tina jones respiratory assessment transcript

Transcript

Started: Mar 15, 2020 | Total Time: 139 min
Your avatar
Hello my name is Alex an FNP student and i will be interviewing today

Greet
03/15/20 11:31 AM PDT

Tina Jones
Hey.
Your avatar
Can you please state your name for me please

Question
03/15/20 11:31 AM PDT

Tina Jones
Tina Jones.
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and your date of birth

Question
03/15/20 11:32 AM PDT

Tina Jones
February 17th.
Your avatar
what is the year of birth please

Question
03/15/20 11:32 AM PDT

Tina Jones
I was born in . . . [Ms. Jones reports correct birth year.]
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how old are you ms. jones

Question
03/15/20 11:33 AM PDT

Tina Jones
I’m 28.
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what brings you in to the clinic today?

Question
03/15/20 11:33 AM PDT

Tina Jones
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?

Question
03/15/20 11:34 AM PDT

Tina Jones
I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.
Your avatar
im sorry to hear you are having breathing problems (Clarified to Are you having difficulty breathing right now?.)

Question
03/15/20 11:34 AM PDT

Tina Jones
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

Question
03/15/20 11:35 AM PDT

Tina Jones
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?.)

Question
03/15/20 11:36 AM PDT

Tina Jones
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?

Question
03/15/20 11:37 AM PDT

Tina Jones
Other than my asthma problems, there’s just my diabetes.
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when were you diagnosed with diabetes?

Question
03/15/20 11:38 AM PDT

Tina Jones
I was diagnosed when I was 24.
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what medications do you take for your diabetes?

Question
03/15/20 11:38 AM PDT

Tina Jones
I don’t take medicine for it anymore.
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what made you stop taking diabetes medications?

Question
03/15/20 11:39 AM PDT

Tina Jones
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?

Question
03/15/20 11:39 AM PDT

Tina Jones
Um, no. I haven’t been checking it.
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what medication do you use for asthma?

Question
03/15/20 11:41 AM PDT

Tina Jones
It’s just a regular Proventil inhaler.
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how often do you take your proventil inhaler?

Question
03/15/20 11:41 AM PDT

Tina Jones
I’ve been using it probably every. . . four hours or so, I’d say.
Your avatar
when did you start the symptoms?

Question
03/15/20 11:42 AM PDT

Tina Jones
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.
Your avatar
im sorry you are having problems with your breathing (Clarified to Are you having increased breathing problems?.)

Question
03/15/20 11:43 AM PDT

Tina Jones
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

Question
03/15/20 11:44 AM PDT

Tina Jones
Maybe as much as every four hours? It’s a lot.
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how long do this shortness of breath episode last

Question
03/15/20 11:44 AM PDT

Tina Jones
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?.)

Question
03/15/20 11:45 AM PDT

Tina Jones
Maybe as much as every four hours? It’s a lot. (Clarified to how long the shortness of breath episodes last.)
Your avatar
how many times in the last two days have you had the breathing problem

Question
03/15/20 11:46 AM PDT

Tina Jones
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?

Question
03/15/20 11:47 AM PDT

Tina Jones
My asthma doesn’t usually wake me up, but it has the past couple nights.
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how bad is your symptoms?

Question
03/15/20 11:47 AM PDT

Tina Jones
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

Question
03/15/20 11:48 AM PDT

Tina Jones
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?.)

Question
03/15/20 11:49 AM PDT

Tina Jones
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?

Question
03/15/20 11:49 AM PDT

Tina Jones
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?

Question
03/15/20 11:50 AM PDT

Tina Jones
I’ve been coughing a lot, yeah.
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how long have you had the cough?

Question
03/15/20 11:50 AM PDT

Tina Jones
Since my asthma acted up two days ago.
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how would you describe your cough

Question
03/15/20 11:50 AM PDT

Tina Jones
Um. . . I guess I’d describe it as a small, dry cough.
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what makes your cough better?

Question
03/15/20 11:51 AM PDT

Tina Jones
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?

Question
03/15/20 11:51 AM PDT

Tina Jones
I haven’t taken medicine for it or anything.
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is your asthma worse at night?

Question
03/15/20 11:52 AM PDT

Tina Jones
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?.)

Question
03/15/20 11:52 AM PDT

Tina Jones
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.)

