UTI with Antibiotic Sensitivity Makayla Henderson shadow health Transcript

Transcript

Started: Mar 30, 2020 | Total Time:66 min
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Hi Miss Henderson, My name is danielle, I will be your provider today

Greet
03/30/20 9:47 PM CDT

Makayla Henderson
Hey.
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What brings you in today?

Question
03/30/20 9:47 PM CDT

Makayla Henderson
I’ve had to pee a lot lately. It burns when I pee, and it looks weird. I thought it would go away on its own, but it hasn’t. So I was like, fine, I need to see someone. [AUDIO COMING SOON]
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I’m sorry that you’re experiencing pain and burning during urination. I’ll try to find a medication that will help alleviate these symptoms.

Empathize
03/30/20 9:49 PM CDT

Makayla Henderson
Thanks.
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How long have you had these symptoms?

Question
03/30/20 9:50 PM CDT

Makayla Henderson
Three days ago, I started feeling pretty bad. I kept having to pee, and each time I did, it burned. It was gross, too. The pee looked different. [AUDIO COMING SOON]
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any other symptoms?

Question
03/30/20 9:51 PM CDT

Makayla Henderson
Other than the pain and burning, I have a little bit of cramping in my lower abdomen. [AUDIO COMING SOON]
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where is the pain?

Question
03/30/20 9:52 PM CDT

Makayla Henderson
It hurts the most when I pee, right where it comes out. It’s this burning, stinging feeling.
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do the urine have an odor?

Question
03/30/20 9:52 PM CDT

Makayla Henderson
It smells really strong. It’s basically rank. It’s also, like, dark . . . cloudy.
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how bad does it hurt (Clarified to How painful is urinating?.)

Question
03/30/20 9:53 PM CDT

Makayla Henderson
It burns every time I pee and I am really not OK with how much pain I’m in. I’d call it a 7 out of 10. (Clarified to how painful urinating is.)
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any factors that make it worse? (Clarified to What aggravates the pain?.)

Question
03/30/20 9:54 PM CDT

Makayla Henderson
Well, it burns every time I pee, so peeing makes the pain worse, I guess. (Clarified to what makes my pain worse.)
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what do you do to relieve the pain?

Question
03/30/20 9:54 PM CDT

Makayla Henderson
Since it only burns and stings when I pee, I thought maybe it would hurt less if I didn’t pee so much. I tried drinking less water, but I’m not sure how much good it’s doing.
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I know that you tried to alleviate your symptoms by not drinking fluids; you should try to stay hydrated by drinking more water and avoiding drinks that irritate the bladder such as soda coffee or alcohol

Educate
03/30/20 9:59 PM CDT

Makayla Henderson
Yeah, OK.
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When was the last date of intercourse (Clarified to When did you last have sex?.)

Question
03/30/20 10:03 PM CDT

Makayla Henderson
I had sex with this guy like four days ago. We’ve had a pretty regular thing for a couple of months. (Clarified to when my last sexual encounter was.)
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do you urinate after sex?

Question
03/30/20 10:03 PM CDT

Makayla Henderson
Oh . . . I guess I didn’t know you were supposed to.
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Urinating after sex helps lower the risk of UTIs by clearing the urinary tract of any bacteria. Making this a regular habit might decrease your chances of getting a UTI again in the future

Educate
03/30/20 10:05 PM CDT

Makayla Henderson
Hm. Alright.
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Any past medical condition?

Question
03/30/20 10:07 PM CDT

Makayla Henderson
Besides what I’m here for now, I’m pretty healthy, honestly.
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do you have any allergies?

Question
03/30/20 10:08 PM CDT

Makayla Henderson
I have seasonal allergies in spring and summer. I don’t know to what exactly, but my eyes itch, my throat gets scratchy, I get a stuffy nose, and all that fun stuff.
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do you take any for you allergies?

Question
03/30/20 10:08 PM CDT

Makayla Henderson
I just take these antihistamines ahead of time so I don’t get symptoms. It’s loratadine.
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what dosage do you take? (Clarified to How much loratadine do you use at once?.)

Question
03/30/20 10:09 PM CDT

Makayla Henderson
It’s a pill that’s 10 milligrams a day. (Clarified to what dosage the loratadine is.)
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do you miss doses

Question
03/30/20 10:09 PM CDT

Makayla Henderson
I never miss doses. I just take all my pills in the morning together, and they’re all once a day, so it’s easy. And with my birth control, I can track it with the click pack.
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do you take any other medications

Question
03/30/20 10:10 PM CDT

Makayla Henderson
I don’t know if it qualifies as medication, but I took some cranberry supplements cause apparently they help with UTIs, which I figured I had when my pee started burning.
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do you cranberry pills help (Clarified to Are the cranberry pills effective?.)

