Cardiovascular tina jones shadow health Transcript

Transcript

Started: Jun 27, 2020 | Total Time:109 min

Hello my name is Danielle I will be your provider today

Greet
06/27/20 3:27 PM CDT

Hey.

Can you verify your name

Question
06/27/20 3:27 PM CDT

Tina Jones.

Your date of birth

Question
06/27/20 3:27 PM CDT

February 17th.

Thank you

Question
06/27/20 3:27 PM CDT

You’re welcome.

What brings you in today

Question
06/27/20 3:27 PM CDT

I’ve been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don’t want to ignore heart stuff, I guess.

I’m sorry to hear you’re experiencing those symptoms, they can be very uncomfortable. I’ll ask you some questions to learn more about your symptoms, and we will try to determine what’s causing you to feel this way

Empathize
06/27/20 3:29 PM CDT

Thanks for saying that.

When did you first notice these symptoms

Question
06/27/20 3:30 PM CDT

I think the first time was about a month ago.

What were you doing when you noticed these symptoms (Clarified to What were you doing when you got the palpitations?.)

Question
06/27/20 3:30 PM CDT

I usually notice them on my way to class in the mornings. My schoolwork has really been picking up and I’ve been drinking energy drinks to help keep me focused during the day, so maybe the caffeine or whatever else is in those things has something to do with it. (Clarified to what I was doing when the palpitations occured.)

How many energy drinks do you drink per day

Question
06/27/20 3:31 PM CDT

Usually just one in the morning, kind of like some people have a cup of coffee. Some mornings lately I’ve had two, though.

Drinking high levels of caffeine can make you feel stressed or anxious, and can dehydrate you. over time, lots of caffeine can make you experience “crashes” during the day, too. let’s talk about healthy alternatives

Educate
06/27/20 3:33 PM CDT

Sure, I think I understand what you mean.

How often were you experiencing these symptoms

Question
06/27/20 3:33 PM CDT

No.

How often do you notice your heart racing fast (Clarified to How often does your heart beat fast?.)

Question
06/27/20 3:33 PM CDT

It’s been about once a week for the past month. (Clarified to how often my heart beats fast.)

Can you describe it for me (Clarified to What is your heartbeat like?.)

Question
06/27/20 3:34 PM CDT

It’s usually normal, but it’s way faster during these episodes I’ve been having. (Clarified to what my heartbeat is like.)

How do you feel when your heart is racing fast

Question
06/27/20 3:34 PM CDT

Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable.

Is there anything that relieves the fast heartbeat (Clarified to Does anything relieve your symptoms?.)

Question
06/27/20 3:35 PM CDT

I haven’t tried anything specific, other than just trying to relax and breathe deep. (Clarified to if anything relieves my symptoms.)

Do you take any medications to help you with your symptoms

Question
06/27/20 3:35 PM CDT

Nope.

What medications are you taking

Question
06/27/20 3:35 PM CDT

I have a daily inhaler and a rescue inhaler for my asthma.

Are you taking any new medications

Question
06/27/20 3:36 PM CDT

Yeah, I have a daily inhaler now that I’ve been using.

What’s the name of the medication

Question
06/27/20 3:36 PM CDT

The daily inhaler is Flovent, and the rescue inhaler is Proventil.

Do you have any new allergies

Question
06/27/20 3:36 PM CDT

No, not that I know of.

Do you have a history of hypertension

Question
06/27/20 3:37 PM CDT

…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.

Do you check your blood pressure

Question
06/27/20 3:37 PM CDT

Only when I’m here at the clinic.

Do you have any health history that would contribute to hypertension (No matching questions found.)

Question
06/27/20 3:38 PM CDT

Do you have diabetes

Question
06/27/20 3:38 PM CDT

Yeah, I was diagnosed a few years ago.

Do you have high cholesterol

Question
06/27/20 3:38 PM CDT

I’ve never had it tested. My family has problems with high cholesterol, but I don’t think I do.

Any history of a heart murmur

Question
06/27/20 3:38 PM CDT

No.

Do you have health insurance

Question
06/27/20 3:39 PM CDT

I have health insurance through work. To be honest, though, I’m not exactly sure what it covers.

Are you able to afford your Medications

Question
06/27/20 3:41 PM CDT

It wasn’t the cost that was a problem. I just didn’t like taking it.

What is your access to healthcare

Question
06/27/20 3:42 PM CDT

I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.

Do you have anything that stresses you out (Clarified to Are you stressed out?.)

Question
06/27/20 3:44 PM CDT

Yeah, I’ve been pretty stressed lately. (Clarified to if I am stressed out.)

