Infant Well Visit Zachary LaFontaine Shadow health Transcript

Infant Well Visit Zachary LaFontaine Shadow health Transcript

Hello, I’m Anthony, and I’ll be talking with you and checking on you.

Greeting
May 28th, 2022, 1:43 AM Eastern Time

Hi there.
What’s your connection to the little one?

Question
May 28th, 2022, 1:43 AM Eastern Time

Yes, Zachary is my son.

What brings you here today?

Question
May 28th, 2022, 1:44 AM Eastern Time

We’re here for Zachary’s doctor’s appointment. It was a bit tricky to fit it into our busy schedule, but I understand it’s important.

Are you breastfeeding your baby?

Question
May 28th, 2022, 1:44 AM Eastern Time

Yes, I breastfeed Zachary. It’s something I’m committed to, although it’s been a bit challenging. My mom offers advice, but since she didn’t breastfeed, it’s a new experience for both of us.

Do you feed him from both sides?

Question
May 28th, 2022, 1:45 AM Eastern Time

I feed Zachary for about 10 minutes on each breast, so in total, it’s around 20 minutes.

Are you using formula as well?

Question
May 28th, 2022, 1:46 AM Eastern Time

No, Zachary only gets breast milk, no formula at all.

One thing that’s going well for Zachary and me is breastfeeding. It’s never painful, and he latches on well.

Do you have a preference for breastfeeding over formula?

Question
May 28th, 2022, 1:48 AM Eastern Time

I aim to exclusively breastfeed Zachary. While I know formula is an option, I see it as a last resort. My main focus is on providing him with breast milk.

How do you feel about your family situation?

Question
May 28th, 2022, 1:49 AM Eastern Time

I’m grateful to be living at home with my parents. It’s helpful to have their support. I try to take care of myself, but my main priority is Zachary.

Do you find enough time to breastfeed?

Question
May 28th, 2022, 1:50 AM Eastern Time

Unfortunately, I struggle to find enough time for breastfeeding. I want to, but between work and school, I’m incredibly busy. It feels overwhelming to juggle everything, including breastfeeding.

I understand your challenges.

Express Empathy
May 28th, 2022, 1:50 AM Eastern Time

That’s kind of you.

What’s Zachary’s feeding routine like?

Question
May 28th, 2022, 1:51 AM Eastern Time

I aim for feeding every 2-3 hours during the day and 3-4 hours at night, but we don’t always stick to it.

Do you stick to a consistent feeding schedule every day?

Question
May 28th, 2022, 1:53 AM Eastern Time

Zachary’s feeding schedule varies based on my class schedule each day, so it changes throughout the week.

What’s Zachary’s sleep pattern like?

Question
May 28th, 2022, 1:54 AM Eastern Time

It’s a bit complicated. Zachary sleeps for around 16 hours a day on certain days but may have a different routine on Tuesdays and Thursdays when I have classes. My mom sometimes gives him an extra nap.

It’s important to maintain a consistent sleep schedule for your son.

Offering Advice
May 28th, 2022, 1:55 AM Eastern Time

Got it, thanks.

Do you co-sleep with Zachary?

Question
May 28th, 2022, 1:56 AM Eastern Time

Zachary sleeps in a bassinet or his cradleboard, always swaddled and placed on his back. I keep the bassinet in my room, so I’m close by. I’ve done a lot of reading on safe sleep practices because I’m worried about SIDS.

How often does Zachary urinate?

Question
May 28th, 2022, 1:57 AM Eastern Time

He has about 5 or 6 wet diapers a day.

And how about bowel movements?

Question
May 28th, 2022, 1:59 AM Eastern Time

Usually, he has around three bowel movements a day, sometimes fewer.

What’s the consistency of his stool?

Question
May 28th, 2022, 2:03 AM Eastern Time

They’re soft.

Does Zachary smile?

Question
May 28th, 2022, 2:04 AM Eastern Time

Yes, Zachary is a very cheerful baby. He smiles often, which brightens my day when I come home from school or work.

Does he follow objects with his eyes?

Question
May 28th, 2022, 2:11 AM Eastern Time

Yes, he does. He also seems quite curious, especially about new faces.

Examining Zachary’s Health
May 28th, 2022, 2:24 AM Eastern Time

Thanks for your patience. Let’s go through Zachary’s health check.

