| {"audio": "dataset\\resampled_file\\RES0213.wav", "text": "D: Yeah, so you're a 26 year old, generally healthy and with, sorry back pain?\n\nP: Chest pain. \n\nD: Chest pain, OK. When did the chest pain start?\n\nP: Um so I, I guess I I don't know if I'd really call it pain, it's it's been just very uncomfortable, like it just felt a little odd for like a week and a half. It's kind of.\n\nD: A week and a half? \n\nP: Yeah, it's kind of like a very sharp, strong pain uh when I take a deep breath.\n\nD: OK. \n\nP: But I don't notice it all the time, it's just, it's often when um I'm sitting and studying or when I'm walking, when I'm walking to school.\n\nD: OK, did you have any accidents or injuries around that time?\n\nP: Uh no, nothing that I can think of.\n\nD: OK, did it come on suddenly? Or is it more gradual?\n\nP: Yeah, it's uh, no it's it's pretty, it's pretty well, it seems the same each time. It kind of lasts like 20 minutes or so, um and I've tried Tylenol and I've tried Advil um and I've even tried like a like an Alka-Seltzer and it hasn't really helped very much.\n\nD: OK, so it's pretty, it's not consistent throughout the day, it only happens at certain times of the day?\n\nP: Yeah, it'll come on for like 20 minutes like here and there.\n\nD: OK, anything that you think triggers it?\n\nP: I don't I don't really know. Uh I was kind of worried um, I was kind of worried that it could be a heart thing, I I feel like it might it might be, it could be stress uhm but I'm I'm not really sure, my dad had a heart attack last year, he was pretty young. He's like in his 50s and it it just kind of scares me because now he's having these heart problems.\n\nD: OK, so these chest pains last for about 20 minutes, it only happens when you take a deep breath in, and after the 20 minutes, do they come and go? Is it something that gradually weans off, or is it fairly sharp?\n\nP: It seems like it kind of goes away once I, once I'm at school and like talking to people and doing other things. It's kind of when I'm, I notice it when I'm on my walks when I'm alone or like when I'm studying alone more, like maybe I have it when I'm talking to other people, but I don't really notice it.\n\nD: OK, does it get worse with exercise?\n\nP: Uh I don't think so. It just kind of, like when I'm walking to school, it kind of stays the same. I haven't done any strenuous exercise lately, 'cause I've just had so much uh schoolwork piling up.\n\nD: So you mainly get it at, so you can get it at rest, I should say.\n\nP: Exactly, yeah, like when I'm studying.\n\nD: OK, any fevers? Sick at all last little while?\n\nP: Uh no, no, I don't think so.\n\nD: No, you've been feeling well otherwise?\n\nP: Yeah, I mean, besides just kind of feeling stressed, I uh like I I've been trying to quit smoking and that's been, that's been kind of hard, and school's just very, very busy right now.\n\nD: When did you stop smoking?\n\nP: Um so like I guess I'm trying to quit, I'm smoking less than I used to. I probably smoked 5 cigarettes a day, but it used to be a little bit more.\n\nD: OK, coming back to the stress, is there anything recently that's causing you more worries?\n\nP: Um it's just that I'm I'm doing my Masters of social work and I'm getting towards the end and it's just, it's very scary because I'm working on my final uh thesis and there's just a lot involved and it's it's just making me very nervous.\n\nD: OK, is there anything special about the last couple of weeks that's made you more stressed than previously?\n\nP: Uh I think just the the time crunch of having to to finish this. I've never felt like so, like there is so little time to do the work that I need to do.\n\nD: Got it. Have you ever felt this pain before, anytime in your life?\n\nP: No, no, not before this.\n\nD: OK. So it comes on several times a day, not necessarily triggered by anything, and you said you smoke. When did you start smoking?\n\nP: Um like when I was probably 18 I I sometimes smoked a little and then I smoked a little more, um maybe like 10 cigarettes a day for uh like the last two years. But then a few months ago I've been I've been cutting it in half. \n\nD: OK, now when you get this this chest pain, do you ever feel short of breath?\n\nP: Um I I think I I make myself nervous with it and then I kind of start breathing faster, but I don't have a hard, I don't have a hard time breathing otherwise, and it's hard to get a deep breath 'cause I'm, it makes me really nervous.\n\nD: Does your heart ever flutter? Feel like it's skipping a beat?\n\nP: Uhm no, only if I, only if I, if I, if I'm having kind of an anxiety attack that's felt like that before, but not any other time\n\nD: OK, don't get any chest pain, all right, and just in terms of other things, so anything else you've seen a doctor for in the past? You mentioned anxiety attacks.\n\nP: Yeah, um like I talked to my family doctor about that when I was a teenager but I really haven't, you know, seen my doctor for it anytime in the last like eight years or so.\n\nD: Anything else you see your family\n\nP: I don't, oh, sorry, no nothing else. I just I thought I was kind of, when I was in high school I had those and then I really haven't for a long time. But um lately I felt like this like I could maybe get them again. \n\nD: So you've never had asthma as a child?\n\nP: Uh no. \n\nD: And you don't have asthma now?\n\nP: No.\n\nD: OK, do you take any medications right now?\n\nP: Uh no, like I take like a multi vitamin but that's it.\n\nD: OK, and you live in London?\n\nP: Mhmm, like for school.\n\nD: Got it. You're doing a Masters in social work, anyone around you been sick at all last little while?\n\nP: No, like I live alone, I haven't really seen very many people lately.\n\nD: OK, and how do you manage stress when you do get it?\n\nP: Um I try to I try to like set some time aside just to read books that like I like to read instead of like school books uh at night time, and uh I do really enjoy running, it's, I've been a little bit nervous to do it lately, but usually I run like a few times a week.\n\nD: OK, and when you're pretty preoccupied, do you ever get the chest pain? \n\nP: Um like when I'm really, when I'm work, like working with classmates or uh like thinking really like if I'm talking to someone else, I don't really get it or if I if I'm like working on a task with my hands, but it's when I'm walking and I am alone kind of with my thoughts or when I'm studying, that's when I when I get it.\n\nD: Understood and you said your father passed early from a heart attack, I'm sorry, but anyone else in your family either your parents or mum have any health issues? \n\nP: Oh he's uh he's alive, like he had a heart attack and just now he has to see a lot of heart doctors. Um no, there's nothing else in my family like that. I don't really know like about my grandpa, like my dad's dad, but like he might have also, um he just kind of, he just passed away young from um like an accident. So yeah, I'm not really sure.\n\nD: Got it, so no one has died suddenly with no explanation when they were young or while they were swimming?\n\nP: No.\n\nD: No one's ever talked about arrhythmias, or is that a word familiar to you?\n\nP: No, no, just my dad and his heart attack. That's like the only thing I know of.\n\nD: OK, sounds good. I think I've got all the information I need and I'll pass it on to the doctor who'll take a look at you, OK? Have a good one.\n\nP: OK, thank you."} | |
| {"audio": "dataset\\resampled_file\\RES0068.wav", "text": "D: So what brings you in here today?\n\nP: So I've had this stuffy nose for the past three days. I'm getting some yellow discharge from the nose. I can't seem to smell well. And I have had this terrible headache for the past two days as well.\n\nD: OK, so just to kind of get a timeline, what kind of started first?\n\nP: So first, my nose was kind of stuffy. And and then I started having this yellow discharge from the nose and then I kind of lost some of my smell. And then now my head hurts. It's not even like, it's not like a headache, it's like a facial pressure \n\nD: OK. And have you had any of these symptoms before?\n\nP: No, never. \n\nD: OK. Alright, have you noticed...so you said like the discharge is yellow, how much of the discharge are you having like in a day?\n\nP: Like probably enough to fill the inside of my palm.\n\nD: OK, and have you been having any fevers or chills?\n\nP: Uh, no, nothing like that. I did have what they thought was a viral infection a week back. \n\nD: OK. And did you recover from it, like on your own?\n\nP: Yeah, it went away on its own.\n\nD: OK, so it was just, you just had some cold-like symptoms?\n\nP: Yeah, that's right.\n\nD: OK, alright, have you been coughing at all?\n\nP: Uh, no. \n\nD: OK, any sore throat?\n\nP: No.\n\nD: Any trouble breathing?\n\nP: No.\n\nD: Any loss of sense of taste or smell?\n\nP: I guess loss of smell.\n\nD: OK, and did that come after the congestion or was it present before?\n\nP: The loss of smell came after the congestion.\n\nD: OK, and would you say you're still pretty congested?\n\nP: I think so, yeah. \n\nD: OK. And has it been getting worse would you say? Or do you feel that it's getting better?\n\nP: Um, I would say it's getting worse.\n\nD: OK, and right now what would you say is the most troubling symptom for you? Is it that pressure in your face or is it the congestion?\n\nP: It's the...it's the pressure in my face. It hurts. \n\nD: Yeah, have you tried any medications, over the counter medications at all?\n\nP: I tried some nasal sprays. And like decongestions but it's not really helping. \n\nD: OK. And so you've tried nasal sprays? Have you tried any of those, like nasal rinses, or anything like that?\n\nP: Yeah, and they don't seem to be helping.\n\nD: I see, OK. Any recent contact with anyone who's been ill or any recent travel? \n\nP: Uh, no. \n\nD: OK, any nausea or vomiting? \n\nP: Uh, no.\n\nD: Any fevers or chills?\n\nP: No. \n\nD: Any fatigue?\n\nP:: Yeah, I've been feeling tired.\n\nD: OK, and how many days would you say you've been feeling tired for?\n\nP: Uh, I would say for the past three days?\n\nD: OK, and do you feel that, you know you're having some discharge, but do you feel that there is mucous building up and dripping down your throat or anything like that?\n\nP: Yeah, now that you mention it, it does feel like that.\n\nD: OK, and have you noticed at all or has someone told you that your breath might smell bad? Or have you noticed it yourself?\n\nP: Oh gosh, I hope not, no. No one said that.\n\nD: OK yeah, sometimes with like mucous buildup it can affect like your breath as well. So yeah, just wondering. Any chest pain at all?\n\nP: No, no chest pain.\n\nD: Constipation or diarrhea?\n\nP: No.\n\nD: Any issues with urinating?\n\nP: No, no issues there.\n\nD: Any changes in your sleep or appetite?\n\nP: Well, I guess sleeping is a little bit harder now because of the pressure in my face, but other than that, no.\n\nD: OK, is there anything that helps you at all that you've tried? \n\nP: Like just the positions of how I'm sleeping sometimes helps, yeah.\n\nD: OK, so this has been going on for, just remind me again, like the last four day?\n\nP: Yeah, the last three days, last three days.\n\nD: OK. Do you have any other medical conditions at all that you've been diagnosed with in the past?\n\nP: No, not that I can think of.\n\nD: OK. Alright, so have you noticed at all any weight changes? \n\nP: No. \n\nD: OK, and have you been exposed to like fumes or dust? Or how do you have any animals or pets at home?\n\nP: No, nothing like that.\n\nD: OK, and do you take any medications or anything regularly?\n\nP: Um no, I just take some multivitamins. \n\nD: OK, and do you know if you have any allergies?\n\nP: I just have some, I just have some seasonal allergies. \n\nD: OK, any previous hospitalizations or surgeries?\n\nP: Uh, no, actually I had my appendix taken out when I was 12. \n\nD: OK. Right, and do you have any family history of any conditions, like any lung conditions, heart conditions, any cancers?\n\nP: Um, I know that there's some asthma that runs in the family.\n\nD: OK, and have you ever been diagnosed with asthma?\n\nP: No.\n\nD OK. Where currently where do you live?\n\nP: I live in a house with my husband and my 3 year old daughter. \n\nD: OK. And do you currently smoke cigarettes? \n\nP: No.\n\nD: Do you drink alcohol? \n\nP: I don't.\n\nD: Any recreational drugs like marijuana?\n\nP: Um, I'll smoke a joint or two once a week.\n\nD: Ok, a joint or two, OK. And is that, is that just recreationally or has it been helping at all with your symptoms?\n\nP: Uh, that's just recreationally. \n\nD: OK. Alright, yeah, so those are all the questions I had for you today. Do you have any questions at all for me?\n\nP: Uh, no, what was like, what do you think I have?\n\nD: Yeah, so from the symptoms that you're describing, it does seem more like sinus issues. There's a sinus behind your face and what can happen is if you get an infection, like all the the mucous and everything can build up and increase the pressure. That's the pressure you're feeling underneath your face. It's because of a sinus infection most likely. And usually like, it's usually like a viral infection that can go away on its own. We usually ask patients to try the nasal rinses, and then some oral decongestents. Or have you tried any anti histamines?\n\nP: No, I haven't. \n\nD: OK, so no antihistamines. It seems most likely that you have a sinus infection. It can be bacterial with the yellow discharge that you're having as well. So we can give you some antibiotics, so will give you some. Amoxicillin. \n\nP: Sure.\n\nD: So it's only been three day since you're having these symptoms, right? And you haven't had any high fever or anything like that? Have you measured your temperature?\n\nP: I haven't, I haven't, no. \n\nD: OK.\n\nP: I don't feel hot though.\n\nD: OK, since it's been three days, what I'm going to do is still give you some antibiotics so Amoxicillin and then we'll see like after you finish that dose how you feel. And will set up another appointment for when we can do like a phone appointment and or clinic appointment when your doses are done. Does that sound good?\n\nP: Yeah that sounds great. Thank you. \n\nD: OK, you're welcome and hopefully you feel better.\n\nP: Thank you.\n\nD: Take care.\n\nP: You too."} | |
| {"audio": "dataset\\resampled_file\\MSK0012.wav", "text": "D: What brings you in here today?\n\nP: I've had this pain in my back thats kind of like in my lower back and my buttocks and it's now radiating down to my right leg. I've had this for awhile now, but it's getting worse and I just want to come get it checked out.\n\nD: OK, and how long have you had this pain for?\n\nP: About a month.\n\nD: OK, and has gone worse at all like did you have the it radiating through your leg before or is that something that happened after?\n\nP: That's something that happened after that happens that that's been going on for the past week.\n\nD: OK, and is this pain constant or does it come and go?\n\nP: And it's pretty much always there, but certain things can make it worse. Like if I'm walking or doing certain activities it can it can make it worse. \n\nD: OK. And did you have any back pain before this month?\n\nP: No, not, I mean no, not really.\n\nD: OK. An what kind of pain would you say it is. Is it like a sharp stabbing pain or is it more so a dull aching pain?\n\nP: Um usually or well before it was like a mild achy pain, but now it can be. It's sharp and it feels like a burning sensation.\n\nD: OK, a burning sensation, where would you say that burning sensation is?\n\nP: It's like down my buttocks to the right leg.\n\nD: OK, and do you feel any kind of numbness or tingling with it?\n\nP: Um a little, a little bit of tingling. Yeah, a little bit of tingling.\n\nD: OK, and how would you rate the pain from a scale of zero to 10, 10 being the worst pain you've had in your life?\n\nP: So usually it's about like a 5 to 6 out of 10, but when it gets bad and um sharp, I'd give it an 8 out of 10.\n\nD: OK, and are there any kind of motions or positions that cause you more pain?\n\nP: Yeah, so I'd say like just any sort of physical activity, like if I'm on my feet a lot, it hurts.\n\nD: Mmm.\n\nP: Yeah, that's pretty much the only thing that I can think of right now.\n\nD: OK, did anything happen one month ago or before this pain started. Like any injuries or falls that might have caused this pain?\n\nP: Um no like a long time ago, like 6-7 years ago I injured my back at work but. I just did some conservative treatments for that and it went away.\n\nD: OK was it your lower back.\n\nP: Yes.\n\nD: OK. And what do you do for work?\n\nP: I used to work on an assembly line, so I used to. Like carry heavy objects and things like that. Like car parts.\n\nD: OK, and do you still work there?\n\nP: No, I don't. \n\nD: OK when did you stop working there?\n\nP: About three years back.\n\nD: OK and is there any other work you do currently?\n\nP: Um I work from home now. I do daycare at home.\n\nD: OK. OK, and just getting back to the pain so it's kind of in your lower back, your buttocks and then it goes to your right upper leg?\n\nP: Mmmm\n\nD: Does it move anywhere else besides that or those are the regions that it stays in?\n\nP: No, those are kind of the only regions that I'm experiencing it right now.\n\nD: OK. And do you get more pain leaning bending forward or would you say extending your back? \n\nP: I would say ext.. Extending my back hurts more.\n\nD: OK and you get pain with sitting down?\n\nP: Um sometimes. \n\nD: OK, how about lying down?\n\nP: Um lying down I guess it depends on the position. If I am straight on my back it's it's not too bad, but if I like I'm hunched over or something like that, it hurts.\n\nD: OK, I see OK and have you tried any medications over the counter and painkillers that have helped?\n\nP: I tried some ibuprofen and some like topical.. um like ointments but it helps temporarily and then the pain comes back.\n\nD: OK, let's see and. Other than that, so other than this pain that's been going on do you have any fevers or chills?\n\nP: Uhm No, no fevers or chills.\n\nD: OK, no night sweats? \n\nP: No.\n\nD: Any increased fatigue?\n\nP: No, no.\n\nD: Any rashes or skin changes?\n\nP: No \n\nD: Any uh. Any cough or cold symptoms recently?\n\nP: Um no nothing like that.\n\nD: OK and apart from your back, any kind of joint or muscle pain anywhere else in your body? \n\nP: No.\n\nD: Any changes in your bowel movements?\n\nP: No.\n\nD: OK, any urinary problems?\n\nP: Nope.\n\nD: Any stool incontinence for your urinary incontinence?\n\nP: No.\n\nD: OK, and any kind of numbness or paresthesia like around just your lower back and buttocks?\n\nP: No, no numbness just like that, tingling, burning feeling.\n\nD: OK, OK any recent weight changes like any significant weight loss?\n\nP: No.\n\nD: OK. Any muscle weakness at all in that area?\n\nP: I'm finding it hard to walk.\n\nD: Harder to walk? OK. Are you limping at all?\n\nP: Yeah, I'm putting more weight on my left leg.\n\nD: OK. And do you feel, so you mention you feel tingling going down your right leg? Do you feel any kind of numbness at all?\n\nP: No.\n\nD: No, OK alright do you have any kind of urinary or fecal retention like at all?\n\nP: No, I'm going. I'm using the washroom OK.\n\nD: OK, uh. Do you have any history of any cancers at all?\n\nP: No.\n\nD: No OK. Are you on any. So do you have any past medical conditions you've been diagnosed with?\n\nP: No. \n\nD: No. Do you take any medications regularly?\n\nP: No, I don't. I just take calcium and vitamin D and other but multi vitamins.\n\nD: OK, any allergies to any medications? \n\nP: No.\n\nD: Have you had any previous surgeries or have you been hospitalized for any reason?\n\nP: No.\n\nD: No, OK, any family history of any autoimmune conditions, any heart or lung conditions?\n\nP: Um no not that I know of. \n\nD: OK, an and, currently you said you work from home. How would you describe your living situation like?\n\nP: I would say I it's it's OK. I live in an apartment with my husband.\n \nD: OK. And currently do you smoke?\n\nP: No.\n\nD: OK, and do you drink alcohol?\n\nP: I'll have a glass of wine like once a week.\n\nD: OK, and do you use any recreational drugs?\n\nP: Um so I've I've been using cannabis oil for the past month just to see if it helps with the pain.\n\nD: OK, and has that been working for you at all?\n\nP: A little bit I think.\n\nD: OK. OK, so those are some of the questions I had. And I'm 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.\n\nP: Um lower back, yes.\n\nD: OK, So what kind of pain is it like sharp or is it kind of a dull aching pain?\n\nP: When I press down it feels sharp.\n\nD: OK, and do you have you notice any kind of swelling in your legs or, near the areas where you have pain swelling or redness, or any warmth?\n\nP: Um it seems to. Actually, no, it's not. It's not warm.\n\nD: OK. And in terms of just movement, are you able to bend down?\n\nP: I can bend down, it's just hard for me to get back up.\n\nD: OK See and how about like bend sideways.\n\nP: I can do that.\n\nD: OK nd how about if you're laying flat are you able to raise your legs without bending your knees?\n\nP: I can do that, yeah, actually no. I can't. Sorry that that hurts.\n\nD: So your right leg hurts when you do that? \n\nP: Yeah\n\nD: OK, great. And other than that, like when you when you do any of those movements, can you, do you get like that tingling again?\n\nP: Yeah it does. Yeah.\n\nD: OK alright and when you stand up and walk how would you describe, are you having any kind of limping at all?\n\nP: Um a little bit of limp yeah, I'm putting more weight on the left leg.\n\nD: OK, alright, so yeah, those are just some of the questions I I had for you today. Do you have any questions at all?\n\nP: Um no, what can I do about this back pain and how long do you think I'll have it for? \n\nD: Yeah, so it's been happening for one month right and you're getting some symptoms in in your lower leg, so normally we would wait before we do any kind of diagnostic imaging. But since you're also having these other symptoms we we were worrying about sometimes lower back pain can lead to something called sciatica. It's just when one of the nerves get pinched, and then that's why you're getting the tingling around your right upper leg. So what we can do is. We can do if you haven't had an X Ray, we can do an X Ray of your lower back. And then we can also do an MRI. \n\nP: OK \n\nD: And. Based on what results come back at the same time we will, I will give you some information about some anti- inflammatory medications you could take to help relieve some of your pain, but other than that I will also refer you to some physiotherapy. That will help you do some exercises at home. Just ways to protect your back as well as strengthen some of your muscles to help deal with some of that pain. Yeah, so we'll get the results back. And then we'll go from there.\n\nP: OK, sounds good. Thank you.\n \nD: You're welcome. Take care."} | |
