🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-09-01 10:12:19

Transcript

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                                             <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><p><strong class="SPEAKER-01">SPEAKER-01:</strong> It brings back some unhappy memories for you like that. It like school was</p></div></td></tr><tr><td id="fragmentid_101"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> for you. How long are the grandkids going to be with you?</p></div></td></tr><tr><td id="fragmentid_102"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> weeks. I don't know. It's up to my daughter when she gets settled in a new place and gets a</p></div></td></tr><tr><td id="fragmentid_103"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> job. I I hope it's not much longer, but you never know, right?</p></div></td></tr><tr><td id="fragmentid_104"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> or does she have? No, she's on her own. She's on her own. So it is hard for her as well.</p></div></td></tr><tr><td id="fragmentid_105"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> lucky to have you. She's lucky to have you, really, to able to look</p></div></td></tr><tr><td id="fragmentid_106"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> So it's, it's, it's a of a mess right now. You know, one of the things I</p></div></td></tr><tr><td id="fragmentid_107"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> from what I'm hearing is that some of the things that are happening to you are</p></div></td></tr><tr><td id="fragmentid_108"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> And the grandchildren are not going to be with you forever. This work</p></div></td></tr><tr><td id="fragmentid_109"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> get settled. It can't go on forever and never. So, you know, the anxiety you're feeling</p></div></td></tr><tr><td id="fragmentid_110"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> it's going to come to an end. It's to get, it's going to get better. It's what</p></div></td></tr><tr><td id="fragmentid_111"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> you know, maybe we can help with that and give you some suggestions. But,</p></div></td></tr><tr><td id="fragmentid_112"><div><p><strong class="SPEAKER-01">SPEAKER-01:</strong> one, I think it's going to be okay. What kind of support do you have yourself of</p></div></td></tr><tr><td id="fragmentid_113"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> You've got three minutes. You've got three minutes. Yeah, my</p></div></td></tr><tr><td id="fragmentid_114"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> he's the longest in his truck driver. He's gone for, you know, three, four or</p></div></td></tr><tr><td id="fragmentid_115"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> kind of thing. But he's, he's always being super supportive and, and there's no</p></div></td></tr><tr><td id="fragmentid_116"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> And I'm close to my family and stuff, you know, like it, it's not like</p></div></td></tr><tr><td id="fragmentid_117"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> I'm not going to ask my 80 year old parents to come and help with the grand, the great</p></div></td></tr><tr><td id="fragmentid_118"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> You know, you oh god, I wish. But</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> of retirement anytime soon or is this,</p></div></td></tr><tr><td id="fragmentid_119"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> we've looked at our finances and I've, I've got at least six or seven years that we both want</p></div></td></tr><tr><td id="fragmentid_120"><div><p><strong class="SPEAKER-02">SPEAKER-02:</strong> a fair bit of money tucked away before we can. So, yeah, no,</p><p><strong class="SPEAKER-01">SPEAKER-01:</strong> no, you want to get back</p></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

Allergies

No significant allergy history.

Chief Complaints / HOPI / Examination
  • Axial neck pain
  • No radiculopathy
  • Computer job
  • Neurology normal
Provisional Diagnosis/Diagnosis:
  • Osteoporosis
Investigations / Medication Advised
Laboratory:
  • Bone Mineral Density Test
Radiology:
  • X-Ray
Medication

No medications were discussed or prescribed during the consultation.

Advice / Follow-Up
  • Consider reducing smoking and caffeine intake.
  • Increase calcium and vitamin D intake.
  • Regular exercise recommended to strengthen bones and alleviate anxiety.
  • Discuss potential occupational therapy and worker's compensation support.
Follow up: After the appointment with the workman's compensation board.

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