES0065.mp3[457.800,466.960]	I LIVE IN AN APARTMENT BY MYSELF SORRY NOT BY MYSELF WITH MY PARENTS AND MY YOUNGER BROTHER
audio/RES0065.mp3[466.960,470.480]	AND DO YOU AT ALL DRINK ALCOHOL
audio/RES0065.mp3[470.480,482.280]	NO I DRANK ONCE OR TWICE IN THE PAST BUT I DIDNT LIKE IT IT MAKES MY CROHNS WORSE SO I STAY AWAY FROM IT
audio/RES0065.mp3[482.280,485.040]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0065.mp3[487.840,490.960]	AND HOW ABOUT ANY OTHER DRUGS LIKE MARIJUANA
audio/RES0065.mp3[495.840,504.880]	OK ALRIGHT SO DO YOU PARTAKE IN ANY LIKE SPORTS OR ACTIVITIES OR ANYTHING LIKE THAT
audio/RES0065.mp3[504.880,507.400]	UM I SWIM
audio/RES0065.mp3[507.400,512.040]	OK ANY CONTACT SPORTS
audio/RES0065.mp3[512.840,533.880]	OK ALRIGHT SO YEAH OVERALL IT SEEMS THAT YOU HAD THIS SORE THROAT WHICH IS CONSTANT GETTING WORSE AND A BIT OF A FEVER IN TH LAST ONE OR TWO DAYS AND YOUVE ALSO HAD SWELLING IN YOUR NECK AND SO YEAH DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS
audio/RES0065.mp3[533.880,540.360]	NO LIKE WHAT DO YOU THINK I HAVE DO YOU THINK ITS COVID
audio/RES0065.mp3[540.360,600.040]	YEAH SO DEFINITELY AT THIS TIME YOU KNOW WHENEVER PEOPLE HAVE ANY RESPIRATORY SYMPTOMS WE ALWAYS WANT TO RULE OUT COVI SO WILL DEFINITELY GET A SWAB FOR COVITESTING DONE FOR YOU TODAY WHICH SHOULD COME BACK WITHIN 24 TO 48 HOURS AND IN THE MEANTIME YOU SHOULD SELF ISOLATE AND OTHER THAN THAT IT CAN ALSO BE DUE TO THIS SWELLING IN YOUR LYMPH NODES AND ALSO JUST THE OTHER SYMPTOMS IT CAN BE OTHER VIRAL INFECTIONS IT CAN BE MONO SO WE DEFINITELY HAVE TO DO A COUPLE OF TESTS AND THERES ONE TEST THAT WILL DO FOR MONO AS WELL WHICH IS CALLED EBV ANTIBODY TESTING SO WELL DO A COUPLE OF THESE TESTS TODAY AND THEN SEE WHAT WHAT COMES BACK AND IN THE MEANTIME YOU SHOULD DEFINITELY SELF ISOLATE IF YOU HAVENT BEEN DOING SO ALREADY
audio/RES0065.mp3[600.040,602.480]	OK SURE I CAN DO THAT
audio/RES0065.mp3[602.480,604.480]	YEAH DO YOU HAVE ANY QUESTIONS
audio/RES0065.mp3[604.480,607.040]	NO THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0065.mp3[607.040,609.040]	YOURE WELCOME TAKE CARE
audio/RES0065.mp3[609.040,612.960]	YOU TOO
audio/RES0034.mp3[0.000,9.440]	HI THERE I WAS JUST HOPING TO ASK YOU A FEW QUESTIONS TODAY BUT I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN TODAY
audio/RES0034.mp3[9.440,18.160]	I AM JUST CALLING ABOUT MY DAUGHTER SHES BEEN SICK OVER THE LAST FEW DAYS SHE HAS FEVER AND A COUGH
audio/RES0034.mp3[18.160,24.520]	I SEE OK WHEN DID THE FEVER AND COUGH START
audio/RES0034.mp3[24.520,39.080]	SO THEY STARTED AROUND THREE TO FOUR DAYS AGO AND AROUND THE SAME TIME SHE WAS ALSO HAVING LIKE A RUNNY NOSE
audio/RES0034.mp3[39.080,44.720]	OK AND HAS THE FEVER AND COUGH BEEN PRESENT THE WHOLE TIME
audio/RES0034.mp3[44.720,53.240]	UH YEAH I WOULD SAY THEY STARTED AROUND THE SAME TIME AND AH THEY HAVE BEEN GOING ON FOR THE LAST THREE AND A HALF TO FOUR DAYS
audio/RES0034.mp3[53.240,60.000]	OK SO HAS THERE BEEN A PERIOD WHEN SHE HASNT HAD A FEVER OR A COUGH
audio/RES0034.mp3[60.000,67.720]	UH NO EVERY TIME IVE MEASURED IT SHE HAS HAD A FEVER AND SHES BEEN COUGHING FOR THE LAST FEW DAYS HASNT REALLY CHANGED
audio/RES0034.mp3[67.720,76.320]	OK CAN YOU THINK OF ANYTHING LEADING UP TO THESE SYMPTOMS
audio/RES0034.mp3[76.320,91.680]	UH NO SHE WAS SHE WAS FINE JUST THREE TO FOUR DAYS AGO LIKE BEFORE THAT SHE WAS HER PLAYFUL SELF NO ISSUES BUT YEAH ITS FOR THE LAST COUPLE OF DAYS JUST THIS NONSTOP COUGH AND THE FEVERS IS WHATS REALLY WORRYING ME
audio/RES0034.mp3[91.680,97.880]	OK UH HAVE THE SYMPTOMS HAVE GOTTEN WORSE OR STAYED THE SAME
audio/RES0034.mp3[97.880,113.480]	I WOULD SAY THE FEVER HAS BEEN GETTING A LITTLE BIT WORSE OVER THE LAST LIKE ESPECIALLY TODAY BUT THE COUGH COUGHING IS ABOUT THE SAME AS WHAT IT WAS WHEN IT FIRST STARTED THREE DAYS AGO
audio/RES0034.mp3[113.480,118.040]	OK HAS SHE BEEN SICK LIKE THIS BEFORE
audio/RES0034.mp3[118.040,134.080]	SHES SHE OFTEN GETS SICK LIKE HER BROTHER GOES TO DAYCARE AND HE BRINGS A LOT OF BUGS FROM THERE AND EVERY TIME HE GETS SICK SHE ALSO GETS SICK THE LAST TIME SHE HAD LIKE A SIMILAR COUGH WAS
audio/RES0034.mp3[134.080,144.480]	AROUND TWO MONTHS AGO BUT AT THAT TIME I WASNT THAT WORRIED BECAUSE SHE DIDNT HAVE ANY FEVERS
audio/RES0034.mp3[144.480,149.120]	OK UM HAVE YOU HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO HELP WITH THE COUGH OR FEVER
audio/RES0034.mp3[149.120,160.600]	UH TYLENOL I GAVE HER TYLENOL IT DID HELP HER A LITTLE BIT BUT THEN THE FEVER CAME RIGHT BACK UHM SAY LIKE A FEW HOURS LATER
audio/RES0034.mp3[160.600,171.120]	OK AND ANYTHING YOU NOTICE THATS MADE THE COUGH OR FEVER WORSE OVER THE LAST THREE OR FOUR DAYS
audio/RES0034.mp3[171.120,179.120]	NOT ANYTHING THAT I KNOW OF HER FEVERS BEEN GETTING WORSE BUT I DONT REALLY KNOW WHY THAT IS
audio/RES0034.mp3[179.120,184.480]	OK UH HAS SHE BEEN HAVING ANY OTHER SYMPTOMS
audio/RES0034.mp3[184.480,194.520]	UM OTHER THAN LIKE YEAH SHE HAD THAT RUNNY NOSE WHEN IT FIRST STARTED AND THEN SHES ALSO BEEN HAVING SOME DIARRHEA
audio/RES0034.mp3[194.520,199.520]	OK AND WHEN DID THE DIARRHEA START
audio/RES0034.mp3[199.520,221.360]	I THINK I WOULD SAY IT STARTED AROUND TWO DAYS AGO SHES LIKE EVERY TIME I CHANGE HER DIAPER SHE WOULD HAVE LIKE 45 DIFFERENT DIAPER CHANGES THROUGHOUT THE DAY AND THEY THEY SEEM PRETTY LIQUID SO I
audio/RES0034.mp3[221.360,224.600]	THINK YEAH SHES BEEN HAVING DIARRHEA FOR THE LAST TWO DAYS
audio/RES0034.mp3[224.600,234.320]	OK UH YOU MENTIONED LIQUID APPEARING STOOL WHAT WOULD YOU SAY SAY SO I GUESS COULD YOU COMMENT ON THE CONSISTENCY AND COLOUR
audio/RES0034.mp3[234.320,247.040]	CONSISTENCY ID SAY ITS PRETTY WATERY LIKE DIARRHEA AND COLOUR I DIDNT REALLY THINK THERES ANY CHANGES IN IN THE COLOUR
audio/RES0034.mp3[247.040,252.480]	OK SO YOU DIDNT THINK THERE WAS ANY BLOOD IN THE STOOL
audio/RES0034.mp3[252.480,256.920]	NO NO NO I DIDNT SEE ANY BLOOD
audio/RES0034.mp3[256.920,267.120]	OK AS FOR THE FEVER WHAT WAS THE MAXIMUM TEMPERATURE THAT YOU NOTED AND HOW DID YOU CHECK IT
audio/RES0034.mp3[267.120,280.400]	SO I USED WE HAVE JUST A REGULAR NON DIGITAL THERMOMETER IN HER EAR AND HER TEMPERATURE TODAY WAS AROUND 103 DEGREES FAHRENHEIT
audio/RES0034.mp3[280.400,288.560]	OK UH DID YOU NOTICE ANY TUGGING OR PULLING AT HER EAR
audio/RES0034.mp3[288.560,293.360]	NO NO SHE DOESNT SEEM TO HAVE ANY IRRITATION THERE
audio/RES0034.mp3[293.360,297.840]	OK UH HOW ABOUT ANY VOMITING OR REGURGITATION
audio/RES0034.mp3[297.840,302.640]	NO SHES BEEN KEEPING FOOD DOWN NO ISSUES THERE
audio/RES0034.mp3[302.640,308.400]	OK AND NOTICE ANY DISCHARGE FROM EITHER EYE
audio/RES0034.mp3[308.400,309.920]	UH NO
audio/RES0034.mp3[309.920,314.240]	HOW ABOUT ANY DISCHARGE FROM EARS
audio/RES0034.mp3[314.240,317.200]	NOT THAT IVE NOTICED NO
audio/RES0034.mp3[317.200,320.680]	NOTICE ANY RASHES
audio/RES0034.mp3[320.680,327.360]	UH NO I DIDNT NOT KNOW LIKE NEW RASHES NO
audio/RES0034.mp3[327.360,333.160]	OK AND HOW IS SHE BEEN IN TERMS OF MOOD OR OR BEHAVIOUR
audio/RES0034.mp3[333.160,340.920]	OH SHES BEEN PRETTY LIKE SHES NOT HERSELF OVER THE LAST FEW DAYS SHES BEEN CRYING A LOT MORE JUST VERY IRRITABLE
audio/RES0034.mp3[340.920,346.160]	OK WOULD YOU SAY INCONSOLABLE AT TIMES
audio/RES0034.mp3[346.160,352.480]	SOMETIMES LIKE YESTERDAY LIKE SHE I COULDNT GET HER TO STOP CRYING
audio/RES0034.mp3[352.480,361.000]	OK AND UH I KNOW YOU SAID NO VOMITING BUT HAS SHE BEEN COUGHING UP ANY SPUTUM
audio/RES0034.mp3[361.000,374.680]	YEAH I WOULD SAY UH THIS GREEN SLIMY CONTENT YEAH ITS LIKE GREEN AND SLIMY
audio/RES0034.mp3[374.680,381.160]	OK UM HOW MUCH WOULD YOU SAY UHM LIKE A CUP OR MORE
audio/RES0034.mp3[381.160,392.440]	I WOULD SAY PROBABLY LIKE AT LEAST AT LEAST A COUPLE SPOONFULS AT A TIME SHE WOULD COUGH UP
audio/RES0034.mp3[392.440,394.480]	OK AND DID YOU NOTICE ANY BLOOD IN IT
audio/RES0034.mp3[394.480,400.360]	NO I DIDNT NOTICE ANY BLOOD AT ALL
audio/RES0034.mp3[400.360,408.560]	OK AND WITH THE COUGH HAVE YOU NOTICED ANY DIFFICULTIES BREATHING
audio/RES0034.mp3[408.560,419.680]	UH I DONT KNOW IF ITS DIFFICULTY BREATHING BUT I HAVE NOTICED SOMETIMES SHES LIKE BREATHING FASTER THAN NORMAL LIKE TAKING A LOT MORE BREATHS
audio/RES0034.mp3[419.680,432.600]	I SEE OK UH IS SHE HAVING TROUBLES WITH DROOLING OR YOUR TROUBLE SPEAKING
audio/RES0034.mp3[432.600,436.600]	UH NO I HAVENT NOTICED THAT
audio/RES0034.mp3[436.600,441.720]	OK AND DOES HER VOICE SOUND NORMAL TO YOU
audio/RES0034.mp3[441.720,447.400]	YEAH I THINK HER NOTE HER VOICE HASNT REALLY CHANGED THAT MUCH
audio/RES0034.mp3[447.400,458.520]	OK UM WITH THE NOTICING THE FASTER RATE OF BREATHING IS THE BREATHING NOISY AT ALL
audio/RES0034.mp3[458.520,461.560]	UH NO LIKE SHES NOT WHEEZING OR ANYTHING
audio/RES0034.mp3[461.560,473.560]	OK AND DO YOU NOTICE ANY LIKE RETRACTION OF THE SKIN BETWEEN HER RIBS WHEN BREATHING
audio/RES0034.mp3[473.560,477.760]	UH SO LIKE UHM LIKE WHAT DO YOU MEAN BY THAT
audio/RES0034.mp3[477.760,496.520]	LIKE JUST SO WHEN SHES BREATHING IN AND OUT IS SHE GENERATING A LOT OF FORCE AND EFFORT TO REALLY KIND OF SUCK IN AND BLOW OUT SO YOU CAN KIND OF SEE IMPRESSIONS OVER THE RIBS
audio/RES0034.mp3[496.520,500.640]	UH NO I I DONT THINK IVE NOTICED THAT NO
audio/RES0034.mp3[500.640,507.080]	OK AND AND HAVE YOU NOTICED ANY BLUEISH DISCOLOURATION AROUND HER LIPS OR MOUTH
audio/RES0034.mp3[507.080,508.840]	UH NO
audio/RES0034.mp3[508.840,513.080]	OK AND ANY URINARY PROBLEMS
audio/RES0034.mp3[513.080,516.280]	UH NO SHES PEEING FINE
audio/RES0034.mp3[516.280,521.200]	OK AND HOW HAS SHE BEEN SLEEPING THE LAST FEW DAYS
audio/RES0034.mp3[521.200,531.240]	SHE HASNT REALLY BEEN SLEEPING IN BETWEEN THE CRYING AND LIKE JUST BEING SO IRRITABLE I THINK SHES JUST VERY UNCOMFORTABLE WHEN SHES TRYING TO GET TO SLEEP SO
audio/RES0034.mp3[531.240,537.280]	I WOULD SAY NOT LIKE MAYBE A COUPLE HOURS FOR THE LAST FEW NIGHTS
audio/RES0034.mp3[537.280,542.880]	OK ANY EVIDENCE OF SEIZURE OR LIMB JERKING
audio/RES0034.mp3[542.880,547.360]	UH NO NOT THAT IVE NOTICED
audio/RES0034.mp3[547.360,557.800]	NO OK AND AND HAVE YOU NOTICE AN HER BEING LIKE REALLY LETHARGIC AT ALL
audio/RES0034.mp3[557.800,569.400]	UH SHES NOT HERSELF AND SHES STILL LIKE PRETTY ACTIVE LIKE SHES SHE JUST SEEMS REALLY UNHAPPY AND IRRITATED BUT NO SHE STILL HAS ENERGY
audio/RES0034.mp3[569.400,583.720]	OK AND UH IS SHE DRINKING YEAH A LOT MORE FLUIDS OR OR A LOT LESS HOW IS SHE TOLERATING ORAL INTAKE
audio/RES0034.mp3[583.720,594.080]	I WOULD SAY I THINK SHES MORE ON THE DRYER SIDE LIKE SHE HER MOUTH IS VERY DRY HER LIPS ARE LIKE ALL CRACKED AND SHE IT SEEMS THAT SHES DRINKING
audio/RES0034.mp3[594.080,596.640]	LESS WATER TOO
audio/RES0034.mp3[596.640,603.680]	I SEE OK AND UH HOW MANY WET DIAPERS WOULD YOU SAY IN THE LAST 24 HOURS
audio/RES0034.mp3[603.680,616.040]	UM YEAH ITS DIFFICULT TO SAY I THINK I LIKE YESTERDAY CHANGED FOUR TO FIVE TIMES THEY WERE ALL DIARRHEA SO NOT REALLY SURE BUT MAYBE AROUND 5
audio/RES0034.mp3[616.040,621.800]	OK AND HAVE YOU GUYS TRAVELED ANYWHERE RECENTLY
audio/RES0034.mp3[621.800,624.360]	NO NO WEVE BEEN HERE
audio/RES0034.mp3[624.360,635.360]	OK SO NEXT JUST SOME QUESTIONS ABOUT PAST MEDICAL HISTORY UH HAS SHE HAD ANY MEDICAL PROBLEMS IN THE PAST
audio/RES0034.mp3[635.360,647.880]	THE ONLY THING I COULD THINK OF WAS AFTER SHE WAS BORN SHE HAD TO BE GIVEN THE LIGHT TREATMENT FOR LIKE JAUNDICE BUT AFTER THAT NO OTHER PROBLEMS
audio/RES0034.mp3[647.880,651.200]	OK AND ANY PRIOR SURGERIES
audio/RES0034.mp3[653.520,656.360]	ANY PREVIOUS HOSPITALIZATIONS
audio/RES0034.mp3[656.360,660.640]	NO JUST THE LIGHT TREATMENT BUT OTHER THAN THAT NOTHING
audio/RES0034.mp3[660.640,666.800]	OK AND THROUGHOUT PREGNANCY WERE THERE ANY COMPLICATIONS
audio/RES0034.mp3[666.800,672.960]	NO MY PREGNANCY WAS COMPLETELY NORMAL NO COMPLICATIONS DURING THE PREGNANCY
audio/RES0034.mp3[672.960,679.000]	OK SO NO GESTATIONAL DIABETES OR HYPERTENSION
audio/RES0034.mp3[679.000,680.080]	UH NO
audio/RES0034.mp3[680.080,687.560]	OK AND UH WERE YOU SICK AT ALL AT ANY POINT WITH INFECTIOUS SYMPTOMS
audio/RES0034.mp3[687.560,691.440]	NO EVERYTHING CAME BACK CLEAR ALL THE TESTS WERE NORMAL
audio/RES0034.mp3[691.440,697.240]	OK AND UM ANY ALLERGIES TO MEDICATIONS
audio/RES0034.mp3[697.240,699.160]	NO ALLERGIES
audio/RES0034.mp3[699.160,703.960]	OK AND IS SHE CURRENTLY TAKING ANY MEDICATIONS
audio/RES0034.mp3[703.960,709.240]	NO JUST TRIED THE TYLENOL BUT IT DIDNT REALLY SEEM TO WORK
audio/RES0034.mp3[709.240,713.280]	OK AND HAS SHE BEEN AROUND ANYBODY SICK RECENTLY
audio/RES0034.mp3[713.280,735.240]	JUST HER BIG BROTHER WHO GOES TO DAYCARE WAS ALSO LIKE A BIT SICK WITH A COUGH AND SOME RUNNY NOSE FOR THE LAST FOUR DAYS BUT UHM HE DIDNT HAVE A FEVER AND HE SEEMED TO RECOVER PRETTY FAST BUT SEEMS SHE MAY HAVE CAUGHT IT FROM HIM
audio/RES0034.mp3[735.240,742.040]	OK AND ANYBODY IN THE FAMILY UM HAVE ANY SIMILAR SYMPTOMS RIGHT NOW I GUESS BESIDES HER BROTHER
audio/RES0034.mp3[742.040,746.080]	NO JUST JUST HER AND HER BROTHER
audio/RES0034.mp3[746.080,757.320]	OK AND AND IN REGARDS TO BIRTH BIRTH HISTORY WAS IT A VAGINAL DELIVERY OR CSECTION
audio/RES0034.mp3[757.320,770.440]	IT WAS A NORMAL VAGINAL DELIVERY AT 38 WEEKS THERE WERE NO PROBLEMS AFTER THE DELIVERY OR BEFORE THE DELIVERY
audio/RES0034.mp3[770.440,771.920]	OK AND UH ARE HER IMMUNIZATIONS UP TO DATE
audio/RES0034.mp3[771.920,778.160]	YEAH UH ALL OUR IMMUNIZATIONS ARE UP TO DATE
audio/RES0034.mp3[778.160,783.680]	OK AND UM IN REGARDS TO GROWTH AND DEVELOPMENT HAVE YOU HAD ANY CONCERNS
audio/RES0034.mp3[783.680,791.400]	UH NO WEVE BEEN GETTING HER CHECKED REGULARLY IT SEEMS THAT SHES BEEN GROWING WELL AND DEVELOPING WELL
audio/RES0034.mp3[791.400,797.160]	OK AND WHO IS THE PRIMARY CAREGIVER FOR AT HOME
audio/RES0034.mp3[797.160,807.840]	PRIMARY CAREGIVER RIGHT NOW IM STAYING HOME WITH HER AND HER BROTHER GOES TO DAYCARE SO YEAH IT WOULD BE ME
audio/RES0034.mp3[807.840,816.280]	OK UH AND COULD YOU TELL ME ABOUT HER EATING HABITS AND TYPICAL APPETITE
audio/RES0034.mp3[816.280,834.480]	UH SO NOW LIKE SHE IS ABLE TO EAT LIKE EVERYTHING LIKE VEGETABLES FRUITS BREADS AND MEAT BUT OVER THE LAST FEW DAYS SHE HAS BEEN JUST IRRITABLE WITH EVERYTHING SO EVEN EATING FOOD HAS JUST NOT BEEN GREAT FOR THE LAST FEW DAYS
audio/RES0034.mp3[834.480,837.920]	OK AND WHEN WAS HER LAST CHECKUP
audio/RES0034.mp3[837.920,848.280]	SO IT WAS AROUND ONE MONTH AGO AND EVERYTHING WAS FINE THEN NO CONCERNS FROM THE DOCTOR
audio/RES0034.mp3[848.280,850.200]	OK THANK YOU
audio/RES0119.mp3[0.000,2.600]	SO WHAT BRINGS YOU IN HERE TODAY
audio/RES0119.mp3[2.600,33.040]	UM YEAH SO I BROUGHT MY 7 YEAR OLD DAUGHTER HERE UM BECAUSE SHES BEEN COUGHING UH A LOT OVER THE PAST TWO WEEKS UM SHES SHE SOUNDS WHEEZY AND IM NOT TOO SURE WHATS GOING ON WITH HER SO SHES BEEN OFF SCHOOL UM CAUSE THEY THINK ITS COVID UH WE GOT HER SWAB BUT BECAUSE SHE STILL HAS SYMPTOMS SHE CANT GO BACK TO SCHOOL SO HERE SHE IS
audio/RES0119.mp3[33.040,38.160]	OK UM AND WHEN DID THE COUGH START
audio/RES0119.mp3[38.160,41.800]	IT STARTED TWO WEEKS AGO
audio/RES0119.mp3[41.800,45.120]	OK AND WHEN DID THE WHEEZING START
audio/RES0119.mp3[45.120,66.560]	UM THAT STARTED ABOUT THE SAME TIME LIKE I SHOULD I SHOULD MENTION SHE DOES HAVE LIKE EPISODES LIKE THIS UM SHES HAD EPISODES LIKE THIS FOR THE PAST LIKE 2 YEARS UH BUT THEY USUALLY GO AWAY IN A COUPLE OF DAYS BUT THIS TIME ITS ITS TAKING A LOT LIKE A LOT LONGER TO GO AWAY
audio/RES0119.mp3[66.560,70.920]	OK SO ITS BEEN UH HAS BEEN MORE THAN A WEEK YOU SAID
audio/RES0119.mp3[70.920,73.040]	YEAH ITS BEEN CLOSE TO TWO WEEKS NOW
audio/RES0119.mp3[73.040,87.760]	TWO WEEKS OK AND UH WERE THESE SYMPTOMS BROUGHT ON BY ARE THEY USUALLY BROUGHT ON BY ANY KIND OF LIKE ACTIVITIES OR CAN THEY COME UP JUST BY THEMSELVES
audio/RES0119.mp3[87.760,105.720]	I FIND ITS USUALLY WORSE IN THE WINTER UM AND IF SHES LIKE DOING SOME SORT OF UH LIKE EXTENSIVE PHYSICAL ACTIVITY SO IF SHES LIKE PLAYING TAG AND SHES RUNNING AROUND A LOT UM OR IF SHES LIKE AT HER GYM CLASS AND THEYRE RUNNING
audio/RES0119.mp3[105.720,114.960]	OK AND THE COUGH THAT SHES HAVING IS IT LIKE A WET COUGH OR IS IT A IS IT A DRY COUGH
audio/RES0119.mp3[114.960,115.760]	ITS A DRY COUGH
audio/RES0119.mp3[115.760,124.680]	OK AND AT ALL IS SHE BRINGING UP ANY YELLOWISH OR WHITE UH OR GREEN MATERIAL OR ANY BLOOD AT ALL
audio/RES0119.mp3[124.680,130.400]	UHM ITS NO NOTHING LIKE THAT
audio/RES0119.mp3[130.400,136.000]	OK AND ARE HER SYMPTOMS UH CONSTANT OR DO THEY COME AND GO
audio/RES0119.mp3[136.000,143.680]	HER SYMPTOMS I GUESS COME AND GO UM YEAH THEY COME AND GO
audio/RES0119.mp3[143.680,146.960]	OK AND HOW MANY DAYS OF SCHOOL HAS SHE HAD TO MISS
audio/RES0119.mp3[146.960,152.520]	SHES MISSED ALMOST TWO WEEKS NOW
audio/RES0119.mp3[152.520,159.600]	WOW OK UM AND WHEN SHES AT HOME IS SHE IS SHE LIKE VERY TIRED IS SHE UM
audio/RES0119.mp3[159.600,175.560]	YEAH YEAH SHES PRETTY TIRED OUT UM YEAH SHES PRETTY TIRED OUT SHES BEEN DOING A LOT OF LIKE RESTING AND UH YOU KNOW WATCHING TV SHES NOT REALLY VERY ACTIVE RIGHT NOW
audio/RES0119.mp3[175.560,183.840]	OK UHM AND HAVE HER SYMPTOM SYMPTOMS BEEN GETTING WORSE OVER THE LAST TWO WEEKS OR ARE THEY GETTING BETTER AT ALL
audio/RES0119.mp3[183.840,198.240]	UH I CANT YOU KNOW I CANT TELL IT COMES AND GOES SO IN THAT SENSE ITS BEEN PRETTY CONSTANT UM THERE HASNT BEEN A DAY WHEN SHE HASNT HAD THESE SYMPTOMS
audio/RES0119.mp3[198.240,204.320]	OK AND DO THEY GET WORSE AT NIGHT AT ALL OR ARE THEY UM THE SAME THROUGHOUT THE DAY
audio/RES0119.mp3[204.320,212.080]	UH YEAH NOW THAT I THINK ABOUT IT WHEN SHES LAYING DOWN SHE DOES HAVE A HARD TIME
audio/RES0119.mp3[212.080,221.360]	OK AND IS SHE HAVING ANY OTHER SYMPTOMS AT ALL LIKE UH SHORTNESS OF BREATH UM OR SORE THROATANYTHING LIKE THAT
audio/RES0119.mp3[221.360,231.360]	UH NO SORE THROAT SHE SOUNDS WHEEZY SO SHE MIGHT HAVE LIKE SOME DIFFICULTY BREATHING BUT SHE DOESNT SOUND SHORT OF BREATH
audio/RES0119.mp3[231.360,238.520]	OK AND ANY KIND OF UH RUNNY NOSE OR ANY OTHER SYMPTOMS AT ALL
audio/RES0119.mp3[239.280,245.720]	NO OK UH ANYTHING THAT HELPS HER OR MAKES HER SYMPTOMS BETTER
audio/RES0119.mp3[245.720,250.200]	UM NO NOTHING THAT WEVE TRIED
audio/RES0119.mp3[250.200,252.480]	ANY RECENT UH TRAVEL AT ALL
audio/RES0119.mp3[254.680,260.800]	NO ANY FAINTING OR DIZZINESS SPELLS
audio/RES0119.mp3[262.080,264.440]	OK UM ANY UH FEVERS OR CHILLS
audio/RES0119.mp3[267.800,273.360]	ANY UM CHANGES IN HER BOWEL MOVEMENTS LIKE ANY CONSTIPATION DIARRHEA
audio/RES0119.mp3[275.080,277.440]	ANY URINARY PROBLEMS
audio/RES0119.mp3[279.640,287.480]	AND ANY UH ANY KIND OF DO THESE SYMPTOMS WAKE HER UP AT NIGHT AT ALL
audio/RES0119.mp3[287.480,294.440]	UM NO NO IT DOESNT WAKE HER UP AT NIGHT IT JUST MAKES IT HARD FOR HER TO FALL ASLEEP
audio/RES0119.mp3[294.440,301.440]	I SEE IS SHE GETTING ENOUGH SLEEP LIKE HOW HOW HOW MANY HOURS WOULD YOU SAY ON AVERAGE SHES GETTING PER DAY
audio/RES0119.mp3[301.440,311.160]	ID SAY SHES GETTING ABOUT 6 TO 7 HOURS SHE USED TO SLEEP ABOUT 8 HOURS BEFORE
audio/RES0119.mp3[311.160,316.240]	OK UM AND IS SHE HAVING ANY CHANGES IN HER APPETITE AT ALL
audio/RES0119.mp3[316.240,323.880]	UM I DONT THINK SO NO
audio/RES0119.mp3[326.280,331.040]	UM ANY KIND OF CHANGES IN HER WEIGHT AT ALL OVER THE PAST FEW MONTHS
audio/RES0119.mp3[331.040,336.520]	I HAVENT CHECKED OVER THE PAST MONTH BUT BEFORE THAT NO NO CHANGES
audio/RES0119.mp3[336.520,347.200]	NO CHANGES OK AND UM HAS SHE BEEN SHE HAD LIKE A COLD OR ANYTHING LIKE THAT RECENTLY
audio/RES0119.mp3[347.200,350.120]	NO NOT THAT I CAN THINK OF
audio/RES0119.mp3[350.120,353.320]	OK HAS SHE BEEN AROUND ANYONE THATS BEEN SICK RECENTLY
audio/RES0119.mp3[356.160,363.040]	OK UM DOES SHE HAVE ANY PAST HISTORY OF ANY MEDICAL CONDITIONS AT ALL
audio/RES0119.mp3[363.040,369.280]	UH NO NO NOTHING LIKE THAT
audio/RES0119.mp3[369.280,377.040]	OK AND UM DOES SHE HAVE ANY UH ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES
audio/RES0119.mp3[377.040,386.160]	I THINK SHE MIGHT HAVE SOME ENVIRONMENTAL ALLERGIES WE HAVENT GOTTEN HER OFFICIALLY TESTED THOUGH
audio/RES0119.mp3[386.160,391.160]	OK AND UM HAS SHE HAD ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0119.mp3[391.160,406.280]	WHEN SHE WAS A BABY WHEN SHE WAS FIRST BORN SHE WAS HOSPITALIZED UM FOR SOMETHING ABOUT HAVING LIKE UH NOT FULLY DEVELOPED LUNGS
audio/RES0119.mp3[406.280,412.320]	OK AND UHM WAS SHE PREMATURE AT ALL OR WAS SHE BORN AFTER UH AT TERM
audio/RES0119.mp3[412.320,415.880]	SHE WAS SLIGHTLY PREMATURE I BELIEVE SHES 34 WEEKS
audio/RES0119.mp3[415.880,423.080]	34 WEEKS OK AND UM WAS IT A VAGINAL DELIVERY OR WAS IT A CSECTION
audio/RES0119.mp3[423.080,425.320]	UH IT WAS VAGINAL
audio/RES0119.mp3[425.320,432.520]	VAGINAL OK WERE THERE ANY UH COMPLICATIONS DURING THE PREGNANCY OR AFTER SHE WAS BORN C
audio/RES0119.mp3[432.520,443.000]	UM NO COMPLICATIONS AFTER BESIDES THE HOSPITALIZATION FOR THE SMALL LUNGS
audio/RES0119.mp3[443.000,449.320]	OK AND IS THERE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS
audio/RES0119.mp3[449.320,451.840]	UH NOPE NOTHING LIKE THAT
audio/RES0119.mp3[451.840,462.400]	HAS ANYONE IN THE FAMILY HAVE HAD ANY KIND OF ASTHMA ECZEMA ANYTHING LIKE THAT
audio/RES0119.mp3[462.400,463.560]	UM NO
audio/RES0119.mp3[463.560,475.680]	NO OK UM SO AND IN TERMS OF LIKE AT SCHOOL ARE THERE ANY KIND OF COMPLAINTS UH AND ANY UM ISSUES WITH HER DEVELOPMENT OVER THE LAST LAST FEW YEARS
audio/RES0119.mp3[475.680,478.120]	NO NOTHING LIKE THAT
audio/RES0119.mp3[478.120,481.160]	OK SO SHES BEEN GROWING WELL
audio/RES0119.mp3[481.160,491.720]	YEAH SHES BEEN GROWING WELL SHES BEEN GAINING WEIGHT LIKE A NORMAL AMOUNT UM AND SHES DOING WELL SHE WAS DOING WELL AT SCHOOL
audio/RES0119.mp3[491.720,496.800]	OK AND UM AT HOME UH WHAT IS THE ENVIRONMENT LIKE
audio/RES0119.mp3[496.800,506.400]	UM SHE LIVES AT HOME WITH BOTH OF US LIKE UM HER MOM AND HER DAD AND UH SHE HAS A YOUNGER SIBLING WHO IS 4 YEARS OLD
audio/RES0119.mp3[506.400,514.560]	OK AND UM DOES ANYONE SMOKE IN THE HOUSE AT ALL
audio/RES0119.mp3[514.560,516.360]	UM NO NOT ANYMORE
audio/RES0119.mp3[516.360,522.640]	OK UM HOW LONG AGO UH DID SOMEONE SMOKE
audio/RES0119.mp3[522.640,532.800]	UM IT WAS UM SO HER DAD USED TO SMOKE UM AND HE STOPPED WHEN SHE WAS LIKE 3
audio/RES0119.mp3[532.800,543.080]	OK THATS GOOD UM ANY KIND OF UH DUST OR MOLD OR ANIMALS UH ANYTHING IN THE HOUSEHOLD
audio/RES0119.mp3[543.080,552.480]	NO WE DONT HAVE ANY PETS AND UM THE PLACE IS JUST RENOVATED SO NOTHING LIKE THAT
audio/RES0119.mp3[552.480,560.760]	OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS THAT I HAD FOR HER TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0119.mp3[560.760,568.560]	UM YEAH SO WHAT CAN WE DO FOR HER RIGHT NOW TO MAKE THESE SYMPTOMS GO AWAY
audio/RES0119.mp3[568.560,583.440]	YEAH SO WHAT WE SHOULD DO FOR HER RIGHT NOW IS SHES SEVEN YEARS OLD UM WHAT IM THINKING RIGHT NOW WITH HER SYMPTOMS ESPECIALLY COMING ON AFTER UH EXERTION BEING WORSE IN THE WINTER SHE MAY HAVE ASTHMA
audio/RES0119.mp3[584.320,611.760]	AND ALTHOUGH SHE DOESNT HAVE ANY FAMILY HISTORY OF IT IT CAN HAPPEN WITHOUT FAMILY HISTORY AS WELL UM SO WE WOULD LIKE TO UH TRY AND DO UH WHATS CALLED A PULMONARY FUNCTION TEST THAT WILL HELP US KIND OF UNDERSTAND UH IF SHE HAS UM ASTHMA OR NOT AND THEN WE CAN TRY HER ON UM ITS CALLED A SHORT ACTING BETA AGONIST SO ITS A PUFFER
audio/RES0119.mp3[612.200,637.280]	AND UH USUALLY WHEN SHE GETS THESE TYPES OF SYMPTOMS SHE CAN USE THE PUFFER TO HELP HER UH AND IF IT UM HELPS HER THEN ITS MOST LIKELY THAT SHE DOES HAVE ASTHMA AND SHE WILL NEED UM THAT PUFFER AND THEN SHE MIGHT ALSO NEED ANOTHER PUFFER WHICH IS AN INHALED CORTICOSTEROID UM FOR THE FUTURE TO DECREASE UM THE LIKELIHOOD THAT THIS ASTHMA GETS WORSE IN THE FUTURE
audio/RES0119.mp3[637.280,640.120]	OK OK YEAH THANK YOU
audio/RES0119.mp3[640.120,644.520]	YEAH NO WORRIES SO YEAH SO YEAH WELL GET THOSE TESTS DONE AND THEN GO FROM THERE
audio/RES0119.mp3[644.520,645.960]	OK SOUNDS GREAT
audio/RES0119.mp3[645.960,647.280]	TAKE CARE
audio/RES0119.mp3[647.280,649.960]	YOU TOO
audio/RES0046.mp3[0.000,2.400]	WHAT BRINGS YOU IN
audio/RES0046.mp3[2.400,14.800]	IVE HAD THIS COUGH THAT STARTED FOUR DAYS AGO UH THAT THATS BEEN GETTING WORSE AND UM JUST STARTED HAVING SOME SOME DIARRHEA YESTERDAY AS WELL
audio/RES0046.mp3[14.800,21.920]	OK UM SORRY HOW LONG DID YOU SAY YOUR COUGH HAS BEEN GOING ON FOR
audio/RES0046.mp3[21.920,23.040]	LAST FOUR DAYS
audio/RES0046.mp3[23.040,31.520]	LAST FOUR DAYS OK AND DO YOU FEEL THAT UM ITS GETTING WORSE BETTER OR STAYING THE SAME
audio/RES0046.mp3[31.520,35.280]	UH ITS GETTING GETTING WORSE
audio/RES0046.mp3[35.280,40.080]	GETTING WORSE OK AND HOW OFTEN ARE YOU COUGHING
audio/RES0046.mp3[40.080,48.800]	OH NOW ITS UH WELL AT LEAST THE LAST TWO DAYS ITS BEEN HAPPENING ALL DAY UM YEAH AT LEAST EVERY HOUR IVE BEEN COUGHING
audio/RES0046.mp3[48.800,62.320]	OK UM HAVE YOU NOTICED ANY TRIGGERS FOR YOUR COUGHING LIKE ENVIRONMENTAL CAUSES LIKE THE COLD UH TIME OF DAY WHETHER THATS MORNING OR NIGHT UM OLD CARPETS ANYTHING LIKE THAT
audio/RES0046.mp3[62.320,73.440]	UM YEAH SMOKING DEFINITELY MAKES IT WORSE I I HAVENT SMOKED THE LAST FEW DAYS CAUSE EACH TIME I LIT A CIGARETTE IT IT BROUGHT IT ON
audio/RES0046.mp3[73.440,90.280]	OK WELL THATS GOOD THAT YOURE TAKING A LITTLE BREAK FROM SMOKING UM HOW WOULD YOU DESCRIBE THE QUALITY OF YOUR COUGH IS IT DOES IT SOUND HARSH
audio/RES0046.mp3[90.280,93.600]	YEAH THE COUGHS LIKE YEAH HARSH
audio/RES0046.mp3[93.600,102.840]	HARSH OK AND IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST HOW BAD IS IT
audio/RES0046.mp3[102.840,109.040]	UH ID SAY ITS A 7 I JUST CANT STOP COUGHING
audio/RES0046.mp3[109.040,114.800]	YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0046.mp3[114.800,120.320]	UH YEAH NOTHING LIKE THIS REALLY BEFORE
audio/RES0046.mp3[120.320,129.160]	OK UH IS THE COUGH A DRY COUGH OR IS IT OR DO YOU HAVE SPUTUM COMING UP AS WELL
audio/RES0046.mp3[129.160,131.280]	ITS ITS DRY
audio/RES0046.mp3[131.280,134.480]	DRY OK SO NO BLOOD
audio/RES0046.mp3[134.480,139.680]	YEAH NO NO BLOOD JUST YEAH ITS BEEN MOSTLY DRY
audio/RES0046.mp3[139.680,145.920]	OK AND ANY SHORTNESS OF BREATH
audio/RES0046.mp3[145.920,152.160]	UH NOT REALLY I MEAN I WELL I GUESS IVE BEEN SHORT OF BREATH AFTER I COUGH SO YEAH
audio/RES0046.mp3[152.160,158.840]	OK UM ANY WHEEZINESS
audio/RES0046.mp3[158.840,160.560]	UH NO
audio/RES0046.mp3[160.560,163.960]	HOW ABOUT CHEST PAIN
audio/RES0046.mp3[163.960,167.240]	NO CHEST PAIN
audio/RES0046.mp3[167.240,173.760]	OK UM ANY FEELINGS OF UM FEELING LIKE YOUR HEARTS RACING
audio/RES0046.mp3[173.760,175.760]	NO NOTHING LIKE THAT
audio/RES0046.mp3[175.760,178.800]	UM SWELLING IN YOUR LIMBS
audio/RES0046.mp3[180.600,188.120]	NO HOW ABOUT UH PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS
audio/RES0046.mp3[189.480,192.480]	UM DIZZINESS OR FAINTING SPELLS
audio/RES0046.mp3[192.480,201.800]	UH YEAH THIS MORNING I HAD IT I FELT DIZZY UM WHEN I WHEN I GOT WHEN I YEAH WHEN I GOT UP
audio/RES0046.mp3[201.800,205.000]	OK BUT NO FAINTING RIGHT
audio/RES0046.mp3[206.440,213.120]	NO FAINTING OK ANY UM PAIN IN YOUR THROAT
audio/RES0046.mp3[213.120,216.440]	UH NO MY THROATS FELT OK
audio/RES0046.mp3[216.440,220.360]	OK UM ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0046.mp3[223.200,228.640]	OK UM HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE
audio/RES0046.mp3[228.640,230.520]	UH NOTHING LIKE THAT
audio/RES0046.mp3[230.520,235.880]	UM CHANGES IN YOUR TASTE OR SMELL
audio/RES0046.mp3[235.880,243.320]	UH UEAH I FEEL LIKE IVE UM HAD PROBLEMS WITH BOTH TASTE AND SMELL
audio/RES0046.mp3[243.320,247.840]	OK UM WHEN DID THAT START
audio/RES0046.mp3[247.840,267.520]	UM I THINK THIS MORNING UM YEAH I REALLY NOTICED THAT WHEN I WAS I WAS TRYING TO HAVE SOME BREAKFAST BUT UM I THOUGHT IT WAS MY LACK OF APPETITE THAT WAS THAT WAS CAUSING ISSUES BUT I HAVENT REALLY BEEN ABLE TO SMELL OR TASTE FOOD
audio/RES0046.mp3[267.520,275.000]	YEAH THATS UNFORTUNATE UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0046.mp3[275.000,277.640]	NO WEIGHTS BEEN STABLE
audio/RES0046.mp3[277.640,281.400]	OK HOW ABOUT FEVERS OR CHILLS
audio/RES0046.mp3[281.400,284.160]	UM I I FELT HOT BUT NO CHILLS
audio/RES0046.mp3[284.160,290.400]	NO CHILLS OK HAVE YOU TAKEN YOUR TEMPERATURE
audio/RES0046.mp3[290.400,292.520]	NO I HAVENT
audio/RES0046.mp3[292.520,302.680]	OK WELL WE CAN DO THAT TODAY IN THE CLINIC AND WELL LET YOU KNOW UM AND CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0046.mp3[302.680,304.080]	UH NO
audio/RES0046.mp3[304.080,311.080]	NO OK HOW ABOUT FATIGUE OR MUSCLE ACHES
audio/RES0046.mp3[311.080,319.760]	UM UEAH I MEAN MAYBE IVE HAD A BIT OF UH MUSCLE ACHES UM AND FATIGUE
audio/RES0046.mp3[319.760,327.320]	OK UM AND YOU MENTIONED YOUVE BEEN HAVING DIARRHEA HOW LONG HAS THAT BEEN GOING ON FOR
audio/RES0046.mp3[327.320,331.160]	UH MAYBE THE LAST LIKE TWO DAYS
audio/RES0046.mp3[331.160,336.760]	TWO DAYS OK AND HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT
audio/RES0046.mp3[336.760,345.720]	UH EVERY WELL IT KIND OF CHANGES SO UM MAYBE EVERY FEW HOURS
audio/RES0046.mp3[345.720,352.600]	OK AND IS IT MOSTLY FLUID OR IS IT SEMISOLID
audio/RES0046.mp3[352.600,359.280]	UH I MOSTLY FLUID IT UM YEAH ITS BEEN PRETTY PRETTY LOOSE
audio/RES0046.mp3[359.280,378.040]	PRETTY LOOSE OK AND HOW MUCH UM HOW HOW MUCH STOOL ARE YOU PRODUCING EVERY TIME YOU GO IS IT FILLING THE TOILET BOWL OR UM IS IT UH RELATIVELY LITTLE
audio/RES0046.mp3[378.040,389.800]	UH AT FIRST IT WAS A LOT BUT UM NOW IT IT JUST HASNT BEEN MUCH ITS RELATIVELY UM LITTLE MY STOMACHS JUST BEEN KILLING ME
audio/RES0046.mp3[389.800,394.960]	OK SO YOU HAVE SOME ABDOMINAL PAIN ASSOCIATED WITH THAT TOO
audio/RES0046.mp3[396.600,400.480]	YEAH OK AND THEN ANY BLOOD IN YOUR STOOL
audio/RES0046.mp3[400.480,401.880]	NO NO BLOOD
audio/RES0046.mp3[401.880,408.720]	OK UM HAVE YOU NOTICED ANY MALODOURS WELL I GUESS UH OUT OF THE ORDINARY
audio/RES0046.mp3[408.720,414.800]	UH NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0046.mp3[415.360,418.920]	BUT I HAVENT BEEN ABLE TO SMELL SO WHO KNOWS
audio/RES0046.mp3[418.920,425.720]	RIGHT OK TRUE UM IN TERMS OF YOUR ABDOMINAL PAIN WHEN DID THAT START
audio/RES0046.mp3[425.720,433.520]	UH I I THINK AROUND THE SAME TIME AS THE DIARRHEA SO THE LAST TWO DAYS
audio/RES0046.mp3[433.520,437.600]	OK UM ANY NAUSEA OR VOMITING
audio/RES0046.mp3[437.600,441.320]	UM NO VOMITING BUT IVE I FELT NAUSEOUS
audio/RES0046.mp3[441.320,450.440]	OK THE ABDOMINAL PAIN IS IT WHERE IS IT LOCATED IS IT PRETTY CENTRAL IS IT GENERAL
audio/RES0046.mp3[450.440,457.880]	YEAH ITS PRETTY LIKE CENTRAL OR GENERAL I GUESS YOU COULD SAY THERE ISNT REALLY ONE SPECIFIC SPOT THAT I FEEL IT
audio/RES0046.mp3[457.880,465.920]	OK AND WHAT MAKES IT WORSE WHAT MAKES IT BETTER
audio/RES0046.mp3[465.920,473.240]	UH NOTHING IM NOT REALLY TOO SURE NOTHING REALLY MAKES IT BETTER OR WORSE
audio/RES0046.mp3[473.240,480.600]	OK AND IF YOU WERE TO DESCRIBE THE PAIN IS IT SHARP DULL OR ACHY
audio/RES0046.mp3[480.600,483.320]	UH ID SAY ITS PRETTY ACHY
audio/RES0046.mp3[483.320,490.000]	OK AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS THE ABDOMINAL PAIN
audio/RES0046.mp3[490.000,493.200]	UH PROBABLY LIKE 4
audio/RES0046.mp3[493.200,501.200]	OK UM AND IS YOUR ABDOMINAL PAIN GETTING WORSE STAYING THE SAME OR GETTING BETTER
audio/RES0046.mp3[501.200,505.600]	ABOUT THE SAME
audio/RES0046.mp3[505.600,510.640]	OK UM ANY MEMORY LOSS OR CONFUSION
audio/RES0046.mp3[511.040,516.720]	NO OK ARE THINGS NORMAL WITH YOUR URINE
audio/RES0046.mp3[517.400,524.680]	OK SO ARE YOU AN OTHERWISE HEALTHY PERSON
audio/RES0046.mp3[524.680,531.600]	UH YEAH I HAVENT UM HAD ANYTHING ANY REASON TO SEE A DOCTOR FOR A WHILE
audio/RES0046.mp3[531.600,540.400]	OK WELL THATS GOOD UH YOU DONT HAVE ANY LONGSTANDING MEDICAL CONDITIONS LIKE UH HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT
audio/RES0046.mp3[540.400,542.960]	UM NO NOTHING LIKE THAT
audio/RES0046.mp3[542.960,548.920]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0046.mp3[548.920,556.640]	UM I DID HAVE A SURGERY UM YEAH I HAD MY MENISCUS REPAIRED BUT THAT WAS IT
audio/RES0046.mp3[556.640,557.920]	OK AND WHEN WAS THAT
audio/RES0046.mp3[557.920,560.400]	OH ABOUT 10 YEARS AGO
audio/RES0046.mp3[560.400,589.360]	OK SO I JUST WANNA BEFORE WE MOVE ON IM JUST GONNA RECAP KIND OF THE SYMPTOMS THAT YOU HAVE YOUVE HAD UH FOR THE PAST FOUR DAYS MORE OR LESS YOUVE HAD UM A POSSIBLE FEVER UM THIS COUGH UM LOSS OF SMELL AND TASTE UM DIARRHEA UH ABDOMINAL PAIN AND NAUSEA IS THAT CORRECT
audio/RES0046.mp3[589.360,591.160]	YEAH THATS CORRECT YEAH
audio/RES0046.mp3[592.080,601.680]	THE COUGH STARTED FIRST AND THEN UH YEAH STARTED TO GET SOME MORE OF THE ABDOMINAL PAIN AND NAUSEA AND YEAH THE DIARRHEA THE LAST FEW DAYS
audio/RES0046.mp3[601.680,605.000]	OK OK ARE YOU ON ANY MEDICATIONS
audio/RES0046.mp3[605.000,606.960]	NO I DONT TAKE ANYTHING
audio/RES0046.mp3[606.960,613.480]	OK NOT EVEN OVER THE COUNTER MEDICATIONS OR VITAMINS OR HERBAL SUPPLEMENTS
audio/RES0046.mp3[613.480,616.720]	NO NOTHING LIKE THAT
audio/RES0046.mp3[616.720,617.640]	OK ANY ALLERGIES
audio/RES0046.mp3[617.640,618.840]	UH NO ALLERGIES
audio/RES0046.mp3[618.840,626.760]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0046.mp3[626.760,630.480]	I AM YEAH
audio/RES0046.mp3[630.480,635.120]	UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0046.mp3[635.120,638.720]	UM NO NOTHING LIKE THAT
audio/RES0046.mp3[638.720,645.000]	OK HOW ABOUT GI CONDITIONS LIKE STOMACH ISSUES COLON ISSUES LIVER
audio/RES0046.mp3[645.000,649.840]	NO I HAVENT HEARD OF ANY ISSUES LIKE THAT IN MY FAMILY
audio/RES0046.mp3[649.840,652.920]	OK ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0046.mp3[652.920,656.400]	UH NO NO CANCERS
audio/RES0046.mp3[656.400,668.040]	OK UM ANY UM OK WELL IM GOING TO ASK YOU UH DO YOU SMOKE YOU MENTIONED YOU DID
audio/RES0046.mp3[668.040,674.800]	UH YEAH I I I DO UM I SMOKE MAYBE ABOUT A HALF A PACK OF CIGARETTES PER DAY PROBABLY LESS UM YEAH
audio/RES0046.mp3[674.800,681.960]	OK HOW LONG HAVE YOU BEEN DOING THAT
audio/RES0046.mp3[681.960,686.560]	UH FOR THE LAST UH 10 YEARS
audio/RES0046.mp3[686.560,690.360]	OK HAVE YOU EVER THOUGHT OF QUITTING
audio/RES0046.mp3[690.360,698.240]	YEAH IVE IVE BEEN SLOWLY CUTTING IT DOWN I WAS SMOKING A PACK A DAY BEFORE AND NOW UNDER HALF A PACK SO IM TRYING
audio/RES0046.mp3[698.240,717.560]	OK WELL CONGRATS THATS A BIG FEAT UM IF YOU NEED ADDITIONAL RESOURCES TO TRY AND HELP YOU QUIT PLEASE DO LET US KNOW UM I WILL ASK YOU MY NEXT QUESTION THEN UM DO YOU DO MARIJUANA AT ALL
audio/RES0046.mp3[717.560,719.040]	UH NO
audio/RES0046.mp3[719.040,723.000]	NO OK HOW ABOUT OTHER RECREATIONAL DRUGS
audio/RES0046.mp3[723.000,727.920]	UH NOPE NOTHING LIKE THAT
audio/RES0046.mp3[727.920,731.360]	DO YOU DRINK ALCOHOL
audio/RES0046.mp3[731.360,740.160]	YEAH ILL HAVE A GLASS OF UM WINE ON SUNDAYS BUT THATS ABOUT IT
audio/RES0046.mp3[740.160,743.120]	OK HOW ABOUT UM WHERE DO YOU LIVE
audio/RES0046.mp3[743.120,750.480]	UH SO I LIVE IN A TOWNHOUSE UM WITH MY WIFE UM AND DAUGHTER
audio/RES0046.mp3[750.480,754.400]	OK ARE ANY OF THEM SICK
audio/RES0046.mp3[754.400,769.120]	UM MY MY WIFE WAS TALKING ABOUT BEING REALLY FATIGUED AND UH SHE DID MENTION A COUGH COMING ON
audio/RES0046.mp3[769.120,773.400]	OK UM HAVE YOU BEEN AROUND ANYONE ELSE WHOS BEEN SICK RECENTLY
audio/RES0046.mp3[773.400,775.800]	UH NO
audio/RES0046.mp3[775.800,785.480]	NO OK UM HAVE YOU TRAVELED TO ANYWHERE RECENTLY
audio/RES0046.mp3[785.480,788.840]	UM NO I HAVENT
audio/RES0046.mp3[788.840,800.080]	OK UM THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANY CONCERNS ANY QUESTIONS ANYTHING THAT YOU WANTED TO DISCUSS THAT I UH POSSIBLY MISSED TODAY
audio/RES0046.mp3[800.080,805.520]	UH NOPE THAT WAS THAT WAS EVERYTHING THEN THANK YOU
audio/RES0046.mp3[805.520,852.200]	OK NO PROBLEM SO WELL WHAT WELL DO IS WELL GET A COVID SWAB ON YOU JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID UM SO WE WANT TO MAKE SURE THAT THATS NOT WHAT YOU HAVE SO WELL TAKE A SWAB YOU WILL HEAR BACK IN ABOUT 24 TO 48 HOURS UM BUT IN THE MEANTIME YOU STILL SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR FAMILY MEMBERS AS WELL WHEN WHEN POSSIBLE AND UH PUBLIC HEALTH WILL BE IN TOUCH TO LET YOU KNOW UH TO DO SOME CONTACT TRACING IF ITS NOT COVID YOU YOU COULD POSSIBLY HAVE UM SOME SORT OF OTHER VIRAL INFECTION THATS GOING AROUND THESE DAYS UM HOW DOES THAT SOUND
audio/RES0046.mp3[852.200,855.120]	YEAH IT SOUNDS GREAT THANK YOU
audio/RES0046.mp3[855.120,859.400]	ALRIGHT NO WORRIES
audio/MSK0050.mp3[0.000,2.360]	HOW MAY I HELP YOU
audio/MSK0050.mp3[2.360,15.160]	UM IM HERE BECAUSE IVE HAD SOME NUMBNESS IN MY RIGHT HAND AND UH DOESNT SEEM TO BE GOING GOING AWAY SO I THOUGHT I SHOULD GET IT CHECKED OUT BY YOU
audio/MSK0050.mp3[15.160,22.840]	YEAH CERTAINLY SO SO WHEN DID THIS EXACTLY START
audio/MSK0050.mp3[22.840,40.280]	UM SO ITS BEEN PRETTY GRADUAL I WOULD SAY OVER THE PAST MONTH OR TWO MONTHS UM IS WHEN I FIRST NOTICED IT BUT THE NUMBNESS IS DEFINITELY WORSE NOW THAN IT WAS AT THE START
audio/MSK0050.mp3[40.280,50.800]	OK AND UH WHERE IS THIS UM THE PAIN AND NUMBNESS WHERE ARE YOU FEELING IT EXACTLY
audio/MSK0050.mp3[50.800,56.840]	UM ITS PARTICULAR ITS THE WORST ON MY THUMB AND INDEX FINGER
audio/MSK0050.mp3[56.840,63.680]	OK DO YOU FEEL IT ON YOUR RING FINGER OR UH OR SORRY OR YOUR MIDDLE FINGER
audio/MSK0050.mp3[63.680,73.120]	UM THERE IS A LITTLE BIT ON MY MIDDLE AND RING FINGER BUT ITS LIKE ITS VERY VERY MILD
audio/MSK0050.mp3[73.120,83.160]	OK UH AND UH LIKE HOW LONG IS ARE THE SYMPTOMS CONSTANT OR OR ARE THEY INTERMITTENT
audio/MSK0050.mp3[83.160,101.360]	UM I WOULD SAY ITS SOMEWHAT CONSTANT BUT ITS WORSE WHEN UM WHEN IM TRYING TO LIKE HOLD THE STEERING WHEEL OR USING MY PHONE OR YOU KNOW READING A BOOK
audio/MSK0050.mp3[101.360,114.040]	OK I SEE AND UM IS THERE ANYTHING THAT YOU DO UH AT THOSE TIMES TO TRY TO HELP GET THE SYMPTOMS TO GO AWAY
audio/MSK0050.mp3[114.040,125.760]	UM I GUESS I LIKE SHAKE OUT MY HAND UM OR YEAH TRY TO PUT PRESSURE ON THOSE NUMB NUMB AREAS
audio/MSK0050.mp3[125.760,132.800]	OK DOES FLICKING THE THE WRIST OR ANYTHING LIKE THAT DOES IT HELP
audio/MSK0050.mp3[132.800,135.080]	UH MAYBE SLIGHTLY
audio/MSK0050.mp3[135.080,142.920]	OK AND UH LIKE HOW WOULD YOU DESCRIBE THE THE PAINS IN YOUR HAND LIKE DULL ACHY SHARP
audio/MSK0050.mp3[142.920,172.040]	I WOULD SAY THE PAIN IS MORE LIKE A TINGLING SENSATION UM SO I GUESS THE TINGLING IS IS LIKE A SHARP FEELING UM I WOULDNT CALL IT SO MUCH PAIN AS I WOULD JUST LIKE TINGLING AND NUMBNESS
audio/MSK0050.mp3[172.040,181.280]	OK OK AND UH IS IS THERE ANYTHING SO YOU MENTIONED SORT OF THE DRIVING AND USING YOUR PHONE ARE THERE ANY OTHER ACTIVITIES THAT MAKE IT WORSE
audio/MSK0050.mp3[181.280,204.000]	RECENTLY I FOUND ITS HARD FOR ME TO HOLD THINGS UM IN MY RIGHT HAND SO LIKE IF IM TRYING TO OPEN UP A JAR UM LIKE ITS HARD FOR ME TO HOLD IT AND SOMETIMES I FIND UH LIKE ITLL JUST FALL OUT OF MY HAND
audio/MSK0050.mp3[204.000,207.000]	OK SO YOURE LIKE DROPPING ITEMS AND STUFF
audio/MSK0050.mp3[207.000,209.000]	MHMM YES
audio/MSK0050.mp3[209.000,220.800]	OK AND DO YOU FEEL ANY UH LIKE THE NUMBNESS OR TINGLING DOES IT RADIATE ANYWHERE LIKE TO YOUR FOREARM OR UP INTO YOUR LIKE UPPER ARM OR SHOULDER
audio/MSK0050.mp3[220.800,226.320]	UH NO I DONT THINK SO NO
audio/MSK0050.mp3[226.320,231.840]	OK AND DO YOU HAVE ANY NECK PAIN
audio/MSK0050.mp3[233.840,239.920]	OK AND HAVE YOU HAD ANY TRAUMA OR INJURIES TO YOUR WRIST OR HAND
audio/MSK0050.mp3[239.920,244.280]	NO NOTHING THAT I CAN THINK OF
audio/MSK0050.mp3[244.280,250.240]	ALRIGHT UM AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY
audio/MSK0050.mp3[251.240,254.160]	HOW ABOUT ANY FEVERS OR CHILLS
audio/MSK0050.mp3[255.400,257.720]	HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0050.mp3[258.880,262.520]	OK HAVE YOU HAD ANY CHANGES TO VISION OR HEARING
audio/MSK0050.mp3[263.600,268.720]	HOW ABOUT OTHER SENSES LIKE ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
audio/MSK0050.mp3[270.200,274.520]	ALRIGHT HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
audio/MSK0050.mp3[274.520,276.120]	UH NO
audio/MSK0050.mp3[276.120,280.640]	ALRIGHT HAVE YOU HAD A SORE THROAT OR A COUGH PERHAPS
audio/MSK0050.mp3[282.120,284.880]	ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/MSK0050.mp3[286.040,292.240]	HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOURE UH LIKE FEELING LIKE YOU HAVE HEART PALPITATIONS
audio/MSK0050.mp3[293.000,297.920]	OK HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0050.mp3[297.920,299.720]	UH NO
audio/MSK0050.mp3[299.720,303.200]	ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0050.mp3[304.440,310.760]	HOW ABOUT ANY ABDOMINAL PAIN
audio/MSK0050.mp3[312.160,315.880]	ALRIGHT HOW ABOUT ANY URINARY PROBLEMS
audio/MSK0050.mp3[315.880,317.400]	UH NO
audio/MSK0050.mp3[317.400,322.200]	HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE DIARRHEA CONSTIPATION
audio/MSK0050.mp3[323.680,327.800]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR HAIR OR NAILS
audio/MSK0050.mp3[328.960,336.160]	AND ANY SKIN RASHES OR UM ANYTHING LIKE THAT
audio/MSK0050.mp3[337.600,344.760]	ALRIGHT AND UH HAVE YOU HAD ANY OTHER PAINS IN YOUR JOINTS OR ANY JOINT SWELLING
audio/MSK0050.mp3[347.120,354.320]	OK UH AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/MSK0050.mp3[354.320,365.240]	NO NOT THAT I CAN THINK OF YEAH NO WHEN I WAS YOUNGER I HAD LIKE CHILDHOOD ASTHMA BUT NOTHING SINCE
audio/MSK0050.mp3[365.240,368.200]	OK DO YOU USE ANY INHALERS NOW
audio/MSK0050.mp3[368.200,370.880]	NO NOT FOR A LONG TIME
audio/MSK0050.mp3[370.880,374.640]	OK DO YOU TAKE ANY OTHER MEDICATIONS
audio/MSK0050.mp3[376.440,381.560]	OK UM AND HOW ABOUT DO YOU HAVE ANY ALLERGIES
audio/MSK0050.mp3[383.280,388.040]	OK AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS
audio/MSK0050.mp3[388.040,392.000]	UH NO
audio/MSK0050.mp3[392.000,401.320]	OK UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT UH WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/MSK0050.mp3[401.320,417.520]	SO UM I LIVE WITH MY BOYFRIEND AND WE LIVE IN A RENTED BASEMENT APARTMENT DOWNTOWN
audio/MSK0050.mp3[417.520,422.680]	OK UM AND ARE YOU WORKING CURRENTLY OR ARE YOU IN SCHOOL
audio/MSK0050.mp3[422.680,427.440]	UM I AM A GRAD STUDENT
audio/MSK0050.mp3[427.440,433.400]	OK EXCELLENT AND UM DO YOU SMOKE CIGARETTES
audio/MSK0050.mp3[433.400,435.240]	I DONT
audio/MSK0050.mp3[435.240,440.080]	OK AND UH DO YOU DRINK ALCOHOL
audio/MSK0050.mp3[440.080,445.000]	UM ILL HAVE A GLASS OF WINE ONCE A WEEK
audio/MSK0050.mp3[445.000,453.480]	ALRIGHT UM AND DO YOU USE ANY RECREATIONAL DRUGS
audio/MSK0050.mp3[453.480,454.520]	UH NO
audio/MSK0050.mp3[454.520,466.880]	OK AND IN THE FAMILY UH ARE THERE ANY IS THERE A HISTORY OF LIKE HYPOTHYROIDISM OR OTHER AUTOIMMUNE CONDITIONS
audio/MSK0050.mp3[466.880,474.200]	UM THERES RHEUMATOID ARTHRITIS IN THE FAMILY BUT THATS ABOUT IT
audio/MSK0050.mp3[474.200,480.720]	OK UM BUT YOU DONT HAVE ANY OTHER JOINT SWELLING OR PAINS RIGHT
audio/MSK0050.mp3[484.360,506.280]	OK UH AND SO NEXT I WOULD LIKE TO JUST UM UH DO A PHYSICAL EXAM AND FOR THE FIRST PART ILL ASK YOU TO JUST HAVE A LOOK AT THE HAND AND WRIST AND ARE YOU SEEING ANY SWELLING ERYTHEMA OR REDNESS OR LIKE ANY MUSCLE WASTING OR OR ATROPHY
audio/MSK0050.mp3[506.280,532.480]	UM SO IN MY RIGHT HAND UM I GUESS THE YOU KNOW THE FLESHY PART OF YOUR THUMB JUST ABOVE YOUR WRIST UM THAT SEEMS TO BE UM I GUESS ATROPHIED COMPARED TO MY LEFT HAND
audio/MSK0050.mp3[532.480,538.640]	OK SO OK SO THE MUSCLE BULK IS UM REDUCED THERE
audio/MSK0050.mp3[541.920,551.720]	OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES LIKE DOES THE ANY AREAS OF THE HAND OR WRIST FEEL WARM OR HOT
audio/MSK0050.mp3[551.720,553.280]	UM NO
audio/MSK0050.mp3[553.280,564.520]	ALRIGHT UM AND ARE THERE ANY AREAS IF YOU UH PALPATE THAT CAUSE PAIN LIKE OVER THE WRIST OR ANY OF THE JOINTS
audio/MSK0050.mp3[564.520,570.760]	NO PAIN UM YEAH NO PAIN
audio/MSK0050.mp3[570.760,578.680]	ALRIGHT UM AND ARE YOU ABLE TO UH FLEX AND EXTEND YOUR WRIST
audio/MSK0050.mp3[578.680,580.200]	UH YEAH I CAN DO THAT
audio/MSK0050.mp3[580.200,586.640]	ALRIGHT AND AND HOW ABOUT MAKING A FIST AND AND THEN ALSO EXTENDING YOUR FINGERS BACK OUT
audio/MSK0050.mp3[586.640,595.440]	THAT HURTS OR LIKE THAT CAUSES THE TINGLING
audio/MSK0050.mp3[595.440,601.920]	OK UM ARE THERE ANY ANY ISSUES WITH LIKE MOVING YOUR ELBOW OR YOUR SHOULDER
audio/MSK0050.mp3[602.640,628.600]	OK AND IF YOU TAKE YOUR OPPOSITE HAND UM WITH JUST YOUR UH KIND OF POINTER FINGER AND MIDDLE FINGER AND JUST REALLY TAP UM RIGHT NEAR THE WRIST CREASE CALLED THE TINELS TEST YOU TAP THERE DO YOU FEEL ANY REPRODUCTION OF SYMPTOMS
audio/MSK0050.mp3[628.600,632.760]	YEAH THAT THAT CAUSES THE TINGLING
audio/MSK0050.mp3[632.760,662.320]	OK SO YOURE POSITIVE TINELS TEST AND UM IF YOU KIND OF PLACE YOUR WRIST SO THAT UM LIKE THE BACKS OF YOUR HANDS ARE FACING EACH OTHER SO THAT YOUR WRISTS ARE FLEXED DOWNWARDS AND YOUR UM YOUR WRISTS ARE FLEXED AND YOUR FINGERS ARE POINTING TOWARDS THE GROUND AND YOU JUST HOLD THAT POSITION FOR A PERIOD OF TIME UM DO YOU FEEL ANY PAIN
audio/MSK0050.mp3[662.320,667.840]	UH I GUESS A LITTLE BIT OF TINGLING
audio/MSK0050.mp3[667.840,678.720]	OK SO THAT WOULD BE A POSITIVE PHALENS TEST AS WELL UM AND RANGE OF MOTION OF THE NECK DO YOU HAVE ANY PROBLEMS WITH THAT OR ANY PAIN THERE
audio/MSK0050.mp3[678.960,691.840]	OK UM I THINK THAT WAS EVERYTHING I WANTED TO ASK ABOUT AND CHECK ON THE EXAM DID YOU HAVE ANY QUESTIONS FOR ME
audio/MSK0050.mp3[691.840,694.880]	UM NO NO QUESTIONS THANK YOU SO MUCH
audio/MSK0050.mp3[694.880,725.080]	ALRIGHT YOURE WELCOME YEAH SO IT SOUNDS LIKE THIS COULD BE UH CARPAL TUNNEL SYNDROME AND UH SO WE WE MAY DEPENDING ON UH KIND OF LIKE NERVE STUDIES TO CONFIRM THE DIAGNOSIS AND UM THINGS THAT YOU CAN DO IN THE MEANTIME WOULD BE TO USE LIKE A SPLINT OR UM YEAH TRY TO USE LIKE NIGHTTIME SPLINTS AND ACTIVITY MODIFICATION AS WELL
audio/MSK0050.mp3[725.080,729.520]	OK YEAH THAT SOUNDS GOOD
audio/MSK0029.mp3[0.000,2.280]	WHAT BRINGS YOU IN
audio/MSK0029.mp3[2.280,30.720]	HI YESTERDAY I WAS GROCERY SHOPPING AND YEAH JUST IN THE PARKING LOT SOMEBODY BUMPED INTO MY CAR AND THIS MORNING I WOKE UP AND MY NECK IS JUST REALLY PAINFUL IT HURT YESTERDAY A LITTLE BIT BUT I MEAN IT WAS SO MILD I DIDNT THINK MUCH OF IT BUT TODAY ITS ITS QUITE A BIT WORSE
audio/MSK0029.mp3[30.720,42.800]	OK SO CAN YOU TELL ME HOW THIS ACCIDENT HAPPENED WERE YOU SITTING IN THE PASSENGER SEAT AND THE DRIVER AND WAS THE IMPACT FROM LIKE BEHIND AT THE BACK OF YOUR CAR OR AT THE FRONT
audio/MSK0029.mp3[42.800,69.560]	IT WAS AT THE BACK SO I WAS THE DRIVER AND WAS JUST GOING OVER A SPEED BUMP IN THE PARKING LOT SO SLOWED DOWN QUITE A BIT AND THE PERSON BEHIND ME MUST NOT HAVE AND THEY BUMPED INTO ME THERES JUST SOME SCRATCHES ON THE BUMPER THEY DIDNT HIT TOO HARD BUT I I GUESS MAYBE HARD ENOUGH
audio/MSK0029.mp3[69.560,78.760]	OK AND DID THE NECK PAIN START IMMEDIATELY AFTER
audio/MSK0029.mp3[78.760,91.160]	UH NO ITS I LIKE NOT IMMEDIATELY YEAH I THINK IT STARTED A BIT LATER ON AND THEN WORSE A BIT A BIT TODAY
audio/MSK0029.mp3[91.160,97.560]	OK ALRIGHT AND IS THERE PAIN ANYWHERE ELSE ON YOUR BODY
audio/MSK0029.mp3[97.560,104.960]	UH REALLY LIKE MY NO JUST JUST REALLY MY NECK
audio/MSK0029.mp3[104.960,118.360]	OK OK AND DOES ANYTHING FEEL BROKEN DO ARE THERE BRUISES ANYWHERE ANY OBVIOUS SIGNS OF TRAUMA
audio/MSK0029.mp3[118.360,132.240]	NO I CAN’T I DIDNT NOTICE ANYTHING LIKE THAT AND I CAN MOVE MY NECK AROUND SO I DONT THINK ANY I DON’T I DONT THINK ANYTHING IS BROKEN JUST HURTS A LOT
audio/MSK0029.mp3[132.240,137.080]	ALRIGHT AND IS A PAIN CONSTANTLY THERE OR DOES IT COME AND GO
audio/MSK0029.mp3[137.080,157.600]	IT KIND OF COMES AND GOES IT JUST ITS WORSE WITH MOVEMENT IF I JUST KINDA SIT STILL I DONT NOTICE MUCH PAIN BUT IF IM BETTING MY HEAD FORWARD OR MOSTLY BACKWARDS SO ILL GET ILL GET PAIN
audio/MSK0029.mp3[157.600,162.320]	OK AND YOU SAID THIS HAPPENED YESTERDAY RIGHT
audio/MSK0029.mp3[162.320,166.360]	YEAH YEAH THIS HAPPENED YESTERDAY AFTERNOON
audio/MSK0029.mp3[166.360,179.040]	OK UM AND DOES ANYTHING MAKE THIS BETTER LIKE HAVE YOU TRIED ICE SAY ANY TOPICALS ANY POSITIONS THAT THAT HELPS WITH THE PAIN
audio/MSK0029.mp3[179.040,195.600]	I DID TRY SOME LIKE ADVIL LAST NIGHT BUT LIKE WHEN I WHEN THE PAIN WAS COMING ON AND IT MUSTVE HELPED ME SLEEP I GUESS BUT I HAVENT TRIED ANY ICE OR ANYTHING LIKE THAT JUST MOSTLY I GUESS RESTING
audio/MSK0029.mp3[195.600,212.000]	OK SO YOU SAID THE PAIN IS AT THE BACK OF THE NECK DOES IT RADIATE ANYWHERE UP INTO YOUR HEAD OR DOWN INTO YOUR SHOULDERS OR LOWER OR UPPER BACK
audio/MSK0029.mp3[212.000,229.480]	UHM MAYBE A LITTLE BIT TO THE UPPER BACK LIKE WHEN I LIKE TRAP TRAPEZIUS MUSCLE AREA OR THE TRAPS LIKE IT IF I PUSH ON THOSE MUSCLES AROUND THAT AREA I DO GET A LITTLE BIT OF TENDERNESS
audio/MSK0029.mp3[229.480,240.040]	OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBING UHM HOW WOULD YOU DESCRIBE IT
audio/MSK0029.mp3[240.040,250.240]	I WOULD SAY ITS SHARP YEAH ESPECIALLY IF I DO ANY MOVEMENTS LIKE ITLL BE FEELS LIKE I MEAN IT STABBED IN THE NECK
audio/MSK0029.mp3[250.240,256.480]	OK ALRIGHT AND HAVE YOU EVER HAD IT HAD PAIN LIKE THIS IN THE PAST
audio/MSK0029.mp3[256.480,261.400]	NO THIS IS THE FIRST TIME
audio/MSK0029.mp3[261.400,267.520]	OK AND DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN SINCE IT STARTED YESTERDAY
audio/MSK0029.mp3[267.520,280.240]	YEAH IT COULD BE THAT AT FIRST I DIDNT EVEN HAVE ANY PAIN AT ALL MAYBE IT WAS JUST THE ADRENALINE PUMPING OR WHATEVER BUT NOW I CAN NOTICE THE PAIN
audio/MSK0029.mp3[280.240,288.000]	OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN
audio/MSK0029.mp3[288.000,298.680]	IT WOULD BE I WOULD SAY PROBABLY A 6 OR A 7
audio/MSK0029.mp3[298.680,305.320]	OK OK AND HAVE YOU HAD ANY TINGLING OR NUMBNESS
audio/MSK0029.mp3[305.320,307.400]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0029.mp3[307.400,311.040]	OK ANY DIZZINESS OR FAINTING SPELLS
audio/MSK0029.mp3[311.920,315.120]	CONFUSION OR MEMORY LOSS
audio/MSK0029.mp3[316.360,318.800]	ANY HEADACHES
audio/MSK0029.mp3[318.800,321.040]	UM I NO
audio/MSK0029.mp3[321.040,332.880]	NO OK AND IS THIS AFFECTING YOUR SLEEP AT ALL
audio/MSK0029.mp3[332.880,353.560]	OH NO I GUESS LIKE LAST NIGHT IT WAS A LITTLE BIT MORE DIFFICULT BECAUSE I WAS JUST I SLEPT I JUST ON MY BACK SO THAT I WASNT MOVING AROUND AS MUCH SO THAT WAS A LITTLE BIT AWKWARD BUT I WAS ABLE TO SLEEP THOUGH
audio/MSK0029.mp3[353.560,362.000]	OK I KNOW YOU SAID YOU HAVE SOME PAIN WITH CERTAIN MOVEMENTS BUT DO YOU FIND ITS HARD TO MOVE YOUR NECK AT ALL
audio/MSK0029.mp3[362.000,370.400]	OH IT FEELS A BIT STIFF BUT LIKE IM ABLE TO MOVE IT BUT YEAH I FEEL STIFF
audio/MSK0029.mp3[370.400,376.640]	OK ANY ISSUES WITH VISION LIKE IS IT BLURRY
audio/MSK0029.mp3[377.680,380.680]	NO HOW ABOUT RINGING IN YOUR EARS
audio/MSK0029.mp3[381.760,395.080]	NO ANY SORRY YES THAT ANY ISSUES CONCENTRATING ON ON TASKS
audio/MSK0029.mp3[395.080,408.320]	UM YEAH THIS MORNING I I GUESS ITS BEEN A LITTLE BIT MORE DIFFICULT TO FOCUS ON THINGS BUT MAYBE I WAS JUST WORRIED LIKE FOCUSING ON THE PAIN IN MY NECK
audio/MSK0029.mp3[408.320,414.000]	YEAH FOR SURE ANY FEVERS OR CHILLS
audio/MSK0029.mp3[415.440,419.920]	ANY CHANGES IN YOUR WEIGHT
audio/MSK0029.mp3[419.920,423.720]	NO MY WEIGHT ITS BEEN BEEN THE SAME
audio/MSK0029.mp3[423.720,428.360]	ANY CHANGES TO YOUR HEARING
audio/MSK0029.mp3[428.360,430.360]	NO THATS BEEN BEEN NORMAL
audio/MSK0029.mp3[430.360,433.320]	SMELL OR TASTE
audio/MSK0029.mp3[433.320,434.680]	THATS BEEN NORMAL
audio/MSK0029.mp3[434.680,439.720]	UM CHEST PAIN OR HEART PALPITATIONS
audio/MSK0029.mp3[439.720,441.320]	NO NOTHING LIKE THAT
audio/MSK0029.mp3[441.320,446.880]	OK NO COUGH SHORTNESS OR BREATH SHORTNESS OF BREATH OR WHEEZING
audio/MSK0029.mp3[446.880,449.000]	NO NONE OF THAT
audio/MSK0029.mp3[449.000,451.960]	HOW ABOUT ISSUES WITH THEIR BOWEL MOVEMENTS
audio/MSK0029.mp3[451.960,457.520]	NO I HAVENT HAD ANY DIARRHEA OR ANY ANY ANY CONSTIPATION NOTHING LIKE THAT
audio/MSK0029.mp3[457.520,461.400]	OK ANY NAUSEA VOMITING
audio/MSK0029.mp3[461.400,462.800]	NO NAUSEA OR VOMITING
audio/MSK0029.mp3[462.800,467.680]	CHANGES IN YOUR APPETITE
audio/MSK0029.mp3[467.680,471.560]	UH NO THAT MY APPETITES BEEN GOOD
audio/MSK0029.mp3[471.560,475.080]	OK HOW ABOUT CHANGES IN URINE
audio/MSK0029.mp3[475.080,480.880]	NO I HAVENT HAD ANY ANY CHANGES TO OR ANY URINARY SYMPTOMS AT ALL
audio/MSK0029.mp3[480.880,490.760]	OK OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0029.mp3[490.760,503.480]	UHM NO I AM OTHERWISE HEALTHY I JUST ID TAKE BIRTH CONTROL AND I AM A MULTI VITAMIN BUT THATS IT SO NO MEDICAL CONDITIONS
audio/MSK0029.mp3[503.480,512.160]	OK ALRIGHT THATS GOOD UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0029.mp3[512.160,516.640]	UHM NO I HAVEN’T
audio/MSK0029.mp3[516.640,522.640]	NO OK HOW ABOUT MEDICATIONS ARE YOU ON ANY
audio/MSK0029.mp3[522.640,530.440]	JUST THE THE THE BIRTH CONTROL THAT IM IM TAKING IVE BEEN TAKING THAT FOR ABOUT FIVE YEARS NOW
audio/MSK0029.mp3[530.440,537.160]	FIVE YEARS OK ANY SIDE EFFECTS OR ANY ISSUES WITH THAT
audio/MSK0029.mp3[537.160,546.160]	NO ITS BEEN GOOD DAY I IVE BEEN REALLY HAPPY WITH IT OVERALL TOO THEY HELP REGULATE MY CYCLES
audio/MSK0029.mp3[546.160,554.000]	OK OK GOOD AND THEN ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/MSK0029.mp3[554.000,557.440]	I AM YES ILL GET THE FLU SHOT EVERY YEAR
audio/MSK0029.mp3[557.440,561.560]	OK THATS GOOD DO YOU HAVE ANY ALLERGIES
audio/MSK0029.mp3[561.560,573.120]	I DO YEAH BUT ITS I THINK THEYRE JUST ALL ENVIRONMENTAL CAUSE ILL TYPICALLY GET ISSUES WITH SEASONAL CHANGES AND THEN THEN IT GOES AWAY
audio/MSK0029.mp3[573.120,579.560]	OH I SEE OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/MSK0029.mp3[579.560,590.840]	I THINK MY DAD HAS HIGH BLOOD PRESSURE AND DIABETES YEAH BUT NO HEART OR OR LUNG CONDITIONS
audio/MSK0029.mp3[590.840,595.160]	OK HOW ABOUT A MUSCULOSKELETAL ISSUES
audio/MSK0029.mp3[595.160,600.880]	I THINK MAYBE OSTEOARTHRITIS AND MY GRANDPA GRANDPARENTS BUT
audio/MSK0029.mp3[604.160,605.520]	BUT YEAH
audio/MSK0029.mp3[605.520,609.120]	HOW ABOUT AN AUTOIMMUNE CONDITIONS
audio/MSK0029.mp3[609.120,613.120]	NO NOTHING LIKE THAT
audio/MSK0029.mp3[613.120,616.720]	NO OK HOW ABOUT CANCERS
audio/MSK0029.mp3[616.720,621.080]	UH NO CANCERS
audio/MSK0029.mp3[621.080,625.920]	OK AND THEN DO YOU SMOKE
audio/MSK0029.mp3[625.920,630.040]	NO I DONT NO IVE NEVER SMOKED BEFORE
audio/MSK0029.mp3[630.040,636.400]	OK HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM
audio/MSK0029.mp3[636.400,641.480]	NO I DONT
audio/MSK0029.mp3[641.480,646.040]	OK AND THEN DO YOU DRINK ALCOHOL
audio/MSK0029.mp3[646.040,653.960]	EVERY ONCE IN A WHILE ILL HAVE A GLASS OF WINE BUT ITS USUALLY A SOCIAL THING OR OR AT CHRISTMAS
audio/MSK0029.mp3[653.960,664.800]	OK COME HAVE OUT IN TERMS OF SICK CONTACTS HAVE YOU HAD ANY RECENTLY
audio/MSK0029.mp3[664.800,686.400]	I DONT BELIEVE SO UM IVE BEEN GOING TO WORK I WORK AS A BANK TELLER UM BUT EVERYBODY AT WORK HASNT BEEN SICK AND WEVE BEEN USING MASKS AND CLEANING OUR HANDS AND ALL OF THAT SORT OF THING
audio/MSK0029.mp3[686.400,692.600]	OK OK THATS GOOD AND HOW ABOUT TRAVEL HAVE YOU HAD ANY RECENTLY
audio/MSK0029.mp3[692.600,701.760]	NO IVE BEEN PUT AT HOME BUT LOOKING FORWARD TO A VACATION THOUGH
audio/MSK0029.mp3[701.760,709.120]	YEAH FOR SURE AND THEN WHERE DO YOU WORK AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE
audio/MSK0029.mp3[709.120,717.800]	YES I I WORK AT A BANK AND I LIVE WITH MY HUSBAND AND OUR TIME AND OUR SON HE’S HES SIX
audio/MSK0029.mp3[717.800,738.640]	OK OK OK UM THOSE ARE ALL THE QUESTIONS I HAVE FOR HISTORY WE CAN MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW DID YOU HAVE ANY QUESTIONS BEFORE WE DID THAT
audio/MSK0029.mp3[738.640,745.080]	UH NO NO THAT SOUNDS GOOD
audio/MSK0029.mp3[745.080,760.160]	OK SO IF YOU HAVE SOMEONE THERE WITH YOU OR IF YOU HAVE A MIRROR OR IF THERES ANY WAY YOU CAN TAKE A LOOK AT THE BACK OF YOUR NECK AS WELL AS THE FRONT OF YOUR NECK UM DO YOU SEE ANY REDNESS OR SWELLING IN THAT AREA
audio/MSK0029.mp3[760.160,762.160]	NO I DON’T
audio/MSK0029.mp3[762.160,772.520]	NO OK DO YOU SEE ANY MUSCLE ATROPHY ANY DEFORMITIES OR SKIN CHANGES
audio/MSK0029.mp3[772.520,773.760]	NO NOTHING LIKE THAT
audio/MSK0029.mp3[773.760,789.080]	OK AND THEN WHEN YOU KIND OF JUST WITH THE BACK OF YOUR HAND PLACE IT ON YOUR NECK IN THE FRONT AS WELL AS THE BACK DOES IT FEEL WARM AT ALL
audio/MSK0029.mp3[789.440,799.280]	NO OK AND THEN IM GONNA GET YOU TO PALPATE CERTAIN AREAS SO WELL START WITH THE CHIN DOES THAT HURT WHEN YOU PRESS DOWN
audio/MSK0029.mp3[799.640,805.960]	NO OK HOW ABOUT JUST WHERE THE THYROID WOULD BE
audio/MSK0029.mp3[805.960,809.880]	NO PAIN OR YEAH NO PAIN THERE
audio/MSK0029.mp3[809.880,819.600]	NO PAIN THERE OK HOW ABOUT TO THE SIDES KIND OF WHERE YOUR STERNOCLEIDOMASTOID MUSCLES ARE
audio/MSK0029.mp3[819.600,828.400]	YEAH I THINK LIKE A LITTLE BIT OF TENDERNESS IN THE THE FRONT OF THE NECK MUSCLES THERE
audio/MSK0029.mp3[828.400,841.840]	OK AND THEN HOW ABOUT WHEN YOU MOVE TOWARDS THE BACK AND THEN ON YOUR C SPINE CERVICAL SPINE JUST LIKE AT THE VERY BACK OF YOUR NECK
audio/MSK0029.mp3[841.840,859.360]	YEAH SO THERES THERES NO PAIN WHEN I PUSH ON THE LIKE BONES I CAN FEEL LIKE SO ACTUALLY ON THAT THAT LIKE C SPINE ITSELF THERES NO PAIN BUT LIKE OH OFF TO THE SIDE SO ON THE MUSCLES TO THE SIDES OR THERES A BIT OF TENDERNESS
audio/MSK0029.mp3[859.360,870.840]	OK SO KIND OF LIKE WHERE SO THERES PAIN ON THEIR TRAPEZIUS AND DELTOID MUSCLES
audio/MSK0029.mp3[870.840,883.840]	UHM UH YEAH MORE TRAPEZIUS NOT SO NOT SO MUCH DELTOID AND THEN ALSO UM LIKE THE THE PERISPINAL MUSCLES
audio/MSK0029.mp3[883.840,909.560]	OK I SEE ALRIGHT UHM OK AND THEN LETS MOVE ON TO SOME RANGE OF MOTION EXAM SO IM GONNA GET YOU TO FLEX YOUR NECK SO LOOK DOWN AT THE GROUND ALL THE WAY AS MUCH AS YOU CAN DOES THAT HURT
audio/MSK0029.mp3[909.560,911.720]	IT DOES YEAH
audio/MSK0029.mp3[911.720,915.280]	IT DOES BUT YOURE ABLE TO FULLY FLEX YOUR NECK
audio/MSK0029.mp3[915.280,923.960]	YEAH I CAN TOUCH MY CHIN TO MY CHEST ALL ALMOST UH BUT YEAH ILL GET PAIN AT THE BACK OF MY NECK WHEN I DO THAT AND THE FRONT
audio/MSK0029.mp3[923.960,932.440]	AND THE FRONT OK AND THEN HOW ABOUT WHEN YOU EXTEND YOUR HEAD ALL THE WAY BACK SO THAT YOURE LOOKING AT THE CEILING
audio/MSK0029.mp3[932.440,944.040]	I’M ABLE TO DO IT STILL IS A BIT STIFF AND ITS SLOW TO GET THERE BUT AGAIN I I GET PAIN AT THE BACK IN THE FRONT OF MY NECK WHEN IM DOING THIS
audio/MSK0029.mp3[944.040,953.640]	OK OK HOW ABOUT WHEN YOU FLEX YOUR NECK TO THE SIDE SO THAT YOUR RIGHT EAR IS TOUCHING YOUR RIGHT SHOULDER
audio/MSK0029.mp3[953.640,964.080]	UM YEAH I GET THERES A LITTLE BIT OF A PAIN IN THE MUSCLES ON THE LEFT SIDE WHEN IM DOING THAT
audio/MSK0029.mp3[964.080,974.800]	OK AND THEN HOW ABOUT WHEN YOU DO THE OPPOSITE TOUCH YOUR LEFT EAR TO YOUR LEFT SHOULDER SO THAT YOURE LATERALLY FLEXING YOUR NECK ON THE LEFT SIDE
audio/MSK0029.mp3[974.800,978.800]	A LITTLE BIT OF PAIN THERE TOO BUT IM ABLE TO DO IT THOUGH
audio/MSK0029.mp3[978.800,985.440]	OK SO YOURE ABLE TO DO ALL OF THESE ITS JUST THAT YOU HAVE SOME PAIN WHEN YOU DO THAT
audio/MSK0029.mp3[985.440,990.960]	YEAH EXACTLY I COULD DO ALL OF THE MOVEMENTS BUT YEAH ITS PAIN AND STIFFNESS
audio/MSK0029.mp3[990.960,999.720]	OK OK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/MSK0029.mp3[999.720,1016.000]	UH NO THAT I JUST WAS WONDERING IF I IF YOU THINK I I DON’T NEEDED AN X RAY OR LIKE YOU THINK THAT ANYTHING IS BROKEN KIND OF LIKE CONCERNED ABOUT TODAY BECAUSE OF THIS PAIN
audio/MSK0029.mp3[1016.000,1108.440]	YEAH AND FOR SURE UM SO RIGHT NOW IT JUST TO ME IT SOUNDS LIKE A WHIPLASH INJURY AND SO KIND OF LIKE LOW IMPACT BUT JUST TO BE CERTAIN WE CAN ORDER AN X RAY TO RULE OUT ANY FRACTURES OR DISLOCATIONS AND IN TERMS OF LIKE THE MANAGEMENT PLAN FOR PAIN MANAGEMENT YOU CAN REST YOU CAN EITHER APPLY HEAT OR COLD PACKS TO YOUR NECK FOR 15 MINUTES EVERY COUPLE OF HOURS OR SO YOU CAN TRY SOME OVER THE COUNTER PAIN MEDICATIONS LIKE IBUPROFEN OR TYLENOL AND IF IT STILL DOESNT GET BETTER WE CAN TRY LIKE WE CAN TRY INJECTIONS TO THE AREA TO RELIEVE SOME OF THAT PAIN BUT SOMETHING ELSE IN CONJUNCTION WE CAN TRY AS PHYSIOTHERAPY AND THEYLL BASICALLY HELP YOU WITH RANGE OF MOTION EXERCISES AND TRY TO STRENGTHEN THE MUSCLES IN THAT AREA AND TO IMPROVE YOUR POSTURE AND NORMAL MOVEMENT AND THATS KIND OF WHERE WE CAN START FOR NOW AND IF IT DOESNT GET ANY BETTER WE CAN TALK ABOUT ALTERNATIVE MANAGEMENT PLANS DOES THAT SOUND OK
audio/MSK0029.mp3[1108.440,1111.000]	IT DOES YEAH THAT THAT MAKES SENSE THANK YOU
audio/MSK0029.mp3[1111.000,1114.640]	OK YEAH NO WORRIES
audio/RES0148.mp3[0.000,1.600]	HOW MAY I HELP YOU
audio/RES0148.mp3[1.600,33.920]	HI IVE HAD UM IVE HAD A COUGH FOR THE PAST UM THREE DAYS AND UH I ALSO DEVELOPED A FEVER UM I THINK SO I CHECKED IT YESTERDAY NIGHT IT WAS UM 38 AND UH I JUST DECIDED TO UH COME INTO THE WALK IN CLINIC JUST TO UM JUST TO GET MYSELF CHECKED OUT
audio/RES0148.mp3[33.920,49.320]	YEAH CERTAINLY IT IT SOUNDS LIKE YOU UM HAVE HAD A FEVER AS WELL SO UH WITH THE COUGH YOU SAID THAT STARTED THREE DAYS AGO HAS IT BEEN GETTING UH ANY BETTER OR ANY WORSE
audio/RES0148.mp3[49.320,53.480]	ITS GOTTEN A LITTLE BIT BETTER ID SAY
audio/RES0148.mp3[53.480,64.000]	OK THATS GOOD UM AND AND PRIOR TO THREE DAYS AGO UM DID YOU HAVE A COUGH BEFORE OR WAS IT A NEW NEW COUGH
audio/RES0148.mp3[64.000,66.760]	ITS A NEW COUGH
audio/RES0148.mp3[66.760,73.880]	ALRIGHT AND UH ARE YOU BRINGING UP ANY SPUTUM
audio/RES0148.mp3[74.320,76.520]	UM ARE YOU BRINGING UP ANY BLOOD
audio/RES0148.mp3[77.720,84.320]	AND HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0148.mp3[84.320,87.200]	UHM NO I HAVENT
audio/RES0148.mp3[87.200,91.760]	OK UM HOW ABOUT ANY WHEEZING
audio/RES0148.mp3[91.760,101.200]	YEAH I GUESS A LITTLE BIT
audio/RES0148.mp3[101.200,110.640]	A BIT OK UM IS IT UH ARE YOU HAVING ANY CHEST PAIN
audio/RES0148.mp3[110.640,111.840]	UHM NO
audio/RES0148.mp3[111.840,122.640]	OK UM AND SO YOU MENTIONED UM WITH A FEVER HAVE HAVE YOU HAD ANY CHILLS
audio/RES0148.mp3[122.640,127.280]	YEAH I DID UM I HAD THE CHILLS YESTERDAY
audio/RES0148.mp3[127.280,135.440]	OK AND HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0148.mp3[135.440,136.480]	UHM NO
audio/RES0148.mp3[136.480,143.720]	ALRIGHT AND UM HAVE YOU HAD ANY EYE REDNESS RUNNY NOSE OR EVEN A SORE THROAT
audio/RES0148.mp3[143.720,146.200]	NO I HAVENT
audio/RES0148.mp3[146.200,153.320]	ALRIGHT HAVE YOU HAD ANY UH NAUSEA OR VOMITING
audio/RES0148.mp3[153.320,154.360]	UH NO
audio/RES0148.mp3[154.360,159.800]	UH A LOSS OF TASTE OR LOSS OF SMELL
audio/RES0148.mp3[160.720,167.800]	OK AND ANY UM ABDOMINAL PAINS
audio/RES0148.mp3[167.800,168.360]	UHM NO
audio/RES0148.mp3[168.360,171.320]	ANY UH DIARRHEA
audio/RES0148.mp3[172.200,173.800]	YOU GOT ANY URINARY PROBLEMS
audio/RES0148.mp3[175.760,181.760]	OK AND HAVE YOU HAD ANY SKIN CHANGES OR UH RASHES
audio/RES0148.mp3[183.200,186.960]	AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE
audio/RES0148.mp3[186.960,189.520]	UM A LITTLE BIT
audio/RES0148.mp3[189.520,196.200]	ALRIGHT AND HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY PAINS
audio/RES0148.mp3[196.200,219.800]	UHM NOT MUCH NO BUT YEAH ITS JUST IVE BEEN FEELING YEAH I GUESS A LITTLE BIT I HAVE BEEN FEELING ACHY UHM BUT I JUST THOUGHT IT WAS MY FIBROMYALGIA ACTING ACTING UP BUT YEAH ITS ITS BEEN WORSE OVER THE PAST THREE DAYS
audio/RES0148.mp3[219.800,237.440]	OK UH SO YOUVE HAD UM THIS COUGH A DRY COUGH A FEVER CHILLS AND UH BEEN MORE TIRED AND AND BEEN A LITTLE BIT MORE ACHY THESE PAST UH THREE DAYS HAVE YOU HAD ANY OTHER SYMPTOMS
audio/RES0148.mp3[237.440,242.320]	I DONT THINK SO
audio/RES0148.mp3[242.320,248.320]	OK AND HAVE YOU TRIED ANYTHING TO MAKE IT BETTER
audio/RES0148.mp3[248.320,265.840]	UH I JUST TOOK A DAY OR TWO OFF OF WORK AND I JUST RESTED AND UM HAD A LOT OF UH HOT WATER IT HELPED ME UH IT HELPED WITH THE COUGH
audio/RES0148.mp3[265.840,273.760]	OK GREAT AND UM HAVE YOU HAD ANY UH LIKE SYMPTOMS LIKE THIS BEFORE
audio/RES0148.mp3[273.760,290.040]	YEAH UM YEAH I MEAN WHEN I I GUESS I GET SICK I DO GET SIMILAR SYMPTOMS LIKE WHEN I GET THE COLD OR THE FLU BUT I USUALLY HAVE LIKE A RUNNY NOSE UM OR LIKE A STUFFY NOSE BUT THATS KIND OF DIFFERENT THIS TIME A LITTLE BIT
audio/RES0148.mp3[290.040,298.560]	OK AND IN THE PAST HAVE YOU BEEN UH DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0148.mp3[298.560,305.480]	I HAVE FIBROMYALGIA AND UH I UM ALSO HAVE SCHIZOPHRENIA
audio/RES0148.mp3[305.480,310.280]	OK AND ARE YOU TAKING MEDICATIONS CURRENTLY
audio/RES0148.mp3[310.280,331.120]	UH YEAH UHM I TAKE UM QUETIAPINE AND UH I JUST I TAKE ADVIL UM WHEN MY UH JOINT PAINS ARE REALLY BAD
audio/RES0148.mp3[331.120,340.760]	OK AND DO YOU HAVE A UM SOMEBODY THAT FOLLOWS YOU ALONG FOR EITHER UH FIBROMYALGIA OR OR SCHIZOPHRENIA
audio/RES0148.mp3[340.760,350.360]	UM MY FAMILY DOC AND THEN UM YEAH ITS PRETTY MUCH JUST HIM UM HE YEAH
audio/RES0148.mp3[350.360,355.320]	OK AND UH DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0148.mp3[357.480,363.400]	ALRIGHT AND UM ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE
audio/RES0148.mp3[363.400,366.040]	UM YEAH
audio/RES0148.mp3[366.040,377.160]	ALRIGHT AND COULD YOU TELL ME ALRIGHT THEN SORRY ACTUALLY UH HAVE YOU HAD ANY HOSPITALIZATIONS OR UH PREVIOUS SURGERIES
audio/RES0148.mp3[377.160,392.480]	UHM WELL I UH IVE BEEN HOSPITALIZED I I WAS KEPT IN THE PSYCH UNIT FOR A COUPLE OF DAYS UM TWO YEARS AGO BUT NOTHING OTHER THAN THAT
audio/RES0148.mp3[392.480,397.560]	OK UM AND ITS BEEN STABLE SINCE THEN
audio/RES0148.mp3[399.400,420.400]	OK GREAT AND I UM I JUST WANTED TO ASK A LITTLE BIT ABOUT UM YOUR PERSONAL HISTORY I WAS JUST WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT UH WHERE YOURE LIVING AND AND WHO YOURE LIVING WITH
audio/RES0148.mp3[420.400,427.400]	UH SURE SO IM LIVING WITH MY UM IM LIVING WITH MY HUSBAND AND UH WE LIVE IN AN APARTMENT
audio/RES0148.mp3[427.400,438.240]	OK AND HAS HE BEEN SICK OR HAS ANYBODY YOUVE BEEN AROUND BEEN SICK
audio/RES0148.mp3[438.240,447.120]	UHM HE WAS SICK LAST WEEK BUT HE GOT BETTER ON HIS OWN
audio/RES0148.mp3[447.120,452.200]	OK AND WERE WERE HIS SYMPTOMS SIMILAR TO YOURS OR OR UH OR WERE THEY DIFFERENT
audio/RES0148.mp3[452.200,467.920]	UM THEY WERE KIND OF DIFFERENT I WOULD SAY HE JUST HAD A UM HE HAD A SORE THROAT AND UH THAT KIND OF LASTED FOR THREE OR FOUR DAYS AND THEN HE JUST GOT BETTER
audio/RES0148.mp3[467.920,476.360]	OK AND UM ARE YOU CURRENTLY WORKING OR UM
audio/RES0148.mp3[476.360,484.040]	UM I UH NO IM A IM A STAY AT HOME I JUST STAY AT HOME I DONT WORK
audio/RES0148.mp3[484.040,493.240]	OK AND SO AND HAVE YOU TRAVELED ANYWHERE OR ANY OTHER UH POTENTIAL EXPOSURES
audio/RES0148.mp3[493.240,494.920]	UH NO
audio/RES0148.mp3[494.920,500.560]	OK UM AND DO YOU SMOKE CIGARETTES
audio/RES0148.mp3[500.560,501.520]	I DO
audio/RES0148.mp3[501.520,503.480]	OK YEAH HOW MUCH
audio/RES0148.mp3[503.480,507.720]	UH TWO OR THREE A DAY
audio/RES0148.mp3[507.720,512.280]	AND AND FOR HOW LONG OR FOR WHEN DID YOU START SMOKING SORRY
audio/RES0148.mp3[512.280,520.960]	UH SO IVE BEEN UH SMOKING SINCE I WAS UH 20 YEARS OLD SO ABOUT 30 YEARS AGO WAS WHEN I STARTED
audio/RES0148.mp3[520.960,527.040]	OK AND AND HAVE YOU COULD HAVE YOU THOUGHT OF HAVE YOU TRIED TO QUIT BEFORE
audio/RES0148.mp3[527.040,536.720]	UHM I DID BUT THEN I JUST DIDNT UH I JUST WENT BACK TO IT UM BUT IM TRYING TO CUT DOWN
audio/RES0148.mp3[536.720,555.040]	OK UH ITS GOOD THAT YOUVE BEEN ABLE TO CUT DOWN SO CONGRATULATIONS ON THAT UM AND DO YOU DRINK ALCOHOL
audio/RES0148.mp3[555.040,581.120]	UHM I I DO UH ILL DRINK UM SOMETIMES WITH MY FRIENDS MAYBE UH ONCE A MONTH OR ONCE IN TWO THREE MONTHS UM BUT I HAVENT BEEN GOING OUT WITH THEM SINCE THE PANDEMIC STARTED SO I HAVENT HAD MUCH TO DRINK I HAVENT HAD ANYTHING TO DRINK UM SINCE THE PAST YEAR
audio/RES0148.mp3[581.120,591.760]	OK UM I SEE AND UH HAVE YOU HAD ANY UM HISTORY OF HEART OR LUNG CONDITIONS IN THE FAMILY
audio/RES0148.mp3[592.560,609.040]	OK YEAH AND I THINK THAT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY TODAY BEFORE WE GO AHEAD ON TO THE PHYSICAL EXAM UH DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD MAYBE BEFORE UM THAT I FORGOT TO ASK ABOUT
audio/RES0148.mp3[609.040,614.920]	UH NO
audio/RES0148.mp3[614.920,669.080]	OK UM SO WE WILL START WITH UM SOME INVESTIGATIONS INCLUDING A A COVID SWAB TODAY JUST BECAUSE OF YOUR UH GENERAL SYMPTOMS WHICH DO OVERLAP WITH WITH COVID UM ALTHOUGH IT COULD AS YOU MENTIONED UH BE SOMETHING LIKE THE COMMON COLD UM AS WELL UM AND SO WE WILL UH BE SURE TO TEST FOR COVID AND IN THE MEANTIME WE ASK YOU TO SELF ISOLATE UM FOR FOR 14 DAYS UM AND WE WILL GET BACK THE RESULTS UM AS SOON AS WE CAN AND IF YOUR SYMPTOMS GET WORSE AT ANY POINT UM THEN WE WILL UH ACT ACCORDINGLY
audio/RES0171.mp3[0.000,3.320]	WHAT BRINGS YOU IN TODAY
audio/RES0171.mp3[3.320,18.240]	YEAH IVE HAD A SHORTNESS OF BREATH AND EVEN AT AT REST REALLY FEELING LIKE ITS DIFFICULT TO BREATHE AND WHEN I TAKE A DEEP BREATH I GET A CHEST PAIN
audio/RES0171.mp3[18.240,20.400]	WHEN DID THIS START
audio/RES0171.mp3[20.400,30.320]	THIS STARTED YESTERDAY
audio/RES0171.mp3[30.320,33.440]	HOW BAD IS YOUR SHORTNESS OF BREATH
audio/RES0171.mp3[33.440,54.560]	LIKE I DONT KNOW I FEEL LIKE IM OK LIKE N TERMS OF BEING ABLE TO BREATHE BUT I MEAN IF I EXERT MYSELF AT ALL THERES NO WAY I WOULD BE ABLE TO ITS I JUST FEEL LIKE EVEN AT REST ITS HARD TO BREATHE
audio/RES0171.mp3[54.560,61.560]	OK HAS IT GOTTEN WORSE SINCE YESTERDAY OR BETTER OR KIND OF BEEN THE SAME
audio/RES0171.mp3[61.560,77.520]	ITS MOSTLY BEEN THAT BEEN THE SAME OR ACTUALLY SORRY ITS GOT GOT A LITTLE BIT WORSE AT FIRST IT WAS MORE MORE WITH EXERTION AND NOW ITS AT REST AS WELL SO YEAH ITS GOT WORSE
audio/RES0171.mp3[77.520,87.480]	I SEE OK ARE YOU ABLE TO TALK IN FULL SENTENCES OR DO YOU NEED TO TAKE A DEEP LIKE STOP TO TAKE A BREATH
audio/RES0171.mp3[87.480,90.880]	I COULD TALK IN FULL SENTENCES
audio/RES0171.mp3[90.880,98.080]	AND THE CHEST PAIN DOES IT ONLY OCCUR WHEN YOU TAKE A DEEP BREATH OR ARE THERE OTHER TIMES AS WELL
audio/RES0171.mp3[98.080,116.320]	I PRETTY MUCH YEAH ONLY WHEN IM TAKING A DEEP BREATH AND SAY I MEAN MAYBE THATS WHY PART OF THE I CANT TAKE A DEEP BREATH SO ITS MAKING ME FEEL ITS MAKING THE BREATHING MORE DIFFICULT MAKING ME FEEL MORE SHORT OF BREATH
audio/RES0171.mp3[116.320,123.080]	OK ANY OTHER SYMPTOMS THAT YOUVE HAD A FEVER OR HEADACHE
audio/RES0171.mp3[123.080,125.040]	NO NOTHING LIKE THAT
audio/RES0171.mp3[125.040,127.600]	ANY COUGH
audio/RES0171.mp3[127.600,134.640]	YEAH I IVE HAD A COUGH AS WELL OVER THAT THE SAME SAME TIME PERIOD
audio/RES0171.mp3[134.640,138.920]	IS IT A DRY COUGH ARE YOU BRINGING SOMETHING UP
audio/RES0171.mp3[138.920,144.240]	ITS DRY YEAH I HAVENT BROUGHT UP ANY SPUTUM OR ANY ANY ANY BLOOD
audio/RES0171.mp3[144.240,154.760]	OK ANY OTHER FLU LIKE SYMPTOMS RUNNY NOSE STUFFY NOSE SORE THROAT ANYTHING LIKE THAT
audio/RES0171.mp3[154.760,164.480]	NO I JUST HAD UM YEAH THE SHORTNESS OF BREATH AND CHEST PAIN
audio/RES0171.mp3[164.480,181.920]	OK UHM AND HAVE YOU I GUESS I JUST INVITED MORE GENERAL QUESTIONS ABOUT OTHERS POTENTIAL SYMPTOMS DO YOU FEEL LIKE YOUR HEART IS RACING OR DO YOU FEEL LIKE YOU HAVE UHM DO YOU HAVE ANY BELLY PAIN OR ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0171.mp3[181.920,193.480]	NO BELLY PAIN OR CHANGES TO BOWEL MOVEMENTS BUT I DO FEEL LIKE MY HEART IS BEATING REALLY FAST REALLY FAST THOUGH
audio/RES0171.mp3[193.480,207.280]	YEAH OK UHM YOU SAID THIS STARTED YESTERDAY WERE YOU LIKE COMPLETELY FINE THE DAY BEFORE
audio/RES0171.mp3[207.280,210.240]	UH I WAS YEAH
audio/RES0171.mp3[210.240,215.160]	ANYTHING THATS HAPPENED RECENTLY THATS DIFFERENT OR NEW
audio/RES0171.mp3[215.160,231.480]	IM WELL IT LIKE UH ABOUT TWO WEEKS AGO I HAD A HYSTERECTOMY CAUSE I FOR ABNORMAL BLEEDING YEAH I HAD SURGERY 2 WEEKS AGO
audio/RES0171.mp3[231.480,242.520]	WHAT HAVE YOU BEEN DOING THESE PAST TWO WEEKS IN TERMS OF SORT OF PHYSICAL ACTIVITY HAVE YOU BEEN MOVING AROUND OR NO
audio/RES0171.mp3[242.520,259.280]	ITS ITS CERTAINLY BEEN LESS I IVE BEEN MOVING A LITTLE BIT BUT IVE HAD A LOT OF PAIN SO I JUST HAVENT BEEN DOING AS MUCH ACTIVITY THATS FOR SURE
audio/RES0171.mp3[259.280,274.760]	I I SEE AND HAVE YOU HAD ANY I GUESS ANY PAIN IN YOUR LEGS OR SWELLING IN YOUR LEG ONE OR THE OTHER
audio/RES0171.mp3[274.760,281.040]	YEAH I HAVE HAD ACTUALLY YEAH MY RIGHT MY RIGHT CALF IS PRETTY SORE
audio/RES0171.mp3[281.040,294.040]	DEFINITELY HAVE A LOOK AT THAT HAVE YOU NOTICED THAT ITS BEEN BIGGER OR MORE RED OR WARM
audio/RES0171.mp3[294.040,301.880]	UM NO I DONT NOTICE ANYTHING LIKE THAT JUST I JUST REALLY HURTS
audio/RES0171.mp3[301.880,313.920]	UH OK ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0171.mp3[313.920,323.240]	UM YEAH YEAH AND I HAVE A HIGH BMI TYPE 2 DIABETES AND ANXIETY
audio/RES0171.mp3[323.240,327.040]	DO YOU HAVE ANY BLEEDING DISORDERS
audio/RES0171.mp3[327.040,337.080]	UM OTHER YEAH NO I THINK YOURE RIGHT IT SAID FIBROIDS
audio/RES0171.mp3[337.080,348.240]	OK OK AND DO YOU TAKE ANY MEDICATION
audio/RES0171.mp3[348.240,353.280]	YEAH SO UH INSULIN WELL METFORMIN AND THEN THATS IT
audio/RES0171.mp3[359.600,368.560]	IM SORRY AND THEN AN SSRI LIKE I SAID LOW PRAM FOR ANXIETY
audio/RES0171.mp3[368.560,373.560]	ALRIGHT AND DO YOU HAVE ANY ALLERGIES
audio/RES0171.mp3[373.560,377.280]	NO I DONT
audio/RES0171.mp3[377.280,383.400]	AND WHO DO YOU DO YOU CURRENTLY LIVE ALONE
audio/RES0171.mp3[383.400,387.440]	UH NO I LIVE WITH MY HUSBAND AND AND OUR TWO SONS
audio/RES0171.mp3[387.440,412.200]	OK AND DO YOU HAVE ANYONE SORT OF COME IN TO HELP YOU OUT OVER THESE PAST TWO WEEKS ARE YOU GETTING ANY OUTSIDE HELP FROM NURSES ETC OR ARE YOUR ARE YOUR FAMILY MEMBERS BEING SUPPORTIVE AND HELPFUL
audio/RES0171.mp3[412.200,430.440]	YEAH ITS BEEN MOSTLY THE THE FAMILY MEMBERS MY HUSBANDS BEEN WORKING FROM HOME AND THE KIDS HAVE BEEN HELPFUL AS WELL THEY ARE 10 AND 12 SO THEY ARE ABLE TO DO SOME THINGS ON THEIR OWN SO YEAH THEYVE BEEN SUPPORTIVE
audio/RES0171.mp3[430.440,436.680]	THATS GREAT THATS GREAT OK AND YOU SMOKE AT ALL
audio/RES0171.mp3[436.680,445.160]	I DO YES I I SMOKE ABOUT A HALF A PACK PER DAY
audio/RES0171.mp3[445.160,446.800]	FOR HOW LONG
audio/RES0171.mp3[446.800,457.040]	UM YEAH BUT I I STARTED IN MY YEAH AFTER THE KIDS WERE BORN ACTUALLY UH SO LIKE 10 YEARS AGO
audio/RES0171.mp3[457.040,461.160]	OK HAVE YOU TRIED CUTTING IT DOWN AT ALL
audio/RES0171.mp3[461.160,473.880]	YEAH I HAVE IVE KIND OF GONE THROUGH SPURTS OF QUITTING AND RESTARTING QUITTING AND RESTARTING SO YEAH IVE TRIED BEFORE
audio/RES0171.mp3[473.880,480.840]	OK AND WHAT ABOUT MARIJUANA OR RECREATIONAL DRUGS
audio/RES0171.mp3[480.840,484.520]	NO DONT USE ANYTHING LIKE THAT
audio/RES0171.mp3[484.520,487.640]	AND ALCOHOL
audio/RES0171.mp3[487.640,496.640]	YEAH ILL HAVE SOME WINE ON THE ON THE WEEKENDS BUT MAYBE THATS LIKE A GLASS OR TWO
audio/RES0171.mp3[496.640,503.120]	OK OK UHM AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT LONG RUN IN THE FAMILY
audio/RES0171.mp3[503.120,513.560]	JUST UH YEAH MY FATHER ACTUALLY HAD A STROKE WHEN HE WAS 68 AND THATS IT
audio/RES0171.mp3[513.560,526.440]	OK OK UHM YOU HAVENT EVER HAD ONE HAVE YOU
audio/RES0171.mp3[526.440,530.360]	NO I I HAVENT HAD ANYTHING LIKE THAT
audio/RES0171.mp3[530.360,552.880]	OK ALRIGHT SO I GUESS COME TO IN TERMS OF SMOKING YOU SAID THAT YOUVE TRIED TO QUIT A COUPLE OF TIMES IN THE PAST DO YOU INTEND ON TRYING AGAIN I KNOW IT CAN BE VERY HARD TO TO QUIT SMOKING
audio/RES0171.mp3[552.880,558.440]	YEAH ITS ONLY SOMETHING THAT IS ALWAYS KIND OF IN THE BACK OF MY MIND
audio/RES0171.mp3[558.440,591.320]	OK IF THERES IM HAPPY TO ASSIST YOU AND SHARE RESOURCES AND PROBLEMS LIKE MEDICATIONS AND THINGS LIKE THAT THAT COULD HELP YOU IF YOURE INTERESTED SO WE CAN TALK MORE ABOUT THAT TALKING ABOUT YOUR I GUESS YOU MENTIONED THAT YOUR WEIGHT IS A LITTLE HIGHER THAN OR ITS OUTSIDE THE NORMAL RANGE IS THAT SOMETHING THAT YOU WOULD LIKE TO CUT DOWN
audio/RES0171.mp3[591.320,606.960]	YEAH I REALLY TRY TO EAT MORE VEGETABLES AND HAVE BEEN TRYING TO DO THAT SORT OF THING IVE LOST A FEW POUNDS BUT NOT ENOUGH DEFINITELY WANT TO KEEP GOING
audio/RES0171.mp3[606.960,697.120]	OK GOOD GOOD AS LONG AS YOU FEEL THAT YOU WHAT YOURE CURRENTLY DOING IS HELPING YOU AND IS HELPING YOU REDUCE WEIGHT THATS GREAT BUT ALSO IM HERE FOR YOU IF YOU NEED MORE EDUCATION OR GUIDANCE ON THAT SO GIVEN WHAT YOUVE TOLD ME SO FAR IT SOUNDS LIKE YOU MIGHT HAVE DEVELOPED A CLOT IN YOUR LEG SOMEWHERE SIMPLY BECAUSE YOU HAD A SURGERY AND YOU WERE NOT MOVING AROUND VERY MUCH SOMETIMES THAT CAUSES THE BLOOD TO KIND OF NOT MOVE AROUND YOUR BODY IS AS AS MUCH AS IT USUALLY DOES AND KIND OF STAYS IN ONE PLACE AND GET TURNED INTO A CLOT AND THAT CLOT CAN SOMETIMES GET DISLODGED AND SETTLE INTO YOUR LUNGS AND THAT CAN MAKE IT DIFFICULT FOR YOU TO BREATHE SO WELL DO SOME TESTS THAT THATS WHAT MY UNDERSTANDING IS GIVEN WHAT YOUVE TOLD ME SO FAR BUT WE DO HAVE TO CONFIRM IT USING A TEST ALSO THE FACT THAT YOU SMOKE AND YOUR WEIGHT AND YOUR BMI IS HIGH INCREASES YOUR RISK OF DEVELOPING A CLOT SO I WOULD DEFINITELY STRONGLY RECOMMEND THAT YOU CONTINUE TO TRY TO REDUCE BOTH AND TRY TO QUIT SMOKING AND SO WELL DO AN ULTRASOUND OF YOUR LEG AND WELL DO A SCAN OF YOUR CHEST AND SEE WHATS GOING ON AND THEN DECIDE IF WE NEED TO GIVE YOU ANY MEDICATIONS LIKE ANY BLOOD THINNING MEDICATIONS
audio/RES0171.mp3[697.120,700.680]	OK YEAH THAT SOUNDS REALLY GOOD THANK YOU
audio/MSK0043.mp3[0.000,4.720]	WHAT BRINGS YOU HERE TODAY
audio/MSK0043.mp3[4.720,17.800]	IVE HAD THIS LIKE PAIN IN MY KNEE IT STARTED WITHIN THE LAST FEW HOURS AND MY KNEES SWOLLEN ITS PAINFUL UM I CAN BARELY MOVE IT
audio/MSK0043.mp3[17.800,28.120]	OKAY WERE YOU UH DID YOU INJURE YOURSELF AT ALL BEFORE THE LAST FEW HOURS OR ANYTHING ANY TRAUMA TO UM IS IT THE RIGHT KNEE OR THE LEFT KNEE
audio/MSK0043.mp3[28.120,37.720]	ITS THE LEFT KNEE AN NO NO TRAUMA UH OR ANYTHING LIKE THAT IVE NEVER HURT THIS KNEE BEFORE IN MY LIFE
audio/MSK0043.mp3[37.720,45.240]	OKAY AND HAS THIS EVER HAPPENED TO YOU BEFORE
audio/MSK0043.mp3[45.240,57.760]	UH UM NO NOTHING IN MY JOINTS IVE HAD OTHER INFECTIONS BEFORE LIKE IN MY SKIN UM LIKE CELLULITIS BUT I IVE NEVER HAD A KNEE KNEE PROBLEM LIKE THIS BEFORE
audio/MSK0043.mp3[57.760,63.400]	OKAY I SEE AND HAVE YOU EVER HAD CELLULITIS IN THAT AREA
audio/MSK0043.mp3[63.400,70.360]	UH I I HAD IT OVER KIND OF MY UH LIKE OVER MY FOOT BEFORE
audio/MSK0043.mp3[70.360,81.840]	OKAY AND UM WHERE WOULD YOU DESCRIBE THE PAIN IS IS IT LIKE ON THE KNEECAP IS IT ABOVE THE KNEECAP BELOW WHERE WOULD YOU DESCRIBE IT
audio/MSK0043.mp3[81.840,90.760]	I WOULD SAY ITS LIKE MY WHOLE KNEE ITS LIKE UH I DONT KNOW IT LOOKS LIKE ITS GOING TO EXPLODE
audio/MSK0043.mp3[90.760,95.520]	OKAY IS IT LIKE UM SO ITS SWOLLEN IS IT RED AND WARM
audio/MSK0043.mp3[95.520,96.760]	IT IS YEAH ITS REALLY RED
audio/MSK0043.mp3[98.640,100.800]	AND WARM AS WELL
audio/MSK0043.mp3[100.800,108.520]	OKAY AND HOW WOULD YOU DESCRIBE THE PAIN UM IS IT LIKE A SHARP STABBING PAIN OR IS IT AN ACHING PAIN
audio/MSK0043.mp3[108.520,112.200]	ITS A A STABBING PAIN
audio/MSK0043.mp3[112.200,119.520]	OKAY AND UH ARE YOU MAINLY HAVING THE PAIN WITH MOVEMENT OF YOUR KNEE OR UM WHEN YOURE PRESSING ON IT
audio/MSK0043.mp3[119.520,131.960]	UH I WOULD SAY BOTH I CANT UM I CANT REALLY MOVE IT ITLL GIVE ME PAIN AND EVEN PRESSING ON IT ITS ITS QUITE PAINFUL
audio/MSK0043.mp3[131.960,140.520]	OKAY AND ON A SCALE OF UH 1 TO 10 SORRY 0 TO 10 WITH 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS PAIN
audio/MSK0043.mp3[140.520,144.760]	UH ITS A 9
audio/MSK0043.mp3[144.760,152.560]	A 9 OKAY UM SO IT JUST STARTED A FEW HOURS AGO IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE
audio/MSK0043.mp3[152.560,167.440]	UM I MEAN JUST TRYING TO STAY AS STILL AS POSSIBLE IS ALL IVE BEEN BEEN DOING SO FAR UH BECAUSE UM LIKE ANY TYPE OF MOVEMENT IS REALLY BAD
audio/MSK0043.mp3[167.440,178.560]	OKAY AND ARE YOU ABLE TO WEIGHT BEAR ARE YOU ABLE TO STAND AND WALK BY YOURSELF
audio/MSK0043.mp3[178.560,189.320]	UH I I WAS PRETTY MUCH LIKE HOPPING ON ONE LEG TO TO GET IN HERE AND AS SOON AS I COULD I GOT IN A WHEELCHAIR JUST BECAUSE IT UH HURTS SO BAD
audio/MSK0043.mp3[189.320,201.200]	OKAY AND UM DO YOU HAVE ANY PAIN OR SYMPTOMS IN ANY OTHER JOINTS OR MUSCLES OF YOUR BODY
audio/MSK0043.mp3[201.200,204.280]	NO JUST ITS JUST MY LEFT KNEE
audio/MSK0043.mp3[204.280,215.360]	JUST YOUR LEFT KNEE OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE FEVERS CHILLS NAUSEA OR VOMITING
audio/MSK0043.mp3[215.360,228.760]	UM I HAVE FELT UH UH FEVERISH YEAH BUT THEN YEAH I I FELT FEVERISH AND UM BUT I HAVENT HAD ANY CHILLS THOUGH
audio/MSK0043.mp3[228.760,232.000]	OKAY WHEN WERE YOU FEELING FEVERS
audio/MSK0043.mp3[232.000,240.280]	UH JUST LIKE TODAY ITS KIND OF YEAH IT STARTED WITHIN THE LAST DAY
audio/MSK0043.mp3[240.280,249.000]	OKAY AND UM DID YOU GET A CHANCE TO MEASURE YOUR TEMPERATURE AT ALL IF NOT WE CAN DO THAT HERE
audio/MSK0043.mp3[249.000,255.600]	UM NO NO I DIDNT GET TO UH I I DIDNT CHECK IT
audio/MSK0043.mp3[255.600,270.240]	OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY EITHER WITH UM ANY COLDLIKE SYMPTOMS UH OR ANY GI SYMPTOMS LIKE DIARRHEA UM CONSTIPATION ANYTHING LIKE THAT
audio/MSK0043.mp3[270.240,275.960]	UH NO I HAVENT HAD ANY ANYTHING LIKE THAT
audio/MSK0043.mp3[275.960,285.840]	OKAY AND HAVE YOU RECENTLY HAD ANY UM SEXUALLY TRANSMITTED DISEASES OR EXPOSURES TO UH TICKS OR LYME DISEASE
audio/MSK0043.mp3[285.840,302.040]	UH I DONT THINK SO IVE BEEN JUST IN WELL IN THE CITY I HAVENT TRAVELED ANYWHERE AND I UH I HAVENT BEEN SEXUALLY ACTIVE FOR FOR QUITE A WHILE NOW SO
audio/MSK0043.mp3[302.040,316.720]	OKAY OKAY UH HAVE YOU RECENTLY AT ALL HAD UM ANY PROCEDURES DONE ON YOUR KNEE LIKE ANY SURGERIES OR ANY JOINT LIKE UM INJECTIONS OR ASPIRATIONS
audio/MSK0043.mp3[316.720,321.360]	NO NOTHING DONE TO MY KNEE
audio/MSK0043.mp3[321.360,332.640]	OKAY OKAY UM SO YEAH WELL TAKE A TEMPERATURE OF YOUR UH FEVER AND SO ARE YOU ABLE TO FLEX OR EXTEND YOUR KNEE AT ALL OR IS IT VERY PAINFUL
audio/MSK0043.mp3[332.640,337.720]	ITS REALLY PAINFUL I UH THE MOVEMENTS REALLY LIMITED
audio/MSK0043.mp3[337.720,342.960]	OKAY AND HAS THE PAIN BEEN CONSTANT SINCE IT STARTED A FEW HOURS AGO
audio/MSK0043.mp3[342.960,351.680]	YEAH ITS GOTTEN UH LIKE ITS ITS GOTTEN SLIGHTLY WORSE
audio/MSK0043.mp3[351.680,358.200]	OKAY I SEE OKAY UM ANY SKIN CHANGES OR RASHES ANYWHERE ON YOUR BODY
audio/MSK0043.mp3[358.200,361.960]	NO ITS JUST THE RED KNEE
audio/MSK0043.mp3[361.960,366.560]	OKAY UM ANY CHANGES IN YOUR WEIGHT OR APPETITE
audio/MSK0043.mp3[366.560,371.520]	UH NO NO I HAVENT HAD ANY CHANGES THERE
audio/MSK0043.mp3[371.520,381.960]	OKAY AND OTHERWISE ARE YOU HAVING UM ANY SYMPTOMS OF UH DIZZINESS FAINTING
audio/MSK0043.mp3[381.960,386.280]	UH NO I HAVENT HAD ANY OF THOSE SYMPTOMS
audio/MSK0043.mp3[386.280,390.640]	OKAY ANY WEAKNESS UM IN YOUR EXTREMITIES
audio/MSK0043.mp3[390.640,393.560]	NO NO WEAKNESS
audio/MSK0043.mp3[393.560,403.280]	OKAY UM DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH ANY DIABETES HIGH BLOOD PRESSURE
audio/MSK0043.mp3[403.280,412.000]	UH IVE BEEN TOLD MY MY BLOOD SUGAR HAS BEEN LIKE IT HASNT BEEN CONTROLLED SO YEAH I THINK I HAVE DIABETES UM UH BUT THATS THATS IT
audio/MSK0043.mp3[412.000,422.200]	OKAY UM DO YOU TAKE ANYTHING FOR MEDICATE MEDICATION FOR YOUR DIABETES
audio/MSK0043.mp3[422.200,444.280]	UH YEAH I I TAKE METFORMIN AND UM AND UH YEAH THAT THATS ALL IVE BEEN TAKING BUT I MEAN ITS REALLY HARD FOR ME TO UH LIKE GET MY MEDICATION SOMETIMES AND SO UM I DONT ALWAYS TAKE IT
audio/MSK0043.mp3[444.280,454.760]	OKAY I SEE UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0043.mp3[454.760,475.080]	UH NOT THAT I NOT THAT I CAN THINK OF AND SO SOMETHING THAT I FORGOT TO MENTION IS UH LIKE IVE HAD HEPATITIS IN THE PAST AS WELL UM AND UH YEAH
audio/MSK0043.mp3[475.080,478.680]	AND DO YOU KNOW HEPATITIS YOUVE HAD
audio/MSK0043.mp3[478.680,489.080]	UM IVE HAD IT WAS UH HEPATITIS C AND UH I WAS UM TREATED I WAS TREATED FOR IT
audio/MSK0043.mp3[489.080,490.600]	OKAY OKAY AND HOW LONG AGO WAS THAT
audio/MSK0043.mp3[490.600,494.560]	THAT WAS ABOUT UH TWO YEARS AGO
audio/MSK0043.mp3[494.560,511.400]	OKAY AND UH DID THEY TELL YOU LIKE HOW IT MAY HAVE BEEN TRANSMITTED AT ALL WAS IT UH SEXUALLY UM WAS IT THROUGH UM USE OF IV DRUG USE AND DID THEY TELL YOU WHAT THE LIKELY CAUSE WAS
audio/MSK0043.mp3[511.400,524.400]	YEAH THE THE LIKELY CAUSE WAS UM I WAS TOLD IT WAS THROUGH IV UH DRUG USE IVE BEEN USING NOW FOR UH FOR ABOUT 10 YEARS
audio/MSK0043.mp3[524.400,529.240]	OKAY AND HAVE YOU UM AND WHAT DO YOU USUALLY USE
audio/MSK0043.mp3[529.240,542.920]	UH WELL LIKE ANY ANYTHING THAT I THAT I CAN USUALLY BUT I I GUESS LIKE UM VARIOUS TYPES OF OPIOIDS ARE KIND OF THE THE THE MAIN THING THAT ILL THAT ILL USE
audio/MSK0043.mp3[542.920,548.640]	OKAY AND HAVE YOU UM INJECTED UH DRUGS RECENTLY AT ALL
audio/MSK0043.mp3[548.640,554.120]	UH YEAH I ABOUT UH ABOUT TWO DAYS AGO WAS THE LAST TIME
audio/MSK0043.mp3[554.120,566.960]	OKAY OKAY AND UM DO YOU USE ANY OTHER UH DRUGS ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANY DO YOU INJECT ANY OTHER DRUGS AT ALL
audio/MSK0043.mp3[566.960,591.520]	YEAH ILL SMOKE UH SMOKE MARIJUANA AS WELL AND UM LIKE ILL SOMETIMES LIKE ILL TAKE UH PILLS TOO LIKE DILAUDID IS UM IS SOMETHING THAT ILL ILL GET MY HANDS ON BUT IT CAN BE EXPENSIVE SO UM JUST JUST WHATEVER IS AVAILABLE
audio/MSK0043.mp3[591.520,597.520]	OKAY UM HAVE YOU HAD UH WHEN WAS THE LAST TIME YOU HAD CELLULITIS
audio/MSK0043.mp3[597.520,602.080]	UH HE LAST TIME WAS ABOUT SIX MONTHS AGO
audio/MSK0043.mp3[602.080,608.360]	OKAY AND WERE YOU ADMITTED AT ALL OR WERE YOU TREATED AS AN OUTPATIENT
audio/MSK0043.mp3[608.360,621.160]	UH I WAS TREATED AS AN OUTPATIENT FOR THAT AND IT DID CLEAR UP IT WASNT THE FIRST TIME THAT IVE IVE HAD CELLULITIS AND AND UM YEAH SO IT WAS TREATED
audio/MSK0043.mp3[621.160,627.320]	OKAY HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0043.mp3[627.320,629.800]	UM NO I HAVENT
audio/MSK0043.mp3[629.800,641.680]	OKAY UH ANY FAMILY HISTORY OF ANY CONDITIONS UM MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS UH ANY RHEUMATOID ARTHRITIS ANYTHING LIKE THAT
audio/MSK0043.mp3[641.680,644.160]	UH I DONT THINK SO
audio/MSK0043.mp3[644.160,650.520]	OKAY AND CURRENTLY RIGHT NOW UM WHAT IS YOUR LIVING SITUATION LIKE
audio/MSK0043.mp3[650.520,667.840]	UH SO UM I JUST LIVE WITH UH TWO OF MY UM OR ACTUALLY SORRY NO I LIVE WITH MY UH WITH MY PARENTS AND UH YEAH SO ITS JUST BOTH MY PARENTS
audio/MSK0043.mp3[667.840,671.680]	OKAY AND UM DO YOU CURRENTLY WORK
audio/MSK0043.mp3[671.680,699.640]	UH I WAS WORKING UNTIL LIKE I UM YEAH ABOUT UH ABOUT 15 YEARS AGO AND NOW I LIKE I GOT INJURED ON THE UH UM AT WORK AND IVE HAD LIKE CHRONIC BACK PAIN AND I DONT KNOW I THINK THATS KIND OF HOW THIS PARTLY ALL ALL STARTED SO IVE BEEN AT HOME RECEIVING UH IM ON DISABILITY
audio/MSK0043.mp3[699.640,706.720]	OKAY AND DO YOU SMOKE CIGARETTES
audio/MSK0043.mp3[706.720,714.640]	UH I DO YEAH I I I SMOKE UM ABOUT HALF A PACK UH TO A PACK A DAY
audio/MSK0043.mp3[714.640,718.480]	OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/MSK0043.mp3[718.480,721.960]	UH SO THIS HAS BEEN UH ABOUT 20 YEARS
audio/MSK0043.mp3[721.960,729.160]	20 YEARS OKAY AND DO YOU DRINK ALCOHOL
audio/MSK0043.mp3[729.160,739.200]	UM SOMETIMES YEAH ILL ILL HAVE UH JUST A FEW BEERS MAYBE A FEW BEERS A WEEK
audio/MSK0043.mp3[739.200,748.560]	OKAY AND YEAH WE WERE JUST TALKING ABOUT SOME OF UH LIKE THE MOVEMENT BUT YOURE SAYING YOU HAVE PAIN WITH ANY KIND OF MOVEMENT AT ALL RIGHT
audio/MSK0043.mp3[748.560,753.160]	YEAH IT ITS REALLY PAINFUL I JUST I TRY NOT TO MOVE IT AT ALL
audio/MSK0043.mp3[753.160,757.080]	AND ITS VERY RED AND SWOLLEN AND WARM AS WELL
audio/MSK0043.mp3[757.080,759.200]	YEAH ALL OF THOSE
audio/MSK0043.mp3[759.200,761.600]	ANY SYMPTOMS AT ALL IN YOUR HIPS OR ANKLE
audio/MSK0043.mp3[761.600,769.720]	NO THOSE FEEL FINE I CAN MOVE MY HIP AND ANKLE OKAY AND NO PAIN
audio/MSK0043.mp3[769.720,860.760]	OKAY ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WELL DO LIKE A FULL PHYSICAL EXAMINATION TAKE A LOOK AT YOUR KNEE UM AND MOST LIKELY WHAT THIS SOUNDS LIKE IS SOMETHING CALLED SEPTIC ARTHRITIS ITS UH ITS WHEN THERES LIKE AN INFECTION THAT UM CAN GO INTO YOUR JOINTS AND UH IT IS A PRETTY SERIOUS ISSUE THAT WE NEED TO UM ASSESS AND TREAT AS SOON AS POSSIBLE SO THE FIRST THING THAT WE WILL UM NEED TO DO WELL NEED TO DO SOME BLOOD WORK JUST TO GET SOME INFLAMMATION MARKERS AND JUST YOUR UH CBC AND SEE IF YOU HAVE UM AN INFECTION HOWEVER WELL ALSO NEED TO DO A JOINT ASPIRATION OF YOUR OF YOUR UM GO YOUR KNEE AND WELL BE TAKING SOME FLUID WITHIN YOUR JOINT CALLED THE SYNOVIAL FLUID AND ASSESS FOR UM WELL SEND IN FOR UM CULTURE AND LOOK FOR LIKE THESE CRYSTALS AND COUNT AND THEN BASED ON THAT WELL UNDERSTAND UM THE INFECTION YOU HAVE AND WHAT KIND OF INFECTION YOU HAVE WE WILL START YOU ON ANTIBIOTICS RIGHT AWAY UM TODAY AND SO YOU WILL BE UM HERE FOR A WHILE UNTIL WE GET ALL THOSE RESULTS BACK AND YOU MAY ALSO REQUIRE UM AN ADMISSION TODAY AS WELL
audio/MSK0043.mp3[860.760,866.360]	OKAY UH THANK YOU YEAH THAT THAT SOUNDS GOOD
audio/MSK0043.mp3[866.360,873.560]	ALRIGHT YEAH SO YEAH WELL GET ALL THAT DONE FOR YOU SHORTLY AND UH WELL GO FROM THERE
audio/MSK0043.mp3[873.560,875.240]	RIGHT THANK YOU
audio/MSK0043.mp3[875.240,882.640]	AND UM WE MIGHT ALSO NEED AN XRAY SO JUST SIT TIGHT WELL WELL COME CALL YOU
audio/MSK0043.mp3[882.640,883.040]	OKAY THANK YOU
audio/MSK0043.mp3[883.040,884.960]	ALRIGHT YOURE WELCOME
audio/MSK0019.mp3[0.000,4.040]	WHAT BRINGS YOU IN
audio/MSK0019.mp3[4.040,33.760]	IVE JUST BEEN HAVING UH THIS PAIN IN MY UM RIGHT RIGHT ELBOW AND ITS JUST BEEN GETTING WORSE OVER THE LAST FEW DAYS I STARTED HAVING IT AROUND THREE DAYS AGO UM AND ITS JUST BEEN GETTING WORSE WITH ANY KIND OF GRIPPING MOTION OR YEAH SO ITS ITS BEEN GETTING WORSE
audio/MSK0019.mp3[33.760,42.800]	OKAY SO YOU SAID IT STARTED THREE DAYS AGO UM HAS IT BEEN PERSISTENT SINCE OR HAS IT BEEN LIKE ON AND OFF
audio/MSK0019.mp3[42.800,54.200]	ITS BEEN PRETTY PERSISTENT UM BUT ITS MAINLY WHEN IM UH DOING SOME ACTIVITIES OR LIFTING ANYTHING UM AND YES IVE JUST BEEN TRYING TO REST IT MOSTLY
audio/MSK0019.mp3[54.200,62.720]	OKAY OKAY THATS GOOD AND UM YOU SAID ITS WORSE WITH ACTIVITY AND BETTER WITH REST HAVE YOU TRIED ANYTHING ELSE FOR IT
audio/MSK0019.mp3[62.720,73.080]	UM IVE TRIED SOME ADVIL IT IT SEEMED TO HELP A LITTLE BIT BUT UH IT JUST COMES BACK
audio/MSK0019.mp3[73.080,82.920]	OKAY UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS SHARP BURNING THROBBING ACHY
audio/MSK0019.mp3[82.920,101.960]	ITS MORE UM LIKE IF I DONT EXTEND MY WRIST ITS KIND OF LIKE ACHY BUT THEN IF I EXTEND MY WRIST I FEEL LIKE A SHARP PAIN AT UM ON THE UM JUST ON THE OUTSIDE OF MY ELBOW
audio/MSK0019.mp3[101.960,115.120]	OKAY ALRIGHT UM ALRIGHT AND THEN UM IN TERMS OF SEVERITY 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THE PAIN
audio/MSK0019.mp3[115.120,120.400]	UM PROBABLY LIKE A 6 OR 7
audio/MSK0019.mp3[120.400,128.000]	OKAY ALRIGHT UM AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE
audio/MSK0019.mp3[128.000,136.320]	NO I I IVE NEVER EXPERIENCED ANY KIND OF PAIN THERE AT LEAST
audio/MSK0019.mp3[136.320,145.400]	OKAY UM HOW ABOUT UM IN TERMS OF LIKE TIMELINE IS IT GETTING WORSE
audio/MSK0019.mp3[145.400,172.080]	UM JUST OVER THE PAST THREE DAYS I FEEL LIKE ITS I HAVE TRIED NOT TO USE IT THAT MUCH UH LIKE WHEN I WAS AT WORK I HAVE TO USE LIKE TOOLS A LOT UM AND I NOTICED THAT WHEN I WAS USING A SCREWDRIVER LIKE IT IT HURT A LOT SO IT HASNT BEEN GETTING WORSE BUT IF I TRY TO DO ANYTHING AT WORK IT DEFINITELY HURTS A LOT MORE
audio/MSK0019.mp3[172.080,179.000]	OKAY UM ALRIGHT AND THEN HAVE YOU NOTICED ANY NUMBNESS OR TINGLING
audio/MSK0019.mp3[179.000,184.160]	UM NO NO NOTHING LIKE THAT
audio/MSK0019.mp3[184.160,189.240]	NO OKAY HOW ABOUT UM PAIN ELSEWHERE ON YOUR BODY
audio/MSK0019.mp3[189.240,189.960]	SORRY WHAT WAS THAT
audio/MSK0019.mp3[189.960,192.560]	PAIN ELSEWHERE ON YOUR BODY
audio/MSK0019.mp3[192.560,195.280]	OH NO NO PAIN ELSEWHERE
audio/MSK0019.mp3[195.280,198.800]	OKAY UM AND HAVE YOU NOTICED ANY MUSCLE WEAKNESS
audio/MSK0019.mp3[198.800,200.240]	UH NO
audio/MSK0019.mp3[200.240,202.440]	NO ANY HEADACHES
audio/MSK0019.mp3[206.080,208.200]	UH WEIGHT LOSS
audio/MSK0019.mp3[209.440,211.240]	FEVERS OR CHILLS
audio/MSK0019.mp3[215.440,218.960]	UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE
audio/MSK0019.mp3[220.280,223.480]	UH COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0019.mp3[223.800,228.440]	CHEST PAIN OR HEART PALPITATIONS
audio/MSK0019.mp3[229.360,231.800]	UH CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0019.mp3[233.040,235.040]	NAUSEA OR VOMITING
audio/MSK0019.mp3[235.240,238.440]	CHANGES IN YOUR VOIDING
audio/MSK0019.mp3[240.040,245.800]	OKAY AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0019.mp3[245.800,251.880]	YEAH NO IVE BEEN HEALTHY UH NO OTHER ISSUES IN MY LIFE
audio/MSK0019.mp3[251.880,259.720]	OKAY THATS GOOD UM HOW ABOUT UM MEDICATIONS ARE YOU ON ANY
audio/MSK0019.mp3[259.720,263.880]	NO NO MEDICATIONS IVE JUST BEEN TAKING SOME ADVIL FOR THIS PAIN
audio/MSK0019.mp3[263.880,268.520]	OKAY I SEE AND HOW ABOUT IMMUNIZATIONS ARE YOU UPTODATE
audio/MSK0019.mp3[269.480,271.800]	DO YOU HAVE ANY ALLERGIES
audio/MSK0019.mp3[271.800,272.280]	UH NO
audio/MSK0019.mp3[272.280,277.440]	FAMILY HISTORY OF ANY MUSCULOSKELETAL ISSUES
audio/MSK0019.mp3[277.440,288.560]	NO JUST UH I GUESS MY DAD HES HES GETTING SOME KNEE PAIN AND HIP PAIN NOW STARTING NOW BUT LIKE THATS ABOUT IT
audio/MSK0019.mp3[288.560,290.480]	HOW OLD IS HE
audio/MSK0019.mp3[290.480,293.360]	MY DAD HES 60
audio/MSK0019.mp3[293.360,296.840]	OKAY AND ANY LUNG OR HEART CONDITIONS
audio/MSK0019.mp3[297.280,300.080]	AUTOIMMMUNE CONDITION
audio/MSK0019.mp3[300.080,301.720]	UH NOT THAT I KNOW OF
audio/MSK0019.mp3[301.720,306.520]	OKAY AND HOW ABOUT CANCERS
audio/MSK0019.mp3[306.520,317.400]	UM I THINK MY AUNT ON MY MOTHERS SIDE UM SHE SHE HAD UH UTERINE CANCER
audio/MSK0019.mp3[317.400,327.560]	OKAY I SEE ALRIGHT UM ANY ALLERGIES OR SORRY YOU ANSWERED THAT DO YOU DO YOU SMOKE
audio/MSK0019.mp3[327.560,329.880]	UH NO
audio/MSK0019.mp3[329.880,333.680]	NO UM DO YOU CONSUME ANY MARIJUANA
audio/MSK0019.mp3[333.680,334.240]	UH NO
audio/MSK0019.mp3[334.240,337.840]	DO YOU DRINK ALCOHOL
audio/MSK0019.mp3[337.840,350.000]	UM JUST LIKE MAYBE SOME WINE ON UH WINE BEER EVERY COUPLE DAYS
audio/MSK0019.mp3[350.000,356.280]	OKAY UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH
audio/MSK0019.mp3[356.280,365.720]	UM I LIVE WITH MY WIFE AND UH FOUR YEAR OLD DAUGHTER
audio/MSK0019.mp3[365.720,370.240]	OKAY UM ANY CONCERNS FOR STIS
audio/MSK0019.mp3[371.240,375.200]	ANY SICK CONTACTS RECENTLY
audio/MSK0019.mp3[376.200,378.520]	HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0019.mp3[380.000,406.280]	OKAY WELL UM LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW THEN UM SO IM GOING TO GET YOU TO LOOK AT BOTH YOUR UH ARMS AND HANDS AND YOU LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING IN UH YOUR RIGHT ARM COMPARED TO YOUR LEFT
audio/MSK0019.mp3[406.280,411.800]	OKAY UM SO LIKE WITH MOVEMENT
audio/MSK0019.mp3[411.800,417.000]	UH NO UH JUST ON INSPECTION DO YOU SEE ANY REDNESS OR SWELLING
audio/MSK0019.mp3[417.000,421.040]	UM NO I DONT REALLY SEE ANYTHING THATS TOO DIFFERENT NO
audio/MSK0019.mp3[421.040,431.800]	NO OKAY UH DO YOU SEE ANY DEFORMITIES ATROPHY OR SKIN CHANGES IN YOUR RIGHT COMPARED TO YOUR LEFT ARM OR HAND
audio/MSK0019.mp3[431.800,433.440]	NO THEY LOOK PRETTY SIMILAR TO ME
audio/MSK0019.mp3[433.440,447.160]	OKAY ALRIGHT AND THEN IM GONNA GET YOU TO PRESS DOWN ON CERTAIN AREAS OF YOUR RIGHT ARM SO YOU CAN START WITH THE BACK OF YOUR ELBOW DOES THAT HURT
audio/MSK0019.mp3[447.160,454.920]	UH JUST LIKE RIGHT ON THE ELBOW IT DOESNT HURT BUT WHEN I GO ON THE OUTSIDE PART IT DOES HURT ON THE BACK
audio/MSK0019.mp3[454.920,458.040]	OKAY SO LIKE THE LATERAL ASPECT OF YOUR ELBOW
audio/MSK0019.mp3[458.040,460.400]	YEAH ITS LIKE SORE IF I PRESS DOWN
audio/MSK0019.mp3[460.400,463.360]	OKAY HOW ABOUT THE MEDIAL ASPECT OF YOUR ELBOW
audio/MSK0019.mp3[463.360,470.560]	UM SO YEAH ON THE INSIDE NOT SO MUCH MAYBE A LITTLE BIT NOT NOT THAT MUCH
audio/MSK0019.mp3[470.560,474.360]	OKAY HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BICEPS OR TRICEPS
audio/MSK0019.mp3[474.360,475.920]	UH NOTHING
audio/MSK0019.mp3[475.920,482.560]	NOTHING HOW ABOUT WHEN YOU UM PRESS DOWN ON YOUR LIKE FOREARM EXTENSOR MUSCLE GROUP
audio/MSK0019.mp3[482.560,496.400]	UM JUST YEAH SO JUST ON THE OUTSIDE OF MY FOREARM CLOSE TO WHERE THE ELBOW PAIN IS IF I GO DOWN A LITTLE BIT AND PRESS DOWN IT DOES DEFINITELY FEEL SORE
audio/MSK0019.mp3[496.400,505.840]	OKAY AND THEN HOW ABOUT WITH YOUR FOREARM UH FLEXOR FLEXORS
audio/MSK0019.mp3[505.840,511.640]	SO ON THE INSIDE UM NOT SO MUCH NO
audio/MSK0019.mp3[511.640,535.400]	NO OKAY AND NOW IM GONNA GET YOU TO WALK THROUGH SOME MOVEMENTS WITH ME UM CAN YOU UH GET A PIECE OF PAPER AND ACTUALLY CAN YOU GET A PENCIL AND GRIP IT AS TIGHT AS YOU CAN UM DO YOU FIND THAT YOU FEEL WEAK WHEN YOU DO THAT
audio/MSK0019.mp3[535.400,548.600]	UM NOT WEAK BUT IT DOES DEFINITELY LIKE UM WHEN I PICKED UP THE PENCIL AND MOVED MY WRIST UP IT DID IT DID UH CAUSE SOME SOME PAIN
audio/MSK0019.mp3[548.600,561.360]	OKAY ALRIGHT SO WOULD YOU MIND EXTENDING OR LIKE STRAIGHTENING OUT YOUR ELBOW ALL THE WAY AND THEN ALSO STRAIGHTENING OUT YOUR WRISTS UM DOES THAT HURT
audio/MSK0019.mp3[561.360,566.000]	UH STRAIGHTENING OUT NO IT DOESNT HURT
audio/MSK0019.mp3[566.000,570.840]	EVEN WITH UH LIKE THE WRIST UM STRAIGHTENED OUT
audio/MSK0019.mp3[570.840,590.320]	UM YEAH IF I IF I COMPLETELY STRAIGHTEN OUT MY WRIST UH THEN LIKE I JUST FEEL A BIT OF UH SORENESS BUT NOT AS MUCH PAIN AS WHEN I UM AM LIFTING SOMETHING WITH MY WRIST OR JUST RAISING MY WRIST UPWARDS
audio/MSK0019.mp3[590.320,597.320]	OKAY OKAY HOW ABOUT WHEN YOU FLEX YOUR WRIST ALL THE WAY
audio/MSK0019.mp3[597.320,605.560]	UM THAT HURTS A LITTLE BIT BUT NOT NEARLY AS MUCH AS WHEN I EXTEND IT
audio/MSK0019.mp3[605.560,613.800]	OKAY OKAY UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY AND DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/MSK0019.mp3[613.800,622.320]	UH YEAH I WAS JUST WONDERING WHAT THIS THIS MIGHT BE
audio/MSK0019.mp3[622.320,708.920]	YEAH SO UM IT SOUNDS LIKE YOU HAVE SOMETHING CALLED TENNIS ELBOW OR LATERAL EPICONDYLITIS UM AND ITS USUALLY RELATED TO SOME OVERUSE UM INJURY SO WHETHER AT WORK OR IF YOU PLAY A LOT OF TENNIS OR SOME SORT OF SPORT THAT UM OVERUSES A CERTAIN MUSCLE GROUP UM PARTICULARLY LIKE THE FOREARM EXTENSORS UM AND SO BASICALLY FOR THIS UM WE SUGGEST A FEW THINGS WELL START WITH LIKE SOME CONSERVATIVE MANAGEMENT LIKE ACTIVITY MODIFICATION SO AT WORK IF YOURE DOING REPETITIVE MOVEMENTS MAYBE NOT DO THEM SO MUCH AND TAKE FREQUENT BREAKS YOU CAN TRY SOME LIKE IBUPROFEN WELL REFER YOU TO SOME UM PHYSIOTHERAPY TO HELP BUILD THOSE MUSCLES AROUND THAT THAT AREA AND IF THOSE STILL DO DONT WORK UM WE CAN TRY SOME UM OTHER THINGS LIKE OPERATIVE UM OPERATIVE MANAGEMENT BUT WELL WELL COME BACK TO THAT IN ABOUT 6 TO 12 MONTHS UM ONCE WE UH WE TRY ALL OF THE OTHER STUFF DOES THAT SOUND OKAY
audio/MSK0019.mp3[708.920,710.920]	YEAH THAT SOUNDS GOOD THANK YOU
audio/MSK0019.mp3[710.920,712.520]	YEAH NO WORRIES
audio/RES0091.mp3[0.000,3.080]	UH WHAT BRINGS YOU IN HERE TODAY
audio/RES0091.mp3[3.080,19.840]	UHM SO IVE HAD THIS RUNNY NOSE WELL FIRST IT WAS A STUFFY NOSE BUT NOW IVE HAD THIS RUNNY NOSE FOR THE PAST WEEK AND A HALF AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO I WAS JUST WONDERING IF YOU COULD GIVE ME SOMETHING FOR THAT
audio/RES0091.mp3[19.840,30.600]	YEAH SO YEAH LETS JUST TRY TO FIRST SEE WHATS GOING ON SO YOUVE BEEN HAVING THIS SO WHEN DID IT START GETTING STUFFY
audio/RES0091.mp3[30.600,34.360]	UHM IT STARTED GETTING STUFFY ABOUT TWO WEEKS AGO
audio/RES0091.mp3[34.360,40.480]	TWO WEEKS AGO AND WHEN DID IT START GETTING LIKE JUST A RUNNY NOSE
audio/RES0091.mp3[40.480,44.720]	YEAH THAT STARTED A WEEK AND A HALF AGO
audio/RES0091.mp3[44.720,50.720]	OK AND HAVE YOUR SYMPTOMS HAVE THESE SYMPTOMS GOTTEN WORSE AT ALL
audio/RES0091.mp3[50.720,52.880]	NO IT STAYED ABOUT THE SAME
audio/RES0091.mp3[52.880,56.800]	OK AND DO YOU HAVE ANY COUGHING
audio/RES0091.mp3[56.800,58.240]	NO NO COUGHING
audio/RES0091.mp3[58.240,62.800]	NO COUGHING UHM ANY FEVERS OR CHILLS
audio/RES0091.mp3[66.880,74.760]	NO UHM AND THE FROM THE RUNNY NOSE ARE YOU HAVING ANY YELLOW OR GREEN DISCHARGE
audio/RES0091.mp3[74.760,76.320]	NO ITS CLEAR
audio/RES0091.mp3[76.320,84.800]	ITS CLEAR OK HAVE YOU AT ALL COUGHED UP ANY BLOOD AT ALL
audio/RES0091.mp3[84.800,87.240]	NO NOTHING LIKE THAT
audio/RES0091.mp3[87.240,92.560]	OK AND DO THESE SYMPTOMS COME AND GO OR ARE THEY PRETTY CONSTANT
audio/RES0091.mp3[92.560,96.440]	UHM THEY ARE PRETTY CONSTANT
audio/RES0091.mp3[96.440,105.000]	OK AND IS THERE ANYTHING THAT YOU HAVE TRIED THAT HAS HELPED YOU WITH THESE SYMPTOMS ANY OVER THE COUNTER MEDICATIONS
audio/RES0091.mp3[105.000,115.120]	NO I HAVENT TRIED ANYTHING IVE BEEN THINKING ABOUT USING SOME NASAL DECONGESTION BUT I DONT WANT TO MAKE MY RUNNY NOSE ANY WORSE
audio/RES0091.mp3[115.120,136.760]	YEAH NO THATS A THATS A FAIR POINT AND YEAH THERES MULTIPLE THINGS THAT YOU CAN TRY OVER THE COUNTER BUT WE CAN GET INTO THAT MORE LATER ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE ANY SHORTNESS OF BREATH CHEST PAIN ANY KIND OF DIZZINESS ANYTHING LIKE THAT
audio/RES0091.mp3[136.760,147.360]	NO DIZZINESS I FEEL LIKE SOMETIMES I HAVE A HEADACHE THOUGH BECAUSE I FEEL LIKE THERES A LOT OF FLUID OR SOMETHING BACKED UP INTO MY SINUSES
audio/RES0091.mp3[147.360,151.880]	OK SO DO YOU ARE YOU FEELING THAT PRESSURE IN YOUR FACE AT ALL
audio/RES0091.mp3[151.880,155.920]	MHM A LITTLE BIT YEAH
audio/RES0091.mp3[155.920,164.840]	OK HAVE YOU AT ALL IN THE PAST COUPLE WEEKS TO A MONTH HAD CONTACT WITH ANYONE THAT WAS SICK
audio/RES0091.mp3[164.840,168.520]	NO NOTHING LIKE THAT THAT I CAN THINK OF
audio/RES0091.mp3[168.520,171.800]	OK AND ANY TRAVEL
audio/RES0091.mp3[171.800,174.560]	UHM NO
audio/RES0091.mp3[174.560,183.160]	OK AND ANY SYMPTOMS OF A LOSS OF TASTE OF SORRY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0091.mp3[185.320,188.880]	NO ANY NAUSEA OR VOMITING
audio/RES0091.mp3[188.880,190.840]	UH NOPE
audio/RES0091.mp3[190.840,193.880]	ANY NIGHT SWEATS
audio/RES0091.mp3[195.400,197.880]	HOW ABOUT FATIGUE OR DO YOU FEEL TIRED
audio/RES0091.mp3[197.880,200.120]	A LITTLE BIT YEAH
audio/RES0091.mp3[200.120,203.040]	OK ARE YOU DO YOU WORK AT ALL
audio/RES0091.mp3[203.040,205.040]	I WORK FROM HOME RIGHT NOW
audio/RES0091.mp3[205.040,210.840]	OK AND HAS THIS AFFECTED YOUR WORK IN ANY WAY
audio/RES0091.mp3[213.200,217.040]	OK UHM WHERE WHERE DO YOU LIVE DO YOU LIVE IN AN APARTMENT A HOUSE
audio/RES0091.mp3[217.040,219.320]	I LIVE IN AN APARTMENT
audio/RES0091.mp3[219.320,221.120]	AND DO YOU LIVE WITH ANYONE
audio/RES0091.mp3[221.120,223.080]	NO JUST BY MYSELF
audio/RES0091.mp3[223.080,229.720]	OK AND ANY MOLD OR DUST OR FUMES ANYTHING IN YOUR HOUSEHOLD
audio/RES0091.mp3[229.720,235.120]	I HAVE SOME OLD CARPETS BUT THATS ABOUT IT
audio/RES0091.mp3[235.120,242.200]	OK HAVE YOU FELT ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0091.mp3[242.200,244.200]	NO NOTHING LIKE THAT
audio/RES0091.mp3[244.200,248.960]	OK ANY CHANGES IN YOUR BOWEL MOVEMENT LIKE DIARRHEA OR CONSTIPATION
audio/RES0091.mp3[250.280,252.600]	ANY URINARY TROUBLE
audio/RES0091.mp3[254.360,256.320]	ANY WEIGHT LOSS
audio/RES0091.mp3[259.640,265.440]	OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA OR ANYTHING ELSE
audio/RES0091.mp3[265.440,269.080]	UHM NO IM HEALTHY OTHERWISE
audio/RES0091.mp3[269.080,271.560]	OK ANY ALLERGIES THAT YOU KNOW OF
audio/RES0091.mp3[271.560,274.160]	UH NOPE NO ALLERGIES EITHER
audio/RES0091.mp3[274.160,278.040]	OK DO YOU TAKE ANY REGULAR MEDICATIONS
audio/RES0091.mp3[278.040,283.720]	UH NO I DONT EVEN TAKE VITAMINS
audio/RES0091.mp3[283.720,289.520]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0091.mp3[289.520,294.520]	I HAD AN ARM FRACTURE WHEN I WAS YOUNGER BUT THATS IT
audio/RES0091.mp3[294.520,297.720]	OK BUT OTHER THAN THAT NOTHING ELSE
audio/RES0091.mp3[299.240,306.000]	OK AND CURRENTLY RIGHT NOW DO YOU SMOKE CIGARETTES AT ALL
audio/RES0091.mp3[306.640,309.760]	HAVE YOU SMOKED IN THE PAST
audio/RES0091.mp3[311.320,314.280]	ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0091.mp3[316.720,317.880]	OK AND DO YOU DRINK ALCOHOL
audio/RES0091.mp3[317.880,324.960]	ONCE IN A WHILE ILL HAVE LIKE A GLASS OF WINE EVERY WEEK
audio/RES0091.mp3[324.960,333.200]	OK AND YEAH THOSE ARE PRETTY MUCH ALL THE QUESTIONS I HAVE RIGHT NOW DO YOU HAVE ANY QUESTIONS
audio/RES0091.mp3[333.200,337.800]	UH NO WHAT CAN I DO ABOUT THIS RUNNY NOSE
audio/RES0091.mp3[337.800,411.960]	YEAH SO IT SEEMS LIKE ITS BEEN GOING ON FOR MORE THAN ONE AND A HALF WEEK WHAT WHAT IS REASSURING IS THAT YOURE NOT HAVING ANY OTHER SYMPTOMS THAT ARE CONCERNING LIKE YOURE NOT HAVING ANY COUGH YOURE NOT HAVING ANY GREEN OR YELLOW SPUTUM YOURE NOT HAVING ANY FEVERS SO IT SEEMS THAT YOU MIGHT JUST BE HAVING A COLD WHICH CAN BE CAUSED BY JUST A VIRAL UH INFECTION BUT IT SHOULD GO AWAY ON ITS OWN JUST MAKE SURE THAT YOURE GETTING SOME REST YOURE HYDRATING WELL UHM YOU CAN GET SOME OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD FOR EXAMPLE BUT FOR NOW I WOULD SAY WE SHOULD JUST WAIT AND WATCH BUT JUST IN CASE ALSO SINCE IT IS ONE OF THE SYMPTOMS THATS FOR COVID AS WELL IN THIS TIME PERIOD WE WILL JUST GET A COVID SWAB JUST IN CASE BUT MOST LIKELY ITS NOTHING TO BE WORRIED ABOUT UNTIL YOU GET YOUR TEST I WOULD RECOMMEND STAYING ISOLATED AND THEN WE CAN GO ON FROM THERE IS THAT DOES THAT SOUND GOOD TO YOU
audio/RES0091.mp3[411.960,414.920]	YEAH THAT SOUNDS GREAT THANK YOU SO MUCH
audio/RES0091.mp3[414.920,416.080]	YOURE WELCOME TAKE CARE
audio/RES0091.mp3[416.080,417.200]	YOU TOO
audio/MSK0017.mp3[0.000,1.760]	WHAT BRINGS YOU IN
audio/MSK0017.mp3[1.760,18.960]	HI YEAH SO IVE HAD THIS UH BACK PAIN THATS BEEN GOING ON NOW FOR THE LAST UH TWO WEEKS ITS JUST KIND OF RIGHT IN THE LOWER BACK AND IT JUST HASNT GONE AWAY
audio/MSK0017.mp3[18.960,25.200]	OK UM LAST TWO WEEKS YOU SAID IS IT GETTING WORSE
audio/MSK0017.mp3[25.200,33.920]	UH NO ITS NOT REALLY GETTING ANY WORSE UH ITS JUST BEEN UH LIMITING MY ABILITIES AT WORK
audio/MSK0017.mp3[33.920,42.240]	RIGHT OK AND WHAT DO YOU DO FOR WORK
audio/MSK0017.mp3[42.240,46.920]	SO I WORK UM AT A BUTCHER SHOP
audio/MSK0017.mp3[47.400,56.760]	YEAH AND WERE LIKE ALWAYS LIKE CARRYING HEAVY THINGS AND YEAH ITS A LOT A LOT OF LIKE LIFTING AND STANDING
audio/MSK0017.mp3[56.760,65.480]	OK DID ANYTHING TRIGGER THIS BACK PAIN TWO WEEKS AGO DID YOU HAVE SOME SORT OF INJURY OR TRAUMA TO THE AREA
audio/MSK0017.mp3[65.480,88.960]	NO I CANT THINK OF ANYTHING UH LIKE SPECIFIC THAT HAPPENED BUT THERE WAS ONE NIGHT WHERE UM LIKE AFTER WORK I WAS SITTING DOWN AFTER DINNER AND UM I GOT PRETTY STIFF THAT NIGHT IT WAS PRETTY SORE AND KIND OF EVER SINCE THEN ITS BEEN BEEN SORE
audio/MSK0017.mp3[88.960,99.880]	OK OK UM AND IS THIS A PERSISTENT KIND OF BACK PAIN OR DOES IT COME AND GO
audio/MSK0017.mp3[99.880,115.560]	ITS UM I CAN KIND OF ALWAYS FEEL IT BUT IT CERTAINLY GETS WORSE IF I AM MOVING SO IF IM JUST KIND OF SITTING AT REST I DONT REALLY YEAH I DONT REALLY FEEL IT THAT MUCH
audio/MSK0017.mp3[115.560,128.520]	OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN UM WOULD YOU SAY ITS SHARP THROBBING ACHY CRAMPY
audio/MSK0017.mp3[128.520,135.200]	ID SAY I GET KIND OF UH ITS A SHARP PAIN
audio/MSK0017.mp3[135.200,141.360]	SHARP PAIN OK UM DOES ANYTHING MAKE IT BETTER OR WORSE
audio/MSK0017.mp3[141.360,146.280]	UM BETTER WOULD JUST BE UH RESTING
audio/MSK0017.mp3[147.160,174.800]	UM KIND OF JUST LYING DOWN OR UM YEAH JUST JUST TRYING TO UH REST BUT UM MAKING IT WORSE YEAH IF IM UH LIKE REALLY ANY MOVEMENT UM IF IM LIKE BENDING FORWARD OR UM KIND OF LIKE LEANING TO THE SIDE I START TO GET UM GET SOME PAIN IN THE LOWER BACK
audio/MSK0017.mp3[174.800,185.880]	OK OK AND THEN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD OR UH HOW SEVERE WOULD YOU RATE IT
audio/MSK0017.mp3[185.880,187.920]	I WOULD SAY 7
audio/MSK0017.mp3[187.920,194.400]	A 7 OK AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST
audio/MSK0017.mp3[194.400,202.160]	UH YEAH IVE IVE HURT MY LOWER BACK BEFORE LIKE MANY YEARS AGO UM BUT ITS BEEN OK SINCE THEN
audio/MSK0017.mp3[202.160,214.880]	OK UH DID YOU GET ANY SORT OF TREATMENT OR MANAGEMENT FOR THAT PAIN UM BACK IN THE DAY
audio/MSK0017.mp3[214.880,233.040]	AT THAT TIME IT WAS JUST REST AND LIKE DID SOME STRETCHING AND I TOOK SOME UM ANTI INFLAMMATORIES AND IT WENT AWAY AFTER A COUPLE OF MONTHS
audio/MSK0017.mp3[233.040,241.160]	OK OK UM AND ARE YOU HAVING ANY SORT OF LIKE NUMBNESS OR TINGLING ANYWHERE ON YOUR BODY
audio/MSK0017.mp3[241.160,243.440]	NO NOTHING LIKE THAT
audio/MSK0017.mp3[243.440,247.320]	ALRIGHT HOW ABOUT ANY MUSCLE WEAKNESS
audio/MSK0017.mp3[247.320,249.520]	UH NO MUSCLE WEAKNESS
audio/MSK0017.mp3[249.520,257.120]	NO OK ARE YOU STILL ABLE TO WALK AND DO THINGS THAT YOU NORMALLY WOULD DO IN A DAY
audio/MSK0017.mp3[257.120,263.520]	UH YEAH IM ABLE TO WALK STILL
audio/MSK0017.mp3[263.520,267.840]	OK UM ANY DIZZINESS OR FAINTING SPELLS
audio/MSK0017.mp3[267.840,269.760]	NOPE NOTHING LIKE THAT
audio/MSK0017.mp3[269.760,274.000]	OK ANY PAIN ELSEWHERE ON YOUR BODY
audio/MSK0017.mp3[274.000,277.360]	NO JUST JUST THE LOWER BACK YEAH
audio/MSK0017.mp3[277.360,280.120]	OK HEADACHES
audio/MSK0017.mp3[280.120,281.480]	UH NOPE
audio/MSK0017.mp3[281.480,284.240]	OK WEIGHT LOSS
audio/MSK0017.mp3[284.240,286.200]	NO I HAVENT HAD ANY WEIGHT LOSS
audio/MSK0017.mp3[286.200,289.600]	OK FEVERS OR CHILLS
audio/MSK0017.mp3[289.600,291.640]	NOPE NO FEVERS OR CHILLS
audio/MSK0017.mp3[291.640,295.680]	UM RASHES
audio/MSK0017.mp3[295.680,296.520]	UH NO RASHES
audio/MSK0017.mp3[296.520,301.120]	CHANGES IN YOUR VISION HEARING TASTE OR SMELL
audio/MSK0017.mp3[301.120,302.800]	NO CHANGES LIKE THAT
audio/MSK0017.mp3[302.800,308.240]	OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZINESS
audio/MSK0017.mp3[308.240,310.640]	UM NOPE NOTHING LIKE THAT
audio/MSK0017.mp3[310.640,315.720]	UM CHEST PAIN OR HEART PALPITATIONS
audio/MSK0017.mp3[315.720,317.720]	NOPE NOTHING LIKE THAT
audio/MSK0017.mp3[317.720,321.960]	OK ISSUES OR CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0017.mp3[321.960,329.040]	UH NO CHANGES TO BOWEL MOVEMENTS NO DIARRHEA AND NO INCONTINENCE OR ANYTHING LIKE THAT
audio/MSK0017.mp3[329.040,334.640]	OK UM AND THEN UH NAUSEA OR VOMITING
audio/MSK0017.mp3[334.640,338.280]	NOPE NOTHING LIKE THAT
audio/MSK0017.mp3[338.280,343.600]	OK HOW ABOUT UM CHANGES TO YOUR APPETITE
audio/MSK0017.mp3[343.600,348.400]	UM NOPE IVE BEEN EATING UH IVE BEEN EATING WELL
audio/MSK0017.mp3[348.400,352.480]	CHANGES IN YOUR VOIDING
audio/MSK0017.mp3[352.480,357.640]	UH NOPE I HAVENT HAD ANY CHANGES TO URINATION
audio/MSK0017.mp3[357.640,365.840]	OK UM AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0017.mp3[365.840,379.200]	UH I IVE HAD A FEW SPORTS INJURIES WHEN I WAS YOUNGER UH LIKE TO MY MY KNEE BUT THATS IT IVE BEEN HEALTHY OTHERWISE
audio/MSK0017.mp3[379.200,385.320]	OK AND UM THOSE INJURIES ARE THEY ALL HEALED
audio/MSK0017.mp3[385.320,398.880]	UH SOMETIMES ILL GET UM LIKE A LITTLE ACHINESS IN MY KNEE FROM FROM DOING LIKE TOO MUCH ACTIVITY BUT I KNOW WHEN THOSE WHEN THAT HAPPENS
audio/MSK0017.mp3[398.880,401.640]	OK ARE YOU ON ANY MEDICATIONS
audio/MSK0017.mp3[401.640,405.160]	NO I I DONT UH TAKE ANY MEDICATIONS
audio/MSK0017.mp3[405.160,409.160]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/MSK0017.mp3[409.160,410.600]	I AM YEP
audio/MSK0017.mp3[410.600,415.840]	OK UM DO YOU HAVE ANY ALLERGIES
audio/MSK0017.mp3[415.840,418.320]	UH NO ALLERGIES
audio/MSK0017.mp3[418.320,424.480]	OK ANY FAMILY HISTORY OF UM MUSCULAR OR SKELETAL ISSUES
audio/MSK0017.mp3[424.480,427.200]	UM NO NOTHING LIKE THAT
audio/MSK0017.mp3[427.200,432.840]	OK HOW ABOUT UM HEART OR LUNG DISEASES
audio/MSK0017.mp3[432.840,436.720]	UH NO NO HEART OR LUNG DISEASES
audio/MSK0017.mp3[436.720,442.160]	OK UHM HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0017.mp3[442.160,444.040]	UM NOPE NOTHING LIKE THAT
audio/MSK0017.mp3[444.040,446.920]	OK CANCERS
audio/MSK0017.mp3[446.920,450.400]	UH NO CANCERS
audio/MSK0017.mp3[450.400,454.240]	OK UM AND DO YOU SMOKE
audio/MSK0017.mp3[454.240,456.760]	UM NO I DONT SMOKE
audio/MSK0017.mp3[456.760,460.120]	OK AND DO YOU CONSUME MARIJUANA
audio/MSK0017.mp3[460.120,475.760]	UH SOMETIMES ILL HAVE LIKE UH EDIBLES LITTLE CANDY SOMETIMES AT NIGHTTIME THEY THEY HELP ME UH RELAX AND SLEEP BUT I DONT USE THAT VERY OFTEN
audio/MSK0017.mp3[475.760,478.240]	OK HOW OFTEN DO YOU USE THEM
audio/MSK0017.mp3[478.240,482.120]	I WOULD SAY MAYBE UH ONCE A WEEK
audio/MSK0017.mp3[482.120,493.280]	ONCE A WEEK OK ALRIGHT UM AND THEN WHAT ELSE DID I WANNA ASK YOU UM DO YOU DO YOU TAKE ANY RECREATIONAL DRUGS
audio/MSK0017.mp3[493.280,497.440]	NO AND I HAVENT USED ANY BEFORE
audio/MSK0017.mp3[497.440,502.320]	OK AND HOW ABOUT ALCOHOL DO YOU CONSUME ALCOHOL
audio/MSK0017.mp3[502.320,510.560]	YEAH ILL HAVE A COUPLE OF BEERS ON THE WEEKEND SO MAYBE LIKE TWO OR THREE
audio/MSK0017.mp3[510.560,515.120]	OK UHM AND WHO AND WHERE DO YOU LIVE RIGHT WHO WITH AND WHERE DO YOU LIVE RIGHT NOW
audio/MSK0017.mp3[515.120,524.520]	YEAH I LIVE WITH MY WIFE AND OUR UM AND OUR SON WHOS IN HIGH SCHOOL WE LIVE IN A IN A HOUSE
audio/MSK0017.mp3[524.520,537.400]	OK OK UM ALRIGHT AND ANY CONCERNS FOR STIS AT ALL
audio/MSK0017.mp3[537.400,553.160]	OH NO IVE BEEN WITH MY WIFE NOW FOR A LONG TIME AND WEVE BEEN MONOGAMOUS SO NO CONCERNS FOR UH SEXUALLY TRANSMITTED INFECTION RIGHT NOW
audio/MSK0017.mp3[553.160,560.600]	OK HOW ABOUT UM SICK CONTACTS HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/MSK0017.mp3[560.600,561.680]	NO I DONT THINK SO
audio/MSK0017.mp3[561.680,565.920]	OK ANY TRAVEL RECENTLY
audio/MSK0017.mp3[565.920,573.480]	UH NO I HAVENT TRAVELED ANYWHERE
audio/MSK0017.mp3[573.480,586.720]	OK UM AND WELL LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM SO IM GOING TO GET YOU TO STAND UP FROM A SITTING POSITION DOES THAT HURT YOUR BACK
audio/MSK0017.mp3[586.720,595.520]	UM YEAH IT DOES I I DO FEEL A LITTLE BIT OF A A TWINGE THERE
audio/MSK0017.mp3[595.520,598.960]	OK AND WHERE ABOUT SPECIFICALLY
audio/MSK0017.mp3[598.960,609.240]	KIND OF JUST YEAH ON THE LOWER UH LOWER RIGHT SIDE LIKE MORE ON THE MORE ON THE RIGHT SIDE
audio/MSK0017.mp3[609.240,625.080]	MORE ON THE RIGHT SIDE OK NOW IF YOU HAVE A MIRROR WITH YOU OR IF YOU HAVE SOMEONE THERE WITH YOU WHO CAN UM SPEAK TO THIS DOES YOUR RIGHT SIDE APPEAR MORE RED SWOLLEN OR HOT COMPARED TO YOUR LEFT SIDE OF THE LOWER BACK
audio/MSK0017.mp3[625.080,627.520]	UH NO NOTHING LIKE THAT
audio/MSK0017.mp3[627.520,637.000]	NO OK AND DOES IT SEEM LIKE ITS MORE ATROPHIED OR DO YOU SEE ANY DEFORMITIES OR SKIN CHANGES IN THAT AREA
audio/MSK0017.mp3[637.000,639.520]	UH NOPE NO DEFORMITIES OR SKIN CHANGES
audio/MSK0017.mp3[639.520,651.800]	OK UM ALRIGHT AND IM GONNA GET YOU TO UM BEND DOWN ALL THE WAY AND TOUCH YOUR TOES IF YOU CAN
audio/MSK0017.mp3[651.800,654.400]	UM YEAH I I CAN GET PART PART WAY DOWN
audio/MSK0017.mp3[654.400,659.680]	YOU CAN GET PARTWAY DOWN DOES IT HURT
audio/MSK0017.mp3[659.680,668.120]	UM A LITTLE BIT I CAN FEEL IT PULLING AND STRETCHING YEAH
audio/MSK0017.mp3[668.120,687.080]	OK UM ALRIGHT AND THEN IM GONNA GET YOU TO UH LIKE LATERALLY FLEX TO YOUR RIGHT SIDE SO KIND OF LIKE YOURE DOING AN EXERCISE UM AND YOURE JUST LIKE BENDING TOWARDS THAT SIDE
audio/MSK0017.mp3[687.080,688.360]	YEAH THAT HURTS
audio/MSK0017.mp3[688.360,692.320]	THAT HURTS OK HOW ABOUT THE OTHER SIDE THE LEFT SIDE
audio/MSK0017.mp3[692.320,695.560]	YEAH THAT HURTS TOO
audio/MSK0017.mp3[695.560,710.520]	OK UM AND NOW I WANNA GET YOU TO UH BRING YOUR KNEES UP TOWARDS THE CEILING DOES THAT HURT ONE AT A TIME LIKE YOUR RIGHT RIGHT KNEE AND YOUR LEFT KNEE
audio/MSK0017.mp3[710.520,713.520]	UH NOT REALLY
audio/MSK0017.mp3[713.520,721.800]	NO OK HOW ABOUT WHEN YOU UM FLEX YOUR KNEES BACKWARDS
audio/MSK0017.mp3[722.680,727.640]	AND KIND OF POINT YOUR KNEES TOWARDS THE GROUND
audio/MSK0017.mp3[727.640,729.560]	NO NO PAIN THERE
audio/MSK0017.mp3[729.560,738.560]	OK SO NO PAIN ON KNEE EXTENSION OR FLEXION UM HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING
audio/MSK0017.mp3[738.560,741.440]	UH NO PAIN THERE
audio/MSK0017.mp3[741.440,749.200]	OK SO NO PAIN ON PLANTAR FLEXION HOW ABOUT WHEN YOU POINT YOUR UH TOES TO THE GROUND
audio/MSK0017.mp3[749.200,750.760]	NO PAIN THERE
audio/MSK0017.mp3[750.760,760.680]	OK SO NO PAIN ON DORSIFLEXION AND THEN SORRY I FORGOT TO ASK YOU EARLIER DO YOU HAVE ANY SORT OF NUMBNESS IN THE GROIN AREA
audio/MSK0017.mp3[760.680,764.320]	NO NO NUMBNESS IN THE GROIN AREA
audio/MSK0017.mp3[764.320,778.360]	OK SO NO NUMBNESS IN THE GROIN AREA NO WEAKNESS NO UM CHANGES IN YOUR BOWEL OR BLADDER HABITS INCLUDING NO INCONTINENCE SO UH NO RED FLAGS
audio/MSK0017.mp3[778.360,780.760]	YEAH NOTHING LIKE THAT
audio/MSK0017.mp3[780.760,789.880]	OK OK GOOD UM AND OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF
audio/MSK0017.mp3[789.880,796.840]	UH NO I WAS JUST UH YEAH KIND OF WONDERING DO I DO I NEED ANY X RAYS OR LIKE WHAT WHAT WHATS GOING ON
audio/MSK0017.mp3[796.840,918.240]	YEAH SO UM WHAT IT SOUNDS LIKE RIGHT NOW IS THAT YOU HAVE SOMETHING CALLED MECHANICAL BACK PAIN ITS PRETTY COMMON AND UM IT CAN BE ANYTHING FROM YOUR SPINAL JOINTS TO THE DISCS TO THE VERTEBRATE OR SOFT TISSUE OR MUSCLE UM AND A LOT OF THESE CAN BE CAUSED BY UM HARD ACTIVITY AT WORK UM LIKE CARRYING HEAVY THINGS UM AND THEN CARRYING THEM IN LIKE AN IMPROPER POSITION OR SOMETHING LIKE THAT UM AND WE DIAGNOSE THAT ON HISTORY AND PHYSICAL EXAM UM BUT IF AFTER WE TRY SOME MANAGEMENT AND TREATMENT PLANS IT DOESNT GO AWAY AND IT PERSISTS FOR MORE THAN EIGHT WEEKS WE DO RECOMMEND IMAGING INCLUDING AN MRI SO UH IN TERMS OF MANAGEMENT FOR RIGHT NOW UM MODIFIED ACTIVITY AT WORK UM SOME SHORT TERM BED REST UH VERY SHORT TERM THOUGH UM AND BED REST IS ONLY REALLY RECOMMENDED IF YOU HAVE SEVERE BACK PAIN AND MUSCLE SPASMS UM AND YOU DEFINITELY SHOULDNT BE DOING THAT FOR MORE THAN LIKE 24 TO 48 HOURS AND PHYSICAL ACTIVITY CAN HELP UM SO REFERRAL TO PHYSICAL THERAPY OR PHYSIOTHERAPY UM CAN HELP IN REHAB AND THEYLL GIVE YOU SOME EXERCISES THAT YOU CAN TRY AT HOME TO KIND OF UM STRENGTHEN THOSE MUSCLES AND THEN ICE AND HEATING PACKS UM TEMPORARILY CAN HELP UH MEDICATIONS LIKE NSAIDS CAN HELP AS WELL WITH THE INFLAMMATION UM SO WELL TRY THESE THINGS OUT AND THEN WELL CONTINUE TO FOLLOW UP UM YEAH DID YOU HAVE ANY QUESTIONS OR DOES THAT SOUND LIKE AN OK PLAN
audio/MSK0017.mp3[918.240,922.240]	UH THAT SOUNDS LIKE A GOOD PLAN
audio/MSK0017.mp3[922.240,925.480]	OK SOUNDS GOOD THANK YOU
audio/RES0105.mp3[0.000,2.400]	SO WHAT BRINGS YOU IN TODAY
audio/RES0105.mp3[2.400,15.800]	YEAH IVE HAD IVE HAD A COUGH FOR A NUMBER OF YEARS NOW BUT STORE THESE PAST LIKE DAY ITS GOTTEN A LOT QUITE A BIT WORSE AND IVE BEEN REALLY SHORT OF BREATH
audio/RES0105.mp3[15.800,21.360]	OK AND SO HOW MANY DAYS WOULD YOU SAY YOUVE BEEN SHORT OF BREATH
audio/RES0105.mp3[21.360,32.520]	LESS THAN A DAY MAYBE JUST REALLY KIND OF STARTED LAST NIGHT AND HAS CARRIED OUT THROUGHOUT THIS MORNING I I CALLED THIS MORNING TO GET AN APPOINTMENT
audio/RES0105.mp3[32.520,41.960]	OK AND IT WAS IT BROUGHT ON BY ANY ACTIVITIES OR WERE YOU DOING ANYTHING AT THAT TIME BEFORE IT STARTED
audio/RES0105.mp3[41.960,64.800]	NO LAST LAST NIGHT I WAS WELL I WAS JUST DOING MY REGULAR KIND OF ROUTINE AFTER DINNER  CLEANING UP AND JUST THE COUGH STARTED FIRST AND OVER THE OVER THE NIGHT IT GOT WORSE I COULD JUST COULDNT CATCH MY BREATH AND THAT WAS SIMILAR THIS MORNING
audio/RES0105.mp3[64.800,67.880]	OK SO YOUVE ALSO HAD A COUGH
audio/RES0105.mp3[67.880,78.840]	YEAH I HAVE YEAH UH IVE HAD A COUGH FOR A LONG TIME NOW BUT ITS BEEN WORSE OVER THIS LAST DAY
audio/RES0105.mp3[78.840,82.800]	YEAH IS IT LIKE A WET COUGH OR DRY COUGH
audio/RES0105.mp3[82.800,104.880]	ITS WET I IM BRING UP SPUTUM MOST OF THE TIME BUT ITS BEEN ITS USUALLY LIKE WHITE OR CLEAR AND ITS A LOT MORE LIKE UH ITS A LOT MORE GREENISH YELLOW AND YEAH
audio/RES0105.mp3[104.880,111.720]	OK AND ARE YOU HAVING ANY KIND OF FEVERS OR CHILLS ANYTHING LIKE THAT
audio/RES0105.mp3[111.720,119.040]	UHM YEAH I I DID HAVE SOME CHILLS LAST NIGHT SO IM NOT SURE ABOUT A FEVER THOUGH
audio/RES0105.mp3[119.040,128.200]	OK AND ARE YOUR SYMPTOMS AT ALL SO YOU DO HAVE A SHORTNESS OF BREATH BUT ANY KIND OF CHEST PAIN AT ALL
audio/RES0105.mp3[128.200,137.000]	I DO HAVE SOME CHEST PRESSURE FOR SURE I JUST FEELS LIKE I CANT CANT AH CATCH MY BREATH
audio/RES0105.mp3[137.000,145.200]	OK SO IS IT MOSTLY RELATED TO YOUR BREATHING OR DO YOU HAVE IT AT REST OR DO YOU HAVE IT WITH ANY EXERTION
audio/RES0105.mp3[145.200,159.520]	YEAH I THINK IT ITS THERE KIND OF MOST OF THE TIME LIKE THE CHEST PRESSURE I KIND OF FEEL IT THROUGHOUT MY CHEST WHEN WHEN IM BREATHING BUT BUT ALSO JUST KIND OF SITTING HERE I CAN KIND OF FEEL IT
audio/RES0105.mp3[159.520,164.480]	OK I SEE AND ARE ALL OF YOUR SYMPTOMS CONSTANT OR DO THEY COME AND GO
audio/RES0105.mp3[164.480,171.960]	THEYVE BEEN CONSTANT AND THEYVE GOT BEEN GETTING WORSE SINCE SINCE LAST NIGHT
audio/RES0105.mp3[171.960,175.280]	OK AND HAVE YOU HAD THIS HAPPEN TO YOU BEFORE
audio/RES0105.mp3[175.280,193.520]	IT HAS YEAH I ACTUALLY LAST LAST WINTER I WAS HOSPITALIZED FOR A COPEXACERBATION FOR FOR A FEW DAYS I I KNOW I GOT SOME ANTIBIOTICS AND UMM I NEEDED SOME OXYGEN
audio/RES0105.mp3[193.520,201.120]	I SEE AND DID YOU GO HOME ON HOME OXYGEN AT ALL LIKE DO YOU USE OXYGEN AT HOME
audio/RES0105.mp3[201.120,209.600]	NO I WAS TOLD I DIDNT NEED ANY ANY YET BUT IF I DIDNT QUIT SMOKING I MIGHT IN THE FUTURE
audio/RES0105.mp3[209.600,213.520]	OK AND ARE YOU USING ANY KIND OF PUFFERS AT ALL
audio/RES0105.mp3[213.520,236.080]	YEAH I I DO I I USE I THINK ITS CALLED LIKE SPIRIVA OR SOMETHING LIKE THAT I USE THAT EVERY DAY AND THERES ANOTHER ONE THAT ILL USE LIKE IF MY SYMPTOMS ARE GETTING BAD MY BLUE ONE I DID TRY THAT ACTUALLY LAST NIGHT AND IT DIDNT IT HELPED A LITTLE BIT BUT NOT NOT ENOUGH
audio/RES0105.mp3[236.080,242.600]	OK SO HAVE YOU JUST TRIED LIKE TRIED IT ONE TIME LAST NIGHT HAVE YOU TRIED IT AFTER THAT
audio/RES0105.mp3[242.600,244.880]	YEAH WE JUST TRIED IT LAST NIGHT
audio/RES0105.mp3[244.880,247.160]	OK SO NOTHING TODAY RIGHT
audio/RES0105.mp3[247.160,249.600]	NO NOTHING TODAY
audio/RES0105.mp3[249.600,266.720]	OK OTHER THAN THAT SO YOU DID HAVE AN ADMISSION BEFORE FOR THIS AND YOU HAVE COPDO YOU HAVE ANY OTHER SYMPTOMS RIGHT NOW LIKE RUNNY NOSE SORE THROAT ANY COLD LIKE SYMPTOMS
audio/RES0105.mp3[266.720,270.080]	NO NO I I I DONT
audio/RES0105.mp3[270.080,274.000]	DID YOU HAVE IT BEFORE THESE SYMPTOMS STARTED
audio/RES0105.mp3[274.000,280.440]	UHM NO IVE BEEN FEELING IVE BEEN FEELING OK
audio/RES0105.mp3[280.440,284.600]	OK AND HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0105.mp3[284.600,297.840]	UH WELL I DID I JUST GO UP TO THE TRAILER NOT TOO LONG AGO TO VISIT SOME FAMILY BUT THATS JUST AN HOUR AWAY
audio/RES0105.mp3[297.840,303.080]	OK ANYONE SICK AROUND YOU RECENTLY
audio/RES0105.mp3[303.080,311.280]	NO I DONT I DONT THINK SO
audio/RES0105.mp3[311.280,316.600]	AND IS THERE ARE YOU HAVING ANY HEADACHE OR NAUSEA OR VOMITING
audio/RES0105.mp3[316.600,321.080]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0105.mp3[321.080,328.360]	OK AND BESIDES THE TIME YOU GOT HOSPITALIZED HAVE YOU HAD ANY EXACERBATIONS AFTER THAT
audio/RES0105.mp3[328.360,334.280]	NO I JUST HAD THAT HAD THAT HAPPEN THE ONE TIME LAST YEAR
audio/RES0105.mp3[334.280,344.280]	OK AND DO YOU FEEL THAT YOUR SYMPTOMS ARE SIMILAR WORSE OR HOW DO THEY COMPARE TO LAST TIME IF YOU REMEMBER
audio/RES0105.mp3[344.280,361.120]	PRETTY SIMILAR I THINK LAST TIME I WAS WORSE BUT I WAITED LONGER LAST TIME AND SO THATS WHY I WAS CONCERNED AND AND WANTED TO COME IN EARLY
audio/RES0105.mp3[361.120,369.680]	OK OK UH ALRIGHT SO UH HAVE YOU HAD ANY FEVERS AT ALL OR CHILLS
audio/RES0105.mp3[369.680,378.040]	YEAH IVE IVE HAD SOME CHILLS LAST NIGHT LIKE I JUST COULDNT GET WARM I WAS LOADING UP ON BLANKETS AND IT DIDNT SEEM TO HELP
audio/RES0105.mp3[378.040,385.720]	OK SO WELL GET A TEMPERATURE ON YOU TODAY AS WELL DO YOU FEEL THAT YOURE BREATHING FASTER AT ALL
audio/RES0105.mp3[385.720,394.000]	UH NOT NECESSARILY IT JUST IT JUST HARDER TO TO FEEL LIKE I CANT CATCH MY BREATH
audio/RES0105.mp3[394.000,398.720]	OK DO YOU FEEL FATIGUED AT ALL
audio/RES0105.mp3[398.720,413.840]	AH YEAH I I HAVE A I MEAN I HAVE BEEN FEELING JUST TIRED THIS MORNING BUT I THINK THATS MORE TO DO WITH THE FACT THAT I JUST CANT REALLY DO A WHOLE LOT OF EXERTION BECAUSE AS SOON AS I MOVE AROUND IM I CANT BREATHE
audio/RES0105.mp3[413.840,421.960]	I SEE UHM OK AND ARE YOU HAVING ANY KIND OF DIARRHEA CONSTIPATION OR ANY URINARY TROUBLES AT ALL
audio/RES0105.mp3[421.960,424.360]	NO IM NOT
audio/RES0105.mp3[424.360,427.360]	OK ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0105.mp3[427.360,432.120]	THATS BEEN THATS BEEN NORMAL BEEN EATING WELL
audio/RES0105.mp3[432.120,439.840]	OK ANY KIND OF CONFUSION OR ANY DO YOU FEEL LIKE YOURSELF
audio/RES0105.mp3[439.840,441.280]	YEAH I DO
audio/RES0105.mp3[441.280,446.320]	OK ANY CONFUSION AT ALL THAT ANYONES NOTICED
audio/RES0105.mp3[446.320,451.680]	NO I DONT THINK SO I FEEL LIKE THATS BEEN OK
audio/RES0105.mp3[451.680,454.440]	ANY WHEEZING
audio/RES0105.mp3[454.440,466.280]	YEAH I I HAVE NOTICED SOME WHEEZING ITS USUALLY I USUALLY UH WELL IVE BEEN TOLD I HAVE A WHEEZE BUT I CAN ACTUALLY HEAR IT RIGHT NOW
audio/RES0105.mp3[466.280,480.680]	OK YEAH WELL DO LIKE A FULL PHYSICAL EXAMINATION AS WELL AND WELL GET LIKE YOUR OXYGENATION LEVEL AND EVERYTHING LIKE THAT UMM DO YOU HAVE ANY BESIDES COPSO WHEN WERE YOU DIAGNOSED WITH YOU PLEASE
audio/RES0105.mp3[480.680,483.960]	ABOUT 10 YEARS AGO
audio/RES0105.mp3[483.960,488.440]	OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS
audio/RES0105.mp3[488.440,508.120]	I DO YEAH I HAVE A HIGH BLOOD PRESSURE TYPE TWO DIABETES AND LIKE AND THERES SOMETHING WRONG WITH MY WITH MY KIDNEYS AS WELL I THINK MY EGFR IS LOW OR SOMETHING LIKE THAT
audio/RES0105.mp3[508.120,514.960]	OH I SEE OK AND DO YOU TAKE ANY MEDICATIONS BESIDES YOUR PUFFERS
audio/RES0105.mp3[514.960,538.200]	YEAH I I DO I I TAKE ON AN ACE INHIBITOR METFORMIN SGLT2 INHIBITOR AND IM ALSO TAKING A UH A WATER PILL AS WELL CAUSE I OVER THESE LAST COUPLE OF YEARS IVE HAD SOME MORE SWELLING IN MY IN MY FEET
audio/RES0105.mp3[538.200,544.000]	OK I SEE DO YOU HAVE ANY SWELLING INCREASED SWELLING RIGHT NOW
audio/RES0105.mp3[544.000,548.520]	NO I THATS BEEN ABOUT THIS BEEN PRETTY CONSTANT
audio/RES0105.mp3[548.520,558.360]	OK AND DO YOU FEEL RECENTLY AT ALL THAT YOURE SHORT OF BREATH WHEN LYING DOWN OR DO YOU HAVE TO WAKE UP TO TAKE A DEEP BREATH ANYTHING LIKE THAT
audio/RES0105.mp3[558.360,561.120]	NO I HAVENT ONLY BROUGHT ISSUES LIKE THAT
audio/RES0105.mp3[561.120,567.320]	OK ANY ANY KIND OF DIZZINESS OR FAINTING EPISODES
audio/RES0105.mp3[567.320,569.800]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0105.mp3[569.800,576.680]	OK ANY INCREASED SWEATING ASSOCIATED WITH YOUR CHEST TIGHT OR PRESSURE OR ANYTHING LIKE THAT
audio/RES0105.mp3[576.680,579.800]	NO NO I HAVENT BEEN SWEATY
audio/RES0105.mp3[579.800,587.840]	OK YEAH AND OTHER THAN THAT ANY PREVIOUS SURGERIES IN THE PAST
audio/RES0105.mp3[587.840,599.200]	UHM I YEAH I HAD A UTERINE PROLAPSE SO I HAD SURGERY FOR THAT I HAVE FIVE KIDS
audio/RES0105.mp3[599.200,603.000]	OK ANY ANY COMPLICATIONS AFTER THAT SURGERY AT ALL
audio/RES0105.mp3[603.000,611.640]	NO IT HELPED IT ACTUALLY FIXED THE LEAKING AT THE TIME I WAS HAVING SO WAS HAPPY WITH THAT
audio/RES0105.mp3[611.640,617.320]	THATS GOOD CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR ARE YOU RETIRED
audio/RES0105.mp3[617.320,621.760]	I AM RETIRED
audio/RES0105.mp3[621.760,627.480]	OK UH AND WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/RES0105.mp3[627.480,634.600]	YES WE LIVE IN A HOUSE JUST OUTSIDE OF THE CITY WITH MY WITH MY HUSBAND
audio/RES0105.mp3[634.600,642.640]	OK ANY EXPOSURES TO ANY DUST FUMES ASBESTOS OR ANYTHING LIKE THAT IN YOUR HOME
audio/RES0105.mp3[642.640,650.360]	NO I DONT BELIEVE SO
audio/RES0105.mp3[650.360,654.600]	OK UHM AND DO YOU CURRENTLY SMOKE
audio/RES0105.mp3[654.600,659.200]	UHM I DO YEAH CURRENTLY YEAH MAYBE HALF A PACK TO A PACK PER DAY
audio/RES0105.mp3[659.200,663.360]	OK AND HOW LONG HAVE YOU SMOKED FOR
audio/RES0105.mp3[663.360,675.720]	OH I STARTED IN MY TEENS SO MOST OF MY LIFE IVE IVE SMOKED I GREW UP AROUND IT ITS JUST WHAT MY PARENTS DID AND EVERYBODY SMOKED
audio/RES0105.mp3[675.720,681.400]	OK UHM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0105.mp3[681.400,682.160]	NO I DONT
audio/RES0105.mp3[682.160,691.000]	OK AND DO YOU DRINK ALCOHOL AT ALL
audio/RES0105.mp3[691.000,694.240]	UH VERY RARELY DONT REALLY DRINK IT ANYMORE
audio/RES0105.mp3[694.240,708.880]	OK ALRIGHT SO YEAH THOSE ARE SOME OF THE QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION GET YOUR VITALS AND GET YOUR OXYGENATION DONE RIGHT NOW DO YOU HAVE ANY QUESTIONS AT ALL
audio/RES0105.mp3[708.880,711.840]	NO THAT THAT MAKES SENSE THANK YOU
audio/RES0105.mp3[711.840,745.960]	YOURE WELCOME AND YEAH SO WELL WELL ALSO DO SOME LAB WORK AS WELL WELL GET SOME BLOOD WORK DONE WANT TO MAKE SURE WE DONT MISS ANY KIND OF INFECTION UMM YOURE IN LIKE YOUR YOU CAN BE HAVING ANOTHER COPEXACERBATION BUT WE ALSO WANT TO MAKE SURE YOU DONT HAVE LIKE PNEUMONIA OR ANYTHING LIKE THAT SO WE MIGHT HAVE TO DO A CHEST XRAY AS WELL BUT FOR NOW I WOULD SAY JUST SIT TIGHT WELL GET ALL YOUR VITALS DONE AND THEN GO ON FROM THERE DOES THAT SOUND GOOD
audio/RES0105.mp3[745.960,748.320]	YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0105.mp3[748.320,767.000]	ALRIGHT AND IF YOU FEEL AT ALL YOURE VERY SHORT OF BREATH AND WE CAN GIVE YOU SOME VENTIL IN HERE AS WELL AND THEN IF YOU NEED LIKE WE CAN GIVE YOU LIKE SYSTEMIC CORE STEROIDS AS WELL TO HELP SOME OF YOUR SYMPTOMS BUT YEAH LETS LETS DO SOME OF THAT PHYSICAL EXAMINATIONS FIRST
audio/RES0105.mp3[767.000,769.880]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0105.mp3[769.880,771.640]	WELCOME TAKE CARE
audio/RES0204.mp3[0.000,19.760]	I HEAR THAT YOU HAVE BEEN HAVING SOME COUGHING SO IM JUST GOING TO CHAT WITH YOU FOR A BIT GET AN IDEA OF HOW THINGS ARE GOING WELL HAVE A LISTEN TO YOUR LUNGS IN YOUR HEART AND THEN I WILL GO GRAB THE DOCTOR THATS WORKING TODAY AND WELL TALK ABOUT IT AND THEN WELL COME BACK AND LET YOU KNOW WHAT THE NEXT STEPS ARE GOING TO BE THAT DOES THAT SOUND GOOD TO YOU
audio/RES0204.mp3[19.760,22.680]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0204.mp3[22.680,29.080]	CAN YOU TELL ME ABOUT WHAT BROUGHT YOU IN TODAY
audio/RES0204.mp3[29.080,41.040]	YEAH IVE HAD THIS COUGH FOR THE PAST FOUR OR FIVE DAYS AND IT DOESNT SEEM TO BE GOING AWAY OR GETTING BETTER SO I THOUGHT I SHOULD GET IT CHECKED OUT
audio/RES0204.mp3[41.040,44.320]	OK ARE YOU HERE WITH YOUR MOM TODAY
audio/RES0204.mp3[44.320,48.560]	I AM
audio/RES0204.mp3[48.560,55.320]	HI MUM UM OK YOU GOT A COUGH YOU SAID IM SORRY YOU SAID FOR FIVE DAYS
audio/RES0204.mp3[55.320,59.000]	FOR YEAH FOUR TO FIVE DAYS ISH YEAH
audio/RES0204.mp3[59.000,65.600]	OK AND UH HAS IT YOU SAID IT WAS A DRY COUGH IS THAT RIGHT
audio/RES0204.mp3[65.600,67.440]	YEAH THATS RIGHT
audio/RES0204.mp3[67.440,75.120]	OK SO AT NO POINT WERE YOU BRINGING UP ON GUNK WITH YOUR COUGH
audio/RES0204.mp3[75.120,77.720]	YEAH NO NO NOTHING LIKE THAT
audio/RES0204.mp3[77.720,86.520]	OK SINCE IT STARTED DO YOU THINK ITS GOTTEN WORSE OR HAS IT KIND OF STAYED THE SAME GOTTEN ANY BETTER
audio/RES0204.mp3[86.520,88.920]	ITS KIND OF STAYED THE SAME
audio/RES0204.mp3[88.920,100.240]	OK OK UHM ALONG WITH THE COUGH HAVE HAVE YOU BEEN HAVING ANY OTHER NEW SYMPTOMS
audio/RES0204.mp3[100.240,101.040]	UH NO
audio/RES0204.mp3[101.040,103.880]	OK HAVE YOU HAD A SORE THROAT
audio/RES0204.mp3[105.440,110.160]	DO YOU FEEL LIKE YOU CAN TASTE AND SMELL THINGS NORMALLY
audio/RES0204.mp3[110.160,114.400]	YEAH I THINK SO
audio/RES0204.mp3[114.400,118.640]	OK OK HAVE YOU BEEN HAVING A RUNNY NOSE
audio/RES0204.mp3[118.640,126.320]	OH YES I HAVE HAD THAT FOR THE PAST COUPLE OF DAYS AS WELL
audio/RES0204.mp3[126.320,137.480]	AND IS IT A RUNNY NOSE WITH KIND OF CLEAR STUFF IS IT WATERY OR IS IT THICK DOES IT HAVE A COLOR TO IT A YUCKY THE COLOR
audio/RES0204.mp3[137.480,145.000]	ITS PRETTY CLEAR
audio/RES0204.mp3[145.000,158.000]	OK OK UHM AND UH HAVE YOU HAD ANY FEVERS YOUR MOM MIGHT BE ABLE TO ANSWER THAT ONE BETTER
audio/RES0204.mp3[158.000,165.880]	YEAH UM HE HAS HAD UH LIKE HES HAD FEVERS IN THE PAST BUT I I DIDNT REALLY CHECK THIS TIME HE DIDNT SEEM HOT HE DIDNT HAVE ANY CHILLS
audio/RES0204.mp3[165.880,174.280]	OK WELL THATS GOOD UHM OK HAVE YOU HAD ANY BACK OR MUSCLE PAIN
audio/RES0204.mp3[179.560,189.000]	OK HAVE YOU HAD ANY CHEST PAIN
audio/RES0204.mp3[189.000,191.480]	UH NO NO CHEST PAIN
audio/RES0204.mp3[191.480,194.400]	OK ANY ANY NAUSEA OR VOMITING
audio/RES0204.mp3[194.400,197.280]	UH NO NO NAUSEA OR VOMITING
audio/RES0204.mp3[197.280,200.600]	HAVE YOU EVER HAD ANY PAIN IN YOUR BELLY
audio/RES0204.mp3[200.600,204.840]	NO NOPE THAT NO PAIN IN MY BELLY
audio/RES0204.mp3[204.840,207.040]	ANY HEADACHES
audio/RES0204.mp3[207.040,210.880]	NO NO HEADACHES
audio/RES0204.mp3[210.880,215.960]	OK HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK
audio/RES0204.mp3[215.960,221.720]	NO NOT THAT NOT THAT I CAN REMEMBER
audio/RES0204.mp3[221.720,226.200]	OK UHM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0204.mp3[226.200,229.360]	UH NOPE
audio/RES0204.mp3[229.360,233.440]	ARE YOU GOING TO SCHOOL RIGHT NOW OR STAYING HOME
audio/RES0204.mp3[233.440,241.520]	I’M GOING TO SCHOOL AND THEYRE DOING THESE HALF DAYS
audio/RES0204.mp3[241.520,247.040]	OK OK UHM AND HAS ANYONE IN YOUR SCHOOL BEEN SICK
audio/RES0204.mp3[247.040,249.640]	AH NOPE NOT RECENTLY
audio/RES0204.mp3[249.640,251.760]	AT LEAST NOT THAT WE KNOW OF OK
audio/RES0204.mp3[253.840,257.840]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0204.mp3[257.840,271.040]	NO IVE BEEN PRETTY HEALTHY OTHERWISE IVE NEVER HAD LIKE IVE NEVER HAD LIKE A DRY COUGH LIKE THIS IVE HAD RUNNY NOSE IN THE PAST BUT THEY NEVER LASTED THIS LONG
audio/RES0204.mp3[271.040,274.520]	OK HAVE YOU EVER BEEN IN THE HOSPITAL
audio/RES0204.mp3[277.600,284.840]	OK DID YOU SEE YOUR FAMILY DOCTOR FOR ANYTHING ANY HEALTH PROBLEMS
audio/RES0204.mp3[284.840,286.360]	NO NO
audio/RES0204.mp3[286.360,289.560]	DO YOU TAKE ANY MEDICINES
audio/RES0204.mp3[291.080,307.040]	OK THIS MAY BE A TRICKY ONE TO ANSWER SO MOM CAN DEFINITELY HELP US DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS
audio/RES0204.mp3[307.040,329.160]	UM UH HIS GRANDPARENTS HAD UM ASTHMA BUT HES BEEN WORKED UP FOR THAT AND HE DOESNT GET SHORT OF BREATH OR WHEEZING OR ANYTHING LIKE THAT WITH EVEN WITH PHYSICAL ACTIVITY SO YEAH SO HE DOESNT HAVE THAT
audio/RES0204.mp3[329.160,330.480]	AND WHAT ELSE
audio/RES0204.mp3[330.480,332.880]	PARDON ME
audio/RES0204.mp3[332.880,335.560]	I SAID JUST SOME SOME ASTHMA IN THE FAMILY
audio/RES0204.mp3[336.680,343.720]	OK AND SO YOU LIVE YOU LIVE WITH YOUR MOM DO YOU LIVE WITH ANYONE ELSE IN YOUR FAMILY
audio/RES0204.mp3[343.720,349.360]	I HAVE A FOUR YEAR OLD SISTER
audio/RES0204.mp3[349.360,352.400]	OK DO YOU LIVE WITH YOUR DAD TOO
audio/RES0204.mp3[355.160,357.800]	DO YOU GUYS HAVE ANY PETS
audio/RES0204.mp3[357.800,362.720]	UM NO NO PETS
audio/RES0204.mp3[362.720,366.960]	AND DOES ANYONE SMOKE IN THE HOME
audio/RES0204.mp3[366.960,368.120]	NOPE NO
audio/RES0204.mp3[368.120,374.960]	OK AND WHAT DO YOU LIKE TO DO FOR FUN
audio/RES0204.mp3[374.960,380.240]	UM I LIKE PLAYING WITH MY FRIENDS I LIKE PLAYING VIDEO GAMES
audio/RES0204.mp3[380.240,383.000]	OH COOL SO WHATS YOUR FAVORITE GAME
audio/RES0204.mp3[383.000,388.080]	I AM PLAYING ROLLERCOASTER TYCOON
audio/RES0204.mp3[388.080,412.160]	OH COOL THAT SOUNDS LIKE FUN OK WELL HOPEFULLY WE CAN GET YOU BACK TO FEELING HEALTHY SO YOU CAN CONTINUE TO PLAY LOTS OF ROLLER COASTER TYCOON SO I’M GOING TO GO GET THE DOCTOR THAT IM WORKING WITH IM UH IM WONDERING YOU KNOW HE MIGHT WANT TO DO A CHEST X RAY AND GET A BETTER LOOK AT WHATS GOING ON THERE HAVE YOU EVER HAD AN X RAY BEFORE
audio/RES0204.mp3[412.160,414.240]	I DONT THINK SO NO
audio/RES0204.mp3[414.240,416.720]	DO YOU KNOW WHAT AN X RAY IS
audio/RES0204.mp3[416.720,419.040]	A LITTLE BIT YEAH
audio/RES0204.mp3[419.040,446.800]	YEAH ITS LIKE TAKING PICTURE OF YOUR BODY ON THE INSIDE ITS PRETTY COOL SO IT GIVES US AN IDEA OF WHATS GOING ON IN THE INSIDE ALSO THIS REALLY THIS PART IS KIND OF NOT SO MUCH FUN BUT I THINK WE SHOULD PROBABLY DO A COVID SWAB BECAUSE WERE DOING THAT WITH ANYONE THAT COMES IN WITH THESE SYMPTOMS LATELY AND THATS NOT A LOT OF FUN WE GOTTA STICK SOMETHING UP YOUR NOSE BUT I THINK THAT YOURE REALLY BRAVE AND I THINK THAT YOULL BE JUST FINE WITH IT OK
audio/RES0204.mp3[447.840,455.200]	SO WERE GOING TO ARRANGE FOR THESE THINGS AND THEN I WILL COME BACK WITH THE DOCTOR THAT IM WORKING WITH AND WELL KIND OF TALK ABOUT WHERE TO GO FROM HERE
audio/RES0204.mp3[455.200,456.480]	OK THAT SOUNDS GOOD
audio/RES0204.mp3[456.480,459.920]	THANK YOU GUYS FOR CHATTING WITH ME
audio/RES0204.mp3[459.920,461.680]	YEAH THANK YOU
audio/RES0079.mp3[0.000,2.000]	HOW MAY I HELP YOU TODAY
audio/RES0079.mp3[2.000,15.480]	YEAH IVE HAD A FEVER AND A COUGH THAT STARTED JUST LIKE FOUR DAYS AGO
audio/RES0079.mp3[15.480,25.080]	OK WHEN DID YOU WHEN DID YOU START HAVING YOUR SO THE COUGH STARTED FOUR DAYS AGO WHAT ABOUT THE FEVER
audio/RES0079.mp3[25.080,36.040]	I THINK LIKE LAST NIGHT WAS WHEN I CHECKED IT WAS HIGH LIKE OVER THIRTY EIGHT
audio/RES0079.mp3[36.040,44.400]	I SEE OK AND DID YOU CHECK YOUR FEVER BEFORE THAT THE NIGHT BEFORE
audio/RES0079.mp3[44.400,60.360]	YEAH I JUST CHECKED IT LAST NIGHT I FELT HOT PREVIOUSLY BUT I DONT KNOW I THOUGHT I WAS GOING TO JUST GET BETTER BUT THIS MORNING STILL WELL FEELING A BIT A LITTLE BIT WORSE
audio/RES0079.mp3[60.360,69.400]	OK AND THE COUGH THAT STARTED FOUR DAYS AGO HAS IT BEEN A DRY COUGH OR WET COUGH
audio/RES0079.mp3[69.400,71.440]	ITS BEEN DRY
audio/RES0079.mp3[71.440,76.880]	OK SO THERES BEEN NO SPUTUM OR ANY OR BLOOD
audio/RES0079.mp3[76.880,78.680]	NO SPUTUM OR BLOOD
audio/RES0079.mp3[78.680,85.120]	OK HAS IT GOTTEN WORSE OVER THE PAST FOUR DAYS
audio/RES0079.mp3[85.120,91.040]	UH A LITTLE BIT YEAH
audio/RES0079.mp3[91.040,102.480]	AND OTHER THAN THE FEVER AND THE COUGH DO YOU HAVE ANY FATIGUE
audio/RES0079.mp3[102.480,104.800]	UHM YES
audio/RES0079.mp3[104.800,108.440]	WE DO OK ANY MUSCLE ACHES
audio/RES0079.mp3[108.440,110.200]	UH NO
audio/RES0079.mp3[110.200,113.840]	OK SORE THROAT
audio/RES0079.mp3[114.960,118.760]	ANY DIFFICULTIES BREATHING
audio/RES0079.mp3[120.720,123.000]	ANY WHEEZING
audio/RES0079.mp3[128.560,131.640]	ANY CHEST PAIN OR PRESSURE
audio/RES0079.mp3[133.520,139.560]	OK ANY RUNNY NOSE
audio/RES0079.mp3[139.560,143.720]	YEAH MY NOSE HAS BEEN A LITTLE BIT RUNNY
audio/RES0079.mp3[143.720,152.400]	OK THAT STARTED OVER THE PAST FOUR DAYS AS WELL
audio/RES0079.mp3[154.080,158.480]	OK WHAT ABOUT PAIN IN YOUR BELLY
audio/RES0079.mp3[158.480,160.280]	NO PAIN
audio/RES0079.mp3[160.280,168.240]	OK ANY DIARRHEA OR CONSTIPATION
audio/RES0079.mp3[168.240,169.600]	UHM NO
audio/RES0079.mp3[169.600,173.400]	ANY NAUSEA OR VOMITTING
audio/RES0079.mp3[175.000,179.840]	ANY URINARY SYMPTOMS
audio/RES0079.mp3[184.360,190.800]	OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN
audio/RES0079.mp3[192.680,198.040]	ANY CHANGES IN YOUR SENSE OF TASTE OR YOUR SENSE OF SMELL
audio/RES0079.mp3[198.040,206.200]	UH YEAH I HAVENT BEEN ABLE TO SMELL AS WELL
audio/RES0079.mp3[206.200,210.640]	YOU FEEL LIKE YOU HAVE A RUNNY NOSE BUT IS IT SORT OF CONGESTED
audio/RES0079.mp3[210.640,217.920]	NOT REALLY IT  YEAH JUST KIND OF RUNNING AND YEAH I HAVENT BEEN ABLE TO SMELL VERY WELL
audio/RES0079.mp3[217.920,227.240]	OK AND DO YOU HAVE ANY PAST MEDICAL ANY CONDITIONS MEDICAL CONDITIONS
audio/RES0079.mp3[227.240,233.040]	UH DEPRESSION AND ANXIETY
audio/RES0079.mp3[233.040,239.880]	AND HAVE YOU HAD ANY SURGERIES IN THE PAST OR HOSPITALIZATIONS
audio/RES0079.mp3[239.880,243.080]	UHM NO
audio/RES0079.mp3[243.080,253.800]	OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS
audio/RES0079.mp3[253.800,256.000]	I DO TAKE A MULTIVITAMIN
audio/RES0079.mp3[256.000,257.600]	AND UH
audio/RES0079.mp3[257.600,263.520]	SORRY I DO TAKE UM I TAKE UH AN SSRI CITALOPRAM AS WELL
audio/RES0079.mp3[263.520,268.440]	OK THATS GOOD OK ANY ALLERGIES
audio/RES0079.mp3[268.440,270.440]	NO ALLERGIES
audio/RES0079.mp3[270.440,275.760]	OK SPECIFICALLY ALLERGIES TO MEDICATIONS
audio/RES0079.mp3[275.760,278.880]	UHM  YEAH NO NO MEDICATIONS I DONT THINK SO
audio/RES0079.mp3[278.880,286.360]	GOOD OK AND DO YOU CURRENTLY SMOKE OR HAVE YOU EVER SMOKED IN THE PAST
audio/RES0079.mp3[286.360,298.280]	UHM I SMOKED WHEN I WAS IN HIGH SCHOOL VERY BRIEFLY BUT I HAVENT SMOKED ANYTHING IN THE LAST TWENTY YEARS
audio/RES0079.mp3[298.280,302.840]	ALRIGHT DO YOU CONSUME MARIJUANA
audio/RES0079.mp3[302.840,311.400]	UH WELL USE EDIBLES EVERY ONCE IN A WHILE I BUY THEM FROM THE LIKE I GUESS GOVERNMENT STORE OCS
audio/RES0079.mp3[311.400,316.760]	I SEE OK ANY RECREATIONAL DRUGS
audio/RES0079.mp3[318.080,324.560]	OK AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHERS
audio/RES0079.mp3[324.560,332.600]	I LIVE WITH OTHERS I LIVE WITH MY GIRLFRIEND AND A DOG
audio/RES0079.mp3[332.600,341.160]	OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0079.mp3[341.160,358.200]	UH SHE JUST CAME BACK FROM A WORK TRIP IVE BEEN WORKING FROM HOME BUT SHE WAS UHM IN SASKATCHEWAN AND JUST GOT BACK LAST WEEK
audio/RES0079.mp3[358.200,364.720]	OK AND HAS SHE HAD ANY SYMPTOMS
audio/RES0079.mp3[364.720,375.120]	SHES BEEN FATIGUED SINCE COMING BACK BUT I MEAN WE THOUGHT THAT WAS MAYBE JUST FROM THE TRAVELS BUT MAYBE NOT
audio/RES0079.mp3[375.120,379.760]	HAS SHE BEEN QUARANTINING OR ARE YOU BOTH SPENDING TIME TOGETHER
audio/RES0079.mp3[379.760,389.760]	WELL WEVE BEEN I MEAN TRYING TO DISTANCE IN THE HOME BUT I MEAN WEVE BEEN LIVING TOGETHER IN AN APARTMENT SO
audio/RES0079.mp3[389.760,396.120]	FAIR ENOUGH FAIR ENOUGH OK HAVE YOU HAD ANY TRAVELS
audio/RES0079.mp3[396.120,408.280]	NO IVE BEEN WORKING FROM HOME
audio/RES0079.mp3[408.280,412.160]	OK ALRIGHT AND UH ANY YOU DONT HAVE ANY ASTHMA OR COPOR ANY LUNG CONDITIONS RIGHT
audio/RES0079.mp3[412.160,417.040]	RIGHT I DONT HAVE ANYTHING LIKE THAT
audio/RES0079.mp3[417.040,422.920]	OK AND ANY CONDITIONS THAT RUN IN YOUR FAMILY
audio/RES0079.mp3[422.920,427.240]	UHM NO NOTHING THAT RUNS IN THE FAMILY
audio/RES0079.mp3[427.240,451.840]	ALRIGHT OK SO IF I UNDERSTAND CORRECTLY YOUVE BEEN FEELING TIRED AND YOUVE HAD A COUGH AND A RUNNY NOSE AND CHANGES IN YOUR SENSE OF SMELL FOR THE PAST THREE OR FOUR DAYS AND YOU ALSO WERE FEELING A LITTLE BIT HOT AND YESTERDAY YOU NOTICED THAT YOU HAD SPIKED A HIGH FEVER IS THERE ANYTHING THAT IM MISSING
audio/RES0079.mp3[451.840,455.960]	NO I THINK THAT COVERS ALL THE SYMPTOMS
audio/RES0079.mp3[455.960,491.520]	AND YOU MIGHT HAVE POTENTIALLY HAD SOME EXPOSURE THROUGH YOUR GIRLFRIEND POTENTIALLY SO ITS POSSIBLE THAT WELL ITS POSSIBLE THAT YOU JUST HAVE A COLD BUT ITS ALSO  WELL STILL HAVE TO RULE OUT COVID AS A CAUSE AND SO WELL HAVE TO DO A COVID SWAB AND GO FROM THERE AND WELL CHECK YOUR TEMPERATURE HERE AS WELL JUST UH I THINK SOMETHING THAT I FORGOT TO ASK HAVE YOU TAKEN ANY MEDICATIONS THAT HAS HELPED YOU WITH YOUR SYMPTOMS
audio/RES0079.mp3[491.520,496.720]	UH NO I HAVENT TAKEN ANYTHING
audio/RES0079.mp3[496.720,504.680]	OK ALRIGHT WELL THANK YOU ILL GO TALK TO MY ATTENDING AND WELL COME BACK AND DISCUSS THIS FURTHER WITH YOU
audio/RES0079.mp3[504.680,510.000]	THAT SOUNDS GREAT THANK YOU
audio/GAS0001.mp3[0.000,3.520]	WHAT BRINGS YOU IN TODAY
audio/GAS0001.mp3[3.520,20.840]	IVE JUST BEEN FEELING LIKE VERY NAUSEATED FOR IT FEELS LIKE ALL THE TIME RIGHT NOW
audio/GAS0001.mp3[20.840,23.600]	WHEN DID THIS START
audio/GAS0001.mp3[23.600,33.880]	ITS BEEN OVER A WEEK MAYBE NOT QUITE TWO WEEKS BUT LIKE AROUND THEN YEAH MAYBE LIKE 9 DAYS
audio/GAS0001.mp3[33.880,44.760]	AND UM IS IT DO YOU ALWAYS HAVE THE SENSATION OF NAUSEA OR IS IT RELATED OR DOES IT COME AND GO
audio/GAS0001.mp3[44.760,59.200]	OH I THINK ITS LIKE WORSE WHEN I AM SMELLING SOMETHING REALLY BAD AND ITS WORSE IN THE MORNING BUT I FEEL LIKE ITS ALWAYS KIND OF THERE
audio/GAS0001.mp3[59.200,65.360]	I SEE OK UM HAVE YOU HAD ANY VOMITING
audio/GAS0001.mp3[65.360,73.680]	UH YEAH LIKE UM YEAH LIKE A LOT OF DAYS ILL THROW UP LIKE ONCE OR TWICE
audio/GAS0001.mp3[73.680,79.360]	AND THIS HAS ALL BEEN OVER THE PAST WEEK WEEK TWO WEEKS OR SO
audio/GAS0001.mp3[82.000,91.920]	OK UM ANY OTHER SYMPTOMS THAT YOU HAVE
audio/GAS0001.mp3[91.920,111.360]	OH NO JUST WELL LIKE I FEEL LIKE IVE IVE HAD TO PEE A LOT MORE UM BUT I DONT I DONT THINK THATS LIKE RELATED I THINK MAYBE I HAVE JUST BEEN DRINKING A LOT OF WATER SO YEAH
audio/GAS0001.mp3[111.360,116.040]	HOW OFTEN DO YOU HAVE TO PEE
audio/GAS0001.mp3[116.040,123.080]	OH LIKE I FEEL LIKE EVERY COUPLE HOURS RIGHT NOW
audio/GAS0001.mp3[123.080,129.000]	OK SO SAY EVERY TWO HOURS EVERY HOUR EVERY FIVE HOURS
audio/GAS0001.mp3[129.000,137.720]	PROBABLY EVERY PROBABLY EVERY LIKE 2 MAYBE MAYBE EVERY HOUR I GET CERTAIN TIMES IN A DAY
audio/GAS0001.mp3[137.720,142.120]	DO YOU WAKE UP AT NIGHT TO PEE
audio/GAS0001.mp3[142.120,151.360]	OH LIKE IT DOESNT WAKE ME UP BUT ITS LIKE I WAKE UP BECAUSE I HEAR SOMETHING THEN ILL BE LIKE OH I THINK I SHOULD PROBABLY GO TO THE BATHROOM
audio/GAS0001.mp3[151.360,160.800]	YEAH DO YOU FEEL LIKE YOU HAVE CONTROL OVER WHEN YOU ARE GOING TO BATHROOM OR IS IT DIFFICULT FOR YOU TO HOLD IT IN
audio/GAS0001.mp3[160.800,165.240]	OH I I I CAN CONTROL IT ITS JUST LIKE UNCOMFORTABLE RIGHT
audio/GAS0001.mp3[165.240,182.720]	I SEE I SEE SO UM YOU HAVE URINARY FREQUENCY BUT DO YOU DO YOU FEEL LIKE UH SO YOU SAID THAT YOU CAN CONTROL IT YOU DONT YOU DONT FEEL LIKE YOU NEED TO RUN TO THE BATHROOM OR YOULL PEE IN YOUR PANTS
audio/GAS0001.mp3[182.720,184.840]	NO I DONT FEEL LIKE THAT
audio/GAS0001.mp3[184.840,188.320]	OK DO YOU HAVE ANY PAIN WHEN YOURE PEEING
audio/GAS0001.mp3[189.680,200.920]	NO OK ALRIGHT UM DO YOU FEEL LIKE YOUVE BEEN MORE THIRSTY RECENTLY WHY DO YOU FEEL YOUVE BEEN DRINKING MORE MORE WATER
audio/GAS0001.mp3[200.920,220.400]	I THINK I THINK JUST CAUSE LIKE I WAS GETTING I WAS LIKE THROWING UP LIKE SO LIKE I FEEL LIKE I WAS A LITTLE DEHYDRATED
audio/GAS0001.mp3[220.400,235.240]	UM I SEE OK UM HAVE YOU OTHER THAN THE NAUSEA AND VOMITING HAVE YOU HAD ANY OTHER STOMACH RELATED ISSUES ANY BELLY PAIN OR CHANGES IN YOUR BOWEL MOVEMENTS
audio/GAS0001.mp3[235.240,249.720]	AH NO I DONT THINK SO WELL MY STOMACH HAS BEEN LIKE IT FEELS LIKE A LITTLE CRAMPY I THOUGHT THAT MAYBE IT COULD BE MY PERIOD BUT LIKE IM NOT ON MY PERIOD
audio/GAS0001.mp3[249.720,255.720]	WHEN DID YOU LAST HAVE YOUR PERIOD
audio/GAS0001.mp3[255.720,268.760]	OH WELL LET ME THINK UM LIKE SIX WEEKS AGO I GUESS THAT WOULD BE I DONT KNOW I DONT REALLY LIKE KEEP TRACK
audio/GAS0001.mp3[268.760,276.000]	OK OK DO YOU KNOW IF YOU GET YOUR PERIODS REGULARLY OR ARE YOUR PERIODS IRREGULAR
audio/GAS0001.mp3[276.000,282.640]	I THINK THEYRE I THINK THEYRE USUALLY PRETTY REGULAR BUT I DONT I DONT LIKE I DONT
audio/GAS0001.mp3[282.640,286.520]	CALCULATE IT LIKE TO THE DAY
audio/GAS0001.mp3[286.520,298.080]	TRUE YEAH IS IT IS IT NORMAL FOR YOU TO GO SIX WEEKS WITHOUT A PERIOD
audio/GAS0001.mp3[298.080,306.520]	OH COME TO THINK OF IT I DONT I DONT THINK SO
audio/GAS0001.mp3[306.520,323.200]	ALRIGHT UM OK UH HAVE YOU ILL JUST ASK YOU A COUPLE MORE QUESTIONS ABOUT YOUR SYMPTOMS SO I KNOW THAT YOUVE BEEN NAUSEOUS AND HAVE VOMITED A COUPLE OF TIMES IN THE PAST TWO WEEKS AND YOU HAVE HAD SOME CRAMPS IN YOUR BELLY HAVE YOU HAD ANY FLU LIKE SYMPTOMS
audio/GAS0001.mp3[323.840,329.600]	NOTHING LIKE THAT
audio/GAS0001.mp3[329.600,331.800]	I DONT THINK SO
audio/GAS0001.mp3[331.800,335.800]	ANY HEADACHES
audio/GAS0001.mp3[335.800,337.760]	UH NO
audio/GAS0001.mp3[337.760,341.320]	ANY FEVERS
audio/GAS0001.mp3[342.440,345.400]	MUSCLE ACHES
audio/GAS0001.mp3[345.400,347.840]	UH NO
audio/GAS0001.mp3[347.840,355.240]	OK UM HAVE YOU HAVE YOU HAD A COUGH AT ALL
audio/GAS0001.mp3[355.240,356.120]	OH NO
audio/GAS0001.mp3[356.120,364.840]	OK AND HAVE YOU NOTICED ANY BLOOD IN YOUR STOOLS
audio/GAS0001.mp3[365.520,372.520]	HAVE YOU YOU HAVENT HAD ANY PALPITATIONS OR CHEST PAIN OR ANYTHING OF THAT SORT
audio/GAS0001.mp3[373.320,385.200]	ALRIGHT UM CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL ISSUES MEDICAL CONDITIONS THAT YOU HAVE
audio/GAS0001.mp3[385.200,389.520]	UH NOTHING NOTHING REALLY
audio/GAS0001.mp3[389.520,396.240]	OK HAVE YOU UM BEEN TAKING ANY MEDICATIONS
audio/GAS0001.mp3[396.240,409.440]	NO I MEAN IVE BEEN TAKING LIKE LIKE IVE BEEN CHEWING LIKE THOSE GINGER THINGS THAT ARE SUPPOSED TO HELP WITH NAUSEA BUT THEY WERENT REALLY HELPFUL
audio/GAS0001.mp3[409.440,412.600]	I SEE ANY ALLERGIES
audio/GAS0001.mp3[412.600,424.200]	SO JUST LIKE NICKEL LIKE IN JEWELRY IF I WEAR NOT REAL JEWELLERY ITLL GIVE ME A RASH BUT ITS NOT FOOD OR LIKE OR MEDICATIONS OR ANYTHING
audio/GAS0001.mp3[424.200,441.080]	UM AND UH A COUPLE OF QUESTIONS ABOUT YOUR SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH
audio/GAS0001.mp3[441.080,449.400]	UM LIKE I I JUST I LIVE WITH ONE ROOMMATE
audio/GAS0001.mp3[449.400,456.640]	UM AND DO YOU CURRENTLY SMOKE
audio/GAS0001.mp3[458.880,465.920]	ALRIGHT YOU DONT SMOKE OK HAVE YOU DO YOU CONSUME ALCOHOL
audio/GAS0001.mp3[465.920,469.880]	UH NO VERY RARELY BECAUSE I ALWAYS GET A HEADACHE
audio/GAS0001.mp3[469.880,473.720]	OK WHEN WAS THE LAST DRINK THAT YOU HAD
audio/GAS0001.mp3[473.720,477.800]	OH GOSH LIKE LIKE A MONTH AGO PROBABLY
audio/GAS0001.mp3[477.800,483.200]	OK UM AND YOU CONSUME ANY ILLICIT DRUGS
audio/GAS0001.mp3[483.200,483.960]	NO NO
audio/GAS0001.mp3[483.960,489.880]	ALRIGHT ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/GAS0001.mp3[489.880,495.520]	YEAH JUST LIKE WITH MY BOYFRIEND
audio/GAS0001.mp3[495.520,500.040]	AND DO YOU USE PROTECTION WHILE HAVING SEX
audio/GAS0001.mp3[500.040,510.280]	YEAH WE WE JUST USE CONDOMS I USED TO BE ON BIRTH CONTROL BUT IT ALWAYS MADE ME
audio/GAS0001.mp3[510.280,515.480]	FEEL LIKE LIKE KIND OF SICK SO I DONT USE THAT ANYMORE
audio/GAS0001.mp3[515.480,530.200]	MHM I SEE OK UH AND UM LETS SEE FAMILY HISTORY DO YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY
audio/GAS0001.mp3[530.200,543.000]	UH LIKE I DONT I DONT THINK SO I GUESS MY DAD MY DAD HAS LIKE HIGH BLOOD PRESSURE YEAH I DONT THINK THERES ANYTHING ELSE
audio/GAS0001.mp3[543.000,560.480]	ALRIGHT ALRIGHT WELL THANK YOU SO MUCH FOR SPENDING TIME WITH ME TODAY I THINK I HAVE GATHERED ALL THE INFORMATION THAT I WOULD HAVE LIKED I WILL GO TALK TO MY ATTENDING WELL COME BACK AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN SHARE THE PLAN WITH YOU
audio/GAS0001.mp3[560.480,563.520]	OK THANK YOU
audio/GAS0001.mp3[563.520,570.760]	YOURE WELCOME
audio/RES0032.mp3[0.000,2.760]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0032.mp3[2.760,7.640]	YEAH IVE HAD THIS COUGH AND ITS JUST NOT GOING AWAY
audio/RES0032.mp3[7.640,11.720]	OK AND HOW LONG HAVE YOU BEEN HAVING THIS COUGH FOR
audio/RES0032.mp3[11.720,15.480]	I THINK IT STARTED ABOUT A MONTH AGO
audio/RES0032.mp3[15.480,20.680]	OK AND IS IT A DRY COUGH OR IS IT A WET COUGH
audio/RES0032.mp3[20.680,23.640]	I IM BRINGING UP SOME PHLEGM IF THATS WHAT YOU MEAN
audio/RES0032.mp3[23.640,27.160]	YEAH SO YOURE BRINGING UP PHLEGM WHEN YOU COUGH
audio/RES0032.mp3[28.880,31.800]	AND IS IT WHAT COLOR IS IT
audio/RES0032.mp3[31.800,37.080]	I IT LOOKS PRETTY DARK AND AND SOMETIMES RED
audio/RES0032.mp3[37.080,41.280]	OK SO DO YOU THINK THERES BLOOD IN YOUR PHLEGM
audio/RES0032.mp3[41.280,49.320]	YEAH THE DARK IT DOES KIND OF LOOK LIKE BLOOD SO THATS WHAT SCARED ME AND WANTED ME TO COME IN TODAY
audio/RES0032.mp3[49.320,58.680]	OK AND HOW MUCH PHLEGM WOULD YOU SAY YOURE PUTTING OUT LIKE PER EVERY TIME YOU COUGH
audio/RES0032.mp3[58.680,69.000]	ID SAY EVERY TIME I COUGH IM BRINGING UP AT LEAST A TEASPOON OF OF THE DARK SPUTUM
audio/RES0032.mp3[69.000,78.760]	OK AND SO THIS STARTED FOUR WEEKS AGO IT HAS IT BEEN A CONSTANT LIKE YOUVE BEEN CONSTANTLY COUGHING OR DOES IT COME AND GO
audio/RES0032.mp3[78.760,86.480]	I IT ITS THERE PRETTY MUCH ALL THE TIME BUT ESPECIALLY BAD IN THE MORNING
audio/RES0032.mp3[86.480,97.320]	OK AND DO YOU REMEMBER IF ANYTHING CHANGED OR YOU DID SOMETHING DIFFERENTLY OR ANYTHING THAT HAPPENED BEFORE YOU STARTED HAVING THIS COUGH
audio/RES0032.mp3[97.320,111.120]	UH I HAD A COLD A FEW WEEKS BACK BUT IT WAS JUST A RUNNY NOSE AND IT SEEMS THAT THE COUGH HAS BEEN KIND OF LINGERING AROUND
audio/RES0032.mp3[111.120,115.560]	OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL
audio/RES0032.mp3[115.560,119.840]	YEAH THE COUGH HAS BEEN GETTING WORSE
audio/RES0032.mp3[119.840,123.680]	AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS
audio/RES0032.mp3[123.680,137.160]	I IVE HAD A SMOKERS COUGH NOW FOR SEVERAL FOR SEVERAL YEARS BUT ITS REALLY JUST THIS PAST MONTH THAT THAT ITS GOTTEN REALLY BAD AND I HAVE IT ALL DAY LONG
audio/RES0032.mp3[137.160,143.360]	OK AND UH ARE YOU COUGHING EVERY DAY OR EVERY OTHER DAY LIKE HOW OFTEN WOULD YOU SAY YOURE COUGHING
audio/RES0032.mp3[143.360,144.480]	UH DAILY
audio/RES0032.mp3[144.480,150.680]	DAILY OK IS THERE ANYTHING THAT MAKES YOUR COUGH GO AWAY OR GET WORSE
audio/RES0032.mp3[150.680,155.600]	UH NOTHING THAT SEEMS TO REALLY MAKE IT ANY WORSE OR BETTER
audio/RES0032.mp3[155.600,165.720]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR RUNNY NOSE SORE THROAT ANYTHING LIKE THAT
audio/RES0032.mp3[165.720,170.200]	UH NOTHING I CAN THINK OF JUST JUST THIS COUGH THATS BEEN BUGGING ME
audio/RES0032.mp3[170.200,176.640]	OK AND HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY
audio/RES0032.mp3[176.640,183.080]	YES IVE BEEN WORKING IN THE PHILIPPINES FOR THE LAST THREE YEARS
audio/RES0032.mp3[183.080,189.240]	AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS OR NIGHT SWEATS
audio/RES0032.mp3[189.240,197.320]	I FELT LIKE UH A LITTLE BIT HOT I MIGHT HAVE A FEVER NOW SO YES NO CHILLS THOUGH
audio/RES0032.mp3[197.320,200.840]	HOW ABOUT NIGHT SWEATS
audio/RES0032.mp3[200.840,213.520]	I HAVE BEEN SWEATING MORE AT NIGHT TOO YEAH I HAVE TO GET UP AND  CHANGE MY PAJAMAS SOMETIMES
audio/RES0032.mp3[213.520,215.880]	OK AND HOW OFTEN HAS THIS BEEN HAPPENING
audio/RES0032.mp3[215.880,224.480]	UM IM CHANGING MY PAJAMAS AND ITS SOMETIMES THE SHEETS UH MAYBE A COUPLE OF TIMES PER WEEK
audio/RES0032.mp3[224.480,229.840]	OK AND HAVE YOU BEEN FEELING MORE MORE TIRED MORE FATIGUED AT ALL RECENTLY
audio/RES0032.mp3[229.840,237.040]	YEAH MY ENERGY HAS JUST BEEN REALLY DOWN IVE BEEN REALLY FATIGUED
audio/RES0032.mp3[237.040,243.360]	AND DO YOU FIND THAT YOU EVER HAVE ANY CHEST PAIN OR SHORTNESS OF BREATH
audio/RES0032.mp3[243.360,251.440]	I SOMETIMES I DO HAVE SOME PAIN OVER ON THE RIGHT SIDE OF MY CHEST
audio/RES0032.mp3[251.440,258.560]	IS THIS PAIN WHAT KIND OF PAIN IS IT
audio/RES0032.mp3[258.560,271.240]	ID SAY ITS KIND OF LIKE A UH ITS A STABBING KIND OF UH UH PAIN AND I ONLY REALLY NOTICE IT WHEN I TAKE A DEEP BREATH
audio/RES0032.mp3[271.240,280.400]	OK AND HOW ABOUT SHORTNESS OF BREATH HAVE YOU BEEN EXPERIENCING ANYTHING LIKE THAT
audio/RES0032.mp3[280.400,287.800]	I ONLY REALLY GET SHORT OF BREATH WHEN IM GOING FOR A HIKE OR UP TO MY 4TH FLOOR APARTMENT
audio/RES0032.mp3[287.800,291.560]	ANY CHANGES IN YOUR SKIN THAT YOUVE NOTICED LIKE ANY RASHES AT ALL
audio/RES0032.mp3[291.560,294.760]	NO RASHES
audio/RES0032.mp3[294.760,298.880]	AND HOW ABOUT YOUR SLEEP HAVE YOU BEEN GETTING ENOUGH SLEEP ON A DAILY BASIS
audio/RES0032.mp3[298.880,308.440]	UH JUST THE UH SWEATING AT NIGHT HAS BEEN ANNOYING BECAUSE IT WAKES ME UP SOMETIMES BUT OTHER THAN THAT SLEEP HAS BEEN OK
audio/RES0032.mp3[308.440,310.920]	OK AND HOW ABOUT YOUR APPETITE
audio/RES0032.mp3[310.920,315.640]	I FEEL LIKE IVE BEEN EATING OK REGULAR DIET
audio/RES0032.mp3[315.640,320.360]	AND HAVE YOU HAD ANY SIGNIFICANT WEIGHT CHANGES RECENTLY
audio/RES0032.mp3[320.360,334.600]	UH YEAH IM DOWN LIKE 15 POUNDS OVER THE LAST FEW MONTHS AND I HAVENT REALLY MADE ANY CHANGES TO MY DIET OR EXERCISE SO I HAVENT REALLY BEEN TRYING
audio/RES0032.mp3[334.600,337.320]	OK UM ANY RECENT INFECTIONS AT ALL
audio/RES0032.mp3[337.320,345.800]	JUST THE COLD THAT I WAS TALKING ABOUT IT A FEW WEEKS AGO AND THATS WHERE THE RUNNY NOSE KINDA WENT AWAY
audio/RES0032.mp3[345.800,357.560]	OK UM AND HAVE YOU AT ALL EITHER HERE OR WHEN YOU WERE WORKING IN THE PHILIPPINES HAVE BEEN EXPOSED TO SOMEONE WITH TUBERCULOSIS
audio/RES0032.mp3[357.560,368.800]	I BELIEVE SOME OF THE UH PEOPLE I WAS HELPING OVER THERE DID IN FACT HAVE TUBERCULOSIS
audio/RES0032.mp3[368.800,373.960]	OK AND HAVE YOU HAD A TB SKIN TEST DONE AT ALL
audio/RES0032.mp3[373.960,384.280]	IVE HAD ONE IN THE PAST BUT I CANT REALLY REMEMBER THE LAST TIME AND IT WAS NORMAL THOUGH WHEN WHEN I HAD IT A FEW YEARS AGO
audio/RES0032.mp3[384.280,387.600]	OK BUT NOTHING SINCE YOUVE BEEN BACK AT ALL
audio/RES0032.mp3[387.600,391.920]	NO THE LAST TEST MUST BE AT LEAST A FEW YEARS AGO
audio/RES0032.mp3[391.920,400.640]	OK AND IN TERMS OF JUST IN YOUR ENVIRONMENT AT WORK AND AT HOME ARE YOU EXPOSED TO ANY MOLD OR ANY PETS
audio/RES0032.mp3[400.640,406.680]	NO PETS AT HOME AND UH I DONT THINK THERES ANY MOLD IN THE HOME EITHER
audio/RES0032.mp3[406.680,415.400]	DO YOU NOTICE ANY KIND OF TINGLING OR NUMBNESS IN YOUR LIMBS OR ANY MUSCULAR WEAKNESS
audio/RES0032.mp3[415.400,425.160]	I I I MEAN IM REALLY TIRED ALL THE TIME AND KIND OF FEEL WEAK THAT WAY BUT NO MUSCULAR WEAKNESS
audio/RES0032.mp3[425.160,435.800]	AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING ELSE
audio/RES0032.mp3[435.800,441.280]	UH JUST A CHRONIC BRONCHITIS WITH A SMOKERS COUGH
audio/RES0032.mp3[441.280,444.920]	OK AND DO YOU TAKE ANY MEDICATIONS
audio/RES0032.mp3[444.920,462.760]	YEAH I TAKE UH A BETA AGONIST INHALER AN INHALED CORTICOSTEROID AND ANOTHER TYPE OF ANTI MUSCARINIC INHALER
audio/RES0032.mp3[462.760,466.240]	OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0032.mp3[466.240,468.440]	NO ALLERGIES
audio/RES0032.mp3[468.440,473.480]	ANY ALLERGIES AT ALL TO ANY ENVIRONMENTAL EXPOSURES
audio/RES0032.mp3[473.480,476.520]	I DONT THINK SO NO
audio/RES0032.mp3[476.520,478.240]	ANY HOSPITALIZATION IN THE PAST
audio/RES0032.mp3[481.040,483.200]	AND ANY SURGERIES IN THE PAST
audio/RES0032.mp3[483.200,485.840]	NO SURGERIES
audio/RES0032.mp3[485.840,496.160]	AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO IS ILL I KNOW YOU MENTIONED IN THE PHILIPPINES YOU WERE EXPOSED TO SOME PEOPLE WITH TB BUT ANYTHING SINCE THEN
audio/RES0032.mp3[496.160,504.760]	NOT THAT I CAN THINK EVERYBODYS BEEN HEALTHY
audio/RES0032.mp3[504.760,515.120]	OK AND AND IN YOUR FAMILY HAS THERE BEEN ANY HISTORY OF ANY CANCERS OR HEART ATTACKS ANY ANY MEDICAL CONDITIONS
audio/RES0032.mp3[515.120,525.200]	NO HEART ATTACKS BUT UH MY FATHER DIED OF LUNG CANCER WHEN HE WAS 67
audio/RES0032.mp3[525.200,532.560]	AND CURRENTLY DO YOU LIVE IN AN APARTMENT BUILDING IS THERE ANYONE YOU LIVE WITH
audio/RES0032.mp3[532.560,538.880]	YEAH I LIVE WITH MY GIRLFRIEND IN AN APARTMENT
audio/RES0032.mp3[538.880,541.640]	OK AND DO YOU WORK CURRENTLY
audio/RES0032.mp3[541.640,551.480]	YEAH IVE BEEN DOING SOME HOUSING WORK IN THE PHILIPPINES THE LAST SEVEN SEVERAL YEARS
audio/RES0032.mp3[551.480,554.120]	OK AND DO YOU CURRENTLY DRINK
audio/RES0032.mp3[554.120,557.560]	UH NO I DONT DRINK ALCOHOL
audio/RES0032.mp3[557.560,559.640]	ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0032.mp3[562.600,565.640]	UH ANY AND YOU SMOKE CIGARETTES AT ALL
audio/RES0032.mp3[565.640,581.320]	YES I I DO SMOKE CIGARETTES I IVE SMOKED MOST OF MY LIFE SIMILAR TO MY MY FATHER PROBABLY 1 TO 2 PACKS PER DAY
audio/RES0106.mp3[0.000,1.560]	WHAT BRINGS YOU IN
audio/RES0106.mp3[1.560,10.480]	IVE HAD IVE HAD THIS COUGH FOR THE PAST TWO WEEKS I WAS JUST WORRIED ABOUT IT
audio/RES0106.mp3[10.480,20.280]	OK PAST TWO WEEKS HAVE IS IT A DRY COUGH OR IS IT ARE YOU BRINGING UP PHLEGM
audio/RES0106.mp3[20.280,29.040]	IM ITS MOSTLY DRY BUT JUST SOMETIMES THERES LIKE A LITTLE BIT I GUESS YEAH THE FLAT LITTLE BIT OF PHLEGM
audio/RES0106.mp3[29.040,31.160]	OK WHAT COLOUR IS THE PHLEGM
audio/RES0106.mp3[31.160,35.160]	ITS LIKE WHITISH SOMETIMES ITS CLEAR
audio/RES0106.mp3[35.160,38.920]	OK IS IT EVER GREEN OR BLOODY
audio/RES0106.mp3[39.720,42.840]	NO OK DO YOU HAVE ANY SHORTNESS OF BREATH
audio/RES0106.mp3[44.000,47.080]	ANY WHEEZING
audio/RES0106.mp3[47.080,48.720]	SOMETIMES YEAH
audio/RES0106.mp3[48.720,53.960]	SOMETIMES OK WITH THE COUGH OR OUTSIDE THE COUGH AS WELL
audio/RES0106.mp3[53.960,55.280]	WITH THE COUGH
audio/RES0106.mp3[55.280,58.880]	ANY CHEST PAIN
audio/RES0106.mp3[58.880,70.640]	UM NO NOT INITIALLY BUT LIKE SINCE THE PAST FEW DAYS ESPECIALLY AFTER IVE LIKE COUGHED A LOT IT JUST KIND OF HURTS ME A LITTLE BIT
audio/RES0106.mp3[70.640,75.640]	OK OK ANY DO YOU EVER FEEL SO IT JUST HURTS AFTER COUGHING
audio/RES0106.mp3[75.920,81.400]	SO IS IT KIND OF LIKE A SHARP PAIN OR LIKE A DULL ACHY PAIN
audio/RES0106.mp3[81.400,87.240]	I DONT KNOW IT JUST FEELS LIKE LIKE MY MUSCLES ARE HURTING LIKE IM JUST LIKE COUGHING SO MUCH ITS JUST
audio/RES0106.mp3[88.560,92.280]	DULL PAIN IN THE MIDDLE OF MY CHEST THEN IT GOES AWAY
audio/RES0106.mp3[92.280,97.040]	OK OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0106.mp3[97.040,97.640]	NO NO
audio/RES0106.mp3[97.640,103.120]	OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LEGS ARMS OR ABDOMEN
audio/RES0106.mp3[104.440,107.600]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0106.mp3[108.720,111.520]	NO OK ANY HEADACHES
audio/RES0106.mp3[111.680,115.240]	CONFUSION OR MEMORY LOSS
audio/RES0106.mp3[115.800,118.280]	HAVE YOU NOTICED ANY FEVERS
audio/RES0106.mp3[119.360,122.200]	ANY WEIGHT LOSS
audio/RES0106.mp3[122.840,128.200]	NO EXCESSIVE FATIGUE OR TIREDNESS
audio/RES0106.mp3[128.200,135.840]	UH NO NOT REALLY IVE HAVENT BEEN FATIGUED I THINK IM IM FINE AND FEEL NORMAL OTHER THAN THE COUGH OF COURSE
audio/RES0106.mp3[135.840,138.760]	OK SURE ANY RASHES
audio/RES0106.mp3[140.440,143.880]	HOW ABOUT CHANGES IN YOUR VISION OR HEARING
audio/RES0106.mp3[143.880,145.360]	NO NO CONCERNS THERE
audio/RES0106.mp3[145.360,149.760]	HAVE YOU HAD A STUFFY NOSE OR RUNNY NOSE
audio/RES0106.mp3[150.880,153.160]	NO A SORE THROAT
audio/RES0106.mp3[153.160,155.440]	UHM NO
audio/RES0106.mp3[155.440,158.120]	OK CHANGES TO YOUR SMELL OR TASTE
audio/RES0106.mp3[159.880,163.640]	NO HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL
audio/RES0106.mp3[164.320,166.440]	YEAH HOW ABOUT URINE
audio/RES0106.mp3[166.440,169.320]	YEP THEYVE BEEN NO CONCERNS
audio/RES0106.mp3[169.320,171.920]	ANY NAUSEA OR VOMITING
audio/RES0106.mp3[171.920,173.440]	UHM NO
audio/RES0106.mp3[173.440,179.200]	NO OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0106.mp3[179.200,197.320]	I KIND OF HAD THIS ABOUT I DONT KNOW THREE OR FOUR YEARS AGO I JUST HAD THIS COUGH BUT THEN IT KIND OF WENT AWAY ON ITS OWN IN ABOUT A WEEK BUT NOW ITS BEEN LIKE 2 WEEKS SO I DONT KNOW WHATS HAPPENING IF ITS SOMETHING I JUST WANT TO MAKE SURE ITS NOTHING SERIOUS
audio/RES0106.mp3[197.320,204.040]	YEAH FOR SURE WHEN YOU HAD THIS IN THE PAST WERE YOU EVER DONE GIVEN A DIAGNOSIS
audio/RES0106.mp3[204.040,210.080]	NO I DIDNT GO TO SEE A DOCTOR I JUST KIND OF STAY AT HOME
audio/RES0106.mp3[210.960,215.280]	I THOUGHT IT WAS JUST LIKE A MILD INFECTION OR SOMETHING
audio/RES0106.mp3[215.280,220.720]	MHMM HAVE YOU TRIED ANYTHING FOR THE COUGH THIS TIME AROUND
audio/RES0106.mp3[220.720,226.400]	I HAD SOME LIKE LOZENGES AND I HAVENT AND THOSE HAVE BEEN HELPING ME
audio/RES0106.mp3[227.640,238.000]	OK GOOD IF YOU WERE TO DESCRIBE YOUR COUGH IS IT BARKY HARSH MUFFLED LIKE WHAT WHAT WOULD YOU SAY THE SOUND OF IT IS
audio/RES0106.mp3[238.000,254.920]	UHM I DONT KNOW ITS KIND OF LIKE LIKE A NORMAL COUGH YOU KNOW LIKE WHEN YOURE CLEARING YOUR THROAT OR SOMETHING OR WHEN YOURE LIKE WHEN SOMETHING GETS STUCK IN YOUR THROAT JUST LIKE LIKE A NORMAL COUGH I DONT THINK ITS BARKY
audio/RES0106.mp3[254.920,262.440]	OK OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0106.mp3[262.440,265.720]	NO I DONT I DONT
audio/RES0106.mp3[265.720,270.920]	NO OK HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0106.mp3[270.920,274.080]	I HAVE MY WISDOM TEETH REMOVED
audio/RES0106.mp3[274.080,276.160]	OK WHEN WAS THAT
audio/RES0106.mp3[276.160,284.280]	ABOUT 89 YEARS AGO WHEN I WAS 17 YEARS OF 16 YEARS OLD AH 17 YEARS OLD
audio/RES0106.mp3[284.280,289.000]	OK OK AND ARE YOU ON ANY MEDICATIONS
audio/RES0106.mp3[289.000,292.720]	IM JUST TAKING THIS BIRTH CONTROL PILL
audio/RES0106.mp3[292.720,296.840]	OK WHICH ONE
audio/RES0106.mp3[296.840,303.640]	UHM YEAH ITS CALLED UHM I FORGET THE NAME
audio/RES0106.mp3[303.640,308.320]	AH NO WORRIES AND WHEN DID YOU START IT
audio/RES0106.mp3[308.320,309.600]	I STARTED THREE YEARS AGO
audio/RES0106.mp3[309.600,315.800]	THREE YEARS AGO OK AND NO SIDE EFFECTS NO ISSUES WITH IT
audio/RES0106.mp3[315.800,318.280]	NO NO ITS ALL GOOD
audio/RES0106.mp3[318.280,321.200]	AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0106.mp3[321.200,324.040]	UH YEAH I THINK SO
audio/RES0106.mp3[324.040,327.760]	OK DID YOU GET THE FLU SHOT THIS YEAR
audio/RES0106.mp3[327.760,330.760]	NO I DIDNT
audio/RES0106.mp3[330.760,352.000]	NO OK YEAH WE RECOMMEND GETTING IT OUT ONCE A YEAR JUST YEAH FOR YOUR SAFETY AND FOR EVERYONE ELSES AND EVEN IF YOU GET THE FLU MAYBE YOUR SYMPTOMS WONT BE AS SEVERE AND THEN DO YOU HAVE ANY ALLERGIES
audio/RES0106.mp3[352.000,355.720]	UH I DONT NO
audio/RES0106.mp3[355.720,361.280]	NO OK ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0106.mp3[361.280,365.600]	UHM MY MOM HAS DIABETES
audio/RES0106.mp3[367.120,372.160]	AND MY DAD HAS HIGH BLOOD PRESSURE
audio/RES0106.mp3[372.160,375.880]	OK UHM AND THEN ANY CANCERS IN THE FAMILY
audio/RES0106.mp3[378.480,389.880]	NO OK AND HAVE YOU BEEN IN CONTACT WITH ANY ANY SICK PEOPLE RECENTLY
audio/RES0106.mp3[389.880,393.280]	NO IVE JUST BEEN STAYING AT HOME
audio/RES0106.mp3[393.280,397.640]	OK UHM ANY TRAVEL RECENTLY
audio/RES0106.mp3[398.000,404.880]	NO OK HOW ABOUT UMM SMOKING DO YOU SMOKE
audio/RES0106.mp3[404.880,406.200]	UHM ONCE IN AWHILE
audio/RES0106.mp3[406.200,410.400]	OK WHATS ONCE IN AWHILE
audio/RES0106.mp3[410.400,419.280]	MAYBE WHEN IM OUT WITH MY FRIENDS I MIGHT SOMETIMES HAVE A CIGARETTE OR TWO I USED TO SMOKE A LOT MORE BUT IM TRYING TO CUT IT DOWN
audio/RES0106.mp3[419.280,422.520]	OK HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0106.mp3[422.520,428.120]	I STARTED SMOKING IN HIGH SCHOOL SO WHEN I WAS 18 YEARS OLD
audio/RES0106.mp3[429.560,450.440]	AND AT THAT TIME I WOULD HAVE ABOUT 6 CIGARETTES A DAY BUT THEN I LIKE I I KNEW THAT SMOKING WASNT GOOD FOR ME SO IM TRYING TO CUT IT DOWN BUT MY FRIENDS STILL SMOKE SO SOMETIMES WHEN I GO OUT WITH THEM ILL JUST HAVE A CIGARETTE OR TWO MAYBE LIKE ONCE A MONTH I WOULD SAY
audio/RES0106.mp3[450.440,459.680]	ONCE A MONTH OK OK AND THEN ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE OR ANYTHING LIKE THAT
audio/RES0106.mp3[459.680,466.240]	I TRIED A FEW IN HIGH SCHOOL BUT NOT SINCE THEN I HAD YEAH I HAD COCAINE ONCE
audio/RES0106.mp3[466.240,470.920]	OK AND DO YOU DRINK ALCOHOL
audio/RES0106.mp3[470.920,475.000]	YEAH I HAVE A GLASS AT NIGHT
audio/RES0106.mp3[475.000,479.160]	OK GLASS OF WINE OR BEER
audio/RES0106.mp3[479.160,481.880]	GLASS OF WINE
audio/RES0106.mp3[481.880,484.840]	AND AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0106.mp3[484.840,494.600]	UH I LIVE I LIVE IN AN APARTMENT WITH MY BOYFRIEND ABOUT 20 MINUTES FROM HERE
audio/RES0106.mp3[494.600,504.280]	OK ANY OLD CARPETS AT HOME DUST MOLD ASBESTOS ANYTHING THAT WOULD BE TRIGGERING YOUR COUGH
audio/RES0106.mp3[504.280,513.400]	I DONT KNOW I HAVE NOT REALLY HAD A PROBLEM BUT BEEN HERE AT THIS PLACE FOR ABOUT A YEAR AND A HALF
audio/RES0106.mp3[514.040,520.040]	IT IS AN OLD BUILDING BUT ITS BEEN OK SO FAR NO RECENT CHANGES
audio/RES0106.mp3[520.040,527.000]	OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0106.mp3[527.000,534.240]	NO I WAS JUST WORRIED THIS COUGH ISNT ISNT SERIOUS RIGHT YOU DONT THINK I HAVE COVID
audio/RES0106.mp3[534.240,602.440]	SO BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WERE GOING TO GET A SWAB ON YOU DONE AND YOU SHOULD GET THOSE RESULTS IN ABOUT 24 TO 48 HOURS AND IF ITS POSITIVE PUBLIC HEALTH WILL BE IN TOUCH UMM TO DO SOME CONTACT TRACING IN THE MEANTIME BECAUSE YOU HAVE A COUGH IT IS RECOMMENDED THAT YOU ISOLATE FOR 14 DAYS AND IF ITS NOT COVID BUT ITS PROBABLY SOMETHING LIKE ACUTE BRONCHITIS OR SOME OTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO FOR THAT WE CAN YOU CAN JUST TREAT IT WITH LIKE SUPPORTIVE TREATMENTS YOU KNOW LIKE STAYING HYDRATED UHM GOOD NUTRITION GOOD SLEEP AND JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR REALLY SEVERE LIKE YOURE HAVING NEUROLOGICAL SYMPTOMS AND JUST SEEK HELP FROM THE ER
audio/RES0106.mp3[602.440,605.240]	FOR SURE THANK YOU
audio/RES0106.mp3[605.240,608.000]	YEAH TAKE CARE
audio/RES0101.mp3[0.000,2.480]	HOW MAY I HELP YOU
audio/RES0101.mp3[2.480,33.760]	HI SO YEAH I IM REALLY WORRIED I STARTED COUGHING UP BLOOD THIS MORNING AND FOR THE LAST TWO DAYS IVE BEEN HAVING SOME LIKE ON MY RIGHT CALF JUST A LOT OF SWELLING AND TENDERNESS UHM I JUST ACTUALLY GOT OUT OF THE HOSPITAL JUST LAST WEEK I HAD A KNEE REPLACEMENT SURGERY ON MY RIGHT LEG SO YEAH I WAS JUST REALLY CONCERNED ABOUT THIS BLOOD THAT IM COUGHING UP
audio/RES0101.mp3[33.760,44.440]	YEAH CERTAINLY SO WHEN SO YOU HAD A KNEE SURGERY LAST WEEK WERE YOU LIKE IMMOBILIZED AFTERWARDS FOR PERIODS OF TIME
audio/RES0101.mp3[44.440,60.320]	PYEAH IVE BEEN JUST TAKING SOME REST NOT REALLY DOING TOO MUCH AND EVEN IN THE HOSPITAL LIKE I WAS THERE FOR A DAY AND WAS PRETTY IMMOBILIZED
audio/RES0101.mp3[60.320,69.560]	OK AND HAVE YOU HAD ANY PAIN IN YOUR CALF AND IF SO WHICH WHICH ONE
audio/RES0101.mp3[69.560,79.240]	ITS JUST THE RIGHT CALF AND ITS ITS PRETTY SWOLLEN RIGHT NOW AND I WAS HAVING A LOT OF PAIN OVER IT FOR THE LAST TWO DAYS
audio/RES0101.mp3[79.240,89.360]	OK IS IT CAN YOU FEEL THE PAIN AT REST OR OR IS IT WITH UH LIKE WITH MOVEMENT OR IF YOU PRESS ON IT
audio/RES0101.mp3[89.360,112.760]	ITS YEAH ITS PRETTY TENDER WHEN I PRESS ON IT I HAVENT REALLY BEEN MOVING AROUND AND ITS STILL LIKE PAINFUL RIGHT NOW BUT IT DOESNT REALLY HURT WHEN IM LIKE LIKE IVE BEEN TRYING TO KEEP MYSELF RESTED JUST BECAUSE OF THE SURGERY BUT WHEN I PRESS ON IT IT IS PRETTY TENDER
audio/RES0101.mp3[112.760,125.160]	OK AND IS THE IS THE SWELLING IN KIND OF ONE SPOT OF YOUR LEG OR IS IT MOST OF THE OF THE LEG
audio/RES0101.mp3[125.160,131.400]	ITS JUST THE CALF I WOULD SAY MORE LIKE JUST THE LOWER LEG AREA
audio/RES0101.mp3[131.400,140.560]	OK HAVE YOU NOTICED ANY SKIN CHANGES LIKE REDNESS OR OR OR TEMPERATURE LIKE IT FEELS HOT TO TOUCH
audio/RES0101.mp3[140.560,144.720]	MAYBE A LITTLE BIT I HAVENT REALLY NOTICED IT TOO MUCH
audio/RES0101.mp3[144.720,155.800]	OK AND DO YOU HAVE A HISTORY OF LIKE VARICOSE VEINS OR ANYTHING LIKE THAT
audio/RES0101.mp3[155.800,159.240]	NO NOTHING LIKE THAT
audio/RES0101.mp3[159.240,166.920]	OK SO UHM WHEN DID THE COUGHING UP BLOOD START
audio/RES0101.mp3[166.920,175.360]	JUST THIS MORNING ACTUALLY SO JUST UH LIKE I WOULD SAY A COUPLE HOURS AGO
audio/RES0101.mp3[175.360,179.160]	OK AND HOW MUCH BLOOD ARE YOU COUGHING UP
audio/RES0101.mp3[179.160,198.440]	JUST SOME ON LIKE I JUST NOTICE ON THE TISSUE LIKE JUST SOME SPOTS THAT I NOTICED EVERY TIME THAT IM LIKE I WOULD HAVE TO COUGH IT UP MAYBE LIKE IN THE LAST COUPLE HOURS IVE HAD THREE EPISODES OF THAT WHERE IVE NOTICED BLOOD ON THE TISSUE
audio/RES0101.mp3[198.440,202.760]	I SEE AND DID YOU EVER COUGH PRIOR TO THIS
audio/RES0101.mp3[202.760,208.280]	NO NOT REALLY
audio/RES0101.mp3[208.280,221.080]	OK UHM AND HAVE YOU BEEN EXPERIENCING ANY INFECTIOUS SYMPTOMS LIKE RED OR RUNNY EYES RUNNY NOSE SORE THROAT
audio/RES0101.mp3[221.080,224.200]	NO NOTHING LIKE THAT
audio/RES0101.mp3[224.200,234.160]	HAVE YOU BEEN HAVING ANY CHEST PAIN OR OR SHORTNESS OF BREATH
audio/RES0101.mp3[234.160,248.680]	NO CHEST PAIN BUT I DO FEEL LIKE I DO HAVE TO TAKE LIKE A DEEPER BREATH LIKE IVE JUST BEEN FEELING IT THIS MORNING A LITTLE BIT ITS JUST KIND OF A BIT OF UNEASY BREATHING
audio/RES0101.mp3[248.680,258.880]	OK SO IT HAS BEEN MORE DIFFICULT TO BREATHE AND IS THAT IS THAT AT REST AS WELL DO YOU FEEL THAT KIND OF SENSATION
audio/RES0101.mp3[258.880,266.080]	YEAH EVEN RIGHT NOW JUST A LITTLE BIT LIKE ITS ITS NOT ANYTHING THAT IM TOO WORRIED ABOUT BUT IT IS THERE
audio/RES0101.mp3[266.080,271.200]	OK DO YOU HAVE ANY PAIN IF YOU HAVE IF IF YOU TAKE A DEEP BREATH IN
audio/RES0101.mp3[271.200,276.920]	UH NO I DONT NO I DONT REALLY HAVE ANY PAIN
audio/RES0101.mp3[276.920,283.960]	OK AND DO YOU FEEL LIKE YOUR YOUR HEARTS RACING OR BEATING REALLY FAST
audio/RES0101.mp3[283.960,295.120]	I I DO FEEL LIKE MY HEART IS BEATING LIKE FASTER ESPECIALLY TODAY BUT YEAH I DONT KNOW
audio/RES0101.mp3[295.120,300.800]	ALRIGHT AND HOW ABOUT YOUR BREATHING DO YOU FEEL LIKE YOURE BREATHING FASTER
audio/RES0101.mp3[300.800,308.080]	NO BREATHING I FEEL LIKE ITS AROUND THE SAME
audio/RES0101.mp3[308.080,313.760]	OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS OR OR FEELING LIKE YOURE GOING TO PASS OUT
audio/RES0101.mp3[316.040,321.800]	OK AND HAVE YOU HAD ANY ANY WHEEZING
audio/RES0101.mp3[321.800,323.520]	NO WHEEZING
audio/RES0101.mp3[323.520,327.920]	ALRIGHT UH HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0101.mp3[327.920,330.520]	UH NO NO ABDOMINAL PAIN
audio/RES0101.mp3[330.520,332.800]	ANY NAUSEA OR VOMITING
audio/RES0101.mp3[334.040,337.000]	HAVE YOU HAD ANY DIARRHEA
audio/RES0101.mp3[337.000,338.480]	NO DIARRHEA NO
audio/RES0101.mp3[338.480,343.080]	HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/RES0101.mp3[344.520,348.560]	HAVE YOU HAD ANY SKIN CHANGES OR OR RASHES
audio/RES0101.mp3[348.560,351.240]	UH NO
audio/RES0101.mp3[351.240,358.280]	OK AND HOW ABOUT ANY OTHER LIKE JOINT PAINS MUSCLE ACHES
audio/RES0101.mp3[358.280,361.680]	NO NOTHING LIKE THAT
audio/RES0101.mp3[361.680,367.800]	ALRIGHT HAVE YOU EVER HAD A A DVT BEFORE
audio/RES0101.mp3[367.800,371.720]	NO IVE NEVER HAD ANYTHING LIKE THAT
audio/RES0101.mp3[371.720,378.640]	OK OR YEAH LIKE A DEEP VEIN THROMBOSIS OR HAVE YOU HAD A PULMONARY EMBOLISM BEFORE
audio/RES0101.mp3[378.640,383.400]	NO IVE NEVER HAD ANYTHING LIKE THAT BEFORE
audio/RES0101.mp3[383.400,387.520]	OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0101.mp3[387.520,400.640]	I DO HAVE UH SO WITH MY WITH MY KNEE AND THEN I DO HAVE HIGH BLOOD PRESSURE UH I HAVE DIABETES
audio/RES0101.mp3[400.640,403.680]	OK THEN WAS IT A KNEE REPLACEMENT YOU HAD DONE
audio/RES0101.mp3[405.560,411.520]	OK AND DO YOU TAKE ANY MEDICATIONS FOR THE BLOOD PRESSURE AND DIABETES
audio/RES0101.mp3[411.520,424.640]	YEAH SO FOR THE BLOOD PRESSURE IM TAKING MEDICATION CALLED RAMIPRIL AND THEN FOR DIABETES IM TAKING METFORMIN
audio/RES0101.mp3[424.640,429.560]	OK HAVE YOU NEEDED LIKE INSULIN FOR DIABETES BEFORE
audio/RES0101.mp3[429.560,433.240]	NO IVE NEVER HAD TO USE INSULIN
audio/RES0101.mp3[433.240,439.440]	OK AND AND DO YOU TAKE ANY OTHER MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER
audio/RES0101.mp3[439.440,447.600]	NO NOTHING ELSE I ACTUALLY I DO TAKE SOME MULTIVITAMINS BUT BESIDES THAT NOTHING
audio/RES0101.mp3[447.600,450.840]	ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0101.mp3[450.840,453.120]	NOT THAT I KNOW OF
audio/RES0101.mp3[453.120,460.560]	OK AND ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST BESIDES THE THE KNEE SURGERY LAST WEEK
audio/RES0101.mp3[462.360,471.960]	ALRIGHT SO YOUVE BEEN HEALTHY OTHERWISE I IM NOT SURE I I ASK THIS IM WONDERING IF YOU HAD ANY FEVERS OR CHILLS
audio/RES0101.mp3[471.960,474.480]	NO NOT REALLY
audio/RES0101.mp3[474.480,477.600]	OK AND UH HOW ABOUT ANY NIGHT SWEATS
audio/RES0101.mp3[479.120,485.520]	ALRIGHT AND UHM HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS OR HAVE YOU HAD ANY CHANGES
audio/RES0101.mp3[485.520,487.480]	YEAH ITS BEEN PRETTY STABLE
audio/RES0101.mp3[487.480,501.160]	OK THANK YOU JUST WANTED TO CLARIFY A FEW THINGS THERE AND UHM CURRENTLY CAN YOU TELL ME ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0101.mp3[501.160,512.320]	YEAH SO IM LIVING WITH MY WIFE IN A HOUSE I DO HAVE TWO KIDS BUT THEYRE OFF TO COLLEGE RIGHT NOW SO ITS JUST US 2
audio/RES0101.mp3[512.320,517.080]	OK AND AND WHAT WHAT DO YOU DO FOR UH FOR WORK
audio/RES0101.mp3[517.080,536.480]	YES SO I ACTUALLY WORK AS A MECHANIC AND RIGHT NOW IM KIND OF OFF OF WORK WITH I JUST NEED TO RECOVER AND KIND OF GET THAT PHYSIOTHERAPY DONE AND THEN I CAN RETURN HOPEFULLY IN A MONTH OR TWO
audio/RES0101.mp3[536.480,547.160]	OK YEAH WE NEED TO RECOVER AFTER THE KNEE SURGERY OK AND DO YOU SMOKE CIGARETTES
audio/RES0101.mp3[547.160,559.440]	I USED TO BUT I QUIT WHEN I WAS IN MY THIRTIES I USED TO SMOKE LIKE PROBABLY A PACK A DAY BETWEEN MY 20S AND 30S
audio/RES0101.mp3[559.440,565.120]	OK BUT IT SOUNDS LIKE YEAH YOU QUIT ABOUT 20 YEARS AGO THEN
audio/RES0101.mp3[566.320,569.760]	OK AND DO YOU DRINK ALCOHOL
audio/RES0101.mp3[569.760,573.760]	UH NO
audio/RES0101.mp3[573.760,577.320]	OK HOW ABOUT USING ANY OTHER RECREATIONAL DRUGS
audio/RES0101.mp3[577.320,581.040]	NO OTHER DRUGS
audio/RES0101.mp3[581.040,585.000]	OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR OR LUNG CONDITIONS
audio/RES0101.mp3[585.000,589.440]	NO NOT THAT I KNOW OF
audio/RES0101.mp3[589.440,599.760]	OK AND ANYBODY IN THE FAMILY HAVE A BLEEDING DISORDER OR OR A CLOTTING DISORDER
audio/RES0101.mp3[599.760,601.680]	NO NOT NOT THAT IM AWARE OF
audio/RES0101.mp3[601.680,613.720]	OK HAVE YOU HEARD OF ANYBODY IN THE FAMILY HAVING I KNOW YOU SAID YOU HAVENT HAD HAD THIS BEFORE BUT ANYBODY IN THE FAMILY HAVING A DEEP VEIN THROMBOSIS OR OR PE
audio/RES0101.mp3[613.720,619.200]	NOT THAT I KNOW NOT REALLY
audio/RES0101.mp3[619.200,649.800]	OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT ON HISTORY TODAY WELL DO PHYSICAL EXAM AND ILL LISTEN TO YOUR CHEST AND HAVE A LOOK AT YOUR LEG WELL ALSO ORDER SOME IMAGING STUDIES WITH A CTPA ITS CALLED UH BUT BEFORE WE GO AHEAD WITH THAT WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD
audio/RES0101.mp3[649.800,653.320]	NO I THINK THATS THATS ALL
audio/RES0101.mp3[653.320,688.160]	OK SO WELL GET THE LAB WORK STARTED AS WELL AS THE IMAGING ORDERED IT WILL LOOK FOR TO SEE IF THERE IS ANY PULMONARY EMBOLISM PRESENT BECAUSE WITH THE SURGERY LAST WEEK AND BEING IMMOBILIZED FOR A PERIOD OF TIME IT IS A RISK FACTOR FOR IT AND LEG SWELLING WITH UHM COUGHING UP BLOOD CAN BE SYMPTOMS OF THIS SO WELL WANNA MAKE SURE TO TO DO TO INVESTIGATE FOR A PULMONARY EMBOLISM
audio/RES0101.mp3[688.160,691.240]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0101.mp3[691.240,693.880]	SOUNDS GOOD THANK YOU
audio/RES0028.mp3[0.000,4.280]	CAN YOU JUST TELL ME WHAT BRINGS YOU IN HERE TODAY
audio/RES0028.mp3[4.280,9.320]	YEAH MY CHEST IS REALLY HURTING
audio/RES0028.mp3[9.320,12.880]	OK AND WHERE WHERE DOES IT HURT EXACTLY
audio/RES0028.mp3[12.880,19.400]	ITS HARD TO SAY THE EXACT LOCATION BUT MORE ON THE LEFT SIDE OF MY CHEST
audio/RES0028.mp3[19.400,29.440]	OK AND IS IT LIKE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL ACHING PAIN OR IS IT AS SHARP OR STABBING PAIN
audio/RES0028.mp3[29.440,36.400]	THE PAIN IS ITS STABBING BUT ALSO IT FEELS REALLY REALLY TIGHT IN MY CHEST
audio/RES0028.mp3[36.400,47.040]	OK AND IF YOURE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT
audio/RES0028.mp3[47.040,50.280]	I THINK AT 6
audio/RES0028.mp3[50.280,55.920]	SIX OK AND WHEN DID IT START
audio/RES0028.mp3[55.920,60.600]	IT STARTED THIS MORNING JUST RIGHT AFTER I GOT OUT OF BED
audio/RES0028.mp3[60.600,66.400]	OK SO YOU WERENT DOING ANYTHING LIKE YOU WERENT DOING ANY ACTIVITIES YOU JUST WOKE UP FROM SLEEP
audio/RES0028.mp3[66.400,79.120]	YEAH I GOT OUTTA BED I WAS JUST TRYING TO GET DRESSED AND ALL OF A SUDDEN I GOT THIS TIGHTNESS AND AND STABBING PAIN ON THE LEFT SIDE OF MY CHEST
audio/RES0028.mp3[79.120,82.960]	OK APPROXIMATELY HOW MANY HOURS AGO WAS THAT
audio/RES0028.mp3[82.960,89.040]	I I WOULD SAY ABOUT SIX HOURS AGO
audio/RES0028.mp3[89.040,94.160]	OK AND HAS IT BEEN AS A PAIN GETTING WORSE AT ALL
audio/RES0028.mp3[94.160,97.000]	UH ITS ITS GETTING WORSE
audio/RES0028.mp3[97.000,104.160]	ITS GETTING WORSE OK AND HAVE YOU HAD ANY SIMILAR SORT OF PAIN IN THE PAST BEFORE
audio/RES0028.mp3[104.160,108.880]	UM NOTHING LIKE THIS BEFORE
audio/RES0028.mp3[108.880,116.520]	NO OK AND IS THE PAIN GOING ANYWHERE ELSE OR IS IT JUST STAYING IN YOUR CHEST
audio/RES0028.mp3[116.520,120.520]	THE PAIN IS JUST IN MY CHEST
audio/RES0028.mp3[120.520,126.400]	OK AND DOES ANYTHING THAT YOU DO MAKE IT FEEL BETTER
audio/RES0028.mp3[126.400,131.080]	SITTING UP TENDS TO MAKE IT FEEL A BIT BETTER
audio/RES0028.mp3[131.080,136.680]	OK AND DOES ANYTHING YOU DO MAKE IT GET MAKE THE PAIN GET WORSE
audio/RES0028.mp3[136.680,140.080]	IT GETS WORSE EVERY TIME I BREATHE IN
audio/RES0028.mp3[140.080,144.600]	OK AND WHAT KIND OF PAIN DO YOU GET WHEN YOU BREATHE IN
audio/RES0028.mp3[144.600,149.680]	ITS A SHARP STABBING PAIN
audio/RES0028.mp3[149.680,159.680]	OK AND APART FROM THE PAIN ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A COUGH OR SHORTNESS OF BREATH AND ANYTHING LIKE THAT
audio/RES0028.mp3[159.680,168.400]	YEAH WITH THE PAIN IM HAVING A HARD TIME BREATHING
audio/RES0028.mp3[168.400,176.320]	OK OK I JUST HAVE A FEW OTHER QUESTIONS UH HAVE YOU RECENTLY HAD ANY KIND OF TRAUMA OR INJURY TO YOUR CHEST AT ALL
audio/RES0028.mp3[176.320,179.640]	UM NO
audio/RES0028.mp3[179.640,183.040]	OK HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0028.mp3[183.040,192.040]	I WAS IN IN ITALY FOR THE PAST THREE WEEKS ACTUALLY JUST GOT BACK LAST NIGHT
audio/RES0028.mp3[192.040,203.600]	OK AND HAVE YOU BEEN EXPERIENCING ANY KIND OF NAUSEA OR VOMITING OR FEVER OR CHILLS
audio/RES0028.mp3[203.600,216.960]	NO NO NAUSEA OR VOMITING I DID TAKE MY TEMPERATURE NO SORRY I DID NOT TAKE MY TEMPERATURE BUT IVE BEEN HAVING CHILLS THE LAST FEW DAYS
audio/RES0028.mp3[216.960,227.120]	OK UH AND UH YEAH JUST CURIOUS HAVE YOU BEEN HAVING ANY KIND OF SWELLING AT ALL IN YOUR FEET OR ANKLES
audio/RES0028.mp3[227.120,235.560]	AH MY LEGS FELT A BIT SWOLLEN ON THE WAY BACK ON THE AIRPLANE BUT THEY TEND TO SWELL SO I DIDNT THINK ANYTHING OF IT
audio/RES0028.mp3[235.560,240.720]	OK SO THEY HAVE SWOLLEN UP BEFORE BUT YOU SAW THEM SWOLLEN THIS TIME AS WELL
audio/RES0028.mp3[243.600,247.640]	OK AND HAVE YOU BEEN FEELING AT ALL FATIGUED AT ALL
audio/RES0028.mp3[247.640,254.720]	IVE BEEN REALLY TIRED WITH ALL OF THE TRAVELING SO I THINK MAYBE IM JUST JET LAGGED
audio/RES0028.mp3[254.720,263.000]	OK HAVE YOU NOTICED THAT ALL YOUR HEART RACING LIKE ANY PALPITATIONS
audio/RES0028.mp3[263.000,269.640]	YEAH SINCE THIS MORNING ITS FELT LIKE MY HEART IS IS RACING
audio/RES0028.mp3[269.640,274.880]	OK HAVE YOU NOTICED ANY SKIN CHANGES AT ALL ANY RASHES
audio/RES0028.mp3[274.880,277.000]	NO RASHES
audio/RES0028.mp3[277.000,281.920]	OK HAVE YOU NOTICED ANY COUGH COUGHING AT ALL
audio/RES0028.mp3[281.920,287.360]	IVE HAD A COUGH SINCE LAST WEEK BUT IT FEELS MUCH WORSE TODAY
audio/RES0028.mp3[287.360,295.920]	OK AND HAS THERE BEEN ANY KIND OF GREEN SLIMY MUCUS IN YOUR COUGH AT ALL
audio/RES0028.mp3[295.920,299.800]	NO ITS BEEN A DRY COUGH
audio/RES0028.mp3[299.800,305.000]	DRY COUGH OK AND HAVE YOU NOTICED AT ALL COUGHING UP BLOOD
audio/RES0028.mp3[305.000,306.560]	NO BLOOD
audio/RES0028.mp3[306.560,313.760]	OK AND HAVE YOU RECENTLY HAD ANY INFECTIONS IN THE LAST MONTH
audio/RES0028.mp3[313.760,328.800]	YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND SORE THROAT AND A LITTLE BIT OF A HEADACHE BUT I FEEL BETTER FROM THAT NOW
audio/RES0028.mp3[328.800,335.280]	OK AND TO JUST GO AWAY BY ITSELF OR DID YOU HAVE TO TAKE ANY MEDICATIONS
audio/RES0028.mp3[335.280,338.600]	IT JUST WENT AWAY ON ITS OWN
audio/RES0028.mp3[338.600,342.640]	OK HAVE YOU BEEN FEELING ANY KIND OF DIZZINESS AT ALL
audio/RES0028.mp3[342.640,350.480]	I HAVE A LITTLE BIT OF YEAH UM DIZZINESS WHEN I WHEN THE PAIN GETS REALLY BAD
audio/RES0028.mp3[350.480,360.480]	OK AND I KNOW YOU MENTIONED SOME SWELLING IN YOUR LEGS AND YOUR ANKLES BUT HAVE HAS ANY OF YOUR LEGS BEEN HURTING AT ALL
audio/RES0028.mp3[360.480,370.920]	MY LEFT LEG HURTS REALLY BAD RIGHT NOW BUT MY ENTIRE BODY HAS BEEN ACHY THESE PAST FEW DAYS
audio/RES0028.mp3[370.920,375.880]	OK AND THEN YOURE RIGHT LIKE DO YOU KNOW WHERE IT HURTS
audio/RES0028.mp3[375.880,378.320]	UM I THINK JUST LIKE IN THE CALF
audio/RES0028.mp3[378.320,392.400]	IN THE CALF OK OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY ANY LIKE HYPERTENSION THAT LIKE DIABETES SO ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0028.mp3[392.400,396.160]	NO I IM HEALTHY
audio/RES0028.mp3[396.160,399.120]	OK ANY ALLERGIES TO MEDICATIONS
audio/RES0028.mp3[399.120,401.880]	NO ALLERGIES
audio/RES0028.mp3[401.880,409.280]	OK DO YOU TAKE ANY BIRTH CONTROL OR MULTI VITAMINS
audio/RES0028.mp3[409.280,417.080]	YEAH I TAKE A DAILY BIRTH CONTROL PILL AND ALSO A DAILY MULTI VITAMIN
audio/RES0028.mp3[417.080,424.360]	OK AND HOW LONG HAVE YOU BEEN ON THE BIRTH CONTROL PILL
audio/RES0028.mp3[424.360,428.040]	UM FOR TWO YEARS
audio/RES0028.mp3[428.040,430.960]	OK ANY HOSPITALIZATIONS RECENTLY
audio/RES0028.mp3[430.960,434.920]	UM NONE THAT I CAN THINK OF
audio/RES0028.mp3[434.920,437.680]	ANY ILL CONTACTS
audio/RES0028.mp3[439.760,442.040]	ANY SURGERIES IN THE PAST
audio/RES0028.mp3[442.040,445.160]	NO SURGERIES
audio/RES0028.mp3[445.160,456.120]	OK IN YOUR FAMILY HAS ANYONE HAD ANY CONDITIONS LIKE HAS ANYONE PASSED AWAY FROM A HEART ATTACK ANY CANCERS ANYTHING LIKE THAT
audio/RES0028.mp3[456.120,475.800]	NO CANCER BUT MY MOTHER DIED OF A HEART ATTACK WHEN SHE WAS 43 AND MY GRANDMA ALSO HAD A HEART ATTACK WHEN SHE WHEN SHE WAS YOUNGER I WANNA SAY IN HER 50S BUT I DONT EXACTLY REMEMBER HOW OLD
audio/RES0028.mp3[475.800,484.280]	AND CURRENTLY RIGHT NOW WHERE DO YOU LIVE DO YOU LIVE IN LIKE A HOUSE APARTMENT
audio/RES0028.mp3[484.280,490.080]	YEAH I LIVE IN AN APARTMENT BY MYSELF
audio/RES0028.mp3[490.080,493.160]	OK AND DO YOU CURRENTLY WORK
audio/RES0028.mp3[493.160,497.680]	YEAH IM IN CHARGE OF UM A RETAIL STORE AS A MANAGER THERE
audio/RES0028.mp3[497.680,500.440]	OK AND DO DRINK
audio/RES0028.mp3[500.440,509.280]	SOMETIMES ON WEEKENDS OR IF IM SOCIALIZING WITH FRIENDS BUT NOT VERY OFTEN
audio/RES0028.mp3[509.280,513.600]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0028.mp3[515.840,518.520]	OK AND DO YOU SMOKE
audio/RES0028.mp3[518.520,528.520]	YES I SMOKE ABOUT 2 PACKS OF CIGARETTES PER DAY AND IVE BEEN SMOKING SINCE I WAS 12
audio/RES0028.mp3[528.520,538.440]	OK ALRIGHT AND IN TERMS OF YOUR DAILY ROUTINE LIKE DO YOU GET ANY EXERCISE
audio/RES0028.mp3[538.440,547.360]	UH NOT REALLY LIFES A BIT TOO BUSY AND HECTIC RIGHT NOW RIGHT NOW UNFORTUNATELY
audio/RES0028.mp3[547.360,552.120]	OK AND HOW ABOUT YOUR DIET LIKE WHAT IS YOUR REGULAR DIET LOOK LIKE
audio/RES0028.mp3[552.120,565.480]	A LOT OF FAST FOOD I KNOW I COULD WORK ON THAT BUT AGAIN WITH THE BUSY LIFESTYLE WE TEND TO EAT A LOT OF FRIED FOODS AND FATTY FOODS I KNOW I COULD DO BETTER
audio/RES0028.mp3[565.480,569.360]	OK GREAT THANK YOU
audio/RES0013.mp3[0.000,7.480]	HI IM ROB AND I JUST FEEL LIKE I CANT CATCH MY BREATH
audio/RES0013.mp3[7.480,10.240]	OK HOW OLD ARE YOU ROB
audio/RES0013.mp3[10.240,15.280]	IM IM 50 IM GONNA BE 50 SOON
audio/RES0013.mp3[15.280,19.600]	OK OK WHEN DID THIS START
audio/RES0013.mp3[19.600,70.880]	WELL LIKE LAST NIGHT I KINDA HAD LIKE AN ACHE ON MY CHEST KIND OF LIKE HERE LIKE ON THE LEFT I JUST I DIDNT DO ANYTHING REALLY LAST NIGHT AND YOU KNOW I JUST WENT TO SLEEP AND I GOT TO SLEEP FINE LIKE I JUST THOUGHT MAYBE I PULLED A MUSCLE ON THIS SIDE BUT THEN I WOKE UP AND I WAS LIKE WALKING UP THE STAIRS AND I LIKE WAS KINDA HAVING A HARD TIME BREATHING AND I TOOK SOME TYLENOL IT DIDNT REALLY DO ANYTHING UM AND THEN IT JUST GOT WORSE AND THEN A FEW HOURS AGO IS LIKE I COULD BARELY WALK AND IF IM BREATHING DEEP ITS LIKE IT JUST HURTS AND I FEEL LIKE I CANT LIKE CATCH MY BREATH LIKE I CANT GET A GOOD LIKE A GOOD BREATH IN
audio/RES0013.mp3[70.880,98.600]	UM OK SO I JUST WANT TO STATE AT THIS POINT I WOULD DO ABCS LIKE I WOULD DO THE VITALS AND MAKE SURE YOURE STABLE AND THEN DO AIRWAY BREATHING CIRCULATION IF YOU WERENT BEFORE I CONTINUE WITH THE HISTORY OK SO OK SO THATS HOW IT STARTED UM ARE YOU HAVING ANY CHEST PAIN AT ALL ASSOCIATED WITH THAT
audio/RES0013.mp3[98.600,108.000]	LIKE WHEN I BREATHE IN I GET LIKE AND ITS LIKE AN ACHE AND THEN IF I BREATHE REALLY DEEP IT FEELS LIKE A LITTLE SHARP
audio/RES0013.mp3[110.400,113.240]	I HAVE NEVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0013.mp3[113.240,124.200]	NO OK THAT WAS GOING TO BE MY NEXT QUESTION ON A SCALE OF 1 TO 10 HOW SEVERE IS YOUR SHORTNESS OF BREATH 10 BEING THE WORST
audio/RES0013.mp3[124.200,137.400]	UM I DONT I DONT KNOW UM LIKE I CAN BREATHE RIGHT NOW I CANT GET LIKE A DEEP BREATH LIKE
audio/RES0013.mp3[137.400,139.080]	DOES IT OH SORRY GO AHEAD
audio/RES0013.mp3[139.080,145.760]	MAYBE LIKE YOU KNOW FIVE OR SIX
audio/RES0013.mp3[145.760,149.400]	OK OK DOES IT HURT WHEN YOU TAKE A DEEP BREATH IN
audio/RES0013.mp3[150.880,155.720]	YEAH ITS LIKE ITS LIKE SHARP
audio/RES0013.mp3[155.720,165.200]	OK SORRY SOUNDS LIKE YOURE HAVING SOME PLEURITIC CHEST PAIN DO YOU HAVE ANY COUGHING ASSOCIATED WITH THAT
audio/RES0013.mp3[165.200,166.120]	NO NO
audio/RES0013.mp3[166.120,170.040]	NO YOURE NOT COUGHING UP ANY BLOOD
audio/RES0013.mp3[171.320,174.280]	ANY SWELLING IN YOUR LEGS
audio/RES0013.mp3[174.280,178.000]	I I DONT THINK SO
audio/RES0013.mp3[178.000,189.880]	NO OK HOW ABOUT ON EXERTION LIKE WHEN YOU WALK OR RUN OR YOU KNOW DOES IT HURT MORE OR DOES I MEAN SORRY DOES YOUR SHORTNESS OF BREATH GET WORSE
audio/RES0013.mp3[189.880,195.920]	OH YEAH IT WAS LIKE GOING UP THE STAIRS CANT REALLY BREATHE IN AFTER
audio/RES0013.mp3[195.920,199.360]	OK HOW ABOUT WHEN YOURE LAYING DOWN
audio/RES0013.mp3[199.360,215.400]	I DONT KNOW I DONT THINK THATS ANY DIFFERENT NO I SLEPT FINE LAST NIGHT I GOT UP AND WHEN I WENT UP THE STAIRS I WAS LIKE HOLY
audio/RES0013.mp3[215.400,220.160]	OK HOW ABOUT WHEEZING ARE YOU EXPERIENCING ANY WHEEZING
audio/RES0013.mp3[220.160,222.880]	I DONT THINK SO
audio/RES0013.mp3[222.880,227.440]	OK HOW ABOUT FEVERS OR CHILLS
audio/RES0013.mp3[227.440,231.520]	NO NOT THAT IVE NOTICED NO
audio/RES0013.mp3[231.520,240.480]	OK ANY ABDOMINAL PAIN
audio/RES0013.mp3[240.480,248.800]	UH NO NO ITS LIKE IT ACHES KIND OF IT BUT ITS ALL UP HERE AND LIKE KIND OF IN MY BACK A LITTLE BIT
audio/RES0013.mp3[248.800,255.000]	OK AND DO YOU THINK ANYTHING TRIGGERED THIS
audio/RES0013.mp3[255.000,257.600]	I DONT KNOW
audio/RES0013.mp3[257.600,264.440]	NO OK AND YOU SAID THIS HAS NEVER HAPPENED TO YOU BEFORE RIGHT
audio/RES0013.mp3[264.440,266.640]	RIGHT YEAH
audio/RES0013.mp3[266.640,270.440]	DOES IT GET BETTER WITH YOU SITTING FORWARD
audio/RES0013.mp3[270.440,286.320]	I DONT KNOW LIKE I I FEEL LIKE THAT ITS STILL KIND OF ACHING LIKE IT DOESNT ITS NOT REALLY LIKE CHANGING VERY MUCH
audio/RES0013.mp3[286.320,298.960]	OK OK OK ANY CHANGES IN YOUR VISION HEARING OR SMELL
audio/RES0013.mp3[301.200,303.880]	NO ANY RASHES
audio/RES0013.mp3[304.800,307.680]	NO WEIGHT LOSS
audio/RES0013.mp3[307.680,311.840]	I I MEAN IVE BEEN TRYING TO TO LOSE WEIGHT
audio/RES0013.mp3[312.640,319.520]	THEY TOLD ME A YEAR AGO I HAVE LIKE HIGH BLOOD PRESSURE SO IVE BEEN CUTTING OUT LIKE SALT AND TRYING TO WALK MORE
audio/RES0013.mp3[319.520,321.240]	OK OK GOOD
audio/RES0013.mp3[321.240,330.400]	SO IVE LOST LIKE 15 POUNDS BUT LIKE NOT LIKE IVE BEEN TRYING TO
audio/RES0013.mp3[330.400,341.000]	OK OK 15 POUNDS THATS GOOD ARE YOU EXPERIENCING ANY DIZZINESS OR YOU FEELING FAINT
audio/RES0013.mp3[341.000,347.160]	NO JUST LIKE A I CANT GET LIKE A GOOD BREATH
audio/RES0013.mp3[347.160,353.480]	OK AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED YOU HAVE HIGH BLOOD PRESSURE ANYTHING ELSE
audio/RES0013.mp3[353.480,358.160]	NO THATS THATS LIKE IT IVE NEVER HAD ANY LIKE CHEST PROBLEMS
audio/RES0013.mp3[358.160,368.440]	OK HAVE YOU HAD ANY INVESTIGATIONS DONE FOR YOUR CHEST LIKE PULMONARY FUNCTION TESTS ECGS CHEST XRAYS
audio/RES0013.mp3[368.440,385.600]	NO NO THEY JUST THEY JUST PUT THE THING ON MY ARM BUT MY DOCTORS OFFICE AND SAID THAT IT WAS HIGH SO THEY SAID TO YOU KNOW EAT BETTER AND I DONT I DONT WANNA START ANY DRUGS SO I DIDNT DO ANYTHING IVE BEEN FINE EVER SINCE
audio/RES0013.mp3[385.600,389.840]	OK SO YOURE NOT ON ANY MEDICATIONS
audio/RES0013.mp3[389.840,397.920]	NO JUST YEAH NO THATS IT I MEAN I YOU KNOW SOMETIMES TAKE LIKE A TYLENOL IF IM
audio/RES0013.mp3[397.920,404.960]	NOT FEELING WELL BUT
audio/RES0013.mp3[404.960,408.040]	AND DO YOU SMOKE
audio/RES0013.mp3[408.040,412.560]	I LIKE I SMOKE A LITTLE BIT MAYBE LIKE A PACK A WEEK
audio/RES0013.mp3[412.560,415.440]	A PACK A WEEK OK FOR HOW LONG
audio/RES0013.mp3[415.440,417.560]	OH LIKE SINCE COLLEGE
audio/RES0013.mp3[417.560,424.360]	OK OK UM DO YOU SMOKE MARIJUANA
audio/RES0013.mp3[424.360,443.600]	UH NO NO AND I I SMOKE IM TRYING TO SMOKE LESS YOU KNOW SINCE THEY TOLD ME I HAVE THE HIGH BLOOD PRESSURE SO I USED TO SMOKE A LITTLE MORE BUT THIS IS THIS IS LESS BUT NOT SINCE IVE BEEN HAVING TROUBLE BREATHING IS IT YEAH
