🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-08-07 09:29:40

Transcript

<thead>
                                                <tr>
                                                   <th><strong>Original Transcription</strong></th>
                                                </tr>
                                             </thead>
                                             <tbody><tr><td id="fragmentid_1"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Hello Ms. Jones, I'm Dr. Dalton. I think it's the first time we've met.</p></div></td></tr><tr><td id="fragmentid_2"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I do for you today? follow up with you.</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> The specialist told me I needed to</p></div></td></tr><tr><td id="fragmentid_3"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> makes me frightened. What did the say to you?</p></div></td></tr><tr><td id="fragmentid_4"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> specialists, the ortho guy. He said that bones were a bit on the thin side, and so</p></div></td></tr><tr><td id="fragmentid_5"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> doesn't deal with thin bones. He only deals with broken ones. So he said I had</p></div></td></tr><tr><td id="fragmentid_6"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> family doctor who's retired, so I'm seeing you.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Okay. I guess he may</p></div></td></tr><tr><td id="fragmentid_7"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I'm sorry to hear that you ended up in the hands of Northopaedic surgeon. Did you</p></div></td></tr><tr><td id="fragmentid_8"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> some kind of accident or fracture or something like that? Yeah. It was</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> really minor.</p></div></td></tr><tr><td id="fragmentid_9"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I was just climbing down from the forklift truck that I drive, and kind of</p></div></td></tr><tr><td id="fragmentid_10"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> bit on the last step, and I reached out with my hand, and I guess I put</p></div></td></tr><tr><td id="fragmentid_11"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> on my wrist, and I ended up with one of those. It's like a dog fracture, a collie,</p></div></td></tr><tr><td id="fragmentid_12"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> So I went to the emergency room and everything, and they took an X -ray, and my</p></div></td></tr><tr><td id="fragmentid_13"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> or whatever, and they put a cast on. They sent me to this ortho guy, and he said</p></div></td></tr><tr><td id="fragmentid_14"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> like I also had to have a chest x -ray because my back was killing me by the time I</p></div></td></tr><tr><td id="fragmentid_15"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> And he said, yeah, your bones are kind of thin. You need to see a family doctor about it.</p></div></td></tr><tr><td id="fragmentid_16"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> you know, here I am. What did all this happen? six</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Oh gosh, ago,</p></div></td></tr><tr><td id="fragmentid_17"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> maybe a little bit longer. Now, I mean,</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Yeah, so it's kind of fresh.</p></div></td></tr><tr><td id="fragmentid_18"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> said it should have been fixed by now, but it's really not.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Well, it can</p></div></td></tr><tr><td id="fragmentid_19"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I think what was concerning the orthoedic surgeon was that you ended up with a fracture</p></div></td></tr><tr><td id="fragmentid_20"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> which would normally maybe not happen with the kind of fall that</p></div></td></tr><tr><td id="fragmentid_21"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> And did you say you also had a little fracture in your back as</p></div></td></tr><tr><td id="fragmentid_22"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Yeah, I did. I realize it, but my back was kind of killing me, and he</p></div></td></tr><tr><td id="fragmentid_23"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> you know, your spine bones, they kind of got</p></div></td></tr><tr><td id="fragmentid_24"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> It sounds painful, actually.</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I mean, I don't need the</p></div></td></tr><tr><td id="fragmentid_25"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> so it's, and it's much, much better. So,</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> it's a pain, pretty much under</p></div></td></tr><tr><td id="fragmentid_26"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> You know, his concern would be for something we call osteoporosis, and that's the</p></div></td></tr><tr><td id="fragmentid_27"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> bones. And it happens to all of us with time, but sometimes it can happen a bit</p></div></td></tr><tr><td id="fragmentid_28"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> people, and that's a bit of a worry. In your family, is there any history of thin bones or</p></div></td></tr><tr><td id="fragmentid_29"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Yeah. Well, yeah, my mom broke her up like two years ago, and my sister</p></div></td></tr><tr><td id="fragmentid_30"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> It wasn't a big fall, and she broke her arm a couple of years ago too. So</p></div></td></tr><tr><td id="fragmentid_31"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I don't know. Well, you might come by this naturally. How old are you?</p></div></td></tr><tr><td id="fragmentid_32"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> 57. 57. And when did you have your</p></div></td></tr><tr><td id="fragmentid_33"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I had a kind of early. All of us have early menopause. I was around 40 -ish when I,</p></div></td></tr><tr><td id="fragmentid_34"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Yeah, that is quite early, and it can also lead to thinning of the bones</p></div></td></tr><tr><td id="fragmentid_35"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> pretty early like that. Now, you know, we will have to look into</p></div></td></tr><tr><td id="fragmentid_36"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> surgery tools, right? There are some things that we look at in terms of</p></div></td></tr><tr><td id="fragmentid_37"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> also cause other bones. Do you take alcohol at all? Do drink? Yeah,</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> maybe a couple of</p></div></td></tr><tr><td id="fragmentid_38"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> that's about it. Okay, smoking?