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UTI with Antibiotic Sensitivity Makayla Henderson shadow health Transcript
UTI with Antibiotic Sensitivity Shadow Health Transcript – Transcript
Started: Mar 30, 2020 | Total Time:66 min
 | Hi Miss Henderson, My name is danielle, I will be your provider today | Greet 03/30/20 9:47 PM CDT |
 | Hey. | |
| What brings you in today? | Question 03/30/20 9:47 PM CDT |
| 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] | |
| 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 |
| Thanks. | |
| How long have you had these symptoms? | Question 03/30/20 9:50 PM CDT |
| 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] | |
| any other symptoms? | Question 03/30/20 9:51 PM CDT |
| Other than the pain and burning, I have a little bit of cramping in my lower abdomen. [AUDIO COMING SOON] | |
| where is the pain? | Question 03/30/20 9:52 PM CDT |
| It hurts the most when I pee, right where it comes out. It’s this burning, stinging feeling. | |
| do the urine have an odor? | Question 03/30/20 9:52 PM CDT |
| It smells really strong. It’s basically rank. It’s also, like, dark . . . cloudy. | |
| how bad does it hurt (Clarified to How painful is urinating?.) | Question 03/30/20 9:53 PM CDT |
| 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.) | |
| any factors that make it worse? (Clarified to What aggravates the pain?.) | Question 03/30/20 9:54 PM CDT |
| Well, it burns every time I pee, so peeing makes the pain worse, I guess. (Clarified to what makes my pain worse.) | |
| what do you do to relieve the pain? | Question 03/30/20 9:54 PM CDT |
| 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. | |
| 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 |
| Yeah, OK. | |
| When was the last date of intercourse (Clarified to When did you last have sex?.) | Question 03/30/20 10:03 PM CDT |
| 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.) | |
| do you urinate after sex? | Question 03/30/20 10:03 PM CDT |
| Oh . . . I guess I didn’t know you were supposed to. | |
| 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 |
| Hm. Alright. | |
| Any past medical condition? | Question 03/30/20 10:07 PM CDT |
| Besides what I’m here for now, I’m pretty healthy, honestly. | |
| do you have any allergies? | Question 03/30/20 10:08 PM CDT |
| 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. | |
| do you take any for you allergies? | Question 03/30/20 10:08 PM CDT |
| I just take these antihistamines ahead of time so I don’t get symptoms. It’s loratadine. | |
| what dosage do you take? (Clarified to How much loratadine do you use at once?.) | Question 03/30/20 10:09 PM CDT |
| It’s a pill that’s 10 milligrams a day. (Clarified to what dosage the loratadine is.) | |
| do you miss doses | Question 03/30/20 10:09 PM CDT |
| 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. | |
| do you take any other medications | Question 03/30/20 10:10 PM CDT |
| 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. | |
| do you cranberry pills help (Clarified to Are the cranberry pills effective?.) | Question 03/30/20 10:10 PM CDT |
| 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.) | |
| 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 |
| Thank you. That makes sense. | |
| any medication allergies? | Question 03/30/20 10:13 PM CDT |
| Actually, now that you mention it, I’m hypersensitive to penicillin. | |
| 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 |
| 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.) | |
| do you use any illicit substances | Question 03/30/20 10:14 PM CDT |
| 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. | |
| do you drink | Question 03/30/20 10:15 PM CDT |
| 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. | |
| do you practice safe sex | Question 03/30/20 10:16 PM CDT |
| Uh, I always use protection. I take birth control and I use those spermicidal condoms. | |
| 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 |
| Thanks for the info. | |
| any family history of illness | Question 03/30/20 10:20 PM CDT |
| 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. | |
| 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 |
| OK. | |
| when was your last period | Question 03/30/20 10:23 PM CDT |
| My last period started two and a half weeks ago, so the last day was two weeks ago. [AUDIO COMING SOON] | |
| Hi | Question 03/30/20 10:32 PM CDT |
| Hey, sure thing. [AUDIO COMING SOON] | |
| take the full course of medications | Question 03/30/20 10:32 PM CDT |
| Ok – but what if I start feeling better? | |
| even if you start feeling better | Question 03/30/20 10:32 PM CDT |
| Oh, ok. That makes sense. | |
| take with meal | Question 03/30/20 10:33 PM CDT |
| Ok. Can do. | |
| use backup contraceptives to prevent unwanted pregnancy | Question 03/30/20 10:33 PM CDT |
| Ok. Got it. | |
| contact provider for reactions | Question 03/30/20 10:34 PM CDT |
| I’ll look out for that. | |
| take to relieve pain | Question 03/30/20 10:34 PM CDT |
| Ok. Yeah, that’s pretty important. Will do. | |
| continue this while on the antibiotic | Question 03/30/20 10:34 PM CDT |
| Ok, I will. | |
| urine will appear orange | Question 03/30/20 10:35 PM CDT |
| Weird! Thanks for letting me know. | |
| contact provider is you notice and rashes | Question 03/30/20 10:35 PM CDT |
| Got it. | |
| pee before and after sex | Question 03/30/20 10:35 PM CDT |
| Oh, I didn’t know. I’ll be sure to do that. [AUDIO COMING SOON] | |
| wear loose fitting cotton clothes | Question 03/30/20 10:36 PM CDT |
| I’ll be sure they’re made from cotton. [AUDIO COMING SOON] | |
| wipe front to back | Question 03/30/20 10:36 PM CDT |
| Oookay. Gotcha. [AUDIO COMING SOON] | |
| thank you | Question 03/30/20 10:36 PM CDT |
| Ok. See you later. |
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