Shadow Health Assignments
Arun Patel shadow health – Focused Exam: Hypertension and Type 2 Diabetes
Transcript
Started: Mar 31, 2020 | Total Time:51 min
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hi, i am danielle
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Hey.
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whats the primary reason for your visit
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I’m here to check up on some numbers that I have for my diabetes and my hypertension. Guess they’re not looking too hot.
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I know that a diagnosis can be frightening, and that keeping your diabetes under control is difficult and stressful. However, this is a manageable condition, and you have the chance to greatly improve your situation with diet and exercise
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Alright. I get it.
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how long have you had these conditions
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I got diagnosed with diabetes five years ago, and hypertension a year ago. But for the more recent stuff . . . over the past three or so months, I’ve gained some weight and felt pretty fatigued. And for probably a month now, I’ve had to pee way more and drink way more water.
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do you check your blood sugar
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I check my blood sugar . . . sometimes. I know with diabetes, you have to check it every day, but I don’t have a lot of time, and needles are tough for me.
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you need to check you blood sugar regularly and keep a record. I know that you dint like needles but if you dont monitor your diabetes you could end up needing insulin, which involves injections. you should aim to use your glucometer at least four times a week
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Yeah, youre probably right.
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do you have any allergies
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I don’t have any allergies that I know of.
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any recent hospitalizations
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I haven’t ever been hospitalized in that sense of the word. But I have seen a doctor before, about my hypertension and diabetes numbers, and I’m here to check in about them.
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what are your home medications
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Hydrochlorothiazide for my hypertension, metformin for diabetes, and escitalopram for anxiety.
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what dosage do you take (Clarified to What doses are your medications?.)
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Let’s see . . . the water pill is a 50 milligram . . . the anxiety pill is a 20 milligram . . . and the metformin is an 850 milligram tablet. (Clarified to what dose my medications are.)
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do you miss any does (Clarified to Do you miss doses of your medication?.)
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I’m good about taking all my doses. I just take my metformin with breakfast, lunch, and dinner. And I take the water pill and the anxiety pill just with breakfast. I’ve been on metformin for 5 years, and I don’t think I’ve missed a dose. (Clarified to if I miss doses of my medication.)
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do you exercise
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I don’t exercise. I just don’t have the time.
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tell me about your diet
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My diet could be better, to be honest. I eat a lot of carbs and fried foods, and I tend to go for pizza when I’ve had a really bad day. I don’t feel like my diet is out of control exactly, but I’ve been thinking about cutting down.
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do you drink
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I never drink.
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what level of income do you make
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I make around $25,000 off of my graduate school stipend. I have to be pretty careful with my budget.
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family history
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My folks have some stuff going on, which is probably why I’ve got some stuff going on. My dad has hypertension like me, and my mom has diabetes like me. She has high cholesterol, too.
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i am sorry to hear that you are having a hard time with your family. I am sure that is adding to current stress and anxiety
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Empathize |
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Ha, thanks.
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i am sorry about your financial difficulties
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Empathize |
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Thank you.
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difficulty urinating
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I can pee just fine. In fact, I’ve been having to pee way more these days.
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any chest pain
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I never really have chest pain.
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how you deal with your anxiety
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Usually when I’m anxious, I just breathe slow and take a few minutes, but I’ve been so much more worried lately it doesn’t work very well. Honestly, the only new thing I’ve been doing to deal with all this stress is eat comfort food. I’ve probably gained 15 pounds since I last came to the doctor three months ago.
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managing you anxiety can be challenging, and I’m sorry it has made such a huge impact on your life
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Thanks for saying that.
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a healthy diet is important to control your hypertension and disbetes
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Educate |
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Good to know.
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in order to manage your diabetes and hypertension, you will need to manage your weight
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Educate |
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I hadn’t thought of that.
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i need to educate you on your new medications
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I appreciate it.
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take at same time everyday
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Yeah. Got it.
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stop taking your previous medications
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Alright. I’ll stop taking my other medication.
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monitor for signs of low blood sugar
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I’ll start keeping snacks in my school bag.
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monitor for signs of an allergic reaction
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I’ll let you now right away if I see anything like that.
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it is important to check your blood sugar
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Alright – I can do that.
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stop taking your other medication
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Alright. I will.
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report signs of cough fatigue and headache
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Thanks for the heads up.
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contact us immediately if your tongue swells
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Ah. Alright.
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avoid salt substitutes
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and standing too quickly
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Hmm. Alright.
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can i help you with anything else.
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Ok. See you later.
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Arun Patel Shadow Health – Focused Exam: Hypertension and Type 2 Diabetes Transcript
Started: Mar 31, 2020 | Total Time: 51 min
Your avatar
Hello, I am Danielle
Greet
03/31/20 1:00 AM CDT
Arun Patel
Hey.
Your avatar
What is the main reason for your visit?
Question
03/31/20 1:00 AM CDT
Arun Patel
I’m here to check on my diabetes and high blood pressure. I think they’re not in good shape.
Your avatar
I know a diagnosis can be scary, and managing diabetes can be tough and stressful. But you can manage it with diet and exercise.
Educate
03/31/20 1:03 AM CDT
Arun Patel
Alright, I understand.
Your avatar
How long have you had these conditions?
Question
03/31/20 1:04 AM CDT
Arun Patel
I was diagnosed with diabetes five years ago and hypertension a year ago. Recently, I’ve gained weight, felt tired, and needed to urinate more.