| {"audio": "dataset\\resampled_file\\RES0114.wav", "text": "D: So what brings you in?\n\nP: Yeah, so um I just came in because uh so I I have this cough that's been going on for the last five years, but over the last month it's really been getting worse. Um and like last week I I've just been constantly coughing. So yeah, I was just a bit concerned.\n\nD: Yeah, OK, so you said the past couple of years you've been coughing. So how many years exactly would that be? Two, three, four?\n\nP: Probably five I would say, and I was diagnosed with uh COPD around that time.\n\nD: OK, OK, um the cough that you currently have, um is it a dry cough or are you bringing up any phlegm?\n\nP: Uh I'm pretty much always bringing up like this uh white material.\n\nD: White, OK. Um and is it constant throughout the day or do you find it comes and goes?\n\nP: It's pretty much there all the time, but uh it's definitely getting worse. Um it is, I think, the worst in the morning um when I wake up and I just feel like there's just a bunch of gunk stuck in the back of my throat.\n\nD: OK. Um and if you were to describe the quality of this cough, would you say it's harsh, barky, muffled?\n\nP: I would say it's harsh.\n\nD: Harsh, OK. And has the quality of your cough changed at all in the past few years? Like does it sound different than it used to?\n\nP: Um I don't know if it sounds different, but uh especially for the last month I would say I'm bringing up more of the material, and it's usually white over the five years, but um I noticed uh in the last week-ish, it's had a yellowish tinge to it as well.\n\nD: OK, OK, so it's changed a little bit. Um and are you experiencing any shortness of breath with this?\n\nP: No I I don't think so, like I sometimes when I'm walking around uh doing more stuff, uh working in the garden like I feel like I might have to breathe a little bit harder, but uh not regularly.\n\nD: OK, OK, that's good. Um and any wheezing?\n\nP: Uh, yeah. It's like usually I start coughing a lot more when I'm starting to do any kind of activities and sometimes when I start coughing more, I also start wheezing. Um but uh right now, I'm fine.\n\nD: You're fine now, OK, uh, alright. And sorry, forgot to ask you earlier, do you see any blood in your phlegm?\n\nP: No, no, I haven't noticed any blood.\n\nD: OK, any uh changes to your hair or on your skin, like rashes?\n\nP: Not that I've noticed, no. \n\nD: OK, any weight loss?\n\nP: Um, I don't think so. \n\nD: OK, fevers?\n\nP: No. \n\nD: OK, exhaustion?\n\nP: Um yeah, I would say like for the last few months I am a bit more tired. \n\nD: Mhmm OK, how about changes in your vision or hearing?\n\nP: No, I haven't experienced that.\n\nD: How about a stuffy nose? Runny nose? \n\nP: Uh no, not really.\n\nD: No, OK. How about changes to your smell or taste?\n\nP: Uh nope. \n\nD: No, OK. Uh chest pain?\n\nP: Not chest pain, but when I get into those coughing fits, sometimes it feels just really tight in my chest.\n\nD: Oh, yeah.\n\nP: But it tends to go away with uh just some rest.\n\nD: Oh OK, OK. Um how about palpitations? Like feeling like your heart is racing?\n\nP: Uh no, I don't think so.\n\nD: No, OK. How about some swelling in your limbs?\n\nP: I I did notice, like uh a little bit of swelling in my uh both my, like right by my ankles. My shoes, like like even when I wear my socks, it like leaves little marks and then uh I just feel my like my shoes are tighter.\n\nD: OK, OK and how long has that been going on?\n\nP: Probably, uh, I've had this issue for like a pretty long time um, probably I would say the last year at least. \n\nD: OK, OK, last year. Um any uh dizziness or fainting spells? \n\nP: No.\n\nD: No, OK, any memory issues, uh confusion?\n\nP: No. \n\nD: Numbness or tingling?\n\nP: No, nothing like that. \n\nD: No headaches?\n\nP: Uh no, no headaches.\n\nD: Changes to your bowel movements?\n\nP: No, I tend to go like once a day. And yeah, it's pretty normal.\n\nD: OK, uh nausea or vomiting?\n\nP: No. \n\nD: No, OK. And are you otherwise healthy? Do you have any longstanding conditions? I know you said you have COPD, anything else?\n\nP: I do have high blood pressure.\n\nD: OK. Do you have something called congestive heart failure?\n\nP: Uh no, what's that?\n\nD: OK, it's when um your heart's not pumping as much as it should be, um so you get some backup of fluid. I ask because you you mentioned that you um were having some swelling in your legs.\n\nP: Oh I yeah, I I yeah, I didn't know anything about that. I just thought that was uh, it's been going on for a while now and didn't really bother me too much.\n\nD: OK. Um alright, and are you taking any medications?\n\nP: Yeah, I have this medication uh right now I'm taking it, it's called lisinopril. \n\nD: OK, so that's for your blood pressure? \n\nP: Yeah. \n\nD: OK. Are you on any puffers? Sorry, go ahead. \n\nP: Yes I'm on, no worries, I'm on um uh two puffers right now. One of them is like just one that I use when I really need it. And then um there's another one, so I think that's like the Ventolin puffer.\n\nD: Yeah.\n\nP: And then the other one is called, I think it's called Spiriva.\n\nD: OK, OK perfect. And are your puff puffers giving you any relief at all from the coughing fits?\n\nP: Yeah, I've been using the Ventolin uh more and it it does seem to help.\n\nD: OK, OK. Uh do you find they're not working as much as they used to though?\n\nP: Yeah, I feel like uh before, I didn't really like, it, just last year I didn't really have to take it too much. Um like even when I use the puffer, I start getting coughing like maybe half an hour later and so it's not, I don't think it's as effective.\n\nD: OK, yeah. Um OK. And have you had any recent blood work done? \n\nP: Uh, no, I haven't been to the doctor for a while.\n\nD: OK. And do you have any allergies?\n\nP: Um I think I have allergies to uh like um amoxicillin, I got like a rash once. \n\nD: OK. Have you had any, uh, amoxicillin, or like penicillin type antibiotics recently?\n\nP: No.\n\nD: No, OK. Um are you up to date with all your immunizations? \n\nP: Yep. \n\nD: OK. Um, you're not quite at this age range yet, but uh we do recommend the pneumococcal vaccine when you turn 65. And um did you get the flu vaccine this year?\n\nP: Uh yeah I did, with the pandemic going on, I usually don't get it, but I got it this year. \n\nD: OK, good good. Um any family history of lung conditions or heart conditions?\n\nP: Uhm, lung conditions I don't think so. Heart conditions, uh my father did have a heart attack in his 60s, but he's fine. He's he's living right now.\n\nD: OK OK, any cancers? \n\nP: Cancers, I think my uncle from my father's side um had uh bladder cancer. \n\nD: OK, OK. Um do you smoke? \n\nP: I used to smoke. Um I just quit a few years ago. \n\nD: OK, congrats. Um how much did you used to smoke? \n\nP: Uhm, I don't know, probably I went through a like a whole pack every day, I would say for at least 30 years of my life.\n\nD: OK, OK um so it's good that you stopped. Um do you take any other recreational drugs?\n\nP: Uh no, nothing like that.\n\nD: No, OK. How about alcohol? Do you drink?\n\nP: Uh I drink every like, maybe a beer a day.\n\nD: OK. Um are you um living with anyone right now?\n\nP: Yeah, it's just uh me and my wife.\n\nD: OK, where do you guys live?\n\nP: Uh we just live uh outside of the city in in a condominium.\n\nD: OK, any uh old carpets? Mold, dust, asbestos, anything like that in the condo?\n\nP: No, it's pretty well maintained.\n\nD: OK, good. And have you been in contact with any anyone sick recently? \n\nP: No, I've mainly just been trying to stay inside. I work from home too, so haven't really been seeing anyone.\n\nD: OK, that's good. And um travel to anywhere recently? Outside the province?\n\nP: Uhm, outside of the province, no, not not for like the last year at least.\n\nD: OK, OK. Um so those were kind of all the questions that I had for you. Did you have any questions for me?\n\nP: Um yeah, I was just wondering like what you think it might be.\n\nD: Yeah, so it definitely sounds like a COPD exacerbation, 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 it's positive, public health will be in touch with you to um do some contact tracing, but in the meantime we'll also do a work up for the COPD exacerbation. 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 don't already have a long acting beta agonist, we'll give you that as well as, if it's like if it gets really severe, we'll also give you some inhaled corticosteroids um and we'll also check your oxygen saturation to make sure it's over uh 88% um and we'll 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?\n\nP: OK, that sounds good. Thank you so much.\n\nD: Yeah, no problem. And I forgot, sorry we'll also probably do like a chest X Ray and a pulmonary function test.\n\nP: OK, sounds good.\n\nD: Yeah, no problem."} | |
| {"audio": "dataset\\resampled_file\\RES0090.wav", "text": "D: What brings you in here today?\n\nP: Yeah, um, so I have been, I have this cough, I'm coughing up blood so that's made me a little bit worried, um, so I thought I should come and get, get it investigated.\n\nD: OK, yeah no definitely, that, that's definitely concerning, is, so when did this start?\n\nP: It, the coughing up blood started about a week and a half ago.\n\nD: Mhm.\n\nP: Uhm, but it's not getting any better, and it's not stopping.\n\nD: OK and did it start, did the cough just start, uh with, uh, blood in the cough or what, did it just start as a normal cough first?\n\nP: It started off as a normal cough first.\n\nD: OK, and did you have any kind of production of sputum with yellow or greenish material at all?\n\nP: Uh, not really, I mean there, it's, it was a little bit yellow, but now it's just mostly blood.\n\nD: OK and did you have any, did you, were you in contact with anyone that was sick recently, or did you have any travel?\n\nP: I recently immigrated to Canada from India.\n\nD: OK, and were you in contact at all when you were in India with anyone who might have had tuberculosis or was sick at all around you?\n\nP: Uh, I mean it's possible, like people get sick in my family all the time in India, so it's possible.\n\nD: And were you at all, in India when, were you were you living in like close quarters like in a smaller space with other people at all?\n\nP: I have a big family so we all live together. \n\nD: OK. \n\nP: Uh, so it's yeah, so there are about like ten of us.\n\nD: OK great, so it started one, you said around one and a half weeks ago.\n\nP: Yeah, that's right.\n\nD: OK, and is it like a constant cough? Or does it come and go?\n\nP: It's uh, it's pretty constant, well, I guess it comes and goes, it's, it's not there all the time.\n\nD: OK, and have you had this happen before at all? \n\nP: No, never.\n\nD: OK. Right, is there anything that makes your symptoms better or worse?\n\nP: Uhm, I don't think so, nothing that, nothing I've tried has worked.\n\nD: OK, and do you have any other symptoms like a fever or shortness of breath, anything like that?\n\nP: I have been feeling chills and uhm, I haven't actually taken my temperature, but I feel hot, so it's possible that I have a fever.\n\nD: OK, and do you, do you have any significant weight loss at all in the past few weeks?\n\nP: Yeah, now that you mention it, I think I've lost about ten pounds in the past month.\n\nD: OK, and how much do you weigh?\n\nP: Right now I weigh a hundred and ten.\n\nD: OK, so yeah, definitely, that's more than like the ten percent, yes, that is pretty significant. Have you been experiencing any night sweats?\n\nP: Yes, yeah, I've been having night sweats. I thought that was just me being hot, but I guess, I feel chilly and then I have night sweats so I probably do have a fever.\n\nD: OK, and how about fatigue? Are you, do you feel more tired throughout the day?\n\nP: Uh, yeah, I would say so.\n\nD: OK, and do you have any symptoms like chest pain or racing heart or anything like that?\n\nP: No, nothing like that. \n\nD: OK, uhm, any headaches, nausea, vomiting?\n\nP: Uhm, no.\n\nD: Any changes in your bowel movements?\n\nP: uh, nope.\n\nD: OK, any issues with your sleep or appetite?\n\nP: No.\n\nD: OK and, um, any exposures to fumes or dust or animals or pets?\n\nP: No.\n\nD: OK, and uh, currently right now, have you been in contact with anyone else, do you go to work or anyone living with you right now?\n\nP: So I go to work, uhm, I'm working for an assembly line, so there are a lot of people around me and I live with two housemates.\n\nD: OK, and anyone at work or your housemates, anyone showing any similar symptoms at all?\n\nP: No, I don't think so. I haven't asked them, but nothing I've seen.\n\nD: OK, and previously do you have any medical conditions that you were diagnosed with?\n\nP: Nope, I'm healthy otherwise.\n\nD: OK, any allergies?\n\nP: No, no allergies.\n\nD: OK, any kind of loss of taste or smell?\n\nP: Uh, no, nothing like that.\n\nD: OK, are you on any medications at all?\n\nP: Uhm, no, just some vitamins. \n\nD: OK, and any previous hospitalizations or surgeries? \n\nP: Uh, no.\n\nD: OK, other than that, have you had any family history of any heart or lung conditions?\n\nP: Nope, nothing like that. \n\nD: OK, uhm, currently right now, so you live with roommates. Is it like an apartment, is it a home, like a house?\n\nP: I live in an apartment.\n\nD: OK, uhm, do you currently smoke? \n\nP: No.\n\nD: OK, do you drink alcohol? \n\nP: No.\n\nD: Any recreational drugs like marijuana?\n\nP: No. \n\nD: No, OK, alright, so those are all the questions we had. Do you have any questions or concerns?\n\nP: No, what do you think I have and is there anything I need to do right now?\n\nD: Yeah, So what, uh, some of your symptoms are concerning, especially the coughing up blood, which is something that we always think of with tuberculosis. You don't have any history of, uh, family history of lung cancer or anything like that, so right now, especially since you just moved from India where tuberclosis is endemic, we need to make sure that we test you for tuberculosis. In the meantime though, you will need to stay in the hospital and be in an isolated room, uh, where we can filter some of the air and make sure, it's a very infective condition if you do have it so while you're getting all the tests done, you will need to stay here in an isolated room. Also, we will get some sputum smears and cultures to test for TB and we will also, I will need to, if the test comes back positive we will need to contact public health and let your contacts know as well. Lastly, we will also be getting, since you're having the hemoptysis, like coughing up blood, we will, we might also do a chest X-ray to see if \n you, if you have active TB.\n\nP: OK\n\nD: So those are, those are some of the things that we'll get started with. Is that OK with you? Any questions or concerns?\n\nP: Uhm, no nothing like that, uhm do I need to isolate?\n\nD: Yeah, so we will keep you in an isolated room right now, when you're getting all those tests. And if you do have TB, you will need to isolate, uhm, and stay away from contacts, not be at work, we will, if you do in fact have TB, which it seems likely right now, you will be started in hospital on a ,like antibiotic therapy, uh, which consists of like four different medications and people with the active TB will do have to isolate during that time period, so yeah, we'll get some of those tests done and, we'll get back to you as soon as possible.\n\nP: OK, great, thank you.\n\nD: You're welcome."} | |
| {"audio": "dataset\\resampled_file\\RES0016.wav", "text": "D: How are you doing?\n\nP: Not so well I I feel like I've been having just worsening breathlessness and a cough for it's been going on for two years now and I just can't seem to get rid of it. \n\nD: OK, the cough and breathlessness both started two years ago?\n\nP: Yeah, I would say approximately around the same time. \n\nD: OK, OK. Um, do you always have the breathlessness, or does it come and go?\n\nP: Um, I think it's, I feel short of breath most of the times, but it's mainly just gets worse when I'm exerting myself when I'm walking more than usual or just working in the garden.\n\nD: OK, OK, um and same thing with the cough? It gets worse when you're walking around?\n\nP: Yeah, I would say so.\n\nD: OK. And was there any sort of trigger for this two years ago? Anything that you remember?\n\nP: Um, no, it kind of just started gradually on its own. No, no real triggers that I can remember. \n\nD: OK, and, does anything make it worse or better besides the exertion?\n\nP: Uh, no, I think that's pretty much the only thing that really makes it worse. \n\nD: OK, and how would you describe your breathlessness? Is it that you're breathing too fast or you can't catch your breath?\n\nP: It's I think it's more so just I can't catch my breath and sometimes I just have trouble being able to take like a full breath. \n\nD: OK, OK. Um, and out of 1 to 10, 10 being the worst, how bad is your breathlessness?\n\nP: It can get up to I would say like an eight sometimes when I'm doing a lot of work. \n\nD: OK, and have you ever experienced this before?\n\nP: Not before the two years, before I I never felt anything like that. \n\nD: OK, and you mentioned it's gradually been getting worse, right? \n\nP: Yeah, I would say so. \n\nD: OK, and the cough, um, do you ever cough up any blood?\n\nP: No, it's uh, it's usually just a dry cough. No, no I don't produce any mucus or blood. \n\nD: OK. OK. Um, and do you feel like you're wheezy?\n\nP: No, I haven't heard any kind of wheeziness at all.\n\nD: OK. Any issues with your breathlessness when you're laying down?\n\nP: No, I'm completely fine laying down. \n\nD: OK and it's not waking you up at night, right?\n\nP: No.\n\nD: OK um, have there been any changes to your taste recently?\n\nP: No, not that I know. \n\nD: Any changes to your smell?\n\nP: No.\n\nD: Have you experienced a sore throat? \n\nP: Nope.\n\nD: Runny nose or stuffy nose?\n\nP: Nope, not that I know of.\n\nD: OK, changes in your hearing or ear pain?\n\nP: No. \n\nD: Changes in your vision or eye pain?\n\nP: No, nothing like that. \n\nD: OK, and have you noticed any fevers?\n\nP: Um, maybe some chills here and there, but not not really a fever, no. \n\nD: OK, and you mentioned chills. How about night sweats?\n\nP: Um, just a few times per week I would maybe have to take off my blanket sometimes I notice a lot of my sweat covering the bed sheets. That's been going on for about, say a couple months now. \n\nD: OK, OK um any weight loss?\n\nP: I think over the last few months I may have lost like around 3 three kilograms. \n\nD: OK, OK, any rashes on your body?\n\nP: Not that I know, no.\n\nD: OK. Um, how about uh like feeling you're like you're tired?\n\nP: Um, yeah, I feel pretty tired sometimes, but I just thought it was because I'm getting older.\n\nD: OK, fair enough. How about chest pain?\n\nP: No chest pain, no no.\n\nD: Any swelling in your arms or legs?\n\nP: No, not that I've noticed.\n\nD: OK and how about feeling like your heart's racing?\n\nP: No heart has been fine.\n\nD: OK. And how about changes to your bowel movements?\n\nP: No, I go pretty regularly. \n\nD: OK and urine, any changes there?\n\nP: Nope.\n\nD: OK, how about nausea and vomiting?\n\nP: Uh, no. \n\nD: Headaches?\n\nP: Uh, no. \n\nD: OK, um any dizziness or fainting spells?\n\nP: No.\n\nD: No? Ok, um how about confusion or memory loss?\n\nP: Not that I know of, no.\n\nD: OK, and are you otherwise healthy? Do you have any other medical conditions?\n\nP: I do have high blood pressure and I think they said like my prostate is larger than normal. Um, but nothing else.\n\nD: OK, and have you been sick in the past?\n\nP: Uh, in terms of like breathing, I think maybe as a child like I may have had like a pneumonia but nothing else.\n\nD: OK, and are you on any medications?\n\nP: Just ramipril for my high blood pressure. \n\nD: OK, um how long have you been on that medication for?\n\nP: Uh, for a pretty long time, I would say more than 10 years.\n\nD: OK and no issues, side effects with that, right?\n\nP: No, and my blood pressure is pretty well controlled on that medication. \n\nD: OK, good, um, any allergies?\n\nP: No. No allergies. \n\nD: Are you up to date with all of your immunizations?\n\nP: Yeah I got my shingles and my pneumonia vaccination everything like that.\n\nD: OK, and uh, in terms of family history, um, are there any heart or lung conditions that run in the family?\n\nP: Uh, so yeah, my dad had quite a few problems. He had type 2 diabetes then he suffered from 2 strokes and then he also had a heart attack uh, in I think when he was like 56. But then he actually ended up dying of bowel cancer in his 70s. \n\nD: OK. How about your mother? Is she alive? Is she healthy?\n\nP: Um, my mom is alive, but she suffered from Type 2 diabetes and high blood pressure as well. And she also had, like hypothyroidism. And she also suffered from depression as well. \n\nD: OK. Um OK, so do you live by yourself and where do you live?\n\nP: 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 I'm pretty independent. \n\nD: OK, and do you smoke?\n\nP: No, I've never smoked in my life. \n\nD: No? Um, how about other recreational drugs?\n\nP: No no marijuana, no cocaine, nothing like that. \n\nD: OK, how about alcohol? Do you drink alcohol?\n\nP: No. \n\nD: OK, and do you still work? \n\nP: Uh, no, I actually worked at just the hospital I used to volunteer, but now I just can't get out of the house. I feel just tired and short of breath all the time so just staying in my house most of the time.\n\nD: OK, and has anyone around you been sick?\n\nP: No, not that I know.\n\nD: No um, and have you traveled anywhere recently?\n\nP: No, No.\n\nD: OK, um, have you been worked up for this in the past two years? Like have you had any chest X-rays or pulmonary function tests or anything like that?\n\nP: No, I've never really had this issue before, so no investigations. \n\nD: OK, OK, well those were all the questions that I had. Did you have anything that you wanted to add that I maybe missed?\n\nP: Uh, no, I just it's been going on for two years and I feel like it's getting worse and worse. And yeah, I'm just scared of having to, you know, go on oxygen or like just not being able to breathe at one point.\n\nD: Yeah, for sure. So we will try to do a good job working you up for everything that we think it may be. And right now, it sounds like it could be pulmonary fibrosis either like you know an autoimmune process or triggered after like an infection that you may have had in the past. We will definitely also look into see if it's perhaps a lung cancer, asthma and you mentioned you don't smoke so we don't think it could be COPD but we'll also test for that in case all everything else comes back negative.\n\nP: OK, sounds good. Thank you so much. \n\nD: Thank you. Take care you too."} | |
| {"audio": "dataset\\resampled_file\\RES0136.wav", "text": "D: What brings you in here today?\n\nP: I just started having, um, difficulty with breathing um, starting yesterday. And I also developed this cough um, yesterday morning.\n\nD: Okay, so did, did the cough come first or the breathing, difficulty breathing?\n\nP: Kind of around the same time when I woke up in the morning.\n\nD: And did it wake you up from sleep at all? Like did you wake up trying to catch a breath or anything?\n\nP: No. \n\nD: Okay, so it happened after you had woken up and gotten out of bed. And um, so, can you describe your cough a little bit? Is it wet or is it dry?\n\nP: Um, it's just um, it's just a dry cough.\n\nD: Okay, you're not bringing up any sputum or any other material?\n\nP: No. \n\nD: And uh, are you coughing up any blood by any chance? \n\nP: No.\n\nD: For the shortness of breath, can you describe it a little bit? Is it, are you having trouble taking deep breaths, or are you breathing faster? Can you describe it?\n\nP: Yeah, I just feel like um, I'm getting out of breath really easily, just like um, walking even, walking to the kitchen from my bedroom, I'm getting short of breath and it, it just started yesterday morning, it's so odd.\n\nD: Okay, and have you had anything like this happen before to you?\n\nP: No.\n\nD: No. Were you doing anything before it started? Like were you doing any, any activities or any, are were you doing any exertions at all?\n\nP: No, I was just uh, I, I slept in, I slept in a bit more than usual, um, and I was feeling quite um, drowsy. My, my doc increased my pain meds and I took the first dose um, yesterday night, um, I actually took an extra pill um, um, of the morphine um, and yeah, I don't know, maybe it, it's an allergic reaction to the morphine.\n\nD: Have you had any allergic reactions before? \n\nP: No. \n\nD: And so you took an extra morphine last night and then went to sleep. Um, did you wake up coughing or catching your breath or anything like that?\n\nP: No, I actually, I ended up waking up at 1:00 PM or 2:00 PM, I was just very drowsy and uh, I think I, I think I might have taken a bit too much, I don't know. The, the arthritis pain was just killing me last night and I thought taking an extra pill would help.\n\nD: And is this, are your symptoms constant? Or do they come and go?\n\nP: They're constant for the past two days. I've also noticed that I have, my breath just smells really bad. I don't know why.\n\nD: Is that something you noticed recently or in the last two days?\n\nP: Yeah, since yesterday. Actually, not even yesterday, this morning I would say.\n\nD: This morning, okay. Um, and is there anything that makes your symptoms worse? Like does lying down make your symptoms worse?\n\nP: Not really. \n\nD: No. How about exerting yourself, does it make your symptoms worse?\n\nP: Yeah.\n\nD: Okay. Um, do you have any other symptoms like any fevers or chills?\n\nP: I checked my fever last night, it was um, 37.2.\n\nD: Okay, so you didn't have a fever last night, okay. Um, do you have any other symptoms like dizziness uh, any fainting spells? \n\nP: No.\n\nD: Okay. How about sore throat, headaches, muscle pain, anything like that?\n\nP: No.\n\nD: Okay, any chest pain?\n\nP: No, I don't.\n\nD: And um, have you been traveling at all recently?\n\nP: No. \n\nD: Any contact with anyone who has been sick recently?\n\nP: No. \n\nD: No. Uh, any nausea or vomiting?\n\nP: No. \n\nD: Okay. Any night sweats? \n\nP: No.\n\nD: Okay, any swelling in your legs or arms, hands?\n\nP: No. No, I haven't noticed any of that.\n\nD: Any fatigue? Just feeling more tired today?\n\nP: Maybe a little bit.\n\nD: Okay. Have you been having any cold-like symptoms before the two days, like in the last week, like runny nose, sore throat?\n\nP: No. I was, like, I was absolutely fine. \n\nD: Okay. Um, how about, do you have any changes in your bowel movements like constipation, diarrhea?\n\nP: No. \n\nD: No. Any trouble with urinating?\n\nP: No. \n\nD: Okay, any sleep or appetite issues?\n\nP: No. \n\nD: Okay. Have you lost uh, significant weight in the last few months?\n\nP: No. \n\nD: Okay. Um, have you been exposed to anyone who may have had tuberculosis?\n\nP: I don't think so. \n\nD: No, and uh, do you have any pets or animals at home? \n\nP: Um, I have a dog.\n\nD: Have you ever had any allergies to any pets or animals? \n\nP: No.\n\nD: Any exposure to fumes or dust uh, with where you live?\n\nP: No.\n\nD: Okay, and do you have any past medical history? Any diagnoses?\n\nP: I um, I just have the osteoarthritis.\n\nD: Osteoarthritis, okay. Is that why you're taking the?\n\nP: Yeah, yeah. \n\nD: And are you taking any other medications? \n\nP: I take uh, Advil.\n\nD: Advil, okay. Any allergies that you know of?\n\nP: Um, no. \n\nD: Okay, any previous hospitalizations?\n\nP: Um, I had my wisdom teeth removed. But no, I wasn't, I wasn't hospitalized.\n\nD: Okay, is that the only surgery that you've had, or have you had anything else? \n\nP: Yeah. No, that's it.\n\nD: Any family history of any lung or heart conditions?\n\nP: Uh no. \n\nD: Any cancers?\n\nP: Um, breast cancer, my grandma had it.\n\nD: Um, any uh, and currently, what's your living situation like, do you live with someone?\n\nP: Um, I live with my husband.\n\nD: Okay.\n\nP: And my dog.\n\nD: And your dog, okay. And did your husband tell you anything, like that has changed in your behaviour at all uh, recently?\n\nP: He just said that I was, I was just extremely drowsy yesterday and I was very hard to wake up.\n\nD: Okay. Okay, um, do you smoke currently?\n\nP: No.\n\nD: Have you smoked in the past? \n\nP: No.\n\nD: Okay, and do you work currently? \n\nP: Uh I, I do.\n\nD: And uh, how would you, sorry, dis you say you don't work or do you work?\n\nP: I'm a banker, but I'm working virtually, uh, remotely right now.\n\nD: Okay. And um, do you use any recreational drugs like marijuana?\n\nP: I um, no. Well sometimes I'll use marijuana for the pain, but I haven't been doing that recently, for the past two months.\n\nD: Okay. Um, how, how often would you say you use it?\n\nP: Only when the pain gets uh, too bad, so maybe um, three or four times a month.\n\nD: Okay, and do you use any alcohol?\n\nP: Um, yeah, I'll, uh, I'll drink once a week, two glasses, two or three glasses of wine.\n\nD: Um, any, alright, so I think that those are all the questions I have for you today. Do you have any questions or concerns for me?\n\nP: Um, no.\n\nD: Okay, so yeah, definitely with the coughing and shortness of breath we will definitely get a COVID swab test done. Um, that should come back in the next 24 to 48 hours and then public health will contact you. Um, yeah, based on what you're telling me so far, we will definitely do a physical examination, get your vitals, and get your oxygenation and everything done. But I also think, since you were very drowsy and were, had fallen asleep and were really difficult to wake up, sometimes you can get what's called aspiration pneumonia. Um, and that's, that can also be a possibility and what we will do is get a chest x-ray, get some blood work done as well today. Um, now we may require antibiotics, and if your vitals unstable we might actually admit you as well. Um, does that sound good?\n\nP: Yeah.\n\nD: Alright, so yeah, we'll get those tests done and we'll be there with you shortly. We'll also get like an EKG done as well.\n\nP: Sure.\n\nD: Alright, okay."} | |
