Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Greet
04/20/23 5:41 PM EDT
Liam Fitzgerald: Hi there.
Your Avatar: Can you hear me?

Question
04/20/23 5:41 PM EDT
Liam Fitzgerald: Yeah, I can hear you clearly.
Your Avatar: Are you in an appropriate environment for a telehealth visit?

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Question
04/20/23 5:42 PM EDT
Liam Fitzgerald: This is a fine place for us to talk.
Your Avatar: Do you understand that this telehealth visit is confidential?

Question
04/20/23 5:43 PM EDT
Liam Fitzgerald: Yup, I understand that this visit is private and confidential.
Your Avatar: What brings you here today?

Question
04/20/23 5:44 PM EDT
Liam Fitzgerald: I’m OK, just here for my regular telehealth follow-up.
Your Avatar: When was your last hospital visit?

Question
04/20/23 5:47 PM EDT
Liam Fitzgerald: Six months ago I was in the hospital for my heart failure symptoms.
Your Avatar: When were you diagnosed with heart failure?

Question
04/20/23 5:48 PM EDT
Liam Fitzgerald: I was diagnosed with heart failure two years ago now.
Your Avatar: What symptoms do you currently have?

Question
04/20/23 5:48 PM EDT
Liam Fitzgerald: I don’t really have any symptoms, just here for my follow-up. I’m doing OK.
Your Avatar: Are you using any medications?

Question
04/20/23 5:49 PM EDT
Liam Fitzgerald: My regular heart meds are carvedilol, candesartan, spironolactone, and an aspirin. I have some heart meds that I take as needed too — furosemide, a potassium chloride tablet, and nitroglycerin. For my cholesterol, I take atorvastatin and some fish oil.
Your Avatar: What are the dosages of your medications?

Question
04/20/23 5:50 PM EDT
Liam Fitzgerald: We’re going to have to go down the list since I have regular heart medications, as-needed heart medications, and cholesterol medications.
Your Avatar: What is the dosage of your heart medications?

Question
04/20/23 5:51 PM EDT
Liam Fitzgerald: The carvedilol is 12.5 milligrams, the candesartan is 32 milligrams, the spironolactone is 12.5 milligrams, and the aspirin is an 81 mg EC tablet. And then I take some as-needed heart failure medications.
Your Avatar: What is the dosage of your cholesterol medications?

Question
04/20/23 5:53 PM EDT
Liam Fitzgerald: Hm, let’s see. I take the atorvastatin — it’s 40 mg — and the omega-3 fatty acid fish oil, it’s 1000 mg. I take them both every day.
Your Avatar: What is your medical history?

Question
04/20/23 5:53 PM EDT
Liam Fitzgerald: That’s a long list, let’s see . . . Well, I have heart failure, that’s the big one. And I have coronary artery disease, high blood pressure, high cholesterol, and I had a heart attack a while back.
Your Avatar: When were you diagnosed with coronary artery disease?

Question
04/20/23 5:55 PM EDT
Liam Fitzgerald: I was diagnosed with it five years ago, at the time of my heart attack.
Your Avatar: When were you diagnosed with high blood pressure?

Question
04/20/23 5:55 PM EDT
Liam Fitzgerald: I’ve had high blood pressure for some time now. I was diagnosed at 38 but didn’t try to manage it much. It’s better now though.
Your Avatar: How do you control your blood pressure?

Question
04/20/23 5:56 PM EDT
Liam Fitzgerald: I’m on a few heart medicines, but the carvedilol is the one for blood pressure.
Your Avatar: Any family history of heart problems?

Question
04/20/23 5:57 PM EDT
Liam Fitzgerald: Yeah, heart issues run in the family. Mom’s alive, but she has high blood pressure and high cholesterol. Dad passed at 75 from a heart thing, not sure what it was, and he also had high blood pressure . . . oh, and he had open heart surgery too.
Your Avatar: What is your diet like?

