text: Here is a conversation between a doctor and a patient.
  
  DR: How are you?
  DR: You, you with the Enbrel at every two weeks.
  DR: You're still getting the infections?
  PT: Yes, like, my God.
  PT: I just got off of one last, a week and a half ago.
  PT: I had a sinus, throat, ear.
  DR: [INAUDIBLE].
  PT: Um-hum.
  PT: I think it's my classroom.
  PT: I mean, they're getting sick left and right with my -
  DR: Are you working this summer?
  PT: No.
  DR: Okay.
  PT: I'm off this summer.
  PT: So, I'm hoping, I'm giving myself, maybe, another week to inject myself again.
  DR: Do you think this still helps?
  DR: I mean, we took you off the methotrexate because you didn't have response and with Humira, you had the infections.
  DR: And even with this, is this your first infection?
  PT: No, it's the second.
  PT: And I haven't injected myself since [DATE].
  PT: I've had two infections since [DATE] [DEIDENTIFIED].
  PT: My [DATE] was my last injection.
  PT: Then, I got a throat infection and then, this last one was the baby one.
  PT: Kind of like the -
  PT: But then, my classroom has been sick left and right.
  PT: I mean.
  DR: Do you, okay.
  DR: They do come in 25 mg, so it's less.
  PT: Yeah.
  DR: We could try 20.
  DR: Uh, you take it anyway, because, you know -
  PT: Yeah, and it helps me.
  
  Write a summary of the  history of present illness. All medical details should be accurately documented.