| {"audio": "dataset\\resampled_file\\CAR0003.wav", "text": "D: What brings you in here today?\n\nP: Yeah, I've just been feeling breathless and it's getting worse. So I wanted to check it out.\n\nD: OK, and when did you first start feeling breathless?\n\nP: About two months ago.\n\nD: OK, and did it come on about like gradually through time or suddenly just happened?\n\nP: I guess gradually, yeah.\n\nD: OK. And, do you feel, uh, how often do you feel breathless?\n\nP: I'd say it's worse when I when I walk more than 50 meters. That's kind of the main like that's kind of the main trigger, just exertion.\n\nD: OK, and were you able to walk normally more than 50 meters before two months?\n\nP: Yeah, three months ago I was fine.\n\nD: OK. And do you have any other symptoms like cough or chest pain?\n\nP: I have a cough sometimes, yeah.\n\nD: OK, but nothing like constant? \n\nP: No.\n\nD: OK, and do you have any wet cough or any productive cough or are you producing like sputum or phlegm?\n\nP: Yeah, I guess I'd say I have this frothy sputum.\n\nD: OK, and has your breathlessness been getting any worse at all over the last two months?\n\nP: I would say so, yes.\n\nD: OK, and you mentioned like exertion makes it worse, but anything else like going outside or exposure to any chemicals that makes it worse?\n\nP: Uh, I don't think so.\n\nD: OK, and how about a positional changes? Does lying flat at all make it worse?\n\nP: I would say so, yes. Yeah, I'm basically gasping for air when I lay down.\n\nD: OK, and do you ever find yourself waking up at night in the middle of the night to catch your breath?\n\nP: No.\n\nD: No, OK. And when do you feel the breathlessness the most? Is it more so during the day or at night?\n\nP: I guess it's worse at night because I'm laying down. \n\nD: OK. Great and, in terms of how many flights of stairs you can climb before you start feeling breathless, do you have a number? \n\nP: I would say like 3/4.\n\nD: Three or four steps, OK. And was there anything new that happened in your life recently? Any new medical diagnosis recently? Or any travel that happened before you started having these symptoms?\n\nP: No, nothing like that.\n\nD: OK, and prior to two months, have you ever had any similar experiences?\n\nP: Prior to 2 months? No. \n\nD: OK. And, does anything make it better? Like any positional changes makes the breathlessness go away?\n\nP: I guess when I I'm not laying down or when I'm laying down, I try to add pillows, stack pillows so that it gets better. \n\nD: OK, and are you having any other symptoms like sore throat, runny nose, chest pain, dizziness, anything like that? \n\nP: No. \n\nD: OK. Have you recently traveled outside of the country?\n\nP: No.\n\nD: Have you recently had any surgeries?\n\nP: No recent surgeries, no.\n\nD: OK, any headache nausea or vomiting? \n\nP: Um, no.\n\nD: OK, any fevers or chills or night sweats.\n\nP: No. \n\nD: OK. Do you feel increasingly fatigued throughout the day?\n\nP: Uh, I would say so, yeah. \n\nD: OK. And any changes in your bowel movements at all?\n\nP: No.\n\nD: OK, and any chest pain at all within the last two months?\n\nP: No, no chest pain. \n\nD: OK. Any swelling in your in your legs, ankles, or in your hands and arms?\n\nP: There is some swelling.\n\nD: OK, and uh, where do you, where are you getting this swelling?\n\nP: Around my legs.\n\nD: OK, and how when did you first notice this?\n\nP: Around the same time actually two months ago.\n\nD: OK. Have you noticed any kind of fevers at all? \n\nP: No.\n\nD: OK. Have you been in contact with anyone that has been ill recently?\n\nP: No no. \n\nD: OK, and have you been coughing up any blood at all?\n\nP: No. \n\nD: OK, any weight loss? \n\nP: No.\n\nD: Any night sweats or chills?\n\nP: No. \n\nD: OK, apart from the breathlessness when laying down, any other issues with your sleep?\n\nP: No. \n\nD: Any changes in your appetite?\n\nP: Nope. \n\nD: OK, have you had any recent infections like a cold at all? \n\nP: No. \n\nD: OK, any exposure to tuberculosis in the past?\n\nP: Not that I know of. \n\nD: OK, any exposure to fumes or dust within your home or work environment?\n\nP: No.\n\nD: OK, any animals or pets in the house?\n\nP: No, no.\n\nD: OK, and in terms of your past medical history, has anyone told you that you have anything like COPD or any cardiovascular issues like high blood pressure, cholesterol?\n\nP: Um so, yeah, so I have high blood pressure, diabetes and high cholesterol. \n\nD: OK, and do you take any medications for this?\n\nP: Yep, so I take aspirin, ramipril and simvastatin.\n\nD: OK, and have you ever had any chest pain or heart attack in the past?\n\nP: Yeah, actually I had a heart attack four years ago.\n\nD: OK, and do you remember what they did for your heart attack?\n\nP: Something like a stent or something.\n\nD: OK, and since then you've been on these medications?\n\nP: Yes. \n\nD: OK, and after they managed your heart attack, have you ever had similar symptoms to when you had your heart attack?\n\nP: No, no.\n\nD: nothing like that? OK. Do you have any allergies to any medications?\n\nP: No.\n\nD: Any environmental allergies?\n\nP: No.\n\nD: OK, and have you previously had any surgeries in the past?\n\nP: Um, I guess the stenting. \n\nD: Just the stenting? And apart from that, have you had any other previous hospitalizations?\n\nP: No.\n\nD: OK, and any family history of any cancers or heart attacks?\n\nP: Um, my father died of a heart attack when he was 60. \n\nD: OK. And currently do you work at all?\n\nP: I do, um, I work as a cashier.\n\nD: OK. And has the shortness of breath been affecting your daily routine at home or at work at all?\n\nP: Yeah, I would say so. It's been hard to make it to work and then standing around all day or if I have to go help out with something and exert myself too much, I get short of breath. \n\nD: OK. And at home, do you currently live with anyone or do you live by yourself?\n\nP: I live by myself. \n\nD: OK, and do you live in an apartment or house?\n\nP: I live in an apartment.\n\nD: OK, and are there any exposures like dust or mold or asbestos in your home environment? \n\nP: No.\n\nD: OK. And currently do you smoke?\n\nP: Not right now. I used to smoke. I used to smoke 10 a day for like 40 years. \n\nD: OK, and do you use any recreational drugs like marijuana? \n\nP: No.\n\nD: OK. Any alcohol?\n\nP: No. \n\nD: OK. And in terms of your daily routine, do you feel that you get 3 meals a day, a well balanced diet?\n\nP: I wouldn't say well balanced. I'm trying to eat healthier but doesn't always happen.\n\nD: OK, and how about exercise? Do you find that your exercise levels or activity levels have gone down in the last two months?\n\nP: Yes. \n\nD: OK. Alright, is there any other questions or concerns that you have or something I may have missed to ask you today?\n\nP: No, I don't think so. \n\nD: OK, so based on what we talked about from your swelling as well as breathlessness while laying down and your past history of a heart attack and high cholesterol, it may be likely with the medications you are on as well as your history, that you might be having what's called congestive heart failure. So we will need to do further investigations to determine if that is what it is and if we need to get you on something like lasix or a diuretic to get rid of some of the fluid that's building up in your body, which may be caused by heart failure. So we'll do some investigations and then go from there."} | |
| {"audio": "dataset\\resampled_file\\RES0118.wav", "text": "D: What brings you in here today?\n\nP: Hi I'm coming in because I've had this like on and off runny nose and stuffy nose for the past week. Um and I just came to make sure it's not something serious like Covid.\n\nD: OK, yeah no I completely understand why you might be worried um with everything going on. So just to get an idea of the timeline, so when did this start?\n\nP: So it started about I'd say, seven days ago.\n\nD: Seven days ago, OK. And was it just a runny nose that started or did you have any other symptoms?\n\nP: So at first I felt kind of stuffy um and then now it's more runny. Um and no other symptoms.\n\nD: And are you coughing at all?\n\nP: No. \n\nD: Are you bringing up any discharge from like your nose, or are you coughing any material up?\n\nP: No, no. I mean there's some discharge from my nose, like it's runny, but it's it's not yellow or anything, it's clear.\n\nD: OK, and do you think this issue has gone worse over the last seven days or is it improving at all?\n\nP: Um I don't think it's improving. It's changed 'cause it used to be stuffy, now it's more of a runny nose. Um but yeah, it seems to be runny, like it's the same amount of runniness for the past couple of days.\n\nD: And are you having any symptoms of loss of smell at all?\n\nP: No, no loss of smell.\n\nD: How about loss of taste?\n\nP: No.\n\nD: Um were you uh with anyone around you sick at all before those seven days?\n\nP: Uh I don't think so, I visited my sister and she has a nephew who goes to daycare, but my nephew's been OK, no, no runny nose or stuffy nose.\n\nD: Uhm, and is it just a constant issue that goes on throughout the day or is it worse at night, during the day, how would you describe it?\n\nP: Um it's it's pretty constant throughout the day. It's just it just feels bad at night because it um makes it hard for me to fall asleep.\n\nD: OK, uh have you tried any medications at all over the counter that would help?\n\nP: Um I tried some antihistamines because I do have seasonal allergies. Uh but they don't seem to be helping.\n\nD: Um any anything that makes your symptoms worse at all, like any exertion or any kind of uh position?\n\nP: No.\n\nD: Um do you have any shortness of breath or chest pain at all? \n\nP: Uh no.\n\nD: Any sore throat or muscle aches?\n\nP: No. \n\nD: Any uh headaches? \n\nP: Nope.\n\nD: Have you traveled at all recently? \n\nP: No.\n\nD: Have you had any nausea or vomiting?\n\nP: Uh no.\n\nD: Any fevers or chills? \n\nP: No.\n\nD: Any night sweats or fatigue?\n\nP: No.\n\nD: OK. Um any kind of sensation that your heart is racing? \n\nP: Uh no, nothing like that.\n\nD: Any changes in your bowel movements like any constipation or diarrhea?\n\nP: No.\n\nD: Any changes in your urinary pattern?\n\nP: No. \n\nD: Uh any issues with your sleep or appetite?\n\nP: No. \n\nD: Have you lost any weight, significant weight, uh recently in the last few months? \n\nP: No. \n\nD: And uh do you have any exposure to like fumes, dust, or like uh carpet, pets, or animals? Anything that you might have an allergic reaction to?\n\nP: Uh no nothing like that.\n\nD: OK and currently are you sexually active? \n\nP: I am.\n\nD: And um can you just tell me a little a little bit of a detail like about like a partner? Uh and if you've had any new partners recently at all? \n\nP: No, I've been with the same partner for the past five years.\n\nD: OK, and uh do you have any history of any STI's?\n\nP: No.\n\nD: OK nice, um, in terms of your uh past medical history, do you have any um diagnoses or anything any medical conditions at all?\n\nP: Uhm no, no nothing, nothing long standing.\n\nD: Um anything you take medications for? \n\nP: No.\n\nD: Are you allergic to any medications?\n\nP: Uh not medications.\n\nD: Uh any environmental allergies?\n\nP: Just yeah, some seasonal allergies.\n\nD: OK. Any previous hospitalizations or surgeries?\n\nP: Um I was hospitalized for um Like an appendectomy when I was younger. Um but that's about it.\n\nD: And when was that? \n\nP: That was when I was 18.\n\nD: And any complications after that?\n\nP: No. \n\nD: And uh in terms of your family history, does anyone have any lung conditions, heart conditions, or any cancers?\n\nP: Uh nope, nothing like that.\n\nD: And currently uh do you work?\n\nP: I do. I work from home though.\n\nD: OK. And how would you describe your living situation right now?\n\nP: Um I live in an apartment with um my partner and we have a dog.\n\nD: Um and currently, uh do you smoke at all?\n\nP: Uh no. \n\nD: Do you use any recreational drugs like marijuana?\n\nP: No. \n\nD: How about uh any alcohol? \n\nP: Uh I drink like a glass of wine every other day.\n\nD: OK. Um yeah, so those were some of the questions I had for you. I know it's a bit concerning because of the pandemic going on and um a runny nose can be a symptom uh of Covid as well, but uh it can also be a symptom of just the common cold or any other virus. Um but since you're having, uh you're symptomatic right now, we will definitely get like a Covid swab test done for you.\n\nP: OK.\n\nD: And if you start having any, just monitor for your symptoms. Um you should have the test back within 48 hours. Until then, uh at least for 14 days you should try to isolate in your own room, wear a mask around uh your partner, uh and not go outside, so just self isolate.\n\nP: OK. \n\nD: And and then you will get the test results back in a, hopefully in a few days. So do you have any questions at all?\n\nP: Uh no, thank you, that was good.\n\nD: Take care, bye\n\nP: You too."} | |
| {"audio": "dataset\\resampled_file\\MSK0014.wav", "text": "D: How may I help you?\n\nP: I just came in here today, I usually don't come to the doctor that much unless I absolutely need it. Five days ago I started having this pain and swelling in my right knee. So and at first I thought it was just like my arthritis acting up but it's been getting more swollen and painful than usual, so I just wanted to come in and check it out.\n\nD: OK, so when did you first notice that this pain, like when did it get more swollen and painful than usual?\n\nP: So like I would say around 5 days ago it started getting more and usually I do get pain in some of my joints but I I don't really get swelling so that was a bit different.\n\nD: OK, and is the joint hot as well, or is there a temperature change?\n\nP: It is, it does feel like if I touch the joint it does feel a bit warmer than the surrounding areas.\n\nD: OK, does it look red?\n\nP: It It definitely it definitely looks more red than my other knee.\n\nD: OK, and so what knee is it that, that's bothering you right now?\n\nP: It's the right knee. \n\nD: OK. And so this pain has been going on for the last five days. Has it been getting better, worse, or staying the same?\n\nP: I think it's getting a. It's getting it was getting worse, but it's like a bit better right now.\n\nD: OK.\n\nP: Yeah it comes and goes in severity though.\n\nD: OK, and how would you describe the the pain. The character of it, is it sharp, dull, or achy?\n\nP: It's it's like someone is stabbing me in the knee and it hurts the most when I'm moving the knee.\n\nD: OK, and does the pain radiate anywhere?\n\nP: Uhm, I don't think so, no.\n\nD: OK, so you're feeling it just in the knee and you said moving the knees is painful. Is there anything else that makes the pain worse? \n\nP: Uhm, not really like resting it definitely helps, yeah, but I just have to keep it a bit immobilized.\n\nD: OK, and is there anything that that makes the pain better that you've tried like maybe medications or any ice packs or anything like that?\n\nP: Uh, not really. I do take some painkillers, so just some Advil, which seems to help a little bit.\n\nD: OK. And. And um. OK, is the pain worse at any particular time of the day, like do you have morning stiffness?\n\nP: Yeah, usually with my normal this arthritis I do get some morning stiffness but this is completely different, it's throughout the day pretty much.\n\nD: OK, and did you have any trauma or any injury to the knee?\n\nP: No, I didn't. \n\nD: OK, uh.\n\nP: I I did have like a steroid injection to the same knee just a week ago, but no, I I haven't fallen on it. I haven't had any operations.\n\nD: OK. Anne. And. Have you had any fevers or chills?\n\nP: No. \n\nD: OK, have you had any changes to any of your senses like vision, hearing or your sense of smell or taste?\n\nP: No, nothing like that.\n\nD: Have you had a runny nose or sore throat?\n\nP: No.\n\nD: Have you had any cough or shortness of breath?\n\nP: No.\n\nD: How about any wheezing? \n\nP: Nope.\n\nD: Have you had any chest pain or yeah, have you had any chest pain? \n\nP: No.\n\nD: How about any lightheadedness or dizziness?\n\nP: No, \n\nD: OK and have you had any nausea or vomiting?\n\nP: Um nope. \n\nD: Alright, have you had any loss of appetite?\n\nP: No.\n\nD: And have you had any abdominal pain?\n\nP: No.\n\nD: Have you had any changes to your bowel movements such as diarrhea or constipation, incontinence?\n\nP: No. \n\nD: Any urinary problems like painful urination or frequency.\n\nP: No, not really.\n\nD: Have you had any skin changes like rashes anywhere?\n\nP: No.\n\nD: OK, and any other painful joints or muscle aches or body pains? \n\nP: Yeah, I just got my general like I havee osteoarthritis, so I like It's been a pretty long time though but I get some pain in my hips sometimes my knees, so it's it's that's been going on for awhile, but this is something I've never experienced though like this significant pain and swelling and redness.\n\nD: OK. And have you had any changes to your memory or any confusion?\n\nP: Nope.\n\nD: OK, and have you had any unexpected weight loss?\n\nP: No.\n\nD: And how about any night sweats?\n\nP: No.\n\nD: OK, Um in the past have you been diagnosed with any medical conditions?\n\nP: I do have. So I have a couple conditions. I have osteoarthritis in both my knees and hips. I have high blood pressure. I did have a heart attack four years ago and I also have had heart failure. And also I'm just a bit on the overweight side.\n\nD: OK, are you currently taking any medications?\n\nP: Yeah, so I am taking just um Furosemide then Ramipril for my blood pressure. But yeah, that's that's about it right now and like just painkillers over the counter.\n\nDL OK, uh. And any allergies to medications?\n\nP: Um, just to have a penicillin allergy.\n\nD: OK, and what's the rash, or sorry what's the reaction?\n\nP: I don't really remember I was a child at that time. I don't remember what reaction I really got.\n\nD: I see OK and have you had any prior hospitalizations or surgeries?\n\nP: Surgeries I did have my appendix removed when I was young and also I was hospitalized after my heart attack a couple years ago.\n\nD: OK, did you have any surgeries on your on your heart like a cabbage or?\n\nP: I had a couple a couple of stents put in.\n\nD: OK, and you take aspirin for that?\n\nP: Um yeah. \n\nD: OK. Uhm, Alright, and could you tell me a little bit about where you're living and who you're living with?\n\nP: Yeah, I live with my wife and daughter. And kind of live in a small little townhouse just, in the city.\n\nD: OK, uh, are you currently working or uh, are you retired?\n\nP: I I kind of had to retire after just my past medical history like the heart attack and then. There was just too much stress at work. It was too much for me. But yeah, I'm just at home right now. My wife still works. Yeah, I'm taking it more easy now.\n\nD: OK. And with being at home, are you able to manage the majority of activities of daily living on your own, or are you receiving help?\n\nP: Oh you're not receiving any outside help. I can do most things myself. My wife does most of our shopping and cooking though.\n\nD: OK. And do you drink alcohol?\n\nP: Yeah, I I do. I do drink probably drink like three or four beers a night.\n\nD: OK, Ann, and at the smoke cigarettes?\n\nP: I used to I I forced myself to quit after my heart attack.\n\nD: OK, well that's good. I'm glad that you quit and how long did you spoke for and how much were you smoking during that time?\n\nP: Probably smoked for more than 30 years and I was smoking only one to two packs a day at most. \n\nD: OK. And. OK, and then I about your um family history. Is there anybody in the family that has any heart or lung conditions?\n\nP: Yeah, so heart disease runs in my family. My brother, my dad, they both both have had heart attacks. But yeah, my on my mom side everyones pretty healthy though.\n\nD: Oh OK, that's good, and Alright, so I just wanted to the I guess physical exam piece you've already mentioned that it's red, it's swollen and is warm to touch compared to the other knee and um painful to move. Are you having any limping with your gait?\n\nP: Yeah, I barely like I can't really put too much away or move that knee around. So yeah, if I stood up I would have a limp.\n\nD: OK, uh, and is there any instability to either varus or valgus stress?\n\nP: Uhm, no, I don't think so.\n\nD: OK, and any instability when testing the ACL or PCL with the anterior and posterior kind of translation test. Pulling and pushing it?\n\nP: Uhm, no.\n\nD: OK. And any I don't think I asked this any muscle weakness?\n\nP: No.\n\nD: And any numbness, tingling?\n\nP: No.\n\nD: Or burning sensations? \n\nP: No.\n\nD: OK. Alright, so that was everything that I wanted to check. Was there any anything that I may be missed or any final questions?\n\nP: No, yeah no, I was just I I just don't know if like this is serious and if I need surgery or something because it's been really painful.\n\nD: Yeah, certainly so right now the top thing on top two things on the differential would be gout or pseudogout they do have some risk factors for that, including a diuretic medication as well as alcohol and obesity are all risk factors for it. However, you also had a knee injection a week ago, which could predispose to an infection. So gout and septic arthritis are the two things that I am thinking about an, so we'll do a knee aspiration and send that off for some investigations and that will help us determine which what the cause is and we can choose the appropriate appropriate treatment.\n\nP: OK, sounds good."} | |
