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What is your daughter’s diagnosis?

Question
01/27/21 6:00 PM PST

Ned Warren
She’s been diagnosed with type 1 diabetes.
Your avatar
WHEN WAS YOUR DAUGHTER DIAGNOSED WITH DIABETES?

Question
01/27/21 6:00 PM PST

Ned Warren
Well, when I took Chelsea to the emergency room the doctors ran some tests and asked me about her symptoms. She was confused and disoriented. Honestly, I didn’t know what was going on with her until the doctors told us she has type 1 diabetes. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
Oooh, sorry about that

Empathize
01/27/21 6:00 PM PST

Ned Warren
Uh, thanks.
Your avatar
When was your daughter hospitalized?

Question
01/27/21 6:01 PM PST

Ned Warren
We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatar
Did your daughter have complications with her diabetes?

Question
01/27/21 6:01 PM PST

Ned Warren
We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatar
How was your daughter feeling?

Question
01/27/21 6:02 PM PST

Ned Warren
Chelsea was feeling pretty bad when we first got here. I thought maybe she had a stomach bug, because she was throwing up. She was also kind of confused — just not herself. She was pretty out of it. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
Sorry about that. Its hard seeing your child unwell

Empathize
01/27/21 6:02 PM PST

Ned Warren
Thank you.
Your avatar
Has your daughter’s weight changed lately?

Question
01/27/21 6:03 PM PST

Ned Warren
Well, her horseback riding lesson two days ago was the first time I’d seen her in two weeks. She was staying with her Mom. When I saw her at her riding lesson, I thought she looked a little thinner than normal.
Your avatar
How much weight has your daughter lost?

Question
01/27/21 6:04 PM PST

Ned Warren
I think she lost around five pounds. It happened in the last two weeks, when she was staying with her mom. She’s not normally this thin.
Your avatar
Do you know anything about type 1 diabetes?

Question
01/27/21 6:05 PM PST

Ned Warren
Just what I’ve learned here in the hospital. We’ve had a lot of different people come in and talk to us . . . and I’ve been reading a lot of articles on my phone. I’ve been reading about insulin, and uh, carb counting, but I don’t think it’s all sunk in.
Your avatar
It is good to have good knowledge about the disease so that you can manage your daughter’s condition effectively

Educate
01/27/21 6:05 PM PST

Ned Warren
I see.
Your avatar
What is your daughter’s typical diet? (Clarified to What is your daughter’s diet like?.)

Question
01/27/21 6:06 PM PST

Ned Warren
It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to what my daughter’s diet is like.) Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet.

Educate
01/27/21 6:07 PM PST

Ned Warren
Okay.
Your avatar
How many carbohydrates does your daughter eat a day?

Question
01/27/21 6:08 PM PST

Ned Warren
I . . . I don’t think she eats many carbs. I haven’t counted yet, but we stick to pretty healthy foods. We don’t eat a lot of sugar.
Your avatar
What medications does your daughter take for her diabetes? (No matching questions found.)

Question
01/27/21 6:09 PM PST

Your avatar
What medications does your daughter take? (No matching questions found.)

Question
01/27/21 6:09 PM PST

Your avatar
Any treatment? (No matching questions found.)

Question
01/27/21 6:10 PM PST

Your avatar
Are you married?

Question
01/27/21 6:10 PM PST

Ned Warren
Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing.
Your avatar
Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce

Empathize
01/27/21 6:11 PM PST

Ned Warren
Mmmhmmm.
Your avatar
How is your daughter’s relationship with her mother? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 6:12 PM PST

Ned Warren
Chelsea and Nora are really close.
Your avatar
That is great

Empathize
01/27/21 6:13 PM PST

Ned Warren
Uh, thanks.
Your avatar
Has your daughter been hospitalized before?

Question
01/27/21 6:13 PM PST

Ned Warren
This is Chelsea’s first visit to a hospital. No surgeries . . . I mean, she hasn’t even broken a bone before.
Your avatar
Does any one in your family have diabetes?