</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Yeah, I do. Don't tell me to quit.</p></div></td></tr><tr><td id="fragmentid_39"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> and I have since I was liking my teens.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I'm going to tell you to quit. Maybe</p></div></td></tr><tr><td id="fragmentid_40"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> but we will talk about that, you know. One of the other things that can sometimes</p></div></td></tr><tr><td id="fragmentid_41"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> is a lot of caffeine use, but I don't think that's as important as some of the other things.</p></div></td></tr><tr><td id="fragmentid_42"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> drink a lot of coffee? Yeah, I</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> love my coffee. I two or three before I even go</p></div></td></tr><tr><td id="fragmentid_43"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> morning, and then I have another two or three at work. And, you know, it</p></div></td></tr><tr><td id="fragmentid_44"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> bother my nerves, you know, like, you think you'd be worried, but I'm wired up</p></div></td></tr><tr><td id="fragmentid_45"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> You're wired up anyways? Yeah,</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I'm just feeling</p></div></td></tr><tr><td id="fragmentid_46"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Yeah, but do you think that's because of this accident?</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Well,</p></div></td></tr><tr><td id="fragmentid_47"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Like, okay, so here's the thing. I love driving the forklift. I love it. And,</p></div></td></tr><tr><td id="fragmentid_48"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> you're zipping around the warehouse. It's so cool. I have all the friends</p></div></td></tr><tr><td id="fragmentid_49"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> and I'm really good at it. I don't even want to prize, right? And</p></div></td></tr><tr><td id="fragmentid_50"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> fracture, I guess it was longer than six weeks. It have been a couple of months.</p></div></td></tr><tr><td id="fragmentid_51"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> on this work where the physiotherapist kind of gives you a modified</p></div></td></tr><tr><td id="fragmentid_52"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> tied me to this frigging desk. And it's awful. I hate it. And and like, I</p></div></td></tr><tr><td id="fragmentid_53"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> and stuff and that just like totally freaks me out because I'm really not a computer person at</p></div></td></tr><tr><td id="fragmentid_54"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> And it's so frustrating because I want to get back. And, and now she's, you know, she</p></div></td></tr><tr><td id="fragmentid_55"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> week, she had me go through all these physio things where you try and steer</p></div></td></tr><tr><td id="fragmentid_56"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> practice gearbox and all that kind of crap. And, like, I couldn't do it. I</p></div></td></tr><tr><td id="fragmentid_57"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> my wrist. And so she's got this big needing schedule next week with like workman's comp.</p></div></td></tr><tr><td id="fragmentid_58"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> they're going to, and they're going to say, you know, I can't drive a forklift</p></div></td></tr><tr><td id="fragmentid_59"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> they're probably going to put me on a desk job. And the only desk job is, is the</p></div></td></tr><tr><td id="fragmentid_60"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> God, help me. If I have to do that job, it's like all computer work and</p></div></td></tr><tr><td id="fragmentid_61"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> like book and products and, and shipments and crap like that. And lose my mind. I</p></div></td></tr><tr><td id="fragmentid_62"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> It's, it's got me drove it really has.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I can the frustration in your</p></div></td></tr><tr><td id="fragmentid_63"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> difficult to look at something like this happening in accident that could lead to you</p></div></td></tr><tr><td id="fragmentid_64"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> change jobs. And I guess that's what you're afraid of right now is it might be a</p></div></td></tr><tr><td id="fragmentid_65"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Yeah. Well, that's, I mean, that's just one thing that's on my mind for sure. But</p></div></td></tr><tr><td id="fragmentid_66"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Yeah, it would be. It would be. You know, the, whole workman's</p></div></td></tr><tr><td id="fragmentid_67"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> is a bit of a treadmill too. It can be. And it can be quite difficult to</p></div></td></tr><tr><td id="fragmentid_68"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> So, you know, if you can see a place where I can help you with that, you</p></div></td></tr><tr><td id="fragmentid_69"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Well, yeah, go ahead. No,</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I just like hoping that maybe you could, you could</p></div></td></tr><tr><td id="fragmentid_70"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> better. And I, you know, then I would be able to do the physio test. And then</p></div></td></tr><tr><td id="fragmentid_71"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> to take that job,</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> right? Well, thank you. It's certainly we're</p></div></td></tr><tr><td id="fragmentid_72"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> phones. We're going to have to see what we can do to strengthen them. I think you're</p></div></td></tr><tr><td id="fragmentid_73"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Do you take a lot of dairy products? Are uh, no, don't take any</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> no, no,</p></div></td></tr><tr><td id="fragmentid_74"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> take any? No, so I don't think you're taking as an understanding or things for</p></div></td></tr><tr><td id="fragmentid_75"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> take any other medications?