Shadow Health Assignments
Tanner Bailey Pain Management shadow health Transcript
Transcript
Started: Mar 17, 2020 | Total Time:53 min
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Hello Mr. Bailey. My name is Danielle Scott, I will be your provider today.
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Greet |
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Hey.
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What brings you in today
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I picked up this heavy box at work–with like, sound equipment and stuff in it–and ever since then, the pain in my lower back has been killing me. I think I need to be on opioids or something.
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I am sorry your back has continued to hurt so severely for so long, We’re going to determine the best plan of action to ease your pain
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Empathize |
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Hey, thanks.
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When did the pain start?
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I lifted a box at work . . . probably thirteen weeks ago now, and it hurt right away. I just knew I really hurt myself.
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Did you go to the hospital
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I went to the hospital when I hurt myself picking up that box thirteen weeks ago. They looked me over but they couldn’t figure out what kind of back injury I had.
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Did the hospital recommend anything
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All they did was tell me to take ibuprofen and do physical therapy. They couldn’t even tell me what was wrong, even after an MRI. It turned up nothing.
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What did the hospital diagnose you with
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The ER did an MRI, but they can’t tell me what’s actually wrong with my back. My coworker drove me all the way out to the hospital the day I hurt myself, and there’s not a whole lot to show for it.
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Have your pain levels changed since your injury
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My back pain hasn’t gotten better at all. I feel like I’ve been in pain forever. I need it to stop.
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When does your pain occur
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The pain starts when I wake up in the morning. It does fade away for a little bit during the day, but it’s not a reliable thing and it always comes back.
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I’m sorry that it’s been so difficult to find a proper treatment plan for your pain and that you haven’t always received enough relief. We’re going to figure out how best to treat your pain quickly and effectively.
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Empathize |
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I appreciate your saying that.
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What other symptoms do you have
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No other health issues, no disorders, no other symptoms. Just excruciating lower back pain.
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Does exertion make your pain worse
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The pain is worst when I’m doing something. Walking, lifting, bending over. It makes it hard enough to move I can’t even go to the physical therapist like the ER doctors wanted. I tried some exercises at home and they just hurt too much.
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Does exercise make your pain worse
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I can’t exercise. Which just stinks. I used to lift weights and do cardio three times a week. Now, every little thing hurts. I can’t bend or lift stuff, and even walking is just so painful. I tried some PT exercises for my back at home, but it just hurt so much.
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What is the pain like
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The pain is sharp and burning, and it tingles sometimes. It’s always in my lower back. Never really thought about being hurt at work, and now I’ve been laid up forever.
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How much pain are you in
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The pain is hard to deal with. Sometimes it’s between a 0 to 2 out of 10 — sometimes it’s at 4-7. I need a prescription for opioids at this point.
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Does anything relieve the pain Introduction to Advanced Diagnostics Tanner Bailey
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Sometimes just shifting around–changing the way I’m sitting or lying–can help a little. Rest helps a little bit, too. Drinking kind of worked, but I did have to go up to three drinks a day. Ibuprofen didn’t work at all, but these opioids I tried–hydrocodone and acetaminophen–they actually stopped the pain.
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Do you have any type of allergies (Clarified to What allergies do you have?.)
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I don’t have allergies. (Clarified to what allergies I have.)
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Can you tell me about your family history
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My mom’s has depression. She’s also an alcoholic. My dad’s pretty healthy.
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Are you currently taking testosterone
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Yeah, I take testosterone. 100 mg of testosterone enanthate, to be exact.
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Do you take opioids
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I was taking them, but I’m out. It was my first time trying them, and I had my last one this morning. My friend only had a week’s worth after his surgery, so now I’m here for a prescription. My back hurts too much to wait it out.
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While the medication your friend gave you was effective for pain relief and even though he no longer needed it you should only take prescriptions that a healthcare provider can safely endorse and oversee
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Educate |
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Yeah, I guess that makes sense.
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Do you take ibuprofen
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I was taking ibuprofen because the hospital prescribed it. It didn’t work for the whole two weeks I was on it.
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Was it over the counter (Clarified to Did you take ibuprofen that was just over the counter?.)
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The hospital prescribed me ibuprofen, but I just bought some over the counter — prescriptions are such a hassle to fill and pick up and all that. Figured it’d be easier. (Clarified to If the ibuprofen was over the counter.)
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Prescription and over-the-counter medications are not always identical. you should always fill your prescription instead of buying them over the counter and always take your medication as prescribed
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Thank you. One more thing to think about, huh?
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Do you miss doses of your medication
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I’ve been in way too much pain to miss doses.
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What level of income do you make
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I make around 25 grand a year from the theatre — it’s mostly enough, but I need to be super careful with spending.
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Has your alcohol consumption endangered you
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If you mean like, drinking at work or something, no, I’d never. I’ve just been at home.
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Can I examine your back
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Have at it. [AUDIO COMING SOON]
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thank you
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You’re welcome.
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hi Tanner I’m going to continue with the ibuprofen
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Alright, let’s do it.
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Take the medication with food milk or antacids to decrease the chance of GI issues like constipation nausea or vomiting
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Thanks for the tip.
