Hello my name is Alex an FNP student and i will be interviewing today
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Greet |
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Hey.
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Can you please state your name for me please
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Question |
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Tina Jones.
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and your date of birth
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February 17th.
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what is the year of birth please
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I was born in . . . [Ms. Jones reports correct birth year.]
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how old are you ms. jones
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I’m 28.
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what brings you in to the clinic today?
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Question |
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I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.
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what made you seek medical treatment ms. jones?
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Question |
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I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.
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im sorry to hear you are having breathing problems (Clarified to Are you having difficulty breathing right now?.)
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My breathing feels okay right this second, but I’ve definitely been having problems recently with it. (Clarified to if I am having difficulty breathing now.)
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im sorry to hear you have been having breathing problems
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Yeah, my breathing’s been a lot worse the past couple days.
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describe how you feel when this happens (Clarified to How is your breathing now?.)
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My breathing feels okay right this second, but I’ve definitely been having problems recently with it. (Clarified to how my breathing is now.)
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what other medical conditions do you have?
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Other than my asthma problems, there’s just my diabetes.
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when were you diagnosed with diabetes?
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I was diagnosed when I was 24.
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what medications do you take for your diabetes?
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I don’t take medicine for it anymore.
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what made you stop taking diabetes medications?
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I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. I feel a lot better now that I’m just eating healthier than I did when I was taking the pills.
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do you monitor your blood sugar?
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Um, no. I haven’t been checking it.
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what medication do you use for asthma?
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Question |
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It’s just a regular Proventil inhaler.
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how often do you take your proventil inhaler?
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Question |
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I’ve been using it probably every. . . four hours or so, I’d say.
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when did you start the symptoms?
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Question |
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I don’t know if I’d call it an asthma attack, but my asthma started acting up two days ago at my cousin’s house. She has cats, and I’m allergic, so I’m used to it being a problem there, but usually the inhaler fixes it. . . it doesn’t feel totally under control, though.
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im sorry you are having problems with your breathing (Clarified to Are you having increased breathing problems?.)
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Yeah, my breathing’s been a lot worse the past couple days. (Clarified to if my breathing problems have increased.)
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how often do you get shortness of breath episodes
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Maybe as much as every four hours? It’s a lot.
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how long do this shortness of breath episode last
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Maybe as much as every four hours? It’s a lot.
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how long did your last episode last? (Clarified to How long do these shortness of breath episodes last?.)
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Maybe as much as every four hours? It’s a lot. (Clarified to how long the shortness of breath episodes last.)
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how many times in the last two days have you had the breathing problem
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Question |
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Well. . . it’s kind of hard to count because my breathing’s been at least a little bad most of the past two days, but it’s really acted up, like with wheezing and everything, probably every four hours or so–like five times each day.
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is your asthma keeping you up at night?
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My asthma doesn’t usually wake me up, but it has the past couple nights.
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how bad is your symptoms?
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My asthma used to be really scary. I haven’t had a full attack in years, and if you had asked me before this I would have said my asthma wasn’t that bad anymore, but the last couple days I’ve had a lot of trouble breathing.
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is there anything you can not do due to your asthma
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There usually isn’t anything I can’t do because of my asthma. . . I guess I try to avoid things that make my breathing worse, but that’s about it. The past couple days, though, it’s been hard to do anything.
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do you usually wheeze when you have asthma exacerbation? (Clarified to Do you wheeze when you have an asthma attack?.)
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During a full attack, I would wheeze a lot, like I couldn’t breathe at all, but until the past couple days, I would usually just wheeze a little when I had breathing problems. (Clarified to if I wheeze during an asthma attack.)
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are you having any chest tightness?
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It just feels like I can’t really take in air when I breathe, sort of like breathing makes my chest tighter. . . it doesn’t hurt or anything, though.
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have you been coughing?
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I’ve been coughing a lot, yeah.
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how long have you had the cough?
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Since my asthma acted up two days ago.
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how would you describe your cough
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Um. . . I guess I’d describe it as a small, dry cough.
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what makes your cough better?
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Drinking some water helps a little, as long as the water isn’t too cold.
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have you tried to treat your cough?
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I haven’t taken medicine for it or anything.
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is your asthma worse at night?
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It has been the past couple nights, yeah.
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does lying on your back make the asthma worse? (Clarified to Does lying down make your asthma worse?.)
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Just recently lying on my back has definitely made my breathing worse. (Clarified to if lying down makes my asthma worse.)
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try elevating your head with the pillows it may help with the breathing (No matching questions found.)
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to try to help with your breathing use couple pillows to elevate you head (No matching questions found.)
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to try to help with your breathing you may want to use couple pillows to elevate you head (No matching questions found.)
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to try to help with the breathing you may want to use two pillows (No matching questions found.)
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elevate your head with two pillows at night (No matching questions found.)
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what asthma symptoms have experienced
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Well, I’m having breathing problems. I keep feeling tight in my chest and I’ve had some wheezing.
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do you use any medication when you have the asthma attacks (Clarified to Do you use your inhaler immediately when you have an asthma attack?.)
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I haven’t had a full attack in years, but usually I use my inhaler when my breathing gets bad. The past two days it hasn’t been helping as much, though. (Clarified to if I use my inhaler during asthma attacks.)
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how many puffs do you use when treating the asthma attacks (Clarified to How many puffs of your inhaler do you usually take?.)
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Sometimes I have to take three puffs of the 90 mcg albuterol inhaler instead of two, and the past couple days, always three. [AUDIO COMING SOON] (Clarified to how many puffs of my inhaler I usually take.)
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what are some the things that trigger your asthma? (Clarified to What triggers your asthma?.)
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This all started at my cousin’s house. She has cats, and I’m allergic, so my asthma always goes crazy when I’m there. (Clarified to what triggers my asthma.)
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what allergies do you have?
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I’m allergic to cats.
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when did you realize you were allergic to cats
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My whole life. [AUDIO COMING SOON]
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do you have any medication allergies?
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Yeah, I’m allergic to penicillin.
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any allergies to food
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Nope, no food allergies that I know of.
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are you allergic to dust , mold or pollen
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Well. . . I don’t know if it’s allergies, but sometimes my asthma acts up around dust.
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have you received any immunization
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I got a tetanus booster for work about a year ago. For the other kinds, I got all the required ones when I was a kid, and for college…I’m sure I have a record somewhere at home.
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have you received a flu vaccine
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No.
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have you had any hospitalizations
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I went to the hospital a bunch of times when I was growing up, for asthma attacks. And I went for a foot injury a few months ago, but my foot is fine now.
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what was wrong with your foot
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Well, this was months ago, but I came in here because I scraped it on some steps behind my house. It’s all healed up though.
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what did you do to treat your foot? (Clarified to How did you scrape your foot?.)
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Well, this was months ago, but I came in here because I scraped it on some steps behind my house. It’s all healed up though. (Clarified to how I scraped my foot.)
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what did you do to treat your foot after the accident (No matching questions found.)
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what did you use to treat your foot after the accident (No matching questions found.)
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what did you use to treat your foot (No matching questions found.)
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what did you do to treat your foot after the accident? (No matching questions found.)
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how did you treat the foot (No matching questions found.)
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you mentioned that you do not take any medication for your diabetes can you tell me more (Clarified to Why did you stop taking diabetes medication?.)
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I just got sick of dealing with it! (Clarified to why I stopped taking my diabetes medication.)
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what medication did you take
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Question |
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My inhaler is the only prescription I always have, but I usually don’t need it everyday, except for recently. . .
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how many puffs do you take?
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Question |
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Sometimes I have to take three puffs of the 90 mcg albuterol inhaler instead of two, and the past couple days, always three. [AUDIO COMING SOON]
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make sure you follow the instruction for proventil inhaler (No matching questions found.)
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do you follow the proventil instructions (No matching questions found.)
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do you follow the proventil inhaler instructions and directed (No matching questions found.)
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are taking any other medications
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No, all I really use is my inhaler.
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you take any over the counter medications
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I take Tylenol for a headache sometimes, or Advil for cramps, but not often.
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how many tylenol do you take
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I take the extra-strength acetaminophen, the gel kind, 500 mg. It’s what we usually have around the house. [AUDIO COMING SOON]
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how many advil do you take
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I take three 200 mg pills at a time. And I’d bet I take it up to three times a day. [AUDIO COMING SOON]
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do you have any seasonal allergies
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A little while ago, I had some seasonal allergies, but it didn’t really bother my asthma, and it’s better now.
