Tina Jones Health History shadow health transcript
Hello, I am xxxxx. I will be interviewing you and later perform a physical examination Greet Tina Jones Health History shadow health transcript Hey. What is your name? Question 03/21/21 8:33 AM EDT Tina Jones. ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE What brought you here today? Question 03/21/21 8:33 AM EDT I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it?s looking pretty nasty. And the pain is killing me! Am sorry to hear that Empathize 03/21/21 8:34 AM EDT Thanks for saying that. When did you get the scrape? Question 03/21/21 8:34 AM EDT Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days. Sorry Ms. Tina Empathize 03/21/21 8:35 AM EDT I appreciate you telling me that. How severe is the pain? Question 03/21/21 8:35 AM EDT It?s really bad. Sorry about the pain Empathize 03/21/21 8:35 AM EDT Thanks for understanding. How would you rate the pain in a scale of 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.) Question 03/21/21 8:36 AM EDT I?d say a 7. It hurts a lot, and the pain pills haven?t kicked in yet. (Clarified to how I would rate my pain on a scale.) Does the pain radiate? Question 03/21/21 8:36 AM EDT The pain?s worse in my foot, but I feel it moving up into my ankle, too. Ohh, sorry about that. Empathize 03/21/21 8:36 AM EDT Thanks. Can you describe the pain? Question 03/21/21 8:37 AM EDT It?s throbbing and like, sharp if I try to put weight on it. Did you hurt any other part? (Clarified to Do you have any other injuries?.) Question 03/21/21 8:38 AM EDT No, I caught myself on the railing so I didn?t fall on the ground. Only my foot got hurt. (Clarified to if I have other injuries.) how has the pain changed over time? Question 03/21/21 8:38 AM EDT At first, it seemed like it was healing up fine and it didn?t give me a lot of pain. But the last two days, the pain got way worse. How painful is the ankle? (Clarified to How is your foot getting worse?.) Question 03/21/21 8:38 AM EDT It just hurts more and is kind of throbbing now. (Clarified to how the foot pain is getting worse.) Is it possible to stand on your foot? (Clarified to Can you manage to stand on your right foot?.) Question 03/21/21 8:39 AM EDT No, I can?t put weight on my foot without really sharp pain. (Clarified to if I can stand on my right foot.) Sorry abiout that Empathize 03/21/21 8:39 AM EDT I appreciate you saying that. Where is the location of the pain? Question 03/21/21 8:40 AM EDT It feels like the pain is just centered around the scrape, like around the ball of my foot. That?s where it hurts the most, but my whole foot feels some pain. which foot did you injure? Question 03/21/21 8:40 AM EDT My right foot. Were you wearing shoes? Question 03/21/21 8:40 AM EDT No, I was barefoot. Did you have alcohol before the injury? Question 03/21/21 8:41 AM EDT No, I was stone-cold sober. It was the middle of the day. did you use home remedies on your foot? Question 03/21/21 8:42 AM EDT Yeah, I made sure to clean it and keep it bandaged. what did you use to clean it? Question 03/21/21 8:42 AM EDT Since it happened, I?ve been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off. when did you go to the ER? Question 03/21/21 8:42 AM EDT I went about an hour after I fell, I think. dID YOU GET MEDICATION AT THE ER? Question 03/21/21 8:43 AM EDT Yes, they wrote me a prescription for some pain pills. What is the name of the pain medication? Question 03/21/21 8:43 AM EDT It?s called tramadol. what dosage of tramadol? Question 03/21/21 8:43 AM EDT I?m not 100% sure, but I think they?re 50 milligrams. How often were you taking tramadol? Question 03/21/21 8:44 AM EDT I?ve been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON] Did tramadol relieve pain? Question 03/21/21 8:45 AM EDT I?ve only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean. Has your foot bled since the injury? Question 03/21/21 8:45 AM EDT It?s not bleeding anymore. It only bled right after I scraped it. Good to hear that Empathize 03/21/21 8:46 AM EDT Thanks for saying that. What happened after you scrapped the foot? Question 03/21/21 8:46 AM EDT I got the scrape to stop bleeding, and then I started to worry that I had sprained my ankle, so Mom and I decided better safe than sorry, and so we went to the ER. It is good to seek medical attention Educate 03/21/21 8:47 AM EDT Alright, thanks for letting me know. how effective is the pain medication? Question 03/21/21 8:47 AM EDT They only help for a few