audio/MSK0025.mp3[145.800,151.040] THATS BEEN GOING ON FOR THE PAST WEEK AS WELL audio/MSK0043.mp3[342.960,351.680] YEAH ITS GOTTEN UH LIKE ITS ITS GOTTEN SLIGHTLY WORSE audio/RES0048.mp3[573.240,578.040] YEP OK AND YOURE TAKING THAT UM AS DIRECTED RIGHT audio/RES0202.mp3[0.000,3.280] WHAT BRINGS YOU ALL IN TODAY 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/RES0192.mp3[307.680,311.160] AND HAVE YOU HAD ANY SKIN RASHES audio/RES0015.mp3[396.760,404.640] OK YEAH AND THE COUGHING ARE YOU COUGHING UP ANY BLOOD audio/RES0127.mp3[398.280,401.560] NO NO 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/RES0154.mp3[307.280,314.400] UM JUST UH VITAMIN CALCIUM MULTI VITAMINS audio/RES0141.mp3[140.840,141.720] NO NOT REALLY audio/GAS0003.mp3[339.840,344.360] OK AND HAVE YOU BEEN HOSPITALIZED IN THE PAST audio/RES0060.mp3[942.280,947.280] THANK YOU audio/RES0032.mp3[462.760,466.240] OK AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS 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/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/MSK0037.mp3[405.400,412.400] ALRIGHT AND UH HAVE YOU HAD ANY MEMORY LOSS OR CONFUSION audio/RES0127.mp3[213.840,219.880] NO OK AND ANY SICK CONTACTS ANYONE AROUND YOU THAT HAS BEEN SICK audio/RES0104.mp3[532.320,536.880] OK AND SO BUT AFTER THAT NO OTHER HOSPITALIZATIONS OR SURGERIES audio/RES0127.mp3[261.200,265.120] ANY CHANGES TO YOUR APPETITE OR WEIGHT 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/RES0212.mp3[88.400,93.320] SO YOU HAVENT BEEN NOTICING CLOTHES HAVE BEEN FITTING LOOSE OR ANYTHING LIKE THAT 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/RES0042.mp3[223.440,228.080] NAUSEA OR VOMITING 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/RES0078.mp3[78.600,80.760] NO I DONT IVE BEEN HEALTHY audio/DER0001.mp3[249.680,261.800] RIGHT SAY HAVE YOU ALONE HAVE YOU FELT ILL RECENTLY HAVE YOU BEEN SICK AT ALL audio/RES0149.mp3[422.120,431.400] I SEE AND DO YOU UH TAKE ANY MEDICATIONS FOR ANXIETY OR HAVE YOU audio/RES0096.mp3[366.200,368.440] UHM NO NO audio/RES0031.mp3[317.160,320.280] OK AND ANY RECENT CHANGES TO YOUR WEIGHT audio/RES0137.mp3[365.800,371.440] NO NO COMPLICATIONS IT WAS UH IT WAS VERY YEAH IT WENT WELL audio/RES0035.mp3[59.640,64.800] OK AND HOW HOW MUCH WOULD YOU SAY YOU PRODUCE EVERY DAY audio/RES0161.mp3[170.040,178.760] HAVE YOU HAD ANY I GUESS LIKE WEIGHT LOSS OR ANY NIGHT SWEATS audio/RES0114.mp3[423.960,430.280] YEAH IVE BEEN USING THE VENTOLIN UH MORE AND IT IT DOES SEEM TO HELP audio/RES0017.mp3[172.320,176.280] OK AND IS THE COUGH INTERFERING WITH SLEEP audio/MSK0018.mp3[237.480,240.600] OKAY AND DO YOU HAVE ANY ALLERGIES audio/CAR0003.mp3[359.200,363.400] ANY NIGHT SWEATS OR CHILLS audio/MSK0014.mp3[749.680,756.520] OK AND ANY I DONT THINK I ASKED THIS ANY MUSCLE WEAKNESS audio/RES0048.mp3[196.520,202.160] YEAH HAVE YOU EXPERIENCED ANYTHING LIKE THIS BEFORE audio/RES0050.mp3[522.400,523.960] UHM NO audio/RES0161.mp3[318.280,322.960] OK AND WHAT DO YOU DO FOR DO YOU WORK 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/MSK0001.mp3[272.440,281.040] OK ANY UH TINGLING SENSATION OR NUMBNESS UH IN YOUR BACK OR LOWER LIMBS IN YOUR LEGS 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/RES0205.mp3[387.680,393.920] OH OK I SEE AND DO YOU USE ANY OTHER SUBSTANCES 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/RES0097.mp3[246.160,249.360] HOW ABOUT ANY WHEEZING audio/RES0030.mp3[22.040,25.240] OK AND WHAT WHAT COLOUR IS THIS GUNK audio/RES0194.mp3[188.720,195.880] UM YEAH MAYBE WITHIN THE LAST COUPLE OF DAYS AS WELL audio/RES0106.mp3[173.440,179.200] NO OK HAVE YOU EVER EXPERIENCED ANYTHING LIKE THIS IN THE PAST audio/RES0094.mp3[347.680,349.840] ANY RECREATIONAL DRUGS audio/RES0214.mp3[240.640,248.880] OK ALRIGHT EXCELLENT SO YOURE EATING WELL DOING WELL ANY CHANGES TO YOUR BOWEL MOVEMENTS RECENTLY 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/RES0064.mp3[334.080,339.240] OK FAMILY HISTORY OF LUNG CONDITIONS OR HEART CONDITIONS audio/RES0015.mp3[179.400,184.440] OK HAS ANYONE AROUND YOU BEEN SICK audio/MSK0009.mp3[286.360,289.360] HAVE YOU HAD ANY COUGH 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/RES0018.mp3[530.920,538.360] OK AND HAVE YOU HAD A SEXUALLY TRANSMITTED INFECTION BEFORE audio/RES0160.mp3[215.160,225.360] UM JUST LIKE A LITTLE DISCOMFORT WITH GOING TO THE WASHROOM SO MUCH audio/RES0072.mp3[502.680,505.440] NO I DONT audio/MSK0031.mp3[244.080,251.480] OK HOW ABOUT CHANGES TO URINE audio/MSK0015.mp3[317.000,323.360] NO ITS MAINLY JUST HER UPPER RIGHT LEG AND HIP audio/RES0048.mp3[804.800,812.840] NO UH WEVE BEEN IN CANADA ONTARIO HAVENT LEFT TO GO ANYWHERE audio/RES0050.mp3[107.240,110.040] NO BLOOD 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/RES0126.mp3[480.320,484.280] I DONT THINK SO audio/RES0068.mp3[622.160,624.640] I DONT FEEL HOT THOUGH audio/RES0168.mp3[431.840,439.040] OK OK AND ANY TRAVEL RECENTLY 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/RES0132.mp3[479.080,488.520] OKAY AND UM UH ANYBODY OR SORRY HAVE YOU BEEN AROUND ANYBODY WHOS BEEN SICK RECENTLY audio/CAR0004.mp3[353.000,358.320] OK AND WHERE ARE YOU A STUDENT WHAT DO YOU DO audio/RES0182.mp3[398.320,402.960] OK WHEN DID YOU MOVE HERE AND WHERE DID YOU MOVE FROM audio/RES0042.mp3[526.240,535.160] OK AND HAVE YOU BEEN AROUND ANY SICK CONTACTS RECENTLY audio/RES0215.mp3[138.160,142.040] OK ANY RECENT TRAVEL ANYWHERE audio/RES0142.mp3[198.840,201.480] I LIVE WITH UH MY MOM 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/RES0134.mp3[474.160,476.800] UM PRETTY GOOD NOW audio/MSK0036.mp3[427.880,433.440] HOW ABOUT A LOSS OF YOUR SENSE OF TASTE OR SENSE OF SMELL 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/MSK0017.mp3[18.960,25.200] OK UM LAST TWO WEEKS YOU SAID IS IT GETTING WORSE audio/RES0056.mp3[313.200,319.360] OK ANY CONTACTS WITH SICK PEOPLE AROUND YOU RECENTLY audio/RES0055.mp3[512.040,515.520] MY UNCLE HAD SKIN CANCER audio/RES0048.mp3[689.760,694.960] YEAH UM DO YOU DO MARIJUANA AT ALL 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/RES0133.mp3[54.800,60.520] I SEE AND UH WITH THE COUGH ARE YOU PRODUCING ANY PHLEGM OR SPUTUM audio/RES0131.mp3[281.520,288.440] OKAY UM ALRIGHT HOW ABOUT CHANGES IN YOUR SMELL OR TASTE audio/MSK0027.mp3[264.600,267.920] OK AND AS YOU HAD ANY APPETITE LOSS 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/RES0045.mp3[485.480,490.320] OK AND DO YOU SMOKE audio/RES0053.mp3[58.280,64.720] OK ANY OTHER TRIGGERS LIKE DUST OR THE COLD AIR ANYTHING LIKE THAT 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/RES0179.mp3[137.480,145.520] OK AND AND IS IT A SHARP PAIN OR IS IT A DULL ACHY PAIN audio/RES0181.mp3[294.320,297.240] YES IM AN EXPERT NOW 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/RES0202.mp3[311.600,318.440] OK AND IS HE HAVING ANY ISSUES SWALLOWING FOOD OR FLUIDS 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/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/MSK0033.mp3[34.320,42.000] YEAH ABOUT ABOUT A FEW YEAH FEW WEEKS AGO 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/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/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/RES0153.mp3[275.440,279.920] ALRIGHT HAVE YOU HAD ANY MUSCLE ACHES OR BODY PAINS 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/RES0187.mp3[388.600,393.360] AND I THINK MY FATHER HAS HIGH BLOOD PRESSURE 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/RES0122.mp3[239.920,244.080] OKAY GOOD UM AND DO YOU SMOKE 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/RES0171.mp3[125.040,127.600] ANY COUGH audio/RES0058.mp3[509.120,517.960] OH GOOD OK AND DO YOU HAVE ANY ALLERGIES audio/RES0156.mp3[231.160,236.880] NOPE SHE HASNT HAD ANY CHANGE CHANGES LIKE THAT audio/RES0067.mp3[47.800,51.440] THAT STARTED YESTERDAY audio/RES0109.mp3[325.520,330.040] OK SURE UM ALCOHOL audio/MSK0027.mp3[250.920,252.840] ANY NAUSEA OR VOMITING 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/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/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/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/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/RES0055.mp3[647.880,653.360] OK HOW ABOUT TRAVEL TO ANYWHERE audio/RES0100.mp3[219.840,222.320] NO NOT REALLY audio/RES0001.mp3[208.800,211.000] I SAY ITS SHARP audio/MSK0001.mp3[436.320,440.680] OK AND FOR HOW LONG HAVE YOU SMOKED UH CIGARETTES FOR audio/RES0171.mp3[127.600,134.640] YEAH I IVE HAD A COUGH AS WELL OVER THAT THE SAME SAME TIME PERIOD audio/RES0095.mp3[555.800,558.360] AND DO YOU DRINK ALCOHOL audio/RES0097.mp3[355.880,362.480] OK AND UH IS HE ON UH LIKE ANY MEDICATIONS FOR THAT audio/RES0182.mp3[367.200,375.400] UHM I LIVE ALONE BY MYSELF I LIVE IN AN APARTMENT DOWNTOWN audio/MSK0046.mp3[58.920,68.120] OK AND WHAT KIND OF PAIN IS IT IS IT SHARP OR IS IT ACHING 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/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/RES0076.mp3[502.160,507.040] OK AND CURRENTLY RIGHT NOW DO YOU WORK audio/RES0179.mp3[352.720,358.600] OK JOINT PAINS OR MUSCLE ACHES audio/RES0044.mp3[757.480,763.200] RIGHT OK SO POTENTIALLY FROM FROM THE WORKPLACE THEN OK audio/RES0111.mp3[140.120,143.760] NO NOTHING LIKE THAT audio/RES0213.mp3[413.440,417.200] OK DO YOU TAKE ANY MEDICATIONS RIGHT NOW audio/RES0044.mp3[339.680,348.520] NO LIKE I DONT WEIGH MYSELF REGULARLY BUT I DONT THINK SO audio/RES0103.mp3[431.960,436.320] SO MYSELF AND MY AND MY HUSBAND 