NURS 6512N Week 4 Shadow Health Tina Jones Transcript

Week 4 Shadow Health Tina Jones Height: 170 cm Exam Action 03/17/20 8:44 AM MDT Weight: 90 kg Exam Action 03/17/20 8:44 AM MDT - BMI: 31 Exam Action 03/17/20 8:44 AM MDT - Random blood glucose: 238 Exam Action 03/17/ ...

Week 4 Shadow Health Tina Jones Height: 170 cm Exam Action 03/17/20 8:44 AM MDT Weight: 90 kg Exam Action 03/17/20 8:44 AM MDT - BMI: 31 Exam Action 03/17/20 8:44 AM MDT - Random blood glucose: 238 Exam Action 03/17/20 8:44 AM MDT - Temperature: 101.1 F Exam Action 03/17/20 8:44 AM MDT - Blood pressure: 142/82 Exam Action 03/17/20 8:44 AM MDT - Respiratory rate: 19 Exam Action 03/17/20 8:44 AM MDT - O2 sat: 99% Exam Action 03/17/20 8:44 AM MDT - Heart rate: 86 Exam Action 03/17/20 8:44 AM MDT - Hello, my name is [ ] I'm a nurse practitioner student and I'm going to be taking care of you today. Greet 03/17/20 8:45 AM MDT Tina Jones Hey. - Can you verify your name and birthday for me? Question 03/17/20 8:45 AM MDT Tina Jones My name's Tina Jones, and my birthday's February 17th. - Ok great. What brings you in today? (Clarified to What brings you in today?.) Question 03/17/20 8:46 AM MDT 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! (Clarified to why I came in.) - Oh I'm sorry to hear that. Empathize 03/17/20 8:46 AM MDT Tina Jones I appreciate you telling me that. - Where exactly is the pain at on your foot? Question 03/17/20 8:46 AM MDT 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. - Which foot did you injure? Question 03/17/20 8:47 AM MDT Tina Jones My right foot. - Can you rate the pain for me on a scale of 1 to 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.) Question 03/17/20 8:47 AM MDT Tina Jones 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.) - What are you taking for the pain? Question 03/17/20 8:47 AM MDT Tina Jones It's called tramadol. - How did you get this medication? Do you normally take it? (No matching questions found.) Question 03/17/20 8:48 AM MDT - How did you get this medication? Question 03/17/20 8:48 AM MDT 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. - where did you get the medication? Question 03/17/20 8:48 AM MDT Tina Jones The ER doctor prescribed them for me when I was in there a week ago. - So you fell one week ago? Question 03/17/20 8:49 AM MDT 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. - Has your wound been draining any pus? Question 03/17/20 8:49 AM MDT Tina Jones Yeah, there's definitely pus. - Has your wound had pus in it all week? (Clarified to How long has the wound had pus in it?.) Question 03/17/20 8:50 AM MDT Tina Jones For two days. (Clarified to how long my wound has had pus.) - Can you describe your pain? Question 03/17/20 8:50 AM MDT Tina Jones It's throbbing and like, sharp if I try to put weight on it. - Is there anything that makes the pain worse? Question 03/17/20 8:51 AM MDT Tina Jones I'd say the pain is at its worst when I have to put any weight on my foot. . . otherwise, it's when the pain pills wear off. - What is the pain like when you stand on your foot? Question 03/17/20 8:51 AM MDT Tina Jones Yes! I mean, I literally can't put weight on my foot, the pain is so sharp. - When did the pain start? Question 03/17/20 8:51 AM MDT 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. - So the pain has changed over time? Question 03/17/20 8:52 AM MDT Tina Jones Yeah, it got a lot worse two days ago. It was noticeably more painful. - Does the pain radiate anywhere? Question 03/17/20 8:52 AM MDT Tina Jones The pain's worse in my foot, but I feel it moving up into my ankle, too. - So can't bear any weight on your foot? Question 03/17/20 8:52 AM MDT Tina Jones No, I can't. I can't put any weight on it without like, shooting pain. - That has to be frustrating. I'm sorry to hear that. Empathize 03/17/20 8:53 AM MDT Tina Jones Thanks. - So did you hurt anything else besides your foot? Question 03/17/20 8:53 AM MDT 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. - What kind of shoes did you have on when you fell? Question 03/17/20 8:54 AM MDT Tina Jones I wasn't wearing shoes. - Ok, we should always wear shoes when we're outside. There are numerous things you could hurt your feet on. Educate 03/17/20 8:55 AM MDT Tina Jones Alright, thanks for letting me know. - Were you drinking alcohol when you were injured? Question 03/17/20 8:55 AM MDT Tina Jones I haven't had any alcohol in at least three weeks. - How often do you drink alcohol? Question 03/17/20 8:55 AM MDT Tina Jones No more than once or twice a week, sometimes less. - Do you use any recreational drugs? Question 03/17/20 8:56 AM MDT Tina Jones Well, I used to smoke pot. . . but I don't do that anymore. - When was