jshargo/medical-interview-conversations2 · Datasets at Hugging Face

conversations listlengths 2 4
[ { "role": "user", "content": "So I've been having a lot of trouble in the last two weeks of especially this past week of just a lot of shortness of breath. I'm getting a lot of coughing as well and producing a lot of material. And also I think I might have been having a fever this week as well. " }, { "role": "assistant", "content": "OK, uh, the shortness of breath is it happening at rest or exertion and how much exertion? " }, { "role": "user", "content": "Uhm, I think it's happening mostly on exertion. Usually I'm able to walk around the house, no issues, go up and down stairs, but right now I'm pretty limited. I can't really go up and down stairs without getting really short of breath. I can't even walk from the bedroom to the kitchen without becoming shortness of, like short of breath. " }, { "role": "assistant", "content": "OK, um OK, and when did that change happen?" } ]
[ { "role": "user", "content": "So I would say one week ago is when this all kind of started. " }, { "role": "assistant", "content": "OK, and has it been getting any better, worse, or staying the same? " }, { "role": "user", "content": "I would say it's kind of getting worse. I'm coughing a lot more sputum up. I'm getting more and more short of breath. Now, I do have a call for like a very long time now I've I was diagnosed with COPD in my 60s. Probably like 10 years ago and but this seems to be just a much worse than my COPD. " }, { "role": "assistant", "content": "OK, sure it's been a lot worse in the last week it sounds like. OK. Uhm have you, are you able to lie flat? Like on your back without experiencing shorter breath, shortness of breath?" } ]
[ { "role": "user", "content": "Yeah, and when I'm resting or lying down or trying to sleep I don't get short of breath. " }, { "role": "assistant", "content": "OK, and have you ever had instances where you woke up in the middle of the night really short of breath and you had to sit up to catch your breath? " }, { "role": "user", "content": "Uh no, I don't think so. " }, { "role": "assistant", "content": "OK, have you noticed any leg swelling?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and you said that to you, so you've had a cough for awhile now, but it's gotten worse. This past week in your, are you bringing up sputum?" } ]
[ { "role": "user", "content": "Yeah, I'm bringing up a lot of materials. I think every time I cough I'm bringing some sputum up and right now the like usually the color is like clear to whitish but right now it's a bit more yellow. " }, { "role": "assistant", "content": "OK, so a change in the sputum color and also sounds like you're bringing up more sputum as well. " }, { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK and have you brought up or coughed up any blood? So have you had any hemoptysis?" } ]
[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK, and have you had any wheezing?" } ]
[ { "role": "user", "content": "Uhm, I do but when I get short of breath I have some wheezing, but usually I don't. " }, { "role": "assistant", "content": "OK, but but you've had wheezing this past week though." } ]
[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "Yeah OK. And have you had any chest pain?" } ]
[ { "role": "user", "content": "Just when I'm coughing and getting short of breath, I do have some discomfort in my chest. " }, { "role": "assistant", "content": "OK, uh, do you feel that, or could you describe he the pains character? Like is it sharp, dull, or achy? " }, { "role": "user", "content": "It's more just an ache and it's kind of more of a discomfort than a pain, and it kind of goes away once my episode of coughing and shortness of breath is relieved with some rest. " }, { "role": "assistant", "content": "OK. Uh, and uh, have you been experiencing any fevers or chills?" } ]
[ { "role": "user", "content": "Yeah, I've been noticing that I'm getting a lot more chills this past week. They kind of come and go, but even at night I get like these chills that after wrap myself up in at least three blankets. " }, { "role": "assistant", "content": "OK, and have you had a fever?" } ]
[ { "role": "user", "content": "Uh, I didn't get a chance to measure any of them, but I might have had a fever just from the chills that I'm expecting that I had a fever. " }, { "role": "assistant", "content": "OK, and have you had any night sweats? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK and have you had any unexpected weight loss over the last several months?" } ]
[ { "role": "user", "content": "No, I think my weights been pretty steady. " }, { "role": "assistant", "content": "OK. Have you had any headaches?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any like eye redness or eye discharge?" } ]
[ { "role": "user", "content": "No, not that I know of. " }, { "role": "assistant", "content": "OK, have you had a runny nose or a sore throat?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, have you had a loss of taste or loss of smell?" } ]
[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK. Have you had any nausea or vomiting?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any abdominal pain? " }, { "role": "user", "content": "No abdominal pain. " }, { "role": "assistant", "content": "Have you had any diarrhea?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any constipation? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any skin rashes?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any muscle aches or joint pains?" } ]
[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK, and have you had any any fatigue?" } ]
[ { "role": "user", "content": "Maybe a little bit more tired just with the shortness of breath and chills and everything like that, but yeah, so a little bit more fatigue. " }, { "role": "assistant", "content": "OK, and have you had any fainting or dizziness? " }, { "role": "user", "content": "Uh, no. " }, { "role": "assistant", "content": "Or, OK and have you had any heart palpitations?" } ]
[ { "role": "user", "content": "Nope. " }, { "role": "assistant", "content": "Alright. And have you been diagnosed with any medical conditions in the past?" } ]
[ { "role": "user", "content": "No. Oh sorry, medical conditions in the past? COPD I have. I also do have some high blood pressure and I take some medications for cholesterol as well. " }, { "role": "assistant", "content": "OK, so you take medications for cholesterol and high blood pressure and you use any inhalers? " }, { "role": "user", "content": "No. Sorry, inhalers I, use, uh, two different kinds of inhalers. So one of them is just when I like need it, uh, like I've been using a lot more recently, like the Ventolin. And then I also have another inhaler called Spiriva that I've been using as well. " }, { "role": "assistant", "content": "OK, and do you have any allergies?" } ]
[ { "role": "user", "content": "Uhm I do have an allergy to sulfa drugs. " }, { "role": "assistant", "content": "And what reaction?" } ]
[ { "role": "user", "content": "I usually break out into hives. " }, { "role": "assistant", "content": "OK, and any prior surgeries or hospitalizations? " }, { "role": "user", "content": "So I've had a surgery to remove my appendix when I was really young. Then I've had another surgery for my hips as well, but yeah, other than that, no other issues. " }, { "role": "assistant", "content": "OK. And are your immunizations up to date?" } ]
[ { "role": "user", "content": "Yeah, all of my immunizations should be up to date. " }, { "role": "assistant", "content": "OK, excellent and could you tell me a little bit about where you're living currently and who you're living with?" } ]
[ { "role": "user", "content": "Yeah, so I, I currently live alone in, in an apartment just in the city. And yeah, I've been living alone for probably the last five years. " }, { "role": "assistant", "content": "OK, and have you been around anybody who's been sick?" } ]
[ { "role": "user", "content": "Uhm, not recently. I think I just I just go out to get groceries and stuff. I haven't really been going out too much. " }, { "role": "assistant", "content": "Alright, So have you traveled anywhere?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK uhm, do you drink alcohol?" } ]
[ { "role": "user", "content": "Maybe a couple of years a week. " }, { "role": "assistant", "content": "OK, and do you smoke cigarettes?" } ]
[ { "role": "user", "content": "Yeah, I still smoke cigarettes. Even though I have COPD, I just yeah, I can't really quit. I smoke probably half a pack a day. " }, { "role": "assistant", "content": "OK, how long have you smoked for approximately? " }, { "role": "user", "content": "Uh, probably at least 45 years. " }, { "role": "assistant", "content": "OK and uhm, if you wanted to talk about quitting, we can discuss that further at a later time if you'd like. Uhm, and so do you use any recreational drugs?" } ]