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/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/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/RES0012.mp3[698.320,702.760] OK AND THEN DO YOU SMOKE JESSICA audio/RES0195.mp3[322.520,324.960] UH NO I DIDNT NOTICE THAT 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/RES0095.mp3[250.960,260.000] HOW ABOUT ANY CHANGES TO BOWEL HABITS SUCH AS DIARRHEA OR CONSTIPATION audio/RES0032.mp3[515.120,525.200] NO HEART ATTACKS BUT UH MY FATHER DIED OF LUNG CANCER WHEN HE WAS 67 audio/RES0073.mp3[388.160,398.280] OK ALRIGHT THEN DO YOU HAVE ANY MEDICAL CONDITIONS THAT YOU SEE A PHYSICIAN FOR REGULARLY audio/MSK0014.mp3[586.200,593.040] OK AND DO YOU DRINK ALCOHOL audio/RES0098.mp3[549.160,554.320] OK THATS GOOD AND DO YOU SMOKE MARIJUANA OR USE ANY CANNABIS PRODUCTS audio/RES0034.mp3[679.000,680.080] UH NO audio/RES0106.mp3[308.320,309.600] I STARTED THREE YEARS AGO 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/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/RES0109.mp3[304.200,307.880] UM ANY OTHER RECREATIONAL DRUGS LIKE MARIJUANA 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/RES0086.mp3[289.840,292.520] NO FEVERS OR CHILLS audio/RES0081.mp3[508.280,516.640] OK AND HAVE YOU HAD ANY CONCERNS WITH GROWTH OR DEVELOPMENTAL MILESTONES 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/RES0215.mp3[488.840,494.440] OK AND DID SHE WAKE UP AT NIGHT WITH THAT OR JUST audio/MSK0033.mp3[157.640,161.880] OK I SEE AN HAS THIS EVER HAPPENED BEFORE audio/MSK0026.mp3[646.760,655.160] UM I CAN WALK NORMALLY IT JUST HURTS audio/CAR0001.mp3[287.680,290.320] ANY URINARY PROBLEMS audio/MSK0010.mp3[583.400,588.760] NO OK HOW ABOUT SMOKING CIGARETTES OR CANNABIS audio/RES0111.mp3[419.960,421.600] UH I DONT THINK SO audio/RES0128.mp3[114.120,119.080] NO OK AND ANY RASHES THAT YOUVE NOTICED 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/RES0092.mp3[334.320,336.920] WHAT ABOUT SMOKING audio/MSK0014.mp3[455.360,459.600] OK AND WHATS THE RASH OR SORRY WHATS THE REACTION audio/RES0038.mp3[333.920,336.120] UH NOTHING LIKE THAT 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/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/RES0114.mp3[226.280,230.360] NO OK UH CHEST PAIN audio/RES0153.mp3[111.480,116.280] AND JUST KIND OF LIKE AT THE FRONT FRONT OF MY NECK 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/RES0134.mp3[71.840,77.280] OKAY IS IT A DRY COUGH OR ARE YOU BRINGING UP SPUTUM OR PHLEGM audio/RES0064.mp3[55.960,60.320] OK DO HIS TONSILS LOOK ENLARGED 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/RES0046.mp3[480.600,483.320] UH ID SAY ITS PRETTY ACHY 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/RES0147.mp3[88.280,92.240] OK WHAT DOES IT LOOK LIKE audio/CAR0004.mp3[260.680,266.800] NO IM A PRETTY HEALTHY 25 YEAR OLD 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/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/RES0206.mp3[288.560,293.920] OK IN HAVE YOU RECENTLY LOST WEIGHT UNINTENTIONALLY audio/RES0010.mp3[478.680,490.480] NO AND ARE YOU TAKING ANY MEDICATIONS INCLUDING ANY OVER THE COUNTER MEDICATIONS OR HERBAL MEDICATIONS audio/MSK0013.mp3[224.440,230.600] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE FREQUENCY OR PAINFUL URINATION audio/RES0035.mp3[470.320,476.200] OK AND LASTLY IN TERMS OF EXERCISE WOULD YOU SAY YOURE FAIRLY ACTIVE THROUGHOUT THE WEEK 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/RES0125.mp3[597.440,599.040] NO HOW ABOUT ALCOHOL audio/MSK0012.mp3[24.480,27.560] OK AND HOW LONG HAVE YOU HAD THIS PAIN FOR 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/RES0021.mp3[285.120,289.240] OK AND HAVE YOU FELT LIKE YOUR HEARTS RACING AT ALL audio/RES0076.mp3[125.360,132.640] NOT REALLY ITS JUST KIND OF BEEN THERE MOST DAYS audio/RES0118.mp3[202.200,204.760] HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0043.mp3[447.720,450.760] EXACTLY LIKE NOTHING audio/RES0176.mp3[122.800,133.800] OR DOES IT OK AND EVERY HAD ANY SWELLING IN YOUR FEET OR ANKLES audio/RES0164.mp3[390.560,396.080] NO WELL HE HAS BEEN EATING LITTLE LESS BUT NOTHING LIKE NOTHING ELSE 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/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/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/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/RES0210.mp3[384.960,388.920] DO YOU DO ANYTHING FOR WORK OR ARE YOU RETIRED audio/RES0031.mp3[0.000,5.240] I WAS WONDERING IF WE COULD START BY YOU TELLING ME WHAT BROUGHT YOU IN TODAY audio/RES0191.mp3[346.480,349.440] I AM audio/MSK0020.mp3[286.440,292.240] UHM HOW ABOUT COUGHING WHEEZING OR SHORTNESS OF BREATH audio/RES0137.mp3[440.360,449.240] OH YEAH WE LIVE IN AN APARTMENT ITS UH ME MY PARTNER HER AND THE CAT audio/GAS0003.mp3[469.280,473.760] ILL JUST DRINK A GLASS OF WINE AT NIGHT JUST HELPS ME RELAX audio/MSK0019.mp3[365.720,370.240] OKAY UM ANY CONCERNS FOR STIS audio/RES0015.mp3[577.200,585.440] JUST UH I TAKE TYLENOL SOMETIMES LIKE IT HASNT REALLY BEEN HELPING audio/RES0077.mp3[731.520,741.640] OK THATS GOOD OK LAST FEW QUESTIONS DO YOU SMOKE AT ALL audio/RES0125.mp3[435.800,441.320] OH YEAH I HAD MINE DONE UH SEVEN YEARS AGO 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/GAS0004.mp3[478.920,482.440] IM SORRY CAN YOU SAY THAT AGAIN 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/RES0158.mp3[62.520,67.720] OK AND DID YOU UM GET A TEMPERATURE AT ALL 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/RES0158.mp3[241.360,244.720] UM NO I HAVENT HAD ANYTHING LIKE THAT audio/CAR0003.mp3[659.520,663.680] NO I DONT THINK SO audio/RES0194.mp3[510.280,514.040] YEAH IVE JUST BEEN BEEN DOING WHAT I CAN FROM HOME audio/CAR0004.mp3[400.640,401.920] AND DO YOU SMOKE 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/RES0150.mp3[426.680,429.960] HES MEETING ALL OF THE THE MILESTONES AND DOING WELL AT SCHOOL audio/RES0006.mp3[134.320,142.400] OK AND THEN HAVE YOU HAD A COUGH BEFORE audio/RES0053.mp3[655.240,658.360] NO NOT THAT I KNOW OF audio/MSK0038.mp3[286.120,293.240] NO I HAVENT HAD ANY UH ANY ABDOMINAL PAIN NOTHING LIKE THAT audio/RES0112.mp3[277.320,280.760] OK ANY COMPLICATIONS DURING BIRTH 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/RES0079.mp3[169.600,173.400] ANY NAUSEA OR VOMITTING audio/RES0155.mp3[70.400,72.760] NO NO NO BLOOD 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/MSK0021.mp3[464.440,470.200] NO I DONT I DONT THINK SO EVERYBODYS BEEN BEEN HEALTHY audio/RES0182.mp3[431.800,437.560] OK AND DO YOU SMOKE CIGARETTES audio/RES0174.mp3[622.800,628.440] OK DO YOU DRINK ALCOHOL audio/MSK0037.mp3[335.200,337.520] HAVE YOU HAD ANY CHEST PAIN 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/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/RES0049.mp3[516.800,521.880] OK UM ANY CANCERS THAT RUN IN THE FAMILY audio/RES0007.mp3[357.520,362.360] OK AND HOW ABOUT ANY NAUSEA OR VOMITING audio/MSK0014.mp3[293.560,298.120] AND HAVE YOU HAD ANY ABDOMINAL PAIN 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/RES0020.mp3[529.120,532.280] YES WE DID audio/RES0134.mp3[739.240,746.440] ALRIGHT UM AND HAVE YOU BEEN AROUND ANY ANYBODY WHOS BEEN SICK 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/RES0037.mp3[510.480,517.240] I SEE AND ARE YOU TAKING ANY MEDICATIONS FOR ANY OF THOSE audio/RES0153.mp3[363.640,371.440] OK HAVE YOU BEEN AROUND ANYBODY WHOS BEEN BEEN SICK audio/RES0116.mp3[295.440,298.240] NO I DONT THINK SO audio/RES0094.mp3[115.320,117.920] ANY COUGH audio/RES0193.mp3[219.560,223.840] OK AND UM ANY CHANGES IN HIS APPETITE AT ALL audio/RES0207.mp3[55.480,59.720] UM ITS A DRY COUGH 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/RES0109.mp3[307.880,315.120] UM YEAH SOMETIMES ILL JUST HAVE A JOINT UM MAYBE UM TWO OR THREE TIMES A WEEK audio/RES0164.mp3[142.200,145.800] OK LETS JUST ARE THEY JUST LOCATED ON HIS FACE audio/CAR0001.mp3[310.440,312.920] NO NOT THAT IVE HEARD audio/RES0158.mp3[0.000,3.920] WHAT BRINGS YOU HERE TODAY audio/RES0118.mp3[322.960,327.520] OK ANY PREVIOUS HOSPITALIZATIONS OR SURGERIES audio/MSK0037.mp3[556.680,559.240] BEEN AROUND ANYBODY WHOS BEEN SICK audio/RES0122.mp3[72.440,77.360] OKAY ALRIGHT AND UH WHEN DID YOUR HEADACHES START 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/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/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/RES0032.mp3[287.800,291.560] ANY CHANGES IN YOUR SKIN THAT YOUVE NOTICED LIKE ANY RASHES AT ALL audio/RES0031.mp3[389.360,393.920] OK AND UH DO YOU HAVE ANY ABDOMINAL PAIN 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/RES0021.mp3[341.000,344.360] AND HOW ABOUT ANY CHILLS OR RIGORS audio/RES0077.mp3[19.080,21.480] YEAH THE COUGH STARTED FIRST 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/RES0125.mp3[420.720,424.240] UM COLON CANCER audio/RES0031.mp3[344.680,347.720] OK SO YOU DIDNT HAVE ANY TREATMENT FOR THAT audio/RES0127.mp3[295.360,296.120] NO NO NO 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/RES0060.mp3[183.360,184.800] NO SPUTUM audio/MSK0026.mp3[633.200,637.360] I CAN DO THAT BUT WHEN I BEND MY KNEE IT REALLY HURTS audio/RES0155.mp3[534.560,541.160] NO OK ANY PAST HOSPITALIZATIONS OR SURGERIES audio/RES0062.mp3[925.600,934.440] OK AND HOW ABOUT UM ANY WEIGHT LOSS OVER THE PAST FEW MONTHS audio/RES0183.mp3[237.840,240.120] OK AND EATING LESS AS WELL audio/RES0193.mp3[535.560,541.920] AND WHATS THE HOME SITUATION LIKE WHO DOES HE LIVE WITH audio/RES0141.mp3[206.040,212.080] ANY UM NIGHT SWEATS OR WEIGHT LOSS UNINTENTIONAL audio/RES0077.mp3[444.520,449.720] OK AND ARE YOU HAVING ANY FEVERS