Question
01/27/21 6:14 PM PST

Ned Warren
Well, Mother has type 2 diabetes. She was diagnosed a little bit after Chelsea was born. Other than that, nothing else.
Your avatar
Do you take medications?

Empathize
01/27/21 6:14 PM PST

Chelsea Warren
Thanks, I appreciate it.
Your avatar
Do you take medications?

Question
01/27/21 6:15 PM PST

Chelsea Warren
Um, I mean, I guess I take insulin every day, if that’s what you mean.
Your avatar
Do you monitor your blood glucose levels? (Clarified to Do you check your blood sugar at home?.)

Question
01/27/21 6:15 PM PST

Chelsea Warren
Other people have been checking it for me. I haven’t done it myself yet. (Clarified to if I check my blood sugar.)
Your avatar
Okay. It is good to closely monitor your glucose levels

Educate
01/27/21 6:16 PM PST

Chelsea Warren
Oh, ok. I think I get it.
Your avatar
thanks for answering the questions Chelsea. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Empathize
01/27/21 6:16 PM PST

Chelsea Warren
Thank you.
Your avatar
Do you have a high heart beat?

Educate
01/27/21 6:17 PM PST

Chelsea Warren
There’s so much to learn. I feel like my brain is full! But thanks for telling me.
Your avatar
Do you have a high heart beat? (Clarified to Does your heart race?.)

Question
01/27/21 6:17 PM PST

Chelsea Warren
Nope, my heart feels fine. (Clarified to if my heart races.)
Your avatar
Do you have fever?

Question
01/27/21 6:17 PM PST

Chelsea Warren
No, I don’t think I have a fever.
Your avatar
I will now perform a physical assessment

Educate
01/27/21 6:18 PM PST

Chelsea Warren
Oh, ok. I think I get it.
Your avatar
 Checked ID band

Exam Action
01/27/21 6:18 PM PST

Your avatar
 Assessed vitals

Exam Action
01/27/21 6:18 PM PST

Your avatar
Do you feel any pain?

Question
01/27/21 6:30 PM PST

Chelsea Warren
No. No pain.
Your avatar
 Assessed growth

Exam Action
01/27/21 6:30 PM PST

Your avatar
 Assessed growth

Exam Action
01/27/21 6:31 PM PST

Your avatar
 Inspected IV site

Exam Action
01/27/21 6:31 PM PST

Your avatar
 Assessed vitals

Exam Action
01/27/21 6:32 PM PST

Your avatar
Do you have any needs right now? (Clarified to Do you need anything?.)

Question
01/27/21 7:01 PM PST

Chelsea Warren
I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all kinda confusing, but I want to know more. (Clarified to if I need anything.)
Your avatar
Diabetes is a metabolic disease. With the right diet, appropriate exercise and adherence to medication and close monitoring of the blood glucose levels, the condition can be managed very well.

Educate
01/27/21 7:02 PM PST

Chelsea Warren
Ok. Ok. I got it.
Your avatar
 Inspected IV site

Exam Action
01/27/21 7:02 PM PST

Your avatar
 Educate Chelsea in the most therapeutic manner on what supplies she will need to administer insulin.

Exam Action
01/27/21 7:03 PM PST

Your avatar
Chelsea, before you administer insulin, you will need a new, packaged syringe, a vial of insulin, alcohol wipes, and access to a special container for storing your used syringe. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:06 PM PST

Chelsea Warren
Okay, got it.
Chelsea Warren
Actually, what do you mean by a special container?
Your avatar
It is called a sharps container. Before you go home, we will make sure that each of your parents gets one, and that you know where to find one at school.

Question
01/27/21 7:07 PM PST

Chelsea Warren
Okay, thanks.
Your avatar
 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:07 PM PST

Your avatar
Ned, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:08 PM PST

Ned Warren
Understood. This is how I will prep Chelsea’s syringe when I am going to administer Chelsea’s insulin.
Chelsea Warren
Hey, I thought I was going to be doing that.
Your avatar
 You have not selected the most therapeutic way to deliver this information. The incorrect response you selected has been removed. Try again with the remaining responses.

