Health_History___Completed__

_Shadow_Health_Tina_Jones_T
ranscript
5/25/2020 Health History | Completed | Shadow Health

Health History Results | Completed

Health Assessment - August 2017, NUR3067C
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Overview
Transcript
Transcript
Started: Oct 13, 2017 | Total Time: 151 min
Subjective Data Collection
All Lines (304) Interview Questions (286) Statements (15) Exam Actions (3)
Objective Data Collection

Education & Empathy Hey.

Documentation
Questio
Health History Tips and Tricks What brought you to the clinic
10/13/17 4:13 PM CD

Lifespan
I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now
Self-Reflection it's looking pretty nasty. And the pain is killing me!

Thanks for understanding.

Questio
Can you tell your name and date of birth
10/13/17 4:14 PM CD

My name's Tina Jones, and my birthday's February 17th.

Questio
How old are you
10/13/17 4:15 PM CD

I'm 28.

Questio
are you single or married
10/13/17 4:20 PM CD

Nope, never been married.

Questio
When does you injury occurred
10/13/17 4:21 PM CD

Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few
days.

Questio
how does the wound look like (Clarified to What does your scrape look like?.)
10/13/17 4:21 PM CD

Um, it's red and puffy, and there's pus in it. (Clarified to to describe the wound.)

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Questio
is it open or close wound
10/13/17 4:21 PM CD

Yeah.

Questio
how is the pain
10/13/17 4:21 PM CD

It's throbbing and like, sharp if I try to put weight on it.

Questio
how the pain has been (Clarified to how has the pain changed over time.)
10/13/17 4:22 PM CD

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. (Clarified to how the pain has changed over time.)

Questio
How does the pain affect your daily activity
10/13/17 4:22 PM CD

I mean, the last two days I couldn't walk on my foot, so it's gotten in the way of everything -- I
had to basically stay home and off my foot. I didn't think it could get to the point where it
caused so many problems.

Can you rate your pain on a scale of 1 to 10 , 1 is little pain and 10 is excruciating pain Questio
(Clarified to Can you rate your current pain level on a scale of 0 to 10?.) 10/13/17 4:23 PM CD

... 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.)

Questio
What kind of pain pills are you taking
10/13/17 4:23 PM CD

It's called tramadol.

Questio
how many mg
10/13/17 4:24 PM CD

I just take the regular kind I think. It's not extra strength or anything. [Nurse confirmed with
Pharmacy: 3-4x ibuprofen 200mg]

Questio
how often you take the pain meds
10/13/17 4:24 PM CD

I've been taking them morning, noon, and night.

Questio
does the pain pills help relieve the pain
10/13/17 4:24 PM CD

Yeah, the pain pills help, but only for a few hours.

Questio
what is your pain scale after taking pain pills
10/13/17 4:25 PM CD

... I'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet.

Questio
where is the wound located
10/13/17 4:25 PM CD

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It's on the ball of my foot.

Questio
how did you get the scraped
10/13/17 4:25 PM CD

I was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of
turned my ankle a little bit. And I scraped up my foot on the edge of the step.

Questio
did you hurt your ankle
10/13/17 4:25 PM CD

Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. But, I
mean, I guess I was over-estimating it, because the ankle felt pretty okay the next day and it
wasn't a problem all week.

where you wearing shoes at that time (Clarified to what shoes were you wearing when you Questio
got hurt.) 10/13/17 4:26 PM CD

I wasn't wearing shoes. (Clarified to what shoes I was wearing when I tripped.)

Questio
were you in a bare foot when it happens (No matching questions found.)
10/13/17 4:26 PM CD

Questio
did you wear slippers (No matching questions found.)
10/13/17 4:26 PM CD

Questio
your bare foot (No matching questions found.)
10/13/17 4:27 PM CD

Questio
Did you went to ER after you feel
10/13/17 4:27 PM CD

I went about an hour after I fell, I think.

Questio
What did they do in the ER
10/13/17 4:28 PM CD

They cleaned the scrape... I got an x-ray... and they gave me a prescription for pain pills.
Then they kind of hustled me out of there.

Questio
was what saying in the xray (No matching questions found.)
10/13/17 4:28 PM CD

Questio
xray? (No matching questions found.)
10/13/17 4:28 PM CD

Questio
What does the xray says (No matching questions found.)
10/13/17 4:28 PM CD

Questio
What was the result of the xray
10/13/17 4:29 PM CD

The x-ray was normal. Nothing broken.