Checking the growth of the head circumference.
Checking the weight and length growth.
Examining the nose.
Examining the ears.
Assessing the mouth’s frenulum, which appears to be attached appropriately.
Checking the palate and tongue, which appear normal.
Examining the skin.
Checking the diaper area for any issues.
Examining the genitalia.
Assessing musculoskeletal development.
Checking the pupils.
Testing eye tracking.
Examining the extremities.
Testing the grasp and reflexes.
Checking for reflex responses like the Moro Reflex.
Examining the neck range of motion.
Taking the pulse.
Checking for reflexes like the Rooting Reflex.
Checking for the sucking reflex.
Testing the neurological stepping/walking reflex.
Palpating the abdomen.
Checking the fontanelles (soft spots on the baby’s head), which appear normal.
Listening to various areas of the abdomen and chest for any irregularities.

And that wraps up the examination. Let me know if you have any questions or concerns.

Infant Well Visit Zachary LaFontaine Shadow health Transcript

Your Avatar.
Hi, I am Anthony, I will interview and examine you

Greet
05/28/22 1:43 AM EDT

Daanis LaFontaine.
Hi.
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what is your relationship with the patient?

Question
05/28/22 1:43 AM EDT

Daanis LaFontaine.
Yes, Zachary is my son.
Your Avatar.
Why are you here today?

Question
05/28/22 1:44 AM EDT

Daanis LaFontaine.
We’re here for Zachary’s wellness visit. It was hard to work it into our schedule, but I know it’s important.
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Do you breastfeed your son? Infant Well Visit Zachary LaFontaine Shadow health Transcript

Question
05/28/22 1:44 AM EDT

Daanis LaFontaine.
I breastfeed Zachary. It’s important to me that I do. It’s been challenging–my mother helps me out with a lot of advice, but she never breastfed so it’s new for both of us.
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Do you give him both breasts?

Question
05/28/22 1:45 AM EDT

Daanis LaFontaine.
I feed Zachary about 10 minutes on each side. So that’s 20 minutes.
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Do you supplement with formula?

Question
05/28/22 1:46 AM EDT

Daanis LaFontaine.
Zachary only gets breastmilk, no formula at all.
Your Avatar.
Daanis LaFontaine.
This is one area where Zachary and I do great. Feeding is never painful and he latches well.
Your Avatar.
Do you prefer breastfeeding to formula?

Question
05/28/22 1:48 AM EDT

Daanis LaFontaine.
I want to only breastfeed Zachary. I know formula is an option, but that would be a last resort. I want to focus on giving my baby breast milk.
Your Avatar.
How do you feel about your family life?

Question
05/28/22 1:49 AM EDT

Daanis LaFontaine.
I’m glad I live at home. It helps to be with my mom and dad. I do my best to take care of myself, but my focus is Zachary.
Your Avatar.
Do you have enough time to breastfeed? Infant Well Visit Zachary LaFontaine Shadow health Transcript

Question
05/28/22 1:50 AM EDT

Daanis LaFontaine.
I just don’t have enough time to breastfeed. I want to, but I work and go to school. I’m so busy, and it’s just overwhelming to fit everything in, plus breastfeeding.
Your Avatar.
Am sorry about that

Empathize
05/28/22 1:50 AM EDT

Daanis LaFontaine.
That’s nice of you.
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What is your son’s feeding schedule?

Question
05/28/22 1:51 AM EDT

Daanis LaFontaine.
I try for 2-3 hours during the day and 3-4 at night. We don’t always manage it, though.
Your Avatar.
Do you feed your son the same time every day?

Question
05/28/22 1:53 AM EDT

Daanis LaFontaine.
Zachary’s feeding schedule depends on what classes I have that day. So feedings change with the days of the week.
Your Avatar.
What is your son’s sleep schedule?

Question
05/28/22 1:54 AM EDT

Daanis LaFontaine.
That’s a complicated answer. Zachary sleeps 16 hours a day on Monday, Wednesday, Friday and the weekends. I’m not sure about Tuesday or Thursday, I have class those days. I know my mom gives him an extra nap.
Your Avatar.
You should ensure that your son sticks to sleep schedule

Educate
05/28/22 1:55 AM EDT

Daanis LaFontaine.
Good to know.
Your Avatar.
Do you sleep with your son?

Question
05/28/22 1:56 AM EDT

Daanis LaFontaine.
Zachary sleeps in a bassinet at night or sometimes in his cradleboard. He’s always swaddled and always on his back. I keep the bassinet empty and in my room, so I’m always nearby. I’m really afraid of SIDS or anything like that, so I did a lot of reading on sleep safety.
Your Avatar.
How many times does your son urinate?

Question
05/28/22 1:57 AM EDT

Daanis LaFontaine.
He has about 5 or 6 wet diapers a day.
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How many times does he defecate per day?

