Transcript
Started: Mar 17, 2020 | Total Time:53 min
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Hello Mr. Bailey. My name is Danielle Scott, 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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I picked up this heavy box at work–with like, sound equipment and stuff in it–and ever since then, the pain in my lower back has been killing me. I think I need to be on opioids or something.
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I am sorry your back has continued to hurt so severely for so long, We’re going to determine the best plan of action to ease your pain
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Empathize |
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Hey, thanks.
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When did the pain start?
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I lifted a box at work . . . probably thirteen weeks ago now, and it hurt right away. I just knew I really hurt myself.
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Did you go to the hospital
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I went to the hospital when I hurt myself picking up that box thirteen weeks ago. They looked me over but they couldn’t figure out what kind of back injury I had.
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Did the hospital recommend anything
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All they did was tell me to take ibuprofen and do physical therapy. They couldn’t even tell me what was wrong, even after an MRI. It turned up nothing.
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What did the hospital diagnose you with
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The ER did an MRI, but they can’t tell me what’s actually wrong with my back. My coworker drove me all the way out to the hospital the day I hurt myself, and there’s not a whole lot to show for it.
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Have your pain levels changed since your injury
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My back pain hasn’t gotten better at all. I feel like I’ve been in pain forever. I need it to stop.
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When does your pain occur
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The pain starts when I wake up in the morning. It does fade away for a little bit during the day, but it’s not a reliable thing and it always comes back.
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I’m sorry that it’s been so difficult to find a proper treatment plan for your pain and that you haven’t always received enough relief. We’re going to figure out how best to treat your pain quickly and effectively.
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Empathize |
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I appreciate your saying that.
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What other symptoms do you have
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No other health issues, no disorders, no other symptoms. Just excruciating lower back pain.
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Does exertion make your pain worse
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The pain is worst when I’m doing something. Walking, lifting, bending over. It makes it hard enough to move I can’t even go to the physical therapist like the ER doctors wanted. I tried some exercises at home and they just hurt too much.
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Does exercise make your pain worse
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I can’t exercise. Which just stinks. I used to lift weights and do cardio three times a week. Now, every little thing hurts. I can’t bend or lift stuff, and even walking is just so painful. I tried some PT exercises for my back at home, but it just hurt so much.
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What is the pain like
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The pain is sharp and burning, and it tingles sometimes. It’s always in my lower back. Never really thought about being hurt at work, and now I’ve been laid up forever.
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How much pain are you in
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The pain is hard to deal with. Sometimes it’s between a 0 to 2 out of 10 — sometimes it’s at 4-7. I need a prescription for opioids at this point.
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Does anything relieve the pain
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Sometimes just shifting around–changing the way I’m sitting or lying–can help a little. Rest helps a little bit, too. Drinking kind of worked, but I did have to go up to three drinks a day. Ibuprofen didn’t work at all, but these opioids I tried–hydrocodone and acetaminophen–they actually stopped the pain.
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Do you have any type of allergies (Clarified to What allergies do you have?.)
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I don’t have allergies. (Clarified to what allergies I have.)
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Can you tell me about your family history
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My mom’s has depression. She’s also an alcoholic. My dad’s pretty healthy.
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Are you currently taking testosterone
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Yeah, I take testosterone. 100 mg of testosterone enanthate, to be exact.
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Do you take opioids
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I was taking them, but I’m out. It was my first time trying them, and I had my last one this morning. My friend only had a week’s worth after his surgery, so now I’m here for a prescription. My back hurts too much to wait it out.
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While the medication your friend gave you was effective for pain relief and even though he no longer needed it you should only take prescriptions that a healthcare provider can safely endorse and oversee
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Educate |
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Yeah, I guess that makes sense.
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Do you take ibuprofen
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I was taking ibuprofen because the hospital prescribed it. It didn’t work for the whole two weeks I was on it.
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Was it over the counter (Clarified to Did you take ibuprofen that was just over the counter?.)
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The hospital prescribed me ibuprofen, but I just bought some over the counter — prescriptions are such a hassle to fill and pick up and all that. Figured it’d be easier. (Clarified to If the ibuprofen was over the counter.)
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Prescription and over-the-counter medications are not always identical. you should always fill your prescription instead of buying them over the counter and always take your medication as prescribed
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Educate |
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Thank you. One more thing to think about, huh?
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Do you miss doses of your medication
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I’ve been in way too much pain to miss doses.
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What level of income do you make
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I make around 25 grand a year from the theatre — it’s mostly enough, but I need to be super careful with spending.
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Has your alcohol consumption endangered you
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If you mean like, drinking at work or something, no, I’d never. I’ve just been at home.
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Can I examine your back
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Have at it. [AUDIO COMING SOON]
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thank you
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You’re welcome.
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hi Tanner I’m going to continue with the ibuprofen
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Alright, let’s do it.
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Take the medication with food milk or antacids to decrease the chance of GI issues like constipation nausea or vomiting
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Thanks for the tip.
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Taking higher doses than recommended does not increase really but may increase the likelihood of adverse effects do not take more than 2400 milligrams in day
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Got it.
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Stomach bleeding is a serious side effects of ibuprofen if you notice any blood in your stools or vomit seek medical attention immediately
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Fine by me.
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Avoid drinking alcohol while on this medication this may increase the risk of GI bleeding
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Aw, man. No more whiskey?
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though alcohol has been effective for you as a back pain reliever it is dangerous substance that could damage your health and behaviors. we will work to find you a treatment plan whose risk can be minimized and overseen
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I get it, but just so you know, you’re asking a lot of me.
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Stomach bleeding is a serious side effect
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That sounds awful. Is this stuff really safe to take?
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If you notice any blood please contact your provider immediately
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I guess it’s worth the risk. I mean, I’ve got to do something.
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You should start going to physical therapy again it is important part of your recovery from chronic back pain
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But it hurt so bad. That can’t be good for my back, can it?
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Taking the proper medication will assist in the pain
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Alright . . . guess I gotta work through the pain a little bit.
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Taking prescriptions that has not been prescribed to you is a dangerous and ineffective
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I mean, I know you’re not supposed to . . . but it did work a lot better than the ibuprofen.
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Taking prescriptions that don’t belong to you is dangerous and ineffective
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Okay, okay. I understand. Really. I knew it wasn’t a good idea . . . I just couldn’t find anything that worked. This time will be better.
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Thanks Tanner have a good day
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Thanks. You have a good one.
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