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Taking higher doses than recommended does not increase really but may increase the likelihood of adverse effects do not take more than 2400 milligrams in day
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Got it.
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Stomach bleeding is a serious side effects of ibuprofen if you notice any blood in your stools or vomit seek medical attention immediately
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Fine by me.
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Avoid drinking alcohol while on this medication this may increase the risk of GI bleeding
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Aw, man. No more whiskey?
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though alcohol has been effective for you as a back pain reliever it is dangerous substance that could damage your health and behaviors. we will work to find you a treatment plan whose risk can be minimized and overseen
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I get it, but just so you know, you’re asking a lot of me.
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Stomach bleeding is a serious side effect
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That sounds awful. Is this stuff really safe to take?
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If you notice any blood please contact your provider immediately
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I guess it’s worth the risk. I mean, I’ve got to do something.
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You should start going to physical therapy again it is important part of your recovery from chronic back pain
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But it hurt so bad. That can’t be good for my back, can it?
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Taking the proper medication will assist in the pain
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Alright . . . guess I gotta work through the pain a little bit.
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Taking prescriptions that has not been prescribed to you is a dangerous and ineffective
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I mean, I know you’re not supposed to . . . but it did work a lot better than the ibuprofen.
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Taking prescriptions that don’t belong to you is dangerous and ineffective
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Okay, okay. I understand. Really. I knew it wasn’t a good idea . . . I just couldn’t find anything that worked. This time will be better.
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Thanks Tanner have a good day
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Thanks. You have a good one.
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Title: Tanner Bailey’s Pain Management Shadow Health Transcript
Transcript
Started: Mar 17, 2020 | Total Time: 53 min
Greet
03/17/20 3:34 PM CDT
Tanner Bailey: Hey.
Your avatar: What brings you in today?
Question
03/17/20 3:35 PM CDT
Tanner Bailey: I picked up a heavy box at work – with sound equipment and stuff – and ever since then, the pain in my lower back has been really bad. I think I might need opioids or something.
Your avatar: I’m sorry your back has been hurting so much. We’re going to figure out the best way to ease your pain.
Empathize
03/17/20 3:38 PM CDT
Tanner Bailey: Hey, thanks.
Your avatar: When did the pain start?
Question
03/17/20 3:39 PM CDT
Tanner Bailey: I lifted a box at work about thirteen weeks ago, and it hurt right away. I knew I hurt myself badly.
Your avatar: Did you go to the hospital?
Question
03/17/20 3:41 PM CDT
Tanner Bailey: I did go to the hospital when I hurt myself picking up that box thirteen weeks ago. They looked me over, but they couldn’t figure out what kind of back injury I had.
Your avatar: Did the hospital recommend anything?
Question
03/17/20 3:41 PM CDT
Tanner Bailey: They just told me to take ibuprofen and do physical therapy. They couldn’t even tell me what was wrong, even after an MRI. It didn’t show anything.
Your avatar: What did the hospital diagnose you with?
Question
03/17/20 3:42 PM CDT
Tanner Bailey: The ER did an MRI, but they can’t tell me what’s wrong with my back. I went to the hospital right after I hurt myself, and it doesn’t seem like it helped much.
Your avatar: Have your pain levels changed since your injury?
Question
03/17/20 3:44 PM CDT
Tanner Bailey: My back pain hasn’t improved at all. It feels like I’ve been in pain forever. I really need it to stop.
Your avatar: When does your pain occur?
Question
03/17/20 3:45 PM CDT
Tanner Bailey: The pain starts when I wake up in the morning. It gets a bit better during the day, but it always comes back.
Your avatar: I’m sorry you’re having trouble finding the right treatment for your pain. We’ll work to find a solution quickly.
Empathize
03/17/20 3:48 PM CDT
Tanner Bailey: I appreciate that.
Your avatar: What other symptoms do you have?
Question
03/17/20 3:49 PM CDT
Tanner Bailey: No other health problems, disorders, or symptoms. Just really bad lower back pain.
Your avatar: Does exertion make your pain worse?
Question
03/17/20 3:50 PM CDT
Tanner Bailey: The pain is worst when I’m doing things like walking, lifting, or bending over. It’s so bad that I can’t even go to the physical therapist like the ER doctors suggested. I tried exercises at home, but they hurt too much.
Your avatar: Does exercise make your pain worse?
Question
03/17/20 3:50 PM CDT
Tanner Bailey: I can’t exercise anymore. I used to lift weights and do cardio three times a week, but now everything hurts. I can’t bend, lift, or even walk without pain. Even trying PT exercises at home hurts too much.
Your avatar: What is the pain like?
Question
03/17/20 3:51 PM CDT
Tanner Bailey: The pain is sharp, burning, and sometimes tingling. It’s always in my lower back. I never thought I’d be hurt at work, and now I’ve been in pain for a long time.
Your avatar: How severe is your pain?
Question
03/17/20 3:51 PM CDT
Tanner Bailey: The pain varies. Sometimes it’s between 0 to 2 out of 10, and other times it’s at 4 to 7. I feel like I need prescription opioids now.