Question
04/20/23 5:58 PM EDT
Liam Fitzgerald: Well, I’m on a low-sodium diet and I try to follow it. For breakfast I have oatmeal with some berries. Lunch is usually some soup, I try to do homemade ones, or some pasta with grilled chicken and vegetables. I’ll have a salad sometimes. Dinner is some fish or grilled chicken with some more vegetables, and some brown rice. If I want a snack, it’s air-popped, no salt popcorn, or an apple with no salt almond butter. It’s not very exciting, but it’s what I need to do.
Your Avatar: Great, a healthy diet is good for your health

Educate
04/20/23 5:58 PM EDT
Liam Fitzgerald: OK, thanks.
Your Avatar: Do you exercise?

Question
04/20/23 5:59 PM EDT
Liam Fitzgerald: Yeah, I exercise regularly. I do tai chi.
Your Avatar: Great, exercise is good for your health

Educate
04/20/23 5:59 PM EDT
Liam Fitzgerald: Got it. Thanks.
Your Avatar: Any allergies?

Question
04/20/23 5:59 PM EDT
Liam Fitzgerald: No, I don’t have allergies.
Your Avatar: Are your immunizations current?

Question
04/20/23 6:00 PM EDT
Liam Fitzgerald: I believe I’m up to date.
Your Avatar: Do you miss doses of your medication?

Question
04/20/23 6:00 PM EDT
Liam Fitzgerald: No. I’m good about taking my medicine.
Your Avatar: Great, it is good to take medications as prescribed

Educate
04/20/23 6:01 PM EDT
Liam Fitzgerald: Gotcha.
Your Avatar: Have you ever had a heart attack?

Question
04/20/23 6:01 PM EDT
Liam Fitzgerald: Yes, I have had a heart attack.
Your Avatar: When did you last have a heart attack?

Question
04/20/23 6:02 PM EDT
Liam Fitzgerald: My heart attack was five years ago.
Your Avatar: What are the symptoms of your heart attack?

Question
04/20/23 6:03 PM EDT
Liam Fitzgerald: The main thing I remember was really intense discomfort in my chest.
Your Avatar: Any history of hospitalizations?

Question
04/20/23 6:03 PM EDT
Liam Fitzgerald: I’ve had a few hospital stays. Five years ago I had a heart attack and they did surgery. Two years ago I had

some issues with my heart and went back in, and they diagnosed me with heart failure. Six months ago was the most recent time, my heart again. I wasn’t feeling great, but they took care of me and I was OK.
Your Avatar: How does your heart failure affect you?

Question
04/20/23 6:04 PM EDT
Liam Fitzgerald: It doesn’t, really — it’s asymptomatic most of the time.
Your Avatar: Do you drink?

Question
04/20/23 6:05 PM EDT
Liam Fitzgerald: Yeah, I drink some.
Your Avatar: How often do you drink?

Question
04/20/23 6:05 PM EDT
Liam Fitzgerald: I don’t really drink very often these days, just on special occasions. I used to have one or two beers a night, but I had to cut down after my heart attack. I’ll have that non-alcoholic stuff sometimes, it’s not half bad, but I’d just rather stick with the real thing if I’m going to have a drink.
Your Avatar: Too much alcohol consumption is not good for your health

Educate
04/20/23 6:08 PM EDT
Liam Fitzgerald: Alright then. Thanks.
Your Avatar: Do you smoke?

Question
04/20/23 6:08 PM EDT
Liam Fitzgerald: I used to smoke.
Your Avatar: When did you last smoke?

Question
04/20/23 6:10 PM EDT
Liam Fitzgerald: I quit smoking after my heart attack. I still get cravings though, so I use the nicotine gum.
Your Avatar: Great, smoking is not good for your health

Educate
04/20/23 6:10 PM EDT
Liam Fitzgerald: Ah, I see.
Your Avatar: Have you ever had an EKG test?

Question
04/20/23 6:11 PM EDT
Liam Fitzgerald: Yeah, when I was hospitalized six months ago for heart failure stuff, they did an EKG and an echocardiogram.
Your Avatar: Do you know your blood pressure number?

Question
04/20/23 6:12 PM EDT
Liam Fitzgerald: Today it was 155 over 95. A little higher than normal.
Your Avatar: Have you lost weight?

Question
04/20/23 6:14 PM EDT
Liam Fitzgerald: No, I’ve actually gained some.
Your Avatar: Gaining weight will only worsen your heart problems

Educate
04/20/23 6:15 PM EDT
Liam Fitzgerald: Got it. Thanks.
Your Avatar: How much weight have you gained?

