Cardiovascular Tina Jones Shadow Health Transcript

Transcript

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

Your avatarHello my name is Danielle I will be your provider todayGreet
06/27/20 3:27 PM CDT
Tina JonesHey.
Your avatarCan you verify your nameQuestion
06/27/20 3:27 PM CDT
Tina JonesTina Jones.
Your avatarYour date of birthQuestion
06/27/20 3:27 PM CDT
Tina JonesFebruary 17th.
Your avatarThank youQuestion
06/27/20 3:27 PM CDT
Tina JonesYou’re welcome.
Your avatarWhat brings you in todayQuestion
06/27/20 3:27 PM CDT
Tina JonesI’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.
Your avatarI’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 wayEmpathize
06/27/20 3:29 PM CDT
Tina JonesThanks for saying that.
Your avatarWhen did you first notice these symptomsQuestion
06/27/20 3:30 PM CDT
Tina JonesI think the first time was about a month ago.
Your avatarWhat 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
Tina JonesI 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.)
Your avatarHow many energy drinks do you drink per dayQuestion
06/27/20 3:31 PM CDT
Tina JonesUsually just one in the morning, kind of like some people have a cup of coffee. Some mornings lately I’ve had two, though.
Your avatarDrinking 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 alternativesEducate
06/27/20 3:33 PM CDT
Tina JonesSure, I think I understand what you mean.
Your avatarHow often were you experiencing these symptomsQuestion
06/27/20 3:33 PM CDT
Tina JonesNo.
Your avatarHow 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
Tina JonesIt’s been about once a week for the past month. (Clarified to how often my heart beats fast.)
Your avatarCan you describe it for me (Clarified to What is your heartbeat like?.)Question
06/27/20 3:34 PM CDT
Tina JonesIt’s usually normal, but it’s way faster during these episodes I’ve been having. (Clarified to what my heartbeat is like.)
Your avatarHow do you feel when your heart is racing fastQuestion
06/27/20 3:34 PM CDT
Tina JonesWell, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable.
Your avatarIs there anything that relieves the fast heartbeat (Clarified to Does anything relieve your symptoms?.)Question
06/27/20 3:35 PM CDT
Tina JonesI haven’t tried anything specific, other than just trying to relax and breathe deep. (Clarified to if anything relieves my symptoms.)
Your avatarDo you take any medications to help you with your symptomsQuestion
06/27/20 3:35 PM CDT
Tina JonesNope.
Your avatarWhat medications are you takingQuestion
06/27/20 3:35 PM CDT
Tina JonesI have a daily inhaler and a rescue inhaler for my asthma.
Your avatarAre you taking any new medicationsQuestion
06/27/20 3:36 PM CDT
Tina JonesYeah, I have a daily inhaler now that I’ve been using.
Your avatarWhat’s the name of the medicationQuestion
06/27/20 3:36 PM CDT
Tina JonesThe daily inhaler is Flovent, and the rescue inhaler is Proventil.
Your avatarDo you have any new allergiesQuestion
06/27/20 3:36 PM CDT
Tina JonesNo, not that I know of.
Your avatarDo you have a history of hypertensionQuestion
06/27/20 3:37 PM CDT
Tina Jones…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.
Your avatarDo you check your blood pressureQuestion
06/27/20 3:37 PM CDT
Tina JonesOnly when I’m here at the clinic.
Your avatarDo you have any health history that would contribute to hypertension (No matching questions found.)Question
06/27/20 3:38 PM CDT
Your avatarDo you have diabetesQuestion
06/27/20 3:38 PM CDT
Tina JonesYeah, I was diagnosed a few years ago.
Your avatarDo you have high cholesterolQuestion
06/27/20 3:38 PM CDT
Tina JonesI’ve never had it tested. My family has problems with high cholesterol, but I don’t think I do.
Your avatarAny history of a heart murmurQuestion
06/27/20 3:38 PM CDT
Tina JonesNo.
Your avatarDo you have health insuranceQuestion
06/27/20 3:39 PM CDT
Tina JonesI have health insurance through work. To be honest, though, I’m not exactly sure what it covers.
Your avatarAre you able to afford your MedicationsQuestion
06/27/20 3:41 PM CDT