Questio
Is your wound draining? (Clarified to does your scrape have pus.)
10/13/17 4:29 PM CD

Yeah, there's definitely pus. (Clarified to if my scrape has pus.)

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Questio
when did you notice the pus
10/13/17 4:29 PM CD

Two days ago.

Questio
is the wound bleeding
10/13/17 4:29 PM CD

It's not bleeding anymore. It only bled right after I scraped it.

Questio
can you describe the discharge in your wound
10/13/17 4:30 PM CD

Uh, I have hardly any discharge, and...I don't look close at it or anything. It's just...clear.

Questio
what is the color of the pus
10/13/17 4:30 PM CD

It's... white or maybe off-white.

Questio
does it smell? (Clarified to does your scrape have an odor.)
10/13/17 4:30 PM CD

Um, no, not that I know of... That sounds gross. (Clarified to if my scrape has an odor.)

Questio
what do you do at home for treatment
10/13/17 4:31 PM CD

I made sure to clean it and just keep it bandaged. And I put Neosporin on it.

Questio
how often do you clean it
10/13/17 4:31 PM CD

Twice a day -- every morning and every night.

Questio
what do you use to clean it (Clarified to What cleaning products do you use.)
10/13/17 4:31 PM CD

We just get the regular store brand stuff. Sprays, wipes, those kinds of things. (Clarified to
What cleaning products I use.)

Questio
what do you use to clean the wound
10/13/17 4:31 PM CD

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.

Questio
Does your wound looks swelling
10/13/17 4:32 PM CD

Um, it's red and puffy, and there's pus in it.

Questio
is the swelling getting better or worst
10/13/17 4:32 PM CD

Yeah, it's been steadily getting worse.

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Questio
is the wound feels warm
10/13/17 4:33 PM CD

Yeah, it feels pretty warm.

Questio
how does the wound affect your daily activity
10/13/17 4:33 PM CD

I mean, the last two days I couldn't walk on my foot, so it's gotten in the way of everything -- I
had to basically stay home and off my foot. I didn't think it could get to the point where it
caused so many problems.

Questio
when was the last you took the pain pills
10/13/17 4:34 PM CD

This morning I took two pain pills right before I came here, at around 8:30.

Questio
do you take any other prescription pills
10/13/17 4:34 PM CD

I've been taking some pain medication. Other than that, I have my inhaler.

Questio
what kind of inhaler you are using
10/13/17 4:34 PM CD

It's just a regular Proventil inhaler.

Questio
for what? (No matching questions found.)
10/13/17 4:35 PM CD

Questio
What are you using inhaler for?
10/13/17 4:35 PM CD

When my breathing gets bad, like when I'm around cats, I have to use it.

Questio
Any other over the counter medications are you taking
10/13/17 4:35 PM CD

I take Tylenol for a headache sometimes, or Advil for cramps, but not often.

Questio
do you take any vitamins
10/13/17 4:35 PM CD

No, I don't take any vitamins.

Questio
any herbal supplements
10/13/17 4:36 PM CD

No, I don't take anything herbal.

Questio
Do you allergies (Clarified to do you have allergies.)
10/13/17 4:36 PM CD

Yeah, I'm allergic to cats. (Clarified to if I have allergies.)

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Questio
what happens when your around the cats
10/13/17 4:36 PM CD

Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to
act up.

Questio
do you take anything when your having an allergy reaction
10/13/17 4:36 PM CD

I don't take anything, unless my inhaler counts.

Questio
Are you allergic to any medications
10/13/17 4:37 PM CD

Yeah, I'm allergic to penicillin.

Questio
what happen after you took the penicillin
10/13/17 4:37 PM CD

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.

Questio
any food allergies
10/13/17 4:37 PM CD

Nope, no food allergies that I know of.

Questio
are you allergic to latex
10/13/17 4:37 PM CD

Nope.

Questio
any other allergies you have
10/13/17 4:38 PM CD

Well, besides cats, I'm allergic to penicillin.

Questio
any seasonal allergies?
10/13/17 4:38 PM CD

No, not really.

Questio
what are you medical history
10/13/17 4:38 PM CD

I've had asthma since I was little, and I have sugar diabetes, too.

Questio
what kind of diabetes
10/13/17 4:38 PM CD

It's Type 2.

Questio
when were you diagnosed with diabetic
10/13/17 4:39 PM CD

I was diagnosed when I was 24.

