Shadow health Tina Jones Health History transcript

Shadow health Tina Jones Health History transcript

Summary:

The transcript is from a health assessment for Tina Jones, conducted on November 2, 2021, lasting about 399 minutes. Tina’s physical measurements were recorded, including her height (170 cm), weight (90 kg), BMI (31), blood glucose level (238), temperature (101.1 F), blood pressure (142/82), respiratory rate (19), O2 saturation (99%), and heart rate (86). Additionally, details about a wound on her foot were documented, with measurements, treatment actions, and questions about her medical history, symptoms, and family history.

Expanded:

This document is a record of a health evaluation for Tina Jones that occurred on November 2, 2021, spanning approximately 399 minutes. During the assessment, various physical metrics were noted, such as Tina’s height, recorded as 170 centimeters, and her weight, which was documented as 90 kilograms. Tina’s BMI, indicating her body mass index, was calculated to be 31. Other vital signs, including her blood glucose level, temperature, blood pressure, respiratory rate, O2 saturation, and heart rate, were also measured and recorded at specific times.

Furthermore, details regarding a wound on Tina’s foot were outlined in the transcript. The wound’s dimensions were specified as 2 centimeters by 1.5 centimeters, with a depth of 2.5 millimeters. The wound was treated by cleansing and irrigating it with normal saline, followed by the application of a dry sterile dressing. Swabs from the wound were collected and sent to the lab for culture and sensitivity testing.

In addition to the physical examination, the transcript includes a conversation between Tina and her healthcare provider. Tina described experiencing pain and discomfort due to the wound on her foot, which worsened over time. She provided information about the circumstances of the injury, her symptoms, and her efforts to manage the pain. The healthcare provider asked Tina about her medical history, including any pre-existing conditions, previous injuries, and family medical history.

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Throughout the assessment, Tina’s responses were documented, providing insights into her overall health status, lifestyle, and any relevant medical issues. The dialogue between Tina and her healthcare provider also addressed her concerns, symptoms, and treatment options, aiming to ensure comprehensive care and management of her health condition.

Shadow health Tina Jones Health History transcript

Transcript

Started: Nov 02, 2021 | Total Time: 399 min
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 Height: 170 cm

Exam Action
11/02/21 4:28 AM EDT

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 Weight: 90 kg

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11/02/21 4:28 AM EDT

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 BMI: 31

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11/02/21 4:28 AM EDT

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 Random blood glucose: 238

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11/02/21 4:28 AM EDT

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 Temperature: 101.1 F

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11/02/21 4:28 AM EDT

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 Blood pressure: 142/82

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11/02/21 4:28 AM EDT

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 Respiratory rate: 19

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11/02/21 4:28 AM EDT

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 O2 sat: 99%

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11/02/21 4:28 AM EDT

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 Heart rate: 86

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11/02/21 4:28 AM EDT

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 Measured wound: 2 cm x 1.5 cm, 2.5 mm deep

Exam Action
11/02/21 4:32 AM EDT

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 Swabbed wound and sent to lab for C & S

Exam Action
11/02/21 4:32 AM EDT

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 Cleansed and irrigated wound with normal saline and applied dry sterile dressing.

Exam Action
11/02/21 4:32 AM EDT

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Hello.My name is Gisselle. i will interview you and later examine you.

Question
11/02/21 4:33 AM EDT

Tina Jones.
Hello.
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Hello. Mt name is xxx, I will interview you and later examine you.

Greet
11/02/21 5:19 PM EDT

Tina Jones.
Hey.
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What is your name?

Question
11/02/21 5:19 PM EDT

Tina Jones.
Tina Jones.
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Why are you here today?

Question
11/02/21 5:20 PM EDT

Tina Jones.
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!
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Am sorry hear that.

Empathize
11/02/21 5:20 PM EDT

Tina Jones.
I appreciate you telling me that.
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When did you get the scrape?

Question
11/02/21 5:20 PM EDT

Tina Jones.
Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
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How severe is the pain?

Question
11/02/21 5:21 PM EDT

Tina Jones.
It’s really bad.
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Can you describe the pain?