audio/RES0013.mp3[443.600,451.120]	YEAH OK ANY OTHER RECREATIONAL DRUGS
audio/RES0013.mp3[451.120,453.080]	NO NO
audio/RES0013.mp3[453.080,456.760]	NO OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0013.mp3[456.760,460.720]	OH LIKE MAYBE YOU KNOW A BEER ON THE WEEKEND
audio/RES0013.mp3[460.720,468.800]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0013.mp3[468.800,478.480]	LIKE I DONT I THINK I GOT ALL THE ONES WHEN I WAS LIKE A KID WHAT ELSE SHOULD I HAVE
audio/RES0013.mp3[478.480,481.880]	OK SO LIKE THE FLU VACCINE EVERY YEAR
audio/RES0013.mp3[481.880,485.720]	OH I GET THAT LIKE MY WIFE MY WIFE MAKES ME GET THAT
audio/RES0013.mp3[485.720,492.000]	OK THATS GOOD ANY FAMILY HISTORY OF LUNG OR HEART DISEASE
audio/RES0013.mp3[492.000,511.280]	OH LIKE MY UH MY MOM AND DAD HAVE HIGH BLOOD PRESSURE TOO SO I WASNT SURPRISED WHEN I HEARD THAT I DID
audio/RES0013.mp3[511.280,519.280]	OK OK UM OK SO ROB IS THERE ANYTHING THAT YOU WANTED TO TELL ME THAT I HAVENT ASKED YOU ALREADY TODAY
audio/RES0013.mp3[519.280,536.040]	I AM REALLY LIKE NERVOUS CAUSE I HAVENT FELT ANYTHING LIKE THIS BEFORE UM LIKE ITS SCARY LIKE DO YOU THINK ITS LIKE CANCER OR SOMETHING LIKE I DONT I DONT REALLY KNOW
audio/RES0013.mp3[536.040,549.040]	UM I MEAN ITS HARD TO TELL RIGHT NOW WHAT IT IS IT SOUNDS LIKE ITS IT STARTED PRETTY SUDDENLY UM LIKE IT STARTED A DAY AGO CORRECT
audio/RES0013.mp3[550.560,649.320]	YEAH SO ITS UNLIKELY THAT CANCER WOULD PRESENT ITSELF LIKE THIS SO ACUTELY YOU KNOW AND BUT IT COULD IT COULD BE A NUMBER OF THINGS LIKE IT COULD BE SOMETHING LIKE A PULMONARY EMBOLISM BUT YOU SAID YOU DONT HAVE ANY SWELLING UM BUT YOU DID SAY YOU HAVE SOME CHEST PAIN WHEN YOURE BREATHING PRETTY WHEN YOU TAKE A DEEP BREATH IN SO I MEAN THATS A POSSIBILITY IT DOESNT SOUND LIKE ITS AN INFECTION BECAUSE YOU DONT HAVE A FEVER OR CHILLS OR ANY ANY OTHER SYMPTOM REALLY AND YOU MENTIONED THERE WERENT ANY TRIGGERS LIKE NO TRAUMA TO THE AREA AND THEN OTHER THINGS COULD BE LIKE COPBECAUSE YOU WHICH IS A CHRONIC OBSTRUCTIVE PULMONARY DISEASE BECAUSE YOU HAVE BEEN SMOKING SINCE COLLEGE AND THATS BASICALLY JUST INFLAMMATION IN YOUR LUNGS THAT CAUSES YOUR AIRWAYS TO NARROW AND SO YOU MAY HAVE A HARD TIME BREATHING SO FOR ALL OF THESE THINGS WE FIRST START BY DOING SOME BLOOD WORK AND THEN WELL DO SOME IMAGING LIKE A CHEST XRAY AND A PULMONARY FUNCTION TEST IF INDICATED AND SO THAT WILL GIVE US A BETTER IDEA OF WHAT YOU HAVE AND HOW WE CAN BEST HELP YOU SOUNDS GOOD
audio/RES0013.mp3[649.320,655.080]	YEAH YEAH I JUST REALLY WANT TO GET A GOOD BREATH SO YEAH WHATEVER WE CAN DO
audio/RES0013.mp3[655.080,665.040]	YEAH FOR SURE AND THEN IN THE MEANTIME WELL KEEP MONITORING YOU TO MAKE SURE YOUR VITALS ARE OK AND IF WE NEED TO GIVE YOU OXYGEN WE WILL
audio/RES0013.mp3[665.040,668.520]	THATD BE GREAT
audio/RES0013.mp3[668.520,676.480]	OK THANK YOU
audio/RES0150.mp3[0.000,5.080]	HOW MAY I HELP YOU
audio/RES0150.mp3[5.080,27.280]	HI UM MY SON HAS JUST BEEN SICK OVER THE PAST UH COUPLE OF DAYS HES JUST HAD THIS COUGH AND UH STUFFY NOSE AND UHM YEAH HES ALSO HAD THIS UH RASH THAT JUST STARTED
audio/RES0150.mp3[27.280,33.960]	OK AND SO CAN YOU TELL ME A BIT MORE ABOUT THE COUGH SO IT STARTED UM
audio/RES0150.mp3[33.960,65.280]	YEAH SO THE COUGH STARTED ABOUT A WEEK AGO AND UM HIS STUFFY NOSE HES SORT OF HAD A STUFFY NOSE SINCE AROUND THE SAME TIME AND THEN UM THOSE SYMPTOMS UM SO IT CONTINUED AND GOT A LITTLE BIT BETTER OVER THE PAST FEW DAYS AND THEN HE STARTED UM HAVING THIS RASH ON HIS FACE THAT THEN KIND OF WENT DOWN TO HIS NECK
audio/RES0150.mp3[65.280,70.560]	OK AND IS THE RASH STILL UH THERE RIGHT NOW
audio/RES0150.mp3[77.280,85.920]	OK UM AND IS THE COUGH UH PRODUCTIVE IS HE BRINGING UP SPUTUM
audio/RES0150.mp3[87.840,93.760]	OK UM HAS HE BROUGHT UP UM ANY BLOOD
audio/RES0150.mp3[95.560,102.920]	OK UM AND UH YOU TOLD ME ABOUT THE THE RUNNY NOSE WHAT UM CAN YOU DESCRIBE THE DISCHARGE
audio/RES0150.mp3[102.920,123.800]	YEAH ITS JUST UH ITS JUST UH WATERY DISCHARGE HIS EYES ARE ALSO RED AND KIND OF UM HES BEEN TEARY OR I GUESS JUST YEAH ITS JUST BEEN LIKE VERY WATERY AND RED AND UH YEAH ITS CLEAR DISCHARGE
audio/RES0150.mp3[123.800,126.920]	OK UM HAS HE HAD A SORE THROAT
audio/RES0150.mp3[126.920,129.520]	UM NO
audio/RES0150.mp3[129.520,136.680]	ALRIGHT UM HOW ABOUT ANY CHANGES TO HIS SENSE OF SMELL OR OR TASTE
audio/RES0150.mp3[136.680,143.160]	UHM HE UH HE HASNT REALLY UH YEAH HE HASNT SAID ANYTHING ABOUT THAT
audio/RES0150.mp3[143.160,148.800]	ALRIGHT AND HAS HE HAD ANY PROBLEMS WITH BREATHING
audio/RES0150.mp3[149.040,154.280]	OK HAS HE MENTIONED ANYTHING ABOUT CHEST PAIN
audio/RES0150.mp3[154.280,156.200]	UH NO
audio/RES0150.mp3[156.200,161.640]	ALRIGHT UM HAS HE HAD ANY FEVERS OR CHILLS
audio/RES0150.mp3[161.640,168.280]	UH YEAH HE DOES HAVE A FEVER UM 395 I CHECKED YESTERDAY
audio/RES0150.mp3[168.280,176.520]	OK UH IS THAT IS THAT THE FIRST TIME THAT UM HE WAS NOTED TO HAVE A FEVER YESTERDAY
audio/RES0150.mp3[176.520,198.280]	UM HE HAS HAD A FEVER FOR THE PAST FEW DAYS UM IT WAS AROUND IT WAS LESS BETWEEN 375 TO 385 UM BUT THEN YESTERDAY WAS JUST UH IT JUST KEPT GOING UP SO I GOT CONCERNED AND THOUGHT I SHOULD BRING HIM IN
audio/RES0150.mp3[198.280,205.760]	OK I SEE YEAH WELL ITS GOOD THAT YOU BROUGHT HIM IN UM HAS HE BEEN HAVING ANY NIGHT SWEATS
audio/RES0150.mp3[207.040,213.040]	AND UM HOW HAS HIS WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAS HE BEEN GAINING WEIGHT OK STILL
audio/RES0150.mp3[213.040,215.120]	OH YEAH
audio/RES0150.mp3[215.120,222.520]	ALRIGHT THATS GREAT UM AND HAS HE HAD ANY ANY ANY WHEEZING
audio/RES0150.mp3[226.480,232.560]	UM HOW ABOUT ANY LIKE CHANGES TO HIS APPETITE
audio/RES0150.mp3[232.560,238.160]	UM HES JUST BEEN EATING LESS SINCE HES BEEN FEELING UNWELL
audio/RES0150.mp3[239.360,249.000]	YEAH BUT HE STILL HE STILL HE MANAGES TO EAT ABOUT UM HALF THE PLATE SO I GUESS ITS NOT TOO BAD
audio/RES0150.mp3[249.000,251.160]	AND THATS BEEN THE LAST FEW DAYS
audio/RES0150.mp3[251.160,253.320]	YEAH YEAH
audio/RES0150.mp3[253.320,260.480]	OK AND UM HAS HE HAD ANY MUSCLE ACHES OR BODY PAINS
audio/RES0150.mp3[260.480,264.040]	UH NO NOT REALLY
audio/RES0150.mp3[264.040,287.480]	OK AND UM IS ARE THERE ANY EXPOSURES THAT UM COULDVE POSSIBLY CAUSED A SKIN RASH LIKE CHANGES IN LIKE LAUNDRY DETERGENT OR UM LIKE COMING INTO CONTACT WITH WITH ANYTHING ON HIS SKIN OR OR TAKING UM OR ANY ANYTHING THAT HE WAS ALLERGIC TO THAT HES BEEN AROUND
audio/RES0150.mp3[287.480,301.040]	UM I DONT THINK SO HE WAS PLAYING OUTSIDE WITH THE NEIGHBOURS UM WITH THE NEIGHBOURS KIDS BUT I DONT THINK HE CAME INTO CONTACT IM NOT SURE
audio/RES0150.mp3[301.040,306.440]	OK UH HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0150.mp3[306.440,310.280]	NO HES PRETTY HEALTHY
audio/RES0150.mp3[310.280,320.160]	OK AND SORRY JUST TO TO GO BACK TO THE SYMPTOMS I MISSED A FEW QUESTIONS HERE DID HE HAVE UH DOES HE HAVE ANY NAUSEA OR VOMITING
audio/RES0150.mp3[321.160,323.400]	HOW ABOUT ANY DIARRHEA
audio/RES0150.mp3[323.400,324.960]	UH NO
audio/RES0150.mp3[324.960,328.200]	OK AND ANY ABDOMINAL PAIN
audio/RES0150.mp3[328.200,329.640]	UM NOPE
audio/RES0150.mp3[329.640,336.000]	OR OR ANY URINARY PROBLEMS
audio/RES0150.mp3[336.000,337.440]	NO NO
audio/RES0150.mp3[337.440,350.480]	OK UM AND AND SO HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE UM DOES HE TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIBED OR OVER THE COUNTER
audio/RES0150.mp3[350.480,353.320]	UM NO HE DOESNT
audio/RES0150.mp3[353.320,362.520]	ALRIGHT AND ANY ALLERGIES TO MEDICATIONS OR UH ENVIRONMENT THAT YOURE AWARE OF
audio/RES0150.mp3[362.520,364.200]	UM NO
audio/RES0150.mp3[364.200,368.560]	OK AND UM ARE HIS IMMUNIZATIONS UP TO DATE
audio/RES0150.mp3[368.560,382.840]	UM WELL NO I DONT I DONT I DONT VACCINATE MY KIDS IM JUST IM IM WORRIED THAT THEYLL UH GET AUTISM
audio/RES0150.mp3[382.840,425.760]	OK YEAH THATS UH WELL ITS IMPORTANT TO KNOW UM TODAY THAT HES NOT VACCINATED BECAUSE CERTAINLY THAT WILL INFLUENCE UM WHAT WERE THINKING ABOUT IN TERMS OF WHAT COULD BE CAUSING THE SYMPTOMS UM AND WE CAN UH DISCUSS THE I GUESS MORE ABOUT THE VACCINATION PROCEDURES AND WHAT NOT LATER UM BUT OK SO HES NOT CURRENTLY VACCINATED AND HAVE THERE BEEN ANY UM CONCERNS WITH HIS GROWTH AND OR DEVELOPMENT
audio/RES0150.mp3[426.680,429.960]	HES MEETING ALL OF THE THE MILESTONES AND DOING WELL AT SCHOOL
audio/RES0150.mp3[432.040,445.520]	OK UM AND IN TERMS OF THE PREGNANCY UH WERE THERE ANY COMPLICATIONS DURING THE PREGNANCY LIKE GESTATIONAL DIABETES OR OR UM HIGH BLOOD PRESSURE
audio/RES0150.mp3[445.520,448.320]	UH I DID HAVE GESTATIONAL DIABETES
audio/RES0150.mp3[448.320,455.200]	UH SORRY YEAH DID THAT REQUIRE INSULIN OR
audio/RES0150.mp3[455.200,468.000]	UH YEAH I DID HAVE TO TAKE INSULIN UM HE WAS HE WAS ALSO A PRETTY BIG BABY WHEN HE WAS BORN UM WE HAD TO I HAD TO GIVE GET A CSECTION DONE
audio/RES0150.mp3[468.000,472.880]	OK WERE THERE ANY COMPLICATIONS WITH THE WITH THE PROCEDURE WITH THE SURGERY
audio/RES0150.mp3[472.880,477.280]	NO NO NO COMPLICATIONS AT ALL
audio/RES0150.mp3[477.280,490.160]	OK DID HE HAVE ANY UM LIKE BREATHING PROBLEMS OR JAUNDICE OR ANY REASONS TO STAY IN THE HOSPITAL WHEN WHEN HE WAS BORN
audio/RES0150.mp3[490.160,493.000]	NO HE DIDNT
audio/RES0150.mp3[493.000,502.200]	OK UM THATS GOOD AND UH WHOS HE LIVING WITH AND WHOS THE PRIMARY CAREGIVER CURRENTLY
audio/RES0150.mp3[502.200,517.200]	IM THE PRIMARY CAREGIVER UM HES GOT AN OLDER BROTHER WHOS SEVEN YEARS OLD AND HIS DAD ITS THE FOUR OF US AND WE ALSO HAVE A DOG
audio/RES0150.mp3[517.200,527.360]	OK ANY ALLERGIES TO THE DOG OR TO PETS AT ALL
audio/RES0150.mp3[529.080,542.320]	OK UM AND UM ANY REASONS OR CONCERNS FOR UM UH PHYSICAL OR EMOTIONAL ABUSE IN THE HOME
audio/RES0150.mp3[543.000,548.440]	OK AND UM ANY FAMILY HISTORY OF ANY HEART OR OR LUNG PROBLEMS
audio/RES0150.mp3[550.680,562.080]	HOW ABOUT A FAMILY HISTORY OF ANY BLEEDING DISORDERS OR OR CLOTTING DISORDERS OR CANCERS
audio/RES0150.mp3[562.080,564.240]	UM NO
audio/RES0150.mp3[564.240,590.480]	OK UM SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON HISTORY UM SO IT SOUNDS LIKE UM HES HAD A COUGH UM A RUNNY NOSE UM SOME RED EYE RED EYES THAT WITH SOME TEARING AS WELL AS A RASH THAT THAT STARTED AND AND A FEVER WAS THERE ANY OTHER SYMPTOMS
audio/RES0150.mp3[592.480,637.640]	ALRIGHT UM SO NEXT WELL GO ON TO THE PHYSICAL EXAM WELL WANT TO HAVE A LOOK UM AT THE RASH AND GET THE VITALS UM BUT THERE IS A CONCERN THAT THIS IS COULD BE UH MEASLES AND SO UM ITLL BE IMPORTANT TO UM SUPPORTIVE MANAGEMENT AND UM ENSURE THAT UM ITS NOT PASSED ON TO UM ANYBODY ELSE THAT REMINDS ME YEAH HE WAS OUT PLAYING WITH OTHER CHILDREN WERE ANY OTHER KIDS EXPERIENCING SIMILAR SYMPTOMS
audio/RES0150.mp3[637.640,643.000]	UM IM NOT SURE I I GUESS I NEED TO TALK TO THEIR THEIR PARENTS NOW
audio/RES0150.mp3[643.000,661.520]	YEAH IT WOULD BE UM A GOOD IDEA TO UH YEAH CONTACT UM AND SEE JUST TO MAKE SURE THAT WERE TREATING EVERYBODY APPROPRIATELY
audio/RES0150.mp3[664.280,672.800]	AND THEN UH WE COULD TALK MORE ABOUT THE VACCINATION UM LATER
audio/RES0030.mp3[0.000,5.760]	CAN YOU JUST TELL ME A LITTLE BIT ABOUT WHAT BRINGS YOU IN HERE TODAY
audio/RES0030.mp3[5.760,7.960]	YEAH I I HAVE A COUGH
audio/RES0030.mp3[7.960,17.040]	OK AND UH WHAT KIND OF COUGH IS IT LIKE A DRY COUGH OR IS IT MORE LIKE PRODUCTIVE COUGH
audio/RES0030.mp3[17.040,22.040]	I ALWAYS SEEM TO BRING UP SOME GUNK ON MY WHEN I COUGH
audio/RES0030.mp3[22.040,25.240]	OK AND WHAT WHAT COLOUR IS THIS GUNK
audio/RES0030.mp3[25.240,30.440]	ITS GREEN SOMETIMES YELLOWISH
audio/RES0030.mp3[30.440,37.080]	OK AND HAVE YOU NOTICED AT ALL ANY KIND OF BLOOD IN THE COUGH
audio/RES0030.mp3[37.080,40.880]	WELL NO BLOOD
audio/RES0030.mp3[40.880,47.600]	NO OK AND HOW MUCH OF THE GUNK OR THE SPUTUM WOULD YOU SAY YOU BRING UP EVERY DAY
audio/RES0030.mp3[47.600,57.640]	UH A COUPLE OF KLEENEXES UM ILL USE BUT SO NOT THAT MUCH
audio/RES0030.mp3[57.640,63.400]	OK AN AND WHEN DID THIS START
audio/RES0030.mp3[63.400,73.520]	ITS REALLY HARD TO SAY IVE HAD A COUGH FOR THE PAST FEW YEARS NOW BUT I FEEL LIKE ITS GETTING WORSE
audio/RES0030.mp3[73.520,80.800]	OK AND IS YOUR COUGH JUST CONSTANT OR DOES IT COME AND GO
audio/RES0030.mp3[80.800,87.440]	I DO COUGH THROUGHOUT THE DAY BUT I FIND ITS WORSE IN THE MORNING
audio/RES0030.mp3[87.440,92.800]	OK AND IS THERE ANYTHING THAT BRINGS ON YOUR COUGH
audio/RES0030.mp3[92.800,100.280]	I CANT THINK OF ANYTHING THAT TRIGGERS THE COUGH JUST WORSE WHEN I GET UP IN THE MORNING
audio/RES0030.mp3[100.280,108.760]	OK AND YOU MENTIONED YOUVE BEEN HAVING THIS COUGH OVER THE PAST FEW YEARS HAS IT BEEN GETTING WORSE AT ALL
audio/RES0030.mp3[108.760,115.800]	YEAH I WOULD SAY THE COUGHS WERE GETTING WORSE THE LAST FEW YEARS SLOWLY THOUGH
audio/RES0030.mp3[115.800,124.600]	OK AND HAVE YOU HAD ANY PREVIOUS EPISODES OF THIS COUGH WITH SPUTUM LIKE GUNK GUNKY MATERIAL BEFORE
audio/RES0030.mp3[124.600,130.120]	YEAH IVE BEEN HAVING THIS ONGOING FOR THE LAST FEW YEARS
audio/RES0030.mp3[130.120,141.000]	OK AND IS THERE ANYTHING THAT YOU DO OR HAVE TRIED THATS MADE YOUR COUGHING GET EITHER BETTER OR WORSE
audio/RES0030.mp3[141.000,154.200]	IF I TAKE A DEEP BREATH THEN IT SEEMS TO MAKE THE COUGH WORSE AND UH NOTHING REALLY HELPS THE COUGH GO AWAY THOUGH
audio/RES0030.mp3[154.200,164.640]	OK UM AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS LIKE A RUNNY NOSE SORE THROAT DIFFICULTY BREATHING ANYTHING LIKE THAT
audio/RES0030.mp3[164.640,168.160]	UH NO
audio/RES0030.mp3[168.160,174.560]	OK AND HAVE YOU RECENTLY TRAVELED OUTSIDE OF THE COUNTRY
audio/RES0030.mp3[174.560,177.760]	I HAVENT TRAVELED ANYWHERE
audio/RES0030.mp3[177.760,182.560]	OK AND HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS
audio/RES0030.mp3[182.560,186.600]	NO FEVER AND NO CHILLS
audio/RES0030.mp3[186.600,188.880]	OK ANY NIGHT SWEATS
audio/RES0030.mp3[188.880,190.760]	NO NIGHT SWEATS
audio/RES0030.mp3[190.760,198.160]	OK ANY INCREASED FATIGUE OR JUST FEELING TIRED OVERALL
audio/RES0030.mp3[198.160,207.640]	YEAH THESE LAST FEW MONTHS BY ENERGY HAS BEEN LOW I IVE BEEN FEELING A LOT MORE TIRED THAN USUAL
audio/RES0030.mp3[207.640,213.160]	OK AND HAVE YOU NOTICED AT ALL ANY KIND OF SWELLING IN YOUR HANDS FEET ANKLES
audio/RES0030.mp3[213.160,221.800]	UH I THINK THEYRE ALWAYS A LITTLE SWOLLEN BUT I MIGHT HAVE JUST GAINED A FEW POUNDS OVER THE YEARS
audio/RES0030.mp3[221.800,228.600]	OK AND HAVE YOU BEEN HAVING ANY PALPITATIONS LIKE A RACING HEART OR ANY CHEST PAIN AT ALL
audio/RES0030.mp3[228.600,231.160]	UM NO CHEST PAIN
audio/RES0030.mp3[231.160,236.480]	OK AND HOW ABOUT SHORTNESS OF BREATH
audio/RES0030.mp3[236.480,249.880]	UM I ONLY HAVE TROUBLE BREATHING IF I WALK A FEW BLOCKS OR GO UP A FEW FLIGHTS OF STAIRS INTO MY APARTMENT
audio/RES0030.mp3[249.880,254.280]	OK HAVE YOU BEEN HAVING ANY KIND OF URINARY ISSUES
audio/RES0030.mp3[254.280,261.960]	UMMM ONLY AT NIGHT TIME I SEEM TO HAVE TO GET UP A LOT TO USE THE BATHROOM
audio/RES0030.mp3[261.960,266.720]	OK AND HOW ABOUT YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
audio/RES0030.mp3[266.720,267.880]	UM NO BOWEL ISSUES
audio/RES0030.mp3[267.880,274.560]	OK AND HAVE YOU BEEN GETTING ENOUGH SLEEP
audio/RES0030.mp3[274.560,280.560]	UH YEAH I WOULD SAY OR SORRY NO MY SLEEP HAS BEEN HAS BEEN POOR
audio/RES0030.mp3[280.560,290.720]	OK AND DO YOU FIND THAT YOU WAKE UP DURING THE NIGHT TO TAKE A BREATH OR ANYTHING LIKE THAT
audio/RES0030.mp3[290.720,299.600]	NO I HAVENT HAD TO WAKE UP IN THE MIDDLE OF THE NIGHT SHORT OF BREATH OR ANYTHING LIKE THAT
audio/RES0030.mp3[299.600,304.160]	OK AND DO YOU EVER HAVE TO USE A MULTIPLE PILLOWS
audio/RES0030.mp3[304.160,307.160]	UM NO I JUST USED ONE PILLOW
audio/RES0030.mp3[307.160,317.720]	OK AND HAVE YOU NOTICED YOUVE HAD ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN IN THE LAST FEW FEW MONTHS
audio/RES0030.mp3[317.720,332.280]	UM I MAYBE LOST 5 POUNDS IN THE LAST FEW MONTHS I WASNT EVEN I HAVENT BEEN TRYING TO LOSE WEIGHT BUT DOESNT HURT THOUGH AS IVE IVE GAINED A FEW POUNDS OVER THE YEARS SO I DONT MIND
audio/RES0030.mp3[332.280,336.960]	AND HOW IS YOUR APPETITE BEEN LIKE
audio/RES0030.mp3[336.960,340.320]	UH APPETITES BEEN GOOD I FEEL LIKE IVE BEEN EATING NORMALLY
audio/RES0030.mp3[340.320,346.200]	OK AND HAVE YOU HAD ANY RECENT INFECTIONS AT ALL
audio/RES0030.mp3[346.200,349.800]	NO RECENT INFECTIONS
audio/RES0030.mp3[349.800,358.280]	OK AND I THINK I MENTIONED THIS BEFORE BUT ANY KNOW ANY RUNNY NOSE SORE THROAT ANY OF THOSE VIRAL SYMPTOMS
audio/RES0030.mp3[358.280,364.600]	UM NO RUNNY NOSE NO SORE THROAT BEEN FEELING GOOD
audio/RES0030.mp3[364.600,375.080]	AWESOME AND HAVE YOU HAD HAVE YOU BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST
audio/RES0030.mp3[375.080,383.320]	UM NO I ACTUALLY HAD A TUBERCULOSIS TEST FOR WORK AND IT WAS NORMAL
audio/RES0030.mp3[383.320,392.840]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS AT ALL LIKE HIGH BLOOD PRESSURE DIABETES
audio/RES0030.mp3[392.840,402.080]	UM MY BLOOD PRESSURE HAS BEEN HIGH AND THAT WAS DIAGNOSED IN THE LAST FEW YEARS
audio/RES0030.mp3[402.080,407.440]	OK AND DO YOU TAKE ANY MEDICATIONS FOR YOUR BLOOD PRESSURE
audio/RES0030.mp3[407.440,410.560]	YES I TAKE UM LISINOPRIL
audio/RES0030.mp3[410.560,416.520]	OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/RES0030.mp3[416.520,420.120]	NOTHING I CAN THINK OF
audio/RES0030.mp3[420.120,426.360]	OK AND HAVE YOU BEEN HOSPITALIZED AT ALL BEFORE
audio/RES0030.mp3[426.360,427.920]	UH NO
audio/RES0030.mp3[427.920,434.040]	AND DO YOU HAVE ANY ILL CONTACTS NEAR ANYONE THAT HAS BEEN SICK AROUND YOU RECENTLY
audio/RES0030.mp3[434.040,447.640]	NO ILL CONTACTS AND SORRY I FOR HOSPITALIZATIONS I I DID HAVE A CSECTION FOR THE BIRTH OF MY DAUGHTER AND I WAS IN THE HOSPITAL FOR A FEW DAYS FOR THAT
audio/RES0030.mp3[447.640,449.840]	OK BUT NOTHING ELSE
audio/RES0030.mp3[451.680,457.040]	OK AND HAVE YOU HAD ANY OTHER SURGERIES OTHER THAN YOUR CSECTION
audio/RES0030.mp3[457.040,460.880]	NO JUST THE CSECTION
audio/RES0030.mp3[460.880,469.720]	OK IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CARDIOVASCULAR ISSUES OR ANY CANCERS
audio/RES0030.mp3[469.720,483.560]	UH MY FATHER HAD A HEART ATTACK WHEN HE WAS 78 AND UM HE UNFORTUNATELY PASSED AWAY FROM IT BUT HAD NO CANCER IN THE FAMILY
audio/RES0030.mp3[483.560,486.480]	OK ANY LIKE ASTHMA IN THE FAMILY
audio/RES0030.mp3[486.480,489.920]	NOT THAT I CAN THINK OF
audio/RES0030.mp3[489.920,495.720]	OK AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN APARTMENT IN A HOUSE
audio/RES0030.mp3[495.720,499.520]	I LIVE IN AN APARTMENT WITH MY HUSBAND AND OUR DAUGHTER
audio/RES0030.mp3[499.520,505.600]	OK AND DO YOU CURRENTLY WORK
audio/RES0030.mp3[505.600,509.240]	YEAH I I WORK AT THE LOCAL GROCERY STORE
audio/RES0030.mp3[509.240,518.960]	OK AND JUST IN YOUR DAILY ROUTINE HOW WOULD YOU SAY HOW IS YOUR DIET AND EXERCISE LIKE
audio/RES0030.mp3[518.960,543.600]	UM DIET ILL USUALLY EAT ONE OR TWO MEALS A DAY AND SOMETIMES SNACK THROUGHOUT THE DAY AS WELL BUT WE EAT A VARIETY OF MEATS AND VEGETABLES AND SO I THINK OUR DIET IS PRETTY GOOD BUT EXERCISE DONT HAVE TIME FOR FOR THAT CURRENTLY
audio/RES0030.mp3[543.600,548.040]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0030.mp3[548.040,553.280]	UM NOO I WOULD NEVER USE THAT
audio/RES0030.mp3[553.280,557.360]	OK HOW ABOUT ALCOHOL
audio/RES0030.mp3[557.360,561.640]	A GLASS OF WINE I HAVE THREE OR FOUR NIGHTS A WEEK
audio/RES0030.mp3[561.640,571.000]	OK AND IS IT LIKE A FULL GLASS OF WINE OR LIKE JUST HOW MUCH WOULD YOU SAY
audio/RES0030.mp3[571.000,576.080]	GLASS OF WINE IS FOR ME I WOULD SAY IS LIKE 5 OR 6 OUNCES LIKE A TYPICAL GLASS OF WINE
audio/RES0030.mp3[576.080,580.320]	DO YOU SMOKE AT ALL
audio/RES0030.mp3[580.320,582.800]	I DO SMOKE CIGARETTES YES
audio/RES0030.mp3[582.800,588.440]	OK AND HOW MUCH ARE YOU SMOKING AN AVERAGE DAY
audio/RES0030.mp3[588.440,596.680]	UM OVER A PACK ONE TO TWO PACKS OF CIGARETTES PER DAY FOR THE LAST NEARLY 40 YEARS
audio/RES0030.mp3[596.680,598.520]	OK OK ALRIGHT
audio/RES0038.mp3[0.000,3.960]	SO WHAT BRINGS YOU HERE TODAY AT THE FAMILY CLINIC
audio/RES0038.mp3[3.960,14.800]	I HAVENT BEEN COUGHING THESE LAST TWO WEEKS SINCE I GOT BACK FROM MEXICO I THINK I GOT SICK THERE
audio/RES0038.mp3[14.800,19.280]	OK SO JUST THE LAST COUPLE WEEKS YOUVE BEEN COUGHING
audio/RES0038.mp3[19.280,25.320]	YEAH EVER SINCE I GOT BACK FROM MEXICO ITS BEEN YEAH SO ABOUT ABOUT TWO WEEKS
audio/RES0038.mp3[25.320,30.480]	OK AND IS YOUR COUGH FOR A WET COUGH OR DRY COUGH
audio/RES0038.mp3[30.480,34.640]	ITS DRY AND IM NOT BRINGING UP ANY ANY SPUTUM
audio/RES0038.mp3[34.640,38.200]	OK AND ARE YOU COUGHING UP ANY BLOOD AT ALL
audio/RES0038.mp3[38.200,39.360]	NO BLOOD
audio/RES0038.mp3[39.360,45.880]	NO OK AND IS THE COUGH CONSTANT OR DOES IT COME AND GO
audio/RES0038.mp3[45.880,63.520]	IT IT COMES AND GOES I WOULD SAY SOMETIMES IT CAN BE WORSE YEAH DEPENDING ON ON WHAT IM WHAT IM DOING I GUESS IF IM EXERCISING OR IF ITS IF ITS REALLY COLD OUTSIDE IT MIGHT GET WORSE
audio/RES0038.mp3[63.520,74.800]	OK AND DO YOU FEEL THAT ITS BEEN GETTING WORSE AT ALL YOUR COUGH
audio/RES0038.mp3[74.800,81.000]	UH NOT REALLY I THINK ITS ABOUT THE SAME
audio/RES0038.mp3[81.000,92.440]	OK AND ANYTHING THAT YOU DID WHEN YOU WERE IN MEXICO THAT MIGHT YOU THINK MIGHT HAVE CAUSED YOUR COUGH
audio/RES0038.mp3[92.440,102.840]	UH I DONT KNOW MAYBE I I WAS DRINKING A LITTLE BIT TOO MUCH AND PARTYING A LITTLE BIT TOO MUCH SO MIGHT HAVE GOT SICK WHILE I WAS THERE
audio/RES0038.mp3[102.840,113.120]	I SEE DID YOU HAVE ANY COLD SYMPTOMS LIKE RUNNY NOSE SORE THROAT UM ANY ANYTHING LIKE THAT WHEN YOU WERE THERE OR AFTER YOU CAME BACK
audio/RES0038.mp3[113.120,118.800]	NO SOMETIMES MY EYES CAN GET A LITTLE ITCHY BUT NO RUNNY NOSE OR SORE THROAT
audio/RES0038.mp3[118.800,127.680]	OK HAVE YOU HAD ANY PREVIOUS EPISODES THAT ARE SIMILAR TO HOW YOURE FEELING NOW
audio/RES0038.mp3[127.680,138.520]	UH MAYBE YEARS AGO WHEN I LIKE WHEN I WAS IN ELEMENTARY SCHOOL BUT NOTHING FOR THE LAST FEW YEARS
audio/RES0038.mp3[138.520,150.640]	OK AND HOW OFTEN ARE YOU COUGHING LETS SAY IN AN AVERAGE DAY
audio/RES0038.mp3[150.640,167.600]	UM ITS UH ITS PRETTY VARIABLE I WOULD SAY SO IF IM EXERCISING IT WILL ITLL THROW ME INTO A COUGHING FIT AND AND SOMETIMES ITS REALLY BUGGING ME AT NIGHT TOO ITLL AFFECT ME ITS IMPAIRING MY SLEEP
audio/RES0038.mp3[167.600,180.000]	OK AND SO EXERCISE MAKES IT WORSE ANYTHING THAT YOU DO THAT HELPS YOU RELIEVE THE COUGH
audio/RES0038.mp3[180.000,194.960]	UHM I ACTUALLY I TRIED MY SONS INHALER AND IT SEEMED TO ACTUALLY HELP BUT ONE OF THE DAYS I JUST COULDNT SEEM TO STOP THE COUGH AND I WANTED TO SLEEP SO I GAVE IT A TRY AND IT IT SEEMED TO ACTUALLY HELP WITH THE COUGH
audio/RES0038.mp3[194.960,201.320]	OK AND SO YOUR SON HAS INHALERS DOES HE HAVE ASTHMA
audio/RES0038.mp3[201.320,206.840]	YEAH HE DOES YEAH HE WAS DIAGNOSED WITH ASTHMA A COUPLE OF YEARS AGO
audio/RES0038.mp3[206.840,210.320]	OK AND HAVE YOU PREVIOUSLY BEEN DIAGNOSED WITH ASTHMA
audio/RES0038.mp3[210.320,219.520]	AH I THINK IF THEYVE SAID IT BEFORE WHEN I WAS YOUNG BUT I HAVENT HAD ANY SYMPTOMS FOR FOR FOR YEARS
audio/RES0038.mp3[219.520,230.640]	OK AND BESIDES THE COUGH DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY COLD SYMPTOMS OF RUNNY NOSE SORE THROAT RIGHT NOW OR EVEN LIKE ANY CHEST PAIN
audio/RES0038.mp3[230.640,233.240]	NO NOTHING LIKE THAT
audio/RES0038.mp3[233.240,242.400]	OK AND DO YOU HAVE ANY SYMPTOMS LIKE A HEADACHE OR NAUSEA OR VOMITING
audio/RES0038.mp3[242.400,246.440]	UH NOPE NO HEADACHE NAUSEA OR VOMITING
audio/RES0038.mp3[246.440,254.320]	OK IS YOUR COUGH AT ALL WORSE DURING THE DAY OR AT NIGHT OR DOES IT JUST IS AT AROUND THE SAME THROUGHOUT THE DAY
audio/RES0038.mp3[254.320,258.880]	I THINK THE COUGHS WORSE AT NIGHT
audio/RES0038.mp3[258.880,265.720]	OK AND DO YOU EVER FEEL THAT YOURE SHORT OF BREATH AT ALL
audio/RES0038.mp3[265.720,274.760]	WELL YEAH SO IT AFFECTS ME IF IM OUTSIDE AND THAT THATS ACTUALLY USUALLY WHEN MY EYES WILL GET ITCHY TOO
audio/RES0038.mp3[274.760,282.560]	OK AND HAVE YOU HAD ANY ECZEMA IN THE PAST
audio/RES0038.mp3[282.560,293.200]	UH YEAH I HAD I HAD ECZEMA WHEN I WAS I WAS YOUNGER I THINK THAT WAS IN IT WHEN I WAS IN ELEMENTARY SCHOOL AS WELL
audio/RES0038.mp3[293.200,296.600]	OK HAVE YOU HAD ANY FEVERS OR CHILLS RECENTLY
audio/RES0038.mp3[297.640,299.480]	ANY NIGHT SWEATS
audio/RES0038.mp3[300.600,304.480]	HAVE YOU BEEN FEELING INCREASINGLY TIRED THROUGHOUT THE DAY
audio/RES0038.mp3[304.480,317.600]	AH NO MY ENERGYS BEEN BEEN GOOD I JUST GET SHORT OF BREATH OR OR HAVE THESE COUGHING FITS IF I IF I EXERT MYSELF
audio/RES0038.mp3[317.600,321.160]	OK HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR HANDS
audio/RES0038.mp3[322.680,325.120]	ANY DIZZINESS
audio/RES0038.mp3[325.120,326.800]	NO DIZZINESS
audio/RES0038.mp3[326.800,333.920]	DO YOU EVER FEEL YOUR HEART IS RACING WHEN YOU GET LIKE THESE THUMPING LIKE HEART PALPITATIONS
audio/RES0038.mp3[333.920,336.120]	UH NOTHING LIKE THAT
audio/RES0038.mp3[336.120,338.360]	OK AND YOU SAID NO CHEST PAIN RIGHT
audio/RES0038.mp3[338.360,339.720]	NO CHEST PAIN
audio/RES0038.mp3[339.720,345.840]	OK HAVE YOU NOTICED ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
audio/RES0038.mp3[345.840,348.280]	NO DIARRHEA
audio/RES0038.mp3[348.280,352.840]	OK ANY CHANGES IN YOUR URINARY PATTERNS
audio/RES0038.mp3[352.840,355.080]	NO EVERYTHINGS BEEN NORMAL
audio/RES0038.mp3[355.080,365.760]	OK SO YOU MENTIONED LIKE THE COUGHS BEEN KEEPING YOU UP AT NIGHT HOW HOW OFTEN ARE YOU WAKING UP AT NIGHT IS IT PRETTY FREQUENT
audio/RES0038.mp3[365.760,376.880]	I WOULD SAY ABOUT TWO OR THREE NIGHTS A WEEK OVER THESE LAST TWO WEEKS ITS BEEN ITS BEEN GETTING WORSE
audio/RES0038.mp3[376.880,381.320]	OK AND HAVE YOU NOTICED ANY CHANGES IN YOUR WEIGHT AT ALL
audio/RES0038.mp3[381.320,384.160]	MY WEIGHTS BEEN ABOUT THE SAME
audio/RES0038.mp3[384.160,387.880]	OK ANY CHANGES IN YOUR APPETITE
audio/RES0038.mp3[387.880,390.040]	NO BEEN EATING WELL
audio/RES0038.mp3[390.040,398.920]	OK ANY RECENT EXPOSURES TO ANYONE WITH TUBERCULOSIS THAT YOU KNOW OF
audio/RES0038.mp3[399.920,405.680]	NO OK HAVE YOU LOST YOUR SENSE OF TASTE OR SMELL RECENTLY
audio/RES0038.mp3[405.680,410.400]	NEITHER OF THOSE
audio/RES0038.mp3[410.400,420.600]	OK AND HAVE YOU BEEN EXPOSED TO ANY FUMES OR DUST IN YOUR SURROUNDING AREA OR DO YOU HAVE ANY PETS OR ANIMALS AT HOME
audio/RES0038.mp3[420.600,429.040]	UM YEAH WE HAVE A UH TWO CATS AND BUT NOTHING AT WORK
audio/RES0038.mp3[429.040,431.960]	OK AND HOW LONG YOUVE HAD THOSE CATS FOR
audio/RES0038.mp3[431.960,436.320]	WEVE HAD THEM FOR FOR ALMOST A YEAR
audio/RES0038.mp3[436.320,453.080]	OK AND OTHER THAN ECZEMA AND REMOTE HISTORY OF PERHAPS ASTHMA WHEN YOU WERE YOUNGER ANY OTHER MEDICAL CONDITIONS LIKE DIABETES OR HIGH BLOOD PRESSURE THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0038.mp3[453.080,455.280]	NO IVE BEEN HEALTHY THAT WAY
audio/RES0038.mp3[455.280,459.280]	OK ANY MEDICATIONS THAT YOU ARE ON CURRENTLY
audio/RES0038.mp3[459.280,462.640]	UH NO MEDICATIONS
audio/RES0038.mp3[462.640,471.080]	OK DO YOU KNOW OF ANY ALLERGIES TO ANY ENVIRONMENTAL EXPOSURES OR ANY MEDICATIONS AT ALL
audio/RES0038.mp3[471.080,482.080]	UHM YEAH I THINK I HAVE IM ALLERGIC TO POLLEN AND SOME OTHER ENVIRONMENTAL AND ALLERGIES AS WELL
audio/RES0038.mp3[482.080,488.200]	OK AND WHEN YOU COUGH HAVE YOU EVER NOTICED LIKE WHEEZING NOISES AT ALL
audio/RES0038.mp3[488.200,494.760]	UH OCCASIONALLY YEAH THERE THOUGH I DO NOTICE A WHEEZE
audio/RES0038.mp3[494.760,500.880]	OK AND HAVE YOU EVER BEEN HOSPITALIZED BEFORE
audio/RES0038.mp3[500.880,502.360]	NO I HAVENT
audio/RES0038.mp3[502.360,505.240]	OK ANY PREVIOUS SURGERIES
audio/RES0038.mp3[505.240,506.560]	NO SURGERIES
audio/RES0038.mp3[506.560,511.480]	OK AND HAS ANYONE AROUND YOU BEEN ILL RECENTLY
audio/RES0038.mp3[511.480,512.960]	EVERYBODYS BEEN HEALTHY
audio/RES0038.mp3[512.960,525.440]	OK AND DO YOU HAVE ANY FAMILY HISTORY OF CANCERS OR ANYTHING RELATED TO THE LUNGS AT ALL
audio/RES0038.mp3[525.440,529.760]	UH NO I MEAN MY SISTER HAD ECZEMA AS WELL BUT THATS IT
audio/RES0038.mp3[529.760,541.560]	OK THATS IT OK UH ANY HEART ATTACKS IN YOUR FAMILY ANY OTHER MEDICAL CONDITIONS
audio/RES0038.mp3[541.560,544.000]	UH NO EVERYONES HEALTHY
audio/RES0038.mp3[544.000,550.200]	OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE
audio/RES0038.mp3[550.200,555.600]	YEAH SO I LIVE IN AN APARTMENT NEARBY WITH MY BOYFRIEND
audio/RES0038.mp3[555.600,564.200]	OK AND HAS THERE BEEN ANY HAVE YOU MOVED THERE RECENTLY OR HOW LONG HAVE YOU LIVED THERE FOR
audio/RES0038.mp3[564.200,568.640]	UH WEVE LIVED THERE FOR ABOUT FOUR YEARS NOW
audio/RES0038.mp3[568.640,578.880]	FOUR YEARS OK AND HAS ANYTHING CHANGED RECENTLY HAS THERE BEEN ANY MOLD OR NEW CARPETS THAT YOU GUYS GOT ANYTHING NEW IN THE HOUSE
audio/RES0038.mp3[578.880,582.400]	UHM I DONT I DONT THINK SO
audio/RES0038.mp3[582.400,586.400]	OK AND DO YOU CURRENTLY WORK
audio/RES0038.mp3[586.400,590.880]	YEAH I WORK AS A A SCHOOL TEACHER
audio/RES0038.mp3[590.880,597.200]	OK AND DO YOU SMOKE AT ALL
audio/RES0038.mp3[597.200,598.240]	NO I DONT
audio/RES0038.mp3[598.240,601.720]	HAVE YOU EVER SMOKED
audio/RES0038.mp3[601.720,613.400]	I DID YEAH I I SMOKED A PACK A DAY UP UNTIL JUST ABOUT A MONTH AGO I MADE IT WAS A NEW YEARS RESOLUTION TO QUIT
audio/RES0038.mp3[613.400,630.600]	OH WOW WELL CONGRATULATIONS THATS ITS DEFINITELY VERY DIFFICULT TO QUIT AND IF YOU NEED AT ALL ANY HELP AT ALL WITH YOUR TRANSITION AT ALL WE CAN ALWAYS BRING IT UP IN ANY APPOINTMENT
audio/RES0038.mp3[630.600,631.400]	OK THANK YOU
audio/RES0038.mp3[631.400,641.560]	YEAH AND IN TERMS OF RECREATIONAL DRUGS DO YOU USE MARIJUANA OR COCAINE OR ANY OTHER RECREATIONAL DRUGS
audio/RES0038.mp3[641.560,645.240]	UM YEAH MAYBE ILL ILL SMOKE LIKE ONE OR TWO JOINTS A WEEK
audio/RES0038.mp3[645.240,650.240]	OK AND DO YOU DRINK ALCOHOL
audio/RES0038.mp3[650.240,652.880]	UH YEAH MAYBE A BOTTLE OF WINE ON THE WEEKENDS
audio/RES0038.mp3[652.880,659.000]	OK UHM SO YOU GO THROUGH LIKE AROUND A BOTTLE EVERY WEEK
audio/RES0038.mp3[659.000,673.960]	YEAH I WOULD SAY ABOUT A BOTTLE OF WINE ON THROUGHOUT THE WEEK BUT USUALLY DONT REALLY HAVE ANY DURING THE WEEK ILL USUALLY I GUESS SPLIT THE BOTTLE BETWEEN BETWEEN FRIDAY TO SUNDAY SORT OF THING
audio/RES0038.mp3[673.960,681.480]	OK AND IN TERMS OF EXERCISE DO YOU FIND THAT YOURE GETTING ADEQUATE EXERCISE THROUGHOUT THE WEEK
audio/RES0038.mp3[681.480,689.960]	I TRIED TO I TRIED TO RUN AND GO FOR WALKS BUT ALWAYS TRYING TO BE A LITTLE BIT MORE ACTIVE
audio/RES0038.mp3[689.960,700.080]	OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY UM DO YOU HAVE ANY OTHER QUESTIONS FOR ME
audio/RES0038.mp3[700.080,702.520]	UHM NOPE THAT WAS IT
audio/RES0038.mp3[702.520,741.520]	OK SO BASED ON WHAT WE TALKED ABOUT IT SEEMS THAT BASED ON YOUR PAST HISTORY AND THE COUGHING THAT YOURE HAVING RIGHT NOW ONE OF THE THINGS THAT WE DEFINITELY WANT TO LOOK AT IS IF YOU DO IN FACT HAVE ASTHMA UM IT CAN ALSO BE LIKE VIRAL UPPER RESPIRATORY TRACT INFECTION BUT WE WILL DO SOME PULMONARY FUNCTION TESTS FOR YOU AND SEE IF THE BRONCHODILATORS JUST LIKE YOU USE THE INHALER FROM YOUR SON IF THAT HELPS HELPS YOU WITH YOUR SYMPTOMS AND THEN WE CAN GO FROM THERE
audio/RES0038.mp3[741.520,744.200]	THAT SOUNDS GREAT THANK YOU
audio/RES0038.mp3[744.200,749.800]	YOURE WELCOME WELL TAKE CARE
audio/MSK0025.mp3[0.000,2.640]	WHAT BRINGS YOU IN HERE TODAY
audio/MSK0025.mp3[2.640,36.360]	SO MY BACK HAS BEEN KILLING ME ITS BEEN HURTING FOR THE PAST TWO MONTHS BUT RECENTLY ITS GOTTEN WORSE ID SAY OVER THE PAST WEEK OR TWO WEEKS ITS GOTTEN REALLY BAD AND NO OVER THE COUNTER MEDICATION IS HELPING WITH THE PAIN ITS IM FINDING IT HARD TO WALK I CANT FEEL ANYTHING IN THE GROIN AREA AND IM HAVING SO MANY BLADDER ACCIDENTS
audio/MSK0025.mp3[36.360,42.440]	OK AND SO THIS PAIN STARTED TWO MONTHS AGO BUT ITS PROGRESSED TO LIKE THESE OTHER SYMPTOMS AS WELL
audio/MSK0025.mp3[42.440,44.040]	YES THATS RIGHT
audio/MSK0025.mp3[44.040,46.280]	WHERE DID THE PAIN START
audio/MSK0025.mp3[46.280,49.240]	UH IT STARTED IN MY LOWER BACK
audio/MSK0025.mp3[49.240,56.560]	STARTED YOUR LOWER BACK OK AND DOES THE PAIN HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE ACHING SHARP
audio/MSK0025.mp3[56.560,60.240]	ITS SHARP
audio/MSK0025.mp3[60.240,68.840]	OK AND DID ANYTHING HAPPENED PRIOR TO THE PAIN ANY INJURIES AT ALL THAT YOU EXPERIENCED
audio/MSK0025.mp3[68.840,107.240]	TWO MONTHS AGO I WAS IN A MOTOR VEHICLE ACCIDENT UM AN I THINK MY BACK STARTED HURTING THEN BUT THEY DID SOME IMAGING ITS AND TURNED OUT LIKE ONE OF THE DISCS THERE WAS A SLIP IN A DISC OR SOMETHING BUT AT THAT POINT THE PAIN WAS JUST ACHEY AND I DONT REALLY HAVE ANY IN ANY OF THESE OTHER ISSUES BUT OVER THE PAST TWO WEEKS ITS GOTTEN SHARP AND IM HAVING ALL THESE OTHER SYMPTOMS
audio/MSK0025.mp3[107.240,124.720]	OK UM AND SO YOURE HAVING THE SET LIKE WHATS CALLED SOME NUMBNESS IN YOUR GROIN IS THAT UNILATERAL LIKE ON ONE SIDE OR BOTH SIDES
audio/MSK0025.mp3[124.720,129.680]	UHM IT SEEMS LIKE ITS BOTH SIDES
audio/MSK0025.mp3[129.680,139.360]	OK AND SO AND THEN YOURE ALSO HAVING THE URINARY INCONTINENCE HOW LONG IS THAT BEEN GOING ON FOR
audio/MSK0025.mp3[139.360,141.640]	THE PAST WEEK
audio/MSK0025.mp3[141.640,145.800]	OK AND WHAT ABOUT THE NUMBNESS IN YOUR GROIN AREA
audio/MSK0025.mp3[145.800,151.040]	THATS BEEN GOING ON FOR THE PAST WEEK AS WELL
audio/MSK0025.mp3[151.040,159.800]	OK AND OK AND HOW WOULD YOU DESCRIBE YOUR PAIN RIGHT NOW ON A SCALE OF 1 TO 10 10 BEING THE WORST PAIN YOUVE FELT
audio/MSK0025.mp3[159.800,164.080]	UM I WOULD SAY ITS LIKE AN 8 OR 9
audio/MSK0025.mp3[164.080,172.120]	EIGHT OR NINE OK AND DOES IT GET WORSE WITH ANY ANY MOTIONS AT ALL
audio/MSK0025.mp3[172.120,185.320]	I THINK ITS WORSE WITH UM I DONT KNOW LIKE ITS WORSE WITH ANYTHING ANYTIME ANYTIME I TRIED TO MOVE IT IT HURTS
audio/MSK0025.mp3[185.320,190.480]	OK SO YOU JUST IMPROVED WITH REST COMPLETE REST
audio/MSK0025.mp3[192.800,200.000]	OK DOES IT TRAVEL IN DOES THE PAIN TRAVEL ANYWHERE ELSE DOES IT SHOOT DOWN YOUR LEGS AT ALL
audio/MSK0025.mp3[200.000,205.760]	YEAH SO IT DOES SHOOT DOWN MY LEGS AND IM HAVING A HARD TIME WALKING BECAUSE OF THAT
audio/MSK0025.mp3[205.760,209.600]	IS IT BOTH LEGS OR JUST ONE
audio/MSK0025.mp3[209.600,217.760]	ITS MOSTLY ON MY RIGHT BUT THE LEFT ONE ISNT THE SAME AS IT USED TO BE EITHER
audio/MSK0025.mp3[218.520,226.160]	YEAH IM HAVING A HARD TIME LIKE GETTING UP FROM A CHAIR AND THINGS LIKE THAT
audio/MSK0025.mp3[226.160,233.520]	OK AND ANYTHING THAT YOUVE TRIED THAT HAS HELPED RELIEVE SOME OF YOUR SYMPTOMS
audio/MSK0025.mp3[233.520,249.280]	IVE TRIED LIKE OVER THE COUNTER COUNTER AND IBUPROFEN IVE TRIED SOME TOPICAL ANALGESICS AND NOTHING SEEMS TO BE WORKING
audio/MSK0025.mp3[249.280,261.960]	OK AND HAVE YOU EXPERIENCED ANY TRAUMA SO YOU MENTIONED YOU HAD A CAR ACCIDENT RATE TWO MONTHS AGO
audio/MSK0025.mp3[261.960,266.080]	YES THAT WAS YEAH THAT WAS TWO MONTHS AGO
audio/MSK0025.mp3[266.080,276.200]	OK AND THEN WERE YOU IN THE HOSPITAL ADMITTED TO THE HOSPITAL FOR FOR A WHILE OR HOW WHAT HAPPENED IN YOUR TREATMENT
audio/MSK0025.mp3[276.200,317.760]	YEAH I WAS I WAS TAKEN TO THE ER THEY DID LIKE A FULL WORK UP ON ME THE ONLY THING ON MY BACK THAT THEY FOUND WAS A SLIPPED DISC AND THEN THEY SAID THAT SHOULD THAT SHOULDNT CAUSE ME TOO MUCH PAIN BUT IF I WAS HAVING ANY OF THESE SYMPTOMS THAT IM HAVING NOW I SHOULD GO BACK OR SEE A DOCTOR AT LEAST AND AND OTHERWISE I WAS FINE LIKE I DIDNT LOSE A LOT OF BLOOD OR I DIDNT NEED ANY SURGICAL INTERVENTIONS AT THAT POINT
audio/MSK0025.mp3[317.760,327.760]	OK I SEE AND HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS OR ANY ANY PAIN IN ANY OTHER JOINTS OR MUSCLES
audio/MSK0025.mp3[327.760,331.320]	UHM NO NO NOTHING LIKE THAT
audio/MSK0025.mp3[331.320,333.640]	OK ANY FEVERS OR CHILLS
audio/MSK0025.mp3[335.480,339.480]	ANY NIGHT SWEATS
audio/MSK0025.mp3[339.480,341.360]	NO RASHES OR SKIN CHANGES
audio/MSK0025.mp3[342.760,348.400]	ANY KIND OF CHEST PAIN SHORT OF AH SORRY SHORTNESS OF BREATH
audio/MSK0025.mp3[348.400,349.760]	UM NO
audio/MSK0025.mp3[349.760,352.800]	ANY COUGH OR COLD LIKE SYMPTOMS
audio/MSK0025.mp3[356.400,362.360]	UHM ANY SO YOU HAVE SOME URINARY INCONTINENCE ANY FECAL INCONTINENCE
audio/MSK0025.mp3[364.040,368.320]	OK HOWS AN ANY RECENT CHANGES IN YOUR WEIGHT
audio/MSK0025.mp3[369.320,372.960]	HAVE YOU BEEN SICK AT ALL RECENTLY
audio/MSK0025.mp3[374.800,381.040]	OK ANY TINGLING SENSATION EITHER IN YOUR BACK OR SHOOTING DOWN YOUR LEGS
audio/MSK0025.mp3[382.080,384.240]	ANY BURNING SENSATION
audio/MSK0025.mp3[384.240,388.920]	LITTLE BIT OF BURNING SENSATION
audio/MSK0025.mp3[388.920,393.120]	YEAH OK DO YOU HAVE ANY NUMBNESS IN YOUR LOWER LIMBS OR JUST NUMBNESS AROUND THE GROIN
audio/MSK0025.mp3[393.120,399.120]	JUST NUMBNESS AROUND THE GROIN AREA BUT MY LOWER LIMBS DO SEEM WEAK
audio/MSK0025.mp3[399.120,403.800]	OK SO YOU HAVE MUSCLE WEAKNESS IS IT JUST ONE LIKE THATS AH WEAK OR BOTH LEGS
audio/MSK0025.mp3[403.800,414.960]	SO BOTH LIKE SEEM WEAK BUT THE RIGHT MORE THAN THE LEFT
audio/MSK0025.mp3[414.960,424.400]	OK I SEE UHM AND DOES THIS WEAKNESS SEEM TO GET WORSE OR IS IT AROUND THE SAME AS IT WAS WHEN IT STARTED
audio/MSK0025.mp3[424.400,427.720]	ITS ITS IT FEELS LIKE ITS GETTING WORSE
audio/MSK0025.mp3[427.720,434.240]	OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS YOU HAVE BEEN DIAGNOSED WITH
audio/MSK0025.mp3[434.240,443.840]	I HAD HYPOTHYROID SO IVE BEEN TAKING SYNTHROID FOR THAT
audio/MSK0025.mp3[443.840,447.200]	OK ANY OTHER MEDICATIONS
audio/MSK0025.mp3[448.840,453.760]	OK ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0025.mp3[454.760,459.600]	OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES
audio/MSK0025.mp3[461.560,467.720]	ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS
audio/MSK0025.mp3[467.720,470.680]	UM NO
audio/MSK0025.mp3[470.680,473.840]	OK CURRENTLY DO YOU WORK
audio/MSK0025.mp3[473.840,477.440]	I DO I WORK FROM HOME RIGHT NOW IM A TEACHER
audio/MSK0025.mp3[477.440,495.160]	OK UH AND DO YOU DID YOU DO ANY WORK PREVIOUSLY THAT REQUIRED HEAVY LIFTING OR STRENUOUS ACTIVITIES REGARDING YOUR BACK AT ALL
audio/MSK0025.mp3[495.160,496.600]	UM NO NO NOTHING LIKE THAT
audio/MSK0025.mp3[496.600,507.120]	AND WHATS YOUR HOME AND LIVING SITUATION LIKE RIGHT NOW
audio/MSK0025.mp3[507.120,513.000]	I LIVE AT HOME WITH TWO OF MY CHILDREN
audio/MSK0025.mp3[513.000,529.880]	OK AND ARE YOU ABLE TO DO THINGS AT HOME THAT YOU WERE BEFORE LOOK LIKE OR DO YOU NEED SOME EXTRA HELP FROM IT YOUR FAMILY MEMBERS OR EXTRA HELP FROM OTHER WORKERS ANYTHING LIKE THAT
audio/MSK0025.mp3[529.880,552.960]	YEAH MY FAMILYS DEFINITELY BEEN HELPING ME OUT A LOT OVER THESE PAST FEW WEEKS BECAUSE YEAH LIKE I SAID LIKE IM HAVING SOME WEAKNESS IN MY LEGS I CANT MOVE AROUND AS MUCH BECAUSE IM IN SO MUCH PAIN UM AND THEN LIKE THERE ARE ALL THESE LIKE BLADDER ACCIDENTS SO YEAH THEYVE BEEN HELPING ME OUT WITH EVERYDAY THINGS
audio/MSK0025.mp3[552.960,557.800]	OK I SEE AND CURRENTLY DO YOU SMOKE
audio/MSK0025.mp3[558.760,562.120]	OK DO YOU DRINK ALCOHOL
audio/MSK0025.mp3[563.480,565.480]	AND ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0025.mp3[569.400,577.520]	OK IM JUST GETTING AT YOU TO DO A FEW THINGS ON JUST JUST AS PART OF THE PHYSICAL EXAMINATION
audio/MSK0025.mp3[578.080,585.080]	ARE YOU ABLE TO BEND DOWN OR EXTEND YOUR BACK AT ALL OR IS IT TOO PAINFUL
audio/MSK0025.mp3[585.080,588.960]	YEAH I CANT DO THAT ITS TOO PAINFUL
audio/MSK0025.mp3[588.960,594.480]	DO YOU NOTICE ANY KIND OF REDNESS SWELLING IN AND AROUND YOUR BACK
audio/MSK0025.mp3[594.480,599.000]	UM NOT THAT I CAN TELL
audio/MSK0025.mp3[599.000,604.720]	OK AND HOW ABOUT IF YOU PRESS DOWN ON THE YOUR LOWER BACK DOES IT HURT
audio/MSK0025.mp3[604.720,606.760]	YEAH THAT HURTS
audio/MSK0025.mp3[606.760,613.400]	OK AND ARE YOU EXPERIENCING THE NUMBNESS RIGHT NOW AND IN YOUR GROIN AREA
audio/MSK0025.mp3[613.400,616.040]	I AM
audio/MSK0025.mp3[616.040,628.320]	ARE YOU ABLE TO RAISE YOUR LEGS WHEN IN A LYING POSITION WITH STRAIGHT LEGS KNEES NOT BENDING AT ALL THEY ARE ABLE TO RAISE WITHOUT ANY PAIN
audio/MSK0025.mp3[628.320,634.520]	NO I CANT DO THAT ITS YEAH ITS TOO PAINFUL
audio/MSK0025.mp3[634.520,648.760]	I SEE ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SEEMS ITS GREAT ITS GOOD THAT YOU CAME TO THE EMERGENCY DEPARTMENT DO YOU HAVE ANY QUESTIONS AT ALL
audio/MSK0025.mp3[648.760,653.160]	NO JUST LIKE HOW CAN I FIX THIS
audio/MSK0025.mp3[653.160,770.480]	YEAH SO BASED ON YOUR SYMPTOMS ITS SOMETHING THATS PRETTY URGENT ITS SEEMS LIKE YOU MAY BE HAVING SOMETHING CALLED CAUDA EQUINA SYNDROME THAT MAY BE CAUSED BY YOUR BACK PAIN AND THATS WHY YOURE FEELING THAT GROIN WOULD BE CALLED SADDLE ANESTHESIA AND THEN THE URINARY INCONTINENCE SO THIS MAY BE FROM THE INJURY THAT YOU HAD WITH THE CAR ACCIDENT AND IT MAY BE DUE TO SOME COMPRESSION OF WHAT WE CALL LIKE COMPRESSION OF THE NERVES IN THE AREA WHICH MIGHT BE GIVING YOU SOME OF THESE SYMPTOMS SO THE FIRST THING WE DO NEED TO DO IS GET AN MRI OF YOUR LOWER BACK JUST TO MAKE SURE THERES NOTHING GOING ON LIKE FOR EXAMPLE LIKE ANY MASSES IN THE AREA OR ANY KIND OF ABSCESSES THAT MIGHT BE WE MAY BE WORRIED ABOUT JUST TO MAKE SURE WELL JUST TO SEE WHATS GOING ON IN THERE THATS CAUSING THESE SYMPTOMS AND THEN BASED ON WHAT WE FIND UH WE WILL WE WILL TARGET LIKE THE CAUSE OF THE SYMPTOMS LIKE FOR EXAMPLE IF ITS AN INFECT INFECTION THATS CAUSING THIS YOU MIGHT NEED TO BE ADMITTED AND REQUIRE ANTIBIOTICS IF THERE IS ANY MASSES CAUSING IT YOU MAY REQUIRE SURGERY FOR EXAMPLE IF ITS MAINLY RELATED TO YOUR BACK IT IS SOMETHING THAT WE WILL HAVE TO TREAT WITH WITH AN ADMISSION SO ITS GOOD THAT YOU CAME IN HERE TODAY DO YOU HAVE ANY OTHER QUESTIONS OR CONCERNS
audio/MSK0025.mp3[770.480,775.640]	NO THAT WAS IT THANK YOU SO MUCH FOR YOUR HELP
audio/MSK0025.mp3[775.640,778.480]	YOURE WELCOME AND WILL GET BACK TO YOU SHORTLY
audio/RES0015.mp3[0.000,2.480]	WHAT BRINGS YOU IN TODAY
audio/RES0015.mp3[2.480,16.120]	SO IVE BEEN HAVING JUST A WORSENING BREATHLESSNESS IVE BEEN ALSO HAVING A COUGH AND I THINK I MIGHT HAVE ALSO HAD A FEVER IN THE LAST COUPLE WEEKS
audio/RES0015.mp3[16.120,23.040]	OK UM SO THE BREATHLESSNESS STARTED SIX WEEKS AGO CORRECT
audio/RES0015.mp3[23.840,27.760]	OK AND THEN WHEN DID THE COUGH START
audio/RES0015.mp3[27.760,32.640]	ID SAY AROUND THE SAME TIME THE BREATHLESSNESS STARTED SO AROUND SIX WEEKS
audio/RES0015.mp3[32.640,35.440]	OK AND THEN THE FEVER
audio/RES0015.mp3[35.440,46.480]	THE FEVER IVE KIND OF HAD ON AND OFF IN THE LAST COUPLE WEEKS I WOULD SAY TWO TO THREE WEEKS
audio/RES0015.mp3[46.480,55.000]	OK OK UM AND DO YOU HOW OFTEN ARE YOU HAVING THIS BREATHLESSNESS
audio/RES0015.mp3[55.000,77.000]	UM I WOULD SAY ITS PRETTY MUCH THERE MOST OF THE TIME IT SOMETIMES GETS WORSE WHEN IM EXERTING MYSELF BUT I THINK JUST BASELINE I FEEL LIKE IVE BEEN ABLE TO BREATHE LESS HEAVILY THAN BEFORE
audio/RES0015.mp3[77.000,83.720]	OK SO ALRIGHT AND HOW LONG DOES IT LAST WHEN YOU DO GET IT OR IS IT JUST ALWAYS THERE
audio/RES0015.mp3[83.720,100.240]	UH ITS KIND OF JUST THERE BUT THEN WHEN ITS GETTING WORSE LIKE IT LASTS A COUPLE MINUTES TO I WOULD SAY LIKE 10 TO 15 MINUTES AND THEN IT GOES BACK TO LIKE JUST THE NORMAL BREATHLESSNESS
audio/RES0015.mp3[100.240,121.360]	OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR BREATHLESSNESS WOULD YOU SAY THAT IT FEELS LIKE A KIND OF LIKE A BURNING FEELING LIKE YOURE HAVING A HARD TIME CATCHING YOUR BREATH OR DOES IT FEEL LIKE YOURE BREATHING TOO FAST
audio/RES0015.mp3[121.360,142.080]	I THINK ITS MORE I JUST CANT SEEM TO TAKE LIKE DEEP BREATHS AND THEN WHEN I GET BREATHLESS I I REALLY TRY TO TAKE A DEEP BREATH BUT I JUST CANT FIND MYSELF CATCHING MY BREATH AT THAT TIME SO ITS JUST MORE NOT BEING ABLE TO CATCH MY BREATH
audio/RES0015.mp3[142.080,148.320]	OK SURE AND ARE THERE THINGS THAT MAKE MAKE IT BETTER OR WORSE
audio/RES0015.mp3[148.320,160.520]	UH NOT REALLY I THINK ITS SOMETIMES MOVING AROUND TOO MUCH BUT LIKE NOTHING NOTHING REALLY CAUSES IT
audio/RES0015.mp3[160.520,173.760]	OK UM AND WAS THERE ANY SORT OF TRIGGER SIX WEEKS AGO THAT YOU THINK MAY HAVE LIKE CAUSED ALL OF YOUR SYMPTOMS
audio/RES0015.mp3[173.760,179.400]	OH IM NOT SURE I I DONT THINK THERE WAS ANY TRIGGERS
audio/RES0015.mp3[179.400,184.440]	OK HAS ANYONE AROUND YOU BEEN SICK
audio/RES0015.mp3[184.440,193.640]	SO THERE THERE ARE SOME PEOPLE LIVING IN MY HOUSE THAT HAVE A BAD COUGH OVER THE LAST FEW WEEKS
audio/RES0015.mp3[194.880,196.160]	SO YEAH
audio/RES0015.mp3[196.160,200.160]	SO THEY HAVE SIMILAR SYMPTOMS TO YOU AS WELL THEN
audio/RES0015.mp3[200.160,205.120]	YEAH SOME OF THEM LIKE DONT REALLY HAVE THE SHORTNESS OF BREATH AND ITS JUST LIKE A COUGH
audio/RES0015.mp3[206.320,213.480]	BUT YEAH THERE ARE SOME OF THEM ALSO HAVE SOME SHORTNESS OF BREATH
audio/RES0015.mp3[213.480,218.360]	OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0015.mp3[218.360,229.600]	SO I ACTUALLY CAME TO CANADA ONE YEAR AGO IM ORIGINALLY FROM INDIA AND I IM I CAME HERE TO STUDY
audio/RES0015.mp3[229.600,245.040]	OK OK UM ALRIGHT IF YOU WERE TO RATE YOUR BREATHLESSNESS FROM ONE TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS
audio/RES0015.mp3[245.040,253.280]	IT CAN GET PRETTY BAD LIKE I I WOULD SAY UP TO AN 8 SOMETIMES MAYBE A COUPLE TIMES A WEEK
audio/RES0015.mp3[253.280,258.280]	OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE
audio/RES0015.mp3[258.280,262.440]	NO THIS IS LIKE THE FIRST TIME IM HAVING THIS ISSUE
audio/RES0015.mp3[262.440,271.760]	OK AND DO YOU FEEL LIKE ITS GETTING WORSE BETTER HAS IT CHANGED SINCE YOU STARTED HAVING THESE SYMPTOMS
audio/RES0015.mp3[271.760,279.720]	I THINK ITS GETTING WORSE AND THATS WHY I WAS GETTING A BIT SCARED AND I CAME HERE
audio/RES0015.mp3[279.720,289.320]	OK YEAH THAT WAS A GOOD CALL AND HAVE YOU HAD ANY CHANGES TO YOUR SMELL RECENTLY
audio/RES0015.mp3[289.320,291.960]	NO NO CHANGES TO SMELL
audio/RES0015.mp3[291.960,297.040]	ANY ANYTHING LIKE A RUNNY NOSE OR STUFFY NOSE
audio/RES0015.mp3[297.040,299.600]	UH NO NOT REALLY NO
audio/RES0015.mp3[299.600,303.720]	NO OK HOW ABOUT A SORE THROAT
audio/RES0015.mp3[303.720,305.400]	NO NO SORE THROAT
audio/RES0015.mp3[305.400,309.120]	NO SORE THROAT ANY CHANGES TO YOUR TASTE
audio/RES0015.mp3[310.520,313.080]	ANY CHANGES IN HEARING
audio/RES0015.mp3[314.120,318.640]	EAR PAIN OR DISCHARGE FROM YOUR EARS
audio/RES0015.mp3[318.640,320.320]	NO NOTHING LIKE THAT
audio/RES0015.mp3[320.320,323.040]	OK ANY EYE PAIN
audio/RES0015.mp3[323.240,326.120]	CHANGES IN YOUR VISION
audio/RES0015.mp3[327.160,331.560]	ANY DISCHARGE FROM YOUR EYES
audio/RES0015.mp3[333.600,346.080]	OK AND YOU MENTIONED FEVER AND SOME NIGHT SWEATS HOW OFTEN ARE YOU GETTING THESE NIGHT SWEATS AND DO THEY FEEL LIKE CHILLS
audio/RES0015.mp3[346.080,371.640]	I THINK IN THE LAST TWO WEEKS IVE BEEN GETTING IT MORE FREQUENTLY LIKE I WOULD SAY EVERY OTHER NIGHT I I FEEL I WOULD FEEL CHILLY AT ONE POINT AND THEN ILL BREAK OUT INTO NIGHT SWEATS OR HAVE TO TAKE OFF MY BLANKET I THINK I MEASURED IT ONCE OR TWICE OVER THE WEEK AND IT DID SHOW LIKE A FEVER OF 102
audio/RES0015.mp3[371.640,379.560]	OK OK OK AND ANY CHANGES TO YOUR SKIN LIKE RASHES
audio/RES0015.mp3[379.560,381.680]	NO NOTHING LIKE THAT
audio/RES0015.mp3[381.680,385.000]	ANY WEIGHT LOSS
audio/RES0015.mp3[385.000,396.760]	I WOULD SAY I THINK IM LOSING A LITTLE BIT OF WEIGHT OVER THE LAST COUPLE WEEKS I HAVENT REALLY WEIGHED MYSELF BUT I FEEL THAT I HAVE LOST SOME WEIGHT
audio/RES0015.mp3[396.760,404.640]	OK YEAH AND THE COUGHING ARE YOU COUGHING UP ANY BLOOD
audio/RES0015.mp3[404.640,427.520]	UH I DONT THINK SO SOMETIMES LIKE WHEN I COUGH UP LIKE SPUTUM THERE IS LIKE A LITTLE BIT OF PINK PINK TINGED SPUTUM AS WELL SOMETIMES ITS LIKE BROWNISH IN COLOR AND SOMETIMES ITS GREEN BUT I HAVENT ACTUALLY COUGHED UP ANY BLOOD
audio/RES0015.mp3[427.520,440.400]	OK UM AND YOU SAID THERES SOME SPUTUM LIKE PINK TINGED SPUTUM HOW MUCH SPUTUM WOULD YOU SAY YOU COUGH UP EVERY TIME YOU COUGH
audio/RES0015.mp3[440.400,448.320]	MAYBE LIKE A LIKE A SPOONFUL I WOULD SAY
audio/RES0015.mp3[448.320,455.320]	OK AND DO YOU EVER FEEL LIKE YOURE WHEEZING
audio/RES0015.mp3[455.320,464.720]	UH NO I I DONT THINK SO I I DONT REALLY NOTICE ANY NOISES WHEN IM BREATHING
audio/RES0015.mp3[464.720,469.360]	OK AND ALRIGHT SO ANY CHEST PAIN
audio/RES0015.mp3[469.360,472.040]	NO NO CHEST PAIN AT ALL
audio/RES0015.mp3[472.040,480.280]	OK HOW ABOUT SWELLING IN YOUR LEGS OR IN YOUR LIMBS
audio/RES0015.mp3[480.280,483.320]	NO NO SWELL LEG SWELLING
audio/RES0015.mp3[483.320,492.600]	NO LEG SWELLING OK UM HOW ABOUT DO YOU FEELING LIKE YOUR HEARTS RACING
audio/RES0015.mp3[494.720,498.120]	NO OK OK AND ANY NAUSEA OR VOMITING
audio/RES0015.mp3[498.120,500.720]	NO NO NAUSEA OR VOMITTING
audio/RES0015.mp3[500.720,503.360]	HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0015.mp3[506.120,508.440]	OK HOW ABOUT CHANGES IN URINATING
audio/RES0015.mp3[508.440,510.840]	NO ITS BEEN FINE
audio/RES0015.mp3[510.840,515.080]	ALRIGHT ANY HEADACHES
audio/RES0015.mp3[515.080,516.440]	NO HEADACHES
audio/RES0015.mp3[516.440,520.600]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0015.mp3[520.600,522.240]	NO NOTHING LIKE THAT
audio/RES0015.mp3[522.240,525.840]	OK NO CONFUSION OR MEMORY LOSS
audio/RES0015.mp3[528.720,535.520]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0015.mp3[535.520,557.280]	UM I THINK WHEN I WAS BACK IN INDIA A COUPLE YEARS AGO THEY DID GIVE ME SOME ANTIBIOTICS FOR LIKE A CHEST INFECTION BUT I COULDNT REALLY AFFORD THE MEDICATIONS AND DIDNT TAKE THEM I DIDNT FINISH THE COURSE BUT OTHER THAN THAT NOTHING ELSE
audio/RES0015.mp3[557.280,563.880]	OK DID THEY MENTION WHAT TYPE OF CHEST INFECTION IT COULDVE BEEN
audio/RES0015.mp3[563.880,572.720]	NO I DONT REALLY REMEMBER I THINK IT WAS SOME KIND OF PNEUMONIA
audio/RES0015.mp3[572.720,577.200]	OK OK ARE YOU ON ANY MEDICATIONS
audio/RES0015.mp3[577.200,585.440]	JUST UH I TAKE TYLENOL SOMETIMES LIKE IT HASNT REALLY BEEN HELPING
audio/RES0015.mp3[585.440,589.440]	OK AND ARE YOU ALLERGIC TO ANYTHING
audio/RES0015.mp3[589.440,592.000]	NO NOT THAT I KNOW
audio/RES0015.mp3[592.000,595.000]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0015.mp3[595.000,596.840]	YEAH AS FAR AS I KNOW
audio/RES0015.mp3[596.840,605.720]	OK AND AND IS THERE ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0015.mp3[606.040,609.760]	NO OK HOW ABOUT CANCERS
audio/RES0015.mp3[609.760,615.760]	NO CANCERS THAT RUN IN THE FAMILY NO
audio/RES0015.mp3[615.760,623.520]	OK OK SO YOU MENTIONED YOU MOVED TO CANADA FROM INDIA ABOUT A YEAR BACK WHERE DO YOU LIVE NOW
audio/RES0015.mp3[623.520,637.160]	SO I LIVE IN ITS WE HAVE LIKE A STUDENT HOUSE WITH SOME OF THE STUDENTS WHO CAME FROM INDIA AS WELL AND THERES SIX OF US LIVING TOGETHER IN IN A HOUSE
audio/RES0015.mp3[637.160,643.000]	OK OK AND ARE THEY SICK AS WELL OR NO
audio/RES0015.mp3[643.000,650.000]	YEAH SO THREE OF THEM ACTUALLY HAVE LIKE TWO OF THEM HAVE A COUGH AND ONE OF THEM HAS SOME SHORTNESS OF BREATH AS WELL
audio/RES0015.mp3[650.000,659.880]	OK AND HAVE THEY BEEN TO A DOCTOR HAVE THEY BEEN INVESTIGATED WERE THEY EVER GIVEN A DIAGNOSIS
audio/RES0015.mp3[659.880,668.160]	NO NOT THAT I KNOW OF I THINK I MIGHT BE THE FIRST ONE WHO ACTUALLY WENT TO A DOCTOR
audio/RES0015.mp3[668.160,670.320]	OK OK UM DO YOU SMOKE
audio/RES0015.mp3[670.320,676.560]	I SMOKE LIKE I WOULD SAY LIKE 5 CIGARETTES A DAY
audio/RES0015.mp3[676.560,678.800]	OK HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0015.mp3[678.800,682.240]	AROUND 10 YEARS
audio/RES0015.mp3[682.240,691.040]	OK THATS ITS BEEN A WHILE THEN UM AND DO YOU DO YOU DRINK ALCOHOL
audio/RES0015.mp3[691.040,697.240]	NO I I DONT DRINK AND I DONT DO ANY DRUGS EITHER
audio/RES0015.mp3[697.240,698.880]	OK OK ARE YOU SEXUALLY ACTIVE
audio/RES0015.mp3[698.880,701.760]	NOT CURRENTLY NO
audio/RES0015.mp3[701.760,708.200]	NO OK HAVE YOU EVER HAD UNPROTECTED SEX
audio/RES0015.mp3[708.920,720.800]	NO OK OK UM DID YOU HAVE ANY QUESTIONS OR CONCERNS ANYTHING YOU WANTED TO DISCUSS THAT I HADNT ASKED YOU ABOUT
audio/RES0015.mp3[720.800,735.360]	UM SO YEAH THIS IS JUST LIKE MY FIRST TIME VISITING A DOCTOR IN THIS COUNTRY AND LIKE I WAS JUST VERY SCARED THAT IT MIGHT BE SOMETHING SERIOUS SO JUST WANTED TO KNOW WHAT IT CAN BE
audio/RES0015.mp3[735.360,803.520]	YEAH FOR SURE SO THE FIRST THING WE WANT TO RULE OUT IS TB BECAUSE YOU HAVE RECENTLY MOVED TO CANADA FROM A COUNTRY WHERE IT IS I BELIEVE IT IS ENDEMIC SO AND SOME OF YOUR MOST OF YOUR SYMPTOMS FIT WITH TB AND HOW IT PRESENTS SO WE JUST WANT TO MAKE SURE ITS NOT THAT BECAUSE IT IS HIGHLY INFECTIOUS AND AND WE DONT WANT IT TO SPREAD SO WE CAN DO LIKE A AFB SMEAR OR I THINK THEY HAVE OTHER DIAGNOSTIC WORK UP FOR THAT TOO SO WELL DO THAT FIRST IF NOT WE CAN CHECK TO SEE IF ITS LIKE ANOTHER ANOTHER TYPICAL PNEUMONIA WE CAN DO A CHEST X RAY FOR THAT AS WELL IF BOTH OF THOSE TURN OUT TO BE NEGATIVES THEN WELL HAVE TO WORK YOU UP FURTHER FOR OTHER THINGS LIKE COPOR LUNG CANCER HOW DOES THAT SOUND
audio/RES0015.mp3[803.520,807.520]	THAT SOUNDS GOOD THANK YOU
audio/RES0036.mp3[0.000,3.720]	CAN WE JUST BEGIN WITH WHAT BRINGS YOU IN HERE TODAY
audio/RES0036.mp3[3.720,18.920]	YEAH SO IVE BEEN PRETTY BREATHLESS FOR THE PAST SIX DAYS AND ITS ITS JUST WORSE I HAVE TO STOP FROM I HAD TO STOP SO MANY TIMES WALKING HERE FROM MY CAR
audio/RES0036.mp3[18.920,22.120]	OK AND WHEN DID THIS FIRST START
audio/RES0036.mp3[22.120,24.640]	SIX DAYS AGO
audio/RES0036.mp3[24.640,29.280]	AND DID IT START LIKE GRADUALLY OR WAS IT ALL OF A SUDDEN
audio/RES0036.mp3[29.280,33.400]	BAH PRETTY SUDDEN ACTUALLY
audio/RES0036.mp3[33.400,38.480]	OK AND WERE YOU DOING ANYTHING BEFORE IT FIRST HAPPENED
audio/RES0036.mp3[38.480,45.000]	NO JUST WORK AND SPENDING SOME TIME AT HOME
audio/RES0036.mp3[45.000,51.400]	OK AND SO YOURE HAVING THE SHORTNESS OF BREATH BUT ARE YOU HAVING ANY LIKE COUGHING AT ALL
audio/RES0036.mp3[51.400,55.640]	OH YEAH A LOT OF COUGHING TOO YEAH
audio/RES0036.mp3[55.640,62.120]	OK AND IS IT A DRY COUGH OR A WET COUGH
audio/RES0036.mp3[62.120,73.040]	UM SO IVE NOTICED THIS WEIRD RUSTY COLORED SPUTUM AND IVE NOTICED THAT LIKE A COUPLE TIMES A DAY
audio/RES0036.mp3[73.040,79.920]	AND DID YOUR COUGH STARTED AROUND THE SAME TIME AS WHEN YOUR SHORTNESS OF BREATH STARTED
audio/RES0036.mp3[79.920,82.160]	UHM YEAH ID SAY SO
audio/RES0036.mp3[82.160,84.960]	OK SO AROUND SIX DAYS
audio/RES0036.mp3[84.960,86.840]	YEAH AROUND THERE
audio/RES0036.mp3[86.840,95.640]	AND HAS IT BEEN CONSTANT LIKE IVE BEEN CONSTANTLY HAVING A SHORTNESS OF BREATH EVERY DAY WITH THE COUGHING OR DOES IT COME AND GO
audio/RES0036.mp3[95.640,101.000]	UM ITS PRETTY CONSTANT NOW
audio/RES0036.mp3[101.000,107.040]	OK AND DO YOU FIND THAT ITS BEEN GETTING WORSE AT ALL
audio/RES0036.mp3[107.040,111.920]	UHM YEAH ID SAY ITS GETTING ID SAY ITS GETTING WORSE
audio/RES0036.mp3[111.920,118.480]	OK AND IS THAT BOTH THE COUGHING AND THE SHORTNESS OF BREATH OR ONE OR THE OTHER
audio/RES0036.mp3[118.480,120.120]	ITS ITS BOTH
audio/RES0036.mp3[120.120,122.440]	ITS BOTH OK
audio/RES0036.mp3[124.720,140.680]	AND DO YOU REMEMBER IF YOU WERE DOING SOMETHING AT THE TIME WHEN THE SHORTNESS OF BREATH FIRST STARTED HAVE YOU RECENTLY HAD ANY INFECTIONS OR ANYTHING LIKE THAT PREVIOUSLY
audio/RES0036.mp3[140.680,155.000]	I DONT KNOW BOUT AN INFECTION UM BUT I GUESS I HAVE BEEN FEELING A LITTLE FEVERISH I HAVENT TAKEN MY TEMPERATURE BUT IVE BEEN FEELING YOU KNOW KIND OF COLD
audio/RES0036.mp3[155.000,163.000]	OK AND WHEN YOU FEEL THE BREATHLESSNESS HOW LONG DOES IT USUALLY LAST FOR
audio/RES0036.mp3[163.000,172.320]	UM ITS KIND OF HARD TO SAY ITS ITS ALWAYS THEIR BASELINE BUT IT GETS WORSE WHEN I WHEN I WALK OR WHEN I EXERT MYSELF
audio/RES0036.mp3[172.320,182.280]	OK AND BESIDES LIKE THE EXERTION DOES IT GET WORSE WITH ANY WHEN YOURE NEAR POLLEN WHEN YOURE OUTSIDE IN THE COLD ANYTHING LIKE THAT
audio/RES0036.mp3[182.280,192.400]	UM IT GETS WORSE WHEN WHEN NO NO I WOULDNT SAY THAT NO NO
audio/RES0036.mp3[192.400,196.440]	OK AND IS IT WORSE IN THE MORNING OR AT NIGHT
audio/RES0036.mp3[196.440,198.480]	IT IT DOESNT MATTER
audio/RES0036.mp3[198.480,204.440]	IT IS THERE ALL THE TIME
audio/RES0036.mp3[205.560,214.760]	OK AND IS THERE ANYTHING THAT MAKES IT GO AWAY OR I MEAN OR ANYTHING YOUVE TRIED THAT MAKES IT BETTER
audio/RES0036.mp3[214.760,225.680]	WELL I GUESS IVE TRIED SOME TAKING SOME TYLENOL AND THATS HELPING MY LIKE REGULATING MY TEMPERATURE
audio/RES0036.mp3[225.680,231.640]	OK AND HAVE YOU EVER NOTICED ANY BLOOD IN THE COUGH
audio/RES0036.mp3[231.640,235.600]	ITS RUSTY COLORED BUT I DONT KNOW IF THATS BLOOD
audio/RES0036.mp3[235.600,239.960]	OK BUT YOUVE NEVER ACTUALLY COUGHED UP UHM RED BLOOD
audio/RES0036.mp3[243.680,252.600]	OK AND IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS WORSE BESIDES EXERTION
audio/RES0036.mp3[252.600,259.400]	UH NO
audio/RES0036.mp3[259.400,267.400]	OK AND DO YOU NOTICE HAVING ANY WHEEZING OR ANY OTHER BREATHING SOUNDS
audio/RES0036.mp3[267.400,276.560]	I NOTICE SOME WHEEZING YEAH ITS ITS ITS NOT THAT MUCH THOUGH
audio/RES0036.mp3[276.560,281.520]	OK BEFORE THIS BEFORE THE SIX DAYS HAVE YOU EVER EXPERIENCED ANYTHING SIMILAR
audio/RES0036.mp3[281.520,284.080]	UH NO
audio/RES0036.mp3[284.080,290.880]	NO OK HAVE YOU TRAVELED OUTSIDE OF THE COUNTRY AT ALL RECENTLY
audio/RES0036.mp3[290.880,295.080]	UH NO
audio/RES0036.mp3[295.080,303.560]	YEAH OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CHEST PAIN ANYTHING LIKE THAT
audio/RES0036.mp3[303.560,310.880]	I DO HAVE THIS SHARP CHEST PAIN THAT GETS WORSE WITH COUGHING
audio/RES0036.mp3[310.880,317.480]	OK AND IS IS THAT ALWAYS THERE OR IS IT JUST WHEN YOURE COUGHING A LOT
audio/RES0036.mp3[317.480,320.200]	I GUESS WHEN IM COUGHING A LOT
audio/RES0036.mp3[320.200,324.120]	AND THAT STARTS SIX DAYS AGO TOO AS WELL OR IS THAT
audio/RES0036.mp3[327.240,339.640]	OK AND DO YOU EVER FEEL ANY KIND OF IS IT SO YOU SAID MENTION IT WAS SHARP BUT DO YOU EVER FEEL LIKE INCREASED PRESSURE IN YOUR CHEST ANYTHING LIKE THAT
audio/RES0036.mp3[339.640,342.600]	UH NO
audio/RES0036.mp3[342.600,352.360]	AND HOW WOULD YOU RATE THIS PAIN WHEN IT OCCURS FROM A SCALE OF 1 BEING THE LEAST AMOUNT OF PAIN YOUVE FELT IN YOUR LIFE AND 10 BEING THE WORST
audio/RES0036.mp3[352.360,356.760]	THE SHARP CHEST PAIN ID SAY MAYBE LIKE A 7
audio/RES0036.mp3[356.760,362.960]	OK AND DOES IT GO AWAY ON ITS OWN OR DOES IT SPREAD TO DIFFERENT AREAS OF YOUR BODY AT ALL
audio/RES0036.mp3[362.960,370.920]	IT JUST STARTS GRADUALLY GOING AWAY AT WHEN I STOP COUGHING
audio/RES0036.mp3[370.920,374.880]	OK HAVE YOU EXPERIENCED ANY KIND OF HEADACHES WITH NAUSEA OR VOMITING
audio/RES0036.mp3[374.880,379.080]	UHM NO
audio/RES0036.mp3[379.080,383.640]	OK SO YOU MENTIONED YOU HAD SOME CHILLS BUT YOU DONT KNOW IF YOU HAD A FEVER
audio/RES0036.mp3[386.360,391.160]	OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS
audio/RES0036.mp3[391.160,395.640]	UH NO
audio/RES0036.mp3[395.640,402.880]	OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY
audio/RES0036.mp3[402.880,405.960]	NOT THAT I KNOW OF NO
audio/RES0036.mp3[405.960,410.680]	OK HAVE YOU EXPERIENCED ANY NIGHT SWEATS
audio/RES0036.mp3[410.680,414.640]	I FEEL CHILLY AT NIGHT BUT I DONT MAYBE YEAH
audio/RES0036.mp3[414.640,421.920]	OK ANY SIGNIFICANT WEIGHT LOSS RECENTLY
audio/RES0036.mp3[424.240,433.440]	AND HAVE YOU NOTICED ANY KIND OF SYMPTOMS LIKE YOUR HEART IS RACING OR ANYTHING LIKE THAT
audio/RES0036.mp3[435.040,440.200]	OK HAVE YOU EXPERIENCED ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL LIKE IN CONSTIPATION OR DIARRHEA
audio/RES0036.mp3[442.160,445.280]	ANY CHANGES IN YOUR URINARY PATTERNS
audio/RES0036.mp3[445.280,448.680]	UM NO
audio/RES0036.mp3[448.680,453.040]	ANY ISSUES WITH YOUR SLEEP OR APPETITE AT ALL
audio/RES0036.mp3[453.040,457.120]	UHM NO
audio/RES0036.mp3[457.120,465.640]	OK HAVE YOU HAD ANY RECENT INFECTIONS LIKE A COLD OR ANYTHING LIKE THAT RECENTLY
audio/RES0036.mp3[465.640,472.240]	UM I GUESS I HAD A RUNNY NOSE A FEW DAYS BEFORE
audio/RES0036.mp3[474.400,479.520]	HAVE YOU AT ALL BEEN EXPOSED TO ANYONE WITH TUBERCULOSIS IN THE PAST
audio/RES0036.mp3[481.720,489.680]	ANY EXPOSURE AT YOUR WORKPLACE OR AT HOME TO ANY FUMES OR DUST IN PETS OR ANIMALS
audio/RES0036.mp3[489.680,499.320]	AH WELL I HAVE BIRDS BUT IVE HAD THEM FOR AWHILE
audio/RES0036.mp3[499.320,503.520]	OK HOW LONG HAVE YOU HAD THE BIRDS FOR
audio/RES0036.mp3[503.520,507.760]	AH ABOUT THREE YEARS
audio/RES0036.mp3[507.760,510.280]	OK AND NO THEY HAVENT CAUSED YOU ANY ISSUES BEFORE
audio/RES0036.mp3[512.720,516.600]	OK AND DO YOU HAVE ANY ALLERGIES THAT YOU KNOW OF
audio/RES0036.mp3[516.600,518.920]	NO ALLERGIES
audio/RES0036.mp3[518.920,526.760]	OK ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ASTHMA
audio/RES0036.mp3[527.520,531.720]	ANY PREVIOUS SURGERIES
audio/RES0036.mp3[531.720,532.720]	NO NONE
audio/RES0036.mp3[532.720,536.320]	OK ANY HOSPITALIZATIONS FOR ANY REASON
audio/RES0036.mp3[539.200,541.360]	OK ARE YOU ON ANY MEDICATIONS CURRENTLY
audio/RES0036.mp3[543.160,550.920]	AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE CANCERS OR HEART ATTACKS OR ANY LUNG ISSUES
audio/RES0036.mp3[551.600,559.680]	OK AND CURRENTLY DO YOU WORK
audio/RES0036.mp3[559.680,577.640]	I DO THE PLACE I WORK IS VERY CROWDED AND ITS NOT THE BEST CONDITIONS TO WORK IN AND THERES AN AIR CONDITIONER WHICH I THINK IS BROKEN ITS QUITE HUMID ITS NEVER BEEN CHECKED YEAH
audio/RES0036.mp3[577.640,582.200]	AND HOW LONG HAVE YOU BEEN WORKING THERE
audio/RES0036.mp3[582.200,583.600]	FOR THE PAST YEAR
audio/RES0036.mp3[583.600,592.000]	OK AND WHERE DO YOU LIVE CURRENTLY DO YOU LIVE IN A HOUSE OR AN APARTMENT
audio/RES0036.mp3[592.000,598.320]	UHM I HAVE A SMALL APARTMENT ALSO NOT IN THE GREATEST LOCATION
audio/RES0036.mp3[598.320,606.200]	OK DO YOU HAVE ANY EXPOSURE TO MOLD OR EXCESSIVE DUST IN YOUR HOUSEHOLD
audio/RES0036.mp3[606.200,615.520]	UM MAYBE AH ITS A VERY BADLY KEPT APARTMENT SO ITS POSSIBLE
audio/RES0036.mp3[615.520,622.760]	OK DO YOU HAVE ANY POTENTIAL EXPOSURE TO ASBESTOS IN YOUR HOUSE OR AT WORK
audio/RES0036.mp3[622.760,628.000]	I MEAN YEAH PROBABLY BOTH BUILDINGS ARE VERY VERY OLD I DOUBT THEYRE BEING MAINTAINED
audio/RES0036.mp3[628.000,634.720]	OK AND DO YOU CURRENTLY SMOKE AT ALL
audio/RES0036.mp3[634.720,638.400]	I SMOKE 10 CIGARETTES A DAY
audio/RES0036.mp3[638.400,642.160]	OK AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0036.mp3[642.160,645.440]	UM SINCE I WAS 20
audio/RES0036.mp3[645.440,650.840]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0036.mp3[650.840,654.600]	I SMOKE A LITTLE CANNABIS SOMETIMES
audio/RES0036.mp3[654.600,658.320]	AND HOW OFTEN WOULD YOU SAY YOU SMOKE IN AN AVERAGE WEEK
audio/RES0036.mp3[658.320,663.720]	MAYBE ABOUT 5 MILLIGRAMS
audio/RES0036.mp3[663.720,670.920]	OK AND DO YOU DRINK ALCOHOL
audio/RES0036.mp3[670.920,672.200]	I DO BUT NOT A LOT
audio/RES0036.mp3[672.200,674.840]	HOW MUCH WOULD YOU SAY YOU DRINK IN A WEEK
audio/RES0036.mp3[674.840,678.280]	AH MAYBE 5 DRINKS
audio/RES0036.mp3[678.280,686.880]	OK AND IN TERMS OF YOUR DAILY ROUTINE DO YOU THINK YOU GET ENOUGH EXERCISE
audio/RES0036.mp3[686.880,690.280]	PROBABLY NOT
audio/RES0036.mp3[690.280,699.360]	OK UHM AND HOW ABOUT YOUR DIET DO YOU GET 3 MEALS A DAY OR IS IT WELL BALANCED
audio/RES0036.mp3[699.360,704.560]	I EAT A LOT OF FAST FOOD AND JUNK FOOD
audio/RES0036.mp3[704.560,712.600]	OK ALRIGHT IS THERE ANY OTHER QUESTIONS OR CONCERNS THAT YOU HAD FOR US TODAY
audio/RES0036.mp3[715.960,751.560]	OK SO YEAH BASED ON WHAT WE DISCUSSED TODAY IT SEEMS THAT YOU MAY HAVE AN UPPER RESPIRATORY TRACT INFECTION THE OTHER THINGS ON DIFFERENTIAL WOULD BE A COPEXACERBATION DUE TO YOUR SIGNIFICANT SMOKING HISTORY SO WE WILL DO SOME INVESTIGATIONS TI FIGURE OUT WHAT THIS IS AND THEN PERHAPS CAN GIVE YOU ANTIBIOTICS OR OTHER MEDICATIONS TO HELP YOU UNLESS ITS A VIRAL INFECTION
audio/MSK0037.mp3[0.000,1.520]	HOW MAY I HELP YOU
audio/MSK0037.mp3[1.520,46.520]	YEAH I JUST CAME IN HERE TODAY IVE BEEN EXPERIENCING SOME DIFFICULTIES WITH MY RIGHT HAND ESPECIALLY AT THE BASES OF THE 4TH AND 5TH DIGITS I NOTICE THIS HAPPENING OVER THE LAST ID SAY PROBABLY LAST FEW MONTHS ITS BEEN GETTING WORSE IVE BEEN HAVING TROUBLE JUST KIND OF EXTENDING THOSE TWO FINGERS AND I KIND OF SEE LIKE THIS LITTLE BUMP AT THE BASE OF THOSE TWO FINGERS SO YEAH OVERALL ITS JUST BEEN DIFFICULT WORKING IM A CONSTRUCTION WORKER AND I DONT KNOW IF THIS JUST KEEPS GETTING WORSE
audio/MSK0037.mp3[46.520,51.160]	OK AND YOU NOTICED UM AND SORRY WHEN EXACTLY DID IT START
audio/MSK0037.mp3[51.160,58.840]	PROBABLY TWO MONTHS AGO MONTHS AGO
audio/MSK0037.mp3[58.840,68.560]	ABOUT TWO MONTHS AGO AND ITS THE 4TH AND 5TH DIGITS OR ANY OTHER FINGERS INVOLVED OR ANY PARTS OTHER PARTS OF YOUR HAND
audio/MSK0037.mp3[68.560,74.520]	NO ITS JUST THOSE TWO
audio/MSK0037.mp3[74.520,89.320]	OK UHM AND HOW WOULD YOU DESCRIBE THE THE PAIN THAT YOURE FEELING IS IT A SHARP PAIN AND AN ACHY PAIN OR A BURNING PAIN
audio/MSK0037.mp3[89.320,113.840]	UHM ITS MORE A KIND OF LIKE A ACHING ACHING PAIN WHICH GETS WORSE WITH IF I TRY TO EXTEND THOSE FINGERS AND YEAH LIKE THAT I DO FEEL LIKE THE LITTLE NODULES BUT LIKE PRESSING ON THEM DOESNT HURT OR ANYTHING LIKE THAT
audio/MSK0037.mp3[113.840,123.920]	OK UH AND DO YOU FEEL ANY RADIATION OF PAIN LIKE IN INTO YOUR HAND OR FOREARM
audio/MSK0037.mp3[123.920,128.360]	UHM NO NOT REALLY
audio/MSK0037.mp3[128.360,137.520]	OK AND ALRIGHT IS THERE ANYTHING THAT IS AGGRAVATING OR MAKING THE PAIN WORSE
audio/MSK0037.mp3[137.520,166.080]	UHM I THINK JUST A EXTENDING ITS ITS I WOULD SAY MORE THAN THE PAIN ITS JUST LIKE DISCOMFORT AND JUST NOT BEING ABLE TO EXTEND THAT IS IS FRUSTRATING UH LIKE THE PAIN ISNT THAT BAD LIKE THERES LIKE MINIMAL PAIN
audio/MSK0037.mp3[166.080,176.240]	OK AND IS THERE ANY LIKE LIKE CLICKING OR YEAH ANY ANY CLICKING OR CATCHING WHEN YOURE TRYING TO LIKE EXTEND THE FINGER
audio/MSK0037.mp3[176.240,188.840]	UHM I WOULD SAY THERE IS A YEAH THERES SOME LIKE CATCHING I WOULD SAY IF WHEN IM TRYING TO EXTEND
audio/MSK0037.mp3[188.840,202.640]	OK AND HAS THERE BEEN ANYTHING THAT THAT YOUVE TRIED RECENTLY THATS IMPROVED THE DISCOMFORT OR OR HELPED WITH THE RANGE OF MOTION
audio/MSK0037.mp3[202.640,215.760]	NO NOTHING THAT IVE TRIED THAT HAS REALLY HELPED AND YEAH IM JUST AFRAID IF I STOP KIND OF EXERCISING AND ITLL JUST KEEP GETTING WORSE
audio/MSK0037.mp3[215.760,232.800]	OK YEAH CERTAINLY OK AND WHAT HAVE YOU HAD ANY PROBLEMS WITH YOUR HAND BEFORE LIKE ANY TRAUMA THERE OR ANYTHING LIKE THAT
audio/MSK0037.mp3[232.800,261.040]	UH MY MY CONSTRUCTION WORKER SO THERES ALWAYS LIKE A LOT OF I HAVENT HAD ANY FALLS OR INJURIES ON MY HANDS LUCKILY BUT THERE IS ALWAYS JUST CONSTANT LIFTING THERES I USED TO DRILL A LOT TOO SO THERES LIKE ALWAYS CONSTANT AND IM RIGHT HANDED AS WELL SO THERES ALWAYS LIKE THE VIBRATION YEAH SO BUT NO NO DIRECT LIKE TRAUMAS OR FALLS
audio/MSK0037.mp3[261.040,271.240]	HAVE YOU BEEN HAVING ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR LOSS OF SENSATION TO ANY PARTS OF YOUR HAND OR UPPER EXTREMITY
audio/MSK0037.mp3[271.240,278.800]	NO NUMBNESS OR TINGLING AND NO WEAKNESS OR ANYTHING LIKE THAT
audio/MSK0037.mp3[278.800,280.720]	OK SO NO MUSCLE WEAKNESS
audio/MSK0037.mp3[281.880,286.960]	OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/MSK0037.mp3[289.280,294.040]	OK AND HOW ABOUT ANY NIGHT SWEATS
audio/MSK0037.mp3[294.480,300.400]	AND HAVE YOU BEEN HAVING ANY UNEXPECTED HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0037.mp3[301.600,305.320]	OK AND HAVE YOU HAD ANY HEADACHES
audio/MSK0037.mp3[306.120,312.680]	ANY SENSORY CHANGES SUCH AS CHANGES TO YOUR VISION HEARING LOSS OF TASTE OR SENSE OF SMELL
audio/MSK0037.mp3[312.680,314.400]	NO NOTHING LIKE THAT
audio/MSK0037.mp3[314.400,317.840]	HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
audio/MSK0037.mp3[319.040,323.600]	HAVE YOU HAD ANY I REDNESS OR OR ITCHY EYES
audio/MSK0037.mp3[324.520,328.240]	ALRIGHT AND HAVE YOU HAD A SORE THROAT OR COUGH
audio/MSK0037.mp3[328.240,329.840]	NO NOTHING LIKE THAT
audio/MSK0037.mp3[329.840,334.040]	HOW ABOUT ANY SHORTNESS OF BREATH OR WHEEZING
audio/MSK0037.mp3[335.200,337.520]	HAVE YOU HAD ANY CHEST PAIN
audio/MSK0037.mp3[338.320,343.920]	ANY LIGHTHEADEDNESS DIZZINESS OR FEELING AS THOUGH YOU MIGHT FAINT
audio/MSK0037.mp3[344.840,349.280]	YOU GOT ANY FEELINGS OF THOUGH YOUR HEART IS RACING
audio/MSK0037.mp3[351.040,354.800]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0037.mp3[355.800,358.560]	ANY ABDOMINAL PAIN
audio/MSK0037.mp3[359.120,365.200]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/MSK0037.mp3[366.960,370.960]	ALRIGHT AND HAVE YOU HAD LIKE ANY BLOOD IN THE STOOL
audio/MSK0037.mp3[371.760,375.280]	ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/MSK0037.mp3[376.160,380.480]	AN ANY SKIN CHANGES LIKE RASHES
audio/MSK0037.mp3[380.480,384.280]	NO NOTHING LIKE THAT
audio/MSK0037.mp3[384.280,392.600]	OK OR ANY CHANGES TO YOUR NAILS OR HAIR LIKE YOULL NOTICE LIKE PLAQUES ON THE NAILS OR OR HAIR LOSS
audio/MSK0037.mp3[394.240,402.960]	OK AND HAVE YOU BEEN HAVING ANY MUSCLE ACHES OR JOINT PAINS OR BODY PAINS ANYWHERE ELSE
audio/MSK0037.mp3[402.960,405.400]	NO NOT REALLY
audio/MSK0037.mp3[405.400,412.400]	ALRIGHT AND UH HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION
audio/MSK0037.mp3[412.400,415.240]	NO NOTHING LIKE THAT
audio/MSK0037.mp3[415.240,420.120]	OK AND HAVE YOU HAD ANY APPETITE LOSS OR FATIGUE
audio/MSK0037.mp3[420.120,422.480]	UHM NO
audio/MSK0037.mp3[422.480,430.680]	ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0037.mp3[430.680,442.240]	UHM THEY SAY I HAVE LIKE SOME HIGH CHOLESTEROL IM TAKING THIS MEDICATION LIKE A STATIN AND BUT OTHER THAN THAT UMM NO
audio/MSK0037.mp3[442.240,446.520]	OK SO DO YOU TAKE ANY OTHER MEDICATIONS OR IS IT JUST THE STATIN
audio/MSK0037.mp3[446.520,448.680]	ITS JUST A STATIN
audio/MSK0037.mp3[448.680,457.040]	OK AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/MSK0037.mp3[457.040,469.800]	UHM I DID A HAVE A ACL REPAIR JUST WHEN I WAS PROBABLY 18
audio/MSK0037.mp3[469.800,472.880]	OK DO YOU HAVE ANY ALLERGIES
audio/MSK0037.mp3[472.880,476.760]	NO NOT THAT I KNOW
audio/MSK0037.mp3[476.760,482.000]	ALRIGHT AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0037.mp3[482.280,487.960]	COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/MSK0037.mp3[487.960,496.040]	YEAH SO I JUST LIVED WITH MY WIFE WE LIVE IN SMALL APARTMENT
audio/MSK0037.mp3[496.040,500.920]	OK AND ARE YOU WORKING RIGHT NOW
audio/MSK0037.mp3[500.920,514.080]	YEAH JUST AS A CONSTRUCTION WORKER BEEN DOING THAT FOR THE LAST PROBABLY 10 YEARS
audio/MSK0037.mp3[514.080,517.840]	OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0037.mp3[519.600,529.800]	OK AND SORRY AS A CONSTRUCTION WORKER I HAVE YOU HAD ANY LIKE ANY PUNCTURE WOUNDS TO YOUR HANDS OR ANYTHING THAT LIKE ANY LIKE SLIVERS OR THINGS THAT HAVE GONE INTO THE SKIN
audio/MSK0037.mp3[529.800,546.840]	NOT ANY PUNCTURE WOUNDS LIKE UH YEAH I SOMETIMES GET SPLINTERS HERE AND THERE BUT NOTHING LIKE NOTHING RECENTLY THAT I CAN THINK OF THAT HAS BEEN ANYTHING WORRYING OR SIGNIFICANT
audio/MSK0037.mp3[546.840,555.720]	ALRIGHT OK AND HAVE YOU EVER TRAVELED ANYWHERE RECENTLY
audio/MSK0037.mp3[556.680,559.240]	BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0037.mp3[559.800,561.800]	DO YOU SMOKE CIGARETTES
audio/MSK0037.mp3[561.800,570.640]	YEAH I SMOKE PROBABLY A PACK A DAY FOR THE LAST I DONT KNOW LIKE 10 YEARS
audio/MSK0037.mp3[570.640,574.000]	OK AND YOU SMOKE MARIJUANA
audio/MSK0037.mp3[574.000,584.120]	NOT THAT MUCH PROBABLY JUST A COUPLE TIMES A MONTH
audio/MSK0037.mp3[584.120,587.760]	OK UH AND DO YOU DRINK ALCOHOL
audio/MSK0037.mp3[587.760,594.800]	YEAH PROBABLY A COUPLE OF YEARS A DAY
audio/MSK0037.mp3[594.800,600.320]	OK LIKE ONE OR TWO A DAY
audio/MSK0037.mp3[600.320,605.520]	YEAH PROBABLY ONE OR TWO SOMETIMES 3
audio/MSK0037.mp3[605.520,614.480]	OK AND YOU USE ANY REC OTHER RECREATIONAL DRUGS AT AND OR ANY IV DRUGS AND HAVE YOU IN THE PAST
audio/MSK0037.mp3[614.480,625.680]	NO I HAVENT TRIED ANYTHING BEYOND WEED I DONT WANNA TRY ANY OTHER STUFF
audio/MSK0037.mp3[625.680,636.080]	OK I I SEE AND THATS GOOD THEN UHM ANYBODY IN THE FAMILY HAVE ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY
audio/MSK0037.mp3[636.080,643.400]	UHM NOT THAT I KNOW
audio/MSK0037.mp3[643.400,650.440]	OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS LIKE RHEUMATOID ARTHRITIS OR HYPOTHYROIDISM
audio/MSK0037.mp3[651.400,661.800]	OK AND AS ANYBODY IN THE FAMILY HAD A DUPUYTRENS CONTRACTURE BEFORE
audio/MSK0037.mp3[661.800,668.520]	UHM NO I HAVENT I HAVENT HEARD IT NOW
audio/MSK0037.mp3[668.520,683.040]	OK AND SO UH NEXT I JUST WANTED TO GO ON TO THE PHYSICAL EXAM PORTION SO JUST A COUPLE MORE QUESTIONS SO WHEN YOURE LOOKING AT YOUR HAND ARE YOU SEEING ANY SWELLING REDNESS
audio/MSK0037.mp3[683.040,694.920]	NOT SWELLING I JUST YEAH JUST THOSE NODULES AND I GET LIKE A LITTLE BIT OF WHITENESS AROUND THOSE NODULES WHEN I EXTEND MY FINGERS
audio/MSK0037.mp3[694.920,699.960]	OK YEAH BUT NO REDNESS
audio/MSK0037.mp3[702.760,713.040]	OK AND ARE YOU ARE YOU SEEING ANY UH LIKE MUSCLE ATROPHY OR ANY DEFORMITIES OF ANY OF YOUR JOINTS IN THE FINGERS OR THE WRIST
audio/MSK0037.mp3[716.720,728.920]	OK AND UH ARE THERE ANY AREAS THAT THAT YOU CAN PALPATE OVER YOUR HAND THAT CAUSES PAIN
audio/MSK0037.mp3[728.920,757.400]	YEAH THERES JUST SOME DISCOMFORT LIKE WHEN I AT THE BASES OF THOSE TWO FINGERS LIKE IF I PRESS ON THE NODULES LIKE ITS SOMETIMES A LITTLE BIT LIKE UNCOMFORTABLE BUT ITS NOT TOO BAD LIKE I I DONT BUT I DONT KNOW I HAVE A PRETTY HIGH PAIN THRESHOLD TOO SO ITS HARD TO SAY
audio/MSK0037.mp3[757.400,767.400]	OK I SEE AN WHEN YOURE EXTENDING YOUR FINGERS WITH LIKE PASSIVE EXTENSION TO DO WITH YOUR OTHER HAND DO YOU GET A LOT OF PAIN LIKE ALONG THE TENDONS OR THE PASSIVE EXTENSION
audio/MSK0037.mp3[767.400,786.560]	YEAH DEFINITELY I WOULD SAY MORE PAINFUL THAN IF I TRY TO EXTEND IT MYSELF LIKE JUST FORCING IT BACK BUT YEAH BUT NOT NOT ANYTHING TOO LIKE I LIKE ITS NOT SHARP OR ANYTHING LIKE THAT
audio/MSK0037.mp3[786.560,803.240]	OK AND WITH THE ON THE NODULES AND STUFF DO YOU FEEL ANY LIKE CREPITATIONS OR LIKE CRACKLING OR RUBBING OVER THOSE THOSE AREAS OR YOUR PALM
audio/MSK0037.mp3[803.240,810.320]	UHM CRACKLING OH NO NOT THAT I HAVE NOTICED
audio/MSK0037.mp3[810.320,814.080]	OK AND ANY ISSUES WITH YOUR LIKE WRIST OR OR ELBOW
audio/MSK0037.mp3[814.080,825.520]	NO NOT THAT I KNOW OF
audio/MSK0037.mp3[825.520,833.040]	OK UHM SO I THINK THATS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD OR OR DID YOU HAVE ANY QUESTIONS
audio/MSK0037.mp3[833.040,836.640]	NO I THINK THATS ALL
audio/MSK0037.mp3[836.640,877.760]	OK IM SO RIGHT NOW ITS SOUNDING LIKE ITS MOST LIKELY SOMETHING CALLED DUPUYTRENS CONTRACTURE BUT ALSO WE CANT RULE OUT LIKE FLEXOR TENOSYNOVITIS JUST YET OR OR TRIGGER FINGER BASED ON THE THE SYMPTOMS BUT THE FACT THAT YOURE NOT HAVING A FEVER YOU DONT HAVE PAIN KIND OF ALONG THE THE TENDON YOURE NOT SEEING ANY SWELLING OR REDNESS THATS ALL POINTING AWAY FROM THE TENOSYNOVITIS
audio/MSK0037.mp3[878.240,911.920]	BUT ITLL BE IMPORTANT TO GET SOME BLOOD WORK AND THINGS TO MAKE SURE THAT WERE NOT MISSING THAT BUT FOR DUPUYTRENS CONTRACTURE ITLL BE A UH DO DOING WHAT WE CAN WITH THERAPY TO TRY IT LIKE PHYSIOTHERAPY AND ACTIVITY MODIFICATION TO TRY AND LOOSEN THOSE STRUCTURES ON THE ON THE PALM OF YOUR HAND
audio/MSK0037.mp3[911.920,913.480]	OK SOUNDS GOOD
audio/RES0112.mp3[0.000,2.520]	WHAT BRINGS YOU IN TODAY
audio/RES0112.mp3[2.520,44.320]	YEAH I BROUGHT MY SON HERE IM A LITTLE BIT WORRIED ABOUT HIM BECAUSE LIKE YESTERDAY HE HAD HE HAD THIS TEMPERATURE OF LIKE 385 UM SO HES BEEN FEELING A LITTLE BIT HOT AND HES NOT SWALLOWING HIS FOOD LIKE WEVE BEEN FEEDING HIM SOME MASHED UP FOOD BUT HES NOT SWALLOWING IT HES JUST KIND OF THROWING THROWING IT BACK OUT THERE UM HES DROOLING NOW UH AND HE SOUNDS KIND OF MUFFLED UM AND HES BEEN VERY SHORT OF BREATH
audio/RES0112.mp3[44.320,63.040]	THAT DOESNT SOUND GOOD UM UH YEAH IM IM CURRENTLY LOOKING AT HIM AND HE DOESNT UH LOOK GREAT WHILE THE UH WHILE THE DOCTORS UM TAKING HIS VITALS AND EXAMINING THE BABY ILL JUST ASK YOU A COUPLE OF QUESTIONS
audio/RES0112.mp3[64.200,72.160]	SO YOU SAID THAT ALL OF THIS STARTED ABOUT A DAY AGO HOW WAS HE DOING BEFORE THAT
audio/RES0112.mp3[72.160,90.920]	HE WAS FINE BEFORE THAT HE HAD LIKE A AN INFECTION LIKE SOME SORT OF VIRAL INFECTION RECENTLY LIKE ABOUT A WEEK BACK HE HAD LIKE A RUNNY NOSE AND A COUGH BUT THAT WENT AWAY
audio/RES0112.mp3[90.920,97.920]	UM OK SO HE HAD THESE SYMPTOMS ABOUT A WEEK AGO DID HE SEE ANY DID YOU TAKE HIM TO THE HOSPITAL OR TO A CLINIC
audio/RES0112.mp3[97.920,115.800]	I TOOK HIM TO OUR FAMILY DOCTOR UM AND THEY JUST SUGGESTED SOME SUPPORTIVE TREATMENTS UM WHICH WEVE BEEN DOING AT HOME LIKE WE TRY TO KEEP HIM WELL HYDRATED AND WEVE BEEN KEEPING AN EYE ON HIS LIKE UM DIAPERS AND THINGS LIKE THAT
audio/RES0112.mp3[115.800,125.120]	OK HAS HE BEEN UM HAS HE BEEN HOW MANY DIAPERS IS HE UM ARE YOU CHANGING A DAY
audio/RES0112.mp3[125.120,143.920]	USUALLY LIKE ABOUT 5 6 BUT YESTERDAY IT WAS LIKE 2
audio/RES0112.mp3[143.920,149.480]	OK UM AND UH HAS HE BEEN UH IRRITABLE OR AGITATED
audio/RES0112.mp3[149.480,156.160]	UH HE HAS BEEN VERY IRRITABLE AND FUSSY
audio/RES0112.mp3[156.160,158.800]	HAS HE BEEN SLEEPING OK
audio/RES0112.mp3[158.800,167.240]	I UM NO YOU KNOW WHAT LAST NIGHT HE DIDNT SLEEP WELL AT ALL HE WAS CRYING THE WHOLE NIGHT
audio/RES0112.mp3[167.240,179.120]	UM AND UH IN TERMS OF UH SO HOW MUCH HAS HE HAS HE HAD TO EAT OR DRINK IN THE PAST UH DAY OR TWO
audio/RES0112.mp3[179.120,188.560]	UH HES HAD ABOUT LIKE MAYBE A BOTTLE OF HIS MILK LIKE OF THAT
audio/RES0112.mp3[190.160,192.080]	THATS IT
audio/RES0112.mp3[192.080,202.240]	YEAH HES NOT TAKING HES NOT HES NOT TAKING ANYTHING ELSE LIKE HES BEEN SO FUSSY AND SO LIKE HES UNWILLING TO TRY ANYTHING
audio/RES0112.mp3[202.240,211.000]	OK UM AND OK DO YOU FEEL LIKE HES BEEN DROWSY UH AND UM LETHARGIC
audio/RES0112.mp3[211.000,233.800]	UM YEAH I FEEL LIKE HES BEEN A LITTLE BIT LETHARGIC LIKE TODAY HES MORE LETHARGIC ALL OF YESTERDAY HE WAS VERY FUSSY AND IRRITABLE BUT TODAY SEEMS LIKE HES VERY SLOW
audio/RES0112.mp3[233.800,245.600]	OK AND JUST A COUPLE OF QUESTIONS ABOUT UM HIS PAST MEDICAL HISTORY DOES HE HAVE ANY UH MEDICAL CONDITIONS UH THAT HE WAS DIAGNOSED WITH
audio/RES0112.mp3[245.600,249.920]	UH NO HES BEEN HEALTHY OTHERWISE
audio/RES0112.mp3[249.920,252.280]	HOW WAS YOUR PREGNANCY WITH HIM
audio/RES0112.mp3[252.280,255.640]	NORMAL YEAH NO COMPLICATIONS THERE
audio/RES0112.mp3[255.640,262.880]	DID DID YOU HAVE GBS OR GESTATIONAL DIABETES
audio/RES0112.mp3[263.960,269.360]	NO OK DID YOU HAVE ANY VIRAL INFECTIONS DURING THAT TIME DURING PREGNANCY
audio/RES0112.mp3[269.360,270.800]	NO NO
audio/RES0112.mp3[270.800,275.960]	WAS HE BORN VIA CAESAREAN SECTION OR UH CSECTION OR A VAGINAL BIRTH
audio/RES0112.mp3[275.960,277.320]	UH VAGINAL
audio/RES0112.mp3[277.320,280.760]	OK ANY COMPLICATIONS DURING BIRTH
audio/RES0112.mp3[282.120,290.360]	WAS HE UM KEPT IN THE HOSPITAL FOR A COUPLE DAYS IN THE NICU AFTER HE WAS BORN
audio/RES0112.mp3[291.360,294.560]	DID HE DEVELOP JAUNDICE
audio/RES0112.mp3[295.680,307.480]	OK AND AND HES BEEN OK FOR THE PAST TWO YEARS ANY CONCERNS ABOUT HIS GROWTH HIS HEIGHT AND WEIGHT AND HIS HEAD CIRCUMFERENCE HAS YOUR FAMILY DOCTOR UH SAID ANYTHING ABOUT THAT
audio/RES0112.mp3[307.480,313.200]	NO HES BEEN PRETTY GOOD UM HES BEEN GROWING AND GAINING WEIGHT OK
audio/RES0112.mp3[313.200,318.040]	ANY UM DEVELOPMENTAL ISSUES
audio/RES0112.mp3[319.080,325.560]	OK ALRIGHT AND ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0112.mp3[325.560,331.880]	UH NO JUST LIKE SOME HEART ISSUES
audio/RES0112.mp3[331.880,340.320]	UM OK AND UH DOES HE I FORGOT TO ASK HAS HE HAD ANY HOSPITALIZATIONS IN THE PAST
audio/RES0112.mp3[341.160,343.960]	ANY SURGERIES
audio/RES0112.mp3[343.960,345.400]	NO SURGERIES
audio/RES0112.mp3[345.400,351.840]	UH HAS HE BEEN ON ANY MEDICATIONS ANY ANTIBIOTICS RECENTLY
audio/RES0112.mp3[353.920,362.360]	OK HAS UM HAS HE BEEN VACCINATED UH HAS HIS VACCINATIONS IMMUNIZATIONS UP TO DATE
audio/RES0112.mp3[362.360,365.520]	YEAH THEYRE ALL UP TO DATE SO FAR
audio/RES0112.mp3[365.520,375.240]	OK ALRIGHT THATS THATS GOOD UM OK AND DOES HE HAVE ANY ALLERGIES THAT YOURE AWARE OF
audio/RES0112.mp3[375.240,379.040]	PARDON ME
audio/RES0112.mp3[379.040,381.360]	ANY ALLERGIES
audio/RES0112.mp3[381.360,383.440]	OH UH NO ALLERGIES
audio/RES0112.mp3[383.440,447.080]	OK ALRIGHT UM WELL IT LOOKS LIKE UM I ITS GREAT THAT YOU BROUGHT HIM INTO THE EMERGENCY ROOM UM IF HE HASNT BEEN EATING DRINKING WELL HASNT SLEPT WELL HAS BEEN FUSSY AND AND HAS BEEN LETHARGIC AND TIRED UH AND IS HAVING DIFFICULTY SWALLOWING FOOD UM THATS DEFINITELY VERY UM SERIOUS UH WELL HAVE A LOOK INSIDE HIS MOUTH AND SEE WHATS GOING ON IT COULD BE THAT HE HAS AN INFECTION OR AN INFLAMMATION OF SOME SORT UM GIVEN HIS FEVER HE PROBABLY HAS AN INFECTION UM AND UH WELL LIKELY START HIM ON ANTIBIOTICS AND PUT IN AN IV DRIP JUST TO GET IN GET SOME FLUIDS INSIDE HIM JUST TO GET HIM HYDRATED UH AND MONITOR HIM VERY CLOSELY WELL ALSO CHECK HIS VITALS AND UM WELL DO UH YEAH WELL GO FROM THERE DO YOU HAVE ANY QUESTIONS
audio/RES0112.mp3[447.080,449.200]	UH NO THANK YOU
audio/MSK0005.mp3[0.000,2.000]	WHAT BRINGS YOU IN
audio/MSK0005.mp3[2.000,18.440]	HI IVE IVE HAD THIS PAIN ON THE OUTSIDE OF MY UH RIGHT ELBOW NOW ITS IT I FIRST STARTED KNOWING NOTICING IT SEVERAL MONTHS AGO BUT RECENTLY ITS JUST BEEN MORE PAINFUL
audio/MSK0005.mp3[18.440,30.960]	OK SO YOU SAID SEVERAL MONTHS AGO UM DID ANYTHING HAPPEN SEVERAL MONTHS AGO WAS THERE ANY SORT OF TRIGGER TRAUMA ANYTHING LIKE THAT TO THAT AREA
audio/MSK0005.mp3[30.960,51.000]	NO THERE WASNT ANY ANY TRAUMA OR ANY TRIGGERS THAT THAT I NOTICED I WAS JUST UM FEELING IT UH A BIT MORE AT THE END OF OF WORK UM YEAH I WAS JUST HAVING IT UH FEELING THE PAIN A BIT MORE AT THE END OF WORK
audio/MSK0005.mp3[51.000,59.520]	OK DOES UH ANYTHING MAKE IT BETTER OR WORSE THE PAIN
audio/MSK0005.mp3[59.520,80.840]	UM YEAH IF I REALLY IF IM JUST RESTING THE ELBOW UM IT MAKES IT BETTER AND IVE TRIED UH THINGS LIKE IBUPROFEN UM WHICH HAS HELPED WITH THE PAIN ILL ILL DO THAT FOR UM HOPING I CAN GET THROUGH WORK SOMETIMES IF THE PAIN IS BAD ENOUGH
audio/MSK0005.mp3[80.840,91.800]	RIGHT OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN IS IT SHARP THROBBY ACHY
audio/MSK0005.mp3[91.800,104.560]	UH ITS UM KIND OF UH WELL ITS ACHY AND THEN SOMETIMES DEPENDING ON THE MOVEMENT IT CAN GET IT CAN BE SHARP AS WELL
audio/MSK0005.mp3[104.560,113.600]	IT CAN BE SHARP OK OK UM AND WHAT SORTS OF MOVEMENTS MAKE IT WORSE
audio/MSK0005.mp3[113.600,140.040]	UM SO LIKE REALLY ITS MOSTLY THE MOVEMENTS AT MY WRIST IF IM BENDING MY WRIST DOWN UH I CAN I CAN FEEL IT OR UM IF IM HAVING TO PICK THINGS UP OR HOLD HEAVY OBJECTS AT WORK I DO A LOT OF REPETITIVE UH THINGS AT AT WORK I WORK ON A LINE
audio/MSK0005.mp3[140.040,148.240]	OK OK AND 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN
audio/MSK0005.mp3[148.240,151.240]	IT IS ABOUT A FOUR
audio/MSK0005.mp3[151.240,158.920]	ABOUT A FOUR OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE
audio/MSK0005.mp3[158.920,161.440]	UH NO I HAVENT
audio/MSK0005.mp3[161.440,171.160]	NO OK AND DO YOU FEEL LIKE YOUR PAIN IS GETTING WORSE OVER THE PAST SEVERAL MONTHS OR IS IT THE SAME GETTING BETTER
audio/MSK0005.mp3[171.160,173.040]	UH ITS BEEN GETTING WORSE
audio/MSK0005.mp3[173.040,182.120]	ITS BEEN GETTING WORSE OK OK UM HAVE YOU TRIED ANY LIKE TOPICAL OINTMENTS OR ANYTHING LIKE THAT FOR IT
audio/MSK0005.mp3[182.120,197.160]	UH I DID I YEAH I TRIED SOME UM SOME STUFF THAT YOU CAN GET AT THE UM DRUGSTORE AND IT DID HELP TAKE THE EDGE OFF A LITTLE BIT
audio/MSK0005.mp3[197.160,205.920]	OK UM ALRIGHT AND ARE YOU STILL ABLE TO MOVE THAT ARM YOUR RIGHT ARM UM AS WELL AS YOUR HAND
audio/MSK0005.mp3[205.920,211.360]	I AM YEAH I I HAVE FULL RANGE OF MOTION OF BOTH THE ELBOW AND UH HAND
audio/MSK0005.mp3[211.360,219.320]	OK AND ITS NOT LIKE PREVENTING YOU FROM DOING EVERYDAY TASKS
audio/MSK0005.mp3[219.320,229.120]	UH NO I IVE BEEN BEEN ABLE TO MANAGE SO FAR AT WORK BUT UM IT IS STARTING TO BECOME AN ISSUE UM YEAH WITH MY JOB
audio/MSK0005.mp3[229.120,241.040]	OK UM ALRIGHT AND THEN DO YOU HAVE ANY SORTS OF ACHES OR PAINS UH IN ANY OTHER JOINT OR MUSCLE GROUPS
audio/MSK0005.mp3[241.040,253.600]	NO ITS JUST RIGHT THERE ON THE OUTSIDE OF MY RIGHT ELBOW AND ITS REALLY ANNOYING CAUSE IM RIGHT HANDED AS WELL SO UM YEAH ITS CAUSING PROBLEMS THERE
audio/MSK0005.mp3[253.600,259.560]	RIGHT UM AND IS THE PAIN RADIATING UPWARDS OR DOWNWARDS
audio/MSK0005.mp3[259.560,266.040]	UH NO I KINDA JUST FEEL IT RIGHT OVER THAT THAT ONE SPOT
audio/MSK0005.mp3[266.040,270.360]	OK ANY NUMBNESS OR TINGLING IN THAT ARM
audio/MSK0005.mp3[270.360,274.120]	NO NO NO NUMBNESS OR TINGLING
audio/MSK0005.mp3[274.120,283.640]	YEAH UM OK AND THEN HOW ABOUT UM LIKE YOUR ARM FEELING LIKE ITS COLD
audio/MSK0005.mp3[283.640,286.640]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0005.mp3[286.640,295.040]	OK ALRIGHT UM AND THEN OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS
audio/MSK0005.mp3[295.040,299.440]	UM NO I ITS JUST BEEN THE ELBOW PAIN
audio/MSK0005.mp3[299.440,302.320]	OK SO NO WEIGHT LOSS
audio/MSK0005.mp3[302.320,305.400]	NO MY WEIGHTS BEEN STABLE OVER THESE LAST FEW MONTHS
audio/MSK0005.mp3[305.400,308.400]	OK FEVERS OR CHILLS
audio/MSK0005.mp3[308.400,310.840]	NO I HAVENT HAD ANY FEVERS OR CHILLS
audio/MSK0005.mp3[310.840,314.280]	OK ANY FATIGUE
audio/MSK0005.mp3[314.280,316.200]	NO MY ENERGYS BEEN GOOD
audio/MSK0005.mp3[316.200,321.400]	OK HOW ABOUT UM RASHES
audio/MSK0005.mp3[321.400,322.920]	UH NO RASHES
audio/MSK0005.mp3[322.920,329.000]	OK CHANGES TO YOUR SENSES LIKE VISION HEARING SMELL SMELL OR TASTE
audio/MSK0005.mp3[329.000,330.280]	NO CHANGES THERE
audio/MSK0005.mp3[330.280,334.280]	OK ANY COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0005.mp3[335.240,341.360]	OK CHEST PAIN ANY HEART PALPITATIONS OR UH DIZZINESS
audio/MSK0005.mp3[341.360,342.680]	NOTHING LIKE THAT
audio/MSK0005.mp3[342.680,345.680]	OK CHANGES TO YOUR BOWEL MOVEMENTS
audio/MSK0005.mp3[346.600,349.680]	NO NO NO NAUSEA OR VOMITING
audio/MSK0005.mp3[349.680,351.720]	NO I HAVENT HAD ANY NAUSEA OR VOMITING
audio/MSK0005.mp3[351.720,354.480]	OK CHANGES TO YOUR URINE
audio/MSK0005.mp3[354.480,357.480]	NO I HAVENT HAD ANY URINARY UH SYMPTOMS
audio/MSK0005.mp3[357.480,361.560]	OK MEMORY LOSS OR CONFUSION
audio/MSK0005.mp3[362.600,373.760]	OK SO IF YOU LOOK AT THAT RIGHT ELBOW UM DO YOU NOTICE ANY REDNESS OR SWELLING
audio/MSK0005.mp3[373.760,375.280]	UH NO I DONT
audio/MSK0005.mp3[375.280,383.560]	NO OK DOES IT SEEM MISALIGNED OR LIKE ASYMMETRICAL COMPARED TO YOUR OTHER ELBOW
audio/MSK0005.mp3[383.560,385.920]	NO IT LOOKS IT LOOKS THE SAME
audio/MSK0005.mp3[385.920,392.000]	LOOKS THE SAME OK SO NO UM SKIN CHANGES OR DEFORMITIES THERE
audio/MSK0005.mp3[392.000,394.680]	UH NO
audio/MSK0005.mp3[394.680,413.000]	NO OK ALRIGHT AND NOW IM GOING TO GET YOU TO UM JUST PALPATE UH THAT LATERAL OR YEAH THE LATERAL ASPECT OF THAT ELBOW AND YOU LET ME KNOW IF YOU FEEL PAIN WHEN YOU PUSH PUSH ON THAT
audio/MSK0005.mp3[413.000,417.200]	UH THERE IS PAIN AT THE LATERAL UH LATERAL ELBOW
audio/MSK0005.mp3[417.200,422.320]	HOW ABOUT THE MEDIAL ASPECT
audio/MSK0005.mp3[422.320,423.520]	NO PAIN
audio/MSK0005.mp3[423.520,431.240]	NO PAIN OK AND HOW ABOUT WHEN YOU PALPATE YOUR UM FOREARM AND YOUR BICEPS
audio/MSK0005.mp3[431.240,432.880]	UH NO NO PAIN
audio/MSK0005.mp3[432.880,440.600]	OK ALRIGHT AND THEN DO YOU FEEL LIKE ITS HOT THAT AREA
audio/MSK0005.mp3[441.480,453.360]	NO OK NOW I AM GOING TO GET YOU TO UM EXTEND YOUR WRIST
audio/MSK0005.mp3[454.120,461.680]	AND THEN KEEP YOUR ELBOW IN FULL EXTENSION AS WELL DOES THAT HURT
audio/MSK0005.mp3[461.680,464.200]	UH IT DOES YEAH
audio/MSK0005.mp3[464.200,475.840]	YEAH OK HOW ABOUT WHEN YOU FLEX YOUR WRIST WITH THE ELBOW STILL IN FULL EXTENSION
audio/MSK0005.mp3[475.840,478.720]	UH IT DOES YEAH THAT HURTS AS WELL
audio/MSK0005.mp3[478.720,483.920]	OK HOW ABOUT WHEN YOU FLEX YOUR ELBOW
audio/MSK0005.mp3[483.920,487.440]	UH NO THAT THAT DOESNT CAUSE ANY PAIN
audio/MSK0005.mp3[487.440,493.440]	OK HOW ABOUT WHEN YOU EXTEND YOUR SHOULDER ALL THE WAY UP
audio/MSK0005.mp3[493.440,496.040]	NO NOTHING THERE THAT FEELS FINE
audio/MSK0005.mp3[496.040,500.400]	OK AND THEN FLEXING YOUR UH OR SORRY ABDUCTING YOUR SHOULDER
audio/MSK0005.mp3[500.400,502.640]	THAT FEELS NORMAL
audio/MSK0005.mp3[502.640,515.480]	OK ALRIGHT AND THEN HOW ABOUT WHEN YOU PRONATE AND SUPINATE YOUR FOREARMS
audio/MSK0005.mp3[515.480,517.800]	UH PRONATION UM
audio/MSK0005.mp3[517.800,530.240]	SO LIKE TWIST YOUR UM ARM INWARDS SO THAT YOUR PALM IS FACING THE FLOOR
audio/MSK0005.mp3[530.240,533.920]	NO THAT DOESNT REALLY CAUSE ANY PAIN PRONATION AND SUPINATION
audio/MSK0005.mp3[533.920,542.200]	OK ALRIGHT UM ALRIGHT AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0005.mp3[542.200,544.080]	UM IM UH HEALTHY
audio/MSK0005.mp3[544.080,553.440]	YOURE HEALTHY OK AND THEN UM DO YOU HAVE HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0005.mp3[553.440,563.760]	I HAD A SURGERY FOR UM A CSECTION FOR UH MY MY SON UM BUT THATS THATS IT
audio/MSK0005.mp3[563.760,568.360]	OK OK AND UM HOW LONG AGO WAS THAT
audio/MSK0005.mp3[568.360,573.440]	THAT WAS ABOUT UH 17 YEARS AGO
audio/MSK0005.mp3[573.440,578.280]	OK AND WAS THAT AN EMERGENCY CSECTION
audio/MSK0005.mp3[578.280,579.320]	UH NO IT WAS NOT
audio/MSK0005.mp3[579.320,585.440]	OK UM AND THEN ARE YOU ON ANY MEDICATIONS
audio/MSK0005.mp3[585.440,591.320]	UM NO IVE JUST BEEN TAKING UH TYLENOL AND ADVIL UM FOR THE PAIN
audio/MSK0005.mp3[591.320,597.960]	OK ALRIGHT UM IMMUNIZATIONS WISE ARE YOU UP TO DATE
audio/MSK0005.mp3[597.960,600.000]	UH I I AM YES
audio/MSK0005.mp3[600.000,603.280]	OK DO YOU HAVE ANY ALLERGIES
audio/MSK0005.mp3[603.280,605.640]	UH NO ALLERGIES
audio/MSK0005.mp3[605.640,615.600]	OK FAMILY HISTORY OF ANY UH SKELETAL OR MUSCULAR UM ISSUES
audio/MSK0005.mp3[615.600,619.120]	UM NO NOTHING LIKE THAT IN THE FAMILY
audio/MSK0005.mp3[619.120,621.840]	OK NEUROLOGICAL ISSUES IN THE FAMILY
audio/MSK0005.mp3[621.840,626.640]	UM NO NEUROLOGICAL ISSUES IN THE FAMILY
audio/MSK0005.mp3[626.640,629.440]	OK HOW ABOUT UM AUTOIMMUNE CONDITIONS
audio/MSK0005.mp3[629.440,632.720]	UH NO NOTHING LIKE THAT
audio/MSK0005.mp3[632.720,637.880]	OK AND THEN UM DO YOU SMOKE
audio/MSK0005.mp3[637.880,639.960]	UH NO I HAVENT SMOKED BEFORE
audio/MSK0005.mp3[639.960,643.560]	OK UH DO YOU DO UM MARIJUANA
audio/MSK0005.mp3[643.560,647.960]	NO I I DONT USE THAT
audio/MSK0005.mp3[647.960,652.520]	OK UM ALCOHOL
audio/MSK0005.mp3[652.520,659.000]	UM UH YEAH ILL HAVE A GLASS OF WINE EVERY ONCE IN AWHILE BUT MAYBE JUST ONE ONE A WEEK
audio/MSK0005.mp3[659.000,662.760]	OK AND HAVE YOU BEEN AROUND SICK CONTACTS RECENTLY
audio/MSK0005.mp3[662.760,667.600]	UM NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0005.mp3[667.600,671.240]	OK ANY RECENT TRAVEL
audio/MSK0005.mp3[671.240,672.720]	UH NOPE IVE BEEN AT HOME
audio/MSK0005.mp3[672.720,682.800]	OK UM I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU UM DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/MSK0005.mp3[682.800,688.960]	UH NO I WAS JUST WONDERING WHAT THIS PAIN COULD BE ON MY IN MY ELBOW
audio/MSK0005.mp3[688.960,819.640]	YEAH SO RIGHT NOW IT SEEMS LIKE YOU MAY HAVE A CASE OF SOMETHING CALLED UM LATERAL EPICONDYLITIS SO ITS ALSO KNOWN AS UH TENNIS ELBOW UM AND THERE ARE A LOT OF THINGS THAT COULD KIND OF PREDISPOSE YOU TO THIS UM SO IT COULD BE LIKE THE REPETITIVE STRAIN AT WORK UM AND LIKE CONTINUOUS CONTRACTION OF YOUR WRIST EXTENSOR MUSCLE GROUP THERE UM SO FOR THIS WE BASICALLY RECOMMEND UM A COUPLE OF THINGS TO MANAGE THE PAIN UH BUT FIRST LIKE IN TERMS OF IMAGING I DONT THINK IT IS NECESSARY BECAUSE IT DOESNT SEEM LIKE THERE WAS ANY TRAUMA AND IM NOT TOO WORRIED ABOUT ANY FRACTURES UM SO TO HELP YOU TREAT THIS UM WE RECOMMEND SOME ACTIVITY MODIFICATIONS SO UM AT WORK NOT DOING THINGS THAT ARE TOO REPETITIVE ESPECIALLY IF ITS USING THOSE UM EXTENSOR FOREARM MUSCLES UM AND THEN YOU CAN USE SOME USE A COMPRESSION SLEEVE AS WELL CONTINUE TAKING TYLENOL OR NSAIDS FOR THE PAIN AND UH REALLY IMPORTANT IS PHYSICAL THERAPY UM TO INCREASE MOBILITY AND STRENGTH IN THAT ARM UH AND AS WELL YOU CAN APPLY THINGS LIKE ICE UM TO IT FOR LIKE THE PAIN AND SWELLING IF YOU SEE ANY UH YEAH SO IT SHOULD RESOLVE IN ABOUT SIX MONTHS TO TWO YEARS AT MOST UH BUT NORMALLY IT DOES UM GO AWAY IN A COUPLE OF MONTHS WITH SOME PHYSICAL THERAPY AND THE COMPRESSION AND SPLINTS IF YOU CHOOSE TO DO THAT HOW DOES THAT SOUND
audio/MSK0005.mp3[819.640,822.560]	YEAH THAT THAT SOUNDS UM GOOD THANK YOU
audio/MSK0005.mp3[822.560,825.000]	YEAH NO WORRIES
audio/RES0155.mp3[0.000,5.320]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0155.mp3[5.320,21.920]	YEAH SO OVER THIS PAST FIVE DAYS IVE HAD UM WORSENING SHORTNESS OF BREATH AND UH SOME DISCOMFORT IN MY CHEST UM AND THIS COUGH THAT THATS BEEN GETTING WORSE AS WELL
audio/RES0155.mp3[21.920,27.760]	OK SO ITS JUST BEEN FOR THE PAST UH PAST WEEK OR FIVE DAYS
audio/RES0155.mp3[27.760,48.760]	YEAH I MEAN IVE HAD UM A COUGH AND UH IN THE IN THE IN THE PAST AND AND AND SHORTNESS OF BREATH IN THE PAST BUT YEAH JUST OVER THESE PAST FIVE DAYS ITS BEEN THERE UM AT ALL LIKE ITS BEEN THERE ALL DAY AND ITS BEEN GETTING UH WORSE AS WELL
audio/RES0155.mp3[48.760,53.960]	OK AND WHAT IS THE COUGH LIKE IS IT WET OR DRY
audio/RES0155.mp3[53.960,64.680]	YEAH IM BRINGING UP SPUTUM UH PRETTY MUCH UM LIKE EVERY TIME IM COUGHING UP IM BRINGING UP SOME YELLOWISH OR GREENISH UH SPUTUM
audio/RES0155.mp3[64.680,70.400]	OK AND HAVE YOU NOTICED AT ALL ANY BLOOD
audio/RES0155.mp3[70.400,72.760]	NO NO NO BLOOD
audio/RES0155.mp3[72.760,81.640]	NO BLOOD OK UM AND HOW MUCH SPUTUM ARE YOU BRINGING UP LIKE UH EVERY TIME YOU COUGH
audio/RES0155.mp3[81.640,91.960]	I I WOULD SAY ITS UM WOULD WOULD BE THE LIKE JUST THE LITTLE INSIDE OF MY UH PALM EACH TIME
audio/RES0155.mp3[91.960,106.120]	OK AND UH IS THIS UH AND THEN WHAT ABOUT THE SHORTNESS OF BREATH IS IT UH ARE YOU HAVING TROUBLE TAKING DEEP BREATHS OR DO YOU FIND YOURSELF BREATHING FASTER LIKE HOW WOULD YOU DESCRIBE IT
audio/RES0155.mp3[106.120,129.880]	ITS UM YEAH IM JUST REALLY FEELING LIKE I JUST CANT UH CATCH MY BREATH EVEN WITH UM SOME SMALL THINGS AROUND THE APARTMENT UH THAT NORMALLY I CAN DO ITS ANY TYPE OF EXERTION I JUST CANT CATCH MY BREATH IM OK RIGHT NOW JUST SITTING HERE THOUGH
audio/RES0155.mp3[129.880,134.480]	OK YEAH SO AT REST YOURE FINE BUT LIKE WHEN YOU EXERT YOURSELF IT GETS WORSE
audio/RES0155.mp3[134.480,146.320]	YEAH WELL IM I STILL HAVE THIS LIKE UH CHEST DISCOMFORT UM SO WHILE WHILE SITTING HERE IT DOESNT FEEL UM LIKE MY BREATHING IS NORMAL
audio/RES0155.mp3[146.320,156.960]	OK AND WHEN DO YOU GET THAT CHEST DISCOMFORT IS IT WHEN YOURE BREATHING IN OR BREATHING OUT OR IT CAN IT BE JUST DUE TO EXERCISE
audio/RES0155.mp3[156.960,165.520]	ITS ITS KIND OF JUST ALWAYS ITS JUST KIND OF BEEN THERE OVER THESE PAST UH LIKE FOUR OR FIVE DAYS
audio/RES0155.mp3[165.520,174.160]	OK AND HOW WOULD YOU DESCRIBE UH IS IT PAIN AT ALL OR IS IT LIKE SHARP STABBING OR PRESSURE LIKE PAIN
audio/RES0155.mp3[174.160,182.920]	UM NO NOTHING LIKE THAT I KIND OF I JUST I FEEL CONGESTED I GUESS
audio/RES0155.mp3[182.920,195.400]	OK UM SO JUST DISCOMFORT DO YOU DO YOUR SYMPTOMS GET WORSE AT ALL WHEN YOURE LAYING DOWN FLAT
audio/RES0155.mp3[197.280,202.240]	NO OK UH DO YOU WAKE UP AT NIGHT GASPING GASPING FOR AIR
audio/RES0155.mp3[202.240,205.400]	NO I HAVENT DONE THAT BEFORE
audio/RES0155.mp3[205.400,210.080]	OK UM HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0155.mp3[210.080,222.920]	YEAH UH NOW THAT YOU MENTIONED I DO THINK I I FEEL A BIT FEVERISH UM UH YEAH AND I IVE NOTICED THAT ACTUALLY OVER THE LAST UH COUPLE OF DAYS
audio/RES0155.mp3[222.920,227.520]	OH HAVE YOU HAD A CHANCE TO TAKE YOUR TEMPERATURE AT ALL
audio/RES0155.mp3[227.520,231.720]	NO I JUST FELT FEVERISH
audio/RES0155.mp3[231.720,244.160]	OK UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT
audio/RES0155.mp3[244.160,245.240]	NO I DONT
audio/RES0155.mp3[245.240,250.320]	OK UM HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0155.mp3[250.320,254.560]	NO I I I IVE BEEN BEEN HOME
audio/RES0155.mp3[254.560,261.920]	OK HAVE YOU TRIED ANYTHING TO HELP YOU WITH YOUR SYMPTOMS
audio/RES0155.mp3[261.920,279.960]	YEAH I I DID TRY UH USING AN INHALER I HAVE UM A COUPLE UP THOSE AND UM USUALLY THAT THAT HELPS BUT HASNT REALLY BEEN ABLE TO UM HELP MUCH THIS TIME
audio/RES0155.mp3[279.960,284.400]	OK UM HOW OFTEN ARE YOU HAVING TO USE IT
audio/RES0155.mp3[284.400,306.880]	UM SO UH I I USED IT UM I I TOOK THREE OR FOUR PUFFS THIS MORNING AND UM AND THAT WAS ABOUT IT I WAS USING IT LAST NIGHT AS WELL UH BUT TYPICALLY I WILL USE IT MAYBE TWO OR THREE TIMES A WEEK
audio/RES0155.mp3[306.880,311.320]	OK UM AND HAVE YOU HAD ANY HEADACHES OR CHANGES IN YOUR VISION OR ANYTHING LIKE THAT
audio/RES0155.mp3[311.320,319.440]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0155.mp3[319.440,325.400]	OK ANY NAUSEA OR VOMITING
audio/RES0155.mp3[326.240,330.480]	UM ANY INCREASED FATIGUE
audio/RES0155.mp3[330.480,339.720]	I I MEAN I HAVENT BEEN ABLE TO DO AS MUCH WITH UH BEING SO SHORT OF BREATH BUT MY ENERGY HAS BEEN BEEN OK
audio/RES0155.mp3[339.720,348.160]	OK AND HOW ABOUT UM DO YOU HAVE ANY SENSATION OF PALPITATIONS OR YOUR HEART IS RACING AT ALL
audio/RES0155.mp3[348.160,353.640]	NO I HAVENT FELT ANYTHING LIKE THAT
audio/RES0155.mp3[353.640,359.320]	OK UM AND ANY KIND OF DIARRHEA OR CONSTIPATION
audio/RES0155.mp3[362.720,367.680]	OK ANY ISSUES WITH URINATION
audio/RES0155.mp3[367.680,371.800]	NO UH NO PROBLEMS THERE
audio/RES0155.mp3[371.800,375.960]	UH ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0155.mp3[375.960,380.800]	UM NO THAT THATS BEEN PRETTY GOOD
audio/RES0155.mp3[380.800,383.880]	OK ANY NIGHT SWEATS
audio/RES0155.mp3[383.880,389.040]	UH NO I HAVENT HAD ANY NIGHT SWEATS
audio/RES0155.mp3[389.040,401.960]	OK UM ANY KIND OF UH SIGNIFICANT WEIGHT CHANGE RECENTLY
audio/RES0155.mp3[401.960,408.440]	UM I I I MIGHT HAVE UH NO I THINK MY WEIGHTS BEEN ABOUT THE SAME
audio/RES0155.mp3[408.440,414.840]	OK UM ANY EXPOSURE TO ANYONE SICK AROUND YOU RECENTLY
audio/RES0155.mp3[414.840,436.680]	NO I DONT THINK SO UM BUT I IVE HAD IVE HAD A COUPLE OF UH CHEST COLDS OVER THE LAST YEAR THAT I NEEDED UM ANTIBIOTICS FOR UH AND IT THEY THEY WENT AWAY AFTER THAT I GOT THAT THOSE FROM A WALK IN CLINIC
audio/RES0155.mp3[436.680,440.800]	SORRY YOU GOT ANTIBIOTICS FROM THE WALK IN CLINIC
audio/RES0155.mp3[440.800,445.560]	YEAH THE LAST TIME WAS UH PROBABLY ABOUT ABOUT FOUR MONTHS AGO
audio/RES0155.mp3[446.920,465.440]	SO I HAVENT BEEN AROUND ANYBODY SICK RECENTLY BUT UM BUT I MEAN I IVE HAD SIMILAR SYMPTOMS UM BEFORE I FEEL LIKE THIS TIME MIGHT BE JUST A BIT WORSE THOUGH
audio/RES0155.mp3[465.440,475.440]	OK UM AND DO YOU HAVE ANY PAST MEDICAL HISTORY UH ANY CONDITIONS YOUVE BEEN DIAGNOSED WITH
audio/RES0155.mp3[475.440,489.760]	UM YEAH SO I I HAVE BEEN IVE BEEN DIAGNOSED WITH COPUH AS WELL AS UH HIGH BLOOD PRESSURE AND UH GERD
audio/RES0155.mp3[489.760,495.800]	OK AND WHEN WERE YOU DIAGNOSED WITH COPD
audio/RES0155.mp3[495.800,497.520]	UH ABOUT THREE YEARS AGO
audio/RES0155.mp3[497.520,502.560]	THREE YEARS AGO OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THESE CONDITIONS
audio/RES0155.mp3[502.560,524.800]	YEAH SO I HAVE A MEDICATION UH VENTOLIN I TAKE SYMBICORT DAILY UM WHICH IS LIKE A STEROID TYPE MEDICATION AND THEN UM I TAKE AN ACE INHIBITOR I THINK FOR BLOOD PRESSURE AND JUST TUMS OR SOMETHING LIKE THAT IF MY REFLUX IS BAD
audio/RES0155.mp3[524.800,530.280]	OK UM AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0155.mp3[530.280,534.560]	UM NO
audio/RES0155.mp3[534.560,541.160]	NO OK ANY PAST HOSPITALIZATIONS OR SURGERIES
audio/RES0155.mp3[541.160,543.120]	UM NO
audio/RES0155.mp3[543.120,550.040]	OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS ANY LUNG OR HEART CONDITIONS
audio/RES0155.mp3[550.040,554.960]	UH NOTHING LIKE THAT NO
audio/RES0155.mp3[554.960,560.360]	OK UM AND ANY CANCERS IN THE FAMILY
audio/RES0155.mp3[560.360,566.240]	UM NO
audio/RES0155.mp3[566.240,571.040]	OK UM AND ANY CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE
audio/RES0155.mp3[571.040,579.880]	YEAH SO UM IM LIVING WITH UM WITH JUST MY UH DAUGHTER IN A IN AN APARTMENT
audio/RES0155.mp3[579.880,588.480]	OK UM AND CURRENTLY DO YOU WORK
audio/RES0155.mp3[588.480,594.120]	YEAH SO I IVE BEEN WORKING AT THE UM AT THE GROCERY STORE UH YEAH IVE BEEN AT THE GROCERY STORE
audio/RES0155.mp3[594.120,602.360]	OK AND DO YOU SMOKE CURRENTLY
audio/RES0155.mp3[602.360,616.760]	I DO YEAH UH I SMOKE ABOUT A PACK A DAY UM AND I IVE SMOKED FOR NOW WELL PROBABLY LIKE 30 OR 40 YEARS I USED TO SMOKE MORE
audio/RES0155.mp3[616.760,643.600]	OK UM YOU HAVE CUT DOWN THATS GOOD UM YEAH DEFINITELY THE MORE YOU CUT DOWN AND IF YOU NEED TO TALK ABOUT QUITTING THERES A LOT OF RESOURCES THAT WE CAN GO THROUGH UM DO YOU USE ANYTHING ELSE BESIDES UH CIGARETTES LIKE ANY MARIJUANA OR ANY OTHER DRUGS
audio/RES0155.mp3[643.600,652.400]	UH NO NO JUST JUST CIGARETTES
audio/RES0155.mp3[652.400,654.120]	OK UM AND ANY ALCOHOL
audio/RES0155.mp3[654.120,665.680]	UH YEAH I MEAN ILL HAVE SOME UH WINE WITH DINNER ON THE WEEKENDS BUT THATS ABOUT IT
audio/RES0155.mp3[665.680,672.120]	OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS
audio/RES0155.mp3[672.120,683.480]	NO THAT WAS UH ABOUT IT I WAS UH I WAS WONDERING IF YOU THINK I I HAVE AN INFECTION OR IS THIS UH COPACTING UP OR WHATS GOING ON
audio/RES0155.mp3[683.480,764.520]	YEAH SO DEFINITELY WITH YOUR HISTORY OF COPAND UM THESE SYMPTOMS IT CAN JUST BE AN EXACERBATION OF YOUR COPAND THAT CAN HAPPEN SOMETIMES WHEN YOU HAVE COPAND THEN YOU GET A EITHER VIRAL OR BACTERIAL INFECTION AND THAT MAKES YOUR SYMPTOMS WORSE AND YOUVE ALSO HAD A FEVER SO WELL DO LIKE A FULL PHYSICAL EXAMINATION GET YOUR VITALS EVERYTHING BUT UH AND THEN WELL GIVE YOU SOME UH LIKE NEBULIZED LIKE UM FOR YOUR HOME PUFFERS TOO BUT ALL JUST IN THE HOSPITAL AND MONITOR YOUR RESPONSE TO THEM UH AND THEN WELL ALSO GET LIKE YOUR SOME OF YOUR BLOOD WORK AND CHEST XRAY JUST TO SEE IF THERES ANY LIKE PNEUMONIA AND LASTLY WELL JUST GET LIKE A COVID SWAB DONE SINCE SOME OF THESE SYMPTOMS ALSO OVERLAP WITH COVID SYMPTOMS UM AND YEAH SO WELL SO THATS WHAT WELL DO UM AND ILL LET THE EMERGENCY DEPARTMENT KNOW THAT YOURE ON YOUR WAY I THINK YOULL NEED TO GET ALL THOSE TESTS THERE AND THEN THEYLL DECIDE WHETHER OR NOT YOU NEED ANY KIND OF ADMISSION OR YOU CAN JUST GO HOME ON ANTIBIOTICS UM FROM THERE OK
audio/RES0155.mp3[764.520,766.120]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0155.mp3[766.120,769.200]	YEAH YEAH ALRIGHT TAKE CARE
audio/RES0043.mp3[0.000,3.280]	WHAT BRINGS YOU ALL IN TODAY
audio/RES0043.mp3[3.280,71.480]	ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DONT KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH UM AND THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED OR SORRY ITS TODAY TODAY IS FRIDAY UM HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH
audio/RES0043.mp3[71.480,73.080]	OH OK
audio/RES0043.mp3[73.080,88.560]	101 OR SOMETHING OR MAYBE 1001 BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW THOUGHT HE COULD HAVE MAYBE GOT COVIAND GET SCHOOL OR SOMETHING
audio/RES0043.mp3[88.560,99.960]	YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE 5 DAYS
audio/RES0043.mp3[101.480,105.400]	OK OK SO LETS FOCUS ON THE COUGH
audio/RES0043.mp3[105.400,122.480]	SORRY ITS BEEN MORE LIKE 3 THREE DAYS LIKE WEDNESDAY IS WHEN HE CAME HOME AND THEN AND THEN TODAYS FRIDAY SO YEAH SORRY
audio/RES0043.mp3[122.480,137.360]	TODAY IS FRIDAY OK UM OK YEAH SURE SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH
audio/RES0043.mp3[137.360,148.080]	AH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING UMM YEAH HE YEAH ITS JUST BEEN LIKE LITTLE COUGHS
audio/RES0043.mp3[148.080,153.360]	OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD
audio/RES0043.mp3[154.400,163.080]	NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU
audio/RES0043.mp3[163.080,166.400]	NO NO NOT THAT IVE NOTICED
audio/RES0043.mp3[166.400,170.080]	OK HOW ABOUT SHORT OF BREATH
audio/RES0043.mp3[170.080,193.360]	UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL
audio/RES0043.mp3[193.360,204.520]	OK YEAH OK AND IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING
audio/RES0043.mp3[204.520,208.600]	I THINK IT KINDA JUST THERE THE WHOLE DAY
audio/RES0043.mp3[208.600,230.040]	OK UM AND DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS
audio/RES0043.mp3[230.040,235.720]	UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD
audio/RES0043.mp3[235.720,243.960]	OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0043.mp3[243.960,258.720]	I DONT LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD
audio/RES0043.mp3[258.720,265.640]	OK AND ARE HIS SYMPTOMS GETTING WORSE
audio/RES0043.mp3[265.640,279.440]	I THINK SO BECAUSE YEAH HE FIRST DAY HE JUST SEEMED LIKE LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER
audio/RES0043.mp3[279.440,287.680]	OK AND UM IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING
audio/RES0043.mp3[287.680,291.960]	NO I DONT THINK SO
audio/RES0043.mp3[291.960,299.120]	NO OK DOES HE HAVE A SORE THROAT
audio/RES0043.mp3[299.120,303.000]	I DONT THINK SO
audio/RES0043.mp3[303.000,309.760]	OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS
audio/RES0043.mp3[309.760,320.440]	I DONT KNOW IF HES HAVING TROUBLE SWALLOWING BUT HE DOESNT SEEM TO HAVE A BIG APPETITE RIGHT NOW
audio/RES0043.mp3[320.440,325.080]	OK UM AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE
audio/RES0043.mp3[325.080,329.680]	MAYBE A BIT OF LIKE A RUNNY NOSE
audio/RES0043.mp3[329.680,335.640]	OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE
audio/RES0043.mp3[335.640,346.920]	AH THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT
audio/RES0043.mp3[346.920,351.240]	OK HOW ABOUT VISION OR HEARING
audio/RES0043.mp3[351.240,353.000]	I THINK THOSE ARE FINE
audio/RES0043.mp3[353.000,359.000]	OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS
audio/RES0043.mp3[360.000,367.400]	OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES
audio/RES0043.mp3[367.400,370.240]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0043.mp3[370.240,374.600]	OK ANY CHANGES IN HIS BOWEL MOVEMENTS
audio/RES0043.mp3[374.600,375.520]	UH NO
audio/RES0043.mp3[379.760,381.800]	IM SORRY NO CHANGES
audio/RES0043.mp3[381.800,387.440]	OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL
audio/RES0043.mp3[388.360,393.160]	OK ANY NAUSEA OR VOMITING
audio/RES0043.mp3[394.920,398.680]	OK ANY CHANGES IN HIS URINE
audio/RES0043.mp3[398.680,403.560]	REALLY BEEN LOOKING BUT I DONT THINK SO
audio/RES0043.mp3[403.560,407.440]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0043.mp3[407.440,411.320]	NO JUST LIKE FATIGUE
audio/RES0043.mp3[411.320,417.360]	OK ANY CONFUSION OR MEMORY LOSS
audio/RES0043.mp3[417.840,425.720]	AND IS HE AN IS HE AN OTHERWISE HEALTHY CHILD
audio/RES0043.mp3[425.720,438.600]	YEAH ABSOLUTELY HE HASNT LIKE DECIDE TO LIKE VACCINES HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT
audio/RES0043.mp3[438.600,447.720]	OK SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM
audio/RES0043.mp3[447.720,450.760]	EXACTLY LIKE NOTHING
audio/RES0043.mp3[450.760,456.880]	OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM
audio/RES0043.mp3[456.880,458.600]	YEAH TOTALLY
audio/RES0043.mp3[458.600,465.120]	OK AH AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH
audio/RES0043.mp3[465.120,470.320]	NO NO LIKE EVERYTHING WAS THINGS REALLY GOOD
audio/RES0043.mp3[470.320,478.280]	OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW
audio/RES0043.mp3[478.280,481.200]	YEAH TOTALLY
audio/RES0043.mp3[481.200,487.840]	OK AND DOES HE HAVE ANY ALLERGIES
audio/RES0043.mp3[487.840,500.720]	UHM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING SO FAR
audio/RES0043.mp3[500.720,505.040]	IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0043.mp3[505.600,513.880]	YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0043.mp3[513.880,516.960]	UH NO EVERYONE IS REALLY HEALTHY
audio/RES0043.mp3[516.960,525.720]	OK AND UM ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE
audio/RES0043.mp3[525.720,534.000]	HE LIVES WITH ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE JUST IN TOWN HERE
audio/RES0043.mp3[534.000,538.080]	OK AND IS SHE HEALTHY
audio/RES0043.mp3[538.080,540.840]	YEAH I LIKE SHE YEAH SHES HEALTHY
audio/RES0043.mp3[540.840,550.880]	OK AN ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN
audio/RES0043.mp3[551.960,559.600]	NO OK UM HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY
audio/RES0043.mp3[559.600,576.760]	NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL BUT HE GOES TO SCHOOL RIGHT NOW SO KIND OF HARD TO SAY THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING
audio/RES0043.mp3[576.760,585.000]	OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY
audio/RES0043.mp3[587.240,594.800]	NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY
audio/RES0043.mp3[594.800,621.360]	I DONT THINK SO LIKE I REALIZED THAT I CAN OFTEN TIMES LIKE WE DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS JUST LIKE A VIRUS OR SOMETHING BUT WE DO I GUESS NEED TO HAVE A COVITEST TO GO BACK TO SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY ITS LIKE THE OTHER KIDS HAVE HAD UH AN EXPOSURE
audio/RES0043.mp3[622.760,629.160]	SO YEAH YEAH LIKE SORRY GO AHEAD
audio/RES0043.mp3[629.160,630.320]	NO GO AHEAD
audio/RES0043.mp3[630.320,641.640]	SO I JUST WANTED TO BASICALLY SEE IF IT WAS THAT AND I MEAN HE DOES RECEIVE YOURE SO SCARED THATS KIND OF WHAT MADE ME COME IN LIKE ITS SCARING ME A LITTLE BIT
audio/RES0043.mp3[641.640,707.600]	RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVISWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESNT HAVE IT AND THOSE RESULTS WILL COME BACK IN 24 TO 48 HOURS UMM WE DO SUGGEST BECAUSE HIS SYMPTOMS OVERLAP WITH SYMPTOMS OF COVITHAT HE ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER IF POSSIBLE AND THEN IF THE SWAP COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND NOWADAYS IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR IF HES FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND UHM SO FOR NOW ILL JUST WAIT FOR THOSE COVISWABS TO COME BACK HOW DOES THAT SOUND
audio/RES0043.mp3[707.600,713.240]	YEAH SOUNDS GOOD
audio/RES0043.mp3[713.240,714.480]	OK GREAT
audio/RES0043.mp3[714.480,716.560]	THANK YOU
audio/RES0043.mp3[716.560,732.400]	YEAH NO WORRIES UHM AND I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDNT HAVE THE FEVER WE WOULD ADD EVERYTHINGS LIKE ASTHMA TO THE LIST OF THINGS
audio/RES0043.mp3[732.400,740.600]	HE COULD BE WORKED UP FOR BUT RIGHT NOW IT SOUNDS LIKE A IT SOUNDS LIKE AN INFECTION
audio/RES0043.mp3[740.600,742.960]	OK YEAH THATS GOOD TO KNOW
audio/RES0043.mp3[742.960,746.240]	ALRIGHT SOUNDS GREAT HAVE A GOOD DAY
audio/RES0043.mp3[746.240,749.920]	YOU TOO THANKS
audio/RES0108.mp3[0.000,1.640]	WHAT BRINGS YOU IN
audio/RES0108.mp3[1.640,12.920]	HI UH IVE JUST HAD THIS COUGH FOR THE PAST WEEK AND I WAS WORRIED I MIGHT HAVE COVID SO I JUST WANTED TO UM I JUST WANTED TO BE CHECKED
audio/RES0108.mp3[12.920,16.960]	SURE SO YOU MENTIONED YOU IT STARTED A WEEK AGO
audio/RES0108.mp3[17.920,23.560]	HAS IT BEEN PERSISTENT OR DOES IT COME AND GO
audio/RES0108.mp3[23.560,25.320]	UM ITS JUST BEEN THERE
audio/RES0108.mp3[25.320,26.600]	BEEN THERE OK
audio/RES0108.mp3[26.600,40.760]	YEAH I JUST GET THIS ITCHY SORT OF UH LIKE SCRATCHY SENSATION IN MY THROAT AND THEN I JUST COUGH AND UM THAT MAKES IT BETTER
audio/RES0108.mp3[40.760,51.080]	OK OK UHM WHAT HOW WOULD YOU DESCRIBE YOUR COUGH LIKE IS IT BARKY IS IT HARSH IS IT MUFFLED
audio/RES0108.mp3[51.080,56.320]	UHM NO I DONT I DONT THINK ITS BARKY OR HARSH
audio/RES0108.mp3[56.320,65.800]	OK AND DOES ANYTHING MAKE IT BETTER OR WORSE LIKE YOU KNOW LIKE THE COLD AIR LAYING DOWN AT PARTICULAR TIME OF DAY
audio/RES0108.mp3[65.800,80.120]	NOT REALLY I HAVENT UH NOTHINGS REALLY HELPED UM I ALSO TRIED A COUGH SYRUP UM IT DIDNT IT HELPED FOR A COUPLE HOURS BUT THEN IT WAS BACK AGAIN THE COUGH WAS BACK AGAIN
audio/RES0108.mp3[80.120,84.240]	OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0108.mp3[84.240,86.960]	UH WELL I I SAID YEAH WHEN I GET A COLD
audio/RES0108.mp3[86.960,89.320]	MHMM OK
audio/RES0108.mp3[89.320,91.360]	ONCE A YEAR MAYBE
audio/RES0108.mp3[91.360,99.040]	ONCE A YEAR OK UM DO YOU EXPERIENCE ANY SHORTNESS OF BREATH WITH THIS COUGH
audio/RES0108.mp3[100.000,105.080]	NO OK IS IT A DRY COUGH OR DO YOU BRING UP ANY PHLEGM
audio/RES0108.mp3[105.080,107.160]	NO ITS A DRY COUGH
audio/RES0108.mp3[107.160,109.400]	OK UH ANY BLOOD THAT YOUVE SEEN
audio/RES0108.mp3[109.400,110.800]	NO NO
audio/RES0108.mp3[110.800,115.360]	NO OK AND DO YOU FEEL WHEEZY
audio/RES0108.mp3[116.760,118.080]	NO CHEST PAIN
audio/RES0108.mp3[118.600,124.200]	NO UM FEELING LIKE YOUR HEARTS RACING
audio/RES0108.mp3[125.680,131.160]	ANY SWELLING IN YOUR LIMBS
audio/RES0108.mp3[131.160,131.680]	UH NO
audio/RES0108.mp3[131.680,137.000]	NO ANY FAINTING SPELLS
audio/RES0108.mp3[137.000,139.120]	UHM NO
audio/RES0108.mp3[139.120,143.840]	NO OK DO YOU EVER FEEL LIKE YOUR NOSE IS STUFFY OR RUNNY
audio/RES0108.mp3[145.240,149.160]	NO ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0108.mp3[149.160,150.880]	UH NO
audio/RES0108.mp3[150.880,154.080]	A SORE THROAT
audio/RES0108.mp3[155.960,158.280]	UM LOSS OF SMELL OR TASTE
audio/RES0108.mp3[158.720,161.080]	ANY WEIGHT LOSS
audio/RES0108.mp3[161.080,161.800]	UH NO
audio/RES0108.mp3[163.960,167.000]	I CHECKED NO NO I DONT HAVE A FEVER
audio/RES0108.mp3[167.000,168.480]	NO ANY RASHES
audio/RES0108.mp3[169.040,174.880]	ISSUES UH ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0108.mp3[174.880,183.920]	UM UH NO IVE JUST BEEN CONSTIPATED FROM TIME TO TIME BUT THATS NOTHING THATS NOT NEW
audio/RES0108.mp3[183.920,189.880]	OK CONSTIPATION AND IM SORRY WHEN DID YOUR CONSTIPATION START
audio/RES0108.mp3[189.880,193.560]	OH ITS A PROBLEM FOR YEARS I DONT EAT ENOUGH FIBRE
audio/RES0108.mp3[193.560,198.720]	OH OK ANY CHANGES IN YOUR URINE
audio/RES0108.mp3[199.160,203.440]	OK ANY NAUSEA OR VOMITING
audio/RES0108.mp3[203.440,205.120]	UH NO
audio/RES0108.mp3[205.120,208.240]	NO OK ANY JOINT PAIN
audio/RES0108.mp3[209.520,212.000]	NO NUMBNESS OR TINGLING
audio/RES0108.mp3[215.240,221.120]	NO OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0108.mp3[221.120,222.960]	I HAVE DIABETES
audio/RES0108.mp3[222.960,226.520]	OK HOW LONG HAVE YOU HAD DIABETES
audio/RES0108.mp3[226.520,230.040]	ITS ABOUT ITS BEEN UH SEVEN YEARS NOW
audio/RES0108.mp3[230.040,234.400]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0108.mp3[234.840,241.440]	OK AND UM HOW ABOUT MEDICATIONS ARE YOU ON ANY
audio/RES0108.mp3[241.440,250.120]	UH YEAH IVE BEEN TAKING UH METFORMIN FOR THE PAST UH FOR THE PAST FIVE YEARS WHEN FIVE OR SIX YEARS
audio/RES0108.mp3[251.000,265.080]	UM AND UH MY FAMILY DOC STARTED ME ON UH RAMIPRIL ABOUT TWO WEEKS AGO HE TOLD ME THAT UH NOW THAT IM 50 I NEED TO I NEED TO BE ON THIS PILL AS WELL SO NOW I HAVE TO TAKE 2 PILLS INSTEAD OF ONE
audio/RES0108.mp3[266.080,270.360]	YEAH BECAUSE I THINK ITS ITS GOOD FOR MY HEART OR SOMETHING
audio/RES0108.mp3[270.360,279.080]	YEAH FOR SURE SO YOU STARTED THAT TWO WEEKS AGO OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0108.mp3[279.080,282.920]	UH YEAH I THINK SO
audio/RES0108.mp3[282.920,285.640]	OK ANY ALLERGIES
audio/RES0108.mp3[285.640,293.440]	UHM PENICILLIN I JUST GET UH I GET A RASH I GOT A RASH WHEN I WAS A CHILD I HAVENT HAD IT SINCE THEN
audio/RES0108.mp3[293.440,298.000]	OK OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0108.mp3[298.000,301.880]	UH NO NOTHING LIKE THAT
audio/RES0108.mp3[301.880,304.760]	NO OK DO YOU SMOKE
audio/RES0108.mp3[304.760,308.080]	UH NO
audio/RES0108.mp3[308.080,314.080]	NO HOW ABOUT UH MARIJUANA OR OTHER RECREATIONAL DRUGS
audio/RES0108.mp3[315.400,319.040]	NO OK UM ALCOHOL
audio/RES0108.mp3[319.040,321.560]	UH YEAH I DRINK ON THE WEEKENDS
audio/RES0108.mp3[321.560,324.200]	OK WHAT DO YOU DRINK AND HOW MUCH DO YOU DRINK
audio/RES0108.mp3[324.200,328.320]	ILL HAVE MAYBE TWO OR THREE UH BOTTLES OF BEER
audio/RES0108.mp3[328.320,333.960]	OK SURE AND UM HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY
audio/RES0108.mp3[333.960,347.520]	NO NO IVE JUST BEEN STAYING AT HOMEIM JUST SCARED OF COVID BUT IM IM STILL WORRIED I MIGHT HAVE SOMEHOW GOTTEN IT
audio/RES0108.mp3[347.520,350.920]	YEAH FOR SURE UHM ANY TRAVEL RECENTLY
audio/RES0108.mp3[352.320,357.600]	NO OK AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0108.mp3[357.600,363.160]	I LIVE IN A HOUSE WITH MY WIFE AND MY TWO KIDS
audio/RES0108.mp3[363.160,365.360]	OK UH ARE THEY HEALTHY
audio/RES0108.mp3[365.360,369.240]	YEAH THEYRE ALL HEALTHY
audio/RES0108.mp3[369.240,374.440]	OK ANY OLD CARPET DUST MOLD OR ASBESTOS IN YOUR HOME
audio/RES0108.mp3[374.440,377.280]	UM NOT THAT IM AWARE OF
audio/RES0108.mp3[377.280,386.360]	NO OK OK WELL IT SEEMS LIKE UM THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0108.mp3[386.360,391.120]	UH NO I JUST WANT TO GET TESTED FOR COVID
audio/RES0108.mp3[391.120,448.920]	YEAH SO WE WILL DEFINITELY DO A COVID SWAB ON YOU BECAUSE YOU HAVE A COUGH UM AND THOSE RESULTS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND SO YOULL KNOW MORE THEN BUT BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID WE STILL RECOMMEND ISOLATING FOR 14 DAYS BUT THE OTHER THING I WANT TO MENTION IS THAT YOU DONT HAVE ANY OTHER SYMPTOMS OF INFECTION BESIDES YOUR COUGH AND IT SEEMS LIKE THE COUGH STARTED A WEEK AGO AND YOU STARTED THIS NEW MEDICATION RAMIPRIL TWO WEEKS AGO AND SO RAMIPRIL IS A TYPE OF ACE INHIBITOR AND ONE OF ITS SIDE EFFECTS IS THAT IN SOME PEOPLE IT CAN CAUSE COUGHING SO I AM GOING TO REVIEW YOUR MEDICATIONS AND IF YOUR FAMILY DOC ALSO AGREES WE MAY TRY UH ANOTHER UM BLOOD PRESSURE MEDICATION FOR YOU INSTEAD OF RAMIPRIL
audio/RES0108.mp3[449.800,458.600]	UM SO WELL TRY AND CHANGE THAT MEDICATION AND SEE IF YOUR COUGHING STOPS HOW DOES THAT SOUND
audio/RES0108.mp3[458.600,460.080]	SOUNDS GREAT
audio/RES0108.mp3[460.080,462.680]	OK GREAT THANK YOU
audio/MSK0018.mp3[0.000,2.280]	WHAT BRINGS YOU IN
audio/MSK0018.mp3[2.280,29.880]	I JUST CAME IN BECAUSE OF I JUST GOT INTO LIKE THIS UH INCIDENT WHILE I WAS PLAYING RUGBY I KIND OF GOT TACKLED AND THEN FELL ONTO MY RIGHT SHOULDER UM AND AFTER I GOT UP I HAVENT IVE JUST BEEN THIS JUST HAPPENED A COUPLE HOURS AGO ACTUALLY AND UH IVE JUST BEEN IN INTENSE PAIN IN MY RIGHT SHOULDER AND I CANT SEEM TO MOVE IT AT ALL
audio/MSK0018.mp3[29.880,33.760]	OKAY UM AND SORRY WHEN WAS THIS EXACTLY
audio/MSK0018.mp3[33.760,36.080]	UH PROBABLY 2 HOURS AGO
audio/MSK0018.mp3[36.080,43.440]	2 HOURS AGO OKAY UM AND IS THIS PAIN PERSISTENT OR IS IT LIKE ON AND OFF
audio/MSK0018.mp3[43.440,48.760]	ITS ITS CONSTANT IT HASNT GONE AWAY AT ALL
audio/MSK0018.mp3[48.760,55.200]	OKAY 1 TO 10 10 BEING THE WORST HOW BAD IS THIS PAIN
audio/MSK0018.mp3[55.200,58.640]	I DONT KNOW LIKE PROBABLY LIKE 8 OR 8 OR 9
audio/MSK0018.mp3[58.640,65.080]	8 OR 9 OKAY UM AND IS IT A SHARP KIND OF PAIN OR IS IT DULL AND ACHING
audio/MSK0018.mp3[65.080,71.640]	ITS ITS SHARP LIKE IF I TRY TO MOVE IT AT ALL ITS LIKE A SHARP PAIN
audio/MSK0018.mp3[71.640,75.800]	OKAY UM AND HAVE YOU EVER HAD ANYTHING LIKE THIS IN THE PAST
audio/MSK0018.mp3[75.800,77.880]	UH NO NEVER
audio/MSK0018.mp3[77.880,84.680]	NEVER OKAY AND ARE YOU ABLE TO MOVE YOUR ARM AT ALL OR YOU CANT MOVE IT
audio/MSK0018.mp3[84.680,95.280]	I COULD MOVE MY FINGERS AND HAND AND ELBOW BUT UM ELBOW A LITTLE BIT BUT LIKE UH YEAH I CANT MOVE MY SHOULDER WHATSOEVER
audio/MSK0018.mp3[95.280,104.680]	OKAY UM AND DO YOU ARE YOU EXPERIENCING ANY TINGLING OR NUMBNESS
audio/MSK0018.mp3[104.680,109.440]	UM NO I DONT THINK SO
audio/MSK0018.mp3[109.440,115.840]	NO OKAY UH HOW ABOUT ANY MUSCLE WEAKNESS
audio/MSK0018.mp3[115.840,129.160]	UM IN THAT AREA I DONT KNOW IF ITS WEAKNESS OR PAIN BUT I JUST CANT MOVE IT UP AND I I I DO FEEL SOME LIKE NUMBNESS JUST ABOVE MY SHOULDER NO TINGLING THOUGH
audio/MSK0018.mp3[129.160,132.320]	OKAY ANY PAIN ELSEWHERE IN YOUR BODY
audio/MSK0018.mp3[133.880,136.720]	NO OKAY ANY HEADACHES
audio/MSK0018.mp3[136.720,138.280]	UM NO
audio/MSK0018.mp3[138.280,141.360]	CONFUSION OR MEMORY LOSS
audio/MSK0018.mp3[141.360,143.560]	UH NO
audio/MSK0018.mp3[143.560,146.200]	UH WEIGHT LOSS
audio/MSK0018.mp3[146.200,147.160]	UH NO
audio/MSK0018.mp3[147.160,148.960]	FEVERS OR CHILLS
audio/MSK0018.mp3[151.280,152.360]	UM NO
audio/MSK0018.mp3[152.360,156.160]	UH CHANGES IN YOUR VISION HEARING SMELL OR TASTE
audio/MSK0018.mp3[156.160,157.920]	UH NO
audio/MSK0018.mp3[157.920,162.520]	UM COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0018.mp3[162.520,163.360]	UM NO
audio/MSK0018.mp3[163.360,166.480]	CHEST PAIN OR HEART PALPITATIONS
audio/MSK0018.mp3[166.840,169.200]	CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0018.mp3[169.480,171.880]	CHANGES IN VOIDING
audio/MSK0018.mp3[172.880,178.400]	UM OKAY AND THEN WITH REGARDS TO THIS PAIN DOES ANYTHING MAKE IT BETTER OR WORSE
audio/MSK0018.mp3[178.400,188.560]	UM UM NOT ANYTHING THAT IVE TRIED THATS MADE IT BETTER WORSE IS PROBABLY JUST IF I TRY TO MOVE IT AT ALL
audio/MSK0018.mp3[188.560,195.400]	OKAY AND THE PAINS IN YOUR SHOULDER DOES IT RADIATE DOWN OR UP ELSEWHERE
audio/MSK0018.mp3[195.400,205.760]	UH MOSTLY TOWARDS MY SHOULDER UM KIND OF DOWN TOWARDS MY UPPER ARM AS WELL
audio/MSK0018.mp3[205.760,213.640]	OKAY I SEE UM ALRIGHT AND UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS
audio/MSK0018.mp3[213.640,224.440]	NO YEAH OTHERWISE IM HEALTHY IVE NEVER BEEN TO THE DOCTOR MUCH
audio/MSK0018.mp3[224.440,227.680]	OKAY ALRIGHT UM AND ARE YOU ON ANY MEDICATIONS
audio/MSK0018.mp3[228.840,236.200]	NO OKAY AND UM ARE YOU UPTODATE WITH YOUR IMMUNIZATIONS
audio/MSK0018.mp3[237.480,240.600]	OKAY AND DO YOU HAVE ANY ALLERGIES
audio/MSK0018.mp3[240.600,241.960]	UH NO
audio/MSK0018.mp3[241.960,246.920]	ANY FAMILY HISTORY OF MUSCULOSKELETAL DISEASES
audio/MSK0018.mp3[246.920,250.640]	NO NOT THAT I KNOW OF
audio/MSK0018.mp3[250.640,256.640]	OKAY UH AND ANY FAMILY HISTORY OF AUTOIMMUNE CONDITIONS
audio/MSK0018.mp3[256.640,259.800]	UM NO
audio/MSK0018.mp3[259.800,262.960]	OKAY UM DO YOU SMOKE AT ALL
audio/MSK0018.mp3[264.880,269.320]	NO UM DO YOU CONSUME MARIJUANA
audio/MSK0018.mp3[269.320,271.120]	UH NO
audio/MSK0018.mp3[271.120,274.600]	UH DO YOU DRINK ALCOHOL
audio/MSK0018.mp3[274.600,280.280]	UH NO JUST JUST WITH FRIENDS SOMETIMES ON THE WEEKENDS BUT NOT REALLY
audio/MSK0018.mp3[280.280,289.560]	OKAY UM AND THEN WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH
audio/MSK0018.mp3[289.560,297.520]	UH I LIVE JUST OUTSIDE OF TOWN WITH MY PARENTS IN A HOUSE
audio/MSK0018.mp3[297.520,303.960]	OKAY AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0018.mp3[303.960,306.440]	UM NO IVE BEEN AT HOME
audio/MSK0018.mp3[306.440,308.920]	OKAY ANY SICK CONTACTS
audio/MSK0018.mp3[309.960,325.200]	NO OKAY SO NOW WERE JUST GOING TO MOVE ON TO UM THE PHYSICAL EXAM PART OF THIS SO CAN YOU TAKE A LOOK AT BOTH YOUR SHOULDERS AND LET ME KNOW IF YOU SEE ANY REDNESS OR SWELLING
audio/MSK0018.mp3[325.200,340.000]	UM I DONT THINK I SEE ANY REDNESS OR SWELLING BUT UM MY RIGHT SHOULDER AND MY ARM JUST SEEMS A LITTLE BIT LOWER THAN MY LEFT ONE
audio/MSK0018.mp3[340.000,346.280]	OKAY OKAY ANY UM WARMTH ON ON THAT SHOULDER
audio/MSK0018.mp3[346.280,349.120]	UH NO NOT THAT I CAN FEEL
audio/MSK0018.mp3[349.120,356.640]	OKAY ANY ATROPHY DEFORMITIES OR SKIN CHANGES
audio/MSK0018.mp3[356.640,370.760]	UM DEFORMITY I I DO FEEL LIKE KIND OF UH LIKE MY SHOULDERS DROPPED AND LIKE THERES JUST KIND OF THIS UH LITTLE LIKE DIVOTS WHERE LIKE THE SHOULDER SHOULD BE
audio/MSK0018.mp3[370.760,385.760]	OKAY OKAY AND CAN YOU PALPATE THAT AREA FOR ME JUST UM THE BONES IN THAT AREA SO LIKE RIGHT WHERE YOUR ARM WOULD CONNECT TO YOUR SHOULDER AND THEN KIND OF ON YOUR SHOULDER BLADE DOES THAT HURT WHEN YOU PRESS DOWN
audio/MSK0018.mp3[385.760,387.240]	YEAH IT HURTS A LOT
audio/MSK0018.mp3[387.240,405.280]	OKAY SO SOME TENDERNESS AND PAIN IN THE ACROMION PROCESS AND SCAPULA UM AND IF YOU PRESS DOWN ON YOUR BICEPS TRICEPS DOES THAT HURT
audio/MSK0018.mp3[405.280,406.680]	NOT AS MUCH NO
audio/MSK0018.mp3[406.680,423.760]	NO OKAY AND THEN CAN I GET YOU TO UM CAN YOU LIFT YOUR SHOULDER UP AT ALL LIKE TO WHERE TO THE POINT WHERE YOUR FINGERS ARE TOUCH LIKE REACHING THE CEILING
audio/MSK0018.mp3[423.760,426.640]	NO I I CANT I CANT MOVE IT AT ALL
audio/MSK0018.mp3[426.640,461.080]	ALRIGHT SO UM IT SOUNDS LIKE YOU HAVE A SHOULDER DISLOCATION UM SO WE ARE GOING TO DO AN XRAY OF YOUR SHOULDER JOINT FIRST TO MAKE SURE THAT ITS ITS JUST A DISLOCATION AND THERE ARENT ANY BROKEN BONES OR FRACTURES AND THEN UM WE CAN RESOLVE THIS BY DOING SOMETHING CALLED A CLOSED REDUCTION UM TO TRY TO PUT THE JOINT BACK IN ITS PLACE
audio/MSK0018.mp3[463.640,482.960]	UM AND IF THAT CLOSED REDUCTION DOESNT WORK THEN UH YOU MAY NEED SURGERY FOR LIKE A UM A WEAK SHOULDER JOINT OR IF LIKE LIGAMENTS UM ARENT LIKE STRONG ENOUGH AND ITS IT CONTINUES TO HAPPEN
audio/MSK0018.mp3[484.840,509.560]	UM OTHERWISE WE CAN KEEP IT IMMOBILIZED FOR A FEW DAYS TO A FEW WEEKS UM DEPENDING ON HOW BAD THE DISLOCATION IS UM AND THEN ONCE THATS REMOVED YOU CAN DO SOME REHAB AS WELL TO RESTORE SOME RANGE OF MOTION DOES THAT SOUND LIKE A GOOD PLAN DO YOU HAVE ANY QUESTIONS OR CONCERNS IN THE MEANTIME
audio/MSK0018.mp3[509.560,513.040]	UH NO I THINK THATS UH THATS GREAT
audio/RES0092.mp3[0.000,5.600]	I UNDERSTAND THAT YOUVE HAD A COUGH CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT
audio/RES0092.mp3[5.600,16.840]	YEAH SO IVE HAD THIS COUGH NOW ITS BEEN GOING ON FOR ABOUT TWO WEEKS JUST JUST HASNT GONE AWAY
audio/RES0092.mp3[16.840,23.280]	UHM OK CAN YOU TELL ME A LITTLE BIT MORE ABOUT THIS COUGH IS IT DRY OR WET
audio/RES0092.mp3[23.280,38.640]	UH YEAH ITS BEEN UHM MIX ITS BEEN DRY SOMETIMES AND I HAVE HAD A LITTLE BIT OF SPUTUM PRODUCTION RECENTLY UH ITS BEEN MOSTLY CLEAR THOUGH
audio/RES0092.mp3[38.640,44.600]	HAS THE COUGH GOTTEN WORSE OVER THE PAST TWO WEEKS
audio/RES0092.mp3[44.600,55.280]	NO ITS BEEN ABOUT THE SAME
audio/RES0092.mp3[55.280,59.840]	UHM AND HAVE YOU HAD ANY BLOOD THAT CAME UP WITH THE SPUTUM
audio/RES0092.mp3[59.840,64.720]	NO I HAVENT NOTICED ANY BLOOD
audio/RES0092.mp3[64.720,77.520]	ALRIGHT WHAT ABOUT ANY OTHER SYMPTOMS OVER THE PAST TWO WEEKS HAVE YOU HAD HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0092.mp3[77.520,81.960]	NOT NO
audio/RES0092.mp3[81.960,89.440]	NO OK AND ANY UHM I GUESS ANY RUNNY NOSE
audio/RES0092.mp3[89.440,97.520]	YEAH MY NOSE WAS A BIT RUNNY LAST WEEK BUT ITS THATS BETTER NOW
audio/RES0092.mp3[97.520,105.080]	OK OK UHM ITS JUST OK LAST WEEK WHAT ELSE WHAT OTHER SYMPTOMS DID YOU HAVE LAST WEEK
audio/RES0092.mp3[105.080,127.000]	YEAH I HAD A SORE THROAT AND A LITTLE BIT OF A HEADACHE AS WELL UHM AND AND SOME ACHES AND FATIGUE THOSE WERE UH YEAH THAT WAS LAST WEEK FOR ABOUT THREE DAYS AND THEN I STARTED TO FEEL BETTER BUT I STILL HAVE THIS COUGH THAT ITS STILL GOING ON
audio/RES0092.mp3[127.000,136.240]	SO THOSE OTHER SYMPTOMS THAT YOU HAD LAST WEEK THAT LASTED ABOUT THREE DAYS ARE THEY ALL GONE ARE YOU STILL FEELING FATIGUED OR HAVING A HEADACHE
audio/RES0092.mp3[136.240,138.280]	THOSE ARE BOTH YEAH THEYRE GONE
audio/RES0092.mp3[138.280,141.400]	HMM ITS ONLY THE COUGH
audio/RES0092.mp3[141.400,143.160]	YEAH I JUST HAVE THE COUGH
audio/RES0092.mp3[143.160,152.040]	IS THERE ANY TIME ANY SPECIFIC TIME OF THE DAY THAT ITS WORSE OR BETTER ANYTHING THAT TRIGGERS IT
audio/RES0092.mp3[152.040,172.400]	UHM MAYBE LIKE MAYBE WHEN I WENT OUT INTO THE COLD OR UHM LIKE WHEN I WENT FOR A RUN WHERE I REALLY KIND OF EXERTED MYSELF IT BROUGHT IT ON BUT OTHER THAN THOSE THINGS NOTHING
audio/RES0092.mp3[172.400,178.480]	OK BUT YOURE OTHERWISE FEELING BETTER
audio/RES0092.mp3[178.480,186.640]	YEAH FOR THE MOST PART YEAH FEELING BETTER BUT I STILL HAVE A COUGH
audio/RES0092.mp3[186.640,189.920]	OK UHM HAVE YOU HAD ANY CHEST PAIN
audio/RES0092.mp3[189.920,194.680]	P NO
audio/RES0092.mp3[194.680,202.640]	ANY PALPITATIONS DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0092.mp3[202.640,204.560]	UHM NO NOTHING LIKE THAT
audio/RES0092.mp3[204.560,216.720]	ANY OTHER SYMPTOMS SUCH AS BELLY PAIN OR DIARRHEA OR CONSTIPATION OR CHANGES IN YOUR URINE ARE HAVING ANY URINARY SYMPTOMS
audio/RES0092.mp3[216.720,222.200]	NO I HAVENT HAD ANYTHING LIKE LIKE THAT
audio/RES0092.mp3[222.200,230.040]	OK OK AND CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY ANY MEDICAL CONDITIONS YOU HAVE
audio/RES0092.mp3[230.040,234.000]	YEAH I IM HEALTHY I HAVENT BEEN DIAGNOSED WITH WITH ANYTHING
audio/RES0092.mp3[234.000,245.040]	OK ALRIGHT ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER PILLS OR ANY HERBAL PILLS OR MULTI VITAMINS ETC
audio/RES0092.mp3[245.040,248.280]	YEAH IM TAKING A BIRTH CONTROL
audio/RES0092.mp3[248.280,250.960]	I SEE OK ANY ALLERGIES
audio/RES0092.mp3[250.960,252.960]	NO ALLERGIES
audio/RES0092.mp3[252.960,263.200]	OK DO YOU HAVE ANY YOU DONT HAVE ANY LUNGS RELATED DISEASES RIGHT LIKE ASTHMA OR COPOR ANYTHING OF THAT SORT
audio/RES0092.mp3[263.200,265.440]	UHM NO NOTHING LIKE THAT
audio/RES0092.mp3[265.440,273.160]	ALRIGHT ALRIGHT THATS GOOD  AND WHO DO YOU CURRENTLY LIVE WITH AND WHERE DO YOU LIVE
audio/RES0092.mp3[273.160,282.080]	ALRIGHT SO I LIVE WITH A FEW ROOMMATES IM JUST FINISHING UP MY UNDERGRADUATE DEGREE
audio/RES0092.mp3[282.080,294.560]	YEAH THATS GREAT HAVE YOU HAD ANY CONTACT WITH ANYONE WHO WAS SICK RECENTLY
audio/RES0092.mp3[294.560,313.200]	NO NOT THAT I COULD THINK OF I MEAN WE WENT OUT ONE NIGHT LAST WEEK AND THATS KIND OF WHEN I HAD THOSE OTHER SYMPTOMS FOR A FEW DAYS AFTER THAT
audio/RES0092.mp3[313.200,320.160]	OK OK UHM AND HAVE YOU TRAVELED OUTSIDE THE CITY OR COUNTRY
audio/RES0092.mp3[320.160,321.480]	NO I HAVENT
audio/RES0092.mp3[321.480,325.040]	NO OK DO YOU DRINK ALCOHOL
audio/RES0092.mp3[325.040,330.320]	SOMETIMES YEAH I I WILL WITH FRIENDS KIND OF SOCIALLY
audio/RES0092.mp3[332.120,334.320]	JUST A FEW DRINKS
audio/RES0092.mp3[334.320,336.920]	WHAT ABOUT SMOKING
audio/RES0092.mp3[336.920,339.400]	UH NO
audio/RES0092.mp3[341.080,350.040]	UH SOMETIMES WITH LIKE SOCIALLY WITH FRIENDS BUT THAT MIGHT BE ONCE A MONTH OR PROBABLY EVEN LESS
audio/RES0092.mp3[350.040,352.040]	ANY RECREATIONAL DRUGS
audio/RES0092.mp3[353.760,360.000]	OK ALRIGHT AND ANY LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0092.mp3[360.560,431.440]	OK UHM OK ALRIGHT SO THATS ALL THAT I I WANTED TO KNOW IT SOUNDS LIKE YOU HAD A YOU HAD A COLD LAST WEEK AND YOU JUST HAVE THIS RESIDUAL COUGH THATS STILL THERE AND ITS BEEN TWO WEEKS AND YOURE JUST WORRIED ABOUT IT BUT OTHERWISE YOURE FEELING WELL YOU DONT HAVE ANY OTHER SYMPTOMS OFTEN TIMES WHEN WE GET SICK OR WE HAVE AN INFECTION OR INFLAMMATION OF THE UHM THE AIRWAY WE CAN GET A COUGH THAT LASTS A LONG TIME AND IT MIGHT JUST TAKE YOU A COUPLE MORE WEEKS FOR THE COUGH TO GO AWAY BUT IF YOU FEEL THAT ITS GETTING ANY WORSE OR YOURE YOU HAVE THOSE SYMPTOMS COME BACK AGAIN OR YOU DEVELOP A FEVER WE CAN YOU CAN DEFINITELY WE CAN DO SOMETHING MORE ABOUT THAT ILL ALSO DO A PHYSICAL EXAM AND AND SEE HOW YOURE DOING AND THEN WE CAN GO FROM THERE
audio/RES0092.mp3[431.440,435.920]	OK GREAT THANK YOU
audio/GAS0003.mp3[0.000,2.640]	WHAT BRINGS YOU IN HERE TODAY
audio/GAS0003.mp3[2.640,9.240]	YEAH HI IM I I HAVE A PAIN IN MY BELLY IT STARTED A COUPLE HOURS AGO
audio/GAS0003.mp3[9.240,17.040]	OK AND WHERE EXACTLY IN YOUR BELLY DO YOU HAVE THIS PAIN
audio/GAS0003.mp3[17.040,21.200]	ITS MOSTLY UP HERE ON THE RIGHT SIDE
audio/GAS0003.mp3[21.200,34.840]	THE RIGHT SIDE OK AND CAN YOU DESCRIBE WHAT KIND OF PAIN IS IT IS IT LIKE A DULL PAIN OR SHARP PAIN AN ACHING PAIN
audio/GAS0003.mp3[34.840,49.280]	OH I GUESS ITS A ITS AN ACHING PAIN ID SAY IT KIND OF JUST UM IT WOULD INITIALLY JUST COME AND GO BUT NOW ITS JUST ITS STAYING ITS NOT GOING AWAY
audio/GAS0003.mp3[49.280,58.320]	OK AND SO ITS IN THE RIGHT AREA AND DOES IT TRAVEL ANYWHERE ELSEWHERE BESIDES ON FROM THE RIGHT SIDE
audio/GAS0003.mp3[62.480,72.520]	OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN YOU FELT IN YOUR LIFE AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT RIGHT NOW
audio/GAS0003.mp3[72.520,76.200]	ITS ABOUT TO A 10 AN 8 MAYBE
audio/GAS0003.mp3[76.200,81.400]	AN 8 OK AND SO JUST TO CLARIFY WHEN DID IT START
audio/GAS0003.mp3[81.400,83.880]	ABOUT 8 HOURS AGO
audio/GAS0003.mp3[83.880,95.600]	8 HOURS AGO OK AND WERE YOU DOING ANYTHING BEFORE LIKE DID YOU HAVE A MEAL OR HOW WERE YOU SLEEPING BEFORE IT WOKE YOU UP WHAT WAS GOING ON BEFORE YOU HAD THE PAIN
audio/GAS0003.mp3[95.600,104.920]	I WAS JUST ABOUT TO GO TO SLEEP I WASNT DOING ANYTHING IN PARTICULAR AT THE TIME
audio/GAS0003.mp3[104.920,108.800]	OK AND HAS IT BEEN GETTING WORSE SINCE IT FIRST STARTED
audio/GAS0003.mp3[108.800,123.320]	OH YEAH DEFINITELY IT WOULD COME AND GO BUT NOW FOR THE PAST ID SAY FIVE TO SIX HOURS ITS BEEN CONSTANT JUST THERE ALL THE TIME
audio/GAS0003.mp3[123.320,130.520]	OK AND HAVE YOU HAD ANY SIMILAR PAIN LIKE THIS IN THE PAST
audio/GAS0003.mp3[130.520,154.760]	YEAH UH I I HAVE THE SAME PAIN THAT SORT OF COMES AND GOES AFTER I EAT USUALLY AFTER IVE HAD SOMETHING LIKE A SOMETHING FATTY SOMETHING FROM OUTDOORS MAYBE LIKE A BURGER OR FRIES OR SOMETHING I INITIALLY THOUGHT IT WAS INDIGESTION BUT I DONT I DONT KNOW WHATS GOING ON NOW
audio/GAS0003.mp3[154.760,161.720]	OK AND DOES IT DOES ANYTHING MAKE IT BETTER OR WORSE OR ANYTHING THAT YOUVE TRIED
audio/GAS0003.mp3[161.720,170.280]	WELL I GUESS EATING SOMETIMES MAKES IT WORSE UM BUT I DONT I DONT THINK THERES ANYTHING THATS MAKING IT BETTER
audio/GAS0003.mp3[170.280,174.000]	OK HAVE YOU TRIED ANY MEDICATIONS AT ALL
audio/GAS0003.mp3[174.000,180.320]	I TRIED TYLENOL BUT THAT DIDNT DO ANYTHING
audio/GAS0003.mp3[180.320,186.520]	OK AND BESIDES UH THE PAIN THAT YOURE HAVING DO YOU HAVE ANY NAUSEA AND VOMITING
audio/GAS0003.mp3[186.520,193.720]	I AM A LITTLE NAUSEOUS BUT NO I DIDNT HAVENT HAD I HAVENT VOMITED YET NO
audio/GAS0003.mp3[193.720,198.760]	OK AND HAVE YOU BEEN HAVING ANY FEVERS
audio/GAS0003.mp3[198.760,204.800]	I DONT THINK SO I HAVENT CHECKED I DONT FEEL FEVERISH
audio/GAS0003.mp3[204.800,207.000]	ANY SWEATS OR LIKE CHILLS
audio/GAS0003.mp3[207.000,209.720]	NO  I DONT THINK SO
audio/GAS0003.mp3[209.720,213.760]	OK ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA
audio/GAS0003.mp3[215.240,220.840]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/GAS0003.mp3[220.840,223.840]	NO I HAVENT
audio/GAS0003.mp3[223.840,230.240]	HAVE YOU BEEN FEELING AT ALL VERY TIRED NOT YOUR USUAL SELF FATIGUED
audio/GAS0003.mp3[230.240,241.600]	WELL THE PAIN IS MAKING IT DIFFICULT FOR ME TO DO THINGS UM BUT I I GUESS IM NOT UH A LITTLE FATIGUED  MAYBE
audio/GAS0003.mp3[241.600,247.440]	OK UM HAVE YOU BEEN HAVING ANY CHANGES IN YOUR URINARY PATTERNS
audio/GAS0003.mp3[248.640,253.880]	NO ANY CHANGES IN YOUR SKIN AND YOU RASHES ANY YELLOWING OF YOUR SKIN
audio/GAS0003.mp3[253.880,257.960]	NOTHING THAT IVE NOTICED NO I DONT THINK SO
audio/GAS0003.mp3[257.960,262.320]	OK ANY CHANGES IN YOUR URINE COLOR
audio/GAS0003.mp3[263.880,268.400]	OK HAVE YOU NOTICED BLOOD IN YOUR STOOLS AT ALL
audio/GAS0003.mp3[268.400,270.880]	I HAVE NOT NO
audio/GAS0003.mp3[270.880,275.560]	OK AND HOW ABOUT YOUR APPETITE HAS THIS CHANGED AT ALL
audio/GAS0003.mp3[275.560,289.080]	WELL I GUESS BECAUSE ITS THIS THING HAPPENS USUALLY HAPPENS AFTER I EAT I THINK IVE BEEN EATING LESS THAN USUAL JUST BECAUSE I DONT I DONT WANT TO YOU KNOW I DONT LIKE THE PAIN
audio/GAS0003.mp3[289.080,292.560]	ANY SIGNIFICANT WEIGHT LOSS RECENTLY
audio/GAS0003.mp3[292.560,296.280]	I DONT THINK SO
audio/GAS0003.mp3[296.280,302.680]	OK ANY RECENT INFECTIONS RECENTLY AT ALL
audio/GAS0003.mp3[303.640,311.320]	UM AND OTHERWISE ARE YOU DO YOU HAVE ANY OTHER MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE OR ANYTHING ELSE
audio/GAS0003.mp3[311.320,317.680]	I DO HAVE DIABETES BUT THATS ABOUT IT I THINK
audio/GAS0003.mp3[317.680,321.720]	AND YOU TAKE ANYTHING FOR YOUR DIABETES
audio/GAS0003.mp3[321.720,324.000]	I TAKE METFORMIN
audio/GAS0003.mp3[324.000,329.960]	OK UM DO YOU TAKE ANY OTHER MEDICATIONS AT ALL
audio/GAS0003.mp3[329.960,331.880]	NO I DONT SORRY NO
audio/GAS0003.mp3[331.880,337.920]	NO WORRIES DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS ANY ENVIRONMENTAL ALLERGIES
audio/GAS0003.mp3[337.920,339.840]	NO NO NO I DONT
audio/GAS0003.mp3[339.840,344.360]	OK AND HAVE YOU BEEN HOSPITALIZED IN THE PAST
audio/GAS0003.mp3[344.360,350.480]	NO NO I HAVENT EVER IVE BEEN VERY UH HEALTHY NO HOSPITALIZATIONS
audio/GAS0003.mp3[350.480,352.760]	ANY PAST SURGERIES
audio/GAS0003.mp3[352.760,358.320]	I GOT MY WISDOM TEETH REMOVED WHEN I WAS A TEENAGER
audio/GAS0003.mp3[358.320,363.040]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN ILL RECENTLY
audio/GAS0003.mp3[363.040,368.720]	NO I DONT THINK SO
audio/GAS0003.mp3[368.720,383.880]	OK HMM AND IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CANCERS OR UM ANY ERR UM IBLIKE CROHNS DISEASE OR ULCERATIVE COLITIS
audio/GAS0003.mp3[383.880,388.840]	NO NOT THAT I KNOW OF
audio/GAS0003.mp3[388.840,392.240]	OK AND ANYTHING THAT RUNS IN THE FAMILY AT ALL
audio/GAS0003.mp3[392.240,399.880]	MY DAD HAD A HEART ATTACK WHEN HE WAS IN HIS 60S BUT THATS IT
audio/GAS0003.mp3[399.880,405.520]	OK AND UM CURRENTLY RIGHT NOW DO YOU WORK
audio/GAS0003.mp3[405.520,410.840]	OH NO IM IM LAID OFF BECAUSE OF COVID
audio/GAS0003.mp3[410.840,416.520]	OK AND CURRENTLY WHAT IS YOUR HOME SITUATION LIKE
audio/GAS0003.mp3[416.520,418.920]	WHAT DO YOU MEAN
audio/GAS0003.mp3[418.920,422.840]	SO DO YOU LIVE IN AN APARTMENT HOUSE AND DO YOU LIVE WITH ANYONE
audio/GAS0003.mp3[422.840,430.280]	I I I LIVE IN AN APARTMENT I LIVE ALONE
audio/GAS0003.mp3[430.280,443.040]	UM AND IN TERMS OF YOUR DAILY ROUTINE DO YOU FEEL THAT YOU GET ENOUGH EXERCISE DO YOU GO OUTSIDE FOR WALKS OR RUNS OR ANYTHING LIKE THAT
audio/GAS0003.mp3[443.040,451.040]	I USUALLY GO OUT FOR A RUN ESPECIALLY WHEN ITS A LITTLE BIT WARMER WHICH IT NOW IS
audio/GAS0003.mp3[451.040,455.520]	AND DO YOU DO YOU DRINK ALCOHOL
audio/GAS0003.mp3[455.520,456.960]	UH SOMETIMES
audio/GAS0003.mp3[456.960,461.440]	HOW MUCH WOULD YOU SAY YOU DRINK IN AN AVERAGE WEEK
audio/GAS0003.mp3[461.440,463.200]	ONE TO TWO DRINKS A DAY
audio/GAS0003.mp3[463.200,469.280]	OK AND WHAT DO YOU USUALLY DRINK
audio/GAS0003.mp3[469.280,473.760]	ILL JUST DRINK A GLASS OF WINE AT NIGHT JUST HELPS ME RELAX
audio/GAS0003.mp3[473.760,478.240]	OK AND DO YOU SMOKE CIGARETTES
audio/GAS0003.mp3[478.240,479.160]	I DONT NO
audio/GAS0003.mp3[479.160,485.840]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/GAS0003.mp3[485.840,489.120]	NO I DONT
audio/GAS0003.mp3[489.120,499.360]	OK ALRIGHT SO UM THATS ALL THE QUESTIONS I HAVE AND JUST TO CLARIFY DOES YOUR PAIN COME AND GO OR IS IT CONSTANT
audio/GAS0003.mp3[499.360,519.440]	YES SO INITIALLY IT WOULD COME AND GO BUT NOW SO FOR THE FIRST 2 HOURS IT WOULD COME AND GO AND WHEN I WOULD HAVE THIS PAIN WHEN I WAS EATING IT WOULD COME AND GO BUT OVER THE PAST SIX HOURS ITS JUST BEEN CONSTANT
audio/GAS0003.mp3[519.440,522.000]	OK ALRIGHT
audio/RES0063.mp3[0.000,2.880]	WHAT BRINGS YOU IN
audio/RES0063.mp3[2.880,31.320]	YEAH SO IVE BEEN FEELING JUST REALLY DOWN RECENTLY IN THE LAST WEEK I STARTED OFF BY HAVING THIS SORE THROAT WHICH STARTED AROUND 5 DAYS AGO AND THEN I ALSO NOTICED IVE BEEN GETTING SOME CHILLS OVER THE LAST FEW DAY AND ON TOP OF ALL OF THAT WITHIN THE LAST THREE TO FOUR DAYS IVE BEEN GETTING MUSCLE ACHES ALL OVER MY BODY
audio/RES0063.mp3[31.320,38.920]	OK ALRIGHT SO THE SORE THROAT STARTED 5 DAYS AGO AND THEN THE FEVER STARTED WHEN
audio/RES0063.mp3[38.920,45.640]	SO THE FEVER I THINK I HAVENT MEASURED IT BUT I STARTED HAVING CHILLS LIKE 3 DAYS AGO
audio/RES0063.mp3[45.640,50.640]	THREE DAYS AGO OK AND THE MUSCLE ACHES STARTED TWO DAYS AGO
audio/RES0063.mp3[50.640,54.680]	I WOULD SAY 3 DAYS AGO AS WELL
audio/RES0063.mp3[54.680,61.840]	THREE DAYS AGO OK OK ARE YOU HAVING ANY TROUBLE SWALLOWING FOODS OR FLUIDS
audio/RES0063.mp3[61.840,71.560]	A LITTLE BIT WITH SOLIDS WITH A SORE THROAT BUT LIQUIDS IM DOING OK RIGHT NOW
audio/RES0063.mp3[71.560,81.720]	OK AND IS IT HARD FOR YOU TO LIKE ARE YOU HAVING ISSUES VOCALISING AT ALL
audio/RES0063.mp3[81.720,104.560]	NO I THINK MY VOICE HAS BEEN THE SAME ITS JUST WHEN IM NOT TALKING ESPECIALLY IF IM SWALLOWING MY OWN LIKE SPIT IT STILL HURTS SOMETIMES BUT MAINLY WITH SOLID FOOD
audio/RES0063.mp3[104.560,114.160]	OK OK AND THEN ARE YOU HAVING ANY ISSUES WITH TASTE OR SMELL
audio/RES0063.mp3[114.160,117.000]	UH NO I DONT THINK SO
audio/RES0063.mp3[117.000,121.480]	OK HOW ABOUT HEARING OR VISION
audio/RES0063.mp3[121.480,124.200]	NO NO CHANGES
audio/RES0063.mp3[124.200,128.120]	ANY WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0063.mp3[128.120,131.560]	NO I PROBABLY HAVE GAINED WEIGHT
audio/RES0063.mp3[131.560,136.520]	OK ANY FATIGUE OR EXHAUSTION
audio/RES0063.mp3[136.520,149.720]	NOW THAT YOU MENTION IT I DO FEEL PRETTY TIRED OVER THE LAST FEW DAYS I DONT KNOW IF ITS JUST BECAUSE OF MY MUSCLES ACHING ALL THE TIME OR I DONT KNOW I HAVE DEFINITELY FELT VERY TIRED
audio/RES0063.mp3[149.720,155.320]	OK HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0063.mp3[155.320,156.760]	NO NOTHING LIKE THAT
audio/RES0063.mp3[156.760,161.120]	DO YOU HAVE A COUGH AT ALL
audio/RES0063.mp3[161.120,165.480]	NO I HAVENT REALLY NOTICED THE COUGH
audio/RES0063.mp3[165.480,169.920]	HOW ABOUT SHORTNESS OF BREATH OR WHEEZING
audio/RES0063.mp3[169.920,176.360]	NO NO SHORTNESS OF BREATH OR WHEEZING
audio/RES0063.mp3[176.360,179.880]	OK CHEST PAIN OR YOU FEELING LIKE YOUR HEARTS RACING
audio/RES0063.mp3[181.680,186.680]	NO AND HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0063.mp3[186.680,190.040]	UH NO I HAVENT HAD ANY OF THOSE
audio/RES0063.mp3[190.040,195.040]	OK HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0063.mp3[195.040,204.960]	NO I DONT THINK SO I GO REGULARLY ONCE A DAY AND I HAVENT NOTICED ANY WATERY STOOL OR DIARRHEA
audio/RES0063.mp3[204.960,209.080]	OK THATS GOOD ANY CHANGES IN YOUR APPETITE
audio/RES0063.mp3[209.080,226.720]	YEAH WITH A SORE THROAT I TEND TO LIKE EAT SOFTER FOODS RIGHT NOW I CANT REALLY I DONT REALLY FEEL LIKE EATING
audio/RES0063.mp3[226.720,233.680]	YEAH OK HOW ABOUT NAUSEA OR VOMITING
audio/RES0063.mp3[233.680,239.920]	NO NO NOTHING LIKE THAT
audio/RES0063.mp3[239.920,251.440]	OK OK AND ANY ISSUES WITH JOINT PAIN YOU SAID YOUR MUSCLE ACHES BUT HOW ABOUT JOINTS
audio/RES0063.mp3[251.440,278.120]	UM NO I DONT THINK ITS SPECIFICALLY MY JOINTS I THINK MORE SO I WOULD SAY LIKE AROUND IN MY THIGHS THEN I WOULD SAY JUST MY UPPER ARMS HURT A LOT AND EVEN UH MY UPPER BACK AREA HURTS A LOT AS WELL SO ITS KIND OF JUST EVERYWHERE BUT THOSE ARE SOME AREAS THAT HURT THE MOST
audio/RES0063.mp3[278.120,283.400]	OK OK ARE YOU OTHERWISE HEALTHY
audio/RES0063.mp3[283.400,304.000]	UM YEAH I DO HAVE A COUPLE OF THINGS ON MY LIST I DO HAVE HIGH BLOOD PRESSURE I HAVE DIABETES AND OTHER THAN THAT I ALSO HAVE LIKE HIGH CHOLESTEROL
audio/RES0063.mp3[304.560,309.960]	YEAH THATS JUST SOME OF THE THINGS THAT IVE BEEN DIAGNOSED WITH
audio/RES0063.mp3[309.960,315.160]	YEAH OK AND DO YOU TAKE MEDICATION FOR ANY OF THESE THINGS
audio/RES0063.mp3[315.160,323.080]	YEAH SO I TAKE FOR THE BLOOD PRESSURE I TAKE THIS MEDICATION CALLED THE RAMIPRIL
audio/RES0063.mp3[323.080,324.240]	OK YEAH
audio/RES0063.mp3[324.240,349.520]	AND THEN FOR DIABETES IM TAKING METFORMIN AND THEN FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR YEAH YEAH BUT OTHER THAN THAT JUST LIKE VITAMIN AND MULTI VITAMINS THOSE ARE SOME OF THE MEDICATIONS THAT IM TAKING
audio/RES0063.mp3[349.520,353.520]	SURE YEAH ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0063.mp3[355.360,366.720]	OK DO YOU KNOW IF YOU GOT A VACCINE CALLED SHINGRIX FOR SHINGLES AND PNEUMOVAX FOR PNEUMOCOCCAL INFECTIONS
audio/RES0063.mp3[366.720,383.080]	YEAH I ACTUALLY THINK I GOT THEM JUST THIS PAST SEASON UH WITH ALL THIS COVIGOING ON I JUST WANTED TO MAKE SURE I GOT ALL THOSE VACCINES AS WELL SO YEAH I RECENTLY JUST GOT THEM
audio/RES0063.mp3[383.080,388.480]	OK GOOD AND AND HOW ABOUT ANY ALLERGIES
audio/RES0063.mp3[388.480,392.000]	UH NO I DONT HAVE ANY ALLERGIES
audio/RES0063.mp3[392.000,397.120]	OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0063.mp3[397.120,420.960]	UHM NO LUNG CONDITIONS AND UHH HEART CONDITIONS BOTH MY MOM AND DAD SUFFERED FROM LIKE HIGH BLOOD PRESSURE MY DAD ALSO HAD A HEART ATTACK WHEN IN HIS 60S NOW THERE IS SOME HEART CONDITIONS THAT RUN IN THE FAMILY
audio/RES0063.mp3[420.960,427.600]	OK OK AND THEN ANY CANCERS IN THE FAMILY
audio/RES0063.mp3[427.600,439.760]	UHM M SON ACTUALLY GOT DIAGNOSED WITH COLORECTAL CANCER JUST A FEW YEARS AGO
audio/RES0063.mp3[439.760,442.400]	OH IM SORRY TO HEAR THAT
audio/RES0063.mp3[442.400,448.400]	HES DOING OK THOUGH LIKE IT WAS PRETTY SCARY AT THE TIME
audio/RES0063.mp3[448.400,451.400]	HOW OLD WAS HE WHEN HE WAS DIAGNOSED
audio/RES0063.mp3[451.400,455.400]	I THINK HE WAS YEAH IN HIS FORTIES 46
audio/RES0063.mp3[455.400,461.480]	OK WELL HES YEAH THATS YOUNG HAVE YOU HAD A COLONOSCOPY
audio/RES0063.mp3[461.480,472.920]	YEAH I HAD IT DONE EVERYTHING CAME BACK NORMAL SO YEAH IM NOT SURE WHERE HE GOT IT FROM
audio/RES0063.mp3[472.920,478.640]	OK HAVE YOU HAD ANY SICK CONTACTS RECENTLY
audio/RES0063.mp3[478.640,492.120]	NO NO SICK CONTACTS THAT I KNOW OF IVE BEEN MAINLY IN MY HOUSE I DO GO OUTSIDE FOR GROCERIES AND SOME THINGS LIKE THAT BUT OTHER THAN THAT IM RETIRED I DONT REALLY GO OUT TOO MUCH
audio/RES0063.mp3[492.120,500.320]	YEAH OK AND YOU SAID YOURE RETIRED DO YOU LIVE ALONE DO YOU LIVE WITH ANYONE
audio/RES0063.mp3[500.320,508.040]	NO YEAH I LIVE ALONE NOW AND I LIVE IN LONDON IN AN APARTMENT
audio/RES0063.mp3[508.040,513.640]	OK ANY OLD CARPETS MOLD DUST ASBESTOS
audio/RES0063.mp3[513.640,519.080]	NO NOTHING LIKE THAT ITS A PRETTY SAFE BUILDING
audio/RES0063.mp3[519.080,523.000]	OK GOOD AND DO YOU SMOKE
audio/RES0063.mp3[523.000,531.760]	I USED TO I USED TO SMOKE PROBABLY IN MY 20S TO LATE 40S BUT THEN I QUIT
audio/RES0063.mp3[531.760,536.760]	OK GOOD GOOD FOR YOU HOW MUCH DID YOU SMOKE BEFORE YOU QUIT
audio/RES0063.mp3[536.760,545.280]	PROBABLY ONE TO TWO PACKS A DAY I WOULD SAY
audio/RES0063.mp3[545.280,553.000]	OK THATS GOOD THATS GOOD THAT YOU QUIT DO YOU DRINK ANY ALCOHOL
audio/RES0063.mp3[553.000,559.880]	UHM I JUST STICK TO SOME RED WINE MAYBE A COUPLE TIMES A WEEK
audio/RES0063.mp3[559.880,566.320]	OK COUPLE TIMES A WEEK SO TWO TO THREE TIMES
audio/RES0063.mp3[566.320,574.920]	YEAH I WOULD SAY TWO TO THREE TIMES AND UH I PROBABLY GO THROUGH MAYBE 1 BOTTLE EVERY TWO WEEKS
audio/RES0063.mp3[574.920,582.400]	OK OK AND THEN ANY MARIJUANA
audio/RES0063.mp3[582.400,589.040]	NO NO IVE NEVER HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS NO NOTHING ELSE
audio/RES0063.mp3[589.040,595.800]	OK GOOD WELL THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
audio/RES0063.mp3[595.800,617.240]	YEAH UH WITH ALL THIS COVIAND THE PANDEMIC GOING ON I DONT KNOW I LIKE IVE BEEN MAINLY AT MY HOUSE BUT LIKE I SAID I DO GO TO DO MY OWN GROCERIES OF COURSE I WEAR A MASK BUT I DONT KNOW IF I MIGHT HAVE CAUGHT COVI SO THATS SOMETHING I WAS WORRIED ABOUT
audio/RES0063.mp3[617.240,677.640]	YEAH FOR SURE I THINK JUST BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVIWE WILL BE DOING A COVISWAB TODAY AND YOU SHOULD HEAR BACK ABOUT YOUR RESULTS IN 24 TO 48 HOURS BUT YOU SHOULD STILL SELFISOLATE FOR 14 DAYS BECAUSE YOU DO HAVE SIMILAR SYMPTOMS AND IF ITS NOT COVIITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND THESE DAYS AND FOR THAT YOU DONT NEED ANY MEDICATION LIKE PRESCRIBED MEDICATIONS BUT JUST KEEP AN EYE ON THAT ON YOUR SYMPTOMS STAY HYDRATED EAT WELL IF YOU NEED TO LOWER YOUR FEVE YOU CAN USE TYLENOL AND IF YOUR SYMPTOMS WORSEN OR YOU START GETTING NEUROLOGICAL SYMPTOMS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND
audio/RES0063.mp3[677.640,693.400]	SOUNDS GOOD I JUST HAD ANOTHER QUICK QUESTION I DID GET THE SHINGLES AND THE PNEUMOCOCCAL VACCINE BACK THEN BUT I DIDNT GET THE FLU VACCINE LIKE SHOULD I GET IT IS IT RECOMMENDED
audio/RES0063.mp3[693.400,713.920]	YES ITS DEFINITELY RECOMMENDED SO WE WONT GIVE YOU THE VACCINE RIGHT NOW BECAUSE YOU HAVE SYMPTOMS BUT ONCE YOU ARE HEALTHY AGAIN YOU SHOULD DEFINITELY GET THE GET THE FLU VACCINE AND YOU SHOULD GET IT ONCE A YEAR
audio/RES0063.mp3[713.920,722.080]	OK I JUST NEVER TOOK THOSE VACCINES BUT ILL DO THAT FROM NOW ON
audio/RES0063.mp3[722.080,733.840]	YEAH ITS A GOOD IDEA AND EVEN IF YOU GET THE FLU YOUR SYMPTOMS WONT BE AS SEVERE IF YOU HAVE THE VACCINE SO ITS DEFINITELY SOMETHING TO CONSIDER
audio/RES0063.mp3[733.840,735.400]	OK ALRIGHT SOUNDS GOOD
audio/RES0063.mp3[735.400,740.000]	ALRIGHT TAKE CARE
audio/CAR0004.mp3[0.000,2.680]	WHAT BRINGS YOU HERE TODAY
audio/CAR0004.mp3[2.680,11.560]	IM JUST HAVING THIS REALLY SHARP PAIN IN MY CHEST AND IM SCARED I THINK IM HAVING A HEART ATTACK
audio/CAR0004.mp3[11.560,19.720]	OH WOW YEAH UM THAT MUST BE REALLY SCARY WHEN DID THIS WHEN DID THIS PAIN START
audio/CAR0004.mp3[19.720,23.440]	SO ABOUT 3 DAYS AGO
audio/CAR0004.mp3[23.440,31.520]	THREE DAYS AGO OK AND WHERE EXACTLY IN YOUR CHEST DO YOU FEEL IT
audio/CAR0004.mp3[31.520,36.560]	ITS KIND OF RIGHT HERE RIGHT OVER MY HEART I THINK THATS WHERE ITS THE WORST
audio/CAR0004.mp3[36.560,48.240]	OK AND IS IT WHAT KIND OF PAIN IS IT IS IT MORE LIKE A DULL PRESSURE PAIN OR IS IT A SHARP PAIN HOW WOULD YOU DESCRIBE IT
audio/CAR0004.mp3[48.240,51.640]	I WOULD SAY ITS A SHARP PAIN
audio/CAR0004.mp3[51.640,62.000]	A SHARP PAIN OK UM SO IT STARTED THREE DAYS AGO HAS IT BEEN COMING AND GOING OR HAS IT BEEN CONSTANT
audio/CAR0004.mp3[62.000,68.840]	IT JUST LASTS FOR A FEW SECONDS AND THEN IT GOES AWAY
audio/CAR0004.mp3[68.840,77.480]	OK DOES THE PAIN COME ON WHEN YOURE DOING ANY ACTIVITIES OR WHEN DOES THE PAIN USUALLY COME ON
audio/CAR0004.mp3[77.480,82.120]	OH ITS USUALLY WORSE WHEN IM COUGHING OR LAYING DOWN YEAH YEAH
audio/CAR0004.mp3[82.120,95.000]	OK AND UM DOES IT IMPROVE WITH ANY POSITIONAL CHANGES AT ALL OR ANYTHING THAT YOU DO THAT DOES IT HELP
audio/CAR0004.mp3[95.000,102.800]	WHEN I WHEN I LEAN FORWARD IT ACTUALLY DOES GET BETTER I THINK ABOUT IT YEAH
audio/CAR0004.mp3[102.800,107.320]	OK AND HAS THIS EVER HAPPENED TO YOU BEFORE
audio/CAR0004.mp3[107.320,112.080]	NO NO IT HASNT
audio/CAR0004.mp3[112.080,119.880]	OK AND ON A SCALE OF 1 TO 10 ONE BEING THE LEAST AMOUNT OF PAIN FELT AND 10 BEING THE WORST HOW MUCH WOULD YOU RATE IT
audio/CAR0004.mp3[119.880,124.560]	I WOULD SAY A 6 OUT OF 10
audio/CAR0004.mp3[124.560,131.120]	OK AND DOES THE PAIN MOVE ANYWHERE IN YOUR CHEST OR DOES IT STAY IN THE SAME SPOT
audio/CAR0004.mp3[131.120,135.520]	YEAH I THINK IT KIND OF GOES TO MY NECK SOMETIMES
audio/CAR0004.mp3[135.520,143.800]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE DO YOU HAVE ANY SHORTNESS OF BREATH DIZZINESS ANYTHING LIKE THAT
audio/CAR0004.mp3[143.800,145.360]	NO I DONT
audio/CAR0004.mp3[145.360,151.760]	OK ANY ANY PALPITATIONS
audio/CAR0004.mp3[153.240,158.360]	OK ALRIGHT AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY OTHER SYMPTOMS AT ALL BESIDES THE PAIN
audio/CAR0004.mp3[158.360,166.720]	NO NO NOTHING ELSE THATS IT JUST HAVE THESE SHARP EPISODES OF PAIN THAT LAST A COUPLE OF SECONDS
audio/CAR0004.mp3[166.720,172.040]	OK UM HAVE YOU HAVE YOU TRIED LIKE ANY MEDICATIONS THAT HAS HELPED THE PAIN
audio/CAR0004.mp3[172.040,178.280]	YEAH I TOOK SOME UM I TOOK SOME TYLENOL AND THAT DID HELP
audio/CAR0004.mp3[178.920,181.520]	I TOOK IT ONCE YESTERDAY
audio/CAR0004.mp3[181.520,191.120]	ALRIGHT UM ANY RECENT INJURIES TO THE AREA LIKE DID YOU HAVE ANY FALLS OR ANYTHING LIKE THAT
audio/CAR0004.mp3[191.120,194.960]	NO NO I HAVENT
audio/CAR0004.mp3[194.960,203.080]	ANY HEADACHES NAUSEA OR VOMITING FEVERS OR CHILLS ANY OF THOSE SYMPTOMS
audio/CAR0004.mp3[203.800,210.400]	OK ANY COUGH RUNNY NOSE ANY VIRAL SYMPTOMS
audio/CAR0004.mp3[210.400,232.320]	NO WELL NOT RIGHT NOW BUT I DID HAVE A I DID HAVE A FLU LAST WEEK I HAD A FEVER HAD A RUNNY NOSE I DID HAVE A BIT OF A COUGH AND I WAS FEELING SUPER TIRED BUT NOT ANYMORE IM OK NOW
audio/CAR0004.mp3[232.320,237.920]	OK AND HAVE YOU AT ALL HAD ANY DIZZINESS OR HAVE YOU FAINTED AT ALL
audio/CAR0004.mp3[240.840,250.040]	OK HAVE YOU BEEN NOTICING ANY KIND OF WEAKNESS OR NUMBNESS
audio/CAR0004.mp3[251.120,260.680]	NO OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS LIKE DIABETES HIGH BLOOD PRESSURE ANY OTHER DIAGNOSIS
audio/CAR0004.mp3[260.680,266.800]	NO IM A PRETTY HEALTHY 25 YEAR OLD
audio/CAR0004.mp3[266.800,269.400]	OK UM DO YOU TAKE ANY MEDICATIONS
audio/CAR0004.mp3[269.400,273.440]	I SOMETIMES TAKE TYLENOL
audio/CAR0004.mp3[273.440,282.160]	OK AND ANY ALLERGIES AT ALL
audio/CAR0004.mp3[283.400,287.320]	OK AND ANY PREVIOUS SURGERIES
audio/CAR0004.mp3[287.320,290.200]	NO NO NO SURGERIES
audio/CAR0004.mp3[290.200,296.760]	DO YOU HAVE ANY FAMILY HISTORY OF ANY HEART CONDITIONS OR ANY CANCERS OR ANYTHING LIKE THAT
audio/CAR0004.mp3[296.760,306.680]	YEAH MY FATHER HE HE HAD A HEART ATTACK TWO WEEKS AGO AND HE AND HE PASSED AWAY AND IM WORRIED I AM HAVING A HEART ATTACK TOO
audio/CAR0004.mp3[306.680,312.280]	IT WAS JUST TWO WEEKS AGO
audio/CAR0004.mp3[314.600,326.880]	IM SO SORRY TO HEAR THAT YEAH IT MUST BE REALLY DIFFICULT TIME FOR YOU RIGHT NOW OK SO YOURE WORRIED YOU MIGHT BE HAVING A HEART ATTACK AS WELL
audio/CAR0004.mp3[327.320,345.880]	OK SO WE CAN DEFINITELY DO SOME TESTS AND SEE WHAT WAS GOING ON I JUST HAVE A FEW MORE QUESTIONS AND THEN ILL JUST GET TO SOME OF THE MANAGEMENT AND WHAT WE WILL BE DOING FOR YOU IN THE FUTURE SO CURRENTLY RIGHT NOW DO YOU WORK AT ALL
audio/CAR0004.mp3[345.880,353.000]	NO IM A STUDENT I WELL AS A PART TIME JOB I DO WORK AS A POST MAN
audio/CAR0004.mp3[353.000,358.320]	OK AND WHERE ARE YOU A STUDENT WHAT DO YOU DO
audio/CAR0004.mp3[358.320,362.520]	IM STUDYING ENGINEERING AT WESTERN
audio/CAR0004.mp3[362.520,377.400]	ALRIGHT AND CURRENTLY WHERE DO YOU LIVE DO YOU LIVE IN STUDENT HOUSING AN APARTMENT OR A HOUSE
audio/CAR0004.mp3[377.400,383.600]	I LIVE WITH MY PARENTS WELL MY MOM NOW IN A HOUSE
audio/CAR0004.mp3[383.600,387.520]	RIGHT AND YOU DRINK AT ALL ANY ALCOHOL
audio/CAR0004.mp3[387.520,393.240]	I DRINK OCCASIONALLY MAYBE ONE OR TWO DRINKS ON THE WEEKENDS
audio/CAR0004.mp3[393.240,398.240]	OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA OR COCAINE
audio/CAR0004.mp3[400.640,401.920]	AND DO YOU SMOKE
audio/CAR0004.mp3[406.720,444.600]	ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD FOR YOU TODAY AND YEAH IT MUST BE REALLY DIFFICULT AND SCARY FOR YOU RIGHT NOW BUT WELL MAKE SURE TO GET TO THE BOTTOM OF THIS TO SEE WHATS GOING ON SO WHAT WE CAN DO IS GET YOU AN ECG TO SEE HOW YOUR HEART IS FUNCTIONING AND THEN SEE GETTING THE BLOOD WORK IF WE NEED IT FOR THE FUTURE BUT YEAH RIGHT NOW I WOULD SAY TRY NOT TO WORRY TOO MUCH ABOUT IT RIGHT NOW AND SEE UM WHAT SOME OF THOSE TESTS COME BACK
audio/CAR0004.mp3[444.600,446.360]	THANK YOU
audio/CAR0004.mp3[446.360,448.280]	SO YEAH YOURE WELCOME
audio/RES0012.mp3[0.000,2.920]	WHAT BRINGS YOU IN TODAY
audio/RES0012.mp3[2.920,19.240]	I CANT I CAN BARELY BREATHE FOR LIKE 2 DAYS NOW AND IVE BEEN COUGHING AND BEEN HAVING LIKE A LITTLE BIT OF PAIN IN MY CHEST
audio/RES0012.mp3[19.240,30.560]	OK THE PAIN IN YOUR CHEST UH CAN YOU POINT POINT OUT OR CAN YOU DESCRIBE THE PAIN TO ME IS THAT SHARP OR IS IT DULL
audio/RES0012.mp3[30.560,53.680]	UM ITS HARD TO SAY I HAVENT REALLY HAD THIS BEFORE UM ITS MORE LIKE IT JUST KIND OF HURTS JUST IN THE MIDDLE AND IT GETS WORSE LIKE WHEN I COUGH AND WHEN I IF I TAKE LIKE A REALLY DEEP BREATH IT WILL HURT YEAH DOES THAT MAKE SENSE
audio/RES0012.mp3[53.680,63.720]	YEAH SO THE SHORTNESS OF BREATH AND CHEST PAIN THEY OCCURRED SIMULTANEOUSLY RIGHT ON THE SAME DAY LIKE 2 DAYS AGO
audio/RES0012.mp3[63.720,79.880]	YEAH I MEAN NOW THAT I THINK OF IT I MAYBE STARTED COUGHING A LITTLE BIT EARLIER THAN THAT BUT WHEN IT GOT HARDER TO BREATHE IS PRETTY WELL AROUND THE SAME TIME THAT I STARTED FEELING MORE THE PAIN
audio/RES0012.mp3[79.880,88.240]	OK ALRIGHT SO LETS FOCUS ON THE COUGHING FIRST ARE YOU COUGHING UP ANY BLOOD AT ALL
audio/RES0012.mp3[88.240,92.480]	UH NO I HAVENT NOTICED ANY BLOOD
audio/RES0012.mp3[92.480,99.560]	OK AND HOW ABOUT SPUTUM
audio/RES0012.mp3[99.560,117.360]	I GUESS I GUESS IT FEELS LIKE THERES SOME LIKE MUCUS I DONT KNOW KIND KIND OF LIKE SPIT LOOKING BUT MAYBE LIKE THICKER THAN THAT
audio/RES0012.mp3[117.360,122.160]	OK IS IT YELLOW
audio/RES0012.mp3[122.160,125.640]	YEAH YEAH YEAH WELL YEAH ITS CREAMY YELLOW
audio/RES0012.mp3[125.640,131.760]	OK SURE AND ARE YOU WHEEZING WITH THE COUGH
audio/RES0012.mp3[131.760,138.400]	I I DONT THINK SO
audio/RES0012.mp3[138.400,145.200]	NO OK UM AND IS IT IS YOUR SHORTNESS OF BREATH WORSE WITH EXERTION
audio/RES0012.mp3[145.200,170.040]	I HAVENT BEEN DOING MUCH REALLY CAUSE IVE JUST BEEN SO WIPED OUT UM TILL PROBABLY I GUESS ITS KIND OF IM REALLY YOU KNOW HAVENT BEEN GETTING UP VERY MUCH IM NORMALLY REALLY ACTIVE LIKE I I TRAIN FOR TRIATHLONS AND I IM NOT LIKE A COUCH POTATO RIGHT AND I FEEL LIKE IVE BEEN JUST KIND OF SITTING DOWN
audio/RES0012.mp3[170.040,179.400]	OK UM DO YOU HAVE THE CHEST PAIN AT REST AS WELL OR IS IT JUST WITH THE COUGHING
audio/RES0012.mp3[179.400,188.120]	LIKE IF I TAKE A DEEP BREATH ILL HAVE IT BUT NO I DONT THINK NOT NOT LIKE RIGHT NOW NOT LIKE JUST SITTING HERE
audio/RES0012.mp3[188.120,195.080]	OK AND THE COUGHING HOW OFTEN ARE YOU COUGHING
audio/RES0012.mp3[195.080,229.480]	OH LIKE IT KIND OF VARIES I FEEL LIKE I GET UP IN THE NIGHT KIND OF SWEATY AND ILL COUGH FOR FOR A WHILE AND IT ITLL KEEP ME UP AND THEN DURING THE DAY ITS LIKE I MIGHT GO YOU KNOW A COUPLE HOURS WITHOUT BUT THEN ILL COUGH AND ILL KIND OF KEEP GOING FOR A FEW MINUTES SO ITS A LOT LIKE PROBABLY YEAH I PROBABLY DONT GO MORE THAN LIKE 2 HOURS WITHOUT
audio/RES0012.mp3[229.480,237.920]	OK OK AND HOW FAR CAN YOU WALK BEFORE YOU START FEELING SHORTNESS OF BREATH
audio/RES0012.mp3[237.920,247.080]	I MEAN I HAVENT BEEN WALKING VERY FAR LIKE I I WALKED IN HERE FROM THE PARKING LOT AND THAT WAS FINE BUT IM TIRED
audio/RES0012.mp3[247.080,256.400]	OK OK AND I JUST WANT TO ASK YOU SOME OTHER QUESTIONS UM JESSICA SO HAVE YOU HAD ANY FEVERS RACE RECENTLY
audio/RES0012.mp3[256.400,277.000]	I DONT ACTUALLY HAVE A THERMOMETER AT HOME THAT WORKS BUT I LIKE I SAID WHEN IVE BEEN GETTING UP IN THE NIGHT COUGHING IVE BEEN LIKE REALLY HOT AND SWEATY KINDA GROSS LIKE FEEL LIKE I JUST I FEEL LIKE SOAKED AND BUT YEAH I DONT HAVE A THERMOMETER
audio/RES0012.mp3[277.000,285.040]	UM OK SO THESE NIGHT EVENTS THAT YOURE DESCRIBING ARE THEY MORE CHILLS OR NIGHT SWEATS
audio/RES0012.mp3[285.040,296.600]	WELL I DONT KNOW IT JUST FEELS LIKE WHEN YOU KNOW WHEN YOURE I DONT LIKE WHEN YOURE A KID AND YOU GET REALLY SICK AND YOUR PARENT TELLS YOU HAVE FEVER LIKE I DONT HAVE AN ACTUAL TEMPERATURE
audio/RES0012.mp3[296.600,297.960]	BUT DO YOU FEEL HOT
audio/RES0012.mp3[297.960,300.920]	I FEEL HOT YEAH
audio/RES0012.mp3[300.920,307.960]	OK OK AND HAVE YOU LOST ANY WEIGHT RECENTLY
audio/RES0012.mp3[307.960,310.680]	NO I MEAN ID LIKE TO BUT NO NO
audio/RES0012.mp3[310.680,316.280]	OK AND ANY CHANGES IN YOUR VISION
audio/RES0012.mp3[316.280,317.200]	UH NO
audio/RES0012.mp3[322.320,326.400]	ANY DO YOU HAVE LIKE A STUFFY NOSE RUNNY NOSE
audio/RES0012.mp3[326.400,336.760]	MAYBE A LITTLE LITTLE BIT ITS BEEN MORE THE COUGHING THATS THATS BOTHERED ME SO I HAVENT THOUGHT THAT MUCH ABOUT IT
audio/RES0012.mp3[336.760,340.760]	OK SORRY YOU SAID YOUR NOSE WAS STUFFY OR RUNNY
audio/RES0012.mp3[340.760,344.360]	SO ITS A LITTLE STUFFY MAYBE A LITTLE
audio/RES0012.mp3[344.360,355.560]	OK OK UM AND HAVE YOU HAD ANY LIKE PRESSURE BEHIND YOUR EYES IN YOUR HEAD
audio/RES0012.mp3[355.560,357.480]	NO NO NO
audio/RES0012.mp3[357.480,360.600]	OK NO HEADACHES
audio/RES0012.mp3[360.600,362.000]	NO NO
audio/RES0012.mp3[362.000,366.040]	NO DIZZINESS OR FAINTING SPELLS
audio/RES0012.mp3[366.040,371.280]	LIKE I FEEL TIRED BUT I HAVENT I DONT KNOW I HAVENT LIKE FAINTED
audio/RES0012.mp3[371.280,378.760]	OK SO YOURE TIRED DO YOU FEEL WEAK AT ALL LIKE YOU CANT MOVE A CERTAIN LIMB
audio/RES0012.mp3[378.760,380.400]	OH NO THAT THATS ALL FINE
audio/RES0012.mp3[380.400,381.520]	THATS ALL FINE OK
audio/RES0012.mp3[381.520,386.240]	I HAVENT LIKE WIPED OUT LIKE I SAID
audio/RES0012.mp3[386.240,397.880]	OK OK UM DO YOU GET THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING WHEN YOURE LAYING DOWN
audio/RES0012.mp3[397.880,405.720]	I MEAN IVE MOSTLY BEEN LAYING DOWN LATELY UM SO YEAH LIKE I KINDA HAVE IT ALL THE TIME
audio/RES0012.mp3[405.720,414.360]	ALL THE TIME OK BUT ITS NOT WORSE WHEN YOURE LAYING DOWN OR STANDING UP
audio/RES0012.mp3[414.360,415.960]	DONT THINK ITS WORSE NO
audio/RES0012.mp3[415.960,424.320]	OK AND HAVE YOU NOTICED ANY SWELLING
audio/RES0012.mp3[424.320,426.560]	UM I DONT THINK SO NO
audio/RES0012.mp3[426.560,431.400]	OK ANY PALPITATIONS LIKE YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0012.mp3[432.840,440.600]	NO UM AND THEN HOW ABOUT IN TERMS OF LIKE YOUR ABDOMINAL SYSTEM ANY PAIN THERE
audio/RES0012.mp3[440.600,451.480]	OH NO NOTHING I MEAN ITS LIKE A LITTLE SORE JUST CAUSE IM COUGHING ALL THE TIME BUT YEAH BUT YEAH NOT NOT LIKE NOT ANYTHING LIKE NOTICEABLE
audio/RES0012.mp3[451.480,456.240]	OK AND THEN HOW ABOUT YOUR STOOLS HAVE THEY BEEN NORMAL
audio/RES0012.mp3[456.240,457.320]	YEAH YEAH
audio/RES0012.mp3[457.320,466.160]	AND THEN HOW ABOUT YOUR URINE IS THAT HAS EVERYTHING BEEN NORMAL FROM THAT STANDPOINT
audio/RES0012.mp3[466.160,468.280]	YEAH YEAH
audio/RES0012.mp3[468.280,483.360]	OK OK UM AND THEN HAVE YOU HAD ANY ISSUES WITH BREATHING OR COUGHING IN THE PAST
audio/RES0012.mp3[483.360,496.920]	NO I MEAN I LIKE I SAID IM REALLY ACTIVE I DO A LOT OF LIKE RIGHT IVE BEEN LIKE TRAINING FOR A TRIATHLON LIKE I HAVENT HAD ANY PROBLEMS BEFORE
audio/RES0012.mp3[496.920,506.080]	OK OK UM ANY ANY PAST MEDICAL CONDITIONS THAT YOU KNOW OF
audio/RES0012.mp3[506.080,510.080]	UH I GOT LIKE I AM A TYPE 1 DIABETIC
audio/RES0012.mp3[510.080,521.400]	OK OK HAVE YOU EVER OK HAVE YOU EVER HAD A PULMONARY FUNCTION TEST IN THE PAST
audio/RES0012.mp3[521.400,527.600]	WELL MAYBE WHEN I WAS LIKE KID OR LIKE A TEENAGER
audio/RES0012.mp3[527.600,534.920]	AND ANY RECENT CHEST XRAYS ECGS ANY OTHER INVESTIGATIONS YOUVE DONE SO FAR
audio/RES0012.mp3[534.920,538.840]	NO LIKE I HAVE BEEN IVE BEEN REALLY HEALTHY
audio/RES0012.mp3[538.840,543.280]	OK GOOD AND ARE YOU ON ANY MEDICATIONS
audio/RES0012.mp3[543.280,546.760]	UM LIKE I TAKE A MY INSULIN
audio/RES0012.mp3[552.680,561.440]	AND LIKE I TAKE I TAKE A STATIN IS THAT WHAT ITS CALLED
audio/RES0012.mp3[561.440,573.280]	OK IS THAT BECAUSE YOU HAVE HIGH TRIGLYCERIDES OR LIKE CHOLESTEROL
audio/RES0012.mp3[573.280,579.720]	UH I THEY JUST SAID CAUSE I LIKE HAD DIABETES THAT I SHOULD PROBABLY START TAKING IT
audio/RES0012.mp3[579.720,580.760]	OK YEAH ALRIGHT
audio/RES0012.mp3[580.760,603.640]	THERES NO LIKE A BIG PROBLEM IT WAS JUST YOU KNOW MY FAMILY DOCTOR I THINK MY MY DAD HAS DIABETES AND HE HE HE HAD HEART PROBLEMS SO LIKE SHE ALSO MY FAMILY DOCTOR KNOWS MY DAD TOO SO I DONT KNOW IF THAT HAS SOMETHING TO DO WITH IT
audio/RES0012.mp3[603.640,615.720]	OK OK AND THEN YEAH I GUESS I WILL TALK ABOUT FAMILY HISTORY SINCE YOU BROUGHT IT UP ANY LUNG ISSUES IN THE FAMILY
audio/RES0012.mp3[615.720,618.440]	UH NOT THAT I KNOW OF LIKE
audio/RES0012.mp3[619.160,629.120]	JUST I MEAN THE HEART LIKE MY DAD HAD A HEART ATTACK I DONT KNOW IF THAT COUNTS AS LIKE ITS CLOSE TO THE LUNGS
audio/RES0012.mp3[629.120,630.720]	HOW OLD WAS HE
audio/RES0012.mp3[630.720,637.040]	UM IT WASNT THAT LONG AGO HE WAS LIKE IN HIS 60S
audio/RES0012.mp3[638.680,646.720]	OK UM IM GONNA NAME A FEW THINGS AND YOU LET ME KNOW IF THIS IS IN YOUR HISTORY OK IN YOUR
audio/RES0012.mp3[646.720,648.920]	FAMILY HISTORY ASTHMA
audio/RES0012.mp3[648.920,655.520]	MAYBE LIKE MY COUSIN BUT YEAH NOT LIKE MY MOM OR DAD
audio/RES0012.mp3[655.520,657.840]	OK CYSTIC FIBROSIS
audio/RES0012.mp3[659.840,664.160]	OK ALPHA ONE ANTITRYPSIN DEFICIENCY
audio/RES0012.mp3[664.160,666.080]	I DONT THINK SO NO
audio/RES0012.mp3[666.080,667.880]	PULMONARY FIBROSIS
audio/RES0012.mp3[667.880,669.320]	NO NO
audio/RES0012.mp3[669.320,675.240]	OK OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0012.mp3[675.240,698.320]	LIKE I I ALWAYS I ALWAYS GOT LIKE THE ONES I WAS SUPPOSED TO UM I NORMALLY LIKE NORMALLY WHERE I GO INTO WORK THERES LIKE A PHARMACY OUTSIDE AND I WOULD GET MY FLU SHOT BUT THIS YEAR ITS LIKE IM WORKING FROM HOME I HAVENT EVEN BEEN AROUND THERE SO I DIDNT GET IT THIS YEAR BUT I HAVE ALL THE NORMAL ONES
audio/RES0012.mp3[698.320,702.760]	OK AND THEN DO YOU SMOKE JESSICA
audio/RES0012.mp3[705.360,708.800]	NO DO YOU SMOKE MARIJUANA
audio/RES0012.mp3[708.800,710.160]	NO NO
audio/RES0012.mp3[710.160,714.600]	ANY OTHER RECREATIONAL DRUGS
audio/RES0012.mp3[714.600,717.400]	WHAT LIKE ALCOHOL
audio/RES0012.mp3[717.400,723.200]	UM NO OTHER THAN ALCOHOL LIKE COCAINE OR METH ANYTHING LIKE THAT
audio/RES0012.mp3[723.200,723.760]	AH NO
audio/RES0012.mp3[723.760,727.600]	OK NO OK AND YEAH DO YOU DRINK ALCOHOL
audio/RES0012.mp3[727.600,731.880]	OH LIKE IF IM LIKE WITH FRIENDS MAYBE ON A WEEKEND
audio/RES0012.mp3[731.880,733.600]	OK OK
audio/RES0012.mp3[733.600,735.360]	COUPLE DRINKS OR SOMETHING
audio/RES0012.mp3[735.360,741.040]	OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK AROUND YOU
audio/RES0012.mp3[741.040,768.040]	LIKE I SAID I WORK I WORK FROM HOME SO IVE BEEN SEEING VERY MANY PEOPLE UM I LIKE I GEEZ I MY MY SISTER I SAW MY SISTER AND LIKE SHE I GUESS SHE WORKS SHE WORKS IN LIKE A RETIREMENT HOME
audio/RES0012.mp3[769.000,772.400]	LIKE SHE I DONT THINK SHE WAS SICK
audio/RES0012.mp3[772.400,783.960]	OK OK IS IT POSSIBLE THAT SHE WAS IN CONTACT WITH SOMEONE WHO MAY HAVE BEEN SICK
audio/RES0012.mp3[783.960,795.360]	I THINK ITS I MEAN ITS POSSIBLE LIKE THATS WHAT SHE DOES FOR HER WORK RIGHT SHE WORKS AT LIKE A RETIREMENT HOME SO YEAH POSSIBLE
audio/RES0012.mp3[795.360,801.240]	OK AND WHAT WHAT KIND OF WORK DO YOU DO JESSICA
audio/RES0012.mp3[801.240,802.520]	IM AN ACCOUNTANT
audio/RES0012.mp3[802.520,808.520]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY I KNOW WITH COVIOBVIOUSLY THATS HARD
audio/RES0012.mp3[808.520,815.040]	I WISH I WISH BUT YOU KNOW I HAVENT BEEN ANYWHERE LIKE I SAID IVE JUST BEEN AT HOME
audio/RES0012.mp3[815.040,831.320]	OK UM IN PARTICULAR HAVE YOU BEEN IN A COUNTRY WHERE TB IS ENDEMIC AND HAVE YOU BEEN IN ANY OF THOSE COUNTRIES IN THE PAST LIKE 5 TO 10 YEARS
audio/RES0012.mp3[831.320,846.400]	I DONT KNOW LIKE IVE BEEN TO THE LIKE THE STATES BEFORE COVII I DONT I DIDNT REALLY HAVENT TRAVELED ANYWHERE COOL IN A LONG TIME
audio/RES0012.mp3[846.400,859.480]	OK OK UM SO JUST KIND OF GOING THROUGH WHAT IT COULD BE THAT YOU HAVE RIGHT NOW IM THINKING
audio/RES0012.mp3[859.480,888.480]	A FEW THINGS AND WE KIND OF LIKE TO GO THROUGH AND MAKE SURE WERE NOT MISSING ANYTHING SO IN TERMS OF LIKE VASCULAR STUFF IT COULD BE SOMETHING LIKE LIKE CHF OR PULMONARY EMBOLISM AND THAT STANDS FOR CONGESTIVE HEART FAILURE BUT YOURE VERY YOUNG YOU SEEM LIKE YOURE VERY HEALTHY SO THATS PROBABLY LOWER ON OUR DIFFERENTIAL OBVIOUSLY
audio/RES0012.mp3[888.480,891.680]	OK YEAH HOPEFULLY
audio/RES0012.mp3[891.680,914.560]	AN INFECTION WOULD BE THE BIGGEST ONE RIGHT NOW WITH THE COUGH WITH IT SEEMS LIKE YOU HAVE CHILLS AND NIGHT SWEATS YEAH SO WOULD HAVE TO DO MORE IN TERMS OF TAKING YOUR TEMPERATURE AND SEE IF YOU CAN DO LIKE MORE
audio/RES0012.mp3[914.560,929.080]	WORK UP LIKE A CHEST XRAY TO SEE WHATS HAPPENING IN THERE UM AUTOIMMUNE STUFF COULD BE LIKE SARCOIDOSIS BUT UNLIKELY CAUSE IT SEEMS LIKE THIS IS AN ACUTE ISSUE FOR YOU
audio/RES0012.mp3[929.080,939.960]	SEE I NEVER COME IN BESIDES LIKE BECAUSE I YOU KNOW NEED MY INSULIN I NEVER EVEN GO TO THE I DIDNT EVEN WANT TO COME IN AND JUST LIKE IT WASNT GOING AWAY
audio/RES0012.mp3[939.960,951.160]	YEAH YEAH AND THEN OTHER THINGS LIKE COPPULMONARY FIBROSIS AND LIKE LIKE CANCER STUFF IS SUPER
audio/RES0012.mp3[951.160,1000.280]	LOW ON THE DIFFERENTIAL RIGHT NOW SO YEAH SO UM SO YEAH SO FOR RIGHT NOW WELL START WE CAN START BY DOING SOME BLOOD WORK FIRST I DO A PHYSICAL EXAM OF COURSE AND THEN FROM THERE WE WOULD KIND OF DO SOME BLOOD WORK TO SEE IF YOUR WHITE BLOOD CELL COUNT IS HIGH AND THEN WE CAN DO A CHEST XRAY TO SEE IF THERE IS LIKE A CONSOLIDATION IF THERES PNEUMONIA OR YOU KNOW OR OR ANYTHING VIRAL UM DO YOU HAVE ANY QUESTIONSANYTHING THAT YOU WANTED TO ADD THAT I MISSED
audio/RES0012.mp3[1000.280,1016.960]	I DONT THINK I DONT THINK SO UM YEAH I JUST HOPE I CAN GET FEELING BETTER HOPE ITS NOT ANYTHING SERIOUS LIKE I I THINK YEAH I JUST HOPE ITS LIKE I HOPE LIKE YOU SAID ITS LIKE I GOT LIKE AN INFECTION OR SOMETHING AND IT WILL JUST BE GONE SOON
audio/RES0012.mp3[1016.960,1037.080]	YEAH YEAH IT DOES SOUND LIKE IT FROM THE TIMELINE LIKE YOU STARTED COUGHING TWO DAYS AGO AND THEN THE DIFFICULTY BREATHING OR SHORTNESS OF BREATH ALSO TWO DAYS AGO AND THEN THE CHEST PAIN JUST SEEMS LIKE ITS FROM YOU COUGHING A LOT
audio/RES0012.mp3[1037.080,1038.640]	IT CAN DO THAT
audio/RES0012.mp3[1039.600,1041.280]	OK YEAH
audio/RES0012.mp3[1041.280,1052.600]	YEAH OK SO I GUESS WE WILL SEE YOU AT OUR FOLLOW UP AND AFTER ALL OF THESE INVESTIGATIONS ARE DONE
audio/RES0134.mp3[0.000,4.040]	WOULD YOU MIND STARTING WITH TELLING ME WHAT I CAN HELP YOU WITH TODAY
audio/RES0134.mp3[4.040,17.960]	YEAH UM I HAVENT BEEN FEELING VERY WELL OVER THE PAST TWO DAYS I HAVE HAD THIS COUGH IM FEELING VERY SHORT OF BREATH AND IM FEELING VERY FEVERISH AS WELL
audio/RES0134.mp3[17.960,22.400]	OKAY UH HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0134.mp3[22.400,28.040]	NO I HAVENT ACTUALLY CHECKED IT BUT IM JUST FEELING HOT AND IM HAVING CHILLS
audio/RES0134.mp3[28.040,32.520]	OKAY WERE YOU HAVING LIKE NIGHT SWEATS AS WELL
audio/RES0134.mp3[32.520,37.040]	UM YEAH LAST NIGHT I DID GET SWEATY
audio/RES0134.mp3[37.040,43.400]	OKAY AND WHEN UH WHEN DID YOU START FEELING FEVERISH
audio/RES0134.mp3[43.400,53.480]	FEVERISH MAYBE AROUND THE SAME TIME LIKE RIGHT AFTER THE COUGH AND SHORTNESS OF BREATH STARTED MAYBE LIKE A DAY AND A HALF AGO
audio/RES0134.mp3[53.480,61.560]	OKAY ITS UM SO THE COUGH STARTED ABOUT A DAY AND A HALF AGO AS WELL
audio/RES0134.mp3[63.160,70.120]	OKAY UH DID YOU HAVE A COUGH PRIOR TO THIS OR IS IT NEW
audio/RES0134.mp3[70.120,71.840]	ITS NEW
audio/RES0134.mp3[71.840,77.280]	OKAY IS IT A DRY COUGH OR ARE YOU BRINGING UP SPUTUM OR PHLEGM
audio/RES0134.mp3[77.280,91.480]	UM ITS UH YEAH ITS UM ITS DRY MOST OF THE TIME BUT ONCE IN A WHILE ILL SEE SOME LIKE YELLOW PHLEGM
audio/RES0134.mp3[91.480,93.920]	OKAY HAVE YOU NOTICED ANY BLOOD
audio/RES0134.mp3[93.920,96.440]	NO NO BLOOD
audio/RES0134.mp3[96.440,100.760]	ALL RIGHT AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0134.mp3[100.760,109.160]	NO CHEST WELL ACTUALLY WHEN I TRY TO TAKE A REALLY DEEP BREATH IN IT IT HURTS MY CHEST HURTS
audio/RES0134.mp3[109.160,111.840]	OKAY WHERE DO YOU FEEL THE PAIN
audio/RES0134.mp3[111.840,115.680]	UH IT SEEMS TO BE CENTRAL ON MY CHEST
audio/RES0134.mp3[115.680,121.120]	DO YOU FEEL IT RADIATING ANYWHERE LIKE TO YOUR BACK OR TO EITHER SIDE
audio/RES0134.mp3[123.880,128.440]	OKAY HOW WOULD YOU DESCRIBE THE PAIN LIKE SHARP DULL
audio/RES0134.mp3[128.440,135.000]	UM ITS PRETTY SHARP WHEN I TAKE A DEEP BREATH IN
audio/RES0134.mp3[135.000,139.960]	HOW LONG DOES THE PAIN LAST FOR AND IS THERE ANYTHING THAT YOU DO THAT MAKES IT GO AWAY
audio/RES0134.mp3[139.960,150.160]	IT WAS LIKE LESS THAN A MINUTE UM AND AND IT GOES AWAY WHEN I LIKE IF I TRY NOT TO TAKE A DEEP BREATH IN
audio/RES0134.mp3[150.160,157.840]	OKAY SO IT SOUNDS LIKE THAT IT THE THE BREATHING IS A TRIGGER THERE WHEN YOURE BREATHING IN DEEPLY
audio/RES0134.mp3[158.320,161.760]	ALRIGHT AND HAVE YOU HAD ANY WHEEZE
audio/RES0134.mp3[161.760,164.960]	UH A LITTLE BIT YES
audio/RES0134.mp3[164.960,170.560]	ALRIGHT AND UH IS THE WHEEZE NEW AS WELL
audio/RES0134.mp3[170.560,175.680]	UM YES THAT ALSO STARTED AFTER THE COUGHING AND THE SHORTNESS OF BREATH
audio/RES0134.mp3[175.680,182.200]	ALRIGHT AND HAVE YOU HAD ANY EPISODES OF FEELING LIKE YOUR HEARTS RACING OR IS IT SPEEDING REALLY FAST
audio/RES0134.mp3[184.720,195.280]	OKAY AND YOU SAID IT YEAH YOUVE BEEN SHORT OF BREATH AS WELL UM ARE YOU REALLY SHORT OF BREATH NOW AND WHAT SORTS OF THINGS HAVE BEEN REALLY BRINGING IT ON FOR YOU
audio/RES0134.mp3[195.280,208.800]	UM ITS YEAH IM STILL A LITTLE BIT SHORT OF BREATH AND I I GUESS THE SHORTNESS OF BREATH GETS WORSE WHEN IM WALKING OR DOING SOMETHING PHYSICAL
audio/RES0134.mp3[208.800,214.600]	OKAY AND DID IS THIS NEW OR DID YOU HAVE THIS BEFORE
audio/RES0134.mp3[214.600,216.360]	ITS NEW
audio/RES0134.mp3[216.360,224.360]	OKAY HAVE YOU NOTICED ANY SWELLING IN YOUR IN YOUR LEGS OR EXTREMITIES
audio/RES0134.mp3[224.360,227.200]	NO NOTHING LIKE THAT
audio/RES0134.mp3[227.200,232.800]	AND DO YOU GET SHORT OF BREATH IF YOU LIE DOWN FLAT
audio/RES0134.mp3[232.800,236.960]	UH NO NOT THAT IVE NOTICED
audio/RES0134.mp3[236.960,239.840]	AND HOW MANY PILLOWS DO YOU SLEEP WITH
audio/RES0134.mp3[239.840,245.040]	UH JUST THE ONE
audio/RES0134.mp3[245.040,248.480]	OKAY UM AND HAVE YOU HAD ANY HEADACHES
audio/RES0134.mp3[249.880,253.720]	AND HOW ABOUT ANY EYE REDNESS OR DISCHARGE
audio/RES0134.mp3[253.720,255.360]	UH NO
audio/RES0134.mp3[255.360,259.720]	HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
audio/RES0134.mp3[259.720,266.040]	UM YEAH A LITTLE BIT YEAH IVE BEEN YEAH IVE BEEN FEELING A LITTLE CONGESTED
audio/RES0134.mp3[266.040,268.960]	AND WHEN DID THAT START
audio/RES0134.mp3[268.960,273.840]	UM THAT STARTED A LITTLE BIT BEFORE THE COUGH ACTUALLY
audio/RES0134.mp3[273.840,278.480]	OKAY AND YOURE STILL FEELING THAT NOW
audio/RES0134.mp3[280.200,286.000]	OKAY HAVE YOU HAD A SORE THROAT
audio/RES0134.mp3[286.000,288.960]	NO SORE THROAT
audio/RES0134.mp3[288.960,295.120]	OKAY AND UM HAVE YOU HAD ANY UM MUSCLE ACHES OR BODY PAINS
audio/RES0134.mp3[295.120,305.960]	UM I YEAH I GUESS MY MUSCLE ACHES A LITTLE BIT UM ITS VERY DULL THOUGH ITS NOT SHARP
audio/RES0134.mp3[305.960,310.520]	OKAY AND UH HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN FATIGUED
audio/RES0134.mp3[310.520,317.640]	YEAH MY ENERGYS BEEN PRETTY LOW UM IVE BEEN FEELING VERY TIRED
audio/RES0134.mp3[317.640,321.320]	OKAY AND HOW LONG HAS THAT BEEN GOING ON FOR
audio/RES0134.mp3[321.320,331.040]	UM FOR ABOUT THE SAME AMOUNT OF TIME LIKE THREE DAYS YEAH
audio/RES0134.mp3[331.040,334.800]	ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0134.mp3[335.560,338.120]	HOW ABOUT NAUSEA OR VOMITING
audio/RES0134.mp3[339.440,345.040]	AND ANY CHANGES TO YOUR URINARY HABITS LIKE PAIN OR
audio/RES0134.mp3[345.040,348.480]	UH NO NOTHING LIKE THAT
audio/RES0134.mp3[348.480,353.920]	OKAY AND UM HOW HAS YOUR APPETITE BEEN
audio/RES0134.mp3[353.920,359.760]	UM IT HASNT BEEN THE GREATEST BECAUSE I HAVENT BEEN FEELING WELL BUT IVE STILL BEEN EATING
audio/RES0134.mp3[359.760,364.560]	OKAY HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0134.mp3[364.560,367.880]	UM NO NOT THAT IVE NOTICED
audio/RES0134.mp3[367.880,371.800]	AND UH HOW ABOUT ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
audio/RES0134.mp3[371.800,377.800]	SENSE OF SMELL OR TASTE NO NO CHANGES THERE
audio/RES0134.mp3[377.800,382.200]	OKAY UM AND THEN ANY SKIN CHANGES OR RASHES
audio/RES0134.mp3[384.960,402.400]	ALRIGHT UM SO YOUVE BEEN EXPERIENCING THIS COUGH UH STARTED A COUPLE OF DAYS AGO WITH UM SHORTNESS OF BREATH AND YOURE BRINGING UP SPUTUM SOMETIMES AND AND A FEVER THATS STARTED A BIT MORE RECENTLY AS WELL AS HAVING SOME NIGHT SWEATS
audio/RES0134.mp3[403.000,407.040]	HAVE YOU EXPERIENCED ANY OTHER SYMPTOMS
audio/RES0134.mp3[407.040,411.400]	UH NO OTHER THAN THAT NO SYMPTOMS
audio/RES0134.mp3[411.400,417.480]	I SEE AND HAVE YOU TRIED ANYTHING TO MAKE MAKE THE SYMPTOMS BETTER
audio/RES0134.mp3[417.480,431.480]	UM IVE TRIED SOME TYLENOL IVE TRIED SOME UM LIKE COUGH SUPPRESSANTS BUT NOTHING SEEMS TO BE HELPING
audio/RES0134.mp3[431.480,437.200]	OKAY UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0134.mp3[437.200,456.640]	UM NO NOT UM WELL ACTUALLY I HAVE I HAD I HAVE OSTEOPOROSIS FOR WHICH IM TAKING CALCIUM AND VITAMIN AS WELL AS LIKE UM ALENDRONATE ALENDRONATE SOME SORT OF BISPHOSPHONATE
audio/RES0134.mp3[456.640,462.520]	OKAY HAVE YOU HAD ANY UH LIKE BONE FRACTURES
audio/RES0134.mp3[462.520,470.120]	UM I HAD UM A HIP FRACTURE LIKE UH TWO YEARS AGO
audio/RES0134.mp3[470.120,474.160]	OKAY AND UM AND HOW IS THE RECOVERY AND MOBILITY BEEN
audio/RES0134.mp3[474.160,476.800]	UM PRETTY GOOD NOW
audio/RES0134.mp3[476.800,484.880]	OH THATS GREAT AND UH DO YOU HAVE ANY OTHER MEDICAL CONDITIONS BESIDES OSTEOPOROSIS
audio/RES0134.mp3[484.880,486.920]	NO NOT THAT I KNOW
audio/RES0134.mp3[486.920,493.600]	AND HAVE YOU HAD ANY SURGERIES PRIOR UM ASIDE FROM THE HIP SURGERY TWO YEARS AGO
audio/RES0134.mp3[493.600,509.520]	UM I HAD MY WISDOM TEETH TAKEN OUT IVE HAD MY GALLBLADDER TAKEN OUT UM AND I I HAD LIKE UM I HAD A PE UM A LONG TIME AGO
audio/RES0134.mp3[509.520,525.520]	OKAY AND WHAT HAPPENED AROUND THAT TIME WITH THE PULMONARY EMBOLISM DID YOU WAS THERE A TRIGGER LIKE A SURGERY AROUND THAT TIME OR WERE YOU IMMOBILIZED OR ANYTHING
audio/RES0134.mp3[525.520,533.360]	YEAH THEY THINK IT HAPPENED RIGHT AFTER MY UM GALLBLADDER REMOVAL CAUSE I WAS IN THE HOSPITAL FOR A WHILE
audio/RES0134.mp3[533.360,539.320]	OKAY AND SO WERE YOU ON ANY MEDICATION FOR A PERIOD OF TIME AFTER THAT
audio/RES0134.mp3[539.320,544.360]	UH YEAH I WAS BUT NOT ANYMORE
audio/RES0134.mp3[544.360,553.560]	OKAY UM OKAY AND UM ARE YOU TAKING ANY OTHER MEDICATIONS BESIDES THE ONES FOR YOUR BONES
audio/RES0134.mp3[553.560,556.520]	UM NO NO OTHER MEDICATIONS
audio/RES0134.mp3[556.520,558.920]	AND DO YOU HAVE ANY ALLERGIES
audio/RES0134.mp3[558.920,562.720]	UH NO
audio/RES0134.mp3[562.720,571.000]	OKAY UH AND THEN COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW ARE YOU LIVING WITH ANYBODY AND UH WHEREABOUTS
audio/RES0134.mp3[571.000,577.720]	UM I LIVE IN AN APARTMENT BY MYSELF AND UM ITS IN LONDON
audio/RES0134.mp3[577.720,596.560]	OKAY GREAT AND DO YOU HAVE ANY SUPPORTS IN THE HOME THAT THAT HELP YOU WITH UH ANY ACTIVITIES OF DAILY LIVING LIKE UM EITHER DRESSING OR BATHING OR MAKING FOOD OR EVEN DOING SOME OF THE SHOPPING
audio/RES0134.mp3[596.560,608.880]	SO I AM PRETTY INDEPENDENT FOR MOST THINGS UM THERE WILL BE LIKE A CCAC CARE WORKER WHO COMES IN UH ONCE IN A WHILE JUST TO HELP ME CLEAN THE HOUSE
audio/RES0134.mp3[608.880,616.560]	OKAY SO ONCE IN A WHILE IS THIS LIKE ONCE A WEEK OR ONCE YEAH HOW OFTEN
audio/RES0134.mp3[616.560,619.520]	YEAH ONCE EVERY TWO WEEKS
audio/RES0134.mp3[619.520,629.080]	OKAY WELL THATS GREAT IT SOUNDS LIKE YOURE MANAGING REALLY WELL ON YOUR OWN UM DO YOU HAVE ANY OTHER SUPPORTS NEARBY LIKE FAMILY OR OR FRIENDS
audio/RES0134.mp3[629.080,643.720]	UM I HAVE SOME FAMILY CLOSE BY UM MY SON LIVES CLOSE BY UH AND MY DAUGHTER LIVES ABOUT 2 HOURS AWAY ILL SEE THEM ABOUT ONCE A MONTH
audio/RES0134.mp3[643.720,647.960]	OKAY UM AND DO YOU SMOKE CIGARETTES
audio/RES0134.mp3[647.960,653.760]	UM YEAH I USED TO SMOKE BUT I STOPPED ABOUT FIVE YEARS BACK
audio/RES0134.mp3[653.760,655.680]	OH CONGRATULATIONS ON QUITTING
audio/RES0134.mp3[655.680,657.040]	THANK YOU
audio/RES0134.mp3[657.040,661.880]	SO YOU QUIT FIVE YEARS AGO AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH DID YOU SMOKE
audio/RES0134.mp3[661.880,674.040]	UM I USED TO SMOKE NOT A LOT JUST LIKE ONE OR TWO A DAY UH AND I DID THAT FOR ABOUT 25 YEARS
audio/RES0134.mp3[674.040,677.440]	OKAY AND UH DO YOU DRINK ALCOHOL
audio/RES0134.mp3[677.440,683.320]	UM ILL HAVE LIKE A GLASS OF WINE ONCE IN A WHILE
audio/RES0134.mp3[683.320,688.720]	AND HOW OFTEN IS ONCE IN A WHILE IS THIS OR HOW MANY DRINKS PER WEEK WOULD YOU SAY
audio/RES0134.mp3[688.720,692.320]	UM PER WEEK MAYBE LIKE THREE
audio/RES0134.mp3[692.320,704.960]	OKAY UM AND ANY UH HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0134.mp3[704.960,723.840]	UM YEAH SO THERE IS UM LIKE LUNG CANCER THERES ASTHMA THERES UH COPALL OF THAT SOMEONE LIKE MY BOTH SIDES OF MY FAMILY HAD
audio/RES0134.mp3[723.840,729.560]	OKAY AND UH ANYBODY IN THE FAMILY HAVE LIKE A BLEEDING DISORDER
audio/RES0134.mp3[729.560,732.360]	A BLEEDING DISORDER NO
audio/RES0134.mp3[732.360,737.680]	OKAY ANYBODY ELSE IN THE FAMILY HAVE EITHER A DEEP VEIN THROMBOSIS OR OR PE
audio/RES0134.mp3[739.240,746.440]	ALRIGHT UM AND HAVE YOU BEEN AROUND ANY ANYBODY WHOS BEEN SICK
audio/RES0134.mp3[746.440,750.200]	NO NOT RECENTLY
audio/RES0134.mp3[750.200,758.160]	ALRIGHT AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR
audio/RES0134.mp3[758.160,758.520]	UH NO
audio/RES0134.mp3[758.520,765.880]	OKAY UM SO THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING THAT UH THAT YOU WANTED TO ADD
audio/RES0134.mp3[765.880,783.920]	NO THOSE ARE ALL QUESTIONS THAT I HAD UM DO YOU THINK UM I NEED TO BE HOSPITALIZED UM BECAUSE IM VERY SHORT OF BREATH OR DO YOU THINK I CAN JUST UM STAY AT HOME DO YOU THINK I NEED ANTIBIOTICS
audio/RES0134.mp3[783.920,855.560]	YEAH SO WELL WELL CHECK YOUR TEMPERATURE AND AND CONFIRM THE FEVER AND UM CHECK YOUR OXYGEN LEVELS AS WELL YOU MIGHT NEED OXYGEN UM YOURE MENTIONING WITH YOUR SHORTNESS OF BREATH UM AND WE WILL GET A CHEST XRAY AND IF UM WERE SEEING CONSOLIDATION THERE SUGGESTIVE OF PNEUMONIA YOU MAY NEED ANTIBIOTICS THAT WILL COVER COVER THOSE THOSE BUGS HOWEVER YOUR SYMPTOMS DO OVERLAP WITH COVIAS WELL AND SO IT WILL BE IMPORTANT TO GET A UM COVISWAB BUT TO ANSWER IF YOU WILL NEED A HOSPITAL STAY I THINK WELL NEED TO AT LEAST WAIT UNTIL SOME OF THE INVESTIGATIONS COME BACK AND UM THAT WILL HELP DETERMINE HOW SEVERE THE SYMPTOMS ARE AND WELL OBSERVE YOU OVER THE NEXT FEW HOURS AND IF YOU ARE GETTING ANY WORSE OR UM ANYTHING LIKE THAT THEN IT MIGHT BE A GOOD IDEA UM TO UH TO BE ADMITTED
audio/RES0134.mp3[855.560,859.760]	OKAY OKAY YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0134.mp3[859.760,860.880]	YOURE WELCOME
audio/RES0076.mp3[0.000,2.480]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0076.mp3[2.480,12.320]	UH IVE HAD THIS COUGH ONGOING FOR A COUPLE OF MONTHS NOW UHM AND RECENTLY IVE STARTED TO NOTICE SOME BLOOD
audio/RES0076.mp3[12.320,17.480]	OK SO THIS COUGH HAS BEEN GOING ON FOR HOW MANY MONTHS
audio/RES0076.mp3[17.480,22.720]	I WOULD SAY MAYBE SIX MONTHS
audio/RES0076.mp3[22.720,28.360]	SIX MONTHS AND HAVE YOU HAD THIS COUGH BEFORE THEN
audio/RES0076.mp3[28.360,38.120]	YEAH IVE HAD A COUGH BEFORE AND KIND OF FOR A LONG TIME CAUSE IVE SMOKED FOR A WHILE
audio/RES0076.mp3[38.120,47.960]	OK I SEE UHM WHAT KIND OF COUGH DO YOU HAVE IS IT PRODUCTIVE LIKE IS IT A WET COUGH OR IS IT A DRY COUGH
audio/RES0076.mp3[47.960,55.760]	ITS USUALLY A DRY COUGH BUT RECENTLY IVE BEEN BRINGING UP A LITTLE BIT OF BLOOD
audio/RES0076.mp3[55.760,64.160]	OK AND IS THE BLOOD MIXED IN WITH LIKE SPUTUM THAT YOURE BRINGING OUT OR IS IT THAT YOURE JUST COUGHING UP BLOOD
audio/RES0076.mp3[64.160,69.880]	ITS MOSTLY RED YEAH MOSTLY BLOOD
audio/RES0076.mp3[69.880,80.240]	OK I SEE AND IS YOUR COUGHING CONSTANT OR DOES IT COME AND GO
audio/RES0076.mp3[80.240,84.760]	ITS KIND OF LIKE CONSTANT THROUGHOUT THE DAY
audio/RES0076.mp3[84.760,89.960]	OK AND HAVE YOU NOTICED ANY KIND OF GREENISH OR YELLOWISH COLOR OF YOUR SPUTUM
audio/RES0076.mp3[89.960,94.240]	NOT REALLY NO
audio/RES0076.mp3[94.240,102.800]	HOW MUCH BLOOD WOULD YOU SAY YOURE COUGHING UP NOW IN AN AVERAGE DAY
audio/RES0076.mp3[102.800,109.080]	I WOULD SAY MAYBE TWO OR THREE TEASPOONS
audio/RES0076.mp3[109.080,116.000]	OK I SEE HAS YOUR COUGHING GOTTEN WORSE OR HAS IT STAYED ABOUT THE SAME
audio/RES0076.mp3[116.000,119.880]	ITS BEEN ABOUT THE SAME
audio/RES0076.mp3[119.880,125.360]	OK IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
audio/RES0076.mp3[125.360,132.640]	NOT REALLY ITS JUST KIND OF BEEN THERE MOST DAYS
audio/RES0076.mp3[132.640,145.880]	AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH OR CHEST PAIN RUNNY NOSE ANYTHING LIKE THAT
audio/RES0076.mp3[145.880,151.240]	UHM NO NO I HAVENT REALLY HAD ANYTHING LIKE THAT
audio/RES0076.mp3[151.240,158.160]	OK SO WITH YOUR COUGHING YOU DONT FEEL LIKE YOU HAVE ANY DIFFICULTY BREATHING
audio/RES0076.mp3[158.160,171.280]	NO I MEAN I HAVENT HAD ANY SHORTNESS OF BREATH IVE JUST HAD UH WELL YEAH ACTUALLY SORRY I HAVE HAD DIFFICULTIES BREATHING AS WELL
audio/RES0076.mp3[171.280,174.000]	OK AND WHEN DID THAT START
audio/RES0076.mp3[174.000,188.320]	UH WELL THATS BEEN AN ONGOING PROBLEM FOR THE LAST SEVERAL YEARS NOW I THOUGHT IT WAS RELATED TO SMOKING BUT ITS GOTTEN WORSE
audio/RES0076.mp3[188.320,193.440]	I SEE OK AND DO YOU HAVE ANY CHEST PAIN WITH INSPIRATION OR EXPIRATION
audio/RES0076.mp3[193.440,197.080]	NO NO CHEST PAIN
audio/RES0076.mp3[197.080,202.560]	OK ANY DIZZINESS ANY FAINTING EPISODES
audio/RES0076.mp3[202.560,204.720]	NOTHING LIKE THAT
audio/RES0076.mp3[204.720,208.320]	OK ANY RECENT TRAVEL OUTSIDE OF THE COUNTRY
audio/RES0076.mp3[208.320,211.400]	NO IVE BEEN AT HOME
audio/RES0076.mp3[211.400,217.600]	OK ANY HEADACHES FEVERS OR CHILLS
audio/RES0076.mp3[217.600,223.280]	NO NO FEVERS OR CHILLS AND I HAVENT HAD ANY HEADACHES EITHER
audio/RES0076.mp3[223.280,226.760]	OK ANY LOSSES IN SENSE OF TASTE OR SMELL
audio/RES0076.mp3[229.000,236.160]	ANY NAUSEA OR VOMITING
audio/RES0076.mp3[236.160,243.680]	UHM YEAH I HAVE BEEN A BIT MORE NAUSEOUS RECENTLY BUT I HAVENT HAD ANY VOMITING
audio/RES0076.mp3[243.680,246.680]	OK AND WHEN DID YOU START FEELING NAUSEOUS
audio/RES0076.mp3[246.680,254.880]	IT KINDA COMES AND GOES IVE HAD THAT PROBLEM FOR THE LAST TWO MONTHS OR SO
audio/RES0076.mp3[254.880,264.160]	OK AND DO YOU FEEL NAUSEOUS AT ANYTIME PARTICULARLY IN THE DAY LIKE AFTER EATING OR DOES IT JUST COME ON RANDOMLY
audio/RES0076.mp3[265.880,274.480]	OK AND HAVE YOU BEEN HAVING ANY KIND OF DIARRHEA OR CONSTIPATION CHANGES IN YOUR BOWEL MOVEMENT
audio/RES0076.mp3[275.720,278.920]	OK ANY BLOOD IN YOUR STOOLS AT ALL
audio/RES0076.mp3[280.200,284.800]	OK HAVE YOU BEEN FEELING FATIGUED AT ALL
audio/RES0076.mp3[284.800,289.280]	YEAH A LITTLE BIT MORE TIRED RECENTLY YEAH
audio/RES0076.mp3[289.280,291.040]	AND HOW RECENTLY WOULD YOU SAY
audio/RES0076.mp3[291.040,304.680]	I THOUGHT IT WAS RELATED TO LIKE JUST BEING SHORT OF BREATH YEAH SO MAYBE IN THE LAST COUPLE OF MONTHS AS WELL
audio/RES0076.mp3[304.680,314.600]	OK AND WHEN DO YOU GET SHORT OF BREATH IS IT WHEN YOU DO ANY ACTIVITIES IS IT WHEN YOURE LAYING DOWN IS THERE ANYTHING RELATED TO IT
audio/RES0076.mp3[314.600,324.400]	IF I EXERT MYSELF OR IF IM  DOING MORE ACTIVITY IT IT DOES GET HARDER TO TO KEEP UP WITH IT BUT YEAH
audio/RES0076.mp3[324.400,331.480]	AND DO YOU NOTICE YOU HAVE TO LIKE GET UP AT NIGHT TO TAKE A BREATH OR WHEN YOURE LAYING DOWNDO YOU HAVE ANY TROUBLE BREATHING
audio/RES0076.mp3[333.760,338.720]	OK AND HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR EXTREMITIES OR ANYTHING LIKE THAT
audio/RES0076.mp3[338.720,340.720]	NO SWELLING
audio/RES0076.mp3[340.720,343.720]	OK HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0076.mp3[345.720,351.480]	OK AND HOW ABOUT YOUR SLEEP AND APPETITE HAVE THEY CHANGED IT ALL
audio/RES0076.mp3[351.480,358.240]	OH YEAH MY APPETITES BEEN LESS IVE LOST SOME WEIGHT OVER THE LAST FEW MONTHS
audio/RES0076.mp3[358.240,362.400]	OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST
audio/RES0076.mp3[362.400,367.720]	MAYBE TEN TO FIFTEEN POUNDS
audio/RES0076.mp3[367.720,369.480]	OK AND HOW MUCH DO YOU WEIGH
audio/RES0076.mp3[369.480,375.400]	I THINK NOW I WEIGH ABOUT ONE HUNDRED AND SIXTY POUNDS
audio/RES0076.mp3[375.400,381.320]	OK SO YEAH TEN TO FIFTEEN POUNDS IN THE LAST HOW MANY MONTHS WOULD YOU SAY
audio/RES0076.mp3[381.320,382.760]	MAYBE TWO MONTHS
audio/RES0076.mp3[382.760,394.600]	TWO MONTHS OK HAVE YOU RECENTLY HAD ANY INFECTIONS LIKE VIRAL SYMPTOMS LIKE RUNNY NOSE FEVER OR ANY COLD LIKE SYMPTOMS
audio/RES0076.mp3[397.680,404.400]	OK AND ANY EXPOSURE TO ANYONE THAT YOU KNOW OF THAT MIGHT HAVE TUBERCULOSIS
audio/RES0076.mp3[404.400,411.880]	NO IVE BEEN BEEN MOSTLY AT HOME I HAVENT REALLY BEEN SEEING MANY PEOPLE LATELY
audio/RES0076.mp3[411.880,421.560]	OK AND DO YOU HAVE ANY PAST MEDICAL HISTORY OR ANY DIAGNOSIS LIKE COPASTHMA HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT
audio/RES0076.mp3[421.560,430.560]	UHM I HAD A CATARACT SURGERY BUT THATS ABOUT IT
audio/RES0076.mp3[430.560,438.080]	OK AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A DAILY BASIS
audio/RES0076.mp3[439.680,445.120]	MULTI VITAMINS OK ANY ALLERGIES THAT YOU KNOW OF TO MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES
audio/RES0076.mp3[445.120,447.520]	I THINK SULFA BUT THATS IT
audio/RES0076.mp3[447.520,452.440]	OK AND WHAT KIND OF REACTION DO YOU GET
audio/RES0076.mp3[452.440,457.280]	UH I GET A RASH
audio/RES0076.mp3[457.280,461.360]	RASH OK ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST
audio/RES0076.mp3[461.360,470.320]	I JUST HAD CATARACT REMOVED FROM MY RIGHT EYE AND UH THATS ABOUT IT
audio/RES0076.mp3[470.320,476.280]	OK ANY CONTACTS OF YOURS THAT HAVE BEEN SICK RECENTLY
audio/RES0076.mp3[479.840,489.640]	NO OK AND IN TERMS OF YOUR FAMILY HISTORY ARE THERE ANY CANCERS LIKE LUNG CANCER IN YOUR FAMILY OR ANY HEART CONDITIONS ANYTHING LIKE THAT
audio/RES0076.mp3[489.640,502.160]	I THINK MY GREAT UNCLE HAD LUNG CANCER MY MOM HAD TYPE 2 DIABETES BUT THATS IT
audio/RES0076.mp3[502.160,507.040]	OK AND CURRENTLY RIGHT NOW DO YOU WORK
audio/RES0076.mp3[507.040,517.000]	YEAH IM RETIRING SOON I WORK AS A BUS DRIVER
audio/RES0076.mp3[517.000,530.160]	OK AND IN THE PAST HAVE YOU WORKED IN ANY ENVIRONMENT WHERE YOU WERE EXPOSED TO ANY METALS TOXINS ANY ASBESTOS OR ANYTHING LIKE THAT
audio/RES0076.mp3[530.160,532.120]	UHM I DONT THINK SO
audio/RES0076.mp3[533.840,539.560]	I WORKED AS A BUS DRIVER FOR QUITE A NUMBER OF YEARS NOW
audio/RES0076.mp3[539.560,545.640]	AND WHERE DO YOU LIVE RIGHT NOW IN AN APARTMENT IN A HOME AND WHO DO YOU LIVE WITH
audio/RES0076.mp3[545.640,551.520]	I LIVE IN A HOME WITH MY WIFE AND ITS JUST US TWO
audio/RES0076.mp3[551.520,558.920]	AND DO YOU KNOW IF THERES ANY LIKE ASBESTOS EXPOSURE IN YOUR HOME AT ALL
audio/RES0076.mp3[558.920,562.880]	I DONT THINK SO NO
audio/RES0076.mp3[562.880,565.840]	OK AND CURRENTLY DO YOU SMOKE
audio/RES0076.mp3[565.840,584.560]	IVE BEEN CUTTING DOWN BUT I DO SMOKE YES I SMOKE ABOUT A HALF A PACK PER DAY NOW THERE WAS A TIME I WAS SMOKING TWO PACKS PER DAY FOR A NUMBER OF YEARS AND I STARTED SMOKING WHEN I WAS PROBABLY FIFTEEN
audio/RES0076.mp3[585.240,590.800]	YEAH SO ITS BEEN ABOUT FORTY YEAH FORTYISH YEARS AT LEAST
audio/RES0076.mp3[590.800,594.400]	AND HAVE YOU THOUGHT OF QUITTING AT ALL
audio/RES0076.mp3[594.400,613.160]	YEAH IVE BEEN TRYING I WAS THINKING OF MAYBE TALKING ABOUT A PRESCRIPTION FOR HELPING QUIT OR SOMETHING LIKE THAT TODAY I WAS FEELING LIKE THIS IS CAUSING SOME OF MY SYMPTOMS LIKE MY COUGH SHORTNESS OF BREATH
audio/RES0076.mp3[613.160,628.240]	YEAH WELL ITS REALLY GREAT THAT YOURE THINKING ABOUT QUITTING WE CAN DEFINITELY HELP YOU WITH SOME RESOURCES AND SOME MEDICATIONS HAVE YOU TRIED ANYTHING BEFORE THAT I SHOULD KNOW OF TO HELP YOU QUIT
audio/RES0076.mp3[628.240,634.680]	IVE TRIED NICOTINE PATCHES AND GUM BUT THATS IT
audio/RES0076.mp3[634.680,643.920]	OK SO YEAH THERES UH LIKE OTHER OPTIONS AS WELL THAT YOU CAN TAKE HAVE YOU HEARD OF CHAMPIX
audio/RES0076.mp3[643.920,653.840]	UH I DID HEAR OF IT ACTUALLY YEAH SO ONE OF MY FRIENDS TRIED IT AND IT WORKED WELL FOR THEM SO YEAH
audio/RES0076.mp3[653.840,665.840]	OK YEAH SO WE CAN IF YOURE WONDERING ABOUT THAT I CAN GIVE YOU SOME INFORMATION ON THAT MEDICATION LIKE A WHOLE PACKAGE FOR YOU AND THEN WE CAN DISCUSS IF THAT COULD WORK FOR YOU
audio/RES0076.mp3[665.840,667.920]	THAT SOUNDS GREAT
audio/RES0076.mp3[667.920,675.960]	OK SWEET AND OTHER THAN SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0076.mp3[675.960,678.680]	NO I DONT
audio/RES0076.mp3[678.680,682.560]	OK AND DO YOU DRINK ALCOHOL
audio/RES0076.mp3[682.560,687.040]	WELL ILL HAVE ONE OR TWO BEERS ON THE WEEKEND
audio/RES0076.mp3[687.040,721.200]	OK ALRIGHT SO YEAH THATS PRETTY MUCH ALL THE QUESTIONS I HAD RIGHT NOW IT SEEMS THAT YOUR SYMPTOMS YOU DO HAVE THAT COUGH AND THE SHORTNESS OF BREATH AND ITS BEEN CHRONIC BUT NOW YOURE COUGHING UP SOME BLOOD AS WELL SO THAT IS DEFINITELY SOMETHING THATS CONCERNING AND WE WANT TO MAKE SURE THERE IS NOTHING GOING ON SO WE WILL GET A CHEST XRAY FOR YOU AND SEE IF WE CAN FIND ANYTHING THERE ARE STILL PRODUCING THE BLOODY SPUTUM
audio/RES0076.mp3[721.200,725.880]	YEAH THATS BEEN COMING UP A DAILY STILL
audio/RES0076.mp3[725.880,760.800]	OK SO IF YOU THINK YOU CAN PRODUCE THAT WE CAN EVEN TAKE A SAMPLE OF THAT AS WELL AND SEE IF THERE IS ANY PRESENCE THE ONE THING THAT WE ARE CONCERNED ABOUT WITH SOME OF YOUR SYMPTOMS AND A LONG HISTORY OF SMOKING AS WELL IS LUNG CANCER SO YEAH WE WILL DO A CHEST XRAY GET SOME CYTOLOGY DONE AS WELL AND THEN ONCE WE HAVE THAT IN THE FUTURE WE MAY NEED TO MAYBE DO A BIOPSY BUT RIGHT NOW WELL DO A FEW OF THE FIRST THINGS THAT I MENTIONED AND THEN GO FROM THERE
audio/RES0076.mp3[760.800,762.600]	THAT SOUNDS GOOD THANK YOU
audio/RES0076.mp3[762.600,764.480]	YOURE WELCOME TAKE CARE
audio/MSK0033.mp3[0.000,1.960]	WHAT BRINGS YOU IN HERE TODAY
audio/MSK0033.mp3[1.960,26.560]	IVE BEEN HAVING THIS PAIN IN MY KNEE AND ITS BEEN GOING ON NOW FOR A FEW WEEKS ITS KIND OF RIGHT AT THE I COULD FEEL IT RIGHT BELOW MY KNEECAP AND AT FIRST IT IT WAS REALLY ONLY BOTHERING ME AFTER ACTIVITY BUT NOW ITS STARTING TO HURT DURING AS WELL AND SO ITS ITS TRYING TO LIMIT MY ABILITY TO PLAY BASKETBALL