Exam Action
01/27/21 7:08 PM PST

Your avatar
 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:08 PM PST

Your avatar
Chelsea, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:09 PM PST

Chelsea Warren
Take the syringe out of the package, get the cap off the needle, pull the plunger back to my correct dose. Roger, dodger.
Your avatar
 Educate Chelsea on the first steps in filling the syringe with insulin.

Exam Action
01/27/21 7:09 PM PST

Your avatar
Put the bottle of insulin on a flat surface, and hold it steady with one hand. With your other hand, push the needle straight into the insulin bottle and slowly push the plunger down. This will inject the air in the syringe into the bottle. Don’t pull the syringe out yet. Any questions?

Question
01/27/21 7:10 PM PST

Chelsea Warren
No questions. So far, so good.
Your avatar
 Educate Chelsea on completing the process of filling the syringe with insulin.

Exam Action
01/27/21 7:10 PM PST

Your avatar
With the needle still in the insulin vial, turn both upside down, so that the bottom of the vial is pointing at the ceiling. Slowly draw the plunger down so that insulin fills the syringe. Keep the tip of the needle in the insulin, and make sure you don’t bend the needle. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:10 PM PST

Chelsea Warren
I still get it.
Your avatar
 Educate Chelsea on how to evacuate air bubble

alt=”Your avatar”>
What is your daughter’s diagnosis?

Question
01/27/21 6:00 PM PST

Ned Warren
She’s been diagnosed with type 1 diabetes.
Your avatar
WHEN WAS YOUR DAUGHTER DIAGNOSED WITH DIABETES?

Question
01/27/21 6:00 PM PST

Ned Warren
Well, when I took Chelsea to the emergency room the doctors ran some tests and asked me about her symptoms. She was confused and disoriented. Honestly, I didn’t know what was going on with her until the doctors told us she has type 1 diabetes. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
Oooh, sorry about that

Empathize
01/27/21 6:00 PM PST

Ned Warren
Uh, thanks.
Your avatar
When was your daughter hospitalized?

Question
01/27/21 6:01 PM PST

Ned Warren
We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatar
Did your daughter have complications with her diabetes?

Question
01/27/21 6:01 PM PST

Ned Warren
We came to the hospital two days ago. She had diabetic ketoacidosis when we came in, but I think she’s feeling a lot better now.
Your avatar
How was your daughter feeling?

Question
01/27/21 6:02 PM PST

Ned Warren
Chelsea was feeling pretty bad when we first got here. I thought maybe she had a stomach bug, because she was throwing up. She was also kind of confused — just not herself. She was pretty out of it. Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
Sorry about that. Its hard seeing your child unwell

Empathize
01/27/21 6:02 PM PST

Ned Warren
Thank you.
Your avatar
Has your daughter’s weight changed lately?

Question
01/27/21 6:03 PM PST

Ned Warren
Well, her horseback riding lesson two days ago was the first time I’d seen her in two weeks. She was staying with her Mom. When I saw her at her riding lesson, I thought she looked a little thinner than normal.
Your avatar
How much weight has your daughter lost?

Question
01/27/21 6:04 PM PST

Ned Warren
I think she lost around five pounds. It happened in the last two weeks, when she was staying with her mom. She’s not normally this thin.
Your avatar
Do you know anything about type 1 diabetes?

Question
01/27/21 6:05 PM PST

Ned Warren
Just what I’ve learned here in the hospital. We’ve had a lot of different people come in and talk to us . . . and I’ve been reading a lot of articles on my phone. I’ve been reading about insulin, and uh, carb counting, but I don’t think it’s all sunk in.
Your avatar
It is good to have good knowledge about the disease so that you can manage your daughter’s condition effectively

Educate
01/27/21 6:05 PM PST

Ned Warren
I see.
Your avatar
What is your daughter’s typical diet? (Clarified to What is your daughter’s diet like?.)