Question
04/20/23 6:16 PM EDT
Liam Fitzgerald: About four or five pounds.
Your Avatar: Any swelling?

Question
04/20/23 6:16 PM EDT
Liam Fitzgerald: Yeah, I have some swelling right now.
Your Avatar: Where is the swelling located?

Question
04/20/23 6:17 PM EDT
Liam Fitzgerald: In my feet and ankles.
Your Avatar: Any chest pain?

Question
04/20/23 6:18 PM EDT
Liam Fitzgerald: No, my chest hasn’t been hurting.
Your Avatar: Any palpitations?

Question
04/20/23 6:19 PM EDT
Liam Fitzgerald: I don’t have any palpitations at all.
Your Avatar: What caused your weight gain?

Question
04/20/23 6:20 PM EDT
Liam Fitzgerald: I don’t know, really.
Your Avatar: Is your appetite fine?

Question
04/20/23 6:20 PM EDT
Liam Fitzgerald: My appetite’s been the same, pretty normal.
Your Avatar: What heart problems do you have?

Question
04/20/23 6:21 PM EDT
Liam Fitzgerald: I have a little swelling right now, if that counts. If you mean what heart conditions I have — I have coronary artery disease, heart failure, high cholesterol, high blood pressure, and I had a heart attack.
Your Avatar: Do you take caffeine?

Question
04/20/23 6:23 PM EDT
Liam Fitzgerald: I drink decaf.
Your Avatar: How often do you exercise?

Question
04/20/23 6:23 PM EDT
Liam Fitzgerald: I do tai chi three times a week.
Your Avatar: Any skin problems?

Question
04/20/23 6:24 PM EDT
Liam Fitzgerald: No, my skin is normal, same as ever.
Your Avatar: Any fatigue?

Question
04/20/23 6:24 PM EDT
Liam Fitzgerald: I’m feeling OK — not tired.
Your Avatar: What is your occupation?

Question
04/20/23 6:25 PM EDT
Liam Fitzgerald: I’m retired now, but I worked as a truck driver for the postal service.
Your Avatar: What is your living situation?

Question
04/20/23 6:25 PM EDT
Liam Fitzgerald: My home environment is good. I live in a one-story house with my daughter Claire, her husband Mark, and my grandson, Callum.
Your Avatar: Any urination issues?

Question
04/20/23 6:26 PM EDT
Liam Fitzgerald: No issues with going to the bathroom, but I do wake up needing to pee at night

Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Hi, my name is xx and I will interview you and later examine you

Greet
04/20/23 5:41 PM EDT

Liam Fitzgerald.
Hi there.
Your Avatar.
Can you hear me?

Question
04/20/23 5:41 PM EDT

Liam Fitzgerald.
Yeah, I can hear you clearly.
Your Avatar.
Are you in an appropriate environment for a telehealth visit?

Question
04/20/23 5:42 PM EDT

Liam Fitzgerald.
This is a fine place for us to talk.
Your Avatar.
Do you understand that this telehealth visit is confidential?

Question
04/20/23 5:43 PM EDT

Liam Fitzgerald.
Yup, I understand that this visit is private and confidential. [AUDIO COMING SOON]
Your Avatar.
What brings you here today?

Question
04/20/23 5:44 PM EDT

Liam Fitzgerald.
I’m OK, just here for my regular telehealth follow-up.
Your Avatar.
When was your last hospital visit?

Question
04/20/23 5:47 PM EDT

Liam Fitzgerald.
Six months ago I was in the hospital for my heart failure symptoms.
Your Avatar.
When were you diagnosed with heart failure?

Question
04/20/23 5:48 PM EDT

Liam Fitzgerald.
I was diagnosed with heart failure . . . two years ago now.
Your Avatar.
What symptoms do you currently have? (Clarified to Do you know what symptoms are you experiencing?.)

Question
04/20/23 5:48 PM EDT

Liam Fitzgerald.
I don’t really have any symptoms, just here for my follow-up. I’m doing OK. (Clarified to if I know what my symptoms are.)
Your Avatar.
Are you using any medications?

