Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
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Hi. xxx . I will interview and examine today
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Greet |
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Hi.
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Why are you here today?
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I’m here to follow up on my last visit, about my joint pain, and how tired I’ve been.
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Sorry about that
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Empathize |
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Thank you.
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How long have you had joint pain?
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The joint pain started about 3 months ago, now.
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Where is the joint point located?
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In my hands and wrists, mainly, but also I have this all-over sort of pain.
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Is your pain like? (Clarified to Can you describe your pain?.)
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I feel sort of stiff and achy all over. And my hands and wrists are stiff — there’s this dull, throbbing sort of pain. (Clarified to what the pain is like.)
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What worsens your pain?
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Holding my coffee cup in the morning is tough on my hands and fingers, and my wrists. Also typing and holding my art tools hurts after a while.
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What relieves your pain?
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Long, hot showers can help a little. Also, the diclofenac has been helping some.
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can you rate your pain on a scale of 1 to ten? Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
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I still have pain, but since starting the diclofenac, maybe a 2 out of 10. Before it was a 3 or 4.
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How long have you had fatigue
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Going on 3 months now.
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Is your fatigue constant?
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Always, yeah.
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Does your fatigue worsen?
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Yeah, the fatigue feels worse as the day goes on.
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What makes your fatigue worse?
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Nothing, I don’t think . . . but I am pretty stressed regularly.
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I am sorry about that
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Empathize |
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I appreciate that.
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Are you able to do your daily activities?
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I guess so, yeah. I can do everything I need to. I just take a little longer these days, ’cause I’m so tired. And I sometimes just feel drained after everything.
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What causes your fatigue?
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I don’t know why I’m so tired. I haven’t noticed anything that makes me particularly tired. Maybe it’s hormones or something. Or stress, I’m very stressed these days.
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Any allergies?
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Yeah, a codeine allergy.
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Any food allergies?
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Nope.
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How frequent is your pain?
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It’s constant, honestly. It can feel the worst when I wake up in the morning.
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Any current health problems?
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Besides my joint pain, and how tired I am all the time, I don’t have anything I’ve been diagnosed with.
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Have you had any mental condition?
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I don’t have any clinical disorders or anything, but I’ve been feeling kind of down lately, and pretty anxious.
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I’m sorry about that (No matching questions found.)
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I’m sorry about that
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That’s kind of you.
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Have you been hospitalized?
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Just for my 3 deliveries.
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Have you had surgeries?
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No.
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Are you using any medications?
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Yep, diclofenac. I used to take ibuprofen. And I have an IUD, if that counts.
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What is the dose to the diclofenac?
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The dose is diclofenac sodium 50 mg.
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Why do you take the diclofenac?
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I was prescribed diclofenac at my last visit for my joint pain.
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What is the dosage of Ibuprofen?
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I was taking 400 milligrams at a time, 2 or 3 times a day.
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Which IUD are you using?
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My IUD is levonorgestrel.
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Do you take your medications as prescribed?
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Yes, very.
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When did you last take your medication Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
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This morning. I took my diclofenac.
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Do you use tobacco?
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I never have, no.
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Do you drink alcohol everyday? (Clarified to Do you drink alcohol?.)
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Sure, yeah. (Clarified to if I drink alcohol.)
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What is your typical diet
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I try and eat pretty healthily. Breakfast, I’ll have fruit and yogurt, or I’ll make the kids and I eggs and pancakes on the weekends. Lunch, I really like salads, soups, tacos, and wraps. Dinner, we’ll have salmon or chicken, often with a side of veggies and a grain, pasta, or legumes. If I really need a snack, maybe I’ll have some almonds, or some fruit . . . maybe a granola bar, or some hummus with carrots.
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How much water do you drink per day?
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I’ll usually have between, say, 6 to 8 glasses a day.
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Do you take caffeine?
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I do. I’ll have somewhere between 2 to 3 cups of coffee in the morning, then another one or two in the afternoon.
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OK, but too much caffeine is not good for your health
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Ah, OK.
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Do you exercise?
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I probably could be exercising more. I just don’t have a lot of time or energy. I’ll walk the dog 3 or 4 times a week, which is something. But I used to do these yoga classes, and spin classes, but those don’t really make sense for me now.
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I understand your concern but you should always exercise
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Ah, I see.
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How many hours of sleep do you get per day?
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5 or 6 hours a night.
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What is your occupation?
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I own and operate an art gallery called Bricolage with my husband. I’m also an artist, and sometimes I contribute pieces to the gallery.
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What is your occupation?
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I own and operate an art gallery called Bricolage with my husband. I’m also an artist, and sometimes I contribute pieces to the gallery.
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What is your level of education?
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I have a BFA in studio art and a BA in art history.
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Do you make enough money at your job?
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Now, the gallery is turning a profit and we’re making sufficient income. It’s still a new business, so it’s taken a while to get it here, but that could change. Running a small business is hard and uncertain, especially in the art world.
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Any stress? Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
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