Sophia Haddad Pediatric GAS Pharyngitis shadow health transcript

Transcript

Started: Mar 10, 2020 | Total Time:60 min
Your avatar
Hi, Sophia. My name is Danielle and I will be your provider today.

Greet
03/10/20 1:45 AM CDT

Sophia Haddad
Hi there.
Your avatar
Hi Omar, My name is Danielle, and I will be your provider today

Question
03/10/20 1:46 AM CDT

Omar Haddad
Hello.
Your avatar
What brings you and Sophia in today? (Clarified to What brings you to the office today?.)

Question
03/10/20 1:46 AM CDT

Omar Haddad
My daughter’s sick. A high fever and a sore throat. (Clarified to what brings me to the office.)
Your avatar
What brings you in to the office

Question
03/10/20 1:48 AM CDT

Sophia Haddad
I’m here because they sent me home at school because I was cold and tired and the teacher sent me to the nurse, and when I told her my throat had been hurting all morning she called my Baba. He’s the guy over there.
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I am sorry you are not feeling well, i hope i can help

Empathize
03/10/20 1:49 AM CDT

Sophia Haddad
Thank you.
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Where is the pain?

Question
03/10/20 1:50 AM CDT

Sophia Haddad
It hurts in the back of my throat. AND my head hurts.
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Why are you sick?

Question
03/10/20 1:51 AM CDT

Sophia Haddad
My throat hurts, and I’m all cold and tired.
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When did you notice the pain?

Question
03/10/20 1:51 AM CDT

Sophia Haddad
I was eating breakfast this morning and it hurt to swallow and I realized my throat hurt all the time.
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When did your fever start?

Question
03/10/20 1:52 AM CDT

Sophia Haddad
I started feeling all chilly and achy at school, during science class.
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How bad does your throat hurt?

Question
03/10/20 1:52 AM CDT

Sophia Haddad
Uh. Bad. It hurts kinda bad.
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Do you have problems talking?

Question
03/10/20 1:53 AM CDT

Sophia Haddad
My throat hurts worse when I talk.
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Are you able to swallow?

Question
03/10/20 1:53 AM CDT

Sophia Haddad
I can swallow, but it hurts my throat really bad.
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Do you drink water?

Question
03/10/20 1:53 AM CDT

Sophia Haddad
I like drinking water. I had some already today.
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Do you take any medications?

Question
03/10/20 1:54 AM CDT

Sophia Haddad
Only when Baba makes me. Medicine tastes so bad.
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Im sorry you feel that way

Empathize
03/10/20 1:55 AM CDT

Sophia Haddad
OK. Thanks.
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Medicines can help us feel better

Educate
03/10/20 1:55 AM CDT

Sophia Haddad
Hmm . . . OK.
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How long has sophia been sick?

Question
03/10/20 1:56 AM CDT

Omar Haddad
The school called me about 2 hours ago saying Sophia had a fever of 102 and a sore throat.
Your avatar
What was your daughters fever at school?

Question
03/10/20 1:57 AM CDT

Omar Haddad
The school said her fever was 102. I feel so bad she has that on top of a sore throat.
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Did she have a fever at home? (Clarified to When did your daughter’s fever start?.)

Question
03/10/20 1:57 AM CDT

Omar Haddad
I’m not sure, to be honest. I didn’t realize she had a fever this morning, but I do know her temperature was 102 this morning at the school clinic. (Clarified to when my daughter’s fever started.)
Your avatar
When did the pain start?

Question
03/10/20 1:58 AM CDT

Omar Haddad
I didn’t notice the sore throat or the fever this morning. I feel pretty bad for missing it.
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Its okay

Empathize
03/10/20 1:58 AM CDT

Omar Haddad
OK, thanks.
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Are you daughters classmates sick? (No matching questions found.)

Question
03/10/20 1:59 AM CDT

Your avatar
Are your daughters classmates sick?

Question
03/10/20 1:59 AM CDT

Omar Haddad
The school nurse said that strep throat is going around at her school. I think a few of her classmates are out sick right now.
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Is anyone sick in your family?

Question
03/10/20 1:59 AM CDT

Omar Haddad
No one at home has had strep. My wife and I are both healthy.
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What have you done for your daughter’s throat/

Question
03/10/20 2:00 AM CDT

Omar Haddad
I gave Sophia some ibuprofen for her fever. She also drank a little bit of cold water, which I think helped her throat.
Your avatar
Did you give your daughter medication recently?

Question
03/10/20 2:01 AM CDT

Omar Haddad
I gave her the ibuprofen on our way here, as we were leaving school.
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Does sophia take any home medications

Question
03/10/20 2:01 AM CDT

Omar Haddad
Sophia doesn’t take any regular medications, thankfully. She really doesn’t handle it well.
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How much ibuprofen did sophia receive?

Question
03/10/20 2:02 AM CDT

Omar Haddad
I gave her children’s ibuprofen, the liquid kind. The strength was . . . 100 mg per 5 mL.
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how does your daughter handle taking medications?

Question
03/10/20 2:03 AM CDT

Omar Haddad
Sophia doesn’t handle taking medicine well. She’s been pretty stubborn about it for a long time.
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How does you daughter handle swallowing pills? (No matching questions found.)

Question
03/10/20 2:04 AM CDT

Your avatar
How does you daughter swallow pills? (No matching questions found.)

Question
03/10/20 2:04 AM CDT

Your avatar
What happened when you tried to give sophia the medication?

Question
03/10/20 2:05 AM CDT

Omar Haddad
When I try to give Sophia medication . . . well, life isn’t great. It’s hard to convince her to do it, and when Sophia doesn’t want to do something, she’s really headstrong about it. For example, before we got here, I gave Sophia some ibuprofen. Sophia took the medicine eventually, but she started crying when I told her that she needed to take it. She used to spit medication out, but she doesn’t do that much anymore.
Your avatar
Is your daughter up to date on vaccines?

