Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Transcript of Samantha Monroe’s Adolescent Sports Evaluation on Shadow Health
Transcript Date: March 5, 2022
Total Duration: 306 minutes

Table of Contents

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I am here to interview you and subsequently conduct a physical examination.

Hello, my name is xxx, and I’ll be conducting your interview and later performing a physical examination.

Introduction

Samantha Monroe:

Hello.

Samantha Monroe Adolescent Sports Evaluation on Shadow Health Transcript

Relationship with the Patient:

What is your relationship with the patient?

Oh, this is my mom.

Hey, I’m Jackie Monroe. This is my daughter, Samantha.

Reason for Visit:

Why are you here today?

I’m here for a sports physical. I’m going to play on my school soccer team. We’re called the Nightingales, which is pretty cool.

Medical History:

Any medical issue?

Uh, nope. No health issues.

Any history of surgery?

I had my tonsils removed when I was about 9, but that’s it.

Yeah, that was Samantha’s only surgery.

Missing Organs:

Does your daughter have any missing organ?

Have you had any of your organs removed?

Uh . . . no. All my organs are 100% present.

Allergies:

Any allergies?

No, I’ve never had any allergies before.

Vaccinations:

Are your vaccinations current?

Yeah, I’ve had all my vaccines.

I always made sure she was up to date on her vaccinations.

Medications and Supplements:

Are you using any medications?

No, I don’t take anything.

Are you using any vitamins or supplements?

I take a multivitamin. Plus, I drink apple cider vinegar, which is kind of like a supplement.

Passing Out During Exercise:

Do you pass out during exercise?

No way. I’ve never passed out while I was exercising.

Any Dizziness:

Any dizziness?

Oh, no. I feel totally fine right now.

Have you ever been dizzy?

I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class.

I apologize for that.

Thanks for the heads-up.

Heart Problems:

Any heart problems after exercising?

No heart problems after exercise.

Have you had heart problems during exercise?

Nope. No problems during exercise.

Have you been diagnosed with a heart problem?

No, I’ve never been diagnosed with any heart problems that I know of.

No, no heart problems.

Breathing During and After Exercise:

How is your breathing during and after exercise?

My breathing is fine during and after exercise.

History of Seizures:

Any history of seizures?

Pretty sure I’ve never ever had a seizure.

That is correct. No seizures or anything like that.

Injuries:

Any injuries?

Um, well I did sprain my ankle when I was about 10. That’s really it, though. I’m always good to play.

Rashes:

Any rashes?

No rashes. Ew.

Head Injuries:

Any history of head injuries?

Nope. My head’s fine.

Have you had a concussion?

I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.

Numbness or Tingling:

Any numbness or tingling?

No numbness or tingling. That sounds weird.

Weakness in Limbs:

Any weakness in your limbs?

Nope, no weakness.

Exercising in the Heat:

Do you exercise in the heat?

Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.

Eye Problems:

Any eye problems?

My eyes are fine.

Menstruation:

Have you started your periods?

No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.

I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.

Cool. Good to know.

Family Medical History:

Tell me about your family medical history.

Wait, like the entire family medical history or do you mean something more specific?

Any genetic conditions in your family?

I don’t know. Mom?

No, no one in the family has any genetic heart conditions.

Any heart problems in your family?

I don’t think anyone has heart problems, but I’m not totally sure.

You know, I can’t think of anybody in the family who’s had heart problems.

Any history of unexpected deaths in your family?

Any family history of unexpected deaths before the age of 35?

Has any of your family members had a pacemaker before age 35?

I’m not sure about the pacemaker thing.

To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.

Weight and Body Image:

Do you feel your weight is okay?

Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare.

I understand your concerns, but you should not try to fit in or compare yourself to others.

Um, that makes sense.

Do you want to lose weight?

Just . . . to look more athletic, you know. Like I fit in with everybody.

You should not try to fit in. Everyone is unique.

Um, that makes sense.

Diet and Skipping Meals:

Tell me about your diet.

I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.

Do you skip any meals?

Yeah, I skip lunch once or twice each week.

It is not advisable to skip any meal at your age because you are still growing.

For sure. OK.

How long have you been skipping your lunch?

I started skipping lunch maybe a month ago?

Physical Examination Actions:

Inspected weight and height growth chart

Inspected height and weight growth chart.

You look like you are losing weight.

Wait, what? Like losing weight as in . . . in a bad way? I mean, I’m on the Mediterranean diet. I thought I was supposed to be healthier.

Your weight is below normal, so I think it’s not healthy.

Is it really that bad?

Yes, it is. Your weight is below normal, and it can affect your health.

I didn’t realize it was that bad. I just wanted to eat healthy and look good, you know?

It’s important to focus on being healthy, not just on appearance.

I get it. I’ll try to eat more regularly and maybe talk to someone about it.

That’s a good idea.

Smoking, Alcohol, and Drugs:

Do you smoke?

No, I’ve never smoked. Smoking is so gross.

Any exposure to secondhand smoke?

I think my uncle smokes, but I don’t spend much time around him.

Your weight is below normal, so it’s important to eat regular meals and consult with a healthcare professional about it. Smoking is definitely not a healthy choice.

I’ll definitely talk to someone about my weight, and I’ll stay away from smoking.

Great, that’s a positive step towards better health.

Thanks for the advice.

Do you use alcohol or recreational drugs?

No, I don’t use any of

that stuff. It’s not my thing.

That’s a wise choice.

I just don’t see the point in it.

That’s a very responsible attitude.

I try to be responsible.

That’s good to hear.

Any Questions:

Do you have any questions for me?

Nope, I’m good.

Alright, you can change into a gown and we’ll continue with the physical examination.

Alright, thanks.

End of Transcript