Question
11/02/21 5:21 PM EDT

Tina Jones.
It’s throbbing and like, sharp if I try to put weight on it.
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Did you hurt any other part? (Clarified to Did you hurt anything else during the fall?.)

Question
11/02/21 5:22 PM EDT

Tina Jones.
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. (Clarified to if I hurt anything else during the fall.)
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How has the pain changed over time?

Question
11/02/21 5:23 PM EDT

Tina Jones.
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.
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Does the pain radiate?

Question
11/02/21 5:23 PM EDT

Tina Jones.
The pain’s worse in my foot, but I feel it moving up into my ankle, too.
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How did you hurt your ankle?

Question
11/02/21 5:24 PM EDT

Tina Jones.
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.
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Can you stand on your foot?

Question
11/02/21 5:25 PM EDT

Tina Jones.
No, I can’t put weight on my foot without really sharp pain.
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Can you rate your pain on a scale of 0 to 10?

Question
11/02/21 5:25 PM EDT

Tina Jones.
I’d say a 7. It hurts a lot, and the pain pills haven’t kicked in yet.
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Where is the pain located?

Question
11/02/21 5:26 PM EDT

Tina Jones.
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.
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Which foot did you injure?

Question
11/02/21 5:26 PM EDT

Tina Jones.
My right foot.
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Were you wearing shoes?

Question
11/02/21 5:26 PM EDT

Tina Jones.
No, I was barefoot.
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Did you have any alcoholic drinks before the injury?

Question
11/02/21 5:27 PM EDT

Tina Jones.
No, I was stone-cold sober. It was the middle of the day.
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Did you use home remedies? (Clarified to Did you use home remedies for your foot?.)

Question
11/02/21 5:27 PM EDT

Tina Jones.
Yeah, I made sure to clean it and keep it bandaged. (Clarified to if I use home remedies for my foot.)
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What did you use to clean it?

Question
11/02/21 5:28 PM EDT

Tina Jones.
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.
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When did you go to the ER?

Question
11/02/21 5:29 PM EDT

Tina Jones.
I went about an hour after I fell, I think.
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Did you get any medication at the ER?

Question
11/02/21 5:29 PM EDT

Tina Jones.
Yes, they wrote me a prescription for some pain pills.
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Do you know the name of the pain pills?

Question
11/02/21 5:30 PM EDT

Tina Jones.
It’s called tramadol.
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What dosage of tramadol?

Question
11/02/21 5:30 PM EDT

Tina Jones.
I’m not 100% sure, but I think they’re 50 milligrams.
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How often were you taking the tramadol?

Question
11/02/21 5:30 PM EDT

Tina Jones.
I’ve been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]
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Did tramadol relieve pain?/

Question
11/02/21 5:31 PM EDT

Tina Jones.
I’ve only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean.
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Has your foot bled since the injury?

Question
11/02/21 5:32 PM EDT

Tina Jones.
It’s not bleeding anymore. It only bled right after I scraped it.
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What happened after you scraped your foot?

Question
11/02/21 5:32 PM EDT

Tina Jones.
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.
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It is good to seek medical attention

Educate
11/02/21 5:33 PM EDT

Tina Jones.
OK, I understand.
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How effective is the pain medication?

Question
11/02/21 5:34 PM EDT

Tina Jones.
They only help for a few hours at a time.
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Am sorry to hear that.

Empathize
11/02/21 5:35 PM EDT

Tina Jones.
Thanks for saying that.
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How have you cared for the scrape?

Question
11/02/21 5:35 PM EDT

Tina Jones.
I made sure to clean it and just keep it bandaged. And I put Neosporin on it.
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How effective was the neosporin?

Question
11/02/21 5:36 PM EDT

Tina Jones.
Well, I had to come back to get my foot checked out even though I used the ointment. [AUDIO COMING SOON]
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How often have you been cleaning your scrape?

Question
11/02/21 5:37 PM EDT

Tina Jones.
Twice a day — every morning and every night.
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Great. It is good to keep it clean.