Question
03/15/20 11:53 AM PDT

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to try to help with your breathing use couple pillows to elevate you head (No matching questions found.)

Question
03/15/20 11:54 AM PDT

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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.)

Question
03/15/20 11:54 AM PDT

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to try to help with the breathing you may want to use two pillows (No matching questions found.)

Question
03/15/20 11:55 AM PDT

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elevate your head with two pillows at night (No matching questions found.)

Question
03/15/20 11:56 AM PDT

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what asthma symptoms have experienced

Question
03/15/20 11:58 AM PDT

Tina Jones
Well, I’m having breathing problems. I keep feeling tight in my chest and I’ve had some wheezing.
Your avatar
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?.)

Question
03/15/20 11:59 AM PDT

Tina Jones
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?.)

Question
03/15/20 12:00 PM PDT

Tina Jones
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.)
Your avatar
what are some the things that trigger your asthma? (Clarified to What triggers your asthma?.)

Question
03/15/20 12:01 PM PDT

Tina Jones
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.)
Your avatar
what allergies do you have?

Question
03/15/20 12:01 PM PDT

Tina Jones
I’m allergic to cats.
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when did you realize you were allergic to cats

Question
03/15/20 12:02 PM PDT

Tina Jones
My whole life. [AUDIO COMING SOON]
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do you have any medication allergies?

Question
03/15/20 12:02 PM PDT

Tina Jones
Yeah, I’m allergic to penicillin.
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any allergies to food

Question
03/15/20 12:03 PM PDT

Tina Jones
Nope, no food allergies that I know of.
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are you allergic to dust , mold or pollen

Question
03/15/20 12:03 PM PDT

Tina Jones
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

Question
03/15/20 12:04 PM PDT

Tina Jones
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

Question
03/15/20 12:04 PM PDT

Tina Jones
No.
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have you had any hospitalizations

Question
03/15/20 12:05 PM PDT

Tina Jones
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.
Your avatar
what was wrong with your foot

Question
03/15/20 12:05 PM PDT

Tina Jones
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.
Your avatar
what did you do to treat your foot? (Clarified to How did you scrape your foot?.)

Question
03/15/20 12:06 PM PDT

Tina Jones
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.)

Question
03/15/20 12:07 PM PDT

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what did you use to treat your foot after the accident (No matching questions found.)

Question
03/15/20 12:07 PM PDT

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what did you use to treat your foot (No matching questions found.)

Question
03/15/20 12:08 PM PDT

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what did you do to treat your foot after the accident? (No matching questions found.)

Question
03/15/20 12:08 PM PDT

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how did you treat the foot (No matching questions found.)

Question
03/15/20 12:09 PM PDT

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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?.)

Question
03/15/20 12:10 PM PDT

Tina Jones
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

Question
03/15/20 12:10 PM PDT

Tina Jones
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?

Question
03/15/20 12:11 PM PDT

Tina Jones
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.)

Question
03/15/20 12:11 PM PDT

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do you follow the proventil instructions (No matching questions found.)

Question
03/15/20 12:12 PM PDT

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do you follow the proventil inhaler instructions and directed (No matching questions found.)

Question
03/15/20 12:12 PM PDT

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are taking any other medications

Question
03/15/20 12:12 PM PDT

Tina Jones
No, all I really use is my inhaler.
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you take any over the counter medications

Question
03/15/20 12:13 PM PDT

Tina Jones
I take Tylenol for a headache sometimes, or Advil for cramps, but not often.
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how many tylenol do you take

Question
03/15/20 12:13 PM PDT

Tina Jones
I take the extra-strength acetaminophen, the gel kind, 500 mg. It’s what we usually have around the house. [AUDIO COMING SOON]
Your avatar
how many advil do you take

Question
03/15/20 12:13 PM PDT

Tina Jones
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

Question
03/15/20 12:14 PM PDT

Tina Jones
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

Question
03/15/20 12:15 PM PDT

Tina Jones
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

Question
03/15/20 12:15 PM PDT

Tina Jones
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

Question
03/15/20 12:16 PM PDT

Tina Jones
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

Question
03/15/20 12:17 PM PDT

Tina Jones
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

Question
03/15/20 12:17 PM PDT

Tina Jones
Not really. . .
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do you check your pick flow regularly

Question
03/15/20 12:18 PM PDT

Tina Jones
Um, no. I haven’t been checking it.
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do you use a nebulizer

Question
03/15/20 12:18 PM PDT

Tina Jones
No, but I have before.
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we may consider a nebulizer for home treatments (No matching questions found.)

