Transcript
Started: Jun 11, 2022 | Total Time: 172 min
All Lines (164)Interview Questions (119)Statements (14)Exam Actions (31)
 | Hello. My name is xxx, I will interview you and conduct a physical exam | Greet 06/16/22 10:13 PM EDT |
 | Hi. Thanks for being here. | |
| What brings you here? Rachel Adler Alcohol Use Disorder shadow health transcript | Question 06/16/22 10:17 PM EDT |
| I don’t know what happened. They told me I was in a car accident, that I hit a pole and I’m getting a DUI. That’s how I hurt my wrist. I don’t care what happened, I kind of wish it had been worse. | |
| Did you get an injury? | Question 06/16/22 10:18 PM EDT |
| Other than my wrist? No, I don’t think so. | |
| Were you attempting suicide? (Clarified to Have you ever attempted suicide?.) | Question 06/16/22 10:22 PM EDT |
| No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything Rachel Adler Alcohol Use Disorder shadow health transcript. (Clarified to if I have ever attempted suicide.) | |
| Did you lose consciousness? | Question 06/16/22 10:30 PM EDT |
| I passed out in the car crash. I don’t remember how it happened. | |
| Were you wearing a seatbelt? | Question 06/16/22 10:34 PM EDT |
| I always wear my seatbelt. Even when I’m drunk driving, apparently. | |
| Did you drink before the accident? | Question 06/16/22 10:34 PM EDT |
| Yeah. I was. I think I had at least five drinks. I was at a party with my friends, so, I didn’t think it was a big deal. Shows you where that gets you, I guess. | |
| Did you drive carefully? | Question 06/16/22 10:35 PM EDT |
| Honestly, I didn’t care that I was driving drunk. I mean, I’ve done it before, all my friends do it, I didn’t think it was a big deal. I was too upset to care, anyway. I didn’t really think I was going to get hurt, but, like, at the same time, I didn’t care what happened to me. | |
| When did the pain start? | Question 06/16/22 10:36 PM EDT |
| The pain probably started around the moment when I passed out and my car hit that pole. | |
| Where is your pain located? | Question 06/16/22 10:37 PM EDT |
| My wrist hurts the most. The right one, in the brace. | |
| What makes your pain worse? | Question 06/16/22 10:37 PM EDT |
| It hurts pretty bad when I move it. If I bend or twist it, or if I try to pick something up, it hurts a lot. | |
| Am sorry about that | Empathize 06/16/22 10:38 PM EDT |
| Ha, thanks. | |
| What relieves your pain? | Question 06/16/22 10:38 PM EDT |
| The ibuprofen has helped the pain. That, and the sling. | |
| Does rest improve your pain? | Question 06/16/22 10:39 PM EDT |
| Yeah, resting here does help. | |
| What is your pain like? | Question 06/16/22 10:40 PM EDT |
| It’s kind of this constant ache Rachel Adler Alcohol Use Disorder shadow health transcript. | |
| Any sharp pain? | Question 06/16/22 10:40 PM EDT |
| No, I wouldn’t describe it that way. It’s more of an ache. | |
| How would you rate your pain level? Rachel Adler Alcohol Use Disorder shadow health transcript | Question 06/16/22 10:40 PM EDT |
| I’d say my pain is about a two out of ten. | |
| Does your medication improve the pain? | Question 06/16/22 10:41 PM EDT |
| The ibuprofen has helped the pain. That, and the sling. | |
| Do you have any other health problems? | Question 06/16/22 10:42 PM EDT |
| I don’t have any illnesses. | |
| Any history of mental disorder? | Question 06/16/22 10:42 PM EDT |
| I’ve never been diagnosed with a mental illness. | |
| Any history of depression? | Question 06/16/22 11:14 PM EDT |
| No, no one’s ever told me I have depression. | |
| Any stress? | Question 06/16/22 11:15 PM EDT |
| The last year has been hard, but I’ve been especially stressed out for the last six months. It’s been so tough to keep my grades up at school, to deal with my parents, and then to have problems with my friends . . . I wish I could be a normal carefree college student, but that’s never going to happen now. | |
| Am sorry about that | Empathize 06/16/22 11:16 PM EDT |
| Thanks. Wish I were kind to myself like that. | |
| Any suicidal thoughts? | Question 06/16/22 11:17 PM EDT |
| I don’t have a plan, if that’s what you mean. Before last night, I didn’t want to kill myself. Right now . . . I don’t know. Everything is so hard, and I wish it would all just stop. | |
| Have you ever attempted suicide? | Question 06/16/22 11:17 PM EDT |
| No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything. | |
| do you feel confused about your life? | Question 06/16/22 11:18 PM EDT |
| I don’t know. I haven’t thought about physically killing myself or how I would do it or anything. It’s more just wishing not to be here. Rachel Adler Alcohol Use Disorder shadow health transcript It would be so much easier. | |
| Am sorry about that | Empathize 06/16/22 11:40 PM EDT |
| Thanks for getting it. | |