audio/MSK0033.mp3[26.560,34.320]	OK AND SO YOU SAID THIS STARTED JUST TWO WEEKS AGO
audio/MSK0033.mp3[34.320,42.000]	YEAH ABOUT ABOUT A FEW YEAH FEW WEEKS AGO
audio/MSK0033.mp3[42.000,61.040]	OK AND HAS THE PAIN SO ITS BEEN GETTING A BIT WORSE AND WITH ACTIVITY AND ITS RIGHT BELOW YOUR KNEECAP IS IT THE RIGHT WAY OR THE LEFT LEG
audio/MSK0033.mp3[61.040,64.840]	YEAH ITS ON THE RIGHT SIDE ITS MY RIGHT RIGHT SIDE YEAH
audio/MSK0033.mp3[64.840,72.720]	OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT KIND OF A SHARP PAIN OR IS IT A DULL ACHING PAIN
audio/MSK0033.mp3[72.720,76.080]	ITS UH ITS PRETTY ACHY
audio/MSK0033.mp3[76.080,87.920]	YEAH IT TAKE YOU OK AND DOES THE PAIN TRAVEL ANYWHERE ELSE OR DOES IT ITS JUST RIGHT BELOW YOUR KNEECAP
audio/MSK0033.mp3[87.920,103.200]	ITS RIGHT BELOW MY KNEECAP YEAH I FEEL LIKE ITS JUST OVER A KIND OF A SMALL AREA ITS A PRETTY SPECIFIC SPOT AND IF I PRESS ON THAT AREA AT ALL IT GIVES ME A PRETTY ITS A SHARP PAIN IF I IF I PRESS ON IT SHARP PAIN
audio/MSK0033.mp3[103.200,112.760]	OK AND ON A SCALE OF ZERO TO 1010 BEING THE WORST PAIN YOU FELT IN YOUR LIFE HOW MUCH WOULD YOU RANK THE RATE THIS PAIN
audio/MSK0033.mp3[112.760,117.440]	I ITS ABOUT ABOUT A SIX OR SEVEN
audio/MSK0033.mp3[117.440,133.360]	SIX OR SEVEN OK AND IS IT A CONSTANT PAIN OR LIKE DO YOU GET THE PAIN WHEN YOURE NOT PLAYING BASKETBALL OR DOING OTHER ACTIVITIES
audio/MSK0033.mp3[133.360,157.640]	UM ILL GET IT IF IM LIKE SOMETIMES ILL FEEL IT IF IM GOING UPSTAIRS LIKE WALKING UPSTAIRS OR LIKE IF IM SITTING FOR A LONG LONG TIME AND I I GET UP ITLL FEEL A BIT SORE BUT ITS MOSTLY IF IM LIKE DOING ACTIVITIES LIKE RUNNING OR JUMPING DOING LIKE STRENUOUS STUFF LIKE THAT
audio/MSK0033.mp3[157.640,161.880]	OK I SEE AN HAS THIS EVER HAPPENED BEFORE
audio/MSK0033.mp3[161.880,169.640]	NO I HAVENT HAD ANY ANY ISSUES WITH MY KNEE BEFORE
audio/MSK0033.mp3[169.640,178.080]	OK AND OTHERWISE ARE YOU HAVING ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ANY NUMBNESS TINGLING
audio/MSK0033.mp3[178.080,181.840]	NO NOTHING LIKE THAT ITS JUST THE PAIN
audio/MSK0033.mp3[181.840,187.880]	OK AND ANY WEAKNESS IN YOUR LEGS
audio/MSK0033.mp3[187.880,191.200]	UM NO NO WEAKNESS
audio/MSK0033.mp3[191.200,203.160]	OK AND UH HAVE YOU TRIED ANYTHING THAT IMPROVES THE PAIN AT ALL OR ANYTHING THAT MAKES IT WORSE
audio/MSK0033.mp3[203.160,227.280]	UM I I HAVE TRIED TAKING SOME LIKE TYLENOL AND ADVIL AND THAT OR OR AND NSAIDS THAT AND IT HAS HELPED WITH THE PAIN IVE TRIED ICING IT TOO LIKE AFTER PRACTICE AND STUFF LIKE THAT WHICH DOES SEEM TO HELP A LITTLE BIT BUT UH YEAH THATS ABOUT IT
audio/MSK0033.mp3[227.280,239.400]	OK OK AND OTHER THAN THAT DID YOU LIKE HAVE A FALL OR DID YOU HAVE ANY INJURIES RECENTLY BEFORE YOU STARTED HAVING THIS PAIN
audio/MSK0033.mp3[239.400,246.840]	NO ITS KIND OF COME ON ON ITS OWN NO FALLS OR LIKE TRAUMA TO THE KNEE
audio/MSK0033.mp3[246.840,253.600]	OK AND OTHER THAN THAT ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL
audio/MSK0033.mp3[253.600,260.360]	UM YEAH I DONT HAVE ANYTHING I AM HEALTHY
audio/MSK0033.mp3[260.360,265.560]	OK ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS
audio/MSK0033.mp3[265.560,270.120]	NO NOT NOT NOTHING I DONT TAKE ANYTHING
audio/MSK0033.mp3[270.120,273.600]	OK ANY ALLERGIES
audio/MSK0033.mp3[273.600,275.240]	NO ALLERGIES
audio/MSK0033.mp3[275.240,282.960]	OK AND HAVE YOU BEEN SICK RECENTLY AT ALL WITH FEVERS CHILLS ANY COLD OR VIRAL SYMPTOMS
audio/MSK0033.mp3[282.960,288.920]	NO I HAVENT HAD ANYTHING LIKE THAT IVE BEEN FEELING WELL
audio/MSK0033.mp3[288.920,294.920]	OK UHM ANY CHANGES IN YOUR SKIN LIKE ANY RASHES
audio/MSK0033.mp3[294.920,299.800]	NO I HAVENT HAD ANY ANY RASHES
audio/MSK0033.mp3[299.800,304.400]	OK AND ANY KIND OF SHORTNESS OF BREATH CHEST PAIN
audio/MSK0033.mp3[304.400,310.520]	NOPE NOTHING LIKE THAT
audio/MSK0033.mp3[310.520,317.040]	OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS OR URINARY PATTERNS
audio/MSK0033.mp3[317.040,322.240]	NO I HAVENT HAD ANY CHANGES THERE
audio/MSK0033.mp3[322.240,333.640]	OK OK AND DO YOU HAVE ANY RECENT OR LIKE PAST HISTORY OF ANY HOSPITALIZATIONS OR SURGERIES
audio/MSK0033.mp3[333.640,337.680]	NO I I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0033.mp3[337.680,348.640]	OK AND ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS OR ANY ANYTHING THAT RUNS IN THE FAMILY
audio/MSK0033.mp3[348.640,355.600]	NO NOT NOTHING LIKE THAT NO
audio/MSK0033.mp3[355.600,362.840]	OK OK AND CURRENTLY RIGHT NOW DO YOU DO YOU GO TO SCHOOL OR DO YOU WORK AT ALL
audio/MSK0033.mp3[362.840,378.760]	YEAH I GO TO SCHOOL AND UH I PLAY ON THE UH SOCCER TEAM AND THE BASKETBALL TEAM ITS BASKETBALL SEASON RIGHT NOW AND UH IN GRADE 10
audio/MSK0033.mp3[378.760,388.680]	OK IN GRADE 10 OK AND SCHOOL GOING WELL ANY ISSUES AT ALL WITH BULLYING OR ANYTHING LIKE THAT
audio/MSK0033.mp3[388.680,402.240]	NO SCHOOLS BEEN BEEN GOING WELL I HAVE BEEN DOING WELL IN MY COURSES AND HAVE A GOOD GROUP OF FRIENDS SO I ENJOY IT ITS FUN
audio/MSK0033.mp3[402.240,407.640]	OK AND WHATS YOUR HOME SITUATION LIKE DO YOU WHO DO YOU LIVE WITH
audio/MSK0033.mp3[407.640,420.240]	SO I LIVE WITH BOTH OF MY PARENTS AND I HAVE A A YOUNGER SISTER AS WELL SHES IN GRADE GRADE 7 AND WE HAVE A DOG AS WELL
audio/MSK0033.mp3[420.240,426.880]	OK AND DO YOU GENERALLY FEEL SAFE AT HOME AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT
audio/MSK0033.mp3[426.880,434.920]	I DO YEAH MY I GET ALONG WELL WITH MY PARENTS AND WE YEAH BUT MY PARENTS ARE GREAT
audio/MSK0033.mp3[434.920,462.400]	THATS GOOD AND AND THIS IS JUST WANTED TO LET YOU KNOW THAT ANYTHING THAT YOU TALK ABOUT IN HERE WITH US STAYS CONFIDENTIAL AND WONT LEAVE THIS ROOM UNLESS THERE IS POTENTIAL HARM TO YOURSELF OR OTHERS SO HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA HAVE YOU TRIED SMOKING OR ALCOHOL AT ALL
audio/MSK0033.mp3[462.400,477.120]	NO IVE BEEN TRYING I STAY AWAY FROM THAT THAT SORT OF THING IVE I KNOW ABOUT OTHER PEOPLE IN MY CLASS WHO HAVE AND STUFF BUT I ALWAYS JUST IM JUST TRYING TO STAY AS READY AS I CAN FOR THE SPORTS
audio/MSK0033.mp3[477.120,487.000]	OK THATS GOOD AND YEAH SO AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/MSK0033.mp3[487.000,494.800]	YEAH YEAH MY MOM MADE SURE THAT I GOT ALL OF THAT STUFF DONE
audio/MSK0033.mp3[494.800,508.360]	OK ALRIGHT SO YEAH THOSE ARE SOME QUESTIONS I HAD I JUST HAVE A FEW MORE QUESTIONS WITH REGARDS TO JUST EXAMINING YOUR KNEE ARE YOU ABLE TO WALK OR DO YOU HAVE ANY KIND OF A LIMP
audio/MSK0033.mp3[508.360,511.520]	NO LIMP I CAN I CAN WALK OK
audio/MSK0033.mp3[511.520,514.640]	OK AND ARE YOU ABLE TO RUN
audio/MSK0033.mp3[514.640,526.440]	YEAH I CAN I CAN RUN BUT WHEN I DO IT IT CAUSES SOME PAIN IM ABLE TO STILL RUN BUT YEAH IT IT HURTS
audio/MSK0033.mp3[526.440,536.080]	OK AND SO WHEN YOU PALPATE YOUR LOWER KNEE JUST UNDER THE PATELLA YOU SAID ITS A SHARP PAIN RIGHT
audio/MSK0033.mp3[536.080,548.280]	YEAH EXACTLY AND THEN WHEN I ITS AND IT FEELS KIND OF ACHEY OR WHEN WHEN LIKE AFTER PRACTICE OR SOMETHING LIKE THAT BUT IF YOU PRESS ON IT IT ITS SHARP
audio/MSK0033.mp3[548.280,558.120]	AND UH ANY ANY KIND OF LIKE ARE YOU ABLE TO FLEX AND EXTEND YOUR KNEE RIGHT NOW IF YOU TRIED
audio/MSK0033.mp3[558.120,560.240]	I CAN YEAH
audio/MSK0033.mp3[560.240,569.720]	OK AND HAVE YOU NOTICED ANY KIND OF ROTATION OF YOUR KNEE AT ALL
audio/MSK0033.mp3[569.720,571.520]	NO NOTHING LIKE THAT
audio/MSK0033.mp3[571.520,576.600]	NO OK OK AND NO WEAKNESS BELOW YOUR KNEE RIGHT
audio/MSK0033.mp3[576.600,587.360]	NO WEAKNESS I JUST FEEL LIKE MY MUSCLES ARE REALLY TIGHT LIKE MY FLY AND MY HAMSTRING MUSCLES THINK I NEED TO STRETCH THEM OUT SOME MORE THEY DO JUST FEEL TIGHT
audio/MSK0033.mp3[587.360,594.040]	OK AND DO YOU NOTICE ANY KIND OF SWELLING OR REDNESS OR BRUISING IN THE AREA
audio/MSK0033.mp3[595.000,601.960]	NO OK AND YOUR ANKLE AND HIPS YOU DONT HAVE ANY PAIN OR ISSUES WITH MOVEMENT RIGHT
audio/MSK0033.mp3[601.960,607.760]	NO NOT AT ALL NO NO PROBLEMS WITH MY ANKLE OR HIP
audio/MSK0033.mp3[607.760,622.920]	OK ALRIGHT YEAH SO THOSE ARE JUST ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS
audio/MSK0033.mp3[622.920,627.840]	I WAS JUST WONDERING WHAT I CAN DO TO MAKE THIS GO AWAY
audio/MSK0033.mp3[627.840,752.960]	YEAH SO DEFINITELY THIS IS SOMETHING THAT IS WHAT WE CALL JUMPERS KNEE ITS FAIRLY COMMON UH AMONGST YOUNGER ATHLETES ESPECIALLY THOSE THAT PLAY SPORTS LIKE VOLLEYBALL OR BASKETBALL BUT RIGHT NOW WE DONT REALLY NEED TO DO ANY KIND OF IMAGING OR ANYTHING LIKE THAT IT SEEMS LIKE YOURE IN THE EARLIER PHASES AND ITS GOOD THAT YOU CAME IN WE DEFINITELY DO NEED TO MANAGE IT WITH SOME CONSERVATIVE MANAGEMENT WHERE WERE GOING TO KEEP HAVING TAKING A LOOK AT IT AS WELL AS I WOULD RECOMMEND ICING IT EVERY LIKE FOR HALF AN HOUR LIKE AROUND FOUR TO SIX TIMES A DAY ESPECIALLY AFTER YOURE DOING YOUR ACTIVITIES THEN YOU CAN YOU CAN TAKE THE CONTINUE TAKING THE TYLENOL AND ADVIL AS WELL AS LONG AS YOURE FOLLOWING THE MAXIMUM AMOUNT PER DAY DEPENDING ON IF YOURE TAKING EXTRA STRENGTH TYLENOL FOR EXAMPLE VERSUS THE REGULAR STRENGTH AND THEN I WILL ALSO REFER YOU TO SOME PHYSIOTHERAPY THAT WILL KIND OF A TEACH YOU SOME STRENGTHENING AND STRETCHING EXERCISES THAT YOU CAN DO TO HELP WHAT WE CALL LIKE THAT YOU WILL YOU MIGHT BE HAVING IS JUST UM SOME INFLAMMATION IN YOUR PATELLAR TENDON RIGHT BELOW YOUR PATELLA SO WE NEED TO STRENGTHEN THE MUSCLES AROUND IT SO WELL DO SOME REFERRAL TO PHYSIOTHERAPY AND THEN WELL SEE HOW YOU YOU DO BASED ON ALL THOSE TREATMENT OPTIONS AND THEN IF IT GETS WORSE AND IF OR IF IT DOESNT GET BETTER WE MIGHT NEED TO DO SOME IMAGING EITHER ULTRASOUND OR AN MRI AND THEN SEE WHERE TO GO FROM THERE BUT FOR NOW DOES THAT SOUND OK WITH YOU
audio/MSK0033.mp3[752.960,759.160]	IT DOES YEAH THANK YOU SO YOU SAID THAT YOU THINK ITS LIKE A PATELLAR TENDONITIS OR SOMETHING LIKE THAT
audio/MSK0033.mp3[759.160,782.800]	YEAH ITS PATELLAR TENDONITIS IS COMMONLY CALLED THE JUMPERS KNEE AND IT SHOULD RESOLVE WITH THE STEPS THAT WE ESPECIALLY SINCE IT SEEMS LIKE YOURE IN THE EARLIER STAGES SO IT SEEMS LIKE IT SHOULD BE PRETTY RESPONSIVE BUT IF IT ISNT THERE ARE OTHER STEPS WE CAN DISCUSS IN THE FUTURE
audio/MSK0033.mp3[782.800,785.440]	OK THAT SOUNDS GREAT THANK YOU
audio/RES0147.mp3[0.000,2.080]	WHAT CAN I DO FOR YOU TODAY
audio/RES0147.mp3[2.080,13.160]	IVE JUST HAD THIS COUGH THAT IT THAT HAS GOTTEN A LOT WORSE AND REALLY SHORT OF BREATH
audio/RES0147.mp3[13.160,18.480]	UHM CAN YOU TELL ME MORE ABOUT YOUR SHORTNESS OF BREATH
audio/RES0147.mp3[18.480,34.280]	YEAH JUST OVER THE PAST LIKE 12 HOURS OR SO IVE JUST BEEN FINDING IT MORE AND MORE DIFFICULT TO TO BREATHE
audio/RES0147.mp3[34.280,39.360]	OK WHAT ARE YOU ABLE I GUESS WHEN DO YOU FEEL SHORT OF BREATH
audio/RES0147.mp3[39.360,62.120]	YEAH ITS JUST LIKE RIGHT NOW AT REST I CAN LIKE IM OK BUT IT STILL IS FEELING INCREASINGLY DIFFICULT SO LIKE THROUGHOUT THE DAY ITS JUST BEEN GETTING GETTING WORSE AND THE COUGH HAS BEEN GETTING WORSE ALSO
audio/RES0147.mp3[62.120,70.200]	AND BEFORE THESE 12 HOURS WHERE DID YOU HAVE ANY DIFFICULTIES WITH BREATHING
audio/RES0147.mp3[70.200,74.840]	UH NO I I I HAD A COUGH BUT NOT NOT REALLY ANY SHORTNESS OF BREATH
audio/RES0147.mp3[74.840,84.680]	AND CAN YOU TELL ME ABOUT YOUR COUGH IS IT A DRY COUGH OR WET COUGH
audio/RES0147.mp3[84.680,88.280]	IVE BEEN BRINGING UP SOME SOME SPUTUM
audio/RES0147.mp3[88.280,92.240]	OK WHAT DOES IT LOOK LIKE
audio/RES0147.mp3[92.240,99.880]	ITS LIKE GREENISH AND YELLOW
audio/RES0147.mp3[99.880,112.280]	MHMM OK AND YOU SAID THAT YOU HAD A COUGH PRIOR TO THE PAST 12 HOURS AND THAT YOUR COUGH IS NOW WORSE HOW IS IT WORSE
audio/RES0147.mp3[112.280,136.320]	AH ITS BEEN JUST HAPPENING MORE OFTEN AND LIKE JUST LIKE THROUGHOUT THE DAY USUALLY MY COUGH IS ONLY IN THE MORNING ILL BRING UP SOME SOME SPUTUM IN IT AND IM OK BUT ITS CARRIED ON THROUGHOUT THE DAY
audio/RES0147.mp3[136.320,146.200]	OK UHM AND WAS YOUR SPUTUM AND GREENISH YELLOW BEFORE AS WELL OR WAS IT JUST STARTING YESTERDAY OR OR COUPLE DAYS AGO
audio/RES0147.mp3[146.200,159.440]	YEAH THATS NEW THATS JUST STARTING NEW IT WAS MORE LIKE I DONT KNOW WHITISH OR YEAH WHITE I GUESS BEFORE
audio/RES0147.mp3[159.440,165.760]	OK ALRIGHT AND I GUESS HAS THIS EVER HAPPENED TO YOU BEFORE
audio/RES0147.mp3[165.760,174.120]	UH NO THIS IS THE FIRST TIME THAT THAT THIS HAS HAPPENED BEFORE
audio/RES0147.mp3[174.120,185.920]	OK AND YOU HAVE ANY OTHER I GUESS SYMPTOMS ARE UNTIL I ASK YOU ABOUT A COUPLE DO YOU HAVE ANY DO YOU FEEL CONFUSED OR FUZZY
audio/RES0147.mp3[185.920,188.360]	NO THAT THAT FEELS OK
audio/RES0147.mp3[188.360,190.840]	ANY HEADACHES
audio/RES0147.mp3[193.680,198.280]	ANY STUFFY STUFFY NOSE OR RUNNY NOSE
audio/RES0147.mp3[199.040,200.880]	SORE THROAT
audio/RES0147.mp3[202.280,207.480]	ANY CHEST PAIN
audio/RES0147.mp3[207.480,223.920]	AH YEAH I DID I DO HAVE A UH UH SOME WELL I GUESS I GUESS ITS NOT REALLY PAIN ITS MORE LIKE LIKE JUST CHEST TIGHTNESS IM REALLY HAVING A HARD TIME WITH THAT WITH BREATHING
audio/RES0147.mp3[223.920,230.480]	UHM I SEE OK DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST
audio/RES0147.mp3[232.440,239.480]	OK DO YOU HAVE ANY BELLY PAIN OR ANY NAUSEA OR VOMITING
audio/RES0147.mp3[240.600,245.360]	ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS
audio/RES0147.mp3[246.520,249.040]	ANY MUSCLE ACHES
audio/RES0147.mp3[250.200,252.960]	FEVERS OR CHILLS
audio/RES0147.mp3[256.520,264.480]	OK UHM ALRIGHT AND UH IN TERMS OF YOUR PAST MEDICAL HISTORY ANY MEDICAL PROBLEMS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0147.mp3[264.480,286.400]	YEAH I WAS DIAGNOSED WITH COPUH TWO YEARS AGO UMM YEAH THIS IS AT I WENT TO MY FAMILY DOCTOR FOR THIS AND I HAD SOME TESTING DONE WHEN I WAS DIAGNOSED AT THAT TIME
audio/RES0147.mp3[286.400,289.600]	OK ANY OTHER DIAGNOSIS
audio/RES0147.mp3[289.600,299.920]	YEAH I HAVE HIGH BLOOD PRESSURE AORTIC STENOSIS UH AND UH AND HIGH CHOLESTEROL
audio/RES0147.mp3[299.920,310.520]	ARE YOU TAKING ANY MEDICATIONS
audio/RES0147.mp3[310.520,338.480]	YEAH I I TAKE A UH A STATIN MEDICATION I THINK SOME TYPE OF BLOOD THINNER AS WELL AS SOMETHING FOR THE BLOOD PRESSURE AS WELL I CANT REMEMBER THE THE NAMES OF THEM
audio/RES0147.mp3[338.480,342.720]	WHY WERE YOU ON A BLOOD THINNER
audio/RES0147.mp3[342.720,360.600]	OH I I HEARD THAT IT WAS IT WAS UMM OH GOOD FOR ME FOR A FRIEND SINCE IVE IVE HAD UH AORTIC STENOSIS
audio/RES0147.mp3[360.600,367.080]	OK SURE ALL RIGHT AND HAVE YOU HAD ANY SURGERIES
audio/RES0147.mp3[367.080,368.000]	UH NO I HAVENT
audio/RES0147.mp3[368.000,377.080]	OK AND ANY HOSPITALIZATIONS
audio/RES0147.mp3[377.080,378.880]	NO I HAVENT
audio/RES0147.mp3[378.880,387.160]	OK UHM DO YOU HAVE ANY ALLERGIES TO FOOD ENVIRONMENTAL ALLERGIES OR ANY ALLERGIES TO MEDICATIONS
audio/RES0147.mp3[389.000,401.160]	OK DO YOU HAVE A OR WHATS YOUR CURRENT LIVING SITUATION ARE YOU LIVING IN AN APARTMENT OR HOUSE DO YOU LIVE ALONE DO YOU LIVE WITH OTHER PEOPLE
audio/RES0147.mp3[401.160,407.360]	YEAH I LIVE ALONE IN A IN HOUSE HERE IN TOWN
audio/RES0147.mp3[407.360,413.560]	OK AND ARE YOU CURRENTLY WORKING ARE YOU RETIRED
audio/RES0147.mp3[413.560,426.920]	YEAH I I DO I CURRENTLY WELL I JUST DO SOME VOLUNTEERING AT THE GOLF COURSE IN THE SUMMER BUT OTHERWISE RETIRED
audio/RES0147.mp3[426.920,430.640]	WHAT DID YOU DO FOR WORK
audio/RES0147.mp3[430.640,439.040]	UH SO BEFORE I WORKED AT THE BEER FACTORY IN IN TOWN LABATT
audio/RES0147.mp3[439.040,459.040]	OK AND HAVE YOU EVER HAD ANY EXPOSURES TO ANY CHEMICALS OR ANY ANYTHING THAT YOU ANY IRRITANTS THAT YOU THINK ANY SMOKE THAT MIGHT AFFECT YOUR LUNGS OR YOUR YEAH
audio/RES0147.mp3[459.040,474.320]	UHM NO I DONT THINK SO I MEAN WORKING IN THE FACTORY ENVIRONMENT I IM SURE THINGS YEARS AGO WERENT AS CLEAN AS THEY ARE NOW BUT YEAH IM NOT SURE
audio/RES0147.mp3[474.320,486.560]	OK ALRIGHT AND ARE YOU YOU SAID YOU LIVE ALONE ARE YOU ABLE TO TAKE YOUR THINGS LIKE GETTING GROCERIES OR COOKING OR CLEANING THE HOUSE OR DO YOU NEED HELP WITH THAT
audio/RES0147.mp3[486.560,522.240]	I I DO UH GET SOME HELP FROM MY SON WHO LIVES WHO LIVES NEARBY AND UMM I ABLE TO TO GET THEM TO TO HELP MAKE SOME MEALS AND AND BRING SOME FOOD OVER AND THEN ILL GO VISIT THEM AS WELL YOU CAN TAKE CARE OF THE HOUSE SO AND ALL THAT NOT OK ON MY OWN BUT IT CERTAINLY GETS GETS LONELY THERE
audio/RES0147.mp3[522.240,529.880]	IM SURE WHAT ABOUT WHAT ABOUT THINGS LIKE WALKING DO YOU USE A CANE OR A WALKER
audio/RES0147.mp3[529.880,533.600]	UHM NO I DONT
audio/RES0147.mp3[533.600,540.680]	OK AND DO YOU ARE ABLE TO BATHE ON YOUR OWN DRESS ON YOUR OWN DO YOU NEED HELP
audio/RES0147.mp3[540.680,542.960]	OH YEAH THOSE THINGS ARE OK
audio/RES0147.mp3[542.960,549.680]	OK HAVE YOU EVER HAVE YOU BEEN ON OXYGEN AT ALL
audio/RES0147.mp3[549.680,559.520]	NO I HAVENT BUT I FEEL LIKE I COULD BE RIGHT NOW ITS LIKE REALLY IM SHORT OF BREATH
audio/RES0147.mp3[559.520,584.360]	YEAH YEAH WE CAN DEFINITELY DO THAT HERE UHM ALRIGHT SO GIVEN YOUR SYMPTOMS IT SOUNDS LIKE MAYBE YOURE HAVING A COPEXACERBATION POTENTIALLY DO YOU FEEL LIKE YOU MIGHT HAVE HAD CONTACT WITH ANYONE WHO WAS SICK
audio/RES0147.mp3[584.360,587.040]	NOT THAT I CAN THINK OF
audio/RES0147.mp3[587.040,592.480]	OK HAVE YOU TRAVELED AT ALL OUTSIDE THE COUNTRY OR OUTSIDE THE PROVINCE
audio/RES0147.mp3[592.480,599.800]	NO I IVE JUST BEEN HELPING OUT AT THE GOLF COURSE BUT THATS ALL KIND OF OUTSIDE
audio/RES0147.mp3[599.800,602.560]	ARE YOU WEARING A MASK AND MAINTAINING SOCIAL DISTANCING
audio/RES0147.mp3[602.560,610.240]	YEAH WE ARE LIKE IM LIKE HELPING OUT WITH CLEANING THE CARTS AND KIND OF HELPING OUT WITH THE GROUNDS
audio/RES0147.mp3[610.240,673.880]	MHMM OK ALRIGHT SO WELL DO A COVID SWAB HERE JUST IN CASE AND SEEING THAT YOURE NOT FEELING VERY WELL YOU MIGHT REQUIRE OXYGEN WERE GOING TO KEEP YOU HERE IN THE ER AND WE MIGHT HAVE TO YOU MIGHT HAVE TO BE HOSPITALIZED WELL MEASURE YOUR VITALS DO A PHYSICAL EXAM DO A CHEST XRAY AND YOU MIGHT BE HAVING AS I MENTIONED EARLIER IN EXACERBATION UPPER COPOR A WORSENING OF YOUR COPPOTENTIALLY BECAUSE YOU MIGHT HAVE AN INFECTION EITHER A VIRAL INFECTION OR BACTERIAL INFECTION THAT CAN SOMETIMES WORSEN YOUR COPSYMPTOMS YOU MIGHT BE STARTED ON AN ANTIBIOTIC WELL BE PUTTING YOU IN OXYGEN AND GIVING YOU SOME STEROID SOME ARE YOU ACTUALLY ABOUT THAT ARE YOU ARE YOU USING ANY PUFFERS AT HOME
audio/RES0147.mp3[673.880,687.920]	AH YEAH SO YEAH I HAVE BEEN USING UH SORRY I I HAVE BEEN USING VENTOLIN AND THERE WAS A DAILY INHALER SPIRIVA I BELIEVE IVE BEEN USING THAT EACH DAY
audio/RES0147.mp3[687.920,698.560]	OK GREAT GREAT YEAH SO WELL BE WELL BE GIVING YOU SOME PUFFERS HERE AS WELL AND YEAH WELL SEE HOW THINGS GO DO YOU HAVE ANY QUESTIONS
audio/RES0147.mp3[698.560,703.760]	UH NO THAT THAT SOUNDS GOOD THANK YOU
audio/RES0147.mp3[703.760,711.280]	OK ALRIGHT
audio/RES0005.mp3[0.000,4.480]	I WAS WONDERING IF YOU COULD TELL US WHAT BROUGHT YOU IN TO SEE US
audio/RES0005.mp3[4.480,31.040]	YEAH SO I JUST CAME IN I WAS A BIT WORRIED BECAUSE IVE BEEN HAVING THIS COUGH FOR AROUND TWO YEARS WHICH HAS BEEN GETTING WORSE BUT RECENTLY IVE NOTICED THAT I SEE STREAKS OF BLOOD IN THE SPUTUM THAT IM PRODUCING BEFORE IT JUST USED TO BE LIKE WHITE BUT NOW IM SEEING OVER THE LAST I WOULD SAY TWO MONTHS OCCASIONALLY SOME STREAKS OF BLOOD
audio/RES0005.mp3[31.040,35.840]	OK AND THE COUGH STARTED TWO YEARS AGO
audio/RES0005.mp3[36.720,41.400]	OK AND ITS BEEN GRADUALLY GETTING WORSE OVER THAT TIME
audio/RES0005.mp3[41.400,48.120]	YEAH I WOULD SAY SO ITS GETTING MORE FREQUENT AND WORSE IN NATURE
audio/RES0005.mp3[48.120,54.720]	OK AND HOW MUCH SPUTUM ARE YOU BRINGING UP AN IN A DAY
audio/RES0005.mp3[54.720,58.720]	PROBABLY LIKE A A COUPLE TEASPOONS
audio/RES0005.mp3[58.720,66.400]	OK AND UH IS ARE YOU SEEING LIKE BRIGHT RED BLOOD WHEN YOURE WHEN YOURE COUGHING IT UP
audio/RES0005.mp3[66.400,74.120]	UH IN THIS ITS KIND OF MIXED INTO THE SPUTUM I WOULD SAY LIKE BUT IT DEFINITELY IS RED
audio/RES0005.mp3[74.120,83.440]	OK AND HOW MUCH BLOOD WOULD YOU SAY THAT YOURE YOURE BRINGING UP WOULD BE TEASPOONS OR A CUP OR
audio/RES0005.mp3[83.440,100.560]	NO ITS JUST LIKE A LITTLE STREAKS ITS NOT REALLY SIGNIFICANT IT DOESNT FEEL LIKE THE WHOLE PRODUCTION OF THE SPUTUM BUT JUST LIKE LITTLE STREAKS THAT IVE NOTICED
audio/RES0005.mp3[100.560,105.800]	OK AND UM IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY
audio/RES0005.mp3[105.800,120.080]	UM IT DEFINITELY GETS WORSE WHEN IM DOING MORE ACTIVITIES AND THEN ALSO WHEN I GET LIKE SOME VIRAL INFECTIONS BUT OTHER THAN THAT ITS PRETTY MUCH ALWAYS THERE
audio/RES0005.mp3[120.080,130.240]	OK ANYTHING THAT THAT MAKES IT WORSE YOU SAID SOME VIRAL INFECTIONS HAVE YOU HAD A VIRAL INFECTION RECENTLY
audio/RES0005.mp3[130.240,143.320]	YEAH LIKE IN THE LAST TWO YEARS IVE PROBABLY HAD TWO OR THREE VIRAL INFECTIONS JUST JUST JUST COLD COLD SYMPTOMS
audio/RES0005.mp3[143.320,151.680]	HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THE COUGH BETTER
audio/RES0005.mp3[151.680,166.040]	IVE TRIED THE TYLENOL COLD HASNT REALLY WORKED TRIED JUST OTHER OVER THE COUNTER MEDICATIONS HAVENT REALLY WORKED
audio/RES0005.mp3[166.040,182.640]	OK AND PRIOR TO TWO YEARS AGO UM WERE YOU EXPERIENCING ANY SIMILAR SYMPTOMS LIKE UH LIKE THIS COUGH OR BRINGING UP BLOOD BEFORE
audio/RES0005.mp3[182.640,197.400]	IN THE PAST IVE ALWAYS HAD A SOMEWHAT OF A COUGH LIKE I HAVE COPSO IVE ALWAYS HAD A LITTLE BIT OF A COUGH HERE AND THERE BUT OVER THE LAST TWO YEARS I FEEL THAT ITS BEEN GETTING MUCH WORSE
audio/RES0005.mp3[197.400,203.240]	OK HAVE YOU BEEN DIAGNOSED WITH CHRONIC BRONCHITIS BEFORE
audio/RES0005.mp3[203.240,206.560]	YEAH I THINK SO
audio/RES0005.mp3[206.560,217.360]	OK UM AND SO WITH WITH THIS COUGH AND NOW BLOOD TINGED SPUTUM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0005.mp3[217.360,225.520]	UM I DO FEEL SOMETIMES I GET LIKE MORE TIRED THAN I USED TO THROUGHOUT THE DAY
audio/RES0005.mp3[226.840,241.800]	UM SOMETIMES I ALSO FEEL MORE BREATHLESS ON WHEN IM EXERTING MYSELF MORE
audio/RES0005.mp3[241.800,246.240]	OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0005.mp3[246.240,249.520]	NO NO I HAVENT
audio/RES0005.mp3[249.520,252.240]	HOW ABOUT ANY NIGHT SWEATS
audio/RES0005.mp3[253.800,256.440]	HAVE YOU LOST ANY WEIGHT
audio/RES0005.mp3[256.440,270.360]	YEAH IVE ACTUALLY LOST A SIGNIFICANT AMOUNT OF WEIGHT I WOULD SAY WITHIN THE LAST 1 AND A 12 MONTHS PROBABLY LOST LIKE 8 TO 10 POUNDS
audio/RES0005.mp3[270.360,273.680]	OK HAVE YOU BEEN TRYING TO LOSE WEIGHT
audio/RES0005.mp3[273.680,289.880]	NO NOT REALLY IVE JUST BEEN SITTING AROUND LIKE I CAN BARELY WALK THAT MUCH ANYMORE TOO I USED TO BE ABLE TO WALK AT LEAST 400 METERS AROUND THE BLOCK BUT NOW I CAN BARELY EVEN GO TO THE KITCHEN
audio/RES0005.mp3[289.880,295.640]	OK IS THIS BECAUSE OF THE SHORTNESS OF BREATH WHEN YOU ARE ARE EXERTING
audio/RES0005.mp3[295.640,300.640]	YEAH THAT AND I JUST START COUGHING SO MUCH THAT I JUST HAVE TO SIT DOWN
audio/RES0005.mp3[300.640,307.160]	OK UM AND HAVE YOU BEEN HAVING ANY HEADACHES
audio/RES0005.mp3[307.160,308.520]	NO HEADACHES
audio/RES0005.mp3[308.520,313.680]	ALRIGHT AND HOW ABOUT AND HOW IS YOUR APPETITE BEEN
audio/RES0005.mp3[313.680,324.600]	UM I THINK ITS BEEN PRETTY MUCH THE SAME SOMETIMES WHEN IM COUGHING A LOT I DONT FEEL LIKE EATING BUT OTHER THAN THAT ITS BEEN AROUND THE SAME
audio/RES0005.mp3[324.600,327.560]	OK ANY NAUSEA OR VOMITING
audio/RES0005.mp3[328.440,331.200]	ANY RUNNY NOSE OR SORE THROAT
audio/RES0005.mp3[332.240,337.600]	OK AND THEN HOW ABOUT A LOSS OF SMELL OR A LOSS OF TASTE
audio/RES0005.mp3[337.600,339.280]	NO NOTHING LIKE THAT
audio/RES0005.mp3[339.280,342.880]	OK HAVE YOU BEEN HAVING ANY CHEST PAIN
audio/RES0005.mp3[344.160,345.920]	ANY HEART PALPITATIONS
audio/RES0005.mp3[347.040,349.600]	ANY WHEEZING WHEN YOURE BREATHING
audio/RES0005.mp3[349.600,358.120]	SOMETIMES I WOULD SAY LIKE WHEN WHEN IT GETS WORSE WHEN IM EXERTING MYSELF MORE I I CAN GET SOME WHEEZING
audio/RES0005.mp3[358.120,364.920]	OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES
audio/RES0005.mp3[364.920,366.960]	NO NOTHING LIKE THAT
audio/RES0005.mp3[366.960,374.600]	ALRIGHT AND HAVE YOU WOKEN UP AT NIGHT EXTREMELY SHORT OF BREATH
audio/RES0005.mp3[374.600,378.040]	NO IM PRETTY FINE DURING THE NIGHT
audio/RES0005.mp3[378.040,382.240]	ALRIGHT AND UH HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN
audio/RES0005.mp3[383.280,386.040]	ANY URINARY PROBLEMS
audio/RES0005.mp3[386.040,387.200]	UH NO
audio/RES0005.mp3[387.200,391.160]	ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION
audio/RES0005.mp3[391.160,392.720]	NO NOTHING LIKE THAT
audio/RES0005.mp3[392.720,395.240]	ALRIGHT ANY SKIN RASHES
audio/RES0005.mp3[396.120,399.960]	ANY JOINT PAINS OR OR MUSCLE PAINS
audio/RES0005.mp3[400.960,403.160]	ANY WEAKNESS
audio/RES0005.mp3[403.160,407.880]	NOT WEAKNESS ILL JUST SAY MORE FATIGUE
audio/RES0005.mp3[407.880,415.400]	ALRIGHT SO I KNOW YOU TOLD ME A COPBUT DO YOU HAVE ANY OTHER MEDICAL DIAGNOSIS
audio/RES0005.mp3[415.400,417.880]	YEAH I HAVE HIGH BLOOD PRESSURE AS WELL
audio/RES0005.mp3[418.480,423.200]	I THINK I HAVE HIGH CHOLESTEROL TOO
audio/RES0005.mp3[423.200,428.040]	I SEE OK DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/RES0005.mp3[428.040,439.280]	YEAH SO FOR THE CHOLESTEROL TAKING ROSUVASTATIN AND I FORGET WHAT IM TAKING FOR THE BLOOD PRESSURE BUT ITS PRETTY WELL UNDER CONTROL
audio/RES0005.mp3[439.280,443.080]	OK DO YOU USE ANY INHALERS FOR COPD
audio/RES0005.mp3[443.080,457.000]	I USED TO I USED TO HAVE I THINK LIKE 3 DIFFERENT INHALERS BUT HAVENT HAD TO USE THEM FOR MORE THAN 10 YEARS NOW
audio/RES0005.mp3[457.000,463.560]	OK AND WHAT WAS THE REASON FOR NOT NEEDING THEM ANYMORE
audio/RES0005.mp3[463.560,476.240]	I JUST DIDNT HAVE ANY SYMPTOMS FOR A PRETTY LONG TIME AND MY DOC SAID LIKE IF I DONT REALLY NEED THEM THEN I COULD JUST STOP
audio/RES0005.mp3[476.240,480.800]	OK AND HAVE YOU HAD ANY RECENT HOSPITALIZATIONS
audio/RES0005.mp3[481.760,484.040]	ANY ALLERGIES TO MEDICATIONS
audio/RES0005.mp3[484.400,487.680]	ANY SURGERIES THAT YOU HAD IN THE PAST
audio/RES0005.mp3[487.680,490.440]	NO SURGERIES
audio/RES0005.mp3[490.440,493.440]	OK AND ARE YOUR VACCINATIONS UP TO DATE
audio/RES0005.mp3[495.960,501.120]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR SOCIAL SITUATION OR LIVING SITUATION
audio/RES0005.mp3[501.120,519.320]	YEAH SO CURRENTLY IM JUST LIVING BY MYSELF IN AN APARTMENT IVE BEEN THERE FOR MORE THAN 10 YEARS NOW UM I AM RETIRED SO IM NOT WORKING ANYMORE BUT YEAH THATS THATS ME
audio/RES0005.mp3[519.320,534.000]	OK GREAT UM WHAT DID YOU DO PREVIOUSLY FOR FOR WORK DID YOU HAVE ANY EXPOSURES FOR TWO CHEMICALS OR DUSTS OR ASBESTOS THINGS LIKE OF THAT NATURE
audio/RES0005.mp3[534.000,557.960]	OH YES I WORKED IN THE STEEL FACTORY FOR MOST OF MY WORKING LIFE I THINK YEAH THERE MIGHT HAVE BEEN SOME EXPOSURES TO CHEMICALS AND DUST PARTICLES ASBESTOS I DONT THINK THERE WAS EXPOSURE BUT DEFINITELY I MAY HAVE LIVED IN PLACES THAT HAD ASBESTOS I MEAN YEAH
audio/RES0005.mp3[557.960,566.400]	OK HOW LONG HAVE YOU BEEN LIVING WHERE YOU YOUVE BEEN NOW
audio/RES0005.mp3[566.400,581.360]	SO THIS THIS IS LIKE THE ONE IM LIVING IN IS A NEW PLACE BUT BEFORE THAT I LIVED IN ANOTHER APARTMENT FOR AROUND FIVE YEARS AND THAT WAS A PRETTY OLD BUILDING
audio/RES0005.mp3[581.360,583.840]	OK DO YOU HAVE ANY PETS
audio/RES0005.mp3[583.840,589.360]	NO PETS NO
audio/RES0005.mp3[589.360,592.400]	OK UM AND DO YOU SMOKE CIGARETTES
audio/RES0005.mp3[592.400,597.320]	YEAH I SMOKE ID SAY AROUND 20 CIGARETTES A DAY RIGHT NOW
audio/RES0005.mp3[597.320,603.080]	ALRIGHT AND DID YOU SMOKE MORE PREVIOUSLY
audio/RES0005.mp3[603.080,612.440]	YEAH I THINK IVE BEEN SMOKING FOR ALMOST LIKE 40 YEARS NOW AND I USED TO SMOKE UP TO 30 CIGARETTES A DAY
audio/RES0005.mp3[612.440,613.720]	OK DO YOU SMOKE CANNABIS
audio/RES0005.mp3[616.600,620.040]	ALRIGHT DO YOU DRINK ALCOHOL
audio/RES0005.mp3[620.040,627.040]	UM JUST MAYBE A COUPLE TIMES A MONTH NOTHING NOTHING THROUGHOUT THE WEEK
audio/RES0005.mp3[627.040,634.280]	OK SO DO YOU USE ANY RECREATIONAL DRUGS LIKE IV DRUGS OR OPIOIDS OR COCAINE
audio/RES0005.mp3[634.280,637.600]	NO NOTHING LIKE THAT
audio/RES0005.mp3[637.600,643.880]	ALRIGHT AND ANYBODY IN THE FAMILY HAVE ANY SIMILAR SYMPTOMS BEFORE LIKE COUGHING UP BLOOD OR
audio/RES0005.mp3[643.880,670.960]	NO NOT THAT I KNOW OF MY FATHER PASSED AWAY FROM A HEART ATTACK WHEN HE WAS IN HIS 60S AND I THINK MY MOTHER HAD A UM LIKE I THINK ONE OF THE LIKE AN ARTHRITIS BUT YEAH LIKE BUT I THINK THAT WAS JUST LIKE THE ONE THAT YOU GET WITH OLD AGE
audio/RES0005.mp3[670.960,673.560]	OK LIKE OSTEOARTHRITIS
audio/RES0005.mp3[673.560,674.720]	YEAH THAT THAT WAS THE ONE
audio/RES0005.mp3[674.720,680.720]	OK ANY CANCERS IN THE FAMILY
audio/RES0005.mp3[680.720,689.080]	UM NOT THAT ONE OF MY UNCLES HAD LIKE UM BLADDER CANCER BUT THATS THATS THATS ABOUT IT
audio/RES0005.mp3[689.080,703.000]	OK AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY OR BEEN AROUND ANY SICK CONTACTS POSSIBLY PEOPLE ANYBODY WHOS HAD TUBERCULOSIS OR ANY INFECTIONS
audio/RES0005.mp3[703.000,710.200]	NO IVE BEEN PRETTY MUCH TO MYSELF OVER THE LAST FEW MONTHS SO NOT REALLY
audio/RES0005.mp3[710.200,714.240]	OK UM WAS THERE ANYTHING THAT YOURE WORRIED THAT THIS COULD BE
audio/RES0005.mp3[714.240,731.680]	UM YEAH JUST THE BLOOD I KIND OF GOT SCARED MAYBE I THOUGHT LIKE YOU KNOW WHAT IF ITS A CANCER ONE OF MY FRIENDS HAD LUNG CANCER AND I I KNOW IVE BEEN SMOKING FOR MOST OF MY LIFE SO THATS SOMETHING I WAS WORRIED ABOUT
audio/RES0005.mp3[731.680,772.960]	UM I CAN CERTAINLY SEE THAT THE CONCERN AND I UNDERSTAND WHERE YOURE COMING FROM I THINK IT WOULD BE VERY REASONABLE TO INVESTIGATE THAT TODAY SO WELL START WITH A CHEST CT ALONG WITH SOME LAB WORK AND WE WILL GET A CBC AND SOME ELECTROLYTES ALSO GET AN ECG AS WELL TO JUST CHECK YOUR HEART AND WE WILL SEE WHAT WHAT THE INVESTIGATIONS SHOW
audio/RES0005.mp3[772.960,775.120]	SOUNDS GOOD
audio/RES0005.mp3[775.120,816.760]	OK AND UM OTHER THINGS THAT UM TO THINK ABOUT THIS COULD BE UH ALSO LIKE TO COPI KNOW ITS BEEN GOING ON A LONG TIME BUT POSSIBLY COULD HAVE A PNEUMONIA THATS BEEN LINGERING ON PARTICULARLY IF ITS A FUNGAL TYPE OF INFECTION AND AS WELL AS THINGS LIKE YOU MENTIONED YOU POSSIBLY UNSURE IF YOUVE HAD AN ASBESTOS EXPOSURE IN THE PAST AND STUFF LIKE THAT CAN POSSIBLY LEAD TO SCARRING OF THE LUNG AND SO ALL OF THESE FACTORS WILL BE LOOKED INTO
audio/RES0005.mp3[816.760,819.880]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0005.mp3[819.880,821.640]	ALRIGHT YOURE WELCOME THANK YOU
audio/MSK0026.mp3[0.000,1.440]	HOW MAY I HELP YOU
audio/MSK0026.mp3[1.440,19.920]	IM IM HERE BECAUSE MY RIGHT KNEE IS VERY PAINFUL IT LOOKS KIND OF SWOLLEN AND ITS ITS ALSO A LITTLE BIT WARM SO IM JUST WORRIED IM WORRIED ABOUT IT AND I WAS WONDERING IF YOU COULD LOOK AT IT
audio/MSK0026.mp3[19.920,32.560]	YEAH CERTAINLY UM SO WHERE ARE YOU FEELING THE THE PAIN EXACTLY
audio/MSK0026.mp3[32.560,44.120]	SO ITS WHERE SO RIGHT IN THE MIDDLE OF MY KNEE SO JUST BELOW THE BONE THAT THE BIG KNEE BONE
audio/MSK0026.mp3[44.120,48.440]	OK SO LIKE UNDERNEATH THE KNEECAP LIKE BELOW THAT
audio/MSK0026.mp3[48.440,52.080]	YEAH JUST JUST A LITTLE BIT BELOW
audio/MSK0026.mp3[52.080,59.920]	OK SO SLIGHTLY BELOW THE PATELLA SOUNDS LIKE SOMEWHERE IN THE REGION OF THE TIBIAL THROUGH TUBEROSITY
audio/MSK0026.mp3[61.560,65.880]	OK AND WHEN DID THIS PAIN START
audio/MSK0026.mp3[65.880,70.760]	IT STARTED ABOUT TWO WEEKS AGO
audio/MSK0026.mp3[70.760,80.600]	OK TWO WEEKS AGO WHEN THE PAIN STARTED WAS THERE ANY TRAUMA OR COULD YOU REMEMBER ANY MOVEMENT THAT THAT CAUSED THE PAIN
audio/MSK0026.mp3[80.600,106.560]	NOTHING LIKE THAT BUT I RECENTLY FOUND OUT THAT I HAD SOME OSTEOARTHRITIS ON MY LEFT KNEE SO I WAS TRYING TO PUT MORE PRESSURE ON MY RIGHT KNEE ONE WHENEVER I WAS DOING LIKE GARDENING WORK UM AND I THINK SOMETHING SOMETHING MAY HAVE HAPPENED WHEN I WAS DOING THAT SOMETHING MAYBE MAYBE I PUT TOO MUCH STRAIN ON IT
audio/MSK0026.mp3[106.560,121.480]	OK I SEE AN ALRIGHT LIKE ARE YOU DOING A LOT OF KNEELING ON ON OR DURING THE GARDENING WORK
audio/MSK0026.mp3[121.480,122.640]	I AM
audio/MSK0026.mp3[122.640,129.520]	OK UM AND HOW LONG HAS THE PAIN BEEN GOING ON FOR HAS IT BEEN CONSTANT OVER THESE TWO WEEKS
audio/MSK0026.mp3[129.520,132.240]	YES IT HAS BEEN
audio/MSK0026.mp3[132.240,138.080]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT SHARP BURNING ACHY
audio/MSK0026.mp3[138.080,144.360]	I WOULD SAY MOSTLY ACHY BUT IT CAN BE SHARP
audio/MSK0026.mp3[144.360,148.880]	OK AND DO YOU FEEL THE PAIN RADIATE ANYWHERE ELSE
audio/MSK0026.mp3[148.880,152.520]	NO JUST ITS PRETTY LOCAL
audio/MSK0026.mp3[152.520,156.440]	OK HAVE YOU TRIED ANYTHING TO MAKE THE PAIN BETTER
audio/MSK0026.mp3[156.440,172.000]	I TRIED SOME TOPICAL LIKE WHAT ARE THOSE LIKE ICE AND FIRE GELS THOSE SEEM TO HELP TEMPORARILY BUT THE PAIN COMES BACK
audio/MSK0026.mp3[172.000,180.520]	OK AND HAVE YOU TRIED HAS ANYTHING MADE THE PAIN WORSE
audio/MSK0026.mp3[180.520,208.880]	I GUESS LIKE WHEN I KNEEL DOWN ON IT IT GETS PAINFUL OR IF I TOUCH IT OR PALPATE IT I GUESS PAINFUL IF IM IM FLEXING MY KNEE TOO MUCH THAT HURTS AS WELL KIND OF KEEPING IT STRAIGHT AND NOT TOUCHING IT MAKES IT FEEL BETTER
audio/MSK0026.mp3[208.880,221.000]	OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS WITH 10 BEING THE WORST PAIN YOUVE EVER FELT AND ONE BEING THE LEAST PAIN
audio/MSK0026.mp3[221.000,224.680]	I GIVE IT ABOUT A 6
audio/MSK0026.mp3[224.680,229.960]	OK AND HAVE YOU HAD A PAIN LIKE THIS IN YOUR RIGHT KNEE BEFORE
audio/MSK0026.mp3[229.960,241.320]	NO NOTHING LIKE THIS AND I HAVE OSTEOARTHRITIS IN MY LEFT KNEE BUT IT FEELS DIFFERENT
audio/MSK0026.mp3[241.320,251.760]	OK AND UM OK AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0026.mp3[251.760,254.000]	UHM NO
audio/MSK0026.mp3[254.000,258.440]	OK AND HOW ABOUT ANY NIGHT SWEATS
audio/MSK0026.mp3[260.600,267.760]	OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/MSK0026.mp3[269.240,271.360]	HAVE YOU HAD ANY HEADACHES
audio/MSK0026.mp3[272.640,277.400]	HAVE YOU HAD ANY CHANGES TO YOUR SENSES LIKE VISION OR HEARING
audio/MSK0026.mp3[278.280,280.800]	ANY CHANGES TO YOUR SENSE OF SMELL OR TASTE
audio/MSK0026.mp3[281.960,286.280]	OK HAVE YOU HAD ANY SORE THROAT OR COUGH
audio/MSK0026.mp3[287.720,291.440]	ALRIGHT HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/MSK0026.mp3[292.600,294.480]	HAVE YOU HAD ANY WHEEZING
audio/MSK0026.mp3[295.480,297.560]	HAVE YOU HAD ANY CHEST PAIN
audio/MSK0026.mp3[299.160,302.520]	HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0026.mp3[302.520,303.720]	UM NO
audio/MSK0026.mp3[303.720,307.240]	HAVE YOU HAD ANY HEART PALPITATIONS
audio/MSK0026.mp3[310.720,314.000]	OK UM AN HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0026.mp3[315.280,317.520]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0026.mp3[318.600,322.760]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION OR BLOOD IN THE STOOL
audio/MSK0026.mp3[324.160,329.240]	HAVE YOU HAD ANY PAIN WITH URINATION OR FREQUENCY WITH URINATION
audio/MSK0026.mp3[331.040,338.000]	OK AND HAVE YOU HAD ANY LIKE MUSCLE ACHES OR JOINT PAINS ANYWHERE ELSE
audio/MSK0026.mp3[339.640,347.480]	OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR OR TINGLING OR REDUCED SENSATION
audio/MSK0026.mp3[349.600,355.320]	OK AND HOW IS YOUR ENERGY BEEN RECENTLY HAVE YOU HAD ANY FATIGUE
audio/MSK0026.mp3[355.320,361.280]	NO NOT REALLY ITS BEEN THE SAME
audio/MSK0026.mp3[361.280,369.000]	OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0026.mp3[369.000,383.080]	UHM I HAVE CLASS 2 OBESITY AND THEN ALSO ARTHRITIS IN MY LEFT KNEE AS WELL AS HIGH BLOOD PRESSURE
audio/MSK0026.mp3[383.080,385.600]	I SEE AND DO YOU TAKE ANY MEDICATIONS
audio/MSK0026.mp3[385.600,397.720]	CURRENTLY IM ON RAMIPRIL AND I TAKE SOME IBUPROFEN SOMETIMES FOR THE OSTEOARTHRITIS IN MY LEFT KNEE
audio/MSK0026.mp3[397.720,402.160]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0026.mp3[402.720,405.160]	HAVE YOU HAD ANY SURGERIES BEFORE
audio/MSK0026.mp3[407.560,414.400]	OR HAVE YOU HAD ANY HOSPITALIZATIONS FOR ANY REASON
audio/MSK0026.mp3[417.120,424.320]	OK AND HAVE YOU BEEN PREGNANT IN THE PAST
audio/MSK0026.mp3[424.320,433.080]	UM I I HAVE ONE ONE CHILD SHE WAS BORN THROUGH CSECTION
audio/MSK0026.mp3[433.080,437.720]	AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0026.mp3[437.720,439.280]	I AM
audio/MSK0026.mp3[439.280,443.560]	OK COULD YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS
audio/MSK0026.mp3[443.560,448.200]	YEAH SO JUST WITH MY HUSBAND OF 10 YEARS
audio/MSK0026.mp3[448.200,459.160]	OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION LIKE VAGINAL DISCHARGE OR OR PAIN OR ITCHINESS
audio/MSK0026.mp3[461.600,471.080]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHO YOURE LIVING WITH AN WHEREABOUTS
audio/MSK0026.mp3[471.080,483.600]	UM I LIVE IN DOWNTOWN LONDON I LIVE IN A HOUSE WITH MY HUSBAND AND MY DAUGHTER
audio/MSK0026.mp3[483.600,488.080]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/MSK0026.mp3[489.640,493.560]	AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0026.mp3[494.640,498.080]	OK ARE YOU CURRENTLY WORKING RIGHT NOW
audio/MSK0026.mp3[498.080,501.560]	I YES I AM
audio/MSK0026.mp3[501.560,505.320]	OK WELL THEN WHAT WHAT DO YOU DO
audio/MSK0026.mp3[505.320,514.320]	I WORK AS A FULL TIME GARDENER FOR A LANDSCAPING COMPANY
audio/MSK0026.mp3[514.320,523.960]	OK I SEE SO YOURE SPENDING A LOT OF TIME DOING KIND OF LIKE REPETITIVE KNEELING TYPE MOVEMENTS TO DO YOUR JOB
audio/MSK0026.mp3[523.960,525.480]	YES THATS RIGHT
audio/MSK0026.mp3[525.480,532.120]	OK AND DO YOU SMOKE CIGARETTES
audio/MSK0026.mp3[532.120,534.760]	I DONT
audio/MSK0026.mp3[534.760,538.440]	ALRIGHT AND DO YOU DRINK ALCOHOL
audio/MSK0026.mp3[538.440,540.960]	ILL HAVE A GLASS OF WINE EVERY OTHER NIGHT
audio/MSK0026.mp3[540.960,546.080]	OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/MSK0026.mp3[546.080,547.800]	NO I DONT
audio/MSK0026.mp3[547.800,550.600]	HAVE YOU USED ANYTHING LIKE THAT IN THE IN THE PAST
audio/MSK0026.mp3[554.960,562.960]	LIKE IV DRUGS NO OK AND IN THE FAMILY OR IS THERE A HISTORY OF ANY MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS
audio/MSK0026.mp3[565.960,586.960]	OK SO NEXT I JUST WANTED TO DO THE PHYSICAL EXAM PORTION AND ASK YOU TO HAVE A LOOK AT THE KNEE FIRST AND LET ME KNOW IF THE IF YOURE HAVING ANY SWELLING REDNESS OR WARMTH TO THE KNEE COMPARED TO THE OTHER SIDE
audio/MSK0026.mp3[588.480,595.680]	SORRY SO YOU ARE HAVING HAVING SWELLING WARMTH AND REDNESS TO THE RIGHT KNEE
audio/MSK0026.mp3[596.880,610.400]	OK AND ARE YOU HAVING PAIN TO LIKE PALPATION IS THERE A SPECIFIC SPOT YOU CAN PRESS ON THAT CAUSES A SHARP PAIN
audio/MSK0026.mp3[610.400,627.880]	UM SO JUST BELOW THAT KNEECAP AREA THERE IS SOME SWELLING THERE AND WHEN I PRESS DOWN ON THAT SWOLLEN AREA IT CAUSES A BIT OF PAIN
audio/MSK0026.mp3[627.880,633.200]	OK AND ARE YOU ABLE TO FULLY BEND BEND AND STRAIGHTEN THE KNEE
audio/MSK0026.mp3[633.200,637.360]	I CAN DO THAT BUT WHEN I BEND MY KNEE IT REALLY HURTS
audio/MSK0026.mp3[637.360,646.760]	OK AND ARE YOU ABLE TO WALK NORMALLY OR DO YOU HAVE A LIMP
audio/MSK0026.mp3[646.760,655.160]	UM I CAN WALK NORMALLY IT JUST HURTS
audio/MSK0026.mp3[655.160,666.960]	OK SO THAT WAS A EVERYTHING THAT I WANTED TO ASK TODAY ON THE HISTORY AND AND PHYSICAL WAS THERE ANYTHING THAT YOU MAYBE I FORGOT ABOUT YOU WANTED TO ADD
audio/MSK0026.mp3[666.960,670.080]	NO I DONT THINK SO
audio/MSK0026.mp3[670.080,710.160]	OK SO RIGHT NOW ITS SOUNDING LIKE THIS COULD POSSIBLY BE A KNEE BURSITIS OR PREPATELLAR OR SORRY INFRA PATELLAR BURSITIS OR A PREPATELLAR BURSISTIS WHICH ARE THE KIND OF THE MORE COMMON TYPES ONE THING TO MAKE SURE THAT WE RULE OUT WOULD BE A SEPTIC BURSITIS ALTHOUGH YOURE NOT HAVING ANY FEVERS OR CHILLS SO THAT MAKES IT A LITTLE BIT LESS LIKELY
audio/MSK0026.mp3[711.200,751.680]	BUT IF YOUR SYMPTOMS ARE GETTING WORSE AND YOURE DEVELOPING A FEVER ITS BECOMING EVEN MORE PAINFUL THEN CERTAINLY WILL HAVE TO RULE OUT INFECTION AND AS WELL IF THINGS ARE NOT IMPROVING POTENTIALLY A STRUCTURAL DISEASE AND ANY SUCH AS A MENISCAL INJURY OR LIKE A LIGAMENTAL INJURY FROM ALL OF THE LIKE KNEELING AND AND REPETITIVE MOVEMENTS BUT RIGHT NOW I THINK ITS MOSTLY SOUNDING LIKE A KNEE BURSITIS
audio/MSK0026.mp3[752.360,765.920]	OK AND TREATMENT FOR THAT WILL BE ACTIVITY MODIFICATION AS WELL AS USING THINGS LIKE AS UM NSAIDS AND ICING TO HELP WITH UM THE INFLAMMATION
audio/MSK0026.mp3[765.920,776.160]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0180.mp3[0.000,1.920]	WHAT BRINGS YOU IN
audio/RES0180.mp3[1.920,18.000]	HI I UMM SO I STARTED TO HAVE THIS COUGH THAT STARTED LIKE 2 DAYS AGO AND ALSO THESE LAST COUPLE OF DAYS IVE JUST HAD THIS HEADACHE AND FEELING REALLY ACHY ALL OVER
audio/RES0180.mp3[18.000,22.560]	OK IM SORRY YOU SAID IT STARTED A DAY TWO DAYS AGO
audio/RES0180.mp3[22.560,40.840]	YEAH ITS MORE LIKE ONE TO TWO DAYS ALL OF THIS IS KIND OF STARTED I THINK THE THE COUGH STARTED 1ST AND THEN THE HEADACHE AND ACHINESS HAS COME AFTER I FELT A BIT FEVERISH AS WELL I HAVENT CHECKED MY TEMPERATURE BUT I I FELT FEVERISH
audio/RES0180.mp3[40.840,46.600]	OK THE COUGH IS IT DRY OR ARE YOU BRINGING UP ANY PHLEGM
audio/RES0180.mp3[46.600,49.000]	ITS PRETTY DRY
audio/RES0180.mp3[49.000,53.720]	DRY OK SO NO BLOOD AND NO SPUTUM
audio/RES0180.mp3[53.720,55.680]	NO BLOOD OR SPUTUM
audio/RES0180.mp3[55.680,61.000]	OK DO YOU FEEL SHORT OF BREATH
audio/RES0180.mp3[61.000,63.480]	NO THATS I HAVENT BEEN SHORT OF BREATH
audio/RES0180.mp3[63.480,66.560]	OK HOW ABOUT WHEEZING
audio/RES0180.mp3[66.560,69.720]	NO WHEEZING
audio/RES0180.mp3[69.720,74.880]	OK AND ANY CHEST PAIN
audio/RES0180.mp3[74.880,79.680]	NO I HAVENT HAD ANY CHEST PAINS
audio/RES0180.mp3[79.680,88.040]	OK ALRIGHT AND THE HEADACHE ONE TO 10 10 BEING THE WORST HEAD WORST PAIN YOUVE EVER BEEN IN HOW BAD WAS IT
audio/RES0180.mp3[88.040,107.480]	ID SAY A FOUR ITS JUST BEEN KIND OF THERE THE WHOLE SO ITS REALLY ANNOYING IVE TRIED SOME TYLENOL AND ITS TAKEN A LITTLE BIT OFF THE THE I MEAN THE EDGE OFF A LITTLE BIT BUT ITS JUST BEEN KINDA THERE STILL
audio/RES0180.mp3[107.480,115.680]	OK AND IS IT A THROBBING KIND OF PAIN OR IS IT A DULL ACHY PAIN
audio/RES0180.mp3[115.680,123.320]	ITS A KIND OF A DULL ACHY PAIN
audio/RES0180.mp3[123.320,128.720]	OK UHM ALRIGHT AND WHERE IS IT LOCATED
audio/RES0180.mp3[128.720,139.880]	UH KIND OF IN THE FRONT OF UH I HAVE MY OVER MY HEAD AND ON BOTH SIDES AS WELL
audio/RES0180.mp3[139.880,147.120]	OK OK ANY FEELINGS OF FEELING LIKE YOUR HEARTS RACING
audio/RES0180.mp3[147.120,149.400]	NO I HAVENT FELT LIKE THAT
audio/RES0180.mp3[149.400,156.920]	OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0180.mp3[156.920,161.000]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0180.mp3[161.000,165.640]	CONFUSION OR MEMORY LOSS
audio/RES0180.mp3[165.640,169.800]	NO NOTHING LIKE THAT
audio/RES0180.mp3[169.800,175.280]	OK AND ANY NECK PAIN OR STIFFNESS
audio/RES0180.mp3[175.280,178.480]	NO NOTHING LIKE THAT
audio/RES0180.mp3[178.480,183.080]	OK RUNNING OR STUFFY NOSE
audio/RES0180.mp3[183.080,187.440]	NO MY I HAVENT HAD ANYTHING LIKE THAT
audio/RES0180.mp3[187.440,189.480]	SORE THROAT
audio/RES0180.mp3[190.960,195.040]	NO OK HOW ABOUT THAT LOSS OF SMELL OR TASTE
audio/RES0180.mp3[195.040,198.640]	UH YEAH I HAVE ACTUALLY YEAH I HAVE
audio/RES0180.mp3[198.640,202.320]	OK BOTH
audio/RES0180.mp3[202.320,210.840]	YEAH BOTH ITS UH IVE ACTUALLY YEAH I NOTICE THAT IN THE LAST DAY ITS KIND OF WEIRD I DIDNT EVEN THINK OF IT UNTIL YOU UNTIL YOU ASKED THERE
audio/RES0180.mp3[211.000,217.640]	BUT YEAH I HAVE HAVENT REALLY NOTICED BEING ABLE TO SMELL OR TASTE
audio/RES0180.mp3[217.640,221.960]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0180.mp3[223.200,226.720]	OK WEIGHT LOSS
audio/RES0180.mp3[226.720,231.120]	NO WEIGHT LOSS IVE BEEN THATS BEEN STABLE I WISH
audio/RES0180.mp3[231.120,243.800]	OK AND YOU MENTIONED YOU MIGHT HAVE HAD A FEVER SO WELL CHECK YOUR TEMPERATURE TODAY AS WELL ANY FATIGUE
audio/RES0180.mp3[243.800,252.840]	UH NOT REALLY THATS BEEN OK BUT BEEN ACHEY SO CERTAINLY DOING LESS
audio/RES0180.mp3[252.840,254.840]	OK ANY RASHES
audio/RES0180.mp3[254.840,256.920]	NO RASHES
audio/RES0180.mp3[256.920,262.640]	OK ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0180.mp3[262.640,270.040]	NO THAT EVERYTHING HAS BEEN NORMAL THERE I HAVENT HAD ANY DIARRHEA OR NO BLOOD IN THE STOOL
audio/RES0180.mp3[270.040,275.480]	OK ANY NAUSEA OR VOMITING
audio/RES0180.mp3[275.480,279.800]	NO NAUSEA OR VOMITING
audio/RES0180.mp3[279.800,286.880]	OK CHANGES TO YOUR APPETITE
audio/RES0180.mp3[286.880,293.800]	YEAH IVE BEEN LESS INTERESTED IN FOOD FOR SURE I THINK IVE BEEN BEEN BEEN HAD A DECREASED APPETITE
audio/RES0180.mp3[293.800,299.840]	OK CHANGES IN YOUR URINE
audio/RES0180.mp3[299.840,311.040]	NO I HAVENT HAD ANY ANY PAIN OR ANY ANYTHING CHANGING TO MY URINARY HABITS
audio/RES0180.mp3[311.040,318.600]	OK ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0180.mp3[318.600,338.960]	UH I I DO HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND I TAKE A STATIN AS WELL AS A WHAT IS IT AN ACE INHIBITOR I THINK FOR THE BLOOD PRESSURE YEAH
audio/RES0180.mp3[338.960,345.480]	OK AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0180.mp3[345.480,351.280]	UH I AM YES I THINK SO
audio/RES0180.mp3[351.280,356.760]	YEAH OK ALRIGHT AND ARE YOU ALLERGIC TO ANYTHING
audio/RES0180.mp3[356.760,361.720]	NO I DONT THINK SO
audio/RES0180.mp3[361.720,369.640]	NO OK ALRIGHT AND ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0180.mp3[369.640,374.200]	NO NOTHING LIKE THAT
audio/RES0180.mp3[374.200,379.720]	OK UMM ALRIGHT DO YOU SMOKE
audio/RES0180.mp3[379.720,381.440]	I DONT NO
audio/RES0180.mp3[381.440,386.960]	NO OK ANY OTHER RECREATIONAL DRUGS
audio/RES0180.mp3[386.960,389.640]	UH NO
audio/RES0180.mp3[389.640,393.320]	OK DO YOU DRINK ALCOHOL
audio/RES0180.mp3[393.320,403.280]	YEAH SOMETIMES ILL HAVE A GLASS OF WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT THAT WILL JUST BE ONE OR TWO MAYBE WITH DINNER
audio/RES0180.mp3[403.280,409.240]	OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0180.mp3[409.240,428.640]	NO I I DONT THINK SO I MEAN IVE BEEN WORKING FROM WELL SOME DAYS IVE HAD TO GO INTO THE OFFICE FOR WORK BUT IVE BEEN MOSTLY JUST WORKING FROM FROM HOME
audio/RES0180.mp3[428.640,434.040]	OK OK UHM AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0180.mp3[434.040,446.480]	SO I LIVE IN A HOUSE DOWNTOWN IN THE CITY HERE AND I LIVE WITH MY WIFE AND OUR TWO SONS
audio/RES0180.mp3[446.480,452.600]	OK ANY ARE THEY THEYRE OK THEYRE ALL HEALTHY
audio/RES0180.mp3[452.600,464.480]	UHM YEAH THEY THEY THEY UH WELL MY SON ACTUALLY HAD A COUGH AND A SORE THROAT I THINK LIKE LAST WEEK OR SOMETHING LIKE THAT BUT IT JUST WENT IT WENT AWAY
audio/RES0180.mp3[464.480,475.320]	OK UHM AND DO YOU HAVE ANY OLD CARPETS ASBESTOS MOLD ANYTHING LIKE THAT IN YOUR HOME
audio/RES0180.mp3[475.320,478.640]	UH NO NOTHING LIKE THAT
audio/RES0180.mp3[478.640,488.120]	NO OK UHM ALRIGHT I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/RES0180.mp3[488.120,495.800]	I WAS JUST WELL WORRIED ABOUT COVID AND WAS JUST WONDERING WHAT I SHOULD DO
audio/RES0180.mp3[495.800,569.640]	YEAH FOR SURE SO WE ARE YOURE A LOT OF YOUR SYMPTOMS DO OVERLAP WITH THOSE OF COVID SO WE ARE GOING TO TAKE A SWAB TODAY AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY FAMILY MEMBERS IF POSSIBLE UHM AND BASICALLY JUST KEEP AN EYE ON YOUR SYMPTOMS IF THEY GET WORSE OR YOURE HAVING LIKE NEUROLOGICAL SYMPTOMS YOU SHOULD SEEK HELP FROM THE ER BUT OTHERWISE KEEP YOURSELF HYDRATED EAT WELL IF YOU HAVE A HUMIDIFIER IN THE BASEMENT USE IT AND FOR YOUR FEVERS YOU CAN TAKE ANTIPYRETICS LIKE TYLENOL AND JUST ITS ITS JUST A LOT OF SUPPORTIVE CARE HOW DOES THAT SOUND AND OBVIOUSLY LIKE IF YOUR SYMPTOMS ARENT GOING AWAY AFTER LIKE A FEW WEEKS CALL US BACK AND IT COULD BE SOMETHING LIKE BACTERIAL IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS
audio/RES0180.mp3[569.640,572.600]	OK YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0180.mp3[572.600,577.240]	YEAH NO PROBLEM
audio/RES0047.mp3[0.000,2.600]	WHAT BRINGS YOU IN
audio/RES0047.mp3[2.600,14.480]	YEAH SO IVE HAD THIS CHEST TIGHTNESS AND AND BEEN SHORT OF BREATH AND BRINGING UP SPUTUM WITH THIS UH COUGH
audio/RES0047.mp3[14.480,19.560]	OK SO UM LETS START WITH THE COUGH WHEN DID THAT START
audio/RES0047.mp3[19.560,31.400]	SO IVE HAD A COUGH NOW FOR A FEW YEARS UM BUT OVER THIS PAST UH THREE DAYS ITS GOTTEN QUITE A BIT WORSE
audio/RES0047.mp3[31.400,36.120]	OK FOR THE PAST THREE DAYS THREE THREE YEARS OK
audio/RES0047.mp3[37.200,43.240]	UM ARE THERE ANY TRIGGERS FOR YOUR COUGH
audio/RES0047.mp3[43.240,64.280]	UH YEAH IF IM DOING UM LIKE IF IM REALLY ACTIVE LIKE IF I RUN TO CATCH THE BUS OR UH OR IF IM SHOVELLING SNOW MAYBE I CAN MAKE BECOME SHORT OF BREATH BUT UM NOT IF IM JUST WALKING AROUND THE BLOCK OR ANYTHING LIKE THAT
audio/RES0047.mp3[64.280,70.920]	OK AND WHAT CAUSED THIS COUGH INITIALLY THREE YEARS AGO DO YOU KNOW
audio/RES0047.mp3[70.920,82.840]	UH YEAH I THINK UM I THINK ITS JUST A SMOKERS COUGH I THINK THAT MY FAMILY DOCTOR TOLD ME I HAD LIKE CHRONIC BRONCHITIS BEFORE
audio/RES0047.mp3[82.840,91.200]	OK OK HOW OFTEN WERE YOU COUGHING BEFORE IT GOT WORSE RECENTLY
audio/RES0047.mp3[91.200,109.320]	UH I WOULD USUALLY COUGH EVERY DAY BUT THE COUGH WOULD BE USUALLY JUST IN THE MORNING I ID GET UP UM THERE I WOULD COUGH UP SOME SPUTUM AND AND THEN MAYBE AND THEN ID USUALLY BE OK
audio/RES0047.mp3[109.320,119.760]	OK UM AND DOES ANYTHING MAKE YOUR COUGH BETTER LIKE DO YOU TAKE ANY OVER THE COUNTER COUGH SYRUP
audio/RES0047.mp3[119.760,129.320]	UM YEAH IVE TRIED SOME OVER THE COUNTER UH COUGH SYRUPS IN THE PAST BUT IT HASNT HELPED
audio/RES0047.mp3[129.320,140.920]	OK OK AND IF YOU WERE TO TALK ABOUT THE QUALITY OF YOUR COUGH IS IT IS IT BARKY DOES IT SOUND HARSH WHAT DOES IT SOUND LIKE
audio/RES0047.mp3[140.920,156.320]	UH YEAH I WOULD SAY IT SOUNDS PRETTY HARSH YOU CAN KIND OF IT SOUNDS LIKE THERES UM MUCUS MOVING AROUND I GUESS WITH WITH THE COUGH IN MY CHEST I CAN I CAN KIND OF FEEL IT
audio/RES0047.mp3[156.320,165.200]	OK OK AND YOU MENTIONED THAT YOURE PRODUCING A LOT OF SPUTUM WITH YOUR COUGH WHAT COLOUR IS THAT SPUTUM
audio/RES0047.mp3[166.600,169.640]	GREEN OK ANY BLOOD
audio/RES0047.mp3[169.640,170.840]	NO BLOOD
audio/RES0047.mp3[170.840,181.720]	NO BLOOD OK AND YOU MENTIONED YOUVE NEVER PRODUCED SPUTUM WITH THE COUGH ESPECIALLY NOT GREEN SPUTUM IN THE PAST THREE YEARS RIGHT
audio/RES0047.mp3[181.720,186.400]	I WOULD BRING UP SPUTUM BUT ITS USUALLY CLEAR AND WHITE
audio/RES0047.mp3[186.400,194.720]	OK OK AND DO YOU HAVE ANY WHEEZINESS ASSOCIATED WITH THIS COUGH
audio/RES0047.mp3[194.720,195.360]	UH YES I DO
audio/RES0047.mp3[195.360,210.280]	YES OK AND YOU MENTIONED YOU WERE SHORT OF BREATH WERE YOU SHORT OF BREATH PRIOR TO YOUR COUGH OR DID THAT START UM WHEN WHEN THIS COUGH GOT WORSE
audio/RES0047.mp3[210.280,221.320]	I THINK THE SHORTNESS OF BREATH HAS GOTTEN A BIT WORSE OVER THE UM LAST FEW DAYS UH AS THE COUGH HAS GOTTEN WORSE
audio/RES0047.mp3[221.320,231.960]	OK OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR SYMPTOMS OF HOW YOURE FEELING 1 TO 10 10 BEING THE WORST WHERE WOULD YOU PUT YOURSELF AT
audio/RES0047.mp3[231.960,241.240]	UH I WOULD SAY AN 8 ITS BEEN REALLY TOUGH ITS BEEN GETTING REALLY DIFFICULT TO UM BREATHE
audio/RES0047.mp3[241.240,252.840]	OK YEAH AND HAVE YOU EVER EXPERIENCED ANYTHING TO THIS SEVERITY IN THE PAST
audio/RES0047.mp3[252.840,260.480]	NO I HAVENT HAD UH THIS DIFFICULTY BREATHING BEFORE
audio/RES0047.mp3[260.480,266.160]	OK OK UM DO YOU HAVE ANY CHEST PAIN
audio/RES0047.mp3[266.160,272.320]	UH MY CHEST IS IT FEELS TIGHT
audio/RES0047.mp3[272.320,276.280]	OK UH IT FEELS TIGHT OK DOES THAT DOES IT HURT THOUGH
audio/RES0047.mp3[276.280,280.240]	UH NO NO IT DOESNT REALLY HURT ITS JUST UNCOMFORTABLE
audio/RES0047.mp3[280.240,291.720]	OK AND DO YOU THINK ITS TIGHT BECAUSE OF THE COUGHING OR UM THE SHORTNESS OF BREATH
audio/RES0047.mp3[291.720,298.480]	YEAH I KIND OF FEEL IT UM WITH THE COUGHING
audio/RES0047.mp3[298.480,303.200]	OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS
audio/RES0047.mp3[303.200,309.840]	UH YEAH MAYBE A LITTLE BIT IN MY IN MY FEET MORE THAN USUAL
audio/RES0047.mp3[309.840,314.240]	OK AND DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0047.mp3[314.240,316.520]	UH NO
audio/RES0047.mp3[316.520,322.720]	NO OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0047.mp3[322.720,327.120]	UH I HAVENT HAD ANYTHING LIKE THAT
audio/RES0047.mp3[327.120,333.000]	OK UM ANY CHANGES TO YOUR VISION OR HEARING
audio/RES0047.mp3[333.960,338.600]	NO UM DO YOU HAVE A STUFFY NOSE OR RUNNY NOSE
audio/RES0047.mp3[339.720,342.360]	UM HOW ABOUT A SORE THROAT
audio/RES0047.mp3[343.320,347.160]	NO ANY CHANGES TO YOUR SMELL OR TASTE
audio/RES0047.mp3[348.240,352.840]	UM ANY FEVERS OR CHILLS
audio/RES0047.mp3[352.840,354.640]	NO IVE FELT OK
audio/RES0047.mp3[354.640,360.520]	OK ANY WEIGHT LOSS
audio/RES0047.mp3[360.520,372.560]	UM YEAH MAYBE I MEAN OVER THE LAST FEW YEARS IVE UM LOST A FEW POUNDS BUT MAYBE MAYBE 10 POUNDS OVER THE LAST LAST COUPLE OF YEARS
audio/RES0047.mp3[372.560,377.360]	LAST COUPLE OF YEARS OK WAS IT INTENTIONAL WEIGHT LOSS OR UNINTENTIONAL
audio/RES0047.mp3[378.040,392.240]	OK UM ALRIGHT AND ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0047.mp3[392.240,396.200]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0047.mp3[396.200,400.600]	OK AND HOW ARE YOUR BOWEL MOVEMENTS EVERYTHING NORMAL THERE
audio/RES0047.mp3[400.600,402.080]	YEAH THATS BEEN NORMAL
audio/RES0047.mp3[402.080,406.520]	OK EVERYTHING NORMAL WITH REGARDS TO YOUR URINE
audio/RES0047.mp3[406.520,410.400]	YEAH THATS BEEN NORMAL
audio/RES0047.mp3[410.400,414.000]	OK ANY CONFUSION OR MEMORY LOSS
audio/RES0047.mp3[415.720,417.840]	NO OK ANY FATIGUE
audio/RES0047.mp3[417.840,425.080]	YEAH IVE BEEN FEELING WELL REALLY TIRED THESE LAST THREE DAYS
audio/RES0047.mp3[425.080,430.640]	YEAH OK ANY JOINT PAINS OR MUSCLE ACHES
audio/RES0047.mp3[433.240,437.320]	NO OK UM AND ARE YOU OTHERWISE HEALTHY
audio/RES0047.mp3[437.320,445.480]	UM WELL I USE UH THESE INHALERS UM AND I THINK IVE BEEN TOLD I HAVE COPBEFORE
audio/RES0047.mp3[445.480,461.120]	OK UM OTHER THAN YOUR COPDO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT
audio/RES0047.mp3[461.120,472.920]	UM YEAH I HAVE UH HIGH BLOOD PRESSURE AND UM I HAD MY GALLBLADDER TAKEN OUT UH A FEW YEARS AGO
audio/RES0047.mp3[472.920,480.400]	OK OK ANY OTHER SURGERIES OR HOSPITALIZATIONS
audio/RES0047.mp3[480.400,486.840]	UH I HAD AN ACL REPAIR LIKE WHEN I WAS A TEENAGER
audio/RES0047.mp3[486.840,495.480]	OK AND BESIDES THE INHALERS ARE YOU ON ANY OTHER MEDICATION
audio/RES0047.mp3[495.480,509.840]	YEAH THERES ONE FOR BLOOD PRESSURE UM AND I TAKE VITAMIN UM AND THATS IT
audio/RES0047.mp3[509.840,514.760]	OK WHICH ONE WHICH UM MEDICATION ARE YOU ON FOR THE BLOOD PRESSURE
audio/RES0047.mp3[514.760,516.480]	UH AMLODIPINE
audio/RES0047.mp3[516.480,520.760]	AMLODIPINE OK WHEN DID YOU START TAKING THAT
audio/RES0047.mp3[520.760,524.680]	ABOUT UH SEVEN YEARS AGO
audio/RES0047.mp3[524.680,536.240]	OK AND THEN FOR YOUR UH COPWHICH INHALERS ARE YOU ON
audio/RES0047.mp3[536.240,547.760]	UH THERES ONE THATS FOR UM LIKE SHORT ACTING AND THEN THERES ONE THAT I USE EVERYDAY UH SPIRIVA I THINK
audio/RES0047.mp3[547.760,550.360]	OK YEAH AND HOW LONG HAVE YOU BEEN ON THESE INHALERS
audio/RES0047.mp3[550.360,567.280]	UH ITS BEEN A COUPLE OF YEARS FOR WELL FOR THE THE SHORT ONE THAT I I USE FOR RESCUE THERAPIES BEEN FOR LIKE A LONG TIME BUT SPIRIVAS BEEN THE LAST SEVERAL YEARS
audio/RES0047.mp3[567.280,571.160]	OK OK AND DO YOU FIND THAT YOUR INHALERS ARE HELPING
audio/RES0047.mp3[571.160,579.400]	YEAH THEY UM I DEFINITELY NOTICE A DIFFERENCE WHEN I IF I MISS A DOSE OR SOMETHING
audio/RES0047.mp3[579.400,586.040]	YEAH OK AND UM DO YOU HAVE ANY ALLERGIES
audio/RES0047.mp3[586.040,591.000]	UH NO I DONT THINK SO
audio/RES0047.mp3[591.000,600.880]	NO OK HOW ABOUT UM IMMUNIZATIONS ARE YOU UP TO DATE
audio/RES0047.mp3[600.880,601.760]	YEAH I BELIEVE SO
audio/RES0047.mp3[601.760,613.040]	OK AND IN TERMS OF FAMILY HISTORY UH ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY
audio/RES0047.mp3[613.040,615.880]	UM UH NO
audio/RES0047.mp3[615.880,624.480]	NO OK UM DO YOU CURRENTLY SMOKE
audio/RES0047.mp3[624.480,640.800]	UH I DO YES IVE BEEN TRYING TO QUIT I UM I SMOKE ABOUT A PACK OF CIGARETTES PER DAY NOW I USED TO SMOKE LIKE 2 PACKS PER DAY
audio/RES0047.mp3[640.800,650.440]	OK WELL ITS ITS GOOD THAT YOUVE CUT DOWN UM IF YOU NEED ANY ADDITIONAL HELP CUTTING DOWN WE HAVE RESOURCES THAT WE CAN REFER YOU TO
audio/RES0047.mp3[650.440,654.000]	YEAH THAT WOULD BE GREAT
audio/RES0047.mp3[654.000,661.400]	YEAH UM HOW MUCH FOR HOW LONG HAVE YOU BEEN SMOKING LIKE HOW MANY YEARS
audio/RES0047.mp3[661.400,666.400]	UH WELL I STARTED WHEN I WAS A TEENAGER SO PROBABLY LIKE 35
audio/RES0047.mp3[666.400,674.160]	OK UM AND DO YOU DO ANY MARIJUANA
audio/RES0047.mp3[674.160,679.800]	UH NO
audio/RES0047.mp3[679.800,682.720]	NO OK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0047.mp3[682.720,691.560]	YEAH A FEW BEERS ON THE WEEKEND
audio/RES0047.mp3[691.560,696.800]	OK UM AND THEN WHERE DO YOU LIVE CURRENTLY
audio/RES0047.mp3[696.800,702.560]	I LIVE IN AN APARTMENT BY MYSELF
audio/RES0047.mp3[702.560,716.800]	OK UM AND ANY REASONS TO THINK THAT THERE ARE ANY OLD CARPETS MOLD OR UM ASBESTOS OR ANYTHING LIKE THAT THAT COULD BE EXACERBATING YOUR SYMPTOMS
audio/RES0047.mp3[716.800,726.120]	UH I MEAN I DO HAVE A CARPET IN THE BEDROOM SO BUT I MEAN THAT THATS THE ONLY CARPET IN THE APARTMENT
audio/RES0047.mp3[726.120,729.800]	OK UM AND DO YOU LIVE WITH ANYONE
audio/RES0047.mp3[729.800,734.520]	NO ITS ITS JUST ME AND MY DOG
audio/RES0047.mp3[734.520,745.280]	OK UH HAVE YOU HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY
audio/RES0047.mp3[745.280,752.360]	UM MAYBE I MEAN I I USUALLY WILL SEE UH A COUPLE OF FRIENDS WELL MEET UP TO GRAB SOME COFFEE
audio/RES0047.mp3[752.360,758.120]	IN THE MORNING IN THE MORNING UM BUT I FEEL LIKE THEY HAVE BEEN UH OK
audio/RES0047.mp3[758.120,768.880]	YEAH OK HOW ABOUT UM TRAVEL HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0047.mp3[769.960,784.200]	NO OK OK WELL I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS OR ANYTHING THAT I MISSED THAT YOU WANTED TO DISCUSS
audio/RES0047.mp3[784.200,791.280]	UM NO I JUST WANTED TO UM YEAH COME IN BECAUSE ITS BEEN REALLY DIFFICULT TO BREATHE
audio/RES0047.mp3[791.280,816.360]	YEAH SO OK WELL WELL DO A PHYSICAL EXAM ON YOU UM TO TRY TO UNDERSTAND UM HOW BAD YOUR COPEXACERBATION IS UM WELL ALSO TRY TO GET AN UM OXYGEN SATURATION ON YOU AND WE DO WANT THAT READING
audio/RES0047.mp3[816.360,835.600]	TO BE BETWEEN 88 TO 92 IF IT IS LESS THAN THAT UM AND WE THINK YOU HAVE A MILD EXACERBATION WELL JUST SUGGEST THAT YOU USE YOUR SHORT ACTING BETA AGONIST PUFFER UM MORE OFTEN AND THEN IF YOU
audio/RES0047.mp3[835.600,923.640]	IF WE THINK YOU HAVE MODERATE UM MODERATE EXACERBATION WELL ALSO PRESCRIBE UH ANTIBIOTICS AND OR STEROIDS TO GO ALONG WITH THE SHORT ACTING BETA AGONIST AND IF IT IS SEVERE OR IF IT BECOMES SEVERE UM PLEASE DO SEEK OUT AID UM IN THE ER AND THEYLL TRY THEYLL PROBABLY PUT YOU ON UM UH SOME SORT OF UM OXY LIKE UM SOME SORT OF SUPPLEMENTAL OXYGEN WHETHER ITS BIPAOR CPAUM AND AGAIN THEYLL CONTINUE GIVING YOU YOUR BRONCHODILATORS AND STEROIDS AS WELL AS ANTIBIOTICS TO UM MAKE SURE THAT YOU DONT HAVE ANY BAD COMPLICATIONS OF UH PNEUMONIA UM AND IT DOES SOUND LIKE IT IS A COPEXACERBATION AT THIS POINT BUT IF YOU DEVELOP ANY OTHER SYMPTOMS LIKE UM FEVERS OR ANY SYMPTOMS THAT OVERLAP WITH UH VIRAL VIRAL ILLNESSES WELL WELL WELL WORK YOU UP FOR THAT WELL DO I THINK WE WILL STILL DO A COVID SWAB ON YOU JUST TO MAKE SURE YOU DONT HAVE THAT UH BUT WELL START WITH UM WORKING YOU UP FOR COPHOW DOES THAT SOUND
audio/RES0047.mp3[923.640,926.120]	THAT SOUNDS GREAT THANK YOU
audio/RES0047.mp3[926.120,928.520]	ALRIGHT TAKE CARE
audio/RES0116.mp3[0.000,2.320]	WHAT BRINGS YOU IN
audio/RES0116.mp3[2.320,42.120]	YEAH SO UH IM JUST BRINGING MY SON UH HERE TO THE CLINIC HES BEEN HAVING UM JUST I THINK HES BEEN COMPLAINING OF UH EAR ACHE IN HIS UH I THINK ITS MAINLY IN HIS LEFT EAR FOR THE LAST ID SAY AT LEAST A WEEK UM HES BEEN KIND OF JUST HAVING DISCOMFORT UM AND OVER THE LAST FEW DAYS UH HE ALSO STARTED CRYING BECAUSE OF HOW MUCH PAIN HE IS HAVING AND THEN UM WE ALSO NOTICED THAT HE HAD LIKE WAS JUST FEELING WARM SO WE TOOK HIS TEMPERATURE AND HE ACTUALLY HAD A FEVER JUST YESTERDAY OF LIKE 39 DEGREES CELSIUS
audio/RES0116.mp3[42.120,55.280]	OK UHM ALRIGHT SO LETS BACK UP JUST A LITTLE BIT THE EAR PAIN WHEN DID THAT START YOU SAID A COUPLE OF DAYS AGO SO WAS THAT TWO THREE FOUR DAYS
audio/RES0116.mp3[55.280,66.080]	UH I THINK THE DISCOMFORT LIKE UH WE SAW HIM SCRATCHING HIS EAR FOR THE WHOLE LAST WEEK BUT UH THE CRYING ACTUALLY STARTED JUST I WOULD SAY FOUR DAYS AGO UM
audio/RES0116.mp3[66.520,71.840]	SO I THINK THE LAST FEW DAYS HAVE BEEN REALLY TOUGH FOR HIM
audio/RES0116.mp3[71.840,82.480]	YEAH SO THREE FOUR DAYS OK HAVE YOU TAKEN A LOOK INTO HIS EAR LIKE DOES DOES IT SEEM RED IS THERE DISCHARGE
audio/RES0116.mp3[82.480,98.960]	UH I THINK WE DID SEE SOME UH JUST LIKE IT WASNT RED OR ANYTHING BUT I THINK WE DID UH SEE SOME UM JUST KIND OF CLEAR TO ALMOST UH CLEAR TO YELLOWISH FLUID FROM HIS AFFECTED EAR
audio/RES0116.mp3[98.960,102.720]	OK CLEAR TO YOU SAID WHITEISH
audio/RES0116.mp3[102.720,106.680]	UH LIKE IT WAS A BIT OF A YELLOW TINGE TO TO IT AS WELL
audio/RES0116.mp3[106.680,111.920]	YELLOW OK OK AND WHICH EAR WAS IT SORRY THE RIGHT OR LEFT
audio/RES0116.mp3[111.920,112.960]	LEFT EAR
audio/RES0116.mp3[112.960,116.840]	LEFT EAR OK AND THE RIGHT EAR LOOKS NORMAL
audio/RES0116.mp3[116.840,122.760]	YEAH RIGHT EAR HE HASNT BEEN COMPLAINING UH AT ALL I HAVENT EVEN LOOKED AT THE RIGHT EAR YET
audio/RES0116.mp3[122.760,125.880]	OK IS HE ITCHING HIS EARS AT ALL
audio/RES0116.mp3[125.880,135.120]	UH HE WAS HE WAS ITCHING LIKE PRETTY MUCH THIS WHOLE WEEK BUT I THINK RIGHT NOW HES HESITANT TO EVEN TOUCH HIS EARS
audio/RES0116.mp3[135.120,141.200]	OK AND DOES IT LOOK LIKE ITS ANGRY ON THE OUTSIDE OR ON THE INSIDE OF HIS EARS
audio/RES0116.mp3[141.200,144.520]	I CANT REALLY SEE ANYTHING ON THE OUTSIDE
audio/RES0116.mp3[144.520,149.560]	OK OK AND HAVE YOU NOTICED THAT HIS HEARING HAS CHANGED AT ALL
audio/RES0116.mp3[149.560,157.280]	UM HE STILL LIKE ANSWERS TO US AND LIKE I DONT THINK HIS EAR HEARING IS AFFECTED
audio/RES0116.mp3[157.280,166.160]	OK HAS HE HAD ANY PAST ISSUES WITH HIS EARS LIKE EAR INFECTIONS OR LIKE HEARING ISSUES IN THE PAST
audio/RES0116.mp3[166.160,176.440]	UH NO HEARING ISSUES BUT HE DID HAVE UH LIKE HE USED TO PROBABLY WHEN HE WAS UH LIKE 2 YEARS OLD HE DID HAVE A COUPLE EAR INFECTIONS
audio/RES0116.mp3[176.440,180.520]	OK OK WERE THEY WERE THEY TREATED WITH ANTIBIOTICS
audio/RES0116.mp3[180.520,185.640]	UH I THINK ONE TIME THEY WERE BUT I IM PRETTY SURE THAT WAS ON IN HIS RIGHT EAR
audio/RES0116.mp3[185.640,191.920]	OK OK HES NEVER HAD TO GET LIKE TUBES INSERTED OR ANYTHING LIKE THAT
audio/RES0116.mp3[191.920,194.880]	NO NO NOTHING LIKE THAT
audio/RES0116.mp3[194.880,201.840]	NO OK UM ALRIGHT UM HAS HE HAD A STUFFY NOSE OR RUNNY NOSE
audio/RES0116.mp3[201.840,207.880]	UH NOT THIS WEEK BUT HE HE WAS A BIT LIKE STUFFY LIKE LAST WEEK I WOULD SAY
audio/RES0116.mp3[207.880,210.560]	OK HE WAS A BIT STUFFY YOU SAID
audio/RES0116.mp3[210.560,214.640]	YEAH MAYBE EVEN MAYBE TWO WEEKS AGO
audio/RES0116.mp3[214.640,221.920]	OK AND THAT STOPPED DID HE HAVE ANYTHING ELSE ALONG WITH HIS STUFFY NOSE AT THAT POINT
audio/RES0116.mp3[221.920,223.440]	NO NOTHING ELSE
audio/RES0116.mp3[223.440,230.520]	UM RIGHT NOW HAVE YOU NOTICED ANY CHANGES IN HIS VISION IN HIS SMELL OR TASTE
audio/RES0116.mp3[230.520,232.880]	UH MO NOT THAT I KNOW OF
audio/RES0116.mp3[232.880,236.640]	OK HOW ABOUT WEIGHT LOSS
audio/RES0116.mp3[236.640,240.680]	NO HES BEEN UM GROWING PRETTY WELL
audio/RES0116.mp3[240.680,247.960]	OK AND YOU SAID UM YOU HAD TAKEN HIS TEMPERATURE WHEN DID YOU TAKE HIS TEMPERATURE
audio/RES0116.mp3[247.960,258.000]	I JUST TOOK IT YESTERDAY BUT UH HE WAS FEELING A BIT WARM YESTERDAY SO WE JUST TOOK IT AND IT WAS LIKE UM 39 DEGREES CELSIUS
audio/RES0116.mp3[258.000,273.560]	OK OK SWEET UM SO 39 DEGREES SO HE DOES HAVE A FEVER UH FOR SURE WELL TAKE HIS TEMPERATURE AGAIN TODAY JUST TO MAKE SURE HAVE YOU BEEN GIVING HIM ANYTHING FOR HIS HIGH TEMPERATURE LIKE TYLENOL
audio/RES0116.mp3[273.560,275.320]	NO WE HAVENT GIVEN HIM ANYTHING
audio/RES0116.mp3[275.320,279.000]	OK HAVE YOU NOTICED ANY RASHES ON HIM
audio/RES0116.mp3[279.840,283.640]	NO UM HOW ABOUT COUGHING
audio/RES0116.mp3[283.640,285.840]	UH NO HE HASNT BEEN REALLY COUGHING
audio/RES0116.mp3[285.840,290.320]	NO COUGHING HOW ABOUT WHEEZING OR SHORTNESS OF BREATH
audio/RES0116.mp3[291.280,295.440]	LIKE ANYTHING THAT WOULD INDICATE HE HAS CHEST PAIN OR PALPITATIONS OF HIS HEART
audio/RES0116.mp3[295.440,298.240]	NO I DONT THINK SO
audio/RES0116.mp3[298.240,301.680]	NO OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0116.mp3[305.200,306.200]	NO I DONT THINK SO
audio/RES0116.mp3[308.840,310.880]	UH NOT THAT I KNOW OF
audio/RES0116.mp3[310.880,315.560]	OK AND HOW HOW HAVE HIS BOWEL MOVEMENTS BEEN
audio/RES0116.mp3[315.560,323.760]	HIS BOWEL MOVEMENTS HAVE BEEN PRETTY MUCH THE SAME UM HES UH YEAH THERES BEEN NO REAL CHANGES
audio/RES0116.mp3[323.760,333.720]	NO OK UM ALRIGHT AND HOW ABOUT UH NAUSEA OR VOMITING
audio/RES0116.mp3[333.720,336.040]	UH NO NO NO NAUSEA OR VOMITING
audio/RES0116.mp3[336.040,340.360]	ANY APPETITE CHANGE
audio/RES0116.mp3[340.360,348.160]	UH NO UH MAYBE A LITTLE BIT MORE FUSSY JUST BUT I DONT KNOW IF THATS PROBABLY DUE TO THE PAIN
audio/RES0116.mp3[348.160,353.040]	OK UM AND HOW ABOUT HIS URINE
audio/RES0116.mp3[353.040,356.840]	UH HIS URINE HAS BEEN THE SAME LIKE NO CHANGES
audio/RES0116.mp3[356.840,364.840]	NO CHANGES OK GOOD IS HE AN OTHERWISE HEALTHY KID OR DOES HE HAVE ANY LONGSTANDING CONDITIONS
audio/RES0116.mp3[364.840,380.280]	YEAH HES PRETTY HEALTHY THERE HAVE BEEN NO CONCERNS AT ALL THAT WEVE HAD FOR THE DOCTOR UH HES BEEN GROWING WELL UM MEETING ALL OF HIS MILESTONES UM YEAH NO NOTHING THATS CONCERNING
audio/RES0116.mp3[380.280,388.720]	OK UM DO YOU KNOW IF HIS MOTHERS PREGNANCY WITH HIM WAS NORMAL DID SHE HAVE ANY COMPLICATIONS
audio/RES0116.mp3[388.720,414.200]	UM SHE DIDNT HAVE ANY LIKE COMPLICATIONS DURING THE PREGNANCY UH THEY DID HAVE TO UM I FORGOT WHAT ITS CALLED BUT UH HE WAS LIKE A DIFFICULT BABY COMING OUT UM AND HE WAS AT TERM THOUGH HE WASNT PREMATURE BUT THEY HAD TO USE JUST UM SOME TOOLS TO GET HIM OUT
audio/RES0116.mp3[414.200,422.360]	OK OK UM SO IT WAS A VAGINAL DELIVERY BUT THEY USED SOME TOOLS LIKE FORCEPS MAYBE OR VACUUM
audio/RES0116.mp3[422.360,425.160]	YEAH YEAH IT WAS FORCEPS YEAH
audio/RES0116.mp3[425.160,429.960]	OK OK UM AND HES YOU MENTIONED HE WAS FULL TERM
audio/RES0116.mp3[429.960,434.120]	YEAH HE WAS BORN AT UH 40 WEEKS
audio/RES0116.mp3[434.120,440.480]	OK PERFECT DID HE NEED TO BE HOSPITALIZED FOR ANY REASON AFTER THAT
audio/RES0116.mp3[440.480,450.120]	NO HE WASNT HOSPITALIZED UH WE STAYED THERE MAYBE ONE DAY EXTRA JUST BECAUSE UM THERE WAS SOME JUST KIND OF MISSHAPING OF HIS HEAD
audio/RES0116.mp3[450.640,454.040]	THAT KIND OF WENT AWAY
audio/RES0116.mp3[454.040,459.080]	OK OK GOOD AND IS HE ON ANY MEDICATIONS
audio/RES0116.mp3[459.080,460.320]	UH NO NO MEDICATIONS
audio/RES0116.mp3[460.320,463.400]	NO MEDICATIONS UP TO DATE WITH HIS IMMUNIZATIONS
audio/RES0116.mp3[463.400,466.000]	YEAH HES ALL UP TO DATE
audio/RES0116.mp3[466.000,468.960]	OK ANY ALLERGIES
audio/RES0116.mp3[468.960,470.880]	UM NOT THAT WE KNOW OF
audio/RES0116.mp3[470.880,476.160]	OK HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS HEART CONDITIONS
audio/RES0116.mp3[476.160,491.320]	UM NO WEVE BEEN PRETTY HEALTHY AS PARENTS UM AND I THINK MY MY FATHER HAS LIKE HIGH BLOOD PRESSURE DIABETES AND ALL THOSE TYPES OF THINGS
audio/RES0116.mp3[491.320,503.040]	OK OK ANY UM EAR ISSUES LIKE CONGENITAL EAR SORRY UM GENETIC HEARING ISSUES OR EAR ISSUES
audio/RES0116.mp3[503.040,506.400]	NO NOTHING LIKE THAT
audio/RES0116.mp3[506.400,510.240]	OK UM DOES ANYONE AT HOME SMOKE
audio/RES0116.mp3[510.240,511.720]	NO NO ONE SMOKES
audio/RES0116.mp3[511.720,516.520]	OK UM AND WHO DOES HE LIVE WITH
audio/RES0116.mp3[516.520,523.080]	SO HE LIVES WITH UM ME HIS FATHER AND HIS MOTHER AS WELL
audio/RES0116.mp3[523.080,530.080]	OK UHM ANY SIBLINGS
audio/RES0116.mp3[530.080,534.400]	NO SIBLINGS HES AN ONLY CHILD
audio/RES0116.mp3[534.400,542.760]	OK AND HOW ARE THINGS AT HOME UM IS LIKE ARE THINGS FINANCIALLY STABLE ANY RELATIONSHIP ISSUES
audio/RES0116.mp3[542.760,556.240]	NO WEVE BEEN PRETTY UH FORTUNATE LIKE IT ITS NO FINANCIAL ISSUES UH AND WE HAVE A LOT OF SUPPORT FROM OUR PARENTS AS WELL UH THE RELATIONSHIP IS GREAT SO NO NO ISSUES
audio/RES0116.mp3[556.240,562.760]	OK GOOD GOOD UM HAS HE HAD ANY SICK CONTACTS RECENTLY
audio/RES0116.mp3[562.760,587.240]	UM I DONT THINK SO HES WEVE BEEN AT HOME SO I DONT KNOW WE WE DID HAVE LIKE WITH OUR WITH MY BROTHERS UH KIDS LIKE UH THEY CAME TO SEE US ONCE UM BUT THAT WAS LIKE THAT WAS I THINK AT LIKE THREE WEEKS AGO
audio/RES0116.mp3[587.240,591.640]	OK OK THREE WEEKS AGO ALRIGHT UM TRAVEL TO ANYWHERE RECENTLY
audio/RES0116.mp3[592.720,601.800]	NO OK ALRIGHT THOSE WERE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS THAT YOU WANTED TO ASK ME TODAY BEFORE WE END THE INTERVIEW
audio/RES0116.mp3[601.800,615.440]	UH NO NOT REALLY JUST WANTED TO KNOW IF LIKE I REMEMBER HE DID NEED ANTIBIOTICS BEFORE SO I WAS JUST WONDERING IF HE NEEDS THEM NOW
audio/RES0116.mp3[615.440,704.400]	YEAH UM SO WELL FIRST BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH COVID LIKE THE FEVER ESPECIALLY WELL DO A SWAB ON HIM ANYWAYS UM AND YOU SHOULD HEAR THOSE RESULTS IN ABOUT 24 TO 48 HOURS UM AND THEN IT THIS PICTURE SOUNDS LIKE ACUTE OTITIS MEDIA SO LIKE AN EAR INFECTION AND UM ITS ESPECIALLY LIKELY BECAUSE HES HAD THEM IN THE PAST SO IM GONNA HAVE TO TAKE A LOOK INTO HIS EARS FIRST BEFORE LIKE UM COMING UP WITH A MANAGEMENT PLAN BUT ILL KIND OF WALK YOU THROUGH WHAT WE LOOK AT SO IF I TAKE A LOOK AND I SEE LIKE A PERFORATED TYMPANIC MEMBRANE WITH LIKE PUS WED PRESCRIBE LIKE 10 DAYS OF UM ANTIBIOTICS IF HE HAS SOME LIKE MIDDLE EAR EFFUSION SO LIKE SOME FLUIDS WITH LIKE A BULGING TYMPANIC MEMBRANE AND HE APPEARS TO BE REALLY ILL UH WHICH FROM THE SOUNDS OF IT HE SOUNDS ILL HES HAD THIS FEVER FOR MORE THAN TWO DAYS WELL ALSO PRESCRIBE ANTIBIOTICS FOR 10 DAYS AND THEN IF ITS JUST SOME MIDDLE EAR EFFUSION SO JUST THAT CLEAR FLUID UM OR JUST THE BULGING TYMPANIC MEMBRANE WE CAN JUST UM REASSESS HIM IN 24 TO 48 HOURS TO SEE HOW HES DOING AND IF HES WORSE AGAIN WELL PRESCRIBING PRESCRIBE HIM SOME ANTIBIOTICS UM THE ANTIBIOTICS THAT WE USUALLY PRESCRIBE ARE AMOXICILLIN AND BECAUSE HE DOESNT HAVE A PENICILLIN ALLERGY THAT SHOULD WORK
audio/RES0116.mp3[705.760,707.920]	YEAH HOW DOES THAT SOUND
audio/RES0116.mp3[707.920,709.400]	THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0116.mp3[709.400,711.760]	OK GREAT THANK YOU
audio/RES0094.mp3[0.000,7.480]	UH HOW MAY I HELP YOU
audio/RES0094.mp3[7.480,14.320]	IVE UH HAD A RUNNY NOSE OVER THE LAST FEW DAYS AND IVE STARTED TO HAVE A SORE THROAT AS WELL
audio/RES0094.mp3[14.320,18.600]	HMM UHM WHEN DID THIS START
audio/RES0094.mp3[18.600,32.160]	I WOULD SO THE RUNNY NOSE STARTED UH ABOUT FIVE DAYS AGO AND AND THE SORE THROAT UHM ABOUT THE SAME
audio/RES0094.mp3[32.160,39.720]	OK HAVE YOU UH WITH THE THE RUNNY NOSE DO YOU HAVE ANY WHATS THE DISCHARGE LIKE
audio/RES0094.mp3[39.720,46.920]	UH ITS BEEN KIND OF WATERY ITS CLEAR
audio/RES0094.mp3[46.920,56.120]	OK ALRIGHT AND HAS YOUR SORE THROAT GOTTEN BETTER OR WORSE OVER THE PAST FIVE DAYS
audio/RES0094.mp3[56.120,64.040]	UH IT DID GET A LITTLE BIT WORSE INITIALLY AND SINCE THEN ITS BEEN KIND OF STABLE
audio/RES0094.mp3[64.040,70.080]	HAVE YOU UHM HAD ANY DIFFICULTIES SWALLOWING
audio/RES0094.mp3[70.080,81.600]	NO IT IT IS A BIT SORE UHM TO SWALLOW SO IT TAKES ME A LITTLE BIT LONGER TO EAT BUT IVE BEEN ABLE TO STILL STILL EAT
audio/RES0094.mp3[81.600,88.400]	HAVE YOU CHANGED NOTICED ANY CHANGES IN YOUR VOICE ANY HOARSENESS IN YOUR VOICE
audio/RES0094.mp3[89.560,99.520]	NO OK AND DO YOU HAVE ANY NASAL CONGESTION DOES YOUR NOSE FEEL STUFFY
audio/RES0094.mp3[99.520,102.240]	YEAH IT DOES YES
audio/RES0094.mp3[102.240,107.680]	OK UHM ANY FEVERS OR CHILLS
audio/RES0094.mp3[107.680,110.720]	NO I DONT THINK SO
audio/RES0094.mp3[110.720,114.400]	OK ANY DIFFICULTIES BREATHING
audio/RES0094.mp3[115.320,117.920]	ANY COUGH
audio/RES0094.mp3[120.720,126.080]	OK UHM ANY UH PAIN IN YOUR CHEST
audio/RES0094.mp3[127.320,138.800]	ANY OTHER SYMPTOMS ANYTHING RELATED TO YOUR BELLY  SAY DIARRHEA OR CONSTIPATION OR ANY CHANGES IN YOUR URINARY ANY URINARY SYMPTOMS
audio/RES0094.mp3[138.800,142.600]	NO NOTHING LIKE THAT
audio/RES0094.mp3[142.600,146.720]	OK OK ARE YOU FEELING FATIGUED TIRED HAVE ANY MUSCLE ACHES
audio/RES0094.mp3[146.720,161.200]	I I HAVE FELT A LITTLE BIT MORE DROWSY THESE LAST FEW DAYS AND UHM YEAH MY UHM I HAVE HAD SOME MUSCLE ACHES AS WELL
audio/RES0094.mp3[161.200,167.400]	HAVE YOU TAKEN ANYTHING TO HELP YOURSELF ANYTHING OVER THE COUNTER OR ANY PILLS
audio/RES0094.mp3[167.400,185.040]	I DID USE UH SOME UHM LIKE COLD MEDICATION TO HELP BECAUSE I WAS HAVING A HEADACHE AS WELL AND A LOT OF I GUESS JUST LIKE PRESSURE FROM THE NOSE STUFFINESS
audio/RES0094.mp3[185.040,187.600]	DID THE COLD MEDS HELP
audio/RES0094.mp3[187.600,197.560]	YEAH IT DID HELP A LITTLE BIT IT DID HELP MY NOSE CLEAR UP BUT IT CAME RIGHT BACK AFTER A FEW HOURS
audio/RES0094.mp3[197.560,200.760]	AND HOWS YOUR HEADACHE NOW
audio/RES0094.mp3[200.760,205.880]	ITS NOT TOO BAD ITS PRETTY MILD BUT ITS THERE
audio/RES0094.mp3[205.880,217.000]	UHM DO YOU USUALLY GET HEADACHES OF THIS SORT OR IS THIS VERY DIFFERENT FROM WHAT YOU GENERALLY EXPERIENCE IF YOU USUALLY HAVE HEADACHES
audio/RES0094.mp3[217.000,225.600]	I DONT USUALLY GET HEADACHES BUT I HAVE FELT UHM A HEADACHE LIKE THIS BEFORE THOUGH
audio/RES0094.mp3[225.600,227.960]	OH OK WHEN WAS THAT
audio/RES0094.mp3[227.960,231.120]	MAYBE THE LAST TIME I WAS I WAS SICK
audio/RES0094.mp3[231.880,240.640]	OR IF I DONT GET A GOOD NIGHTS SLEEP SCHOOLS PRETTY EARLY IN THE MORNING SO SOMETIMES IF IM NOT SLEEPING WELL
audio/RES0094.mp3[240.640,248.840]	I SEE OK ALRIGHT ANY OTHER SYMPTOMS THAT YOUVE EXPERIENCED OVER THE PAST FIVE DAYS THAT I DIDNT ASK YOU ABOUT
audio/RES0094.mp3[248.840,256.280]	NO ITS BEEN YEAH MOSTLY THE RUNNY NOSE AND SORE THROAT AND HEADACHE
audio/RES0094.mp3[256.280,262.120]	I SEE OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0094.mp3[262.120,263.240]	NO IVE BEEN HEALTHY
audio/RES0094.mp3[263.240,269.440]	ALL RIGHT GOOD ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS
audio/RES0094.mp3[269.440,282.280]	UH ILL USE LIKE REACTINE OR CLARITIN SOMETIMES FOR ALLERGIES BUT THATS IT
audio/RES0094.mp3[282.280,284.600]	WHAT ALLERGIES DO YOU HAVE
audio/RES0094.mp3[284.600,295.160]	I HAVE ALLERGIES TO DUST AND SOME ENVIRONMENTAL THINGS LIKE POLLEN OR RAGWEED I THINK MAYBE
audio/RES0094.mp3[295.160,303.960]	I SEE ALRIGHT AND UHM DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0094.mp3[303.960,316.120]	UH I THINK MY DAD HAS HIGH BLOOD PRESSURE HE TAKES A MEDICATION FOR THAT UHM NOTHING SERIOUS THOUGH THAT I KNOW OF
audio/RES0094.mp3[316.120,320.400]	OK ALRIGHT AND WHO DO YOU CURRENTLY LIVE WITH
audio/RES0094.mp3[320.400,327.400]	SO I LIVE WITH BOTH MY PARENTS AND I HAVE AN OLDER SISTER AS WELL
audio/RES0094.mp3[327.400,332.400]	GOOD OK AND DO YOU SMOKE
audio/RES0094.mp3[332.400,338.720]	I DID TRY A VAPE ONCE OR TWICE BUT DIDNT REALLY LIKE IT SO NO
audio/RES0094.mp3[338.720,344.440]	ALRIGHT WHAT ABOUT MARIJUANA
audio/RES0094.mp3[344.440,347.680]	UH NO I HAVENT TRIED THAT
audio/RES0094.mp3[347.680,349.840]	ANY RECREATIONAL DRUGS
audio/RES0094.mp3[351.280,354.640]	DO YOU DRINK ALCOHOL
audio/RES0094.mp3[355.680,360.400]	AND HAVE YOU RECENTLY TRAVELED ANYWHERE
audio/RES0094.mp3[360.400,364.440]	NO WEVE BEEN DOING CLASSES VIRTUALLY
audio/RES0094.mp3[364.440,374.000]	AND ANY CONTACT WITH ANYONE WHO YOU THINK MIGHT BE SICK
audio/RES0094.mp3[374.920,426.840]	OK ALRIGHT WELL SOUNDS LIKE YOU HAVE A SORE THROAT AND RUNNY NOSE YOUVE BEEN A LITTLE BIT DROWSY HAD SOME HEADACHES IN THE PAST FIVE DAYS THINGS WERE GETTING A LITTLE BIT WORSE EARLY ON BUT ITS BEEN A LITTLE BIT ITS BEEN MORE STABLE NOW WELL DO A PHYSICAL EXAM SEE JUST LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH AND CHECK YOUR TEMPERATURE AND GO FROM THERE IT SOUNDS LIKE YOU PROBABLY HAVE A VIRAL INFECTION OF SOME SORT THAT SHOULD GET HOPEFULLY GET BETTER OVER TIME WE WILL ALSO GET A COVID SWAB DONE JUST IN CASE AND IF THINGS SEEM TO GET WORSE WE CAN YOU CAN DEFINITELY COME BACK
audio/RES0094.mp3[426.840,430.760]	OK GREAT THANK YOU
audio/RES0158.mp3[0.000,3.920]	WHAT BRINGS YOU HERE TODAY
audio/RES0158.mp3[3.920,23.520]	IVE HAD UH A NEW COUGH THAT STARTED UM THIS WEEK ITS BEEN GOING ON THE LAST LIKE THREE OR FOUR DAYS AND UM IVE HAD A HEADACHE AND UM BUT YESTERDAY I JUST NOTICED THAT I HAVENT BEEN ABLE TO TO SMELL SO I WANTED TO COME IN THIS MORNING
audio/RES0158.mp3[23.520,30.960]	OK YEAH SO ITS BEEN GOING ON FOR THE LAST UH FOUR DAYS IS IT KIND OF LIKE A DRY COUGH OR A WET COUGH
audio/RES0158.mp3[30.960,32.240]	ITS DRY
audio/RES0158.mp3[32.240,39.480]	ITS DRY OK ARE YOU AT ALL BRINGING UP ANY KIND OF SPUTUM OR BLOOD AT ALL
audio/RES0158.mp3[39.480,44.480]	NO I HAVENT BEEN
audio/RES0158.mp3[44.480,49.880]	OK AND UM HAVE YOU BEEN EXPERIENCING ANY KIND OF UH FEVERS OR CHILLS
audio/RES0158.mp3[49.880,62.520]	YEAH I FEEL UH I HAVE FELT FEVERISH UH AND I THINK THAT YEAH THATS KIND OF STARTED UH LIKE WITHIN THE LAST DAY
audio/RES0158.mp3[62.520,67.720]	OK AND DID YOU UM GET A TEMPERATURE AT ALL
audio/RES0158.mp3[67.720,74.120]	NO IVE JUST BEEN REALLY FEELING YEAH FEVERISH AND FEELING REALLY HOT
audio/RES0158.mp3[74.120,86.040]	OK AND UM BESIDES THE UM COUGH ARE YOU HAVING ANY OTHER SYMPTOMS LIKE MUSCLE ACHES OR HEADACHES
audio/RES0158.mp3[86.040,99.880]	UH YEAH IVE BEEN HAVING A HEADACHE LIKE I DONT KNOW ON AND OFF FOR THIS PAST THREE OR FOUR DAYS AS WELL AND I HAVE HAD MUSCLE ACHES MY WHOLE BODY KIND OF ACHES
audio/RES0158.mp3[99.880,102.640]	OK UM AND WHEN DID THIS START
audio/RES0158.mp3[102.640,113.800]	THATS BEEN OVER THE PAST UM LIKE 3 DAYS OR SO YEAH I WOKE UP AND IVE JUST BEEN FEELING UH YEAH ACHY AND JUST NOT FEELING GOOD
audio/RES0158.mp3[113.800,126.520]	OK YEAH SO IT ALL JUST KIND OF STARTED IN THE LAST FOUR DAYS UH ARE YOU HAVING ANY KIND OF FAINTING OR DIZZINESS EPISODES AT ALL
audio/RES0158.mp3[126.520,129.320]	UH NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0158.mp3[129.320,138.400]	OK AND ANY UH ARE YOUR SYMPTOMS GETTING WORSE AT ALL
audio/RES0158.mp3[138.400,144.280]	NO THEY WELL I INITIALLY THEY DID BUT UM THEYVE KIND OF STAYED THE SAME
audio/RES0158.mp3[144.280,149.960]	OK AND HAVE YOU HAD ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0158.mp3[149.960,155.120]	YEAH I HAD I HAVE IVE HAD A LOSS OF UM SMELL AND TASTE NOW THAT YOU MENTION IT YEAH
audio/RES0158.mp3[155.120,160.040]	AND WHEN DID THAT HAPPEN
audio/RES0158.mp3[160.040,165.120]	UM WITHIN THE LAST UH TWO DAYS
audio/RES0158.mp3[165.120,174.520]	OK AND ARE YOU HAVING ANY RUNNY NOSE CONGESTION SORE THROAT ANY OF THOSE SYMPTOMS
audio/RES0158.mp3[174.520,177.760]	UH NO NOT REALLY NOTHING LIKE THAT
audio/RES0158.mp3[177.760,181.760]	OK HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0158.mp3[181.760,194.040]	NO I I HAVENT TRAVELED UM HAVENT TRAVELED ANYWHERE BUT I IVE JUST BEEN GOING TO WORK AND AND BEING AT AT HOME
audio/RES0158.mp3[194.040,196.320]	OK AND UM WHERE DO YOU GO FOR WORK
audio/RES0158.mp3[196.320,202.120]	UM IM A NURSE ACTUALLY AT THE AT A UM A WALK IN CLINIC
audio/RES0158.mp3[202.120,216.920]	OK AND HAVE YOU UH AT ALL BEEN EXPOSED TO ANYONE WHOS BEEN SICK UH ANYONE WHO HAS TESTED POSITIVE FOR COVID
audio/RES0158.mp3[216.920,236.600]	UH NO NOBODY THAT IM AWARE OF THATS THATS TESTED POSITIVE BUT THERE HAS BEEN PEOPLE UH RECENTLY UM THAT WITHIN THE PAST WEEK THAT WEVE SEEN COME IN WITH WITH COUGH AND UM THINGS LIKE LIKE THAT SO
audio/RES0158.mp3[236.600,241.360]	OK UM ARE YOU HAVING ANY NAUSEA OR VOMITING
audio/RES0158.mp3[241.360,244.720]	UM NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0158.mp3[244.720,249.000]	OK ANY UM NIGHT SWEATS
audio/RES0158.mp3[250.360,253.720]	ANY CHEST PAIN OR SHORTNESS OF BREATH
audio/RES0158.mp3[254.800,259.880]	OK ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA CONSTIPATION
audio/RES0158.mp3[262.240,267.320]	ANY UM CHANGES IN YOUR URINATION
audio/RES0158.mp3[267.320,269.000]	NO NOTHING LIKE THAT
audio/RES0158.mp3[269.000,273.800]	UM NO BURNING SENSATION OR PAIN AT ALL
audio/RES0158.mp3[273.800,275.840]	NO NOTHING LIKE THAT
audio/RES0158.mp3[275.840,281.280]	OK ANY CHANGES IN YOUR SLEEP OR APPETITE RECENTLY
audio/RES0158.mp3[281.280,296.000]	UH YEAH JUST THESE PAST COUPLE OF DAYS I HAVENT REALLY FELT LIKE EATING MUCH UM MY SLEEP HAS BEEN OK BUT I THINK THATS JUST BECAUSE I HAVENT BEEN FEELING WELL SO JUST HAVENT REALLY WANTED TO EAT
audio/RES0158.mp3[296.000,299.360]	OK ANY WEIGHT CHANGES RECENTLY
audio/RES0158.mp3[299.360,303.360]	NO I I WISH
audio/RES0158.mp3[303.360,310.160]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST AT ALL
audio/RES0158.mp3[310.160,313.200]	NO IVE BEEN IVE BEEN IVE BEEN HEALTHY
audio/RES0158.mp3[313.200,319.280]	OK AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS
audio/RES0158.mp3[319.280,329.280]	UM JUST THE UH THE MULTI VITAMIN AND THEN A LIKE A GREENS SUPPLEMENT
audio/RES0158.mp3[329.280,332.360]	A GREEN GREEN SUPPLEMENT
audio/RES0158.mp3[332.360,345.160]	YEAH ITS JUST SORT OF LIKE A LIKE A GREEN UM POWDER ITS SUPPOSED TO REPLACE UH I DONT KNOW ONE OF YOUR SERVINGS OF VEGETABLES FOR THE DAY
audio/RES0158.mp3[345.160,350.520]	OK UM AND HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/RES0158.mp3[350.520,360.280]	I I HAD LIKE A SCOPE ON MY KNEE WHEN I WAS UM LIKE A TEENAGER I INJURED IT PLAYING SOCCER BUT THATS IT
audio/RES0158.mp3[360.280,365.160]	OK ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
audio/RES0158.mp3[365.160,372.440]	UM MY MY GRANDFATHER HAD HAD LUNG CANCER UM BUT HE SMOKED HIS WHOLE LIFE
audio/RES0158.mp3[372.440,383.520]	OK UM AND CURRENTLY SO YOU WORK AS A NURSE UH WHATS YOUR LIVING SITUATION LIKE DO YOU LIVE WITH ANYONE DO YOU LIVE IN HOUSE OR APARTMENT
audio/RES0158.mp3[383.520,391.880]	YEAH SO I LIVE IN A HOUSE WITH MY WIFE UM WE WE HAVE A A YOUNG UM A DAUGHTER
audio/RES0158.mp3[391.880,404.200]	OK HAS ANYONE IN THE HOUSE HAD SIMILAR SYMPTOMS OR BEEN FEELING SICK LATELY
audio/RES0158.mp3[404.200,424.240]	NO ITS JUST BEEN ME YEAH MY WIFE AND DAUGHTER HAVE BEEN BOTH UH STAYING HOME IVE BEEN THE ONE ONLY ONE REALLY KIND OF LEAVING THE HOUSE FOR WELL GOING TO WORK AND THEN UH GETTING MOST OF THE GROCERIES AND THAT THAT SORT OF THING SINCE IM ALREADY OUT
audio/RES0158.mp3[424.240,429.000]	OK OK AND CURRENTLY DO YOU SMOKE AT ALL
audio/RES0158.mp3[429.000,436.200]	UH NO CIGARETTES UM WELL I UH SMOKE WEED EVERY ONCE IN AWHILE
audio/RES0158.mp3[436.200,439.120]	OK AND HOW OFTEN WOULD YOU SAY YOU SMOKE WEED
audio/RES0158.mp3[439.120,445.000]	UH PROBABLY LIKE UH PROBABLY ONCE A WEEK JUST YEAH JUST ON THE WEEKEND MAYBE ONCE
audio/RES0158.mp3[445.000,451.600]	OK AND UH DO YOU DRINK ALCOHOL
audio/RES0158.mp3[451.600,458.320]	UM I HAD SOME LIKE A COUPLE OF BEERS ON THE WEEKEND LIKE ONE OR TWO
audio/RES0158.mp3[458.320,465.240]	OK UM OK SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0158.mp3[465.240,471.720]	UM JUST A BIT CONCERNED POSSIBLY ABOUT UH COVID
audio/RES0158.mp3[471.720,521.440]	OK YEAH SO THATS DEFINITELY UH WITH YOU WORKING IN THE IN THE HOSPITAL CLINICAL SETTING UM THERE IS DEFINITELY A POSSIBILITY AND A LOT OF THE SYMPTOMS THAT YOURE HAVING OVERLAP WITH COVID SYMPTOMS UH SO WE WILL DEFINITELY GET A COVID SWAB TEST DONE FOR YOU TODAY IT USUALLY COMES BACK IN THE NEXT 24 TO 48 HOURS AND UNTIL THEN UH I WOULD RECOMMEND THAT YOU ISOLATE EITHER IN A ROOM SEPARATELY WEAR A MASK AROUND YOUR FAMILY MEMBERS UM ISOLATE TO THE BEST OF YOUR ABILITIES NOT GO OUTSIDE SEE IF SOMEONE ELSE CAN GET GROCERIES FOR YOU GUYS UH AS WELL AND THEN UM DEPENDING ON THE TEST PUBLIC HEALTH WILL CONTACT YOU WITH FURTHER INSTRUCTIONS
audio/RES0158.mp3[521.440,524.640]	OK YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0158.mp3[524.640,525.920]	YOURE WELCOME TAKE CARE
audio/RES0158.mp3[525.920,528.480]	TAKE CARE
audio/RES0178.mp3[0.000,1.560]	WHAT BRINGS YOU IN
audio/RES0178.mp3[1.560,15.040]	YEAH SO IM BRINGING IN MY YEAR OLD SON HERE WITH I BECAUSE HES HAD A FEVER AND AND A COUGH AND A RUNNY NOSE THESE SYMPTOMS HAVE BEEN GOING ON NOW FOR THE LAST TWO DAYS
audio/RES0178.mp3[15.040,27.480]	LAST TWO DAYS OK UHM ALL OF THESE SYMPTOMS HAVE BEEN GOING ON FOR THE LAST TWO DAYS OR JUST LIKE ONE OR TWO
audio/RES0178.mp3[27.480,52.400]	I THINK I THINK THE COUGH AND RUNNY NOSE STARTED 1ST AND THEN HE THEN HE KIND OF HAD SOME FEVER AND HAD SOME CHILLS AS WELL LAST NIGHT KEPT SAYING THAT LIKE HE WAS JUST COLD EVEN THOUGH HE HAD A HAD BLANKETS ON
audio/RES0178.mp3[52.400,60.960]	OK OK ALRIGHT SO THE COUGH IS IT A PRODUCTIVE COUGH OR IS IT A DRY COUGH
audio/RES0178.mp3[60.960,62.240]	ITS DRY
audio/RES0178.mp3[62.240,65.480]	DRY OK SO NO SPUTUM NO BLOOD
audio/RES0178.mp3[65.480,67.400]	NO NO NO SPUTUM OR BLOOD
audio/RES0178.mp3[67.400,69.680]	ANY SHORTNESS OF BREATH WITH THAT
audio/RES0178.mp3[69.680,74.000]	NO HIS BREATHING HAS BEEN BEEN GOOD
audio/RES0178.mp3[74.000,76.280]	OK WHEEZINESS
audio/RES0178.mp3[76.640,80.280]	CHEST PAIN
audio/RES0178.mp3[80.280,82.000]	NO NO
audio/RES0178.mp3[82.000,87.600]	OK THE FEVER DID YOU MEASURE IT YOURSELF
audio/RES0178.mp3[87.600,93.760]	I DID YEAH IT WAS 38 POINT AH POINT 8
audio/RES0178.mp3[93.760,103.440]	OK AND THE RUNNY NOSE IS IT CLEAR OR DOES IT HAVE LIKE A COLOUR TO IT LIKE YELLOW OR GREEN
audio/RES0178.mp3[103.440,107.360]	ITS PRETTY YEAH ITS MORE CLEAR
audio/RES0178.mp3[107.360,117.400]	CLEAR OK ALRIGHT AND DOES HE FEEL LIKE HE ALSO HAS A STUFFY NOSE OR IS IT JUST A RUNNY NOSE
audio/RES0178.mp3[117.400,122.240]	MORE JUST RUNNY YEAH HE DOESNT MENTION ANYTHING ABOUT FEELING STUFFY
audio/RES0178.mp3[122.240,130.320]	OK ANY SYMPTOMS LIKE REDNESS ANY DISCHARGE
audio/RES0178.mp3[130.320,136.240]	UH NO YEAH UH HE HASNT HAD ANY ANY EYE SYMPTOMS
audio/RES0178.mp3[136.240,139.680]	OK HOW ABOUT HEARING WISE
audio/RES0178.mp3[139.680,142.640]	UH HEARING HAS BEEN BEEN NORMAL
audio/RES0178.mp3[142.640,143.960]	AND VISIONS BEEN NORMAL
audio/RES0178.mp3[143.960,145.880]	IT HAS YEAH
audio/RES0178.mp3[145.880,150.880]	OK ANY EAR PAIN OR DISCHARGE
audio/RES0178.mp3[150.880,155.160]	AH NOPE NO EAR PAIN OR OR DISCHARGE
audio/RES0178.mp3[155.160,160.000]	OK HOW ABOUT A CHANGE IN SMELL OR TASTE
audio/RES0178.mp3[161.240,164.280]	NO OK WEIGHT LOSS
audio/RES0178.mp3[164.280,168.440]	HE HES BEEN GAINING WEIGHT HASNT HAD ANY WEIGHT LOSS
audio/RES0178.mp3[168.440,171.040]	OK ANY RASHES
audio/RES0178.mp3[172.240,174.960]	NO SORE THROAT
audio/RES0178.mp3[174.960,177.640]	YEAH YEAH HES HAD A BIT OF A SORE THROAT
audio/RES0178.mp3[179.600,202.280]	BUT HE HASNT HES JUST KIND OF MENTIONED IT HE SAID IT WASNT TOO BAD HES STILL BEEN BEEN EATING EATING IS THAT HASNT BEEN EATING AS MUCH BUT HES GOT A POOR APPETITE BUT HE SO THIS SORE THROAT ISNT BUGGING HIM THAT MUCH THAT MUCH
audio/RES0178.mp3[202.280,206.800]	OK AND HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0178.mp3[208.040,211.320]	NO OK NUMBNESS OR TINGLING
audio/RES0178.mp3[212.400,217.160]	MUSCLE ACHE OR JOINT PAINS
audio/RES0178.mp3[217.160,224.720]	YEAH YEAH HE HAS HAD UH HE DID MENTION THAT HE JUST FEELS LIKE A KEY A LITTLE BIT ALL OVER
audio/RES0178.mp3[224.720,229.000]	OK ANY CHANGES IN HIS BOWEL MOVEMENTS
audio/RES0178.mp3[229.000,230.960]	NO DIARRHEA
audio/RES0178.mp3[230.960,235.040]	NO OK NATURAL VOMITING
audio/RES0178.mp3[235.040,237.800]	NO HE HASNT HAD ANY NAUSEA OR VOMITING
audio/RES0178.mp3[237.800,242.520]	OK UHM HOW ABOUT CHANGES TO HIS APPETITE
audio/RES0178.mp3[242.520,247.840]	YEAH HIS APPETITES BEEN A BIT DOWN YEAH
audio/RES0178.mp3[247.840,253.640]	IS HE STILL EATING SOLIDS
audio/RES0178.mp3[253.640,261.160]	HE IS YEAH HES STILL EATING SOLIDS JUST A LITTLE BIT PROBABLY JUST JUST SMALLER PORTIONS THOUGH
audio/RES0178.mp3[261.160,269.960]	OK YEAH AND AH ARE THERE ANY CHANGES TO HIS URINE
audio/RES0178.mp3[269.960,275.960]	NO THERE THERE HASNT BEEN ANY ANY CHANGES TO HIS HEARING
audio/RES0178.mp3[275.960,285.760]	OK UHM ANY PAST MEDICAL ILLNESSES OR ANY LONGSTANDING MEDICAL CONDITIONS THAT HE HAS
audio/RES0178.mp3[285.760,297.720]	NO HES HES BEEN UM HES BEEN PRETTY HEALTHY YEAH I MEAN HES GOT GOT GETS A COLD EVERY ONCE IN AWHILE MAYBE IN THE WINTER BUT THATS ABOUT IT
audio/RES0178.mp3[297.720,304.320]	OK ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0178.mp3[304.320,307.440]	UH NO HES BEEN HEALTHY
audio/RES0178.mp3[307.440,315.200]	OK ANY COMPLICATIONS WITH HIS MOTHERS PREGNANCY WITH HIM
audio/RES0178.mp3[315.200,333.040]	NO ITS BEEN AH IT WAS NORMAL PREGNANCY THROUGHOUT IT WAS TO TERM AND IT WAS A CSECTION DELIVERY BUT THAT WENT WELL AND HE WAS A NORMAL WEIGHT
audio/RES0178.mp3[333.040,337.240]	OK AND WAS IT AN EMERGENCY CSECTION
audio/RES0178.mp3[337.240,362.760]	AH NO I THINK IT WAS LIKE LABOR WAS TAKING IT WAS PROLONGED I MEAN SO IT THEY ENDED UP DECIDING TO JUST CONVERT THROUGHOUT IT WASNT AN EMERGENCY BUT LIKE THEY COULD HAVE WAITED A BIT LONGER THEY WERE SAYING BUT JUST KIND OF WHAT WENT MADE THE DECISION
audio/RES0178.mp3[362.760,368.880]	OK OK AND IS HE ON ANY MEDICATIONS
audio/RES0178.mp3[368.880,370.720]	UH NO HES NOT
audio/RES0178.mp3[370.720,382.280]	NO OK AND DEVELOPMENTAL WISE HAS HE BEEN HITTING ALL HIS MILESTONES FOR LIKE MOTOR MOVEMENTS SPEECH BEHAVIOUR SOCIAL SOCIALIZATION WISE
audio/RES0178.mp3[382.280,387.480]	HE HAS YEAH HES BEEN MEETING ALL OF HIS MILESTONES FOR THAT FOR THAT
audio/RES0178.mp3[387.480,392.800]	OK GOOD IS HE UP TO DATE WITH HIS IMMUNIZATIONS
audio/RES0178.mp3[392.800,396.520]	HE IS YEAH
audio/RES0178.mp3[396.520,399.760]	OK DOES HE HAVE ANY ALLERGIES
audio/RES0178.mp3[399.760,403.400]	UH NO NO ALLERGIES
audio/RES0178.mp3[403.400,410.440]	OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0178.mp3[410.440,424.880]	UH NO IT HIS GRANDFATHER HAD HIGH BLOOD PRESSURE AND LIKE HIGH CHOLESTEROL BUT THATS THATS IT
audio/RES0178.mp3[424.880,432.280]	OK AND HAS HE BEEN IN CONTACT WITH SICK SICK PEOPLE RECENTLY
audio/RES0178.mp3[432.280,439.200]	UH NO I DONT THINK SO YEAH
audio/RES0178.mp3[439.200,447.760]	NO OK AND AND ANY TRAVEL RECENTLY
audio/RES0178.mp3[447.760,461.520]	NO HE HE HES BEEN DOING SOME SCHOOLING SOME SCHOOLING ONLINE AND SOME SOME IN PERSON AND BUT BUT OTHERWISE THEYVE JUST BEEN AT HOME
audio/RES0178.mp3[461.520,469.200]	OK UHM ALRIGHT AND DOES ANYONE AT HOME SMOKE
audio/RES0178.mp3[469.200,471.480]	NO SMOKING AT HOME
audio/RES0178.mp3[471.480,474.200]	NO OK AND WHO DOES HE LIVE WITH
audio/RES0178.mp3[474.200,486.680]	SO HE LIVES WITH MYSELF AS WELL AS HIS HIS MOM AND THEN HES GOT A YOUNGER BROTHER AND A YOUNGER SISTER AS WELL
audio/RES0178.mp3[486.680,497.360]	OK AND AT HOME ANY REASON TO THINK THAT OLD CARPET DUST MOLD ASBESTOS ANYTHING LIKE THAT COULD BE MAKING HIS SYMPTOMS WORSE
audio/RES0178.mp3[497.360,501.240]	I DONT THINK SO YEAH ITS BEEN ALL THATS BEEN OK
audio/RES0178.mp3[501.240,508.000]	OK AND AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0178.mp3[508.000,516.800]	NO I I I JUST WANTED TO FIGURE OUT WHAT THIS WAS
audio/RES0178.mp3[516.800,596.560]	OK YEAH SO IT SOUNDS OR ACTUALLY I SHOULD START BY SAYING WE SHOULD GET A COVID SWAB ON HIM JUST IN CASE IT IS COVID BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE SYMPTOMS OF COVID UMM YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THE RESULTS OF THOSE SWABS AND IN THE MEANTIME IT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR AND FROM THE SOUNDS OF IT YOU SAID HE HAS A FEVER HES COUGHING AND HE HAS A RUNNY NOSE AND HAS MUSCLE ACHES IT COULD ALSO BE THE FLU REGARDLESS OF WHAT KIND OF VIRAL AND VIRAL INFECTION HE HAS THE BEST WAY TO MANAGE IT RIGHT NOW IS JUST SUPPORTIVE CARE SO MAKING SURE HES HYDRATED EATING FOODS WITH A LOT OF NUTRITION AND JUST KEEP AN EYE ON HIS SYMPTOMS IF IT GETS WORSE OR IF ITS VERY SEVERE AND HE HAS FOCAL NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES TAKE HIM TO THE ER RIGHT AWAY HOW DOES THAT SOUND
audio/RES0178.mp3[596.560,600.360]	YEAH THAT SOUNDS GOOD THANK YOU
audio/RES0178.mp3[600.360,605.080]	YEAH NO PROBLEM
audio/RES0056.mp3[0.000,2.160]	WHAT BRINGS YOU IN
audio/RES0056.mp3[2.160,12.440]	SO YEAH IVE JUST BEEN HAVING A COUGH FOR THE LAST WEEK AND I THINK I HAD A LITTLE BIT OF A FEVER IN THE LAST FEW DAYS
audio/RES0056.mp3[12.440,18.720]	OK SO YOU SAID THE COUGH STARTED A WEEK AGO
audio/RES0056.mp3[18.720,32.880]	YEAH AROUND A WEEK AGO OK AND THE FEVER STARTED TWO TO THREE DAYS AGO YEAH I HAVENT REALLY MEASURED IT BUT LIKE I DEFINITELY HAVE BEEN FEELING CHILLSIVE BEEN WEARING LIKE MULTIPLE BLANKETS OVER THE LAST FEW DAYS
audio/RES0056.mp3[32.880,40.640]	OK HAVE YOU TAKEN YOUR TEMPERATURE YOU SAID YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT
audio/RES0056.mp3[40.800,48.760]	OK SO LETS FOCUS ON THE COUGH IS IT PERSISTENT OR DOES IT COME AND GO
audio/RES0056.mp3[48.760,53.600]	I THINK THE COUGH IS PRETTY PERSISTENT OVER THE LAST WEEK
audio/RES0056.mp3[53.600,62.600]	OK AND DOES IT GET WORSE WITH LIKE COLD AIR OR DUST LIKE MAYBE PETS OR ANYTHING LIKE THAT
audio/RES0056.mp3[62.600,67.800]	NO I THINK IT STAYS AROUND THE SAME
audio/RES0056.mp3[67.800,75.920]	OK UMM DOES IT GET BETTER WITH ANYTHING HAVE YOU TRIED ANY OVER THE COUNTER COUGH SYRUP
audio/RES0056.mp3[75.920,93.080]	YES I TRIED TYLENOL COLD AND LIKED IT I THINK IT MADE IT A BIT BETTER LIKE IT HELPED ME SLEEP OTHER THAN THAT DURING THE DAY ITS STILL AROUND THE SAME
audio/RES0056.mp3[93.080,103.280]	OK AND HOW WOULD YOU DESCRIBE THIS COUGH IS IT BARKY IS IT HARSH DOES IT SOUND MUFFLED
audio/RES0056.mp3[103.280,115.600]	HOW I WOULD SAY IS THAT ITS KIND OF LIKE ITS NOT TOO HARSH ITS MORE LIKE A WET COUGH IM DEFINITELY BRINGING UP SOME SOME SPUTUM
audio/RES0056.mp3[115.600,121.040]	OK UM WHAT COLOR IS THE SPUTUM
audio/RES0056.mp3[121.040,127.680]	ITS USUALLY LIKE A UH LIKE A WHITE AND SOMETIMES LIKE A LITTLE BIT YELLOW AS WELL
audio/RES0056.mp3[127.680,132.480]	OK IS IT EVER GREEN OR DO YOU EVER SEE BLOOD IN THERE
audio/RES0056.mp3[132.480,141.040]	NO I HAVENT SEEN ANY OF THAT
audio/RES0056.mp3[141.040,146.400]	OK AND HAVE YOU EVER HAD A COUGH LIKE THIS BEFORE
audio/RES0056.mp3[146.400,160.520]	UMM YEAH PROBABLY LIKE IN THE LAST YEAR MAYBE I HAVE GOTTEN SICK LIKE ONCE AND HAD A SIMILAR COUGH
audio/RES0056.mp3[160.520,164.680]	OK DO YOU HAVE A SORE THROAT
audio/RES0056.mp3[164.680,167.560]	NO I DONT HAVE A SORE THROAT
audio/RES0056.mp3[167.560,172.640]	IS THIS COUGH GETTING WORSE
audio/RES0056.mp3[172.640,183.400]	ITS I THINK NOT REALLY IT STAYED AROUND THE SAME AND I DEFINITELY FEEL A BIT BETTER WITH THE TYLENOL COLD
audio/RES0056.mp3[183.400,187.960]	OK GOOD ANY CHANGES IN YOUR TASTE OR SMELL
audio/RES0056.mp3[187.960,190.080]	NO NO CHANGES
audio/RES0056.mp3[190.080,194.080]	OK ANY CHANGES IN HEARING OR VISION
audio/RES0056.mp3[195.480,202.720]	AND DID YOU HAVE IN THE PAST WEEK A RUNNY OR STUFFY NOSE
audio/RES0056.mp3[204.560,210.000]	OK ANY WEIGHT LOSS OVER THE PAST MONTH
audio/RES0056.mp3[210.000,212.480]	UMM NO NOT REALLY
audio/RES0056.mp3[212.480,218.560]	HOW ABOUT CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0056.mp3[218.560,221.120]	NO NO CHANGES TO THE SKIN
audio/RES0056.mp3[221.120,224.280]	OK ANY SHORTNESS OF BREATH
audio/RES0056.mp3[224.280,226.200]	NO NO
audio/RES0056.mp3[226.200,229.160]	HOW ABOUT WHEEZING
audio/RES0056.mp3[229.160,233.960]	NO I DONT THINK IVE RECENTLY
audio/RES0056.mp3[233.960,235.200]	DOK CHEST PAIN
audio/RES0056.mp3[235.200,239.040]	NO CHEST PAIN
audio/RES0056.mp3[239.040,248.720]	HOW ABOUT SWELLING HAVE YOU NOTICED ANY SWELLING IN LIKE YOUR LEGS OR ARMS OR YOUR BELLY AREA
audio/RES0056.mp3[248.720,252.080]	NO I DONT THINK SO
audio/RES0056.mp3[252.080,257.200]	OK HOW ABOUT YOU FEELING LIKE YOUR HEARTS RACING
audio/RES0056.mp3[257.200,260.920]	NO NO NOTHING LIKE THAT
audio/RES0056.mp3[260.920,265.000]	OK HOW ABOUT A CALF PAIN
audio/RES0056.mp3[265.000,266.760]	NO NO
audio/RES0056.mp3[266.760,269.600]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0056.mp3[269.600,272.000]	NO NOTHING LIKE THAT
audio/RES0056.mp3[274.400,278.440]	CONFUSION OR MEMORY LOSS
audio/RES0056.mp3[278.440,279.400]	I DONT THINK SO
audio/RES0056.mp3[279.400,281.840]	HAVE YOUR BOWEL MOVEMENTS BEEN NORMAL
audio/RES0056.mp3[281.840,290.880]	YEAH I LIKE GO THREE TIMES A DAY AND I DONT HAVE ANY DIARRHEA OR ANYTHING
audio/RES0056.mp3[290.880,293.120]	OK HOW ABOUT URINATING WISE
audio/RES0056.mp3[293.120,298.760]	EVERYTHING NORMAL THERE YEAH NO TROUBLE
audio/RES0056.mp3[298.760,301.720]	OKNAUSEA OR VOMITING
audio/RES0056.mp3[303.000,307.680]	JOINT PAIN OR MUSCLE ACHE
audio/RES0056.mp3[307.680,313.200]	NO I DONT THINK SO
audio/RES0056.mp3[313.200,319.360]	OK ANY CONTACTS WITH SICK PEOPLE AROUND YOU RECENTLY
audio/RES0056.mp3[319.360,333.240]	MY WIFE WAS ACTUALLY JUST SICK LAST WEEK BUT SHE RECOVERED SHE DID HAVE A FEVER FOR ONE OF THE DAYS AND SHE ALSO HAD A COUGH
audio/RES0056.mp3[333.240,337.400]	OK DID SHE GET IT CHECKED OUT IN A CLINIC
audio/RES0056.mp3[337.400,349.680]	NO I DONT THINK SO SHE DID GET THAT COVITEST DONE BUT IT CAME BACK NEGATIVE AND SHE DIDNT GO TO THE DOCTOR OR ANYTHING IT KIND OF JUST WENT AWAY ON ITS OWN
audio/RES0056.mp3[349.680,356.920]	OK ANY TRAVEL RECENTLY
audio/RES0056.mp3[357.680,364.920]	ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0056.mp3[364.920,379.320]	JUST AS A CHILD I HAD PROBABLY IN MY TEENS HAD MY APPENDIX REMOVED BUT NOTHING OTHER THAN THAT
audio/RES0056.mp3[379.320,383.840]	OK OK NO HOSPITALIZATIONS OTHER THAN THAT TOO RIGHT
audio/RES0056.mp3[383.840,385.960]	NO NO
audio/RES0056.mp3[385.960,389.840]	ARE YOU ON ANY MEDICATIONS
audio/RES0056.mp3[389.840,395.640]	NO I JUST TAKE SOME MULTI VITAMINS
audio/RES0056.mp3[395.640,400.000]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0056.mp3[400.000,402.800]	YEAH AS FAR AS I KNOW
audio/RES0056.mp3[402.800,406.440]	OK HOW ABOUT ALLERGIES
audio/RES0056.mp3[406.440,424.320]	I DO HAVE LIKE SOME I GET SOME RUNNY NOSE AROUND SPRING TIME PROBABLY I THINK IM ALLERGIC TO POLLEN
audio/RES0056.mp3[424.320,428.480]	OK AND ANY FAMILY HISTORY OF LUNG CONDITIONS
audio/RES0056.mp3[428.480,429.760]	NO NOT THAT I KNOW
audio/RES0056.mp3[429.760,435.720]	HOW ABOUT HEART CONDITIONS
audio/RES0056.mp3[435.720,444.680]	NO I THINK MY FATHER HAS HIGH BLOOD PRESSURE IF THATS LIKE A HEART CONDITION
audio/RES0056.mp3[444.680,450.320]	OK SURE AND HOW OLD WAS HE WHEN HE GOT THAT
audio/RES0056.mp3[450.320,459.400]	HES AROUND LIKE 60S RIGHT NOW SO PROBABLY LIKE IN HIS 40S
audio/RES0056.mp3[459.400,464.920]	OK ANY CANCERS IN THE FAMILY
audio/RES0056.mp3[464.920,471.960]	I DO HAVE AN AUNT ON MY MOTHERS SIDE WHO HAD OVARIAN CANCER
audio/RES0056.mp3[471.960,484.600]	OK HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH OVARIAN CANCER
audio/RES0056.mp3[484.600,490.240]	I THINK PROBABLY IN HER 50S
audio/RES0056.mp3[490.240,495.520]	OK AND DO YOU SMOKE
audio/RES0056.mp3[495.520,498.440]	NO I DONT SMOKE
audio/RES0056.mp3[498.440,502.360]	HOW ABOUT MARIJUANA
audio/RES0056.mp3[502.360,512.520]	MARIJUANA JUST MAYBE LIKE ONE OR TWO JOINTS IN A MONTH JUST WHEN IM FEELING THAT I NEED TO RELAX A LITTLE
audio/RES0056.mp3[512.520,515.560]	OK SURE AND BY JOINT YOU SAID ONCE A MONTH RIGHT
audio/RES0056.mp3[515.560,520.000]	YEAH ONCE PER MONTH
audio/RES0056.mp3[520.000,521.520]	OK ANY OTHER DRUGS
audio/RES0056.mp3[521.520,523.640]	NO NO OTHER DRUGS
audio/RES0056.mp3[523.640,529.400]	AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0056.mp3[529.400,537.400]	I LIVE IN LONDON RIGHT NOW I LIVE WITH MY WIFE IN AN APARTMENT
audio/RES0056.mp3[537.400,544.040]	OK ANY REASONS TO THINK YOU HAVE OLD CARPET MOLD OR ASBESTOS
audio/RES0056.mp3[544.040,553.240]	NO ITS A FAIRLY NEW APARTMENT
audio/RES0056.mp3[553.240,562.080]	OK AND WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS FOR ME
audio/RES0056.mp3[562.080,568.440]	YOU DONT THINK IT COULD BE COVIRIGHT LIKE MY WIFE GOT TESTED AND IT WAS NEGATIVE
audio/RES0056.mp3[568.440,572.320]	ARE YOU CONCERNED ABOUT THAT
audio/RES0056.mp3[572.320,573.640]	YEAH FOR SURE
audio/RES0056.mp3[573.640,649.840]	HONESTLY SOME OF YOUR SYMPTOMS DO SEEM TO BE OVERLAPPING WITH THAT OF COVIESPECIALLY THE COUGH AND FEVER SO WE ARE GOING TO DO A COVISWAB JUST TO RULE THAT OUT SO YOU WILL GET THOSE RESULTS IN 24 TO 48 HOURS AND YOU SHOULD ISOLATE FOR 14 DAYS BECAUSE YOUR SYMPTOMS OVERLAP PUBLIC HEALTH WILL BE IN TOUCH WITH YOU IF ITS POSITIVE JUST TO DO SOME CONTACT TRACING BUT IF ITS NOT COVIIT COULD BE ANOTHER VIRAL INFECTION THATS GOING AROUND AT THIS TIME OF YEAR SO KEEP AN EYE ON YOUR SYMPTOMS IF THEY BECOME WORSE OR IF YOURE EXPERIENCING SYMPTOMS LIKE NEUROLOGICAL DEFICITS OR WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT GET HELP FROM THE ER RIGHT AWAY AND IF YOUR SYMPTOMS ARE PERSISTING BEYOND LIKE SEVEN DAYS TO 10 DAYS ALSO YOU SHOULD GIVE US A CALL BACK TO SEE WHATS GOING ON BECAUSE IT COULD BE SOMETHING LIKE A BACTERIAL INFECTION IN WHICH CASE WE CAN GIVE YOU SOME ANTIBIOTICS DOES THAT SOUND OK
audio/RES0056.mp3[649.840,652.840]	OK GREAT THANK YOU
audio/RES0056.mp3[652.840,656.560]	THANK YOU
audio/RES0082.mp3[0.000,3.960]	HOW MAY I HELP YOU TODAY
audio/RES0082.mp3[3.960,15.920]	IVE BEEN HAVING UHH LIKE NASAL CONGESTION AND IVE BEEN SNEEZING A LOT OVER THESE LAST COUPLE OF DAYS AND IVE ALSO BEEN HAVING A SORE THROAT
audio/RES0082.mp3[15.920,18.280]	OH NO WHEN DID THAT START
audio/RES0082.mp3[18.280,25.920]	SO THE STORE THROAT STARTED LIKE 2 DAYS AGO
audio/RES0082.mp3[25.920,34.280]	OK AND SINCE THEN YOUVE DEVELOPED THIS NASAL CONGESTION AND SNEEZING AS WELL
audio/RES0082.mp3[34.280,40.160]	YEAH EXACTLY IT STARTED A BIT AFTERWARDS OR AROUND THE SAME TIME
audio/RES0082.mp3[40.160,50.120]	YEAH ALRIGHT AND HAVE YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A FEVER
audio/RES0082.mp3[50.120,58.320]	UH NO I DONT THINK SO
audio/RES0082.mp3[58.320,63.640]	OK DO YOU HAVE ANY DIFFICULTIES SWALLOWING
audio/RES0082.mp3[63.640,74.560]	UH YEAH IT HAS BEEN A BIT SORE WHEN EATING FOOD BUT IT HASNT BEEN SO PAINFUL TO PREVENT ME FROM EATING
audio/RES0082.mp3[74.560,79.720]	OK DO YOU HAVE A COUGH
audio/RES0082.mp3[79.720,84.480]	NO I HAVENT HAD A COUGH
audio/RES0082.mp3[84.480,88.640]	OK UHM AND DO YOU HAVE A RUNNY NOSE ANY DISCHARGE
audio/RES0082.mp3[88.640,97.400]	UH YEAH THERES BEEN A LITTLE BIT OF A LIKE WATERY DISCHARGE MY NOSE HAS BEEN RUNNING
audio/RES0082.mp3[97.400,108.120]	ANY EAR PAIN OR ANY PAIN IN YOUR CHEEKS OR YOUR HEAD WHEN YOURE BENDING OVER ANYTHING LIKE THAT
audio/RES0082.mp3[108.120,121.520]	UH YEAH NOW THAT YOU SAY IT YEAH WHEN I WAS BENDING OVER TO PUT MY SHOES ON I FELT JUST A BIT OF PRESSURE ON THE FRONT OF MY FACE
audio/RES0082.mp3[121.520,127.360]	OK AND YOU HAVENT BEEN FEELING FEVERISH OR HAVING HAVING ANY CHILLS RIGHT
audio/RES0082.mp3[129.440,136.040]	OK ANY FATIGUE MALAISE ANY ACHES OR PAINS
audio/RES0082.mp3[136.040,142.640]	UH NO I FELT OK THAT WAY YEAH
audio/RES0082.mp3[142.640,144.720]	ANY RASHES
audio/RES0082.mp3[144.720,146.320]	UH NO
audio/RES0082.mp3[146.320,152.240]	NO OK HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0082.mp3[152.240,153.640]	I HAVE YES
audio/RES0082.mp3[153.640,168.920]	ALRIGHT AND JUST HAVE A COUPLE MORE QUESTIONS JUST TO SEE IF ANYTHING ELSE IS GOING ON DO YOU HAVE A HEADACHE AT ALL
audio/RES0082.mp3[168.920,188.360]	UH YEAH IVE HAD A HEADACHE SINCE THIS MORNING ITS PRETTY MILD IT FEELS LIKE MY HEAD IS SQUEEZING I THINK UH IVE HAD HEADACHES LIKE THIS BEFORE IF I DONT SLEEP WELL OR DEHYDRATED
audio/RES0082.mp3[188.360,193.840]	ARE YOU MORE STRESSED OUT THAN USUAL DO YOU HAVE EXAMS OR ANYTHING GOING ON RIGHT NOW
audio/RES0082.mp3[193.840,202.840]	NO SCHOOLS BEEN PRETTY GOOD WEVE BEEN DOING A LOT OF STUFF ONLINE SO UH YEAH THATS BEEN GOOD
audio/RES0082.mp3[202.840,209.920]	OK ANY UH DO YOU FIND THAT YOUR EYES ARE RUNNY OR RED OR ANYTHING LIKE THAT
audio/RES0082.mp3[209.920,212.840]	UH NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0082.mp3[212.840,217.960]	OK ALRIGHT AND ANY DIFFICULTIES BREATHING
audio/RES0082.mp3[219.760,221.920]	ANY CHEST PAIN
audio/RES0082.mp3[221.920,223.080]	NO CHEST PAIN
audio/RES0082.mp3[223.080,227.800]	OK ANY PAIN IN YOUR BELLY OR ANY PROBLEMS WITH YOUR BOWEL MOVEMENTS
audio/RES0082.mp3[229.800,233.720]	OK ANY URINARY SYMPTOMS
audio/RES0082.mp3[234.760,242.480]	OK ALRIGHT GOOD SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0082.mp3[242.480,253.200]	UH NO I HAD DERMATITIS WHEN I WAS A KID BUT I HAVENT HAD ANY ISSUES SINCE I REMEMBER USING SOME CREAMS FOR THAT BUT I HAVENT NEEDED TO USE THEM RECENTLY
audio/RES0082.mp3[253.200,262.440]	OK AND ANY MEDICATIONS THAT YOURE TAKING CURRENTLY INCLUDING OVER THE COUNTER PILLS
audio/RES0082.mp3[262.440,268.480]	I DONT TAKE ANYTHING CURRENTLY
audio/RES0082.mp3[268.480,279.640]	OK DID YOU TAKE ANY MEDICATIONS TO REDUCE THE SYMPTOMS THAT YOURE HAVING THE HEADACHE OR THE SORE THROAT
audio/RES0082.mp3[279.640,289.360]	OH SORRY YEAH I USED SOME ADVIL THIS MORNING I THINK IT WAS 400 MILLIGRAMS
audio/RES0082.mp3[289.360,293.400]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0082.mp3[293.400,294.600]	UM YEAH TO CATS
audio/RES0082.mp3[294.600,303.760]	HAVE YOU BEEN AROUND A CAT RECENTLY
audio/RES0082.mp3[303.760,314.200]	NO WE USED TO HAVE A CAT BUT UNFORTUNATELY WE WERE UNABLE TO KEEP IT BECAUSE ALLERGIES WERE SO BAD
audio/RES0082.mp3[314.200,319.520]	YEAH DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES AT ALL
audio/RES0082.mp3[319.520,337.080]	UHM YEAH SOMETIMES IN THE SPRING OR FALL I CAN GET LIKE ITCHY EYES AND A RUNNY NOSE SO THATS WHY I DIDNT THINK MUCH ABOUT THE RUNNY NOSE AT FIRST BUT WITH A SORE THROAT AND BEEN SNEEZING MORE I THOUGHT TO COME IN
audio/RES0082.mp3[337.080,353.840]	YEAH OK SO IN TERMS OF YOUR UH SO GENERAL INFORMATION DO YOU LIVE ALONE OR DO YOU LIVE WITH YOUR PARENTS OR ANYONE ELSE
audio/RES0082.mp3[353.840,357.400]	YEAH I LIVE WITH MY MOM DAD AND A YOUNGER BROTHER
audio/RES0082.mp3[357.400,365.000]	ALRIGHT AND ARE YOU CURRENTLY WORKING OR GOING TO SCHOOL
audio/RES0082.mp3[365.000,376.000]	YEAH IM FINISHING UP GRADE 8 AND WERE DOING THE COURSES ONLINE
audio/RES0082.mp3[376.000,385.280]	OK GREAT SO HAVE YOU SPENT ANY TIME OUTDOORS OR SPENT ANY TIME WITH PEOPLE WHO YOU THINK MIGHT BE SICK
audio/RES0082.mp3[385.280,397.040]	WELL IVE PLAYED SOME LIKE BASKETBALL OUTSIDE WITH ONE OF THE NEIGHBORS BUT I DONT THINK HES BEEN SICK
audio/RES0082.mp3[397.040,401.360]	OK ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0082.mp3[401.360,403.360]	NO IVE BEEN AT HOME
audio/RES0082.mp3[403.360,416.120]	OK UHM ALRIGHT AND DO YOU UHM HAVE YOU HAD THESE SYMPTOMS ANYTIME RECENTLY BEFORE
audio/RES0082.mp3[416.120,421.200]	NO NOT THAT I CAN THINK OF
audio/RES0082.mp3[421.200,427.600]	NO HAVE YOU BEEN TESTED FOR COVID ANYTIME IN THE RECENT PAST
audio/RES0082.mp3[427.600,428.760]	NO I HAVENT
audio/RES0082.mp3[428.760,432.000]	HAVE YOU TAKEN ANY ANTIBIOTICS RECENTLY
audio/RES0082.mp3[433.120,454.080]	OK ALRIGHT WELL IT SOUNDS LIKE YOURE PROBABLY HAVING JUST A COMMON COLD LIKELY VIRAL SO AND SEEING THAT ITS ONLY BEEN TWO DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE IN THE PAST COUPLE OF DAYS
audio/RES0082.mp3[454.080,459.040]	THEYVE GOTTEN WORSE SINCE ITS STARTED
audio/RES0082.mp3[459.040,488.440]	YEAH OK WELL ITS ONLY BEEN TWO DAYS SO FAR LETS JUST KEEP AN EYE ON YOUR SYMPTOMS AND SEE HOW YOURE DOING IT MIGHT ALSO BE A GOOD IDEA JUST TO GET A COVID SWAB DONE AND IF YOUR SYMPTOMS CONTINUE TO WORSEN GIVE ME A CALL AGAIN AND WE CAN TALK ABOUT IT A LITTLE BIT MORE AND SEE IF MAYBE A BACTERIAL INFECTION OR IF THERES SOMETHING ELSE THATS GOING ON YOU DONT HAVE ANY DIFFICULTIES BREATHING DO YOU
audio/RES0082.mp3[488.440,489.800]	NO I DONT
audio/RES0082.mp3[489.800,496.640]	ALRIGHT OK ALRIGHT UMM WELL DO A PHYSICAL EXAM AND THEN CHAT A LITTLE BIT MORE AFTER
audio/RES0082.mp3[496.640,501.240]	OK THANK YOU
audio/RES0058.mp3[0.000,2.160]	HOW ARE YOU
audio/RES0058.mp3[2.160,5.880]	IM DOING OK THANK YOU HOW ARE YOU
audio/RES0058.mp3[5.880,9.360]	IM WELL THANKS WHAT BRINGS YOU IN TODAY
audio/RES0058.mp3[9.360,21.160]	SO USUALLY WE GO TO MY FAVORITE PIZZA SPOT FOR LUNCH AND THESE LAST COUPLE OF DAYS IVE NOTICED I JUST CANT TASTE IT
audio/RES0058.mp3[21.160,28.720]	OK WHEN YOU SAY THE PAST COUPLE OF DAYS DO YOU MEAN TWO DAYS THREE DAYS FOUR DAYS
audio/RES0058.mp3[28.720,34.120]	I WOULD SAY THE LAST TWO DAYS YEAH JUST YESTERDAY AND TODAY
audio/RES0058.mp3[34.120,49.200]	OK SO LOSS OF TASTE SO YOU CANT TASTE ANYTHING OR YOU CAN ONLY TASTE SOME THINGS OR YOURE JUST NOT GETTING THE FULL DEPTH OF YOUR TASTE
audio/RES0058.mp3[49.200,65.280]	YEAH I REALLY NOTICED IT WITH THE PIZZA BUT WITH LIKE OTHER THINGS TOO ITS JUST A YEAH REALLY PLAIN IT DOESNT  REALLY HAVE ANY FLAVOR WITH THE FOOD THAT IM EATING
audio/RES0058.mp3[65.280,70.120]	OK SO IT KIND OF TASTES LIKE CARDBOARD
audio/RES0058.mp3[70.120,81.840]	YEAH KIND OF AND I THINK LIKE I MEAN PART OF THAT IS THAT I MAYBE NOT SMELLING IT AS WELL EITHER
audio/RES0058.mp3[81.840,93.680]	YEAH OK UMM DID YOU HAVE ANY TRAUMA TO THE AREA LIKE THE MOUTH AREA OR THE NOSE AREA IN THE PAST COUPLE OF DAYS OR DAYS LEADING UP TO THAT
audio/RES0058.mp3[93.680,96.200]	UMM NO NOT AT ALL NO
audio/RES0058.mp3[96.200,101.040]	OK AND DO YOU HAVE A FEVER AT ALL
audio/RES0058.mp3[101.040,105.440]	UMM I DONT THINK SO NO
audio/RES0058.mp3[105.440,108.320]	OK YOU HAVE A COUGH
audio/RES0058.mp3[108.320,110.760]	YEAH IVE HAD A COUGH
audio/RES0058.mp3[110.760,113.640]	OK A SIMILAR TIMELINE
audio/RES0058.mp3[113.640,118.920]	YEAH THATS WHEN THE COUGH STARTED MAYBE THREE OR FOUR DAYS AGO
audio/RES0058.mp3[118.920,124.440]	OK AND IS IT A DRY COUGH OR A WET COUGH
audio/RES0058.mp3[124.440,126.240]	YEAH ITS A DRY COUGH
audio/RES0058.mp3[126.240,129.640]	OK SO NO SPUTUM NO BLOOD
audio/RES0058.mp3[129.640,132.120]	NO SPUTUM AND AND NO BLOOD
audio/RES0058.mp3[132.120,137.280]	AND DO YOU FEEL WHEEZY AT ALL
audio/RES0058.mp3[137.280,138.320]	NO WHEEZINESS
audio/RES0058.mp3[138.320,142.880]	HOW ABOUT SHORTNESS OF BREATH
audio/RES0058.mp3[142.880,147.840]	UMM MAYBE AFTER COUGHING IVE HAD A HARD TIME CATCHING MY BREATH
audio/RES0058.mp3[147.840,158.520]	OK SURE YEAH AND HOW ABOUT ANY FATIGUE DO YOU FEEL LIKE YOURE MORE TIRED THAN USUAL
audio/RES0058.mp3[158.520,172.720]	YEAH THESE PAST FEW DAYS I HAVE DEFINITELY I FELT MORE TIRED IVE BEEN SLEEPING A LOT MORE THROUGHOUT THE DAY AND JUST I DONT KNOW KIND OF LAZY
audio/RES0058.mp3[172.720,180.360]	YEAH AND I KNOW YOU MENTIONED YOURE HAVING A HARD TIME TASTING HOW ABOUT YOUR APPETITE THOUGH DO YOU FEEL LIKE YOUVE LOST APPETITE
audio/RES0058.mp3[180.360,184.640]	I THINK APPETITES BEEN OK IVE BEEN HUNGRY
audio/RES0058.mp3[184.640,190.400]	YEAH OK UMM HOW ABOUT MUSCLE ACHES
audio/RES0058.mp3[190.400,192.680]	UMM NO JUST TIRED
audio/RES0058.mp3[192.680,196.600]	OK AND CHEST PAIN
audio/RES0058.mp3[196.600,198.400]	NO CHEST PAIN
audio/RES0058.mp3[198.400,203.680]	ALRIGHT DO YOU HAVE A FEELING LIKE YOUR HEARTS RACING
audio/RES0058.mp3[203.680,205.520]	NO NOTHING LIKE THAT
audio/RES0058.mp3[205.520,210.880]	OK ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0058.mp3[210.880,214.080]	UMM YEAH WELL I HAD DIARRHEA THIS MORNING ACTUALLY
audio/RES0058.mp3[214.080,217.880]	OK SO SOME DIARRHEA THIS MORNING
audio/RES0058.mp3[217.880,228.760]	NONE BEFORE THAT THOUGH IT WAS JUST THE ONE OR KIND OF TWO TIMES BUT IT HASNT HAPPENED SINCE THEN
audio/RES0058.mp3[228.760,231.720]	OK NO CONSTIPATION
audio/RES0058.mp3[232.760,234.360]	NO BLOOD IN YOUR STOOL
audio/RES0058.mp3[234.360,239.400]	I KNOW I DIDNT SEE ANYTHING RED
audio/RES0058.mp3[239.400,247.840]	OK HOW ABOUT YOUR STOOL SEEMING LIKE ITS VERY DARK ALMOST TO THE POINT WHERE IT LOOKS BLACK
audio/RES0058.mp3[247.840,254.400]	OH NO IT IT WASNT DARK LIKE THAT
audio/RES0058.mp3[254.400,257.240]	OK GOOD ANY ABDOMINAL PAIN
audio/RES0058.mp3[259.400,262.560]	ANY ISSUES SWALLOWING FOOD
audio/RES0058.mp3[262.560,270.280]	UMM NO ISSUES SWALLOWING FOOD MY THROAT HAS FELT A BIT ITCHY I MEAN IVE BEEN COUGHING ALOT
audio/RES0058.mp3[270.280,274.240]	DOES IT FEEL SORE AS WELL
audio/RES0058.mp3[274.240,281.160]	NOT REALLY OR JUST KIND OF YEAH KIND OF SCRATCHY
audio/RES0058.mp3[281.160,286.920]	OK HAVE YOU HAD A RUNNY NOSE OR A BLOCKED NOSE
audio/RES0058.mp3[286.920,292.240]	UMM NOT REALLY
audio/RES0058.mp3[292.240,295.680]	NO OK ANY RASHES
audio/RES0058.mp3[295.680,300.800]	UMM NO I HAVENT NOTICED ANY RASHES
audio/RES0058.mp3[300.800,304.320]	OK AND ARE THINGS NORMAL WITH YOUR URINE
audio/RES0058.mp3[304.320,306.320]	YEAH THEY ARE
audio/RES0058.mp3[306.320,310.920]	HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0058.mp3[310.920,325.280]	UMM A LITTLE BIT DIZZY I WHEN I GOT OUT OF BED THIS MORNING BUT WE SAT BACK DOWN FOR A COUPLE OF MINUTES I FELT BETTER
audio/RES0058.mp3[325.280,340.760]	OK GOOD GOOD DO YOU THINK THAT THIS MORNING YOU WERE DIZZY BECAUSE YOU WERE DEHYDRATED OR IS THIS LIKE A NORMAL THING FOR YOU
audio/RES0058.mp3[340.760,357.000]	I MEAN I GUESS I COULD HAVE BEEN DEHYDRATED I DIDNT EVEN THINK OF THAT BUT I MEAN SINCE THE FOOD DIDNT TASTE SO GREAT I DONT KNOW I PROBABLY DIDNT EAT AS MUCH YESTERDAY OR THE LAST COUPLE OF DAYS MAYBE I HAVENT EATEN AS MUCH
audio/RES0058.mp3[357.000,362.520]	OK YEP OK DO YOU FEEL WEAK
audio/RES0058.mp3[362.520,375.000]	I DONT KNOW MAYBE MAYBE A LITTLE WEAK BUT UMM JUST WAY MORE TIRED
audio/RES0058.mp3[375.000,382.280]	OK ANY CONFUSION OR MEMORY LOSS
audio/RES0058.mp3[382.280,390.640]	UMM NO I HAVE BEEN ABLE TO DO SOME OF MY SCHOOL WORK
audio/RES0058.mp3[390.640,395.160]	OK GOOD AND YOU MENTIONED NO RASHES RIGHT
audio/RES0058.mp3[395.160,396.560]	NO RASH
audio/RES0058.mp3[396.560,403.520]	OK ANY WEIGHT LOSS OVER THE PAST COUPLE OF MONTHS
audio/RES0058.mp3[403.520,407.440]	NOTHING LIKE THAT NO WEIGHT CHANGE ITS BEEN THE SAME
audio/RES0058.mp3[407.440,415.840]	OK HOW ABOUT UMM NIGHT SWEATS OR CHILLS
audio/RES0058.mp3[415.840,423.560]	I FELT A BIT UMM HOT BUT NOT SWEATY JUST HOT
audio/RES0058.mp3[423.560,426.040]	OK SO KIND OF LIKE YOU HAVE A FEVER
audio/RES0058.mp3[426.040,430.840]	YEAH I GUESS SO MAYBE
audio/RES0058.mp3[430.840,432.600]	SURE ANY MUSCLE ACHES
audio/RES0058.mp3[432.600,439.160]	UMM NO MUSCLE ACHES
audio/RES0058.mp3[439.160,443.760]	HAVE YOU BEEN AROUND ANYONE WHOS BEEN SICK RECENTLY
audio/RES0058.mp3[443.760,451.080]	YEAH THERE IS THIS GUY IN MY CLASS WHO WAS SICK IN CLASS LAST WEEK
audio/RES0058.mp3[451.080,456.320]	WHAT KIND OF SYMPTOMS DID HE HAVE
audio/RES0058.mp3[456.320,474.240]	WELL HE HAD A COUGH AND FEVER YEAH I THINK HE HAD A COUGH AND A FEVER AND SOMEBODY SAID THAT MAYBE A SORE THROAT OR SOMETHING LIKE THAT
audio/RES0058.mp3[474.240,485.280]	OK SO YEAH SOME SYMPTOMS OVERLAP WITH YOURS I GUESS HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0058.mp3[485.280,496.200]	OH NO IVE BEEN AT HOME WE JUST STARTED BACK AT GOING IN PERSON TO SCHOOL AGAIN
audio/RES0058.mp3[496.200,504.080]	OK THATS GOOD AND ARE YOU OTHERWISE HEALTHY
audio/RES0058.mp3[504.080,509.120]	YEAH I HAVENT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0058.mp3[509.120,517.960]	OH GOOD OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0058.mp3[517.960,526.080]	POSSIBLY CATS BUT WE DONT HAVE ANY PETS AT HOME
audio/RES0058.mp3[526.080,530.880]	OK GOOD HAVE YOU BEEN AROUND CATS RECENTLY
audio/RES0058.mp3[531.480,541.920]	OK AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0058.mp3[541.920,555.000]	I DID HAVE MY APPENDIX TAKEN OUT LIKE 4 FOUR YEARS AGO YEAH AT THE BEGINNING OF HIGH SCHOOL BUT THAT WAS THE ONLY SURGERYAND EVERYTHING WENT WELL
audio/RES0058.mp3[555.000,564.320]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0058.mp3[564.320,574.760]	I AM YEAH I HAVE MY IMMUNIZATION CARD HERE ACTUALLY
audio/RES0058.mp3[574.760,582.160]	OK GOOD ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS THAT YOU KNOW OF
audio/RES0058.mp3[582.160,601.240]	I KNOW MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED HIS WHOLE LIFE ALSO ALSO DIABETES BUT DONT KNOW IF HE HAD ANY HEART PROBLEMS THOUGH
audio/RES0058.mp3[601.240,605.080]	OK IM SORRY I FORGOT TO ASK YOU ARE YOU ON ANY MEDICATIONS
audio/RES0058.mp3[605.080,607.280]	UMM IM NOT
audio/RES0058.mp3[607.280,612.920]	OK AND DO YOU SMOKE
audio/RES0058.mp3[612.920,616.040]	UMM I DONT
audio/RES0058.mp3[616.040,624.080]	OK HOW ABOUT MARIJUANA
audio/RES0058.mp3[624.080,626.600]	UH NO OH BUT I GUESS I USE A VAPE EVERY ONCE IN A WHILE
audio/RES0058.mp3[626.600,631.560]	WITH LIKE MARIJUANA
audio/RES0058.mp3[631.560,634.920]	NO ITS LIKE THOSE FLAVORED ONES
audio/RES0058.mp3[634.920,642.240]	OH OK YEAH HOW OFTEN DO YOU USE THAT
audio/RES0058.mp3[642.240,647.520]	ITS LIKE A FEW TIMES A DAY
audio/RES0058.mp3[647.520,653.000]	OK AND IS THERE ANY TOBACCO IN THERE OR NICOTINE
audio/RES0058.mp3[653.000,662.880]	I THINK THERE MIGHT BE BUT UMM I DONT KNOW I USUALLY JUST BUY THE FLAVORED ONES
audio/RES0058.mp3[662.880,687.640]	OK WELL YOU SHOULD PROBABLY LOOK INTO IF IT HAS TOBACCO OR NICOTINE BECAUSE NEITHER OF THOSE ARE GOOD FOR YOUR HEALTH AND SO WE CAN YOU KNOW HAVE A DISCUSSION LATER ON TRYING TO CUT DOWN OR QUITTING COMPLETELY IF YOU ARE OPEN TO THAT
audio/RES0058.mp3[687.640,689.080]	YEAH SURE
audio/RES0058.mp3[689.080,695.520]	ILL JUST CONTINUE ON ASKING YOU SOME OTHER QUESTIONS DO YOU DRINK ALCOHOL
audio/RES0058.mp3[695.520,696.080]	UMM NO
audio/RES0058.mp3[696.080,705.600]	AND WHO DO YOU LIVE WITH
audio/RES0058.mp3[705.600,712.400]	I LIVE WITH MY MOM MY STEP DAD AND THEN MY YOUNGER SISTER
audio/RES0058.mp3[712.400,715.760]	OK DO YOU GUYS LIVE IN A HOUSE
audio/RES0058.mp3[715.760,718.840]	WE LIVE IN A TOWNHOUSE
audio/RES0058.mp3[718.840,722.280]	OK IN THE CITY YOU SAID
audio/RES0058.mp3[722.280,731.880]	YEAH YEAH I LIVE CLOSE I GO TO HIGH SCHOOL NOT TOO FAR FROM HERE
audio/RES0058.mp3[731.880,745.600]	OH THATS NICE AND ANY CONCERNS WITH THE LIVING ARRANGEMENTS IN TERMS OF YOU KNOW LIKE IT BEING AN OLD BUILDING OLD CARPETS MOLD ANYTHING LIKE THAT
audio/RES0058.mp3[745.600,754.200]	NO I LIVE IN A NICE PLACE ITS USUALLY LIKE REALLY CLEAN
audio/RES0058.mp3[754.200,769.160]	OK GOOD UMM ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS THAT YOU WANTED TO BRING UP
audio/RES0058.mp3[769.160,774.040]	I GUESS THE ONLY THING THAT I WAS CONCERNED ABOUT WAS POSSIBLY HAVING COVI
audio/RES0058.mp3[774.040,840.840]	YEAH YOU KNOW THATS PROBABLY TOP ON MY LIST OF THINGS TO INVESTIGATE YOU FOR SO I WOULD SAY COVIOR OTHER VIRAL ILLNESSES THAT COULD BE GOING AROUND THIS TIME OF YEAR THAT WOULD HAVE LESS OF A SIMILAR PRESENTATION AND SO WE WILL DO A COVISWAB FOR YOU AND IN THE MEANTIME IF YOU COULD ISOLATE FOR 14 DAYS REGARDLESS OF WHETHER THE SWAB COMES BACK POSITIVE OR NEGATIVE AND THAT WOULD BE GREAT IF THE SWAB COMES BACK POSITIVE WE WILL NOTIFY PUBLIC HEALTH AND THEYLL TRY TO TRACE WHERE YOU COULD HAVE CAUGHT THIS FROM AND IF IT TURNS OUT ITS NOT A VIRAL ILLNESS WE WILL TRY TO WORK YOU UP FOR ANY BACTERIAL INFECTIONS WHICH CAN BE TREATED WITH ANTIBIOTICS SO THATS WHERE WE WILL START DOES THAT SOUND GOOD
audio/RES0058.mp3[840.840,843.120]	YEAH THAT MAKES SENSE
audio/RES0058.mp3[843.120,847.880]	OK GREAT WELL HAVE A GREAT DAY
audio/RES0058.mp3[847.880,853.640]	YEAH THANK YOU
audio/RES0189.mp3[0.000,1.440]	HOW MAY I HELP YOU
audio/RES0189.mp3[1.440,27.120]	SO IVE BEEN HAVING A LOT OF TROUBLE IN THE LAST TWO WEEKS OF ESPECIALLY THIS PAST WEEK OF JUST A LOT OF SHORTNESS OF BREATH IM GETTING A LOT OF COUGHING AS WELL AND PRODUCING A LOT OF MATERIAL AND ALSO I THINK I MIGHT HAVE BEEN HAVING A FEVER THIS WEEK AS WELL
audio/RES0189.mp3[27.120,34.480]	OK UH THE SHORTNESS OF BREATH IS IT HAPPENING AT REST OR EXERTION AND HOW MUCH EXERTION
audio/RES0189.mp3[34.480,64.200]	UHM I THINK ITS HAPPENING MOSTLY ON EXERTION USUALLY IM ABLE TO WALK AROUND THE HOUSE NO ISSUES GO UP AND DOWN STAIRS BUT RIGHT NOW IM PRETTY LIMITED I CANT REALLY GO UP AND DOWN STAIRS WITHOUT GETTING REALLY SHORT OF BREATH I CANT EVEN WALK FROM THE BEDROOM TO THE KITCHEN WITHOUT BECOMING SHORTNESS OF LIKE SHORT OF BREATH
audio/RES0189.mp3[64.200,72.040]	OK UM OK AND WHEN DID THAT CHANGE HAPPEN
audio/RES0189.mp3[72.040,79.680]	SO I WOULD SAY ONE WEEK AGO IS WHEN THIS ALL KIND OF STARTED
audio/RES0189.mp3[79.680,84.240]	OK AND HAS IT BEEN GETTING ANY BETTER WORSE OR STAYING THE SAME
audio/RES0189.mp3[84.240,110.280]	I WOULD SAY ITS KIND OF GETTING WORSE IM COUGHING A LOT MORE SPUTUM UP IM GETTING MORE AND MORE SHORT OF BREATH NOW I DO HAVE A CALL FOR LIKE A VERY LONG TIME NOW IVE I WAS DIAGNOSED WITH COPIN MY 60S PROBABLY LIKE 10 YEARS AGO AND BUT THIS SEEMS TO BE JUST A MUCH WORSE THAN MY COPD
audio/RES0189.mp3[110.280,125.160]	OK SURE ITS BEEN A LOT WORSE IN THE LAST WEEK IT SOUNDS LIKE OK UHM HAVE YOU ARE YOU ABLE TO LIE FLAT LIKE ON YOUR BACK WITHOUT EXPERIENCING SHORTER BREATH SHORTNESS OF BREATH
audio/RES0189.mp3[125.160,132.520]	YEAH AND WHEN IM RESTING OR LYING DOWN OR TRYING TO SLEEP I DONT GET SHORT OF BREATH
audio/RES0189.mp3[132.520,143.480]	OK AND HAVE YOU EVER HAD INSTANCES WHERE YOU WOKE UP IN THE MIDDLE OF THE NIGHT REALLY SHORT OF BREATH AND YOU HAD TO SIT UP TO CATCH YOUR BREATH
audio/RES0189.mp3[143.480,146.880]	UH NO I DONT THINK SO
audio/RES0189.mp3[146.880,152.640]	OK HAVE YOU NOTICED ANY LEG SWELLING
audio/RES0189.mp3[153.640,164.960]	OK AND YOU SAID THAT TO YOU SO YOUVE HAD A COUGH FOR AWHILE NOW BUT ITS GOTTEN WORSE THIS PAST WEEK IN YOUR ARE YOU BRINGING UP SPUTUM
audio/RES0189.mp3[164.960,180.720]	YEAH IM BRINGING UP A LOT OF MATERIALS I THINK EVERY TIME I COUGH IM BRINGING SOME SPUTUM UP AND RIGHT NOW THE LIKE USUALLY THE COLOR IS LIKE CLEAR TO WHITISH BUT RIGHT NOW ITS A BIT MORE YELLOW
audio/RES0189.mp3[180.720,189.680]	OK SO A CHANGE IN THE SPUTUM COLOR AND ALSO SOUNDS LIKE YOURE BRINGING UP MORE SPUTUM AS WELL
audio/RES0189.mp3[190.600,196.760]	OK AND HAVE YOU BROUGHT UP OR COUGHED UP ANY BLOOD SO HAVE YOU HAD ANY HEMOPTYSIS
audio/RES0189.mp3[196.760,200.680]	NO NOTHING LIKE THAT
audio/RES0189.mp3[200.680,207.120]	OK AND HAVE YOU HAD ANY WHEEZING
audio/RES0189.mp3[207.120,215.240]	UHM I DO BUT WHEN I GET SHORT OF BREATH I HAVE SOME WHEEZING BUT USUALLY I DONT
audio/RES0189.mp3[215.240,221.000]	OK BUT BUT YOUVE HAD WHEEZING THIS PAST WEEK THOUGH
audio/RES0189.mp3[223.480,228.120]	YEAH OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0189.mp3[228.120,236.080]	JUST WHEN IM COUGHING AND GETTING SHORT OF BREATH I DO HAVE SOME DISCOMFORT IN MY CHEST
audio/RES0189.mp3[236.080,245.320]	OK UH DO YOU FEEL THAT OR COULD YOU DESCRIBE HE THE PAINS CHARACTER LIKE IS IT SHARP DULL OR ACHY
audio/RES0189.mp3[245.320,259.720]	ITS MORE JUST AN ACHE AND ITS KIND OF MORE OF A DISCOMFORT THAN A PAIN AND IT KIND OF GOES AWAY ONCE MY EPISODE OF COUGHING AND SHORTNESS OF BREATH IS RELIEVED WITH SOME REST
audio/RES0189.mp3[259.720,265.880]	OK UH AND UH HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS
audio/RES0189.mp3[265.880,284.520]	YEAH IVE BEEN NOTICING THAT IM GETTING A LOT MORE CHILLS THIS PAST WEEK THEY KIND OF COME AND GO BUT EVEN AT NIGHT I GET LIKE THESE CHILLS THAT AFTER WRAP MYSELF UP IN AT LEAST THREE BLANKETS
audio/RES0189.mp3[284.520,288.480]	OK AND HAVE YOU HAD A FEVER
audio/RES0189.mp3[288.480,299.160]	UH I DIDNT GET A CHANCE TO MEASURE ANY OF THEM BUT I MIGHT HAVE HAD A FEVER JUST FROM THE CHILLS THAT IM EXPECTING THAT I HAD A FEVER
audio/RES0189.mp3[299.160,303.440]	OK AND HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0189.mp3[305.320,312.720]	OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0189.mp3[312.720,317.400]	NO I THINK MY WEIGHTS BEEN PRETTY STEADY
audio/RES0189.mp3[317.400,321.440]	OK HAVE YOU HAD ANY HEADACHES
audio/RES0189.mp3[321.960,327.640]	HAVE YOU HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE
audio/RES0189.mp3[327.640,330.440]	NO NOT THAT I KNOW OF
audio/RES0189.mp3[330.440,334.880]	OK HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT
audio/RES0189.mp3[337.160,342.520]	OK HAVE YOU HAD A LOSS OF TASTE OR LOSS OF SMELL
audio/RES0189.mp3[342.520,346.360]	NO NOTHING LIKE THAT
audio/RES0189.mp3[346.360,350.480]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0189.mp3[352.000,354.680]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0189.mp3[354.680,356.640]	NO ABDOMINAL PAIN
audio/RES0189.mp3[356.640,359.160]	HAVE YOU HAD ANY DIARRHEA
audio/RES0189.mp3[359.760,361.960]	HAVE YOU HAD ANY CONSTIPATION
audio/RES0189.mp3[362.680,367.360]	HAVE YOU HAD ANY SKIN RASHES
audio/RES0189.mp3[368.640,372.000]	ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0189.mp3[372.000,373.960]	NO NOTHING LIKE THAT
audio/RES0189.mp3[373.960,380.080]	OK AND HAVE YOU HAD ANY ANY FATIGUE
audio/RES0189.mp3[380.080,394.000]	MAYBE A LITTLE BIT MORE TIRED JUST WITH THE SHORTNESS OF BREATH AND CHILLS AND EVERYTHING LIKE THAT BUT YEAH SO A LITTLE BIT MORE FATIGUE
audio/RES0189.mp3[394.000,400.320]	OK AND HAVE YOU HAD ANY FAINTING OR DIZZINESS
audio/RES0189.mp3[400.320,402.760]	UH NO
audio/RES0189.mp3[402.760,406.640]	OR OK AND HAVE YOU HAD ANY HEART PALPITATIONS
audio/RES0189.mp3[408.400,419.040]	ALRIGHT AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0189.mp3[419.040,431.880]	NO OH SORRY MEDICAL CONDITIONS IN THE PAST COPI HAVE I ALSO DO HAVE SOME HIGH BLOOD PRESSURE AND I TAKE SOME MEDICATIONS FOR CHOLESTEROL AS WELL
audio/RES0189.mp3[431.880,443.600]	OK SO YOU TAKE MEDICATIONS FOR CHOLESTEROL AND HIGH BLOOD PRESSURE AND YOU USE ANY INHALERS
audio/RES0189.mp3[443.600,469.840]	NO SORRY INHALERS I USE UH TWO DIFFERENT KINDS OF INHALERS SO ONE OF THEM IS JUST WHEN I LIKE NEED IT UH LIKE IVE BEEN USING A LOT MORE RECENTLY LIKE THE VENTOLIN AND THEN I ALSO HAVE ANOTHER INHALER CALLED SPIRIVA THAT IVE BEEN USING AS WELL
audio/RES0189.mp3[469.840,475.880]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0189.mp3[475.880,481.880]	UHM I DO HAVE AN ALLERGY TO SULFA DRUGS
audio/RES0189.mp3[481.880,484.720]	AND WHAT REACTION
audio/RES0189.mp3[484.720,489.160]	I USUALLY BREAK OUT INTO HIVES
audio/RES0189.mp3[489.160,496.360]	OK AND ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/RES0189.mp3[496.360,516.520]	SO IVE HAD A SURGERY TO REMOVE MY APPENDIX WHEN I WAS REALLY YOUNG THEN IVE HAD ANOTHER SURGERY FOR MY HIPS AS WELL BUT YEAH OTHER THAN THAT NO OTHER ISSUES
audio/RES0189.mp3[516.520,520.720]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0189.mp3[520.720,526.480]	YEAH ALL OF MY IMMUNIZATIONS SHOULD BE UP TO DATE
audio/RES0189.mp3[526.480,533.400]	OK EXCELLENT AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH
audio/RES0189.mp3[533.400,548.720]	YEAH SO I I CURRENTLY LIVE ALONE IN IN AN APARTMENT JUST IN THE CITY AND YEAH IVE BEEN LIVING ALONE FOR PROBABLY THE LAST FIVE YEARS
audio/RES0189.mp3[548.720,554.000]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0189.mp3[554.000,567.480]	UHM NOT RECENTLY I THINK I JUST I JUST GO OUT TO GET GROCERIES AND STUFF I HAVENT REALLY BEEN GOING OUT TOO MUCH
audio/RES0189.mp3[567.480,575.240]	ALRIGHT SO HAVE YOU TRAVELED ANYWHERE
audio/RES0189.mp3[576.840,579.960]	OK UHM DO YOU DRINK ALCOHOL
audio/RES0189.mp3[579.960,583.960]	MAYBE A COUPLE OF YEARS A WEEK
audio/RES0189.mp3[583.960,587.440]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0189.mp3[587.440,596.880]	YEAH I STILL SMOKE CIGARETTES EVEN THOUGH I HAVE COPI JUST YEAH I CANT REALLY QUIT I SMOKE PROBABLY HALF A PACK A DAY
audio/RES0189.mp3[596.880,601.480]	OK HOW LONG HAVE YOU SMOKED FOR APPROXIMATELY
audio/RES0189.mp3[601.480,610.640]	UH PROBABLY AT LEAST 45 YEARS
audio/RES0189.mp3[610.640,626.840]	OK AND UHM IF YOU WANTED TO TALK ABOUT QUITTING WE CAN DISCUSS THAT FURTHER AT A LATER TIME IF YOUD LIKE UHM AND SO DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0189.mp3[626.840,633.360]	NO NO NO NO DRUGS AT ALL
audio/RES0189.mp3[633.360,642.880]	OK UHM AND HAVE YOU HAD A FAMILY HISTORY OF HEART DISEASE OR ANY LUNG CONDITIONS
audio/RES0189.mp3[642.880,657.880]	UHM NOT I MEAN LIKE NO LUNG CONDITIONS BUT I HAVE A FAMILY HISTORY LIKE MY BOTH MY GRANDATHER AND FATHER BOTH HAD HEART ATTACKS IN THEIR 60S
audio/RES0189.mp3[657.880,662.720]	OK AND ANY LUNG CANCER IN THE FAMILY
audio/RES0189.mp3[662.720,667.280]	NO NOT THAT I KNOW OF
audio/RES0189.mp3[667.280,678.400]	OK SO I THINK THAT WAS ALL THE QUESTIONS THAT I I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT ABOUT THAT YOU WANTED TO MENTION
audio/RES0189.mp3[678.400,686.360]	UHM NO I THINK THAT THOSE ARE ALL THE QUESTIONS I HAD AND EVERYTHING WAS COVERED
audio/RES0189.mp3[686.360,745.880]	OK UHM SO UH THE NEXT STEPS FOR NOW I THINK WILL BE TO UH START WELL GET A PHYSICAL EXAM IN AND YOUR VITAL SIGNS AND GET SOME INVESTIGATIONS IT IS SOUNDING LIKE A COPEXACERBATION WITH THE INCREASING AND THE CHANGE CHANGING SPUTUM THE INCREASING FREQUENCY OF COUGH AND THE EXERTIONAL SHORTNESS OF BREATH AS WELL ALONG WITH WHEEZING AND KIND OF THIS CHEST DISCOMFORT THAT YOURE EXPERIENCING AND SO UH THIS WILL REQUIRE SOME ANTIBIOTICS AS WELL AND DEPENDING ON THE SEVERITY OF SYMPTOMS POSSIBLY SOME STEROIDS AS WELL TO HELP WITH THE INFLAMMATION
audio/RES0189.mp3[745.880,751.720]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0139.mp3[0.000,2.080]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0139.mp3[2.080,13.440]	UM IM JUST IM HERE BECAUSE IVE HAD THIS COUGH FOR THE PAST TWO WEEKS AND UH ITS JUST NOT GOING AWAY
audio/RES0139.mp3[13.440,16.840]	OKAY AND UM IS IT GETTING WORSE AT ALL REALLY
audio/RES0139.mp3[16.840,22.760]	NOT REALLY ITS JUST BEEN THE SAME
audio/RES0139.mp3[22.760,26.720]	HOW WOULD YOU DESCRIBE THE COUGH IS IT A WET COUGH OR A DRY COUGH
audio/RES0139.mp3[26.720,29.040]	ITS A DRY COUGH
audio/RES0139.mp3[29.040,36.840]	OKAY ARE YOU BRINGING UP ANY UH SPUTUM OR BLOOD AT ALL
audio/RES0139.mp3[36.840,38.400]	UH NO
audio/RES0139.mp3[38.400,44.680]	UM WOULD YOU DESCRIBE IT AS LIKE A A BARKING COUGH A HARSH COUGH OR A MUFFLED COUGH
audio/RES0139.mp3[44.680,48.240]	NOT REALLY
audio/RES0139.mp3[48.240,59.000]	NO OKAY UM BEFORE YOU STARTED UH COUGHING DID YOU HAVE ANY OTHER SYMPTOMS LIKE RUNNY NOSE CONGESTION SORE THROAT ANYTHING LIKE THAT
audio/RES0139.mp3[59.000,59.320]	UH NO
audio/RES0139.mp3[59.320,61.160]	OKAY SO ITS JUST THE COUGH
audio/RES0139.mp3[62.440,64.800]	OKAY ANY FEVERS OR CHILLS
audio/RES0139.mp3[66.920,70.920]	OKAY AND IS THE COUGH CONSTANT OR DOES IT COME AND GO
audio/RES0139.mp3[70.920,75.520]	IT UH I GUESS ITS JUST ITS THERE THROUGHOUT THE DAY
audio/RES0139.mp3[75.520,84.160]	ITS THERE THROUGHOUT THE DAY OKAY AND IS IT BROUGHT ON BY ANY ACTIVITIES OR OR DOES IT JUST COME ON BY ITSELF
audio/RES0139.mp3[84.160,86.160]	IT COMES ON BY ITSELF
audio/RES0139.mp3[86.160,92.160]	OKAY AND HAS IT GOTTEN ANY BETTER AT ALL OR STAYED AROUND THE SAME
audio/RES0139.mp3[92.160,93.800]	ITS STAYED THE SAME
audio/RES0139.mp3[93.800,99.760]	OKAY HAS THIS HAPPENED TO YOU BEFORE WHERE YOU HAD A COUGH FOR A LONG TIME
audio/RES0139.mp3[101.120,106.520]	NO OKAY UM DO YOU HAVE ANY OTHER SYMPTOMS LIKE CHEST PAIN SORE THROAT
audio/RES0139.mp3[107.400,117.720]	OKAY UM ANY RECENT TRAVEL OR CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0139.mp3[117.720,130.240]	I DONT THINK SO NO I JUST WENT TO MY I WENT TO SEE MY FAMILY DOCTOR UM FOR SOME PRESCRIPTIONS
audio/RES0139.mp3[131.000,133.120]	UM THREE WEEKS AGO
audio/RES0139.mp3[133.120,136.800]	THREE WEEKS AGO OKAY ANY HEADACHES AT ALL
audio/RES0139.mp3[138.680,141.800]	OKAY NAUSEA OR VOMITING
audio/RES0139.mp3[142.040,143.880]	ANY NIGHT SWEATS
audio/RES0139.mp3[143.880,146.800]	UM NO NOTHING LIKE THAT
audio/RES0139.mp3[146.800,148.440]	ANY FATIGUE AT ALL
audio/RES0139.mp3[151.840,155.440]	NO ANY SHORTNESS OF BREATH
audio/RES0139.mp3[158.640,161.600]	AND NO CHEST PAIN
audio/RES0139.mp3[162.880,167.200]	ANY DIARRHEA OR CONSTIPATION
audio/RES0139.mp3[167.840,172.200]	OKAY UM ANY WHEEZING AT ALL
audio/RES0139.mp3[173.160,178.920]	OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY
audio/RES0139.mp3[178.920,182.160]	UM NO NO I DONT THINK SO
audio/RES0139.mp3[182.160,186.080]	ANY CHANGES SORRY ANY ISSUES WITH YOUR URINATION
audio/RES0139.mp3[187.560,193.120]	ARE YOU SLEEPING WELL OR DOES THE COUGH KEEP YOU UP AT NIGHT
audio/RES0139.mp3[193.120,197.920]	UM ITS ITS NOT SO IT HASNT INTERRUPTED MY SLEEP
audio/RES0139.mp3[197.920,201.400]	OKAY AND HOWS YOUR APPETITE BEEN LIKE
audio/RES0139.mp3[201.400,204.040]	NO EVERYTHINGS OKAY
audio/RES0139.mp3[204.040,209.480]	OKAY AND ANY UH LOSS OF YOUR SENSE OF TASTE OR SMELL
audio/RES0139.mp3[210.800,220.600]	NO OKAY UM ANY EXPOSURE TO ANY FUMES OR DUST WITHIN YOUR ENVIRONMENT OR ANIMALS OR PETS
audio/RES0139.mp3[221.280,228.240]	UM AND OTHERWISE DO YOU HAVE ANY MEDICAL CONDITIONS LIKE ASTHMA COPANYTHING LIKE THAT
audio/RES0139.mp3[228.240,251.960]	UM I WENT IN FOR I WENT IN FOR A CHECKUP THREE WEEKS AGO AND UH I FOUND OUT I HAD HIGH BLOOD PRESSURE YOU KNOW WHO WOULD HAVE THOUGHT AND THEN MY DOC STARTED ME ON THIS PILL CALLED RAMIPRIL AND UH IVE JUST BEEN CHECKING MY BLOOD PRESSURE ON A REGULAR BASIS AND ITS YEAH ITS BEEN GOOD BUT OTHER THAN THAT IM VERY HEALTHY
audio/RES0139.mp3[251.960,254.240]	OKAY AND NO ASTHMA
audio/RES0139.mp3[254.240,255.440]	NO ASTHMA
audio/RES0139.mp3[255.440,261.960]	OKAY AND ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES
audio/RES0139.mp3[261.960,264.280]	UM JUST PENICILLIN
audio/RES0139.mp3[264.280,270.080]	JUST PENICILLIN AND HAVE YOU TAKEN ANY ANTIBIOTICS OR PENICILLIN RECENTLY
audio/RES0139.mp3[270.960,273.720]	NO AND UM WHAT MEDICATIONS ARE YOU ON
audio/RES0139.mp3[273.720,276.480]	JUST JUST THAT ONE
audio/RES0139.mp3[276.480,279.640]	JUST THE RAMIPRIL
audio/RES0139.mp3[279.640,282.520]	I ALSO TAKE I ALSO TAKE A MULTIVITAMIN
audio/RES0139.mp3[282.520,290.640]	MULTIVITAMIN OKAY HAVE YOU BEEN HOSPITALIZED BEFORE OR HAD ANY SURGERIES
audio/RES0139.mp3[292.200,299.200]	NO OKAY UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0139.mp3[299.200,302.720]	UM NO NO I DONT THINK SO
audio/RES0139.mp3[302.720,304.400]	OKAY ANY CANCERS
audio/RES0139.mp3[304.400,312.120]	YEAH UH PANCREATIC CANCER AND COLON CANCER RUNS IN THE FAMILY
audio/RES0139.mp3[312.120,317.520]	OKAY AND IS THAT UH ANY DIRECT RELATIVES LIKE YOUR MOM OR DAD OR KIDS
audio/RES0139.mp3[317.520,323.880]	MY MY GRANDPARENTS ON MY MOMS SIDE
audio/RES0139.mp3[323.880,330.440]	UM AND CURRENTLY DO YOU WORK UM OR ARE YOU RETIRED
audio/RES0139.mp3[330.440,332.200]	IM A LAWYER
audio/RES0139.mp3[332.200,336.320]	OKAY AND UH DO YOU WORK FROM HOME RIGHT NOW OR DO YOU GO IN PERSON
audio/RES0139.mp3[336.320,338.120]	YEAH IVE BEEN WORKING FROM HOME
audio/RES0139.mp3[338.120,347.200]	YOUVE BEEN WORKING FROM HOME OKAY UM AND WHATS YOUR HOME SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE DO YOU LIVE IN A HOUSE OR AN APARTMENT
audio/RES0139.mp3[347.200,360.920]	UM I LIVE I LIVE IN AN APARTMENT I UM I LIVE ALONE I JUST GOT I HAD A DIVORCE TWO YEARS AGO AND SINCE THEN IVE BEEN IVE BEEN LIVING ALONE
audio/RES0139.mp3[360.920,373.000]	OKAY IM SORRY UM AND IS IN YOUR HOME ENVIRONMENT IS THERE ANY KIND OF ALLERGENS LIKE DUST OR ANY MOLD OR ANYTHING LIKE THAT
audio/RES0139.mp3[373.000,375.080]	NO NOTHING LIKE THAT
audio/RES0139.mp3[375.080,380.520]	OKAY AND CURRENTLY DO YOU SMOKE AT ALL
audio/RES0139.mp3[380.520,382.640]	UM SOMETIMES
audio/RES0139.mp3[382.640,390.160]	SOMETIMES HOW OFTEN WOULD YOU SAY YOU SMOKE
audio/RES0139.mp3[390.160,397.640]	UM MAYBE UH TWO OR THREE CIGARETTES MAYBE THREE OR FOUR DAYS A WEEK
audio/RES0139.mp3[397.640,402.880]	OKAY AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0139.mp3[402.880,410.040]	UM SO I I USED TO SMOKE A LOT WHEN I WAS YOUNG AND THEN I QUIT AND THEN I STARTED AGAIN TWO YEARS AGO
audio/RES0139.mp3[410.040,417.000]	OKAY UM OKAY AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0139.mp3[417.000,418.880]	NO I DONT
audio/RES0139.mp3[418.880,422.680]	OKAY UM AND DO YOU DRINK ALCOHOL
audio/RES0139.mp3[423.080,432.000]	HOW MUCH WOULD YOU SAY YOU DRINK ON AN AVERAGE DAY
audio/RES0139.mp3[432.000,442.640]	MORE THAN I WOULD LIKE TO MENTION I YEAH I MAYBE 5 OR 6 BEERS A DAY
audio/RES0139.mp3[442.640,448.680]	OKAY AND UM IS THIS SOMETHING THATS NEW FOR YOU OR HAS BEEN GOING ON FOR YEARS NOW
audio/RES0139.mp3[448.680,455.200]	AGAIN THAT STARTED ABOUT TWO YEARS AGO SO
audio/RES0139.mp3[455.200,459.520]	UM AND UH DO YOU USE SO NO OTHER RECREATIONAL DRUGS RIGHT
audio/RES0139.mp3[459.520,460.520]	NO NOTHING ELSE
audio/RES0139.mp3[460.520,481.680]	YEAH SO WE CAN DEFINITELY TALK MORE ABOUT ALCOHOL USAGE DEFINITELY ESPECIALLY WHEN THERES UH PEOPLE GOING THROUGH STRESSFUL TIMES THERE CAN BE INCREASING SUBSTANCE USE INCLUDING ALCOHOL SO WE DEFINITELY HAVE A LOT OF RESOURCES THAT WE CAN UM DISCUSS TODAY IF YOU WOULD LIKE
audio/RES0139.mp3[481.680,484.680]	YEAH I WOULD REALLY LIKE THAT THANK YOU
audio/RES0139.mp3[484.680,496.680]	YOURE WELCOME UM YEAH BUT THOSE ARE ALL THE QUESTIONS I HAD FOR TODAY WELL DEFINITELY DO LIKE A PHYSICAL EXAMINATION BUT IT SEEMS YOUVE JUST BEEN HAVING A COUGH FOR THE LAST TWO WEEKS
audio/RES0139.mp3[499.360,505.880]	WITHOUT ANY OTHER SYMPTOMS UM OKAY SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME
audio/RES0139.mp3[505.880,507.200]	UM NO
audio/RES0139.mp3[507.200,527.760]	SO WHAT WELL DO IS SINCE YOUVE HAD THIS COUGH FOR THE LAST TWO WEEKS WE DEFINITELY WANT TO DO A COVISWAB JUST IN CASE YOUVE BEEN UH WORKING FROM HOME BUT IF THERE WAS ANY POTENTIAL CONTACT THEY USUALLY IT COMES BACK IN 24 TO 48 HOURS
audio/RES0139.mp3[528.920,565.960]	OTHER THAN THAT SOMETIMES UH WITH A HISTORY OF SMOKING YOU CAN HAVE SOMETHING CALLED UH COPWE CAN LIKE AFTER THE PHYSICAL EXAMINATIONS AND EVERYTHING WE CAN POTENTIALLY DISCUSS DOING PULMONARY FUNCTION TESTS AS WELL UM AND YEAH BUT OTHER THAN THAT IT CAN ALSO JUST BE LIKE A DRY COUGH CAN BE JUST A VIRAL UPPER RESPIRATORY TRACT INFECTION THAT TAKES TWO OR MORE WEEKS TO RESOLVE IN THAT CASE WE WOULDNT REALLY
audio/RES0139.mp3[566.960,570.920]	UM YEAH SO WELL DO THE PHYSICAL EXAMINATION AND THEN GO FROM THERE
audio/RES0139.mp3[570.920,572.520]	SOUNDS GREAT
audio/RES0139.mp3[572.520,575.640]	ALRIGHT TAKE CARE
audio/RES0179.mp3[0.000,1.400]	WHAT BRINGS YOU IN
audio/RES0179.mp3[1.400,17.960]	UH IVE HAD THIS COUGH ITS BEEN GOING ON NOW FOR LIKE LAST SIX MONTHS OR SO AND BEEN LOSING SOME WEIGHT AS WELL IVE LOST I THINK LIKE 20 OR 30 POUNDS IN THE LAST SIX MONTHS
audio/RES0179.mp3[17.960,26.840]	OK YEAH THATS A LOT OF WEIGHT SO THE WEIGHT LOSS YOU SAID 20 TO 30 POUNDS
audio/RES0179.mp3[26.840,27.600]	YEAH YEAH
audio/RES0179.mp3[28.280,33.120]	LIKE JUST OVER 200 AND IM IN THE 170S NOW
audio/RES0179.mp3[33.120,37.080]	OK SO THAT WAS IN THE PAST SIX MONTHS WHEN DO THE COUGH START
audio/RES0179.mp3[37.080,60.520]	WELL IVE HAD A COUGH BEFORE UH LIKE A SMOKERS COUGH AH AND THATS BEEN LIKE A FEW COUPLE OF YEARS BUT THATS JUST A COUGH THAT I WOULD HAVE IN THE MORNING AND IT WOULD JUST GO AWAY BUT I MEAN AROUND SIX MONTHS AGO I STARTED HAVING THIS COUGH ALL DAY
audio/RES0179.mp3[60.520,68.960]	HM OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH
audio/RES0179.mp3[68.960,70.720]	UHM ITS BEEN ITS BEEN DRY
audio/RES0179.mp3[70.720,73.720]	ITS BEEN DRY
audio/RES0179.mp3[75.520,78.920]	SO NO BLOOD OR SPUTUM
audio/RES0179.mp3[78.920,81.600]	UH NO NO BLOOD OR SPUTUM
audio/RES0179.mp3[81.600,86.960]	OK AND HAVE YOU BEEN FEELING SHORT OF BREATH AT ALL
audio/RES0179.mp3[86.960,99.240]	UHM I HAVE YEAH THE SHORTNESS OF BREATH HAS BEEN LIKE SIMILARLY GETTING A BIT WORSE OVER THE LAST OVER THE LAST SIX MONTHS
audio/RES0179.mp3[99.240,105.160]	OK ALRIGHT AND IS THERE WHEEZINESS AS WELL
audio/RES0179.mp3[105.160,107.080]	NO WHEEZING
audio/RES0179.mp3[107.080,109.840]	HOW ABOUT CHEST PAIN
audio/RES0179.mp3[109.840,137.480]	UH YEAH IVE HAD THIS KIND OF LIKE DULL KIND OF ACHING PAIN THAT THAT IVE HAD KIND OF WORK JUST ON THE RIGHT SIDE OF MY CHEST IT YEAH ITS KIND OF ACHING AND NOT THAT BAD BUT UNCOMFORTABLE
audio/RES0179.mp3[137.480,145.520]	OK AND AND IS IT A SHARP PAIN OR IS IT A DULL ACHY PAIN
audio/RES0179.mp3[145.520,148.360]	ITS MORE LIKE DULL
audio/RES0179.mp3[148.360,154.200]	OK AND IS IT ALWAYS THERE OR IS IT WORSE WITH LIKE EXERTION
audio/RES0179.mp3[154.200,161.560]	ITS ALWAYS THERE
audio/RES0179.mp3[161.560,166.080]	OK UHM AND SORRY YOU SAID IT WAS AT THE CENTRE OF YOUR CHEST
audio/RES0179.mp3[166.080,169.320]	MORE KIND OF ON THE RIGHT SIDE
audio/RES0179.mp3[169.320,173.760]	OK DOES IT GET WORSE WITH LIKE DEEP BREATHS
audio/RES0179.mp3[173.760,175.560]	NOT REALLY NO
audio/RES0179.mp3[175.560,182.040]	NO OK HOW ABOUT WHEN YOU LEAN FORWARD
audio/RES0179.mp3[185.320,203.160]	NO OK UHM AND HM HAVE YOU EVER BEEN WORKED UP FOR THE CHEST PAIN IN THE PAST LIKE TO RULE OUT HEART ATTACKS BLOCKED ARTERIES ANYTHING LIKE THAT
audio/RES0179.mp3[203.160,213.880]	UH YEAH ACTUALLY I HAD A STRESS TEST ABOUT A YEAR AGO AND IT THE RESULTS OF THAT WERE WERE NORMAL
audio/RES0179.mp3[213.880,219.200]	OK OK GOOD AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0179.mp3[219.200,240.720]	NO I HAVENT HAD ANY ANYTHING LIKE THAT I MEAN LIKE SOMETIMES I CAN GET PALPITATIONS CAUSE I HAVE A FIB OR ATRIAL FIBRILLATION BUT IT DOESNT REALLY YEAH AFFECT ME THAT THAT MUCH
audio/RES0179.mp3[240.720,250.480]	OK AND HOW ABOUT SHORTNESS SORRY HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0179.mp3[250.480,253.000]	NOTHING LIKE THAT
audio/RES0179.mp3[253.000,256.280]	NO ANY CALF PAIN WHEN YOU WALK A LOT
audio/RES0179.mp3[257.440,262.920]	NO OK ANY FEVERS
audio/RES0179.mp3[264.240,267.720]	NO HOW ABOUT FATIGUE
audio/RES0179.mp3[267.720,269.560]	NOT REALLY NO
audio/RES0179.mp3[269.560,271.760]	NO ANY RASHES
audio/RES0179.mp3[272.240,276.000]	CHANGES IN YOUR VISION OR HEARING
audio/RES0179.mp3[277.120,279.040]	SMELL OR TASTE
audio/RES0179.mp3[279.040,280.560]	THATS BEEN NORMAL
audio/RES0179.mp3[280.560,284.240]	OK RUNNY NOSE OR STUFFY NOSE
audio/RES0179.mp3[285.040,287.200]	SORE THROAT
audio/RES0179.mp3[288.200,291.520]	UHM CHANGES IN YOUR BOWEL MOVEMENT
audio/RES0179.mp3[291.520,292.840]	NO DIARRHEA
audio/RES0179.mp3[292.840,297.520]	AND HOW ABOUT LIKE BLOOD IN YOUR STOOL OR CONSTIPATION
audio/RES0179.mp3[297.520,301.080]	NO CONSTIPATION AND NO BLOOD IN THE STOOL
audio/RES0179.mp3[301.080,304.280]	OK NAUSEA OR VOMITING
audio/RES0179.mp3[305.520,308.760]	UHM APPETITE CHANGES
audio/RES0179.mp3[308.760,315.920]	NO WAY MY APPETITES BEEN BEEN OK THATS WHY I WAS LIKE REALLY SHOCKED AT THE THE WEIGHT LOSS
audio/RES0179.mp3[315.920,322.760]	MHMM UMM OK HOW ABOUT CHANGES IN YOUR URINE
audio/RES0179.mp3[322.760,335.520]	NO I MEAN SOMETIMES I CAN HAVE A I MEAN HARDER TIME TO GO CAUSE AS AN OLD GUY HAVE LARGE PROSTATE I THINK THEY SAID BUT I MEAN THATS BEEN OK
audio/RES0179.mp3[335.520,339.400]	OK HOW ABOUT HEADACHES
audio/RES0179.mp3[339.400,342.280]	NO HEADACHES
audio/RES0179.mp3[342.280,346.160]	NUMBNESS OR TINGLING
audio/RES0179.mp3[346.160,347.160]	NO NUMBNESS OR TINGLING
audio/RES0179.mp3[347.160,351.480]	CONFUSION OR MEMORY LOSS
audio/RES0179.mp3[352.720,358.600]	OK JOINT PAINS OR MUSCLE ACHES
audio/RES0179.mp3[358.600,365.760]	I MEAN SOMETIMES I CAN GET SO LIKE MY KNEES WILL HURT BUT I THINK THATS JUST ARTHRITIS
audio/RES0179.mp3[365.760,377.240]	OK YEAH UMM ALRIGHT AND ARE YOU OTHERWISE HEALTHY YOU MENTIONED THAT YOU HAVE AFIB AND PROSTATE ISSUES ANYTHING ELSE
audio/RES0179.mp3[377.240,385.080]	UH YEAH LIKE HIGH BLOOD PRESSURE AND UH YEAH UH JUST HIGH BLOOD PRESSURE
audio/RES0179.mp3[385.080,395.440]	HIGH BLOOD PRESSURE OK HAVE YOU EVER BEEN DIAGNOSED WITH SOMETHING CALLED COPD
audio/RES0179.mp3[395.440,410.640]	NO I I I WAS TESTED FOR THAT WITH THE LIKE THE BREATHING TEST I DID BLOW INTO TUBE BUT YEAH THEY SAID THAT I DIDNT HAVE IT
audio/RES0179.mp3[410.640,416.360]	OK OK WHEN WERE YOU WORKED UP FOR THAT
audio/RES0179.mp3[416.360,423.000]	I WAS PROBABLY LIKE I DONT KNOW 5 TO 10 YEARS AGO NOW
audio/RES0179.mp3[423.000,430.160]	OK ALRIGHT AND ARE YOU ON ANY MEDICATIONS
audio/RES0179.mp3[430.160,444.760]	YEAH I TAKE ONE FOR HIGH BLOOD PRESSURE AND I THINK A BETA BLOCKER AS WELL FOR THAT LIKE THE HEART RATE AND UH AFIB
audio/RES0179.mp3[444.760,451.080]	OK YEAH OK AND AND ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0179.mp3[451.080,453.920]	I AM YEAH
audio/RES0179.mp3[453.920,458.760]	OK ANY ALLERGIES
audio/RES0179.mp3[458.760,461.600]	UH NO ALLERGIES
audio/RES0179.mp3[461.600,464.560]	OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0179.mp3[464.560,487.160]	UHM I THINK LIKE MY UNCLE HAD LUNG CANCER AND IT AND I THINK IVE HAD A COUPLE OF MEMBER FAMILY MEMBERS ABOUT WHO HAD LUNG CANCER ACTUALLY BUT THEYVE WELL THEYVE ALL BEEN SMOKERS
audio/RES0179.mp3[487.160,500.400]	OH I SEE OK DO YOU KNOW WHAT TYPE OF LUNG CANCER THEY GOT
audio/RES0179.mp3[500.400,503.000]	NO IM IM NOT SURE
audio/RES0179.mp3[503.000,512.680]	OK NO PROBLEM AND OK SO I THINK YOU MENTIONED THAT YOU SMOKE HOW MUCH DO YOU SMOKE AND FOR HOW LONG HAVE YOU BEEN SMOKING
audio/RES0179.mp3[512.680,525.280]	I SMOKE ABOUT A PACK PER DAY AND I GUESS PROBABLY EVEN SMOKING NOW FOR I MEAN I I GUESS LIKE 60 YEARS ALMOST MAYBE LONGER
audio/RES0179.mp3[525.880,530.520]	AND BEFORE THAT I THERE WAS A POINT I WAS SMOKING 2 PACKS A DAY
audio/RES0179.mp3[530.520,534.720]	OH WOW OK WELL ITS GOOD THAT YOU CUT DOWN
audio/RES0179.mp3[536.520,541.400]	YEAH ALRIGHT AND DO YOU DO ANY OTHER RECREATIONAL DRUGS
audio/RES0179.mp3[542.560,547.840]	NO OK AND HOW ABOUT ALCOHOL DO YOU DRINK
audio/RES0179.mp3[547.840,553.480]	PROBABLY ONE OR TWO BEERS EVERY DAY
audio/RES0179.mp3[553.480,560.520]	EVERY DAY OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/RES0179.mp3[560.520,566.600]	YEAH SO I LIVE WITH MY WIFE IN A IN A TOWNHOUSE
audio/RES0179.mp3[566.600,580.600]	OK OK ALRIGHT THATS GOOD ANY REASONS TO THINK YOU HAVE LIKE OLD CARPETS DUST ASBESTOS MOLD ANYTHING LIKE THAT IN THE HOUSE
audio/RES0179.mp3[580.600,581.880]	NO I DONT THINK SO
audio/RES0179.mp3[581.880,583.640]	UH OK
audio/RES0179.mp3[586.960,588.320]	ALRIGHT ANY PETS
audio/RES0179.mp3[588.320,592.280]	NO PETS
audio/RES0179.mp3[592.280,598.760]	NO PETS OK HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0179.mp3[598.760,600.680]	NO I DONT THINK SO
audio/RES0179.mp3[600.680,602.920]	NO OK HOW ABOUT TRAVEL
audio/RES0179.mp3[602.920,607.520]	IVE BEEN UH YEAH WEVE BEEN AT BEEN AT HOME
audio/RES0179.mp3[607.520,616.160]	AT HOME OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/RES0179.mp3[616.160,623.960]	UHM NO I WAS JUST LIKE WELL REALLY WORRIED THAT I I COULD HAVE LUNG CANCER
audio/RES0179.mp3[623.960,695.600]	YEAH FOR SURE SO THAT IS QUITE HIGH ON MY DIFFERENTIAL RIGHT NOW JUST BECAUSE OF YOUR AGE YOUR SMOKING HISTORY AND JUST THE WAY YOURE PRESENTING SO WERE GONNA DO A COUPLE OF THINGS WERE GOING TO DO A COVID SWAB JUST TO RULE THAT OUT YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT WE WILL DO INVESTIGATIONS FOR LUNG CANCER SO WELL START BY DOING A CHEST XRAY JUST TO LOOK FOR A MASS OR EFFUSIONS AND THEN FROM THERE IF WE THINK THERE ARE SIGNS OF CANCER WE CAN DO A CT UMM AS WELL WE CAN LIKE STAGE WITH THE PET CT AFTER WE TAKE A BIOPSY AND SEND IT OFF FOR PATHOLOGY AND THAT SHOULD GIVE US MORE ANSWERS AS TO IF YOU HAVE CANCER AND IF YOU DO HAVE CANCER WHAT TYPE OF CANCER SO THAT WE CAN TALK ABOUT TREATMENT PLANS AND KIND OF WHAT THE PROGNOSIS IS WITH THOSE PARTICULAR TYPES OF CANCERS HOW DOES THAT SOUND
audio/RES0179.mp3[695.600,699.120]	YEAH THAT SOUNDS GREAT THANK YOU SO MUCH
audio/RES0179.mp3[699.120,704.320]	OK YEAH NO PROBLEM
audio/RES0109.mp3[0.000,2.000]	WHAT BRINGS YOU IN
audio/RES0109.mp3[2.000,12.360]	HI IVE JUST HAD A RUNNY NOSE AND A COUGH FOR THE PAST UH WEEK
audio/RES0109.mp3[12.360,17.760]	OK UM SO FOR THE PAST WEEK YOU SAID DID THE COUGH START FIRST OR THE RUNNY NOSE
audio/RES0109.mp3[17.760,34.640]	UH IT STARTED WITH THE COUGH I USUALLY DONT COME IN WHEN I HAVE SYMPTOMS LIKE THIS UH BUT IVE JUST BEEN UHM I JUST HEARD OF SOMEONE WHO PASSED AWAY DUE TO COVID AND IM JUST LIKE VERY SCARED AND I JUST DECIDED TO COME IN
audio/RES0109.mp3[34.640,45.040]	YEAH FOR SURE THATS UNDERSTANDABLE UM WITH THE COUGH IS IT A DRY COUGH OR ARE YOU BRINGING UP SOME PHLEGM
audio/RES0109.mp3[45.040,47.320]	UM ITS MOSTLY A DRY COUGH
audio/RES0109.mp3[47.320,53.120]	DRY COUGH OK UM AND IS IT PERSISTENT OR DOES IT COME AND GO
audio/RES0109.mp3[53.120,66.240]	IT COMES AND GOES IT DOES GET BETTER WHEN I UM TAKE UM LIKE OVER THE COUNTER MEDICATIONS FOR FOR UM LIKE THE ANTITUSSIVE PILLS
audio/RES0109.mp3[66.240,76.560]	OK YEAH YEAH UM AND DOES ANYTHING MAKE IT WORSE LIKE THE COLD AIR OR CERTAIN TIMES OF THE DAY OR LIKE WHEN YOURE LAYING DOWN
audio/RES0109.mp3[76.560,82.600]	UM THE COLD AIR DOES MAKE IT A LITTLE BIT UH WORSE
audio/RES0109.mp3[82.600,89.520]	OK AND HAVE YOU EXPERIENCED SOMETHING LIKE THIS IN THE PAST
audio/RES0109.mp3[89.520,96.040]	UH YEAH I USUALLY I DO GET A COLD UM COUPLE TIMES A YEAR
audio/RES0109.mp3[96.040,101.840]	OK YEAH THAT MAKES SENSE UM AND ANY SHORTNESS OF BREATH
audio/RES0109.mp3[101.840,105.360]	UM NO NO I DONT THINK SO
audio/RES0109.mp3[105.360,108.480]	NO ANY WHEEZINESS
audio/RES0109.mp3[108.480,109.400]	UM NO
audio/RES0109.mp3[109.400,114.360]	CHEST PAIN
audio/RES0109.mp3[116.840,119.960]	UM HOW ABOUT A STUFFY NOSE
audio/RES0109.mp3[119.960,123.200]	YEAH I DO HAVE A STUFFY NOSE
audio/RES0109.mp3[123.200,132.000]	OK WHEN YOUR NOSE DOES RUN DO YOU NOTICE THAT ITS LIKE UH YELLOW IN COLOUR OR RED
audio/RES0109.mp3[132.000,133.280]	NO NO
audio/RES0109.mp3[133.280,135.120]	NO OK SO ITS CLEAR
audio/RES0109.mp3[135.120,136.160]	ITS CLEAR YEAH
audio/RES0109.mp3[136.160,139.240]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0109.mp3[140.200,142.400]	SMELL OR TASTE
audio/RES0109.mp3[142.400,154.240]	UM I I CANT SMELL AS AS MUCH BUT I THINK MAYBE ITS JUST BECAUSE MY NOSE IS SO STUFFY BUT ALSO THAT MADE ME A LITTLE BIT CONCERNED ABOUT COVID BUT NO PROBLEMS WITH TASTE
audio/RES0109.mp3[154.240,156.560]	OK GOOD ANY WEIGHT LOSS RECENTLY
audio/RES0109.mp3[156.560,161.480]	UM IVE BEEN TRYING TO LOSE WEIGHT BUT NOTHING UNINTENTIONAL I GUESS
audio/RES0109.mp3[161.480,165.400]	OK YEAH AND THEN ANY FEVERS
audio/RES0109.mp3[165.400,166.720]	UH NO
audio/RES0109.mp3[166.720,173.560]	NO FEVERS HUH OK ANY LIKE EXCESSIVE FATIGUE
audio/RES0109.mp3[173.560,177.520]	I AM TIRED BUT NOT I GUESS ITS NOT TOO BAD
audio/RES0109.mp3[177.520,182.480]	YEAH OK AND HOW ABOUT LIKE RASHES
audio/RES0109.mp3[182.480,189.720]	NO I HAVENT NOTICED ANY
audio/RES0109.mp3[189.720,196.880]	NO RASHES OK UM ANY UH SORRY I ASKED YOU IF YOU HAD CHEST PAIN UH DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0109.mp3[198.040,201.600]	NO OK ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0109.mp3[203.760,206.800]	NO UM NAUSEA OR VOMITING
audio/RES0109.mp3[206.800,209.120]	UHM NO
audio/RES0109.mp3[209.120,218.360]	NO OK UHM HOW ABOUT HEADACHES
audio/RES0109.mp3[218.360,220.880]	UHM NO
audio/RES0109.mp3[220.880,223.400]	FAINTING SPELLS OR DIZZINESS
audio/RES0109.mp3[224.720,226.680]	JOINT PAIN
audio/RES0109.mp3[226.680,227.400]	UM NO
audio/RES0109.mp3[227.400,228.680]	NO OK
audio/RES0109.mp3[228.680,231.160]	JUST MY BODY FEELS A LITTLE ACHY BUT
audio/RES0109.mp3[231.520,236.200]	NO LIKE SPECIFIC JOINT PAINS
audio/RES0109.mp3[236.200,241.920]	OK AND THEN ANY UH MAJOR ILLNESSES THAT ARE LONGSTANDING
audio/RES0109.mp3[241.920,246.720]	UM I DONT KNOW DOES DEPRESSION COUNT I DO HAVE DEPRESSION
audio/RES0109.mp3[246.720,251.440]	OK YEAH FOR SURE HOW WHEN WERE YOU DIAGNOSED WITH DEPRESSION
audio/RES0109.mp3[251.440,253.800]	UH WHEN I WAS 15 YEARS OLD
audio/RES0109.mp3[253.800,258.240]	15 OK UM ARE YOU ON ANY MEDICATIONS
audio/RES0109.mp3[258.240,259.960]	IM IM ON PROZAC
audio/RES0109.mp3[259.960,265.480]	PROZAC OK AND WHEN WERE YOU DIAGNOSED UH PRESCRIBED THAT
audio/RES0109.mp3[265.480,278.200]	UM IVE JUST BEEN ON DIFFERENT MEDICATIONS UH OVER THE PAST FEW YEARS UM THIS ONE SEEMS TO BE WORKING WELL I STARTED THIS ABOUT A YEAR AGO
audio/RES0109.mp3[278.200,281.880]	OK GOOD GOOD ANY ALLERGIES
audio/RES0109.mp3[281.880,282.400]	UHM NO
audio/RES0109.mp3[282.400,288.120]	ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0109.mp3[288.960,293.240]	UM ANY FAMILY HISTORY OF LUNG OR HEART DISEASE
audio/RES0109.mp3[293.240,298.440]	UH JUST UM HIGH CHOLESTEROL
audio/RES0109.mp3[298.440,303.240]	OK UM HOW ABOUT SMOKING DO YOU SMOKE
audio/RES0109.mp3[304.200,307.880]	UM ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0109.mp3[307.880,315.120]	UM YEAH SOMETIMES ILL JUST HAVE A JOINT UM MAYBE UM TWO OR THREE TIMES A WEEK
audio/RES0109.mp3[315.120,322.440]	OK OK AND IS THAT FOR LIKE MEDICAL PURPOSES OR JUST LIKE RECREATIONALLY
audio/RES0109.mp3[322.440,325.520]	UH JUST YOU KNOW JUST TO RELAX
audio/RES0109.mp3[325.520,330.040]	OK SURE UM ALCOHOL
audio/RES0109.mp3[330.040,331.640]	UH NO
audio/RES0109.mp3[331.640,340.000]	NO OK AND HAVE YOU BEEN AROUND ANY SICK PEOPLE RECENTLY
audio/RES0109.mp3[340.000,358.040]	UM I WENT TO I WENT GROCERY SHOPPING AND AND SOMEONE NEAR ME WAS COUGHING I WAS STILL LIKE SIX YOU KNOW I WAS AWAY FROM THEM BUT I DONT LIKE YEAH I DONT KNOW
audio/RES0109.mp3[358.040,364.320]	YEAH FOR SURE I THINK THAT YOURE ITS FAIR THAT YOURE CONCERNED ABOUT THAT AND HOW ABOUT TRAVEL TO ANYWHERE
audio/RES0109.mp3[364.320,367.960]	NO I HAVENT TRAVELED ANYWHERE
audio/RES0109.mp3[367.960,373.400]	NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0109.mp3[374.560,389.720]	NO OK SO WELL DO A COVID SWAB ANYWAYS TODAY BECAUSE YOUR SOME OF YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS BUT IN THE MEANTIME YOU SHOULD SELF ISOLATE FOR 14 DAYS
audio/RES0109.mp3[390.360,434.440]	UM BUT IT I THINK IT DOES REALLY SOUND LIKE YOU HAVE A COMMON COLD UM SO JUST LIKE ANOTHER VIRAL ILLNESS UM SO JUST TREAT IT SUPPORTIVELY YOU KNOW UM KEEP YOURSELF HYDRATED IF YOU FEEL LIKE YOURE GETTING A FEVER TAKE LIKE TYLENOL UM IF YOU HAVE LIKE PAIN LIKE A HEADACHE OR LIKE SINUS PRESSURE OR SOMETHING YOU CAN TAKE AGAIN AN ADVIL OR TYLENOL UM AND IF YOUR SYMPTOMS WORSEN OR IF YOU HAVE ANY NEUROLOGICAL SYMPTOMS THEN YOU SHOULD SEE THE ER UM RIGHT AWAY
audio/RES0109.mp3[436.760,438.920]	YEAH OK SOUNDS GOOD
audio/RES0202.mp3[0.000,3.280]	WHAT BRINGS YOU ALL IN TODAY
audio/RES0202.mp3[3.280,78.880]	HI SO I JUST BROUGHT IN MY SON HES 5 ESSENTIALLY WHEN HE SO TODAY IS FRIDAY WHEN HE GOT HOME FROM SCHOOL ON WEDNESDAY HE SEEMED FINE BUT HE I DON’T KNOW THAT NIGHT HE STARTED TO HAVE A BIT OF LIKE A COUGH IT JUST SEEMED LIKE A LITTLE DRY COUGH BUT OBVIOUSLY I JUST WANTED TO KEEP HIM HOME KEEP HIM SAFE AND NOT LIKE SPREAD ANYTHING IF HE WAS SICK SO HE STAYED AT HOME ON THURSDAY AND HE WAS LIKE HAVING A BIT OF A COUGH THEN YESTERDAY IT SEEMED TO GET A LITTLE BIT WORSE AND HE WAS REALLY TIRED UH SORRY TODAY TODAY IS FRIDAY HE WAS LIKE HIS COUGH IS LIKE GETTING A BIT WORSE AND IVE BEEN TAKING HIS TEMP THE WHOLE TIME AND IT GOT LIKE A LITTLE HIGH TODAY WHAT WAS IT MY THERMOMETER SAYS IT WAS HIGH IM JUST LIKE TRYING TO REMEMBER IT WAS IT WAS IT WAS LIKE OVER 100 THOUGH
audio/RES0202.mp3[78.880,80.040]	OH OK
audio/RES0202.mp3[80.040,99.160]	UH 101 OR SOMETHING OR MAYBE 1001 IF BUT ANYWAYS IT WAS SO I I JUST THOUGHT I SHOULD PROBABLY BRING HIM IN CAUSE I WAS REALLY WORRIED ABOUT HIM AND YOU KNOW SO HE COULD HAVE MAYBE GOT COVID AND LIKE AT SCHOOL OR SOMETHING
audio/RES0202.mp3[99.160,107.680]	YEAH FOR SURE UM OK SO JUST TO CLARIFY HES HAD THIS COUGH AND FEVER FOR THE PAST FIVE FIVE DAYS
audio/RES0202.mp3[108.800,113.960]	OK OK SO LETS FOCUS ON THE COUGH
audio/RES0202.mp3[113.960,134.680]	IT’S FRIDAY ITS BEEN MORE LIKE LIKE 3 DAYS  WEDNESDAY IS WHEN HE CAME HOME AND THEN UM HE AND THEN TODAY IS FRIDAY SO YEAH SORRY
audio/RES0202.mp3[134.680,146.000]	TODAY IS FRIDAY OK AND UM OK YEAH SURE UH SO IS THIS COUGH A PRODUCTIVE COUGH OR IS IT KIND OF A DRY COUGH
audio/RES0202.mp3[146.000,156.720]	UH I THINK ITS DRY I HAVENT NOTICED HIM LIKE SPITTING UP ANYTHING YEAH HE YEAH ITS JUST LIKE LITTLE COUGH
audio/RES0202.mp3[156.720,161.960]	OK AND HE IS HE HES NOT BRINGING UP ANY SPUTUM OR BLOOD
audio/RES0202.mp3[163.040,171.720]	NO OK GOOD OK AND DOES HE SOUND WHEEZY AT ALL TO YOU
audio/RES0202.mp3[171.720,174.960]	NO NO NOT THAT IVE NOTICED
audio/RES0202.mp3[174.960,178.880]	OK HOW ABOUT SHORT OF BREATH
audio/RES0202.mp3[178.880,204.040]	UM I DONT THINK SO LIKE HE USUALLY HES A REALLY ACTIVE KID AND HE HAS HE HASNT BEEN RUNNING A LOT OUTSIDE IN THE PAST COUPLE OF DAYS SO MAYBE HE MAYBE HE COULD HAVE BEEN HAVING A HARDER TIME BREATHING BUT ALSO I THINK HES JUST BEEN TIRED IN GENERAL
audio/RES0202.mp3[204.040,213.280]	OK YEAH OK UHM IS HIS COUGHING GETTING WORSE WITH CERTAIN TIMES OF THE DAY LIKE IS IT WORSE AT NIGHT IN THE MORNING
audio/RES0202.mp3[213.280,218.560]	MM I THINK IT KINDA JUST THERE THE WHOLE DAY
audio/RES0202.mp3[218.560,238.720]	OK AND IT DOES IT HOW DOES IT SOUND DOES THIS SOUND LIKE A BARKY COUGH DOES IT SOUND UHM LIKE HARSH WHAT IS WHAT WOULD YOU SAY THE QUALITY OF IT OF THE SOUND OF THE COUGH IS
audio/RES0202.mp3[238.720,246.000]	UH I JUST SOUNDS KIND OF DRY ITS NOT LIKE SUPER LOUD
audio/RES0202.mp3[246.000,252.480]	OK OK AND HAS HE EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0202.mp3[252.480,267.280]	UM LIKE HES HAD COLDS BEFORE BUT I HAVENT LIKE I HAVENT LIKE YOU THIS TIME HE KIND OF HAD THE FEVER WHICH IS DIFFERENT THAN YOU KNOW HAVING A REGULAR COLD
audio/RES0202.mp3[267.280,273.080]	OK AND ARE HIS SYMPTOMS GETTING WORSE
audio/RES0202.mp3[273.080,286.360]	I THINK SO CAUSE YEAH THE FIRST DAY HE JUST SEEMED LIKE A LITTLE DRY AND THEN YESTERDAY IS COUGHING AND TODAY HE ACTUALLY HAS A FEVER
audio/RES0202.mp3[286.360,296.440]	OK AND IS HE COMPLAINING OF ANYTHING LIKE CHEST PAIN OR FEELING LIKE HIS HEARTS RACING
audio/RES0202.mp3[296.440,300.560]	NO I DONT THINK SO
audio/RES0202.mp3[300.560,307.640]	NO OK DOES HE HAVE A SORE THROAT
audio/RES0202.mp3[307.640,311.600]	MM I DONT THINK SO
audio/RES0202.mp3[311.600,318.440]	OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS
audio/RES0202.mp3[318.440,329.040]	I DONT KNOW IF HES HAVING TROUBLE SWALLOWING BUT HE DOESNT SEEM TO HAVE A BIG APPETITE RIGHT NOW
audio/RES0202.mp3[329.040,333.680]	OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE
audio/RES0202.mp3[333.680,338.320]	MAYBE A BIT OF LIKE A LOOK AT RUNNY NOSE
audio/RES0202.mp3[338.320,344.240]	OK AND DOES HE HAVE ANY ISSUES WITH SMELL OR TASTE
audio/RES0202.mp3[344.240,354.720]	HE THIS MORNING HE REALLY SEEMED LIKE HE WASNT LIKE INTO HIS BREAKFAST AND I WONDER IF HES LOSING HIS SENSE OF TASTE A LITTLE BIT
audio/RES0202.mp3[354.720,359.880]	OK HOW ABOUT VISION OR HEARING
audio/RES0202.mp3[359.880,361.680]	I THINK THOSE ARE FINE
audio/RES0202.mp3[361.680,368.640]	OK AND IS HE COMPLAINING OF ANY CHILLS OR NIGHT SWEATS
audio/RES0202.mp3[370.320,376.000]	OK ANY CHANGES IN HIS HAIR NAILS OR SKIN LIKE RASHES
audio/RES0202.mp3[376.000,378.720]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0202.mp3[378.720,388.320]	ANY CHANGES IN HIS BOWEL MOVEMENTS PARDON
audio/RES0202.mp3[388.320,390.360]	UM SORRY NO CHANGES
audio/RES0202.mp3[390.360,395.920]	OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN THE STOOL
audio/RES0202.mp3[396.960,401.800]	OK ANY NAUSEA OR VOMITING
audio/RES0202.mp3[403.560,407.240]	OK ANY CHANGES IN HIS URINE
audio/RES0202.mp3[407.240,412.200]	I HAVEN’T REALLY BEEN LOOKING BUT I DONT THINK SO
audio/RES0202.mp3[412.200,416.520]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0202.mp3[416.520,419.320]	NO JUST LIKE FATIGUE
audio/RES0202.mp3[419.320,426.000]	OK ANY CONFUSION OR MEMORY LOSS
audio/RES0202.mp3[426.480,434.320]	AND IS HE AND IS HE AN OTHERWISE HEALTHY CHILD
audio/RES0202.mp3[434.320,447.160]	YEAH ACTUALLY HE HASNT DECIDED TO LIKE A VACCINE THAT HE HASNT HAD TO GO TO THE DOCTOR LIKE EVER LIKE I MEAN HE BROKE HIS ARM ONCE BUT THAT WAS IT
audio/RES0202.mp3[447.160,456.360]	OK UM SO NO PAST ILLNESSES AND I GUESS NO HOSPITALIZATIONS OR SURGERIES EXCEPT FOR THE BROKEN ARM
audio/RES0202.mp3[456.360,459.360]	EXACTLY LIKE NOTHING
audio/RES0202.mp3[459.360,465.520]	OK AND WERE THINGS NORMAL WITH YOUR PREGNANCY WITH HIM
audio/RES0202.mp3[465.520,467.240]	YEAH TOTALLY
audio/RES0202.mp3[467.240,473.680]	OK UM AND THEN HOW ABOUT AS A NEWBORN ANY COMPLICATIONS AFTER BIRTH
audio/RES0202.mp3[473.680,478.920]	NO NO LIKE EVERYTHING IS THINGS REALLY GOOD
audio/RES0202.mp3[478.920,486.880]	OK AND THEN DID HE HIT ALL HIS MILESTONES UP TILL NOW
audio/RES0202.mp3[486.880,489.840]	YEAH TOTALLY
audio/RES0202.mp3[489.840,494.120]	OK ANY DOES HE HAVE ANY ALLERGIES
audio/RES0202.mp3[494.120,504.520]	UM NO NO I DONT THINK SO I MEAN LIKE HE HASNT REALLY TAKEN A LOT OF MEDICINE SO ITS HARD TO SAY BUT LIKE NOTHING
audio/RES0202.mp3[504.520,510.520]	IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0202.mp3[511.480,522.480]	YEAH OK AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0202.mp3[522.480,525.520]	UH NO EVERYONE IS REALLY HEALTHY
audio/RES0202.mp3[525.520,534.360]	OK AND AND ARE THERE AND WHO DOES HE LIVE WITH AND WHERE DOES HE LIVE
audio/RES0202.mp3[534.360,541.640]	UM HE LIVES WITH JUST ME AND MY HUSBAND AND HE HAS A LITTLE SISTER LIKE THIS IN TOWN HERE
audio/RES0202.mp3[541.640,546.720]	OK AND IS SHE HEALTHY
audio/RES0202.mp3[546.720,549.280]	YEAH I THINK SHE YEAH SHES HEALTHY
audio/RES0202.mp3[549.280,557.960]	OK UM ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS OR ANY ENVIRONMENTAL ISSUES LIKE THAT IN THE HOME THAT YOURE IN
audio/RES0202.mp3[560.600,568.200]	NO OK HAS HE BEEN AROUND ANY SICK CONTACTS RECENTLY
audio/RES0202.mp3[568.200,579.000]	NOT NOT LIKE OUTSIDE OF SCHOOL I LIKE WE KNOW FOR SURE NOT OUTSIDE OF SCHOOL UM BUT HE GOES TO SCHOOL RIGHT NOW SO KINDA HARD TO SAY
audio/RES0202.mp3[580.360,584.160]	BUT THEY HAVENT THEY HAVENT LIKE CONTACTED US ABOUT ANYTHING
audio/RES0202.mp3[584.160,593.640]	OK SURE AND HAS HE TRAVELED ANYWHERE RECENTLY
audio/RES0202.mp3[595.880,605.960]	NO OK OK WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY WERE WAS THERE ANYTHING THAT I MISSED THAT YOU WANTED TO CHAT ABOUT TODAY
audio/RES0202.mp3[605.960,629.960]	I DONT THINK SO UM LIKE I I REALIZED THAT I CAN OFTEN TIMES LIKE YOU DONT REALLY DO MUCH FOR KIDS WHEN YOU KNOW WHEN ITS JUST LIKE A VIRUS OR SOMETHING BUT WE DO I GUESS NEED TO HAVE A COVID TEST TO GO BACK TO THE SCHOOL EVEN IF YOU KNOW EITHER WAY CAUSE THEY WANT US TO BE ABLE TO SAY ITS LIKE THE OTHER KIDS HAVE HAD AN EXPOSURE
audio/RES0202.mp3[629.960,631.560]	YEAH FOR
audio/RES0202.mp3[631.560,634.520]	YEAH LIKE SORRY GO AHEAD
audio/RES0202.mp3[634.520,635.000]	NO GO AHEAD
audio/RES0202.mp3[635.000,650.320]	I’M JUST BASICALLY WANTED TO SEE IF IT WAS BAD I MEAN HE DOESNT RECEIVE YOUR SO SCARED THATS KIND OF WHAT MAKES HIM IN LIKE ITS GONNA BE A LITTLE BIT
audio/RES0202.mp3[650.320,716.280]	RIGHT YEAH OK SO FIRST THING IS FIRST WE NEED TO DO A COVID SWAB JUST TO MAKE SURE THAT HE EITHER HAS IT OR IT DOESNT HAVE IT AND THOSE RESULTS WILL COME BACK IN 24 TO 48 HOURS UM WE DO SUGGEST BECAUSE HIS SYMPTOMS ARE ALLOWED WITH SYMPTOMS OF COVID THAT HE ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM HIS HIS YOUNGER SISTER POSSIBLE AND THEN IF THE SWAB COMES BACK NEGATIVE THERE IS A CHANCE FOR FALSE NEGATIVES BUT ALSO IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND NOWADAYS AND IF HIS SYMPTOMS GET WORSE SO IF HE HAS A REALLY HIGH TEMPERATURE IF HE HAS ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR IF HES FEELING WEAK DIZZY IF HE HAS ANY FAINTING SPELLS PLEASE DO TAKE HIM TO THE ER AND AND SO FOR NOW ILL JUST WAIT FOR THOSE COVID SWAPS TO COME BACK HOW DOES THAT SOUND
audio/RES0202.mp3[716.280,721.880]	YEAH SOUNDS GOOD
audio/RES0202.mp3[721.880,749.160]	OK GREAT YEAH YEAH NO WORRIES AND I I SHOULD HAVE MENTIONED IF IT WAS JUST THE COUGH OR IF HE WAS JUST SHORT OF BREATH OR SOMETHING LIKE THAT AND HE DIDNT HAVE THE FEVER WE WOULD ADD OTHER THINGS LIKE ASTHMA TO THE LIST OF THINGS HE COULD BE WORKED UP FOR BUT UM RIGHT NOW IT SOUNDS LIKE IT SOUNDS LIKE AN INFECTION
audio/RES0202.mp3[749.160,751.600]	OK YEAH THATS GOOD TO KNOW
audio/RES0202.mp3[751.600,753.840]	ALRIGHT SOUNDS GREAT HAVE A GOOD DAY
audio/RES0202.mp3[753.840,756.720]	YOU TOO THANKS
audio/RES0209.mp3[0.000,3.280]	SO WHAT BRINGS YOU IN
audio/RES0209.mp3[3.280,30.720]	OK IM SO I HAVE BEEN COUGHING A LOT OVER THE PAST WEEK OR SO AND ITS BEEN PRETTY DRY BUT IVE BEEN COUGHING LIKE ALMOST NONSTOP THROUGHOUT THE DAY AND IM FEELING VERY SHORT OF BREATH AND MY BRONCHODILATOR HELPS BUT I FOUND IM USING IT A LOT NOW
audio/RES0209.mp3[30.720,35.600]	OK HOW LONG HAVE YOU KNOW THAT YOU HAVE ASTHMA FOR
audio/RES0209.mp3[35.600,40.120]	I WAS DIAGNOSED WHEN I WAS EIGHT
audio/RES0209.mp3[40.120,43.440]	YOURE 10 NOW
audio/RES0209.mp3[43.440,45.280]	THATS RIGHT
audio/RES0209.mp3[45.280,52.680]	SO YOURE USING YOUR BRONCHODILATOR MORE THIS IS THE ONE THAT YOU USE KIND OF AS NEEDED
audio/RES0209.mp3[53.640,61.680]	OK AND THEN DO YOU HAVE ONE THAT YOU TAKE EVERY DAY NO MATTER WHAT
audio/RES0209.mp3[61.680,64.320]	UHM NO I DONT HAVE THAT ONE
audio/RES0209.mp3[64.320,72.160]	OK YOU JUST HAVE THE ONE THAT YOU TAKE IS NEEDED DO YOU TAKE ANY OTHER MEDICATIONS
audio/RES0209.mp3[72.160,75.200]	UH NO I DONT TAKE ANYTHING ELSE
audio/RES0209.mp3[75.200,79.960]	JUST THE ONE IS IT A ITS A PUFFER
audio/RES0209.mp3[82.880,91.840]	OK AND YOURE USING IT MORE THAN NORMAL SO HOW OFTEN WERE YOU NORMALLY USING IT
audio/RES0209.mp3[91.840,113.600]	UM I WAS ONLY USING IT LIKE I DONT KNOW MAYBE ONCE EVERY TWO WEEKS OR SO NOT VERY OFTEN BUT NOW IM USING IT LIKE ALMOST EVERYDAY LIKE FIVE SIX TIMES A WEEK
audio/RES0209.mp3[113.600,126.440]	OK ANY ARE YOU DOES IT USUALLY TURNED OUT THAT YOU NEED IT LIKE DURING CERTAIN TIMES LIKE SAY WHEN YOURE EXERCISING OR WHEN ITS COLD
audio/RES0209.mp3[126.440,141.720]	UM I FIND I USE IT MORE BOTH LIKE WHEN IT WHEN ITS RIGHT AFTER I LIKE RUN AROUND AFTER GYM DURING RECESS UM AND YEAH THE COLD ALSO MAKES IT WORSE
audio/RES0209.mp3[141.720,148.120]	OK ANY OTHER TRIGGERS THAT YOU CAN THINK OF
audio/RES0209.mp3[148.120,154.320]	NO NO OTHER TRIGGERS
audio/RES0209.mp3[154.320,159.600]	NORMALLY GET MORE IN CERTAIN SEASONS
audio/RES0209.mp3[159.600,177.520]	I I GUESS NO NO BIG CHANGES THERE I FIND THE COLD AIR MAKES IT WORSE LIKE WINTER MAKES IT WORSE OR LIKE YEAH MAYBE ALSO THE SPRING SPRING WITH LIKE POLLEN AND STUFF LIKE THAT
audio/RES0209.mp3[177.520,181.960]	OK SO YOU HAVE ALLERGIES TOO
audio/RES0209.mp3[181.960,187.040]	I THINK SO I HAVENT EVER BEEN LIKE FORMALLY DIAGNOSED
audio/RES0209.mp3[187.040,200.240]	OK I SEE I SEE YEAH THAT WOULD MAKE SENSE NO OK UH SO YOU SAY YOUVE HAD MORE COUGHING LATELY IS THAT RIGHT YOU SAID THE LAST TWO WEEKS
audio/RES0209.mp3[200.240,201.720]	OR THE LAST WEEK
audio/RES0209.mp3[201.720,202.920]	LAST TWO WEEKS
audio/RES0209.mp3[202.920,208.760]	LAST TWO WEEKS IS YOUR COUGH AND A DRY COUGH
audio/RES0209.mp3[209.800,215.920]	HAVE YOU BEEN BRINGING UP GUNK OK DRY COUGH HAVE YOU NOTICED ANY WHEEZING
audio/RES0209.mp3[215.920,220.400]	OH YEAH IVE BEEN WHEEZING A LOT ACTUALLY
audio/RES0209.mp3[220.400,229.440]	OK UH AND THATS UH DO YOU USE YOUR BRONCHODILATOR EVERY TIME THAT YOURE WHEEZING
audio/RES0209.mp3[229.440,236.120]	WHEN IT GETS REALLY BAD LIKE WHEN I GET SO EASY THAT I FIND IT HARD TO BREATHE
audio/RES0209.mp3[236.120,243.000]	OK SO YOURE GETTING WHEEZY EVEN MORE TIMES THAN THEN YOURE HAVING TO USE YOUR BRONCHODILATOR
audio/RES0209.mp3[243.000,245.920]	YES THATS RIGHT
audio/RES0209.mp3[245.920,250.080]	OK ARE YOU HAVING ANY SYMPTOMS AT NIGHT TIME
audio/RES0209.mp3[250.080,266.120]	YEAH HOW THEY DONT HAPPEN AS MUCH AS MY DAYTIME SYMPTOMS BUT I BEEN HAVING IT MAYBE LIKE EVERY OTHER DAY OR LIKE YOU KNOW EVERY TWO DAYS OR SO
audio/RES0209.mp3[266.120,275.600]	OK AND WHEN YOU HAVE THESE SO WHEN YOU HAVE THESE EPISODES YOURE COPPING YOUR WHEEZY DO YOU FEEL LIKE YOURE HAVING A HARD TIME BREATHING
audio/RES0209.mp3[275.600,278.520]	YEP THATS RIGHT
audio/RES0209.mp3[278.520,282.440]	DO YOU FEEL IT GETS TIGHT IN YOUR CHEST
audio/RES0209.mp3[286.640,295.080]	OK OK HAVE YOU HAD ANY ANY COLDS LATELY OR ANY INFECTIONS
audio/RES0209.mp3[295.080,296.880]	UM NO NO NOTHING LIKE THAT
audio/RES0209.mp3[296.880,303.360]	K DOES ANYONE THAT LIVES WITH YOU OR ANYONE THAT YOURE AROUND OFTEN HAS ANYONE BEEN SICK
audio/RES0209.mp3[304.920,311.240]	OK COULD YOU HAVE BEEN IN CONTACT WITH ANYONE THAT SICK EVEN OUTSIDE OF YOUR HOUSE
audio/RES0209.mp3[312.680,315.200]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0209.mp3[315.200,316.920]	UH NO
audio/RES0209.mp3[316.920,321.160]	HAVE YOU LOST ANY OF YOUR SENSE OF TASTE OR SMELL
audio/RES0209.mp3[323.280,327.040]	HAVE YOU HAD ANY FEVERS
audio/RES0209.mp3[327.040,328.920]	UH NO
audio/RES0209.mp3[328.920,333.600]	OK ANY ANY NAUSEA OR VOMITING
audio/RES0209.mp3[337.960,340.440]	ANY BELLY PAIN
audio/RES0209.mp3[342.920,374.480]	WE JUST ASK THOSE QUESTIONS BECAUSE SOMETIMES THESE THINGS CAN HAPPEN WITH AN INFECTION OR AFTER AN INFECTION AND WE JUST WANT TO MAKE SURE THAT THATS NOT YOU KNOW WHATS HAPPENING RIGHT NOW WE PROBABLY WILL DO A COVID SWAB JUST BECAUSE OF THE TIMES THAT WERE LIVING IN RIGHT NOW BUT I JUST WANT TO ASK YOU A FEW MORE QUESTIONS BEFORE I GO TALK TO THE DOCTOR SO DO YOU HAVE BESIDES YOUR ASTHMA DO YOU HAVE ANY HEALTH PROBLEMS
audio/RES0209.mp3[374.480,379.240]	OH NO NO NO
audio/RES0209.mp3[379.240,384.960]	OK AND YOU SAID BESIDES THE BRONCHODILATOR YOURE NOT TAKING ANY MEDICATIONS
audio/RES0209.mp3[387.680,396.880]	AND YOU THINK YOU MIGHT HAVE ALLERGIES IN THE SPRING DO YOU HAVE ALLERGIES TO ANYTHING ELSE THAT YOU KNOW
audio/RES0209.mp3[396.880,403.320]	UH NO NOT THAT I KNOW OF
audio/RES0209.mp3[403.320,409.440]	OK DOES ANYONE ELSE IN YOUR FAMILY HAVE ASTHMA
audio/RES0209.mp3[409.440,415.080]	I THINK MY SISTER HAS ASTHMA TOO
audio/RES0209.mp3[415.080,419.160]	ANYONE IN YOUR FAMILY HAVE ANY OTHER BREATHING PROBLEMS
audio/RES0209.mp3[420.800,424.640]	ANYONE ELSE IN THE FAMILY HAVE ANY ALLERGIES
audio/RES0209.mp3[424.640,432.480]	UH NO I DONT THINK SO
audio/RES0209.mp3[432.480,439.600]	OK OK SOUNDS GOOD AND YOU LIVE AT HOME DID YOU SAY LIVE WITH YOUR PARENTS AND YOUR SISTER
audio/RES0209.mp3[439.600,441.120]	YEP THATS RIGHT
audio/RES0209.mp3[441.120,448.320]	COOL ARE YOU CURRENTLY GOING TO SCHOOL ONLINE OR IN PERSON
audio/RES0209.mp3[448.320,451.160]	UH BOTH WE DO HALF DAYS
audio/RES0209.mp3[451.160,454.320]	OK HOW ARE YOU FINDING THAT
audio/RES0209.mp3[454.320,461.040]	YEAH ITS BEEN OK ITS ITS DIFFERENT BUT ITS BEEN WORKING OUT OK SO FAR
audio/RES0209.mp3[461.040,466.400]	COOL NOT TO HAVE TO GET OUT OF YOUR PJS SOME DAYS
audio/RES0209.mp3[466.400,470.680]	YES THATS TRUE
audio/RES0209.mp3[470.680,477.240]	OK DID DO YOU GUYS HAVE ANY PETS IN THE HOME
audio/RES0209.mp3[477.240,481.480]	NO PETS WE HAVE JUST LIKE WELL I GUESS WE HAVE GOLDFISH
audio/RES0209.mp3[481.480,488.800]	OH OK THOSE ARE COOL PETS DOES ANYONE IN THE HOUSE SMOKE
audio/RES0209.mp3[492.600,503.520]	OK OK I THINK THATS ALL MY QUESTIONS THAT I HAD FOR YOU TODAY WHAT DO YOU LIKE TO DO FOR FUN
audio/RES0209.mp3[503.520,516.680]	OH IM I LIKE PLAYING GAMES ONLINE WITH MY FRIENDS AND AND BEFORE COVID WE USED TO GET TOGETHER AND HAVE MOVIE NIGHTS AND PLAY SPORTS TOGETHER
audio/RES0209.mp3[516.680,531.000]	IT SOUNDS REALLY COOL HOPEFULLY WE CAN GET THIS FIGURED OUT FOR YOU SO YOU DONT HAVE ANY YOU DONT HAVE TO USE YOUR YOUR MEDICATIONS EVERY TIME YOU PLAY SPORTS CAUSE THATS NO FUN AND
audio/RES0209.mp3[531.880,553.560]	YOU SHOULD BE ABLE TO ENJOY THAT SO SO WERE GOING TO TRY TO GET THIS SORTED OUT FOR YOU IM GONNA GO TALK TO THE DOCTOR AND TELL HIM EVERYTHING OR HER EVERYTHING THAT YOU SAID AND YEAH WE’LL COME BACK AND SEE YOU SHORTLY HOPEFULLY MAYBE ALL YOU NEED IS A LITTLE CHANGE TO YOUR MEDICATIONS AND MAYBE IT WILL BE BETTER BE ABLE TO BETTER CONTROL YOUR ASTHMA
audio/RES0209.mp3[553.560,556.280]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0209.mp3[556.280,560.160]	THANKS TALKING WITH ME AND WELL SEE YOU SOON
audio/RES0209.mp3[560.160,562.480]	OK GREAT THANKS
audio/RES0019.mp3[0.000,3.680]	I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN
audio/RES0019.mp3[3.680,19.680]	SURE YOU KNOW IVE BEEN FEELING KINDA HOT FOR THE PAST COUPLE OF DAYS AND I HAVE THIS TERRIBLE TERRIBLE HEADACHE AND JUST MY BRAIN FEELS FOGGY SO I THOUGHT I SHOULD COME GET IT CHECKED OUT
audio/RES0019.mp3[19.680,26.840]	OK I SEE WHEN UH DID THESE SYMPTOMS START EXACTLY
audio/RES0019.mp3[26.840,35.200]	SO THEY STARTED ABOUT 3 DAYS AGO BUT ITS GETTING WORSE
audio/RES0019.mp3[35.200,46.160]	OK UH AND UH IN TERMS OF THE HEADACHE UH DOES YOUR HEAD HURT IN ANY PARTICULAR LOCATION
audio/RES0019.mp3[46.160,50.680]	I WOULD SAY MOSTLY THE SIDES OF MY HEAD
audio/RES0019.mp3[50.680,56.920]	OK AND HOW LONG HAS THE HEADACHE BEEN GOING ON FOR
audio/RES0019.mp3[56.920,60.800]	UH THE SAME AMOUNT OF TIME SO LIKE THE PAST THREE DAYS
audio/RES0019.mp3[60.800,76.600]	OK AND UM HOW WOULD YOU DESCRIBE THE HEADACHE IS IT LIKE SHARP IS IT LIKE A VICE GRIP IS IT PULSATING PRESSURE LIKE SENSATION OR NONE OF THOSE
audio/RES0019.mp3[76.600,84.480]	IT YOU KNOW IT FEELS CRAMPY
audio/RES0019.mp3[84.480,91.760]	OK UM AND HAS THERE BEEN ANYTHING THAT TRIGGERED THE HEADACHE OR OR MADE IT WORSE
audio/RES0019.mp3[91.760,100.240]	I DONT THINK SO NOTHING IS HELPING SLEEPING IS NOT HELPING MOVING AROUND IS NOT HELPING ITS JUST ALWAYS THERE
audio/RES0019.mp3[100.240,106.680]	OK DOES THE HEADACHE GET WORSE WITH LYING FLAT
audio/RES0019.mp3[106.680,112.520]	UH NO I WOULDNT SAY SO NO
audio/RES0019.mp3[112.520,124.360]	OK AND ARE YOU FEELING ANY PAIN DOWN INTO YOUR NECK OR INTO YOUR SHOULDERS OR BACK
audio/RES0019.mp3[124.360,127.120]	NO NO
audio/RES0019.mp3[127.120,138.840]	OK AND WOULD YOU SAY THAT THIS HEADACHE WHICH IS WAS LIKE WORST HEADACHE OF YOUR LIFE OR THUNDER CLAP KIND OF SENSATION
audio/RES0019.mp3[138.840,141.240]	UH NO NO
audio/RES0019.mp3[141.240,145.960]	OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE IN THE PAST
audio/RES0019.mp3[145.960,151.040]	NO NEVER
audio/RES0019.mp3[151.040,165.800]	OK AND HOW WOULD YOU RATE IT IN TERMS OF SEVERITY WITH 10 BEING THE MOST SEVERE THAT YOU COULD POSSIBLY HAVE AND ONE BEING NOT PAINFUL AT ALL HOW WOULD YOU RATE IT
audio/RES0019.mp3[165.800,170.680]	I WOULD SAY I WOULD GIVE IT AROUND A 6 OR SEVEN
audio/RES0019.mp3[170.680,176.520]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0019.mp3[178.560,191.080]	OK AND HOW ABOUT ANY SENSITIVITY TO LIGHT WHEN YOURE YOURE SEEING IT OR SENSITIVITY TO SOUND
audio/RES0019.mp3[192.600,201.880]	OK AND HAVE YOU HAD ANY EYE SYMPTOMS SUCH AS DISCHARGE TEARING OR OR ITCHINESS
audio/RES0019.mp3[201.880,204.480]	NO NOTHING LIKE THAT
audio/RES0019.mp3[204.480,213.640]	OK UM AND SO YOU YOU MENTIONED THAT YOU HAD YOU HAD A FEVER AS WELL DID YOU CHECK YOUR TEMPERATURE
audio/RES0019.mp3[213.640,218.320]	I DIDNT ACTUALLY NO I DIDNT CHECK MY TEMPERATURE I JUST FEEL HOT
audio/RES0019.mp3[218.320,231.080]	OK WELL BE SURE TO CHECK THAT TODAY IN CLINIC AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0019.mp3[231.080,241.680]	UM JUST LIKE THE BRAIN FOG THAT I WAS SPEAKING OF YOU KNOW I JUST DONT REMEMBER I REMEMBER THINGS BUT ITS ITS LIKE IM DOING EVERYTHING UNDERWATER
audio/RES0019.mp3[241.680,248.800]	OH OK HAVE YOU BEEN UH CONFUSED OR CONCERNS WITH YOUR MEMORY
audio/RES0019.mp3[248.800,257.840]	UM NO I HAVENT FORGOTTEN THINGS IT JUST FEELS LIKE IM REALLY SLOW AT DOING THINGS
audio/RES0019.mp3[257.840,268.080]	I SEE OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD UH SIGNIFICANT FATIGUE
audio/RES0019.mp3[268.080,274.840]	YES I WOULD SAY I AM SIGNIFICANTLY MORE TIRED THAN I USED TO BE
audio/RES0019.mp3[274.840,279.560]	OK UM HOW HAS YOUR SLEEP BEEN
audio/RES0019.mp3[279.560,291.760]	MY SLEEP HAS BEEN PRETTY NORMAL I GO TO BED AROUND THE SAME TIME WAKE UP AROUND THE SAME TIME YEAH ID SAY THAT THERES NO ISSUE THERE
audio/RES0019.mp3[291.760,300.000]	OK WITH THIS FATIGUE HAVE YOU HAD ANY ACHES AND PAINS
audio/RES0019.mp3[300.000,306.960]	SOME MUSCLE ACHES I WOULD SAY MOSTLY IN MY ARMS AND JUST MY LEGS YEAH
audio/RES0019.mp3[306.960,312.920]	OK AND HAVE YOU HAD A COUGH
audio/RES0019.mp3[312.920,315.240]	NO COUGH NO
audio/RES0019.mp3[315.240,320.080]	ALRIGHT HOW ABOUT SHORTNESS OF BREATH
audio/RES0019.mp3[320.080,323.600]	NO SHORTNESS OF BREATH EITHER
audio/RES0019.mp3[323.600,328.240]	OK HAVE YOU EXPERIENCED ANY CHEST PAIN
audio/RES0019.mp3[331.320,339.360]	OK HOW ABOUT ANY PERIOD WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING
audio/RES0019.mp3[340.960,345.000]	OK AND HAVE YOU HAVE ANY WHEEZING
audio/RES0019.mp3[345.000,349.760]	UM NO NO WHEEZING
audio/RES0019.mp3[349.760,356.120]	OK AND HAVE YOU HAD ANY LOSS OF TASTE OR SMELL
audio/RES0019.mp3[356.120,357.560]	UM NO
audio/RES0019.mp3[357.560,363.680]	OK ALRIGHT HAVE YOU NOTICED ANY RASHES
audio/RES0019.mp3[363.680,367.280]	NO RASHES EITHER
audio/RES0019.mp3[367.280,373.640]	ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0019.mp3[373.640,376.320]	NO NO
audio/RES0019.mp3[376.320,380.400]	OK HAVE YOU HAD ANY DIARRHEA
audio/RES0019.mp3[380.400,383.880]	UM NO NO DIARRHEA
audio/RES0019.mp3[383.880,388.920]	OK UM AND ANY CONSTIPATION
audio/RES0019.mp3[390.200,399.040]	ALRIGHT AND THEN HOW ABOUT ANY URINARY PROBLEMS SUCH AS PAINFUL URINATION OR GOING FREQUENTLY
audio/RES0019.mp3[399.040,402.000]	NO NO CHANGES
audio/RES0019.mp3[402.000,408.520]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0019.mp3[408.520,409.960]	I AM
audio/RES0019.mp3[409.960,415.560]	OK COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER
audio/RES0019.mp3[415.560,429.760]	SURE I I JUST MY HUSBAND UM WE WE DONT USE PROTECTION BUT IM ON THE BIRTH CONTROL PILL
audio/RES0019.mp3[429.760,434.160]	OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0019.mp3[435.640,442.280]	OK AND ANY I GUESS LIKE VAGINAL DISCHARGE OR VAGINAL DISCOMFORT
audio/RES0019.mp3[443.520,457.840]	OK AND SO NEXT JUST WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0019.mp3[459.600,465.160]	OK SO NO DIABETES HIGH BLOOD PRESSURE ANYTHING LIKE THAT
audio/RES0019.mp3[465.720,472.720]	ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY LIKE PRESCRIPTION OR OVER THE COUNTER
audio/RES0019.mp3[472.720,474.280]	I DONT
audio/RES0019.mp3[474.280,476.760]	ALRIGHT SO ITS JUST THE BIRTH CONTROL
audio/RES0019.mp3[476.760,482.400]	OH SORRY YES JUST THE BIRTH CONTROL PILLS
audio/RES0019.mp3[482.400,487.000]	YEAH OK NO WORRIES AND ANY ALLERGIES
audio/RES0019.mp3[487.000,489.920]	JUST SEASONAL ALLERGIES
audio/RES0019.mp3[489.920,497.720]	OK AND SO ARE IMMUNIZATIONS UP TO DATE
audio/RES0019.mp3[497.720,502.560]	YEP THEY ARE
audio/RES0019.mp3[502.560,507.960]	ALRIGHT AND IN IN THE HOME IS THERE ANYBODY WHOS SICK RIGHT NOW
audio/RES0019.mp3[507.960,510.120]	NO NO ONE IS SICK
audio/RES0019.mp3[510.120,514.480]	OK HOW ABOUT AT WORK
audio/RES0019.mp3[514.480,525.760]	IM IM A TEACHER UM SO I WORK WITH A LOT OF CHILDREN BUT NO ONE THAT I NO ONE I KNOW OF HAS BEEN SICK
audio/RES0019.mp3[525.760,533.320]	OK UM AND SO HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0019.mp3[534.760,539.800]	ALRIGHT AND DO YOU SMOKE CIGARETTES
audio/RES0019.mp3[539.800,540.720]	I DONT
audio/RES0019.mp3[540.720,543.920]	OK DO YOU SMOKE MARIJUANA
audio/RES0019.mp3[543.920,545.480]	I DONT
audio/RES0019.mp3[545.480,549.280]	ALRIGHT DID YOU USE ANY RECREATIONAL DRUGS
audio/RES0019.mp3[549.280,555.360]	I SOMETIMES TAKE SOME MARIJUANA EDIBLES BUT THATS ABOUT IT
audio/RES0019.mp3[555.360,560.720]	OK AND DO YOU PURCHASE THOSE AT A DISPENSARY
audio/RES0019.mp3[560.720,561.400]	I DO
audio/RES0019.mp3[561.400,565.680]	OK SO FOR ONE OF THE ONTARIO STORES
audio/RES0019.mp3[567.280,580.240]	OK GREAT YEAH CAUSE YOU COULD NEVER BE SURE WHERE ELSE WHAT THE DOSING IS SO ITS GOOD TO GET IT FROM THE APPROPRIATE STORES FOR SURE
audio/RES0019.mp3[581.320,583.960]	DO YOU DRINK ALCOHOL
audio/RES0019.mp3[583.960,588.480]	I DO ILL HAVE A GLASS OF WINE WITH DINNER
audio/RES0019.mp3[588.480,592.240]	OK IS THIS DAILY
audio/RES0019.mp3[592.240,603.160]	UM MOST DAYS I WOULD SAY MAYBE LIKE FOUR OR FIVE DAYS OF THE SEVEN DAYS OF THE WEEK
audio/RES0019.mp3[603.160,615.560]	OK I SEE AND HAS ANYBODY IN YOUR FAMILY HAD SIMILAR SYMPTOMS IN THE PAST TO WHAT YOURE HAVING OR HAD ANY LUNG CONDITIONS IN THE PAST
audio/RES0019.mp3[615.560,617.200]	NO NOTHING LIKE THAT
audio/RES0019.mp3[617.200,621.640]	OK HOW ABOUT ANY HEART CONDITIONS
audio/RES0019.mp3[621.640,630.160]	UM MY FATHER PASSED AWAY AT 75 FROM A HEART ATTACK
audio/RES0019.mp3[630.160,636.400]	OK AND UH HOW ABOUT ANY CANCERS IN THE FAMILY
audio/RES0019.mp3[636.400,637.800]	NONE THAT I KNOW OF
audio/RES0019.mp3[637.800,654.440]	OK SO I THINK THAT WAS UH ALL OF THE QUESTIONS THAT I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT YOU THOUGHT I WAS MISSING OR THAT YOU WANTED TO TELL ME ABOUT
audio/RES0019.mp3[654.440,659.320]	NO I DONT THINK SO BUT UH WHAT DO YOU THINK I HAVE
audio/RES0019.mp3[659.320,731.320]	SO WITH THE ACUITY OF YOUR SYMPTOMS STARTING WITH THE LAST FEW DAYS AND GETTING WORSE ESPECIALLY WITH A FEVER WHICH WE NOW HAVE DOCUMENTED OF 388 AND A KIND OF FEELING UH TIRED WITH ACHES AND PAINS AND THE HEADACHE I AM CONCERNED THAT YOU HAVE POSSIBLY A VIRAL INFECTION AND ONE OF THOSE POSSIBILITIES COULD BE COVID19 BUT ALSO IT COULD BE THE INFLUENZA IT COULD BE SOMETHING LIKE THE COMMON COLD SUCH AS ADENOVIRUS SO CERTAINLY WE WILL DO A PCR COVISWAB AS WELL AS ORDER SOME GENERAL LAB WORK TO LOOK FOR SIGNS OF INFECTION SUCH AS A CBC AND A WHITE BLOOD CELL COUNT BUT UM FOR NOW WE WILL GET THOSE TESTS ORDERED DID YOU HAVE ANY QUESTIONS
audio/RES0019.mp3[731.320,746.160]	OK YEAH THAT SOUNDS GREAT DO YOU THINK I COULD ALSO HAVE YOU KNOW MENINGITIS OR SOMETHING CAUSE I WAS READING ONLINE ON GOOGLE AND THATS THE FIRST THING THAT CAME UP
audio/RES0019.mp3[746.160,774.600]	OH YEAH YOURE YOURE ABSOLUTELY RIGHT SO UM SORRY I WE WILL GO AHEAD AND INVESTIGATE THAT AS WELL AND WE MIGHT NEED TO DO A LUMBAR PUNCTURE OR SOME BLOOD WORK TO LOOK FOR SIGNS OF INFECTION THAT MIGHT BE NEEDED TO BE TREATED WITH ANTIBIOTICS
audio/RES0019.mp3[774.600,785.280]	OK ALRIGHT THAT SOUNDS GOOD THANK YOU
audio/RES0070.mp3[0.000,4.440]	WHAT BROUGHT YOU IN TODAY
audio/RES0070.mp3[4.440,18.720]	YEAH ABSOLUTELY I HAVE HAD THIS AWFUL AWFUL HEADACHE FOR THE PAST TWO DAYS I WANNA SAY ITS HORRIBLE
audio/RES0070.mp3[18.720,27.960]	OK HAS THE HEADACHE UHM STAYED THE SAME GOTTEN WORSE GOTTEN ANY BETTER
audio/RES0070.mp3[27.960,32.120]	ITS ONLY GOTTEN WORSE OVER THE PAST TWO DAYS
audio/RES0070.mp3[32.120,41.680]	OK AND WHEN THE HEADACHE STARTED WAS IT LIKE A THUNDER CLAP KIND OF WORST HEADACHE OF YOUR LIFE WHEN IT CAME ON
audio/RES0070.mp3[41.680,43.120]	NO NO
audio/RES0070.mp3[43.120,50.520]	OK WAS THERE ANYTHING GOING ON TWO DAYS AGO AROUND THE TIME OF THE HEADACHE LIKE DID YOU HIT YOUR HEAD OR ANYTHING LIKE THAT
audio/RES0070.mp3[50.520,65.760]	NO I JUST UHM I JUST WENT OUT FOR DINNER THE NIGHT BEFORE AND I KNOW THAT THERE ARE CERTAIN FOODS THAT CAN TRIGGER MY MIGRAINES BUT THIS REALLY FEELS DIFFERENT IT DOESNT FEEL LIKE MY MIGRAINE
audio/RES0070.mp3[65.760,75.160]	OK UHM AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS WITH THE HEADACHE
audio/RES0070.mp3[75.160,91.960]	IVE BEEN FEELING REALLY TIRED I TOOK THE DAY OFF YESTERDAY AND TODAY IM WORKING FROM HOME BUT I STILL DECIDED NOT TO GET ANY WORK DONE TODAY OR YESTERDAY
audio/RES0070.mp3[91.960,97.560]	OK UHM AND THE FATIGUE WHEN DID THAT START
audio/RES0070.mp3[97.560,104.040]	I THINK THAT STARTED YESTERDAY MORNING
audio/RES0070.mp3[104.040,113.440]	OK AND SORRY BACK TO THE HEADACHE HAVE YOU TRIED ANYTHING FOR IT
audio/RES0070.mp3[113.440,125.520]	I TOOK TYLENOL AND ADVIL BUT I GUESS IT DID GET BETTER FOR ABOUT AN HOUR A LITTLE BIT BUT IT WAS BACK ON AGAIN
audio/RES0070.mp3[125.520,132.040]	OK AND COULD YOU DESCRIBE LIKE WHERE YOU FEEL THE HEADACHE
audio/RES0070.mp3[132.040,140.840]	SURE YEAH SO ITS LIKE RIGHT IN THE FRONT JUST KIND OF FEELS LIKE A BAND JUST LIKE THIS PRESSURE IN THE FRONT OF MY HEAD
audio/RES0070.mp3[140.840,147.880]	OK AND HAS THERE BEEN ANYTHING THATS MADE THE HEADACHE WORSE LIKE LIGHTS OR OR SOUNDS
audio/RES0070.mp3[147.880,153.960]	NO NO LIKE I SAID ITS LIKE NOTHING LIKE MY USUAL MIGRAINE HEADACHES
audio/RES0070.mp3[153.960,169.640]	OK AND I MEAN THE ADVIL OR TYLENOL IT HELPS THE SYMPTOMS FOR A BRIEF PERIOD BUT HAS THERE BEEN ANYTHING ELSE THATS HELPED YOUR HEADACHE
audio/RES0070.mp3[169.640,172.520]	NO NOT REALLY
audio/RES0070.mp3[172.520,185.920]	OK AND IS THERE ANY PARTICULAR TIME OF THE DAY THAT THE HEADACHES WORSE LIKE IS IN THE MORNING TIME WHEN YOURE FIRST WAKING UP OR LATER IN THE DAY
audio/RES0070.mp3[185.920,190.120]	I DONT THINK SO
audio/RES0070.mp3[190.120,196.400]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0070.mp3[197.520,207.760]	OK AND HAVE YOU HAD ANY LIKE VISUAL CHANGES
audio/RES0070.mp3[210.480,215.640]	OK UHM AND HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT
audio/RES0070.mp3[215.640,220.880]	UHM IVE HAD A BIT OF A SORE THROAT
audio/RES0070.mp3[220.880,224.720]	OK HAVE YOU HAVE YOU HAD A COUGH
audio/RES0070.mp3[224.720,230.280]	YEAH BUT HONESTLY THE HEADACHES BEEN BOTHERING ME THE MOST
audio/RES0070.mp3[230.280,236.160]	OK AND WHEN DID THE COUGH START
audio/RES0070.mp3[236.160,240.560]	ABOUT THE SAME TIME
audio/RES0070.mp3[242.560,245.000]	MAYBE TWO DAYS AGO
audio/RES0070.mp3[245.000,253.440]	OK AND HAVE YOU HAD ANY NECK STIFFNESS DOES IT HURT IF YOU IF YOU MOVE YOUR NECK AROUND
audio/RES0070.mp3[253.440,256.400]	NO NOTHING LIKE THAT
audio/RES0070.mp3[256.400,263.760]	OK UH AND WITH THE WITH THE COUGH HAVE YOU HAD ANY DIFFICULTIES BREATHING OR SHORTNESS OF BREATH
audio/RES0070.mp3[263.760,269.040]	MAYBE A LITTLE BIT
audio/RES0070.mp3[269.040,275.120]	OK HOW ABOUT ANY WHEEZING
audio/RES0070.mp3[278.040,282.560]	OK HAVE YOU BEEN BRINGING UP ANY SPUTUM WITH THE COUGH
audio/RES0070.mp3[284.240,288.480]	OK HOW ABOUT ANY ANY BLOOD
audio/RES0070.mp3[289.520,297.840]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL
audio/RES0070.mp3[300.000,306.920]	ANY CHANGES TO YOUR SENSE OF TASTE
audio/RES0070.mp3[308.280,315.760]	OK UH AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OVER THE LAST SEVERAL MONTHS
audio/RES0070.mp3[315.760,317.240]	I DONT THINK SO
audio/RES0070.mp3[317.240,323.000]	ALRIGHT AND HOW IS YOUR APPETITE BEEN
audio/RES0070.mp3[323.000,325.800]	UHM ITS FINE
audio/RES0070.mp3[325.800,329.280]	ANY CHEST PAIN
audio/RES0070.mp3[330.840,334.120]	OK UHM ANY LIGHTHEADEDNESS OR OR FEELING DIZZY
audio/RES0070.mp3[334.120,335.720]	NO NO
audio/RES0070.mp3[335.720,339.720]	ALRIGHT ANY NAUSEA OR VOMITING
audio/RES0070.mp3[341.840,343.640]	ANY DIARRHEA
audio/RES0070.mp3[344.840,346.560]	ANY URINARY PROBLEMS
audio/RES0070.mp3[347.400,351.840]	HOW ABOUT  UH HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0070.mp3[351.840,354.320]	A LITTLE BIT
audio/RES0070.mp3[354.320,357.160]	OK AND ANY RASHES ANYWHERE
audio/RES0070.mp3[357.160,360.760]	NO NO NO
audio/RES0070.mp3[360.760,370.040]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0070.mp3[370.040,387.600]	UHM I HAVE UH I HAVE MIGRAINES AND UH I ALSO HAVE POLYMYALGIA RHEUMATICA
audio/RES0070.mp3[387.600,395.440]	OK ARE YOU TAKING ANY MEDICATIONS CURRENTLY FOR EITHER OF THOSE
audio/RES0070.mp3[396.840,402.960]	OK AND HAVE YOU HAD ANY HOSPITALIZATIONS
audio/RES0070.mp3[403.920,406.080]	OK ANY SURGERIES
audio/RES0070.mp3[407.880,411.920]	OK AND UH DO YOU SMOKE CIGARETTES
audio/RES0070.mp3[414.920,417.280]	DRINK ALCOHOL
audio/RES0070.mp3[418.520,429.440]	OK AND DO YOU USE ANY OTHER USE ANY RECREATIONAL DRUGS
audio/RES0070.mp3[431.320,444.080]	OK AND ANY FAMILY HISTORY OF SIMILAR SYMPTOMS LIKE LIKE UNUSUAL HEADACHES OR ANYTHING LIKE THAT
audio/RES0070.mp3[444.080,446.720]	WELL MIGRAINES KINDA RUN IN THE FAMILY
audio/RES0070.mp3[446.720,449.320]	MIGRAINES OK
audio/RES0070.mp3[450.560,458.640]	AND ANY HEART CONDITIONS OR CANCERS OR ANYTHING LIKE THAT IN THE FAMILY
audio/RES0070.mp3[458.640,461.320]	NO NO NO
audio/RES0070.mp3[461.320,470.480]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY YOU WENT OUT FOR DINNER A COUPLE DAYS AGO
audio/RES0070.mp3[470.480,474.880]	YEAH UHM I DONT THINK ANYONE WAS SICK
audio/RES0070.mp3[474.880,482.480]	OK AND YOU DIDNT FEEL THAT YOU HAD ANY TRIGGERS TO YOUR MIGRAINES AT THAT TIME
audio/RES0070.mp3[482.480,492.560]	NO I DIDNT I DID YES I I DID MEET UP WITH MY FRIENDS AND WE WENT OUT FOR DINNER I KNOW WERE NOT SUPPOSED TO BUT ITS BEEN SUCH A LONG TIME
audio/RES0070.mp3[493.000,500.200]	I DONT THINK THEY WERE SICK AT THE TIME BUT I HAVENT REALLY TALKED TO THEM AFTER
audio/RES0070.mp3[500.200,503.360]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0070.mp3[507.000,513.600]	ALRIGHT AND SO I DONT THINK I ASKED DID YOU HAVE A FEVER OR CHILLS
audio/RES0070.mp3[513.600,516.960]	NO NOT REALLY
audio/RES0070.mp3[516.960,541.520]	OH OK UHM SO THE SYMPTOMS YOUVE BEEN EXPERIENCING YOUVE HAD A HEADACHE THATS BEEN THE MOST BOTHERSOME THESE THESE LAST COUPLE OF DAYS WHICH FEELS DIFFERENT THAN YOUR MIGRAINES BUT YOUVE ALSO HAD A SORE THROAT A COUGH SHORTNESS OF BREATH AS WELL AS A LITTLE BIT OF MUSCLE ACHES AND FATIGUE OVER THESE LAST COUPLE OF DAYS
audio/RES0070.mp3[541.520,547.240]	YEAH THAT SOUNDS RIGHT
audio/RES0070.mp3[547.240,548.520]	IS THERE ANYTHING ELSE
audio/RES0070.mp3[548.520,552.400]	NO NO I DONT THINK SO
audio/RES0070.mp3[552.400,568.720]	OK UMM SO IM GOING TO GET THE ATTENDING AND WELL GO THROUGH A PHYSICAL EXAM AND GET SOME INVESTIGATIONS ORDERED SO THAT WE CAN TRY TO FIGURE OUT WHATS GOING ON OK
audio/RES0070.mp3[568.720,569.600]	OK THANK YOU
audio/RES0070.mp3[569.600,574.040]	YOURE WELCOME
audio/RES0124.mp3[0.000,2.880]	UM WHAT BRINGS YOU IN TODAY
audio/RES0124.mp3[2.880,19.040]	UH YEAH HI I JUST CAME IN HERE TODAY CAUSE UH LATELY FOR THE LAST COUPLE OF MONTHS IVE BEEN GETTING THESE COUGHING FITS THEY DONT REALLY SEEM TO BE GOING AWAY AND I WAS A BIT CONCERNED
audio/RES0124.mp3[19.040,23.840]	SO YOUVE HAD THIS WHEN DID THIS START
audio/RES0124.mp3[23.840,49.400]	UH I WOULD SAY PROBABLY DURING THE WINTER UH IT IT KIND OF STARTED WHERE I STARTED HAVING UM JUST COUGHING FITS WHEN IM WALKING TO SCHOOL AND THEN ALSO DURING LIKE GYM CLASS I STARTED HAVING THESE COUGHING FITS AND SOMETIMES I ALSO FELT LIKE I COULDNT BREATHE
audio/RES0124.mp3[49.400,66.600]	UM OKAY OKAY WHAT DID YOU IS THERE ANYTHING SO ITS BASICALLY WORSE WHEN YOURE UM DOING SOME SORT OF AN EXERCISE SUCH AS WALKING UM OR BEING IN THE GYM CLASS AND ITS ALSO WORSE IN THE COLD
audio/RES0124.mp3[66.600,88.560]	YEAH YEAH AND THEN ALSO LIKE I REMEMBER WHEN I WAS WALKING DOWN THE STREET AND SOMEONE WAS SMOKING AND THEN I JUST COMPLETELY JUST STARTED HAVING THAT EPISODE RIGHT AFTER I WALKED PAST THEM
audio/RES0124.mp3[88.560,99.040]	OKAY UM ALRIGHT UH UM OKAY SORRY ONE MOMENT OKAY UM SO IS THERE ANYTHING THAT MAKES YOUR COUGH BETTER WHAT DO YOU DO TO MAKE IT GO AWAY
audio/RES0124.mp3[99.040,112.760]	UH I JUST BASICALLY HAVE TO IF I IF IM DOING ANY KIND OF ACTIVITIES JUST TAKE A MOMENT SIT DOWN FOR LIKE 10 TO 15 MINUTES AND THEN IT SEEMS LIKE IT GOES AWAY ON ITS OWN
audio/RES0124.mp3[112.760,117.280]	AND YOU SAID THAT SOMETIMES YOU ALSO HAVE DIFFICULTIES BREATHING WITH IT
audio/RES0124.mp3[117.280,133.280]	YEAH LIKE A COUPLE OF TIMES IT GOT REALLY BAD WHERE I HAD TO UM LIKE IT WAS DIFFICULT GET IT WAS IT WAS LIKE I WAS TRYING TO TAKE DEEP BREATHS FOR AIR BUT UH IT WAS IT JUST FELT LIKE I COULDNT
audio/RES0124.mp3[133.280,139.080]	I SEE SO THIS STARTED A COUPLE OF MONTHS AGO HAS THIS EVER HAPPENED TO YOU BEFORE THAT
audio/RES0124.mp3[139.080,141.600]	NO BEFORE THAT IVE BEEN FINE
audio/RES0124.mp3[141.600,154.480]	OKAY AND SO IM GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS LET ME KNOW IF YOUVE EXPERIENCED ANY OF THESE IN THE PAST COUPLE OF MONTHS UM SO HAVE YOU HAD A HEADACHE THAT ACCOMPANIES THE COUGH
audio/RES0124.mp3[154.480,155.680]	UH NO
audio/RES0124.mp3[155.680,159.640]	UM ANY CHANGES IN YOUR VISION OR YOUR HEARING
audio/RES0124.mp3[160.320,162.400]	ANY CONFUSION
audio/RES0124.mp3[163.320,169.640]	UM ANY UM RUNNY NOSE OR STUFFY NOSE OR SINUS CONGESTION
audio/RES0124.mp3[169.640,171.480]	UH NO NOT REALLY
audio/RES0124.mp3[171.480,174.960]	OKAY ANY SORE THROAT
audio/RES0124.mp3[174.960,177.560]	UH NO
audio/RES0124.mp3[177.560,181.520]	ANY UM CHEST PAIN
audio/RES0124.mp3[181.520,189.840]	UM SOMETIMES WHEN I GET LIKE REALLY BAD COUGHING FITS LIKE IT SOMETIMES STARTS HURTING IN MY CHEST AS WELL
audio/RES0124.mp3[189.840,193.480]	YEAH UM DOES IT GO AWAY WHEN YOU STOP COUGHING
audio/RES0124.mp3[193.480,196.960]	YEAH IT GOES AWAY AFTER I JUST TAKE SOME REST
audio/RES0124.mp3[196.960,201.480]	UM HAVE YOU HAD ANY BELLY PAIN
audio/RES0124.mp3[201.480,202.880]	UH NO NOT AT ALL
audio/RES0124.mp3[202.880,206.040]	DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0124.mp3[206.040,207.280]	UH NO
audio/RES0124.mp3[207.280,210.880]	ANY CHANGES IN YOUR ANY NAUSEA OR VOMITING
audio/RES0124.mp3[211.880,214.920]	ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0124.mp3[217.080,220.080]	ANY ACID REFLUX
audio/RES0124.mp3[220.080,222.640]	UH NO
audio/RES0124.mp3[222.640,233.360]	OKAY UM AND ANY CERTAIN MUSCLE ACHES OR JOINT PAINS
audio/RES0124.mp3[233.360,234.720]	UM NO NOTHING LIKE THAT
audio/RES0124.mp3[234.720,238.160]	ANY NUMBNESS OR TINGLING IN YOUR ARMS OR LEGS
audio/RES0124.mp3[238.920,248.200]	OKAY LETS GET BACK OKAY GREAT IT SOUNDS LIKE THAT THE THE COUGH IS SORT OF THE MAIN SYMPTOM HERE THAT YOU HAVE UM IS THE COUGH DRY OR WET
audio/RES0124.mp3[248.200,252.640]	ITS USUALLY UH ITS USUALLY DRY