Question
03/15/20 12:19 PM PDT

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we may consider a nebulizer use for home treatments (No matching questions found.)

Question
03/15/20 12:19 PM PDT

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we may consider a nebulizer use for home treatments when you the attacks are present (No matching questions found.)

Question
03/15/20 12:19 PM PDT

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why did you stop using the nebulizer treatment

Question
03/15/20 12:20 PM PDT

Tina Jones
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?

Question
03/15/20 12:22 PM PDT

Tina Jones
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.)

Question
03/15/20 12:22 PM PDT

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we will teach you on how to use the peek flow meter (No matching questions found.)

Question
03/15/20 12:22 PM PDT

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are okay being taught how to use the peek flow meter (No matching questions found.)

Question
03/15/20 12:23 PM PDT

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you mentioned having headaches how often do they occur

Question
03/15/20 12:24 PM PDT

Tina Jones
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

Question
03/15/20 12:24 PM PDT

Tina Jones
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

Question
03/15/20 12:24 PM PDT

Tina Jones
No, I never felt like I needed to.
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do you see a doctor for your asthma

Question
03/15/20 12:25 PM PDT

Tina Jones
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.)

Question
03/15/20 12:26 PM PDT

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i recommend following up with you doctor regularly on your asthma (No matching questions found.)

Question
03/15/20 12:27 PM PDT

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what makes your asthma better

Question
03/15/20 12:28 PM PDT

Tina Jones
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

Question
03/15/20 12:29 PM PDT

Tina Jones
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?.)

Question
03/15/20 12:29 PM PDT

Tina Jones
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

Question
03/15/20 12:29 PM PDT

Tina Jones
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

Question
03/15/20 12:30 PM PDT

Tina Jones
I don’t really have a problem with my sinuses.
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have you ever been diagnosed with COPD

Question
03/15/20 12:31 PM PDT

Tina Jones
No.
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have you ever smoked cigarettes

Question
03/15/20 12:31 PM PDT

Tina Jones
No, I’ve never done that. I think it’s gross.
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im glad you know that

Question
03/15/20 12:31 PM PDT

Tina Jones
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.)

Question
03/15/20 12:32 PM PDT

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do you have any history of surgeries

Question
03/15/20 12:32 PM PDT

Tina Jones
Nope. No surgeries… I’ve been lucky.
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have you ever smoked any illicit drugs

Question
03/15/20 12:34 PM PDT

Tina Jones
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.)

Question
03/15/20 12:35 PM PDT

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are you employed

Question
03/15/20 12:35 PM PDT

Tina Jones
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

Question
03/15/20 12:36 PM PDT

Tina Jones
Well, I’m finishing up my Bachelor’s degree right now.
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how are your eating habits

Question
03/15/20 12:36 PM PDT

Tina Jones
It’s pretty good, I think. I’m not a huge health nut or anything.
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any other street drug use

Question
03/15/20 12:36 PM PDT

Tina Jones
Uh, no.
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what activities do you do

Question
03/15/20 12:37 PM PDT

Tina Jones
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

Question
03/15/20 12:37 PM PDT

Tina Jones
I haven’t smoked pot since I was twenty or twenty-one.
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have you ever experimented with inhaled drugs

Question
03/15/20 12:38 PM PDT

Tina Jones
No, no way. That’s a nasty thing to do.
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have you been sick recently

Question
03/15/20 12:38 PM PDT

Tina Jones
No, I’m usually healthy.
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have you had fever

Question
03/15/20 12:38 PM PDT

Tina Jones
No, I haven’t had a fever.
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does your family have medical condition

Question
03/15/20 12:39 PM PDT

Tina Jones
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

Question
03/15/20 12:39 PM PDT

Tina Jones
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

Question
03/15/20 12:40 PM PDT

Tina Jones
He passed last year.
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im sorry to hear that

Question
03/15/20 12:40 PM PDT

Tina Jones
My hearing is fine.
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im sorry to hear your father passed away

Question
03/15/20 12:41 PM PDT

Tina Jones
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?.)

Question
03/15/20 12:41 PM PDT

Tina Jones
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?.)

