Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript

Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript

Transcript
Started:
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Hello there. xxx . I will talk with you and examine you today.

Greet
05/24/23 12:15 PM EDT
Shoshanna Tillman.
Hi.

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What brings you here today?

Question
05/24/23 12:34 PM EDT
Shoshanna Tillman.
I’m here for a follow-up on my previous visit regarding my joint pain and ongoing fatigue.

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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 about three months ago.

Your Avatar.
Where do you feel the joint pain?

Question
05/24/23 12:36 PM EDT
Shoshanna Tillman.
Mainly in my hands and wrists, but I also have a general all-over ache.

Your Avatar.
Can you describe how your pain feels?

Question
05/24/23 12:38 PM EDT
Shoshanna Tillman.
I experience stiffness and a dull, throbbing pain in my hands and wrists. The overall feeling is achy.

Your Avatar.
What activities make your pain worse?

Question
05/24/23 12:38 PM EDT
Shoshanna Tillman.
Simple tasks like holding my coffee cup in the morning, typing, and using my art tools become painful over time.

Your Avatar.
What provides relief from your pain?

Question
05/24/23 12:39 PM EDT
Shoshanna Tillman.
Taking long, hot showers helps a bit, and the diclofenac medication has been somewhat effective.

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, my pain has reduced to around 2 out of 10. It used to be a 3 or 4.

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For how long have you been feeling fatigued?

Question
05/24/23 12:41 PM EDT
Shoshanna Tillman.
I’ve been experiencing fatigue for about three months now.

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Is your fatigue constant?

Question
05/24/23 12:41 PM EDT
Shoshanna Tillman.
Yes, the fatigue is always present.

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Does your fatigue vary during the day?

Question
05/24/23 12:42 PM EDT
Shoshanna Tillman.
Yes, my fatigue tends to worsen as the day goes on.

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What makes your fatigue worse?

Question
05/24/23 12:44 PM EDT
Shoshanna Tillman.
I’m not sure, but I do experience regular stress which might contribute.

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I’m sorry to hear that.

Empathize
05/24/23 12:44 PM EDT
Shoshanna Tillman.
Thank you.

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, although I take longer due to fatigue. Sometimes, I feel drained after completing activities.

Your Avatar.
What do you believe causes your fatigue?

Question
05/24/23 12:45 PM EDT
Shoshanna Tillman.
I’m unsure about the cause of my fatigue. It could be hormones or stress, as I’m quite stressed these days.

Your Avatar.
Do you have any allergies?

Question
05/24/23 12:45 PM EDT
Shoshanna Tillman.
Yes, I am 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 often does your pain occur?

Question
05/24/23 12:46 PM EDT
Shoshanna Tillman.
The pain is constant, and it’s usually worse when I wake up in the morning.

Your Avatar.
Do you have any ongoing health issues?

Question
05/24/23 12:48 PM EDT
Shoshanna Tillman.
Apart from the joint pain and fatigue, I haven’t been diagnosed with any other health problems.

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Have you ever had a mental health condition?

Question
05/24/23 12:48 PM EDT
Shoshanna Tillman.
I don’t have any clinical disorders, but I have been feeling somewhat down and anxious lately.

Your Avatar.
I’m sorry to hear that.

Empathize
05/24/23 12:50 PM EDT
Shoshanna Tillman.
I appreciate your concern.

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Have you ever been hospitalized?

Question
05/24/23 12:50 PM EDT
Shoshanna Tillman.
Only for my three deliveries.

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Have you undergone any surgeries?

Question
05/24/23 12:51 PM EDT
Shoshanna Tillman.
No surgeries so far.

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Are you currently taking any medications?

Question
05/24/23 12:51 PM EDT
Shoshanna Tillman.
Yes, I’m using diclofenac. I used to take ibuprofen, and I have an IUD as well.

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What’s the dosage of your diclofenac?

Question
05/24/23 12:51 PM EDT
Shoshanna Tillman.
I take diclofenac sodium 50 mg.

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Why do you take diclofenac?

Question
05/24/23 12:52 PM EDT
Shoshanna Tillman.
My last visit led to a prescription of diclofenac for my joint pain.

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What was your ibuprofen dosage?

Question
05/24/23 12:52 PM EDT
Shoshanna Tillman.
I used to take 400 milligrams at a time, two or three 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.

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Do you follow your medication instructions?

Question
05/24/23 12:54 PM EDT
Shoshanna Tillman.
Yes, I stick to the prescribed instructions.

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When did you last take your medication?

Question
05/24/23 12:55 PM EDT
Shoshanna Tillman.
I took my diclofenac this morning.

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Do you smoke?

Question
05/24/23 12:55 PM EDT
Shoshanna Tillman.
I’ve never smoked.