audio/RES0124.mp3[252.640,255.000]	UH SORRY CAN YOU SAY THAT AGAIN
audio/RES0124.mp3[255.000,256.200]	ITS USUALLY DRY
audio/RES0124.mp3[256.200,262.760]	OKAY UM HAVE YOU EVER BROUGHT UP ANY SPUTUM OR ANY BLOOD
audio/RES0124.mp3[262.760,275.920]	UH NEVER ANY BLOOD I HAVE LIKE ON OCCASION LIKE SOMETIMES BROUGHT UP SOME SPUTUM
audio/RES0124.mp3[275.920,282.800]	OKAY ALRIGHT UM OKAY AND UH HAVE YOU BEEN VACCINATED
audio/RES0124.mp3[282.800,286.400]	UH YEAH ALL MY IMMUNIZATIONS ARE UP TO DATE
audio/RES0124.mp3[286.400,305.880]	OKAY GOOD GOOD GOOD UM DOES THE COUGH SOUND LIKE A BARKY COUGH OR A MUFFLED COUGH OR UM DOES IT HAVE A SPECIFIC CHARACTERISTIC DOES IT SOUND DIFFERENT THAN WHEN YOURE SORT OF COUGHING TO CLEAR YOUR THROAT FOR INSTANCE
audio/RES0124.mp3[305.880,327.920]	UH YEAH ITS LIKE PRETTY IT CAN GET PRETTY HARSH I ALSO NOTICED LIKE UH THERES LIKE THIS WEIRD NOISE I STARTED MAKING LIKE RIGHT AFTER WHEN IM TRYING TO TAKE DEEP BREATHS IN
audio/RES0124.mp3[327.920,335.400]	OKAY OKAY OKAY SO YOURE WHEEZING OKAY SO YOU EVER UM COUGH SO MUCH THAT YOU END UP VOMITING
audio/RES0124.mp3[335.400,348.120]	NO NO THAT HASNT HAPPEN YET
audio/RES0124.mp3[348.120,368.880]	UM AND DO YOU SO YOU MENTIONED THAT ITS WORSE WHEN YOURE IN THE COLD OR EXERCISING AND SMOKING MAKES IT WORSE WHAT ABOUT THINGS LIKE DUST OR POLLEN UM SAY WHEN YOURE CLEANING THE HOUSE AND THERES ALSO DUST DOES THAT MAKE THINGS WORSE OR IS IT WORSE IN A SPECIFIC TIME OF THE YEAR WHEN YOURE OUTDOORS
audio/RES0124.mp3[368.880,383.800]	UH NOW THAT YOU MENTION IT YEAH LIKE IF WERE EVER IN THE BASEMENT OR ANYTHING LIKE THAT I I DO START GETTING LIKE KIND OF IRRITATION UM IN MY THROAT AND THAT KIND OF SOMETIMES I HAVE ALSO COUGHED AT THOSE TIMES
audio/RES0124.mp3[383.800,398.760]	ALRIGHT UH CAN YOU TELL ME OKAY SO CAN YOU TELL ME IF YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0124.mp3[398.760,404.200]	NO NOTHING ELSE IVE BEEN PRETTY HEALTHY
audio/RES0124.mp3[404.200,411.120]	OKAY HAD DID WHEN YOU WERE A CHILD DID YOU HAVE ANY SORT OF RASH DID YOU HAVE ECZEMA
audio/RES0124.mp3[411.120,425.040]	OH I YEAH SO I DID I AT ONE POINT I WAS USING LIKE THIS CREAM UM PROBABLY WHEN I WAS TEN JUST FOR SOME ECZEMA ON MY HANDS
audio/RES0124.mp3[425.040,449.640]	OKAY AND UM HAVE YOU EVER HAD ALLERGIC RHINITIS WHICH IS BASICALLY SORT OF HAVING UM RED OR TEARY EYES ITCHINESS ON THE FACE A RUNNY NOSE AT CERTAIN TIMES OF THE YEAR OR IN UM AREAS WITH MOLD OR DUST OR TERMITES AND THINGS LIKE THAT HAVE YOU HAD ANYTHING LIKE THAT AS A CHILD OR RIGHT NOW
audio/RES0124.mp3[449.640,451.760]	UH NOT THAT I KNOW OF NO
audio/RES0124.mp3[451.760,461.760]	OKAY ALRIGHT UH DO YOU HAVE ANY UM I GUESS GOING BACK WERE YOU A HEALTHY CHILD GROWING UP
audio/RES0124.mp3[461.760,469.720]	YEAH AS FAR AS I KNOW I I DIDNT REALLY HAVE ANY CONCERNS FROM LIKE THE SCHOOL OR HOME AT ALL
audio/RES0124.mp3[469.720,475.640]	OKAY THATS GREAT DO YOU UH DID YOU EVER HAVE ANY HOSPITALIZATIONS
audio/RES0124.mp3[476.800,478.640]	ANY SURGERIES
audio/RES0124.mp3[479.600,482.320]	ARE YOU TAKING ANY MEDICATIONS
audio/RES0124.mp3[482.320,483.800]	UH NO MEDICATIONS
audio/RES0124.mp3[483.800,486.480]	ARE YOU STILL USING THE ECZEMA CREAM
audio/RES0124.mp3[486.480,492.840]	NO NO THAT KIND OF JUST WENT AWAY ON ITS OWN OR LIKE RIGHT AFTER I USED THE CREAM LIKE ITS GOOD NOW
audio/RES0124.mp3[492.840,497.600]	OKAY GOOD ARE YOU ALLERGIC TO ANYTHING
audio/RES0124.mp3[497.600,506.480]	NO I DONT THINK SO MAYBE JUST LIKE ENVIRONMENTAL ALLERGIES SOMETIMES IN THE SPRINGTIME
audio/RES0124.mp3[506.480,508.880]	WHAT HAPPENS THEN
audio/RES0124.mp3[508.880,525.440]	UM JUST SOMETIMES LIKE UH I DONT KNOW IF ITS LIKE A POLLEN ALLERGY LIKE I I DO GET SOME I GUESS I DO GET LIKE SOME NASAL CONGESTION AND THINGS LIKE THAT
audio/RES0124.mp3[525.440,529.680]	UM HAVE YOU EVER SEEN AN ALLERGIST
audio/RES0124.mp3[529.680,531.280]	NO I HAVENT
audio/RES0124.mp3[531.280,536.000]	NO UH WHO PRESCRIBED THE CREAM FOR THE ECZEMA
audio/RES0124.mp3[536.000,540.000]	UM JUST A IT WAS LIKE AT A WALKIN CLINIC
audio/RES0124.mp3[540.000,552.960]	OKAY OKAY UM ALRIGHT AND DO YOU HAVE ANY FAMILY HISTORY OF ANY UM LUNGRELATED PROBLEMS OR ANY OTHER PROBLEMS
audio/RES0124.mp3[552.960,567.760]	UM MY OLDER SISTER HAS ASTHMA AND UH I DONT KNOW IF ANYONE ELSE IN THE FAMILY HAS ASTHMA UM I THINK MY FATHER HAS HIGH BLOOD PRESSURE
audio/RES0124.mp3[567.760,580.840]	ALRIGHT AND YOU MENTIONED THAT THINGS ARE GOING WELL AT SCHOOL UM WHO DO YOU LIVE WITH AT HOME
audio/RES0124.mp3[580.840,584.760]	YEAH SO I LIVE WITH MY OLDER SISTER AND MY MOM AND DAD
audio/RES0124.mp3[584.760,590.200]	OKAY OKAY AND THINGS ARE GOOD AT HOME DO YOU FEEL SAFE
audio/RES0124.mp3[590.200,591.960]	YEAH YEAH I FEEL COMPLETELY SAFE
audio/RES0124.mp3[591.960,595.760]	ANY CONCERNS ABOUT BULLYING AT SCHOOL
audio/RES0124.mp3[595.760,597.480]	NO NO NOT AT ALL
audio/RES0124.mp3[597.480,603.640]	OKAY ARE YOU UH ARE YOU TAKING ANY MARIJUANA OR ANY STREET DRUGS
audio/RES0124.mp3[603.640,606.320]	NO NO MY PARENTS WOULD KILL ME
audio/RES0124.mp3[606.320,609.120]	WHAT ABOUT ALCOHOL
audio/RES0124.mp3[609.120,615.640]	UH ILL COME IVE I HAVENT TRIED IT UM YET AT ALL
audio/RES0124.mp3[615.640,638.360]	OKAY OKAY JUST WANTED TO MENTION THAT THE CONVERSATION THAT WERE HAVING RIGHT NOW IS CONFIDENTIAL BETWEEN YOU AND ME UM UNLESS YOU MENTIONED ANYTHING THAT HARMS YOU OR HARMS ANYONE ELSE SO SO FEEL FREE TO DISCUSS WHATEVER OR TALK OPENLY ABOUT UM ANY ISSUES THAT YOU HAVE UM OKAY AND UM ARE YOU SEXUALLY ACTIVE
audio/RES0124.mp3[638.360,642.600]	NO NO
audio/RES0124.mp3[642.600,698.640]	ALRIGHT OKAY SO UM THATS ALL THE INFORMATION I NEEDED UH GIVEN THAT YOUVE HAD THESE COUGHING FITS FOR THE PAST COUPLE OF MONTHS THAT ARE THAT HAVE CERTAIN TRIGGERS UH AND ALSO GIVEN THAT YOUVE HAD A HISTORY OF ECZEMA AND YOUR SISTER HAS ASTHMA SO KIND OF SORT OF RUNS IN YOUR FAMILY IN A WAY YOU MIGHT ALSO HAVE A DIAGNOSIS OF ASTHMA POTENTIALLY UM AND SO WHAT I WOULD RECOMMEND IS THAT YOU GET UM TESTING DONE AND UM UH I GUESS BEFORE I SORT OF TALK A LITTLE MORE ABOUT THIS I JUST WANT TO GET A SENSE OF HOW SEVERE YOUR ASTHMA IF ITS ASTHMA AT ALL UM IF DOES IT DOES IT AFFECT YOUR ABILITY TO YOU SAID SCHOOL WAS GOING OKAY DOES IT AFFECT YOUR ABILITY TO DO WELL AT SCHOOL AT ALL
audio/RES0124.mp3[698.640,708.440]	UM DEFINITELY IN IN GYM CLASS BUT OTHER THAN THAT IT HASNT REALLY AFFECTED ME
audio/RES0124.mp3[708.440,711.800]	DOES IT WAKE YOU UP AT NIGHT
audio/RES0124.mp3[711.800,715.440]	NO SO FAR NO I I LIKE I GET PRETTY GOOD SLEEP
audio/RES0124.mp3[715.440,724.800]	OKAY OKAY UM AND HOW OFTEN I GUESS IS DO THESE EPISODES OCCUR HOW MANY TIMES A WEEK OR HOW MANY TIMES A MONTH
audio/RES0124.mp3[724.800,732.040]	UH SO THEY JUST STARTED LIKE TWO MONTHS AGO AND IVE HAD LIKE MAYBE FOUR OR FIVE OF THEM IN TOTAL
audio/RES0124.mp3[732.040,750.760]	OKAY OKAY UH AND THEY KIND OF GET BETTER ON THEIR OWN OKAY SO WE CAN SORT OF TALK ABOUT THESE SORRY PUFFERS THAT YOU MIGHT NEED TO TO USE AS NEEDED UM YOUR SISTER MIGHT HAVE SOME OF THOSE SO YOU MIGHT BE FAMILIAR WITH WHAT IM TALKING ABOUT
audio/RES0124.mp3[751.280,823.720]	UM SO WE CAN TALK ABOUT THAT UM GIVEN THAT YOUR SYMPTOMS ARE YES THEYVE BEEN OCCURRING FOR THE PAST COUPLE OF MONTHS BUT BECAUSE YOU HAVE HAD A COUGH IT MIGHT BE A GOOD IDEA JUST TO HAVE A COVITEST DONE ONCE UM I DONT THINK THATS WHAT YOU HAVE SEEING THAT THIS THESE SYMPTOMS HAVE BEEN LASTING FOR HAVE BEEN OCCURRING FOR THE PAST TWO MONTHS SO WELL JUST KIND OF DO THAT TEST TO RULE IT OUT UM IN THE MEANTIME I WOULD RECOMMEND THAT YOU UM TRY THIS INHALED CORTICOSTEROID PUFFER THAT YOU CAN USE THAT YOU SHOULD USE ON A DAILY BASIS AND TRY TO AVOID UH THE TRIGGERS SO THE THINGS THAT YOU THAT CAUSE THESE SYMPTOMS UM WE CAN GO OVER HOW TO USE UH A PUFFER PROPERLY AND I WILL ALSO GIVE YOU A SPACER WHICH WILL HELP DELIVER MOST OF THAT MEDICATION IN THE UH TO YOUR LUNGS DO YOU HAVE ANY QUESTIONS
audio/RES0124.mp3[823.720,828.000]	UH NO I DONT HAVE ANY QUESTIONS AT ALL THANK YOU SO MUCH
audio/RES0206.mp3[0.000,4.800]	WHAT BRINGS YOU IN TODAY
audio/RES0206.mp3[4.800,64.080]	SO I SO I HAVE COPAND ITS USUALLY LIKE PRETTY MANAGEABLE WITH MY PUFFERS AND THAT BUT JUST IN THE LAST LIKE 3 DAYS I FEEL LIKE ITS GOTTEN A LOT WORSE YOU KNOW I I FEEL LIKE IM COUGHING MORE OFTEN AND IM NOW UH KIND OF PRODUCING MORE SPUTUM KIND OF LIKE A GREEN YELLOWY SPUTUM UHM I EVEN NOTICE THAT THERE IS LIKE A LITTLE BIT OF BLOOD A COUPLE TIMES WHEN I WAS LIKE REALLY COUGHING HARD I’VE BEEN FINDING IT LIKE HARDER TO BREATHE THAN USUAL I DON’T HAVE HOME OXYGEN OR ANYTHING AND IM NOT I DIDNT THINK I WAS QUITE THERE YET BUT THIS THESE LAST FEW DAYS ITS BEEN ITS BEEN REALLY HARD TO BREATHE
audio/RES0206.mp3[64.080,71.360]	I SEE OK SO THIS IS HAPPENED IN THE PAST THREE DAYS HAVE YOUR SYMPTOMS GOTTEN BETTER OR WORSE OVER THIS TIME
audio/RES0206.mp3[71.360,79.560]	I FEEL LIKE THEYVE BEEN GET MAYBE MAYBE GETTING A LITTLE WORSE THEY DEFINITELY HAVENT GOTTEN BETTER
audio/RES0206.mp3[79.560,84.440]	OK AND HAS THIS EVER HAPPENED TO YOU BEFORE
audio/RES0206.mp3[84.440,104.640]	I’VE HAD I HAD SOME TROUBLES LIKE WHEN IVE BEEN SICK BEFORE WHERE THE COUGH IS GOTTEN PRETTY BAD THIS IS PROBABLY THIS IS PROBABLY THE WORST THAT IVE HAD BUT I HAVE LIKE I HAVE HAD IN MY COPBEEN MADE WORSE BY BEING SICK
audio/RES0206.mp3[104.640,114.120]	I SEE OK WELL I GUESS THE FIRST THING WERE GOING SO HOWS TBAD HOW BAD IS YOUR SHORTNESS OF BREATH
audio/RES0206.mp3[114.120,136.800]	LIKE I I WALKED HERE FINE BUT I NORMALLY LIKE CAN WALK AROUND THE BLOCK AND I GO FOR A WALK USUALLY A COUPLE TIMES A DAY TO WALK MY DOG AND ITS BEEN JUST ITS BEEN A LITTLE BIT TRICKIER TO DO THAT
audio/RES0206.mp3[136.800,148.400]	I SEE OK AND UH HAVE YOU EVER HAD ANY HOSPITALIZATIONS IN THE PAST SPECIFICALLY FOR COPEXACERBATIONS
audio/RES0206.mp3[148.400,161.040]	UM I HAVENT UHM LIKE STAYED OVER IN THE HOSPITAL I LIKE COME TO EMERGE A COUPLE TIMES
audio/RES0206.mp3[161.040,164.920]	ALRIGHT UM HOW MANY TIMES
audio/RES0206.mp3[164.920,173.760]	I THINK TWICE MAYBE OVER THE LAST LIKE THREE YEARS
audio/RES0206.mp3[173.760,177.200]	UHM WHEN WERE YOU DIAGNOSED WITH COPD
audio/RES0206.mp3[177.200,181.160]	UHM 4 5 YEARS AGO
audio/RES0206.mp3[181.160,187.440]	WAS IT FORMALLY DIAGNOSED USING THE PROPER TESTING
audio/RES0206.mp3[187.440,195.760]	YEAH THEY REFERRED ME TO A LUNG A LUNG DOCTOR
audio/RES0206.mp3[195.760,201.920]	I SEE OK AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0206.mp3[201.920,206.920]	I FEEL LIKE I MAY HAVE HAD A FEVER LAST NIGHT I FELT REALLY HOT
audio/RES0206.mp3[206.920,210.440]	DID YOU CHECK YOUR TEMPERATURE
audio/RES0206.mp3[210.440,215.280]	I I DONT HAVE A THERMOMETER AT HOME
audio/RES0206.mp3[215.280,220.720]	NO PROBLEM WE CAN NOW CHECK YOUR TEMPERATURE
audio/RES0206.mp3[220.720,223.960]	HERE BY THE BED I WOULD SAY HAD A FEVER
audio/RES0206.mp3[223.960,238.840]	SURE AND HAVE YOU HAD ANY OTHER SYMPTOMS SO HAVE YOU HAD LIKE A RUNNY NOSE OR STUFFY NOSE ANY PAIN IN YOUR SINUS
audio/RES0206.mp3[238.840,252.960]	I THINK I THINK I HAVE A IVE HAD A BIT OF A LIKE THIS PRESSURE IN THE SINUS AREA BUT ITS BEEN THE COUGH HAS BEEN THE THING THATS BEEN THE MOST BOTHERSOME
audio/RES0206.mp3[252.960,256.200]	I SEE AND HAVE YOU HAD A SORE THROAT AT ALL
audio/RES0206.mp3[256.200,258.160]	OH NO
audio/RES0206.mp3[258.160,261.120]	OK A HEADACHE
audio/RES0206.mp3[261.120,271.120]	UHM MAYBE A LITTLE BIT YEAH
audio/RES0206.mp3[271.120,275.480]	OK AND ANY NAUSEA OR VOMITING
audio/RES0206.mp3[277.680,280.920]	DIARRHEA OR CONSTIPATION
audio/RES0206.mp3[284.880,287.240]	ABDOMINAL PAIN
audio/RES0206.mp3[288.560,293.920]	OK IN HAVE YOU RECENTLY LOST WEIGHT UNINTENTIONALLY
audio/RES0206.mp3[293.920,295.760]	NO NO I WISH BUT NO
audio/RES0206.mp3[295.760,303.320]	OK HAVE YOU HAD ANY NIGHT SWEATS WHERE YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT
audio/RES0206.mp3[303.320,305.120]	UH NO NOTHING LIKE THAT
audio/RES0206.mp3[305.120,317.000]	ALRIGHT AND HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK
audio/RES0206.mp3[317.000,344.200]	UM LET ME THINK I I MEET MY I MEET A COUPLE OF FRIENDS TO WALK OUR DOGS TOGETHER OUTSIDE AND ONE OF THEM WAS A BIT SICK FOR A BIT WE TRY NOT TO GET TOO CLOSE BUT MAYBE I DONT KNOW MAYBE SOMETIMES WE WALK A LITTLE TOO CLOSE WE FEEL TOO SAFE CAUSE WERE LIKE OUTSIDE
audio/RES0206.mp3[344.200,350.080]	OK OK UM AND DID YOUR FRIEND GET A COVID TEST DONE
audio/RES0206.mp3[350.080,352.840]	UHM I DON’T KNOW
audio/RES0206.mp3[352.840,369.840]	THATS OK OK AND YOU MENTIONED THAT YOU HAD COPTHAT WAS DIAGNOSED FOUR OR FIVE YEARS AGO ANY OTHER MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0206.mp3[369.840,375.720]	UM YEAH I HAVE A HIGH BLOOD PRESSURE
audio/RES0206.mp3[375.720,382.560]	OK AND ARE YOU TAKING ANY MEDICATIONS
audio/RES0206.mp3[382.560,408.400]	I’M NOT IM NOT I WE TALKED ABOUT IT BUT I DECIDED TO TRY TO CHANGE MY LIFESTYLE AS MUCH AS I COULD 1ST AND IVE ALSO DONE THAT FOR THE COPITS GENERALLY PRETTY LIKE IVE BEEN REALLY TRYING TO TAKE CARE OF IT BUT UM I FEEL LIKE I MAYBE GOT SICK OR SOMETHING THIS TIME YEAH SO MY BLOOD PRESSURE IS LIKE OK RIGHT NOW
audio/RES0206.mp3[408.400,409.400]	OK OK
audio/RES0206.mp3[409.400,414.880]	MY PRESSURE AND THEN I LOST WEIGHT AND STARTED THIS WALKING MORE
audio/RES0206.mp3[414.880,425.160]	THATS GREAT THATS REALLY REALLY GOOD THAT YOURE TAKING BETTER CARE OF YOURSELF SHOULD DEFINITELY CONTINUE DOING THAT
audio/RES0206.mp3[426.080,432.320]	AND YOUVE MENTIONED THAT YOU HAVE SOME PUFFERS HOW OFTEN DO YOU USE THOSE
audio/RES0206.mp3[432.320,450.360]	OH LIKE I HAVE THE ONE THAT I USE EVERY DAY THAT IM SUPPOSED TO JUST USE NO MATTER WHAT AND THEN THE ONE THAT I USE WHEN KIND OF JUST WHEN I NEED IT I PROBABLY USE IT LIKE ONCE EVERY TWO WEEKS
audio/RES0206.mp3[450.360,467.720]	OK OK UHM AND YOU MENTIONED THAT YOUR COPD’S ARE GETTING BETTER DO YOU FIND THAT ITS AFFECTING YOUR LIFE IN ANY WAY AFFECTING THE WAY THAT YOURE DOING YOUR DAILY ACTIVITIES AT AT HOME OR AT WORK IF YOU ARE WORKING
audio/RES0206.mp3[467.720,478.120]	I LIKE PRETTY OK EXCEPT FOR LIKE IF I GET SICK I SO YEAH ITS BEEN
audio/RES0206.mp3[478.120,478.920]	I SEE
audio/RES0206.mp3[478.920,483.680]	SO I THINK ITS LIKE PRETTY WELL MANAGED LIKE I STAY ON TOP OF MY LIFESTYLE NOW
audio/RES0206.mp3[483.680,492.760]	THATS GOOD THATS GOOD DO YOU HAVE ANY ALLERGIES
audio/RES0206.mp3[492.760,494.360]	UH NO NO
audio/RES0206.mp3[494.360,500.440]	NO NO ALLERGIES TO MEDICATIONS
audio/RES0206.mp3[501.320,514.080]	OK OK GOOD AND DO YOU JUST A COUPLE MORE TO GENERAL QUESTIONS HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY
audio/RES0206.mp3[514.440,521.440]	YOU I GUESS I SHOULD HAVE ASKED YOU EARLIER BUT HAVE YOU NOTICED ANY CHANGE IN YOUR SENSE OF SMELL
audio/RES0206.mp3[521.440,523.640]	UH NO I DONT THINK SO
audio/RES0206.mp3[523.640,530.520]	ANY CHANGE IN YOUR SENSE OF TASTE
audio/RES0206.mp3[530.520,532.480]	UHM NO I DONT THINK SO
audio/RES0206.mp3[532.480,534.920]	ANY CONFUSION OR FUZZY FEELING
audio/RES0206.mp3[538.320,543.480]	NO OK ANY MUSCLE ACHES IN YOUR BODY
audio/RES0206.mp3[543.480,544.960]	UH NO
audio/RES0206.mp3[544.960,562.080]	OK ALRIGHT AND JUST KIND OF SOME QUESTIONS ABOUT YOUR LIVING SITUATION DO YOU CURRENTLY LIVE ALONE AND I YOU MENTIONED THAT YOU HAVE A DOG ARE THERE ANY IS THERE ANYBODY ANYONE ELSE IN THE HOUSE
audio/RES0206.mp3[562.080,563.920]	UH MY HUSBAND
audio/RES0206.mp3[563.920,571.320]	OK AND DO YOU CURRENTLY WORK
audio/RES0206.mp3[571.320,578.800]	YEAH I UH LIKE IVE BEEN WORKING FROM HOME I WORKED FOR THE MUNICIPALITY
audio/RES0206.mp3[578.800,587.520]	I SEE DO YOU THINK YOU MIGHT HAVE HAD ANY EXPOSURES TO SAY DUST OR SMOKE OR ANYTHING LIKE THAT THAT COULD HAVE WORSENED YOUR SYMPTOMS
audio/RES0206.mp3[587.520,591.440]	I DONT THINK SO
audio/RES0206.mp3[591.440,594.160]	AND DO YOU DRINK ALCOHOL
audio/RES0206.mp3[594.160,596.040]	OH VERY RARELY
audio/RES0206.mp3[596.040,597.240]	OK DO YOU SMOKE
audio/RES0206.mp3[597.240,609.520]	I USED TO I QUIT ONCE THEY SAID I HAVE COPI SMOKED 12 PACK A DAY FOR PROBABLY 20 YEARS
audio/RES0206.mp3[609.520,614.400]	OK OK AND DO YOU CONSUME MARIJUANA OR ANY RECREATIONAL DRUGS
audio/RES0206.mp3[614.760,631.000]	OK UH ALRIGHT WELL I GUESS ONE MORE QUESTION ARE THERE ANY LUNG DISEASES OR HEART CONDITIONS OR CANCERS THAT RUN IN THE FAMILY
audio/RES0206.mp3[631.000,636.600]	NO NOTHING THAT I CAN THINK OF
audio/RES0206.mp3[636.600,688.800]	ALRIGHT WELL THATS THOSE ARE ALL THE QUESTIONS I HAD FOR YOU I WILL NOW DO IT PHYSICAL EXAM AND LOOK AT YOUR VITALS AND LISTEN TO YOUR CHEST ITS LIKELY THAT WHAT YOU HAVE RIGHT NOW IS COPEXACERBATION MAYBE JUST A LIKE AN INFECTION THAT YOU GOT WHICH WORSENED SOME OF YOUR COPSYMPTOMS WE WOULD ALSO HAVE TO RULE OUT COVID SO WELL BE DOING A COVID SWAB AND WILL DECIDE BASED ON THE ON YOUR LABS IN YOUR VITAL SIGNS ITS INSTEAD OF OTHER THINGS WHETHER YOU NEED TO STAY IN THE ER AND BE ADMITTED OR IF YOU ARE GOOD TO GO HOME I WILL ALSO TALK TO MY ATTENDING AND WILL MAKE THOSE DECISIONS TOGETHER AND COME BACK AND TALK TO YOU DOES THAT SOUND GOOD TO YOU
audio/RES0206.mp3[688.800,690.720]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0206.mp3[690.720,692.360]	YOUR WELCOME
audio/RES0069.mp3[0.000,4.520]	WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN
audio/RES0069.mp3[4.520,17.000]	YEAH ABSOLUTELY UHM I DONT KNOW IVE JUST BEEN FEELING A LITTLE FEVERISH UHM AND I ALSO HAVE A A BIT OF A SORE THROAT
audio/RES0069.mp3[17.000,18.640]	OK WHEN
audio/RES0069.mp3[18.640,31.840]	I JUST CAME IN I JUST CAME IN TO SEE WHATS GOING ON CAUSE I WAS WORRIED YOU KNOW WITH COVID GOING ON UHM GOING EVERYWHERE
audio/RES0069.mp3[31.840,35.840]	CERTAINLY WHEN DID THE THE SORE THROAT START
audio/RES0069.mp3[35.840,39.200]	LAST NIGHT ACTUALLY
audio/RES0069.mp3[43.080,51.480]	AND UHM HAVE YOU HAD ANY UHM PROBLEMS WITH SWALLOWING LIKE FOOD OR LIQUIDS
audio/RES0069.mp3[51.480,59.160]	NO I DONT THINK SO I JUST HAD BREAKFAST THIS MORNING AND NO PROBLEMS THERE
audio/RES0069.mp3[59.160,72.440]	OK UH ANY LIKE CHANGES THAT UHM OTHER SYMPTOMS THAT YOUVE BEEN HAVING WITH THE SORE THROAT
audio/RES0069.mp3[72.440,76.880]	YEAH IM JUST FEELING A LITTLE FEVERISH
audio/RES0069.mp3[76.880,85.840]	OK AND WHEN DID THAT START
audio/RES0069.mp3[85.840,88.480]	THIS MORNING
audio/RES0069.mp3[88.480,93.960]	OK DID YOU TAKE YOUR TEMPERATURE
audio/RES0069.mp3[93.960,101.000]	NO I DONT HAVE A THERMOMETER AT HOME
audio/RES0069.mp3[101.000,105.080]	OK AND HAVE YOU HAD ANY ANY COUGH
audio/RES0069.mp3[107.200,111.080]	OK HOW ABOUT ANY LIKE RED EYES OR RUNNY NOSE
audio/RES0069.mp3[111.080,113.320]	NO NEITHER OF THOSE
audio/RES0069.mp3[113.320,120.320]	OK HAVE YOU HAD A HEADACHE
audio/RES0069.mp3[121.360,128.680]	OK UH AND HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0069.mp3[128.680,135.080]	I DONT THINK SO
audio/RES0069.mp3[135.080,142.040]	OK AND HOW ABOUT ANY LOSS OF TASTE OR LOSS OF SMELL
audio/RES0069.mp3[142.040,149.560]	YEAH I DONT UH YES I SAID I WAS EATING BREAKFAST THIS MORNING BUT IT JUST TASTED REALLY BLAND
audio/RES0069.mp3[149.560,162.680]	OK SO MAYBE LOSS OF TASTE SO YOU FEEL LIKE YOUR NOSE IS REALLY OR THAT YOURE REALLY CONGESTED
audio/RES0069.mp3[162.680,169.320]	I GUESS YEAH NOW THAT I THINK ABOUT IT
audio/RES0069.mp3[169.320,172.000]	OK UH AND HOW HAS YOUR APPETITE BEEN
audio/RES0069.mp3[172.000,175.880]	ITS ALRIGHT
audio/RES0069.mp3[175.880,186.680]	OK AND SO YOU HAVENT HAD ANY COUGH OR SHORTNESS OF BREATH BUT HAVE YOU NOTICED ANY WHEEZING
audio/RES0069.mp3[187.680,191.120]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0069.mp3[192.200,198.640]	HAVE YOU FELT AS THOUGH YOUR HEARTSS BEEN RACING AT ALL OR OR BEATING OUT OF YOUR CHEST
audio/RES0069.mp3[199.920,204.200]	OK HAVE YOU BEEN DIZZY OR LIGHTHEADED
audio/RES0069.mp3[205.600,209.160]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0069.mp3[209.920,212.600]	ANY ABDOMINAL PAIN
audio/RES0069.mp3[214.040,216.880]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0069.mp3[216.880,224.680]	UHM IM OFTEN CONSTIPATED BUT NOTHING NEW THERE
audio/RES0069.mp3[224.680,229.320]	OK HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0069.mp3[231.160,235.920]	ALRIGHT AND THEN HOW ABOUT ANY MUSCLE ACHES OR OR BODY ACHES
audio/RES0069.mp3[235.920,243.880]	SORT OF LIKE I JUST I FOUND IT REALLY HARD TO GET OUT OF BED THIS MORNING
audio/RES0069.mp3[243.880,251.280]	OK HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN LIKE REALLY FATIGUED
audio/RES0069.mp3[252.400,260.680]	OK AND WHEN DID UH YOU SAID THE MUSCLE ACHE STARTED THIS MORNING UHM HOW WHEN DID THE FATIGUE START
audio/RES0069.mp3[260.680,280.760]	ID SAY THIS MORNING AS WELL YESTERDAY WAS JUST LIKE A LITTLE TICKLE IN MY THROAT AND I THOUGHT IT WOULD JUST GO AWAY YOU KNOW AND I WOKE UP THIS MORNING AND I JUST FELT HORRIBLE AND THE SORE THROAT WAS JUST WORSE AND I FELT FEVERISH AND TIRED AND I FELT REALLY CRAPPY
audio/RES0069.mp3[280.760,286.400]	OK YEAH AND HAVE YOU HAD ANY SYMPTOMS LIKE THIS BEFORE
audio/RES0069.mp3[286.400,293.440]	WELL YEAH I USUALLY GET A COLD ONCE A YEAR IN THE FALL IT DOES FEEL SIMILAR TO THAT
audio/RES0069.mp3[294.720,300.360]	BUT I STILL WANTED TO BE CAREFUL AND COME IN JUST IN CASE
audio/RES0069.mp3[300.360,307.960]	YEAH CERTAINLY HAVE YOU HAD HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0069.mp3[307.960,312.480]	I HAVE MIGRAINES
audio/RES0069.mp3[312.480,317.600]	OK AND ARE YOU TAKING ANY MEDICATIONS REGULARLY
audio/RES0069.mp3[317.600,327.440]	NO NO IM NOT ITS NOT BAD I SOMETIMES JUST TAKE LIKE ADVIL WHENEVER MY HEADACHES COMING ON
audio/RES0069.mp3[327.440,330.800]	OK ANY ALLERGIES
audio/RES0069.mp3[330.800,333.680]	UH NOPE
audio/RES0069.mp3[333.680,338.000]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0069.mp3[338.000,344.920]	I SMOKE UH TWO OR THREE A DAY
audio/RES0069.mp3[344.920,348.040]	OK AND HAVE YOU TRIED TO QUIT
audio/RES0069.mp3[350.240,356.120]	OK IF AT ANY POINT THIS IS SOMETHING THAT YOU WANTED TO TALK ABOUT WE WE CERTAINLY COULD LATER
audio/RES0069.mp3[358.360,361.520]	DO YOU DRINK ALCOHOL
audio/RES0069.mp3[361.520,364.840]	UHM A GLASS AT NIGHT WITH DINNER
audio/RES0069.mp3[364.840,369.680]	OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0069.mp3[369.680,372.640]	NO NO NO NOTHING LIKE THAT
audio/RES0069.mp3[372.640,376.560]	OK HAVE YOU IN THE PAST
audio/RES0069.mp3[377.160,387.760]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/RES0069.mp3[387.760,400.120]	UHM OH MY LIKE MY LITTLE GRANDDAUGHTER HAD UHM YOU KNOW THEYRE ALWAYS HAVING A RUNNY NOSE RIGHT THE LITTLE ONES
audio/RES0069.mp3[401.160,406.360]	BUT NO NOTHING NOTHING ELSE IVE JUST BEEN AT HOME FOR THE MOST PART
audio/RES0069.mp3[406.360,411.400]	OK HAVE YOU TRAVELED TRAVELED ANYWHERE
audio/RES0069.mp3[411.680,418.280]	OK AND UH DOES YOUR GRANDDAUGHTER GO TO DAYCARE OR IS SHE IN SCHOOL
audio/RES0069.mp3[418.280,424.720]	SHE SHE DOES GO TO DAYCARE YEAH
audio/RES0069.mp3[424.720,432.040]	OK AND HAS THERE BEEN ANYBODY ELSE AROUND THAT THATS BEEN SICK THAT YOURE LIVING WITH OR YOU SEE OFTEN
audio/RES0069.mp3[432.040,437.080]	NO THATS ABOUT IT
audio/RES0069.mp3[437.080,442.120]	OK I I THINK I DONT THINK I ASKED THIS BUT HAVE YOU HAD ANY SURGERIES BEFORE
audio/RES0069.mp3[442.120,448.640]	I HAD CATARACT SURGERY DONE
audio/RES0069.mp3[448.640,451.120]	OK AND THE LEFT RIGHT EYE OR RIGHT EYE
audio/RES0069.mp3[451.120,457.320]	BOTH ACTUALLY IT RUNS IN MY FAMILY WE GET IT PRETTY EARLY ON
audio/RES0069.mp3[457.320,469.840]	OK AND ARE THERE ANY OTHER CONDITIONS THAT RUN IN YOUR FAMILY LIKE HEART CONDITIONS OR CANCER
audio/RES0069.mp3[471.240,480.320]	DIABETES OK AND WHO HAD DIABETES
audio/RES0069.mp3[480.320,489.360]	LETS SEE MY MOM MY SISTER MY BROTHER YEAH YEAH
audio/RES0069.mp3[489.360,506.800]	OK AND JUST TO GET TO KNOW YOU A LITTLE BIT BETTER AS WELL I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0069.mp3[506.800,515.200]	SURE YEAH I LIVE WITH UH I LIVE WITH MY SON AND DAUGHTER AND MY GRANDSON
audio/RES0069.mp3[515.200,531.160]	OK UHM AND UHM OK YEAH I THINK THATS ALL I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO TELL ME OR MAYBE THAT I FORGOT TO ASK ABOUT
audio/RES0069.mp3[531.160,536.160]	UH NO I DONT THINK SO DO YOU THINK I HAVE COVID
audio/RES0069.mp3[536.160,541.200]	ITS ITS CERTAINLY POSSIBLE IT WILL BE SOMETHING WE TEST FOR
audio/RES0069.mp3[542.960,579.000]	ALTHOUGH THE SYMPTOMS THAT YOURE EXPERIENCING WITH FEELING OR HAVING A FEVER SORE THROAT AND NOT FEELING WELL WITH THE MUSCLE ACHES AND FATIGUE UHM ITS RELATIVELY NONSPECIFIC SO AS YOU MENTIONED IT COULD BE SOMETHING LIKE THE COMMON COLD THAT YOUVE EXPERIENCED IN THE PAST SO WE CANT RULE THAT OUT EITHER AT THIS TIME BUT WE WILL DO SOME INVESTIGATIONS INCLUDING A NASAL SWAB FOR COVID AND KIND OF GO FROM THERE
audio/RES0069.mp3[579.000,580.880]	OK SOUNDS GOOD
audio/RES0069.mp3[580.880,582.640]	ALL RIGHT WELL GET THAT STARTED
audio/MSK0006.mp3[0.000,1.840]	WHAT BRINGS YOU IN
audio/MSK0006.mp3[1.840,15.600]	I IVE HAD THIS UH PAIN IN THE RIGHT BUTTOCK AREA ITS BEEN REALLY INTENSE AND MORE RECENTLY IM FEELING IT LIKE RADIATE JUST DOWN MY RIGHT LEG AS WELL
audio/MSK0006.mp3[15.600,20.160]	OK AND SORRY WHEN DID YOU SAY IT STARTED
audio/MSK0006.mp3[20.160,33.360]	SO UM ITS BEEN GOING ON UH FOR WELL ITS ITS GOTTEN REALLY INTENSE IN THE LAST UH LIKE 2 DAYS
audio/MSK0006.mp3[33.360,41.240]	OK AND BEFORE THAT DID YOU HAVE ANY PAIN AT ALL OR WAS IT JUST LIKE SUDDEN
audio/MSK0006.mp3[41.240,58.880]	YEAH I DO HAVE A BIT OF PAIN UH DOWN IN MY UH IN IN MY BUTTOCK AREA UM BUT UM ITS JUST GOTTEN REALLY UH ITS GOTTEN MORE PAINFUL OVER THESE LAST COUPLE OF DAYS
audio/MSK0006.mp3[58.880,69.160]	OK UM AND IS IT A PERSISTENT KIND OF PAIN OR DOES IT COME AND GO
audio/MSK0006.mp3[69.160,74.080]	UM ITS UH PERSISTENT ITS IT IT DOES GET WORSE THOUGH DEPENDING ON WHAT WHAT IM DOING
audio/MSK0006.mp3[74.080,79.600]	OK WHAT UH WHEN DOES IT GET WORSE
audio/MSK0006.mp3[79.600,98.760]	UM WELL IT IT GETS IT GETS WORSE WITH WALKING WITH SITTING UM REALLY ANY LIKE ANY KINDS OF MOVEMENTS LIKE IF I JUST GOTTA KIND OF STAY STILL AND THATS THE ONLY THING THAT REALLY HELPS IT
audio/MSK0006.mp3[98.760,102.440]	OK UM HAVE YOU TRIED ANYTHING FOR IT
audio/MSK0006.mp3[102.440,114.560]	UH YEAH IM JUST TAKING SOME PAIN MEDIC MEDICATIONS OVER THE COUNTER FOR THESE LAST COUPLE OF DAYS UM LIKE ADVIL AND TYLENOL BUT THATS IT
audio/MSK0006.mp3[114.560,118.280]	OK UM AND DOES IS IT HELPING
audio/MSK0006.mp3[118.280,127.000]	IT DOES I MEAN UH NOT REALLY IT HASNT REALLY HELPED MUCH
audio/MSK0006.mp3[127.000,137.240]	OK UM ALRIGHT AND IF YOU WERE TO DESCRIBE THE QUALITY OF THE PAIN WOULD YOU SAY ITS SHARP DULL ACHY THROBBY
audio/MSK0006.mp3[137.240,158.040]	UH IT UM KIND OF LIKE A SHARP PAIN IN THE IN THE BUTTOCK AND UM IT IT UM ITS KIND OF LIKE BURNING UH DOWN THE LEG
audio/MSK0006.mp3[158.040,174.880]	OK OK SO A RADICULAR KIND OF PAIN THEN UM OK AND IF YOU WERE TO RATE THE SEVERITY OF YOUR PAIN 1 TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT WHAT WOULD YOU RATE IT
audio/MSK0006.mp3[176.240,186.320]	OK AND DOES THIS PAIN RADIATE ELSEWHERE I KNOW YOU SAID IT STARTS ON YOUR BUTTOCKS KIND OF GOES DOWN YOUR LEGS DOES IT GO UP YOUR BACK OR DOWN INTO THE OTHER LEG AT ALL
audio/MSK0006.mp3[186.320,191.360]	NO I FEEL IT JUST UH JUST IN THE BUTTOCK AND DOWN THE LEG
audio/MSK0006.mp3[191.360,201.760]	OK UH HAVE YOU EVER EXPERIENCED THIS KIND OF PAIN BEFORE
audio/MSK0006.mp3[201.760,218.680]	UHM I HAVE YEAH UM IM A A TRUCK DRIVER AND SO I DO A LOT OF UH A LOT OF SITTING AND IVE HAD KIND OF SCIATIC PAIN UM IN THE PAST
audio/MSK0006.mp3[218.680,228.680]	OK AND HAVE YOU EVER HAD ANY LIKE TRAUMA OR ANYTHING THAT COULD HAVE TRIGGERED THIS INITIALLY UM IN THE PAST
audio/MSK0006.mp3[228.680,246.760]	NO I DONT THINK SO I DONT I HAVENT REALLY DONE MUCH JUST KIND OF WORK AND UM UEAH I HAVENT HAD ANY TRAUMA TO THE BACK OR ANYTHING LIKE THAT
audio/MSK0006.mp3[246.760,257.000]	OK AND ARE YOU EXPERIENCING ANY SORT OF WEAKNESS WITH YOUR LEGS
audio/MSK0006.mp3[257.000,267.960]	UH NO NO WEAKNESS JUST UM WELL YEAH MAYBE I GUESS MAYBE YEAH MAYBE A LITTLE BIT OF UH LEG WEAKNESS IVE HAD IVE HAD A LITTLE BIT OF DIFFICULTY WALKING BEEN LIMPING
audio/MSK0006.mp3[267.960,272.560]	OH I SEE OK OK AND JUST IN YOUR RIGHT LEG RIGHT
audio/MSK0006.mp3[274.760,280.200]	ANY URINARY OR UM STOOL INCONTINENCE
audio/MSK0006.mp3[281.680,285.360]	NO OK ANY SEXUAL DYSFUNCTION
audio/MSK0006.mp3[285.360,291.160]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/MSK0006.mp3[291.160,294.440]	OK UM ANY NUMBNESS OR TINGLING
audio/MSK0006.mp3[294.440,300.000]	YEAH IVE IVE HAD SOME NUMBNESS AND TINGLING DOWN THE THE RIGHT LEG
audio/MSK0006.mp3[300.000,304.160]	OK HOW ABOUT IN THE GROIN AREA
audio/MSK0006.mp3[304.160,307.560]	NO ITS JUST KIND OF DOWN THE BACK OF MY LEG
audio/MSK0006.mp3[307.560,314.880]	OK UM ALRIGHT AND OTHERWISE DO YOU HAVE ANY OTHER SYMPTOMS
audio/MSK0006.mp3[314.880,321.360]	NO ITS JUST BEEN JUST BEEN UH THIS PAIN
audio/MSK0006.mp3[321.360,332.160]	OK ALRIGHT UM AND ILL JUST KIND OF GO THROUGH SOME QUESTIONS WITH YOU DO YOU HAVE ANY JOINT PAINS OR MUSCLE ACHES ELSEWHERE
audio/MSK0006.mp3[333.080,335.080]	NO WEIGHT LOSS
audio/MSK0006.mp3[335.080,335.880]	NO WEIGHT LOSS
audio/MSK0006.mp3[335.880,338.800]	FEVERS OR CHILLS
audio/MSK0006.mp3[338.800,340.240]	NO FEVERS OR CHILLS
audio/MSK0006.mp3[340.240,342.640]	UH RASHES
audio/MSK0006.mp3[342.640,343.560]	NO RASHES
audio/MSK0006.mp3[343.560,348.000]	CHANGES TO YOUR VISION HEARING SMELL OR TASTE
audio/MSK0006.mp3[349.120,353.680]	UM ARE YOU COUGHING HAVING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0006.mp3[353.680,356.560]	NO I HAVENT BEEN ANY HAVING ANY SYMPTOMS LIKE THAT
audio/MSK0006.mp3[356.560,363.800]	OK ANY CHEST PAIN PALPITATIONS UH OR DIZZINESS OR FAINTING SPELLS
audio/MSK0006.mp3[363.800,365.400]	NO NOTHING LIKE THAT
audio/MSK0006.mp3[365.400,368.960]	ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/MSK0006.mp3[368.960,371.200]	NO DIARRHEA OR CONSTIPATION
audio/MSK0006.mp3[371.200,374.160]	AND NO BLEEDING IN THE STOOL
audio/MSK0006.mp3[374.160,375.440]	NO BLOOD IN THE STOOL
audio/MSK0006.mp3[375.440,378.600]	OK AND THEN HOW ABOUT NAUSEA OR VOMITING
audio/MSK0006.mp3[378.600,380.960]	NO I HAVENT HAD ANY NAUSEA OR VOMITING
audio/MSK0006.mp3[380.960,384.000]	OK CHANGES TO YOUR URINE
audio/MSK0006.mp3[384.000,387.600]	UH NO NO CHANGES TO THE URINE
audio/MSK0006.mp3[387.600,393.480]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0006.mp3[393.480,407.320]	I DO HAVE UM HIGH BLOOD PRESSURE AND UH HIGH CHOLESTEROL AND I TAKE MEDICATIONS FOR THOSE I TAKE AMLODIPINE AND UM A STATIN
audio/MSK0006.mp3[407.320,416.040]	OK DO YOU HAVE ANY OTHER MEDICAL CONDITIONS ARE ARE YOU ON ANY OTHER MEDICATIONS BESIDES THOSE
audio/MSK0006.mp3[416.040,418.240]	JUST A MULTIVITAMIN
audio/MSK0006.mp3[418.240,422.440]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/MSK0006.mp3[422.440,423.840]	I AM YES
audio/MSK0006.mp3[423.840,426.440]	OK ANY ALLERGIES
audio/MSK0006.mp3[426.440,428.640]	UH NO I DONT BELIEVE SO
audio/MSK0006.mp3[428.640,436.960]	NO UH FAMILY HISTORY OF UM MUSCULOSKELETAL OR NEUROLOGICAL ISSUES
audio/MSK0006.mp3[436.960,438.320]	UH NO NOTHING LIKE THAT
audio/MSK0006.mp3[438.320,442.720]	UH AUTOIMMUNE CONDITIONS
audio/MSK0006.mp3[442.720,444.080]	NO NOTHING LIKE THAT
audio/MSK0006.mp3[446.520,448.560]	NO OK AND DO YOU SMOKE
audio/MSK0006.mp3[448.560,459.280]	UM YEAH I SMOKE UH ABOUT UM HALF A PACK OF CIGARETTES PER DAY
audio/MSK0006.mp3[459.280,462.720]	OK FOR HOW LONG HAVE YOU BEEN DOING THAT
audio/MSK0006.mp3[462.720,467.880]	UH FOR UH YEAH ABOUT 40 YEARS
audio/MSK0006.mp3[467.880,471.640]	40 YEARS OK HAVE YOU EVER THOUGHT OF QUITTING
audio/MSK0006.mp3[471.640,482.640]	I HAVE YEAH IVE CUT DOWN OVER THE YEARS UM I USED TO SMOKE MORE ITS JUST THE CULTURE WITH UH I DONT KNOW EVERYBODYS DRIVING A TRUCK AND SMOKING
audio/MSK0006.mp3[482.640,490.880]	OK YEAH THATS HARD IF YOU EVER NEED ANY RESOURCES WE HAVE SOME THAT WE CAN REFER YOU TO
audio/MSK0006.mp3[490.880,492.480]	THANK YOU
audio/MSK0006.mp3[492.480,495.360]	YEAH NO WORRIES AND DO YOU UM CONSUME MARIJUANA
audio/MSK0006.mp3[495.360,497.680]	NO I DONT
audio/MSK0006.mp3[497.680,501.120]	OK HOW ABOUT OTHER RECREATIONAL DRUGS
audio/MSK0006.mp3[501.120,503.960]	UH NOPE NOTHING LIKE THAT BEFORE
audio/MSK0006.mp3[503.960,507.960]	OK DO YOU DRINK ALCOHOL
audio/MSK0006.mp3[507.960,515.440]	UM YEAH ILL HAVE A BEER OR TWO ON THE WEEKEND SO MAYBE A COUPLE OF DRINKS PER WEEK
audio/MSK0006.mp3[515.440,527.600]	OK UM AND HOW ABOUT UM DO UH SICK CONTACTS HAVE YOU BEEN IN TOUCH WITH ANY RECENTLY
audio/MSK0006.mp3[527.600,530.560]	NO I HAVENT BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0006.mp3[530.560,533.360]	OK UM ANY TRAVEL RECENTLY
audio/MSK0006.mp3[533.360,553.360]	UH JUST FOR THE DROP OFFS THAT I THAT I MAKE UM DRIVING I DO HAVE TO MAKE SOME PRETTY UM LONG HAULS UH BACK AND FORTH UM THE YEAH
audio/MSK0006.mp3[553.360,560.400]	OK UM AND WHERE DO YOU CURRENTLY LIVE
audio/MSK0006.mp3[560.400,566.640]	SO I LIVE IN A HOUSE WITH MY UM WITH MY WIFE UH YEAH AND SON
audio/MSK0006.mp3[566.640,591.400]	OK ALRIGHT AND OK SO NOW IM JUST GOING TO MOVE ON TO THE PHYSICAL EXAM PART OF THIS UM AND IM GOING TO ASK YOU TO DO A FEW THINGS OK SO WELL JUST BY LOOKING AT YOUR LEGS OR IF YOU HAVE A MIRROR UM AND YOU CAN LOOK AT YOUR RIGHT BUTTOCK AREA UM DO YOU SEE ANY SWELLING OR REDNESS
audio/MSK0006.mp3[591.400,597.880]	UM NO I DONT SEE ANYTHING LIKE THAT
audio/MSK0006.mp3[597.880,602.160]	OK AND DOES IT FEEL HOT
audio/MSK0006.mp3[602.160,603.280]	NO IT DOESNT FEEL HOT
audio/MSK0006.mp3[603.280,606.960]	OK AND DO YOU SEE ANY SKIN CHANGES
audio/MSK0006.mp3[606.960,608.200]	NO SKIN CHANGES
audio/MSK0006.mp3[608.200,611.480]	UM ANY ATROPHY OR DEFORMITY IN THE AREA
audio/MSK0006.mp3[613.080,622.080]	NO UM HAS YOUR GAIT CHANGED LIKE DOES IT ARE YOU LIMPING HOBBLING ANYTHING LIKE THAT
audio/MSK0006.mp3[622.080,627.120]	UM YEAH I FEEL LIKE IVE BEEN LIMPING A LITTLE BIT UH YEAH
audio/MSK0006.mp3[627.120,631.800]	ARE YOU PUTTING MORE UM PRESSURE ON THE LEFT FOOT THEN
audio/MSK0006.mp3[631.800,637.760]	I AM YEAH YEAH I GUESS THERES LIKE AN ANTALGIC GAIT
audio/MSK0006.mp3[637.760,649.560]	OK ALRIGHT AND THEN UM IF YOU PRESS DOWN ON YOUR HIPBONE DO YOU FEEL ANY PAIN THERE ON YOUR RIGHT HIP BONE
audio/MSK0006.mp3[649.560,650.880]	NO I DONT
audio/MSK0006.mp3[650.880,654.320]	OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR BUTTOCKS ITSELF
audio/MSK0006.mp3[654.320,662.920]	UM YEAH THERE IS UH A LITTLE BIT OF TENDERNESS UM OVER THE BUTTOCK AREA
audio/MSK0006.mp3[662.920,666.000]	OK HOW ABOUT THE BACK OF YOUR LEGS
audio/MSK0006.mp3[666.320,672.440]	OK HOW ABOUT THE FRONT UM OF YOUR LEGS THIGHS
audio/MSK0006.mp3[674.280,684.080]	NO OK ALRIGHT UM AND THEN IM GONNA JUST GET YOU TO DO A FEW MOVEMENTS UM WITH ME AS WELL WOULD YOU UH OK SO ARE YOU SITTING DOWN RIGHT NOW
audio/MSK0006.mp3[685.440,690.000]	OK WOULD YOU MIND STANDING UP FROM A SITTING POSITION
audio/MSK0006.mp3[690.000,692.680]	YEAH FOR SURE
audio/MSK0006.mp3[692.680,694.680]	DOES THAT HURT
audio/MSK0006.mp3[694.680,697.440]	IT UH YEAH THAT THAT THAT CAUSES PAIN
audio/MSK0006.mp3[697.440,723.640]	OK SO THAT CAUSES SO UM HIP HIP EXTENSION UH THAT CAUSES SOME PAIN UM AND AS WELL AS KNEE EXTENSION SO WOULD YOU MIND UM KICKING YOUR RIGHT LEG UP IN FRONT OF YOU ALL THE WAY UP AS FAR AS YOU CAN GO
audio/MSK0006.mp3[723.640,725.120]	MHMM OH YEAH
audio/MSK0006.mp3[725.120,727.080]	DOES THAT HURT
audio/MSK0006.mp3[727.080,727.840]	IT DOES YEAH
audio/MSK0006.mp3[727.840,741.840]	OK SO RIGHT HIP FLEXION UM ALSO CAUSES PAIN AND THEN WOULD YOU MIND UH FOLDING YOUR KNEES BACKWARDS UM AND JUST SORT OF FLEXING IT DOES THAT HURT
audio/MSK0006.mp3[741.840,744.280]	UH NO
audio/MSK0006.mp3[744.280,754.200]	OK SO NO PAIN AT KNEE FLEXION AND HOW ABOUT WHEN YOU POINT YOUR FEET UM AND TOES UP TOWARDS THE CEILING
audio/MSK0006.mp3[754.200,771.600]	UHM YEAH I I DO GET SOME PAIN WITH MY UM YEAH WHEN THATS ALL STRAIGHTENED OUT YEAH
audio/MSK0006.mp3[771.600,784.000]	OK SO SOME PAIN ON UM PLANTER FLEXION OF THE RIGHT FOOT AND HOW ABOUT IF YOU UM POINT YOUR FEET AND TOES TOWARDS THE GROUND
audio/MSK0006.mp3[784.000,787.120]	NO PAIN THERE
audio/MSK0006.mp3[787.120,800.800]	OK UM ALRIGHT AND HOW ABOUT WHEN YOU UH KICK YOUR LEGS UH TO THE SIDE AND UPWARDS
audio/MSK0006.mp3[800.800,806.760]	OH UH NO PAIN WITH ABDUCTION
audio/MSK0006.mp3[806.760,811.640]	OK SO NO PAIN ON RIGHT HIP ABDUCTION AND THEN HOW ABOUT WHEN YOU BRING IT BACK DOWN
audio/MSK0006.mp3[812.760,821.520]	OK AND NO PAIN ON HIP ADDUCTION OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS FOR MYSELF
audio/MSK0006.mp3[821.520,826.280]	UH JUST WONDERING ABOUT POSSIBLY LIKE WHAT IT COULD BE
audio/MSK0006.mp3[826.280,956.120]	YEAH UM SO IT SOUNDS UM RIGHT NOW LIKE YOU MAY HAVE SOME SORT OF UH SACRAL NERVE RADICULOPATHY UM OR OR LIKE A LOWER LUMBAR LUMBAR UM RADICULOPATHY UM BASICALLY UH THATS KNOWN AS SCIATICA UH WHERE YOUR NERVE ROOTS CAN BE COMPRESSED CAUSING SOME OF THESE SYMPTOMS UM AND TO DIAGNOSE THESE THINGS USUALLY ITS JUST DONE BY HISTORY AND PHYSICAL EXAM UM BUT IF AFTER WE TRY OUT SOME MANAGEMENT THINGS IT DOESNT GO AWAY OR YOURE HAVING SOME RED FLAGS INCLUDING UM NUMBNESS IN THE GROIN AREA BOWEL OR BLADDER INCONTINENCE THEN WE CAN LOOK AT SOME UM IMAGING FOR THE FOR THE SPINE INCLUDING MRI UM AND SO IN TERMS OF MANAGEMENT OF THIS UM WE CAN TRY A COUPLE COUPLE OF LIKE CONSERVATIVE APPROACHES FIRST SO THAT INCLUDES TAKING NSAIDS UH FOR THE PAIN UM AND THEN LIKE ACTIVITY MODIFICATION SO IF YOURE SITTING DOWN UM ALL THE TIME UM PERHAPS LIKE TAKING LITTLE BREAKS UH STRETCHING OUT YOUR LEGS DOING SOME PHYSIO AS WELL UM DURING THOSE BREAKS CAN HELP UM AND AS WELL IM GOING TO GIVE YOU A REFERRAL FOR PHYSICAL THERAPY AND THEYLL DO SOME EXERCISES WITH YOU AND UM SLOWLY INCREASE THOSE EXERCISES UM AND IF THOSE STILL DONT WORK WE CAN TRY UM STEROIDS STEROID INJECTIONS UM AS WELL WE TALKED ABOUT THE IMAGING IF IT DOESNT GO AWAY IN ABOUT 6 TO 8 WEEKS DOES THAT SOUND OK
audio/MSK0006.mp3[956.120,958.880]	YEAH THAT SOUNDS GOOD THANK YOU
audio/MSK0006.mp3[958.880,961.160]	OK YEAH NO PROBLEM
audio/MSK0013.mp3[0.000,2.080]	HOW MAY I HELP YOU
audio/MSK0013.mp3[2.080,23.400]	HI IM HERE BECAUSE IVE HAD THIS NUMBNESS AND TINGLING IN MY FEET FOR AWHILE NOW AND I STARTED TO NOTICE THESE OPEN WOUNDS ON MY FEET AS WELL AND IM NOT FEELING IT BUT ITS THERE
audio/MSK0013.mp3[23.400,32.400]	OK AND WHEN DID YOU FIRST NOTICE THE NUMBNESS AND TINGLING
audio/MSK0013.mp3[32.400,42.240]	ITS BEEN ON GOING FOR THE PAST LIKE 2 YEARS BUT RECENTLY IVE SEEN THE PAST LIKE 3 MONTHS ITS GOTTEN WORSE
audio/MSK0013.mp3[42.240,47.840]	OK AND DO YOU FEEL IT IN IN BOTH FEET
audio/MSK0013.mp3[50.280,63.600]	OK AND WHERE ABOUT DO YOU FEEL THE NUMBNESS AND TINGLING TINGLING DO YOU FEEL LIKE ALL THE WAY UP YOUR UP YOUR LEG OR IS IT ONLY PART WAY
audio/MSK0013.mp3[63.600,69.840]	IT IT GOES RIGHT UP UNTIL MY ANKLES
audio/MSK0013.mp3[69.840,77.640]	OK AND DO YOU HAVE WOUNDS ON YOUR FEET THAT LIKE YOU YOU DONT NOTICE THEM BECAUSE YOU CANT FEEL IT
audio/MSK0013.mp3[77.640,86.160]	YEAH I DONT NOTICE IT BECAUSE I CANT FEEL IT BUT THEN ILL SEE THEM AND THEY LOOK BAD
audio/MSK0013.mp3[86.160,97.800]	OK DO YOU RECALL HITTING YOUR FOOT OR OFF OF ANYTHING OR STEPPING ON ANY OBJECTS THAT COULD HAVE CAUSED TRAUMA TO YOUR FEET
audio/MSK0013.mp3[97.800,120.240]	UM I MEAN ITS POSSIBLE UM BUT I DIDNT FEEL ANYTHING SO IM NOT TOO SURE ABOUT THAT IT IS THE SUMMER SO IVE BEEN LIKE GOING TO THE BEACH AND WHEN IM AT THE PARK LIKE ILL TAKE OFF MY FLIP FLOPS
audio/MSK0013.mp3[120.240,130.280]	OK HAVE YOU HAD ANY LIKE MUSCLE WEAKNESS TO YOUR LEGS OR FEET
audio/MSK0013.mp3[130.280,136.960]	HUM MAYBE A LITTLE BIT OF MUSCLE WEAKNESS IN MY LEGS
audio/MSK0013.mp3[136.960,146.880]	OK HAVE YOU HAD ANY PROBLEMS WITH BALANCE OR HAVE IT YOU HAD ANY FALLS
audio/MSK0013.mp3[148.760,156.960]	OK UM AND UM OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0013.mp3[158.000,160.240]	HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0013.mp3[161.440,164.360]	AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0013.mp3[165.600,170.480]	OK HAVE YOU HAD ANY HEADACHES
audio/MSK0013.mp3[171.920,179.560]	ALRIGHT HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING OR SENSE OF SMELL OR TASTE
audio/MSK0013.mp3[181.000,186.120]	HAVE YOU HAD ANY ANY SORE THROAT OR COUGH
audio/MSK0013.mp3[187.520,191.840]	HOW ABOUT UM ANY SHORTNESS OF BREATH
audio/MSK0013.mp3[193.080,195.840]	OK HAVE YOU HAD ANY WHEEZING
audio/MSK0013.mp3[196.920,199.240]	HAVE YOU HAD ANY CHEST PAIN
audio/MSK0013.mp3[200.520,204.040]	ANY HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS
audio/MSK0013.mp3[204.960,209.640]	HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/MSK0013.mp3[210.960,213.520]	HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0013.mp3[214.760,217.080]	HOW ABOUT ANY ABDOMINAL PAIN
audio/MSK0013.mp3[218.200,223.320]	HAVE YOU HAD ANY CHANGES TO BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION
audio/MSK0013.mp3[224.440,230.600]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE FREQUENCY OR PAINFUL URINATION
audio/MSK0013.mp3[232.360,236.320]	OK AND HAVE YOU HAD ANY RASHES ON YOUR SKIN
audio/MSK0013.mp3[239.080,243.120]	OK AND ANY MUSCLE ACHES OR JOINT PAINS
audio/MSK0013.mp3[243.120,245.880]	NO NOTHING LIKE THAT
audio/MSK0013.mp3[245.880,251.640]	OK AND DO YOU HAVE ANY NUMBNESS OR TINGLING TO ANY OTHER PARTS OF YOUR BODY
audio/MSK0013.mp3[251.640,256.200]	MAYBE A LITTLE BIT IN MY FINGERTIPS AS WELL
audio/MSK0013.mp3[256.200,260.200]	OK AND WHEN DID YOU FIRST START NOTICING THAT
audio/MSK0013.mp3[260.200,263.880]	UM IN THE PAST YEAR
audio/MSK0013.mp3[263.880,272.280]	OK AND HAVE YOU HAD ANY LIKE LIKE CLUMSINESS OR LIKE DROPPING OBJECTS
audio/MSK0013.mp3[272.280,284.320]	UM YEAH DEFINITELY SOME OF THAT LIKE ILL FIND IT HARD TO LIKE OPEN CANS AND BOTTLES
audio/MSK0013.mp3[284.320,289.840]	OK ANY WEAKNESS IN THE HANDS
audio/MSK0013.mp3[289.840,298.680]	UM ONLY WHEN ONLY SOMETIMES WHEN IM TRYING TO GRIP THINGS PRETTY HARD
audio/MSK0013.mp3[298.680,312.920]	OK UH AND HAVE YOU HAD ANY MEMORY CHANGES OR ANY CONFUSION
audio/MSK0013.mp3[314.920,321.800]	OK AND HAVE YOU HAD ANY ANY BACK PAIN
audio/MSK0013.mp3[322.760,330.720]	OK IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OR SORRY BEFORE THAT AND HAVE YOU HAD ANY NECK PAIN
audio/MSK0013.mp3[330.720,333.840]	NO NO NECK PAIN
audio/MSK0013.mp3[333.840,339.880]	OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0013.mp3[339.880,354.920]	UM YEAH SO IVE BEEN DIAGNOSED WITH DIABETES HYPERTENSION HYPERCHOLESTEROLEMIA OBESITY AND AND I THINK YEAH I THINK THATS THATS ABOUT IT
audio/MSK0013.mp3[354.920,368.640]	OK AND ARE YOU CURRENTLY ON ANY MEDICATIONS LIKE DO YOU HAVE DO YOU USE INSULIN
audio/MSK0013.mp3[368.640,382.720]	I DO SO IM ON INSULIN SHORT ACTING AND LONG ACTING IM ON RAMIPRIL IM ON ATORVASTATIN YEAH
audio/MSK0013.mp3[382.720,397.520]	OK AN AND DO YOU RECALL ANY LIKE WHAT YOUR A1C HAS BEEN IN THE PAST OR AN HAVE YOU HAD YOUR EYES CHECKED AND KIDNEYS CHECKED
audio/MSK0013.mp3[397.520,427.680]	A1C HAS BEEN PRETTY HIGH ESPECIALLY RECENTLY I THINK IT WAS EIGHT POINT 81 OR SOMETHING THE LAST TIME I GOT IT CHECKED I HAVENT HAD MY EYES CHECKED IN AWHILE AND IN TERMS OF MY KIDNEYS I THINK I DID A URINALYSIS RECENTLY AND EVERYTHING CAME BACK NORMAL
audio/MSK0013.mp3[427.680,430.360]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0013.mp3[432.160,436.960]	ALRIGHT AND HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/MSK0013.mp3[436.960,439.280]	NO I DONT BELIEVE SO
audio/MSK0013.mp3[439.280,445.800]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0013.mp3[447.520,458.440]	OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH
audio/MSK0013.mp3[458.440,464.200]	I LIVE IN A HOUSE DOWNTOWN WITH MY WIFE
audio/MSK0013.mp3[464.200,468.880]	OK AND ARE YOU WORKING CURRENTLY
audio/MSK0013.mp3[468.880,471.280]	I AM I WORK FROM HOME THOUGH
audio/MSK0013.mp3[471.280,480.200]	OK SO AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0013.mp3[480.200,483.560]	OH NO I DONT THINK SO
audio/MSK0013.mp3[483.560,486.760]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0013.mp3[486.760,489.760]	NO NOT OUTSIDE THE PROVINCE
audio/MSK0013.mp3[489.760,492.880]	ALRIGHT AND DO YOU DRINK ALCOHOL
audio/MSK0013.mp3[492.880,498.080]	UM YEAH ILL HAVE SOME ALCOHOL EVERY DAY
audio/MSK0013.mp3[498.080,504.440]	OK OK HOW MANY DRINKS PER DAY WOULD YOU HAVE FOR AND HOW MANY DRINKS PER WEEK
audio/MSK0013.mp3[504.440,509.080]	ILL HAVE ABOUT 5 BEERS A DAY
audio/MSK0013.mp3[509.080,513.920]	OK DO YOU FEEL AS THOUGH THATS A LOT
audio/MSK0013.mp3[513.920,517.880]	YEAH I IM HOPING TO CUT DOWN
audio/MSK0013.mp3[517.880,532.840]	OK THATS GOOD AND IF AT ANY POINT YOU NEED HELP OR I WOULD LIKE TO DISCUSS THAT JUST PLEASE LET ME KNOW OK AND DO YOU SMOKE CIGARETTES
audio/MSK0013.mp3[532.840,534.480]	I DO
audio/MSK0013.mp3[534.480,536.000]	OK HOW MUCH DO YOU SMOKE
audio/MSK0013.mp3[536.000,540.480]	TALK ABOUT HALF A PACK A DAY
audio/MSK0013.mp3[540.480,542.840]	AND FOR HOW LONG HAVE YOU BEEN SMOKING FOR
audio/MSK0013.mp3[542.840,547.960]	FOR THE PAST ALMOST 20 YEARS
audio/MSK0013.mp3[547.960,549.800]	OK HAVE YOU THOUGHT ABOUT CUTTING DOWN
audio/MSK0013.mp3[549.800,557.960]	AH YEAH AGAIN THATS SOMETHING THAT IM HOPING TO QUIT DOING IN THE FUTURE AS WELL
audio/MSK0013.mp3[557.960,563.800]	CERTAINLY OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0013.mp3[563.800,564.840]	I AM
audio/MSK0013.mp3[564.840,572.000]	OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR PARTNER
audio/MSK0013.mp3[572.000,577.720]	YEAH JUST MY WIFE WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS
audio/MSK0013.mp3[577.720,583.600]	OK ANY CONCERNS FOR A SEXUALLY TRANSMITTED INFECTION AT THIS TIME
audio/MSK0013.mp3[587.760,593.040]	OK AND ANY A MUSCULOSKELETAL OR NEUROLOGICAL CONDITIONS THAT RUN IN THE FAMILY
audio/MSK0013.mp3[594.760,598.960]	OK AND HOW ABOUT ANY CANCERS THAT RUN IN THE FAMILY
audio/MSK0013.mp3[598.960,602.120]	NO CANCERS THAT I KNOW OF
audio/MSK0013.mp3[602.120,608.320]	OK AND HOW ABOUT HEART CONDITIONS OR OR LUNG CONDITIONS
audio/MSK0013.mp3[608.320,610.600]	NO NOTHING LIKE THAT
audio/MSK0013.mp3[610.600,636.840]	OK SO NEXT JUST WANTED TO MOVE ON TO THEIR PHYSICAL EXAM PIECE OF THE APPOINTMENT TODAY SO JUST LOOKING AT YOUR UM THE AT YOUR FEET AND AT THE JOINTS OF THE ANKLE AND TOES ARE YOU SEEING ANY SWELLING REDNESS OR YEAH ANY SWELLING OR REDNESS
audio/MSK0013.mp3[636.840,640.200]	UM NO NO SWELLING OR REDNESS
audio/MSK0013.mp3[640.200,648.000]	ALL RIGHT ARE THERE IS THERE A TEMPERATURE CHANGE TO YOUR FEET OR ANY OF THE JOINTS ARE THEY FEELING HOT OR COLD
audio/MSK0013.mp3[650.560,655.880]	OK AND IS THERE ANY DEFORMITIES OR MISALIGNMENT OF ANY OF THE JOINTS
audio/MSK0013.mp3[657.640,660.440]	OK AND ANY SCARRING FROM ANY OF THE TRAUMA
audio/MSK0013.mp3[660.440,670.240]	UHM THERE ARE LIKE YEAH THERES SOME SCARRING FROM LIKE ULCERS
audio/MSK0013.mp3[670.240,675.720]	FROM PREVIOUS ONES THAT HAVE THAT HAVE HEALED
audio/MSK0013.mp3[675.720,679.360]	HEALED YEAH THATS RIGHT
audio/MSK0013.mp3[679.360,689.400]	OK AND AND IS THERE ANY PAIN TO PALPATION OVER THE UM ANKLE JOINT OVER THE ANKLE JOINT
audio/MSK0013.mp3[690.760,694.480]	OK THEN HOW ABOUT OVER ANY OF THE JOINTS OF YOUR TOES
audio/MSK0013.mp3[694.480,705.080]	UM NO NOT NOTHING LIKE THAT NO PAIN JUST UM I CANT FEEL IT
audio/MSK0013.mp3[705.080,712.840]	OK AND HOW IS THE RANGE OF MOTION OF YOUR FEET AND TOES
audio/MSK0013.mp3[712.840,717.880]	UM PRETTY GOOD I CAN MOVE THEM ALL
audio/MSK0013.mp3[717.880,722.920]	OK AND THEN HOW ABOUT YOUR KNEES
audio/MSK0013.mp3[722.920,728.560]	MY KNEES ARE ALSO THE SAME
audio/MSK0013.mp3[728.560,735.480]	OK UH AN ANY ANKLE LIKE INSTABILITY WITH ANY SPECIAL TESTS
audio/MSK0013.mp3[736.360,744.000]	OK AND AND ON WALKING IS THERE ANY LIMP OR DOES IT APPEAR HOW DOES THE WALK APPEAR
audio/MSK0013.mp3[744.000,750.160]	IM PRETTY NORMAL IM NOT LIMPING
audio/MSK0013.mp3[750.160,767.160]	OK AND OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK AND AND CHECK TODAY DID YOU HAVE ANY QUESTIONS
audio/MSK0013.mp3[767.160,777.840]	JUST WHAT DO YOU THINK IS GOING ON WITH MY FEET AND HOW DO I GET SOME SENSATION BACK
audio/MSK0013.mp3[777.840,806.280]	SO IT DOES SOUND LIKE IT COULD BE RELATED TO DIABETES WHERE WHAT HAPPENS IS YOU GET LIKE A PERIPHERAL NEUROPATHY OVERTIME AND YOU CAN LOSE SENSATION TO YOUR FEET IN A GLOVE AND STOCKING DISTRIBUTION WHICH SOUNDS LIKE THE HISTORY HISTORY YOURE SAYING TODAY WITH HAVING SENSATION REDUCED ON YOUR FEET AND ALSO YOUR FINGERTIPS AS WELL
audio/MSK0013.mp3[807.200,904.040]	WHERE YOU LOSE SENSATION AND YOU CANT FEEL PAIN AND SO BUT OTHER THINGS TO CONSIDER COULD BE POSSIBLY LIKE VITAMIN DEFICIENCIES OR THINGS LIKE THAT BUT I WOULD BE MUCH MUCH LOWER DOWN ON THE DIFFERENTIAL AND SO TO REGAIN SENSATION I THINK REALLY THE ONLY THING THAT CAN BE DONE NOW IS TO HELP PREVENT FURTHER DAMAGE TO THE NERVES AND THAT WOULD BE TO MAKE SURE THAT THE DIABETES IS UNDER GOOD CONTROL AND TRYING TO MONITOR YOUR FEET AS REGULARLY AS YOU CAN MAKING SURE THAT THE THERE ARENT ANY KIND OF OPEN WOUNDS OR SORES THAT ARE ARE NOT HEALING IF THINGS ARE NOT HEALING IT WILL BE IMPORTANT TO CHECK TO SEE IF THERE IS AN UNDERLYING INFECTION SUCH AS OSTEOMYELITIS WHICH WILL PREVENT WOUND HEALING AND SO IF THERE ARE ANY IS ANYTHING LIKE THAT IT WOULD BE IMPORTANT TO HAVE THAT CHECKED OUT SO FEET HYGIENE IS EXTREMELY IMPORTANT AS WERE WORKING ON IMPROVING THE DIABETES CONTROL AS WELL AS THINGS LIKE CUTTING DOWN ALCOHOL COULD COULD ALSO HELP AS WELL
audio/MSK0013.mp3[904.040,905.440]	OK OK THANK YOU
audio/RES0142.mp3[0.000,2.960]	UH WHAT CAN I DO FOR YOU
audio/RES0142.mp3[2.960,27.280]	HI UM YEAH SO I I JUST CAME HERE TODAY UM BECAUSE IVE JUST BEEN FEELING UM LIKE I HAVE THIS REALLY SORE THROAT FOR THE LAST UH WEEK AND IVE ALSO BEEN GETTING SOME CHILLS OVER THE LAST FEW NIGHTS AS WELL UM SO YEAH I JUST CAME TO CHECK IT OUT
audio/RES0142.mp3[27.280,38.040]	UM OKAY AND UM WHEN DID UH SO YOUR SORE THROAT STARTED UM A WEEK AGO WHAT ABOUT UM THE CHILLS
audio/RES0142.mp3[38.040,53.520]	UM CHILLS IVE BEEN FEELING THEM OVER THE LAST FEW NIGHTS UM AND IVE ALSO JUST BEEN FEELING VERY TIRED AND UM OVER THE LAST WHOLE WEEK AS WELL
audio/RES0142.mp3[53.520,61.680]	OKAY UM HAVE YOU HAD ANY DIFFICULTIES SWALLOWING
audio/RES0142.mp3[61.680,76.560]	UM YEAH I DEFINITELY FEEL LIKE UH I DO GET SOME PAIN ONES FOLLOWING BUT IT MAY BE JUST WITH THE SORE THROAT
audio/RES0142.mp3[76.560,82.000]	AND UM HAVE YOU HAD UH HAVE YOU HAD ANY HEADACHES
audio/RES0142.mp3[82.000,86.160]	UH NO HEADACHES
audio/RES0142.mp3[86.160,89.640]	ANY UH STUFFY NOSE OR RUNNY NOSE
audio/RES0142.mp3[89.640,92.120]	UH NO NOTHING LIKE THAT
audio/RES0142.mp3[92.120,95.920]	NO UM SINUS CONGESTION
audio/RES0142.mp3[95.920,97.120]	UH NO
audio/RES0142.mp3[97.120,101.560]	OKAY WHAT ABOUT UH COUGH
audio/RES0142.mp3[101.560,120.880]	UM NO NOT NOT NO COUGH REALLY IVE ALSO NOTICED ALSO LIKE THE BACK OF MY THROAT WHEN I LOOK IN THE MIRROR IS LIKE JUST VERY RED AND LIKE ANGRY LOOKING
audio/RES0142.mp3[120.880,125.360]	AND UM ANY DIFFICULTIES BREATHING
audio/RES0142.mp3[126.280,129.400]	ANY UM PAIN IN YOUR CHEST
audio/RES0142.mp3[131.120,134.640]	UM DO YOU FEEL LIKE YOUR HEART IS RACING
audio/RES0142.mp3[134.640,138.120]	NO NOTHING LIKE THAT
audio/RES0142.mp3[138.120,145.480]	ANY CHANGES IN YOUR BOWEL MOVEMENTS OR YOUR URINARY OR ANY URINARY CONCERNS
audio/RES0142.mp3[145.480,148.600]	UH NO
audio/RES0142.mp3[148.600,152.400]	NO BELLY PAIN OR MUSCLE ACHES
audio/RES0142.mp3[152.400,157.360]	UH NO NOTHING LIKE THAT
audio/RES0142.mp3[157.360,163.680]	ALRIGHT UM SO UH ARE YOU UM DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0142.mp3[163.680,165.960]	NO IVE BEEN PRETTY HEALTHY ALL MY LIFE
audio/RES0142.mp3[165.960,168.840]	ANY MEDICATIONS THAT YOUVE BEEN ON
audio/RES0142.mp3[168.840,170.320]	UH NO
audio/RES0142.mp3[170.320,172.800]	ANY ALLERGIES
audio/RES0142.mp3[172.800,178.480]	NO ALLERGIES
audio/RES0142.mp3[178.480,187.360]	OKAY AND UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0142.mp3[187.360,192.680]	UM I THINK UM MY MOM HAS DIABETES BUT THATS ABOUT IT
audio/RES0142.mp3[192.680,198.840]	OKAY AND UM WHO DO YOU CURRENTLY LIVE WITH OR DO YOU LIVE ALONE
audio/RES0142.mp3[198.840,201.480]	I LIVE WITH UH MY MOM
audio/RES0142.mp3[201.480,203.480]	ANYONE ELSE AT THE HOUSE
audio/RES0142.mp3[203.480,205.040]	NO ITS JUST US TWO
audio/RES0142.mp3[205.040,214.640]	ALRIGHT UM AND ANY UM RECENT EXPOSURES TO ANYONE WHO MIGHT BE SICK
audio/RES0142.mp3[214.640,226.800]	UM MY MY BOYFRIEND HE KIND OF HAD SIMILAR SYMPTOMS I WOULD SAY A FEW WEEKS AGO
audio/RES0142.mp3[226.800,234.120]	UM AND UM DID HE DID HE GET UM DID HE SEE A DOCTOR
audio/RES0142.mp3[234.120,251.680]	NO HE DIDNT WANT TO GO TO THE DOCTOR AND IT KIND OF JUST RESOLVED LIKE HE IT WENT AWAY ON ITS OWN
audio/RES0142.mp3[251.680,255.760]	OKAY ALRIGHT UM AND DO YOU UM DO YOU DRINK
audio/RES0142.mp3[255.760,258.320]	JUST ON THE WEEKENDS MAYBE UH SOME WINE
audio/RES0142.mp3[258.320,262.680]	AND WHAT ABOUT UM MARIJUANA
audio/RES0142.mp3[262.680,270.680]	UM JUST SOCIALLY LIKE RIGHT NOW THERES NO PARTIES BUT LIKE WHEN IM AT PARTIES
audio/RES0142.mp3[270.680,274.680]	UM WHAT ABOUT ALCOHOL
audio/RES0142.mp3[274.680,277.680]	UH YEAH SO JUST UH SOCIALLY AGAIN
audio/RES0142.mp3[277.680,279.040]	OH YEAH
audio/RES0142.mp3[279.040,286.200]	RIGHT NOW WITH MY MOM DRINKING EVERY NOW AND THEN
audio/RES0142.mp3[286.200,295.600]	I SEE OKAY UM ALRIGHT WELL THATS ALL THE QUESTIONS I HAD AND UH SORRY ONE MORE HAVE YOU BEEN UP TO DATE WITH YOUR IMMUNIZATIONS SO FAR
audio/RES0142.mp3[295.600,313.600]	YEAH IVE BEEN HAVING ALL MY IMMUNIZATIONS UH I ALSO FEEL LIKE SO WITH A SORE THROAT I ALSO HAVE SOME UM PAIN ON THE SIDES LIKE ON MY ON MY NECK LIKE I ALMOST FEEL LIKE SOME LUMPS ON BOTH SIDES
audio/RES0142.mp3[313.600,409.360]	OH I SEE I SEE OKAY OKAY UM SO I GUESS I AT THIS POINT I WOULD LIKE TO MAYBE HAVE IT EXAMINE YOU JUST HAVE A LOOK INSIDE YOUR THROAT MAYBE FEEL YOUR NECK FOR THOSE LUMPS AND UH THEN DECIDE WHAT TO DO FROM THERE UM GIVEN YOUR SYMPTOMS UM THIS COULD BE A VIRAL INFECTION OR UM IT COULD BE A BACTERIAL INFECTION CAUSED BY UM BACTERIA CALLED OR I GUESS STREP STREP THROAT IT COULD ALSO BE UH MONO UM BUT ILL UH ILL HAVE A LOOK WELL DO THE RAPID STREP TEST AND UH BASED ON THOSE RESULTS WELL DECIDE WHAT TO DO IF IT IS STREP YOU MIGHT REQUIRE ANTIBIOTICS IF NOT IF ITS MONO AND IF WE CAN DO MAYBE A BLOOD TEST FOR THAT YOU MIGHT HAVE TO UM NOT ENGAGE IN IN PHYSICAL ACTIVITY UM OR EXERCISE VIGOROUS ACTIVITY OR LIKE SPORTS FOR THE NEXT COUPLE OF WEEKS OR MONTHS AS AS THAT CAN BE UH AS THAT CAN CAUSE PROBLEMS IF YOU GET HIT IN THE IN YOUR BELLY IT COULD CAUSE YOUR SPLEEN TO RUPTURE AND SOMETIMES YOUR SPLEEN BECOME VERY BIG IF YOU DO HAVE MONO BUT WELL DISCUSS ALL OF THAT A LITTLE BIT MORE AFTER WE DO UH THE STREP TEST WELL ALSO CHECK YOUR TEMPERATURE UM AND SEE UM HOW YOURE DOING HAVE YOU BEEN TAKING ANYTHING TO HELP YOURSELF TO HELP SOOTHE YOUR SORE THROAT
audio/RES0142.mp3[409.360,411.480]	UM JUST SOME LOZENGES
audio/RES0142.mp3[411.480,426.520]	YEAH SO JUST CONTINUE UH JUST DRINKING WATER AND TAKING LOZENGES JUST TO UM PROVIDE SOME COMFORT FOR YOURSELF AND WELL DO THE TEST THEN WE CAN CHAT A BIT MORE AFTER
audio/RES0142.mp3[426.520,428.720]	OKAY SOUNDS GOOD THANK YOU SO MUCH
audio/RES0127.mp3[0.000,5.240]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0127.mp3[5.240,28.120]	HI IVE IVE JUST BEEN IVE BEEN SNEEZING A LOT AND I HAVE THIS RUNNY NOSE ITS JUST BEEN VERY IRRITATING I KIND OF WANT TO DO SOMETHING ABOUT IT IVE HAD IT FOR AWHILE BUT ITS JUST YOU KNOW I DECIDED TO LIKE COME IN TO FIND OUT WHATS WHATS WRONG WITH ME WHY DO I LIKE WHY DOES THIS HAPPEN TO ME ALL MY FRIENDS ARE OK
audio/RES0127.mp3[28.120,36.400]	OH YEAH I KNOW IT MUST BE VERY VERY IRRITATING HOW LONG HAS IT BEEN GOING ON FOR
audio/RES0127.mp3[36.400,40.880]	ITS BEEN YEARS I DONT EVEN REMEMBER
audio/RES0127.mp3[40.880,46.680]	OH YEARS OK AND YEARS LIKE JUST SNEEZING AND THE RUNNY NOSE HAS BEEN GOING ON FOR THE LAST FEW YEARS
audio/RES0127.mp3[46.680,55.080]	YEAH IT KIND OF KIND OF COMES ON LIKE AROUND THE SPRING TIME IT JUST GETS REALLY BAD AT THAT TIME
audio/RES0127.mp3[55.080,69.840]	YEAH OK AND ARE THERE ANY BESIDES DURING THE SPRING TIME ANY KIND OF ALLERGENS OR ANY ANYTHING IN THE HOUSE OR AROUND YOU THAT TRIGGERS IT LIKE DUST OR ANYTHING LIKE THAT
audio/RES0127.mp3[69.840,79.520]	YEAH DUST MAKES IT A LOT WORSE LIKE WHEN I HAVE TO VACUUM THE HOUSE I JUST FEEL AWFUL FOR THE NEXT TWO DAYS
audio/RES0127.mp3[79.520,85.600]	I SEE DO YOU GET ANY OTHER SYMPTOMS BESIDES THE UH SNEEZING AND RUNNY NOSE
audio/RES0127.mp3[85.600,107.200]	YEAH LET MY NOSE SO STUFFY AND SOMETIMES ITS JUST LIKE MY EYES AND MY NOSE ARE JUST ITCHY AND MY EYES GET LIKE RED AND TEARY SOMETIMES ITS SO EMBARRASSING WHEN IM GOING TO SCHOOL I ALSO WAKE UP IN THE MORNING WITH THIS LIKE SORE THROAT AND HAVE JUST COUGH AND CLEAR OUT MY YOU KNOW CLEAR MY THROAT
audio/RES0127.mp3[107.200,110.480]	OK AND DOES THAT HAPPEN LIKE EVERY MORNING
audio/RES0127.mp3[110.480,117.040]	ITS USUALLY WORSE AROUND SPRINGTIME
audio/RES0127.mp3[117.040,120.960]	OK AND ARE YOU COUGHING AT ALL
audio/RES0127.mp3[120.960,125.560]	WELL I HAVE TO LIKE COUGH TO CLEAR MY THROAT BUT THEN NOT OTHERWISE
audio/RES0127.mp3[125.560,128.640]	OK AND ARE YOU BRINGING UP ANY SPUTUM
audio/RES0127.mp3[128.640,131.960]	YEAH THAT YEAH I DO
audio/RES0127.mp3[131.960,137.160]	LIKE UH HOW MUCH WOULD YOU SAY DO YOU JUST BRING IT UP IN THE MORNING OR LIKE THROUGHOUT THE DAY
audio/RES0127.mp3[137.160,139.240]	JUST IN THE MORNING
audio/RES0127.mp3[139.240,140.440]	JUST IN THE MORNING
audio/RES0127.mp3[141.320,150.760]	DO YOU HAVE A SENSATION OF LIKE ANYTHING KIND OF DRIPPING DOWN YOUR THROAT LIKE AFTER YOU WAKE UP LIKE JUST A BUILD UP
audio/RES0127.mp3[150.760,155.160]	YEAH YEAH I DO
audio/RES0127.mp3[155.160,163.960]	OK AND BESIDES THAT HAVE YOU BEEN HAVING ANY SYMPTOMS OF FEVERS CHILLS SORE THROAT
audio/RES0127.mp3[163.960,169.600]	I GET A BIT OF A SORE THROAT I GUESS IN THE MORNING BUT IT JUST GOES AWAY AFTER
audio/RES0127.mp3[169.960,171.600]	BUT NO FEVERS
audio/RES0127.mp3[171.600,182.680]	OK AND IS THERE ANYTHING THAT YOUVE TRIED AT ALL LIKE MEDICATIONS OR ANYTHING THAT HAS HELPED YOU WITH THESE SYMPTOMS
audio/RES0127.mp3[182.680,193.520]	UHM YEAH I TRIED LIKE UMM REACTIN AND THAT REALLY HELPED
audio/RES0127.mp3[193.520,200.600]	THAT HELPED OK THATS GOOD AND ARE YOU TAKING REACTIN RIGHT NOW
audio/RES0127.mp3[200.600,208.080]	I DIDNT TAKE IT TODAY I TRIED IT A COUPLE DAYS AGO
audio/RES0127.mp3[208.080,212.480]	OK AND HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0127.mp3[213.840,219.880]	NO OK AND ANY SICK CONTACTS ANYONE AROUND YOU THAT HAS BEEN SICK
audio/RES0127.mp3[219.880,223.680]	I DONT THINK SO
audio/RES0127.mp3[223.680,225.960]	OK ANY HEADACHES
audio/RES0127.mp3[228.640,230.600]	ANY NAUSEA OR VOMITING
audio/RES0127.mp3[232.040,235.680]	ANY FEVERS OR CHILLS
audio/RES0127.mp3[236.920,241.040]	ANY KIND OF FATIGUE OR TIREDNESS THROUGHOUT THE DAY
audio/RES0127.mp3[241.040,246.880]	I DO FEEL MORE FATIGUED WHEN I HAVE THESE SYMPTOMS
audio/RES0127.mp3[246.880,250.920]	OK ANY NIGHT SWEATS FEVERS OR CHILLS
audio/RES0127.mp3[253.160,255.760]	ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL
audio/RES0127.mp3[257.480,259.280]	ANY TROUBLE URINATING
audio/RES0127.mp3[261.200,265.120]	ANY CHANGES TO YOUR APPETITE OR WEIGHT
audio/RES0127.mp3[265.120,272.560]	IVE BEEN LOSING WEIGHT BUT IVE BEEN DIETING AND WORKING OUT MORE
audio/RES0127.mp3[272.560,279.640]	OK AND HOW MUCH WEIGHT WOULD YOU SAY YOUVE LOST OVER THE LAST FEW MONTHS
audio/RES0127.mp3[279.640,288.080]	IVE LOST ABOUT FOUR POUNDS IN THE PAST FOUR FIVE MONTHS ITS BEEN HARD TO LOSE WEIGHT
audio/RES0127.mp3[288.080,295.360]	AND SO NO NO SUDDEN LIKE LOSS OF WEIGHT OR ANYTHING LIKE THAT RIGHT NOW
audio/RES0127.mp3[295.360,296.120]	NO NO NO
audio/RES0127.mp3[296.120,319.320]	WELL ITS REALLY GREAT THAT YOURE YOU KNOW TRYING TO LOSE WEIGHT AND DIETING AND AND HAVING LIKE A HEALTHIER LIFESTYLE IT IS DEFINITELY HARDER WITH THE PANDEMIC GOING ON RIGHT NOW TO TO GET IN THE ACTIVITIES AND ITS HARD LIKE BEING AT HOME AND SOMETIMES ITS REALLY DIFFICULT TO LIKE NOT EAT RIGHT
audio/RES0127.mp3[319.320,321.960]	YEAH YEAH TRUE
audio/RES0127.mp3[321.960,332.760]	SO BESIDES BESIDES THAT ANY KIND OF RECENT EXPOSURES TO ANY FUMES DUST ANIMALS PETS LIKE ANYTHING LIKE THAT
audio/RES0127.mp3[332.760,343.320]	YEAH IT WAS KIND OF LIKE VACUUMING A COUPLE OF DAYS AGO WHEN IT GOT REALLY BAD BUT NOTHING NOT NOT I DONT THINK THERES NOT BEEN ANY OTHER EXPOSURES
audio/RES0127.mp3[343.320,353.840]	OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOU HAVE BEEN DIAGNOSED WITH LIKE ASTHMA ECZEMA ANYTHING LIKE THAT
audio/RES0127.mp3[353.840,372.440]	I HAVENT BEEN DIAGNOSED WITH ANYTHING NO I DID HAVE LIKE I KNOW THAT I WOULD SOMETIMES GET KIND OF SHORT OF BREATH AS A CHILD BUT MY MOM DOESNT REALLY TRUST DOCTORS SO SHE WOULDNT TAKE ME TO ONE
audio/RES0127.mp3[372.440,378.920]	OK HAVE YOU HAD SHORTNESS OF BREATH AFTER THAT LIKE WHEN LIKE AS A CHILD HOW OLD WERE YOU
audio/RES0127.mp3[378.920,388.880]	I MUST HAVE BEEN LIKE 8 YEARS OLD OR 9 YEARS OLD THAT I REMEMBER BUT I THINK IVE HAD IT BEFORE THAT AS WELL AS MY MOM TELLS ME
audio/RES0127.mp3[388.880,394.320]	OH OK DO YOU HAVE THAT AT ALL NOW
audio/RES0127.mp3[394.320,396.360]	NO NO I DONT
audio/RES0127.mp3[396.360,398.280]	OK OK HAVE YOU EVER SEEN AN ALLERGIST BEFORE
audio/RES0127.mp3[398.280,401.560]	NO NO
audio/RES0127.mp3[401.560,407.840]	NO OK DO YOU HAVE ANY KNOWN ALLERGIES TO ANY MEDICATIONS YEAH ANY MEDICATION
audio/RES0127.mp3[410.560,413.360]	NO DO YOU TAKE ANY MEDICATIONS AT ALL ON A REGULAR BASIS
audio/RES0127.mp3[417.200,420.200]	NO OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/RES0127.mp3[423.320,431.120]	ANY FAMILY HISTORY OF ANY ASTHMA ECZEMA ALLERGIC RHINITIS ANYTHING LIKE THAT
audio/RES0127.mp3[431.120,451.320]	YEAH I THINK IT KIND OF RUNS IN MY FAMILY LIKE EVERYONE IN MY FAMILY IS JUST KIND OF ALWAYS HAVING THIS RUNNY NOSE AND SNEEZING MY MOM HAS IT MY YOUNGER BROTHER HAS IT BUT LIKE WE HAVENT REALLY BEEN DIAGNOSED WITH ANYTHING LIKE WE WE RARELY GO TO THE DOCTOR
audio/RES0127.mp3[451.320,459.680]	OK OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL OR SORRY DO YOU GO TO SCHOOL
audio/RES0127.mp3[459.680,464.320]	I DO I DO IVE BEEN DOING IT VIRTUALLY
audio/RES0127.mp3[464.320,468.840]	VIRTUALLY OK SO HAVE YOU NOTICED ANYONE SICK AROUND YOU
audio/RES0127.mp3[469.520,476.880]	NO OK AND WHAT AT HOME WHATS YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH
audio/RES0127.mp3[476.880,479.800]	I LIVE WITH MY MOM DAD AND MY YOUNGER BROTHER
audio/RES0127.mp3[479.800,503.000]	AND YEAH I JUST WANT TO LET YOU KNOW THAT ANY QUESTIONS I ASK YOU TODAY AND ANYTHING WE TALKED ABOUT ITS COMPLETELY CONFIDENTIAL AND UNLESS LIKE THERE IS ANY POTENTIAL HARM TO YOURSELF OR ANYONE ANYONE ELSE SO YEAH IM JUST GONNA ASK YOU A FEW QUESTIONS DO YOU FEEL SAFE AT HOME
audio/RES0127.mp3[503.000,504.360]	OH YEAH
audio/RES0127.mp3[504.360,510.120]	OK AND DO YOU DRINK ALCOHOL AT ALL OR HAVE YOU TRIED ALCOHOL
audio/RES0127.mp3[510.120,511.200]	NO NOT AT ALL
audio/RES0127.mp3[511.200,516.480]	HAVE YOU TRIED ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0127.mp3[516.480,518.760]	NO NO
audio/RES0127.mp3[518.760,520.520]	HOW ABOUT SMOKING
audio/RES0127.mp3[520.520,522.080]	UMM NO
audio/RES0127.mp3[522.080,525.520]	NO OK AND ARE YOU SEXUALLY ACTIVE
audio/RES0127.mp3[527.200,537.080]	NO OK AND SO OVERALL DO YOU FEEL SAFE IN YOUR HOME AND AS WELL AS OUTSIDE OF YOUR HOME ENVIRONMENT ANY KIND OF BULLYING OR ANYTHING LIKE THAT GOING ON
audio/RES0127.mp3[537.080,538.720]	NO NOT AT ALL
audio/RES0127.mp3[538.720,551.000]	OK ALRIGHT YEAH SO THOSE ARE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU SORRY JUST ONE MORE QUESTION ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0127.mp3[551.000,558.120]	YEAH ITS HARD TO SMELL AND MY NOSE IS STUFFY BUT NO LOSS OF TASTE
audio/RES0127.mp3[558.120,560.400]	YEAH OK OK SO DO YOU HAVE ANY QUESTIONS AT ALL FOR ME
audio/RES0127.mp3[560.400,570.920]	NO I JUST I I JUST WANNA GET SOME MEDICATIONS TO HELP WITH THIS IM JUST SICK AND TIRED OF MY RUNNY NOSE
audio/RES0127.mp3[570.920,577.720]	YEAH IT MUST BE VERY FRUSTRATING SO YOUVE TRIED REACTIN BEFORE RIGHT
audio/RES0127.mp3[578.240,606.000]	YEAH SO ONE METHOD IS TO DEFINITELY LIKE STAY AWAY FROM SOME OF THOSE ALLERGENS THAT ARE POTENTIALLY CAUSING YOUR SYMPTOMS BUT I I DO REALLY THINK SO YOU MIGHT HAVE SOMETHING CALLED LIKE ALLERGIC RHINITIS AND I THINK IT MIGHT BE BENEFICIAL TO FOR YOU TO SEE LIKE AN ALLERGIST
audio/RES0127.mp3[607.000,651.960]	AND SO I CAN REFER YOU TO SOMEONE AS WELL JUST HAVE A SENSE OF WHAT KIND OF THINGS ALLERGIC TO YOU AND LIKE WHAT MEDICATIONS YOU WOULD REQUIRE IN THE MEANTIME DEFINITELY LIKE ANY ANTIHISTAMINE MEDICATIONS WOULD HELP WITH YOUR SYMPTOMS BUT SINCE YOURE ALSO HAVING CONGESTION AND SNEEZING JUST JUST IN CASE WE WILL JUST DO A COVISWAB TEST FOR YOU TODAY AND IT TAKES AROUND 24 TO 48 HOURS TO COME BACK AND IN THE MEANTIME YOU SHOULD JUST ISOLATE AS MUCH AS YOU CAN IN YOUR OWN HOME AND THEN BASED ON THE RESULT THEY WOULD GIVE YOU MORE INSTRUCTION
audio/RES0127.mp3[653.120,661.480]	ALRIGHT THANK YOU TAKE CARE
audio/RES0075.mp3[0.000,2.440]	WHAT BROUGHT YOU IN TODAY
audio/RES0075.mp3[2.440,22.400]	YEAH SO UH JUST RANDOMLY LIKE 2 DAYS AGO I JUST STARTED HAVING THIS CHEST PAIN WHEN IM BREATHING AND ITS JUST BEEN GETTING WORSE AND THEN BECAUSE OF THAT IM FINDING THAT IM VERY SHORT OF BREATH AS WELL SO I JUST GOT REALLY CONCERNED
audio/RES0075.mp3[22.400,27.240]	OK I SEE WHEN DID THE CHEST PAIN START
audio/RES0075.mp3[27.240,48.120]	SO THERE WAS SOME DISCOMFORT LIKE JUST 2 DAYS AGO BUT THEN JUST YESTERDAY IT STARTED GETTING VERY PAINFUL WHEN I WAS BREATHING SO YEAH I WOULD SAY 1 DAY AGO
audio/RES0075.mp3[48.120,60.160]	OK AND WERE YOU DOING ANYTHING AT THE TIME WHEN THE CHEST PAIN STARTED LIKE DID YOU GET IN A CAR ACCIDENT MAYBE OR ANY TRAUMA TO THE CHEST OR ANYTHING YOU CAN THINK OF
audio/RES0075.mp3[60.160,79.200]	NO NOT REALLY I WAS JUST AT HOME AND THEN I NOTICED THAT WHEN I LIKE TAKE A DEEP BREATH IN ITS JUST LIKE A VERY SHARP PAIN ITS KIND OF LIKE IN MY RIGHT SIDE OF THE CHEST AND IT FEELS LIKE A STABBING PAIN
audio/RES0075.mp3[79.200,91.120]	OK AND SO THE PAIN COMES ON WHEN YOU BREATHE IN OR YEAH WHEN YOU TAKE A DEEP BREATH DOES THE PAIN COME ON AT ANY OTHER POINTS OR DOES IT GO AWAY
audio/RES0075.mp3[91.120,96.560]	UH ITS MOSTLY YEAH I FEEL THE SHARP PAIN WHEN I BREATHE IN
audio/RES0075.mp3[96.560,107.640]	OK SO THE PAIN IS INTERMITTENT THEN IT SOUNDS LIKE AND HAS THERE BEEN ANYTHING YOUVE TRIED THATS MADE THE PAIN BETTER
audio/RES0075.mp3[107.640,114.960]	NOT REALLY JUST MORE SHALLOW BREATHING AND IT HURTS LESS WITH THAT BUT THATS ABOUT IT
audio/RES0075.mp3[114.960,123.320]	OK AND ARE THERE ANY POSITIONS THAT HELP MAKE THE PAIN ANY BETTER LIKE LEANING FORWARD OR LAYING DOWN
audio/RES0075.mp3[123.320,134.600]	NOT REALLY ITS UH ITS PRETTY MUCH THE SAME I THINK
audio/RES0075.mp3[134.600,143.320]	OK AND UH YOU MENTIONED YOU HAD SHORTNESS OF BREATH AS WELL WHEN DOES THIS COME ON
audio/RES0075.mp3[143.320,160.160]	SINCE YESTERDAY ITS BEEN PRETTY CONSTANT AND ITS MORE LIKE UH JUST UH IM REALLY HAVING TROUBLE GETTING ANY DEEP BREATHS IN SO I FEEL LIKE IM HAVING TO JUST BREATHE FASTER AND MORE SHALLOW
audio/RES0075.mp3[160.160,165.160]	I SEE OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE
audio/RES0075.mp3[165.160,168.080]	NO NEVER
audio/RES0075.mp3[168.080,174.280]	OK AND HAVE YOU BEEN EXPERIENCING ANY HEADACHES
audio/RES0075.mp3[175.720,188.000]	HOW ABOUT ANY VIRAL SYMPTOMS LIKE EYE REDNESS NASAL DISCHARGE OR NASAL CONGESTION OR COUGH
audio/RES0075.mp3[188.000,198.120]	I HAVE BEEN HAVING A LITTLE BIT OF A COUGH BUT THATS IT LIKE IT KIND OF STARTED TODAY BUT ITS NOTHING TOO SIGNIFICANT
audio/RES0075.mp3[198.120,202.720]	OK ALRIGHT IS THE COUGH DRY OR HAVE YOU BROUGHT UP SPUTUM
audio/RES0075.mp3[202.720,206.120]	IT IS DRY
audio/RES0075.mp3[206.120,210.360]	OK AND HAVE YOU HAD A SORE THROAT
audio/RES0075.mp3[210.360,211.840]	UH NO
audio/RES0075.mp3[211.840,219.760]	HOW ABOUT A LOSS OF TASTE OR A LOSS OF SMELL
audio/RES0075.mp3[220.480,224.200]	OK HOW HAS YOUR APPETITE BEEN
audio/RES0075.mp3[224.200,234.720]	MY APPETITES BEEN PRETTY GOOD ITS LIKE DEFINITELY WITH THE PAIN I DONT REALLY FEEL LIKE EATING TODAY BUT I DONT THINK ITS CHANGED
audio/RES0075.mp3[234.720,238.720]	OK SO HAS YOUR WEIGHT BEEN STABLE OVER THE LAST SEVERAL MONTHS
audio/RES0075.mp3[238.720,241.600]	YEAH WEIGHT HAS BEEN STABLE
audio/RES0075.mp3[241.600,247.440]	OK AND HAVE YOU HAD ANY FEVERS CHILLS OR NIGHT SWEATS
audio/RES0075.mp3[247.440,248.960]	UHM NOPE
audio/RES0075.mp3[248.960,260.280]	OK AND HAVE YOU HAD ANY EPISODES WHERE YOU FEEL LIKE YOUR HEART IS LIKE RACING OR BEATING OUT OF YOUR CHEST
audio/RES0075.mp3[260.280,262.760]	NO I DONT THINK SO
audio/RES0075.mp3[262.760,267.920]	ANY DIZZINESS OR LIGHTHEADEDNESS
audio/RES0075.mp3[268.680,273.720]	OK AND HAVE YOU HAD ANY WHEEZING
audio/RES0075.mp3[273.720,275.960]	NO I DONT THINK SO
audio/RES0075.mp3[275.960,279.280]	OK AND WITH THE COUGH HAVE YOU BROUGHT UP ANY BLOOD
audio/RES0075.mp3[280.760,289.120]	OK AND HAVE YOU HAD ANY UH LIKE URINARY PROBLEMS
audio/RES0075.mp3[290.120,293.920]	ANY BOWEL PROBLEMS LIKE DIARRHEA OR CONSTIPATION
audio/RES0075.mp3[293.920,295.840]	NO NOTHING LIKE THAT
audio/RES0075.mp3[295.840,299.040]	AND ANY ABDOMINAL PAIN
audio/RES0075.mp3[300.280,304.880]	HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0075.mp3[305.400,311.960]	OK AND HAVE YOU HAD ANY MUSCLE ACHES JOINT PAINS OR SKIN CHANGES
audio/RES0075.mp3[314.760,322.520]	OK AND UHM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0075.mp3[322.520,327.240]	NO IVE BEEN PRETTY HEALTHY
audio/RES0075.mp3[327.240,331.880]	OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/RES0075.mp3[331.880,333.200]	NO NOTHING AT ALL
audio/RES0075.mp3[333.200,337.040]	AND DO YOU HAVE ANY ALLERGIES
audio/RES0075.mp3[337.040,339.440]	NO NO ALLERGIES
audio/RES0075.mp3[339.440,345.240]	ANY HOSPITALIZATIONS IN THE PAST OR ANY SURGERIES
audio/RES0075.mp3[347.160,355.320]	OK AND CURRENTLY CAN YOU TELL ME JUST A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0075.mp3[355.320,363.040]	YEAH SO I JUST LIVE WITH UH A COUPLE OF MY ROOMMATES IM GOING TO UNIVERSITY
audio/RES0075.mp3[364.040,370.760]	I LIVE IN LIKE A STUDENT HOUSING SITUATION
audio/RES0075.mp3[370.760,379.720]	OK HAS ANYBODY IN THE HOUSE BEEN SICK OR ANYBODY THAT YOUVE BEEN AROUND BEEN SICK
audio/RES0075.mp3[379.720,383.720]	NO WEVE BEEN ALL PRETTY HEALTHY
audio/RES0075.mp3[383.720,393.160]	OK AND DO YOU SMOKE CIGARETTES OR USE ANY LIKE VAPE PRODUCTS OR ANYTHING LIKE THAT
audio/RES0075.mp3[393.160,402.320]	NO I HAVENT EVER SMOKED I DO SMOKE WEED LIKE I WOULD SAY ONCE OR TWICE A WEEK
audio/RES0075.mp3[402.320,409.760]	OK AND HOW MUCH WOULD YOU SAY LIKE 1 GRAM OR LESS OR
audio/RES0075.mp3[409.760,414.080]	1 GRAM PROBABLY LASTS LIKE 2 WEEKS
audio/RES0075.mp3[414.080,417.640]	OK AND DO YOU DRINK ALCOHOL
audio/RES0075.mp3[417.640,423.280]	YEAH JUST A COUPLE OF BEERS MAYBE ON THE WEEKEND
audio/RES0075.mp3[423.280,431.480]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0075.mp3[431.480,436.240]	YEAH JUST ONE PARTNER MY GIRLFRIEND
audio/RES0075.mp3[436.240,440.160]	OK AND DO YOU USE CONDOMS
audio/RES0075.mp3[440.160,444.240]	YEAH WE USE CONDOMS WERE PRETTY SAFE
audio/RES0075.mp3[444.240,448.520]	OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0075.mp3[448.520,450.400]	NO NEVER
audio/RES0075.mp3[450.400,455.200]	OK ANY CONCERNS RIGHT NOW OR ANYTHING LIKE THAT
audio/RES0075.mp3[455.200,466.280]	NO UH WEVE BEEN PRETTY SAFE AND WEVE BOTH BEEN TESTED BEFORE AND EVERYTHING SO IM NOT REALLY CONCERNED
audio/RES0075.mp3[466.280,484.320]	OK GREAT AND HAS ANYBODY IN THE FAMILY HAD LIKE A SIMILAR PRESENTATION BEFORE LIKE ANY LUNG PROBLEMS OR HEART PROBLEMS
audio/RES0075.mp3[484.320,493.800]	NO I THINK MY SISTER SHE HAS ASTHMA BUT THATS ABOUT IT
audio/RES0075.mp3[493.800,496.760]	OK AND UH ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0075.mp3[496.760,499.960]	NOT THAT I KNOW OF
audio/RES0075.mp3[499.960,556.000]	OK SO IT SOUNDS LIKE YOU HAD THIS UNCOMFORTABLE FEELING IN YOUR CHEST ABOUT TWO DAYS AGO BUT THE PAIN REALLY CAME ON YESTERDAY AND ITS REALLY PAINFUL WHEN YOU HAVE A DEEP DEEP BREATH SO IN CONJUNCTION WITH YOUR SYMPTOMS OF NOT BEING ABLE TO TAKE A DEEP BREATH AND BEING SHORT OF BREATH IT SOUNDS LIKE YOU POSSIBLY HAVE WHATS CALLED A PNEUMOTHORAX AND SO WELL DO A PHYSICAL EXAM AND DO A CHEST XRAY AS WELL TO EXAMINE THIS AND CHECK VITALS AS WELL TO MAKE SURE THAT YOURE WORK OF BREATHING IS OK AND WE CAN DO SOME BLOOD WORK AND GO FROM THERE
audio/RES0075.mp3[556.000,561.200]	OK YEAH SOUNDS GOOD SHOULD BE LIKE WORRIED AT ALL
audio/RES0075.mp3[561.200,588.760]	I THINK RIGHT NOW YOURE SPEAKING IN FULL SENTENCES AND YOURE NOT SHORT OF BREATH AT REST TYPICALLY WHEN THIS THIS HAPPENS IF ITS SMALL ENOUGH ITLL USUALLY RESOLVE ON ITS OWN AND SO WELL GET SOME MORE INFORMATION FROM THE IMAGING AND THE LAB RESULTS BUT ITS REASSURING THAT YOU HAVENT BEEN GETTING WORSE SINCE IT HAPPENED
audio/RES0075.mp3[588.760,595.640]	OK ALRIGHT SOUNDS GOOD THANK YOU SO MUCH
audio/MSK0004.mp3[0.000,2.120]	WHAT BRINGS IN HERE TODAY
audio/MSK0004.mp3[2.120,19.120]	HI THERE IVE JUST LAST NIGHT I WAS I WENT FOR A RUN AND I TWISTED MY ANKLE I THINK I STEPPED ON SOMETHING AND IT IT REALLY HURTS
audio/MSK0004.mp3[19.120,23.840]	OK AND SO WHEN DID YOU HAVE THE INJURY
audio/MSK0004.mp3[23.840,25.400]	IT WAS JUST YESTERDAY
audio/MSK0004.mp3[26.720,30.680]	YEAH IT WAS JUST JUST YESTERDAY THAT IT HAPPENED
audio/MSK0004.mp3[30.680,41.160]	OK AND DO YOU REMEMBER IF YOU TWISTED IT SO YOU TWISTED YOUR ANKLE LIKE DID DID IT TWIST INWARDS OR OUTWARDS
audio/MSK0004.mp3[41.160,44.200]	INWARDS YEAH I FEEL LIKE I INVERTED MY ANKLE
audio/MSK0004.mp3[44.200,60.240]	OK AND SO SINCE THEN WERE YOU ABLE TO STAND UP AND OR WERE YOU NOT ABLE TO BEAR ANY WEIGHT
audio/MSK0004.mp3[60.240,81.280]	NO I WAS ABLE TO UH KIND OF FINISH THE I I I JUST FINISHED THE WALK I WAS ABLE TO WALK HOME CAUSE IT DIDNT HURT THAT BAD IMMEDIATELY IT WAS A BIT PAINFUL BUT THE PAIN REALLY STARTED A FEW HOURS LATER AND HAS BEEN PRETTY MUCH CONSTANT EVER SINCE
audio/MSK0004.mp3[81.280,86.800]	OK OK SO IT KIND OF GOT WORSE OVER TIME OVER THE LAST DAY
audio/MSK0004.mp3[87.720,98.760]	AND DO YOU NOTICE ANY KIND OF BRUISING REDNESS SWELLING ANY SKIN CHANGES
audio/MSK0004.mp3[98.760,112.560]	NO I HAVENT REALLY NOTICED I UH REALLY ANY SWELLING OR I OR OR SKIN CHANGES YEAH NO SKIN CHANGES AND NO SWELLING
audio/MSK0004.mp3[112.560,124.120]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IS IT LIKE A DULL ACHING PAIN OR SHARP STABBING PAIN
audio/MSK0004.mp3[124.120,130.440]	DULL AND ACHY
audio/MSK0004.mp3[130.440,137.360]	OK OK AND HAS THIS HAPPENED TO YOU IN YOUR ANKLE BEFORE
audio/MSK0004.mp3[137.360,147.440]	IM I I FEEL LIKE IVE MAYBE I IVE DONE SOMETHING LIKE THIS WHEN I WAS YOUNGER MAYBE PLAYING BASKETBALL OR SOMETHING LIKE THIS WHEN I WAS A KID I TWISTED MY ANKLE BEFORE
audio/MSK0004.mp3[147.440,158.160]	OK AND DOES THIS PAIN JUST STAY WHERES THE PAIN EXACTLY ON THE RIGHT SIDE OF YOUR ANKLE OR ON YOUR LEFT LIKE INTERIOR SIDE
audio/MSK0004.mp3[158.160,163.800]	ITS ON THE RIGHT KIND OF OUTSIDE OF THE ANKLE
audio/MSK0004.mp3[163.800,165.880]	OK AND WHICH ANKLE IS THIS JUST TO CLARIFY
audio/MSK0004.mp3[165.880,168.080]	ON THE RIGHT ANKLE
audio/MSK0004.mp3[168.080,172.560]	OK SO SO IT HURTS ON THE RIGHT SIDE OF THE RIGHT ANKLE
audio/MSK0004.mp3[172.560,174.640]	YEAH EXACTLY
audio/MSK0004.mp3[174.640,180.760]	OK AND DOES THE PAIN RADIATE OR MOVE ANYWHERE IN YOUR FEET
audio/MSK0004.mp3[180.760,191.880]	I CAN KIND OF FEEL IT AROUND ON THE THE SOLE OF MY FOOT AS WELL BUT MOSTLY ON THE OUTSIDE THOUGH
audio/MSK0004.mp3[191.880,197.320]	OK AND IS THERE ANYTHING THAT MAKES THE PAIN BETTER OR WORSE
audio/MSK0004.mp3[197.320,203.400]	ALRIGHT IT GETS WORSE REALLY TO IF IF I MOVE MY ANKLE OR IF IM STANDING ON IT
audio/MSK0004.mp3[203.400,208.400]	OK AND ANYTHING THAT MAKES IT BETTER
audio/MSK0004.mp3[208.400,213.920]	ALRIGHT JUST IF I REST AND AVOID MOVING IT
audio/MSK0004.mp3[213.920,217.480]	OK HAVE YOU NOTICE ANY FEVERS OR CHILLS
audio/MSK0004.mp3[220.080,224.840]	OK ANY PAIN IN ANY OTHER JOINTS BESIDES YOUR ANKLE
audio/MSK0004.mp3[224.840,227.960]	NO JUST MY MY RIGHT ANKLE
audio/MSK0004.mp3[227.960,231.920]	OK ANY APPETITE OR WEIGHT CHANGES
audio/MSK0004.mp3[231.920,246.120]	NO IVE BEEN IVE BEEN JUST TRAINING FOR THIS RACE COMING UP SO I MEAN IVE BEEN JUST TRYING TO WORK ON MY FITNESS A LITTLE BIT BUT MY WEIGHT HAS BEEN RELATIVELY STABLE
audio/MSK0004.mp3[246.120,255.840]	OK ANY WEAKNESS IN YOUR RIGHT RIGHT EXTREMITIES OR ANY KIND OF NUMBNESS OR TINGLING SENSATION
audio/MSK0004.mp3[255.840,260.920]	NO NUMBNESS OR TINGLING AND NO MUSCLE WEAKNESS EITHER
audio/MSK0004.mp3[260.920,275.440]	OK RIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0004.mp3[275.440,282.440]	IM UH I HAD DIARRHEA A FEW MONTHS AGO AND I WAS GIVEN A FLUOROQUINOLONE AS AN ANTIBIOTIC
audio/MSK0004.mp3[282.440,297.040]	OK THATS TWO MONTHS AGO OK AND ANY MEDICATIONS THAT YOURE ON CURRENTLY
audio/MSK0004.mp3[297.040,311.440]	I I TAKE A VITAMIN AND SOME OTHER VITAMINS TOO VITAMIN A AS WELL I GUESS THAT JUST HELPS MY MY SKIN AND AND THEN THE VITAMIN FOR MY MY BONES
audio/MSK0004.mp3[311.440,318.040]	OK ANY ALLERGIES TO MEDICATIONS OR ANY ENVIRONMENTAL ISSUES
audio/MSK0004.mp3[318.040,319.840]	NO ALLERGIES NO
audio/MSK0004.mp3[319.840,325.760]	OK ANY HOSPITALIZATIONS OR PREVIOUS SURGERIES
audio/MSK0004.mp3[327.240,336.360]	OK ANY FAMILY HISTORY OF ANY MUSCULOSKELETAL CONDITIONS ANY RHEUMATOLOGICAL CONDITIONS ANYTHING THAT YOU KNOW OF
audio/MSK0004.mp3[336.360,344.040]	MY GRANDPARENTS HAVE ARTHRITIS SO AND MY LIKE MY DAD HAD HAD GOUT BEFORE
audio/MSK0004.mp3[344.040,352.240]	OK AND DO YOUR GRANDPARENTS HAVE RHEUMATOID ARTHRITIS OR OSTEOARTHRITIS DO YOU KNOW
audio/MSK0004.mp3[352.240,356.360]	I THINK OSTEO YEAH OSTEOARTHRITIS
audio/MSK0004.mp3[356.360,360.080]	OK AND DO YOU CURRENTLY WORK
audio/MSK0004.mp3[360.080,364.400]	I DO YEAH I WORK AS A SOFTWARE ENGINEER
audio/MSK0004.mp3[364.400,369.840]	OK AND WHATS YOUR LIVING SITUATION LIKE CURRENTLY
audio/MSK0004.mp3[369.840,374.560]	RIGHT NOW IM ACTUALLY JUST LIVING ALONE IN A IN AN APARTMENT
audio/MSK0004.mp3[374.560,379.040]	OK AND DO YOU SMOKE AT ALL
audio/MSK0004.mp3[379.040,386.520]	NO NEVER I CANT WITH THE WITH ALL THIS LIKE TRAINING FOR YEAH AT THE RACE AND STUFF LIKE THAT
audio/MSK0004.mp3[386.520,393.760]	OK THATS GOOD ANY RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT BEFORE
audio/MSK0004.mp3[393.760,396.520]	NO IVE NEVER USED ANYTHING LIKE THAT IN THE PAST
audio/MSK0004.mp3[396.520,399.280]	OK AND HOW ABOUT ALCOHOL
audio/MSK0004.mp3[399.280,407.120]	UH RARELY ILL HAVE MAYBE A GLASS OF WINE LIKE ONCE EVERY COUPLE OF MONTHS BUT ITS PRETTY INFREQUENT
audio/MSK0004.mp3[407.120,423.880]	OK ALRIGHT SO I JUST HAVE A FEW QUESTIONS RIGHT NOW OVER YOUR RIGHT ANKLE DO YOU HAVE SO YOU MENTIONED YOU DONT HAVE ANY SWELLING BUT DO YOU NOTICE ANY KIND OF REDNESS OR WARMTH AT ALL
audio/MSK0004.mp3[423.880,426.240]	NO NOTHING LIKE THAT
audio/MSK0004.mp3[426.240,435.920]	OK AND IF YOU PRESS DOWN ON YOUR ANKLE DOES IT HURT A LOT
audio/MSK0004.mp3[435.920,446.160]	UH A LITTLE BIT OF PAIN NOW THAT RIGHT UH LIKE OUTSIDE BUT ITS NOT UH IT DOESNT HURT THAT BAD YEAH ILL SAY NO
audio/MSK0004.mp3[446.160,455.000]	OK AND IF YOU KIND OF UH ARE YOU ABLE TO MOVE YOUR ANKLE AT ALL
audio/MSK0004.mp3[455.000,461.560]	I CAN YEAH I CAN MOVE IT AROUND A LITTLE BIT IM TRYING TO AVOID THAT THOUGH JUST BECAUSE IT IT DOES HURT BUT I CAN MOVE IT AROUND
audio/MSK0004.mp3[461.560,467.720]	OK AND ARE YOU ABLE TO STAND UP AND WALK OR ARE YOU NOT ABLE TO DO THAT RIGHT NOW
audio/MSK0004.mp3[467.720,477.720]	I CAN YEAH JUST FOR SHORT PERIODS OF TIME CAUSE ITS JUST CAUSE OF THE PAIN BUT I CAN WALK ON IT
audio/MSK0004.mp3[477.720,561.920]	OK YEAH SO DEFINITELY WHAT WELL DO IS WE MIGHT NEED TO GET LIKE A PROPER PHYSICAL EXAMINATION DONE TO MAKE SURE THERE IS NO FRACTURE MOST LIKELY THOUGH IT SEEMS THAT THIS MAY JUST BE AN ANKLE SPRAIN UH DUE TO YOU INVERTING YOUR ANKLE THE OTHER DAY UHM WHAT WE CAN DO IS USUALLY WE JUST IMMOBILIZE THE ANKLE AND THEN RECOMMEND APPLYING ICE YOU CAN TAKE SOME NSAIDS LIKE ADVIL FOR PAIN TO HELP YOU AND IT SHOULD IT SHOULD GET BETTER ON ITS OWN WITH SOME PHYSIOTHERAPY LATER ON AS WELL HOWEVER IF WE FIND THAT ON PHYSICAL EXAMINATION YOU ARE HAVING SIGNIFICANT PAIN ON PALPATION OR ANY KIND OF BONY PAIN WE MIGHT ALSO REQUIRE YOU TO GET AN X RAY OF THE RIGHT FOOT AND ANKLE AS WELL AS JUST YOUR LOWER LEG SO YEAH WELL HAVE YOU COME COME IN IN PERSON AND THEN GO FROM THERE AND SEE IF YOU NEED AN X RAY
audio/MSK0004.mp3[561.920,564.640]	OK THAT SOUNDS GOOD THANK YOU
audio/MSK0004.mp3[564.640,569.040]	ALRIGHT TAKE CARE BYE
audio/RES0048.mp3[0.000,2.560]	WHAT BRINGS YOU IN
audio/RES0048.mp3[2.560,27.040]	YEAH SO I JUST CAME IN BECAUSE IVE BEEN HAVING THIS COUGH THATS GETTING WORSE OVER THE LAST UH ONE AND A HALF WEEK AND UH IVE ALSO JUST RECENTLY IN THE LAST FEW DAYS BEEN GETTING SOME SHORTNESS OF BREATH UM AND I ALSO NOTICED UH MY BOWEL MOVEMENTS HAVE CHANGED A LITTLE BIT AS WELL OVER THE LAST WEEK
audio/RES0048.mp3[27.040,33.280]	OK SO YEAH LETS BREAK THIS DOWN THE COUGH WHEN DID THAT START
audio/RES0048.mp3[33.280,39.520]	THE COUGH I THINK IT STARTED UH PROBABLY LIKE AROUND 10 DAYS AGO
audio/RES0048.mp3[39.520,43.720]	10 DAYS AGO OK AND HOW ABOUT THE SHORTNESS OF BREATH
audio/RES0048.mp3[43.720,49.240]	THAT JUST STARTED IN THE LAST UH I THINK 3 DAYS
audio/RES0048.mp3[49.240,58.080]	OK AND THEN THE THE BOWEL BOWEL CHANGES WHEN DID THAT START
audio/RES0048.mp3[58.080,67.520]	YES I THINK IT ALSO STARTED IN LIKE I WOULD SAY FOR THE LAST THREE DAYS IVE BEEN GETTING UH DIARRHEA
audio/RES0048.mp3[67.520,87.040]	OK OK SO LETS GO BACK TO THE COUGH IS IT CONSTANT OR UM IS IT TRIGGERED BY CERTAIN THINGS LIKE THE COLD AIR DUST UM YOU KNOW UM CERTAIN TIMES OF THE DAY LIKE MORNING EVENING
audio/RES0048.mp3[87.040,109.720]	UM I WOULD SAY ITS PRETTY PRETTY CONSTANT SINCE THE LAST LIKE 10 DAYS UH ITS THERES NO REAL PATTERN TO IT AND IVE MOSTLY JUST BEEN INSIDE MY HOUSE I DONT THINK THERE ARE ANY TRIGGERS OR I DONT OWN ANY PETS OR ANYTHING LIKE THAT NO NEW RUGS LIKE UH NO NO NEW CHANGES REALLY IN MY HOUSE
audio/RES0048.mp3[109.720,120.840]	OK OK AND UM HAVE YOU TRIED ANYTHING TO MAKE IT BETTER
audio/RES0048.mp3[120.840,132.760]	UM NO NOT REALLY I IVE DONE SOME UH HOME REMEDIES LIKE TRYING TO DO ONE OF THOSE STEAM STEAM MASKS AND SEE IF THAT HELPS BUT IT DIDNT REALLY DO ANYTHING
audio/RES0048.mp3[132.760,142.920]	OK UM AND HOW ABOUT UM THE QUALITY OF THAT COUGH IS IT DOES IT SOUND HARSH
audio/RES0048.mp3[142.920,161.440]	UM YEAH I WOULD SAY ITS GETTING A LITTLE BIT HARSH ITS MORE JUST LIKE IM NOT BRINGING ANYTHING UP ITS MORE LIKE A DRY COUGH UM BUT YEAH I WOULD SAY ITS GETTING WORSE DEFINITELY
audio/RES0048.mp3[161.440,169.640]	OK UM IS IT A DRY COUGH THEN OR ARE YOU PRODUCING A LITTLE BIT OF SPUTUM OR BLOOD OR ANYTHING LIKE THAT
audio/RES0048.mp3[169.640,179.640]	NO NO I HAVENT SEEN ANY BLOOD AT ALL AND RARELY DO I BRING LIKE UP SOME SPUTUM BUT LIKE MOST OF THE TIME ITS JUST A DRY COUGH
audio/RES0048.mp3[179.640,187.520]	OK ITS A DRY COUGH UM AND WOULD YOU SAY THE COUGHS GETTING WORSE
audio/RES0048.mp3[187.520,196.520]	YEAH ID DEFINITELY SAY IN THE LAST UM THREE TO FOUR DAYS IVE BEEN JUST COUGHING NONSTOP ITS VERY IRRITATING
audio/RES0048.mp3[196.520,202.160]	YEAH HAVE YOU EXPERIENCED ANYTHING LIKE THIS BEFORE
audio/RES0048.mp3[202.160,216.080]	UM PROBABLY A FEW YEARS AGO I THINK I CAUGHT THE FLU OR SOMETHING AND GOT REALLY SICK WITH A FEVER AND JUST A LOT OF COUGHING BUT SINCE THEN NOTHING ELSE
audio/RES0048.mp3[216.080,225.840]	OK UM THE SHORTNESS OF BREATH 1 TO 10 10 BEING THE WORST HOW BAD IS IT
audio/RES0048.mp3[225.840,231.880]	UH PROBABLY LIKE A FIVE IT KIND OF JUST STARTED OUT WITH UH THREE DAYS AGO WAS KIND OF LIKE I JUST
audio/RES0048.mp3[231.880,249.600]	COULDNT TAKE DEEP BREATHS LIKE I NOTICED THAT MY BREATHING WAS GETTING A LITTLE BIT MORE MORE SHALLOW AND NOW ITS ESPECIALLY WHEN IM COUGHING ITS LIKE I REALLY HAVE TO SIT DOWN AND CATCH MY BREATH
audio/RES0048.mp3[249.600,263.880]	YEAH UM DOES ANYTHING MAKE THE SHORTNESS OF BREATH WORSE LIKE I GUESS UM YOU KNOW EXERTION UH LAYING DOWN ANYTHING LIKE THAT
audio/RES0048.mp3[263.880,276.400]	UM NOT REALLY MAYBE LIKE SITTING DOWN HELPS SOMETIMES BUT EVEN WHEN IM SITTING DOWN IM STILL COUGHING
audio/RES0048.mp3[276.400,286.000]	OK OK AND UM DO YOU HAVE ANY WHEEZINESS
audio/RES0048.mp3[286.000,288.280]	NO I DONT THINK SO
audio/RES0048.mp3[288.280,292.440]	OK ANY CHEST PAIN
audio/RES0048.mp3[292.440,304.200]	UM MAYBE FROM ALL THE COUGHING SOMETIMES I FEEL LIKE THERES SOME PAIN THERE BUT ITS NOT NOT ANYTHING THATS TOO PAINFUL
audio/RES0048.mp3[304.200,309.840]	OK UM DO YOU FEEL LIKE YOUR HEARTS RACING AT ALL
audio/RES0048.mp3[309.840,313.640]	UH NO NOT REALLY
audio/RES0048.mp3[313.640,318.120]	OK UM HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS
audio/RES0048.mp3[318.120,324.680]	NO I DIDNT NOTICE ANYTHING LIKE THAT
audio/RES0048.mp3[324.680,330.160]	OK HOW ABOUT UM PAIN IN YOUR CALVES WHEN YOU WALK A FEW BLOCKS
audio/RES0048.mp3[330.160,333.200]	NO IVE BEEN FINE THAT WAY
audio/RES0048.mp3[333.200,337.800]	OK DIZZINESS OR FAINTING SPELLS
audio/RES0048.mp3[337.800,345.720]	UH NO NOT REALLY I I THOUGHT MAYBE WITH THE SHORTNESS OF BREATH THAT WOULD HAPPEN BUT LIKE SO FAR THAT HASNT HAPPENED TO ME
audio/RES0048.mp3[345.720,349.320]	OK ANY FEVERS OR CHILLS
audio/RES0048.mp3[349.320,359.280]	UH NO I MAYBE LIKE A FEW CHILLS LIKE IM NOT SURE ACTUALLY IT WAS HARD TO TELL BUT I HAVENT HAD ANY FEVERS
audio/RES0048.mp3[359.280,369.320]	OK WELL TAKE YOUR TEMPERATURE TODAY JUST TO MAKE SURE UM ANY WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0048.mp3[369.320,371.520]	UH NO PROBABLY WEIGHT GAIN
audio/RES0048.mp3[371.520,378.080]	OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0048.mp3[378.080,381.320]	UH NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0048.mp3[381.320,386.600]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0048.mp3[386.600,391.920]	UH NO NO THAT THATS ALL BEEN FINE
audio/RES0048.mp3[391.920,396.920]	HOW ABOUT UM LOSS OF SMELL OR TASTE
audio/RES0048.mp3[396.920,406.040]	NO I HAVENT HAD UH I THINK MY TASTE AND SMELL ARE STILL PRETTY GOOD NO NO ISSUES THERE
audio/RES0048.mp3[406.040,411.080]	OK UM HAVE YOU HAD A RUNNY NOSE OR STUFFY NOSE
audio/RES0048.mp3[411.080,415.720]	NO NO NO NO CONGESTION REALLY
audio/RES0048.mp3[415.720,420.560]	OK AND UM HAVE YOU HAD A SORE THROAT AT ALL
audio/RES0048.mp3[420.560,422.880]	NO NO SORE THROAT
audio/RES0048.mp3[422.880,429.800]	OK UM ANY ISSUES SWALLOWING FOOD
audio/RES0048.mp3[430.800,435.000]	NO CHANGES IN YOUR APPETITE
audio/RES0048.mp3[435.000,444.520]	MAYBE JUST A LITTLE BIT LIKE I DONT REALLY FEEL LIKE EATING WHEN IM COUGHING ALL THE TIME BUT OTHER THAN THAT NO NOT REALLY
audio/RES0048.mp3[444.520,447.960]	OK HOW ABOUT NAUSEA OR VOMITING
audio/RES0048.mp3[447.960,450.840]	NO NOTHING LIKE THAT
audio/RES0048.mp3[450.840,455.720]	OK UM CONSTIPATION
audio/RES0048.mp3[455.720,457.440]	NO DIARRHEA
audio/RES0048.mp3[457.440,464.920]	DIARRHEA RIGHT UM HOW OFTEN ARE YOU HAVING A BOWEL MOVEMENT RIGHT NOW
audio/RES0048.mp3[464.920,476.440]	I WOULD SAY UH LIKE IVE BEEN GOING PROBABLY MORE THAN EIGHT TIMES A DAY PROBABLY IN THE LAST FEW DAYS LIKE 10 TIMES A DAY
audio/RES0048.mp3[476.440,486.160]	OH WOW OK AND EACH TIME ARE YOU PRODUCING A LOT OF STOOL OR IS IT JUST A LITTLE BIT EACH TIME
audio/RES0048.mp3[486.160,489.000]	LIKE A LITTLE BIT BUT ITS MOSTLY LIQUIDY
audio/RES0048.mp3[489.000,494.520]	OK ANY SOLIDS AT ALL LIKE IS IT SEMI SOLID AT ALL
audio/RES0048.mp3[494.520,498.280]	UM MAYBE A LITTLE BIT BUT MOSTLY ITS JUST LIQUID
audio/RES0048.mp3[498.280,504.320]	OK UM ANY BLOOD IN THE STOOL
audio/RES0048.mp3[504.320,514.720]	NO IVE BEEN CHECKING UH NO I DIDNT NOTICE ANY BLOOD OR CHANGE IN COLOUR ITS MAINLY JUST UM LIQUID DIARRHEA
audio/RES0048.mp3[514.720,518.080]	OK ANY CHANGES IN YOUR URINE
audio/RES0048.mp3[519.640,524.480]	NO OK UM ANY CONFUSION OR MEMORY LOSS
audio/RES0048.mp3[524.480,527.040]	NO NOT THAT I KNOW OF
audio/RES0048.mp3[527.040,532.560]	OK UM HOW ABOUT MUSCLE ACHES OR JOINT PAINS
audio/RES0048.mp3[532.560,534.720]	NO NOTHING LIKE THAT
audio/RES0048.mp3[534.720,543.440]	OK AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONG UH STANDING MEDICAL CONDITIONS
audio/RES0048.mp3[543.440,549.240]	UH SO I DO HAVE DIABETES AND HIGH BLOOD PRESSURE
audio/RES0048.mp3[549.240,553.320]	OK DO YOU TAKE ANY MEDICATIONS FOR THOSE CONDITIONS
audio/RES0048.mp3[553.320,573.240]	YEAH SO FOR DIABETES IM TAKING THIS MEDICATION CALLED UH LIKE I THINK METFORMIN AND THEN FOR THE BLOOD PRESSURE UH I THINK ITS I FORGOT THE NAME I THINK ITS SOMETHING LIKE UM RAMIPRIL OR SOMETHING LIKE THAT
audio/RES0048.mp3[573.240,578.040]	YEP OK AND YOURE TAKING THAT UM AS DIRECTED RIGHT
audio/RES0048.mp3[578.040,587.200]	YEAH IVE BEEN TAKING THAT REGULARLY AND MY BLOOD PRESSURE IVE BEEN MEASURING ITS BEEN PRETTY STEADY NO CHANGES
audio/RES0048.mp3[587.200,593.280]	OK THATS GOOD HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0048.mp3[593.280,601.600]	I DID HAVE MY APPENDIX REMOVED PROBABLY IN MY 20S BUT UH THAT WAS THE ONLY THING
audio/RES0048.mp3[601.600,608.280]	OK UM AND DO YOU HAVE ANY ALLERGIES
audio/RES0048.mp3[608.280,610.560]	NO NOT NOT REALLY
audio/RES0048.mp3[610.560,614.280]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0048.mp3[615.960,621.120]	OK ARE YOU ON ANY OTHER MEDICATIONS BESIDES THE RAMIPRIL AND METFORMIN
audio/RES0048.mp3[621.120,630.360]	JUST UH LIKE MULTI VITAMINS FOR MEN OVER 50
audio/RES0048.mp3[630.360,636.320]	OK OK UM ANY FAMILY HISTORY OF HEART CONDITIONS OR LUNG CONDITIONS THAT YOU KNOW OF
audio/RES0048.mp3[636.320,659.000]	UM YEAH SO MY FAMILY LIKE DIABETES IS PRETTY BIG IT RUNS IN THE FAMILY AND UH MY FATHER IN HIS 60S UH LIKE DIED FROM A HEART ATTACK UM OTHER THAN THAT NOT ANYTHING ELSE I CAN THINK OF NO
audio/RES0048.mp3[659.000,660.840]	OK ANY CANCERS IN THEIR FAMILY
audio/RES0048.mp3[660.840,665.720]	UH NO I DONT THINK SO
audio/RES0048.mp3[665.720,670.200]	OK DO YOU SMOKE
audio/RES0048.mp3[670.200,683.120]	I USED TO I I QUIT PROBABLY FIVE YEARS AGO BUT BEFORE THAT I USED TO SMOKE PROBABLY A PACK A DAY FOR MORE THAN 20 YEARS
audio/RES0048.mp3[683.120,687.040]	OH OK WELL GOOD JOB FOR CUTTING DOWN AND QUITTING UM
audio/RES0048.mp3[689.760,694.960]	YEAH UM DO YOU DO MARIJUANA AT ALL
audio/RES0048.mp3[694.960,697.760]	NO NO NO NO DRUGS
audio/RES0048.mp3[697.760,701.040]	ANY OTHER RECREATIONAL DRUGS YOU SAID NO RIGHT
audio/RES0048.mp3[701.040,705.040]	YEAH NO NO I DONT DO ANY DRUGS
audio/RES0048.mp3[705.040,707.720]	OK UM DO YOU DRINK ALCOHOL
audio/RES0048.mp3[707.720,716.080]	YEAH I PROBABLY HAVE MAYBE UM SOME WHISKEY MAYBE A COUPLE TIMES A WEEK
audio/RES0048.mp3[716.080,720.320]	OK UM AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0048.mp3[720.320,739.160]	UH SO YEAH I JUST LIVE IN THE CITY IN LONDON UH IN AN APARTMENT WITH MY JUST WIFE MY WIFE
audio/RES0048.mp3[739.160,744.120]	OK UM IS SHE ALSO SICK OR IS SHE OK
audio/RES0048.mp3[744.120,751.280]	NO SHES BEEN COMPLETELY FINE AND IVE BEEN KIND OF ISOLATING MYSELF FROM HER OVER THE LAST WEEK
audio/RES0048.mp3[751.280,757.920]	OK WELL THATS GOOD AND THATS SMART UM JUST BECAUSE YOU DONT KNOW WHAT YOU HAVE RIGHT
audio/RES0048.mp3[759.200,767.960]	YEAH OK DO CAN YOU THINK OF ANY OTHER SICK CONTACTS THAT YOU MAY HAVE HAD OVER THE PAST ONE OR TWO WEEKS OR EVEN THREE WEEKS
audio/RES0048.mp3[767.960,786.000]	UM I GO TO THE GROCERY STORE THEN I GO TO WORK I HAVENT NOTICED ANYONE BEING SICK AT WORK BUT YOU KNOW YOU NEVER KNOW LIKE WHO COMES IN ASYMPTOMATIC AND LIKE THEY MIGHT BE CARRYING IT WITH THIS
audio/RES0048.mp3[786.000,795.400]	VIRUS LIKE MAINLY IM WORRIED ABOUT COVID AND YOU KNOW JUST HOW FAST THATS SPREADING EVERYWHERE
audio/RES0048.mp3[795.400,804.800]	YEAH FOR SURE UM YEAH FOR SURE HAVE YOU TRAVELED TO ANYWHERE RECENTLY
audio/RES0048.mp3[804.800,812.840]	NO UH WEVE BEEN IN CANADA ONTARIO HAVENT LEFT TO GO ANYWHERE
audio/RES0048.mp3[812.840,822.480]	OK OK WELL THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR DID YOU HAVE ANY CONCERNS ANYTHING THAT YOU WANTED TO DISCUSS TODAY
audio/RES0048.mp3[822.480,833.120]	YEAH NO I JUST UH WAS WONDERING IF I CAN GET THE COVID TEST THAT WOULD JUST I WANTED TO MAKE SURE I DONT GIVE ANYONE COVID IF I DO HAVE IT
audio/RES0048.mp3[833.120,890.080]	YEAH FOR SURE I THINK THATS A GOOD IDEA UM SO AND ITS DEFINITELY SOMETHING THAT WE NEED TO RULE OUT SO WELL DO A COVID SWAB TODAY UM AND YOULL HEAR BACK WITHIN 24 TO 48 HOURS UM BUT IN THE MEAN TIME REGARDLESS OF WHETHER YOU ACTUALLY HAVE COVID OR NOT BECAUSE YOUR SYMPTOMS OVERLAP WITH COVID UM ITS GOOD TO ISOLATE FOR 14 DAYS AND THAT INCLUDES TRYING TO ISOLATE FROM YOUR WIFE AS WELL IF POSSIBLE AND PUBLIC HEALTH SHOULD BE IN TOUCH IF ITS POSITIVE UH TO DO CONTACT TRACING UM AND IF ITS NOT COVID ITS PROBABLY ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR UH IF YOUR SYMPTOMS GET WORSE UM YOU KNOW YOURE HAVING NEUROLOGICAL SYMPTOMS OR OR IF YOUR FEVER GETS REALLY HIGH OR YOURE HAVING A LOT OF TROUBLE BREATHING THEN YOU SHOULD GO SEE THE ER HOW DOES THAT SOUND
audio/RES0048.mp3[890.080,894.160]	MY IF MY BREATHING GETS WORSE UH ILL JUST GO TO THE EMERGENCY DEPARTMENT
audio/RES0048.mp3[894.160,896.840]	YES PLEASE DO
audio/RES0048.mp3[896.840,899.880]	OK SOUNDS GOOD
audio/RES0048.mp3[899.880,902.800]	ALRIGHT TAKE CARE
audio/RES0048.mp3[902.800,905.360]	YOU TOO THANK YOU
audio/RES0145.mp3[0.000,2.680]	WHAT BRINGS YOU IN TODAY
audio/RES0145.mp3[2.680,20.840]	YEAH IVE HAD A SORE THROAT THATS BEEN REALLY BUGGING ME THE PAST FOUR DAYS AND IVE HAD A COUGH AS WELL
audio/RES0145.mp3[20.840,24.640]	MHMM UHM WHEN DID THE COUGH START
audio/RES0145.mp3[24.640,37.800]	YEAH SO THE THE THE COUGH STARTED LAST WEEK ACTUALLY AND THEN AND THEN I I GOT THIS SORE THROAT AFTERWARDS
audio/RES0145.mp3[37.800,41.400]	MHMM OK AND IS IT A DRY COUGH OR WET COUGH
audio/RES0145.mp3[41.400,43.040]	ITS DRY
audio/RES0145.mp3[43.040,53.800]	OK AND HAS IT GOTTEN BETTER OR WORSE OR STAYED THE SAME SINCE LAST WEEK
audio/RES0145.mp3[53.800,58.000]	UH ITS ITS GOTTEN A LITTLE BIT LITTLE BIT BETTER
audio/RES0145.mp3[58.000,67.960]	OK THATS GOOD AND THE SORE THROAT STARTED FOUR DAYS AGO ARE YOU HAVING ANY DIFFICULTIES SWALLOWING AT ALL
audio/RES0145.mp3[67.960,72.720]	YEAH ITS ITS ITS REALLY SORE
audio/RES0145.mp3[72.720,95.040]	OK UHM AND I GUESS GOING BACK TO THE COUGH DOES IT MAKE IT DIFFICULT FOR YOU TO FALL ASLEEP AT NIGHT OR DOES IT WAKE YOU UP IN THE MIDDLE OF THE NIGHT
audio/RES0145.mp3[95.040,98.800]	NO I IT HASNT DONE THAT
audio/RES0145.mp3[98.800,109.240]	OK ALRIGHT OTHER UH AND AND I GUESS THIS SORE THROAT HAS JUST GOTTEN WORSE OVER THE PAST FOUR DAYS OR HAS BEEN KIND OF THE SAME OR BETTER
audio/RES0145.mp3[109.240,120.720]	YEAH ITS GOTTEN A LITTLE ITS GOTTEN A LITTLE BIT WORSE OVER THE LAST FEW DAYS
audio/RES0145.mp3[120.720,133.400]	OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE HEADACHES STUFFY NOSE RUNNY NOSE UHM ANY DISCHARGE FROM YOUR EYES RED EYES ANY PAIN IN YOUR EARS ANYTHING LIKE THAT
audio/RES0145.mp3[133.400,161.200]	YEAH BUT THAT YOU MENTION THAT YEAH I I HAVE HAD LIKE SOME ITCHY EYES THAT AND A RUNNY NOSE I WAS SNEEZING QUITE A BIT LAST WEEK BUT THAT HAS KIND OF AH GONE AWAY NOW
audio/RES0145.mp3[161.200,175.640]	OK UHM AND WERE SNEEZING LAST WEEK AND YOU HAD ITCHY EYES HAD AND THATS GONE OK SO ALL YOU HAVE RIGHT NOW IS THAT COUGH AND SORE THROAT UHM OK
audio/RES0145.mp3[175.640,181.200]	YEAH AND IVE BEEN REALLY LIKE ACHY AND AND TIRED AS WELL
audio/RES0145.mp3[181.200,185.840]	HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0145.mp3[185.840,197.600]	YEAH IVE IVE FELT FEVERISH THESE LAST TWO DAYS NO CHILLS
audio/RES0145.mp3[197.600,203.680]	UHM AND HAVE YOU HAD ANY CHANGES IN YOUR SENSE OF SMELL
audio/RES0145.mp3[203.680,204.960]	NO I HAVENT
audio/RES0145.mp3[204.960,208.680]	CHANGES IN YOUR SENSE OF TASTE
audio/RES0145.mp3[209.920,215.600]	OK ALRIGHT AND ANY CHEST PAIN
audio/RES0145.mp3[215.600,217.960]	NO I HAVENT HAD ANY CHEST PAIN
audio/RES0145.mp3[217.960,221.160]	DIFFICULTIES BREATHING
audio/RES0145.mp3[222.880,234.440]	ANY UHM I GUESS HEADACHE OR ANY PRESSURE IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN OR SQUAT DOWN
audio/RES0145.mp3[234.440,241.280]	NO I HAVENT FELT ANYTHING LIKE THAT
audio/RES0145.mp3[241.280,248.680]	OK UHM ANY BELLY PAIN NAUSEA OR VOMITING ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS
audio/RES0145.mp3[255.800,261.720]	OK ALRIGHT AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0145.mp3[261.720,281.120]	IVE HAD UHM LIKE TONSILLITIS A FEW TIMES IN THE IN THE PAST THE LAST TIME HAPPENED ABOUT ABOUT SIX MONTHS AGO IM WONDERING IF I HAVE STREP THROAT
audio/RES0145.mp3[281.120,285.200]	HOW OFTEN DO YOU GET THAT TONSILLITIS
audio/RES0145.mp3[285.200,295.080]	UH SO IVE HAD IT FOUR TIMES YEAH 4 FOUR TIMES IN THE LAST FEW YEARS
audio/RES0145.mp3[295.080,299.440]	UHM DO YOU STILL HAVE YOUR TONSILS OR HAVE YOU
audio/RES0145.mp3[299.440,306.040]	I DO YEAH I DO YES YEAH
audio/RES0145.mp3[306.040,311.040]	OK UHM AND ANY OTHER MEDICAL CONDITIONS
audio/RES0145.mp3[312.440,315.720]	OK ANY SURGERIES
audio/RES0145.mp3[317.200,319.760]	HAVE YOU EVER BEEN HOSPITALIZED
audio/RES0145.mp3[323.600,341.160]	OK AND ANY WHEN YOU WERE YOUNGER WOULD YOU HAVE A LOT OF INFECTIONS UHM WHEN YOU WERE A CHILD OR WHEN YOU WERE BORN WERE YOU BORN PREMATURELY WERE THERE ANY COMPLICATIONS AT BIRTH
audio/RES0145.mp3[341.160,353.400]	UH I DID HAVE A COUPLE OF EAR INFECTIONS WHEN I WAS WHEN I WAS YOUNGER BUT I HAVENT HAD ANY SINCE
audio/RES0145.mp3[353.400,357.680]	OK AND NO PNEUMONIA OR ANYTHING LIKE THAT RIGHT
audio/RES0145.mp3[357.680,361.640]	NO NOTHING LIKE THAT
audio/RES0145.mp3[361.640,369.200]	OK UHM ANY HISTORY OF ASTHMA OR ECZEMA OR ALLERGIC RHINITIS
audio/RES0145.mp3[369.200,372.240]	NO I HAVENT HEARD OF THOSE BEFORE
audio/RES0145.mp3[372.240,377.600]	ALRIGHT ARE YOU TAKING ANY MEDICATIONS
audio/RES0145.mp3[377.600,379.520]	NO IM NOT
audio/RES0145.mp3[379.520,385.720]	WERE YOU GIVEN ANY ANTIBIOTICS SIX MONTHS AGO WHEN YOU HAD YOUR TONSILLITIS
audio/RES0145.mp3[385.720,391.360]	I WAS YEAH I THINK I I THINK A LIKE AMOXICILLIN
audio/RES0145.mp3[391.360,403.280]	RIGHT AND UH DO YOU HAVE ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES OR ALLERGIES TO ANY MEDICATIONS
audio/RES0145.mp3[403.280,407.240]	YEAH I I HAVE ALLERGIES TO PEANUTS
audio/RES0145.mp3[407.240,410.520]	WHAT HAPPENS
audio/RES0145.mp3[410.520,428.560]	YEAH I DO GET ANAPHYLAXIS FROM IT IVE UHM OR ILL GET YEAH LIKE HIVES AND THROAT SWELLING AND SO I DO CARRY AN EPIPEN I HAVENT HAD TO USE IT THOUGH
audio/RES0145.mp3[428.560,442.480]	YEAH THATS GOOD THATS GOOD AND SO COUPLE QUESTIONS ABOUT UHM I GUESS MORE GENERAL QUESTIONS DO YOU WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN A HOUSE OR AN APARTMENT
audio/RES0145.mp3[442.480,449.000]	LIVE IN A HOUSE WITH UHM WITH MY PARENTS AND OLDER SISTER
audio/RES0145.mp3[449.000,461.360]	OK AND UHM ARE YOU UHM ARE YOU CURRENTLY SMOKING OR HAVE YOU EVER SMOKED IN THE PAST
audio/RES0145.mp3[462.320,481.040]	OK ALSO I JUST WANT TO REMIND YOU THAT THESE QUESTIONS WILL REMAIN CONFIDENTIAL BETWEEN YOU AND ME IN CASE YOURE WORRIED NO ONES GOING TO FIND OUT ABOUT WHAT WERE TALKING ABOUT UNLESS YOU UNLESS THERES CONCERN ABOUT HARM TO YOU OR HARM TO ANYONE ELSE DO YOU FEEL SAFE AT HOME
audio/RES0145.mp3[481.040,482.080]	I DO YES
audio/RES0145.mp3[482.080,488.800]	OK ARE THINGS GOING WELL AT SCHOOL ANY BULLYING ARE YOU HAPPY WITH YOUR GRADES
audio/RES0145.mp3[488.800,497.160]	YEAH THERE EVERYTHING I I MEAN SCHOOL IS SCHOOL BUT ITS BEEN GOOD
audio/RES0145.mp3[497.160,505.080]	OK AND YOU SAID YOU DONT SMOKE HAVE YOU TRIED ANY OTHER ANY RECREATIONAL DRUGS ANY MARIJUANA
audio/RES0145.mp3[505.080,506.560]	NO I HAVENT
audio/RES0145.mp3[506.560,510.200]	OK ANY ALCOHOL
audio/RES0145.mp3[510.600,515.600]	OK AND ARE YOU SO SEXUALLY ACTIVE
audio/RES0145.mp3[515.600,517.840]	NO IM NOT
audio/RES0145.mp3[517.840,524.800]	OK UHM ALRIGHT HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT BE SICK
audio/RES0145.mp3[524.800,535.960]	I DONT THINK SO I MEAN GOING TO WE BOTH I MEAN WEVE BEEN GOING BACK TO SCHOOL RECENTLY BUT NOBODYS BEEN OFF
audio/RES0145.mp3[535.960,541.640]	OK SO YOUVE BEEN DOING SCHOOLING IN PERSON THEN OK
audio/RES0145.mp3[544.040,552.080]	ALRIGHT ANY MEDICAL CONDITIONS THAT RUN IN YOUR FAMILY ANYTHING RELATED TO THE LUNGS OR OTHERWISE
audio/RES0145.mp3[552.080,556.040]	UH NO
audio/RES0145.mp3[556.040,592.720]	OK UHM ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU SO IT SOUNDS LIKE LAST WEEK YOU HAD ITCHY EYES RUNNY NOSE YOU WERE SNEEZING AND YOU HAD A DRY COUGH AND THEN OVER TIME SOME OF THOSE SYMPTOMS RESOLVED AND YOU CONTINUED TO HAVE A COUGH THAT WAS ALSO GETTING BETTER BUT YOU THEN DEVELOPED A SORE THROAT AND YOU HAVE BEEN FEELING FEVERISH OVER THE PAST TWO DAYS DID YOU MEASURE DID YOU CHECK YOUR TEMPERATURE LAST WEEK
audio/RES0145.mp3[592.720,603.880]	I DIDNT CHECK IT LAST WEEK BUT I CHECKED IT YESTERDAY AND IT WAS 382 I THINK
audio/RES0145.mp3[604.920,612.680]	BUT YEAH BUT BUT THOSE ARE THE SYMPTOMS THAT THAT IVE BEEN HAVING
audio/RES0145.mp3[612.680,704.880]	UHM SO IT SOUNDS LIKE YOU YOUR SYMPTOMS HAVE EVOLVED QUITE A BIT OVER THE PAST TWO WEEKS IT COULD HAVE IT COULD BE POTENTIALLY THAT YOU HAD A VIRAL INFECTION INITIALLY AND MIGHT YOU MIGHT HAVE LIKE A SUPERIMPOSED BACTERIAL INFECTION BUT WE DONT KNOW THAT FOR SURE UHM WE WELL DO A PHYSICAL EXAM HAVE A LISTEN TO YOUR CHEST HAVE A LOOK INSIDE YOUR MOUTH LOOK AT YOUR THROAT UHM WE UHM I GUESS THE ORIGINAL SYMPTOMS YOU HAD LAST WEEK UHM WERE SEEM A LITTLE BIT DIFFERENT IT COULD BE PHARYNGITIS MAYBE WHAT YOU HAVE RIGHT NOW COULD POTENTIALLY BE PHARYNGITIS WITH A SORE THROAT AND THE FEVER THAT YOUVE DEVELOPED OVER THE PAST THREE OR FOUR DAYS SO ILL DEFINITELY HAVE A LOOK INSIDE YOUR THROAT AS WELL AND IF NECESSARY WE COULD DO A RAPID STREP TEST UHM AND WE WOULD ALSO HAVE TO DO A COVID TEST JUST IN CASE AND I WOULD RECOMMEND THAT YOU QUARANTINE AT HOME THE RESULTS SHOULD COME OUT IN THE NEXT 12 TO 20 FOR 24 TO 48 HOURS JUST SELF ISOLATE STAY AWAY FROM OTHER FAMILY MEMBERS AND THEN YOULL FIND OUT THE RESULTS IF ITS POSITIVE SOMEONE WILL CALL YOU FROM PUBLIC HEALTH AND THEN LET YOU KNOW WHAT TO DO
audio/RES0145.mp3[704.880,707.200]	OK YEAH THAT SOUNDS GOOD
audio/RES0145.mp3[707.600,708.680]	THANK YOU
audio/RES0145.mp3[708.680,711.360]	YEAH YOURE WELCOME
audio/RES0016.mp3[0.000,2.520]	HOW ARE YOU DOING
audio/RES0016.mp3[2.520,14.840]	NOT SO WELL I I FEEL LIKE IVE BEEN HAVING JUST WORSENING BREATHLESSNESS AND A COUGH FOR ITS BEEN GOING ON FOR TWO YEARS NOW AND I JUST CANT SEEM TO GET RID OF IT
audio/RES0016.mp3[14.840,19.760]	OK THE COUGH AND BREATHLESSNESS BOTH STARTED TWO YEARS AGO
audio/RES0016.mp3[19.760,23.000]	YEAH I WOULD SAY APPROXIMATELY AROUND THE SAME TIME
audio/RES0016.mp3[23.000,30.560]	OK OK UM DO YOU ALWAYS HAVE THE BREATHLESSNESS OR DOES IT COME AND GO
audio/RES0016.mp3[30.560,55.760]	UM I THINK ITS I FEEL SHORT OF BREATH MOST OF THE TIMES BUT ITS MAINLY JUST GETS WORSE WHEN IM EXERTING MYSELF WHEN IM WALKING MORE THAN USUAL OR JUST WORKING IN THE GARDEN
audio/RES0016.mp3[55.760,62.920]	OK OK UM AND SAME THING WITH THE COUGH IT GETS WORSE WHEN YOURE WALKING AROUND
audio/RES0016.mp3[62.920,66.800]	YEAH I WOULD SAY SO
audio/RES0016.mp3[66.800,74.600]	OK AND WAS THERE ANY SORT OF TRIGGER FOR THIS TWO YEARS AGO ANYTHING THAT YOU REMEMBER
audio/RES0016.mp3[74.600,82.360]	UM NO IT KIND OF JUST STARTED GRADUALLY ON ITS OWN NO NO REAL TRIGGERS THAT I CAN REMEMBER
audio/RES0016.mp3[82.360,90.840]	OK AND DOES ANYTHING MAKE IT WORSE OR BETTER BESIDES THE EXERTION
audio/RES0016.mp3[90.840,95.480]	UH NO I THINK THATS PRETTY MUCH THE ONLY THING THAT REALLY MAKES IT WORSE
audio/RES0016.mp3[95.480,104.800]	OK AND HOW WOULD YOU DESCRIBE YOUR BREATHLESSNESS IS IT THAT YOURE BREATHING TOO FAST OR YOU CANT CATCH YOUR BREATH
audio/RES0016.mp3[104.800,117.800]	ITS I THINK ITS MORE SO JUST I CANT CATCH MY BREATH AND SOMETIMES I JUST HAVE TROUBLE BEING ABLE TO TAKE LIKE A FULL BREATH
audio/RES0016.mp3[117.800,123.040]	OK OK UM AND OUT OF 1 TO 10 10 BEING THE WORST HOW BAD IS YOUR BREATHLESSNESS
audio/RES0016.mp3[123.040,133.920]	IT CAN GET UP TO I WOULD SAY LIKE AN EIGHT SOMETIMES WHEN IM DOING A LOT OF WORK
audio/RES0016.mp3[133.920,138.320]	OK AND HAVE YOU EVER EXPERIENCED THIS BEFORE
audio/RES0016.mp3[138.320,143.440]	NOT BEFORE THE TWO YEARS BEFORE I I NEVER FELT ANYTHING LIKE THAT
audio/RES0016.mp3[143.440,147.320]	OK AND YOU MENTIONED ITS GRADUALLY BEEN GETTING WORSE RIGHT
audio/RES0016.mp3[147.320,148.720]	YEAH I WOULD SAY SO
audio/RES0016.mp3[148.720,155.160]	OK AND THE COUGH UM DO YOU EVER COUGH UP ANY BLOOD
audio/RES0016.mp3[155.160,166.600]	NO ITS UH ITS USUALLY JUST A DRY COUGH NO NO I DONT PRODUCE ANY MUCUS OR BLOOD
audio/RES0016.mp3[166.600,175.520]	OK OK UM AND DO YOU FEEL LIKE YOURE WHEEZY
audio/RES0016.mp3[175.520,179.720]	NO I HAVENT HEARD ANY KIND OF WHEEZINESS AT ALL
audio/RES0016.mp3[179.720,186.640]	OK ANY ISSUES WITH YOUR BREATHLESSNESS WHEN YOURE LAYING DOWN
audio/RES0016.mp3[186.640,189.600]	NO IM COMPLETELY FINE LAYING DOWN
audio/RES0016.mp3[189.600,193.360]	OK AND ITS NOT WAKING YOU UP AT NIGHT RIGHT
audio/RES0016.mp3[195.560,202.680]	OK UM HAVE THERE BEEN ANY CHANGES TO YOUR TASTE RECENTLY
audio/RES0016.mp3[202.680,205.520]	NO NOT THAT I KNOW
audio/RES0016.mp3[205.520,208.280]	ANY CHANGES TO YOUR SMELL
audio/RES0016.mp3[209.240,213.000]	HAVE YOU EXPERIENCED A SORE THROAT
audio/RES0016.mp3[214.080,217.160]	RUNNY NOSE OR STUFFY NOSE
audio/RES0016.mp3[217.160,218.880]	NOPE NOT THAT I KNOW OF
audio/RES0016.mp3[218.880,223.160]	OK CHANGES IN YOUR HEARING OR EAR PAIN
audio/RES0016.mp3[223.520,228.000]	CHANGES IN YOUR VISION OR EYE PAIN
audio/RES0016.mp3[228.000,230.280]	NO NOTHING LIKE THAT
audio/RES0016.mp3[230.280,236.120]	OK AND HAVE YOU NOTICED ANY FEVERS
audio/RES0016.mp3[236.120,242.920]	UM MAYBE SOME CHILLS HERE AND THERE BUT NOT NOT REALLY A FEVER NO
audio/RES0016.mp3[242.920,248.120]	OK AND YOU MENTIONED CHILLS HOW ABOUT NIGHT SWEATS
audio/RES0016.mp3[248.120,265.640]	UM JUST A FEW TIMES PER WEEK I WOULD MAYBE HAVE TO TAKE OFF MY BLANKET SOMETIMES I NOTICE A LOT OF MY SWEAT COVERING THE BED SHEETS THATS BEEN GOING ON FOR ABOUT SAY A COUPLE MONTHS NOW
audio/RES0016.mp3[265.640,269.800]	OK OK UM ANY WEIGHT LOSS
audio/RES0016.mp3[269.800,276.640]	I THINK OVER THE LAST FEW MONTHS I MAY HAVE LOST LIKE AROUND 3 THREE KILOGRAMS
audio/RES0016.mp3[276.640,282.920]	OK OK ANY RASHES ON YOUR BODY
audio/RES0016.mp3[282.920,286.400]	NOT THAT I KNOW NO
audio/RES0016.mp3[286.400,293.320]	OK UM HOW ABOUT UH LIKE FEELING YOURE LIKE YOURE TIRED
audio/RES0016.mp3[293.320,301.560]	UM YEAH I FEEL PRETTY TIRED SOMETIMES BUT I JUST THOUGHT IT WAS BECAUSE IM GETTING OLDER
audio/RES0016.mp3[301.560,305.520]	OK FAIR ENOUGH HOW ABOUT CHEST PAIN
audio/RES0016.mp3[305.520,307.520]	NO CHEST PAIN NO NO
audio/RES0016.mp3[307.520,310.920]	ANY SWELLING IN YOUR ARMS OR LEGS
audio/RES0016.mp3[310.920,313.680]	NO NOT THAT IVE NOTICED
audio/RES0016.mp3[313.680,318.000]	OK AND HOW ABOUT FEELING LIKE YOUR HEARTS RACING
audio/RES0016.mp3[318.000,321.360]	NO HEART HAS BEEN FINE
audio/RES0016.mp3[321.360,325.640]	OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0016.mp3[325.640,327.960]	NO I GO PRETTY REGULARLY
audio/RES0016.mp3[327.960,331.480]	OK AND URINE ANY CHANGES THERE
audio/RES0016.mp3[332.960,336.160]	OK HOW ABOUT NAUSEA AND VOMITING
audio/RES0016.mp3[336.160,337.240]	UH NO
audio/RES0016.mp3[339.080,340.560]	UH NO
audio/RES0016.mp3[340.560,345.600]	OK UM ANY DIZZINESS OR FAINTING SPELLS
audio/RES0016.mp3[347.040,354.640]	NO OK UM HOW ABOUT CONFUSION OR MEMORY LOSS
audio/RES0016.mp3[354.640,358.160]	NOT THAT I KNOW OF NO
audio/RES0016.mp3[358.160,363.720]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS
audio/RES0016.mp3[363.720,377.080]	I DO HAVE HIGH BLOOD PRESSURE AND I THINK THEY SAID LIKE MY PROSTATE IS LARGER THAN NORMAL UM BUT NOTHING ELSE
audio/RES0016.mp3[377.080,382.040]	OK AND HAVE YOU BEEN SICK IN THE PAST
audio/RES0016.mp3[382.040,391.440]	UH IN TERMS OF LIKE BREATHING I THINK MAYBE AS A CHILD LIKE I MAY HAVE HAD LIKE A PNEUMONIA BUT NOTHING ELSE
audio/RES0016.mp3[391.440,395.320]	OK AND ARE YOU ON ANY MEDICATIONS
audio/RES0016.mp3[395.320,397.800]	JUST RAMIPRIL FOR MY HIGH BLOOD PRESSURE
audio/RES0016.mp3[397.800,404.560]	OK UM HOW LONG HAVE YOU BEEN ON THAT MEDICATION FOR
audio/RES0016.mp3[404.560,409.280]	UH FOR A PRETTY LONG TIME I WOULD SAY MORE THAN 10 YEARS
audio/RES0016.mp3[409.280,413.360]	OK AND NO ISSUES SIDE EFFECTS WITH THAT RIGHT
audio/RES0016.mp3[413.360,418.160]	NO AND MY BLOOD PRESSURE IS PRETTY WELL CONTROLLED ON THAT MEDICATION
audio/RES0016.mp3[418.160,423.440]	OK GOOD UM ANY ALLERGIES
audio/RES0016.mp3[423.440,424.320]	NO NO ALLERGIES
audio/RES0016.mp3[424.320,427.520]	ARE YOU UP TO DATE WITH ALL OF YOUR IMMUNIZATIONS
audio/RES0016.mp3[427.520,441.040]	YEAH I GOT MY SHINGLES AND MY PNEUMONIA VACCINATION EVERYTHING LIKE THAT
audio/RES0016.mp3[441.040,446.960]	OK AND UH IN TERMS OF FAMILY HISTORY UM ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0016.mp3[446.960,473.720]	UH SO YEAH MY DAD HAD QUITE A FEW PROBLEMS HE HAD TYPE 2 DIABETES THEN HE SUFFERED FROM 2 STROKES AND THEN HE ALSO HAD A HEART ATTACK UH IN I THINK WHEN HE WAS LIKE 56 BUT THEN HE ACTUALLY ENDED UP DYING OF BOWEL CANCER IN HIS 70S
audio/RES0016.mp3[473.720,477.720]	OK HOW ABOUT YOUR MOTHER IS SHE ALIVE IS SHE HEALTHY
audio/RES0016.mp3[477.720,497.040]	UM MY MOM IS ALIVE BUT SHE SUFFERED FROM TYPE 2 DIABETES AND HIGH BLOOD PRESSURE AS WELL AND SHE ALSO HAD LIKE HYPOTHYROIDISM AND SHE ALSO SUFFERED FROM DEPRESSION AS WELL
audio/RES0016.mp3[497.040,508.200]	OK UM OK SO DO YOU LIVE BY YOURSELF AND WHERE DO YOU LIVE
audio/RES0016.mp3[508.200,525.920]	I LIVE ON AN APARTMENT AND IN APARTMENT BY MYSELF RIGHT NOW I DO FIND IT DIFFICULT GETTING OUT OF THE HOUSE RECENTLY JUST BECAUSE OF MY SHORTNESS OF BREATH BUT OTHER THAN THAT I FEEL THAT IM PRETTY INDEPENDENT
audio/RES0016.mp3[525.920,529.560]	OK AND DO YOU SMOKE
audio/RES0016.mp3[529.560,532.200]	NO IVE NEVER SMOKED IN MY LIFE
audio/RES0016.mp3[532.200,534.840]	NO UM HOW ABOUT OTHER RECREATIONAL DRUGS
audio/RES0016.mp3[534.840,539.400]	NO NO MARIJUANA NO COCAINE NOTHING LIKE THAT
audio/RES0016.mp3[539.400,543.040]	OK HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0016.mp3[544.360,548.720]	OK AND DO YOU STILL WORK
audio/RES0016.mp3[548.720,566.680]	UH NO I ACTUALLY WORKED AT JUST THE HOSPITAL I USED TO VOLUNTEER BUT NOW I JUST CANT GET OUT OF THE HOUSE I FEEL JUST TIRED AND SHORT OF BREATH ALL THE TIME SO JUST STAYING IN MY HOUSE MOST OF THE TIME
audio/RES0016.mp3[566.680,571.920]	OK AND HAS ANYONE AROUND YOU BEEN SICK
audio/RES0016.mp3[571.920,573.960]	NO NOT THAT I KNOW
audio/RES0016.mp3[573.960,579.440]	NO UM AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0016.mp3[579.440,582.640]	NO NO
audio/RES0016.mp3[582.640,592.000]	OK UM HAVE YOU BEEN WORKED UP FOR THIS IN THE PAST TWO YEARS LIKE HAVE YOU HAD ANY CHEST XRAYS OR PULMONARY FUNCTION TESTS OR ANYTHING LIKE THAT
audio/RES0016.mp3[592.000,598.560]	NO IVE NEVER REALLY HAD THIS ISSUE BEFORE SO NO INVESTIGATIONS
audio/RES0016.mp3[598.560,609.320]	OK OK WELL THOSE WERE ALL THE QUESTIONS THAT I HAD DID YOU HAVE ANYTHING THAT YOU WANTED TO ADD THAT I MAYBE MISSED
audio/RES0016.mp3[609.320,627.640]	UH NO I JUST ITS BEEN GOING ON FOR TWO YEARS AND I FEEL LIKE ITS GETTING WORSE AND WORSE AND YEAH IM JUST SCARED OF HAVING TO YOU KNOW GO ON OXYGEN OR LIKE JUST NOT BEING ABLE TO BREATHE AT ONE POINT
audio/RES0016.mp3[627.640,673.920]	YEAH FOR SURE SO WE WILL TRY TO DO A GOOD JOB WORKING YOU UP FOR EVERYTHING THAT WE THINK IT MAY BE AND RIGHT NOW IT SOUNDS LIKE IT COULD BE PULMONARY FIBROSIS EITHER LIKE YOU KNOW AN AUTOIMMUNE PROCESS OR TRIGGERED AFTER LIKE AN INFECTION THAT YOU MAY HAVE HAD IN THE PAST WE WILL DEFINITELY ALSO LOOK INTO SEE IF ITS PERHAPS A LUNG CANCER ASTHMA AND YOU MENTIONED YOU DONT SMOKE SO WE DONT THINK IT COULD BE COPBUT WELL ALSO TEST FOR THAT IN CASE ALL EVERYTHING ELSE COMES BACK NEGATIVE
audio/RES0016.mp3[673.920,676.760]	OK SOUNDS GOOD THANK YOU SO MUCH
audio/RES0016.mp3[676.760,685.080]	THANK YOU TAKE CARE YOU TOO
audio/RES0099.mp3[0.000,3.000]	UMM HOW MAY I HELP YOU
audio/RES0099.mp3[3.000,37.320]	SO YEAH IVE BEEN HAVING FOR THE LAST TWO DAYS UH IT JUST STARTED RANDOMLY I HAD TO MISS WORK JUST A HEADACHE STARTED AT THE BEGINNING AND THEN I NOTICED THE SAME DAY SO THIS WAS TWO DAYS AGO A HEADACHE STARTED AND MY BODY JUST STARTED ACHING THROUGHOUT THE DAY AND YESTERDAY I JUST DEVELOPED I THINK IT WAS A FEVER I DIDNT REALLY GET A CHANCE TO CHECK LIKE BUT I WAS VERY CHILLY YESTERDAY AND NOW I HAVE THIS COUGH AS WELL
audio/RES0099.mp3[37.320,49.160]	OK SO JUST TO CONFIRM SO THE THE SYMPTOMS AT FIRST STARTED WITH A HEADACHE AND AND FATIGUE AND THAT STARTED TWO DAYS AGO
audio/RES0099.mp3[49.160,54.280]	YEAH LIKE WITH FATIGUE LIKE ALSO JUST THE MY MUSCLES WERE ACHING
audio/RES0099.mp3[54.280,64.480]	OK AND ANY PARTICULAR MUSCLES THAT WERE ACHY OR IS THIS MORE OF A UHM GENERAL KIND OF WHOLE BODY FEELING
audio/RES0099.mp3[64.480,67.680]	JUST A GENERAL WHOLE BODY FEELING
audio/RES0099.mp3[67.680,75.480]	OK UH AND IN TERMS OF THE HEADACHE COULD YOU DESCRIBE UHM COULD YOU DESCRIBE THE HEADACHE
audio/RES0099.mp3[75.480,89.720]	YES ITS JUST KIND OF LIKE AT THE FRONT LIKE NEAR MY FOREHEAD ON ON KIND OF LIKE BOTH SIDES MORE IT JUST FEELS LIKE LIKE PRESSURE IN THERE
audio/RES0099.mp3[89.720,93.000]	OK HAVE YOU HAD HEADACHES LIKE THIS BEFORE
audio/RES0099.mp3[93.000,96.600]	UH NO NOT REALLY
audio/RES0099.mp3[96.600,104.560]	OK UHM IS THE HEADACHE ON ONE SIDE OR OR THE OTHER OR ON BOTH SIDES
audio/RES0099.mp3[104.560,107.360]	I THINK ITS LIKE BOTH SIDES
audio/RES0099.mp3[107.360,115.720]	AND IS THE HEADACHE LIKE PULSATING OR IS IT MORE CONTINUOUS KIND OF CONSTANT PAIN
audio/RES0099.mp3[115.720,119.400]	I THINK ITS MORE CONTINUOUS CONSTANT
audio/RES0099.mp3[119.400,128.600]	ALRIGHT AND HAVE YOU HAD ANY SENSITIVITY TO LIGHT OR SOUND THAT THATS MADE THE HEADACHE A LOT WORSE
audio/RES0099.mp3[128.600,137.080]	NO ITS ITS KIND OF JUST THERE ITS ABOUT THE SAME AS WHEN IT WAS WHEN IT STARTED
audio/RES0099.mp3[137.080,142.920]	OK HAVE YOU HAD ANY NAUSEA AND VOMITING ASSOCIATED WITH THAT THE HEADACHE OR ANYTHING ELSE
audio/RES0099.mp3[142.920,145.920]	UH NO
audio/RES0099.mp3[145.920,158.760]	OK AND SO AND THEN LAST QUESTION FOR THE HEADACHE PIECE DOES IT FEEL LIKE IT WAS A LIKE KIND OF SUDDEN ONSET WORST HEADACHE OF YOUR LIFE SENSATION
audio/RES0099.mp3[158.760,172.960]	UH NO ITS STILL LIKE LIKE I CAN STILL COPE WITH IT LIKE IF I WANTED TO I WOULD HAVE GONE INTO WORK BUT IT WAS THE MUSCLE ACHES THAT REALLY STARTED BOTHERING ME
audio/RES0099.mp3[172.960,180.720]	OK AND SO YOU HAD A COUGH AS WELL WHEN DID THIS START AND IS IT A DRY OR WET COUGH
audio/RES0099.mp3[180.720,186.720]	ITS A DRY COUGH AND IT STARTED YESTERDAY PROBABLY IN THE MORNING WHEN I WOKE UP
audio/RES0099.mp3[186.720,190.600]	OK AND HAS THE COUGH BEEN GETTING ANY BETTER OR WORSE
audio/RES0099.mp3[190.600,195.880]	UHM SINCE YESTERDAY I WOULD SAYITS PROBABLY A BIT WORSE NOW
audio/RES0099.mp3[195.880,201.080]	ALRIGHT AND ITS DRY BUT HAVE YOU SEEN ANY BLOOD THATS COME UP
audio/RES0099.mp3[201.080,203.040]	NO NO NO BLOOD
audio/RES0099.mp3[203.040,209.640]	AND HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0099.mp3[211.200,224.760]	OK AND HAVE YOU HAD ANY FLU LIKE SYMPTOMS OR INFECTIOUS SYMPTOMS LIKE A RED EYES RUNNY EYES RUNNY NOSE OR A SORE THROAT
audio/RES0099.mp3[224.760,228.280]	NO I DONT HAVE ANY OF THOSE SYMPTOMS
audio/RES0099.mp3[228.280,232.320]	OK YOU MENTIONED YOU FELT FEVERISH DO YOU FEEL HOT NOW
audio/RES0099.mp3[232.320,245.600]	NOT RIGHT NOW BUT I DID HAVE LAST NIGHT JUST WAS JUST VERY CHILLY AND UH I HAD TO JUST WRAP MYSELF UP IN A COUPLE BLANKETS
audio/RES0099.mp3[245.600,250.480]	OK DID YOU HAVE ANY NIGHT SWEATS
audio/RES0099.mp3[250.480,255.280]	NO I I DIDNT HAVE ANY NIGHT SWEATS
audio/RES0099.mp3[255.280,261.320]	ALRIGHT AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0099.mp3[261.320,263.360]	NO NO CHEST PAIN
audio/RES0099.mp3[263.360,270.040]	ALRIGHT SO HOW ABOUT ANY DIZZINESS OR LIGHTHEADEDNESS
audio/RES0099.mp3[271.600,275.760]	OK AND HAVE YOU HAD ANY WHEEZE
audio/RES0099.mp3[275.760,278.800]	NO WHEEZING
audio/RES0099.mp3[278.800,288.720]	OK UHM AND HAVE YOU NOTICED ANY SWELLING TO ANY OF YOUR EXTREMITIES LIKE YOUR ANKLES
audio/RES0099.mp3[288.720,289.680]	UH NO NOPE
audio/RES0099.mp3[289.680,293.560]	OK AND HAVE YOU HAD ANY BELLY PAIN
audio/RES0099.mp3[293.560,295.080]	NO BELLY PAIN
audio/RES0099.mp3[295.080,300.880]	ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY GOING TO THE BATHROOM
audio/RES0099.mp3[302.120,304.040]	AND ANY DIARRHEA
audio/RES0099.mp3[304.040,305.560]	NO DIARRHEA
audio/RES0099.mp3[305.560,310.400]	ALRIGHT AND HAVE YOU NOTICED ANY RASHES OR OR CHANGES TO YOUR SKIN
audio/RES0099.mp3[310.400,312.320]	NO NOT AT ALL
audio/RES0099.mp3[312.320,318.440]	ALRIGHT AND I DONT KNOW YOUVE HAD MUSCLE ACHES HAVE YOU HAD ANY JOINT PAINS
audio/RES0099.mp3[318.440,336.040]	UH NO NO MUSC SORRY NO JOINT PAIN ITS MAINLY JUST LIKE IN I WOULD SAY IN AROUND MY UPPER BACK LIKE MY UPPER ARMS AND KIND OF LIKE MY THIGHS AND GLUTES AREAS
audio/RES0099.mp3[336.040,342.520]	OK AND HOW HAS YOUR ENERGY BEEN THESE LAST COUPLE OF DAYS
audio/RES0099.mp3[342.520,348.360]	YESTERDAY I FELT A BIT DRAINED I JUST KIND OF LIKE STAYED IN BED THE WHOLE DAY
audio/RES0099.mp3[348.360,355.400]	OK AND HAVE YOU TRIED ANY MEDICATIONS FOR THE FOR THE HEADACHE OR ANY OF YOUR SYMPTOMS SO FAR
audio/RES0099.mp3[355.400,372.240]	I I TOOK A TYLENOL I ACTUALLY TOOK A COUPLE TYLENOLS UH WHEN THE HEADACHE AND PAIN STARTED IT DID HELP A BIT FOR A COUPLE HOURS BUT IT JUST KIND OF CAME BACK
audio/RES0099.mp3[372.240,378.160]	OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0099.mp3[378.160,385.080]	UHM JUST UH LIKE I HAD TYPE 2 DIABETES THATS IT
audio/RES0099.mp3[385.080,389.200]	OK AND ARE YOU USING MEDICATIONS FOR YOUR DIABETES
audio/RES0099.mp3[389.200,394.960]	YEAH IVE BEEN ON METFORMIN
audio/RES0099.mp3[394.960,398.120]	OK HAVE YOU USED INSULIN BEFORE
audio/RES0099.mp3[398.120,408.800]	NO NO IVE NEVER HAD TO USE INSULIN ITS PRETTY STABLE LIKE MY FAMILY DOCTORS EVEN CONSIDERING TAKING ME OFF THE METFORMIN
audio/RES0099.mp3[408.800,419.560]	OK NO THATS GREAT AND THAT REMINDS ME ACTUALLY HOW HAS YOUR WEIGHT BEEN OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT CHANGES
audio/RES0099.mp3[419.560,448.080]	NOT REALLY LIKE I I I THINK OVER THE LAST TWO YEARS IVE JUST BEEN VERY FOCUSED ON MY FITNESS SO I FEEL LIKE IVE PROBABLY LOST AROUND 30 POUNDS OVER THE LAST YEAR LAST ONE TO TWO YEAH YEAR BUT LIKE I IVE BEEN EXERCISING A LOT LIKE UHM GYM EVERY DAY ITS ITS BEEN ITS BEEN A JOURNEY
audio/RES0099.mp3[448.080,460.160]	NO THATS GREAT THOUGH GOOD FOR YOU I ENCOURAGE YOU TO KEEP THAT UP FOR SURE OK AND SO DO YOU TAKE ANY OTHER MEDICATIONS OTHER OVER THE COUNTER OR PRESCRIBED
audio/RES0099.mp3[460.160,463.560]	UHM JUST A MULTI VITAMINS
audio/RES0099.mp3[463.560,467.520]	ALRIGHT AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0099.mp3[467.520,469.600]	NO NOT THAT I KNOW OF
audio/RES0099.mp3[469.600,475.240]	ALL RIGHT SO HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0099.mp3[476.960,489.600]	ALRIGHT AND UH ANYBODY IN THE FAMILY HAVE ANY LIKE LUNG CONDITIONS HEART CONDITIONS OR DISEASES THAT RUN IN THE FAMILY
audio/RES0099.mp3[489.600,502.080]	UH MY MY SON ACTUALLY JUST RECENTLY WAS DIAGNOSED WITH ASTHMA BUT I THINK THAT HE GETS THAT FROM HIS MOMS SIDE
audio/RES0099.mp3[502.080,508.720]	OK UHM YOU DONT HAVE ANY ASTHMA OR PROBLEMS BREATHING LIKE THAT
audio/RES0099.mp3[508.720,512.360]	NO NOTHING LIKE THAT
audio/RES0099.mp3[512.360,518.400]	OK AND RIGHT NOW SO YOU MENTIONED YOUR SON AND WIFE IS THAT WHO YOURE LIVING WITH
audio/RES0099.mp3[518.400,524.520]	YEAH ITS JUST US THREE
audio/RES0099.mp3[524.520,533.560]	OK AND UH ANY EXPOSURES TO TO ANYBODY WHOS BEEN SICK EITHER AT HOME OR AT WORK OR OR ANY OTHER ACTIVITIES
audio/RES0099.mp3[533.560,561.280]	UH UNFORTUNATELY I DO HAVE TO UH IM ONE OF THE UNLUCKY ONES THAT STILL HAS TO GO INTO WORK AND YEAH ITS ITS HARD TO SAY LIKE AT WORK THERE ARE TIMES WHEN WE LIKE AT LUNCH WE EAT LIKE WITHOUT A MASK I DONT KNOW IF I DIDNT NOTICE ANYONE HAVING ANY SYMPTOMS BUT LIKE I DONT KNOW IF SOMEONE YOU KNOW WHO KNOWS WHERE ANYONE HAS BEEN
audio/RES0099.mp3[561.280,566.520]	YEAH SO NOBODY THAT YOURE AWARE OF WHOS BEEN SICK THOUGH
audio/RES0099.mp3[567.760,570.000]	AND EVERYBODY AT HOME HAS BEEN OK
audio/RES0099.mp3[570.000,575.520]	YEAH AT HOME EVERYONES GOOD I KIND OF JUST DISTANCE MYSELF INTO LIKE ONE ROOM
audio/RES0099.mp3[577.120,580.440]	JUST IN CASE ANYTHING GOES WRONG
audio/RES0099.mp3[580.440,584.120]	OK AND HAVE YOU TRAVELED ANYWHERE
audio/RES0099.mp3[584.120,589.000]	NO WEVE BEEN WEVE BEEN AT HOME THIS WHOLE TIME
audio/RES0099.mp3[589.000,592.800]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0099.mp3[592.800,595.040]	NO IVE NEVER SMOKED
audio/RES0099.mp3[595.040,598.120]	OK SO DO YOU DO YOU SMOKE MARIJUANA
audio/RES0099.mp3[599.360,609.000]	ALRIGHT AND YOU USE ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OPIOIDS HEROIN AND HOW HAVE YOU USED ANYTHING LIKE THAT IN THE PAST
audio/RES0099.mp3[609.000,611.360]	NO NEVER
audio/RES0099.mp3[611.360,614.080]	OK UHM AND DO YOU DRINK ALCOHOL
audio/RES0099.mp3[614.080,631.960]	YEAH WELL JUST OCCASIONALLY LIKE I WOULD SAY MAYBE MAYBE SOME WINE ONCE UH LIKE ONCE EVERY COUPLE DAYS MAYBE A BEER ON THE WEEKEND BUT THATS IT
audio/RES0099.mp3[631.960,647.160]	ALRIGHT SO I THINK THAT WAS ALL I WANTED TO ASK ON HISTORY TODAY WAS THERE ANYTHING ELSE THAT THAT YOU WANTED TO ADD BEFORE WE GO ON TO THE EXAM AND
audio/RES0099.mp3[647.160,660.080]	YEAH SO I I I DONT KNOW IF I SHOULD GET A TEST DONE LIKE FOR COVID UHM YEAH THATS ALL JUST WONDERING IF I IF I CAN DO THAT HERE
audio/RES0099.mp3[660.080,737.640]	YEAH SO THAT IS SOMETHING THAT THAT IS ON THE DIFFERENTIAL FOR WHAT COULD BE CAUSING YOUR SYMPTOMS ESPECIALLY WITH UHM STARTING AT HAVING A COUGH AND THE NONSPECIFIC VIRAL TYPE SYMPTOMS WITH THE COUGH HEADACHE MUSCLE ACHES SO CERTAINLY COULD BE CAUSED BY COVID BUT THERE ARE OTHER REASONS FOR THAT COULD EXPLAIN THESE SYMPTOMS SUCH AS OTHER TYPES OF VIRAL ILLNESSES AND SO WE WILL DO A PCR SWAB TODAY AS WELL AS DO WELL CHECK YOUR VITALS TO SEE IF YOU HAVE A FEVER NOW AND WELL ALSO MAYBE SEND AN INFLUENZA SWAB AS WELL AND AND DO SOME BLOOD WORK BUT IN THE MEANTIME SINCE WERE RUNNING THE COVID SWAB IT WILL BE IMPORTANT TO SELF ISOLATE FOR THE NEXT 14 DAYS AND WE WILL LET YOU KNOW WHAT THE TEST RESULTS SHOW BUT DESPITE EVEN IF THEY ARE NEGATIVE IT WILL BE IMPORTANT TO STILL STAY SELF ISOLATING FOR THE NEXT 14 DAYS
audio/RES0099.mp3[737.640,741.920]	OK ILL DO THAT THAT SOUNDS GOOD
audio/RES0099.mp3[741.920,745.520]	ALRIGHT THANK YOU
audio/RES0211.mp3[0.000,5.080]	SO WHAT BRINGS YOU TO THE CLINIC TODAY
audio/RES0211.mp3[5.080,24.080]	HI SO I JUST LIKE FOR I DONT KNOW LIKE THREE OR FOUR DAYS I’VE BEEN HAVING THIS REALLY DRY COUGH AND MY THROAT FEELS REALLY SCRATCHY I JUST FEEL KINDA CRAPPY OVERALL AND MY HEAD’S POUNDING
audio/RES0211.mp3[24.080,27.160]	YOUR HEADS POUNDING YOU HAVE A HEADACHE RIGHT NOW
audio/RES0211.mp3[27.160,31.960]	YEAH LITTLE BIT I JUST KIND OF FEEL JUST ICKY
audio/RES0211.mp3[31.960,36.520]	OK AND YOU SAY IVE BEEN FEELING THAT FOR THREE TO FOUR DAYS NOW
audio/RES0211.mp3[36.520,38.520]	YEAH YEAH EXACTLY
audio/RES0211.mp3[38.520,41.520]	WHAT DID YOU FIRST NOTICE
audio/RES0211.mp3[41.520,49.160]	I FIRST NOTICED THAT MY THROAT WAS KIND OF SCRATCHY AND THEN I STARTED COUGHING BUT ITS REALLY LIKE DRY
audio/RES0211.mp3[49.160,52.440]	OK SO YOU HAVENT BEEN BRINGING ANYTHING UP WITH IT
audio/RES0211.mp3[52.840,54.040]	ANY FLEM
audio/RES0211.mp3[54.040,57.440]	NO NOTHING
audio/RES0211.mp3[57.440,65.040]	OK YOU HAVENT BEEN NOTICING BEEN RUNNING A TEMPERATURE AT HOME HAVE YOU HOT FEVERS
audio/RES0211.mp3[65.040,68.000]	I HAVE FELT REALLY HOT
audio/RES0211.mp3[68.000,71.880]	YOU FELT HOT AT HOME OK
audio/RES0211.mp3[72.920,80.960]	YOU NOTICED ANY NIGHT SWEATS BY NIGHT SWEATS I MEAN YOU WAKE UP SHEETS ARE SOAKED
audio/RES0211.mp3[80.960,94.480]	I HONESTLY I FELT HOT LIKE ALL THE TIME LIKE YEAH YEAH NIGHT I FEEL HOT BUT DURING THE DAY TOO IM JUST LIKE IM IM LIKE HEY IM WEARING LIKE JUST SHORTS AND LIKE A TANK TOP AND I JUST STILL FEEL REALLY HOT
audio/RES0211.mp3[94.480,101.080]	OK YOU NOTICE SKIN CHANGES ANYTHING IN YOUR ARMS OR LEGS IT LOOKS WEIRD NEW RASHES
audio/RES0211.mp3[101.080,105.160]	I DONT I DONT THINK SO I HAVENT REALLY BEEN LOOKING BUT YOU KNOW
audio/RES0211.mp3[105.160,111.160]	NO WORRIES AND THEN ASIDE FROM THAT ANY NAUSEA ANY VOMITING
audio/RES0211.mp3[111.160,115.960]	NO NOT THAT NO NOTHING LIKE THAT
audio/RES0211.mp3[115.960,117.720]	ANY DIARRHEA
audio/RES0211.mp3[117.720,119.520]	NO NO
audio/RES0211.mp3[119.520,122.560]	ANY ACHES IN YOUR JOINTS ANYWHERE
audio/RES0211.mp3[122.560,127.720]	NO I MEAN IM IM TIRED BUT I DONT THINK THEYRE NOT LIKE HURTING
audio/RES0211.mp3[127.720,141.920]	OK SO ASIDE THAT ASIDE FROM KIND OF THIS DRY COUGH FEELING HOT THAT OTHERWISE YOURE FEELING OK YOU DONT HAVE ANY OTHER REAL CONCERNS ASIDE FROM THAT
audio/RES0211.mp3[141.920,153.280]	YEAH JUST LIKE I JUST FEEL CRAPPY LIKE YEAH I REALLY I DONT THINK I KNOW THATS NOT LIKE A A REAL LIKE WAY TO SAY
audio/RES0211.mp3[153.280,170.440]	OH NO NO ITS PERFECTLY VALID WE CALLED THAT MALAYS IN GENERAL JUST FEELING A LITTLE BIT OFF ALRIGHT SO THIS IS GOING TO TALK ABOUT YOU FOR A LITTLE BIT BUT FIRST WELL GET TO THAT LATER SO ANY ISSUES THAT YOUVE SEEN A DOCTOR FOR BEFORE
audio/RES0211.mp3[170.440,174.800]	I HAVE I HAVE ALLERGIES USUALLY IN LIKE THE SPRING IN THE FALL
audio/RES0211.mp3[174.800,178.240]	DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0211.mp3[178.240,202.240]	NO NO NOTHING LIKE THAT ITS JUST LIKE I GET REALLY BAD ALLERGIES LIKE I IVE SEEN AN ALLERGIST AND SOME YEARS IVE GOTTEN ALLERGY SHOTS BUT LIKE NOT EVERY YEAR OTHERWISE ILL TAKE LIKE CLARITIN THIS ISNT LIKE THIS IS MAYBE AROUND LIKE THIS IS JUST BEFORE THEY NORMALLY START SO I DONT REALLY HAVE THEM RIGHT NOW
audio/RES0211.mp3[202.840,210.400]	PROBABLY LIKE IN A FEW WEEKS THEYD BE REALLY BAD
audio/RES0211.mp3[210.400,217.240]	NOW DO ANY OF THESE ALLERGIES CANT MAKE IT DIFFICULT TO BREATHE OR YOU FEEL LIKE YOUR FACE IS SWELLING UP
audio/RES0211.mp3[217.240,228.920]	UH LIKE IT FEELS LIKE A LITTLE BIT LIKE PLUGGED UP AN LIKE WHATS THAT CALLED LIKE POST NASAL DRIP BUT I DONT REALLY FEEL LIKE I CANT BREATHE
audio/RES0211.mp3[228.920,231.680]	ITS JUST LIKE A LITTLE STUFFY
audio/RES0211.mp3[231.680,233.320]	YEAH YEAH EXACTLY
audio/RES0211.mp3[233.320,238.800]	AND THESE SHOTS AT THE ALLERGIST GAVE YOU HOW OFTEN WOULD YOU GET THOSE
audio/RES0211.mp3[238.800,248.560]	THOSE ARE THE ONES THAT ID HAVE LIKE ONCE USUALLY LIKE ONCE A WEEK FOR A LITTLE WHILE LIKE IN THE WINTER BEFORE
audio/RES0211.mp3[248.560,252.600]	OK SO YOU DONT CARRY AN EPIPEN WITH YOU
audio/RES0211.mp3[252.600,260.160]	NO NO THEY SAID ITS NOT LIKE ONE OF THOSE ALLERGIES AND ITS JUST LIKE ITS JUST LIKE THE SEASONAL ONES BUT THEYRE JUST BAD
audio/RES0211.mp3[260.160,265.280]	OK SOUNDS GOOD SO YOUVE SEEN AN ALLERGIST ANY OTHER DOCTORS THAT YOUVE SEEN IN YOUR LIFE
audio/RES0211.mp3[265.280,269.680]	MY FAMILY DOCTOR I DON’T REALLY GO VERY OFTEN
audio/RES0211.mp3[269.680,274.280]	OK HAS THERE BEEN ANY HEALTH ISSUES THAT YOUVE HAD IN THE PAST
audio/RES0211.mp3[274.280,280.120]	NO LIKE IVE BEEN REALLY HEALTHY ITS JUST LIKE THE ALLERGIES AND
audio/RES0211.mp3[280.120,282.920]	OK ANY SURGERIES IN YOUR LIFE
audio/RES0211.mp3[282.920,284.760]	UH NO NO
audio/RES0211.mp3[284.760,289.720]	NO ARE YOU TAKIN ANY MEDICATIONS RIGHT NOW
audio/RES0211.mp3[289.720,303.240]	I TAKE CLARITIN FOR ALLERGIES BUT I HAVENT LIKE RIGHT NOW I JUST HAVE IT WITH ME JUST IN CASE I TAKE BIRTH CONTROL
audio/RES0211.mp3[303.240,310.360]	WHAT TYPE OF BIRTH CONTROL DO YOU TAKE
audio/RES0211.mp3[311.400,313.640]	OK AND YOU TAKE THAT REGULARLY
audio/RES0211.mp3[313.640,321.000]	YEAH ITS JUST LIKE THE PILL ITS LIKE THE ONE THAT GOES FOR THREE MONTHS
audio/RES0211.mp3[321.000,326.720]	OK SO YOU DONT HAVE AN IUNOW YOU JUST TAKE THE ORAL CONTRACEPTION
audio/RES0211.mp3[326.720,330.280]	YEAH YEAH JUST THE PILL GOT IT
audio/RES0211.mp3[330.280,335.520]	GOT IT OK AND THEN SO YOU NEVER HAD ASTHMA IN YOUR LIFE
audio/RES0211.mp3[337.200,340.440]	OK ANY FAMILY HISTORY OF ASTHMA
audio/RES0211.mp3[340.440,341.440]	LIKE MY COUSIN
audio/RES0211.mp3[341.440,346.480]	OK WHAT ABOUT YOUR PARENTS BROTHERS SISTERS
audio/RES0211.mp3[346.480,348.360]	NO NOTHING LIKE THAT
audio/RES0211.mp3[348.360,350.880]	DO YOU KNOW WHAT ECZEMA IS
audio/RES0211.mp3[350.880,354.640]	LIKE IVE HEARD OF IT
audio/RES0211.mp3[354.640,358.960]	OK ANYONE IN THE FAMILY HAVE IT
audio/RES0211.mp3[358.960,365.160]	NO LIKE THE ONLY THING LIKE MY DAD HAS ALLERGIES TOO SAME KIND AS ME
audio/RES0211.mp3[365.160,369.440]	OK  DAD HAS ALLERGIES OK MOTHER AND FATHER STILL ALIVE
audio/RES0211.mp3[374.240,378.360]	OK GOOD DO YOU LIVE WITH THEM RIGHT NOW
audio/RES0211.mp3[378.360,380.600]	YEAH YEAH LIKE IM IN HIGH SCHOOL
audio/RES0211.mp3[380.600,386.840]	OK SO YOU LIVE IN A HOUSE WITH BOTH YOUR PARENTS OK ANY BROTHERS SISTERS
audio/RES0211.mp3[386.840,389.440]	YEAH I HAVE A LITTLE BROTHER
audio/RES0211.mp3[389.440,391.360]	HOW OLD’S HE
audio/RES0211.mp3[391.360,392.480]	LIKE 14 NOW
audio/RES0211.mp3[392.480,397.440]	HAS ANYONE IN THE FAMILY BEEN SICK RECENTLY
audio/RES0211.mp3[397.440,403.960]	I THINK MY BROTHER WE HAD LIKE A COLD A FEW WEEKS AGO
audio/RES0211.mp3[403.960,406.880]	HE HAD A COLD
audio/RES0211.mp3[410.520,413.640]	BUT LIKE WE ARE DOING OUR SCHOOL FROM HOME NOW SO
audio/RES0211.mp3[413.640,416.400]	GOT IT
audio/RES0211.mp3[416.400,427.120]	MY MOM WORKS FROM HOME AND MY DAD JUST WORKS LIKE ON THE FARM SO SO NO ONES BEEN LIKE SEEING ANYONE OR GOING ANYWHERE TO GET SICK
audio/RES0211.mp3[427.120,430.240]	OK SO SORRY DO YOU LIVE ON A FARM
audio/RES0211.mp3[431.680,432.680]	OK IN LONDON
audio/RES0211.mp3[432.680,434.960]	LIKE JUST OUTSIDE
audio/RES0211.mp3[434.960,441.800]	OK ANY TRAVEL OR ANYWHERE RECENTLY
audio/RES0211.mp3[441.800,446.440]	NO LIKE I JUST JUST CAME HERE BUT LIKE I DONT REALLY LEAVE THE HOUSE
audio/RES0211.mp3[446.440,449.800]	SO LAST LAST TWO WEEKS YOU HAVENT LEFT THE COUNTRY
audio/RES0211.mp3[451.480,454.200]	NOTHING LIKE THAT
audio/RES0211.mp3[454.200,454.880]	I WISH
audio/RES0211.mp3[454.880,455.960]	YOU KEEP ANY ANIMALS ON THE FARM
audio/RES0211.mp3[455.960,461.600]	WE HAVE LIKE A DOG BUT ITS NOT LIKE AN ANIMAL FARM
audio/RES0211.mp3[461.600,467.760]	GOT IT OK ANOTHER QUESTIONS ARE YOU SEXUALLY ACTIVE
audio/RES0211.mp3[467.760,469.440]	UH NO
audio/RES0211.mp3[469.440,477.880]	BUT YOURE TAKING THE BIRTH CONTROL OK SO WHEN WAS YOUR LAST MENSTRUAL PERIOD
audio/RES0211.mp3[477.880,484.760]	LIKE LIKE I JUST GOT DONE LIKE A WEEK AGO
audio/RES0211.mp3[484.760,489.440]	A WEEK AGO AND YOU HAVENT BEEN SEXUALLY ACTIVE SINCE THEN
audio/RES0211.mp3[491.360,493.320]	OK SO CHANCES OF BEING PREGNANT VERY LOW
audio/RES0211.mp3[493.320,496.720]	OH OH YEAH YEAH ITS BEEN LIKE A YEAR
audio/RES0211.mp3[496.720,502.880]	GOT IT GOT IT ALRIGHT DO YOU SMOKE CIGARETTES
audio/RES0211.mp3[503.800,506.520]	DO YOU DRINK ALCOHOL
audio/RES0211.mp3[506.520,514.760]	LIKE BEFORE COVID WHEN I SAW MY FRIENDS LIKE SOMETIMES A LITTLE BIT BUT LIKE NOT REALLY ANYMORE
audio/RES0211.mp3[514.760,517.640]	OK HOW MUCH WOULD YOU DRINK WHEN YOU WENT OUT
audio/RES0211.mp3[517.640,528.000]	OH LIKE I MEAN OUR PARENTS WOULD SOMETIMES LET US HAVE LIKE A COUPLE COOLERS BUT LIKE THAT WAS IT
audio/RES0211.mp3[528.000,531.120]	GOT IT ANY OTHER DRUGS MARIJUANA COCAINE
audio/RES0211.mp3[531.120,538.920]	LIKE I TRIED MARIJUANA ONCE AT A PARTY LIKE A COUPLE YEARS AGO BUT LIKE I HAD I NEVER DID IT AGAIN
audio/RES0211.mp3[538.920,543.560]	GOT IT SO NONE OF THE HARDER DRUGS COCAINE HEROIN
audio/RES0211.mp3[545.480,550.520]	AND I GOTTA ASK THIS QUESTION FOR EVERYONE HAVE YOU EVER INJECTED DRUGS OR ANYTHING INTO YOUR ARM OR YOUR BODY
audio/RES0211.mp3[557.400,588.480]	OK ALRIGHT THANKS JESSICA SO JUST TO SUMMARIZE YOU KIND OF HAD A THREE TO FOUR DAY DRY COUGH WITH A LITTLE BIT OF FEVER SOME HEADACHE AND JUST IN TERMS WAS QUICKLY REVIEWING THEN SO YOU HAVE BEEN BRINGING ANYTHING UP NO ONE IN CONTACT WITH THESE RECENTLY BEEN SICK YOU DONT HAVE ASTHMA YOUR NOT TAKING ANY MEDICATIONS ASIDE FROM CLARITIN AND YOUR LITTLE BROTHER MIGHT HAVE BEEN SICK ABOUT TWO WEEKS AGO WITH KIND OF A COMMON COLD AND WERE HOPING TO GET OUT OF THIS VISIT IS JUST KIND OF NEXT STEPS AND WHERE TO GO FROM HERE CORRECT
audio/RES0211.mp3[588.480,592.680]	YEAH LIKE I JUST WANT TO KNOW IF I HAVE TO LIKE TAKE MEDICINE OR SOMETHING
audio/RES0211.mp3[592.680,597.640]	OK ALRIGHT PERFECT THANK YOU VERY MUCH YOU HAVE ANY MORE QUESTIONS
audio/RES0211.mp3[597.640,604.760]	NO I DONT KNOW I DONT HAVE ANY MORE QUESTIONS I JUST LIKE I CAN GO HOME SOON LIKE LAY DOWN
audio/RES0211.mp3[604.760,608.080]	SOUNDS GOOD THANKS JESSICA
audio/RES0052.mp3[0.000,6.240]	WOULD YOU MIND BY STARTING TO TELL ME WHAT BROUGHT YOU IN
audio/RES0052.mp3[6.240,28.520]	SURE MY 5 YEAR OLD DAUGHTER I NOTICED THAT SHES BEEN COUGHING A LOT OVER THE PAST TWO DAYS SHE SOUNDS LIKE SHE HAS A STUFFY NOSE AND NOW SHES GOT THIS PINK EYE SO I JUST WANTED TO GET IT CHECKED OUT BY YOU
audio/RES0052.mp3[28.520,31.720]	YEAH FOR SURE SO THE COUGH STARTED 5 DAYS AGO
audio/RES0052.mp3[31.720,37.640]	TWO DAYS AGO
audio/RES0052.mp3[37.640,45.280]	OK AND IS THE COUGH BARKY OR HARSH SOUNDING
audio/RES0052.mp3[45.280,48.400]	YES IT SOUNDS HARSH
audio/RES0052.mp3[48.400,57.680]	OK ALRIGHT WAS THERE ANYTHING THAT CHANGED TWO DAYS AGO THAT MIGHT HAVE TRIGGERED THE COUGH
audio/RES0052.mp3[57.680,65.000]	I DONT THINK SO ALTHOUGH SHE DOES GO TO DAYCARE
audio/RES0052.mp3[65.000,75.960]	OK UH AND SO HAS SHE BEEN BRINGING UP ANY SPUTUM WITH THE COUGH
audio/RES0052.mp3[75.960,80.400]	NO NO SPUTUM THAT IVE NOTICED
audio/RES0052.mp3[80.400,83.680]	OK NOTICE ANY BLOOD
audio/RES0052.mp3[85.360,92.400]	ALRIGHT AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY
audio/RES0052.mp3[95.680,100.480]	OK AND HAS THERE BEEN ANY WHEEZING
audio/RES0052.mp3[100.480,105.960]	NO NOT THAT I NOTICED
audio/RES0052.mp3[105.960,115.080]	OK AND YOU MENTIONED THE RED EYES WHEN DID YOU NOTICE THAT
audio/RES0052.mp3[115.080,117.480]	THAT WAS JUST YESTERDAY
audio/RES0052.mp3[117.480,121.320]	OK ANY DISCHARGE FROM THE EYES
audio/RES0052.mp3[124.680,132.520]	OK NOTHING LIKE THAT NO TEARING OR ANYTHING LIKE THAT
audio/RES0052.mp3[134.680,140.560]	OK UMM AND HAS SHE COMPLAINED ABOUT ANY LIKE CHANGES TO VISION
audio/RES0052.mp3[140.560,146.960]	NO NOT REALLY JUST THE PAIN
audio/RES0052.mp3[146.960,154.040]	NO OK UH AND HOW ABOUT ANY ITCHINESS IN THE EYES
audio/RES0052.mp3[154.040,160.920]	SHES BEEN RUBBING IT AND SO ITS POSSIBLY ITCHY
audio/RES0052.mp3[160.920,165.480]	OK AND HAVE YOU NOTICED ANY MUCUS COMING OUT
audio/RES0052.mp3[165.480,178.240]	UMM NO ITS ACTUALLY STUFFY
audio/RES0052.mp3[179.840,182.880]	YEAH NOT SO MUCH MUCOUS
audio/RES0052.mp3[182.880,190.680]	OK HAS SHE MENTIONED ANYTHING ABOUT LOSING SMELL
audio/RES0052.mp3[194.960,202.680]	OK UMM AND HAS SHE MENTIONED ANYTHING ABOUT BEING CONGESTED
audio/RES0052.mp3[202.680,210.520]	SHE JUST SOUNDS LIKE SHES CONGESTED
audio/RES0052.mp3[210.520,214.800]	OK UMM ANY SORE THROAT
audio/RES0052.mp3[214.800,219.200]	UMM POSSIBLY
audio/RES0052.mp3[219.200,225.080]	OK HOW HAS SHE BEEN EATING
audio/RES0052.mp3[225.080,231.800]	UM SHES BEEN EATING OK I GUESS SHES BEEN EATING ALITTLE LESS THAN USUAL
audio/RES0052.mp3[231.800,244.240]	OK UMM WOULD YOU SAY THAT SHES BEEN GOING TO THE BATHROOM AS OFTEN AS NORMAL
audio/RES0052.mp3[244.240,249.960]	YEP I WOULD SAY SO
audio/RES0052.mp3[249.960,260.240]	NO CHANGES THERE OK UM AND HAS SHE HAD ANY LOSS OF TASTE
audio/RES0052.mp3[260.240,268.880]	UMM POSSIBLY SINCE SHES NOT EATING AS MUCH
audio/RES0052.mp3[268.880,272.920]	OK ANY FEVERS OR CHILLS
audio/RES0052.mp3[272.920,278.800]	UM SHE DID FEEL A LITTLE BIT HOT BUT I DIDNT TAKE HER TEMPERATURE
audio/RES0052.mp3[278.800,286.880]	OK SO HOT WE WILL DEFINITELY CHECK FOR FEVER TODAY ANY NIGHT SWEATS
audio/RES0052.mp3[286.880,289.400]	UMM NO
audio/RES0052.mp3[289.400,295.840]	OK AND HAS SHE BEEN GAINING WEIGHT OK
audio/RES0052.mp3[295.840,300.920]	YEP YEP NO CHANGE NOTHING ABNORMAL THERE
audio/RES0052.mp3[300.920,310.360]	OK AND HAS SHE BEEN COMPLAINING ABOUT HAVING ANY STOMACH PAINS
audio/RES0052.mp3[310.360,312.280]	UMM NO
audio/RES0052.mp3[312.280,317.080]	OK HAS SHE HAD ANY NAUSEA OR VOMITING
audio/RES0052.mp3[317.080,320.960]	UM NO NO
audio/RES0052.mp3[320.960,326.680]	OK AND HOW ABOUT ANY PAINFUL URINATION
audio/RES0052.mp3[328.640,331.640]	OK AND ANY DIARRHEA
audio/RES0052.mp3[331.640,335.160]	UMM NO
audio/RES0052.mp3[335.160,343.960]	OK AND HAS SHE MENTIONED ANYTHING ABOUT HEADACHES
audio/RES0052.mp3[345.240,354.640]	OK AND HOW ABOUT ANY ACHES OR PAINS ANYWHERE
audio/RES0052.mp3[354.640,358.440]	UH NO I DONT THINK SO
audio/RES0052.mp3[358.440,363.320]	HAVE YOU NOTICED ANY RASHES
audio/RES0052.mp3[364.480,373.480]	OK AND HAS SHE BEEN DIAGNOSED WITH ANY CONDITIONS BEFORE
audio/RES0052.mp3[375.360,378.880]	OK AND ANY REASON FOR HER TO BE HOSPITALIZED
audio/RES0052.mp3[378.880,381.680]	UH NO
audio/RES0052.mp3[381.680,387.320]	OK UM DOES SHE TAKE ANY MEDICATIONS REGULARLY
audio/RES0052.mp3[387.320,389.960]	UM NO
audio/RES0052.mp3[389.960,395.880]	OK DOES SHE HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0052.mp3[395.880,397.880]	UMM NO
audio/RES0052.mp3[397.880,401.800]	ALRIGHT ANY SURGERIES BEFORE
audio/RES0052.mp3[401.800,404.240]	UMM NO
audio/RES0052.mp3[404.240,411.360]	ANY CONCERNS WITH HER GROWTH OR DEVELOPMENT
audio/RES0052.mp3[411.360,414.160]	UMM NO EVERYTHINGS BEEN PRETTY NORMAL
audio/RES0052.mp3[414.160,419.240]	OK AND ANY CONCERNS ABOUT HER VISION OR HEARING
audio/RES0052.mp3[420.560,429.760]	OK AND CAN TELL YOU TELL ME A LITTLE BIT ABOUT THE LIVING SITUATION CURRENTLY ARE YOU THE PRIMARY CAREGIVER
audio/RES0052.mp3[429.760,432.240]	I AM
audio/RES0052.mp3[432.240,436.240]	OK AND WHO ELSE IS IN THE HOME
audio/RES0052.mp3[436.240,439.400]	HER FATHER
audio/RES0052.mp3[439.400,441.200]	OK ARE THERE ANY PETS AROUND
audio/RES0052.mp3[443.120,448.240]	ALRIGHT AND DOES ANYBODY IN THE HOUSE SMOKE
audio/RES0052.mp3[448.240,451.840]	NO NO ONE SMOKES
audio/RES0052.mp3[451.840,467.840]	OK ANY EXPOSURES IN THE HOUSE TO LIKE CARPETS OR DUST OR INHALANTS THAT MIGHT BRING ON A COUGH
audio/RES0052.mp3[468.680,475.600]	OK UMMM AND UHH ANYBODY IN THE FAMILY BEEN SICK
audio/RES0052.mp3[477.000,481.800]	OK AND HOW ABOUT ANYBODY YOU MENTIONED AT THE DAYCARE WAS ANYBODY BEEN SICK THERE
audio/RES0052.mp3[481.800,490.880]	NO I DONT THINK SO I CONTACTED THEM AND CHECKED BUT IT SEEMS LIKE NO ONES BEEN SICK
audio/RES0052.mp3[490.880,496.320]	OK AND YOU SAY YOU HAVENT TRAVELED ANYWHERE
audio/RES0052.mp3[496.320,500.880]	OH NO NO NOT RECENTLY
audio/RES0052.mp3[500.880,509.800]	OK AND ANY LUNG CONDITIONS OR HEART CONDITIONS THAT RUN IN THE FAMILY
audio/RES0052.mp3[510.400,518.800]	OK AND HOW ABOUT ANY GENETIC CONDITIONS OR CONGENITAL CONDITIONS IN THE FAMILY
audio/RES0052.mp3[518.800,520.760]	NO NONE NONE THAT I KNOW OF
audio/RES0052.mp3[520.760,536.160]	OK SO THE MAIN SYMPTOMS ARE THE COUGH THAT STARTED TWO DAYS AGO AND ALSO YOUVE NOTICED SHES BEEN CONGESTED AND SORRY WHAT WAS THE LAST SYMPTOM
audio/RES0052.mp3[536.160,542.800]	SHE HAS THIS PINK EYE AND SHE HAS A COUGH
audio/RES0052.mp3[542.800,582.600]	YEAH RIGHT THAT COULD BE CONJUNCTIVITIS OK SO AT THIS POINT WE WILL CERTAINLY RUN SOME INVESTIGATIONS TO LOOK INTO WHAT THIS COULD BE IT SOUNDS LIKE A VIRAL INFECTIOUS TYPE OF PROCESS ESPECIALLY IF ITS INVOLVING THE EYES NOSE AND AND WITH A COUGH AND SO WE WILL TEST WITH A SWAB FOR COVID FOR SURE BUT IT COULD BE SOMETHING MORE COMMON LIKE THE COMMON COLD WE JUST NEED TO MAKE SURE THAT WERE COMPREHENSIVE IN THAT WITH THE TESTING
audio/RES0052.mp3[582.600,588.680]	THAT SOUNDS GREAT THANK YOU
audio/MSK0014.mp3[0.000,1.440]	HOW MAY I HELP YOU
audio/MSK0014.mp3[1.440,27.520]	I JUST CAME IN HERE TODAY I USUALLY DONT COME TO THE DOCTOR THAT MUCH UNLESS I ABSOLUTELY NEED IT FIVE DAYS AGO I STARTED HAVING THIS PAIN AND SWELLING IN MY RIGHT KNEE SO AND AT FIRST I THOUGHT IT WAS JUST LIKE MY ARTHRITIS ACTING UP BUT ITS BEEN GETTING MORE SWOLLEN AND PAINFUL THAN USUAL SO I JUST WANTED TO COME IN AND CHECK IT OUT
audio/MSK0014.mp3[27.520,36.680]	OK SO WHEN DID YOU FIRST NOTICE THAT THIS PAIN LIKE WHEN DID IT GET MORE SWOLLEN AND PAINFUL THAN USUAL
audio/MSK0014.mp3[36.680,49.080]	SO LIKE I WOULD SAY AROUND 5 DAYS AGO IT STARTED GETTING MORE AND USUALLY I DO GET PAIN IN SOME OF MY JOINTS BUT I I DONT REALLY GET SWELLING SO THAT WAS A BIT DIFFERENT
audio/MSK0014.mp3[49.080,56.440]	OK AND IS THE JOINT HOT AS WELL OR IS THERE A TEMPERATURE CHANGE
audio/MSK0014.mp3[56.440,65.640]	IT IS IT DOES FEEL LIKE IF I TOUCH THE JOINT IT DOES FEEL A BIT WARMER THAN THE SURROUNDING AREAS
audio/MSK0014.mp3[65.640,68.280]	OK DOES IT LOOK RED
audio/MSK0014.mp3[68.280,75.080]	IT IT DEFINITELY IT DEFINITELY LOOKS MORE RED THAN MY OTHER KNEE
audio/MSK0014.mp3[75.080,80.720]	OK AND SO WHAT KNEE IS IT THAT THATS BOTHERING YOU RIGHT NOW
audio/MSK0014.mp3[80.720,85.200]	ITS THE RIGHT KNEE
audio/MSK0014.mp3[85.200,96.880]	OK AND SO THIS PAIN HAS BEEN GOING ON FOR THE LAST FIVE DAYS HAS IT BEEN GETTING BETTER WORSE OR STAYING THE SAME
audio/MSK0014.mp3[96.880,109.000]	I THINK ITS GETTING A ITS GETTING IT WAS GETTING WORSE BUT ITS LIKE A BIT BETTER RIGHT NOW
audio/MSK0014.mp3[110.040,115.760]	YEAH IT COMES AND GOES IN SEVERITY THOUGH
audio/MSK0014.mp3[115.760,124.600]	OK AND HOW WOULD YOU DESCRIBE THE THE PAIN THE CHARACTER OF IT IS IT SHARP DULL OR ACHY
audio/MSK0014.mp3[124.600,133.160]	ITS ITS LIKE SOMEONE IS STABBING ME IN THE KNEE AND IT HURTS THE MOST WHEN IM MOVING THE KNEE
audio/MSK0014.mp3[133.160,137.880]	OK AND DOES THE PAIN RADIATE ANYWHERE
audio/MSK0014.mp3[137.880,143.000]	UHM I DONT THINK SO NO
audio/MSK0014.mp3[143.000,152.400]	OK SO YOURE FEELING IT JUST IN THE KNEE AND YOU SAID MOVING THE KNEES IS PAINFUL IS THERE ANYTHING ELSE THAT MAKES THE PAIN WORSE
audio/MSK0014.mp3[152.400,165.920]	UHM NOT REALLY LIKE RESTING IT DEFINITELY HELPS YEAH BUT I JUST HAVE TO KEEP IT A BIT IMMOBILIZED
audio/MSK0014.mp3[165.920,176.000]	OK AND IS THERE ANYTHING THAT THAT MAKES THE PAIN BETTER THAT YOUVE TRIED LIKE MAYBE MEDICATIONS OR ANY ICE PACKS OR ANYTHING LIKE THAT
audio/MSK0014.mp3[176.000,185.600]	UH NOT REALLY I DO TAKE SOME PAINKILLERS SO JUST SOME ADVIL WHICH SEEMS TO HELP A LITTLE BIT
audio/MSK0014.mp3[185.600,201.720]	OK AND AND UM OK IS THE PAIN WORSE AT ANY PARTICULAR TIME OF THE DAY LIKE DO YOU HAVE MORNING STIFFNESS
audio/MSK0014.mp3[201.720,215.600]	YEAH USUALLY WITH MY NORMAL THIS ARTHRITIS I DO GET SOME MORNING STIFFNESS BUT THIS IS COMPLETELY DIFFERENT ITS THROUGHOUT THE DAY PRETTY MUCH
audio/MSK0014.mp3[215.600,221.840]	OK AND DID YOU HAVE ANY TRAUMA OR ANY INJURY TO THE KNEE
audio/MSK0014.mp3[221.840,224.320]	NO I DIDNT
audio/MSK0014.mp3[224.320,226.880]	OK UH
audio/MSK0014.mp3[226.880,243.800]	I I DID HAVE LIKE A STEROID INJECTION TO THE SAME KNEE JUST A WEEK AGO BUT NO I I HAVENT FALLEN ON IT I HAVENT HAD ANY OPERATIONS
audio/MSK0014.mp3[243.800,247.320]	OK ANNE AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0014.mp3[249.040,257.560]	OK HAVE YOU HAD ANY CHANGES TO ANY OF YOUR SENSES LIKE VISION HEARING OR YOUR SENSE OF SMELL OR TASTE
audio/MSK0014.mp3[257.560,259.400]	NO NOTHING LIKE THAT
audio/MSK0014.mp3[259.400,262.280]	HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/MSK0014.mp3[263.000,265.760]	HAVE YOU HAD ANY COUGH OR SHORTNESS OF BREATH
audio/MSK0014.mp3[267.440,271.000]	HOW ABOUT ANY WHEEZING
audio/MSK0014.mp3[272.040,276.440]	HAVE YOU HAD ANY CHEST PAIN OR YEAH HAVE YOU HAD ANY CHEST PAIN
audio/MSK0014.mp3[277.720,280.920]	HOW ABOUT ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0014.mp3[281.840,287.880]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0014.mp3[287.880,289.400]	UM NOPE
audio/MSK0014.mp3[289.400,292.760]	ALRIGHT HAVE YOU HAD ANY LOSS OF APPETITE
audio/MSK0014.mp3[293.560,298.120]	AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0014.mp3[299.320,306.760]	HAVE YOU HAD ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION INCONTINENCE
audio/MSK0014.mp3[307.840,312.880]	ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR FREQUENCY
audio/MSK0014.mp3[312.880,315.640]	NO NOT REALLY
audio/MSK0014.mp3[315.640,320.080]	HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES ANYWHERE
audio/MSK0014.mp3[324.080,332.320]	OK AND ANY OTHER PAINFUL JOINTS OR MUSCLE ACHES OR BODY PAINS
audio/MSK0014.mp3[332.320,353.560]	YEAH I JUST GOT MY GENERAL LIKE I HAVEE OSTEOARTHRITIS SO I LIKE ITS BEEN A PRETTY LONG TIME THOUGH BUT I GET SOME PAIN IN MY HIPS SOMETIMES MY KNEES SO ITS ITS THATS BEEN GOING ON FOR AWHILE BUT THIS IS SOMETHING IVE NEVER EXPERIENCED THOUGH LIKE THIS SIGNIFICANT PAIN AND SWELLING AND REDNESS
audio/MSK0014.mp3[353.560,360.960]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR MEMORY OR ANY CONFUSION
audio/MSK0014.mp3[364.040,368.600]	OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0014.mp3[370.000,372.480]	AND HOW ABOUT ANY NIGHT SWEATS
audio/MSK0014.mp3[375.240,380.240]	OK UM IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/MSK0014.mp3[380.240,415.480]	I DO HAVE SO I HAVE A COUPLE CONDITIONS I HAVE OSTEOARTHRITIS IN BOTH MY KNEES AND HIPS I HAVE HIGH BLOOD PRESSURE I DID HAVE A HEART ATTACK FOUR YEARS AGO AND I ALSO HAVE HAD HEART FAILURE AND ALSO IM JUST A BIT ON THE OVERWEIGHT SIDE
audio/MSK0014.mp3[415.480,419.200]	OK ARE YOU CURRENTLY TAKING ANY MEDICATIONS
audio/MSK0014.mp3[419.200,445.240]	YEAH SO I AM TAKING JUST UM FUROSEMIDE THEN RAMIPRIL FOR MY BLOOD PRESSURE BUT YEAH THATS THATS ABOUT IT RIGHT NOW AND LIKE JUST PAINKILLERS OVER THE COUNTER
audio/MSK0014.mp3[445.240,449.560]	DL OK UH AND ANY ALLERGIES TO MEDICATIONS
audio/MSK0014.mp3[449.560,455.360]	UM JUST TO HAVE A PENICILLIN ALLERGY
audio/MSK0014.mp3[455.360,459.600]	OK AND WHATS THE RASH OR SORRY WHATS THE REACTION
audio/MSK0014.mp3[459.600,467.760]	I DONT REALLY REMEMBER I WAS A CHILD AT THAT TIME I DONT REMEMBER WHAT REACTION I REALLY GOT
audio/MSK0014.mp3[467.760,475.400]	I SEE OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES
audio/MSK0014.mp3[475.400,489.080]	SURGERIES I DID HAVE MY APPENDIX REMOVED WHEN I WAS YOUNG AND ALSO I WAS HOSPITALIZED AFTER MY HEART ATTACK A COUPLE YEARS AGO
audio/MSK0014.mp3[489.080,494.960]	OK DID YOU HAVE ANY SURGERIES ON YOUR ON YOUR HEART LIKE A CABBAGE OR
audio/MSK0014.mp3[494.960,499.840]	I HAD A COUPLE A COUPLE OF STENTS PUT IN
audio/MSK0014.mp3[499.840,503.760]	OK AND YOU TAKE ASPIRIN FOR THAT
audio/MSK0014.mp3[503.760,507.640]	UM YEAH
audio/MSK0014.mp3[507.640,515.520]	OK UHM ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/MSK0014.mp3[515.520,527.320]	YEAH I LIVE WITH MY WIFE AND DAUGHTER AND KIND OF LIVE IN A SMALL LITTLE TOWNHOUSE JUST IN THE CITY
audio/MSK0014.mp3[527.320,533.200]	OK UH ARE YOU CURRENTLY WORKING OR UH ARE YOU RETIRED
audio/MSK0014.mp3[533.200,561.440]	I I KIND OF HAD TO RETIRE AFTER JUST MY PAST MEDICAL HISTORY LIKE THE HEART ATTACK AND THEN THERE WAS JUST TOO MUCH STRESS AT WORK IT WAS TOO MUCH FOR ME BUT YEAH IM JUST AT HOME RIGHT NOW MY WIFE STILL WORKS YEAH IM TAKING IT MORE EASY NOW
audio/MSK0014.mp3[561.440,576.120]	OK AND WITH BEING AT HOME ARE YOU ABLE TO MANAGE THE MAJORITY OF ACTIVITIES OF DAILY LIVING ON YOUR OWN OR ARE YOU RECEIVING HELP
audio/MSK0014.mp3[576.120,586.200]	OH YOURE NOT RECEIVING ANY OUTSIDE HELP I CAN DO MOST THINGS MYSELF MY WIFE DOES MOST OF OUR SHOPPING AND COOKING THOUGH
audio/MSK0014.mp3[586.200,593.040]	OK AND DO YOU DRINK ALCOHOL
audio/MSK0014.mp3[593.040,604.520]	YEAH I I DO I DO DRINK PROBABLY DRINK LIKE THREE OR FOUR BEERS A NIGHT
audio/MSK0014.mp3[604.520,606.840]	OK ANN AND AT THE SMOKE CIGARETTES
audio/MSK0014.mp3[606.840,615.560]	I USED TO I I FORCED MYSELF TO QUIT AFTER MY HEART ATTACK
audio/MSK0014.mp3[615.560,622.800]	OK WELL THATS GOOD IM GLAD THAT YOU QUIT AND HOW LONG DID YOU SPOKE FOR AND HOW MUCH WERE YOU SMOKING DURING THAT TIME
audio/MSK0014.mp3[622.800,637.640]	PROBABLY SMOKED FOR MORE THAN 30 YEARS AND I WAS SMOKING ONLY ONE TO TWO PACKS A DAY AT MOST
audio/MSK0014.mp3[637.640,656.040]	OK AND OK AND THEN I ABOUT YOUR UM FAMILY HISTORY IS THERE ANYBODY IN THE FAMILY THAT HAS ANY HEART OR LUNG CONDITIONS
audio/MSK0014.mp3[656.040,670.360]	YEAH SO HEART DISEASE RUNS IN MY FAMILY MY BROTHER MY DAD THEY BOTH BOTH HAVE HAD HEART ATTACKS BUT YEAH MY ON MY MOM SIDE EVERYONES PRETTY HEALTHY THOUGH
audio/MSK0014.mp3[670.360,693.560]	OH OK THATS GOOD AND ALRIGHT SO I JUST WANTED TO THE I GUESS PHYSICAL EXAM PIECE YOUVE ALREADY MENTIONED THAT ITS RED ITS SWOLLEN AND IS WARM TO TOUCH COMPARED TO THE OTHER KNEE AND UM PAINFUL TO MOVE ARE YOU HAVING ANY LIMPING WITH YOUR GAIT
audio/MSK0014.mp3[693.560,715.200]	YEAH I BARELY LIKE I CANT REALLY PUT TOO MUCH AWAY OR MOVE THAT KNEE AROUND SO YEAH IF I STOOD UP I WOULD HAVE A LIMP
audio/MSK0014.mp3[715.200,724.280]	OK UH AND IS THERE ANY INSTABILITY TO EITHER VARUS OR VALGUS STRESS
audio/MSK0014.mp3[724.280,729.400]	UHM NO I DONT THINK SO
audio/MSK0014.mp3[729.400,748.560]	OK AND ANY INSTABILITY WHEN TESTING THE ACL OR PCL WITH THE ANTERIOR AND POSTERIOR KIND OF TRANSLATION TEST PULLING AND PUSHING IT
audio/MSK0014.mp3[748.560,749.680]	UHM NO
audio/MSK0014.mp3[749.680,756.520]	OK AND ANY I DONT THINK I ASKED THIS ANY MUSCLE WEAKNESS
audio/MSK0014.mp3[756.920,760.200]	AND ANY NUMBNESS TINGLING
audio/MSK0014.mp3[761.040,763.000]	OR BURNING SENSATIONS
audio/MSK0014.mp3[765.000,774.320]	OK ALRIGHT SO THAT WAS EVERYTHING THAT I WANTED TO CHECK WAS THERE ANY ANYTHING THAT I MAY BE MISSED OR ANY FINAL QUESTIONS
audio/MSK0014.mp3[774.320,785.280]	NO YEAH NO I WAS JUST I I JUST DONT KNOW IF LIKE THIS IS SERIOUS AND IF I NEED SURGERY OR SOMETHING BECAUSE ITS BEEN REALLY PAINFUL
audio/MSK0014.mp3[785.280,843.360]	YEAH CERTAINLY SO RIGHT NOW THE TOP THING ON TOP TWO THINGS ON THE DIFFERENTIAL WOULD BE GOUT OR PSEUDOGOUT THEY DO HAVE SOME RISK FACTORS FOR THAT INCLUDING A DIURETIC MEDICATION AS WELL AS ALCOHOL AND OBESITY ARE ALL RISK FACTORS FOR IT HOWEVER YOU ALSO HAD A KNEE INJECTION A WEEK AGO WHICH COULD PREDISPOSE TO AN INFECTION SO GOUT AND SEPTIC ARTHRITIS ARE THE TWO THINGS THAT I AM THINKING ABOUT AN SO WELL DO A KNEE ASPIRATION AND SEND THAT OFF FOR SOME INVESTIGATIONS AND THAT WILL HELP US DETERMINE WHICH WHAT THE CAUSE IS AND WE CAN CHOOSE THE APPROPRIATE APPROPRIATE TREATMENT
audio/MSK0014.mp3[843.360,845.760]	OK SOUNDS GOOD
audio/MSK0021.mp3[0.000,2.600]	WHAT CAN I DO FOR YOU
audio/MSK0021.mp3[2.600,30.680]	HI THERE YEAH IVE HAD THIS PAIN IN MY KNEE THATS BEEN GOING ON FOR A FEW WEEKS NOW AND IT HASNT GONE AWAY AND AND SO I THOUGHT I WOULD GET CHECKED OUT ITS BEEN REALLY IMPACTING MY RUNNING I JUST HAVENT BEEN ABLE TO RUN AS OFTEN AS I WOULD LIKE TO AND SO THATS WHY I WANTED TO GET THIS LOOKED AT
audio/MSK0021.mp3[30.680,38.520]	YEAH FOR SURE YOU SAID IT STARTED A COUPLE OF WEEKS AGO WAS THAT TWO WEEKS AGO THREE WEEKS AGO OR MORE THAN THAT
audio/MSK0021.mp3[38.520,44.480]	YEAH I WOULD SAY MAYBE ITS BEEN GOING ON FOR THE PAST FOUR WEEKS FOR THE PAST MONTH
audio/MSK0021.mp3[44.480,55.560]	PAST MONTH OK AND IS IT A CONSTANT TYPE OF PAIN OR DOES IT COME AND GO
audio/MSK0021.mp3[55.560,61.080]	IT COMES AND GOES YEAH AND IT DEPENDS ON WHAT IM DOING
audio/MSK0021.mp3[61.080,69.240]	OK UHM ALRIGHT AND WHAT KIND OF MAKES IT WORSE OR BETTER
audio/MSK0021.mp3[69.240,91.120]	SO IF IM OUT WHILE RUNNING WHAT WILL BUG IT BUT I THINK LIKE THAT THE MAIN THINGS THAT HURT ARE IF IM WALKING DOWN STAIRS OR IF IF IM SQUATTING I LIKE TO LIFT WEIGHTS AS WELL AND YEAH I COULD BARELY EVEN DO BODY WEIGHT NOW CAUSE IF I IM SQUATTING DOWN IT CAUSES A LOT OF PAIN ITS A SHARP PAIN
audio/MSK0021.mp3[91.120,103.400]	OK OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF YOUR PAIN WOULD YOU SAY ITS ACHY THROBBING DULL SHARP BURNING
audio/MSK0021.mp3[103.400,105.920]	UH ITS A SHARP PAIN
audio/MSK0021.mp3[105.920,112.000]	SHARP PAIN OK AND ONE TO 10 10 BEING THE WORST PAIN YOUVE EVER HAD HOW BAD IS THIS PAIN
audio/MSK0021.mp3[112.000,115.520]	ITS ABOUT A 7
audio/MSK0021.mp3[115.520,120.880]	7 AND HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST
audio/MSK0021.mp3[120.880,122.640]	UH NO I HAVENT
audio/MSK0021.mp3[122.640,130.440]	OK AND DO YOU FEEL LIKE YOUR PAINS GETTING WORSE OVER THE PAST FOUR WEEKS
audio/MSK0021.mp3[130.440,137.040]	UH YEAH IT HAS GOTTEN HAS GOTTEN A BIT WORSE
audio/MSK0021.mp3[137.040,147.160]	OK UHM ALRIGHT AND DO YOU ARE YOU EXPERIENCING ANY SORT OF MUSCLE WEAKNESS
audio/MSK0021.mp3[147.160,148.880]	NO MUSCLE WEAKNESS
audio/MSK0021.mp3[148.880,153.440]	NO OK HOW ABOUT NUMBNESS OR TINGLING
audio/MSK0021.mp3[153.440,155.040]	NO NUMBNESS OR TINGLING
audio/MSK0021.mp3[157.840,161.000]	CONFUSION OR MEMORY LOSS
audio/MSK0021.mp3[162.480,168.520]	ANY JOINT PAINS OR MUSCLE ACHES OUTSIDE OF THE AREA OF THIS LEFT KNEE
audio/MSK0021.mp3[168.520,170.840]	NO JUST JUST THE LEFT KNEE
audio/MSK0021.mp3[170.840,173.280]	AND WHEREABOUTS ON THE LEFT KNEE IS IT
audio/MSK0021.mp3[173.280,187.240]	ITS ON THE ANTERIOR ASPECT LIKE ON THE FRONT OF IT BUT I I COULD IT FEELS LIKE THE PAIN IS RIGHT BEHIND MY LIKE RIGHT UNDERNEATH THE KNEECAP
audio/MSK0021.mp3[187.240,194.600]	RIGHT UNDERNEATH THE KNEE OK
audio/MSK0021.mp3[195.360,202.200]	OK ALRIGHT AND OTHERWISE LIKE HAVE YOU HAD ANY WEIGHT LOSS
audio/MSK0021.mp3[202.200,204.760]	NO MY WAY ITS BEEN THE SAME
audio/MSK0021.mp3[204.760,209.760]	OK HOW ABOUT FEVERS OR CHILLS
audio/MSK0021.mp3[209.760,212.160]	NO FEVERS OR CHILLS
audio/MSK0021.mp3[212.160,217.080]	OK HOW ABOUT FATIGUE
audio/MSK0021.mp3[217.080,221.280]	NO FATIGUE ENERGYS BEEN GOOD
audio/MSK0021.mp3[221.280,226.040]	OK CHANGES IN YOUR HAIR OR NAILS LIKE RASHES
audio/MSK0021.mp3[226.040,227.880]	NO NOTHING NOTHING LIKE THAT
audio/MSK0021.mp3[227.880,232.760]	OK CHANGES IN YOUR VISION HEARING SMELL OR TASTE
audio/MSK0021.mp3[232.760,235.480]	NOPE THATS ALL BEEN NORMAL
audio/MSK0021.mp3[235.480,244.760]	OK ALRIGHT HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0021.mp3[244.760,248.520]	UH NO NOT NOTNOTHING LIKE THAT
audio/MSK0021.mp3[248.520,253.360]	OK CHEST PAIN OR HEART PALPITATIONS
audio/MSK0021.mp3[253.360,257.840]	NOPE NO CHEST PAIN OR OR ANYTHING LIKE THAT
audio/MSK0021.mp3[257.840,262.040]	OK ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0021.mp3[262.040,266.200]	NOPE I HAVENT HAD ANY DIARRHEA OR ANY BLOOD
audio/MSK0021.mp3[266.200,271.240]	OK ANY CHANGES IN YOUR URINATION
audio/MSK0021.mp3[274.640,282.600]	NO OK ALRIGHT AND ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0021.mp3[282.600,311.000]	I DO HAVE AH ASTHMA SO I I DO TAKE A AN INHALER I HAVE A DAILY A DAILY ONE THAT ILL USE AND THEN JUST A LIKE RESCUE ONE SO LIKE THE BLUE ONE THAT ILL USE SOMETIMES BUT I HAVENT NEEDED THAT ONE FOR FOR AWHILE IVE BEEN PRETTY GOOD I DONT EVEN NEED IT WHEN IM GOING OR RUNS ANYMORE
audio/MSK0021.mp3[311.000,318.280]	OK OK THATS GOOD AND ARE YOU ON ANY MEDICATIONS
audio/MSK0021.mp3[318.280,337.280]	YEAH JUST THE JUST THE INHALERS AND THEN I TOOK UH BIRTH CONTROL AS WELL IVE BEEN TAKING THAT SINCE I WAS 16 SO YEAH SO FOR LIKE 6 YEARS 7 YEARS
audio/MSK0021.mp3[337.280,343.520]	OK ALRIGHT AND ARE YOU HAVE YOU BEEN HOSPITALIZED OR HAD SURGERIES IN THE PAST
audio/MSK0021.mp3[343.520,348.080]	NO I HAVENT HAD ANY
audio/MSK0021.mp3[348.080,353.240]	OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
audio/MSK0021.mp3[353.240,355.960]	I AM YES
audio/MSK0021.mp3[355.960,359.880]	OK HOW ABOUT ALLERGIES DO YOU HAVE ANY
audio/MSK0021.mp3[359.880,363.840]	UH I UHM I DONT NO
audio/MSK0021.mp3[363.840,370.480]	NO ALLERGIES OK GOOD AND ANY FAMILY HISTORY OF MUSCULOSKELETAL ISSUES
audio/MSK0021.mp3[370.480,381.440]	UH NO AH WELL I THINK MY GRANDPARENTS HAVE LIKE OSTEOARTHRITIS OR SOMETHING LIKE THAT THEY BUT THATS IT
audio/MSK0021.mp3[381.440,388.320]	OK UHM HOW ABOUT LONGER HEART CONDITIONS
audio/MSK0021.mp3[388.320,391.440]	NO NOTHING LIKE THAT
audio/MSK0021.mp3[391.440,397.240]	OK AND ANY AUTOIMMUNE CONDITIONS
audio/MSK0021.mp3[397.240,399.800]	NO I DONT BELIEVE SO
audio/MSK0021.mp3[399.800,403.960]	NO OK HOW ABOUT CANCERS
audio/MSK0021.mp3[403.960,409.280]	UH NO NO CANCERS IN THE FAMILY
audio/MSK0021.mp3[409.280,414.080]	OK AND AND DO YOU SMOKE
audio/MSK0021.mp3[414.080,423.240]	NO I I TRY TO STAY AWAY FROM THAT WITH ALL THE RUNNING AND STUFF THAT IM DOING IM UH I WANT TO MAKE SURE THAT IM ABLE TO TO IMPROVE
audio/MSK0021.mp3[423.240,428.920]	YEAH FOR SURE AND HOW ABOUT MARIJUANA DO YOU CONSUME THAT IN ANY FORM
audio/MSK0021.mp3[428.920,430.880]	NO I DONT
audio/MSK0021.mp3[430.880,435.280]	NO OK AND HOW ABOUT RECREATIONAL DRUGS
audio/MSK0021.mp3[435.280,438.960]	NO I STAY AWAY FROM THAT STUFF TOO
audio/MSK0021.mp3[438.960,445.080]	OK OK GOOD AND WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE RIGHT NOW
audio/MSK0021.mp3[445.080,456.960]	SO I LIVE WITH A COUPLE OF ROOMMATES AT SCHOOL JUST FINISHING UP MY UNDERGRADUATE DEGREE
audio/MSK0021.mp3[456.960,464.440]	OK OK UHM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/MSK0021.mp3[464.440,470.200]	NO I DONT I DONT THINK SO EVERYBODYS BEEN BEEN HEALTHY
audio/MSK0021.mp3[470.200,473.120]	OK OK AND TRAVEL ANYWHERE
audio/MSK0021.mp3[473.120,481.000]	NO WEVE BEEN AT BEEN AT HOME
audio/MSK0021.mp3[481.000,506.280]	OK OK UHM ALRIGHT SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAVE FOR YOU LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW IF THATS OK WITH YOU SO IM GOING TO GET YOU TO TAKE A LOOK AT BOTH YOUR KNEES AND LET ME KNOW IF YOU SEE MORE REDNESS OR SWELLING IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT
audio/MSK0021.mp3[506.280,509.640]	UH NO IM NOT NOTICING ANY SWELLING
audio/MSK0021.mp3[509.640,512.280]	DO YOU SEE ANY REDNESS
audio/MSK0021.mp3[512.280,515.960]	NO NO REDNESS
audio/MSK0021.mp3[515.960,525.360]	NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES IN YOUR LEFT KNEE COMPARED TO YOUR RIGHT KNEE
audio/MSK0021.mp3[525.360,527.320]	NO NOTHING LIKE THAT
audio/MSK0021.mp3[527.320,539.800]	NO OK IM GONNA GET YOU TO PRESS DOWN AND PALPATE ON YOUR QUADRICEPS ON BOTH KNEE SORRY ON BOTH THIGHS DO YOU FEEL ANY PAIN THERE
audio/MSK0021.mp3[539.800,542.080]	UH NO PAIN THERE
audio/MSK0021.mp3[542.080,546.200]	OK HOW ABOUT WHEN YOU PRESS DOWN ON YOUR KNEE CAPS
audio/MSK0021.mp3[546.200,553.160]	YEAH I DO GET SOME PAIN WHEN I PUSH ON THE ON THE KNEECAP UHM ON MY LEFT KNEE
audio/MSK0021.mp3[553.160,559.120]	OK HOW ABOUT JUST BELOW THAT WHERE YOUR SHINS START
audio/MSK0021.mp3[559.120,560.560]	NO PAIN THERE
audio/MSK0021.mp3[560.560,563.520]	NO PAIN THERE AND THEN HOW ABOUT ON THE LATERAL ASPECTS OF YOUR KNEE
audio/MSK0021.mp3[563.520,567.040]	AH NO PAIN THERE
audio/MSK0021.mp3[567.040,569.680]	AND THEN THE MEDIAL ASPECTS OF YOUR KNEE
audio/MSK0021.mp3[569.680,570.880]	NO PAIN THERE
audio/MSK0021.mp3[570.880,582.920]	NO PAIN THERE OK GOOD WHEN YOU ARE PALPATING WAS THERE A DIFFERENCE IN TEMPERATURE BETWEEN THE LEFT AND RIGHT KNEE WAS THE LEFT KNEE A LITTLE BIT MORE WARM THAN THE RIGHT KNEE
audio/MSK0021.mp3[582.920,585.720]	NO THE TEMPERATURE FEELS THE SAME
audio/MSK0021.mp3[585.720,594.040]	OK OK GOOD SO NOW IM GOING TO UHM ARE YOU SITTING DOWN
audio/MSK0021.mp3[594.040,595.000]	I AM YES
audio/MSK0021.mp3[595.000,605.400]	OK SO FROM A SITTING POSITION IM GOING TO GET YOU TO STAND UP UHM AND YOU LET ME KNOW IF THAT IS PAINFUL
audio/MSK0021.mp3[605.400,609.760]	IT IS YEAH
audio/MSK0021.mp3[609.760,615.440]	YEAH OK UHM AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES
audio/MSK0021.mp3[615.440,618.960]	UHM NO NO PAIN WITH JUST BENDING
audio/MSK0021.mp3[618.960,630.760]	OK HOW ABOUT WHEN YOU UH WHEN YOU FLEX YOUR HIPS SO YOU CAN DO ONE LEG AT A TIME DOES THAT HURT
audio/MSK0021.mp3[630.760,635.160]	OH NO THAT DOESNT HURT
audio/MSK0021.mp3[635.160,640.440]	OK AND HOW ABOUT SQUATTING DOWN
audio/MSK0021.mp3[640.440,643.720]	THAT DOES HURT YEAH SQUATTING HURTS
audio/MSK0021.mp3[643.720,651.560]	SQUATTING HURTS OK OK AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE CEILING
audio/MSK0021.mp3[651.560,652.680]	NO PAIN
audio/MSK0021.mp3[652.680,656.520]	OK HOW ABOUT WHEN YOU POINT YOUR TOES TOWARDS THE GROUND
audio/MSK0021.mp3[656.520,657.560]	NO PAIN
audio/MSK0021.mp3[657.560,674.880]	NO PAIN SO NO PAIN ON DORSIFLEXION OR PLANTER FLEXION OK DO YOU HEAR ANY LIKE POPPING OR CRACKLING SOUNDS IN YOUR KNEES WHEN YOU CLIMB STAIRS OR WHEN YOURE STANDING UP AFTER SITTING DOWN FOR A LONG TIME
audio/MSK0021.mp3[674.880,681.160]	YEAH YEAH SOMETIMES I WILL HEAR UHM SOME SOME LIKE YEAH CRACKLING SOUNDS
audio/MSK0021.mp3[681.160,691.720]	OK ALRIGHT AND YEAH YOU MENTIONED THAT YOU DO A LOT OF RUNNING DO YOU DO ANY OTHER SORTS OF EXERCISES
audio/MSK0021.mp3[691.720,705.840]	YEAH ILL DO SOME WEIGHT LIFTING AND LIKE CYCLING AS WELL I MEAN ALL KINDS OF DIFFERENT STUFF WE JUST LIKE STAYING AS ACTIVE AS I CAN
audio/MSK0021.mp3[705.840,869.200]	OK ALRIGHT YEAH GIVEN YOUR YOUNG AGE AND THE FACT THAT YOU DO A LOT OF RUNNING AND A LOT OF PHYSICAL ACTIVITY LIKE CYCLING AND LIFTING WEIGHTS WHAT YOU HAVE IS MOST LIKELY SOMETHING CALLED A PATELLOFEMORAL SYNDROME AND THAT IS BASICALLY A NERVE UH KIND OF PAIN AND THEN IN THE IN THE SOFT TISSUES AND BONE AROUND YOUR KNEECAP UHM AND ITS BASICALLY HAPPENS BECAUSE OF OVERUSE SO VIGOROUS PHYSICAL ACTIVITIES THAT PUT REPEATED STRESS ON YOUR KNEES LIKE RUNNING AND CYCLING UHM CAN CAUSE THAT OR JUST LIKE IMPROPER SPORTS TRAINING TECHNIQUES UHM WE CAN DO A FEW THINGS THAT THATLL HELP WITH THE PAIN SO FOR A LITTLE BIT IF YOU COULD HOLD OFF ON THE RUNNING THAT WOULD BE GOOD SO IN THE MEANTIME WHILE YOU WHILE YOU SWITCH TO LIKE LOW IMPACT ACTIVITIES WHETHER THATS LIKE RIDING A STATIONARY BIKE OR SWIMMING YOU CAN ALSO TRY SOMETHING CALLED THE RICE METHOD AND SO THAT STANDS FOR RESTING UHM SO AVOIDING PUTTING ANY STRAIN ON THAT KNEE USING ICE PACKS FOR SEVERAL DAYS COMPRESSION SO WRAPPING YOUR KNEE IN LIKE AN ELASTIC BANDAGE AS WELL AS ELEVATING YOUR KNEES HIGHER THAN YOUR THEN THE LEVEL OF YOUR CHEST CAN HELP AND THEN WITH THE SHARP PAIN YOU COULD ALSO ALSO TAKE IBUPROFEN FOR PAIN MANAGEMENT UHM YEAH SO WE CAN START THERE IF IT DOESNT GET BETTER WE CAN ALSO ORDER AN XRAY JUST TO RULE OUT OTHER THINGS THAT COULD HAVE CAUSED THIS PAIN IN YOUR KNEE AND IF NONE OF THOSE NONSURGICAL TREATMENTS WORK OH SORRY I ALSO FORGOT TO MENTION WILL ALSO REFER YOU TO PHYSIOTHERAPY TO HELP YOU WITH THE RANGE OF MOTION AND STRENGTH AND ENDURANCE BUT OF THOSE NON SURGICAL TREATMENTS WORK WELL ALSO REFER YOU TO LIKE AM ARTHROSCOPY OR SOME SORT OF SURGERY THAT MAY BE ABLE TO FIX THE ISSUE MORE PERMANENTLY DOES THAT SOUND OK
audio/MSK0021.mp3[869.200,872.320]	IT DOES YEAH THANK YOU
audio/MSK0021.mp3[872.320,874.600]	OK YEAH NO WORRIES
audio/RES0214.mp3[0.000,3.560]	WHAT BROUGHT YOU IN TODAY
audio/RES0214.mp3[3.560,25.520]	HI UM SO IVE HAD THIS TERRIBLE FEVER FOR THE PAST THREE DAYS UM AND JUST BEFORE THAT I HAD A STUFFY NOSE UM AND I HAD A SORE THROAT WELL I STILL DO UM AND ITS JUST NOT GOING AWAY SO I THOUGHT I SHOULD JUST COME IN AND SEE IF I HAVE COVID OR WHAT IT IS
audio/RES0214.mp3[25.520,30.160]	OK SO IF I UNDERSTAND IT STARTED WITH A STUFFY NOSE
audio/RES0214.mp3[31.280,34.760]	OK AND THAT KINDA PROGRESSED TO A FEVER
audio/RES0214.mp3[34.760,36.000]	YES THATS RIGHT
audio/RES0214.mp3[36.000,40.760]	OK HAVE YOU BEEN FEELING ANY OTHER SYMPTOMS ASIDE FROM THE FEVER
audio/RES0214.mp3[41.920,46.120]	NOTHING REALLY HAVE YOU HAD ANY NAUSEA ANY VOMITING AT ALL IN THE LAST LITTLE WHILE
audio/RES0214.mp3[47.640,50.840]	ANY PAIN ANYWHERE ELSE IN YOUR BODY
audio/RES0214.mp3[50.840,52.640]	UH NO
audio/RES0214.mp3[52.640,55.320]	OK DO YOU HAVE ANY NECK STIFFNESS
audio/RES0214.mp3[56.680,59.960]	ANY HEADACHES
audio/RES0214.mp3[59.960,62.240]	UM NO NO HEADACHES
audio/RES0214.mp3[62.240,66.720]	OK AND HAVE YOU BEEN ABLE TO EAT AND DRINK DURING THIS TIME PERIOD
audio/RES0214.mp3[67.800,71.640]	EXCELLENT OK YOUVE HAD A COUGH AT ALL
audio/RES0214.mp3[71.640,72.840]	NO COUGH
audio/RES0214.mp3[72.840,81.240]	NO COUGH OK AND THEN HOW ABOUT ABDOMINAL PAIN ANY PAIN IN YOUR TUMMY
audio/RES0214.mp3[81.240,82.640]	UM NO
audio/RES0214.mp3[82.640,92.200]	NOTHING LIKE THAT WHAT ABOUT OTHER CHANGES IN YOUR BODY HAVE YOU NOTICED ANY FEVERS OR ANY RASHES ANY SKIN CHANGES
audio/RES0214.mp3[92.200,94.440]	UH NO NOTHING LIKE THAT
audio/RES0214.mp3[94.440,100.840]	OK WHAT ABOUT ANY PAIN IN ANY OF YOUR JOINTS AND YOUR KNEES HIPS
audio/RES0214.mp3[100.840,109.480]	OH ACTUALLY UM NOT IN MY JOINTS BUT IVE JUST THERE THERE HAS BEEN SOME MUSCLE ACHE
audio/RES0214.mp3[109.480,112.680]	OK HOW LONG HAS THAT BEEN GOING ON FOR
audio/RES0214.mp3[112.680,115.640]	UH FOR THE PAST TWO THREE DAYS
audio/RES0214.mp3[115.640,118.760]	SO AROUND THE SAME TIME THAT YOUVE HAD THIS FEVER
audio/RES0214.mp3[121.280,123.760]	THATS RIGHT
audio/RES0214.mp3[123.760,129.600]	NOW HAVE YOU HAD ANY CONTACT WITH ANYONE WHOS BEEN SICK IN THE LAST LITTLE WHILE
audio/RES0214.mp3[129.600,133.320]	UM NO NOT THAT I CAN THINK OF
audio/RES0214.mp3[133.320,137.960]	OK HAVE YOU HAD ANY RECENT TRAVEL ANYWHERE ELSE
audio/RES0214.mp3[137.960,157.440]	NO I DID GO HIKING UM LAST WEEKEND UM AND IT WAS ABOUT 2 HOURS AWAY UM THERE WERE SOME PEOPLE ON THE HIKING TRAIL THAT I PASSED BY BUT UM OTHER THAN THAT NO TRAVEL OUTSIDE THE PROVINCE
audio/RES0214.mp3[157.440,167.960]	OK DOES ANYONE AROUND YOU OR IN YOUR IMMEDIATE CIRCLE COME DOWN WITH ANYTHING SIMILAR RECENTLY
audio/RES0214.mp3[167.960,175.320]	UM MY HUSBAND HAS ALSO BEEN EXPERIENCING SIMILAR SYMPTOMS FOR THE PAST WEEK
audio/RES0214.mp3[175.320,177.480]	OK HOWS HE DOING
audio/RES0214.mp3[177.480,180.960]	UH THE SAME AS ME
audio/RES0214.mp3[180.960,184.080]	OK AND HAVE YOU HAD ANY COVID SWABS RECENTLY
audio/RES0214.mp3[185.640,190.600]	OK AND ASIDE FROM THE WEEKEND HIKE HAVE YOU BEEN MAINLY SELF ISOLATING OR
audio/RES0214.mp3[190.600,194.720]	UH YEAH JUST ME AND MY HUSBAND AT HOME
audio/RES0214.mp3[194.720,197.720]	OK AND DO YOU LEAVE THE HOUSE FOR WORK AT ALL
audio/RES0214.mp3[197.720,201.040]	NO I WORK FROM HOME
audio/RES0214.mp3[201.040,210.840]	OK SOUNDS GOOD SO YOU HAVE SOME MUSCLE ACHES LITTLE BIT OF FEVER STUFFY NOSE SORE THROAT DO YOU HAVE ANY DIFFICULTY SWALLOWING
audio/RES0214.mp3[210.840,213.560]	UH NO IT JUST HURTS
audio/RES0214.mp3[213.560,216.920]	OK SO YOURE STILL ABLE TO SWALLOW FOOD SWALLOW LIQUIDS
audio/RES0214.mp3[216.920,217.760]	YES THATS RIGHT
audio/RES0214.mp3[217.760,223.000]	IT DOESNT FEEL LIKE ANYTHING IS GOING DOWN THE WRONG WAY OR HAVE ANY COUGHING AFTER YOU SWALLOW
audio/RES0214.mp3[226.040,237.320]	OK AND JUST IN TERMS OF COMING BACK TO THIS SORE THROAT DO YOU FEEL LIKE YOU HAVE ANY SWELLING AROUND YOUR NECK DOES IT FEEL INFLAMED OR SWOLLEN
audio/RES0214.mp3[238.560,239.640]	NOTHING LIKE THAT
audio/RES0214.mp3[240.640,248.880]	OK ALRIGHT EXCELLENT SO YOURE EATING WELL DOING WELL ANY CHANGES TO YOUR BOWEL MOVEMENTS RECENTLY
audio/RES0214.mp3[248.880,255.560]	UH NO NO
audio/RES0214.mp3[255.560,264.880]	OK ALRIGHT ILL JUST KIND OF GO INTO OTHER THINGS JUST IN TERMS OF ANYTHING ELSE THAT YOU MIGHT HAVE HAD IN THE PAST UH HAVE YOU EVER BEEN HOSPITALIZED FOR ANY REASON IN YOUR LIFE
audio/RES0214.mp3[264.880,269.880]	I HAD MY GALLBLADDER TAKEN OUT FIVE YEARS AGO
audio/RES0214.mp3[269.880,273.520]	OK SO THAT WAS AROUND WHEN YOU WERE 50 YEARS OLD
audio/RES0214.mp3[273.520,278.520]	UH YES
audio/RES0214.mp3[278.520,282.680]	OK AND ANY OTHER SURGERIES YOUVE HAD IN YOUR LIFE
audio/RES0214.mp3[282.680,284.440]	UH NO
audio/RES0214.mp3[284.440,290.600]	NO ANYTHING YOUVE HAD TO SEE A DOCTOR FOR
audio/RES0214.mp3[290.600,309.360]	UM I IN THE PAST COUPLE OF YEARS UH JUST FOR THINGS LIKE LIKE THIS I GUESS UM COLDS UM IM PRE DIABETIC SO IVE BEEN CHECKING MY GLUCOSE LEVELS YEAH OTHER THAN THAT NOTHING ELSE
audio/RES0214.mp3[309.360,315.360]	SO NO HIGH BLOOD PRESSURE
audio/RES0214.mp3[316.160,318.000]	NO CHOLESTEROL ISSUES
audio/RES0214.mp3[319.240,322.160]	OK SO IT SOUNDS LIKE YOUVE BEEN PRETTY HEALTHY OTHERWISE
audio/RES0214.mp3[323.080,328.440]	EXCELLENT OK DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR OTHERWISE
audio/RES0214.mp3[329.640,335.240]	PENICILLIN WHAT HAPPENS WHEN YOU TAKE PENICILLIN
audio/RES0214.mp3[335.240,338.120]	UM I GET A RASH
audio/RES0214.mp3[338.120,340.600]	OK ANY TROUBLE BREATHING
audio/RES0214.mp3[341.320,345.320]	AND WHAT MEDICATIONS IF ANY ARE YOU ON
audio/RES0214.mp3[345.320,352.720]	UM IM I JUST TAKE MULTIVITAMINS THATS IT THOUGH
audio/RES0214.mp3[352.720,364.720]	AND YOU SAID YOU LIVED WITH YOUR HUSBAND IN A HOUSE UM IN LONDON
audio/RES0214.mp3[364.720,366.680]	UM YES THATS RIGHT
audio/RES0214.mp3[366.680,368.000]	WHAT DO YOU TWO DO FOR WORK
audio/RES0214.mp3[368.000,378.360]	SO I WORK FROM HOME AS A DIGITAL MARKETING AGENT AND MY HUSBAND IS A COMPUTER PROGRAMMER
audio/RES0214.mp3[378.360,385.000]	OK AND DO YOU SMOKE
audio/RES0214.mp3[385.400,387.320]	DO YOU DRINK ALCOHOL
audio/RES0214.mp3[387.320,390.240]	UH I DRINK ONCE ONCE IN A WHILE
audio/RES0214.mp3[390.240,393.880]	OK AND WHEN YOU DRINK HOW MANY DRINKS DO YOU HAVE
audio/RES0214.mp3[393.880,397.080]	UM ABOUT ONE OR TWO GLASSES OF WINE
audio/RES0214.mp3[397.080,401.240]	GOT IT ANY OTHER RECREATIONAL DRUGS SUBSTANCES
audio/RES0214.mp3[401.240,405.080]	UM NO
audio/RES0214.mp3[405.080,407.120]	SO NO MARIJUANA HEROIN COCAINE
audio/RES0214.mp3[407.120,413.800]	IVE TRIED MARIJUANA BEFORE JUST LIKE EDIBLES BUT NOT NOT REGULARLY
audio/RES0214.mp3[413.800,417.200]	UNDERSTOOD AND HAVE YOU EVER USED IV DRUGS
audio/RES0214.mp3[421.440,426.160]	OK AND WHEN WAS YOUR LAST MENSTRUAL PERIOD
audio/RES0214.mp3[426.160,429.360]	IT WAS UM A YEAR AGO
audio/RES0214.mp3[429.360,430.120]	A YEAR AGO
audio/RES0214.mp3[438.360,451.760]	OK AND THEN OTHERWISE SO WE TALKED A LITTLE BIT ABOUT RECENT TRAVEL IT SOUNDS LIKE YOU HAVE THE HIKING TRIP LAST WEEK AND YOU PASSED SOME PEOPLE BUT IT SOUNDS LIKE YOUR HUSBAND ALSO HAS KIND OF SIMILAR SYMPTOMS THAT YOU DO RIGHT NOW
audio/RES0214.mp3[452.240,473.080]	SOUNDS GOOD NOW WEVE ALREADY TALKED ABOUT KIND OF PAST MEDICAL ISSUES MOVING ON I THINK WHAT WELL DO NEXT IS MOVE ON TO A PHYSICAL EXAM BUT BEFORE I DO THAT DO YOU HAVE ANY QUESTIONS FOR ME ANYTHING ELSE YOU FEEL I SHOULD KNOW
audio/RES0214.mp3[473.080,476.240]	NO DO YOU THINK I HAVE COVID
audio/RES0214.mp3[476.240,513.920]	ITS A POSSIBILITY ITS ALWAYS GOOD TO RULE THESE THINGS OUT SO WELL BE ORDERING A COVID SWAB NO MATTER WHAT OBVIOUSLY WITH ANY PRESENTATION WHERE WE HAVE SOMEONE COME IN WITH A FEVER AND SORE THROAT WE WANT TO RULE OUT ANYTHING INFECTIOUS SO IT SOUNDS LIKE IF YOUR HUSBAND GOT IT AND YOU HAVE IT COVID WOULD BE OUR FIRST THING THAT WE WANT TO RULE OUT SO JUST WHILE WERE TRYING TO INVESTIGATE WORK THIS UP FURTHER I WANT TO HAVE YOU AND YOUR HUSBAND SELF ISOLATE THE OTHER QUESTION I SUPPOSE I SHOULD ASK IS HAVE YOU GOTTEN YOUR FLU SHOT THIS YEAR
audio/RES0214.mp3[513.920,515.160]	NO I HAVENT
audio/RES0214.mp3[515.160,527.240]	SO ITS ALSO A POSSIBILITY IT MIGHT BE INFLUENZA JUST THE SEASONAL FLU BUT UNTIL WE I SUPPOSE RULE OUT COVID ITD BE BEST JUST TO KEEP TO YOURSELF JUST IN CASE YOU ARE INFECTIOUS FOR THE MEANWHILE
audio/RES0214.mp3[527.240,528.960]	OK SURE
audio/RES0214.mp3[528.960,533.960]	ALRIGHT WELL IM GOING TO GO TALK TO THE DOCTOR AND ILL BE COMING BACK IN TO SEE YOU OK
audio/RES0214.mp3[533.960,535.600]	ALRIGHT GREAT THANK YOU
audio/RES0214.mp3[535.600,537.160]	TAKE CARE
audio/RES0114.mp3[0.000,2.680]	SO WHAT BRINGS YOU IN
audio/RES0114.mp3[2.680,20.520]	YEAH SO UM I JUST CAME IN BECAUSE UH SO I I HAVE THIS COUGH THATS BEEN GOING ON FOR THE LAST FIVE YEARS BUT OVER THE LAST MONTH ITS REALLY BEEN GETTING WORSE UM AND LIKE LAST WEEK I IVE JUST BEEN CONSTANTLY COUGHING SO YEAH I WAS JUST A BIT CONCERNED
audio/RES0114.mp3[20.520,28.760]	YEAH OK SO YOU SAID THE PAST COUPLE OF YEARS YOUVE BEEN COUGHING SO HOW MANY YEARS EXACTLY WOULD THAT BE TWO THREE FOUR
audio/RES0114.mp3[28.760,36.200]	PROBABLY FIVE I WOULD SAY AND I WAS DIAGNOSED WITH UH COPAROUND THAT TIME
audio/RES0114.mp3[36.200,45.720]	OK OK UM THE COUGH THAT YOU CURRENTLY HAVE UM IS IT A DRY COUGH OR ARE YOU BRINGING UP ANY PHLEGM
audio/RES0114.mp3[45.720,51.200]	UH IM PRETTY MUCH ALWAYS BRINGING UP LIKE THIS UH WHITE MATERIAL
audio/RES0114.mp3[51.200,59.720]	WHITE OK UM AND IS IT CONSTANT THROUGHOUT THE DAY OR DO YOU FIND IT COMES AND GOES
audio/RES0114.mp3[59.720,79.360]	ITS PRETTY MUCH THERE ALL THE TIME BUT UH ITS DEFINITELY GETTING WORSE UM IT IS I THINK THE WORST IN THE MORNING UM WHEN I WAKE UP AND I JUST FEEL LIKE THERES JUST A BUNCH OF GUNK STUCK IN THE BACK OF MY THROAT
audio/RES0114.mp3[79.360,87.680]	OK UM AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS HARSH BARKY MUFFLED
audio/RES0114.mp3[87.680,89.280]	I WOULD SAY ITS HARSH
audio/RES0114.mp3[89.280,99.880]	HARSH OK AND HAS THE QUALITY OF YOUR COUGH CHANGED AT ALL IN THE PAST FEW YEARS LIKE DOES IT SOUND DIFFERENT THAN IT USED TO
audio/RES0114.mp3[99.880,116.600]	UM I DONT KNOW IF IT SOUNDS DIFFERENT BUT UH ESPECIALLY FOR THE LAST MONTH I WOULD SAY IM BRINGING UP MORE OF THE MATERIAL AND ITS USUALLY WHITE OVER THE FIVE YEARS BUT UM I NOTICED UH IN THE LAST WEEKISH ITS HAD A YELLOWISH TINGE TO IT AS WELL
audio/RES0114.mp3[116.600,125.720]	OK OK SO ITS CHANGED A LITTLE BIT UM AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH WITH THIS
audio/RES0114.mp3[125.720,143.840]	NO I I DONT THINK SO LIKE I SOMETIMES WHEN IM WALKING AROUND UH DOING MORE STUFF UH WORKING IN THE GARDEN LIKE I FEEL LIKE I MIGHT HAVE TO BREATHE A LITTLE BIT HARDER BUT UH NOT REGULARLY
audio/RES0114.mp3[143.840,148.760]	OK OK THATS GOOD UM AND ANY WHEEZING
audio/RES0114.mp3[148.760,162.520]	UH YEAH ITS LIKE USUALLY I START COUGHING A LOT MORE WHEN IM STARTING TO DO ANY KIND OF ACTIVITIES AND SOMETIMES WHEN I START COUGHING MORE I ALSO START WHEEZING UM BUT UH RIGHT NOW IM FINE
audio/RES0114.mp3[162.520,172.920]	YOURE FINE NOW OK UH ALRIGHT AND SORRY FORGOT TO ASK YOU EARLIER DO YOU SEE ANY BLOOD IN YOUR PHLEGM
audio/RES0114.mp3[172.920,175.840]	NO NO I HAVENT NOTICED ANY BLOOD
audio/RES0114.mp3[175.840,182.080]	OK ANY UH CHANGES TO YOUR HAIR OR ON YOUR SKIN LIKE RASHES
audio/RES0114.mp3[182.080,185.320]	NOT THAT IVE NOTICED NO
audio/RES0114.mp3[185.320,187.000]	OK ANY WEIGHT LOSS
audio/RES0114.mp3[187.000,191.000]	UM I DONT THINK SO
audio/RES0114.mp3[191.000,194.680]	OK FEVERS
audio/RES0114.mp3[198.760,199.560]	OK EXHAUSTION
audio/RES0114.mp3[199.560,203.680]	UM YEAH I WOULD SAY LIKE FOR THE LAST FEW MONTHS I AM A BIT MORE TIRED
audio/RES0114.mp3[203.680,209.280]	MHMM OK HOW ABOUT CHANGES IN YOUR VISION OR HEARING
audio/RES0114.mp3[209.280,211.960]	NO I HAVENT EXPERIENCED THAT
audio/RES0114.mp3[211.960,215.400]	HOW ABOUT A STUFFY NOSE RUNNY NOSE
audio/RES0114.mp3[215.400,218.680]	UH NO NOT REALLY
audio/RES0114.mp3[218.680,224.320]	NO OK HOW ABOUT CHANGES TO YOUR SMELL OR TASTE
audio/RES0114.mp3[224.320,226.280]	UH NOPE
audio/RES0114.mp3[226.280,230.360]	NO OK UH CHEST PAIN
audio/RES0114.mp3[230.360,236.520]	NOT CHEST PAIN BUT WHEN I GET INTO THOSE COUGHING FITS SOMETIMES IT FEELS JUST REALLY TIGHT IN MY CHEST
audio/RES0114.mp3[236.520,237.240]	OH YEAH
audio/RES0114.mp3[237.240,241.360]	BUT IT TENDS TO GO AWAY WITH UH JUST SOME REST
audio/RES0114.mp3[241.360,252.240]	OH OK OK UM HOW ABOUT PALPITATIONS LIKE FEELING LIKE YOUR HEART IS RACING
audio/RES0114.mp3[252.240,254.640]	UH NO I DONT THINK SO
audio/RES0114.mp3[254.640,262.200]	NO OK HOW ABOUT SOME SWELLING IN YOUR LIMBS
audio/RES0114.mp3[262.200,278.880]	I I DID NOTICE LIKE UH A LITTLE BIT OF SWELLING IN MY UH BOTH MY LIKE RIGHT BY MY ANKLES MY SHOES LIKE LIKE EVEN WHEN I WEAR MY SOCKS IT LIKE LEAVES LITTLE MARKS AND THEN UH I JUST FEEL MY LIKE MY SHOES ARE TIGHTER
audio/RES0114.mp3[278.880,282.600]	OK OK AND HOW LONG HAS THAT BEEN GOING ON
audio/RES0114.mp3[282.600,295.920]	PROBABLY UH IVE HAD THIS ISSUE FOR LIKE A PRETTY LONG TIME UM PROBABLY I WOULD SAY THE LAST YEAR AT LEAST
audio/RES0114.mp3[295.920,302.640]	OK OK LAST YEAR UM ANY UH DIZZINESS OR FAINTING SPELLS
audio/RES0114.mp3[303.560,308.720]	NO OK ANY MEMORY ISSUES UH CONFUSION
audio/RES0114.mp3[309.600,312.680]	NUMBNESS OR TINGLING
audio/RES0114.mp3[312.680,313.920]	NO NOTHING LIKE THAT
audio/RES0114.mp3[313.920,316.920]	NO HEADACHES
audio/RES0114.mp3[316.920,318.320]	UH NO NO HEADACHES
audio/RES0114.mp3[318.320,321.760]	CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0114.mp3[321.760,326.760]	NO I TEND TO GO LIKE ONCE A DAY AND YEAH ITS PRETTY NORMAL
audio/RES0114.mp3[326.760,329.720]	OK UH NAUSEA OR VOMITING
audio/RES0114.mp3[331.360,340.160]	NO OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY LONGSTANDING CONDITIONS I KNOW YOU SAID YOU HAVE COPANYTHING ELSE
audio/RES0114.mp3[340.160,342.560]	I DO HAVE HIGH BLOOD PRESSURE
audio/RES0114.mp3[342.560,349.400]	OK DO YOU HAVE SOMETHING CALLED CONGESTIVE HEART FAILURE
audio/RES0114.mp3[349.400,351.760]	UH NO WHATS THAT
audio/RES0114.mp3[351.760,365.640]	OK ITS WHEN UM YOUR HEARTS NOT PUMPING AS MUCH AS IT SHOULD BE UM SO YOU GET SOME BACKUP OF FLUID I ASK BECAUSE YOU YOU MENTIONED THAT YOU UM WERE HAVING SOME SWELLING IN YOUR LEGS
audio/RES0114.mp3[365.640,377.960]	OH I YEAH I I YEAH I DIDNT KNOW ANYTHING ABOUT THAT I JUST THOUGHT THAT WAS UH ITS BEEN GOING ON FOR A WHILE NOW AND DIDNT REALLY BOTHER ME TOO MUCH
audio/RES0114.mp3[377.960,384.600]	OK UM ALRIGHT AND ARE YOU TAKING ANY MEDICATIONS
audio/RES0114.mp3[384.600,389.440]	YEAH I HAVE THIS MEDICATION UH RIGHT NOW IM TAKING IT ITS CALLED LISINOPRIL
audio/RES0114.mp3[389.440,391.800]	OK SO THATS FOR YOUR BLOOD PRESSURE
audio/RES0114.mp3[392.600,395.360]	OK ARE YOU ON ANY PUFFERS SORRY GO AHEAD
audio/RES0114.mp3[395.360,411.760]	YES IM ON NO WORRIES IM ON UM UH TWO PUFFERS RIGHT NOW ONE OF THEM IS LIKE JUST ONE THAT I USE WHEN I REALLY NEED IT AND THEN UM THERES ANOTHER ONE SO I THINK THATS LIKE THE VENTOLIN PUFFER
audio/RES0114.mp3[412.640,416.880]	AND THEN THE OTHER ONE IS CALLED I THINK ITS CALLED SPIRIVA
audio/RES0114.mp3[416.880,423.960]	OK OK PERFECT AND ARE YOUR PUFF PUFFERS GIVING YOU ANY RELIEF AT ALL FROM THE COUGHING FITS
audio/RES0114.mp3[423.960,430.280]	YEAH IVE BEEN USING THE VENTOLIN UH MORE AND IT IT DOES SEEM TO HELP
audio/RES0114.mp3[430.280,437.240]	OK OK UH DO YOU FIND THEYRE NOT WORKING AS MUCH AS THEY USED TO THOUGH
audio/RES0114.mp3[437.240,459.280]	YEAH I FEEL LIKE UH BEFORE I DIDNT REALLY LIKE IT JUST LAST YEAR I DIDNT REALLY HAVE TO TAKE IT TOO MUCH UM LIKE EVEN WHEN I USE THE PUFFER I START GETTING COUGHING LIKE MAYBE HALF AN HOUR LATER AND SO ITS NOT I DONT THINK ITS AS EFFECTIVE
audio/RES0114.mp3[459.280,463.520]	OK YEAH UM OK AND HAVE YOU HAD ANY RECENT BLOOD WORK DONE
audio/RES0114.mp3[463.520,469.000]	UH NO I HAVENT BEEN TO THE DOCTOR FOR A WHILE
audio/RES0114.mp3[469.000,476.000]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0114.mp3[476.000,482.800]	UM I THINK I HAVE ALLERGIES TO UH LIKE UM AMOXICILLIN I GOT LIKE A RASH ONCE
audio/RES0114.mp3[482.800,490.040]	OK HAVE YOU HAD ANY UH AMOXICILLIN OR LIKE PENICILLIN TYPE ANTIBIOTICS RECENTLY
audio/RES0114.mp3[492.240,497.920]	NO OK UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0114.mp3[499.480,516.040]	OK UM YOURE NOT QUITE AT THIS AGE RANGE YET BUT UH WE DO RECOMMEND THE PNEUMOCOCCAL VACCINE WHEN YOU TURN 65 AND UM DID YOU GET THE FLU VACCINE THIS YEAR
audio/RES0114.mp3[516.040,523.080]	UH YEAH I DID WITH THE PANDEMIC GOING ON I USUALLY DONT GET IT BUT I GOT IT THIS YEAR
audio/RES0114.mp3[523.080,528.120]	OK GOOD GOOD UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0114.mp3[528.120,542.080]	UHM LUNG CONDITIONS I DONT THINK SO HEART CONDITIONS UH MY FATHER DID HAVE A HEART ATTACK IN HIS 60S BUT HES FINE HES HES LIVING RIGHT NOW
audio/RES0114.mp3[542.080,546.040]	OK OK ANY CANCERS
audio/RES0114.mp3[546.040,553.880]	CANCERS I THINK MY UNCLE FROM MY FATHERS SIDE UM HAD UH BLADDER CANCER
audio/RES0114.mp3[553.880,560.200]	OK OK UM DO YOU SMOKE
audio/RES0114.mp3[560.200,564.520]	I USED TO SMOKE UM I JUST QUIT A FEW YEARS AGO
audio/RES0114.mp3[564.520,569.120]	OK CONGRATS UM HOW MUCH DID YOU USED TO SMOKE
audio/RES0114.mp3[569.120,580.160]	UHM I DONT KNOW PROBABLY I WENT THROUGH A LIKE A WHOLE PACK EVERY DAY I WOULD SAY FOR AT LEAST 30 YEARS OF MY LIFE
audio/RES0114.mp3[580.160,587.600]	OK OK UM SO ITS GOOD THAT YOU STOPPED UM DO YOU TAKE ANY OTHER RECREATIONAL DRUGS
audio/RES0114.mp3[587.600,590.880]	UH NO NOTHING LIKE THAT
audio/RES0114.mp3[590.880,596.520]	NO OK HOW ABOUT ALCOHOL DO YOU DRINK
audio/RES0114.mp3[596.520,599.560]	UH I DRINK EVERY LIKE MAYBE A BEER A DAY
audio/RES0114.mp3[599.560,602.720]	OK UM ARE YOU UM LIVING WITH ANYONE RIGHT NOW
audio/RES0114.mp3[602.720,605.760]	YEAH ITS JUST UH ME AND MY WIFE
audio/RES0114.mp3[605.760,612.280]	OK WHERE DO YOU GUYS LIVE
audio/RES0114.mp3[612.280,620.600]	UH WE JUST LIVE UH OUTSIDE OF THE CITY IN IN A CONDOMINIUM
audio/RES0114.mp3[620.600,627.480]	OK ANY UH OLD CARPETS MOLD DUST ASBESTOS ANYTHING LIKE THAT IN THE CONDO
audio/RES0114.mp3[627.480,629.880]	NO ITS PRETTY WELL MAINTAINED
audio/RES0114.mp3[629.880,635.320]	OK GOOD AND HAVE YOU BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY
audio/RES0114.mp3[635.320,644.000]	NO IVE MAINLY JUST BEEN TRYING TO STAY INSIDE I WORK FROM HOME TOO SO HAVENT REALLY BEEN SEEING ANYONE
audio/RES0114.mp3[644.000,654.800]	OK THATS GOOD AND UM TRAVEL TO ANYWHERE RECENTLY OUTSIDE THE PROVINCE
audio/RES0114.mp3[654.800,660.760]	UHM OUTSIDE OF THE PROVINCE NO NOT NOT FOR LIKE THE LAST YEAR AT LEAST
audio/RES0114.mp3[660.760,671.360]	OK OK UM SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR ME
audio/RES0114.mp3[671.360,679.800]	UM YEAH I WAS JUST WONDERING LIKE WHAT YOU THINK IT MIGHT BE
audio/RES0114.mp3[679.800,775.920]	YEAH SO IT DEFINITELY SOUNDS LIKE A COPEXACERBATION BUT BECAUSE YOUR SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL TAKE A SWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UM AND YOU CAN YOU CAN SELF ISOLATE FOR 14 DAYS UM AND IF ITS POSITIVE PUBLIC HEALTH WILL BE IN TOUCH WITH YOU TO UM DO SOME CONTACT TRACING BUT IN THE MEANTIME WELL ALSO DO A WORK UP FOR THE COPEXACERBATION UM IT SEEMS LIKE YOU HAVE TAKEN THE CORRECT STEPS SO FAR IN LIKE STOPPING LIKE STOPPING YOUR SMOKING AND UM TAKING YOUR PUFFERS AS NEEDED UM SO RIGHT NOW WE WILL CONTINUE USING THE PUFFERS THAT YOU HAVE AND IF YOU DONT ALREADY HAVE A LONG ACTING BETA AGONIST WELL GIVE YOU THAT AS WELL AS IF ITS LIKE IF IT GETS REALLY SEVERE WELL ALSO GIVE YOU SOME INHALED CORTICOSTEROIDS UM AND WELL ALSO CHECK YOUR OXYGEN SATURATION TO MAKE SURE ITS OVER UH 88 UM AND WELL GIVE YOU OXYGEN IF YOU NEED IT UM AS WELL SOME ANTIBIOTICS TO CONSIDER YOU MENTIONED THAT YOU WERE ALLERGIC TO AMOXICILLIN SO WE MIGHT GIVE YOU LIKE A MACROLIDE LIKE AZITHROMYCIN FOR NOW UM AND HOPEFULLY YOUR SYMPTOMS SUBSIDE AND WE CAN GET YOU HOME HOW DOES THAT SOUND
audio/RES0114.mp3[775.920,778.640]	OK THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0114.mp3[778.640,784.840]	YEAH NO PROBLEM AND I FORGOT SORRY WELL ALSO PROBABLY DO LIKE A CHEST X RAY AND A PULMONARY FUNCTION TEST
audio/RES0114.mp3[784.840,786.680]	OK SOUNDS GOOD
audio/RES0114.mp3[786.680,788.720]	YEAH NO PROBLEM
audio/RES0130.mp3[0.000,2.200]	WHAT BRINGS YOU IN
audio/RES0130.mp3[2.200,17.720]	YEAH IVE HAD UH A COUGH THATS BEEN UM BUGGING ME FOR THE LAST SEVERAL MONTHS NOW AND MORE RECENTLY IVE NOTICED THAT IVE STARTED TO BRING UP A BIT MORE OR A LITTLE BIT OF BLOOD AS WELL
audio/RES0130.mp3[17.720,30.640]	OKAY WELL THATS NOT GOOD SO YOU SAID THE COUGH STARTED SEVERAL MONTHS AGO HOW MANY MONTHS AGO DO YOU THINK LIKE THREE FOUR FIVE
audio/RES0130.mp3[30.640,50.000]	UH YEAH I WOULD SAY YEAH MAYBE LIKE LIKE FIVE OR SIX AND IT KIND OF STARTED UM IT WAS REALLY INFREQUENT AND SO IT DIDNT REALLY WELL I THOUGHT IT WAS JUST THE USUAL SMOKING BUT ITS BEEN GETTING WORSE OVER THESE LAST OVER THESE PAST SIX MONTHS
audio/RES0130.mp3[50.000,58.760]	OKAY AND UM THE BLOOD IN THE COUGH WHEN DID THAT START
audio/RES0130.mp3[58.760,63.720]	SO THAT STARTED ABOUT UH ABOUT TWO WEEKS AGO
audio/RES0130.mp3[63.720,75.840]	TWO WEEKS AGO OKAY UM HOW MUCH BLOOD ARE YOU COUGHING UP LIKE IF UH LIKE IS IT THE SIZE OF YOUR PALM IS IT MORE THAN THAT LESS THAN THAT
audio/RES0130.mp3[75.840,88.440]	UH I WOULD SAY LESS THAN THAT LIKE EACH TIME THERES MAYBE TO ABOUT THE SIZE OF I DONT KNOW UH LIKE A LOONEY SO LIKE INSIDE OF THE PALM
audio/RES0130.mp3[88.440,94.600]	OKAY SURE UM AND ARE YOU EXPERIENCING ANY SHORTNESS OF BREATH ALONG WITH YOUR COUGH
audio/RES0130.mp3[94.600,125.520]	YEAH NOW THAT YOU MENTION IT I HAVE BEEN ITS UH YOU KNOW I THOUGHT THAT WAS JUST KIND OF ME GETTING OLDER AND THE SMOKING BUT IVE CERTAINLY BEEN ABLE I HAVENT BEEN ABLE TO WALK AS FAR AND EVEN UH TO THE END OF THE DRIVEWAY GETTING THE MAIL NOW IS IS PRETTY ILL GET SHORT OF BREATH BEFORE I USED TO BE ABLE TO WALK A LOT FURTHER THAN THAT JUST A COUPLE OF YEARS AGO
audio/RES0130.mp3[125.520,131.920]	YEAH FOR SURE UM AND SORRY YOU SAID YOU MENTIONED YOU MENTIONED YOU HAD SOME WHEEZING AS WELL RIGHT
audio/RES0130.mp3[131.920,136.240]	UM I HAVENT REALLY HAD ANY NOTICED ANY WHEEZING
audio/RES0130.mp3[136.240,141.840]	NO OKAY UM AND HAVE YOU HAD A FEVER RECENTLY
audio/RES0130.mp3[143.160,149.160]	WEIGHT LOSS
audio/RES0130.mp3[149.160,158.040]	UM YEAH NOW THAT YOU MENTION IT MAYBE MAYBE A LITTLE BIT LIKE 5 TO 10 POUNDS OVER THE LAST THE LAST MONTH
audio/RES0130.mp3[158.040,166.200]	LAST MONTH OKAY UM ANY CHILLS FEVER SORRY CHILLS OR NIGHT SWEATS
audio/RES0130.mp3[166.200,173.240]	NO UM NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0130.mp3[173.240,178.080]	OKAY ANY RASHES
audio/RES0130.mp3[178.360,182.440]	CHANGES IN YOUR VISION OR HEARING
audio/RES0130.mp3[183.600,187.880]	UM HOW ABOUT A STUFFY OR RUNNY NOSE
audio/RES0130.mp3[187.880,192.680]	NO I HAVENT HAD ANY SYMPTOMS LIKE THAT
audio/RES0130.mp3[192.680,197.480]	OKAY UM AND THEN CHANGE IN YOUR SMELL OR TASTE
audio/RES0130.mp3[197.480,201.040]	NO THATS BEEN NORMAL
audio/RES0130.mp3[201.040,205.440]	OKAY AND HOW ABOUT CHEST PAIN
audio/RES0130.mp3[205.440,209.000]	NO I HAVENT HAD ANY CHEST PAIN
audio/RES0130.mp3[209.000,212.960]	OKAY UM AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0130.mp3[212.960,215.440]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0130.mp3[215.440,223.680]	OKAY HOW ABOUT CALF PAIN WHEN YOU WALK LIKE MORE THAN A BLOCK OR TWO
audio/RES0130.mp3[223.680,226.600]	NO I HAVENT HAD ANY SYMPTOMS LIKE THAT
audio/RES0130.mp3[226.600,231.560]	OKAY ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0130.mp3[231.560,233.880]	NO THINGS HAVE BEEN NORMAL THERE
audio/RES0130.mp3[233.880,237.640]	OKAY ANY NAUSEA OR VOMITING
audio/RES0130.mp3[239.000,241.320]	UH CHANGES TO YOUR URINE
audio/RES0130.mp3[242.480,245.200]	NO UH HEADACHES
audio/RES0130.mp3[245.200,252.520]	EVERY ONCE IN A WHILE ILL GET A HEADACHE BUT ITS THEYRE PRETTY MILD USUALLY ILL TAKE AN ADVIL AND THEY GO AWAY
audio/RES0130.mp3[252.520,258.760]	SURE UM HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0130.mp3[258.760,264.880]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0130.mp3[264.880,268.680]	OKAY UM ANY CONFUSION OR MEMORY LOSS
audio/RES0130.mp3[268.680,276.840]	UH I GUESS I UM FORGET THINGS A LITTLE MORE EASILY NOW BUT THATS JUST PART OF GETTING OLDER
audio/RES0130.mp3[276.840,291.200]	OKAY SURE UM AND THEN OTHER QUESTIONS I HAVE FOR YOU ARE UM ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MAJOR MEDICAL MEDICAL CONDITIONS
audio/RES0130.mp3[291.200,309.320]	UH I HAVE ARTHRITIS UM IN MY KNEES AND UH HANDS UM SO I HAVE A LOT OF PAIN FROM THAT SOMETIMES AND I ALSO HAVE HIGH BLOOD PRESSURE AND UM GER
audio/RES0130.mp3[311.520,314.080]	OR ACID REFLUX YEAH
audio/RES0130.mp3[314.080,318.840]	SURE DO YOU TAKE ANY MEDICATIONS FOR THESE THINGS
audio/RES0130.mp3[318.840,332.400]	UM YEAH ILL TAKE TYLENOL UM FOR THE ARTHRITIS AND SOMETIMES USE SOME LIKE TOPICAL CREAMS FOR MY KNEES UM AND UH I I TAKE AMLODIPINE AS WELL I THINK FOR THE BLOOD PRESSURE
audio/RES0130.mp3[332.400,340.400]	OKAY OKAY AND UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0130.mp3[340.400,358.480]	YEAH YEAH I REMEMBER GETTING ONE NOT TOO LONG AGO ACTUALLY WELL SEVEN YEARS AGO I GUESS NOW BUT I DIDNT REALIZE THAT WE UH HAD TO GET ANYMORE
audio/RES0130.mp3[358.480,368.640]	UM SO YEAH AFTER YOU TURN 65 THEY SHOULDVE GIVEN YOU THE SHINGRIX FOR SHINGLES AND PNEUMOCOCCAL VACCINE DOES THAT SOUND FAMILIAR
audio/RES0130.mp3[368.640,373.120]	YEAH IT DOES YEAH I JUST DIDNT KNOW ABOUT THEM UNTIL THAT TIME
audio/RES0130.mp3[373.120,379.240]	OKAY YEAH SURE ANY ALLERGIES THAT YOU HAVE
audio/RES0130.mp3[379.240,381.400]	UH I DONT THINK SO
audio/RES0130.mp3[381.400,384.960]	NO HOW ABOUT FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0130.mp3[384.960,398.040]	MY UH GRANDFATHER HAD HAD LUNG CANCER AND HE WAS IN HIS UH 70S WHEN HE WHEN HE PASSED AWAY I REMEMBER
audio/RES0130.mp3[398.040,405.120]	OKAY OKAY AND DO YOU CURRENTLY SMOKE
audio/RES0130.mp3[405.120,419.160]	I DO YES YEAH I I SMOKE UM I DONT KNOW MAYBE HALF A PACK A DAY NOW WHICH IS ITS A LOT LESS THAN I USED TO I WAS SMOKING TWO PACKS A DAY AT ONE POINT
audio/RES0130.mp3[419.160,433.080]	OKAY WELL CONGRATULATIONS ON CUTTING DOWN UM YEAH IF YOU NEED HELP CUTTING THAT DOWN EVEN MORE LET US KNOW WE HAVE RESOURCES THAT YOU MAY BE ABLE TO USE
audio/RES0130.mp3[433.080,437.120]	YEAH ABSOLUTELY THANK YOU
audio/RES0130.mp3[437.120,444.120]	YEAH NO PROBLEM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT
audio/RES0130.mp3[444.120,454.240]	YEAH SINCE I OH CBDROPS I AT NIGHT I FIND THAT HELPS WITH UH SLEEP AND AND THE PAIN IN MY KNEES
audio/RES0130.mp3[454.240,458.600]	OH OKAY ARE THOSE PRESCRIBED DROPS
audio/RES0130.mp3[458.600,466.840]	UM WELL I DO BUY I GET THEM FROM UH LIKE THE UH THE OCS STORE I THINK THEYRE CALLED
audio/RES0130.mp3[466.840,474.960]	OKAY YEAH OKAY THATS GOOD THAT YOURE GETTING THEM FROM LIKE AN OFFICIAL STORE
audio/RES0130.mp3[474.960,489.920]	YEAH THEYRE FOR THEY WERE UH MY FRIEND SAID THAT THEY WORKED FOR HER AND SO I JUST GAVE THEM A TRY AND I I FOUND THAT THEYVE HELPED
audio/RES0130.mp3[489.920,492.360]	OKAY GOOD UM AND WHERE DO YOU LIVE RIGHT NOW AND WHO DO YOU LIVE WITH
audio/RES0130.mp3[492.360,500.600]	YEAH SO I LIVE IN UH IN AN APARTMENT WITH MY WITH MY HUSBAND
audio/RES0130.mp3[500.600,509.400]	OKAY AND ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS IN THIS APARTMENT
audio/RES0130.mp3[509.400,517.640]	NO I DONT BELIEVE SO ITS RELATIVELY NEW WE JUST MOVED OUT OF OUR HOUSE UH JUST TO MAKE IT A LITTLE EASIER ON US
audio/RES0130.mp3[517.640,528.960]	OKAY YEAH FOR SURE UM HAVE YOU BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0130.mp3[528.960,535.520]	NO I DONT THINK SO IVE BEEN SPENDING A LOT OF TIME AT AT HOME UH WITH MY HUSBAND AND HES BEEN OKAY
audio/RES0130.mp3[535.520,539.720]	OKAY GOOD HOW ABOUT TRAVEL
audio/RES0130.mp3[539.720,547.640]	NO WEVE BEEN PRETTY SCARED WITH UH COVIAND ALL THAT SO WEVE BEEN STAYING STAYING HOME FOR THE MOST PART
audio/RES0130.mp3[547.640,555.760]	OKAY OKAY GOOD UM THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR ME
audio/RES0130.mp3[555.760,567.720]	NO I WAS JUST REALLY CONCERNED WHEN I STARTED TO SEE UM THE BLOOD COMING UP MORE RECENTLY AND SO I WAS JUST HOPING TO GET THIS FIGURED OUT
audio/RES0130.mp3[567.720,649.240]	YEAH FOR SURE UM SO THEYRE A COUPLE OF THINGS WERE GONNA WORK YOU UP FOR UM BECAUSE SOME OF YOUR SYMPTOMS OVERLAP WITH COVIWELL START BY GETTING A COVISWAB AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UM WE WILL ALSO DO A CHEST XRAY UM TO LOOK FOR ANY SIGNS OF LUNG CANCER UM AND THEN IF WE SEE CONSOLIDATION OR ANYTHING THAT WOULD INDICATE UM LIKE A MASS IN YOUR LUNGS WE WILL DISCUSS OPTIONS FOR LIKE BIOPSIES WHICH IS THE GOLD STANDARD FOR DIAGNOSING LUNG CANCERS ALSO I KNOW YOU HAVENT HAD ANY RECENT TRAVEL OR ANYTHING LIKE THAT AND YOUR SYMPTOMS HAVE BEEN GOING ON FOR A LONG TIME BUT UH IT MAY ALSO BE WORTHWHILE TO UH ALSO CHECK FOR THINGS LIKE TB WHICH COULD ALSO CAUSE YOU TO COUGH UP BLOOD UM SO WELL START WELL START FROM THERE AND THEN IF THOSE COME BACK NEGATIVE THEN WELL WORK YOU UP FURTHER FOR OTHER THINGS THAT YOU MAY HAVE BUT ARE LIKE MORE RARE HOW DOES THAT SOUND
audio/RES0130.mp3[649.240,651.680]	THAT SOUNDS LIKE A GOOD PLAN THANK YOU
audio/RES0130.mp3[651.680,653.000]	OKAY GREAT NO PROBLEM
audio/RES0133.mp3[0.000,2.360]	HOW MAY I HELP YOU
audio/RES0133.mp3[2.360,20.800]	HI UM IM HERE BECAUSE I I HAD THIS COUGH FOR A COUPLE DAYS AND NOW MY VOICE STILL HASNT RECOVERED IT SOUNDS REALLY HOARSE AND I CANT SPEAK AS WELL SO I WAS JUST WONDERING IF YOU CAN GIVE ME SOMETHING FOR THAT
audio/RES0133.mp3[20.800,40.320]	POSSIBLY WE WILL SEE JUST GOTTA ASK A FEW QUESTIONS FIRST AND WELL WELL DO A PHYSICAL EXAM AS WELL AFTERWARDS BUT CERTAINLY WELL LOOK INTO WHAT IS CAUSING YOUR SYMPTOMS SO YOU MENTIONED A COUGH WHEN DID THAT EXACTLY START
audio/RES0133.mp3[40.320,43.200]	THAT STARTED THREE DAYS AGO
audio/RES0133.mp3[43.200,47.200]	OKAY AND HAVE YOU HAD A COUGH BEFORE
audio/RES0133.mp3[47.200,49.840]	UM LIKE BEFORE THE THREE DAYS YOU MEAN
audio/RES0133.mp3[50.800,54.800]	UM NO I WAS PRETTY HEALTHY BEFORE THEN