| Why do you wish you had died? (Clarified to Why do you think it would be better if you had died in the car accident?.) | Question 06/16/22 11:43 PM EDT |
| Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think it would be better if I had died in the car accident.) | |
| What makes you think about dying? (Clarified to Why do you think life is not worth living?.) | Question 06/16/22 11:45 PM EDT |
| Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think life is not worth living.) |
| Am sorry about that | Empathize 06/17/22 12:40 AM EDT | |
| Thanks. Wish I were kind to myself like that. | |
| Assess vitals | Exam Action 06/17/22 12:40 AM EDT |
| Inspected right eye | Exam Action 06/17/22 12:40 AM EDT |
| Inspected left eye | Exam Action 06/17/22 12:40 AM EDT |
| Inspected right eye | Exam Action 06/17/22 12:40 AM EDT |
| Inspected left eye | Exam Action 06/17/22 12:40 AM EDT |
| Inspected left arm | Exam Action 06/17/22 12:40 AM EDT |
| Inspected right arm: right hand is normal, right wrist has redness and swelling | Exam Action 06/17/22 12:40 AM EDT |
| Inspected left arm: no visible abnormalities Rachel Adler Alcohol Use Disorder shadow health transcript | Exam Action 06/17/22 12:41 AM EDT |
| Inspected left wrist: no visible abnormalities | Exam Action 06/17/22 12:41 AM EDT |
| Inspected left hand: no visible abnormalities | Exam Action 06/17/22 12:41 AM EDT |
| Inspected right arm: no visible abnormalities | Exam Action 06/17/22 12:42 AM EDT |
| Inspected right wrist: no visible abnormalities | Exam Action 06/17/22 12:42 AM EDT |
| Inspected right hand: no visible abnormalities | Exam Action 06/17/22 12:42 AM EDT |
| Inspected left arm: no visible abnormalities | Exam Action 06/17/22 12:43 AM EDT |
| Auscultated breath sounds | Exam Action 06/17/22 12:44 AM EDT |
| Auscultate heart sounds | Exam Action 06/17/22 12:44 AM EDT |
| Palpated radial arteries | Exam Action 06/17/22 12:44 AM EDT |
| Tested capillary refill | Exam Action 06/17/22 12:44 AM EDT |
| Assessed general appearance: indirect eye contact, tension and rigidity, clean clothing, and appropriate level of grooming Rachel Adler Alcohol Use Disorder shadow health transcript | Exam Action 06/17/22 12:45 AM EDT |
| Assessed attitude: suspicious, guarded, or evasive | Exam Action 06/17/22 12:45 AM EDT |
| Assessed speech: expected rate of speech, loud speech volume, and no appreciable issues with articulation | Exam Action 06/17/22 12:45 AM EDT |
| Assessed mood and affect: stable mood and a balanced affect | Exam Action 06/17/22 12:45 AM EDT |
| Assessed thought process: no presence of thought disturbances | Exam Action 06/17/22 12:46 AM EDT |
| Assessed thought content: suicidal ideation but no perceptual disturbances | Exam Action 06/17/22 12:46 AM EDT |
| Confirmed orientation | Exam Action 06/17/22 12:46 AM EDT |
| What is your name and date of birth? | Question 06/17/22 12:46 AM EDT |
| Rachel Adler and I was born. . . [Ms. Adler reports her correct date of birth.] | |
| What building are you in now? | Question 06/17/22 12:47 AM EDT |
| We’re in Shadow General Hospital. | |
| What is the date and year? | Question 06/17/22 12:47 AM EDT |
| Yeah, it’s . . . [Ms. Adler reports the correct date and year.] | |
| Assessed cognition | Exam Action 06/17/22 12:48 AM EDT |
| Count backwards from 100 by 7 until you get to the 60s | Question 06/17/22 12:49 AM EDT |
| Uh, sure . . . 100, 93, 86, 79… (Ms. Adler finishes the sequence) | |
| Assessed cognition | Exam Action 06/17/22 12:49 AM EDT |
| How are apples and oranges alike? | Question 06/17/22 12:49 AM EDT |
| Those are both types of fruit. | |
| How are a lake and an ocean alike? | Question 06/17/22 12:50 AM EDT |
| Obviously those are both bodies of water. | |
| How are a trumpet and a flute alike? | Question 06/17/22 12:50 AM EDT |
| Those are both instruments. Wind instruments. | |
| Assessed cognition | Exam Action 06/17/22 12:50 AM EDT |
| Repeat and remember burger, tulip, nose, and tea. | Question 06/17/22 12:51 AM EDT |
| Burger, tulip, nose, tea. Got it. | |
| How did you celebrate your last birthday? | Question 06/17/22 12:51 AM EDT |
| It was pretty low key actually. I went to dinner with some friends, then we watched movies at my place. It was nice. | |
| Repeat the four words from before | Question 06/17/22 12:52 AM EDT |
| Burger, tulip, nose, and tea. | |
| Copy the shapes exactly as you see them | Question 06/17/22 12:52 AM EDT |
| I’ll have to do it with my other hand because of my wrist, but luckily I’m pretty good with both. | |
| Assessed insight: demonstrates limited or no awareness of illness and/or is unwilling to seek treatment | Exam Action 06/17/22 12:53 AM EDT |
| Assessed judgment: demonstrates good judgment | Exam Action 06/17/22 12:53 AM EDT |
| What would you do if you found a stamped envelope on the sidewalk? | Question 06/17/22 12:54 AM EDT |
| Uh, I guess I’d try to drop it in a post box somewhere. |
