Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
Transcript
Hello. I am xx. I will interview and examine you
Greet
06/13/23 11:09 PM EDT
Hello there.
What brings you to he clinic today?
Question
06/13/23 11:22 PM EDT
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
am sorry to hear this
Empathize
06/13/23 11:22 PM EDT
Thank you.
when did your start feeling tired?
Question
06/13/23 11:23 PM EDT
I started feeling this tired about a month ago.
In which parts have you lost your hair?
Question
06/13/23 11:24 PM EDT
Yeah, my hair has been falling out and thinning recently.
Does resting make you feel better for fatigue?
Question
06/13/23 11:26 PM EDT
Nothing really makes it better. It feels like it lasts all day.
I am sorry to hear that.
Question
06/13/23 11:26 PM EDT
My hearing’s good. [AUDIO COMING SOON]
Are you taking any medication to help with the hair falling out? (Clarified to Are you on any prescription medication?.)
Question
06/13/23 11:27 PM EDT
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.)
What remedies are you using to help with the hair fall out?
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Question
06/13/23 11:28 PM EDT
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]
How is the distribution of the hair fall out? (Clarified to When do you notice your hair falling out?.)
Question
06/13/23 11:30 PM EDT
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.)
After which activities do you feel fatigued? (No matching questions found.)
Question
06/13/23 11:33 PM EDT
What aggravates your fatigue
Question
06/13/23 11:33 PM EDT
I don’t think anything makes it worse — it’s more just a steady tiredness that lasts all day.
Does this make it difficult to perform your daily tasks? (No matching questions found.)
Question
06/13/23 11:35 PM EDT
How has these affected your daily activities? (Clarified to How has your fatigue made it difficult to do things?.)
Question
06/13/23 11:35 PM EDT
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
that’s great
Empathize
06/13/23 11:36 PM EDT
Thank you, dear.
What is your name?
Question
06/13/23 11:37 PM EDT
My name is Maureen Hopkins.
And have you noticed any changes with your skin?
Question
06/13/23 11:39 PM EDT
I’ve had dry skin . . . on my hands, arms, elbows.
Are there any other over-the-counter medications that you are using?
Question
06/13/23 11:41 PM EDT
I take a multivitamin and the calcium and vitamin D supplement — those are over-the-counter.
Do you have any other health issue?
Question
06/13/23 11:42 PM EDT
Yes, I have osteopenia and hypothyroidism.
What do you manage your hypothyroidism?
Question
06/13/23 11:43 PM EDT
It’s called Synthroid.
When did you start taking the medication?
Question
06/13/23 11:44 PM EDT
I’ve taken Synthroid since shortly after being diagnosed with hypothyroidism, around 15 years ago. [AUDIO COMING SOON]
And what dosage of Synthroid do you take? (Clarified to What dose of Synthroid are you taking?.)
Question
06/13/23 11:45 PM EDT
It’s 125 micrograms, if I recall correctly. (Clarified to what dose the Synthroid is.)
And what do you use for your osteopenia? (No matching questions found.)
Question
06/13/23 11:45 PM EDT
Have you been taking your medications as per the prescription? Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
Question
06/13/23 11:48 PM EDT
I always take my medications when I should. I use a pillbox, too, which helps.
When do you take the Synthroid medication? (Clarified to When do you take the Synthroid?.)
Question
06/13/23 11:49 PM EDT
I take the Synthroid in the morning every day. (Clarified to when I take the Synthroid.)
Is your hypothyroidism under control? (No matching questions found.)
Question
06/13/23 11:49 PM EDT
Are you watching your diet?
Question
06/13/23 11:50 PM EDT
I don’t have any dietary restrictions or anything like that.
Do you have any side effects with the hypothyroidism medication?
Question
06/13/23 11:51 PM EDT
No, I haven’t had any side effects from the medication.
Do you have any medication allergies?
Question
06/13/23 11:52 PM EDT
I don’t have any allergies to any medications.
Are you allergic to any food?
Question
06/13/23 11:53 PM EDT
No, I don’t have food allergies.
Tell me about your salt intake levels
Question
06/13/23 11:53 PM EDT
I haven’t been abnormally thirsty or anything like that. Just a “normal” amount of thirsty. [AUDIO COMING SOON]
And how much amount of water do you consume?
Question
06/13/23 11:53 PM EDT
I’ll usually have between 6 and 7 glasses of water a day.
Have you been urinating more frequently? (No matching questions found.) Maureen Hopkins Sick Visit: Management of Endocrine Conditions Shadow health Transcript
Question
06/13/23 11:54 PM EDT
Any specific part of your body where you particularly feel dry? (No matching questions found.)
Question
06/13/23 11:55 PM EDT
Have you been hospitalized for hypothyroidism? (Clarified to What was your last hospitalization for?.)
Question
06/13/23 11:56 PM EDT
It was years and years ago, when I gave birth to my sons. (Clarified to what my last hospitalization was for.)
Are you up-to date with your vaccines?
Question
06/13/23 11:57 PM EDT
I believe I’m up to date on my immunizations, yes. [AUDIO COMING SOON]
Have you had any past surgeries?
Question
06/13/23 11:57 PM EDT
I’ve never had surgery.
Are you up-to date with your childhood immunizations?
Question
06/13/23 11:58 PM EDT
I believe I’m up to date on my immunizations, yes. [AUDIO COMING SOON]
Any family history of hypothyroidism?
Question
06/14/23 12:00 AM EDT
Not that I know — I don’t believe anyone had it, or at least knew about it.
Any family history of diabetes? (Clarified to Do your family members have health problems?.)
Question
06/14/23 12:00 AM EDT
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.)
On a scale of 0 to 10, can you rate your level of fatigue (No matching questions found.)
Question
06/14/23 12:02 AM EDT
What triggers you to feel tired?
Question
06/14/23 12:03 AM EDT
I’m not sure. I can’t pinpoint any causes or anything that makes me more tired.
How long have you been feeling tired?
Question
06/14/23 12:04 AM EDT
I started feeling this tired about a month ago.
Are there any other symptoms you are experiencing?
Question
06/14/23 12:05 AM EDT
Besides losing my hair and feeling so tired . . . I suppose my skin has been pretty dry.
Have you experiences hair loss before? (Clarified to Have you had hair loss in the past?.)
Question
06/14/23 12:05 AM EDT
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.)
Have you had any injuries?
..
Have you had eye problems?
Question
06/16/23 5:39 PM EDT
My eyes and vision are fine. [AUDIO COMING SOON]
Any ear problems?
Question
06/16/23 5:40 PM EDT
My ears are doing fine. [AUDIO COMING SOON]
Have you had changes in your mouth and throat?
Question
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?
Question
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?.)
Question
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.)
Question
06/16/23 5:42 PM EDT
Do you experience pain when moving? (Clarified to Does it hurt to walk?.)<