OR CHILLS AT ALL audio/RES0015.mp3[310.520,313.080] ANY CHANGES IN HEARING audio/RES0031.mp3[459.200,469.920] ALRIGHT IN THE FAMILY ANY HISTORY OF CANCER OR CANCER EARLY CARDIOVASCULAR DISEASE OR CHRONIC DISEASES 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/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/RES0053.mp3[479.080,487.600] OK AND THEN HE OTHERWISE HEALTHY DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS 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/MSK0034.mp3[177.480,182.480] OK ALRIGHT HAVE YOU TAKEN ANY MEDICATIONS FOR YOUR PAIN audio/MSK0028.mp3[654.800,659.000] NO I I TRY TO STAY AWAY FROM ANY DRUGS audio/RES0144.mp3[570.120,575.320] THANK YOU audio/RES0184.mp3[247.120,249.600] HAVE YOU HAD ANY NIGHT SWEATS 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/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/RES0070.mp3[317.240,323.000] ALRIGHT AND HOW IS YOUR APPETITE BEEN audio/RES0209.mp3[396.880,403.320] UH NO NOT THAT I KNOW OF audio/MSK0041.mp3[380.040,386.280] OK DO YOU TAKE MEDICATIONS FOR ANY OF THOSE THINGS audio/RES0185.mp3[135.920,141.040] ANY CHANGES TO YOUR SMALLER TASTE 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/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/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/MSK0014.mp3[49.080,56.440] OK AND IS THE JOINT HOT AS WELL OR IS THERE A TEMPERATURE CHANGE 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/RES0006.mp3[574.840,576.920] NO NOTHING LIKE THAT audio/RES0209.mp3[154.320,159.600] NORMALLY GET MORE IN CERTAIN SEASONS audio/RES0019.mp3[145.960,151.040] NO NEVER audio/MSK0036.mp3[97.400,100.000] OK AND ARE YOU RIGHT OR LEFT HANDED audio/RES0020.mp3[373.440,375.400] NO NONE audio/RES0074.mp3[273.320,277.200] ALRIGHT ANY DIZZINESS OR LIGHTHEADEDNESS 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/MSK0029.mp3[590.840,595.160] OK HOW ABOUT A MUSCULOSKELETAL ISSUES audio/RES0016.mp3[186.640,189.600] NO IM COMPLETELY FINE LAYING DOWN 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/RES0003.mp3[24.080,30.920] HES THREE YEARS OLD OK AND YOU SAID FOR THE PAST COUPLE DAYS SO ABOUT 23 DAYS audio/RES0155.mp3[250.320,254.560] NO I I I IVE BEEN BEEN HOME audio/RES0052.mp3[80.400,83.680] OK NOTICE ANY BLOOD audio/RES0046.mp3[345.720,352.600] OK AND IS IT MOSTLY FLUID OR IS IT SEMISOLID audio/MSK0016.mp3[554.560,562.200] OK AND HAVE YOU EVER THOUGHT ABOUT QUITTING audio/RES0009.mp3[321.080,323.360] I DONT KNOW I DONT THINK SO 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/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/RES0032.mp3[20.680,23.640] I IM BRINGING UP SOME PHLEGM IF THATS WHAT YOU MEAN audio/RES0178.mp3[403.400,410.440] OK ANY FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/MSK0036.mp3[650.320,655.120] OK UH AND ANY CONCERN FOR SEXUALLY TRANSMITTED INFECTION 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/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/RES0071.mp3[144.880,147.880] UM THAT STARTED ABOUT FIVE DAYS AGO audio/RES0047.mp3[661.400,666.400] UH WELL I STARTED WHEN I WAS A TEENAGER SO PROBABLY LIKE 35 audio/RES0017.mp3[629.000,635.840] OK UM AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION audio/RES0191.mp3[388.720,391.040] OK AND YOU SMOKE CIGARETTES 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/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/RES0072.mp3[135.040,142.280] YEAH MAYBE A LITTLE BIT MAYBE THATS WHAT PROMPTED IT 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/RES0051.mp3[0.000,3.760] WOULD YOU MIND STARTING WITH TELLING ME WHAT BROUGHT YOU IN 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/MSK0031.mp3[539.440,541.960] I CAN TRY BUT ITS VERY PAINFUL audio/RES0178.mp3[497.360,501.240] I DONT THINK SO YEAH ITS BEEN ALL THATS BEEN OK audio/RES0095.mp3[60.320,63.920] OK COULD YOU TELL ME ABOUT WHAT HAPPENED SIX MONTHS AGO audio/GAS0001.mp3[458.880,465.920] ALRIGHT YOU DONT SMOKE OK HAVE YOU DO YOU CONSUME ALCOHOL 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/RES0162.mp3[540.000,542.520] ANY RECREATIONAL DRUGS audio/DER0001.mp3[227.040,230.120] HAVE YOU HAD ANY DIFFICULTY BREATHING audio/MSK0034.mp3[575.440,585.080] I WEIGH ABOUT UM 130 POUNDS audio/RES0022.mp3[891.760,892.440] UH NO audio/RES0008.mp3[341.760,349.480] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0139.mp3[373.000,375.080] NO NOTHING LIKE THAT 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/RES0056.mp3[520.000,521.520] OK ANY OTHER DRUGS audio/RES0078.mp3[617.480,622.480] SURE AND ANY STREET DRUGS audio/RES0103.mp3[145.120,159.480] OK ANY OTHER SYMPTOMS LIKE FEVERS CHILLS SHORTNESS OF BREATH UM ANYTHING LIKE THAT audio/RES0049.mp3[317.720,323.240] NO OK HOW ABOUT ANY CHANGES TO YOUR VISION OR HEARING audio/RES0012.mp3[380.400,381.520] THATS ALL FINE OK audio/RES0100.mp3[0.000,1.600] HOW MAY I HELP YOU TODAY audio/RES0030.mp3[460.880,469.720] OK IN TERMS OF YOUR FAMILY HISTORY HAS ANYONE HAD ANY CARDIOVASCULAR ISSUES OR ANY CANCERS audio/RES0003.mp3[126.280,132.680] NO NOT I HAVENT NOTICED ANYTHING ON HIS NECK 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/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/RES0175.mp3[167.960,173.360] OK SO YEAH I LOST OF TASTE TODAY HAVE YOU HAD A RUNNY NOSE AT ALL audio/RES0024.mp3[455.240,457.800] I DONT THINK SO audio/MSK0044.mp3[36.240,39.960] OKAY IS IT THE RIGHT SIDE OR THE LEFT SIDE audio/MSK0012.mp3[690.920,698.600] I CAN DO THAT YEAH ACTUALLY NO I CANT SORRY THAT THAT HURTS audio/RES0174.mp3[544.960,551.320] OK SO YOU HAVENT BEEN ON MEDICATION NOW FOR FOR QUITE AWHILE FOR YEARS 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/RES0174.mp3[459.920,463.560] NO BUT DO YOU THINK THATS WHATS GOING ON audio/RES0179.mp3[461.600,464.560] OK FAMILY HISTORY OF LUNG OR HEART CONDITIONS audio/RES0130.mp3[212.960,215.440] NO I HAVENT HAD ANYTHING LIKE THAT audio/RES0097.mp3[582.040,588.320] OK UHM AND DOES ANYBODY IN THE HOME SMOKE audio/RES0028.mp3[475.800,484.280] AND CURRENTLY RIGHT NOW WHERE DO YOU LIVE DO YOU LIVE IN LIKE A HOUSE APARTMENT audio/RES0154.mp3[155.200,162.160] OK YEAH CERTAINLY SOUNDS LIKE A FEVER AND HAVE YOU HAD ANY NIGHT SWEATS audio/MSK0050.mp3[274.520,276.120] UH NO 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/RES0198.mp3[352.240,353.320] UH NO 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/DER0001.mp3[581.160,581.600] YEAH YEAH audio/RES0182.mp3[274.880,281.800] UHM MUSCLE ACHES YEAH YEAH THATS BEEN HAPPENING audio/MSK0010.mp3[588.760,591.040] NO IVE NEVER SMOKED audio/MSK0044.mp3[299.720,306.120] OKAY AND AND DO YOU HAVE ANY ALLERGIES TO ANY MEDICATIONS AT ALL 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/RES0191.mp3[462.800,470.160] UH NO I THINK THAT WAS IT audio/MSK0040.mp3[716.800,723.160] I CAN DO THAT BUT ITS STILL PAINFUL JUST TO MOVE THE ANKLE audio/RES0173.mp3[571.960,574.520] NO NO I DONT audio/RES0121.mp3[294.400,299.760] UM I WORK PART TIME I WORK AS A BARISTA 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/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/RES0094.mp3[120.720,126.080] OK UHM ANY UH PAIN IN YOUR CHEST audio/RES0181.mp3[75.040,80.960] UHM IM STILL HUNGRY I JUST DONT EAT AS MUCH CAUSE MY THROAT IS SORE audio/RES0196.mp3[256.560,266.720] UH NO THEY WERE THEY WERE TALKING ABOUT IT BUT WE NEVER ENDED UP DOING THAT 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/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/RES0148.mp3[609.040,614.920] UH NO audio/RES0070.mp3[18.720,27.960] OK HAS THE HEADACHE UHM STAYED THE SAME GOTTEN WORSE GOTTEN ANY BETTER audio/RES0156.mp3[173.000,176.640] OK UM ANY RECENT TRAVEL audio/RES0048.mp3[601.600,608.280] OK UM AND DO YOU HAVE ANY ALLERGIES audio/RES0042.mp3[148.080,155.240] NO SORE THROAT OK ANY ISSUES WITH TASTE OR SMELL 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/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/RES0035.mp3[429.560,432.200] UHM ABOUT HALF A PACK A DAY audio/RES0062.mp3[850.080,851.880] UH NO I DONT DRINK ANYMORE audio/RES0063.mp3[519.080,523.000] OK GOOD AND DO YOU SMOKE audio/RES0126.mp3[271.920,280.800] NO OK ANY KIND OF SWELLING IN YOUR LEGS OR HANDS THAT YOUVE NOTICE audio/RES0188.mp3[351.280,354.080] NO NO ONE SMOKES audio/CAR0002.mp3[234.800,237.200] UH I DID AND IT WAS 38 DEGREES audio/RES0061.mp3[349.840,353.760] OK AND MUSCLE ACHES TO GO ALONG WITH THAT audio/RES0053.mp3[645.880,649.440] NO NOT THAT WE KNOW OF audio/MSK0004.mp3[87.720,98.760] AND DO YOU NOTICE ANY KIND OF BRUISING REDNESS SWELLING ANY SKIN CHANGES audio/RES0192.mp3[330.320,332.480] UM NO audio/RES0195.mp3[441.960,446.120] OK ANY COMPLICATIONS WITH THAT audio/RES0029.mp3[115.600,123.120] OK AND DO YOU HAVE ANY OTHER ASSOCIATED SYMPTOMS audio/RES0099.mp3[195.880,201.080] ALRIGHT AND ITS DRY BUT HAVE YOU SEEN ANY BLOOD THATS COME UP audio/RES0187.mp3[215.040,216.480] CHEST PAIN audio/RES0131.mp3[0.000,2.120] WHAT BRINGS YOU IN audio/RES0093.mp3[63.520,73.400] YEAH THAT STARTED REALLY WITHIN THE LAST TWELVE HOURS OR SO audio/RES0018.mp3[419.640,423.440] OK HOW HAVE THE WIFE AND KIDS BEEN FEELING AT HOME audio/RES0188.mp3[204.680,209.440] 5 OR 6 OK HAS THAT CHANGED FROM BEFORE audio/RES0146.mp3[319.520,322.400] ARE YOU TAKING ANY OTHER MEDICATIONS audio/MSK0008.mp3[718.480,729.080] OK UM AND DO YOU HAVE ANY LIKE NUMBNESS TINGLING OR MUSCLE WEAKNESS audio/RES0097.mp3[451.400,455.160] UHM HE JUST GETS A RASH audio/RES0006.mp3[148.680,153.200] OK AND HAVE YOU HAD SHORTNESS OF BREATH LIKE THIS BEFORE 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/RES0106.mp3[210.960,215.280] I