the last time you smoked pot? Question 03/17/20 8:56 AM MDT Tina Jones I haven't smoked pot since I was twenty or twenty-one. - Ok great. So who took you to the ER after you hurt your foot? (No matching questions found.) Question 03/17/20 8:57 AM MDT - Who took you to the ER after you hurt your foot? (Clarified to Who took you to the ER?.) Question 03/17/20 8:57 AM MDT Tina Jones My mom brought me in after I tripped, just to make sure my ankle wasn't broken. (Clarified to who brought me to the ER.) - Did your foot bleed? Question 03/17/20 8:58 AM MDT Tina Jones Yeah, right when I hurt it. - You said there was drainage, what color is the drainage in your foot? Question 03/17/20 8:58 AM MDT Tina Jones It's... white or maybe off-white. - Does it have an odor? (Clarified to Does your scrape have an odor?.) Question 03/17/20 8:58 AM MDT Tina Jones Um, no, not that I know of... That sounds gross. (Clarified to if my scrape has an odor.) - I understand that sounds gross. Assessing odor gives us an idea of what is going on with your foot. Empathize 03/17/20 8:59 AM MDT Tina Jones Thanks for understanding. - How have you been treating the wound at home? Question 03/17/20 8:59 AM MDT Tina Jones I made sure to clean it and just keep it bandaged. And I put Neosporin on it. - How often do you clean the wound? Question 03/17/20 9:00 AM MDT Tina Jones Twice a day -- every morning and every night. - Did you change the bandage that often too? (Clarified to How often do you change your bandage?.) Question 03/17/20 9:01 AM MDT Tina Jones Every morning and night. I was keeping an eye on it. (Clarified to how often I change my bandage.) - Is there any swelling around the wound? Question 03/17/20 9:01 AM MDT Tina Jones Yeah, it looks swollen around the scrape. - Does the wound feel warm? Question 03/17/20 9:02 AM MDT Tina Jones Yeah, it feels pretty warm. - I'm sorry to hear that Empathize 03/17/20 9:02 AM MDT Tina Jones Thanks for saying that. - Does this foot injury affect your work? (Clarified to How has the injury interfered with daily activities?.) Question 03/17/20 9:03 AM MDT Tina Jones 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. (Clarified to how my injury has affected daily activities.) - Have you went to work on it? Question 03/17/20 9:04 AM MDT Tina Jones 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! - Have you went to school? (Clarified to Did you go to school?.) Question 03/17/20 9:04 AM MDT Tina Jones I'm actually in college right now. (Clarified to if I have ever attended school.) - Has your injury prevented you from going to class? Question 03/17/20 9:04 AM MDT Tina Jones I had a class two days ago, and I skipped it. I haven't missed any classes before this, and I emailed my professor, so I should be okay. I don't want to get behind, so I need to get back to it! - I'm glad they were understanding. We'll try to get you healed up so you can go back Empathize 03/17/20 9:05 AM MDT Tina Jones I appreciate you saying that. - Have you ran a fever? Question 03/17/20 9:05 AM MDT Tina Jones Yeah, I was running a fever last night. - Do you feel feverish right now? Question 03/17/20 9:05 AM MDT Tina Jones I don't feel feverish right now, but last night I had a high temperature. - Did you do anything for your temperature? (No matching questions found.) Question 03/17/20 9:06 AM MDT - Did you take any medication for your temperature? Question 03/17/20 9:06 AM MDT Tina Jones I really didn't do much for it at home. - Ok. So I'm going to take a look at your foot right now. Educate 03/17/20 9:06 AM MDT Tina Jones That makes sense. - Measured wound: 2 cm x 1.5 cm, 2.5 mm deep Exam Action 03/17/20 9:07 AM MDT - Swabbed wound and sent to lab for C & S Exam Action 03/17/20 9:07 AM MDT - Cleansed and irrigated wound with normal saline and applied dry sterile dressing. Exam Action 03/17/20 9:07 AM MDT - I took a culture of the wound in the foot which will give us details about the drainage (No matching questions found.) Question 03/17/20 9:08 AM MDT - I took a culture of the wound in the foot which will give us details about the drainage Educate 03/17/20 9:08 AM MDT Tina Jones Thanks for telling me. - I went ahead and cleaned the wound and applied a sterile dressing also Educate 03/17/20 9:09 AM MDT Tina Jones Sure, I think I understand what you mean. - Do you have any medical questions Question 03/17/20 9:09 AM MDT Tina Jones I've been taking some pain medication. Other than that, I have my inhaler. - Do you have any medical conditions? Question 03/17/20 9:09 AM MDT Tina Jones Yeah. . . I have asthma and diabetes. - When were you diagnosed with diabetes? Question 03/17/20 9:09 AM MDT Tina Jones I was diagnosed when I was 24. - So do you know