[ { "role": "user", "content": "No, no no no drugs at all. " }, { "role": "assistant", "content": "OK. Uhm, and have you had a family history of heart disease or any lung conditions?" } ]
[ { "role": "user", "content": "Uhm, not, I mean like no lung conditions, but I have a family history like my both my grandather and father both had heart attacks in their 60s. " }, { "role": "assistant", "content": "OK, and any lung cancer in the family? " }, { "role": "user", "content": "No, not that I know of. " }, { "role": "assistant", "content": "OK. So I think that was all the questions that I I wanted to ask today. Was there anything else that I maybe forgot about that you wanted to mention?" } ]
[ { "role": "user", "content": "Hi I just want to talk about these, these times when I feel like I'm just I'm suffocating and I just can't breathe. It's pretty scary and I don't know what's going on. " }, { "role": "assistant", "content": "Yeah, certainly, um, feeling short of breath like that can be quite scary for sure. When, when do these episodes kind of happen? Are they spontaneous? Or can you think of things that you're doing when they when they come on." } ]
[ { "role": "user", "content": "Uhm? I, I don't know, it's just like. Uhm? Sometimes, like before interviews, sometimes just kind of random. Uhm, yeah. I can kind of tell when they're about to come on. Uhm? Yeah, I think. It's mostly like job interviews. " }, { "role": "assistant", "content": "OK, have you had many of those recently?" } ]
[ { "role": "user", "content": "Job interviews? " }, { "role": "assistant", "content": "Yeah." } ]
[ { "role": "user", "content": "I got I got laid off because of the pandemic and now I've been looking for jobs and it's just like it's kind of nerve wracking. But also like I don't know, I'm just worried it could be something else like it's just, yeah, it's like I really just can't breathe, it's so weird. " }, { "role": "assistant", "content": "OK, yeah, it's certainly. It sounds like there's been a lot of stress recently. Certainly plenty for with the pandemic as well. And so when you get short of breath, you you said you have this, you could feel that it's coming on and how long does it last for? " }, { "role": "user", "content": "Like 15 minutes 15, 20 minutes. " }, { "role": "assistant", "content": "Is there anything you do to help it go away?" } ]
[ { "role": "user", "content": "I'll just say go and lie down and close my eyes. " }, { "role": "assistant", "content": "OK. And do you get shorter breath if you walk far distances or exert yourself? " }, { "role": "user", "content": "Oh no, no. I go out for a run every single day. Nothing happens at that time. " }, { "role": "assistant", "content": "OK. And. Have you had a cough?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any wheezing? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And have you had any any chest pain?" } ]
[ { "role": "user", "content": "Yeah, I kind of feel like this pressure at that time is just like yeah, someone's like pressing my chest inwards, kind of. It's hard to explain. " }, { "role": "assistant", "content": "I see do you it is it um like, do you feel it in any one particular spot or? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK." } ]
[ { "role": "user", "content": "I just feel like my chest is really tight and it's just it's like I can't like expand my lungs. " }, { "role": "assistant", "content": "I see and does this last around 15 minutes as well?" } ]
[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK. And similarly you like going for runs and stuff like that you on't ever get any chest pain? " }, { "role": "user", "content": "No, no, no. " }, { "role": "assistant", "content": "OK. And and I know you mentioned you didn't have a cough, but have you brought up any phlegm or brought up any any blood?" } ]
[ { "role": "user", "content": "No, no, I have not had a cough. " }, { "role": "assistant", "content": "Oh no, OK, I'm sorry." } ]
[ { "role": "user", "content": "That's OK. " }, { "role": "assistant", "content": "And have you otherwise been well? Or if you had any infectious symptoms, like a runny or red eyes, runny nose or sore throat? " }, { "role": "user", "content": "No. None of those. " }, { "role": "assistant", "content": "Alright, have you had any headaches?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "How about any fevers or chills?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any night sweats? " }, { "role": "user", "content": "No, but I get really sweaty when these episodes happen. Just like yeah, my face is like sweating, and my neck. " }, { "role": "assistant", "content": "OK. Yeah, Um, OK, and How is your weight been recently? Any weight gain or loss?" } ]
[ { "role": "user", "content": "Yeah, I've gained quite a bit of weight since the pandemic started. Yeah, gained about 10 pounds. " }, { "role": "assistant", "content": "OK, any changes to your diet or appetite?" } ]
[ { "role": "user", "content": "Oh yeah, I've been eating quite a bit, been baking a lot at home. " }, { "role": "assistant", "content": "OK. And, and have you had any abdominal pains?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any diarrhea?" } ]
[ { "role": "user", "content": "Uhm? No. " }, { "role": "assistant", "content": "OK. Any nausea or vomiting? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright, and any urinary problems like pain or frequency?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any rashes or skin changes? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And, any muscle aches, body pains or joint pains or swelling?" } ]
[ { "role": "user", "content": "Nothing like that, no. " }, { "role": "assistant", "content": "OK and how's your energy been? " }, { "role": "user", "content": "Um. Well, I've been feeling a little low. Since I've been laid off just like worried about my finances and I kind of sleep all day. I'm not feeling very energetic. " }, { "role": "assistant", "content": "OK. How is your interest in activities been?" } ]
[ { "role": "user", "content": "I don't know, I just feel like staying at home and just being in bed all the time. " }, { "role": "assistant", "content": "OK, so you're um, have you had a low mood?" } ]
[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "Alright and are you sleeping more than usual?" } ]
[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK, is there anything that you're feeling particularly guilty about right now? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. How is your concentration been?" } ]
[ { "role": "user", "content": "Uhm, not great. " }, { "role": "assistant", "content": "OK. You haven't been able to focus and have you felt like things are moving in slow motion?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright, so have you had any thoughts of hurting or harming yourself?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And have you had depression or anxiety in the past?" } ]
[ { "role": "user", "content": "Um I've been diagnosed with depression. " }, { "role": "assistant", "content": "OK. And have you had panic attacks before?" } ]
[ { "role": "user", "content": "No, but do you think that's what's going on? " }, { "role": "assistant", "content": "Potentially, it certainly can't rule out. Inorganic cause meaning something going on, otherwise just yet we might need to do some physical exam and some investigations first, but it certainly could be related to that. With all of the stressors that are going on. And so you had a low mood. Have you had any periods in your life where you felt really energetic, like you didn't need any sleep, you're really talkative, you had all the energy in the world." } ]
[ { "role": "user", "content": "I wish, no, I've never really felt that way, " }, { "role": "assistant", "content": "OK. And have you had any concerns with eating disorders in the past? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright. And then you mentioned, even diagnosed with depression, if you had, are you have you been diagnosed with any other medical conditions?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, are you on any medications right now? " }, { "role": "user", "content": "No, I was doing pretty well. I used to have these episodes of depression when I was younger as a teenager and they kind of went away. I was on meds at that time, but I think I think it's coming back now. " }, { "role": "assistant", "content": "OK, so you haven't been on medication now for for quite awhile for years." } ]
[ { "role": "user", "content": "For like 12 years 13 years. " }, { "role": "assistant", "content": "OK, what did you use that, if you can remember?" } ]
[ { "role": "user", "content": "Prozac? " }, { "role": "assistant", "content": "OK, and did you find it helped? " }, { "role": "user", "content": "Yeah, yeah it was very helpful, was very good. " }, { "role": "assistant", "content": "OK. That's good. Any allergies to medications?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright and any hospitalizations or surgeries? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and can you tell me a little bit about where you're living and who you're living with?" } ]