Question
04/20/23 5:49 PM EDT

Liam Fitzgerald.
My regular heart meds are carvedilol, candesartan, spironolactone, and an aspirin. I have some heart meds that I take as needed too — furosemide, a potassium chloride tablets, and nitroglycerin. For my cholesterol I take atorvastatin and some fish oil.
Your Avatar.
What are the dosages of your medications?

Question
04/20/23 5:50 PM EDT

Liam Fitzgerald.
We’re going to have to go down the list since I have regular heart medications, as needed heart medications, and cholesterol medications.
Your Avatar.
What is the dosage of your heart medications?

Question
04/20/23 5:51 PM EDT

Liam Fitzgerald.
The carvedilol is 12.5 milligrams, the candesartan is 32 milligrams, the spironolactone is 12.5 milligrams, and the aspirin is an 81 mg EC tablet. And then I take some as needed heart failure medications.
Your Avatar.
What is the dosage of your cholesterol medications?

Question
04/20/23 5:53 PM EDT

Liam Fitzgerald.
Hm, let’s see. I take the atorvastatin — it’s 40 mg — and the omega-3 fatty acid fish oil, it’s 1000 mg. I take them both everyday.
Your Avatar.
What is your medical history?

Question
04/20/23 5:53 PM EDT

Liam Fitzgerald.
That’s a long list, let’s see . . . Well I have heart failure, that’s the big one. And I have coronary artery disease, high blood pressure, high cholesterol, and I had a heart attack a while back.
Your Avatar.
When were you diagnosed with coronary artery disease?

Question
04/20/23 5:55 PM EDT

Liam Fitzgerald.
I was diagnosed with it five years ago, at the time of my heart attack.
Your Avatar.
When were you diagnosed with high blood pressure?

Question
04/20/23 5:55 PM EDT

Liam Fitzgerald.
I’ve had high blood pressure for some time now. I was diagnosed at 38 but didn’t try to manage it much. It’s better now though.
Your Avatar.
What do you use for your high blood pressure? (Clarified to How do you control your blood pressure?.)

Question
04/20/23 5:56 PM EDT

Liam Fitzgerald.
I’m on a few heart medicines, but the carvedilol is the one for blood pressure. (Clarified to how I control my blood pressure.)
Your Avatar.
Any family history pf heart problems?

Question
04/20/23 5:57 PM EDT

Liam Fitzgerald.
Yeah, heart issues run in the family. Mom’s alive, but she has high blood pressure and high cholesterol. Dad passed at 75 from a heart thing, not sure what it was, and he also had high blood pressure . . . oh and he had open heart surgery too.
Your Avatar.
What is your diet like? Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Question
04/20/23 5:58 PM EDT

Liam Fitzgerald.
Well I’m on a low-sodium diet and I try to follow it. For breakfast I have oatmeal with some berries. Lunch is usually some soup, I try to do homemade ones, or some pasta with grilled chicken and vegetables. I’ll have a salad sometimes. Dinner is some fish or grilled chicken with some more vegetables, and some brown rice. If I want a snack, it’s air popped, no salt popcorn, or an apple with no salt almond butter. It’s not very exciting, but it’s what I need to do.
Your Avatar.
Great. healthy diet is good for your health

Educate
04/20/23 5:58 PM EDT

Liam Fitzgerald.
OK, thanks.
Your Avatar.
Do you exercise?

Question
04/20/23 5:59 PM EDT

Liam Fitzgerald.
Yeah, I exercise regularly. I do tai chi.
Your Avatar.
Great. Exercise is good for your health Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Educate
04/20/23 5:59 PM EDT

Liam Fitzgerald.
Got it. Thanks.
Your Avatar.
Any allergies?

Question
04/20/23 5:59 PM EDT

Liam Fitzgerald.
No, I don’t have allergies.
Your Avatar.
Are your immunizations current?

Question
04/20/23 6:00 PM EDT

Liam Fitzgerald.
I believe I’m up to date.
Your Avatar.
Have you missed any medications? (Clarified to Do you miss doses of your medication?.)