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Do you consume alcohol regularly?

Question
05/24/23 12:55 PM EDT
Shoshanna Tillman.
Yes, I do occasionally.

Your Avatar.
Tell me about your usual diet.

Question
05/24/23 12:56 PM EDT
Shoshanna Tillman.
I try to eat

healthily. For breakfast, I have fruit and yogurt or eggs on weekends. Lunch includes salads, soups, tacos, and wraps. Dinner often consists of salmon or chicken with veggies and grains. If I snack, it’s usually almonds, fruit, granola bars, or hummus with carrots.

Your Avatar.
How much water do you drink daily?

Question
05/24/23 12:57 PM EDT
Shoshanna Tillman.
I drink 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 have 2 to 3 cups of coffee in the morning and sometimes more in the afternoon.

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It’s important to be mindful of excessive caffeine intake for your health.

Educate
05/24/23 12:58 PM EDT
Shoshanna Tillman.
Thank you for letting me know.

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Do you engage in physical activity?

Question
05/24/23 12:58 PM EDT
Shoshanna Tillman.
I could probably exercise more, but I walk my dog a few times a week. Yoga and spin classes used to be a part of my routine, but they’re less feasible now.

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I understand your concerns, but regular exercise is beneficial.

Educate
05/24/23 1:00 PM EDT
Shoshanna Tillman.
I’ll keep that in mind.

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How many hours of sleep do you get?

Question
05/24/23 1:00 PM EDT
Shoshanna Tillman.
I usually get around 5 to 6 hours of sleep each night.

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Tell me about your occupation.

Question
05/24/23 1:00 PM EDT
Shoshanna Tillman.
I own an art gallery called Bricolage with my husband. I’m also an artist and contribute my work to the gallery.

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What’s your educational background?

Question
05/24/23 1:02 PM EDT
Shoshanna Tillman.
I hold a BFA in studio art and a BA in art history.

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Is your current income sufficient from your gallery?

Question
05/24/23 1:02 PM EDT
Shoshanna Tillman.
The gallery is now profitable and provides adequate income, although it’s a new business with uncertainties, especially in the art industry.

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Are you experiencing stress?

Question
05/24/23 1:02 PM EDT
Shoshanna Tillman.
Yes, running a small art business is demanding and stressful.

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I’m here to help.

Empathize
05/24/23 1:02 PM EDT
Shoshanna Tillman.
I appreciate your support.

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Feel free to ask anything else if needed.

Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript

Transcript

Started:
Your Avatar.
Hi. xxx . I will interview and examine today

Greet
05/24/23 12:15 PM EDT

Shoshanna Tillman.
Hi.
Your Avatar.
Why are you here today?

Question
05/24/23 12:34 PM EDT

Shoshanna Tillman.
I’m here to follow up on my last visit, about my joint pain, and how tired I’ve been.
Your Avatar.
Sorry about that

Empathize
05/24/23 12:34 PM EDT

Shoshanna Tillman.
Thank you.
Your Avatar.
How long have you had joint pain?

Question
05/24/23 12:35 PM EDT

Shoshanna Tillman.
The joint pain started about 3 months ago, now.
Your Avatar.
Where is the joint point located?

Question
05/24/23 12:36 PM EDT

Shoshanna Tillman.
In my hands and wrists, mainly, but also I have this all-over sort of pain.
Your Avatar.
Is your pain like? (Clarified to Can you describe your pain?.)

Question
05/24/23 12:38 PM EDT

Shoshanna Tillman.
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.)
Your Avatar.
What worsens your pain?

Question
05/24/23 12:38 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
What relieves your pain?

Question
05/24/23 12:39 PM EDT

Shoshanna Tillman.
Long, hot showers can help a little. Also, the diclofenac has been helping some.
Your Avatar.
can you rate your pain on a scale of 1 to ten? Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript

Question
05/24/23 12:40 PM EDT

Shoshanna Tillman.
I still have pain, but since starting the diclofenac, maybe a 2 out of 10. Before it was a 3 or 4.
Your Avatar.
How long have you had fatigue

Question
05/24/23 12:41 PM EDT

Shoshanna Tillman.
Going on 3 months now.
Your Avatar.
Is your fatigue constant?

Question
05/24/23 12:41 PM EDT

Shoshanna Tillman.
Always, yeah.
Your Avatar.
Does your fatigue worsen?

Question
05/24/23 12:42 PM EDT

Shoshanna Tillman.
Yeah, the fatigue feels worse as the day goes on.
Your Avatar.
What makes your fatigue worse?

Question
05/24/23 12:44 PM EDT

Shoshanna Tillman.
Nothing, I don’t think . . . but I am pretty stressed regularly.
Your Avatar.
I am sorry about that

Empathize
05/24/23 12:44 PM EDT

Shoshanna Tillman.
I appreciate that.
Your Avatar.
Are you able to do your daily activities?