[ { "role": "user", "content": "I I live, I live with my girlfriend. " }, { "role": "assistant", "content": "OK. And. Has there been anybody around that that has been sick that they have been around?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, have you traveled anywhere?" } ]
[ { "role": "user", "content": "No no. " }, { "role": "assistant", "content": "And do you smoke cigarettes?" } ]
[ { "role": "user", "content": "Oh no, I don't. " }, { "role": "assistant", "content": "OK, do you drink alcohol?" } ]
[ { "role": "user", "content": "I don't. " }, { "role": "assistant", "content": "OK. And. Are you currently sexually active? " }, { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK, and any chance that you could be pregnant currently?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And have you been pregnant in the past? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And do you smoke cigarettes?" } ]
[ { "role": "user", "content": "I don't. " }, { "role": "assistant", "content": "Do you drink alcohol?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And do you use any recreational drugs? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and any family history of heart or lung problems?" } ]
[ { "role": "user", "content": "My grandfather had lung cancer. But that's about it. " }, { "role": "assistant", "content": "Did he smoke for a long time?" } ]
[ { "role": "user", "content": "Oh yeah, he was a big smoker. " }, { "role": "assistant", "content": "OK, and anybody in the family have problems with mental illness? " }, { "role": "user", "content": "My mom has uh depression too. " }, { "role": "assistant", "content": "OK. Anybody in in the family have problems with substance, substance use?" } ]
[ { "role": "user", "content": "no. " }, { "role": "assistant", "content": "OK. Um, and I think that's everything that I I wanted to ask on history today. So you been having these episodes where you get really short of breath and you get chest pain, you'll get sweaty and have what sounds like what sounds like an impending sense of doom where you kind of feel like it's coming on and it lasts for 15 minutes and not related to exercise. Were there any other symptoms or things that you've been experiencing recently?" } ]
[ { "role": "user", "content": "Yeah, it's also, I also feel like my heart's like breathing really fast. " }, { "role": "assistant", "content": "Oh, OK. And I does that, how long does it last for? " }, { "role": "user", "content": "Same time. Like everything is just sort of comes on at the same time. Just kind of goes away together. " }, { "role": "assistant", "content": "OK, would you say that it comes on like kind of like at the snap of your fingers sort of thing like really quickly and then?" } ]
[ { "role": "user", "content": "I can kind of tell it's gonna come on like I have a sense of it and then it just like starts. It suddenly just happens. " }, { "role": "assistant", "content": "OK. So you you have the heart racing, are there any other symptoms as well?" } ]
[ { "role": "user", "content": "I don't think so. " }, { "role": "assistant", "content": "OK, so, uh, we will get an ECG and I will look at that, but I've been concerned now thinking that this might be related to anxiety or panic attacks and so, I guess that would be something that we could discuss more about in regards to like I guess previous traumas and things that and the stresses that you might be dealing with currently to help manage manage stress better." } ]
[ { "role": "user", "content": "Hi there, I, I've had this cough that started um, three days ago, and over these past couple of days, I've just been really achy all over and so, I've had a headache as well. " }, { "role": "assistant", "content": "Okay, well I'm sorry to hear that you're not feeling well. Um, the cough, when did that start? " }, { "role": "user", "content": "Yeah, so that, about three or four days ago um, it started to come on, yeah. " }, { "role": "assistant", "content": "Okay, and then how about the headache?" } ]
[ { "role": "user", "content": "That's been more in the last two days. " }, { "role": "assistant", "content": "Two days, okay, and then the uh, muscle ache?" } ]
[ { "role": "user", "content": "Yeah, it's been there for about two, yeah about two or three days. I wake up in the morning and I've been feeling like really fatigued and achy. " }, { "role": "assistant", "content": "Um, the cough, is it dry or you're bringing up phlegm?" } ]
[ { "role": "user", "content": "It's, it's dry, but it's gotten a little bit worse since it started. It's just been happening more often. " }, { "role": "assistant", "content": "Okay, and does it sound harsh?" } ]
[ { "role": "user", "content": "Uh, maybe a little bit, yeah. " }, { "role": "assistant", "content": "Okay. Is it getting worse do you think?" } ]
[ { "role": "user", "content": "Yeah, I think so. " }, { "role": "assistant", "content": "Okay, are you experiencing any shortness of breath along with the cough? " }, { "role": "user", "content": "Uh, a little bit after, um, if I have like a coughing fit that's bad enough, but um, for the most part, I've been okay. " }, { "role": "assistant", "content": "Okay, any wheeziness?" } ]
[ { "role": "user", "content": "Um, no. " }, { "role": "assistant", "content": "No. Chest pain?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Okay. Do you ever feel like your heart's racing? " }, { "role": "user", "content": "No, I haven't felt like that. " }, { "role": "assistant", "content": "Okay. Um, any dizziness or fainting spells?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Uh, numbness or tingling?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Uh confusion or memory loss?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "This headache, is it always there? " }, { "role": "user", "content": "These past couple of days, yeah, it's kind of, it, it's been there. It's been a little bit more mild after using some Tylenol or Advil to help settle it down, but I just have this, yeah, achiness in the front, front of my forehead and kind of sides of my head. " }, { "role": "assistant", "content": "Yeah um, sides of your head, okay. And 1 to 10, 10 being the worst pain you've ever felt, how, how would you rate it?" } ]
[ { "role": "user", "content": "A 4. " }, { "role": "assistant", "content": "A 4 okay, so it's not the worst headache you've ever had in your life?" } ]
[ { "role": "user", "content": "No, it's not that bad, it's just been pretty annoying. " }, { "role": "assistant", "content": "Yeah um, okay. And have you like, do you usually get headaches?" } ]
[ { "role": "user", "content": "Not really it, yeah I don't get them that often. I guess they come when I, I, well, get sick. " }, { "role": "assistant", "content": "Okay yeah, that makes sense. Um, have you had any fevers recently? " }, { "role": "user", "content": "Um, I have felt a bit hot um, and, but I, I didn't check my temperature and um, yeah. " }, { "role": "assistant", "content": "Okay. How about weight loss, have you experienced any weight loss recently?" } ]
[ { "role": "user", "content": "No, I've been, my weight's been pretty stable. " }, { "role": "assistant", "content": "Okay. Um, any rashes?" } ]
[ { "role": "user", "content": "No, I haven't noticed any rashes. " }, { "role": "assistant", "content": "Okay, um, and any changes in your hearing or vision? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Runny nose or stuffy nose?" } ]
[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Sore throat? " }, { "role": "user", "content": "Um, yeah, now that you mention it, I have had a little bit of a sore throat as well. Hasn't been too painful with um, like swallowing uh, foods or anything like that. It's kind of worse in the morning and it's not so bad later on. " }, { "role": "assistant", "content": "Okay um, alright. How about changes in your smell or taste?" } ]
[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "Um, changes in your bowel movements?" } ]
[ { "role": "user", "content": "No, I've been uh, regular. " }, { "role": "assistant", "content": "Okay um, and then nausea or vomiting? " }, { "role": "user", "content": "Nope, I haven't had anything like that. " }, { "role": "assistant", "content": "Okay um, changes in your urine?" } ]
[ { "role": "user", "content": "No, I've had UTIs, like one or two in the past, um, so I know what that's like. So yeah, everything's been normal. " }, { "role": "assistant", "content": "Okay, good. And are you otherwise healthy or do you have any longstanding medical conditions?" } ]
[ { "role": "user", "content": "Uh, I have asthma, which I will like, asthma and allergies, and I'll use um, just Ventolin for that every like once in awhile, but it hasn't bugged me too frequently. " }, { "role": "assistant", "content": "Okay. Um, do you also take anything else for that asthma or is it just the Ventolin that use?" } ]