Question
04/20/23 6:00 PM EDT

Liam Fitzgerald.
No. I’m good about taking my medicine. (Clarified to if I miss doses of my medication.)
Your Avatar.
Great, it is good to take medications as prescribed

Educate
04/20/23 6:01 PM EDT

Liam Fitzgerald.
Gotcha.
Your Avatar.
have you ever had a heart attack?

Question
04/20/23 6:01 PM EDT

Liam Fitzgerald.
Yes, I have had a heart attack.
Your Avatar.
When did you last have a heart attack?

Question
04/20/23 6:02 PM EDT

Liam Fitzgerald.
My heart attack was five years ago.
Your Avatar.
What are the symptoms of your heart attack?

Question
04/20/23 6:03 PM EDT

Liam Fitzgerald.
The main thing I remember was really intense discomfort in my chest.
Your Avatar.
Any history of hospitalizations?

Question
04/20/23 6:03 PM EDT

Liam Fitzgerald.
I’ve had a few hospital stays. Five years ago I had a heart attack and they did surgery. Two years ago I had some issues with my heart and went back in and they diagnosed me with heart failure. Six months ago was the most recent time, my heart again. I wasn’t feeling great, but they took care of me and I was OK.
Your Avatar.
How have heart problems affected your life? (Clarified to How does your heart failure affect you?.)

Question
04/20/23 6:04 PM EDT

Liam Fitzgerald.
It doesn’t, really — it’s asymptomatic most of the time. (Clarified to how my heart failure affects me.)
Your Avatar.
Do you drink?

Question
04/20/23 6:05 PM EDT

Liam Fitzgerald.
Yeah, I drink some.
Your Avatar.
How often do you drink?

Question
04/20/23 6:05 PM EDT

Liam Fitzgerald.
I don’t really drink very often these days, just on special occasions. I used to have one or two beers a night, but I had to cut down after my heart attack. I’ll have that non-alcoholic stuff sometimes, it’s not half bad, but I’d just rather stick with the real thing if I’m going to have a drink.
Your Avatar.
Too much alcohol consumption is not good for your health

Educate
04/20/23 6:08 PM EDT

Liam Fitzgerald.
Alright then. Thanks.
Your Avatar.
Do you smoke

Question
04/20/23 6:08 PM EDT

Liam Fitzgerald.
I used to smoke.
Your Avatar.
When did you last smoke?

Question
04/20/23 6:10 PM EDT

Liam Fitzgerald.
I quit smoking after my heart attack. I still get cravings though so I use the nicotine gum.
Your Avatar.
Great. Smoking is not good for your health

Educate
04/20/23 6:10 PM EDT

Liam Fitzgerald.
Ah, I see.
Your Avatar.
Have you ever had an EKG test?

Question
04/20/23 6:11 PM EDT

Liam Fitzgerald.
Yeah, when I was hospitalized six months ago for heart failure stuff, they did an EKG and an echocardiogram.
Your Avatar.
What is your blood pressure number? (Clarified to Do you know your blood pressure number?.)

Question
04/20/23 6:12 PM EDT

Liam Fitzgerald.
Today it was 155 over 95. A little higher than normal. (Clarified to if I know my blood pressure number.)
Your Avatar.
Any weight issues? (Clarified to Have you lost weight?.)

Question
04/20/23 6:14 PM EDT

Liam Fitzgerald.
No, I’ve actually gained some. (Clarified to if I have lost weight.)
Your Avatar.
Gaining weight will only worsen your heart problems

Educate
04/20/23 6:15 PM EDT

Liam Fitzgerald.
Got it. Thanks.
Your Avatar.
How much weight have you gained?

Question
04/20/23 6:16 PM EDT

Liam Fitzgerald.
About four or five pounds.
Your Avatar.
Any swelling?

Question
04/20/23 6:16 PM EDT

Liam Fitzgerald.
Yeah, I have some swelling right now.
Your Avatar.
Where is the swelling located?

Question
04/20/23 6:17 PM EDT

Liam Fitzgerald.
In my feet and ankles.
Your Avatar.
Any chest pain?

Question
04/20/23 6:18 PM EDT

Liam Fitzgerald.
No, my chest hasn’t been hurting.
Your Avatar.
Any palpitations?

Question
04/20/23 6:19 PM EDT

Liam Fitzgerald.
I don’t have any palpitations at all.
Your Avatar.
What caused our weight gain?