audio/RES0133.mp3[54.800,60.520]	I SEE AND UH WITH THE COUGH ARE YOU PRODUCING ANY PHLEGM OR SPUTUM
audio/RES0133.mp3[60.520,63.960]	NO ITS PRETTY DRY
audio/RES0133.mp3[63.960,67.240]	OKAY HAVE YOU NOTICED ANY BLOOD
audio/RES0133.mp3[69.040,71.680]	ALRIGHT AND HAVE YOU HAD A WHEEZE
audio/RES0133.mp3[71.680,75.520]	NO UH NO NOTHING LIKE THAT
audio/RES0133.mp3[75.520,82.000]	ALRIGHT AND HAVE YOU HAD ANY UH CHEST PAIN WITH THE COUGH
audio/RES0133.mp3[83.240,89.440]	ALRIGHT UH AND YOU NOTICED THAT YOUR VOICE IS VOICE CHANGED AND THAT WAS ABOUT 3 DAYS AGO AS WELL
audio/RES0133.mp3[89.440,98.600]	YEAH THAT SO WELL NO ACTUALLY THAT STARTED ABOUT YESTERDAY YEAH YESTERDAY IN THE AFTERNOON
audio/RES0133.mp3[98.600,111.960]	OKAY AND UH ANY TRIGGERS FOR THIS LIKE WERE YOU AT ANY EVENTS THAT YOU HAD TO BE UH KIND OF SPEAKING LOUDLY OR TALKING A LOT OR ANYTHING WHERE YOURE STRAINING YOUR VOICE
audio/RES0133.mp3[111.960,123.520]	UM NO NO I WASNT I WAS LIKE I HAD SCHOOL I CAME HOME I DIDNT DO ANYTHING LIKE THAT
audio/RES0133.mp3[123.520,134.920]	OKAY YEAH SO IT SOUNDS YEAH JUST SORT OF CAME ON ON ITS OWN ALRIGHT AND HAVE YOU HAD ANY LIKE EYE REDNESS OR DISCHARGE OR A RUNNY NOSE
audio/RES0133.mp3[134.920,141.640]	I HAVE HAD UH IVE HAD A RUNNY NOSE BEFORE BUT NO EYE DISCHARGE
audio/RES0133.mp3[141.640,149.880]	OKAY WITH THE RUNNY NOSE WHAT WHAT WHAT COULD YOU DESCRIBE THE UH MUCUS THAT WAS COMING OUT
audio/RES0133.mp3[149.880,153.280]	UH IT WAS IT WAS CLEAR
audio/RES0133.mp3[153.280,157.160]	AND HAS THAT GONE AWAY NOW AND THEN WHEN WAS THE RUNNY NOSE
audio/RES0133.mp3[157.160,165.640]	YEAH THATS GONE YEAH THATS GONE THAT WENT AWAY BUT LIKE UM YEAH TWO DAYS AGO MAYBE
audio/RES0133.mp3[165.640,171.040]	I SEE AND HAVE YOU HAD A SORE THROAT OR DO YOU HAVE A SORE THROAT
audio/RES0133.mp3[171.040,181.280]	UM I HAVE SO IT HURTS BECAUSE IM COUGHING BUT IT DOESNT SEEM LIKE ITS MY ACTUAL THROAT
audio/RES0133.mp3[181.280,188.640]	ALRIGHT IS THERE ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS
audio/RES0133.mp3[190.000,195.080]	OKAY UM AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0133.mp3[196.960,199.200]	OR ANY ANY NIGHT SWEATS
audio/RES0133.mp3[200.560,204.800]	AND ANY CHANGES TO YOUR WEIGHT RECENTLY
audio/RES0133.mp3[204.800,213.880]	UM IVE HAD SOME WEIGHT GAIN OVER THE PAST LIKE SIX MONTHS
audio/RES0133.mp3[213.880,218.800]	OKAY WELL THATS GREAT AND ABOUT HOW MUCH
audio/RES0133.mp3[218.800,223.480]	UH JUST MAYBE LIKE 5 10 POUNDS 5 TO 10 POUNDS SOMEWHERE AROUND THERE
audio/RES0133.mp3[223.480,230.000]	OKAY WELL THATS GOOD AND UM HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0133.mp3[232.920,237.200]	HOW ABOUT ANY ABDOMINAL PAIN
audio/RES0133.mp3[237.200,238.800]	UH NO
audio/RES0133.mp3[238.800,241.440]	ANY UH DIARRHEA
audio/RES0133.mp3[242.640,244.680]	OR ANY URINARY PROBLEMS
audio/RES0133.mp3[246.080,249.800]	HAVE YOU HAD ANY MUSCLE ACHES OR OR JOINT PAINS
audio/RES0133.mp3[249.800,251.840]	UH NO
audio/RES0133.mp3[251.840,260.840]	OKAY AND HAVE YOU HAD ANY LOSS OF YOUR TASTE OR SENSE OF SMELL
audio/RES0133.mp3[262.520,267.000]	OKAY UM AND ANY SKIN CHANGES OR RASHES
audio/RES0133.mp3[267.000,271.600]	NOPE NOTHING LIKE THAT
audio/RES0133.mp3[271.600,289.280]	OKAY UH AND UM SO YOUVE BEEN EXPERIENCING SO YOU HAD A RUNNY NOSE THATS GONE AWAY UM AND NOW YOUVE BEEN HAVING THIS COUGH FOR THE PAST DRY COUGH PAST THREE DAYS AND LOST YOUR VOICE YESTERDAY HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0133.mp3[289.280,293.280]	UM NO NO OTHER SYMPTOMS
audio/RES0133.mp3[293.280,298.760]	ALRIGHT IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0133.mp3[298.760,301.080]	UH NO IVE BEEN PRETTY HEALTHY
audio/RES0133.mp3[301.080,312.680]	THATS GREAT AND U HAVE YOU BEEN UM HAVE YOU HAD ANY ALLERGIES BEFORE
audio/RES0133.mp3[313.840,317.800]	OKAY AND UH DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/RES0133.mp3[317.800,322.280]	UH I JUST TAKE SOME MULTIVITAMINS
audio/RES0133.mp3[322.280,327.760]	OKAY AND UH ARE YOU AWARE IF YOUR IMMUNIZATIONS ARE UP TO DATE
audio/RES0133.mp3[327.760,335.960]	UH SO I HAVE EVERYTHING EXCEPT FOR THAT HPV VACCINE
audio/RES0133.mp3[335.960,342.480]	OKAY UM IS IT DO YOU HAVE A PLAN TO GET THAT ONE OR
audio/RES0133.mp3[342.480,352.160]	I THINK SO IM JUST UH WAITING TO FOLLOW UP WITH MY FAMILY DOCTOR ABOUT THAT
audio/RES0133.mp3[352.160,379.040]	OKAY WELL THAT THATS A GOOD IDEA FOR SURE SO ITS GREAT THAT YOU HAVE A PLAN FOR THAT UM FOR THAT YEAH IT CAN BE REALLY HELPFUL FOR PREVENTING CERVICAL CANCER AS AS IM SURE YOULL TALK TO THE WITH THE FAMILY DOCTOR ABOUT YEAH AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY SURGERIES
audio/RES0133.mp3[379.040,381.560]	UH NO
audio/RES0133.mp3[381.560,386.240]	OKAY UM WHERE ABOUT ARE YOU LIVING RIGHT NOW AND WHO ARE LIVING WITH
audio/RES0133.mp3[386.240,394.520]	I LIVE UH WITH MY PARENTS UM AND MY TWO YOUNGER SIBLINGS WE LIVE IN A HOUSE
audio/RES0133.mp3[394.520,400.000]	HAS ANYBODY ELSE BEEN SICK OR HAVE SIMILAR SYMPTOMS
audio/RES0133.mp3[400.000,404.080]	UH NO NO ONE AT HOMES BEEN SICK
audio/RES0133.mp3[404.080,415.080]	OKAY AND UH HOW ABOUT ANYBODY AT SCHOOL OR OR WORK OR ANYTHING LIKE THAT THAT YOUVE BEEN AROUND WHOS BEEN SICK
audio/RES0133.mp3[415.080,430.960]	SO ONE OF MY FRIENDS ACTUALLY HAD LIKE A RUNNY NOSE AND A COUGH AS WELL A COUPLE OF DAYS AGO BUT UH SHE SEEMS TO BE BETTER NOW AND HER VOICE IS OKAY
audio/RES0133.mp3[430.960,437.280]	OKAY AND UM HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE CITY OR PROVINCE
audio/RES0133.mp3[437.280,443.720]	NO NO NOT RECENTLY
audio/RES0133.mp3[443.720,458.240]	ALRIGHT AND UM IN THE HOME IS THERE ANY UH LIKE ARE YOU EXPOSED TO ANY VIOLENCE OF ANY SORT LIKE PHYSICAL OR EMOTIONAL EITHER YOURSELF OR OR WITNESSING
audio/RES0133.mp3[459.680,462.840]	OKAY AND WHAT GRADE ARE YOU IN
audio/RES0133.mp3[462.840,467.240]	IM IN GRADE 7 OR YEAH GRADE 7 NOW
audio/RES0133.mp3[467.240,477.160]	OH AWESOME AND UH I DONT IS THERE ANY SMOKING IN THE HOME
audio/RES0133.mp3[477.160,485.760]	UH NO NO ONE SMOKES AT HOME
audio/RES0133.mp3[485.760,490.240]	OKAY UM AND THEN UM ANYBODY IN THE FAMILY UH HAVE ANY HEART OR LUNG CONDITIONS
audio/RES0133.mp3[490.240,506.680]	HEART OR LUNG I KNOW UM LIKE HEART DISEASE RUNS ON MY FATHERS SIDE OF THE FAMILY IM NOT REALLY SURE LIKE EXACTLY WHAT WHAT KIND OF DISEASES THOUGH
audio/RES0133.mp3[506.680,519.280]	OKAY UM AND I SOMETIMES PEOPLE THAT KIND OF IN THIS AGE GROUP MIGHT EXPERIENCE WITH EITHER DRUGS OR ALCOHOL HAVE ANY OF YOUR FRIENDS DONE THAT OR OR YOURSELF
audio/RES0133.mp3[519.280,534.800]	I KNOW LIKE SOME OF MY FRIENDS HAVE UH TRIED ALCOHOL AND TRY MARIJUANA BUT I HAVENT EXPERIMENTED YET
audio/RES0133.mp3[534.800,545.400]	OKAY THATS GOOD AND UM I THATS ALL I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD
audio/RES0133.mp3[545.400,559.360]	OH NOTHING THAT I WANT TO ADD I JUST WHAT DO YOU HOW DO YOU THINK I CAN MAKE THIS MAKE MY VOICE BETTER AND HOW LONG WILL I HAVE HAVE THIS HORSE VOICE
audio/RES0133.mp3[559.360,588.600]	YEAH SO UH RIGHT NOW ITS SOUNDING LIKE UM A VIRAL TYPE ILLNESS WHERE THERES INFLAMMATION OF THE VOCAL CORDS UH WITH HAVING THE COUGH AND THE RUNNY NOSE A COUPLE OF DAYS AGO ACTUALLY THIS REMINDS ME THAT HAVE YOU IM NOT SURE IF I ASKED ABOUT FEVERS OR CHILLS IF YOU HAVE ANY
audio/RES0133.mp3[588.600,590.400]	UH NO I HAVENT
audio/RES0133.mp3[590.400,640.680]	OKAY UM AND SO FOR IF IT IS A VIRAL INFECTION THEN UM ITS JUST SUPPORTIVE KIND OF MANAGEMENT SO THAT WILL MEAN TRYING TO STAY AS HYDRATED AS YOU POSSIBLY CAN OVER THESE NEXT UM NEXT FEW DAYS AND THEN ALSO YOU CAN USE THINGS LIKE IF THEY HELP LIKE LOZENGES OR SOMETHING ALONG THOSE LINES UM BUT IT WILL IT WILL JUST TAKE SOME TIME FOR IT TO COME BACK ON ITS OWN A FEW DAYS TO A COUPLE OF WEEKS SOMETIMES AND THE COUGH COULD POSSIBLY LAST FOR UM TWO TO FOUR WEEKS AFTER UM AFTER HAVING A VIRAL TYPE ILLNESS
audio/RES0133.mp3[642.640,659.960]	YEAH SO IT COULD BE QUITE A FEW WEEKS THAT THE SYMPTOMS LAST FOR BUT SINCE YOURE HAVING A COUGH AND THESE SYMPTOMS COULD OVERLAP WITH COVIWELL WANT TO GET A COVISWAB TODAY AS WELL UM AND KIND OF GO FROM THERE
audio/RES0133.mp3[659.960,665.200]	OKAY OKAY THAT SOUNDS GOOD THANK YOU
audio/RES0143.mp3[0.000,2.960]	WHAT CAN I DO FOR YOU TODAY
audio/RES0143.mp3[2.960,29.440]	HI UH SO I JUST CAME HERE TODAY UH IVE BEEN HAVING THIS COUGH FOR UM THE LAST TWO WEEKS AND IT JUST IS NOT GOING AWAY IVE ALSO BEEN GETTING LIKE JUST A RUNNY NOSE FOR THE LAST COUPLE I WOULD TAKE THE WHOLE WEEK ALL OF LAST WEEK
audio/RES0143.mp3[29.440,34.560]	OKAY UM SO CAN YOU TELL ME ABOUT YOUR COUGH
audio/RES0143.mp3[37.080,38.040]	GO ON SORRY
audio/RES0143.mp3[38.040,43.680]	SO ITS MORE OF JUST LIKE A DRY COUGH IM NOT REALLY BRINGING ANYTHING UP
audio/RES0143.mp3[43.680,44.960]	NO BLOOD
audio/RES0143.mp3[46.800,54.520]	OKAY AND THE RUNNY NOSE WHAT WHATS THE DISCHARGE LIKE
audio/RES0143.mp3[54.520,63.080]	UH ITS ITS PRETTY CLEAR IT MIGHT BE LIGHT BUT ITS NOT LIKE GREEN OR YELLOW OR ANYTHING LIKE THAT
audio/RES0143.mp3[63.080,72.600]	UM AND SO YOUVE HAD THIS COUGH FOR TWO WEEKS AND THE RUNNY NOSE JUST STARTED LAST WEEK HAS THE COUGH IMPROVED OVER THE PAST TWO WEEKS
audio/RES0143.mp3[72.600,95.440]	UH IT HAS LIKE IT WAS MUCH WORSE LAST WEEK UH BUT I JUST CANT GET LIKE ITS BETTER NOW BUT ITS STILL LASTING MUCH LONGER THAN IVE HAD A COUGH BEFORE
audio/RES0143.mp3[95.440,99.560]	OKAY UM AND UH HAVE YOU HAD A HEADACHE AT ALL IN THESE PAST TWO WEEKS
audio/RES0143.mp3[99.560,110.480]	NO I DIDNT HAVE A HEADACHE BUT SOMETIMES I FEEL A BIT CONGESTED
audio/RES0143.mp3[110.480,121.880]	AND UH HAVE YOU HAD ANY UM CHANGES IN YOUR VISION OR YOUR LIKE UH BLURRY VISION OR ANY REDNESS IN YOUR EYES OR TEARING
audio/RES0143.mp3[121.880,124.520]	UH NO NOTHING LIKE THAT
audio/RES0143.mp3[124.520,129.400]	OKAY ANY UM CHANGES IN SMELL
audio/RES0143.mp3[129.920,136.160]	OKAY ANY CHANGE IN UH TASTE
audio/RES0143.mp3[136.160,153.680]	UH NO BUT UH SORRY FOR SMELL LIKE WHEN I WAS A BIT CONGESTED I I COULD SMELL LESS I WASNT ABLE TO SMELL TOO MUCH BUT TASTE HAS BEEN FINE
audio/RES0143.mp3[153.680,156.560]	ALRIGHT AND WHAT ABOUT UH SORE THROAT
audio/RES0143.mp3[156.560,158.360]	NO NO NO SORE THROAT
audio/RES0143.mp3[158.360,164.400]	OKAY WHAT ABOUT ANY DIFFICULTIES WITH BREATHING
audio/RES0143.mp3[164.400,167.680]	UM NO NOTHING LIKE THAT
audio/RES0143.mp3[167.680,169.480]	ANY CHEST PAIN
audio/RES0143.mp3[170.560,177.000]	ANY PALPITATIONS OR RACING OF YOUR HEART
audio/RES0143.mp3[177.800,180.120]	ANY PAIN IN YOUR BELLY
audio/RES0143.mp3[181.520,183.840]	NAUSEA OR VOMITING
audio/RES0143.mp3[183.840,185.400]	NO NO
audio/RES0143.mp3[185.400,188.160]	DIARRHEA OR CONSTIPATION
audio/RES0143.mp3[189.360,193.760]	ANY ACHES IN YOUR ANY MUSCLE ACHES
audio/RES0143.mp3[195.000,199.480]	ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FEET
audio/RES0143.mp3[201.320,205.000]	UM OKAY UH ANY FEVERS OR CHILLS
audio/RES0143.mp3[205.000,218.440]	NO NOT REALLY LAST WEEK I MAYBE HAD A UH TWO NIGHTS I WAS A BIT CHILLY BUT SINCE THEN IVE BEEN FINE
audio/RES0143.mp3[218.440,223.360]	OKAY AND UH ANY NIGHT SWEATS
audio/RES0143.mp3[223.360,224.680]	UH NO
audio/RES0143.mp3[224.680,227.920]	UNINTENTIONAL WEIGHT LOSS
audio/RES0143.mp3[227.920,232.440]	NO MY WEIGHTS BEEN THE SAME
audio/RES0143.mp3[232.440,256.800]	OKAY ALRIGHT AND UM SO IT SOUNDS LIKE YOU HAVE A COUGH THAT STARTED TWO WEEKS AGO AND THEN YOU ONLY AND THEN YOU HAD TWO NIGHTS OF UH TWO NIGHTS WHERE YOU FELT SORT OF COLD AND YOU HAD THE CHILLS UM LAST WEEK BUT YOU UH STARTED YOU DEVELOPED A RUNNY NOSE UM A WEEK AGO
audio/RES0143.mp3[256.800,264.800]	YEAH THE RUNNY NOSE HAS BEEN MORE UM THIS WEEK IT KIND OF LIKE STARTED WITH A COUGH LAST WEEK
audio/RES0143.mp3[264.800,269.640]	IT IT SORRY SO IT STARTED WITH THE COUGH LAST WEEK
audio/RES0143.mp3[269.640,275.800]	UM SO LATE LAST WEEK I WOULD SAY THE RUNNY NOSE STARTED
audio/RES0143.mp3[275.800,288.880]	I SEE I SEE OKAY UM ALRIGHT I AND UM ARE YOU UM DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0143.mp3[288.880,293.600]	NO IVE BEEN UH COMPLETELY HEALTHY OTHERWISE
audio/RES0143.mp3[293.600,300.040]	ANY MEDICATIONS THAT YOU TAKE INCLUDING OVER THE COUNTER OR HERBAL MEDICATIONS OR VITAMINS OR MINERALS
audio/RES0143.mp3[300.040,303.840]	NO NO I DONT TAKE ANY MEDICATION
audio/RES0143.mp3[303.840,310.040]	ALLERGIES INCLUDING ALLERGIES TO FOOD OR ENVIRONMENTAL ALLERGIES AND ALLERGIES TO MEDICATIONS
audio/RES0143.mp3[310.040,312.720]	UM NO
audio/RES0143.mp3[312.720,319.600]	UM AND ANY CONDITIONS MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0143.mp3[319.600,329.080]	UM I THINK MY DAD HAS UH HIGH CHOLESTEROL
audio/RES0143.mp3[329.080,332.800]	AND IN TERMS OF YOUR LIVING SITUATION DO YOU LIVE ALONE
audio/RES0143.mp3[332.800,344.800]	RIGHT NOW IM UH I USUALLY LIVE IN A DORM GOING TO UNIVERSITY BUT RIGHT NOW IM HOME WITH MY PARENTS UH JUST DOING VIRTUAL LEARNING
audio/RES0143.mp3[344.800,356.440]	OKAY OKAY UM AND HAVE YOU UM IS THERE ANYONE ELSE AROUND IN THE HOME OR JUST YOUR PARENTS AND YOU
audio/RES0143.mp3[356.440,360.240]	YEAH JUST MY PARENTS AND ME
audio/RES0143.mp3[360.240,366.480]	ALRIGHT UH HAVE YOU UM HAVE YOU BEEN AROUND SOMEONE WHO MIGHT BE SICK OR HAVE YOUR PARENTS BEEN AROUND SOMEONE WHO COULD BE SICK
audio/RES0143.mp3[366.480,374.600]	UH MY MOM HAD THE SNIFFLES LIKE LAST WEEK BUT SHE PRETTY MUCH GOT OVER IT
audio/RES0143.mp3[374.600,377.880]	UM DID SHE GET TESTED FOR COVID
audio/RES0143.mp3[377.880,390.240]	NO SHE SHE DIDNT UM BUT ITS NOT LIKE ITS JUST MORE SHE JUST THOUGHT IT WAS A COLD OR SOMETHING SO SHE DIDNT REALLY BOTHER
audio/RES0143.mp3[390.240,403.560]	THATS FAIR OKAY UM AND DO YOU UM SO I SEE THAT YOU GO TO SCHOOL UM AND YOU MENTIONED YOU HAVE YOU TRAVELED ANYWHERE OUTSIDE THE THE PROVINCE
audio/RES0143.mp3[403.560,407.200]	NO NOT AT ALL MY SCHOOL IS ACTUALLY IN ONTARIO SO
audio/RES0143.mp3[407.200,415.240]	OKAY GREAT UM AND DO YOU CURRENTLY OR HAVE YOU EVER SMOKED
audio/RES0143.mp3[415.240,422.800]	UM MAYBE LIKE UH A COUPLE TIMES JUST CASUALLY IVE TRIED IT BUT NOTHING REGULAR
audio/RES0143.mp3[422.800,426.400]	AND WHAT ABOUT MARIJUANA
audio/RES0143.mp3[426.400,431.960]	YEAH SAME SAME THING LIKE IVE TRIED IT PROBABLY LIKE FOUR OR FIVE TIMES SO FAR
audio/RES0143.mp3[431.960,434.960]	ANY RECREATIONAL DRUGS
audio/RES0143.mp3[434.960,436.280]	UH NO
audio/RES0143.mp3[436.280,439.400]	ANY UH ALCOHOL
audio/RES0143.mp3[439.400,447.960]	UH YEAH JUST NOT NOT MUCH RIGHT NOW BUT LIKE WHEN I WHEN WE WERE AT SCHOOL LIKE WE WOULD DRINK ON THE WEEKENDS
audio/RES0143.mp3[447.960,507.320]	THATS GOOD ALRIGHT UM SO IT SOUNDS LIKE YOUVE HAD A COUGH FOR THE PAST TWO WEEKS AND YOU UH HAVE DEVELOPED A RUNNY NOSE LAST WEEK AND YOUR MOM WAS ILL THE WEEK BEFORE ITS POSSIBLE THAT YOU JUST HAVE A COMMON COLD UH AND THAT SYMPTOMS WILL GET BETTER OVER TIME BUT JUST IN CASE WE WOULD ALSO LIKE TO DO A COVISWAB UM TO MAKE SURE THAT YOU JUST TO RULE OUT COVIIN THE MEANTIME I WOULD REQUEST THAT YOU ISOLATE SELF ISOLATE AT HOME STAY AWAY FROM YOUR PARENTS AS WELL UM THE TEST RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND PUBLIC HEALTH WILL GIVE YOU A CALL IF YOUR RESULTS ARE POSITIVE AND WELL LET YOU KNOW WHAT TO DO UM WE WILL ALSO DO A PHYSICAL EXAM HERE AND CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AT ALL AND UM YEAH DOES THAT SOUND GOOD TO YOU
audio/RES0143.mp3[507.320,519.160]	YEAH AND WILL I NEED ANY LIKE ANTIBIOTICS FOR MY COUGH
audio/RES0143.mp3[519.160,524.200]	OH UM WELL WE I GUESS YOU SAID THAT YOU DONT HAVE A SORE THROAT AT ALL RIGHT
audio/RES0143.mp3[524.200,531.640]	NO ITS JUST THAT I JUST FEEL LIKE THE COUGHS BEEN JUST GOING ON LIKE IT WOULD BE NICE TO JUST GET RID OF IT
audio/RES0143.mp3[531.640,568.680]	WELL UM ILL DO A PHYSICAL EXAM LOOK INSIDE YOUR THROAT LOOK INSIDE YOUR MOUTH SORRY AND LISTEN TO YOUR CHEST AND UH ENSURE THAT NOTHING ELSE IS GOING ON THAT YOU DONT HAVE ANYTHING LIKE SAY STREP THROAT OR MONO OR YOU DONT HAVE UH PNEUMONIA UH BACTERIAL PNEUMONIA FOR INSTANCE OFTENTIMES UM SYMPTOMS THAT YOU HAVE ARE CAUSED BY VIRUSES AND DONT NEED TO BE TREATED WITH ANTIBIOTICS UH BUT ILL DO A PHYSICAL EXAM AND MAYBE HAVE A LOOK AT YOUR LABS AS WELL AND THEN DECIDE ACCORDINGLY
audio/RES0143.mp3[568.680,570.480]	OKAY SOUNDS GOOD THANK YOU
audio/RES0144.mp3[0.000,2.080]	WHAT CAN I DO FOR YOU TODAY
audio/RES0144.mp3[2.080,22.840]	HI YES I JUST BROUGHT MY SON TO THE ER WEVE NOTICED IN THE LAST TWO DAYS HES BEEN JUST MAKING THESE GRUNTING NOISES AND JUST SEEMS A LITTLE BIT LIKE JUST NOT HIMSELF JUST MORE QUIET NOT REALLY CRYING
audio/RES0144.mp3[22.840,31.960]	OK AND WHEN DID YOU YOU SAID LAST FEW DAYS WHEN WHEN EXACTLY DID YOU FIRST NOTICE THE GRUNTING HOW LONG
audio/RES0144.mp3[31.960,39.800]	IT WAS TWO DAYS AGO
audio/RES0144.mp3[39.800,45.880]	OK TWO DAYS AGO WAS IT WHEN DID YOU HEAR THIS SOUND WHEN YOUR BABY IS TRYING TO BREATHE
audio/RES0144.mp3[45.880,58.480]	YEAH TODAY I WAS TRYING TO PAY MORE ATTENTION IT SEEMS LIKE THAT LIKE THIS REALLY TRYING TO BREATHE MORE AND ALSO I LIKE HES LIKE THE CHEST I SEE MOVING A LOT MORE
audio/RES0144.mp3[58.480,82.120]	OK AND SO YOUVE BEEN HEARING THIS GRUNTING SOUND AND HES BEEN TRYING TO BREATHE AND YOU SEE THAT HIS CHEST IS MOVING MORE THAN USUAL AND HES CRYING HAS HE BEEN SLEEPING WELL OR NO
audio/RES0144.mp3[82.120,96.320]	UH YEAH SO LAST NIGHT IT WAS REALLY HARD TO GET HIM TO SLEEP HE DID SLEEP I WOULD SAY LIKE AROUND LIKE 4 HOURS LAST NIGHT BUT IT WAS REALLY DIFFICULT
audio/RES0144.mp3[96.320,101.720]	AND WHAT ABOUT FEEDING DOES HE TAKE A FORMULA OR IS HE BREASTFED
audio/RES0144.mp3[101.720,114.600]	SO HES UH HE TAKES FORMULA AND TODAY IT LIKE YESTERDAY HE WAS FEEDING TODAY ITS BEEN REALLY HARD TO GET HIM TO FEED MAYBE HE FED FOR LIKE ONE OR TWO TIMES BUT NOT MUCH
audio/RES0144.mp3[114.600,117.120]	IT HAPPENS WHEN YOU TRY TO FEED HIM
audio/RES0144.mp3[117.120,131.160]	UHM KIND OF JUST UH AFTER AWHILE JUST PUSHES IT AWAY NOT REALLY UHM YEAH UHM NOT REALLY TOO EXCITED ABOUT FEEDING
audio/RES0144.mp3[131.160,140.720]	OK AND WHAT ABOUT DIAPERS HOW MANY WET DIAPERS HAS HE HAD OVER THE PAST OR YESTERDAY AND TODAY
audio/RES0144.mp3[140.720,156.040]	PROBABLY AROUND THE SAME LIKE USUALLY HAS LIKE FIVE TO SIX WEIGHT DIAPERS AND ITS AROUND THE SAME
audio/RES0144.mp3[156.040,167.240]	OK OK UHM AND DID YOU TRY ANYTHING I KNOW THAT HES SIX MONTHS OLD DID YOU TRY FEEDING HIM ANYTHING NEW OR ANYTHING DIFFERENT
audio/RES0144.mp3[167.240,170.160]	UH NO ITS JUST BEEN THE BOTTLE FEEDS
audio/RES0144.mp3[170.160,173.160]	NOTHING NEW RIGHT NO SOLID FOODS YET
audio/RES0144.mp3[175.400,189.240]	OK AND UH IN TERMS OF HIS ACTIVITIES YOU MENTIONED THAT HES NOT AS HES NOT MOVING AND AS ACTIVE AS HE USUALLY IS
audio/RES0144.mp3[189.240,201.560]	YEAH TODAY I ALSO THOUGHT I FELT THAT IT WAS A BIT WARM WARMER THAN USUAL BUT I DIDNT HAVE A THERMOMETER AT HOME
audio/RES0144.mp3[201.560,208.440]	OK UHM HAVE YOU NOTICED HAS HE BEEN DROOLING AT ALL
audio/RES0144.mp3[214.760,218.560]	NO I HAVENT NOTICED THAT
audio/RES0144.mp3[218.560,222.640]	OK WHAT ABOUT COUGHING
audio/RES0144.mp3[222.640,232.200]	UHM I HAVENT HEARD ANY ANY COUGHING NO
audio/RES0144.mp3[232.200,238.000]	OK SORRY IS HE IS ABLE TO SIT UP ON HIS OWN
audio/RES0144.mp3[238.000,244.120]	UHM UP AGAINST LIKE A SOFA OR CHAIR BUT NOT REALLY ON HIS OWN
audio/RES0144.mp3[244.120,251.520]	HAVE YOU EVER BEEN HAS BEEN LEFT ALONE OVER THE PAST TWO DAYS AT SOME POINT DO YOU FEEL LIKE YOU MIGHT HAVE TAKEN SOMETHING IN HIS MOUTH ACCIDENTALLY
audio/RES0144.mp3[251.520,257.640]	UHM NO I I TRIED CHECKING HIS MOUTH LIKE I WAS THERE WITH HIM LIKE ALL ALL THE TIME
audio/RES0144.mp3[257.640,266.400]	NO OK NOTHING LIKE THAT OK HOW HAS HIS IMMUNIZATIONS BEEN SO FAR HAS HE AS HE RECEIVED THEM
audio/RES0144.mp3[266.400,275.120]	YEAH HES RECEIVED ALL HIS IMMUNIZATIONS UP TO DATE
audio/RES0144.mp3[275.120,288.240]	UHM DID HE HAVE IT HAS HE WAS VACCINATED ANYTIME RECENTLY BECAUSE SOMETIMES YOU SAID HES WARM AND SOMETIMES SOMETIMES JUST GETTING VACCINATED CAN CAUSE A REACTION
audio/RES0144.mp3[288.240,292.960]	YEAH NO HE WAS VACCINATED LIKE I THINK MORE THAN TWO OR THREE WEEKS AGO
audio/RES0144.mp3[292.960,299.000]	OK ALRIGHT AND YOU SAID NO DIARRHEA OR ANYTHING LIKE THAT RIGHT
audio/RES0144.mp3[299.960,308.720]	OK ANY IS HE DOES HE HAVE ANY NAUSEA OR NOT NAUSEA BUT IS HE VOMITING IS HE BRINGING ANYTHING UP
audio/RES0144.mp3[308.720,318.080]	NO NOT REALLY LIKE HE WAS JUST PUSHING AWAY THE BOTTLE BUT LIKE HE DIDNT BRING ANYTHING UP
audio/RES0144.mp3[318.080,322.560]	OK HAS HE BEEN LIMP AND LETHARGIC
audio/RES0144.mp3[322.560,325.960]	UHM NO I DONT THINK SO
audio/RES0144.mp3[325.960,338.880]	OK HAS YOU SAID THAT HE HASNT HAD HIS FORMULA MUCH BUT WHAT ABOUT DRINKING LIKE HAS HE HAD ANYTHING TO DRINK ANY MILK OR ANYTHING LIKE THAT OR NO
audio/RES0144.mp3[338.880,340.400]	NO I DONT THINK SO
audio/RES0144.mp3[340.400,343.960]	NO SHE HASNT HAD MUCH TO EAT AND OR DRINK OVER THE PAST OR TODAY
audio/RES0144.mp3[343.960,344.680]	YEAH MOSTLY
audio/RES0144.mp3[344.680,348.120]	SO HE MIGHT BE A LITTLE BIT DEHYDRATED
audio/RES0144.mp3[358.400,379.200]	OK UHM OK WELL UHM I I OK SO THATS ALL I WANTED TO DO KNOW IN TERMS OF HIS CURRENT STATUS I WOULD OBVIOUSLY WANT TO EXAMINE HIM VERY CAREFULLY AND SEE WHATS GOING ON UHM HOW HAS UH HOW IS HE LIKE JUST GOING BACK HOW WAS YOUR PREGNANCY
audio/RES0144.mp3[379.200,395.680]	PREGNANCY WAS UH OK NO COMPLICATIONS BUT HE WAS PREMATURE BY TWO WEEKS SO I THINK HE WAS BORN AT 35 AND FOUR DAYS
audio/RES0144.mp3[395.680,404.960]	OK AND WERE THERE ANY COMPLICATIONS AT THAT TIME INCLUDING COMPLICATIONS RELATED TO THE LUNG SOMETHING LIKE RESPIRATORY DISTRESS SYNDROME
audio/RES0144.mp3[404.960,421.120]	YEAH SO WHEN HE WAS BORN THERE WAS THEY NEEDED TO DO I FORGOT WHAT IT WAS BUT THEY TOLD ME THAT INITIALLY HE WASNT BREATHING BUT THEN RIGHT AFTERWARDS AFTER LIKE WITHIN 5 MINUTES HE WAS FINE
audio/RES0144.mp3[421.120,433.160]	HMM UHM OK UHM WAS HE KEPT IN THE HOSPITAL IN THE NICU AFTER BEING BORN
audio/RES0144.mp3[433.160,446.640]	YEAH JUST BECAUSE OF THAT SCARE THEY KEPT HIM FOR THREE MORE DAYS BUT LIKE HE WAS GROWING WHILE THERE WERE NO MORE EPISODES OF THE BREATHING ISSUE SO THEY LET HIM GO AFTER
audio/RES0144.mp3[446.640,453.560]	OK UHM HAS HOW HAS HE BEEN SINCE THEN OVER THE PAST SIX MONTHS
audio/RES0144.mp3[453.560,466.480]	SINCE THEN HES BEEN FINE NO WE DIDNT HAVE TO GO TO THE HOSPITAL OR ANYTHING AND DURING OUR ROUTINE VISITS HES BEEN GROWING WELL NO NORMAL ISSUES
audio/RES0144.mp3[466.480,469.200]	ANY ISSUES BECAUSE DEVELOPMENT
audio/RES0144.mp3[469.200,475.760]	NO HES BEEN PRETTY LIKE HES BEEN MEETING HIS MILESTONES ACCORDING TO LIKE THE FAMILY DOCTOR
audio/RES0144.mp3[475.760,486.960]	HAS HE HAD ANY SURGERIES OR ANY OR NO HOSPITALIZATIONS YOU SAID AND NO UHM NO DIAGNOSIS RIGHT HE HASNT BEEN DIAGNOSED WITH ANY CONDITION
audio/RES0144.mp3[488.000,496.520]	ALRIGHT CAN YOU TELL ME ABOUT ALLERGIES IS HE ALLERGIC TO ANYTHING THAT YOURE AWARE OF
audio/RES0144.mp3[496.520,498.200]	NO NOT THAT I KNOW
audio/RES0144.mp3[498.200,510.080]	OK IS THERE UH CAN YOU TELL ME ABOUT HIS FAMILY HISTORY ANYTHING THAT YOU MIGHT HAVE OR UHM HIS DAD OR ANYONE ELSE IN THE FAMILY
audio/RES0144.mp3[510.080,517.040]	UH NO HIM HIS DAD AND I ARE PRETTY HEALTHY YEAH NO MEDICAL CONDITIONS
audio/RES0144.mp3[517.040,520.200]	ANYTHING LIKE CYSTIC FIBROSIS IN THE FAMILY
audio/RES0144.mp3[520.200,530.560]	NO NOT THAT I KNOW OF
audio/RES0144.mp3[530.560,568.040]	OK ALRIGHT WELL WELL EXAMINE THE CHILD AND LOOK AT HIS VITALS LISTEN TO HIS LUNGS LOOK LOOK INSIDE HIS MOUTH AND THATS THIS SOUNDS SERIOUS SO WELL KEEP YOU WELL KEEP YOU UPDATED AND WELL LET YOU KNOW WHAT NEEDS TO BE DONE HE MIGHT NEED POTENTIALLY NEED ANTIBIOTICS HE MIGHT NEED POTENTIALLY TO BE INTUBATED BUT WE WILL HAVE ALL THESE DISCUSSIONS AFTER THE BABYS BEEN SEEN AND WELL DRAW SOME LABS AND GO FROM THERE
audio/RES0144.mp3[568.040,569.120]	OK SOUNDS GOOD
audio/RES0144.mp3[570.120,575.320]	THANK YOU
audio/MSK0039.mp3[0.000,2.240]	WHAT BRINGS YOU IN
audio/MSK0039.mp3[2.240,41.880]	UH I JUST CAME IN TODAY I THINK I BROKE MY LEG OR SOMETHING ITS SOMETHING THAT WAS I HEARD A SNAP I WAS IN UM JUST A DANCE CLASS UM AND WE HAVE LIKE THESE LONG UH DRESSES IT IT WAS A TRADITIONAL DANCE CLASS AND MY FOOT UH SLIPPED RIGHT ONTO IT GOT CAUGHT IN MY DRESS AND IT JUST KIND OF SLIPPED AND I I FELT RIGHT ON MY MY LEG KIND OF TWISTED AND I FELL DOWN AND I JUST STAYED DOWN I KNEW SOMETHING WAS NOT RIGHT AND SOMETHING WAS BROKEN
audio/MSK0039.mp3[41.880,43.800]	WHEN DID THIS HAPPEN
audio/MSK0039.mp3[43.800,47.000]	JUST UH I WOULD SAY LIKE AN HOUR AGO
audio/MSK0039.mp3[47.000,52.160]	HOUR AGO OK ARE YOU ABLE TO BEAR ANY WEIGHT ON IT AT ALL
audio/MSK0039.mp3[52.160,57.000]	NO NOT REALLY I I HAD TO COME IN THE AMBULANCE
audio/MSK0039.mp3[57.000,64.960]	OK OK AND UM IF YOU WERE TO LOCALIZE THIS PAIN WHERE EXACTLY IS IT
audio/MSK0039.mp3[64.960,79.600]	ITS PRETTY MUCH MY WHOLE LOWER LEG IS PAINFUL BUT I THINK WHERE IT LOOKS LIKE IT BROKE IS LIKE THE MIDDLE PART OF MY LOWER LEG
audio/MSK0039.mp3[79.600,88.000]	THE MIDDLE PART OK MIDDLE PART OF YOUR LOWER LEG SO KIND OF WHERE YOUR SHINS ARE
audio/MSK0039.mp3[89.400,96.640]	OK SO IN THE SHIN AREA OK UM HAVE YOU TRIED ANYTHING FOR IT I KNOW ITS ONLY BEEN AN HOUR
audio/MSK0039.mp3[96.640,105.360]	UH NO NOTHING I JUST LIKE I JUST WANT TO MAKE SURE I KEEP IT AS STILL AS POSSIBLE UM I DIDNT WANNA EVEN TRY ANYTHING
audio/MSK0039.mp3[105.360,115.440]	OK YEAH THAT MAKES SENSE IF YOU WERE TO DESCRIBE THIS PAIN WOULD YOU SAY ITS UM SHARP DULL ACHY THROBBING
audio/MSK0039.mp3[115.440,122.720]	ITS LIKE SHARP AND THROBBING ITS LIKE PROBABLY ONE OF THE WORST PAINS THAT IVE FELT IN MY LIFE
audio/MSK0039.mp3[122.720,128.880]	OK OK AND 1 TO 10 10 BEING THE WORST PAIN EVER HOW BAD IS IT
audio/MSK0039.mp3[128.880,130.320]	AT 10 FOR SURE
audio/MSK0039.mp3[130.320,143.120]	TEN OK HAVE YOU SO YOU SAID YOUVE NEVER EXPERIENCED THIS BEFORE UM DO YOU FEEL LIKE ITS GETTING WORSE THE PAIN OR HAS IT BEEN PRETTY MUCH THE SAME SINCE IT STARTED OR IS IT GETTING BETTER
audio/MSK0039.mp3[143.120,150.200]	UH I WOULD SAY ITS THE SAME ITS LIKE IM IN AS MUCH PAIN AS I WAS EARLIER
audio/MSK0039.mp3[150.200,177.200]	OK OK AND UM SO YEAH OK UM DO YOU KNOW HOW YOU FELT LIKE ON THE FLOOR LIKE DID YOU UH GO LIKE LEG FIRST OR WAS IT DID YOUR UM KIND OF LIKE THE MECHANISM OF YOUR FALL DID YOU BREAK THE FALL AT ALL WITH YOUR ARMS
audio/MSK0039.mp3[177.200,204.080]	UH NO I DIDNT BREAK IT KIND OF SO I WAS KIND OF UH I FEEL LIKE WHEN I WAS SLIPPING IT WAS AT FIRST MY LEG WAS HYPER EXTENDED BUT IT KIND OF JUST FELT LIKE IT SNAPPED AND IT WENT STRAIGHT DOWN SO THERE WAS SOME KIND OF TWISTING AS WELL AS SOME HYPEREXTENSION UM BUT IT JUST KIND OF SLIPPING ON MY DRESS AND THEN JUST STRAIGHT DOWN
audio/MSK0039.mp3[204.080,211.000]	OK OK UM OTHERWISE DO YOU HAVE ANY PAIN ELSEWHERE IN YOUR BODY
audio/MSK0039.mp3[212.800,219.080]	HOW ABOUT ANY NUMBNESS OR TINGLING IN THE AREA
audio/MSK0039.mp3[219.080,234.000]	UM I DO FEEL SOME NUMBNESS TINGLING JUST BELOW WHERE IT HAPPENED UM BUT IT LIKE COMES AND GOES
audio/MSK0039.mp3[234.000,245.480]	OK UM AND THEN HOW ABOUT HOW ABOUT ANY UM LIKE FEELINGS OF LIKE LOSING SENSATION OR FEELING COLD IN THAT AREA
audio/MSK0039.mp3[245.480,251.600]	UM NO I I CAN FEEL EVERYTHING IN THAT AREA
audio/MSK0039.mp3[253.120,256.840]	BUT ITS HARD TO TELL LIKE ITS JUST VERY PAINFUL RIGHT NOW
audio/MSK0039.mp3[256.840,262.440]	OK YEAH THATS UNDERSTANDABLE UM HOW ABOUT HEADACHES
audio/MSK0039.mp3[262.440,263.960]	NO NO HEADACHES
audio/MSK0039.mp3[263.960,266.840]	UH ANY FAINTING OR DIZZINESS
audio/MSK0039.mp3[267.960,273.560]	UM CONFUSION OR MEMORY LOSS
audio/MSK0039.mp3[275.280,278.360]	UM WEIGHT LOSS RECENTLY
audio/MSK0039.mp3[279.160,281.400]	FEVERS OR CHILLS
audio/MSK0039.mp3[282.600,287.200]	UH CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/MSK0039.mp3[287.200,289.040]	NO NOTHING THAT IVE NOTICED
audio/MSK0039.mp3[289.040,293.320]	NO ANY CHANGES TO YOUR VISION HEARING SMELL OR TASTE
audio/MSK0039.mp3[294.680,301.120]	UM HOW ABOUT COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0039.mp3[301.120,303.240]	NO NO NOTHING LIKE THAT
audio/MSK0039.mp3[303.240,309.640]	NO OK UM HOW ABOUT CHEST PAIN OR PALPITATIONS
audio/MSK0039.mp3[310.680,314.560]	NO ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/MSK0039.mp3[314.560,316.560]	UH NO NOT THAT IVE NOTICED
audio/MSK0039.mp3[316.560,319.360]	UH NAUSEA OR VOMITING
audio/MSK0039.mp3[320.200,323.120]	ABDOMINAL PAIN
audio/MSK0039.mp3[323.400,327.400]	CHANGES TO URINARY HABITS
audio/MSK0039.mp3[327.400,330.320]	NO NOTHING LIKE THAT
audio/MSK0039.mp3[330.320,333.920]	NO OK UM AND ARE YOU OTHERWISE HEALTHY
audio/MSK0039.mp3[333.920,343.280]	YEAH IVE BEEN PRETTY HEALTHY I UM DONT TAKE ANY MEDICATIONS REGULARLY I DONT HAVE ANY MEDICAL CONDITIONS
audio/MSK0039.mp3[343.280,348.480]	OK THATS GOOD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/MSK0039.mp3[348.480,365.480]	NO UM JUST JUST FOR LIKE MY PREGNANCIES I HAD TWO PREGNANCIES BOTH OF THEM DELIVERED VAGINALLY BUT NO ISSUES WITH THAT JUST AFTER THAT NO HOSPITALIZATIONS OR SURGERIES
audio/MSK0039.mp3[365.480,374.040]	OK OK UM AND THEN UM ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/MSK0039.mp3[375.040,380.160]	OK THATS GOOD UM DO YOU HAVE ANY ALLERGIES
audio/MSK0039.mp3[380.160,382.160]	NO NOT THAT I KNOW OF
audio/MSK0039.mp3[382.160,390.800]	OK UM AND THEN IS THERE ANY FAMILY HISTORY OF LIKE MUSCULOSKELETAL ISSUES
audio/MSK0039.mp3[390.800,396.760]	UM SO MY MOTHER HAS SOMETHING CALLED OSTEOPOROSIS
audio/MSK0039.mp3[396.760,397.960]	OK YEP
audio/MSK0039.mp3[397.960,403.120]	UM BUT THATS THATS ALL THAT I CAN THINK OF
audio/MSK0039.mp3[403.120,406.760]	HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT
audio/MSK0039.mp3[406.760,410.400]	UM PROBABLY IN HER FIFTIES
audio/MSK0039.mp3[410.400,411.600]	IN HER FIFTIES OK
audio/MSK0039.mp3[411.600,413.400]	LATE FIFTIES I WOULD SAY
audio/MSK0039.mp3[413.400,418.400]	UM HAVE YOU BEEN HAVE YOU EVER LIKE BEEN TESTED FOR THAT
audio/MSK0039.mp3[418.400,421.960]	NO IVE NEVER IVE NEVER HAD TESTING
audio/MSK0039.mp3[421.960,430.080]	OK ALL RIGHT UM AND THEN ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/MSK0039.mp3[431.160,433.160]	UH HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0039.mp3[433.160,436.360]	UH NO NOT THAT I KNOW OF
audio/MSK0039.mp3[436.360,439.400]	ANY CANCERS
audio/MSK0039.mp3[439.400,447.320]	UH I THINK ONE OF MY AUNTS HAS UH OVARIAN CANCER
audio/MSK0039.mp3[447.320,454.320]	OK OK UM HOW OLD WAS SHE WHEN SHE WAS DIAGNOSED WITH THAT
audio/MSK0039.mp3[454.320,465.680]	UM LIKE PRETTY UH RECENTLY SO PROBABLY LIKE IN HER SIXTIES
audio/MSK0039.mp3[465.680,470.160]	OK OK UM AND THEN HAVE YOU BEEN IN TOUCH WITH ANYONE SICK RECENTLY
audio/MSK0039.mp3[472.760,479.680]	NO OK HAVE YOU DONE ANY TRAVEL RECENTLY
audio/MSK0039.mp3[481.600,489.520]	OK UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING YOU WANTED TO ADD BEFORE WE MOVE TO THE PHYSICAL EXAM COMPONENT
audio/MSK0039.mp3[489.520,495.440]	NO I JUST WANT TO GET THIS FIXED AS SOON AS POSSIBLE
audio/MSK0039.mp3[495.440,499.640]	OK THAT SOUNDS GOOD YEAH WELL WELL TRY OUR BEST
audio/MSK0039.mp3[499.640,501.120]	THANK YOU
audio/MSK0039.mp3[501.120,513.920]	UM OK SO NOW LOOKING AT YOUR LEGS LIKE SIDE BY SIDE DO YOU NOTICE ANY UH REDNESS OR SWELLING IN YOUR RIGHT LEG COMPARED TO YOUR LEFT
audio/MSK0039.mp3[513.920,520.400]	YEAH ITS ALL ITS ALL SWOLLEN AND RED AND JUST LOOKS SO MUCH DIFFERENT THAN MY OTHER LEG
audio/MSK0039.mp3[520.400,528.000]	OK YEAH UM DO YOU NOTICE ANY OBVIOUS LIKE BREAKS IN THE SKIN
audio/MSK0039.mp3[528.000,538.680]	NO THERES NO BREAKS IN THE SKIN BUT LIKE WHEN I FELL LIKE I I CAN DEFINITELY SEE LIKE THE BEND THERE IS LIKE A BEND IN THE BONE SO I DEFINITELY DO THINK ITS BROKEN
audio/MSK0039.mp3[538.680,542.680]	OK AND DO YOU NOTICE ANY LIKE BONY PIECES THAT ARE PUSHING ON THE SKIN
audio/MSK0039.mp3[544.720,549.160]	NO OK UH ANY BRUISES IN THE AREA
audio/MSK0039.mp3[549.160,552.680]	YEAH THE WHOLE AREA SEEMS BRUISED UP AND ANGRY
audio/MSK0039.mp3[552.680,564.440]	OK UM DOES UH BESIDES THE BRUISING AND THE MISALIGNMENT DO YOU NOTICE ANY OTHER OBVIOUS DEFORMITIES ANY MUSCLE ATROPHY IN THE AREA
audio/MSK0039.mp3[566.320,573.800]	NO OK AND THEN UH PLACING YOUR HAND ON ONE LEG COMPARED TO THE OTHER DOES IT SEEM WARMER
audio/MSK0039.mp3[573.800,578.560]	YEAH I FEEL LIKE ITS ITS WARMER
audio/MSK0039.mp3[578.560,593.120]	OK UM AND THEN IM GONNA TRY TO GET YOU TO DO SOME MOVEMENTS UM CAN YOU MOVE YOUR RIGHT LEG AT ALL LIKE CAN YOU FLEX AND EXTEND YOUR KNEES
audio/MSK0039.mp3[593.120,598.560]	NO NOT NOT AT ALL LIKE I IM IM TOO SCARED TO TRY
audio/MSK0039.mp3[598.560,612.040]	OK AND HOW ABOUT WEIGHT BEARING ARE YOU ABLE TO STAND UP AT ALL ON THAT LEG
audio/MSK0039.mp3[612.040,624.600]	NO I JUST I JUST GOT TIME TO CALL THE AMBULANCE I KNEW I KNEW IT WAS JUST NOT POSSIBLE
audio/MSK0039.mp3[624.600,703.840]	OK ALRIGHT UM I GUESS THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU UM I THINK YOU MAY HAVE A TIBIAL FRACTURE SO WELL START WITH SOME X RAYS UM TO BE SURE AND TO TRY TO TAKE A LOOK AT LIKE WHERE THE FRACTURE IS AND HOW WE CAN APPROACH THAT UM BECAUSE EVERYTHING IS SWOLLEN AND ANGRY DOWN THERE WELL PROBABLY TRY AND UM APPLY A SPLINT UM UNTIL THE SWELLING GOES DOWN AND THEN UM WE CAN UH REFER YOU TO AN ORTHOPAEDIC SURGEON FOR A SURGIC FOR THE SURGERY ITSELF SO THAT COULD UM INVOLVE LIKE UH  YOU KNOW THEM DOING LIKE AND INTRAMEDULLARY NAIL PLATES AND SCREWS AND UM LIKE SOME SORT OF FIXATION UM BUT AFTER THE SURGERY YOUR FRACTURE WILL PROBABLY TAKE ABOUT FOUR TO SIX MONTHS TO HEAL COMPLETELY UH SO IN THAT PERIOD UM WE CAN TALK ABOUT LIKE PAIN MANAGEMENT AND PHYSIOTHERAPY AS WELL JUST TO KEEP THE MUSCLES IN THAT AREA STRONG AND TO INCREASE YOUR RANGE OF MOTION DOES THAT SOUND OK
audio/MSK0039.mp3[703.840,706.320]	THAT SOUNDS GOOD ALRIGHT THANK YOU SO MUCH
audio/MSK0039.mp3[706.320,708.240]	OK YEAH NO WORRIES
audio/RES0159.mp3[0.000,2.320]	WHAT BRINGS YOU IN TODAY
audio/RES0159.mp3[2.320,26.760]	HI UH SO I JUST CAME IN TODAY UH IVE KIND OF PUT IT OFF FOR A BIT BUT IVE BEEN HAVING THIS COUGH UH FOR THE LAST FIVE TO SIX MONTHS AND IT SEEMS TO BE GETTING WORSE AND OVER THE LAST MONTH IVE ALSO BEEN BECOMING MORE SHORT OF BREATH SO I JUST WANTED TO COME AND CHECK IF I NEED TO DO ANYTHING
audio/RES0159.mp3[26.760,35.000]	YEAH THAT THAT ITS ITS REALLY GOOD THAT YOU DECIDED TO COME IN UM HOW BAD IS YOUR SHORTNESS OF BREATH
audio/RES0159.mp3[35.000,54.480]	UM SO USUALLY LIKE I I WOULD BE ABLE TO WALK A FEW BLOCKS UM NO PROBLEM BUT NOW I HAVE TO TAKE A BREAK AND CATCH MY BREATH AND EVEN GOING UP AND DOWN STAIRS HAS BEEN TOUGH
audio/RES0159.mp3[54.480,63.920]	UM DO YOU FEEL THAT UH DO YOU FEEL THAT YOUR UH DIFFICULTY WITH BREATHING IS WORSE WHEN YOURE EXERTING YOURSELF
audio/RES0159.mp3[63.920,76.440]	UM YEAH ITS DEFINITELY WORSE BUT I ALSO JUST LIKE NORMALLY EVEN WHEN IM RESTING I FEEL LIKE I HAVE TO UM TAKE IN LIKE MUCH DEEPER BREATHS
audio/RES0159.mp3[76.440,81.360]	DO YOU EVER WAKE UP IN THE MIDDLE OF THE NIGHT GASPING FOR AIR
audio/RES0159.mp3[81.360,83.640]	UH NO NOTHING LIKE THAT
audio/RES0159.mp3[83.640,90.840]	DO YOU FEEL LIKE YOU HAVE TO RAISE YOUR HEAD OR HAVE MULTIPLE PILLOWS TO SLEEP AT NIGHT SO YOU DONT FEEL SHORT OF BREATH
audio/RES0159.mp3[90.840,94.520]	NO NOTHING LIKE THAT
audio/RES0159.mp3[94.520,103.680]	OK UHM AND THIS COUGH THAT YOUVE HAD FOR THE PAST FIVE OR SIX MONTHS DID YOU SAY ITS GETTING WORSE
audio/RES0159.mp3[103.680,123.760]	UM YEAH IT ITS BOTH THE SHORTNESS OF BREATH AND THE COUGH ARE GETTING WORSE AND ALSO JUST IVE BEEN HAVING SOME EVEN SOME DISCOMFORT AND PAIN WHEN TAKING THOSE DEEP BREATHS NOW TOO SO AND THATS BEEN HAPPENING FOR PROBABLY THE LAST COUPLE WEEKS
audio/RES0159.mp3[123.760,138.800]	I SEE UM IS IT A DRY COUGH THAT YOU HAVE OR OR DO YOU BRING UP ANY GUNK OR ANY MUCUS
audio/RES0159.mp3[138.800,145.320]	UM ITS MAINLY JUST A LIKE A LIKE A DRY COUGH
audio/RES0159.mp3[145.320,150.600]	HAVE YOU EVER COUGHED UP ANY BLOOD OR ANYTHING LIKE THAT
audio/RES0159.mp3[150.600,159.960]	NO I HAVENT I DONT THINK IVE SEEN ANY BLOOD
audio/RES0159.mp3[159.960,165.640]	OK UHM DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE ANY FEVERS OR CHILLS
audio/RES0159.mp3[165.640,183.400]	UM NOT FEVERS BUT I I HAVE BEEN GETTING NIGHT SWEATS UM FOR THE LAST COUPLE WEEKS TO MAYBE EVEN A MONTH OR ONCE OR TWICE A WEEK I JUST WAKE UP COMPLETELY DRENCHED
audio/RES0159.mp3[183.400,187.600]	AND HAVE YOU HAD ANY UNINTENTIONAL WEIGHT LOSS
audio/RES0159.mp3[187.600,200.040]	YEAH NOW THAT YOU MENTION IT I PROBABLY LOST 15 POUNDS IN THE LAST TWO MONTHS
audio/RES0159.mp3[200.040,207.040]	OK UHM HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS ALL OVER YOUR BODY DO YOU FEEL ACHY
audio/RES0159.mp3[207.040,215.880]	YEAH BUT IVE PROBABLY FELT LIKE THAT FOR THE LAST FIVE YEARS UM SO I HAVE UH OSTEOARTHRITIS
audio/RES0159.mp3[217.120,221.560]	SO I DONT THINK THATS ANYTHING NEW
audio/RES0159.mp3[221.560,227.560]	UM HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS
audio/RES0159.mp3[228.840,231.880]	ANY ABDOMINAL PAIN
audio/RES0159.mp3[231.880,237.360]	NO NOT THAT IVE NOTICED
audio/RES0159.mp3[237.360,240.920]	OK ANY HEADACHES
audio/RES0159.mp3[240.920,245.160]	UM NO NOTHING LIKE THAT
audio/RES0159.mp3[245.160,252.280]	UHM OK UH HAVE YOU HAD ANY FALLS IN THE PAST OR IN THE PAST COUPLE OF MONTHS OR YEARS
audio/RES0159.mp3[252.280,255.280]	NO NO IVE BEEN LUCKY
audio/RES0159.mp3[255.280,257.920]	GOOD ANY CONFUSION
audio/RES0159.mp3[259.480,263.400]	UH ANY TIME WHEN YOUVE LOST CONSCIOUSNESS
audio/RES0159.mp3[263.400,266.240]	NOT THAT I KNOW OF NO
audio/RES0159.mp3[266.240,272.960]	OK UM AND ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0159.mp3[272.960,288.880]	UM SO I HAVE OSTEOARTHRITIS AND THEN I ALSO HAVE UM THIS CONDITION WITH MY PROSTATE UH BPH AND UM I ALSO TAKE MEDICATIONS FOR MY BLOOD PRESSURE
audio/RES0159.mp3[288.880,297.320]	UM WHAT MEDICATIONS DO YOU TAKE
audio/RES0159.mp3[297.320,303.720]	UM I TAKE UM THIS MEDICATION CALLED UH LISINOPRIL
audio/RES0159.mp3[303.720,315.640]	ANYTHING ELSE
audio/RES0159.mp3[315.640,322.320]	UM I DO TAKE UH JUST PAIN MEDICATIONS LIKE ADVIL
audio/RES0159.mp3[322.320,333.880]	UM OK DO YOU TAKE ANYTHING TO PROTECT YOUR STOMACH WHEN YOURE TAKING THE ADVIL ANY OTHER MEDICATIONS
audio/RES0159.mp3[333.880,359.320]	YEAH I WAS GIVEN UM THIS OTHER MEDICATION FOR FOR TO TAKE WITH MY ADVIL LIKE BUT ITS ONLY WHEN IM TAKING ADVIL LIKE EVERY DAY UM AND UM I HAVENT REALLY BEEN TAKING THAT UM I PROBABLY TOOK THE LAST TIME I TOOK IT WAS PROBABLY A MONTH AGO
audio/RES0159.mp3[359.320,370.440]	OK OK THATS GOOD UM ARE YOU TAKING ANYTHING FOR YOUR UH BPH
audio/RES0159.mp3[370.440,378.120]	OH YEAH SORRY SO IM TAKING UH THIS MEDICATION CALLED TAMSULOSIN
audio/RES0159.mp3[378.120,382.560]	OK ALRIGHT ANY ALLERGIES TO MEDICATIONS OR OTHERWISE
audio/RES0159.mp3[382.560,385.000]	UH MOT THAT I KNOW OF NO
audio/RES0159.mp3[385.000,395.680]	OK ANY UM I GUESS SOCIAL HISTORY WHO DO YOU CURRENTLY LIVE WITH
audio/RES0159.mp3[395.680,409.480]	UH I LIVE ALONE RIGHT NOW IN MY APARTMENT I UM BUT I HAVE PRETTY GOOD SUPPORT FROM MY KIDS THEY JUST LIVE A FEW BLOCKS AWAY AND COME VISIT ME
audio/RES0159.mp3[409.480,419.760]	THATS GOOD THATS REALLY GOOD AND UH DO YOU ARE YOU ABLE TO UM TAKE CARE OF YOURSELF OR DO YOU NEED HELP WITH THINGS LIKE UM FINANCES AND GROCERIES AND CLEANING
audio/RES0159.mp3[419.760,424.360]	NO IM IM FAIRLY INDEPENDENT IN THOSE MATTERS
audio/RES0159.mp3[424.360,434.120]	OK DO YOU REQUIRE ANY ASSISTANCE UH WITH WALKING ANY CANE OR WALKER OR WHEELCHAIR ANYTHING LIKE THAT
audio/RES0159.mp3[434.120,436.640]	NO NOT YET
audio/RES0159.mp3[436.640,441.880]	OK GOOD GOOD DO YOU SMOKE AT ALL OR DID YOU EVER SMOKE IN THE PAST
audio/RES0159.mp3[441.880,446.080]	YEAH IVE BEEN SMOKING FOR MY WHOLE LIFE
audio/RES0159.mp3[446.080,451.680]	HOW LONG AND HOW MUCH AND FOR HOW MANY YEARS
audio/RES0159.mp3[451.680,476.280]	UM PROBABLY FOR ALMOST I GUESS 50 YEARS OR MAYBE EVEN MORE MAYBE LIKE 55 YEARS AND UH IVE BEEN SMOKING AT ONE POINT I EVEN SMOKED UP TO LIKE TWO TWO PACKS A DAY BUT NOW LIKE FOR THE LAST AT LEAST 20 30 YEARS ITS BEEN LIKE ONE PACK A DAY
audio/RES0159.mp3[476.280,481.760]	OK HAVE YOU EVER BEEN DIAGNOSED WITH ANY LUNG CONDITIONS
audio/RES0159.mp3[481.760,487.400]	UH NO
audio/RES0159.mp3[487.400,493.520]	OK HAVE YOU UM HAD ANY MARIJUANA OR ANY RECREATIONAL DRUGS
audio/RES0159.mp3[493.520,499.400]	UH NO NOTHING LIKE THAT
audio/RES0159.mp3[503.480,512.360]	OK UHM ALRIGHT UM YOU MENTIONED THAT THE COUGH STARTED 5 TO SIX MONTHS AGO HAVE YOU HAD A COUGH BEFORE THAT
audio/RES0159.mp3[512.360,534.200]	UM ITS HERE AND THERE LIKE MAYBE JUST WHEN I WAKE UP SOMETIMES BUT THIS IS KIND OF UH MORE FREQUENT AND I I DO FEEL JUST KIND OF THIS DISCOMFORT IN MY CHEST WHEN I TAKE THESE DEEP BREATHS AS WELL UM YEAH SO I I DONT REALLY KNOW WHATS GOING ON
audio/RES0159.mp3[534.200,540.680]	UM DO YOU GO TO YOUR FAMILY DOCTOR FOR YOUR UH HEALTH CHECKUPS
audio/RES0159.mp3[540.680,550.480]	I HAVENT BEEN FOR A WHILE FOR THE LAST FEW MONTHS BUT YEAH I GENERALLY DO GO TO MY FAMILY DOCTOR
audio/RES0159.mp3[550.480,570.920]	YOU DO OK UM HAVE YOU BEEN UH SOMETIMES FOR PEOPLE WHO HAVE BEEN SMOKING FOR A LONG TIME THEY DO UH THESE SCANS OF THE LUNGS UHM HAVE YOU BEEN GETTING THOSE
audio/RES0159.mp3[570.920,582.400]	NO I DONT REMEMBER THE LAST TIME I HAD ONE
audio/RES0159.mp3[582.400,594.760]	OK ALRIGHT UM OK THOSE ARE ALL THE QUESTIONS I HAD FOR YOU UHM WELL WELL DO A PHYSICAL EXAM AND UH DO YOUR VITALS UM AND SEE IF YOU UH DO SOME LABS AND THEN GO FROM THERE
audio/RES0159.mp3[594.760,598.480]	OK SOUNDS GOOD
audio/RES0159.mp3[598.480,603.160]	YOURE WELCOME
audio/RES0096.mp3[0.000,3.240]	UH HOW CAN I HELP YOU
audio/RES0096.mp3[3.240,10.600]	UH I HAVE JUST BEEN FEELING VERY SHORT OF BREATH RECENTLY
audio/RES0096.mp3[11.240,16.800]	AND I THOUGHT I SHOULD COME IN IVE ALSO HAD A IVE ALSO HAD A COUGH
audio/RES0096.mp3[16.800,31.640]	I SEE OK UHM AND WHEN DOES THIS SHORTNESS OF BREATH UHM COME ON HOW HOW MUCH ACTIVITY ARE YOU ABLE TO DO
audio/RES0096.mp3[31.640,34.000]	UHM I CAN WALK A BLOCK
audio/RES0096.mp3[34.560,38.680]	WITHOUT BEING SHORT OF BREATH
audio/RES0096.mp3[38.680,49.680]	AND PRIOR TO THIS CHANGE HOW FAR WERE YOU ABLE TO WALK AND AND HOW LONG AGO DID YOU DID YOU NOTICE THIS CHANGE
audio/RES0096.mp3[49.680,79.760]	UHM I I GUESS I COULD WALK UH I DONT KNOW ITS BEEN VERY I GUESS ITS ITS BEEN A GRADUAL CHANGE UHM MAYBE A MONTH A MONTH AGO I FELT THAT I COULDNT REALLY WALK AS MUCH AS I USED TO AND THEN ITS ONLY GOTTEN WORSE TWO OR THREE MONTHS AGO I COULD I COULD WALK A KILOMETRE OR TWO OR MORE
audio/RES0096.mp3[79.760,95.840]	OK SO QUITE A SIGNIFICANT CHANGE OVER THE LAST LITTLE WHILE HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT WITH WITH SHORTNESS OF BREATH AND YOU NEED TO SIT UP
audio/RES0096.mp3[96.120,100.120]	OK AND HOW MANY PILLOWS DO YOU SLEEP WITH
audio/RES0096.mp3[101.800,109.960]	OK AND HAVE YOU NOTICED ANY LIKE ANKLE SWELLING OR OR LEG SWELLING
audio/RES0096.mp3[111.560,118.840]	OK AND YOU MENTIONED COUGH WHEN DID THAT START
audio/RES0096.mp3[118.840,149.400]	IVE HAD A COUGH FOR A WHILE THE PAST FIVE TEN YEARS BUT I FEEL THAT ITS BEEN A LITTLE BIT MORE FREQUENT NOW ITS JUST I JUST GET INTO THIS COUGHING FIT AND I THINK THERE WAS A TIME WHEN I HAD A LITTLE BIT OF BLOOD COME OUT AS WELL ONCE OR TWICE THE COUGHING ALSO MAKES IT DIFFICULT FOR ME TO BREATHE YOU KNOW I FEEL VERY SHORT OF BREATH AFTER THAT
audio/RES0096.mp3[149.400,156.200]	YEAH CERTAINLY UHM HOW MUCH BLOOD HAVE YOU COUGHED UP
audio/RES0096.mp3[156.200,161.480]	OH I DONT KNOW I THINK IT WAS IT WAS A LITTLE BIT
audio/RES0096.mp3[161.480,167.440]	DID IT HAPPEN EACH TIME OR HAS IT ONLY BEEN A COUPLE OF TIMES
audio/RES0096.mp3[167.440,182.840]	I THINK MAYBE TWO OR THREE TIMES BUT THEN THERE HAVE ALSO BEEN TIMES WHEN I COUGH UP THIS THIS STUFF THAT I COUGH UP IS A LITTLE BIT PINK IN COLOR ITS NOT EXACTLY BLOOD BUT ITS ITS YOU KNOW PINKISH
audio/RES0096.mp3[182.840,189.120]	OK AND ARE YOU PRODUCING SPUTUM EACH TIME YOURE COUGHING UP
audio/RES0096.mp3[189.120,192.080]	MOST OF THE TIMES YES
audio/RES0096.mp3[192.080,199.800]	OK IS THIS A CHANGE FROM PREVIOUSLY DID YOU HAVE A DRY COUGH BEFORE
audio/RES0096.mp3[199.800,222.200]	A BIT MORE OF A DRY COUGH BEFORE BUT I MEAN SO SOMETIMES IT WILL BE A DRY COUGH SOMETIMES UH IT WAS MORE OF A WET COUGH BUT IT WAS IT WAS USUALLY JUST THIS WHITE THING COMING UP IT WASNT LIKE THERE WAS NEVER BLOOD BEFORE
audio/RES0096.mp3[222.200,228.600]	OK AND YOURE COUGHING MORE OFTEN AS WELL OVER THIS LAST MONTH
audio/RES0096.mp3[228.600,231.160]	OH YEAH OH YEAH
audio/RES0096.mp3[231.160,237.800]	OK HAVE YOU BEEN EXPERIENCING ANY ANY HEADACHES
audio/RES0096.mp3[239.600,245.920]	OK HOW ABOUT ANY EYE PAIN OR EAR PAIN
audio/RES0096.mp3[245.920,247.120]	NO NO NO
audio/RES0096.mp3[247.120,250.720]	HOW ABOUT ANY EYE REDNESS OR OR DISCHARGE
audio/RES0096.mp3[251.720,254.840]	ANY RUNNY NOSE OR SORE THROAT
audio/RES0096.mp3[256.400,261.840]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0096.mp3[261.840,274.920]	UHM I I CHECKED MY FEVERS I CHECKED MY TEMPERATURE UH COUPLE DAYS AGO ITS JUST BEEN THIS LITTLE BIT 30 I THINK IT WAS 38
audio/RES0096.mp3[274.920,278.520]	OK SO YEAH THAT WOULD BE A FEVER
audio/RES0096.mp3[278.520,281.240]	THAT WAS I THINK TWO WEEKS AGO
audio/RES0096.mp3[281.240,284.240]	OK DO YOU FEEL HOT NOW
audio/RES0096.mp3[284.240,288.760]	NOT REALLY NO
audio/RES0096.mp3[288.760,292.840]	OK HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0096.mp3[292.840,294.560]	UH NO
audio/RES0096.mp3[294.560,298.000]	AND HAVE YOU HAD ANY WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0096.mp3[298.000,299.480]	OH YEAH
audio/RES0096.mp3[299.480,301.000]	HOW MUCH WEIGHT
audio/RES0096.mp3[301.000,304.040]	ABOUT 20 POUNDS
audio/RES0096.mp3[304.040,309.320]	OK AND SO HOW HOW LONG WAS THAT WEIGHT LOSS OVER
audio/RES0096.mp3[309.320,314.080]	ID SAY ABOUT ABOUT UH THREE THREEFOUR MONTHS
audio/RES0096.mp3[314.080,321.840]	OK AND SORRY WHAT WAS YOUR STARTING WEIGHT ROUGHLY
audio/RES0096.mp3[321.840,329.400]	YEAH YEAH I WAS UHM 210 POUNDS
audio/RES0096.mp3[329.400,344.800]	OK UHM SO YEAH ABOUT A 10 REDUCTION IN YOUR WEIGHT OVER THE LAST COUPLE OF MONTHS IT SOUNDS LIKE OK HOW IS YOUR APPETITE BEEN
audio/RES0096.mp3[344.800,347.560]	UH ITS OK
audio/RES0096.mp3[347.560,354.280]	ALRIGHT AND HAVE YOU BEEN HAVING ANY CHEST PAIN
audio/RES0096.mp3[356.080,359.840]	ANY ANY WHEEZE
audio/RES0096.mp3[361.000,366.200]	HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS
audio/RES0096.mp3[366.200,368.440]	UHM NO NO
audio/RES0096.mp3[368.440,371.840]	OK HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0096.mp3[373.280,375.160]	ANY DIARRHEA OR CONSTIPATION
audio/RES0096.mp3[376.280,377.720]	ANY URINARY PROBLEMS
audio/RES0096.mp3[378.600,382.680]	ANY SKIN RASHES OR MUSCLE ACHES
audio/RES0096.mp3[384.520,393.560]	OK AND UH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0096.mp3[393.560,404.200]	YEAH IVE BEEN DIAGNOSED WITH COPWITH UH HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL
audio/RES0096.mp3[404.200,408.600]	I SEE ALRIGHT AND DO YOU TAKE ANY MEDICATIONS FOR THOSE
audio/RES0096.mp3[408.600,413.200]	UH I TAKE LIPITOR
audio/RES0096.mp3[413.720,427.560]	AND I TAKE SOME PUFFERS BUT DONT USE THEM VERY FREQUENTLY I FORGET TO USE THEM AND THEY I TRIED THEM BUT THEY HAVENT BEEN VERY HELPFUL THESE PAST TWO MONTHS
audio/RES0096.mp3[427.560,434.560]	OK SO YEAH YOUVE TRIED THEM WHEN YOU WERE SHORT OF BREATH AND THEY HAVENT HELPED
audio/RES0096.mp3[434.560,438.400]	THEY HAVENT DONE MUCH
audio/RES0096.mp3[438.400,443.680]	OK AND ARE YOU ALLERGIC TO ANY MEDICATIONS OR HAVE ANY ALLERGIES
audio/RES0096.mp3[443.680,445.240]	UHM NO
audio/RES0096.mp3[445.240,452.280]	ALRIGHT AND HAVE YOU BEEN HOSPITALIZED FOR ANY REASON OR LIKE INCLUDING COPEXACERBATION
audio/RES0096.mp3[452.280,453.240]	OH YEAH YEAH
audio/RES0096.mp3[453.240,455.720]	OR ANY SIMILAR SYMPTOMS
audio/RES0096.mp3[455.720,463.080]	ITS BEEN UH I WAS UH I WAS ACTUALLY HOSPITALIZED ABOUT FOUR OR FIVE TIMES LAST YEAR
audio/RES0096.mp3[463.080,467.600]	AND WAS THIS FOR COPEXACERBATIONS
audio/RES0096.mp3[467.600,468.040]	YEAH YEAH
audio/RES0096.mp3[468.040,476.080]	OK DID THOSE EACH REQUIRE A STAY IN THE HOSPITAL
audio/RES0096.mp3[476.080,479.040]	TWO OR THREE OF THEM I DID YEAH
audio/RES0096.mp3[479.040,487.240]	OK AND HAVE YOU HAD ANY SURGERIES
audio/RES0096.mp3[487.240,489.400]	UH NO
audio/RES0096.mp3[489.400,492.840]	AND ARE YOU CURRENTLY SMOKING
audio/RES0096.mp3[494.160,497.440]	OK HOW MUCH DO YOU SMOKE PER DAY
audio/RES0096.mp3[497.440,512.200]	IVE GOT IT DOWN QUITE A BIT I ONLY HAVE TWO CIGARETTES A DAY I USED TO HAVE A PACK AND A HALF UH BUT IVE GOT IT DOWN A LOT IM TRYING TO IM TRYING TO QUIT BUT ITS HARD
audio/RES0096.mp3[512.200,533.360]	YEAH FOR SURE ITS GREAT THAT YOURE WORKING TOWARDS QUITTING WE CAN DISCUSS THAT FURTHER AND THERE ARE SEVERAL OPTIONS THAT MIGHT BE AVAILABLE TO HELP IF ITS SOMETHING YOURE INTERESTED IN BECAUSE YEAH ITS DEFINITELY REALLY HARD ARE YOU DO YOU DRINK ALCOHOL
audio/RES0096.mp3[533.360,537.120]	UH ONCE IN A WHILE ON CHRISTMAS
audio/RES0096.mp3[537.120,542.600]	OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0096.mp3[543.440,547.760]	YOU SMOKE MARIJUANA OR USE MARIJUANA PRODUCTS
audio/RES0096.mp3[548.320,551.200]	ALRIGHT AND WHO ARE YOU LIVING WITH CURRENTLY
audio/RES0096.mp3[551.200,557.320]	I LIVE WITH MY WIFE
audio/RES0096.mp3[557.320,570.960]	OK AND ARE YOU UHM DO YOU HELP LOOKING AFTER THE HOME AND UH LIKE FUNCTIONALLY INDEPENDENT RIGHT NOW
audio/RES0096.mp3[570.960,573.760]	UH YEAH I USE A CANE
audio/RES0096.mp3[573.760,576.800]	MHM OK
audio/RES0096.mp3[576.800,593.280]	AND UH YEAH MY MY SON COMES OVER AND HELPS OUT WITH GROCERIES AND MY WIFE COOKS BUT I I HELP HER WITH CLEANING SOMETIMES
audio/RES0096.mp3[593.280,595.920]	OK GREAT AND SO ARE YOU RETIRED
audio/RES0096.mp3[597.240,603.600]	OK UHM AND HAS ANYBODY IN THE FAMILY HAD ANY HEART OR LUNG CONDITIONS
audio/RES0096.mp3[603.600,620.160]	MY DAD DIED OF LUNG CANCER HE WAS A HE WAS A BIG SMOKER AS WELL AND MY MOM HAD A HEART ATTACK
audio/RES0096.mp3[620.160,626.080]	OK AND HOW OLD WERE YOUR PARENTS APPROXIMATELY
audio/RES0096.mp3[626.080,634.680]	YEAH MY DAD WAS 65 AND MY MOM WAS WAS VERY YOUNG SHE WAS 50
audio/RES0096.mp3[634.680,637.520]	I SEE DID YOUR MOM SURVIVE THE HEART ATTACK
audio/RES0096.mp3[637.520,638.600]	NO NO SHE DID NOT
audio/RES0096.mp3[638.600,649.840]	OH IM SORRY TO HEAR THAT UHM AND THE LUNG CANCER YOU MENTION ANY OTHER CANCERS THAT RUN IN THE FAMILY
audio/RES0096.mp3[650.400,695.560]	OK SO THAT WAS ALL THE QUESTIONS I WANTED TO ASK ON ON HISTORY UHM CERTAINLY IT SOUNDS LIKE YOURE BRINGING UP SOME BLOOD WITH WITH WITH THE INCREASED COUGH AND WITH DIFFICULTIES BREATHING SO WE WILL GET A UHM A CHEST XRAY AND POSSIBLY A CT IMAGE OF YOUR CHEST AS WELL TO SEE IF THERES ANYTHING GOING ON IN YOUR LUNGS AND WE MIGHT DO SOME BLOOD WORK AS WELL TO CHECK A FEW THINGS SO UHM WELL GET THOSE ORDERED AND AND SEE WHAT SEE WHAT THAT SHOWS
audio/RES0096.mp3[695.560,699.520]	THANK YOU
audio/RES0146.mp3[0.000,3.280]	WHAT BRINGS YOU IN TODAY
audio/RES0146.mp3[3.280,25.800]	UH YESTERDAY RIGHT AFTER LEAVING WORK I STARTED TO NOT FEEL WELL AND THIS MORNING I WOKE UP WITH FEVER AH THIS LIKE BAD HEADACHE AND JUST FEELING REALLY REALLY SORE ALL OVER
audio/RES0146.mp3[25.800,53.720]	IM SORRY THATS DOESNT SOUND GOOD SO ALL THIS STARTED YESTERDAY OR I GUESS YESTERDAY WAS JUST WITH YOU WERE NOT FEELING TOO GOOD AND THEN JUST NOTICED ALL THESE SYMPTOMS THIS MORNING DID YOU MEASURE YOUR TEMPERATURE
audio/RES0146.mp3[53.720,64.640]	YEAH I CHECKED IT THIS MORNING AND IT WAS 385
audio/RES0146.mp3[64.640,67.080]	AND UH DID YOU CAN YOU TELL ME ABOUT YOUR HEADACHE
audio/RES0146.mp3[67.080,95.640]	YEAH SO I I STARTED TO GET A LITTLE BIT OF A HEADACHE LAST NIGHT SO I TRIED SOME TYLENOL IT HELPED RELIEVE THE PAIN A LITTLE BIT SO I CAN SLEEP THEN AND THIS MORNING I WOKE UP BUT I UH DIDNT HAVE A HEADACHE AT FIRST BUT IT CAME ON MAYBE AN HOUR AFTER WAKING UP AND IT FEELS LIKE A THERES A BAND AROUND SQUEEZING MY HEAD
audio/RES0146.mp3[95.640,98.720]	IS IT ON BOTH SIDES OR ONLY ONE SIDE
audio/RES0146.mp3[98.720,103.360]	ITS ON BOTH SIDES KIND OF FEEL THAT REAL WRAPPING AROUND
audio/RES0146.mp3[103.360,109.160]	AND IF YOU HAD TO GIVE IT A NUMBER FROM 1 TO 10 WITH 10 BEING THE WORST PAIN EVER WHAT WOULD YOU SAY
audio/RES0146.mp3[109.160,119.080]	ABOUT A FIVE
audio/RES0146.mp3[119.080,128.640]	OK UHM AND DO YOU HAVE ANY OTHER SYMPTOMS SUCH AS A RUNNY NOSE OR A STUFFY NOSE
audio/RES0146.mp3[128.640,140.960]	YEAH MY NOSE HAS BEEN BEEN RUNNY I STARTED NOTICING NOTICING THAT A LITTLE BIT YESTERDAY TOO ACTUALLY NOW THAT YOU MENTION IT
audio/RES0146.mp3[140.960,149.080]	AND WHAT WAS THE DISCHARGE OR WHAT WAS THE DISCHARGE LIKE
audio/RES0146.mp3[149.080,154.040]	ITS PRETTY RUNNY IN IN YEAH ITS PRETTY RUNNING CLEAR
audio/RES0146.mp3[154.040,161.640]	OK UHM AND DO YOU HAVE A COUGH
audio/RES0146.mp3[163.520,166.640]	ANY SORE THROAT
audio/RES0146.mp3[170.480,174.960]	UHM HAVE YOU HAD ANY DIFFICULTIES WITH BREATHING
audio/RES0146.mp3[176.200,179.360]	OK ANY CHEST PAIN
audio/RES0146.mp3[182.360,191.240]	OK UHM UH ANY I GUESS ITCHY EYES OR ITCHY NOSE OR ANY SNEEZING
audio/RES0146.mp3[191.240,207.840]	YEAH WELL WELL MY NOSE HAS BEEN ITCHY AND I I HAVE BEEN I HAVE BEEN SNEEZING
audio/RES0146.mp3[207.840,213.720]	ALRIGHT AND HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0146.mp3[215.080,219.720]	ANY NAUSEA OR VOMITING
audio/RES0146.mp3[221.440,230.800]	OK ANY BELLY PAIN
audio/RES0146.mp3[232.000,238.800]	OK HAVE YOU BEEN AROUND ANYONE WHO COULD HAVE BEEN SICK
audio/RES0146.mp3[238.800,254.920]	UHM MAYBE I THERE WAS A ONE OF MY COLLEAGUES AT WORK WAS OFF LAST WEEK I THINK HE WAS SICK WITH SOMETHING
audio/RES0146.mp3[254.920,262.360]	DID YOU GET TESTED DO YOU KNOW IF YOU WENT TO SEE A DOCTOR OR WAS HE TESTED FOR COVID
audio/RES0146.mp3[262.360,283.680]	UHM IM NOT SURE I JUST DONT LIKE WELL HE WASNT THERE ON THURSDAY AND FRIDAY LAST WEEK AND HE HASNT BEEN THERE BEEN HERE THIS WEEK AND I I JUST HEARD THAT THAT HE WAS SICK
audio/RES0146.mp3[283.680,294.480]	OK ALRIGHT UHM AND HAVE YOU HAVE YOU HAD ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0146.mp3[294.480,319.520]	YEAH IVE BEEN TOLD I HAVE HIGH HIGH HIGH CHOLESTEROL AND HIGH BMI UH YEAH AND SO I I TAKE A STATIN MEDICATION FOR FOR THAT AND YEAH IVE BEEN TOLD I HAVE PREDIABETES AS WELL SO IVE BEEN TRYING TO WORK ON DIET
audio/RES0146.mp3[319.520,322.400]	ARE YOU TAKING ANY OTHER MEDICATIONS
audio/RES0146.mp3[322.400,328.960]	I TAKE VITAMIN AND A MULTIVITAMIN
audio/RES0146.mp3[328.960,332.240]	AND DO YOU HAVE ANY ALLERGIES
audio/RES0146.mp3[336.600,343.000]	OK UHM AND YOU DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE
audio/RES0146.mp3[343.000,347.360]	YEAH I I LIVE WITH MY WITH MY WIFE
audio/RES0146.mp3[347.360,356.280]	OK AND SINCE YOUVE BEEN FEELING SICK HAVE YOU BEEN MAINTAINING SOCIAL DISTANCE MAINTAINING SOME DISTANCE FROM HER
audio/RES0146.mp3[356.280,366.600]	YEAH YEAH WE HAVE WE WE HAVE SEPARATE AH ROOMS THAT WEVE BEEN ABLE TO DISTANCE FOR THE LAST FEW DAYS
audio/RES0146.mp3[366.600,377.720]	OK THATS GOOD AND DO YOU AH HAVE YOU TRAVELED ANYWHERE RECENTLY OUTSIDE THE PROVINCE
audio/RES0146.mp3[377.720,379.400]	NO TRAVEL
audio/RES0146.mp3[379.400,385.960]	OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED
audio/RES0146.mp3[385.960,389.000]	NO I I DONT
audio/RES0146.mp3[389.000,392.520]	AND MARIJUANA
audio/RES0146.mp3[393.680,396.920]	ANY RECREATIONAL DRUGS
audio/RES0146.mp3[398.280,404.680]	HAVE YOU EVER HAD OR DO YOU CURRENTLY CONSUME ALCOHOL
audio/RES0146.mp3[404.680,417.360]	YEAH HAVE A FEW BEERS ON THE WEEKEND BUT IVE BEEN TRYING TO CUT DOWN AFTER I WAS TOLD I HAVE UH PRE DIABETES
audio/RES0146.mp3[417.360,434.800]	OK THATS REALLY GOOD UMM AND AND OK LETS SEE DO YOU HAVE ANY FAMILY HISTORY OF ANY HEART PROBLEMS OR ANY LUNG ISSUES OR ANY CANCERS
audio/RES0146.mp3[434.800,449.160]	MY GRANDFATHER HAD LUNG CANCER HE SMOKED HIS WHOLE LIFE AND YEAH I KNOW MY DAD HAD YOU HAD A HEART ATTACK WHEN HE WAS IN HIS 70S
audio/RES0146.mp3[449.160,506.200]	OK ALRIGHT WELL THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A COVID TEST TODAY SIMPLY BECAUSE YOUR SYMPTOMS OVERLAP WITH SOME OF THE SYMPTOMS OF COVID ITS ALSO POSSIBLE THAT YOU JUST HAVE A JUST THE COMMON COLD AND THAT WOULD GET BETTER OVER TIME YOU MIGHT HAVE CAUGHT SOMETHING FROM YOUR COLLEAGUE WHO WAS SICK LAST WEEK SO ITS GREAT THAT YOUVE BEEN INSTEAD OF ISOLATING YOURSELF AND STAYING AWAY FROM YOUR WIFE I WOULD ALSO RECOMMEND IF YOU HAVENT ALREADY DONE SO TO NOT I KNOW THAT THE YOU HAVE SYMPTOMS STARTED YESTERDAY EVENING BUT JUST TO TRY TO WORK FROM HOME OR TAKE SOME TIME OFF OF WORK FOR THE NEXT COUPLE OF DAYS AT LEAST UNTIL YOU RECOVER TEST RESULTS ARE BACK IN THE NEXT 24 TO 48 HOURS AND THEN FROM THERE ON FOLLOW THE ADVICE THAT YOULL BE GETTING FROM PUBLIC HEALTH
audio/RES0146.mp3[506.200,508.320]	THAT SOUNDS REALLY GOOD YEAH THANK YOU
audio/RES0120.mp3[0.000,2.680]	SO WHAT BRINGS YOU IN HERE TODAY
audio/RES0120.mp3[2.680,20.000]	HI UM SO IVE BEEN VERY IVE BEEN I HAVENT BEEN FEELING VERY WELL FOR THE PAST FOUR DAYS IVE IVE BEEN HAVING CHILLS I AM FEELING SHORT OF BREATH AND NOW MY CHEST HURTS
audio/RES0120.mp3[20.000,27.600]	OKAY IM SORRY UM SO HOW LONG LIKE CAN YOU JUST TELL ME WHAT STARTED FIRST AND WHEN DID THIS ALL KIND OF START
audio/RES0120.mp3[27.600,46.880]	SO WHAT STARTED FIRST SO I WOULD SAY THE SHORTNESS OF BREATH STARTED FIRST UM AND THEN I STARTED HAVING THESE CHILLS AND NOW IT HURTS LIKE MY CHEST HURTS EVERY TIME I TRY TO TAKE TRY TO TAKE A DEEP BREATH IN
audio/RES0120.mp3[46.880,51.320]	AND HOW LONG IS THIS BEEN GOING ON FOR
audio/RES0120.mp3[51.320,55.120]	UM ITS BEEN GOING ON FOR THE PAST FOUR DAYS
audio/RES0120.mp3[55.120,61.920]	FOUR DAYS OKAY UM AND DO YOU HAVE ANY KIND OF COUGH AT ALL
audio/RES0120.mp3[61.920,64.080]	NO COUGH
audio/RES0120.mp3[64.080,78.880]	OKAY SO JUST SHORTNESS OF BREATH AND CAN YOU DESCRIBE YOUR SHORTNESS OF BREATH A LITTLE BIT IS IT UH ARE YOU HAVING CATCHING YOUR BREATH OR WOULD YOU SAY YOURE HAVING TROUBLE TAKING DEEP BREATHS OR HOW WOULD YOU DESCRIBE IT
audio/RES0120.mp3[78.880,84.160]	ITS MOSTLY WHEN IM TRYING TO TAKE A DEEP BREATH IN
audio/RES0120.mp3[84.160,88.960]	OKAY AND UH WHERE WOULD YOU SAY YOURE GETTING THE CHEST PAIN
audio/RES0120.mp3[88.960,107.720]	UM ITS MOSTLY LIKE CENTRE OF MY CHEST LIKE CLOSE TO MY LIKE ID SAY ITS LIKE IT FEELS LIKE ITS NOT MY LIKE IT DOESNT FEEL LIKE ITS INSIDE IT FEELS MORE LIKE ITS PUSHING UP ON ON MY CHEST WALL
audio/RES0120.mp3[107.720,112.680]	OKAY I SEE AND IS IT RELATED TO YOU TAKING DEEP BREATHS AT ALL
audio/RES0120.mp3[112.680,116.720]	YES ITS DEFINITELY WHEN I TAKE A DEEP BREATH IN
audio/RES0120.mp3[116.720,124.440]	OKAY AND WHAT KIND OF PAIN IS IT IS IT LIKE A SHARP PAIN STABBING PAIN ACHING PAIN HOW WOULD YOU DESCRIBE IT
audio/RES0120.mp3[124.440,135.960]	UM ITS A ITS ITS LIKE A I DONT KNOW I GUESS ITS A SHARP PAIN WHEN I TRY TO TAKE A DEEP BREATH IN
audio/RES0120.mp3[135.960,143.360]	OKAY UM AND DOES IT GET RELIEVED WITH UH WHEN YOU WHEN YOU EXPIRE
audio/RES0120.mp3[145.840,151.160]	OKAY AND HAVE YOU HAD ANY OF THESE SYMPTOMS BEFORE IN THE PAST
audio/RES0120.mp3[151.160,154.960]	UM NOTHING LIKE THIS
audio/RES0120.mp3[154.960,162.320]	OKAY UM WOULD YOU SAY LIKE YOUR SYMPTOMS ARE CONSTANT OR DO THEY KIND OF COME AND GO
audio/RES0120.mp3[162.320,167.560]	UM THEYRE PRETTY CONSTANT
audio/RES0120.mp3[167.560,169.280]	OKAY AND ARE THEY GETTING WORSE AT ALL
audio/RES0120.mp3[169.280,179.760]	UH NO ITS NOT GETTING WORSE IT WAS JUST BAD TO START WITH AND ITS STILL BAD
audio/RES0120.mp3[179.760,191.920]	OKAY AND UM IS THERE ANYTHING THAT YOUVE TRIED THAT HELPS YOU WITH YOUR BREATHING OR RELIEVES YOUR CHEST PAIN ANYTHING THAT WORKS FOR YOU
audio/RES0120.mp3[191.920,201.000]	UM I GUESS SITTING FORWARD HELPS TIME NOW TO TAKE A SUPER DEEP BREATH IN
audio/RES0120.mp3[201.000,205.640]	OKAY AND HAVE YOU HAD ANY KIND OF FEVERS OR CHILLS
audio/RES0120.mp3[205.640,217.240]	UH YEAH IVE IVE HAD CHILLS FOR SURE I FELT HOT I HAVENT ACTUALLY TAKEN MY TEMPERATURE SO IM NOT TOO SURE ABOUT IF I ACTUALLY HAVE A FEVER
audio/RES0120.mp3[217.240,219.880]	OKAY AND WHEN DID YOU FEEL THESE CHILLS
audio/RES0120.mp3[219.880,224.520]	THEYVE BEEN GOING ON FOR THE PAST THREE DAYS
audio/RES0120.mp3[224.520,234.840]	OKAY UH AND DO YOU HAVE ANY KIND OF OTHER SYMPTOMS LIKE RUNNY NOSE SORE THROAT ANYTHING LIKE THAT
audio/RES0120.mp3[234.840,239.560]	UH MAYBE LIKE A SLIGHT RUNNY NOSE YEAH
audio/RES0120.mp3[239.560,246.000]	OKAY AND DO YOU GET SHORT OF BREATH WHEN LAYING DOWN AT ALL
audio/RES0120.mp3[246.000,251.440]	UM I NO NOT NO I WOULDNT SAY SO
audio/RES0120.mp3[251.440,257.600]	OKAY AND DO YOU HAVE TO WAKE UP AT NIGHT TO CATCH YOUR BREATH AT ALL
audio/RES0120.mp3[257.600,260.560]	NO NOTHING LIKE THAT
audio/RES0120.mp3[260.560,266.080]	OKAY AND DO YOU HAVE ANY KIND OF SWELLING IN YOUR LEGS HANDS ANYWHERE
audio/RES0120.mp3[268.520,274.240]	OKAY HAVE YOU EXPERIENCED ANY KIND OF UM DIZZINESS OR FAINTING EPISODES
audio/RES0120.mp3[274.240,276.360]	UH NO
audio/RES0120.mp3[276.360,283.280]	OKAY DO YOU GET ANY KIND OF CHEST PAIN WITH ANY ACTIVITIES
audio/RES0120.mp3[283.280,291.360]	NO NOT REALLY I GUESS ITS I GET TIRED WITH THE SHORTNESS OF BREATH
audio/RES0120.mp3[291.360,297.160]	AND DO YOU UM FIND THAT YOUR HEART IS RACING AT ALL
audio/RES0120.mp3[297.160,300.200]	UH NO NOTHING LIKE THAT
audio/RES0120.mp3[300.200,304.120]	ARE YOU HAVING ANY NIGHT SWEATS
audio/RES0120.mp3[304.960,311.680]	UM HAVE YOU HAD ANY SICK CONTACTS RECENTLY
audio/RES0120.mp3[311.680,323.400]	UH I GUESS WHEN I WENT TO THE GROCERY STORE THE OTHER DAY AND THERE WERE PEOPLE COUGHING AROUND ME
audio/RES0120.mp3[323.400,329.000]	OKAY AND WERE THEY WEARING MASKS OR WERE YOU WEARING A MASK
audio/RES0120.mp3[329.000,331.400]	YEAH EVERYONE WAS WEARING A MASK
audio/RES0120.mp3[331.400,340.600]	OKAY ARE YOU UM HAVING ANY KIND OF CHANGES IN YOUR BOWEL MOVEMENTS AT ALL ANY CONSTIPATION OR DIARRHEA
audio/RES0120.mp3[343.240,347.200]	NO OKAY ANY CHANGES IN YOUR APPETITE AT ALL
audio/RES0120.mp3[347.200,349.600]	UH NO
audio/RES0120.mp3[349.600,351.920]	NO ANY NAUSEA OR VOMITING
audio/RES0120.mp3[354.440,358.960]	OKAY ANY CHANGES IN YOUR URINARY PATTERN
audio/RES0120.mp3[360.000,368.240]	OKAY ANY CHANGES IN YOUR WEIGHT RECENTLY HAVE YOU LOST ANY SIGNIFICANT WEIGHT
audio/RES0120.mp3[369.000,376.840]	NO OKAY HAVE YOU RECENTLY HAD A COLD LIKE COLDLIKE SYMPTOMS AT ALL WITHIN THE LAST FEW WEEKS
audio/RES0120.mp3[376.840,385.200]	UM YEAH I GUESS THE RUNNY NOSE UM IVE HAD ON AND OFF FOR THE PAST LIKE 7 DAYS
audio/RES0120.mp3[385.200,388.480]	OKAY NOW IT HASNT GONE AWAY
audio/RES0120.mp3[388.480,400.720]	NO ITS NOT THAT BOTHERSOME THOUGH ITS MORE THE CHILLS AND THE SHORTNESS OF BREATH AND THIS CHEST PAIN NOW THAT IS WORRYING ME
audio/RES0120.mp3[400.720,406.680]	OKAY AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS OR DIAGNOSES
audio/RES0120.mp3[406.680,414.520]	UM I WAS DIAGNOSED WITH DIABETES UM HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL
audio/RES0120.mp3[414.520,418.600]	OKAY AND WHEN WERE YOU DIAGNOSED WITH DIABETES
audio/RES0120.mp3[418.600,423.240]	I WAS DIAGNOSED ABOUT 10 YEARS AGO
audio/RES0120.mp3[423.240,433.400]	OKAY UM IM SORRY I FORGOT TO ASK YOU THIS SPECIFICALLY HAVE YOU EXPERIENCED ANY KIND OF LOSS OF YOUR SENSE OF TASTE OR SMELL
audio/RES0120.mp3[434.720,442.360]	NO OKAY UM DO YOU TAKE ANY MEDICATIONS FOR YOUR MEDICAL CONDITIONS
audio/RES0120.mp3[442.360,460.680]	UM MEDICATIONS SO I TAKE SO FOR THE DIABETES I TAKE INSULIN FOR THE HIGH BLOOD PRESSURE I TAKE RAMIPRIL FOR THE HIGH CHOLESTEROL I TAKE ROSUVASTATIN
audio/RES0120.mp3[460.680,464.800]	OKAY AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/RES0120.mp3[468.120,476.760]	OKAY UM ANY RECENT SURGERIES OR HOSPITALIZATIONS OR ANY REASON FOR WHY IF LIKE IF YOU WERE IMMOBILIZED AT ALL
audio/RES0120.mp3[476.760,480.720]	UM NO I DONT THINK SO
audio/RES0120.mp3[480.720,486.120]	OKAY ANY HISTORY OF HOSPITALIZATIONS OR SURGERIES AT ALL
audio/RES0120.mp3[486.120,496.680]	UH I HAD A CHOLECYSTECTOMY ABOUT OH GOSH ITS LIKE 12 YEARS AGO
audio/RES0120.mp3[496.680,501.840]	OKAY AND WERE THERE ANY COMPLICATIONS AT ALL
audio/RES0120.mp3[502.400,509.320]	OKAY UM ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS OR CANCERS
audio/RES0120.mp3[511.880,520.680]	OKAY UM CURRENTLY DO YOU WORK AT ALL
audio/RES0120.mp3[520.680,523.680]	NO I NO IM RETIRED
audio/RES0120.mp3[523.680,528.400]	OKAY AND WHATS YOUR LIVING SITUATION LIKE
audio/RES0120.mp3[528.400,531.280]	I LIVE WITH MY HUSBAND UM IN A CONDO
audio/RES0120.mp3[531.280,540.280]	OKAY UM AND ARE YOU IS YOUR HUSBAND WELL DOES HE HAVE ANY SYMPTOMS
audio/RES0120.mp3[540.280,543.400]	UH YEAH HES HES BEEN OKAY
audio/RES0120.mp3[543.400,553.400]	OKAY THATS GOOD UM ANY KIND OF DUST OR MOLD ASBESTOS OR ANY PETS IN YOUR IN YOUR HOME
audio/RES0120.mp3[553.400,556.280]	NO NOTHING LIKE THAT
audio/RES0120.mp3[556.280,558.000]	OKAY DO YOU SMOKE AT ALL
audio/RES0120.mp3[558.000,561.560]	UM I USED TO BUT NOT ANYMORE
audio/RES0120.mp3[561.560,567.040]	OKAY AND HOW LONG DID YOU SMOKE FOR AND HOW MUCH WOULD YOU SMOKE EVERYDAY
audio/RES0120.mp3[567.040,574.280]	UH SO I STOPPED ABOUT 20 YEARS BACK I SMOKED FOR ABOUT 25 YEARS I SMOKED ABOUT A PACK A DAY
audio/RES0120.mp3[574.280,580.160]	I SEE UM AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0120.mp3[580.160,585.680]	UM I DONT NO
audio/RES0120.mp3[585.680,588.400]	OKAY AND DO YOU DRINK ALCOHOL AT ALL
audio/RES0120.mp3[588.400,592.200]	I ILL HAVE A GLASS OF WINE HERE AND THERE
audio/RES0120.mp3[592.200,601.600]	OKAY AND UM YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS THAT I HAD TODAY DO YOU HAVE ANY CONCERNS OR QUESTIONS
audio/RES0120.mp3[601.600,605.600]	UM YEAH LIKE WHAT DO YOU THINK I HAVE COVID
audio/RES0120.mp3[605.600,647.080]	YEAH SO RIGHT NOW ITS DEFINITELY SOMETHING THATS ON EVERYONES MIND UM SOME OF THESE SYMPTOMS UM THE SHORTNESS OF BREATH AND FEVER DEFINITELY CAN BE COVIAND THATS SOMETHING THAT WE ARE GOING TO TEST YOU WITH AND THATS SOMETHING WE TEST EVERYONE WITH UM BUT BECAUSE YOURE HAVING SHORTNESS OF BREATH UH WE DO NEED TO MAKE SURE NOTHING ELSE IS GOING ON AS WELL UH YOU CAN POTENTIALLY HAVE PNEUMONIA THATS NOT COVIIT CAN BE ANY OTHER VIRUS OR BACTERIA SO WE WILL GET SOME BLOOD WORK DONE WELL GET YOUR TEMPERATURE AND ALL YOUR VITALS TAKEN AS WELL UM AND THEN GET A CHEST XRAY AS WELL
audio/RES0120.mp3[648.000,666.920]	AND IF IT TURNS OUT AT ALL THAT YOU HAVE PNEUMONIA WELL JUST REASSESS AND SEE IF YOU NEED TO STAY IN THE HOSPITAL FOR LONGER IF YOU NEED ANY ANTIBIOTICS WITHIN THE HOSPITAL OR YOU CAN TAKE THEM AT HOME SO YEAH WELL DO A FULL PHYSICAL EXAMINATION AND DO ALL THOSE TESTS AND THEN GO FROM THERE
audio/RES0120.mp3[666.920,669.520]	OKAY THAT SOUNDS GREAT THANK YOU
audio/RES0120.mp3[669.520,672.400]	YOURE WELCOME UM YEAH WELL BE THERE WITH YOU SHORTLY
audio/RES0120.mp3[672.400,674.440]	OKAY GREAT
audio/RES0195.mp3[0.000,2.720]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0195.mp3[2.720,30.000]	YEAH HI IM SO OVER THE PAST FEW MONTHS IVE NOTICED THAT I GET SHORT OF BREATH SOMETIMES AND MY EYES ARE SO IRRITATED AND THEY FEEL ITCHY AND RED AND IVE ALSO NOTICED THIS RASH BELOW MY KNEES SO I JUST WANTED TO GET EVERYTHING CHECKED OUT
audio/RES0195.mp3[30.000,32.840]	OK AND WHEN DID THIS ALL KIND OF START
audio/RES0195.mp3[32.840,38.720]	AH IT STARTED A COUPLE MONTHS AGO LIKE 2 3 MONTHS AGO
audio/RES0195.mp3[38.720,42.080]	OK AND WHEN DID THE SHORTNESS OF BREATH START
audio/RES0195.mp3[42.080,46.200]	THATS BEEN ON AND OFF FOR THE PAST TWO MONTHS AS WELL
audio/RES0195.mp3[46.200,49.480]	OK AND HOW ABOUT THE RASHES
audio/RES0195.mp3[49.480,58.640]	THE RASHES STARTED LIKE A MONTH BACK BUT IT LOOKS WORSE NOW IT STARTED OFF SMALL
audio/RES0195.mp3[58.640,63.240]	OK UM SO FOR THE COUGH IS IT LIKE A DRY COUGH OR A WET COUGH
audio/RES0195.mp3[63.240,64.960]	ITS A PRETTY DRY COUGH
audio/RES0195.mp3[64.960,70.200]	DRY COUGH OK ARE YOU BRINGING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL
audio/RES0195.mp3[72.800,76.800]	OK AND THIS ALSO STARTED LIKE A FEW MONTHS AGO
audio/RES0195.mp3[78.440,82.960]	AND IS IT CONSTANT OR DOES IT COME AND GO
audio/RES0195.mp3[82.960,92.560]	UM ITS ITS GETTING WORSE NOW SO IT FEELS MORE CONSTANT NOW BUT AT FIRST IT IT JUST CAME IN YEAH IT CAME IN WENT
audio/RES0195.mp3[92.560,100.920]	OK AND HAS THIS HAPPENED TO YOU BEFORE AT ALL OF THESE SYMPTOMS
audio/RES0195.mp3[102.960,114.320]	OK ALRIGHT UM SO IT STARTED A FEW MONTHS AGO AND HOW ABOUT THE RASHES ARE THEY HAVE THEY BEEN THERE LIKE THE ONES BELOW YOUR KNEE SINCE THE TWO MONTHS OR DO THEY COME AND GO
audio/RES0195.mp3[114.320,118.960]	UM THATS BEEN THERE FOR THE PAST MONTH
audio/RES0195.mp3[118.960,124.560]	OK AND CAN YOU DESCRIBE THE RASH A LITTLE BIT WHAT DOES IT LOOK LIKE
audio/RES0195.mp3[124.560,149.080]	SURE SO ITS NOW PRETTY DIFFUSE ITS JUST BELOW MY KNEES LIKE ON MY SHINS ITS ON BOTH SIDES THE ONE ON MY RIGHT SIDE IS A LITTLE BIT BIGGER ITS ABOUT ID SAY MAYBE LIKE 10 CENTIMETERS AND DIAMETER ITS ITS RED OR LIKE A DARK PINK UM THERES NOTHING COMING OUT OF IT
audio/RES0195.mp3[149.080,155.600]	OK IS IT PAINFUL OR ITCHY AT ALL
audio/RES0195.mp3[155.600,158.720]	ITS UM PAINFUL YEAH
audio/RES0195.mp3[158.720,164.120]	OK WHAT KIND OF PAINT DO YOU FEEL THAT WHEN YOU PRESS ON IT
audio/RES0195.mp3[164.120,177.360]	ITS ITS NOT THAT OK SO ITS NOT PAINFUL PAINFUL ITS TENDER SO IF I TOUCH IT IT WILL FEEL TUG TENDER
audio/RES0195.mp3[177.360,184.000]	OK UH HAVE YOU TRIED ANYTHING THAT HAS HELPED YOU RELIEVE THESE SYMPTOMS
audio/RES0195.mp3[184.000,189.880]	UM I TOOK SOME IBUPROFEN THAT HELPED A LITTLE BIT
audio/RES0195.mp3[189.880,197.400]	OK OK UM AND SO YOUVE HAD THE COUGH BUT HAVE YOU BEEN HAVING ANY KIND OF SHORTNESS OF BREATH
audio/RES0195.mp3[197.400,205.200]	NO WELL ACTUALLY SORRY SORRY I HAVE HAD A SHORTNESS OF BREATH I HAVENT HAD A COUGH
audio/RES0195.mp3[205.200,209.240]	OK SO NO COUGH BUT YOUVE BEEN HAVING SHORTNESS OF BREATH
audio/RES0195.mp3[211.240,220.360]	AND WHEN YOUR SHORTNESS OF BREATH IS IT MORE SO THAT YOURE NOT ABLE TO TAKE DEEP BREATHS OR YOU TAKING SHALLOW BREATHS HOW WOULD YOU DESCRIBE IT
audio/RES0195.mp3[220.360,230.600]	IT JUST FEELS LIKE YEAH I CAN TAKE IN A FULL DEEP BREATH
audio/RES0195.mp3[230.600,234.440]	I SEE AND ARE YOU HAVING ANY OTHER SYMPTOMS LIKE FEVERS OR CHILLS
audio/RES0195.mp3[235.880,239.480]	OK AND HOW ABOUT THE EYE IRRITATION WHEN DID THAT START
audio/RES0195.mp3[239.480,242.360]	THAT STARTED A MONTH AGO AS WELL
audio/RES0195.mp3[242.360,250.080]	OK AND YOU DO YOU HAVE ANY RED EYES OR CAN YOU SEE ANY CHANGES IN YOUR VISION AT ALL
audio/RES0195.mp3[250.080,264.040]	YEAH MY EYES DO LOOK A LITTLE BIT RED AND I DONT KNOW IF MY VISION CHANGED A LOT BUT SOMETIMES THINGS WILL LOOK A LITTLE BIT BLURRY WHEN THEYRE FAR AWAY
audio/RES0195.mp3[264.040,271.880]	OK AND WITH THE SHORTNESS OF BREATH IS IT BROUGHT ON BY EXERTION OR CAN IT BE AT REST AS WELL
audio/RES0195.mp3[271.880,277.320]	IT CAN BE AT REST AS WELL
audio/RES0195.mp3[277.320,283.360]	OK AND THEN DO YOU HAVE ANY OTHER SYMPTOMS LIKE ANY JOINT PAINS
audio/RES0195.mp3[283.360,289.360]	NO NO JOIN PAINS
audio/RES0195.mp3[289.360,293.400]	OK ANY NAUSEA OR VOMITING
audio/RES0195.mp3[293.400,296.040]	UM NO
audio/RES0195.mp3[296.040,297.400]	OK ANY HEADACHES
audio/RES0195.mp3[299.080,300.640]	ANY MUSCLE PAIN
audio/RES0195.mp3[300.640,302.480]	UH NO
audio/RES0195.mp3[302.480,310.360]	OK AND ANY RECENT TRAVEL OR CONTACT WITH SOMEONE WHOS BEEN SICK
audio/RES0195.mp3[310.360,311.760]	UM NO
audio/RES0195.mp3[311.760,322.520]	DO YOU SEE ANY OR DO YOU NOTICE ANY LIKE FLUID COMING OUT FROM YOUR EYES OR ANYTHING LIKE THAT
audio/RES0195.mp3[322.520,324.960]	UH NO I DIDNT NOTICE THAT
audio/RES0195.mp3[324.960,327.400]	OK DO YOU GET ANY NIGHT SWEATS
audio/RES0195.mp3[329.320,334.360]	AND ANY CHEST PAIN
audio/RES0195.mp3[334.360,337.560]	SOMETIMES THE SHORTNESS OF BREATH
audio/RES0195.mp3[337.560,342.680]	OK IS IT JUST LIKE A DISCOMFORT OR IS IT A PRESSURE OR STABBING PAIN
audio/RES0195.mp3[342.680,345.000]	AH IT JUST FEELS LIKE A DISCOMFORT
audio/RES0195.mp3[345.000,349.920]	DO YOU FEEL YOUR HEART IS RACING
audio/RES0195.mp3[349.920,355.120]	UH NO
audio/RES0195.mp3[355.120,360.440]	OK AND ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL
audio/RES0195.mp3[360.440,363.960]	NO NOTHING LIKE THAT
audio/RES0195.mp3[363.960,368.440]	OK ANY CHANGES IN YOUR URINARY PATTERN
audio/RES0195.mp3[371.440,377.080]	OK ANY SORE THROAT RUNNY NOSE ANY COLD LIKE SYMPTOMS
audio/RES0195.mp3[377.080,385.520]	UH NO BUT I HAVEN BEEN FEELING UM A LITTLE BIT HOT SO I WONDER IF I HAVE A FEVER I HAVENT CHECKED IT
audio/RES0195.mp3[385.520,391.640]	OK WE CAN CHECK HAVE YOU HAD ANY RECENT WEIGHT CHANGES
audio/RES0195.mp3[391.640,401.080]	NOW THAT YOU MENTION IT I HAVE HAD SOME WEIGHT LOSS OVER THE PAST UM SIX MONTHS IVE LOST ABOUT 15 POUNDS
audio/RES0195.mp3[401.080,406.720]	15 POUNDS OK HOW ABOUT YOUR APPETITE HAVE YOU BEEN EATING WELL
audio/RES0195.mp3[406.720,411.200]	YEAH IVE BEEN EATING THE SAME
audio/RES0195.mp3[411.200,417.200]	OK OK AND HAVE YOU HAD ANY EXPOSURE TO ANY FUMES DUST ANIMALS OR PETS IN YOUR ENVIRONMENT
audio/RES0195.mp3[419.360,422.760]	HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0195.mp3[422.760,424.960]	UH NO
audio/RES0195.mp3[424.960,426.800]	DO YOU TAKE ANY MEDICATIONS
audio/RES0195.mp3[426.800,430.240]	UM NOPE
audio/RES0195.mp3[430.240,431.960]	OK ANY ALLERGIES
audio/RES0195.mp3[431.960,433.600]	NO ALLERGIES
audio/RES0195.mp3[433.600,437.760]	OK HOSPITALIZATIONS OR PREVIOUS SURGERIES
audio/RES0195.mp3[437.760,441.960]	UH I HAD A CSECTION FOR MY SECOND CHILD
audio/RES0195.mp3[441.960,446.120]	OK ANY COMPLICATIONS WITH THAT
audio/RES0195.mp3[446.120,453.480]	NO IT WAS IT WAS A PRETTY STANDARD I DIDNT HAVE ANY EXCESSIVE BLOOD LOSS OR ANYTHING LIKE THAT
audio/RES0195.mp3[453.480,462.760]	OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS LIKE ANY LUNG OR HEART CONDITIONS
audio/RES0195.mp3[462.760,468.800]	UM NO LUNG OR HEART CONDITIONS THERE ARE SOME AUTOIMMUNE CONDITIONS IN MY FAMILY THOUGH
audio/RES0195.mp3[468.800,477.760]	OK AND WHAT WHAT KIND OF AUTOIMMUNE CONDITIONS ARE THERE
audio/RES0195.mp3[477.760,488.160]	UH THERE IS RHEUMATOID ARTHRITIS UM  THERE IS UM UH LUPUS LIKE TYPE ONE DIABETES
audio/RES0195.mp3[488.160,499.000]	OK OK AND THEN ARE THEY FOR ANY LIKE DIRECT RELATIVES LIKE YOUR PARENTS OR OR CHILDREN
audio/RES0195.mp3[499.000,503.360]	YES MY PARENTS
audio/RES0195.mp3[503.360,506.360]	OK AND CURRENTLY RIGHT NOW DO YOU WORK
audio/RES0195.mp3[506.360,513.880]	I WORK FROM HOME YEAH I TEACH I TEACH ONLINE
audio/RES0195.mp3[513.880,516.720]	OK AND HOWS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/RES0195.mp3[516.720,521.640]	PRETTY GOOD WE LIVE IN A HOUSE I LIVE WITH MY HUSBAND AND TWO CHILDREN
audio/RES0195.mp3[521.640,527.800]	OK UM AND DO YOU CURRENTLY SMOKE
audio/RES0195.mp3[530.800,534.440]	OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA
audio/RES0195.mp3[536.560,541.640]	OK AND ANY UM ALCOHOL
audio/RES0195.mp3[541.640,546.040]	I DRINK ONCE IN AWHILE LIKE ILL HAVE A GLASS OF WINE ON FRIDAYS
audio/RES0195.mp3[546.040,554.720]	OK ALRIGHT YEAH SO THOSE ARE ALL THE QUESTIONS I HAD DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0195.mp3[554.720,561.320]	UM NO LIKE WHAT WHAT DO YOU THINK I HAVE AND HOW SHOULD I TREAT IT
audio/RES0195.mp3[561.320,593.480]	YEAH SO DEFINITELY ONE THING WE NEED TO RULE OUT WITH THE SHORTNESS OF BREATH IS ANY VIRAL OR VIRAL INFECTION LIKE CORONAVIRUS SO WE WILL GET A TEST DONE FOR YOU TODAY HOWEVER SINCE THIS SEEMS TO BE KIND OF A CHRONIC ISSUE BEEN GOING ON FOR A FEW MONTHS AND YOURE HAVING WITH THE SHORTNESS OF BREATH SOME OTHER SYMPTOMS THE RASH BELOW KNEES OR IS WHAT WE CALLED ERYTHEMA NODOSUM AND IRRITATION IN YOUR EYES AND YOU HAVE A FAMILY HISTORY
audio/RES0195.mp3[593.480,644.480]	OF AUTO IMMUNE CONDITIONS AS WELL SO SOMETIMES YOU CAN GET AN AUTO IMMUNE DISEASE THAT AFFECTS THE LUNGS SO WE NEED TO RULE OUT SOMETHING LIKE SARCOIDOSIS WHICH CAN CAUSE FIBROSIS IN YOUR LUNGS AND CAUSE SHORTNESS OF BREATH SO JUST TO WORK THAT UP WILL GET A CHEST X RAY AND ALSO DO SOME INFLAMMATORY MARKER TESTS LIKE CRESR AND SOME OTHER RHEUMATOLOGICAL TESTS AS WELL AND BASED ON WHAT COMES BACK WE MAY HAVE TO REFER YOU TO A RHEUMATOLOGIST FOR FURTHER MANAGEMENT AND TREATMENT YEAH SO LETS JUST DO SOME OF THOSE TESTS 1ST AND THEN WELL GO FROM THERE YOU HAVE ANY QUESTIONS
audio/RES0195.mp3[644.480,646.480]	NO THAT SOUNDS GREAT THANK YOU SO MUCH
audio/RES0195.mp3[646.480,655.960]	YOURE WELCOME AND YOU MAY NEED DEPENDING ON WHAT WE FIND STEROID TREATMENT TODAY OR UNTIL YOU SEE THE RHEUMATOLOGIST
audio/RES0195.mp3[657.840,660.920]	ALRIGHT TAKE CARE
audio/RES0195.mp3[660.920,662.080]	YOU TOO
audio/RES0071.mp3[0.000,2.920]	WHAT BRINGS YOU IN HERE
audio/RES0071.mp3[2.920,9.680]	IVE HAD THIS COUGH FOR OVER A WEEK NOW AND IT JUST HASNT GONE AWAY
audio/RES0071.mp3[9.680,17.600]	OK AND UH SO THIS COUGH HAS BEEN GOING ON FOR A WEEK CAN YOU DESCRIBE THE COUGH A LITTLE BIT FOR ME
audio/RES0071.mp3[17.600,33.560]	YEAH SO I MEAN SOMETIMES I PRODUCE SPUTUM AND SOMETIMES I DONT ITS UH WHITE AND WHITEISH CLEAR IN COLOR
audio/RES0071.mp3[33.560,39.920]	OK UM AND ITS BEEN GOING ON FOR MORE THAN A WEEKHAS IT BEEN GETTING WORSE
audio/RES0071.mp3[39.920,50.520]	IT GOT A LITTLE BIT WORSE AT FIRST BUT THEN ITS BEEN KIND OF THE SAME UM SINCE
audio/RES0071.mp3[50.520,60.800]	OK HAVE YOU NOTICED AT ALL UM LIKE GREEN OR YELLOW COLOR OF YOUR SPUTUM OR ANY BLOOD TINGED SPUTUM
audio/RES0071.mp3[60.800,66.600]	UH NO BLOOD AND MAYBE A LITTLE YELLOWISH
audio/RES0071.mp3[66.600,75.360]	OK LITTLE YELLOWISH OK AND HOW MUCH WOULD YOU SAY YOU BRING UP UM ON AN AVERAGE DAY
audio/RES0071.mp3[75.360,79.320]	UH A COUPLE OF TEASPOONS
audio/RES0071.mp3[79.320,91.720]	COUPLE OF TEASPOONS OKOK HAS THERE BEEN ANYTHING THAT UM MAKES IT WORSE OR BETTER
audio/RES0071.mp3[91.720,94.280]	NOTHING THAT I CAN THINK OF
audio/RES0071.mp3[94.280,101.000]	OK AND HAVE YOU HAD THIS HAPPEN TO YOU PREVIOUSLY IN THE PAST
audio/RES0071.mp3[103.680,108.480]	AND IS THE COUGH UH CONSTANT OR DOES IT COME AND GO
audio/RES0071.mp3[108.480,118.120]	IT COMES AND GOES UH THROUGHOUT THE DAY NO PARTICULAR TIME OF THE DAY ITS WORSE
audio/RES0071.mp3[118.120,132.240]	OK AND UM ARE YOU HAVING ANY UH OTHER SYMPTOMS BESIDES THE COUGH UM LIKE SHORTNESS OF BREATHSORE THROAT UM RUNNY NOSE CONGESTION ANYTHING LIKE THAT
audio/RES0071.mp3[132.240,140.440]	UH YEAH IVE HAD UM A SORE THROAT UH AND A HEADACHE AS WELL
audio/RES0071.mp3[140.440,144.880]	OK AND WHEN DID THE SORE THROAT START
audio/RES0071.mp3[144.880,147.880]	UM THAT STARTED ABOUT FIVE DAYS AGO
audio/RES0071.mp3[147.880,151.560]	FIVE DAYS AGO AND HAS IT BEEN GETTING WORSE
audio/RES0071.mp3[151.560,153.960]	NO THATS BEEN ABOUT THE SAME
audio/RES0071.mp3[153.960,159.400]	AND DO YOU HAVE ANY DIFFICULTY UH SWALLOWING AT ALL
audio/RES0071.mp3[159.400,167.000]	ITS A LITTLE SORE BUT UH ITS BEEN OK TO EAT AND DRINK
audio/RES0071.mp3[167.000,173.520]	OK AND HAVE YOU NOTICED ANY KIND OF REDNESS IN YOUR THROAT OR ANY SWELLING AROUND YOUR NECK
audio/RES0071.mp3[173.520,183.000]	NO I TOOK A LOOK IN THE MIRROR AS BEST I COULD WITH MY PHONE AND I COULDNT REALLY NOTICE ANYTHING THAT LOOKED RED
audio/RES0071.mp3[183.000,186.840]	OK AND HOW ABOUT THE HEADACHE WHEN DID THAT START
audio/RES0071.mp3[186.840,201.960]	SO ITS BEEN UH KIND OF OFF AND ON OVER THE PAST UH WEEK OR SO UM FEELS LIKE A LIKE A PRESSURE SENSATION AND MY HEAD IS JUST REALLY SQUEEZING
audio/RES0071.mp3[201.960,208.000]	OK AND UM SO IS IT ON ONE SIDE OF YOUR HEAD OR BOTH SIDES
audio/RES0071.mp3[208.000,209.520]	BOTH SIDES
audio/RES0071.mp3[209.520,215.280]	AND ITS KIND OF LIKE A PRESSURE AND SQUEEZING IS IT AT ALL PULSATING
audio/RES0071.mp3[217.280,221.000]	NO OK IS IT CONSTANT OR DOES IT COME AND GO
audio/RES0071.mp3[221.000,225.080]	IT COMES AND GOES
audio/RES0071.mp3[225.080,230.680]	OK AND HAVE YOU TAKEN ANY MEDICATIONS TO MAKE ANY OF THESE SYMPTOMS BETTER
audio/RES0071.mp3[230.680,244.040]	YEAH I HAVE USED SOME ADVIL FOR THE HEADACHES AND OVER THE COUNTER MEDICINE AT NIGHT TIME TO HELP SLEEP
audio/RES0071.mp3[244.040,260.640]	OK UHAND DO YOU RECALL DOING ANYTHING IN THE LAST FEW WEEKS WHICH YOU MIGHT BELIEVE THAT UH CAUSED SOME OF THESE SYMPTOMS LIKE FOR EXAMPLE WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK AT ALL
audio/RES0071.mp3[260.640,269.800]	WELL IM A NURSING STUDENT AND IVE BEEN ON ROTATIONS IN THE HOSPITAL RECENTLY
audio/RES0071.mp3[269.800,279.720]	AND ANYONE THAT YOU PROBABLY SAW IN THE HOSPITAL ANYONE SICK THAT YOU WERE IN CONTACT WITH
audio/RES0071.mp3[279.720,293.520]	I DID SEE SOME PEOPLE WHO HAD LIKE INFECTIOUS SYMPTOMS
audio/RES0071.mp3[293.520,299.760]	OK AND OTHER THAN THAT HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0071.mp3[299.760,301.520]	YEAH IVE FELT CHILLS
audio/RES0071.mp3[301.520,307.920]	OK CHILLS AND WHEN DID YOU FEEL THEM
audio/RES0071.mp3[307.920,317.240]	IVE BEEN FEELING CHILLS THROUGHOUT THE DAY AND AT NIGHT I JUST FEEL LIKE I CANT GET WARM EVEN WITH A BLANKET ON
audio/RES0071.mp3[317.240,325.240]	OK AND HAVE YOU TAKEN YOUR TEMPERATURE AT ALL
audio/RES0071.mp3[326.920,334.760]	OK YEAH WE CAN DO THAT FOR YOU TODAY UH OTHER THAN THAT ANY RECENT TRAVEL OUTSIDE OF THE PROVINCE
audio/RES0071.mp3[334.760,339.360]	NO BEEN JUST AT SCHOOL
audio/RES0071.mp3[339.360,346.240]	OK AND ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0071.mp3[347.960,350.080]	ANY NAUSEA OR VOMITING
audio/RES0071.mp3[351.560,354.920]	ANY NIGHT SWEATS
audio/RES0071.mp3[356.880,359.680]	OK ANY FATIGUE
audio/RES0071.mp3[361.280,366.920]	OK AND WHEN DID THAT START
audio/RES0071.mp3[366.920,380.800]	JUST OVER THIS PAST WEEK IVE BEEN REALLY TIRED IVE BEEN BEEN NEEDING NAPS AND NOT FEELING RESTED IN THE MORNING
audio/RES0071.mp3[380.800,386.960]	OK ANY CHEST PAIN AT ALL
audio/RES0071.mp3[386.960,398.040]	YEAH IT DOES FEEL SORE KIND OF UH THE CENTER OF MY CHEST
audio/RES0071.mp3[398.040,402.880]	OK SO ANY COUGHING AT ALL
audio/RES0071.mp3[402.880,421.120]	YEAH I FEEL IT LIKE MORE LIKE IT DOES HURT WHEN WHEN IM COUGHING THATS KIND OF WHAT IM FEELING IT I THINK ITS BEING CAUSED BY HOW MUCH IM COUGHINGI KIND OF FEEL IT THERE IN THE CENTER
audio/RES0071.mp3[421.120,427.560]	AND BESIDES WHEN YOURE COUGHING DO YOU HAVE ANY PAIN IN YOUR CHEST WHEN YOURE BREATHING IN OR OUT
audio/RES0071.mp3[431.200,436.960]	NO OK ALRIGHT ANY CHANGES TO YOUR BOWEL MOVEMENTS LIKE ANY CONSTIPATION OR DIARRHEA
audio/RES0071.mp3[438.680,441.400]	ANY URINARY ISSUES
audio/RES0071.mp3[442.720,448.920]	OK ANY CHANGES WITH YOUR SLEEPING OR YOUR APPETITE
audio/RES0071.mp3[451.480,456.720]	HAVE YOU NOTICED ANY SIGNIFICANT WEIGHT LOSS IN THE LAST FEW WEEKS
audio/RES0071.mp3[456.720,459.080]	NO ITS BEEN THE SAME
audio/RES0071.mp3[459.080,474.840]	OK AND HAVE YOU RECENTLY PRIOR TO YOUR COUGHING HAVE YOU HAD ANY INFECTIONS LIKE A VIRAL ILLNESS OR LIKE A COLD FOR EXAMPLE ANYTHING LIKE THAT
audio/RES0071.mp3[474.840,485.680]	YEAH NOW THAT I THINK ABOUT IT I MEAN MAYBE LIKE A MONTH AGO I HAD LIKE A RUNNY NOSE FOR A COUPLE OF DAYS AND IT JUST WENT AWAY
audio/RES0071.mp3[485.680,495.560]	OK WERE YOU ON ANY KIND OF MEDICATIONS OR ANTIBIOTICS AT ALL
audio/RES0071.mp3[495.560,500.880]	NO JUST WENT AWAY ON ITS OWN PRETTY QUICKLY
audio/RES0071.mp3[500.880,510.000]	ALRIGHT DO YOU HAVE ANY PAST MEDICAL CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES ANYTHING LIKE THAT
audio/RES0071.mp3[510.000,513.840]	NO I DONT IM HEALTHY
audio/RES0071.mp3[513.840,516.640]	OK DO YOU HAVE ANY ALLERGIES
audio/RES0071.mp3[517.360,522.280]	DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/RES0071.mp3[522.280,527.280]	UH NO
audio/RES0071.mp3[527.280,533.120]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0071.mp3[536.200,544.080]	OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANY CANCERS
audio/RES0071.mp3[544.080,554.200]	I THINK MY MOM HAS HIGH BLOOD PRESSURE BUT THATS ABOUT IT
audio/RES0071.mp3[554.200,560.640]	OK I FORGOT TO ASK YOU THIS EARLIER HAVE YOU BEEN EXPERIENCING ANY WHEEZING
audio/RES0071.mp3[560.640,564.640]	YEAH I HAVE NOTICED A BIT OF A WHEEZE YES
audio/RES0071.mp3[564.640,573.120]	AND CURRENTLY YOU ARE NURSING STUDENT WHERE DO YOU LIVE
audio/RES0071.mp3[573.120,580.520]	I LIVE WITH A COUPLE OF MY CLASSMATES DOWNTOWN
audio/RES0071.mp3[580.520,589.040]	OK AND DO YOU LIVE IN AN APARTMENT OR DORM A HOUSE
audio/RES0071.mp3[589.040,592.800]	AN APARTMENT
audio/RES0071.mp3[592.800,598.480]	OK ANYONE SICK IN YOUR HOUSEHOLD AT ALL
audio/RES0071.mp3[598.480,601.480]	NO NOBODYS BEEN SICK
audio/RES0071.mp3[601.480,608.320]	OK DO YOU DRINK ALCOHOL AT ALL
audio/RES0071.mp3[608.320,615.000]	SOMETIMES WITH FRIENDS ON A WEEKEND
audio/RES0071.mp3[615.000,618.840]	DO YOU SMOKE CIGARETTES AT ALL
audio/RES0071.mp3[618.840,622.440]	NO I DONT
audio/RES0071.mp3[622.440,627.800]	AND ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0071.mp3[630.960,637.200]	OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0071.mp3[637.200,645.840]	NO I WAS JUST HOPING TO FEEL BETTER ITS BEEN GOING ON FOR SO LONG NOW
audio/RES0071.mp3[645.840,647.640]	YOU SAID ITS MORE THAN A WEEK NOW RIGHT
audio/RES0071.mp3[649.200,724.400]	YEAH SO WHAT WE WILL DO TODAY IS UH FIRST OF ALL WITH THE PANDEMIC GOING ON WITH SOME OF THESE SYMPTOMS WE NEED TO RULE OUT CORONAVIRUS AND SO WE WILL BE GETTING A SWAB DONE FOR YOU AS WELL TODAY AND CONSIDERING YOU ARE HAVING THESE SYMPTOMS WE WILL ALSO GET ANOTHER TEST DONE FOR YOU TODAY TO SEE IF THERES ANY BACTERIA CAUSING WHAT WE CALL WALKING PNEUMONIA ITS COMMUNITY ACQUIRED PNEUMONIA THATS FAIRLY COMMON IN LIKE THE YOUNGER POPULATION AND SO WELL SEE IF YOU COULD HAVE THAT AND SO FROM THERE WELL SEE IF WE NEED TO PUT YOU ON ANY ANTIBIOTICS WHICH WILL HELP YOU AND IF WE NEED TO GET ANY BLOOD WORK OR X RAYS WELL LET YOU KNOW AS WELL IS THAT OK AND IF YOU FEEL LIKE YOU HAVE WORSENING SYMPTOMS LIKE SHORTNESS OF BREATH YOU NEED TO MAKE SURE YOU COME BACK TO THE EMERGENCY DEPARTMENT
audio/RES0071.mp3[724.400,726.240]	YEAH THAT SOUNDS GREAT THANK YOU
audio/RES0071.mp3[726.240,733.800]	YEAH YOURE WELCOME AND TAKE CARE AND WELL GET ALL THOSE THINGS DONE FOR YOU AND WELL BE WITH YOU SHORTLY
audio/RES0071.mp3[733.800,735.840]	OK SOUNDS GOOD
audio/MSK0041.mp3[0.000,2.400]	HOW MAY I HELP YOU
audio/MSK0041.mp3[2.400,21.560]	IM I AM HERE BECAUSE IVE HAD THIS INTENSE PAIN IN MY RIGHT FOOT FOR THE PAST SIX HOURS OR SO OR SO AND I THOUGHT IT WAS IMPORTANT TO COME GET IT CHECKED OUT BY YOU GUYS
audio/MSK0041.mp3[21.560,31.400]	OK SO YOU SAY IT STARTED SIX HOURS AGO HAS THE PAIN BEEN GETTING BETTER OR GETTING WORSE
audio/MSK0041.mp3[31.400,36.800]	UHM ITS BEEN ITS BEEN THE SAME SINCE IT STARTED
audio/MSK0041.mp3[36.800,45.960]	OK AND WAS THERE ANY TRAUMA TO THE FOOT OR ANYTHING HAPPEN WITHIN THE LAST DAY OR IN THE LAST SIX HOURS
audio/MSK0041.mp3[45.960,49.440]	NO NOT NO TRAUMA
audio/MSK0041.mp3[49.440,60.320]	OK AND WHERE IS THE PAIN LOCATED IF YOU HAD TO TRY TO PINPOINT IT WITH ONE FINGER
audio/MSK0041.mp3[60.320,69.920]	ITS JUST BELOW MY BIG TOE KIND OF LIKE ON THE MEDIAL SIDE
audio/MSK0041.mp3[69.920,79.800]	OK DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE OR YOU JUST FEELING IT AT THAT ONE SPOT
audio/MSK0041.mp3[79.800,83.680]	IM FEELING IT JUST IN THAT ONE SPOT
audio/MSK0041.mp3[83.680,90.320]	OK AND HOW WOULD YOU DESCRIBE THE PAIN
audio/MSK0041.mp3[90.320,98.880]	ITS INTENSE ITS SHARP
audio/MSK0041.mp3[98.880,106.520]	OK AND AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED THATS MADE THE PAIN BETTER
audio/MSK0041.mp3[106.520,128.720]	UM NO I HAVENT REALLY TRIED ANYTHING IVE I CANT SEEM TO MOVE IT SO EVERY TIME I MOVE IT IT HURTS IM TRYING TO KEEP IT PRETTY STILL AND STATIONARY I TOOK AN IBUPROFEN THATS NOT THAT DOESNT SEEM TO HELP
audio/MSK0041.mp3[128.720,148.160]	OK AND SO LIKE ANY MOVEMENT MAKES IT IT WORSE IS THERE ANYTHING ELSE THAT MAKES IT WORSE LIKE PUTTING SOCKS ON OR EVEN HAVING I DONT KNOW CLOTHING TOUCH IT OR YOUR SHOES TOUCH IT
audio/MSK0041.mp3[148.160,153.480]	YEAH I GUESS YEAH MY SHOES MY SHOES TOUCHING IT HURTS
audio/MSK0041.mp3[153.480,157.800]	OK AND ARE YOU ABLE TO WALK
audio/MSK0041.mp3[157.800,171.960]	IM ABLE TO WALK ON IT ITS JUST VERY PAINFUL AND I CANT YOU KNOW I CANT BEND THAT TOE I CANT FLEX IT OR EXTEND IT BUT MY OTHER TOES ARE OK
audio/MSK0041.mp3[171.960,182.360]	ALRIGHT AND HOW WOULD YOU DESCRIBE THE SEVERITY OF THIS PAIN ONE BEING THE LEAST PAIN AND 10 BEING THE WORST PAIN YOUVE EVER FELT
audio/MSK0041.mp3[182.360,185.880]	I SAY ITS LIKE AN 8
audio/MSK0041.mp3[185.880,193.680]	OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE AND IN YOUR TOES OR OR ANY OF YOUR OTHER JOINTS
audio/MSK0041.mp3[193.680,198.280]	NO NEVER
audio/MSK0041.mp3[198.280,207.280]	OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING OR SENSORY LOSS
audio/MSK0041.mp3[207.480,214.640]	OK HOW ABOUT ANY MUSCLE WEAKNESS
audio/MSK0041.mp3[214.640,217.280]	NO NOTHING LIKE THAT
audio/MSK0041.mp3[217.280,222.880]	ALRIGHT AND HAVE YOU HAD ANY ANY HEADACHES
audio/MSK0041.mp3[222.880,224.560]	NO NO HEADACHES
audio/MSK0041.mp3[224.560,229.000]	HAVE YOU HAD ANY MEMORY LOSS OR OR OR CONFUSION
audio/MSK0041.mp3[229.640,234.080]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0041.mp3[235.000,238.160]	HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0041.mp3[239.440,243.520]	AND HAVE YOU HAD ANY ANY NIGHT SWEATS
audio/MSK0041.mp3[243.920,251.240]	OK AND HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION HEARING SENSE OF SMELL OR SENSE OF TASTE
audio/MSK0041.mp3[251.240,254.040]	NO CHANGES THERE
audio/MSK0041.mp3[254.040,258.400]	ALRIGHT AND HAVE YOU HAD A SORE THROAT OR RUNNY NOSE
audio/MSK0041.mp3[259.720,265.840]	AND HOW ABOUT HAVING A COUGH OR SHORTNESS OF BREATH
audio/MSK0041.mp3[265.840,268.600]	NO NOTHING LIKE THAT
audio/MSK0041.mp3[268.600,272.360]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/MSK0041.mp3[273.960,285.280]	AND HOW ABOUT ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEART IS RACING
audio/MSK0041.mp3[287.120,296.520]	OK AND HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0041.mp3[297.760,301.680]	OK AND HOW ABOUT ANY NAUSEA OR VOMITING
audio/MSK0041.mp3[303.240,305.840]	ALRIGHT HAVE ANY ABDOMINAL PAIN
audio/MSK0041.mp3[307.280,313.240]	ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION
audio/MSK0041.mp3[313.240,316.080]	NO I DONT THINK SO
audio/MSK0041.mp3[316.080,322.280]	OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS LIKE PAIN FREQUENCY OR INCONTINENCE
audio/MSK0041.mp3[324.040,333.040]	OK AND HAVE YOU HAD ANY SKIN CHANGES LIKE RASHES OR ANY CHANGES TO YOUR NAILS OR HAIR
audio/MSK0041.mp3[335.200,342.080]	OK AND HOW ABOUT YOUR ENERGY HAVE YOU HAD A FATIGUE OR MALAISE RECENTLY
audio/MSK0041.mp3[342.080,345.560]	UH NO NOTHING LIKE THAT
audio/MSK0041.mp3[345.560,352.640]	ALRIGHT AND ANY MUSCLE ACHES OR BODY PAINS OR OR ANY JOINT PAINS ANYWHERE ELSE
audio/MSK0041.mp3[355.480,360.840]	OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0041.mp3[360.840,380.040]	UM NO I AM ACTUALLY SORRY I HAVE UM HIGH BLOOD PRESSURE AS WELL AS DIABETES AND I AM A LITTLE OVERWEIGHT BUT OTHER THAN THAT NOTHING ELSE
audio/MSK0041.mp3[380.040,386.280]	OK DO YOU TAKE MEDICATIONS FOR ANY OF THOSE THINGS
audio/MSK0041.mp3[386.280,394.240]	UM I TAKE RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ON INSULIN FOR THE DIABETES
audio/MSK0041.mp3[394.240,399.160]	OK HAVE YOU HAD ANY MEDICATION CHANGES RECENTLY
audio/MSK0041.mp3[399.160,404.520]	UM NO NO MEDICATION CHANGES
audio/MSK0041.mp3[404.520,414.160]	OK AND HAVE YOU HAD ANY PRIOR HOSPITALIZATIONS OR SURGERIES
audio/MSK0041.mp3[414.160,424.000]	I WAS RECENTLY HOSPITALISED FOR KIDNEY STONES BUT THAT SINCE HAS RESOLVED
audio/MSK0041.mp3[424.000,428.480]	OK  HAVE YOU HAD ANY ANY SURGERIES
audio/MSK0041.mp3[428.480,436.160]	NO SURGERIES JUST THE LITHOTRIPSY FOR THE KIDNEY STONE
audio/MSK0041.mp3[436.160,438.920]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0041.mp3[438.920,441.280]	YEP THEY ARE
audio/MSK0041.mp3[441.280,447.560]	EXCELLENT UM OK AND DO YOU SMOKE CIGARETTES
audio/MSK0041.mp3[447.560,449.360]	NO I DONT
audio/MSK0041.mp3[449.360,454.200]	HOW ABOUT MARIJUANA OR USING OTHER CANNABIS PRODUCTS
audio/MSK0041.mp3[455.880,459.400]	OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/MSK0041.mp3[459.400,461.360]	UH NO
audio/MSK0041.mp3[461.360,468.480]	OK AND HOW ABOUT ALCOHOL HOW MANY DRINKS PER WEEK WOULD YOU HAVE USUALLY
audio/MSK0041.mp3[468.480,475.240]	UM ALCOHOL HAVE ABOUT I USUALLY HAVE ABOUT 2 GLASSES OF WINE A DAY
audio/MSK0041.mp3[475.240,483.920]	OK AND HAS THAT CHANGED RECENTLY FOR YOU
audio/MSK0041.mp3[483.920,493.880]	NO NOT REALLY IVE JUST BEEN IVE ALSO BEEN START DRINKING LIKE A BEER EVERY DAY AS WELL RECENTLY
audio/MSK0041.mp3[493.880,512.040]	OK ALRIGHT AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW WHO YOURE LIVING WITH AND AND WHERE
audio/MSK0041.mp3[512.040,514.600]	I LIVE WITH MY SON IN A HOUSE
audio/MSK0041.mp3[514.600,520.400]	OK UH AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/MSK0041.mp3[522.320,530.080]	ALRIGHT AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/MSK0041.mp3[530.080,532.880]	UM NO NO TRAVEL RECENTLY
audio/MSK0041.mp3[532.880,548.960]	OK AND AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AN AND LIKE DO YOU EAT A LOT OF RED MEAT AND OR A LOT OF SEAFOOD LIKE LIKE SHELL SHELLFISH
audio/MSK0041.mp3[548.960,557.160]	I EAT A LOT OF RED MEATS BUT NOT A LOT OF UM SEAFOOD
audio/MSK0041.mp3[557.160,574.720]	OK AND OK AND ANYBODY IN THE FAMILY HAVE A HISTORY OF MUSCULOSKELETAL OR OR NEUROLOGICAL CONDITIONS
audio/MSK0041.mp3[574.720,613.360]	UM SO WHO OK SO MY MY FATHER HAD LIKE ARTHRITIS AND I DONT REMEMBER WHAT KIND OF ARTHRITIS HE HAD BUT HE HAD SEVERE ARTHRITIS HE ALSO HAD HIGH BLOOD PRESSURE AND DIABETES AND ON MY MOTHERS SIDE UM THERE IS SOME ARTHRITIS THERE AS WELL AND AS WELL AS GOUT AND KIDNEY STONES
audio/MSK0041.mp3[613.360,639.480]	OK  SO THAT THAT WAS EVERYTHING I WANTED TO ASK ALL THE HISTORY AND SO UH NEXT TO ASK YOU TO HAVE A LOOK AT YOUR FEET AND ARE YOU SEEING ANY SWELLING REDNESS OR DISCOLOURATION
audio/MSK0041.mp3[639.480,646.200]	I SEE SOME REDNESS AND UH SOME SWELLING IN THAT AREA
audio/MSK0041.mp3[646.200,650.680]	OK AND ARE YOU FEELING ANY TEMPERATURE CHANGES
audio/MSK0041.mp3[650.680,654.640]	YES AND THE RIGHT ONE IS DEFINITELY WARMER THAN THE LEFT
audio/MSK0041.mp3[654.640,665.160]	OK THEN HOW ABOUT ANY MUSCLE ATROPHY IN THE FOOT OR OR LOWER LEG OR ANY JOINT MALALIGNMENT OR DEFORMITIES
audio/MSK0041.mp3[665.160,687.520]	UH SO IN TERMS OF DEFORMITY IS LIKE IT JUST LOOKS SWOLLEN AND SO THERES LIKE A BIG BUMP ON THE RIGHT SIDE OF MY FOOT WHEREAS ITS COMPLETELY STRAIGHT ON MY LEFT BUT OTHER THAN THAT NO DEFORMITIES
audio/MSK0041.mp3[687.520,709.560]	OK AND IF YOU WERE TO A PALPATE OR PRESS ON AREAS OF YOUR FOOT OR JOINTS OF YOUR TOES ARE YOU FEELING ANY ANY PAINS ALONG THE TOP OF YOUR FOOT OR OR IN ANY OF YOUR OTHER TOES
audio/MSK0041.mp3[709.560,712.120]	NONE OF MY OTHER TOES
audio/MSK0041.mp3[712.120,720.040]	OK AND HOW ABOUT ANY PAINS AT THE ANKLE
audio/MSK0041.mp3[720.040,724.440]	UM NO PAIN AT THE ANKLE
audio/MSK0041.mp3[724.440,746.640]	OK SO THE METATARSALS ARE NOT HAVING ANY PAIN AND THEN THE JOINTS OF THE 2ND 5TH DIGITS ARE PAIN FREE ALONG WITH THE ANKLE AS WELL UM AND WHEN IT COMES TO RANGE OF MOTION ARE YOU ABLE TO FLEX YOUR TOES DOWNWARDS AND EXTEND THEM UPWARDS TOWARDS YOUR NOSE
audio/MSK0041.mp3[746.640,750.040]	YES I CAN DO THAT
audio/MSK0041.mp3[750.040,757.400]	OK AND HOW ABOUT YOUR ANKLE ARE YOU ABLE TO UM MOVE YOUR ANKLE ON A FULL RANGE OF MOTION
audio/MSK0041.mp3[757.400,762.120]	I CAN
audio/MSK0041.mp3[762.120,771.000]	OK AND ARE YOU HAVING A LIMPING WITH WALKING OR OTHERWISE CALLED AN ANTALGIC GAIT
audio/MSK0041.mp3[771.000,783.800]	SOMEWHAT BECAUSE IM TRYING NOT TO PUT TOO MUCH WEIGHT ON MY RIGHT BIG TOE
audio/MSK0041.mp3[783.800,796.680]	OK ALRIGHT AND SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY SO DID YOU HAVE ANY OTHER QUESTIONS OR ANYTHING THAT I MAYBE FORGOT TO ASK ABOUT YOU WANTED TO MENTION TODAY
audio/MSK0041.mp3[796.680,807.760]	UM NO JUST WHAT CAN I DO FOR MY FOOT HOW DO I MAKE THE SWELLING GO DOWN
audio/MSK0041.mp3[807.760,916.120]	YEAH FOR SURE ITS SO RIGHT NOW WITH HAVING A LIKE A RED WARM AND SWOLLEN JOINT THAT THATS EXTREMELY TENDER AND HAS LIMITED RANGE OF MOTION ITS IMPORTANT TO RULE OUT A SEPTIC ARTHRITIS HOWEVER BASED ON SEVERAL OF THE RISK FACTORS SUCH AS DIABETES AND OBESITY AS WELL AS YOUR FAMILY HISTORY OF ARTHRITIS AND GOUT TAKING THE MOST LIKELY THING IS THAT THIS IS A GOUT FLARE AND IN PARTICULAR IN THE TOE LIKE THAT IT COULD BE CALLED PODAGRA AND SO WE WILL NEED TO GET A ASPIRATION OF THE JOINT FLUID JUST TO SEND IT OFF AND MAKE SURE THAT ITS NOT NOT AN INFECTION AND THAT WERE TREATING THE RIGHT THING IF THIS IS GOUT AND IT COMES BACK THAT THIS WAY ITS TREATED WITH THAT HIGH DOSE HIGH DOSES OF ANTI INFLAMMATORIES I WILL START WITH MEDICATION CALLED COLCHICINE TO HELP WITH THIS FLARE AND IN THE MEANTIME IMPORTANT THINGS FOR PREVENTING THIS IN THE FUTURE ARE DIET AND KIND OF LIFESTYLE RELATED WITH REDUCING THINGS LIKE RED MEATS ALCOHOL WEIGHT LOSS AND UM JUST TRYING TO IMPROVE THE DIABETES MANAGEMENT AS WELL
audio/MSK0041.mp3[916.120,918.840]	OK THAT SOUNDS GREAT THANK YOU
audio/MSK0041.mp3[918.840,921.680]	ALRIGHT THANK YOU WE WILL GET THAT STARTED
audio/RES0161.mp3[0.000,2.080]	WHAT CAN I DO FOR YOU
audio/RES0161.mp3[2.080,31.320]	HI SO YEAH SO I JUST CAME IN HERE TODAY AT IVE BEEN HAVING JUST THIS CONGESTION AROUND MY NOSE AND FACE LIKE ITS JUST SOMETHING THAT JUST STARTED AN AROUND 5 DAYS AGO AND ITS BEEN GETTING WORSE BUT I STARTED TO GET LIKE THESE HEADACHES AS WELL AS JUST PAIN AROUND MY CHEEKS
audio/RES0161.mp3[31.320,42.520]	OK IT ALL STARTED ABOUT FIVE DAYS AGO OK ALRIGHT HAVE YOU CAN YOU TELL ME ABOUT YOUR HEADACHES
audio/RES0161.mp3[42.520,59.680]	YEAH SO THERE I STARTED GETTING THESE HEADACHES JUST TWO DAYS AGO BUT LIKE ITS MORE THAN A HEADACHE ITS KIND OF MAINLY OVER THE CHEEKS AND THEN IT GOES AND JUST ABOVE THE NOSE
audio/RES0161.mp3[59.680,59.960]	I SEE
audio/RES0161.mp3[59.960,63.000]	THE LIGHT KIND OF UP INTO THE FOREHEAD
audio/RES0161.mp3[63.000,68.840]	YEAH DO YOU FEEL LIKE ITS WORSE WHEN YOURE BENDING DOWN OR SQUATTING
audio/RES0161.mp3[68.840,74.200]	HOW IM NOT SURE ACTUALLY
audio/RES0161.mp3[74.200,82.680]	OK ALRIGHT AND DO YOU HAVE ANY OTHER SYMPTOMS DO YOU HAVE A RUNNY NOSE OR SORE THROAT OR COUGH
audio/RES0161.mp3[82.680,92.880]	UHM I DONT HAVE A COUGH I DONT HAVE A SORE THROAT I DO SOMETIMES GET A RUNNY NOSE THOUGH LIKE EVERY EVERY NOW AND THEN
audio/RES0161.mp3[92.880,96.120]	OK IN THE PAST FIVE DAYS
audio/RES0161.mp3[96.120,104.160]	YEAH I PROBABLY HAD LIKE ITS USUALLY IN THE MORNING I SOMETIMES GET A RUNNY NOSE
audio/RES0161.mp3[104.160,109.040]	AND WHAT WHAT COMES OUT OF YOUR NOSE WHAT DO YOU SEE
audio/RES0161.mp3[109.040,119.320]	UHM OVER THE LAST WEEK ITS KIND OF LIKE ALMOST LIKE A YELLOWISH DISCHARGE
audio/RES0161.mp3[119.320,123.080]	HAVE YOU HAD ANY DIFFICULTIES BREATHING
audio/RES0161.mp3[123.080,128.200]	UHM NO I I DONT NO
audio/RES0161.mp3[128.200,137.080]	LIKE THAT OK HAVE YOU UHM HAD ANY CHEST PAIN
audio/RES0161.mp3[140.440,150.200]	OK UHM ANY OTHER ANY OTHER SYMPTOMS THAT YOUVE EXPERIENCED OVER THE PAST FIVE DAYS
audio/RES0161.mp3[150.200,170.040]	I ALSO LIKE I I DO ALSO FEEL LIKE A FULLNESS AND PRESSURE GOING INTO MY EARS AS WELL AND THEN IM NOT SURE BUT YESTERDAY I WAS FEELING A LITTLE WARM THROUGHOUT THE DAY I DIDNT GET A TEMPERATURE BUT I DONT KNOW IF I HAD A FEVER OR NOT
audio/RES0161.mp3[170.040,178.760]	HAVE YOU HAD ANY I GUESS LIKE WEIGHT LOSS OR ANY NIGHT SWEATS
audio/RES0161.mp3[179.920,183.720]	NO OK ANY MUSCLE ACHES
audio/RES0161.mp3[183.720,185.400]	NO NOT THAT I KNOW
audio/RES0161.mp3[185.400,189.040]	ANY FATIGUE OR MALAISE
audio/RES0161.mp3[189.040,199.600]	I HAVE BEEN FEELING A BIT TIRED OVER THE LAST FEW DAYS BUT IM I DONT KNOW IF THATS BECAUSE OF THIS
audio/RES0161.mp3[199.600,207.360]	HAVE YOU HAD CONTACT WITH ANYONE WHO COULD BE SICK IN THE PAST WEEK OR TWO
audio/RES0161.mp3[207.360,220.080]	UHM MY MY DAUGHTER ACTUALLY HAD A SORE THROAT JUST A HER LAST WEEK AND SHE WENT TO SEE A DOCTOR
audio/RES0161.mp3[220.080,224.720]	UHM DO YOU KNOW IF SHE HAD A COVITEST DONE
audio/RES0161.mp3[224.720,234.560]	OH YEAH SHE SHE DID HAVE A COVITEST DONE THAT WAS NEGATIVE
audio/RES0161.mp3[234.560,242.120]	OK AND ALRIGHT ARE YOU DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0161.mp3[242.120,246.560]	UH I JUST HAVE A HIGH CHOLESTEROL AND HIGH BLOOD PRESSURE
audio/RES0161.mp3[246.560,251.160]	DO YOU TAKE MEDICATIONS
audio/RES0161.mp3[251.160,265.800]	YEAH SO I JUST TAKE UMM ITS LIKE A THIAZIDE DIURETIC FOR BLOOD PRESSURE AND THEN JUST ATORVASTATIN FOR CHOLESTEROL
audio/RES0161.mp3[265.800,268.280]	ANY ALLERGIES
audio/RES0161.mp3[268.280,272.480]	UH NO NO ALLERGIES
audio/RES0161.mp3[272.480,279.840]	ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART CONDITIONS OR LUNG CONDITIONS OR CANCERS
audio/RES0161.mp3[279.840,302.560]	UHM YEAH SO HARD CONDITIONS BOTH MY DAD AND UNCLE HAVE HAD HEART ATTACKS IN THEIR 50S BUT YEAH THATS THATS IT THATS ALL THATS ALL THAT I KNOW AND WE ALSO HAVE CANCER ON MY MOTHERS SIDE MY UNCLE FROM MY MOTHERS SIDE HAD BLADDER CANCER
audio/RES0161.mp3[302.560,313.720]	OK OK UHM AND DO YOU YOU MENTIONED THAT YOU HAVE A DAUGHTER DO YOU WHO DO YOU CURRENTLY LIVE WITH
audio/RES0161.mp3[313.720,318.280]	I LIVE WITH MY TWO DAUGHTERS AND MY WIFE
audio/RES0161.mp3[318.280,322.960]	OK AND WHAT DO YOU DO FOR DO YOU WORK
audio/RES0161.mp3[322.960,329.760]	YEAH CURRENTLY IM WORKING FROM HOME IM AN ACCOUNTING CLERK
audio/RES0161.mp3[329.760,335.120]	ALRIGHT AND DO YOU SMOKE AT ALL OR DID YOU SMOKE IN THE PAST
audio/RES0161.mp3[335.120,351.560]	YEAH I I I DO SMOKE BUT IVE CUT DOWN SIGNIFICANTLY IN THE PAST FEW YEARS I CURRENTLY ONLY SMOKE UH PROBABLY TWO OR THREE CIGARETTES A DAY I WAS I WAS SMOKING LIKE ALMOST A PACK A DAY A FEW YEARS BACK
audio/RES0161.mp3[351.560,359.360]	OH THATS GREAT ITS GREAT THAT YOURE TRYING TO CUT DOWN DO YOU INTEND ON GETTING THE GETTING DOWN THE SMOKING EVEN FURTHER
audio/RES0161.mp3[359.360,365.840]	YEAH THATS THATS THE PLAN IF I CAN DO THAT HOPEFULLY BY THE END OF THIS YEAR THAT WOULD BE GREAT
audio/RES0161.mp3[365.840,369.560]	THATS WONDERFUL DO YOU SMOKE MARIJUANA AT ALL
audio/RES0161.mp3[370.680,373.760]	UH DO YOU SMOKE ANY RECREATIONAL DRUGS
audio/RES0161.mp3[377.400,379.800]	ANY ALCOHOL
audio/RES0161.mp3[379.800,385.240]	ALCOHOL JUST UH PROBABLY JUST ON THE WEEKENDS OR HAVE A COUPLE OF BEERS
audio/RES0161.mp3[385.240,464.960]	OK ALRIGHT UHM SO I GUESS FROM THE SYMPTOMS THAT YOUVE DESCRIBED IT SOUNDS LIKE YOU LIKELY HAVE A CONDITION CALLED ACUTE RHINOSINUSITIS WHERE YOU HAVE INFLAMMATION OF THE SINUSES IN YOUR FACE AND POTENTIALLY SOME INFLAMMATION IN YOUR NOSE AS WELL AND OFTEN ITS CAUSED BY A VIRUS AND IT USUALLY GETS BETTER IN A COUPLE OF WEEKS AND THE BEST THING TO DO IS JUST CONSERVATIVE MANAGEMENT TRY TO REST AND IF IF YOU KNOW TAKING ANY MEDICATIONS OVER THE COUNTER MEDICATIONS IS HELPING YOU FEEL BETTER IF YOU FEEL LIKE TYLENOL SORT OF REDUCING SOME OF THAT PRESSURE OR IF DOING A TAKING A STEAM BATH IS SORT OF HELPING RELIEVE THAT PRESSURE TRY THOSE DRINK A LOT OF WATER TO TRY TO SORT OF LEAR OUT ALL THAT MUCUS THATS THATS BUILDING UP ILL ALSO DO A PHYSICAL EXAM AND TALK TO MY ATTENDING AND CONFIRM ALL THIS INFORMATION WITH HIM AND WE CAN GO FROM THERE
audio/RES0161.mp3[464.960,467.000]	GREAT SOUNDS GOOD THANK YOU
audio/RES0161.mp3[467.000,498.040]	UHM ALSO SORRY BEFORE FOR IN THE CALL BECAUSE THE SYMPTOMS ARE STARTED RECENTLY AND THEY DO UHM OVERLAP WITH SOME OF THE SYMPTOMS THAT IF PATIENT WITH COVIMIGHT HAVE IT MIGHT BE A GOOD IDEA TO GET A COVISWAB DONE AS WELL SO WELL DO THAT TODAY AND YOU WOULD HAVE TO QUARANTINE AND STAY AWAY FROM THE PEOPLE AT YOUR HOME AS WELL UNTIL THE RESULTS ARE OUT AND THEN IF ITS POSITIVE PUBLIC HEALTH WILL LET YOU KNOW WHAT TO DO
audio/RES0161.mp3[498.040,500.200]	ALRIGHT SOUNDS GOOD THANK YOU SO MUCH
audio/MSK0032.mp3[0.000,2.360]	WHAT BRINGS YOU IN
audio/MSK0032.mp3[2.360,37.760]	UM HI IM HERE WITH MY DAUGHTER UH WE NOTICED THAT UH SINCE YESTERDAY SHES BEEN HAVING THIS PAIN JUST IN HER ELBOW UM AND LIKE TODAY WEVE NOTICED RIGHT AFTER SHE WOKE UP SHES BEEN IN PAIN AND ALSO JUST KEEPING HER ELBOW LIKE PROTECTED UM KIND OF LIKE JUST FLEXING IT AND JUST HOLDING ON TO IT SO I THINK ITS UH GIVING HER A LOT OF DISCOMFORT AND SHES BEEN CRYING AS WELL
audio/MSK0032.mp3[37.760,41.640]	OH YEAH FOR SURE UM WHEN DID THIS START
audio/MSK0032.mp3[41.640,57.200]	I THINK IT STARTED UH AFTER WE WENT FOR A WALK LAST UH EVENING UM AND WE JUST WENT TO THE PARK AND SINCE THEN LIKE SHES BEEN HAVING THAT PAIN
audio/MSK0032.mp3[57.200,69.160]	OKAY OKAY AND DID ANYTHING HAPPEN TO TRIGGER THIS DID SHE FALL ON THAT ARM OR LIKE INJURIES
audio/MSK0032.mp3[69.160,106.720]	UM I THINK LIKE JUST UH SHE WAS PLAYING AND THEN UM SHE WAS ABOUT TO FALL LIKE RIGHT LIKE RIGHT ON TO THE PLAYGROUND PAVEMENT SO I REMEMBER LIKE BUT LIKE I CAUGHT HER RIGHT AWAY SO TO PROTECT HER AND THEN SINCE THEN I DONT KNOW IF LIKE THERE WAS LIKE A JERK MOVEMENT AS LIKE I KIND OF PULLED HER BACK UP OR UM WHEN I WAS STOPPING HER FROM FALLING LIKE IF THAT CAUSED IT BUT SHE DIDNT HIT HERSELF OR ANYTHING LIKE THAT
audio/MSK0032.mp3[106.720,117.120]	OKAY ALRIGHT UM AND IN TERMS OF THE TYPE OF PAIN SHES HAVING RIGHT NOW DID SHE SAY IF IT WAS A DULL ACHY KIND OF PAIN OR IS IT SHARP
audio/MSK0032.mp3[117.120,119.200]	SHE SAYS ITS ACHING A LOT
audio/MSK0032.mp3[119.200,127.680]	OKAY AND HAS IT BEEN CONSTANT SINCE SHE UM STARTED EXPERIENCING THIS OR DOES IT COME AND GO
audio/MSK0032.mp3[127.680,143.320]	ITS ITS BEEN PRETTY CONSTANT SINCE THEN AND YEAH SHE JUST KIND OF KEEP KEEPING SHES KIND OF KEEP JUST KEEPING IT LIKE HER ARMS EXTENDED UM AND THEN YEAH JUST HOLDING ON TO IT
audio/MSK0032.mp3[143.320,154.120]	OKAY UM AND THEN IS THE PAIN JUST IN THE ELBOW OR DOES IT RADIATE DOWN INTO HER HANDS OR UP TO HER SHOULDERS
audio/MSK0032.mp3[154.120,160.680]	UM IT KIND OF GOES INTO HER UPPER ARM LIKE FROM HER ELBOWS TO HER UPPER UPPER ARM
audio/MSK0032.mp3[160.680,164.120]	OKAY HAVE YOU TRIED ANYTHING FOR THIS PAIN
audio/MSK0032.mp3[164.120,170.960]	UH NO I HAVENT TRIED ANY MEDICATIONS OR ANYTHING I JUST WANTED TO COME IN BEFORE I TRIED ANYTHING
audio/MSK0032.mp3[170.960,176.520]	YEAH 1 TO 10 10 BEING THE WORST TYPE OF PAIN HOW BAD IS THIS PAIN FOR HER
audio/MSK0032.mp3[176.520,182.240]	I WOULD SAY ITS PROBABLY AT LEAST A 7
audio/MSK0032.mp3[182.240,189.520]	OKAY AND THEN UM HAS SHE EVER EXPERIENCED PAIN LIKE THIS IN THE PAST
audio/MSK0032.mp3[189.520,192.560]	UM NO THIS IS THE FIRST TIME
audio/MSK0032.mp3[192.560,199.720]	OKAY UM AND THEN DOES SHE HAVE ANY NUMBNESS OR TINGLING IN THE AREA
audio/MSK0032.mp3[199.720,203.600]	UM NO NOT THAT I KNOW OF
audio/MSK0032.mp3[203.600,207.480]	OKAY HOW ABOUT MEMORY LOSS OR CONFUSION
audio/MSK0032.mp3[208.920,213.120]	UM ANY HEADACHES
audio/MSK0032.mp3[214.880,217.800]	UM DIZZINESS OR FAINTING SPELLS
audio/MSK0032.mp3[218.840,221.680]	ANY WEIGHT LOSS RECENTLY
audio/MSK0032.mp3[222.720,225.800]	FEVERS OR CHILLS
audio/MSK0032.mp3[226.720,228.600]	UH RASHES
audio/MSK0032.mp3[228.600,230.280]	UH NO
audio/MSK0032.mp3[230.280,234.040]	UH CHANGES IN VISION HEARING SMELL OR TASTE
audio/MSK0032.mp3[235.080,239.360]	UH ANY COUGHING SHORTNESS OF BREATH OR WHEEZING
audio/MSK0032.mp3[239.360,241.240]	UM NO
audio/MSK0032.mp3[241.240,246.280]	UH ANY CHEST PAIN OR HEART PALPITATIONS
audio/MSK0032.mp3[247.920,252.400]	UH ANY CHANGES IN BOWEL MOVEMENTS
audio/MSK0032.mp3[252.400,254.280]	UH NO
audio/MSK0032.mp3[254.280,258.840]	UM HOW ABOUT CHANGES IN URINE
audio/MSK0032.mp3[258.840,262.400]	UM NO NO NO CHANGES
audio/MSK0032.mp3[262.400,268.440]	OKAY AND IS SHE OTHERWISE HEALTHY DOES SHE HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/MSK0032.mp3[268.440,271.560]	SHES BEEN HEALTHY SO FAR NO CONCERNS AT ALL
audio/MSK0032.mp3[271.560,282.480]	OKAY AND UM WITH HER MOTHERS PREGNANCY WITH HER WERE THERE ANY COMPLICATIONS AT THAT POINT
audio/MSK0032.mp3[282.480,295.480]	UM NO IT WAS LIKE A NORMAL PREGNANCY NO COMPLICATIONS SHE WAS BORN AT 39 WEEKS LIKE WITH VAGINAL DELIVERY DIDNT HAVE TO STAY IN THE HOSPITAL OR ANYTHING LIKE THAT
audio/MSK0032.mp3[295.480,300.360]	OKAY AND NO ISSUES AS A NEONATE
audio/MSK0032.mp3[300.360,306.520]	UH NO SHE WE WERE ABLE TO BRING HER HOME PRETTY QUICK
audio/MSK0032.mp3[306.520,315.800]	OKAY THATS GOOD UM AND THEN SHE HASNT HAD ANY HOSPITALIZATIONS OR SURGERY SINCE THEN
audio/MSK0032.mp3[315.800,319.160]	NO NO SURGERIES OR HOSPITALIZATIONS
audio/MSK0032.mp3[319.160,323.120]	ALRIGHT HIS SHE ON ANY MEDICATIONS
audio/MSK0032.mp3[323.120,326.080]	NO NO MEDICATIONS
audio/MSK0032.mp3[326.080,332.000]	OKAY UM IS SHE UPTODATE WITH HER IMMUNIZATIONS
audio/MSK0032.mp3[332.000,336.520]	YEAH WEVE HAD WEVE GOT ALL THE IMMUNIZATION
audio/MSK0032.mp3[336.520,340.160]	OKAY HOW ABOUT ALLERGIES DOES SHE HAVE ANY
audio/MSK0032.mp3[340.160,344.040]	UM NO ALLERGIES
audio/MSK0032.mp3[344.040,351.920]	OKAY ANY UH FAMILY HISTORY OF MUSCULOSKELETAL ISSUES
audio/MSK0032.mp3[352.520,355.120]	UH LUNG OR HEART CONDITIONS
audio/MSK0032.mp3[356.520,360.480]	UM AUTOIMMUNE CONDITIONS
audio/MSK0032.mp3[363.400,366.720]	UM NOPE
audio/MSK0032.mp3[366.720,374.840]	UM IS SHE LIKE ON PAR WITH HER PEERS IN TERMS OF DEVELOPMENTS AND REACHING MILESTONES
audio/MSK0032.mp3[374.840,390.080]	UH NO LIKE SHES BEEN MEETING ALL HER MILESTONES HAVE BEEN ON PAR WITH HER SIBLINGS AND OTHER CHILDREN NO CONCERNS FROM THE DOCTOR WHATSOEVER
audio/MSK0032.mp3[390.080,394.000]	OKAY AND WHO DOES SHE LIVE WITH AT HOME
audio/MSK0032.mp3[394.000,405.400]	SHE LIVES WITH ME HER HER DAD AND UM WE SHE HAS TWO SIBLINGS TWO OLDER BROTHERS
audio/MSK0032.mp3[405.400,409.600]	OKAY UM AND DOES ANYONE AT HOME SMOKE
audio/MSK0032.mp3[410.680,416.240]	ANY CONCERNS FOR HER SAFETY AT HOME
audio/MSK0032.mp3[416.240,420.080]	NO LIKE WERE LIKE NO I DONT THINK SO
audio/MSK0032.mp3[420.080,423.640]	NO OKAY AND HOW ARE THINGS AT SCHOOL FOR HER
audio/MSK0032.mp3[423.640,431.320]	SCHOOLS BEEN WELL LIKE ITS BEEN DIFFICULT WITH THE PANDEMIC BUT UM SHES DOING WELL
audio/MSK0032.mp3[431.320,437.720]	OKAY THATS GOOD HAS SHE COME IN CONTACT WITH ANYONE SICK RECENTLY
audio/MSK0032.mp3[437.720,439.200]	UM NO
audio/MSK0032.mp3[439.200,441.800]	HAVE YOU DONE ANY TRAVEL RECENTLY
audio/MSK0032.mp3[443.520,471.200]	OKAY ALRIGHT AND THOSE ARE ALL THE QUESTIONS I HAD FOR HISTORY TAKING LETS MOVE ON TO THE PHYSICAL EXAM PART OF THIS INTERVIEW UM IM JUST GOING TO GET YOU TO TAKE A LOOK AT BOTH HER ELBOWS AND ARMS DO YOU SEE ANY UM REDNESS OR SWELLING IN THE RIGHT ELBOW COMPARED TO THE LEFT
audio/MSK0032.mp3[471.200,475.840]	NO I DONT SEE THAT NO I DONT SEE ANY CHANGES
audio/MSK0032.mp3[475.840,487.840]	OKAY HOW ABOUT UM ANY MUSCLE ATROPHY DEFORMITIES OR SKIN CHANGES LIKE BRUISES
audio/MSK0032.mp3[487.840,494.400]	UM NO I DONT SEE ANYTHING LIKE THAT
audio/MSK0032.mp3[494.400,506.000]	OKAY HOW ABOUT UM WHEN YOU PALPATE HER ELBOWS DOES IS SHE IN PAIN
audio/MSK0032.mp3[506.000,512.560]	UM SHE DOESNT REALLY LET ME BUT IF I TRY TO I THINK THAT DOES CAUSE HER SOME PAIN
audio/MSK0032.mp3[512.560,517.960]	OKAY HOW ABOUT WHEN YOU PALPATE HER LIKE FOREARM MUSCLES
audio/MSK0032.mp3[517.960,522.120]	UM NO NOT AS MUCH
audio/MSK0032.mp3[522.120,526.400]	OKAY HOW ABOUT HER BICEPS AND TRICEPS
audio/MSK0032.mp3[526.400,528.880]	UM NO NOT REALLY
audio/MSK0032.mp3[528.880,542.280]	NO OKAY UM ALRIGHT AND THOSE ARE ALL THE QUESTIONS THAT I KIND OF HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/MSK0032.mp3[542.280,550.000]	NO I JUST WANTED TO FIND OUT IF SHE BROKE SOMETHING OR LIKE YEAH I DIDNT KNOW WHAT WAS GOING ON
audio/MSK0032.mp3[550.000,636.480]	OKAY YEAH IT SEEMS LIKE SOMEONE OF HER AGE AND JUST THE KIND OF HISTORY THAT YOURE GIVING ME IT SOUNDS LIKE SHE HAS SOMETHING CALLED A RADIAL HEAD SUBLUXATION UM AND THATS USUALLY CAUSED IN YOUNG CHILDREN WHEN THEYRE LIKE PULLED OR LIFTED BY THE HAND OR WRIST WHILE THEIR ARM IS HELD STRAIGHT UM WHICH CAN KIND OF PULL THE BONE OUT OF ITS SOCKET A LITTLE BIT UM SO UM IN TERMS OF LIKE A MANAGEMENT PLAN YOU CAN TRY CONSERVATIVE THINGS LIKE ICE PACKS UM OVER THE COUNTER PAINKILLERS UM OTHERWISE WE CAN TRY TO UM PUT THE RADIUS BACK INTO ITS NORMAL POSITION HERE WHICH WILL JUST TAKE UH LIKE A FEW MINUTES UM AND AND THEN AFTER WE REDUCE IT BACK INTO ITS PLACE UM SHE SHOULD HAVE NORMAL FUNCTION OF HER ARM AGAIN UM IF SHES STILL EXPERIENCING PAIN WE CAN CONTINUE KEEPING IT ON A SPLINT UM BUT OTHERWISE I DONT THINK WE NEED ANY IMAGING FOR THIS AT THIS UM AT THIS TIME SO DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ABOUT THAT
audio/MSK0032.mp3[636.480,640.240]	NO I THINK THATS UM THATS A GOOD PLAN
audio/MSK0032.mp3[640.240,642.800]	OKAY GREAT UM THANK YOU
audio/MSK0032.mp3[642.800,644.560]	THANK YOU
audio/RES0090.mp3[0.000,2.720]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0090.mp3[2.720,18.840]	YEAH UM SO I HAVE BEEN I HAVE THIS COUGH IM COUGHING UP BLOOD SO THATS MADE ME A LITTLE BIT WORRIED UM SO I THOUGHT I SHOULD COME AND GET GET IT INVESTIGATED
audio/RES0090.mp3[18.840,27.080]	OK YEAH NO DEFINITELY THAT THATS DEFINITELY CONCERNING IS SO WHEN DID THIS START
audio/RES0090.mp3[27.080,33.520]	IT THE COUGHING UP BLOOD STARTED ABOUT A WEEK AND A HALF AGO
audio/RES0090.mp3[35.360,39.840]	UHM BUT ITS NOT GETTING ANY BETTER AND ITS NOT STOPPING
audio/RES0090.mp3[39.840,49.880]	OK AND DID IT START DID THE COUGH JUST START UH WITH UH BLOOD IN THE COUGH OR WHAT DID IT JUST START AS A NORMAL COUGH FIRST
audio/RES0090.mp3[49.880,52.760]	IT STARTED OFF AS A NORMAL COUGH FIRST
audio/RES0090.mp3[52.760,60.720]	OK AND DID YOU HAVE ANY KIND OF PRODUCTION OF SPUTUM WITH YELLOW OR GREENISH MATERIAL AT ALL
audio/RES0090.mp3[60.720,72.800]	UH NOT REALLY I MEAN THERE ITS IT WAS A LITTLE BIT YELLOW BUT NOW ITS JUST MOSTLY BLOOD
audio/RES0090.mp3[72.800,87.720]	OK  AND DID YOU HAVE ANY DID YOU WERE YOU IN CONTACT WITH ANYONE THAT WAS SICK RECENTLY OR DID YOU HAVE ANY TRAVEL
audio/RES0090.mp3[87.720,93.200]	I RECENTLY IMMIGRATED TO CANADA FROM INDIA
audio/RES0090.mp3[93.200,105.040]	OK AND WERE YOU IN CONTACT AT ALL WHEN YOU WERE IN INDIA WITH ANYONE WHO MIGHT HAVE HAD TUBERCULOSIS OR WAS SICK AT ALL AROUND YOU
audio/RES0090.mp3[105.040,115.960]	UH I MEAN ITS POSSIBLE LIKE PEOPLE GET SICK IN MY FAMILY ALL THE TIME IN INDIA SO ITS POSSIBLE
audio/RES0090.mp3[115.960,125.520]	AND WERE YOU AT ALL IN INDIA WHEN WERE YOU WERE YOU LIVING IN LIKE CLOSE QUARTERS LIKE IN A SMALLER SPACE WITH OTHER PEOPLE AT ALL
audio/RES0090.mp3[125.520,129.080]	I HAVE A BIG FAMILY SO WE ALL LIVE TOGETHER
audio/RES0090.mp3[131.600,138.160]	UH SO ITS YEAH SO THERE ARE ABOUT LIKE TEN OF US
audio/RES0090.mp3[138.160,144.200]	OK GREAT SO IT STARTED ONE YOU SAID AROUND ONE AND A HALF WEEKS AGO
audio/RES0090.mp3[144.200,146.080]	YEAH THATS RIGHT
audio/RES0090.mp3[146.080,151.760]	OK AND IS IT LIKE A CONSTANT COUGH OR DOES IT COME AND GO
audio/RES0090.mp3[151.760,161.520]	ITS UH ITS PRETTY CONSTANT WELL I GUESS IT COMES AND GOES ITS ITS NOT THERE ALL THE TIME
audio/RES0090.mp3[161.520,166.040]	OK AND HAVE YOU HAD THIS HAPPEN BEFORE AT ALL
audio/RES0090.mp3[166.040,173.800]	NO NEVER
audio/RES0090.mp3[173.800,180.920]	OK RIGHT IS THERE ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE
audio/RES0090.mp3[180.920,187.800]	UHM I DONT THINK SO NOTHING THAT NOTHING IVE TRIED HAS WORKED
audio/RES0090.mp3[187.800,196.560]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS LIKE A FEVER OR SHORTNESS OF BREATH ANYTHING LIKE THAT
audio/RES0090.mp3[196.560,211.480]	I HAVE BEEN FEELING CHILLS AND UHM I HAVENT ACTUALLY TAKEN MY TEMPERATURE BUT I FEEL HOT SO ITS POSSIBLE THAT I HAVE A FEVER
audio/RES0090.mp3[211.480,216.800]	OK AND DO YOU DO YOU HAVE ANY SIGNIFICANT WEIGHT LOSS AT ALL IN THE PAST FEW WEEKS
audio/RES0090.mp3[216.800,223.600]	YEAH NOW THAT YOU MENTION IT I THINK IVE LOST ABOUT TEN POUNDS IN THE PAST MONTH
audio/RES0090.mp3[223.600,225.960]	OK AND HOW MUCH DO YOU WEIGH
audio/RES0090.mp3[225.960,230.080]	RIGHT NOW I WEIGH A HUNDRED AND TEN
audio/RES0090.mp3[230.080,240.880]	OK SO YEAH DEFINITELY THATS MORE THAN LIKE THE TEN PERCENT YES THAT IS PRETTY SIGNIFICANT HAVE YOU BEEN EXPERIENCING ANY NIGHT SWEATS
audio/RES0090.mp3[240.880,253.800]	YES YEAH IVE BEEN HAVING NIGHT SWEATS I THOUGHT THAT WAS JUST ME BEING HOT BUT I GUESS I FEEL CHILLY AND THEN I HAVE NIGHT SWEATS SO I PROBABLY DO HAVE A FEVER
audio/RES0090.mp3[253.800,260.040]	OK AND HOW ABOUT FATIGUE ARE YOU DO YOU FEEL MORE TIRED THROUGHOUT THE DAY
audio/RES0090.mp3[260.040,263.480]	UH YEAH I WOULD SAY SO
audio/RES0090.mp3[263.480,268.960]	OK AND DO YOU HAVE ANY SYMPTOMS LIKE CHEST PAIN OR RACING HEART OR ANYTHING LIKE THAT
audio/RES0090.mp3[268.960,272.120]	NO NOTHING LIKE THAT
audio/RES0090.mp3[272.120,278.720]	OK UHM ANY HEADACHES NAUSEA VOMITING
audio/RES0090.mp3[278.720,280.920]	UHM NO
audio/RES0090.mp3[280.920,283.760]	ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0090.mp3[283.760,285.440]	UH NOPE
audio/RES0090.mp3[285.440,288.360]	OK ANY ISSUES WITH YOUR SLEEP OR APPETITE
audio/RES0090.mp3[290.080,297.760]	OK AND UM ANY EXPOSURES TO FUMES OR DUST OR ANIMALS OR PETS
audio/RES0090.mp3[299.440,312.320]	OK AND UH CURRENTLY RIGHT NOW HAVE YOU BEEN IN CONTACT WITH ANYONE ELSE DO YOU GO TO WORK OR ANYONE LIVING WITH YOU RIGHT NOW
audio/RES0090.mp3[312.320,327.160]	SO I GO TO WORK UHM IM WORKING FOR AN ASSEMBLY LINE SO THERE ARE A LOT OF PEOPLE AROUND ME AND I LIVE WITH TWO HOUSEMATES
audio/RES0090.mp3[327.160,335.440]	OK AND ANYONE AT WORK OR YOUR HOUSEMATES ANYONE SHOWING ANY SIMILAR SYMPTOMS AT ALL
audio/RES0090.mp3[335.440,341.440]	NO I DONT THINK SO I HAVENT ASKED THEM BUT NOTHING IVE SEEN
audio/RES0090.mp3[341.440,346.720]	OK AND PREVIOUSLY DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU WERE DIAGNOSED WITH
audio/RES0090.mp3[346.720,350.640]	NOPE IM HEALTHY OTHERWISE
audio/RES0090.mp3[350.640,353.200]	OK ANY ALLERGIES
audio/RES0090.mp3[353.200,356.440]	NO NO ALLERGIES
audio/RES0090.mp3[356.440,362.400]	OK ANY KIND OF LOSS OF TASTE OR SMELL
audio/RES0090.mp3[362.400,367.040]	UH NO NOTHING LIKE THAT
audio/RES0090.mp3[367.040,370.360]	OK ARE YOU ON ANY MEDICATIONS AT ALL
audio/RES0090.mp3[370.360,377.240]	UHM NO JUST SOME VITAMINS
audio/RES0090.mp3[377.240,386.800]	OK AND ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES
audio/RES0090.mp3[386.800,390.000]	UH NO
audio/RES0090.mp3[390.000,396.360]	OK OTHER THAN THAT HAVE YOU HAD ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
audio/RES0090.mp3[396.360,399.440]	NOPE NOTHING LIKE THAT
audio/RES0090.mp3[399.440,409.200]	OK UHM CURRENTLY RIGHT NOW SO YOU LIVE WITH ROOMMATES IS IT LIKE AN APARTMENT IS IT A HOME LIKE A HOUSE
audio/RES0090.mp3[409.200,411.080]	I LIVE IN AN APARTMENT
audio/RES0090.mp3[411.080,414.440]	OK UHM DO YOU CURRENTLY SMOKE
audio/RES0090.mp3[416.320,421.640]	OK DO YOU DRINK ALCOHOL
audio/RES0090.mp3[423.000,426.680]	ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0090.mp3[429.800,436.200]	NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS WE HAD DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0090.mp3[436.200,444.440]	NO WHAT DO YOU THINK I HAVE AND IS THERE ANYTHING I NEED TO DO RIGHT NOW
audio/RES0090.mp3[444.440,532.280]	YEAH SO WHAT UH SOME OF YOUR SYMPTOMS ARE CONCERNING ESPECIALLY THE COUGHING UP BLOOD WHICH IS SOMETHING THAT WE ALWAYS THINK OF WITH TUBERCULOSIS YOU DONT HAVE ANY HISTORY OF UH FAMILY HISTORY OF LUNG CANCER OR ANYTHING LIKE THAT SO RIGHT NOW ESPECIALLY SINCE YOU JUST MOVED FROM INDIA WHERE TUBERCLOSIS IS ENDEMIC WE NEED TO MAKE SURE THAT WE TEST YOU FOR TUBERCULOSIS IN THE MEANTIME THOUGH YOU WILL NEED TO STAY IN THE HOSPITAL AND BE IN AN ISOLATED ROOM UH WHERE WE CAN FILTER SOME OF THE AIR AND MAKE SURE ITS A VERY INFECTIVE CONDITION IF YOU DO HAVE IT SO WHILE YOURE GETTING ALL THE TESTS DONE YOU WILL NEED TO STAY HERE IN AN ISOLATED ROOM ALSO WE WILL GET SOME SPUTUM SMEARS AND CULTURES TO TEST FOR TB AND WE WILL ALSO I WILL NEED TO IF THE TEST COMES BACK POSITIVE WE WILL NEED TO CONTACT PUBLIC HEALTH AND LET YOUR CONTACTS KNOW AS WELL LASTLY WE WILL ALSO BE GETTING SINCE YOURE HAVING THE HEMOPTYSIS LIKE COUGHING UP BLOOD WE WILL WE MIGHT ALSO DO A CHEST XRAY TO SEE IF
audio/RES0090.mp3[532.280,534.520]	YOU IF YOU HAVE ACTIVE TB
audio/RES0090.mp3[535.280,542.280]	SO THOSE ARE THOSE ARE SOME OF THE THINGS THAT WELL GET STARTED WITH IS THAT OK WITH YOU ANY QUESTIONS OR CONCERNS
audio/RES0090.mp3[542.280,547.600]	UHM NO NOTHING LIKE THAT UHM DO I NEED TO ISOLATE
audio/RES0090.mp3[547.600,595.200]	YEAH SO WE WILL KEEP YOU IN AN ISOLATED ROOM RIGHT NOW WHEN YOURE GETTING ALL THOSE TESTS AND IF YOU DO HAVE TB YOU WILL NEED TO ISOLATE UHM AND STAY AWAY FROM CONTACTS NOT BE AT WORK WE WILL IF YOU DO IN FACT HAVE TB WHICH IT SEEMS LIKELY RIGHT NOW YOU WILL BE STARTED IN HOSPITAL ON A LIKE ANTIBIOTIC THERAPY UH WHICH CONSISTS OF LIKE FOUR DIFFERENT MEDICATIONS AND PEOPLE WITH THE ACTIVE TB WILL DO HAVE TO ISOLATE DURING THAT TIME PERIOD SO YEAH WELL GET SOME OF THOSE TESTS DONE AND WELL GET BACK TO YOU AS SOON AS POSSIBLE
audio/RES0090.mp3[595.200,597.200]	OK GREAT THANK YOU
audio/RES0090.mp3[597.200,603.920]	YOURE WELCOME
audio/RES0121.mp3[0.000,2.720]	WHAT BRINGS YOU HERE TODAY
audio/RES0121.mp3[2.720,17.360]	YEAH HI IVE HAD THIS COUGH UM FOR THE PAST FOUR DAYS AND IT JUST CANT IT WONT GO AWAY SO I WAS JUST WONDERING IF YOU KNOW I CAN GET SOMETHING FOR IT
audio/RES0121.mp3[17.360,25.840]	OKAY SO UH SO YOUVE BEEN HAVING THE COUGH FOR FOUR DAYS CAN YOU DESCRIBE THE COUGH A LITTLE BIT IS IT LIKE A DRY COUGH OR WET COUGH
audio/RES0121.mp3[25.840,28.200]	UH ITS DRY
audio/RES0121.mp3[28.200,33.840]	ITS DRY OKAY UM ARE YOU COUGHING UP BLOOD AT ALL
audio/RES0121.mp3[33.840,35.720]	NO NO BLOOD
audio/RES0121.mp3[35.720,42.360]	OKAY ARE YOU BRINGING UP ANY ALTHOUGH YOURE NOT COUGHING ARE YOU BRINGING UP ANY KIND OF SPUTUM
audio/RES0121.mp3[42.360,47.880]	NO NO ITS ITS PRETTY ITS PRETTY DRY
audio/RES0121.mp3[47.880,52.520]	OKAY UM AND ANY OTHER SYMPTOMS AT ALL BESIDES THE COUGH
audio/RES0121.mp3[52.520,56.160]	NO NOTHING ELSE
audio/RES0121.mp3[56.160,64.080]	OKAY AND HAVE YOU BEEN SICK AT ALL RECENTLY WITH FEVER CHILLS RUNNY NOSE UM ANY COLD LIKE SYMPTOMS
audio/RES0121.mp3[64.080,76.600]	UM YOU KNOW A WEEK BACK I HAD A RUNNY NOSE UM AND SOMETIMES LIKE A STUFFY NOSE BUT THAT WENT AWAY
audio/RES0121.mp3[76.600,80.760]	OKAY UM AND AFTER THAT DID YOU HAVE ANY FEVERS AT ALL
audio/RES0121.mp3[82.280,88.840]	OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL LIKE A COUGH LASTING MORE THAN FOUR DAYS
audio/RES0121.mp3[88.840,103.000]	YEAH ITS HAPPENED TO ME IN THE PAST UM YEAH IT YEAH IT HAS UM BUT ITS JUST MORE BOTHERSOME THIS TIME CAUSE IM COUGHING A LOT MORE
audio/RES0121.mp3[103.000,108.400]	OKAY AND IS THERE ANYTHING THAT YOUVE TRIED THAT HAS HELPED YOU RELIEVE THE COUGH AT ALL
audio/RES0121.mp3[108.400,114.760]	I TRIED SOME OVERTHECOUNTER COUGH SUPPRESSANTS UH THEY DONT SEEM TO BE WORKING TOO WELL
audio/RES0121.mp3[114.760,120.520]	I SEE AND ANYTHING THATS MAKING YOUR COUGH WORSE AT ALL NO
audio/RES0121.mp3[121.160,126.480]	DO YOU HAVE ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE HEADACHE ANYTHING LIKE THAT
audio/RES0121.mp3[126.480,132.360]	NO NOTHING LIKE THAT
audio/RES0121.mp3[132.360,135.800]	OKAY HAVE YOU BEEN AROUND ANYONE THATS SICK RECENTLY
audio/RES0121.mp3[138.280,147.440]	NO UM HAVE YOU HAD ANY UM HAVE YOU TRAVELED AT ALL OUTSIDE OF THE PROVINCE OR COUNTRY AT ALL RECENTLY
audio/RES0121.mp3[147.440,152.000]	NOPE NOT OUTSIDE THE PROVINCE
audio/RES0121.mp3[152.000,160.680]	OKAY AND OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF KIND OF MUSCLE ACHES UH OR ANYTHING LIKE THAT
audio/RES0121.mp3[160.680,166.120]	UH NO NO MUSCLE ACHES UM NOTHING ELSE THAT I CAN THINK OF
audio/RES0121.mp3[166.120,169.000]	OKAY ANY SHORTNESS OF BREATH
audio/RES0121.mp3[169.000,171.840]	NO NO SHORTNESS OF BREATH
audio/RES0121.mp3[171.840,178.120]	IS THE COUGH LIKE CONSTANT GOES ON THROUGHOUT THE DAY OR IS THERE A TIME THAT ITS WORSE
audio/RES0121.mp3[178.120,182.240]	UH ITS PRETTY ITS PRETTY CONSTANT
audio/RES0121.mp3[182.240,189.640]	OKAY AND DO YOU HAVE ANY KIND OF UM INCREASED TIRED LIKE GETTING MORE TIRED OR FATIGUED
audio/RES0121.mp3[189.640,190.960]	UM NO
audio/RES0121.mp3[190.960,199.920]	UM ANY KIND OF CHEST PAIN OR FEELING THAT YOUR HEART IS RACING
audio/RES0121.mp3[199.920,202.680]	UM NO NOTHING LIKE THAT
audio/RES0121.mp3[202.680,207.760]	OKAY ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY CONSTIPATION OR DIARRHEA
audio/RES0121.mp3[210.200,214.560]	OKAY ANY UM NAUSEA OR VOMITING
audio/RES0121.mp3[214.560,219.160]	UM NOPE NOTHING LIKE THAT
audio/RES0121.mp3[219.160,228.680]	OKAY UM ANY KIND OF UH CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0121.mp3[228.680,230.640]	UH NO
audio/RES0121.mp3[230.640,235.800]	AND UM HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY
audio/RES0121.mp3[238.440,243.680]	NO OKAY UM OTHERWISE ARE YOU HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS AT ALL
audio/RES0121.mp3[243.680,246.880]	UH NO I DONT IM OTHERWISE HEALTHY
audio/RES0121.mp3[246.880,251.200]	OTHERWISE HEALTHY OKAY ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0121.mp3[252.840,259.240]	ANY ALLERGIES TO ANY ENVIRONMENTAL OR ANY ENVIRONMENTAL FACTORS
audio/RES0121.mp3[262.200,269.400]	OKAY UM ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS RELATED TO THE HEART LUNGS ANY CANCERS AT ALL
audio/RES0121.mp3[269.400,275.680]	UH NO NOTHING LIKE THAT
audio/RES0121.mp3[275.680,281.400]	OKAY ALRIGHT UM ARE YOU SO WHAT WHAT IS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/RES0121.mp3[281.400,289.040]	I LIVE IN UM AN APARTMENT BY MYSELF IM A STUDENT
audio/RES0121.mp3[289.040,294.400]	OKAY UM AND ARE YOU WORKING AT ALL OR ARE YOU A STUDENT SEEMING
audio/RES0121.mp3[294.400,299.760]	UM I WORK PART TIME I WORK AS A BARISTA
audio/RES0121.mp3[299.760,310.240]	OKAY AND ANYONE ANYONE IN YOUR WORK ENVIRONMENT OR UH IN YOUR HOME ENVIRONMENT OR AT SCHOOL THAT HAS BEEN SICK AROUND YOU
audio/RES0121.mp3[310.240,315.960]	NOT THAT IVE HEARD OF NO
audio/RES0121.mp3[315.960,321.880]	OKAY UM AND OTHER THAN THAT DO YOU SMOKE AT ALL
audio/RES0121.mp3[321.880,326.800]	UM NO I WELL I USED TO SMOKE BEFORE I STOPPED LAST YEAR
audio/RES0121.mp3[326.800,330.080]	LAST YEAR OKAY AND HOW LONG DID YOU SMOKE FOR
audio/RES0121.mp3[330.080,335.400]	I SMOKED JUST A COUPLE LIKE TWO YEARS
audio/RES0121.mp3[335.400,348.920]	OKAY YEAH SO CONGRATULATIONS THATS A REALLY GREAT THING TO DO ESPECIALLY LIKE RIGHT NOW WITH THE PANDEMIC GOING ON AND EVERYTHING ITS EARLIER YOU STOP ITS REALLY GOOD
audio/RES0121.mp3[348.920,350.200]	THANK YOU
audio/RES0121.mp3[350.200,356.360]	BESIDES UH LIKE SMOKING UM DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0121.mp3[358.800,361.680]	NO OKAY AND HOW ABOUT ALCOHOL
audio/RES0121.mp3[361.680,368.400]	NOPE I DONT DRINK TOO MUCH ALCOHOL I DRINK LIKE OVER THE HOLIDAYS
audio/RES0121.mp3[368.400,374.040]	OKAY AND I FORGOT TO ASK YOU THIS EARLIER BUT ANY HOSPITALIZATION OR SURGERIES IN THE PAST
audio/RES0121.mp3[374.040,376.320]	NO NOTHING LIKE THAT
audio/RES0121.mp3[376.320,385.240]	NOTHING LIKE THAT OKAY THOSE ARE ALL THE QUESTIONS UM I HAVE FOR YOU DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0121.mp3[385.240,389.360]	UM YEAH WHAT SHOULD I DO ABOUT THIS COUGH
audio/RES0121.mp3[389.360,422.720]	YEAH SO THIS COUGH UM ITS BEEN GOING ON FOR THE LAST FOUR DAYS SINCE YOU DO HAVE A COUGH UM AND RIGHT NOW THAT LIKE IS CONSIDERED A SYMPTOM LIKE LIKE A POTENTIAL SYMPTOM FOR COVIWE DEFINITELY WANT TO DO A COVISWAB TEST FOR YOU WHICH WILL COME BACK IN 24 HOURS TO 48 HOURS YOU SHOULD STILL TRY AND ISOLATE AS MUCH AS YOU CAN AWAY FROM ANY ROOMMATES OR FAMILY MEMBERS FOR THE NEXT SO 14 DAYS SINCE YOU FIRST EXPERIENCED THE THE COUGH
audio/RES0121.mp3[423.800,466.240]	BASED ON LIKE PUBLIC HEALTH WILL CALL YOU AS WELL SO YOU CAN FOLLOW THEIR INSTRUCTIONS AND IF IT CAN BE ANYTHING ELSE TOO LIKE WITH A COUGH THERE CAN BE MULTIPLE THINGS GOING ON YOU CAN HAVE UM LIKE AN UPPER RESPIRATORY VIRAL OR BACTERIAL INFECTION BUT SINCE YOURE NOT HAVING TOO MANY OTHER SYMPTOMS RIGHT NOW IT CAN JUST BE BRONCHITIS UM THIS IS SOMETHING THAT WELL TRY AND KEEP AN EYE ON AND MAKE SURE ITS NOTHING ELSE LIKE UH PNEUMONIA FOR EXAMPLE BUT RIGHT NOW YEAH WELL GET THAT TESTING DONE AND THEN JUST KIND OF WAIT AND WATCH
audio/RES0121.mp3[466.240,469.080]	SURE YEAH THANK YOU
audio/RES0121.mp3[469.080,470.640]	YOURE WELCOME TAKE CARE
audio/RES0121.mp3[470.640,471.520]	YOU TOO
audio/RES0086.mp3[0.000,2.320]	WHAT BRINGS YOU IN
audio/RES0086.mp3[2.320,64.040]	YEAH SO I JUST CAME IN TODAY I ACTUALLY HAD ASTHMA AS A KID AND I USED TO BE ON THE PUFFERS AND IT PRETTY MUCH RESOLVED BY THE TIME I WAS AROUND LIKE 18 YEARS OLD AND IVE BEEN PRETTY GOOD SINCE THEN I HAVENT EVEN BEEN REALLY USING THE PUFFERS FOR THE LAST FIVE YEARS BUT JUST RECENTLY JUST DURING THE WINTER I STARTED NOTICING SOME OF MY SYMPTOMS COMING BACK AND NOW ESPECIALLY OVER THE LAST FEW MONTHS WHENEVER IM DOING SOMETHING LIKE GOING TO THE GYM OR EXERCISING I DO GET THAT SHORTNESS OF BREATH AND I FEEL MY THROAT CLOSING IN AGAIN AND RECENTLY FOR THE LAST I WOULD SAY A WEEK IVE ALSO BEEN HAVING SOME WHEEZING AS WELL SO YEAH I JUST WANTED TO COME BACK AND MAKE SURE EVERYTHING IS ALRIGHT
audio/RES0086.mp3[64.040,69.760]	OK SURE SO JUST TO REWIND A LITTLE BIT WHEN WERE YOU FIRST DIAGNOSED WITH ASTHMA
audio/RES0086.mp3[69.760,76.920]	SO I WAS DIAGNOSED WHEN I WAS I THINK IT WAS LIKE WHEN I WAS 13 YEARS OLD
audio/RES0086.mp3[76.920,82.840]	13 OK AND YOUVE BEEN USING PUFFERS SINCE
audio/RES0086.mp3[82.840,109.280]	P YEAH SO FROM THEN TO LIKE MAYBE WHEN I WAS 18 I WAS USING PUFFERS AND THEN I CONTINUED USING THEM ON AND OFF LIKE JUST THE BLUE ONE WHENEVER I NEEDED IT BUT FOR THE LAST FIVE YEARS I HAVENT EVEN HAD TO USE ANY PUFFERS AT ALL
audio/RES0086.mp3[109.280,123.400]	OK OK SO CAN YOU TELL ME A LITTLE BIT ABOUT THE SYMPTOMS THAT YOURE EXPERIENCING RIGHT NOW OK SO YOU SAID SOME SHORTNESS OF BREATH WHEN DID THAT START
audio/RES0086.mp3[123.400,148.520]	SO YEAH IN THE LAST I WOULD SAY TWO MONTHS IVE NOTICED IT SIMILARLY TO WHEN I WAS YOUNGER ESPECIALLY WHEN IM ON THE TREADMILL OR RUNNING I GET SHORT OF BREATH VERY EASILY BUT AT REST IM FINE I DONT HAVE ANY TROUBLE BUT IVE NOTICED IT FOR THE LAST FEW MONTHS
audio/RES0086.mp3[148.520,156.920]	OK SO ITS MOSTLY WHEN YOURE EXERCISING OR WITH ACTIVITIES
audio/RES0086.mp3[158.440,161.920]	OK AND DO YOU FEEL WHEEZY AS WELL
audio/RES0086.mp3[161.920,182.400]	YEAH IN THE LAST ONE TO TWO WEEKS I WOULD SAY IM ALSO WHEEZING AS WELL MAINLY DURING LIKE IF IM RUNNING OR STILL WITH EXERCISE I FEEL MYSELF WHEEZING YEAH SO THATS BEEN AN ISSUE FOR THE LAST COUPLE OF WEEKS
audio/RES0086.mp3[182.400,189.040]	SO ONCE YOU STOP ACTIVITY DOES YOUR SHORTNESS OF BREATH AND WHEEZING EVENTUALLY RESOLVE
audio/RES0086.mp3[189.040,197.040]	YEAH YEAH SO I JUST HAVE TO KIND OF SIT DOWN AND RELAX FOR A BIT AND THEN IT GOES AWAY ON ITS OWN
audio/RES0086.mp3[197.040,201.360]	OK HOW LONG DOES IT LAST BEFORE IT GOES AWAY
audio/RES0086.mp3[201.360,209.000]	PROBABLY AT LEAST LIKE I WOULD SAY 10 TO 15 MINUTES
audio/RES0086.mp3[209.000,209.960]	OK OK
audio/RES0086.mp3[209.960,212.800]	UNTIL IM FULLY KIND OF RECOVERED
audio/RES0086.mp3[212.800,216.800]	OK OK ARE YOU COUGHING AS WELL
audio/RES0086.mp3[216.800,231.040]	UHM YEAH WHEN IM EXERCISING THATS WHEN ALL OF THAT HAPPENS THE WHEEZING THE COUGHING BUT THROUGHOUT THE DAY OTHERWISE IM NOT COUGHING
audio/RES0086.mp3[231.040,240.080]	OK AND WHEN YOU COUGH DO YOU BRING UP PHLEGM OR IS IT MORE LIKE A DRY COUGH
audio/RES0086.mp3[240.080,252.640]	P ITS MOSTLY A DRY COUGH SOMETIMES I DO BRING UP SOME CLEAR WHITISH MATERIAL BUT USUALLY ITS DRY
audio/RES0086.mp3[252.640,259.800]	OK ALRIGHT AND DO YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0086.mp3[259.800,262.640]	NO NO NOTHING LIKE THAT
audio/RES0086.mp3[262.640,267.360]	NO YOU DONT FEEL LIKE YOURE BREATHING A LOT MORE THAN USUAL
audio/RES0086.mp3[267.360,272.120]	UH NO I DONT THINK SO
audio/RES0086.mp3[272.120,275.400]	OK DO YOU STILL HAVE PUFFERS AT HOME
audio/RES0086.mp3[275.400,282.560]	I ACTUALLY LIKE I HAVENT USED THEM FOR A WHILE SO NO I DONT HAVE ANY PUFFERS
audio/RES0086.mp3[282.560,288.520]	OK ANY WEIGHT LOSS RECENTLY
audio/RES0086.mp3[289.840,292.520]	NO FEVERS OR CHILLS
audio/RES0086.mp3[292.520,294.280]	NO NOTHING LIKE THAT
audio/RES0086.mp3[294.280,299.720]	OK ANY RASHES OR CHANGES IN YOUR HAIR OR SKIN OR NAILS
audio/RES0086.mp3[299.720,316.720]	I DO I HAVE JUST UH ECZEME IVE HAD IT FOR MOST OF MY LIFE NOW SO ESPECIALLY DURING THE WINTER I DO GET SOME IRRITATION ESPECIALLY ON MY HANDS SO YEAH SOME RASHES BUT THATS ABOUT IT
audio/RES0086.mp3[316.720,324.400]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0086.mp3[324.400,328.240]	NO NO CHANGES
audio/RES0086.mp3[328.240,332.600]	STUFFY NOSE RUNNY NOSE CHANGES IN YOUR TASTE
audio/RES0086.mp3[333.320,336.760]	CHANGES IN SMELL
audio/RES0086.mp3[337.040,341.320]	CHEST PAIN
audio/RES0086.mp3[341.320,343.040]	NO CHEST PAIN
audio/RES0086.mp3[343.040,351.360]	DO YOU FIND YOU GET SHORT OF BREATH WHEN YOURE LAYING DOWN OR IT WAKES YOU UP AT NIGHT
audio/RES0086.mp3[351.360,356.600]	NO JUST WHEN IM EXERCISING ESPECIALLY RUNNING
audio/RES0086.mp3[356.600,361.280]	OK SURE ANY DIZZINESS OR FAINTING SPELLS
audio/RES0086.mp3[363.200,366.200]	ANY HEADACHES
audio/RES0086.mp3[366.200,368.280]	NO HEADACHES
audio/RES0086.mp3[368.280,373.160]	ANY LIKE REFLUX HEARTBURN
audio/RES0086.mp3[375.480,377.840]	NAUSEA VOMITING
audio/RES0086.mp3[378.520,381.000]	CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0086.mp3[383.480,395.440]	OK SO YOU MENTIONED YOU WERE DIAGNOSED WITH ASTHMA AND ECZEMA IN THE PAST ANY OTHER LONGSTANDING MEDICAL CONDITIONS THAT YOU HAVE
audio/RES0086.mp3[395.440,399.400]	UH NO THOSE THOSE ARE THE ONLY ONES
audio/RES0086.mp3[399.400,404.120]	OK ANY ALLERGIES
audio/RES0086.mp3[404.120,428.240]	I DO HAVE I THINK LIKE JUST SEASONAL ALLERGIES I DONT KNOW IF IM ALLERGIC TO POLLEN BUT DURING THE SPRING TIME I GET ALLERGIES AND THEN DURING THE WINTER NOW IM GETTING SOME OF THESE SYMPTOMS THAT IM TALKING ABOUT SO YEAH BUT NONE TO ANY MEDICATIONS THAT I KNOW OF
audio/RES0086.mp3[428.240,435.000]	OK SO YOURE NOT GETTING ANY NIGHT TIME SYMPTOMS AND YOURE ONLY GETTING DAY TIME SYMPTOMS WITH ACTIVITY RIGHT
audio/RES0086.mp3[435.720,441.280]	HAS THIS PREVENTED YOU FROM GOING TO WORK OR SCHOOL
audio/RES0086.mp3[441.280,480.160]	OH YEAH SO I JUST THIS PAST WEEK I USUALLY DO MY RUNNING LIKE MORNING WORKOUT RIGHT BEFORE WORK AND JUST ONE OF THE DAYS AFTER I WORKED OUT I FELT JUST TERRIBLE WITH THIS COUGHING AND SHORT OF BREATH SO I JUST DECIDED TO TAKE A DAY OFF WORK THAT DAY BUT THEN I REALIZED IT KIND OF GOES AWAY ON ITS OWN SO FOR THE OTHER DAYS I HAVE BEEN GOING TO WORK
audio/RES0086.mp3[480.160,488.320]	OK OK GOOD AND ALRIGHT AND THEN ANY MEDICATIONS THAT YOURE ON
audio/RES0086.mp3[488.320,492.320]	IM ON A JUST ONE OF THOSE STEROID CREAMS FOR MY ECZEMA
audio/RES0086.mp3[492.320,498.960]	OK OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0086.mp3[501.520,508.280]	OK UHM HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0086.mp3[508.280,525.480]	NO HEART CONDITIONS BUT YEAH ASTHMA IS PRETTY BIG IN MY FAMILY AS WELL AS ECZEMA LIKE MY MOM HAS IT MY SISTER HAS IT SO YEAH ASTHMA IS PRETTY BIG
audio/RES0086.mp3[525.480,529.520]	OK HOW ABOUT CANCERS
audio/RES0086.mp3[529.520,540.240]	UHM NO I DONT THINK ANYONE IN THE FAMILY HAS ANY CANCERS
audio/RES0086.mp3[540.240,543.280]	OK AND DO YOU SMOKE
audio/RES0086.mp3[543.280,555.440]	NO IVE NEVER SMOKED IM PRETTY HEALTH FOCUSED AND I CANT EVEN TAKE IF SOMEONE ELSE IS SMOKING SO NO
audio/RES0086.mp3[555.440,560.320]	NO OK DO YOU DRINK ALCOHOL
audio/RES0086.mp3[560.320,573.920]	NO I DONT DRINK ALCOHOL NO DRUGS YEAH IM PRETTY I LIKE TO STAY VERY FIT AND HEALTHY SO NOTHING LIKE THAT
audio/RES0086.mp3[573.920,579.040]	OK AND HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY
audio/RES0086.mp3[579.040,600.200]	NO NOT THAT I KNOW OF I LIVE BY MYSELF IN MY APARTMENT IVE BEEN WORKING FROM HOME I WORK AS A PROGRAMMER AND SO I ONLY GO OUTSIDE FOR RUNS AND STUFF FOR GROCERIES SO I HAVENT REALLY SEEN ANYONE SICK AROUND ME
audio/RES0086.mp3[600.200,604.800]	YEAH AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0086.mp3[604.800,607.840]	NO IVE MAINLY BEEN AT HOME
audio/RES0086.mp3[607.840,611.960]	OK GOOD AND WHERES HOME
audio/RES0086.mp3[611.960,621.440]	HOME IS IN HAMILTON ONTARIO AND IVE JUST BEEN WORKING FROM HOME
audio/RES0086.mp3[621.440,627.120]	OK DO YOU LIVE IN A HOUSE APARTMENT WHO DO YOU LIVE WITH
audio/RES0086.mp3[627.120,643.480]	I JUST LIVE IN AN APARTMENT BY MYSELF I DID HAVE A ROOMMATE LIKE UH THAT MOVED OUT JUST A COUPLE OF MONTHS AGO BUT YEAH RIGHT NOW IM JUST BY MYSELF
audio/RES0086.mp3[643.480,649.560]	OK OK ANY OLD CARPETS PETS MOLD OR ASBESTOS IN THE HOUSE
audio/RES0086.mp3[649.560,651.320]	NO NOTHING LIKE THAT
audio/RES0086.mp3[651.320,660.960]	OK GOOD SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/RES0086.mp3[660.960,674.520]	YEAH I WAS JUST WONDERING IF I SHOULD GO BACK ON THE PUFFERS I DONT HAVE ANY RIGHT NOW I JUST DONT KNOW IF MY ASTHMA HAS JUST UH COME BACK
audio/RES0086.mp3[674.520,722.720]	YEAH SO WHAT WERE GONNA DO IS WERE GOING TO DO A PFT SO PULMONARY FUNCTION TEST ON YOU CAUSE ITS BEEN A WHILE SINCE YOUVE HAD ONE OF THOSE DONE AND THATS JUST TO CHECK HOW WELL YOUR LUNG IS FUNCTIONING SO WELL DO THAT WELL ALSO MAYBE GET A CHEST XRAY AS WELL FOR BASELINE AND DEPENDING ON WHAT THOSE TWO COME BACK AS WELL PROBABLY GET YOU TO USE YOUR SHORT ACTING BETA AGONIST PUFFER AGAIN AND WELL ALSO GIVE YOU A LONG ACTING
audio/RES0086.mp3[724.600,777.520]	AS WELL AS AN INHALED CORTICO STEROID SO ACTUALLY YOU KNOW WHAT WELL GIVE YOU AN INHALED CORTICO STEROID AND A SHORT ACTING BETA AGONIST BECAUSE YOU CANT USE BOTH THE STEROID AND THE LONG SO WELL START WITH THOSE TWO WELL START WITH THE SHORT ACTING AS WELL AS INHALED CORTICO STEROID AND IF WE FIND THAT YOUR ASTHMA IS JUST BASED ON LIKE EXERTION OR LIKE SOMETHING CALLED ATHLETIC ASTHMA WE CAN ALSO TRY SOMETHING CALLED CROMOLYN INSTEAD BUT WELL DISCUSS THAT MORE RIGHT NOW OUR PRIORITY IS TO GET YOUR SYMPTOMS UNDER CONTROL SO WELL START WITH THE SHORT ACTING AS WELL AS THE INHALED CORTICO STEROID HOW DOES THAT SOUND
audio/RES0086.mp3[777.520,780.480]	YEAH THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0086.mp3[780.480,786.560]	YEAH NO PROBLEM
audio/RES0183.mp3[0.000,2.280]	HOW MAY I HELP YOU
audio/RES0183.mp3[2.280,25.600]	HI THERE I BROUGHT IN MY HERE BECAUSE HES BEEN BARKING WELL NOT BARKING HES HAD THIS COUGH THAT SOUNDS LIKE A BARKING COUGH AND HES HAVING A REALLY HARD TIME TAKING IN A DEEP BREATH AND MONEY DOES IT SOUNDS IT SOUNDS HARSH
audio/RES0183.mp3[25.600,29.080]	OK AND WHEN DID THE COUGH START
audio/RES0183.mp3[29.080,34.440]	IT STARTED ABOUT TWO DAYS AGO
audio/RES0183.mp3[34.440,38.440]	OK IS IT A DRY COUGH OR WET COUGH
audio/RES0183.mp3[38.440,42.120]	IT SOUNDS PRETTY DRY YEAH
audio/RES0183.mp3[42.120,46.640]	ALRIGHT SO SO THERES BEEN NO SPUTUM AND NO NO HEMOPTYSIS
audio/RES0183.mp3[50.080,58.080]	OK AND IT IT DOES THE COUGH HAPPEN AT ANY PARTICULAR TIME OF DAY
audio/RES0183.mp3[58.080,69.880]	UHM I MEAN NO WELL ACTUALLY MOSTLY AT NIGHT BUT ALSO IT HAPPENS THROUGHOUT THE DAY UMM BUT YEAH MORE SO AT NIGHT
audio/RES0183.mp3[69.880,75.840]	OK AND UH HAS THERE BEEN ANY SHORTNESS OF BREATH OR DIFFICULTY BREATHING
audio/RES0183.mp3[75.840,85.160]	UH NO SHORTNESS OF BREATH OR DIFFICULTY BREATHING IT JUST SOUNDS HARSH WHEN HE DOES TAKE A DEEP BREATH IN
audio/RES0183.mp3[85.160,98.520]	OK UH AND ANY CHANGES TO UH TO THE VOICE OR UHM YEAH LIKE THIS IS SAYING DOES HE SOUND ANY DIFFERENT LIKE A HOT POTATO VOICE
audio/RES0183.mp3[98.520,109.920]	UHM NO IT DOESNT SOUND LIKE THAT
audio/RES0183.mp3[109.920,120.680]	OK AND UH UHM THAT YOU MENTIONED UMM OH SORRY HAS HE HAD ANY CHANGES TO THE SOUND OF HIS BREATHING
audio/RES0183.mp3[120.680,130.480]	THE SOUND OF HIS BREATHING IT SOUNDS LIKE IT SOUNDS HARSH WHEN HE TAKES A DEEP BREATH IN
audio/RES0183.mp3[130.480,138.280]	OK SO THAT SOUNDS LIKE HES HAVING SOME STRIDOR HAS HE BEEN HAVING ANY WHEEZING
audio/RES0183.mp3[138.280,143.880]	YOU MEAN LIKE WHEN HE EXHALES
audio/RES0183.mp3[143.880,145.160]	UH YEAH
audio/RES0183.mp3[145.160,153.480]	UH ITS MORE WHEN HE INHALES THAT I HEAR IT
audio/RES0183.mp3[153.480,159.640]	OK OK AND HAS HE HAD ANY EYE REDNESS OR ANY EYE DISCHARGE
audio/RES0183.mp3[159.640,163.960]	UHM NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0183.mp3[163.960,166.280]	IS THE OTHER A RUNNY NOSE
audio/RES0183.mp3[168.080,172.280]	OK HAS HE HAD A SORE THROAT
audio/RES0183.mp3[172.280,174.120]	NO SORE THROAT
audio/RES0183.mp3[174.120,183.560]	OK AND HAVE YOU HAD A CHANCE TO LOOK IN HIS MOUTH HAS HE HAD ANY LIKE ANY REDNESS OR ANY SWELLING IN THE BACK OF HIS MOUTH
audio/RES0183.mp3[183.560,193.160]	I TOOK A LOOK IT DOESNT LOOK SWOLLEN
audio/RES0183.mp3[193.160,198.560]	OK AND UH NO SHORTNESS OF BREATH I THINK YOU SAID
audio/RES0183.mp3[198.560,200.800]	YEAH NO SHORTNESS OF BREATH
audio/RES0183.mp3[200.800,203.720]	OK AND HAS HE HAD A SORE THROAT
audio/RES0183.mp3[204.320,208.840]	OK AND ANY CHANGES TO HIS SENSE OF SMELL OR SENSE OF TASTE
audio/RES0183.mp3[208.840,212.200]	UHM NOT THAT IVE NOTICED
audio/RES0183.mp3[212.200,218.200]	OK AND HOW HAS HIS APPETITE BEEN
audio/RES0183.mp3[218.200,224.600]	NOT AS GREAT AS IT USUALLY IS BUT HES STILL EATING
audio/RES0183.mp3[224.600,229.600]	OK HOW IS HIS LIKE MOOD AND BEHAVIOUR BEEN
audio/RES0183.mp3[229.600,237.840]	UHM HES BEEN A LITTLE BIT MORE FUSSY THAN USUAL
audio/RES0183.mp3[237.840,240.120]	OK AND EATING LESS AS WELL
audio/RES0183.mp3[240.120,246.160]	HES BEEN EATING LESS BUT NOT LIKE MUCH LESS I STILL TRY TO GET SOMETHING IN HIM
audio/RES0183.mp3[246.160,248.680]	OK WELL THATS GOOD AND HAS HE HAD ANY CHEST PAIN
audio/RES0183.mp3[248.680,261.840]	UHM NO I DONT THINK SO HE HASNT COMPLAINED OF IT OR ANYTHING TO MAKE ME THINK THAT HE HAS ANY CHEST PAIN
audio/RES0183.mp3[261.840,270.800]	OK AND HAS HE HAD ANY FAINTING OR MENTIONED THAT HES DIZZY AT ALL
audio/RES0183.mp3[271.320,275.000]	OK DOES HE HAVE ANY HEADACHES
audio/RES0183.mp3[275.000,282.080]	I DONT THINK SO HE HASNT COMPLAINED OF THAT
audio/RES0183.mp3[282.080,287.520]	OK ANY EAR PAIN OR OR EAR DISCHARGE
audio/RES0183.mp3[287.520,289.240]	UH NO
audio/RES0183.mp3[289.240,296.640]	OK DOES HE HAVE ANY ABDOMINAL PAIN
audio/RES0183.mp3[297.440,302.640]	DOES HE HAVE ANY DIARRHEA OR CONSTIPATION
audio/RES0183.mp3[305.120,307.960]	OK ANY BLOOD IN THE STOOL
audio/RES0183.mp3[309.800,314.200]	OK AND ANY SKIN RASHES
audio/RES0183.mp3[314.200,317.080]	NO NOT THAT IVE NOTICED
audio/RES0183.mp3[317.080,325.920]	OK HAS HE MENTIONED ANYTHING ABOUT MUSCLE ACHES OR JOINT PAINS
audio/RES0183.mp3[325.920,329.360]	AH NO HE HASNT
audio/RES0183.mp3[329.360,335.200]	OK AND IS HE HAD ANY NAUSEA OR VOMITING
audio/RES0183.mp3[337.240,343.480]	OK AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0183.mp3[343.480,349.240]	UH NO HES BEEN A PRETTY HEALTHY CHILD
audio/RES0183.mp3[349.240,375.600]	OK AND SORRY JUST TO GO BACK AND JUST SUMMARIZE THE SYMPTOMS OVERALL SO HES HAD A BARKY COUGH THAT STARTED TWO DAYS AGO AS WELL AS SOME STRIDOR OR SOME NOISE ON INHALATION AND AND THIS REMINDS ME HAS HE HAD ANY FEVERS OR CHILLS
audio/RES0183.mp3[375.600,383.520]	UH HE HAS HAD A FEVER ACTUALLY IT WAS 387 YESTERDAY
audio/RES0183.mp3[383.520,387.080]	OK AND ANY NIGHT SWEATS
audio/RES0183.mp3[387.080,391.200]	NO HASNT SEEMED SWEATY AT NIGHT NO
audio/RES0183.mp3[391.200,397.320]	OK AND HAS HE HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS
audio/RES0183.mp3[397.320,398.960]	UH NO
audio/RES0183.mp3[398.960,411.680]	OK AND YOU SAID HE HASNT BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE BUT SO HAS HE HAD ANY REASONS TO BE HOSPITALIZED OR OR ANY SURGERIES
audio/RES0183.mp3[411.680,415.320]	NO ITS BEEN A PRETTY HEALTHY CHILD
audio/RES0183.mp3[415.320,419.760]	OK THATS GREAT AND ANY ALLERGIES THAT YOURE AWARE OF
audio/RES0183.mp3[419.760,425.680]	UH I THINK HES ALLERGIC TO PENICILLIN
audio/RES0183.mp3[425.680,428.120]	ALRIGHT WHATS THE REACTION
audio/RES0183.mp3[428.120,429.840]	UH HE JUST GETS A RASH
audio/RES0183.mp3[429.840,435.120]	OK AND  ARE HIS IMMUNIZATIONS UP TO DATE
audio/RES0183.mp3[437.640,442.920]	ALRIGHT AND CURRENTLY WHO IS HE LIVING WITH
audio/RES0183.mp3[442.920,450.560]	AH HE LIVES WITH HIS BOTH HIS PARENTS AND HIS OLDER SISTER
audio/RES0183.mp3[450.560,456.360]	OK AND HAS ANYBODY IN THE FAMILY BEEN SICK OR IS HE BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0183.mp3[456.360,461.600]	NO EVERYONES BEEN PRETTY HEALTHY
audio/RES0183.mp3[461.600,466.440]	OK HAS THERE BEEN ANY TRAVEL RECENTLY
audio/RES0183.mp3[466.440,470.440]	NO NO ONES TRAVELED RECENTLY
audio/RES0183.mp3[470.440,476.000]	OK AND ANYBODY SMOKE IN THE HOME
audio/RES0183.mp3[476.000,477.800]	UH NO
audio/RES0183.mp3[477.800,490.280]	ALRIGHT THEN ANY CONCERNS FOR HIM BEING EXPOSED TO ANY FORMS OF PHYSICAL OR EMOTIONAL OR VERBAL ABUSE OR ANY VIOLENCE IN THE HOME
audio/RES0183.mp3[490.280,491.080]	OH NO NO
audio/RES0183.mp3[491.080,502.680]	OK AND IS HE LIKE GOING TO DAYCARE OR WHO IS THE PRIMARY CAREGIVER AT HOME
audio/RES0183.mp3[502.680,509.360]	UHM ITS USUALLY HIS HIS MOM YEAH
audio/RES0183.mp3[509.360,518.320]	OK AND WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY SUCH AS GESTATIONAL DIABETES OR HIGH BLOOD PRESSURE
audio/RES0183.mp3[519.280,526.360]	ALRIGHT AND ANY COMPLICATIONS WITH DELIVERY AND WAS IT VAGINAL OR CSECTION
audio/RES0183.mp3[526.360,533.480]	IT WAS VAGINAL AND NO NO NO COMPLICATIONS
audio/RES0183.mp3[533.480,544.720]	ALRIGHT AND UP TO THIS POINT AS YOU BETTER MEETING IS MILESTONES FOR LIKE TALKING WALKING AND AND THINGS LIKE THAT
audio/RES0183.mp3[544.720,547.160]	YEAH THATS RIGHT
audio/RES0183.mp3[547.160,552.280]	OK AND UH ANY CONCERNS FOR HIS VISION OR HEARING
audio/RES0183.mp3[553.160,559.200]	OK AND HAS HE BEEN GROWING NORMALLY
audio/RES0183.mp3[559.200,563.440]	YEAH HES HAD ALL HIS MILESTONES
audio/RES0183.mp3[563.440,573.320]	EXCELLENT OK AND ARE THERE ANY CONDITIONS IN THE FAMILY SUCH AS HEART OR LUNG DISEASE
audio/RES0183.mp3[573.320,575.200]	OH NO
audio/RES0183.mp3[575.200,583.760]	OK HOW ABOUT AH ASTHMA OR THINGS LIKE ALLERGIC RHINITIS AND ALLERGIES
audio/RES0183.mp3[583.760,587.280]	NO NOTHING LIKE THAT
audio/RES0183.mp3[587.280,600.000]	OK UHM SO I I THINK THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I MAYBE FORGOT TO ASK ABOUT OR OR THAT YOU WANTED TO MENTION
audio/RES0183.mp3[600.000,605.800]	UH NO THAT WAS KIND OF IT WHAT SHOULD I DO FOR HIM
audio/RES0183.mp3[605.800,691.320]	UHM SO ITS IT SOUNDS LIKE THE MOST LIKELY DIAGNOSIS NOW IS SOMETHING CALLED CROUP OR LARYNGEAL TRACHEAL BRONCHITIS WHICH IS BASICALLY A VIRAL INFECTION OF THE UPPER RESPIRATORY TRACT AREAS AND SO IT CAN CAUSE HAD A BARKY COUGH AND STRIDOR AND FEVER AND SO IF SO ITS REALLY SUPPORTIVE CARE AND UNLESS HE DECOMPENSATES AND BECOMES REALLY SHORT OF BREATH AND WORSE IN WHICH CASE WE COULD THE TREATMENT WOULD BE STEROIDS AND UHM POSSIBLY UTILIZING OTHER OTHER THINGS AS WELL DEPENDING ON HIS SYMPTOMS BUT USUALLY IT WILL BE STEROIDS AND MAYBE SOME OXYGEN AS WELL BUT IF HE STAYS RELATIVELY STABLE THEN ITS MOSTLY SUPPORTIVE CARE JUST MAKING SURE HES HYDRATED AS MUCH AS POSSIBLE YOU COULD USE LIKE HUMIDIFIED AIR SOMETIMES LIKE A HOT SHOWER THAT SORT OF THING CAN MAYBE HELP RELIEVE THE COUGH AT NIGHT
audio/RES0183.mp3[692.400,696.920]	BUT UMM THATS ABOUT IT
audio/RES0183.mp3[699.400,703.080]	WELL SO WELL SO WELL JUST OBSERVE FOR NOW
audio/RES0183.mp3[703.080,710.400]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0074.mp3[0.000,2.800]	WHAT BROUGHT YOU IN TODAY
audio/RES0074.mp3[2.800,27.160]	YEAH SO IVE JUST BEEN FEELING A BIT OFF OVER THE LAST WEEK FIRST I STARTED HAVING LIKE JUST A SCRATCHY THROAT AND THAT WAS PROBABLY I THINK 5 DAYS AGO THAT HAPPENED AND THEN OVER THE LAST 3 DAYS IVE BEEN HAVING DIARRHEA AND ALSO MY WHOLE BODY IS JUST HURTING
audio/RES0074.mp3[27.160,31.800]	OK AND SO WHEN DID THE SORE THROAT START
audio/RES0074.mp3[31.800,49.400]	ID SAY LIKE 5 DAYS AGO IT STARTED AND IT FIRST BEGAN LIKE KIND OF A TICKLE BUT NOW ITS MORE LIKE EVEN SWALLOWING FOOD HURTS A LOT
audio/RES0074.mp3[49.400,56.960]	OK HAVE YOU BEEN EATING OR DRINKING LESS THAN USUAL
audio/RES0074.mp3[56.960,63.840]	UHM YEAH MY APPETITES BEEN A BIT LESS OVER THE LAST FEW DAYS JUST BECAUSE OF HOW MUCH IT HURTS
audio/RES0074.mp3[63.840,69.680]	OK HAVE YOU NOTICED ANY NECK SWELLING
audio/RES0074.mp3[69.680,72.200]	UH NO NOT REALLY
audio/RES0074.mp3[72.200,77.480]	OK HOW ABOUT ANY REDNESS IN THE BACK OF YOUR THROAT
audio/RES0074.mp3[77.480,81.160]	I CHECKED I DIDNT SEE TOO MUCH
audio/RES0074.mp3[81.160,87.200]	OK AND HAVE THERE BEEN ANY CHANGES TO YOUR VOICE
audio/RES0074.mp3[87.200,92.600]	UHM A LITTLE BIT I WOULDNT SAY TOO SIGNIFICANT
audio/RES0074.mp3[92.600,97.560]	OK AND MUSCLE ACHES LIKE WHEN DID THOSE START
audio/RES0074.mp3[97.560,117.320]	YEAH SO THAT STARTED JUST 3 DAYS AGO I REMEMBER WAKING UP AND MY THIGHS WERE HURTING THEN MY UPPER ARMS AND THEN IT KIND OF WENT INTO MY UPPER BACK AND NOW ITS KIND OF JUST GENERAL PAIN IN ALL OF THE MUSCLES
audio/RES0074.mp3[117.320,121.680]	OK ARE YOU HAVING ANY MUSCLE WEAKNESS
audio/RES0074.mp3[121.680,127.160]	UHM I WOULD SAY ITS MAINLY PAIN I DONT REALLY FEEL WEAKNESS
audio/RES0074.mp3[127.160,132.800]	OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN HAVING FATIGUE
audio/RES0074.mp3[132.800,142.280]	YEAH I WOULD SAY UH I DONT KNOW IF ITS BECAUSE OF THE PAIN BUT I DEFINITELY FEEL A LOT MORE TIRED
audio/RES0074.mp3[142.280,150.440]	OK AND YOU MENTIONED DIARRHEA AS WELL WHEN DID THAT START
audio/RES0074.mp3[150.440,167.200]	YEAH DIARRHEA ALSO STARTED AROUND 3 DAYS AGO I NORMALLY GO 1 OR 2 TIMES A DAY BUT NOW IM GOING LIKE 6 OR 7 TIMES A DAY AND ITS ALL USUALLY PRETTY WATERY
audio/RES0074.mp3[167.200,172.040]	OK HAVE YOU NOTICED ANY BLOOD IN THE STOOL
audio/RES0074.mp3[172.040,174.440]	NO I DONT THINK I NOTICED BLOOD
audio/RES0074.mp3[174.440,181.560]	OK AND HAVE YOU NOTICED ANY REALLY LIKE DARK OR TARRY LOOKING STOOL
audio/RES0074.mp3[181.560,187.440]	NO ITS USUALLY JUST BEEN LOOSE WATERY STOOLS
audio/RES0074.mp3[187.440,200.600]	OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS BESIDES THE SORE THROAT MUSCLE ACHES FATIGUE AND DIARRHEA
audio/RES0074.mp3[200.600,209.640]	UHM NO I DONT THINK SO THOSE ARE PROBABLY ALL OF THE SYMPTOMS
audio/RES0074.mp3[209.640,217.840]	OK SO QUICKLY TO RUN THROUGH A REVIEW HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0074.mp3[217.840,220.480]	NO NOT THAT IVE NOTICED
audio/RES0074.mp3[220.480,224.480]	OK HOW ABOUT ANY HEADACHES
audio/RES0074.mp3[224.480,226.640]	UH NO
audio/RES0074.mp3[226.640,229.960]	OK AND HAVE YOU HAD A RUNNY NOSE
audio/RES0074.mp3[231.320,236.920]	HAVE YOU HAD A LOSS OF SMELL OR TASTE
audio/RES0074.mp3[236.920,247.720]	I DONT THINK SO I HAVENT BEEN REALLY EATING TOO MUCH RECENTLY BUT I DONT THINK SO NO
audio/RES0074.mp3[247.720,250.400]	OK HAVE YOU HAD A COUGH
audio/RES0074.mp3[251.640,254.400]	SHORTNESS OF BREATH
audio/RES0074.mp3[255.080,256.840]	A WHEEZE
audio/RES0074.mp3[256.840,258.120]	NO WHEEZING
audio/RES0074.mp3[258.120,265.120]	OK YOU SAID YOU HAVENT HAD A COUGH BUT HAVE YOU BROUGHT UP ANY SPUTUM
audio/RES0074.mp3[267.280,271.560]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0074.mp3[271.560,273.320]	NO CHEST PAIN
audio/RES0074.mp3[273.320,277.200]	ALRIGHT ANY DIZZINESS OR LIGHTHEADEDNESS
audio/RES0074.mp3[278.440,281.960]	ANY FEELING AS THOUGH YOUR HEART IS RACING
audio/RES0074.mp3[283.280,288.480]	OK HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0074.mp3[288.480,299.560]	UHM MAYBE JUST A LITTLE BIT WITH ALL THE DIARRHEA I FEEL LIKE I DO HAVE SOME JUST TENDERNESS IN MY ABDOMEN
audio/RES0074.mp3[299.560,305.600]	OK UH AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0074.mp3[305.600,309.520]	NO NOT REALLY
audio/RES0074.mp3[309.520,313.800]	OK HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0074.mp3[313.800,316.960]	UHM NO
audio/RES0074.mp3[316.960,320.640]	OK AND ANY RASHES ANYWHERE
audio/RES0074.mp3[320.640,324.600]	NO NOT THAT IVE NOTICED
audio/RES0074.mp3[324.600,334.360]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT RECENTLY OR OVER THE LAST SEVERAL MONTHS
audio/RES0074.mp3[334.360,338.960]	NO MY WEIGHT HAS BEEN AROUND THE SAME
audio/RES0074.mp3[338.960,347.240]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0074.mp3[347.240,354.960]	YEAH SO I HAVE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL
audio/RES0074.mp3[354.960,360.040]	OK DO YOU TAKE ANY MEDICATIONS FOR EITHER OF THOSE
audio/RES0074.mp3[360.040,376.840]	YEAH SO FOR THE CHOLESTEROL IM TAKING THIS MEDICATION CALLED CRESTOR FOR THE HIGH BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED RAMIPRIL
audio/RES0074.mp3[376.840,385.280]	OK UHM AND DO YOU TAKE ANY OTHER MEDICATIONS LIKE OVER THE COUNTER OR SUPPLEMENTS OR PRESCRIBED
audio/RES0074.mp3[385.280,388.280]	JUST MULTIVITAMINS
audio/RES0074.mp3[388.280,393.360]	OK HAVE YOU BEEN HOSPITALIZED BEFORE
audio/RES0074.mp3[393.360,404.440]	JUST LIKE IN MY TEENS I HAD MY APPENDIX REMOVED BUT THATS IT I HAVE BEEN PRETTY GOOD OTHERWISE
audio/RES0074.mp3[404.440,409.720]	OK HAVE YOU HAD ANY OTHER SURGERIES BESIDES THE APPENDIX REMOVED
audio/RES0074.mp3[409.720,412.960]	NO THATS THE ONLY SURGERY
audio/RES0074.mp3[412.960,419.960]	OK AND ANY ALLERGIES TO MEDICATIONS
audio/RES0074.mp3[419.960,423.960]	NO NOT THAT I KNOW OF
audio/RES0074.mp3[423.960,432.040]	OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0074.mp3[432.040,453.000]	YEAH SO I CURRENTLY LIVE WITH MY WIFE AND SON WE LIVE IN A HOUSE JUST IN LONDON AND LIKE I MADE SURE TO JUST ISOLATE MYSELF TO ONE ROOM AND I WEAR A MASK AROUND THEM JUST IN CASE
audio/RES0074.mp3[453.000,466.720]	OK WELL THATS GOOD YEAH ITS IMPORTANT TO BE SOCIALLY DISTANCING ESPECIALLY WHEN HAVING SYMPTOMS HAS ANYBODY ELSE IN THAT HOUSE BEEN SICK
audio/RES0074.mp3[466.720,505.520]	NO NO ONE HAS BEEN SICK RECENTLY AT LEAST IN MY HOUSE BUT UH JUST TWO WEEKS AGO I DID ATTEND A FAMILY EVENT AND JUST LAST WEEK I FOUND OUT UHM SOMEONE WAS HAVING SYMPTOMS THEY JUST GOT TESTED TWO DAYS AGO AND THEIR TEST RESULT HASNT COME BACK
audio/RES0074.mp3[505.520,515.040]	OK I SEE AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF THE PROVINCE OR OUTSIDE OF THE COUNTRY
audio/RES0074.mp3[515.040,524.280]	NO IT WAS JUST HERE IN LONDON SO NOTHING OTHER THAN THAT I HAVENT LEFT THE PROVINCE
audio/RES0074.mp3[524.280,529.600]	OK AND WHAT WAS THE APPROXIMATE NUMBER OF PEOPLE
audio/RES0074.mp3[529.600,546.000]	IT WAS JUST FIVE PEAOPLE SO WE SATYED WITHIN THE LIMITS STATED FOR THE CITY AND THEY WERE PEOPLE IN LIKE MY CIRCLE AS WELL SO YEAH I DONT THINK I WAS DOING ANYTHING WRONG
audio/RES0074.mp3[546.000,559.760]	OK JUST TO GIVE AN IDEA OF LIKE RISK AND CONTACT TRACING AS WELL IF WE NEED TO AND UH DO YOU SMOKE CIGARETTES
audio/RES0074.mp3[559.760,562.640]	NO I DONT SMOKE
audio/RES0074.mp3[562.640,568.880]	OK AND DO YOU DRINK ALCOHOL
audio/RES0074.mp3[568.880,573.440]	YEAH MAYBE A ONE OR TWO BEERS A WEEK
audio/RES0074.mp3[573.440,577.880]	OK AND UH DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0074.mp3[577.880,582.520]	NO NEVER
audio/RES0074.mp3[582.520,595.800]	OK AND UH IN TERMS OF FAMILY HISTORY DOES ANYBODY IN THE FAMILY HAVE ANY HEART OR LUNG CONDITIONS
audio/RES0074.mp3[595.800,605.320]	NO NO NOT THAT I KNOW OF I DO YOU THINK MY BROTHER MY OLDER BROTHER HAS HIGH BLOOD PRESSURE
audio/RES0074.mp3[605.320,610.480]	OK NOBODYS HAD A HEART ATTACK OR A STROKE
audio/RES0074.mp3[610.480,612.480]	UH NO
audio/RES0074.mp3[612.480,615.360]	OR ANY CANCER IN THE FAMILY
audio/RES0074.mp3[615.360,632.000]	OH YEAH CANCER UH SO MY FATHER HAS ITS NOT THE BAD SKIN CANCER ITS THE ONE WHERE THEY CAN JUST ZAP IT OFF
audio/RES0074.mp3[632.000,639.560]	OK UH AND SO HE HASNT NEEDED SURGERY FOR IT
audio/RES0074.mp3[640.200,650.280]	OK AND I THINK THATS ALL THE QUESTIONS THAT I WANTED TO ASK TODAY WAS THERE ANYTHING ELSE THAT THAT MAYBE I FORGOT TO TELL YOU OR FORGOT TO ASK ABOUT
audio/RES0074.mp3[650.280,664.200]	YEAH I WAS JUST WONDERING I DONT KNOW THE RESULTS OF THE CONTACT THAT I HAD UH SO SHOULD I ALSO GET TESTED TODAY
audio/RES0074.mp3[664.200,711.800]	YEAH CERTAINLY WITH NONSPECIFIC SYMPTOMS SUCH AS WHAT YOUVE BEEN EXPERIENCING WE WILL DO A TEST FOR COVID TODAY HOWEVER WE WILL DO SOME LAB INVESTIGATIONS AS WELL BECAUSE IT COULD BE SOMETHING ELSE SO WELL WAIT FOR SOME OF THOSE RESULTS TO COME BACK AND ITS GREAT THAT YOUVE ALREADY TAKEN THE INITIATIVE TO ISOLATE FROM FAMILY MEMBERS AND WHATNOT AND SO I ASK YOU TO CONTINUE DOING SO AND WE WILL GET BACK TO YOU WHEN THE RESULTS ARE IN
audio/RES0074.mp3[711.800,716.080]	OK YEAH THAT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0084.mp3[0.000,1.800]	WHAT BRINGS YOU IN
audio/RES0084.mp3[1.800,42.880]	HI FAIHA IVE BEEN VERY CONCERNED LATELY THIS PAST WEEK I FIRST JUST STARTED HAVING THIS REALLY BAD HEADACHE AND THEN MY BODY JUST COMPLETELY ALL STARTED HURTING AFTER COMPLETELY REST AND THEN THREE DAYS AGO I JUST STARTED HAVING A LOT OF CHILLS AND I HAD A PRETTY HIGH FEVER JUST TWO DAYS AGO OF ALMOST LIKE I THINK IT WAS LIKE 38 OR 39 YEAH I WAS JUST VERY CONCERNED AND I CAME HERE TODAY
audio/RES0084.mp3[42.880,54.800]	YEAH ITS GOOD THAT YOU CAME IN LETS REWIND A LITTLE BIT AND GET A FULL HISTORY SO YOU SAID THE WHAT STARTED FIRST THE FEVER OR THE HEADACHE
audio/RES0084.mp3[54.800,61.720]	SO THE HEADACHE STARTED FIRST SO THAT WAS AROUND FOUR DAYS AGO
audio/RES0084.mp3[62.800,81.120]	AND THREE DAYS AGO LIKE MY BODY JUST STARTED ACHING ALL OVER THE PLACE AND THEN JUST TWO DAYS AGO I NOTICED THAT I HAD A FEVER AND IVE BEEN GETTING A FEVER SINCE THEN AS WELL LIKE EVEN TODAY I WAS HAVING CHILLS
audio/RES0084.mp3[81.120,90.880]	OK OK AND YOU SAID YOUR HIGHEST RECORDED TEMPERATURE WAS 39
audio/RES0084.mp3[90.880,94.320]	LIKE 38 TO 39
audio/RES0084.mp3[94.320,102.600]	OK SO HEADACHE STARTED FOUR DAYS AGO IS IT PERSISTENT OR CONSTANT OR DOES IT COME AND GO
audio/RES0084.mp3[102.600,117.560]	IT WAS PRETTY CONSTANT THE HEADACHE KIND OF GOT BETTER YESTERDAY BUT LAST FEW DAYS ITS JUST BEEN CONSTANT HEADACHE PRETTY MUCH EVERY DAY
audio/RES0084.mp3[117.560,121.520]	OK OK DOES ANYTHING MAKE IT BETTER OR WORSE
audio/RES0084.mp3[121.520,140.160]	JUST SOME REST AND UH I TRIED TO TAKE SOME TYLENOL TO GET RID OF IT TOOK SOME ADVIL AS WELL IT DID HELP A LITTLE BIT BUT IT JUST KIND OF CAME BACK AFTER THE MEDICATION WORE OUT
audio/RES0084.mp3[140.160,144.080]	HOW LONG DOES THE HEADACHE LAST WHEN YOU GET IT
audio/RES0084.mp3[144.080,151.200]	IF I DONT TAKE MEDICATIONS IT CAN LAST HONESTLY THE WHOLE DAY
audio/RES0084.mp3[151.200,159.440]	OK YEAH UM AND IF YOU WERE TO DESCRIBE IT IS IT SHARP DULL ACHY
audio/RES0084.mp3[159.440,164.880]	ITS JUST ACHY AND ITS KIND OF ALL OVER THE FRONT OF MY FOREHEAD
audio/RES0084.mp3[165.880,174.760]	SOMETIMES ITS JUST LIKE A THROBBING PAIN
audio/RES0084.mp3[174.760,183.120]	OK AND ALRIGHT AND YOU SAID ITS MOSTLY AT THE FRONT OF YOUR HEAD HOW ABOUT NEAR THE CROWN OF YOUR HEAD TEMPLES
audio/RES0084.mp3[183.120,192.080]	IT CAN GO TO THE TEMPLES SOMETIMES BUT MOSTLY ITS MY FOREHEAD
audio/RES0084.mp3[192.080,201.520]	OK OK AND SEVERITYWISE 1 TO 10 10 BEING THE WORST HEADACHE YOUVE EVER WORST PAIN YOUVE EVER FELT HOW BAD IS IT
audio/RES0084.mp3[201.520,212.560]	RIGHT NOW ITS NOT THAT BAD PROBABLY LIKE A TWO OR THREE BUT WHEN IT WAS JUST A FEW DAYS AGO IT WAS LIKE PROBABLY AN 8 OR 9
audio/RES0084.mp3[212.560,222.440]	YEAH AND THEN HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE
audio/RES0084.mp3[222.440,234.520]	NO IM NOT USUALLY ONE TO GET HEADACHES MY WIFE SHE GETS MIGRAINES BUT LIKE I RARELY EVER HAVE HEADACHES
audio/RES0084.mp3[234.520,239.760]	YEAH OK AND THEN YOU MENTIONED THE HEADACHE IS GETTING A LITTLE BIT BETTER NOW
audio/RES0084.mp3[239.760,252.560]	YEAH THE HEADACHE HAS IMPROVED A BIT THE BODY ACHES ARE STILL THERE AND THE FEVER IS STILL THERE BUT LIKE THE HEADACHES I FEEL HAVE GONE DOWN
audio/RES0084.mp3[252.560,262.040]	OK ALRIGHT HAVE YOU HAD ANY FAINTING SPELLS OR DIZZINESS
audio/RES0084.mp3[262.040,264.680]	NO NOTHING LIKE THAT
audio/RES0084.mp3[264.680,267.600]	ANY CONFUSION OR MEMORY LOSS
audio/RES0084.mp3[269.760,273.200]	ANY NECK PAIN
audio/RES0084.mp3[273.200,285.000]	UHM NOT NECK PAIN BUT LIKE JUST BELOW MY NECK LIKE MY BACK UPPER BACK HURTS AS WELL
audio/RES0084.mp3[285.000,291.600]	OK AND ANY WEIGHT LOSS RECENTLY
audio/RES0084.mp3[291.600,299.560]	UHM NO I DONT I DONT THINK SO
audio/RES0084.mp3[299.560,304.560]	ANY EXCESSIVE FATIGUE
audio/RES0084.mp3[304.560,324.360]	YEAH I HAVE BEEN FEELING PRETTY TIRED AND JUST UH I HAVENT EVEN GONE TO WORK THIS WHOLE WEEK JUST KIND OF LAYING IN BED HONESTLY WITH ALL THE PAIN AND THE FEVER AND HEADACHES JUST YEAH ITS EXHAUSTING
audio/RES0084.mp3[324.360,330.080]	OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0084.mp3[330.080,334.000]	NO NOTHING THAT IVE NOTICED
audio/RES0084.mp3[334.000,338.960]	HOW ABOUT CHANGES IN YOUR VISION OR HEARING
audio/RES0084.mp3[341.800,345.880]	NO OK HOW ABOUT A STUFFY NOSE OR RUNNY NOSE
audio/RES0084.mp3[345.880,363.200]	UH I DO FEEL A BIT MORE STUFFY LIKE TODAY BUT THERES NO LIKE RUNNY NOSE OR ANYTHING LIKE THAT BUT I DO FEEL A BIT MORE PRESSURE AND STUFFINESS IN MY FACE TODAY
audio/RES0084.mp3[363.200,373.160]	OK OK HOW ABOUT CHANGES IN SMELL OR TASTE
audio/RES0084.mp3[373.160,393.400]	YEAH I THINK JUST LAST NIGHT DINNER IT WAS JUST KIND OF A FUNKY LIKE DIFFERENT TASTE I COULDNT REALLY TELL UH EVERYTHING WAS KIND OF A BIT BLAND YEAH I THINK MY TASTE BUDS ARE ACTING ALL WEIRD TOO
audio/RES0084.mp3[393.400,399.280]	OK UM ANY COUGHING OR SHORTNESS OF BREATH
audio/RES0084.mp3[399.280,405.640]	UH NO NO I HAVENT BEEN COUGHING OR NO SHORTNESS OF BREATH AT ALL
audio/RES0084.mp3[405.640,413.960]	OK AND HOW ABOUT WHEEZING
audio/RES0084.mp3[413.960,416.480]	NO NO WHEEZING
audio/RES0084.mp3[416.480,419.840]	OK ANY CHEST PAIN
audio/RES0084.mp3[422.880,427.680]	HOW ABOUT FEELING LIKE YOUR HEARTS RACING
audio/RES0084.mp3[427.680,432.080]	NO NOTHING LIKE THAT
audio/RES0084.mp3[432.080,436.600]	NO OK ANY SWELLING THAT YOUVE NOTICED IN YOUR LIMBS
audio/RES0084.mp3[437.920,442.760]	NO OK ANY ISSUES WITH YOUR BOWEL MOVEMENTS OR URINE
audio/RES0084.mp3[442.760,446.520]	NO NOTHING
audio/RES0084.mp3[446.520,453.560]	OK HOW ABOUT NAUSEA OR VOMITING
audio/RES0084.mp3[453.560,459.640]	UH NO NO NAUSEA OR VOMITING
audio/RES0084.mp3[459.640,473.960]	OK AND THOSE WERE ALL THE QUESTIONS I HAD ABOUT YOUR SYMPTOMS ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0084.mp3[473.960,498.440]	YEAH I HAVE A COUPLE CONDITIONS THAT I SEE MY FAMILY DOCTOR FOR I DO HAVE DIABETES THEN I HAVE HIGH CHOLESTEROL I ALSO HAVE THIS THING CALLED FATTY LIVER BUT THATS THATS ABOUT IT AND A HIGH BLOOD PRESSURE
audio/RES0084.mp3[498.440,508.200]	OK WHEN WERE YOU DIAGNOSED WITH ALL OF THESE THINGS
audio/RES0084.mp3[508.200,527.720]	YEAH PROBABLY LIKE IT ALL KIND OF WENT DOWN IN MY 40S I DID GAIN A LOT OF WEIGHT AT SOME POINT DURING MY 40S AND THATS WHEN ALL THESE THINGS STARTED HAPPENING
audio/RES0084.mp3[527.720,535.320]	OK SO YOU SAID DIABETES HIGH BLOOD PRESSURE FATTY LIVER AND SORRY WHAT WAS THE OTHER ONE
audio/RES0084.mp3[535.320,537.320]	HIGH CHOLESTEROL
audio/RES0084.mp3[537.320,543.320]	HIGH CHOLESTEROL OK ARE YOU ON MEDICATIONS FOR ALL OF THESE THINGS
audio/RES0084.mp3[543.320,566.160]	YEAH SO I AM ON A STATIN MEDICATION FOR THE CHOLESTEROL THEN IM ON METFORMIN AND THEN IM ON A BLOOD PRESSURE MEDICATION AS WELL I CANT RECALL THE NAME UH SO YEAH THOSE ARE THE MEDICATIONS THAT IM ON
audio/RES0084.mp3[566.160,573.040]	OK AND DO YOU TAKE YOUR MEDICATIONS REGULARLY AS PRESCRIBED
audio/RES0084.mp3[573.040,576.240]	YEAH I DONT MISS ANY DOSES
audio/RES0084.mp3[576.240,584.760]	OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0084.mp3[584.760,588.960]	YEAH I THINK SO
audio/RES0084.mp3[588.960,595.760]	OK GOOD DO YOU HAVE ANY ALLERGIES
audio/RES0084.mp3[595.760,599.160]	NO NO ALLERGIES
audio/RES0084.mp3[599.160,605.080]	HOW ABOUT FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0084.mp3[605.080,623.680]	YES I HAVE A PRETTY SIGNIFICANT FAMILY HISTORY FOR HEART CONDITIONS MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS 50S MY MOM HAS HIGH BLOOD PRESSURE DIABETES IS ALSO PRETTY BIG IN MY FAMILY AS WELL
audio/RES0084.mp3[623.680,630.200]	OK WELL IM SORRY TO HEAR THAT ANY CANCERS IN THE FAMILY
audio/RES0084.mp3[630.200,633.480]	NO NO CANCERS
audio/RES0084.mp3[633.480,636.440]	OK DO YOU SMOKE
audio/RES0084.mp3[636.440,643.400]	I USED TO WHEN I WAS IN MY 30S I QUIT A PRETTY LONG TIME AGO
audio/RES0084.mp3[643.400,648.440]	OK HOW MUCH DID YOU SMOKE BEFORE THAT
audio/RES0084.mp3[648.440,661.880]	I PROBABLY SMOKED UP UNTIL I WAS 35 SO FOR PROBABLY LIKE 10 YEARS FROM 25 TO 35 AND PROBABLY SMOKED A PACK A DAY AT THAT TIME
audio/RES0084.mp3[661.880,667.400]	OK YEAH AND DO YOU DRINK ALCOHOL
audio/RES0084.mp3[667.400,682.920]	IVE BEEN TOLD LIKE NOT TO FOR MY LIVER BUT I SOMETIMES MAYBE HAVE THE RARE RED WINE MAYBE ONCE A MONTH
audio/RES0084.mp3[682.920,689.800]	ONCE A MONTH OK ANY OTHER RECREATIONAL DRUGS
audio/RES0084.mp3[689.800,692.360]	NO NO RECREATIONAL DRUGS
audio/RES0084.mp3[692.360,697.240]	OK NO RECREATIONAL DRUGS AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0084.mp3[697.240,704.440]	I JUST LIVE WITH MY WIFE IN AN APARTMENT IN THE CITY AND YEAH
audio/RES0084.mp3[704.440,715.720]	OK ANY OLD CARPET DUST MOLD ANYTHING THAT IS CONCERNING FROM THAT STANDPOINT
audio/RES0084.mp3[718.720,723.400]	NO AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0084.mp3[723.400,725.200]	NOT THAT I KNOW OF
audio/RES0084.mp3[725.200,728.280]	DO YOU STILL GO TO WORK
audio/RES0084.mp3[728.280,741.520]	I JUST HAVE LIKE A DESK JOB I HAVE MY OWN ROOM ITS NOT LIKE I DONT SEE TOO MANY PEOPLE AND LIKE WHEN I DO IM WEARING A MASK SO I DONT THINK SO
audio/RES0084.mp3[745.560,749.800]	I HAVE STOPPED GOING TO WORK THOUGH LIKE JUST IN CASE
audio/RES0084.mp3[749.800,756.240]	OK GOOD AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY
audio/RES0084.mp3[756.240,759.280]	NO WEVE BEEN PRETTY HOMEBOUND
audio/RES0084.mp3[759.280,773.520]	PRETTY HOMEBOUND OK ALRIGHT WELL THATS GOOD AND THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS FOR MYSELF
audio/RES0084.mp3[773.520,778.560]	YEAH I DONT KNOW WHAT DO YOU THINK IS CAUSING ALL OF THIS
audio/RES0084.mp3[778.560,840.760]	YEAH IT SOUNDS LIKE YOU HAVE SOME SORT OF INFECTION SO THE FIRST THING WE NEED TO RULE OUT IS COVID OF COURSE SO WELL DO A SWAB AND THOSE SWABS SHOULD COME BACK TO YOU IN ABOUT 24 TO 48 HOURS AND UNTIL THEN ITS IMPORTANT THAT YOU DO ISOLATE AND YOU ISOLATE FOR 14 DAYS AT LEAST AND THAT INCLUDES FROM OTHER PEOPLE AT HOME AND IF THOSE SWABS COME BACK NEGATIVE YOU COULD POSSIBLY HAVE LIKE ANOTHER INFECTION BUT IF YOUR SYMPTOMS WORSEN LIKE YOU START GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES OR ANYTHING LIKE THAT YOU SHOULD COME BACK TO THE ER AND WELL GET THAT CHECKED OUT AND SO THATS WHERE WELL START FOR NOW BECAUSE YOUR PRESENTATION IS ACUTE WE THINK ITS LIKELY INFECTION RELATED
audio/RES0084.mp3[840.760,848.400]	OK THAT SOUNDS GOOD TO ME AND SHOULD I BE STAYING IN MY OWN ROOM OR ANYTHING LIKE THAT AT HOME
audio/RES0084.mp3[848.400,860.840]	YEAH IF YOU CAN LIKE ITS RECOMMENDED THAT YOU TRY TO ISOLATE IN YOUR OWN ROOM FOR THE NEXT 14 DAYS BECAUSE YOUR SYMPTOMS DO OVERLAP WITH THAT OF COVID YEAH
audio/RES0084.mp3[860.840,862.400]	OK SOUNDS GOODTHANK YOU
audio/RES0084.mp3[862.400,865.120]	YEAH NO WORRIES TAKE CARE
audio/RES0084.mp3[865.120,869.040]	THANK YOU
audio/MSK0040.mp3[0.000,1.480]	HOW MAY I HELP YOU
audio/MSK0040.mp3[1.480,26.040]	SO IVE HAD THIS ANKLE PAIN FOR THE PAST DAY AND AND IT DOESNT SEEM TO BE GETTING BETTER MY RIGHT ANKLE LOOKS SWOLLEN AND ITS BRUISED AND IS PRETTY PAINFUL SO I JUST WANTED TO COME HERE TO CHECK CHECK IT OUT SEE IF I NEED ANY THING DONE TO IT
audio/MSK0040.mp3[26.040,41.880]	YEAH ABSOLUTELY UH OK SO YOU SAID THAT THIS STARTED YESTERDAY WAS THERE ANY LIKE TRAUMA TO THE ANKLE OR LEG OR DID YOU HAVE A FALL OR OR SOME SORT OF INJURY
audio/MSK0040.mp3[41.880,79.960]	YEAH SO I PLAY RUGBY AND I MIGHT HAVE SO I FELL DURING A TACKLE MOTION TYPE THING AND I FELL ON THAT LEG AND MY LEG MY FOOT KIND OF IN POINTED INWARDS AS I FELL AN I KIND OF FELL ON UM ON MY ANKLE KIND OF JUST ABOVE ABOVE MY LATERAL SIDE OF THE FOOT SO WHERE THAT BONY PROMINENCE IS
audio/MSK0040.mp3[79.960,86.360]	OK I SEE AND AND YOUR FOOT KIND OF IT TURNED INWARDS WHEN YOU FELL
audio/MSK0040.mp3[86.360,88.440]	YES THATS RIGHT
audio/MSK0040.mp3[88.440,94.960]	OK AND WAS THERE PAIN IMMEDIATELY AFTER THE THIS INCIDENT
audio/MSK0040.mp3[96.840,108.520]	OK WERE YOU ABLE TO LIKE WALK OFF THE FIELD AT ALL OR DID YOU NEED TO BE CARRIED OR WERE YOU ABLE TO WALK AT ANY POINT AFTER
audio/MSK0040.mp3[108.520,120.480]	UM SO I CAN WALK UM BUT IT IS VERY PAINFUL AND IM PUTTING A LOT OF WEIGHT ON MY LEFT FOOT SO ITS ALMOST LIKE IM HOPPING ON MY LEFT FOOT
audio/MSK0040.mp3[120.480,133.280]	OK AND AND IS THE PAIN ACTUALLY SO WHERE IS THE PAIN SPECIFICALLY LOCATED ON YOUR FOOT OR ANKLE
audio/MSK0040.mp3[133.280,142.880]	SO ITS UM SPECIFICALLY ITS ON THE LIKE LATERAL MALLEOLUS AREA
audio/MSK0040.mp3[142.880,152.320]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IN TERMS OF ITS CHARACTER OR QUALITY LIKE IS IT SHARP BURNING STINGING
audio/MSK0040.mp3[152.320,154.480]	IT FEELS SHARP
audio/MSK0040.mp3[154.480,162.000]	OK AND DO YOU FEEL THE PAIN RADIATING ANYWHERE ELSE
audio/MSK0040.mp3[162.000,167.440]	OH NO ITS PRETTY MUCH IN THAT AREA JUST IN THE ANKLE AREA
audio/MSK0040.mp3[167.440,174.160]	OK AND HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER
audio/MSK0040.mp3[174.160,189.200]	IVE TRIED SOME IBUPROFEN AND SOME ICE THAT SEEMS TO HELP TEMPORARILY BUT IT DOESNT HELP WITH LIKE LIKE ITS NOT PERMANENT
audio/MSK0040.mp3[189.200,194.640]	OK AND HAS THERE BEEN ANYTHING THATS MADE IT WORSE
audio/MSK0040.mp3[194.640,204.720]	UM JUST PUTTING WEIGHT OR LIKE TRYING TO BEAR ANY WEIGHT ON THAT ANKLE HAS MADE IT WORSE
audio/MSK0040.mp3[204.720,215.080]	OK AND WHAT WOULD YOU SAY THE SEVERITY OF THE PAIN IS ON A SCALE OF 10 TO ONE WITH 10 BEING THE WORST PAIN YOUVE EVER FELT
audio/MSK0040.mp3[215.080,219.680]	I WOULD SAY ITS LIKE A 7 OR 8
audio/MSK0040.mp3[219.680,227.680]	OK AND HAVE YOU EVER HAD A PAIN LIKE THIS BEFORE TO THE ANKLE OR EVER INJURED YOUR FOOT BEFORE
audio/MSK0040.mp3[227.680,235.600]	NO NOTHING LIKE THIS
audio/MSK0040.mp3[235.600,241.800]	OK AND HAVE YOU HAD ANY ANY HEADACHES
audio/MSK0040.mp3[241.800,243.560]	UH NO HEADACHES
audio/MSK0040.mp3[243.560,247.960]	HAD ANY FEVERS OR CHILLS
audio/MSK0040.mp3[248.960,250.920]	HOW ABOUT NIGHT SWEATS
audio/MSK0040.mp3[252.200,255.680]	HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0040.mp3[257.400,266.840]	OK AND HAVE YOU HAD ANY SENSORY CHANGES LIKE CHANGES YOUR VISION HEARING OR EVEN YOUR SENSE OF SMELL OR SENSE OF TASTE
audio/MSK0040.mp3[266.840,269.080]	NO NOTHING LIKE THAT
audio/MSK0040.mp3[269.080,276.480]	OK AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS LIKE NUMBNESS OR TINGLING
audio/MSK0040.mp3[277.840,284.480]	OK NOW HAVE YOU NOTICED ANY SENSORY LOSS OVER YOUR LEG OR ANKLE
audio/MSK0040.mp3[284.480,289.800]	NO NO NO NO SENSORY LOSS
audio/MSK0040.mp3[289.800,293.680]	OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS
audio/MSK0040.mp3[296.480,306.320]	OK AND AND HAVE YOU HAD ANY INFECTIOUS SYMPTOMS LIKE HAVING LIKE A RUNNY NOSE OR FEELING CONGESTED OR MAYBE EVEN A SORE THROAT
audio/MSK0040.mp3[307.840,310.800]	ALRIGHT AND HAVE YOU HAD A COUGH
audio/MSK0040.mp3[310.800,312.200]	NO COUGH
audio/MSK0040.mp3[312.200,314.760]	HOW ABOUT SHORTNESS OF BREATH
audio/MSK0040.mp3[315.840,321.160]	ALRIGHT HAVE YOU HAD ANY CHEST PAIN OR FEELING LIKE YOUR HEARTS RACING
audio/MSK0040.mp3[322.400,325.480]	HAVE YOU HAD ANY DIZZINESS OR LIGHTHEADEDNESS
audio/MSK0040.mp3[326.880,331.480]	ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0040.mp3[332.720,335.880]	HOW ABOUT ANY LOSS OF APPETITE
audio/MSK0040.mp3[336.880,338.920]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0040.mp3[339.920,344.680]	HAVE YOU ANY DIARRHEA CONSTIPATION OR OR BLOOD IN THE STOOL
audio/MSK0040.mp3[345.960,352.080]	OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS
audio/MSK0040.mp3[353.880,360.320]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY RECENTLY
audio/MSK0040.mp3[360.320,363.520]	NO NO CHANGES TO MY ENERGY
audio/MSK0040.mp3[363.520,373.280]	ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS OR ANY REASON TO SEE A DOCTOR REGULARLY
audio/MSK0040.mp3[373.280,376.280]	UH NO IVE BEEN PRETTY HEALTHY OTHERWISE
audio/MSK0040.mp3[376.280,383.160]	OK SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED
audio/MSK0040.mp3[385.200,388.360]	ALRIGHT THEN DO YOU HAVE ANY ALLERGIES
audio/MSK0040.mp3[390.920,395.400]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0040.mp3[395.400,402.120]	I THINK SO I GAVE THEM THE MOST RECENT ONES IVE RECEIVED IN HIGH SCHOOL
audio/MSK0040.mp3[402.120,413.640]	OK OK THATS GOOD AND HAVE YOU HAD ANY SURGERIES BEFORE OR ANY REASONS FOR HOSPITALIZATIONS
audio/MSK0040.mp3[413.640,417.160]	UM NO IVE NEVER YEAH IVE NEVER BEEN HOSPITALIZED
audio/MSK0040.mp3[417.160,430.560]	OK UH AND ALRIGHT COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE WHO YOURE LIVING WITH AND WHEREABOUTS
audio/MSK0040.mp3[430.560,440.760]	I LIVE WITH BOTH MY PARENTS AS WELL AS TWO OF MY SIBLINGS THEY ARE YOUNGER WE LIVE IN A HOUSE DOWNTOWN
audio/MSK0040.mp3[440.760,444.800]	OK AND ARE YOU CURRENTLY IN SCHOOL
audio/MSK0040.mp3[444.800,447.640]	I AM IM IN GRADE 11
audio/MSK0040.mp3[447.640,452.360]	OK AWESOME AND THEN HOWS THAT BEEN GOING SO FAR
audio/MSK0040.mp3[452.360,456.720]	GOING PRETTY WELL
audio/MSK0040.mp3[456.720,462.440]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/MSK0040.mp3[462.440,464.080]	NO NO ONES BEEN SICK
audio/MSK0040.mp3[464.080,469.160]	OK AND HOW ABOUT HAVE YOU TRAVELING ANYWHERE
audio/MSK0040.mp3[469.160,474.520]	NO WE HAVENT BEEN DOING ANY OF THAT SO SINCE COVID
audio/MSK0040.mp3[474.520,495.200]	OK AND AND I KNOW SOMETIMES PEOPLE AT LIKE IN HIGH SCHOOL AND CERTAINLY IN YOUR AGE GROUP MAY EXPERIENCE WITH THINGS LIKE SMOKING SMOKING TOBACCO OR CIGARETTES DRINKING ALCOHOL OR USING MARIJUANA HAVE YOU USED ANY OF THOSE THOSE SUBSTANCES
audio/MSK0040.mp3[497.600,503.880]	OK AND AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0040.mp3[503.880,504.840]	UM I AM
audio/MSK0040.mp3[504.840,513.800]	OK AND COULD YOU TELL ME ABOUT YOUR PARTNERS OR OR PARTNER
audio/MSK0040.mp3[513.800,522.160]	UM YEAH SHES BEEN MY GIRLFRIEND FOR THE PAST TWO YEARS AND WE USE PROTECTION
audio/MSK0040.mp3[522.160,531.480]	OK GREAT AND ANY CONCERNS FOR ANY SEXUALLY TRANSMITTED INFECTION AT THIS TIME
audio/MSK0040.mp3[534.520,544.480]	OK AND IN THE FAMILY HAS THERE BEEN ANY HISTORY OF MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS
audio/MSK0040.mp3[544.480,547.680]	UH NO NOTHING LIKE THAT
audio/MSK0040.mp3[547.680,551.040]	OK AND HOW ABOUT ANY AUTOIMMUNE CONDITIONS
audio/MSK0040.mp3[554.840,572.760]	OK AND SO I NEXT WANTED TO MOVE TO THE PHYSICAL EXAM COMPONENT AND ASK YOU TO HAVE A LOOK AT YOUR ANKLES AND ARE YOU SEEING ANY SWELLING OR REDNESS OR DISCOLOURATION
audio/MSK0040.mp3[572.760,588.160]	SO I THERES A LIKE THERES A BRUISE ABOUT 4 CENTIMETERS WIDE AND IT APPEAR SWOLLEN BUT JUST BY RIGHT ANKLE
audio/MSK0040.mp3[588.160,597.320]	JUST YOUR RIGHT ANKLE OK AND IS THERE ANY TEMPERATURE CHANGES LIKE WARMTH WHEN YOU TOUCH IT
audio/MSK0040.mp3[597.320,603.520]	UH SLIGHTLY WARM YEAH
audio/MSK0040.mp3[603.520,614.600]	OK AND ARE YOU SEEING ANY MUSCLE ATROPHY OR DEFORMITIES OF THE OF THE ANKLE OR FOOT
audio/MSK0040.mp3[619.560,638.000]	OK UHM AND UH IF YOU PRESS ON AREAS OF YOUR OF YOUR ANKLE AND FOOT DO YOU FEEL PAIN AT THE LATERAL MALLEOLUS OR THE MEDIAL MALLEOLUS
audio/MSK0040.mp3[638.000,641.800]	UH THERES A LOT OF PAIN ON THE LATERAL MALLEOLUS
audio/MSK0040.mp3[641.800,649.160]	OK UM AND DO YOU FEEL PAIN IF YOU PRESS ON THE TOP OF YOUR FOOT LIKE A
audio/MSK0040.mp3[649.160,661.960]	UM ON THE NO NO PAIN AT THE TOP OF MY FOOT
audio/MSK0040.mp3[661.960,679.200]	OK AND HOW ABOUT ON THE LIKE OUTSIDE OR LATERAL ASPECT OF YOUR FOOT YOULL FEEL A KIND OF ITS A BONY PROMINENCE THAT THAT STICKS OUT AT THE BASE OF THE 5TH OR YOURE KIND OF LAST METATARSALS IS THERE ANY PAIN THERE
audio/MSK0040.mp3[679.200,685.320]	NO NO PAIN THERE
audio/MSK0040.mp3[685.320,689.880]	OK AND THEN HOW ABOUT ANY PAINS ON THAT LIKE MEDIAL SIDE OF YOUR FOOT
audio/MSK0040.mp3[689.880,694.440]	ON THE MEDIAL SIDE NO
audio/MSK0040.mp3[694.440,704.760]	OK AND THEN WHEN IT COMES TO MOVING THE FOOT ARE YOU ABLE TO POINT YOUR TOES ON YOUR FOOT UP TOWARDS YOUR FACE
audio/MSK0040.mp3[704.760,709.280]	UP TOWARDS MY FACE THATS HARD
audio/MSK0040.mp3[709.280,716.800]	OK SO DORSIFLEXION IS LIMITED AND HOW ABOUT PUSHING YOUR FOOT DOWN LIKE YOURE PRESSING ON THE GAS PEDAL
audio/MSK0040.mp3[716.800,723.160]	I CAN DO THAT BUT ITS STILL PAINFUL JUST TO MOVE THE ANKLE
audio/MSK0040.mp3[723.160,732.240]	OK SO PLANTER FLEXION IS IS PAINFUL AS WELL AND THEN ANY ISSUES WITH MOVING YOUR TOES
audio/MSK0040.mp3[735.760,742.120]	OK AND THEN YOU MENTIONED THAT WITH WALKING YOURE HAVING A LIMP CURRENTLY
audio/MSK0040.mp3[743.240,805.400]	OK SO WE HAVE AN ANTALGIC GATES WITH AN INABILITY TO BEAR WEIGHT AS WELL OK SO THE THAT WAS EVERYTHING THAT I WANTED TO ASK AND CHECK TODAY AND BASED ON THESE FEATURES IT IS STARTING LIKE IT COULD BE EITHER AN ANKLE FRACTURE OR AN ANKLE SPRAIN BUT BECAUSE OF THE PINPOINT TENDERNESS OR THAT YOURE FINDING ON THE LATERAL SIDE AS WELL AS SOME OF THE THE INABILITY TO BEAR WEIGHT AS YOURE DESCRIBING ITLL BE IMPORTANT TO GET AN XRAY TO MAKE SURE THAT THERES NOT A FRACTURE UM AND YEAH AND IF THERE IS THEN IT WILL BE IMPORTANT TO HAVE SOME SORT OF AIR BOOT OR CASTING SO THAT TO MAKE SURE THAT WERE OFFLOADING THE AREA FOR THE BONES TO HEAL BUT WELL SEE WHAT THE XRAY SHOWS
audio/MSK0040.mp3[805.400,807.840]	OK THAT SOUNDS GREAT THANK YOU
audio/MSK0040.mp3[807.840,809.680]	THANK YOU
audio/RES0093.mp3[0.000,3.120]	WHAT BRINGS YOU IN TODAY
audio/RES0093.mp3[3.120,13.760]	YEAH SO IVE HAD THIS COUGH THAT STARTED WITHIN THE LAST DAY AND UHM IVE ALSO BEEN PARTICULARLY SHORT OF BREATH AS WELL
audio/RES0093.mp3[13.760,20.520]	OK CAN YOU TELL ME ABOUT THE THE COUGH HOW IS IT DRY COUGH OR WET COUGH
audio/RES0093.mp3[20.520,39.760]	ITS WET IVE BEEN BRINGING UP UH SPUTUM THATS UH ITS JUST IT LEAVES A REALLY BAD TASTE IN MY MOUTH WHEN BRINGING IT UP
audio/RES0093.mp3[39.760,42.560]	WHAT COLOR IS THE SPUTUM
audio/RES0093.mp3[42.560,49.760]	ITS KIND OF UH LIKE YELLOWISH GREEN TYPE COLOR
audio/RES0093.mp3[49.760,51.880]	HAVEY YOU NOTICED ANY BLOOD
audio/RES0093.mp3[51.880,55.800]	NO I HAVENT SEEN ANY BLOOD
audio/RES0093.mp3[55.800,63.520]	AND IT ONLY STARTED YESTERDAY WHAT ABOUT THE DIFFICULTIES BREATHING WHEN DID THAT START
audio/RES0093.mp3[63.520,73.400]	YEAH THAT STARTED REALLY WITHIN THE LAST TWELVE HOURS OR SO
audio/RES0093.mp3[73.400,77.840]	AND CAN YOU TELL ME IF ITS GOTTEN BETTER OR WORSE SINCE THEN
audio/RES0093.mp3[77.840,94.640]	YEAH ITS BEEN ITS BEEN GETTING WORSE UHM AND THE PHLEGM ALSO SMELLS REALLY BAD
audio/RES0093.mp3[94.640,103.520]	OK WHEN DO YOU HAVE DIFFICULT LIKE IS THERE ANYTHING THAT MAKES THE SHORTNESS OF BREATH WORSE
audio/RES0093.mp3[103.520,126.200]	YEAH IF I UHM WHEN I WAS HAVING A CIGARETTE EARLIER TODAY IT GOT A BIT WORSE AND WHEN I WENT OUT TO GET THE MAIL TODAY I I JUST COULDNT DO IT I I HAD TO JUST SIT DOWN
audio/RES0093.mp3[126.200,131.680]	AND THAT WHAT HAPPENED TO YOU BEFORE RIGHT
audio/RES0093.mp3[131.680,143.880]	P NO I USUALLY UHM AM ABLE TO GO OUT AND GET THE MAIL NO PROBLEM YEAH
audio/RES0093.mp3[143.880,148.800]	OK UH AND SAY TWO DAYS AGO WERE YOU FEELING PERFECTLY FINE
audio/RES0093.mp3[148.800,152.320]	I WAS YEAH I WASNT SICK AT ALL
audio/RES0093.mp3[152.320,165.160]	OK SO YOUVE HAD THIS BAD COUGH AND YOUVE HAD SOME DIFFICULTIES BREATHING SINCE YESTERDAY HAVE YOU HAD A HEADACHE AT ALL
audio/RES0093.mp3[165.160,171.000]	NO NO HEADACHE
audio/RES0093.mp3[171.000,174.760]	ANY UH RUNNY NOSE
audio/RES0093.mp3[174.760,176.400]	NO ITS REALLY NO
audio/RES0093.mp3[176.400,178.920]	ANY CONGESTION
audio/RES0093.mp3[180.440,187.760]	NO OK HAVE YOU HAD ANY PAIN IN YOUR CHEST
audio/RES0093.mp3[187.760,192.200]	UH NO PAIN
audio/RES0093.mp3[192.200,200.640]	WHEN YOURE BREATHING IN OR BREATHING OUT ANY PAIN AT THAT TIME OR DEEP BREATHING
audio/RES0093.mp3[200.640,203.400]	NO I HAVENT HAD ANY PAIN
audio/RES0093.mp3[203.400,208.960]	OK HAVE YOU HAD ANY PALPITATIONS OR YOU FEEL LIKE YOUR HEARTS RACING
audio/RES0093.mp3[208.960,221.240]	UH YEAH I DO I FEEL LIKE MY HEART HAS BEEN BEATING A LITTLE BIT FASTER
audio/RES0093.mp3[221.240,226.440]	OK AND ANY PAIN IN YOUR BELLY
audio/RES0093.mp3[227.360,230.960]	NAUSEA OR VOMITING
audio/RES0093.mp3[230.960,245.560]	UH NO BUT WELL I GUESS I HAVE FELT A LITTLE NAUSEOUS WITH THE UHM BAD TASTE IN MY MOUTH
audio/RES0093.mp3[245.560,254.400]	OK AND ANY UH DIARRHEA OR CONSTIPATION
audio/RES0093.mp3[254.400,257.840]	UHM NO I HAVENT ANYTHING LIKE THAT
audio/RES0093.mp3[257.840,260.880]	OK ANY SORE THROAT
audio/RES0093.mp3[260.880,263.040]	UHM NO
audio/RES0093.mp3[263.040,279.080]	OK ALRIGHT UHM ANY OTHER SYMPTOMS THAT I HAVENT TALKED ABOUT THAT YOU EXPERIENCED OVER THE PAST DAY
audio/RES0093.mp3[279.080,290.600]	NO ITS REALLY BEEN UHM YEAH THIS COUGH AND BRINGING UP THIS THIS SPUTUM AND BEING SHORT OF BREATH
audio/RES0093.mp3[290.600,299.640]	OK UHM CAN YOU TELL ME ABOUT YOUR PAST UH MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0093.mp3[299.640,305.680]	UH YEAH I HAVE UHM HIGH BLOOD PRESSURE
audio/RES0093.mp3[306.840,316.920]	I ALSO HAVE ACID REFLUX SO UH GERD I THINK THINK ITS CALLED
audio/RES0093.mp3[318.040,322.400]	AND UHM HIGH CHOLESTEROL AS WELL
audio/RES0093.mp3[322.400,323.360]	OK OK
audio/RES0093.mp3[323.360,336.120]	AND IVE ALSO BEEN HAD ISSUES WITH ANXIETY IN THE PAST AS WELL
audio/RES0093.mp3[336.120,341.080]	IN TERMS OF MEDICATIONS ARE YOU TAKING ANY
audio/RES0093.mp3[341.080,357.160]	YEAH I TAKE UHM AN ACE INHIBITOR STATIN UHM AND UH MEDICATION FOR MY STOMACH I THINK LIKE PANTOPRAZOLE
audio/RES0093.mp3[357.160,362.520]	OK AND UH HOW WELL HAS YOUR GERD BEEN CONTROLLED
audio/RES0093.mp3[362.520,385.040]	UH IT KIND OF IT BUGS ME MOST DAYS ITS NOT SO BAD I MEAN SOMETIMES ILL GET A LITTLE BIT OF HEARTBURN AND ACID IN THE IN MY MOUTH BUT IT DEPENDS ON WHAT I EAT SO I REALLY TRY TO STAY AWAY FROM SOME SOME FOODS
audio/RES0093.mp3[385.040,392.880]	SO THE PPI HASNT COMPLETELY CURBED THE THE ACID REFLUX YOU STILL GET IT
audio/RES0093.mp3[392.880,403.240]	YEAH I STILL GET IT ITS DEFINITELY HELPED THOUGH IT WAS A LOT WORSE BEFORE UH STARTING IT IVE BEEN ON BEEN ON IT NOW FOR A FEW YEARS
audio/RES0093.mp3[403.240,406.600]	OK AND AS FOR YOUR ANXIETY DO YOU EVER GET PANIC ATTACKS
audio/RES0093.mp3[406.600,409.960]	NO I HAVENT HAD ANY ANY PANIC ATTACKS
audio/RES0093.mp3[409.960,414.600]	OK ALRIGHT DO YOU HAVE ANY ALLERGIES
audio/RES0093.mp3[415.440,435.640]	OK SO YOU SAID THAT THESE SYMPTOMS STARTED YESTERDAY AND THEY WERE QUITE SUDDEN UH WAS THERE ANYTHING THAT YOU WERE DOING YESTERDAY OR THE DAY BEFORE THAT WAS DIFFERENT OR UNUSUAL
audio/RES0093.mp3[435.640,453.360]	WELL YEAH I MEAN YESTERDAY I OR YEAH I HAD A BIT MORE TO DRINK THAN UH USUAL MORE ALCOHOL I MEAN SO I MEAN COULD THAT HAVE SOMETHING TO DO WITH IT IM NOT SURE
audio/RES0093.mp3[453.360,465.120]	IT COULD POTENTIALLY DID YOU WERE YOU WERE YOU DRUNK AND DID YOU PASS OUT
audio/RES0093.mp3[465.120,471.360]	YEAH I THINK SO MY MY FRIENDS UH YEAH THATS WHAT MY FRIENDS WERE WERE SAYING ANYWAY
audio/RES0093.mp3[471.360,479.920]	OK AND UH TALKING ABOUT ALCOHOL HOW MUCH DO YOU USUALLY DRINK
audio/RES0093.mp3[479.920,490.560]	I USUALLY LIKE LIKE FOUR TO SIX BEERS A DAY BUT UH YEAH YESTERDAY WAS CERTAINLY MORE THAN THAT
audio/RES0093.mp3[490.560,498.320]	HAVE YOU CONSIDERED REDUCING THE AMOUNT OF ALCOHOL YOU DRINK HAS IT AFFECTED YOU IN ANY WAY
audio/RES0093.mp3[498.320,511.320]	I MEAN I IM RETIRED NOW SO UHM I DONT KNOW I I FEEL LIKE ITS BEEN FINE MAYBE UH I FEEL LIKE ITS BEEN FINE
audio/RES0093.mp3[511.320,530.120]	OK OK I SUPPOSE WE COULD TALK A LITTLE BIT MORE ABOUT THAT LATER IF YOU WANT UHM AS FOUR TO SIX BEERS IS QUITE A LOT ACTUALLY AND IT CAN AFFECT YOUR HEALTH IN CERTAIN WAYS BUT WE CAN WE CAN CHAT MORE ABOUT THAT LATER
audio/RES0093.mp3[532.160,536.680]	AND UH DO YOU SMOKE
audio/RES0093.mp3[536.680,548.600]	YEAH I SMOKE UHM A HALF A PACK OF CIGARETTES PER DAY IT WAS WELL OVER A PACK BEFORE SO IVE CUT DOWN A LITTLE BIT
audio/RES0093.mp3[548.600,554.240]	NO THATS GREAT OK DO YOU PLAN ON CUTTING IT DOWN FURTHER OR DO YOU WANNA STAY RIGHT THERE
audio/RES0093.mp3[554.240,565.360]	YEAH I HAVE BEEN HAVE BEEN TRYING JUST TOO TOO DARN EXPENSIVE THESE DAYS SO BEEN TRYING TO CUT BACK
audio/RES0093.mp3[565.360,574.120]	YEAH YEAH THATS FAIR ALRIGHT WHAT ABOUT MARIJUANA DO YOU CONSUME MARIJUANA
audio/RES0093.mp3[574.120,578.600]	NO I DONT
audio/RES0093.mp3[578.600,582.240]	ANY RECREATIONAL DRUGS
audio/RES0093.mp3[584.040,590.560]	ALRIGHT DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL PROBLEMS
audio/RES0093.mp3[590.560,612.520]	UH YEAH MY MY FATHER HAD UH HE ENDED UP HAVING LIVER DISEASE ACTUALLY HE PASSED AWAY FROM THAT I THINK AND HE HAD HEART PROBLEMS TOO HE WAS A LIFELONG SMOKER AND DIDNT REALLY DIDNT REALLY TAKE CARE OF HIMSELF
audio/RES0093.mp3[612.520,619.520]	HMM I SEE DO YOU DO YOU HAVE A FAMILY DOCTOR
audio/RES0093.mp3[619.520,625.160]	UH I DO I HAVENT SEEN MY FAMILY DOCTOR IN A NUMBER OF YEARS NOW THOUGH
audio/RES0093.mp3[625.160,666.800]	YEAH WELL YOU KNOW ITS ITS A GOOD IDEA TO SEE YOUR FAMILY DOCTOR ON A REGULAR BASIS SPECIALLY WHEN YOURE GETTING OLDER BECAUSE SOMETIMES YOU MIGHT NEED CHANGES IN YOUR MEDICATIONS OR THERE MIGHT BE CHECKUPS OR SCREENINGS THAT THEY MIGHT WANT TO DO ITS FOR YOUR OWN BENEFIT YOU KNOW MAYBE EVEN JUST SEEING THEM ONCE A YEAR WOULD BE A GOOD IDEA I WOULD DEFINITELY RECOMMEND THAT YOU BOOK AN APPOINTMENT WITH THEM JUST FOR A CHECKUP IN THE NEXT COUPLE OF WEEKS IS THERE A REASON WHY YOU DONT SEE YOUR FAMILY DOCTOR TOO OFTEN
audio/RES0093.mp3[666.800,675.520]	I JUST HAVENT BEEN UHM SICK AND IVE BEEN ABLE TO TO REFILL MY PRESCRIPTIONS MOSTLY FROM JUST CALLING IN SO
audio/RES0093.mp3[675.520,687.200]	OK OK I SEE UHM ALRIGHT AND DO YOU LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE
audio/RES0093.mp3[687.200,690.720]	YEAH I LIVE WITH MY WIFE
audio/RES0093.mp3[690.720,710.440]	OK ALRIGHT AND ARE YOU ABLE TO TAKE CARE OF THINGS LIKE GROCERIES OR FINANCES OR SHOVELING SNOW OR CLEANING THE HOUSE OR DO YOU NEED ANY ASSISTANCE WITH THOSE SORT OF HOUSEHOLD ACTIVITIES
audio/RES0093.mp3[710.440,742.920]	YEAH WE MOVED UHM ACTUALLY INTO AN APARTMENT LAST YEAR ITS MADE IT A LOT EASIER IN TERMS OF THE HOUSEWORK AND THAT SORT OF THING BUT IVE BEEN ABLE TO UHM I DO THE THE GROCERY SHOPPING AND SHARE THE THE CHORES AROUND AROUND THE HOUSE I DO ILL USE A CANE SOMETIMES I I INJURED MY KNEE A NUMBER OF YEARS AGO BUT OTHER THAN THAT THINGS ARE OK
audio/RES0093.mp3[742.920,748.480]	OK OK GOOD TO HEAR THAT REMINDS ME HAVE YOU HAD ANY SURGERIES IN THE PAST
audio/RES0093.mp3[748.480,756.880]	JUST ON MY MY LEFT KNEE I HAD A LEFT KNEE REPLACEMENT A FEW YEARS AGO
audio/RES0093.mp3[756.880,761.320]	OK ALRIGHT AND HAVE YOU ANY HAD HAD ANY HOSPITALIZATIONS
audio/RES0093.mp3[764.040,854.640]	OK ALRIGHT UHM SO SOUNDS LIKE YOUVE HAD A DAY OF THIS WET COUGH WITH THE THIS A BAD SMELLING SORT OF SPUTUM THATS THATS YELLOWISH GREEN IN COLOR AND YOUVE ALSO HAD DIFFICULTIES BREATHING FOR THE PAST TWELVE HOURS UH SO MUCH SO THAT YOU CANT EVEN GO OUT TO GET MAIL AND YOUR HEARTS BEEN RACING ITS POSSIBLE THAT WHILE YOU WERE DRUNK THAT YOU MIGHT HAVE AND GIVEN THAT YOU HAVE ACID REFLUX THAT YOU MIGHT HAVE ACCIDENTALLY HAVE SOMETHING GO INSIDE YOUR BREATHING TUBE FROM FROM YOUR MOUTH OR SOMETHING THAT CAME UP FROM YOUR STOMACH AND SOMETIMES WHEN THAT HAPPENS FOOD ITEMS CAN OR OTHER THINGS CAN GET LODGED IN YOUR LUNGS AND CAN BECOME UHM CAN ATTRACT BACTERIA TO UH TO REPLICATE AND CAUSE A BACTERIAL INFECTION SO ITS POSSIBLE THAT THATS WHAT HAPPENED BUT IT COULD ALSO BE A VIRAL PNEUMONIA OR A VIRAL INFECTION IN YOUR CHEST WELL GET A CHEST XRAY DONE WELL HAVE SOME LABS DONE AS WELL AND WELL LIKELY START SOME ANTIBIOTICS HAVE YOU RECENTLY BEEN ON ANY ANTIBIOTICS
audio/RES0093.mp3[854.640,856.160]	NO I HAVENT
audio/RES0093.mp3[856.160,859.400]	AND YOU DONT HAVE ANY ALLERGIES TO ANY CORRECT
audio/RES0093.mp3[860.800,869.200]	ALRIGHT OK WELL ALSO DO A PHYSICAL EXAM JUST TO GIVE A LISTEN TO YOUR TO YOUR LUNGS AND SEE HOW THEYRE DOING AND THEN GO FROM THERE DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0093.mp3[869.200,876.120]	NO THAT SOUNDS GOOD THANK YOU
audio/RES0198.mp3[0.000,1.880]	WHAT BRINGS YOU HERE TODAY
audio/RES0198.mp3[1.880,20.960]	UM HI YEAH IVE HAD THE STUFFY NOSE UM THATS BEEN ON AND OFF AS WELL AS A RUNNY NOSE FOR THE PAST WEEK AND IT DOESNT SEEM TO BE GETTING ANY BETTER SO I THOUGHT I SHOULD COME IN AND GET IT CHECKED OUT IN CASE I HAVE COVID
audio/RES0198.mp3[20.960,26.880]	OK YEAH I KNOW FOR SURE THATS A GOOD IDEA SO HOW LONG HAVE YOU HAD THIS FOR
audio/RES0198.mp3[26.880,28.000]	A WEEK NOW
audio/RES0198.mp3[28.000,35.040]	A WEEK AND DID SO WHAT STARTED FIRST WAS IT THE RUNNY NOSE OR LIKE THE STUFFINESS
audio/RES0198.mp3[35.040,42.360]	IT FELT PRETTY STUFFY AT FIRST BUT NOW ITS MOSTLY RUNNING
audio/RES0198.mp3[42.360,45.320]	OK AND ARE YOU COUGHING AT ALL
audio/RES0198.mp3[46.280,59.920]	NO OK AND THE RUNNY NOSE WHAT KIND OF CONTENT ARE YOU PRODUCING OR DRAINING IS IT MAINLY LIKE CLEAR OR IS THERE ANY COLOR TO IT
audio/RES0198.mp3[59.920,63.280]	ITS MOSTLY CLEAR
audio/RES0198.mp3[63.280,71.760]	OK AND IS IT MAINLY JUST CONGESTION AND DRAINAGE FROM YOUR NOSE OR ARE YOU FEELING AND GO AT THE BACK OF YOUR THROAT AS WELL
audio/RES0198.mp3[71.760,75.000]	UH NO ITS JUST MOSTLY FOR MY NOSE
audio/RES0198.mp3[75.000,83.320]	OK ANY OTHER SYMPTOMS LIKE SORE THROAT SHORTNESS OF BREATH FEVERS OR CHILLS
audio/RES0198.mp3[85.840,94.560]	NO OK AND IS THIS LIKE SOMETHING THATS CONSTANT OR DOES IT COME AND GO
audio/RES0198.mp3[94.560,98.760]	AH ITS ITS AH ITS BEEN PRETTY CONSTANT FOR THE PAST WEEK
audio/RES0198.mp3[98.760,104.200]	OK HAS THIS HAPPENED TO YOU BEFORE AT ALL
audio/RES0198.mp3[104.200,111.200]	NO WELL ACTUALLY IVE HAD IVE HAD A COLD BEFORE BUT NOT RECENTLY MAYBE LIKE FIVE YEARS AGO
audio/RES0198.mp3[111.200,116.200]	OK HAVE YOU TRIED ANY OVER THE COUNTER MEDICATIONS AT ALL
audio/RES0198.mp3[116.200,129.400]	UM IVE TRIED LIKE DECONGESTANTS AND THATS NOT WELL I GUESS MY NOSE IS RUNNY NOW SO THAT WORKED A LITTLE BIT
audio/RES0198.mp3[129.400,140.880]	OK OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0198.mp3[140.880,147.560]	UHM NO I DONT THINK SO MY I HAVE UM A NEPHEW WHO I LIVE WITH WHO GOES TO DAYCARE
audio/RES0198.mp3[147.560,149.880]	OK AND HAS HE BEEN SICK AT ALL
audio/RES0198.mp3[149.880,153.080]	NO HES BEEN FINE
audio/RES0198.mp3[153.080,157.840]	OK ANY RECENT TRAVEL AT ALL
audio/RES0198.mp3[160.440,165.840]	NO OK ANY HEADACHES OR NAUSEA OR VOMITING
audio/RES0198.mp3[165.840,168.160]	NOPE NOTHING LIKE THAT
audio/RES0198.mp3[168.160,171.880]	OK ANY FATIGUE
audio/RES0198.mp3[171.880,174.840]	A LITTLE BIT
audio/RES0198.mp3[174.840,182.480]	OK ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0198.mp3[182.480,185.520]	UM NO UM NOT THAT IVE NOTICED
audio/RES0198.mp3[185.520,195.920]	OK ANY SORT OF LIKE CHEST PAIN OR RACING SENSATION OF RACING OF YOURBHEART OR ANYTHING LIKE THAT
audio/RES0198.mp3[197.800,201.120]	NO OK ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0198.mp3[202.200,206.640]	HOW ABOUT YOUR ANY DIFFICULTIES IN URINATING
audio/RES0198.mp3[206.640,207.760]	UM NO
audio/RES0198.mp3[207.760,211.600]	OK HAVE YOU BEEN SLEEPING AND EATING WELL
audio/RES0198.mp3[212.920,218.800]	OK ANY WEIGHT CHANGES LIKE ANY SIGNIFICANT WEIGHT LOSS RECENTLY
audio/RES0198.mp3[218.800,221.840]	NO NO NO NOTHING LIKE THAT
audio/RES0198.mp3[221.840,233.800]	OK AT HOME OR AT WORK HOME ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS
audio/RES0198.mp3[234.960,241.280]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0198.mp3[241.280,243.320]	UM I HAVE TYPE ONE DIABETES
audio/RES0198.mp3[243.320,247.800]	OK AND WHEN WERE YOU DIAGNOSED WITH THAT
audio/RES0198.mp3[247.800,251.680]	WHEN I WAS LIKE 7
audio/RES0198.mp3[251.680,258.480]	OK AND SO YOU HAVE YOUR INSULIN MEDICATION AND YOUR ARE YOU ALL UP TO DATE WITH THAT
audio/RES0198.mp3[260.000,264.520]	OK AND DO YOU SEE AN ENDOCRINOLOGIST
audio/RES0198.mp3[264.520,266.000]	I DO
audio/RES0198.mp3[266.000,272.400]	OK ALRIGHT ANY MEDICATIONS THAT YOU ARE ON BESIDES INSULIN
audio/RES0198.mp3[272.400,273.800]	UH NO
audio/RES0198.mp3[273.800,276.400]	NO OK ANY ALLERGIES AT ALL
audio/RES0198.mp3[278.600,283.760]	OK HAVE YOU BEEN HOSPITALIZED OR HAD ANY SURGERIES BEFORE
audio/RES0198.mp3[286.240,293.760]	NO OK ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS IN PARTICULAR WITH THE LUNGS OR THE HEART
audio/RES0198.mp3[294.960,297.400]	NO ANY AUTOIMMUNE DISEASES
audio/RES0198.mp3[298.880,307.120]	OK AND CURRENTLY RIGHT NOW DO YOU WORK OR DO YOU GO TO SCHOOL
audio/RES0198.mp3[307.120,310.600]	I’M IN SCHOOL RIGHT NOW
audio/RES0198.mp3[310.600,314.600]	OK AND SO ARE YOU LIVING WHERE ARE YOU LIVING RIGHT NOW