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Questio
are you taking any medications for diabetes
10/13/17 4:39 PM CD

I don't take anything for my diabetes anymore.

Questio
what do you do to control you diabetes (Clarified to how do you control your diabetes.)
10/13/17 4:39 PM CD

I just watch what I eat and try to stay away from sweets. (Clarified to how I control my
diabetes.)

Questio
do you check you blood sugar (Clarified to do you check your blood sugar at home.)
10/13/17 4:39 PM CD

I have a monitor at home, but to be honest I don't really use it that often. (Clarified to if I
check my blood sugar.)

That makes sense.

Questio
When did you have your tennatus shot (No matching questions found.)
10/13/17 4:41 PM CD

When did you have your immunization shot (Clarified to are you up to date on Questio
immunizations.) 10/13/17 4:41 PM CD

I'm pretty sure they are all taken care of. (Clarified to if I am up to date on shots.)

Questio
immunizations (No matching questions found.)
10/13/17 4:41 PM CD

Questio
immunizations? (No matching questions found.)
10/13/17 4:41 PM CD

Questio
Did you get a tinnitus shot (No matching questions found.)
10/13/17 4:42 PM CD

did you completed all your immunizations when were a kid (Clarified to have you had all your Questio
childhood immunizations.) 10/13/17 4:42 PM CD

I am pretty sure I received all my vaccines as a kid, like before registering for school.
(Clarified to if I got vaccinated as a kid.)

have you received your flu vaccines for this season (Clarified to have you been vaccinated Questio
for the seasonal flu.) 10/13/17 4:42 PM CD

No. (Clarified to if I have had a flu shot.)

Questio
have you received a tetanus vaccines
10/13/17 4:43 PM CD

I got a tetanus booster about a year ago.

Questio
did you previously take you diabetic medication
10/13/17 4:44 PM CD

Yeah, when I was diagnosed they gave me a medicine to try.

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when did you stop taking those medications (Clarified to did you stop taking you diabetes Questio
medication.) 10/13/17 4:44 PM CD

Yeah, I only took it for about a year. (Clarified to if I stopped taking my diabetes medication.)

what was the medication (Clarified to What medication were you prescribed for your Questio
diabetes?.) 10/13/17 4:44 PM CD

It was Metformin. (Clarified to what medication I took for diabetes.)

when was the last time you took it (Clarified to when was the last time you took medicine for Questio
your diabetes.) 10/13/17 4:44 PM CD

I haven't taken it in about three years, honestly. (Clarified to when the last time I took my
diabetes medication was.)

why did you taking those medications (Clarified to why did you stop taking diabetes Questio
medication.) 10/13/17 4:45 PM CD

I just got sick of dealing with it! (Clarified to why I stopped taking my diabetes medication.)

Questio
any other reason?
10/13/17 4:45 PM CD

I've never been for anything but my asthma until now.

Questio
does you doctor knows that you stop taking your diabetic medication
10/13/17 4:45 PM CD

I don't really have a doctor to tell--I just sort of stopped taking it.

Thanks for telling me.

Questio
when was the last time you check your blood sugar
10/13/17 4:47 PM CD

I don't check it very often, honestly. . . I think the last time was about a month ago.

Questio
what was your sugar
10/13/17 4:47 PM CD

They checked it last week at the ER, and they said it was high, but I don't remember what
the number was. I wasn't thinking about my blood glucose; I was worried about my foot!

Sure, I think I understand what you mean.

Questio
do you night sweats (Clarified to do you get night sweats.)
10/13/17 4:49 PM CD

I don't get sweaty, but sometimes I wake up hot and have to kick off my sheets. (Clarified to
if I get night sweats.)

Questio
Do you feel thirsty frequently?
10/13/17 4:49 PM CD

You know, I did notice lately that I've been really thirsty.

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Questio
have you lose weight (Clarified to Have you lost weight?.)
10/13/17 4:50 PM CD

Yeah, I've lost some weight recently. (Clarified to if I have lost weight.)

Questio
do you drink a lot of water?
10/13/17 4:50 PM CD

Yeah, I've been drinking tons of water lately.

Questio
describe your voiding (No matching questions found.)
10/13/17 4:50 PM CD

Questio
describe your urination
10/13/17 4:51 PM CD

Um, light yellow or almost clear? The regular color.

Questio
Did you notice if your peeing more frequently
10/13/17 4:51 PM CD

I guess it started. . . maybe a month ago? But I've been drinking a lot more water, too.