Question
03/15/20 12:42 PM PDT

Tina Jones
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

Question
03/15/20 12:42 PM PDT

Tina Jones
It was last year… I guess a little over a year ago.
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how did you cope with your fathers death

Question
03/15/20 12:43 PM PDT

Tina Jones
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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03/15/20 12:44 PM PDT

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how is your paternal grandmother heath

Question
03/15/20 12:45 PM PDT

Tina Jones
She’s doing great for 82!
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did your paternal grand mother have health issues

Question
03/15/20 12:45 PM PDT

Tina Jones
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

Question
03/15/20 12:46 PM PDT

Tina Jones
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

Question
03/15/20 12:47 PM PDT

Tina Jones
She’s pretty healthy. She has asthma too, but she almost never has attacks.
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how is your brothers health

Question
03/15/20 12:47 PM PDT

Tina Jones
He’s a healthy guy. Kinda big like me.
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does any of your family member have obesity

Question
03/15/20 12:47 PM PDT

Tina Jones
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

Question
03/15/20 12:48 PM PDT

Tina Jones
No, I don’t think so.
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does your family have history of drug abuse

Question
03/15/20 12:48 PM PDT

Tina Jones
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.)

Question
03/15/20 12:49 PM PDT

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do you have family have history of headaches

Question
03/15/20 12:49 PM PDT

Tina Jones
No, not that I know of.
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do you drink alcohol

Question
03/15/20 12:50 PM PDT

Tina Jones
I do sometimes, yeah, when I go out with my friends.
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how much alcohol do you drink

Question
03/15/20 12:50 PM PDT

Tina Jones
I only have a few drinks when I go out.
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have you lost any weight

Question
03/15/20 12:51 PM PDT

Tina Jones
Not that I’ve noticed.
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have you had lost of appetite

Question
03/15/20 12:51 PM PDT

Tina Jones
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

Question
03/15/20 12:51 PM PDT

Tina Jones
No — I usually have an iron stomach.
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who do you leave with (Clarified to Who do you live with?.)

Question
03/15/20 12:52 PM PDT

Tina Jones
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

Question
03/15/20 12:52 PM PDT

Tina Jones
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

Question
03/15/20 12:53 PM PDT

Tina Jones
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

Question
03/15/20 12:53 PM PDT

Tina Jones
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

Question
03/15/20 12:53 PM PDT

Tina Jones
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?.)

Question
03/15/20 12:54 PM PDT

Tina Jones
No, definitely not. (Clarified to if I think about harming myself.)
Your avatar
do you have any pain right now

Question
03/15/20 12:54 PM PDT

Tina Jones
It doesn’t hurt. . . it’s just hard to breathe, but there’s no pain.
Your avatar
what is your belief system

Question
03/15/20 12:55 PM PDT

Tina Jones
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.
Your avatar
have you been abused

Question
03/15/20 12:55 PM PDT

Tina Jones
No, no way. I’ve never been hurt or anything in the way that you’re talking about.
Your avatar
have you had any nausea or vomiting

Question
03/15/20 12:56 PM PDT

Tina Jones
I haven’t had thrown up, or even had an upset stomach, in a long time.
Your avatar
have you had chills

Question
03/15/20 12:56 PM PDT

Tina Jones
No, I haven’t.
Your avatar
have you had any weakness

Question
03/15/20 12:56 PM PDT

Tina Jones
No, I wouldn’t say I feel weak.
Your avatar
do you have trouble sleeping

Question
03/15/20 12:57 PM PDT

Tina Jones
No, I usually sleep pretty well.
Your avatar
do you have any night sweats

Question
03/15/20 12:57 PM PDT

Tina Jones
I don’t get sweaty, but sometimes I wake up hot and have to kick off my sheets.
Your avatar
have you had any itching

Question
03/15/20 12:57 PM PDT

Tina Jones
Um, no.
Your avatar
have you had any rashes

Question
03/15/20 12:58 PM PDT

Tina Jones
I don’t usually get rashes, and I don’t have one right now.
Your avatar
have you notice any change of color on your nails

Question
03/15/20 12:58 PM PDT

Tina Jones
My nails? I think they’re fine.
Your avatar
have you had any skin color changes (Clarified to Has your skin changed color?.)

Question
03/15/20 12:59 PM PDT

Tina Jones
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.)
Your avatar
did you treat it with anything (Clarified to Do you do anything to treat your acne?.)

Question
03/15/20 12:59 PM PDT

Tina Jones
I just wash my face every night. (Clarified to if I do anything for my acne.)
Your avatar
have you had problem with your eye sight (Clarified to Have you ever had any eye problems?.)

Question
03/15/20 1:00 PM PDT

Tina Jones
No. (Clarified to if I have had eye problems.)
Your avatar
do you have any drainage from your eyes

Question
03/15/20 1:00 PM PDT

Tina Jones
No.
Your avatar
do you have any redness from your eyes

Question
03/15/20 1:00 PM PDT

Tina Jones
My eyes are fine right now, but they do get red and itchy around cats, like at my cousin’s the other day.
Your avatar
do you have any pain

Question
03/15/20 1:01 PM PDT

Tina Jones
It doesn’t hurt. . . it’s just hard to breathe, but there’s no pain.
Your avatar
have you had any changes in your vision

Question
03/15/20 1:01 PM PDT

Tina Jones
Um, it’s probably gotten a little worse in the past few years.
Your avatar
do you have problem with light on your eyes (Clarified to Are your eyes sensitive to light?.)

Question
03/15/20 1:02 PM PDT

Tina Jones
No. (Clarified to if my eyes are sensitive to light.)
Your avatar
do you have any ear ache

Question
03/15/20 1:02 PM PDT

Tina Jones
No.
Your avatar
do you have any discharge from your ears

Question
03/15/20 1:02 PM PDT

Tina Jones
No.
Your avatar
have you had any dizziness

Question
03/15/20 1:02 PM PDT

Tina Jones
No, I can’t remember the last time I got dizzy.
Your avatar
have you experienced vertigo

Question
03/15/20 1:03 PM PDT

Tina Jones
No, I’ve never had that.
Your avatar
have you experienced ringing in your ears

Question
03/15/20 1:03 PM PDT

Tina Jones
My ears are fine.
Your avatar
have you noticed any changes with your voice (Clarified to Have you had changes in your voice?.)

Question
03/15/20 1:03 PM PDT

Tina Jones
No, I don’t think so. (Clarified to if I have had changes in my voice.)
Your avatar
have you had any hoarseness

Question
03/15/20 1:04 PM PDT

Tina Jones
No.
Your avatar
have you had any sore throat

Question
03/15/20 1:04 PM PDT

Tina Jones
My throat has been fine.
Your avatar
have you had any congestion

Question
03/15/20 1:04 PM PDT

Tina Jones
No, congestion isn’t the problem.
Your avatar
have you had any mucus from your nose (Clarified to Has your nose been running?.)

Question
03/15/20 1:05 PM PDT

Tina Jones
No, my nose has been fine. (Clarified to if my nose has been runny.)
Your avatar
have you had any cough

Question
03/15/20 1:05 PM PDT

Tina Jones
I’ve been coughing a lot, yeah.
Your avatar
have you coughed blood

Question
03/15/20 1:05 PM PDT

Tina Jones
Coughing up blood? No, that’s never happened. I would remember that for sure.
Your avatar
have you been having pain when breathing

Question
03/15/20 1:06 PM PDT

Tina Jones
No, my chest feels tight when I have breathing problems, but it doesn’t hurt.
Your avatar
have you fainted

Question
03/15/20 1:07 PM PDT

Tina Jones
Um, not that I remember.
Your avatar
have you felt any numbness

Question
03/15/20 1:07 PM PDT

Tina Jones
No, I don’t think so.
Your avatar
have you had any tingling

Question
03/15/20 1:07 PM PDT

Tina Jones
No, I haven’t noticed any tingling.
Your avatar
have you experienced any slurred speech

Question
03/15/20 1:08 PM PDT

Tina Jones
No. I might stumble over my words sometimes but nothing like that.
Your avatar
have you had any chest pain

Question
03/15/20 1:08 PM PDT

Tina Jones
My chest has been feeling tight, but it doesn’t hurt or anything.
Your avatar
when does that chest tightness usually happen

Question
03/15/20 1:08 PM PDT

Tina Jones
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.
Your avatar
have you had shortness of breath

Question
03/15/20 1:09 PM PDT

Tina Jones
Yeah, my breathing’s been pretty bad the past couple days.
Your avatar
are you able to exercise

Question
03/15/20 1:09 PM PDT

Tina Jones
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.
Your avatar
have you had any swelling to the lower extremities

Question
03/15/20 1:10 PM PDT

Tina Jones
No, nothing has been swelling.
Your avatar
do you have any palpitations

Question
03/15/20 1:10 PM PDT

Tina Jones
To be honest, I’m not sure what a palpitation is.
Your avatar
have you felt like your heart is racing (Clarified to Is your heart racing?.)

