UTI with Antibiotic Sensitivity Makayla Henderson 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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