Question
04/20/23 6:20 PM EDT

Liam Fitzgerald.
I don’t know, really.
Your Avatar.
Have you been eating more? (Clarified to Is your appetite fine?.)

Question
04/20/23 6:20 PM EDT

Liam Fitzgerald.
My appetite’s been the same, pretty normal. [AUDIO COMING SOON] (Clarified to if my appetite is okay.)
Your Avatar.
Do you monitor your heart problems? (Clarified to What heart problems do you have?.) Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Question
04/20/23 6:21 PM EDT

Liam Fitzgerald.
I have a little swelling right now, if that counts. If you mean what heart conditions I have — I have coronary artery disease, heart failure, high cholesterol, high blood pressure, and I had a heart attack. (Clarified to what heart problems I have.)
Your Avatar.
Do you take caffeine?

Question
04/20/23 6:23 PM EDT

Liam Fitzgerald.
I drink decaf.
Your Avatar.
How often do you exercise?

Question
04/20/23 6:23 PM EDT

Liam Fitzgerald.
I do tai chi three times a week.
Your Avatar.
Any skin problems?

Question
04/20/23 6:24 PM EDT

Liam Fitzgerald.
No, my skin is normal, same as ever.
Your Avatar.
Any fatigue?

Question
04/20/23 6:24 PM EDT

Liam Fitzgerald.
I’m feeling OK — not tired.
Your Avatar.
What is your occupation?

Question
04/20/23 6:25 PM EDT

Liam Fitzgerald.
I’m retired now, but I worked as a truck driver for the postal service.
Your Avatar.
What is your living situation?

Question
04/20/23 6:25 PM EDT

Liam Fitzgerald.
My home environment is good. I live in a one-story house with my daughter Claire, her husband Mark, and my grandson, Callum.
Your Avatar.
Any urination issues?

Question
04/20/23 6:26 PM EDT

Liam Fitzgerald.
No issues with going to the bathroom, but I do wake up needing to pee at night.
Your Avatar.
Any weakness?

Question
04/20/23 6:26 PM EDT

Liam Fitzgerald.
I’m no Thor, but I can still open pickle jars when needed.
Your Avatar.
Any breathing problems?

Question
04/20/23 6:26 PM EDT

Liam Fitzgerald.
I haven’t had any issues with my breathing.
Your Avatar.
Are you sexually active?

Question
04/20/23 6:27 PM EDT

Liam Fitzgerald.
Yeah, things are just fine in the bedroom with my lady, Susan.
Your Avatar.
move the camera so your ankles are visible on the screen

Question
04/20/23 6:29 PM EDT

Liam Fitzgerald.
Sure, hold on, let me move this thing.
Your Avatar.
 Inspected left ankle: Edema is present on inspection of bilateral ankles without erythema or streaking

Exam Action
04/20/23 6:29 PM EDT

Your Avatar.
 Inspected right ankle: Edema is present on inspection of bilateral ankles without erythema or streaking Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Exam Action
04/20/23 6:29 PM EDT

Your Avatar.
move the camera so your ankles are visible on the screen, press your finger into the inner boney part of the ankle and hold for 1-2 seconds.

Question
04/20/23 6:41 PM EDT

Liam Fitzgerald.
Sure, hold on, let me move this thing.
Your Avatar.
 Palpated right ankle: On palpation, there is 1+ pitting edema bilaterally without tenderness or warmth to palpation

Exam Action
04/20/23 6:41 PM EDT

Your Avatar.
 Palpated left ankle: On palpation, there is 1+ pitting edema bilaterally without tenderness or warmth to palpation

Exam Action
04/20/23 6:41 PM EDT

Your Avatar.
Hello. I am going to educate you about your medications

Question
04/20/23 7:33 PM EDT

Liam Fitzgerald.
Sounds good.
Your Avatar.
maintain normal activity level, bur discontinue exercise if you experience chest pain

Question
04/20/23 7:34 PM EDT

Liam Fitzgerald.
That sounds good. I’ll stop exercising and call the cardiologist if I get symptoms.
Your Avatar.
Adhere to a fluid volume restriction of 1.5 L per day