Tina JonesIt wasn’t the cost that was a problem. I just didn’t like taking it.
Your avatarWhat is your access to healthcareQuestion
06/27/20 3:42 PM CDT
Tina JonesI 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.
Your avatarDo you have anything that stresses you out (Clarified to Are you stressed out?.)Question
06/27/20 3:44 PM CDT
Tina JonesYeah, I’ve been pretty stressed lately. (Clarified to if I am stressed out.)
Your avatarWhat are you stressed aboutQuestion
06/27/20 3:44 PM CDT
Tina JonesSchool 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.
Your avatarSounds like you’re working really hard. I’m sorry you’re dealing with so much stress.Empathize
06/27/20 3:45 PM CDT
Tina JonesThanks for understanding.
Your avatarTell me about your diet (Clarified to What is your diet like?.)Question
06/27/20 3:46 PM CDT
Tina JonesIt’s pretty good, I think. I’m not a huge health nut or anything. (Clarified to what my diet is like.)
Your avatarWhat are usually eat in a typical dayQuestion
06/27/20 3:46 PM CDT
Tina JonesLet’s see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner.
Your avatarDo you have snacksQuestion
06/27/20 3:46 PM CDT
Tina JonesYeah, I usually have some snacks during the day.
Your avatarWhat type of snacksQuestion
06/27/20 3:46 PM CDT
Tina JonesI 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.
Your avatarDo you exerciseQuestion
06/27/20 3:47 PM CDT
Tina JonesI’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.
Your avatarI 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 healthEducate
06/27/20 3:49 PM CDT
Tina JonesThanks for telling me.
Your avatarDo you use any recreational drugsQuestion
06/27/20 3:49 PM CDT
Tina JonesNo.
Your avatarDo you use tobacco productsQuestion
06/27/20 3:49 PM CDT
Tina JonesNo. I think it’s gross.
Your avatarDo you drink alcoholQuestion
06/27/20 3:50 PM CDT
Tina JonesI do sometimes, yeah, when I go out with my friends.
Your avatarHow often do you drink alcoholQuestion
06/27/20 3:50 PM CDT
Tina JonesNo more than once or twice a week, sometimes less.
Your avatarHow much do you drink when you go outQuestion
06/27/20 3:50 PM CDT
Tina JonesJust a few. I’m not a big drinker.
Your avatarHow do you feel overallQuestion
06/27/20 3:51 PM CDT
Tina JonesI’m feeling fine right now, but I wanted to make sure there’s nothing serious going on with my heart.
Your avatarDo you have any other symptomsQuestion
06/27/20 3:51 PM CDT
Tina JonesI guess when it happens I feel a bit worried, like anxious, but that’s all.
Your avatarDo you experience any fatigueQuestion
06/27/20 3:51 PM CDT
Tina JonesYeah, most days I feel pretty exhausted by the end of the day.
Your avatarDo you have any nausea vomitingQuestion
06/27/20 3:51 PM CDT
Tina JonesI haven’t had thrown up, or even had an upset stomach, in a long time.
Your avatarHave you noticed any swelling in your legsQuestion
06/27/20 3:52 PM CDT
Tina JonesNo, not that I have noticed.
Your avatarDo you have a family history of heart problemsQuestion
06/27/20 3:52 PM CDT
Tina JonesUm, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.
Your avatarDo you have a family history of heart diseaseQuestion
06/27/20 3:52 PM CDT
Tina JonesUm, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.
Your avatarAny family history of high cholesterolQuestion
06/27/20 3:53 PM CDT
Tina JonesCholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.
Your avatarFamily history of obesityQuestion
06/27/20 3:53 PM CDT
Tina JonesNo, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.
Your avatarFamily history of a strokeQuestion
06/27/20 3:53 PM CDT
Tina JonesYeah, that’s how my Nana died.
Your avatarAny family history of hypertensionQuestion
06/27/20 3:53 PM CDT
Tina JonesWe’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.
Your avatarA 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 organsEducate
06/27/20 3:55 PM CDT
Tina JonesAlright, thanks for letting me know.
Your avatarI am going to examine you nowQuestion
06/27/20 3:56 PM CDT
Tina JonesAlright.
