Will has been asked to write more detailed histories of the patients he sees in the clinic of the family practice doctor he is job shadowing. Because his stroke affected his language skills, he continues to struggle expressing himself with verbal and written language. A form has been created to assist him with medical history taking which could probably use some help.
A SAMPLE HISTORY FORM
1- Patient’s Name_____________
2- Patient’s Age______________
3- Patient’s Blood Pressure______
4- Patient’s Weight__________Height_____
5- Patient’s Temperature_______________
6- Patient’s Signs and symptoms__________
7-Allergies__________________________
8- Medications_______________________
9- Past Pertinent History ________________
10- Events Leading to the problem _________
11- Problem_________________________
12- Diagnosis_________________________
13- Prescriptions and/or procedures_________
Any insights or resources on taking medical histories would be greatly appreciated.
Wednesday, October 8, 2008
Cardiovascular Follow Up
Tuesday Will and went to his follow-up Cardio appointment with Dr. Michaels at the University of Utah. Before meeting with the doctor, he had an echo-cardiogram and an electrocardiograph. These images showed his closure looking secure and well healed and he has been given the green light to go ahead and play racket ball, football and any other sport he wants to. He is officially off Plavix, but will be on a daily dose of Ecotrin, ( baby aspirin) for the rest of his life.
While there, Dr. Efstratiadis was so impressed with the progress Will has made in the past six months, he called a physician in the Internal Medicine Department to see if Will could job shadow in that department while preparing to return to his residency in Ohio. It turned out the person who makes these decisions was out of town and wouldn’t be back for a couple of weeks, but it was kind of Dr. Efstratiadis to make the call and offer to follow up on it.
In the mean time Will's speech therapist, Lisa, from Sugarhouse Rehab, is being brought back on board to help with speech and cognitive therapy. Will is beginning the fourth and final quarter of the year following the stroke. He is anxious to do everything he can to make the remaining months in which recovery is said to be the fastest, as productive as possible.
While there, Dr. Efstratiadis was so impressed with the progress Will has made in the past six months, he called a physician in the Internal Medicine Department to see if Will could job shadow in that department while preparing to return to his residency in Ohio. It turned out the person who makes these decisions was out of town and wouldn’t be back for a couple of weeks, but it was kind of Dr. Efstratiadis to make the call and offer to follow up on it.
In the mean time Will's speech therapist, Lisa, from Sugarhouse Rehab, is being brought back on board to help with speech and cognitive therapy. Will is beginning the fourth and final quarter of the year following the stroke. He is anxious to do everything he can to make the remaining months in which recovery is said to be the fastest, as productive as possible.
Friday, October 3, 2008
Meeting with Dr. Edgley
Thursday Oct. 2nd was Will’s latest meeting with Dr. Edgley. There were four of us cramped into a very small examining room: Summer and Will and Wally and I. Summer kept the conversation light and lively while we waited the interminably long time for Dr. Edgley to saunter in. The meeting was the most encouraging yet. He was very congratulatory about Will and Summer's engagement, which was comforting to Summer. She was afraid they were going to be told to hold their horses and back up a bit. They were taking this all a little too fast!
For those of you who haven't heard already, the wedding date is set for Dec. 30th in the Salt Lake Temple. A reception at the Bountiful Central Stake Center is planned for later that evening. You are all invited to the reception. Summer is a wonderful girl, the proverbial blue-eyed-blond. She and Will are the same age. They both served missions in Argentina. They have been friends for five years. In the face of Will's stroke, Summer has been a beacon of light, a ray of sunshine in an otherwise dark and frightening world. We can't say in words what Summer means to us or how blessed we feel to have this angel of mercy sweeping in with open arms cheering, blessing and brightening Will's life. It has been her private errand to keep Will's spirits high and she has done an amazing job.
Marriage was one of the four goals Will had expressed a desire to achieve on his first meeting with Dr. Edgley. The first goal was to be normal. The second one was to get his driver's license. The third one was to get a job, and the fourth one was to get married. Happily Dr. Edgley encouraged Will to go forward with his life focusing on two things: his job with Globus Relief International and preparing for the Step III exam. When he gets these two things under his belt, I am hoping things will be pretty much back to normal and he can return to his residency.
Later in the day I cornered Dr. Ward and asked him about Will’s job shadowing. (Will has been job shadowing Dr. Ward, a family practice doctor, every Wednesday for the past few weeks.) He said Will needs to do much more detailed histories. Will’s were about one-third the length they need to be. This is definitely something that needs to be addressed. I hope he picks up the ball and runs with it. I would like to put Dr. Ward at ease about this.
Friday Will and Summer went off together to get their portraits taken for their wedding announcement. Will was sporting a bright yellow tie to match Summer’s golden hair. They are thinking of Ohio or Park City for the Honey Moon. I am thinking this is going all too fast. Will’s next appointment with Dr. Edgley will be as a married man. YOWSER!!!
For those of you who haven't heard already, the wedding date is set for Dec. 30th in the Salt Lake Temple. A reception at the Bountiful Central Stake Center is planned for later that evening. You are all invited to the reception. Summer is a wonderful girl, the proverbial blue-eyed-blond. She and Will are the same age. They both served missions in Argentina. They have been friends for five years. In the face of Will's stroke, Summer has been a beacon of light, a ray of sunshine in an otherwise dark and frightening world. We can't say in words what Summer means to us or how blessed we feel to have this angel of mercy sweeping in with open arms cheering, blessing and brightening Will's life. It has been her private errand to keep Will's spirits high and she has done an amazing job.
Marriage was one of the four goals Will had expressed a desire to achieve on his first meeting with Dr. Edgley. The first goal was to be normal. The second one was to get his driver's license. The third one was to get a job, and the fourth one was to get married. Happily Dr. Edgley encouraged Will to go forward with his life focusing on two things: his job with Globus Relief International and preparing for the Step III exam. When he gets these two things under his belt, I am hoping things will be pretty much back to normal and he can return to his residency.
Later in the day I cornered Dr. Ward and asked him about Will’s job shadowing. (Will has been job shadowing Dr. Ward, a family practice doctor, every Wednesday for the past few weeks.) He said Will needs to do much more detailed histories. Will’s were about one-third the length they need to be. This is definitely something that needs to be addressed. I hope he picks up the ball and runs with it. I would like to put Dr. Ward at ease about this.
Friday Will and Summer went off together to get their portraits taken for their wedding announcement. Will was sporting a bright yellow tie to match Summer’s golden hair. They are thinking of Ohio or Park City for the Honey Moon. I am thinking this is going all too fast. Will’s next appointment with Dr. Edgley will be as a married man. YOWSER!!!
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