Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
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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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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Empathize |
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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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Educate |
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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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Shoshanna Tillman’s Follow-Up Sick Visit: Musculoskeletal Shadow Health Transcript
Transcript
Commenced:
Your Avatar:
Hello, Shoshanna. I will be conducting an interview and examination today.
Greet
05/24/23 12:15 PM EDT
Shoshanna Tillman:
Hi.
Your Avatar:
What brings you here today?
Question
05/24/23 12:34 PM EDT
Shoshanna Tillman:
I’m here for a follow-up on my last visit regarding my joint pain and constant fatigue.
Your Avatar:
I apologize for the inconvenience.
Empathize
05/24/23 12:34 PM EDT
Shoshanna Tillman:
Thank you.
Your Avatar:
How long have you been experiencing joint pain?
Question
05/24/23 12:35 PM EDT
Shoshanna Tillman:
The joint pain started around three months ago.
Your Avatar:
Where is the joint pain primarily located?
Question
05/24/23 12:36 PM EDT
Shoshanna Tillman:
Mainly in my hands and wrists, but I also have a general all-over pain.
Your Avatar:
Could you describe the pain you’re feeling?
Question
05/24/23 12:38 PM EDT
Shoshanna Tillman:
It feels like a constant stiffness and aching all over. In my hands and wrists, it’s a dull, throbbing pain.
Your Avatar:
What exacerbates your pain?
Question
05/24/23 12:38 PM EDT
Shoshanna Tillman:
Activities like holding my coffee cup in the morning are tough on my hands and fingers. Also, typing and using my art tools become painful after a while.
Your Avatar:
What brings relief to your pain?
Question
05/24/23 12:39 PM EDT
Shoshanna Tillman:
Taking long, hot showers provides some relief, and the diclofenac medication has been helpful.
Your Avatar:
On a scale of 1 to 10, how would you rate your pain?
Question
05/24/23 12:40 PM EDT
Shoshanna Tillman:
Since starting diclofenac, it’s around a 2 out of 10. Before that, it was more like a 3 or 4.
Your Avatar:
How long have you been experiencing fatigue?
Question
05/24/23 12:41 PM EDT
Shoshanna Tillman:
I’ve been feeling fatigued for about three months now.
Your Avatar:
Is your fatigue a constant feeling?
Question
05/24/23 12:41 PM EDT
Shoshanna Tillman:
Yes, it’s persistent.
Your Avatar:
Does your fatigue worsen during the day?
Question
05/24/23 12:42 PM EDT
Shoshanna Tillman:
Yes, it tends to get worse as the day goes on.
Your Avatar:
Do you notice any specific factors that exacerbate your fatigue?
Question
05/24/23 12:44 PM EDT
Shoshanna Tillman:
I can’t pinpoint anything specific, but I’ve been under a lot of stress lately.
Your Avatar:
I’m sorry to hear that.
Empathize
05/24/23 12:44 PM EDT
Shoshanna Tillman:
I appreciate your understanding.
Your Avatar:
Are you able to perform your daily activities?
Question
05/24/23 12:45 PM EDT
Shoshanna Tillman:
Yes, I can manage my daily tasks, but I find that it takes longer now because I’m so fatigued. Sometimes, I feel drained after completing them.
Your Avatar:
Do you have any insights into what might be causing your fatigue?
Question
05/24/23 12:45 PM EDT
Shoshanna Tillman:
I’m not sure why I’m so tired. I haven’t identified any specific triggers. It could be related to hormonal changes or stress, as I’ve been experiencing a lot of stress lately.
Your Avatar:
Do you have any allergies?
Question
05/24/23 12:45 PM EDT
Shoshanna Tillman:
Yes, I’m allergic to codeine.
Your Avatar:
Do you have any food allergies?
Question
05/24/23 12:46 PM EDT
Shoshanna Tillman:
No, I don’t.
Your Avatar:
How frequently does your pain occur?
Question
05/24/23 12:46 PM EDT
Shoshanna Tillman:
It’s constant, to be honest, and it tends to be most pronounced in the morning.
Your Avatar:
Do you have any other health issues?
Question
05/24/23 12:48 PM EDT
Shoshanna Tillman:
Apart from my joint pain and constant fatigue, there are no other diagnosed health concerns.
Your Avatar:
Have you experienced any mental health conditions?
Question
05/24/23 12:48 PM EDT
Shoshanna Tillman:
I don’t have any clinical diagnoses, but I have been feeling somewhat down and quite anxious lately.
Your Avatar:
I’m sorry to hear that.
Empathize
05/24/23 12:50 PM EDT
Shoshanna Tillman:
Thank you for your kind words.
Your Avatar:
Have you ever been hospitalized?
Question
05/24/23 12:50 PM EDT
Shoshanna
Tillman:
Only for my three deliveries.