what type of diabetes you have? Question 03/17/20 9:10 AM MDT Tina Jones It's type 2. - Diabetes can be heavily impacted by diet and exercise Educate 03/17/20 9:10 AM MDT Tina Jones OK, I understand. - Do you follow a diabetic diet? Question 03/17/20 9:11 AM MDT Tina Jones I really try not to worry about what I eat, other than watching my sugar and trying to make healthy choices. - What kind of sugars do you consume? Question 03/17/20 9:11 AM MDT Tina Jones Most of the time I just drink Diet Cokes. - Do you drink regular soda or sugary drinks? Question 03/17/20 9:11 AM MDT Tina Jones I just stick to Diet Coke. - How long have you been drinking that? Question 03/17/20 9:12 AM MDT Tina Jones I guess I started drinking when I was in high school, so that was when I was maybe 15 or 16. - Were you 24 when you were diagnosed? (Clarified to How old were you when you were diagnosed with diabetes?.) Question 03/17/20 9:13 AM MDT Tina Jones I was diagnosed when I was 24. (Clarified to when I was diagnosed with diabetes.) - Do you currently take any medications for your diabetes? Question 03/17/20 9:13 AM MDT Tina Jones I don't take anything for my diabetes anymore. - When was the last time you took any medication for you diabetes? (Clarified to When was the last time you took medicine for your diabetes?.) Question 03/17/20 9:17 AM MDT Tina Jones I haven't taken it in about three years, honestly. (Clarified to when the last time I took my diabetes medication was.) - Why aren't you taking your diabetes medication? Question 03/17/20 9:18 AM MDT Tina Jones I just got sick of dealing with it! - what medication were you prescribed? Question 03/17/20 9:18 AM MDT Tina Jones It's called tramadol. - What diabetes medication were you taken? Question 03/17/20 9:19 AM MDT Tina Jones It was Metformin. - I understand that the medication can be a lot to deal with Empathize 03/17/20 9:20 AM MDT Tina Jones Thanks for saying that. - Did you have any side effects from it? Question 03/17/20 9:20 AM MDT Tina Jones No, I was okay taking it. - Do you monitor your blood sugar? Question 03/17/20 9:20 AM MDT Tina Jones 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. - When was the last time you checked your blood sugar? Question 03/17/20 9:21 AM MDT Tina Jones I don't check it very often, honestly. . . I think the last time was about a month ago. - What are your normal blood sugars? Question 03/17/20 9:21 AM MDT Tina Jones I guess sometimes it's probably high, but I don't know the numbers. I almost never check it. I don't really get what the numbers mean. - I will set you up with a nutritionist and diabetes educator Educate 03/17/20 9:27 AM MDT Tina Jones That makes sense. - Have you been thirsty lately? Question 03/17/20 9:27 AM MDT Tina Jones You know, I did notice lately that I've been really thirsty. - Are you drinking more water that usual?Question 03/17/20 9:28 AM MDT Tina Jones I've definitely been drinking more water lately. - So have you been urinating more than usual lately? (Clarified to Have you been urinating more often than usual?.) Question 03/17/20 9:28 AM MDT Tina Jones Yeah, but I've been drinking more water. (Clarified to if I have had to urinate more often.) - How often do you urinate during the day Question 03/17/20 9:28 AM MDT Tina Jones I don't know. Every hour or two when I'm awake? - Do you have to wake up at night to urinate? Question 03/17/20 9:29 AM MDT Tina Jones Yeah, I definitely get up more than once during the night. - Does your urine have an odor? Question 03/17/20 9:29 AM MDT Tina Jones No. Gross. - How many meals do you eat a day Question 03/17/20 9:29 AM MDT Tina Jones Um, I usually have three meals a day. You know, breakfast, lunch, dinner. Plus some snacks. - What was your last meal? Question 03/17/20 9:30 AM MDT Tina Jones I had leftover chicken and mashed potatoes last night. - Did you eat breakfast this morning Question 03/17/20 9:30 AM MDT Tina Jones I haven't had anything yet. - What does your typical breakfast look like Question 03/17/20 9:30 AM MDT Tina Jones I'll usually have a muffin or pumpkin bread from the cafe near my house. - What does your normal lunch look like? Question 03/17/20 9:30 AM MDT Tina Jones 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. - What about for dinner? (Clarified to What's a typical dinner?.) Question 03/17/20 9:31 AM MDT Tina Jones The usual stuff. . . meatloaf, chicken, casseroles, pasta. . . stuff like that. (Clarified to what I usually eat for dinner.) - What do you typically eat for snacks? Question 03/17/20 9:31 AM MDT Tina Jones I try to eat snacks that are kind of healthy like pretzels-sometimes I'll treat myself and get french fries, but I try not to do that too often. - Pretzels