Question
05/28/22 1:59 AM EDT

Daanis LaFontaine.
Usually three times a day, sometimes less than that.
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What is the consistency of your son’s feces:?

Question
05/28/22 2:03 AM EDT

Daanis LaFontaine.
They’re soft.
Your Avatar.
Does your son smile?

Question
05/28/22 2:04 AM EDT

Daanis LaFontaine.
Zachary is a very happy baby. He smiles quite a bit. It’s nice coming home from school or work to see him.
Your Avatar.
Does he track objects with eyes?

Question
05/28/22 2:11 AM EDT

Daanis LaFontaine.
He does, yes. He also loves staring at strangers. He seems curious about everything.
Your Avatar.
Infant Well Visit Zachary LaFontaine Shadow health Transcript
Your Avatar.
Am sorry about that

Empathize
05/28/22 2:23 AM EDT

Daanis LaFontaine.
Thanks
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 Inspected head circumference growth chart

Exam Action
05/28/22 2:24 AM EDT

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 Inspected weight and length growth chart

Exam Action
05/28/22 2:24 AM EDT

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 Inspected nose

Exam Action
05/28/22 2:26 AM EDT

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 Inspected ears

Exam Action
05/28/22 2:26 AM EDT

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 Frenulum attached middle of mouth floor. Appropriate length and movements. Appears thin. Palate meets at the midline completely. Tongue appears smooth and uvula located at midline.

Exam Action
05/28/22 2:26 AM EDT

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 Inspected skin

Exam Action
05/28/22 2:27 AM EDT

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 Inspected skin: diaper area

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05/28/22 2:27 AM EDT

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 Inspected genitalia Infant Well Visit Zachary LaFontaine Shadow health Transcript

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05/28/22 2:27 AM EDT

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 Assessed Musculoskeletal Barlow and Ortolani

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05/28/22 2:27 AM EDT

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 Assessed eyes: pupils

Exam Action
05/28/22 2:28 AM EDT

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 Assessed Eye Tracking

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05/28/22 2:30 AM EDT

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 Assessed extremities

Exam Action
05/28/22 2:31 AM EDT

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 Assessed grasp: Able to lift shoulders off table with expected head lag.

Exam Action
05/28/22 2:34 AM EDT

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 Assessed Moro Reflex: Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk.

Exam Action
05/28/22 2:34 AM EDT

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 Assessed Tonic Reflex and neck range of motion.

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05/28/22 2:34 AM EDT

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 Assessed pulse

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05/28/22 2:34 AM EDT

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 Assessed Rooting Reflex: Infant turns head in direction of stimulus and opens mouth. Infant Well Visit Zachary LaFontaine Shadow health Transcript

Exam Action
05/28/22 2:35 AM EDT

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 Infant response with sucking motion. Tongue protrudes past lips.

Exam Action
05/28/22 2:35 AM EDT

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 Assessed neurological stepping/walking reflex

Exam Action
05/28/22 2:36 AM EDT

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 Palpated abdomen

Exam Action
05/28/22 2:38 AM EDT

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 Anterior fontanelle palpated is diamond-shaped, soft, flat, approximately 2-3 cm in width and 3-4 cm in length. Posterior fontanelle is triangle shaped 0.5-1 cm in size, soft, and flat.

Exam Action
05/28/22 2:38 AM EDT

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 Auscultated Upper Right Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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 Auscultated Upper Left Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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 Auscultated Lower Right Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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 Auscultated Lower Left Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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 Auscultated Top Right Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:39 AM EDT

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 Auscultated Top Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:39 AM EDT

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 Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

Exam Action
05/28/22 2:40 AM EDT

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 Auscultated Upper Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:40 AM EDT

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 Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:40 AM EDT

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 Auscultated Upper Upper Right Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Upper Left Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Right Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Left Chest

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05/28/22 2:40 AM EDT

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 Auscultated Lower Right Chest

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05/28/22 2:41 AM EDT

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 Auscultated Lower Left Chest

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05/28/22 2:41 AM EDT

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 Auscultated Upper Upper Left Back

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05/28/22 2:41 AM EDT

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 Auscultated Upper Upper Right Back

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05/28/22 2:41 AM EDT

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 Auscultated Upper Left Back

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05/28/22 2:41 AM EDT

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 Auscultated Upper Right Back

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05/28/22 2:41 AM EDT

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 Auscultated Lower Left Back

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05/28/22 2:41 AM EDT

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 Auscultated Lower Right Back Infant Well Visit Zachary LaFontaine Shadow health Transcript

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05/28/22 2:41 AM EDT