Questio
How is your appetite
10/13/17 4:51 PM CD

My appetite's been huge lately. . . I feel like I'm hungry all the time.

Questio
How much of weight did you lose
10/13/17 4:52 PM CD

It was about ten pounds in a little over a month, actually.

Questio
did you lose weight without trying (Clarified to are you trying to lose weight.)
10/13/17 4:52 PM CD

No, I'm not trying to lose weight, but I did lose a little recently without meaning to. (Clarified
to if I am trying to lose weight.)

Questio
do you exercise
10/13/17 4:52 PM CD

I don't have the energy to go to a gym or anything after work...I'm pretty exhausted by the
end of the day. But I'm on my feet all the time at work so I feel like that's a little bit of exercise
most days at least.

I appreciate you telling me that.

however, 30 minutes of walking at least five times a day is a good exercise (No matching Questio
questions found.) 10/13/17 4:54 PM CD

OK, I understand.

Questio
tell me about your asthma
10/13/17 4:54 PM CD

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Ok, but there isn't much to say about it.

did you have any breathing problem lately (Clarified to Have you had breathing problems Questio
lately?.) 10/13/17 4:55 PM CD

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 been short of breath recently.)

Questio
what did you take to relieve (No matching questions found.)
10/13/17 4:55 PM CD

Questio
what did you take to relieve the breathing (No matching questions found.)
10/13/17 4:55 PM CD

Questio
when was the last time you have an asthma attack
10/13/17 4:56 PM CD

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.

Questio
what happens when you have an asthma attack
10/13/17 4:56 PM CD

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.

Questio
do you have wheezing lately
10/13/17 4:57 PM CD

I was wheezing a little at my cousin's house three days ago, yeah.

Questio
what you think cause it
10/13/17 4:57 PM CD

My scrape isn't healing up at all. It's infected and it's just getting worse, not better.

Questio
what makes you having an asthma (Clarified to what triggers your asthma attacks.)
10/13/17 4:57 PM CD

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. (Clarified to what triggers my asthma
attacks.)

Questio
where you been ill lately
10/13/17 4:58 PM CD

No, I'm usually healthy.

Questio
where you been hospitalized in the last three months
10/13/17 4:58 PM CD

Well, I went a week ago on the day I hurt my foot to get it checked out. That was the first
time I've been in the hospital since I was probably sixteen, though.

Questio
when were you diagnosed with asthma
10/13/17 4:58 PM CD

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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.

Questio
where ever intubated
10/13/17 4:59 PM CD

You mean like, did they ever have to put me on a breathing machine? No, I haven't had an
asthma attack that serious.

Questio
how often you use your inhaler
10/13/17 4:59 PM CD

When my breathing acts up, I just use two puffs from my inhaler, though lately I sometimes
need three. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]

Questio
do you have any history of hypertension
10/13/17 5:00 PM CD

No, I've never been diagnosed with blood pressure problems.

Questio
do you check you blood pressure (Clarified to do you check your blood pressure.)
10/13/17 5:00 PM CD

I guess every so often I check it at CVS, because they have a machine. Just something to do
while I wait for Mom or my sister. (Clarified to if I check my blood pressure.)

Questio
how was your blood pressure
10/13/17 5:00 PM CD

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]

Alright, thanks for letting me know.

Questio
Does anyone in your family had a hypertension
10/13/17 5:01 PM CD

We've got high blood pressure in our family for sure. Granny, Mom, and Dad had it...and
honestly I think my other three grandparents might've had issues with that, too.

Questio
do you think you are at risk of it (Clarified to are you at risk for high blood pressure.)
10/13/17 5:02 PM CD

Well, I know my family has high blood pressure, so it's possible that I could get it, too, when
I'm older. (Clarified to if I am at risk for high blood pressure.)

Questio
when was the last time you have your menstruation
10/13/17 5:12 PM CD

I don't keep track very well because it's kind of all over the map, but my last one was
probably three weeks ago.

Questio
is your period regular
10/13/17 5:12 PM CD

It's not regular. Sometimes it's every month, but sometimes it's more like every two months. I
don't write it down or anything. I probably get...six periods a year.

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Questio
how long does your period last
10/13/17 5:13 PM CD

It's more than seven days. Maybe nine or ten days.

Questio
do you have heavy flows
10/13/17 5:13 PM CD

I'd say it's heavy. I use the like, extra absorbent tampons, and I still have to change it every
two or three hours.

Questio
do you have anemia
10/13/17 5:14 PM CD

I don't really know... I mean, I don't think I have a problem with iron, but I've never been
tested.