THOUGHT IT WAS JUST LIKE A MILD INFECTION OR SOMETHING 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/RES0214.mp3[473.080,476.240] NO DO YOU THINK I HAVE COVID audio/RES0110.mp3[781.600,790.320] UM NO THANK YOU SO MUCH audio/RES0091.mp3[283.720,289.520] OK ANY HOSPITALIZATIONS OR SURGERIES IN THE PAST audio/RES0031.mp3[347.720,352.960] NO I DIDNT HAVE ANY MEDICATIONS OR ANYTHING I DIDNT EVEN GO TO THE DOCTOR THEN audio/DER0001.mp3[581.600,585.240] HOW MUCH DO YOU TYPICALLY DRINK audio/RES0011.mp3[787.960,792.720] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0058.mp3[843.120,847.880] OK GREAT WELL HAVE A GREAT DAY 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/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/MSK0027.mp3[397.160,401.680] IT WAS VAGINAL audio/RES0078.mp3[593.520,597.760] NO IVE BEEN JUST UH WORKING FROM HOME audio/RES0077.mp3[836.480,839.120] OK THAT SOUNDS GREAT THANK YOU 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/RES0065.mp3[507.400,512.040] OK ANY CONTACT SPORTS audio/MSK0003.mp3[50.400,50.960] I SEE audio/RES0139.mp3[261.960,264.280] UM JUST PENICILLIN audio/RES0060.mp3[532.560,534.600] OK GOOD audio/RES0215.mp3[308.960,316.480] UH SHE WAS HOW MUCH WAS SHE I THINK SHE WAS ABOUT 8 KILOS audio/MSK0012.mp3[234.080,241.400] UM I WORK FROM HOME NOW I DO DAYCARE AT HOME audio/RES0099.mp3[305.560,310.400] ALRIGHT AND HAVE YOU NOTICED ANY RASHES OR OR CHANGES TO YOUR SKIN 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/RES0006.mp3[308.880,314.280] ALRIGHT AND HAVE YOU HAD ANY WHEEZING audio/RES0114.mp3[218.680,224.320] NO OK HOW ABOUT CHANGES TO YOUR SMELL OR TASTE audio/RES0100.mp3[329.720,332.680] HOW ABOUT ANY DIARRHEA 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/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/RES0126.mp3[187.000,188.440] ITS BEEN 15 YEARS NOW 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/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/RES0060.mp3[701.160,705.200] NO I DONT THINK SO audio/MSK0019.mp3[376.200,378.520] HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0126.mp3[317.120,322.120] I HAVE A MILD FEVER IT JUST ITS BEEN THERE audio/RES0165.mp3[372.720,378.880] OK SO YEAH WE CAN DO THAT FOR YOU TODAY AFTER A PHYSICAL PHYSICAL EXAMINATION audio/RES0195.mp3[430.240,431.960] OK ANY ALLERGIES audio/RES0050.mp3[352.080,357.440] OK AND THEN SORRY HAVE YOU HAD ANY NAUSEA OR VOMITING audio/RES0066.mp3[56.040,58.360] YEAH THATS RIGHT audio/RES0103.mp3[197.680,201.040] OK ANY RECENT TRAVEL AT ALL audio/RES0016.mp3[218.880,223.160] OK CHANGES IN YOUR HEARING OR EAR PAIN audio/MSK0017.mp3[0.000,1.760] WHAT BRINGS YOU IN 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/RES0121.mp3[289.040,294.400] OKAY UM AND ARE YOU WORKING AT ALL OR ARE YOU A STUDENT SEEMING audio/RES0159.mp3[297.320,303.720] UM I TAKE UM THIS MEDICATION CALLED UH LISINOPRIL audio/RES0124.mp3[497.600,506.480] NO I DONT THINK SO MAYBE JUST LIKE ENVIRONMENTAL ALLERGIES SOMETIMES IN THE SPRINGTIME audio/MSK0016.mp3[0.000,1.600] WHAT BRINGS YOU IN audio/MSK0020.mp3[217.920,225.520] OK OK THATS GOOD AT LEAST AND ANY DIZZINESS OR FAINTING SPELLS audio/RES0216.mp3[459.760,465.240] OK SO NO SMOKING ANY OTHER RECREATIONAL SUBSTANCES DRUGS audio/RES0024.mp3[360.960,362.720] NO JUST US audio/RES0119.mp3[478.120,481.160] OK SO SHES BEEN GROWING WELL audio/RES0018.mp3[286.600,291.120] ALRIGHT HOW ABOUT URINARY PROBLEMS audio/MSK0015.mp3[410.880,413.600] OK SO SHES WALKING AROUND ONE YEAR 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/RES0140.mp3[242.960,244.720] I THINK SO YEAH I DID audio/RES0058.mp3[474.240,485.280] OK SO YEAH SOME SYMPTOMS OVERLAP WITH YOURS I GUESS HAVE YOU TRAVELED ANYWHERE RECENTLY audio/MSK0013.mp3[284.320,289.840] OK ANY WEAKNESS IN THE HANDS audio/RES0048.mp3[447.960,450.840] NO NOTHING LIKE THAT audio/RES0179.mp3[154.200,161.560] ITS ALWAYS THERE audio/RES0056.mp3[190.080,194.080] OK ANY CHANGES IN HEARING OR VISION audio/RES0017.mp3[799.040,802.320] ALRIGHT AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0194.mp3[376.320,379.880] NO NO ALLERGIES audio/RES0087.mp3[283.560,286.760] OK DIZZINESS OR FAINTING SPELLS 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/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/MSK0027.mp3[378.400,383.480] NO EVERYTHING WENT SMOOTHLY audio/MSK0023.mp3[234.440,236.360] NO NOTHING LIKE THAT 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/RES0208.mp3[538.800,541.760] ANY MARIJUANA OR RECREATIONAL DRUGS audio/MSK0008.mp3[373.760,376.120] OK AND ARE YOU GOING TO SCHOOL audio/RES0056.mp3[307.680,313.200] NO 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/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/MSK0036.mp3[721.920,732.200] NOT SURE ACTUALLY BUT SHE I JUST KNOW THAT SHE HAD HER UTERUS REMOVED audio/RES0164.mp3[411.200,418.760] OK OTHERWISE THAT HAS HE BEEN HEALTHY OR IF HE HAD ANY MEDICAL CONDITIONS DIAGNOSED 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/RES0099.mp3[378.160,385.080] UHM JUST UH LIKE I HAD TYPE 2 DIABETES THATS IT audio/RES0132.mp3[298.440,305.720] UM I HAVE DIABETES I HAVE HIGH BLOOD PRESSURE AND I HAVE HIGH CHOLESTEROL audio/RES0200.mp3[565.600,572.720] NO NOT NOT REALLY WIE’VE BEEN JUST TO OURSELVES audio/RES0031.mp3[546.320,549.600] OK AND ARE YOU CURRENTLY SEXUALLY ACTIVE audio/RES0132.mp3[187.200,192.240] OKAY UM HAVE YOU HAD ANY ANY CHEST PAIN 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/RES0214.mp3[278.520,282.680] OK AND ANY OTHER SURGERIES YOUVE HAD IN YOUR LIFE audio/MSK0040.mp3[345.960,352.080] OK AND HAVE YOU HAD ANY CHANGES TO URINARY PATTERNS audio/RES0053.mp3[260.800,266.200] ANY CHANGE IN HIS HAIR NAILS OR SKIN LIKE RASHES audio/RES0134.mp3[17.960,22.400] OKAY UH HAVE YOU CHECKED YOUR TEMPERATURE audio/RES0056.mp3[512.520,515.560] OK SURE AND BY JOINT YOU SAID ONCE A MONTH RIGHT 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/RES0035.mp3[382.640,386.120] I WORK AS AN ACCOUNTANT audio/RES0008.mp3[559.960,562.000] OK THANK YOU THAT SOUNDS GOOD audio/RES0171.mp3[359.600,368.560] IM SORRY AND THEN AN SSRI LIKE I SAID LOW PRAM FOR ANXIETY 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/RES0197.mp3[156.200,162.800] OK OK AND HOW WOULD YOU DESCRIBE THE COUGH IS IT WET OR DRY audio/RES0051.mp3[369.720,371.840] IM IN GRADE 6 audio/MSK0018.mp3[274.600,280.280] UH NO JUST JUST WITH FRIENDS SOMETIMES ON THE WEEKENDS BUT NOT REALLY audio/RES0184.mp3[111.040,117.160] ITS KIND OF ALWAYS THERE AND ITS JUST ON THE SIDES OF MY HEAD audio/RES0196.mp3[317.480,320.960] NO SHE WAS HEALTHY audio/RES0148.mp3[290.040,298.560] OK AND IN THE PAST HAVE YOU BEEN UH DIAGNOSED WITH ANY MEDICAL CONDITIONS audio/RES0151.mp3[245.560,247.800] ANY UH NIGHT SWEATS audio/RES0175.mp3[260.320,264.120] OK HAVE YOU BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS IN THE PAST audio/RES0148.mp3[110.640,111.840] UHM NO audio/MSK0041.mp3[709.560,712.120] NONE OF MY OTHER TOES 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/RES0106.mp3[315.800,318.280] NO NO ITS ALL GOOD 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/RES0032.mp3[400.640,406.680] NO PETS AT HOME AND UH I DONT THINK THERES ANY MOLD IN THE HOME EITHER audio/RES0195.mp3[155.600,158.720] ITS UM PAINFUL YEAH audio/RES0075.mp3[493.800,496.760] OK AND UH ANY CANCERS THAT RUN IN THE FAMILY audio/RES0049.mp3[651.280,656.040] YEAH THAT MAKES SENSE AND HAVE YOU TRAVELED TO ANYWHERE RECENTLY 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/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/RES0119.mp3[311.160,316.240] OK UM AND IS SHE HAVING ANY CHANGES IN HER APPETITE AT ALL audio/MSK0006.mp3[304.160,307.560] NO ITS JUST KIND OF DOWN THE BACK OF MY LEG 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/RES0165.mp3[49.400,56.480] OK AND CAN YOU DESCRIBE YOUR COUGH IS IT A WET COUGH OR A DRY COUGH audio/RES0202.mp3[329.040,333.680] OK AND IS HE DOES HE HAVE A BLOCKED NOSE OR RUNNY NOSE audio/RES0181.mp3[361.440,363.720] OK I SEE AN ARE YOU AH WHO ARE YOU LIVING WITH audio/RES0078.mp3[382.200,385.280] ANY DIARRHEA audio/RES0067.mp3[257.800,265.040] ANY ISSUES DURING PREGNANCY OR AFTER BIRTH AT ALL audio/RES0019.mp3[213.640,218.320] I DIDNT ACTUALLY NO I DIDNT CHECK MY TEMPERATURE I JUST FEEL HOT 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/RES0136.mp3[504.760,506.680] AND MY DOG 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/RES0201.mp3[318.320,326.440] HAVE YOU FELT OVERALL REALLY TIRED AND WEAK audio/RES0009.mp3[281.760,288.200] OK HAVE YOU HAD A COUGH audio/RES0208.mp3[229.080,236.360] PRETTY WELL I AM STRESSED JUST THAT I YOU KNOW MIGHT BE SICK audio/RES0019.mp3[340.960,345.000] OK AND HAVE YOU HAVE ANY WHEEZING audio/MSK0011.mp3[398.040,404.520] OK AND DO YOU HAVE ANY FAMILY HISTORY OF ANY MEDICAL CONDITIONS AT ALL 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/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/RES0170.mp3[538.200,539.920] UM HE HE HAS NOT audio/RES0050.mp3[64.960,70.760] OK AND ARE YOU BRINGING UP ANY SPUTUM audio/MSK0049.mp3[146.680,159.840] OK AND HOW WOULD YOU DESCRIBE THE PAIN UM IN TERMS OF ITS CHARACTER 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/RES0187.mp3[470.040,470.960] EVERY WEEKEND audio/RES0107.mp3[157.280,163.840] NO OK ANY CHANGES IN HIS VISION OR HEARING audio/RES0003.mp3[169.200,176.320] NO ITS MOSTLY JUST BEEN IS HIS THROAT HIS THROAT THAT HES COMPLAINING ABOUT audio/RES0019.mp3[482.400,487.000] YEAH OK NO WORRIES AND ANY ALLERGIES audio/RES0110.mp3[620.040,628.440] I