Orthopaedic (4)_transcript.json

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  "text": "Mr. [PERSON_NAME]? Yes. Hi, I'm [OCCUPATION] [PERSON_NAME]. [PERSON_NAME]. Nice to meet you. Hi. Tell me what's going on today. I'm. I'm having pains in my chest. Okay. Is it okay if I take some notes while we talk? Yeah. Okay. Tell me when the pain started. Started about [DURATION] [DURATION] ago. And we were moving into our new home. Okay. And where does it hurt? It hurts on the right side of my chest. Okay. And what were you doing at the time that you noticed it? Nothing that I could think of. Okay. Were you moving boxes that you said you were moving into your new home? Yeah, I was moving some boxes. Okay, but physical labor's not abnormal for you? No, not really. Okay. And what does it feel like? It feels like a knife is sticking in me. Okay. And does it move anywhere? Sometimes it goes into my back. Okay. Where in your back do you feel it? Just like opposite, on the other side. It goes right through. Right through. Okay. Have you ever had this before? No, it's never had it before. And if you had to give me a number, on a scale of 1 to 10, with 10 being the worst pain you've ever had in your life, where would this rate for you? I guess it's three or four. Three or four. Okay. And anything that you found that makes it better? A hot shower, [DRUG]. Sometimes I can find a comfortable position. Lying down. Lying down on your back or on your side? Yeah. Yeah, on my left side. Okay. Anything that seems to make it worse? Lifting boxes. And if I take a deep breath in, that makes it worse. Okay. Has this been interfering with your life? Well, it's not very comfortable. Okay. So I'm just going to ask you a few other questions associated with this. Did you have any sweating when this started? No, I didn't have any sweating. Okay. And any shortness of breath at all? No, my breath's been fine. Okay. And any. Have you noticed [MEDICAL_PROCESS] [MEDICAL_PROCESS] fluttering at all? No. Okay. Did you have any [INJURY] [INJURY] the area? No. Okay. I'm going to ask you just some other general questions about your health history, if that's okay. Yeah. Do you have any medical problems? Sometimes I get a little heartburn, but this feels different. And any [MEDICAL_PROCESS] in the past? I had my [MEDICAL_PROCESS] [MEDICAL_PROCESS] when I was a kid. Okay. Do you take any medications? I've just been taking [DRUG]. For this. Nothing else? Nothing. Any [MEDICAL_CONDITION]? No. Okay. Anything that runs in your family? My dad died of a [MEDICAL_CONDITION] [MEDICAL_CONDITION] when he was [PERSON_AGE]. Oh. So pretty young. Yeah. I'm sorry to hear that so I'm sure that that's weighing on your mind. Yeah. Okay. All right, well, we'll be sure that we check that out. Okay. Yeah. And how about mom? She's fine. Okay. Any brothers or sisters? No. Okay. All right. And have you followed up with your [OCCUPATION] regularly? I had a checkup like [DURATION] [DURATION] ago and everything's fine. Okay. Did they do [MEDICAL_PROCESS] [MEDICAL_PROCESS] at that time? I'm not sure. I think so. Okay. So something we should probably also do just in the future is check [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and some of the other things that are risk factors for [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Okay. All right, let me ask you just a few more questions. Do you smoke? No, I never smoke. Excellent. And how about [DRUG]? Occasionally? I'll have a six pack on a weekend. Okay. And how about any drug history? I smoked some [DRUG] in high school, but nothing since then. Okay. What do you do for work? I'm a [OCCUPATION]. Oh. So this is probably not feeling so great when you're on the roof working. No. Are you [PHYSICAL_ATTRIBUTE] [PHYSICAL_ATTRIBUTE]? Yeah. Okay. Hey, [OCCUPATION], you don't think this can beat my heart, do you? Obviously, chest pain always makes us concerned about our heart. This isn't something that makes me think about [MEDICAL_PROCESS] [MEDICAL_PROCESS] initially, generally right sided chest pain. I think more about it being something with your muscles. It is something that's in my mind that we should check into, but considering your age and the location of the pain, it's less likely. I'd like to ask you a few more questions and do a [MEDICAL_PROCESS] [MEDICAL_PROCESS]. But one of the things I'd also like to do if you're okay with is something called an [MEDICAL_PROCESS], which is it [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and it's where we put the little stickies on your chest and read that out and then we can just make sure that there's nothing else going on. Okay? Yeah. Okay. I think I'm pretty done asking questions. I'm just going to wash my hands and then if it's okay with you, I'll move on to doing [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Yeah. Okay. In just a minute, if it's all right, I just want to untie your gown so I can take a look at your skin in the area where you were having the pain. Okay. All right, show me again where the pain was. Hurts on the right side of my chest. Okay. So I'm going to just push around on your chest and you let me know where it is that it hurts. Okay. I'm going to start away from the pain first and then I'LL move closer to that area. Anything in here? No, not so much. How about up in here? But if I get down in there? Yeah, like