[ { "role": "user", "content": "So I've been having a lot of trouble in the last two weeks of especially this past week of just a lot of shortness of breath. I'm getting a lot of coughing as well and producing a lot of material. And also I think I might have been having a fever this week as well. " }, { "role": "assistant", "content": "OK, uh, the shortness of breath is it happening at rest or exertion and how much exertion? " }, { "role": "user", "content": "Uhm, I think it's happening mostly on exertion. Usually I'm able to walk around the house, no issues, go up and down stairs, but right now I'm pretty limited. I can't really go up and down stairs without getting really short of breath. I can't even walk from the bedroom to the kitchen without becoming shortness of, like short of breath. " }, { "role": "assistant", "content": "OK, um OK, and when did that change happen?" } ]

[ { "role": "user", "content": "So I would say one week ago is when this all kind of started. " }, { "role": "assistant", "content": "OK, and has it been getting any better, worse, or staying the same? " }, { "role": "user", "content": "I would say it's kind of getting worse. I'm coughing a lot more sputum up. I'm getting more and more short of breath. Now, I do have a call for like a very long time now I've I was diagnosed with COPD in my 60s. Probably like 10 years ago and but this seems to be just a much worse than my COPD. " }, { "role": "assistant", "content": "OK, sure it's been a lot worse in the last week it sounds like. OK. Uhm have you, are you able to lie flat? Like on your back without experiencing shorter breath, shortness of breath?" } ]

