Tina Jones Respiratory Shadow Health Transcript

Interview with Tina Jones

Greet
10/03/20 4:23 AM EDT
Tina Jones: Hey.

Your Avatar: What is your name?

Question
10/03/20 4:34 AM EDT
Tina Jones: Tina Jones.

Your Avatar: What is your date of birth?

Question
10/03/20 4:45 AM EDT
Tina Jones: February 17th.

Your Avatar: How old are you?

Question
10/03/20 4:55 AM EDT
Tina Jones: I’m 28.

Your Avatar: What brings you to the clinic today?

Question
10/03/20 5:56 AM EDT
Tina Jones: I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.

Your Avatar: Am sorry to hear that.

Empathize
10/03/201 5:57 AM EDT
Tina Jones: I appreciate you saying that.

Your Avatar: What medical problems do you have?

Question
11/05/21 9:13 PM EDT
Tina Jones: Well. . . I’ve had asthma since I was really little, though for a while there it wasn’t really much of a problem. And I have sugar diabetes, too.

Your Avatar: What do you use for your asthma?

Question
11/05/21 9:14 PM EDT
Tina Jones: It’s just a regular Proventil inhaler.

Your Avatar: How often do you use your inhaler?

Question
11/05/21 9:15 PM EDT
Tina Jones: I’ve been using it probably every. . . four hours or so, I’d say.

Your Avatar: When did your symptoms start?

Question
11/05/21 9:15 PM EDT
Tina Jones: I don’t know if I’d call it an asthma attack, but my asthma started acting up two days ago at my cousin’s house. She has cats, and I’m allergic, so I’m used to it being a problem there, but usually the inhaler fixes it. . . it doesn’t feel totally under control, though.

Your Avatar: Am sorry to hear that.

Empathize
11/05/21 9:16 PM EDT
Tina Jones: Thanks for understanding.

Your Avatar: How long have you had breathing problems?

Question
11/05/21 9:17 PM EDT
Tina Jones: My breathing’s been acting up off and on for the past two days.

Your Avatar: How frequent are your shortness of breath episodes?

Question
11/05/21 9:18 PM EDT
Tina Jones: Sometimes it can take a few minutes for me to realize I need my inhaler, then once I use it the wheezing usually gets better. . . I’d say it takes about a minute to work at most after that. So five minutes total, at the longest?

Your Avatar: How long does one episode last?

Question
11/05/21 9:19 PM EDT
Tina Jones: I haven’t had a full attack in years, but usually once I use my inhaler it only takes a minute or two for my breathing to go back to normal. . . that’s not what’s been happening recently, though.

Your Avatar: How many times have you had breathing problems in the past 2 days?

Question
11/05/21 9:20 PM EDT
Tina Jones: Well. . . it’s kind of hard to count because my breathing’s been at least a little bad most of the past two days, but it’s really acted up, like with wheezing and everything, probably every four hours or so–like five times each day.

Your Avatar: Is your asthma keeping you up at night?

Question
11/05/21 9:21 PM EDT
Tina Jones: My asthma doesn’t usually wake me up, but it has the past couple nights.

Your Avatar: How bad was your asthma attack?

Question
11/05/21 9:22 PM EDT
Tina Jones: My asthma used to be really scary. I haven’t had a full attack in years, and if you had asked me before this I would have said my asthma wasn’t that bad anymore, but the last couple days I’ve had a lot of trouble breathing.

Your Avatar: Is there anything you can’t do because of your asthma?

Question
11/05/21 9:22 PM EDT
Tina Jones: There usually isn’t anything I can’t do because of my asthma. . . I guess I try to avoid things that make my breathing worse, but that’s about it. The past couple days, though, it’s been hard to do anything.

Your Avatar: Do you wheeze during an asthma exacerbation?

Question
11/05/21 9:23 PM EDT
Tina Jones: During a full attack, I would wheeze a lot, like I couldn’t breathe at all, but until the past couple days, I would usually just wheeze a little when I had breathing problems.

Your Avatar: Any chest tightness? (Clarified to Have you had chest tightness?.)

Question
11/05/21 9:23 PM EDT
Tina Jones: Yeah, when my asthma gets bad my chest feels pretty tight, like I can’t take in air. It’s felt that way a lot the past two days. (Clarified to if I have had chest tightness.)