and french fries are high in carbohydrates which is bad for your blood sugar. Although they taste good, we should avoid those foods. Educate 03/17/20 9:32 AM MDT Tina Jones Alright, thanks for letting me know. - How is your appetite lately? (Clarified to How is your appetite?.) Question 03/17/20 9:38 AM MDT Tina Jones My appetite's been huge lately. . . I feel like I'm hungry all the time. (Clarified to how my appetite is.) - How long has it been huge? Question 03/17/20 9:38 AM MDT 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. - No, when did you notice your appetite was huge (Clarified to When did your appetite increase?.) Question 03/17/20 9:38 AM MDT Tina Jones I guess I started being starving all the time about a month ago. No matter how much I eat, I'm still hungry. (Clarified to when my appetite increased.) - So have you noticed any weight changes? Question 03/17/20 9:39 AM MDT Tina Jones Yeah, I've lost some weight recently. - Was the weight loss intentional? Question 03/17/20 9:39 AM MDT Tina Jones I've never tried to lose weight. I've always accepted my body as it was--I have a lot more important things to worry about than dieting or the way I look. - How much weight have you lost? Question 03/17/20 9:40 AM MDT Tina Jones It was about ten pounds in a little over a month, actually. - Do you exercise? Question 03/17/20 9:40 AM MDT Tina Jones 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. - Does your asthmas make exercising exhausting Question 03/17/20 9:43 AM MDT Tina Jones Yeah, if I have a little burst of activity like running up the stairs or hurrying to my class, I sometimes need my inhaler. - When was the last time you used your inhaler? Question 03/17/20 9:43 AM MDT Tina Jones I had to use my inhaler three days ago when I was at my cousin's house. - What do you symptoms feel like Question 03/17/20 9:45 AM MDT Tina Jones My chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't get enough air into my lungs. - Do you wheeze often Question 03/17/20 9:46 AM MDT Tina Jones I don't wheeze much--only when my asthma acts up. - What age were you diagnosed with asthma? Question 03/17/20 9:46 AM MDT Tina Jones 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. - Has your asthma gotten better or worse Question 03/17/20 9:46 AM MDT Tina Jones It's a lot better than it was when I was younger. . . I still have breathing problems sometimes, but not nearly as bad or as often. - How often do you have trouble breathing Question 03/17/20 9:47 AM MDT Tina Jones Not too often. Maybe two or three times a week. - Have you ever been hospitalized for your asthma Question 03/17/20 9:47 AM MDT Tina Jones I went a bunch of times when I was little, for asthma attacks. - When was your last hospitalization for asthma Question 03/17/20 9:48 AM MDT Tina Jones I haven't gone to the hospital for asthma since I was sixteen. - How do you manage your asthma now Question 03/17/20 9:48 AM MDT Tina Jones I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. - What is the name of your inhaler Question 03/17/20 9:48 AM MDT Tina Jones It's just a regular Proventil inhaler. - What triggers your asthma to act up (Clarified to What triggers your asthma attacks?.) Question 03/17/20 9:49 AM MDT Tina Jones 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.) - Does dust trigger your asthma Question 03/17/20 9:51 AM MDT Tina Jones Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. - Do you have seasonal asthma triggers? Question 03/17/20 9:56 AM MDT Tina Jones No, not really. - How many puffs on your inhaler do you take? Question 03/17/20 9:57 AM MDT Tina Jones 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] - What reaction do you have to cats Question 03/17/20 10:00 AM MDT Tina Jones Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. - Do you take benadryl or any other allergy medication (No matching questions found.) Question 03/17/20 10:00 AM MDT - Do you take benadryl (No matching questions found.) Question 03/17/20 10:00 AM MDT - Do you take allergy medication Question 03/17/20 10:00 AM MDT Tina Jones I don't take anything, unless my inhaler counts. - Are you allergic to latex Question 03/17/20 10:01 AM MDT Tina Jones Nope. - Are you allergic to any medications Question 03/17/20 10:01 AM MDT Tina Jones Yeah, I'm allergic to penicillin. - What reaction do you get from penicillin? Question 03/17/20 10:01 AM MDT Tina Jones 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. - Are you allergic to any foods? Question 03/17/20 10:01 AM MDT Tina Jones Nope, no food allergies that I know of. - Are you vaccines up to date Question 03/17/20 10:02 AM MDT Tina Jones I'm pretty sure they are all taken care of. - So you had all of your