Your avatarInspected anterior chest wallExam Action
06/27/20 3:56 PM CDT
Your avatarInspected right side chest wallExam Action
06/27/20 3:56 PM CDT
Your avatarInspected anterior chest wallExam Action
06/27/20 3:56 PM CDT
Your avatarInspected left side chest wallExam Action
06/27/20 3:56 PM CDT
Your avatarInspected anterior chest wallExam Action
06/27/20 3:56 PM CDT
Your avatarInspected for jugular venous distention: JVP 1 cm above sternal angleExam Action
06/27/20 3:56 PM CDT
Your avatarInspected fingernails of right handExam Action
06/27/20 3:57 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:57 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:57 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:57 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:57 PM CDT
Your avatarInspected fingernails of left handExam Action
06/27/20 3:57 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:58 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:58 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:58 PM CDT
Your avatarChecked capillary refill in fingernailsExam Action
06/27/20 3:58 PM CDT
Your avatarInspected fingernails of right handExam Action
06/27/20 3:58 PM CDT
Your avatarInspected legsExam Action
06/27/20 3:59 PM CDT
Your avatarInspected right legExam Action
06/27/20 3:59 PM CDT
Your avatarInspected legsExam Action
06/27/20 3:59 PM CDT
Your avatarInspected left legExam Action
06/27/20 3:59 PM CDT
Your avatarInspected legsExam Action
06/27/20 3:59 PM CDT
Your avatarInspected right leg for edema: No edemaExam Action
06/27/20 3:59 PM CDT
Your avatarInspected toenailsExam Action
06/27/20 3:59 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 3:59 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 3:59 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarChecked capillary refill in toenailsExam Action
06/27/20 4:00 PM CDT
Your avatarInspected legsExam Action
06/27/20 4:00 PM CDT
Your avatarInspected left leg for edema: No edemaExam Action
06/27/20 4:00 PM CDT
Your avatarPalpated temporal arteries: No thrill on either side, 2+ on both sidesExam Action
06/27/20 4:02 PM CDT
Your avatarPalpated temporal arteries: No thrill on either side, 2+ on both sidesExam Action
06/27/20 4:03 PM CDT
Your avatarPalpated right carotid pulse: No thrill, 2+Exam Action
06/27/20 4:03 PM CDT
Your avatarPalpated left carotid pulse: No thrill, 2+Exam Action
06/27/20 4:03 PM CDT
Your avatarPalpated chest at PMI: Present at midclavicular line and 5th intercostal space, brisk and tapping, diameter 2 cmExam Action
06/27/20 4:04 PM CDT
Your avatarPalpated right radial pulse: No thrill, 2+Exam Action
06/27/20 4:05 PM CDT
Your avatarPalpated left radial pulse: No thrill, 2+Exam Action
06/27/20 4:05 PM CDT
Your avatarPalpated right brachial pulse: No thrill, 2+Exam Action
06/27/20 4:05 PM CDT
Your avatarPalpated left brachial pulse: No thrill, 2+Exam Action
06/27/20 4:05 PM CDT
Your avatarPalpated right femoral pulse: No thrill, 2+Exam Action
06/27/20 4:06 PM CDT
Your avatarPalpated left femoral pulse: No thrill, 2+Exam Action
06/27/20 4:06 PM CDT
Your avatarPalpated right popliteal pulse: No thrill, 2+Exam Action
06/27/20 4:06 PM CDT
Your avatarPalpated left popliteal pulse: No thrill, 2+Exam Action
06/27/20 4:06 PM CDT
Your avatarPalpated right tibial pulse: No thrill, 2+Exam Action
06/27/20 4:07 PM CDT
Your avatarPalpated left tibial pulse: No thrill, 2+Exam Action
06/27/20 4:07 PM CDT
Your avatarPalpated right dorsalis pedis pulse: No thrill, 2+Exam Action
06/27/20 4:07 PM CDT
Your avatarPalpated left dorsalis pedis pulse: No thrill, 2+Exam Action
06/27/20 4:07 PM CDT
Your avatarAuscultated right temporal pulseExam Action
06/27/20 4:08 PM CDT
Your avatarAuscultated left temporal pulseExam Action
06/27/20 4:08 PM CDT
Your avatarAuscultated right temporal pulseExam Action
06/27/20 4:08 PM CDT
Your avatarAuscultated right carotid pulseExam Action
06/27/20 4:12 PM CDT
Your avatarAuscultated left carotid pulseExam Action
06/27/20 4:12 PM CDT
Your avatarAuscultated right carotid pulseExam Action