Your Avatar: Are you having any chest tightness?

Question
11/05/21 9:24 PM EDT
Tina Jones: It just feels like I can’t really take in air when I breathe, sort of like breathing makes my chest tighter. . . it doesn’t hurt or anything, though.

Your Avatar: Any cough?

Question
11/05/21 9:24 PM EDT
Tina Jones: I’ve been coughing a lot, yeah.

Your Avatar: How long have you had the cough?

Question
11/05/21 9:25 PM EDT
Tina Jones: Since my asthma acted up two days ago.

Your Avatar: How would you describe the cough?

Question
11/05/21 9:26 PM EDT
Tina Jones: Um. . . I guess I’d describe it as a small, dry cough.

Your Avatar: How would you describe the cough?

Question
11/05/21 9:27 PM EDT
Tina Jones: Um. . . I guess I’d describe it as a small, dry cough.

Your Avatar: What makes your cough better?

Question
11/05/21 9:28 PM EDT
Tina Jones: Drinking some water helps a little, as long as the water isn’t too cold.

Your Avatar: Have you tried to treat your cough?

Question
11/05/21 9:28 PM EDT
Tina Jones: I haven’t taken medicine for it or anything.

Your Avatar: Is your asthma worse at night?

Question
11/05/21 9:29 PM EDT
Tina Jones: It has been the past couple nights, yeah.

Your Avatar: Does lying on your back make your asthma worse?

Question
11/05/21 9:30 PM EDT
Tina Jones: Just recently lying

on my back has definitely made my breathing worse.

Your Avatar: To help your breathing, you may want to elevate your head with two pillows.

Educate
11/05/21 9:31 PM EDT
Tina Jones: Alright, thanks for letting me know.

Your Avatar: Any allergies?

Question
11/05/21 9:32 PM EDT
Tina Jones: Yeah, I’m allergic to cats.

Your Avatar: Any medication allergies?

Question
11/05/21 9:32 PM EDT
Tina Jones: Yeah, I’m allergic to penicillin.

Your Avatar: Any family history of breathing problems?

Question
11/05/21 9:32 PM EDT
Tina Jones: My baby sister has asthma, too, but no one else in the family has lung problems, I don’t think.

Your Avatar: Inspected anterior chest wall

Exam Action
11/05/21 9:35 PM EDT

Your Avatar: Inspected right side chest wall

Exam Action
11/05/21 9:36 PM EDT

Your Avatar: Inspected posterior chest wall

Exam Action
11/05/21 9:36 PM EDT

Your Avatar: Inspected left side chest wall

Exam Action
11/05/21 9:36 PM EDT

Your Avatar: Inspected anterior chest wall

Exam Action
11/05/21 9:36 PM EDT

Your Avatar: Palpated chest expansion: Both sides rise symmetrically

Exam Action
11/05/21 9:37 PM EDT

Your Avatar: Percussed anterior right upper lobe

Exam Action
11/05/21 9:43 PM EDT

Your Avatar: Percussed anterior left upper lobe

Exam Action
11/05/21 9:43 PM EDT

Your Avatar: Percussed anterior right middle lobe

Exam Action
11/05/21 9:43 PM EDT

Your Avatar: Percussed anterior left mid-chest (upper lobe)

Exam Action
11/05/21 9:43 PM EDT

Your Avatar: Percussed anterior right lower lobe

Exam Action
11/05/21 9:43 PM EDT

Your Avatar: Percussed anterior left lower lobe

Exam Action
11/05/21 9:44 PM EDT

Your Avatar: Percussed posterior left upper lobe

Exam Action
11/05/21 9:45 PM EDT

Your Avatar: Percussed posterior right upper lobe

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior left mid-back (lower lobe)

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior right mid-back (lower lobe)

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior left lower lobe

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior right lower lobe

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior right lower lobe

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior left lower lobe on side

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior left lower lobe near spine

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior right lower lobe near spine

Exam Action
11/05/21 9:46 PM EDT

Your Avatar: Percussed posterior right lower lobe on side

Exam Action
11/05/21 9:47 PM EDT

Your Avatar: Auscultated breath sounds in anterior right upper lobe

Exam Action
11/05/21 9:48 PM EDT

Your Avatar: Auscultated breath sounds in anterior left upper lobe