Question
03/30/20 10:10 PM CDT

Makayla Henderson
I don’t know . . . I’ve heard you’re supposed to take them for UTIs, but it’s been three days and nothing’s gotten better. And I even took two at a time. I don’t know the dosage, but regardless, you’d think they’d be doing something. (Clarified to if the cranberry pills are effective.)
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Cranberry pills aren’t an effective treatment against UTIs. In the future when you notice these symptoms contact a healthcare provider sooner so that you can receive medication that will be more effective treatment

Educate
03/30/20 10:13 PM CDT

Makayla Henderson
Thank you. That makes sense.
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any medication allergies?

Question
03/30/20 10:13 PM CDT

Makayla Henderson
Actually, now that you mention it, I’m hypersensitive to penicillin.
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what is you reaction to penicillin (Clarified to What type of reaction do you have to penicillin?.)

Question
03/30/20 10:14 PM CDT

Makayla Henderson
My penicillin reaction is pretty bad. I get a red, itchy rash, and I get all sick to my stomach and throw up a lot. (Clarified to what my reaction to penicillin is.)
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do you use any illicit substances

Question
03/30/20 10:14 PM CDT

Makayla Henderson
I tried weed at a party at my first semester here, but I just didn’t like it. I never bothered with it again after that. But before you say anything, no, I’ve never touched tobacco.
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do you drink

Question
03/30/20 10:15 PM CDT

Makayla Henderson
I usually drink one or two nights a week, depending on if there’s good parties or not. But I never have more than a drink or two. Gotta keep my brain right so I can take over the world.
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do you practice safe sex

Question
03/30/20 10:16 PM CDT

Makayla Henderson
Uh, I always use protection. I take birth control and I use those spermicidal condoms.
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good, practice sex safe with partners of all genders in order to minimize the risk of STIs

Educate
03/30/20 10:17 PM CDT

Makayla Henderson
Thanks for the info.
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any family history of illness

Question
03/30/20 10:20 PM CDT

Makayla Henderson
My dad’s really healthy. My mom’s a breast cancer survivor. She’s fine now, though. Totally cancer free. My Nana — that’s my Mom’s mom — died of it, though.
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I’m sorry that your mother had breast cancer. That must have been a difficult thing for your family to go through. I’m glad that she is OK and that you and your sister are are not at risk

Empathize
03/30/20 10:23 PM CDT

Makayla Henderson
OK.
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when was your last period

Question
03/30/20 10:23 PM CDT

Makayla Henderson
My last period started two and a half weeks ago, so the last day was two weeks ago. [AUDIO COMING SOON]
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Hi

Question
03/30/20 10:32 PM CDT

Makayla Henderson
Hey, sure thing. [AUDIO COMING SOON]
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take the full course of medications

Question
03/30/20 10:32 PM CDT

Makayla Henderson
Ok – but what if I start feeling better?
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even if you start feeling better

Question
03/30/20 10:32 PM CDT

Makayla Henderson
Oh, ok. That makes sense.
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take with meal

Question
03/30/20 10:33 PM CDT

Makayla Henderson
Ok. Can do.
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use backup contraceptives to prevent unwanted pregnancy

Question
03/30/20 10:33 PM CDT

Makayla Henderson
Ok. Got it.
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contact provider for reactions

Question
03/30/20 10:34 PM CDT

Makayla Henderson
I’ll look out for that.
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take to relieve pain

Question
03/30/20 10:34 PM CDT

Makayla Henderson
Ok. Yeah, that’s pretty important. Will do.
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continue this while on the antibiotic

Question
03/30/20 10:34 PM CDT

Makayla Henderson
Ok, I will.
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urine will appear orange

Question
03/30/20 10:35 PM CDT

Makayla Henderson
Weird! Thanks for letting me know.
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contact provider is you notice and rashes

Question
03/30/20 10:35 PM CDT

Makayla Henderson
Got it.
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pee before and after sex

Question
03/30/20 10:35 PM CDT

Makayla Henderson
Oh, I didn’t know. I’ll be sure to do that. [AUDIO COMING SOON]
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wear loose fitting cotton clothes

Question
03/30/20 10:36 PM CDT

Makayla Henderson
I’ll be sure they’re made from cotton. [AUDIO COMING SOON]
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wipe front to back

Question
03/30/20 10:36 PM CDT

Makayla Henderson
Oookay. Gotcha. [AUDIO COMING SOON]
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thank you

Question
03/30/20 10:36 PM CDT

Makayla Henderson
Ok. See you later.
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