Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Samantha Monroe Adolescent Sports Evaluation shadow health Transcript
Transcript

Started: Mar 05, 2022 | Total Time: 306 min

All Lines (91)Interview Questions (54)Statements (9)Exam Actions (28)

Hello. my name is xxx, I will interview you and later conduct a physical exam.

Greet
03/05/22 5:41 AM EST

Hello. Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

What is your relationship with the patient?

Question
03/05/22 5:42 AM EST

Oh, this is my mom.

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

Why are you here today?

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Question
03/05/22 5:42 AM EST

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

Any medical issue?

Question
03/05/22 5:43 AM EST

Uh, nope. No health issues.

Any history of surgery?

Question
03/05/22 5:43 AM EST

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Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

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

Yeah, that was Samantha’s only surgery.

Any missing organ? (No matching questions found.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Question
03/05/22 5:45 AM EST

Does your daughter have any missing organ? (No matching questions found.)

Question
03/05/22 5:46 AM EST

Have you had any of your organs removed?

Question
03/05/22 5:46 AM EST

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

Any allergies?

Question
03/05/22 5:49 AM EST

No, I’ve never had any allergies before.

Are your vaccinations current?

Question
03/05/22 5:50 AM EST

Yeah, I’ve had all my vaccines.

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

Are you using any medications?

Question
03/05/22 5:50 AM EST

No, I don’t take anything.

Are you using any vitamins or supplements?

Question
03/05/22 5:51 AM EST

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

Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)

Question
03/05/22 5:52 AM EST

No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)

Any dizziness?

Question
03/05/22 5:53 AM EST

Oh, no. I feel totally fine right now Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)

Question
03/05/22 5:53 AM EST

I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)

Am sorry about that

Educate
03/05/22 5:54 AM EST

Thanks for the heads-up.

Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)

Question
03/05/22 5:56 AM EST

No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)

Have you had heart problems during exercise?

Question
03/05/22 5:57 AM EST

Nope. No problems during exercise.

Have you been diagnosed with a heart problem?

Question
03/05/22 5:58 AM EST

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

No, no heart problems.

How is your breathing during and after exercise?

Question
03/05/22 5:59 AM EST

My breathing is fine during and after exercise.

Any history of seizures?

Question
03/05/22 6:00 AM EST

Pretty sure I’ve never ever had a seizure.

That is correct. No seizures or anything like that.

Any injuries?

Question
03/05/22 6:01 AM EST

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

Any rashes?

Question
03/05/22 6:01 AM EST

No rashes. Ew.

Any history of head injuries?

Question
03/05/22 6:02 AM EST

Nope. My head’s fine.

Have you had a concussion?

Question
03/05/22 6:03 AM EST

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.

Any numbness or tingling?

Question
03/05/22 6:04 AM EST

No numbness or tingling. That sounds weird.

Any weakness in your limbs?

Question
03/05/22 6:09 AM EST

Nope, no weakness.

Do you exercise in the heat?

Question
03/05/22 6:14 AM EST

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

Any eye problems?

Question
03/05/22 6:16 AM EST

My eyes are fine.

Have you started your periods?

Question
03/05/22 6:17 AM EST

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.

She asked how old I was when I got my first period. I told her I was about 12.

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

Educate
03/05/22 6:20 AM EST

Cool. Good to know.

Tell me about your family medical history.

Question
03/05/22 6:21 AM EST

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

Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Question
03/05/22 6:22 AM EST

I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)

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

Any heart problems in your family?

Question
03/05/22 6:22 AM EST

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? (No matching questions found.)

Question
03/05/22 6:23 AM EST

Any family history of unexpected deaths before the age of 35? (No matching questions found.)

Question
03/05/22 6:24 AM EST

Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.)

Question
03/05/22 6:25 AM EST

I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)

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

Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)

Question
03/05/22 6:27 AM EST

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. (Clarified to how I feel about my weight.)

I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.

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

Educate
03/05/22 6:29 AM EST

Gotcha.

Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)

Question
03/05/22 6:29 AM EST

Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)

You should not try to fit in. Everyone is unique Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

Educate
03/05/22 6:30 AM EST

Um, that makes sense.

Tell me about your diet.

Question
03/05/22 6:31 AM EST

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?

Question
03/05/22 6:32 AM EST

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

Educate
03/05/22 6:33 AM EST

For sure. OK.