[ { "role": "user", "content": "Yeah, and when I'm resting or lying down or trying to sleep I don't get short of breath. " }, { "role": "assistant", "content": "OK, and have you ever had instances where you woke up in the middle of the night really short of breath and you had to sit up to catch your breath? " }, { "role": "user", "content": "Uh no, I don't think so. " }, { "role": "assistant", "content": "OK, have you noticed any leg swelling?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and you said that to you, so you've had a cough for awhile now, but it's gotten worse. This past week in your, are you bringing up sputum?" } ]

[ { "role": "user", "content": "Yeah, I'm bringing up a lot of materials. I think every time I cough I'm bringing some sputum up and right now the like usually the color is like clear to whitish but right now it's a bit more yellow. " }, { "role": "assistant", "content": "OK, so a change in the sputum color and also sounds like you're bringing up more sputum as well. " }, { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK and have you brought up or coughed up any blood? So have you had any hemoptysis?" } ]

[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK, and have you had any wheezing?" } ]

[ { "role": "user", "content": "Uhm, I do but when I get short of breath I have some wheezing, but usually I don't. " }, { "role": "assistant", "content": "OK, but but you've had wheezing this past week though." } ]

[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "Yeah OK. And have you had any chest pain?" } ]

[ { "role": "user", "content": "Just when I'm coughing and getting short of breath, I do have some discomfort in my chest. " }, { "role": "assistant", "content": "OK, uh, do you feel that, or could you describe he the pains character? Like is it sharp, dull, or achy? " }, { "role": "user", "content": "It's more just an ache and it's kind of more of a discomfort than a pain, and it kind of goes away once my episode of coughing and shortness of breath is relieved with some rest. " }, { "role": "assistant", "content": "OK. Uh, and uh, have you been experiencing any fevers or chills?" } ]

[ { "role": "user", "content": "Yeah, I've been noticing that I'm getting a lot more chills this past week. They kind of come and go, but even at night I get like these chills that after wrap myself up in at least three blankets. " }, { "role": "assistant", "content": "OK, and have you had a fever?" } ]

[ { "role": "user", "content": "Uh, I didn't get a chance to measure any of them, but I might have had a fever just from the chills that I'm expecting that I had a fever. " }, { "role": "assistant", "content": "OK, and have you had any night sweats? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK and have you had any unexpected weight loss over the last several months?" } ]

[ { "role": "user", "content": "No, I think my weights been pretty steady. " }, { "role": "assistant", "content": "OK. Have you had any headaches?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any like eye redness or eye discharge?" } ]

[ { "role": "user", "content": "No, not that I know of. " }, { "role": "assistant", "content": "OK, have you had a runny nose or a sore throat?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, have you had a loss of taste or loss of smell?" } ]

[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK. Have you had any nausea or vomiting?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any abdominal pain? " }, { "role": "user", "content": "No abdominal pain. " }, { "role": "assistant", "content": "Have you had any diarrhea?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any constipation? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any skin rashes?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any muscle aches or joint pains?" } ]

[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "OK, and have you had any any fatigue?" } ]

[ { "role": "user", "content": "Maybe a little bit more tired just with the shortness of breath and chills and everything like that, but yeah, so a little bit more fatigue. " }, { "role": "assistant", "content": "OK, and have you had any fainting or dizziness? " }, { "role": "user", "content": "Uh, no. " }, { "role": "assistant", "content": "Or, OK and have you had any heart palpitations?" } ]

[ { "role": "user", "content": "Nope. " }, { "role": "assistant", "content": "Alright. And have you been diagnosed with any medical conditions in the past?" } ]

[ { "role": "user", "content": "No. Oh sorry, medical conditions in the past? COPD I have. I also do have some high blood pressure and I take some medications for cholesterol as well. " }, { "role": "assistant", "content": "OK, so you take medications for cholesterol and high blood pressure and you use any inhalers? " }, { "role": "user", "content": "No. Sorry, inhalers I, use, uh, two different kinds of inhalers. So one of them is just when I like need it, uh, like I've been using a lot more recently, like the Ventolin. And then I also have another inhaler called Spiriva that I've been using as well. " }, { "role": "assistant", "content": "OK, and do you have any allergies?" } ]

[ { "role": "user", "content": "Uhm I do have an allergy to sulfa drugs. " }, { "role": "assistant", "content": "And what reaction?" } ]