Question
01/27/21 6:06 PM PST

Ned Warren
It’s actually pretty normal, I suppose. Pancakes and fruit for breakfast are my speciality. I’ll either fix a sandwich and chips for lunch or she’ll get lunch at school. Dinner varies between take-out or my world famous chili. (Clarified to what my daughter’s diet is like.) Type 1 Diabetes Chelsea Warren Shadow health Transcript
Your avatar
It is recommended to avoid high intake of carbs and fatty foods. Please follow the appropriate debates diet.

Educate
01/27/21 6:07 PM PST

Ned Warren
Okay.
Your avatar
How many carbohydrates does your daughter eat a day?

Question
01/27/21 6:08 PM PST

Ned Warren
I . . . I don’t think she eats many carbs. I haven’t counted yet, but we stick to pretty healthy foods. We don’t eat a lot of sugar.
Your avatar
What medications does your daughter take for her diabetes? (No matching questions found.)

Question
01/27/21 6:09 PM PST

Your avatar
What medications does your daughter take? (No matching questions found.)

Question
01/27/21 6:09 PM PST

Your avatar
Any treatment? (No matching questions found.)

Question
01/27/21 6:10 PM PST

Your avatar
Are you married?

Question
01/27/21 6:10 PM PST

Ned Warren
Chelsea’s mom, Nora, and I are divorced. We split custody 50/50, so Chelsea stays with me for two weeks at a time, and then stays with her mom for two weeks. We try to set a good example and, you know, do the civil co-parenting thing.
Your avatar
Okay, I know divorce is hard even for the kids. But it is good to see Chelsea has the love of both her parents even after the divorce

Empathize
01/27/21 6:11 PM PST

Ned Warren
Mmmhmmm.
Your avatar
How is your daughter’s relationship with her mother? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 6:12 PM PST

Ned Warren
Chelsea and Nora are really close.
Your avatar
That is great

Empathize
01/27/21 6:13 PM PST

Ned Warren
Uh, thanks.
Your avatar
Has your daughter been hospitalized before?

Question
01/27/21 6:13 PM PST

Ned Warren
This is Chelsea’s first visit to a hospital. No surgeries . . . I mean, she hasn’t even broken a bone before.
Your avatar
Does any one in your family have diabetes?

Question
01/27/21 6:14 PM PST

Ned Warren
Well, Mother has type 2 diabetes. She was diagnosed a little bit after Chelsea was born. Other than that, nothing else.
Your avatar
Do you take medications?

Empathize
01/27/21 6:14 PM PST

Chelsea Warren
Thanks, I appreciate it.
Your avatar
Do you take medications?

Question
01/27/21 6:15 PM PST

Chelsea Warren
Um, I mean, I guess I take insulin every day, if that’s what you mean.
Your avatar
Do you monitor your blood glucose levels? (Clarified to Do you check your blood sugar at home?.)

Question
01/27/21 6:15 PM PST

Chelsea Warren
Other people have been checking it for me. I haven’t done it myself yet. (Clarified to if I check my blood sugar.)
Your avatar
Okay. It is good to closely monitor your glucose levels

Educate
01/27/21 6:16 PM PST

Chelsea Warren
Oh, ok. I think I get it.
Your avatar
thanks for answering the questions Chelsea. Type 1 Diabetes Chelsea Warren Shadow health Transcript

Empathize
01/27/21 6:16 PM PST

Chelsea Warren
Thank you.
Your avatar
Do you have a high heart beat?

Educate
01/27/21 6:17 PM PST

Chelsea Warren
There’s so much to learn. I feel like my brain is full! But thanks for telling me.
Your avatar
Do you have a high heart beat? (Clarified to Does your heart race?.)

Question
01/27/21 6:17 PM PST

Chelsea Warren
Nope, my heart feels fine. (Clarified to if my heart races.)
Your avatar
Do you have fever?

Question
01/27/21 6:17 PM PST

Chelsea Warren
No, I don’t think I have a fever.
Your avatar
I will now perform a physical assessment

Educate
01/27/21 6:18 PM PST

Chelsea Warren
Oh, ok. I think I get it.
Your avatar
 Checked ID band

Exam Action
01/27/21 6:18 PM PST

Your avatar
 Assessed vitals

Exam Action
01/27/21 6:18 PM PST

Your avatar
Do you feel any pain?