SEE I SEE OK ANY ALLERGIES TO MEDICATIONS ENVIRONMENTAL ALLERGIES FOOD ALLERGIES ANYTHING audio/RES0010.mp3[490.480,492.080] UM NO audio/RES0153.mp3[62.120,68.760] OK AND HAVE YOU HAD UH A COUGH audio/MSK0032.mp3[410.680,416.240] ANY CONCERNS FOR HER SAFETY AT HOME audio/MSK0027.mp3[54.960,60.760] I NOTICE THIS YESTERDAY audio/RES0001.mp3[410.200,413.200] NO NO CONFUSION audio/RES0022.mp3[892.440,900.160] OK AT ANY CANCERS THAT RUN IN THE FAMILY 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/RES0084.mp3[636.440,643.400] I USED TO WHEN I WAS IN MY 30S I QUIT A PRETTY LONG TIME AGO audio/RES0185.mp3[260.000,265.960] YEAH IS IT THE WORST HEADACHE YOUVE EVER HAD audio/RES0123.mp3[174.480,178.160] NO I HAVENT UH IVE BEEN HAVING CHILLS FOR THE LAST FEW NIGHTS audio/RES0001.mp3[239.360,249.360] OK OK UM DO YOU HAVE ANYTHING LIKE COPCONGESTIVE HEART FAILURE ANYTHING LIKE THAT audio/MSK0039.mp3[418.400,421.960] NO IVE NEVER IVE NEVER HAD TESTING 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/RES0038.mp3[25.320,30.480] OK AND IS YOUR COUGH FOR A WET COUGH OR DRY COUGH audio/RES0027.mp3[581.880,584.120] OH YEAH THEYVE BEEN THEYVE BEEN HEALTHY audio/MSK0042.mp3[440.560,447.120] OKAY AND ARE YOU CURRENTLY IN SCHOOL AND WORKING OR OR WORKING 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/RES0106.mp3[309.600,315.800] THREE YEARS AGO OK AND NO SIDE EFFECTS NO ISSUES WITH IT audio/RES0193.mp3[191.320,194.520] NO NOTHING LIKE THAT audio/RES0152.mp3[321.600,328.040] NO UM IVE BEEN FAIRLY HEALTHY audio/RES0182.mp3[88.280,92.760] OK SO YOURE YOURE YOURE COUGHING UP BLOOD AS WELL audio/RES0017.mp3[545.120,548.680] OK AND HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0181.mp3[240.960,246.800] UM I HAVE TYPE ONE DIABETES audio/RES0107.mp3[392.720,397.040] OK DID HE NEED TO BE HOSPITALIZED AFTER BIRTH FOR ANY REASON 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/RES0154.mp3[25.160,28.480] OH OK AND WHEN DID THIS UH COUGH START SORRY audio/RES0211.mp3[115.960,117.720] ANY DIARRHEA audio/DER0001.mp3[585.240,590.240] AVERAGE WEEK MAYBE A 2 4 audio/MSK0003.mp3[921.720,923.080] ALRIGHT TAKE CARE audio/MSK0025.mp3[369.320,372.960] HAVE YOU BEEN SICK AT ALL RECENTLY audio/RES0020.mp3[65.560,70.920] UM NO JUST JUST CRAMPY YEAH 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/MSK0008.mp3[454.640,459.280] NO WE WERE BOTH TESTED audio/RES0129.mp3[56.880,58.520] NOT REALLY audio/RES0044.mp3[247.320,254.560] NO HOW ABOUT CHANGES IN SMELL OR TASTE audio/RES0186.mp3[405.920,412.280] OK HAVE YOU BEEN IN CONTACT WITH ANYONE WHO HAS BEEN SICK audio/RES0046.mp3[613.480,616.720] NO NOTHING LIKE THAT audio/MSK0022.mp3[638.440,640.880] UH NO audio/RES0199.mp3[397.280,400.600] UHM DO YOU HAVE ANY ALLERGIES 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/MSK0013.mp3[547.960,549.800] OK HAVE YOU THOUGHT ABOUT CUTTING DOWN audio/RES0154.mp3[231.800,234.320] NO NOT THAT I KNOW OF audio/RES0203.mp3[38.160,42.560] NO NO NOTHING LIKE THIS audio/RES0117.mp3[177.000,178.200] UH NO audio/RES0206.mp3[596.040,597.240] OK DO YOU SMOKE audio/RES0170.mp3[169.120,178.280] OK DOES HE HAVE ANY LIKE CHEST PAIN DURING THESE EPISODES audio/RES0177.mp3[315.040,318.280] NO HE HASNT audio/RES0023.mp3[322.800,330.080] ALRIGHT YEAH I LIVE WITH FAMILY I I LIVE WITH MY WIFE AND TWO CHILDREN 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/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/RES0207.mp3[307.560,319.080] OH YEAH THAT MAKES SENSE IT HAPPENS FOR SURE K DO YOU HAVE ANY ALLERGIES audio/RES0024.mp3[358.360,360.960] OK ANYBODY ELSE audio/RES0084.mp3[682.920,689.800] ONCE A MONTH OK ANY OTHER RECREATIONAL DRUGS audio/RES0199.mp3[229.440,233.200] ABOUT A STUFFY OR RUNNY NOSE audio/MSK0038.mp3[232.240,233.760] UH NO WEIGHT LOSS audio/RES0132.mp3[115.480,120.400] NO NO BLOOD audio/RES0008.mp3[389.640,395.480] OK DO YOU HAVE A HISTORY OF HIGH BLOOD PRESSURE audio/RES0136.mp3[305.080,308.920] NO I DONT audio/RES0214.mp3[213.560,216.920] OK SO YOURE STILL ABLE TO SWALLOW FOOD SWALLOW LIQUIDS 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/RES0114.mp3[553.880,560.200] OK OK UM DO YOU SMOKE 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/RES0110.mp3[474.040,476.360] UH NO 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/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/RES0192.mp3[564.640,566.240] THANK YOU audio/RES0005.mp3[490.440,493.440] OK AND ARE YOUR VACCINATIONS UP TO DATE audio/RES0167.mp3[285.320,295.320] OK UHM ALRIGHT DO YOU HAVE SOMETHING CALLED COPD audio/MSK0035.mp3[300.680,306.440] ANY CHANGES TO YOUR BOWEL HABITS LIKE DIARRHEA CONSTIPATION OR BLOOD IN THE STOOL 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/RES0015.mp3[498.120,500.720] NO NO NAUSEA OR VOMITTING 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/MSK0021.mp3[212.160,217.080] OK HOW ABOUT FATIGUE audio/RES0188.mp3[493.160,494.800] THAT SOUNDS GOOD THANK YOU audio/RES0127.mp3[537.080,538.720] NO NOT AT ALL audio/RES0045.mp3[225.840,228.800] NO CHEST PAIN audio/RES0011.mp3[153.840,163.200] OK SO ITS IT STARTED JUST BEFORE UH THE WEAKNESS AND FATIGUE 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/GAS0007.mp3[112.880,124.480] OK YOU HAD THE NAUSEA ASSOCIATED WITH THE PAIN audio/CAR0005.mp3[63.000,65.960] IT FEELS PRETTY SHARP audio/RES0011.mp3[163.200,165.640] YEAH AROUND THE SAME TIME audio/RES0093.mp3[260.880,263.040] UHM NO 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/MSK0020.mp3[604.440,610.880] NO OK IM GONNA GET YOU TO PALPATE YOUR HIPBONES DOES THAT HURT audio/DER0001.mp3[566.840,569.760] YEAH ONCE IN A WHILE YEAH WHEN IM STRESSED audio/RES0211.mp3[469.440,477.880] BUT YOURE TAKING THE BIRTH CONTROL OK SO WHEN WAS YOUR LAST MENSTRUAL PERIOD 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/RES0198.mp3[160.440,165.840] NO OK ANY HEADACHES OR NAUSEA OR VOMITING audio/RES0045.mp3[558.160,563.760] UH NO TRAVEL ALL THE MEETINGS HAVE BEEN IN THE CITY audio/RES0059.mp3[441.800,446.720] UMM NO JUST USUALLY LIKE IN THE SPRINGTIME audio/MSK0040.mp3[444.800,447.640] I AM IM IN GRADE 11 audio/MSK0016.mp3[378.040,385.040] YEAH I DO I TAKE UM I TAKE UH SYNTHROID I THINK 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/MSK0018.mp3[156.160,157.920] UH NO audio/MSK0042.mp3[477.920,492.320] OKAY UM AND UH AND DO YOU SMOKE CIGARETTES OR UH OR USE ANY CANNABIS PRODUCTS audio/RES0109.mp3[236.200,241.920] OK AND THEN ANY UH MAJOR ILLNESSES THAT ARE LONGSTANDING 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/RES0057.mp3[632.440,642.200] ALRIGHT SOUNDS GOOD AND HAVE YOU HAD ANY CONTACT WITH ANY SICK PEOPLE ANYONE WHOS SICK RECENTLY 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/RES0142.mp3[0.000,2.960] UH WHAT CAN I DO FOR YOU 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/RES0140.mp3[20.400,24.680] OKAY AND THIS JUST STARTED THIS MORNING YOU SAID audio/RES0200.mp3[42.960,50.640] FIVE YEARS AGO OK AND HAVE YOU ALWAYS HAD THIS COUGH SINCE THEN audio/RES0185.mp3[142.200,145.960] OK AND ANY WEIGHT LOSS audio/RES0079.mp3[184.360,190.800] OK ANY RASH THAT YOUVE NOTICED ON YOUR SKIN audio/RES0045.mp3[290.560,296.240] I JUST UH I FEEL LIKE I HAVENT BEEN ABLE TO SMELL AS WELL audio/MSK0032.mp3[235.080,239.360] UH ANY COUGHING SHORTNESS OF BREATH OR WHEEZING 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/RES0214.mp3[248.880,255.560] UH NO NO audio/RES0136.mp3[369.520,376.720] OKAY UM HOW ABOUT DO YOU HAVE ANY CHANGES IN YOUR BOWEL MOVEMENTS LIKE CONSTIPATION DIARRHEA 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/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/MSK0019.mp3[179.000,184.160] UM NO NO NOTHING LIKE THAT audio/MSK0024.mp3[315.600,323.480] I HAVE A HIGH BLOOD PRESSURE WHICH I TAKE SOME RAMIPRIL FOR audio/RES0108.mp3[328.320,333.960] OK SURE AND UM HAVE YOU BEEN IN CONTACT WITH ANY SICK PEOPLE RECENTLY audio/RES0088.mp3[491.760,497.000] UH NO SHE JUST TAKES MULTI VITAMINS audio/RES0079.mp3[268.440,270.440] NO ALLERGIES 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/RES0060.mp3[241.480,248.520] OK AND HOW ABOUT WEIGHT LOSS HAVE YOU HAD ANY WEIGHT LOSS OVER THE PAST FEW MONTHS audio/RES0111.mp3[180.000,181.040] NO WEIGHT LOSS NO audio/RES0107.mp3[417.400,419.960] YEAH COMES AND GOES 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/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/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/MSK0013.mp3[534.480,536.000] OK HOW MUCH DO YOU SMOKE audio/RES0078.mp3[22.920,26.720] OK AND SINCE THEN HAS IT GOTTEN ANY BETTER OR WORSE audio/RES0154.mp3[211.280,213.720] ANY ABDOMINAL PAIN audio/RES0196.mp3[157.040,159.880] NO HEADACHES audio/RES0049.mp3[365.040,367.520] NO NO BLOOD IN THE STOOL RIGHT audio/MSK0017.mp3[436.720,442.160] OK UHM HOW ABOUT AUTOIMMUNE CONDITIONS audio/RES0057.mp3[360.080,367.680] OK ANY CHANGES IN YOUR BOWEL MOVEMENT DIARRHEA OR CONSTIPATION audio/RES0068.mp3[183.480,191.040] YEAH HAVE YOU TRIED ANY MEDICATIONS OVER THE COUNTER MEDICATIONS AT ALL 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/RES0181.mp3[60.560,65.360] OK AND HAVE YOU NOTICED ANY LIKE NECK SWELLING 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/RES0039.mp3[604.240,609.480] OK AND CURRENTLY WHAT IS YOUR LIVING SITUATION LIKE audio/RES0196.mp3[44.640,50.560] IT WAS ACTUALLY LAST YEAR WHEN SHE WAS SEVEN 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/RES0081.mp3[142.160,143.960] ITS BEEN THE SAME audio/MSK0011.mp3[636.840,643.560] OK AND WHERE THE SWELLING YOU SAID IS AT THE BASE OF THE THUMB RIGHT audio/CAR0002.mp3[237.200,246.080] OK