[ { "role": "user", "content": "I usually break out into hives. " }, { "role": "assistant", "content": "OK, and any prior surgeries or hospitalizations? " }, { "role": "user", "content": "So I've had a surgery to remove my appendix when I was really young. Then I've had another surgery for my hips as well, but yeah, other than that, no other issues. " }, { "role": "assistant", "content": "OK. And are your immunizations up to date?" } ]

[ { "role": "user", "content": "Yeah, all of my immunizations should be up to date. " }, { "role": "assistant", "content": "OK, excellent and could you tell me a little bit about where you're living currently and who you're living with?" } ]

[ { "role": "user", "content": "Yeah, so I, I currently live alone in, in an apartment just in the city. And yeah, I've been living alone for probably the last five years. " }, { "role": "assistant", "content": "OK, and have you been around anybody who's been sick?" } ]

[ { "role": "user", "content": "Uhm, not recently. I think I just I just go out to get groceries and stuff. I haven't really been going out too much. " }, { "role": "assistant", "content": "Alright, So have you traveled anywhere?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK uhm, do you drink alcohol?" } ]

[ { "role": "user", "content": "Maybe a couple of years a week. " }, { "role": "assistant", "content": "OK, and do you smoke cigarettes?" } ]

[ { "role": "user", "content": "Yeah, I still smoke cigarettes. Even though I have COPD, I just yeah, I can't really quit. I smoke probably half a pack a day. " }, { "role": "assistant", "content": "OK, how long have you smoked for approximately? " }, { "role": "user", "content": "Uh, probably at least 45 years. " }, { "role": "assistant", "content": "OK and uhm, if you wanted to talk about quitting, we can discuss that further at a later time if you'd like. Uhm, and so do you use any recreational drugs?" } ]

[ { "role": "user", "content": "No, no no no drugs at all. " }, { "role": "assistant", "content": "OK. Uhm, and have you had a family history of heart disease or any lung conditions?" } ]

[ { "role": "user", "content": "Uhm, not, I mean like no lung conditions, but I have a family history like my both my grandather and father both had heart attacks in their 60s. " }, { "role": "assistant", "content": "OK, and any lung cancer in the family? " }, { "role": "user", "content": "No, not that I know of. " }, { "role": "assistant", "content": "OK. So I think that was all the questions that I I wanted to ask today. Was there anything else that I maybe forgot about that you wanted to mention?" } ]

[ { "role": "user", "content": "Hi I just want to talk about these, these times when I feel like I'm just I'm suffocating and I just can't breathe. It's pretty scary and I don't know what's going on. " }, { "role": "assistant", "content": "Yeah, certainly, um, feeling short of breath like that can be quite scary for sure. When, when do these episodes kind of happen? Are they spontaneous? Or can you think of things that you're doing when they when they come on." } ]

[ { "role": "user", "content": "Uhm? I, I don't know, it's just like. Uhm? Sometimes, like before interviews, sometimes just kind of random. Uhm, yeah. I can kind of tell when they're about to come on. Uhm? Yeah, I think. It's mostly like job interviews. " }, { "role": "assistant", "content": "OK, have you had many of those recently?" } ]

[ { "role": "user", "content": "Job interviews? " }, { "role": "assistant", "content": "Yeah." } ]

[ { "role": "user", "content": "I got I got laid off because of the pandemic and now I've been looking for jobs and it's just like it's kind of nerve wracking. But also like I don't know, I'm just worried it could be something else like it's just, yeah, it's like I really just can't breathe, it's so weird. " }, { "role": "assistant", "content": "OK, yeah, it's certainly. It sounds like there's been a lot of stress recently. Certainly plenty for with the pandemic as well. And so when you get short of breath, you you said you have this, you could feel that it's coming on and how long does it last for? " }, { "role": "user", "content": "Like 15 minutes 15, 20 minutes. " }, { "role": "assistant", "content": "Is there anything you do to help it go away?" } ]

[ { "role": "user", "content": "I'll just say go and lie down and close my eyes. " }, { "role": "assistant", "content": "OK. And do you get shorter breath if you walk far distances or exert yourself? " }, { "role": "user", "content": "Oh no, no. I go out for a run every single day. Nothing happens at that time. " }, { "role": "assistant", "content": "OK. And. Have you had a cough?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any wheezing? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And have you had any any chest pain?" } ]

[ { "role": "user", "content": "Yeah, I kind of feel like this pressure at that time is just like yeah, someone's like pressing my chest inwards, kind of. It's hard to explain. " }, { "role": "assistant", "content": "I see do you it is it um like, do you feel it in any one particular spot or? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK." } ]

[ { "role": "user", "content": "I just feel like my chest is really tight and it's just it's like I can't like expand my lungs. " }, { "role": "assistant", "content": "I see and does this last around 15 minutes as well?" } ]

[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK. And similarly you like going for runs and stuff like that you on't ever get any chest pain? " }, { "role": "user", "content": "No, no, no. " }, { "role": "assistant", "content": "OK. And and I know you mentioned you didn't have a cough, but have you brought up any phlegm or brought up any any blood?" } ]

[ { "role": "user", "content": "No, no, I have not had a cough. " }, { "role": "assistant", "content": "Oh no, OK, I'm sorry." } ]

[ { "role": "user", "content": "That's OK. " }, { "role": "assistant", "content": "And have you otherwise been well? Or if you had any infectious symptoms, like a runny or red eyes, runny nose or sore throat? " }, { "role": "user", "content": "No. None of those. " }, { "role": "assistant", "content": "Alright, have you had any headaches?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "How about any fevers or chills?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Have you had any night sweats? " }, { "role": "user", "content": "No, but I get really sweaty when these episodes happen. Just like yeah, my face is like sweating, and my neck. " }, { "role": "assistant", "content": "OK. Yeah, Um, OK, and How is your weight been recently? Any weight gain or loss?" } ]

