UTI with Antibiotic Sensitivity Makayla Henderson shadow health Transcript

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