Educate
11/02/21 5:38 PM EDT

Tina Jones.
Sure, I think I understand what you mean.
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Is the wound swollen?

Question
11/02/21 5:38 PM EDT

Tina Jones.
Yeah, it looks swollen around the scrape.
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Does your scrape have an odor?

Question
11/02/21 5:39 PM EDT

Tina Jones.
Um, no, not that I know of… That sounds gross.
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Any pus?

Question
11/02/21 5:39 PM EDT

Tina Jones.
Yeah, there’s definitely pus.
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What color is the pus?

Question
11/02/21 5:40 PM EDT

Tina Jones.
It’s… white or maybe off-white.
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Is the scrape red?

Question
11/02/21 5:40 PM EDT

Tina Jones.
Yeah, it’s red all around the scrape.
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Any temperature change around the scrape?

Question
11/02/21 5:41 PM EDT

Tina Jones.
No.
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Are you having problems getting around?

Question
11/02/21 5:42 PM EDT

Tina Jones.
Yes! I mean, I literally can’t put weight on my foot, the pain is so sharp.
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Am sorry to hear that.

Question
11/02/21 5:43 PM EDT

Tina Jones.
My hearing is fine.
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Am sorry to hear that

Empathize
11/02/21 5:43 PM EDT

Tina Jones.
Thanks for understanding.
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Who has been helping you at home since you hurt your foot?

Question
11/02/21 5:44 PM EDT

Tina Jones.
I’m lucky living at home because my mom is around to help me, and my sister too.
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Do you work?

xxxxx

I haven’t had a mammogram. I’ve just had the exam where the doctor felt around for lumps.
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Any pain in the breasts?

Question
11/02/21 7:11 PM EDT

Tina Jones.
No. Maybe some soreness before my period, but that seems pretty typical.
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Any nipple discharge?

Question
11/02/21 7:11 PM EDT

Tina Jones.
Uh, no, definitely not.
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Any nosebleed?

Question
11/02/21 7:12 PM EDT

Tina Jones.
No.
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Any chest pain?

Question
11/02/21 7:12 PM EDT

Tina Jones.
No, my chest feels tight when I have breathing problems, but it doesn’t hurt.
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Any difficulty moving your bowels?

Question
11/02/21 7:13 PM EDT

Tina Jones.
Not really.
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Any skin changes?

Question
11/02/21 7:13 PM EDT

Tina Jones.
Well…I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin’s breaking out, but that’s how it is.
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What is your general health condition?

Question
11/02/21 7:14 PM EDT

Tina Jones.
Overall, my health is pretty good. I have a couple of problems, I guess, but they don’t bother me too much.
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Any fatigue?

Question
11/02/21 7:14 PM EDT

Tina Jones.
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.
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How is your sleep pattern?

Question
11/02/21 7:14 PM EDT

Tina Jones.
I try to be in bed by eleven or midnight, and I get up at seven or eight.
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Any hearing problems?

Question
11/02/21 7:15 PM EDT

Tina Jones.
No.
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Any ear discharge?

Question
11/02/21 7:15 PM EDT

Tina Jones.
No.
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Does your mother have any health problems?

Question
11/02/21 7:17 PM EDT

Tina Jones.
Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though.
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Does your father have medical problems?

Question
11/02/21 7:18 PM EDT

Tina Jones.
Well, he passed away. But he had a couple things . . . Type 2 diabetes, like me, and high cholesterol and blood pressure.
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Am sorry to hear that

Empathize
11/02/21 7:18 PM EDT

Tina Jones.
I appreciate you saying that.
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When did your father pass away?

Question
11/02/21 7:18 PM EDT

Tina Jones.
It was last year… I guess a little over a year ago.
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How did you cope with your father’s death?