AND HAVE YOU BEEN HAVING ANY KIND OF SWELLING IN YOUR LEGS OR FEET 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/RES0022.mp3[380.480,384.360] OK SO WHEN DID THE DIARRHEA START 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/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/RES0179.mp3[339.400,342.280] NO HEADACHES audio/RES0191.mp3[179.840,181.560] UH NOPE audio/RES0070.mp3[334.120,335.720] NO NO audio/MSK0013.mp3[289.840,298.680] UM ONLY WHEN ONLY SOMETIMES WHEN IM TRYING TO GRIP THINGS PRETTY HARD audio/RES0038.mp3[429.040,431.960] OK AND HOW LONG YOUVE HAD THOSE CATS FOR audio/RES0064.mp3[251.480,258.320] YEAH HOW ABOUT A WEIGHT LOSS OVER THE PAST FEW WEEKS audio/RES0110.mp3[628.440,630.560] UH NO I DONT THINK SO 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/MSK0024.mp3[470.240,474.320] AND DOES IT HURT IN THE LOWER BACK OR NEAR THE FRONT OF YOUR HIPS audio/RES0063.mp3[349.520,353.520] SURE YEAH ARE YOU UP TO DATE WITH ALL YOUR IMMUNIZATIONS 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/RES0056.mp3[164.680,167.560] NO I DONT HAVE A SORE THROAT 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/RES0096.mp3[149.400,156.200] YEAH CERTAINLY UHM HOW MUCH BLOOD HAVE YOU COUGHED UP audio/RES0111.mp3[359.640,367.040] OK OK ALRIGHT AND UH YOU UH TRAVELED ANYWHERE RECENTLY audio/RES0033.mp3[616.680,625.040] OK UM AND HAVE YOU TRIED ANY OTHER DRUGS BESIDES MARIJUANA 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/MSK0020.mp3[270.800,273.320] UH NO FEVERS OR CHILLS audio/RES0035.mp3[395.280,399.360] OK AND DO YOU LIVE BY YOURSELF OR DO YOU LIVE WITH ANYONE ELSE audio/RES0038.mp3[63.520,74.800] OK AND DO YOU FEEL THAT ITS BEEN GETTING WORSE AT ALL YOUR COUGH audio/RES0014.mp3[476.160,477.920] OK AND WHERE DO YOU LIVE 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/RES0213.mp3[47.360,53.280] OK DID YOU HAVE ANY ACCIDENTS OR INJURIES AROUND THAT TIME audio/MSK0050.mp3[388.040,392.000] UH NO 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/RES0026.mp3[296.360,298.160] UM NO 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/RES0056.mp3[379.320,383.840] OK OK NO HOSPITALIZATIONS OTHER THAN THAT TOO RIGHT audio/RES0056.mp3[515.560,520.000] YEAH ONCE PER MONTH 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/RES0021.mp3[304.080,307.560] OH NO NO DIZZINESS EITHER audio/MSK0050.mp3[370.880,374.640] OK DO YOU TAKE ANY OTHER MEDICATIONS 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/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/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/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/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/RES0154.mp3[314.400,317.480] ALRIGHT ANY ALLERGIES TO MEDICATIONS 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/CAR0001.mp3[420.760,431.480] EXCELLENT ALRIGHT AND COULD YOU TELL ME A LITTLE BIT ABOUT YOUR LIVING SITUATION CURRENTLY audio/RES0128.mp3[388.720,395.960] NO NOTHING LIKE THAT audio/RES0144.mp3[568.040,569.120] OK SOUNDS GOOD audio/RES0017.mp3[507.360,510.160] NO NEVER IVE BEEN PRETTY FORTUNATE audio/MSK0032.mp3[247.920,252.400] UH ANY CHANGES IN BOWEL MOVEMENTS audio/RES0145.mp3[234.440,241.280] NO I HAVENT FELT ANYTHING LIKE THAT audio/MSK0028.mp3[79.080,83.680] OK SO YOU YOU YOU THINK YOU HEARD A POP AT THAT TIME audio/RES0085.mp3[393.640,395.840] NO NOTHING LIKE THAT audio/RES0118.mp3[370.400,379.480] OK AND HOW WOULD YOU DESCRIBE YOUR LIVING SITUATION RIGHT NOW audio/RES0158.mp3[160.040,165.120] UM WITHIN THE LAST UH TWO DAYS audio/RES0062.mp3[834.680,839.760] OK FOR SURE YEAH I WILL UM YEAH WE CAN TALK ABOUT THAT LATER audio/RES0075.mp3[331.880,333.200] NO NOTHING AT ALL 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[672.200,674.840] HOW MUCH WOULD YOU SAY YOU DRINK IN A WEEK audio/RES0129.mp3[410.760,420.680] OK HAS HE BEEN IN CONTACT WITH ANYONE SICK RECENTLY 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/MSK0031.mp3[369.480,372.080] OK UHM AND DO YOU SMOKE audio/MSK0004.mp3[386.520,393.760] OK THATS GOOD ANY RECREATIONAL DRUGS LIKE MARIJUANA COCAINE HEROIN ANYTHING LIKE THAT BEFORE audio/RES0183.mp3[172.280,174.120] NO SORE THROAT audio/RES0127.mp3[394.320,396.360] NO NO I DONT audio/RES0204.mp3[284.840,286.360] NO NO audio/RES0215.mp3[244.480,249.080] YES SHES FULLY UP TO DATE audio/RES0108.mp3[17.920,23.560] HAS IT BEEN PERSISTENT OR DOES IT COME AND GO 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/RES0070.mp3[242.560,245.000] MAYBE TWO DAYS AGO 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/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/RES0193.mp3[393.200,401.440] OK HAS WHEN DID UM THE MOM GET DIAGNOSED WITH ASTHMA WAS IT DURING CHILDHOOD audio/MSK0006.mp3[118.280,127.000] IT DOES I MEAN UH NOT REALLY IT HASNT REALLY HELPED MUCH audio/RES0016.mp3[579.440,582.640] NO NO audio/MSK0023.mp3[35.320,45.800] UH THIS HAPPENED ABOUT PROBABLY LIKE 6 HOURS AGO MAYBE LIKE A FEW HOURS AGO audio/MSK0006.mp3[631.800,637.760] I AM YEAH YEAH I GUESS THERES LIKE AN ANTALGIC GAIT audio/RES0007.mp3[378.600,385.760] OK ANY URINARY PROBLEMS audio/RES0015.mp3[297.040,299.600] UH NO NOT REALLY NO audio/RES0065.mp3[205.720,211.240] OK HAVE YOU NOTICED ANY KIND OF SKIN CHANGES LIKE RASHES OR ANYTHING LIKE THAT audio/RES0182.mp3[301.400,304.240] OK AND UH HOW HAS YOUR ENERGY BEEN audio/RES0128.mp3[0.000,2.320] HOW CAN I HELP YOU audio/RES0184.mp3[167.080,170.880] OK AND HAVE YOU HAD ANY CHEST PAIN audio/RES0090.mp3[272.120,278.720] OK UHM ANY HEADACHES NAUSEA VOMITING audio/RES0104.mp3[262.080,266.760] YEAH I HAVE FELT LIKE IVE BEEN BEEN BREATHING A BIT FASTER audio/RES0051.mp3[335.120,339.240] UMM POSSIBLY PENICILLIN audio/RES0097.mp3[282.600,288.240] HOW ABOUT ANY URINARY PROBLEMS LIKE PAIN OR OR FREQUENCY audio/RES0162.mp3[0.000,2.400] WHAT BRINGS YOU IN TODAY 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/RES0184.mp3[399.920,403.640] OH GOSH NO audio/RES0052.mp3[117.480,121.320] OK ANY DISCHARGE FROM THE EYES audio/RES0149.mp3[78.040,81.400] UM NO 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/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/RES0095.mp3[87.040,94.560] OK I SEE AND HAVE YOU BEEN HAVING UHM ANY SWELLING audio/RES0049.mp3[323.240,324.560] NO NOTHING LIKE THAT 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/RES0070.mp3[354.320,357.160] OK AND ANY RASHES ANYWHERE audio/RES0084.mp3[393.400,399.280] OK UM ANY COUGHING OR SHORTNESS OF BREATH audio/RES0102.mp3[747.280,748.280] AND HOW ABOUT ALCOHOL audio/GAS0003.mp3[263.880,268.400] OK HAVE YOU NOTICED BLOOD IN YOUR STOOLS AT ALL 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/RES0046.mp3[731.360,740.160] YEAH ILL HAVE A GLASS OF UM WINE ON SUNDAYS BUT THATS ABOUT IT 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/RES0138.mp3[302.520,312.640] OKAY AND ANY UM SIGNIFICANT WEIGHT CHANGES HAVE YOU LOST ANY WEIGHT audio/RES0090.mp3[367.040,370.360] OK ARE YOU ON ANY MEDICATIONS AT ALL audio/RES0053.mp3[350.400,359.680] OK OK AND THEN ANY DIZZINESS OR FAINTING SPELLS THAT YOUVE NOTICED 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/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/RES0079.mp3[451.840,455.960] NO I THINK THAT COVERS ALL THE SYMPTOMS 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/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/RES0015.mp3[27.760,32.640] ID SAY AROUND THE SAME TIME THE BREATHLESSNESS STARTED SO AROUND SIX WEEKS audio/RES0021.mp3[580.520,582.920] NO I CHECKED NO ONES BEEN SICK audio/RES0177.mp3[200.720,206.320] OK DOES HE EVER FEEL LIKE HIS HEARTS RACING audio/MSK0033.mp3[270.120,273.600] OK ANY ALLERGIES audio/MSK0001.mp3[230.640,233.680] UH NO audio/RES0017.mp3[166.120,172.320] ITS PRETTY MUCH ALWAYS THERE IT DOESNT REALLY CHANGE WITH ANY TIME OF THE DAY audio/RES0022.mp3[279.560,282.240] OH NO I HAVENT HAD THAT audio/RES0142.mp3[172.800,178.480] NO ALLERGIES audio/RES0099.mp3[469.600,475.240] ALL RIGHT SO HAVE YOU HAD ANY HOSPITALIZATIONS OR SURGERIES audio/RES0096.mp3[434.560,438.400] THEY HAVENT DONE MUCH 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/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/RES0164.mp3[54.240,57.920] YEAH ITS ITS LIKE WATERY audio/RES0139.mp3[380.520,382.640] UM SOMETIMES audio/GAS0005.mp3[253.280,254.880] NO NOT REALLY audio/RES0202.mp3[419.320,426.000] OK ANY CONFUSION OR MEMORY LOSS audio/RES0188.mp3[194.800,201.000] NO OK AND HOW MANY WET DIAPERS IS HE PRODUCING IN A DAY NOW audio/MSK0032.mp3[431.320,437.720] OKAY THATS GOOD HAS SHE COME IN CONTACT WITH ANYONE SICK RECENTLY audio/MSK0029.mp3[377.680,380.680] NO HOW ABOUT RINGING IN YOUR EARS audio/MSK0036.mp3[636.600,638.600] OK SO NO RECREATIONAL DRUGS audio/RES0190.mp3[461.280,469.360] OK HAVE YOU TRAVELED ANYWHERE RECENTLY audio/RES0125.mp3[45.520,48.240] UM ITS KIND OF THE SAME audio/RES0055.mp3[485.160,488.840] ANY FAMILY HISTORY OF LUNG CONDITIONS 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/RES0112.mp3[365.520,375.240] OK ALRIGHT THATS THATS GOOD UM OK AND DOES HE HAVE ANY ALLERGIES THAT YOURE AWARE OF 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/RES0084.mp3[573.040,576.240] YEAH I DONT MISS ANY DOSES audio/RES0203.mp3[299.040,305.560] DO YOU HAVE ANY FAMILY HISTORY OF RESPIRATORY PROBLEMS CANCERS OR HEART PROBLEMS audio/RES0144.mp3[214.760,218.560] NO I HAVENT NOTICED THAT 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/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/MSK0008.mp3[697.320,702.240] AND HOW ABOUT IF YOU PULL THE TIBIA POSTERIORLY ANY INSTABILITY 