[ { "role": "user", "content": "Yeah, I've gained quite a bit of weight since the pandemic started. Yeah, gained about 10 pounds. " }, { "role": "assistant", "content": "OK, any changes to your diet or appetite?" } ]

[ { "role": "user", "content": "Oh yeah, I've been eating quite a bit, been baking a lot at home. " }, { "role": "assistant", "content": "OK. And, and have you had any abdominal pains?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any diarrhea?" } ]

[ { "role": "user", "content": "Uhm? No. " }, { "role": "assistant", "content": "OK. Any nausea or vomiting? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright, and any urinary problems like pain or frequency?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Any rashes or skin changes? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And, any muscle aches, body pains or joint pains or swelling?" } ]

[ { "role": "user", "content": "Nothing like that, no. " }, { "role": "assistant", "content": "OK and how's your energy been? " }, { "role": "user", "content": "Um. Well, I've been feeling a little low. Since I've been laid off just like worried about my finances and I kind of sleep all day. I'm not feeling very energetic. " }, { "role": "assistant", "content": "OK. How is your interest in activities been?" } ]

[ { "role": "user", "content": "I don't know, I just feel like staying at home and just being in bed all the time. " }, { "role": "assistant", "content": "OK, so you're um, have you had a low mood?" } ]

[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "Alright and are you sleeping more than usual?" } ]

[ { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK, is there anything that you're feeling particularly guilty about right now? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. How is your concentration been?" } ]

[ { "role": "user", "content": "Uhm, not great. " }, { "role": "assistant", "content": "OK. You haven't been able to focus and have you felt like things are moving in slow motion?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright, so have you had any thoughts of hurting or harming yourself?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And have you had depression or anxiety in the past?" } ]

[ { "role": "user", "content": "Um I've been diagnosed with depression. " }, { "role": "assistant", "content": "OK. And have you had panic attacks before?" } ]

[ { "role": "user", "content": "No, but do you think that's what's going on? " }, { "role": "assistant", "content": "Potentially, it certainly can't rule out. Inorganic cause meaning something going on, otherwise just yet we might need to do some physical exam and some investigations first, but it certainly could be related to that. With all of the stressors that are going on. And so you had a low mood. Have you had any periods in your life where you felt really energetic, like you didn't need any sleep, you're really talkative, you had all the energy in the world." } ]

[ { "role": "user", "content": "I wish, no, I've never really felt that way, " }, { "role": "assistant", "content": "OK. And have you had any concerns with eating disorders in the past? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright. And then you mentioned, even diagnosed with depression, if you had, are you have you been diagnosed with any other medical conditions?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, are you on any medications right now? " }, { "role": "user", "content": "No, I was doing pretty well. I used to have these episodes of depression when I was younger as a teenager and they kind of went away. I was on meds at that time, but I think I think it's coming back now. " }, { "role": "assistant", "content": "OK, so you haven't been on medication now for for quite awhile for years." } ]

[ { "role": "user", "content": "For like 12 years 13 years. " }, { "role": "assistant", "content": "OK, what did you use that, if you can remember?" } ]

[ { "role": "user", "content": "Prozac? " }, { "role": "assistant", "content": "OK, and did you find it helped? " }, { "role": "user", "content": "Yeah, yeah it was very helpful, was very good. " }, { "role": "assistant", "content": "OK. That's good. Any allergies to medications?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Alright and any hospitalizations or surgeries? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and can you tell me a little bit about where you're living and who you're living with?" } ]

[ { "role": "user", "content": "I I live, I live with my girlfriend. " }, { "role": "assistant", "content": "OK. And. Has there been anybody around that that has been sick that they have been around?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, have you traveled anywhere?" } ]

[ { "role": "user", "content": "No no. " }, { "role": "assistant", "content": "And do you smoke cigarettes?" } ]

[ { "role": "user", "content": "Oh no, I don't. " }, { "role": "assistant", "content": "OK, do you drink alcohol?" } ]

[ { "role": "user", "content": "I don't. " }, { "role": "assistant", "content": "OK. And. Are you currently sexually active? " }, { "role": "user", "content": "Yeah. " }, { "role": "assistant", "content": "OK, and any chance that you could be pregnant currently?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And have you been pregnant in the past? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK. And do you smoke cigarettes?" } ]

[ { "role": "user", "content": "I don't. " }, { "role": "assistant", "content": "Do you drink alcohol?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "And do you use any recreational drugs? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "OK, and any family history of heart or lung problems?" } ]

[ { "role": "user", "content": "My grandfather had lung cancer. But that's about it. " }, { "role": "assistant", "content": "Did he smoke for a long time?" } ]

[ { "role": "user", "content": "Oh yeah, he was a big smoker. " }, { "role": "assistant", "content": "OK, and anybody in the family have problems with mental illness? " }, { "role": "user", "content": "My mom has uh depression too. " }, { "role": "assistant", "content": "OK. Anybody in in the family have problems with substance, substance use?" } ]

[ { "role": "user", "content": "no. " }, { "role": "assistant", "content": "OK. Um, and I think that's everything that I I wanted to ask on history today. So you been having these episodes where you get really short of breath and you get chest pain, you'll get sweaty and have what sounds like what sounds like an impending sense of doom where you kind of feel like it's coming on and it lasts for 15 minutes and not related to exercise. Were there any other symptoms or things that you've been experiencing recently?" } ]

[ { "role": "user", "content": "Yeah, it's also, I also feel like my heart's like breathing really fast. " }, { "role": "assistant", "content": "Oh, OK. And I does that, how long does it last for? " }, { "role": "user", "content": "Same time. Like everything is just sort of comes on at the same time. Just kind of goes away together. " }, { "role": "assistant", "content": "OK, would you say that it comes on like kind of like at the snap of your fingers sort of thing like really quickly and then?" } ]