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when were you diagnosed with asthma
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My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
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were you hospitalized for the asthma attacks
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I went a bunch of times when I was little, for asthma attacks.
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when was the last time you were hospitalized for asthma attacks
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I used to go to the hospital a lot for asthma attacks, but not since I was sixteen.
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have you ever been put on a breathing tube
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You mean like, did they ever have to put me on a breathing machine? No, I haven’t had an asthma attack that serious.
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do you use a chart to monitor your asthma
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Not really. . .
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do you check your pick flow regularly
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Question |
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Um, no. I haven’t been checking it.
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do you use a nebulizer
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No, but I have before.
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we may consider a nebulizer for home treatments (No matching questions found.)
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we may consider a nebulizer use for home treatments (No matching questions found.)
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we may consider a nebulizer use for home treatments when you the attacks are present (No matching questions found.)
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why did you stop using the nebulizer treatment
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They put me on a nebulizer at the hospital a couple times when I went in for asthma.
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i will send you home with a peak flow meter and you need to document regularly?
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I’ve heard of that, but no, I don’t do it.
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we will teach you on how to use it (No matching questions found.)
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we will teach you on how to use the peek flow meter (No matching questions found.)
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are okay being taught how to use the peek flow meter (No matching questions found.)
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you mentioned having headaches how often do they occur
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Just sometimes…maybe once a week? Whenever I read for a long time.
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on a pain scale of 0-10 how bad is it
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It doesn’t hurt. . . it’s just hard to breathe, but there’s no pain.
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have you seen a doctor for the headaches
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No, I never felt like I needed to.
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do you see a doctor for your asthma
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I used to go to Dr. Dewitt, but she moved her practice recently. Luckily she’s still been able to call in refills of my inhaler, but I haven’t actually been in to see her in about two years.
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since you have asthma it is important to follow up with you doctor regularly (No matching questions found.)
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i recommend following up with you doctor regularly on your asthma (No matching questions found.)
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what makes your asthma better
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I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler.
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do you have pets at home
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No. . . I’m too busy to take care of a dog, and I can’t have cats because of my allergies.
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does any one smoke in your house (Clarified to Does anyone in your house smoke?.)
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No, nobody at home smokes. (Clarified to if anyone at home smokes.)
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if exposed to second smoke it triggers your asthma
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Some of my friends smoke when we go out drinking. But I don’t smoke, and nobody at home smokes.
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do you have history of sinus problems
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I don’t really have a problem with my sinuses.
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have you ever been diagnosed with COPD
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Question |
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No.
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have you ever smoked cigarettes
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Question |
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No, I’ve never done that. I think it’s gross.
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im glad you know that
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Question |
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Some of my friends smoke when we go out drinking. But I don’t smoke, and nobody at home smokes.
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smoking is a know trigger for asthma (No matching questions found.)
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do you have any history of surgeries
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Nope. No surgeries… I’ve been lucky.
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have you ever smoked any illicit drugs
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Question |
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Well, I used to smoke pot. . . but I don’t do that anymore.
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what do you do for a leaving (No matching questions found.)
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are you employed
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Question |
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I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up.
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what is your level of education
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Question |
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Well, I’m finishing up my Bachelor’s degree right now.
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how are your eating habits
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Question |
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It’s pretty good, I think. I’m not a huge health nut or anything.
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any other street drug use
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Question |
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Uh, no.
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what activities do you do
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Well, with my church friends, we do Bible study or we have a meal. With my other friends, I’ll go over to one of their houses to watch our shows or just hang out. And on the weekends, we’ll go out to a bar or go dancing.
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when was the last time you smoked marijuana
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I haven’t smoked pot since I was twenty or twenty-one.
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have you ever experimented with inhaled drugs
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Question |
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No, no way. That’s a nasty thing to do.
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have you been sick recently
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No, I’m usually healthy.
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have you had fever
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Question |
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No, I haven’t had a fever.
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does your family have medical condition
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Question |
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My mom has some issues, and I think some of my grandparents did, too.
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what medical condition does your mom have
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Question |
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Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though.
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does you father have any medical issues
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Question |
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He passed last year.
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im sorry to hear that
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Question |
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My hearing is fine.
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im sorry to hear your father passed away
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He died in a car accident.
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do you recall any medical conditions your father had (Clarified to Did your father have health problems?.)
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Question |
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He had high blood pressure and cholesterol, and diabetes too…the same kind as me. (Clarified to if my father had health issues.)
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what happened with your father car accident (Clarified to Tell me more about the car accident and your dad?.)
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Question |
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He was driving to work and it was raining…and his car hydroplaned. And hit a tree. So it was really sudden. (Clarified to to ask more about dad’s car accident.)
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how long ago was your dad car accident
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Question |
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It was last year… I guess a little over a year ago.
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how did you cope with your fathers death
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Question |
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Well, right after he died, after the funeral and everything, I just tried to get through that. Mom was having such a hard time, crying a lot, everything made her sad, she was kinda depressed. So I guess at first I just focused on getting things done–groceries, laundry, insurance papers and stuff. Knowing that Mom needed me kinda helped me get through day by day. There was about a month where it was hard for us to get to church. Even getting up and ready for church was too overwhelming. But our church family helped us out, and gave us rides to church and brought meals and all that, so they really helped build us back up. Things were only hard like that for a few months.
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im deeply sorry to hear that (No matching questions found.)
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Question |
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how is your paternal grandmother heath
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Question |
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She’s doing great for 82!
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did your paternal grand mother have health issues
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Question |
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She takes some blood pressure pills, and I think she has high cholesterol, but Granny’s doing great for 82.
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doe your paternal grand father have health issues
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Question |
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Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and…I’m pretty sure he had diabetes.
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how is your sister health
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Question |
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She’s pretty healthy. She has asthma too, but she almost never has attacks.
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how is your brothers health
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Question |
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He’s a healthy guy. Kinda big like me.
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does any of your family member have obesity
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Question |
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No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.
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does you family have thyroid issues
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Question |
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No, I don’t think so.
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does your family have history of drug abuse
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Question |
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One person in the family, my dad’s brother, has an alcohol problem, but we never see him.
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do you have family health problem of headaches (No matching questions found.)
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Question |
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do you have family have history of headaches
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Question |
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No, not that I know of.
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do you drink alcohol
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Question |
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I do sometimes, yeah, when I go out with my friends.
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how much alcohol do you drink
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Question |
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I only have a few drinks when I go out.
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have you lost any weight
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Question |
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Not that I’ve noticed.
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have you had lost of appetite
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Question |
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It’s good. . . I mean, I could always eat. I feel like I’m usually at least a little hungry.
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do you have any abdominal pain
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Question |
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No — I usually have an iron stomach.
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who do you leave with (Clarified to Who do you live with?.)
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Question |
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Right now I live back at home with my mom and my sister. (Clarified to who I live with.)
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have you eating habits changed
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Question |
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No, I’m a creature of habit. I eat the same foods all the time.
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what you like to do for fun
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Question |
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I like going to bars or clubs with my friends to dance some nights. If I’m at home, I usually read or watch TV to unwind.
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are you dating right now
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Question |
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I really haven’t been–between work and school and family, I feel like I don’t have enough hours in the day. I would like to, though…my friends keep threatening to set me up, so maybe I’ll let them one of these days!
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do you feel depressed
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Question |
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The closest I ever came to depression was after Dad died…I just felt sad all the time.
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have you thought of hurting your self (Clarified to Do you ever think about harming yourself?.)
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Question |
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No, definitely not. (Clarified to if I think about harming myself.)
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do you have any pain right now
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Question |
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It doesn’t hurt. . . it’s just hard to breathe, but there’s no pain.
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what is your belief system
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Question |
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I’m Baptist. My faith is a big part of my life–when things get hard like they’ve been this past year, I know I can trust that God’s looking out for me. I’ve been going to the same church since I was a kid, too, so the people at church are practically part of my family.
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have you been abused
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Question |
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No, no way. I’ve never been hurt or anything in the way that you’re talking about.
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have you had any nausea or vomiting
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Question |
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I haven’t had thrown up, or even had an upset stomach, in a long time.
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have you had chills
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Question |
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No, I haven’t.
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have you had any weakness
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Question |
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No, I wouldn’t say I feel weak.