Your avatar
Do you check your blood sugar?
Question
03/31/20 1:06 AM CDT
Arun Patel
I check sometimes, but I don’t have much time, and needles are hard for me.
Your avatar
You should regularly check your blood sugar and keep a record. If you don’t, you might need insulin later, which involves injections. Aim for four times a week with your glucometer.
Educate
03/31/20 1:09 AM CDT
Arun Patel
You’re right, I should.
Your avatar
Do you have any allergies?
Question
03/31/20 1:10 AM CDT
Arun Patel
I don’t think I have any allergies.
Your avatar
Any recent hospitalizations?
Question
03/31/20 1:10 AM CDT
Arun Patel
I haven’t been hospitalized, but I’ve seen doctors for my hypertension and diabetes. I’m here to follow up.
Your avatar
What are your home medications?
Question
03/31/20 1:10 AM CDT
Arun Patel
I take Hydrochlorothiazide for hypertension, metformin for diabetes, and escitalopram for anxiety.
Your avatar
What doses are your medications?
Question
03/31/20 1:10 AM CDT
Arun Patel
The water pill is 50 milligrams, the anxiety pill is 20 milligrams, and the metformin is 850 milligrams.
Your avatar
Do you miss doses of your medication?
Question
03/31/20 1:11 AM CDT
Arun Patel
I’m good with doses. I take metformin with meals and the other pills with breakfast. I’ve been consistent with metformin for 5 years.
Your avatar
Do you exercise?
Question
03/31/20 1:13 AM CDT
Arun Patel
No, I don’t have time.
Your avatar
Tell me about your diet.
Question
03/31/20 1:13 AM CDT
Arun Patel
My diet isn’t great. I eat carbs, fried foods, and pizza when I’m stressed. I want to improve it.
Your avatar
Do you drink?
Question
03/31/20 1:13 AM CDT
Arun Patel
I don’t drink alcohol.
Your avatar
What’s your income level?
Question
03/31/20 1:15 AM CDT
Arun Patel
I make about $25,000 from my graduate stipend. I have to budget carefully.
Your avatar
Family history.
Question
03/31/20 1:15 AM CDT
Arun Patel
My parents have health issues too, like hypertension and diabetes. My mom also has high cholesterol.
Your avatar
I’m sorry to hear about your family situation. I’m sure it adds stress and anxiety.
Empathize
03/31/20 1:16 AM CDT
Arun Patel
Thank you.
Your avatar
I’m sorry about your financial difficulties.
Empathize
03/31/20 1:17 AM CDT
Arun Patel
Thanks.
Your avatar
Difficulty urinating.
Question
03/31/20 1:18 AM CDT
Arun Patel
I can urinate fine, but I’ve been urinating more frequently.
Your avatar
Any chest pain.
Question
03/31/20 1:18 AM CDT
Arun Patel
I haven’t experienced chest pain.
Your avatar
How do you cope with anxiety?
Question
03/31/20 1:20 AM CDT
Arun Patel
When I’m anxious, I take deep breaths, but it’s not as effective lately. I’ve been eating comfort food, gaining weight.
Your avatar
Dealing with anxiety can be tough, and I’m sorry it’s affecting you so much.
Empathize
03/31/20 1:21 AM CDT
Arun Patel
Thanks for understanding.
Your avatar
A healthy diet is important for managing hypertension and diabetes.
Educate
03/31/20 1:22 AM CDT
Arun Patel
I’ll keep that in mind.
Your avatar
Managing diabetes and hypertension involves weight management.
Educate
03/31/20 1:24 AM CDT
Arun Patel
I hadn’t considered that.
Your avatar
I need to educate you on your new medications.
Question
03/31/20 1:31 AM CDT
Arun Patel
I appreciate it.
Your avatar
Take them at the same time every day.
Question
03/31/20 1:32 AM CDT
Arun Patel
Got it.
Your avatar
Stop taking your previous medications.
Question
03/31/20 1:32 AM CDT
Arun Patel
Okay, I’ll stop those.
Your avatar
Monitor for signs of low blood sugar.
Question
03/31/20 1:32 AM CDT
Arun Patel
I’ll keep snacks in my school bag.
Your avatar
Monitor for signs of an allergic reaction.
Question
03/31/20 1:33 AM CDT
Arun Patel
I’ll let you know if anything happens.
Your avatar
Checking your blood sugar is important.
Question
03/31/20 1:34 AM CDT
Arun Patel
I’ll make sure to do that.
Your avatar
Stop taking your other medication.
Question
03/31/20 1:34 AM CDT
Arun Patel
Sure, I’ll do that.
Your avatar
Report signs of cough, fatigue, and headache.
Question
03/31/20 1:34 AM CDT
Arun Patel
I’ll keep you updated.
Your avatar
Contact us if your tongue swells.
Question
03/31/20 1:35 AM CDT
Arun Patel
Got it.
Your avatar
Avoid salt substitutes.
Question
03/31/20 1:35 AM CDT
Arun Patel
Understood.
Your avatar
And stand up slowly.
Question
03/31/20 1:35
AM CDT
Arun Patel
Gotcha.
Your avatar
Can I assist you with anything else?
Question
03/31/20 1:36 AM CDT
Arun Patel
No, that’s all. See you later.
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