Question
04/20/23 7:35 PM EDT

Liam Fitzgerald.
Will do. I am very good about my fluid restrictions.
Your Avatar.
Avoid drinking alcohol

Question
04/20/23 7:35 PM EDT

Liam Fitzgerald.
Alright, I’ll lay off the alcohol.
Your Avatar.
Avoid drinking caffeinated beverages

Question
04/20/23 7:36 PM EDT

Liam Fitzgerald.
OK, no caffeine, but is decaf fine?
Your Avatar.
No

Question
04/20/23 7:36 PM EDT

Liam Fitzgerald.
Sounds good, I’ll be careful even with decaf.
Your Avatar.
Eat lean meat, whole grains, and fresh fruits and vegetables and season your food with spices instead of salt

Question
04/20/23 7:37 PM EDT

Liam Fitzgerald.
That’s a smart trick. OK, I’ll do that.
Your Avatar.
Ask your provider for a referral to a clinical dietitian

Question
04/20/23 7:38 PM EDT

Liam Fitzgerald.
OK, that’s a good tip.
Your Avatar.
Adhere to your low-sodium diet, and pay attention to labels to avoid foods high in sodium

Question
04/20/23 7:40 PM EDT

Liam Fitzgerald.
Sounds good. I’ll avoid those high-sodium foods, but what foods should I look at the labels for again?
Your Avatar.
All foods

Question
04/20/23 7:41 PM EDT

Liam Fitzgerald.
Alright, I’ll be careful to read all the labels then.
Your Avatar.
After consuming a meal high in sodium, watch for signs and symptoms of a worsening condition and take your diuretic as directed.

Question
04/20/23 7:43 PM EDT

Liam Fitzgerald.
That sounds like a plan . . . but how long should I wait after experiencing symptoms before I take the furosemide and potassium chloride?
Your Avatar.
30 minutes

Question
04/20/23 7:43 PM EDT

Liam Fitzgerald.
OK, I’ll watch out for those signs and symptoms carefully.
Your Avatar.
Test for swelling by performing a pitting edema test

Question
04/20/23 7:44 PM EDT

Liam Fitzgerald.
I’ll look out for that, then . . . though, how do I know if the swelling is related to my CHF and not something else, like standing for long time?
Your Avatar.
Watch out for fatigue

Question
04/20/23 7:46 PM EDT

Liam Fitzgerald.
OK, that’s good to know.
Your Avatar.
Look out for signs of fluid overload, like weight gain, fatigue during activity

Question
04/20/23 7:47 PM EDT

Liam Fitzgerald.
I’ll look out for symptoms.
Your Avatar.
Go to the hospital if your condition worsens Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

Question
04/20/23 7:48 PM EDT

Liam Fitzgerald.
I definitely will.
Your Avatar.
Follow up with your cardiologist

Question
04/20/23 7:49 PM EDT

Liam Fitzgerald.
I’ll call my cardiologist if that happens.
Your Avatar.
Set a reminder for your medications

Question
04/20/23 7:49 PM EDT

Liam Fitzgerald.
Alright. I’ll let my girlfriend and my daughter know . . . but if I take the medication as needed, how will I know if I need a reminder?
Your Avatar.
You girlfriend and daughter can remind you to take your medications

Question
04/20/23 7:51 PM EDT

Liam Fitzgerald.
Thanks, those are good suggestions.
Your Avatar.
Take furosemide with the potassium chloride to maintain adequate potassium

Question
04/20/23 7:52 PM EDT

Liam Fitzgerald.
I’ll do that, then.
Your Avatar.
Take the furosemide with potassium chloride tablet for edema even if you have minor swelling

Question
04/20/23 7:53 PM EDT

Liam Fitzgerald.
I will!
Your Avatar.
Beware of symptoms that indicate worsening condition

Question
04/20/23 7:54 PM EDT

Liam Fitzgerald.
Sounds good. I’ll keep an eye out for when to take those meds.
Your Avatar.
Thanks for listening, Goodbye

Question
04/20/23 7:55 PM EDT

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Liam Fitzgerald.
Alright. Thank you for your help. Liam Fitzgerald Telehealth Follow Up Sick Visit Shadow Health Transcript: Management of Cardiovascular Conditions Patient

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