hours at a time. am sorry to hear that Empathize 03/21/21 8:47 AM EDT I appreciate you saying that. how have you cared for the scrape? Question 03/21/21 8:48 AM EDT I made sure to clean it and just keep it bandaged. And I put Neosporin on it. good to hear Empathize 03/21/21 8:48 AM EDT I appreciate you telling me that. What happens after applying neosporin? Question 03/21/21 8:48 AM EDT I got the scrape to stop bleeding, and then I started to worry that I had sprained my ankle, so Mom and I decided better safe than sorry, and so we went to the ER. how effective was the neosporin? Question 03/21/21 8:49 AM EDT Well, I had to come back to get my foot checked out even though I used the ointment. [AUDIO COMING SOON] how often have you been cleaning the scrape? Question 03/21/21 8:49 AM EDT Since it happened, I?ve been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off. its good to keep it clean Educate 03/21/21 8:49 AM EDT Thanks for telling me. Is the wound swollen Question 03/21/21 8:50 AM EDT Yeah, it looks swollen around the scrape. does your scrape have odor? Question 03/21/21 8:50 AM EDT Um, no, not that I know of? That sounds gross. does the scrape have pus? Question 03/21/21 8:51 AM EDT Yeah, there?s definitely pus. what is the color of the pus? Question 03/21/21 8:52 AM EDT It?s? white or maybe off-white. any temperature change around the scrape? Question 03/21/21 8:52 AM EDT No. are you having trouble getting around? Question 03/21/21 8:53 AM EDT Yes! I mean, I literally can?t put weight on my foot, the pain is so sharp. sorry to hear that Empathize 03/21/21 8:53 AM EDT Thanks for understanding. who has been helping you since you hurt your foot? Question 03/21/21 8:53 AM EDT I?m lucky living at home because my mom is around to help me, and my sister too. that is great Empathize 03/21/21 8:55 AM EDT Thanks. Do you work? Question 03/21/21 8:55 AM EDT I?m a supervisor at Mid-American Copy & Ship. I?ve been working there since high school, and I?ve just kept moving up. Has the injury prevented you from going to work? Question 03/21/21 8:55 AM EDT Well, I tried to go in two days ago but I couldn?t walk well enough, so I just went home after a couple hours. And I didn?t go in yesterday. My boss was understanding, but I need to be able to work! seem you really love your work Empathize 03/21/21 8:56 AM EDT Thanks for saying that. Do you have other health problems? Question 03/21/21 8:56 AM EDT Um, the only things I know I?m diagnosed with are diabetes. And asthma. when were you diagnosed with asthma? Question 03/21/21 8:56 AM EDT My doctor told me when I was pretty little? I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then. sorry about that Empathize 03/21/21 8:57 AM EDT Thanks. when was your last asthma attack? Question 03/21/21 8:57 AM EDT It?s really rare for me to have an attack now. Three days ago I had some breathing problems, but I guess probably my last full attack was in high school. how was your asthma in high school? (No matching questions found.) Question 03/21/21 8:58 AM EDT what happens when you have an asthma attack? Question 03/21/21 8:59 AM EDT I haven?t had an asthma attack in a while, but I used to get them growing up, and my chest would feel really tight, like I couldn?t take in air, and I would wheeze really bad and get all sweaty. It was way worse than now, especially because I would use my inhaler and it wouldn?t help. It was really scary. sorry about that Ms. Tina Empathize 03/21/21 9:00 AM EDT I appreciate you saying that. do you get tight chest? Question 03/21/21 9:02 AM EDT Well. . . when my asthma gets bad my chest feels pretty tight, like I can?t take in air. sorry about that Empathize 03/21/21 9:02 AM EDT I appreciate you telling me that. Do you have breathing difficulties? (Clarified to Do you have breathing problems?.) Question 03/21/21 10:13 AM EDT Well, my breathing?s been fine the last few days. But I do get short of breath sometimes, because of my asthma. (Clarified to if I have breathing problems.) how is your wheezing? Question Tina Jones Health History shadow health transcript I?m not wheezing right now . . . But I did wheeze a little bit a few days ago at my cousin?s house. I had to use my inhaler. I understand. probably an allergy triggered the breathing problems Educate 03/21/21 10:14 AM EDT OK, I understand. what do you use for your asthma? Question 03/21/21 10:15 AM EDT It?s just a regular Proventil inhaler. how many times do you use the inhaler? Question 03/21/21 