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do you have trouble sleeping
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Question |
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No, I usually sleep pretty well.
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do you have any night sweats
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Question |
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I don’t get sweaty, but sometimes I wake up hot and have to kick off my sheets.
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have you had any itching
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Question |
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Um, no.
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have you had any rashes
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Question |
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I don’t usually get rashes, and I don’t have one right now.
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have you notice any change of color on your nails
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Question |
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My nails? I think they’re fine.
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have you had any skin color changes (Clarified to Has your skin changed color?.)
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Question |
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Well…I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin’s breaking out, but that’s how it is. (Clarified to if my skin has changed color.)
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did you treat it with anything (Clarified to Do you do anything to treat your acne?.)
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Question |
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I just wash my face every night. (Clarified to if I do anything for my acne.)
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have you had problem with your eye sight (Clarified to Have you ever had any eye problems?.)
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Question |
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No. (Clarified to if I have had eye problems.)
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do you have any drainage from your eyes
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Question |
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No.
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do you have any redness from your eyes
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Question |
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My eyes are fine right now, but they do get red and itchy around cats, like at my cousin’s the other day.
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do you have any pain
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Question |
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It doesn’t hurt. . . it’s just hard to breathe, but there’s no pain.
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have you had any changes in your vision
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Question |
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Um, it’s probably gotten a little worse in the past few years.
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do you have problem with light on your eyes (Clarified to Are your eyes sensitive to light?.)
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Question |
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No. (Clarified to if my eyes are sensitive to light.)
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do you have any ear ache
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Question |
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No.
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do you have any discharge from your ears
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Question |
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No.
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have you had any dizziness
|
Question |
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No, I can’t remember the last time I got dizzy.
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have you experienced vertigo
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Question |
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No, I’ve never had that.
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have you experienced ringing in your ears
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Question |
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My ears are fine.
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have you noticed any changes with your voice (Clarified to Have you had changes in your voice?.)
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Question |
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No, I don’t think so. (Clarified to if I have had changes in my voice.)
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have you had any hoarseness
|
Question |
|
No.
|
||
have you had any sore throat
|
Question |
|
My throat has been fine.
|
||
have you had any congestion
|
Question |
|
No, congestion isn’t the problem.
|
||
have you had any mucus from your nose (Clarified to Has your nose been running?.)
|
Question |
|
No, my nose has been fine. (Clarified to if my nose has been runny.)
|
||
have you had any cough
|
Question |
|
I’ve been coughing a lot, yeah.
|
||
have you coughed blood
|
Question |
|
Coughing up blood? No, that’s never happened. I would remember that for sure.
|
||
have you been having pain when breathing
|
Question |
|
No, my chest feels tight when I have breathing problems, but it doesn’t hurt.
|
||
have you fainted
|
Question |
|
Um, not that I remember.
|
||
have you felt any numbness
|
Question |
|
No, I don’t think so.
|
||
have you had any tingling
|
Question |
|
No, I haven’t noticed any tingling.
|
||
have you experienced any slurred speech
|
Question |
|
No. I might stumble over my words sometimes but nothing like that.
|
||
have you had any chest pain
|
Question |
|
My chest has been feeling tight, but it doesn’t hurt or anything.
|
||
when does that chest tightness usually happen
|
Question |
|
It just feels like I can’t really take in air when I breathe, sort of like breathing makes my chest tighter. . . it doesn’t hurt or anything, though.
|
||
have you had shortness of breath
|
Question |
|
Yeah, my breathing’s been pretty bad the past couple days.
|
||
are you able to exercise
|
Question |
|
Well, I don’t exercise, really. I mean, I’m active — I’m on my feet all day — but I don’t go running or stuff like that. I bet I’d get winded pretty fast, and I’d probably need my inhaler.
|
||
have you had any swelling to the lower extremities
|
Question |
|
No, nothing has been swelling.
|
||
do you have any palpitations
|
Question |
|
To be honest, I’m not sure what a palpitation is.
|
||
have you felt like your heart is racing (Clarified to Is your heart racing?.)
|
Question |
|
Nope, my heart’s fine. (Clarified to if my heart is racing.)
|
||
have you felt ant stiffness
|
Question |
|
Maybe I need to stretch a little when I get out of bed, but nothing big.
|
||
have you felt any crepitus (No matching questions found.)