right in there. All right. I'm gonna take a listen to [MEDICAL_PROCESS] [MEDICAL_PROCESS] while you have your gown down. Yeah. All right. Okay, good. Your heart sounds great. And I'm just going to take a listen to your lungs while you have your bow down. Okay. Some nice deep breaths in and out your mouth for me, please. Sorry, I know that hurts. Great. Your lungs sound perfect too. And I'm just gonna push on your back. Just let me know if anything hurts. Anything hurt right down the middle? No, nothing there. Okay. And I'm gonna push on the sides. Any pain in there? Yeah, right there. Just on the right side or on the left side too? No, just the right side. Okay. And still pain? Yeah, not so much down there. Okay, so just right through here? Yeah. All right, Put your gown back. Okay. So there's a few things that I think we probably could do. I do actually think that this is musculoskeletal, meaning that it has to do with your muscles and your bones, specifically your ribs. And less likely that it's something that goes with [MEDICAL_PROCESS] [MEDICAL_PROCESS]. I do think that something called [OCCUPATION] [MEDICAL_PROCESS] would actually be quite helpful for this. Do you. Do you know what that is? No. Okay. So I'm actually a [OCCUPATION] [OCCUPATION], an [OCCUPATION] [OCCUPATION] [OCCUPATION]. [OCCUPATION] [OCCUPATION] starts with the fact that the body is connected and we treat the body as a whole. As a part of our [OCCUPATION] education, we learn what's called [OCCUPATION] [MEDICAL_PROCESS] [MEDICAL_PROCESS], or we abbreviate it [MEDICAL_PROCESS]. This is a series of hands on techniques that we learn in order to treat pain or restriction in range of motion, in order to allow the body to heal itself and be more integrated as a unit again. Is that something that you'd be interested in doing? Sure. Whatever else. Okay, let's give it a try and see how it goes. I'm going to have you put your head at the end of the table here and your feet down the opposite end. And I'm just gonna raise up the table a little bit. Okay. Okay. I'm gonna push around on the front [MEDICAL_PROCESS] [MEDICAL_PROCESS] chest just to find that spot again. Okay. Right in there? Yeah. Okay. And I'm gonna push my hand underneath here and we're gonna see if we can find that spot in the back. Right in there? Yeah, right there. Okay. I know it's a little painful. I'm sorry. I'm just gonna have you. So this is called [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. So it's a technique where I'm taking the rib on one side and the opposite side, and I'm compressing the rib together a little bit. I'm gonna have you take a deep breath in in just a moment, and that's just gonna help us get the rib to release. Okay? Okay. Okay. Go ahead and take a nice deep breath in. And hold that breath in. Sorry, I know that's uncomfortable. Good. And let your breath. Great. And how does it feel now? I think that feels a little better. Great. Excellent. Take a deep breath one more time. A little bit better. Yeah. Great. Excellent. So I'm just going to lower the table, and you can go ahead and sit up. Great. And if you don't mind, just swinging back up to the front of the table here. So I actually think that that's a really good thing that we got positive response with the [MEDICAL_PROCESS] that it did feel better. That makes me think even more. So that this is more the muscles or the bones and not [MEDICAL_PROCESS] [MEDICAL_PROCESS]. I understand why you're concerned about that. Obviously, I would be because [MEDICAL_PROCESS] [MEDICAL_PROCESS] dad. And we should check into the other risk factors for [MEDICAL_CONDITION] [MEDICAL_CONDITION], but I think that it's really unlikely. I think it's much more likely that it's the muscles and specifically your rib. So. So what I'd like to do, if it's okay with you, is I still like to do that [MEDICAL_PROCESS], because that'll give us some information about how [MEDICAL_PROCESS] [MEDICAL_PROCESS] looks. Right now, I'd like to check [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], because that also is a risk factor. If it were high, it's a good thing that you don't smoke. And we'll follow up again in about [DURATION] [DURATION] [DURATION] [DURATION], and we'll see kind of where you are as far as your risk factors go. And if there's anything that we need to do to help you modify those, we can. But I want to reassure you that this is more your muscles and your bones and not [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Okay. Occasionally, when we do this, you'll still have some pain afterwards, and that's because the muscles are just a little sore from the bone being out of place. You can continue to take the [DRUG] if you need it, and obviously, the hot showers or anything like that is fine. If you need the [DRUG], that's fine. And then I would say if for some reason it comes back, if you have that sharp pain again, give us a call at the office. And we can bring you back in and we'll do the treatment again. Occasionally, it'll take more than one treatment for it to completely resolve. I'm hoping that it'll just be fine and you'll be okay to move on with your life. Okay. Okay. Do you have any questions for me? No, I can't think of anything else right now. Okay. Was nice meeting you, Mr. [PERSON_NAME]. Thank you. Have a great day.",
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