childhood vaccines? (Clarified to Have you had all your childhood immunizations?.) Question 03/17/20 10:02 AM MDT Tina Jones 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.) - Great. Did you take a influenza shot this year? (Clarified to Have you been vaccinated for the seasonal flu?.) Question 03/17/20 10:02 AM MDT Tina Jones No. (Clarified to if I have had a flu shot.) - Why didn't you take the flu shot Question 03/17/20 10:03 AM MDT Tina Jones I've had a couple in the past, but it never seemed like they were that effective so I just kind of stopped getting them. If I can avoid getting a shot, I will! - The flu shot protects against different strains of flu every year. They are very effective. That is why healthcare workers must get one. Educate 03/17/20 10:04 AM MDT Tina Jones OK, I understand. - Would you like a flu shot today? Question 03/17/20 10:04 AM MDT Tina Jones Not today, but I guess I should consider it. - When was your last tetanus shot Question 03/17/20 10:04 AM MDT Tina Jones I got a tetanus booster about a year ago. - Great. Besides your inhaler, what medications do you take (Clarified to What medications do you take?.) Question 03/17/20 10:05 AM MDT Tina Jones I've been taking some pain medication. Other than that, I have my inhaler. (Clarified to what medications I am taking.) - How often do you take your pain medication Question 03/17/20 10:05 AM MDT Tina Jones I've been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON] - How many pills do you take at a time Question 03/17/20 10:05 AM MDT Tina Jones I take two at a time. - Do you know the milligram on the pain medication Question 03/17/20 10:06 AM MDT Tina Jones It's called tramadol. - What is the pain medication dose Question 03/17/20 10:06 AM MDT Tina Jones I'm not 100% sure, but I think they're 50 milligrams. - Does your pain medication help your pain (Clarified to Does the pain medication alleviate the pain?.) Question 03/17/20 10:07 AM MDT Tina Jones Yeah, the pain pills help, but only for a few hours. (Clarified to if the pain medication helps.) - Do you take any over the counter pain medicine Question 03/17/20 10:07 AM MDT Tina Jones I've only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean. - Do you take tylenol Question 03/17/20 10:07 AM MDT Tina Jones I take it for headaches sometimes. - how often do you get headaches Question 03/17/20 10:08 AM MDT Tina Jones Just sometimes...maybe once a week? Whenever I read for a long time. - do you know the dose of tylenolQuestion 03/17/20 10:08 AM MDT Tina Jones I take the extra-strength acetaminophen, the gel kind, 500 mg. It's what we usually have around the house. [AUDIO COMING SOON] - how many tylenol do you take at a time Question 03/17/20 10:08 AM MDT Tina Jones I take the extra-strength acetaminophen, the gel kind, 500 mg. It's what we usually have around the house. [AUDIO COMING SOON] - do you take ibuprofen Question 03/17/20 10:08 AM MDT Tina Jones I've only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean. - Do you take any vitamins Question 03/17/20 10:09 AM MDT Tina Jones No, I don't take any vitamins. - Do you take any herbal supplements Question 03/17/20 10:09 AM MDT Tina Jones No, I don't take anything herbal. - Do you have any children Question 03/17/20 10:09 AM MDT Tina Jones I don't have any kids. - When was your last menstrual period Question 03/17/20 10:09 AM MDT Tina Jones 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. - So your periods are normal Question 03/17/20 10:10 AM MDT Tina Jones 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. - Do you take any oral birth control pills Question 03/17/20 10:10 AM MDT Tina Jones I used to take it when I was with my last boyfriend, but I don't use it anymore. - Are you sexually active now Question 03/17/20 10:10 AM MDT Tina Jones Um, not right now. - Do you practice safe sex when you are sexually active Question 03/17/20 10:10 AM MDT Tina Jones Yeah I was always pretty safe. I was on the pill. - Do you use condoms Question 03/17/20 10:11 AM MDT Tina Jones I used condoms... some of the time. I was on the pill. - Although the pill is great for preventing pregnancy, it will not protect you against STDs Educate 03/17/20 10:11 AM MDT Tina Jones Sure, I think I understand what you mean. - Have you ever been tested for STDs Question 03/17/20 10:11 AM MDT Tina Jones Yeah, I'm sure they did those tests when I went for a pap smear before. - When was your last pap smear Question 03/17/20 10:11 AM MDT Tina Jones Um, maybe four years ago now? - Would you like to schedule a pap smear today (No matching questions found.) Question 03/17/20 10:13 AM MDT - Was your pap smear abnormal Question 03/17/20 10:13 AM MDT Tina Jones I think they