Your Avatar:
Have you undergone any surgeries?
Question
05/24/23 12:51 PM EDT
Shoshanna Tillman:
No, I haven’t.
Your Avatar:
Are you currently taking any medications?
Question
05/24/23 12:51 PM EDT
Shoshanna Tillman:
Yes, I’m taking diclofenac. I used to take ibuprofen. Additionally, I have an IUD.
Your Avatar:
What is the dosage of your diclofenac medication?
Question
05/24/23 12:51 PM EDT
Shoshanna Tillman:
I’m prescribed diclofenac sodium 50 mg.
Your Avatar:
Why were you prescribed diclofenac?
Question
05/24/23 12:52 PM EDT
Shoshanna Tillman:
I was prescribed diclofenac during my previous visit to address my joint pain.
Your Avatar:
What was the dosage of your Ibuprofen?
Question
05/24/23 12:52 PM EDT
Shoshanna Tillman:
I used to take 400 milligrams at a time, 2 or 3 times a day.
Your Avatar:
Which IUD are you using?
Question
05/24/23 12:54 PM EDT
Shoshanna Tillman:
I have the levonorgestrel IUD.
Your Avatar:
Do you take your medications as prescribed?
Question
05/24/23 12:54 PM EDT
Shoshanna Tillman:
Yes, I’m very diligent about taking my medications.
Your Avatar:
When did you last take your medication?
Question
05/24/23 12:55 PM EDT
Shoshanna Tillman:
I took my diclofenac this morning.
Your Avatar:
Do you use tobacco?
Question
05/24/23 12:55 PM EDT
Shoshanna Tillman:
No, I’ve never used tobacco.
Your Avatar:
Do you consume alcohol regularly?
Question
05/24/23 12:55 PM EDT
Shoshanna Tillman:
Yes, I do drink alcohol.
Your Avatar:
Tell me about your typical diet.
Question
05/24/23 12:56 PM EDT
Shoshanna Tillman:
I strive to maintain a healthy diet. For breakfast, I often have fruit and yogurt, or I’ll make eggs and pancakes for the kids on weekends. At lunch, I enjoy salads, soups, tacos, and wraps. For dinner, we typically have salmon or chicken with a side of vegetables and a grain, pasta, or legumes. If I need a snack, I might have some almonds, fruit, a granola bar, or hummus with carrots.
Your Avatar:
How much water do you drink daily?
Question
05/24/23 12:57 PM EDT
Shoshanna Tillman:
I typically consume around 6 to 8 glasses of water a day.
Your Avatar:
Do you consume caffeine?
Question
05/24/23 12:58 PM EDT
Shoshanna Tillman:
Yes, I do. I usually have 2 to 3 cups of coffee in the morning and a couple more in the afternoon.
Your Avatar:
It’s important to be mindful of excessive caffeine intake for your health.
Educate
05/24/23 12:58 PM EDT
Shoshanna Tillman:
I understand, thank you.
Your Avatar:
Do you engage in regular physical activity?
Question
05/24/23 12:58 PM EDT
Shoshanna Tillman:
I could probably exercise more, but I struggle with time and energy constraints. I walk the dog 3 or 4 times a week, which is something. I used to attend yoga and spin classes, but it’s not very practical for me now.
Your Avatar:
I appreciate your concerns, but incorporating regular exercise into your routine is essential.
Educate
05/24/23 1:00 PM EDT
Shoshanna Tillman:
I see your point.
Your Avatar:
How many hours of sleep do you typically get each night?
Question
05/24/23 1:00 PM EDT
Shoshanna Tillman:
I usually get about 5 or 6 hours of sleep per night.
Your Avatar:
Could you share your occupation with me?
Question
05/24/23 1:00 PM EDT
Shoshanna Tillman:
I own and operate an art gallery called Bricolage with my husband. I’m also an artist, and I occasionally contribute my artwork to the gallery.
Your Avatar:
What is your level of education?
Question
05/24/23 1:02 PM EDT
Shoshanna Tillman:
I hold a Bachelor of Fine Arts in studio art and a Bachelor of Arts in art history.
Your Avatar:
Do you feel financially secure in your current occupation?
Question
05/24/23 1:02 PM EDT
Shoshanna Tillman:
At the moment, our gallery is turning a profit, and we’re making a satisfactory income. It took some time to reach this point since it’s a relatively new business. Operating a small business, especially in the art world, is challenging and uncertain.
Your Avatar:
Are you experiencing any stress in your life?
Question
05/24/23 1:02 PM EDT
Shoshanna Tillman:
Yes, I’ve been under a lot of stress lately.
This concludes the expanded and paraphrased transcript of Shoshanna Tillman’s Follow-Up Sick Visit: Musculoskeletal Shadow Health.
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