Questio
do you have cramping
10/13/17 5:14 PM CD

Yeah, I get cramps pretty bad.

Questio
how long does the cramping last
10/13/17 5:14 PM CD

There's always two days where they're bad. I might have some cramps before and after but
it's really just the two days when it's so bad.

Questio
what do you take for cramping
10/13/17 5:14 PM CD

I take Advil. I try a heating pad sometimes and that only helps a little.

Questio
does the advil help the cramping (Clarified to Does Advil help your cramps?.)
10/13/17 5:15 PM CD

Yeah, it helps enough. (Clarified to if the Advil helps my cramps.)

Questio
how is your sexual activity
10/13/17 5:15 PM CD

Uh . . . well, sexual activity is having sex. I don't think I need to explain what that means.

Questio
have you sex lately (Clarified to are you sexually active.)
10/13/17 5:15 PM CD

Um, not right now. (Clarified to if I am sexually active.)

Questio
when was the last time you had sex
10/13/17 5:16 PM CD

It was about two years ago.

Questio
when was your first sexual activity
10/13/17 5:16 PM CD

I was in high school...eighteen.

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Questio
what do you use for contraceptives
10/13/17 5:16 PM CD

I don't take anything now, but I used to be on the pill.

Questio
did you use condom (Clarified to do you use condoms.)
10/13/17 5:17 PM CD

I used condoms... some of the time. I was on the pill. (Clarified to if I use condoms.)

Questio
have you been tested for STI
10/13/17 5:17 PM CD

Yeah, I'm sure they did those tests when I went for a pap smear before.

Questio
when was the last time you have your pap smear
10/13/17 5:17 PM CD

Um, maybe four years ago now?

Questio
have you sex partners been tested for STI
10/13/17 5:18 PM CD

When we were together, he told me he didn't have any STDs, and I believed him. I don't
know if he was ever tested.

Questio
how was your pap smears result
10/13/17 5:18 PM CD

Yeah, but it's been about four years since my last one.

Questio
are you pregnant
10/13/17 5:18 PM CD

No, definitely not! I'm sure of that.

Questio
previously pregnant (No matching questions found.)
10/13/17 5:18 PM CD

Questio
any pregnancies before (Clarified to have you ever been pregnant.)
10/13/17 5:19 PM CD

I've never been pregnant. (Clarified to if I have been pregnant.)

Questio
what is your level of education
10/13/17 5:19 PM CD

Well, I'm finishing up my Bachelor's degree right now.

Questio
what are you studying for
10/13/17 5:19 PM CD

I'm going to get my bachelor's in accounting.

Questio
how is your stress level
10/13/17 5:19 PM CD

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I feel pretty worried about my foot right now. I don't like sitting around, but it's been hard to
walk or do anything the last few days. And I don't like missing school and work. Plus it hurts.

Questio
what do you do for work
10/13/17 5:20 PM CD

I'm a supervisor at Mid-American Copy & Ship. I've been working there since high school,
and I've just kept moving up.

Questio
what is your living situation
10/13/17 5:20 PM CD

I live at home with my mom and my sister -- we're a pretty tight-knit family. They've been
helping me out.

Questio
how is your diet
10/13/17 5:20 PM CD

It's pretty good, I think. I'm not a huge health nut or anything.

Questio
what did you eat today
10/13/17 5:20 PM CD

I haven't had anything yet.

Questio
what is your usual meal
10/13/17 5:21 PM CD

The usual stuff. . . meatloaf, chicken, casseroles, pasta. . . stuff like that.

Questio
what do you eat for breakfast
10/13/17 5:24 PM CD

I'll usually have a muffin or pumpkin bread from the cafe near my house.

Questio
what do you eat for lunch
10/13/17 5:25 PM CD

Lunch is the meal I usually pick up near campus because of my schedule. I go to Subway
mostly and get a turkey sandwich or something.

Questio
what do you eat for dinner
10/13/17 5:29 PM CD

The usual stuff. . . meatloaf, chicken, casseroles, pasta. . . stuff like that.

Questio
how of salt you take (Clarified to How much salt do you eat?.)
10/13/17 5:29 PM CD

Honestly, I don't pay much attention to how much salt I eat. My mom is always reaching for
the salt shaker, but I don't usually add salt to my food. (Clarified to how much salt I eat.)

