Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
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Hello. I am xx. I will interview and examine you
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Greet |
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Hello there.
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What brings you to he clinic today?
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I came in because I’ve been really tired lately. And I’ve had some hair loss. Neither of which are really normal for me. Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
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am sorry to hear this
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Empathize |
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Thank you.
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when did your start feeling tired?
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I started feeling this tired about a month ago.
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In which parts have you lost your hair?
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Yeah, my hair has been falling out and thinning recently.
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Does resting make you feel better for fatigue?
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Nothing really makes it better. It feels like it lasts all day.
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I am sorry to hear that.
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My hearing’s good. [AUDIO COMING SOON]
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Are you taking any medication to help with the hair falling out? (Clarified to Are you on any prescription medication?.)
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I am prescribed medication for my hypothyroidism. I take a supplement for my osteopenia, and a multivitamin, but those are over-the-counter. (Clarified to if I take any prescription medications.)
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What remedies are you using to help with the hair fall out?
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Not every day, but more than one day a week. I’ll notice it if I’m brushing my hair, or washing it, or sometimes even just running my fingers through it. [AUDIO COMING SOON]
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How is the distribution of the hair fall out? (Clarified to When do you notice your hair falling out?.)
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Not every day, but more than one day a week. I’ll notice it if I’m brushing my hair, or washing it, or sometimes even just running my fingers through it. [AUDIO COMING SOON] (Clarified to when I notice hair loss.)
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After which activities do you feel fatigued? (No matching questions found.)
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What aggravates your fatigue
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I don’t think anything makes it worse — it’s more just a steady tiredness that lasts all day.
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Does this make it difficult to perform your daily tasks? (No matching questions found.)
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How has these affected your daily activities? (Clarified to How has your fatigue made it difficult to do things?.)
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It hasn’t — I can still perform my daily activities. (Clarified to how my fatigue has made it difficult to do activities.) Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
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that’s great
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Empathize |
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Thank you, dear.
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What is your name?
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My name is Maureen Hopkins.
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And have you noticed any changes with your skin?
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I’ve had dry skin . . . on my hands, arms, elbows.
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Are there any other over-the-counter medications that you are using?
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I take a multivitamin and the calcium and vitamin D supplement — those are over-the-counter.
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Do you have any other health issue?
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Yes, I have osteopenia and hypothyroidism.
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What do you manage your hypothyroidism?
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It’s called Synthroid.
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When did you start taking the medication?
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I’ve taken Synthroid since shortly after being diagnosed with hypothyroidism, around 15 years ago. [AUDIO COMING SOON]
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And what dosage of Synthroid do you take? (Clarified to What dose of Synthroid are you taking?.)
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It’s 125 micrograms, if I recall correctly. (Clarified to what dose the Synthroid is.)
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And what do you use for your osteopenia? (No matching questions found.)
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Have you been taking your medications as per the prescription? Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
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I always take my medications when I should. I use a pillbox, too, which helps.
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When do you take the Synthroid medication? (Clarified to When do you take the Synthroid?.)
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I take the Synthroid in the morning every day. (Clarified to when I take the Synthroid.)
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Is your hypothyroidism under control? (No matching questions found.)
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Are you watching your diet?
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I don’t have any dietary restrictions or anything like that.
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Do you have any side effects with the hypothyroidism medication?
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No, I haven’t had any side effects from the medication.
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Do you have any medication allergies?
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I don’t have any allergies to any medications.
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Are you allergic to any food?
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No, I don’t have food allergies.
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Tell me about your salt intake levels
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I haven’t been abnormally thirsty or anything like that. Just a “normal” amount of thirsty. [AUDIO COMING SOON]
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And how much amount of water do you consume?
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I’ll usually have between 6 and 7 glasses of water a day.
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Have you been urinating more frequently? (No matching questions found.) Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
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Any specific part of your body where you particularly feel dry? (No matching questions found.)
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Have you been hospitalized for hypothyroidism? (Clarified to What was your last hospitalization for?.)
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It was years and years ago, when I gave birth to my sons. (Clarified to what my last hospitalization was for.)
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Are you up-to date with your vaccines?
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I believe I’m up to date on my immunizations, yes. [AUDIO COMING SOON]
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Have you had any past surgeries?
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I’ve never had surgery.
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Are you up-to date with your childhood immunizations?
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I believe I’m up to date on my immunizations, yes. [AUDIO COMING SOON]
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Any family history of hypothyroidism?
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Not that I know — I don’t believe anyone had it, or at least knew about it.