Your avatar: Does anything help relieve the pain?
Question
03/17/20 3:52 PM CDT
Tanner Bailey: Sometimes shifting my position or resting can help a little. Drinking alcohol kind of worked, but I had to drink a lot. Ibuprofen didn’t work, but hydrocodone and acetaminophen did stop the pain.
Your avatar: Do you have any allergies?
Question
03/17/20 3:54 PM CDT
Tanner Bailey: I don’t have allergies.
Your avatar: Can you tell me about your family history?
Question
03/17/20 3:55 PM CDT
Tanner Bailey: My mom has depression and is an alcoholic. My dad is pretty healthy.
Your avatar: Are you currently taking testosterone?
Question
03/17/20 3:55 PM CDT
Tanner Bailey: Yes, I take 100 mg of testosterone enanthate.
Your avatar: Do you take opioids?
Question
03/17/20 3:56 PM CDT
Tanner Bailey: I tried opioids before, but I’m out now. It was my first time trying them. My friend had some after surgery, and I’m here for a prescription. My back hurts too much to wait.
Your avatar: It’s important to take only prescribed medications safely overseen by a healthcare provider.
Educate
03/17/20 3:57 PM CDT
Tanner Bailey: Yeah, I understand.
Your avatar: Do you take ibuprofen?
Question
03/17/20 3:58 PM CDT
Tanner Bailey: The hospital prescribed it, but it didn’t work during the two weeks I took it.
Your avatar: Was it over the counter?
Question
03/17/20 3:58 PM CDT
Tanner Bailey: The hospital prescribed ibuprofen, but I bought some over the counter. It’s easier that way. (Clarified to if the ibuprofen was over the counter.)
Your avatar: Prescription and over-the-counter medications aren’t the same. It’s best to follow prescriptions.
Educate
03/17/20 4:00 PM CDT
Tanner Bailey: Thanks for the information.
Your avatar: Do you miss doses of your medication?
Question
03/17/20 4:03 PM CDT
Tanner Bailey: I’ve been in too much pain to miss doses.
Your avatar: What’s your income level?
Question
03/17/20 4:03 PM CDT
Tanner Bailey: I make around 25 grand a year from the theatre. It’s mostly enough, but I need to be careful with spending.
Your avatar: Has alcohol consumption endangered you?
Question
03/17/20 4:04 PM CDT
Tanner Bailey: I’ve only been drinking at home, not at work or anything.
Your avatar: Can I examine your
back?
Question
03/17/20 4:05 PM CDT
Tanner Bailey: Go ahead. [AUDIO COMING SOON]
Your avatar: Thank you.
Your avatar: Hi Tanner, I’m going to continue with the ibuprofen.
Question
03/17/20 4:11 PM CDT
Tanner Bailey: Alright, let’s do it.
Your avatar: Take the medication with food, milk, or antacids to reduce the chance of GI issues like constipation, nausea, or vomiting.
Question
03/17/20 4:11 PM CDT
Tanner Bailey: Thanks for the advice.
Your avatar: Taking higher doses than recommended won’t increase effectiveness but might lead to adverse effects. Don’t take more than 2400 milligrams in a day.
Question
03/17/20 4:12 PM CDT
Tanner Bailey: Got it.
Your avatar: Stomach bleeding is a serious side effect of ibuprofen. Seek medical attention immediately if you notice blood in your stools or vomit.
Question
03/17/20 4:13 PM CDT
Tanner Bailey: Understood.
Your avatar: Avoid alcohol while on this medication, as it could increase the risk of GI bleeding.
Question
03/17/20 4:13 PM CDT
Tanner Bailey: Bummer, no more whiskey?
Your avatar: Alcohol might have helped your pain, but it’s risky for your health. We’ll work on a safer treatment plan.
Question
03/17/20 4:15 PM CDT
Tanner Bailey: I get it, but it’s a big change.
Your avatar: Stomach bleeding is a serious side effect.
Question
03/17/20 4:16 PM CDT
Tanner Bailey: Sounds terrible. Is ibuprofen safe?
Your avatar: If you see blood, contact your provider.
Question
03/17/20 4:17 PM CDT
Tanner Bailey: I guess I’ll take the risk. I need relief.
Your avatar: You should start physical therapy again. It’s crucial for recovering from chronic back pain.
Question
03/17/20 4:17 PM CDT
Tanner Bailey: But it hurts so much. Is it good for my back?
Your avatar: Proper medication can help with the pain.
Question
03/17/20 4:18 PM CDT
Tanner Bailey: Alright, I’ll work through the pain a bit.
Your avatar: Only take prescribed medications, as taking others can be dangerous and ineffective.
Question
03/17/20 4:18 PM CDT
Tanner Bailey: I know I’m not supposed to, but they worked better than ibuprofen.
Your avatar: Taking prescriptions not meant for you is risky and ineffective.
Question
03/17/20 4:19 PM CDT
Tanner Bailey: I understand. This time, I’ll do better.
Your avatar: Thanks, Tanner. Have a good day.
Question
03/17/20 4:20 PM CDT
Tanner Bailey: Thanks, you too.
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