| {"audio": "dataset\\resampled_file\\RES0105.wav", "text": "D: So what brings you in today?\n\nP: Yeah, I've had, I've had a cough for a number of years now, but store these past like day, it's gotten a lot quite a bit worse and I've been really short of breath.\n\nD: OK, and so how many days would you say you've been short of breath?\n\nP: Less than a day, maybe just really kind of started last night and has carried out throughout this morning. I, I called this morning to get an appointment.\n\nD: OK, and it, was it brought on by any activities or were you doing anything at that time before it started?\n\nP: No, last last night I was, well, I was just doing my regular kind of routine after dinner - cleaning up and just the cough started first. And over, the over the night it got worse. I could just couldn't catch my breath and that was similar this morning.\n\nD: OK, so you've also had a cough.\n\nP: Yeah I have. Yeah, uh, I've had a cough for a long time now, but it's been worse over this last day.\n\nD: Yeah, is it like a wet cough or dry cough?\n\nP: It's wet, I I'm bring up sputum most of the time, but it's been, it's usually like white or clear and it's a lot more like, uh it's a lot more greenish, yellow and, yeah.\n\nD: OK, and are you having any kind of fevers or chills anything like that?\n\nP: Uhm yeah I, I did have some chills last night, so I'm not sure about a fever though.\n\nD: OK. And are your symptoms at all, so you do have a shortness of breath, but any kind of chest pain at all?\n\nP: I do have some chest pressure for sure. I just feels like I can't, can't ah, catch my breath.\n\nD: OK, so is it mostly related to your breathing or do you have it at rest? Or do you have it with any exertion?\n\nP: Yeah, I think it, it's there kind of most of the time, like the chest pressure. I kind of feel it throughout my chest when when I'm breathing but, but also just kind of sitting here I can kind of feel it.\n\nD: OK I see. And are all of your symptoms constant? Or do they come and go?\n\nP: They've been constant and they've got been getting worse since since last night. \n\nD: OK, and have you had this happen to you before?\n\nP: It has, yeah, I, actually last last winter I was hospitalized for a COPD exacerbation for, for a few days. I I know I got some antibiotics and umm, I needed some oxygen.\n\nD: I see and did you go home on home oxygen at all? Like do you use oxygen at home?\n\nP: No, I was told I didn't need any any yet, but if I didn't quit smoking I might in the future. \n\nD: OK, and are you using any kind of puffers at all?\n\nP: Yeah, I I do I I use I think it's called like Spiriva or something like that. I use that every day and there's another one that I'll use like if my symptoms are getting bad. My blue one. I did try that actually last night and it didn't, it helped a little bit, but, not not enough.\n\nD: OK, so have you just tried like tried it one time last night? Have you tried it after that?\n\nP: Yeah, we just tried it last night.\n\nD: OK, so nothing today right?\n\nP: No, nothing today. \n\nD: OK. Other than that, so you did have an admission before for this. And you have COPD. Do you have any other symptoms right now? Like runny nose, sore throat, any cold like symptoms?\n\nP: No, no, I I I don't.\n\nD: Did you have it before these symptoms started? \n\nP: Uhm no, I've been feeling, I've been feeling OK.\n\nD: OK. And have you traveled at all recently?\n\nP: Uh, well, I did, I just go up to the trailer not too long ago to visit some family, but that's just an hour away.\n\nD: OK. Anyone sick around you recently?\n\nP: No, I don't, I don't think so.\n\nD: And is there, are you having any headache or nausea or vomiting?\n\nP: No, I haven't had anything like that. \n\nD: OK. And besides the time you got hospitalized, have you had any exacerbations after that?\n\nP: No, I just had that, had that happen, the one time, last year.\n\nD: OK. And do you feel that your symptoms are similar, worse, or how do they compare to last time, if you remember?\n\nP: Pretty similar. I think last time I was worse, but I waited longer last time and so that's why I was concerned and and wanted to come in early.\n\nD: OK. OK, uh, alright, so uh, have you had any fevers at all or chills?\n\nP: Yeah, I've I've had some chills last night like I just couldn't get warm. I was loading up on blankets and it didn't seem to help.\n\nD: OK so we'll get a temperature on you today as well. Do you feel that you're breathing faster at all?\n\nP: Uh, not necessarily it, just it just harder to to, feel like I can't catch my breath.\n\nD: OK, do you feel fatigued at all?\n\nP: Ah yeah, I I have a, I mean I have been feeling just tired this morning, but I think that's more to do with the fact that I just can't really do a whole lot of exertion because as soon as I move around I'm, I can't breathe.\n\nD: I see. Uhm OK, and are you having any kind of diarrhea, constipation, or any urinary troubles at all?\n\nP: No, I'm not.\n\nD: OK. Any changes in your sleep or appetite?\n\nP: That's been that's been normal. Been eating well.\n\nD: OK. Any kind of confusion or any do you feel like yourself?\n\nP: Yeah, I do. \n\nD: OK, any confusion at all that anyone's noticed?\n\nP: No, I don't think so. I feel like that's been ok.\n\nD: Any wheezing?\n\nP: Yeah I I have noticed some wheezing. It's usually I usually, uh well I've been told I have a wheeze, but I can actually hear it right now.\n\nD: OK, yeah, we'll do like a full physical examination as well. And we'll get like your oxygenation level and everything like that. Umm, do you have any, besides COPD, so when were you diagnosed with you please?\n\nP: About 10 years ago.\n\nD: OK, do you have any other medical conditions?\n\nP: I do, yeah. I have a high blood pressure, type two diabetes and like and there's something wrong with my, with my kidneys as well. I think my EGFR is low or something like that. \n\nD: Oh, I see, OK. And do you take any medications besides your puffers? \n\nP: Yeah, I I do. I I take on an ACE inhibitor, Metformin, SGLT2 inhibitor and I'm also taking a, uh, a water pill as well 'cause I, over these last couple of years I've had some more swelling in my in my feet.\n\nD: OK, I see. Do you have any swelling, increased swelling right now?\n\nP: No, I that's been about this. Been pretty constant. \n\nD: OK. And do you feel recently at all that you're short of breath when lying down, or do you have to wake up to take a deep breath? Anything like that?\n\nP: No, I haven't only brought issues like that.\n\nD: OK, any any kind of dizziness or fainting episodes?\n\nP: No, I haven't had anything like that.\n\nD: OK, any increased sweating associated with your chest tight or pressure or anything like that?\n\nP: No, no, I haven't been sweaty.\n\nD: OK. Yeah. And other than that, any previous surgeries in the past?\n\nP: Uhm, I, yeah I had a Uterine prolapse, so I had surgery for that. I have five kids.\n\nD: OK. Any, any complications after that surgery at all? \n\nP: No, it helped, it actually fixed the leaking at the time I was having, so was happy with that.\n\nD: That's good. Currently right now, do you work at all or are you retired?\n\nP: I am retired.\n\nD: OK, uh, and what is your living situation like right now?\n\nP: Yes, we live in a house just outside of the city with my, with my husband.\n\nD: OK. Any exposures to any dust, fumes, asbestos or anything like that in your home?\n\nP: No, I don't believe so.\n\nD: OK. Uhm and do you currently smoke?\n\nP: Uhm, I do, yeah. Currently, yeah, maybe half a pack to a pack per day.\n\nD: OK, and how long have you smoked for?\n\nP: Oh, I started in my teens, so most of my life I've I've smoked. I grew up around it, it's just what my parents did and everybody smoked.\n\nD: OK, uhm, and do you use any recreational drugs like marijuana?\n\nP: No, I don't. \n\nD: OK. And do you drink alcohol at all?\n\nP: Uh, very rarely, don't really drink it anymore.\n\nD: OK. Alright, so yeah, those are some of the questions I had for you today. We'll do a full physical examination, get your vitals and get your oxygenation done right now. Do you have any questions at all?\n\nP: No, that that makes sense. Thank you.\n\nD: You're welcome and yeah so we'll, we'll also do some lab work as well. We'll get some blood work done. Want to make sure we don't miss any kind of infection. Umm, you're in, like your you can be having another COPD exacerbation. But we also want to make sure you don't have like pneumonia or anything like that so. We might have to do a chest x-ray as well, but for now I would say just sit tight. We'll get all your vitals done and then go on from there. Does that sound good?\n\nP: Yeah, that sounds good. Thank you.\n\nD: Alright, and if you feel at all you're very short of breath and we can give you some ventil in here as well. And then if you need like we can give you like systemic, core steroids as well to help some of your symptoms. But yeah, let's, let's do some of that, physical examinations first.\n\nP: OK, that sounds good. Thank you.\n\nD: Welcome. Take care.\n\nP: Bye \n\nD: Bye."} | |
| {"audio": "dataset\\resampled_file\\RES0007.wav", "text": "D: I was wondering if you could tell me a little bit about what brought you in.\n\nP: Yeah, so like a couple months ago I was in the office and they told me that I have asthma like I had it when I was a little kid and I thought I grew out of it, but apparently not, or like it came back or something so. Yeah, so they just told me to come back today. I don't really have like any issues.\n\nD: OK, So what what brought on the appointment in the summer time or a couple of months ago?\n\nP: Uh. So like I have gym class at school and my teacher justalways thought that like should be able to run faster like I'm looking good athlete but I just couldn't go much faster and I was like saying I can't really breathe when I'm running that fast. And then you know my mom was like you should probably go. We should probably make an appointment.\n\nD: OK, and uh, when you're exercising or in gym class, do you get short of breath or do you find that you have difficulty breathing?\n\nP: Yeah, yeah, like I will if I if I try to run fast. Like I, kinda can't breathe anymore. So I kind of stop or go slower.\n\nD: OK, and how long does it take for the breathing difficulty to go away?\n\nP: If I stop doing like the thing I'm doing it, I I don't know not very long like couple of minutes. \n\nD: OK, and uh, does this happen in any other settings?\n\nP: Oh, like sometimes when it's really cold outside, I'll go out and like it. My chest feels tight and just feel like I can't breathe and kind of sucks like my girlfriend wanted to build a snowman and do snow Angels and stuff and I couldn't do it. Oh, another time, like I went to my friends house and they had like a bunch of cats I I felt like I got wheezy sound and I felt like that time it took longer for for the breathing to get easier like I had to leave.\n\nD: OK, so you've noticed changes to to your breathing sounds? Like you've had noisy breathing before?\n\nP: Yeah, mostly just with the cat.\n\nD: OK.\n\nP: We don't have a cat at my house, so I didn't 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.\n\nD: OK, and have you had a cough?\n\nP: Uh, no, I don't think so.\n\nD: OK, And. Were there anything, was there anything that you tried besides the rest to make those symptoms go away?\n\nP: Like I have the, uh um inhaler that the doctor gave me last time. So yeah, like I've been using it in gym class now.\n\nD: OK, how many days per week are you using that?\n\nP: Well, I'm a little confused now because. I the 1 supposed to use, like every day a couple times, and then there was a different one that I thought it was only supposed to be used if the other one didn't work. But now the nurse just told me that I'm supposed to use them both, so I only got the one at the pharmacy so I don't really I don't really know. I feel like a bit confused now, but I always use the 1 supposed to be like 2 times a day, the one that starts with an \"s\", um but sometimes I just do it once a day if I forget the second one.\n\nD: OK, well um we can definitely clarify the confusion about the medications today. Sometimes, for steroid medications, those ones are required to be used daily in order to get the maximal benefit, and so will take a look at your medications and see if one of those has a steroid component in it and say and how often you're needing it. Have you been having any episodes of shortness of breath at night time?\n\nP: Oh no. No, mostly like gym class like I said.\n\nD: OK. And have you had any other associated symptoms?\n\nP: Uh. I don't think so. Like what do you mean?\n\nD: Um, so anything like like allergies like runny nose or really itchy eyes with maybe some like um tearing?\n\nP: When I was around the cats, yeah. But not the other times.\n\nD: OK. And do you ever have any rashes on your skin or or really itchy skin?\n\nP: When I was a kid but not really now.\n\nD: OK, and how about any nausea or vomiting?\n\nP: No.\n\nD: OK. Any infectious symptoms overall?\n\nP: Ahh, I don't I don't think so.\n\nD: OK, any urinary problems?\n\nP: Uh, like. No, no.\n\nD: OK. Bowel problems?\n\nP: uh no, no. No, that's all good.\n\nD: OK um. And, uh, any fevers or chills?\n\nP: No. \n\nD: OK, and then how about, uh, have you been having any night sweats?\n\nP: What's that?\n\nD: So, uh, overnight when you're sleeping you wake up with either your like pajamas drenched, or your your sheets drenched drenched from sweating.\n\nP: Oh no.\n\nD: OK. \n\nP: Um not that. \n\nD: OK. So I just wanted to ask a few questions about your past health. Have you been, so you mentioned asthma. Have you been diagnosed with any other medical conditions?\n\nP: No, no that's it.\n\nD: OK, um, and any recent hospitalizations?\n\nP: Like I broke my leg years ago but like that was just like really fast.\n\nD: OK, and any surgeries?\n\nP: Uh. Just like my wisdom teeth.\n\nD: OK, and any medications besides it like that, including the inhalers?\n\nP: Nothing else, just. Just those things and my mom makes me take a vitamin.\n\nD: OK, and any allergies?\n\nP: What I don't know like not that I thought, but maybe like cats.\n\nD: OK, and do you have any like seasonal allergies? Do you find like in the spring or fall time or even summer that you get um like dry eyes or really itchy\neyes or runny nose?\n\nP: Yeah, I just thought like I had a cold, but I guess like I usually feel like that in the springtime.\n\nD: OK. And, uh, are immunizations up to date?\n\nP: I think so, like I've had all the stuff that I'm supposed to. I think I don't know the names of everything.\n\nD: OK, and so I actually wanted to ask a few questions about personal and kind of lifestyle habits. But first I was wondering if you could tell me a little bit about your living situation?\n\nP: You know, like I live with my mom and Dad and I like my little brother.\n\nD: OK. \n\nP: Yeah. \n\nD: OK, and um, where do you go to school?\n\nP: Um to to the. The school, um like high school down the road.\n\nD: OK and in what grade now?\n\nP: And, I'm in Grade 11.\n\nD: OK, and what types of like hobbies or kind of activities are you interested in?\n\nP: I like I like playing video games, I was really wanting to join the Marines and I was really trying to get into that stuff, but then I heard like you can't when you have asthma. Oh so I I kinda wanna know bout that like is that gonna stop me from doing that?\n\nD: Yeah, so it's something that we will look into today. I'm. I'm not too sure what the details are regarding that information, but thank you for bringing that up and we'll be for sure to look into that together. And that reminded me of a question I wanted to ask earlier and so have you had pulmonary function tests done before?\n\nP: Uh, what is that?\n\nD: So essentially they'll have you kind of breathing into a tube where you'll have periods where you'll maximally inhale and then maximally exhale as quickly as you can, and you'll do different types of breathing movements so that it gets measured on a on a device.\n\nP: Is that like when you breathe in that the tube? \n\nD: Yeah, exactly.\n\nP: Yeah, like the last time I was here like couple months ago I did that and it said that, she said that my asthma was back.\n\nD: OK. Right, thank you for clarifying. And so, so for the last few questions about. And your personal habits. I was wondering. I understand that people in your age group might experience with smoking or or alcohol. Do any of your friends do that?\n\nP: I mean, sometimes we'll drink beer like at parties on the weekend. I don't, I don't drink a lot.\n\nD: OK, and can you tell me a little bit about your diet?\n\nP: Sorry I missed that.\n\nD: Just wondering if you could tell me a little bit about your diet?\n\nP: Oh, well my mom always like makes me a lunch like I'll have like a sandwich for lunch with like you know ham and cheese or something. I'll usually have like cereal for breakfast and my mom makes dinner. It's usually like meat like potatoes and vegetables or something. I think it's like pretty normal.\n\nD: OK, and are you currently sexually active?\n\nP: Uh. Like I have a girlfriend. Just with her. Uh, like just recently. Yeah we started.\n\nD: OK, and do you use a condom?\n\nP: Yeah, yeah. \n\nD: Every time or sometimes?\n\nP: Oh yeah, every time. It's not doing that many times, but yeah.\n\nD: OK, great and um have you had any other partners?\n\nP: No, no like I had made out with other people before, but this is like the first one.\n\nD: OK, but have you had a sexually transmitted infection before?\n\nP: Uh no. \n\nD: OK, and I know this question might seem a little bit invasive, but it's important to ask everybody. Have you had any thoughts of hurting or harming yourself?\n\nP: No.\n\nD: OK. \n\nP: No I haven't.\n\nD: OK, great um. And in your family, has anybody ever had any of these similar symptoms before?\n\nP: Like may my dad, I think he maybe had asthma when he was younger, but like he doesn't really have it now.\n\nD: OK, and any allergies that run in the family?\n\nP: Mmmm, like my dad also really. Dad gets like a runny nose in the spring. So yeah, I think that's allergies. \n\nD: OK. um. So overall, it's it's sounding like you been having this shortness of breath or difficulty breathing episodes that you're saying that it's made worse when you're exercising, out in the cold, and then around pets. And sometimes when the season changes as well and in the spring and so and then the recent diagnosis on pulmonary function tests a few months ago. So I think it would be important to clear up the medications today and try to get that better organized moving forward because it sounds like you're still pretty symptomatic with needing to use them daily currently. And so will look into that and then also the question about the Marines. Uh, interest with asthma.\n\nP: Yeah, thank you. I really wanna know that like that was my plan and now I'm like kinda worried I can do that.\n\nD: Excellent.\n\nP: K thank you."} | |
| {"audio": "dataset\\resampled_file\\RES0029.wav", "text": "D: I was wondering if you could start by telling me what brought you into the emergency Department.\n\nP: So I came to the emergency Department because I've been having pain in my chest. \n\nD: OK, where is the pain located?\n\nP: I would say it's like the whole pretty much the left side of my chest.\n\nD: OK, and when did this pain start?\n\nP: So I think it started just around 2 hours ago. I actually was riding my bicycle and just fell off on, kind of just slipped and I think I fell on that side like when I the impact was right on my chest and since then it's been really painful.\n\nD: OK I am how would you describe the pain, sometimes people will use words like burning dull, achy.\n\nP: I think it's more like someone is just stabbing me and then whole left side area.\n\nD: OK, and um. Anything that you've been doing that's that's made the pain worse?\n\nP: If I. Think I have to take really really slow and shallow breaths. If I try to take a deep breath it just really hurts like taking those small, smaller breaths helps.\n\nD: OK, and do you feel the pain anywhere else, or is it just on the left side of your chest?\n\nP: No, I would say just on the left side.\n\nD: OK, and has the pain been getting worse, staying the same or getting better?\n\nP: I'd say over the last two hours it's been getting worse.\n\nD: OK, and do you have any other associated symptoms?\n\nP: Uh, like I think I I'm having. Also maybe it's just because I'm trying to breathe slowly, but I feel like I can't catch my breath.\n\nD: OK, um has anything like this ever happened to you before?\n\nP: No, no. I mean, I've never had any pain in my chest before.\n\nD: OK are you, did you have a loss of consciousness when you fell off your bike?\n\nP: No, I got right back up. I just just had the pain.\n\nD: OK, so any injuries to the head?\n\nP: No.\n\nD: OK.\n\nP: That's fine. I was wearing a helmet.\n\nD: OK, excellent and any headache right now?\n\nP: No.\n\nD: OK, how about any fever chills?\n\nP: No, I feel I'm fine.\n\nD: Any nausea or vomiting?\n\nP: Nope.\n\nD: Do you feel as though your heart's racing?\n\nP: I would say like in the last hour a little bit more so than usual.\n\nD: OK. Any skin changes or or rashes you've noticed? \n\nP: Besides, just I got some scrapes here and there on my hands, but nothing else. \n\nD: OK, and do you have a cough?\n\nP: Nope.\n\nD: OK, and any recent infections?\n\nP: No, I've been pretty pretty healthy recently. No, no cough or no infections.\n\nD: OK, and uh, any dizziness?\n\nP: Um no.\n\nD: Alright, and I know you mentioned the few scratches on your hands, but any other injuries? \n\nP: Oh no, I I think I got a pretty lucky.\n\nD: Oh, OK. And any alcohol or drug intake prior to falling off your bike?\n\nP: Oh no, no, I was completely sober. No no drugs or alcohol.\n\nD: OK, and any weakness or numbness or tingling that you noticed?\n\nP: Um no nothing like that.\n\nD: Alright, and, when was the last time you had anything to eat or drink?\n\nP: I just had some cereal and, um, just some chocolate milk around breakfast time but nothing else.\n\nD: OK, and how many hours ago was that?\n\nP: I would say around 3 hours ago.\n\nD: OK. Um, and have you been diagnosed with any medical conditions in the past?\n\nP: Uh, not other than just a hay fever, but nothing nothing else. I have like a lot of allergies.\n\nD: Any allergies to medications?\n\nP: Oh, just sometimes when I take like a nasal spray I think I might have an allergy to the steroids that they give me and sometimes also some of the antihistamines I think I get some allergies from them.\n\nD: OK. Uh, and any hospitalizations? \n\nP: No, never.\n\nD: Any surgeries?\n\nP: Nope. \n\nD: OK. Anybody in the family who have any illnesses?\n\nP: Just my father. He has type 2 diabetes but nothing else.\n\nD: OK, and how do you support yourself currently financially?\n\nP: Oh so I work just as like a mechanic just in the city and currently I just have myself to support. I live alone in an apartment, so I'm doing fairly well.\n\nD: OK, and do you smoke?\n\nP: I smoke around like I'd say 2 and a half to 3 packs per day. I know it's. Yeah, I have tried quitting before, but I would say I've been smoking since I was 18.\n\nD: OK, and do you smoke marijuana? \n\nP: No, no, no marijuana, no other drugs. \n\nD: OK, and do you drink alcohol?\n\nP: Yeah, it's just like sometimes on the weekend. I'll just have a beer or two while watching the game, but not nothing regular.\n\nD: OK, thank you."} | |
| {"audio": "dataset\\resampled_file\\RES0027.wav", "text": "D: I was wondering if you could tell me what brought you in?\n\nP: Sure, I've been coughing for the past three days and it I can't seem to stop. It's affecting my sleep, so I just really like to get this fixed.\n\nD: OK, ah is the cough, with the cough have you been bringing up any sputum?\n\nP: No, it's it's dry. It's very dry.\n\nD: OK, have you brought up any blood?\n\nP: No no blood.\n\nD: OK and the cough started three days ago. Has it gotten worse, gotten better, stayed the same?\n\nP: Ah you know, it seems to be getting worse, and now I even feel hot like I have a fever or something.\n\nD: I see. Is there any triggers associated with the cough like going outside into the cold, smoke inhalation or or dust or pets?\n\nP: Um, no, not that I noticed.\n\nD: OK, have you tried anything to you help with the cough?\n\nP: I tried over the counter cough syrup, but it's it's not helping.\n\nD: OK, and you mentioned the coughs interrupting your sleep. Has is the cough constant all day or are there particular times of the day that it's worse?\n\nP: It's just all day.\n\nD: Let's see OK, Um, and you mentioned that you started to feel hot when when did you notice that?\n\nP: That was just today.\n\nD: Just today, have you taken your temperature?\n\nP: No, I haven't. \n\nD: OK, and have you been experiencing any other symptoms?\n\nP: Mmm. I've been really tired but I don't know if that's because I can't get any seem to get any sleep.\n\nD: Well, because the coughs been keeping you up OK. Um, so have you had any headaches?\n\nP: Maybe a slight headache, but also I'm not too sure if that's because I've been coughing and it's putting strain on my head.\n\nD: OK, how about any discharge like mucus or tears from your eyes or ears?\n\nP: No, nothing like that.\n\nD: OK, how about any pain around your eyes or ears?\n\nP: No.\n\nD: OK, have you had a runny nose?\n\nP: Mmmm, no no. \n\nD: Alright. And within the last month or so, have you had any cold like symptoms with a runny nose, headache, sore throat, and or a cough?\n\nP: Ah no. \n\nD: OK, so it's just been these last few days?\n\nP: Yes. \n\nD: Um, alright, and do you have a sore throat now?\n\nP: Um, no.\n\nD: OK and, and how is your appetite been?\n\nP: My appetite's been OK. I also it's just hard to eat because I'm coughing so much.\n\nD: OK, have you had any troubles with swallowing, like being painful?\n\nP: No, well, no no. I would say no.\n\nD: OK, um an in the last several months. Have you had any weight loss?\n\nP: Um no weight loss. \n\nD: Alright, and have you had any chills?\n\nP: Maybe a little bit last night now that I think about it.\n\nD: OK, and how about any night sweats?\n\nP: A little bit last night.\n\nD: OK, so you were a bit chilly and and then sweaty late last night?\n\nP: Yes, a little bit.\n\nD: OK and feeling hot today?\n\nP: Yeah.\n\nD: Have you had any chest pain?\n\nP: Um no, no chest pain no. \n\nD: Alright, and how about shortness of breath?\n\nP: No.\n\nD: Alright, any wheezing?\n\nP: No. \n\nD: Alright, and have you had any instances where you felt as though your heart was racing or beating out of your chest?\n\nP: No.\n\nD: Alright, and any instances where you felt like you were gonna faint, or maybe blackout?\n\nP: No.\n\nD: OK and, have you felt dizzy at all?\n\nP: Um no, no dizziness.\n\nD: Alright and have you had any loss or of your sense of taste or loss of your sense of smell?\n\nP: Um no. \n\nD: OK. And have you had any diarrhea?\n\nP: No diarrhea.\n\nD: Alright, and then how about any nausea or vomiting? \n\nP: No.\n\nD: OK um. And so you have been fatigued? Have you had any muscle aches or or body aches?\n\nP: A little bit of both, yeah.\n\nD: I see OK and have you had any painful urination or feeling the need to urinate frequently?\n\nP: No. \n\nD: OK, and any skin rashes or or skin changes?\n\nP: Ah no.\n\nD: Alright, um in regards to your past health. Have you been diagnosed with any medical conditions before?\n\nP: I have hypothyroidism.\n\nD: I see OK and um, are you taking any medications for that?\n\nP: I'm on Synthroid.\n\nD: OK, great, when was your last TSH checked?\n\nP: I believe I did it six months ago.\n\nD: OK, and were there any concerns with the range at that time?\n\nP: No, I think it was normal.\n\nD: Alright excellent, do you take any other medications or over the counter?\n\nP: I I take this multi vitamin. I can't remember the name of it, but it's just something that I take every day.\n\nD: OK, any any allergies to medications?\n\nP: No.\n\nD: Alright, and have you had any surgeries before?\n\nP: Um, I had my appendix removed when I was a teenager.\n\nD: OK, and any complications with that surgery? \n\nP: No.\n\nD: Alright, um so next I was wondering if you could just tell me a little bit about your living situation?\n\nP: Sure, I live with my husband and two children who are both teenagers. I, we live in a in a townhouse, and we moved recently.\n\nD: OK, and anybody in the home been sick?\n\nP: My husband has been throwing up for the past two days and I think he was feeling a little hot too.\n\nD: OK, has he been assessed by a physician?\n\nP: No, I tried to bring him today, but he refused. \n\nD: I see OK. Has he been around anybody who's been sick that you're aware of, like at work or anything?\n\nP: He works at this IT company. There aren't a lot of them and they all have their own cubicles, so you know, maybe in the lunch room or something, but other than that, I don't think so.\n\nD: OK, and how about yourself? Any other exposures or sick contacts or maybe at work or something like that?\n\nP: Um so I do marketing stuff online, but I I work from home. \n\nD: OK. Um and your kids have been well?\n\nP: Oh yeah, they've been. They've been healthy.\n\nD: Alright. And do you smoke cigarettes?\n\nP: No.\n\nD: And do you drink alcohol?\n\nP: I'll have a glass of wine with dinner once in awhile. \n\nD: OK, do you and what's once in awhile?\n\nP: Maybe every three or four days.\n\nD: OK, so a couple of drinks per week? \n\nP: Yeah.\n\nD: Alright, and do you smoke marijuana?\n\nP: I have smoked marijuana. I don't regularly do it.\n\nD: No, OK, um and do you use any other recreational drugs?\n\nP: No.\n\nD: OK um and has anybody in the family had a lung condition or or a heart condition before?\n\nP: My sister, who's 15 years older than I am, she had a heart attack quite recently.\n\nD: Oh, I'm sorry to hear that. Do you know what happened?\n\nP: Um, you know, I'm not too sure she doesn't always eat the healthiest, and she doesn't do a lot of exercise. So I think maybe that had something to do with it.\n\nD: OK, um and did your parents have any heart problems?\n\nP: No, they were both healthy and they passed away a few years ago, but they died of old age, I guess you can say.\n\nD: OK. Any cancers in the family?\n\nP: No.\n\nD: Alright so I think that's all I wanted to cover on the history today. Was there anything that you wanted to tell me I maybe didn't ask?\n\nP: Um no, I was just curious if you think I had COVID?\n\nD: Certainly one of the top things that I'm considering after hearing about your symptoms of having this cough and fever and being tired these last few days, especially with your husband being sick with nausea, vomiting, and not feeling well. That being said, it could be another type of viral illness, or possibly a bacterial infection. But certainly we will order some investigations, some blood work, a PCR nasal swab that will actually test for COVID as well as a chest X Ray to start with. Um and we will wait for some of those results to come back. \n\nP: OK, yeah, that sounds good.\n\nD: Alright, so we'll get that started.\n\nP: OK, thank you."} | |