Question
05/24/23 12:45 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
What causes your fatigue?

Question
05/24/23 12:45 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
Any allergies?

Question
05/24/23 12:45 PM EDT

Shoshanna Tillman.
Yeah, a codeine allergy.
Your Avatar.
Any food allergies?

Question
05/24/23 12:46 PM EDT

Shoshanna Tillman.
Nope.
Your Avatar.
How frequent is your pain?

Question
05/24/23 12:46 PM EDT

Shoshanna Tillman.
It’s constant, honestly. It can feel the worst when I wake up in the morning.
Your Avatar.
Any current health problems?

Question
05/24/23 12:48 PM EDT

Shoshanna Tillman.
Besides my joint pain, and how tired I am all the time, I don’t have anything I’ve been diagnosed with.
Your Avatar.
Have you had any mental condition?

Question
05/24/23 12:48 PM EDT

Shoshanna Tillman.
I don’t have any clinical disorders or anything, but I’ve been feeling kind of down lately, and pretty anxious.
Your Avatar.
I’m sorry about that (No matching questions found.)

Question
05/24/23 12:50 PM EDT

Your Avatar.
I’m sorry about that

Empathize
05/24/23 12:50 PM EDT

Shoshanna Tillman.
That’s kind of you.
Your Avatar.
Have you been hospitalized?

Question
05/24/23 12:50 PM EDT

Shoshanna Tillman.
Just for my 3 deliveries.
Your Avatar.
Have you had surgeries?

Question
05/24/23 12:51 PM EDT

Shoshanna Tillman.
No.
Your Avatar.
Are you using any medications?

Question
05/24/23 12:51 PM EDT

Shoshanna Tillman.
Yep, diclofenac. I used to take ibuprofen. And I have an IUD, if that counts.
Your Avatar.
What is the dose to the diclofenac?

Question
05/24/23 12:51 PM EDT

Shoshanna Tillman.
The dose is diclofenac sodium 50 mg.
Your Avatar.
Why do you take the diclofenac?

Question
05/24/23 12:52 PM EDT

Shoshanna Tillman.
I was prescribed diclofenac at my last visit for my joint pain.
Your Avatar.
What is the dosage of Ibuprofen?

Question
05/24/23 12:52 PM EDT

Shoshanna Tillman.
I was taking 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.
My IUD is levonorgestrel.
Your Avatar.
Do you take your medications as prescribed?

Question
05/24/23 12:54 PM EDT

Shoshanna Tillman.
Yes, very.
Your Avatar.
When did you last take your medication Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript

Question
05/24/23 12:55 PM EDT

Shoshanna Tillman.
This morning. I took my diclofenac.
Your Avatar.
Do you use tobacco?

Question
05/24/23 12:55 PM EDT

Shoshanna Tillman.
I never have, no.
Your Avatar.
Do you drink alcohol everyday? (Clarified to Do you drink alcohol?.)

Question
05/24/23 12:55 PM EDT

Shoshanna Tillman.
Sure, yeah. (Clarified to if I drink alcohol.)
Your Avatar.
What is your typical diet

Question
05/24/23 12:56 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
How much water do you drink per day?

Question
05/24/23 12:57 PM EDT

Shoshanna Tillman.
I’ll usually have between, say, 6 to 8 glasses a day.
Your Avatar.
Do you take caffeine?

Question
05/24/23 12:58 PM EDT

Shoshanna Tillman.
I do. I’ll have somewhere between 2 to 3 cups of coffee in the morning, then another one or two in the afternoon.
Your Avatar.
OK, but too much caffeine is not good for your health

Educate
05/24/23 12:58 PM EDT

Shoshanna Tillman.
Ah, OK.
Your Avatar.
Do you exercise?

Question
05/24/23 12:58 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
I understand your concern but you should always exercise

Educate
05/24/23 1:00 PM EDT

Shoshanna Tillman.
Ah, I see.
Your Avatar.
How many hours of sleep do you get per day?

Question
05/24/23 1:00 PM EDT

Shoshanna Tillman.
5 or 6 hours a night.
Your Avatar.
What is your occupation?

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 sometimes I contribute pieces to the gallery.
Your Avatar.
What is your occupation?

Question
05/24/23 1:01 PM EDT

Shoshanna Tillman.
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.
Your Avatar.
What is your level of education?

Question
05/24/23 1:02 PM EDT

Shoshanna Tillman.
I have a BFA in studio art and a BA in art history.
Your Avatar.
Do you make enough money at your job?

Question
05/24/23 1:02 PM EDT

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Shoshanna Tillman.
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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