10:15 AM EDT I don?t use it every day. Maybe two or three times a week. Although I guess lately, once I have to use it once, sometimes I need it again that day. what dose of proventil? Question 03/21/21 10:16 AM EDT I usually use two puffs from my albuterol inhaler ? it?s 90 micgrograms a spray ? but lately sometimes I need three puffs. [AUDIO COMING SOON] always adhere to the prescribed dose Educate 03/21/21 10:16 AM EDT Sure, I think I understand what you mean. have you been hospitalized because of asthma? Question 03/21/21 10:17 AM EDT I went a bunch of times when I was little, for asthma attacks. Tina Jones Health History shadow health transcript Sorry about that Empathize 03/21/21 10:27 AM EDT Thanks for understanding. what triggers your asthma attacks? Question 03/21/21 10:28 AM EDT Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven?t had a full asthma attack in years, though. Tina Jones Health History shadow health transcript what happens when you are around cats? Question 03/21/21 10:28 AM EDT Whenever I?m around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. do you have latex allergies? Question 03/21/21 10:28 AM EDT Nope. do you have food allergies? Question 03/21/21 10:28 AM EDT Nope, no food allergies that I know of. Tina Jones Health History shadow health transcript Do you have medication allergy? Question 03/21/21 10:29 AM EDT Yeah, I?m allergic to penicillin. are you allergic to dust? Question 03/21/21 10:29 AM EDT Well. . . I don?t know if it?s allergies, but sometimes my asthma acts up around dust. Tina Jones Health History shadow health transcript are you allergic to pollen? Question 03/21/21 10:29 AM EDT Not that I?ve noticed. are you allergic to mould? (Clarified to Are you allergic to bee stings?.) Question 03/21/21 10:30 AM EDT No, not that I know of. (Clarified to if I am allergic to bee stings.) It is good to stay away from allergens Educate 03/21/21 10:30 AM EDT That makes sense. what type of reaction do you have to penicillin? Question 03/21/21 10:31 AM EDT I don?t remember that well because the last time I had penicillin I was pretty little. . . I think I got a rash, like, hives. The doctor told me not to take it again after that. Tina Jones Health History shadow health transcript what reaction do you have to dust? Question 03/21/21 10:31 AM EDT If I?m around a lot of dust, I can get sneezy, or I can start wheezing. Sometimes I get itchy eyes. what other allergies do you have? Tina Jones Health History shadow health transcript Question 03/21/21 10:31 AM EDT Well, besides cats, I?m allergic to penicillin. when were you diagnosed with diabetes? Question 03/21/21 10:32 AM EDT I was diagnosed when I was 24. Tina Jones Health History shadow health transcript how do you treat diabetes? Question 03/21/21 10:32 AM EDT I just watch what I eat and try to stay away from sweets. what type of diabetes do you have? Question 03/21/21 10:33 AM EDT It?s type 2. what medication do you take for diabetes? Question 03/21/21 10:33 AM EDT I don?t take medicine for it anymore. why did you stop taking diabetes medication? Question 03/21/21 10:33 AM EDT I just got sick of dealing with it! it is not advisable to stop taking medication without consulting your physician Educate 03/21/21 10:37 AM EDT Alright, thanks for letting me know. Tina Jones Health History shadow health transcript what diabetes medication were you taking? Question 03/21/21 10:37 AM EDT It was Metformin. what dose of metformin? Question 03/21/21 10:38 AM EDT Honestly, I don?t remember what the dose was when I was taking it. Did you have issues affording the metformin? Question 03/21/21 10:38 AM EDT I haven?t had trouble affording medication . . . Cost wasn?t really the issue with the metformin. I just got really sick of having to take it, and I hated the side effects. [AUDIO COMING SOON] Tina Jones Health History shadow health transcript And it is good to know the prescribed dose Educate 03/21/21 10:39 AM EDT That makes sense. how many times were you taking metformin? Question 03/21/21 10:39 AM EDT I think it was one pill, twice a day. when did you stop taking metformin? Question 03/21/21 10:39 AM EDT About three years ago, honestly. when did you start taking the metformin? Question 03/21/21 10:40 AM EDT When I was 24, right after I was first diagnosed. how old are you now? Tina Jones Health History shadow health transcript Question 03/21/21 10:40 AM EDT I?m 28. how do you mange your diabetes now? Question 03/21/21 10:40 AM EDT I just watch