[ { "role": "user", "content": "I can kind of tell it's gonna come on like I have a sense of it and then it just like starts. It suddenly just happens. " }, { "role": "assistant", "content": "OK. So you you have the heart racing, are there any other symptoms as well?" } ]

[ { "role": "user", "content": "I don't think so. " }, { "role": "assistant", "content": "OK, so, uh, we will get an ECG and I will look at that, but I've been concerned now thinking that this might be related to anxiety or panic attacks and so, I guess that would be something that we could discuss more about in regards to like I guess previous traumas and things that and the stresses that you might be dealing with currently to help manage manage stress better." } ]

[ { "role": "user", "content": "Hi there, I, I've had this cough that started um, three days ago, and over these past couple of days, I've just been really achy all over and so, I've had a headache as well. " }, { "role": "assistant", "content": "Okay, well I'm sorry to hear that you're not feeling well. Um, the cough, when did that start? " }, { "role": "user", "content": "Yeah, so that, about three or four days ago um, it started to come on, yeah. " }, { "role": "assistant", "content": "Okay, and then how about the headache?" } ]

[ { "role": "user", "content": "That's been more in the last two days. " }, { "role": "assistant", "content": "Two days, okay, and then the uh, muscle ache?" } ]

[ { "role": "user", "content": "Yeah, it's been there for about two, yeah about two or three days. I wake up in the morning and I've been feeling like really fatigued and achy. " }, { "role": "assistant", "content": "Um, the cough, is it dry or you're bringing up phlegm?" } ]

[ { "role": "user", "content": "It's, it's dry, but it's gotten a little bit worse since it started. It's just been happening more often. " }, { "role": "assistant", "content": "Okay, and does it sound harsh?" } ]

[ { "role": "user", "content": "Uh, maybe a little bit, yeah. " }, { "role": "assistant", "content": "Okay. Is it getting worse do you think?" } ]

[ { "role": "user", "content": "Yeah, I think so. " }, { "role": "assistant", "content": "Okay, are you experiencing any shortness of breath along with the cough? " }, { "role": "user", "content": "Uh, a little bit after, um, if I have like a coughing fit that's bad enough, but um, for the most part, I've been okay. " }, { "role": "assistant", "content": "Okay, any wheeziness?" } ]

[ { "role": "user", "content": "Um, no. " }, { "role": "assistant", "content": "No. Chest pain?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Okay. Do you ever feel like your heart's racing? " }, { "role": "user", "content": "No, I haven't felt like that. " }, { "role": "assistant", "content": "Okay. Um, any dizziness or fainting spells?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Uh, numbness or tingling?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Uh confusion or memory loss?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "This headache, is it always there? " }, { "role": "user", "content": "These past couple of days, yeah, it's kind of, it, it's been there. It's been a little bit more mild after using some Tylenol or Advil to help settle it down, but I just have this, yeah, achiness in the front, front of my forehead and kind of sides of my head. " }, { "role": "assistant", "content": "Yeah um, sides of your head, okay. And 1 to 10, 10 being the worst pain you've ever felt, how, how would you rate it?" } ]

[ { "role": "user", "content": "A 4. " }, { "role": "assistant", "content": "A 4 okay, so it's not the worst headache you've ever had in your life?" } ]

[ { "role": "user", "content": "No, it's not that bad, it's just been pretty annoying. " }, { "role": "assistant", "content": "Yeah um, okay. And have you like, do you usually get headaches?" } ]

[ { "role": "user", "content": "Not really it, yeah I don't get them that often. I guess they come when I, I, well, get sick. " }, { "role": "assistant", "content": "Okay yeah, that makes sense. Um, have you had any fevers recently? " }, { "role": "user", "content": "Um, I have felt a bit hot um, and, but I, I didn't check my temperature and um, yeah. " }, { "role": "assistant", "content": "Okay. How about weight loss, have you experienced any weight loss recently?" } ]

[ { "role": "user", "content": "No, I've been, my weight's been pretty stable. " }, { "role": "assistant", "content": "Okay. Um, any rashes?" } ]

[ { "role": "user", "content": "No, I haven't noticed any rashes. " }, { "role": "assistant", "content": "Okay, um, and any changes in your hearing or vision? " }, { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Runny nose or stuffy nose?" } ]

[ { "role": "user", "content": "No. " }, { "role": "assistant", "content": "Sore throat? " }, { "role": "user", "content": "Um, yeah, now that you mention it, I have had a little bit of a sore throat as well. Hasn't been too painful with um, like swallowing uh, foods or anything like that. It's kind of worse in the morning and it's not so bad later on. " }, { "role": "assistant", "content": "Okay um, alright. How about changes in your smell or taste?" } ]

[ { "role": "user", "content": "No, nothing like that. " }, { "role": "assistant", "content": "Um, changes in your bowel movements?" } ]

[ { "role": "user", "content": "No, I've been uh, regular. " }, { "role": "assistant", "content": "Okay um, and then nausea or vomiting? " }, { "role": "user", "content": "Nope, I haven't had anything like that. " }, { "role": "assistant", "content": "Okay um, changes in your urine?" } ]

[ { "role": "user", "content": "No, I've had UTIs, like one or two in the past, um, so I know what that's like. So yeah, everything's been normal. " }, { "role": "assistant", "content": "Okay, good. And are you otherwise healthy or do you have any longstanding medical conditions?" } ]

[ { "role": "user", "content": "Uh, I have asthma, which I will like, asthma and allergies, and I'll use um, just Ventolin for that every like once in awhile, but it hasn't bugged me too frequently. " }, { "role": "assistant", "content": "Okay. Um, do you also take anything else for that asthma or is it just the Ventolin that use?" } ]