audio/RES0198.mp3[314.600,321.120]	I LIVE IN AN APARTMENT BY MYSELF
audio/RES0198.mp3[321.120,329.200]	OK AND CURRENTLY DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR ANYTHING
audio/RES0198.mp3[329.200,338.800]	UH NO NOT OK SO NOT FREQUENTLY BUT MAYBE LIKE ONCE A MONTH ILL HAVE AN EDIBLE
audio/RES0198.mp3[338.800,345.560]	OK ANY OTHER RECREATIONAL DRUGS LIKE COCAINE AND HEROIN ANYTHING LIKE THAT
audio/RES0198.mp3[345.560,347.360]	OH NO
audio/RES0198.mp3[347.360,352.240]	NO AND YOU DRINK ALCOHOL
audio/RES0198.mp3[352.240,353.320]	UH NO
audio/RES0198.mp3[353.320,358.240]	AND DO YOU SMOKE TOBACCO
audio/RES0198.mp3[359.880,366.760]	YEAH THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0198.mp3[366.760,372.800]	I YEAH HOW DO I GET RID OF THIS AND ITS REALLY BEEN BUGGING ME
audio/RES0198.mp3[372.800,434.760]	YEAH IT KIND OF SO JUST A STUFFY NOSE IN THE RUNNY NOSE IT SEEMS LIKE ITS MOST LIKELY A VIRAL INFECTION LIKE THE COMMON COLD IT TAKES A FEW WEEKS FOR THE SYMPTOMS TO GET RELIEVED BUT THERES NOT MUCH THAT WE CAN DO BESIDES SUPPORTIVE CARE SO MAKE SURE YOU GET YOU STAY WELL HYDRATED YOU CAN USE OVER THE COUNTER MEDICATIONS UH LIKE TYLENOL COLD NOW IF YOU TO RELIEVE SOME OF YOUR SYMPTOMS BUT SINCE RIGHT NOW WERE IN A PANDEMIC SOME OF THESE SYMPTOMS CAN ALSO BE SEEN IN COVID PATIENTS SO WE WILL ALSO GET A SWAB DONE FOR YOU TODAY AND YOU SHOULD HAVE THE RESULTS BACK BY 48 HOURS UM UNTIL THEN WE RECOMMEND THAT YOU STAY ISOLATED IN YOUR OWN HOME AND NOT SEE ANYONE ELSE AND THEN ONCE THE RESULTS COME BACK YOULL GET FURTHER INSTRUCTIONS FROM PUBLIC HEALTH
audio/RES0198.mp3[434.760,436.920]	OK THAT SOUNDS GREAT THANK YOU
audio/RES0198.mp3[436.920,439.040]	YOUR WELCOME TAKE CARE
audio/RES0198.mp3[439.040,441.640]	YOU TOO BYE
audio/RES0033.mp3[0.000,10.840]	IVE BEEN HAVING ISSUES WITH JUST A COUGH THATS JUST BEEN CONSTANTLY LIKE BOTHERING ME FOR THE PAST FEW BIT
audio/RES0033.mp3[10.840,22.840]	OK UM WHEN DID THIS WHAT CAN YOU TELL ME A LITTLE BIT MORE ABOUT THE COUGH ITSELF ANY ANY SPUTUM
audio/RES0033.mp3[22.840,39.880]	SO YEAH IT IT DOES HAVE SOME LIKE DARK YELLOW GREENISH MUCUS MATERIAL EVERY TIME I COUGH THATS NOT DOESNT ALWAYS HAPPEN BUT ITS BEEN WORSE LIKE THAT KEEPS HAPPENING OVER THE LAST FEW DAYS
audio/RES0033.mp3[39.880,47.800]	OK AND ANY BLOOD IN THE SPUTUM
audio/RES0033.mp3[48.560,53.280]	OK AND HOW MUCH HAVE YOU BEEN BRINGING UP WOULD YOU SAY
audio/RES0033.mp3[53.280,60.880]	I WOULD SAY EVERY TIME I BRING IT UP ITS AROUND LIKE ONE TEASPOON USUALLY ONE TEASPOON IN THE DAY
audio/RES0033.mp3[60.880,66.000]	OK AND WHEN DID THIS COUGH START
audio/RES0033.mp3[66.000,86.720]	UM SO I THINK IT STARTED AROUND LIKE I WOULD SAY SIX MONTHS AGO AND ITS KIND OF JUST COMING IT JUST KEEPS COMING AND GOING HERE AND THERE BUT ITS RECENTLY JUST STARTING TO GET VERY IRRITATING
audio/RES0033.mp3[86.720,93.720]	OK AND UM ANY TRIGGERS OR UH PRECIPITATING EVENTS FOR FOR THE COUGH
audio/RES0033.mp3[93.720,115.200]	SO LIKE SIX MONTHS AGO I REMEMBER I WAS IN JUST IN PHYSED AND WE WERE JUST DOING SOME LAPS AND THATS WHEN I JUST REALLY STARTED COUGHING AND YEAH NOTHING ELSE WAS REALLY GOING ON I JUST FEEL LIKE WHEN I STARTED RUNNING SOMETIMES I START TO COUGH
audio/RES0033.mp3[115.200,125.160]	OK UM AND HAS THE COUGH BEEN GETTING WORSE OR STAYING THE SAME GETTING BETTER
audio/RES0033.mp3[125.160,140.920]	I THINK IT WAS PRETTY IT WAS PRETTY MUCH THE SAME OVER THE LAST FEW MONTHS BUT THEN OVER THE LAST WEEK I WOULD SAY JUST GOT REALLY BAD AND OVER THE LAST FEW DAYS ITS JUST BEEN GETTING WORSE AND WORSE
audio/RES0033.mp3[140.920,160.080]	OK UM SO ITS BEEN THE COUGH HAS BEEN HAPPENING ON AND OFF UP UNTIL FOUR DAYS AGO IT SOUNDS LIKE UH IS THE COUGH HAPPENING DAILY NOW
audio/RES0033.mp3[160.080,176.440]	OH YEAH I WOULD SAY LIKE IM COUGHING ESPECIALLY THE LAST FEW DAYS COUGHING SEVERAL TIMES A DAY UM ITS PRETTY RANDOM BUT LIKE I WOULD SAY THROUGHOUT THE DAY IM COUGHING
audio/RES0033.mp3[176.440,180.480]	OK ANYTHING YOUVE TRIED TO MAKE THE OFFER BETTER
audio/RES0033.mp3[180.480,188.320]	UM I MEAN REALLY I I DIDNT REALLY KNOW WHAT TO TRY UM SO NO I HAVENT TRIED ANYTHING
audio/RES0033.mp3[188.320,196.920]	OK AND ANYTHING YOUVE NOTICED THAT THAT SO I GUESS YEAH ANYTHING YOU NOTICE THAT MAKES IT WORSE
audio/RES0033.mp3[196.920,218.920]	SO YEAH JUST LIKE WHEN IM DOING MORE ACTIVITIES ESPECIALLY RUNNING I FIND UH I JUST GET LIKE THESE COUGHING FITS AND IT JUST GETS WORSE WHEN IM RUNNING YEAH ITS PRETTY ANNOYING BECAUSE EVEN SOMETIMES WHEN IM JUST IN CLASS I JUST START COUGHING RANDOMLY BUT I WOULD SAY ITS THE WORST WHEN IM DOING ACTIVITIES
audio/RES0033.mp3[218.920,230.080]	OK SO EXERCISING BRINGS OUT THE COUGH ANY OTHER SYMPTOMS YOUVE BEEN EXPERIENCING BESIDES THE COUGH
audio/RES0033.mp3[230.080,248.800]	UH THE ONLY THING THAT SOMETIMES UH LIKE I PANIC SOMETIMES WHEN UH WHEN I HAVE LIKE A REALLY BAD COUGHING FIT ESPECIALLY IN GYM CLASS IT ALMOST FEELS LIKE I CANT BREATHE AND THATS WHEN I GET REALLY SCARED
audio/RES0033.mp3[248.800,255.960]	OK UM HAVE YOU BEEN HAVING ANY NAUSEA OR VOMITING
audio/RES0033.mp3[255.960,258.480]	OH NO NO NAUSEA OR VOMITING
audio/RES0033.mp3[258.480,261.720]	OK HOW ABOUT ANY HEADACHES
audio/RES0033.mp3[261.720,263.880]	NO NO HEADACHES
audio/RES0033.mp3[263.880,267.240]	OK AND HAVE YOU HAD A FEVER
audio/RES0033.mp3[267.240,276.200]	UH I THINK I FELT LIKE A LITTLE BIT WARMER IN THE PAST FEW DAYS BUT I DIDNT I DIDNT REALLY CHECK
audio/RES0033.mp3[276.200,280.120]	OK AND HAVE YOU HAD ANY CHILLS
audio/RES0033.mp3[280.120,283.440]	I DONT THINK SO NO
audio/RES0033.mp3[283.440,288.320]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0033.mp3[288.320,292.760]	UH NO IVE BEEN IM IVE BEEN HOME
audio/RES0033.mp3[292.760,297.840]	OK UH ANY NIGHT SWEATS
audio/RES0033.mp3[299.040,303.600]	HAVE YOU HAD ANY RACING OF YOUR HEART
audio/RES0033.mp3[303.600,307.640]	NO NOTHING LIKE THAT
audio/RES0033.mp3[307.640,312.720]	OK AND HAVE YOU HAD ANY SYMPTOMS OF FATIGUE
audio/RES0033.mp3[312.720,317.960]	UH NO I I THINK MY ENERGY LEVELS ARE FINE
audio/RES0033.mp3[317.960,322.480]	OK UM DO YOU HAVE ANY CHEST PAIN
audio/RES0033.mp3[322.480,337.120]	UM SOMETIMES WHEN I COUGH LIKE WHEN ITS REALLY BAD I SOMETIMES FEEL LIKE I GET SOME PAIN IN MY CHEST WHEN IM COUGHING BUT THATS ONLY BEEN THE CASE FOR THE LAST FEW FEW DAYS I WOULD SAY
audio/RES0033.mp3[337.120,340.600]	OK UM ANY URINARY PROBLEMS
audio/RES0033.mp3[340.600,345.040]	NO IVE BEEN PEEING ALRIGHT NO ISSUES THERE
audio/RES0033.mp3[345.040,348.000]	OK ANY BOWEL PROBLEMS
audio/RES0033.mp3[348.000,349.880]	UH NO
audio/RES0033.mp3[349.880,354.160]	OK ANY ISSUES WITH YOUR APPETITE
audio/RES0033.mp3[354.160,358.280]	NO I THINK IVE BEEN EATING THE SAME AMOUNT
audio/RES0033.mp3[358.280,361.600]	OK ANY CHANGES TO YOUR WEIGHT
audio/RES0033.mp3[361.600,364.160]	UH NO STILL THE SAME
audio/RES0033.mp3[364.160,370.760]	OK AND ANY PROBLEMS WITH UH SORRY UH ANY RECENT INFECTIONS
audio/RES0033.mp3[370.760,393.360]	LIKE I FEEL LIKE I MIGHT HAVE A COLD BUT I THINK I MAYBE A WEEK AGO I HAD LIKE A LITTLE BIT OF A RUNNY NOSE SO I DONT KNOW I MIGHT HAVE A COLD
audio/RES0033.mp3[393.360,402.320]	OK UM AND THESE SYMPTOMS COLD SYMPTOMS YOUVE BEEN FEELING FOR THE LAST FEW DAYS
audio/RES0033.mp3[402.320,405.560]	YEAH ITS ALMOST UP TO A WEEK NOW
audio/RES0033.mp3[405.560,409.640]	OK AND ANY PROBLEMS WITH SLEEP
audio/RES0033.mp3[409.640,426.160]	I FEEL LIKE SOMETIMES JUST IN THE PAST FEW WEEKS LIKE I STARTED COUGHING AT NIGHT AND WOKE MYSELF UP SO SLEEP HAS BEEN A LITTLE BIT DISTURBED OVER THE PAST FEW WEEKS
audio/RES0033.mp3[426.160,431.920]	OK UH ANY EXPOSURES TO TUBERCULOSIS
audio/RES0033.mp3[431.920,434.960]	OH NO NO NOT THAT I KNOW
audio/RES0033.mp3[434.960,444.400]	ANY EXPOSURES TO INHALANTS LIKE SMOKE OR OR DUST OR FUMES
audio/RES0033.mp3[444.400,456.920]	UH NO I DONT HAVE ANY PETS LIKE THERES NO LIKE MOSS OR ANYTHING IN MY HOME NO FUMES DUST YEAH NOTHING LIKE THAT
audio/RES0033.mp3[456.920,466.960]	OK OK AND HAVE YOU BEEN DIAGNOSED WITH ANY OR TREATED WITH OR ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0033.mp3[466.960,473.960]	JUST JUST LIKE WITH THE SKIN I I I HAVE ECZEMA BUT NOTHING ELSE
audio/RES0033.mp3[473.960,481.480]	OK ARE YOU ALLERGIC TO ANY MEDICATIONS
audio/RES0033.mp3[481.480,496.640]	UH SO I FOR MY ECZEMA LIKE I DO HAVE LIKE A HYDROCORTISONE CREAM THAT I APPLY BUT YEAH I DONT THINK IM ALLERGIC TO ANY MEDICATIONS
audio/RES0033.mp3[496.640,501.720]	OK UM DO YOU HAVE ALLERGIES
audio/RES0033.mp3[501.720,517.360]	I I DO HAVE ALLERGIES LIKE SOMETIMES AROUND LIKE ANIMALS LIKE IF I GO TO THE FARM OR IF IM LIKE AT A ZOO AND JUST PETTING ANIMALS I GET MY ECZEMA GETS REALLY BAD
audio/RES0033.mp3[517.360,520.760]	OK AND ANY HOSPITALIZATIONS
audio/RES0033.mp3[520.760,523.680]	NO NO NO NEVER BEEN HOSPITALIZED
audio/RES0033.mp3[523.680,528.000]	OK ANYBODY YOUVE BEEN AROUND WHOS SICK
audio/RES0033.mp3[528.000,533.280]	NO IVE BEEN IVE BEEN PRETTY MUCH BEEN AT HOME SO NO ONE
audio/RES0033.mp3[533.280,536.840]	ALRIGHT AND ANY SURGERIES
audio/RES0033.mp3[536.840,537.800]	NO SURGERIES
audio/RES0033.mp3[537.800,543.800]	OK ANY FAMILY HISTORY OF ASTHMA OR OR ECZEMA
audio/RES0033.mp3[543.800,552.360]	I DONT KNOW BOUT ASTHMA MY MOM DOES ALSO HAVE LIKE SIMILAR LIKE ECZEMA TO ME BUT YEAH NOTHING NOTHING ELSE THAT I KNOW OF
audio/RES0033.mp3[552.360,557.360]	OK UH AND WHAT ARE YOU DOING RIGHT NOW FOR WORK
audio/RES0033.mp3[557.360,586.880]	SO CURRENTLY LIKE IM NOT WORKING IM A STUDENT JUST DOING SOME ONLINE STUDYING IM ACTUALLY GOING TO COLLEGE TO LEARN ABOUT HOW TO MAKE VIDEO GAMES BUT YEAH ITS ALL JUST BEEN AT HOME RIGHT NOW
audio/RES0033.mp3[586.880,592.080]	OK AND UM WHERE ARE YOU FROM LIKE ARE YOU LIVING AT HOME RIGHT NOW OR ARE YOU AWAY FOR SCHOOL
audio/RES0033.mp3[592.080,597.480]	YEAH SO I MEAN RIGHT NOW ITS ALL ONLINE SO IM LIVING AT HOME WITH MY MOM
audio/RES0033.mp3[597.480,601.640]	OK UH AND DO YOU DRINK ALCOHOL
audio/RES0033.mp3[601.640,616.680]	UH NOT OFTEN LIKE JUST WHEN IM AT LIKE PARTIES AND LIKE WHEN I WAS AT SCHOOL JUST MAYBE SOMETIMES ON THE WEEKENDS BUT NOTHING REGULARLY
audio/RES0033.mp3[616.680,625.040]	OK UM AND HAVE YOU TRIED ANY OTHER DRUGS BESIDES MARIJUANA
audio/RES0033.mp3[625.040,640.360]	UM JUST JUST MARIJUANA I I TRY SOMETIMES AT PARTIES BUT NOTHING LIKE REGULAR UH OTHER THAN THAT LIKE JUST SOMETIMES IVE BEEN OFFERED LIKE SOME PILLS AT PARTIES BUT OTHER THAN THAT NOTHING ELSE
audio/RES0033.mp3[640.360,644.000]	SO IT SOUNDS OCCASIONAL
audio/RES0033.mp3[644.000,651.000]	OK NOTHING LIKE IT IM NOT ADDICTED OR ANYTHING TO ANY DRUGS
audio/RES0033.mp3[651.000,653.880]	OK DO YOU SMOKE CIGARETTES
audio/RES0033.mp3[653.880,661.240]	I DONT SMOKE CIGARETTES BUT I DO HAVE MARIJUANA ONCE OR TWICE IN A WEEK
audio/RES0033.mp3[661.240,670.480]	OK AND AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET AND EXERCISE
audio/RES0033.mp3[670.480,706.520]	I FEEL LIKE IM FAIRLY ACTIVE EVEN THOUGH LIKE I COUGH WHEN IM EXERCISING I STILL PLAY SOCCER WITH MY FRIENDS AND ON A TEAM OTHER THAN THAT I LIKE TO GO BIKING UM YEAH I FEEL LIKE IM STILL PRETTY ACTIVE BUT IT IS GETTING MORE DIFFICULT WITH MY COUGH OTHER THAN THAT MY DIET HAS BEEN PRETTY PRETTY GOOD LIKE AT HOME ESPECIALLY IM GETTING THREE MEALS A DAY AND HAVING A BALANCED DIET SO YEAH I FEEL IM DOING WELL THERE
audio/RES0033.mp3[706.520,707.440]	OK GREAT
audio/RES0017.mp3[0.000,9.120]	IVE BEEN HAVING THIS COUGH FOR AROUND I WOULD SAY HALF A YEAR NOW AND I JUST CANT SEEM TO GET RID OF IT
audio/RES0017.mp3[9.120,12.680]	OK AND DOES THIS COUGH HAVE ANY PHLEGM THAT YOU BRING UP
audio/RES0017.mp3[12.680,20.480]	NO ITS COMPLETELY DRY I CANT BRING ANYTHING UP
audio/RES0017.mp3[20.480,28.240]	OK AND SINCE THE COUGH STARTED HAS IT BEEN GETTING GETTING WORSE STAYING THE SAME GETTING ANY BETTER
audio/RES0017.mp3[28.240,36.600]	IT WAS PRETTY MUCH THE SAME FOR I WOULD SAY LIKE THREE OR FOUR MONTHS BUT THEN IVE NOTICED IT GETTING MORE FREQUENT OVER THE LAST COUPLE OF MONTHS
audio/RES0017.mp3[36.600,50.360]	OK AND SIX MONTHS AGO CAN YOU THINK OF ANYTHING THAT THAT CHANGED INCLUDING LIKE TRAVELING ANYWHERE OR CHANGING IN IN YOUR WORK OR OR LIVING ENVIRONMENT
audio/RES0017.mp3[50.360,60.600]	UH NOT REALLY UH IM LIKE ALMOST 75 YEARS OLD NOW SO I JUST THOUGHT IT WAS PROBABLY JUST DUE TO MY AGE
audio/RES0017.mp3[60.600,67.680]	OK UH HAVE YOU BEEN HAVE YOU BROUGHT UP ANY BLOOD WITH THE COUGH
audio/RES0017.mp3[67.680,70.360]	NO IVE NEVER BROUGHT UP ANY BLOOD
audio/RES0017.mp3[70.360,75.160]	OK AND HAVE YOU HAVE HAD ANY SHORTNESS OF BREATH
audio/RES0017.mp3[75.160,88.960]	NOT THAT IVE NOTICED BUT I DO FIND THAT I GET A LITTLE BIT MORE TIRED WITH EXERCISE THAN I USED TO BUT NOT REALLY ANY SHORTNESS OF BREATH
audio/RES0017.mp3[88.960,95.920]	OK UM AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0017.mp3[95.920,110.520]	I DONT KNOW IF THIS IS JUST DUE TO OLD AGE BUT LIKE IVE NOTICED SOME JOINT PAIN AS WELL LIKE IN MY HANDS AND FEET I JUST ASSUMED THAT WAS CAUSE IM GETTING OLD
audio/RES0017.mp3[110.520,120.520]	OK UM AND HAS THERE BEEN ANYTHING THATS MADE THE COUGH WORSE
audio/RES0017.mp3[120.520,136.080]	SOMETIMES WHEN IM EXERCISING A LOT MORE BUT NOT NOT TOO MUCH ITS KIND OF JUST ALWAYS BEEN THERE HASNT REALLY CHANGED TOO MUCH BUT ITS GOTTEN MORE FREQUENT OVER THE LAST COUPLE OF MONTHS
audio/RES0017.mp3[136.080,141.440]	OK AND ANYTHING THATS MADE THE COUGH BETTER THAT YOUVE TRIED
audio/RES0017.mp3[141.440,159.040]	NO NOTHING IVE TRIED LIKE EVERYTHING IVE TRIED TYLENOL COLD IVE TRIED OTHER HOME REMEDIES BUT LIKE LIKE STEAMING AND EVERYTHING LIKE THAT BUT NOTHING HAS REALLY HELPED
audio/RES0017.mp3[159.040,166.120]	OK AND IS THE COUGH WORSE IN THE MORNING THROUGHOUT THE DAY OR OR AT NIGHT
audio/RES0017.mp3[166.120,172.320]	ITS PRETTY MUCH ALWAYS THERE IT DOESNT REALLY CHANGE WITH ANY TIME OF THE DAY
audio/RES0017.mp3[172.320,176.280]	OK AND IS THE COUGH INTERFERING WITH SLEEP
audio/RES0017.mp3[176.280,181.440]	YEAH I SOMETIMES I I DO HAVE COUGHING FITS AT NIGHT THAT WAKE ME UP I DO HAVE
audio/RES0017.mp3[181.440,187.400]	DISRUPTED SLEEP OVER THE LAST FEW MONTHS
audio/RES0017.mp3[187.400,194.880]	OK UM AND YOU MENTIONED SOME JOINT PAINS AS WELL AND THEN WHEN DID THAT THOSE START
audio/RES0017.mp3[194.880,202.040]	I WOULD SAY OVER THE LAST YEAR IS WHEN I STARTED NOTICING IT A LOT MORE THAN BEFORE
audio/RES0017.mp3[202.040,211.240]	OK HAVE YOU BEEN HAVING JOINT STIFFNESS OR OR MUSCLE STIFFNESS EARLY IN THE MORNING
audio/RES0017.mp3[211.240,218.840]	IT DOES GET A LITTLE BIT MORE STIFF IN THE MORNING BUT ITS KIND OF JUST THERE THROUGHOUT THE DAY
audio/RES0017.mp3[218.840,225.800]	OK HAVE YOU NOTICED ANY RED HOT OR OR KIND OF SWOLLEN JOINTS
audio/RES0017.mp3[225.800,229.200]	NO NOTHING LIKE THAT
audio/RES0017.mp3[229.200,235.560]	OK ANY INJURIES TO ANY OF YOUR LIMBS OR OR JOINTS THAT COULD EXPLAIN SOME OF THE PAINS
audio/RES0017.mp3[237.120,241.120]	NO NOT THAT I KNOW OF NOPE
audio/RES0017.mp3[241.120,248.320]	OK UM AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING A LOT OF FATIGUE
audio/RES0017.mp3[248.320,263.440]	YEAH I DEFINITELY HAVE BEEN MORE TIRED I CANT REALLY EVEN GO OUTSIDE FOR A WALK SOMETIMES OR I GET REALLY TIRED WORKING IN THE GARDEN SO ITS BEEN TOUGH
audio/RES0017.mp3[263.440,270.760]	OK AND WHEN DID THAT WHEN DID YOU NOTICE THAT CHANGE AND AND HOW WERE YOU DIFFERENT BEFORE
audio/RES0017.mp3[270.760,294.880]	LIKE BEFORE LIKE BEFORE SIX MONTHS AGO I REMEMBER I USED TO BE ABLE TO GO FOR LONG WALKS AROUND THE BLOCK THEN WHEN I WAS GARDENING I CAN GO ON FOR HOURS BUT NOW IM PRETTY ITS PRETTY LIMITED TO LIKE MAYBE 1520 MINUTES AND THEN I HAVE TO GO BACK INTO THE HOUSE
audio/RES0017.mp3[294.880,300.560]	I SEE OK SO PRETTY BIG DIFFERENCE OVER THE LAST SIX MONTHS TO A YEAR FOR YOU
audio/RES0017.mp3[300.880,306.080]	HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS
audio/RES0017.mp3[306.080,310.000]	NOT REALLY NOT THAT I KNOW OF
audio/RES0017.mp3[310.000,317.000]	OK HOW ABOUT UH EXCESSIVE SWEATING AT NIGHT
audio/RES0017.mp3[318.000,320.400]	ALRIGHT AND HOW HAS YOUR APPETITE BEEN
audio/RES0017.mp3[320.400,324.000]	MY APPETITE HAS BEEN AROUND THE SAME NO CHANGES THERE
audio/RES0017.mp3[324.000,328.160]	OK HAVE YOU EXPERIENCED ANY WEIGHT LOSS
audio/RES0017.mp3[328.160,336.720]	IVE ACTUALLY I THINK LOST A COUPLE POUNDS BUT NOT NOT TOO MUCH
audio/RES0017.mp3[336.720,341.520]	OK WOULD THAT BE OVER THE LAST SIX MONTHS OR SO
audio/RES0017.mp3[341.520,347.360]	YEAH AROUND THE LAST I WOULD SAY THREE TO FOUR MONTHS
audio/RES0017.mp3[347.360,358.800]	OK UH HAVE YOU NOTICED ANY SWOLLEN GLANDS ANYWHERE LIKE IN YOUR NECK OR ANYTHING LIKE THAT YOU MIGHT FEEL LIKE A LUMP
audio/RES0017.mp3[358.800,361.840]	NO NOT REALLY
audio/RES0017.mp3[361.840,366.720]	OK HAVE YOU HAD A SORE THROAT OR OR RUNNY NOSE
audio/RES0017.mp3[366.720,374.240]	NO I HAVENT HAD A COLD FOR MORE THAN TWO OR THREE YEARS I THINK
audio/RES0017.mp3[374.240,378.160]	OK ABOUT A LOSS OF SMELL
audio/RES0017.mp3[379.320,381.640]	LOSS OF TASTE
audio/RES0017.mp3[382.880,388.320]	ALRIGHT HAVE YOU BEEN EXPERIENCING ANY CHEST PAINS
audio/RES0017.mp3[388.320,396.520]	WHEN THE COUGHING GETS PRETTY BAD LIKE I GET SOME STRAIN IN MY CHEST BUT NOTHING OTHER THAN THAT
audio/RES0017.mp3[396.520,401.400]	ALRIGHT AND ANY HEART RACING
audio/RES0017.mp3[403.440,406.680]	ALRIGHT AND HOW ABOUT WHEEZING
audio/RES0017.mp3[406.680,408.640]	NO NOT REALLY
audio/RES0017.mp3[408.640,419.320]	OK AND HAVE YOU NOTICED ANY SWELLING IN YOUR LIMBS LIKE IN YOUR HANDS AND YOUR FEET OR ANKLES
audio/RES0017.mp3[419.320,422.160]	NO NOT REALLY
audio/RES0017.mp3[422.160,434.200]	ALRIGHT AT NIGHT HAVE YOU HAD ANY PERIODS WHERE YOU WOKE UP EXTREMELY SHORT OF BREATH AND YOU HAD TO SIT ON THE EDGE OF THE BED WITH YOUR FEET OVER
audio/RES0017.mp3[434.200,437.840]	NO NOT THAT I REMEMBER
audio/RES0017.mp3[437.840,443.880]	OK AND HOW MANY PILLOWS DO YOU SLEEP WITH
audio/RES0017.mp3[443.880,447.360]	JUST ONE SAME AS BEFORE
audio/RES0017.mp3[447.360,450.920]	OK UM AND ANY ABDOMINAL PAIN
audio/RES0017.mp3[450.920,457.400]	NO NO PAIN IS JUST IN MY JOINTS AND SOMETIMES IN MY MUSCLES BUT OTHER THAN THAT NO
audio/RES0017.mp3[457.400,462.360]	OK ANY URINARY PROBLEMS LIKE PAIN OR OR GOING REALLY OFTEN
audio/RES0017.mp3[463.480,470.000]	ALRIGHT AND THEN ANY CHANGES TO BOWEL HABITS LIKE DIARRHEA OR CONSTIPATION
audio/RES0017.mp3[470.000,472.160]	NO NOT THAT I KNOW OF
audio/RES0017.mp3[472.160,476.680]	OK AND HAVE YOU NOTICED ANY SKIN RASHES
audio/RES0017.mp3[476.680,480.640]	UH NOPE
audio/RES0017.mp3[480.640,486.600]	OK AND UH ARE THERE ANY JOINTS IN PARTICULAR THAT ARE MOST AFFECTED
audio/RES0017.mp3[486.600,500.320]	I WOULD SAY LIKE MY LEGS AND ARMS ITS ITS PRETTY MUCH  LOT OF THE JOINTS NOT REALLY AFFECTING MY HIP BUT LIKE EVERYTHING ELSE SEEMS A BIT SORE
audio/RES0017.mp3[500.320,507.360]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0017.mp3[507.360,510.160]	NO NEVER IVE BEEN PRETTY FORTUNATE
audio/RES0017.mp3[510.160,515.640]	OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIPTION OR OVER THE COUNTER
audio/RES0017.mp3[515.640,518.720]	NO JUST VITAMINS BUT NOTHING ELSE
audio/RES0017.mp3[518.720,521.560]	ALRIGHT DO YOU HAVE ANY ALLERGIES
audio/RES0017.mp3[521.560,524.200]	NO NOT THAT I KNOW OF
audio/RES0017.mp3[524.200,532.560]	HAVE YOU BEEN SO YOU SAID YOUVE BEEN PRETTY HEALTHY BUT HAVE YOU BEEN IN THE HOSPITAL FOR ANY REASON RECENTLY
audio/RES0017.mp3[533.600,537.200]	OK UM AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0017.mp3[537.200,545.120]	YEAH I I GOT A SHINGLES VACCINE THE ONE FOR PNEUMONIA AS WELL
audio/RES0017.mp3[545.120,548.680]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0017.mp3[548.680,553.800]	NO IVE BEEN AT HOME
audio/RES0017.mp3[553.800,569.160]	OK UM AND IN THE FAMILY HAVE YOU HEARD OF ANYTHING LIKE THIS HAPPENING IN THE FAMILY SORT OF WAY ONSET OF THIS KIND OF SHORTNESS OF BREATH AND COUGH THAT YOUVE BEEN EXPERIENCING
audio/RES0017.mp3[569.160,585.120]	NOT REALLY I I DONT REALLY HAVE SHORTNESS OF BREATH LIKE ITS ITS LIKE A DRY COUGH SOMETIMES I DO FIND MYSELF BREATHING MORE SHALLOW YEAH MOSTLY ITS JUST A DRY COUGH THATS BEEN GOING ON
audio/RES0017.mp3[585.120,587.440]	OK AND MORE OF THE FATIGUE
audio/RES0017.mp3[588.480,599.200]	OK AND ANYBODY IN THE FAMILY HAVE LIKE AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS OR OR LUPUS
audio/RES0017.mp3[599.200,618.360]	UH I DONT REALLY I CANT REALLY THINK OF NOTHING MY MOM AND DAD WERE COMPLETELY HEALTHY SO I KNOW AND I DONT HAVE ANY SIBLINGS SO YEAH NOT NOTHING THAT I KNOW OF
audio/RES0017.mp3[618.360,625.480]	OK UH ANY CANCERS IN THE FAMILY LIKE COLON CANCER OR ANYTHING LIKE THAT
audio/RES0017.mp3[625.480,629.000]	NO NO CANCERS
audio/RES0017.mp3[629.000,635.840]	OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0017.mp3[635.840,646.360]	YEAH SO RIGHT NOW I LIVE ALONE IN A SMALL TOWNHOUSE AND YEAH THATS I HAVE A PET DOG BUT THATS THATS ABOUT IT
audio/RES0017.mp3[646.360,654.120]	OK UM AND HOW DO YOU SUPPORT YOURSELF FINANCIALLY
audio/RES0017.mp3[654.120,668.080]	SO IM RETIRED BUT GETTING A PRETTY GOOD PENSION AS WELL AS FOR MY A HUSBANDS PENSION AS WELL BUT HE UNFORTUNATELY PASSED AWAY A COUPLE YEARS AGO
audio/RES0017.mp3[668.080,685.600]	IM SORRY TO HEAR THAT WHAT DID YOU SAY YOU RETIRED WHAT DID YOU DO FOR WORK PREVIOUSLY DID YOU HAVE ANY EXPOSURES TO CHEMICALS OR ASBESTOS PRODUCTS WHILE WHILE AT WORK
audio/RES0017.mp3[685.600,702.280]	NOT THAT I REMEMBER NO IT WAS IT WAS A PRETTY PRETTY MUCH LIKE A DESK JOB I WOULD SAY
audio/RES0017.mp3[702.280,710.120]	OK UM SO NO REASONS THAT YOU WERE VISITING FARMS AND LIKE BEING AROUND BIRDS OR ANYTHING LIKE THAT
audio/RES0017.mp3[710.120,723.600]	UM NOT REALLY BUT I I DO THINK LIKE THE OLD BUILDING THAT WE LIVED IN MIGHT HAVE HAD ASBESTOS DOES THAT DOES THAT LIKE COUNT AT ALL
audio/RES0017.mp3[723.600,732.280]	LIKE A IT COULD BE IMPORTANT UH BECAUSE UH WELL HOW LONG HOW LONG DID YOU LIVE THERE FOR
audio/RES0017.mp3[732.280,733.840]	I WOULD SAY ALMOST 20 YEARS
audio/RES0017.mp3[733.840,772.880]	OK SO UM YES THAT DEFINITELY WOULD BE IS IS IMPORTANT FOR THE HISTORY TODAY BECAUSE UNFORTUNATELY LONG TERM EXPOSURE TO ASBESTOS WHEN BREATHING IT IN CAN CAUSE SOME OF THE SYMPTOMS THAT YOUVE BEEN DESCRIBING ALONG WITH COUGH AND UH RESPIRATORY SYMPTOMS SO ITLL BE SOMETHING THAT WELL BE SURE TO INVESTIGATE TODAY OK BUT I JUST HAD A COUPLE MORE QUESTIONS FIRST DO YOU SMOKE CIGARETTES
audio/RES0017.mp3[772.880,783.240]	I QUIT LONG TIME AGO MORE THAN LIKE 10 YEARS AGO BUT I USED TO SMOKE LIKE 5 TO 10 CIGARETTES FOR AROUND 20 YEARS
audio/RES0017.mp3[783.240,785.720]	OK AND DO YOU SMOKE CANNABIS
audio/RES0017.mp3[787.520,792.200]	ALRIGHT DO YOU DRINK ALCOHOL
audio/RES0017.mp3[792.200,794.200]	NO NOT ANYMORE
audio/RES0017.mp3[794.200,797.200]	OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0017.mp3[799.040,802.320]	ALRIGHT AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0017.mp3[804.320,808.280]	ALRIGHT AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0017.mp3[808.640,820.520]	OK SO THOSE ARE THE QUESTIONS THAT I WANTED TO GO OVER TO MAKE SURE I ASKED ON HISTORY WAS THERE ANYTHING THAT ELSE YOU WANTED TO TELL ME
audio/RES0017.mp3[820.520,822.440]	NO I THINK THATS ALL
audio/RES0017.mp3[822.440,872.760]	OK SO NEXT WELL DO YOUR PHYSICAL EXAM AND ORDER SOME INVESTIGATIONS BUT CURRENTLY THINKING THAT IT COULD BE RELATED TO ASBESTOS EXPOSURE AS WELL AS UM SOMETHING CALLED WELL IT COULD CAUSE PULMONARY FIBROSIS AND THEN ALSO THE JOINT PAINS THAT YOUVE BEEN EXPERIENCING MIGHT BE ANOTHER SYMPTOM THAT IS SUGGESTIVE OF A CONNECTIVE TISSUE DISEASE AND IT DOESNT SOUND LIKE YOU HAVE A FAMILY HISTORY OF THOSE BUT WE WILL DO SOME LAB WORK AND INVESTIGATIONS FOR FOR THOSE INCLUDING A CHEST XRAY AND A CHEST CT
audio/RES0017.mp3[872.760,880.720]	SOUNDS GOOD
audio/RES0103.mp3[0.000,1.720]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0103.mp3[1.720,22.120]	YEAH IM JUST BRINGING IN MY OLD DAUGHTER WHOS REALLY BEEN COMPLAINING ABOUT HAVING A RUNNY NOSE AND HAS BEEN SNEEZING A LOT OVER THIS PAST OVER THIS PAST WEEK I THINK THE SYMPTOMS MAYBE STARTED THREE OR FOUR DAYS AGO
audio/RES0103.mp3[22.120,25.720]	OK AND WHAT SYMPTOMS STARTED FIRST
audio/RES0103.mp3[25.720,45.520]	I THINK THE RUNNY NOSE IS WHAT WHAT STARTED FIRST AND LIKE KIND OF THE NASAL CONGESTION SHE WAS TELLING YOU THAT SHE FELT THAT THERE WAS LIKE PRESSURE OR CONGESTION IN HER NOSE
audio/RES0103.mp3[45.520,50.680]	OK AND THEN THIS WHEN DID THIS SNEEZING START
audio/RES0103.mp3[50.680,57.040]	SURELY AFTER THAT PROBABLY MAYBE THE SAME DAY OR OR THE NEXT DAY
audio/RES0103.mp3[57.040,60.560]	OK DOES SHE HAVE ANY COUGHING AT ALL
audio/RES0103.mp3[60.560,72.880]	YEAH SO SHE SHE DID START TO COUGH ACTUALLY AFTER THAT SO THAT THE COUGH HAS BEEN THERE FOR THE LAST FOR THE LAST MAYBE TWO TO THREE DAYS ITS A DRY COUGH
audio/RES0103.mp3[72.880,82.960]	OK FOR THE LAST TWO TO THREE DAYS OK IS SHE AT ALL COUGHING UP ANY GREEN OR YELLOW MATERIAL OR ANY BLOOD AT ALL
audio/RES0103.mp3[82.960,84.400]	NO NOTHING LIKE THAT
audio/RES0103.mp3[84.400,91.840]	OK SO AND ARE HER SYMPTOMS CONSTANT OR DO THEY COME AND GO
audio/RES0103.mp3[91.840,110.120]	THEYVE BEEN PRETTY CONSTANT AND THEYVE GOTTEN A LITTLE BIT WORSE SINCE THEY STARTED THREE OR FOUR DAYS AGO I I THINK NOW YEAH HER SYMPTOMS ARE AT HER AT THE WORST RIGHT NOW JUST NOT FEELING VERY WELL
audio/RES0103.mp3[110.120,121.960]	OK AND HAVE YOU BEEN IN CONTACT WITH ANYONE AT HOME OR AT SCHOOL IF SHES GOING TO SCHOOL VERSUS AT HOME FOR THE PANDEMIC RIGHT NOW BUT ANY ILL CONTACTS AT ALL
audio/RES0103.mp3[121.960,135.840]	WELL SHE HAS BEEN GOING TO SCHOOL THERE HASNT BEEN ANY COVID CASES WHERE SHE GOES AND THEYVE BEEN CAUTIOUS BUT SHE IS GOING TO SCHOOL RIGHT NOW
audio/RES0103.mp3[135.840,142.880]	OK ANY ANYTHING THAT YOUVE TRIED THAT HAS HELPED HER LIKE ANY OVER THE COUNTER COLD MEDICATIONS
audio/RES0103.mp3[142.880,145.120]	UHM UH NO
audio/RES0103.mp3[145.120,159.480]	OK ANY OTHER SYMPTOMS LIKE FEVERS CHILLS SHORTNESS OF BREATH UM ANYTHING LIKE THAT
audio/RES0103.mp3[159.480,171.400]	UH SHE DID FEEL A BIT WARM TO TOUCH AND HAS LOOKED A BIT FLUSHED IN HER FACE JUST DOESNT LOOK LIKE HERSELF
audio/RES0103.mp3[171.400,179.560]	DOES SHE BEHAVE LIKE HERSELF LIKE IS SHE MORE TIRED AT ALL MORE IRRITABLE ANYTHING LIKE THAT
audio/RES0103.mp3[179.560,197.680]	YEAH SHES BEEN A MAYBE A BIT MORE MAYBE A BIT MORE TIRED AND AND A BIT MORE IRRITABLE BUT NOT NOT TOO BAD SHE SHE MISSED SCHOOL TODAY BUT WENT YESTERDAY
audio/RES0103.mp3[197.680,201.040]	OK ANY RECENT TRAVEL AT ALL
audio/RES0103.mp3[201.040,203.440]	NO WEVE BEEN AT HOME
audio/RES0103.mp3[203.440,207.080]	ANY HEADACHES NAUSEA OR VOMITING
audio/RES0103.mp3[207.080,211.200]	UHM NO
audio/RES0103.mp3[211.200,217.400]	OK ANY CHEST PAIN THAT SHES DESCRIBED
audio/RES0103.mp3[217.400,219.240]	NO CHEST PAIN
audio/RES0103.mp3[219.240,225.200]	OK ANY CHANGES IN HER BOWEL MOVEMENT CONSTIPATION DIARRHEA
audio/RES0103.mp3[225.200,228.800]	NO THATS BEEN NORMAL
audio/RES0103.mp3[228.800,232.480]	OK ANY URINARY PROBLEMS
audio/RES0103.mp3[232.480,239.240]	NO SHE HAD A URINARY TRACT INFECTION WHEN SHE WAS LIKE LITTLE BUT HASNT HAD ANY SINCE
audio/RES0103.mp3[239.240,244.200]	OK ANY ISSUES WITH THEIR SLEEP OR APPETITE
audio/RES0103.mp3[244.200,251.720]	SHE HAS BEEN A BIT A BIT FUSSY BUT SHES BEEN SLEEPING OK
audio/RES0103.mp3[251.720,256.240]	OK UHM HAS SHE LOST ANY WEIGHT RECENTLY
audio/RES0103.mp3[256.240,259.640]	NO NO NO SHES BEEN GAINING WEIGHT WELL
audio/RES0103.mp3[259.640,267.560]	OK ANY EXPOSURE TO ANY ALLERGENS OR LIKE FUMES DUST ANIMALS
audio/RES0103.mp3[267.560,276.920]	NO I CANT THINK OF ANYTHING LIKE THAT WE DONT HAVE ANY PETS AT HOME AND SHES SHES BEEN HASNT BEEN GOING ANYWHERE ELSE
audio/RES0103.mp3[276.920,282.600]	OK HAS SHE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0103.mp3[282.600,291.040]	NO SHE JUST SAID AH JUST YEAH HAD A URINARY TRACT INFECTION WHEN SHE WAS YOUNGER AND THATS ABOUT IT
audio/RES0103.mp3[291.040,295.520]	OK ANY ALLERGIES TO MEDICATIONS THAT YOU KNOW OF
audio/RES0103.mp3[295.520,298.360]	NOT THAT IM AWARE OF
audio/RES0103.mp3[298.360,300.920]	IS SHE ON ANY MEDICATIONS
audio/RES0103.mp3[303.920,307.360]	OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0103.mp3[309.000,317.280]	OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS OR ANYTHING ELSE
audio/RES0103.mp3[317.280,328.480]	UHM I I HAVE HIGH CHOLESTEROL BUT AND AH AND IM TAKING A A MEDICATION FOR IT BUT NO NOTHING ELSE
audio/RES0103.mp3[328.480,334.440]	OK DOES HAS SHE LOST A SENSE OF TASTE OR SMELL AT ALL
audio/RES0103.mp3[334.440,341.920]	NO SHE HASNT SAID ANY ANYTHING LIKE THAT JUST THE NASAL CONGESTION
audio/RES0103.mp3[341.920,349.080]	OK DID YOU FEEL ANY PRESSURE IN AROUND HER FACE AT ALL
audio/RES0103.mp3[349.080,364.000]	UH YEAH WELL YEAH I THINK SO SHE DOESNT SAY WELL NO PAIN BUT DOES FEEL LIKE A BIT OF PRESSURE WITH THE CONGESTION I THINK
audio/RES0103.mp3[364.000,373.880]	OK UHM ANY ISSUES DEVELOPMENTALLY AS SHE WAS GROWING UP LIKE TO MEET ARE ALL OUR MILESTONES AT AN APPROPRIATE AGE
audio/RES0103.mp3[373.880,390.880]	SHE DID YEAH SHE HAS MET SHE WAS WALKING AT THE APPROPRIATE TIMES AND ABLE TO TALK AND DOES WORK REALLY WELL IN SCHOOL AND IS SOCIAL WITH WITH HER CLASSMATES AND PEERS
audio/RES0103.mp3[390.880,393.880]	SO NO NO ISSUES OR NO COMPLAINTS AT ALL
audio/RES0103.mp3[393.880,399.640]	NO THERE HASNT BEEN ANY CONCERNS I FEEL THAT SHES BEEN DEVELOPING NORMALLY
audio/RES0103.mp3[399.640,403.120]	OK IN OUR IMMUNIZATIONS UP TO DATE
audio/RES0103.mp3[403.120,405.680]	THEY ARE YEAH
audio/RES0103.mp3[405.680,413.640]	OK AND WERE THERE ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER OR AFTER THE PREGNANCY
audio/RES0103.mp3[413.640,429.040]	NO IT WAS A VAGINAL DELIVERY AT 38 WEEKS AND SHE WAS A NORMAL WEIGHT WE WERE ABLE TO GO HOME RIGHT AWAY WITH WITH NO COMPLICATIONS SO YEAH THINGS WERE GOOD
audio/RES0103.mp3[429.040,431.960]	OK AND CURRENTLY WHO DOES SHE LIVE WITH
audio/RES0103.mp3[431.960,436.320]	SO MYSELF AND MY AND MY HUSBAND
audio/RES0103.mp3[436.320,442.160]	OK AND DOES ANYONE SMOKE IN THE HOUSE
audio/RES0103.mp3[442.160,455.640]	UHM MY HUSBAND DOES SMOKE BUT UH I MEAN HE SMOKES OUTSIDE USUALLY AND AND HE SMOKES I DONT KNOW MAYBE A HALF A PACK A DAY
audio/RES0103.mp3[455.640,465.480]	AND I THINK THATS ALL ALL THE QUESTIONS I HAVE DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0103.mp3[465.480,467.320]	NOTHING ELSE RIGHT NOW
audio/RES0103.mp3[467.320,485.040]	OK SO YEAH BASED ON HER SYMPTOMS SHE DOES SEEM TO HAVE SOME JUST A COLD LIKE SYMPTOMS VIRAL SYMPTOMS AND ITS BEEN ITS BEEN YOU SAID THREE OR FOUR DAYS IN TOTAL RIGHT
audio/RES0103.mp3[485.040,486.600]	YEAH YEAH
audio/RES0103.mp3[486.600,542.720]	YEAH AND SO MOST LIKELY ITS JUST CAUSED BY A VIRAL INFECTION LIKE COMMON COLD PERHAPS IT SHE DOESNT HAVE ANY WORRYING SIGNS OF ANY SYSTEMIC THINGS GOING ON RIGHT NOW SO AND NO SIGNS OF LIKE A BACTERIAL INFECTION THAT I WOULD BE CONCERNED ABOUT THAT I WOULD GIVE ANTIBIOTICS FOR RIGHT NOW BUT DEFINITELY IF HER SYMPTOMS GET WORSE AT HOME AND IF SHE STARTS HAVING ANY KIND OF SHORTNESS OF BREATH INCREASED COUGHING WITH PRODUCING MORE YELLOW OR GREEN MATERIAL AND IF SHE GETS MORE FEVERISH SO WILL ALSO DO A PHYSICAL EXAM AND TAKE HER TEMPERATURE TODAY AS WELL BUT YEAH SOME OF THESE THINGS YOU JUST LOOK OUT FOR BUT YEAH SO THAT THAT WELL DO THE PHYSICAL EXAMINATION AND GO FROM THERE
audio/RES0103.mp3[542.720,544.440]	ALRIGHT THANK YOU
audio/RES0103.mp3[544.440,546.360]	HEY YOURE WELCOME TAKE CARE
audio/RES0203.mp3[0.000,3.440]	DO YOU WANT TO TELL ME WHAT BROUGHT YOU IN TODAY
audio/RES0203.mp3[3.440,25.720]	YEAH SO FOR THE PAST TWO DAYS I IVE IVE NOTICED THAT I CANT SMELL THINGS AS WELL AS I USED TO BE ABLE TO SMELL THEM AND I SEEM TO HAVE LOST MY SENSE OF TASTE AS WELL AND I HAVE THIS MILD DRY COUGH IM JUST WORRIED ITS COVID
audio/RES0203.mp3[25.720,29.200]	OK YOU SAID FOR A COUPLE DAYS
audio/RES0203.mp3[29.200,33.520]	YES FOR TWO DAYS
audio/RES0203.mp3[33.520,38.160]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0203.mp3[38.160,42.560]	NO NO NOTHING LIKE THIS
audio/RES0203.mp3[42.560,54.960]	OK WHEN YOU SAY YOU FEEL LIKE YOUVE LOST SENSE OF TASTE AND SMELL IS IT TOTALLY GONE OR DO YOU TASTE A LITTLE BIT OR HOW HOW IS THAT WORKING FOR YOU
audio/RES0203.mp3[54.960,76.800]	THE SMELL ISNT TOTALLY GONE I CAN STILL SMELL SOMETHING IF IT SMELLS REALLY REALLY BAD AND AND THEN AND THEN I CAN TASTE REALLY REALLY SALTY FOODS BUT I CAN TASTE NORMAL THINGS LIKE I CANT TASTE OF BANANA
audio/RES0203.mp3[76.800,82.160]	OK IS THAT BEEN PRETTY CONSISTENT THROUGHOUT THE LAST COUPLE OF DAYS OR IS IT ON AND OFF
audio/RES0203.mp3[82.160,85.600]	ITS BEEN PRETTY CONSISTENT YEAH
audio/RES0203.mp3[85.600,91.800]	OK AND DID THIS DRY COUGH THAT START AT THE SAME TIME
audio/RES0203.mp3[93.480,109.280]	AND WHEN YOU SAY SORRY YOU SAID MILD COUGH AND I MY NEXT QUESTION WAS DO YOU FEEL LIKE ITS A DRY COUGH OR YOU PRODUCING ANY SPUTUM ANY BLOOD OR IS IT TO NOT NOT BRINGING UP ANYTHING
audio/RES0203.mp3[109.280,111.440]	ITS DRY
audio/RES0203.mp3[111.440,117.120]	OK HAS THAT GOTTEN WORSE OVER THE LAST COUPLE OF DAYS
audio/RES0203.mp3[117.120,123.960]	THE DRY COUGH UM ITS BEEN PRETTY CONSISTENT AS WELL
audio/RES0203.mp3[123.960,132.360]	OK IS THERE HAVE YOU DONE ANYTHING TO TRY TO MAKE IT BETTER HAVE YOU TAKEN ANY OVER THE COUNTER MEDICATIONS OR
audio/RES0203.mp3[132.360,138.320]	NO I HAVENT TRIED ANYTHING
audio/RES0203.mp3[138.320,145.160]	OK OK HAVE YOU HAD IN ADDITION TO THESE SYMPTOMS HAVE YOU HAD ANY FEVERS
audio/RES0203.mp3[145.160,147.760]	FEVERS NO FEVERS
audio/RES0203.mp3[147.760,150.240]	OK ANY DIFFICULTY BREATHING
audio/RES0203.mp3[152.000,155.440]	OK ANY HEADACHES
audio/RES0203.mp3[155.440,158.280]	UM NO NO HEADACHES
audio/RES0203.mp3[158.280,161.120]	OK ANY SORE THROAT
audio/RES0203.mp3[162.920,165.960]	OK ANY CHILLS OR NIGHT SWEATS
audio/RES0203.mp3[167.840,173.080]	OK ANY MUSCLE ACHE OR GENERAL WEAKNESS
audio/RES0203.mp3[173.080,176.400]	UH NO
audio/RES0203.mp3[176.400,186.600]	OK SO GENERALLY IT SEEMS LIKE YOURE PRETTY WELL OTHER THAN THIS LOSS OF TASTE SLASH SMELL AND THE DRY COUGH THAT CORRECT
audio/RES0203.mp3[188.640,194.040]	OK AND THEN RECENTLY HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0203.mp3[194.040,199.320]	UM NO NOT THAT I CAN REMEMBER OR YEAH NOT THAT I CAN REMEMBER
audio/RES0203.mp3[199.320,202.040]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0203.mp3[202.040,221.400]	UM I WENT HIKING WITH MY PARTNER TWO WEEKS AGO I GUESS THERE WERE SOME PEOPLE WHO KIND OF BRUSHED BY US BUT OTHER THAN THAT I DONT SEE WHERE ELSE I COULD HAVE GOTTEN THIS FROM
audio/RES0203.mp3[221.400,225.320]	OK WAS THAT HIKING SOMEWHERE CLOSE BY
audio/RES0203.mp3[225.320,232.200]	YEAH IT WAS LIKE HALF AN HOUR FROM WHERE WE ARE
audio/RES0203.mp3[232.200,235.560]	OK ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0203.mp3[237.200,253.680]	OK AND CAN YOU THINK OF ANY FOR THIS DRY COUGH JUST A CIRCLE BACK TO THAT CAN YOU THINK OF ANYTHING THAT TRIGGERS IT ITS CALLED THE COLD OR BEING AROUND CERTAIN THINGS LIKE CATS OR DOGS OR ANY OTHER ENVIRONMENTAL THINGS
audio/RES0203.mp3[257.160,264.760]	OK HAVE YOU HAD ANY CHEST PAIN THATS THE OTHER THING  IM NOT SURE IF I ASKED YOU
audio/RES0203.mp3[264.760,268.560]	NO NO CHEST PAIN
audio/RES0203.mp3[268.560,277.880]	OK AND IN TERMS OF YOUR GENERAL HEALTH DO YOU DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU LIVE WITH
audio/RES0203.mp3[277.880,279.600]	UM NO NO
audio/RES0203.mp3[279.600,284.640]	DO YOU TAKE ANY MEDICATIONS
audio/RES0203.mp3[286.320,293.200]	OK HAVE YOU EVER HAD ANY SURGERY OR BEEN HOSPITALIZED FOR ANOTHER REASON
audio/RES0203.mp3[293.200,293.640]	UM NO
audio/RES0203.mp3[293.640,296.280]	DO YOU HAVE ANY ALLERGIES
audio/RES0203.mp3[296.280,299.040]	NO ALLERGIES
audio/RES0203.mp3[299.040,305.560]	DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS CANCERS OR HEART PROBLEMS
audio/RES0203.mp3[305.560,308.520]	NO NOTHING LIKE THAT
audio/RES0203.mp3[308.520,317.080]	OK AND JUST IN TERMS OF FREE LIFESTYLE SO DO YOU LIVE WITH FAMILY
audio/RES0203.mp3[317.080,317.880]	UM NO
audio/RES0203.mp3[317.880,324.600]	OK DO YOU READ ALONG WITH A PARTNER OR ROOMMATE
audio/RES0203.mp3[324.600,332.400]	I LIVE WITH MY PARENTS AND MY YOUNGER SIBLING
audio/RES0203.mp3[332.400,338.040]	OK AND IS THAT IN TOWN HERE
audio/RES0203.mp3[338.040,338.880]	YES YEAH
audio/RES0203.mp3[338.880,347.960]	OK AND IN GENERAL DO YOU EAT A HEALTHY DIET DO YOU EXERCISE
audio/RES0203.mp3[347.960,352.760]	YEAH I THINK SO
audio/RES0203.mp3[352.760,355.240]	DO YOU SMOKE
audio/RES0203.mp3[355.240,357.000]	UH NO
audio/RES0203.mp3[357.000,360.360]	OK DO YOU DRINK ALCOHOL
audio/RES0203.mp3[360.360,372.200]	UH I I HAVE DRANK ALCOHOL BEFORE BUT NOT NOT REGULARLY
audio/RES0203.mp3[372.200,375.040]	OK UM AND I DO USE MARIJUANA
audio/RES0203.mp3[375.040,381.000]	UM I HAVE TAKEN EDIBLES BEFORE BUT ALSO NOT VERY REGULARLY
audio/RES0203.mp3[381.000,383.160]	OK ANY OTHER DRUGS
audio/RES0203.mp3[387.120,391.880]	OK AND ARE YOU CURRENTLY IN HIGH SCHOOL
audio/RES0203.mp3[391.880,396.560]	UH YES I AM IN MY LAST YEAR OF HIGH SCHOOL
audio/RES0203.mp3[396.560,397.960]	OK AND HOW IS THAT GOING
audio/RES0203.mp3[397.960,405.000]	PRETTY GOOD YEAH WERE DOING THINGS ONLINE NOW
audio/RES0203.mp3[405.000,409.920]	SO YOU HAVENT REALLY BEEN OUT OF THE HOUSE
audio/RES0203.mp3[414.400,442.960]	OK OK UHM I THINK THATS ALL MY QUESTIONS FOR NOW UH I DEFINITELY LIKE TO GET YOU A COVID TEST JUST BECAUSE YOUR SYMPTOMS ARE CONSISTENT WITH SOME COMMON COVID SYMPTOMS SO BASICALLY THAT MEANS THAT WE WOULD DO A SWAB IT MIGHT NOT COME BACK FOR A DAY OR TWO YOU DEFINITELY HAVE TO SELF ISOLATE BETWEEN NOW AND WHEN YOU GET THE RESULTS BACK POTENTIALLY EVEN IF ITS NEGATIVE LONGER IF YOURE STILL HAVING SYMPTOMS
audio/RES0203.mp3[443.400,467.160]	OTHERWISE THERE PROBABLY THERE MIGHT BE A COUPLE OTHER TESTS WE WANT TO DO WE MIGHT HAVE MORE QUESTIONS WHEN WE COME BACK WELL GO OVER THIS WITH THE DOCTOR THAT IM WORKING WITH TODAY BUT JUST WANTED TO GIVE YOU A HEADS UP OF WHAT TO EXPECT NEXT DID YOU HAVE ANYTHING ELSE YOU WANTED TO TELL ME THAT I DIDNT ASK YOU ABOUT OR ANY QUESTIONS
audio/RES0203.mp3[467.160,470.000]	NO UH THANK YOU SO MUCH
audio/RES0203.mp3[470.000,473.440]	OK WELL THANKS FOR COMING IN TODAY WILL DEFINITELY GET YOU TAKEN CARE OF SHORTLY
audio/RES0203.mp3[473.440,475.000]	THANK YOU
audio/RES0203.mp3[475.000,477.000]	K THANKS
audio/DER0001.mp3[0.000,14.400]	HEY DOC IM A 45 YEAR OLD MAN COMING IN IM WORRIED THERES A LITTLE OLD RASH ON MY LEG THAT IM GETTING NERVOUS ABOUT
audio/DER0001.mp3[14.400,18.800]	HI SO YOU I UNDERSTAND YOU HAVE A RASH ON YOUR LEG
audio/DER0001.mp3[18.800,27.600]	I DONT REALLY KNOW WHAT I WOULD CALL IT THATS WHAT I TOLD THE NURSE WHEN I CAME IN BUT IT MORE HURTS THAN ANYTHING
audio/DER0001.mp3[27.600,31.200]	OK UH HOW LONG IS THIS BEEN GOING ON FOR
audio/DER0001.mp3[31.200,44.920]	AH ITS BEEN ITS BEEN LOOKING WEIRD FOR ABOUT A WEEK BUT ONLY YES IT STARTED HURTING YESTERDAY AND STARTED LOOKING STRANGE AND I JUST WANTED TO COME IN TO GET IT CHECKED OUT
audio/DER0001.mp3[44.920,49.240]	OK WHEN YOU SAY ITS LOOKING STRANGE CAN YOU TELL ME WHAT YOU MEAN BY THAT
audio/DER0001.mp3[49.240,56.280]	SWOLLEN IT LOOKS BIGGER THAN IT DID BEFORE AND MEANER IF THAT MAKES SENSE
audio/DER0001.mp3[56.280,59.560]	SWOLLEN OK IS IT RED
audio/DER0001.mp3[59.560,77.480]	YEAH ITS RED ITS TURNING MORE RED KIND OF IN THE AREA AROUND IT IVE GOT THESE I GOT THESE SCABS IVE GOT DIABETES AND IM NOT EXACTLY THE BEST WITH IT AND SCRATCHING AT IT AND NORMALLY ITS NOT THAT BAD BUT THIS IS JUST STRANGE LOOKING AND THERES NO OTHER WORD FOR IT
audio/DER0001.mp3[77.480,85.920]	OK HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE I GUESS YOU KINDA JUST SAID THAT YOU DIDNT BUT ILL JUST DOUBLE CHECK
audio/DER0001.mp3[85.920,105.240]	NO NO WELL IVE HAD  I HAVE OCCASIONAL ULCERS AND SOMETIMES I HAVE BANGED MY TOE WHEN IM NOT EXACTLY THE BEST TAKING CARE OF MY FEET BUT THIS IS THE FIRST TIME IVE GOTTEN SOMETHING THAT I DONT KNOW IVE JUST NEVER SEEN IT BEFORE
audio/DER0001.mp3[105.240,107.320]	DO YOU HAVE ANY ULCERS RIGHT NOW
audio/DER0001.mp3[107.320,116.160]	LET ME SEE I THINK SO WHENS THE LAST TIME I SAW THE FAMILY DOC I THINK IVE GOT AN ULCER ON MY LEFT HEEL BUT I THINK ITS DOING ALRIGHT
audio/DER0001.mp3[116.160,119.280]	OK AND WHAT LEG ARE YOU HAVING THIS PROBLEM WITH
audio/DER0001.mp3[119.280,124.880]	RIGHT NOW ITS ON MY RIGHT SO MY ANKLE
audio/DER0001.mp3[124.880,128.520]	OK HOW HAVE YOUR SUGARS BEEN CONTROLLED RECENTLY
audio/DER0001.mp3[128.520,145.360]	I STOPPED MEASURING THEM YEAH LAST TIME I MEASURED IT WAS PRETTY BAD I THINK MY A1C LAST TIME WAS LIKE 9 SOMETHING IM TRYING IM TRYING BETTER TO BE WITH IT ITS HARD WITH WORK YOU KNOW
audio/DER0001.mp3[145.360,157.480]	FOR SURE I CAN IMAGINE SO IN GENERAL EVEN IF YOU DONT KNOW YOUR NUMBERS FOR YOUR SUGARS HAVE YOU FELT WORSE THAN USUAL LATELY HAVE YOU FELT RUNDOWN AT ALL
audio/DER0001.mp3[157.480,176.920]	YEAH ACTUALLY I HAVE GAINED MORE FEEL HUNGRY SOMETIMES JUST TIRED BUT ITS HARD TO TELL THERES AN AWFUL LOT GOING ON IN MY LIFE RIGHT NOW WITH THE KIDS BUT ITS HARD TO TELL I THINK YEAH I NEED TO SEE MY FAMILY DOC
audio/DER0001.mp3[176.920,197.400]	OK DEFINITELY YOU KNOW A GOOD A GOOD IDEA MOVING FORWARD JUST TO MAKE SURE YOU GET ON TOP OF THESE THINGS BUT IM GLAD YOU CAME IN TODAY SO WE CAN YOU KNOW HAVE A BETTER LOOK AT YOU AND MAKE SURE THAT THERES NOTHING SUPER CONCERNING GOING ON SO IN ADDITION TO THIS HAVE YOU HAD ANY OTHER NEW SYMPTOMS
audio/DER0001.mp3[197.400,213.120]	SYMPTOMS UM I FEEL A LITTLE HOT ACTUALLY WHEN THE SWELLING STARTED ITS IT ALSO STARTED LEAKING THIS LIKE WHITE STUFF FROM ONE OF THE ONE OF WHAT USED TO BE A SCAB SO NOW LIKE KIND OF AN OPEN WOUND NOW
audio/DER0001.mp3[213.120,217.840]	OK OK SO WHEN DID YOU START FEELING HOT
audio/DER0001.mp3[217.840,220.760]	HONESTLY LAST 12 HOURS
audio/DER0001.mp3[220.760,222.920]	OK YOU TAKE YOUR TEMPERATURE AT ALL
audio/DER0001.mp3[222.920,227.040]	NO I DONT HAVE A THERMOMETER AT HOME
audio/DER0001.mp3[227.040,230.120]	HAVE YOU HAD ANY DIFFICULTY BREATHING
audio/DER0001.mp3[230.120,232.840]	NO NO
audio/DER0001.mp3[232.840,234.800]	ANY CHEST PAIN
audio/DER0001.mp3[237.280,245.120]	HAVE YOU NOTICED THAT YOUR LEFT SORRY YOUR RIGHT LEG FEELS ANY HOTTER THAN THE LEFT
audio/DER0001.mp3[245.120,249.680]	YEAH YEAH IT DOES ACTUALLY CHANGING SOCKS THE OTHER DAY YEAH
audio/DER0001.mp3[249.680,261.800]	RIGHT SAY HAVE YOU ALONE HAVE YOU FELT ILL RECENTLY HAVE YOU BEEN SICK AT ALL
audio/DER0001.mp3[261.800,275.480]	ASIDE FROM JUST FEELING OVERALL CRUMMY LAST COUPLE WEEKS NO DONT REALLY LESS ENERGY TODAY BUT I WAS UP LAST NIGHT THINKING ABOUT THIS AND YEAH WANTED TO COME IN AND TALK
audio/DER0001.mp3[275.480,284.080]	OK YEAH YOU DID THE RIGHT THING IM GLAD THAT YOURE IN TODAY IS THE PAIN ON YOUR LEGS WORSE WHEN YOU TOUCH IT
audio/DER0001.mp3[284.080,293.560]	YEAH MAYBE NOT SO MUCH WHEN I TOUCH IT WHEN I WALK WITH IT AND I START FLEXING IT IT IT DOESNT LIKE THAT
audio/DER0001.mp3[293.560,296.280]	OK UHM
audio/DER0001.mp3[296.280,299.880]	JUST RESTING IT RIGHT NOW IT FEELS FINE
audio/DER0001.mp3[299.880,320.880]	ITS OK OK OK WELL IM GOING TO IF I THINK OF ANY MORE QUESTIONS SPECIFICALLY ABOUT YOUR LEG I WILL ILL GO BACK TO IT BUT IM GOING TO JUST MOVE ON AND ASK YOU QUESTIONS ABOUT YOUR OVERALL HEALTH YOUVE ALREADY SHARED WITH ME THAT YOU YOU ARE DIABETIC DO YOU HAVE ANY OTHER CHRONIC CONDITIONS THAT YOU LIVE WITH
audio/DER0001.mp3[320.880,345.480]	CHRONIC CONDITION I SEE THE FAMILY DOC ABOUT CHOLESTEROL IM ON A PILL FOR THAT UHM I HAD ASTHMA AS A KID NOT TOO MUCH OF AN ISSUE NOW AND MY BACK IVE HAD BACK PAIN FOR THE LAST 10 YEARS BUT ALL I REALLY TAKE FOR IT IS TYLENOL ADVIL FOR THAT
audio/DER0001.mp3[345.480,353.400]	OK OH MY OTHER QUESTION ABOUT YOUR LEG WAS HAVE YOU LOST ANY FEELING IN IT
audio/DER0001.mp3[353.400,373.080]	IT KIND OF IS LIKE A DULL ACHE SOMETIMES WHEN I TOUCH IT BUT NO LIKE  IN THE AREA THE ANKLE NO BUT DEFINITELY ON MY FEET LIKE OVER THE YEARS IVE NOTICED I FEEL LESS ON IT COMPARED TO WHAT I DID PREVIOUSLY YEAH
audio/DER0001.mp3[373.080,389.280]	OK SO SORRY I KIND OF SIDETRACKED THERE SO WE TALKED ABOUT YOUR DIABETES YOU SAID YOU HAVE HIGH CHOLESTEROL SO WHAT MEDICATIONS ARE YOU CURRENTLY TAKING
audio/DER0001.mp3[389.280,413.600]	IM TAKING 4 PILLS RIGHT NOW ONE OF THEM IS FOR THE CHOLESTEROL I THINK ITS CALLED ROSUVASTATIN THE OTHER THREE THEYRE ALL DIABETES MEDICATIONS BUT I DONT REMEMBER METFORMIN IS ONE OF THEM SIDASSOMETHING I HAVE A LIST SOMEWHERE ILL GIVE IT TO YOU LATER
audio/DER0001.mp3[413.600,419.080]	OK ARE YOU ON INSULIN RIGHT NOW
audio/DER0001.mp3[420.320,424.480]	ARE YOU ON ANY OR ANY OF THESE MEDICATIONS NEW TO YOU RECENTLY
audio/DER0001.mp3[424.480,428.920]	NO NO BUT HAD THEM FOR ABOUT A YEAR NOW
audio/DER0001.mp3[428.920,433.120]	DO YOU HAVE ANY ALLERGIES
audio/DER0001.mp3[433.120,437.040]	UM YEAH I DO ACTUALLY PENICILLIN CANT TAKE THAT
audio/DER0001.mp3[437.040,439.080]	AND WHAT HAPPENS WHEN YOU TAKE PENICILLIN
audio/DER0001.mp3[439.080,448.960]	ITS BEEN A WHILE AS A KID APPARENTLY LIKE MY FACE GOT BLOATED AND I WAS HAVING A HARD TIME BREATHING SO
audio/DER0001.mp3[448.960,460.000]	WELL WE WILL MAKE SURE THAT WE DONT GIVE YOU THAT CAN YOU TELL ME IF YOUVE HAD ANY PREVIOUS SURGERY
audio/DER0001.mp3[460.000,480.240]	OH YEAH UH WHAT WAS IT I HAD MY SINUSES HAD SOME PRETTY BAD SINUSITIS WHEN I WAS IN MY TEENS AND THEY WENT IN AND KIND OF CARVED A LITTLE SPACE OUT
audio/DER0001.mp3[480.240,485.640]	OK OK IS THAT THE ONLY SURGERY THAT YOU HAD
audio/DER0001.mp3[486.920,495.880]	AND CAN YOU TELL ME DO YOU HAVE ANY FAMILY HISTORY OF DIABETES SKIN PROBLEMS ANYTHING ELSE THAT STANDS OUT TO YOU
audio/DER0001.mp3[495.880,517.280]	YEP MOMS SIDE OF THE FAMILY VERY MUCH EVERYONE HAS DIABETES HIGH BLOOD PRESSURE CHOLESTEROL DADS SIDE OF THE THE FAMILY IS PRETTY HEALTHY I THINK MAYBE ONE OF MY AUNTS HAD LUNG CANCER BUT SHES A PRETTY BIG SMOKER TOO
audio/DER0001.mp3[517.280,525.160]	AND THEN JUST ASK YOU A FEW QUESTIONS ABOUT YOUR LIFESTYLE SO YOU SAID THAT YOU HAVE CHILDREN
audio/DER0001.mp3[525.160,525.920]	YEAH I DO
audio/DER0001.mp3[525.920,531.360]	DO YOU LIVE IN TOWN DO YOU LIVE WITH YOUR KIDS
audio/DER0001.mp3[531.360,536.840]	I LIVE IN TOWN I SEE MY KIDS EVERY TWO WEEKS
audio/DER0001.mp3[536.840,541.880]	AND UH WHAT DO YOU DO FOR WORK DID I ALREADY ASK YOU THIS
audio/DER0001.mp3[541.880,550.280]	NO IM CURRENTLY UNEMPLOYED AND LOOKING FOR WORK PARTIALLY EMPLOYED I SUPPOSE WE SHOULD SAY I HAVE MY OWN BUSINESS
audio/DER0001.mp3[550.280,555.520]	I SEE AND WHAT DO YOU WHAT DO YOU DO WHEN WHEN YOU ARE WORKING IDEALLY
audio/DER0001.mp3[555.520,559.720]	WHEN I AM WORKING IM AN ACCOUNTANT
audio/DER0001.mp3[559.720,566.840]	OK WELL AND DO YOU SMOKE
audio/DER0001.mp3[566.840,569.760]	YEAH ONCE IN A WHILE YEAH WHEN IM STRESSED
audio/DER0001.mp3[569.760,573.400]	HOW MUCH DO YOU SMOKE ON AVERAGE
audio/DER0001.mp3[573.400,579.120]	LAST COUPLE OF WEEKS IVE BEEN SMOKING MORE MAYBE LIKE 2 PACKS A WEEK
audio/DER0001.mp3[579.120,581.160]	OK DO YOU DRINK ALCOHOL
audio/DER0001.mp3[581.160,581.600]	YEAH YEAH
audio/DER0001.mp3[581.600,585.240]	HOW MUCH DO YOU TYPICALLY DRINK
audio/DER0001.mp3[585.240,590.240]	AVERAGE WEEK MAYBE A 2 4
audio/DER0001.mp3[590.240,595.080]	SO MAYBE LIKE 3 PER DAY OR SOMETHING LIKE THAT IF YOU WERE TO AVERAGE IT OUT
audio/DER0001.mp3[595.080,599.920]	YEAH IF YOU AVERAGE OUT I MAINLY GO THROUGH THE TWO FOUR IN A WEEKEND TO BE HONEST
audio/DER0001.mp3[599.920,607.520]	OH I SEE OK MORE SO ON THE WEEKEND SO MAYBE A LITTLE BIT MORE THAN THREE PER DAY ON THOSE DAYS
audio/DER0001.mp3[607.800,624.320]	OK SO THAT THAT THATS EVERYTHING THAT I NEED TO ASK YOU FOR NOW ID LIKE TO GET A CLOSER LOOK AT THIS LEG DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS BEFORE WE MOVE FORWARD TO THE PHYSICAL EXAM
audio/DER0001.mp3[624.320,626.480]	NO I JUST WANT TO GET THIS FIGURED OUT
audio/DER0001.mp3[626.480,639.400]	OK YEAH WE WILL DEFINITELY DO THAT FOR YOU SO YEAH IM GOING TO HAVE A LOOK AT IT AND THEN AFTER THAT I WILL GO TALK TO THE DOCTOR THAT IM WORKING WITH AND WELL SEE WHAT WE CAN DO FOR YOU THAT SOUNDS GOOD
audio/DER0001.mp3[639.400,641.040]	THANK YOU DOC YEAH SOUNDS GREAT
audio/DER0001.mp3[641.040,645.880]	AWESOME OK THANKS
audio/RES0042.mp3[0.000,2.960]	WHAT BRINGS YOU IN TODAY
audio/RES0042.mp3[2.960,50.200]	SO JUST FOR THE PAST LIKE 3 DAYS IVE BEEN COUGHING ITS I I DONT FEEL PARTICULARLY SICK IM JUST KIND OF DRY LIKE ANNOYING CALL THAT WONT GO AWAY AND THEN TODAY I TOOK MY TEMP IN IT ITS PRETTY HIGH IT WAS LIKE 99 POINT LIKE 9 I DIDNT REALLY TAKE IT THE OTHER DAYS SO I GUESS SO I JUST THOUGHT ID BETTER COME GET IT CHECKED OUT BECAUSE I I AM ON LIKE A BIOLOGIC MEDICATION SO FOR MY CROHNS DISEASE
audio/RES0042.mp3[50.200,63.600]	OK YEAH YEAH THANK YOU FOR COMING IN I THINK ITS GOOD THAT YOU ARE GETTING THIS CHECKED OUT AS EARLY AS POSSIBLE SO JUST TO REWIND A LITTLE BIT WHEN DID YOUR DRY COUGH START
audio/RES0042.mp3[63.600,65.560]	UH LIKE 3 DAYS AGO THREE DAYS AGO
audio/RES0042.mp3[65.560,70.040]	3 DAYS AGO OK AND WHEN DID YOUR FEVER START
audio/RES0042.mp3[70.040,78.280]	SO I DIDNT TAKE MY TEMP BUT LIKE THE OTHER DAYS BUT LIKE FOR SURE THIS MORNING
audio/RES0042.mp3[78.280,88.440]	OK UM OK SO THE COUGH IS IT ALWAYS A DRY COUGH OR DO YOU SOMETIMES BRING UP SPUTUM OR BLOOD
audio/RES0042.mp3[88.440,94.280]	YEAH ITS ALWAYS A DRY COUGH ITS REALLY JUST ANNOYING
audio/RES0042.mp3[94.280,100.200]	YEAH YEAH DO YOU FEEL WHEEZY AT ALL
audio/RES0042.mp3[100.200,102.520]	UH NO
audio/RES0042.mp3[102.520,109.400]	NO WHEEZINESS OK HOW ABOUT SHORT OF BREATH
audio/RES0042.mp3[112.640,118.720]	NO OK UHM ANY CHEST PAIN
audio/RES0042.mp3[119.760,125.040]	NO DO YOU EVER FEEL LIKE YOUR HEART IS RACING
audio/RES0042.mp3[125.040,128.200]	NO I CANT SAY THAT I DO
audio/RES0042.mp3[128.200,133.160]	OK ANY SWELLING IN YOUR LIMBS
audio/RES0042.mp3[133.160,138.520]	UM NO
audio/RES0042.mp3[138.520,146.600]	OK HOW ABOUT UM UM A SORE THROAT
audio/RES0042.mp3[148.080,155.240]	NO SORE THROAT OK ANY ISSUES WITH TASTE OR SMELL
audio/RES0042.mp3[156.840,161.720]	DO YOU HAVE A RUNNY NOSE OR A STUFFY NOSE
audio/RES0042.mp3[161.720,164.320]	MAYBE A BIT OF A RUNNY NOSE
audio/RES0042.mp3[164.320,170.920]	OK AND ANY ISSUES WITH VISION OR HEARING
audio/RES0042.mp3[170.920,175.080]	AH NO
audio/RES0042.mp3[175.080,182.000]	OK HOW ABOUT UH FEVERS OR CHILLS
audio/RES0042.mp3[182.000,189.560]	NO NO FEVER I MEAN I I TOOK MY TEMP WAS HIGH I GUESS I FELT HOT BUT I DIDNT THERE WERE NO CHILLS
audio/RES0042.mp3[189.560,197.480]	OK OK HOW ABOUT WEIGHT LOSS OH THATS OK HOW ABOUT WEIGHT LOSS
audio/RES0042.mp3[197.480,202.880]	WEIGHT LOSS NO NO NOTHING NOTHING NEW
audio/RES0042.mp3[202.880,215.920]	OK ANY CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0042.mp3[217.600,222.320]	OK UM ANY ISSUES SWALLOWING FOOD
audio/RES0042.mp3[223.440,228.080]	NAUSEA OR VOMITING
audio/RES0042.mp3[229.880,234.040]	UM CHANGES IN YOUR BOWEL HABITS
audio/RES0042.mp3[234.040,246.880]	WELL LIKE I SAID I HAVE CROHNS DISEASE IM NOT LIKE IN A FLARE RIGHT NOW OR ANYTHING SO ILL SAY NO BUT LIKE MY BASELINE IS NOT LIKE TOTALLY NORMAL
audio/RES0042.mp3[246.880,260.400]	OK YEAH THAT MAKES SENSE UMM ALRIGHT DO ANY CHANGES IN YOUR URINE
audio/RES0042.mp3[261.360,262.720]	NO CHANGES IN URINE
audio/RES0042.mp3[262.720,270.520]	HOW ABOUT DIZZINESS OR FAINTING SPELLS
audio/RES0042.mp3[272.200,276.160]	ANY CONFUSION OR MEMORY LOSS
audio/RES0042.mp3[277.560,289.040]	OK AND ARE YOU OTHERWISE HEALTHY I KNOW YOU MENTIONED YOU HAVE CROHNS DISEASE DO YOU HAVE ANY OTHER LONGSTANDING MEDICAL CONDITIONS
audio/RES0042.mp3[289.040,293.600]	OH NOT REALLY JUST THAT AND UH ECZEMA
audio/RES0042.mp3[293.600,294.880]	ECZEMA OK
audio/RES0042.mp3[294.880,308.200]	TENDS TO GET PRETTY BAD LIKE I DONT REALLY HAVE ANY RIGHT NOW BUT I REALLY STAY ON TOP OF IT WITH LIKE MY MOISTURIZERS AND LIKE I ALWAYS HAVE LIKE A HYDROCORTISONE CREAM ON HAND JUST IN CASE
audio/RES0042.mp3[308.200,313.520]	YEAH FOR SURE HOW LONG HAVE YOU HAD ECZEMA FOR
audio/RES0042.mp3[313.520,328.800]	OH LIKE WHEN I WAS STARTED WHEN I WAS LIKE A KID AND THEN I FEEL LIKE WHEN I WAS A TEENAGER I DIDNT REALLY AND THEN PART OF IT AS AN ADULT I REALLY HAVE TO TAKE CARE OF IT OR ELSE IT GETS BAD
audio/RES0042.mp3[328.800,336.760]	OK OK UM HAVE YOU EVER BEEN HOSPITALIZED OR HAVE YOU HAD ANY SURGERIES IN THE PAST
audio/RES0042.mp3[336.760,361.080]	UH LIKE WHEN I WAS FIRST DIAGNOSED WITH CROHNS MAYBE 20 YEARS AGO WHEN I WAS LIKE 20 I WAS IN THE HOSPITAL FOR A LITTLE BIT CAUSE I WAS REALLY DEHYDRATED AND I COULDNT REALLY LIKE I JUST COULDNT I WASNT FEELING WELL AT THAT TIME BUT SINCE THEN IVE BEEN PRETTY ON TOP OF IT
audio/RES0042.mp3[361.080,370.400]	OK THATS GOOD TO HEAR YOU MENTIONED YOURE ON BIOLOGICS FOR CROHNS DISEASE ARE THERE ANY OTHER MEDICATIONS THAT YOURE ON
audio/RES0042.mp3[370.400,382.080]	UM JUST LIKE THE HYDROCORTISONE CREAM ON OCCASION
audio/RES0042.mp3[382.080,390.040]	RIGHT OK UM OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0042.mp3[390.040,404.280]	AH LIKE I HAVE SOME SEASONAL ALLERGIES LIKE AH ITS RAGWEED WHICH IS NOT LIKE RIGHT NOW IS NOT THE TIME FOR IT AND LIKE CATS AND DOGS
audio/RES0042.mp3[404.280,405.760]	OK OK
audio/RES0042.mp3[405.760,412.120]	ITS JUST LIKE THIS ENVIRONMENTAL ITS NOT LIKE NOT LIKE THE REALLY DANGEROUS ALLERGIES YOU KNOW
audio/RES0042.mp3[412.120,422.600]	RIGHT OK UM HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
audio/RES0042.mp3[422.600,425.640]	I THINK SO
audio/RES0042.mp3[425.640,433.200]	ALRIGHT AND IN TERMS OF FAMILY HISTORY ARE THERE ANY LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0042.mp3[433.200,445.800]	OH LIKE MY DAD HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT I DONT THINK THERE IS ANYTHING THAT STOOD OUT
audio/RES0042.mp3[445.800,453.000]	OK AND HOW ABOUT YOUR SMOKING HISTORY DO YOU SMOKE AT ALL
audio/RES0042.mp3[453.000,461.720]	UM LIKE I DID FOR A COUPLE YEARS WHEN I WAS LIKE 18 AND THEN I HAVENT EVER SINCE
audio/RES0042.mp3[461.720,465.880]	OK HOW ABOUT MARIJUANA
audio/RES0042.mp3[465.880,468.200]	UH NO
audio/RES0042.mp3[468.200,477.800]	NO MARIJUANA OK UM HOW ABOUT OTHER RECREATIONAL DRUGS
audio/RES0042.mp3[477.800,479.200]	UH NO
audio/RES0042.mp3[479.200,484.400]	NO OK UHM ALCOHOL
audio/RES0042.mp3[484.400,492.560]	AH I LIKE I MIGHT HAVE LIKE A COUPLE BEERS ON THE WEEKEND BUT NOT A LOT
audio/RES0042.mp3[492.560,499.080]	SURE UM AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0042.mp3[499.080,516.000]	SO I LIVE IN A TOWNHOUSE IN LONDON HERE I LIVE ALONE BUT MY I HAVE MY KIDS EVERY I HAVE MY KIDS LIKE WEDNESDAYS AND THURSDAYS AND THEN EVERY OTHER WEEKEND
audio/RES0042.mp3[516.000,523.240]	OK ANY CONCERNS FOR OLD CARPETS MOLD ASBESTOS ANYTHING LIKE THAT IN THE HOME
audio/RES0042.mp3[523.240,526.240]	NO ITS LIKE A PRETTY NEW BUILD
audio/RES0042.mp3[526.240,535.160]	OK AND HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY
audio/RES0042.mp3[535.160,554.120]	AH I MEAN MY KIDS JUST LEFT THIS WEEKEND UHM THERES REALLY ONLY PEOPLE IVE BEEN AROUND I CAN I MAYBE I SHOULD HAVE ASKED HIM BEFORE COMING HERE IF THEY LIKE KNEW THEY HAD SEEN ANYONE BUT THEY WERE FINE OVER THE WEEKEND
audio/RES0042.mp3[554.120,560.560]	OK UM AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY
audio/RES0042.mp3[561.160,571.840]	NO OK THOSE WERE ALL THE QUESTIONS THAT I HAD TODAY WERE THERE WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD ANYTHING THAT I MISSED PERHAPS
audio/RES0042.mp3[571.840,575.120]	I DONT THINK SO I THINK THATS IT
audio/RES0042.mp3[575.840,589.280]	YOU KNOW I HOPE I HOPE I JUST WANTED TO COME IN IN CASE IT WAS SOMETHING BAD BECAUSE I YOU KNOW I HAVE THOSE OTHER HEALTH PROBLEMS I JUST WANT TO MAKE SURE YEAH
audio/RES0042.mp3[589.280,626.480]	YEAH YEAH FOR SURE AND I THINK ITS A GOOD THING THAT YOU CAME IN SO THANK YOU RIGHT NOW I GUESS TOP ON THE LIST OF THINGS THAT YOU COULD POSSIBLY HAVE IS COVISO WELL GET YOU TESTED FOR THAT AND WELL GET YOU A SWAB AND YOU SHOULD HAVE THE RESULTS OF THE THAT SWAB IN ABOUT 24 TO 48 HOURS AND THEN YOU SHOULD ISOLATE FOR 14 DAYS REGARDLESS THOUGH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH SYMPTOMS OF COVIAND AND THAT INCLUDES ISOLATING FROM YOUR YOUR CHILDREN AS WELL
audio/RES0042.mp3[626.480,629.320]	OH OK
audio/RES0042.mp3[629.320,667.280]	AND YEAH AND IF ITS NOT COVIIT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AT THIS TIME OF YEAR JUST SO JUST MAKE SURE YOURE STAYING HYDRATED YOURE EATING NUTRITIOUS FOODS AND GETTING GOOD SLEEP IF YOUR SYMPTOMS DO BECOME WORSE AND IF THEY BECOME UHM SEVERE LIKE YOU HAVE A REALLY HIGH TEMPERATURE YOU HAVE TROUBLE BREATHING OR YOU HAVE ANY NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR FAINTING SPELLS PLEASE DO GO TO THE ER AND SEEK HELP HOW DOES THAT SOUND
audio/RES0042.mp3[667.280,671.120]	AH YEAH I GUESS THAT SOUNDS GOOD THIS IS HOW ITS GOTTA BE RIGHT
audio/RES0042.mp3[671.120,674.600]	YEAH UNFORTUNATELY OR YEAH WELL THANK YOU AGAIN
audio/RES0042.mp3[674.600,677.360]	NO THANK YOU HAVE A GOOD DAY
audio/RES0042.mp3[677.360,685.240]	YOU TOO
audio/MSK0046.mp3[0.000,2.280]	WHAT BRINGS YOU HERE TODAY
audio/MSK0046.mp3[2.280,25.000]	UM IM HERE BECAUSE MY LEFT HAND KIND OF JUST LIKE AT THE BASE OF MY THUMB HAS BEEN HURTING FOR THE PAST TWO DAYS AND IT SEEMS TO BE GETTING WORSE UM AND IM LEFT HANDED SO ITS REALLY HARD FOR ME TO WRITE OR DO ANYTHING UM WHERE I HAVE TO LIKE CLENCH OR GRIP THINGS
audio/MSK0046.mp3[25.000,29.160]	OK AND HOW LONG HAS THIS BEEN GOING ON FOR
audio/MSK0046.mp3[29.160,37.000]	UHM SO FOR THE PAST TWO DAYS BUT ITS GOT IT GOT BAD YESTERDAY
audio/MSK0046.mp3[37.000,46.000]	OK AND HAVE YOU HAD ANY UH IF YOU WERE TO DESCRIBE THE PAIN WHERE IS IT LOCATED EXACTLY
audio/MSK0046.mp3[46.000,53.040]	ITS JUST AT THE BASE OF MY THUMB UH YOU KNOW WHERE THE FLESHY PART OF YOUR HAND IS
audio/MSK0046.mp3[53.040,54.520]	OK YEAH YEAH
audio/MSK0046.mp3[54.520,58.920]	YEAH SO JUST JUST OVER THERE
audio/MSK0046.mp3[58.920,68.120]	OK AND WHAT KIND OF PAIN IS IT IS IT SHARP OR IS IT ACHING
audio/MSK0046.mp3[68.120,84.840]	UHM ITS ITS LIKE A UM AT BASELINE ITS AN ACHY PAIN BUT IF I TRY TO MOVE IT OR UM TRY TO WRITE OR YOU KNOW USE A COMPUTER OR ANYTHING LIKE THAT IT BECOMES SHARP
audio/MSK0046.mp3[84.840,92.560]	OK UM AND ON A SCALE OF UH ZERO TO 10 10 BEING THE WORST PAIN YOUVE FELT IN YOUR LIFE HOW MUCH WOULD YOU RATE IT
audio/MSK0046.mp3[92.560,95.960]	ID SAY LIKE A 6
audio/MSK0046.mp3[95.960,104.400]	OK AND DOES THIS PAIN MOVE ANYWHERE ELSE IN YOUR HAND OR DOES IT JUST STAY WHERE YOU DESCRIBED
audio/MSK0046.mp3[104.400,107.920]	UM IT JUST STAYS THERE
audio/MSK0046.mp3[107.920,113.720]	OK AND WHAT KIND OF MOTIONS UH CAUSE THE MOST PAIN
audio/MSK0046.mp3[113.720,132.560]	ID SAY LIKE UM YOU KNOW TRYING TO TOUCH MY PINKY WITH MY THUMB THAT THAT HURTS UM JUST LIKE TRYING TO ROTATE IT HURTS
audio/MSK0046.mp3[132.560,136.920]	OK UM HAVE YOU TRIED ANYTHING FOR THE PAIN THAT HAS HELPED
audio/MSK0046.mp3[136.920,146.840]	UHM NO I HAVENT REALLY TRIED TOO MUCH IVE JUST I JUST TRIED NOT TO USE IT AS MUCH
audio/MSK0046.mp3[146.840,161.400]	I SEE OK AND UM HAS THIS EVER LIKE HAVE YOU EVER HAD ANY INJURIES TO THIS HAND ANY TRAUMA EITHER RECENTLY OR IN THE PAST
audio/MSK0046.mp3[161.400,166.240]	NO NO NOTHING LIKE THAT
audio/MSK0046.mp3[166.240,179.400]	OK ALRIGHT AND IS THERE ANY DO YOU DO ANY KIND OF REPETITIVE WORK THAT REQUIRES GRIPPING OR LIFTING UM WITH THAT HAND ANYTHING REPETITIVE
audio/MSK0046.mp3[179.400,192.760]	SO I DO A LOT OF WORK AT THE COMPUTER AND UM I GUESS I TEND TO TYPE A LOT WITH MY LEFT HAND SO MAYBE THAT
audio/MSK0046.mp3[195.560,202.240]	AND SORRY I ALSO TAKE LOTS OF NOTES LIKE HANDWRITTEN NOTES WITH MY LEFT HAND
audio/MSK0046.mp3[202.240,204.400]	OK SO ARE YOU LEFT HANDED
audio/MSK0046.mp3[207.000,212.880]	OK ALRIGHT HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0046.mp3[214.160,215.680]	NO SO YOURE HEALTHY
audio/MSK0046.mp3[217.040,221.360]	UM DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS
audio/MSK0046.mp3[221.360,224.080]	UH NO NO
audio/MSK0046.mp3[224.080,227.800]	NO OK ANY ALLERGIES TO ANY MEDICATIONS
audio/MSK0046.mp3[227.800,231.640]	UM NO ALLERGIES
audio/MSK0046.mp3[231.640,236.520]	OK UM ANY PREVIOUS SURGERIES OR HOSPITALIZATIONS
audio/MSK0046.mp3[238.720,246.200]	NO ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS WHETHER ITS MUSCULOSKELETAL RHEUMATOLOGICAL ANY CONDITIONS
audio/MSK0046.mp3[246.200,250.760]	UH NO NOTHING LIKE THAT
audio/MSK0046.mp3[250.760,255.800]	OK UM ANY CANCERS IN THE FAMILY
audio/MSK0046.mp3[255.800,265.360]	UM I KNOW THERES YEAH THERES A LOT OF CANCER IN THE FAMILY THERES COLON CANCER BREAST CANCER OVARIAN CANCER
audio/MSK0046.mp3[265.360,271.640]	OK AND ARE THEY FIRST DEGREE RELATIVES WHO HAD THOSE CANCERS
audio/MSK0046.mp3[271.640,278.480]	UH NO FIRST DEGREE RELATIVES JUST LIKE AUNTS AND UNCLES
audio/MSK0046.mp3[278.480,287.720]	OK UH ALRIGHT AND CURRENTLY ARE YOU WORKING RIGHT NOW OR HAVE YOU HAD ANY TIME OFF WORK OR ANY MODIFIED DUTIES
audio/MSK0046.mp3[287.720,294.600]	UM SO IM STILL WORKING ONLINE IVE JUST UM HAVENT BEEN TAKING NOTES BY HAND ANYMORE
audio/MSK0046.mp3[294.600,297.560]	I SEE AND DOES THAT HELP THOUGH
audio/MSK0046.mp3[297.560,306.040]	UH YEAH IT IT HAS HELPED A LITTLE BIT BECAUSE IM NOT MOVING MY HAND AS MUCH SO IT HELPS WITH THE PAIN
audio/MSK0046.mp3[306.040,311.840]	OK HAVE YOU TAKEN ANY UH TYLENOL ADVIL ANYTHING FOR THE PAIN
audio/MSK0046.mp3[311.840,314.880]	NO I HAVENT
audio/MSK0046.mp3[314.880,326.840]	OK ALRIGHT AND CURRENTLY RIGHT NOW WHAT IS YOUR LIVING SITUATION LIKE
audio/MSK0046.mp3[326.840,331.680]	UH I LIVE IN AN APARTMENT BY MYSELF
audio/MSK0046.mp3[331.680,336.080]	OK AND UM DO YOU CURRENTLY UH SMOKE CIGARETTES
audio/MSK0046.mp3[336.080,347.120]	UM I SMOKE I USED TO SMOKE LIKE FIVE YEARS AGO AND I ONLY DID THAT FOR LIKE A YEAR OR TWO UM AND IT WASNT VERY MUCH BUT I DONT SMOKE ANYMORE
audio/MSK0046.mp3[347.120,350.880]	OK THATS GOOD UM ANY ALCOHOL
audio/MSK0046.mp3[350.880,354.560]	UM ILL HAVE LIKE A BEER ON THE WEEKEND
audio/MSK0046.mp3[354.560,362.080]	OK ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/MSK0046.mp3[362.080,369.080]	UM I WILL TAKE AN EDIBLE LIKE ONCE A MONTH
audio/MSK0046.mp3[369.080,384.120]	OK UM AND YEAH THOSE WERE JUST SOME OF THE QUESTIONS I HAD UM AND WERE JUST GOING TO DO A FEW THINGS FOR EXAMINING EXAMINING UH THAT AREA SO ARE YOU ABLE TO MAKE A FIST
audio/MSK0046.mp3[384.120,386.960]	UM I CAN BUT IT HURTS
audio/MSK0046.mp3[386.960,392.880]	OK IT HURTS IN THAT LOCATION THAT YOU MENTIONED
audio/MSK0046.mp3[394.320,402.960]	HOW ABOUT UM IF YOU MAKE A FIST WITHOUT YOUR THUMB DOES IT STILL HURT OR IS IT JUST WHEN YOU ARE MOVING THE THUMB
audio/MSK0046.mp3[402.960,406.960]	ITS JUST WHEN IM MOVING THE THUMB
audio/MSK0046.mp3[406.960,412.720]	OK AND IF YOU WERE ABLE TO ARE YOU ABLE TO UH ROTATE YOUR WRIST
audio/MSK0046.mp3[412.720,414.680]	UH YES I CAN ROTATE MY WRIST
audio/MSK0046.mp3[414.680,418.560]	DOES THAT HURT AT ALL
audio/MSK0046.mp3[419.480,434.720]	OK UM NOW I JUST WANT YOU TO DO THIS ONE TEST ITS CALLED A FINKELSTEIN TEST OK SO I WANT YOU TO FLEX YOUR THUMB PRESS IT UP DOWN AGAINST YOUR PALM
audio/MSK0046.mp3[436.360,438.800]	AND THEN HOLD YOUR HAND SORRY
audio/MSK0046.mp3[438.800,440.320]	NO GO AHEAD
audio/MSK0046.mp3[440.320,449.520]	YEAH AND THEN AFTER YOU DO THAT UM BRING YOUR FINGERS ABOVE YOUR THUMB SO JUST COVER YOUR THUMB
audio/MSK0046.mp3[450.200,454.200]	KIND OF LIKE A FIST BUT YOUR THUMB IS ON THE INSIDE OF YOUR FINGERS
audio/MSK0046.mp3[455.120,459.800]	AND THEN BRING YOUR UH ARM OUT
audio/MSK0046.mp3[461.800,477.720]	AND WITH YOUR OTHER HAND CAN YOU FROM ABOVE PUSH YOUR WRIST DOWNWARDS SO YOUR UH PINKY FINGER IS UH POINTING TO THE POINTING TO THE GROUND
audio/MSK0046.mp3[477.720,479.120]	OK YEP
audio/MSK0046.mp3[479.120,489.720]	YEAH AND DID THAT HURT AT ALL LIKE WHEN YOU SO THIS IS JUST CALLED ULNAR DEVIATION OR YOUR UM OF YOUR WRIST DOES THAT HURT AT ALL
audio/MSK0046.mp3[489.720,491.960]	YES THAT IS VERY PAINFUL
audio/MSK0046.mp3[491.960,563.720]	THATS VERY PAINFUL OK ALRIGHT UM AND THEN YOURE ALSO HAVING PAIN WITH GRIPPING AND OK SO THOSE ARE KIND OF ALL THE THINGS I WANTED TO ASK UH IT SEEMS THAT YOU MAY BE HAVING SOMETHING CALLED DE QUERVAINS TENOSYNOVITIS UM ITS CAUSED BY SOME REPETITIVE MOTIONS UH IT CAN BE DUE TO GRIPPING SOMETIMES IT HAPPENS TO NEW MOTHERS WHO ARE LIFTING THEIR CHILDREN AS WELL AS DAYCARE WORKERS IT CAN ALSO HAPPEN IN OTHER WORK ENVIRONMENTS AND SO WHAT WE WILL FIRST JUST NEED TO DO UM IS MAINLY TO RULE OUT SOMETHING LIKE OSTEOARTHRITIS YOU ARE FAIRLY YOUNG UM BUT IF THERE WAS EVER AN INJURY IN THE PAST IT YOU CAN HAVE EARLY OSTEOARTHRITIS IN THE AREA SO WE JUST WANT TO GET AN XRAY AND OTHER THAN THAT THE WAY WE KIND OF DEAL WITH THIS ISSUE IS USUALLY CONSERVATIVELY AND WITH A SPLINT
audio/MSK0046.mp3[564.920,596.040]	AND A SLING FOR YOUR THUMB THAT UH HELPS RELIEVE SOME OF THESE SYMPTOMS UH RESTRICTS SOME OF YOUR MOVEMENTS REDUCES SOME OF THE SWELLING AND IF IT DOES GET REALLY BAD AND ITS AFFECTING YOUR WORK AND CONSERVATIVE MANAGEMENT WITH PAIN AND THE SPLINT DONT WORK AND WITH PHYSIOTHERAPY WE DO UH OFFER INJECTING CORTICOSTEROIDS INTO JUST RIGHT LIKE IN THE AREA THAT YOU MENTIONED RIGHT BELOW THE THUMB
audio/MSK0046.mp3[596.520,614.520]	UM AND THAT OFTEN HAS SOME EFFECT AS WELL UM BUT AT FIRST YEAH LETS JUST DO SOME CONSERVATIVE MANAGEMENT AND SEE IF THAT HELPS ITS ONLY BEEN A FEW DAYS SO HOPEFULLY UM WHAT WE TRY FIRST HELPS AND THEN WE CAN GO ON FROM THERE
audio/MSK0046.mp3[614.520,617.000]	OK YEAH THAT SOUNDS GREAT THANK YOU
audio/MSK0046.mp3[617.000,619.240]	WELCOME TAKE CARE
audio/MSK0046.mp3[619.240,620.600]	YOU TOO
audio/RES0104.mp3[0.000,3.720]	CAN YOU TELL ME WHAT BRINGS YOU IN HERE TODAY
audio/RES0104.mp3[3.720,17.680]	SO IVE HAD THIS UH THIS COUGH THAT IT STARTED TWO DAYS AGO AND ITS BEEN GETTING WORSE IVE BEEN BRINGING UP THIS RUST COLORED SPUTUM
audio/RES0104.mp3[17.680,25.520]	OK AND SO THATS BEEN GOING ON FOR A FEW DAYS
audio/RES0104.mp3[25.520,30.160]	YEAH YEAH ABOUT TWO DAYS
audio/RES0104.mp3[30.160,34.200]	OK AND HOW OFTEN ARE YOU COUGHING
audio/RES0104.mp3[34.200,49.880]	ITS ITS HAPPENING ALL DAY REALLY THROUGHOUT THE DAY AND REALLY ANY TYPE OF EXERTION OR OR MOVEMENT IM GETTING SHORT OF BREATH AND ITS TRIGGERING A COUGH
audio/RES0104.mp3[49.880,62.360]	OK AND THE SHORTNESS OF BREATH IS IT JUST WITH THE EXERTION OR IT CAN IS IT HAPPENING AT REST HOW ARE YOU FEELING RIGHT NOW
audio/RES0104.mp3[62.360,71.640]	YEAH EVEN RIGHT NOW IT FEELS LIKE IM NOT ABLE TO GET I DONT KNOW A FULL BREATH IT JUST FEELS LIKE ITS MORE DIFFICULT TO TO BREATHE
audio/RES0104.mp3[71.640,76.040]	OK HAVE YOU FELT ANY KIND OF DIZZINESS OR FAINTING EPISODES
audio/RES0104.mp3[76.040,79.080]	NO I HAVENT
audio/RES0104.mp3[79.080,83.600]	OK HAVE YOU BEEN FEELING ANY CHEST PAIN AT ALL
audio/RES0104.mp3[83.600,87.840]	UH NO I I I HAVENT HAD ANY CHEST PAIN
audio/RES0104.mp3[87.840,96.960]	OK AND SO WITH YOUR COUGHING YOURE PRODUCING THE RUST COLORED SPUTUM BUT HOW MUCH WOULD YOU SAY YOURE PRODUCING
audio/RES0104.mp3[96.960,107.000]	UH I WOULD SAY YEAH MAYBE THREE OR FOUR TEASPOONS EVERY EVERY COUPLE HOURS
audio/RES0104.mp3[107.000,111.960]	OK ARE YOU PRODUCING ANY BLOOD LIKE IN YOUR COUGH OR SPUTUM AT ALL
audio/RES0104.mp3[111.960,116.960]	NO IT WASNT REALLY RED ITS KINDA ORANGE
audio/RES0104.mp3[116.960,122.320]	ORANGE OK ANY GREENISH OR YELLOW MATERIAL
audio/RES0104.mp3[122.320,127.120]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0104.mp3[127.120,129.760]	OK ANY FEVERS OR CHILLS
audio/RES0104.mp3[129.760,147.920]	YEAH I HAVE HAD IVE HAD BOTH OF THOSE IVE HAD A I I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS 382 AND I WAS PRETTY CHILLY LAST NIGHT
audio/RES0104.mp3[147.920,156.320]	OK UHM AND BEFORE THESE SYMPTOMS STARTED WERE YOU HAVING ANY SIMILAR SYMPTOMS AT ALL BEFORE
audio/RES0104.mp3[156.320,173.920]	AH NO I MEAN A FEW WEEKS AGO PROBABLY LIKE A YEAH A COUPLE OF WEEKS AGO I HAD A RUNNY NOSE AND AND SORE THROAT FOR A COUPLE OF DAYS IT WENT AWAY ON ITS OWN THOUGH
audio/RES0104.mp3[173.920,177.760]	OK UHM ANY ANYTHING THAT MAKES YOUR SYMPTOMS BETTER OR WORSE THAT YOUVE TRIED
audio/RES0104.mp3[177.760,189.720]	I DID TRY SOME OVER THE COUNTER COLD MEDICINE IT I THINK IT MIGHT HAVE HELPED ME SLEEP LAST NIGHT BUT DIDNT REALLY DO A WHOLE LOT
audio/RES0104.mp3[189.720,199.280]	OK DOES YOUR SHORTNESS OF BREATH IMPROVE WITH ANY POSITIONS OR DOES IT IMPROVE WHEN YOURE NOT EXERTING YOURSELF
audio/RES0104.mp3[199.280,202.560]	UH NOT REALLY ITS KIND OF ALWAYS THERE
audio/RES0104.mp3[202.560,215.480]	ITS OK DO YOU HAVE TO WAKE UP AT NIGHT TO TAKE A DEEP BREATH OR DO YOU FEEL ANY KIND OF SHORTNESS OF BREATH WITH LAYING DOWN AT ALL
audio/RES0104.mp3[215.480,219.080]	NO I HAVENT HAD ANY ISSUES LIKE THAT
audio/RES0104.mp3[219.080,230.520]	OK AND DO YOU NOTICE ANY KIND OF SWELLING IN YOUR FEET ANKLES ARMS LEGS ANYTHING LIKE THAT
audio/RES0104.mp3[230.520,232.160]	NO I HAVENT
audio/RES0104.mp3[232.160,237.840]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS SICK RECENTLY
audio/RES0104.mp3[237.840,251.600]	UH I DONT I I MEAN I SEE MY GRANDDAUGHTER AND I MIGHT HAVE GOT A COLD FROM HER A FEW WEEKS AGO BUT RECENTLY I HAVENT SEEN ANYBODY
audio/RES0104.mp3[251.600,255.720]	OK ARE YOU HAVING ANY NIGHT SWEATS
audio/RES0104.mp3[255.720,259.240]	NO JUST A CHILLS LAST NIGHT
audio/RES0104.mp3[259.240,262.080]	OK ARE YOU BREATHING FASTER
audio/RES0104.mp3[262.080,266.760]	YEAH I HAVE FELT LIKE IVE BEEN BEEN BREATHING A BIT FASTER
audio/RES0104.mp3[266.760,269.720]	YOU HAVE ANY MUSCLE ACHES OR ANYTHING LIKE THAT
audio/RES0104.mp3[269.720,273.080]	AH NO NOT REALLY
audio/RES0104.mp3[273.080,284.360]	OK AND GIVE ANY OTHER SYMPTOMS LIKE CHEST PAIN RUNNY NOSE SORE THROAT ANYTHING LIKE THAT
audio/RES0104.mp3[284.360,301.400]	UH NO JUST BEEN REALLY TIRED THESE LAST COUPLE OF DAYS AND IVE JUST FELT LIKE SLEEPING ALL DAY HAVENT FELT LIKE EATING EITHER MY APPETITE HAS BEEN REALLY POOR
audio/RES0104.mp3[301.400,309.560]	OK UHM AND OTHER THAN THAT HAVE YOU EXPERIENCED ANY KIND OF HEADACHES NAUSEA OR VOMITING
audio/RES0104.mp3[309.560,311.920]	NO I HAVENT
audio/RES0104.mp3[311.920,316.640]	OK ANY FEVERS OR YOU SAID YOU HAVE HAD SOME CHILLS RIGHT
audio/RES0104.mp3[316.640,317.960]	I HAVE YEAH
audio/RES0104.mp3[317.960,326.160]	OK AND THEN A FEVER TOO KIND OF A SENSATION OF YOUR HEART RACING AT ALL
audio/RES0104.mp3[326.160,336.040]	AH YEAH RIGHT IT DOESNT FEEL LIKE ITS WELL IT DOES FEEL LIKE ITS BEATING A BIT FASTER THAN USUAL JUST NOT FEELING TOO WELL
audio/RES0104.mp3[336.040,348.760]	YEAH SO YEAH WELL DO A PHYSICAL EXAMINATION AND GET ALL YOUR VITAL SIGNS AS WELL RIGHT AFTER ANY SO YOU SAID YOU HAVENT BEEN ABLE TO EAT AVE YOU NOTICED ANY SIGNIFICANT WEIGHT CHANGES RECENTLY
audio/RES0104.mp3[348.760,352.640]	NO MY WEIGHTS BEEN ABOUT THE SAME
audio/RES0104.mp3[352.640,361.560]	OK ANY EXPOSURE TO ANY DUSTS OR ANIMALS FUMES ANYTHING THAT MIGHT HAVE TRIGGERED SOME OF THESE SYMPTOMS
audio/RES0104.mp3[361.560,374.040]	NO I DONT THINK SO MY HUSBAND AND I WE MOVED INTO A NEW KIND OF APARTMENT HERE AND IT ITS BRAND NEW
audio/RES0104.mp3[374.040,379.480]	OK ANY KIND OF LOSS OF SENSE OF TASTE OR SMELL
audio/RES0104.mp3[379.480,381.960]	NO THATS BEEN NORMAL
audio/RES0104.mp3[381.960,387.760]	OK ANY EXPOSURE OR ANY TRAVEL OUTSIDE OF THE COUNTRY AT ALL
audio/RES0104.mp3[387.760,390.520]	NO NOTHING LIKE THAT
audio/RES0104.mp3[390.520,405.520]	OK SO JUST MAINLY THE COUGHING WITH THE RUSTY MATERIAL AS WELL AS JUST THE SHORTNESS OF BREATH UMM AND DO YOU GET ANY PAIN AT ALL IN YOUR CHEST WHEN YOU BREATHE IN OR OUT
audio/RES0104.mp3[405.520,409.480]	NO I HAVENT HAD ANY HAD ANYTHING LIKE THAT
audio/RES0104.mp3[409.480,413.680]	OK ANY PAST MEDICAL CONDITIONS THAT I SHOULD KNOW OF
audio/RES0104.mp3[413.680,429.400]	YEAH I UMM I HAD A STROKE LIKE THAT LIKE SIX YEARS AGO AND I HAVE TYPE 2 DIABETES AS WELL AS GERD
audio/RES0104.mp3[429.400,449.160]	OK AND UH YEAH IM SORRY YOU HAD YOU HAD A STROKE SIX YEARS AGO OR HOW ARE YOU AFTER THAT WERE THERE ANY KIND OF LIKE DID AFTER REHABILITATION DO YOU HAVE ANY SYMPTOMS STILL GOING ON AT ALL
audio/RES0104.mp3[449.160,467.200]	YEAH MY MY LEFT HAND STILL STILL IT GIVES ME SOME SOME PROBLEMS I GET UH UH BOTULINUM TOXIN INJECTIONS FOR FOR THE TIGHTNESS IN MY HAND
audio/RES0104.mp3[467.200,475.320]	OK OK AND ARE YOU TAKING ANY OTHER MEDICATIONS AT ALL
audio/RES0104.mp3[475.320,486.560]	YEAH I USE METFORMIN EMPAGLIFLOZIN OR AN SGLT2 INSULIN AND UH AND ASPIRIN I THINK
audio/RES0104.mp3[486.560,497.720]	OK AND ANY OVER THE COUNTER MEDICATIONS
audio/RES0104.mp3[497.720,502.000]	YEAH I TAKE A MULTIVITAMIN AND IN VITAMIN D
audio/RES0104.mp3[502.000,507.080]	OK ANY ALLERGIES TO ANY MEDICATIONS AT ALL
audio/RES0104.mp3[507.640,510.480]	OK ANY ENVIRONMENTAL ALLERGIES
audio/RES0104.mp3[512.120,516.800]	OK ANY ILL CONTACTS AT ALL
audio/RES0104.mp3[516.800,520.400]	NO NO
audio/RES0104.mp3[520.400,525.560]	ANY RECENT OR PRIOR HOSPITALIZATIONS
audio/RES0104.mp3[525.560,532.320]	NO THE LAST TIME I WAS IN THE HOSPITAL WAS I WAS FOR REHAB AFTER MY STROKE
audio/RES0104.mp3[532.320,536.880]	OK AND SO BUT AFTER THAT NO OTHER HOSPITALIZATIONS OR SURGERIES
audio/RES0104.mp3[539.080,541.000]	OK ANY SURGERIES IN THE PAST
audio/RES0104.mp3[541.000,555.880]	YEAH WELL I DID HAVE A CSECTION FOR MY SON BUT THAT WAS MANY YEARS AGO NOW AND EVERYTHING FOR THAT WAS WAS OK YEAH
audio/RES0104.mp3[555.880,564.960]	OK ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS ANY CANCERS
audio/RES0104.mp3[564.960,575.520]	UHM YEAH MY DAD HAD HAD A HEART ATTACK ACTUALLY BUT HE WAS IN HIS 80S WHEN THAT WHEN THAT HAPPENED
audio/RES0104.mp3[575.520,583.240]	OK UHM AND CURRENTLY RIGHT NOW ARE YOU WORKING AT ALL
audio/RES0104.mp3[583.240,602.640]	NO IM RETIRED I USED TO BE A TEACHER FOR GRADE 3 UHM BUT YEAH BUT SINCE RETIRED AND MY HUSBAND AND I JUST MOVED INTO A SMALLER APARTMENT TO MAKE IT A BIT EASIER ON US IT WAS A LOT TRYING TO LOOK AFTER THE HOUSE
audio/RES0104.mp3[602.640,613.360]	OK WELL CONGRATULATIONS ON YOUR NEW HOME ARE YOU AT ALL YOU OR YOUR HUSBAND REQUIRING ANY KIND OF SUPPORTS OUTSIDE OF THE HOME AT ALL
audio/RES0104.mp3[613.360,633.520]	NO BETWEEN US TWO WE MANAGED TO GET THE SHOPPING DONE THE COOKING AND AND ALL THE CLEANING AND THAT SORT OF THING I USE A WALKER TO GET AROUND WHEN WERE GOING LONGER DISTANCES
audio/RES0104.mp3[633.520,638.320]	OK AND CURRENTLY RIGHT NOW DO YOU SMOKE AT ALL
audio/RES0104.mp3[638.320,644.080]	UH YES I I SPOKE ABOUT HALF A PACK PER DAY OR MAYBE EVEN LESS
audio/RES0104.mp3[644.080,646.680]	OK AND HOW HOW LONG HAVE YOU HAVE SMOKED FOR
audio/RES0104.mp3[646.680,650.040]	SINCE I WAS 15 MAYBE
audio/RES0104.mp3[650.400,657.000]	SO YEAH FOR LIKE 45 YEARS
audio/RES0104.mp3[657.000,661.680]	AND HAVE YOU AT ALL BEEN DIAGNOSED WITH COPOR ANYTHING LIKE THAT
audio/RES0104.mp3[661.680,668.920]	NO I WAS TESTED ACTUALLY UH A COUPLE OF YEARS AGO AND THAT THE RESULTS WERE NORMAL
audio/RES0104.mp3[668.920,679.920]	OK ALRIGHT AND HAVE YOU THOUGHT OF QUITTING AT ALL I KNOW YOUVE BEEN SMOKING LIKE FOR A VERY LONG TIME BUT HAVE YOU AT ALL TRIED TO QUIT BEFORE
audio/RES0104.mp3[679.920,686.200]	LIKE IVE CONSIDERED IT BUT I I JUST DONT THINK IT ITLL BE POSSIBLE AT THIS TIME
audio/RES0104.mp3[686.200,699.800]	OK WELL IF YOU AT ALL ARE WANTING ANY INFORMATION OR WANT TO TALK ABOUT QUITTING AT ALL UM WE CAN PROVIDE MORE RESOURCES DO YOU BESIDES SMOKING DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0104.mp3[703.240,705.280]	NO ANY ALCOHOL AT ALL
audio/RES0104.mp3[709.480,749.640]	OK YEAH SO THOSE ARE SOME OF THE QUESTIONS I HAD A I WILL BE DOING A PHYSICAL EXAMINATION WITH YOUR SHORTNESS OF BREATH I JUST WANT TO GET A GOOD LISTEN TO YOUR LUNGS AND TAKE ALL YOUR VITALS AS WELL HOWEVER YEAH SO AFTER THAT SINCE YOURE HAVING SOME SYMPTOMS OF WHAT MIGHT BE A PNEUMONIA IT CAN BE A BACTERIAL INFECTION A VIRAL INFECTION WE WILL HAVE TO GET SOME BLOOD WORK DONE AS WELL AS A CHEST XRAY AND RIGHT NOW WITH THE PANDEMIC GOING ON WE WILL ALSO DO COVID SWAB TEST FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD
audio/RES0104.mp3[749.640,753.360]	YEAH THAT MAKES SENSE THANK YOU
audio/RES0104.mp3[753.360,760.040]	ALRIGHT AND IF IF YOURE WHILE YOURE HERE IF YOUR SHORTNESS OF BREATH GETS ANY WORSE AT ALL JUST LET US KNOW AND WELL HELP YOU OUT
audio/RES0104.mp3[760.040,763.920]	OK THANK YOU WILL DO
audio/RES0104.mp3[763.920,766.080]	THANK YOU BYE
audio/MSK0028.mp3[0.000,1.880]	HOW MAY I HELP YOU
audio/MSK0028.mp3[1.880,33.520]	I JUST CAME IN BECAUSE IVE BEEN HAVING THIS JUST JUST YESTERDAY IT STARTED THIS SUDDEN JUST PAIN OVER THE FRONT OF MY KIND OF LIKE A SHOULDER AN ALSO ELBOW AND IT WAS RIGHT AFTER DOING I WAS JUST DOING SOME WORKOUT AND THIS PAIN JUST STARTED AND ITS JUST LIKE A STABBING SHARP PAIN THAT HASNT REALLY GONE AWAY SINCE THEN
audio/MSK0028.mp3[33.520,39.960]	OK AND SO WHAT ACTIVITY WERE YOU DOING SPECIFICALLY
audio/MSK0028.mp3[39.960,79.080]	SO I WAS DOING SO I WAS JUST DOING WEIGHT TRAINING AND I WAS KIND OF FLEXING MY ELBOWS AND I WAS WORKING ON MY BICEPS I WAS ON THAT MACHINE WHERE YOU SO KNOW I WASNT USING WEIGHTS OR DOING CURLS BUT I WAS WORKING ON MY BICEPS AND I THINK I DID HEAR I DONT THINK I HEARD LIKE ANY POP OR ANYTHING BUT RIGHT AFTER THAT I JUST HAD THIS SUDDEN SHARP PAIN IN MY SHOULDER AS WELL AS MY ELBOW
audio/MSK0028.mp3[79.080,83.680]	OK SO YOU YOU YOU THINK YOU HEARD A POP AT THAT TIME
audio/MSK0028.mp3[83.680,91.000]	UM IM NOT SURE IF I HEARD A POP ACTUALLY I THINK I MIGHT HAVE THOUGH
audio/MSK0028.mp3[91.000,99.280]	OK AND DID THE PAIN START IMMEDIATELY OR OR A BIT LATER ON
audio/MSK0028.mp3[99.280,112.840]	THE PAIN I THINK IT STARTED PRETTY SOON AFTER LIKE PROBABLY WITHIN LIKE HALF AN HOUR OF THAT HAPPENING
audio/MSK0028.mp3[112.840,119.080]	OK AND WHERE IS THE PAIN LOCATED NOW
audio/MSK0028.mp3[119.080,132.920]	THE PAIN RIGHT NOW IS A YEAH JUST KIND OF RIGHT AT THE FRONT OF MY RIGHT ELBOW AS WELL AS NEAR MY SHOULDER AS WELL
audio/MSK0028.mp3[132.920,144.880]	OK AND UM I THINK YOU MENTIONED THE PAIN AS AS BEING SHARP IS THAT HOW YOU WOULD DESCRIBE THE CHARACTER OF THE PAIN
audio/MSK0028.mp3[144.880,150.080]	YEAH ITS SHARP YEAH I JUST FEEL LIKE SOMETHING STABBING IN THERE
audio/MSK0028.mp3[150.080,154.440]	OK AND DOES THE PAIN RADIATE ANYWHERE ELSE
audio/MSK0028.mp3[154.440,159.720]	NO ITS KIND OF IN THE SAME AREA AS THEY DESCRIBED
audio/MSK0028.mp3[159.720,164.240]	OK HAS THERE BEEN ANYTHING YOUVE TRIED TO MAKE THE PAIN BETTER
audio/MSK0028.mp3[164.240,172.960]	NO NOTHINGS I TRIED LIKE ADVIL NOTHINGS REALLY WORKED
audio/MSK0028.mp3[172.960,179.560]	OK AND UH SORRY HOW LONG IS HOW MANY DAYS IS THE PAIN BEEN ON GOING ON FOR JUST JUST STARTED YESTERDAY
audio/MSK0028.mp3[180.600,186.040]	OK AND SINCE THEN HAS THE PAIN GETTING ANY BETTER OR ANY WORSE
audio/MSK0028.mp3[186.040,205.040]	I THINK ITS THE SAME PROBABLY A BIT WORSE THAN SO IT JUST HAPPENED LAST EVENING AND I I DIDNT END UP COMING LAST NIGHT BUT I WANTED TO MAKE SURE IM JUST COMING THIS MORNING SINCE ITS JUST BEEN A REALLY PAINFUL NIGHT
audio/MSK0028.mp3[205.040,210.320]	OK HAVE YOU DONE ANYTHING THATS MADE THE PAIN WORSE SINCE LAST NIGHT
audio/MSK0028.mp3[210.320,229.680]	NO I JUST TRIED TO JUST REST AND I TRIED TO USE SOME ICE BUT NOTHING NOTHINGS BEEN WORKING AND I KIND OF ALSO HAVE LIKE THIS IT ITS WEIRD ITS JUST LIKE THIS MASS RIGHT WHERE MY BICEPS IS IT KIND OF JUST MAKES MY BICEPS LOOK REALLY BIG
audio/MSK0028.mp3[229.680,249.320]	OK ALRIGHT WELL I SKIP LOOK AT THAT DURING THE PHYSICAL EXAM COMPONENT THANK YOU AND SO LIKE ARE YOU SEEING SWELL IS THERE LIKE SWELLING THERE IS AS WELL OR IS IS THAT PART PAINFUL
audio/MSK0028.mp3[249.320,256.680]	YEAH ITS PAINFUL THERE SWELLING THERE AS WELL
audio/MSK0028.mp3[256.680,265.520]	OK AND WELL HOW SEVERE IS THE PAIN ON A SCALE OF 10 TO 1 10 BEING THE WORST PAIN THAT YOUVE EVER EXPERIENCED AND ONE BEING THE LEAST
audio/MSK0028.mp3[265.520,271.160]	PROBABLY AT LEAST AN 8 MAYBE A 9
audio/MSK0028.mp3[271.160,282.160]	OK SO THE PAIN IS PRETTY SEVERE THEN IT SOUNDS LIKE UH OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0028.mp3[283.600,288.240]	HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/MSK0028.mp3[289.960,293.600]	OK AND HAVE YOU HAD ANY APPETITE LOSS
audio/MSK0028.mp3[293.600,295.320]	UHM NO
audio/MSK0028.mp3[295.320,300.160]	OK AND HAVE YOU HAD ANY HEADACHES
audio/MSK0028.mp3[300.160,301.720]	UHM NO
audio/MSK0028.mp3[301.720,308.280]	HOW ABOUT ANY SENSORY CHANGES LIKE CHANGES TO VISION OR HEARING
audio/MSK0028.mp3[308.280,311.200]	NO NOTHING LIKE THAT
audio/MSK0028.mp3[311.200,315.680]	ANY CHANGES TO YOUR SENSE OF SMELL OR SENSE OF TASTE
audio/MSK0028.mp3[316.880,320.160]	HAVE YOU HAD A RUNNY NOSE OR A SORE THROAT
audio/MSK0028.mp3[320.160,322.280]	UHM NO NOTHING LIKE THAT
audio/MSK0028.mp3[322.280,325.200]	OK HAVE YOU HAD A COUGH
audio/MSK0028.mp3[326.120,328.200]	ANY SHORTNESS OF BREATH
audio/MSK0028.mp3[329.080,331.640]	OK ANY WHEEZING
audio/MSK0028.mp3[332.400,335.640]	UM HAVE YOU HAD ANY CHEST PAIN
audio/MSK0028.mp3[336.440,342.200]	HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/MSK0028.mp3[343.680,347.720]	ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0028.mp3[349.360,353.080]	OK UH AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0028.mp3[354.320,356.240]	ANY NAUSEA OR VOMITING
audio/MSK0028.mp3[357.080,363.360]	ANY CHANGES TO YOUR BOWEL MOVEMENTS SUCH AS DIARRHEA OR CONSTIPATION OR EVEN BLOOD IN THE STOOL
audio/MSK0028.mp3[363.360,366.080]	NO NOTHING LIKE THAT
audio/MSK0028.mp3[366.080,371.000]	OK ANY URINATION PROBLEMS SUCH AS PAIN OR FREQUENCY
audio/MSK0028.mp3[372.120,379.680]	OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR SKIN LIKE RASHES OR CHANGES TO YOUR NAILS OR HAIR
audio/MSK0028.mp3[379.920,386.600]	ALRIGHT AND HAVE YOU HAD ANY NEUROLOGICAL SYMPTOMS SUCH AS NUMBNESS OR TINGLING
audio/MSK0028.mp3[386.600,389.880]	NO I DONT THINK SO
audio/MSK0028.mp3[389.880,395.400]	OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS
audio/MSK0028.mp3[395.400,413.640]	JUST JUST IN THE IN THAT AREA I CANT REALLY LIKE I CANT REALLY FLEX AN REALLY MOVE MY UPPER UPPER ARM IN MY ELBOW
audio/MSK0028.mp3[413.640,418.040]	OK DO YOU HAVE ANY PAINS IN ANY OTHER JOINTS
audio/MSK0028.mp3[418.040,428.920]	UM NO THATS ITS ONLY MY RIGHT UPPER ARM
audio/MSK0028.mp3[428.920,438.000]	OK UM AND HAVE YOU HAD ANY CONFUSION OR MEMORY LOSS
audio/MSK0028.mp3[438.000,446.400]	NO OK AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
audio/MSK0028.mp3[446.400,456.680]	UHM NO IVE BEEN PRETTY HEALTHY UM I THEY THINK I DO HAVE LIKE PRE DIABETES BUT IM NOT ON ANY MEDICATION
audio/MSK0028.mp3[456.680,474.160]	OK AND HAVE YOU HAD ANY ISSUES WITH YOUR SHOULDER BEFORE LIKE LIKE A SUBACROMIAL LIKE IMPINGEMENT SYNDROME OR LIKE A ROTATOR CUFF PAINS OR PROBLEMS IN THE PAST
audio/MSK0028.mp3[474.160,497.560]	A FEW YEARS AGO I DID HAVE SOME PAIN UM WITH LIKE SOME THEY THEY TOLD ME NOT TO DO LIKE OVERHEAD WORK LIKE JUST THINGS THAT REQUIRE LIKE WITH PHYSIO I NEED TO DO SOME STRENGTHENING AS WELL AND IT WAS IT WASNT THE SAME SAME SHOULDER
audio/MSK0028.mp3[497.560,504.800]	OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY
audio/MSK0028.mp3[504.800,509.240]	UH NO
audio/MSK0028.mp3[509.240,512.120]	OK AND DO YOU HAVE ANY ALLERGIES
audio/MSK0028.mp3[512.440,517.720]	HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES
audio/MSK0028.mp3[517.720,526.720]	I HAD MY TONSILS REMOVED WHEN I WAS PROBABLY LIKE 10 OR SOMETHING BUT THATS ABOUT IT
audio/MSK0028.mp3[526.720,537.200]	OK AND FOR THE SHOULDER IN THE PAST DID YOU HAVE ANY IMAGING DONE LIKE AN ULTRASOUND OR OR MRI MAYBE TO LOOK AT THE STRUCTURES
audio/MSK0028.mp3[537.200,546.200]	NO IT WAS JUST A IT KIND OF WENT AWAY I JUST DID SOME PHYSIO THEY DIDNT REALLY DO ANY IMAGING
audio/MSK0028.mp3[546.200,558.560]	I SEE OK AND CAN YOU TELL ME A LITTLE ABOUT YOUR LIVING SITUATION RIGHT NOW LIKE YOURE LIVING WITH AND WHERE
audio/MSK0028.mp3[558.560,572.600]	YEAH SO IM LIVING WITH MY WIFE AND UM DAUGHTER AND IM LIVING JUST IN A CONDOMINIUM IN THE CITY
audio/MSK0028.mp3[572.600,576.720]	OK AND ARE YOU WORKING RIGHT NOW
audio/MSK0028.mp3[576.720,590.520]	YEAH SO IM AN ACCOUNTANT IM WORKING FROM HOME SO ITS NOT THAT BAD BUT I I MIGHT JUST TAKE A FEW DAYS OFF DEPENDING ON WHAT I HAVE TO DO WITH THIS INJURY
audio/MSK0028.mp3[590.520,607.360]	OK AND UM DO YOU AND HOBBY WISE YOU MENTIONED LIKE WEIGHT LIFTING ARE YOU AN ACTIVE PERSON LIKE BODYBUILDING AND THAT SORT OF THING REGULARLY
audio/MSK0028.mp3[607.360,622.880]	I I JUST ACTUALLY PROBABLY STARTED THIS PAST YEAR I USED TO I USED TO WORKOUT A LOT IN UNIVERSITY AND IN MY EARLY 30S BUT THEN I STOPPED AND THIS YEAR IVE KIND OF GONE BACK INTO IT
audio/MSK0028.mp3[622.880,632.000]	OK WELL ITS GOOD THAT YOURE STAYING ACTIVE AND UM DO YOU SMOKE CIGARETTES
audio/MSK0028.mp3[632.000,647.280]	NO I UH PROBABLY TRIED A COUPLE TIMES AND HIGH SCHOOL AND UNIVERSITY BUT JUST IT WAS NEVER MY THING
audio/MSK0028.mp3[647.280,654.800]	OK AND HOW ABOUT CANNABIS LIKE SMOKING MARIJUANA OR USING ANY OF THOSE TYPES OF PRODUCTS
audio/MSK0028.mp3[654.800,659.000]	NO I I TRY TO STAY AWAY FROM ANY DRUGS
audio/MSK0028.mp3[659.000,663.400]	OK UH INCLUDING RECREATIONAL DRUGS
audio/MSK0028.mp3[666.720,674.240]	OK AND UH ARE THERE ANY MUSCULOSKELETAL OR NEUROLOGICAL PROBLEMS THAT THAT RUN IN THE FAMILY
audio/MSK0028.mp3[674.240,678.640]	NOT THAT I KNOW OF NO
audio/MSK0028.mp3[678.640,681.160]	OK NOW HOW ABOUT ANY AUTOIMMUNE DISEASES
audio/MSK0028.mp3[681.160,686.400]	UH NO I DONT THINK SO
audio/MSK0028.mp3[686.400,704.280]	OK SO NEXT I JUST WANTED TO ASK YOU TO HAVE A LOOK AT THE AT THE ARM COMPARED TO THE OTHER SIDE ARE YOU NOTICING ANY SWELLING REDNESS OR
audio/MSK0028.mp3[704.280,729.960]	YEAH ANY SWELLING OR REDNESS I DO SEE SOME JUST LIKE KIND OF LIKE IN THE MIDDLE OF THIS AREA SOME REDNESS KIND OF LOOKS LIKE SOME BRUISING IN IN THAT IN THAT REGION UHM I ALSO FEEL LIKE WHEN I LIKE TRY TO FLEX MY BICEPS KIND OF HAVE MOVED UPWARDS
audio/MSK0028.mp3[729.960,744.880]	OK IS THIS THE MASS OR LUMP THAT I YOU WERE MENTIONING EARLIER THAT YOU KINDA CAN NOTICE IN THE IN YOUR RIGHT ARM
audio/MSK0028.mp3[744.880,745.240]	YEAH YEAH
audio/MSK0028.mp3[745.240,751.400]	OK IS THERE ANY TEMPERATURE CHANGE LIKE DOES IT FEEL WARM ON THAT SIDE
audio/MSK0028.mp3[751.400,757.600]	UHM I CANT REALLY TELL IF ITS WARM OR NOT
audio/MSK0028.mp3[757.600,773.120]	OK AND YOU SO YOU MENTIONED ARE YOU ABLE TO BEND YOUR ELBOW ALL THE WAY UP SO TO FLEX IT ALL THE WAY UP OR IS A RANGE OF MOTION LIMITED
audio/MSK0028.mp3[773.120,786.840]	ITS PRETTY LIMITED ITS PRETTY TOUGH TO FLEX ITS REALLY PAINFUL AND THAT I ALSO CANT LIKE I CANT TURN MY ARM I CANT SUPINATE
audio/MSK0028.mp3[786.840,792.480]	OK SO YEAH SO IS THAT SO YOU HAVE REDUCED SUPINATION AS WELL
audio/MSK0028.mp3[793.120,808.160]	AND HOW ARE YOUR SHOULDER MOVEMENT ARE YOU ABLE TO LIKE IF YOURE LIFTING YOUR ARMS STRAIGHT OUT IN FRONT OF YOU ARE YOU ABLE TO TO LIFT THEM ALL THE WAY UP ABOVE YOUR HEAD
audio/MSK0028.mp3[808.160,810.840]	OUT LIKE AT THE SIDES OR IN FRONT OF ME
audio/MSK0028.mp3[810.840,812.920]	IN FRONT OF YOU
audio/MSK0028.mp3[812.920,830.800]	YEAH THE SHOULDER SEEMS TO BE OK I AM ABLE TO LIFT UP BUT ITS JUST IF I TRY TO MOVE MY UPPER ARMS AT ALL IT HURTS A LOT
audio/MSK0028.mp3[830.800,837.880]	OK ALRIGHT SO YOULL GET SOME PAIN AT THE AT THE SHOULDER WITH THE MOVEMENT
audio/MSK0028.mp3[837.880,850.480]	THERE THERE IS DISCOMFORT IN THE AFFECTED SIDE BUT I CAN I CAN MOVE IT MUCH MORE THAN I CAN MOVE MY ELBOWS OR ANYTHING LIKE THAT
audio/MSK0028.mp3[850.480,862.760]	OK I SEE SO I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT AND AND I LOOK FOR ON ON THE PHYSICAL TODAY WAS THERE ANYTHING I MAY BE MISSED OR ANYTHING LIKE THAT
audio/MSK0028.mp3[862.760,868.360]	UHM NO I THINK UH I DONT HAVE ANY OTHER QUESTIONS
audio/MSK0028.mp3[868.360,937.400]	OK ALRIGHT SO BASED ON THE HISTORY AND WHAT YOURE TELLING ME FOR THE PHYSICAL AS WELL OF HAVING A HISTORY OF EXERCISING AND ALSO SHOULDER PAIN WITH OVERHEAD HEAD MOVEMENTS WHICH ARE RISK FACTORS FOR DEVELOPING A BICEPS TENDON TEAR OR BICEPS TENDON INJURY AND HAVING THE SWELLING AND BRUISING AS WELL AS REDUCED FUNCTION OF BICEPS OR ELBOW FLEXION THEY ALL SUGGESTS THAT THERE IS A BICEPS TENDON TEAR OR INJURY THERE AND SO WILL WANT TO GET AN ULTRASOUND OR MRI TO LOOK AT WILL START WITH THE ULTRASOUND BUT THEN POSSIBLY GET AN MRI AS WELL TO LOOK AT THE EXTENT OF THE TISSUE DAMAGE BUT IF THERE IS JUST A LONG HEAD OF BICEPS TEAR IT WILL USUALLY BE TREATED CONSERVATIVELY AND SO WELL JUST NEED TO LOOK TO SEE WHAT THE EXTENT OF THE INJURY IS
audio/RES0172.mp3[0.000,2.200]	WHAT BRINGS YOU IN TODAY
audio/RES0172.mp3[2.200,22.120]	SO TWO DAYS AGO I STARTED TO HAVE THIS COUGH CAME OUT OF NOWHERE I HAVENT HAD A COUGH BEFORE AND I JUST TODAY IVE NOTICED THE FEVER AS WELL AND AND IVE HAD A HEADACHE THE LAST FEW DAYS
audio/RES0172.mp3[22.120,29.920]	CAN YOU TELL ME A LITTLE BIT MORE ABOUT YOUR COUGH HAS IT GOTTEN BETTER OR WORSE OVER THE PAST TWO DAYS
audio/RES0172.mp3[29.920,39.360]	SO IT ITS A ITS BEEN ABOUT WELL IT GOT WORSE AT FIRST AND THEN ITS BEEN ABOUT THE SAME SINCE THEN
audio/RES0172.mp3[39.360,47.920]	OKAY AND IS IT DRY COUGH OR WET COUGH
audio/RES0172.mp3[47.920,50.840]	ITS DRY
audio/RES0172.mp3[50.840,57.040]	OKAY UHM AND DOES IT EVER WAKE YOU UP AT NIGHT
audio/RES0172.mp3[57.040,64.040]	NO WELL IT KIND OF HAPPENS ALL THROUGHOUT THE DAY YEAH NO NO IT HASNT WOKEN ME UP AT NIGHT
audio/RES0172.mp3[64.040,70.320]	OK IS THERE ANY ARE THERE ANY TRIGGERS ANYTHING THAT MAKES YOUR COUGH WORSE
audio/RES0172.mp3[70.320,81.320]	I CANT THINK OF ANYTHING REALLY IT JUST KINDA COMES ON LIKE THROUGHOUT THE DAY ON IT SPONTANEOUSLY
audio/RES0172.mp3[81.320,85.560]	HOW DO YOU TAKE ANY MEDICATIONS TO HELP WITH YOUR SYMPTOMS
audio/RES0172.mp3[85.560,104.080]	YEAH SOME OVER THE COUNTER COLD MEDICINES I TRIED SOME TO TAKE TYLENOL COLD AND SINUS OR SOMETHING LIKE THAT ANYWAY AND IT DID HELP ME SLEEP A LITTLE BIT WITH THAT THE HEADACHE AND JUST HAVENT BEEN FEELING VERY GOOD TO HELP WITH THAT
audio/RES0172.mp3[104.080,110.040]	AND TELL ME ABOUT YOUR FEVER DID YOU CHECK IT CHECK IT CHECK YOUR TEMPERATURE
audio/RES0172.mp3[110.040,119.560]	I DID YEAH TODAY I CHECKED IT AND IT WAS LIKE JUST OVER 38 I THINK LIKE 381 OR TWO
audio/RES0172.mp3[119.560,125.360]	OK WHAT ABOUT YOUR HEADACHE WHERE EXACTLY IS IT
audio/RES0172.mp3[125.360,134.560]	I KIND OF FEEL IT ALL OVER ITS LIKE A BAND NIGHT FEELS LIKE ITS JUST AROUND MY HEAD AND SQUEEZING
audio/RES0172.mp3[134.560,144.480]	AND HOW LIKE IF YOU HAD TO GIVE IT A NUMBER FROM ONE TO 10 WHAT NUMBER WOULD YOU GIVE IT WITH 10 BEING THE WORST HEADACHE EVER
audio/RES0172.mp3[144.480,148.520]	I WOULD SAY MAYBE A 5
audio/RES0172.mp3[148.520,152.080]	OK AND YOU MENTIONED THAT THE TYLENOL HELPED
audio/RES0172.mp3[152.080,165.760]	IT DID YEAH PROBABLY TOOK IT DOWN TO A TWO OR THREE THE HEADACHE DIDNT GO AWAY ENTIRELY IT WAS SORT OF STILL THERE BUT DID HELP
audio/RES0172.mp3[165.760,178.400]	HAVE YOU HAD ANY OTHER SYMPTOMS  HAVE YOU HAD A CONFUSION OR IS IT ANY FUZZINESS OR ANY FLU LIKE SYMPTOMS
audio/RES0172.mp3[178.400,192.960]	UH I HAVE FELT JUST TIRED AND OVER THESE LAST COUPLE OF DAYS THAT AND I HAVE HAD A SORE THROAT AS WELL
audio/RES0172.mp3[192.960,198.120]	OH YOU GET OK OK WHAT ABOUT A RUNNY NOSE OR STUFFY NOSE
audio/RES0172.mp3[198.120,200.760]	UH NO NOTHING LIKE THAT
audio/RES0172.mp3[200.760,203.640]	ANY DIFFICULTIES BREATHING
audio/RES0172.mp3[204.560,208.000]	ANY DIFFICULTY SWALLOWING WITH A SORE THROAT
audio/RES0172.mp3[208.000,216.960]	AH IS A LITTLE BIT PAINFUL BUT IVE BEEN ABLE TO TO EAT AND DRINK OKAY JUST REALLY TAKES A LITTLE LONGER
audio/RES0172.mp3[216.960,220.920]	ANY DIZZINESS OR FAINTING IN THE PAST COUPLE OF DAYS
audio/RES0172.mp3[220.920,223.080]	NO NOTHING LIKE THAT
audio/RES0172.mp3[223.080,230.680]	OK ANY RASHES OR CHANGES IN THEIR NAILS
audio/RES0172.mp3[230.680,233.240]	NO I HAVENT HAD ANYTHING LIKE THAT
audio/RES0172.mp3[233.240,239.000]	ANY CHANGES IN YOUR I GUESS HAVE HAD ANY CHEST PAIN
audio/RES0172.mp3[239.000,243.000]	NO HAVENT HAD ANY CHEST PAIN HAVENT HAD ANYTHING LIKE THAT BEFORE
audio/RES0172.mp3[243.000,246.080]	ANY BELLY PAIN
audio/RES0172.mp3[247.280,251.160]	ANY CHANGES IN YOUR BOWEL MOVEMENT ANY DIARRHEA
audio/RES0172.mp3[251.160,255.760]	NO NO I HAVENT HAD AH ANY DIARRHEA
audio/RES0172.mp3[255.760,265.800]	OK UHM ANY CHANGES IN YOUR URINATION ANY DIFFICULTIES OR ANY PAIN OR ANY INCREASE IN FREQUENCY
audio/RES0172.mp3[265.800,278.280]	NO IVE HAD A URINARY TRACK INFECTIONS BEFORE SO I KNOW WHAT THATS LIKE I HAVENT HAD ANY OF THOSE SYMPTOMS
audio/RES0172.mp3[278.280,286.000]	OK ALRIGHT GOOD AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0172.mp3[286.000,298.640]	UHM NO I HAVENT I HAD SURGERY ON MY KNEE WHEN I WAS A TEENAGER I UH TORE MY ACL BUT ITS BEEN GOOD SINCE THEN
audio/RES0172.mp3[298.640,301.280]	ANY HOSPITALIZATIONS
audio/RES0172.mp3[302.760,308.480]	OK ANY MEDICATIONS THAT YOURE TAKING INCLUDING OVER THE COUNTER MEDS
audio/RES0172.mp3[308.480,316.600]	YEAH I JUST SAY IM ON BIRTH CONTROL RIGHT NOW IVE BEEN TAKING IT FOR THE LAST LIKE FIVE YEARS
audio/RES0172.mp3[316.600,320.640]	OK ANY ALLERGIES
audio/RES0172.mp3[320.640,328.480]	OH NO I DONT THINK SO
audio/RES0172.mp3[328.480,338.680]	OK GOOD AND DO YOU HAVE ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY INCLUDING ANY HEART OR LUNG CONDITIONS OR CANCERS
audio/RES0172.mp3[338.680,347.080]	YEAH MY MY AUNT HAD HAD BREAST CANCER BUT AH AND MY DAD HAS HIGH BLOOD PRESSURE
audio/RES0172.mp3[347.080,360.000]	OK OK UHM AND DO YOU CURRENTLY SMOKE
audio/RES0172.mp3[360.000,363.280]	NO I DONT
audio/RES0172.mp3[363.280,367.040]	DO YOU EVER SMOKE IN THE PAST
audio/RES0172.mp3[367.040,370.360]	NO I I I I IVE STAYED AWAY FROM THAT
audio/RES0172.mp3[370.360,374.880]	GOOD ANY MARIJUANA OR RECREATIONAL DRUGS
audio/RES0172.mp3[374.880,383.920]	YEAH SOMETIMES WELL WELL SMOKE WITH LIKE FRIENDS AT A PARTY I GUESS BUT I HAVENT HAD ANY I HAVENT DONE THAT IN AWHILE
audio/RES0172.mp3[383.920,385.280]	ALRIGHT ANY ALCOHOL
audio/RES0172.mp3[385.280,395.120]	SIMILAR LIKE SOMETIMES AT A PARTY BUT I MEAN YEAH ITS BEEN AWHILE FOR SOMETHING LIKE THAT SO I HAVENT REALLY HAD ANY ALCOHOL ON IN MONTHS
audio/RES0172.mp3[395.120,400.080]	AND ARE YOU CURRENTLY WORKING OR
audio/RES0172.mp3[400.080,414.080]	I AM YEAH SO ITS UH YEAH I WORK FOR THIS TECH COMPANY SO IVE BEEN ABLE TO DO A LOT OF MY STUFF AT AT HOME
audio/RES0172.mp3[414.080,419.800]	OK UHM HAVE YOU HAD ANY EXPOSURES TO ANYONE WHO COULD POTENTIALLY BE SICK
audio/RES0172.mp3[419.800,442.160]	I WILL WITHOUT WELL YEAH I THERE A COUPLE OR LAST WEEKEND ACTUALLY THERE WAS A FAMILY PARTY THAT WE WENT TO IT WAS OUTSIDE BUT UH IT YEAH THERES PEOPLE AROUND THERE WAS NOBODY THAT WAS SICK THAT IM AWARE OF
audio/RES0172.mp3[442.160,446.280]	OK AND AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE
audio/RES0172.mp3[446.280,454.080]	NO BEEN BESIDES THAT THE FAMILY PARTY LAST WEEKEND BUT I MEAN THAT WAS JUST HERE IN TOWN SO IT WAS CLOSE BY
audio/RES0172.mp3[454.080,465.560]	OK I GUESS I FORGOT TO ASK ABOUT A SYMPTOM HAVE YOU FELT THAT YOUVE LOST YOUR SENSE OF SMELL OR SENSE OF TASTE HAS IT JUST BEEN DIFFERENT
audio/RES0172.mp3[465.560,485.160]	YEAH I SAID SOME ACTUALLY NOW THAT YOU MENTION IT RIGHT SENSE OF SMELL HAS BEEN DIFFERENT WHICH IS KIND OF WEIRD CAUSE I I DONT HAVE EVERYBODY KNOWS OR I DONT FEEL CONGESTED OR ANYTHING SO YEAH BUT MY TASTE HAS BEEN OK
audio/RES0172.mp3[485.160,566.480]	GOOD WELL THATS ALL THE QUESTIONS I HAD FOR YOU GIVEN THAT YOUR SYMPTOMS SORT OF SOUND LIKE YOU MAY HAVE A VIRAL OR BACTERIAL INFECTION AND SEEING THAT YOU WERE YOU HAD SOME EXPOSURE TO TO OTHER PEOPLE EVEN THOUGH THEY WERENT SICK IT COULD IT COULD BE THAT THEY THEY HAD SOME SORT OF AN ILLNESS THAT THEY COULD TRANSMIT THAT THEY WERENT JUST SHOWING SYMPTOMS AT THE TIME WE WILL GET A COVID SWAB DONE JUST TO MAKE SURE THAT THATS NOT WHATS HAPPENING IT COULD BE THAT AND ILL RECOMMEND THAT YOU CONTINUE TO YOU KNOW TAKE TYLENOL AND REST AND TAKE CARE OF YOURSELF AND IF YOUR SYMPTOMS WORSEN OR STAY THE SAME FOR LONG PERIOD OF TIME DEFINITELY COME BACK OR CALL PUBLIC HEALTH TO GET SOME GUIDANCE AND TRY TO STAY AWAY FROM OTHERS AND SELF ISOLATE FOR THE NEXT COUPLE OF DAYS OR AT LEAST CLEAR COVID SWABS BACK OR YOUR SYMPTOMS IMPROVE OR THE NEXT 14 DAYS SO THATS ALL I HAVE FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0172.mp3[566.480,568.760]	NO THAT SOUNDS REALLY GOOD THANK YOU
audio/RES0184.mp3[0.000,2.320]	HOW MAY I HELP YOU
audio/RES0184.mp3[2.320,15.160]	HI THERE UMM SO IVE HAD THIS RUNNY NOSE FOR THE PAST FIVE DAYS AND IT DOESNT SEEM TO BE GOING AWAY SO I THOUGHT I SHOULD GET SOME HELP
audio/RES0184.mp3[15.160,20.360]	OK AND AH WITH THE RUNNY NOSE COULD YOU DESCRIBE THE DISCHARGE
audio/RES0184.mp3[20.360,25.920]	YEAH ITS ITS PRETTY CLEAR
audio/RES0184.mp3[25.920,36.880]	OK AND HAVE YOU HAD ANY NASAL OBSTRUCTION OR FEELING AS THOUGH LIKE ONE OF YOUR NOSTRILS IS PLUGGED WHEN YOURE BREATHING IN
audio/RES0184.mp3[36.880,40.840]	UH YEAH I HAVE THAT FEELING
audio/RES0184.mp3[40.840,44.480]	OK HAVE YOU HAD ANY PAIN ON YOUR FACE
audio/RES0184.mp3[44.480,49.000]	PAIN AH NO NOTHING LIKE THAT
audio/RES0184.mp3[49.000,57.680]	OK HOW ABOUT A CHANGE TO YOUR SENSE OF SMELL LIKE LOSS OF SMELL
audio/RES0184.mp3[57.680,60.640]	NO I HAVENT HAD THAT
audio/RES0184.mp3[60.640,68.480]	OK HAVE YOU HAD ANY DISCHARGE FROM YOUR EYES OR EYE REDNESS OR ANY EYE PAIN
audio/RES0184.mp3[70.480,73.920]	ALRIGHT HAVE YOU HAD A SORE THROAT
audio/RES0184.mp3[73.920,76.720]	UHM NO SORE THROAT
audio/RES0184.mp3[76.720,79.720]	HAVE YOU HAD A COUGH
audio/RES0184.mp3[83.560,87.520]	OK HAVE YOU HAD ANY HEADACHES
audio/RES0184.mp3[87.520,91.080]	AH JUST A SLIGHT HEADACHE
audio/RES0184.mp3[91.080,94.840]	OK I MEAN HAVE YOU EXPERIENCED HEADACHES LIKE THIS IN THE PAST
audio/RES0184.mp3[94.840,102.440]	YEAH USUALLY WHEN I GET SICK I GET GET A HEADACHE
audio/RES0184.mp3[102.440,111.040]	OK OK CAN YOU DESCRIBE WHERE YOU FEEL THE HEADACHE THE MOST AND IS IT PULSATING OR KIND OF ALWAYS THERE
audio/RES0184.mp3[111.040,117.160]	ITS KIND OF ALWAYS THERE AND ITS JUST ON THE SIDES OF MY HEAD
audio/RES0184.mp3[117.160,125.000]	OK HAVE YOU TRIED ANYTHING FOR IT
audio/RES0184.mp3[125.000,132.080]	JUST SOME TYLENOL WHICH SEEMS TO HAVE HELPED
audio/RES0184.mp3[132.080,136.080]	OK UHM AND UMM YEAH HAVE YOU HAD A COUGH
audio/RES0184.mp3[136.080,143.680]	AH NO COUGH LIKE NOW UHM I I DID HAVE A SLIGHT COUGH LAST WEEK
audio/RES0184.mp3[143.680,146.240]	OK AND IT WENT AWAY
audio/RES0184.mp3[147.840,152.520]	WAS IT DRY OR DID YOU WERE BRINGING UP ANY SPUTUM OR PHLEGM
audio/RES0184.mp3[152.520,156.360]	NO ITS PRETTY DRY
audio/RES0184.mp3[156.360,160.720]	OK UHM AND DO YOU HAVE A SORE THROAT
audio/RES0184.mp3[161.640,164.960]	OK AND HAVE YOU HAD ANY WHEEZING OR SHORTNESS OF BREATH
audio/RES0184.mp3[167.080,170.880]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0184.mp3[172.200,177.000]	HOW ABOUT ANY WE SORRY FAINTING OR DIZZINESS
audio/RES0184.mp3[177.000,179.720]	NO NOTHING LIKE THAT
audio/RES0184.mp3[179.720,184.320]	OK HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/RES0184.mp3[186.640,193.320]	OK UHM AND HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0184.mp3[193.320,211.240]	UHM I HAVE HAD SOME LIKE DIARRHEA SO I THINK PART LIKE MY STOMACH HURT A LITTLE BIT DURING THAT TIME BUT I DONT HAVE THAT ANYMORE
audio/RES0184.mp3[211.240,215.680]	OK WHEN DID YOU HAVE DIARRHEA
audio/RES0184.mp3[215.680,219.480]	LAST WEEK AS WELL
audio/RES0184.mp3[219.480,226.240]	OK UH WAS THERE ANY BLOOD IN THE STOOL
audio/RES0184.mp3[227.560,235.200]	OK HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS LIKE ANY PAIN OR FREQUENCY
audio/RES0184.mp3[237.520,241.000]	ALRIGHT AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0184.mp3[242.400,245.480]	HOW ABOUT ANY FEVERS OR CHILLS
audio/RES0184.mp3[245.480,247.120]	UH NO
audio/RES0184.mp3[247.120,249.600]	HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0184.mp3[249.600,252.400]	UH NO NOTHING LIKE THAT
audio/RES0184.mp3[252.400,256.440]	I SEE OK AND HAVE YOU HAD ANY WEIGHT LOSS RECENTLY
audio/RES0184.mp3[258.080,263.400]	ALRIGHT HAVE YOU HAD ANY RASHES OR SKIN RASHES
audio/RES0184.mp3[265.040,269.000]	AND HOW ABOUT ANY MUSCLE ACHES OR OR BODY PAINS
audio/RES0184.mp3[269.000,270.680]	OH NO
audio/RES0184.mp3[270.680,276.080]	ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE
audio/RES0184.mp3[276.080,279.000]	UHM A LITTLE BIT
audio/RES0184.mp3[279.000,282.880]	OK LITTLE FATIGUE AND AND HOW HAS YOUR APPETITE BEEN
audio/RES0184.mp3[282.880,291.960]	APPETITES BEEN OK IM STILL EATING
audio/RES0184.mp3[291.960,296.120]	ALRIGHT AND UHM HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0184.mp3[296.120,299.720]	UH NO IVE BEEN PRETTY HEALTHY
audio/RES0184.mp3[299.720,305.960]	OK GREAT AND SO DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER OVER THE COUNTER OR PRESCRIBED
audio/RES0184.mp3[307.600,310.960]	OK AND DO YOU HAVE ANY ALLERGIES
audio/RES0184.mp3[310.960,314.000]	NO I DONT
audio/RES0184.mp3[314.000,320.720]	OK AND ANY RECENT HOSPITALIZATIONS IN THE PAST OR ANY PRIOR SURGERIES
audio/RES0184.mp3[320.720,329.920]	UH NO ACTUALLY I HAD MY APPENDIX TAKEN OUT WHEN I WAS YOUNGER BUT THAT WAS A LONG TIME AGO
audio/RES0184.mp3[329.920,340.320]	OK I SEE AND ARE YOU LIVING AH CAN YOU TELL ME ABOUT WHERE YOURE LIVING NOW AND WHO YOURE LIVING WITH
audio/RES0184.mp3[340.320,345.920]	IM IM LIVING BY MYSELF IM A STUDENT I LIVE IN AN APARTMENT
audio/RES0184.mp3[345.920,351.120]	OK AND ARE YOU GOING TO CLASSES IN PERSON RIGHT NOW
audio/RES0184.mp3[351.120,352.640]	NO THEYRE ALL ONLINE
audio/RES0184.mp3[352.640,360.240]	OK AND HAVE HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0184.mp3[360.240,364.640]	NO NOT THAT I CAN THINK OF
audio/RES0184.mp3[364.640,369.360]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0184.mp3[371.960,375.280]	OK AND YOU SMOKE CIGARETTES
audio/RES0184.mp3[375.280,376.880]	I DONT
audio/RES0184.mp3[376.880,381.320]	AND DO YOU SMOKE CANNABIS OR USE ANY CANNABIS PRODUCTS
audio/RES0184.mp3[381.320,384.320]	OCCASIONALLY I WILL
audio/RES0184.mp3[384.320,385.800]	OK HOW OFTEN
audio/RES0184.mp3[385.800,390.720]	UHM I WILL MAYBE SMOKE ONCE A WEEK
audio/RES0184.mp3[390.720,399.920]	OK UH AND USE ANY RECREATIONAL DRUGS LIKE COCAINE OR OPIOIDS
audio/RES0184.mp3[399.920,403.640]	OH GOSH NO
audio/RES0184.mp3[403.640,408.520]	AND DO YOU DRINK ALCOHOL
audio/RES0184.mp3[408.520,412.120]	UH YEAH OCCASIONALLY
audio/RES0184.mp3[412.120,415.760]	OK HOW MANY DRINKS WOULD YOU SAY YOU HAVE PER WEEK
audio/RES0184.mp3[415.760,420.400]	UHM ILL HAVE LIKE A BOTTLE OF WINE A WEEK
audio/RES0184.mp3[420.400,429.360]	OK AND ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0184.mp3[433.880,438.640]	OK HOW ABOUT ANY CANCERS
audio/RES0184.mp3[438.640,442.480]	I THINK LIKE COLON CANCER RUNS IN THE FAMILY
audio/RES0184.mp3[442.480,461.200]	OK UMM AND ALRIGHT SO THAT WAS EVERYTHING THAT I THINK I WANTED TO ASK ABOUT ON THAT ON THE HISTORY TODAY I WAS WONDERING IF THERE WAS ANYTHING ELSE THAT YOU WANTED TO MENTION THAT I MAYBE FORGOT TO ASK ABOUT
audio/RES0184.mp3[461.200,474.640]	NO NOTHING ELSE I I I WAS JUST WONDERING WHAT I COULD DO TO FEEL BETTER OR MAKE THIS GO AWAY
audio/RES0184.mp3[474.640,538.400]	YEAH CERTAINLY SO I SO ITS SOUNDS LIKE YOU HAVE THE COMMON COLD OR A VIRAL ILLNESS WHICH IT COULD BE CAUSED BY SOMETHING LIKE ADENOVIRUS OR THERE ARE OTHERS AS WELL HOWEVER THE SYMPTOMS DO OVERLAP WITH COVIAS YOU CAN BE LIKE NONSPECIFIC SYMPTOMS SUCH AS HAVING KIND OF JUST LIKE A RUNNY NOSE LIKE YOU DO HERE AND SO WE WILL DO A COVISWAB AND WELL AWAIT THOSE RESULTS BUT IN THE MEANTIME ITS MOSTLY SUPPORTIVE CARE SO IT MEANS JUST TRYING TO STAY HYDRATED STAY RESTED AND JUST MONITOR YOUR SYMPTOMS BECAUSE IF THINGS DO GET WORSE ITLL BE IMPORTANT TO UH GO TO THE EMERGENCY ROOM
audio/RES0184.mp3[541.720,547.800]	ALRIGHT SO WELL GET THE SWAB NOW AND GET THAT TESTING STARTED
audio/RES0184.mp3[547.800,550.560]	OK THAT SOUNDS GREAT THANK YOU
audio/RES0184.mp3[550.560,554.200]	ALRIGHT THANK YOU
audio/RES0009.mp3[0.000,3.920]	TO START COULD YOU TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TODAY
audio/RES0009.mp3[3.920,15.680]	REALLY I JUST DONT I I DONT FEEL QUITE RIGHT LIKE IVE HAD THIS PAIN IN MY CHEST FOR FIVE DAYS NOW AND IVE BEEN JUST FEELING KIND OF OUT OF BREATH
audio/RES0009.mp3[15.680,20.560]	OH OK UM WHERE ARE YOU FEELING THIS PAIN
audio/RES0009.mp3[20.560,42.160]	UM ITS ITS KIND OF UM ON THE LEFT SIDE OF MY CHEST AND ITS JUST LIKE A TINY ITS LIKE A LINGERING SHARP PAIN I DONT REALLY FEEL IT ANYWHERE ELSE ITS JUST KIND OF THERE ALL THE TIME RIGHT NOW I IVE NEVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0009.mp3[42.160,52.120]	OK SO YOURE NOT FEELING THE PAIN RADIATE ANY TO ANY OTHER LOCATIONS YOURE JUST FEELING IT SORT OF IN THE ONE SPOT ON THE LEFT SIDE
audio/RES0009.mp3[52.120,55.440]	YEAH YEAH EXACTLY
audio/RES0009.mp3[55.440,65.800]	OK AND SINCE THIS PAIN STARTED 5 DAYS AGO HAS IT GOTTEN ANY BETTER ANY WORSE OR STAYED THE SAME
audio/RES0009.mp3[65.800,101.880]	LIKE WHEN I WHEN IT STARTED I WAS JUST I WAS JUST LIKE SITTING ON MY COUCH UM AND NOW ITS HARDER IF IM ITS WORSE IF IM WALKING AROUND LIKE IF I WALK JUST DOWN THE STREET TO GET THE MAIL BUT OTHERWISE ITS KIND OF KIND OF JUST THERE LIKE I TOOK SOME TYLENOL AND ADVIL AND THEY MAYBE TAKE THE EDGE OFF A LITTLE BIT BUT ITS ALWAYS THERE AND ITS WORSE WHEN I WHEN I TAKE A DEEP BREATH THEN I REALLY FEEL IT
audio/RES0009.mp3[101.880,110.200]	OK SO ITS WORSE IS THE PAIN WORSE WHEN YOURE WALKING AS WELL LIKE OUT TO GET THE MAIL
audio/RES0009.mp3[110.200,118.560]	ITS I DONT THE THE PAIN IS BUT I IM NOT I CANT CATCH MY BREATH WHEN IM DOING THAT
audio/RES0009.mp3[118.560,121.480]	OK AND HOW FAR COULD YOU USUALLY WALK OR UM
audio/RES0009.mp3[121.480,133.840]	OH YEAH USUALLY WALK BEFORE I GO FOR LONG WALKS LIKE EVERY DAY LIKE PROBABLY LIKE 5 KILOMETERS OR SOMETHING
audio/RES0009.mp3[133.840,140.120]	OK SO PRIOR TO THIS HAPPENING YOU WERE FEELING WELL
audio/RES0009.mp3[140.120,155.880]	YEAH TOTALLY IVE NOT EVER HAD ANY PROBLEMS WITH MY HEART OR LUNGS OR ANYTHING I THOUGHT IT WAS MAYBE JUST LIKE A CHEST INFECTION BUT I I DONT KNOW ANYMORE
audio/RES0009.mp3[155.880,167.600]	OK SO YOUVE HAD THAT THE DIFFICULTIES BREATHING AND THE PAIN AND HAVE YOU HAD ANY OTHER SYMPTOMS
audio/RES0009.mp3[167.600,172.880]	MMM I THINK ITS JUST THOSE THOSE THE TWO THINGS THAT I SAID
audio/RES0009.mp3[172.880,181.200]	OK SO HAVE YOU BEEN EXPERIENCING ANY FEVERS OR CHILLS
audio/RES0009.mp3[181.200,183.120]	NO NOTHING LIKE THAT
audio/RES0009.mp3[183.120,189.080]	OK HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0009.mp3[190.880,206.160]	OK AND UM HOW IS YOUR ENERGY BEEN HAVE YOU EXPERIENCED ANY LIKE SIGNIFICANT FATIGUE
audio/RES0009.mp3[206.160,219.040]	UM NOT WELL I MEAN IVE BEEN DOING LESS STUFF BECAUSE ITS HARDER TO BREATHE LIKE IM GETTING KIND OF LIKE I CANT CATCH MY BREATH SO I GUESS MAYBE MAYBE A LITTLE BIT LIKE FATIGUE
audio/RES0009.mp3[219.040,227.720]	I SEE OK BUT FEELING FINE ENERGYWISE PRIOR TO THE TWO 5 DAYS AGO
audio/RES0009.mp3[227.720,230.000]	YEAH TOTALLY
audio/RES0009.mp3[230.000,237.000]	OK UH AND HAVE YOU BEEN HAVING ANY NIGHT SWEATS
audio/RES0009.mp3[237.000,241.280]	UH NO NO I HAVENT
audio/RES0009.mp3[241.280,249.960]	OK HOW ABOUT ANY UNUSUAL HEADACHES
audio/RES0009.mp3[251.880,261.720]	ALRIGHT AND HAVE YOU FELT AS THOUGH YOUR HEART IS RACING OR BEATING OUT OF YOUR CHEST AT ALL
audio/RES0009.mp3[261.720,265.760]	NO NO ITS JUST THAT LIKE SHARP THAT SHARP PAIN
audio/RES0009.mp3[265.760,275.640]	OK HAVE YOU HAD ANY EPISODES OF LIGHTHEADEDNESS OR FEELING LIKE YOU YOU MIGHT MIGHT FAINT
audio/RES0009.mp3[275.640,281.760]	NO NO JUST THE DIFFICULTY BREATHING THAT SCARES TO ME BUT IT HASNT BEEN LIKE THAT
audio/RES0009.mp3[281.760,288.200]	OK HAVE YOU HAD A COUGH
audio/RES0009.mp3[288.200,292.640]	NO NO THATS THE THING THAT IT SEEMS WEIRD RIGHT
audio/RES0009.mp3[292.640,313.280]	OK UM SOMETIMES THINGS CAN BE ASSOCIATED WITH A COUGH SO WELL ABSOLUTELY LOOK INTO WHAT THE CAUSES OF YOUR SYMPTOMS ARE TODAY BUT YOU HAVENT BROUGHT UP ANY ANY BLOOD OR ANY SPUTUM
audio/RES0009.mp3[313.280,315.680]	NO NO
audio/RES0009.mp3[315.680,321.080]	OK AND HAVE YOU HAD ANY WHEEZING WITH YOUR WITH YOUR BREATH
audio/RES0009.mp3[321.080,323.360]	I DONT KNOW I DONT THINK SO
audio/RES0009.mp3[323.360,330.000]	ALRIGHT AND HOW ABOUT ANY ABDOMINAL PAIN
audio/RES0009.mp3[330.000,337.480]	NO I MEAN THE PAIN IS LIKE YEAH ITS IN MY CHEST YEAH THATS NOT IN MY ITS NOT IN MY BELLY AT ALL
audio/RES0009.mp3[337.480,344.840]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0009.mp3[344.840,370.760]	NO I MEAN SO I HAD I HAD A I HAD A HYSTERECTOMY WEEKS AGO MAYBE LIKE MAYBE LIKE A MONTH AGO NOW UM SO AFTER THAT IT WAS YOU KNOW FEELING A LITTLE LIKE I WAS KIND OF NOT DRINKING AS MUCH AND THAT SO I WASNT PEEING AS MUCH THEN BUT I THINK ITS NORMAL NOW
audio/RES0009.mp3[370.760,384.960]	OK UM AND HOW HAVE YOU RECOVERED SINCE THE HYSTERECTOMY WERE YOU LIKE BEDBOUND FOR QUITE AWHILE AFTERWARDS OR WERE YOU UP AN ACTIVE
audio/RES0009.mp3[384.960,398.560]	REALLY IT WAS NOT REALLY LONG THAT I MAY BE A FEW DAYS I WASNT I WASNT WALKING AS MUCH BUT I THOUGHT IT WAS LIKE BACK TO MY NORMAL SELF
audio/RES0009.mp3[398.560,412.760]	OK WELL THATS GOOD IM GLAD THAT YOU RECOVERED FROM THAT SURGERY QUICKLY AND WHAT WAS THE SURGERY FOR
audio/RES0009.mp3[412.760,429.880]	UH I UH I MEAN I IM DONE HAVING KIDS AND I UH I HAD I WAS JUST HAVING REALLY HEAVY PERIODS STILL SO UH AND YOU KNOW A LOT OF PAIN THERE SO HATS WHY I HAD HYSTERECTOMY
audio/RES0009.mp3[429.880,436.480]	OK UM AND HAVE YOU HAD ANY BOWEL PROBLEMS
audio/RES0009.mp3[436.480,438.880]	NO NO
audio/RES0009.mp3[438.880,444.200]	OK HOW ABOUT ANY SKIN CHANGES OR OR RASHES
audio/RES0009.mp3[445.680,453.360]	OK HOW ABOUT ANY JOINT PAINS OR OR LEG PAINS OR MUSCLE PAINS
audio/RES0009.mp3[453.360,458.520]	UH NO I DONT THINK SO
audio/RES0009.mp3[458.520,468.880]	OK UM SO IN REGARDS TO PAST HEALTH ANY PREVIOUS MEDICAL DIAGNOSIS
audio/RES0009.mp3[468.880,477.960]	UH NO JUST LIKE I HAD THE HYSTERECTOMY BUT I I DONT LIKE TAKE ANY MEDICATIONS I DONT HAVE LIKE HIGH BLOOD PRESSURE OR ANYTHING
audio/RES0009.mp3[477.960,487.400]	OK SO NO PRESCRIPTION MEDICATIONS OR OVER THE COUNTER MEDICATIONS YOU TAKE REGULARLY LIKE SUPPLEMENTS OR
audio/RES0009.mp3[487.400,494.720]	NO JUST JUST TO THOSE LIKE THE ADVIL AND THE TYLENOL I WAS TAKING FOR THE PAIN
audio/RES0009.mp3[494.720,500.360]	OK AND ANY OTHER SURGERIES BESIDES THE HYSTERECTOMY
audio/RES0009.mp3[500.360,508.880]	UH LIKE I HAVE MY WISDOM TEETH OUT WHEN I WAS LIKE A TEENAGER THATS IT THOUGH
audio/RES0009.mp3[508.880,513.480]	OK THEN HOW ABOUT ANY ALLERGIES
audio/RES0009.mp3[517.400,523.960]	OK AND ARE YOUR IMMUNIZATIONS UP TO DATE
audio/RES0009.mp3[523.960,534.600]	I THINK SO UM YEAH YEAH I DONT YEAH I DONT THINK I DIDNT GET ANYTHING THAT WAS SUPPOSED TO
audio/RES0009.mp3[534.600,544.200]	OK WELL THATS GOOD AND UH HAS ANYBODY IN YOUR FAMILY EXPERIENCED ANYTHING LIKE THIS BEFORE
audio/RES0009.mp3[544.200,556.120]	MY MOM HAD A HEART ATTACK WHEN SHE WAS LIKE IN HER 70S UH OTHER THAN THAT I DONT I DONT KNOW I DONT THINK SO
audio/RES0009.mp3[556.120,567.920]	OK ANY UM CANCERS IN THE FAMILY OR OR BLEEDING DISORDERS OR COAGULATIONS DISORDERS
audio/RES0009.mp3[567.920,576.960]	UM NO I DONT THINK SO
audio/RES0009.mp3[576.960,587.320]	OK SO I HAVENT HEARD OF ANYBODY IN THE FAMILY HAVING LIKE A BLOOD CLOT OR OR A THROMBOSIS ANYWHERE
audio/RES0009.mp3[587.320,594.920]	I THINK MY MOMS LIKE COUSIN BUT NOT NO ONE LIKE NOT LIKE MY PARENTS OR ANYTHING
audio/RES0009.mp3[594.920,610.560]	OK UM SO THE NEXT FEW QUESTIONS I JUST WANTED TO ASK ABOUT YOUR PERSONAL AND KIND OF LIFESTYLE HABITS A LITTLE BIT BUT FIRST COULD YOU TELL ME ABOUT YOUR LIVING SITUATION
audio/RES0009.mp3[610.560,627.920]	UH YEAH I LIVE UM LIKE I SAID LIKE IM DONE HAVING KIDS BUT I HAVE 2 TWO KIDS THEYRE TEENAGERS I LIVE UM WITH THEM AND MY HUSBAND AND UH WE LIVE NOT FAR FROM HERE
audio/RES0009.mp3[627.920,631.400]	OK AND WHAT DO YOU DO FOR WORK
audio/RES0009.mp3[631.400,635.840]	UM IM AN ACCOUNTANT
audio/RES0009.mp3[635.840,641.520]	OK AND DO YOU DRINK ALCOHOL
audio/RES0009.mp3[641.520,647.560]	UM MAYBE A GLASS OF WINE ON LIKE THE WEEKENDS BUT NOT OTHER THAN NO
audio/RES0009.mp3[647.560,649.560]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0009.mp3[649.560,663.320]	I DO IM TRYING TO STOP I SMOKE MAYBE LIKE I DONT KNOW LIKE 5 PER DAY OR SOMETHING AT THIS POINT
audio/RES0009.mp3[663.320,679.120]	OK BUT IT SOUNDS LIKE YOUVE BEEN WORKING ON CUTTING DOWN WHICH IS GREAT UM AND HAVE YOU USED ANY OTHER RECREATIONAL DRUGS
audio/RES0009.mp3[679.120,690.320]	UM NO NO I MEAN WHEN I WAS LIKE YOUNGER I SOMETIMES LIKE WOULD USE MARIJUANA BUT I HAVENT REALLY RECENTLY
audio/RES0009.mp3[690.320,695.360]	OK AND HAVE YOU BEEN ANY BEEN ON ANY LIKE LONG TRIPS RECENTLY
audio/RES0009.mp3[695.360,697.080]	NO I WISH
audio/RES0009.mp3[697.080,735.400]	FAIR ENOUGH VACATION WOULD BE GREAT UM OK SO BUT THAT WAS ALL THE QUESTIONS THAT I WANTED TO ASK ON ON HISTORY WERE GOING TO RUN SOME INVESTIGATIONS I AM CONCERNED THAT YOU MIGHT HAVE A PULMONARY EMBOLISM AND SO WERE GOING TO DO SOME LAB WORK AND IMAGING TO INVESTIGATE THAT
audio/RES0009.mp3[735.400,739.040]	OK I YEAH IS THAT SCARY IS THAT BAD
audio/RES0009.mp3[739.040,760.680]	IT CAN VARY FROM BEING MILD TO SEVERE AND SO THATS WHAT WE WANT TO GET SOME OF THE IMAGING AND LAB WORK TO SEE WELL TO FIRST CONFIRM IF THATS WHAT YOU ACTUALLY HAVE AND IF SO OFFER THE RIGHT TREATMENT
audio/RES0009.mp3[760.680,765.120]	OK THANKS DOCTOR
audio/RES0009.mp3[765.120,768.280]	WELCOME WILL GET THAT STARTED
audio/RES0166.mp3[0.000,1.560]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0166.mp3[1.560,17.320]	IVE JUST BEEN FEELING REALLY SHORT OF BREATH SINCE THIS MORNING AND I DONT UH YEAH I DONT KNOW WHATS GOING ON
audio/RES0166.mp3[17.320,19.720]	IT JUST STARTED THIS MORNING
audio/RES0166.mp3[21.680,28.080]	AND UH DID YOU WAKE UP FEELING SHORT OF BREATH OR WAS IT AFTER YOU HAD WOKEN UP AND WE WERE DOING ACTIVITIES
audio/RES0166.mp3[28.080,31.040]	IT WAS WHEN I WAS DOING ACTIVITIES
audio/RES0166.mp3[31.040,37.560]	OK AND WHAT WERE YOU DOING BEFORE YOU HAD THE SHORTNESS OF BREATH
audio/RES0166.mp3[37.560,44.920]	OH I WAS JUST GOING TO THE KITCHEN TO MAKE BREAKFAST
audio/RES0166.mp3[44.920,59.400]	OK AND UHM CAN YOU DESCRIBE THE SHORTNESS OF BREATH IS IT MORE SO THAT YOURE HAVING TROUBLE DEEP BREATHS OR ARE YOU TAKING SHALLOW FAST BREATHS HOW WOULD YOU DESCRIBE IT
audio/RES0166.mp3[59.400,70.400]	UHM I GUESS JUST SHALLOW FAST BREATHS I FEEL LIKE IVE RUN A MARATHON AND I JUST YEAH AND ALL IVE DONE IS JUST WALKED TO THE KITCHEN
audio/RES0166.mp3[70.400,78.360]	OK AND HAS THIS HAPPENED TO YOU BEFORE EVER
audio/RES0166.mp3[80.040,86.880]	NO OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE OFF SORE THROAT CHEST PAIN ANYTHING LIKE THAT
audio/RES0166.mp3[88.480,90.400]	SO ITS JUST THE SHORTNESS OF BREATH
audio/RES0166.mp3[90.400,92.520]	YEAH THATS IT
audio/RES0166.mp3[92.520,99.800]	OK AND SO IT IT STARTED THIS MORNING IS IT STILL CONTINUING OR IS IT UH
audio/RES0166.mp3[99.800,101.280]	STILL THERE
audio/RES0166.mp3[101.280,105.440]	OK IS IT WORSE AT ALL THAN IT WAS THIS MORNING
audio/RES0166.mp3[105.440,109.880]	UHM KIND OF THE SAME ID SAY
audio/RES0166.mp3[109.880,118.080]	OK ARE YOU GETTING ANY KIND OF CHEST DISCOMFORT OR ANYTHING AT ALL WITH BREATHING
audio/RES0166.mp3[118.080,125.480]	MAYBE WHEN I TAKE A VERY DEEP BREATH THEN YEAH IT JUST KIND OF I FEEL LIKE THIS SHARP PAIN
audio/RES0166.mp3[125.480,133.320]	OK HOW HAVE YOU HAVING IVE BEEN HAVING ANY CHILLS OR FEVER OR ANYTHING LIKE THAT
audio/RES0166.mp3[134.000,137.880]	OK ANY DIZZINESS OR FAINTING SPELLS
audio/RES0166.mp3[139.440,147.680]	OK DO YOU FEEL THAT YOUR HEART IS RACING AT ALL
audio/RES0166.mp3[149.720,161.480]	OK AND AND HAVE YOU TRIED ANYTHING THATS HELPED YOU IMPROVE THOSE SYMPTOMS LIKE TAKING A REST OR LAYING DOWN FLAT ANYTHING LIKE THAT
audio/RES0166.mp3[161.480,170.120]	NO HAVENT REALLY TRIED MUCH IT JUST STARTED THIS MORNING SO I I JUST DECIDED COME IN RIGHT AWAY
audio/RES0166.mp3[170.120,179.600]	OK HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0166.mp3[179.600,181.400]	UM NO
audio/RES0166.mp3[181.400,188.040]	ANY UH CONTACTED SOMEONE WHOS BEEN SICK RECENTLY
audio/RES0166.mp3[188.040,190.560]	I DONT THINK SO
audio/RES0166.mp3[190.840,201.720]	I DID JUST SAY SORRY I I DID JUST GET OUT OF THE HOSPITAL SO MAYBE I COULD HAVE HAD SOME CONTACT THERES SOME EXPOSURE THERE
audio/RES0166.mp3[201.720,208.920]	OK SO SO WHEN DID YOU GET OUT OF THE HOSPITAL
audio/RES0166.mp3[208.920,211.280]	UHM TWO DAYS AGO
audio/RES0166.mp3[211.280,220.240]	TWO DAYS AGO OK AND WHAT WERE YOU IN THE HOSPITAL FOR
audio/RES0166.mp3[220.240,222.400]	UHM I HAD I BROKE MY HIP
audio/RES0166.mp3[222.400,226.040]	OK AND DID YOU HAVE A SURGERY FOR YOUR HIP
audio/RES0166.mp3[226.040,231.000]	NO THEY DIDNT THINK IT WAS SURGERY WAS NEEDED
audio/RES0166.mp3[231.000,235.200]	OK SO HOW LONG WERE YOU IN THE HOSPITAL FOR
audio/RES0166.mp3[235.200,239.680]	ABOUT 4 DAYS
audio/RES0166.mp3[239.680,246.920]	FOUR DAYS OK AND IN THOSE FOUR DAYS WHAT WERE THEY DOING FOR YOU THERE
audio/RES0166.mp3[246.920,255.080]	JUST TRYING TO HELP ME JUST DOING PHYSIOTHERAPY AND HELPING ME SORT OF GET UP AND GET OUT OF BED
audio/RES0166.mp3[255.520,260.240]	AND LIKE GIVING ME PAIN MEDICATIONS
audio/RES0166.mp3[260.240,269.320]	AND SINCE OR LIKE WHEN YOU WENT HOME TODAY SET UP ANY KIND OF HOME CARE FOR YOU OR ANYTHING LIKE THAT
audio/RES0166.mp3[269.320,273.640]	YEAH THEY DID A NURSE COMES IN ONCE A DAY
audio/RES0166.mp3[273.640,277.360]	OK AND HOW ABOUT UH PHYSIOTHERAPY
audio/RES0166.mp3[277.360,289.040]	YEAH I DONT KNOW THEY HAVENT REALLY BEEN COMING IN AND I I ASKED THE NURSE AND SHE SAID SHES GONNA LOOK INTO IT MAYBE SOMETHING WENT WRONG THERE
audio/RES0166.mp3[289.040,298.600]	OK UM AND AFTER YOUVE BEEN DISCHARGED HAVE YOU BEEN MOVING AROUND AT ALL OR IF YOUVE BEEN PRETTY IMMOBILIZED
audio/RES0166.mp3[298.600,312.480]	I TRY BUT ITS BEEN ITS BEEN HARD LIKE SPECIALLY THE FIRST COUPLE OF DAYS I DONT THINK IT DID MUCH BUT SINCE THEN IVE BEEN IVE BEEN TRYING TO MOVE AROUND A LITTLE BIT MORE
audio/RES0166.mp3[312.480,319.440]	OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS AT ALL
audio/RES0166.mp3[319.440,321.320]	UH NO
audio/RES0166.mp3[321.320,323.240]	NO NOTHING LIKE THAT
audio/RES0166.mp3[323.760,334.960]	HAVE YOU PREVIOUSLY HAD ANY KIND OF CLOTS LIKE A DEEP VEIN THROMBOSIS OR PULMONARY EMBOLISM ANYTHING LIKE THAT
audio/RES0166.mp3[335.360,340.400]	HAVE YOU HAD ANY PREVIOUS DIAGNOSIS OF CANCER
audio/RES0166.mp3[340.400,349.320]	I DID IN THE PAST ABOUT 10 YEARS AGO I HAD LEUKAEMIA
audio/RES0166.mp3[349.320,359.560]	LEUKAEMIA OK AND ARE YOU STILL ON ANY KIND OF TREATMENT OR DO YOU SEE AN ONCOLOGIST OR A MYTHOLOGIST
audio/RES0166.mp3[359.560,364.120]	NO NOT ANYMORE
audio/RES0166.mp3[364.120,372.160]	NOT ANYMORE OK UM AND SO ARE YOU EXPERIENCING ANY KIND OF COUGHING UP BLOOD OR ANYTHING LIKE THAT
audio/RES0166.mp3[372.160,376.000]	UHM NO
audio/RES0166.mp3[376.000,382.360]	NO OK UM DO YOU FEEL ANY PAIN IN YOUR CAPS AT ALL
audio/RES0166.mp3[384.760,392.240]	NO OK ALRIGHT OTHER THAN THAT ARE YOU HAVING ANY SYMPTOMS OF NAUSEA AND VOMITING AT ALL
audio/RES0166.mp3[392.240,394.320]	UHM NO I DONT
audio/RES0166.mp3[394.320,401.040]	OK ANY FEVERS OR CHILLS
audio/RES0166.mp3[402.680,409.040]	OK ANY NIGHT SWEATS OR FATIGUE
audio/RES0166.mp3[410.040,414.160]	OK ANY DIARRHEA OR CONSTIPATION
audio/RES0166.mp3[414.160,415.680]	NO NONE OF THOSE
audio/RES0166.mp3[415.680,422.880]	OK AND BESIDES THE CANCER ANY PREVIOUS MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0166.mp3[422.880,426.000]	NO I WAS PRETTY HEALTHY BEFORE THAT
audio/RES0166.mp3[426.000,437.360]	OK ANY HISTORY OF ANY CLOTTING OR CLOTTING DISORDERS AT ALL
audio/RES0166.mp3[438.280,441.560]	OK DO YOU TAKE ANY MEDICATIONS CURRENTLY
audio/RES0166.mp3[441.560,444.280]	NO NO NOT ANYMORE
audio/RES0166.mp3[444.280,446.760]	OK ANY ALLERGIES TO ANY MEDICATIONS
audio/RES0166.mp3[446.760,452.840]	UHM NO
audio/RES0166.mp3[452.840,457.120]	OK UM ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITIONS
audio/RES0166.mp3[457.120,463.320]	UM NO LUNG OR HEART CONDITIONS NO
audio/RES0166.mp3[463.320,474.160]	OK AND CURRENTLY RIGHT NOW DO YOU WORK AT ALL
audio/RES0166.mp3[474.160,479.400]	YEAH I DO I UM IM A BANKER
audio/RES0166.mp3[479.400,486.360]	BANKER OK UHM AND WHATS YOUR LIVING SITUATION LIKE WHERE DO YOU LIVE WITH ANYONE OR INWARD WHERE DO YOU LIVE
audio/RES0166.mp3[486.360,493.600]	I LIVE AT HOME WITH MY HUSBAND AND MY TWO KIDS
audio/RES0166.mp3[493.600,499.640]	OK AND YOU SMOKE IT ALL
audio/RES0166.mp3[499.640,504.040]	NO I DONT
audio/RES0166.mp3[504.040,507.600]	OK AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0166.mp3[507.600,514.080]	UH SOMETIMES ILL HAVE MARIJUANA WITH MY FRIENDS BUT I HAVENT REALLY DONE THAT SINCE THE PANDEMIC STARTED
audio/RES0166.mp3[514.080,518.880]	OK AND YOU DRINK ALCOHOL
audio/RES0166.mp3[518.880,525.360]	YEAH I DO COME ILL HAVE MAYBE TWO OR THREE GLASSES OF BEER ON THE WEEKEND
audio/RES0166.mp3[525.360,536.440]	OK ALRIGHT SO THESE ARE ALL THIS QUESTIONS I HAD FOR YOU TODAY WELL DO A FULL PHYSICAL EXAMINATION NEXT DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0166.mp3[537.200,585.520]	OK SO YEAH RIGHT NOW ONE OF THE MAIN THINGS WE WANT TO RULE OUT ESPECIALLY SINCE YOU HAD THE SUDDEN SHORTNESS OF BREATH TODAY AFTER A HISTORY OF JUST RECENT DISCHARGE AND THE HIP FRACTURE OR INJURY AND YOURE IMMOBILIZED WE NEED TO MAKE SURE YOU HAVENT DEVELOPED A CLOT THAT HAS TRAVELED TO YOUR LUNGS SO WELL DO A FULL PHYSICAL EXAMINATION AND GET SOME BLOOD WORK DONE INITIALLY AND THEN SEE IF YOU REQUIRE ANY MEDICATIONS FOR IF YOU NEED THROMBOLYSIS FOR TO BREAK UP THE CLOT WELL WE MIGHT DO SOME IMAGING AS WELL SO YEAH WELL WELL JUST START WITH THAT AND THEN WELL GO FROM THERE
audio/RES0166.mp3[587.040,600.000]	SO YOULL BE IN HERE FOR A FEW HOURS UNTIL WE GET ALL THOSE THINGS DONE AND SEE IF YOU NEED ANY ADMISSION AT ALL TO THE HOSPITAL
audio/RES0166.mp3[601.920,605.400]	THANK YOU
audio/RES0166.mp3[605.400,606.440]	WELCOME TAKE CARE
audio/RES0191.mp3[0.000,2.040]	HOW MAY I HELP YOU
audio/RES0191.mp3[2.040,18.840]	HI IM I HAVE BEEN HAVING THIS NASAL OBSTRUCTION AND DISCHARGE FOR THE PAST WEEK AND IT DOESNT SEEM TO BE GOING AWAY AND ITS BOTHERING ME SO I THOUGHT I WOULD GET IT CHECKED OUT BY YOU
audio/RES0191.mp3[18.840,25.400]	OK FOR SURE UHM COULD YOU DESCRIBE THE DISCHARGE
audio/RES0191.mp3[25.400,33.480]	YEAH ITS A ITS MOSTLY CLEAR IT DOESNT IT DOESNT HAVE A COLOR TO IT
audio/RES0191.mp3[33.480,38.640]	OK SO NO YELLOW GREEN OR OR RED TO INDICATE ANY BLOOD
audio/RES0191.mp3[42.200,48.760]	OK AND YOU MENTIONED SO WITH THE OBSTRUCTION HAVE YOU HAD DIFFICULTIES BREATHING
audio/RES0191.mp3[48.760,63.560]	UM A LITTLE BIT I JUST NEED TO AND IS MOSTLY AT NIGHT I JUST NEED TO SHIFT TO ONE SIDE OR THE OTHER TO LIKE UNBLOCK MY AIRWAYS
audio/RES0191.mp3[63.560,74.080]	I SEE OK AND HAVE YOU BEEN HAVING ANY PAIN ON YOUR FACE LIKE I LIKE KIND OF OVER YOUR CHEEKS OR OVER YOUR FOREHEAD
audio/RES0191.mp3[76.280,79.800]	OK HOW ABOUT ANY HEADACHES
audio/RES0191.mp3[79.800,81.720]	NO HEADACHES
audio/RES0191.mp3[81.720,88.800]	ALL RIGHT HAVE YOU HAD ANY CHANGES OR TO YOUR SENSE OF SMELL OR ANY LOSS OF SMELL
audio/RES0191.mp3[88.800,102.800]	UHM NO MAYBE A LITTLE BIT BUT NO NOT REALLY I CAN STILL EAT I CAN STILL SMELL LIKE CANDLES AND THINGS LIKE THAT SO MAYBE GO WITH NO
audio/RES0191.mp3[102.800,113.000]	OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE
audio/RES0191.mp3[115.000,119.320]	OK HAVE YOU HAD ANY EYE REDNESS OR OR ANY EYE PAIN
audio/RES0191.mp3[120.360,123.320]	ANY EAR PAIN OR EAR DISCHARGE
audio/RES0191.mp3[124.400,127.040]	ANY CHANGES TO THE VISION OR HEARING
audio/RES0191.mp3[127.040,128.400]	UH NO
audio/RES0191.mp3[128.400,131.240]	OK HAVE YOU HAD A SORE THROAT
audio/RES0191.mp3[132.320,134.040]	HAVE YOU HAD A COUGH
audio/RES0191.mp3[135.320,138.120]	HAVE YOU HAD ANY SHORTNESS OF BREATH
audio/RES0191.mp3[138.120,139.560]	UH NO
audio/RES0191.mp3[139.560,141.640]	HAVE YOU HAD ANY WHEEZING
audio/RES0191.mp3[142.720,148.280]	OK AND HAVE YOU COUGHED UP ANY BLOOD
audio/RES0191.mp3[150.120,153.120]	OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0191.mp3[154.440,157.480]	HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/RES0191.mp3[157.480,158.560]	UH NO
audio/RES0191.mp3[158.560,162.600]	HAVE YOU FELT LIKE YOUR HEARTS BEATING REALLY FAST OR RACING
audio/RES0191.mp3[164.080,167.640]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0191.mp3[168.800,170.960]	HAVE YOU HAD A NIGHT SWEATS
audio/RES0191.mp3[172.320,175.320]	HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS
audio/RES0191.mp3[176.640,179.840]	OK HAVE YOU HAD ANY LOSS OF APPETITE
audio/RES0191.mp3[179.840,181.560]	UH NOPE
audio/RES0191.mp3[181.560,185.120]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0191.mp3[186.280,188.360]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0191.mp3[189.640,193.080]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0191.mp3[194.240,200.440]	HAVE YOU HAD ANY PAINFUL URINATION OR URINARY FREQUENCY
audio/RES0191.mp3[201.840,206.520]	OK HAVE YOU HAD ANY SKIN RASHES
audio/RES0191.mp3[207.520,211.680]	HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0191.mp3[212.520,216.640]	HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION
audio/RES0191.mp3[218.320,225.000]	OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD FATIGUE OR MALAISE
audio/RES0191.mp3[225.000,227.480]	NO NOTHING LIKE THAT
audio/RES0191.mp3[227.480,236.200]	OK UHM AND HAVE YOU HAD ANY SNEEZING
audio/RES0191.mp3[238.080,245.080]	OK UHM AND UH ARE YOU HEALTHY OR OR HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0191.mp3[245.080,250.960]	NO IM ACTUALLY PRETTY HEALTHY
audio/RES0191.mp3[250.960,256.800]	OK HAVE YOU HAD ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/RES0191.mp3[257.240,267.480]	OK AND ANY ALLERGIES LIKE TO ANY MEDICATIONS OR ANY SEASONAL ALLERGIES LIKE DO YOU GET SYMPTOMS LIKE THIS THAT CHANGE THROUGHOUT THE YEAR
audio/RES0191.mp3[268.120,272.320]	OK AND SORRY NO ALLERGIES TO MEDICATIONS AS WELL
audio/RES0191.mp3[272.320,276.200]	NO ALLERGIES TO MEDICATIONS
audio/RES0191.mp3[276.200,284.160]	OK AND DO YOU TAKE ANY MEDICATIONS REGULARLY EITHER PRESCRIBED OR OVER THE COUNTER
audio/RES0191.mp3[284.160,286.560]	NO I DONT TAKE ANY MEDICATIONS
audio/RES0191.mp3[286.560,295.280]	OK AND CAN YOU TELL ME ABOUT WHERE YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH
audio/RES0191.mp3[295.280,302.120]	UHM I LIVE BY MYSELF RIGHT NOW I LIVE IN AN APARTMENT DOWNTOWN
audio/RES0191.mp3[302.120,307.520]	OK AND ARE YOU GOT WORKING RIGHT NOW OR ARE YOU GOING TO SCHOOL OR BOTH
audio/RES0191.mp3[307.520,313.400]	IM WORKING RIGHT NOW BUT IM WORKING FROM HOME
audio/RES0191.mp3[313.400,318.600]	OK UH HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0191.mp3[318.600,329.880]	NO ONE PERSONALLY BUT I DO GO TO THE GROCERY STORE AND THE BANK AND ALL THE ESSENTIAL THINGS
audio/RES0191.mp3[329.880,337.800]	I SEE OK UHM AND HAVE YOU HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0191.mp3[337.800,341.200]	NO I HAVENT
audio/RES0191.mp3[341.200,342.640]	OK ARE YOU IN A RELATIONSHIP
audio/RES0191.mp3[342.640,344.120]	I AM
audio/RES0191.mp3[344.120,346.480]	ARE YOU SEXUALLY ACTIVE
audio/RES0191.mp3[346.480,349.440]	I AM
audio/RES0191.mp3[349.440,359.480]	OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS
audio/RES0191.mp3[359.480,371.320]	UHM YEAH SO WEVE BEEN TOGETHER FOR THE PAST FIVE YEARS AND YEAH HES THE ONLY SEXUAL PARTNER I HAVE
audio/RES0191.mp3[371.320,373.840]	OK AND DO YOU USE CONDOMS OR BIRTH CONTROL
audio/RES0191.mp3[373.840,376.000]	BIRTH CONTROL
audio/RES0191.mp3[376.000,385.320]	OK UHM AND ANY CONCERN FOR A SEXUALLY TRANSMITTED INFECTION
audio/RES0191.mp3[388.720,391.040]	OK AND YOU SMOKE CIGARETTES
audio/RES0191.mp3[391.040,392.640]	I DONT
audio/RES0191.mp3[392.640,397.360]	DO YOU SMOKE CANNABIS OR USE CANNABIS PRODUCTS
audio/RES0191.mp3[397.360,397.800]	UH NOPE
audio/RES0191.mp3[397.800,403.120]	OK HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS
audio/RES0191.mp3[403.800,406.440]	OK DO YOU DRINK ALCOHOL
audio/RES0191.mp3[406.440,410.360]	I DO ILL HAVE LIKE A GLASS OF WINE EVERY DAY
audio/RES0191.mp3[410.360,420.000]	OK AND IN THE FAMILY ARE THERE ANY HEART CONDITIONS OR LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0191.mp3[421.240,425.280]	HOW ABOUT THINGS LIKE DIABETES OR OR HIGH BLOOD PRESSURE
audio/RES0191.mp3[425.280,428.120]	UHM I DONT THINK SO
audio/RES0191.mp3[428.120,432.280]	OK AND UH ARE THERE ANY CANCERS IN THE FAMILY
audio/RES0191.mp3[432.280,439.520]	UHM THERES COLON CANCER IN THE FAMILY
audio/RES0191.mp3[439.520,443.680]	OK AND WHO WAS THAT AND HOW OLD WERE THEY
audio/RES0191.mp3[443.680,448.240]	UHM MY GRANDFATHER HE WAS 55
audio/RES0191.mp3[448.240,462.800]	OK UHM ALRIGHT AND SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON HISTORY WAS THERE ANYTHING ELSE THAT I WAS MAYBE FORGETTING
audio/RES0191.mp3[462.800,470.160]	UH NO I THINK THAT WAS IT
audio/RES0191.mp3[470.160,520.920]	OK SO WITH THE PROMINENT SYMPTOMS OF BEING NASAL DISCHARGE AND OBSTRUCTION WITHOUT FEVER AND WITHOUT LIKE CHANGES TO SMELL AND ALSO WITHOUT PAIN ITS MOST LIKELY A VIRAL RHINOSINUSITIS UHM HOWEVER THIS COULD HAVE SYMPTOMS THAT OVERLAP WITH WITH COVIAND SO WE WILL STILL END UP DOING A SWAB EVEN THOUGH THE MOST LIKELY DIAGNOSIS IS GOING TO BE A VIRAL ACUTE RHINOSINUSITIS
audio/RES0191.mp3[522.440,525.480]	DO YOU HAVE ANY OTHER QUESTIONS
audio/RES0191.mp3[525.480,530.480]	NO THANK YOU OR YEAH THANK YOU
audio/RES0191.mp3[530.480,533.560]	THANK YOU
audio/RES0073.mp3[0.000,4.160]	WOULD YOU MIND BY STARTING WITH WHAT BROUGHT YOU IN
audio/RES0073.mp3[4.160,45.200]	YEAH SO OVER THE LAST WEEK IVE JUST BEEN FEELING SOME SYMPTOMS IT KIND OF FIRST STARTED WITH LIKE A RUNNY NOSE THAT WAS AROUND LIKE 5 DAYS AGO AND THEN IT TURNED INTO JUST A LOT OF CONGESTION LIKE AROUND MY NOSE AND LIKE MY THROAT AND NOW OVER THE LAST TWO DAYS IVE BEEN JUST FEELING SO MUCH PRESSURE AROUND MY NOSE AND AROUND MY JAW SO IVE BEEN GETTING A LOT OF PAIN THERE AS WELL
audio/RES0073.mp3[45.200,48.600]	OK IS YOUR NOSE STILL RUNNING
audio/RES0073.mp3[48.600,60.000]	YEAH IM STILL GETTING SOME DISCHARGE AND I ALSO FEEL LIKE IM GETTING SOME DRIPPING AT THE BACK OF MY THROAT TOO ESPECIALLY WHEN I WAKE UP
audio/RES0073.mp3[60.000,67.200]	OK AND COULD YOU DESCRIBE THE DISCHARGE IS IT CLEAR YELLOW GREENISH
audio/RES0073.mp3[67.200,78.440]	UH ITS FAIRLY CLEAR AND SOMETIMES LIKE A BIT WHITE BUT LIKE ITS NOT LIKE GREEN OR YELLOW
audio/RES0073.mp3[78.440,87.800]	OK UH AND HAVE YOU FELT THAT ITS DIFFICULT TO BREATHE IN THROUGH EITHER OF YOUR NOSTRILS LIKE ITS OBSTRUCTED
audio/RES0073.mp3[87.800,105.240]	YEAH SO AT NIGHT SOMETIMES I HAVE TO LIKE TURN BECAUSE ONE SIDE OF MY NOSE GETS DIFFICULT TO BREATHE FROM AND THEN IT KIND OF BALANCES OUT ON THE OTHER SIDE SO YEAH I DO HAVE SOME OBSTRUCTION
audio/RES0073.mp3[105.240,110.000]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF SMELL
audio/RES0073.mp3[110.000,121.520]	YEAH SO JUST IN THE LAST THREE DAYS WHEN THE CONGESTION GOT REALLY BAD I STARTED LOSING THE ABILITY TO SMELL
audio/RES0073.mp3[121.520,125.760]	OK HAVE YOU HAD ANY CHANGES TO YOUR SENSE OF TASTE
audio/RES0073.mp3[125.760,129.360]	NO TASTE IS FINE
audio/RES0073.mp3[129.360,134.600]	OK AND HAVE YOU HAD ANY COUGH OR SORE THROAT
audio/RES0073.mp3[134.600,139.200]	UH NO NO COUGH OR SORE THROAT
audio/RES0073.mp3[139.200,153.080]	OK AND THE SYMPTOMS HAVE GONE ON FOR FIVE DAYS HAVE YOU HAD A PERIOD OF TIME WHERE YOU GOT BETTER AND THEN GOT SICK AGAIN
audio/RES0073.mp3[153.080,171.840]	I DID KIND OF HAVE A RUNNY NOSE LAST WEEK AS WELL SO PROBABLY LIKE 8 DAYS AGO BUT THEN THE RUNNY NOSE DISCONTINUED A LITTLE BIT BUT REALLY GOT WORSE 5 DAYS AGO BUT ALL THESE OTHER SYMPTOMS JUST HAPPENED IN THE LAST FEW DAYS
audio/RES0073.mp3[171.840,184.400]	OK AND YOU HAVE PAIN DO YOU FEEL IT IN YOUR JAW OR DO YOU FEEL IT IN THE IN THE FRONT OF YOUR NOSE
audio/RES0073.mp3[184.400,201.600]	YES I WOULD SAY MAINLY OVER THE CHEEKS IT CAN KIND OF GO NEAR THE FRONT OF MY TEETH AS WELL SO LIKE I WOULD SAY LIKE MOSTLY AROUND THE CHEEKS JAWS AND UP TO THE FRONT OF MY TEETH
audio/RES0073.mp3[201.600,210.160]	OK AND DO YOU GRIND YOUR TEETH AT ALL AT NIGHT OR HAVE YOU HAD TMJ ISSUES BEFORE
audio/RES0073.mp3[210.160,223.320]	NO NOTHING LIKE THAT I THINK ITS NOT SO MUCH ON AND AROUND MY TEETH ITS MORE SO JUST TO RIGHT BELOW MY NOSE ABOVE MY TEETH AND JUST AROUND MY CHEEKS
audio/RES0073.mp3[223.320,228.560]	OK SO NO PAIN IN YOUR MOUTH OR ANYTHING LIKE THAT
audio/RES0073.mp3[228.560,231.440]	NO NOT INSIDE MY MOUTH
audio/RES0073.mp3[231.440,235.600]	OK HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0073.mp3[235.600,245.760]	UHM I DONT THINK IVE HAD A FEVER I DID FEEL SOME CHILLS OVER THE LAST FEW DAYS BUT JUST VERY BRIEF EPISODES
audio/RES0073.mp3[245.760,252.160]	OK AND OVER THE LAST FEW WEEKS HAVE YOU HAD ANY WEIGHT LOSS
audio/RES0073.mp3[254.680,262.240]	OK AND YOU SAID YOU DIDNT HAVE A COUGH OR A SORE THROAT BUT HAVE YOU HAD ANY WHEEZING
audio/RES0073.mp3[262.240,263.800]	NO WHEEZING
audio/RES0073.mp3[263.800,266.840]	HOW ABOUT ANY SHORTNESS OF BREATH
audio/RES0073.mp3[266.840,278.240]	UH NOT SHORTNESS OF BREATH JUST SOMETIMES WHEN MY NOSE GETS LIKE REALLY CONGESTED I JUST TURN INTO LIKE A MOUTH BREATHER BUT THATS ABOUT IT
audio/RES0073.mp3[278.240,282.840]	I SEE OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0073.mp3[282.840,284.920]	NO NO CHEST PAIN
audio/RES0073.mp3[284.920,293.600]	ALRIGHT AND ANY LIGHTHEADEDNESS OR FEELING DIZZY
audio/RES0073.mp3[294.960,297.960]	OK HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0073.mp3[299.240,301.720]	ANY ABDOMINAL PAIN
audio/RES0073.mp3[302.920,307.040]	HAVE YOU HAD ANY DIARRHEA
audio/RES0073.mp3[307.040,308.120]	SORRY WHAT WAS THAT
audio/RES0073.mp3[308.120,310.720]	HAVE YOU HAD ANY DIARRHEA
audio/RES0073.mp3[310.720,312.000]	NO DIARRHEA
audio/RES0073.mp3[312.000,315.400]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS
audio/RES0073.mp3[315.400,316.720]	UH NO
audio/RES0073.mp3[316.720,321.160]	AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES
audio/RES0073.mp3[321.160,323.600]	NO NOT THAT I KNOW
audio/RES0073.mp3[323.600,329.520]	OK THEN HOW ABOUT ANY MUSCLE ACHES OR JOINT ACHES
audio/RES0073.mp3[329.520,331.320]	UH NO
audio/RES0073.mp3[331.320,340.200]	OK AND HAVE YOU HAD ANY MUSCLE WEAKNESS
audio/RES0073.mp3[341.000,345.800]	AND HOW HAS YOUR ENERGY BEEN ANY FATIGUE
audio/RES0073.mp3[345.800,364.000]	UHM ITS BEEN MAINLY OK JUST MAYBE SOMETIMES DIFFICULT TO GET TO SLEEP WITH ALL THE ALL THE CONGESTION BUT I DONT THINK MY ENERGY HAS BEEN AFFECTED TOO MUCH NO
audio/RES0073.mp3[364.000,374.080]	OK AND UH SORRY TO GO BACK TO THIS I DONT THINK I ASKED DID YOU NOTICE ANY DISCHARGE FROM YOUR EYES OR ANY EYE REDNESS
audio/RES0073.mp3[374.080,379.000]	NOT DISCHARGE BUT YEAH MAYBE A LITTLE BIT OF REDNESS
audio/RES0073.mp3[379.000,382.920]	OK HAVE YOUR EYES BEEN ITCHY
audio/RES0073.mp3[382.920,388.160]	UHM YEAH A LITTLE BIT I WOULD SAY THEY HAVE BEEN A BIT ITCHY
audio/RES0073.mp3[388.160,398.280]	OK ALRIGHT THEN DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN FOR REGULARLY
audio/RES0073.mp3[398.280,402.440]	UH JUST UHM ITS CALLED DYSLIPIDEMIA
audio/RES0073.mp3[402.440,406.880]	OK I SEE AND ANY MEDICATIONS YOU TAKE FOR THAT
audio/RES0073.mp3[406.880,411.520]	JUST LIKE A STATIN MEDICATION
audio/RES0073.mp3[411.520,420.480]	OK DO YOU TAKE ANY OTHER MEDICATIONS OVER THE COUNTER PRESCRIBED
audio/RES0073.mp3[420.480,429.120]	NO OTHER THAN THAT I TAKE MULTIVITAMINS
audio/RES0073.mp3[429.120,438.760]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS OR LIKE ENVIRONMENTAL ALLERGIES THAT MIGHT BE GETTING WORSE
audio/RES0073.mp3[438.760,441.560]	UH NO NOT THAT I KNOW
audio/RES0073.mp3[441.560,447.200]	OK SO YOU DONT EXPERIENCE ANY SYMPTOMS LIKE THIS WHEN THE SEASONS CHANGE
audio/RES0073.mp3[447.200,464.360]	I DONT THINK SO I HAVE HAD THIS HAPPEN TO ME UH I WOULD SAY LIKE ONCE BEFORE IT HAPPENED LIKE TWO YEARS AGO IT WAS PRETTY SIMILAR
audio/RES0073.mp3[464.360,470.560]	OK UHM AND WHAT WAS DONE AT THAT TIME
audio/RES0073.mp3[470.560,495.960]	AT THAT TIME IT KIND OF JUST WENT AWAY ON ITS OWN IT GOT BETTER I FEEL ITS DEFINITELY WORSE THIS TIME BUT AT THAT TIME I DIDNT EVEN GO TO THE DOCTOR IT KIND OF JUST WENT AWAY
audio/RES0073.mp3[495.960,498.560]	OK I SEE ANY RECENT HOSPITALIZATIONS
audio/RES0073.mp3[498.560,502.240]	NO HOSPITALIZATIONS
audio/RES0073.mp3[502.240,504.280]	ANY SURGERIES
audio/RES0073.mp3[505.080,511.560]	ALRIGHT AND COULD YOU TELL ME WHERE ABOUTS YOURE LIVING CURRENTLY AND WHO YOURE LIVING WITH
audio/RES0073.mp3[511.560,519.400]	YEAH SO IM CURRENTLY LIVING IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON
audio/RES0073.mp3[519.400,527.840]	OK AND ANYBODY THAT YOUVE BEEN AROUND WHOS HAD ANY SYMPTOMS
audio/RES0073.mp3[527.840,530.320]	UH NO NOT THAT I KNOW OF
audio/RES0073.mp3[530.320,538.600]	OK SO NO SICK CONTACTS AND HAVE YOU TRAVELED ANYWHERE OUT OF THE CITY OR PROVINCE
audio/RES0073.mp3[538.600,548.720]	NO IVE TRIED TO STAY HOME BESIDES GOING TO WORK I JUST WORK AT THE GROCERY STORE BESIDES THAT NO NOWHERE ELSE
audio/RES0073.mp3[548.720,556.560]	OK AND ANY OF YOUR COWORKERS HAVE ANY SYMPTOMS OR ANY COWORKERS BEING OFF SICK
audio/RES0073.mp3[556.560,564.920]	NO WERE PRETTY CAREFUL RIGHT NOW WITH THE PANDEMIC
audio/RES0073.mp3[564.920,570.000]	I SEE YEAH THATS GREAT OK AND DO YOU SMOKE CIGARETTES
audio/RES0073.mp3[570.000,575.520]	NO I QUIT JUST A COUPLE OF YEARS AGO
audio/RES0073.mp3[575.520,584.200]	OH THATS GREAT ITS NOT EASY TO QUIT SO THATS AWESOME AND DO YOU DRINK ALCOHOL
audio/RES0073.mp3[584.200,591.440]	JUST MAYBE LIKE RED WINE A COUPLE OF TIMES A WEEK
audio/RES0073.mp3[591.440,598.720]	I SEE OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0073.mp3[598.720,606.240]	UH JUST IN A MONTH MAYBE ONCE OR TWICE I SMOKE A JOINT
audio/RES0073.mp3[606.240,614.200]	OK UH AND ANYBODY IN THE FAMILY HAVE ANY LUNG OR HEART CONDITIONS
audio/RES0073.mp3[614.200,617.000]	NO NOT THAT I KNOW OF
audio/RES0073.mp3[617.000,621.560]	ALRIGHT AND HOW ABOUT ANY CANCER IN THE FAMILY
audio/RES0073.mp3[621.560,627.760]	UH NO NO CANCERS
audio/RES0073.mp3[627.760,641.080]	OK I THINK I THAT WAS EVERYTHING I WANTED TO ASK ABOUT TODAY WAS THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT YOU WANTED TO MAKE SURE I KNEW ABOUT TODAY
audio/RES0073.mp3[641.080,655.800]	NO  I THINK THATS ALL I JUST DIDNT KNOW IF I NEEDED ANY LIKE MEDICATIONS OR IF I NEEDED TO GET TESTED I JUST WANTED TO MAKE SURE
audio/RES0073.mp3[655.800,705.000]	YEAH SO WELL CERTAINLY CHECK YOUR TEMPERATURE TO SEE IF YOU HAVE A FEVER AND IF YOU DO AND ITS HIGH ENOUGH THAT WILL INCREASE THE CHANCE THAT YOU HAVE A BACTERIAL SINUSITIS  AND IF SO WITH SOME OF YOUR SYMPTOMS INCLUDING THE DISCHARGE OBSTRUCTION LOSS OF SMELL AND FACIAL PAIN THAT ALL FITS THE PICTURE FOR IT AND ALSO YOU HAD A PERIOD WHERE YOU FELT A LITTLE BIT BETTER AND THEN WORSE AGAIN SO THAT MIGHT REQUIRE ANTIBIOTICS BUT WE WILL CHECK YOUR TEMPERATURE AND GO FROM THERE
audio/RES0073.mp3[705.000,709.080]	ALRIGHT SOUNDS GOOD THANK YOU SO MUCH
audio/RES0073.mp3[709.080,711.920]	THANK YOU
audio/RES0031.mp3[0.000,5.240]	I WAS WONDERING IF WE COULD START BY YOU TELLING ME WHAT BROUGHT YOU IN TODAY
audio/RES0031.mp3[5.240,9.480]	SO I JUST CAME IN TODAY BECAUSE IVE BEEN HAVING A SORE THROAT
audio/RES0031.mp3[9.480,15.400]	OK COULD YOU TELL ME SPECIFICALLY WHERE YOURE FEELING THE PAIN
audio/RES0031.mp3[15.400,19.440]	I WOULD SAY ITS MOSTLY AT THE BACK OF MY THROAT
audio/RES0031.mp3[19.440,24.000]	OK AND HOW LONG HAS THIS BEEN GOING ON FOR
audio/RES0031.mp3[24.000,28.560]	I THINK IT STARTED LAST NIGHT
audio/RES0031.mp3[28.560,35.800]	OK AND HOW WOULD YOU DESCRIBE THE PAIN IS SHARP BURNING STINGING DULL
audio/RES0031.mp3[35.800,39.520]	I WOULD DESCRIBE IT AS LIKE A BURNING PAIN
audio/RES0031.mp3[39.520,50.960]	OK AND UH HAS ANYTHING HAS THE PAIN BEEN GETTING ANY BETTER ANY WORSE
audio/RES0031.mp3[50.960,58.000]	I THINK ITS GETTING WORSE SINCE LAST NIGHT
audio/RES0031.mp3[58.000,64.680]	OK AND ANY PRIOR EPISODES LIKE THIS WHERE YOU HAD SIMILAR SYMPTOMS
audio/RES0031.mp3[64.680,69.480]	NOTHING NOTHING RECENTLY THAT I CAN RECALL NO
audio/RES0031.mp3[69.480,74.560]	OK ARE YOU FEELING THE PAIN RADIATE ANYWHERE ELSE
audio/RES0031.mp3[74.560,78.920]	UH I THINK ITS JUST STAYING AT THE BACK OF MY THROAT
audio/RES0031.mp3[78.920,88.040]	OK AND CAN YOU THINK OF ANYTHING THAT TRIGGERED THE THE SORE THROAT THAT YOU DID JUST PRIOR TO THE SYMPTOMS COMING ON
audio/RES0031.mp3[88.040,97.560]	UH NO NOT THAT I CAN THINK OF I HAVENT REALLY CHANGED WHAT I DRINK OR WHAT I EAT NOTHING REALLY CHANGED
audio/RES0031.mp3[97.560,99.800]	OK AND ANYTHING THATS BEEN MAKING THE PAIN WORSE
audio/RES0031.mp3[99.800,107.680]	UM I WOULD SAY WHEN I UH ESPECIALLY WHEN IM EATING WHEN IM SWALLOWING IT HURTS A LOT BUT THATS ABOUT IT
audio/RES0031.mp3[107.680,114.600]	OK ANYTHING THAT MAKES IT BETTER
audio/RES0031.mp3[114.600,129.000]	UH I I THINK WHEN I DRINK LIKE COLDER LIQUIDS OR ICE CREAM IT JUST SOOTHES HE PAIN A LITTLE BIT
audio/RES0031.mp3[129.000,133.960]	OK ANY OTHER SYMPTOMS THAT YOU BEEN EXPERIENCING
audio/RES0031.mp3[133.960,158.960]	UM SO I I DO FIND THAT LIKE MY MOM TOLD ME THAT I HAVE MY VOICE IS KIND OF ROUGH AND LIKE JUST A LITTLE BIT HOARSE BUT OTHER THAN THAT BESIDES THE SWALLOWING UM NOTHING ELSE REALLY IM STILL ABLE TO SWALLOW LIQUIDS BUT ITS JUST THE SOLIDS THAT CAUSES SOME PAIN
audio/RES0031.mp3[158.960,165.120]	OK HAVE YOU HAD ANYTHING TO EAT TODAY OR WHEN WAS THE LAST TIME YOU HAD ANYTHING TO EAT
audio/RES0031.mp3[165.120,176.040]	I THINK I DID HAVE LUNCH TODAY I WASNT ABLE TO EAT TOO TOO MUCH JUST BECAUSE OF THE PAIN BUT YEAH JUST A COUPLE HOURS AGO I HAD I DID HAVE A LUNCH
audio/RES0031.mp3[176.040,181.320]	OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE YOURSELF
audio/RES0031.mp3[181.320,182.520]	SORRY WHAT WAS THAT
audio/RES0031.mp3[182.520,187.400]	HAVE YOU NOTICED ANY CHANGES TO YOUR LIKE DO YOU THINK YOUR VOICE SOUNDS DIFFERENT TOO
audio/RES0031.mp3[187.400,201.800]	YEAH I DEFINITELY THINK UM LIKE WHEN I WOKE UP THIS MORNING MY VOICE WAS DEFINITELY MORE LIKE HOARSE AND MORE LIKE RASPY ALMOST BUT YEAH I WOULD SAY MY VOICE HAS CHANGED
audio/RES0031.mp3[201.800,207.960]	OK AND HAVE YOU BEEN HAVING ANY FEVERS OR OR CHILLS
audio/RES0031.mp3[207.960,224.440]	I DEFINITELY FELT A BIT CHILLY YESTERDAY IN THE MORNING I I DIDNT TAKE ANY TEMPERATURES I THINK YOU GUYS DID TAKE A TEMPERATURE WHEN I CAME IN TODAY I I DONT KNOW WHAT IT WAS
audio/RES0031.mp3[224.440,230.720]	OK YEAH UM YOU DID HAVE A FEVER TODAY WHEN COMING IN
audio/RES0031.mp3[234.040,237.040]	UH OK HAVE YOU HAD ANY HEADACHES
audio/RES0031.mp3[237.040,239.760]	NO NO HEADACHES
audio/RES0031.mp3[239.760,244.400]	OK HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0031.mp3[244.400,260.040]	SOMETIMES I FEEL LIKE WITH THE PAIN AND I THINK THERES A LOT OF JUST SWELLING BACK BACK IN MY THROAT THAT WHEN I TALK TOO MUCH I ALMOST FEEL LIKE IM ABOUT TO GAG BUT I HAVENT REALLY THROWN UP AT ALL THOUGH
audio/RES0031.mp3[260.040,265.000]	OK BUT YOU DO FEEL LIKE YOUR THROAT IS SWOLLEN
audio/RES0031.mp3[265.400,271.760]	ALRIGHT AND HOW HAS YOUR ENERGY BEEN HAVE YOU BEEN EXPERIENCING ANY FATIGUE
audio/RES0031.mp3[271.760,280.400]	YEAH I WOULD SAY DEFINITELY THE LAST FEW DAYS ESPECIALLY YESTERDAY I JUST FELT EXHAUSTED DIDNT REALLY WANT TO DO ANYTHING
audio/RES0031.mp3[280.400,283.760]	OK NOTICE ANY SKIN RASHES OR OR CHANGES
audio/RES0031.mp3[283.760,288.600]	NO NO SKIN SKIN RASHES
audio/RES0031.mp3[288.600,292.320]	OK AND HAVE YOU HAD A COUGH
audio/RES0031.mp3[292.320,295.040]	NO I HAVENT HAD ANY COFFEE
audio/RES0031.mp3[295.040,299.640]	HOW ABOUT ANY DIFFICULTY BREATHING OR SHORTNESS OF BREATH
audio/RES0031.mp3[299.640,303.320]	NO I THINK MY BREATHING HAS BEEN FINE
audio/RES0031.mp3[303.320,307.760]	OK UM AND HOW IS YOUR APPETITE
audio/RES0031.mp3[307.760,317.160]	YEAH OVER THE LAST FEW DAYS ESPECIALLY TODAY I JUST FEEL LIKE WITH THE PAIN I DONT REALLY FEEL LIKE EATING AT ALL
audio/RES0031.mp3[317.160,320.280]	OK AND ANY RECENT CHANGES TO YOUR WEIGHT
audio/RES0031.mp3[320.280,328.000]	NO I I I WEIGH AROUND 150 AND THAT HASNT REALLY CHANGED AT ALL
audio/RES0031.mp3[328.000,331.440]	ALRIGHT AND UH HAVE YOU HAD ANY INFECTIONS RECENTLY
audio/RES0031.mp3[331.440,344.680]	I THINK A COUPLE OF WEEKS AGO I I DID HAVE A I WOULD SAY LIKE A BIT OF A RUNNY NOSE MAYBE A LITTLE BIT OF SORENESS OF MY THROAT BUT IT JUST WENT AWAY BY ITSELF
audio/RES0031.mp3[344.680,347.720]	OK SO YOU DIDNT HAVE ANY TREATMENT FOR THAT
audio/RES0031.mp3[347.720,352.960]	NO I DIDNT HAVE ANY MEDICATIONS OR ANYTHING I DIDNT EVEN GO TO THE DOCTOR THEN
audio/RES0031.mp3[352.960,360.160]	OK AND HAVE YOU NOTICED ANY LUMPS IN YOUR IN YOUR NECK OR UNDER YOUR CHIN
audio/RES0031.mp3[360.160,369.320]	UH NO NOT THAT I KNOW I HAVENT REALLY CHECKED BUT I HAVENT NOTICED ANYTHING LIKE REMARKABLE
audio/RES0031.mp3[369.320,373.720]	OK UM ANY CHANGES TO THE SMELL OF YOUR BREATH
audio/RES0031.mp3[373.720,389.360]	I I DONT KNOW ABOUT A SMELL BUT I DO FEEL LIKE I HAVE LIKE THIS GROSS TASTE IN MY MOUTH MAYBE I DONT KNOW I THINK IT MIGHT SMELL A LITTLE BIT BUT I DEFINITELY HAVE THAT REALLY GROSS TASTE
audio/RES0031.mp3[389.360,393.920]	OK AND UH DO YOU HAVE ANY ABDOMINAL PAIN
audio/RES0031.mp3[393.920,403.560]	I DO FEEL THAT LIKE MY STOMACH IS A BIT SORE ESPECIALLY TODAY BUT NOTHING IM TOO WORRIED ABOUT
audio/RES0031.mp3[403.560,411.000]	OK AND HAVE YOU BEEN DIAGNOSED OR TREATED FOR ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0031.mp3[411.000,414.440]	NO IVE BEEN FORTUNATE IM COMPLETELY HEALTHY
audio/RES0031.mp3[414.440,416.240]	ANY ALLERGIES
audio/RES0031.mp3[416.240,417.960]	NO ALLERGIES
audio/RES0031.mp3[417.960,419.720]	ANY MEDICATIONS
audio/RES0031.mp3[419.720,421.160]	UH NO
audio/RES0031.mp3[421.160,422.880]	ANY HOSPITALIZATIONS
audio/RES0031.mp3[422.880,424.320]	NOPE NEVER
audio/RES0031.mp3[424.320,427.920]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0031.mp3[427.920,443.080]	UH SO JUST A COUPLE OF WEEKS AGO AROUND THE TIME WHEN I HAD SOME COLD SYMPTOMS MY GIRLFRIEND ALSO HAD A SORE THROAT AND IT LASTED FOR AROUND A WEEK YEAH SO I WOULD SAY JUST MY GIRLFRIEND
audio/RES0031.mp3[443.080,446.880]	OK DOES YOUR GIRLFRIEND HAVE A SORE THROAT NOW
audio/RES0031.mp3[446.880,454.360]	NO IT IT STARTED I THINK AROUND 2 WEEKS AGO AND IT STOPPED LAST WEEK
audio/RES0031.mp3[454.360,457.400]	OK ANY SURGERIES BEFORE
audio/RES0031.mp3[457.400,459.200]	NO NO SURGERIES
audio/RES0031.mp3[459.200,469.920]	ALRIGHT IN THE FAMILY ANY HISTORY OF CANCER OR CANCER EARLY CARDIOVASCULAR DISEASE OR CHRONIC DISEASES
audio/RES0031.mp3[469.920,481.480]	UH I DONT KNOW ABOUT THE REST BUT I I MY DAD DOES HAVE TYPE 2 DIABETES BUT NO CANCERS OR NO LIKE HEART ATTACKS OR ANYTHING LIKE THAT
audio/RES0031.mp3[481.480,485.720]	OK AND RIGHT NOW HOW ARE YOU SUPPORTING YOURSELF FINANCIALLY
audio/RES0031.mp3[485.720,505.760]	SO I AM CURRENTLY NOT WORKING IM GOING TO COLLEGE RIGHT NOW MAJORING IN THE ARTS RIGHT NOW IM LIVING IN DORM IVE BEEN FORTUNATE MY PARENTS SUPPORT ME FINANCIALLY SO IM CURRENTLY NOT WORKING JUST A STUDENT
audio/RES0031.mp3[505.760,510.640]	I SEE OK AND DO YOU DRINK ALCOHOL
audio/RES0031.mp3[510.640,520.120]	JUST JUST ON THE WEEKENDS WHEN THERES A LIKE GET TOGETHERS AND PARTIES BUT THROUGHOUT THE WEEK I I DONT DRINK ANYTHING
audio/RES0031.mp3[520.120,523.840]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0031.mp3[523.840,526.560]	UH NO IVE NEVER TRIED CIGARETTES
audio/RES0031.mp3[526.560,532.200]	OK AND DO YOU USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0031.mp3[532.200,546.320]	NO NO I TRY TO STAY AWAY FROM ALL DRUGS BECAUSE I IM ALSO AN ATHLETE SO I NEED TO MAKE SURE THAT MY BODY IS COMPLETELY HEALTHY
audio/RES0031.mp3[546.320,549.600]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0031.mp3[550.800,555.600]	OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR PARTNER OR OR PARTNERS
audio/RES0031.mp3[555.600,575.280]	SO I JUST HAVE ONE PARTNER FOR THE LAST COUPLE MONTHS MY GIRLFRIEND BEFORE THAT THROUGHOUT THE YEAR I THINK IVE HAD TWO OTHER PARTNERS BUT YEAH CURRENTLY RIGHT NOW JUST MY GIRLFRIEND
audio/RES0031.mp3[575.280,581.160]	OK AND MEN OR WOMEN OR BOTH
audio/RES0031.mp3[581.160,584.760]	OH NO IM IM STRAIGHT LIKE I IVE ONLY BEEN WITH WOMEN
audio/RES0031.mp3[584.760,593.200]	OK AND HOW MANY PARTNERS HAVE HAVE YOU BEEN WITH OVER THE LAST SIX MONTHS OR THE LAST YEAR
audio/RES0031.mp3[593.200,599.680]	I WOULD SAY FOR MY GIRLFRIEND TWO OTHER GIRLS SO THREE IN TOTAL IN THE LAST YEAR
audio/RES0031.mp3[599.680,604.840]	OK AND DO YOU USE A CONDOM
audio/RES0031.mp3[604.840,616.320]	UH I I ALWAYS TRY TO USE A CONDOM LIKE THE LAST THING MY PARENTS WOULD PROBABLY KICK ME OUT IF I EVER GOT A GIRL PREGNANT SO YEAH I ALWAYS ALWAYS USE A CONDOM
audio/RES0022.mp3[0.000,4.800]	WOULD YOU MIND BY START STARTING TO TELL ME ABOUT WHAT BROUGHT YOU IN TODAY
audio/RES0022.mp3[4.800,31.720]	YEAH I I ITS JUST OVER THE LAST WEEK I CANT LIKE DO ANYTHING WITHOUT JUST FEELING REALLY LIKE SHORT OF BREATH IM HAVING A REALLY HARD TIME BREATHING LIKE KIND OF DO ANYWAYS BECAUSE I HAVE COPSO I FEEL LIKE OVER A FEW YEARS ITS BEEN GETTING WORSE BUT THIS WEEK IT JUST GOT REALLY BAD IN PARTICULAR
audio/RES0022.mp3[31.720,41.920]	OK I SEE SO HOW MUCH ACTIVITY WERE YOU DOING THAT WAS BRINGING ON THE SHORTNESS OF BREATH
audio/RES0022.mp3[41.920,64.360]	LIKE I I USUALLY I WILL WALK MY DOG AROUND THE BLOCK AND I HAVENT BEEN ABLE TO DO THAT LIKE MY HUSBANDS BEEN DOING IT AND THEN I WAS JUST GOING TO TRY TO GET THE MAIL JUST LIKE I DONT KNOW ITS PROBABLY LIKE 200 FEET DOWN THE ROAD AND I COULD I WAS SO TIRED WHEN I GOT BACK AND I FELT LIKE I COULD BARELY BREATHE
audio/RES0022.mp3[64.360,69.520]	OK AND DID YOU HAVE ANY CHEST PAIN WITH THIS
audio/RES0022.mp3[69.520,71.760]	UH NO NO NOTHING LIKE THAT
audio/RES0022.mp3[71.760,78.040]	OK AND WHEN DID THE SHORTNESS OF BREATH SYMPTOMS START COMING ON
audio/RES0022.mp3[78.040,96.480]	MMM LIKE IT IVE BEEN I FEEL LIKE ITS BEEN SORT OF GETTING WORSE OVER THE PAST FEW YEARS BUT JUST LIKE A WEEK AGO IT JUST GOT REALLY BAD LIKE VERY SUDDENLY
audio/RES0022.mp3[96.480,107.080]	OK UM AND HAS IT BEEN GETTING WORSE OVER THIS PAST WEEK OR HAS IT STAYED THE SAME
audio/RES0022.mp3[107.080,111.680]	PFFT MAYBE GETTING A BIT WORSE LIKE ITS BEEN PRETTY BAD THE WHOLE TIME
audio/RES0022.mp3[111.680,117.040]	NO OK I SEE AND HAVE YOU HAD A COUGH
audio/RES0022.mp3[117.040,140.560]	YEAH LIKE I AGAIN LIKE I DO NORMALLY BECAUSE OF MY COPBUT ITS JUST BEEN REALLY ITS BEEN EVEN WORSE THIS WEEK AND USUALLY WHEN I GET SICK ITS MORE LIKE IM LIKE BRINGING UP A LOT OF LIKE YELLOWISH GUNK BUT THIS TIME ITS NOT BEEN QUITE AS LIKE GUNKIE ITS BEEN PRETTY DRY
audio/RES0022.mp3[140.560,146.080]	OK SO YOURE NOT BRINGING UP ANY SPUTUM WITH YOUR COUGH
audio/RES0022.mp3[146.080,153.240]	NO MAYBE MAYBE A TINY BIT BUT I KINDA DO THAT LIKE ANYWAYS
audio/RES0022.mp3[153.240,157.280]	OK UH AND HAVE YOU COUGHED UP ANY BLOOD
audio/RES0022.mp3[161.400,173.880]	OK AND UM HAVE YOU HAD ANY OTHER SYMPTOMS THAT HAVE WENT ALONG WITH THIS DIFFICULTY BREATHING UM AND COUGH
audio/RES0022.mp3[173.880,202.800]	UM I MEAN IVE BEEN I DONT HAVE A THERMOMETER AT HOME BUT I HAVE FELT LIKE REALLY HOT AND JUST THIS MORNING LIKE MY HUSBAND YOU KNOW HE WAS TRYING TO MAKE SURE I WAS STILL EATING AND DRINKING A LOT AND I DONT REALLY FEEL LIKE I AM TASTING MY FOOD ALL THAT WELL
audio/RES0022.mp3[202.800,208.200]	OK SO WOULD YOU SAY THAT YOU HAVE A LOSS OF TASTE RIGHT NOW
audio/RES0022.mp3[208.200,214.760]	UM PRETTY YEAH YEAH IM PRETTY SURE I COULDNT REALLY TASTE MY BREAKFAST
audio/RES0022.mp3[214.760,222.520]	OK AND HOW ABOUT YOUR SENSE OF SMELL
audio/RES0022.mp3[222.520,228.560]	ACTUALLY YEAH COME TO THINK OF IT I DONT I DONT THINK IVE REALLY BEEN SMELLING MUCH
audio/RES0022.mp3[228.560,238.200]	OK SO YOURE NOT ABLE TO SMELL EITHER DO YOU FEEL LIKE YOUR NOSE IS CONGESTED OR ARE REALLY RUNNY
audio/RES0022.mp3[238.200,243.360]	ITS NOT ITS NOT PARTICULARLY CONGESTED OR ANYTHING
audio/RES0022.mp3[243.360,252.160]	OK BUT STILL HAVE HAD THESE CHANGES IN TASTE AND SMELL
audio/RES0022.mp3[253.160,266.080]	UM OK AND WE WILL CHECK YOUR TEMPERATURE AS WELL TO SEE IF WE CAN IF THERE IS A DOCUMENTED FEVER HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0022.mp3[266.080,267.880]	WHATS THAT
audio/RES0022.mp3[267.880,279.560]	SO GENERALLY PATIENTS WOULD WILL SAY THAT THEIR SHEETS ARE SOAKED AND IT WILL WAKE THEM UP SOMETIMES BECAUSE ITS UNCOMFORTABLE
audio/RES0022.mp3[279.560,282.240]	OH NO I HAVENT HAD THAT
audio/RES0022.mp3[282.240,290.160]	OK HOW ABOUT ANY CHILLS SO IT COULD BE LIKE WHEN YOU KIND OF SHAKING IN YOUR IN YOUR BED
audio/RES0022.mp3[290.160,296.040]	NO NOT REALLY JUST JUST LIKE THERE REALLY I THINK LIKE FEVER I THINK FEVERS
audio/RES0022.mp3[296.040,302.760]	OK AND HAVE OVER THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS
audio/RES0022.mp3[302.760,305.920]	NO I THINK IVE BEEN PRETTY WELL THE SAME
audio/RES0022.mp3[305.920,314.680]	OK AN WITH UM THE CHANGE IN TASTE HOW HAS YOUR APPETITE BEEN
audio/RES0022.mp3[314.680,326.040]	WELL I MEAN THAT WAS JUST THIS MORNING THAT I NOTICED THAT UM BEFORE THAT I THINK I WAS EATING LIKE PRETTY OK
audio/RES0022.mp3[326.040,334.080]	OK AND HAVE YOU FELT AS THOUGH YOUR HEART WAS RACING AT ANY POINT
audio/RES0022.mp3[337.440,342.400]	OK UH ANY DIZZINESS OR FEELING LIGHTHEADED
audio/RES0022.mp3[342.400,346.720]	OH NO I DONT THINK SO
audio/RES0022.mp3[346.720,352.240]	OK AND ANY ABDOMINAL PAIN
audio/RES0022.mp3[354.280,362.000]	HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0022.mp3[364.560,370.000]	OK HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0022.mp3[370.000,380.480]	MAYBE MAYBE A LITTLE DIARRHEA OH BUT I DIDNT KNOW IF THAT WAS JUST SOMETHING I ATE OR WHAT
audio/RES0022.mp3[380.480,384.360]	OK SO WHEN DID THE DIARRHEA START
audio/RES0022.mp3[384.360,388.800]	LIKE YESTERDAY YESTERDAY
audio/RES0022.mp3[388.800,395.280]	OK AND AND APPROXIMATELY HOW MANY TIMES DID YOU GO TO THE BATHROOM WOULD YOU SAY
audio/RES0022.mp3[395.280,401.880]	SO PROBABLY LIKE TWICE WHERE IT WAS REALLY LOOSE
audio/RES0022.mp3[401.880,405.360]	OK AND DID YOU NOTICE ANY BLOOD
audio/RES0022.mp3[407.640,415.840]	OK UM HAS THAT HAPPENED AGAIN TODAY
audio/RES0022.mp3[415.840,418.160]	OH NO I DIDNT GO TODAY
audio/RES0022.mp3[418.160,427.440]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR NEEDING TO GO REALLY OFTEN
audio/RES0022.mp3[429.000,432.440]	OK AND THEN UH HAVE YOU HAD ANY HEADACHES
audio/RES0022.mp3[432.440,443.240]	COME TO THINK OF IT A LITTLE BIT I JUST THOUGHT I WAS LIKE IT WAS MAYBE BECAUSE I WAS TIRED BUT YEAH IVE HAD HEADACHES
audio/RES0022.mp3[443.240,450.720]	OK HAVE YOU HAD HEADACHES LIKE THIS IN THE PAST
audio/RES0022.mp3[450.720,459.840]	UM I MEAN ONLY WHEN THERE IS LIKE REASONS FOR IT LIKE BEING REALLY OVERTIRED OR UH YEAH
audio/RES0022.mp3[459.840,466.040]	OK DOES THIS FEEL SIMILAR TO ANY OF THOSE TIMES
audio/RES0022.mp3[466.040,472.040]	LET ME KNOW ITS HARD TO SAY LIKE I AM TIRED SO YEAH I THINK SO
audio/RES0022.mp3[472.040,481.520]	OK WOULD YOU SAY THIS WAS THE WORST HEADACHE OF YOUR LIFE OR A KIND OF LIKE A THUNDER CLAP SENSATION
audio/RES0022.mp3[481.520,484.320]	NO NOTHING LIKE THAT
audio/RES0022.mp3[484.320,495.240]	OK AND HAVE YOU GOT ANY PHOTO SENSITIVITY OR KIND OF SENSITIVITY OF YOUR LIGHT OR SENSITIVITY TO SOUND
audio/RES0022.mp3[496.720,508.440]	OK AND NEXT QUESTION WOULD BE HAVE YOU HAVE ANY ANY JOINT ACHES OR MUSCLE ACHES OR GENERAL BODY ACHES
audio/RES0022.mp3[508.440,528.480]	I MEAN IM A LITTLE I FEEL LIKE I HAVENT BEEN MOVING AS MUCH FEEL A LITTLE SORE I THOUGHT IT WAS MAYBE JUST CAUSE I YOU KNOW WASNT GOING FOR MY LONG WALKS AND MY BODY WAS LIKE GETTING TIRED AND STIFF BUT YEAH I FEEL A BIT ACHEY WHEN I COME TO THINK OF IT
audio/RES0022.mp3[528.480,534.480]	OK AND HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN
audio/RES0022.mp3[536.320,543.480]	OK UH AND THEN IM NOT SURE IF I ASKED BUT DID YOU HAVE A SORE THROAT
audio/RES0022.mp3[543.480,546.760]	UH NO
audio/RES0022.mp3[546.760,557.800]	OK UM AND NEXT JUST WANTED TO ASK ABOUT YOUR PAST HEALTH UM IS THERE ANYTHING YOU SEE A PHYSICIAN FOR REGULARLY
audio/RES0022.mp3[557.800,559.880]	JUST LIKE THE COP
audio/RES0022.mp3[563.240,566.240]	MY FAMILY DOCTOR
audio/RES0022.mp3[566.240,570.160]	OK AND DO YOU USE INHALERS FOR THAT
audio/RES0022.mp3[570.160,597.320]	OH GEEZ I HAVENT SEEN MY FAMILY DOCTOR IN AWHILE BECAUSE OF THE COVID STUFF BUT I HAVE AN INHALER AH THAT WAS PROBABLY LIKE BEFORE COVID THAT IT WAS PRESCRIBED AND THEN I RAN OUT AT SOME POINT AND I HAVENT GOT IT RENEWED
audio/RES0022.mp3[597.320,604.040]	OK SO WHEN WAS THE LAST TIME YOU USED AN INHALER A A WEEK AGO A MONTH AGO
audio/RES0022.mp3[604.040,620.920]	I PROBABLY RAN OUT LIKE TWO MONTHS AGO BUT I WASNT USING IT EVERY DAY IT WAS LIKE ONE OF THOSE ONES FOR LIKE WHEN YOU NEED IT AND NOW NOW THIS WEEK I WISH I WOULD HAVE HAD IT
audio/RES0022.mp3[620.920,629.960]	OK I SEE SO BEFORE LIKE TWO MONTHS AGO HOW OFTEN WOULD YOU SAY YOU WERE USING IT
audio/RES0022.mp3[629.960,633.440]	OH MAYBE ONCE YOURE ONCE A WEEK
audio/RES0022.mp3[633.440,648.360]	OK UM AND WHEN WHAT TYPES OF SITUATIONS WHERE YOU FINDING YOURSELF NEEDING TO USE IT MORE OFTEN OR RATHER WHERE THERE ANY KIND OF TRIGGERS TO THOSE EVENTS
audio/RES0022.mp3[648.360,664.080]	LIKE IF I IF I SAY I TOOK MY DOG FOR A WALK AND THEY KIND OF GOT AWAY AND I HAD TO RUN A LITTLE LIKE RUN A LITTLE BIT USUALLY I WALK LIKE PRETTY FAST BUT IF I HAVE TO RUN THAT WOULD THAT WOULD MAKE IT WOULD MAKE ME HAVE TO USE IT
audio/RES0022.mp3[664.080,670.720]	OK SO A LOT MORE EXERTION THAN WHAT YOURE ABLE TO DO NOW IT SOUNDS LIKE
audio/RES0022.mp3[670.720,673.960]	YEAH LIKE HEAVIER EXERCISE
audio/RES0022.mp3[673.960,681.160]	I SEE AND ANY OTHER MEDICATIONS LIKE PRESCRIBED OR OVER THE COUNTER THAT YOU TAKE
audio/RES0022.mp3[681.160,683.200]	NO THAT WAS IT
audio/RES0022.mp3[683.200,685.760]	ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE
audio/RES0022.mp3[685.760,694.680]	I HAD MY APPENDIX OUT WHEN I WAS IN MY 20S
audio/RES0022.mp3[694.680,699.040]	OK AND ANY ALLERGIES
audio/RES0022.mp3[700.320,707.600]	OK AND UM HAVE YOU BEEN ANYBODY SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY
audio/RES0022.mp3[707.600,750.560]	WELL WE HAVENT REALLY SEEN ANYONE BECAUSE OF THE COVID STUFF SO ITS JUST MY MY HUSBAND HAS SOMEONE LIKE HAS A FRIEND THAT COMES OVER FOR THEM TO THE THEY WATCH LIKE THE SPORTS GAMES TOGETHER LIKE OUR FRIEND LIVES ALONE SO THATS REALLY THE ONLY PERSON THATS BEEN COMING INTO OUR HOUSE AND I DONT I DONT KNOW THAT I DONT THINK HES BEEN SICK BUT HE HE MIGHT HAVE BEEN AROUND PEOPLE THAT WERE SICK
audio/RES0022.mp3[750.560,755.320]	OK I SEE SO HE HASNT HAD ANY SYMPTOMS THOUGH
audio/RES0022.mp3[755.320,760.720]	NOT THAT I KNOW OF WE HAVENT HEARD FROM HIM IN A FEW DAYS THOUGH
audio/RES0022.mp3[760.720,764.480]	OK AND HOW WAS YOUR HUSBAND BEEN
audio/RES0022.mp3[764.480,778.320]	OH HES BEEN WELL HE SAID HE LIKE HE HAD A BIT OF A SCRATCHY THROAT BUT I DONT THINK HES HE HASNT REALLY FELT SICK I DONT THINK
audio/RES0022.mp3[778.320,785.960]	OK YEAH AND DO YOU LIVE WITH ANYBODY ELSE OR IS IT JUST YOU AND YOUR HUSBAND
audio/RES0022.mp3[785.960,788.320]	JUST THE TWO OF US AND OUR DOG
audio/RES0022.mp3[788.320,794.200]	OK AND UH DO YOU SMOKE CIGARETTES
audio/RES0022.mp3[794.200,800.160]	YEAH IVE TRIED TO STOP BUT I I SMOKE LIKE A PACK A DAY
audio/RES0022.mp3[800.160,811.840]	OK WE CAN TALK MAYBE ABOUT QUITTING IF YOURE INTERESTED LATER ON IN THE APPOINTMENT OR AT ANOTHER TIME AT A FOLLOW UP
audio/RES0022.mp3[811.840,814.960]	SURE SURE
audio/RES0022.mp3[814.960,823.560]	OK AND DO YOU DRINK ALCOHOL
audio/RES0022.mp3[823.560,830.040]	LIKE MAYBE LIKE A GLASS OF WINE ON A FRIDAY
audio/RES0022.mp3[830.040,835.000]	OK SO VERY IT SOUNDS OCCASIONALLY MAYBE A DRINK A WEEK
audio/RES0022.mp3[835.000,836.160]	YEAH SOMETHING LIKE THAT
audio/RES0022.mp3[836.160,840.640]	ALRIGHT AND UM DO YOU SMOKE MARIJUANA
audio/RES0022.mp3[840.880,846.680]	OK ALRIGHT HOW ABOUT THAT USE LIKE ANY LIKE EDIBLES OR ANYTHING LIKE THAT
audio/RES0022.mp3[846.680,847.800]	NO NOTHING LIKE THAT
audio/RES0022.mp3[847.800,851.960]	OK AND THEN HOW ABOUT ANY RECREATIONAL DRUGS
audio/RES0022.mp3[851.960,855.480]	UM LIKE WHAT
audio/RES0022.mp3[855.480,862.880]	LIKE THINGS LIKE COCAINE CRYSTAL METH ECSTASY
audio/RES0022.mp3[862.880,864.880]	NO NO
audio/RES0022.mp3[864.880,870.160]	I SEE OK AND IS ANYBODY IN YOUR FAMILY HAD ANY HEART CONDITIONS BEFORE
audio/RES0022.mp3[870.160,876.880]	MY DAD HAD LIKE HIGH BLOOD PRESSURE
audio/RES0022.mp3[876.880,882.000]	OK ANYBODY EVER HEARD ATTACK
audio/RES0022.mp3[882.000,885.320]	NO NOT THAT I KNOW OF
audio/RES0022.mp3[885.320,891.760]	OK AND ANYBODY IN THE FAMILY HAVE LUNG CONDITIONS IN THE PAST
audio/RES0022.mp3[891.760,892.440]	UH NO
audio/RES0022.mp3[892.440,900.160]	OK AT ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0022.mp3[900.480,911.000]	ALRIGHT SO WAS THERE ANYTHING ELSE THAT UM YOU THINK I SHOULD KNOW TODAY THAT MAYBE I DIDNT ASK ABOUT
audio/RES0022.mp3[911.000,916.760]	I JUST FEEL TIRED I JUST FEEL LIKE REALLY TIRED
audio/RES0022.mp3[916.760,936.760]	OK CERTAINLY THAT CAN BE PART OF A KIND OF WHAT HOW YOURE FEELING AND RIGHT NOW WITH THE SITUATION WITH THE PANDEMIC COVID19 IS DEFINITELY PNE THING THAT WILL BE TESTING FOR TODAY
audio/RES0022.mp3[936.760,939.760]	DO YOU THINK I HAVE COVID
audio/RES0022.mp3[939.760,991.440]	ITS VERY POSSIBLE BECAUSE OF HOW GENERAL THE SYMPTOMS ARE FOR COVID AND SO ITS SOMETHING THAT WE WANT TO TEST FOR THAT BEING SAID YOU COULD HAVE ANOTHER VIRAL ILLNESS SUCH AS THE COMMON COLD LIKE ADENOVIRUS OR YOU COULD HAVE A BACTERIAL INFECTION THATS NOT COVID REALLY RELATED AT ALL OR THIS COULD BE AN EXACERBATION OF YOUR COPAND MAYBE WE NEED WE NEED TO JUST TITRATE YOUR INHALER SO WELL NEED TO JUST RUN SOME LAB WORK AND DO THE PCR NASAL SWAB AS PART OF THE WORK UP AN WE WILL SEE WHAT SOME OF THOSE INVESTIGATIONS SHOW
audio/RES0022.mp3[991.440,994.720]	OH GEEZ OK
audio/RES0022.mp3[994.720,1013.840]	OK ITS ALL IN THE MEANTIME YOULL NEED TO QUARANTINE FOR 14 DAYS AND IF THE RESULTS ARE POSITIVE WELL AFTER NOTE NOTIFIED PUBLIC HEALTH SO THAT THE APPROPRIATE CONTACT TRACING CAN BE MADE BUT WELL GET THE INVESTIGATION STARTED NOW
audio/RES0022.mp3[1013.840,1017.200]	OK THANKS DOC
audio/RES0022.mp3[1017.200,1020.520]	ALRIGHT YOURE WELCOME
audio/MSK0007.mp3[0.000,2.080]	HOW MAY I HELP YOU
audio/MSK0007.mp3[2.080,16.280]	HI YES IVE HAD THIS PAIN IN MY LEFT ELBOW FOR A COUPLE OF WEEKS NOW AND ITS NOT GETTING ANY BETTER SO IM JUST HERE TO KIND OF FIGURE OUT WHAT IT IS
audio/MSK0007.mp3[16.280,24.600]	OK ALRIGHT ARE YOU FEELING THIS PAIN ON THE LATERAL SIDE OF THE ELBOW ON THE OR ON THE MEDIAL SIDE OF THE ELBOW
audio/MSK0007.mp3[24.600,27.640]	ITS ON THE MEDIAL SIDE
audio/MSK0007.mp3[27.640,31.600]	OK AND SORRY WHEN DID THIS PAIN EXACTLY START
audio/MSK0007.mp3[31.600,44.200]	SO ITS BEEN ON GOING FOR LIKE THE PAST THREE MONTHS BUT ITS GOTTEN WORSE OVER THE LAST ID SAY THREE WEEKS
audio/MSK0007.mp3[44.200,52.280]	OK AND HAS THE PAIN BEEN GETTING WORSE ANY BETTER
audio/MSK0007.mp3[52.280,57.840]	OH THE PAINS BEEN GETTING WORSE
audio/MSK0007.mp3[57.840,67.360]	YEAH OK WAS THERE ANY TRIGGERS OR PRECIPITATING EVENTS TO THE PAIN SUCH AS LIKE A FALL OR ANY TYPES OF TRAUMA TO THE ELBOW
audio/MSK0007.mp3[67.360,70.440]	NO NO NOT THAT I CAN THINK OF
audio/MSK0007.mp3[70.440,75.040]	HAVE YOU HAD ANY PAIN OR INJURY TO THE ELBOW IN THE PAST
audio/MSK0007.mp3[78.240,85.000]	COULD YOU DESCRIBE THE CHARACTER OF THE PAIN IS IT SHARP ACHEY OR DULL
audio/MSK0007.mp3[85.000,90.200]	ITS USUALLY ACHEY BUT IT CAN BE SHARP
audio/MSK0007.mp3[90.200,94.600]	OK DOES THE PAIN RADIATE ANYWHERE
audio/MSK0007.mp3[94.600,99.040]	NO ITS PRETTY ITS PRETTY MUCH IN THAT ONE AREA
audio/MSK0007.mp3[99.040,101.960]	OK JUST ON THE MEDIAL SIDE OF THE LEFT ELBOW
audio/MSK0007.mp3[104.480,113.840]	OK AND IS THERE ANYTHING THAT YOUVE DONE TO HELP MAKE THE PAIN GO AWAY OR ANY ALLEVIATING FACTORS
audio/MSK0007.mp3[113.840,127.960]	I AM TAKING SOME NSAIDS THAT HELPS WITH THE PAIN TEMPORARILY
audio/MSK0007.mp3[127.960,136.120]	OK AND UH ARE THERE ANY FACTORS THAT MAKE THE PAIN WORSE
audio/MSK0007.mp3[136.120,148.720]	UM WHEN I I I GUESS WHEN I LIKE EXTEND MY ELBOW OUT IT GETS WORSE
audio/MSK0007.mp3[148.720,152.960]	OK SO ITS A MOVEMENT OK AND STRAIGHTENING THE ELBOW
audio/MSK0007.mp3[154.160,164.000]	OK I MEAN WHAT IS THE SEVERITY OF THE PAIN ON A SCALE OF 1 TO 10 WITH 10 BEING THE WORST PAIN YOUVE EVER FELT
audio/MSK0007.mp3[164.000,173.840]	ID SAY ABOUT 5
audio/MSK0007.mp3[173.840,182.120]	OK AND UM SO DID YOU HAVE ANY OTHER SYMPTOMS ASSOCIATED WITH THE ELBOW PAIN
audio/MSK0007.mp3[182.120,188.880]	UM NO UM NOT REALLY I IM OTHERWISE PRETTY HEALTHY
audio/MSK0007.mp3[188.880,192.240]	OK SO HAVE YOU HAD ANY FEVERS OR CHILLS
audio/MSK0007.mp3[193.720,196.280]	HAVE YOU HAD ANY NIGHT SWEATS
audio/MSK0007.mp3[197.200,199.960]	OR ANY ANY WEIGHT LOSS
audio/MSK0007.mp3[202.320,205.640]	OK HAVE YOU HAD ANY ANY HEADACHES
audio/MSK0007.mp3[207.040,214.320]	ANY SENSORY CHANGES LIKE CHANGES TO YOUR VISION OR OR HEARING OR EVEN YOUR SMELL OR TASTE
audio/MSK0007.mp3[215.920,222.240]	OK HAVE YOU HAD ANY EYE REDNESS OR EYE DISCHARGE OR YOUR EAR PAIN
audio/MSK0007.mp3[223.080,227.960]	OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/MSK0007.mp3[231.080,233.960]	HAVE YOU HAD A COUGH OR SHORTNESS OF BREATH
audio/MSK0007.mp3[234.560,236.880]	HAVE YOU HAD ANY WHEEZING
audio/MSK0007.mp3[237.400,241.120]	OK HAVE YOU HAD ANY CHEST PAIN
audio/MSK0007.mp3[242.080,246.320]	ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0007.mp3[247.040,250.640]	HAVE YOU HAD ANY HEART PALPITATIONS
audio/MSK0007.mp3[251.880,255.120]	OK AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0007.mp3[255.960,258.840]	HAVE YOU HAD ANY ABDOMINAL PAIN
audio/MSK0007.mp3[259.920,262.400]	ANY DIARRHEA OR CONSTIPATION
audio/MSK0007.mp3[263.240,265.520]	HAVE YOU HAD ANY URINARY PROBLEMS
audio/MSK0007.mp3[267.040,269.800]	OK HAVE YOU HAD ANY SKIN RASHES
audio/MSK0007.mp3[269.800,271.520]	NO NO
audio/MSK0007.mp3[271.520,276.080]	OK HAVE YOU HAD ANY NUMBNESS OR TINGLING
audio/MSK0007.mp3[277.520,280.880]	AND HOW ABOUT ANY MUSCLE WEAKNESS
audio/MSK0007.mp3[281.680,288.440]	OK AND ANY JOINT PAINS ANYWHERE ELSE
audio/MSK0007.mp3[289.560,296.200]	OK AND ANY CHANGES TO YOUR MEMORY OR OR ANY CONFUSION
audio/MSK0007.mp3[297.200,301.880]	OK AND HAVE YOU HAD ANY FATIGUE
audio/MSK0007.mp3[303.080,309.040]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE
audio/MSK0007.mp3[310.320,315.080]	OK ARE AN HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/MSK0007.mp3[316.840,323.720]	OK SO DO YOU TAKE ANY MEDICATIONS EITHER PRESCRIBED OR OVER THE COUNTER
audio/MSK0007.mp3[323.720,328.200]	UM NO I JUST TAKE SOME MULTIVITAMINS
audio/MSK0007.mp3[328.200,332.280]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0007.mp3[332.280,335.840]	UM NO
audio/MSK0007.mp3[335.840,342.600]	OK AND HAVE YOU HAD ANY HOSPITALIZATIONS OR PRIOR SURGERIES
audio/MSK0007.mp3[342.600,357.960]	I I HAD A FRACTURE WHEN I WAS YOUNGER IT WAS IN MY HUMERUS BONE ON THE RIGHT SIDE
audio/MSK0007.mp3[357.960,362.680]	OK SO ITS THE TO THE FRACTURE WAS ON THE OTHER ARM
audio/MSK0007.mp3[363.840,366.600]	OK AND DID THAT HEAL OK
audio/MSK0007.mp3[368.920,377.200]	ALRIGHT THEN CAN YOU TELL ME ABOUT YOUR LIVING SITUATION CURRENTLY LIKE WHEREABOUTS AND WHO YOURE LIVING WITH
audio/MSK0007.mp3[377.200,385.120]	I LIVE WITH MY PARTNER OF FIVE YEARS WE LIVE IN AN APARTMENT TOGETHER
audio/MSK0007.mp3[385.120,389.360]	OK AND ARE YOU WORKING CURRENTLY
audio/MSK0007.mp3[389.360,390.080]	I AM
audio/MSK0007.mp3[390.080,392.640]	AND WHAT DO YOU DO
audio/MSK0007.mp3[392.640,399.800]	I WORK ON THE ASSEMBLY LINE FOR CHRYSLER
audio/MSK0007.mp3[399.800,407.960]	OK UH AND UH DO YOU DO REPETITIVE TASKS AT WORK
audio/MSK0007.mp3[407.960,410.720]	I DO
audio/MSK0007.mp3[410.720,422.280]	OK YEAH DO YOU NOTICE THIS UH PAIN AFTER MORE SO AFTER A SHIFT OR AFTER AFTER A LONG DAY
audio/MSK0007.mp3[422.280,425.600]	YES DEFINITELY
audio/MSK0007.mp3[425.600,434.600]	OK AND WHAT TYPES OF HOBBIES DO YOU HAVE LIKE DO YOU PLAY GOLF OR TENNIS OR OR ANY KIND OF LIKE SPORTS I GUESS
audio/MSK0007.mp3[434.600,446.560]	YEAH I USED TO PLAY GOLF BEFORE THIS PAIN IN MY ARM AND MY ELBOW SO I HAVENT PLAYED IT IN THE PAST LIKE SIX MONTHS
audio/MSK0007.mp3[446.560,451.280]	OK UM OK AND UM DO YOU SMOKE CIGARETTES
audio/MSK0007.mp3[451.280,453.440]	I DONT
audio/MSK0007.mp3[453.440,461.200]	AND DO YOU DRINK ALCOHOL
audio/MSK0007.mp3[461.200,468.680]	UM ILL HAVE A GLASS OF WINE EVERY OTHER DAY
audio/MSK0007.mp3[468.680,475.480]	OK AND HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR OR ANYTHING ELSE
audio/MSK0007.mp3[475.480,483.240]	ILL SMOKE A JOINT ONCE A WEEK
audio/MSK0007.mp3[483.240,487.760]	OK ALRIGHT AND IS THERE ANY FAMILY HISTORY OF ANY HEART OR LUNG PROBLEMS
audio/MSK0007.mp3[489.720,494.040]	ANY MUSCULOSKELETAL OR NEUROLOGICAL DISEASES
audio/MSK0007.mp3[494.040,495.360]	UM NO
audio/MSK0007.mp3[495.360,502.320]	OK I GOT ANY AUTOIMMUNE DISEASES LIKE THYROID DISEASE OR DIABETES
audio/MSK0007.mp3[504.240,517.400]	OK UM AND SO NEXT I WANTED TO WALK THROUGH A PHYSICAL EXAM SO WHEN YOU LOOK AT THE ELBOW YOURSELF DO YOU SEE ANY SWELLING OR REDNESS
audio/MSK0007.mp3[519.840,527.560]	OK DOES IT LOOK LIKE THERE IS ANY MUSCLE ATROPHY EITHER IN THE FOREARM OR THE BICEPS OR TRICEPS
audio/MSK0007.mp3[529.760,536.640]	OK AND HOW ABOUT ANY MISALIGNMENT OR JOINT DEFORMITY
audio/MSK0007.mp3[536.640,538.320]	NO I DONT SEE ANY OF THAT
audio/MSK0007.mp3[538.320,540.880]	OK AND ARE THERE ANY SCARS
audio/MSK0007.mp3[542.480,552.800]	OK AND WHEN YOU PRESS ON THE MEDIAL PART OF THE THE ELBOW DO YOU FEEL PAIN
audio/MSK0007.mp3[552.800,554.200]	I DO
audio/MSK0007.mp3[554.200,559.680]	HOW ABOUT OVER THE OLECRANON OR THE YEA ANY PAIN OVER THE OLECRANON
audio/MSK0007.mp3[559.680,562.760]	UM A LITTLE BIT
audio/MSK0007.mp3[562.760,571.040]	OK AND IS THERE ANY PAIN OVER THE LATERAL PART OF THE ELBOW
audio/MSK0007.mp3[572.240,578.960]	OK AN ANY PAIN OVER THE FOREARM OR BICEPS OR TRICEPS MUSCLES
audio/MSK0007.mp3[582.920,587.560]	OK AND DOES THE JOINT FEEL LIKE ITS HOT
audio/MSK0007.mp3[589.520,596.920]	OK AND ANY PAIN WITH SHOULDER OR ELBOW MOVEMENTS
audio/MSK0007.mp3[600.640,608.280]	ACTUALLY SORRY WITH THE ELBOW WHEN I STRAIGHTEN IT OUT ALL THE WAY IT HURTS A LITTLE BIT
audio/MSK0007.mp3[608.280,617.800]	OK WHEN ARE YOU STRAIGHTENING IT OUT ALL THE WAY OK BUT NO PAIN WITH SHOULDER MOVEMENTS AND FULL RANGE OF MOTION
audio/MSK0007.mp3[617.800,620.760]	NO NO PAIN WITH SHOULDER
audio/MSK0007.mp3[620.760,629.760]	OK AND HOW ABOUT PAIN WITH PRONATION AND SUPINATION
audio/MSK0007.mp3[629.760,633.520]	WITH PRONATION IT HURTS
audio/MSK0007.mp3[633.520,636.200]	OK AT THE MEDIAL SIDE
audio/MSK0007.mp3[637.280,650.160]	OK AND HOW ABOUT WITH WRIST SO WITH RESISTED UH YEAH WRIST FLEXION
audio/MSK0007.mp3[650.160,658.120]	WRIST FLEXION YEAH THAT HURTS TOO
audio/MSK0007.mp3[658.120,665.240]	OK AND THEN HOW ABOUT IF YOU PASSIVELY EXTEND YOUR YOUR WRIST AS FAR DOWN AS AS YOU CAN GO
audio/MSK0007.mp3[665.240,672.880]	DOWN UH YES THAT HURTS TOO
audio/MSK0007.mp3[672.880,681.640]	OK AND IS THERE ANY NUMBNESS OR TINGLING ANYWHERE
audio/MSK0007.mp3[681.640,691.160]	NO NO NO NUMBNESS OR TINGLING
audio/MSK0007.mp3[691.160,702.560]	OK OK SO THAT WAS EVERYTHING THAT I WANTED TO ASK ABOUT TODAY WAS THERE ANYTHING ELSE THAT YOU WANTED TO MENTION
audio/MSK0007.mp3[702.560,709.640]	NO THAT WAS THAT WHAT DO YOU THINK I HAVE AND HOW CAN I FIX IT
audio/MSK0007.mp3[709.640,807.200]	YEAH SO IT ITS CERTAINLY IT IT SOUNDS LIKE WITH THE MEDIAL ASPECT OF YOUR ELBOW HAVING PAIN THERE OVER THE LAST SEVERAL MONTHS AND SOME OF THE PHYSICAL EXAM MANEUVERS SUCH AS LIKE PASSIVE WRIST EXTENSION RESISTED WRIST FLEXION AS WELL AS PRONATION AND THE POINT TENDERNESS OVER THE MEDIAL ELBOW THIS COULD BE A MEDIAL EPICONDYLITIS OR A TENDINOPATHY IN THAT AREA AND SO THIS IS TYPICALLY TREATED WITH ACTIVITY MODIFICATION SO THIS COULD BE TRYING TO AVOID REPETITIVE MOVEMENTS THAT THAT CAUSE PAIN AND USING MEDICATIONS SUCH AS ADVIL AND TYLENOL AND DOING STRENGTHENING AND STRETCHING EXERCISES WHICH YOU CAN LEARN FROM A PHYSIOTHERAPIST OR OR ON YOUR OWN AS WELL AND ALSO OTHER THINGS THAT THAT THE MEDIAL SIDE OF THE ELBOW THAT IT COULD BE IS AN ULNAR LIGAMENT INJURY UM OR YEAH OR THE OTHER THING TO BE CONSIDERING IS AND ULNAR LIGAMENT INJURY AND SO IF THE PAIN ISNT GOING AWAY THEN WE MIGHT CONSIDER AN ULTRASOUND OR SOMETHING TO LOOK AT THE STRUCTURES THERE
audio/MSK0007.mp3[807.200,813.160]	OK THAT SOUNDS GREAT THANK YOU
audio/GAS0007.mp3[0.000,4.320]	SO I UNDERSTAND YOU HAVE BEEN EXPERIENCING SOME ABDOMINAL PAIN
audio/GAS0007.mp3[4.320,12.320]	YEAH YEAH STOMACH HURT STARTED HURTING MORE LAST COUPLE OF DAYS MAYBE 3 DAYS AGO I THINK
audio/GAS0007.mp3[12.320,19.320]	OK SO FOR THREE DAYS AGO FOR THE LAST THREE DAYS YOU SAID ITS BEEN HURTING MORE DID YOU HAVE PAIN BEFORE THAT
audio/GAS0007.mp3[19.320,40.080]	IT FELT WEIRD LIKE CRAMPY I JUST I JUST THOUGHT I WAS CONSTIPATED CAUSE IVE BEEN HAVENT BEEN ABLE TO BE ABLE TO GO TO THE BATHROOM AS WELL I JUST THOUGHT I WAS KIND OF BLOATED A BIT BUT YEAH ABOUT ABOUT THAT TIME STARTED TO FEEL A LITTLE BIT MORE PAINFUL
audio/GAS0007.mp3[40.080,43.880]	CAN YOU TELL ME KIND OF WHERE YOURE FEELING THE PAIN THE MOST
audio/GAS0007.mp3[43.880,60.680]	YEAH KINDA LIKE NEAR MY RIGHT HIP LIKE LOWER WHERE MY STOMACH IS THAT KIND OF RIGHT AND BELOW MY BELLY BUTTON SOMETIMES A LITTLE BIT ON THE TOP JUST BELOW MY BELLY BUTTON BUT MAINLY JUST IN THAT RIGHT LOWER SIDE YEAH
audio/GAS0007.mp3[60.680,64.760]	OK HAVE YOU EVER HAD PAIN LIKE THIS IN THE PAST
audio/GAS0007.mp3[64.760,67.760]	NO NEVER
audio/GAS0007.mp3[67.760,75.360]	OK AND FOR THE LAST THREE DAYS HAS IT BEEN PRETTY CONSTANT HAS IT BEEN ON AND OFF
audio/GAS0007.mp3[75.360,79.360]	I FEEL ITS BEEN GETTING WORSE TO BE HONEST
audio/GAS0007.mp3[79.360,85.560]	IS THERE ANYTHING THAT YOU CAN THINK OF THIS MADE IT FEEL BETTER
audio/GAS0007.mp3[85.560,91.240]	HONESTLY JUST RESTING FLAT MAKES IT FEEL A LITTLE BIT BETTER BUT NOTHING MUCH NO
audio/GAS0007.mp3[91.240,96.080]	OK IS THERE ANYTHING THAT MAKES IT WORSE
audio/GAS0007.mp3[96.080,106.000]	TOUCHING IT ALSO I PUKED THE THE OTHER DAY AND THAT MADE IT DEFINITELY FEEL WORSE JUST THAT WHOLE CONTRACTION IN MY BODY WAS NASTY
audio/GAS0007.mp3[106.000,112.280]	OK WAS IT JUST THE ONE TIME
audio/GAS0007.mp3[112.880,124.480]	OK YOU HAD THE NAUSEA ASSOCIATED WITH THE PAIN
audio/GAS0007.mp3[124.480,125.520]	MHM MHM
audio/GAS0007.mp3[125.520,131.160]	UM DID THE PAIN STAY IN THAT SAME SPOT OR DOES IT MOVE ANYWHERE ELSE
audio/GAS0007.mp3[131.160,136.200]	IT HAS PRETTY MUCH STAYED IN THAT ONE SPOT YEAH
audio/GAS0007.mp3[136.200,139.160]	HAVE YOU NOTICED ANY FEVERS LATELY
audio/GAS0007.mp3[139.160,145.720]	FELT A BIT HOT THE OTHER DAY DIDNT TAKE A TEMPERATURE THOUGH
audio/GAS0007.mp3[145.720,151.560]	OK OK AND WHAT SPECIFICALLY PROMPTED YOU TO COME IN TODAY TO THE EMERGENCY DEPARTMENT
audio/GAS0007.mp3[151.560,162.000]	I THOUGHT IT WAS JUST GOING TO GET BETTER WHEN IT FIRST STARTED MAYBE JUST A BIT OF GAS BUT HERE WE ARE KIND OF THURSDAY NOW AND ITS STILL PRETTY BAD
audio/GAS0007.mp3[162.000,169.080]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK LATELY
audio/GAS0007.mp3[169.080,173.720]	NOT OFF THE TOP OF MY HEAD NO
audio/GAS0007.mp3[173.720,179.520]	AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/GAS0007.mp3[180.240,184.720]	AND I FORGOT TO ASK DID YOU NOTICE ANY CHANGES TO YOUR BOWEL HABITS
audio/GAS0007.mp3[184.720,205.520]	YEAH YEAH BEFORE IT WAS FAIRLY REGULAR ABOUT ONCE A DAY FIVE DAYS AGO I STARTED GETTING CONSTIPATED IT BACKED UP AND PRETTY MUCH THE PICTURE I THINK LAST TIME I WENT TO THE BATHROOM WAS TWO DAYS AGO I THINK YEAH
audio/GAS0007.mp3[205.520,215.880]	OK IM JUST GONNA ASK YOU SOME QUESTIONS ABOUT YOUR OVERALL HEALTH YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR OR ANY OTHER DOCTOR
audio/GAS0007.mp3[215.880,220.000]	I GOT DIABETES TYPE 2
audio/GAS0007.mp3[220.000,226.040]	AND HAS THAT GENERALLY HAS THAT BEEN WELL CONTROLLED FOR YOU LATELY
audio/GAS0007.mp3[226.040,236.600]	MOST PART DOCTOR CHECKS MY SUGARS IM NOT TOO REGULAR ON THEM MYSELF BUT LAST TIME HE CHANGED MEDICATIONS WAS A COUPLE YEARS BACK AND IVE JUST BEEN ON THE SAME ONES EVER SINCE
audio/GAS0007.mp3[236.600,241.120]	WHAT MEDICATION ARE YOU CURRENTLY TAKING
audio/GAS0007.mp3[241.120,244.160]	METFORMIN METFORMIN
audio/GAS0007.mp3[244.160,248.320]	AND HAVE YOU EVER HAD ANY SURGERIES IN THE PAST
audio/GAS0007.mp3[248.320,253.360]	NO I HAD MY TEETH PULLED AS A KID BUT NO
audio/GAS0007.mp3[253.360,254.880]	OK STILL HAVE YOUR APPENDIX
audio/GAS0007.mp3[254.880,260.200]	YEAH YEAH I NEVER HAD THAT PROBLEM AS A KID
audio/GAS0007.mp3[260.200,264.880]	AND DO YOU HAVE ANY ALLERGIES
audio/GAS0007.mp3[264.880,269.880]	NO SOMETIMES GET A LITTLE BIT CONGESTED DURING THE FALL BUT THATS IT
audio/GAS0007.mp3[269.880,276.320]	DO YOU HAVE ANY FAMILY HISTORY OF GASTROINTESTINAL PROBLEMS
audio/GAS0007.mp3[276.320,289.000]	GAS LIKE NO I THINK MY GRANDMA DIED OF BREAST CANCER FAIRLY EARLY BUT NO NOT NOT THAT NOT THAT I CAN THINK OF
audio/GAS0007.mp3[289.000,293.720]	OK AND JUST IN TERMS OF YOUR LIFESTYLE DO YOU LIVE HERE IN TOWN
audio/GAS0007.mp3[293.720,294.640]	YEAH YEAH I LIVE HERE
audio/GAS0007.mp3[294.640,297.240]	LIVING ALONE OR WITH FAMILY
audio/GAS0007.mp3[297.240,306.000]	NO NO I GOT FAMILY ME THE WIFE GOT TWO KIDS ONE OF THEM IS COLLEGE BOUND NOW BUT YEAH
audio/GAS0007.mp3[306.000,309.400]	NICE AND WHAT DO YOU DO FOR WORK OR ARE YOU RETIRED
audio/GAS0007.mp3[309.400,316.840]	IM STILL WORKING I AM A PRODUCTION OVERSEER PRODUCTION MANAGER OVER AT FAIRBANKS
audio/GAS0007.mp3[316.840,319.760]	OK YOURE A BIG BOSS
audio/GAS0007.mp3[319.760,324.000]	IT TOOK AWHILE TO GET HERE
audio/GAS0007.mp3[324.000,329.960]	IM SURE IT WAS VERY HARD WORK IN GENERAL DO YOU DRINK ALCOHOL
audio/GAS0007.mp3[329.960,340.680]	OH YEAH LIKE WELL PLAN ON DRINKING ON THE TWO FOUR BUT NOT REGULAR SPECIAL OCCASIONS MAINLY HOT DAYS SOMETIMES ILL HAVE A BEER OR TWO
audio/GAS0007.mp3[340.680,345.680]	SURE AND DO YOU SMOKE CIGARETTES
audio/GAS0007.mp3[347.280,350.920]	HAVE YOU EVER SMOKED IN THE PAST
audio/GAS0007.mp3[351.240,353.440]	DO YOU CANNABIS
audio/GAS0007.mp3[354.760,358.480]	ANY OTHER SUBSTANCES
audio/GAS0007.mp3[359.240,366.560]	OK IS THERE ANYTHING ELSE YOU WANTED TO BRING UP TODAY THAT I DIDNT ASK YOU ABOUT OR ANY OTHER QUESTIONS THAT YOU HAVE
audio/GAS0007.mp3[366.560,370.640]	NO JUST HOPING TO GET AN ANSWER TO WHATEVER IS GOING ON
audio/GAS0007.mp3[370.640,396.200]	OK WELL AT THIS POINT I WILL DO A QUICK PHYSICAL EXAM WE MAY WANT TO HAVE BLOOD WORK DONE MAYBE SOME OTHER TESTS BASED ON WHAT WE FIND OUT FROM THERE AND THEN WE CAN KIND OF LET YOU KNOW AFTER THAT WHAT THE NEXT STEPS WILL BE SO IM JUST GOING TO TAKE THIS AND GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL GET BACK TO YOU SHORTLY THANKS FOR CHATTING WITH ME
audio/GAS0007.mp3[396.200,398.480]	THANKS DOC
audio/RES0066.mp3[0.000,3.880]	SO WHAT BRINGS YOU IN HERE TO THE ER
audio/RES0066.mp3[3.880,33.000]	WELL I THOUGHT I SHOULD START BY SAYING I WAS RECENTLY HOSPITALISED FOR PNEUMONIA I LEFT FIVE DAYS AGO BUT AS SOON AS I LEFT THAT EVENING I STARTED COUGHING AGAIN AND NOW I HAVE ALL THE SAME SYMPTOMS I HAVE A COUGH IM FEELING SHORT OF BREATH AND I HAVE A FEELING LIKE I HAVE A FEVER
audio/RES0066.mp3[33.000,41.840]	OK AND BEFORE YOU WERE DISCHARGED THE DAY CAN YOU LET ME KNOW WHAT YOU HAD AND WHAT KIND OF THINGS WERE YOU TREATED WITH
audio/RES0066.mp3[41.840,51.880]	I WAS TREATED WITH SOME ANTIBIOTICS I DONT KNOW EXACTLY WHICH ONES THEY SAID I HAD SOME SORT OF BACTERIAL PNEUMONIA
audio/RES0066.mp3[51.880,56.040]	OK BUT THEN IT GOT RESOLVED AND THEY SENT YOU HOME
audio/RES0066.mp3[56.040,58.360]	YEAH THATS RIGHT
audio/RES0066.mp3[58.360,62.000]	SO ARE YOUR SYMPTOMS SIMILAR TO WHEN YOU GOT ADMITTED
audio/RES0066.mp3[62.000,66.960]	THEY ARE SIMILAR BUT I FEEL LIKE THEY ARE ALSO WORSE NOW
audio/RES0066.mp3[66.960,77.320]	OK WORSE OK SO YOURE HAVING A COUGH SHORTNESS OF BREATH AND FEVER AND DID THAT ALL START TOGETHER OR DID ONE COME BEFORE ANOTHER
audio/RES0066.mp3[77.320,85.160]	UM SO THE COUGH CAME FIRST THEN THE SHORTNESS OF BREATH AND THEN THE FEVER
audio/RES0066.mp3[85.160,92.720]	OK AND THE COUGH HOW WOULD YOU DESCRIBE THE COUGH
audio/RES0066.mp3[92.720,96.920]	UM ITS HARSH ITS PERSISTENT
audio/RES0066.mp3[96.920,105.240]	ARE YOU PRODUCING ANY SPUTUM
audio/RES0066.mp3[105.240,110.880]	UM I GUESS A LITTLE BIT YEAH YEAH I GUESS A LITTLE BIT AND ITS YELLOW
audio/RES0066.mp3[110.880,115.640]	ITS YELLOW OK DO YOU NOTICE ANY KIND OF BLOOD IN YOUR SPUTUM
audio/RES0066.mp3[115.640,117.760]	NO NO BLOOD
audio/RES0066.mp3[117.760,126.720]	OK SO JUST YELLOW SPUTUM AND HOW MUCH WOULD YOU SAY YOURE PRODUCING AN AVERAGE DAY
audio/RES0066.mp3[126.720,138.280]	UM MAYBE LIKE 10 TO 15 TIMES IN A DAY I PRODUCE ENOUGH TO FILL LIKE THE INSIDE OF MY PALM
audio/RES0066.mp3[138.280,146.920]	OK AND WITH THE FEVER DID YOU GET A CHANCE TO MEASURE TAKE A TEMPERATURE AT ALL
audio/RES0066.mp3[146.920,150.360]	UMM NO I HAVENT ACTUALLY TAKEN MY TEMPERATURE
audio/RES0066.mp3[150.360,156.760]	OK BUT YOUVE BEEN HAVING CHILLS AND ARE YOU HAVING ANY OTHER SYMPTOMS
audio/RES0066.mp3[156.760,163.760]	YEAH CHILLS IVE BEEN FEELING KIND OF HOT DURING THE DAY
audio/RES0066.mp3[163.760,172.360]	YEAH OK AND HOW ABOUT THE SHORTNESS OF BREATH IS THAT JUST DURING ACTIVITY OR YOU CAN HAVE THAT WHEN YOURE SLEEPING OR RESTING AS WELL
audio/RES0066.mp3[172.360,180.040]	THE SHORTNESS OF BREATH IS MORE WITH LIKE ACTIVITY WHEN IM WALKING AROUND
audio/RES0066.mp3[180.040,184.760]	OK AND HAVE ALL THESE SYMPTOMS BEEN GETTING WORSE AT ALL
audio/RES0066.mp3[184.760,191.280]	YEAH ID SAY THEYRE GETTING WORSE NOW ITS LIKE THIS EVERYDAY AND ITS DEFINITELY GETTING WORSE
audio/RES0066.mp3[191.280,196.120]	OK DO YOU FEEL DIZZY OR LIGHTHEADED AT ALL
audio/RES0066.mp3[196.120,199.080]	UM NO
audio/RES0066.mp3[199.080,203.640]	DO YOU HAVE ANY MUSCLE ACHES
audio/RES0066.mp3[203.640,207.080]	UM A LITTLE BIT
audio/RES0066.mp3[207.080,215.720]	OK AND WHERE ON YOUR MUSCLES WOULD YOU SAY ARE ACHING
audio/RES0066.mp3[215.720,230.640]	I WOULD SAY MY LOWER LIMBS AND JUST GENERALLY ALL OVER BUT JUST YEAH LIKE THE BIG MUSCLES LIKE MY THIGHS MY SHOULDERS
audio/RES0066.mp3[230.640,237.880]	OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LIMBS AT ALL
audio/RES0066.mp3[237.880,240.880]	NO NO SWELLING
audio/RES0066.mp3[240.880,247.600]	OK AND ANY KIND OF SWELLING OF YOUR NECK REGION OR LYMPH NODES
audio/RES0066.mp3[247.600,252.480]	NO NOT THAT I NOTICED
audio/RES0066.mp3[252.480,258.040]	OK AND DO YOU FEEL ANY KIND OF CHEST PAIN WITH SHORTNESS OF BREATH
audio/RES0066.mp3[258.040,262.720]	UM NO NOTHING LIKE THAT
audio/RES0066.mp3[262.720,269.680]	OK AND SINCE YOUVE BEEN OUT OF THE HOSPITAL HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS SICK
audio/RES0066.mp3[269.680,272.880]	NO I WENT STRAIGHT HOME
audio/RES0066.mp3[272.880,276.360]	AND ANY RECENT TRAVEL
audio/RES0066.mp3[276.360,278.880]	NO NO RECENT TRAVEL
audio/RES0066.mp3[278.880,282.800]	OK ANY HEADACHES
audio/RES0066.mp3[282.800,285.760]	NO HEADACHES
audio/RES0066.mp3[285.760,288.880]	ANY NAUSEA OR VOMITING
audio/RES0066.mp3[291.400,297.960]	ANY KIND OF FATIGUE OR INCREASED TIREDNESS
audio/RES0066.mp3[297.960,302.200]	I FEEL FATIGUED YES
audio/RES0066.mp3[302.200,306.160]	OK AND DO YOU FEEL AT ALL THAT YOUR HEART IS RACING
audio/RES0066.mp3[307.760,316.880]	OK AND DO YOU HAVE ANY SYMPTOMS LIKE A LOSS OF TASTE SENSE OF TASTE OR SMELL
audio/RES0066.mp3[320.000,326.960]	SO OK ANY KIND OF BOWEL MOVEMENT ISSUES ANY CONSTIPATION OR DIARRHEA
audio/RES0066.mp3[330.960,336.040]	AND ANY URINARY TROUBLE
audio/RES0066.mp3[336.040,339.080]	UM NOTHING LIKE THAT
audio/RES0066.mp3[339.080,344.640]	OK HAVE YOU LOST ANY WEIGHT RECENTLY
audio/RES0066.mp3[345.840,356.040]	HAVE YOU BEEN ABLE TO SLEEP THROUGHOUT THE NIGHT OR DOES THE COUGH  WAKE YOU UP OR THE CHILLS WAKE YOU UP
audio/RES0066.mp3[356.040,362.680]	UM NO  THEY DONT WAKE ME UP I WOULDNT SAY THAT
audio/RES0066.mp3[362.680,372.080]	OK ARE YOU HAVING ANY OTHER SYMPTOMS LIKE A SORE THROAT RUNNY NOSE CONGESTION ANYTHING LIKE THAT
audio/RES0066.mp3[373.080,386.200]	OK AND ANYTHING IN YOUR HOUSE LIKE DUST OR AN OLD CARPET OR PETS ANYTHING THAT TRIGGERS SOME OF THESE SYMPTOMS
audio/RES0066.mp3[386.560,402.320]	OK OK AND IN TERMS OF YOUR PAST MEDICAL HISTORY ANY CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH LIKE ASTHMA COPANYTHING LIKE THAT
audio/RES0066.mp3[402.320,403.120]	UM NO NOTHING LIKE THAT
audio/RES0066.mp3[403.120,407.320]	OK DO YOU TAKE ANY MEDICATIONS
audio/RES0066.mp3[407.320,421.160]	I DO I TAKE SOME MULTIVITAMINS PARTICULARLY CALCIUM AND VITAMIN AND IM ALSO ON SYNTHROID
audio/RES0066.mp3[421.160,424.080]	OK SO DO YOU HAVE HYPERTHYROIDISM
audio/RES0066.mp3[424.080,427.920]	YEAH SORRY I FORGOT TO MENTION THAT
audio/RES0066.mp3[427.920,438.800]	NO WORRIES THEN WHEN YOU WENT HOME AND YOU WERE DISCHARGED DID THEY GIVE YOU ANY ANTIBIOTICS TO FINISH AT HOME
audio/RES0066.mp3[438.800,457.280]	AH YES THEY DID SO I ONLY HAD ONE DAYS WORTH LEFT I WAS SWITCHED FROM IV ANTIBIOTIC  TO THE ORAL KIND AND SO ID FINISH THE REMAINING PILLS THAT DAY THEN WENT HOME
audio/RES0066.mp3[457.280,472.080]	OK SO YOU FINISHED THE COURSE OK GREAT AND DO YOU HAVE ANY PAST HISTORY WHEN YOU WERE ADMITTED ANY OTHER HOSPITALIZATIONS OR SURGERIES AT ALL
audio/RES0066.mp3[472.080,472.760]	UM NO
audio/RES0066.mp3[472.760,478.240]	DO YOU HAVE ANY FAMILY HISTORY OF ASTHMA COPOR ANY LUNG CONDITIONS
audio/RES0066.mp3[481.640,484.880]	ANY OTHER CONDITIONS THAT RUN IN THE FAMILY
audio/RES0066.mp3[487.400,495.200]	OK AND CURRENTLY WHERE DO YOU LIVE
audio/RES0066.mp3[495.200,499.760]	I LIVE IN A HOUSE WITH MY DAUGHTER AND HER HUSBAND
audio/RES0066.mp3[499.760,503.360]	OK AND ANY ONE OF THEM HAVE SIMILAR SYMPTOMS OR HAVE BEEN SICK RECENTLY
audio/RES0066.mp3[508.000,513.000]	OK AND HAVE YOU HAD A COVITEST DONE AT ALL
audio/RES0066.mp3[513.000,521.800]	UM NO NO COVITESTS HAVE BEEN DONE I HAD ONE IN THE HOSPITAL BEFORE I WAS ADMITTED BUT NONE TODAY
audio/RES0066.mp3[521.800,525.400]	OK AND DO YOU SMOKE AT ALL
audio/RES0066.mp3[525.400,530.360]	I USED TO SMOKE I DONT SMOKE ANYMORE
audio/RES0066.mp3[530.360,532.800]	OK AND WHEN DID YOU QUIT
audio/RES0066.mp3[532.800,536.960]	ABOUT SEVEN YEARS AGO
audio/RES0066.mp3[536.960,540.440]	OK CONGRATULATIONS
audio/RES0066.mp3[541.400,545.640]	AND HOW MUCH WOULD YOU SAY YOU SMOKED BEFORE THAT AND FOR HOW MANY YEARS
audio/RES0066.mp3[545.640,553.160]	BEFORE THAT I WOULD SAY ITS LIKE GOSH 20 YEARS AND THEN ABOUT A PACK A DAY
audio/RES0066.mp3[553.160,559.320]	OK DO YOU DRINK ALCOHOL
audio/RES0066.mp3[559.320,568.000]	I DRINK LIKE A GLASS OF WINE A WEEK
audio/RES0066.mp3[568.000,575.200]	OK ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0066.mp3[575.720,585.840]	OK YEAH SO IS THERE ANYTHING ELSE ANY OTHER QUESTIONS THAT YOU HAVE FOR ME TODAY
audio/RES0066.mp3[585.840,587.800]	NO WHAT DO YOU THINK I HAVE
audio/RES0066.mp3[587.800,636.880]	YEAH SO THERES DEFINITELY MULTIPLE THINGS THAT CAN BE GOING ON SINCE YOU WERE JUST RECENTLY ADMITTED MAYBE YOU MIGHT HAVE ANOTHER BACTERIAL R ESPIRATORY INFECTION LIKE A PNEUMONIA OR IT COULD BE VIRAL AS WELL SO THE FIRST THING WE WANT TO DO IS FOR SURE GET COVISWAB DONE AND THEN WE WILL ALSO GET SINCE YOU WERE ADMITTED AS WELL RECENTLY WE WANT TO GET AN X RAY ON YOU JUST TO SEE IF THERES ANY PNEUMONIA OK AND SO WELL BE KEEPING YOU HERE FOR A BIT UNTIL EVERYTHING COMES BACK WELL GET SOME BLOOD WORK DONE FOR YOU AS WELL TO SEE IF THERES ANY INFECTION IN YOUR BODY AND THEN YEAH SO JUST SIT TIGHT WELL GET ALL THOSE THINGS DONE IS THAT OK WITH YOU
audio/RES0066.mp3[636.880,639.840]	YEAH THATS GREAT THANK YOU
audio/RES0066.mp3[639.840,643.640]	YOURE WELCOME YEAH SO WELL WILL BE UPDATING YOU SHORTLY
audio/RES0066.mp3[643.640,651.400]	OK GREAT THANK YOU
audio/RES0045.mp3[0.000,2.640]	WHAT BRINGS YOU IN
audio/RES0045.mp3[2.640,12.200]	IVE HAD A COUGH THAT STARTED LIKE 4 DAYS AGO UM AND ITS JUST BEEN GETTING WORSE SO I I WANTED TO COME IN
audio/RES0045.mp3[12.200,22.440]	OK YEAH ITS GOOD THAT YOUVE COME IN UM SO THE COUGH STARTED FOUR DAYS AGO HAS IT BEEN CONSTANT SINCE
audio/RES0045.mp3[22.440,24.240]	YES IT HAS
audio/RES0045.mp3[24.240,29.640]	OK AND HOW OFTEN ARE YOU COUGHING
audio/RES0045.mp3[29.640,46.240]	I UM ID SAY A FEW TIMES AN HOUR NOW UH WHEN IT FIRST STARTED IT WAS A BIT MORE INTERMITTENT BUT NOW ITS HAPPENING UM ALL DAY LONG AND THROUGHOUT THE NIGHT AS WELL IT INTERRUPTED MY SLEEP LAST NIGHT
audio/RES0045.mp3[46.240,51.200]	OH OK UM IS IT A DRY COUGH OR ARE YOU PRODUCING SPUTUM
audio/RES0045.mp3[51.200,55.200]	ITS ITS MOSTLY DRY
audio/RES0045.mp3[55.200,58.280]	OK SO NO SPUTUM NO BLOOD
audio/RES0045.mp3[58.280,60.640]	NO BLOOD
audio/RES0045.mp3[60.640,83.560]	OK UM DO YOU FIND THAT THERE ARE ANY TRIGGERS TO YOUR TO THIS COUGH LIKE UM ENVIRONMENTAL TRIGGERS LIKE THE COLD WEATHER UM ANY OLD CARPETS AT HOME OR UM YOU KNOW A PARTICULAR TIME OF THE DAY OR EXERTION ANYTHING LIKE THAT
audio/RES0045.mp3[83.560,93.160]	NO INTERESTINGLY NOTHING LIKE THAT SEEMS TO REALLY MAKE IT WORSE ITS JUST BEEN UM KINDA COUGHING ALL DAY
audio/RES0045.mp3[93.160,100.280]	OK AND UM HAS ANYTHING MADE IT BETTER HAVE YOU TRIED ANYTHING FOR THIS COUGH
audio/RES0045.mp3[100.280,117.480]	UH I TRIED UM DRINKING SOME UH LIKE TEA AND SOME OTHER COUGH SYRUPS AND IT DIDNT DIDNT HELP
audio/RES0045.mp3[117.480,131.440]	OK UM HOW ABOUT AH OK AND IF YOU WERE TO DESCRIBE THE QUALITY OF THIS COUGH WOULD YOU SAY ITS ITS IT SOUNDS BARKY IT SOUNDS HARSH UM HOW WOULD YOU DESCRIBE IT
audio/RES0045.mp3[131.440,132.600]	UH HARSH
audio/RES0045.mp3[132.600,142.320]	HARSH OK AND IF YOU WERE TO RATE YOUR SYMPTOMS 1 TO 10 10 BEING THE WORST HOW BAD IS IT
audio/RES0045.mp3[142.320,143.880]	UH 6
audio/RES0045.mp3[143.880,153.200]	SIX OK AND AND HAVE YOU FOUND THAT YOUR SYMPTOMS ARE GETTING WORSE STAYING THE SAME OR GETTING BETTER OVER THE PAST FOUR DAYS
audio/RES0045.mp3[153.200,154.280]	GETTING WORSE
audio/RES0045.mp3[154.280,160.360]	GETTING WORSE OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0045.mp3[160.360,161.560]	UH NO
audio/RES0045.mp3[161.560,165.440]	NO DO YOU FEEL WHEEZY AT ALL
audio/RES0045.mp3[165.440,169.440]	NO I HAVENT HEARD ANY ANY WHEEZES
audio/RES0045.mp3[169.440,173.680]	OK HOW ABOUT UH SHORTNESS OF BREATH
audio/RES0045.mp3[173.680,182.280]	YEAH IVE DEFINITELY NOTICED SOME DIFFICULTY BREATHING UM YEAH
audio/RES0045.mp3[182.280,189.960]	OK AND UH WHEN WHEN DID WHEN DID YOUR SHORTNESS OF BREATH START
audio/RES0045.mp3[189.960,196.240]	RIGHT AROUND THE SAME TIME AS THE COUGH OR MAYBE SHORTLY AFTER UM YEAH SHORTLY AFTER
audio/RES0045.mp3[196.240,204.480]	SHORTLY AFTER OK DO YOU FIND THAT THERE ARE ANY TRIGGERS FOR SHORTNESS OF BREATH LIKE EXERTION
audio/RES0045.mp3[204.480,221.200]	YEAH YEAH EXERTION UM AS WELL AS LIKE THE COUGH ITSELF IM FINDING THAT IM COUGHING SO MUCH THROUGHOUT THE DAY THAT IM HAVING A HARD TIME CATCHING UP AND CATCHING MY BREATH AFTERWARDS
audio/RES0045.mp3[221.200,225.840]	YEAH FOR SURE UM OK AND ANY CHEST PAIN
audio/RES0045.mp3[225.840,228.800]	NO CHEST PAIN
audio/RES0045.mp3[228.800,236.440]	OK UM HOW ABOUT FEELING LIKE YOUR HEARTS RACING
audio/RES0045.mp3[236.440,239.440]	NO NOTHING LIKE THAT
audio/RES0045.mp3[239.440,243.880]	NO ANY SWELLING IN YOUR LEGS OR ARMS
audio/RES0045.mp3[245.560,254.080]	OK DO YOU EVER FEEL LIKE YOU HAVE UH PAIN IN YOUR CALVES AFTER WALKING UM A FEW BLOCKS
audio/RES0045.mp3[256.320,262.040]	NO ANY FAINTING SPELLS OR DIZZINESS
audio/RES0045.mp3[262.040,263.440]	UH NO
audio/RES0045.mp3[263.440,269.000]	NO UM HAVE YOU HAD A SORE THROAT
audio/RES0045.mp3[270.080,274.600]	NO ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0045.mp3[275.640,279.880]	RUNNY NOSE OR STUFFY NOSE
audio/RES0045.mp3[279.880,288.040]	NOT NO BUT IVE DEFINITELY I FEEL LIKE IVE MAYBE NOTICED A CHANGE IN MY SMELL
audio/RES0045.mp3[288.040,290.560]	OK HOW SO
audio/RES0045.mp3[290.560,296.240]	I JUST UH I FEEL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL
audio/RES0045.mp3[296.240,301.920]	UM WHEN DID YOU NOTICE THAT
audio/RES0045.mp3[301.920,306.000]	THE REALLY THESE LAST LIKE 2 DAYS
audio/RES0045.mp3[306.000,311.480]	OK AND ANY CHANGES IN YOUR TASTE
audio/RES0045.mp3[311.480,328.320]	UH I HAVENT REALLY I I THOUGHT WELL I WASNT REALLY ABLE TO TASTE MY FOOD BUT I THOUGHT THAT WAS BECAUSE I COULDNT I WASNT SMELLING UM SO I THOUGHT THAT WAS JUST GOING TO GO AWAY BUT THE SYMPTOMS HAVE GOTTEN WORSE
audio/RES0045.mp3[328.320,333.840]	YEAH AND HAVE YOU HAD A FEVER OR CHILLS IN THE PAST FEW DAYS
audio/RES0045.mp3[333.840,339.080]	UH YEAH IVE HAD A FEVER UM OR I FELT HOT ANYWAY
audio/RES0045.mp3[339.080,342.360]	DID YOU TAKE YOUR TEMPERATURE
audio/RES0045.mp3[342.360,349.240]	I HAVENT CHECKED IT BUT UM LIKE IVE BEEN FEELING PRETTY SWEATY FROM HOW HOT IVE BEEN
audio/RES0045.mp3[349.240,360.600]	OK UM SO WELL TAKE YOUR TEMPERATURE TODAY AND WELL LET YOU KNOW UM HAVE YOU NOTICED ANY WEIGHT LOSS OVER THE PAST FEW WEEKS
audio/RES0045.mp3[362.080,366.840]	NO WEIGHT LOSS HOW ABOUT FATIGUE OR MUSCLE ACHES
audio/RES0045.mp3[366.840,369.960]	UH MAYBE THESE PAST COUPLE OF DAYS YEAH
audio/RES0045.mp3[369.960,376.160]	OK UM ANY CHANGES TO YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0045.mp3[376.160,379.000]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0045.mp3[379.000,385.360]	OK UM ANY CHANGES TO YOUR BOWEL HABITS