</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I don't take anything. I don't even need the, I'd be</p></div></td></tr><tr><td id="fragmentid_76"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> It's good. Nothing else. You're not taking any medications. I really</p></div></td></tr><tr><td id="fragmentid_77"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> No, it gives us something to work with, I guess. You mentioned a couple of times that</p></div></td></tr><tr><td id="fragmentid_78"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> the things making you anxious.</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Man, I've just got so much going right now. Like, okay,</p></div></td></tr><tr><td id="fragmentid_79"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> daughter just got her GED. That means that she's going out for this better job. So she</p></div></td></tr><tr><td id="fragmentid_80"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Now she got pregnant really early and there's two kids, right? Two, my two grandkids.</p></div></td></tr><tr><td id="fragmentid_81"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> you know, Billy is 10 and, and Genie is like nine. And anyways, they're</p></div></td></tr><tr><td id="fragmentid_82"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Okay, now they're great kids. It's not, that's not the problem. It's, it's all the school</p></div></td></tr><tr><td id="fragmentid_83"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> they have to do. Like, I'm having to teach them their schoolwork</p></div></td></tr><tr><td id="fragmentid_84"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> all the time. It's like, all the teachers do is like, organize tests and I gotta</p></div></td></tr><tr><td id="fragmentid_85"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I had a real problem with taking tests when I was a kid. Like, so much that</p></div></td></tr><tr><td id="fragmentid_86"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> leave school early. Like, I just couldn't do it. I would get myself up and not.</p></div></td></tr><tr><td id="fragmentid_87"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> the whole time in the bathroom being sick. And now it's like, it's all coming</p></div></td></tr><tr><td id="fragmentid_88"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> it's crazy. I don't, I don't, I don't even know what to do. Like, I break out into shakes</p></div></td></tr><tr><td id="fragmentid_89"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I'm just all caught up in knots and I can't sleep and I'm having nightmares</p></div></td></tr><tr><td id="fragmentid_90"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> all because of like between the job not being able to go back to the job I love and, and</p></div></td></tr><tr><td id="fragmentid_91"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> my grandkids. Man, I, I, I just don't know.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> Well, it's a lot all at once</p></div></td></tr><tr><td id="fragmentid_92"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> the idea of dealing with, you know, your, your grandchildren at home having to</p></div></td></tr><tr><td id="fragmentid_93"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> combined with being off work and not sure what your future is going to be.</p></div></td></tr><tr><td id="fragmentid_94"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> combination is certainly very stressful. I can understand that. It sounds like you do</p></div></td></tr><tr><td id="fragmentid_95"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> bit of a history of anxiety. Would I be fair in saying that?</p><p><strong class="SPEAKER-02">SPEAKER-02:</strong> Yeah. Yeah.</p></div></td></tr><tr><td id="fragmentid_96"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> me any drugs for it. I never saw a doctor for it. Maybe I should have when I was a</p></div></td></tr><tr><td id="fragmentid_97"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> man, I'm just, I'm so anxious now that I was just kind of hoping maybe you'd be</p></div></td></tr><tr><td id="fragmentid_98"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> do something about that. I feel overwhelmed.</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> I gotta tell you, I feel</p></div></td></tr><tr><td id="fragmentid_99"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> to homework with a 10 -year -old as well. So I don't think it's easy, you know, getting back into</p></div></td></tr><tr><td id="fragmentid_100"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: It brings back some unhappy memories for you like that. It sounds like school was the best time</div></td></tr><tr><td id="fragmentid_101"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: for you. How long are the grandkids going to be with you? It could be with me for another several</div></td></tr><tr><td id="fragmentid_102"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: weeks. I don't know. It's up to my daughter when she gets settled in a new place and gets a new</div></td></tr><tr><td id="fragmentid_103"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: job. I mean, I hope it's not much longer, but you never know, right? Is your daughter on her own</div></td></tr><tr><td id="fragmentid_104"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: or does she have? No, she's on her own. She's on her own. So it is hard for her as well. She's</div></td></tr><tr><td id="fragmentid_105"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: lucky to have you. She's lucky to have you, really, to be able to look out to the kids, you know.</div></td></tr><tr><td id="fragmentid_106"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: So it's, it's, it's a bit of a mess right now. You know, one of the things I would say though</div></td></tr><tr><td id="fragmentid_107"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: from what I'm hearing is that some of the things that are happening to you are time limited, right?</div></td></tr><tr><td id="fragmentid_108"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: And the grandchildren are not going to be with you forever. This work problem is going to have to</div></td></tr><tr><td id="fragmentid_109"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: get settled. It can't go on forever and never. So, you know, the anxiety you're feeling now is</div></td></tr><tr><td id="fragmentid_110"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: it's going to come to an end. It's going to get, it's going to get better. It's what I'd like to say,</div></td></tr><tr><td id="fragmentid_111"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: you know, maybe we can help with that and give you some suggestions. But, you know, in the long</div></td></tr><tr><td id="fragmentid_112"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: one, I think it's going to be okay. What kind of support do you have yourself of your husband?