Sophia Haddad Pediatric GAS Pharyngitis shadow health transcript
Transcript
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Hi, Sophia. My name is Danielle and I will be your provider today.
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Greet |
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Hi there.
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Hi Omar, My name is Danielle, and I will be your provider today
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Hello.
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What brings you and Sophia in today? (Clarified to What brings you to the office today?.)
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My daughter’s sick. A high fever and a sore throat. (Clarified to what brings me to the office.)
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What brings you in to the office
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I’m here because they sent me home at school because I was cold and tired and the teacher sent me to the nurse, and when I told her my throat had been hurting all morning she called my Baba. He’s the guy over there.
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I am sorry you are not feeling well, i hope i can help
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Empathize |
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Thank you.
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Where is the pain?
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It hurts in the back of my throat. AND my head hurts.
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Why are you sick?
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My throat hurts, and I’m all cold and tired.
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When did you notice the pain?
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I was eating breakfast this morning and it hurt to swallow and I realized my throat hurt all the time.
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When did your fever start?
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I started feeling all chilly and achy at school, during science class.
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How bad does your throat hurt?
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Uh. Bad. It hurts kinda bad.
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Do you have problems talking?
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My throat hurts worse when I talk.
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Are you able to swallow?
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I can swallow, but it hurts my throat really bad.
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Do you drink water?
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I like drinking water. I had some already today.
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Do you take any medications?
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Only when Baba makes me. Medicine tastes so bad.
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Im sorry you feel that way
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Empathize |
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OK. Thanks.
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Medicines can help us feel better
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Educate |
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Hmm . . . OK.
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How long has sophia been sick?
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The school called me about 2 hours ago saying Sophia had a fever of 102 and a sore throat.
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What was your daughters fever at school?
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The school said her fever was 102. I feel so bad she has that on top of a sore throat.
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Did she have a fever at home? (Clarified to When did your daughter’s fever start?.)
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I’m not sure, to be honest. I didn’t realize she had a fever this morning, but I do know her temperature was 102 this morning at the school clinic. (Clarified to when my daughter’s fever started.)
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When did the pain start?
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I didn’t notice the sore throat or the fever this morning. I feel pretty bad for missing it.
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Its okay
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Empathize |
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OK, thanks.
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Are you daughters classmates sick? (No matching questions found.)
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Are your daughters classmates sick?
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The school nurse said that strep throat is going around at her school. I think a few of her classmates are out sick right now.
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Is anyone sick in your family?
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No one at home has had strep. My wife and I are both healthy.
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What have you done for your daughter’s throat/
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I gave Sophia some ibuprofen for her fever. She also drank a little bit of cold water, which I think helped her throat.
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Did you give your daughter medication recently?
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I gave her the ibuprofen on our way here, as we were leaving school.
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Does sophia take any home medications
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Sophia doesn’t take any regular medications, thankfully. She really doesn’t handle it well.
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How much ibuprofen did sophia receive?
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I gave her children’s ibuprofen, the liquid kind. The strength was . . . 100 mg per 5 mL.
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how does your daughter handle taking medications?
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Sophia doesn’t handle taking medicine well. She’s been pretty stubborn about it for a long time.
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How does you daughter handle swallowing pills? (No matching questions found.)
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How does you daughter swallow pills? (No matching questions found.)
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What happened when you tried to give sophia the medication?
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When I try to give Sophia medication . . . well, life isn’t great. It’s hard to convince her to do it, and when Sophia doesn’t want to do something, she’s really headstrong about it. For example, before we got here, I gave Sophia some ibuprofen. Sophia took the medicine eventually, but she started crying when I told her that she needed to take it. She used to spit medication out, but she doesn’t do that much anymore.
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Is your daughter up to date on vaccines?
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Yes, Sophia’s up to date on her vaccinations.
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Has sophia had any surgeries in the past
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Sophia had ear tubes put in when she was two, but no surgeries other than that.
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did you daughter have a tonsillectomy? (No matching questions found.)
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did your daughter have a tonsillectomy?
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No, Sophia’s never had her tonsils removed.
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When is the last time your daughter had a sore throat?
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I don’t know the last time Sophia had a sore throat . . . she’s never had strep before.
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When was your daughters last ear infection?
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It’s been a long time. A few years. They stopped shortly after she got her ear tubes put in, when she was two.
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What medications is your daughters allergic to
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Sophia isn’t allergic to any medications.
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Does your head hurt/
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Yes. I have a headache right now. It feels kind of achy and heavy.
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Does your chest feel tight?
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No, my chest doesn’t feel tight.
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Have you been coughing a lot?
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No, I haven’t been coughing at all.
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Are you vomiting?
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I haven’t thrown up.
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Do you have any lumps or bumps on your skin?
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Yes, I have these red bumps on my chest.
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Does you daughter have a runny nose? (No matching questions found.)
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Does your daughter have a runny nose?
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Sophia’s nose hasn’t been runny.
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Does your daughter have a cough?
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Sophia doesn’t have a cough.
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When did you notice your daughter’s rash/
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The school nurse told me about the rash when I picked Sophia up from school a few hours ago. I didn’t notice it before that.
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Can i take a look at sophias throat and rash/
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Yes, I suppose. Go ahead.
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can I look at the rash?
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OK, you can look at my rash . . . but I’m warning you, it’s NOT pretty.
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Can I please look at your throat? (Clarified to Can I look at your throat?.)
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Yeah, you can look at my throat. (Clarified to if I can look at your throat.)
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Sophia’s test came back positive.
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Alright. Thank you.
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Follow the instructions on the medication
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I’ll be sure to do that.
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Keep medication in safe place, out of children reach
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Good call. I don’t think she’d pour it out or something, butoh, you mean she might drink it. Right, that too.
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Check to be sure the dose is correct
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I bet it’s really dangerous to give a kid too much medicine. Better be careful.
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Symptoms should improve in a couple of days
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That’s really good to hear. I hate to see her like this.
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Sophia will be able to return to school in 3 days
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Yeah, I can do that. Make sure Sophia takes all of her medicine. No matter how much she doesn’t want to. Make her do the thing she doesn’t want to do. I got it.
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Looks for a rash in here mouth
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Oh, thrush is terrible. I’ll let you know right away if I see any signs of it.
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Stop the medication of you see any signs of an allergic reaction, like difficulty breathing
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Sophia already has some of those things because of the strep. How do I know if she’s also having a reaction to the amoxicillin?
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Hives and if your daughter cant breathe
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Understood.
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change the toothbrush
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She’s pretty attached to her butterfly toothbrush, but I’m sure we can find another one . . . probably . . .
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she can return to school in 3 days
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That’s good to know. Thanks.
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She can drink plenty of water
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Sophia’s pretty good about drinking water. Normally I’d go for tea, but I don’t think I need a caffeinated Sophia stuck at home from school. Bad times for everybody.
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Have a good day
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Ok. See you later.
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