Question
03/10/20 2:06 AM CDT

Omar Haddad
Yes, Sophia’s up to date on her vaccinations.
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Has sophia had any surgeries in the past

Question
03/10/20 2:07 AM CDT

Omar Haddad
Sophia had ear tubes put in when she was two, but no surgeries other than that.
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did you daughter have a tonsillectomy? (No matching questions found.)

Question
03/10/20 2:07 AM CDT

Your avatar
did your daughter have a tonsillectomy?

Question
03/10/20 2:07 AM CDT

Omar Haddad
No, Sophia’s never had her tonsils removed.
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When is the last time your daughter had a sore throat?

Question
03/10/20 2:08 AM CDT

Omar Haddad
I don’t know the last time Sophia had a sore throat . . . she’s never had strep before.
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When was your daughters last ear infection?

Question
03/10/20 2:08 AM CDT

Omar Haddad
It’s been a long time. A few years. They stopped shortly after she got her ear tubes put in, when she was two.
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What medications is your daughters allergic to

Question
03/10/20 2:09 AM CDT

Omar Haddad
Sophia isn’t allergic to any medications.
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Does your head hurt/

Question
03/10/20 2:10 AM CDT

Sophia Haddad
Yes. I have a headache right now. It feels kind of achy and heavy.
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Does your chest feel tight?

Question
03/10/20 2:10 AM CDT

Sophia Haddad
No, my chest doesn’t feel tight.
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Have you been coughing a lot?

Question
03/10/20 2:10 AM CDT

Sophia Haddad
No, I haven’t been coughing at all.
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Are you vomiting?

Question
03/10/20 2:11 AM CDT

Sophia Haddad
I haven’t thrown up.
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Do you have any lumps or bumps on your skin?

Question
03/10/20 2:11 AM CDT

Sophia Haddad
Yes, I have these red bumps on my chest.
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Does you daughter have a runny nose? (No matching questions found.)

Question
03/10/20 2:12 AM CDT

Your avatar
Does your daughter have a runny nose?

Question
03/10/20 2:12 AM CDT

Omar Haddad
Sophia’s nose hasn’t been runny.
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Does your daughter have a cough?

Question
03/10/20 2:12 AM CDT

Omar Haddad
Sophia doesn’t have a cough.
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When did you notice your daughter’s rash/

Question
03/10/20 2:13 AM CDT

Omar Haddad
The school nurse told me about the rash when I picked Sophia up from school a few hours ago. I didn’t notice it before that.
Your avatar
Can i take a look at sophias throat and rash/

Question
03/10/20 2:14 AM CDT

Omar Haddad
Yes, I suppose. Go ahead.
Your avatar
can I look at the rash?

Question
03/10/20 2:14 AM CDT

Sophia Haddad
OK, you can look at my rash . . . but I’m warning you, it’s NOT pretty.
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Can I please look at your throat? (Clarified to Can I look at your throat?.)

Question
03/10/20 2:14 AM CDT

Sophia Haddad
Yeah, you can look at my throat. (Clarified to if I can look at your throat.)
Your avatar
Sophia’s test came back positive.

Question
03/10/20 2:17 AM CDT

Omar Haddad
Alright. Thank you.
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Follow the instructions on the medication

Question
03/10/20 2:17 AM CDT

Omar Haddad
I’ll be sure to do that.
Your avatar
Keep medication in safe place, out of children reach

Question
03/10/20 2:18 AM CDT

Omar Haddad
Good call. I don’t think she’d pour it out or something, butoh, you mean she might drink it. Right, that too.
Your avatar
Check to be sure the dose is correct

Question
03/10/20 2:18 AM CDT

Omar Haddad
I bet it’s really dangerous to give a kid too much medicine. Better be careful.
Your avatar
Symptoms should improve in a couple of days

Question
03/10/20 2:19 AM CDT

Omar Haddad
That’s really good to hear. I hate to see her like this.
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Sophia will be able to return to school in 3 days

Question
03/10/20 2:19 AM CDT

Omar Haddad
Yeah, I can do that. Make sure Sophia takes all of her medicine. No matter how much she doesn’t want to. Make her do the thing she doesn’t want to do. I got it.
Your avatar
Looks for a rash in here mouth

Question
03/10/20 2:19 AM CDT

Omar Haddad
Oh, thrush is terrible. I’ll let you know right away if I see any signs of it.
Your avatar
Stop the medication of you see any signs of an allergic reaction, like difficulty breathing

Question
03/10/20 2:20 AM CDT

Omar Haddad
Sophia already has some of those things because of the strep. How do I know if she’s also having a reaction to the amoxicillin?
Your avatar
Hives and if your daughter cant breathe

Question
03/10/20 2:21 AM CDT

Omar Haddad
Understood.
Your avatar
change the toothbrush

Question
03/10/20 2:21 AM CDT

Omar Haddad
She’s pretty attached to her butterfly toothbrush, but I’m sure we can find another one . . . probably . . .
Your avatar
she can return to school in 3 days

Question
03/10/20 2:21 AM CDT

Omar Haddad
That’s good to know. Thanks.
Your avatar
She can drink plenty of water

Question
03/10/20 2:22 AM CDT

Omar Haddad
Sophia’s pretty good about drinking water. Normally I’d go for tea, but I don’t think I need a caffeinated Sophia stuck at home from school. Bad times for everybody.
Your avatar
Have a good day

Question
03/10/20 2:22 AM CDT

Omar Haddad
Ok. See you later.
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