tina jones gastrointestinal shadow health transcript
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Hello. My name is xxxx. I will interview you and later do a physical exam.
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Greet |
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Hey.
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What is your name?
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Tina Jones.
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What is you date of birth?
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February 17th.
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How old are you?
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I’m 28.
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What brings you to the clinic today?
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I’ve been having this stomach pain for awhile. It keeps coming back, and it really is starting to bother me.
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Sorry to hear that you are feeling bad
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Empathize |
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Thanks for understanding.
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When did the pain start?
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Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad.
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Where s the pain located?
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It’s like… my upper stomach. Like right below my breastbone, in the middle.
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Describe how the pain feels
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Um, it feels like heartburn. But sometimes, if it’s bad, it’s sharper than that.
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Does the pain increase?
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Yeah, it’s getting worse over time. I get these stomach pains every day.
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How many times a week are you getting the pain? (Clarified to How many times a week have you been having issues with abdominal pain?.)
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Every time I eat it hurts a little, but 3 or 4 times a week, it’ll be a lot worse. (Clarified to how many times a week I have abdominal pain.)
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Do you have the abdominal pain everyday?
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Yeah, I’ve had stomach pain for awhile now.
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when did the abdominal pain begin?
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Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad.
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How long does the pain last?
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For a few hours after I eat.
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How do you rate the pain on a scale of 0 to 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.)
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Right now, it’s like a 1 or 2. But after I eat, it’s like a. . . 5? (Clarified to how I would rate my pain on a scale.)
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Is the pain crushing?
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No.
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Is the pain gnawing ?
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No, it’s not like that.
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Is the pain cramping?
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No, it’s not like stomach cramps.
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where is the pain located?
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It’s like… my upper stomach. Like right below my breastbone, in the middle.
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on what side of your stomach is the pain located?
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No, it’s right in the center of my stomach, like between my belly button and my ribs.
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do you have sharp pain in your lower abdomen?
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No, it’s not at all like that. It’s in the middle of my stomach.
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Am sorry you feel that
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Empathize |
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I appreciate you saying that.
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does your pain occur after eating?
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Yes. Every time I eat it hurts. I’ve been eating less because I don’t like being in pain.
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Your pain is with larger meals?
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Yes, large meals make the pain worse. [AUDIO COMING SOON]
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do you eat spicy foods?
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Well, I used to eat spicy food sometimes, but in the last few weeks I can’t. It makes my stomach pain too bad.
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Do you eat a lot of fatty foods?
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Not too much. I mean, I like French fries and stuff, but I try not to eat them too often.
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French fries are considered fatty foods, try cut down on them
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Educate |
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Alright, thanks for letting me know.
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Is your pain worse when you bend over?
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Yeah. It gets worse when I bend over — I noticed that at work.
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sorry to hear that
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Empathize |
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Thanks for saying that.
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Does it hurt when you lie flat?
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Yeah.
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Try not to bend over at work
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Thanks for telling me.
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Is the pain better when you sit up? (Clarified to Does the pain improve when you sit up?.)
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Usually, yeah. (Clarified to if my pain improves when I sit up.)
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any decrease in appetite?
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Yeah, I haven’t been wanting to eat lately.
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Its important you take 3 meals a day
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Educate |
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OK, I understand.
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Do you eat out?
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I try not to eat out too much, but with my schedule I end up having to.
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have you been eating smaller meals than usual?
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Yeah, I’ve been trying to eat really little meals. I haven’t been that hungry, and I don’t want to have the pain of eating a big meal.
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Any increase in burping? (Clarified to Have you been burping more than usual?.)
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Yeah, that’s been happening after I eat. (Clarified to if I have been burping more than usual lately.)
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what makes your stomach pain relieve? (Clarified to What makes the abdominal pain better?.)
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I feel the best in-between meals. And sitting up on the couch seems to help. And sometimes I take an antacid. (Clarified to what makes the abdominal pain better.)
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Sitting up position helps prevent stomach acid from coming up the esophagus.
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Sure, I think I understand what you mean.
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What is the name of the antacid?
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I take the chewable Tums.
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How many chewable tums? (No matching questions found.)
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How many chew able tums do you take in a day?
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I start with two, and then I chew a couple more if I need to. The bottle says you can have up to four.
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Do the tums help relieve your pain?
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Yeah, they help. I try to only take them when the pain seems worse than usual.
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Does use of antacid help?
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Yeah, they help. I try to only take them when the pain seems worse than usual.
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Does the pain change?
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Yeah, it’s getting worse over time. I get these stomach pains every day.
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Does the stomach pain come with nausea and vomiting?
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No, I don’t feel nauseous.
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does your pain cause vomiting? (No matching questions found.)
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does the pain cause vomiting? (No matching questions found.)
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is your abdomen tender?
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No. My stomach pain’s not tender like that.
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any cramping?
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Yeah, I get cramps pretty bad.
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Is your pain associated with gas?
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I don’t think so. I haven’t been gassy lately.
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are you passing gas?
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No.
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How is your bowel?
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I guess I normally go once a day, or sometimes every other day.
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What the bowel colour? (No matching questions found.)
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What is your typical breakfast?
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I usually have either cereal or toast, or if I pick something up on my way to work, I’ll get a muffin or some pumpkin bread.
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what is your usual lunch?
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