Questio
do you watch you salt intake
10/13/17 5:30 PM CD

Honestly, I don't pay much attention to how much salt I eat. My mom is always reaching for
the salt shaker, but I don't usually add salt to my food.

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Questio
do you drink alcohol
10/13/17 5:31 PM CD

I do sometimes, yeah, when I go out with my friends.

Questio
how often do you drink alcohol
10/13/17 5:32 PM CD

No more than once or twice a week, sometimes less.

Questio
how much of alcohol do you drink
10/13/17 5:32 PM CD

I don't drink very much -- I only have a few drinks when I go out.

Questio
do you use any illicit drugs
10/13/17 5:32 PM CD

Well, I used to smoke pot. . . but I don't do that anymore.

Questio
do you use any illicit drugs
10/13/17 5:32 PM CD

Well, I used to smoke pot. . . but I don't do that anymore.

Questio
do you smoke
10/13/17 5:33 PM CD

No. I think it's gross.

Questio
have you been around the people that smoke
10/13/17 5:33 PM CD

Some of my friends smoke when we go out drinking. But I don't smoke, and nobody at home
smokes.

Questio
what is your name
10/13/17 5:35 PM CD

Tina Jones.

Questio
do you drink caffeine
10/13/17 5:36 PM CD

Like diet Cokes? Yeah, I drink them a lot.

Questio
how much of diet coke you drink in a day
10/13/17 5:36 PM CD

I drink maybe four diet sodas a day.

Questio
do you fever (Clarified to are you having fevers.)
10/13/17 5:37 PM CD

I don't feel feverish right now, but last night I had a high temperature. (Clarified to if I am
having fevers.)

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Questio
do you have fever
10/13/17 5:37 PM CD

I don't feel feverish right now, but last night I had a high temperature.

Questio
what was your temperature
10/13/17 5:37 PM CD

Last night it got up to 102.

Questio
did you take anything for fever
10/13/17 5:37 PM CD

I really didn't do much for it at home.

Questio
did you chills
10/13/17 5:37 PM CD

I got some chills last night, before my fever really kicked in.

Questio
do you have night sweats
10/13/17 5:38 PM CD

I don't get sweaty, but sometimes I wake up hot and have to kick off my sheets.

Questio
how often do you get sick (Clarified to do you get sick often.)
10/13/17 5:38 PM CD

No, not really. (Clarified to if I get sick often.)

Questio
do you have colds (Clarified to do you have cold symptoms.)
10/13/17 5:38 PM CD

No, not really. (Clarified to if I have cold symptoms.)

Questio
fatigue?
10/13/17 5:38 PM CD

Most days I feel pretty exhausted by the end of the day...I'm tired now, too, but I think that's
just because I slept terribly.

Questio
how is your sleeping pattern
10/13/17 5:39 PM CD

I try to be in bed by eleven or midnight, and I get up at seven or eight.

Questio
did you rest after sleeping (Clarified to Do you wake up feeling refreshed?.)
10/13/17 5:39 PM CD

I feel a little groggy sometimes, but that doesn't last long. I definitely get enough sleep.
(Clarified to if I wake up feeling rested.)

Questio
does your foot feel better after you wake up in the morning
10/13/17 5:40 PM CD

Yeah, the pain pills help, but only for a few hours.

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Questio
do you have headaches
10/13/17 5:40 PM CD

Yeah, I get them a lot when I'm studying.

Questio
do you take anything for headache
10/13/17 5:40 PM CD

Sometimes I take Tylenol, if it's bad enough.

Questio
does the tylenol help
10/13/17 5:40 PM CD

The Tylenol usually helps my headaches some, but I don't take it unless the pain gets bad.

Thanks.

Sure, I think I understand what you mean.

Questio
how does the headache affect you (Clarified to How long do the headaches last.)
10/13/17 5:41 PM CD

A few hours, I guess. I usually take some Tylenol and then go to bed to get rid of them.
(Clarified to how long my headaches last.)

Questio
did you have any head injury
10/13/17 5:42 PM CD

No.

Questio
do you have any mental health problem
10/13/17 5:42 PM CD

No, definitely not.

Questio
any suicidal ideation
10/13/17 5:42 PM CD

No, no. I don't have feelings like that. God never gives you more than you can bear, you
know?

Questio
any history of depression
10/13/17 5:42 PM CD

The closest I ever came to depression was after Dad died...I just felt sad all the time. I think it
was just a part of the grieving process.

Thanks for understanding.