|
Question |
|
have you been passing flatus
|
Question |
|
I’m not gassy.
|
||
do you have problem swallowing
|
Question |
|
Nope.
|
||
do you have any food intolerance
|
Question |
|
I can eat just about anything.
|
||
do you have rectal bleeding
|
Question |
|
No.
|
||
have you noticed any bloody stools
|
Question |
|
That’s kind of gross. . . I haven’t noticed any blood, but I don’t really look!
|
||
do you have any diarrhea
|
Question |
|
I haven’t had diarrhea in a long time. . . like, years.
|
||
do you have heartburn
|
Question |
|
No.
|
||
do you have problem urinating
|
Question |
|
It doesn’t hurt when I pee or anything.
|
||
have noticed peeing a lot (Clarified to Have you been urinating more often than usual?.)
|
Question |
|
Yeah, but I’ve been drinking more water. (Clarified to if I have had to urinate more often.)
|
||
do you have any burning sensation when you pee
|
Question |
|
It doesn’t hurt or feel different when I pee.
|
||
do you pee a lot at night
|
Question |
|
Yeah, I definitely get up more than once during the night.
|
||
are you incontinence (Clarified to Have you had accidents in the bathroom?.)
|
Question |
|
No, I haven’t had problems with that. (Clarified to if I have had accidents in the bathroom.)
|
||
are you stressed right now
|
Question |
|
I’m pretty stressed about my asthma right now, honestly. I’m worried if I don’t get it under control soon I’ll end up in the hospital. . . it’s a bad feeling, knowing my asthma got better, but now it’s getting worse again. It feels like going backwards, you know?
|
||
do you feel anxious
|
Question |
|
I guess I’ve been pretty anxious this year. After Dad died there’s been so many things to worry about–it makes me really unorganized and distracted. But going to church usually calms me down, gets me right.
|
||
do you have any memory loss
|
Question |
|
No. I mean, sometimes, I freeze up during a test, but that’s everybody, right? I have a good head for names and directions, stuff like that.
|
||
have you had any mood changes
|
Question |
|
No, I’m pretty even-keel. I mean, I have good days and bad days like everybody, but nothing crazy.
|
||
do you have trouble concentrating
|
Question |
|
Not really. Sometimes it gets a little loud in the house when I’m studying.
|
||
have you had any heart problems
|
Question |
|
No, my heart is fine, thank God!
|
||
have you had any problem with your breast (Clarified to Have you had breast pain?.)
|
Question |
|
No. (Clarified to if I have had breast pain.)
|
||
have you had any neurological problems
|
Question |
|
No, I haven’t.
|
||
have you had any reproductive problems
|
Question |
|
I don’t think I have problems in that area. I just get really bad periods, that’s all.
|
||
do you have regular period
|
Question |
|
It’s not regular. Sometimes it’s every month, but sometimes it’s more like every two months. I don’t write it down or anything. I probably get…six periods a year.
|
||
when was your last period
|
Question |
|
It started yesterday.
|
||
do use use any contraceptives (Clarified to Are you currently using birth control?.)
|
Question |
|
Nope. But I’ve been single for a while so I haven’t needed to. (Clarified to if I use birth control.)
|
||
what do you take for your cramps
|
Question |
|
I take Advil. I try a heating pad sometimes and that only helps a little.
|
||
how much advil do you take (Clarified to How much ibuprofen do you take at one time?.)
|
Question |
|
I just take the regular kind I think — 200 mg. It’s not extra strength or anything. [AUDIO COMING SOON] (Clarified to how much ibuprofen I take at one time.)
|
||
do you have any blood disorders
|
Question |
|
No, I don’t think so.
|
||
do you have any musculoskeletal problems
|
Question |
|
No.
|
||
have you had any transfusion
|
Question |
|
No.
|
||
do you have any endocrine problems
|
Question |
|
No.
|
||
have you ha any thyroid problems (Clarified to Are you aware of any thyroid problems?.)
|
Question |
|
No. (Clarified to if I have thyroid problems.)
|
||
do you have any skin problems
|
Question |
|
Well…I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin’s breaking out, but that’s how it is.
|
||
do you have family history of eczema
|
Question |
|
No. . .