audio/RES0045.mp3[385.360,386.600]	UH NO
audio/RES0045.mp3[386.600,389.760]	NO ANY NAUSEA OR VOMITING
audio/RES0045.mp3[389.760,394.000]	UM NO NO
audio/RES0045.mp3[394.000,398.800]	NO OK ANY ABDOMINAL PAINS
audio/RES0045.mp3[400.480,403.200]	ANY CHANGES TO YOUR URINE
audio/RES0045.mp3[404.160,407.120]	UH CONFUSION OR MEMORY LOSS
audio/RES0045.mp3[408.080,414.320]	OK AND WOULD YOU SAY THAT YOU ARE AN OTHERWISE HEALTHY PERSON
audio/RES0045.mp3[414.320,419.640]	YEAH YEAH THATS WHY THESE SYMPTOMS UM REALLY SURPRISED ME
audio/RES0045.mp3[419.640,426.920]	YEAH UM SO YOUVE NEVER BEEN HOSPITALIZED OR NEEDED SURGERY IN THE PAST
audio/RES0045.mp3[426.920,434.440]	NO I HAVENT NEEDED TO I HAVENT SEEN A DOCTOR IN A FEW YEARS
audio/RES0045.mp3[434.440,438.640]	OK UM ARE YOU ON ANY MEDICATIONS
audio/RES0045.mp3[438.640,448.280]	UH NOPE JUST UH TAKE A MULTIVITAMIN AND UH AND THATS ABOUT IT
audio/RES0045.mp3[448.280,452.880]	OK UM OK UM ANY ALLERGIES
audio/RES0045.mp3[452.880,458.520]	UH YEAH IM ALLERGIC TO UM CATS
audio/RES0045.mp3[458.520,464.000]	CATS OK AND HAVE YOU BEEN AROUND ANY CATS RECENTLY
audio/RES0045.mp3[465.320,469.760]	NO OK HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE
audio/RES0045.mp3[469.760,473.240]	YEAH I AM
audio/RES0045.mp3[473.240,479.320]	OK UM ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0045.mp3[479.320,480.040]	UH NO
audio/RES0045.mp3[480.040,482.640]	HOW ABOUT CANCERS
audio/RES0045.mp3[482.640,485.480]	NOTHING LIKE THAT
audio/RES0045.mp3[485.480,490.320]	OK AND DO YOU SMOKE
audio/RES0045.mp3[490.680,494.400]	UM HOW ABOUT MARIJUANA
audio/RES0045.mp3[494.400,503.320]	UH SOMETIMES ILL HAVE A JOINT WITH FRIENDS OR SOMETHING LIKE THAT ON THE WEEKEND BUT UM YEAH SO MAYBE ONCE A WEEK
audio/RES0045.mp3[503.320,509.520]	ONCE A WEEK OK UM HOW ABOUT ALCOHOL DO YOU DRINK ANY ALCOHOL
audio/RES0045.mp3[509.520,514.040]	UH NO
audio/RES0045.mp3[514.040,516.920]	NO OK UM AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0045.mp3[516.920,522.160]	I LIVE IN A HOUSE UM WITH MY WIFE AND UH 3 KIDS
audio/RES0045.mp3[522.160,527.200]	OK IS ANYONE ELSE SICK AT HOME
audio/RES0045.mp3[527.200,530.280]	UH EVERYBODYS BEEN WELL
audio/RES0045.mp3[530.280,538.040]	OK UM ANY REASON TO BELIEVE THAT YOUVE BEEN AROUND ANY SICK CONTACTS RECENTLY
audio/RES0045.mp3[538.040,553.040]	UM POSSIBLY UM I MEAN IM IN SALES SO MEETING WITH CLIENTS ALL DAY UM MAYBE ONE OF THEM WERE SICK
audio/RES0045.mp3[553.040,558.160]	YEAH YEAH FOR SURE UM ANY TRAVEL RECENTLY
audio/RES0045.mp3[558.160,563.760]	UH NO TRAVEL ALL THE MEETINGS HAVE BEEN IN THE CITY
audio/RES0045.mp3[563.760,579.920]	OK OK GOOD SO THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN OR ANYTHING THAT YOU WANTED TO DISCUSS TODAY THAT I MISSED
audio/RES0045.mp3[579.920,585.000]	UM NO THAT I WAS JUST WORRIED ABOUT UH COVID
audio/RES0045.mp3[585.000,651.840]	YEAH SO THATS DEFINITELY TOP ON THE LIST RIGHT NOW FOR THINGS THAT WE HAVE TO RULE YOU OUT FOR UM SO WELL TAKE A SWAB TODAY WELL SEND IT OFF UM FOR THOSE PCR RESULTS YOU SHOULD HEAR BACK IN 24 TO 48 HOURS UH IN THE MEANTIME YOU SHOULD ISOLATE FOR 14 DAYS AND THAT INCLUDES FROM FAMILY MEMBERS WHEN POSSIBLE AND PUBLIC HEALTH WILL GET IN TOUCH WITH YOU IF THOSE RESULTS ARE POSITIVE AND SO THEY CAN THEY CAN DO SOME CONTACT TRACING IF ITS NOT COVID IT COULD BE ANOTHER VIRAL ILLNESS THATS GOING AROUND AND I GUESS THE BEST THERAPY FOR THAT IS STAYING HYDRATED UM GETTING GOOD SLEEP AND EATING NUTRITIOUS FOODS UH BUT IF YOUR SYMPTOMS GET WORSE LIKE YOURE RUNNING A REALLY HIGH FEVER UM YOURE HAVING NEUROLOGICAL SYMPTOMS LIKE YOU KNOW SEIZURES OR FAINTING SPELLS UM OR IF YOURE HAVING DIFFICULTY BREATHING UM YOU SHOULD COME BACK TO THE ER SO HOW DOES THAT SOUND
audio/RES0045.mp3[651.840,653.840]	YEAH ITS REALLY INFORMATIVE THANK YOU
audio/RES0045.mp3[653.840,656.160]	ALRIGHT TAKE CARE
audio/RES0045.mp3[656.160,659.800]	THANK YOU
audio/RES0027.mp3[0.000,5.400]	I WAS WONDERING IF YOU COULD TELL ME WHAT BROUGHT YOU IN
audio/RES0027.mp3[5.400,20.760]	SURE IVE BEEN COUGHING FOR THE PAST THREE DAYS AND IT I CANT SEEM TO STOP ITS AFFECTING MY SLEEP SO I JUST REALLY LIKE TO GET THIS FIXED
audio/RES0027.mp3[20.760,28.120]	OK AH IS THE COUGH WITH THE COUGH HAVE YOU BEEN BRINGING UP ANY SPUTUM
audio/RES0027.mp3[28.120,32.120]	NO ITS ITS DRY ITS VERY DRY
audio/RES0027.mp3[32.120,36.240]	OK HAVE YOU BROUGHT UP ANY BLOOD
audio/RES0027.mp3[36.240,37.920]	NO NO BLOOD
audio/RES0027.mp3[37.920,47.480]	OK AND THE COUGH STARTED THREE DAYS AGO HAS IT GOTTEN WORSE GOTTEN BETTER STAYED THE SAME
audio/RES0027.mp3[47.480,54.160]	AH YOU KNOW IT SEEMS TO BE GETTING WORSE AND NOW I EVEN FEEL HOT LIKE I HAVE A FEVER OR SOMETHING
audio/RES0027.mp3[54.160,69.680]	I SEE IS THERE ANY TRIGGERS ASSOCIATED WITH THE COUGH LIKE GOING OUTSIDE INTO THE COLD SMOKE INHALATION OR OR DUST OR PETS
audio/RES0027.mp3[69.680,73.280]	UM NO NOT THAT I NOTICED
audio/RES0027.mp3[73.280,79.760]	OK HAVE YOU TRIED ANYTHING TO YOU HELP WITH THE COUGH
audio/RES0027.mp3[79.760,87.520]	I TRIED OVER THE COUNTER COUGH SYRUP BUT ITS ITS NOT HELPING
audio/RES0027.mp3[87.520,99.040]	OK AND YOU MENTIONED THE COUGHS INTERRUPTING YOUR SLEEP HAS IS THE COUGH CONSTANT ALL DAY OR ARE THERE PARTICULAR TIMES OF THE DAY THAT ITS WORSE
audio/RES0027.mp3[99.040,102.280]	ITS JUST ALL DAY
audio/RES0027.mp3[102.280,112.280]	LETS SEE OK UM AND YOU MENTIONED THAT YOU STARTED TO FEEL HOT WHEN WHEN DID YOU NOTICE THAT
audio/RES0027.mp3[112.280,114.400]	THAT WAS JUST TODAY
audio/RES0027.mp3[114.400,118.600]	JUST TODAY HAVE YOU TAKEN YOUR TEMPERATURE
audio/RES0027.mp3[118.600,122.040]	NO I HAVENT
audio/RES0027.mp3[122.040,128.360]	OK AND HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0027.mp3[128.360,136.480]	MMM IVE BEEN REALLY TIRED BUT I DONT KNOW IF THATS BECAUSE I CANT GET ANY SEEM TO GET ANY SLEEP
audio/RES0027.mp3[136.480,149.760]	WELL BECAUSE THE COUGHS BEEN KEEPING YOU UP OK UM SO HAVE YOU HAD ANY HEADACHES
audio/RES0027.mp3[149.760,157.280]	MAYBE A SLIGHT HEADACHE BUT ALSO IM NOT TOO SURE IF THATS BECAUSE IVE BEEN COUGHING AND ITS PUTTING STRAIN ON MY HEAD
audio/RES0027.mp3[157.280,166.760]	OK HOW ABOUT ANY DISCHARGE LIKE MUCUS OR TEARS FROM YOUR EYES OR EARS
audio/RES0027.mp3[166.760,170.280]	NO NOTHING LIKE THAT
audio/RES0027.mp3[170.280,175.880]	OK HOW ABOUT ANY PAIN AROUND YOUR EYES OR EARS
audio/RES0027.mp3[177.880,183.480]	OK HAVE YOU HAD A RUNNY NOSE
audio/RES0027.mp3[183.480,185.920]	MMMM NO NO
audio/RES0027.mp3[185.920,199.160]	ALRIGHT AND WITHIN THE LAST MONTH OR SO HAVE YOU HAD ANY COLD LIKE SYMPTOMS WITH A RUNNY NOSE HEADACHE SORE THROAT AND OR A COUGH
audio/RES0027.mp3[199.160,200.640]	AH NO
audio/RES0027.mp3[200.640,204.560]	OK SO ITS JUST BEEN THESE LAST FEW DAYS
audio/RES0027.mp3[205.880,214.680]	UM ALRIGHT AND DO YOU HAVE A SORE THROAT NOW
audio/RES0027.mp3[214.680,215.960]	UM NO
audio/RES0027.mp3[215.960,220.080]	OK AND AND HOW IS YOUR APPETITE BEEN
audio/RES0027.mp3[220.080,229.280]	MY APPETITES BEEN OK I ALSO ITS JUST HARD TO EAT BECAUSE IM COUGHING SO MUCH
audio/RES0027.mp3[229.280,235.760]	OK HAVE YOU HAD ANY TROUBLES WITH SWALLOWING LIKE BEING PAINFUL
audio/RES0027.mp3[235.760,240.960]	NO WELL NO NO I WOULD SAY NO
audio/RES0027.mp3[240.960,248.520]	OK UM AN IN THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS
audio/RES0027.mp3[248.520,251.160]	UM NO WEIGHT LOSS
audio/RES0027.mp3[251.160,257.400]	ALRIGHT AND HAVE YOU HAD ANY CHILLS
audio/RES0027.mp3[257.400,262.920]	MAYBE A LITTLE BIT LAST NIGHT NOW THAT I THINK ABOUT IT
audio/RES0027.mp3[262.920,268.720]	OK AND HOW ABOUT ANY NIGHT SWEATS
audio/RES0027.mp3[268.720,271.480]	A LITTLE BIT LAST NIGHT
audio/RES0027.mp3[271.480,277.640]	OK SO YOU WERE A BIT CHILLY AND AND THEN SWEATY LATE LAST NIGHT
audio/RES0027.mp3[277.640,279.640]	YES A LITTLE BIT
audio/RES0027.mp3[279.640,282.040]	OK AND FEELING HOT TODAY
audio/RES0027.mp3[283.000,288.960]	HAVE YOU HAD ANY CHEST PAIN
audio/RES0027.mp3[288.960,291.720]	UM NO NO CHEST PAIN NO
audio/RES0027.mp3[291.720,296.160]	ALRIGHT AND HOW ABOUT SHORTNESS OF BREATH
audio/RES0027.mp3[298.120,302.800]	ALRIGHT ANY WHEEZING
audio/RES0027.mp3[304.560,312.200]	ALRIGHT AND HAVE YOU HAD ANY INSTANCES WHERE YOU FELT AS THOUGH YOUR HEART WAS RACING OR BEATING OUT OF YOUR CHEST
audio/RES0027.mp3[313.960,321.800]	ALRIGHT AND ANY INSTANCES WHERE YOU FELT LIKE YOU WERE GONNA FAINT OR MAYBE BLACKOUT
audio/RES0027.mp3[323.760,327.720]	OK AND HAVE YOU FELT DIZZY AT ALL
audio/RES0027.mp3[327.720,329.880]	UM NO NO DIZZINESS
audio/RES0027.mp3[329.880,341.360]	ALRIGHT AND HAVE YOU HAD ANY LOSS OR OF YOUR SENSE OF TASTE OR LOSS OF YOUR SENSE OF SMELL
audio/RES0027.mp3[341.360,343.640]	UM NO
audio/RES0027.mp3[343.640,349.880]	OK AND HAVE YOU HAD ANY DIARRHEA
audio/RES0027.mp3[349.880,352.840]	NO DIARRHEA
audio/RES0027.mp3[352.840,359.040]	ALRIGHT AND THEN HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0027.mp3[360.080,369.400]	OK UM AND SO YOU HAVE BEEN FATIGUED HAVE YOU HAD ANY MUSCLE ACHES OR OR BODY ACHES
audio/RES0027.mp3[369.400,372.680]	A LITTLE BIT OF BOTH YEAH
audio/RES0027.mp3[372.680,385.760]	I SEE OK AND HAVE YOU HAD ANY PAINFUL URINATION OR FEELING THE NEED TO URINATE FREQUENTLY
audio/RES0027.mp3[387.640,392.160]	OK AND ANY SKIN RASHES OR OR SKIN CHANGES
audio/RES0027.mp3[392.160,394.360]	AH NO
audio/RES0027.mp3[394.360,402.200]	ALRIGHT UM IN REGARDS TO YOUR PAST HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0027.mp3[402.200,407.120]	I HAVE HYPOTHYROIDISM
audio/RES0027.mp3[407.120,412.400]	I SEE OK AND UM ARE YOU TAKING ANY MEDICATIONS FOR THAT
audio/RES0027.mp3[412.400,414.200]	IM ON SYNTHROID
audio/RES0027.mp3[414.200,421.760]	OK GREAT WHEN WAS YOUR LAST TSH CHECKED
audio/RES0027.mp3[421.760,426.520]	I BELIEVE I DID IT SIX MONTHS AGO
audio/RES0027.mp3[426.520,430.520]	OK AND WERE THERE ANY CONCERNS WITH THE RANGE AT THAT TIME
audio/RES0027.mp3[430.520,434.560]	NO I THINK IT WAS NORMAL
audio/RES0027.mp3[434.560,444.560]	ALRIGHT EXCELLENT DO YOU TAKE ANY OTHER MEDICATIONS OR OVER THE COUNTER
audio/RES0027.mp3[444.560,452.000]	I I TAKE THIS MULTI VITAMIN I CANT REMEMBER THE NAME OF IT BUT ITS JUST SOMETHING THAT I TAKE EVERY DAY
audio/RES0027.mp3[452.000,458.080]	OK ANY ANY ALLERGIES TO MEDICATIONS
audio/RES0027.mp3[458.720,464.880]	ALRIGHT AND HAVE YOU HAD ANY SURGERIES BEFORE
audio/RES0027.mp3[464.880,469.480]	UM I HAD MY APPENDIX REMOVED WHEN I WAS A TEENAGER
audio/RES0027.mp3[469.480,473.880]	OK AND ANY COMPLICATIONS WITH THAT SURGERY
audio/RES0027.mp3[474.560,484.560]	ALRIGHT UM SO NEXT I WAS WONDERING IF YOU COULD JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0027.mp3[484.560,494.600]	SURE I LIVE WITH MY HUSBAND AND TWO CHILDREN WHO ARE BOTH TEENAGERS I WE LIVE IN A IN A TOWNHOUSE AND WE MOVED RECENTLY
audio/RES0027.mp3[494.600,500.000]	OK AND ANYBODY IN THE HOME BEEN SICK
audio/RES0027.mp3[500.000,516.600]	MY HUSBAND HAS BEEN THROWING UP FOR THE PAST TWO DAYS AND I THINK HE WAS FEELING A LITTLE HOT TOO
audio/RES0027.mp3[516.600,522.240]	OK HAS HE BEEN ASSESSED BY A PHYSICIAN
audio/RES0027.mp3[522.240,531.000]	NO I TRIED TO BRING HIM TODAY BUT HE REFUSED
audio/RES0027.mp3[531.000,543.240]	I SEE OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK THAT YOURE AWARE OF LIKE AT WORK OR ANYTHING
audio/RES0027.mp3[543.240,561.160]	HE WORKS AT THIS IT COMPANY THERE ARENT A LOT OF THEM AND THEY ALL HAVE THEIR OWN CUBICLES SO YOU KNOW MAYBE IN THE LUNCH ROOM OR SOMETHING BUT OTHER THAN THAT I DONT THINK SO
audio/RES0027.mp3[561.160,569.400]	OK AND HOW ABOUT YOURSELF ANY OTHER EXPOSURES OR SICK CONTACTS OR MAYBE AT WORK OR SOMETHING LIKE THAT
audio/RES0027.mp3[569.400,576.080]	UM SO I DO MARKETING STUFF ONLINE BUT I I WORK FROM HOME
audio/RES0027.mp3[576.080,581.880]	OK UM AND YOUR KIDS HAVE BEEN WELL
audio/RES0027.mp3[581.880,584.120]	OH YEAH THEYVE BEEN THEYVE BEEN HEALTHY
audio/RES0027.mp3[584.120,588.840]	ALRIGHT AND DO YOU SMOKE CIGARETTES
audio/RES0027.mp3[590.880,592.720]	AND DO YOU DRINK ALCOHOL
audio/RES0027.mp3[592.720,599.080]	ILL HAVE A GLASS OF WINE WITH DINNER ONCE IN AWHILE
audio/RES0027.mp3[599.080,604.320]	OK DO YOU AND WHATS ONCE IN AWHILE
audio/RES0027.mp3[604.320,607.240]	MAYBE EVERY THREE OR FOUR DAYS
audio/RES0027.mp3[607.240,612.280]	OK SO A COUPLE OF DRINKS PER WEEK
audio/RES0027.mp3[613.480,616.720]	ALRIGHT AND DO YOU SMOKE MARIJUANA
audio/RES0027.mp3[616.720,624.120]	I HAVE SMOKED MARIJUANA I DONT REGULARLY DO IT
audio/RES0027.mp3[624.120,627.200]	NO OK UM AND DO YOU USE ANY OTHER RECREATIONAL DRUGS
audio/RES0027.mp3[629.440,639.560]	OK UM AND HAS ANYBODY IN THE FAMILY HAD A LUNG CONDITION OR OR A HEART CONDITION BEFORE
audio/RES0027.mp3[639.560,651.240]	MY SISTER WHOS 15 YEARS OLDER THAN I AM SHE HAD A HEART ATTACK QUITE RECENTLY
audio/RES0027.mp3[651.240,660.080]	OH IM SORRY TO HEAR THAT DO YOU KNOW WHAT HAPPENED
audio/RES0027.mp3[660.080,672.840]	UM YOU KNOW IM NOT TOO SURE SHE DOESNT ALWAYS EAT THE HEALTHIEST AND SHE DOESNT DO A LOT OF EXERCISE SO I THINK MAYBE THAT HAD SOMETHING TO DO WITH IT
audio/RES0027.mp3[672.840,678.880]	OK UM AND DID YOUR PARENTS HAVE ANY HEART PROBLEMS
audio/RES0027.mp3[678.880,691.880]	NO THEY WERE BOTH HEALTHY AND THEY PASSED AWAY A FEW YEARS AGO BUT THEY DIED OF OLD AGE I GUESS YOU CAN SAY
audio/RES0027.mp3[691.880,695.680]	OK ANY CANCERS IN THE FAMILY
audio/RES0027.mp3[700.120,709.960]	ALRIGHT SO I THINK THATS ALL I WANTED TO COVER ON THE HISTORY TODAY WAS THERE ANYTHING THAT YOU WANTED TO TELL ME I MAYBE DIDNT ASK
audio/RES0027.mp3[709.960,715.640]	UM NO I WAS JUST CURIOUS IF YOU THINK I HAD COVID
audio/RES0027.mp3[715.640,771.040]	CERTAINLY ONE OF THE TOP THINGS THAT IM CONSIDERING AFTER HEARING ABOUT YOUR SYMPTOMS OF HAVING THIS COUGH AND FEVER AND BEING TIRED THESE LAST FEW DAYS ESPECIALLY WITH YOUR HUSBAND BEING SICK WITH NAUSEA VOMITING AND NOT FEELING WELL THAT BEING SAID IT COULD BE ANOTHER TYPE OF VIRAL ILLNESS OR POSSIBLY A BACTERIAL INFECTION BUT CERTAINLY WE WILL ORDER SOME INVESTIGATIONS SOME BLOOD WORK A PCR NASAL SWAB THAT WILL ACTUALLY TEST FOR COVIAS WELL AS A CHEST X RAY TO START WITH UM AND WE WILL WAIT FOR SOME OF THOSE RESULTS TO COME BACK
audio/RES0027.mp3[771.040,773.600]	OK YEAH THAT SOUNDS GOOD
audio/RES0027.mp3[773.600,776.040]	ALRIGHT SO WELL GET THAT STARTED
audio/RES0027.mp3[776.040,777.880]	OK THANK YOU
audio/RES0177.mp3[0.000,1.280]	WHAT BRINGS YOU IN
audio/RES0177.mp3[1.280,24.000]	I BROUGHT MY SON IN TODAY BECAUSE HE HAD A FEVER THAT STARTED TWO DAYS AGO AND AND THEN SINCE THEN HE HES HAD A COUGH THAT STARTED AS WELL AND IT IT HES BEEN SHORT OF BREATH IT LOOKS LIKE HES LIKE BREATHING FASTER AND JUST HAVING A HARDER TIME TO BREATHE
audio/RES0177.mp3[24.000,31.440]	OK UHM BEFORE THE FEVER DID YOU NOTICE ANY OTHER SYMPTOMS LIKE A RUNNY NOSE OR A STUFFY NOSE
audio/RES0177.mp3[31.440,38.840]	NO NOTHING LIKE THAT YEAH THE FEVER KIND OF CAME ON PRETTY PRETTY SUDDENLY IT SEEMED LIKE
audio/RES0177.mp3[38.840,43.680]	OK AND DID YOU TAKE HIS TEMPERATURE AT HOME
audio/RES0177.mp3[43.680,54.920]	I DID YEAH IT WAS LIKE 387 AND THEN LIKE TWO DAYS AGO AND THEN IT WAS HIGH AGAIN LIKE YESTERDAY AND TODAY
audio/RES0177.mp3[54.920,60.600]	OK AND YOU MENTIONED THE COUGHING STARTED SOON AFTER THE FEVER CORRECT
audio/RES0177.mp3[60.600,66.960]	YEAH YEAH KIND OF LIKE THE DAY AFTER E STARTED HAVING GETTING THIS COUGH
audio/RES0177.mp3[66.960,72.840]	OK AND IS IT A DRY COUGH OR IS IT A PRODUCTIVE COUGH
audio/RES0177.mp3[72.840,81.720]	ITS UH YEAH HE IS BRINGING UP A LITTLE BIT OF SPUTUM YEAH HES DOING IT
audio/RES0177.mp3[81.720,86.360]	OK WHAT COLOR IS THE SPUTUM
audio/RES0177.mp3[86.360,92.880]	UH ITS A MAYBE LIKE LIKE GREENISH GREENISH YELLOW
audio/RES0177.mp3[92.880,96.640]	GREENISH YELLOW OK ANY BLOOD IN THERE
audio/RES0177.mp3[96.640,99.800]	NO I HAVENT NOTICED ANY ANY BLOOD
audio/RES0177.mp3[99.800,104.920]	OK AND DOES HE SEEM SHORT OF BREATH OR WHEEZY
audio/RES0177.mp3[104.920,115.080]	NO WHEEZING BUT HE DOES HAVE SOME SHORTNESS OF BREATH
audio/RES0177.mp3[115.080,120.200]	OK AND THE SERVICE OF BREAD STARTED WITH A COUGH
audio/RES0177.mp3[120.200,122.240]	II DID YEAH
audio/RES0177.mp3[122.240,130.560]	OK UHM HOW MUCH SHORTNESS OF BREATH IS HE HAVING IS IT JUST WHEN HES EXERTING HIMSELF OR IS IT AT REST AS WELL
audio/RES0177.mp3[130.560,136.760]	ID SAY AH EVEN AT REST NOW HES LIKE BREATHING FASTER
audio/RES0177.mp3[136.760,155.760]	OK UMM AND IT DOES ANYTHING HELP WITH THAT SO DOES SITTING UP HELP OR UH YOU KNOW GETTING FRESH AIR OR ANYTHING LIKE THAT
audio/RES0177.mp3[155.760,171.200]	NO BUT YOUD SAY LIKE TAKING A SMALLER BREATHS HELPS BECAUSE LIKE IF HE IF HE TAKES A DEEP BREATH AND HE GETS HE GETS LIKE CHEST PAIN
audio/RES0177.mp3[171.200,176.280]	OK OK AND HOW ABOUT WHEN HES LAYING DOWN
audio/RES0177.mp3[176.280,183.920]	NO HE HASNT SAID ANYTHING LIKE LIKE THAT FOR LAYING DOWN JUST I THINK WHEN HES JUST TAKING A DEEP BREATH HE SAID
audio/RES0177.mp3[183.920,189.520]	OK IS IT WAKING HIM UP FROM SLEEP
audio/RES0177.mp3[189.520,191.080]	UH NO
audio/RES0177.mp3[191.080,194.840]	NO OK HOW ABOUT CHEST PAIN
audio/RES0177.mp3[194.840,200.720]	YEAH SO YEAH HES HAD SOME PAIN WHEN HE WHEN HE JUST REALLY TAKES THAT DEEP BREATH IN
audio/RES0177.mp3[200.720,206.320]	OK DOES HE EVER FEEL LIKE HIS HEARTS RACING
audio/RES0177.mp3[206.320,207.720]	UHM NO
audio/RES0177.mp3[207.720,213.720]	NO OK UHM HOW ABOUT ANY DIZZINESS OR FAINTING SPELLS
audio/RES0177.mp3[213.720,218.800]	NO HE DOESNT HAVE ANYTHING LIKE THAT
audio/RES0177.mp3[218.800,224.600]	OK HAS HE HAD A SORE THROAT
audio/RES0177.mp3[224.600,225.520]	NO NO
audio/RES0177.mp3[225.520,229.240]	ANY CHANGES IN VISION OR HEARING
audio/RES0177.mp3[230.280,233.280]	UH SMELL OR TASTE
audio/RES0177.mp3[234.520,238.680]	NO WEIGHT LOSS
audio/RES0177.mp3[238.680,241.400]	NO HES BEEN GAINING WEIGHT WELL
audio/RES0177.mp3[241.400,245.840]	OK HOW ABOUT ANY RASHES
audio/RES0177.mp3[245.840,250.360]	NOPE I HAVENT NOTICED ANY
audio/RES0177.mp3[250.360,255.560]	OK UHM AND THEN ANY NUMBNESS OR TINGLING
audio/RES0177.mp3[255.560,258.720]	NO HE HASNT SAID ANYTHING LIKE THAT
audio/RES0177.mp3[258.720,262.760]	OK MUSCLE ACHES OR JOINT ACHES
audio/RES0177.mp3[266.720,270.920]	OK CONFUSION OR MEMORY LOSS
audio/RES0177.mp3[271.320,275.240]	CHANGES IN HIS BOWEL MOVEMENTS
audio/RES0177.mp3[275.240,280.360]	NOPE YEAH THATS BEEN BEEN GETTING OUT NO DIARRHEA OR ANYTHING LIKE THAT
audio/RES0177.mp3[280.360,284.160]	OK CHANGES IN HIS VOIDING
audio/RES0177.mp3[284.160,289.240]	NOPE HE HASNT HAD ANY URINARY PROBLEMS
audio/RES0177.mp3[289.240,297.120]	OK AND IS HE AN OTHERWISE HEALTHY CHILD UMM DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0177.mp3[297.120,309.240]	NO HE DOESNT THATS UH THIS WAS SO SURPRISING HES BEEN HEALTHY
audio/RES0177.mp3[309.240,315.040]	OK HAS HE SO HES NEVER HAD ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0177.mp3[315.040,318.280]	NO HE HASNT
audio/RES0177.mp3[318.280,327.120]	OK HOW ABOUT HIS MOTHERS PREGNANCY WITH HIM WERE THERE ANY COMPLICATIONS AT THAT POINT
audio/RES0177.mp3[327.120,338.720]	NOPE EVERYTHING WENT WENT WELL NO COMPLICATIONS AND HE WAS LIKE A GOOD BIRTH WEIGHT AND WENT HOME RIGHT AWAY
audio/RES0177.mp3[338.720,347.600]	OK OK AND HOW ABOUT THE DELIVERY ITSELF ANY COMPLICATIONS DURING THAT THAT POINT
audio/RES0177.mp3[347.600,352.640]	OH NO NOT IT WAS A VAGINAL DELIVERY AND IT WAS NORMAL
audio/RES0177.mp3[352.640,363.000]	OK AND HE DIDNT NEED TO BE HOSPITALIZED AS A NEWBORN FOR ANYTHING LIKE JAUNDICE OR SHORTNESS OF BREATH
audio/RES0177.mp3[363.000,371.120]	UH NOPE HE HASNT HAD ANY ANY REASON TO BE HOSPITALIZED
audio/RES0177.mp3[371.120,381.280]	OK UHM ALRIGHT AND HAS HE BEEN HITTING ALL HIS DEVELOPMENTAL MILESTONES AS WELL AS LIKE HIS HEIGHT WEIGHT AND HEAD CIRCUMFERENCE MILESTONES
audio/RES0177.mp3[381.280,386.040]	HE HAS YEAH HES BEEN GROWING WELL AND REACHING THE DEVELOPMENTS STONES MILESTONES
audio/RES0177.mp3[386.040,390.200]	OK IS HE ON ANY MEDICATIONS
audio/RES0177.mp3[390.200,394.280]	UH NO HES NOT ON ANY MEDICATIONS
audio/RES0177.mp3[394.280,397.200]	OK ANY ALLERGIES
audio/RES0177.mp3[397.200,399.480]	NO ALLERGIES
audio/RES0177.mp3[399.480,402.440]	UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0177.mp3[402.440,406.360]	HE IS YEAH
audio/RES0177.mp3[406.360,410.640]	OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0177.mp3[410.640,415.200]	UH NO NOTHING LIKE THAT
audio/RES0177.mp3[415.200,419.960]	OK HAVE ABOUT CANCERS IN THE FAMILY
audio/RES0177.mp3[419.960,425.720]	NO NO CANCERS LUCKILY
audio/RES0177.mp3[425.720,431.240]	CAN YOU THINK OF ANYONE HES BEEN IN CONTACT WITH WHOS ALSO BEEN SICK
audio/RES0177.mp3[431.240,447.440]	YEAH MAYBE HE HAS A YOUNGER SISTER THAT GOES TO DAYCARE AND SHE WAS SICK LAST WEEK WITH LIKE SHE HAD A COUGH AND STUFF AS WELL
audio/RES0177.mp3[447.440,452.920]	OK OK AND DOES SHE HAVE A FEVER AS WELL
audio/RES0177.mp3[452.920,469.160]	SHE DID YEAH SHE GOT BETTER RIGHT UH LAST WEEK WE WE HAD TO TAKE HER TO TO SEE THE DOCTOR AND SHE GOT ANTIBIOTICS FOR THAT ACTUALLY FOR FOR A FEW DAYS
audio/RES0177.mp3[469.160,475.720]	OK OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0177.mp3[475.720,476.880]	NO WEVE BEEN AT HOME
audio/RES0177.mp3[476.880,481.400]	OK DOES ANYONE AT HOME SMOKE
audio/RES0177.mp3[483.480,486.960]	NO OK AND WHO LIVES AT HOME WITH HIM
audio/RES0177.mp3[486.960,493.280]	SO ITS ME HIS MOM AND THEN HIS YOUNGER SISTER
audio/RES0177.mp3[493.280,502.640]	OK ANY OLD CARPETS MOLD DUST ASBESTOS ANYTHING THAT COULD EXACERBATE HIS CONDITION
audio/RES0177.mp3[502.640,505.040]	NO I DONT THINK SO ITS A NEWER HOME
audio/RES0177.mp3[505.040,514.560]	OK GOOD UMM SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0177.mp3[514.560,536.560]	UHM NO I NO THAT WAS EVERYTHING I THINK THE ONLY I I GUESS OTHER THING THAT THAT I FORGOT TO MENTION IS THAT JUST HE DOESNT REALLY LIKE HIS APPETITES BEEN A LITTLE BIT LOWER COUPLE OF DAYS AS WELL BUT UH HE HASNT HAD ANY LIKE NAUSEA OR VOMITING THOUGH
audio/RES0177.mp3[536.560,633.000]	OK OK YEAH THATS GOOD TO KNOW UHM SO BECAUSE SOME OF HIS SYMPTOMS OVERLAP WITH THOSE OF COVID WE WILL DO A SWAB ON HIM AND YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS WITH THOSE RESULTS AND HE SHOULD ISOLATE FOR 14 DAYS BECAUSE OF THOSE SYMPTOMS AND IT DOESNT IT SOUNDS MORE IN KEEPING WITH THE PICTURE OF COMMUNITY ACQUIRED PNEUMONIA SO FOR THAT WE WILL GET A CHEST XRAY WELL CHECK HIS OXYGEN AND HIS TEMPERATURE AND IF THE CHEST XRAY SHOWS CONSOLIDATION UMM OR SOME SORT OF INFILTRATE IT IS LIKELY THAT HE HAS PNEUMONIA SO WE WILL START BY GIVING HIM SOME AMOXICILLIN POPULATE OR CEFUROXIME FOR FIVE DAYS AND JUST KEEP MONITORING HIS SYMPTOMS THEY SHOULD RESOLVE IN ABOUT 5 DAYS WHEN THE COURSE OF ANTIBIOTICS IS COMPLETE IF HIS CONDITION GETS WORSE LIKE HES GETTING NEUROLOGICAL DEFICITS LIKE WEAKNESS OR SEIZURES JUST TAKE HIM TO THE ER AND IF SYMPTOMS DONT RESOLVE IN FIVE TO SEVEN DAYS WE CAN DO FURTHER WORK UP OR THINGS LIKE FUNGAL INFECTIONS OR TB OR THINGS LIKE THAT HOW DOES THAT SOUND
audio/RES0177.mp3[633.000,636.200]	THAT SOUNDS GREAT THANK YOU
audio/RES0177.mp3[636.200,642.160]	OK YEAH NO PROBLEM
audio/RES0080.mp3[0.000,3.560]	WHAT TOOK BROUGHT YOU IN TODAY
audio/RES0080.mp3[3.560,28.320]	YEAH IM JUST FEELING SO I DO HAVE COPBUT I JUST FEEL SO MUCH WORSE I DO HAVE SHORTNESS OF BREATH BUT I THINK ITS JUST BEEN WORSE OVER THE PAST THREE DAYS IM HAVING MORE DIFFICULTY CLIMBING STAIRS OR EVEN JUST GOING TO THE BATHROOM
audio/RES0080.mp3[28.320,30.960]	OK AND YOU SAID THIS STARTED
audio/RES0080.mp3[30.960,34.840]	THREE DAYS AGO THREE OR FOUR DAYS AGO
audio/RES0080.mp3[34.840,40.000]	AND SINCE THAT TIME HAS THE SHORTNESS OF BREATH BEEN GETTING WORSE OR STAYING THE SAME
audio/RES0080.mp3[40.000,54.920]	YEAH SO INITIALLY IT WAS JUST IT WAS JUST CLIMBING STAIRS YOU KNOW BUT THEN AFTER THAT I MEAN THIS MORNING I WAS JUST SHORT OF BREATH GOING TO THE BATHROOM
audio/RES0080.mp3[54.920,62.000]	OK AND HAVE YOU HAD UH SHORTNESS OF BREATH ON EXERTION LIKE THIS BEFORE
audio/RES0080.mp3[62.000,64.400]	UHM YOU KNOW SOMETIMES
audio/RES0080.mp3[65.480,76.520]	I DONT DO MUCH ANYWAY BECAUSE MY CPYOU KNOW JUST MAKES THINGS A LITTLE BIT DIFFICULT UH YEAH I USE MY PUFFERS
audio/RES0080.mp3[76.520,90.320]	OK AND HAVE YOU HAD ANY UH EPISODES WHERE YOUVE WOKEN UP IN THE MIDDLE OF THE NIGHT AND WERE REALLY SHORT OF BREATH YOU HAD TO UH SIT UP
audio/RES0080.mp3[90.320,91.400]	NO NO NO
audio/RES0080.mp3[91.400,95.280]	OK AND ARE YOU ABLE TO LIE FLAT
audio/RES0080.mp3[96.160,105.080]	OK AND YOU MENTIONED YOU WERE BRINGING UP SPUTUM COULD YOU DESCRIBE THE COLOR
audio/RES0080.mp3[105.080,112.240]	YEAH I DONT KNOW ITS KINDA YELLOW UH GREEN
audio/RES0080.mp3[112.240,115.160]	HAS THAT CHANGED FROM BEFORE
audio/RES0080.mp3[115.160,132.800]	YEAH YEAH SO USUALLY ITS JUST SORT OF WHITEISH AND FOAMY AND UH YEAH ITS DIFFERENT AND ITS MORE YOU KNOW ITS ALOT MORE EVERY TIME IM COUGHING ITS JUST LIKE SPOONFULS ITS A LOT MORE THAN USUAL
audio/RES0080.mp3[132.800,142.080]	OK YEAH IT SOUNDS LIKE A LOT MORE AND HAVE YOU NOTICED ANY BLOOD
audio/RES0080.mp3[142.080,144.600]	NO NO NO
audio/RES0080.mp3[144.600,149.160]	OK AND UH SO HAVE YOU HAD A COUGH THEN
audio/RES0080.mp3[149.160,155.440]	OH YEAH IVE HAD A COUGH FOR THE PAST 20 YEARS
audio/RES0080.mp3[155.440,165.760]	OK AND IS YOUR COUGH WORSE AT ANY PARTICULAR TIME OF THE DAY OR DOES IT HAPPEN THROUGHOUT THE DAY
audio/RES0080.mp3[165.760,172.080]	WELL ITS A BIT WORSE WHEN IM SMOKING BUT OTHERWISE ITS THE SAME
audio/RES0080.mp3[172.080,180.800]	OK AND HAS YOUR COUGH BEEN WORSE THESE PAST COUPLE OF DAYS AS WELL
audio/RES0080.mp3[182.840,187.560]	OK AND HAVE YOU HAD ANY HEADACHES
audio/RES0080.mp3[188.520,194.400]	HOW ABOUT ANY EAR PAIN OR EYE PAIN
audio/RES0080.mp3[195.680,198.000]	ANY SORE THROAT
audio/RES0080.mp3[199.280,204.760]	OK HAVE YOU HAD A LOSS OF SMELL OR A LOSS OF TASTE
audio/RES0080.mp3[204.760,208.480]	NO I DONT THINK SO
audio/RES0080.mp3[208.480,213.200]	OK AND HAVE YOU HAD ANY WHEEZING
audio/RES0080.mp3[213.200,216.880]	A LITTLE BIT ITS BEEN THERE FOR A WHILE THOUGH
audio/RES0080.mp3[216.880,220.080]	OK HAVE YOU NOTICED ANY CHANGES TO THE WHEEZE
audio/RES0080.mp3[220.080,227.440]	NO I DONT THINK SO I DONT KNOW I CANT TELL
audio/RES0080.mp3[227.440,232.760]	I SEE OK AND HAVE YOU HAD ANY CHEST PAIN
audio/RES0080.mp3[233.600,236.720]	HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/RES0080.mp3[237.800,242.560]	OK AND HAVE YOU HAD ANY HEART PALPITATIONS
audio/RES0080.mp3[244.560,250.440]	ALRIGHT AND HAVE YOU HAD ANY ABDOMINAL PAIN NAUSEA OR VOMITING
audio/RES0080.mp3[250.920,254.400]	ALRIGHT AND ANY URINARY PROBLEMS
audio/RES0080.mp3[256.400,258.280]	ANY BOWEL PROBLEMS
audio/RES0080.mp3[259.520,264.520]	OK AND HAVE YOU HAD ANY CHANGES TO YOUR SKIN OR ANY RASHES
audio/RES0080.mp3[264.520,266.400]	NO NOT REALLY
audio/RES0080.mp3[266.400,276.640]	OK AND HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0080.mp3[276.640,284.240]	I THINK I WAS FEELING VERY CHILLY LAST NIGHT MY WIFE HAD TO BRING AN EXTRA BLANKET FOR ME
audio/RES0080.mp3[284.240,287.360]	OK HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0080.mp3[287.360,290.240]	NO I DONT THINK SO
audio/RES0080.mp3[290.240,294.360]	OK AND UH HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0080.mp3[294.360,296.360]	NO I DIDNT
audio/RES0080.mp3[296.360,306.920]	OK WELL CERTAINLY CHECK THAT TODAY AND HAVE YOU HAD ANY WEIGHT LOSS IN THE LAST SEVERAL MONTHS
audio/RES0080.mp3[306.920,318.800]	I DONT CHECK MY WEIGHT VERY OFTEN BUT NO UH YEAH MY CLOTHES STILL FIT THEYRE ALL THEYRE FINE
audio/RES0080.mp3[318.800,328.720]	OK FAIR ENOUGH AND UH HAVE YOU NOTICED ANY LIKE LEG SWELLING OR ANY SWELLING IN YOUR BELLY
audio/RES0080.mp3[329.800,337.800]	OK AND IN REGARDS TO YOUR PAST HEALTH YOU MENTIONED COPBUT HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
audio/RES0080.mp3[337.800,348.720]	YEAH I HAVE HIGH BLOOD PRESSURE AND MY CHOLESTEROL IS ALSO A LITTLE BIT ON THE HIGH SIDE
audio/RES0080.mp3[348.720,357.880]	I SEE OK AND YOU USE PUFFERS DO YOU USE ANY OTHER MEDICATIONS
audio/RES0080.mp3[357.880,368.280]	YEAH I THINK MY DOC PRESCRIBED SOME PILLS I DONT KNOW I DONT REMEMBER WHAT THEY ARE I JUST TAKE THEM EVERY DAY
audio/RES0080.mp3[368.280,377.920]	OK WE CAN GET THAT INFORMATION HAVE YOU HAD ANY HOSPITALIZATIONS
audio/RES0080.mp3[377.920,394.800]	UHM IVE BEEN TO THE ER A COUPLE OF TIMES AND THIS ONE TIME IT WAS SIMILAR TO THIS TIME WHEN I WAS HAVING DIFFICULTIES BREATHING AND HAD TO STAY FOR ABOUT FIVE DAYS OR SO I THINK THAT WAS TWO YEARS AGO
audio/RES0080.mp3[394.800,403.160]	OK AND HOW ARE YOUR SYMPTOMS FEELING NOW WHEN COMPARED TO UH THAT TIME
audio/RES0080.mp3[403.160,427.160]	I WASNT PRODUCING THIS GREEN YELLOW THING THATS COMING OUT OF MY MOUTH RIGHT NOW IT WAS NOT THAT BAD ITS JUST LAST TIME I WAS HAVING DIFFICULTIES BREATHING SO I DECIDED TO COME IN BUT THIS TIME I JUST HAVE THIS WEIRD THING I DONT EVEN FEEL LIKE LOOKING AT IT
audio/RES0080.mp3[427.160,438.400]	OK YEAH FOR SURE IT SOUNDS LIKE THERES SOMETHING CERTAINLY GOING ON HERE AND YEAH HAVE YOU HAD ANY PAST SURGERIES
audio/RES0080.mp3[438.400,442.720]	I HAD UH I HAD A KNEE REPLACEMENT
audio/RES0080.mp3[442.720,452.560]	OK AND UH CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHEREABOUTS
audio/RES0080.mp3[452.560,466.440]	YEAH I LIVE WITH MY WIFE ABOUT TEN MINUTES AWAY FROM HERE WE LIVE IN AN APARTMENT UH YEAH
audio/RES0080.mp3[466.440,468.800]	OK ARE YOU WORKING ARE YOU RETIRED
audio/RES0080.mp3[468.800,479.400]	I RETIRED TWO YEARS AGO I USED TO WORK AT CHRYSLER AS A MECHANIC
audio/RES0080.mp3[479.400,485.760]	OK AND HAVE YOU BEEN AROUND ANYBODY WHO MIGHT BE SICK
audio/RES0080.mp3[488.320,491.560]	ALRIGHT HOW ABOUT HAVE YOU TRAVELED ANYWHERE
audio/RES0080.mp3[491.560,510.360]	NO IVE JUST BEEN STAYING INDOORS MY WIFES BEEN STAYING WITH ME WERE BOTH PRETTY CAREFUL WERE WORRIED ABOUT CATCHING COVID SO WE DONT EVEN GO OUT FOR GROCERIES WE JUST HAVE THOSE DELIVERY GUYS COME AND BRING US OUR GROCERIES
audio/RES0080.mp3[510.360,516.960]	OK AND YOU SMOKE CIGARETTES YOU MENTIONED HOW MUCH DO YOU SMOKE PER DAY
audio/RES0080.mp3[516.960,522.520]	I SMOKE ABOUT A PACK A DAY
audio/RES0080.mp3[522.520,526.640]	OK AND HOW LONG HAVE YOU SMOKED FOR
audio/RES0080.mp3[526.640,530.880]	LETS SEE ABOUT FORTYFIVE YEARS
audio/RES0080.mp3[530.880,533.760]	OK HAVE YOU THOUGHT ABOUT QUITTING
audio/RES0080.mp3[533.760,546.360]	YEAH YEAH MULTIPLE DOCTORS HAVE TOLD ME TO QUIT AND ITS JUST I DONT THINK I CAN QUIT ITS NOT GONNA HAPPEN I CANT LIVE WITHOUT MY CIGARETTES
audio/RES0080.mp3[546.360,567.720]	OK THE DOOR IS ALWAYS OPEN AND CERTAINLY SOMETHING WE CAN TALK ABOUT AT ANYTIME UH IF YOUD LIKE TO BUT UH IN THE MEANTIME WELL LEAVE IT ALONE FOR NOW I WAS WONDERING IF YOU DRINK ALCOHOL
audio/RES0080.mp3[567.720,573.040]	I DRINK A GLASS OR TWO EVERY WEEKEND
audio/RES0080.mp3[573.040,583.240]	OK AND DO USE ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE
audio/RES0080.mp3[584.120,591.560]	OK AND ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS
audio/RES0080.mp3[591.560,594.400]	UHM HIGH BLOOD PRESSURE
audio/RES0080.mp3[594.400,597.480]	OK HAS ANYBODY IN THE FAMILY HAD LUNG CANCER
audio/RES0080.mp3[601.040,673.560]	ALRIGHT AND SO YOUVE BEEN EXPERIENCING WORSENING SPUTUM PRODUCTION THAT NOW HAS A GREEN COLOR TO IT AND NOW HAVING A BIT MORE MORE SHORT OF BREATH WHICH SOUNDS LIKE COPEXACERBATION ESPECIALLY SINCE ITS A SIMILAR TYPE OF PRESENTATION AS BEFORE AND SO WELL ORDER A CHEST XRAY SOME BLOOD GASES AND DO A SPUTUM CULTURE AND POSSIBLY START ANTIBIOTICS BUT DEPENDING ON THE SEVERITY WE MAY NOT NOT NEED TO JUST YET AND THEN WELL ALSO USE SOME INHALERS AS WELL AS INHALED STEROID TO HELP WITH THE INFLAMMATION IN THE AIRWAYS
audio/RES0080.mp3[675.120,676.680]	ALRIGHT WELL GET THAT STARTED
audio/RES0080.mp3[676.680,679.600]	THANK YOU
audio/RES0217.mp3[0.000,4.600]	SO I UNDERSTAND YOU REMOVED INSECTS FROM YOUR LEG EARLIER TODAY
audio/RES0217.mp3[4.600,61.920]	YES I DID IT WAS UH IT WAS BEHIND MY LEFT UH KNEE KIND OF IN LIKE THE JOINT BEHIND WHERE IT BENDS UM IT WAS STUCK PRETTY GOOD ITS STILL KIND OF RED AND TENDER THERE I NOTICED IT BECAUSE THE BACK OF MY KNEE WAS STARTING TO JUST FEEL A BIT SORE UM NOT THE JOINT ITSELF BUT JUST KIND OF THE SKIN THE WHOLE AREA BACK THERE UM AND I FOUND THIS TICK I BROUGHT I BROUGHT IT IN WITH ME IF YOU WANTED TO HAVE A LOOK AT IT UM ITS IN LIKE THIS LITTLE PLASTIC CONTAINER UH AND I DONT REALLY KNOW WHEN I GOT IT I WAS HIKING ON FRIDAY UM AND THEN SATURDAY I WAS OUT IN MY GARDEN I HOPE THEYRE NOT AROUND MY HOUSE I HOPE THAT IT WAS FROM HIKING UM AND NOT GARDENING BUT UH I DID SPEND A LOT OF TIME OUTSIDE ON SATURDAY AS WELL
audio/RES0217.mp3[61.920,69.200]	OK SO SOUNDS LIKE ITS BEEN A LITTLE BIT OF TIME SINCE YOU WERE LAST OUTDOORS TO WHEN YOU FIRST NOTICED IT
audio/RES0217.mp3[70.640,79.560]	OK SO WHEN YOU PICKED IT OFF THE TICK OBVIOUSLY YOU HAVE IT FOR ME IS IT QUITE SWOLLEN OR ENGORGED
audio/RES0217.mp3[79.560,129.360]	ITS NOT TOO BAD UM I I HAVE ACTUALLY HAD A TICK IN THE PAST AND THIS IS A LONG TIME AGO AND UM MAYBE LIKE 10 YEARS AND I ACTUALLY HAD THAT KIND OF TARGET RASH THING THAT THEY TALK ABOUT AND UH AT THAT TIME I REMEMBER I HAD TO TAKE ANTIBIOTICS FOR A BIT UM THIS UM DIDNT LOOK LIKE THAT IT WAS MORE IT WAS JUST KIND OF SORE IN ONE SPOT I DONT THINK IT UM IT WAS AS BAD AS THAT TIME AND THE TICK THAT TIME SORRY IVE KIND OF GOTTEN OFF TRACK THAT TIME IT WAS QUITE SWOLLEN THIS ONE WAS MAYBE A LITTLE BIT BUT NOT AS MUCH
audio/RES0217.mp3[129.360,147.440]	OK SO JUST IN TERMS OF THE TICKS SIZE IT DOESNT LOOK LIKE ITS BEEN FEEDING FOR TOO LONG SO WHEN TICKS UH ARE FEEDING THEY TEND TO ENGORGE THEY TEND TO SWELL UP SO THIS LOOKS MORE LIKE A TINY LITTLE BUG OR DOES IT KIND OF LOOK LIKE A LITTLE GRAPE ALMOST LIKE ITS BEEN SWOLLEN UP WITH BLOOD
audio/RES0217.mp3[147.440,150.000]	NO THIS ONE THIS ONES PRETTY SMALL
audio/RES0217.mp3[150.000,181.600]	THIS ONES PRETTY SMALL OK AND I SHOULD MENTION THAT WELL OBVIOUSLY YOUVE HAD A TICK BITE IN THE PAST THE BIG CONCERN FOR US IS A DISEASE CALLED LYME DISEASE WHICH IS SPREAD BY BACTERIA BUT IN FACT ONLY ONE TYPE OF TICK PREDOMINANTLY IS A TRANSMISSION TRANSMITORY AGENT FOR IT ITS CALLED A DEER TICK AND ITS COLORATION ITS GOT A LITTLE BIT OF A BROWN BUTT AND THERES SOME BLACK LEGS DOES IT LOOK LIKE THAT AT ALL
audio/RES0217.mp3[181.600,209.600]	I DONT THINK SO UHM I UH I WAS LOOKING AT THE PICTURES ONLINE I THINK IT LOOKS LIKE THE OTHER KIND OF TICK UM BUT I HEARD THAT YEAH BUT I HEARD THAT LATELY NOW THEYVE BEEN CONSIDERING ALL TICKS IN THIS AREA AS POSSIBLY CARRIERS OF LYME UM BECAUSE I THINK ITS KIND OF BECOME MORE MORE OF A PROBLEM SM SO THAT WAS MAKING ME A BIT NERVOUS
audio/RES0217.mp3[209.600,261.040]	OK ABSOLUTELY WHAT WE CAN DO IS WE CAN SEND THIS TICK OFF TO THE LAB AND THEYLL BE ABLE TO IDENTIFY THE SPECIES FOR IT BUT FOR TICK BITES IN GENERAL ONE OF THE KEY CONSIDERATIONS IS FOR HOW LONG ITS BEEN ON YOUR BODY FOR SO UNFORTUNATELY IF YOURE OUT ON FRIDAY AND SATURDAY THATD MEAN THAT THIS TICK HAS BEEN ON YOU FOR LONGER THAN AT LEAST 72 HOURS SO I THINK ONE WAY OR ANOTHER WERE LIKELY GOING TO HAVE TO PUT YOU ON ANTIBIOTICS JUST AS KIND OF A PROPHYLACTIC AT THE VERY LEAST JUST WANT TO MAKE SURE THAT UM YOURE NOT AT RISK OF DEVELOPING LYME DISEASE IM SURE YOUVE HEARD FROM THE NEWS THAT LYME DISEASE CAN PRESENT IN A VARIETY OF WAYS BUT ITS A DISEASE THAT WE TRY OUR BEST TO AVOID AND JUST IN TERMS OF YOUR SYMPTOMS SO YOU SAY YOUVE HAD A BITE IN THE PAST AND YOU YOUVE GOT THAT RASH BEFORE THAT KIND OF BULLSEYE RASH DO YOU HAVE THAT RASH NOW
audio/RES0217.mp3[261.040,276.800]	NO I DONT UH AS FAR AS I KNOW I MEAN YOU CAN HAVE A LOOK TOO ITS BEHIND MY KNEE SO ITS NOT THE EASIEST PLACE TO SEE BUT ITS UH IT LOOKS A LITTLE RED ITS LIKE TENDER WHERE THE TICK WAS BUT I DONT SEE THAT LIKE LARGER CIRCLE RASH
audio/RES0217.mp3[276.800,286.560]	OK THATS REASSURING NOW ANY ITD BE PRETTY UNLIKELY FOR YOU TO HAVE OTHER SYMPTOMS BUT JUST IN CASE DO YOU HAVE ANY OTHER JOINT PAIN
audio/RES0217.mp3[287.960,292.640]	HAVE YOU BEEN FEELING ILL OR HAVE BEEN FEVERISH IN THE LAST LITTLE WHILE
audio/RES0217.mp3[292.640,296.560]	NO NO IVE BEEN FINE
audio/RES0217.mp3[296.560,305.320]	OK AND YOU REMOVED THAT TWIT TICK ONCE YOU FOUND IT YOU PRESENTED TO ME HAVE YOU CHECKED YOUR BODY FOR ANY OTHER POSSIBLE BITES
audio/RES0217.mp3[305.320,315.160]	OH YEAH I LOOKED AROUND AND I LOOKED AT MY HUSBAND TOO CAUSE WE WE WERE JUST A LITTLE BIT YOU KNOW GAVE US A LITTLE BIT OF A SCARE BUT NO THERES BEEN NOTHING ELSE
audio/RES0217.mp3[315.160,320.880]	THATS GOOD AND DID YOU BRING A PET WITH YOU AT ALL WHEN YOU WERE HIKING AND GARDENING
audio/RES0217.mp3[320.880,323.880]	UH NO I DIDNT NO
audio/RES0217.mp3[323.880,328.400]	OK GOOD ANY OTHER FAMILY MEMBERS YOU THINK MIGHT HAVE BEEN EXPOSED
audio/RES0217.mp3[328.400,332.320]	UH NO IT WAS JUST UH ME AND MY HUSBAND
audio/RES0217.mp3[332.320,337.800]	OK AND WHAT GEOGRAPHIC AREA WERE YOU IN UM WHEN YOU WERE HIKING
audio/RES0217.mp3[337.800,342.360]	WE WERE UH IN STRATHROY ALONG THE CREEK
audio/RES0217.mp3[342.360,389.360]	OK I CAN DO IF I REMEMBER THERES A LYME DISEASE DISTRIBUTION MAP FOR ONTARIO AND WE CAN SEE EXACTLY HOW THAT LINES UP TO SEE IF WE SHOULD BE A LITTLE BIT CONCERNED OR NOT LOOKS LIKE STRATHROY IS CLOSE ENOUGH TO BE CONSIDERED A LITTLE BIT OF A CONCERNING POINT SO I THINK THAT WE WILL BE MOVING FORWARD WITH ANTIBIOTICS BUT OF COURSE WELL BE TALKING TO THE PHYSICIAN WHOLL BE HAVING A LOOK AT YOU AS WELL SO IT SOUNDS LIKE YOU HAVENT BEEN HAVING TOO MUCH SYMPTOMS ASIDE FROM YOUVE NOTICED THIS TICK THE SKIN AROUND IT IS FAIRLY SORE AND YOUVE HAD THIS IN THE PAST BUT YOU WERE TREATED WITH ANTIBIOTICS IN THE PAST AND SINCE THEN YOU HAVENT HAD TOO MANY HEALTH PROBLEMS AFTER THAT
audio/RES0217.mp3[389.360,392.280]	NO NO IVE BEEN PRETTY HEALTHY
audio/RES0217.mp3[392.280,402.040]	OK AND JUST ABOUT YOUR HEALTH RIGHT NOW IS THERE ANYTHING THAT YOU SEE THE FAMILY PHYSICIAN OR DOCTOR FOR IN GENERAL AND REGARDING YOUR HEALTH
audio/RES0217.mp3[402.040,404.960]	UH JUST FOR MY CHOLESTEROL
audio/RES0217.mp3[404.960,407.920]	OK ARE YOU TAKING AND MEDICATIONS FOR THAT
audio/RES0217.mp3[407.920,412.000]	UH YEAH I TAKE A UH STATIN CANT REMEMBER WHICH ONE
audio/RES0217.mp3[412.000,416.520]	OK GOT IT AND DO YOU HAVE ANY ALLERGIES
audio/RES0217.mp3[416.520,417.840]	UH NO
audio/RES0217.mp3[417.840,419.560]	SO NO DRUG ALLERGIES
audio/RES0217.mp3[421.000,484.960]	OK NOW WEVE ALREADY TALKED ABOUT OTHER EXPOSURES SO IT DOESNT SOUND LIKE ANYONE ELSE IN YOUR FAMILY OR ANY PETS ARE AROUND SO ITS UNLIKELY THAT YOU HAVE TICKS COMING IN AND YOU SAID YOU MIGHT HAVE GOTTEN THIS FROM GARDENING BUT UM YOURE HOPING THAT YOUR AREA DOESNT HAVE TICKS MAYBE JUST TAKE A LOOK TICKS LIKE TO LIVE IN LONG GRASS KIND OF ON THE INTERSECTION BETWEEN WOODS AND FIELDS TO SEE IF THERES ANY HOVERING AROUND THAT KIND OF MAKE A WAVING MOTION WITH THEIR LEGS AND THEYRE SOMETIMES EASY TO SPOT YOU MIGHT WANNA GET SOME INSECTICIDE OUT THERE BUT IT SOUNDS LIKE THIS IS FAIRLY RECENT UNFORTUNATELY JUST FOR THE LENGTH OF TIME THIS TICK MIGHT BE ON YOU FOR ITS PROBABLY SAFER THAN NOT TO START YOU ON SOME MEDICATIONS BUT IM GOING TO GO TALK TO THE DOCTOR AFTER WE DO A QUICK PHYSICAL EXAM AND WE MIGHT ALSO SEND THE TICK OFF TO A LOCAL LABORATORY SO THEY CAN IDENTIFY THE SPECIES FOR IT DEFINITIVELY AS WELL AS MIGHT JUST SEND SOME BLOOD WORK JUST TO SEE IF THERES ANY TITRES OR ANY SEROLOGY THAT WOULD MAKE US A LITTLE BIT MORE CONCERNED FOR LYME DISEASE BUT ASIDE FROM THAT YOUVE BEEN FEELING WELL OTHERWISE
audio/RES0217.mp3[484.960,489.760]	YEAH TOTALLY FINE IT WAS JUST A LITTLE TENDER THERE AND THATS THE ONLY REASON I LOOKED
audio/RES0217.mp3[489.760,491.920]	OK SO NO HEADACHES
audio/RES0217.mp3[493.000,494.400]	NOTHING LIKE THAT
audio/RES0217.mp3[494.400,495.680]	NOTHING LIKE THAT
audio/RES0217.mp3[495.680,502.000]	OK EXCELLENT ALRIGHT IM FAIRLY HAPPY WITH WHAT WE TALKED ABOUT TODAY DO YOU HAVE ANY QUESTIONS FOR ME JEAN
audio/RES0217.mp3[502.000,506.880]	NO THIS IS PRETTY WELL WHAT I EXPECTED TODAY SO THANKS FOR HELPING ME OUT
audio/RES0217.mp3[506.880,511.080]	NO PROBLEM OK ILL GO TALK TO THE DOCTOR WELL COME BACK AND TALK TO YOU OK
audio/RES0217.mp3[511.080,511.680]	GREAT THANKS
audio/RES0217.mp3[511.680,513.840]	THANKS JEAN
audio/CAR0005.mp3[0.000,5.960]	IT SOUNDS LIKE THAT YOURE EXPERIENCING SOME CHEST PAIN
audio/CAR0005.mp3[5.960,16.440]	YEAH SO THIS CHEST PAIN HAS JUST BEEN COMING ON FOR THE LAST COUPLE OF WEEKS NOW
audio/CAR0005.mp3[16.440,29.640]	OK UHM SO 2 WEEKS AND CAN YOU TELL ME KIND OF WHERE YOURE FEELING THAT PAIN
audio/CAR0005.mp3[29.640,38.200]	UM YEAH IM IM JUST FEELING THIS CHEST DISCOMFORT SORT OF OVER ON THE LEFT SIDE
audio/CAR0005.mp3[38.200,50.800]	THE LEFT SIDE OK DOES DOES IT STAY JUST IN ONE SPOT OR DOES IT KIND OF SPREAD ANYWHERE ELSE
audio/CAR0005.mp3[50.800,58.360]	NO I DONT REALLY FEEL IT ANYWHERE ELSE YEAH I JUST FEEL IT IN THAT ONE SPOT ON THE LEFT SIDE
audio/CAR0005.mp3[58.360,63.000]	OK DOES IT FEEL DULL AND ACHY OR DOES IT FEEL MORE SHARP
audio/CAR0005.mp3[63.000,65.960]	IT FEELS PRETTY SHARP
audio/CAR0005.mp3[65.960,73.320]	OK AND IS IT CONSTANT LIKE ON ALL THE TIME OR DO YOU FEEL LIKE IT KIND OF COMES AND GOES
audio/CAR0005.mp3[73.320,84.600]	IT COMES AND GOES I WOULD SAY I IT MIGHT LAST FOR UM 2030 MINUTES AT A TIME AND THEN IT GOES AWAY
audio/CAR0005.mp3[84.600,94.160]	OK AND OVER THE LAST TWO WEEKS SINCE YOU SAID IT STARTED HAS IT GOTTEN ANY WORSE
audio/CAR0005.mp3[94.160,98.640]	UH NO ITS BEEN ABOUT THE SAME
audio/CAR0005.mp3[98.640,108.160]	ABOUT THE SAME OK AND HAS IT GOTTEN MORE FREQUENT THESE LIKE 20 TO 30 MINUTE EPISODES
audio/CAR0005.mp3[108.160,117.160]	NO ITS HAPPENED ABOUT TWO OR THREE TIMES DURING THE 2 WEEKS
audio/CAR0005.mp3[117.160,128.680]	AND IF YOU WERE TO RATE IT ON A SCALE OF ZERO TO 10 ZERO BEING NO PAIN AND 10 BEING LIKE THE WORST PAIN YOUVE EVER FELT WHERE WOULD IT FALL
audio/CAR0005.mp3[128.680,131.280]	I WOULD SAY A 4 OUT OF 10
audio/CAR0005.mp3[131.280,152.160]	OK UH CAN YOU THINK OF ANYTHING THAT THAT YOUVE DONE DIFFERENTLY RECENTLY THAT COULD HAVE BROUGHT IT ON OR IS THERE ANY KIND OF COMMON FACTOR BETWEEN THE TIMES THAT YOU HAD THE PAIN
audio/CAR0005.mp3[152.160,173.840]	UM  I DONT KNOW IVE SEPARATED FROM MY HUSBAND 2 TWO YEARS AGO WHICH HAS BEEN REALLY STRESSFUL BUT OTHER THAN THAT I MEAN I CANT REALLY THINK OF ANY CHANGES TO MY HEALTH OR ANYTHING LIKE THAT RECENTLY
audio/CAR0005.mp3[173.840,179.920]	OK BUT DO YOU FEEL LIKE YOU HAVE BEEN MORE STRESSED OUT IN GENERAL
audio/CAR0005.mp3[179.920,194.680]	UH YEAH THE LAST COUPLE OF YEARS HAVE BEEN A LOT MORE STRESSFUL BECAUSE OF THOSE ISSUES IN MY PERSONAL LIFE
audio/CAR0005.mp3[194.680,217.240]	OK IM SORRY TO HEAR THAT BUT IM GLAD THAT YOURE COMING IN AND WE CAN HOPEFULLY GET TO THE BOTTOM OF THIS NOT THAT I THINK THATS NECESSARILY THE SOURCE OF YOUR PAIN AND WE DEFINITELY WANT TO LOOK INTO EVERYTHING BUT IT IS REALLY HELPFUL TO KNOW THAT SO WHEN YOUVE HAD THESE EPISODES HAVE YOU TAKEN ANYTHING TO HELP WITH THE PAIN OR DONE ANYTHING THATS THAT YOU FELT IT MADE IT GO AWAY
audio/CAR0005.mp3[217.240,230.760]	UHM IVE TRIED SOME ADVIL SOME TYLENOL AND ACTUALLY SOME TUMS AS WELL AND IT HASNT REALLY HELPED
audio/CAR0005.mp3[230.760,244.360]	OK DO YOU THINK ITS WORSE WHEN YOURE MOVING AROUND IF YOURE IF YOURE KIND OF DOING MORE EXERCISE OR IS IT KIND OF JUST THE SAME NO MATTER WHAT YOURE DOING WHEN YOU GET THE EPISODES
audio/CAR0005.mp3[244.360,252.960]	OH IT ACTUALLY I I FEEL LIKE IT HAPPENS MOST OF THE TIME WHEN IM EITHER AT WORK OR OR DRIVING
audio/CAR0005.mp3[252.960,263.320]	OK OK AND BEFORE THIS TWO WEEK PERIOD HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/CAR0005.mp3[263.320,268.560]	NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE
audio/CAR0005.mp3[268.560,275.360]	DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR
audio/CAR0005.mp3[275.360,279.560]	NO PREVIOUSLY HEALTHY
audio/CAR0005.mp3[279.560,289.360]	AND JUST JUMPING BACK TO THESE PAIN EPISODES WHEN YOU HAVE THEM DO YOU EXPERIENCE ANYTHING ELSE DO YOU GET ANY NAUSEA OR VOMITING
audio/CAR0005.mp3[292.600,301.520]	OK DO YOU GET ANY DO YOU HAVE ANY DIFFICULTY BREATHING DURING THESE TIMES
audio/CAR0005.mp3[301.520,305.000]	NO I HAVENT
audio/CAR0005.mp3[305.000,308.960]	OK AND HAVE YOU NOTICED ANY FEVERS
audio/CAR0005.mp3[308.960,313.640]	UH NO NO FEVERS
audio/CAR0005.mp3[313.640,318.600]	OK HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK RECENTLY
audio/CAR0005.mp3[318.600,320.520]	UHM NO I HAVENT
audio/CAR0005.mp3[320.520,327.160]	AND HAVE YOU TRAVELED ANYWHERE OUTSIDE OF CANADA
audio/CAR0005.mp3[327.160,331.120]	NO IVE BEEN HOME
audio/CAR0005.mp3[331.120,341.040]	OK SO YOU HAVE YOU SAID YOU HAVE BEEN PREVIOUSLY HEALTHY NOTHING THAT YOUVE BEEN SEEING YOUR FAMILY DOCTOR FOR ON A REGULAR BASIS DO YOU TAKE ANY MEDICATIONS
audio/CAR0005.mp3[341.040,349.000]	UHM I DO NOT NO MEDICATIONS JUST THE TYLENOL AND ADVIL I TRIED FOR THE PAIN
audio/CAR0005.mp3[349.000,353.560]	OK DO YOU HAVE ANY ALLERGIES
audio/CAR0005.mp3[353.560,357.160]	NO ALLERGIES
audio/CAR0005.mp3[357.160,364.000]	AND IS THERE ANY HISTORY OF HEART PROBLEMS IN YOUR FAMILY
audio/CAR0005.mp3[364.000,380.480]	YEAH MY FATHER HAD A HEART ATTACK WHEN HE WAS 60 JUST LAST YEAR AND ITS ACTUALLY ONE OF THE REASONS WHAT CONCERNS ME ABOUT THE CHEST PAIN THAT I THOUGHT I WAS HAVING
audio/CAR0005.mp3[380.480,417.960]	FOR SURE IT ALWAYS FEELS VERY CONCERNING WHEN WHEN YOU HAVE THESE THESE SYMPTOMS AND THAT AND YOU KNOW PEOPLE IN YOUR LIFE THAT HAVE HAD ISSUES LIKE SIMILAR ISSUES IN THE PAST I DONT KNOW THAT THIS IS RELATED TO THAT I I PERSONALLY DONT THINK SO AT THIS POINT BUT WERE DEFINITELY GOING TO DO EVERYTHING TO LOOK INTO IT AND AND RULE OUT SOMETHING THAT WOULD BE SCARY LIKE THAT IM GOING TO ASK YOU FEW MORE QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU SMOKE CIGARETTES
audio/CAR0005.mp3[417.960,437.320]	YEAH I SMOKE ABOUT HALF A PACK TO A PACK PER DAY IVE BEEN TRYING TO QUIT AND I WAS SMOKING MORE ONE PACK PER DAY BUT SO IT IS DOWN A LITTLE BIT BUT ITS STILL SOMETHING IM TRYING TO WORK ON
audio/CAR0005.mp3[437.320,452.480]	CONGRATULATIONS THATS A REALLY TOUGH THING TO DO SO GOOD FOR YOU THATS THATS REALLY EXCITING STEP IN THE RIGHT DIRECTION RIGHT DO YOU DRINK ALCOHOL
audio/CAR0005.mp3[452.480,462.840]	UM I DO BUT UH ILL HAVE MAYBE ONE OR TWO GLASSES OF WINE ON THE WEEKEND
audio/CAR0005.mp3[462.840,466.000]	DO YOU USE ANY OTHER SUBSTANCES
audio/CAR0005.mp3[466.000,469.640]	UH NO
audio/CAR0005.mp3[469.640,482.240]	I KNOW THAT YOU SAID YOU DONT SEE YOUR FAMILY DOCTOR FOR ANYTHING REGULARLY BUT I JUST WANT TO CHECK A COUPLE OF SPECIFIC THINGS LIKE HAVE YOU EVER BEEN TOLD YOU HAVE HIGH BLOOD PRESSURE
audio/CAR0005.mp3[482.240,489.320]	NO IVE NEVER BEEN TOLD IVE IVE HAD HIGH BLOOD PRESSURE
audio/CAR0005.mp3[489.320,492.760]	AND HAVE YOU EVER BEEN TOLD YOU HAVE LIKE HIGH CHOLESTEROL
audio/CAR0005.mp3[492.760,499.360]	I HAVENT BUT IVE ACTUALLY NEVER BEEN TESTED EITHER
audio/CAR0005.mp3[499.360,505.080]	OK AND DO YOU EXERCISE REGULARLY
audio/CAR0005.mp3[505.080,520.360]	YEAH ACTUALLY ILL EITHER DO SOME RUNNING OR CYCLING PROBABLY THREE OR FOUR DAYS PER WEEK AND I HAVENT HAD ANY CHEST PAIN OR OR PROBLEMS EXERCISING
audio/CAR0005.mp3[520.360,527.360]	OK THATS GOOD TO HEAR AND HAVE YOU EVER HAD PROBLEMS WITH HEARTBURN
audio/CAR0005.mp3[527.360,533.360]	UH I DONT THINK SO NO
audio/CAR0005.mp3[533.360,553.240]	OK OK SO JUST TO KIND OF SUMMARIZE WHAT WEVE TALKED ABOUT OVER THE LAST TWO WEEKS YOU STARTED HAVING THESE 20 TO 30 MINUTE EPISODES OF CHEST PAIN THATS ON THE LEFT SIDE IT FEELS MORE SHARP IS THAT CORRECT
audio/CAR0005.mp3[555.200,578.280]	AND ITS KIND OF CONSTANT WHEN IT COMES ON THERES NOTHING REALLY THAT MAKES IT BETTER OR WORSE IT JUST KIND OF GOES AWAY ON ITS OWN AFTER HALF AN HOUR OR SO IT HAS KIND OF STAYED THE SAME OVER OVER THE LAST TWO WEEKS HASNT REALLY GOTTEN WORSE OR BETTER IT HASNT GONE AWAY EITHER
audio/CAR0005.mp3[578.280,581.080]	RIGHT YEAH EXACTLY
audio/CAR0005.mp3[581.080,599.640]	YOU NEVER HAD ANYTHING LIKE THAT BEFORE AND YOU HAVE BEEN IT SOUNDS LIKE EXPERIENCING SOME STRESS IN YOUR LIFE IT DEFINITELY CAN PLAY INTO THAT AS WELL OK IS THERE ANYTHING ELSE THAT YOU WANTED TO TO TELL ME ABOUT THAT I DIDNT ASK YOU TODAY
audio/CAR0005.mp3[599.640,610.320]	UH NO I THINK THATS UM YEAH I THINK THATS ALL THAT I WANTED TO TALK ABOUT TODAY
audio/CAR0005.mp3[610.320,620.880]	OK SO WHAT IM GOING TO DO IS BRING ALL THIS INFORMATION TO YOUR FAMILY DOCTOR AND WE CAN COME BACK TOGETHER AND TALK TO YOU ABOUT THE NEXT STEPS
audio/CAR0005.mp3[620.880,621.920]	AWESOME THANK YOU
audio/CAR0005.mp3[621.920,626.920]	THANKS FOR COMING IN
audio/MSK0001.mp3[0.000,3.560]	AND WHAT BRINGS YOU TO THE EMERGENCY DEPARTMENT TODAY
audio/MSK0001.mp3[3.560,5.760]	LOW BACK PAIN
audio/MSK0001.mp3[5.760,11.560]	OK AND WHERE EXACTLY IS UH IS THE BACK PAIN
audio/MSK0001.mp3[11.560,16.080]	SO THE PAINS JUST RIGHT IN THE IN THE LOWER BACK
audio/MSK0001.mp3[16.080,21.080]	JUST IN THE LOWER BACK OK AND WHEN DID THIS PAIN START
audio/MSK0001.mp3[21.080,30.080]	IT STARTED YESTERDAY I WAS UNLOADING GROCERIES FROM MY PICKUP TRUCK WHEN IT SUDDENLY STARTED
audio/MSK0001.mp3[30.080,38.800]	OK SO AND DID YOU KIND OF MAKE ANY KIND OF MOVEMENT OR DID YOU PICK UP SOMETHING REALLY HEAVY
audio/MSK0001.mp3[38.800,44.240]	IM NOT SURE I JUST NOTICED THE PAIN AFTER UM AFTER THAT
audio/MSK0001.mp3[44.240,56.000]	OK AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT LIKE A DULL CRAMPING PAIN OR IS IT MORE LIKE A SHARP OR STABBING PAIN
audio/MSK0001.mp3[56.000,61.800]	IT FEELS LIKE ITS STABBING JUST RIGHT IN MY LOWER BACK
audio/MSK0001.mp3[61.800,73.480]	OK AND UM ON A SCALE OF 1 TO 10 UH 1 BEING LIKE THE LEAST PAIN THAT YOU FELT IN YOUR LIFE 10 BEING THE WORST HOW MUCH WOULD YOU RATE THIS PAIN
audio/MSK0001.mp3[73.480,82.800]	IF IM SITTING UH COMPLETELY STILL LIKE LIKE I AM RIGHT NOW ITS A 2 OUT OF 10
audio/MSK0001.mp3[82.800,89.120]	OK UM AND WHEN DOES IT GET WORSE
audio/MSK0001.mp3[89.120,99.000]	UH ANYTIME I I MOVE OR BEND MY BACK OR UH EVEN COUGH IT IT WORSENS THE PAIN SIGNIFICANTLY
audio/MSK0001.mp3[99.000,103.160]	OK AND HAS THIS PAIN CHANGED AT ALL SINCE YESTERDAY
audio/MSK0001.mp3[103.160,109.560]	NO ITS BEEN THIS SAME AWFUL PAIN THIS WHOLE TIME
audio/MSK0001.mp3[109.560,114.160]	OK AND HAVE HAVE YOU EVER HAD THIS KIND OF PAIN BEFORE
audio/MSK0001.mp3[114.160,121.960]	IVE HAD BACK PAIN UH OVER THE YEARS BUT NOTHING LIKE THIS BEFORE
audio/MSK0001.mp3[121.960,129.240]	OK AND DOES IT DOES THE PAIN GO ANYWHERE OR DOES IT JUST STAY IN THE LOWER BACK
audio/MSK0001.mp3[129.240,135.040]	I ALSO FEEL THE PAIN UH INTO MY RIGHT LEG
audio/MSK0001.mp3[135.040,151.680]	OK AND IS IT THE SAME KIND OF ACHING OR LIKE STABBING PAIN THAT GOES INTO YOUR RIGHT LEG OR IS IT UH JUST LIKE AN ACHING PAIN
audio/MSK0001.mp3[151.680,156.120]	UH ITS ITS A UH AN ACHING PAIN
audio/MSK0001.mp3[156.120,169.840]	OK AND DO YOU HAVE ANY OTHER SYMPTOMS BESIDES THE PAIN LIKE ARE YOU EXPERIENCING ANY KIND OF WEAKNESS OR ANY KIND OF ANY OTHER CHANGES IN YOUR HEALTH
audio/MSK0001.mp3[169.840,174.760]	UH NO ITS JUST THE UH THE LOW BACK PAIN
audio/MSK0001.mp3[174.760,184.040]	OK AND HAVE YOU EVER UH EXPERIENCED ANY KIND OF TRAUMA TO YOUR BACK LIKE SOMETHING HAS HIT YOU OR YOUVE FALL DOWN ANYTHING LIKE THAT
audio/MSK0001.mp3[184.040,189.120]	NO I CANT REMEMBER ANY INJURIES LIKE THAT IN THE PAST
audio/MSK0001.mp3[189.120,192.840]	OK ANY UH FEVERS OR CHILLS OR NIGHT SWEATS
audio/MSK0001.mp3[192.840,198.520]	UM NO FEVER UH NO CHILLS NO NIGHT SWEATS
audio/MSK0001.mp3[198.520,206.320]	OK ANY UH SYMPTOMS OF FEELING VERY TIRED FATIGUED ANYTHING LIKE THAT
audio/MSK0001.mp3[206.320,208.880]	UH NO IVE BEEN OK RECENTLY
audio/MSK0001.mp3[208.880,213.120]	OK ANY CHANGES TO YOUR SKIN AT ALL UH I MEAN ANY RASHES
audio/MSK0001.mp3[214.120,220.920]	OK ANY PAIN IN YOUR JOINTS AT ALL
audio/MSK0001.mp3[220.920,224.440]	UH JUST THE BACK PAIN
audio/MSK0001.mp3[224.440,230.640]	OK UH ANY NEW COUGHS OR ANY UM SYMPTOMS AND RUNNY NOSE OR ANYTHING LIKE THAT
audio/MSK0001.mp3[230.640,233.680]	UH NO
audio/MSK0001.mp3[233.680,240.720]	ANY CHANGES IN YOUR UM BOWEL MOVEMENTS AT ALL LIKE DIARRHEA CONSTIPATION OR ANYTHING
audio/MSK0001.mp3[240.720,243.880]	NOTHING LIKE THAT BEEN REGULAR
audio/MSK0001.mp3[243.880,247.680]	OK HOW ABOUT UH ANY URINARY PROBLEMS
audio/MSK0001.mp3[247.680,251.440]	UH NO NOTHING TO REPORT THERE
audio/MSK0001.mp3[251.440,254.520]	OK AND HOW HAS YOUR APPETITE BEEN
audio/MSK0001.mp3[254.520,258.040]	UH APPETITES BEEN NORMAL
audio/MSK0001.mp3[258.040,261.400]	ANY SIGNIFICANT WEIGHT LOSS OR WEIGHT GAIN RECENTLY
audio/MSK0001.mp3[261.400,264.240]	NO THE WEIGHTS BEEN ABOUT THE SAME
audio/MSK0001.mp3[264.240,268.480]	OK ANY RECENT INFECTIONS THAT YOU KNOW OF
audio/MSK0001.mp3[268.480,272.440]	NO IVE BEEN FEELING WELL OTHERWISE
audio/MSK0001.mp3[272.440,281.040]	OK ANY UH TINGLING SENSATION OR NUMBNESS UH IN YOUR BACK OR LOWER LIMBS IN YOUR LEGS
audio/MSK0001.mp3[281.040,284.720]	UH NO NUMBNESS OR TINGLING
audio/MSK0001.mp3[284.720,286.880]	OK ANY MUSCLE WEAKNESS AT ALL
audio/MSK0001.mp3[286.880,290.080]	UH NO MUSCLE WEAKNESS
audio/MSK0001.mp3[290.080,295.520]	OK HAVE YOU BEEN UH HAVING ANY UH KIND OF ERECTILE DYSFUNCTION
audio/MSK0001.mp3[295.520,299.400]	UH NO CONCERNS WITH UH ERECTILE DYSFUNCTION
audio/MSK0001.mp3[299.400,309.120]	OK AND ANY ISSUES WITH UH INCONTINENCE LIKE UH HAVING ACCIDENTS AT ALL AT NIGHT OR DURING THE DAY
audio/MSK0001.mp3[309.120,315.160]	UH NO I HAVENT HAD ANY PROBLEMS WITH BOWEL OR BLADDER INCONTINENCE
audio/MSK0001.mp3[315.160,324.520]	OK ALRIGHT AND IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU HAVE YOU BEEN DIAGNOSED WITH ANY CONDITIONS LIKE HIGH BLOOD PRESSURE DIABETES
audio/MSK0001.mp3[324.520,328.160]	UH TYPE 2 DIABETES
audio/MSK0001.mp3[328.160,335.760]	OK AND DO YOU TAKE ANY MEDICATIONS FOR IT
audio/MSK0001.mp3[335.760,339.520]	UH I UM INSULIN FOR DIABETES
audio/MSK0001.mp3[339.520,342.080]	OK AND ANY OTHER MEDICATIONS AT ALL
audio/MSK0001.mp3[342.080,347.040]	UH JUST BEEN TAKING TYLENOL FOR THE THE BACK PAIN
audio/MSK0001.mp3[347.040,351.360]	AND HAS THAT WORKED FOR YOU AT ALL OR HAS IT NOT MADE A DIFFERENCE
audio/MSK0001.mp3[351.360,359.920]	UH MAYBE ITS TAKING THE EDGE OFF A LITTLE BIT BUT IT HASNT DONE TOO MUCH UH TO HELP THE PAIN
audio/MSK0001.mp3[359.920,362.320]	OK ANY ALLERGIES
audio/MSK0001.mp3[362.320,363.240]	UH NOPE
audio/MSK0001.mp3[363.240,368.720]	OK ANY PREVIOUS SURGERIES
audio/MSK0001.mp3[368.720,373.560]	UH I HAD HEMORRHOIDS REMOVED THREE YEARS AGO
audio/MSK0001.mp3[373.560,377.760]	OK UM ANY HOSPITALIZATIONS BEFORE
audio/MSK0001.mp3[377.760,379.160]	UH NO IT WAS JUST DAY SURGERY
audio/MSK0001.mp3[379.160,387.480]	OK ANY FAMILY HISTORY OF ANY UM CONDITIONS UH OR LIKE ANY CANCERS
audio/MSK0001.mp3[387.480,391.440]	UH MY FATHER HAD PROSTATE CANCER
audio/MSK0001.mp3[391.440,396.800]	OK AND CURRENTLY RIGHT NOW UH DO YOU WORK
audio/MSK0001.mp3[396.800,398.640]	UH IM A RETIRED SCHOOL TEACHER
audio/MSK0001.mp3[398.640,402.960]	OK AND WHERE DO YOU LIVE
audio/MSK0001.mp3[402.960,411.880]	I LIVE ALONE UM IN A IN A HOUSE UH NOT TOO FAR FROM HERE ACTUALLY
audio/MSK0001.mp3[411.880,417.520]	OK AND DO YOU DO YOU DRINK AT ALL
audio/MSK0001.mp3[417.520,425.880]	UM OCCASIONALLY UH MAYBE ILL HAVE A GLASS OF RED WINE ON THE WEEKEND OR SOMETHING LIKE THAT BUT UH NOT TOO OFTEN
audio/MSK0001.mp3[425.880,430.360]	OK AND DO YOU SMOKE
audio/MSK0001.mp3[430.360,436.320]	UH IVE SMOKED UM YEAH I SMOKE A PACK OF CIGARETTES UH PER DAY
audio/MSK0001.mp3[436.320,440.680]	OK AND FOR HOW LONG HAVE YOU SMOKED UH CIGARETTES FOR
audio/MSK0001.mp3[440.680,443.840]	UH ABOUT 40 YEARS
audio/MSK0001.mp3[443.840,449.800]	40 YEARS OK AND UH DO YOU USE ANY KIND OF RECREATIONAL DRUGS
audio/MSK0001.mp3[449.800,453.400]	UH NEVER
audio/MSK0001.mp3[453.400,457.840]	OK AND HOW IS YOUR DIET LIKE ON LIKE A REGULAR BASIS
audio/MSK0001.mp3[457.840,471.920]	I FEEL LIKE ITS UH PRETTY NORMAL MOSTLY HOME COOKED MEALS WITH SOME VARIETY VEGETABLE VEGETABLES OTHER MEATS AND FISH I WOULD SAY ITS PRETTY BALANCED
audio/MSK0001.mp3[471.920,476.640]	OK ALRIGHT I JUST HAVE A FEW MORE QUESTIONS FOR YOU UM ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/MSK0001.mp3[476.640,478.520]	YES I AM
audio/MSK0001.mp3[478.520,483.840]	OK AND WHO ARE YOU SEXUALLY ACTIVE WITH ANY NEW PARTNERS AT ALL
audio/MSK0001.mp3[483.840,488.680]	UH NO NEW PARTNERS UM JUST MY GIRLFRIEND UH
audio/MSK0001.mp3[488.680,496.680]	AND UH HOW MANY IM SORRY GO AHEAD
audio/MSK0001.mp3[496.680,500.120]	UM JUST MY MY GIRLFRIEND RECENTLY
audio/MSK0001.mp3[500.120,507.680]	OK AND HAVE YOU BEEN SEXUALLY ACTIVE WITH MORE THAN ONE PARTNER IN THE PAST PAST YEAR
audio/MSK0001.mp3[507.680,516.600]	UH YES I HAVE UM UM TWO WOMEN OVER THE PAST YEAR
audio/MSK0001.mp3[516.600,521.080]	OK AND UM DO YOU USE ANY KIND OF PROTECTION
audio/MSK0001.mp3[521.080,527.040]	YES ALWAYS USE UH CONDOMS
audio/MSK0001.mp3[527.040,529.840]	OK ALRIGHT SO NOW IM JUST GOING TO GET THE PATIENTS VITALS
audio/RES0057.mp3[0.000,2.400]	HOW MAY I HELP YOU
audio/RES0057.mp3[2.400,14.560]	HI YES ITS NICE TO MEET YOU IVE BEEN HAVING THIS COUGH THATS BEEN GOING ON FOR THE LAST FEW DAYS AND I HAVE HAD DIFFICULTY BREATHING
audio/RES0057.mp3[14.560,18.800]	OH IM SO SORRY TO HEAR THAT WHEN DID THIS START
audio/RES0057.mp3[18.800,32.440]	OH SO THE COUGH STARTED ABOUT 3 DAYS AGO YEAH THE SHORTNESS OF BREATH HAS COME ON SINCE THEN
audio/RES0057.mp3[32.440,57.440]	OK WELL LETS FOCUS ON THE SHORTNESS OF BREATH FIRST AND THEN WELL TALK ABOUT YOUR COUGH AS WELL SO YOU NOTICED THAT YOU HAD DIFFICULTIES WITH BREATHING SOMETIME WITHIN THE PAST THREE DAYS WHEN DO YOU FIND THAT ITS DIFFICULT FOR YOU TO BREATHE IS THERE ANYTHING THAT MAKES BREATHING MORE DIFFICULT FOR YOU
audio/RES0057.mp3[57.440,72.040]	YEAH NOT REALLY ACTUALLY ITS BEEN WELL BUT JUST BAD AFTER I COUGH
audio/RES0057.mp3[72.040,79.640]	SO SAY WALKING UP THE STAIRS OR DOING ANY EXERCISE DOESNT MAKE IT WORSE
audio/RES0057.mp3[79.640,89.080]	NOT REALLY IVE BEEN ABLE TO DO THE SAME AMOUNTS OF OF ACTIVITY I GUESS
audio/RES0057.mp3[89.080,113.800]	OK SO THERES REALLY NO RELATIONSHIP WITH ACTIVITY WITH YOUR SHORTNESS OF BREATH OK AND I CAN SEE THAT YOURE ABLE TO SORT OF TALK IN FULL SENTENCES  OK HOW IS IT MAKING IT DIFFICULT FOR YOU TO DO THINGS AT HOME YOUR DIFFICULTY BREATHING
audio/RES0057.mp3[113.800,121.760]	I AM A LITTLE BIT I MEAN I FEEL I JUST HAVENT BEEN FEELING VERY GOOD OVERALL SO IVE BEEN RESTING THESE LAST COUPLE OF DAYS MOSTLY
audio/RES0057.mp3[121.760,134.520]	OK AND YOUR COUGH YOU SAID THAT STARTED THREE DAYS AGO IS IT A DRY COUGH OR WET COUGH
audio/RES0057.mp3[134.520,137.160]	ITS DRY ITS A DRY COUGH
audio/RES0057.mp3[137.160,147.120]	OK AND THERES NO SPUTUM PRODUCTION WITH IT ANYTHING COMING UP AT ALL
audio/RES0057.mp3[147.120,153.080]	NO I HAVENT NOTICED ANYTHING LIKE THAT
audio/RES0057.mp3[153.080,160.440]	OK AND IS THERE ANYTHING THATS MAKING THE COUGH BETTER DID YOU TAKE ANYTHING ANY MEDICATIONS FOR IT
audio/RES0057.mp3[160.440,166.720]	I TRIED SOME OVER THE COUNTER STUFF BUT IT DIDNT HELP
audio/RES0057.mp3[166.720,181.280]	OK ALRIGHT OTHER THAN THE DIFFICULTY BREATHING AND THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS
audio/RES0057.mp3[181.280,192.360]	YEAH IVE BEEN REALLY TIRED I GUESS IVE JUST SORT OF BEEN  RESTING THE THESE LAST FEW DAYS AND IVE HAD A HEADACHE AS WELL
audio/RES0057.mp3[192.360,198.480]	OK CAN YOU TELL ME A BIT MORE ABOUT YOUR HEADACHE
audio/RES0057.mp3[198.480,208.520]	YEAH IT FEELS LIKE SOMEBODY IS JUST SQUEEZING THE TOP OF OR JUST SQUEEZING THE SIDES OF MY HEAD
audio/RES0057.mp3[208.520,211.640]	HAVE YOU HAD A HEADACHE LIKE THIS BEFORE
audio/RES0057.mp3[211.640,238.880]	I HAVE YEAH I USUALLY GET THEM WHEN IM DEHYDRATED OR MAYBE I HAVENT SLEPT WELL AND THATS ALSO BEEN THE CASE FOR THE PAST TWO TO THREE DAYS YEAH ITS BEEN KIND OF OFF AND ON THERE ARE SOME TIMES THAT ARE WORSE THAN OTHERS BUT IVE NOTICED THAT I HAD IT FOR THE MOST PART FOR THE LAST FEW DAYS OK
audio/RES0057.mp3[238.880,243.720]	HAVE YOU TAKEN ANYTHING FOR YOUR HEADACHE ANY PAIN MEDS
audio/RES0057.mp3[243.720,247.800]	YEAH IVE BEEN TAKING SOME ADVIL ITS HELPED
audio/RES0057.mp3[247.800,262.960]	AND SO YOU TALKED ABOUT BEING TIRED HAVING A HEADACHE DIFFICULTIES BREATHING AND COUGHING OVER THE PAST THREE DAYS HAVE ANY OF THESE SYMPTOMS GOTTEN WORSE OVERTIME
audio/RES0057.mp3[262.960,271.480]	YES I WOULD SAY BUT BOTH THE COUGH AND THE SHORTNESS OF BREATH HAS BEEN GETTING WORSE OVER THESE LAST FEW DAYS
audio/RES0057.mp3[271.480,278.800]	OK AND HAVE YOU HAD ANY CHILLS OR HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0057.mp3[278.800,289.320]	I HAVENT CHECKED MY TEMPERATURE BUT I FELT LIKE IVE HAD A FEVER OR MIGHT BE GETTING A FEVER
audio/RES0057.mp3[289.320,304.320]	WE CAN CHECK YOUR TEMPERATURE HERE AND HAVE YOU HAD ANY MUSCLE ACHES
audio/RES0057.mp3[304.320,311.520]	YEAH I GUESS I FELT A BIT ACHY
audio/RES0057.mp3[311.520,317.920]	ANY REDNESS IN THE EYES OR ANY RUNNY NOSE OR SORE THROAT LIKE FLULIKE SYMPTOMS
audio/RES0057.mp3[317.920,333.320]	UMM I HAVE I DONT KNOW MAYBE MY NOSE IS A LITTLE BIT CONGESTED BUT NOT REALLY RUNNING
audio/RES0057.mp3[333.320,340.680]	OK AND HAVE YOU HAD ANY CHANGE IN YOUR SENSE OF SMELL
audio/RES0057.mp3[340.680,343.880]	NO I HAVENT NOTICED THAT
audio/RES0057.mp3[343.880,349.320]	WHAT ABOUT YOUR SENSE OF TASTE ARE YOU ABLE TO TASTE THINGS
audio/RES0057.mp3[349.320,352.120]	YEAH I THINK SO
audio/RES0057.mp3[352.120,357.880]	HAVE YOU NOTICED ANY RASH ANYWHERE ON YOUR BODY
audio/RES0057.mp3[357.880,360.080]	UMM NO  I HAVENT
audio/RES0057.mp3[360.080,367.680]	OK ANY CHANGES IN YOUR BOWEL MOVEMENT DIARRHEA OR CONSTIPATION
audio/RES0057.mp3[367.680,369.600]	NO NO NOTHING LIKE THAT
audio/RES0057.mp3[369.600,372.440]	ANY CHEST PAIN
audio/RES0057.mp3[372.440,376.000]	NO I HAVENT HAD ANY
audio/RES0057.mp3[376.000,418.240]	OK ALRIGHT WELL IT SOUNDS LIKE YOU HAVE MULTIPLE SYMPTOMS RIGHT NOW THAT STARTED ABOUT 3 DAYS AGO YOURE FEELING TIRED YOU HAVE A HEADACHE DIFFICULTIES BREATHING SOME MUSCLE ACHES AND YOUVE BEEN FEELING FEVERISH YOUVE ALSO HAD THIS COUGH AND YOUR NOSE IS FEELING CONGESTED IS THERE ANYTHING ELSE THAT THAT YOUVE BEEN EXPERIENCING OVER THE PAST THREE DAYS THAT I HAVENT TALKED ABOUT YET
audio/RES0057.mp3[418.240,433.840]	NO AS YOU MENTIONED THE HEADACHES THERE TOO THEN YEAH THATS EVERYTHING
audio/RES0057.mp3[433.840,446.720]	OK UMM ALRIGHT CAN YOU TELL ME ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0057.mp3[446.720,450.600]	YEAH I HAVE ASTHMA AND GERI THINK
audio/RES0057.mp3[450.600,457.320]	UMM DOES THE SHORTNESS OF BREATH THAT YOURE EXPERIENCING FEEL SIMILAR TO THE ASTHMA ATTACKS IN ANY WAY
audio/RES0057.mp3[457.320,469.320]	NO I HAVENT HAD ANY ISSUES WITH LIKE ASTHMA ATTACKS IN A LONG TIME
audio/RES0057.mp3[469.320,472.400]	DO YOU HAVE AN INHALER
audio/RES0057.mp3[472.400,478.040]	I DO BUT I DONT USE IT VERY OFTEN
audio/RES0057.mp3[478.040,486.240]	I SEE DID YOU USE IT OVER THE PAST THREE DAYS AT ALL
audio/RES0057.mp3[486.240,500.240]	YEAH I DID TRY IT AND IT DIDNT REALLY SEEM TO HELP THAT MUCH
audio/RES0057.mp3[500.240,507.520]	UH AND OTHER THAN THAT HAVE YOU HAD ANY ANY SURGERIES IN THE PAST
audio/RES0057.mp3[507.520,513.400]	UH I HAD A COLONOSCOPY TWO YEARS AGO
audio/RES0057.mp3[513.400,517.480]	ANY REASON FOR THAT
audio/RES0057.mp3[517.480,527.120]	UHH MY FATHER HAD COLON CANCER WHEN HE WAS IN HIS 60S
audio/RES0057.mp3[527.120,532.360]	I SEE OK AND ANY HOSPITALIZATIONS
audio/RES0057.mp3[533.760,544.240]	OK DO YOU TAKE ANY MEDICATIONS I KNOW YOU HAVE PUFFERS ANY MEDICATIONS INCLUDING OVER THE COUNTER PILLS
audio/RES0057.mp3[544.240,554.280]	YEAH ILL TAKE LIKE A ZANTAC OR LIKE TUMS SOMETIMES FOR REFLUX
audio/RES0057.mp3[554.280,560.440]	AND UH ANY ALLERGIES TO FOOD MEDICATIONS OR ENVIRONMENTAL ALLERGIES
audio/RES0057.mp3[560.440,572.120]	YEAH I HAVE ENVIRONMENTAL ALLERGIES I THINK LIKE USUALLY THEY COME ON IN THE SPRINGTIME
audio/RES0057.mp3[572.120,587.480]	IN TERMS OF FAMILY HISTORIES YOU DID MENTION THAT YOUR DAD HAD COLON CANCER ANY OTHER MEDICAL PROBLEMS THAT THAT RUN IN YOUR FAMILY
audio/RES0057.mp3[587.480,589.440]	UMM NO
audio/RES0057.mp3[589.440,598.320]	OK AND DO YOU CURRENTLY SMOKE
audio/RES0057.mp3[598.320,602.360]	NO I DONT AND HAVE NEVER SMOKED IN THE PAST
audio/RES0057.mp3[602.360,607.200]	OK WHAT ABOUT MARIJUANA
audio/RES0057.mp3[607.200,608.800]	UMM NO
audio/RES0057.mp3[608.800,614.760]	OK DO YOU OR HAVE YOU EVER HAD ALCOHOL
audio/RES0057.mp3[614.760,620.520]	I WILL HAVE SOME WINE ON THE WEEKENDS MAYBE A GLASS OR TWO WITH DINNER
audio/RES0057.mp3[620.520,625.760]	OK SOUNDS GOOD AND HAVE YOU EVER HAD ANY STREET DRUGS
audio/RES0057.mp3[625.760,632.440]	LIKE A LONG TIME AGO MAYBE WHEN I WAS IN COLLEGE ONCE OR TWICE
audio/RES0057.mp3[632.440,642.200]	ALRIGHT SOUNDS GOOD AND HAVE YOU HAD ANY CONTACT WITH ANY SICK PEOPLE ANYONE WHOS SICK RECENTLY
audio/RES0057.mp3[642.200,669.320]	NOT THAT I KNOW OF I MEAN I WENT TO A FEW STORES HERE AND THERE THAT I HAD BEEN GOING TO IVE BEEN WORKING FROM HOME SO MAYBE AT ONE OF THE STORES AND I WOULD IMAGINE I WERE WEARING A MASK AND OF COURSE TRYING TO MAINTAIN SOCIAL DISTANCING AS MUCH AS POSSIBLE BUT YEAH YOU NEVER REALLY KNOW
audio/RES0057.mp3[669.320,677.800]	WHAT ABOUT ANY OTHER TRAVELS OR ANY TRAVELS AT ALL OUTSIDE THE CITY OR THE COUNTRY RECENTLY
audio/RES0057.mp3[677.800,682.600]	UMM NO I HAD BEEN AT HOME
audio/RES0057.mp3[682.600,718.560]	ALRIGHT SO I GUESS THATS ALL I WANTED TO KNOW ILL GO TALK TO THE ATTENDING AND WELL COME BACK AND DO A PHYSICAL EXAM AND MAYBE ASK A COUPLE MORE QUESTIONS AND THEN DISCUSS THE MANAGEMENT WITH YOU DOES THAT SOUND GOOD TO YOU
audio/RES0057.mp3[718.560,722.800]	YEAH THAT SOUNDS GREAT
audio/RES0057.mp3[722.800,743.080]	THANK YOU OK ALRIGHT
audio/RES0039.mp3[0.000,5.520]	I JUST WANTED TO START WITH WHAT BRINGS YOU HERE TODAY TO THE FAMILY CLINIC
audio/RES0039.mp3[5.520,17.720]	HI THIS MORNING I READ AFTER I WOKE UP BY I COUGHED UP SOME PHLEGM AND THERE WAS SOME BLOOD IN IT AND IT IT TOTALLY SCARED ME
audio/RES0039.mp3[17.720,22.840]	OK AND WAS THIS THE FIRST TIME THAT HAPPENED
audio/RES0039.mp3[22.840,29.280]	UHM YEAH IVE NEVER I NEVER NOTICED BLOOD IN MY SPUTUM BEFORE
audio/RES0039.mp3[29.280,33.960]	OK BUT HAVE YOU BEEN COUGHING RECENTLY
audio/RES0039.mp3[33.960,41.840]	UH YEAH I HAVE UH HAD A COUGH RECENTLY LEADING UP TO THIS
audio/RES0039.mp3[41.840,48.960]	OK AND HOW LONG HAVE YOU HAD THE COUGH FOR
audio/RES0039.mp3[48.960,58.080]	UHM IVE HAD IT FOR UHM YEAH ABOUT ABOUT FOUR WEEKS
audio/RES0039.mp3[58.080,71.920]	WOW FOUR WEEKS OK DO YOU KNOW IF YOU DID ANYTHING PRIOR TO THAT ANY NEW EXPOSURES OR BEING AROUND SOMEONE ILL LIKE ANYTHING LIKE THAT THAT MIGHT HAVE CAUSED YOUR COUGH
audio/RES0039.mp3[71.920,91.280]	YEAH I WAS JUST DOWN IN A I WENT TO HAITI ON A ON A TRIP FOR A FOR A VOLUNTEER PROGRAM WITH MY SCHOOL AND I DONT KNOW I DEFINITELY NOTICE THERE IS A LOT OF PEOPLE DOWN THERE COUGHING
audio/RES0039.mp3[91.280,101.040]	OK AND WERE YOU AT ALL LIVING LIKE CLOSE QUARTERS OR WERE YOU CRAMMED INTO LIKE LIKE SMALLER SPACES AT ALL WHEN YOU WERE THERE
audio/RES0039.mp3[101.040,124.720]	YEAH WE WERE KIND OF LIKE LIVING WITH THE LOCALS WHILE WE WHILE WE WERE THERE IT WAS PART OF THE EXPERIENCE FOR VOLUNTEERING I WAS THERE FOR ALMOST TWO MONTHS AS PART OF PART OF MY MY SUMMER BREAK THROUGH UNIVERSITY
audio/RES0039.mp3[124.720,138.120]	OK AND DID YOU NOTICE UH AT ALL ANY POTENTIAL EXPOSURES TO TUBERCULOSIS ANYONE THERE THAT HAD TUBERCULOSIS OR FOUND OUT LATER
audio/RES0039.mp3[138.120,150.760]	YEAH THERE WERE DEFINITELY SOME PEOPLE AROUND THAT I HEARD OF WHO WHO MENTIONED TUBERCULOSIS BUT I DONT KNOW IF ANYBODY SPECIFICALLY WHO HAD IT
audio/RES0039.mp3[150.760,160.400]	OK AND THE COUGH THAT YOUVE BEEN HAVING FOR THE LAST FOUR WEEKS AT IS IT LIKE A WET COUGH ARE YOU PRODUCING ANY SPUTUM OR PHLEGM OR IS IT MORE OF A DRY COUGH
audio/RES0039.mp3[160.400,168.200]	UH I HAVE BEEN PRODUCING SOME PHLEGM UM BUT ITS BEEN JUST KIND OF WHITE YELLOWISH
audio/RES0039.mp3[168.200,171.840]	UP UNTIL THIS MORNING
audio/RES0039.mp3[171.840,178.840]	YEAH OR MORESO CLEAR ACTUALLY UP UNTIL TODAY WHERE I SAW SOME BLOOD
audio/RES0039.mp3[178.840,189.880]	OK AND HOW MUCH BLOOD WAS IN THE PHLEGM WAS IT LIKE A SIGNIFICANT AMOUNT IT FILLED THE WHOLE PRODUCTION OR JUST LITTLE STREAKS
audio/RES0039.mp3[189.880,196.200]	UM IT WAS PRETTY RED IT AH YEAH IT WAS BRIGHT RED AND IT WAS COVERING THE THE ISSUE
audio/RES0039.mp3[196.200,200.880]	OK AND HAVE YOU HAD ANY SIMILAR EPISODES BEFORE
audio/RES0039.mp3[200.880,203.960]	IVE NEVER BROUGHT UP BLOOD BEFORE
audio/RES0039.mp3[203.960,210.240]	AND AFTER THIS MORNING WAS THAT THE ONLY TIME YOU HAD THAT OR DID YOU DID IT RECUR AT ALL
audio/RES0039.mp3[210.240,219.960]	UM IT WAS JUST THAT TIME JUST THIS MORNING ON THE TISSUE AND THEN A LITTLE BIT IN THE TOILET AND IT LOOKED LIKE A LOT IN THE IN THE WATER
audio/RES0039.mp3[219.960,234.120]	OK I SEE AND HOW OFTEN ARE YOU COUGHING IN LIKE AN AVERAGE DAY ARE YOU COUGHING THROUGHOUT THE DAY OR DOES IT COME AND GO
audio/RES0039.mp3[234.120,239.200]	UHM ITS BEEN PRETTY SEVERE THROUGH THROUGHOUT THE DAY IVE BEEN JUST COUGHING OR COUGHING A TON
audio/RES0039.mp3[239.200,247.040]	OK ANYTHING THAT MAKES YOUR COUGHING GO AWAY OR MAKES IT WORSE AT ALL
audio/RES0039.mp3[247.040,260.800]	NOTNOTHING SEEMS TO HELP IVE TRIED VARIOUS OVER THE COUNTER MEDICATIONS AND AND STUFF FOR FOR COUGH AND NOTHING HAS SEEMED TO HELP IT
audio/RES0039.mp3[260.800,273.240]	OK AND ARE YOU HAVING ANY OTHER SYMPTOMS AT ALL LIKE SHORTNESS OF BREATH SORE THROAT RUNNY NOSE ANYTHING LIKE THAT
audio/RES0039.mp3[273.240,283.000]	UHM NOTHING LIKE LIKE THAT I MEAN THE BACK OF MY THROAT MIGHT FEEL A LITTLE ITCHY FROM THE COUGHING BUT NOT REALLY SURE
audio/RES0039.mp3[283.000,289.080]	OK ARE YOU HAVING ANY HEADACHES OR NAUSEA OR VOMITING
audio/RES0039.mp3[289.080,296.200]	NOTHING LIKE WELL A LITTLE BIT OF NAUSEA MAYBE BUT NO VOMITING
audio/RES0039.mp3[296.200,299.840]	OK HOW OFTEN YOU GETTING NAUSEA
audio/RES0039.mp3[299.840,309.800]	UH ITS COMING AFTER LIKE IF IM HAVING A REALLY BIG COUGH COUGHING FIT I COULD FEEL A LITTLE NAUSEOUS AFTER BUT IT DOESNT LAST VERY LONG
audio/RES0039.mp3[309.800,314.520]	OK ARE YOU HAVING ANY FEVERS OR CHILLS
audio/RES0039.mp3[314.520,324.160]	YEAH IVE BEEN HAVING AH SO FEVERS THROUGHOUT THE DAY BUT FEELING REALLY HOT AND AND REALLY SWEATY AT NIGHT
audio/RES0039.mp3[324.160,328.000]	OK HOW OFTEN ARE YOU GETTING NIGHT SWEATS
audio/RES0039.mp3[328.000,336.120]	UHM ALSO A FEW TIMES THIS PAST WEEK IVE WHAT WOKE UP SOAKED
audio/RES0039.mp3[336.120,345.120]	OK AND HAVE YOU AT ALL MEASURED WHEN YOU FELT MEASURED YOUR TEMPERATURE WHEN YOU FELT LIKE THESE CHILLS AND NIGHT SWEATS
audio/RES0039.mp3[345.120,349.360]	NO I HAVENT MEASURED MY TEMPERATURE YET
audio/RES0039.mp3[349.360,356.640]	OK HAVE YOU NOTICED AT ALL UH ANY INCREASED FATIGUE THROUGHOUT THE DAY
audio/RES0039.mp3[356.640,367.240]	YEAH BUT IVE DEFINITELY BEEN MORE MORE TIRED I HAVENT BEEN ABLE TO CONCENTRATE ON UMM ON MY SCHOOLWORK
audio/RES0039.mp3[367.240,372.560]	OK AND UM HAVE YOU BEEN HAVING ANY SHORTNESS OF BREATH
audio/RES0039.mp3[372.560,380.040]	JUST AFTER THE LIKE COUGHING REALLY BUT OTHERWISE AH NO
audio/RES0039.mp3[380.040,381.960]	ANY CHEST PAIN
audio/RES0039.mp3[381.960,383.760]	NO CHEST PAIN
audio/RES0039.mp3[383.760,388.000]	ANY FEELING THAT YOUR HEART IS RACING
audio/RES0039.mp3[388.000,390.080]	NO NOTHING LIKE THAT
audio/RES0039.mp3[390.080,394.640]	OK ANY SWELLING IN YOUR LIMBS AT ALL
audio/RES0039.mp3[396.520,399.440]	OK ANY LOSS OF SENSE OF TASTE OR SMELL
audio/RES0039.mp3[399.440,403.080]	UH NO NOTHING LIKE THAT
audio/RES0039.mp3[403.080,409.240]	OK ANY CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0039.mp3[409.240,410.920]	UM NO
audio/RES0039.mp3[410.920,417.120]	OK ANY CHANGES IN YOUR URINATION
audio/RES0039.mp3[418.800,424.280]	OK ANY CHANGES AT ALL IN YOUR SLEEP
audio/RES0039.mp3[424.280,432.760]	UHM JUST BEEN WELL I HAVENT BEEN SLEEPING AS WELL WAKING UP ALL SWEATY AND THE COUGH IS KEPT ME UP A LITTLE BIT TOO
audio/RES0039.mp3[432.760,435.880]	OK ANY CHANGES IN YOUR APPETITE
audio/RES0039.mp3[435.880,440.000]	UH NO IVE BEEN EATING OK
audio/RES0039.mp3[440.000,447.680]	HAVE YOU NOTICED AT ALL ANY WEIGHT LOSS OVER THE LAST FEW MONTHS
audio/RES0039.mp3[447.680,454.440]	YEAH I THINK IM DOWN LIKE 15 POUNDS SINCE THE SUMMER TIME WHICH IS GREAT
audio/RES0039.mp3[454.440,465.360]	OK HAVE YOU TRIED TO LOSE WEIGHT AT ALL OR IS IT JUST BEEN COMPLETELY UNINTENTIONAL
audio/RES0039.mp3[465.360,478.960]	UH WELL I I MEAN MY MY APPENDIX WAS TAKEN OUT A FEW MONTHS AGO AND SO I GUESS AFTER THAT I WELL MAYBE WASNT EATING AND EATING AS MUCH BUT I MEAN I WASNT REALLY TRYING TO LOSE WEIGHT
audio/RES0039.mp3[478.960,490.400]	OK AND HAVE YOU HAD ANY RECENT EXPOSURE TO ANY FUMES OR DUST OR ANIMALS
audio/RES0039.mp3[490.400,497.560]	UH NO MY MY PARENTS HAVE A DOG AT HOME BUT IVE BEEN AWAY AT SCHOOL SO
audio/RES0039.mp3[497.560,506.160]	OK OK UH IN TERMS OF YOUR OVERALL HEALTH HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0039.mp3[506.160,507.880]	UH NO IM UH HEALTHY
audio/RES0039.mp3[507.880,512.440]	SO LIKE NO ASTHMA OR ANYTHING LIKE THAT
audio/RES0039.mp3[512.440,514.040]	NO NOTHING LIKE THAT
audio/RES0039.mp3[514.040,518.840]	OK ARE YOU ON ANY MEDICATIONS CURRENTLY
audio/RES0039.mp3[518.840,523.040]	UH YEAH I TAKE AN ORAL CONTRACEPTIVE PILL
audio/RES0039.mp3[523.040,525.400]	OK UM AND WHEN DID YOU START THAT
audio/RES0039.mp3[525.400,530.680]	PROBABLY ABOUT FIVE YEARS AGO
audio/RES0039.mp3[530.680,537.240]	OK DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES AT ALL
audio/RES0039.mp3[537.240,543.800]	UH YEAH I THINK SEPTRA GIVES ME A RASH
audio/RES0039.mp3[543.800,548.840]	OK UM ANY PREVIOUS HOSPITALIZATIONS
audio/RES0039.mp3[548.840,551.080]	NO IVE NEVER BEEN IN THE HOSPITAL BEFORE
audio/RES0039.mp3[551.080,558.880]	OK ANY PREVIOUS SURGERY SO YOU SAID YOU HAD THE APPENDIX REMOVED BUT ANYTHING ELSE
audio/RES0039.mp3[558.880,563.600]	UH NO THE APPENDIX WAS THE ONLY THING
audio/RES0039.mp3[563.600,575.080]	OK ANY FAMILY HISTORY OF ASTHMA OR ANY LUNG CONDITIONS ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0039.mp3[575.080,594.080]	UM YEAH BUT WELL MY GRANDFATHER HAD LUNG CANCER BUT HE SMOKED FOR HIS ENTIRE LIFE AND MY MOM HAS HAD DIABETES FOR QUITE SOME TIME BUT NO NO LUNG PROBLEMS
audio/RES0039.mp3[594.080,601.920]	OK ANY HEART ATTACKS IN THE FAMILY OR ANY AUTOIMMUNE CONDITIONS
audio/RES0039.mp3[604.240,609.480]	OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE
audio/RES0039.mp3[609.480,615.160]	SO I LIVE WITH UH FOUR ROOMMATES HERE GOING TO SCHOOL
audio/RES0039.mp3[615.160,623.960]	OK AND SO DO YOU WORK RIGHT NOW OR YOU JUST A STUDENT RIGHT NOW
audio/RES0039.mp3[623.960,627.560]	JUST A STUDENT
audio/RES0039.mp3[627.560,631.280]	OK AND CURRENTLY DO YOU SMOKE
audio/RES0039.mp3[631.280,642.240]	UHM IMM SMOKE MAYBE MAYBE SOCIALLY SO MAYBE A PACK OF CIGARETTES A WEEK AT THE AT THE MOST
audio/RES0039.mp3[642.240,648.200]	OK AND ANY RECREATIONAL DRUG USE LIKE MARIJUANA
audio/RES0039.mp3[648.200,655.160]	UH YEAH ILL SMOKE ONE OR TWO JOINTS ON ON THE WEEKEND WITH FRIENDS SOCIALLY
audio/RES0039.mp3[655.160,662.720]	OK YEAH SO YEAH THIS UH THE SMOKING MARIJUANA OR CIGARETTES MAKE YOUR SYMPTOMS WORSE AT ALL
audio/RES0039.mp3[662.720,673.200]	UHM IT DEPENDS YEAH SOMETIMES I CAN IT CAN BRING ON SOME MORE COUGHING
audio/RES0039.mp3[673.200,710.920]	YEAH SO YEAH WE ALWAYS RECOMMEND CUTTING DOWN OR QUITTING SMOKING WHENEVER WHENEVER WE SEE PATIENTS WHO ARE SMOKING ESPECIALLY LIKE YOURE FAIRLY YOUNG AND YOU KNOW YOUR GRANDFATHER HAD HISTORY OF LUNG CANCER WITH SMOKING THROUGHOUT THE YEAR SO AS EARLY AS WE CAN QUIT SMOKING THE BETTER FOR THE LONG TERM HEALTH OF YOUR LUNGS BUT WHENEVER YOURE THINKING OF QUITTING OR IF YOU WANT ANY MORE RESOURCES ABOUT QUITTING JUST LET ME KNOW WE CAN SET UP A SEPARATE APPOINTMENT FOR THAT
audio/RES0039.mp3[710.920,717.200]	OK THAT THAT SOUNDS GOOD YEAH MAYBE MAYBE NEXT APPOINTMENT WE CAN TALK ABOUT THAT
audio/RES0039.mp3[717.200,728.960]	OK SOUNDS GOOD UM ANY UH SO NO RECREATIONAL SO JUST BESIDES MARIJUANA ANY OTHER RECREATIONAL DRUGS LIKE COCAINE OR CRYSTAL METH ANYTHING OF THAT SORT
audio/RES0039.mp3[728.960,745.800]	AH NO WELL SOMETIMES I AT PARTIES MAYBE A FEW TIMES A YEAR WITH FRIENDS WILL USE ECSTASY OR SOMETHING LIKE THAT BUT THATS ONLY A FEW TIMES A YEAR
audio/RES0039.mp3[745.800,750.360]	OK UH AND ANY ALCOHOL
audio/RES0039.mp3[750.360,757.400]	YEAH ILL HAVE A FEW DRINKS ON THE WEEKEND WITH WITH FRIENDS USUALLY LIKE RUM OR BEER
audio/RES0039.mp3[757.400,774.800]	OK YEAH SO THIS IS ALL THE QUESTIONS I HAD FOR YOU TODAY ANY ANY QUESTIONS OR CONCERNS OR ANY IDEAS OF WHAT YOU THINK THIS MIGHT BE
audio/RES0039.mp3[774.800,793.120]	UHM I DONT KNOW IM REALLY CONCERNED ABOUT THE THE BLOOD THAT I BROUGHT UP LIKE I MEAN IS THIS CANCER OR UH UH TUBERCULOSIS LIKE ONE OF THOSE TUBERCULOSIS INFECTIONS THAT I HEARD ABOUT WHILE I WAS AWAY
audio/RES0039.mp3[793.120,835.720]	YEAH SO DEFINITELY A CANCER IS PRETTY UNLIKELY BECAUSE YOURE FAIRLY YOUNG AND YOUVE JUST RECENTLY STARTED SMOKING BUT ONE OF THE THINGS THAT WERE CONCERNED ABOUT IS YOUR RECENT TRAVEL HISTORY BEING IN CLOSE QUARTERS SO DEFINITELY WE NEED TO GET A CHEST XRAY AND WE CAN EVEN DO A SPUTUM CULTURE TO TEST FOR TUBERCULOSIS AND THEN BASED ON THE RESULTS WE MIGHT HAVE TO START YOU ON LIKE A WHOLE ANTIBIOTIC REGIMENT IF IT DOES COME BACK AS TUBERCULOSIS YEAH WELL WELL WELL GET THOSE INVESTIGATIONS DONE FIRST AND THEN WELL GO FROM THERE
audio/RES0039.mp3[835.720,838.560]	OK THANK YOU
audio/RES0039.mp3[838.560,842.560]	WELL ALSO GET SOME BLOOD WORK DONE AS WELL SO THATLL BE DONE BEFORE YOUR NEXT APPOINTMENT
audio/RES0039.mp3[842.560,846.840]	ALRIGHT THAT SOUNDS GOOD THANK YOU
audio/RES0039.mp3[846.840,849.040]	YOURE WELCOME
audio/RES0097.mp3[0.000,2.040]	HOW CAN I HELP YOU TODAY
audio/RES0097.mp3[2.040,39.440]	HI IM IM THE MOM OF THE PATIENT AND I JUST WANTED TO TALK TO YOU ABOUT THE JUST ABOUT THOMAS HERE HES JUST BEEN NOT HES JUST NOT BEEN FEELING WELL HES HAD THIS COUGH FOR THE PAST THREE OR FOUR DAYS AND HES ALSO HAD THIS STUFFY NOSE AND THIS THIS WATERY DISCHARGE YEAH HES JUST NOT FEELING GOOD
audio/RES0097.mp3[39.440,50.800]	OK I SEE AND SO THE THE COUGH YOU SAID STARTED THREE OR FOUR DAYS AGO HAS THE COUGH GOTTEN ANY BETTER OR ANY STAYED THE SAME OR GOTTEN WORSE
audio/RES0097.mp3[50.800,54.520]	GOTTEN A BIT WORSE I WOULD SAY
audio/RES0097.mp3[54.520,57.400]	IS HE BRINGING UP ANY SPUTUM
audio/RES0097.mp3[59.640,63.680]	SO HAS THERE BEEN ANY BLOOD
audio/RES0097.mp3[63.680,64.920]	NO NO
audio/RES0097.mp3[64.920,70.160]	OK AND HAS THE COUGH INTERFERED WITH SLEEP
audio/RES0097.mp3[70.160,80.120]	YEAH HIS COUGH IS USUALLY WORSE UHM AT NIGHT
audio/RES0097.mp3[80.120,86.160]	OK AND YOU SAY THAT HES ALSO HAD A RUNNY NOSE WHAT DOES THE DISCHARGE LOOK LIKE
audio/RES0097.mp3[86.160,90.880]	ITS JUST UH ITS WATERY
audio/RES0097.mp3[90.880,94.240]	AND THIS STARTED THREE OR FOUR DAYS AGO AS WELL
audio/RES0097.mp3[94.240,102.760]	A LITTLE A LITTLE AFTER THE UHM YEAH ACTUALLY AROUND THE SAME TIME AROUND THE SAME TIME YEAH
audio/RES0097.mp3[102.760,113.360]	OK HAS HE HAD ANY UHM LIKE DIFFICULTIES BREATHING LIKE SAYING THAT HE FEELS ONE OF THE LIKE THE NOSTRILS OBSTRUCTED
audio/RES0097.mp3[113.360,131.120]	HMMM HE HASNT WELL HES JUST BEEN BREATHING WITH HIS MOUTH OPEN SO THATS WHAT HE DOES AT NIGHT AS WELL HE ALSO HAS THIS NASAL VOICE RIGHT NOW PROBABLY BECAUSE ITS ITS YOU KNOW HE HAS THIS STUFFY NOSE BUT HE HASNT REALLY COMPLAINED ABOUT IT
audio/RES0097.mp3[131.120,135.920]	YEAH HAS HE HAD ANY PAIN LIKE FACIAL PAIN
audio/RES0097.mp3[135.920,140.680]	UHM NO NOT REALLY
audio/RES0097.mp3[140.680,146.800]	OK HOW ABOUT ANY CHANGES TO SMELL OR LOSS OF SMELL
audio/RES0097.mp3[146.800,150.680]	YEAH I DONT THINK HE CAN SMELL MUCH RIGHT NOW
audio/RES0097.mp3[150.680,156.760]	OK AND UH DID THOSE DID THAT START A FEW DAYS AGO AS WELL
audio/RES0097.mp3[156.760,162.480]	YEAH YEAH SINCE HES BEEN COMPLAINING OF HIS STUFFY NOSE
audio/RES0097.mp3[162.480,166.200]	OK AND HAS HE HAD ANY HEADACHES
audio/RES0097.mp3[166.200,169.800]	NO BUT HE HAS HAD A FEVER
audio/RES0097.mp3[169.800,174.680]	OK HOW DID YOU CHECK IT
audio/RES0097.mp3[174.680,180.080]	YEAH I DID I DID IT WAS UH 39 LAST NIGHT
audio/RES0097.mp3[180.080,185.480]	ALRIGHT ITS CERTAINLY A FEVER UHM  HAS HE HAD ANY CHILLS OR NIGHT SWEATS
audio/RES0097.mp3[185.480,189.160]	YEAH HES BUT HES BEEN FEELING PRETTY CHILLY
audio/RES0097.mp3[190.160,200.520]	YEAH HES WEARING A COUPLE A COUPLE OF LAYERS AT HOME STILL FEELS CHILLY AND YEAH HE HAS ALOT OF CHILLS AND DEFINITELY HAS A FEVER
audio/RES0097.mp3[200.520,209.000]	ALRIGHT AND HAS THE FEVER BEEN THERE THE WHOLE WHOLE TIME IF YOURE AWARE OR HAS THAT KIND OF COME AND GONE
audio/RES0097.mp3[209.000,214.200]	UHM YOU KNOW WHAT I ACTUALLY JUST CHECKED YESTERDAY SO I DONT KNOW
audio/RES0097.mp3[214.200,217.480]	ALRIGHT HAS HE HAD A SORE THROAT
audio/RES0097.mp3[217.480,231.000]	YEAH ITS USUALLY WORSE IN THE MORNING I THINK ITS MORE OF A I GUESS THE POST NASAL DRIP YOU KNOW WITH THE WITH A RUNNY NOSE ITS JUST ITS PRETTY BAD IN THE MORNING
audio/RES0097.mp3[231.000,236.080]	OK HAS HE HAD ANY RED EYES OR OR EYE DISCHARGE OR EYE PAIN
audio/RES0097.mp3[236.080,239.800]	NO NO NO
audio/RES0097.mp3[239.800,243.640]	OK AND HAS HE HAD ANY SHORTNESS OF BREATH
audio/RES0097.mp3[246.160,249.360]	HOW ABOUT ANY WHEEZING
audio/RES0097.mp3[251.840,254.240]	ANY CHEST PAIN
audio/RES0097.mp3[255.200,262.200]	ANY LIGHTHEADEDNESS DIZZINESS OR FAINTING
audio/RES0097.mp3[262.760,268.560]	OK AND DOES HE MENTION ANYTHING ABOUT FEELING AS THOUGH HIS HEARTS RACING
audio/RES0097.mp3[269.240,273.480]	OK AND HAS HE HAD ANY ABDOMINAL PAIN
audio/RES0097.mp3[274.400,277.720]	ANY NAUSEA OR VOMITING
audio/RES0097.mp3[278.880,282.480]	ANY DIARRHEA OR CONSTIPATION
audio/RES0097.mp3[282.600,288.240]	HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY
audio/RES0097.mp3[288.240,292.560]	NO NOTHING LIKE THAT HE HASNT COMPLAINED OF ANYTHING LIKE THAT
audio/RES0097.mp3[292.560,296.320]	HAS HE HAD ANY SKIN CHANGES OR RASHES
audio/RES0097.mp3[297.920,302.280]	AND HOW ABOUT ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0097.mp3[302.280,309.120]	YEAH YEAH HE DEFINITELY HAS THAT HES COMPLAINING A LOT ABOUT MUSCLE ACHES
audio/RES0097.mp3[309.120,312.440]	OK AND HOW HAS HIS ENERGY BEEN HAS HE BEEN FATIGUED
audio/RES0097.mp3[312.440,319.320]	OH YEAH HE HASNT GONE OUT TO PLAY HE HASNT DONE ANYTHING HES JUST BEEN LYING IN BED
audio/RES0097.mp3[319.320,324.880]	OK AND OVER THE LAST SEVERAL MONTHS HAS HE HAD ANY WEIGHT LOSS
audio/RES0097.mp3[324.880,328.200]	NO HES BEEN GAINING WEIGHT ACTUALLY
audio/RES0097.mp3[328.200,346.360]	OK NO THATS GOOD CERTAINLY YEAH AT THE AGE OF 11 SHOULD BE STILL GAINING WEIGHT SO THATS GOOD AND HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0097.mp3[346.360,355.880]	YEAH HE WAS DIAGNOSED WITH UH CYSTIC FIBROSIS WHEN HE WAS A HE WAS A CHILD FOUR YEARS OLD
audio/RES0097.mp3[355.880,362.480]	OK AND UH IS HE ON UH LIKE ANY MEDICATIONS FOR THAT
audio/RES0097.mp3[362.480,387.680]	HES ON HE WAS ON AN ANTIBIOTIC UNTIL THE AGE OF FIVE UH THAT HE HAD TO TAKE ON REGULAR BASIS BUT HE IS HES NOT REALLY ON ANY MEDICATIONS RIGHT NOW I KNOW THAT THERE ARE A COUPLE OF NEW ONES THAT ARE OUT THERE BUT THOSE ARE VERY EXPENSIVE
audio/RES0097.mp3[387.680,395.680]	OK AND HAS HE HAD ANY EXACERBATIONS OR HOSPITALIZATIONS
audio/RES0097.mp3[395.680,404.800]	UH YEAH HES HES HAD ABOUT UH ONE HOSPITALIZATION EVERY TWO YEARS
audio/RES0097.mp3[404.800,413.320]	ALRIGHT AND IS HE FOLLOWED BY A RESPIROLOGIST CURRENTLY
audio/RES0097.mp3[413.320,418.920]	YES YES YES
audio/RES0097.mp3[418.920,433.400]	OK UHM AND HAS THERE BEEN LIKE AN INCREASE IN THE SPUTUM PRODUCTION OR LIKE WORSENING SHORTNESS OF BREATH OVER THESE LAST FEW DAYS
audio/RES0097.mp3[433.400,434.960]	NO NOT REALLY
audio/RES0097.mp3[434.960,439.480]	OK AND HAS HE HAD ANY SURGERIES
audio/RES0097.mp3[439.800,446.080]	DOES HE HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0097.mp3[446.080,448.680]	UHM SULFA DRUGS
audio/RES0097.mp3[448.680,451.400]	AND THE REACTION IS
audio/RES0097.mp3[451.400,455.160]	UHM HE JUST GETS A RASH
audio/RES0097.mp3[455.160,459.880]	OK IS IT ARE IMMUNIZATIONS UP TO DATE
audio/RES0097.mp3[459.880,471.080]	OH YEAH YEAH WERE VERY CAREFUL ABOUT THAT GIVEN HIS DIAGNOSIS HES GOT ALL THE ALL THE VACCINES
audio/RES0097.mp3[471.080,491.160]	THATS GREAT THATS REALLY IMPORTANT FOR SURE UHM AND SO I JUST WANTED TO ASK ABOUT LIFE AT HOME A LITTLE BIT SO WHOS IN THE HOUSE AND WHOS THE PRIMARY CAREGIVER FOR HIM
audio/RES0097.mp3[491.160,497.200]	IM THE PRIMARY CAREGIVER ITS JUST UH ME HIM AND MY HUSBAND
audio/RES0097.mp3[497.200,500.400]	OK AND UH IS HE UH WHAT GRADE IS HE IN RIGHT NOW
audio/RES0097.mp3[500.400,505.080]	HES IN GRADE SIX
audio/RES0097.mp3[505.080,507.080]	OK HOW IS SCHOOL GOING
audio/RES0097.mp3[507.080,522.760]	SCHOOLS GOING WELL ITS JUST THE YEAH THE HOSPITALIZATIONS CAN SOMETIMES BE DISRUPTIVE BUT ITS GOING WELL HES HES GETTING BS IN HIS CLASS HES DOING WELL HES GOT A GOOD GROUP OF FRIENDS
audio/RES0097.mp3[522.760,530.920]	EXCELLENT AND HAVE YOU HAD ANY CONCERNS ABOUT ABOUT DEVELOPMENT OR OR HIS GROWTH
audio/RES0097.mp3[530.920,538.480]	UHM NO
audio/RES0097.mp3[538.480,540.480]	OK SO MEETING ALL MILESTONES AND
audio/RES0097.mp3[544.560,558.280]	OK AND IN REGARDS TO UHM BIRTH HISTORY WERE THERE ANY COMPLICATIONS THROUGHOUT PREGNANCY OR OR AT BIRTH
audio/RES0097.mp3[558.280,582.040]	UHM NO NOTHING AT BIRTH OR DURING PREGNANCY BUT HE DID START HAVING LOTS OF RESPIRATORY INFECTIONS WHICH IS WHEN THE PEDIATRICIAN DID THAT TEST I FORGET THE NAME FOR THE TEST AND THEN THEY WERE UHM THE UHM HE WAS FOUND TO HAVE CF
audio/RES0097.mp3[582.040,588.320]	OK UHM AND DOES ANYBODY IN THE HOME SMOKE
audio/RES0097.mp3[589.080,592.000]	OR DRINK ALCOHOL
audio/RES0097.mp3[592.720,596.080]	OK UHM AND ARE THERE ANY PETS IN THE HOME
audio/RES0097.mp3[597.360,601.680]	OK HAS HE BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0097.mp3[601.680,607.720]	I DONT I DONT THINK SO
audio/RES0097.mp3[607.720,610.800]	OK AND UH HAVE YOU GUYS TRAVELED ANYWHERE
audio/RES0097.mp3[610.800,615.440]	NO JUST BEEN AT HOME
audio/RES0097.mp3[615.440,623.120]	OK UHM AND HAS ANYBODY IN THE ELSE IN THE FAMILY HAVE CYSTIC FIBROSIS
audio/RES0097.mp3[623.120,643.400]	NO NO NO NO ONE ELSE DOES BUT WE GOT TESTED AND WE WERE BOTH FOUND MY MY HUSBAND AND I WERE FOUND OUT HAVE THE GENE FOR IT WE WERE CARRIERS
audio/RES0097.mp3[643.400,649.240]	OK UHM I SEE AND ANY ANY HEART CONDITIONS OR OR OTHER LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0097.mp3[649.240,654.400]	NO NOTHING ELSE
audio/RES0097.mp3[654.400,664.880]	OK AND WERE THERE ANY OTHER SYMPTOMS THAT OR ANYTHING ELSE THAT YOU WANTED TO TELL ME THAT MAYBE I FORGOT TO ASK ABOUT
audio/RES0097.mp3[664.880,689.480]	UHM NO I WAS JUST UH IM JUST WORRIED ABOUT HIM UHM ABOUT HIS FEVER SPECIFICALLY ITS BEEN HIGH AND I KNOW THAT USUALLY WHEN HE HAS THESE HOSPITALIZATIONS HE PRESENTS PRETTY SIMILARLY SO JUST WONDERING IF HE WOULD NEED TO BE HOSPITALIZED AGAIN AND IF HE NEEDS ANTIBIOTICS
audio/RES0097.mp3[689.480,730.240]	YEAH FOR SURE ITS ITS BEEN UHM SO ITS BEEN THREE OR FOUR DAYS BUT WITH A FEVER THIS HIGH AND HIS SYMPTOMS WITH UH HAVING OBSTRUCTION DISCHARGE UHM CHANGES TO SMELL OR LOSS OF SMELL IT DOES SOUND LIKE IT COULD BE BACTERIAL AND SO I THINK IT WOULD BE REASONABLE TO POSSIBLY TO START ANTIBIOTICS IN THIS CASE BUT WELL GO THROUGH THROUGH A PHYSICAL EXAM CHECK SOME VITALS AND GO FROM THERE
audio/RES0097.mp3[730.240,736.960]	OK OK SOUNDS GOOD THANK YOU
audio/RES0138.mp3[0.000,2.160]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0138.mp3[2.160,23.280]	UM IVE JUST HAD DIFFICULTIES WITH BREATHING FOR THE PAST I WANT TO SAY EIGHT NINE MONTHS AND UM MY WIFE JUST TOLD ME TO COME IN ITS JUST SHE WAS WORRIED ABOUT IT AND UH I THOUGHT ID JUST COME IN AND HAVE IT CHECKED OUT
audio/RES0138.mp3[23.280,31.440]	OKAY SO ITS BEEN GOING ON FOR THE LAST EIGHT TO NINE MONTHS HAS IT BEEN GETTING WORSE AT ALL
audio/RES0138.mp3[31.440,35.280]	YEAH I WOULD THINK SO I WOULD SAY SO YEAH SO
audio/RES0138.mp3[35.280,36.440]	SORRY GO ON
audio/RES0138.mp3[36.440,44.720]	SO IT WAS JUST UM I FEEL LIKE I JUST GET SHORT OF BREATH MORE EASILY NOW
audio/RES0138.mp3[44.720,53.320]	OKAY AND IS IT SHORT OF BREATH WITH ACTIVITIES OR ARE YOU GETTING SHORT OF BREATH WITH UH SITTING OR RESTING AS WELL
audio/RES0138.mp3[53.320,57.440]	SO WHEN IM WHEN IM WITH ACTIVITY
audio/RES0138.mp3[57.440,64.800]	WITH ACTIVITY OKAY AND THE COUGH THAT YOURE GETTING IS IT A WET COUGH OR A DRY COUGH
audio/RES0138.mp3[64.800,68.120]	ITS A DRY COUGH
audio/RES0138.mp3[68.120,74.360]	OKAY AND ARE YOU BRINGING UP ANY MATERIAL AT ALL LIKE ANY UM YELLOW OR GREEN SPUTUM
audio/RES0138.mp3[74.360,77.840]	NO NO
audio/RES0138.mp3[77.840,79.640]	ANY BLOOD
audio/RES0138.mp3[79.640,80.920]	UM NO NO BLOOD
audio/RES0138.mp3[80.920,98.040]	NO BLOOD OKAY AND WITH YOUR SHORTNESS OF BREATH IS IT ARE YOU HAVING DIFFICULTY TAKING DEEP BREATHS OR DO YOU FIND THAT YOURE TAKING MORE FAST SHALLOW BREATHS
audio/RES0138.mp3[98.040,101.360]	UM JUST I GUESS JUST UH SHALLOW BREATHS
audio/RES0138.mp3[101.360,112.920]	OKAY OKAY AND UM SO THIS IS OVER THE LAST EIGHT OR NINE MONTHS HAVE YOU NOTICED ANY OTHER SYMPTOMS AT ALL LIKE CHEST PAIN DIZZINESS OR FAINTING NO
audio/RES0138.mp3[113.640,121.840]	OKAY AND DO YOUR SYMPTOMS GET GET WORSE AT ALL WHEN YOURE LYING FLAT LIKE WHEN YOURE SLEEPING
audio/RES0138.mp3[122.720,130.280]	NO AND DO YOU EVER WAKE UP GASPING FOR AIR
audio/RES0138.mp3[132.640,138.120]	OKAY UM AND HAVE YOU TRIED ANYTHING THATS HELPED YOU UH RELIEVE SOME OF THESE SYMPTOMS
audio/RES0138.mp3[138.120,140.720]	SORRY COULD YOU SAY THAT AGAIN
audio/RES0138.mp3[140.720,149.000]	UH HAVE YOU TRIED ANYTHING LIKE OVER THE COUNTER TO HELP YOU RELIEVE THESE SYMPTOMS
audio/RES0138.mp3[149.000,150.520]	NO NO I HAVENT
audio/RES0138.mp3[150.520,153.560]	UM HAVE YOU TRAVELED AT ALL RECENTLY
audio/RES0138.mp3[154.920,157.480]	HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK
audio/RES0138.mp3[157.480,174.760]	UM NO NOT REALLY I I DID GO OUT TO THE PHARMACY TO GET MY MEDICATIONS BUT THATS THATS THE ONLY TIME I ACTUALLY INTERACT WITH ANYONE OUTSIDE OF MY HOME
audio/RES0138.mp3[174.760,179.080]	AND WHAT WHAT MEDICATIONS DO YOU TAKE
audio/RES0138.mp3[179.080,182.920]	UM I JUST TAKE ASPIRIN
audio/RES0138.mp3[182.920,187.880]	ASPIRIN OKAY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0138.mp3[187.880,190.240]	I HAD A HEART ATTACK
audio/RES0138.mp3[190.240,193.320]	OH OKAY WELL WHEN WAS THAT
audio/RES0138.mp3[193.320,194.720]	LAST YEAR
audio/RES0138.mp3[194.720,203.800]	LAST YEAR WELL IM SO SORRY AND UM DID THEY GIVE YOU ANY MEDICATIONS TO GO ON AFTER THAT
audio/RES0138.mp3[203.800,217.640]	YEAH YEAH YEAH THERE THERE WERE A COUPLE OF OTHER MEDICATIONS AS WELL SOMETHING UM SOMETHING SOMETHING PRIL AND UH I THINK THERES UH UH ROSUVASTATIN
audio/RES0138.mp3[217.640,222.440]	OKAY AND DO YOU STILL TAKE THOSE
audio/RES0138.mp3[222.440,229.560]	YEAH I TAKE THOSE SOMETIMES I FORGET THAT I DO I TRY TO TAKE THEM AS MUCH AS I CAN
audio/RES0138.mp3[229.560,239.320]	OKAY AND YOU ALSO TAKE THE ASPIRIN ALRIGHT HAVE YOU NOTICED ANY FEVERS OR CHILLS
audio/RES0138.mp3[241.160,243.320]	NAUSEA OR VOMITING
audio/RES0138.mp3[244.040,247.120]	AND ANY CHEST PAIN
audio/RES0138.mp3[247.120,247.800]	UH NO
audio/RES0138.mp3[247.800,255.160]	NO OKAY ANY INCREASED FATIGUE
audio/RES0138.mp3[256.800,261.760]	ANY DIARRHEA OR CONSTIPATION
audio/RES0138.mp3[263.720,267.680]	ANY NUMBNESS OR TINGLING ANYWHERE
audio/RES0138.mp3[269.520,275.360]	ANY CONFUSION OR MEMORY LIKE MEMORY LOSS
audio/RES0138.mp3[275.360,278.880]	UM NO I DONT THINK SO
audio/RES0138.mp3[278.880,283.000]	ANY TROUBLE URINATING
audio/RES0138.mp3[283.000,285.800]	UM NO
audio/RES0138.mp3[285.800,294.560]	OKAY HAVE YOU NOTICED ANY SWELLING UM IN YOUR FEET ANKLES LEGS AT ALL
audio/RES0138.mp3[297.560,299.920]	OKAY UM AND HOWS YOUR APPETITE BEEN LIKE
audio/RES0138.mp3[299.920,302.520]	UM ITS BEEN ITS BEEN THE SAME
audio/RES0138.mp3[302.520,312.640]	OKAY AND ANY UM SIGNIFICANT WEIGHT CHANGES HAVE YOU LOST ANY WEIGHT
audio/RES0138.mp3[314.520,319.760]	NO UM ANY EXPOSURE TO FUMES OR DUST WITHIN YOUR ENVIRONMENT
audio/RES0138.mp3[319.760,324.160]	UM NOT RIGHT NOW WHEN I WAS YOUNG YEAH
audio/RES0138.mp3[324.160,328.360]	OKAY NOW DID YOU SO DID YOU HAVE EXPOSURE TO FUMES OR DUST
audio/RES0138.mp3[328.360,331.760]	UM I USED TO WORK IN A MINE SO
audio/RES0138.mp3[331.760,332.600]	A MINE
audio/RES0138.mp3[332.600,338.640]	YEAH LOTS OF CHEMICALS AND THINGS LIKE THAT
audio/RES0138.mp3[338.640,345.440]	OKAY AND ANY EXPOSURE TO ANY PETS OR ANIMALS
audio/RES0138.mp3[345.440,345.840]	UH NO
audio/RES0138.mp3[345.840,354.840]	BESIDES YOUR MEDICAL HISTORY OF HAVING A HEART ATTACK AND SOME BLOOD PRESSURE UM ANY OTHER MEDICAL CONDITIONS
audio/RES0138.mp3[354.840,357.560]	UH I JUST HAVE HIGH BLOOD PRESSURE
audio/RES0138.mp3[357.560,364.320]	OKAY ANY ALLERGIES TO ANY MEDICATIONS OR ANY ENVIRONMENTAL ALLERGIES
audio/RES0138.mp3[365.520,371.160]	OKAY UM ANY HOSPITALIZATIONS BESIDES WHEN YOU HAD A HEART ATTACK PREVIOUSLY
audio/RES0138.mp3[372.840,374.600]	ANY SURGERIES
audio/RES0138.mp3[377.240,380.680]	OKAY DID THEY TELL YOU AT ALL WHAT THE CAUSE OF YOUR HEART ATTACK WAS
audio/RES0138.mp3[380.680,388.160]	UM THEY JUST UH THEY SAID IT WAS MY MY DIET
audio/RES0138.mp3[388.160,390.400]	THEY SAID DIET OKAY
audio/RES0138.mp3[390.400,392.760]	YEAH SOMETHING ABOUT CHOLESTEROL
audio/RES0138.mp3[392.760,399.520]	DID YOU REQUIRE ANY STENTS OR DID YOU HAVE TO GET A BYPASS SURGERY OR ANYTHING LIKE THAT
audio/RES0138.mp3[399.520,402.920]	UH THEY PUT IN I THINK THEY PUT IN STENTS
audio/RES0138.mp3[402.920,415.000]	STENTS OKAY UM ANY FAMILY HISTORY OF ANY HEART OR LUNG CONDITIONS
audio/RES0138.mp3[415.000,420.080]	YEAH UM MY UM MOM HAD HEART FAILURE
audio/RES0138.mp3[420.080,423.640]	OKAY UM AND HOW OLD WAS SHE WHEN SHE HAD HER HEART FAILURE
audio/RES0138.mp3[423.640,426.960]	SHE WAS YOUNG SHE WAS UH 55
audio/RES0138.mp3[426.960,436.760]	55 OKAY UM AND CURRENTLY RIGHT NOW OR SORRY DO YOU HAVE ANY FAMILY HISTORY OF ANY CANCERS ANY LUNG CANCER OR ANYTHING LIKE THAT
audio/RES0138.mp3[437.280,442.120]	AND CURRENTLY DO YOU WORK OR ARE YOU RETIRED
audio/RES0138.mp3[442.120,445.120]	IM RETIRED
audio/RES0138.mp3[445.120,449.240]	OKAY AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW DO YOU LIVE WITH ANYONE
audio/RES0138.mp3[449.240,452.920]	I LIVE WITH MY WIFE
audio/RES0138.mp3[452.920,456.160]	OKAY AND DO YOU SMOKE
audio/RES0138.mp3[456.160,456.640]	UH NO
audio/RES0138.mp3[456.640,460.000]	HAVE YOU EVER SMOKED
audio/RES0138.mp3[460.000,460.840]	I DID WHEN I WAS YOUNG
audio/RES0138.mp3[460.840,464.840]	HOW LONG WOULD YOU SAY YOU SMOKED FOR
audio/RES0138.mp3[464.840,469.360]	UM ID SAY 45 YEARS
audio/RES0138.mp3[469.360,474.560]	AND HOW MUCH WOULD YOU SMOKE IN AN AVERAGE DAY
audio/RES0138.mp3[474.560,479.680]	UM ABOUT A PACK A DAY
audio/RES0138.mp3[479.680,481.640]	UM ANY RECREATIONAL DRUGS LIKE MARIJUANA
audio/RES0138.mp3[484.720,488.240]	AND DO YOU DRINK ALCOHOL
audio/RES0138.mp3[488.240,495.520]	YEAH I DO UM ILL ILL DRINK A GLASS AT NIGHT EVERY NIGHT
audio/RES0138.mp3[495.520,498.480]	AND A GLASS OF WHAT WOULD YOU DRINK
audio/RES0138.mp3[498.480,501.400]	OH JUST A A GLASS OF WINE WHITE WINE
audio/RES0138.mp3[501.400,507.000]	OKAY SO THOSE ARE ALL THE QUESTIONS I HAVE FOR YOU TODAY ANY QUESTIONS FOR ME
audio/RES0138.mp3[510.400,525.080]	OKAY SO YEAH THERES DEFINITELY LIKE THE COUGHING AND SHORTNESS OF BREATH ARE DEFINITELY CONCERNING AND THEYVE BEEN GOING ON FOR A PRETTY LONG TIME DO YOU EVER HAVE ANY NIGHT SWEATS OR ANYTHING LIKE THAT
audio/RES0138.mp3[525.320,597.200]	OKAY SO THERES A FEW THINGS THAT WE THINK ABOUT WITH THE CHRONIC SHORTNESS OF BREATH AND A COUGH ONE COULD BE JUST A COPDIAGNOSIS WITH YOUR LONG HISTORY OF SMOKING AND THIS PULMONARY FUNCTION TEST GET AN XRAY CHEST XRAY AS WELL UM ANOTHER THING THAT WE NEED TO LOOK OUT FOR IS UH LUNG CANCER AND SINCE YOU HAVE BEEN SMOKING FOR A PRETTY LONG TIME EVEN THOUGH YOU MAY HAVE QUIT WHICH IS REALLY GREAT BUT THAT LONG HISTORY OF SMOKING ESPECIALLY ALSO WITH UM YOU WORKING IN A MINE THOSE ARE SOME THINGS THAT MEANS WE CAN TEST AS WELL AND SO WE MAY REQUIRE LIKE A CHEST XRAY AND EVEN UM A CT SCAN OF YOUR LUNGS AS WELL UM SO YEAH FIRST WELL JUST DO A COUPLE TESTS DO A PHYSICAL EXAMINATION GET YOUR VITALS DO SOME BLOOD WORK AND DO SOME OF THOSE TESTS AND THEN WELL ALSO GET A COVISWAB TEST DONE FOR YOU AS WELL JUST IN CASE DOES THAT SOUND GOOD
audio/RES0138.mp3[597.600,600.640]	ALRIGHT SO WELL BE WITH YOU SHORTLY
audio/RES0010.mp3[0.000,1.440]	HOW MAY I HELP YOU TODAY
audio/RES0010.mp3[1.440,9.160]	YEAH SO I HAVE LIKE A REALLY SORE THROAT STARTED LAST NIGHT
audio/RES0010.mp3[9.160,23.920]	OH IM SORRY UH CAN YOU CAN YOU TELL ME A LITTLE BIT MORE ABOUT THAT SO YOU UM YOUVE ONLY HAD THIS SORE THROAT FOR ONE NIGHT
audio/RES0010.mp3[23.920,35.080]	YEAH I JUST I THINK ITS GETTING WORSE ITS AT THE BACK OF MY THROAT AND ITS KIND OF BURNING
audio/RES0010.mp3[35.080,42.840]	MMM OK DO YOU HAVE UM DO YOU HAVE ANY OTHER SYMPTOMS
audio/RES0010.mp3[42.840,52.480]	UM LIKE I THINK MY VOICE IS KIND OF LIKE RASPY I FEEL LIKE I MIGHT BE LOSING MY VOICE
audio/RES0010.mp3[52.480,56.120]	OK DO YOU DO YOU HAVE A RUNNY NOSE
audio/RES0010.mp3[56.120,62.440]	NO NOT THAT IVE NOTICED I SAID IT HURTS WHEN I SWALLOW RIGHT I DONT HAVE A RUNNY NOSE
audio/RES0010.mp3[62.440,69.720]	NO OK AND DO YOU HAVE ANY PAIN IN YOUR EARS
audio/RES0010.mp3[69.720,74.080]	UH I HAVENT NOTICED NO
audio/RES0010.mp3[74.080,85.520]	ANY ANY SINUS HEADACHES ANY SORT OF PAIN IN AND AROUND YOUR CHEEKS OR PAIN IN YOUR FOREHEAD AS YOURE TRYING TO BEND OVER
audio/RES0010.mp3[85.520,87.480]	UH NO NO HEADACHE
audio/RES0010.mp3[87.480,95.440]	NOTHING LIKE THAT OK HAVE YOU HAD ANY PAIN IN YOUR CHEST
audio/RES0010.mp3[97.400,100.560]	ANY DIFFICULTIES BREATHING
audio/RES0010.mp3[103.160,108.800]	OK UM ANY COUGH
audio/RES0010.mp3[110.440,129.480]	ALRIGHT SO ALL YOUVE EXPERIENCED SO FAR IS SINCE YESTERDAY EVENING YOUVE HAD A SORE THROAT WITH DIFFICULTY SWALLOWING AND HOARSE VOICE HAVE YOU EXPERIENCED ANY MALAISE OR DO YOU FEEL FEVERISH OR DO YOU HAVE ANY CHILLS
audio/RES0010.mp3[129.480,154.440]	I DEFINITELY FEEL LIKE REALLY TIRED I THINK I HAD I THINK I HAD CHILLS LIKE YESTERDAY AND I THINK WHEN I FIRST GOT HERE THEY TOOK MY TEMPERATURE AND SAID IT WAS LIKE IT WAS LIKE PRETTY HIGH THE NURSE WHEN I FIRST GOT HERE
audio/RES0010.mp3[154.440,177.800]	I SEE I SEE UM HAVE YOU UM IM JUST GOING TO ASK YOU ABOUT A COUPLE OTHER SYMPTOMS JUST UM JUST TO RULE OUT SOME CAUSES UM HAVE YOU HAD ANY DIFFICULTIES BREATHING
audio/RES0010.mp3[177.800,180.600]	NO NO THATS OK
audio/RES0010.mp3[180.600,188.360]	OK UM YOU HAVE BEEN HAVE YOU HAD ANY MUSCLE ACHES OR PAINS
audio/RES0010.mp3[188.360,194.400]	NO NOT NOT THAT
audio/RES0010.mp3[194.400,201.960]	OK HAVE YOU NOTICED THAT YOUR EYES HAVE BEEN MORE RUNNY MORE RED ANYTHING LIKE THAT
audio/RES0010.mp3[201.960,204.440]	NO NO NOTHING IN MY EYES
audio/RES0010.mp3[204.440,209.920]	OK ANY PAIN IN YOUR BELLY
audio/RES0010.mp3[209.920,219.760]	UH ITS LIKE MY WHOLE BELLYS BEEN LIKE A LITTLE LIKE SORE OR BUT ITS ITS PRETTY MUCH LIKE MILD
audio/RES0010.mp3[219.760,223.880]	WHEN DID THAT START
audio/RES0010.mp3[223.880,237.360]	YEAH JUST LIKE THIS MORNING I DONT KNOW I HAVENT BEEN EATING A LOT CAUSE IT JUST HURTS TO EAT I DONT KNOW IF IM JUST HUNGRY LIKE IVE JUST BEEN EATING LIKE ICE CREAM CAUSE IT FEELS NICE
audio/RES0010.mp3[238.520,243.320]	BUT I PROBABLY SHOULDNT JUST EAT ICE CREAM
audio/RES0010.mp3[243.320,252.640]	AHAHA UM HAVE YOU HAVE YOU HAD ANY CHANGES IN YOUR BOWEL MOVEMENTS ANY DIARRHEA ANY CONSTIPATION
audio/RES0010.mp3[252.640,254.320]	UH NO
audio/RES0010.mp3[254.320,261.840]	ALRIGHT ALRIGHT ANY NAUSEA OR VOMITING
audio/RES0010.mp3[261.840,277.640]	UH NO VOMITING I FEEL LIKE MY THROAT IT JUST FEELS SO LIKE SWOLLEN BUT WHEN IM TRYING TO TALK WITH MAKES ME FEEL A LITTLE BIT NAUSEATED
audio/RES0010.mp3[277.640,288.240]	YOUR THROAT FEELS SWOLLEN HAVE YOU HAVE YOU NOTICED ANY CHANGES IN HAVE YOU FOUND THAT ITS DIFFICULT FOR YOU TO TALK IS YOUR SPEECH SLURRED
audio/RES0010.mp3[288.240,296.520]	UH NO ITS NOT SLURRED ITS JUST LIKE SORE BECAUSE ITS KIND OF LIKE WHEN IM SWALLOWING YOU KNOW
audio/RES0010.mp3[296.520,305.720]	HAVE YOU NOTICED ANY CHANGES IN YOUR SENSE OF SMELL DO YOU FEEL LIKE YOU CAN SMELL LESS
audio/RES0010.mp3[305.720,308.080]	I THINK THATS PRETTY NORMAL
audio/RES0010.mp3[308.080,317.600]	OK WHAT ABOUT TASTE I KNOW THAT YOURE NOT EATING MUCH CAUSE YOU CANT SWALLOW BUT DO YOU FEEL LIKE YOU CAN TASTE YOUR SENSE OF TASTE IS DECREASED
audio/RES0010.mp3[317.600,326.600]	UH UH NO I THINK THATS GOOD YEAH YEAH I THINK I MEAN MOSTLY EATING LIKE REALLY COLD STUFF BUT I CAN TASTE IT ALL
audio/RES0010.mp3[326.600,332.520]	ALRIGHT ALRIGHT UM HAS IT EVER HAPPENED TO YOU BEFORE
audio/RES0010.mp3[332.520,348.520]	UH NO LIKE I I HAD A COLD LIKE 2 WEEKS AGO BUT IT WASNT LIKE THIS THOUGH THAT WAS MORE LIKE RUNNY NOSE AND STUFF
audio/RES0010.mp3[348.520,359.520]	I SEE UM HAVE YOU DONE ANYTHING RECENTLY HAVE YOU HAD CONTACT WITH UM WITH ANYONE WHO IS SICK
audio/RES0010.mp3[359.520,374.760]	UH MY MY GIRLFRIEND SAID THAT SHE WAS KIND OF THAT HER THROAT WAS FEELING A LITTLE SORE I DONT THINK IT WAS AS BAD AS AS THIS BUT YEAH SHE SAID THAT
audio/RES0010.mp3[374.760,382.320]	HAVE YOU UM HAVE YOU BEEN SPENDING TIME WITH HER RECENTLY
audio/RES0010.mp3[382.320,394.200]	I HAVENT I HAVENT SEEN HER IN A FEW DAYS BUT YEAH LIKE I SAW HER I SAW HER REALLY A FEW DAYS AGO
audio/RES0010.mp3[394.200,399.000]	OK OK UM HAVE YOU TRAVELED ANYWHERE
audio/RES0010.mp3[401.760,403.400]	NO I WISH
audio/RES0010.mp3[403.400,416.360]	DO YOU FEEL LIKE YOUVE HAD ANY CONTACT WITH ANYONE WITH WHO MIGHT HAVE COVID
audio/RES0010.mp3[416.360,423.600]	OH I DONT I DONT THINK SO MOSTLY JUST TO MY GIRLFRIEND AND MY ROOMMATE RIGHT NOW
audio/RES0010.mp3[423.600,432.560]	YEAH YEA AND DO DO YOU DO YOU KNOW IF THEYVE BEEN RECENTLY TESTED OR IF THEY MIGHT HAVE HAD CONTACT WITH ANYONE UM WHO MAYBE
audio/RES0010.mp3[432.560,435.480]	UM I DONT THINK SO
audio/RES0010.mp3[436.320,445.840]	THEYRE THEYRE PRETTY LIKE THEYRE PRETTY THEY JUST HAVE ONLINE CLASSES AND THEY ONLY REALLY LIKE LEAVES TO GET GROCERIES AND LIKE GO EXERCISE OUTSIDE
audio/RES0010.mp3[445.840,463.160]	I SEE OK ALRIGHT UM ALRIGHT IM JUST GOING TO ASK YOU A COUPLE OF QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0010.mp3[463.160,470.600]	OH NO NO IM LIKE PRETTY HEALTHY ALRIGHT ALRIGHT
audio/RES0010.mp3[470.600,477.640]	NOTHING LIKE ASTHMA OR COPOR ANY RESPIRATORY PROBLEMS
audio/RES0010.mp3[477.640,478.680]	NO NO
audio/RES0010.mp3[478.680,490.480]	NO AND ARE YOU TAKING ANY MEDICATIONS INCLUDING ANY OVER THE COUNTER MEDICATIONS OR HERBAL MEDICATIONS
audio/RES0010.mp3[490.480,492.080]	UM NO
audio/RES0010.mp3[492.080,500.720]	ALRIGHT UM DO YOU HAVE ANY ALLERGIES INCLUDING ENVIRONMENTAL ALLERGIES
audio/RES0010.mp3[500.720,509.640]	OH AGAIN A LITTLE BIT OF A RUNNY NOSE LIKE IN THE SPRING BUT THATS IT
audio/RES0010.mp3[509.640,519.720]	OK UM ALRIGHT AND DO YOU SMOKE
audio/RES0010.mp3[519.720,520.800]	UH NO
audio/RES0010.mp3[520.800,523.320]	NO OK DO YOU CONSUME ALCOHOL
audio/RES0010.mp3[523.320,541.320]	I DRINK LIKE A COUPLE BEERS ON THE WEEKENDS BUT LIKE I I YEAH I PLAY SPORTS A LOT AND I DONT LIKE A LOT OF TIME ON THE WEEKENDS SO I DONT GO OUT
audio/RES0010.mp3[541.320,546.320]	OK ALRIGHT DO YOU CONSUME ANY OTHER DRUGS
audio/RES0010.mp3[546.320,547.400]	NO NO
audio/RES0010.mp3[547.400,563.920]	NO OK AND YOU MENTIONED THAT YOU LIVE WITH YOUR ROOMMATE AND YOU HAVENT HAD CONTACT WITH ANYBODY OTHER THAN YOUR ROOMMATE AND YOUR GIRLFRIEND OK UM HAVE YOU
audio/RES0010.mp3[563.920,569.840]	ALL MY CLASSES ARE ONLINE
audio/RES0010.mp3[569.840,594.040]	ALRIGHT ALRIGHT UM OK WELL ILL I ILL GO SPEAK TO MY ATTENDING AND WE WILL I WILL DISCUSS YOUR MEDICAL HISTORY AND WITH HIM AND I WILL COME BACK AND DISCUSS THE PLAN WITH YOU
audio/RES0010.mp3[594.040,596.120]	OK COOL THANK YOU
audio/RES0187.mp3[0.000,2.000]	WHAT BRINGS YOU IN
audio/RES0187.mp3[2.000,30.240]	HI IM JUST COMING IN HERE TODAY BECAUSE IVE BEEN JUST ON WALL RECENTLY OVER THE LAST I WOULD SAY THREE TO FOUR DAYS I STARTED GETTING THESE LIKE REALLY BAD MUSCLE PAINS ALL THROUGHOUT MY BODY AND THEN OVER THE PAST FEW DAYS IVE ALSO BEEN FEELING CHILLY SO UHM I WONDER IF I HAVE A FEVER AND IVE ALSO JUST BEEN HAVING THIS COUGH FOR THE LAST FEW DAYS AS WELL
audio/RES0187.mp3[30.240,34.360]	OK WHAT STARTED FIRST
audio/RES0187.mp3[34.360,44.440]	I THINK THE MUSCLE PAIN STARTED FIRST AND THEN IT WAS THE COUGHING THEN SINCE YESTERDAY I THINK I MIGHT HAVE A FEVER AS WELL
audio/RES0187.mp3[44.440,50.520]	OK THE COUGH STARTED OR THE MUSCLE ACHES STARTED FIRST WAS THAT TWO DAYS AGO THREE DAYS AGO
audio/RES0187.mp3[50.520,52.320]	ALMOST FOUR DAYS AGO NOW
audio/RES0187.mp3[52.320,55.600]	FOUR DAYS OK AND THE COUGH STARTED WHEN
audio/RES0187.mp3[55.600,57.440]	COUGH STARTED THREE DAYS AGO
audio/RES0187.mp3[57.440,73.520]	OK OK UHM BEFORE THE MUSCLE ACHES STARTED DID YOU LIKE DO ANYTHING DIFFERENT IN YOUR LIFE LIKE YOU KNOW DO A LOT OF EXERCISE OR ANY OTHER STRENUOUS ACTIVITIES
audio/RES0187.mp3[73.520,77.520]	NO I I HAVENT REALLY CHANGED MY ROUTINE AT ALL
audio/RES0187.mp3[77.520,82.960]	OK AND WHERE SPECIFICALLY LIKE WHA WHICH MUSCLES ACHE
audio/RES0187.mp3[82.960,97.000]	PRETTY MUCH LIKE THROUGHOUT MY BODY BUT I WOULD SAY MORE SO LIKE UPPER BACK MY THIGHS THEN MY ARMS YEAH KIND OF JUST ALL OVER
audio/RES0187.mp3[97.000,101.040]	OK ANY JOINT PAINS AS WELL
audio/RES0187.mp3[101.040,104.000]	UH NO I DONT THINK SO
audio/RES0187.mp3[104.000,113.960]	OK AND IS IT HARD FOR YOU TO WALK LIKE USE YOUR ARMS DO YOU HAVE ANY SORT OF LIKE MOTOR WEAKNESS
audio/RES0187.mp3[113.960,128.560]	UHM ITS NOT I I CAN WALK AND THERES NO ISSUES BUT I I DO FEEL LIKE JUST OVERALL GENERAL WEAKNESS I DONT KNOW IF THATS TO DO WITH THE PAIN OR JUST FEELING UNWELL
audio/RES0187.mp3[128.560,134.040]	OK SO YOURE ABLE TO DO THOSE THINGS YOU JUST FEEL LIKE MAYBE YOURE TIRED
audio/RES0187.mp3[136.080,138.320]	OK ANY NUMBNESS OR TINGLING
audio/RES0187.mp3[139.080,147.120]	NO OK THE COUGH IS IT A DRY COUGH OR LIKE PRODUCTIVE COUGH ARE YOU BRINGING UP PHLEGM
audio/RES0187.mp3[147.120,149.040]	ITS A DRY COUGH
audio/RES0187.mp3[149.040,154.720]	A DRY COUGH OK UHM SO NO SPUTUM OR BLOOD RIGHT
audio/RES0187.mp3[155.600,160.120]	OK AND YOU HAVE A RUNNY NOSE OR STUFFY NOSE
audio/RES0187.mp3[160.120,161.200]	UH NO
audio/RES0187.mp3[161.200,162.680]	SORE THROAT
audio/RES0187.mp3[163.840,166.040]	SHORTNESS OF BREATH
audio/RES0187.mp3[167.120,169.880]	NO OK WHEEZINESS
audio/RES0187.mp3[171.720,175.920]	OK ANY FEVERS
audio/RES0187.mp3[175.920,190.720]	AND I HAVE BEEN FEELING CHILLY OVER THE LAST FEW DAYS JUST I HAVE BEEN WEARING LIKE MULTIPLE LAYERS HAVING TO PUT ON AN EXTRA BLANKET SO I MIGHT HAVE BEEN HAVING A FEVER
audio/RES0187.mp3[190.720,195.440]	OK BUT YOU HAVENT TAKEN YOUR TEMPERATURE RIGHT
audio/RES0187.mp3[196.160,199.240]	OK ANY WEIGHT LOSS
audio/RES0187.mp3[199.560,204.720]	CHANGES IN YOUR HAIR NAILS OR SKIN LIKE RASHES
audio/RES0187.mp3[204.720,206.840]	NOT THAT IVE NOTICED
audio/RES0187.mp3[206.840,209.760]	OK CHANGES IN YOUR VISION OR HEARING
audio/RES0187.mp3[210.400,214.400]	TASTE OR SMELL
audio/RES0187.mp3[215.040,216.480]	CHEST PAIN
audio/RES0187.mp3[216.480,228.000]	OH SORRY NOW THAT YOU MENTION I I THINK TASTE A LITTLE BIT TODAY I REALIZED I WAS I WASNT REALLY ABLE TO TASTE MY BREAKFAST
audio/RES0187.mp3[228.000,234.000]	OK SO A LITTLE BIT OF CHANGE THERE
audio/RES0187.mp3[236.160,239.120]	OK AND ANY CHEST PAIN
audio/RES0187.mp3[240.920,246.400]	OK ANY FEELINGS OF LIKE FEEL LIKE FEELING LIKE YOUR HEARTS RACING
audio/RES0187.mp3[247.920,256.280]	OK UHM HOW ABOUT UH LIKE CALF PAIN WHEN YOU DO A LOT OF WALKING
audio/RES0187.mp3[257.880,260.720]	FAINTING OR DIZZINESS SPELLS
audio/RES0187.mp3[261.480,267.240]	OK ANY CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0187.mp3[267.240,271.360]	UHM NO
audio/RES0187.mp3[271.360,275.080]	OK AND ANY NAUSEA OR VOMITING
audio/RES0187.mp3[275.080,277.280]	NO NO NAUSEA OR VOMITING
audio/RES0187.mp3[277.280,285.920]	OK UH HOW ABOUT APPETITE CHANGES
audio/RES0187.mp3[285.920,289.320]	UHM APPETITES BEEN THE SAME
audio/RES0187.mp3[289.320,291.360]	ANY CHANGES IN YOUR URINE
audio/RES0187.mp3[296.360,298.840]	CONFUSION OR MEMORY LOSS
audio/RES0187.mp3[301.760,311.360]	OK UHM ALRIGHT SO ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY LONGSTANDING MEDICAL CONDITIONS
audio/RES0187.mp3[311.360,324.120]	UH NO OTHERWISE IVE BEEN PRETTY WELL HAVENT EVEN REALLY HAD TO GO TO THE DOCTOR MUCH IN THE PAST FEW YEARS
audio/RES0187.mp3[324.120,330.000]	OK THATS GOOD AND THEN ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0187.mp3[332.600,337.640]	NO OK AND HOW ABOUT MEDICATIONS ARE YOU ON ANY
audio/RES0187.mp3[337.640,339.840]	UH NO MEDICATIONS
audio/RES0187.mp3[339.840,344.880]	OK ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0187.mp3[346.240,351.400]	OK AND HOW ABOUT ALLERGIES DO YOU HAVE ANY
audio/RES0187.mp3[351.400,364.480]	NO NOT THAT JUST LIKE UH SEASONAL ALLERGIES I SOMETIMES GET JUST ITCHY EYES AND RUNNY NOSE SNEEZING IN THE SPRINGTIME
audio/RES0187.mp3[364.480,369.280]	OK AND DO YOUR CURRENT SYMPTOMS FEEL LIKE THAT
audio/RES0187.mp3[369.280,370.920]	NO NO
audio/RES0187.mp3[370.920,371.560]	NO OK
audio/RES0187.mp3[371.560,373.720]	I FEEL COMPLETELY DIFFERENT
audio/RES0187.mp3[373.720,380.360]	OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0187.mp3[380.360,386.720]	UHM THINK MY UNCLE HAD A HEART ATTACK IN HIS 50S
audio/RES0187.mp3[388.600,393.360]	AND I THINK MY FATHER HAS HIGH BLOOD PRESSURE
audio/RES0187.mp3[393.360,399.680]	OK OK ANY CANCERS IN THE FAMILY
audio/RES0187.mp3[399.680,403.000]	UH NO NOT THAT I KNOW OF
audio/RES0187.mp3[403.000,407.160]	AND THEN DO YOU SMOKE
audio/RES0187.mp3[407.160,414.240]	UHM JUST SOCIALLY SOMETIMES WHEN IM WITH FRIENDS NOTNOTHING REGULAR
audio/RES0187.mp3[414.240,421.960]	OK AND SO FOR THE PAST LIKE TWO MONTHS HOW OFTEN HAVE YOU BEEN SMOKING
audio/RES0187.mp3[421.960,437.120]	PROBABLY A COUPLE CIGARETTES ON THE WEEKEND WE USUALLY SMOKE MARIJUANA SO NOT NOT TOO MUCH LIKE TOBACCO OR CIGARETTES
audio/RES0187.mp3[437.120,448.080]	OK OK UHM DO YOU DO ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA COCAINE
audio/RES0187.mp3[448.080,451.880]	JUST MARIJUANA NO OTHER DRUGS
audio/RES0187.mp3[451.880,457.600]	OK DO YOU SMOKE IT OR EDIBLES
audio/RES0187.mp3[457.600,459.000]	SMOKE IT
audio/RES0187.mp3[459.000,462.960]	OK AND HOW OFTEN DO YOU SMOKE CANNABIS
audio/RES0187.mp3[462.960,470.040]	PROBABLY JUST WHEN IM MEETING UP WITH FRIENDS SO EVERY WEEKEND I WOULD SAY
audio/RES0187.mp3[470.040,470.960]	EVERY WEEKEND
audio/RES0187.mp3[472.160,483.960]	OK AND THEN HOW ABOUT AN ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0187.mp3[483.960,493.400]	YEAH I DRINK ALCOHOL PROBABLY A COUPLE OF DRINKS EVERY FEW DAYS
audio/RES0187.mp3[493.400,498.360]	OK OK AND SORRY WHAT KIND OF ALCOHOL DO YOU DRINK EVERY FEW DAYS
audio/RES0187.mp3[498.360,502.840]	JUST MOSTLY BEERS MAYBE WHISKEY SOMETIMES
audio/RES0187.mp3[502.840,505.240]	OK AND HOW MUCH OF THAT
audio/RES0187.mp3[505.240,533.040]	SO PROBABLY A COUPLE BEERS UHM EVERY FEW DAYS AND THEN WHISKEY MAYBE A NORMAL GLASS EVERY FEW DAYS SO YEAH I WOULD SAY 3 OR 4 BEERS A WEEK AND THEN MAYBE 2 GLASSES OF WHISKEY IN A IN AN AVERAGE WEEK
audio/RES0187.mp3[533.040,541.280]	OK OK ALRIGHT AND HAVE YOU BEEN IN TOUCH WITH OR IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0187.mp3[541.280,557.440]	NO NO ONES BEEN SICK UHM I DO MEET UP WITH SOME FRIENDS ON THE WEEKENDS SOME OF THEM ARE FROM WORK SOME OF THEM ARE JUST THAT THAT I KNOW OUTSIDE OF WORK
audio/RES0187.mp3[557.440,566.200]	OK OK UHM AND HAVE ANY OF THEM BEEN SICK OR HAVE THEY ALL BEEN PRETTY HEALTHY
audio/RES0187.mp3[566.200,591.360]	UHM IN HEARD FROM ANYONE THATS BEEN SICK WE WE KIND OF HAVE A RULE THAT IF YOU KNOW IF WE FEEL SICK THEN NOT TO NOT TO SHOW UP JUST BECAUSE LIKE YOU KNOW WHEN WERE WHEN WERE DRINKING AND LIKE SMOKING WE MAY SHARE LIKE A JOINT SO ITS NOT LIKE WE DONT WANT TO GET EVERYONE SICK IF ONE PERSON IS SICK
audio/RES0187.mp3[591.360,598.000]	YEAH FOR SURE UHM THAT MAKES SENSE ALRIGHT ANY TRAVEL RECENTLY
audio/RES0187.mp3[599.560,605.320]	NO OK AND WHERE DO YOU LIVE RIGHT NOW
audio/RES0187.mp3[605.320,611.680]	RIGHT NOW I JUST LIVE IN AN APARTMENT BY MYSELF JUST OUTSIDE OF LONDON
audio/RES0187.mp3[611.680,619.080]	OK ANY OLD CARPETS DUST MOLD ASBESTOS ANYTHING THAT COULD MAKE YOUR CONDITION WORSE
audio/RES0187.mp3[619.720,626.200]	OK SO THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OF YOUR OWN FOR MYSELF
audio/RES0187.mp3[626.200,634.480]	UH NO I DONT THINK SO I JUST WANTED TO SEE WHAT THIS MIGHT BE
audio/RES0187.mp3[634.480,686.920]	YEAH FOR SURE UHM SO WE ARE GOING TO DO A COVID SWAB ON YOU BECAUSE A LOT OF YOUR SYMPTOMS DO ALIGN WITH THOSE OF COVID SO WE JUST WANT TO RULE THAT OUT FIRST SO YOU SHOULD HEAR BACK IN ABOUT 24 TO 48 HOURS UHM IN THE MEANTIME YOU SHOULD ISOLATE FOR TWO WEEKS AND IF ITS NOT COVID IT COULD BE ANOTHER VIRAL INFECTION THATS BEEN GOING AROUND THIS TIME OF YEAR EITHER WAY KIND OF MANAGEMENT PLAN IS THE SAME SO MAKE SURE YOURE HYDRATED EAT WELL SLEEP WELL AND IF YOUR SYMPTOMS BECOME WORSE SEVERE OR THERE ANY RED FLAGS LIKE YOU HAVE NEUROLOGICAL SYMPTOMS LIKE SEIZURES OR WEAKNESS WHERE YOU CAN MOVE YOUR LIMBS YOU SHOULD SEEK HELP FROM THE ER HOW DOES THAT SOUND
audio/RES0187.mp3[686.920,691.120]	OK THAT SOUNDS GOOD THANK YOU
audio/RES0187.mp3[691.120,699.360]	OK YEAH NO PROBLEM
audio/GAS0004.mp3[0.000,5.720]	I UNDERSTAND THAT YOUVE BEEN HAVING SOME DIARRHEA CAN YOU TELL ME A LITTLE BIT ABOUT THAT
audio/GAS0004.mp3[5.720,27.680]	YEAH SURE I HAD IVE BEEN HAVING DIARRHEA FOR THE PAST THREE TO FOUR DAYS AND ITS BEEN PRETTY BAD I COULDNT GO UH I COULDNT GO TO MY CLASSES HAD TO SKIP BECAUSE IT WAS JUST IT WAS JUST EMBARRASSING
audio/GAS0004.mp3[27.680,41.160]	OK IM SORRY TO HEAR THAT UH HAVE YOU EVER EXPERIENCED SOMETHING LIKE THIS BEFORE
audio/GAS0004.mp3[41.160,51.040]	UM HAVE I EXPERIENCED SOMETHING LIKE THIS BEFORE UHM NO I DONT THINK SO
audio/GAS0004.mp3[51.040,57.240]	OK AND OVER THE THREE OR FOUR DAYS HAVE YOUR STOOLS ALL BEEN LOOSE OR HAVE YOU HAD SOME SOLID ONES IN BETWEEN
audio/GAS0004.mp3[57.240,63.360]	I THINK THEYVE MOSTLY BEEN LOOSE I THINK THEYVE ALL BEEN LOOSE ACTUALLY IF I THINK ABOUT IT
audio/GAS0004.mp3[63.360,70.560]	OK AND HOW MANY TIMES A DAY HAVE YOU BEEN HAVING EPISODES OF DIARRHEA
audio/GAS0004.mp3[70.560,80.040]	OH MY GOD I HAVE IVE LOST COUNT IM GOING EVERY EVERY HOUR
audio/GAS0004.mp3[80.040,91.760]	OK EVERY HOUR OK AND THEN YOU NOTICE ANY CHANGES IN THE COLOR OF YOUR STOOL
audio/GAS0004.mp3[91.760,97.920]	NO ITS BROWN
audio/GAS0004.mp3[97.920,101.520]	OK ANY BLOOD IN YOUR STOOL THAT YOUVE NOTICED
audio/GAS0004.mp3[101.520,107.920]	UM NOT REALLY I DONT THINK SO I DONT LOOK THAT MUCH TO BE HONEST
audio/GAS0004.mp3[107.920,115.400]	OK UM HAVE YOU NOTICED ANY ANY PAIN ASSOCIATED WITH IT
audio/GAS0004.mp3[115.400,128.360]	WELL I DIDNT START OFF WITH PAIN BUT I I I DO HAVE A BIT OF A CRAMP NOW SINCE YESTERDAY ITS JUST IT HURTS YEAH IT HURTS SOMETIMES IT COMES AND GOES
audio/GAS0004.mp3[128.360,147.720]	OK AND DO YOU FEEL THAT WHEN IT DO YOU FEEL THAT YOU STILL HAVE CONTROL OVER LIKE RELEASING IT TO LIKE DOES IT COME ON AND YOU DONT EVEN NOTICE THAT IT HAS HAPPENED OR YOU STILL ARE ABLE TO KIND OF HAVE A WARNING BEFORE YOU GET TO THE TOILET
audio/GAS0004.mp3[147.720,157.920]	UH NO I DO GET A WARNING BUT ITS JUST I I DO NEED TO GET TO THE TOILET REALLY FAST YEAH
audio/GAS0004.mp3[157.920,176.440]	OK AND BEFORE THIS HAPPENED HAVE YOU NOTICED HAVE YOU IS THERE ANYTHING THAT YOUVE DONE DIFFERENTLY THAT YOUVE BEEN EATING DIFFERENTLY OR ANY OTHER CHANGES THAT HAVE HAPPENED IN YOUR LIFE RECENTLY
audio/GAS0004.mp3[176.440,190.360]	UM I I DID GO TO UM I DID GO TO A NEW RESTAURANT 5 DAYS AGO
audio/GAS0004.mp3[190.360,199.040]	OK WHAT DID YOU HAVE THERE
audio/GAS0004.mp3[199.040,213.360]	UM  I I JUST GOT SOME RICE WITH CHICKEN MANCHURIAN IT WAS A NICE LITTLE CHINESE RESTAURANT AND YEAH
audio/GAS0004.mp3[213.360,218.880]	DID ANYONE ELSE HAVE THE SAME THING THAT YOU DID THAT YOU WERE WITH
audio/GAS0004.mp3[218.880,237.920]	UM NO NOT REALLY I WENT WITH MY FRIEND AND I HAVENT REALLY HAVENT TALKED TO HER ABOUT THIS I NEVER REALLY THOUGHT THAT THESE WERE RELATED THAT THIS WAS RELATED TO THAT
audio/GAS0004.mp3[237.920,261.600]	AND THEN ITS YOU KNOW ABSOLUTELY POTENTIALLY NOT LIKE MAYBE NOT IT COULD POSSIBLY BE SO NOT TO NOT TO WORRY YOU ABOUT THAT WE JUST LIKE TO GET AN IDEA OF KIND OF THE WHOLE PICTURE OF WHAT YOURE COMING IN WITH SO IN TERMS OF THE LAST THREE TO FOUR DAYS HAVE YOU EXPERIENCED ANY NAUSEA OR VOMITING
audio/GAS0004.mp3[261.600,276.840]	YEAH YEAH I HAVE ACTUALLY BUT ITS NOT BEEN AS BAD AS THE DIARRHEA I DIDNT EVEN YEAH I DIDNT I WASNT EVEN THINKING ABOUT THAT YEAH I I DID VOMIT I THINK TWICE YESTERDAY
audio/GAS0004.mp3[276.840,280.480]	OK HAVE YOU NOTICED ANY BLOOD IN THE VOMIT
audio/GAS0004.mp3[280.480,284.560]	NO ITS JUST WATERY
audio/GAS0004.mp3[284.560,292.120]	AND ARE YOU NAUSEATED ALL THE TIME OR IS IT KIND OF ON AND OFF
audio/GAS0004.mp3[292.120,294.800]	ITS ON AND OFF
audio/GAS0004.mp3[294.800,302.240]	OK HAVE YOU TAKEN ANY ANY OVER THE COUNTER MEDICINE OR ANYTHING TO HELP
audio/GAS0004.mp3[302.240,316.080]	UH NOT REALLY I WAS JUST TRYING TO DRINK A LOT OF WATER CAUSE I I KNOW THAT I CAN GET DEHYDRATED SO JUST DRINKING LOTS OF WATER
audio/GAS0004.mp3[316.080,326.680]	OK WELL THATS GOOD TO HEAR HAVE YOU HAVE YOU BEEN EATING NORMALLY OR HAVE YOU NOT BEEN EATING AS MUCH AS YOU REGULARLY DO
audio/GAS0004.mp3[326.680,338.920]	I HAVE BEEN EATING LESS SPECIALLY SINCE YESTERDAY WHEN I HAD MY THESE ABDOMINAL CRAMPS STARTED I JUST DONT FEEL LIKE EATING
audio/GAS0004.mp3[338.920,343.720]	OK IS THERE ANYTHING THAT HAS BEEN MAKING IT WORSE
audio/GAS0004.mp3[343.720,346.560]	MAKING WHAT WORSE
audio/GAS0004.mp3[346.560,353.240]	JUST IN GENERAL LIKE IS THERE ANYTHING THAT YOURE FINDING MAKES YOUR NAUSEA OR YOUR DIARRHEA COME ON
audio/GAS0004.mp3[353.240,360.640]	NOT REALLY I DONT THINK SO
audio/GAS0004.mp3[360.640,365.840]	DO YOU NOTICE ANY CHANGES TO YOUR URINE OR ANY DISCOMFORT WHEN GOING TO THE BATHROOM
audio/GAS0004.mp3[369.400,372.560]	HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/GAS0004.mp3[375.120,382.240]	OK AND HAVE YOU NOTICED ANY FEVER OR CHILLS IN THE LAST FEW DAYS
audio/GAS0004.mp3[382.240,393.760]	UM IVE JUST BEEN FEELING REALLY TIRED AND AND I DONT KNOW MAYBE I HAVENT CHECKED MY CHECKED MY TEMPERATURE
audio/GAS0004.mp3[393.760,397.360]	OK HAVE YOU NOTICED ANY RASHES OR CHANGES IN YOUR SKIN
audio/GAS0004.mp3[401.000,410.520]	OK HAVE YOU NOTICED ANY MAJOR CHANGES TO YOUR WEIGHT I KNOW THAT YOU MIGHT NOT WEIGH YOURSELF EVERYDAY BUT ANYTHING THAT JUMPS OUT TO YOU
audio/GAS0004.mp3[410.520,419.560]	I ACTUALLY HAVENT WEIGHED MYSELF IN THE PAST FIVE DAYS SO I DONT I DONT KNOW
audio/GAS0004.mp3[419.560,434.280]	OK OK IM IM JUST GONNA JUMP TO YOU AND YOUR GENERAL HISTORY DO YOU HAVE ANY HISTORY OF PROBLEMS WITH YOUR DIGESTIVE SYSTEM
audio/GAS0004.mp3[437.600,444.280]	OK DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE A FAMILY DOCTOR FOR REGULARLY
audio/GAS0004.mp3[444.280,451.120]	I HAVE ASTHMA
audio/GAS0004.mp3[451.120,453.600]	OK DO YOU TAKE ANY MEDICATION
audio/GAS0004.mp3[453.600,458.000]	YEAH IVE GOT SOME PUFFERS THAT MY FAMILY DOC GAVE ME
audio/GAS0004.mp3[458.000,461.080]	OK NOTHING ELSE
audio/GAS0004.mp3[461.080,466.120]	NO THATS IT
audio/GAS0004.mp3[466.120,468.600]	DO YOU HAVE ANY ALLERGIES
audio/GAS0004.mp3[468.600,471.520]	UM NO I DONT
audio/GAS0004.mp3[471.520,478.920]	HAVE YOU UNCLEAR SPEECH DUE TO CONNECTION ISSUES
audio/GAS0004.mp3[478.920,482.440]	IM SORRY CAN YOU SAY THAT AGAIN
audio/GAS0004.mp3[482.440,489.000]	HAVE YOU EVER BEEN HOSPITALIZED IN THE PAST
audio/GAS0004.mp3[489.000,499.160]	UM I HAD MY WISDOM TEETH REMOVED BUT NO I LIKE I WASNT HOSPITALIZED NO
audio/GAS0004.mp3[499.160,502.400]	HAVE YOU BEEN IN CONTACT WITH ANYONE RECENTLY THATS BEEN SICK
audio/GAS0004.mp3[502.400,513.440]	NOPE I DONT THINK SO
audio/GAS0004.mp3[513.440,519.320]	OK WHAT IS YOUR LIVING SITUATION RIGHT NOW YOU SAID YOURE A STUDENT
audio/GAS0004.mp3[519.320,521.640]	I AM
audio/GAS0004.mp3[521.640,527.360]	OK AND DO YOU LIVE DO YOU LIVE ON YOUR OWN WITH FAMILY WITH ROOMMATES
audio/GAS0004.mp3[527.360,529.000]	I LIVE WITH TWO ROOMMATES
audio/GAS0004.mp3[529.000,537.800]	DO YOU DRINK ALCOHOL
audio/GAS0004.mp3[537.800,541.520]	UM SOMETIMES
audio/GAS0004.mp3[541.520,545.520]	OK HOW HOW MANY DRINKS PER WEEK WOULD YOU SAY
audio/GAS0004.mp3[545.520,550.680]	I MIGHT HAVE LIKE A GLASS OR TWO ON THE WEEKENDS
audio/GAS0004.mp3[550.680,552.400]	OK DO YOU SMOKE
audio/GAS0004.mp3[554.560,557.680]	OK DO YOU USE ANY OTHER SUBSTANCES
audio/GAS0004.mp3[560.440,571.200]	OK AND WHAT WOULD YOU EAT ON A REGULAR DAY TYPICALLY WHAT WOULD YOUR TYPICAL DIET BE
audio/GAS0004.mp3[571.200,596.640]	OH GOSH UM WELL I LIKE TO HAVE OATMEAL FOR BREAKFAST I USUALLY MAKE SOMETHING QUICK FOR LUNCH MAYBE LIKE A SALAD AND THEN I MIGHT HAVE MY ILL PROBABLY JUST LIKE EAT OUT AT NIGHT MAYBE GET LIKE A BURGER OR FRIES OR SOMETHING
audio/GAS0004.mp3[596.640,614.200]	OK WELL AND I JUST WANTED TO JUMP OVER TO ASK YOU ABOUT YOUR FAMILY HISTORY DOES ANYONE IN YOUR FAMILY HAVE ANY HISTORY OF DIGESTIVE PROBLEMS OR UM ABDOMINAL PROBLEMS ABDOMINAL SURGERY
audio/GAS0004.mp3[614.200,639.120]	MY BROTHER HAD APPENDICITIS WHEN HE WAS YOUNG UM MY MOM HAS HAD A HYSTERECTOMY IF THAT COUNTS YEAH NOTHING ELSE
audio/GAS0004.mp3[639.120,646.800]	OK OK THANK YOU FOR SHARING THAT WITH ME SO I THINK THATS EVERYTHING THAT I WANTED TO ASK YOU FOR TODAY
audio/RES0188.mp3[0.000,1.880]	WHAT BRINGS YOU IN
audio/RES0188.mp3[1.880,30.000]	HI I WAS JUST REALLY WORRIED MY SON JUST YESTERDAY NIGHT I NOTICED THAT HE WAS MAKING THESE GRUNTING NOISES AND I DID NOTICE THAT HE WAS A BIT WARM YESTERDAY AS WELL AND TODAY I HE JUST HASNT BEEN HIMSELF JUST VERY VERY IRRITABLE CRYING A LOT YEAH I JUST GOT BIT WORRIED
audio/RES0188.mp3[30.000,34.200]	YEAH FOR SURE WHAT STARTED FIRST
audio/RES0188.mp3[34.200,55.720]	I WOULD SAY THE THERE WAS A LITTLE BIT OF COUGHING EARLIER LIKE YESTERDAY BUT THEN LATER ON DURING THE NIGHT IT KIND OF TURNED INTO THIS GRUNTING NOISE AND HES KIND OF LIKE HIS CHEST IS MOVING A LOT MORE WHEN HES TAKING A BREATH IN AND ALL THAT
audio/RES0188.mp3[55.720,61.080]	OK UHM DID YOU MEASURE HIS TEMPERATURE AT HOME
audio/RES0188.mp3[61.080,65.840]	YEAH SO I THINK IT WAS 385 DEGREES CELSIUS
audio/RES0188.mp3[65.840,71.000]	OK AND DID YOU DO THAT ORALLY OR RECTAL OR UNDER ARMPIT
audio/RES0188.mp3[71.000,76.280]	I DID IT UNDER THE ARMPIT
audio/RES0188.mp3[76.280,86.680]	OK OK UHM SO YOU MENTIONED THAT HES HAD A FEVER HES BEEN GRUNTING AND HE JUST SEEMS A LITTLE BIT MORE FUSSY IS THAT RIGHT
audio/RES0188.mp3[87.480,90.440]	OK IS HE COUGHING AT ALL
audio/RES0188.mp3[90.440,93.280]	HE WAS YESTERDAY BUT NOT REALLY NOW
audio/RES0188.mp3[93.280,96.240]	OK AND WAS IT A DRY COUGH
audio/RES0188.mp3[96.240,99.800]	I THINK SO I MEAN NOTNOTHING REALLY CAME OUT
audio/RES0188.mp3[99.800,103.000]	OK THATS GOOD SO NO BLOOD NO SPUTUM
audio/RES0188.mp3[104.200,107.920]	OK AND DID HE SEEM WHEEZY
audio/RES0188.mp3[107.920,112.120]	UH NO
audio/RES0188.mp3[112.120,117.880]	NO OK SO THERES NO WHEEZING WITH THE GRUNTING
audio/RES0188.mp3[117.880,124.600]	MAYBE A LITTLE BIT LIKE THAT JUST A LITTLE BIT OF A NOISE BUT ITS MOSTLY THE GRUNTING
audio/RES0188.mp3[124.600,128.480]	OK HAS HE HAD ANY WEIGHT LOSS
audio/RES0188.mp3[128.480,136.840]	NO NOT THAT I REALLY WE HAVENT REALLY WEIGHED HIM NOW SINCE HIS LAST APPOINTMENT
audio/RES0188.mp3[136.840,143.320]	OK DOES HE SEEM EXCESSIVELY TIRED OR FATIGUED
audio/RES0188.mp3[143.320,152.120]	UHM MORESO TODAY I WOULD SAY HES LIKE EARLIER HE WAS VERY FUSSY BUT NOW HE SEEMS A BIT MORE TIRED
audio/RES0188.mp3[152.120,154.600]	OK ANY RASHES THAT YOUVE NOTICED
audio/RES0188.mp3[157.000,162.960]	NO OK UHM ANY CHANGES IN HIS VISION OR HEARING
audio/RES0188.mp3[162.960,165.560]	UH NO NOT THAT I CAN TELL
audio/RES0188.mp3[165.560,173.120]	NO OK SO HES RESPONDING TO LIKE SOUNDS AND HES STILL LOOKING AT YOU AND THINGS LIKE THAT
audio/RES0188.mp3[174.280,182.400]	OK HAVE YOU NOTICED A RUNNY NOSE OR STUFFY NOSE
audio/RES0188.mp3[182.400,185.080]	UHM NO NOTHING LIKE THAT
audio/RES0188.mp3[185.080,190.720]	NO OK AND HE SAID HE HASNT HAD ANY LIKE FAINTING SPELLS
audio/RES0188.mp3[190.720,194.800]	UH NO I DONT THINK SO
audio/RES0188.mp3[194.800,201.000]	NO OK AND HOW MANY WET DIAPERS IS HE PRODUCING IN A DAY NOW
audio/RES0188.mp3[201.000,204.680]	PROBABLY 5 OR 6
audio/RES0188.mp3[204.680,209.440]	5 OR 6 OK HAS THAT CHANGED FROM BEFORE
audio/RES0188.mp3[209.440,213.400]	NO ITS PRETTY MUCH THE SAME
audio/RES0188.mp3[213.400,218.920]	OK AND UHM ANY CHANGES TO HIS BOWEL MOVEMENTS
audio/RES0188.mp3[220.000,222.440]	NO HOW ABOUT HIS URINE
audio/RES0188.mp3[227.040,238.520]	NO OK OK AND THEN YOU SAID HE WAS FUSSY IS HE STILL EATING AND DRINKING OK
audio/RES0188.mp3[238.520,248.160]	UH NO TODAY HES NOT REALLY TAKING ANYTHING IN LIKE VERY FUSSY VERY HARD TO FEED HIM TODAY
audio/RES0188.mp3[248.160,251.120]	OK IS HE CRYING A LOT
audio/RES0188.mp3[251.120,260.320]	EARLIER TODAY WAS CRYING A LOT BUT NOW HAS CALM DOWN AND JUST I GUESS TIRED HIMSELF OUT
audio/RES0188.mp3[260.320,266.840]	YEAH OK ALRIGHT AND IS HE AN OTHERWISE HEALTHY CHILD
audio/RES0188.mp3[266.840,294.000]	YEAH HE WAS HE WAS PREMATURE BY THREE WEEKS SO OTHER THAN THAT LIKE I REMEMBER WHEN HE WAS BORN THEY DID HAVE EARLIER SOME ISSUES WITH HIS OXYGEN NOT BEING HIGH ENOUGH AND THEY HAD TO LIKE KEEPING KEEP US IN THE HOSPITAL FOR A BIT LONGER
audio/RES0188.mp3[295.080,300.240]	BUT YEAH AFTER THAT LIKE THERE HAVENT REALLY BEEN TOO MANY CONCERNS
audio/RES0188.mp3[300.240,309.680]	OK SO HES HITTING ALL THE DEVELOPMENTAL MILESTONES LIKE IN TERMS OF MOTOR MOVEMENTS AH SPEECH BEHAVIOUR ALL OF THAT
audio/RES0188.mp3[309.680,312.680]	YEAH NO ISSUES THERE SO FAR
audio/RES0188.mp3[312.680,319.200]	OK AND HOW ABOUT MEDICATIONS IS HE ON ANY
audio/RES0188.mp3[320.360,327.040]	NO MEDICATIONS OK AND IS UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0188.mp3[327.040,333.840]	YEAH OH HE HAD ALL HIS IMMUNIZATIONS SO FAR
audio/RES0188.mp3[333.840,338.480]	OK HOW ABOUT ALLERGIES DOES HE HAVE ANY
audio/RES0188.mp3[338.480,341.080]	NOT THAT I KNOW OF
audio/RES0188.mp3[341.080,345.000]	NO OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS
audio/RES0188.mp3[346.920,351.280]	OK AND DOES ANYONE AT HOME SMOKE
audio/RES0188.mp3[351.280,354.080]	NO NO ONE SMOKES
audio/RES0188.mp3[354.080,359.000]	OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY
audio/RES0188.mp3[359.000,370.520]	UH NO NOT THAT I KNOW OF UHM HIS OLDER SISTER DOES GO TO SCHOOL THOUGH BUT I DONT KNOW IF SHE MIGHT HAVE CARRIED SOMETHING HOME
audio/RES0188.mp3[370.520,373.040]	OK HOW OLD IS SHE
audio/RES0188.mp3[373.040,374.080]	SHES SIX YEARS OLD
audio/RES0188.mp3[374.080,380.560]	SIX OK AND IS SHE HEALTHY OR IS SHE HAVING SIMILAR SYMPTOMS
audio/RES0188.mp3[380.560,383.040]	NO SHES HEALTHY NO NO SYMPTOMS
audio/RES0188.mp3[383.040,386.800]	OK ANY TRAVEL RECENTLY
audio/RES0188.mp3[388.080,392.760]	NO OK AND WHO DOES HE LIVE WITH AT HOME
audio/RES0188.mp3[392.760,398.320]	UH SO HIS OLDER SISTER ME AND HIS MOTHER
audio/RES0188.mp3[398.320,410.240]	OK ANY REASONS TO BELIEVE LIKE YOU HAVE OLD CARPETS DUST MOLD ASBESTOS PETS ANYTHING LIKE THAT THAT COULD WORSEN HIS SYMPTOMS
audio/RES0188.mp3[410.240,412.040]	UH NO NOTHING LIKE THAT
audio/RES0188.mp3[412.040,420.600]	OK SO I THINK THOSE ARE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR ANY CONCERNS ANYTHING THAT I MISSED THAT YOU WANTED TO ADD
audio/RES0188.mp3[420.600,425.040]	NO I THINK THAT WAS ALL
audio/RES0188.mp3[425.040,493.160]	OK UHM SO FOR HIM WELL DO A COVID SWAB JUST TO RULE THAT OUT BECAUSE SOME OF HIS SYMPTOMS DO OVERLAP WITH THAT BUT IT ITS REALLY SOUNDING LIKE A PICTURE OF LIKE COMMUNITY ACQUIRED PNEUMONIA SO WELL DO A COUPLE OF THINGS FOR HIM UHM WE CAN GET HIS TEMPERATURE GET HIS OXYGEN OXYGEN SATURATION RIGHT AWAY WELL GET A CHEST XRAY WELL DO SOME BLOOD WORK AS WELL AND UHM HE MIGHT NEED TO BE ADMITTED DEPENDING ON UHM THE OXYGEN OXYGEN SATURATION AND THE FACT THAT HES GRUNTING SO IF HES ADMITTED WILL GIVE HIM SOME EXTRA OXYGEN AND KEEP MONITORING HIM AND KEEP HIM HYDRATED UHM WELL ALSO GIVE HIM SOME ANTIBIOTICS IF IF IT TURNS OUT HE HAS PNEUMONIA YEAH DOES THAT SOUND OK
audio/RES0188.mp3[493.160,494.800]	THAT SOUNDS GOOD THANK YOU
audio/RES0188.mp3[494.800,500.240]	OK YEAH NO WORRIES
audio/RES0111.mp3[0.000,2.400]	HOW CAN I HELP YOU TODAY
audio/RES0111.mp3[2.400,16.200]	HI UM IM HERE BECAUSE IVE HAD THIS AWFUL SORE THROAT FOR THE PAST FOUR DAYS DOESNT SEEM TO BE GETTING ANY BETTER AND I THINK IM DEVELOPING A FEVER NOW
audio/RES0111.mp3[16.200,19.800]	HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0111.mp3[19.800,25.920]	NO I HAVENT CHECKED MY TEMPERATURE IM JUST REALLY HOT
audio/RES0111.mp3[25.920,39.040]	WELL CHECK THAT HERE THEN AND UH DO YOU OK SO YOUVE HAD THIS SORE THROAT FOR FOUR DAYS AND A FEVER HAVE YOU HAD ANY DIFFICULTY SWALLOWING
audio/RES0111.mp3[39.040,49.600]	YEAH UM NOT LIKE I CAN DRINK OK BUT ITS REALLY HARD FOR ME TO EAT SOLID FOODS RIGHT NOW
audio/RES0111.mp3[49.600,53.360]	UM WHY IS THAT
audio/RES0111.mp3[53.360,54.840]	OH IT JUST HURTS
audio/RES0111.mp3[54.840,65.880]	YEAH OK BUT ITS NOT THAT YOU CANT UM YOU CANT SORT OF LIKE YOU DONT FEEL LIKE ITS GETTING STUCK
audio/RES0111.mp3[65.880,70.280]	NO NO NOTHING LIKE THAT
audio/RES0111.mp3[70.280,76.840]	UM AND HAVE YOU NOTICED ANY CHANGES IN YOUR VOICE DO YOU FIND THAT YOUR VOICE IS MORE HOARSE
audio/RES0111.mp3[76.840,88.320]	UM A LITTLE BIT UH BUT I THINK THATS JUST BECAUSE I TRY NOT TO TALK AS MUCH SINCE MY THROAT IS SO SORE
audio/RES0111.mp3[88.320,93.120]	OK OK AND UH HAVE YOU HAD A RUNNY NOSE
audio/RES0111.mp3[93.120,94.960]	NO NO RUNNY NOSE
audio/RES0111.mp3[94.960,96.480]	UH A COUGH
audio/RES0111.mp3[97.560,101.040]	OK HAVE YOU HAD ANY DIFFICULTIES BREATHING
audio/RES0111.mp3[102.000,104.040]	ANY CHEST PAIN
audio/RES0111.mp3[105.320,115.240]	ANY SORT OF UM CONGESTION DO YOU FEEL LIKE YOUR NOSE IS STUFFY OR HURTS YOUR UH IN YOUR CHEEKS OR YOUR HEAD WHEN YOU BEND DOWN
audio/RES0111.mp3[118.400,132.960]	NO OK UM SO ALL YOU HAVE IS A SORE THROAT AND THIS FEVER OK UM AND UM OK YOU HAVE A HEADACHE
audio/RES0111.mp3[132.960,134.400]	UM NO HEADACHES
audio/RES0111.mp3[134.400,140.120]	DO YOU FEEL LIKE YOUVE BEEN CONFUSED OR JUST FEELING NOT YOURSELF
audio/RES0111.mp3[140.120,143.760]	NO NOTHING LIKE THAT
audio/RES0111.mp3[143.760,149.000]	OK ANY UH CHANGES IN YOUR HEARING OR YOUR VISION
audio/RES0111.mp3[149.920,155.920]	OK ANY UM AND DO YOU FEEL LIKE YOUR HEARTS BEATING VERY FAST
audio/RES0111.mp3[155.920,156.800]	UH NO
audio/RES0111.mp3[156.800,159.720]	DO YOU FEEL SHORT OF BREATH
audio/RES0111.mp3[161.040,163.960]	ANY UH BELLY PAIN
audio/RES0111.mp3[164.800,168.000]	ANY NAUSEA OR VOMITING
audio/RES0111.mp3[168.000,169.080]	UH NO
audio/RES0111.mp3[169.080,172.120]	OK ANY DIARRHEA OR CONSTIPATION
audio/RES0111.mp3[172.880,175.760]	ANY FATIGUE
audio/RES0111.mp3[176.480,180.000]	WEIGHT LOSS UNINTENTIONAL
audio/RES0111.mp3[180.000,181.040]	NO WEIGHT LOSS NO
audio/RES0111.mp3[181.040,187.400]	UH AND UH DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0111.mp3[187.400,189.760]	UHM NO I DONT THINK SO
audio/RES0111.mp3[189.760,197.000]	OK ARE YOU UP TO DATE WITH YOUR IMMUNIZATIONS
audio/RES0111.mp3[197.000,206.200]	UH YEAH THE ONLY ONE THAT I HAVENT GOTTEN IS UM THAT HPV VACCINE
audio/RES0111.mp3[206.200,212.400]	OK OK UM OK ANY UH DID YOU GET THE FLU SHOT
audio/RES0111.mp3[212.400,215.280]	OH I DIDNT GET THAT THIS YEAR
audio/RES0111.mp3[215.280,254.080]	OK WELL WE RECOMMEND THAT YOU YOU GET YOUR VACCINES AND UM ALSO THE UH HPV VACCINE UM ITS ITS BEST TO GET THE HPV VACCINE EARLIER ON ITS A LITTLE BIT LESS EFFECTIVE AS YOU UM GO PAST A CERTAIN AGE YOU ARE STILL OBVIOUSLY NOWHERE CLOSE TO THAT BUT ITS  I I DONT BELIEVE ITS COVERED AFTER THE AGE OF 26 EITHER SO ITS BEST IF YOU GET IT DONE EARLIER AND LETS GO BACK TO YOUR SYMPTOMS THEN HAVE YOU HAD ANY SURGERIES
audio/RES0111.mp3[254.080,261.640]	UHM I GOT MY APPENDIX REMOVED WHEN I WAS 13
audio/RES0111.mp3[261.640,263.200]	ANYTHING ELSE
audio/RES0111.mp3[264.360,269.960]	OK ARE YOU TAKING ANY MEDICATIONS INCLUDING OVER THE COUNTER
audio/RES0111.mp3[269.960,282.440]	NO I JUST TAKE MY MULTIVITAMINS
audio/RES0111.mp3[282.440,288.280]	AND UHM ARE YOU UM ARE YOU CURRENTLY LIVING ALONE OR DO YOU LIVE WITH SOMEONE
audio/RES0111.mp3[288.280,296.560]	I LIVE WITH MY PARENTS AND MY TWO SIBLINGS
audio/RES0111.mp3[296.560,299.600]	AND UH DO YOU FEEL SAFE AT HOME
audio/RES0111.mp3[302.640,306.040]	OK ARE YOU UM CURRENTLY SEXUALLY ACTIVE
audio/RES0111.mp3[307.280,312.960]	OK UM DO YOU PLAN ON BEING SEXUALLY ACTIVE IN THE NEAR FUTURE
audio/RES0111.mp3[312.960,316.520]	UH NO NOT BEFORE I FINISH HIGH SCHOOL
audio/RES0111.mp3[316.520,326.880]	OK ALRIGHT UM AND UM ARE YOU UH DO YOU UH DRINK ALCOHOL
audio/RES0111.mp3[327.960,330.040]	OK DO YOU SMOKE
audio/RES0111.mp3[330.640,334.240]	HAVE YOU TRIED MARIJUANA OR ANY RECREATIONAL DRUGS
audio/RES0111.mp3[334.240,336.520]	I HAVENT
audio/RES0111.mp3[336.520,341.520]	OK ARE THINGS GOING WELL AT ARE YOU IN SCHOOL RIGHT NOW
audio/RES0111.mp3[341.520,343.000]	UM YEP IM IN GRADE 10
audio/RES0111.mp3[343.000,344.640]	OK ARE THINGS GOING WELL
audio/RES0111.mp3[344.640,347.240]	YES I WOULD SAY SO
audio/RES0111.mp3[347.240,349.720]	ANY BULLYING UH AT SCHOOL
audio/RES0111.mp3[353.000,358.320]	OK ANY UM ANY ANY CONCERNS ABOUT DEPRESSION OR ANXIETY
audio/RES0111.mp3[359.640,367.040]	OK OK ALRIGHT AND UH YOU UH TRAVELED ANYWHERE RECENTLY
audio/RES0111.mp3[367.040,374.800]	NO IVE BEEN UM JUST AT SCHOOL AND HOME
audio/RES0111.mp3[374.800,378.560]	SO ITS NOT ITS NOT VIRTUAL ITS IN PERSON
audio/RES0111.mp3[378.560,382.800]	SO HALF THE DAY IS IN PERSON AND THE OTHER HALF IS VIRTUAL
audio/RES0111.mp3[382.800,388.160]	OK AND ARE YOU MAINTAINING SOCIAL DISTANCING AT SCHOOL WEARING A MASK
audio/RES0111.mp3[388.160,397.400]	YEAH WE DO EXCEPT SOMETIMES I GUESS LIKE I DONT KNOW IF YOU HAVE TO DRINK WATER OR SOMETHING WE TAKE IT OFF
audio/RES0111.mp3[397.400,419.960]	YEAH SURE OK UM AND UHM I SUPPOSE JUST UM OK WHAT WAS I GONNA ASK UM DO YOU UH SO NO TRAVELS OK DO YOU FEEL LIKE YOUVE BEEN IN CONTACT WITH SOMEONE WHO MIGHT BE SICK OR MIGHT HAVE COVID
audio/RES0111.mp3[419.960,421.600]	UH I DONT THINK SO
audio/RES0111.mp3[421.600,430.040]	NO OK ALRIGHT AND HAVE YOU LOOKED AT YOUR THROAT DOES IT LOOK SWOLLEN OR RED
audio/RES0111.mp3[430.040,433.320]	YEAH IT LOOKS PRETTY SWOLLEN AND RED
audio/RES0111.mp3[433.320,444.120]	WELL THATS ALL THE QUESTIONS OH ONE MORE QUESTION ACTUALLY DO YOU HAVE UM ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0111.mp3[444.120,450.320]	UM NO I DONT THINK SO MAYBE LIKE HIGH BLOOD PRESSURE
audio/RES0111.mp3[450.320,521.760]	UH ALL RIGHT WELL UM THATS ALL THE QUESTIONS I HAD WELL DO A PHYSICAL EXAM HAVE A LOOK INSIDE YOUR THROAT UM GIVEN UH THE SYMPTOMS THAT YOU HAVE IT SOUNDS LIKE YOU HAVE UM AN AN INFLAMMATION OR SWELLING OF YOUR THROAT WHICH COULD BE CAUSED BY BACTERIA OR VIRUSES IT COULD BE SOMETHING LIKE UM MONO OR IT COULD BE UM STREP THROAT UM IT COULD BE OTHER THINGS AS WELL UM SEEING THAT YOUR SYMPTOMS ARE SOMEWHAT OVERLAPPING WITH THE SYMPTOMS FOR COVID WE WOULD ALSO LIKE TO DO A COVID TEST UM WELL DO A RAPID STREP TEST HERE AS WELL UM JUST TO RULE IT OUT AND THEN UH WELL UH ASK YOU TO QUARANTINE FOR THE NEXT 14 DAYS UM UNTIL OR AT LEAST UNTIL YOUR COVID SWABS ARE BACK OR YOUR SYMPTOMS IMPROVE UM AND WELL LET YOU KNOW ABOUT UM THE MANAGEMENT BASED ON THE STREP TEST RESULT DO YOU HAVE ANY QUESTIONS
audio/RES0111.mp3[521.760,524.160]	UM NO THAT SOUNDS GREAT THANK YOU
audio/RES0111.mp3[524.160,527.320]	OK SOUNDS GOOD
audio/RES0165.mp3[0.000,2.160]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0165.mp3[2.160,22.560]	UM I JUST IVE HAD A COUGH AND IVE HAD A SORE THROAT FOR THE PAST TWO DAYS AND I WAS JUST WORRIED THAT I MIGHT HAVE COVISO I THOUGHT ID COME IN JUST TO MAKE SURE THAT EVERYTHINGS OK
audio/RES0165.mp3[22.560,33.600]	OK WELL THATS A GOOD IDEA THAT YOU CAME IN SO ITS BEEN HAPPENING FOR THE LAST TWO DAYS DID YOU START HAVING THE COUGH FIRST OR THE SORE THROAT OR BOTH AROUND THE SAME TIME
audio/RES0165.mp3[33.600,49.400]	IT STARTED WITH A SORE THROAT TWO NIGHTS AGO AND THEN IT GOT WORSE IN THE MORNING WHEN I WOKE UP AND THEN I DEVELOPED THE COUGH LIKE ABOUT A DAY AGO A DAY AND A HALF
audio/RES0165.mp3[49.400,56.480]	OK AND CAN YOU DESCRIBE YOUR COUGH IS IT A WET COUGH OR A DRY COUGH
audio/RES0165.mp3[56.480,58.800]	ITS A DRY COUGH
audio/RES0165.mp3[58.800,66.360]	OK ARE YOU HAVING ANY KIND OF ARE YOU BRINGING UP ANY BLOOD OR SPUTUM AT ALL
audio/RES0165.mp3[68.040,76.960]	NO OK AND UH SO THIS STARTED 2 DAYS AGO IS IT CONSTANT ARE YOUR SYMPTOMS CONSTANT OR THEY COME AND GO
audio/RES0165.mp3[76.960,80.920]	NO THEYRE NOT CONSTANT THEY KIND OF COME AND GO
audio/RES0165.mp3[80.920,94.600]	OK AND DO THEY OCCUR WHEN YOURE EXERTING YOURSELF AT ALL OR IT CAN HAPPEN IT OR DO THEY HAPPEN AT SOME POINT DURING THE DAY IN THE MORNING OR NIGHT OR JUST RANDOMLY
audio/RES0165.mp3[94.600,97.320]	ITS PRETTY RANDOM
audio/RES0165.mp3[97.320,103.400]	OKAY ARE YOU SYMPTOM GETTING ANY BETTER OR WORSE
audio/RES0165.mp3[103.400,113.640]	UHM MAYBE A LITTLE WORSE I KIND OF FEEL LIKE IM ALSO UM IM NOW HAVING LIKE A A RUNNY NOSE
audio/RES0165.mp3[113.640,117.400]	A RUNNY NOSE AS WELL OK WHEN DID THAT START
audio/RES0165.mp3[117.400,125.360]	UHM MAYBE LIKE I DONT KNOW JUST NOW EVEN LIKE AN HOUR OR TWO AGO
audio/RES0165.mp3[125.360,136.640]	OK UHM HAVE YOU HAD ANY RECENT EXPOSURE TO ANYONE THATS BEEN SICK RECENTLY AT ALL
audio/RES0165.mp3[136.640,154.080]	UHM MAYBE I I WORK AT A HOSPITAL UM BUT IM ALWAYS MAINTAINING SOCIAL DISTANCING AND I TRY TO BE VERY CAREFUL
audio/RES0165.mp3[154.080,165.000]	OK AND UH DO YOU HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER TO HELP WITH THESE SYMPTOMS
audio/RES0165.mp3[167.400,176.720]	OK DO YOU HAVE ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH CHEST PAIN DIZZINESS OR ANYTHING LIKE THAT
audio/RES0165.mp3[177.560,186.240]	NO OKAY AND THE SORE THROAT ARE YOU HAVING TROUBLE OR PAIN WHILE SWALLOWING ANY FOOD
audio/RES0165.mp3[186.240,188.840]	ITS NOT THAT BAD
audio/RES0165.mp3[188.840,190.160]	NOT THAT BAD
audio/RES0165.mp3[190.160,196.120]	ITS JUST IRRITATION IN MY THROAT
audio/RES0165.mp3[196.120,201.480]	OK ANY HOARSENESS IN YOUR VOICE AT ALL
audio/RES0165.mp3[204.240,207.840]	WELL OK HAVE YOU TRAVELED AT ALL RECENTLY UTSIDE OF THE PROVINCE
audio/RES0165.mp3[210.000,212.240]	ANY HEADACHES
audio/RES0165.mp3[214.560,219.000]	ANY NAUSEA VOMITING
audio/RES0165.mp3[219.480,221.720]	ANY FEVERS OR CHILLS
audio/RES0165.mp3[221.720,224.800]	NOW I KNOW
audio/RES0165.mp3[224.800,229.440]	NO OK ANY FATIGUE OR MALAISE
audio/RES0165.mp3[229.440,234.680]	MAYBE A LITTLE BIT ITS NOT TOO BAD
audio/RES0165.mp3[234.680,242.240]	OK ANY MUSCLE ACHES AT ALL
audio/RES0165.mp3[242.240,245.640]	UHM YEAH LITTLE BIT
audio/RES0165.mp3[245.640,250.720]	OKAY AND WHEN DID THAT START
audio/RES0165.mp3[250.720,254.320]	MAYBE TWO DAYS AGO
audio/RES0165.mp3[254.320,258.960]	OK AND IS IT JUST ALL OVER YOUR BODY OR IN CERTAIN LOCATIONS
audio/RES0165.mp3[258.960,262.480]	ITS ALL OVER
audio/RES0165.mp3[262.480,266.280]	HAVE YOU TRIED ANY PAIN MEDICATIONS
audio/RES0165.mp3[266.280,270.640]	UHM NO NO I HAVENT
audio/RES0165.mp3[270.640,277.760]	OK ANY CHANGES IN YOUR BOWEL MOVEMENT AT ALL LIKE CONSTIPATION OR DIARRHEA
audio/RES0165.mp3[278.920,282.760]	UM ANY CHANGES IN YOUR APPETITE
audio/RES0165.mp3[284.960,291.080]	OK HAVE YOU LOST ANY SIGNIFICANT WEIGHT RECENTLY
audio/RES0165.mp3[291.080,293.720]	UH NO
audio/RES0165.mp3[293.720,299.600]	OK DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0165.mp3[299.600,303.680]	UM NO IM PRETTY HEALTHY
audio/RES0165.mp3[303.680,308.400]	OK ANY ALLERGIES TO MEDICATION
audio/RES0165.mp3[308.920,311.920]	ANY ENVIRONMENTAL ALLERGY
audio/RES0165.mp3[314.720,322.200]	OK ANY PREVIOUS SO SORRY ARE YOU TAKING ANY MEDICATIONS AT ALL RIGHT NOW
audio/RES0165.mp3[322.200,325.720]	UHM UM IM NOT NO
audio/RES0165.mp3[325.720,331.120]	ANY PAST HOSPITALIZATIONS OR SURGERIES
audio/RES0165.mp3[331.120,334.480]	UM NO
audio/RES0165.mp3[334.480,339.360]	NO OK AND ANY FAMILY HISTORY OF ANY LUNG OR HEART CONDITION
audio/RES0165.mp3[339.360,342.680]	JUST HIGH BLOOD PRESSURE MY MOM HAS IT
audio/RES0165.mp3[342.680,351.040]	OK UHM AND CURRENTLY ARE YOU WORKING
audio/RES0165.mp3[351.040,355.440]	I WAS WORKING BEFORE THE SYMPTOMS STARTED
audio/RES0165.mp3[355.440,358.280]	OK AND WHAT DO YOU DO FOR WORK
audio/RES0165.mp3[358.280,361.120]	I WORK AS A CUSTODIAN AT THE HOSPITAL
audio/RES0165.mp3[361.120,370.720]	OK AND SO YOUVE BEEN ISOLATING AND HAVE YOU GOTTEN COVISWAB TEST YET
audio/RES0165.mp3[370.720,372.720]	UHM NO I HAVENT
audio/RES0165.mp3[372.720,378.880]	OK SO YEAH WE CAN DO THAT FOR YOU TODAY AFTER A PHYSICAL PHYSICAL EXAMINATION
audio/RES0165.mp3[379.560,385.320]	CURRENTLY RIGHT NOW WHATS YOUR LIVING SITUATION LIKE
audio/RES0165.mp3[385.320,387.320]	I LIVE ALONE
audio/RES0165.mp3[387.320,389.920]	OK AND DO YOU LIVE IN LIKE AN APARTMENT OR HOUSE
audio/RES0165.mp3[392.280,400.920]	OK AND ANY NEW EXPOSURES AT ALL IN YOUR HOUSE TO DUST NEW CARPETS ANIMALS ANYTHING LIKE THAT
audio/RES0165.mp3[401.320,405.520]	NO OK AND DO YOU SMOKE
audio/RES0165.mp3[405.520,415.280]	I USED TO I DONT ANYMORE I I SMOKED WHEN I WAS IN HIGH SCHOOL MAYBE A COUPLE TIMES
audio/RES0165.mp3[415.280,419.520]	AND DO YOU SMOKE MARIJUANA
audio/RES0165.mp3[420.120,424.240]	UH ANY ALCOHOL
audio/RES0165.mp3[424.240,428.360]	UM ONCE ONCE A DAY MAYBE ONE CLASS OF WINE AT NIGHT
audio/RES0165.mp3[428.360,436.560]	YEAH SO THATS ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0165.mp3[437.800,496.160]	OK SO YEAH IT SEEMS LIKE YOUVE BEEN HAVING THESE SYMPTOMS FOR THE LAST FEW DAYS THEY SEEM KIND OF LIKE VIRAL IN NATURE WITH YOUR DRY COUGH AND RUNNY NOSE SORE THROAT AND SOMETIMES WITH THESE VIRAL ILLNESSES IT MAY TAKE SOME TIME FOR THE SYMPTOMS TO GO AWAY ESPECIALLY THE COUGH SO TODAY WE WILL DO A COVISWAB TEST FOR YOU TODAY AS A LOT OF THE SYMPTOMS OVERLAP AND YOU WILL RECEIVE THE RESULT IN THE NEXT ONE TO TWO DAYS AND BE CONTACTED BY PUBLIC HEALTH FOR FURTHER INSTRUCTIONS AS FOR MANAGEMENT I THINK YOU CAN TAKE OVER THE COUNTER MEDICATIONS LIKE TYLENOL COLD DRINK LOTS OF FLUIDS AND STAY HYDRATED AND IF THOSE IF YOUR SYMPTOMS WORSEN AT ALL YOU CAN CONTACT US AGAIN
audio/RES0165.mp3[496.160,497.520]	SURE THANK YOU
audio/RES0165.mp3[497.520,501.920]	WELCOME TAKE CARE
audio/RES0008.mp3[0.000,10.480]	I HEARD THAT YOUVE BEEN HAVING UH SOME DIFFICULTY BREATHING AND YOUVE BEEN COUGHING CAN YOU TELL A LITTLE TELL ME A LITTLE BIT MORE ABOUT THAT
audio/RES0008.mp3[10.480,22.280]	YEAH SO UH A COUPLE OF DAYS AGO I JUST STARTED TO NOT FEEL SO WELL AND IVE BEEN HAVING THIS COUGH AND TROUBLE BREATHING
audio/RES0008.mp3[22.280,26.200]	OK UM HAVE YOU EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0008.mp3[26.200,42.200]	I DO HAVE A UH COUGH REGULARLY BUT I MEAN I I THINK THATS RELATED TO MAYBE SMOKING ITS SOMETHING THAT WAS GOING ON FOR A FEW YEARS THIS COUGHS A LITTLE BIT DIFFERENT
audio/RES0008.mp3[42.200,45.520]	OK IN WHAT WAY IS THIS DIFFERENT
audio/RES0008.mp3[45.520,57.240]	ITS BEEN HAPPENING MORE OFTEN THROUGHOUT THE DAY AND AND BRINGING UP MORE MORE MUCUS IT SEEMS LIKE
audio/RES0008.mp3[57.240,62.920]	OK AND THEN YOU SAID IT START STARTED A COUPLE DAYS AGO IS THAT CORRECT
audio/RES0008.mp3[62.920,68.720]	YEAH I THINK LIKE MONDAY SO UH YEAH I GUESS LIKE 3 DAYS AGO THEN
audio/RES0008.mp3[68.720,76.040]	OK AND SINCE YOU NOTICED IT HAS IT GOTTEN WORSE OVER THOSE THREE DAYS
audio/RES0008.mp3[76.040,83.400]	YEAH I WOULD SAY UH TODAYS THE WORST DAY IVE CONTINUALLY FELT UM SICK
audio/RES0008.mp3[83.400,94.520]	OK AND HOW FREQUENTLY ARE YOU COUGHING
audio/RES0008.mp3[94.520,104.680]	UH I WOULD SAY MAYBE A COUPLE OF TIMES PER HOUR IM IM FILLING UP A SOME TISSUES WITH SPUTUM
audio/RES0008.mp3[104.680,108.840]	AND WHAT DOES THAT WHAT DOES THAT SPUTUM LOOK LIKE
audio/RES0008.mp3[108.840,115.960]	ITS LIKE A DARK GREENISH YELLOW COLOUR
audio/RES0008.mp3[115.960,127.600]	OK OK UM AND IS THERE ANYTHING THAT YOUVE CHANGED RECENTLY IN YOUR LIFE OR ANY KIND OF THINGS THAT HAVE PROVOKED YOUR COUGH THAT YOU KNOW OF
audio/RES0008.mp3[127.600,138.040]	UGH NO I CANT THINK OF ANYTHING IVE BEEN KIND OF STICKING TO MY REGULAR ROUTINES
audio/RES0008.mp3[138.040,148.360]	OK AND IS THERE ANYTHING THAT MAKES UH MAKES IT WORSE SAY ANY POSITION OR ANYTHING THAT YOU DO IN YOUR DAY TO DAY ROUTINE YOU FIND MAKES YOU COUGH MORE
audio/RES0008.mp3[148.360,155.240]	UM AND NOT REALLY I CANT I CANT THINK OF ANYTHING
audio/RES0008.mp3[155.240,163.400]	OK AND HAVE YOU TAKEN ANY ANY MEDICINE OR ANYTHING TO TRY TO HELP WITH US
audio/RES0008.mp3[163.400,181.280]	UM NO I IVE I I DO HAVE A LITTLE BIT OF PAIN SO I WAS I DID TAKE SOME TYLENOL AND SOME ADVIL OVER THE LAST FEW DAYS BUT THATS ABOUT IT
audio/RES0008.mp3[181.280,185.200]	OK OK DID YOU FIND THAT THEY HELPED AT ALL
audio/RES0008.mp3[185.200,194.400]	A LITTLE BIT YEAH BUT IT WOULD JUST KIND OF TAKE THE EDGE OFF OF THE PAIN FOR A LITTLE BIT AND IT CAME BACK
audio/RES0008.mp3[194.400,199.960]	AND WHAT KIND OF PAIN IS IT THAT YOURE EXPERIENCING
audio/RES0008.mp3[199.960,208.280]	UM ITS KIND OF A A SHARP PAIN OVER ON THE LIKE THE RIGHT SIDE OF MY CHEST LIKE MAYBE BELLY AREA
audio/RES0008.mp3[208.280,223.520]	OK OK UM THE RIGHT SIDE OF YOUR CHEST AND BELLY AREA YEAH OK SO IS THAT PAIN IS IT DID IT START AROUND THE SAME TIME AS THE COUGH
audio/RES0008.mp3[223.520,234.880]	YEAH I THINK IT IT MIGHT HAVE STARTED A LITTLE BIT AFTER
audio/RES0008.mp3[234.880,240.280]	OK AND IS THIS A PAIN THAT YOUVE EVER HAD BEFORE
audio/RES0008.mp3[240.280,243.800]	NO I HAVENT HAD ANYTHING LIKE THIS HAPPEN BEFORE
audio/RES0008.mp3[243.800,250.680]	OK IS THE PAIN PRIMARILY THERE WHEN YOU COUGH OR IS IT PRESENT AT ALL TIMES
audio/RES0008.mp3[250.680,267.800]	I WOULD SAY MORE SO WHEN I COUGH OR IF IM LIKE TAKING A BIG BREATH UM YEAH KIND OF AFTER AFTER I HAVE A COUGHING EPISODE I TAKE A DEEP BREATH AND I REALLY WILL FEEL THE PAIN THEN
audio/RES0008.mp3[267.800,273.320]	OK AND AND UM YOU SAID THAT ITS A SHARP PAIN
audio/RES0008.mp3[273.320,277.720]	YEAH YEAH MORE OF A SHARP PAIN
audio/RES0008.mp3[277.720,286.320]	OK OK AND IS IT ANY WORSE WHEN YOURE DOING ACTIVITY LIKE WHEN YOURE UP AND WALKING AROUND
audio/RES0008.mp3[286.320,292.520]	NO DONT NOTICE IT WITH ANY ANY ACTIVITY
audio/RES0008.mp3[292.520,305.400]	OK OK UM AN SINCE UH SINCE THIS COUGHING AND THIS THIS RIGHT SIDED PAIN THAT YOURE TALKING ABOUT BEGAN HAVE YOU NOTICED ANY FEVERS
audio/RES0008.mp3[305.400,319.800]	I THINK YEAH IVE BEEN HOT THE LAST FEW DAYS AND I I CHECKED MY TEMPERATURE EARLIER TODAY AND IT WAS LIKE 386 SO THAT WAS ONE OF THE REASONS WHY I WANTED TO COME IN ACTUALLY
audio/RES0008.mp3[319.800,332.720]	OK OK WELL IM GLAD THAT IM REALLY GLAD THAT YOU CAME IN BECAUSE YEAH WE REALLY WANT TO GET THIS LOOKED INTO HAVE YOU BEEN AROUND ANYONE THATS BEEN SICK RECENTLY
audio/RES0008.mp3[332.720,341.760]	NO BUT I I DO SOME VOLUNTEER WORK AT ONE OF THE HOMELESS SHELTERS AT A FEW TIMES A WEEK SO I AM AROUND A LOT OF PEOPLE
audio/RES0008.mp3[341.760,349.480]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0008.mp3[349.480,355.760]	NO IVE BEEN AT HOME AND AND DOING THE VOLUNTEER WORK
audio/RES0008.mp3[355.760,374.600]	OK UM OK AND CAN YOU JUST GIVE ME AN IDEA OF ANY DO YOU HAVE ANY CHRONIC CONDITIONS THAT YOU SEE YOUR FAMILY DOCTOR FOR REGULARLY OR ANYTHING YOU TAKE MEDICATION FOR
audio/RES0008.mp3[374.600,389.640]	UM YEAH I HAVE TYPE 2 DIABETES AND I I TAKE METFORMIN UM I THINK AN SGLT 2 INHIBITOR AND THEN I USE INSULIN FOR THAT AS WELL AND I HAVE SOME IT HAS AFFECTED MY KIDNEYS AS WELL THE DIABETES I MEAN
audio/RES0008.mp3[389.640,395.480]	OK DO YOU HAVE A HISTORY OF HIGH BLOOD PRESSURE
audio/RES0008.mp3[395.480,397.720]	I DO YES
audio/RES0008.mp3[397.720,407.560]	OK DO YOU TAKE MEDICATION FOR THAT
audio/RES0008.mp3[407.560,417.000]	OH YEAH I DO IT STARTS WITH AN A I THINK AMLODIPINE
audio/RES0008.mp3[417.000,421.800]	OK OK AND DO YOU HAVE ANY HISTORY OF HEART PROBLEMS
audio/RES0008.mp3[421.800,430.040]	NO NOT THAT I KNOW NO I HAVENT REALLY HAD ANY CHEST PAIN ON THE LEFT SIDE ANYWAY
audio/RES0008.mp3[430.040,440.440]	UM SO YOU SAID THAT YOU HAVE HAD A COUGH FOR A REALLY LONG TIME A DRYER COUGH THEN YOURE HAVING SPUTUM NOW BUT IS THAT SOMETHING YOUVE SEEN THE DOCTOR FOR
audio/RES0008.mp3[440.440,453.880]	OH YEAH I THINK I WAS CALLED LIKE BRONCHITIS IN THE PAST OR SOMETHING SOMETHING LIKE THAT ONE OF THE DOCTORS MY FAMILY DOCTOR TOLD ME IT WAS BECAUSE I WAS A SMOKER
audio/RES0008.mp3[453.880,462.040]	OK SO JUST TO MAKE SURE I HAVE YOUR LIST OF MEDICATIONS YOU TAKE AMLODIPINE INSULIN
audio/RES0008.mp3[462.040,467.680]	METFORMIN AND AN SG LT2 INHIBITOR YOU THINK ANYTHING ELSE
audio/RES0008.mp3[467.680,478.480]	UM AND THEN YEAH AMLODIPINE UH YEAH I THINK THAT THAT THATS EVERYTHING OH A MULTIVITAMIN TOO
audio/RES0008.mp3[478.480,486.200]	OK COOL I JUST WANTED TO ASK YOU A FEW QUESTIONS QUESTIONS ABOUT YOUR LIFESTYLE IN GENERAL DO YOU LIVE HERE IN TOWN
audio/RES0008.mp3[486.200,492.840]	I DO YEAH I LIVE WITH MY WIFE AND AT A HOUSE NEARBY
audio/RES0008.mp3[492.840,498.560]	OK COOL AND YOU MENTIONED THAT YOURE A SMOKER
audio/RES0008.mp3[498.560,506.000]	YEAH SO IVE SMOKED FOR THE LAST 30 YEARS OR SO ABOUT A PACK PER DAY
audio/RES0008.mp3[506.000,508.800]	OK DO YOU DRINK ALCOHOL
audio/RES0008.mp3[508.800,511.600]	NO I DONT
audio/RES0008.mp3[511.600,514.840]	DO YOU USE ANY OTHER SUBSTANCE
audio/RES0008.mp3[514.840,518.120]	I DONT NO
audio/RES0008.mp3[518.120,525.600]	OK AND DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY OR HEART PROBLEMS
audio/RES0008.mp3[525.600,535.320]	YEAH MY DAD ACTUALLY HAD A HEART ATTACK HE WAS IN HIS 70S I THINK MY MOM HAD HIGH BLOOD PRESSURE BUT OTHER THAN THAT NO
audio/RES0008.mp3[535.320,541.160]	OK UM AND DO YOU HAVE ANY ALLERGIES
audio/RES0008.mp3[541.160,548.400]	I THINK JUST ENVIRONMENTAL STUFF NO MEDICATIONS I AM AWARE OF
audio/RES0008.mp3[548.400,559.960]	OK OK WELL THANK YOU FOR SHARING ALL OF THAT WITH ME IM GOING TO GO OVER IT WITH THE PHYSICIAN THAT IM WORKING WITH AND WILL KIND OF COME BACK AND LET YOU KNOW ABOUT THE NEXT STEPS
audio/RES0008.mp3[559.960,562.000]	OK THANK YOU THAT SOUNDS GOOD
audio/MSK0049.mp3[0.000,1.040]	HOW MAY I HELP YOU
audio/MSK0049.mp3[1.040,34.920]	IM HERE BECAUSE UM IVE BEEN HAVING SOME PAIN IN MY LEFT KNEE FOR THE PAST TWO MONTHS AND ITS NOT GETTING BETTER IT FEELS STIFF AND UM I JUST HAVENT BEEN ABLE TO UH YOU KNOW USE IT AS WELL AS WELL AS I WAS USING IT BEFORE UM AND ITS JUST LIMITED SOME OF MY DAILY ACTIVITIES
audio/MSK0049.mp3[34.920,48.040]	OK UM AND WHERE UH SO ITS THE PAIN IS IN YOUR LEFT KNEE WHERE ARE YOU FEELING THIS PAIN SPECIFICALLY IS IT AT THE FRONT OF THE KNEE THE SIDES OR OR THE THE BACK COULD YOU POINT TO IT
audio/MSK0049.mp3[48.040,51.840]	IT FEELS LIKE ITS MOSTLY ON THE FRONT
audio/MSK0049.mp3[52.520,57.720]	LIKE DEEP WITHIN THAT UM KNEECAP
audio/MSK0049.mp3[57.720,61.440]	OK AND YOU SAID THE PAIN STARTED TWO MONTHS AGO
audio/MSK0049.mp3[61.440,73.880]	YES WELL ITS ALWAYS BEEN A LITTLE LIKE TENDER UM BUT NOW ITS MORE PAINFUL
audio/MSK0049.mp3[73.880,78.240]	OK AND SO SO HAS IT BEEN GETTING WORSE
audio/MSK0049.mp3[78.240,86.120]	I WOULD SAY SO SLOWLY GETTING WORSE
audio/MSK0049.mp3[86.120,94.080]	OK UH AND WHEN YOU GET UH PAIN IN THE LEFT KNEE HOW LONG DOES IT TYPICALLY LAST FOR
audio/MSK0049.mp3[94.080,124.200]	IT USUALLY HURTS WHILE IM DOING WHILE IM MOVING IT OR JUST AFTER BUT IF I IF I REST THE PAIN EVENTUALLY GOES AWAY UM BUT WHEN I FIRST WAKE UP IN THE MORNING THAT JOINT FEELS STIFF AND THEN WHEN I START USING IT USING IT MORE ITS LESS STIFF BUT IT BECOMES PAINFUL
audio/MSK0049.mp3[124.200,127.360]	OK SO YOU HAVE SOME STIFFNESS IN THE MORNING
audio/MSK0049.mp3[127.360,128.840]	I DO
audio/MSK0049.mp3[128.840,135.240]	OK AND HOW LONG DOES IT LAST FOR LIKE 30 MINUTES 60 MINUTES OR OR LONGER
audio/MSK0049.mp3[135.240,137.240]	THE STIFFNESS OR PAIN
audio/MSK0049.mp3[137.240,140.040]	YEAH THE THE STIFFNESS
audio/MSK0049.mp3[140.040,146.680]	UH THE STIFFNESS GOES AWAY IN LIKE YEAH 15 TO 30 MINUTES
audio/MSK0049.mp3[146.680,159.840]	OK AND HOW WOULD YOU DESCRIBE THE PAIN UM IN TERMS OF ITS CHARACTER
audio/MSK0049.mp3[159.840,172.800]	IT FEELS IT FEELS UH I GUESS MOST OF THE TIME ITS LIKE ITS LIKE A DULL KIND OF PAIN BUT IT CAN BE SHARP
audio/MSK0049.mp3[172.800,179.600]	OK AND IS THERE ANYTHING THAT MAKES THE PAIN WORSE
audio/MSK0049.mp3[179.600,183.160]	JUST WITH A LOT OF ACTIVITY IT GETS WORSE
audio/MSK0049.mp3[183.160,186.400]	AND YOU FEEL IT RADIATE ANYWHERE ELSE
audio/MSK0049.mp3[188.520,202.920]	OK AND HOW WOULD YOU DESCRIBE THE SEVERITY OF YOUR PAIN ON A SCALE OF 10 BEING THE WORST PAIN YOUVE EVER FELT AND 1 BEING KIND OF VERY MINIMAL PAIN
audio/MSK0049.mp3[202.920,207.800]	UHM I WOULD GIVE IT MAYBE UH 7
audio/MSK0049.mp3[207.800,213.800]	OK AND HAVE YOU HAD ANY INJURIES TO YOUR KNEE BEFORE
audio/MSK0049.mp3[213.800,220.240]	NO NOT THAT I CAN THINK OF
audio/MSK0049.mp3[220.240,227.880]	NO OK UM AND HAVE YOU BEEN HAVING ANY UH ANY WEIGHT LOSS RECENTLY
audio/MSK0049.mp3[227.880,230.120]	UH NO WEIGHT GAIN
audio/MSK0049.mp3[230.120,237.640]	WEIGHT GAIN OK HOW MUCH WEIGHT HAVE YOU GAINED OVER THE LAST UH SEVERAL MONTHS
audio/MSK0049.mp3[237.640,244.120]	OVER THE PAST SIX MONTHS ID SAY IVE GAINED ABOUT 20 POUNDS
audio/MSK0049.mp3[244.120,251.480]	OK HAVE YOU HAD CHANGES IN YOUR DIET AND OR EXERCISE
audio/MSK0049.mp3[251.480,258.760]	UM I GUESS IVE BEEN EATING A LITTLE BIT MORE UM BUT NO CHANGES IN EXERCISE
audio/MSK0049.mp3[258.760,263.960]	OK UM HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/MSK0049.mp3[265.480,268.720]	OK HOW ABOUT ANY NIGHT SWEATS
audio/MSK0049.mp3[268.720,270.840]	UH NO NIGHT SWEATS
audio/MSK0049.mp3[270.840,276.040]	OK UM HAVE YOU HAD ANY CHANGES TO YOUR VISION OR HEARING
audio/MSK0049.mp3[276.640,283.560]	OK HAVE YOU HAD ANY CHANGES TO YOUR UH SENSE OF SMELL OR SENSE OF TASTE
audio/MSK0049.mp3[285.160,288.640]	OK HAVE YOU HAD A RUNNY NOSE OR OR A SORE THROAT
audio/MSK0049.mp3[290.720,295.800]	HAVE YOU HAD A COUGH OR OR ANY SHORTNESS OF BREATH
audio/MSK0049.mp3[295.800,299.200]	UH NO NOTHING LIKE THAT
audio/MSK0049.mp3[299.200,304.040]	OK HOW ABOUT ANY UH WHEEZING
audio/MSK0049.mp3[304.040,305.320]	NO WHEEZING
audio/MSK0049.mp3[305.320,309.360]	ALRIGHT ANY CHEST PAIN OR HEART PALPITATIONS
audio/MSK0049.mp3[310.800,314.520]	ALRIGHT HAVE YOU HAD ANY LIGHTHEADEDNESS OR DIZZINESS
audio/MSK0049.mp3[316.200,319.480]	ALRIGHT AND ANY CONFUSION OR MEMORY LOSS
audio/MSK0049.mp3[321.120,328.880]	ALRIGHT AND HAVE YOU HAD ANY CHANGES IN APPETITE LIKE A LOSS OF APPETITE
audio/MSK0049.mp3[328.880,332.520]	UH NO I IF ANYTHING HAD A GAIN IN APPETITE
audio/MSK0049.mp3[332.520,337.120]	ALRIGHT UH HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/MSK0049.mp3[337.880,343.680]	HOW ABOUT ANY ABDOMINAL PAIN
audio/MSK0049.mp3[344.480,351.120]	ALRIGHT UM AND HOW ABOUT ANY URINARY PROBLEMS
audio/MSK0049.mp3[351.120,353.200]	UH NO URINARY PROBLEMS
audio/MSK0049.mp3[353.200,359.200]	UM ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA OR BLOOD IN THE STOOL
audio/MSK0049.mp3[361.240,367.800]	ALRIGHT AND HAVE YOU HAD ANY RASHES OR SKIN CHANGES OR CHANGES TO YOUR HAIR OR NAILS
audio/MSK0049.mp3[367.800,370.440]	NO NOTHING LIKE THAT
audio/MSK0049.mp3[370.440,375.480]	OK AND ANY OTHER JOINT PAINS OR HAVE YOU OR DO YOU HAVE ANY JOINT SWELLING
audio/MSK0049.mp3[375.480,390.000]	UH I HAVE SOME JOINT UM SWELLING ITS ITS NOT VERY VISIBLE BUT ITS IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY LEFT SORRY THAN MY RIGHT KNEE
audio/MSK0049.mp3[390.000,395.360]	OK SO JUST A LITTLE BIT OF SWELLING IN YOUR LEFT KNEE BUT NO OTHER JOINTS
audio/MSK0049.mp3[398.120,405.360]	OK UM AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/MSK0049.mp3[405.360,415.880]	UM I HAVE UM DIABETES HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL AND IM OVERWEIGHT
audio/MSK0049.mp3[415.880,421.040]	OK DO YOU TAKE ANY MEDICATIONS FOR ANY OF THOSE CONDITIONS
audio/MSK0049.mp3[421.040,433.640]	IM ON INSULIN FOR DIABETES UM IM ON RAMIPRIL FOR HIGH BLOOD PRESSURE AND IM ALSO ON A STATIN FOR THE CHOLESTEROL
audio/MSK0049.mp3[433.640,441.600]	OK AND DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/MSK0049.mp3[443.200,449.960]	ALRIGHT AND UH HAVE YOU HAD ANY SURGERIES IN THE PAST
audio/MSK0049.mp3[451.520,455.720]	ALRIGHT AND UM ARE YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0049.mp3[455.720,457.840]	I THINK SO
audio/MSK0049.mp3[457.840,466.320]	ALRIGHT UH AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY LIKE LIKE WHO YOURE LIVING WITH AND WHEREABOUTS
audio/MSK0049.mp3[466.320,474.640]	UM I LIVE WITH MY HUSBAND IN A HOUSE DOWNTOWN
audio/MSK0049.mp3[474.640,477.840]	OK UM AND ARE YOU WORKING CURRENTLY
audio/MSK0049.mp3[477.840,483.480]	NO I RETIRED EARLY
audio/MSK0049.mp3[483.480,487.200]	OK UM DO YOU DRINK ALCOHOL
audio/MSK0049.mp3[487.200,490.560]	UM ILL HAVE A GLASS OF WINE EVERY NIGHT
audio/MSK0049.mp3[490.560,494.920]	OK SO ABOUT 7 DRINKS PER WEEK
audio/MSK0049.mp3[496.400,499.720]	OK AND UM DO YOU SMOKE CIGARETTES
audio/MSK0049.mp3[499.720,501.760]	UH NO I DONT
audio/MSK0049.mp3[501.760,509.360]	ALRIGHT HOW ABOUT THE USE OF ANY RECREATIONAL DRUGS LIKE CANNABIS OR UH OR ANYTHING ELSE
audio/MSK0049.mp3[509.960,525.480]	ALRIGHT UM AND IS THERE ANY UH LIKE MUSCULOSKELETAL OR LIKE AUTOIMMUNE CONDITIONS THAT RUN IN THE FAMILY
audio/MSK0049.mp3[525.480,530.760]	UHM NO MUSCULOSKELETAL ISSUES UH THAT I KNOW DIABETES RUNS IN THE FAMILY
audio/MSK0049.mp3[530.760,550.640]	OK UM ALRIGHT SO THAT WAS EVERYTHING I WANTED TO ASK ON HISTORY SO NEXT I JUST WANTED TO DO A PHYSICAL EXAM AND JUST LOOKING AT THE LEFT KNEE ARE YOU SEEING ANY UM SWELLING OR REDNESS UH ON THE KNEE
audio/MSK0049.mp3[550.640,556.360]	UM IT APPEARS SLIGHTLY MORE SWOLLEN THAN MY RIGHT KNEE
audio/MSK0049.mp3[556.360,559.240]	OK BUT ARE YOU SEEING ANY REDNESS
audio/MSK0049.mp3[559.240,561.040]	NO REDNESS
audio/MSK0049.mp3[561.040,566.880]	OK AND ARE THERE ANY TEMPERATURE CHANGES LIKE DOES THE KNEE FEEL HOT OR OR WARM
audio/MSK0049.mp3[567.600,579.800]	OK AND IF YOU UM PRESS ALONG THE UH JOINT LINE DO YOU FEEL ANY PAIN
audio/MSK0049.mp3[579.800,584.560]	UHM YEAH IT FEELS A LITTLE TENDER
audio/MSK0049.mp3[584.560,594.160]	OK AND HOW ABOUT PAIN OVER ANY OF THE MUSCLES LIKE THE THIGH MUSCLES OR THE HAMSTRINGS OR THE CALF MUSCLES
audio/MSK0049.mp3[594.160,595.840]	NO THOSE ARE FINE
audio/MSK0049.mp3[595.840,600.520]	OK AND THEN HOW ABOUT ANY PAIN OVER THE PATELLA OR KNEECAP
audio/MSK0049.mp3[600.520,607.840]	THAT THATS A LITTLE BIT MORE PAINFUL
audio/MSK0049.mp3[607.840,618.400]	OK AND ARE YOU ABLE TO BEND YOUR KNEE UH LIKE LIKE FLEX IT STRAIGHTEN IT
audio/MSK0049.mp3[618.400,623.880]	UH I CAN DO THAT ITS JUST PAINFUL WHEN I DO THAT
audio/MSK0049.mp3[623.880,633.680]	OK UM AND UH AND THEN HOW ABOUT WALKING ARE YOU UM DO YOU HAVE AN ANTALGIC GAIT OR OR OR A LIMP
audio/MSK0049.mp3[633.680,650.080]	UHM NO NO WELL I GUESS IM IM PUTTING MORE WEIGHT ON MY RIGHT KNEE SO IT MIGHT APPEAR TO SOME PEOPLE THAT I DO HAVE A SLIGHT LIMP
audio/MSK0049.mp3[650.080,657.000]	OK AND ANY ISSUES WITH MOVING YOUR HIP OR YOUR ANKLE
audio/MSK0049.mp3[657.000,658.680]	UH NO
audio/MSK0049.mp3[658.680,664.440]	OK UM SO I THINK THAT WAS EVERYTHING I WANTED TO ASK AND CHECK TODAY DID DID YOU HAVE ANY QUESTIONS
audio/MSK0049.mp3[664.440,671.240]	UM YEAH SO UM HOW DO YOU HOW CAN I TREAT MY KNEE
audio/MSK0049.mp3[671.240,751.640]	YEAH CERTAINLY SO IT IT SOUNDS LIKE UM THIS COULD BE MOST LIKELY OSTEOARTHRITIS UM OF THE LEFT KNEE WHICH UH IS SOMETHING THAT WOULD BE BEST TREATED WITH UH TRYING TO STAY AS ACTIVE AS YOU CAN BUT BUT ALSO PACING YOUR ACTIVITIES AS WELL SO THAT YOURE NOT UM DOING SO MUCH THAT THE NEXT DAY YOURE IN SIGNIFICANT AMOUNT OF PAIN BUT ITS IMPORTANT TO REMEMBER THAT UM ACTIVITY WILL HELP UM WITH KEEPING YOUR KNEE MOBILE BUT ALSO UM ACTUALLY HELP WITH REDUCING PAIN AS WELL AND THEN ALSO UH YOU COULD USE TYLENOL UM AS A MEDICATION FOR IT I WOULDNT RECOMMEND IBUPROFEN OR NSAIDS ON A LONG TERM BASIS ALTHOUGH YOU COULD TAKE THOSE IF YOURE HAVING LIKE AN ACUTE FLARE UP OF YOUR PAIN UM AND THEN ALSO LIKE TOPICAL AGENTS SUCH AS UM LIKE VOLTAREN OR SOMETHING LIKE THAT YOU COULD PUT ON YOUR KNEE AND UM IF ITS REALLY BAD AND IT KEEPS UM CONTINUING ON WE CAN CONSIDER SOMETHING LIKE A STEROID INJECTION AS WELL
audio/MSK0049.mp3[751.640,755.480]	OK YEAH THAT SOUNDS GOOD THANK YOU
audio/MSK0049.mp3[755.480,759.400]	ALRIGHT THANK YOU
audio/GAS0002.mp3[0.000,7.040]	I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN TO THE EMERGENCY DEPARTMENT TODAY
audio/GAS0002.mp3[7.040,18.600]	YEAH SO NICE TO MEET YOU IVE BEEN HAVING THIS PAIN RIGHT IN MY ABDOMEN ITS KIND OF LIKE IN THE UPPER RIGHT AREA
audio/GAS0002.mp3[18.600,24.480]	OK AND SO UH WHEN WHERE IS THIS PAINTING LOCATED EXACTLY
audio/GAS0002.mp3[24.480,38.200]	SO ITS JUST IN THE UPPER RIGHT CORNER OF MY ABDOMEN RIGHT BELOW WHERE THE LUNGS ARE AND IT YEAH ITS JUST I HAVE THIS SEVERE PAIN THATS GOING ON
audio/GAS0002.mp3[38.200,42.360]	OK AND HOW LONG IS IT BEEN GOING ON FOR
audio/GAS0002.mp3[42.360,51.040]	SO ITS BEEN GOING ON FOR THE LAST FEW DAYS AND IT GOT WORSE TODAY
audio/GAS0002.mp3[51.040,63.320]	OK AND HOW LONG IS IT BEEN SINCE ITS LIKE GOT GOT WORSE HAS THIS BEEN A FEW HOURS OR OR HOW LONG IS THAT BEEN
audio/GAS0002.mp3[63.320,72.920]	SO I WOULD SAY IT GOT WORSE JUST THREE OR FOUR HOURS AGO BEFORE I CAME TO THE EMERGENCY DEPARTMENT
audio/GAS0002.mp3[72.920,79.600]	OK AND DOES THE PAIN RADIATE ANYWHERE
audio/GAS0002.mp3[79.600,89.680]	UH NO IT STAYS RIGHT IN THE IN THE SPOT THAT I TOLD YOU RIGHT IN THE RIGHT UPPER CORNER
audio/GAS0002.mp3[89.680,99.480]	OK AND WHEN DID THE PAIN START OR IF YOU COULD TELL ME WHAT WERE YOU DOING RIGHT PRIOR TO THE PAIN STARTING
audio/GAS0002.mp3[99.480,114.320]	SO I THINK IT STARTED AFTER JUST THREE DAYS AGO AFTER I HAD A MEAL LIKE I I THINK IT WAS AFTER LUNCH AROUND HALF AN HOUR OR AN HOUR AFTER LUNCH
audio/GAS0002.mp3[114.320,126.640]	I SEE OK HAS THE PAIN GOTTEN WORSE STAYED THE SAME OR GOTTEN BETTER SINCE SINCE YESTERDAY
audio/GAS0002.mp3[126.640,143.160]	I THINK ITS GOTTEN IT WAS ITS THE WORST TODAY LIKE ESPECIALLY LIKE A FEW HOURS AGO LIKE 3 HOURS AGO IT WAS MUCH WORSE THAN THE OTHER TWO DAYS
audio/GAS0002.mp3[143.160,152.080]	OK AND HOW WOULD YOU DESCRIBE THE CHARACTER OR THE QUALITY OF THE PAIN
audio/GAS0002.mp3[152.080,156.600]	SO ITS LIKE A SHARP I WOULD DESCRIBE IT AS LIKE A SHARP PAIN
audio/GAS0002.mp3[156.600,163.920]	OK AND ON A SCALE OF 1 TO 10 10 BEING THE MOST SEVERE PAIN WHAT WOULD YOU RATE IT AS
audio/GAS0002.mp3[163.920,169.040]	I WOULD RATE IT AS RIGHT NOW I WOULD RATE IT AS AN 8
audio/GAS0002.mp3[169.040,174.880]	OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE
audio/GAS0002.mp3[174.880,187.880]	I THINK IT HAPPENED TO ME A FEW YEARS BACK WHERE I HAD THIS PAIN AND THEN IT JUST KIND OF WENT AWAY ON ITS OWN I DIDNT GO TO THE EMERGENCY DEPARTMENT THEN THOUGH
audio/GAS0002.mp3[187.880,194.080]	OK AND HAS THERE BEEN ANYTHING THAT YOUVE TRIED TO MAKE THIS PAIN ANY BETTER
audio/GAS0002.mp3[194.080,203.680]	I TRIED TAKING JUST LIKE ADVIL AND TYLENOL BUT IT DIDNT REALLY SEEM TO HELP THE PAIN TOO MUCH
audio/GAS0002.mp3[203.680,216.640]	OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS SUCH AS NAUSEA OR OR VOMITING
audio/GAS0002.mp3[216.640,223.880]	IVE IVE HAD SOME NAUSEA OVER THE PAST FEW DAYS BUT I HAVENT VOMITED ANYTHING
audio/GAS0002.mp3[223.880,233.320]	OK SO NO BLOOD IN YOUR EMESIS UH OR NO VOMITING AT ALL
audio/GAS0002.mp3[233.320,235.120]	UH YEAH
audio/GAS0002.mp3[235.120,240.000]	OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/GAS0002.mp3[240.000,245.840]	UH NO LIKE WE HAVENT TRAVELED ANYWHERE RECENTLY
audio/GAS0002.mp3[245.840,251.160]	OK AND HOW HAS YOUR ENERGY LEVELS BEEN
audio/GAS0002.mp3[251.160,269.560]	UH ENERGY UH WHEN ITS HURTING A LOT LIKE TODAY IVE BEEN ITS BEEN DIFFICULT TO MOVE AROUND IVE BEEN PRETTY DRAINED FROM THE PAIN BUT UH OTHERWISE OVER THE LAST FEW DAYS IT HASNT AFFECTED ME TOO MUCH BUT TODAY I WOULD SAY MY ENERGY LEVELS ARE DOWN
audio/GAS0002.mp3[269.560,276.360]	OK AND HAVE YOU NOTICED ANY SKIN CHANGES OR ANY RASHES
audio/GAS0002.mp3[276.360,282.120]	I DONT THINK SO I MEAN I DONT THINK IVE NOTICED ANY KIND OF SKIN CHANGES
audio/GAS0002.mp3[282.120,292.920]	OK AND HOW ABOUT ANY CHANGES TO URINARY HABITS LIKE PAINFUL URINATION OR THE COLOR OF YOUR URINE
audio/GAS0002.mp3[292.920,294.560]	NO NO NO CHANGES
audio/GAS0002.mp3[294.560,305.160]	OK AND HAVE YOU HAD ANY CHANGES TO BOWEL PATTERNS SUCH AS DIARRHEA OR CHANGES IN COLOR OF YOUR STOOL
audio/GAS0002.mp3[305.160,308.800]	NO I DONT THINK SO NO CHANGES THAT IVE NOTICED
audio/GAS0002.mp3[308.800,312.800]	OK SO  NOTICE ANY BLOOD IN THE STOOL
audio/GAS0002.mp3[312.800,314.520]	NO NO BLOOD
audio/GAS0002.mp3[314.520,319.000]	OK AND HOW HAS YOUR APPETITE BEEN
audio/GAS0002.mp3[319.000,335.360]	ITS IT WAS AROUND THE SAME BEFORE THE PAIN ACTUALLY STARTED GETTING WORSE SO TODAY I DIDNT REALLY FEEL LIKE EATING I DID HAVE NAUSEA OVER THE PAST FEW DAYS BUT MY APPETITE I WOULD SAY IS THE WORST TODAY
audio/GAS0002.mp3[335.360,339.680]	OK AND HAVE YOU NOTICED ANY CHANGES TO YOUR WEIGHT RECENTLY
audio/GAS0002.mp3[339.680,342.640]	NO NO I DONT THINK SO
audio/GAS0002.mp3[342.640,346.640]	OK AND HAVE YOU HAD ANY RECENT INFECTIONS
audio/GAS0002.mp3[346.640,349.680]	NO NOT NOT THAT I KNOW OF
audio/GAS0002.mp3[349.680,364.720]	OK SO NEXT JUST TO ASK SOME QUESTIONS ABOUT YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/GAS0002.mp3[364.720,373.640]	UH SO I THINK THE ONLY THING IS MY DOCTOR TOLD ME THAT I SHOULD LOSE SOME WEIGHT BUT OTHER THAN THAT NO MEDICAL HISTORY
audio/GAS0002.mp3[373.640,378.400]	OK AND ANY ALLERGIES TO MEDICATIONS
audio/GAS0002.mp3[378.400,381.360]	UH NO NO ALLERGIES
audio/GAS0002.mp3[381.360,390.000]	AND ARE THERE ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS EITHER PRESCRIBED OR OVER THE COUNTER
audio/GAS0002.mp3[390.000,407.520]	UH NOT PRESCRIBED SOMETIMES I TAKE LIKE SOME ANTACIDS WHEN I GET HEARTBURN BUT THIS IS JUST LIKE A COUPLE TIMES A MONTH AFTER DINNER SOMETIMES AT NIGHT BUT THATS ABOUT IT
audio/GAS0002.mp3[407.520,412.400]	OK AND UH ANY UM HOSPITALIZATIONS
audio/GAS0002.mp3[412.400,420.760]	JUST FOR JUST WHEN I HAD MY CHILDREN AT THE TIME OF THEIR BIRTH BUT THATS IT
audio/GAS0002.mp3[420.760,425.160]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/GAS0002.mp3[427.000,431.920]	OK AND HAVE YOU HAD ANY PRIOR SURGERIES
audio/GAS0002.mp3[431.920,434.280]	NOPE NO PRIOR SURGERIES
audio/GAS0002.mp3[434.280,446.440]	OK AND ANY FAMILY HISTORY OF GALLBLADDER DISEASE OR CARDIOVASCULAR DISEASE IN THE FAMILY
audio/GAS0002.mp3[446.440,456.160]	UM SO MY FATHER DIED OF A STROKE WHEN HE WAS IN HIS 60S MY MOTHER DOES HAVE GALLSTONES
audio/GAS0002.mp3[456.160,461.200]	OK AND WHAT DO YOU DO FOR WORK
audio/GAS0002.mp3[461.200,468.320]	SO I WORK IN AT THE BANK AS A CONSULTANT
audio/GAS0002.mp3[468.320,475.400]	OK AND DO YOU DRINK ALCOHOL
audio/GAS0002.mp3[475.400,485.040]	UH YEAH SOMETIMES MAYBE ONE OR TWO GLASSES OF WINE EVERY NIGHT
audio/GAS0002.mp3[485.040,491.720]	OK AND DO YOU FEEL THE NEED TO CUT DOWN ON YOUR DRINKING
audio/GAS0002.mp3[491.720,494.400]	NO NOT REALLY
audio/GAS0002.mp3[494.400,499.560]	OK HAVE YOU EVER FELT ANNOYED BY PEOPLE CRITICIZING YOUR DRINKING
audio/GAS0002.mp3[499.560,501.600]	UH NO
audio/GAS0002.mp3[501.600,505.640]	OK HAVE YOU FELT GUILTY ABOUT YOUR DRINKING
audio/GAS0002.mp3[505.640,508.400]	UH NO SO SHOULD I BE
audio/GAS0002.mp3[508.400,532.000]	UHM NO AT THE AT THIS TIME JUST WANTING TO GAUGE A SENSE OF HOW YOU FEEL ABOUT YOUR DRINKING LEVELS AT THIS TIME AND THE FOLLOW UP QUESTION TO THAT WOULD BE HAVE YOU EVER FELT THE NEED TO HAVE A DRINK EARLY IN THE MORNING
audio/GAS0002.mp3[532.000,540.280]	UH NO NO IVE NEVER DRANK I DONT DRINK IN THE MORNING
audio/GAS0002.mp3[540.280,543.640]	OK AND DO YOU USE RECREATIONAL DRUGS
audio/GAS0002.mp3[543.640,545.480]	UH NO NEVER
audio/GAS0002.mp3[545.480,550.000]	OK AND DO YOU SMOKE CIGARETTES
audio/GAS0002.mp3[550.920,562.560]	AND UM DO OH AND THEN UM WHO ARE YOU LIVING WITH CURRENTLY AT HOME
audio/GAS0002.mp3[562.560,568.640]	AND SO IM LIVING WITH MY TWO CHILDREN AND MY PARTNER
audio/GAS0002.mp3[568.640,573.320]	AND CAN YOU TELL ME A LITTLE BIT ABOUT THE HOME SITUATION
audio/GAS0002.mp3[573.320,584.120]	YEAH THE HOME SITUATION IS FINE LIKE KIDS ARE DOING GREAT AND MY PARTNER IS VERY SUPPORTIVE NO NO ISSUES THAT I CAN THINK OF AT HOME
audio/GAS0002.mp3[584.120,585.160]	OK EXCELLENT
audio/RES0060.mp3[0.000,2.640]	WHAT BRINGS YOU IN
audio/RES0060.mp3[2.640,21.000]	SO IVE HAD A FEVER THAT I MEASURED THIS MORNING AND I HAD A COUGH  IVE HAD A COUGH THESE LAST SEVERAL DAYS YEAH TODAY IS FRIDAY SO IT STARTED MONDAY SO I GUESS LIKE YEAH THE COUGH STARTED FOUR DAYS AGO
audio/RES0060.mp3[21.000,29.280]	OK AND THE FEVER STARTED FOUR DAYS AGO AS WELL
audio/RES0060.mp3[29.280,45.360]	WELL IVE BEEN FEELING HOT THIS WEEK BUT I CHECKED MY TEMPERATURE THIS MORNING AND IT WAS THE FIRST TIME I CHECKED IT AND IT WAS 385
audio/RES0060.mp3[45.360,64.240]	OK SO THATS DEFINITELY A FEVER SO WE CAN TAKE YOUR TEMPERATURE TODAY AS WELL UMM SO HAVE YOUR SYMPTOMS BEEN THE SAME OR GETTING WORSE OR BE GETTING BETTER OVER THE PAST FEW DAYS
audio/RES0060.mp3[64.240,75.440]	THEY ARE GETTING WORSE IVE BEEN STARTING TO FEEL REALLY FATIGUED AND UH TIRED AS WELL AND THE COUGH HAS GOTTEN WORSE TOO
audio/RES0060.mp3[75.440,80.280]	OK HAVE YOU EVER FELT LIKE THIS BEFORE
audio/RES0060.mp3[80.280,98.040]	I MEAN MAYBE A REALLY LONG TIME AGO WHEN I WAS A KID OR SOMETHING LIKE THAT MAYBE I HAD THE FLU BUT NOTHING RECENTLY
audio/RES0060.mp3[98.040,102.320]	OK AND DO YOU HAVE A SORE THROAT AT ALL
audio/RES0060.mp3[102.320,111.040]	NO SORE THROAT IT DOES GET A LITTLE SCRATCHY WITH MY COUGH BUT HASNT BEEN SORE
audio/RES0060.mp3[111.040,115.560]	OK AND DO YOU HAVE ANY ISSUES SWALLOWING FOOD
audio/RES0060.mp3[115.560,123.320]	NO BUT I HAVENT BEEN AS HUNGRY
audio/RES0060.mp3[123.320,132.520]	OK YOU HAVENT BEEN AS HUNGRY UM HAVE YOU HAD ANY CHANGES TO YOUR TASTE
audio/RES0060.mp3[132.520,137.400]	NO I FEEL LIKE IVE BEEN TASTING MY FOOD OK
audio/RES0060.mp3[137.400,140.160]	OK HOW ABOUT SMELL
audio/RES0060.mp3[140.160,144.280]	I FEEL LIKE IVE BEEN ABLE TO SMELL
audio/RES0060.mp3[144.280,151.920]	OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE DO YOU FEEL CONGESTED
audio/RES0060.mp3[151.920,161.080]	MAYBE A LITTLE RUNNY BUT NOT TOO BAD
audio/RES0060.mp3[161.080,166.440]	OK HOW ABOUT YOUR HEARING OR VISION ANY CHANGES THERE
audio/RES0060.mp3[166.440,169.320]	NO I HAVENT NOTICED ANYTHING
audio/RES0060.mp3[169.320,174.480]	OK ANY PAIN OR DISCHARGE FROM EITHER YOUR EARS OR EYES
audio/RES0060.mp3[174.480,176.560]	NO NOTHING LIKE THAT
audio/RES0060.mp3[176.560,183.360]	OK SO LETS GO BACK TO THE COUGH UM ARE YOU PRODUCING ANY SPUTUM
audio/RES0060.mp3[183.360,184.800]	NO SPUTUM
audio/RES0060.mp3[184.800,187.800]	OK SO ITS A DRY COUGH
audio/RES0060.mp3[187.800,189.480]	YEAH IT IS
audio/RES0060.mp3[189.480,193.000]	OK ANY BLOOD ASSOCIATED WITH THE COUGH
audio/RES0060.mp3[193.000,194.760]	I HAVENT SEEN ANY BLOOD
audio/RES0060.mp3[194.760,198.200]	OK DO YOU FEEL WHEEZY AT ALL
audio/RES0060.mp3[198.200,200.560]	I HAVENT NOTICED ANY WHEEZING
audio/RES0060.mp3[200.560,205.240]	OK HOW ABOUT SHORTNESS OF BREATH
audio/RES0060.mp3[205.240,214.880]	USUALLY WELL AFTER SOME OF MY COUGHING FITS I CAN BE A LITTLE BIT SHORTER IN BREATH BUT OTHERWISE THEYVE BEEN
audio/RES0060.mp3[214.880,219.440]	OK ANY CHEST PAIN
audio/RES0060.mp3[219.440,225.720]	NO I HAVENT HAD ANY CHEST PAIN
audio/RES0060.mp3[225.720,229.120]	DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0060.mp3[229.120,230.440]	NO I DONT
audio/RES0060.mp3[230.440,234.760]	OK AND ANY NIGHT SWEATS OR CHILLS
audio/RES0060.mp3[234.760,241.480]	I HAVE FELT A LITTLE CHILLY AT NIGHT BUT I HAVENT HAD ANY NIGHT SWEATS
audio/RES0060.mp3[241.480,248.520]	OK AND HOW ABOUT WEIGHT LOSS HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS
audio/RES0060.mp3[248.520,258.720]	NO ITS BEEN ABOUT THE SAME MAYBE DOWN A FEW POUNDS OVER THIS WEEK AS I JUST HAVENT BEEN EATING AS MUCH
audio/RES0060.mp3[258.720,268.040]	OK YEAH UMM DOES ANYTHING MAKE THE COUGH BETTER OR WORSE
audio/RES0060.mp3[268.040,274.520]	UMM NO I CANT THINK OF ANYTHING
audio/RES0060.mp3[274.520,280.720]	OK AND HOW HAVE YOUR BOWEL MOVEMENTS BEEN
audio/RES0060.mp3[280.720,284.400]	THEYVE I WOULD SAY THEYVE BEEN NORMAL
audio/RES0060.mp3[284.400,290.120]	OK AND ANY ABDOMINAL PAIN
audio/RES0060.mp3[290.120,295.120]	NO PAIN BUT I HAVE BEEN A LITTLE NAUSEOUS
audio/RES0060.mp3[295.120,299.520]	NAUSEOUS OK HAVE YOU THROWN UP
audio/RES0060.mp3[299.520,304.280]	NO I HAVENT VOMITED BUT IVE CERTAINLY FELT LIKE IT A FEW TIMES
audio/RES0060.mp3[304.280,309.440]	OK AND ANY TRIGGERS FOR YOUR NAUSEA
audio/RES0060.mp3[309.440,332.480]	OH I CANT THINK OF ANYTHING IT JUST SORT OF CAME ON AND IT REALLY WENT AWAY ON ITS OWN PRETTY QUICKLY BUT UH I DONT KNOW MAYBE IT WAS WHEN I HAD MY HEADACHE
audio/RES0060.mp3[332.480,336.280]	OK WHEN WHEN DID YOUR HEADACHE START
audio/RES0060.mp3[336.280,350.120]	UM SO ITS BEEN ON AND OFF THESE LAST SEVERAL DAYS SO IVE BEEN KIND OF RESTING A BIT MORE TOO
audio/RES0060.mp3[350.120,358.160]	OK YEAH YOU SAID PAST SEVERAL DAYS HAVE YOU EVER HAD HEADACHES BEFORE THAT
audio/RES0060.mp3[358.160,371.640]	YEAH IVE HAD I THINK THEYRE CALLED TENSION HEADACHES I GET THOSE EVERY SO OFTEN AND WILL TAKE ADVIL OR SOMETHING LIKE THAT FOR THEM AND THEY USUALLY GO AWAY
audio/RES0060.mp3[371.640,376.520]	OK DO THESE HEADACHES FEEL LIKE THE SAME HEADACHES
audio/RES0060.mp3[376.520,382.920]	YEAH THEY THEY FEEL ABOUT THE SAME KIND OF LIKE A PRESSURE OR VICE GRIP ON MY HEAD
audio/RES0060.mp3[382.920,390.600]	OK SO ITS NOT LIKE THE WORST HEADACHE YOUVE EVER EXPERIENCED
audio/RES0060.mp3[390.600,400.600]	NO I THINK ITS JUST BEEN A PART OF HOW I HAVENT BEEN FEELING WELL THESE THESE LAST FEW DAYS
audio/RES0060.mp3[400.600,407.360]	OK YEAH DO YOU FEEL FATIGUED OR TIRED AT ALL
audio/RES0060.mp3[407.360,426.400]	YEAH FOR SURE I HAVENT REALLY HAD ANY CHANGES BUT JUST HAVENT BEEN REALLY GETTING MY WORK DONE THROUGHOUT THE DAY BECAUSE I HAVE JUST BEEN FEELING SO TIRED
audio/RES0060.mp3[426.400,434.840]	YEAH UMM AND DO YOU FEEL ANY SORT OF BODY ACHES THAT GO ALONG WITH YOUR FATIGUE
audio/RES0060.mp3[434.840,436.320]	MAYBE A LITTLE
audio/RES0060.mp3[436.320,450.360]	OK UMM CAN YOU THINK OF ANYTHING THAT MAY HAVE CAUSED YOUR SYMPTOMS YOU KNOW HAVE YOU BEEN IN CONTACT WITH ANYONE WHOS BEEN SICK RECENTLY
audio/RES0060.mp3[450.360,466.120]	I CANT THINK OF ANYBODY IVE BEEN AROUND WHOS BEEN SICK BUT LAST WEEKEND I WENT SHOPPING IN THE MALL SO I WENT INTO QUITE A FEW STORES
audio/RES0060.mp3[466.120,471.880]	OK AND YOU WERE WEARING YOUR MASK EVERYONE ELSE WAS WEARING THEIR MASK
audio/RES0060.mp3[471.880,476.920]	YEAH EVERYBODY FAR AS I COULD TELL
audio/RES0060.mp3[476.920,482.240]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0060.mp3[482.240,483.960]	UH NO IVE JUST BEEN HOME
audio/RES0060.mp3[483.960,493.320]	OK I JUST WANT TO ASK YOU A FEW MORE QUESTIONS ANY MEMORY LOSS OR CONFUSION
audio/RES0060.mp3[494.760,501.040]	ANY DIZZINESS OR FAINTING SPELLS
audio/RES0060.mp3[501.040,503.080]	NOTHING LIKE THAT NO
audio/RES0060.mp3[503.080,506.320]	OK ARE YOU OTHERWISE HEALTHY
audio/RES0060.mp3[506.320,518.600]	UM YEAH IVE WELL IVE BEEN TOLD I HAD HIGH CHOLESTEROL SO IVE BEEN TAKING ROSUVASTATIN FOR THAT THE PAST FEW YEARS
audio/RES0060.mp3[518.600,522.560]	OK AND IS IT HELPING WITH THE CHOLESTEROL LEVELS
audio/RES0060.mp3[522.560,532.560]	YEAH THE LAST TIME I WAS AT THE FAMILY DOCTOR I WAS TOLD THEY WERE AT A GOOD LEVEL O
audio/RES0060.mp3[532.560,534.600]	OK GOOD
audio/RES0060.mp3[534.600,538.760]	IM SORRY IM PREDIABETIC AS WELL
audio/RES0060.mp3[538.760,544.560]	OK WHEN WAS THE LAST TIME YOU HAD BLOOD WORK DONE
audio/RES0060.mp3[544.560,549.800]	I THINK UH SIX MONTHS AGO
audio/RES0060.mp3[549.800,556.120]	OK AND THATS WHEN YOU WERE TOLD YOU WERE PREDIABETIC
audio/RES0060.mp3[556.120,567.960]	YEAH I THINK MY A1C WAS LIKE 62 SO UH ON THE CUSP
audio/RES0060.mp3[567.960,579.640]	OK YEAH THATS UNDERSTANDABLE UM HAVE YOU MADE ANY SORT OF LIFESTYLE CHANGES TO GET YOUR BLOOD GLUCOSE UNDER CONTROL
audio/RES0060.mp3[579.640,605.600]	WELL I HAVE BEEN WALKING THE DOG MORE HE WEATHER IS GETTING BETTER AND TRYING TO EAT OUT LESS OFTEN YEAH IVE BEEN TRYING TO LOSE WEIGHT BUT IT ITS BEEN YEAH RELATIVELY STABLE STILL
audio/RES0060.mp3[605.600,613.680]	DOK WE CAN REVIEW SOME OPTIONS WITH YOU LATER ON IN THE VISIT IF YOU WOULD LIKE
audio/RES0060.mp3[613.680,619.280]	YEAH CERTAINLY WE CAN TALK ABOUT THAT LATER
audio/RES0060.mp3[619.280,627.480]	OK SOUNDS GOOD HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS IN THE PAST
audio/RES0060.mp3[627.480,639.280]	YEAH I HAD AN INGUINAL HERNIA REPAIRED ABOUT FIVE YEARS AGO
audio/RES0060.mp3[639.280,642.280]	AND ARE YOU ON ANY MEDICATIONS
audio/RES0060.mp3[642.280,646.120]	JUST ROSUVASTATIN RIGHT NOW
audio/RES0060.mp3[646.120,654.400]	OK AND ANY OVER THE COUNTER MEDICATIONS OR HERBAL SUPPLEMENTS
audio/RES0060.mp3[654.400,656.200]	JUST A MULTI VITAMIN
audio/RES0060.mp3[656.200,661.720]	OK UMM DO YOU HAVE ANY ALLERGIES
audio/RES0060.mp3[661.720,668.280]	PENICILLIN I BREAK OUT IN HIVES
audio/RES0060.mp3[668.280,676.320]	OK AND DID YOU NEED TO BE TREATED WITH ANY SORT OF ANTIBIOTICS RECENTLY
audio/RES0060.mp3[676.320,679.840]	NO NO I HAVENT HAD ANY ANTIBIOTICS FOR A LONG TIME
audio/RES0060.mp3[679.840,684.960]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0060.mp3[684.960,691.200]	I AM YEAH I GET THE FLU SHOT EVERY YEAR
audio/RES0060.mp3[691.200,701.160]	OK GOOD AN YEAH THATS REALLY GOOD UM DO YOU KNOW IF YOU HAVE ANY FAMILY HISTORY OF ANY LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0060.mp3[701.160,705.200]	NO I DONT THINK SO
audio/RES0060.mp3[705.200,708.320]	OK HOW ABOUT CANCERS IN THE FAMILY
audio/RES0060.mp3[708.320,718.640]	I THINK MY GRANDFATHER HAD BLADDER CANCER BUT UH IM NOT SURE
audio/RES0060.mp3[718.640,737.960]	OK AND I FORGET IF I ASKED YOU EARLIER BUT HAVE YOU HAD ANY CHANGES TO YOUR URINARY HABITS ANY CHANGES IN YOUR URINE ITSELF OR VOIDING FREQUENCY
audio/RES0060.mp3[737.960,747.360]	NO I HAVENT HAD ANY CHANGES THERE AND I HAVENT NOTICED ANY LIKE BLOOD OR COLOR CHANGES NO PAIN
audio/RES0060.mp3[747.360,755.440]	OK GREAT AND DO YOU SMOKE
audio/RES0060.mp3[755.440,758.720]	UM NO I DO NOT
audio/RES0060.mp3[758.720,762.240]	OK HOW ABOUT MARIJUANA
audio/RES0060.mp3[764.600,766.600]	ANY OTHER RECREATIONAL DRUG
audio/RES0060.mp3[766.600,776.960]	NO I JUST HAVE A FEW BEERS ON THE WEEKEND LIKE PROBABLY I DONT KNOW TWO OR THREE ON SATURDAY AND SUNDAY
audio/RES0060.mp3[776.960,783.720]	OK AND WHERE DO YOU LIVE
audio/RES0060.mp3[783.720,791.600]	I LIVE IN A LIKE DUPLEX AND RENT THE BASEMENT IN A HOUSE NEARBY
audio/RES0060.mp3[791.600,795.280]	OK DO YOU LIVE WITH ANYONE
audio/RES0060.mp3[795.280,801.520]	YEAH I LIVE WITH MY GIRLFRIEND
audio/RES0060.mp3[801.520,813.080]	OK AND UM ANY CONCERNS FOR YOU KNOW OLD CARPETS OR MOLD OR ASBESTOS IN THE DUPLEX THAT YOURE LIVING IN
audio/RES0060.mp3[813.080,825.320]	NOT IN OUR UNIT SO I MEAN MAYBE UPSTAIRS BUT IF ITS ANYTHING LIKE OUR PLACE THEN NO
audio/RES0060.mp3[825.320,837.720]	OK I THINK THOSE WERE ALL THE QUESTIONS THAT I HAD FOR YOU DID YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WANTED TO BRING UP BEFORE WE END THE INTERVIEW
audio/RES0060.mp3[837.720,845.760]	UH NO WELL  I GUESS I WAS JUST CONCERNED ABOUT ABOUT COVI
audio/RES0060.mp3[845.760,932.800]	YEAH YOU KNOW THATS THE TOP ON MY LIST OF DIFFERENTIAL DIAGNOSIS FOR YOU SO WHAT WELL DO IS A COVISWAB AND THAT SHOULD COME BACK IN A DAY OR SO BUT WE DO ENCOURAGE ISOLATION FOR 14 DAYS AND THAT INCLUDES FROM YOUR GIRLFRIEND AS WELL SO EVEN IF THE COVISWAB COMES BACK NEGATIVE SOMETIMES IT CAN BE FALSE NEGATIVE SO AS LONG AS YOURE HAVING THESE SYMPTOMS AND THESE SYMPTOMS ARE COMMON IN COVI WE DO ASK THAT YOU ISOLATE FOR 14 DAYS IF THE SWAB COMES BACK POSITIVE WE WILL ALSO NOTIFY PUBLIC HEALTH SO THAT THEY CAN GET IN TOUCH WITH YOU AND DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN COVIFROM BUT OTHER THAN THAT IF ITS NOT COVIIT COULD LIKELY BE ANOTHER UPPER RESPIRATORY VIRAL ILLNESS BECAUSE OF THIS TIME OF YEAR A LOT OF DIFFERENT VIRUSES ARE GOING AROUND LIKE COMMON VIRUSES OR THE FLU YOU KNOW SO IT COULD BE ONE OF THOSE AND THEN IF YOURE STILL SICK OR YOUR SYMPTOMS CHANGE WE CAN REASSESS TO MAKE SURE ITS NOT A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA IN WHICH CASE WE CAN PRESCRIBE ANTIBIOTICS
audio/RES0060.mp3[932.800,939.960]	OK YEAH THANK YOU FOR ALL THAT INFORMATION SOUNDS GREAT
audio/RES0060.mp3[939.960,942.280]	OK WELL TAKE CARE THEN ALRIGHT
audio/RES0060.mp3[942.280,947.280]	THANK YOU
audio/RES0196.mp3[0.000,3.120]	WHAT BRINGS IN YOU HERE TODAY
audio/RES0196.mp3[3.120,27.320]	YES I BROUGHT IN MY DAUGHTER SHES 8 YEARS OLD SO RECENTLY SHES BEEN TELLING ME SHES HAVING A LOT OF EAR PAIN AND SHES HAD A FEVER FOR THE PAST TWO DAYS AS WELL WE CHECKED HER TEMPERATURE AT HOME IT WAS 388 AND SO WERE JUST HERE TO SEE IF WE CAN GET SOME ANTIBIOTICS FOR IT
audio/RES0196.mp3[27.320,31.560]	OK UM AND HAS THIS HAPPENED BEFORE AT ALL
audio/RES0196.mp3[31.560,37.400]	SHES HAD SOME EAR INFECTIONS ON AND OFF SINCE SHE WAS LIKE UH 2
audio/RES0196.mp3[37.400,40.000]	OK THEN HAS SHE REQUIRED ANTIBIOTICS
audio/RES0196.mp3[41.320,44.640]	OK WHEN WAS THEIR LAST EAR INFECTION DO YOU REMEMBER
audio/RES0196.mp3[44.640,50.560]	IT WAS ACTUALLY LAST YEAR WHEN SHE WAS SEVEN
audio/RES0196.mp3[50.560,56.880]	OK AND SO IS IT JUST ONE EAR THAT SHES HAVING THE PAIN OR IS IT BOTH
audio/RES0196.mp3[56.880,58.920]	ITS ONE EAR
audio/RES0196.mp3[58.920,61.000]	OK IN WHICH WHICH EAR IS IT
audio/RES0196.mp3[61.000,62.600]	ITS THE RIGHT EAR
audio/RES0196.mp3[62.600,68.440]	RIGHT EAR AND WHEN DID YOU NOTICE THAT SHE STARTED HAVING THIS PAIN
audio/RES0196.mp3[68.440,74.120]	UM I NOTICED IT LIKE 3 DAYS AGO
audio/RES0196.mp3[74.120,83.240]	THREE DAYS AGO OK WAS SHE IRRITABLE LIKE OR WAS HE KIND OF TUGGING HER EARS IN PAIN OR HOW HOW WOULD YOU DESCRIBE IT
audio/RES0196.mp3[83.240,107.760]	YEAH SHE BASICALLY WHILE SHE TOLD ME SHES BEEN HAVING SOME EAR PAIN AND YEAH SHES BEEN PULLING AT IT AND YOU KNOW SHES TRIED LIKE MINERAL OIL AND THINGS LIKE THAT TO SEE IF SHE CAN UNBLOCK IT BUT I I LOOKED IN THERE IT DOESNT SEEM LIKE THERES A LOT OF WAX IN THERE UM YEAH
audio/RES0196.mp3[107.760,112.520]	UM HAS IT BEEN SO PAINFUL THAT SHE HAS BEEN CRYING AT ALL
audio/RES0196.mp3[112.520,115.720]	YEAH SHES CRIED A FEW TIMES
audio/RES0196.mp3[115.720,122.400]	OK HAVE YOU NOTICED ANY KIND OF DRAINAGE COMING OUT OF HER EARS ANY FLUIDS
audio/RES0196.mp3[122.400,124.560]	NO I DIDNT NOTICE THAT
audio/RES0196.mp3[124.560,127.560]	UM ANY FEVERS OR CHILLS
audio/RES0196.mp3[127.560,130.320]	YEAH SHES HAD A FEVER FOR THE PAST TWO DAYS
audio/RES0196.mp3[130.320,134.080]	PAST 2 DAYS OK DID YOU GET A CHANCE TO MEASURE IT AT ALL
audio/RES0196.mp3[134.080,136.720]	UH 388
audio/RES0196.mp3[136.720,151.200]	388 OK OK AND SHE HAD ANY OTHER SYMPTOMS RECENTLY LIKE A COUGH RUNNY NOSE SORE THROAT ANY VIRAL OR COLD LIKE SYMPTOMS
audio/RES0196.mp3[151.200,154.280]	NO NOT THAT IVE NOTICED
audio/RES0196.mp3[154.280,157.040]	OK UM AND SHE HAD ANY HEADACHES
audio/RES0196.mp3[157.040,159.880]	NO HEADACHES
audio/RES0196.mp3[159.880,164.880]	OK ANY RECENT TRAVEL OR CONTACT WITH ANYONE WHOS BEEN SICK
audio/RES0196.mp3[164.880,167.560]	UM NO
audio/RES0196.mp3[167.560,170.040]	NO ANY NAUSEA OR VOMITING
audio/RES0196.mp3[170.040,171.600]	UH NO
audio/RES0196.mp3[171.600,175.080]	ANY CHANGES IN HER BOWEL MOVEMENTS
audio/RES0196.mp3[175.080,178.720]	UH NOPE
audio/RES0196.mp3[178.720,184.120]	OK AND ANY FATIGUE OR JUST FEELING VERY TIRED
audio/RES0196.mp3[184.120,187.760]	UH SHES BEEN PRETTY TIRED
audio/RES0196.mp3[187.760,192.520]	HAS SHE HAD TO MISS ANY SCHOOL OR ANYTHING LIKE THAT
audio/RES0196.mp3[192.520,197.880]	YEAH SHE WASNT GOING TO SCHOOL FOR THE PAST THREE DAYS
audio/RES0196.mp3[197.880,201.120]	OK AND ANY ISSUES THAT ARE SLEEP OR APPETITE
audio/RES0196.mp3[203.800,212.720]	OK AND ANY MEDICAL CONDITIONS THAT SHES BEEN DIAGNOSED WITH IN THE PAST
audio/RES0196.mp3[212.720,218.040]	NO SHES BEEN PRETTY HEALTHY BESIDES THE RECURRENT EAR INFECTIONS
audio/RES0196.mp3[218.040,222.000]	OK HAS HER HEARING BEEN AFFECTED AT ALL
audio/RES0196.mp3[222.000,226.200]	NOT THAT IVE NOTICED
audio/RES0196.mp3[226.200,236.240]	OK AND YOU MENTIONED ITS RECURRING HOW SHE EVER HAD TO SEE AN EAR NOSE AND THROAT SPECIALIST
audio/RES0196.mp3[236.240,250.160]	SO WHEN SHE WAS YOUNGER WHEN SHE WAS LIKE 4 SHE SAW ONE BUT THEN SHE HADNT HAD AN EAR INFECTION BETWEEN THE AGE OF 4 TO 7 SO WE DIDNT GO BACK TO THEM
audio/RES0196.mp3[250.160,251.040]	OK YEAH
audio/RES0196.mp3[251.560,256.560]	OK AND IF SHE EVER HAD TUBES PUT INTO YOUR EARS OR ANYTHING LIKE THAT
audio/RES0196.mp3[256.560,266.720]	UH NO THEY WERE THEY WERE TALKING ABOUT IT BUT WE NEVER ENDED UP DOING THAT
audio/RES0196.mp3[266.720,271.640]	OK OK ANY MEDICATIONS THAT SHE TAKES EVERYDAY
audio/RES0196.mp3[271.640,277.440]	UH NO JUST MULTIVITAMINS
audio/RES0196.mp3[277.440,281.000]	OK ANY ALLERGIES
audio/RES0196.mp3[281.720,288.560]	OK ANY CONTACTS AT ALL ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0196.mp3[289.120,295.400]	HOW ABOUT HER BIRTH  WAS IT A VAGINAL DELIVERY OR CSECTION
audio/RES0196.mp3[295.400,298.080]	IT WAS VAGINAL
audio/RES0196.mp3[298.080,301.880]	AND WAS SHE PREMATURE OR AT TERM CHOOSE THAT TERM
audio/RES0196.mp3[301.880,302.920]	SHE WAS AT TERM
audio/RES0196.mp3[302.920,307.120]	ANY COMPLICATIONS AT ALL DURING YOUR PREGNANCY WITH HER
audio/RES0196.mp3[307.120,310.240]	NO NO
audio/RES0196.mp3[310.240,317.480]	OK AFTER SHE WAS BORN DOES SHE HAVE TO STAY IN AN ICU OR ANY COMPLICATIONS AFTERWARDS
audio/RES0196.mp3[317.480,320.960]	NO SHE WAS HEALTHY
audio/RES0196.mp3[320.960,333.120]	OK THATS GOOD AND IN TERMS OF HER DEVELOPMENT THROUGHOUT THE YEARS ANY ISSUES WITH HER GROWTH LEARNING OR ANYTHING LIKE THAT
audio/RES0196.mp3[333.120,336.800]	UH NO SHES BEEN PRETTY GOOD WITH HITTING ALL THOSE MILESTONES
audio/RES0196.mp3[336.800,346.880]	OK ALRIGHT AND CURRENTLY RIGHT NOW SO IS SHE DOING ONLINE SCHOOL OR SHE DOING IN PERSON
audio/RES0196.mp3[346.880,350.560]	AH SHE IS GOING IN PERSON
audio/RES0196.mp3[350.560,354.760]	OK AND HOW ABOUT HER LIVING SITUATION CURRENTLY
audio/RES0196.mp3[354.760,363.800]	AH SHOULD ALSO AT HOME WITH MYSELF FROM HER FATHER AND HER YOUNGER SIBLING
audio/RES0196.mp3[363.800,369.160]	OK UH AND UH ANY ANYONE SMOKE IN THE HOUSE AT ALL
audio/RES0196.mp3[373.440,428.680]	NO OK ALRIGHT SO THOSE ARE ALL THE QUESTIONS I HAD FOR HER TODAY SO DEFINITELY SINCE THERE IS A RISK THAT SHE MIGHT BE HAVING ANOTHER EAR INFECTION WE WILL NEED TO DO LIKE A FULL PHYSICAL EXAMINATION ILL HAVE TO LOOK INTO HER EAR TO SEE IF I SEE ANY INFLAMMATION OR PERFORATION AND THEN BASED ON THAT WELL DISCUSS SOME MANAGEMENT SHE MAY REQUIRE SOME ANTIBIOTICS LIKE SHE HAS HAD BEFORE BUT THAT WILL DEPEND ON WHAT I SEE ON PHYSICAL EXAMINATION SHE HAS BEEN HAVING A FEVER SO SHE MIGHT AND ITS ONLY BEEN THREE DAYS RIGHT SO WE MAY EVEN DO SOME CONSERVATIVE MANAGEMENT AND GET HER TO TAKE SOME MAYBE PAIN MEDICATIONS AND THEN GO FROM THERE OR EAR DROPS
audio/RES0196.mp3[430.560,452.840]	UH BUT YEAH SO WELL DO THE EXAMINATION AND THEN GO FROM THERE SHE SAID SHE HAS BESIDES THE FEVER AND THAT YOUR PAIN SHES NOT REALLY HAVING ANY OTHER SYMPTOMS SO I DONT THINK SHE NEEDS TO GET TESTED FOR COVID RIGHT NOW BUT THATS SOMETHING WE CAN CONSIDER AS WELL IF SHE DEVELOPS OTHER SYMPTOMS
audio/RES0196.mp3[452.840,455.080]	OK THAT SOUNDS GREAT THANK YOU
audio/RES0196.mp3[455.080,456.880]	YOUR WELCOME TAKE CARE
audio/RES0196.mp3[456.880,458.560]	YOU TOO
audio/RES0037.mp3[0.000,4.920]	I WOULD JUST LIKE TO START WITH WHAT BROUGHT YOU IN HERE TODAY TO THE FAMILY CLINIC
audio/RES0037.mp3[4.920,10.960]	YEAH SO IVE BEEN COUGHING FOR A FEW MONTHS NOW AND SO THATS THE PROBLEM
audio/RES0037.mp3[10.960,19.440]	OK AND HOW MANY MONTHS HAVE YOU BEEN COUGHING FOR
audio/RES0037.mp3[19.440,32.800]	JUST OVER TWO I WOULD SAY AND ITS BEEN IVE BEEN BRINGING UP THIS YELLOW GREENISH SPUTUM ITS KIND OF GROSS
audio/RES0037.mp3[32.800,42.280]	OK AND HOW HOW MUCH OF THE SPUTUM WOULD YOU SAY YOURE BRINGING UP IN AN AVERAGE DAY LIKE A TEASPOON TABLESPOON
audio/RES0037.mp3[42.280,52.000]	OH I SEE OK I DONT KNOW MAYBE A FEW TEASPOONS THROUGHOUT THE DAY
audio/RES0037.mp3[53.040,67.320]	AT FIRST I THOUGHT I I I HAD A A CHEST INFECTION BUT EVEN AFTER ANTIBIOTICS FROM MY GOR OR MY FAMILY DOCTOR IT NEVER CLEARED UP
audio/RES0037.mp3[67.320,72.360]	OK AND SO WHEN DID YOU GO ON THE ANTIBIOTICS
audio/RES0037.mp3[72.360,75.520]	AH SO THIS IS ABOUT UH ABOUT A MONTH AGO
audio/RES0037.mp3[78.280,94.600]	AND YEAH SO I WENT TO SEE MY FAMILY DOCTOR ABOUT THE COUGH THEN AND DAD WAS PRESCRIBED SOME ANTIBIOTICS I THINK AZITHROMYCIN AND IT IT STILL DIDNT IT DIDNT DO ANYTHING
audio/RES0037.mp3[94.600,102.240]	OK I SEE AND DO YOU FIND THAT YOUR COUGH HAS BEEN GETTING WORSE SINCE THEN
audio/RES0037.mp3[102.240,106.440]	UH I WOULD SAY THE COUGH HAS BEEN ABOUT THE SAME
audio/RES0037.mp3[106.440,115.760]	OK BUT HOW ABOUT THE SPUTUM THAT YOURE BRINGING UP HAS THAT INCREASED
audio/RES0037.mp3[115.760,129.000]	UH ITS ABOUT THE SAME BUT IT DEFINITELY I WOULD SAY THERES A PINK TINGE IN THE SPUTUM NOW EVERY ONCE IN AWHILE IVE NOTICED MORE THAN THAN BEFORE
audio/RES0037.mp3[129.000,139.480]	OK AND DID THIS ALL START AFTER THE CHEST INFECTION OR DID YOU HAVE SOMETHING LIKE THIS OCCUR BEFORE
audio/RES0037.mp3[139.480,143.640]	UM YEAH THIS ALL STARTED AFTER
audio/RES0037.mp3[143.640,152.320]	OK I SEE WAS THERE ANYTHING THAT HAPPENED AROUND THAT TIME ANY NEW ENVIRONMENT THAT YOU WERE EXPOSED TO
audio/RES0037.mp3[152.320,158.760]	AH WELL I DID GO TO INDIA A FEW MONTHS AGO
audio/RES0037.mp3[158.760,164.920]	OK AND HOW MANY MONTHS WAS THAT WAS THAT ALSO LIKE TWO MONTHS AGO
audio/RES0037.mp3[164.920,177.040]	YEAH ABOUT THAT PROBABLY CLOSER TO THREE OR FOUR BUT YEAH RIGHT AROUND THE TIME THAT THAT I THINK THIS UHM COUGH STARTED OR JUST BEFORE I GOT BACK
audio/RES0037.mp3[177.040,184.400]	OK I SEE AND HOW OFTEN ARE YOU COUGHING IN A DAY
audio/RES0037.mp3[184.400,187.800]	AH A FEW TIMES AN HOUR
audio/RES0037.mp3[187.800,195.240]	OK ANYTHING THAT MAKES YOUR COUGH GO AWAY NOW YOUVE TRIED
audio/RES0037.mp3[195.240,203.240]	UH NO NOTHINGS REALLY HELPED IT GO AWAY
audio/RES0037.mp3[203.240,214.840]	OK AND IS IT BETTER OR WORSE DURING GOOD MORNING AS OPPOSED TO NIGHT
audio/RES0037.mp3[214.840,228.280]	UH ITS PRETTY ITS PRETTY BAD ALL DAY ACTUALLY AND ITS BEEN IMPACTING MY SLEEP BECAUSE IVE BEEN COUGHING AT NIGHT TOO
audio/RES0037.mp3[228.280,241.160]	I SEE AND UM IN TERMS OF THINGS THAT MAKE IT WORSE ANYTHING YOU DO AROUND THE HOUSE OR AT WORK THAT MAKES THE COUGHING WORSE
audio/RES0037.mp3[241.160,256.400]	UH YEAH I GUESS IF IM JUST MOVING AROUND A LITTLE BIT MORE IT MIGHT BRING IT ON A LITTLE BIT MORE BUT ITS PRETTY BAD ALL DAY
audio/RES0037.mp3[256.400,268.760]	I SEE AND IN TERMS OF ANY OTHER SYMPTOMS YOU MIGHT BE HAVING UH DO YOU HAVE ANY SHORTNESS OF BREATH RUNNY NOSE ANY CHEST PAIN
audio/RES0037.mp3[268.760,272.200]	UM NO NOT REALLY
audio/RES0037.mp3[272.200,279.400]	OK BESIDES THE PAIN TINGED SPUTUM HAVE YOU EVER COUGHED UP BLOOD LIKE RED BLOOD
audio/RES0037.mp3[279.400,283.920]	NOT ANYTHING THAT WAS REALLY BRIGHT RED MORE PINK
audio/RES0037.mp3[283.920,301.520]	MORE PINK OK YEAH SO YOU TRAVELED TO INDIA JUST TWO MONTHS AGO DO YOU REMEMBER WHAT KIND OF PLACE YOU STAYED IN INDIA WAS IT A A IN A CROWDED PLACE OR WERE YOU BY YOURSELF
audio/RES0037.mp3[301.520,313.640]	WELL I MEAN THERE IS A LOT OF PEOPLE AROUND YEAH THERE WAS NOT A LOT OF ROOM WHERE I WAS WAS STAYING SO IT WAS PRETTY CROWDED
audio/RES0037.mp3[313.640,322.440]	OK AND WAS THERE ANYONE THAT WAS ILL AROUND YOU OR ANY EXPOSURE TO TUBERCULOSIS
audio/RES0037.mp3[322.440,332.480]	UHM NOT THAT IM NOT AWARE OF I WAS AROUND MY FAMILY BUT UMM I GUESS ITS POSSIBLE
audio/RES0037.mp3[332.480,344.240]	OK AND ONCE YOU CAME BACK DID ANYONE ELSE IN YOUR FAMILY GET SICK OR WAS IT JUST YOU
audio/RES0037.mp3[344.240,361.040]	OH YEAH I SPOKE TO MY RELATIVE WENT WHEN I GOT BACK AND THEY THEY DIDNT TELL ME ABOUT ONE OF MY COUSINS THERE THAT WAS FEELING SICK
audio/RES0037.mp3[361.040,367.040]	OK AND HAVE YOU BEEN HAVING ANY FEVERS OR CHILLS
audio/RES0037.mp3[367.040,372.400]	YEAH I FEEL I FEEL LIKE IVE BEEN PRETTY PRETTY HOT SOMETIMES
audio/RES0037.mp3[372.400,376.680]	OK AND HOW ABOUT NIGHT SWEATS
audio/RES0037.mp3[376.680,386.400]	YEAH THE COUGHS BEEN MESSING WITH MY SLEEP AND IVE BEEN WAKING UP WITH NIGHT SWEATS
audio/RES0037.mp3[386.400,389.880]	OK AND HAVE YOU BEEN HAVING ANY HEADACHES
audio/RES0037.mp3[389.880,392.360]	AH NO HEADACHES
audio/RES0037.mp3[392.360,399.560]	ANY DO YOU FEEL THAT YOUVE LOST ANY WEIGHT RECENTLY
audio/RES0037.mp3[399.560,403.200]	UH MAYBE A FEW POUNDS BUT UM
audio/RES0037.mp3[403.200,407.120]	HAVE YOU TRIED TO LOSE WEIGHT OR WAS THAT UNINTENTIONAL
audio/RES0037.mp3[407.120,419.520]	NO I I WAS KIND OF SURPRISED I THOUGHT I WOULD HAVE GAINED WEIGHT CAUSE IVE BEEN A BIT MORE LAZY RECENTLY BUT THE WEIGHT SEEMS TO BE DOWN ANYWAY
audio/RES0037.mp3[419.520,426.200]	I SEE OK HAVE YOU NOTICED ANY WHEEZING SOUNDS WHEN YOU BREATHE OUT OR BREATHE IN