| {"audio": "dataset\\resampled_file\\MSK0034.wav", "text": "D: What brings you here today?\n\nP: Yeah, I'm so I'm here with my mom because I am having this pain in my right hip and groin area. Um I was playing with my friends too. Maybe yeah, yesterday and I fell down. I didn't fall down hard, but I had a small fall and since then my hip has been hurting and it's painful for me to bear any weight on my right leg.\n\nD: OK, and did you have this pain at all before your fall or is this something that just started after the fall?\n\nP: It just started after.\n\nD: OK and when did you have the fall?\n\nP: Yesterday.\n\nD: OK and can you describe what you were doing and from how high did you fall and if like on what surface you fell on?\n\nP: Sure um we were playing soccer on like a field and I and I just fell on the grass, like it was a flat surface.\n\nD: OK, and so did you say it was the right hip that's giving you pain?\n\nP: Yes, that's right.\n\nD: OK, did you fall on the right hip?\n\nP: I did.\n\nD: OK an after you fell were you able to um weight bear like get up, get back up on your feet or was it difficult?\n\nP: It was difficult an I'm still limping.\n\nD: OK and you're still limping on. Have you noticed, so any pain anywhere else, or is it just your hip?\n\nP: Um just my hip.\n\nD: OK and where exactly is your pain on the hip?\n\nP: It's like on the side of my hip as well as like in the groin area.\n\nD: OK I see, and what kind of pain are you experiencing, is it a sharp pain or is it a dull aching pain? \n\nP: It's pretty sharp.\n\nD: It's sharp OK. And do you experience any other symptoms, like any dizziness or fainting spells?\n\nP: No.\n\nD: And are you able to move your hip at all, like are you able to flex it, or extend it, rotate it? \n\nP: I can move it, but it comes with a lot of pain.\n\nD: OK, and do you find that your hip is at all rotated outwards?\n\nP: Yeah, it looks um. Yeah, it looks like it is. \n\nD: OK. Alright, have you taken any medications for your pain?\n\nP: I just took some ibuprofen.\n\nD: OK. And. Other than that, have you recently been sick at all?\n\nP: No, I haven't. \n\nD: OK, and on a scale of zero to 10, 10 being the worst pain you've found in your life, how much would you rate this?\n\nP: How would say like an 8.\n\nD: An eight, and as the pain travel anywhere, to other parts of your body?\n\nP: No, just stays in that area.\n\nD: OK, any numbness or tingling?\n\nP: No.\n\nD: No OK. Any fevers or chills?\n\nP: Um noo.\n\nD: Any skin changes?\n\nP: No.\n\nD: So no swelling redness or anything like that? \n\nP: Uhm no it doesn't seem to be red. Maybe some slight swelling.\n\nD: OK.\n\nP: Uhm yeah.\n\nD: OK, any shortness of breath, chest pain?\n\nP: No.\n\nD: OK, any pain in any other joints? \n\nP: No. \n\nD: OK. Do you feel any weakness in your upper legs or lower legs at all?\n\nP: No, not that I can tell no. \n\nD: OK. And do you have any past medical conditions that you've been diagnosed with?\n\nP: No, I've been pretty healthy otherwise.\n\nD: OK, and you take any medications on a daily basis?\n\nP: Uh no.\n\nD: OK, any allergies that you know of?\n\nP: No.\n\nD: OK. Are all your immunizations up to date?\n\nP: Yep, they should be.\n\nD: OK and have you ever been hospitalized or had any surgeries in the past?\n\nP: No.\n\nD: No OK. And yeah, I'll just ask you as well as your mother during the time she was pregnant with you, did you have any kind of complications during pregnancy at all?\n\nP: Um no, no complications \n\nD: OK and when when you were born any complications after birth, any stay in the hospital for any reason?\n\nP: No.\n\nD: And was it a vaginal delivery or a c-section?\n\nP: It was a vaginal delivery.\n\nD: OK and was there the use of any kind of instruments like forceps or vacuum for any reason? \n\nP: No.\n\nD: No OK. So it was like a fairly normal pregnancy and were you at term or premature?\n\nP: At term.\n\nD: Alright, and any complications difficulties while you were growing up at all with your growth like height or weight, or any kind of developmental issues that you know? \n\nP: No, um I hit all my milestones and otherwise, doing pretty well on par with my peers in terms of milestones.\n\nD: OK, and schools going well?\n\nP: Yeah, schools going well. \n\nD: OK. And in terms of your family history, any musculoskeletal or rheumatologic conditions?\n\nP: Uhm no, nothing like that in my family.\n\nD: OK, and currently right now, who do you live with?\n\nP: I live with both my parents as well as my 7 year old sister.\n\nD: OK Alright. And yeah, if I can, just, uh, is it OK if I just talk to you alone for a little bit? \n\nP: Sure, yeah.\n\nD: Alright, yeah, so anything that we talked about here today will stay confidential as long as there is no harm to yourself or others or risk of harm to yourself or others. So yeah, I'm just going to ask you a few questions pertaining to your health.\n\nP: Sure, that sounds good.\n\nD: Yeah, so at home, do you find that you're in a safe environment even outside of your home in your neighborhood do you feel safe?\n\nP: I do.\n\nD: OK and how about at school, do you feel safe? Have you experienced any kind of bullying or anything like that? \n\nP: No.\n\nD: OK. Have you tried any alcohol, recrea' recreational drugs or cigarettes or do you know any friends that have tried?\n\nP: I know, I know, older kids that have tried in the school, but we haven't. \n\nD: OK, and are you sexually active?\n\nP: No.\n\nD: No OK alright yeah so those are just a few questions I had I'll call your mom back in. OK, so yeah, we're just gonna try and do a couple of examinations. So are you able to stand up by yourself?\n\nP: Um I can, but I need a lot of assistance like I have to hold on to the desk or have a crutch or something like that.\n\nD: OK, uh, no worries and then while laying down, are you able to lift your right leg with your knees straight?\n\nP: I don't know about straightening my knees. My leg seems to have permanently turned outward and look shorter than my other leg.\n\nD: OK and yeah, I forgot to ask you this earlier. I don't I don't think we weighed you when you were coming in, but approximately how much would you say you weigh?\n\nP: I weigh about um 130 pounds.\n\nD: OK, and do you know how tall you are?\n\nP: Uhm I'm about 4'8\".\n\nD: OK. OK, alright, so yeah those were just some of the questions I had today we'll do a full physical examination and have you come in. Alright, sorry and like well will continue with the full examination today and what currently it seems like it can definitely be from the fall. You may have injured yourself and we just want to make sure there's no fractures like a hip fracture. \n\nP: OK.\n\nD: One thing that's also something that we have to investigate is something called slipped capital femoral epiphysis. So this is, this is a common hip issue in adolescents, especially from boys aged 10 to 16. And usually it's the left hip that's affected, but it it can be the right. And as adolescents are in a phase where they were growing, there is, if they have some predisposed disposition too slipping of the capital femoral if epiphysis, which is right between your hips, you can get some slipping. It can be after a fall or it can happen just as the child is growing, and it can also it is also associated with the increasing weight that a child may have. So what we can do is just get first an X-Ray of both the hips. \n\nP: OK.\n\nD: And see like what we can find on the X-Ray and then will also do a full examination. And it, if it does turn out that there is a fracture or there's a slipped capital femoral epiphysis we will need to send out a referral to pediatric orthopedic surgery.\n\nP: OK.\n\nD: Yeah, so yeah, first we'll just get the image Ng done and see what's going on in there and then we'll get back to you shortly.\n\nP: OK, that sounds great. Thank you so much.\n\nD: Welcome. Take care."} | |
| {"audio": "dataset\\resampled_file\\RES0066.wav", "text": "D: So what brings you in here to the ER?\n\nP: Well, I thought I should start by saying I was recently hospitalised for pneumonia. I left five days ago, but as soon as I left that evening, I started coughing again and now I have all the same symptoms. I have a cough, I'm feeling short of breath and I have a feeling like I have a fever.\n\nD: OK, and before you were discharged the day, can you let me know what you had and what kind of things were you treated with?\n\nP: I was treated with some antibiotics, I don't know exactly which ones. They said I had some sort of bacterial pneumonia.\n\nD: OK. But then it got resolved and they sent you home?\n\nP: Yeah, that's right.\n\nD: So are your symptoms similar to when you got admitted?\n\nP: They are similar, but I feel like they are also worse now.\n\nD: OK, worse, OK, so you're having a cough, shortness of breath and fever, and did that all start together? Or did one come before another?\n\nP: Um, so the cough came first, then the shortness of breath, and then the fever.\n\nD: OK, and the cough, how would you describe the cough?\n\nP: Um, it's harsh, it's persistent.\n\nD: Are you producing any sputum?\n\nP: Um, I guess a little bit, yeah. Yeah, I guess a little bit and it's yellow.\n\nD: It's yellow, OK, do you notice any kind of blood in your sputum? \n\nP: No, no blood. \n\nD: OK, so just yellow sputum and how much would you say you're producing an average day?\n\nP: Um, maybe like, 10 to 15 times in a day I produce enough to fill like the inside of my palm.\n\nD: OK. And with the fever, did you get a chance to measure, take a temperature at all?\n\nP: Umm, no, I haven't actually taken my temperature.\n\nD: OK, but you've been having chills and are you having any other symptoms?\n\nP: Yeah, chills. I've been feeling kind of hot during the day.\n\nD: Yeah, OK. And how about the shortness of breath, is that just during activity or you can have that when you're sleeping or resting as well?\n\nP: The shortness of breath is more with like activity when I'm walking around. \n\nD: OK. And have all these symptoms been getting worse at all?\n\nP: Yeah, I'd say they're getting worse now. It's like this everyday and it's definitely getting worse.\n\nD: OK, do you feel dizzy or lightheaded at all?\n\nP: Um, no.\n\nD: Do you have any muscle aches?\n\nP: Um, a little bit. \n\nD: OK, and where on your muscles would you say are aching?\n\nP: I would say my lower limbs and just generally all over, but just yeah like the big muscles like my thighs, my shoulders. \n\nD: OK. And have you been having any kind of swelling in your limbs at all?\n\nP: No, no swelling. \n\nD: OK and any kind of swelling of your neck region or lymph nodes?\n\nP: No, not that I noticed.\n\nD: OK. And do you feel any kind of chest pain with shortness of breath?\n\nP: Um, no nothing like that.\n\nD: OK, and since you've been out of the hospital, have you been in contact with anyone who's sick?\n\nP: No, I went straight home.\n\nD: And any recent travel?\n\nP: No, no recent travel.\n\nD: OK, any headaches?\n\nP: No headaches.\n\nD: Any nausea or vomiting?\n\nP: No. \n\nD: Any kind of fatigue or increased tiredness?\n\nP: I feel fatigued, yes.\n\nD: OK, and do you feel at all that your heart is racing?\n\nP: No. \n\nD: OK, and do you have any symptoms like a loss of taste, sense of taste or smell? \n\nP: No.\n\nD: So, OK, any kind of bowel movement issues? Any constipation or diarrhea?\n\nP: No.\n\nD: And any urinary trouble?\n\nP: Um, nothing like that. \n\nD: OK, have you lost any weight recently?\n\nP: No. \n\nD: Have you been able to sleep throughout the night or does the cough wake you up or the chills wake you up?\n\nP: Um, no, they don't wake me up. I wouldn't say that. \n\nD: OK. Are you having any other symptoms like a sore throat, runny nose, congestion, anything like that?\n\nP: No. \n\nD: OK, and anything in your house like dust or an old carpet or pets? Anything that triggers some of these symptoms?\n\nP: No.\n\nD: OK. OK, and in terms of your past medical history, any conditions that you've been diagnosed with like asthma, COPD, anything like that?\n\nP: Um, no, nothing like that.\n\nD: OK, do you take any medications?\n\nP: I do, I take some multivitamins particularly calcium and vitamin D, and I'm also on Synthroid.\n\nD: OK, so do you have hyperthyroidism?\n\nP: Yeah, sorry I forgot to mention that.\n\nD: No worries. Then when you went home and you were discharged, did they give you any antibiotics to finish at home?\n\nP: Ah yes, they did. So I only had one days worth left. I was switched from IV antibiotic to the oral kind and so I'd finish the remaining pills that day, then went home.\n\nD: OK, so you finished the course, OK. Great and do you have any past history when you were admitted, any other hospitalizations or surgeries at all? \n\nP: Um, no. \n\nD: Do you have any family history of asthma, COPD or any lung conditions? \n\nP: No.\n\nD: Any other conditions that run in the family?\n\nP: No. \n\nD: OK. And currently, where do you live?\n\nP: I live in a house with my daughter and her husband.\n\nD: OK, and any one of them have similar symptoms or have been sick recently?\n\nP: No. \n\nD: OK, and have you had a COVID test done at all?\n\nP: Um, no, no COVID tests have been done. I had one in the hospital before I was admitted, but none today.\n\nD: OK. And do you smoke at all?\n\nP: I used to smoke. I don't smoke anymore.\n\nD: OK, and when did you quit?\n\nP: About seven years ago.\n\nD: OK congratulations.\n\nP: Yeah.\n\nD: And how much would you say you smoked before that, and for how many years?\n\nP: Before that, I would say it's like gosh, 20 years and then about a pack a day.\n\nD: OK. Do you drink alcohol?\n\nP: I drink like a glass of wine a week.\n\nD: OK. Any other recreational drugs like marijuana? \n\nP: No. \n\nD: OK. Yeah, so is there anything else? Any other questions that you have for me today? \n\nP: No, what do you think I have?\n\nD: Yeah, so there's definitely multiple things that can be going on. Since you were just recently admitted, maybe you might have another bacterial r espiratory infection, like a pneumonia or it could be viral as well. So the first thing we want to do is for sure get COVID swab done and then we will also get, since you were admitted, as well recently, we want to get an X Ray on you just to see if there's any pneumonia. OK, and so we'll be keeping you here for a bit until everything comes back. We'll get some blood work done for you as well to see if there's any infection in your body. And then yeah, so just sit tight, we'll get all those things done. Is that OK with you?\n\nP: Yeah, that's great. Thank you.\n\nD: You're welcome, yeah. So well will be updating you shortly.\n\nP: OK, great, thank you."} | |
| {"audio": "dataset\\resampled_file\\RES0152.wav", "text": "D: How how may I help you?\n\nP: Hi uh nice to meet you. I've just uh been experiencing um a cough for the last few weeks and uh I also recently started noticing that I'm coughing up some blood as well, like it's mixed into like sputum.\n\nD: I see, alright, so you said a few weeks for the cough. Is this more than three weeks, more than four weeks, or a few months?\n\nP: I would say it's almost I would say almost like three weeks now.\n\nD: OK, when the cough started uh were you bringing up, um were you bringing up sputum or phlegm at that time?\n\nP: Uh yeah, initially it was just like um kind of white too, sometimes yellowish phlegm, but now over the last week I've been also noticing um some blood in it as well.\n\nD: OK, and how much blood have you been bringing up? Um just trying to think in maybe uh teaspoon sizes if you can.\n\nP: Uh yeah, I would say maybe half a half a teaspoon.\n\nD: OK. And, um have you been having any shortness of breath?\n\nP: um no, I don't think so. But kind of like I do feel some discomfort in my chest like I just associated it with the cough.\n\nD: I see, have you had any uh any chest pain?\n\nP: Uh, no. It's more of just the discomfort with the coughing.\n\nD: OK, and um have you had any changes to your breathing like like wheezing?\n\nP: Uh, no, nothing like that. \n\nD: Alright. Um and have you had any infectious or viral type symptoms like itchy eyes, or runny runny nose, sore throat?\n\nP: Uh no, nothing like that.\n\nD: OK, and um how has your energy been? Any any fatigue?\n\nP: Um it's kind of been a bit low over the last few weeks, just I feel more tired. Um yeah I had to miss a few days of work as well. \n\nD: I see, alright. Um have you had any fevers or chills?\n\nP: Uh definitely I feel like I have had some chills over the last week. Um I haven't had a chance to measure my temperature though.\n\nD: OK, have you felt feverish? Or have you felt hot at any point?\n\nP: Um, yeah I would say like a few times this week, I've also felt like hot.\n\nD: Alright, have you had any um like night sweats?\n\nP: Uhm now that you mention it like I I would say two two days out of the last week I've had night sweats where my sheets were kind of just drenched when I, and then I woke up noticing that.\n\nD: Alright. And how about your um your weight? Have you had any changes to your weight over the last several months?\n\nP: Yeah, I think I've lost maybe 10 pounds in the last couple months.\n\nD: OK, that sounds like some, uh, some weight lost significant weight loss, have you been trying to lose weight?\n\nP: No, not really. \n\nD: OK. Uhm and have you felt as though um like your heart's racing or beating really fast?\n\nP: No, nothing like that.\n\nD: Have you had any uh like fainting or dizziness?\n\nP: No, nothing like that.\n\nD: OK um and how about any nausea or vomiting?\n\nP: No, no, no nausea or vomiting.\n\nD: Have you had any abdominal pain?\n\nP: No.\n\nD: Any diarrhea?\n\nP: No.\n\nD: Any urinary problems like pain or or going often?\n\nP: Uh no, nothing like that. \n\nD: OK. Uh have you noticed any rashes anywhere?\n\nP: No, no rashes. \n\nD: Have you had any muscle aches or joint pains?\n\nP: Um no, nothing like that.\n\nD: OK, and um have you been diagnosed with any medical conditions in the past? \n\nP: No. Um I've been fairly healthy. \n\nD: OK, that's good, and have you had any surgeries or any reasons to be hospitalized before?\n\nP: No.\n\nD: Do you take any medications or any over the counter, supplements?\n\nP: Um no.\n\nD: Alright, any allergies that you're aware of?\n\nP: Not that I know, no.\n\nD: OK, and um are your immunizations up to date?\n\nP: Um immunizations are all up to date, yeah.\n\nD: Alright, and currently um can you tell me a little bit about who you're living with and uh where you're living?\n\nP: Yeah, currently I'm living uh just in um it's kind of like a a home with just a, I don't really know the people too well, just kind of like a home where um a bunch of guys are just living and working separately. I just actually recently moved here from um The Philippines six months ago.\n\nD: I see, OK. Um do you interact with many of the people in the house and and has anybody else been sick? \n\nP: Uhm I don't know if anyone else has been sick, I haven't really noticed that. I don't really see them too much.\n\nD: OK, and six months ago prior to um yeah coming from the Philippines, was anybody sick there or did you hear of anybody that you spent time with having um tuberculosis?\n\nP: Um yeah, there's been, not anyone that I know of, but there's definitely like even where I worked and things like that, there's definitely people who have had tuberculosis in the past.\n\nD: I see, OK. Um and, uh do you smoke cigarettes?\n\nP: No.\n\nD: And uh how about smoking cannabis or using any products?\n\nP: No, nothing like that.\n\nD: OK, and you use any recreational drugs?\n\nP: Uh, no. \n\nD: OK, um and are you currently sexually active?\n\nP: Uh currently, no.\n\nD: OK, um so no concerns for a sexually transmitted infection at this time?\n\nP: No.\n\nD: OK, um and um have you traveled anywhere recently?\n\nP: Um not recently, no.\n\nD: OK, but uh, and anybody in the family um have uh heart or lung conditions?\n\nP: No.\n\nD: OK, um and any cancer that run in the family?\n\nP: Not that I know of.\n\nD: OK, um so, uh I think that's everything I wanted to ask on on history today, so it sounds like you've been having this cough um that's been going on for just over three weeks now and starting with some um whitish clear sputum and more recently even started to be coughing up some blood as well. And you've also been really um fatigued and have had some malaise over the last several weeks. Um and any other symptoms or, oh and also yeah, you've had some night sweats, chills, and uh been feeling feverish as well, so we'll certainly check your temperature today too. OK, so anything I missed?\n\nP: Uh, no. I think that that sounds great. Thank you so much.\n\nD: OK, so we'll get the um testing started for uh for the investigations. And yeah, if uh at any point symptoms get worse, we'll reevaluate.\n\nP: Yeah, sounds good. Thank you so much."} | |
| {"audio": "dataset\\resampled_file\\RES0143.wav", "text": "D: What can I do for you today?\n\nP: Hi, uh, so I just came here today uh, I've been having this cough for um, the last two weeks and it just, is not going away. I've also been getting like, just a runny nose for the last couple, I would take the whole week, all of last week.\n\nD: Okay, um, so can you tell me about your cough?\n\nP: Yeah.\n\nD: Go on, sorry.\n\nP: So, it's more of just like a dry cough. I'm not really bringing anything up. \n\nD: No blood?\n\nP: No.\n\nD: Okay, and the runny nose, what, what's the discharge like?\n\nP: Uh it's, it's pretty clear. It might be light, but it's not like green or yellow or anything like that.\n\nD: Um, and so you've had this cough for two weeks and the runny nose just started last week. Has the cough improved over the past two weeks?\n\nP: Uh, it has, like it was much worse last week, uh, but I just can't get like, it's better now, but it's still lasting much longer than I've had a cough before.\n\nD: Okay. Um, and uh, have you had a headache at all in these past two weeks?\n\nP: No, I didn't have a headache, but sometimes I feel a bit congested.\n\nD: And uh, have you had any um, changes in your vision or your like uh, blurry vision, or any redness in your eyes or tearing?\n\nP: Uh no, nothing like that.\n\nD: Okay, any um, changes in smell?\n\nP: Nope.\n\nD: Okay, any change in uh, taste?\n\nP: Uh no, but uh, sorry, for smell, like when I was a bit congested I, I could smell less. I wasn't able to smell too much, but taste has been fine.\n\nD: Alright, and what about uh, sore throat?\n\nP: No, no. No, sore throat. \n\nD: Okay. What about any difficulties with breathing?\n\nP: Um, no, nothing like that. \n\nD: Any chest pain?\n\nP: No.\n\nD: Any palpitations or racing of your heart?\n\nP: No.\n\nD: Any pain in your belly?\n\nP: No.\n\nD: Nausea or vomiting?\n\nP: No, no.\n\nD: Diarrhea or constipation? \n\nP: No.\n\nD: Any aches in your, any muscle aches?\n\nP: No. \n\nD: Any numbness or tingling in your arms or feet?\n\nP: Nope.\n\nD: Um, okay. Uh, any fevers or chills?\n\nP: No, not really. Last week I maybe had a, uh, two nights, I was a bit chilly, but since then I've been fine.\n\nD: Okay, and uh, any night sweats?\n\nP: Uh, no.\n\nD: Unintentional weight loss?\n\nP: No, my weight's been the same.\n\nD: Okay. Alright, and um, so it sounds like you have a cough that started two weeks ago and then you only, and then you had two nights of, uh two nights where you felt sort of cold and you had the chills um, last week, but you uh started, you developed a runny nose um, a week ago?\n\nP: Yeah, the runny nose has been more, um, this week. It kind of like, started with a cough last week. \n\nD: It, it, sorry, so it started with the cough last week?\n\nP: Um, so late last week, I would say the runny nose started.\n\nD: I see, I see. Okay um, alright. I, and um, are you um, do you have any medical conditions that you've been diagnosed with?\n\nP: No, I've been uh, completely healthy otherwise.\n\nD: Any medications that you take, including over the counter, or herbal medications, or vitamins or minerals?\n\nP: No, no. I don't take any medication.\n\nD: Allergies, including allergies to food, or environmental allergies, and allergies to medications?\n\nP: Um, no.\n\nD: Um, and any conditions, medical conditions that run in the family?\n\nP: Um, I think my dad has uh, high cholesterol.\n\nD: And in terms of your living situation, do you live alone?\n \nP: Right now I'm uh, I usually live in a dorm going to university, but right now I'm home with my parents, uh, just doing virtual learning.\n\nD: Okay, okay. Um, and have you um, is there anyone else around in the home? Or just your parents and you?\n\nP: Yeah, just my parents and me.\n\nD: Alright uh, have you um, have you been around someone who might be sick, or have your parents been around someone who could be sick?\n\nP: Uh, my mom had the sniffles like last week, but she pretty much got over it.\n\nD: Um, did she get tested for COVID?\n\nP: No, she, she didn't um, but it's not like, it's just more, she just thought it was a cold or something so she didn't really bother.\n\nD: That's fair, okay. Um, and do you um, so I see that you go to school, um, and you mentioned you, have you traveled anywhere outside the, the province?\n\nP: No, not at all. My school is actually in Ontario, so.\n\nD: Okay, great. Um, and do you currently, or have you ever smoked?\n\nP: Um, maybe like uh, a couple times just casually. I've tried it but nothing regular.\n\nD: And what about marijuana?\n\nP: Yeah, same, same thing like I've tried it probably like four or five times so far.\n\nD: Any recreational drugs? \n\nP: Uh no.\n\nD: Any uh, alcohol?\n\nP: Uh, yeah, just not, not much right now, but like when I, when we were at school like we would drink on the weekends.\n\nD: That's good. Alright, um, so it sounds like you've had a cough for the past two weeks and you uh, have developed a runny nose last week, and your mom was ill the week before. It's possible that you just have a common cold uh, and that symptoms will get better over time. But just in case, we would also like to do a COVID swab, um, to make sure that you, just to rule out COVID. In the meantime, I would request that you isolate, self isolate at home. Stay away from your parents as well. Um, the test results should come back in 24 to 48 hours and public health will give you a call if your results are positive and we'll let you know what to do. Um, we will also do a physical exam here and check your temperature to see if you have a fever at all and um, yeah, does that sound good to you?\n\nP: Yeah, and will I need any like antibiotics for my cough?\n\nD: Oh. Um, well, we, I guess, you said that you don't have a sore throat at all, right?\n\nP: No. It's just that, I just feel like the coughs been just going on, like it would be nice to just get rid of it.\n\nD: Well um, I'll do a physical exam, look inside your throat, look inside your mouth, sorry, and listen to your chest, and uh, ensure that nothing else is going on, that you don't have anything like, say, strep throat or mono or you don't have uh, pneumonia, uh, bacterial pneumonia, for instance. Oftentimes um, symptoms that you have are caused by viruses and don't need to be treated with antibiotics, uh, but I'll do a physical exam, and maybe have a look at your labs as well, and then decide accordingly.\n\nP: Okay, sounds good, thank you.\n\nD: Okay."} | |