</div></td></tr><tr><td id="fragmentid_113"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: You've got three minutes. You've got three minutes. Yeah, my husband's great. He's,</div></td></tr><tr><td id="fragmentid_114"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: he's the longest in his truck driver. He's gone for, you know, three, four or five days at a time,</div></td></tr><tr><td id="fragmentid_115"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: kind of thing. But he's, he's always being super supportive and, and so there's no problem there.</div></td></tr><tr><td id="fragmentid_116"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: And I'm close to my family and stuff, you know, like it, it's not like I'm totally alone. But</div></td></tr><tr><td id="fragmentid_117"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: I'm not going to ask my 80 year old parents to come and help with the grand, the great grandkids.</div></td></tr><tr><td id="fragmentid_118"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: You know, are you thinking of retirement anytime soon or is this, oh god, I wish. But we've,</div></td></tr><tr><td id="fragmentid_119"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: we've looked at our finances and I've, I've got at least six or seven years that we both want to get</div></td></tr><tr><td id="fragmentid_120"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: a fair bit of money tucked away before we can. So, yeah, no, no, you want to get back to your job.</div></td></tr><tr><td id="fragmentid_121"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: So, you know, in the interest of time, let's talk a bit about the osteoporosis situation at that</div></td></tr><tr><td id="fragmentid_122"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: thinning of the bones. It certainly sounds like you have that. And there are tests we would do,</div></td></tr><tr><td id="fragmentid_123"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: like a bone mineral density test to see how thin they are. But in fact, I can tell you already</div></td></tr><tr><td id="fragmentid_124"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: that you have osteoporosis just from what you've been telling me of these fractures, you know.</div></td></tr><tr><td id="fragmentid_125"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: There are some things you could do without medication, like maybe cutting down on smoking. I know</div></td></tr><tr><td id="fragmentid_126"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: we don't want to go there. We calcium, vitamin D can help regular exercise. It's a good</div></td></tr><tr><td id="fragmentid_127"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: thing to do as well. It would also help with your anxiety, you know. It might help sort of</div></td></tr><tr><td id="fragmentid_128"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: calm things down a bit. There are medications we use for osteoporosis. They're in a family called</div></td></tr><tr><td id="fragmentid_129"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: disphosphonance. But we talk about that after we got these results back and saw what was going on.</div></td></tr><tr><td id="fragmentid_130"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: That just helps the calcium get into the bones, you know, helps strengthen the bone.</div></td></tr><tr><td id="fragmentid_131"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: The anxiety is a different issue, you know. It's really hard. The thing I would say is temporary.</div></td></tr><tr><td id="fragmentid_132"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: You know, a lot of what's happening to you is because of the situation.</div></td></tr><tr><td id="fragmentid_133"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: The work with compensation board often there is a rule for a doctor in that. And if you can see</div></td></tr><tr><td id="fragmentid_134"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: how I could help you with, you know, saying, you know, we hope she'll improve. She's not ready to go</div></td></tr><tr><td id="fragmentid_135"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: back. She isn't suited for this particular job. Perhaps another job would be better.</div></td></tr><tr><td id="fragmentid_136"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: You know, there are things we can work with that. Yeah, perhaps with an occupational therapist as well.</div></td></tr><tr><td id="fragmentid_137"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: You know, I don't think medication is going to help you with anxiety. I don't think that's something</div></td></tr><tr><td id="fragmentid_138"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: you want to deal with. You know, especially since this anxiety, I'm pretty sure it's going to come</div></td></tr><tr><td id="fragmentid_139"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: to an end in the end once these things start settling down. Yeah. Yeah. That would be great if you could</div></td></tr><tr><td id="fragmentid_140"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: help with that worker's compensation meeting. That would be fabulous. Well, you know, just go in with</div></td></tr><tr><td id="fragmentid_141"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: the idea that the doctor is there. If you need medical notes to help you with one decision or</div></td></tr><tr><td id="fragmentid_142"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: another. So, you know, I'd certainly be there to help you with that. We're going to have to meet</div></td></tr><tr><td id="fragmentid_143"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: again, because our time is running out. But is that kind of a fair plan for where you want to go</div></td></tr><tr><td id="fragmentid_144"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: with the moment? That's a great plan, actually. That's a great plan. Well, let's meet after you have</div></td></tr><tr><td id="fragmentid_145"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: your appointment with the workman's compensation board. We can see how that goes. And we can also make</div></td></tr><tr><td id="fragmentid_146"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: those other plans for what's going on with the bone test. Okay. Thanks. Nice meeting you.</div></td></tr><tr><td id="fragmentid_147"><div><i class="fas fa-user"></i> <span class="mic"></span> <span class="speaker">Identifying</span>: And I look forward to seeing you again. Bye. Bye now.</div></td></tr></tbody>