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Any family history of diabetes? (Clarified to Do your family members have health problems?.)
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The main thing was my father passed from COPD, from smoking. And my mother passed from a stroke. (Clarified to if my family members have health problems.)
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On a scale of 0 to 10, can you rate your level of fatigue (No matching questions found.)
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What triggers you to feel tired?
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I’m not sure. I can’t pinpoint any causes or anything that makes me more tired.
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How long have you been feeling tired?
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I started feeling this tired about a month ago.
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Are there any other symptoms you are experiencing?
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Besides losing my hair and feeling so tired . . . I suppose my skin has been pretty dry.
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Have you experiences hair loss before? (Clarified to Have you had hair loss in the past?.)
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No, I haven’t had hair loss before it started 3 weeks ago. [AUDIO COMING SOON] (Clarified to if I have had hair loss in the past.)
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Have you had any injuries?
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Have you had eye problems?
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06/16/23 5:39 PM EDT
My eyes and vision are fine. [AUDIO COMING SOON]
Any ear problems?
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06/16/23 5:40 PM EDT
My ears are doing fine. [AUDIO COMING SOON]
Have you had changes in your mouth and throat?
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06/16/23 5:40 PM EDT
Hm . . . well, I did notice a while back that my Synthroid looked different when I picked it up from the pharmacy. It was a sort of oblong pill shape, whereas it’s usually circular. And the pill bottle read “levothyroxine sodium,” instead of “Synthroid” like usual.
Have you had changes in frequency of urinating?
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06/16/23 5:41 PM EDT
Hm . . . well, I did notice a while back that my Synthroid looked different when I picked it up from the pharmacy. It was a sort of oblong pill shape, whereas it’s usually circular. And the pill bottle read “levothyroxine sodium,” instead of “Synthroid” like usual. Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
Any pain when urinating? (Clarified to Do you have trouble urinating?.)
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06/16/23 5:41 PM EDT
I haven’t had any issues in the bathroom or the like. [AUDIO COMING SOON] (Clarified to if I have trouble urinating.)
Have you notes easy bruising or bleeding? (No matching questions found.)
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06/16/23 5:42 PM EDT
Do you experience pain when moving? (Clarified to Does it hurt to walk?.)
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06/16/23 5:43 PM EDT
No, not at all. I like walking. (Clarified to if it hurts to walk.)
Have you experienced any behavioral changes? (No matching questions found.)
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06/16/23 5:44 PM EDT
Have you experienced any dizziness? (No matching questions found.)
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06/16/23 5:44 PM EDT
Have you had a previous blood transfusion? (No matching questions found.)
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06/16/23 5:45 PM EDT
Have you had headaches?
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06/16/23 5:46 PM EDT
I haven’t had any headaches. [AUDIO COMING SOON]
Have you had changes in appetite?
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06/16/23 5:46 PM EDT
My appetite’s the same as it usually is. [AUDIO COMING SOON]
When was your last EKG screening? (Clarified to When was the last time you took any medications?.)
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06/16/23 5:47 PM EDT
I took my Synthroid this morning. [AUDIO COMING SOON] (Clarified to when I last took medication.)
Are you having hallucinations? (No matching questions found.)
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06/16/23 5:47 PM EDT
Which symptoms are associated with osteopenia? (No matching questions found.)
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06/16/23 6:09 PM EDT
Any family history of thyroid issues?
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06/16/23 6:09 PM EDT
Not that I know — I don’t believe anyone had it, or at least knew about it.
Any family history of autoimmune disorders?
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06/16/23 6:10 PM EDT
The main thing was my father passed from COPD, from smoking. And my mother passed from a stroke.
Have you had all childhood and adulthood immunizations? (No matching questions found.)
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06/16/23 6:10 PM EDT
Have you had all immunizations? (No matching questions found.)
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06/16/23 6:11 PM EDT
Any other symptoms associated with the skin? (Clarified to Do you have other symptoms when you have palpitations?.)
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06/16/23 6:14 PM EDT
I don’t have any palpitations. (Clarified to if I have other symptoms with my palpitations.)
How severe is your skin dryness? (Clarified to How severe is your dry skin?.)
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06/16/23 6:15 PM EDT
My dry skin is a little uncomfortable, but nothing too bad. (Clarified to how severe my dry skin is.)
How severe is your fatigue?
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06/16/23 6:15 PM EDT
If I had to rate my fatigue out of 10 . . . I’d say a 5 or 6. [AUDIO COMING SOON]
How are your menstrual patterns? (No matching questions found.)
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06/16/23 6:15 PM EDT