Question
01/27/21 6:30 PM PST

Chelsea Warren
No. No pain.
Your avatar
 Assessed growth

Exam Action
01/27/21 6:30 PM PST

Your avatar
 Assessed growth

Exam Action
01/27/21 6:31 PM PST

Your avatar
 Inspected IV site

Exam Action
01/27/21 6:31 PM PST

Your avatar
 Assessed vitals

Exam Action
01/27/21 6:32 PM PST

Your avatar
Do you have any needs right now? (Clarified to Do you need anything?.)

Question
01/27/21 7:01 PM PST

Chelsea Warren
I guess, uh . . . I guess I need to know more about this diabetes stuff. I find it all kinda confusing, but I want to know more. (Clarified to if I need anything.)
Your avatar
Diabetes is a metabolic disease. With the right diet, appropriate exercise and adherence to medication and close monitoring of the blood glucose levels, the condition can be managed very well.

Educate
01/27/21 7:02 PM PST

Chelsea Warren
Ok. Ok. I got it.
Your avatar
 Inspected IV site

Exam Action
01/27/21 7:02 PM PST

Your avatar
 Educate Chelsea in the most therapeutic manner on what supplies she will need to administer insulin.

Exam Action
01/27/21 7:03 PM PST

Your avatar
Chelsea, before you administer insulin, you will need a new, packaged syringe, a vial of insulin, alcohol wipes, and access to a special container for storing your used syringe. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:06 PM PST

Chelsea Warren
Okay, got it.
Chelsea Warren
Actually, what do you mean by a special container?
Your avatar
It is called a sharps container. Before you go home, we will make sure that each of your parents gets one, and that you know where to find one at school.

Question
01/27/21 7:07 PM PST

Chelsea Warren
Okay, thanks.
Your avatar
 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:07 PM PST

Your avatar
Ned, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:08 PM PST

Ned Warren
Understood. This is how I will prep Chelsea’s syringe when I am going to administer Chelsea’s insulin.
Chelsea Warren
Hey, I thought I was going to be doing that.
Your avatar
 You have not selected the most therapeutic way to deliver this information. The incorrect response you selected has been removed. Try again with the remaining responses.

Exam Action
01/27/21 7:08 PM PST

Your avatar
 Educate in the most therapeutic manner on how to prepare a syringe for injection.

Exam Action
01/27/21 7:08 PM PST

Your avatar
Chelsea, take the syringe out of its packaging, and pull the cap off of the needle on the syringe. Pull the plunger of the syringe back until it is level with the correct dose. The numbers are printed on the side of the syringe.

Question
01/27/21 7:09 PM PST

Chelsea Warren
Take the syringe out of the package, get the cap off the needle, pull the plunger back to my correct dose. Roger, dodger.
Your avatar
 Educate Chelsea on the first steps in filling the syringe with insulin.

Exam Action
01/27/21 7:09 PM PST

Your avatar
Put the bottle of insulin on a flat surface, and hold it steady with one hand. With your other hand, push the needle straight into the insulin bottle and slowly push the plunger down. This will inject the air in the syringe into the bottle. Don’t pull the syringe out yet. Any questions?

Question
01/27/21 7:10 PM PST

Chelsea Warren
No questions. So far, so good.
Your avatar
 Educate Chelsea on completing the process of filling the syringe with insulin.

Exam Action
01/27/21 7:10 PM PST

Your avatar
With the needle still in the insulin vial, turn both upside down, so that the bottom of the vial is pointing at the ceiling. Slowly draw the plunger down so that insulin fills the syringe. Keep the tip of the needle in the insulin, and make sure you don’t bend the needle. Do you have any questions? Type 1 Diabetes Chelsea Warren Shadow health Transcript

Question
01/27/21 7:10 PM PST

Chelsea Warren
I still get it.
Your avatar
 Educate Chelsea on how to evacuate air bubble

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