Question
03/15/20 1:10 PM PDT

Tina Jones
Nope, my heart’s fine. (Clarified to if my heart is racing.)
Your avatar
have you felt ant stiffness

Question
03/15/20 1:11 PM PDT

Tina Jones
Maybe I need to stretch a little when I get out of bed, but nothing big.
Your avatar
have you felt any crepitus (No matching questions found.)

Question
03/15/20 1:11 PM PDT

Your avatar
have you been passing flatus

Question
03/15/20 1:12 PM PDT

Tina Jones
I’m not gassy.
Your avatar
do you have problem swallowing

Question
03/15/20 1:12 PM PDT

Tina Jones
Nope.
Your avatar
do you have any food intolerance

Question
03/15/20 1:12 PM PDT

Tina Jones
I can eat just about anything.
Your avatar
do you have rectal bleeding

Question
03/15/20 1:13 PM PDT

Tina Jones
No.
Your avatar
have you noticed any bloody stools

Question
03/15/20 1:13 PM PDT

Tina Jones
That’s kind of gross. . . I haven’t noticed any blood, but I don’t really look!
Your avatar
do you have any diarrhea

Question
03/15/20 1:13 PM PDT

Tina Jones
I haven’t had diarrhea in a long time. . . like, years.
Your avatar
do you have heartburn

Question
03/15/20 1:13 PM PDT

Tina Jones
No.
Your avatar
do you have problem urinating

Question
03/15/20 1:14 PM PDT

Tina Jones
It doesn’t hurt when I pee or anything.
Your avatar
have noticed peeing a lot (Clarified to Have you been urinating more often than usual?.)

Question
03/15/20 1:14 PM PDT

Tina Jones
Yeah, but I’ve been drinking more water. (Clarified to if I have had to urinate more often.)
Your avatar
do you have any burning sensation when you pee

Question
03/15/20 1:15 PM PDT

Tina Jones
It doesn’t hurt or feel different when I pee.
Your avatar
do you pee a lot at night

Question
03/15/20 1:15 PM PDT

Tina Jones
Yeah, I definitely get up more than once during the night.
Your avatar
are you incontinence (Clarified to Have you had accidents in the bathroom?.)

Question
03/15/20 1:16 PM PDT

Tina Jones
No, I haven’t had problems with that. (Clarified to if I have had accidents in the bathroom.)
Your avatar
are you stressed right now

Question
03/15/20 1:16 PM PDT

Tina Jones
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?
Your avatar
do you feel anxious

Question
03/15/20 1:16 PM PDT

Tina Jones
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.
Your avatar
do you have any memory loss

Question
03/15/20 1:17 PM PDT

Tina Jones
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.
Your avatar
have you had any mood changes

Question
03/15/20 1:17 PM PDT

Tina Jones
No, I’m pretty even-keel. I mean, I have good days and bad days like everybody, but nothing crazy.
Your avatar
do you have trouble concentrating

Question
03/15/20 1:18 PM PDT

Tina Jones
Not really. Sometimes it gets a little loud in the house when I’m studying.
Your avatar
have you had any heart problems

Question
03/15/20 1:19 PM PDT

Tina Jones
No, my heart is fine, thank God!
Your avatar
have you had any problem with your breast (Clarified to Have you had breast pain?.)

Question
03/15/20 1:19 PM PDT

Tina Jones
No. (Clarified to if I have had breast pain.)
Your avatar
have you had any neurological problems

Question
03/15/20 1:20 PM PDT

Tina Jones
No, I haven’t.
Your avatar
have you had any reproductive problems

Question
03/15/20 1:20 PM PDT

Tina Jones
I don’t think I have problems in that area. I just get really bad periods, that’s all.
Your avatar
do you have regular period

Question
03/15/20 1:21 PM PDT

Tina Jones
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.
Your avatar
when was your last period

Question
03/15/20 1:21 PM PDT

Tina Jones
It started yesterday.
Your avatar
do use use any contraceptives (Clarified to Are you currently using birth control?.)