| {"audio": "dataset\\resampled_file\\MSK0029.wav", "text": "D: What brings you in?\n\nP: Hi, yesterday I was grocery shopping and, yeah, just in the parking lot somebody bumped into my car and this morning I woke up and my neck is just really painful. It hurt yesterday a little bit, but I mean it was so mild I didn't think much of it. But today it's it's quite a bit worse.\n\nD: OK, so can you tell me how this accident happened? Were you sitting in the passenger seat and the driver? And was the impact from like behind at the back of your car or at the front?\n\nP: It was at the back so I was the driver and was just going over a speed bump in the parking lot so slowed down quite a bit and the person behind me must not have, and they bumped into me. There's just some scratches on the bumper. They didn't hit too hard, but I, I guess maybe hard enough.\n\nD: OK, and did the neck pain start immediately after? \n\nP: Uh no it's I, like not immediately, yeah, I think it started a bit later on and then worse a bit, a bit today.\n\nD: OK. Alright, and is there pain anywhere else on your body? \n\nP: Uh really like my. No, just just really, my neck. \n\nD: OK. OK, and does anything feel broken? Do, are there bruises anywhere? Any obvious signs of trauma?\n\nP: No, I can’t, I didn't notice anything like that and I can move my neck around so I don't think any I don’t, I don't think anything is broken. Just hurts a lot.\n\nD: Alright, and is a pain constantly there or does it come and go?\n\nP: It kind of comes and goes, it just it's worse with movement. If I just kinda sit still, I don't notice much pain, but if I'm betting my head forward or. Mostly backwards, so I'll get, I'll get pain.\n\nD: OK, and you said this happened yesterday, right? \n\nP: Yeah yeah, this happened yesterday afternoon.\n\nD: OK. Um and does anything make this better? Like have you tried ice, say any topicals any positions that that helps with the pain?\n\nP: I did try some like Advil last night, but like when I when the pain was coming on and it must've helped me sleep I guess, but I haven't tried any ice or anything like that, just mostly I guess resting. \n\nD: OK so you said the pain is at the back of the neck does it radiate anywhere up into your head or down into your shoulders or lower or upper back? \n\nP: Uhm. Maybe a little bit to the upper back, like when I like trap, trapezius, muscle area, or the traps like it if I push on those muscles around that area, I do get a little bit of tenderness.\n\nD: OK, OK, and if you were to describe the quality of this pain, would you say it's sharp, dull, achy, throbbing? Uhm, how would you describe it?\n\nP: I would say it's sharp. Yeah, especially if I do any movements like it'll be feels like I mean, it stabbed in the neck.\n\nD: OK, alright, and have you ever had it had pain like this in the past?\n\nP: No, this is the first time. \n\nD: OK. And do you feel like it's getting worse, the pain since it started yesterday?\n\nP: Yeah, it could be that at first I didn't even have any pain at all. Maybe it was just the adrenaline pumping or whatever, but now I can notice the pain. \n\nD: OK. OK, and 1 to 10, 10 being the worst pain you've ever felt how bad is this pain?\n\nP: It would be. I would say probably a 6 or a 7. \n\nD: OK, OK and. Have you had any tingling or numbness?\n\nP: No, I haven't had anything like that.\n\nD: OK, any dizziness or fainting spells?\n\nP: No. \n\nD: Confusion or memory loss?\n\nP: No. \n\nD: Any headaches? \n\nP: Um I. No. \n\nD: No OK. And. Is this affecting your sleep at all?\n\nP: Oh no, I guess like last night it was a little bit more difficult because I was just I slept I just on my back so that I wasn't moving around as much, so that was a little bit awkward, but I was able to sleep though.\n\nD: OK, I know you said you have some pain with certain movements, but do you find it's hard to move your neck at all?\n\nP: Oh, it feels a bit stiff, but like I'm able to move it. But yeah, I feel stiff.\n\nD: OK. Any issues with vision like is it blurry?\n\nP: No. \n\nD: No, how about ringing in your ears?\n\nP: No. \n\nD: No, any sorry yes that, any issues concentrating on on tasks?\n\nP: Um. Yeah, this morning I I guess it's been a little bit more difficult to focus on things, but maybe I was just worried like focusing on the pain in my neck. \n\nD: Yeah, for sure. Any fevers or chills? \n\nP: No.\n\nD: Any changes in your weight?\n\nP: No, my weight it's been been the same.\n\nD: Any changes to your hearing?\n\nP: No, that's been been normal. \n\nD: Smell or taste?\n\nP: That's been normal. \n\nD: Um chest pain or heart palpitations?\n\nP: No, nothing like that.\n\nD: OK. No cough, shortness or breath, shortness of breath or wheezing?\n\nP: No, none of that.\n\nD: How about Issues with their bowel movements?\n\nP: No, I haven't had any diarrhea or any any any constipation nothing like that.\n\nD: OK, any nausea vomiting?\n\nP: No nausea or vomiting.\n\nD: Changes in your appetite?\n\nP: Uh, no that my appetite's been good.\n\nD: OK how about changes in urine?\n\nP: No, I haven't had any any changes to or any urinary symptoms at all.\n\nD: OK, OK, that's good. And are you otherwise healthy? Do you have any longstanding medical conditions?\n\nP: Uhm. No, I am otherwise healthy, I just I'd take birth control, and I am a multi vitamin but that's it. So no medical conditions.\n\nD: OK, alright that's good um. And have you had any hospitalizations or surgeries in the past? \n\nP: Uhm, no, I haven’t. \n\nD: No OK. How about medications? Are you on any?\n\nP: Just the the the birth control that I'm I'm taking. I've been taking that for about five years now.\n\nD: Five years OK, any side effects or any issues with that?\n\nP: No, it's been good day I, I've been really happy with it overall too. They help regulate my cycles.\n\nD: OK, OK, good. And then are you up to date with your immunizations?\n\nP: I am yes, I'll get the flu shot every year.\n\nD: OK, that's good. Do you have any allergies? \n\nP: I do, yeah, but it's I think they're just all environmental, 'cause I'll typically get issues with seasonal changes and then then it goes away.\n\nD: Oh I see. OK, any family history of lung or heart conditions?\n\nP: I think my dad has high blood pressure, and diabetes. Yeah, but no heart or or lung conditions.\n\nD: OK, how about a musculoskeletal issues?\n\nP: I think maybe osteoarthritis and my grandpa, grandparents, but. \n\nD: OK. \n\nP: But yeah.\n\nD: How about an autoimmune conditions?\n\nP: No, nothing like that. \n\nD: No? OK how about cancers.?\n\nP: Uh, no cancers. \n\nD: OK. And then, do you smoke?\n\nP: No, I don't. No I've never smoked before.\n\nD: OK, how about marijuana? Do you consume that in any form?\n\nP: No, I don't. \n\nD: OK. And then do you drink alcohol?\n\nP: Every once in a while I'll have a glass of wine, but it's usually a social thing or or at Christmas. \n\nD: OK. Come have out in terms of sick Contacts. Have you had any recently?\n\nP: I don't believe so. Um I've been going to work, I work as a bank teller, um but everybody at work hasn't been sick and we've been using masks and cleaning our hands and all of that sort of thing.\n\nD: OK, OK, that's good. And how about travel? Have you had any recently?\n\nP: No, I've been put at home, but looking forward to a vacation though.\n\nD: Yeah for sure. And then, where do you work and who do you live with and where do you live?\n\nP: Yes, I I work at a bank. And I live with my husband and our time and our son, he’s, he's six. \n\nD: OK, OK. OK, um those are all the questions I have for history. We can move on to the physical exam part of this interview. Did you have any questions before we did that? \n\nP: Uh, no, no, that sounds good. \n\nD: OK so if you have someone there with you, or if you have a mirror, or if there's any way you can take a look at the back of your neck as well as the front of your neck um. Do you see any redness or swelling in that area? \n\nP: No, I don’t. \n\nD: No, OK. Do you see any muscle atrophy? Any deformities or skin changes?\n\nP: No, nothing like that.\n\nD: OK. And then when you kind of just with the back of your hand, place it on your neck in the front as well as the back, does it feel warm at all? \n\nP: No. \n\nD: No OK. And then I'm gonna get you to palpate certain areas so we'll start with the chin. Does that hurt when you press down?\n\nP: No. \n\nD: No OK, how about just where the thyroid would be?\n\nP: No pain or yeah, no pain there.\n\nD: No pain there OK. How about to the sides, kind of where your. Sternocleidomastoid muscles are?\n\nP: Yeah, I think like a little bit of tenderness in the the front of the neck muscles there. \n\nD: OK and then how about when you move towards the back and then on your C spine, cervical spine just like at the very back of your neck?\n\nP: Yeah, so there's there's no pain when I push on the like bones I can feel like so, actually on that that like C spine itself there's no pain, but like oh off to the side so on the muscles. To the sides or there's a bit of tenderness.\n\nD: OK, so kind of like where, so there's pain on their trapezius and deltoid muscles?\n\nP: Uhm. Uh. Yeah, more trapezius not so not so much deltoid and then also, um, like the the perispinal muscles.\n\nD: OK, I see, alright. Uhm. OK, and then let's move on to some range of motion exam so I'm gonna get you to flex your neck. So look down at the ground all the way as much as you can. Does that hurt? \n\nP: It does, yeah.\n\nD: It does but you're able to fully flex your neck.\n\nP: Yeah, I can touch my chin to my chest all almost uh but yeah, I'll get pain at the back of my neck when I do that and the front.\n\nD: And the front? OK. And then how about when you extend your head all the way back so that you're looking at the ceiling?\n\nP: I’m able to do it still is a bit stiff and it's slow to get there, but again I I get pain at the back in the front of my neck when I'm doing this.\n\nD: OK, OK, how about when you flex your neck to the side so that your right ear is touching your right shoulder?\n\nP: Um yeah, I get there's a little bit of a pain in the muscles on the left side when I'm doing that \n\nD: OK, and then how about when you do the opposite? Touch your left ear to your left shoulder so that you're laterally flexing your neck on the left side?\n\nP: A little bit of pain there too, but I'm able to do it though. \n\nD: OK. So you're able to do all of these, it's just that you have some pain when you do that? \n\nP: Yeah, exactly, I could do all of the movements, but yeah, it's pain and stiffness.\n\nD: OK, OK. Those are all the questions that I had for you. Did you have any questions of your own?\n\nP: Uh no, that I just was wondering if I if you think I I don’t, needed an X Ray or like you think that anything is broken. Kind of like concerned about today, because of this pain.\n\nD: Yeah. And for sure, um so right now it just to me it sounds like a whiplash injury and so kind of like low impact. But just to be certain, we can order an X Ray to rule out any fractures or dislocations. And in terms of like the management plan, for pain management you can rest, you can either apply heat or cold packs to your neck for 15 minutes every couple of hours or so. You can try some over the counter pain medications like Ibuprofen or Tylenol. And if it still doesn't get better, we can try like, we can try injections to the area to relieve some of that pain, but something else in conjunction we can try as physiotherapy and they'll basically help you with. Range of motion exercises and try to strengthen the muscles in that area and to improve your posture and normal movement. And that's kind of where we can start for now. And if it doesn't get any better, we can talk about alternative management plans, does that sound OK?\n\nP: It does, yeah, that that makes sense. Thank you.\n\nD: OK, yeah, no worries."} | |
| {"audio": "dataset\\resampled_file\\RES0179.wav", "text": "D: What brings you in?\n\nP: Uh, I've had this cough. It's been going on now for like last six months or so and been losing some weight as well. I've lost, I think like 20 or 30 pounds in the last six months.\n\nD: OK, yeah, that's a lot of weight. So the weight loss, you said 20 to 30 pounds?\n\nP: Yeah yeah. \n\nD: OK.\n\nP: Like just over 200 and I'm in the 170s now.\n\nD: OK, so that was in the past six months. When do the cough start?\n\nP: Well, I've had a cough before, uh, like a smokers cough. Ah, and that's been like a few couple of years, but that's just a cough that I would have in the morning and it would just go away but I mean around six months ago I started having this cough all day.\n\nD: Hm, OK. And is it a dry cough or is it a productive cough?\n\nP: Uhm, it's been it's been dry. \n\nD: It's been dry?\n\nP: Yeah.\n\nD: So no blood or sputum?\n\nP: Uh no, no blood or sputum. \n\nD: OK. And have you been feeling short of breath at all?\n\nP: Uhm, I have, yeah the shortness of breath has been like similarly getting a bit worse over the last, over the last six months. \n\nD: OK. Alright, and is there wheeziness as well?\n\nP: No wheezing. \n\nD: How about chest pain?\n\nP: Uh, yeah, I've had this kind of like dull kind of aching pain that, that I've had kind of work just on the right side of my chest. It, yeah. It's kind of aching and not that bad, but uncomfortable. \n\nD: OK, and and is it a sharp pain or is it a dull, achy pain? \n\nP: It's more like dull. \n\nD: OK, and is it always there or is it worse with like exertion?\n\nP: It's always there. \n\nD: OK. Uhm, and sorry, you said it was at the centre of your chest?\n\nP: More kind of on the right side.\n\nD: OK, does it get worse with like deep breaths?\n\nP: Not really, no.\n\nD: No, OK. How about when you lean forward?\n\nP: No.\n\nD: No, OK. Uhm, and hm. Have you ever been worked up for the chest pain in the past, like to rule out heart attacks, blocked arteries, anything like that?\n\nP: Uh, yeah actually, I had a stress test about a year ago and it the results of that were, were normal.\n\nD: OK, OK good. And do you ever feel like your heart's racing?\n\nP: No, I haven't had any anything like that. I mean like, sometimes I can get palpitations 'cause I have a fib or atrial fibrillation, but it doesn't really yeah, affect me that, that much.\n\nD: OK. And how about shortness, sorry, how about dizziness or fainting spells?\n\nP: Nothing like that.\n\nD: No. Any calf pain when you walk a lot?\n\nP: No.\n\nD: No, OK. Any fevers?\n\nP: No.\n\nD: No. How about fatigue?\n\nP: Not really, no.\n\nD: No, any rashes?\n\nP: No.\n\nD: Changes in your vision or hearing?\n\nP: No.\n\nD: Smell or taste?\n\nP: That's been normal.\n\nD: OK. Runny nose or stuffy nose?\n\nP: No.\n\nD: Sore throat?\n\nP: No.\n\nD: Uhm, changes in your bowel movement?\n\nP: No diarrhea.\n\nD: And how about like blood in your stool or constipation?\n\nP: No constipation and no blood in the stool.\n\nD: OK, nausea or vomiting?\n\nP: No. \n\nD: Uhm, appetite changes?\n\nP: No way my appetite's been been OK, that's why I was like really shocked at the the weight loss.\n\nD: Mhmm. Umm OK, how about changes in your urine?\n\nP: No, I mean sometimes I can have a, I mean harder time to go 'cause as an old guy have large prostate I think they said, but I mean that's been OK.\n\nD: OK. How about headaches?\n\nP: No headaches.\n\nD: Numbness or tingling?\n\nP: No numbness or tingling.\n\nD: Confusion or memory loss?\n\nP: No. \n\nD: OK. Joint pains or muscle aches?\n\nP: I mean sometimes I can get so like my knees will hurt, but I think that's just arthritis. \n\nD: OK, yeah. Umm, alright and are you otherwise healthy? You mentioned that you have a-fib and prostate issues. Anything else?\n\nP: Uh, yeah like high blood pressure and uh, yeah, uh just high blood pressure.\n\nD: High blood pressure, OK. Have you ever been diagnosed with something called COPD?\n\nP: No, I I I was tested for that with the like the breathing test, I did blow into tube but yeah, they said that I didn't have it.\n\nD: OK. OK. When were you worked up for that?\n\nP: I was probably like I don't know 5 to 10 years ago now.\n\nD: OK. Alright, and are you on any medications?\n\nP: Yeah, I take one for high blood pressure and I think a beta blocker as well for that like the heart rate and uh, a-fib.\n\nD: OK, yeah. OK. and, and are you up to date with your immunizations?\n\nP: I am yeah. \n\nD: OK, any allergies?\n\nP: Uh, no allergies. \n\nD: OK. Family history of lung or heart conditions?\n\nP: Uhm, I think like my uncle had lung cancer and it, and I think I've had a couple of member family members about who had lung cancer actually, but they've well, they've all been smokers.\n\nD: Oh I see. OK. Do you know what type of lung cancer they got?\n\nP: No, I'm I'm not sure.\n\nD: OK. No problem. And OK, so I think you mentioned that you smoke. How much do you smoke and for how long have you been smoking?\n\nP: I smoke about a pack per day and I guess probably even smoking now for, I mean, I, I guess like 60 years almost, maybe longer. \n\nD: OK.\n\nP: And before that I there was a point I was smoking 2 packs a day.\n\nD: Oh wow, OK, well it's good that you cut down. \n\nP: Mhmm.\n\nD: Yeah, alright, and do you do any other recreational drugs?\n\nP: No.\n\nD: No, OK. And how about alcohol? Do you drink?\n\nP: Probably one or two beers every day.\n\nD: Every day, OK. And what's your living situation like right now?\n\nP: Yeah, so I live with my wife in a in a townhouse.\n\nD: OK, OK. Alright, that's good. Any reasons to think you have like old carpets, dust, asbestos, mold. Anything like that in the house?\n\nP: No, I don't think so.\n\nD: Uh, OK.\n\nP: Yeah. \n\nD: Alright, any pets?\n\nP: No pets.\n\nD: No pets, OK. Have you been in contact with anyone sick recently?\n\nP: No, I don't think so.\n\nD: No, OK. How about travel?\n\nP: I've been, uh, yeah we've been at been at home.\n\nD: At home, OK. OK, well those are all the questions I had for you. Did you have any questions of your own for myself?\n\nP: Uhm, no, I was just like, well, really worried that I I could have lung cancer. \n\nD: Yeah, for sure. So that is quite high on my differential right now just because of your age, your smoking history and just the way you're presenting. So we're gonna do a couple of things. We're going to do a Covid swab just to rule that out. You should hear back in about 24 to 48 hours, but we will do investigations for lung cancer, so we'll start by doing a chest x-ray just to look for a mass or effusions and then from there if we think there are signs of cancer, we can do a CT. Umm, as well we can like stage with the Pet CT after we take a biopsy and send it off for pathology and that should give us more answers as to if you have cancer and if you do have cancer, what type of cancer so that we can talk about treatment plans and kind of what the prognosis is with those particular types of cancers? How does that sound?\n\nP: Yeah, that sounds great. Thank you so much.\n\nD: OK yeah, no problem."} | |
| {"audio": "dataset\\resampled_file\\RES0046.wav", "text": "D: What brings you in?\n\nP: I've had this cough that started four days ago uh that that's been getting worse and um just started having some some diarrhea yesterday as well. \n\nD: OK um sorry, how long did you say your cough has been going on for?\n\nP: Last four days.\n\nD: Last four days, OK, and do you feel that um it's getting worse, better, or staying the same?\n\nP: Uh it's getting getting worse. \n\nD: Getting worse, OK. And how often are you coughing?\n\nP: Oh, now it's uh well, at least the last two days, it's been happening all day. Um yeah, at least every hour I've been coughing.\n\nD: OK, um have you noticed any triggers for your coughing like environmental causes like the cold, uh time of day whether that's morning or night, um old carpets, anything like that?\n\nP: Um yeah, smoking definitely makes it worse. I I haven't smoked the last few days 'cause each time I lit a cigarette it it brought it on.\n\nD: OK, well that's good that you're taking a little break from smoking. Um how would you describe the quality of your cough, is it, does it sound harsh?\n\nP: Yeah, the cough's like, yeah, harsh.\n\nD: Harsh, OK. And in terms of severity, 1 to 10, 10 being the worst, how bad is it? \n\nP: Uh I'd say it's a 7. I just can't stop coughing.\n\nD: Yeah, have you ever experienced anything like this in the past?\n\nP: Uh yeah, nothing like this really before. \n\nD: OK, uh is the cough a dry cough or is it, or do you have sputum coming up as well?\n\nP: It's it's dry.\n\nD: Dry, OK. So no blood? \n\nP: Yeah no no blood, just yeah, it's been mostly dry.\n\nD: OK, and any shortness of breath?\n\nP: Uh not really, I mean I well I guess I've been short of breath after I cough, so yeah.\n\nD: OK, um any wheeziness? \n\nP: Uh no. \n\nD: How about chest pain?\n\nP: No chest pain.\n\nD: OK, um any feelings of um feeling like your heart's racing?\n\nP: No, nothing like that\n\nD: Um, swelling in your limbs?\n\nP: No. \n\nD: No, how about uh pain in your calves when you walk a few blocks?\n\nP: No \n\nD: Um dizziness or fainting spells?\n\nP: Uh yeah this morning I had it, I felt dizzy um when I when I got when I, yeah when I got up.\n\nD: OK, but no fainting, right?\n\nP: No.\n\nD: No fainting, OK. Any um pain in your throat?\n\nP: Uh no, my throat's felt OK. \n\nD: OK. Um any changes in your vision or hearing?\n\nP: No.\n\nD: OK, um have you had a stuffy nose or runny nose?\n\nP: Uh nothing like that.\n\nD: Um changes in your taste or smell?\n\nP: Uh ueah, I feel like I've um had problems with both taste and smell.\n\nD: OK, um, when did that start?\n\nP: Um I think this morning, um, yeah, I really noticed that when I was I was trying to have some breakfast, but um I thought it was my lack of appetite that was that was causing issues, but I haven't really been able to smell or taste food.\n\nD: Yeah, that's unfortunate. Um have you noticed any weight loss over the past few weeks?\n\nP: No, weight's been stable. \n\nD: OK. How about fevers or chills?\n\nP: Um I I felt hot but no chills.\n\nD: No chills, OK. Have you taken your temperature?\n\nP: No, I haven't.\n\nD: OK, well we can do that today in the clinic and we'll let you know. Um, and changes to your hair, nails, or skin, like rashes?\n\nP: Uh, no. \n\nD: No, OK. How about fatigue or muscle aches?\n\nP: Um ueah, I mean maybe I've had a bit of uh muscle aches um and fatigue.\n\nD: OK. Um and you mentioned you've been having diarrhea. How long has that been going on for?\n\nP: Uh maybe the last like two days.\n\nD: Two days, OK. And how often are you having a bowel movement? \n\nP: Uh every well, it kind of changes so um maybe every few hours.\n\nD: OK, and is it mostly fluid or is it semisolid?\n\nP: Uh I, mostly fluid, it, um, yeah, it's been pretty pretty loose.\n\nD: Pretty loose, OK. And how much um how how much stool are you producing every time you go? Is it filling the toilet bowl or um is it uh relatively little?\n\nP: Uh at first it was a lot, but um now it it just hasn't been much. It's relatively um little. My stomach's just been killing me.\n\nD: OK, so you have some abdominal pain associated with that too?\n\nP: Yeah. \n\nD: Yeah, OK, and then any blood in your stool?