|
||
Inspected anterior chest wall
|
Exam Action |
|
Inspected left side chest wall
|
Exam Action |
|
Inspected posterior chest wall
|
Exam Action |
|
Inspected right side chest wall
|
Exam Action |
|
Inspected anterior chest wall
|
Exam Action |
|
Palpated chest expansion: Both sides rise symmetrically
|
Exam Action |
|
Palpated fremitus in anterior upper chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Palpated fremitus in anterior upper chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Palpated fremitus in anterior lower chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Palpated fremitus in posterior upper chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Palpated fremitus in posterior middle chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Palpated fremitus in posterior lower chest wall: Equal bilaterally, expected vibration
|
Exam Action |
|
Ninety-nine.
|
||
Percussed anterior left upper lobe
|
Exam Action |
|
Percussed anterior right upper lobe
|
Exam Action |
|
Percussed anterior left mid-chest (upper lobe)
|
Exam Action |
|
Percussed anterior right middle lobe
|
Exam Action |
|
Percussed anterior left lower lobe
|
Exam Action |
|
Percussed anterior right lower lobe
|
Exam Action |
|
Percussed posterior right upper lobe
|
Exam Action |
|
Percussed posterior left upper lobe
|
Exam Action |
|
Percussed posterior right mid-back (lower lobe)
|
Exam Action |
|
Percussed posterior left mid-back (lower lobe)
|
Exam Action |
|
Percussed posterior right lower lobe
|
Exam Action |
|
Percussed posterior left lower lobe
|
Exam Action |
|
Percussed posterior right lower lobe on side
|
Exam Action |
|
Percussed posterior right lower lobe near spine
|
Exam Action |
|
Percussed posterior left lower lobe near spine
|
Exam Action |
|
Percussed posterior left lower lobe on side
|
Exam Action |
|
Auscultated breath sounds in anterior left upper lobe
|
Exam Action |
|
Auscultated breath sounds in anterior right upper lobe
|
Exam Action |
|
Auscultated breath sounds in anterior left mid-chest (upper lobe)
|
Exam Action |
|
Auscultated breath sounds in anterior right middle lobe
|
Exam Action |
|
Auscultated breath sounds in anterior left lower lobe
|
Exam Action |
|
Auscultated breath sounds in anterior right lower lobe
|
Exam Action |
|
Auscultated breath sounds in posterior right upper lobe
|
Exam Action |
|
Auscultated breath sounds in posterior left upper lobe
|
Exam Action |
|
Auscultated breath sounds in posterior right mid-back (lower lobe)
|
Exam Action |
|
Auscultated breath sounds in posterior left mid-back (lower lobe)
|
Exam Action |
|
Auscultated breath sounds in posterior right lower lobe
|
Exam Action |
|
Auscultated breath sounds in posterior left lower lobe
|
Exam Action |
|
Auscultated breath sounds in posterior right lower lobe on side
|
Exam Action |
|
Auscultated breath sounds in posterior right lower lobe near spine
|
Exam Action |
|
Auscultated breath sounds in posterior left lower lobe near spine
|
Exam Action |
|
Auscultated breath sounds in posterior left lower lobe on side
|
Exam Action |
|
Auscultated voice sounds in anterior left upper lobe
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in anterior right upper lobe
|
Exam Action |
|
Auscultated voice sounds in anterior left mid-chest (upper lobe)
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in anterior right middle lobe
|
Exam Action |
|
Ninety-nine.
|
||
Ninety-nine.
|
||
Ninety-nine.
|
||
Auscultated voice sounds in anterior left lower lobe
|
Exam Action |
|
Ninety-nine.
|
||
Ninety-nine.
|
||
Auscultated voice sounds in anterior right lower lobe
|
Exam Action |
|
Ninety-nine.
|
||
Ninety-nine.
|
||
Ninety-nine.
|
||
Ninety-nine.
|
||
Auscultated voice sounds in posterior right upper lobe
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior left upper lobe
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior right mid-back (lower lobe)
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior left mid-back (lower lobe)
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior right lower lobe
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior left lower lobe
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior right lower lobe on side
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior right lower lobe near spine
|
Exam Action |
|
Ninety-nine.
|
||
Auscultated voice sounds in posterior left lower lobe near spine
|
Exam Action |