were all fine. - Women between 21 and 65 should have a pap smear every 3 years Educate 03/17/20 10:14 AM MDT Tina Jones Thanks for telling me. - who do you live with Question 03/17/20 10:14 AM MDT Tina Jones Right now I live back at home with my mom and my sister. - What is your highest level of education Question 03/17/20 10:14 AM MDT Tina Jones Well, I'm finishing up my Bachelor's degree right now. - What do you study Question 03/17/20 10:15 AM MDT Tina Jones I'm going to get my bachelor's in accounting. - Does your school cause you stress Question 03/17/20 10:15 AM MDT Tina Jones I don't get stressed out much, but sometimes having such a hectic schedule can be a lot. Right now, though, I'm mostly worried about my foot. - We will get your foot taken care of Empathize 03/17/20 10:15 AM MDT Tina Jones Thanks. - Can you tell me more about your stress level Question 03/17/20 10:16 AM MDT Tina Jones 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. - Have your mom and sister helped you since your injury (Clarified to Does your mom help you out a lot?.) Question 03/17/20 10:17 AM MDT Tina Jones She's been helping me out since I got hurt, for sure. I need some help getting around. I feel bad about having to be waited on, but she's been really helpful. (Clarified to if my mom helps me with my injury.) - I understand giving up independence can be awful Empathize 03/17/20 10:17 AM MDT Tina Jones I appreciate you saying that. - How long have you lived back at home Question 03/17/20 10:18 AM MDT Tina Jones I've been back home for about a year--since my dad died. - I'm sorry to hear about your dad Empathize 03/17/20 10:18 AM MDT Tina Jones Thanks for understanding. - How did he die (Clarified to Can you tell me what your father died of?.) Question 03/17/20 10:18 AM MDT Tina Jones He died in a car accident. (Clarified to how my father died.) - I'm terribly sorry Empathize 03/17/20 10:18 AM MDT Tina Jones I appreciate you telling me that. - How is the environment in your home (Clarified to How is your home life?.) Question 03/17/20 10:19 AM MDT Tina Jones Things are pretty good between all of us; we're all close. I think we're a pretty special family, the way we all get along. (Clarified to how my home life is.) - It's great to have a close family Empathize 03/17/20 10:19 AM MDT Tina Jones Thanks for understanding. - Do you drink alcohol Question 03/17/20 10:19 AM MDT Tina Jones I do sometimes, yeah, when I go out with my friends. - When was your last alcoholic drink Question 03/17/20 10:20 AM MDT Tina Jones I haven't had any alcohol in at least three weeks. - How many drinks do you have in one sitting Question 03/17/20 10:20 AM MDT Tina Jones Just a few. I'm not a big drinker. - How many nights a week do you drink Question 03/17/20 10:20 AM MDT Tina Jones Once or twice a week at most, on the weekend. - How many drinks in a month Question 03/17/20 10:20 AM MDT Tina Jones Oh, I don't know. Let's see... I might go out every few weeks, so twice a month... and I maybe have 2 or 3 drinks at a time, so maybe 6 drinks a month. Even if I go out more than usual, no more than ten. - Do you smoke cigarettes Question 03/17/20 10:21 AM MDT Tina Jones No. I think it's gross. - Do you experience second hand smoke Question 03/17/20 10:21 AM MDT Tina Jones Some of my friends smoke when we go out drinking. But I don't smoke, and nobody at home smokes. - Do you smoke marijuana Question 03/17/20 10:21 AM MDT Tina Jones Um, yeah, I've done that before. In high school, and after high school... I definitely don't anymore, though. - When was the last time you smoked marijuana Question 03/17/20 10:22 AM MDT Tina Jones I haven't smoked pot since I was twenty or twenty-one. - Why did you quit smoking Question 03/17/20 10:22 AM MDT Tina Jones It just wasn't that fun anymore, plus it started to bother my asthma. - Have you experimented with any other drugs (Clarified to Have you ever experimented with drugs?.) Question 03/17/20 10:22 AM MDT Tina Jones Well, I used to smoke pot. . . but I don't do that anymore. (Clarified to if I have ever experimented with drugs.) - Does your mother have any health conditions Question 03/17/20 10:23 AM MDT Tina Jones Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though. - Did your father have any health problems Question 03/17/20 10:23 AM MDT Tina Jones He had high blood pressure and cholesterol, and diabetes too. - How old was he when he died (Clarified to How old was your father when he died?.) Question 03/17/20 10:24 AM MDT Tina Jones Last year when Dad passed, he was only 58. (Clarified to how old my dad was when he died.) - How are you coping with his death (Clarified to How are you coping with the death of your father?.) Question 