audio/RES0037.mp3[426.200,427.840]	NO WHEEZING
audio/RES0037.mp3[427.840,430.320]	OK AND YOU MENTIONED NO CHEST PAIN RIGHT
audio/RES0037.mp3[430.320,432.040]	YEAH NO CHEST PAIN
audio/RES0037.mp3[432.040,439.000]	OK HAVE YOU NOTICED ANY KIND OF SWELLING IN YOUR LEGS OR HANDS OR ANYWHERE ELSE IN YOUR BODY
audio/RES0037.mp3[439.000,442.400]	NO SWELLING
audio/RES0037.mp3[442.400,449.080]	OK ANY BOWEL MOVEMENT CHANGES ANY CONSTIPATION OR DIARRHEA ANY OF THOSE
audio/RES0037.mp3[449.800,452.080]	OK ANY URINARY PROBLEMS
audio/RES0037.mp3[452.080,454.920]	UH NO
audio/RES0037.mp3[454.920,461.120]	OK ANY CHANGES IN YOUR APPETITE AT ALL DO YOU FEEL THAT YOUVE LOST ANY APPETITE
audio/RES0037.mp3[461.120,465.680]	UM YEAH YEAH MAYBE EATING A LITTLE BIT LESS
audio/RES0037.mp3[465.680,480.320]	OK AND IN YOUR CURRENT ENVIRONMENT RIGHT NOW ARE YOU EXPOSED TO ANY FUMES OR DUST OR ANY ANIMALS
audio/RES0037.mp3[480.320,486.080]	UHM WE HAVE A DOG BUT UM NO FUMES OR ANYTHING LIKE ANYTHING LIKE THAT
audio/RES0037.mp3[486.080,491.360]	OK HAVE YOU EXPERIENCED ANY KIND OF DIZZINESS OR FAINTING SPELLS
audio/RES0037.mp3[492.600,501.160]	OK IN TERMS OF YOUR PAST MEDICAL HISTORY HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0037.mp3[501.160,510.480]	UM YEAH I MEANT UH HIGH BLOOD PRESSURE TYPE 2 DIABETES AND HIGH CHOLESTEROL
audio/RES0037.mp3[510.480,517.240]	I SEE AND ARE YOU TAKING ANY MEDICATIONS FOR ANY OF THOSE
audio/RES0037.mp3[517.240,534.680]	YEAH IM TAKING UHM A FEW MEDICATIONS FOR BLOOD PRESSURE AND UH AND AND DIABETES RIGHT NOW AND I THINK I ROSUVASTATIN FOR FOR THE CHOLESTEROL IM NOT SURE OF THE OTHER ONES THOUGH
audio/RES0037.mp3[534.680,541.960]	OK NO WORRIES AND DO YOU KNOW IF YOURE ALLERGIC TO ANY MEDICATIONS OR DO YOU HAVE ANY ENVIRONMENTAL ALLERGIES
audio/RES0037.mp3[541.960,551.480]	I THINK I I GOT A RASH TO PENICILLIN WHEN I WAS WHEN I WAS YOUNGER BUT THATS IT
audio/RES0037.mp3[551.480,555.000]	OK ANY PREVIOUS HOSPITALIZATIONS
audio/RES0037.mp3[555.000,558.080]	UH NOPE
audio/RES0037.mp3[558.080,559.240]	OK ANY SURGERIES
audio/RES0037.mp3[559.240,564.640]	NO SURGERIES
audio/RES0037.mp3[564.640,571.960]	OK AND IN YOUR FAMILY HAS ANYONE EVER HAD ANY CANCERS OR DIED OF A HEART ATTACK
audio/RES0037.mp3[571.960,577.480]	YEAH MY MOTHER OUT A HEART ATTACK WHEN SHE WAS 48
audio/RES0037.mp3[577.480,586.200]	OK AND HAS ANYONE EVER HAD ANYTHING LIKE PULMONARY FIBROSIS OR ANY AUTOIMMUNE CONDITIONS
audio/RES0037.mp3[586.200,589.720]	UHM WHAT ARE THOSE
audio/RES0037.mp3[589.720,597.800]	SO PULMONARY FIBROSIS IS A CONDITION IN YOUR LUNG WHERE YOU START GETTING LIKE THESE NODULES
audio/RES0037.mp3[597.800,598.040]	I SEE
audio/RES0037.mp3[598.040,623.080]	AND IT CAN RUN IN THE FAMILY AND THAT CAN CAUSE SOME OF THE SYMPTOMS LIKE A CHRONIC COUGH IT CAN CAUSE SOMETIMES SHORTNESS OF BREATH AND IT CAN SOMETIMES BE ASSOCIATED WITH THE LIKE SOME CONNECTIVE TISSUE DISORDERS THAT CAN RUN IN THE FAMILY UMM ANY OF THOSE RING A BELL
audio/RES0037.mp3[623.080,630.360]	NO I HAVENT HEARD OF ANYTHING LIKE THAT IN MY FAMILY
audio/RES0037.mp3[630.360,641.720]	OK YEAH AND OTHER THAN THAT WHERE DO YOU CURRENTLY LIVE DO YOU LIVE BY YOURSELF OR WITH ANYONE ELSE
audio/RES0037.mp3[641.720,649.360]	YEAH I LIVE WITH MY HUSBAND AND THREE SONS JUST OUTSIDE OF TOWN HERE
audio/RES0037.mp3[649.360,655.400]	OK AND HAVE ANY OF THEM BEEN SICK
audio/RES0037.mp3[655.400,658.960]	NO EVERYBODYS BEEN FEELING WELL AT HOME
audio/RES0037.mp3[658.960,666.960]	OK AND DO YOU WORK CURRENTLY
audio/RES0037.mp3[666.960,668.600]	UH NO IM I RETIRED
audio/RES0037.mp3[668.600,675.960]	OK AND CURRENTLY DO YOU SMOKE CIGARETTES
audio/RES0037.mp3[675.960,685.120]	YEAH YEAH I SMOKE ABOUT A HALF A PACK OF CIGARETTES PER DAY AND AH IVE BEEN TRYING TO CUT DOWN
audio/RES0037.mp3[685.120,690.160]	OK AND HOW LONG HAVE YOU BEEN SMOKING FOR
audio/RES0037.mp3[690.160,695.880]	AH PROBABLY LIKE 30 YEARS
audio/RES0037.mp3[695.880,701.200]	I SEE AND DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA OR COCAINE
audio/RES0037.mp3[701.200,703.400]	AH NO IVE NEVER USED ANYTHING LIKE THAT
audio/RES0037.mp3[703.400,710.880]	OK AND HOW ABOUT ALCOHOL DO YOU DRINK ALCOHOL
audio/RES0037.mp3[710.880,713.080]	UHM NO
audio/RES0037.mp3[713.080,722.480]	NO OK ALRIGHT SO YEAH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS FOR ME OR ANY QUESTIONS OR CONCERNS
audio/RES0037.mp3[722.480,727.400]	UM NOT RIGHT NOW
audio/RES0037.mp3[727.400,751.280]	OK SO WELL BE DOING SOME INVESTIGATIONS SINCE YOU RECENTLY TRAVELED TO INDIA WE NEED TO MAKE SURE THAT YOU DONT HAVE TUBERCULOSIS AS THATS PREVALENT IN SOME PARTS OF INDIA SO WE WILL DO SOME WE MIGHT GET LIKE A CHEST XRAY FOR THAT YOU MAY HAVE A PNEUMONIA AS WELL AND THEN WELL GO FROM THERE DOES THAT SOUND GOOD
audio/RES0037.mp3[751.280,752.200]	YEAH FOR SURE
audio/RES0037.mp3[752.200,766.240]	OK ALRIGHT WELL YEAH WELL AFTER THOSE TESTS HAVE COME BACK WELL SEE YOU IN THE NEXT APPOINTMENT FOR FOLLOW UP
audio/RES0037.mp3[766.240,768.880]	THANK YOU
audio/RES0037.mp3[768.880,774.040]	YOURE WELCOME
audio/RES0062.mp3[0.000,2.440]	WHAT BRINGS YOU IN
audio/RES0062.mp3[2.440,11.200]	WELL IVE HAD THIS COUGH BUT THE BIGGEST ISSUE IS THAT IVE BEEN REALLY SHORT OF BREATH
audio/RES0062.mp3[11.200,15.160]	OK UM WHEN DID THE COUGH START
audio/RES0062.mp3[15.160,18.600]	I WOULD SAY ABOUT 3 DAYS AGO
audio/RES0062.mp3[18.600,27.080]	THREE DAYS AGO OK AND UH AROUND THAT TIME DID YOU ALSO START FEELING SHORT OF BREATH
audio/RES0062.mp3[27.080,36.280]	UH THE SHORTNESS OF BREATH HAS COME ON I DONT KNOW WITHIN THE LAST DAY OR SO ITS COME ON AFTER THAT THE COUGH STARTED FIRST
audio/RES0062.mp3[36.280,44.960]	OK AND THE COUGH IS IT A DRY COUGH OR IS IT A WET COUGH
audio/RES0062.mp3[44.960,56.400]	WELL IVE BEEN BRINGING UP SOME YELLOWISH GREEN KIND OF LIKE PHLEGM SO UM I GUESS A WET COUGH
audio/RES0062.mp3[56.400,59.680]	OK SO YEAH YELLOWISH GREEN YOU SAID
audio/RES0062.mp3[60.920,64.040]	OK ANY BLOOD IN THE SPUTUM
audio/RES0062.mp3[64.040,65.840]	I HAVENT NOTICED ANY BLOOD
audio/RES0062.mp3[65.840,79.320]	OK AND HOW MUCH SPUTUM ARE YOU COUGHING UP EACH TIME LIKE IS IT KIND OF THE SIZE OF YOUR FINGERTIP OR DOES IT FILL YOUR WHOLE PALM
audio/RES0062.mp3[79.320,84.400]	UM YEAH PROBABLY MORE LIKE THE SIZE OF LIKE A THUMB TIP
audio/RES0062.mp3[84.400,95.720]	OK OK UM AND DO YOU NOTICE ANY LIKE PUS OR FROTH IN THE SPUTUM
audio/RES0062.mp3[95.720,99.800]	NOTHING LIKE THAT I NOTICED
audio/RES0062.mp3[99.800,117.760]	OK AND IF YOU WERE TO DESCRIBE THE SOUND OF YOUR COUGH DOES IT SOUND LIKE ITS BARKY OR LIKE A HACKING COUGH
audio/RES0062.mp3[117.760,119.760]	I DONT KNOW I GUESS HACKING
audio/RES0062.mp3[119.760,129.120]	ALRIGHT AND DO YOU HEAR ANY WHEEZING AT ALL
audio/RES0062.mp3[129.120,133.920]	NO WELL MAYBE I GUESS WHEN IM REALLY SHORT OF BREATH YEAH WHEEZING YEAH
audio/RES0062.mp3[133.920,144.160]	OK AND THE SHORTNESS OF BREATH HOW SEVERE IS IT 1 TO 10 10 BEING THE WORST
audio/RES0062.mp3[144.160,146.600]	MAYBE A 7
audio/RES0062.mp3[146.600,153.760]	AT SEVEN OK ARE YOU HAVING ISSUES SLEEPING BECAUSE OF YOUR SHORTNESS OF BREATH
audio/RES0062.mp3[153.760,163.920]	UH WELL I CANT TELL IF ITS THAT OR THE COUGH I MEAN BETWEEN THOSE TWO THINGS ITS BEEN DEFINITELY INTERRUPTING MY SLEEP
audio/RES0062.mp3[163.920,182.360]	OK AND DO YOU FIND THERE ARE ANY TRIGGERS TO YOUR COUGHING LIKE LIKE UM A PARTICULAR TIME OF THE DAY TRIGGERS LIKE YOU KNOW POLLEN OR THINGS IN YOUR ENVIRONMENT LIKE PETS
audio/RES0062.mp3[182.360,194.120]	NO THE COUGH HAS BEEN KIND OF GOING ON ALL DAY UM RIGHT WHEN I GET UP IN THE MORNING AND GOES ON ALL NIGHT ITS BEEN GETTING WORSE TO THESE LAST FEW DAYS
audio/RES0062.mp3[194.120,210.360]	OK YEAH UM YEAH THAT DOESNT SOUND GREAT IN TERMS OF YOUR SHORTNESS OF BREATH DO YOU FIND THAT CERTAIN POSITIONS MAKE IT WORSE OR LIKE EXERTING YOURSELF MAKES IT WORSE
audio/RES0062.mp3[210.360,214.480]	UM NOT REALLY
audio/RES0062.mp3[214.480,219.480]	OK AND HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST
audio/RES0062.mp3[219.480,221.440]	NO I HAVENT
audio/RES0062.mp3[221.440,231.880]	OK AND ANY OTHER SYMPTOMS THAT YOU HAVE ALONG WITH YOUR COUGHING AND SPUTUM
audio/RES0062.mp3[231.880,243.360]	AS SOON AS I BREATH WELL I JUST HAVENT FELT GOOD LIKE TIRED KIND OF WEAKISH
audio/RES0062.mp3[243.360,255.800]	OK YEAH UM ALONG WITH YOUR FATIGUE AND FEELING WEAK HAVE YOU EXPERIENCED ANY DIZZINESS OR FAINTING SPELLS
audio/RES0062.mp3[255.800,261.240]	NO DIZZINESS AND I HAVENT FAINTED OR ANYTHING LIKE THAT
audio/RES0062.mp3[261.240,265.400]	OK ANY CONFUSION OR MEMORY LOSS
audio/RES0062.mp3[265.400,268.080]	NO CONCERNS WITH MY MEMORY
audio/RES0062.mp3[268.080,278.920]	OK AND HOW ABOUT UM MUSCLE ACHES OR ANY SORT OF BODY ACHES
audio/RES0062.mp3[278.920,285.560]	ALRIGHT YEAH MAYBE A BIT KIND OF AND WEAK
audio/RES0062.mp3[285.560,297.560]	YEAH ALRIGHT SO LETS GO BACK TO YOUR SHORTNESS OF BREATH DO YOU HAVE ANY CHEST PAIN ASSOCIATED WITH THAT
audio/RES0062.mp3[297.560,302.560]	UH NO
audio/RES0062.mp3[302.560,306.680]	OK AND DO YOU EVER FEEL LIKE YOUR HEARTS RACING
audio/RES0062.mp3[306.680,311.040]	NO NOTHING LIKE THAT
audio/RES0062.mp3[311.040,316.000]	OK AND HOW ABOUT CHANGES TO YOUR BOWEL MOVEMENTS
audio/RES0062.mp3[316.000,323.160]	NO THOSE HAVE BEEN NORMAL I HAVENT HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0062.mp3[323.160,325.320]	OK AND NO BLOOD IN YOUR STOOL
audio/RES0062.mp3[325.320,327.280]	I HAVENT NOTICED ANY BLOOD NO
audio/RES0062.mp3[327.280,330.880]	OK HOW ABOUT ABDOMINAL PAINS
audio/RES0062.mp3[330.880,336.080]	OH YEAH I DONT KNOW WHY YEAH MY BELLYS BEEN A BIT ACHY MAYBE
audio/RES0062.mp3[336.080,342.320]	OK AND HOW ABOUT A SORE THROAT
audio/RES0062.mp3[342.320,344.840]	NO MY THROAT FELT OK
audio/RES0062.mp3[344.840,351.320]	OK GOOD AND HAVE YOU EXPERIENCED ANY LOSS OF TASTE
audio/RES0062.mp3[351.320,359.520]	NO LOSS OF TASTE BUT IVE NOTICED YEAH MY SMELL HAS BEEN KIND OF FUNNY
audio/RES0062.mp3[359.520,367.320]	YOUR SMELL HAS BEEN KIND OF FUNNY LIKE YOU CANT SMELL OR DO THINGS SMELL DIFFERENTLY THAN YOU EXPECT THEM TO
audio/RES0062.mp3[367.320,378.320]	YEAH THERE WAS A CANDLE ON EARLIER TODAY AND I GUESS I COULDNT REALLY SMELL IT SO I GUESS I HAVENT BEEN ABLE TO SMELL
audio/RES0062.mp3[378.320,381.640]	OK DO YOU HAVE A RUNNY NOSE OR A BLOCKED NOSE
audio/RES0062.mp3[381.640,387.920]	NO I HAVENT HAD TO BLOW MY NOSE OR ANYTHING
audio/RES0062.mp3[387.920,393.000]	OK ANY CHANGES IN YOUR VISION OR HEARING
audio/RES0062.mp3[393.000,395.080]	NO THATS BEEN NORMAL
audio/RES0062.mp3[395.080,399.920]	OK ANY DISCHARGE OR PAIN IN YOUR EYES OR EARS
audio/RES0062.mp3[399.920,403.840]	NO THATS BEEN OK
audio/RES0062.mp3[403.840,407.680]	OK AND THEN ANY CHANGES TO YOUR URINE
audio/RES0062.mp3[407.680,416.080]	NO I HAVENT HAD ANY PAIN OR ANYTHING LIKE THAT
audio/RES0062.mp3[416.080,421.480]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0062.mp3[421.480,429.640]	YEAH I HAVE ATRIAL FIBRILLATION AND I DO TAKE METOPROLOL FOR THAT
audio/RES0062.mp3[429.640,431.920]	OK HOW LONG HAVE YOU HAD A FIB
audio/RES0062.mp3[431.920,459.720]	IT WAS LIKE 4 YEARS AGO I THINK IT WAS IT WAS HAVING THAT LIKE FELT LIKE MY HEART WAS RACING YOU WERE ASKING ABOUT EARLIER AND THEY DID AN ECG AND I WAS TOLD I HAD ATRIAL FIBRILLATION SO YEAH IVE BEEN ON A BETA BLOCKER FOR THREE YEARS NOW
audio/RES0062.mp3[459.720,466.680]	OK FOUR YEARS AND WHEN WAS THE LAST TIME YOU HAD AN ECG
audio/RES0062.mp3[466.680,481.720]	UH MAYBE JUST A COUPLE OF MONTHS AGO I THINK EVERY TIME THAT I COME IN TO SEE MY FAMILY DOCTOR THEY THEY DO ONE
audio/RES0062.mp3[481.720,487.280]	OK AND THE LAST TIME THAT IT WAS DONE WAS IT NORMAL
audio/RES0062.mp3[487.280,503.320]	PYEAH THEY SAID YEAH MY HEART RATES BEEN AROUND 80 BEATS PER MINUTE WHICH IS GOOD AND I HAVENT HAD ANY SYMPTOMS SO THINGS HAVE BEEN STABLE
audio/RES0062.mp3[503.320,510.040]	OK GOOD AND THEN HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST
audio/RES0062.mp3[510.040,517.640]	I HAD AN INGUINAL HERNIA REPAIR ABOUT 15 YEARS AGO
audio/RES0062.mp3[517.640,522.760]	OK ANY COMPLICATIONS FROM THAT
audio/RES0062.mp3[522.760,525.200]	UM NO
audio/RES0062.mp3[525.200,531.480]	OK AND THEN BESIDES THE METOPROLOL ARE YOU ON ANY OTHER MEDICATIONS
audio/RES0062.mp3[531.480,541.280]	OH YEAH I TAKE A STATIN AND BABY ASPIRIN
audio/RES0062.mp3[541.280,555.120]	OK AND IS THAT FOR THE A FIB AS WELL THE ASPIRIN OR IS THAT JUST FOR OTHER CARDIOVASCULAR ISSUES OR SOME SORT OF PREVENTATIVE MEASURE
audio/RES0062.mp3[555.120,568.120]	YEAH I HEARD IT WAS GOOD FOR PEOPLE WHO HAVE ATRIAL FIBRILLATION SO I STARTED TAKING IT
audio/RES0062.mp3[568.120,589.400]	OK AND LETS REVISIT YOUR MEDICATIONS AT THE END OF TODAYS SESSION I JUST WANT TO MAKE SURE THAT YOURE ON THE MEDICATIONS AND I JUST WANT TO MAKE SURE YOURE ON THE RIGHT DOSE  DOES THAT SOUND GOOD
audio/RES0062.mp3[589.400,590.880]	YEAH CERTAINLY
audio/RES0062.mp3[590.880,605.920]	DOK GREAT AND OK SO WE TALKED ABOUT YOUR PAST MEDICAL HISTORY AND MEDICATIONS WE WILL TALK A LITTLE BIT ABOUT ANY ALLERGIES THAT YOU HAVE IF YOU HAVE ANY
audio/RES0062.mp3[605.920,617.000]	I THINK ITS LIKE A SULFA ALLERGY I RECEIVED AN ANTIBIOTIC LIKE THAT MANY YEARS AGO AND HAD A RASH
audio/RES0062.mp3[617.000,626.560]	OK OK AND HAVE YOU HAD ANY REASON TO SUSPECT THAT YOU MAY HAVE TAKEN ANY SULFAS RECENTLY
audio/RES0062.mp3[626.560,633.880]	NO I HAVENT HAD ANY ANTIBIOTICS SO NO REALLY NO CHANGES
audio/RES0062.mp3[633.880,644.120]	OK OK GOOD AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0062.mp3[644.120,656.960]	I AM YEAH IVE RECEIVED THE ZOSTER VACCINE FOR SHINGLES AND ALSO THE ONE FOR PNEUMONIA
audio/RES0062.mp3[656.960,671.040]	OK GOOD GOOD YEAH THOSE TWO WE DEFINITELY RECOMMEND IF YOURE OVER 65 OK AND DO YOU KNOW OF ANY FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0062.mp3[671.040,682.040]	NO I THINK MY AUNT HAD LUNG CANCER BUT SHE SMOKED HER ENTIRE LIFE
audio/RES0062.mp3[682.040,686.120]	OK OK AND HOW ABOUT OTHER CANCERS
audio/RES0062.mp3[686.120,688.200]	NO OTHER CANCERS
audio/RES0062.mp3[688.200,700.440]	AND HAVE YOU BEEN IN TOUCH OR DO YOU THINK YOUVE BEEN IN CONTACT WITH ANY ANYONE SICK RECENTLY
audio/RES0062.mp3[700.440,717.000]	WELL I VISITED MY MOTHER AT A LONG TERM CARE FACILITY JUST THIS PAST WEEKEND SO I GUESS ABOUT JUST OVER A WEEK AGO I VISITED THERE
audio/RES0062.mp3[717.000,725.960]	OK AND HAVE THERE BEEN ANY COVIOUTBREAKS AT THE LONG TERM CARE
audio/RES0062.mp3[725.960,734.360]	YEAH THERE HAS BEEN I THOUGHT I WAS LIKE AWAY FROM THOSE AREAS BUT I HAVE HEARD ABOUT OUTBREAKS THERE
audio/RES0062.mp3[734.360,740.000]	OK OK AND ANY TRAVEL HISTORY
audio/RES0062.mp3[740.000,743.880]	NO TRAVEL
audio/RES0062.mp3[743.880,747.320]	AND DO YOU SMOKE
audio/RES0062.mp3[747.320,762.920]	I USED TO SMOKE A PACK OF CIGARETTES A DAY BUT I QUIT ABOUT UH ABOUT FIVE YEARS AGO I KNOW FOUR YEARS AGO IT WAS WHEN I FOUND OUT I HAD ATRIAL FIBRILLATION I QUIT
audio/RES0062.mp3[762.920,770.160]	OK OK WELL THATS GOOD GOOD FOR YOU FOR QUITTING HOW ABOUT MARIJUANA
audio/RES0062.mp3[770.160,780.840]	NO I DONT SMOKE IT BUT ILL USE SOME EDIBLES I BUY FROM THE ONTARIO STORES A COUPLE OF TIMES PER WEEK JUST THE CBSTUFF
audio/RES0062.mp3[780.840,784.120]	THE CBSTUFF OK AND HOW MANY MILLIGRAMS
audio/RES0062.mp3[784.120,789.520]	IM NOT SURE I KNOW ITS THEIR LOWEST DOSE THOUGH
audio/RES0062.mp3[789.520,795.720]	OK OK IF ITS LOWEST DOSE IT MIGHT BE 25 MILLIGRAMS
audio/RES0062.mp3[795.720,797.320]	SOUNDS FAMILIAR
audio/RES0062.mp3[797.320,804.920]	OK GOOD IS THERE A PARTICULAR REASON YOU TAKE THESE CBEDIBLES
audio/RES0062.mp3[804.920,812.240]	IT HELPS ME SLEEP
audio/RES0062.mp3[812.240,834.680]	OK IF ITS SPECIFICALLY TO HELP YOU SLEEP WE CAN ACTUALLY TRY AND SEE IF THERE ARE OTHER OPTIONS FOR YOU YOU KNOW THERE ARE PILLS LIKE THEY ARE SLEEP AIDS OR EVEN THINGS LIKE MELATONIN THAT CAN HELP REGULATE YOUR SLEEP SO WE CAN REVISIT OTHER OPTIONS FOR YOU IF YOURE OPEN TO THAT AS WELL
audio/RES0062.mp3[834.680,839.760]	OK FOR SURE YEAH I WILL UM YEAH WE CAN TALK ABOUT THAT LATER
audio/RES0062.mp3[839.760,845.920]	OK THAT SOUNDS GOOD AND DO YOU DO ANY OTHER RECREATIONAL DRUGS
audio/RES0062.mp3[845.920,846.640]	I DO NOT
audio/RES0062.mp3[846.640,850.080]	OK HOW ABOUT ALCOHOL
audio/RES0062.mp3[850.080,851.880]	UH NO I DONT DRINK ANYMORE
audio/RES0062.mp3[851.880,858.200]	OK AND DID YOU USED TO DRINK BEFORE
audio/RES0062.mp3[858.200,863.560]	YES I JUST STOPPED A FEW YEARS AGO
audio/RES0062.mp3[863.560,868.120]	OK AND WHATS YOUR LIVING SITUATION LIKE RIGHT NOW
audio/RES0062.mp3[868.120,873.520]	I LIVE IN A HOUSE WITH MY WIFE
audio/RES0062.mp3[873.520,879.280]	IN A HOUSE OK ANY CONCERNS FOR LIKE OLD CARPETS MOLD OR ASBESTOS IN YOUR HOUSE
audio/RES0062.mp3[879.280,884.640]	NO WEVE RENOVATED IT OVER THE YEARS
audio/RES0062.mp3[884.640,897.000]	OK GOOD AND I APOLOGIZE BUT I WOULD LIKE TO CLARIFY THREE MORE SYMPTOMS WITH YOU DID YOU SAY YOU FELT LIKE YOU HAD A FEVER EARLIER
audio/RES0062.mp3[897.000,910.120]	UM MAYBE IVE BEEN FEELING A LITTLE HOT BUT ITS BEEN REALLY MORE THE COUGH AND SHORTNESS OF BREATH THATS BEEN BUGGING ME
audio/RES0062.mp3[910.120,921.680]	OK WELL WE CAN TAKE A TEMPERATURE TODAY JUST TO MAKE SURE HAVE YOU BEEN FEELING LIKE YOU HAVE NIGHT SWEATS OR CHILLS
audio/RES0062.mp3[921.680,925.600]	UM NOT REALLY NO I HAVENT NOTICED THAT
audio/RES0062.mp3[925.600,934.440]	OK AND HOW ABOUT UM ANY WEIGHT LOSS OVER THE PAST FEW MONTHS
audio/RES0062.mp3[934.440,936.200]	NO ITS BEEN BEEN STABLE
audio/RES0062.mp3[936.200,946.200]	OK ALRIGHT GOOD SO THAT BRINGS US TO THE END DO YOU HAVE ANY QUESTIONS OR CONCERNS THAT YOU WOULD LIKE TO CLARIFY BEFORE WE END THE INTERVIEW
audio/RES0062.mp3[946.200,955.640]	NO NOTHING TODAY  I WAS JUST REALLY HOPING TO GET UH WHATEVER THIS IS SORTED OUT
audio/RES0062.mp3[955.640,1054.280]	YEAH YOU KNOW UM RIGHT NOW IT LOOKS LIKE IT SOUNDS LIKE IT COULD BE AN UPPER RESPIRATORY VIRAL ILLNESS SO THAT INCLUDES COVI SO WE WILL DO A SWAB FOR YOU AND THEN SEND IT OFF TO THE LAB FOR PCR RESULTS IN THE MEANTIME BECAUSE YOU HAVE SYMPTOMS THAT OVERLAP WITH COVISYMPTOMS WE DO ENCOURAGE ISOLATION FOR 14 DAYS UNTIL YOUR SYMPTOMS ARE GONE SORRY  UNTIL YOUR SYMPTOMS ARE GONE EVEN IF THEYRE GONE WE DO SUGGEST ISOLATING FOR 14 DAYS JUST TO MAKE SURE YOURE NOT A CARRIER OR COULD SPREAD COVISO WE DO ENCOURAGE THAT AND THAT INCLUDES FROM YOUR HUSBAND IF POSSIBLE WE WILL GET THOSE RESULTS IN A DAY OR TWO IF THEY ARE POSITIVE WE WILL SEND YOUR RESULTS TO PUBLIC HEALTH WHO WILL BE IN TOUCH WITH YOU TO DO SOME CONTACT TRACING TO SEE WHERE YOU MAY HAVE GOTTEN IT FROM IF ITS NOT COVIIT COULD BE OTHER VIRAL ILLNESSES THAT ARE GOING AROUND THIS TIME OF YEAR AND IF YOUR SYMPTOMS ARENT GETTING BETTER ON THEIR OWN AND THERES REASON TO SUSPECT YOU MAY HAVE A BACTERIAL INFECTION OR BACTERIAL PNEUMONIA WE WILL FOLLOW UP WITH YOU AND POSSIBLY PRESCRIBE ANTIBIOTICS HOW DOES THAT SOUND
audio/RES0062.mp3[1054.280,1060.760]	YEAH THAT SOUNDS LIKE A GREAT PLAN
audio/RES0062.mp3[1060.760,1065.400]	OK GREAT SO UM I WILL SEE YOU AT THE NEXT APPOINTMENT
audio/RES0062.mp3[1065.400,1069.000]	THANK YOU
audio/RES0174.mp3[0.000,2.680]	HOW MAY I HELP YOU
audio/RES0174.mp3[2.680,23.080]	HI I JUST WANT TO TALK ABOUT THESE THESE TIMES WHEN I FEEL LIKE IM JUST IM SUFFOCATING AND I JUST CANT BREATHE ITS PRETTY SCARY AND I DONT KNOW WHATS GOING ON
audio/RES0174.mp3[23.080,39.560]	YEAH CERTAINLY UM FEELING SHORT OF BREATH LIKE THAT CAN BE QUITE SCARY FOR SURE WHEN WHEN DO THESE EPISODES KIND OF HAPPEN ARE THEY SPONTANEOUS OR CAN YOU THINK OF THINGS THAT YOURE DOING WHEN THEY WHEN THEY COME ON
audio/RES0174.mp3[39.560,75.400]	UHM I I DONT KNOW ITS JUST LIKE UHM SOMETIMES LIKE BEFORE INTERVIEWS SOMETIMES JUST KIND OF RANDOM UHM YEAH I CAN KIND OF TELL WHEN THEYRE ABOUT TO COME ON UHM YEAH I THINK ITS MOSTLY LIKE JOB INTERVIEWS
audio/RES0174.mp3[75.400,81.880]	OK HAVE YOU HAD MANY OF THOSE RECENTLY
audio/RES0174.mp3[81.880,84.160]	JOB INTERVIEWS
audio/RES0174.mp3[85.160,112.680]	I GOT I GOT LAID OFF BECAUSE OF THE PANDEMIC AND NOW IVE BEEN LOOKING FOR JOBS AND ITS JUST LIKE ITS KIND OF NERVE WRACKING BUT ALSO LIKE I DONT KNOW IM JUST WORRIED IT COULD BE SOMETHING ELSE LIKE ITS JUST YEAH ITS LIKE I REALLY JUST CANT BREATHE ITS SO WEIRD
audio/RES0174.mp3[112.680,135.480]	OK YEAH ITS CERTAINLY IT SOUNDS LIKE THERES BEEN A LOT OF STRESS RECENTLY CERTAINLY PLENTY FOR WITH THE PANDEMIC AS WELL AND SO WHEN YOU GET SHORT OF BREATH YOU YOU SAID YOU HAVE THIS YOU COULD FEEL THAT ITS COMING ON AND HOW LONG DOES IT LAST FOR
audio/RES0174.mp3[135.480,139.760]	LIKE 15 MINUTES 15 20 MINUTES
audio/RES0174.mp3[139.760,143.120]	IS THERE ANYTHING YOU DO TO HELP IT GO AWAY
audio/RES0174.mp3[143.120,147.080]	ILL JUST SAY GO AND LIE DOWN AND CLOSE MY EYES
audio/RES0174.mp3[147.080,154.240]	OK AND DO YOU GET SHORTER BREATH IF YOU WALK FAR DISTANCES OR EXERT YOURSELF
audio/RES0174.mp3[154.240,163.160]	OH NO NO I GO OUT FOR A RUN EVERY SINGLE DAY NOTHING HAPPENS AT THAT TIME
audio/RES0174.mp3[163.160,167.640]	OK AND HAVE YOU HAD A COUGH
audio/RES0174.mp3[168.960,171.120]	ANY WHEEZING
audio/RES0174.mp3[172.600,178.520]	OK AND HAVE YOU HAD ANY ANY CHEST PAIN
audio/RES0174.mp3[178.520,195.000]	YEAH I KIND OF FEEL LIKE THIS PRESSURE AT THAT TIME IS JUST LIKE YEAH SOMEONES LIKE PRESSING MY CHEST INWARDS KIND OF ITS HARD TO EXPLAIN
audio/RES0174.mp3[195.000,201.080]	I SEE DO YOU IT IS IT UM LIKE DO YOU FEEL IT IN ANY ONE PARTICULAR SPOT OR
audio/RES0174.mp3[202.600,209.360]	I JUST FEEL LIKE MY CHEST IS REALLY TIGHT AND ITS JUST ITS LIKE I CANT LIKE EXPAND MY LUNGS
audio/RES0174.mp3[209.360,216.080]	I SEE AND DOES THIS LAST AROUND 15 MINUTES AS WELL
audio/RES0174.mp3[217.600,227.040]	OK AND SIMILARLY YOU LIKE GOING FOR RUNS AND STUFF LIKE THAT YOU ONT EVER GET ANY CHEST PAIN
audio/RES0174.mp3[227.040,228.760]	NO NO NO
audio/RES0174.mp3[228.760,235.200]	OK AND AND I KNOW YOU MENTIONED YOU DIDNT HAVE A COUGH BUT HAVE YOU BROUGHT UP ANY PHLEGM OR BROUGHT UP ANY ANY BLOOD
audio/RES0174.mp3[235.200,238.080]	NO NO I HAVE NOT HAD A COUGH
audio/RES0174.mp3[238.080,240.160]	OH NO OK IM SORRY
audio/RES0174.mp3[240.160,244.320]	THATS OK
audio/RES0174.mp3[244.320,253.600]	AND HAVE YOU OTHERWISE BEEN WELL OR IF YOU HAD ANY INFECTIOUS SYMPTOMS LIKE A RUNNY OR RED EYES RUNNY NOSE OR SORE THROAT
audio/RES0174.mp3[253.600,255.800]	NO NONE OF THOSE
audio/RES0174.mp3[255.800,258.200]	ALRIGHT HAVE YOU HAD ANY HEADACHES
audio/RES0174.mp3[259.760,263.200]	HOW ABOUT ANY FEVERS OR CHILLS
audio/RES0174.mp3[264.240,267.000]	HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0174.mp3[267.000,279.240]	NO BUT I GET REALLY SWEATY WHEN THESE EPISODES HAPPEN JUST LIKE YEAH MY FACE IS LIKE SWEATING AND MY NECK
audio/RES0174.mp3[279.240,288.080]	OK YEAH UM OK AND HOW IS YOUR WEIGHT BEEN RECENTLY ANY WEIGHT GAIN OR LOSS
audio/RES0174.mp3[288.080,298.280]	YEAH IVE GAINED QUITE A BIT OF WEIGHT SINCE THE PANDEMIC STARTED YEAH GAINED ABOUT 10 POUNDS
audio/RES0174.mp3[298.280,301.960]	OK ANY CHANGES TO YOUR DIET OR APPETITE
audio/RES0174.mp3[301.960,310.880]	OH YEAH IVE BEEN EATING QUITE A BIT BEEN BAKING A LOT AT HOME
audio/RES0174.mp3[310.880,317.520]	OK AND AND HAVE YOU HAD ANY ABDOMINAL PAINS
audio/RES0174.mp3[318.360,324.160]	ANY DIARRHEA
audio/RES0174.mp3[324.160,326.280]	UHM NO
audio/RES0174.mp3[326.280,329.000]	OK ANY NAUSEA OR VOMITING
audio/RES0174.mp3[330.800,336.120]	ALRIGHT AND ANY URINARY PROBLEMS LIKE PAIN OR FREQUENCY
audio/RES0174.mp3[337.560,341.920]	ANY RASHES OR SKIN CHANGES
audio/RES0174.mp3[342.840,348.840]	AND ANY MUSCLE ACHES BODY PAINS OR JOINT PAINS OR SWELLING
audio/RES0174.mp3[348.840,351.160]	NOTHING LIKE THAT NO
audio/RES0174.mp3[351.160,355.240]	OK AND HOWS YOUR ENERGY BEEN
audio/RES0174.mp3[355.240,370.680]	UM WELL IVE BEEN FEELING A LITTLE LOW SINCE IVE BEEN LAID OFF JUST LIKE WORRIED ABOUT MY FINANCES AND I KIND OF SLEEP ALL DAY IM NOT FEELING VERY ENERGETIC
audio/RES0174.mp3[370.680,375.960]	OK HOW IS YOUR INTEREST IN ACTIVITIES BEEN
audio/RES0174.mp3[375.960,384.760]	I DONT KNOW I JUST FEEL LIKE STAYING AT HOME AND JUST BEING IN BED ALL THE TIME
audio/RES0174.mp3[384.760,390.680]	OK SO YOURE UM HAVE YOU HAD A LOW MOOD
audio/RES0174.mp3[393.360,396.440]	ALRIGHT AND ARE YOU SLEEPING MORE THAN USUAL
audio/RES0174.mp3[398.440,407.640]	OK IS THERE ANYTHING THAT YOURE FEELING PARTICULARLY GUILTY ABOUT RIGHT NOW
audio/RES0174.mp3[408.200,412.440]	OK HOW IS YOUR CONCENTRATION BEEN
audio/RES0174.mp3[412.440,417.160]	UHM NOT GREAT
audio/RES0174.mp3[417.160,422.840]	OK YOU HAVENT BEEN ABLE TO FOCUS AND HAVE YOU FELT LIKE THINGS ARE MOVING IN SLOW MOTION
audio/RES0174.mp3[424.280,432.480]	ALRIGHT SO HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF
audio/RES0174.mp3[434.000,444.000]	OK AND HAVE YOU HAD DEPRESSION OR ANXIETY IN THE PAST
audio/RES0174.mp3[444.000,450.720]	UM IVE BEEN DIAGNOSED WITH DEPRESSION
audio/RES0174.mp3[450.720,459.920]	OK AND HAVE YOU HAD PANIC ATTACKS BEFORE
audio/RES0174.mp3[459.920,463.560]	NO BUT DO YOU THINK THATS WHATS GOING ON
audio/RES0174.mp3[463.560,501.200]	POTENTIALLY IT CERTAINLY CANT RULE OUT INORGANIC CAUSE MEANING SOMETHING GOING ON OTHERWISE JUST YET WE MIGHT NEED TO DO SOME PHYSICAL EXAM AND SOME INVESTIGATIONS FIRST BUT IT CERTAINLY COULD BE RELATED TO THAT WITH ALL OF THE STRESSORS THAT ARE GOING ON AND SO YOU HAD A LOW MOOD HAVE YOU HAD ANY PERIODS IN YOUR LIFE WHERE YOU FELT REALLY ENERGETIC LIKE YOU DIDNT NEED ANY SLEEP YOURE REALLY TALKATIVE YOU HAD ALL THE ENERGY IN THE WORLD
audio/RES0174.mp3[501.200,508.240]	I WISH NO IVE NEVER REALLY FELT THAT WAY
audio/RES0174.mp3[508.240,518.400]	OK AND HAVE YOU HAD ANY CONCERNS WITH EATING DISORDERS IN THE PAST
audio/RES0174.mp3[519.640,526.200]	ALRIGHT AND THEN YOU MENTIONED EVEN DIAGNOSED WITH DEPRESSION IF YOU HAD ARE YOU HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
audio/RES0174.mp3[527.840,529.960]	OK ARE YOU ON ANY MEDICATIONS RIGHT NOW
audio/RES0174.mp3[529.960,544.960]	NO I WAS DOING PRETTY WELL I USED TO HAVE THESE EPISODES OF DEPRESSION WHEN I WAS YOUNGER AS A TEENAGER AND THEY KIND OF WENT AWAY I WAS ON MEDS AT THAT TIME BUT I THINK I THINK ITS COMING BACK NOW
audio/RES0174.mp3[544.960,551.320]	OK SO YOU HAVENT BEEN ON MEDICATION NOW FOR FOR QUITE AWHILE FOR YEARS
audio/RES0174.mp3[551.320,555.720]	FOR LIKE 12 YEARS 13 YEARS
audio/RES0174.mp3[555.720,559.120]	OK WHAT DID YOU USE THAT IF YOU CAN REMEMBER
audio/RES0174.mp3[561.120,565.720]	OK AND DID YOU FIND IT HELPED
audio/RES0174.mp3[565.720,568.280]	YEAH YEAH IT WAS VERY HELPFUL WAS VERY GOOD
audio/RES0174.mp3[568.280,575.720]	OK THATS GOOD ANY ALLERGIES TO MEDICATIONS
audio/RES0174.mp3[578.560,586.120]	ALRIGHT AND ANY HOSPITALIZATIONS OR SURGERIES
audio/RES0174.mp3[587.200,601.200]	OK AND CAN YOU TELL ME A LITTLE BIT ABOUT WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0174.mp3[601.200,605.440]	I I LIVE I LIVE WITH MY GIRLFRIEND
audio/RES0174.mp3[605.440,611.400]	OK AND HAS THERE BEEN ANYBODY AROUND THAT THAT HAS BEEN SICK THAT THEY HAVE BEEN AROUND
audio/RES0174.mp3[611.800,616.120]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0174.mp3[616.120,617.840]	NO NO
audio/RES0174.mp3[617.840,620.920]	AND DO YOU SMOKE CIGARETTES
audio/RES0174.mp3[620.920,622.800]	OH NO I DONT
audio/RES0174.mp3[622.800,628.440]	OK DO YOU DRINK ALCOHOL
audio/RES0174.mp3[628.440,629.560]	I DONT
audio/RES0174.mp3[629.560,633.120]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0174.mp3[635.160,638.680]	OK AND ANY CHANCE THAT YOU COULD BE PREGNANT CURRENTLY
audio/RES0174.mp3[639.040,641.760]	AND HAVE YOU BEEN PREGNANT IN THE PAST
audio/RES0174.mp3[645.400,648.600]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0174.mp3[648.600,649.840]	I DONT
audio/RES0174.mp3[649.840,651.920]	DO YOU DRINK ALCOHOL
audio/RES0174.mp3[653.880,656.400]	AND DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0174.mp3[658.960,661.680]	OK AND ANY FAMILY HISTORY OF HEART OR LUNG PROBLEMS
audio/RES0174.mp3[661.680,668.240]	MY GRANDFATHER HAD LUNG CANCER BUT THATS ABOUT IT
audio/RES0174.mp3[668.240,671.080]	DID HE SMOKE FOR A LONG TIME
audio/RES0174.mp3[671.080,677.000]	OH YEAH HE WAS A BIG SMOKER
audio/RES0174.mp3[677.000,681.920]	OK AND ANYBODY IN THE FAMILY HAVE PROBLEMS WITH MENTAL ILLNESS
audio/RES0174.mp3[681.920,686.200]	MY MOM HAS UH DEPRESSION TOO
audio/RES0174.mp3[686.200,695.840]	OK ANYBODY IN IN THE FAMILY HAVE PROBLEMS WITH SUBSTANCE SUBSTANCE USE
audio/RES0174.mp3[701.480,737.440]	OK UM AND  I THINK THATS EVERYTHING THAT I I WANTED TO ASK ON HISTORY TODAY SO YOU BEEN HAVING THESE EPISODES WHERE YOU GET REALLY SHORT OF BREATH AND YOU GET CHEST PAIN YOULL GET SWEATY AND HAVE WHAT SOUNDS LIKE WHAT SOUNDS LIKE AN IMPENDING SENSE OF DOOM WHERE YOU KIND OF FEEL LIKE ITS COMING ON AND IT LASTS FOR 15 MINUTES AND NOT RELATED TO EXERCISE WERE THERE ANY OTHER SYMPTOMS OR THINGS THAT YOUVE BEEN EXPERIENCING RECENTLY
audio/RES0174.mp3[737.440,743.600]	YEAH ITS ALSO  I ALSO FEEL LIKE MY HEARTS LIKE BREATHING REALLY FAST
audio/RES0174.mp3[743.600,751.080]	OH OK AND I DOES THAT HOW LONG DOES IT LAST FOR
audio/RES0174.mp3[751.080,757.040]	SAME TIME LIKE EVERYTHING IS JUST SORT OF COMES ON AT THE SAME TIME JUST KIND OF GOES AWAY TOGETHER
audio/RES0174.mp3[757.040,766.600]	OK WOULD YOU SAY THAT IT COMES ON LIKE KIND OF LIKE AT THE SNAP OF YOUR FINGERS SORT OF THING LIKE REALLY QUICKLY AND THEN
audio/RES0174.mp3[766.600,777.920]	I CAN KIND OF TELL ITS GONNA COME ON LIKE I HAVE A SENSE OF IT AND THEN IT JUST LIKE STARTS IT SUDDENLY JUST HAPPENS
audio/RES0174.mp3[777.920,788.280]	OK SO YOU YOU HAVE THE HEART RACING ARE THERE ANY OTHER SYMPTOMS AS WELL
audio/RES0174.mp3[788.280,793.560]	I DONT THINK SO
audio/RES0174.mp3[793.560,826.400]	OK SO UH WE WILL GET AN ECG AND  I WILL LOOK AT THAT BUT IVE BEEN CONCERNED NOW THINKING THAT THIS MIGHT BE RELATED TO ANXIETY OR PANIC ATTACKS AND SO I GUESS THAT WOULD BE SOMETHING THAT WE COULD DISCUSS MORE ABOUT IN REGARDS TO LIKE I GUESS PREVIOUS TRAUMAS AND THINGS THAT AND THE STRESSES THAT YOU MIGHT BE DEALING WITH CURRENTLY TO HELP MANAGE MANAGE STRESS BETTER
audio/RES0174.mp3[826.400,830.880]	SURE THANK YOU
audio/RES0059.mp3[0.000,2.280]	HOW ARE YOU DOING
audio/RES0059.mp3[2.280,7.720]	OH NOT TOO GREAT IVE HAD THIS COUGH THE LAST FEW DAYS
audio/RES0059.mp3[7.720,10.800]	OK UMM HOW OLD ARE YOU
audio/RES0059.mp3[10.800,15.680]	IM 36
audio/RES0059.mp3[15.680,20.920]	OK SO FOR THE PAST COUPLE OF DAYS YOU SAID SO IS THAT TWO DAYS THREE DAYS
audio/RES0059.mp3[20.920,23.240]	I THINK 3 THREE DAYS
audio/RES0059.mp3[23.240,28.640]	OK AND IS IT A DRY COUGH OR ARE YOU BRINGING UP ANYTHING
audio/RES0059.mp3[28.640,29.840]	ITS DRY
audio/RES0059.mp3[29.840,32.800]	OK SO NO SPUTUM NO BLOOD
audio/RES0059.mp3[32.800,33.960]	NO BLOOD
audio/RES0059.mp3[33.960,39.880]	OK AND DO YOU FEEL WHEEZY AT ALL
audio/RES0059.mp3[39.880,41.320]	NO NO WHEEZING
audio/RES0059.mp3[41.320,45.360]	NO  SHORTNESS OF BREATH
audio/RES0059.mp3[45.360,51.680]	NOW I RAN TO CATCH THE BUS YESTERDAY AND I WAS A BIT MORE SHORT OF BREATH THAN I WOULD USUALLY BE
audio/RES0059.mp3[51.680,58.200]	OK AND HAVE YOU HAD A FEVER
audio/RES0059.mp3[58.200,61.120]	IVE FELT HOT YES
audio/RES0059.mp3[61.120,67.240]	OK DID YOU ACTUALLY TAKE YOUR TEMPERATURE OR DO YOU JUST FEEL HOT
audio/RES0059.mp3[67.240,72.040]	I JUST GOT HOT
audio/RES0059.mp3[72.040,81.800]	OK SO WE CAN TAKE YOUR TEMPERATURE TODAY ANY CHEST PAIN
audio/RES0059.mp3[81.800,83.520]	NO CHEST PAIN
audio/RES0059.mp3[83.520,88.520]	OK AND ANY THROAT PAIN
audio/RES0059.mp3[88.520,95.680]	YEAH MY THROATS BEEN A LITTLE SORE BUT I THOUGHT IT WAS MAYBE JUST BECAUSE I WAS COUGHING SO MUCH
audio/RES0059.mp3[95.680,101.640]	OK AND ANY ISSUES SWALLOWING FOOD
audio/RES0059.mp3[101.640,104.000]	UMM NO PROBLEMS SWALLOWING FOOD
audio/RES0059.mp3[104.000,108.240]	OK ANY CHANGES IN YOUR SMELL
audio/RES0059.mp3[108.240,120.400]	NOW THAT YOU MENTION IT YEAH I THOUGHT IT WAS MAYBE JUST PLUGGED UP BUT I HAVENT REALLY BEEN ABLE TO SMELL THESE LAST FEW DAYS
audio/RES0059.mp3[120.400,126.240]	OK AND HOW ABOUT HEARING ANY CHANGES IN YOUR HEARING
audio/RES0059.mp3[126.240,127.800]	NO CHANGES THERE
audio/RES0059.mp3[127.800,131.040]	OK ANY EAR PAIN
audio/RES0059.mp3[131.040,132.360]	NO EAR PAIN NO
audio/RES0059.mp3[132.360,136.120]	OK ANY CHANGES IN YOUR VISION
audio/RES0059.mp3[136.120,142.400]	UMM I GOT GLASSES LAST YEAR BUT NOTHING RECENTLY
audio/RES0059.mp3[142.400,148.240]	OK AND ANY EYE PAIN OR DISCHARGE FROM THE EYES
audio/RES0059.mp3[149.880,157.440]	OK AND HAVE YOU HAD ANY NIGHT SWEATS OR CHILLS
audio/RES0059.mp3[157.440,160.040]	NOTHING LIKE THAT
audio/RES0059.mp3[160.040,162.760]	ANY WEIGHT LOSS
audio/RES0059.mp3[162.760,164.400]	NO WEIGHT LOSS NO
audio/RES0059.mp3[164.400,169.760]	OK AND THEN HOW ABOUT CHANGES IN YOUR BOWEL MOVEMENTS
audio/RES0059.mp3[169.760,174.240]	NO EVERYTHINGS BEEN REGULAR THERE
audio/RES0059.mp3[174.240,179.480]	OK NO DIARRHEA NO CONSTIPATION NO BLOOD IN YOUR STOOL
audio/RES0059.mp3[179.480,186.480]	NO DIARRHEA NO CONSTIPATION AND I HAVENT NOTICED ANY BLOOD
audio/RES0059.mp3[186.480,189.440]	OK ANY CHANGES IN YOUR URINE
audio/RES0059.mp3[189.440,193.200]	UH NO
audio/RES0059.mp3[193.200,199.520]	NO OK UM HOW ABOUT MUSCLE ACHES OR PAINS
audio/RES0059.mp3[199.520,207.080]	I FELT PRETTY UH WELL YEAH I GUESS ACHY AND WEAK
audio/RES0059.mp3[207.080,218.440]	DID THAT START AROUND THE SAME TIME THAT YOU EXPERIENCED YOUR COUGH AND POSSIBLE FEVER
audio/RES0059.mp3[218.440,223.720]	YEAH I WOULD SAY IT STARTED AROUND THE SAME TIME
audio/RES0059.mp3[223.720,226.880]	OK ANY DIZZINESS
audio/RES0059.mp3[226.880,228.880]	UH NO
audio/RES0059.mp3[228.880,233.480]	ANY CONFUSION OR MEMORY LOSS
audio/RES0059.mp3[235.400,239.280]	OK ANY FAINTING SPELLS
audio/RES0059.mp3[240.320,242.200]	ANY RASHES
audio/RES0059.mp3[242.200,244.880]	I HAVENT NOTICED ANY RASHES
audio/RES0059.mp3[244.880,259.680]	OK SO ITS YOUR COUGH AND JUST IN GENERAL HOW YOU FEEL DOES IT GET BETTER OR WORSE WITH ANYTHING HAVE YOU TRIED YOU KNOW TYLENOL AND ANY ANTIPYRETICS
audio/RES0059.mp3[259.680,275.400]	YEAH I TRIED SOME UH LIKE DAY AND NIGHT TIME TYLENOL AT HOME TO SLEEP BUT STILL WHEN I WOKE UP IN THE MORNING STILL NOT FEELING VERY GOOD AND THE COUGH IS STILL HERE TOO
audio/RES0059.mp3[275.400,282.960]	OK YEAH HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS BEFORE
audio/RES0059.mp3[282.960,300.760]	MAYBE AS A KID I MEAN I REMEMBER GETTING THE FLU I HAD A COUGH AND THAT SORT OF THING BUT I HAVENT BEEN SICK FOR SEVERAL YEARS NOW
audio/RES0059.mp3[300.760,314.800]	OK UMM AND THEN SINCE YOU STARTED HAVING THIS COUGH TOO NOW HAS ANYTHING CHANGED HOW ARE YOU FEELING WORSE OR DO YOU FEEL KIND OF THE SAME AS WHEN IT STARTED
audio/RES0059.mp3[314.800,319.880]	I WOULD SAY I FEEL A BIT WORSE
audio/RES0059.mp3[319.880,325.480]	OK AND HAS ANYONE AROUND YOU BEEN SICK RECENTLY
audio/RES0059.mp3[325.480,334.720]	UMM NO NOT THAT I KNOW OF YEAH EVERYBODY IN THE HOUSE HAS BEEN OK
audio/RES0059.mp3[334.720,341.200]	OK HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0059.mp3[341.200,354.600]	UMM YEAH I WAS VISITING SOME COUSINS UP NORTH SEVERAL WEEKS AGO BUT THAT WAS JUST TRAVELING WITHIN THE PROVINCE
audio/RES0059.mp3[354.600,358.440]	OK AND THEYRE FINE NO ONE IS SICK
audio/RES0059.mp3[358.440,366.920]	I HAVENT HEARD OF ANYBODY BEING SICK
audio/RES0059.mp3[366.920,374.960]	OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY MEDICAL CONDITIONS
audio/RES0059.mp3[374.960,389.360]	IVE BEEN TOLD I HAD HIGH CHOLESTEROL BEFORE BUT I DONT TAKE ANY MEDICATIONS FOR IT IVE BEEN JUST TRYING TO LOSE SOME WEIGHT AND EXERCISE MORE
audio/RES0059.mp3[389.360,392.600]	SURE OK NO SURGERIES OR HOSPITALIZATIONS IN THE PAST
audio/RES0059.mp3[394.560,397.760]	OK AND NO OTHER MEDICATIONS
audio/RES0059.mp3[397.760,401.520]	UMM NO  I JUST TAKE A MULTIVITAMIN
audio/RES0059.mp3[401.520,410.200]	OK AND NO OTHER YOU KNOW OVER THE COUNTER MEDICATIONS OR HERBAL STUFF
audio/RES0059.mp3[410.200,435.320]	NO ILL USE MY TYLENOL OR IBUPROFEN OR ADVIL I GUESS IF I GET THE OCCASIONAL HEADACHE  AND I GUESS UMM SOMETHING LIKE REACTINE OR CLARITIN FOR THE SEASONAL ALLERGIES BUT THATS ABOUT IT
audio/RES0059.mp3[435.320,441.800]	OK AND SO YOU SAID SEASONAL ALLERGIES ANY OTHER ALLERGIES
audio/RES0059.mp3[441.800,446.720]	UMM NO JUST USUALLY LIKE IN THE SPRINGTIME
audio/RES0059.mp3[446.720,452.640]	OK AND ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS
audio/RES0059.mp3[452.640,458.440]	YEAH I AM YEAH I GET THE FLU SHOT EVERY YEAR
audio/RES0059.mp3[458.440,468.240]	OK GOOD AND IN TERMS OF FAMILY HISTORY DO ANY OF YOUR FAMILY MEMBERS HAVE LUNG CONDITIONS OR HEART CONDITIONS
audio/RES0059.mp3[468.240,477.600]	I KNOW MOM HAS HIGH BLOOD PRESSURE BUT NOBODYS HAD A HEART ATTACK OR UH NO LUNG CONDITIONS EITHER
audio/RES0059.mp3[477.600,482.040]	OK ANY CANCERS THAT RUN IN THE FAMILY
audio/RES0059.mp3[482.040,486.680]	UMM NONE I CANT THINK OF ANY
audio/RES0059.mp3[486.680,490.280]	OK AND THEN DO YOU SMOKE
audio/RES0059.mp3[490.280,496.840]	I JUST I SMOKE CANNABIS EVERY ONCE IN AWHILE
audio/RES0059.mp3[496.840,500.880]	OK HOW MUCH DO YOU SMOKE
audio/RES0059.mp3[500.880,506.880]	UM I WOULD SAY MAYBE I ENJOY IT ON THE WEEKENDS
audio/RES0059.mp3[506.880,510.000]	DID YOU SAY A JOINT ON THE WEEKENDS
audio/RES0059.mp3[512.240,516.320]	OK SO IS THAT LIKE 1 MILLIGRAM
audio/RES0059.mp3[516.320,519.600]	YEAH I WOULD SAY SOMETHING ABOUT THAT YEAH ITS NOT MUCH
audio/RES0059.mp3[519.600,523.040]	OK BUT NO CIGARETTES THOUGH
audio/RES0059.mp3[523.360,526.560]	OK ANY OTHER RECREATIONAL DRUGS
audio/RES0059.mp3[527.320,531.760]	OK AND DO YOU DRINK ALCOHOL
audio/RES0059.mp3[531.760,539.000]	UMM I DO YEAH ILL HAVE LIKE TWO OR THREE BEERS ON THE WEEKEND
audio/RES0059.mp3[539.000,543.560]	SURE AND AND WHERE DO YOU LIVE
audio/RES0059.mp3[543.560,549.280]	IM JUST LIKE 20 MINUTES DOWN THE ROAD IN A HOUSE HERE
audio/RES0059.mp3[549.280,557.680]	SURE IS IT AN APARTMENT COMPLEX OR IS IT LIKE A FULL HOUSE
audio/RES0059.mp3[557.680,564.960]	YEAH ITS A SINGLE FAMILY HOME I LIVE THERE WITH MY WIFE AND THREE KIDS
audio/RES0059.mp3[564.960,578.200]	OK UM ANY CONCERNS WITH YOUR LIVING ARRANGEMENTS YOU KNOW LIKE OLD CARPETS OR ANYTHING LIKE THAT
audio/RES0059.mp3[578.200,583.760]	ACTUALLY LAST YEAR WE HAD MOST OF THE CARPETS TAKEN OUT SO NOT ANYMORE
audio/RES0059.mp3[583.760,595.720]	OK GOOD GOOD DID YOU HAVE ANY OTHER QUESTIONS OR CONCERNS ANYTHING THAT YOU WANTED TO BRING UP THAT I DIDNT TOUCH ON TODAY
audio/RES0059.mp3[595.720,613.160]	YEAH I WAS JUST REALLY WORRIED THAT THIS COULD BE COVII MEAN I HAVE A COUGH AND JUST HAVE BEEN FEELING REALLY HOT SO I WAS JUST CONCERNED ABOUT THAT
audio/RES0059.mp3[613.160,692.160]	YEAH FOR SURE AND I THINK THATS A VALID CONCERN SO RIGHT NOW IM JUST GOING THROUGH YOU KNOW A LIST OF DIFFERENTIAL DIAGNOSES THAT YOU COULD POSSIBLY HAVE AND COVIITS DEFINITELY TOP ON MY LIST AND SO WE WILL LIKELY GET A SWAB AND RUN THOSE TESTS AND TRY TO GET THAT BACK TO YOU AS SOON AS WE CAN IT COULD ALSO BE OTHER RESPIRATORY INFECTIONS ESPECIALLY VIRAL INFECTIONS THIS TIME OF THE YEAR AND SO IF IT COMES BACK NEGATIVE FOR COVIITS PROBABLY YOU KNOW SOMETHING ELSE LIKE RESPIRATORY VIRUS OR EVEN THE FLU SO WELL GO FROM THERE AND IF IT TURNS OUT ITS NOT A VIRAL INFECTION WE WILL LIKELY SEE IF ITS SOME SORT OF BACTERIAL INFECTION IN WHICH WE CAN PRESCRIBE ANTIBIOTICS FOR THOSE BUT IT DEFINITELY SOUNDS LIKE THERES AN INFECTIOUS PICTURE GOING ON HERE BECAUSE OF THE ACUTENESS OF THE PRESENTATION AND JUST YOUR SYMPTOMS SO WE WILL DO AFOLLOW UP IN A WEEK OR SO UNTIL THEN WE WILL RUN ALL THESE LABS DOES THAT SOUND GOOD
audio/RES0059.mp3[692.160,706.760]	ALRIGHT YEAH THAT SOUNDS GOOD SO I GUESS I WILL KIND OF SELF ISOLATE UNTIL THE COVIRESULTS COME BACK
audio/RES0059.mp3[706.760,757.600]	OH YES PLEASE DO SO THATS THATS A GREAT POINT I DO SUGGEST ISOLATING FOR TWO WEEKS AT LEAST IF YOU HAVE ANY SORT OF SYMPTOMS BECAUSE EVEN THOUGH THE PCR THAT WE DO TO TEST FOR COVIIS SUPPOSED TO BE RELIABLE AND ITS SUPPOSED TO BE SPECIFIC AND SENSITIVE THERE ARE SOMETIMES FALSE NEGATIVE TESTS YOU KNOW JUST TO BE ON THE SAFE SIDE IF YOURE EXPERIENCING ANY OF THE SYMPTOMS THAT OVERLAP WITH COVISYMPTOMS ISOLATE FOR TWO WEEKS BUT BY THE END OF THE WEEK WE SHOULD KNOW WHAT THE TEST RESULTS ARE AND THEN YOU WILL KNOW FOR SURE WHAT YOU HAVE
audio/RES0059.mp3[757.600,759.040]	OK AWESOME THANK YOU
audio/RES0059.mp3[759.040,767.640]	YEAH THANK YOU
audio/RES0095.mp3[0.000,1.640]	HOW CAN I HELP YOU
audio/RES0095.mp3[1.640,13.120]	IVE HAD UH WORSENING UHM SHORTNESS OF BREATH UHM FOR THE PAST COUPLE OF DAYS
audio/RES0095.mp3[13.120,21.880]	OK AND THIS HAS JUST BEEN GETTING WORSE OVER THE LAST COUPLE OF DAYS
audio/RES0095.mp3[24.320,28.800]	OK HOW FAR ARE YOU ABLE TO WALK BEFORE GETTING SHORTER BREATH
audio/RES0095.mp3[28.800,33.120]	A COUPLE OF STAIRS TWO TO THREE STAIRS
audio/RES0095.mp3[33.120,39.640]	OK AND HOW FAR WERE YOU ABLE TO TO WALK BEFORE THAT
audio/RES0095.mp3[39.640,44.280]	HMM ID SAY ABOUT TEN OR ELEVEN STAIRS
audio/RES0095.mp3[44.280,50.040]	OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE
audio/RES0095.mp3[50.040,60.320]	YEAH UHM SIX MONTHS AGO
audio/RES0095.mp3[60.320,63.920]	OK COULD YOU TELL ME ABOUT WHAT HAPPENED SIX MONTHS AGO
audio/RES0095.mp3[63.920,87.040]	YEAH YEAH I WAS FEELING ALL I WAS FEELING JUST LIKE THIS WAS FEELING AWFUL I WENT TO THE HOSPITAL THEY STARTED ME ON A WATER PILL KEPT ME FOR A COUPLE OF DAYS AND THEN SENT ME BACK HOME UHM THEY CHANGED SOME OF MY MEDS I THINK INCREASED THE DOSE OF SOMETHING AND YEAH THATS WHAT HAPPENED
audio/RES0095.mp3[87.040,94.560]	OK I SEE AND HAVE YOU BEEN HAVING UHM ANY SWELLING
audio/RES0095.mp3[94.560,104.160]	YEAH OH MY GOODNESS ITS SO BAD I COULDNT WEAR MY SHOES THIS MORNING ITS GOTTEN WORSE OVER THE PAST ONE MONTH
audio/RES0095.mp3[104.160,108.000]	HAVE YOU HAVE YOU HAD ANY CHANGES TO YOUR WEIGHT
audio/RES0095.mp3[108.000,113.360]	YEP GAINED FIVE POUNDS IN THE PAST TWO MONTHS
audio/RES0095.mp3[113.360,119.520]	AND HAVE YOU HAD ANY CHANGES TO YOUR APPETITE OR OR DIET OR EXERCISE
audio/RES0095.mp3[119.520,128.160]	I CAN BARELY EXERCISE I FEEL SO SHORT OF BREATH MY DADS THE SAME
audio/RES0095.mp3[128.160,137.360]	OK UHM AND HAVE YOU HAD ANY UH INSTANCES WHERE YOUVE WOKE UP IN THE MIDDLE OF THE NIGHT EXTREMELY SHORT OF BREATH
audio/RES0095.mp3[137.360,141.560]	YEAH THAT HAPPENED LAST NIGHT COULDNT FALL ASLEEP
audio/RES0095.mp3[141.560,145.160]	DID IT HELP UH SITTING UP
audio/RES0095.mp3[145.160,150.960]	YEAH I JUST WENT AND SAT ON MY CHAIR AND SLEPT ON THE CHAIR
audio/RES0095.mp3[150.960,157.400]	OK AND DO YOU UH TYPICALLY HAVE PROBLEMS WITH SHORTNESS OF BREATH IF YOU LIE FLAT
audio/RES0095.mp3[157.400,163.960]	I DO I HAVE TO UH STARTED USING TWO PILLOWS
audio/RES0095.mp3[163.960,167.360]	IS THIS A NIGHTLY THING
audio/RES0095.mp3[167.360,174.080]	ITS ITS FINE WITH THE TWO PILLOWS NOW
audio/RES0095.mp3[174.080,180.120]	OK YEAH AND HAVE YOU BEEN EXPERIENCING ANY COUGH
audio/RES0095.mp3[181.880,188.680]	ALRIGHT AND UHM HOW ABOUT ANY ANY CHEST PAIN
audio/RES0095.mp3[189.880,198.080]	HAVE YOU BEEN HAVING ANY UH INSTANCES FEELING AS THOUGH YOUR HEARTS RACING OR BEATING OUT OF YOUR CHEST
audio/RES0095.mp3[199.080,204.480]	ALRIGHT HAVE YOU HAD ANY FAINTING OR DIZZINESS
audio/RES0095.mp3[204.480,207.480]	UH NO
audio/RES0095.mp3[207.480,213.760]	ALRIGHT HAVE YOU HAD ANY WHEEZING
audio/RES0095.mp3[214.920,225.360]	OK HAVE YOU HAD ANY INFECTIOUS SYMPTOMS SUCH AS UH EYE REDNESS EYE DISCHARGE NASAL DISCHARGE OR OR SORE THROAT
audio/RES0095.mp3[225.360,231.400]	NOT RECENTLY I HAD THAT ABOUT TWO MONTHS AGO BUT THAT GOT BETTER
audio/RES0095.mp3[231.400,234.200]	OK DID YOU NEED ANTIBIOTICS TWO MONTHS AGO
audio/RES0095.mp3[234.200,245.600]	NO NO JUST LASTED A COUPLE DAYS AND GOT BETTER ON ITS OWN
audio/RES0095.mp3[245.600,250.600]	I SEE OK AND UHM HAVE YOU BEEN HAVING ANY ABDOMINAL PAIN
audio/RES0095.mp3[250.960,260.000]	HOW ABOUT ANY CHANGES TO BOWEL HABITS SUCH AS DIARRHEA OR CONSTIPATION
audio/RES0095.mp3[260.000,261.120]	UHM NO
audio/RES0095.mp3[261.120,263.200]	ANY URINARY PROBLEMS
audio/RES0095.mp3[263.200,271.760]	I DO I I UHM I LEAK URINE SOMETIMES ACTUALLY QUITE OFTEN
audio/RES0095.mp3[271.760,275.080]	OK AND DO YOU USE ANY MEDICATIONS
audio/RES0095.mp3[275.080,294.960]	NO I I WELL I DO I USE A LOT OF MEDICATIONS UHM BUT I  DONT REMEMBER THEIR NAMES UH I HAVE THIS BLISTER PACK AND I JUST TAKE EVERYTHING IN IT UHM I ALSO I BROUGHT THE LIST OF PRESCRIPTIONS I CAN GIVE THAT TO YOU
audio/RES0095.mp3[294.960,308.320]	FOR SURE YEAH I COULD GO THROUGH GO THROUGH THAT UHM HERE UHM SO BUT FIRST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0095.mp3[308.320,324.120]	YEAH I HAVE UH HEART HEART FAILURE AND UH HAD TWO HEART ATTACKS AND HAVE HIGH CHOLESTEROL HIGH BLOOD PRESSURE AND UH IM ALSO OVERWEIGHT
audio/RES0095.mp3[324.120,327.880]	OK DO YOU KNOW WHAT YOUR BMI IS CURRENTLY
audio/RES0095.mp3[327.880,328.480]	WHATS THAT
audio/RES0095.mp3[328.480,357.880]	SO THIS IS A MEASURE OF BODY MASS INDEX AND UHM CAN HELP GIVE AN INDICATION ABOUT WEIGHT RANGES UHM WHETHER UHM BEING IN A HEALTHY WEIGHT RANGE OR UHM A WEIGHT RANGE THATS ASSOCIATED WITH UHM RISK OF CERTAIN DISEASES SUCH AS HIGH BLOOD PRESSURE
audio/RES0095.mp3[357.880,363.440]	NO I I I DONT KNOW I IVE NEVER HEARD OF THAT I I KNOW MY WEIGHT I COULD TELL YOU THAT
audio/RES0095.mp3[363.440,364.720]	SURE YEAH
audio/RES0095.mp3[364.720,368.600]	IM 250 POUNDS
audio/RES0095.mp3[368.600,373.400]	OK AND YEAH WE CAN CHECK THAT UH WITH YOUR HEIGHT TODAY
audio/RES0095.mp3[373.400,376.600]	MY HEIGHT IS 52
audio/RES0095.mp3[376.600,403.600]	OK THANK YOU AND UHM SO JUST LOOKING AT THE MEDICATIONS HERE NOW I SEE A VARIETY FOR UHM CARDIOVASCULAR PROTECTION SO THINGS LIKE ASPIRIN BETA BLOCKER ACE INHIBITOR STATIN UHM AND UHM DO YOU HAVE ANY ALLERGIES TO MEDICATIONS
audio/RES0095.mp3[405.200,411.080]	UHM AND HAVE YOU HAD ANY UH SO YOU MENTIONED SURGERIES TO YOUR TO YOUR HEART DO YOU HAVE A STENT PLACED
audio/RES0095.mp3[411.080,420.480]	YEAH I HAD TO STENT PUT IN AFTER THE FIRST HEART ATTACK ABOUT FIVE YEARS AGO AND THEN ANOTHER ONE UH THREE YEARS AGO
audio/RES0095.mp3[420.480,433.400]	OK AND HAVE YOU HAVE YOU BEEN STABLE IN REGARDS TO YOUR UH LIKE CHEST PAIN HAVE YOU HAD ANY
audio/RES0095.mp3[433.400,458.120]	NO I HAVENT HAD CHEST PAIN I HAVE A UHM A HEART DOCTOR WHO UHM I WENT TO SEE AFTER THE LAST HOSPITALIZATION SIX MONTHS AGO THINGS WERE LOOKING OK AT THE TIME HE ORDERED A BUNCH OF TESTS I HAVENT DONE ALL OF THEM YET
audio/RES0095.mp3[458.120,466.200]	OK DO YOU KNOW UH BY ANY CHANCE WHAT THE UH LAST EJECTION FRACTION WAS ON YOUR ECHOCARDIOGRAM
audio/RES0095.mp3[466.200,475.160]	I DONT KNOW I I DONT KNOW ALL OF THAT I DONT KNOW YOU HAVE TO ASK MY DAUGHTER SHE KNOWS MUCH MORE ABOUT ME
audio/RES0095.mp3[475.160,493.040]	YEAH NO PROBLEM WELL WE COULD LOOK INTO UH SOME OF THOSE OLD UH OLDER TESTS THAT YOUVE DONE OK AND UHM SO CAN YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY YOU MENTIONED YOUR YOUR DAUGHTER ARE YOU LIVING WITH YOUR DAUGHTER
audio/RES0095.mp3[493.040,506.200]	YEAH I LIVE WITH MY DAUGHTER MY HUSBAND PASSED AWAY UH THREE YEARS AGO AND SO IVE JUST BEEN STAYING WITH MY DAUGHTER ITS JUST THE TWO OF US NOW
audio/RES0095.mp3[506.200,520.320]	I SEE IM SORRY TO HEAR THAT ABOUT YOUR HUSBAND UHM ARE YOU CURRENTLY UH LIKE FUNCTIONING INDEPENDENTLY AROUND THE HOME OR DOES YOUR DAUGHTER HELP WITH A LOT OF THE TASKS
audio/RES0095.mp3[520.320,548.400]	OH SHE SHE SHE HAS TO HELP ME OUT UHM SHE HAS TO HELP ME OUT I UHM I SOMETIMES NEED HELP WITH THE SHOWERING SIMPLY BECAUSE I GET REALLY SHORT OF BREATH AND THEN SO I HAVE TO STOP AND ITS JUST SHES JUST WORRIED THAT ITS UNSAFE SO SHE HELPS ME OUT WITH THAT UHM SHE GETS MOST OF THE THINGS DONE AT HOME SHE DOES THE GROCERIES AND EVERYTHING
audio/RES0095.mp3[548.400,552.640]	OK I SEE AND DO YOU DO YOU SMOKE CIGARETTES
audio/RES0095.mp3[552.640,555.800]	I I DONT
audio/RES0095.mp3[555.800,558.360]	AND DO YOU DRINK ALCOHOL
audio/RES0095.mp3[558.360,560.680]	NOT ANYMORE
audio/RES0095.mp3[560.680,564.880]	OK DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS
audio/RES0095.mp3[564.880,567.640]	NO NO NO NO NOTHING LIKE THAT
audio/RES0095.mp3[567.640,573.600]	ALRIGHT THEN UH DO YOU UHM USE ANY OTHER RECREATIONAL DRUGS
audio/RES0095.mp3[573.600,576.760]	NO NO I DONT
audio/RES0095.mp3[576.760,583.760]	ALRIGHT UHM HAVE YOU BEEN AROUND ANYBODY WHO YOU THINK MIGHT HAVE BEEN SICK
audio/RES0095.mp3[583.760,590.400]	NO IVE JUST BEEN STAYING AT HOME MY DAUGHTERS BEEN WORKING FROM HOME TOO
audio/RES0095.mp3[590.400,593.760]	OK SO UH YOU HAVENT HAD MUCH CONTACT WITH UHM
audio/RES0095.mp3[594.320,604.520]	WITH OTHERS RECENTLY OK HAVE YOU SO YOU HAVENT TRAVELED ANYWHERE
audio/RES0095.mp3[606.080,615.640]	ALRIGHT UH AND UH AND IN TERMS OF FAMILY HISTORY HAS ANYBODY HAD ANY HEART OR LUNG CONDITIONS
audio/RES0095.mp3[615.640,628.360]	OH YEAH EVERYONE IN MY FAMILY HAS HIGH BLOOD PRESSURE MY MOM HAD A HEART ATTACK MY BROTHER HAD A HEART ATTACK MY SISTER HAD A HEART ATTACK EVERYONE EVERYONE HAS HEART PROBLEMS
audio/RES0095.mp3[628.360,645.560]	OK CERTAINLY SOUNDS LIKE SOMETHING UH COMMON IN THE FAMILY HAS THERE BEEN ANY OTHER UH CONDITIONS THAT RUN IN THE FAMILY
audio/RES0095.mp3[647.480,652.520]	ALRIGHT UHM I I DONT I DONT THINK I ASKED HAVE YOU HAD ANY FEVERS OR CHILLS
audio/RES0095.mp3[655.040,658.080]	OK AND OR OR ANY NIGHT SWEATS
audio/RES0095.mp3[661.720,671.880]	OK AND UH I MIGHT HAVE ASKED BUT JUST TO TO BE COMPLETE DID YOU HAVE ANY NAUSEA OR VOMITING
audio/RES0095.mp3[673.200,679.520]	OK UHM SO WERE THERE ANY OTHER SYMPTOMS OR ANYTHING ELSE THAT THAT I MAY HAVE FORGOT TO ASK ABOUT
audio/RES0095.mp3[679.520,688.400]	NO I DONT THINK SO ITS JUST THE THE DIFFICULTIES WITH BREATHING AND THE SWELLING
audio/RES0095.mp3[688.400,746.880]	YEAH SO THE FIRST THING ILL SPEAK TO YOUR DAUGHTER AND WE WILL UHM GET A LOOK AT SOME OF THE OLD OR SOME OF THE REPORTS FROM UHM OVER THE LAST SEVERAL MONTHS FROM AND FROM THE CARDIOLOGIST YOU SEE BUT ITS UH AND THEN UH ALSO WELL GET SOME BLOOD WORK AND A CHEST XRAY BUT IT IS SOUNDING LIKE THIS COULD BE A HEART FAILURE EXACERBATION WHICH SO SOME OF THE SHORTNESS OF BREATH IT COULD BE COMING FROM FLUID UHM THAT HAS ACCUMULATED IN YOUR LUNGS AND SO UH WELL GIVE YOU OH ANOTHER TYPE OF WATER PILL NOW FUROSEMIDE TO TRY AND HELP GET RID OF SOME OF THAT FLUID SO IT WILL HELP WITH THE BREATHING AND IN THE MEANTIME WELL WAIT FOR THE INVESTIGATIONS TO COME BACK
audio/RES0095.mp3[746.880,754.360]	SURE THANK YOU
audio/RES0007.mp3[0.000,5.160]	I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT WHAT BROUGHT YOU IN
audio/RES0007.mp3[5.160,30.200]	YEAH SO LIKE A COUPLE MONTHS AGO I WAS IN THE OFFICE AND THEY TOLD ME THAT I HAVE ASTHMA LIKE I HAD IT WHEN I WAS A LITTLE KID AND I THOUGHT I GREW OUT OF IT BUT APPARENTLY NOT OR LIKE IT CAME BACK OR SOMETHING SO YEAH SO THEY JUST TOLD ME TO COME BACK TODAY I DONT REALLY HAVE LIKE ANY ISSUES
audio/RES0007.mp3[30.200,38.800]	OK SO WHAT WHAT BROUGHT ON THE APPOINTMENT IN THE SUMMER TIME OR A COUPLE OF MONTHS AGO
audio/RES0007.mp3[38.800,71.040]	UH SO LIKE I HAVE GYM CLASS AT SCHOOL AND MY TEACHER JUSTALWAYS THOUGHT THAT LIKE SHOULD BE ABLE TO RUN FASTER LIKE IM LOOKING GOOD ATHLETE BUT I JUST COULDNT GO MUCH FASTER AND I WAS LIKE SAYING I CANT REALLY BREATHE WHEN IM RUNNING THAT FAST AND THEN YOU KNOW MY MOM WAS LIKE YOU SHOULD PROBABLY GO WE SHOULD PROBABLY MAKE AN APPOINTMENT
audio/RES0007.mp3[71.040,81.960]	OK AND UH WHEN YOURE EXERCISING OR IN GYM CLASS DO YOU GET SHORT OF BREATH OR DO YOU FIND THAT YOU HAVE DIFFICULTY BREATHING
audio/RES0007.mp3[81.960,95.200]	YEAH YEAH LIKE I WILL IF I IF I TRY TO RUN FAST LIKE I KINDA CANT BREATHE ANYMORE SO I KIND OF STOP OR GO SLOWER
audio/RES0007.mp3[95.200,104.440]	OK AND HOW LONG DOES IT TAKE FOR THE BREATHING DIFFICULTY TO GO AWAY
audio/RES0007.mp3[104.440,117.840]	IF I STOP DOING LIKE THE THING IM DOING IT I I DONT KNOW NOT VERY LONG LIKE COUPLE OF MINUTES
audio/RES0007.mp3[117.840,123.120]	OK AND UH DOES THIS HAPPEN IN ANY OTHER SETTINGS
audio/RES0007.mp3[123.120,159.600]	OH LIKE SOMETIMES WHEN ITS REALLY COLD OUTSIDE ILL GO OUT AND LIKE IT MY CHEST FEELS TIGHT AND JUST FEEL LIKE I CANT BREATHE AND KIND OF SUCKS LIKE MY GIRLFRIEND WANTED TO BUILD A SNOWMAN AND DO SNOW ANGELS AND STUFF AND I COULDNT DO IT OH ANOTHER TIME LIKE I WENT TO MY FRIENDS HOUSE AND THEY HAD LIKE A BUNCH OF CATS I I FELT LIKE I GOT WHEEZY SOUND AND I FELT LIKE THAT TIME IT TOOK LONGER FOR FOR THE BREATHING TO GET EASIER LIKE I HAD TO LEAVE
audio/RES0007.mp3[159.600,166.480]	OK SO YOUVE NOTICED CHANGES TO TO YOUR BREATHING SOUNDS LIKE YOUVE HAD NOISY BREATHING BEFORE
audio/RES0007.mp3[166.480,170.360]	YEAH MOSTLY JUST WITH THE CAT
audio/RES0007.mp3[171.160,182.560]	WE DONT HAVE A CAT AT MY HOUSE SO I DIDNT REALLY THINK ANYTHING OF IT AND THEN I WENT TO MY FRIENDS HOUSE WHO HAD A BUNCH OF CATS AND THEN AT THAT TIME I COULD ACTUALLY HEAR IT
audio/RES0007.mp3[182.560,187.160]	OK AND HAVE YOU HAD A COUGH
audio/RES0007.mp3[187.160,192.120]	UH NO I DONT THINK SO
audio/RES0007.mp3[192.120,204.280]	OK AND WERE THERE ANYTHING WAS THERE ANYTHING THAT YOU TRIED BESIDES THE REST TO MAKE THOSE SYMPTOMS GO AWAY
audio/RES0007.mp3[204.280,220.920]	LIKE I HAVE THE UH UM INHALER THAT THE DOCTOR GAVE ME LAST TIME SO YEAH LIKE IVE BEEN USING IT IN GYM CLASS NOW
audio/RES0007.mp3[220.920,225.920]	OK HOW MANY DAYS PER WEEK ARE YOU USING THAT
audio/RES0007.mp3[225.920,269.560]	WELL IM A LITTLE CONFUSED NOW BECAUSE I THE 1 SUPPOSED TO USE LIKE EVERY DAY A COUPLE TIMES AND THEN THERE WAS A DIFFERENT ONE THAT I THOUGHT IT WAS ONLY SUPPOSED TO BE USED IF THE OTHER ONE DIDNT WORK BUT NOW THE NURSE JUST TOLD ME THAT IM SUPPOSED TO USE THEM BOTH SO I ONLY GOT THE ONE AT THE PHARMACY SO I DONT REALLY I DONT REALLY KNOW I FEEL LIKE A BIT CONFUSED NOW BUT I ALWAYS USE THE 1 SUPPOSED TO BE LIKE 2 TIMES A DAY THE ONE THAT STARTS WITH AN S UM BUT SOMETIMES I JUST DO IT ONCE A DAY IF I FORGET THE SECOND ONE
audio/RES0007.mp3[269.560,306.360]	OK WELL UM WE CAN DEFINITELY CLARIFY THE CONFUSION ABOUT THE MEDICATIONS TODAY SOMETIMES FOR STEROID MEDICATIONS THOSE ONES ARE REQUIRED TO BE USED DAILY IN ORDER TO GET THE MAXIMAL BENEFIT AND SO WILL TAKE A LOOK AT YOUR MEDICATIONS AND SEE IF ONE OF THOSE HAS A STEROID COMPONENT IN IT AND SAY AND HOW OFTEN YOURE NEEDING IT HAVE YOU BEEN HAVING ANY EPISODES OF SHORTNESS OF BREATH AT NIGHT TIME
audio/RES0007.mp3[306.360,310.360]	OH NO NO MOSTLY LIKE GYM CLASS LIKE I SAID
audio/RES0007.mp3[310.360,318.000]	OK AND HAVE YOU HAD ANY OTHER ASSOCIATED SYMPTOMS
audio/RES0007.mp3[318.000,324.000]	UH I DONT THINK SO LIKE WHAT DO YOU MEAN
audio/RES0007.mp3[324.000,336.800]	UM SO ANYTHING LIKE LIKE ALLERGIES LIKE RUNNY NOSE OR REALLY ITCHY EYES WITH MAYBE SOME LIKE UM TEARING
audio/RES0007.mp3[336.800,345.440]	WHEN I WAS AROUND THE CATS YEAH BUT NOT THE OTHER TIMES
audio/RES0007.mp3[345.440,352.960]	OK AND DO YOU EVER HAVE ANY RASHES ON YOUR SKIN OR OR REALLY ITCHY SKIN
audio/RES0007.mp3[352.960,357.520]	WHEN I WAS A KID BUT NOT REALLY NOW
audio/RES0007.mp3[357.520,362.360]	OK AND HOW ABOUT ANY NAUSEA OR VOMITING
audio/RES0007.mp3[369.440,375.760]	OK ANY INFECTIOUS SYMPTOMS OVERALL
audio/RES0007.mp3[375.760,378.600]	AHH I DONT I DONT THINK SO
audio/RES0007.mp3[378.600,385.760]	OK ANY URINARY PROBLEMS
audio/RES0007.mp3[385.760,388.440]	UH LIKE NO NO
audio/RES0007.mp3[388.440,392.240]	OK BOWEL PROBLEMS
audio/RES0007.mp3[392.240,397.720]	UH NO NO NO THATS ALL GOOD
audio/RES0007.mp3[397.720,405.160]	OK UM AND UH ANY FEVERS OR CHILLS
audio/RES0007.mp3[406.800,413.480]	OK AND THEN HOW ABOUT UH HAVE YOU BEEN HAVING ANY NIGHT SWEATS
audio/RES0007.mp3[413.480,415.080]	WHATS THAT
audio/RES0007.mp3[415.080,425.640]	SO UH OVERNIGHT WHEN YOURE SLEEPING YOU WAKE UP WITH EITHER YOUR LIKE PAJAMAS DRENCHED OR YOUR YOUR SHEETS DRENCHED DRENCHED FROM SWEATING
audio/RES0007.mp3[425.640,427.120]	OH NO
audio/RES0007.mp3[427.920,429.360]	UM NOT THAT
audio/RES0007.mp3[429.360,443.640]	OK SO I JUST WANTED TO ASK A FEW QUESTIONS ABOUT YOUR PAST HEALTH HAVE YOU BEEN SO YOU MENTIONED ASTHMA HAVE YOU BEEN DIAGNOSED WITH ANY OTHER MEDICAL CONDITIONS
audio/RES0007.mp3[443.640,449.040]	NO NO THATS IT
audio/RES0007.mp3[449.040,455.560]	OK UM AND ANY RECENT HOSPITALIZATIONS
audio/RES0007.mp3[455.560,461.840]	LIKE I BROKE MY LEG YEARS AGO BUT LIKE THAT WAS JUST LIKE REALLY FAST
audio/RES0007.mp3[461.840,466.560]	OK AND ANY SURGERIES
audio/RES0007.mp3[466.560,470.320]	UH JUST LIKE MY WISDOM TEETH
audio/RES0007.mp3[470.320,475.760]	OK AND ANY MEDICATIONS BESIDES IT LIKE THAT INCLUDING THE INHALERS
audio/RES0007.mp3[475.760,487.200]	NOTHING ELSE JUST JUST THOSE THINGS AND MY MOM MAKES ME TAKE A VITAMIN
audio/RES0007.mp3[487.200,491.440]	OK AND ANY ALLERGIES
audio/RES0007.mp3[491.440,497.840]	WHAT I DONT KNOW LIKE NOT THAT I THOUGHT BUT MAYBE LIKE CATS
audio/RES0007.mp3[497.840,510.720]	OK AND DO YOU HAVE ANY LIKE SEASONAL ALLERGIES DO YOU FIND LIKE IN THE SPRING OR FALL TIME OR EVEN SUMMER THAT YOU GET UM LIKE DRY EYES OR REALLY ITCHY
audio/RES0007.mp3[510.720,513.400]	EYES OR RUNNY NOSE
audio/RES0007.mp3[513.400,521.480]	YEAH I JUST THOUGHT LIKE I HAD A COLD BUT I GUESS LIKE I USUALLY FEEL LIKE THAT IN THE SPRINGTIME
audio/RES0007.mp3[521.480,527.280]	OK AND UH ARE IMMUNIZATIONS UP TO DATE
audio/RES0007.mp3[527.280,538.800]	I THINK SO LIKE IVE HAD ALL THE STUFF THAT IM SUPPOSED TO I THINK I DONT KNOW THE NAMES OF EVERYTHING
audio/RES0007.mp3[538.800,552.520]	OK AND SO I ACTUALLY WANTED TO ASK A FEW QUESTIONS ABOUT PERSONAL AND KIND OF LIFESTYLE HABITS BUT FIRST I WAS WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION
audio/RES0007.mp3[552.520,559.320]	YOU KNOW LIKE I LIVE WITH MY MOM AND DAD AND I LIKE MY LITTLE BROTHER
audio/RES0007.mp3[562.560,568.200]	OK AND UM WHERE DO YOU GO TO SCHOOL
audio/RES0007.mp3[568.200,574.960]	UM TO TO THE THE SCHOOL UM LIKE HIGH SCHOOL DOWN THE ROAD
audio/RES0007.mp3[574.960,578.120]	OK AND IN WHAT GRADE NOW
audio/RES0007.mp3[578.120,584.160]	AND IM IN GRADE 11
audio/RES0007.mp3[584.160,591.400]	OK AND WHAT TYPES OF LIKE HOBBIES OR KIND OF ACTIVITIES ARE YOU INTERESTED IN
audio/RES0007.mp3[591.400,618.680]	I LIKE I LIKE PLAYING VIDEO GAMES I WAS REALLY WANTING TO JOIN THE MARINES AND I WAS REALLY TRYING TO GET INTO THAT STUFF BUT THEN I HEARD LIKE YOU CANT WHEN YOU HAVE ASTHMA OH SO I I KINDA WANNA KNOW BOUT THAT LIKE IS THAT GONNA STOP ME FROM DOING THAT
audio/RES0007.mp3[618.680,643.200]	YEAH SO ITS SOMETHING THAT WE WILL LOOK INTO TODAY IM IM NOT TOO SURE WHAT THE DETAILS ARE REGARDING THAT INFORMATION BUT THANK YOU FOR BRINGING THAT UP AND WELL BE FOR SURE TO LOOK INTO THAT TOGETHER AND THAT REMINDED ME OF A QUESTION I WANTED TO ASK EARLIER AND SO HAVE YOU HAD PULMONARY FUNCTION TESTS DONE BEFORE
audio/RES0007.mp3[643.200,645.280]	UH WHAT IS THAT
audio/RES0007.mp3[645.280,671.040]	SO ESSENTIALLY THEYLL HAVE YOU KIND OF BREATHING INTO A TUBE WHERE YOULL HAVE PERIODS WHERE YOULL MAXIMALLY INHALE AND THEN MAXIMALLY EXHALE AS QUICKLY AS YOU CAN AND YOULL DO DIFFERENT TYPES OF BREATHING MOVEMENTS SO THAT IT GETS MEASURED ON A ON A DEVICE
audio/RES0007.mp3[671.040,675.400]	IS THAT LIKE WHEN YOU BREATHE IN THAT THE TUBE
audio/RES0007.mp3[675.400,677.520]	YEAH EXACTLY
audio/RES0007.mp3[677.520,686.600]	YEAH LIKE THE LAST TIME I WAS HERE LIKE COUPLE MONTHS AGO I DID THAT AND IT SAID THAT SHE SAID THAT MY ASTHMA WAS BACK
audio/RES0007.mp3[686.600,708.560]	OK RIGHT THANK YOU FOR CLARIFYING AND SO SO FOR THE LAST FEW QUESTIONS ABOUT AND YOUR PERSONAL HABITS I WAS WONDERING I UNDERSTAND THAT PEOPLE IN YOUR AGE GROUP MIGHT EXPERIENCE WITH SMOKING OR OR ALCOHOL DO ANY OF YOUR FRIENDS DO THAT
audio/RES0007.mp3[708.560,717.240]	I MEAN SOMETIMES WELL DRINK BEER LIKE AT PARTIES ON THE WEEKEND I DONT I DONT DRINK A LOT
audio/RES0007.mp3[717.240,725.560]	OK AND CAN YOU TELL ME A LITTLE BIT ABOUT YOUR DIET
audio/RES0007.mp3[725.560,727.760]	SORRY I MISSED THAT
audio/RES0007.mp3[727.760,732.360]	JUST WONDERING IF YOU COULD TELL ME A LITTLE BIT ABOUT YOUR DIET
audio/RES0007.mp3[732.360,761.960]	OH WELL MY MOM ALWAYS LIKE MAKES ME A LUNCH LIKE ILL HAVE LIKE A SANDWICH FOR LUNCH WITH LIKE YOU KNOW HAM AND CHEESE OR SOMETHING ILL USUALLY HAVE LIKE CEREAL FOR BREAKFAST AND MY MOM MAKES DINNER ITS USUALLY LIKE MEAT LIKE POTATOES AND VEGETABLES OR SOMETHING I THINK ITS LIKE PRETTY NORMAL
audio/RES0007.mp3[761.960,766.400]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0007.mp3[766.400,771.280]	UH LIKE I HAVE A GIRLFRIEND JUST WITH HER UH LIKE JUST RECENTLY YEAH WE STARTED
audio/RES0007.mp3[771.280,776.760]	OK AND DO YOU USE A CONDOM
audio/RES0007.mp3[776.760,780.080]	YEAH YEAH
audio/RES0007.mp3[780.080,783.640]	EVERY TIME OR SOMETIMES
audio/RES0007.mp3[783.640,789.920]	OH YEAH EVERY TIME ITS NOT DOING THAT MANY TIMES BUT YEAH
audio/RES0007.mp3[789.920,795.800]	OK GREAT AND UM HAVE YOU HAD ANY OTHER PARTNERS
audio/RES0007.mp3[795.800,801.640]	NO NO LIKE I HAD MADE OUT WITH OTHER PEOPLE BEFORE BUT THIS IS LIKE THE FIRST ONE
audio/RES0007.mp3[801.640,806.440]	OK BUT HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0007.mp3[806.440,812.160]	UH NO
audio/RES0007.mp3[812.160,825.840]	OK AND I KNOW THIS QUESTION MIGHT SEEM A LITTLE BIT INVASIVE BUT ITS IMPORTANT TO ASK EVERYBODY HAVE YOU HAD ANY THOUGHTS OF HURTING OR HARMING YOURSELF
audio/RES0007.mp3[833.000,834.600]	NO I HAVENT
audio/RES0007.mp3[834.600,844.240]	OK GREAT UM AND IN YOUR FAMILY HAS ANYBODY EVER HAD ANY OF THESE SIMILAR SYMPTOMS BEFORE
audio/RES0007.mp3[844.240,855.480]	LIKE MAY MY DAD I THINK HE MAYBE HAD ASTHMA WHEN HE WAS YOUNGER BUT LIKE HE DOESNT REALLY HAVE IT NOW
audio/RES0007.mp3[855.480,858.840]	OK AND ANY ALLERGIES THAT RUN IN THE FAMILY
audio/RES0007.mp3[858.840,871.280]	MMMM LIKE MY DAD ALSO REALLY DAD GETS LIKE A RUNNY NOSE IN THE SPRING SO YEAH I THINK THATS ALLERGIES
audio/RES0007.mp3[871.280,927.640]	OK UM SO OVERALL ITS ITS SOUNDING LIKE YOU BEEN HAVING THIS SHORTNESS OF BREATH OR DIFFICULTY BREATHING EPISODES THAT YOURE SAYING THAT ITS MADE WORSE WHEN YOURE EXERCISING OUT IN THE COLD AND THEN AROUND PETS AND SOMETIMES WHEN THE SEASON CHANGES AS WELL AND IN THE SPRING AND SO AND THEN THE RECENT DIAGNOSIS ON PULMONARY FUNCTION TESTS A FEW MONTHS AGO SO I THINK IT WOULD BE IMPORTANT TO CLEAR UP THE MEDICATIONS TODAY AND TRY TO GET THAT BETTER ORGANIZED MOVING FORWARD BECAUSE IT SOUNDS LIKE YOURE STILL PRETTY SYMPTOMATIC WITH NEEDING TO USE THEM DAILY CURRENTLY AND SO WILL LOOK INTO THAT AND THEN ALSO THE QUESTION ABOUT THE MARINES UH INTEREST WITH ASTHMA
audio/RES0007.mp3[927.640,943.680]	YEAH THANK YOU I REALLY WANNA KNOW THAT LIKE THAT WAS MY PLAN AND NOW IM LIKE KINDA WORRIED I CAN DO THAT
audio/RES0007.mp3[944.600,946.720]	K THANK YOU
audio/RES0169.mp3[0.000,5.760]	WHAT BRINGS YOU IN TODAY
audio/RES0169.mp3[5.760,17.880]	I IVE BEEN HAVING UH THIS FEVER THE LAST COUPLE OF DAYS AND IVE HAD A COUGH AS WELL AND MY NOSE IS KEEPS RUNNING
audio/RES0169.mp3[17.880,24.040]	OK AND WHEN DID THE FEVERS START
audio/RES0169.mp3[24.040,29.640]	I THINK THE FEVER STARTED TWO DAYS AGO
audio/RES0169.mp3[29.640,34.720]	HOW DID YOU MEASURE YOUR MAGIC TEMPERATURE
audio/RES0169.mp3[34.720,43.360]	YEAH IT WAS 38 POINT 5 WHEN I WHEN I CHECKED IT
audio/RES0169.mp3[43.360,48.240]	AND HAVE YOU BEEN CHECKING IT OUT PAST DAYS HAS IT GOTTEN BETTER OR WORSE
audio/RES0169.mp3[48.240,51.440]	ITS BEEN ABOUT THE SAME BOTH BOTH DAYS
audio/RES0169.mp3[51.440,56.320]	AND YOUR COUGH WHEN DID THAT START
audio/RES0169.mp3[56.320,59.640]	COUGH STARTED FOUR DAYS AGO
audio/RES0169.mp3[59.640,64.800]	OK IS IT A WET COUGH OR DRY COUGH
audio/RES0169.mp3[64.800,68.840]	ITS BEEN DRY
audio/RES0169.mp3[68.840,74.160]	IVE BEEN BRINGING UP ANY BLOOD OR ANY MUCUS OR ANYTHING LIKE THAT
audio/RES0169.mp3[74.160,81.800]	NO AND I HAVENT HAD A COUGH BEFORE EITHER THIS IS NEW
audio/RES0169.mp3[81.800,89.600]	OK AND THE RUNNY NOSE WHAT KIND OF DISCHARGE OR WHAT LIKE WHATS COMING OUT OF YOUR NOSE
audio/RES0169.mp3[89.600,96.080]	ITS PRETTY PRETTY WATERY AND CLEAR
audio/RES0169.mp3[96.080,101.280]	OK ALRIGHT AND WHEN DID THAT START
audio/RES0169.mp3[101.280,108.000]	YEAH YEAH SORRY THAT STARTED ABOUT FOUR DAYS AGO AS WELL SO ABOUT THE SAME TIME AS THE COUGH
audio/RES0169.mp3[108.000,127.680]	HAVE YOU HAD ANY OTHER SYMPTOMS SUCH AS HAVING A STUFFY NOSE THAT HAVE CONGESTION IN YOUR SINUSES SORE THROAT UMM RED EYES WATERY TEARY EYES SNEEZING ANY OF THOSE SYMPTOMS
audio/RES0169.mp3[127.680,129.640]	UM NO NOTHING LIKE THAT
audio/RES0169.mp3[129.640,133.480]	ANY DIFFICULTIES BREATHING
audio/RES0169.mp3[135.560,138.400]	ANY PAIN IN YOUR CHEST
audio/RES0169.mp3[140.160,144.600]	OK ANY HEADACHES
audio/RES0169.mp3[144.600,154.400]	UH YEAH I HAVE HAD A BIT OF A HEADACHE ACTUALLY WELL JUST JUST THIS MORNING
audio/RES0169.mp3[154.400,156.560]	HOW HOW BAD IS IT
audio/RES0169.mp3[156.560,165.600]	ITS PRETTY MILD SOMETHING PRETTY SIMPLE LIKE IT SO IVE HAD HEADACHES LIKE LIKE THIS BEFORE ITS NOT ITS NOT A BIG DEAL
audio/RES0169.mp3[165.600,170.960]	AND DO YOU HAVE ANY FATIGUE OR MUSCLE ACHES
audio/RES0169.mp3[170.960,180.280]	NO MUSCLE ACHES BUT YEAH I HAVE BEEN FATIGUED LAST A COUPLE OF DAYS TWO OR THREE DAYS
audio/RES0169.mp3[180.280,183.920]	ANY CHANGES IN YOUR SENSE OF SMELL
audio/RES0169.mp3[185.760,188.720]	CHANGES IN YOUR SENSE OF TASTE
audio/RES0169.mp3[190.880,195.080]	ANY PAIN IN YOUR BELLY OR ANY DIARRHEA
audio/RES0169.mp3[195.080,202.840]	NOTHING LIKE THAT
audio/RES0169.mp3[202.840,210.480]	OK ALRIGHT UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0169.mp3[210.480,215.600]	UH NO I IVE BEEN IVE BEEN HEALTHY
audio/RES0169.mp3[215.600,219.760]	OK ANY SURGERIES OR HOSPITALIZATIONS
audio/RES0169.mp3[219.760,225.120]	NO I HAVENT HAD ANYTHING LIKE THAT BEFORE
audio/RES0169.mp3[225.120,231.600]	OK AND DO YOU TAKE ANY MEDICATIONS
audio/RES0169.mp3[231.600,234.160]	NO IM NOT
audio/RES0169.mp3[234.160,241.760]	OK AND ALLERGIES TO FOOD OR MEDICATIONS OR ENVIRONMENTAL ALLERGIES
audio/RES0169.mp3[241.760,249.840]	I THINK I HAVE AN ALLERGY TO PENICILLIN I GOT IT I HAD A RASH WHEN I WAS I YOUNGER WHEN I HAD THAT
audio/RES0169.mp3[249.840,258.000]	OK AND DO YOU CURRENTLY WOULD YOU CURRENTLY LET THAT
audio/RES0169.mp3[258.000,260.960]	YEAH SO I I JUST LIVE WITH MY WITH MY MOM
audio/RES0169.mp3[260.960,265.760]	OK DO YOU HAVE ANY PETS AT HOME
audio/RES0169.mp3[265.760,273.800]	NO ITS JUST US TWO UH WE LIVE IN A IN A TOWNHOUSE IN IN THE CITY
audio/RES0169.mp3[273.800,281.440]	NICE OK AND DO YOU DO YOU OR YOUR MOM GO OUT FOR SCHOOL OR FOR WORK
audio/RES0169.mp3[281.440,301.160]	UH YEAH IVE BEEN GOING BEEN GOING TO SCHOOL I KNOW WITH THE SOME OF THE LOCKDOWNS AND WHAT NOT THE SCHOOLS BEEN OPEN SO WEVE BEEN GOING THEYVE BEEN PRETTY CAUTIOUS WITH THE COVID PROTOCOLS AND BUT MY MOMS BEEN WORKING FROM HOME
audio/RES0169.mp3[301.160,308.840]	OK GOOD DO YOU FEEL LIKE YOU OR YOUR MOM MAY HAVE HAD CONTACT WITH ANYONE WHO COULD HAVE POTENTIALLY BEEN SICK
audio/RES0169.mp3[308.840,317.520]	UHM I MEAN MAYBE AT THE SCHOOL OR SOMETHING LIKE THAT BUT I CANT THINK OF ANYBODY WHO WHOS BEEN SICK
audio/RES0169.mp3[317.520,321.600]	OK ALRIGHT HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE
audio/RES0169.mp3[326.320,341.560]	OK UHM AND UH DO YOU I GUESS A COUPLE OF OTHER MORE GENERAL QUESTIONS DO YOU FEEL SAFE AT HOME
audio/RES0169.mp3[341.560,346.920]	I DO YEAH WE HAVE A GOOD A GOOD RELATIONSHIP
audio/RES0169.mp3[346.920,361.400]	IM GLAD IM GLAD AND AN ANYTHING THAT WE DISCUSS WILL SEE CONFIDENTIAL BETWEEN YOU AND ME UNLESS THERES SOMETHING THAT YOU COULD BE TALK ABOUT THAT COULD HARM YOU OR HARM ANYONE ELSE DO YOU FEEL SAFE AT SCHOOL
audio/RES0169.mp3[361.400,365.280]	YES I DO I ENJOY SCHOOL ITS BEEN FUN
audio/RES0169.mp3[365.280,373.880]	THATS GOOD THATS GOOD AND HAVE YOU CAN HAVE BEEN CONSUMING THE DRUG TRIED ANYTHING
audio/RES0169.mp3[373.880,388.560]	NO IVE HEARD OF OTHER PEOPLE I MEAN IN HIGH SCHOOL DOING STUFF LIKE THAT BUT I HAVENT BEEN AROUND ANYTHING LIKE THAT
audio/RES0169.mp3[388.560,393.200]	OK ALRIGHT ANY ALCOHOL
audio/RES0169.mp3[394.280,399.440]	OK ARE YOU SEXUALLY ACTIVE
audio/RES0169.mp3[401.120,417.920]	ALRIGHT AND UH LETS SEE SO UH YOUVE HAD A FEVER A COUGH AND A RUNNY NOSE FOR THE PAST FEW DAYS AND HAVE YOU BEEN GOING TO SCHOOL IN THE PAST COUPLE OF DAYS OR NO
audio/RES0169.mp3[417.920,431.320]	I KNOW IVE TAKEN THE LAST COUPLE OF DAYS OFF JUST BEEN SO TIRED AND NOT FEELING GOOD SO YEAH WELL
audio/RES0169.mp3[431.320,502.800]	OK OK SO YEAH IT SOUNDS LIKE YOU MIGHT HAVE SOME SORT OF VIRAL INFECTION WHICH COULD POTENTIALLY BE COVID BUT COULD ALSO BE ANOTHER SORT OF ANOTHER VIRAL ILLNESS JUST LIKE THE COMMON COLD OR THE FLU UM SO ILL REQUEST THAT WE GET A COVID SWAB DONE AND THE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS AND UM JUST TRY TO SELF ISOLATE AS MUCH AS POSSIBLE DONT GO TO SCHOOL DONT MEET OTHER PEOPLE TRY TO STAY AWAY FROM YOUR MOM AS WELL AND BASED ON THE RESULTS YOULL GET MORE GUIDANCE FROM PUBLIC HEALTH NURSES AND YOU SHOULD JUST CONTINUE TO SORT OF REST AND DRINK LOTS OF WATER MAYBE TAKE TYLENOL OR ADVIL IF THATS MAKING YOU FEEL BETTER AND HOPEFULLY YOUR SYMPTOMS WILL GET BETTER IF NOT IF YOU FEEL LIKE YOUR SYMPTOMS ARE PERSISTING FOR DAYS OR WEEK OR SO OR YOURE HAVING WORSENING SYMPTOMS DEFINITELY COME BACK OR GIVE US A CALL
audio/RES0169.mp3[502.800,506.960]	OK THANK YOU
audio/RES0154.mp3[0.000,3.240]	UH HOW MAY I HELP YOU
audio/RES0154.mp3[3.240,25.160]	HI SO YEAH I JUST CAME TO THE HOSPITAL BECAUSE IVE JUST BEEN FEELING OVER THE LAST UM FEW DAYS UH JUST I CANT REALLY TAKE LIKE A DEEP BREATH AND THEN IVE ALSO BEEN COUGHING UP UH THIS GREENISH YELLOWISH MATERIAL
audio/RES0154.mp3[25.160,28.480]	OH OK AND WHEN DID THIS UH COUGH START SORRY
audio/RES0154.mp3[28.480,40.280]	SO I THINK THE COUGH STARTED LIKE 4 DAYS AGO AND THEN THE SHORTNESS OF BREATH STARTED UH JUST YESTERDAY
audio/RES0154.mp3[40.280,50.440]	OK UM AND ITS BEEN YELLOWISH GREEN WERE YOU COUGHING UP SPUTUM PRIOR TO THIS AND UM OR DID YOU HAVE A COUGH BEFORE THIS
audio/RES0154.mp3[50.440,52.720]	NO NOT REALLY
audio/RES0154.mp3[52.720,57.000]	OK UM AND HAVE YOU NOTICED ANY BLOOD
audio/RES0154.mp3[57.000,58.080]	NO NO BLOOD
audio/RES0154.mp3[58.080,68.160]	ALRIGHT UM AND THE SHORTNESS OF BREATH ARE YOU EXPERIENCING THIS AT REST OR UM OR WITH EXERTION
audio/RES0154.mp3[68.160,76.080]	NO LIKE AT REST EVEN RIGHT NOW IM LIKE HAVING TROUBLE TAKING DEEP BREATHS
audio/RES0154.mp3[76.080,79.080]	OK ARE YOU FEELING ANY UH ANY CHEST PAIN
audio/RES0154.mp3[79.080,88.640]	UM NOT PAIN BUT THERES DEFINITELY SOME STRAINING AND DISCOMFORT WHEN I TAKE A DEEP BREATH
audio/RES0154.mp3[88.640,94.280]	OK IS IT IS THE DISCOMFORT WORSE WHEN YOU TAKE A DEEP BREATH
audio/RES0154.mp3[94.280,104.160]	UH YEAH ITS JUST LIKE I JUST HAVE TO STRAIN A LOT TO LIKE TAKE THAT DEEP BREATH
audio/RES0154.mp3[104.160,108.360]	OK UM AND UH HAVE YOU NOTICED ANY WHEEZING
audio/RES0154.mp3[108.360,110.000]	NO WHEEZING
audio/RES0154.mp3[110.000,120.840]	OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH OR DO YOU HAVE ANY SHORTNESS OF BREATH IF YOU LIE FLAT
audio/RES0154.mp3[120.840,124.640]	UH NO NOT REALLY NOT THAT IVE NOTICED
audio/RES0154.mp3[124.640,134.040]	OK OR HAVE YOU HAD ANY UH TIMES WHERE YOUVE UH WOKEN UP UM FROM SLEEP BECAUSE YOU WERE SHORT OF BREATH AND YOU HAD TO SIT UP
audio/RES0154.mp3[134.040,135.920]	UH NO
audio/RES0154.mp3[135.920,142.600]	ALRIGHT UM AND HAVE YOU HAD ANY UH FEVERS OR CHILLS
audio/RES0154.mp3[142.600,155.200]	I HAVE HAD A FEVER LIKE TODAY I HAD A FEVER I MEASURED IT WAS LIKE 385 YESTERDAY I FELT LIKE I HAD CHILLS AND A FEVER AS WELL
audio/RES0154.mp3[155.200,162.160]	OK YEAH CERTAINLY SOUNDS LIKE A FEVER AND HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0154.mp3[162.160,170.480]	LAST NIGHT I WOULD SAY I HAD NIGHT SWEATS MY SHEETS WERE A BIT DRENCHED
audio/RES0154.mp3[170.480,174.040]	OK AND HAVE YOU HAD A SORE THROAT
audio/RES0154.mp3[174.360,179.800]	CHANGES TO UH LOSS OF SMELL LOSS OF TASTE
audio/RES0154.mp3[179.800,181.920]	NO NOTHING LIKE THAT
audio/RES0154.mp3[181.920,187.720]	OK HAVE YOU HAD A RUNNY NOSE OR FELT CONGESTED
audio/RES0154.mp3[188.720,195.520]	OK UM AND HOW ABOUT ANY EYE SYMPTOMS LIKE REDNESS OR ITCHINESS PAIN
audio/RES0154.mp3[195.520,202.320]	UH NO NOTHING LIKE THAT
audio/RES0154.mp3[202.320,209.280]	OK UHM AND UM HAVE YOU HAD ANY UH INSTANCES OF FAINTING OR FEELING DIZZY
audio/RES0154.mp3[211.280,213.720]	ANY ABDOMINAL PAIN
audio/RES0154.mp3[214.520,217.480]	ANY NAUSEA OR VOMITING
audio/RES0154.mp3[218.760,221.320]	ANY DIARRHEA
audio/RES0154.mp3[222.560,226.000]	OK ANY RASHES
audio/RES0154.mp3[226.000,227.520]	NO RASHES
audio/RES0154.mp3[227.520,231.800]	UM AND THEN ANY MUSCLE ACHES OR BODY PAINS
audio/RES0154.mp3[231.800,234.320]	NO NOT THAT I KNOW OF
audio/RES0154.mp3[234.320,241.080]	OK AND HOW HAS YOUR ENERGY BEEN HAVE YOU HAD ANY FATIGUE OR MALAISE THE LAST SEVERAL DAYS
audio/RES0154.mp3[241.080,253.160]	YEAH I WOULD SAY SO I JUST FEEL LIKE I DONT KNOW IF ITS TO DO WITH THE SHORT OF BEING SHORT OF BREATH BUT YEAH I JUST FEEL LIKE IVE JUST BEEN NEEDING MORE REST
audio/RES0154.mp3[253.160,256.840]	OK OK AND HAVE YOU HAD ANY HEADACHES
audio/RES0154.mp3[258.160,272.640]	NO ALRIGHT UM SO YOUVE HAD THIS UH COUGH AND YOUVE BEEN BRINGING UP MORE SPUTUM AND SHORTNESS OF BREATH AND UM AND YOUVE HAD A FEVER AS WELL UM HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0154.mp3[272.640,281.440]	UM NO I THINK THOSE ARE PRETTY MUCH ALL THE SYMPTOMS
audio/RES0154.mp3[281.440,287.720]	OK UM AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE
audio/RES0154.mp3[287.720,304.000]	I DO HAVE UH I TAKE MEDICATIONS FOR HIGH BLOOD PRESSURE UM THEN I TAKE MEDICATIONS FOR HIGH CHOLESTEROL AS WELL
audio/RES0154.mp3[304.000,307.280]	OK UM AND DO YOU TAKE ANY OTHER MEDICATIONS
audio/RES0154.mp3[307.280,314.400]	UM JUST UH VITAMIN CALCIUM MULTI VITAMINS
audio/RES0154.mp3[314.400,317.480]	ALRIGHT ANY ALLERGIES TO MEDICATIONS
audio/RES0154.mp3[317.480,320.240]	NOT THAT I KNOW OF
audio/RES0154.mp3[320.240,324.840]	ALRIGHT ANY PRIOR SURGERIES OR HOSPITALIZATIONS
audio/RES0154.mp3[324.840,339.960]	UH YEAH IVE HAD A FEW UH SO I HAD A CSECTION IN MY TWENTIES UM THEN I HAD JUST UH FIVE YEARS AGO I HAD A UM MY GALLBLADDER REMOVED
audio/RES0154.mp3[339.960,361.920]	OK UM AND UH COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHO YOURE LIVING WITH AND AND WHEREABOUTS
audio/RES0154.mp3[361.920,371.240]	YEAH SO IM LIVING ALONE RIGHT NOW UM JUST IN AN APARTMENT
audio/RES0154.mp3[371.240,379.200]	OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0154.mp3[379.200,393.680]	UHM NO I NOT ANYONE THAT I KNOW OF I DO I I DID SEE MY JUST RANDKIDS JUST LAST WEEK THOUGH
audio/RES0154.mp3[393.680,401.280]	OK DID THEY HAVE A RUNNY NOSE ANY SYMPTOMS LIKE THAT
audio/RES0154.mp3[401.280,406.120]	NOT THAT I NOTICED NO
audio/RES0154.mp3[406.120,410.400]	OK UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0154.mp3[410.400,417.120]	NO IVE BEEN AT HOME
audio/RES0154.mp3[417.120,420.800]	NO OK UM AND AND DO YOU SMOKE CIGARETTES
audio/RES0154.mp3[420.800,428.480]	NO I PROBABLY SMOKED FOR A VERY SHORT TIME FOR LIKE PROBABLY FIVE YEARS OF MY LIFE IN MY 20S
audio/RES0154.mp3[428.480,432.840]	OK UH DO YOU SMOKE UM MARIJUANA
audio/RES0154.mp3[434.560,442.040]	OK AND DO YOU USE ANY RECREATIONAL DRUGS
audio/RES0154.mp3[443.880,450.960]	OK UM AND UM ANY FAMILY HISTORY OF HEART OR LUNG CONDITIONS
audio/RES0154.mp3[450.960,472.680]	UH I DO HAVE UH MY FATHER PASSED AWAY FROM A HEART ATTACK IN HIS 50S MY BROTHER HAS UM HIGH BLOOD PRESSURE DIABETES UM AND ON MY MOMS SIDE SHE HAD LIKE OSTEOARTHRITIS
audio/RES0154.mp3[472.680,477.720]	OK AND ANY CANCER THAT IS IN THE FAMILY
audio/RES0154.mp3[477.720,485.200]	UM SKIN CANCER ON MY UM FATHERS SIDE
audio/RES0154.mp3[485.200,494.120]	OK UM AND HAVE YOU HAD ANTIBIOTICS RECENTLY OR WITHIN THE LAST SIX MONTHS FOR ANY REASON
audio/RES0154.mp3[494.120,498.120]	NO NO ANTIBIOTICS
audio/RES0154.mp3[498.120,508.440]	OK SO SO THAT WAS EVERYTHING THAT I WANTED TO ASK TODAY ON UH ON HISTORY UM WAS THERE ANYTHING THAT YOU ALSO WANTED TO MENTION I I MAYBE FORGOT
audio/RES0154.mp3[508.440,512.880]	NO I THINK THATS ALL
audio/RES0154.mp3[512.880,552.120]	UM OK SO UH YEAH WITH THE THE SYMPTOMS UM IT COULD BE UM PNEUMONIA WHICH COULD BE BACTERIAL OR VIRAL UM AS WELL AS THE POSSIBILITY OF UM SOMETHING LIKE UH LIKE COVID WHICH IS OF COURSE A CONCERN FOR TODAY SO WE WILL GO AHEAD AND START THOSE INVESTIGATIONS AND GET A SWAB UM AND UM YOU MAY NEED ANTIBIOTICS FOR UM FOR THIS IF THERE THERE IS UH PNEUMONIA SO WELL ALSO GET A CHEST XRAY AS WELL
audio/RES0154.mp3[552.120,557.800]	OK ALRIGHT SOUNDS GOOD
audio/GEN0001.mp3[0.000,9.560]	HI WHAT BRINGS YOU TO CLINIC TODAY
audio/GEN0001.mp3[9.560,53.840]	HI SO I FEEL LIKE I MIGHT HAVE A BLADDER INFECTION I SEE A UROLOGIST BECAUSE IVE HAD SOME ISSUES WITH LIKE AN OVERACTIVE BLADDER FOR AWHILE IVE HAD A FEW BLADDER INFECTIONS IN THE PAST AND THIS IS USUALLY HOW HOW THEY FEEL I FEEL LIKE A LITTLE BIT OF BURNING WHEN I GO TO THE BATHROOM AND I HAVE TO GO LIKE A LOT RIGHT NOW BUT THEN ALSO SOMETIMES IT MEANS THAT LIKE IT GETS LIKE THIS WHEN I HAVE MY PERIOD AND I DONT HAVE MY PERIOD RIGHT NOW BUT I YOU KNOW I I COULD BE GETTING IT BUT I ALSO JUST DONT WANNA LET IT GO KEEP GOING IF I DO HAVE AN INFECTION I JUST LIKE RATHER GET IT LIKE TREATED IF I DO
audio/GEN0001.mp3[53.840,57.840]	OK UNDERSTOOD WHEN WAS YOUR LAST PERIOD
audio/GEN0001.mp3[57.840,62.520]	UM LIKE 2 WEEKS AGO
audio/GEN0001.mp3[62.520,67.120]	ABOUT TWO WEEKS AGO ARE YOU FAIRLY REGULAR
audio/GEN0001.mp3[67.120,83.480]	LIKE YES AND NO ITS IM IM NOT SUPER IRREGULAR BUT I I SOMETIMES HAVE LIKE BASICALLY ITS LIKE I ALTERNATE SOMETIMES I MY CYCLES LIKE 4 WEEKS AND SOMETIMES ITS MORE LIKE 5
audio/GEN0001.mp3[83.480,87.040]	SORRY JUST CLARIFY AGAIN YOURE 30 YEARS OLD
audio/GEN0001.mp3[87.040,89.280]	YEAH IM 30
audio/GEN0001.mp3[89.280,92.600]	OK ARE YOU ON ANY CONTRACEPTION RIGHT NOW
audio/GEN0001.mp3[92.600,94.320]	UH NO IM NOT
audio/GEN0001.mp3[94.320,97.680]	OK ARE YOU SEXUALLY ACTIVE AT ALL
audio/GEN0001.mp3[98.680,108.000]	NO OK SO JUST IN TERMS OF YOUR URINARY TRACT INFECTIONS WHEN WAS YOUR LAST ONE
audio/GEN0001.mp3[108.000,111.840]	I HAD ONE LIKE 3 MONTHS AGO MAYBE
audio/GEN0001.mp3[111.840,119.800]	3 MONTHS AGO OK AND THEY PRESCRIBED YOU ANTIBIOTICS AND IT WENT AWAY FAIRLY QUICKLY
audio/GEN0001.mp3[119.800,137.120]	YEAH YEAH IT WENT AWAY LIKE I ALWAYS I ALWAYS HAVE AN OVERACTIVE BLADDER AND I ALWAYS HAVE TO GO PRETTY FREQUENTLY LIKE EVERY HOUR SOMETIMES HALF HOUR BUT SO THATS STILL THERE BUT LIKE IT HASNT EVER SINCE THEN I HAVENT HAD ANY LIKE PAIN WITH IT
audio/GEN0001.mp3[137.120,141.920]	OK SO YOU STILL HAVE QUITE A YOU HAVE A QUITE A BIT OF URGENCY TO GO
audio/GEN0001.mp3[142.440,152.920]	KIND OF GOING MORE FREQUENTLY BUT I SUPPOSE THE NEW THING YOURE A LITTLE BIT CONCERNED ABOUT IS THAT IT IT BURNS A LITTLE BIT IT STINGS A LITTLE BIT WHEN YOU DO URINATE AM I UNDERSTANDING CORRECTLY
audio/GEN0001.mp3[152.920,156.600]	EXACTLY LIKE FOR THE PAST COUPLE DAYS ITS FELT LIKE THAT
audio/GEN0001.mp3[156.600,161.000]	OK HAS IT BEEN GETTING PROGRESSIVELY WORSE AT ALL
audio/GEN0001.mp3[161.000,169.720]	UM MAYBE A LITTLE BIT I I FEEL LIKE NOW I CAN RECOGNIZE IT PRETTY EARLY WHEN ITS NOT TOO BAD TO KIND OF GET AHEAD OF IT
audio/GEN0001.mp3[169.720,176.560]	OK UNDERSTOOD AND DO YOU HAVE ANY PAIN KIND OF BEHIND YOUR RIBS AT ALL ON YOUR BACK
audio/GEN0001.mp3[176.560,178.600]	SORRY CAN YOU REPEAT THAT
audio/GEN0001.mp3[178.600,185.920]	YOU HAVENT HAD ANY PAIN ON YOUR BACK MIDDLE BACK KIND OF CLOSE TO YOUR RIBS HAVE YOU
audio/GEN0001.mp3[185.920,188.280]	NOT THAT I CAN THINK OF
audio/GEN0001.mp3[188.280,201.640]	OK AND HAVE YOU NOTICED ANY CHANGES TO THE QUALITY OF THE URINE FOR EXAMPLE HAS IT LOOKED FROTHY OR SMELLED BAD
audio/GEN0001.mp3[201.640,211.520]	IT MAYBE LOOKED LIKE A LITTLE CLOUDY BUT NOTHING NOTHING ELSE OUT OF THE ORDINARY LIKE IVE NEVER HAD BLOOD IN IT OR ANYTHING
audio/GEN0001.mp3[211.520,216.000]	UNDERSTOOD HAVE YOU NOTICED ANY VISUAL CHANGES IN THE AREA NEAR THE VAGINA
audio/GEN0001.mp3[216.000,218.840]	NO NOT THAT I CAN THINK OF
audio/GEN0001.mp3[218.840,225.120]	LIKE ANY LESIONS ANYTHING LIKE THAT ANYTHING CONCERNED FOR AN STI THAT YOURE WORRIED ABOUT
audio/GEN0001.mp3[225.120,230.840]	NO AND LIKE I HAVENT HAD LIKE HAD A SEXUAL PARTNER IN A FEW YEARS
audio/GEN0001.mp3[230.840,249.440]	UNDERSTOOD UNDERSTOOD THESE ARE KIND OF QUESTIONS THAT WE ASK WHEN SOMEONES HAVING A LITTLE BIT OF MAYBE AN ISSUE HOLDING IN THEIR URINE HAVE YOU EVER FELT ANY NUMBNESS OR INABILITY TO FEEL KIND OF AROUND YOUR BUTTOCKS REGION FOR EXAMPLE WHEN YOU WIPE WITH TISSUE PAPER CAN YOU FEEL THAT WELL
audio/GEN0001.mp3[249.440,252.160]	OH YEAH I CAN FEEL EVERYTHING
audio/GEN0001.mp3[252.160,257.160]	OK AND NO CHANGES TO YOUR POOPS TO YOUR BOWEL MOVEMENTS
audio/GEN0001.mp3[257.160,259.880]	NO NOTHING PRETTY NORMAL
audio/GEN0001.mp3[259.880,262.800]	OK AND HOW DO YOU FEEL OTHERWISE
audio/GEN0001.mp3[262.800,279.480]	I I MEAN I FEEL I FEEL A LITTLE TIRED FELT LIKE A LITTLE HOT YESTERDAY I DONT HAVE A THERMOMETER SO LIKE I DIDNT TAKE MY TEMPERATURE BUT YOU KNOW SOMETIMES I FEEL A LITTLE HOT LIKE WHEN IVE HAD THE INFECTIONS BEFORE
audio/GEN0001.mp3[279.480,285.440]	OK YOU DONT HAVE ANY SWELLING ON YOUR ANYWHERE IN YOUR BODY ON YOUR ANKLES DO YOU
audio/GEN0001.mp3[287.720,294.160]	NO OK AND THEN SO NO PUFFINESS AROUND YOUR EYES THAT YOUVE NOTICED
audio/GEN0001.mp3[294.160,295.640]	NO NOTHING LIKE THAT
audio/GEN0001.mp3[295.640,301.280]	ANY RASHES OR ANY CHANGES ON YOUR FACE
audio/GEN0001.mp3[301.280,310.320]	LIKE MY MOM SAID I I I SAW MY MOM EARLIER AND SHE SAID I LOOKED LIKE A LITTLE FLUSHED BUT ITS NOT NOT LIKE A RASH OR ANYTHING
audio/GEN0001.mp3[310.320,314.880]	NO NO MARKINGS ACROSS THE BRIDGE OF YOUR NOSE AND YOUR CHEEKS
audio/GEN0001.mp3[317.120,323.800]	OK AND THEN IN REGARDS OTHERWISE YOU FEEL A LITTLE FLUSHED A LITTLE TIRED ANY OTHER MEDICAL ISSUES THAT YOU HAVE
audio/GEN0001.mp3[323.800,328.720]	NO JUST THIS LIKE OVERACTIVE BLADDER THING
audio/GEN0001.mp3[328.720,332.200]	OK AND HAVE THEY GIVEN YOU ANY MEDICATIONS FOR IT
audio/GEN0001.mp3[332.200,344.920]	WE TRIED A FEW DIFFERENT ONES BEFORE NOW I GET I GET BOTOX INJECTIONS INTO THE BLADDER LIKE MAYBE TWICE A YEAR
audio/GEN0001.mp3[344.920,351.000]	ANYTHING ELSE THEYVE USED RECENTLY LIKE ANY MEDICATIONS YOURE ON RIGHT NOW I SUPPOSE
audio/GEN0001.mp3[351.000,362.920]	NO NOTHING NO NOTHING ELSE YEAH I GUESS I HAVE LIKE I HAVE AN INHALER BUT I DONT USE IT ALL THE TIME LIKE I HAVENT HAD TO
audio/GEN0001.mp3[362.920,365.320]	OH SO YOU HAVE ASTHMA
audio/GEN0001.mp3[365.320,372.400]	YEAH LIKE I HONESTLY DONT FEEL LIKE I HAVE IT VERY MUCH NOW BUT I STILL HAVE LIKE I STILL HAVE THE INHALER
audio/GEN0001.mp3[372.400,377.520]	UNDERSTOOD UNDERSTOOD ANYTHING ELSE YOUVE TAKEN MEDICATIONS FOR IN THE PAST
audio/GEN0001.mp3[377.520,387.800]	OH I USED TO TAKE BIRTH CONTROL LIKE THE THE PILL BUT LIKE I JUST I DONT HAVE A BOYFRIEND RIGHT NOW AND I JUST DIDNT REALLY FEEL LIKE I NEEDED IT OTHERWISE
audio/GEN0001.mp3[387.800,393.200]	UNDERSTOOD UNDERSTOOD AND HAVE YOU HAD ANY PAST SURGERIES
audio/GEN0001.mp3[393.200,398.480]	UM I HAD MY APPENDIX OUT WHEN I WAS 24 THATS IT THOUGH
audio/GEN0001.mp3[398.480,411.080]	OK GOT IT AND THEN JUST IN TERMS OF YOU YOURSELF DO YOU LIVE IN LONDON
audio/GEN0001.mp3[411.080,412.480]	YEAH YEAH I DO
audio/GEN0001.mp3[412.480,416.000]	OK WHAT DO YOU DO FOR WORK
audio/GEN0001.mp3[416.000,419.800]	I WORK AT A BANK
audio/GEN0001.mp3[419.800,422.280]	OK DO YOU HAVE ANY CHILDREN
audio/GEN0001.mp3[423.600,429.040]	OK AND IN REGARDS TO ANYTHING SO ANY SICK CONTACTS
audio/GEN0001.mp3[429.040,430.680]	UH NO
audio/GEN0001.mp3[430.680,432.880]	ANY RECENT TRAVEL
audio/GEN0001.mp3[433.760,436.360]	ANY ALLERGIES
audio/GEN0001.mp3[436.360,442.000]	LIKE SOMETIMES IN THE SPRING ILL GET LIKE A LITTLE STUFFY BUT
audio/GEN0001.mp3[442.000,443.920]	OK SOUNDS GREAT
audio/GEN0001.mp3[443.920,444.920]	NO LIKE YEAH
audio/GEN0001.mp3[444.920,447.920]	NOTHING TO CONCERNING NO DRUG ALLERGIES
audio/GEN0001.mp3[447.920,449.080]	NO NOTHING LIKE THAT
audio/GEN0001.mp3[449.080,462.320]	GOT IT GOT IT OK I THINK WHAT NOW DO NEXT ILL MOVE TO A PHYSICAL EXAM I THINK WE MIGHT JUST DO SOME INVESTIGATIONS JUST IN ORDER TO GET SOME MORE INFORMATION AND THEN THE PHYSICIAN WILL COME IN TO SEE YOU OK
audio/GEN0001.mp3[462.320,464.280]	COOL THANK YOU
audio/GEN0001.mp3[464.280,467.560]	NO PROBLEM
audio/RES0018.mp3[0.000,15.640]	IVE JUST BEEN HAVING THIS THIS COUGH OVER THE LAST FEW DAYS AND I ALSO NOTICE THAT IM GETTING LIKE THESE HEADACHES AND CHILLS AS WELL AT NIGHT SO I WAS JUST A BIT CONCERNED
audio/RES0018.mp3[15.640,22.560]	OK SO THE COUGH STARTED A FEW DAYS AGO HAVE YOU BEEN BRINGING UP ANY PHLEGM
audio/RES0018.mp3[22.560,35.280]	NO NOT REALLY ITS BEEN PRETTY MUCH LIKE A DRY COUGH I DID FEEL LIKE A TICKLE IN MY THROAT BEFORE IT STARTED BUT NO IM NOT PRODUCING ANY PHLEGM
audio/RES0018.mp3[35.280,43.200]	OK UM IS THE COUGH ANY WORSE AT ANY PARTICULAR TIME OF DAY LIKE WHEN YOU FIRST GET UP OR OR AT NIGHT WHEN GOING TO BED
audio/RES0018.mp3[43.200,51.240]	NO ITS PRETTY MUCH JUST BEEN THERE OVER THE LAST AT LEAST LIKE 2 DAYS ITS BEEN GETTING WORSE MORE FREQUENT
audio/RES0018.mp3[51.240,55.920]	OK SO UM AND ARE YOU COUGHING ALL THROUGHOUT THE DAY
audio/RES0018.mp3[55.920,63.680]	PRETTY MUCH AT LEAST FOR THE LAST FEW DAYS JUST ITS BEEN PRETTY NONSTOP
audio/RES0018.mp3[63.680,66.840]	OK ANYTHING THATS MADE THE COUGH WORSE
audio/RES0018.mp3[66.840,73.120]	UH NO NOT REALLY ITS UH PRETTY MUCH BEEN THE SAME FOR THE LAST FEW DAYS
audio/RES0018.mp3[73.120,76.120]	ANYTHING YOUVE TRIED TO MAKE THE COUGH GO AWAY
audio/RES0018.mp3[76.120,87.840]	JUST LIKE TYLENOL COLD AND THEN I THINK THERE WAS ANOTHER OVER THE COUNTER MEDICATION THAT I TOOK BUT NOTHING REALLY HELPING
audio/RES0018.mp3[87.840,98.480]	OK AND UH THE COUGH HAS BEEN BEEN GETTING WORSE HAVE YOU BEEN EXPERIENCING ANY OTHER SYMPTOMS
audio/RES0018.mp3[98.480,115.480]	UM I DID JUST JUST LAST NIGHT ACTUALLY I THOUGHT THAT I HAD SOME SHORTNESS OF BREATH AS WELL I DONT KNOW IF THATS BEING CAUSED BY ALL THE COUGHING BUT YEAH I GOT PRETTY SCARED SO THATS WHY IM HERE TODAY
audio/RES0018.mp3[115.480,119.160]	OK UM HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE
audio/RES0018.mp3[119.160,128.800]	NO LIKE IVE BEEN PRETTY HEALTHY OTHERWISE COMPLETELY SO THIS IS THIS IS COMPLETELY NEW FOR ME
audio/RES0018.mp3[128.800,134.960]	OK AND YEAH YOU MENTIONED YOU HAD A FEVER BUT DID HAVE YOU CHECKED YOUR TEMPERATURE
audio/RES0018.mp3[134.960,148.600]	NO I HAVENT I I JUST HAD LIKE CHILLS OVER THE LAST TWO NIGHTS JUST HAD TO PUT ON LIKE 3 THREE BLANKETS JUST TO GET TO SLEEP BUT I HAVENT REALLY CHECKED MY TEMPERATURE
audio/RES0018.mp3[148.600,151.560]	OK I HAVE YOU HAD NIGHT SWEATS
audio/RES0018.mp3[151.560,154.800]	NO NOT REALLY JUST MOSTLY CHILLS
audio/RES0018.mp3[154.800,161.600]	OK AND HOW HAS YOUR ENERGY BEEN THE LAST FEW DAYS HAVE YOU HAVE YOU HAD A LOT OF FATIGUE
audio/RES0018.mp3[161.600,171.080]	YEAH I JUST FEEL COMPLETELY JUST SICK LIKE WHAT IT FEELS LIKE I HAVE THE FLU OR SOMETHING AND I JUST FEEL REALLY TIRED TOO
audio/RES0018.mp3[171.080,176.040]	OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/RES0018.mp3[176.040,188.240]	NO NOT REALLY I DID HAVE LIKE A I DONT KNOW IF IT WAS SORENESS BUT JUST LIKE A TICKLE IN MY THROAT JUST A FEW DAYS BACK BEFORE THE COUGHING STARTED
audio/RES0018.mp3[188.240,194.200]	OK YEAH AND HAVE YOU HAD ANY LOSS OF SMELL OR OR LOSS OF TASTE
audio/RES0018.mp3[194.200,214.440]	YEAH NOW THAT I THINK OF IT I I I I CANT I CAN BARELY TASTE TASTE THE FOOD THAT IM EATING I DONT KNOW ABOUT SMELL I IM PRETTY STUFF STUFF STUFFY RIGHT NOW SO THAT MIGHT JUST BE BECAUSE OF THAT I DEFINITELY NOTICE I CANT REALLY TASTE MY FOOD
audio/RES0018.mp3[214.440,217.440]	ALRIGHT UH AND UH HAVE YOU BEEN HAVING ANY WHEEZING
audio/RES0018.mp3[217.440,219.280]	NO NO WHEEZING
audio/RES0018.mp3[219.280,232.280]	ALRIGHT AND SHORTNESS OF BREATH WERE YOU AT REST WHEN THAT THAT HAPPENED OR WERE YOU EXERCISING OR EXERTING YOURSELF WHAT HOW DID THE SHORTNESS OF BREATH COME ON
audio/RES0018.mp3[232.280,251.680]	I WAS ACTUALLY JUST LAYING DOWN AND I WAS SLEEPING AND I JUST NOTICED THAT I COULDNT REALLY TAKE DEEP BREATHS SO I KIND OF JUST GOT BACK UP AND IT WAS JUST DURING LAST NIGHT IT HASNT HAPPENED AFTER THAT BUT IM SCARED IT WILL HAPPEN AGAIN
audio/RES0018.mp3[251.680,254.880]	OK AND HAVE YOU HOW MANY PILLOWS DO YOU USUALLY SLEEP WITH
audio/RES0018.mp3[254.880,257.560]	JUST ONE
audio/RES0018.mp3[257.560,260.920]	HAVE YOU NOTICED ANY SWELLING IN YOUR FEET OR ANKLES
audio/RES0018.mp3[260.920,264.000]	NO NOTHING LIKE THAT
audio/RES0018.mp3[264.000,266.840]	ALRIGHT HAVE YOU HAD ANY CHEST PAIN
audio/RES0018.mp3[266.840,268.560]	NO NO CHEST PAIN
audio/RES0018.mp3[268.560,275.400]	ANY FEELING ANY EPISODES WHERE YOU FEEL LIKE YOU WERE GONNA FAINT
audio/RES0018.mp3[276.480,278.560]	FEELING LIKE YOUR HEARTS RACING
audio/RES0018.mp3[280.040,284.840]	ALRIGHT UM HAVE YOU BEEN HAVING ANY ABDOMINAL PAINS
audio/RES0018.mp3[284.840,286.600]	NO ABDOMINAL PAINS
audio/RES0018.mp3[286.600,291.120]	ALRIGHT HOW ABOUT URINARY PROBLEMS
audio/RES0018.mp3[291.120,292.160]	NO NOTHING LIKE THAT
audio/RES0018.mp3[292.160,295.120]	ANY BOWEL PROBLEMS LIKE DIARRHEA
audio/RES0018.mp3[295.120,297.040]	NO ITS PRETTY REGULAR
audio/RES0018.mp3[297.040,300.360]	OK HAVE YOU NOTICED ANY RASHES ANYWHERE
audio/RES0018.mp3[301.600,307.760]	ALRIGHT AND THEN HOW ABOUT LIKE MUSCLE ACHES OR OR JOINT ACHES
audio/RES0018.mp3[307.760,311.560]	NO NOTHING LIKE THAT JUST FEELING TIRED
audio/RES0018.mp3[311.560,316.720]	OK AND THEN HAVE YOU HAD ANY CHANGES TO YOUR VISION
audio/RES0018.mp3[317.400,320.200]	LIKE BLURRED VISION OR THINGS LIKE THAT
audio/RES0018.mp3[320.200,321.720]	NO NOTHING LIKE THAT
audio/RES0018.mp3[321.720,327.760]	ANY CHANGES TO YOUR VOICE LIKE IT SOUNDS MORE HOARSE TO YOU OR
audio/RES0018.mp3[327.760,332.120]	NO NOT REALLY
audio/RES0018.mp3[332.120,336.960]	OH OK AND ANY NAUSEA OR VOMITING
audio/RES0018.mp3[336.960,344.520]	I DID FEEL A BIT NAUSEOUS OVER THE LAST TWO DAYS BUT I HAVENT VOMITED
audio/RES0018.mp3[344.520,349.320]	OK AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST
audio/RES0018.mp3[349.320,356.480]	NO IVE BEEN PRETTY LUCKY NO MEDICAL CONDITIONS I DONT EVEN TAKE ANY MEDICATIONS EITHER
audio/RES0018.mp3[356.480,361.840]	OK ANYTHING OVER THE COUNTER LIKE SUPPLEMENTS OR HERBAL
audio/RES0018.mp3[361.840,367.400]	NO JUST JUST THE COLD MEDICATIONS OVER THE COUNTER NOTHING ELSE
audio/RES0018.mp3[367.400,370.440]	OK ANY ALLERGIES TO MEDICATIONS
audio/RES0018.mp3[370.440,371.920]	NOT THAT I KNOW
audio/RES0018.mp3[371.920,373.880]	ANY HOSPITALIZATIONS
audio/RES0018.mp3[374.200,379.440]	HAVE YOU HAD ANY PRIOR SURGERIES
audio/RES0018.mp3[380.520,387.080]	OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION NOW
audio/RES0018.mp3[387.080,408.320]	OH YEAH SO I JUST LIVE IN A TOWNHOUSE WITH MY WIFE AND TWO CHILDREN AND YEAH CURRENTLY WORKING AS AN ENGINEER YEAH PRETTY EVERYTHING ELSE IS PRETTY GOOD
audio/RES0018.mp3[408.320,412.520]	OK UM HAVE YOU HAD TO MISS WORK OVER THE LAST FEW DAYS
audio/RES0018.mp3[412.520,419.640]	YEAH I ACTUALLY DIDNT GO TO WORK YESTERDAY JUST FELT TERRIBLE YESTERDAY
audio/RES0018.mp3[419.640,423.440]	OK HOW HAVE THE WIFE AND KIDS BEEN FEELING AT HOME
audio/RES0018.mp3[423.440,432.880]	THEYRE ACTUALLY COMPLETELY FINE NOW THEY DONT SEEM TO HAVE ANY ANY SYMPTOMS OF LIKE COUGHING OR ANYTHING LIKE THAT
audio/RES0018.mp3[432.880,436.320]	ANYBODY AT WORK THATS BEEN SICK
audio/RES0018.mp3[436.320,455.360]	THERE WAS ACTUALLY LIKE JUST WE WORK IN THE SAME KIND OF OFFICE SETTING ONE OF MY COWORKERS WAS COUGHING JUST LAST WEEK AND LIKE YOU KNOW MY BOSS TOLD US TOLD HIM TO LIKE GO HOME AND GET SOME REST AND HE WAS AWAY FOR A COUPLE DAYS
audio/RES0018.mp3[455.360,462.520]	OK UH DO YOU KNOW WHAT UM WHAT HE HAD OR ANYTHING LIKE THAT
audio/RES0018.mp3[462.520,478.800]	NO IM NOT REALLY SURE NOW THAT I THINK OF IT LIKE I I DONT I HAVENT SEEN HIM SINCE UH SO I HAVENT REALLY ASKED HIM YEAH IM NOT REALLY SURE
audio/RES0018.mp3[478.800,485.520]	OK HAS HAVE YOU TRAVELED ANYWHERE OR HAS ANYBODY IN YOUR OFFICE BEEN BEEN TRAVELING ANYWHERE
audio/RES0018.mp3[485.520,491.880]	NO NOT REALLY NOT THAT I KNOW EVERYTHING IS PRETTY STRICT RIGHT NOW WITH WITH THE PANDEMIC GOING ON
audio/RES0018.mp3[491.880,499.040]	OK UM AND YEAH DO YOU SMOKE CIGARETTES
audio/RES0018.mp3[500.200,502.720]	DO YOU DRINK ALCOHOL
audio/RES0018.mp3[502.720,508.360]	JUST RARELY MAYBE A COUPLE TIMES A MONTH
audio/RES0018.mp3[508.360,516.960]	OK DO YOU USE RECREATIONAL DRUGS LIKE IV DRUG USE OR OPIOIDS OR CRYSTAL METH ANYTHING LIKE THAT
audio/RES0018.mp3[516.960,520.360]	NO NOTHING LIKE THAT
audio/RES0018.mp3[520.360,523.200]	OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE
audio/RES0018.mp3[524.680,527.880]	OK COULD YOU TELL ME A LITTLE BIT ABOUT YOUR YOUR PARTNER OR PARTNERS
audio/RES0018.mp3[527.880,530.920]	JUST MY WIFE NO OTHER SEXUAL PARTNERS
audio/RES0018.mp3[530.920,538.360]	OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE
audio/RES0018.mp3[539.040,546.960]	OK AND SO IN REGARDS TO YOUR FAMILY HISTORY HAS ANYBODY HAD SIMILAR SYMPTOMS BEFORE
audio/RES0018.mp3[546.960,550.600]	NO NOT REALLY NOT NOTHING LIKE THIS
audio/RES0018.mp3[550.600,553.680]	OK ANY HEART ATTACKS OR STROKES IN THE FAMILY
audio/RES0018.mp3[555.400,560.040]	OK AND THEN HOW ABOUT SO ANY CANCERS IN THE FAMILY
audio/RES0018.mp3[560.040,567.000]	I THINK IVE HAD AN AUNT WHO HAD BREAST CANCER BUT NOTHING ELSE
audio/RES0018.mp3[567.000,617.440]	OK UM SO THOSE ARE ALL THE QUESTIONS I WANTED TO GO GO THROUGH ON HISTORY I AM CONCERNED THAT YOU MIGHT MIGHT HAVE COVID19 OR CORONAVIRUS AND SO IT COULD BE COVIOR THIS COULD BE ANOTHER VIRAL INFECTION OR POSSIBLY PNEUMONIA GOING ON BUT IT DOES SOUND LIKE YOU HAVE AN INFECTION AND SO WELL CHECK SOME SPUTUM CULTURES AND AND WELL ALSO DO A PCR NASAL SWAB TESTING FOR COVISO WELL GO AHEAD AND ORDER THOSE TESTS AND WELL SEE WHAT THEIR THEIR RESULTS SAY
audio/RES0018.mp3[617.440,623.040]	ALRIGHT SOUNDS GOOD
audio/RES0110.mp3[0.000,3.240]	HOW MAY I HELP YOU TODAY
audio/RES0110.mp3[3.240,36.440]	HI UM SO FOR THE PAST WEEK OR SO IVE UM IVE HAD THIS COUGH UM AND SOME SHORTNESS OF BREATH I FEEL HOT AND I JUST FEEL KIND OF UH FUZZY LIKE I JUST I CANT CONCENTRATE ON THINGS VERY WELL I GET CONFUSED SOMETIMES SO I THOUGHT ILL COME TO YOU TO GET IT CHECKED OUT
audio/RES0110.mp3[36.440,55.840]	YEAH YEAH ITS ITS THAT WAS A REALLY GOOD IDEA TO COME IN TO GET CHECKED OUT UM SO CAN YOU UH ILL TALK ILL ASK ABOUT EACH SYMPTOM A LITTLE BIT SO STARTING WITH THE SHORTNESS OF BREATH CAN YOU UM TELL ME HOW UH BAD THE SHORTNESS OF BREATH HAS BEEN
audio/RES0110.mp3[55.840,82.320]	UH ITS BEEN SOMETIMES ITS NOT SO BAD SOME OTHER TIMES ITS REALLY BAD UM AT FIRST IT WASNT THAT BAD BUT NOW LIKE IM HAVING A HARD TIME TAKING A DEEP BREATH IN UM IT HURTS AND I JUST FEEL LIKE I CANT WALK LIKE 2 BLOCKS EVEN BEFORE GETTING SHORT OF BREATH
audio/RES0110.mp3[82.320,89.520]	AND UH BEFORE THIS WEEK HOW MUCH DID DID YOU EVER FEEL SHORT OF BREATH BEFORE THIS
audio/RES0110.mp3[89.520,91.800]	NO NOTHING LIKE THIS BEFORE
audio/RES0110.mp3[91.800,100.480]	NO OK UM DO YOU FEEL THAT THE SHORTNESS OF BREATH HAS GOTTEN KIND OF WORSE OVER TIME
audio/RES0110.mp3[100.480,104.560]	YEAH I THINK SO
audio/RES0110.mp3[104.560,111.040]	AND WHAT ABOUT THE COUGH DID THAT START AT THE SAME TIME AS THE AS THE DIFFICULTY WITH BREATHING
audio/RES0110.mp3[111.040,116.000]	UM IT STARTED BEFORE THE DIFFICULTY WITH BREATHING
audio/RES0110.mp3[116.000,122.360]	CAN YOU UH IS IT A DRY COUGH OR A WET COUGH
audio/RES0110.mp3[122.360,131.720]	UM IT WAS IT WAS A DRY COUGH AT FIRST BUT NOW IM SEEING SOME PHLEGM UM AND IT LOOKS KIND OF YELLOW
audio/RES0110.mp3[131.720,137.080]	HAVE YOU SEEN ANY BLOOD IN THE PHLEGM
audio/RES0110.mp3[139.720,145.480]	UHM AND UH ARE YOU HEARING ANY WHEEZING SOUNDS
audio/RES0110.mp3[145.480,151.800]	YEAH A LITTLE BIT
audio/RES0110.mp3[151.800,158.160]	OK UM HOW UH HAS THE COUGH SORT OF IMPROVED OR GOTTEN WORSE OVER TIME
audio/RES0110.mp3[158.160,163.480]	UM ITS ITS GOTTEN WORSE
audio/RES0110.mp3[163.480,171.520]	OK AND YOU MENTIONED YOU ALSO YOU ALSO HAVE A FEVER DID YOU CHECK YOUR TEMPERATURE
audio/RES0110.mp3[171.520,180.720]	UM I DID I IT WAS LIKE 385 THIS MORNING
audio/RES0110.mp3[180.720,188.080]	AND HAVE YOU BEEN CHECKING YOUR FEVER THIS PAST WEEK OR WAS THAT THE FIRST TIME YOU UM CHECKED IT
audio/RES0110.mp3[188.080,198.520]	ITS THE FIRST TIME I CHECKED IT I IVE FELT HOT THOUGH IN THE PAST AND IVE FELT LIKE I HAD CHILLS
audio/RES0110.mp3[198.520,208.640]	YEAH YOURE ALSO FEELING A LITTLE BIT FUZZY WHEN DID THAT START AND CAN YOU EXPLAIN THAT A LITTLE BIT
audio/RES0110.mp3[208.640,238.160]	THAT STARTED ABOUT UM I THINK LIKE YESTERDAY MORNING UM I JUST FEEL FUZZY LIKE I CANT CONCENTRATE ON THINGS AS MUCH AS I USED TO BE ABLE TO AND THE OTHER DAY I UH WAS COOKING SOMETHING AND THEN I FORGOT I WAS COOKING IT UM YEAH JUST A LITTLE BIT CONFUSED
audio/RES0110.mp3[238.160,239.760]	DID YOU LEAVE THE STOVE ON
audio/RES0110.mp3[239.760,247.400]	NO NO I HAD TURNED IT OFF I JUST FORGOT I LEFT LIKE THE POT ON THE STOVE AND MADE DINNER
audio/RES0110.mp3[247.400,257.240]	OK OK AND YOU FEEL LIKE THIS IS VERY NEW THAT THIS HAS NOT BEEN GOING ON FOR WEEKS OR MONTHS WHERE YOU FORGET THINGS OR HAVING DIFFICULTIES WITH CONCENTRATION
audio/RES0110.mp3[257.240,262.040]	NO THIS HAS NEVER HAPPENED BEFORE
audio/RES0110.mp3[262.040,277.720]	UH OK IM GONNA ASK YOU ABOUT A COUPLE OF OTHER UH SYMPTOMS JUST TO MAKE SURE THAT YOU DONT HAVE ANY OTHER UM JUST TO GET A FULL PICTURE SO DO YOU HAVE A HEADACHE AT ALL
audio/RES0110.mp3[277.720,280.560]	UM NO NO HEADACHE
audio/RES0110.mp3[280.560,291.600]	OK ANY CHANGES IN YOUR VISION OR YOUR UH HEARING THAT HAS THAT HAS UH BEEN VERY SUDDEN OR THAT HAS HAPPENED OVER THE PAST WEEK
audio/RES0110.mp3[293.040,299.720]	NOTHING LIKE THAT OK UM ANY CHANGE IN YOUR TASTE CHANGE UH SENSE OF SMELL
audio/RES0110.mp3[301.200,303.280]	SENSE OF TASTE
audio/RES0110.mp3[304.440,312.680]	OK UHM AND UH ANY RUNNY NOSE OR CONGESTION
audio/RES0110.mp3[312.680,317.720]	UM A LITTLE BIT OF A RUNNY NOSE YEAH
audio/RES0110.mp3[317.720,320.920]	AND WHATS THAT DISCHARGE LIKE WHAT COLOUR
audio/RES0110.mp3[320.920,328.840]	ITS ALSO YELLOW
audio/RES0110.mp3[328.840,332.080]	UM ANY UH SORE THROAT
audio/RES0110.mp3[332.080,337.040]	UHM NO NO SORE THROAT
audio/RES0110.mp3[337.040,341.280]	OK AND UM ANY CHEST PAIN
audio/RES0110.mp3[341.280,347.960]	YEAH IT HURT HURTS WHEN I TRY TO TAKE A DEEP BREATH IN
audio/RES0110.mp3[347.960,350.440]	WHEN DID THAT START
audio/RES0110.mp3[350.440,364.360]	THAT STARTED ABOUT THE SAME TIME AS MY SHORTNESS OF BREATH
audio/RES0110.mp3[364.360,369.200]	OK UHM AND UH ANY UH DO YOU FEEL LIKE YOUR HEART IS RACING
audio/RES0110.mp3[369.200,372.560]	UM NO NOT REALLY NO
audio/RES0110.mp3[372.560,383.720]	OK DO YOU GET ANY CHEST PAIN OTHERWISE UM IN THIS WEEK WHEN YOURE NOT TRYING TO TAKE A DEEP BREATH
audio/RES0110.mp3[383.720,386.040]	NO THERES NO CHEST PAIN AT REST
audio/RES0110.mp3[386.040,389.160]	WHERE IS YOUR CHEST PAIN
audio/RES0110.mp3[389.160,402.400]	IT KIND OF FEELS LIKE CENTRAL TO MY CHEST UM UH YEAH JUST IN THE CHEST AREA IT DOESNT RADIATE TO ANYWHERE ELSE
audio/RES0110.mp3[402.400,413.080]	OK OK DOES IT GET BETTER RIGHT AWAY AFTER YOU UM SORT OF STOP TAKING THAT DEEP STOP DOING DEEP BREATHING
audio/RES0110.mp3[413.080,416.200]	UH NO OTHERWISE IT DOESNT HURT
audio/RES0110.mp3[416.200,422.240]	IT DOESNT HURT OK GOOD UM ALRIGHT AND ANY UH BELLY PAIN
audio/RES0110.mp3[422.240,423.760]	UH NO
audio/RES0110.mp3[423.760,426.560]	ANY NAUSEA OR VOMITING
audio/RES0110.mp3[427.680,435.720]	UH ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE DIARRHEA OR CONSTIPATION THAT IS NEW IN THE PAST WEEK OR TWO WEEKS OR SO
audio/RES0110.mp3[436.880,454.280]	OK UM ANY UM DIFFICULTIES WITH UH PEEING DO YOU HAVE UH ANY PAIN OR ANY INCREASE IN HOW OFTEN YOURE GOING TO THE BATHROOM OR HOW UM URGENTLY YOU NEED TO GET TO THE BATHROOM ANYTHING LIKE THAT
audio/RES0110.mp3[455.600,460.160]	NO OK ANY PAINS IN YOUR JOINTS OR MUSCLES
audio/RES0110.mp3[460.160,461.400]	UH NO
audio/RES0110.mp3[461.400,464.520]	ANY FATIGUE UH IN THE PAST WEEK
audio/RES0110.mp3[464.520,470.840]	YEAH IVE BEEN FEELING TIRED
audio/RES0110.mp3[470.840,474.040]	UM ANY UM ANY WEIGHT LOSS RECENTLY
audio/RES0110.mp3[474.040,476.360]	UH NO
audio/RES0110.mp3[476.360,483.880]	OK ANY UM NIGHT SWEATS DO YOU FEEL LIKE YOURE DRENCHED IN SWEAT AT NIGHT
audio/RES0110.mp3[483.880,491.040]	UM NO NO NIGHT SWEATS BUT I DO FEEL CHILLS
audio/RES0110.mp3[491.040,498.080]	YEAH UM AND ANY SWELLING IN YOUR YOUR BELLY OR YOUR UM IN YOUR FEET IN YOUR LEGS
audio/RES0110.mp3[499.400,507.960]	NO OK OK UHM CAN YOU TELL ME ABOUT ANY UH MEDICAL CONDITIONS THAT YOU MIGHT HAVE
audio/RES0110.mp3[507.960,525.560]	UM SURE I HAD A DVT UH TWO YEARS AGO I HAVE DIABETES FOR WHICH I AM ON INSULIN AND I HAVE HYPOTHYROID
audio/RES0110.mp3[525.560,544.520]	OK IVE GOT TO SAY ITS QUITE IMPRESSIVE THAT YOU KNOW UH THE WORD DVT MOST PATIENTS DONT KNOW THAT
audio/RES0110.mp3[544.520,547.040]	IVE HAD A BLOOD CLOT
audio/RES0110.mp3[547.040,556.240]	ANY UM SO ARE YOU ON ANY MEDICATIONS UH OTHER THAN THE INSULIN
audio/RES0110.mp3[556.240,565.720]	UM YEAH SO IM ON INSULIN AND IM ON SYNTHROID IM ON ASPIRIN AS WELL LIKE BABY ASPIRIN
audio/RES0110.mp3[565.720,569.200]	HAVE YOU EVER HAD ANY UM COPD
audio/RES0110.mp3[570.400,572.680]	EVER BEEN DIAGNOSED WITH ASTHMA
audio/RES0110.mp3[573.520,577.000]	HEART ATTACK OR ANY HEART RELATED PROBLEMS
audio/RES0110.mp3[578.560,585.680]	OK OK UM HAS HAVE YOU HAD ANY HOSPITALIZATIONS IN THE PAST
audio/RES0110.mp3[585.680,589.680]	UM NO ACTUALLY SORRY I HAVE FOR THE DVT
audio/RES0110.mp3[589.680,593.800]	YEAH YEAH YEAH I SEE ANY SURGERIES
audio/RES0110.mp3[593.800,596.240]	UH NO NO SURGERIES
audio/RES0110.mp3[596.240,604.360]	OK UM WHAT WHAT CAUSED YOUR DVT DO YOU REMEMBER OR DO YOU KNOW
audio/RES0110.mp3[604.360,620.040]	UH I WAS I WAS FLYING SOMEWHERE I WAS WELL I WAS FLYING BACK FROM SOMEWHERE AND I GOT OFF THE PLANE AND UM I GUESS THEY FOUND UH BLOOD CLOTS
audio/RES0110.mp3[620.040,628.440]	I SEE I SEE OK ANY ALLERGIES TO MEDICATIONS ENVIRONMENTAL ALLERGIES FOOD ALLERGIES ANYTHING
audio/RES0110.mp3[628.440,630.560]	UH NO I DONT THINK SO
audio/RES0110.mp3[630.560,640.120]	OK AND I FORGOT TO ASK IN TERMS OF MEDICATIONS ARE YOU TAKING ANYTHING OVER THE COUNTER ANY HERBAL PILLS ANY VITAMINS ETC
audio/RES0110.mp3[640.120,642.600]	JUST SOME UM CALCIUM VITAMIN D
audio/RES0110.mp3[642.600,643.680]	WELL THATS GREAT
audio/RES0110.mp3[644.200,665.120]	THATS GREAT UH YEAH THATS VERY IMPORTANT THAT YOU KNOW FOR WOMEN UM UM ABOVE THE AGE OF 65 I THINK 50 UM UH OK SO IN TERMS OF YOUR LIVING SITUATION ARE YOU LIVING WITH SOMEONE ARE YOU LIVING ALONE
audio/RES0110.mp3[665.120,668.120]	UM I LIVE WITH MY HUSBAND
audio/RES0110.mp3[668.120,673.000]	OK AND ARE YOU UM IS THERE ANYBODY ELSE IN THE HOUSE ANY PETS ANIMALS
audio/RES0110.mp3[673.000,677.000]	UH NO WE DONT HAVE ANY PETS OR ANIMALS
audio/RES0110.mp3[677.000,692.000]	AND UH ARE YOU ABLE TO TAKE CARE OF THINGS LIKE UH DRESSING UH CHANGING GOING TO THE BATHROOM ON YOUR OWN DO YOU NEED HELP
audio/RES0110.mp3[692.000,695.040]	UH NO I AM PRETTY INDEPENDENT
audio/RES0110.mp3[695.040,700.120]	WHAT ABOUT THINGS LIKE GROCERIES OR TAKING CARE OF FINANCES
audio/RES0110.mp3[700.120,703.560]	UH NO IM PRETTY INDEPENDENT IN IN THAT ASPECT AS WELL
audio/RES0110.mp3[703.560,709.440]	OK THATS WONDERFUL UM HAVE YOU HAD ANY RECENT TRAVELS
audio/RES0110.mp3[709.440,713.440]	NO IVE BEEN TRYING TO STAY AT HOME BECAUSE OF COVID
audio/RES0110.mp3[713.440,725.720]	THATS GOOD UM AND ANY DO YOU THINK ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK FOR YOU OR YOUR HUSBAND
audio/RES0110.mp3[725.720,732.080]	UM I MEAN WE WE DO LAUNDRY AT A LAUNDROMAT UM BUT OTHER THAN THAT NO
audio/RES0110.mp3[732.080,781.600]	OK UM OK UH ALRIGHT WELL I THINK I HAVE ALL THE INFORMATION I NEED TODAY UM LET ME GO TALK TO MY MY PRECEPTOR AND WELL COME AND DO PHYSICAL EXAMS AND LISTEN TO YOUR CHEST AND UH DO A FEW UH LAB TESTS TO DRAW YOUR BLOOD AND DO A CHEST X RAY LIKELY AND THEN UM UH GO FROM THERE YOU IT SOUNDS LIKE UM SOUNDS LIKE WITH THE WITH THE FUZZY FEELING THE FEVERS THE DIFFICULTIES BREATHING I THINK IT WOULD BE A GOOD IDEA FOR YOU TO STAY HERE FOR A COUPLE OF DAYS MAYBE BUT WELL UM WELL LET YOU KNOW WHAT HAPPENS AND WHAT THE RESULTS SHOW IM REALLY GLAD THAT YOU DECIDED TO COME IN TODAY DO YOU HAVE ANY QUESTIONS FOR ME
audio/RES0110.mp3[781.600,790.320]	UM NO THANK YOU SO MUCH
audio/RES0110.mp3[790.320,802.280]	WELCOME UM SO THE LIKELY DIAGNOSIS IS UM A PNEUMONIA EITHER BACTERIAL OR VIRAL BUT GIVEN YEAH YEAH COULD BE EITHER OK
audio/RES0110.mp3[802.280,805.200]	DO I STILL NEED TO ISOLATE IN THIS CASE
audio/RES0110.mp3[805.200,808.480]	OH THATS VERY TRUE YEP YEP UH SO
audio/RES0110.mp3[809.160,834.720]	WELL YOU WILL BE IN THE HOSPITAL SO YES YOU DO WE WILL BE WE WILL BE DOING A COVID TEST BUT THATS A REALLY GOOD POINT UM UH BECAUSE YOUR SYMPTOMS DO OVERLAP WITH COVID SYMPTOMS UM WE WILL ALSO UH HAVE YOU IN AN ISOLATED ROOM AWAY FROM OTHER PATIENTS UNTIL YOUR COVID SWABS ARE BACK AND WE KNOW WHETHER UM YEAH WELL FOLLOW THE GUIDELINES UM PUT FORTH BY THE PUBLIC HEALTH
audio/RES0110.mp3[834.720,839.000]	OK SURE
audio/RES0192.mp3[0.000,1.760]	HOW MAY I HELP YOU
audio/RES0192.mp3[1.760,14.000]	HI IM IM COMING IN BECAUSE UM IVE HAD A LOT OF SHORTNESS OF BREATH AND I IVE HAD THIS COUGH THAT WONT SEEM TO GO AWAY
audio/RES0192.mp3[14.000,20.840]	I SEE ALRIGHT SO WHEN DOES THE SHORTNESS OF BREATH HAPPEN IT DO YOU HAVE IT AT REST OR IS IT ON EXERTION
audio/RES0192.mp3[20.840,25.000]	MOSTLY ON EXERTION
audio/RES0192.mp3[25.000,32.720]	OK HOW FAR ARE YOU ABLE TO WALK BEFORE YOU GET SHORTER BREATH OR HOW MANY FLIGHTS OF STAIRS ARE YOU ABLE TO DO
audio/RES0192.mp3[32.720,37.160]	UH MAYBE LIKE 2 FLIGHTS OF STAIRS
audio/RES0192.mp3[37.160,42.960]	OK AND WHEN DID YOU NOTICE THAT THE CHANGE
audio/RES0192.mp3[42.960,56.760]	SO IVE HAD THIS SHORTNESS OF BREATH LIKE AT FIRST IT WAS PRETTY MILD IT STARTED ABOUT FOUR MONTHS AGO BUT OVER THE PAST MONTH OR SO ITS BEEN ITS BEEN WORSE
audio/RES0192.mp3[56.760,62.720]	OK SO A BIT SO ITS BEEN GOING ON FOR A BIT OF TIME NOW
audio/RES0192.mp3[63.920,71.920]	OK UM DO YOU ARE YOU ABLE TO LIE DOWN FLAT WITHOUT EXPERIENCING SHORTER BREATH
audio/RES0192.mp3[71.920,75.800]	YEAH I THINK SO I THINK THATS FINE
audio/RES0192.mp3[75.800,93.480]	OK UM SO SO IT SOUNDS LIKE NO ORTHOP IS WHAT THEY CALL IT AND HAVE YOU HAD ANY EPISODES WHERE YOU WAKE UP IN THE MIDDLE OF THE NIGHT AND YOURE SHORT OF BREATH AND YOU NEED TO SIT UP AN END TO CATCH IT
audio/RES0192.mp3[93.480,95.160]	UH NO
audio/RES0192.mp3[95.160,98.560]	OK AND HAVE YOU HAD ANY LEG SWELLING
audio/RES0192.mp3[102.200,110.360]	OK ANY YOU MENTIONED THAT YOUVE HAD A COUGH AS WELL HOW LONG HAVE YOU EXPERIENCED A COUGH FOR
audio/RES0192.mp3[110.360,122.000]	UH THE COUGH ALSO AROUND THE SAME TIME IT STARTED OFF PRETTY MILD BUT NOW I LIKE I HAVE IT ALL THE TIME
audio/RES0192.mp3[122.000,127.480]	OK ARE YOU COUGHING UP ANY SPUTUM OR ANY PHLEGM
audio/RES0192.mp3[127.480,130.680]	UH NO ITS ITS PRETTY DRY
audio/RES0192.mp3[130.680,133.480]	ARE YOU COUGHING UP ANY BLOOD
audio/RES0192.mp3[135.320,141.640]	OK AND HAVE YOU HAD ANY UM WHEEZING
audio/RES0192.mp3[141.640,145.320]	NO WHEEZING
audio/RES0192.mp3[145.320,148.200]	OK HOW HOW ABOUT ANY CHEST PAIN
audio/RES0192.mp3[148.200,163.080]	UH NO CHEST PAIN I GUESS WITH THE COUGHING CAUSE IM COUGHING SO MUCH IT HURTS BUT NOT CHEST PAIN IN THE SENSE LIKE ITS IN THE AREA OF MY HEART OR ANYTHING LIKE THAT
audio/RES0192.mp3[163.080,172.280]	OK SO DOES THAT LIKE HOW WOULD YOU DESCRIBE IT IS IT LIKE SHARP ACHY UH DULL OR PRESSURE LIKE
audio/RES0192.mp3[172.280,179.760]	UM ITS A ITS KIND OF LIKE A TUGGING FEELING
audio/RES0192.mp3[179.760,184.440]	OK UM IT DOES IT GO AWAY AFTER YOURE DONE COUGHING
audio/RES0192.mp3[189.400,196.120]	I SEE OK AND HAVE YOU EXPERIENCED ANY UM ANY HEADACHES
audio/RES0192.mp3[196.120,198.400]	NO NO HEADACHES
audio/RES0192.mp3[198.400,204.720]	OK HOW ABOUT ANY UM LIKE EYE REDNESS OR EYE DISCHARGE
audio/RES0192.mp3[206.640,209.080]	ANY EAR PAIN OR YOUR DISCHARGE
audio/RES0192.mp3[210.320,213.440]	HOW ABOUT ANY CHANGES TO VISION OR HEARING
audio/RES0192.mp3[214.600,217.600]	OK HAVE YOU HAD A RUNNY NOSE OR SORE THROAT
audio/RES0192.mp3[219.280,227.720]	OK HOW ABOUT UM ANY CHANGES TO OR HAVE YOU HAD ANY LOSS OF SMELL OR ANY LOSS OF TASTE
audio/RES0192.mp3[229.640,234.120]	OK AND HAVE YOU HAD A LOSS OF APPETITE
audio/RES0192.mp3[236.240,241.840]	OK AND HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS OVER THE LAST SEVERAL MONTHS
audio/RES0192.mp3[241.840,251.960]	UM I HAVE HAD SOME WEIGHT LOSS ACTUALLY ABOUT 15 POUNDS OVER THE PAST SIX MONTHS
audio/RES0192.mp3[251.960,255.640]	OK AND HAVE YOU BEEN TRYING TO LOSE WEIGHT
audio/RES0192.mp3[259.080,262.600]	OK UM HAVE YOU HAD ANY FEVERS
audio/RES0192.mp3[263.400,265.720]	HAVE YOU HAD ANY CHILLS
audio/RES0192.mp3[268.080,271.920]	HAVE YOU HAD ANY NIGHT SWEATS
audio/RES0192.mp3[273.360,280.440]	OK UM AND HAVE YOU HAD ANY HEART PALPITATIONS OR FEELING LIKE YOUR HEARTS RACING
audio/RES0192.mp3[282.120,287.400]	HAVE YOU HAD ANY FAINTING OR LIGHTHEADEDNESS OR DIZZINESS
audio/RES0192.mp3[287.400,290.640]	UM NO
audio/RES0192.mp3[290.640,294.840]	OK UM HAVE YOU HAD ANY ABDOMINAL PAIN
audio/RES0192.mp3[296.480,300.520]	HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0192.mp3[300.520,301.880]	UH NO
audio/RES0192.mp3[301.880,306.240]	HAVE YOU HAD ANY DIARRHEA OR CONSTIPATION
audio/RES0192.mp3[307.680,311.160]	AND HAVE YOU HAD ANY SKIN RASHES
audio/RES0192.mp3[312.400,316.000]	HAVE YOU HAD ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0192.mp3[317.280,322.320]	AND HAVE YOU HAD ANY AH CONFUSION OR MEMORY LOSS
audio/RES0192.mp3[322.320,324.000]	UH NO
audio/RES0192.mp3[324.000,330.320]	OK OK AND HOW IS YOUR ENERGY BEEN UH RECENTLY HAVE YOU HAD ANY FATIGUE OR MALAISE
audio/RES0192.mp3[330.320,332.480]	UM NO
audio/RES0192.mp3[332.480,348.640]	OK ALRIGHT SO IT SOUNDS LIKE THIS THIS DRY COUGH AND THEN AND SHORTNESS OF BREATH IT IS MOSTLY WHAT YOU BEEN UM EXPERIENCING AND HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0192.mp3[348.640,355.680]	AH I HAVE UHM A COPD
audio/RES0192.mp3[355.680,362.400]	OK UM AND DO YOU USE UH ANY MEDICATIONS OR ANY INHALERS
audio/RES0192.mp3[362.400,378.240]	UM KNOW ITS VERY MILD I IT’S YEAH SO I HAVENT REALLY I WAS JUST RECENTLY DIAGNOSED SO UHM I HAVENT BEEN STARTED ON ANY MEDICATIONS JUST YET
audio/RES0192.mp3[378.240,385.800]	OK DID YOU DO I I PULMONARY FUNCTION TESTS WHERE YOURE BREATHING INTO A TUBE
audio/RES0192.mp3[387.480,391.880]	ALRIGHT YEAH AND UHM DO YOU HAVE ANY ALLERGIES
audio/RES0192.mp3[396.760,402.840]	UM AND HAVE YOU HAD ANY HOSPITALIZATIONS OR ANY PREVIOUS SURGERIES
audio/RES0192.mp3[404.520,412.440]	OK AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION LIKE WHERE YOURE LIVING AND WHO YOURE LIVING WITH
audio/RES0192.mp3[412.440,415.120]	I LIVE IN A HOUSE WITH MY HUSBAND
audio/RES0192.mp3[415.120,422.360]	OK AND HAS YOUR HUSBAND BEEN SICK OR ANYBODY YOUVE BEEN AROUND BEEN SICK
audio/RES0192.mp3[424.200,429.200]	OK AND ARE YOU CURRENTLY WORKING
audio/RES0192.mp3[429.200,463.160]	YEAH SO I IM WORKING IN CONSTRUCTION UM I USED TO WORK IN SHIPYARDS BEFORE BUT RECENTLY IVE IVE BEEN DOING SOME CONSTRUCTION NOTHING HEAVY AH JUST WORKING ON SOME OLD BUILDINGS I’LL UST TAKE THE ODD JOB OR SOMETHING THAT COMES UP ITS NOT FULL TIME
audio/RES0192.mp3[463.160,473.840]	OK AND ANY CONCERNS FOR LIKE EXPOSURES WHILE YOURE AT WORK IN TERMS LIKE BREATHING IN ANY DUSTS OR ANY FUMES
audio/RES0192.mp3[473.840,508.120]	UM WERE GIVEN A UM PERSONAL PROTECTIVE EQUIPMENT UM FOR THOSE CONCERNS BUT WHEN I WAS YOUNGER I USED TO WORK A IN SHIPYARDS AND CONSTRUCTIONS AND LIKE OLD BUILDINGS AND STUFF AND I KNOW THERE WAS SOME CONCERN FOR NOT BEING AH PROPERLY EQUIPPED WITH THE RIGHT EQUIPMENT FOR PROTECTION AND SAFETY AT THAT POINT SO UH YEAH ITS POSSIBLE IVE BEEN EXPOSED TO SOME THINGS
audio/RES0192.mp3[508.120,516.600]	I SEE IS THERE A CHANCE THAT THERE COULD HAVE BEEN ASBESTOS AT ANY OF THOSE PLACES THAT YOU WORKED
audio/RES0192.mp3[516.600,524.840]	YEAH ASBESTOS OR MOLD YEAH YOU NAME IT PROBABLY EVERYTHING
audio/RES0192.mp3[524.840,530.520]	YEAH I SEE THIS WAS LIKE 10 YEARS AGO 20 YEARS AGO OR OR LONGER
audio/RES0192.mp3[530.520,550.200]	YEAH AND SO IT WOULD HAVE BEEN YEAH ABOUT LIKE 30 YEARS AGO OR YEAH 30 40 YEARS AGO AND I WORKED IN THOSE PLACES FOR 30 TO 40 YEARS SO AROUND THAT TIME
audio/RES0192.mp3[550.200,555.520]	OK AND DO YOU SMOKE CIGARETTES
audio/RES0192.mp3[555.520,561.360]	UM I QUIT RECENTLY SINCE I FOUND OUT THAT I MIGHT HAVE COPD
audio/RES0192.mp3[561.360,564.640]	OH CONGRATULATIONS ITS NOT EASY TO QUIT
audio/RES0192.mp3[564.640,566.240]	THANK YOU
audio/RES0192.mp3[566.240,569.560]	UH AND DO YOU DRINK ALCOHOL
audio/RES0192.mp3[569.560,573.880]	UH ONCE IN A WHILE I’LL HAVE A GLASS OF WINE ONCE A WEEK
audio/RES0192.mp3[573.880,578.720]	OK AND DO YOU USE RECREATIONAL DRUGS
audio/RES0192.mp3[578.720,581.880]	UM NO I DONT
audio/RES0192.mp3[581.880,594.680]	OK UM AND UH ARE THERE ANY HEART OR LUNG CONDITIONS THAT RUN IN THE FAMILY
audio/RES0192.mp3[594.680,596.880]	UH NO
audio/RES0192.mp3[596.880,602.000]	OK ARE THERE ANY CANCERS THAT ARE IN THE FAMILY LIKE ANYBODY WHOS HAD LUNG CANCER
audio/RES0192.mp3[602.000,610.600]	UM NO NOT THAT I CAN THINK OF
audio/RES0192.mp3[610.600,618.480]	OK AND UM HAVE YOU TRAVELED ANYWHERE RECENTLY
audio/RES0192.mp3[621.760,625.360]	OK AND ARE YOU CURRENTLY SEXUALLY  ACTIVE
audio/RES0192.mp3[625.360,628.160]	I AM
audio/RES0192.mp3[628.160,636.320]	OK UM AND CAN YOU TELL ME ABOUT YOUR PARTNER OR PARTNERS IS ITS AT YOUR HUSBAND OR UM ANYONE ELSE
audio/RES0192.mp3[636.320,638.320]	JUST MY HUSBAND YEAH
audio/RES0192.mp3[638.320,645.280]	OK AND ANY CONCERNS FOR AH SEXUALLY TRANSMITTED INFECTION
audio/RES0192.mp3[647.080,662.560]	OK AND I THINK THAT WAS EVERYTHING THAT I WANTED TO ASK ON HISTORY TODAY UM WAS THERE ANYTHING ELSE THAT YOU WANTED TO ADD THAT I MAYBE FORGOT ABOUT
audio/RES0192.mp3[662.560,673.240]	UM NO THAT WAS IT BUT HOW LIKE WHAT CAN I TAKE TO MAKE THESE SYMPTOMS GO AWAY
audio/RES0192.mp3[673.240,721.440]	WELL YEAH SO AT THIS TIME IT WILL BE IMPORTANT TO GET SOME LUNG IMAGING AND AND POSSIBLY SOME OTHER INVESTIGATIONS AS WELL BECAUSE OF YOUR EXPOSURE UH TO INHALANTS AND FUMES AND POSSIBLY ASBESTOS SO I’M CONCERNED THERE COULD BE POSSIBLY AN ASBESTOS RELATED LUNG ILLNESS THAT THAT YOU HAVE UM AND SO IT WILL BE IMPORTANT TO INVESTIGATE FOR YEAH POSSIBLY A ASBESTOS RELATED LUNG CANCER
audio/RES0192.mp3[726.000,730.080]	OK THANK YOU
audio/RES0141.mp3[0.000,3.200]	HOW CAN I UH HELP YOU TODAY
audio/RES0141.mp3[3.200,31.120]	HI SO I JUST CAME IN TODAY BECAUSE IVE BEEN JUST BEEN FEELING UM LIKE MY HEADS JUST BEEN HURTING FOR THE PAST THREE OR FOUR DAYS AND I ALSO FELT REALLY COLD THROUGHOUT THE DAY FOR THE LAST FEW DAYS AS WELL SO UM I DID END UP CHECKING MY TEMPERATURE JUST YESTERDAY AFTERNOON AND IT WAS UM 387 DEGREES CELSIUS
audio/RES0141.mp3[31.120,39.480]	OKAY UM TELL ME ABOUT THE HEADACHE WHERE EXACTLY IS IT
audio/RES0141.mp3[39.480,48.800]	YEAH SO ITS KIND OF JUST THROUGHOUT LIKE THE FRONT OF MY FOREHEAD AND IT KIND OF GOES TO THE SIDE INTO MY TEMPLE
audio/RES0141.mp3[48.800,51.480]	AND WHAT DOES IT FEEL LIKE
audio/RES0141.mp3[51.480,63.960]	IT FEELS LIKE A CONSTANT ACHING IVE HAD UH MIGRAINES BEFORE BUT THEY LIKE ITS NOT LIKE THE PULSATING SENSATION THAT I USUALLY GET WITH THEM
audio/RES0141.mp3[63.960,71.960]	I SEE UH OKAY AND HOW SEVERE IS THE PAIN IF YOU HAD TO RATE IT FROM 1 TO 10
audio/RES0141.mp3[71.960,86.080]	UM MORE THAN LIKE SEVERE ITS DEFINITELY LESS SEVERE THAN MY MIGRAINES BUT IT ITS JUST CONSTANT ITS ITS JUST BEEN THERE FOR THE LAST FOUR DAYS AND I WOULD SAY PROBABLY A 6 OUT OF 10
audio/RES0141.mp3[86.080,92.320]	DID YOU DO ANYTHING FOR THE PAIN DID YOU TAKE ANY MEDICATIONS ANYTHING THAT MAKES IT BETTER
audio/RES0141.mp3[92.320,101.840]	YEAH I TOOK A TYLENOL I TOOK UM ADVIL IT HELPS FOR LIKE A FEW HOURS AND THEN IT JUST COMES BACK
audio/RES0141.mp3[101.840,107.480]	AND ANYTHING THAT MAKES THE PAIN WORSE
audio/RES0141.mp3[107.480,123.000]	UM I DEFINITELY THINK JUST IF I REST ITS BETTER IF BUT IF IM LIKE LIKE I CANT I CANT CONCENTRATE ON WORK OR LIKE ANYTHING
audio/RES0141.mp3[123.000,134.920]	OKAY UM AND OTHER THAN THE UM THE FEVER AND HEADACHES HAVE YOU UM HAD ANY UM COUGH
audio/RES0141.mp3[134.920,136.120]	NO NO COUGH
audio/RES0141.mp3[136.120,138.080]	RUNNY NOSE OR CONGESTION
audio/RES0141.mp3[138.800,140.840]	SORE THROAT
audio/RES0141.mp3[140.840,141.720]	NO NOT REALLY
audio/RES0141.mp3[141.720,145.080]	CHANGES IN YOUR SENSE OF SMELL
audio/RES0141.mp3[145.080,148.640]	UH I DO ACTUALLY FEEL LIKE I LIKE I AM LOSING MY SMELL TODAY
audio/RES0141.mp3[148.640,154.520]	AND SENSE OF TASTE
audio/RES0141.mp3[154.520,167.200]	I JUST HAD BREAKFAST TODAY SO UM BREAKFAST WAS OKAY I DIDNT UH BUT YEAH DEFINITELY SENSE OF SMELL
audio/RES0141.mp3[167.200,170.960]	OKAY AND ANY DIFFICULTIES BREATHING
audio/RES0141.mp3[172.040,174.280]	OKAY ANY CHEST PAIN
audio/RES0141.mp3[175.360,178.480]	UM DO YOU FEEL LIKE YOUR HEART IS RACING
audio/RES0141.mp3[179.600,182.400]	ANY DIARRHEA OR CONSTIPATION
audio/RES0141.mp3[183.280,185.200]	NAUSEA OR VOMITING
audio/RES0141.mp3[185.920,187.840]	PAIN IN YOUR BELLY
audio/RES0141.mp3[188.880,192.880]	ANY MUSCLE ACHES OR JOINT PAINS
audio/RES0141.mp3[192.880,195.960]	UH NO NOTHING LIKE THAT
audio/RES0141.mp3[195.960,199.640]	OKAY UM DO YOU FEEL LIKE YOUR NECK IS STIFF
audio/RES0141.mp3[200.640,204.680]	ANY NUMBNESS OR TINGLING IN YOUR ARMS OR FINGERS OR TOES
audio/RES0141.mp3[206.040,212.080]	ANY UM NIGHT SWEATS OR WEIGHT LOSS UNINTENTIONAL
audio/RES0141.mp3[212.080,216.720]	NO IVE ONLY BEEN GAINING WEIGHT
audio/RES0141.mp3[216.720,222.000]	OKAY ANY FLUID IN YOUR ANY SORT OF SWELLING IN YOUR LEGS
audio/RES0141.mp3[222.000,225.000]	NO NOTHING LIKE THAT REALLY
audio/RES0141.mp3[225.000,231.480]	OKAY UM ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/RES0141.mp3[231.480,240.920]	YES SO I HAVE UH TYPE 2 DIABETES I WAS JUST RECENTLY STARTED ON METFORMIN MEDICATION
audio/RES0141.mp3[240.920,243.360]	WHEN WERE YOU STARTED ON METFORMIN
audio/RES0141.mp3[243.360,246.960]	SO I THINK AROUND UH ITS BEEN AROUND TWO MONTHS
audio/RES0141.mp3[246.960,252.320]	OKAY HOW IS THAT GOING FOR YOU ARE YOU TOLERATING IT OKAY
audio/RES0141.mp3[252.320,266.280]	YEAH IVE IVE BEEN TOLERATING IT WELL ITS JUST THEY THEY SAID LIKE IM KIND OF JUST ON THE EDGE OF THE DIABETES LIKE MY LEVEL SO THEY JUST WANT TO ACT UM PROACTIVELY
audio/RES0141.mp3[266.280,271.040]	YEAH THATS GOOD UM ANY OTHER MEDICAL CONDITIONS
audio/RES0141.mp3[271.040,272.920]	NO THATS THATS ALL
audio/RES0141.mp3[272.920,280.040]	ANY MEDICATIONS OTHER THAN METFORMIN THAT YOU TAKE ANYTHING OVER THE COUNTER
audio/RES0141.mp3[280.040,289.600]	UM SO I DO TAKE WHEN MY MIGRAINES GET BAD LIKE I DO TAKE I HAVE TAKEN NAPROXEN BEFORE
audio/RES0141.mp3[289.600,295.200]	OKAY SURGERIES
audio/RES0141.mp3[295.200,296.760]	UH NO SURGERIES
audio/RES0141.mp3[299.840,300.800]	UH NO
audio/RES0141.mp3[300.800,306.720]	OKAY ANY ALLERGIES TO MEDICATIONS FOODS OR ANY ENVIRONMENTAL ALLERGIES
audio/RES0141.mp3[306.720,312.040]	NOT TO ANY MEDICATIONS BUT I DO HAVE AN ALLERGY TO PEANUTS
audio/RES0141.mp3[312.040,314.760]	OKAY WHAT HAPPENS
audio/RES0141.mp3[314.760,323.400]	I DO GET LIKE A AN ANAPHYLACTIC REACTION
audio/RES0141.mp3[323.400,329.480]	OKAY OKAY UM AND ANY UM FAMILY HISTORY OF ANY MEDICAL CONDITIONS
audio/RES0141.mp3[329.480,346.200]	UH SO ON MY DADS SIDE THEY LIKE ALL LIKE ALL THE MEN SEEM TO HAVE DIABETES SO ITS GOOD THAT IM STARTING ON THE MEDICATION UM ON MY MOMS SIDE THEYRE PRETTY HEALTHY I DONT THINK MY MOM HAS ANY MEDICAL CONDITIONS
audio/RES0141.mp3[346.200,351.720]	OKAY GOOD UM AND DO YOU CURRENTLY LIVE ALONE OR DO YOU LIVE WITH OTHER PEOPLE
audio/RES0141.mp3[351.720,359.000]	YEAH SO I LIVE WITH MY WIFE I LIVE WITH MY TWO KIDS A SON AND DAUGHTER
audio/RES0141.mp3[359.000,367.680]	AND UM HAVE YOU OR ANY OF THEM HAD ANY EXPOSURES TO ANYONE WHO COULD POSSIBLY BE SICK
audio/RES0141.mp3[367.680,387.520]	UM JUST UH SO MY WIFE IS A SCHOOL TEACHER UM AND THEY DID HAVE INPERSON JUST UH SHES A HIGH SCHOOL TEACHER AND THEY HAD SOME THEY HAVE INPERSON CLASSES SO YEAH I DONT KNOW BUT SHES BEEN FEELING WELL MY KIDS ARE FEELING WELL TOO
audio/RES0141.mp3[387.520,393.480]	OKAY AND HAVE YOU TRAVELED ANYWHERE OUTSIDE THE PROVINCE
audio/RES0141.mp3[394.000,400.840]	OKAY AND DO YOU CURRENTLY SMOKE OR DID YOU EVER SMOKE IN THE PAST
audio/RES0141.mp3[400.840,408.640]	NO IVE NEVER SMOKED I DO SMOKE MARIJUANA JUST MAYBE ONCE OR TWICE A MONTH WITH SOME FRIENDS
audio/RES0141.mp3[408.640,412.640]	OKAY ANY RECREATIONAL DRUGS
audio/RES0141.mp3[412.640,413.760]	SORRY NO
audio/RES0141.mp3[413.760,416.280]	UM ANY ALCOHOL
audio/RES0141.mp3[416.280,422.880]	YEAH I PROBABLY DRINK UM A COUPLE OF BEERS DURING THE WEEKEND
audio/RES0141.mp3[422.880,494.640]	OKAY GOT IT UM ALRIGHT WELL GIVEN YOUR SYMPTOMS UM WE WOULD LIKE TO DO A COVISWAB JUST IN OR REQUEST A COVISWAB TO BE DONE THROUGH PUBLIC HEALTH UM JUST TO JUST TO RULE IT OUT YOUR SYMPTOMS DO SOUND LIKE OR OVERLAP WITH SOME OF THE SYMPTOMS THAT ARE SEEN IN PATIENTS WHO DO HAVE COVIIT COULD BE THAT YOU HAVE UM JUST UM JUST I GUESS LIKE YOUR HEADACHE AND FEVER UM ILL ALSO LIKE DO A PHYSICAL EXAM TO SEE THERES NOTHING ELSE GOING ON BUT IN THE MEANTIME I ID LIKE YOU TO SELF ISOLATE AND STAY AWAY FROM THE REST OF YOUR FAMILY MEMBERS AS WELL UM AT LEAST UNTIL THE RESULTS ARE OUT AND THEN WHEN THE RESULTS ARE OUT IF ITS POSITIVE YOULL RECEIVE MORE GUIDELINES FROM PUBLIC HEALTH AS TO WHAT YOU NEED TO DO
audio/RES0141.mp3[494.640,499.960]	OKAY SOUNDS GOOD UM AND I WORK FROM HOME SO I DONT NEED TO
audio/RES0141.mp3[499.960,503.040]	OH THATS GOOD OKAY SO YOU WORK FROM HOME
audio/RES0141.mp3[504.800,505.560]	THANK YOU
audio/RES0125.mp3[0.000,2.280]	WHAT BRINGS YOU IN HERE TODAY
audio/RES0125.mp3[2.280,26.240]	HI IM UM IM JUST SO I AM HERE BECAUSE I HAVE THIS COUGH THAT IVE HAD FOR THE PAST UM WEEK AND A HALF AND IM JUST UH I USUALLY DONT COME IN WITH SYMPTOMS THIS MINOR BUT BECAUSE ITS BECAUSE WERE IN THE MIDDLE OF A PANDEMIC I THOUGHT I SHOULD COME IN AND GET CHECKED OUT
audio/RES0125.mp3[26.240,36.440]	OKAY YEAH SO ITS BEEN GOING ON FOR LIKE MORE THAN A WEEK UM CAN YOU DESCRIBE TO ME WHAT KIND OF COUGH YOURE HAVING IS IT LIKE A WET COUGH OR A DRY COUGH
audio/RES0125.mp3[36.440,39.080]	ITS A DRY COUGH
audio/RES0125.mp3[39.080,45.520]	OKAY AND HAS IT BEEN GETTING WORSE OVER THE OVER THE TIME PERIOD YOU DESCRIBED
audio/RES0125.mp3[45.520,48.240]	UM ITS KIND OF THE SAME
audio/RES0125.mp3[48.240,58.320]	ITS THE SAME UM HAVE YOU NOTICED ALTHOUGH ITS LIKE DRY HAVE YOU BROUGHT UP ANY KIND OF SPUTUM OR PHLEGM AT ALL
audio/RES0125.mp3[58.320,70.640]	UM NO NOT NOT NOT RECENTLY BUT YEAH IN THE FIRST COUPLE OF DAYS THE FIRST TWO THREE DAYS
audio/RES0125.mp3[70.640,77.760]	OKAY UM AND HAVE YOU NOTICED ANY KIND OF YELLOWISH TO GREENISH TINGE TO IT
audio/RES0125.mp3[77.760,80.120]	NO IT WAS WATERY
audio/RES0125.mp3[80.120,84.240]	WATERY OKAY HAVE YOU NOTICED AT ALL ANY BLOOD HAVE YOU BEEN COUGHING UP ANY BLOOD AT ALL
audio/RES0125.mp3[84.240,85.880]	UH NO
audio/RES0125.mp3[85.880,93.080]	OKAY AND IS YOUR COUGH LIKE CONSTANT OR DOES IT COME AND GO
audio/RES0125.mp3[93.080,100.960]	UM KIND OF COMES AND GOES THERES JUST TIMES WHEN IM COUGHING A LOT AND THEN IT JUST GOES AWAY
audio/RES0125.mp3[100.960,110.440]	OKAY AND IS THERE A PATTERN TO IT LIKE UH DO YOU COUGH MORE WHEN YOURE EXERTING YOURSELF OR ANY TIME A CERTAIN TIME OF THE DAY
audio/RES0125.mp3[110.440,112.960]	UM ITS WORSE WHEN IM SMOKING
audio/RES0125.mp3[112.960,118.880]	WHEN YOURE SMOKING OKAY AND UH HOW LONG DO THOSE EPISODES LAST
audio/RES0125.mp3[118.880,125.120]	COUPLE OF SECONDS MAYBE
audio/RES0125.mp3[125.120,129.960]	OKAY AND HAS THIS HAPPENED TO YOU BEFORE AT ALL
audio/RES0125.mp3[129.960,143.160]	YEAH I THINK UM YEAH I USUALLY DONT PAY MUCH ATTENTION TO IT YOU KNOW I THINK MUST HAVE HAPPENED LAST YEAR OR THE YEAR BEFORE IT JUST KIND OF GOES AWAY ON ITS OWN
audio/RES0125.mp3[143.160,148.480]	OKAY AND IS THERE ANY ANYTHING THAT MAKES IT BETTER OR WORSE
audio/RES0125.mp3[148.480,159.120]	UM I UM I TAKE THIS COUGH SYRUP OVER THE COUNTER SYRUP THAT HELPS
audio/RES0125.mp3[159.120,166.480]	OKAY AND UM HAVE YOU FOUND THAT ITS BEEN HELPING OVER LIKE TO HELP IMPROVE YOUR COUGH OVER THE LAST FEW DAYS
audio/RES0125.mp3[166.480,172.000]	IT GOES AWAY FOR A COUPLE HOURS AND THEN IT COMES BACK
audio/RES0125.mp3[172.000,177.560]	I SEE DOES IT KEEP KEEP YOU UP AT NIGHT AT ALL
audio/RES0125.mp3[177.560,178.520]	NO NO NO
audio/RES0125.mp3[178.520,185.680]	NO OKAY ARE YOU HAVING ANY OTHER SYMPTOMS LIKE SHORTNESS OF BREATH UM SORE THROAT RUNNY NOSE ANYTHING LIKE THAT
audio/RES0125.mp3[185.680,193.600]	UH I KIND OF HAD THOSE SYMPTOMS IN THOSE FIRST TWO THREE DAYS BUT THEN IT WENT AWAY AND THEN I ONLY HAD THIS COUGH THAT STAYED
audio/RES0125.mp3[193.600,203.560]	OKAY OKAY AND HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK AROUND YOU AT ALL
audio/RES0125.mp3[203.560,206.880]	UM MY DAUGHTER HAD THE SNIFFLES
audio/RES0125.mp3[206.880,209.600]	WHEN WAS THAT
audio/RES0125.mp3[209.600,212.440]	LAST TWO WEEKS AGO
audio/RES0125.mp3[212.440,220.080]	TWO WEEKS AGO OKAY AND UH HOW IS SHE NOW LIKE DID IT JUST GO AWAY ON ITS OWN OR DID SHE HAVE TO GO TO THE DOCTOR
audio/RES0125.mp3[220.080,222.880]	UM NO IT KIND OF WENT AWAY ON ITS OWN
audio/RES0125.mp3[222.880,229.520]	OKAY HAVE YOU TRAVELED AT ALL RECENTLY OUTSIDE OF THE PROVINCE OR THE COUNTRY
audio/RES0125.mp3[230.040,236.200]	NO OKAY AND BESIDES THE COUGH ARE YOU HAVING ANY HEADACHES AT ALL
audio/RES0125.mp3[238.120,240.000]	ANY NAUSEA OR VOMITING
audio/RES0125.mp3[241.480,243.880]	ANY FEVERS OR CHILLS
audio/RES0125.mp3[243.880,245.600]	NOT ANYMORE
audio/RES0125.mp3[245.600,249.400]	NOT ANYMORE WHEN WAS THE LAST TIME THAT YOU HAD FEVERS OR CHILLS
audio/RES0125.mp3[249.400,260.480]	I THINK I HAD LIKE A VERY IT MUST HAVE BEEN 374 UM IN THE FIRST TWO THREE DAYS BUT IT GOT BETTER REALLY QUICKLY
audio/RES0125.mp3[260.480,266.120]	OKAY I SEE ANY NIGHT SWEATS
audio/RES0125.mp3[267.320,271.600]	NO OKAY ANY UM DO YOU FEEL TIRED THROUGHOUT THE DAY
audio/RES0125.mp3[271.600,273.480]	NOT ANYMORE
audio/RES0125.mp3[273.480,280.800]	NOT ANYMORE OKAY SO ANY KIND OF CHEST PAIN OR SENSATION THAT YOUR HEART IS RACING
audio/RES0125.mp3[281.720,284.600]	NO ANY DIZZINESS OR FAINTING SPELL
audio/RES0125.mp3[286.600,289.840]	ANY CHANGES IN YOUR BOWEL MOVEMENTS AT ALL
audio/RES0125.mp3[289.840,292.440]	UM NO
audio/RES0125.mp3[292.440,294.880]	NO SO NO CONSTIPATION DIARRHEA
audio/RES0125.mp3[295.800,300.680]	OKAY ANY CHANGES IN YOUR URINATION
audio/RES0125.mp3[301.080,307.000]	NO OKAY UM HAVE YOU HAD TO MISS WORK AT ALL OR DO YOU CURRENTLY WORK
audio/RES0125.mp3[307.000,310.000]	YEAH BUT IVE BEEN WORKING FROM HOME
audio/RES0125.mp3[310.440,313.640]	I DIDNT HAVE TO MISS WORK SO
audio/RES0125.mp3[313.640,318.480]	OKAY AND ANY CHANGES IN YOUR SLEEP OR APPETITE
audio/RES0125.mp3[320.680,325.280]	OKAY ANY LOSS OF SENSE OF TASTE OR SMELL AT ALL
audio/RES0125.mp3[325.280,334.440]	UM INITIALLY I GUESS THE COUGHS FIRST FEW DAYS MY NOSE WAS A LITTLE STUFFY SO YEAH I COULDNT SMELL VERY WELL BUT SINCE THEN ITS BEEN FINE
audio/RES0125.mp3[334.440,337.440]	OKAY BUT NO LOSS OF TASTE
audio/RES0125.mp3[337.440,340.560]	NO LOSS OF TASTE NO
audio/RES0125.mp3[340.560,348.080]	OKAY UH ANY RECENT SIGNIFICANT CHANGES TO YOUR WEIGHT AT ALL OVER THE LAST FEW MONTHS
audio/RES0125.mp3[349.600,358.720]	OKAY UM AND ANY EXPOSURE IN YOUR HOME ENVIRONMENT TO DUST FUMES ANY ANIMALS IN THE HOUSEHOLD
audio/RES0125.mp3[361.280,367.000]	OKAY AND OTHERWISE UH DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH IN THE PAST
audio/RES0125.mp3[367.000,369.920]	UH NO IM PRETTY HEALTHY
audio/RES0125.mp3[369.920,377.760]	PRETTY HEALTHY OKAY ANY ALLERGIES EITHER TO MEDICATIONS OR ENVIRONMENTAL
audio/RES0125.mp3[377.760,380.800]	UM IM ALLERGIC TO PENICILLIN
audio/RES0125.mp3[380.800,385.600]	TO PENICILLIN OKAY AND WHAT KIND OF REACTION DO YOU GET TO PENICILLIN
audio/RES0125.mp3[385.600,390.320]	UM I WAS TOLD THAT I GOT A RASH WHEN I WAS A CHILD I DONT REALLY REMEMBER
audio/RES0125.mp3[390.320,397.280]	OKAY AND DO YOU TAKE ANY MEDICATIONS ON A REGULAR BASIS
audio/RES0125.mp3[398.560,402.800]	NO OKAY AND HAVE YOU BEEN HOSPITALIZED IN THE PAST OR HAD ANY SURGERIES
audio/RES0125.mp3[402.800,408.400]	UM I HAD MY APPENDIX REMOVED ABOUT UM FIVE YEARS AGO
audio/RES0125.mp3[408.400,413.080]	FIVE YEARS AGO OKAY ANY COMPLICATIONS AT ALL AFTER THAT
audio/RES0125.mp3[414.480,420.720]	OKAY ANY FAMILY HISTORY OF ANY LUNG CONDITIONS HEART CONDITIONS ANY CANCERS AT ALL
audio/RES0125.mp3[420.720,424.240]	UM COLON CANCER
audio/RES0125.mp3[424.240,426.000]	COLON CANCER
audio/RES0125.mp3[426.000,432.000]	YEAH MY DAD AND MY GRANDFATHER HAD IT
audio/RES0125.mp3[432.000,435.800]	OKAY UM AND HAVE YOU HAVE YOU HAD ANY SCOPES DONE RECENTLY AT ALL
audio/RES0125.mp3[435.800,441.320]	OH YEAH I HAD MINE DONE UH SEVEN YEARS AGO
audio/RES0125.mp3[441.320,443.920]	SEVEN YEARS AGO OKAY AND WERE THERE ANY FINDINGS AT ALL
audio/RES0125.mp3[446.960,458.320]	NO OKAY UM CURRENTLY SO YOU WORK FROM HOME SO WHATS YOUR HOME AND LIVING SITUATION LIKE WHO DO YOU LIVE WITH AND WHERE DO YOU LIVE IN LIKE A HOUSE APPARTMENT
audio/RES0125.mp3[458.320,462.800]	UH I LIVE IN AN APARTMENT WITH MY WIFE AND MY DAUGHTER
audio/RES0125.mp3[462.800,467.160]	OKAY UH AND UH DO THEY HAVE ANY SYMPTOMS AT ALL OR ARE THEY ARE THEY FINE
audio/RES0125.mp3[467.160,476.760]	WELL MY DAUGHTER DOESNT HAVE ANY SYMPTOMS ANYMORE SHE DID AS I MENTIONED HAVE SOME FLU LIKE SYMPTOMS 2 WEEKS AGO MY WIFES BEEN HEALTHY
audio/RES0125.mp3[476.760,486.000]	OKAY AND UH DOES YOUR DAUGHTER GO TO SCHOOL RIGHT NOW OR IS SHE DOING SCHOOL FROM HOME
audio/RES0125.mp3[486.000,487.040]	UH SCHOOL FROM HOME
audio/RES0125.mp3[487.040,495.120]	SCHOOL FROM HOME OKAY UM AND DO YOU AT ALL SMOKE SO YOU MENTIONED YOUR SYMPTOMS GET WORSE WITH SMOKING
audio/RES0125.mp3[495.600,499.200]	UM HOW MUCH WOULD YOU SAY YOU SMOKE ON AN AVERAGE DAY
audio/RES0125.mp3[499.200,509.080]	UM I DONT I TRY IVE BEEN TRYING TO CUT DOWN SO I I SMOKE ABOUT 3 OR 4 CIGARETTES A WEEK I USED TO SMOKE A LOT MORE BEFORE
audio/RES0125.mp3[509.080,525.160]	WOW YEAH THATS REALLY GOOD THATS REALLY GREAT PROGRESS UM ITS REALLY DIFFICULT TO QUIT BUT ITS GREAT TO SEE THAT YOURE TRYING TO QUIT UM SO HOW MUCH WOULD YOU SAY YOU USED TO SMOKE
audio/RES0125.mp3[525.160,546.680]	WELL HALF A PACK UM HALF A PACK A DAY BUT THEN OVER THE PAST THREE YEARS IVE BEEN TRYING TO CUT IT DOWN I STARTED SMOKING WHEN I WAS 20 SO ITS BEEN UM 30 YEARS NOW
audio/RES0125.mp3[546.680,559.760]	OKAY SO 30 YEARS OKAY AND UM ARE YOU JUST ARE YOU USING ANYTHING TO HELP YOU QUIT SMOKING OR ARE YOU DOING IT WITHOUT ANY MEDICATIONS OR UM LIKE HAVE YOU USED ANYTHING IN THE PAST THAT HAS WORKED FOR YOU
audio/RES0125.mp3[559.760,571.080]	UM NO I I WENT TO MY DOC AND HE SAID TO TRY ON MY OWN FIRST AND IF IM STRUGGLING WITH IT TO COME BACK BUT IVE BEEN DOING IT VERY GRADUALLY SO ITS ITS GOING WELL
audio/RES0125.mp3[571.080,595.600]	OKAY AND THATS REALLY GOOD AND YEAH IF YOU AT ALL NEED ANY RESOURCES TO HELP YOU QUIT SMOKING ITS GREAT THAT YOURE DOING REALLY WELL BUT IF YOU NEED TO TALK MORE ABOUT IT OR NEED ANY MORE RESOURCES WE CAN PROVIDE THAT FOR YOU UM OTHER THAN UH SMOKING CIGARETTES DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA AT ALL
audio/RES0125.mp3[597.440,599.040]	NO HOW ABOUT ALCOHOL
audio/RES0125.mp3[599.040,605.440]	UH I JUST DRINK ON THE WEEKENDS MAYBE A GLASS OR TWO OF WINE
audio/RES0125.mp3[605.440,613.240]	OKAY AND UH YEAH SO THOSE WERE KIND OF ALL THE QUESTIONS I HAD FOR YOU TODAY DO YOU HAVE ANY QUESTIONS OR CONCERNS
audio/RES0125.mp3[615.200,623.040]	I WAS I GUESS I WAS JUST WORRIED ABOUT THE COUGH UM ITS JUST I WAS WORRIED THAT IT COULD BE COVID
audio/RES0125.mp3[623.040,704.600]	YEAH SO DEFINITELY RIGHT NOW ANY OF THESE SYMPTOMS LIKE COVICAN HAVE A LOT OF DIFFERENT SYMPTOMS UM SO WE SHOULD DEFINITELY MAKE SURE THAT WE TO CHECK IF YOU HAVE COVIOR NOT AND WELL GET A COVISWAB TEST DONE FOR YOU TODAY AND THE RESULTS WILL COME BACK IN 24 TO 48 HOURS UH AND IN THAT TIME YOU WILL NEED TO ISOLATE EVEN IN YOUR OWN HOME TRY TO WEAR A MASK AROUND YOUR FAMILY MEMBERS UM TRYING TO EAT SEPARATELY AND USE ALL THOSE METHODS AND AND THEN AFTER THE TEST COMES BACK YOU MAY YOULL BE CONTACTED BY PUBLIC HEALTH IF ITS POSITIVE AND KIND OF GIVEN MORE INSTRUCTION ON WHAT TO DO AND IT DOESNT NECESSARILY HAVE TO BE COVIEITHER IT CAN BE JUST ANOTHER VIRUS UH LIKE IT CAN BE JUST YOUR COMMON COLD THATS BEEN GOING ON SO IT DOES SEEM THAT YOUR SYMPTOMS HAVE GOTTEN BETTER OFTENTIMES UH A COUGH CAN BE THE LAST THING TO GO IT CAN TAKE UP TO TWO WEEKS OR MORE FOR THE COUGH TO GET RELIEVED BUT IT SEEMS THAT YOURE NOT HAVING ANY SYSTEMIC SYMPTOMS LIKE NO FEVERS OR ANYTHING ELSE RIGHT NOW SO ITS ITS UH THATS THATS PRETTY GOOD
audio/RES0125.mp3[704.600,706.320]	GREAT IM GLAD
audio/RES0125.mp3[706.320,707.280]	ALRIGHT YEAH
audio/RES0125.mp3[707.280,708.320]	THANK YOU
audio/RES0125.mp3[708.320,711.400]	YOURE WELCOME TAKE CARE
audio/RES0107.mp3[0.000,3.880]	WHAT BRINGS YOU IN
audio/RES0107.mp3[3.880,25.680]	HI IM HERE WITH MY SON AND HES JUST BEEN FEELING AWFUL HE JUST HAS THIS RUNNY NOSE AND HES BEEN SNEEZING ALL THE TIME AND UH I DONT KNOW MAYBE HE HAS ALLERGIES OR SOMETHING I JUST CAME IN CAUSE I WANTED TO GET HIM CHECKED OUT AND MAYBE GET SOME MEDICATIONS HES JUST FEELING HORRIBLE
audio/RES0107.mp3[25.680,31.360]	YEAH FOR SURE WHEN DID WHEN DID THE SNEEZING AND RUNNY NOSE START
audio/RES0107.mp3[31.360,47.200]	HE HES HAD IT FOR UM HES JUST ALWAYS KIND OF YOU KNOW HES ALWAYS HAVING THAT RUNNY NOSE YOU KNOW KIDS ALWAYS DO BUT ITS JUST BEEN PRETTY BAD OVER THE PAST UM TWO WEEKS
audio/RES0107.mp3[47.200,52.760]	PAST TWO WEEKS OK WHAT STARTED FIRST THE SNEEZING OR RUNNY NOSE
audio/RES0107.mp3[52.760,69.240]	UH THE RUNNY NOSE KIND OF JUST GOT WORSE A LITTLE BIT OVER THE PAST UH TWO WEEKS AND THEN THE SNEEZING KIND OF STARTED AT ABOUT THE SAME TIME
audio/RES0107.mp3[69.240,75.440]	OK AND AND THE RUNNY NOSE IS HE HAVING UM LIKE WHAT COLOUR IS IT
audio/RES0107.mp3[75.440,76.440]	ITS JUST CLEAR LIKE
audio/RES0107.mp3[76.440,84.800]	CLEAR OK DOES HE EVER FEEL LIKE HES UH DO YOU EVER FEEL LIKE HES STUFFY
audio/RES0107.mp3[84.800,98.120]	UH YEAH KIND OF HES JUST BEEN SNORTING AND SNIFFING AND UM I DONT THINK HE KNOWS HOW TO BLOW HIS NOSE YET BUT HES LIKE CLEARING HIS THROAT SO I THINK HES HES A LITTLE BIT STUFFY
audio/RES0107.mp3[99.000,108.680]	BUT HE HASNT COMPLAINED ABOUT DIFFICULTY WITH BREATHING OR LIKE HES BEEN LIKE HE SLEEPS WITH HIS MOUTH CLOSED SO I THINK HE HE SHOULD BE ABLE TO BREATHE OK
audio/RES0107.mp3[108.680,116.440]	OK GOOD SO YOU SAID NO SHORTNESS OF BREATH OR TROUBLE BREATHING HAS HE HAD ANY COUGHS
audio/RES0107.mp3[116.440,128.920]	KIND OF IN THE MORNING SO I I SEE THAT WHENEVER HE WAKES UP IN THE MORNING HE JUST HAS TO LIKE CLEAR HIS THROAT A LOT AND LIKE COUGH AND THEN UM GETS BETTER
audio/RES0107.mp3[128.920,135.520]	OK OK IS HE BRINGING UP PHLEGM WHEN HE COUGHS
audio/RES0107.mp3[135.520,138.360]	UM A LITTLE BIT
audio/RES0107.mp3[138.360,139.800]	WHAT COLOUR IS IT
audio/RES0107.mp3[139.800,145.200]	ITS THE SAME STUFF THAT COMES OUT OF HIS NOSE
audio/RES0107.mp3[145.200,147.920]	OK YEAH SO NO BLOOD OR PUS
audio/RES0107.mp3[147.920,148.960]	NO NO
audio/RES0107.mp3[148.960,155.840]	NO OK HAVE YOU DO YOU THINK HES LOST HIS LIKE SENSE OF SMELL OR TASTE
audio/RES0107.mp3[155.840,157.280]	UHH NO
audio/RES0107.mp3[157.280,163.840]	NO OK ANY CHANGES IN HIS VISION OR HEARING
audio/RES0107.mp3[163.840,166.360]	UM I DONT THINK SO
audio/RES0107.mp3[166.360,171.840]	NO DID LIKE UM HAVE YOU NOTICED ANY DISCHARGE FROM HIS EYES
audio/RES0107.mp3[171.840,176.400]	NO NO SOMETIMES HE DOES HAVE THAT BUT NO NOT IN THE PAST TWO WEEKS
audio/RES0107.mp3[176.400,181.520]	OK SO HIS LIKE EYELIDS ARENT SWOLLEN OR HIS EYES ARENT RED
audio/RES0107.mp3[181.520,182.760]	NO NO NO
audio/RES0107.mp3[182.760,195.840]	NO OK AND DOES HE HAVE YOU NOTICED ANY SWELLING IN HIS EITHER LIKE FACE NECK LIKE BELLY AREA OR HIS LIMBS
audio/RES0107.mp3[195.840,200.200]	NO NO I HAVENT ITS JUST HIS NOSE IS LIKE A LITTLE BIT RED
audio/RES0107.mp3[202.560,213.400]	AND UH YEAH HES JUST HES JUST ITCHING ALL THE TIME JUST ITCHING HIS NOSE ITCHING HIS UM EARS YEAH BUT NO NO SWELLING
audio/RES0107.mp3[213.400,217.520]	NO SWELLING HAVE YOU NOTICED ANY RASHES ON HIM
audio/RES0107.mp3[217.520,221.240]	NO I CHECKED YESTERDAY NIGHT VERY CAREFULLY
audio/RES0107.mp3[221.240,224.640]	OK GOOD ANY WEIGHT LOSS
audio/RES0107.mp3[224.640,228.640]	NO HES BEEN GAINING WEIGHT SO UM GOOD THAT HES BEEN EATING WELL
audio/RES0107.mp3[228.640,233.800]	YEAH THATS GOOD ANY FEVERS OR CHILLS
audio/RES0107.mp3[234.680,239.320]	NO DOES HE LOOK LIKE HES LIKE EXCESSIVELY TIRED
audio/RES0107.mp3[239.320,246.720]	HES A LITTLE BIT FATIGUED BECAUSE OF THE SNEEZING AND THE AND THE RUNNY NOSE YOU KNOW HES NOT GOING OUT TO PLAY AS MUCH
audio/RES0107.mp3[248.160,256.760]	UM BUT ITS NOT YOU KNOW HES STILL HES STILL CHEERFUL HES NOT IRRITABLE OR ANYTHING
audio/RES0107.mp3[256.760,268.320]	OK OK UM AND THEN HAVE YOU NOTICED THAT HES LIKE TAKING IN LIKE RAPID BREATHS
audio/RES0107.mp3[268.320,271.000]	NO NO HIS BREATHING HAS BEEN GOOD
audio/RES0107.mp3[271.000,275.000]	OK HOW ABOUT HIS BOWEL MOVEMENTS HAVE THOSE BEEN NORMAL
audio/RES0107.mp3[276.000,280.440]	YEAH OK ANY NAUSEA OR VOMITING
audio/RES0107.mp3[281.080,283.280]	UM HOW ABOUT HIS URINE
audio/RES0107.mp3[283.280,286.360]	NO NO PROBLEMS THERE
audio/RES0107.mp3[286.360,290.800]	OK HOW ABOUT LIKE DIZZINESS OR FAINTING SPELLS
audio/RES0107.mp3[290.800,293.680]	NO NO NO I DIDNT NOTICE ANYTHING LIKE THAT
audio/RES0107.mp3[293.680,296.240]	NO ANY CONFUSION THAT YOU NOTICED
audio/RES0107.mp3[301.680,305.080]	NO OK UM HAS HE BEEN LIKE EXCESSIVELY ITCHING ANYWHERE
audio/RES0107.mp3[305.080,318.160]	UM JUST HIS UH JUST HIS NOSE AND I THINK HIS LIKE I THINK HIS MOUTH IS ITCHY TOO CAUSE HE KEEPS DOING THIS THING WITH HIS TONGUE JUST KIND OF I DONT KNOW JUST KIND OF LIKE
audio/RES0107.mp3[318.160,321.520]	ITCHING THE TOP OF HIS MOUTH WITH HIS TONGUE OR SOMETHING
audio/RES0107.mp3[322.320,327.120]	UM YEAH JUST LIKE HIS FACE IS ITCHY
audio/RES0107.mp3[327.120,337.000]	HMM OK UM HAS HE COME INTO ANY CONTACT WITH SICK PEOPLE RECENTLY
audio/RES0107.mp3[337.000,352.880]	UM I DONT MAYBE SO TWO WEEKS AGO HE WAS PLAYING OUTSIDE UM AND I KNOW THAT HE HE DOES HIS SYMPTOMS DO GET WORSE WHEN HES OUTSIDE SO I DONT KNOW MAYBE
audio/RES0107.mp3[354.280,361.560]	HE WAS PLAYING WITH UH WITH HIS BROTHER BUT THEN THIS OTHER KID FROM THE NEIGHBOURHOOD ALSO CAME AROUND
audio/RES0107.mp3[361.560,367.680]	OK OK HOW ABOUT UM TRAVEL TO ANYWHERE
audio/RES0107.mp3[367.680,370.120]	NO WEVE JUST BEEN STAYING AT HOME
audio/RES0107.mp3[370.120,376.960]	OK OK GOOD UM IS HE AN OTHERWISE HEALTHY KID AT THE MOMENT
audio/RES0107.mp3[376.960,380.240]	YEAH YEAH HES AN HES A HEALTHY KID
audio/RES0107.mp3[380.240,386.000]	OK UM ANY COMPLICATIONS WHEN YOU WERE PREGNANT WITH HIM
audio/RES0107.mp3[386.800,391.000]	NO UM HOW ABOUT AT BIRTH
audio/RES0107.mp3[391.000,392.720]	NO NO COMPLICATIONS
audio/RES0107.mp3[392.720,397.040]	OK DID HE NEED TO BE HOSPITALIZED AFTER BIRTH FOR ANY REASON
audio/RES0107.mp3[398.160,399.960]	ANY SURGERIES
audio/RES0107.mp3[401.360,405.000]	UM ANY ALLERGIES
audio/RES0107.mp3[405.000,409.000]	UM I DONT THINK SO I KNOW HES NOT
audio/RES0107.mp3[409.000,413.880]	NO HES NEVER BEEN DIAGNOSED WITH LIKE ECZEMA OR ASTHMA
audio/RES0107.mp3[413.880,416.000]	OH HES HES HAD ECZEMA HE HAD IT
audio/RES0107.mp3[417.400,419.960]	YEAH COMES AND GOES
audio/RES0107.mp3[419.960,423.920]	HIS ECZEMA COMES AND GOES
audio/RES0107.mp3[424.360,429.320]	OK UM IS HE ON ANY MEDICATIONS
audio/RES0107.mp3[429.840,431.720]	NO EVEN FOR HIS ECZEMA
audio/RES0107.mp3[431.720,435.760]	ITS PRETTY MILD
audio/RES0107.mp3[435.760,450.200]	OK UM HAS HAVE YOU EVER LIKE GIVEN HIM UM REACTINE OR LIKE ANY OF THE THOSE ANTI ALLERGY MEDICATIONS IN THE PAST
audio/RES0107.mp3[450.200,466.040]	IVE TRIED THE UH YEAH THE ONES OVER THE COUNTER UM THEY DO HELP UM I TRIED IT THIS TIME BUT UH IT DIDNT DO MUCH
audio/RES0107.mp3[466.040,483.200]	OK OK AND I WAS GONNA ASK YOU SOMETHING ELSE UM HIS SYMPTOMS LIKE THE SNEEZING AND THE AND THE RUNNY NOSE LIKE HAS HE EXPERIENCED THIS BEFORE
audio/RES0107.mp3[483.200,484.960]	OH YEAH
audio/RES0107.mp3[486.120,502.880]	IT USUALLY GETS WORSE UM UH I GUESS LIKE AROUND THIS TIME UH I CAN TELL WHEN SPRING IS COMING UP UM IT GETS PRETTY BAD BUT HE ALWAYS HAS A RUNNY NOSE UM AND HE SNEEZES SOMETIMES HERE AND THERE
audio/RES0107.mp3[502.880,510.760]	OK AND YOU MENTIONED THIS HAS BEEN GOING ON FOR MORE THAN FOUR DAYS THIS TIME AROUND
audio/RES0107.mp3[510.760,519.000]	ITS BEEN ITS BEEN GOING ON FOR THE PAST UH TWO WEEKS
audio/RES0107.mp3[519.000,533.080]	OK OK AND IS IT LIKE UM IMPAIRING HIS LIKE DAILY ACTIVITIES OR LIKE HIS ABILITY TO UM LIKE SLEEP
audio/RES0107.mp3[533.080,540.640]	UH IT DOES AFFECT HIS SLEEP SOMETIMES HE DOESNT LIKE UM JUST THE ITCHING REALLY BOTHERS HIM
audio/RES0107.mp3[541.440,558.320]	SO HE CANT UH HE FINDS IT HARD TO FALL ASLEEP THATS LIKE I USUALLY THATS WHEN I GIVE HIM THE THE MEDICATIONS TO HELP HIM FALL ASLEEP
audio/RES0107.mp3[558.320,564.360]	OK OK AND UH IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS
audio/RES0107.mp3[564.680,572.080]	OK ANY FAMILY HISTORY OF ASTHMA ECZEMA OR SOMETHING CALLED ALLERGIC RHINITIS
audio/RES0107.mp3[572.080,575.440]	UH I HAVE ASTHMA
audio/RES0107.mp3[575.440,578.280]	OK AND IS YOUR ASTHMA SEVERE
audio/RES0107.mp3[578.280,584.760]	UH NO ITS ITS PRETTY WELL CONTROLLED I USED TO ACTUALLY I USED TO HAVE ASTHMA AS A CHILD
audio/RES0107.mp3[584.760,585.160]	OK I SEE
audio/RES0107.mp3[585.160,589.080]	ITS PRETTY WELL CONTROLLED RIGHT NOW I DONT EVEN NEED MEDICATIONS
audio/RES0107.mp3[589.080,589.960]	OK OK
audio/RES0107.mp3[589.960,595.920]	I REMEMBER I USED TO I USED TO GET ALLERGIES AS WELL AS A CHILD
audio/RES0107.mp3[595.920,597.080]	OH I SEE
audio/RES0107.mp3[597.080,602.240]	BUT VERY SIMILAR LOTS OF SNEEZING AND YEAH
audio/RES0107.mp3[602.240,610.120]	MHMM ALRIGHT WERE YOU EVER DID YOU EVER TAKE LIKE AN ALLERGY TEST
audio/RES0107.mp3[610.120,617.560]	NO I DIDNT THINK ABOUT IT I JUST NEVER LIKE MY MY MY PARENTS DIDNT TAKE ME TO GET THAT TESTING DONE
audio/RES0107.mp3[617.560,622.600]	OK HOW ABOUT YOUR SON HAS HE BEEN ALLERGY TESTED
audio/RES0107.mp3[622.600,625.760]	NO BUT I FEEL LIKE HE PROBABLY SHOULD
audio/RES0107.mp3[625.760,632.320]	YEAH OK AND THEN DOES ANYONE AT HOME SMOKE
audio/RES0107.mp3[636.640,643.440]	NO OK UM DO YOU HAVE ANY LIKE OLD CARPETS DUST MOLD OR ASBESTOS AT YOUR PLACE
audio/RES0107.mp3[643.440,660.400]	UH WEVE GOT ALL OF WE GOT OUR CARPETS UH REMOVED UH TWO YEARS AGO THATS ACTUALLY HELPED UH WITH HIS SYMPTOMS UH AND I KNOW WE TRIED IT WE REMOVED THE CURTAINS AS WELL AND WEVE USED BLINDS SO YEAH
audio/RES0107.mp3[662.080,670.120]	AND I DONT THINK SO I DONT THINK THERES ANY SPORES OR THINGS LIKE THAT
audio/RES0107.mp3[670.120,685.280]	OK GOOD UM IS HE AN OTHERWISE HEALTHY CHILD LIKE DEVELOPMENTAL WISE LIKE HES GROWING GAINING WEIGHT OK LIKE HES HIS MOTOR SKILLS AND LIKE SOCIAL BEHAVIOURS ARE ALL UP TO PAR WITH HIS PEERS
audio/RES0107.mp3[685.280,688.360]	OH YEAH HES DOING GREAT
audio/RES0107.mp3[688.360,695.360]	OK OK GOOD UM THOSE ARE ALL THE QUESTIONS I HAD FOR YOU TODAY DID YOU HAVE ANY QUESTIONS OF YOUR OWN
audio/RES0107.mp3[695.840,772.080]	NO OK SO FOR HIM UM IT SOUNDS MORE IN KEEPING WITH SOMETHING CALLED ALLERGIC RHINITIS THAN AN INFECTION BUT BECAUSE HIS SYMPTOMS DO OVERLAP WITH THAT OF COVID  WELL PROBABLY GET HIM A SWAB ANYWAYS AND THOSE RESULTS SHOULD COME BACK IN 24 TO 48 HOURS IN THE MEANTIME RHINITIS IS ALLERGIC RHINITIS IS CAUSED BY ALLERGIES TO CERTAIN THINGS SO WE CAN GET HIM ALLERGY TESTED UM AND THAT WILL GIVE US A BETTER UNDERSTANDING OF LIKE WHAT HIS TRIGGERS ARE AND THE WAY TO TREAT THAT IS TO AVOID THOSE TRIGGERS THOSE ALLERGENS AND IF HIS SYMPTOMS ARE PERSISTENT UM WE WILL PRESCRIBE HIM ALSO LIKE AN INTRANASAL CORTICOSTEROID UM AND THERE ARE LIKE THERE ARE LIKE SECOND LINE TREATMENTS AS WELL LIKE ANTIHISTAMINES AND LEUKOTRIENE LIKE LEUKOTRIENE RECEPTOR ANTAGONISTS BUT THOSE ARE LIKE SECOND LINE WELL WELL SEE HOW HE DOES WITH THE INHALED CORTICOSTEROIDS AT FIRST HOW DOES THAT SOUND
audio/RES0107.mp3[772.080,773.320]	SOUNDS GREAT
audio/RES0107.mp3[773.320,774.880]	OK GREAT
audio/RES0107.mp3[774.880,776.880]	THANK YOU
audio/RES0107.mp3[776.880,779.120]	NO PROBLEM
audio/MSK0020.mp3[0.000,1.480]	WHAT BRINGS YOU IN
audio/MSK0020.mp3[1.480,38.640]	IVE JUST COME IN TODAY BECAUSE IVE BEEN HAVING SOME ISSUES WITH MY HIPS AS WELL AS MY KNEES JUST OVER THE LAST PROBABLY A MONTH OR TWO IVE BEEN JUST GETTING THIS STIFFNESS AND PAIN ESPECIALLY UH THROUGHOUT THE DAY AS THE DAY GOES ALONG AND I ALSO EXPERIENCE SOME STIFFNESS WHEN I WAKE UP IN THE MORNING UH IN MY HIPS AND KNEES SO I JUST WANTED TO COME AND CHECK OUT WHAT THAT MIGHT BE
audio/MSK0020.mp3[38.640,43.640]	OK AND YOU SAID IT STARTED IN THE PAST MONTH
audio/MSK0020.mp3[43.640,48.360]	YEAH MAYBE UP TO TWO MONTHS ACTUALLY YEAH I WOULD SAY TWO MONTHS
audio/MSK0020.mp3[48.360,53.960]	OK AND IS THE PAIN AND STIFFNESS ALWAYS THERE OR DOES IT COME AND GO
audio/MSK0020.mp3[53.960,76.080]	ITS IT COMES AND GOES ITS WORSE IN THE SO ITS STIFF MORE STIFF IN THE MORNING FIRST BUT LIKE AS THE DAY GOES ON PROBABLY NEAR THE AFTERNOON IT GETS WORSE SO IVE HAD TO STOP SOME OF MY ACTIVITIES LIKE GARDENING AND BEING OUTDOORS AND THINGS LIKE THAT
audio/MSK0020.mp3[76.080,86.560]	OK AND YOU SAID ITS IT GETS WORSE WITH ACTIVITY IS THERE ANYTHING ELSE THAT MAKES IT BETTER OR WORSE
audio/MSK0020.mp3[86.560,99.960]	UHM IT PROBABLY YEAH IF IM JUST EXERTING MYSELF TOO MUCH UH IN TERMS OF BETTER I I THINK IVE TAKEN SOME ADVIL THAT DOES HELP WITH THE PAIN
audio/MSK0020.mp3[99.960,114.080]	OK OK AND THEN IF YOU WERE TO DESCRIBE THE QUALITY OF THIS PAIN WOULD YOU SAY ITS ACHY THROBBING DULL OR SHARP
audio/MSK0020.mp3[114.080,122.760]	ITS KIND OF LIKE THIS UH ACHY PAIN KIND OF DEEP WITHIN THE JOINTS THEMSELVES
audio/MSK0020.mp3[123.600,131.000]	YEAH IT JUST GETS WORSE I AS I WALK MORE AND DO MORE ACTIVITIES
audio/MSK0020.mp3[131.000,139.360]	OK AND DOES THE PAIN RADIATE ALSO OR DOES IT OR IS IT PRETTY LOCALIZED TO YOUR HIPS AND KNEES
audio/MSK0020.mp3[139.360,141.800]	ITS MAINLY IN THOSE AREAS
audio/MSK0020.mp3[141.800,147.640]	OK AND SEVERITY WISE ONE TO 10 10 BEING THE WORST PAIN YOUVE EVER FELT HOW BAD IS THIS PAIN
audio/MSK0020.mp3[147.640,151.960]	PROBABLY LIKE A 7
audio/MSK0020.mp3[151.960,158.440]	SEVEN OK AND HAVE YOU EVER EXPERIENCED THIS TYPE OF PAIN BEFORE
audio/MSK0020.mp3[158.440,160.520]	UH NO NOT REALLY
audio/MSK0020.mp3[160.520,167.920]	AND DO YOU THINK YOUR PAIN IS GETTING WORSE
audio/MSK0020.mp3[167.920,177.840]	UHM I THINK SO LIKE OVER THE LAST TWO MONTHS I FEEL LIKE MY PAIN THERES MORE STIFFNESS THERES MORE PAIN THROUGHOUT THE DAY
audio/MSK0020.mp3[177.840,187.440]	OK OK AND YEAH SO DO YOU ARE YOU EXPERIENCING ANY SORT OF NUMBNESS OR TINGLING IN THE AREAS
audio/MSK0020.mp3[187.440,189.480]	NO NOT REALLY
audio/MSK0020.mp3[189.480,192.960]	NO OK ANY MUSCLE WEAKNESS
audio/MSK0020.mp3[194.280,214.840]	NO ARE YOU STILL ABLE TO WALK AND DO THE THINGS THAT YOU USED TO ENJOY DOING I KNOW YOU SAID GARDENING WAS HARD FOR YOU HOW ABOUT LIKE OTHER ACTIVITIES OF LIKE DAILY LIVING LIKE UHM COOKING USING THE WASHROOM THINGS LIKE THAT
audio/MSK0020.mp3[214.840,217.920]	YEAH THOSE THINGS I DONT REALLY HAVE TOO MUCH TROUBLE WITH
audio/MSK0020.mp3[217.920,225.520]	OK OK THATS GOOD AT LEAST AND ANY DIZZINESS OR FAINTING SPELLS
audio/MSK0020.mp3[227.440,234.920]	NO OK HOW ABOUT MEMORY LOSS OR CONFUSION
audio/MSK0020.mp3[234.920,236.520]	NO NOTHING LIKE THAT
audio/MSK0020.mp3[236.520,238.320]	ANY HEADACHES
audio/MSK0020.mp3[239.520,247.040]	NO OK HOW ABOUT JOINT PAINS OR MUSCLE ACHES ELSEWHERE
audio/MSK0020.mp3[247.040,255.880]	UHM NO I HAVENT REALLY FELT ANY OTHER PAIN IN ANY OTHER JOINT SO FAR
audio/MSK0020.mp3[255.880,261.440]	OK AND ANY WEIGHT LOSS RECENTLY
audio/MSK0020.mp3[265.440,270.800]	NO OK HOW ABOUT AND FEVERS OR CHILLS
audio/MSK0020.mp3[270.800,273.320]	UH NO FEVERS OR CHILLS
audio/MSK0020.mp3[273.320,278.640]	NO FEVERS OR CHILLS OK HOW ABOUT RASHES
audio/MSK0020.mp3[281.040,285.000]	AND CHANGES IN YOUR VISION HEARING SMELL OR TASTE
audio/MSK0020.mp3[286.440,292.240]	UHM HOW ABOUT COUGHING WHEEZING OR SHORTNESS OF BREATH
audio/MSK0020.mp3[292.480,299.960]	UHM CHEST PAIN HEART PALPITATIONS OR FAINTING
audio/MSK0020.mp3[300.360,303.480]	CHANGES IN YOUR BOWEL MOVEMENTS
audio/MSK0020.mp3[304.440,308.000]	UH CHANGES IN YOUR URINATING
audio/MSK0020.mp3[308.000,310.440]	UH NO
audio/MSK0020.mp3[310.440,319.160]	OK AND THEN ARE YOU OTHERWISE HEALTHY OR DO YOU HAVE ANY PAST MEDICAL CONDITIONS
audio/MSK0020.mp3[319.160,342.560]	UHM SO I DO HAVE A PRIOR HISTORY OF HYPERTENSION AS WELL AS HIGH CHOLESTEROL DIABETES TYPE 2 DIABETES AND ALSO A BIT MORE ON THE OVERWEIGHT SIDE
audio/MSK0020.mp3[342.560,348.600]	OK UHM ARE YOU TAKING ANY MEDICATIONS FOR ALL OF THIS
audio/MSK0020.mp3[348.600,366.600]	YEAH SO BLOOD PRESSURE IM TAKING THIS MEDICATION CALLED TELMISARTAN AND THEN FOR BLOOD PRESSURE IM TAKING UH METFORMIN SORRY NOT BLOOD PRESSURE FOR DIABETES IM TAKING METFORMIN
audio/MSK0020.mp3[367.480,378.800]	AND THEN FOR THE CHOLESTEROL IM TAKING AND THIS MEDICATION CALLED ATORVASTATIN
audio/MSK0020.mp3[378.800,383.360]	OK ALRIGHT AND DO YOU HAVE ANY ALLERGIES
audio/MSK0020.mp3[383.360,385.240]	NO ALLERGIES
audio/MSK0020.mp3[385.240,392.600]	NO ALLERGIES AND HOW ABOUT IMMUNIZATIONS ARE YOU UP TO DATE WITH THEM
audio/MSK0020.mp3[392.600,394.200]	YEAH AS FAR AS I KNOW
audio/MSK0020.mp3[394.200,403.080]	OK THATS GOOD HOW ABOUT FAMILY HISTORY OF MUSCULOSKELETAL ISSUES
audio/MSK0020.mp3[403.080,407.320]	NOT THAT I KNOW OF NO
audio/MSK0020.mp3[407.320,418.880]	NO OK THEN HOW ABOUT UHM LUNG OR HEART CONDITIONS
audio/MSK0020.mp3[418.880,432.760]	NO I I THINK MY FATHER MAYBE HE HAD SOME HEART ISSUES HE DID HAVE A HEART ATTACK IN HIS LETS SEE LIKE IN THE 70S
audio/MSK0020.mp3[432.760,447.360]	IN HIS 70S OK OK AND THEN ALRIGHT AND HOW ABOUT AUTOIMMUNE CONDITIONS
audio/MSK0020.mp3[447.360,456.440]	UHM I DONT THINK SO UH I CANT I CANT RECALL ANY AUTOIMMUNE CONDITION
audio/MSK0020.mp3[456.440,460.640]	OK AN AND DO YOU SMOKE
audio/MSK0020.mp3[460.640,472.080]	YEAH I USED TO SMOKE A PROBABLY UP UNTIL WHEN I WAS LIKE 65 OR SOMETHING SO PROBABLY FOR 40 YEARS OF MY LIFE
audio/MSK0020.mp3[472.080,474.080]	OK HOW MUCH DID YOU USED TO SMOKE
audio/MSK0020.mp3[474.080,478.680]	PROBABLY A PACK A DAY PACK A DAY
audio/MSK0020.mp3[478.680,495.600]	OK UHM WELL CONGRATS FOR QUITTING IM SURE THAT WASNT HARD I MEAN SORRY IM SURE THAT WAS HARD UHM YEAH SO THATS GOOD AND HAVE YOU DO YOU CONSUME MARIJUANA
audio/MSK0020.mp3[495.880,501.200]	GO TO OTHER RECREATIONAL DRUGS
audio/MSK0020.mp3[501.200,503.680]	NO NO OTHER RECREATIONAL DRUGS
audio/MSK0020.mp3[503.680,509.880]	OK THATS GOOD DO YOU DRINK ALCOHOL
audio/MSK0020.mp3[509.880,521.280]	UH NOPE NOT ANYMORE I USED TO PROBABLY DRINK SOME WINE HERE AND THERE BUT IVE STOPPED DRINKING ALCOHOL TOO
audio/MSK0020.mp3[521.280,526.120]	OK AND WHO DO YOU LIVE WITH RIGHT NOW AND WHERE DO YOU LIVE
audio/MSK0020.mp3[526.120,535.520]	RIGHT NOW I LIVE WITH MY WIFE AND WE LIVE IN A SMALL CONDOMINIUM
audio/MSK0020.mp3[535.520,547.120]	OK UHM ALRIGHT AND THEN ANY RECENT SICK CONTACTS
audio/MSK0020.mp3[548.280,553.320]	NO OK HOW ABOUT UHM UH TRAVEL ANYWHERE
audio/MSK0020.mp3[554.600,564.200]	NO OK THATS GOOD AND NOW IM JUST GOING TO GET YOU TO DO THE PHYSICAL EXAM PART OF THIS INTERVIEW WITH ME IS THAT OK
audio/MSK0020.mp3[564.960,579.080]	OK SO WELL TAKE A LOOK AT IF YOU CAN IF YOU HAVE A MIRROR WELL TAKE A LOOK AT BOTH HIPS FIRST DO YOU NOTICE ANY REDNESS OR SWELLING ON THOSE HIPS
audio/MSK0020.mp3[579.080,581.920]	NO NOT REALLY
audio/MSK0020.mp3[581.920,589.000]	NO OK HOW ABOUT ANY ATROPHY DEFORMITIES OR SKIN CHANGES
audio/MSK0020.mp3[590.200,596.640]	NO OK AND THEN HOW ABOUT ON YOUR KNEES DO YOU SEE ANY REDNESS OR SWELLING THERE
audio/MSK0020.mp3[596.640,598.320]	NOT REALLY NO
audio/MSK0020.mp3[598.320,602.480]	NO ANY ATROPHY DEFORMITY OR SKIN CHANGES THERE
audio/MSK0020.mp3[602.480,604.440]	UH NO
audio/MSK0020.mp3[604.440,610.880]	NO OK IM GONNA GET YOU TO PALPATE YOUR HIPBONES DOES THAT HURT
audio/MSK0020.mp3[610.880,616.240]	NO NOT REALLY
audio/MSK0020.mp3[616.240,619.000]	OK HOW ABOUT WHEN YOU DO THAT TO YOUR KNEES
audio/MSK0020.mp3[619.000,631.640]	UH THE KNEE I CAN FEEL A LITTLE BIT OF I WOULD SAY ITS MORE OF A DISCOMFORT THEN TENDERNESS
audio/MSK0020.mp3[631.640,651.960]	OK SO SOME DISCOMFORT ON THE PATELLA PALPATION UHM ALRIGHT AND THEN WHEN YOU PALPATE THOSE AREAS DO YOU FEEL LIKE THERE IS A GRADING SENSATION HOW DOES IT FEEL WARM
audio/MSK0020.mp3[653.760,670.840]	NO OK AND THEN IM GONNA GET YOU TO CAN YOU FLEX YOUR HIPS ALL THE WAY SO BEND SO FROM A SITTING POSITION STAND UP FIRST DOES IT HURT WHEN YOU EXTEND YOUR HIPS LIKE THAT
audio/MSK0020.mp3[670.840,682.800]	NOT RIGHT NOW I THINK IM PRETTY SURE MY HIPS ARE PRETTY WELL RESTED RIGHT NOW BUT THERE IS STILL A LITTLE BIT OF STIFFNESS
audio/MSK0020.mp3[682.800,694.640]	OK OK SO SOME STIFFNESS ON HIP EXTENSION HOW ABOUT WHEN YOU BEND YOUR HIPS ALL THE WAY
audio/MSK0020.mp3[694.640,707.440]	YEAH THATS A I CANT REALLY GO DOWN THAT FAR BUT YEAH EVEN BENDING AS MUCH AS I CAN THERE IS SOME DISCOMFORT THERE
audio/MSK0020.mp3[707.440,716.040]	OK SO SOME DISCOMFORT AND SOME PAIN ON HIP FLEXION AS WELL AS LIMITED RANGE OF MOTION
audio/MSK0020.mp3[717.880,731.800]	OK ALRIGHT AND WHEN YOU DO BOTH OF THOSE DO YOU HEAR ANY LIKE WHATS CALLED A CREPITUS OR LIKE A GRATING SENSATION WHERE YOU FEEL LIKE BONE MAYBE HITTING BONE
audio/MSK0020.mp3[731.800,735.360]	NO NOT REALLY
audio/MSK0020.mp3[735.360,754.480]	NO OK ALRIGHT AND IM GOING TO GET YOU TO UH EXTEND YOUR KNEE SO STRAIGHTEN IT OUT YEAH DOES THAT HURT
audio/MSK0020.mp3[754.480,761.560]	UHM YEAH A LITTLE STIFFNESS IN MY KNEES I FEEL LIKE I FEEL MORE OF THE GRATING SOUND IN MY KNEES
audio/MSK0020.mp3[761.560,771.200]	OK OK AND THEN HOW ABOUT WHEN YOU BEND YOUR KNEES ALL THE WAY BACKWARDS YOU CAN DO ONE AT A TIME
audio/MSK0020.mp3[771.200,779.320]	UH YEAH I YEAH I DEFINITELY FEEL SOME DISCOMFORT THERE AS WELL
audio/MSK0020.mp3[779.320,786.240]	YEAH OK ALRIGHT AND HOW ABOUT WHEN YOU POINT YOUR TOES TO THE CEILING
audio/MSK0020.mp3[786.240,790.560]	NO THATS FINE I CAN DO THAT
audio/MSK0020.mp3[790.560,794.960]	AND THEN HOW ABOUT WHEN YOU POINT YOUR TOES TO THE GROUND
audio/MSK0020.mp3[794.960,796.360]	YEAH NO ISSUES
audio/MSK0020.mp3[796.360,813.280]	OK SO NO PAIN OR LIMITED RANGE OF MOTION WITH PLANTAR FLEXION OR DORSIFLEXION OK SO THOSE WERE ALL THE TEST THAT I WANT TO DO WITH YOU TODAY DID YOU HAVE ANY QUESTIONS OR CONCERNS
audio/MSK0020.mp3[813.280,815.240]	UH NO NOT REALLY
audio/MSK0020.mp3[815.240,920.200]	NO OK UHM SO IT SOUNDS LIKE WHAT YOU MAY HAVE IS SOMETHING CALLED ARTHRITIS WHICH BASICALLY HAPPENS UHM WHEN THE CUSHIONS AT THE ENDS OF YOUR BONES AND YOUR JOINTS KIND OF DEGENERATE OVER THE YEARS AND SO BONE CAN EVENTUALLY RUB ON BONE WHICH CAUSES LIKE THE GRADING SENSATION AND CAUSES THE PAIN UHM AND ITS IT HAPPENS IN OLD AGE IT HAPPENS WITH WEAR AND TEAR SO TO DIAGNOSE IT WE WELL YEAH WE DID THE PHYSICAL EXAM WE CAN ALSO GET AN XRAY OF YOUR HIPS AND KNEES WHICH CAN HAVE SOME FINDINGS THAT ALIGN WITH OSTEOARTHRITIS AND BASICALLY FOR NOW WELL TRY TO MANAGE IT CONSERVATIVELY SO YOU CAN TAKE AND SETS LIKE IBUPROFEN FOR THE PAIN OR ACETAMINOPHEN FOR THE PAIN WELL ALSO REFER YOU TO PHYSIOTHERAPY TO STRENGTHEN THOSE MUSCLES AROUND YOUR JOINT AND TO INCREASE FLEXIBILITY AND REDUCE THAT PAIN UHM AND ANOTHER THING THAT MAY BE WORTH CONSIDERING IS OCCUPATIONAL THERAPY BECAUSE THEY CAN HELP YOU FIND WAYS TO DO EVERYDAY TASKS WITHOUT PUTTING TOO MUCH STRESS ON AN ALREADY PAINFUL JOINT AND IF THESE THINGS DONT WORK IN THE FUTURE WE CAN ALSO DISCUSS THINGS LIKE STEROID INJECTIONS OR JOINT REPLACEMENT DOES THAT SOUND LIKE A GOOD PLAN
audio/MSK0020.mp3[920.200,923.120]	YEAH THAT SOUNDS GREAT THANK YOU SO MUCH
audio/MSK0020.mp3[923.120,928.440]	OK YEAH NO WORRIES
audio/RES0162.mp3[0.000,2.400]	WHAT BRINGS YOU IN TODAY
audio/RES0162.mp3[2.400,23.320]	HI I AM JUST COMING IN BECAUSE FOR THE LAST COUPLE OF MONTHS BUT IVE BEEN HAVING THIS THESE COUGHING FITS ARE THERE LIKE WHEN IM GOING TO THE GYM OR EVEN AT HOME LIKE DURING THE WEEKENDS WHEN WERE VACUUMING AND CLEANING THE HOUSE
audio/RES0162.mp3[23.320,25.240]	WHEN DID THIS START
audio/RES0162.mp3[25.240,55.680]	UM I WOULD SAY STARTED UH PROBABLY 3 MONTHS BACK BUT ITS GOTTEN WORSE SO LIKE BEFORE I USED TO LIKE JUST HAVE SOME IRRITATION IN MY THROAT AND COUGH A LITTLE BUT NOW I WOULD SAY PROBABLY EVERY OTHER DAY IM HAVING THESE EPISODES WHERE I CANT STOP COUGHING WHEN IM EXERCISING
audio/RES0162.mp3[55.680,61.880]	HMM UM AND IS THIS COUGH A DRY COUGH OR DO YOU BRING UP SOME MUCUS
audio/RES0162.mp3[61.880,70.600]	ITS USUALLY ITS USUALLY A DRY COUGH AND SOMETIMES I DO BRING UP LIKE THIS LIGHT MATERIAL BUT USUALLY ITS MOSTLY A DRY COUGH
audio/RES0162.mp3[70.600,73.040]	YOU NEVER NOTICE ANY BLOOD RIGHT
audio/RES0162.mp3[73.040,81.360]	NO NO BLOOD
audio/RES0162.mp3[81.360,107.840]	OK AND UHM IT STARTED ABOUT THREE MONTHS AGO I GUESS BEFORE THAT DID YOU EVER HAVE A PROBLEM WHEN YOU WOULD EXERCISE OR WHEN YOU WERE VACUUMING OR CLEANING HAS THIS BEEN A PROBLEM THAT HAS OCCURRED FOR YEARS AND THATS JUST SOMETHING THAT YOU THAT GOT WORSE AND NOW ITS COME TO YOUR ATTENTION OR WAS IT JUST VERY NEW AND SUDDEN THREE MONTHS AGO
audio/RES0162.mp3[107.840,142.480]	UM ITS FAIRLY NEW IVE NEVER REALLY HAD THIS ISSUE BEFORE ALTHOUGH I HAVE BEEN LIKE SO LIKE AFTER THE NEW YEAR IN THE WINTER I I I WASNT MUCH OF THE PERSON WHO RAN OR EXERCISED A LOT BUT I I KIND OF NEEDED A NEW GOAL TO BECOME MORE FIT AND ACTIVE SO I NOTICE THAT I DONT KNOW MAYBE THATS WHY LIKE IT IS SOMETHING NEW THAT IVE BEEN TRYING BUT YEAH ITS NOT BEEN AN ISSUE BEFORE
audio/RES0162.mp3[142.480,157.240]	OK AND OTHER THAN THE THE COUGH HAVE YOU NOTICED ANY OTHER SYMPTOMS LIKE A SORE THROAT OR ITCHY EYES ITCHY NOSE STUFFY NOSE OR RUNNY NOSE ANYTHING LIKE THAT
audio/RES0162.mp3[157.240,171.840]	NO NONE OF THOSE BUT I DID IT INITIALLY I USED TO GET JUST AN IRRITATION IN MY THROAT BUT NOW ITS JUST MORE OF A COUGH
audio/RES0162.mp3[171.840,177.760]	OK DO YOU HAVE DO YOU GET ANY PAIN IN YOUR CHEST AT ALL
audio/RES0162.mp3[177.760,188.440]	UH WHEN IM USUALLY IT GOES AWAY IN 1015 MINUTES BUT WHEN IM COUGHING A LOT I DO GET SOME TIGHTNESS
audio/RES0162.mp3[188.440,195.600]	OK DO YOU EVER FEEL LIKE YOURE SHORT OF BREATH WHEN YOURE COUGHING OR OTHERWISE
audio/RES0162.mp3[195.600,216.480]	I DO FIND THAT ITS HARDER TO TAKE A BREATH AT THOSE TIMES
audio/RES0162.mp3[216.480,220.240]	OK UHM AND HOW LONG DO THESE LAST FOR EPISODES LAST FOR
audio/RES0162.mp3[220.240,240.240]	PROBABLY UH 15 TO 20 MINUTES AND YEAH ITS ITS MAINLY JUST AFTER I LIKE OFTEN TIMES OVER THE LAST FEW WEEKS IVE HAD TO JUST STOP DOING WHAT IM DOING LIKE EXERCISING AND JUST COME HOME AND REST
audio/RES0162.mp3[240.240,245.560]	DO YOU FEEL LIKE YOUR HEARTS BEATING REALLY FAST WHEN THAT HAPPENS OR YOURE SWEATING
audio/RES0162.mp3[245.560,270.960]	YEAH YEAH I I FEEL LIKE ITS USUALLY I DONT KNOW IF ITS BECAUSE OF THE EXERCISE BUT I HAVE LIKE A FITBIT AND ITS MY MY HEART RATE IS MUCH FASTER
audio/RES0162.mp3[270.960,282.280]	UHM OK ALRIGHT HAVE YOU HAD ANY OTHER SYMPTOMS SO ANYTHING ANY PAIN IN YOUR BELLY OR ANY NAUSEA OR VOMITING
audio/RES0162.mp3[282.280,283.760]	NO NOTHING LIKE THAT
audio/RES0162.mp3[283.760,288.120]	ANY CHANGES IN YOUR BOWEL MOVEMENTS OR ANY URINARY SYMPTOMS
audio/RES0162.mp3[289.240,292.840]	ANY HEADACHES OR FEVERS OR CHILLS
audio/RES0162.mp3[292.840,294.600]	NO NOTHING LIKE THAT
audio/RES0162.mp3[294.600,297.280]	UNINTENTIONAL WEIGHT LOSS
audio/RES0162.mp3[299.040,301.400]	ANY NIGHT SWEATS
audio/RES0162.mp3[302.200,306.640]	MUSCLE ACHES JOINT PAIN
audio/RES0162.mp3[306.920,311.440]	HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0162.mp3[311.440,319.200]	NO IVE IVE BEEN VERY HEALTHY
audio/RES0162.mp3[319.200,337.720]	UHM YOU MENTIONED THAT YOU STARTED GOING TO THE GYM MORE OFTEN EARLIER THIS YEAR AND THAT IS WHEN YOU SORT OF NOTICE SOME OF THESE SYMPTOMS IS THERE ANYTHING ELSE THAT CHANGED IN YOUR LIFE ANY BIG CHANGES THAT YOU THINK COULD BE RELATED TO THIS
audio/RES0162.mp3[337.720,347.760]	UM NO NOT REALLY IVE IVE BEEN REALLY UMM I MOVED BACK TO MY PARENTS HOME JUST FOR A BIT RIGHT NOW
audio/RES0162.mp3[348.640,359.560]	NOW WHILE THE UNIVERSITY HAS CLOSED DOWN AND BY THAT IVE LIVED THERE ALL MY LIFE BEFORE SO I DONT KNOW IF THAT HAD ANYTHING TO DO WITH IT
audio/RES0162.mp3[359.560,373.760]	DO YOU FEEL LIKE THEY MAY HAVE PUT NEW CURTAINS OR OR LIKE THERES OLD CARPETS OR NEW A NEW PET OR SOMETHING THAT COULD HAVE CAUSED SOME IRRITATION FOR YOU
audio/RES0162.mp3[373.760,386.600]	NO BUT I HAVE NOTICED THAT WHEN I WHEN WE VACUUM I I DO GET SOME OF THOSE SYMPTOMS AS WELL JUST MORE OF AN IRRITATION MORES THAN THE COUGH
audio/RES0162.mp3[386.600,398.120]	OK OK AND DO YOU FEEL THAT YOURE PARTICULARLY ANXIOUS WHEN THESE EPISODES ARE OCCURRING DO YOU HAVE ANY NEW STRESSORS IN LIFE
audio/RES0162.mp3[398.120,403.160]	UH NO NOT REALLY
audio/RES0162.mp3[403.160,407.720]	ANY MEDICAL CONDITIONS THAT RUN IN THE FAMILY
audio/RES0162.mp3[407.720,412.800]	UHM I DONT THINK SO NOT THAT I KNOW OF
audio/RES0162.mp3[412.800,438.200]	OK AND I GUESS A LITTLE BIT MORE ABOUT YOU SO HAVE YOU HAD IN THE PAST WHEN YOU WERE YOUNGER DID YOU HAVE A RASH LIKE ECZEMA OR DID YOU HAVE ALLERGIC RHINITIS WHERE YOU WOULD SNEEZE AND TO FEEL ILL WHEN YOU WERE OUTSIDE OR AT CERTAIN TIMES OF THE YEAR ANYTHING LIKE THAT
audio/RES0162.mp3[438.200,449.720]	I DIDNT HAVE A I DIDNT HAVE ANY LIKE EXAM OR RASHES BUT I DO GENERALLY HAVE UMM GET ALLERGIES DURING THE SPRING TIME WHEN I GO OUTSIDE
audio/RES0162.mp3[449.720,455.880]	DO YOU TAKE ANY MEDICATIONS FOR THAT
audio/RES0162.mp3[455.880,461.480]	I JUST TAKE REACTINE USUALLY DURING THE SPRING
audio/RES0162.mp3[461.480,466.200]	DO YOU HAVE ANY OTHER ALLERGIES TO FOOD OR MEDICATIONS
audio/RES0162.mp3[466.200,469.440]	NO NOT THAT I KNOW
audio/RES0162.mp3[469.440,475.880]	AND OTHER THAN REACTINE DO YOU TAKE ANY MEDICATIONS INCLUDING OVER THE COUNTER MEDS
audio/RES0162.mp3[482.640,492.600]	NOTHING ELSE OK AND IN YOUR FAMILY YOU SAID NO ONE HAS ASTHMA OR ALLERGIC RHINITIS OR ECZEMA OR ANYTHING LIKE THAT RIGHT
audio/RES0162.mp3[492.600,504.440]	NOT ASTHMA MY DAD ALSO GETS THOSE ALLERGIES AND IRRITATIONS JUST LIKE ME
audio/RES0162.mp3[504.440,516.560]	UHM OK AND YOU MENTIONED THAT YOURE STAYING WITH YOUR AT YOUR PARENTS PLACE ARE YOU UH ARE YOU DOING THINGS FROM HOME ARE YOU LIKE DOING SCHOOL FROM HOME OR WORKING FROM HOME
audio/RES0162.mp3[516.560,520.920]	YEAH IM NOT CURRENTLY WORKING JUST STUDYING FROM HOME
audio/RES0162.mp3[520.920,525.280]	OK AND HAVE YOU HAD CONTACT WITH ANYONE WHO MIGHT HAVE BEEN SICK
audio/RES0162.mp3[525.600,529.360]	TRAVELED ANYWHERE OUTSIDE THE PROVINCE RECENTLY
audio/RES0162.mp3[530.440,534.920]	OK AND DO YOU SMOKE OR HAVE YOU EVER SMOKED
audio/RES0162.mp3[534.920,537.240]	NO NEVER SMOKED
audio/RES0162.mp3[540.000,542.520]	ANY RECREATIONAL DRUGS
audio/RES0162.mp3[543.560,548.200]	UH DO YOU DRINK ALCOHOL OR HAVE YOU EVER HAD ALCOHOL IN THE PAST
audio/RES0162.mp3[548.200,558.400]	YEAH ALCOHOL IVE HAD LIKE AT UNIVERSITY BUT GENERALLY MAYBE JUST ON THE WEEKENDS NOT ANYTHING REGULAR
audio/RES0162.mp3[558.400,578.240]	ALRIGHT OK WELL UH THOSE ARE ALL THE QUESTIONS I HAD FOR YOU WE WILL DO A PHYSICAL EXAM NOW AND ILL GO TALK TO MY ATTENDING AND WELL UH COME TALK TO YOU RIGHT AFTER I GUESS BEFORE BEFORE I DO SO WHAT EXACTLY ARE YOU HOPING TO GET OUT OF TODAYS VISIT
audio/RES0162.mp3[578.240,602.520]	I JUST WANTED TO LIKE I REALLY DO YOU WANT TO BECOME FIT AND ITS JUST THESE SYMPTOMS ARE STOPPING ME AND KIND OF AFFECTING MY DAILY ROUTINE SO I JUST WANTED TO KNOW WHAT I CAN DO TO STOP LIKE HAVING THESE SYMPTOMS
audio/RES0162.mp3[602.520,606.400]	HAVE YOU EVER TRIED ANY PUFFERS
audio/RES0162.mp3[606.400,607.760]	NO I HAVENT
audio/RES0162.mp3[607.760,611.400]	NO OK RIGHT YEAH LETS TALK A LITTLE BIT
audio/RES0215.mp3[0.000,2.680]	HOW CAN I HELP YOU TODAY
audio/RES0215.mp3[2.680,28.240]	UM YEAH HI I BROUGHT I BROUGHT MY 8 YEAR OLD DAUGHTER HERE UM BECAUSE IVE NOTICED THAT SHES BEEN QUITE WHEEZY UM FOR THE PAST FOUR FIVE DAYS AND NOW SHE HAS A SLIGHT COUGH UM SOUNDS LIKE SHES A LITTLE SHORT OF BREATH SO I JUST WANTED TO GET THINGS CHECKED OUT
audio/RES0215.mp3[28.240,39.960]	OK SO FOR THE WHEN IT FIRST PRESENTED ABOUT FOUR TO FIVE DAYS AGO WHAT DID YOU NOTICE NOTICE FIRST
audio/RES0215.mp3[39.960,46.360]	UM I NOTICED THAT SHE WAS WHEEZY UM AND ITS IT SEEMED LIKE SHE WAS HAVING SOME DIFFICULTY TAKING IN DEEP BREATHS
audio/RES0215.mp3[46.360,51.960]	OK NOW WAS THIS WITH ANY TYPE OF ACTIVITY OR JUST AT REST
audio/RES0215.mp3[51.960,60.600]	YEAH SHE WAS PLAYING TAG WITH ONE OF HER COUSINS AND SHE SHE WAS QUITE OUT OF BREATH AFTER
audio/RES0215.mp3[60.600,63.320]	OK HAS SHE EVER HAD ANYTHING LIKE THIS BEFORE
audio/RES0215.mp3[64.560,71.960]	NOTHING LIKE THAT OK AND HAS IT BEEN FAIRLY STEADY SINCE THEN OR HAS IT BEEN FLUCTUATING
audio/RES0215.mp3[71.960,73.800]	ITS BEEN FLUCTUATING
audio/RES0215.mp3[73.800,82.800]	OK BUT IT HASNT REALLY GONE AWAY IN THE SENSE THAT YOURE STILL CONCERNED COMING NOW FOUR DAYS LATER
audio/RES0215.mp3[82.800,112.560]	YEAH ITS JUST IT WOULD SHE WOULD HAVE THESE THESE UH EPISODES BUT IT WOULD RESOLVE ON ITS OWN AND THEN SHE WOULD YOU KNOW GO BACK TO DOING SOME SORT OF ACTIVITY AND THEN SHE WOULD HAVE ALL THESE SYMPTOMS ALL OVER AGAIN BUT WHEN SHE RESTS UM THEN IT GOES AWAY SO I WASNT REALLY SURE TOO SURE WHAT TO THINK OF IT BUT NOW I THINK ITS IMPORTANT TO GET IT CHECKED OUT SO HERE WE ARE
audio/RES0215.mp3[112.560,115.040]	HAS SHE HAD ANY FEVERS AT HOME
audio/RES0215.mp3[116.400,118.600]	HAS SHE HAD A RUNNY NOSE AT ALL AT HOME
audio/RES0215.mp3[120.240,124.680]	HAS SHE SEEMED WELL OTHERWISE DOES SHE LOOK SICK
audio/RES0215.mp3[124.680,128.680]	YEAH SHE LOOKS FINE OTHERWISE
audio/RES0215.mp3[128.680,134.440]	OK AND HAS SHE HAD ANY SICK CONTACTS RECENTLY ANYONE AROUND HER OR HER FRIENDS BEEN SICK
audio/RES0215.mp3[134.440,138.160]	NO NOT THAT IVE NOTICED
audio/RES0215.mp3[138.160,142.040]	OK ANY RECENT TRAVEL ANYWHERE
audio/RES0215.mp3[142.040,145.880]	UHM NO NO WE DIDNT GO ANYWHERE BECAUSE OF COVID
audio/RES0215.mp3[145.880,151.840]	OK BUT SHES STILL BEEN GOING TO SCHOOL I SUPPOSE PLAYING WITH HER FRIENDS
audio/RES0215.mp3[158.480,163.720]	OK HAVE YOU NOTICED ANY RASHES ANY SKIN CHANGES ANYWHERE ON HER BODY
audio/RES0215.mp3[163.720,167.520]	UH NOT THAT IVE NOTICED NO
audio/RES0215.mp3[167.520,172.000]	OK NOTHING LIKE THAT HAS SHE COMPLAINED OF ANY PAIN ANYWHERE
audio/RES0215.mp3[175.960,181.760]	OK AND HAS SHE HAD ANY RECENT INFECTIONS
audio/RES0215.mp3[181.760,199.480]	UH SHE HAD ACTUALLY SHE HAD A COUPLE OF INFECTIONS OVER THE PAST TWO YEARS UH THEY WOULD COME AND GO UH AND WE TOOK HER TO THE DOCTOR EACH TIME AND IT JUST ENDED UP BEING SOME SORT OF VIRAL INFECTION
audio/RES0215.mp3[199.480,209.200]	OK SO NOTHING REALLY NEEDING ANTIBIOTICS IN THE LAST COUPLE OF YEARS
audio/RES0215.mp3[209.400,218.960]	AND IN TERMS OF HOW SHES BEEN DOING HAS SHE BEEN KEEPING UP WITH HER PEERS IN TERMS OF EDUCATION AND HOW SHE MOVES HOW SHE ACTS
audio/RES0215.mp3[218.960,223.000]	UH YEAH SHES BEEN YEAH SHES BEEN ON PAR WITH HER PEERS
audio/RES0215.mp3[223.000,226.920]	OK SO DOES SHE HAVE A FAMILY PHYSICIAN
audio/RES0215.mp3[226.920,228.480]	UM YES
audio/RES0215.mp3[228.480,232.800]	OK SO THEY HAVENT BROUGHT UP ANY CONCERNS ABOUT HOW SHES GROWING HOW SHES DEVELOPING
audio/RES0215.mp3[233.880,237.520]	SO HER WEIGHT HER HEIGHT THEYVE BEEN GOOD FOR HER AGE
audio/RES0215.mp3[237.520,238.120]	YEAH YEAH
audio/RES0215.mp3[238.120,244.480]	EXCELLENT AND HAS SHE GOTTEN HAS SHE BEEN KEEPING UP TO DATE FOR IMMUNIZATIONS
audio/RES0215.mp3[244.480,249.080]	YES SHES FULLY UP TO DATE
audio/RES0215.mp3[249.080,261.520]	EXCELLENT IN REGARDS TO HOW SHES DOING OTHERWISE HEALTH IN TERMS OF HER HEALTH HAS DID SHE SEE A FAMILY PHYSICIAN FOR ANY OTHER MEDICAL ISSUES THAT SHE MIGHT BE HAVING
audio/RES0215.mp3[261.520,265.200]	UH NO SHES OTHERWISE PRETTY HEALTHY
audio/RES0215.mp3[265.200,270.720]	OK HOW WAS THE BIRTH WAS THERE ANY COMPLICATIONS WHEN SHE WAS BORN
audio/RES0215.mp3[270.720,275.200]	NO SHE WAS A VAGINAL DELIVERY FULL TERM NO COMPLICATIONS
audio/RES0215.mp3[275.200,286.560]	OK SO NOTHING WHEN YOU WERE PREGNANT WITH HER NO TOXIC CONGESTIONS BY THAT I MEAN UM DID YOU DRINK ANY ALCOHOL SMOKE AT ALL WHEN YOU WERE PREGNANT WITH HER
audio/RES0215.mp3[287.800,295.200]	NO OK AND YOU JUST HAD ANTENATAL CARE SO YOU SAW DOCTOR FOR ULTRASOUNDS AND JUST FOR CHECKUPS
audio/RES0215.mp3[295.200,297.440]	YEP EVERYTHING WAS FINE
audio/RES0215.mp3[297.440,302.880]	OK AND WHEN SHE WAS BORN SHE DIDNT HAVE TO STAY IN THE HOSPITAL AT ALL
audio/RES0215.mp3[302.880,304.200]	NO NO
audio/RES0215.mp3[304.200,308.960]	AND WAS SHE BORN UH WHAT WEIGHT WAS SHE WHEN SHE WAS BORN
audio/RES0215.mp3[308.960,316.480]	UH SHE WAS HOW MUCH WAS SHE I THINK SHE WAS ABOUT 8 KILOS
audio/RES0215.mp3[316.480,319.480]	8 KILOS
audio/RES0215.mp3[319.480,323.840]	SORRY 8 POUNDS 8 POUNDS
audio/RES0215.mp3[323.840,339.440]	YEAH NO WORRIES AND THEN OTHERWISE SHE IS SO SHES BEEN HEALTHY OTHERWISE BEEN DOING WELL UH JUST IN TERMS OF HOW SHES BEEN DOING UH WITH OTHER SYSTEMS OF HER BODY HAVE YOU NOTICED ANY CONCERNS FOR HER BOWEL MOVEMENTS
audio/RES0215.mp3[339.440,342.000]	UH NO SHES BEEN PRETTY REGULAR
audio/RES0215.mp3[342.000,346.120]	OK ANY CONCERNS FOR PEEING
audio/RES0215.mp3[346.120,353.120]	UH NO SHES BEEN GOING PRETTY FREQUENTLY AND SHES YEAH NO CHANGES THERE
audio/RES0215.mp3[353.120,358.920]	AND WE ALREADY TALKED SHE HASNT HAD ANY FEVERS WHEN SHE COUGHS DOES SHE EVER BRING ANYTHING UP
audio/RES0215.mp3[358.920,363.640]	UH NO I HAVENT NOTICED ANY PHLEGM NO
audio/RES0215.mp3[363.640,372.480]	OK AND WHEN SHES HAVING THESE WHEEZY EPISODES DO YOU EVER NOTICE THAT SHE LOOKS LIKE SHES REALLY STRAINING TO BREATHE REALLY STRUGGLING
audio/RES0215.mp3[372.480,383.200]	UH YEAH SO SHE ITS NOT LIKE SHE TURNS BLUE OR ANYTHING LIKE THAT UM SHE JUST SLIGHTLY SLIGHTLY HAS A HARD TIME CATCHING HER BREATH
audio/RES0215.mp3[383.200,386.120]	OK SO THESE USUALLY RECOVER ON THEIR OWN
audio/RES0215.mp3[386.240,388.480]	YOU DONT GIVE HER ANYTHING FOR IT
audio/RES0215.mp3[390.400,395.280]	OK UH DOES SHE HAVE ANY ALLERGIES
audio/RES0215.mp3[395.280,401.600]	UM NO WELL SHE HAS SOME SEASONAL ALLERGIES BUT NOTHING THAT SHES BEEN TESTED FOR
audio/RES0215.mp3[401.600,404.720]	OK DO YOU GIVE HER ANYTHING FOR SEASONAL ALLERGIES
audio/RES0215.mp3[404.720,413.480]	SOMETIMES SHE TAKES LIKE REACTINE OR LIKE OVER THE COUNTER STUFF BUT UM NO NO PRESCRIBED MEDICATIONS
audio/RES0215.mp3[413.480,417.680]	OK SO SHE DOESNT HAVE ANY ALLERGIES WHERE HER FACE SWELLS UP OR SHE HAS TROUBLE BREATHING
audio/RES0215.mp3[418.360,434.680]	OK AND THIS THESE EPISODES MAINLY HAPPEN WHEN SHES PLAYING WITH FRIENDS SO DO THEY HAPPEN IN A CERTAIN ENVIRONMENT LIKE FOR EXAMPLE IS THIS IN A FRIENDS HOUSE OR IS THIS OUTDOORS OR HAS IT BEEN ACROSS DIFFERENT SETTINGS
audio/RES0215.mp3[434.680,440.640]	ITS BEEN ACROSS DIFFERENT SETTINGS BUT I WILL SAY ITS WORSE WHEN UM WHEN WHEN THERES COLDER WEATHER
audio/RES0215.mp3[443.400,451.160]	AND DO THESE EPISODES EVER HAPPEN IN YOUR HOME
audio/RES0215.mp3[453.160,456.400]	AND WHATS THE CONTEXT FROM THEM HAPPENING IN YOUR HOME
audio/RES0215.mp3[456.400,469.240]	UM USUALLY WHEN SHE IS OUT AND ABOUT RUNNING AROUND IN THE BACKYARD WITH HER FRIENDS UM IS WHEN IVE MOSTLY NOTICED IT YEAH
audio/RES0215.mp3[469.240,472.600]	OK SO SHE DOESNT HAVE ANY SYMPTOMS AT REST
audio/RES0215.mp3[472.600,473.640]	OH NO
audio/RES0215.mp3[473.640,478.880]	AND SHE DOESNT HAVE ANY SYMPTOMS AT NIGHT
audio/RES0215.mp3[478.880,488.840]	UH AT NIGHT SO THERE WAS ONE ONE ONE NIGHT WHEN SHE HAD SOME ISSUES UM WITH LIKE WHEEZINESS BUT IT DID RESOLVE ON ITS OWN
audio/RES0215.mp3[488.840,494.440]	OK AND DID SHE WAKE UP AT NIGHT WITH THAT OR JUST
audio/RES0215.mp3[494.440,497.280]	JUST TROUBLE FALLING ASLEEP I THINK YEAH
audio/RES0215.mp3[497.280,510.480]	OK ALRIGHT SO WE ALREADY TALKED ABOUT SO SHE DOESNT REALLY HAVE ANY PAST MEDICAL ISSUES THAT SHES SEEN A DOCTOR FOR UH ANY SURGERIES
audio/RES0215.mp3[510.480,513.520]	NO SURGERIES
audio/RES0215.mp3[513.520,515.280]	OK IS SHE TAKING MEDICATIONS RIGHT NOW
audio/RES0215.mp3[515.280,519.200]	UM NO NO MEDICATIONS
audio/RES0215.mp3[519.200,522.440]	ASIDE FROM THE OCCASIONAL REACTINE
audio/RES0215.mp3[522.440,526.680]	UH YEAH ASIDE FROM THAT NOTHING NO REGULAR MEDICATIONS
audio/RES0215.mp3[526.680,528.360]	AND SHES IN SCHOOL
audio/RES0215.mp3[528.360,534.520]	UM YEAH SHES UH SHES IN GRADE 3 NOW
audio/RES0215.mp3[534.520,536.240]	OK AND DOES SHE LIVE WITH YOU
audio/RES0215.mp3[536.240,541.560]	UH YEAH SHE LIVES WITH ME AND MY HUSBAND
audio/RES0215.mp3[541.560,544.360]	OK DO YOU TWO LIVE IN A HOUSE IN TOWN
audio/RES0215.mp3[544.360,547.400]	UM YEP IN A TOWNHOUSE
audio/RES0215.mp3[547.400,550.600]	OK AND WHAT DO YOU TWO DO FOR WORK
audio/RES0215.mp3[550.600,558.360]	UM SO MY HUSBAND IS AN ULTRASOUND TECHNICIAN AND I AM A UH KINDERGARTEN TEACHER
audio/RES0215.mp3[558.360,566.600]	OK EXCELLENT AND THIS IS A QUESTION WE JUST ASK EVERYONE HAS THERE EVER BEEN ANY CC CAS INVOLVEMENT IN THE FAMILY
audio/RES0215.mp3[568.320,571.240]	AND DOES ANYONE SMOKE IN THE HOUSEHOLD
audio/RES0215.mp3[571.240,575.520]	UH NO NO
audio/RES0215.mp3[575.520,582.000]	OK UH DO YOU KEEP ANY CARPETS OR PETS IN THE HOUSEHOLD
audio/RES0215.mp3[582.000,589.160]	WE HAVE CARPETS BUT THEYRE NEW CARPETS WE JUST GOT THEM UH MAYBE SIX MONTHS AGO AND NOTHING ELSE
audio/RES0215.mp3[589.160,590.760]	SO NO PETS NO DOGS
audio/RES0215.mp3[591.520,595.880]	OK ANY WOOD BURNING FIREPLACES STOVES IN THE HOUSEHOLD
audio/RES0215.mp3[597.640,599.880]	AND CHANGED YOUR AIR FILTERS
audio/RES0215.mp3[600.280,616.520]	ALRIGHT EXCELLENT SO I THINK I HAVE ALL THE INFORMATION I NEED WERE JUST GOING TO DO A PHYSICAL EXAM AND THEN IM GOING TO GO TALK TO THE PHYSICIAN AND ILL COME IN AND SEE YOUR DAUGHTER AND WELL TALK ABOUT NEXT STEPS FROM THERE DO YOU HAVE ANY QUESTIONS THAT YOUD LIKE ME TO DIRECT TO HIM BEFORE THAT HAPPENS
audio/RES0215.mp3[616.520,619.040]	NO THANK YOU SO MUCH
audio/RES0215.mp3[619.040,621.080]	ALRIGHT HAVE A GOOD ONE
audio/RES0215.mp3[621.080,625.360]	YOU TOO BYE BYE
audio/MSK0034.mp3[0.000,2.680]	WHAT BRINGS YOU HERE TODAY
audio/MSK0034.mp3[2.680,38.480]	YEAH IM SO IM HERE WITH MY MOM BECAUSE I AM HAVING THIS PAIN IN MY RIGHT HIP AND GROIN AREA UM I WAS PLAYING WITH MY FRIENDS TOO MAYBE YEAH YESTERDAY AND I FELL DOWN I DIDNT FALL DOWN HARD BUT I HAD A SMALL FALL AND SINCE THEN MY HIP HAS BEEN HURTING AND ITS PAINFUL FOR ME TO BEAR ANY WEIGHT ON MY RIGHT LEG
audio/MSK0034.mp3[38.480,44.280]	OK AND DID YOU HAVE THIS PAIN AT ALL BEFORE YOUR FALL OR IS THIS SOMETHING THAT JUST STARTED AFTER THE FALL
audio/MSK0034.mp3[44.280,46.800]	IT JUST STARTED AFTER
audio/MSK0034.mp3[46.800,49.640]	OK AND WHEN DID YOU HAVE THE FALL
audio/MSK0034.mp3[51.040,62.840]	OK AND CAN YOU DESCRIBE WHAT YOU WERE DOING AND FROM HOW HIGH DID YOU FALL AND IF LIKE ON WHAT SURFACE YOU FELL ON
audio/MSK0034.mp3[62.840,78.000]	SURE UM WE WERE PLAYING SOCCER ON LIKE A FIELD AND I AND I JUST FELL ON THE GRASS LIKE IT WAS A FLAT SURFACE
audio/MSK0034.mp3[78.000,82.120]	OK AND SO DID YOU SAY IT WAS THE RIGHT HIP THATS GIVING YOU PAIN
audio/MSK0034.mp3[82.120,83.400]	YES THATS RIGHT
audio/MSK0034.mp3[83.400,85.440]	OK DID YOU FALL ON THE RIGHT HIP
audio/MSK0034.mp3[85.440,86.640]	I DID
audio/MSK0034.mp3[86.640,95.800]	OK AN AFTER YOU FELL WERE YOU ABLE TO UM WEIGHT BEAR LIKE GET UP GET BACK UP ON YOUR FEET OR WAS IT DIFFICULT
audio/MSK0034.mp3[95.800,99.720]	IT WAS DIFFICULT AN IM STILL LIMPING
audio/MSK0034.mp3[99.720,108.400]	OK AND YOURE STILL LIMPING ON HAVE YOU NOTICED SO ANY PAIN ANYWHERE ELSE OR IS IT JUST YOUR HIP
audio/MSK0034.mp3[108.400,109.920]	UM JUST MY HIP
audio/MSK0034.mp3[109.920,113.240]	OK AND WHERE EXACTLY IS YOUR PAIN ON THE HIP
audio/MSK0034.mp3[113.240,119.640]	ITS LIKE ON THE SIDE OF MY HIP AS WELL AS LIKE IN THE GROIN AREA
audio/MSK0034.mp3[119.640,127.240]	OK I SEE AND WHAT KIND OF PAIN ARE YOU EXPERIENCING IS IT A SHARP PAIN OR IS IT A DULL ACHING PAIN
audio/MSK0034.mp3[127.240,130.160]	ITS PRETTY SHARP
audio/MSK0034.mp3[130.160,145.560]	ITS SHARP OK AND DO YOU EXPERIENCE ANY OTHER SYMPTOMS LIKE ANY DIZZINESS OR FAINTING SPELLS
audio/MSK0034.mp3[146.920,156.400]	AND ARE YOU ABLE TO MOVE YOUR HIP AT ALL LIKE ARE YOU ABLE TO FLEX IT OR EXTEND IT ROTATE IT
audio/MSK0034.mp3[156.400,161.320]	I CAN MOVE IT BUT IT COMES WITH A LOT OF PAIN
audio/MSK0034.mp3[161.320,169.160]	OK AND DO YOU FIND THAT YOUR HIP IS AT ALL ROTATED OUTWARDS
audio/MSK0034.mp3[169.160,177.480]	YEAH IT LOOKS UM YEAH IT LOOKS LIKE IT IS
audio/MSK0034.mp3[177.480,182.480]	OK ALRIGHT HAVE YOU TAKEN ANY MEDICATIONS FOR YOUR PAIN
audio/MSK0034.mp3[182.480,188.640]	I JUST TOOK SOME IBUPROFEN
audio/MSK0034.mp3[188.640,195.280]	OK AND OTHER THAN THAT HAVE YOU RECENTLY BEEN SICK AT ALL
audio/MSK0034.mp3[195.280,198.800]	NO I HAVENT
audio/MSK0034.mp3[198.800,206.080]	OK AND ON A SCALE OF ZERO TO 10 10 BEING THE WORST PAIN YOUVE FOUND IN YOUR LIFE HOW MUCH WOULD YOU RATE THIS
audio/MSK0034.mp3[206.080,210.000]	HOW WOULD SAY LIKE AN 8
audio/MSK0034.mp3[210.000,216.680]	AN EIGHT AND AS THE PAIN TRAVEL ANYWHERE TO OTHER PARTS OF YOUR BODY
audio/MSK0034.mp3[216.680,220.000]	NO JUST STAYS IN THAT AREA
audio/MSK0034.mp3[220.000,225.120]	OK ANY NUMBNESS OR TINGLING
audio/MSK0034.mp3[227.480,232.040]	NO OK ANY FEVERS OR CHILLS
audio/MSK0034.mp3[232.040,233.520]	UM NOO
audio/MSK0034.mp3[233.520,236.720]	ANY SKIN CHANGES
audio/MSK0034.mp3[238.000,241.360]	SO NO SWELLING REDNESS OR ANYTHING LIKE THAT
audio/MSK0034.mp3[241.360,247.560]	UHM NO IT DOESNT SEEM TO BE RED MAYBE SOME SLIGHT SWELLING
audio/MSK0034.mp3[248.320,250.720]	UHM YEAH
audio/MSK0034.mp3[250.720,254.560]	OK ANY SHORTNESS OF BREATH CHEST PAIN
audio/MSK0034.mp3[255.960,261.120]	OK ANY PAIN IN ANY OTHER JOINTS
audio/MSK0034.mp3[262.840,268.640]	OK DO YOU FEEL ANY WEAKNESS IN YOUR UPPER LEGS OR LOWER LEGS AT ALL
audio/MSK0034.mp3[268.640,273.760]	NO NOT THAT I CAN TELL NO
audio/MSK0034.mp3[273.760,278.760]	OK AND DO YOU HAVE ANY PAST MEDICAL CONDITIONS THAT YOUVE BEEN DIAGNOSED WITH
audio/MSK0034.mp3[278.760,283.520]	NO IVE BEEN PRETTY HEALTHY OTHERWISE
audio/MSK0034.mp3[283.520,288.440]	OK AND YOU TAKE ANY MEDICATIONS ON A DAILY BASIS
audio/MSK0034.mp3[288.440,291.360]	UH NO
audio/MSK0034.mp3[291.360,293.800]	OK ANY ALLERGIES THAT YOU KNOW OF
audio/MSK0034.mp3[294.720,299.240]	OK ARE ALL YOUR IMMUNIZATIONS UP TO DATE
audio/MSK0034.mp3[299.240,301.680]	YEP THEY SHOULD BE
audio/MSK0034.mp3[301.680,306.400]	OK AND HAVE YOU EVER BEEN HOSPITALIZED OR HAD ANY SURGERIES IN THE PAST
audio/MSK0034.mp3[308.440,326.440]	NO OK AND YEAH ILL JUST ASK YOU AS WELL AS YOUR MOTHER DURING THE TIME SHE WAS PREGNANT WITH YOU DID YOU HAVE ANY KIND OF COMPLICATIONS DURING PREGNANCY AT ALL
audio/MSK0034.mp3[326.440,329.320]	UM NO NO COMPLICATIONS
audio/MSK0034.mp3[329.320,339.960]	OK AND WHEN WHEN YOU WERE BORN ANY COMPLICATIONS AFTER BIRTH ANY STAY IN THE HOSPITAL FOR ANY REASON
audio/MSK0034.mp3[341.800,346.280]	AND WAS IT A VAGINAL DELIVERY OR A CSECTION
audio/MSK0034.mp3[346.280,349.040]	IT WAS A VAGINAL DELIVERY
audio/MSK0034.mp3[349.040,357.760]	OK AND WAS THERE THE USE OF ANY KIND OF INSTRUMENTS LIKE FORCEPS OR VACUUM FOR ANY REASON
audio/MSK0034.mp3[358.640,367.560]	NO OK SO IT WAS LIKE A FAIRLY NORMAL PREGNANCY AND WERE YOU AT TERM OR PREMATURE
audio/MSK0034.mp3[367.560,370.200]	AT TERM
audio/MSK0034.mp3[370.200,385.040]	ALRIGHT AND ANY COMPLICATIONS DIFFICULTIES WHILE YOU WERE GROWING UP AT ALL WITH YOUR GROWTH LIKE HEIGHT OR WEIGHT OR ANY KIND OF DEVELOPMENTAL ISSUES THAT YOU KNOW
audio/MSK0034.mp3[385.040,396.280]	NO UM I HIT ALL MY MILESTONES AND OTHERWISE DOING PRETTY WELL ON PAR WITH MY PEERS IN TERMS OF MILESTONES
audio/MSK0034.mp3[396.280,398.360]	OK AND SCHOOLS GOING WELL
audio/MSK0034.mp3[398.360,399.640]	YEAH SCHOOLS GOING WELL
audio/MSK0034.mp3[399.640,413.560]	OK AND IN TERMS OF YOUR FAMILY HISTORY ANY MUSCULOSKELETAL OR RHEUMATOLOGIC CONDITIONS
audio/MSK0034.mp3[413.560,416.680]	UHM NO NOTHING LIKE THAT IN MY FAMILY
audio/MSK0034.mp3[416.680,422.640]	OK AND CURRENTLY RIGHT NOW WHO DO YOU LIVE WITH
audio/MSK0034.mp3[422.640,429.480]	I LIVE WITH BOTH MY PARENTS AS WELL AS MY 7 YEAR OLD SISTER
audio/MSK0034.mp3[429.480,436.680]	OK ALRIGHT AND YEAH IF I CAN JUST UH IS IT OK IF I JUST TALK TO YOU ALONE FOR A LITTLE BIT
audio/MSK0034.mp3[436.680,437.680]	SURE YEAH
audio/MSK0034.mp3[437.680,459.720]	ALRIGHT YEAH SO ANYTHING THAT WE TALKED ABOUT HERE TODAY WILL STAY CONFIDENTIAL AS LONG AS THERE IS NO HARM TO YOURSELF OR OTHERS OR RISK OF HARM TO YOURSELF OR OTHERS SO YEAH IM JUST GOING TO ASK YOU A FEW QUESTIONS PERTAINING TO YOUR HEALTH
audio/MSK0034.mp3[459.720,461.640]	SURE THAT SOUNDS GOOD
audio/MSK0034.mp3[461.640,470.480]	YEAH SO AT HOME DO YOU FIND THAT YOURE IN A SAFE ENVIRONMENT EVEN OUTSIDE OF YOUR HOME IN YOUR NEIGHBORHOOD DO YOU FEEL SAFE
audio/MSK0034.mp3[470.480,472.960]	I DO
audio/MSK0034.mp3[472.960,479.120]	OK AND HOW ABOUT AT SCHOOL DO YOU FEEL SAFE HAVE YOU EXPERIENCED ANY KIND OF BULLYING OR ANYTHING LIKE THAT
audio/MSK0034.mp3[481.160,493.080]	OK HAVE YOU TRIED ANY ALCOHOL RECREA RECREATIONAL DRUGS OR CIGARETTES OR DO YOU KNOW ANY FRIENDS THAT HAVE TRIED
audio/MSK0034.mp3[493.080,496.840]	I KNOW I KNOW OLDER KIDS THAT HAVE TRIED IN THE SCHOOL BUT WE HAVENT
audio/MSK0034.mp3[496.840,503.520]	OK AND ARE YOU SEXUALLY ACTIVE
audio/MSK0034.mp3[504.400,524.480]	NO OK ALRIGHT YEAH SO THOSE ARE JUST A FEW QUESTIONS I HAD ILL CALL YOUR MOM BACK IN OK SO YEAH WERE JUST GONNA TRY AND DO A COUPLE OF EXAMINATIONS SO ARE YOU ABLE TO STAND UP BY YOURSELF
audio/MSK0034.mp3[524.480,533.720]	UM I CAN BUT I NEED A LOT OF ASSISTANCE LIKE I HAVE TO HOLD ON TO THE DESK OR HAVE A CRUTCH OR SOMETHING LIKE THAT
audio/MSK0034.mp3[533.720,546.200]	OK UH NO WORRIES AND THEN WHILE LAYING DOWN ARE YOU ABLE TO LIFT YOUR RIGHT LEG WITH YOUR KNEES STRAIGHT
audio/MSK0034.mp3[546.200,559.160]	I DONT KNOW ABOUT STRAIGHTENING MY KNEES MY LEG SEEMS TO HAVE PERMANENTLY TURNED OUTWARD AND LOOK SHORTER THAN MY OTHER LEG
audio/MSK0034.mp3[559.160,575.440]	OK AND YEAH I FORGOT TO ASK YOU THIS EARLIER I DONT I DONT THINK WE WEIGHED YOU WHEN YOU WERE COMING IN BUT APPROXIMATELY HOW MUCH WOULD YOU SAY YOU WEIGH
audio/MSK0034.mp3[575.440,585.080]	I WEIGH ABOUT UM 130 POUNDS
audio/MSK0034.mp3[585.080,590.440]	OK AND DO YOU KNOW HOW TALL YOU ARE
audio/MSK0034.mp3[590.440,595.320]	UHM IM ABOUT 48
audio/MSK0034.mp3[595.320,626.280]	OK OK ALRIGHT SO YEAH THOSE WERE JUST SOME OF THE QUESTIONS I HAD TODAY WELL DO A FULL PHYSICAL EXAMINATION AND HAVE YOU COME IN ALRIGHT SORRY AND LIKE WELL WILL CONTINUE WITH THE FULL EXAMINATION TODAY AND WHAT CURRENTLY IT SEEMS LIKE IT CAN DEFINITELY BE FROM THE FALL YOU MAY HAVE INJURED YOURSELF AND WE JUST WANT TO MAKE SURE THERES NO FRACTURES LIKE A HIP FRACTURE
audio/MSK0034.mp3[627.640,701.120]	ONE THING THATS ALSO SOMETHING THAT WE HAVE TO INVESTIGATE IS SOMETHING CALLED SLIPPED CAPITAL FEMORAL EPIPHYSIS SO THIS IS THIS IS A COMMON HIP ISSUE IN ADOLESCENTS ESPECIALLY FROM BOYS AGED 10 TO 16 AND USUALLY ITS THE LEFT HIP THATS AFFECTED BUT IT IT CAN BE THE RIGHT AND AS ADOLESCENTS ARE IN A PHASE WHERE THEY WERE GROWING THERE IS IF THEY HAVE SOME PREDISPOSED DISPOSITION TOO SLIPPING OF THE CAPITAL FEMORAL IF EPIPHYSIS WHICH IS RIGHT BETWEEN YOUR HIPS YOU CAN GET SOME SLIPPING IT CAN BE AFTER A FALL OR IT CAN HAPPEN JUST AS THE CHILD IS GROWING AND IT CAN ALSO IT IS ALSO ASSOCIATED WITH THE INCREASING WEIGHT THAT A CHILD MAY HAVE SO WHAT WE CAN DO IS JUST GET FIRST AN XRAY OF BOTH THE HIPS
audio/MSK0034.mp3[702.440,725.480]	AND SEE LIKE WHAT WE CAN FIND ON THE XRAY AND THEN WILL ALSO DO A FULL EXAMINATION AND IT IF IT DOES TURN OUT THAT THERE IS A FRACTURE OR THERES A SLIPPED CAPITAL FEMORAL EPIPHYSIS WE WILL NEED TO SEND OUT A REFERRAL TO PEDIATRIC ORTHOPEDIC SURGERY
audio/MSK0034.mp3[726.040,736.440]	YEAH SO YEAH FIRST WELL JUST GET THE IMAGE NG DONE AND SEE WHATS GOING ON IN THERE AND THEN WELL GET BACK TO YOU SHORTLY
audio/MSK0034.mp3[736.440,738.960]	OK THAT SOUNDS GREAT THANK YOU SO MUCH
audio/MSK0034.mp3[738.960,740.240]	WELCOME TAKE CARE
audio/RES0151.mp3[0.000,2.400]	HOW MAY I HELP YOU
audio/RES0151.mp3[2.400,17.400]	HI YES IM JUST COMING IN UH OVER THE LAST WEEK IVE BEEN HAVING UM LIKE A COUGH RUNNY NOSE AND A LOT OF CONGESTION AS WELL SO I JUST WANTED TO COME IN HERE TO MAKE SURE NOTHINGS WRONG
audio/RES0151.mp3[17.400,25.200]	I SEE ALRIGHT AND WHEN DID THE UH COUGH START WAS IT 7 DAYS AGO
audio/RES0151.mp3[25.200,31.320]	A BIT LESS THAN THAT I WOULD SAY ITS BEEN PROBABLY LIKE FIVE OR SIX DAYS
audio/RES0151.mp3[31.320,38.160]	OK UM AND HAS THE COUGH BEEN GETTING ANY BETTER OR ANY WORSE OR STAYING THE SAME
audio/RES0151.mp3[38.160,43.720]	UM ITS KIND OF THE SAME
audio/RES0151.mp3[43.720,48.480]	OK AND ARE YOU BRINGING UP ANY UH SPUTUM WITH THE COUGH
audio/RES0151.mp3[48.480,58.680]	NO ITS MAINLY LIKE A DRY COUGH BUT I AM GETTING LIKE A LOT OF DRAINAGE AND UH JUST CONGESTION IN MY NOSE
audio/RES0151.mp3[58.680,71.160]	OK SO YOURE YOU ARE ARE YOU FEELING UM LIKE MUCUS DRAIN FROM YOUR NOSE LIKE INTO THE BACK OF YOUR UH MOUTH
audio/RES0151.mp3[71.160,75.720]	UH YEAH SOMETIMES I FEEL LIKE THAT OVER THE LAST WEEK
audio/RES0151.mp3[75.720,83.160]	OK AND YOU YOU HAVENT CAUGHT UP ANY ANY SPUTUM BUT HAVE YOU BROUGHT UP ANY ANY BLOOD
audio/RES0151.mp3[83.160,85.280]	UH NO NO BLOOD
audio/RES0151.mp3[85.280,88.800]	OK HAVE YOU HAD ANY WHEEZING
audio/RES0151.mp3[88.800,92.720]	NO NO WHEEZING
audio/RES0151.mp3[92.720,97.160]	OK AND HOW ABOUT UM ANY CHEST PAIN
audio/RES0151.mp3[97.160,100.960]	UM NO CHEST PAIN
audio/RES0151.mp3[100.960,107.480]	OK AND YOUVE HAD A AND DID YOU HAVE YOU HAD A COUGH BEFORE OR IS THIS A NEW COUGH
audio/RES0151.mp3[107.480,113.680]	UM NO THIS IS LIKE FAIRLY NEW
audio/RES0151.mp3[113.680,122.920]	OK AND UM COULD YOU IS YOUR NOSE UH LIKE COULD YOU DESCRIBE THE DISCHARGE FROM YOUR NOSE
audio/RES0151.mp3[122.920,129.480]	YEAH ITS MORE LIKE KIND OF A CLEAR TO MAYBE WHITISH DISCHARGE
audio/RES0151.mp3[129.480,137.120]	AND THESE SYMPTOMS START ABOUT A WEEK AGO AS WELL OR ABOUT FIVE DAYS AGO
audio/RES0151.mp3[137.120,146.040]	UM YEAH AROUND THE SAME TIME
audio/RES0151.mp3[146.040,154.520]	I SEE OK AND HAVE YOU HAD ANY UH LIKE FACIAL PAIN LIKE OVER YOUR OVER YOUR CHEEKS OR OR FOREHEAD
audio/RES0151.mp3[154.520,158.000]	UH NO NOTHING LIKE THAT
audio/RES0151.mp3[158.000,167.360]	OK AND HAVE YOU FELT LIKE YOUR NOSE UM IS OBSTRUCTED LIKE YOURE NOT ABLE TO BREATHE IN THROUGH EITHER ONE OF YOUR NOSTRILS
audio/RES0151.mp3[167.360,172.880]	YEAH THAT HAPPENS AND SOMETIMES THE NOSTRILS KEEP SWITCHING
audio/RES0151.mp3[172.880,178.960]	OK AND HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF SMELL
audio/RES0151.mp3[178.960,185.560]	UM JUST WHEN IM CONGESTED LIKE I FEEL LIKE I CANT REALLY SMELL
audio/RES0151.mp3[185.560,193.960]	I SEE ALRIGHT HAVE YOU HAD A LOSS OR A CHANGE IN YOUR SENSE OF TASTE
audio/RES0151.mp3[195.880,202.280]	OK UM AND HAVE YOU HAD ANY SHORTNESS OF BREATH WITH THE COUGH
audio/RES0151.mp3[202.280,204.640]	UH NO
audio/RES0151.mp3[204.640,210.120]	OK UM AND HAVE YOU HAD ANY EYE REDNESS OR UM EYE DISCHARGE
audio/RES0151.mp3[210.120,215.080]	NO I DONT THINK SO
audio/RES0151.mp3[215.080,221.160]	ALRIGHT AND HOW ABOUT A SORE THROAT
audio/RES0151.mp3[221.160,227.280]	UHM MAYBE A LITTLE BIT OF A TICKLE IN MY THROAT BUT NOT SORE
audio/RES0151.mp3[227.280,234.000]	I SEE OK SO HAVE YOU HAD ANY PAIN WITH SWALLOWING FOOD OR LIQUIDS
audio/RES0151.mp3[235.280,239.960]	OK AND UM HAVE YOU HAD ANY HEADACHES
audio/RES0151.mp3[241.200,243.680]	ANY FEVERS OR CHILLS
audio/RES0151.mp3[243.680,245.560]	NO NOTHING LIKE THAT
audio/RES0151.mp3[245.560,247.800]	ANY UH NIGHT SWEATS
audio/RES0151.mp3[249.280,253.880]	AND HOW WAS YOUR WEIGHT BEEN RECENTLY ANY CHANGES
audio/RES0151.mp3[253.880,257.000]	NO NO CHANGES
audio/RES0151.mp3[257.000,266.200]	OK UM AND HAVE YOU HAD ANY NAUSEA OR VOMITING
audio/RES0151.mp3[266.200,269.000]	UHM NO NOTHING LIKE THAT
audio/RES0151.mp3[269.000,273.240]	HAVE YOU HAD ANY DIARRHEA
audio/RES0151.mp3[273.240,276.040]	UH NO NO DIARRHEA
audio/RES0151.mp3[276.040,282.960]	OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAINFUL URINATION OR OR FREQUENCY
audio/RES0151.mp3[284.640,289.880]	OK AND THEN ANY SKIN CHANGES OR OR RASHES
audio/RES0151.mp3[289.880,292.520]	UH NOPE NOTHING LIKE THAT
audio/RES0151.mp3[292.520,300.400]	ALRIGHT ANY MUSCLE ACHES OR BODY PAINS
audio/RES0151.mp3[300.400,302.720]	UHM NO NOTHING LIKE THAT
audio/RES0151.mp3[302.720,310.600]	ALRIGHT AND HOW HAS YOUR ENERGY BEEN OVER THIS PAST WEEK HAVE YOU HAD FATIGUE
audio/RES0151.mp3[310.600,324.040]	UH NO IVE BEEN I HAVENT BEEN TIRED OR LIKE ITS JUST BEEN LIKE THESE SYMPTOMS THAT DONT SEEM TO GO AWAY
audio/RES0151.mp3[324.040,331.120]	I SEE OK UM AND UH HAVE YOU HAD ANY CHANGES TO YOUR UM TO YOUR VOICE
audio/RES0151.mp3[332.040,336.280]	OR ANY ANY NECK SWELLING
audio/RES0151.mp3[337.400,356.440]	ALRIGHT UM SO IT SOUNDS LIKE OVER THE PAST UH WEEK YOUVE BEEN HAVING THIS DRY COUGH UH AS WELL AS SOME NASAL DISCHARGE AND SOME CONGESTION WITH UM A LITTLE BIT OF A SCRATCHY THROAT UM ANY OTHER SYMPTOMS
audio/RES0151.mp3[356.440,360.440]	UH NO THATS PRETTY MUCH IT
audio/RES0151.mp3[360.440,366.560]	I SEE ALRIGHT AND IN THE PAST HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS
audio/RES0151.mp3[366.560,371.880]	UH NO IVE BEEN PRETTY HEALTHY
audio/RES0151.mp3[371.880,379.960]	OK THATS GOOD AND UH ANY UH PRIOR HOSPITALIZATIONS OR SURGERIES
audio/RES0151.mp3[379.960,382.200]	UHM NO NOTHING LIKE THAT
audio/RES0151.mp3[382.200,387.520]	ALRIGHT AND DO YOU TAKE ANY MEDICATIONS REGULARLY PRESCRIBED OR OVER THE COUNTER
audio/RES0151.mp3[387.520,398.000]	UM IVE JUST BEEN TAKING LIKE TYLENOL COLD BUT ITS NOT REALLY BEEN HELPING TOO MUCH
audio/RES0151.mp3[398.000,402.720]	OK UM DO YOU HAVE ANY ALLERGIES
audio/RES0151.mp3[402.720,405.160]	UH NO
audio/RES0151.mp3[405.160,420.760]	OK UHM AND UH CURRENTLY ARE YOU COULD YOU JUST TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION UM LIKE WHO YOURE LIVING WITH AND UH AND WHEREABOUTS
audio/RES0151.mp3[420.760,434.920]	UM YEAH SO I JUST LIVE IN AN APARTMENT WITH MY BOYFRIEND AND UH LIVE LIKE JUST WITHIN THE CITY
audio/RES0151.mp3[434.920,439.480]	OK AND ARE YOU GOING TO SCHOOL RIGHT NOW OR ARE YOU WORKING
audio/RES0151.mp3[439.480,448.760]	YEAH IM WORKING UH CURRENTLY UM JUST AT A GROCERY STORE
audio/RES0151.mp3[448.760,454.160]	OK AND HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK
audio/RES0151.mp3[454.160,463.200]	UH NOT THAT I KNOW OF YEAH I HAVENT SEEN ANYONE LIKE HAVE SYMPTOMS OR ANYTHING
audio/RES0151.mp3[463.200,467.400]	OK HAVE YOU TRAVELED ANYWHERE
audio/RES0151.mp3[467.400,472.360]	NO IVE BEEN IN THE PROVINCE
audio/RES0151.mp3[472.360,481.080]	OK UM AND YOU MENTIONED UM THAT YOU HAVE A BOYFRIEND ARE YOU CURRENTLY UH SEXUALLY ACTIVE
audio/RES0151.mp3[483.320,489.120]	AND DO YOU USE CONDOMS OR ANY FORM OF BIRTH CONTROL
audio/RES0151.mp3[489.120,494.080]	UH YEAH USUALLY LIKE JUST CONDOMS
audio/RES0151.mp3[494.080,498.640]	I SEE OK AND IS THERE ANY CHANCE THAT UH YOU COULD BE PREGNANT CURRENTLY
audio/RES0151.mp3[498.640,504.720]	UH NO I DONT THINK SO
audio/RES0151.mp3[504.720,508.040]	OK UH AND I JUST WANT UM ARE YOU CURRENTLY SMOKING
audio/RES0151.mp3[508.040,515.640]	UH NO I HAVE HAVENT HAVENT SMOKED EVER
audio/RES0151.mp3[515.640,519.920]	OK AND THAT INCLUDES CIGARETTES AND MARIJUANA
audio/RES0151.mp3[519.920,525.400]	UH YEAH NO NO MARIJUANA EITHER
audio/RES0151.mp3[525.400,530.400]	OK DO YOU DRINK ALCOHOL
audio/RES0151.mp3[530.400,535.240]	UH JUST LIKE ONCE OR TWICE IN A WEEK
audio/RES0151.mp3[535.240,537.680]	AND IS IT LIKE ONE OR TWO DRINKS
audio/RES0151.mp3[537.680,541.880]	YEAH SO I WOULD SAY LIKE IT WOULD USUALLY BE WINE
audio/RES0151.mp3[541.880,545.760]	I SEE ALRIGHT AND DO YOU USE ANY OTHER UH RECREATIONAL DRUGS
audio/RES0151.mp3[545.760,553.480]	UH NO NOTHING ELSE
audio/RES0151.mp3[553.480,560.560]	OK UM AND IN THE FAMILY UM ARE THERE ANY HISTORY OF HEART OR LUNG PROBLEMS
audio/RES0151.mp3[560.560,565.560]	UM NOT THAT I KNOW OF NO
audio/RES0151.mp3[565.560,573.720]	ALRIGHT AND HOW ABOUT ANY UH ANY CANCERS
audio/RES0151.mp3[574.640,586.320]	ALRIGHT UM SO UHM THAT WAS EVERYTHING I WANTED TO ASK TODAY ON ON HISTORY WAS THERE ANYTHING ELSE THAT MAYBE I FORGOT TO ASK ABOUT YOU WANTED TO MENTION
audio/RES0151.mp3[586.320,594.240]	UH NO I JUST YEAH I WAS JUST WONDERING IF LIKE I SHOULD BE WORRIED AT ALL ABOUT COVID
audio/RES0151.mp3[594.240,645.000]	YEAH CERTAINLY UM SOMETHING THAT WELL BE TESTING FOR TODAY WITH SOME OF THE SYMPTOMS THAT YOURE HAVING LIKE UM COUGH AND SOME NONSPECIFIC SYMPTOMS LIKE THAT CAN SHOW UP IN COVID UM FOR SURE SO IT WILL BE IMPORTANT TO GET A TEST FOR THAT TODAY WHICH WILL REQUIRE A NASAL SWAB UM THAT BEING SAID IT COULD BE UHM ANOTHER TYPE OF VIRAL ILLNESS LIKE THE COMMON COLD WHICH IS CAUSING YOUR YOUR SYMPTOMS HERE TODAY UM AND SO IT WILL BE JUST BE IMPORTANT TO BE DILIGENT AND IF YOUR SYMPTOMS DILIGENT WITH THE TESTING I MEAN WITH THE COVID AND IF YOUR SYMPTOMS GET ANY WORSE WE IT MIGHT BE IMPORTANT TO GO TO THE HOSPITAL OR OR THE EMERGENCY DEPARTMENT
audio/RES0151.mp3[645.000,650.440]	YEP SOUNDS GOOD THANK YOU SO MUCH