What are you stressed about

Question
06/27/20 3:44 PM CDT

School is really busy right now, like I have a lot of projects due all around the same time. And on top of that, I’ve had to cover more at work lately, and I’m in charge of a big project at work, too.

Sounds like you’re working really hard. I’m sorry you’re dealing with so much stress.

Empathize
06/27/20 3:45 PM CDT

Thanks for understanding.

Tell me about your diet (Clarified to What is your diet like?.)

Question
06/27/20 3:46 PM CDT

It’s pretty good, I think. I’m not a huge health nut or anything. (Clarified to what my diet is like.)

What are usually eat in a typical day

Question
06/27/20 3:46 PM CDT

Let’s see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner.

Do you have snacks

Question
06/27/20 3:46 PM CDT

Yeah, I usually have some snacks during the day.

What type of snacks

Question
06/27/20 3:46 PM CDT

I try to eat snacks that are kind of healthy like pretzels–sometimes if I’ll treat myself and get french fries, but I try not to do that too often.

Do you exercise

Question
06/27/20 3:47 PM CDT

I’m pretty exhausted by the end of the day, so I don’t have the energy to do any extra exercise. 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.

I understand being busy and having very little free time. however, exercise is healthy for you, and can even relieve stress. even small amounts of exercise, such as taking a short walk, can improve your health

Educate
06/27/20 3:49 PM CDT

Thanks for telling me.

Do you use any recreational drugs

Question
06/27/20 3:49 PM CDT

No.

Do you use tobacco products

Question
06/27/20 3:49 PM CDT

No. I think it’s gross.

Do you drink alcohol

Question
06/27/20 3:50 PM CDT

I do sometimes, yeah, when I go out with my friends.

How often do you drink alcohol

Question
06/27/20 3:50 PM CDT

No more than once or twice a week, sometimes less.

How much do you drink when you go out

Question
06/27/20 3:50 PM CDT

Just a few. I’m not a big drinker.

How do you feel overall

Question
06/27/20 3:51 PM CDT

I’m feeling fine right now, but I wanted to make sure there’s nothing serious going on with my heart.

Do you have any other symptoms

Question
06/27/20 3:51 PM CDT

I guess when it happens I feel a bit worried, like anxious, but that’s all.

Do you experience any fatigue

Question
06/27/20 3:51 PM CDT

Yeah, most days I feel pretty exhausted by the end of the day.

Do you have any nausea vomiting

Question
06/27/20 3:51 PM CDT

I haven’t had thrown up, or even had an upset stomach, in a long time.

Have you noticed any swelling in your legs

Question
06/27/20 3:52 PM CDT

No, not that I have noticed.

Do you have a family history of heart problems

Question
06/27/20 3:52 PM CDT

Um, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.

Do you have a family history of heart disease

Question
06/27/20 3:52 PM CDT

Um, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.

Any family history of high cholesterol

Question
06/27/20 3:53 PM CDT

Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.

Family history of obesity

Question
06/27/20 3:53 PM CDT

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.

Family history of a stroke

Question
06/27/20 3:53 PM CDT

Yeah, that’s how my Nana died.

Any family history of hypertension

Question
06/27/20 3:53 PM CDT

We’ve got high blood pressure in our family for sure. Granny, Mom, and Dad had it…and honestly I think my other three grandparents might’ve had issues with that, too.

A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Educate
06/27/20 3:55 PM CDT

Alright, thanks for letting me know.

I am going to examine you now

Question
06/27/20 3:56 PM CDT

Alright.

Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Inspected right side chest wall

Exam Action
06/27/20 3:56 PM CDT

Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Inspected left side chest wall

Exam Action
06/27/20 3:56 PM CDT

Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Inspected for jugular venous distention: JVP 1 cm above sternal angle

Exam Action
06/27/20 3:56 PM CDT

Inspected fingernails of right hand

Exam Action
06/27/20 3:57 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Inspected fingernails of left hand

Exam Action
06/27/20 3:57 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Inspected fingernails of right hand

Exam Action
06/27/20 3:58 PM CDT

Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Inspected right leg

Exam Action
06/27/20 3:59 PM CDT

Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Inspected left leg

Exam Action
06/27/20 3:59 PM CDT

Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Inspected right leg for edema: No edema

Exam Action
06/27/20 3:59 PM CDT

Inspected toenails

Exam Action
06/27/20 3:59 PM CDT

Checked capillary refill in toenails

Exam Action
06/27/20 3:59 PM CDT

Checked capillary refill in toenails

Exam Action
06/27/20 3:59 PM CDT

Checked capillary refill in toenails