How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)

Question
03/05/22 6:34 AM EST

I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)

 Inspected weight and height growth chart

Exam Action
03/05/22 6:35 AM EST

 Inspected Skin

Exam Action
03/05/22 6:48 AM EST

 Assessed appearance Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Exam Action
03/05/22 6:49 AM EST

 Assessed Cervical Spine Range of Motion

Exam Action
03/05/22 6:52 AM EST

 Assessed Spine Range of Motion: Full range of motion performed without discomfort

Exam Action
03/05/22 6:53 AM EST

 Assessed wrist range of motion

Exam Action
03/05/22 7:01 AM EST

 Assessed Elbow Range of Motion

Exam Action
03/05/22 7:03 AM EST

 Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

 Assessed Trapezius Strength: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

 Assessed deltoid strength and shoulder rotation

Exam Action
03/05/22 7:07 AM EST

 Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance

Exam Action
03/05/22 7:08 AM EST

 Assessed Symmetry of Extremities

Exam Action
03/05/22 7:09 AM EST

 Assessed leg symmetry, knee and ankle effusion

Exam Action
03/05/22 7:09 AM EST

 Assessed Calf Symmetry and Leg Strength

Exam Action
03/05/22 7:10 AM EST

 Tested Hip, Knee, and Ankle ROM

Exam Action
03/05/22 7:11 AM EST

 Tested Cardinal Fields of Vision

Exam Action
03/05/22 7:14 AM EST

 Tested peripheral vision

Exam Action
03/05/22 7:15 AM EST

 Tested visual acuity

Exam Action
03/05/22 7:15 AM EST

 Tested balance: Expected

Exam Action
03/05/22 7:16 AM EST

 Auscultated lungs

Exam Action
03/05/22 7:17 AM EST

 Auscultated abdomen

Exam Action
03/05/22 7:18 AM EST

 Auscultated heart

Exam Action
03/05/22 7:18 AM EST

 Screened Adam’s Forward Bend

Exam Action
03/05/22 7:20 AM EST

Mrs. Monroe please step out so I can have a private conversation with your daughter.

Educate
03/05/22 7:34 AM EST

Sure, no problem.

I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.

Educate
03/05/22 7:36 AM EST

OK. That sounds alright.

Tell me about your school life, friends and hobbies.

Question
03/05/22 7:38 AM EST

Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.

Am sorry about that. Everything will be fine.

Empathize
03/05/22 7:39 AM EST

Thanks. I’m glad you understand.

Tell me about your support system.

Question
03/05/22 7:41 AM EST

Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.

Have you ever used tobacco?

Question
03/05/22 7:42 AM EST

Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.

Have you used any drugs?

Question
03/05/22 7:43 AM EST

No. I wouldn’t ever do drugs.

Have you used alcohol?

Question
03/05/22 7:44 AM EST

I don’t drink. No way.

Are you interested in relationships and dating?

Question
03/05/22 7:45 AM EST

I’m not really interested in that yet.

Are you sexually active? Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

Question
03/05/22 7:45 AM EST

No.

I would like to know more about your feeling of nervousness or anxiety.

Question
03/05/22 7:54 AM EST

I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.

Am sorry about that.

Empathize
03/05/22 7:55 AM EST

Thanks.

I noticed that you are concerned about your body image, weight, and diet.

Question
03/05/22 7:57 AM EST

Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?

Have you ever considered doing anything more extreme to manage your weight?

Question
03/05/22 7:58 AM EST

No, I wouldn’t do anything dangerous. I promise.

Do you have any questions for me?

Question
03/05/22 7:59 AM EST

No, I don’t think so.

 You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.

Exam Action
03/06/22 8:19 AM EST

I am ready to begin the conversation with Samantha.

Question
03/06/22 8:20 AM EST

 In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

Exam Action
03/06/22 8:20 AM EST

Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.

Question
03/06/22 8:23 AM EST

Oh, um yeah. That makes sense. I don’t want any of that to happen.

Thank you. This is pretty concerning so we’ll take this very seriously.

 In your own words, discuss limiting media intake with Samantha and Jackie.

Exam Action
03/06/22 8:24 AM EST

You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.

Question
03/06/22 8:30 AM EST

Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

 In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

Exam Action
03/06/22 8:33 AM EST

You can try journalling, relaxation and stress management techniques, and affirmations

Question
03/06/22 8:58 AM EST

Yeah, that make sense. It’s not like I want to feel this way, you know?

I’m just glad we figured out that this was an issue. I had no idea.

 You have provided Samantha and her mother education on all appropriate non-pharmacological interventions Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

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