Question
03/15/20 1:21 PM PDT

Tina Jones
Nope. But I’ve been single for a while so I haven’t needed to. (Clarified to if I use birth control.)
Your avatar
what do you take for your cramps

Question
03/15/20 1:22 PM PDT

Tina Jones
I take Advil. I try a heating pad sometimes and that only helps a little.
Your avatar
how much advil do you take (Clarified to How much ibuprofen do you take at one time?.)

Question
03/15/20 1:22 PM PDT

Tina Jones
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.)
Your avatar
do you have any blood disorders

Question
03/15/20 1:23 PM PDT

Tina Jones
No, I don’t think so.
Your avatar
do you have any musculoskeletal problems

Question
03/15/20 1:23 PM PDT

Tina Jones
No.
Your avatar
have you had any transfusion

Question
03/15/20 1:24 PM PDT

Tina Jones
No.
Your avatar
do you have any endocrine problems

Question
03/15/20 1:24 PM PDT

Tina Jones
No.
Your avatar
have you ha any thyroid problems (Clarified to Are you aware of any thyroid problems?.)

Question
03/15/20 1:24 PM PDT

Tina Jones
No. (Clarified to if I have thyroid problems.)
Your avatar
do you have any skin problems

Question
03/15/20 1:25 PM PDT

Tina Jones
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.
Your avatar
do you have family history of eczema

Question
03/15/20 1:25 PM PDT

Tina Jones
No. . .
Your avatar
 Inspected anterior chest wall

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Inspected left side chest wall

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Inspected posterior chest wall

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Inspected right side chest wall

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Inspected anterior chest wall

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Palpated chest expansion: Both sides rise symmetrically

Exam Action
03/15/20 1:28 PM PDT

Your avatar
 Palpated fremitus in anterior upper chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:28 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Palpated fremitus in anterior upper chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:28 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Palpated fremitus in anterior lower chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:28 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Palpated fremitus in posterior upper chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:29 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Palpated fremitus in posterior middle chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:29 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Palpated fremitus in posterior lower chest wall: Equal bilaterally, expected vibration

Exam Action
03/15/20 1:29 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Percussed anterior left upper lobe

Exam Action
03/15/20 1:31 PM PDT

Your avatar
 Percussed anterior right upper lobe

Exam Action
03/15/20 1:31 PM PDT

Your avatar
 Percussed anterior left mid-chest (upper lobe)

Exam Action
03/15/20 1:31 PM PDT

Your avatar
 Percussed anterior right middle lobe

Exam Action
03/15/20 1:31 PM PDT

Your avatar
 Percussed anterior left lower lobe

Exam Action
03/15/20 1:31 PM PDT

Your avatar
 Percussed anterior right lower lobe

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior right upper lobe

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior left upper lobe

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior right mid-back (lower lobe)

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior left mid-back (lower lobe)

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior right lower lobe

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior left lower lobe

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior right lower lobe on side

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior right lower lobe near spine

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior left lower lobe near spine

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Percussed posterior left lower lobe on side

Exam Action
03/15/20 1:32 PM PDT

Your avatar
 Auscultated breath sounds in anterior left upper lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in anterior right upper lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in anterior right middle lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in anterior left lower lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in anterior right lower lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in posterior right upper lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in posterior left upper lobe

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in posterior right mid-back (lower lobe)

Exam Action
03/15/20 1:33 PM PDT

Your avatar
 Auscultated breath sounds in posterior left mid-back (lower lobe)

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe on side

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe near spine

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe near spine

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe on side

Exam Action
03/15/20 1:34 PM PDT

Your avatar
 Auscultated voice sounds in anterior left upper lobe

Exam Action
03/15/20 1:35 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right upper lobe

Exam Action
03/15/20 1:35 PM PDT

Your avatar
 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
03/15/20 1:35 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right middle lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left lower lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right lower lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right upper lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left upper lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right mid-back (lower lobe)

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left mid-back (lower lobe)

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe

Exam Action
03/15/20 1:36 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe on side

Exam Action
03/15/20 1:37 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe near spine

Exam Action
03/15/20 1:37 PM PDT

Tina Jones
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe near spine

Exam Action
03/15/20 1:37 PM PDT