Alright, thanks for letting me know.

how are you now after the death of your dad (Clarified to do you feel you are dealing with Questio
your dads death ok now.) 10/13/17 5:44 PM CD

Yeah, for sure. It's really hard. But nothing like it was right after... Now, I just try to keep him
in my prayers. (Clarified to if I am coping better with Dad's death now.)

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Questio
you think you are coping now?
10/13/17 5:45 PM CD

Sometimes being stressed can make me kind of scattered, I guess. So I just try to stay
ahead of things and keep organized.

Thanks for saying that.

Questio
any problem with your ears
10/13/17 5:45 PM CD

No. I think my ears are fine.

Questio
any ear pain?
10/13/17 5:45 PM CD

No.

Questio
ringing in the ear? (Clarified to have you ever experienced ringing in one or both ears.)
10/13/17 5:46 PM CD

No, I haven't heard anything like that. (Clarified to if I have had ringing in my ears.)

Questio
discharge in the ear?
10/13/17 5:46 PM CD

No.

Questio
do you have eye problem? (Clarified to Do you have trouble with your eyes?.)
10/13/17 5:46 PM CD

I've actually been noticing problems lately. When I'm reading or studying I'll notice that things
start to get kind of blurry. (Clarified to if I have eye problems.)

Questio
is your eyes gets itchy (Clarified to do your eyes feel itchy around cats.)
10/13/17 5:46 PM CD

My eyes get pretty itchy around them, and they swell up and my eyeballs get kind of red.
(Clarified to if my eyes itch around cats.)

Questio
are your eyes feels itchy now
10/13/17 5:47 PM CD

No. That only happens around cats or dust.

Questio
do you have dry eyes
10/13/17 5:47 PM CD

No.

Questio
do you wear eye glasses
10/13/17 5:47 PM CD

I don't wear glasses--or contacts.

Questio
when was the last time you check your eyes (Clarified to When was your last vision exam?.)
10/13/17 5:47 PM CD

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I got my vision tested as a kid at the doctor, but I haven't gotten an eye exam since then.
(Clarified to when my last eye exam was.)

Questio
how often you get blurry eye
10/13/17 5:48 PM CD

Maybe... once a week I usually do a lot of my school work at once, so I'll study for like, 5 or 6
hours. I usually end up noticing it then. And I usually get a headache, too.

Questio
what do you do to help relieve the blurry eye
10/13/17 5:48 PM CD

The pain pills help for a few hours.

Questio
do you have a double vision
10/13/17 5:48 PM CD

No.

Questio
do you have a nasal problem
10/13/17 5:49 PM CD

My nose is fine right now. Sometimes it runs, but not very often.

Questio
any changes with your sense of smell (Clarified to has your sense of smell changed.)
10/13/17 5:49 PM CD

No. (Clarified to if my sense of smell has changed.)

Questio
do you have frequent sinus problem
10/13/17 5:49 PM CD

I don't really have a problem with my sinuses.

Questio
do you have runny nose
10/13/17 5:49 PM CD

My nose is fine right now. Sometimes it runs, but not very often.

Questio
do you have nosebleeds
10/13/17 5:50 PM CD

No.

Questio
do you have clog nose
10/13/17 5:50 PM CD

My nose is fine unless I'm around cats, or sometimes dust.

Questio
do you have problem with your mouth
10/13/17 5:50 PM CD

No.

Questio
dry mouth?
10/13/17 5:51 PM CD

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No.

Questio
pain in the mouth
10/13/17 5:51 PM CD

No.

Questio
do you have gum problems
10/13/17 5:51 PM CD

No.

Questio
do you have jaw problems
10/13/17 5:51 PM CD

Nope.

Questio
when was the last time you visit your dentist
10/13/17 5:51 PM CD

Um, I think the last time was a few years ago. I went twice a year as a kid, though.

Questio
do you have a lock jaw
10/13/17 5:51 PM CD

Nope.

Questio
do you have a mouth sores
10/13/17 5:52 PM CD

Nope.

Questio
anything around your neck (Clarified to is your neck tender.)
10/13/17 5:52 PM CD

It's really not a big deal. My neck just hurts a little when I've been reading for a long time. I
guess it's just from being in the same position. Once I stretch and move around, I'm fine.
(Clarified to if my neck is tender.)

Questio
do you have difficulty swallowing
10/13/17 5:52 PM CD

Nope.

Questio
you have sore throat (Clarified to do you have sores in your throat.)
10/13/17 5:52 PM CD

No, not that I know of. (Clarified to if I have sores in my throat.)