what I eat and try to stay away from sweets. Great. diet plays a big role in managing diabetes Educate 03/21/21 10:41 AM EDT OK, I understand. Describe your diet Question 03/21/21 10:41 AM EDT It?s pretty good, I think. I?m not a huge health nut or anything. what did you have for dinner? Question 03/21/21 10:41 AM EDT Mom made baked chicken and mashed potatoes. what did you have for lunch? Question 03/21/21 10:42 AM EDT I haven?t had lunch yet, it?s still the morning! what is your typical dinner? Question 03/21/21 10:42 AM EDT The usual stuff. . . meatloaf, chicken, casseroles, pasta. . . stuff like that. what is your typical breakfast? Question 03/21/21 10:42 AM EDT I?ll usually have a muffin or pumpkin bread from the cafe near my house. It is good to have high intake of fruits and vegetables and avoid high caloris foods. Tina Jones Health History shadow health transcript. Educate 03/21/21 10:45 AM EDT Thanks for telling me. Do you check your sugars? Question 03/21/21 10:46 AM EDT I have a monitor at home, but to be honest I don?t really use it that often. It?s such a hassle to check my blood sugar, and my diabetes is under control right now so I don?t really need to. how often do you check your sugar levels? Question 03/21/21 10:47 AM EDT I don?t check it very often, honestly. . . I think the last time was about a month ago. it is important to regularly monitor your sugar levels Educate 03/21/21 10:47 AM EDT Sure, I think I understand what you mean. Do you take sodas? (Clarified to Are you currently on the pill?.) Question 03/21/21 10:47 AM EDT I used to take it when I was with my last boyfriend, but I don?t use it anymore. (Clarified to if I am on the pill.) do you know how to use a monitor? Tina Jones Health History shadow health transcript Yeah, the doctor showed me how. do you feel thrifty often? Question 03/21/21 10:49 AM EDT Not so great? My foot really hurts right now. do you take a lot of water? (Clarified to Do you drink a lot of water?.) Question 03/21/21 10:49 AM EDT Yeah, I?ve been drinking tons of water lately. (Clarified to if I drink a lot of water.) are you very thirsty? (Clarified to Do you get excessive thirst?.) Question 03/21/21 10:49 AM EDT You know, I did notice lately that I?ve been really thirsty. (Clarified to if I have been really thirsty lately.) Do you have frequent urination? Question 03/21/21 10:50 AM EDT Yeah, but I?ve been drinking more water. Tina Jones Health History shadow health transcript how many times do you urinate? Question 03/21/21 10:50 AM EDT I don?t know. Every hour or two when I?m awake? does your urine seem different? Question 03/21/21 10:51 AM EDT I?ve been noticing I?ve been having to pee a lot more recently, but I think that?s just because I?m drinking more water than normal. how many times do you urinate at night? Question 03/21/21 10:51 AM EDT I probably have to get up two or three times a night. do you sweat at night? Question 03/21/21 10:51 AM EDT I don?t get sweaty, but sometimes I wake up hot and have to kick off my sheets. high water intake and excessive thrist may indicate diabetes. have your sugar levels checked Educate 03/21/21 10:52 AM EDT That makes sense. how is your appetite? Question 03/21/21 10:52 AM EDT My appetite?s been huge lately. . . I feel like I?m hungry all the time. Any weight changes? Question 03/21/21 10:52 AM EDT Yeah, I?ve lost some weight recently. what triggered weight loss? Question 03/21/21 10:52 AM EDT I don?t know what caused it, I just lost weight. It is good to have your physical health checked Educate 03/21/21 10:53 AM EDT Thanks for telling me. Tina Jones Health History shadow health transcript Do you have hypertension? Question 03/21/21 10:53 AM EDT No, I?ve never been diagnosed with blood pressure problems. do you check your blood pressure regularly? Question 03/21/21 10:54 AM EDT I almost never check it. I mean, maybe twice a year I might? It?s not something I think about. do you know your blood pressure range? Question 03/21/21 10:54 AM EDT It?s . . . oh, I don?t remember exactly because I never write it down. Let me try to remember . . . I feel like it?s usually around 140. And the bottom number is 80 or 90. I do know the last time in the ER it was something like 141/92. They said it was on the high side. [AUDIO COMING SOON] The normal reading is 120/80. Yours is on hgiehr side and you need it monitored Educate 03/21/21 10:54 AM EDT Alright, thanks for letting me know.
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