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/MSK0050.mp3[251.240,254.160] HOW ABOUT ANY FEVERS OR CHILLS audio/RES0013.mp3[443.600,451.120] YEAH OK ANY OTHER RECREATIONAL DRUGS 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/MSK0031.mp3[344.880,350.320] NO NOT THAT I KNOW OF 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/RES0046.mp3[275.000,277.640] NO WEIGHTS BEEN STABLE audio/RES0051.mp3[484.240,492.640] OK UM AND ANYBODY IN THE FAMILY HAVE ASTHMA OR LUNG CONDITIONS audio/RES0092.mp3[273.160,282.080] ALRIGHT SO I LIVE WITH A FEW ROOMMATES IM JUST FINISHING UP MY UNDERGRADUATE DEGREE audio/MSK0035.mp3[502.640,508.800] ILL TAKE AN EDIBLE ONCE IN AWHILE AS WELL LIKE MAYBE ONCE A MONTH audio/RES0207.mp3[268.880,274.160] YOU SAID YOU TAKE A MEDICATION WHAT MEDICATION OR MEDICATIONS ARE YOU CURRENTLY TAKING audio/RES0106.mp3[422.520,428.120] I STARTED SMOKING IN HIGH SCHOOL SO WHEN I WAS 18 YEARS OLD 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/RES0073.mp3[374.080,379.000] NOT DISCHARGE BUT YEAH MAYBE A LITTLE BIT OF REDNESS 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/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/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/RES0020.mp3[278.960,281.760] NO NOTHING LIKE THAT 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/RES0144.mp3[238.000,244.120] UHM UP AGAINST LIKE A SOFA OR CHAIR BUT NOT REALLY ON HIS OWN 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/MSK0038.mp3[678.360,680.440] UH YEAH NO PAIN THERE 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/RES0133.mp3[200.560,204.800] AND ANY CHANGES TO YOUR WEIGHT RECENTLY audio/RES0067.mp3[286.880,288.720] UM NO audio/RES0100.mp3[726.680,730.120] NO NO NO CANCER IS IN THE FAMILY audio/RES0204.mp3[286.360,289.560] DO YOU TAKE ANY MEDICINES audio/GAS0003.mp3[473.760,478.240] OK AND DO YOU SMOKE CIGARETTES 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/RES0122.mp3[370.120,375.320] YEAH DEFINITELY UH WHEN I GET REALLY STUFF STUFFY LIKE I DONT REALLY SMELL ANYTHING 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/RES0027.mp3[240.960,248.520] OK UM AN IN THE LAST SEVERAL MONTHS HAVE YOU HAD ANY WEIGHT LOSS audio/MSK0043.mp3[883.040,884.960] ALRIGHT YOURE WELCOME audio/RES0084.mp3[165.880,174.760] SOMETIMES ITS JUST LIKE A THROBBING PAIN audio/RES0116.mp3[283.640,285.840] UH NO HE HASNT BEEN REALLY COUGHING audio/RES0022.mp3[847.800,851.960] OK AND THEN HOW ABOUT ANY RECREATIONAL DRUGS audio/RES0051.mp3[507.520,515.840] OK AND ANY DISEASES THAT RUN IN THE FAMILY LIKE GENETIC OR CONGENITAL audio/RES0177.mp3[289.240,297.120] OK AND IS HE AN OTHERWISE HEALTHY CHILD UMM DOES HE HAVE ANY LONGSTANDING MEDICAL CONDITIONS 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/RES0011.mp3[419.560,424.320] OK AND HAVE YOU HAD ANY URINARY PROBLEMS 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/RES0126.mp3[436.560,438.200] A COUPLE OF HOSPITALIZATIONS 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/RES0173.mp3[30.320,40.840] STARTED YESTERDAY OK WELL IM GLAD ITS GETTING BETTER WHEN DID THE COUGH START 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/RES0210.mp3[195.200,198.440] SO YOU KIND OF JUST CLEAR IT UP AND THAT FEELS A LITTLE BIT BETTER audio/RES0044.mp3[782.920,786.240] UH NOT THAT I CAN THINK OF audio/RES0104.mp3[230.520,232.160] NO I HAVENT audio/RES0201.mp3[485.600,487.040] NO NO OTHER DRUGS audio/RES0062.mp3[839.760,845.920] OK THAT SOUNDS GOOD AND DO YOU DO ANY OTHER RECREATIONAL DRUGS 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/RES0198.mp3[294.960,297.400] NO ANY AUTOIMMUNE DISEASES 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/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/RES0007.mp3[806.440,812.160] UH NO audio/RES0124.mp3[155.680,159.640] UM ANY CHANGES IN YOUR VISION OR YOUR HEARING audio/RES0184.mp3[345.920,351.120] OK AND ARE YOU GOING TO CLASSES IN PERSON RIGHT NOW 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/RES0128.mp3[358.800,363.560] NO OK GOOD UHM IS HE UP TO DATE WITH ALL HIS IMMUNIZATIONS audio/RES0070.mp3[569.600,574.040] YOURE WELCOME audio/MSK0032.mp3[239.360,241.240] UM NO audio/RES0190.mp3[38.400,43.480] OK HAVE YOU NOTICED ANY CHANGES TO YOUR VOICE audio/MSK0010.mp3[459.840,464.960] OK SO IT SOUNDS LIKE A RANGE OF MOTION IS DECREASED audio/RES0105.mp3[599.200,603.000] OK ANY ANY COMPLICATIONS AFTER THAT SURGERY AT ALL audio/MSK0009.mp3[206.320,216.360] YES I ALSO THINK THERES SOME SWELLING IN MY RIGHT CALF AS WELL SINCE YESTERDAY audio/RES0107.mp3[0.000,3.880] WHAT BRINGS YOU IN 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/RES0215.mp3[261.520,265.200] UH NO SHES OTHERWISE PRETTY HEALTHY audio/RES0018.mp3[307.760,311.560] NO NOTHING LIKE THAT JUST FEELING TIRED audio/RES0141.mp3[299.840,300.800] UH NO audio/RES0185.mp3[62.400,66.840] NO NOT NOTHING LIKE THAT I HAVENT SEEN ANY YELLOW GREEN OR OR BLOODY audio/RES0135.mp3[262.440,267.040] OKAY UM ITS STILL GOING ON BUT BUT JUST LESS 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/RES0206.mp3[562.080,563.920] UH MY HUSBAND audio/RES0118.mp3[393.240,396.000] DO YOU USE ANY RECREATIONAL DRUGS LIKE MARIJUANA audio/RES0186.mp3[104.240,110.400] NO I HAVENT REALLY HAD A RUNNY NOSE NO RUNNY NOSE audio/RES0209.mp3[323.280,327.040] HAVE YOU HAD ANY FEVERS audio/RES0129.mp3[343.080,345.280] NO HES NOT 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/MSK0041.mp3[297.760,301.680] OK AND HOW ABOUT ANY NAUSEA OR VOMITING 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/RES0066.mp3[196.120,199.080] UM NO audio/RES0122.mp3[176.960,178.920] NO NOT THAT IVE NOTICED 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/MSK0042.mp3[147.440,151.800] OKAY HAVE YOU HAD ANY UNEXPECTED WEIGHT LOSS audio/GAS0004.mp3[502.400,513.440] NOPE I DONT THINK SO audio/RES0068.mp3[247.880,253.560] UH I WOULD SAY FOR THE PAST THREE DAYS audio/MSK0008.mp3[729.840,735.360] OK AND ANY SENSORY CHANGES TO THE SKIN audio/RES0101.mp3[649.800,653.320] NO I THINK THATS THATS ALL audio/RES0039.mp3[239.200,247.040] OK ANYTHING THAT MAKES YOUR COUGHING GO AWAY OR MAKES IT WORSE AT ALL audio/RES0064.mp3[178.800,184.600] OK DIZZINESS OR FAINTING SPELLS audio/RES0181.mp3[30.520,35.840] OK IS IT PAINFUL TO SWALLOW FOOD OR LIQUIDS audio/RES0166.mp3[31.040,37.560] OK AND WHAT WERE YOU DOING BEFORE YOU HAD THE SHORTNESS OF BREATH audio/RES0150.mp3[301.040,306.440] OK UH HAS HE BEEN DIAGNOSED WITH ANY MEDICAL CONDITIONS BEFORE audio/RES0151.mp3[508.040,515.640] UH NO I HAVE HAVENT HAVENT SMOKED EVER audio/RES0063.mp3[309.960,315.160] YEAH OK AND DO YOU TAKE MEDICATION FOR ANY OF THESE THINGS audio/MSK0050.mp3[304.440,310.760] HOW ABOUT ANY ABDOMINAL PAIN audio/RES0078.mp3[63.280,73.880] UHM NOT LIKE NO NOTHING LIKE THIS HAS HAPPENED BEFORE audio/RES0075.mp3[160.160,165.160] I SEE OK AND HAS ANYTHING LIKE THIS HAPPENED TO YOU BEFORE audio/RES0029.mp3[5.000,10.640] SO I CAME TO THE EMERGENCY DEPARTMENT BECAUSE IVE BEEN HAVING PAIN IN MY CHEST audio/MSK0043.mp3[57.760,63.400] OKAY I SEE AND HAVE YOU EVER HAD CELLULITIS IN THAT AREA 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/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/RES0102.mp3[543.760,552.920] OK AND DO YOU HAVE ANY EXPOSURE TO DUST FUMES ANIMALS ANYWHERE IN YOUR SURROUNDING audio/MSK0036.mp3[857.480,864.600] UM YEAH I DO FEEL IT AS WELL THERE audio/RES0025.mp3[213.520,221.120] NO I HAVENT BEEN SICK LIKE THIS BEFORE audio/MSK0050.mp3[132.800,135.080] UH MAYBE SLIGHTLY audio/RES0123.mp3[457.320,462.160] UM FOR PROBABLY THE LAST 20 YEARS audio/RES0130.mp3[183.600,187.880] UM HOW ABOUT A STUFFY OR RUNNY NOSE audio/RES0173.mp3[87.600,92.480] ARE YOU FEELING FEVERISH TODAY AS WELL audio/MSK0023.mp3[251.560,255.840] OK YOU SEE IS IT WARM TO TOUCH audio/RES0213.mp3[184.880,188.200] EXACTLY YEAH LIKE WHEN IM STUDYING 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/RES0094.mp3[263.240,269.440] ALL RIGHT GOOD ANY MEDICATIONS THAT YOU TAKE ON A REGULAR BASIS audio/RES0106.mp3[475.000,479.160] OK GLASS OF WINE OR BEER audio/MSK0013.mp3[245.880,251.640] OK AND DO YOU HAVE ANY NUMBNESS OR TINGLING TO ANY OTHER PARTS OF YOUR BODY audio/MSK0006.mp3[725.120,727.080] DOES THAT HURT audio/RES0149.mp3[308.480,312.320] UM KIND OF IN THE CALF AREA audio/RES0013.mp3[266.640,270.440] DOES IT GET BETTER WITH YOU SITTING FORWARD audio/RES0077.mp3[75.400,78.000] YEAH ITS BEEN CONSTANT 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/RES0073.mp3[278.240,282.840] I SEE OK AND HAVE YOU HAD ANY CHEST PAIN 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/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/MSK0021.mp3[257.840,262.040] OK ANY CHANGES IN YOUR BOWEL MOVEMENTS audio/RES0001.mp3[568.400,570.120] BUT HOW ABOUT HEART audio/MSK0032.mp3[37.760,41.640] OH YEAH FOR SURE UM WHEN DID THIS START audio/RES0125.mp3[380.800,385.600] TO PENICILLIN OKAY AND WHAT KIND OF REACTION DO YOU GET TO PENICILLIN audio/RES0141.mp3[216.720,222.000] OKAY ANY FLUID IN YOUR ANY SORT OF SWELLING IN YOUR LEGS audio/MSK0036.mp3[829.400,832.360] YEAH YEAH I DEFINITELY DO audio/RES0118.mp3[469.320,472.640] UH NO THANK YOU THAT WAS GOOD 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/RES0210.mp3[102.520,106.440] IT ALL STARTED AT ONCE TO BE HONEST audio/RES0181.mp3[350.920,357.400] OK UHM AND HAVE YOU TRAVELED ANYWHERE 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/RES0104.mp3[79.080,83.600] OK HAVE YOU BEEN FEELING ANY CHEST PAIN AT ALL 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/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/RES0031.mp3[129.000,133.960] OK