03/17/20 10:24 AM MDT 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. (Clarified to how I am coping with my dad's death.) - I'm so glad to hear things are better now Empathize 03/17/20 10:25 AM MDT Tina Jones I appreciate you telling me that. - How many siblings do you have Question 03/17/20 10:25 AM MDT Tina Jones I have two--a brother and my little sister. - Does your brother have any medical conditions Question 03/17/20 10:25 AM MDT Tina Jones No, I don't think so. He's a little big, maybe. - Does your sister have any medical problems Question 03/17/20 10:26 AM MDT Tina Jones She's pretty healthy. She has asthma but almost never has attacks. - Are your grandparents alive Question 03/17/20 10:26 AM MDT Tina Jones Granny's the only one who's still alive. - Does granny have any medical problems Question 03/17/20 10:26 AM MDT Tina Jones She takes some blood pressure pills, and I think she has high cholesterol, but Granny's doing great for 82. - How did your grandparents die Question 03/17/20 10:26 AM MDT Tina Jones Well, only my Granny's still alive. Grandpa Jones died of colon cancer when I was really little, and Mom's parents died about five years ago. Nana had a stroke, and Poppa had a heart attack. - I am so sorry to hear that Empathize 03/17/20 10:27 AM MDT Tina Jones Thanks for saying that. - Are you the only diabetic in your family (Clarified to Does anyone else in your family have diabetes?.) Question 03/17/20 10:27 AM MDT Tina Jones Dad had sugar diabetes, and I think my Grandpa Jones did too. (Clarified to if anyone else in my family has diabetes.) - Does asthma run in your family Question 03/17/20 10:27 AM MDT Tina Jones My baby sister has asthma like me, but she's pretty healthy. She almost never has trouble with it. - Does obesity run in your family Question 03/17/20 10:28 AM MDT 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. - Has anyone in your family had cancer besides grandpa jones Question 03/17/20 10:28 AM MDT Tina Jones Um, Grandpa Jones died of colon cancer. - Do you have a family history of thyroid problems Question 03/17/20 10:29 AM MDT Tina Jones No, I don't think so. - Does anyone in your family have a history of substance abuse Question 03/17/20 10:29 AM MDT Tina Jones No, no drugs in my family. The only thing like that is that one of my uncles is an alcoholic. - Does your uncle violent when he drinks (Clarified to Which of your uncles is an alcoholic?.) Question 03/17/20 10:29 AM MDT Tina Jones He's my uncle on my dad's side. To be honest, I don't really know him that well. [AUDIO COMING SOON] (Clarified to which of my uncles is an alcoholic.) - Do headaches run in your familyQuestion 03/17/20 10:30 AM MDT Tina Jones No, not that I know of. - How is your sleeping Question 03/17/20 10:30 AM MDT Tina Jones Usually I get enough sleep, but I haven't been sleeping well the past couple nights because of my foot. - Do you have a history of depression or anxiety Question 03/17/20 10:31 AM MDT Tina Jones 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. - Do you have a history of suicidal thinking Question 03/17/20 10:32 AM MDT Tina Jones No, no. I don't have feelings like that. God never gives you more than you can bear, you know? - That's a very positive outlook Empathize 03/17/20 10:32 AM MDT Tina Jones I appreciate you saying that. - Have you ever had any head injuries or falls Question 03/17/20 10:33 AM MDT Tina Jones No. - Have you ever had any problems with your ears Question 03/17/20 10:33 AM MDT Tina Jones No. I think my ears are fine. - Do you have any trouble with your vision Question 03/17/20 10:33 AM MDT Tina Jones I've actually been noticing problems lately. When I'm reading or studying I'll notice that things start to get kind of blurry. - Do you wear glasses or contacts Question 03/17/20 10:34 AM MDT Tina Jones I don't wear contacts or glasses, no. - Do you have watery eyes Question 03/17/20 10:34 AM MDT Tina Jones No. Well, unless I'm around cats. Then they get a little watery. - Do you have dry eyes Question 03/17/20 10:34 AM MDT Tina Jones No. - When was your last vision exam Question 03/17/20 10:35 AM MDT Tina Jones I got my vision tested as a kid at the doctor, but I haven't gotten an eye exam since then. - Do you have any nose problems Question 03/17/20 10:35 AM MDT Tina Jones My nose is fine right now. Sometimes it runs, but not very often. - Have you been sneezingQuestion 03/17/20 10:35 AM MDT Tina Jones No. I only really have that problem around cats. . . or sometimes dust. - Have you had problems with your sinuses Question 03/17/20 10:41 AM MDT Tina Jones Not really. Just a runny nose sometimes around cats. - Do you have nose bleeds Question 03/17/20 10:41 AM MDT Tina Jones