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.