ANY OTHER SYMPTOMS THAT YOU BEEN EXPERIENCING audio/RES0100.mp3[571.840,575.880] CURRENTLY NO NO audio/RES0163.mp3[393.320,399.360] I SNORE AT NIGHT SOMETIMES BUT THATS THATS ABOUT IT audio/RES0015.mp3[589.440,592.000] NO NOT THAT I KNOW audio/RES0050.mp3[190.120,195.680] ANY DISCHARGE FROM EITHER EITHER YOUR EARS OR EYES 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/RES0190.mp3[305.480,313.320] OK AND HAVE YOU HAD ANY URINARY PROBLEMS LIKE PAIN WITH VOIDING OR URINARY FREQUENCY audio/MSK0019.mp3[411.800,417.000] UH NO UH JUST ON INSPECTION DO YOU SEE ANY REDNESS OR SWELLING audio/RES0185.mp3[201.840,206.160] NO NO PAIN WITH URINATION 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/RES0072.mp3[476.960,480.720] NO IVE FELT WELL OTHERWISE audio/RES0081.mp3[572.440,573.080] UH NO 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/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/RES0089.mp3[456.560,467.040] AND HAVE YOU NOTICED ANY KIND OF UH SIGNIFICANT WEIGHT LOSS OR ANYTHING LIKE THAT RECENTLY 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/MSK0050.mp3[323.680,327.800] OK AND HAVE YOU HAD ANY CHANGES TO YOUR HAIR OR NAILS audio/RES0125.mp3[206.880,209.600] WHEN WAS THAT audio/RES0097.mp3[63.680,64.920] NO NO 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/RES0021.mp3[142.080,149.280] OK SO YOUVE BEEN FEELING WELL RECENTLY 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/RES0072.mp3[377.840,382.640] AND DID YOU MANAGE TO GET LIKE A TEMPERATURE AT ALL 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/CAR0004.mp3[290.200,296.760] DO YOU HAVE ANY FAMILY HISTORY OF ANY HEART CONDITIONS OR ANY CANCERS OR ANYTHING LIKE THAT 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/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/RES0182.mp3[472.480,475.640] HEART OR LUNG UH NO NOT THAT I KNOW OF audio/RES0106.mp3[166.440,169.320] YEP THEYVE BEEN NO CONCERNS audio/RES0049.mp3[588.480,590.840] OK HOW ABOUT OTHER RECREATIONAL DRUGS audio/RES0109.mp3[108.480,109.400] UM NO audio/RES0083.mp3[435.280,446.480] OK DO YOU TAKE ANY HERBAL MEDICATIONS OR ANY VITAMINS OR ANYTHING ELSE OVER THE COUNTER audio/RES0139.mp3[162.880,167.200] ANY DIARRHEA OR CONSTIPATION 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/MSK0011.mp3[43.120,47.200] OK AND WHEN YOU HAD YOUR FALL WHEN WAS YOUR FALL audio/RES0103.mp3[259.640,267.560] OK ANY EXPOSURE TO ANY ALLERGENS OR LIKE FUMES DUST ANIMALS audio/RES0198.mp3[221.840,233.800] OK AT HOME OR AT WORK HOME ANY EXPOSURE TO LIKE FUMES DUST OR ANIMALS audio/RES0126.mp3[241.560,245.600] NO NOTHING LIKE THAT HAVE YOU BEEN IN CONTACT WITH ANYONE THATS BEEN SICK audio/RES0149.mp3[502.440,509.840] OK AND HAS SHE BEEN SICK OR HAVE YOU BEEN ANY AROUND ANYBODY WHOS BEEN SICK audio/RES0108.mp3[125.680,131.160] ANY SWELLING IN YOUR LIMBS audio/RES0125.mp3[295.800,300.680] OKAY ANY CHANGES IN YOUR URINATION audio/MSK0050.mp3[255.400,257.720] HAVE YOU HAD ANY NIGHT SWEATS audio/RES0028.mp3[428.040,430.960] OK ANY HOSPITALIZATIONS RECENTLY audio/RES0037.mp3[399.560,403.200] UH MAYBE A FEW POUNDS BUT UM audio/RES0046.mp3[206.440,213.120] NO FAINTING OK ANY UM PAIN IN YOUR THROAT audio/RES0166.mp3[28.080,31.040] IT WAS WHEN I WAS DOING ACTIVITIES audio/RES0133.mp3[60.520,63.960] NO ITS PRETTY DRY audio/RES0121.mp3[281.400,289.040] I LIVE IN UM AN APARTMENT BY MYSELF IM A STUDENT audio/RES0189.mp3[321.960,327.640] HAVE YOU HAD ANY LIKE EYE REDNESS OR EYE DISCHARGE audio/RES0034.mp3[537.280,542.880] OK ANY EVIDENCE OF SEIZURE OR LIMB JERKING audio/RES0190.mp3[346.360,352.360] OK AND HAVE YOU HAD ANY CHANGES TO YOUR ENERGY LIKE ANY FATIGUE OR MALAISE 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/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/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/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/RES0070.mp3[444.080,446.720] WELL MIGRAINES KINDA RUN IN THE FAMILY 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/RES0060.mp3[795.280,801.520] YEAH I LIVE WITH MY GIRLFRIEND audio/RES0127.mp3[139.240,140.440] JUST IN THE MORNING audio/RES0014.mp3[685.440,689.360] OK SOUNDS GREAT WELL WELL SEE YOU SOON THEN audio/RES0025.mp3[226.280,232.120] I JUST GOT BACK FROM A TRIP IN THE US WAS THERE FOR WORK 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/RES0031.mp3[19.440,24.000] OK AND HOW LONG HAS THIS BEEN GOING ON FOR audio/RES0016.mp3[358.160,363.720] OK AND ARE YOU OTHERWISE HEALTHY DO YOU HAVE ANY OTHER MEDICAL CONDITIONS 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/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/RES0182.mp3[281.800,286.200] ANY PARTICULAR MUSCLES OR IS IT MORE GENERAL 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/RES0026.mp3[733.840,736.000] I DONT 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/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/RES0061.mp3[224.080,231.920] YEAH FOR SURE AND HOW ABOUT ANY CHANGES IN YOUR VISION OR HEARING audio/RES0095.mp3[573.600,576.760] NO NO I DONT audio/RES0038.mp3[744.200,749.800] YOURE WELCOME WELL TAKE CARE audio/RES0033.mp3[496.640,501.720] OK UM DO YOU HAVE ALLERGIES 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/RES0138.mp3[244.040,247.120] AND ANY CHEST PAIN audio/RES0015.mp3[609.760,615.760] NO CANCERS THAT RUN IN THE FAMILY NO 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/RES0107.mp3[145.200,147.920] OK YEAH SO NO BLOOD OR PUS audio/RES0165.mp3[94.600,97.320] ITS PRETTY RANDOM audio/RES0202.mp3[416.520,419.320] NO JUST LIKE FATIGUE audio/RES0186.mp3[68.360,70.280] ITS A DRY COUGH 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/RES0184.mp3[49.000,57.680] OK HOW ABOUT A CHANGE TO YOUR SENSE OF SMELL LIKE LOSS OF SMELL audio/RES0126.mp3[624.880,626.720] NO SO CURRENTLY DO YOU WORK AT ALL audio/MSK0001.mp3[425.880,430.360] OK AND DO YOU SMOKE audio/RES0120.mp3[291.360,297.160] AND DO YOU UM FIND THAT YOUR HEART IS RACING AT ALL 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/RES0049.mp3[299.680,309.200] I JUST TOOK IT LIKE FOR FOUR DAYS JUST BEFORE GOING TO SLEEP IN THE LAST WEEK audio/MSK0029.mp3[423.720,428.360] ANY CHANGES TO YOUR HEARING audio/RES0179.mp3[145.520,148.360] ITS MORE LIKE DULL 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/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/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/RES0113.mp3[235.920,240.560] ANY LOSS OF TASTE OR LOSS OF SMELL audio/MSK0017.mp3[33.920,42.240] RIGHT OK AND WHAT DO YOU DO FOR WORK 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/RES0024.mp3[126.120,135.000] OK ANY CHANGES TO URINARY HABITS ANY PAINFUL URINATION OR NEEDING TO GO MORE OFTEN 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/MSK0009.mp3[289.360,292.680] NO COUGH audio/RES0059.mp3[757.600,759.040] OK AWESOME THANK YOU audio/RES0203.mp3[162.920,165.960] OK ANY CHILLS OR NIGHT SWEATS 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/CAR0003.mp3[525.080,531.480] UM MY FATHER DIED OF A HEART ATTACK WHEN HE WAS 60 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/RES0074.mp3[49.400,56.960] OK HAVE YOU BEEN EATING OR DRINKING LESS THAN USUAL audio/GAS0002.mp3[339.680,342.640] NO NO I DONT THINK SO audio/MSK0019.mp3[290.480,293.360] MY DAD HES 60 audio/RES0061.mp3[290.440,296.680] ALRIGHT SO NO CHANGE IN YOUR COUGH IS IT A DRY COUGH OR A WET COUGH 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/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/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/RES0081.mp3[667.240,669.560] OR HOW ABOUT ANY GENETIC DISEASES audio/RES0082.mp3[219.760,221.920] ANY CHEST PAIN audio/MSK0038.mp3[366.360,374.840] OK UM HOW ABOUT HOSPITALIZATIONS OR SURGERIES IN THE PAST 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/RES0205.mp3[48.440,51.760] MM AND ITS ITS NOT LETTING UP audio/RES0062.mp3[804.920,812.240] IT HELPS ME SLEEP audio/MSK0008.mp3[348.760,353.040] ALRIGHT AND HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATIONS BEFORE audio/GAS0003.mp3[405.520,410.840] OH NO IM IM LAID OFF BECAUSE OF COVID audio/RES0139.mp3[143.880,146.800] UM NO NOTHING LIKE THAT audio/RES0092.mp3[230.040,234.000] YEAH I IM HEALTHY I HAVENT BEEN DIAGNOSED WITH WITH ANYTHING audio/MSK0022.mp3[516.560,522.600] OK ANY NUMBNESS OR TINGLING SENSATION ANYWHERE ANYWHERE IN YOUR BODY 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/RES0043.mp3[398.680,403.560] REALLY BEEN LOOKING BUT I DONT THINK SO audio/RES0145.mp3[377.600,379.520] NO IM NOT audio/RES0052.mp3[85.360,92.400] ALRIGHT AND IS THE COUGH WORSE AT ANY PARTICULAR TIME OF DAY audio/MSK0025.mp3[594.480,599.000] UM NOT THAT I CAN TELL audio/RES0055.mp3[557.320,559.280] OK HOW MUCH DO YOU SMOKE audio/RES0140.mp3[43.400,46.320] YEAH MAINLY ITS DURING THAT TIME audio/MSK0021.mp3[168.520,170.840] NO JUST JUST THE LEFT KNEE audio/RES0109.mp3[231.520,236.200] NO LIKE SPECIFIC JOINT PAINS audio/RES0188.mp3[370.520,373.040] OK HOW OLD IS SHE audio/RES0129.mp3[49.000,50.640] ITS BEEN DRY audio/RES0034.mp3[252.480,256.920] NO NO NO I DIDNT SEE ANY BLOOD audio/RES0020.mp3[381.000,384.800] HOW ABOUT ANY ANY CHILLS audio/RES0138.mp3[498.480,501.400] OH JUST A A GLASS OF WINE WHITE WINE audio/RES0099.mp3[394.960,398.120] OK HAVE YOU USED INSULIN BEFORE audio/RES0210.mp3[203.520,207.720] OK HAVE YOU FELT A SORE THROAT AT THE SAME TIME 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/RES0114.mp3[224.320,226.280] UH NOPE audio/RES0046.mp3[173.760,175.760] NO NOTHING LIKE THAT audio/RES0195.mp3[283.360,289.360] NO NO JOIN PAINS