\n\nP: No, no blood.\n\nD: OK um have you noticed any malodours, well I guess uh out of the ordinary? \n\nP: Uh no, I haven't noticed anything like that.\n\nD: OK.\n\nP: But I haven't been able to smell so, who knows? \n\nD: Right, OK, true. Um in terms of your abdominal pain, when did that start? \n\nP: Uh I I think around the same time as the diarrhea, so the last two days.\n\nD: OK, um any nausea or vomiting?\n\nP: Um no vomiting, but I've I felt nauseous.\n\nD: OK. The abdominal pain, is it, where is it located? Is it pretty central? Is it general?\n\nP: Yeah, it's pretty like central or general I guess you could say, there isn't really one specific spot that I feel it.\n\nD: OK, and what makes it worse? What makes it better? \n\nP: Uh nothing, I'm not really too sure, nothing really makes it better or worse.\n\nD: OK, and if you were to describe the pain, is it sharp, dull, or achy?\n\nP: Uh I'd say it's pretty achy.\n\nD: OK. And out of 1 to 10, 10 being the worst, how bad is the abdominal pain?\n\nP: Uh probably like 4. \n\nD: OK. Um and is your abdominal pain getting worse, staying the same, or getting better?\n\nP: About the same. \n\nD: OK. Um, any memory loss or confusion?\n\nP: No. \n\nD: No, OK. Are things normal with your urine? \n\nP: Yes. \n\nD: OK. So, are you an otherwise healthy person?\n\nP: Uh yeah, I haven't um had anything, any reason to see a doctor for a while.\n\nD: OK, well that's good. Uh you don't have any longstanding medical conditions like uh high blood pressure, diabetes, anything like that?\n\nP: Um, no, nothing like that.\n\nD: OK, any hospitalizations or surgeries in the past?\n\nP: Um I did have a surgery, um yeah I had my meniscus repaired, but that was it.\n\nD: OK and when was that?\n\nP: Oh about 10 years ago.\n\nD: OK so I just wanna, before we move on, I'm just gonna recap kind of the symptoms that you have. You've had uh for the past four days more or less, you've had um a possible fever, um this cough, um loss of smell and taste, um diarrhea, uh abdominal pain, and nausea. Is that correct? \n\nP: Yeah, that's correct, yeah.\n\nD: OK.\n\nP: The cough started first and then uh yeah, started to get some more of the abdominal pain and nausea, and yeah, the diarrhea the last few days.\n\nD: OK OK, are you on any medications?\n\nP: No, I don't take anything.\n\nD: OK, not even over the counter medications or vitamins or herbal supplements?\n\nP: No, nothing like that.\n\nD: OK, any allergies?\n\nP: Uh no allergies. \n\nD: OK, are you up to date with all your immunizations?\n\nP: I am, yeah. \n\nD: Um, any family history of lung conditions or heart conditions?\n\nP: Um no, nothing like that.\n\nD: OK, how about GI conditions like stomach issues, colon issues, liver?\n\nP: No, I haven't heard of any issues like that in my family.\n\nD: OK, any cancers that run in the family?\n\nP: Uh no, no cancers.\n\nD: OK, um any um, OK, well I'm going to ask you, uh do you smoke? You mentioned you did.\n\nP: Uh yeah, I I I do, um I smoke maybe about a half a pack of cigarettes per day, probably less, um yeah. \n\nD: OK, how long have you been doing that?\n\nP: Uh for the last uh 10 years.\n\nD: OK, have you ever thought of quitting?\n\nP: Yeah, I've I've been slowly cutting it down. I was smoking a pack a day before and now under half a pack, so I'm trying.\n\nD: OK. Well congrats, that's a big feat, um if you need additional resources to try and help you quit, please do let us know. Um I will ask you my next question then, um, do you do marijuana at all? \n\nP: Uh no.\n\nD: No, OK, how about other recreational drugs?\n\nP: Uh nope, nothing like that.\n\nD: Do you drink alcohol?\n\nP: Yeah, I'll have a glass of um wine on Sundays, but that's about it. \n\nD: OK, how about um, where do you live?\n\nP: Uh so I live in a townhouse um with my wife um and daughter. \n\nD: OK, are any of them sick?\n\nP: Um my my wife was talking about being really fatigued and uh she did mention a cough coming on.\n\nD: OK um, have you been around anyone else who's been sick recently?\n\nP: Uh, no. \n\nD: No, OK. Um have you traveled to anywhere recently?\n\nP: Um no, I haven't.\n\nD: OK. Um, those were all the questions that I had. Did you have any concerns, any questions, anything that you wanted to discuss that I uh possibly missed today? \n\nP: Uh nope, that was that was everything then, thank you.\n\nD: OK, no problem, So we'll, what we'll do is we'll get a covid swab on you just because your symptoms do overlap with those of covid, um so we want to make sure that that's not what you have, so we'll take a swab. You will hear back in about 24 to 48 hours. Um but in the meantime, you still should isolate for 14 days, and that includes trying to isolate from your family members as well when, when possible, and uh public health will be in touch to let you know uh to do some contact tracing. If it's not covid, you you could possibly have um some sort of other viral infection that's going around these days. Um how does that sound? \n\nP: Yeah, it sounds great. Thank you. \n\nD: Alright, no worries."} | |
| {"audio": "dataset\\resampled_file\\RES0087.wav", "text": "D: What brings you in?\n\nP: Yeah, I'm just coming in with my son, he's been having, he's been complaining of just, seems like pain in his right ear for the last I would say three to four days. And it seems like he's just more irritable, just not himself right now.\n\nD: Yeah OK, so, how long did you say he's had this ear pain?\n\nP: I would say four days now. \n\nD: Four days, OK. Have you noticed any hearing loss? \n\nP: Uh, no, he still responds when I call his name.\n\nD: OK and, have you noticed any fluid coming out of his ears?\n\nP: Uh, no, I don't think so.\n\nD: Is it more like one side of his ears or is it both ears?\n\nP: It's just his right ear.\n\nD: Just his right ear, OK. And have you noticed that it's like, swollen, red or warm?\n\nP: Uh, no, I don't see any swelling or redness at all.\n\nD: OK, OK, good, and have you taken a look inside his ears?\n\nP: Yeah, I tried to take a look with a flashlight. I couldn't really see too much.\n\nD: OK, yeah, that's fair. And you mentioned he's had a runny nose too, When did that start?\n\nP: Yeah, so that, kind of like last week he was recovering from, I think it was just a cold and he had a runny nose and just was a bit congested. But then over the last week it kind of just resolved. But then this week he started having just this ear pain.\n\nD: OK. Any fevers? \n\nP: Uh, no, not that I, I haven't measured anything and he hasn't mentioned any, like he hasn't felt cold or anything like that.\n\nD: OK, any weight loss over the past month or so?\n\nP: No.\n\nD: No, any change in his hair or nails, like rashes or, sorry, or skin?\n\nP: Yeah, no, I haven't seen any changes in the skin.\n\nD: OK, any changes in his vision or smell or taste?\n\nP: No.\n\nD: No, OK. His runny nose, what color is it?\n\nP: It was mainly, uh, it seemed to me like it was mainly clear when it was happening, like he wasn't bringing up any yellow or green material.\n\nD: OK, good. Does he have a sore throat at all?\n\nP: No, not that he's told me. He's still eating things and I don't think he's having any trouble with eating anything, so I don't think so.\n\nD: OK, that's good. Has he had a cough?\n\nP: Uhm, actually he did. He did start coughing like yesterday, but just a few times a day. I don't know if it's because of this or like, what else might be going on.\n\nD: OK, and you said for the past few days, he's had the cough?\n\nP: Yeah, I think just maybe started yesterday.\n\nD: Started yesterday, OK. Is it a dry cough or is it, is he bringing up any phlegm?\n\nP: No, it seems to be just dry. I think I just noticed it like three or four times during the day yesterday.\n\nD: OK, so no blood that he's bringing up right?\n\nP: No, no.\n\nD: OK, and does he have any shortness of breath?\n\nP: No, no.\n\nD: No, OK, any wheezing?\n\nP: No, no wheezing. \n\nD: No chest pain?\n\nP: No.\n\nD: OK, uhm, any nausea or vomiting?\n\nP: No nausea or vomiting.\n\nD: Any changes to his bowel movements?\n\nP: No.\n\nD: No, OK and, how about urine, is that normal?\n\nP: Yeah, Uh, no changes at all.\n\nD: Any headaches? \n\nP: Not that he's told me about.\n\nD: OK, dizziness or fainting spells?\n\nP: No.\n\nD: Feeling like he's off balance or lost coordination?\n\nP: No, I don't think so.\n\nD: No, OK, no numbness, no tingling?\n\nP: No.\n\nD: Has he had any contacts with sick people recently?\n\nP: Uhm, no, I don't think anyone's been sick around him.\n\nD: OK and has he traveled to anywhere recently?\n\nP: Uh, no, like, he's mainly just been inside his home. \n\nD: OK. has he ever had ear pain before?\n\nP: He did have a similar pain, I think when he was like around three years old, but it happened with his left left ear, not the right one.\n\nD: OK, was he prescribed any medications?\n\nP: Uh yeah, he was given a, like a course of antibiotics at that time. I forgot what it was called, but I think at that time it was much worse, like he, I don't know if he was just younger and couldn't tolerate it but I think he also had a fever at that time.\n\nD: OK, OK, and then any other ear infections outside of that one time.\n\nP: No, I think that, only that one I can recall.\n\nD: OK, alright, is he otherwise healthy?\n\nP: Yeah, otherwise he's healthy. No, other conditions or anything like that.\n\nD: No hospitalizations or surgeries? \n\nP: No.\n\nD: And is he on any medications?\n\nP: No medications. \n\nD: OK, is he up to date with all his immunizations?\n\nP: Yeah, all his immunizations are good.\n\nD: OK, any allergies?\n\nP: Not that we know of so far.\n\nD: And any family history of lung conditions or heart conditions.\n\nP: No lung or heart conditions. Just, his father does have like celiac disease, so I don't know if that's related at all.\n\nD: OK, how old was he when was diagnosed with celiac?\n\nP: Fairly young I would say, in his 20s.\n\nD: OK, OK, uhm, alright, we'll keep an eye on it in him, like if he has any changes in his bowel movements or if he's getting severe abdominal pain after eating certain foods with gluten you can get him checked up for that as well.\n\nP: OK. \n\nD: Yeah and then, in terms of where he lives, does he live with you and your partner?\n\nP: Yeah, so it's just, he's an only child, lives with me and my husband, and also we have like a pet dog.\n\nD: OK, do you live in an apartment or in a house?\n\nP: We live in a, it's like a condominium.\n\nD: OK, OK, any old carpet, mold or asbestos in the building?\n\nP: No, no, nothing like that. It's fairly well kept. \n\nD: OK, And is he other-wise like developmental-wise, he's OK? There's no past history of like developmental disorders, anything like that?\n\nP: No, no issues from like when he was younger like no complaints at all. I Think he was doing the same as every other child.\n\nD: OK, no complications during your pregnancy with him, no complications during the actual delivery and then when he was a newborn?\n\nP: Uh no, no complications, it was just a vaginal birth at 39 weeks and we didn't need to stay in the hospital at all afterwards.\n\nD: OK, good. So those were all the questions that I had for you today. Did you have any questions of your own?\n\nP: Yeah, I don't know if, uh, like last time we did get some antibiotics. I don't know if he needs them right now or what would you recommend?\n\nD: Yeah, uhm so I'm gonna have to take a look into his ears first before I can come up with like a management plan for him. So once I do, if I see, uhm, if his tympanic membrane has been perforated or I see pus in there, we'll prescribe him like 10 days of antibiotics. We can give him either Amoxicillin, or if he has bad reactions to penicillins, we can give him Cefuroxime and then if, uh, it doesn't seem to have any systemic symptoms, so if he has systemic symptoms like fever, which we'll check for today, and if he's like been really ill and he has like a middle ear effusion or bulging tympanic membrane, again we'll give him antibiotics for 10 days. But if his tympanic membrane is just bulging a little bit, or if he has some middle ear effusion but no systemic symptoms, like, no fevers, and he seems to be fine otherwise, we'll reassess him in 24 to 48 hours to see if he's better and if he's not, again, will prescribe him antibiotics. How does that sound?\n\nP: Yeah, that sounds good. Thank you.\n\nD: OK yeah, no worries."} | |
| {"audio": "dataset\\resampled_file\\RES0207.wav", "text": "D: Well can you tell me what brought you in today?\n\nP: Yeah, I woke up this morning and I was just feeling suddenly feeling very short of breath and I just wasn't sure what was going on, so I thought I would come in.\n\nD: OK, this this morning suddenly feeling short of breath. OK, and this cough was not also something that happens suddenly this morning? \n\nP: Yeah.\n\nD: OK, have you ever had anything like this before? \n\nP: Um no not I mean if I I get a call from time to time when I get sick, but I've never really felt short of breath.\n\nD: OK, is this cough a dry cough or are you bringing up any sputum?\n\nP: Um it's a dry cough. \n\nD: OK. OK, have you had any fevers? \n\nP: Um yeah, I checked it this morning. I was like it was kind of mild, so 37.4 I think.\n\nD: OK. That was just this morning? \n\nP: Yeah.\n\nD: OK. OK, uh. Have you had any chest pain? \n\nP: No.\n\nD: OK Um. Have you felt at all like you're going to faint? \n\nP: No, no. Although I I should let you know and maybe I don't know if it's related um, but I had a seizure last night. And, I was fine after and then I went to bed. Um I don't know if that's related, but I thought I should let you know. I do have a seizure disorder I have epilepsy.\n\nD: OK OK, thank you for sharing that with me. Have you ever had any issues like this following seizures in the past?\n\nP: No, I usually don't get seizures very often. Um I kind of forgot to take my med. I think that might have yeah.\n\nD: Alright, OK. No worries um. OK, is there anything, in terms of this shortness of breath and this cough, is there anything that makes it feel worse?\n\nP: Um I. \n\nD: In any position? \n\nP: Yeah, I. I mean, I haven't really been in a lot of positions like it, just started three hours ago or so, so I haven't really.\n\nD: That's a hard question. \n\nP: Yeah I haven’t done much since then.\n\nD: Have you had any nausea or vomiting?\n\nP: No. \n\nD: Any belly pain \n\nP: Uh no.\n\nD: OK, any diarrhea? \n\nP: Uh no, no I don't.\n\nD: OK, have you been in contact with anyone that's been sick lately? \n\nP: Uh no, I haven't.\n\nD: OK, have you traveled anywhere?\n\nP: No, I've just been at home.\n\nD: OK, anything else you wanted to tell me that I didn't ask you about? \n\nP: Um no no. I. \n\nD: Have lost any of your sense of taste or smell? \n\nP: No, I haven't.\n\nD: Have you had any sore throat?\n\nP: No. \n\nD: Runny nose? \n\nP: No.\n\nD: OK, uhm. So in terms of your overall health you said that you have epilepsy. Any other chronic conditions that you've been diagnosed with?\n\nP: No, that's it.\n\nD: You said you take a medication. What medication or medications are you currently taking?\n\nP: Um I'm taking Keppra.\n\nD: OK. And normally, are you having any difficulty remembering taking it, or was it just kind of a brain fart?\n\nP: No, it just kind of happened, it was, it was my daughter's birthday and we kind of just, I usually sort of have it with dinner time, but we did things a little bit differently and had like a celebration earlier on and so I completely forgot because I didn't have dinner later.\n\nD: Oh yeah, that makes sense. It happens for sure. K, do you have any allergies? \n\nP: No.\n\nD: Do you have any family history, any any diseases that run in your family?\n\nP: Yeah, epilepsy runs in the family. My mom had it. \n\nD: OK. And in terms of your lifestyle, you said that you have a daughter. So do you live with your family? Do you live with your daughter?\n\nP: Yeah, yeah, I live with my daughter and my wife.\n\nD: How old is your daughter? \n\nP: Pardon me.\n\nD: How old is your daughter?\n\nP: She's 16 years old.\n\nD: Oh wow sweet 16 \n\nP: Yeah. \n\nD: Right, OK, so are you currently working? \n\nP: I I am yeah. \n\nD: What do you do for work?\n\nP: I’m an accountant.\n\nD: OK cool, are you working from home or still working out?\n\nP: I’m working from home yeah.\n\nD: Nice and thats sounds great. OK, and uh. Do you smoke?\n\nP: I don’t, no.\n\nD: Do you drink alcohol?\n\nP: On the weekends, one or two class says a wine. \n\nD: OK. And did you use any other substances? \n\nP: No, I don't.\n\nD: OK, I think that about covers my questions for now. So I'm gonna take everything we talked about. I'm going to go over it with the doctor was working today and now we'll come back shortly and talk to you about the next steps if there's any tests we want to do or how we want to move forward with this so. \n\nP: Yeah, thats great.\n\nD: OK. Sure see you shortly."} | |
| {"audio": "dataset\\resampled_file\\DER0001.wav", "text": "P: Hey Doc, I'm a 45 year old man coming in, I'm worried there's a little old rash on my leg that I'm getting nervous about.\n\nD: Hi, so you I understand you have a rash on your leg.\n\nP: I don't really know what I would call it. That's what I told the nurse when I came in, but it more hurts than anything.\n\nD: OK, uh, how long is this been going on for?\n\nP: Ah, it's been it's been looking weird for about a week, but only yes, it started hurting yesterday and started looking strange and I just wanted to come in to get it checked out.\n\nD: OK when you say it's looking strange, can you tell me what you mean by that?\n\nP: Swollen, it looks bigger than it did before, and meaner, if that makes sense.\n\nD: Swollen OK, is it red?\n\nP: Yeah, it's red, it's turning more red, kind of in the area around it. I've got these I got these scabs. I've got diabetes and I'm not exactly the best with it and scratching at it, and normally it's not that bad, but this is just strange looking and there's no other word for it. \n\nD: OK, have you ever had anything like this before? I guess you kinda just said that you didn't, but I'll just double check.\n\nP: No no. Well I've had, I have occasional ulcers and sometimes I have banged my toe when I'm not exactly the best taking care of my feet, but this is the first time I've gotten something that I don't know, I've just never seen it before.\n\nD: Do you have any ulcers right now?\n\nP: Let me see. I think so, when's the last time I saw the family doc? I think I've got an ulcer on my left heel, but I think it's doing alright.\n\nD: OK, and what leg are you having this problem with?\n\nP: Right now it's on my right, so my ankle.\n\nD: OK, how have your sugars been controlled recently? \n\nP: I stopped measuring them. Yeah, last time I measured it was pretty bad. I think my A1C last time was like 9 something. I'm trying, I'm trying better to be with it. It's hard with work you know?\n\nD: For sure, I can imagine so, in general, even if you don't know your numbers for your sugars, have you felt worse than usual lately? Have you felt rundown at all?\n\nP: Yeah, actually I have gained more, feel hungry, sometimes just tired, but it's hard to tell. There's an awful lot going on in my life right now with the kids, but, It's hard to tell I think. Yeah, I need to see my family doc.\n\nD: OK. Definitely you know a good a good idea moving forward just to make sure you get on top of these things, but I'm glad you came in today so we can, you know, have a better look at you and make sure that there's nothing super concerning going on. So in addition to this, have you had any other new symptoms?\n\nP: Symptoms? Um, I feel a little hot actually. When the swelling started it's it also started leaking this like white stuff from one of the one of what used to be a scab so now like kind of an open wound now.\n\nD: OK, OK so when did you start feeling hot?\n\nP: Honestly, last 12 hours.\n\nD: OK, you take your temperature at all?\n\nP: No, I don't have a thermometer at home.\n\nD: Have you had any difficulty breathing?\n\nP: No no. \n\nD: Any chest pain?\n\nP: No.\n\nD: Have you noticed that your left, sorry, your right leg feels any hotter than the left?\n\nP: Yeah, yeah it does. Actually changing socks the other day, yeah.\n\nD: Right. Say, have you alone have you felt ill recently? Have you been sick at all?\n\nP: Aside from just feeling overall crummy last couple weeks, no don't really, less energy today, but I was up last night thinking about this and yeah wanted to come in and talk.\n\nD: OK yeah, you did the right thing. I'm glad that you're in today. Is the pain on your legs worse when you touch it?\n\nP: Yeah, maybe not so much when I touch it. When I walk with it and I start flexing it it, it doesn't like that. \n\nD: OK, uhm. \n\nP: Just resting it right now, it feels fine. \n\nD: It's OK, OK. OK, well I'm going to if I think of any more questions specifically about your leg I will, I'll go back to it, but I'm going to just move on and ask you questions about your overall health. You've already shared with me that you you are diabetic. Do you have any other chronic conditions that you live with?\n\nP: Chronic condition? I see the family doc about cholesterol. I'm on a pill for that. Uhm, I had asthma as a kid, not too much of an issue now. And my back, I've had back pain for the last 10 years, but all I really take for it is Tylenol Advil for that.\n\nD: OK, oh my other question about your leg was, have you lost any feeling in it?\n\nP: It kind of is like a dull ache sometimes when I touch it. But, no like, in the area, the ankle no, but definitely on my feet, like over the years I've noticed I feel less on it compared to what I did previously, yeah.\n\nD: OK, so sorry I kind of sidetracked there so we talked about your diabetes. You said you have high cholesterol. So what medications are you currently taking?\n\nP: I'm taking 4 pills right now. One of them is for the cholesterol. I think it's called. rosuvastatin. The other three, they're all diabetes medications, but I don't remember. Metformin is one of them. Sidas...something I have a list somewhere. I'll give it to you later.\n\nD: OK, are you on insulin right now?\n\nP: No.\n\nD: Are you on any or any of these medications new to you, recently? \n\nP: No no, but had them for about a year now.\n\nD: Do you have any allergies?\n\nP: Um, yeah, I do actually. Penicillin, can't take that.\n\nD: And what happens when you take penicillin?\n\nP: It's been a while, as a kid apparently like my face got bloated and I was having a hard time breathing so...\n\nD: Well, we will make sure that we don't give you that. Can you tell me if you've had any previous surgery? \n\nP: Oh yeah, uh, what was it? I had my sinuses, had some pretty bad sinusitis when I was in my teens and they went in and kind of carved a little space out. \n\nD: OK, OK. Is that the only surgery that you had? \n\nP: Yeah.\n\nD: And can you tell me, do you have any family history of diabetes, skin problems, anything else that stands out to you?\n\nP: Yep, mom's side of the family, very much everyone has diabetes, high blood pressure, cholesterol. Dad's side of the the family is pretty healthy. I think maybe one of my aunts had lung cancer, but she's a pretty big smoker too.\n\nD: And then just ask you a few questions about your lifestyle. So you said that you have children.\n\nP: Yeah, I do. \n\nD: Do you live in town? Do you live with your kids?\n\nP: I live in town. I see my kids every two weeks.\n\nD: And, uh. What do you do for work? Did I already ask you this?\n\nP: No, I'm currently unemployed and looking for work, partially employed, I suppose we should say I have my own business.\n\nD: I see and, what do you, what do you do when when you are working, ideally?\n\nP: When I am working, I'm an accountant.\n\nD: OK well, and do you smoke?\n\nP: Yeah once in a while, yeah, when I'm stressed. \n\nD: How much do you smoke on average?\n\nP: Last couple of weeks, I've been smoking more, maybe like 2 packs a week.\n\nD: OK. Do you drink alcohol?\n\nP: Yeah yeah.\n\nD: How much do you typically drink?\n\nP: Average week, maybe a 2 4.\n\nD: So maybe like 3 per day or something like that if you were to average it out?\n\nP: Yeah, if you average out I mainly go through the two four in a weekend to be honest. \n\nD: Oh, I see. OK, more so on the weekend, so maybe a little bit more than three per day on those days?\n\nP: Mhm.\n\nD: OK so that that that's everything that I need to ask you for now. I'd like to get a closer look at this leg. Did you have any other questions or concerns before we move forward to the physical exam?\n\nP: No I just want to get this figured out.\n\nD: OK, yeah, we will definitely do that for you. So yeah, I'm going to have a look at it and then after that I will go talk to the doctor that I'm working with and we'll see what we can do for you. That sounds good?\n\nP: Thank you doc, yeah sounds great.\n\nD: Awesome OK thanks."} | |
