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hi this is Tim using multi medical English glad you could join us today today were going to talk about past medical history and the past medical history basically has two components one were looking for if this is an ongoing process and the other thing that were looking for is are there contributing factors that can make that you complain even more difficult than a song for example if we have a cough and congestion in the job and the person has diabetes in its past medical history then we know its probably going to take a little longer heal okay so lets think about what would be the questions in English that we need to ask so what questions would you ask in English here they are lets look at them one by one okay the first question I ask is have you ever had this before well if we want to know have you ever had this before obviously were looking I see it as an ongoing process if theyve had a few pneumonias for the same year we know theres something going on underlying thats c