06/27/20 4:12 PM CDT
Your avatarAuscultated breath sounds in posterior left upper lobeExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated right temporal pulseExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior left upper lobeExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior right upper lobeExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior right middle lobeExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior left mid-chest (upper lobe)Exam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior right lower lobeExam Action
06/27/20 4:13 PM CDT
Your avatarAuscultated breath sounds in anterior left lower lobeExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated breath sounds in posterior left lower lobe on sideExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated breath sounds in posterior left lower lobe near spineExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated breath sounds in posterior right lower lobe near spineExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated breath sounds in posterior right lower lobe on sideExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated breath sounds in posterior right lower lobeExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated aortic area with the bellExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated aortic area with the diaphragmExam Action
06/27/20 4:14 PM CDT
Your avatarAuscultated pulmonic area with the diaphragmExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated Erb’s point with the diaphragmExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated tricuspid area with the diaphragmExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated mitral area with the diaphragmExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated aorta in abdomenExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated right renal pulseExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated left renal pulseExam Action
06/27/20 4:15 PM CDT
Your avatarAuscultated right iliac pulseExam Action
06/27/20 4:16 PM CDT
Your avatarAuscultated left iliac pulseExam Action
06/27/20 4:16 PM CDT
Your avatarAuscultated right femoral pulseExam Action
06/27/20 4:16 PM CDT
Your avatarAuscultated left femoral pulseExam Action
06/27/20 4:16 PM CDT
Your avatarTested ABI: 141/145 = 0.972Exam Action
06/27/20 4:16 PM CDT
Your avatarPerformed EKG: Regular sinus rhythm, no ST changesExam Action
06/27/20 4:17 PM CDT
Your avatarTested ABI: 141/145 = 0.972Exam Action
06/27/20 4:17 PM CDT
Your avatarAny family history of high cholesterolQuestion
06/27/20 5:40 PM CDT
Tina JonesCholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.
Your avatarA 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 organsEducate
06/27/20 5:40 PM CDT
Tina JonesThat makes sense.
Your avatarAny family history of high cholesterolQuestion
06/27/20 5:41 PM CDT
Tina JonesCholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.
Your avatarA 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 organsEmpathize
06/27/20 5:42 PM CDT
Tina JonesThanks for understanding.
Your avatarDo you know your family history of high blood pressure is a risk for heart diseaseQuestion
06/27/20 5:45 PM CDT
Tina JonesYeah, I know.
Your avatarA 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 organsEducate
06/27/20 5:45 PM CDT
Tina JonesAlright, thanks for letting me know.
Your avatarA 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 organsEmpathize
06/27/20 5:45 PM CDT
Tina JonesThanks for saying that.
Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our Guarantees

Money-back Guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism Guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision Policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy Policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

4-hour deadlines

Your urgent tasks will be completed within 4 hours. Your discussion responses and late orders will be will be handled fast and we still maintain our quality.

Read more
error: