Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation
Transcript
All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394)
Hello, my name is Tammy. I will be conducting an interview and a physical exam.Greet
07/22/20 5:37 PM EDT
Hey.
What is your name?Question
07/22/20 5:37 PM EDT
Tina Jones.
What is your date of birth?Question
07/22/20 5:37 PM EDT
February 17th.
How old are you?Question
07/22/20 5:43 PM EDT
I’m 28. What brings you into the clinic today?Question
07/22/20 5:43 PM EDT
I came in because I’m required to have a recent physical exam for the health insurance at my new job.
Do you have any current health problem?Question
07/22/20 5:44 PM EDT
I don’t have anything specific going on today. I mean, I still have asthma and diabetes, but both of those are under control. I’m taking
good care of my health these days.
What is your new job? Question
07/22/20 5:44 PM EDT
I’m going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I’ll be helping a more experienced accountant with her clients, and then eventually I’ll get more responsibility, and build my own client list. I start in two weeks–I’m really excited!
That is great.Empathize
07/22/20 5:45 PM EDT
Thanks.
When was your last physical exam?Question
07/22/20 5:45 PM EDT Let’s see . . . I had two doctor’s appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Then a few weeks later I saw a gynecologist for a pap smear.
What did your gynecologist say?Question
07/22/20 5:45 PM EDT
She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She started me on birth control, and it seems to be helping things.
How often do you take birth control?Question
07/22/20 5:48 PM EDT
I take it every morning, with breakfast.
What is the name of the birth control pill you took?Question
07/22/20 5:49 PM EDT
They’re called Yaz.
Has your menstrual cycle improved since taking Yaz?Question
07/22/20 5:50 PM EDT
Now that I’m on the pill I’m getting my period every month. That is great. I am glad you are having your period every month.Empathize
07/22/20 5:50 PM EDT
Thanks.
How long have you had asthma?Question
07/22/20 5:51 PM EDT
I’ve had asthma a long time. . . since I was really little.
What age were you diagnosed with asthma?Question
07/22/20 5:51 PM EDT
My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
I am sorry about the experience.Empathize
07/22/20 5:52 PM EDT
Thanks.
How do you manage your asthma?Question
07/22/20 5:52 PM EDT
Transcript
All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394)
Hello, my name is Tammy. I will be conducting an interview and a physical exam.Greet
07/22/20 5:37 PM EDT
Hey.
What is your name?Question
07/22/20 5:37 PM EDT
Tina Jones.
What is your date of birth?Question
07/22/20 5:37 PM EDT
February 17th.
How old are you?Question
07/22/20 5:43 PM EDT
I’m 28. What brings you into the clinic today?Question
07/22/20 5:43 PM EDT
I came in because I’m required to have a recent physical exam for the health insurance at my new job.
Do you have any current health problem?Question
07/22/20 5:44 PM EDT
I don’t have anything specific going on today. I mean, I still have asthma and diabetes, but both of those are under control. I’m taking
good care of my health these days.
What is your new job? Question
07/22/20 5:44 PM EDT
I’m going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I’ll be helping a more experienced accountant with her clients, and then eventually I’ll get more responsibility, and build my own client list. I start in two weeks–I’m really excited!
That is great.Empathize
07/22/20 5:45 PM EDT
Thanks.
When was your last physical exam?Question
07/22/20 5:45 PM EDT Let’s see . . . I had two doctor’s appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Then a few weeks later I saw a gynecologist for a pap smear.
What did your gynecologist say?Question
07/22/20 5:45 PM EDT
She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She started me on birth control, and it seems to be helping things.
How often do you take birth control?Question
07/22/20 5:48 PM EDT
I take it every morning, with breakfast.
What is the name of the birth control pill you took?Question
07/22/20 5:49 PM EDT
They’re called Yaz.
Has your menstrual cycle improved since taking Yaz?Question
07/22/20 5:50 PM EDT
Now that I’m on the pill I’m getting my period every month. That is great. I am glad you are having your period every month.Empathize
07/22/20 5:50 PM EDT
Thanks.
How long have you had asthma?Question
07/22/20 5:51 PM EDT
I’ve had asthma a long time. . . since I was really little.
What age were you diagnosed with asthma?Question
07/22/20 5:51 PM EDT
My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
I am sorry about the experience.Empathize
07/22/20 5:52 PM EDT
Thanks.
How do you manage your asthma?Question
07/22/20 5:52 PM EDT