Clinical Notes

Clinical Notes

Consultation Date: SESSION_DATE

Patient Name: Ms. Jones

Doctor Name: Dr. Dalton


Chief Complaint:

Ms. Jones presents for a follow-up regarding her recent consultation with an orthopedic specialist due to thin bones and a wrist fracture following a minor fall from a forklift truck.

History of Present Illness:

Ms. Jones reports experiencing a wrist fracture after falling from a forklift truck, resulting in a dog fracture. She sought medical attention, where an X-ray was performed, and a cast was applied. Subsequently, she was referred to an orthopedic specialist who identified thin bones and recommended follow-up with a family doctor.

Past Medical History:

Ms. Jones mentions a family history of thin bones, with her mother and sister experiencing fractures in the past.

Assessment and Plan:

  1. Fracture Management:
  2. The wrist fracture is being managed with a cast.
  3. Follow-up on the healing progress of the fracture.

  4. Osteoporosis Evaluation:

  5. Considering the history of thin bones and fractures, osteoporosis evaluation is recommended.
  6. Plan for a bone mineral density test to assess bone health.

  7. Anxiety Management:

  8. Ms. Jones expresses anxiety related to her injury, work situation, and family responsibilities.
  9. Non-pharmacological approaches such as lifestyle modifications and stress management techniques are advised.

  10. Follow-up and Monitoring:

  11. Schedule a follow-up appointment to discuss bone density test results and further management.
  12. Address concerns regarding work restrictions and potential job changes.

  13. Patient Education:

  14. Educate Ms. Jones on lifestyle modifications to improve bone health, including smoking cessation and dietary considerations.
  15. Provide reassurance regarding the temporary nature of current stressors and the potential for improvement.

  16. Support System:

  17. Acknowledge the support from Ms. Jones' husband and family members.
  18. Encourage open communication and seeking assistance when needed.

  19. Follow-up Plan:

  20. Arrange a follow-up appointment post-workman's compensation meeting to review progress and adjust management strategies accordingly.

The patient's complex situation involving physical and emotional stressors requires a multidisciplinary approach to address her medical and psychosocial needs effectively. Follow-up and ongoing support will be essential in managing her current challenges.

⬅ Back to History