| {"audio": "dataset\\resampled_file\\RES0150.wav", "text": "D: How may I help you? \n\nP: Hi, um my son has just been sick over the past uh couple of days. He's just had this cough and uh stuffy nose and uhm, yeah. He's also had this uh rash that just started.\n\nD: OK, and so can you tell me a bit more about the cough, so it started um?\n\nP: Yeah, so the cough started about a week ago and um his stuffy nose, he's sort of had a stuffy nose since around the same time and then um, those symptoms um so it continued and got a little bit better over the past few days and then he started um having this rash on his face that then kind of went down to his neck.\n\nD: OK, and is the rash still uh there right now? \n\nP: Yeah.\n\nD: OK. Um and is the cough uh productive, is he bringing up sputum? \n\nP: No. \n\nD: OK, um has he brought up um any blood?\n\nP: No. \n\nD: OK. Um and uh, you told me about the the runny nose, what um, can you describe the discharge? \n\nP: Yeah it's just uh it's just uh watery discharge. his eyes are also red and kind of um he's been teary. Or I guess just yeah, it's just been like very watery and red and uh yeah, it's clear discharge.\n\nD: OK. Um has he had a sore throat?\n\nP: Um no. \n\nD: Alright, um how about any changes to his sense of smell or or taste?\n\nP: Uhm he, uh, he hasn't really, uh yeah, he hasn't said anything about that.\n\nD: Alright and has he had any problems with breathing.\n\nP: No. \n\nD: OK. Has he mentioned anything about chest pain? \n\nP: Uh no.\n\nD: Alright, um has he had any fevers or chills?\n\nP: Uh yeah, he does have a fever, um 39.5 I checked yesterday. \n\nD: OK, uh is that is that the first time that um he was noted to have a fever yesterday? \n\nP: Um he has had a fever for the past few days. Um it was around, it was less, between 37.5 to 38.5, um but then yesterday was just uh it just kept going up so I got concerned and thought I should bring him in. \n\nD: OK, I see. Yeah well it's good that you brought him in. Um has he been having any night sweats?\n\nP: No. \n\nD: And um how has his weight been over the last several months, has he been gaining weight OK still?\n\nP: Oh yeah. \n\nD: Alright, that's great. Um and has he had any any any wheezing?\n\nP: No.\n\nD: Um how about any like changes to his appetite?\n\nP: Um he's just been eating less since he's been feeling unwell.\n\nD: OK.\n\nP: Yeah, but he still he still he manages to eat about um half the plate. So I guess it's not too bad.\n\nD: And that's been the last few days?\n\nP: Yeah, yeah. \n\nD: OK and um has he had any muscle aches or body pains?\n\nP: Uh, no, not really. \n\nD: OK, and um is, are there any exposures that um could've possibly caused a skin rash like changes in like laundry detergent, or um like coming into contact with with anything on his skin or or taking um, or any anything that he was allergic to that he's been around?\n\nP: Um I don't think so. He was playing outside with the neighbours, um with the neighbour's kids, but I don't think he came into contact. I'm not sure.\n\nD: OK, uh, has he been diagnosed with any medical conditions before?\n\nP: No, he's pretty healthy.\n\nD: OK and sorry, just to to go back to the symptoms, I missed a few questions here. Did he have uh, does he have any nausea or vomiting?\n\nP: No.\n\nD: How about any diarrhea?\n\nP: Uh no.\n\nD: OK, and any abdominal pain?\n\nP: Um nope.\n\nD: Or or any urinary problems?\n\nP: No, no. \n\nD: OK. Um And and so he hasn't been diagnosed with any medical conditions before. Um does he take any medications regularly, like prescribed or over the counter?\n\nP: Um no he doesn't. \n\nD: Alright, and any allergies to medications or uh environment that you're aware of?\n\nP: Um no. \n\nD: OK, and um are his immunizations up to date?\n\nP: Um well, no, I don't. I don't I don't vaccinate my kids. I'm just I'm I'm worried that they'll uh get autism.\n\nD: OK, yeah, that's uh well, it's important to know um today that he's not vaccinated, because certainly that will influence um what we're thinking about in terms of what could be causing the symptoms. Um and we can uh discuss the, I guess more about the vaccination procedures and what not later. Um but OK, so he's not currently vaccinated, and have there been any um concerns with his growth and or development?\n\nP: No. \n\nD: He's meeting all of the the milestones and doing well at school?\n\nP: Yeah.\n\nD: OK, um and in terms of the pregnancy, uh were there any complications during the pregnancy like gestational diabetes or or um high blood pressure?\n\nP: Uh I did have gestational diabetes.\n\nD: Uh sorry yeah, did that require insulin or?\n\nP: Uh yeah, I did have to take insulin. Um he was he was also a pretty big baby when he was born, um we had to, I had to give, get a C-section done. \n\nD: OK, were there any complications with the with the procedure, with the surgery? \n\nP: No no, no complications at all.\n\nD: OK, did he have any um like breathing problems or jaundice or any reasons to stay in the hospital when when he was born?\n\nP: No, he didn't. \n\nD: OK, um that's good. And uh who's he living with and who's the primary caregiver currently?\n\nP: I'm the primary caregiver. Um he's got an older brother who's seven years old and his dad, it's the four of us. And we also have a dog.\n\nD: OK. Any allergies to the dog or to pets at all?\n\nP: No.\n\nD: OK, um and um any reasons or concerns for um uh physical or emotional abuse in the home?\n\nP: No. \n\nD: OK, and um any family history of any heart or or lung problems?\n\nP: No.\n\nD: How about a family history of any bleeding disorders or or clotting disorders or cancers? \n\nP: Um no. \n\nD: OK. Um so that was everything that I think I wanted to ask about on history. Um so it sounds like um he's had a cough, um a runny nose, um some red eye red eyes that, with some tearing as well as a rash that that started and and a fever. Was there any other symptoms?\n\nP: No. \n\nD: Alright. Um so next we'll go on to the physical exam. We'll want to have a look um at the rash and get the vitals, um but there is a concern that this is, could be, uh Measles and so um it'll be important to um, supportive management and um ensure that um it's not passed on to um anybody else. That reminds me, yeah, he was out playing with other children, were any other kids experiencing similar symptoms?\n\nP: Um I'm not sure I I guess I need to talk to their their parents now.\n\nD: Yeah it would be um a good idea to uh yeah contact um and see, just to make sure that we're treating everybody appropriately.\n\nP: Sure.\n\nD: And then uh we could talk more about the vaccination um later.\n\nP: Sure."} | |
| {"audio": "dataset\\resampled_file\\RES0144.wav", "text": "D: What can I do for you today?\n\nP: Hi, yes, I just brought my son to the ER. We've noticed in the last two days he's been just making these grunting noises and just seems a little bit like just not himself, just more quiet. Not really crying.\n\nD: OK, and when did you, you said last few days, when when exactly did you first notice the grunting? How long?\n\nP: It was two days ago.\n\nD: OK, two days ago. Was it when, did you hear this sound when your baby is trying to breathe?\n\nP: Yeah, today I was trying to pay more attention. It seems like that like this really trying to breathe more. And also I like he's like the chest I see moving a lot more.\n\nD: OK. And so you've been hearing this grunting sound, and he's been trying to breathe. And you see that his chest is moving more than usual and he's crying. Has he been sleeping well or no?\n\nP: Uh yeah, so last night it was really hard to get him to sleep. He did sleep, I would say like around like 4 hours last night, but it was really difficult.\n\nD: And what about feeding? Does he take a formula or is he breastfed?\n\nP: So he's, uh, he takes formula and today it like yesterday he was feeding. Today it's been really hard to get him to feed. Maybe he fed for like one or two times, but not much.\n\nD: It happens when you try to feed him?\n\nP: Uhm, Kind of just uh after awhile, just pushes it away, not really, uhm, yeah, uhm not really too excited about feeding.\n\nD: OK, and what about diapers? How many wet diapers has he had over the past, or yesterday and today? \n\nP: Probably around the same like usually has like five to six weight diapers and it's around the same.\n\nD: OK. OK. Uhm and did you try anything? I know that he's six months old. Did you try feeding him anything new or anything different?\n\nP: Uh, no, it's just been the bottle feeds.\n\nD: Nothing new right? No solid foods yet?\n\nP: No.\n\nD: OK. And uh in terms of his activities, you mentioned that he's not as he's not moving and, as active as he usually is?\n\nP: Yeah, today I also thought I felt that it was a bit warm, warmer than usual, but I didn't have a thermometer at home.\n\nD: OK. Uhm have you noticed, has he been drooling at all?\n\nP: Drooling?\n\nD: Mhmm.\n\nP: No, I haven't noticed that.\n\nD: OK. What about coughing? \n\nP: Uhm, I haven't heard any, any coughing, no.\n\nD: OK, Sorry, is he is able to sit up on his own?\n\nP: Uhm, up against like a sofa or chair, but not really on his own.\n\nD: Have you ever been has been left alone over the past two days at some point? Do you feel like you might have taken something in his mouth accidentally?\n\nP: Uhm no I I tried checking his mouth like I was there with him like all all the time.\n\nD: No, OK nothing like that? OK, how has his immunizations been so far? Has he as he received them?\n\nP: Yeah, he's received all his immunizations, up to date.\n\nD: Uhm, did he have, it has he was vaccinated anytime recently? Because sometimes you said he's warm and sometimes, sometimes just getting vaccinated can cause a reaction.\n\nP: Yeah, no. He was vaccinated like I think more than two or three weeks ago.\n\nD: OK, alright. And you said no diarrhea or anything like that, right?\n\nP: No.\n\nD: OK, any, is he does he have any nausea or not nausea but is he vomiting? Is he bringing anything up?\n\nP: No, not really. Like he was just pushing away the bottle. But like he didn't bring anything up.\n\nD: OK. Has he been limp and lethargic?\n\nP: Uhm no, I don't think so.\n\nD: OK, has you said that he hasn't had his formula much? But what about drinking? Like has he had anything to drink? Any milk or anything like that, or no?\n\nP: No, I don't think so. \n\nD: No, she hasn't had much to eat and or drink over the past or today?\n\nP: Yeah mostly.\n\nD: So he might be a little bit dehydrated. \n\nP: Yeah. \n\nD: OK. Uhm, OK, well uhm, I, I, OK, so that's all I wanted to do know in terms of his current status, I would obviously want to examine him very carefully and see what's going on. Uhm, how has uh, how is he like just going back, how was your pregnancy?\n\nP: Pregnancy was uh, OK, no complications, but he was premature by two weeks, so I think he was born at 35 and four days.\n\nD: OK, and were there any complications at that time, including complications related to the lung, something like respiratory distress syndrome? \n\nP: Yeah, so when he was born there was they needed to do, I forgot what it was, but they told me that initially he wasn't breathing, but then right afterwards after like within 5 minutes, he was fine.\n\nD: Hmm, uhm, OK, uhm, was he kept in the hospital in the NICU after being born?\n\nP: Yeah, just because of that scare, they kept him for three more days, but like he was growing while there were no more episodes of the breathing issue, so they let him go after. \n\nD: OK. Uhm, has, how has he been since then over the past six months?\n\nP: Since then, he's been fine. No, we didn't have to go to the hospital or anything, and during our routine visits he's been growing well, no normal issues.\n\nD: Any issues because development?\n\nP: No, he's been pretty, like he's been meeting his milestones according to like the family doctor.\n\nD: Has he had any surgeries or any, or no hospitalizations you said, and no, uhm no diagnosis, right? He hasn't been diagnosed with any condition?\n\nP: No.\n\nD: Alright. Can you tell me about allergies? Is he allergic to anything that you're aware of?\n\nP: No, not that I know.\n\nD: 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?\n\nP: Uh, no, him, his dad and I are pretty healthy, yeah. No medical conditions.\n\nD: Anything like cystic fibrosis in the family?\n\nP: No, not that I know of.\n\nD: OK. Alright, well we'll examine the child and look at his vitals, listen to his lungs, look, look inside his mouth and that's this sounds serious, so we'll keep you, we'll keep you updated and we'll let you know what needs to be done. He might need, potentially need antibiotics. He might need potentially, to be intubated, but we will have all these discussions after the baby's been seen and we'll draw some labs and go from there.\n\nP: OK, sounds good.\n\nD: Alright.\n\nP: Thank you."} | |
| {"audio": "dataset\\resampled_file\\RES0134.wav", "text": "D: Would you mind starting with telling me what I can help you with today?\n\nP: Yeah, um I haven't been feeling very well over the past two days. I have had this cough, I'm feeling very short of breath and I'm feeling very feverish as well.\n\nD: Okay, uh, have you checked your temperature?\n\nP: No, I haven't actually checked it, but I'm just feeling hot and I'm having chills. \n\nD: Okay, were you having like night sweats as well?\n\nP: Um, yeah, last night I did get sweaty.\n\nD: Okay, and when uh, when did you start feeling feverish?\n\nP: Feverish, maybe around the same time like right after the cough and shortness of breath started, maybe like a day and a half ago.\n\nD: Okay. It's um, so the cough started about a day and a half ago as well?\n\nP: Yes.\n\nD: Okay. Uh, did you have a cough prior to this or is it new? \n\nP: It's new.\n\nD: Okay, is it a dry cough? Or are you bringing up sputum or phlegm?\n\nP: Um, it's uh yeah, it's um, it's dry most of the time, but once in a while I'll see some like yellow phlegm.\n\nD: Okay, have you noticed any blood?\n\nP: No, no blood. \n\nD: All right, and have you had any chest pain?\n\nP: No chest, well actually, when I try to take a really deep breath in, it, it hurts, my chest hurts.\n\nD: Okay, where do you feel the pain?\n\nP: Uh, it seems to be central on my chest.\n\nD: Do you feel it radiating anywhere, like to your back or to either side? \n\nP: No.\n\nD: Okay, how would you describe the pain? Like sharp, dull?\n\nP: Um, it's pretty sharp when I take a deep breath in. \n\nD: How long does the pain last for, and is there anything that you do that makes it go away?\n\nP: It was like less than a minute um, and, and it goes away when I like, if I try not to take a deep breath in.\n\nD: Okay, so it sounds like that it, the, the breathing is a trigger there, when you're breathing in deeply.\n\nP: Yeah.\n\nD: Alright. And have you had any wheeze?\n\nP: Uh, a little bit, yes. \n\nD: Alright, and uh, is the wheeze new as well?\n\nP: Um yes, that also started after the coughing and the shortness of breath.\n\nD: Alright. And have you had any episodes of feeling like your heart's racing, or is it speeding really fast?\n\nP: No.\n\nD: Okay, and you said it, yeah, you've been short of breath as well. Um, are you really short of breath now, and what sorts of things have been really bringing it on for you?\n\nP: Um it's, yeah, I'm still a little bit short of breath and I, I guess the shortness of breath gets worse when I'm walking or doing something physical.\n\nD: Okay and did, is this new or did you have this before? \n\nP: It's new.\n\nD: Okay, have you noticed any swelling in your in your legs or extremities?\n\nP: No, nothing like that.\n\nD: And do you get short of breath if you lie down flat?\n\nP: Uh, no, not that I've noticed.\n\nD: And how many pillows do you sleep with?\n\nP: Uh, just the one. \n\nD: Okay um, and have you had any headaches?\n\nP: No.\n\nD: And how about any eye redness or discharge?\n\nP: Uh no.\n\nD: Have you had a runny nose or felt congested?\n\nP: Um, yeah a little bit. Yeah, I've been, yeah, I've been feeling a little congested.\n\nD: And when did that start?\n\nP: Um, that started a little bit before the cough, actually.\n\nD: Okay, and you're still feeling that now?\n\nP: Yeah. \n\nD: Okay. Have you had a sore throat?\n\nP: No sore throat. \n\nD: Okay, and um, have you had any um, muscle aches or body pains? \n\nP: Um I, yeah, I guess my muscle aches a little bit um, it's very dull though, it's not sharp.\n\nD: Okay, and uh, how has your energy been? Have you been fatigued?\n\nP: Yeah, my energy's been pretty low. Um, I've been feeling very tired.\n\nD: Okay, and how long has that been going on for?\n\nP: Um, for about the same amount of time. Like three days, yeah. \n\nD: Alright, and have you had any abdominal pain?\n\nP: No.\n\nD: How about nausea or vomiting?\n\nP: No.\n\nD: And any changes to your urinary habits, like pain or?\n\nP: Uh no, nothing like that. \n\nD: Okay, and um, how has your appetite been?\n\nP: Um, it hasn't been the greatest because I haven't been feeling well, but I've still been eating.\n\nD: Okay, have you had any weight loss over the last several months?\n\nP: Um, no, not that I've noticed.\n\nD: And uh, how about any changes to your sense of smell or sense of taste?\n\nP: Sense of smell or taste, no, no changes there.\n\nD: Okay, um and then any skin changes or rashes?\n\nP: No.\n\nD: Alright, um, so you've been experiencing this cough, uh, started a couple of days ago with um, shortness of breath, and you're bringing up sputum sometimes and, and a fever that's started a bit more recently, as well as having some night sweats.\n\nP: Yeah.\n\nD: Have you experienced any other symptoms?\n\nP: Uh, no. Other than that, no symptoms.\n\nD: I see, and have you tried anything to make, make the symptoms better?\n\nP: Um, I've tried some Tylenol, I've tried some, um like, cough suppressants, but nothing seems to be helping.\n\nD: Okay, um, and have you been diagnosed with any medical conditions before?\n\nP: Um, no, not um, well actually, I have, I had, I have osteoporosis, for which I'm taking calcium and vitamin D, as well as like um, alendronate, alendronate, some sort of bisphosphonate.\n\nD: Okay, have you had any, uh, like bone fractures?\n\nP: Um, I had um, a hip fracture, like uh, two years ago.\n\nD: Okay and um, and how is the recovery and mobility been?\n\nP: Um, pretty good now.\n\nD: Oh, that's great. And uh, do you have any other medical conditions besides osteoporosis?\n\nP: No, not that I know.\n\nD: And have you had any surgeries prior, um, aside from the hip surgery two years ago?\n\nP: Um, I had my wisdom teeth taken out, I've had my gallbladder taken out, um, and I, I had like um, I had a PE um, a long time ago.\n\nD: Okay, and what happened around that time, with the pulmonary embolism? Did you, was there a trigger, like a surgery around that time? Or were you immobilized or anything?\n\nP: Yeah, they think it happened right after my um, gallbladder removal 'cause I was in the hospital for a while.\n\nD: Okay, and so were you on any medication for a period of time after that?\n\nP: Uh, yeah, I was, but not anymore.\n\nD: Okay, um, okay. And um, are you taking any other medications besides the ones for your bones?\n\nP: Um, no, no other medications.\n\nD: And do you have any allergies? \n\nP: Uh, no.\n\nD: Okay, uh, and then could you tell me a little bit about your living situation right now? Are you living with anybody and uh, whereabouts?\n\nP: Um, I live in an apartment by myself and um, it's in London.\n\nD: Okay, great, and do you have any supports in the home that, that help you with uh, any activities of daily living, like um, either dressing or bathing or making food or even doing some of the shopping?\n\nP: So I am pretty independent for most things. Um, there will be like a CCAC care worker who comes in, uh, once in a while just to help me clean the house.\n\nD: Okay, so once in a while, is this like once a week or once, yeah, how often? \n\nP: Yeah, once every two weeks.\n\nD: Okay, well that's great. It sounds like you're managing really well on your own. Um, do you have any other supports nearby, like family or, or friends?\n\nP: Um, I have some family close by um, my son lives close by, uh, and my daughter lives about 2 hours away. I'll see them about once a month. \n\nD: Okay. Um, and do you smoke cigarettes?\n\nP: Um, yeah, I used to smoke, but I stopped about five years back.\n\nD: Oh, congratulations on quitting. \n\nP: Thank you.\n\nD: So you quit five years ago, and how long did you smoke for and how much did you smoke?\n\nP: Um, I used to smoke, not a lot, just like one or two a day, uh, and I did that for about 25 years.\n\nD: Okay, and uh, do you drink alcohol?\n\nP: Um, I'll have like a glass of wine once in a while.\n\nD: And how often is once in a while? Is this, or how many drinks per week would you say?\n\nP: Um, per week, maybe like three.\n\nD: Okay, um, and any uh, heart or lung conditions that run in the family?\n\nP: Um, yeah so, there is um, like lung cancer, there's asthma, there's uh, COPD. All of that, someone, like my, both sides of my family had.\n\nD: Okay, and uh, anybody in the family have like a bleeding disorder?\n\nP: A bleeding disorder, no.\n\nD: Okay, anybody else in the family have either a deep vein thrombosis or, or PE?\n\nP: No.\n\nD: Alright, um, and have you been around any, anybody who's been sick?\n\nP: No, not recently.\n\nD: Alright, and have you traveled anywhere outside of the city, or?\n\nP: Uh, no.\n\nD: Okay, um, so that was everything I wanted to ask about today. Was there anything that uh, that you wanted to add?\n\nP: No, those are all questions that I had. Um, do you think um, I need to be hospitalized, um, because I'm very short of breath, or do you think I can just um, stay at home? Do you think I need antibiotics?\n\nD: Yeah, so we'll, we'll check your temperature and, and confirm the fever and um, check your oxygen levels as well. You might need oxygen, um, you're mentioning, with your shortness of breath. Um, and we will get a chest x-ray, and if um, we're seeing consolidation there, suggestive of pneumonia, you may need antibiotics that will cover, cover those, those bugs. However, your symptoms do overlap with COVID as well, and so it will be important to get a, um, COVID swab. But to answer if you will need a hospital stay, I think we'll need to at least wait until some of the investigations come back and, um, that will help determine how severe the symptoms are and we'll observe you over the next few hours, and if you are getting any worse or um, anything like that, then it might be a good idea, um, to uh, to be admitted.\n\nP: Okay. Okay yeah, that sounds good. Thank you.\n\nD: You're welcome."} | |
| {"audio": "dataset\\resampled_file\\RES0092.wav", "text": "D: I understand that you've had a cough, can you tell me a little bit more about that?\n\nP: Yeah, so I've had this cough now, it's been going on for about two weeks, just, just hasn't gone away.\n\nD: Uhm, oK, can you tell me a little bit more about this cough? Is it dry or wet?\n\nP: Uh, yeah it's been, uhm, mix, it's been dry sometimes and I have had a little bit of sputum production recently, uh, it's been mostly clear though.\n\nD: Has the cough gotten worse over the past two weeks?\n\nP: No, it's been about the same.\n\nD: Uhm, and have you had any blood that came up with the sputum?\n\nP: No, I haven't noticed any blood.\n\nD: Alright, what about any other symptoms over the past two weeks? Have you had, have you had any fevers or chills?\n\nP: Not, no. \n\nD: No. OK. And any uhm, I guess, any runny nose?\n\nP: Yeah, my nose was a bit runny last week, but it's, that's better now. \n\nD: OK. OK, uhm, it's just, OK last week, what else, what other symptoms did you have last week?\n\nP: Yeah, I had a sore throat and a little bit of a headache as well, uhm, and, and some aches and fatigue. Those were uh, yeah, that was last week for about three days, and then I started to feel better. But I still have this cough, that, it's still going on.\n\nD: So those other symptoms that you had last week that lasted about three days, are they all gone? are you still feeling fatigued or having a headache?\n\nP: Those are both, yeah, they're gone. \n\nD: Hmm, It's only the cough?\n\nP: Yeah I just have the cough.\n\nD: Is there any time, any specific time of the day that it's worse or better? Anything that triggers it?\n\nP: Uhm, maybe like, maybe when I went out into the cold or, uhm, like, when I went for a run where I really kind of exerted myself, it brought it on, but other than those things, nothing.\n\nD: OK, but you're otherwise feeling better?\n\nP: Yeah, for the most part, yeah, feeling better, but I still have a cough.\n\nD: OK. Uhm, have you had any chest pain? \n\np: No.\n\nD: Any palpitations? Do you feel like your heart's racing?\n\nP: Uhm, no. Nothing like that.\n\nD: Any other symptoms such as belly pain or diarrhea or Constipation or changes in your urine, are having any urinary symptoms?\n\nP: No, I haven't had anything like, like that.\n\nD: OK. OK, and can you tell me about your past medical history, any medical conditions you have?\n\nP: Yeah, I, I'm healthy. I haven't, been diagnosed with, with anything.\n\nD: OK alright, any medications that you take including over the counter pills or any herbal pills or multi vitamins etc.\n\nP: Yeah, I'm taking a birth control.\n\nD: I see. OK, any allergies?\n\nP: No allergies.\n\nD: OK. Do you have any, you don't have any lungs related diseases right? Like asthma or COPD or anything of that sort?\n\nP: Uhm, no, nothing like that.\n\nD: Alright alright, that's good, and who do you currently live with, and where do you live?\n\nP: Alright, so I live with a few roommates. I'm just finishing up my undergraduate degree.\n\nD: Yeah, that's great. Have you had any contact with anyone who was sick recently?\n\nP: No, not that I could think of, I mean we went out one night last week and that's kind of when I had those other symptoms for a few days after that.\n\nD: OK, OK. Uhm and have you traveled outside the city or country?\n\nP: No, I haven't. \n\nD: No, ok. Do you drink alcohol?\n\nP: Sometimes yeah, I, I will with friends, kind of socially.\n\nD: alright.\n\nP: Just a few drinks.\n\nD: What about smoking? \n\nP: Uh, no.\n\nD: Marijuana? \n\nP: Uh, sometimes with, like socially with friends, but that might be once a month or probably even less.\n\nD: Any recreational drugs? \n\nP: No.\n\nD: OK, alright and any lung conditions that run in the family?\n\nP: No.\n\nD: OK, uhm, OK alright, so that's all that I, I wanted to know. It sounds like you had a, you had a cold last week and you just have this residual cough that's still there, and it's been two weeks and you're just worried about it, but otherwise you're feeling well, you don't have any other symptoms. Often times when we get sick, or we have an infection or inflammation of the, uhm, the airway, we can get a cough that lasts a long time and it might just take you a couple more weeks for the cough to go away. But if you feel that it's getting any worse or you're, you have those symptoms come back again, or you develop a fever, we can, you can definitely, we can do something more about that. I'll also do a physical exam and, and see how you're doing and then we can go from there.\n\nP: OK, great, thank you."} | |