Question
11/02/21 7:19 PM EDT

Tina Jones.
Well, right after he died, after the funeral and everything, I just tried to get through that. Mom was having such a hard time, crying a lot, everything made her sad, she was kinda depressed. So I guess at first I just focused on getting things done–groceries, laundry, insurance papers and stuff. Knowing that Mom needed me kinda helped me get through day by day. There was about a month where it was hard for us to get to church. Even getting up and ready for church was too overwhelming. But our church family helped us out, and gave us rides to church and brought meals and all that, so they really helped build us back up. Things were only hard like that for a few months.
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You are lucky to have a great support system

Empathize
11/02/21 7:20 PM EDT

Tina Jones.
I appreciate you telling me that.
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What was the cause of your father’s death?

Question
11/02/21 7:21 PM EDT

Tina Jones.
He died in a car accident.
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Am sorry to hear that.

Empathize
11/02/21 7:21 PM EDT

Tina Jones.
Thanks for saying that.
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How is your paternal grandfather?

Question
11/02/21 7:22 PM EDT

Tina Jones.
Grandpa Jones passed away when I was really little.
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Did Grandpa Jones have medical problems?

Question
11/02/21 7:23 PM EDT

Tina Jones.
Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and . . . I’m pretty sure he had diabetes.
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Does your paternal grandmother have health problems?

Question
11/02/21 7:23 PM EDT

Tina Jones.
She takes some blood pressure pills, and I think she has high cholesterol, but Granny’s doing great for 82.
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great to hear that.

Empathize
11/02/21 7:24 PM EDT

Tina Jones.
Thanks.
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Your maternal grandfather’s healthy?

Question
11/02/21 7:25 PM EDT

Tina Jones.
Well, Poppa died five years ago.
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How old was your maternal grandfather? (Clarified to How old was your maternal grandfather when he passed?.)

Question
11/02/21 7:25 PM EDT

Tina Jones.
He was almost 80, maybe like 78 or 79? (Clarified to how old my maternal grandfather lived to be.)
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Your maternal grandmother’s health?

Question
11/02/21 7:26 PM EDT

Tina Jones.
Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too.
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Does your brother have health issues?

Question
11/02/21 7:27 PM EDT

Tina Jones.
No, I don’t think so. He’s a little big, maybe.
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Does your sister have health issues?

Question
11/02/21 7:27 PM EDT

Tina Jones.
She’s pretty healthy. She has asthma but almost never has attacks.
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Does obesity run in your family?

Question
11/02/21 7:28 PM EDT

Tina Jones.
No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.
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Any family history of thyroid problems?

Question
11/02/21 7:29 PM EDT

Tina Jones.
No, I don’t think so.
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Any headaches?

Question
11/02/21 7:29 PM EDT

Tina Jones.
Yeah, I get them a lot when I’m studying.
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Any loss of consciousness?

Question
11/02/21 7:30 PM EDT

Tina Jones.
No.
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Any memory loss?

Question
11/02/21 7:30 PM EDT

Tina Jones.
No. I mean, sometimes, I freeze up during a test, but that’s everybody, right? I have a good head for names and directions, stuff like that.
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Any abnormal or excess hair? (Clarified to Do you have skin abnormalities?.)

Question
11/02/21 7:30 PM EDT

Tina Jones.
Well . . . I guess I was noticing the other day that the skin around my neck is looking weird. The skin is getting darker. And my skin’s breaking out, but that’s how it is. (Clarified to if I have skin abnormalities.)
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Any stomach upsets?

Question
11/02/21 7:31 PM EDT

Tina Jones.
No.
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 Measured wound: 2 cm x 1.5 cm, 2.5 mm deep

Exam Action
11/02/21 7:31 PM EDT

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 Swabbed wound and sent to lab for C & S

Exam Action
11/02/21 7:31 PM EDT

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 Cleansed and irrigated wound with normal saline and applied dry sterile dressing.

Exam Action
11/02/21 7:31 PM EDT

Your Avatar.
 Measured wound: 2 cm x 1.5 cm, 2.5 mm deep

Exam Action
11/03/21 4:04 AM EDT

Your Avatar.
 Swabbed wound and sent to lab for C & S

Exam Action
11/03/21 4:04 AM EDT

Your Avatar.
 Cleansed and irrigated wound with normal saline and applied dry sterile dressing.

Exam Action
11/03/21 4:04 AM EDT