Questio
do you have a swollen gland
10/13/17 5:53 PM CD

No, not that I noticed.

Questio
do you have a history of lymph nodes
10/13/17 5:53 PM CD

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No.

Questio
have you noticed changes in your voice
10/13/17 5:53 PM CD

No.

Questio
do you have breathing problems (Clarified to do you have breathing problems.)
10/13/17 5:53 PM CD

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.)

Questio
what do you do when you have shortness of breath
10/13/17 5:53 PM CD

I just use my inhaler.

Questio
how does your inhaler help you
10/13/17 5:54 PM CD

Yeah, it usually helps. But lately I've been using maybe an extra puff -- like 3 instead of 2.

Questio
you coughing
10/13/17 5:54 PM CD

I wouldn't say that.

Questio
do you have golf (No matching questions found.)
10/13/17 5:54 PM CD

Questio
do you have cough
10/13/17 5:54 PM CD

I don't have a cough, no.

Questio
do you feel chest tightness (Clarified to when does your chest feel tight.)
10/13/17 5:55 PM CD

Being around cats is the worst, but dust and running up stairs can make my breathing bad,
too. (Clarified to when my chest feels tight.)

Questio
do you have a chest pain
10/13/17 5:55 PM CD

No, my chest feels tight when I have breathing problems, but it doesn't hurt.

Questio
Amy heart palpitations
10/13/17 5:55 PM CD

No, I haven't had those.

Questio
have irregular heart rate (Clarified to Have you ever had an irregular heartbeat?.)
10/13/17 5:55 PM CD

I think my heart's fine. I don't really notice how it beats. (Clarified to if I have had an irregular
heartbeat.)

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5/25/2020 Health History | Completed | Shadow Health

Questio
any heart problem
10/13/17 5:55 PM CD

No, my heart's always been fine.

Questio
do you have varicose problems
10/13/17 5:56 PM CD

Nope.

Questio
do you have swollen in your feet
10/13/17 5:56 PM CD

Yeah, it looks swollen around the scrape.

Questio
do you get bruises easily
10/13/17 5:56 PM CD

I don't think so, no... I don't hurt myself very often.

Questio
do you have the nausea and vomiting (Clarified to Are you feeling nauseated?.)
10/13/17 5:56 PM CD

I haven't been feeling nauseous. It's really just my foot that's bothering me. (Clarified to if I
am feeling nauseated.)

Questio
vomiting
10/13/17 5:57 PM CD

I don't even remember the last time I threw up--I don't think I have in years.

Questio
do you have heartburn or GERD
10/13/17 5:57 PM CD

No, not at all.

Questio
how should bowel movements (No matching questions found.)
10/13/17 5:57 PM CD

Questio
describe your bowel movement
10/13/17 5:57 PM CD

It's the normal brown I guess. I've never noticed any weird colors.

Questio
do you have constipation
10/13/17 5:57 PM CD

Nope, not really.

Questio
diarrhea
10/13/17 5:57 PM CD

No, no diarrhea.

Questio
bloody or 30 stool (No matching questions found.)
10/13/17 5:57 PM CD

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Questio
bloody or tarry stool? (Clarified to have you had tarry stools.)
10/13/17 5:58 PM CD

I don't think so, but I don't really know what that means. (Clarified to if I have had tarry bowel
movements.)

Questio
do you feel bloated
10/13/17 5:58 PM CD

No, no bloating.

Questio
do you have problems urinating
10/13/17 5:58 PM CD

It doesn't hurt when I pee or anything.

Questio
do you pee a lot
10/13/17 5:59 PM CD

Yeah, but I've been drinking more water.

Questio
any problem with urinary (Clarified to have you had trouble urinating.)
10/13/17 5:59 PM CD

It doesn't hurt when I pee or anything. (Clarified to if I have had trouble urinating.)

Questio
do you have any vaginal discharges
10/13/17 5:59 PM CD

Um, I have hardly any discharge, and it's, like, clear.

Questio
they have breast problem
10/13/17 6:00 PM CD

No, no problems in that area.

Questio
can you breast pain
10/13/17 6:00 PM CD

No. Maybe some soreness before my period, but that seems pretty typical.

Questio
do you do a self-breast exam
10/13/17 6:00 PM CD

Um, I know I should, but I don't really know what I'm feeling for when I do it.

OK, I understand.

Questio
have any discharge in the nipple
10/13/17 6:02 PM CD

Show more

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