No. - Have you noticed a change in your sense of smell Question 03/17/20 10:42 AM MDT Tina Jones No. - Have you had any dental problems recently Question 03/17/20 10:42 AM MDT Tina Jones Nope, no problems. - When did you last see a dentist Question 03/17/20 10:42 AM MDT Tina Jones Um, I think the last time was a few years ago. I went twice a year as a kid, though. - Have you had a sore throat lately Question 03/17/20 10:42 AM MDT Tina Jones No, I haven't had a sore throat in awhile. - Do you have a history of throat problems Question 03/17/20 10:43 AM MDT Tina Jones As a kid, I got strep sometimes, maybe like once a year. I haven't had a strep throat since...probably since I graduated high school. - Do you ever have any chest painQuestion 03/17/20 10:43 AM MDT Tina Jones No, my chest feels tight when I have breathing problems, but it doesn't hurt. - Does your heartbeat every feel irregular Question 03/17/20 10:43 AM MDT Tina Jones I think my heart's fine. I don't really notice how it beats. - Do you bruise easily Question 03/17/20 10:43 AM MDT Tina Jones I don't think so, no... I don't hurt myself very often. - Do you get any swelling in your legs Question 03/17/20 10:44 AM MDT Tina Jones Only the bottom of my foot is swollen. - Do you have any circulation problems Question 03/17/20 10:44 AM MDT Tina Jones I don't think I have any circulation problems. - Do you have any gastrointestinal problems Question 03/17/20 10:44 AM MDT Tina Jones No. I've never really had stomach or bowel problems. - How often do you have bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um, probably every day or every other day. - Have you noticed a change in your bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um. . . everything's been normal. - Do you have constipation or diarrhea Question 03/17/20 10:45 AM MDT Tina Jones No, everything's been normal. - Do you ever get heartburn Question 03/17/20 10:45 AM MDT Tina Jones No, not at all. - Any pain with urination Question 03/17/20 10:46 AM MDT Tina Jones It doesn't hurt or feel different when I pee. - Any blood in your pee Question 03/17/20 10:46 AM MDT Tina Jones I don't think so . . . My pee hasn't been red or anything. - Do you have trouble holding your pee Question 03/17/20 10:46 AM MDT Tina Jones Um, are you asking if I pee myself? Definitely not. - I understand some of these questions can be embarrassing or odd. I ask everyone these questions Empathize 03/17/20 10:47 AM MDT Tina Jones Thanks. - Have you ever had a urinary tract infection Question 03/17/20 10:50 AM MDT Tina Jones Nope. - Do you have any vaginal problems Question 03/17/20 10:50 AM MDT Tina Jones No, I haven't had any problems in that area. - Do you ever have muscle or joint pain Question 03/17/20 10:50 AM MDT Tina Jones No. - do your muscles ever feel weak Question 03/17/20 10:52 AM MDT Tina Jones No, I wouldn't say I feel weak. - do you get dizzyQuestion 03/17/20 10:52 AM MDT Tina Jones No, I can't remember the last time I got dizzy. - any tingling Question 03/17/20 10:52 AM MDT Tina Jones No, I haven't noticed any tingling. - have you noticed being clumsy lately (Clarified to Have you been feeling clumsy?.) Question 03/17/20 10:52 AM MDT Tina Jones No, I don't think anything's changed. I've always been kind of clumsy. (Clarified to if I have been feeling clumsy.) - have you ever had seizures Question 03/17/20 10:53 AM MDT Tina Jones No. I've seen somebody have one, though. It's scary. - do you lose your balance Question 03/17/20 10:53 AM MDT Tina Jones I think my balance is ok, it's just hard to walk because I try not to walk on the scrape. - did you have acne Question 03/17/20 10:53 AM MDT Tina Jones Yeah, I've had acne off and on since I was a teenager. - do you have any facial hair (Clarified to Do you have facial hair?.)Question 03/17/20 10:53 AM MDT Tina Jones Yeah, I've noticed some hairs on my chin that I have to pluck, and I'm...I guess you can see that I'm kind of getting a mustache, which I hate. I'm embarrassed about it. I think I need to start waxing it... I have some belly hair, too. (Clarified to if I have hair on my face.) - have you ever seen an endocrinologist Question 03/17/20 10:54 AM MDT Tina Jones No. . . I don't go to the doctor much. - Do you have any problems with your skin Question 03/17/20 10:54 AM MDT 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. - Is your skin dry Question 03/17/20 10:55 AM MDT Tina Jones Yeah, the skin on my arms and legs gets dry. - You can try some moisturizer and take showers that are not hot Educate 03/17/20 10:55 AM MDT Tina Jones OK, I understand. - Thank you for being so patient with me today. I understand I have asked a lot of questions. Empathize 03/17/20 10:56 AM MDT