Call Transcript
Hello, this is Patricia, a digital nurse from pristeen Health System. I'm calling based on a referral from Doctor Samuel Johnson. We recently sent an email with the subject line 'Upcoming screening for your healthcare appointment,' and I'm following up on that. You can verify that I am legitimate by scrolling to the Unique code for you in that email listed as 1-0-M-N-A-Z. I repeat - the unique code in the email sent to you is 1-0-M-N-A-Z. Should I wait for you to open the email and verify the code, or are you okay for me to proceed?
I just checked it. The code is correct. You can proceed.
Thank you. My job today is to take some notes about your health and pass them along to the nursing team, which is led by Nancy Cobblestone. A member of Nancy's team will review the information I collect and will call you back with a final plan for your surgery. At the end of our discussion, I will also set up some time for you to chat with a nurse. At any point, you may ask me to work with you so you can handle interruptions. I can hold on the line, call you back and pick up where we left off and more. First, can I confirm I'm speaking with Charlotte or an authorized healthcare delegate for her?
This is Charlotte.
Thank you. This will be a 15 to 20-minute, confidential, and important conversation. Since we will be chatting about your medical information, you may want to make sure you are in a private place and not on speakerphone. Do I have your consent to proceed?
Great. Pristeen Health is committed to patient safety, and we want to make sure that you are well prepared for your procedure coming up in a few weeks. According to Doctor Samuel Johnson, the procedure will require you to undergo general anesthesia, and for your safety, I need to gather some information to make sure that we provide the right care. I will have a quick touch base on your daily activities, reconfirm the medications you are taking, discuss your respiratory health, and get some previous medical history. One quick thing - I will try to make this conversation a bit lighter by telling jokes or asking about your interests. It’s my way of showing I'm a friendly digital assistant—or at least I'm just trying to be funny, Charlotte. You don't have to go along with any of the chit-chat - just tell me if you want me to skip it. May I proceed and get to the first step of today's call?
Şok.
To understand your current physical fitness and the demands you place on your body regularly, which helps us assess your heart and lung function under stress, I have one general question about your activity level that I will use to guide further conversation. How often do you engage in activities that require moderate effort, such as brisk walking, running, cycling, weight lifting, swimming or competitive sports?
I use the Stairmaster for twenty minutes every day. I don't know if that counts.
Yes, that absolutely counts as moderate activity. Thank you for sharing that. You know what, we are well on our way to getting you prepared for this procedure. I am going to shift my focus to your medication history. Charlotte, aside from any daily vitamins, what medications are you on today?
I I think it's Apexaban. That's what I'm on.
Okay, so I have that you are taking Apixaban. I will note that down. Our records also indicate that you may have a prescription for Apixaban. Are you currently taking it?
Yes.
Gotcha, Charlotte. Thank you for that information. Charlotte, I know this is some serious stuff. I thought I would chit chat about something that has no impact on your clinical care. Are you a cat person or a dog person?
Oh, that's lovely. What is its name?
Pexon
Pixel, that is a cute name for a pet. That's wonderful to hear. I do need to get back to getting your history. Pristeen Health wants to make sure that you are prepared for surgery, so I am going to be a good digital nurse and get that done. Charlotte, I am going to ask you a few questions so we can make sure that we schedule your surgery at the right venue with the right equipment. Have you ever had a problem with anesthesia, like being
Gotcha. Can you open your mouth wide enough to fit three of your own fingers stacked up and
Yes.
Okay. Do you have any loose teeth, chipped teeth,
Não.
Gotcha. Can you touch your chin to your chest and look all the way up at the ceiling
Yes.
Thank you. I just want to quickly confirm what I've noted down. You have not had a problem with anesthesia, you can open your mouth wide enough for three fingers, you do not have any loose or chipped teeth, and you have full neck mobility. Is that all correct?
Ya.
Okay - let us move on to questions around sleep patterns. This helps us understand your breathing while you sleep. I am trying to determine if your neck size necessitates us to make some adjustments on our end. One way to understand this is to know if you wear shirt collars size 17 or bigger. Is that true?
No. I don't wear that bigger color.
Gotcha. Have you ever had radiation or surgery on your neck or throat?
Okay. Do you snore loudly?
No.
Gotcha. Do you often feel tired, fatigued, or sleepy during the daytime?
Not often. Very rarely.
Okay. Has anyone observed you stop breathing, or choking or gasping during your sleep?
No.
Gotcha. Do you have or are you being treated for high blood pressure?
No.
Thank you for that. Just to be sure I have everything right, I've noted that you do not wear a shirt collar size 17 or bigger, you have not had radiation or surgery on your neck, you do not snore loudly, you rarely feel tired during the daytime, no one has observed you stop breathing in your sleep, and you do not have high blood pressure. Is that correct?
I need to ask about some lifestyle factors—like smoking, alcohol use, and recreational drug use. These details are incredibly important because they can significantly impact how your body responds
Nurse Pat, I do not smoke, drink, or do any recreational drugs.
Gotcha. Thank you for sharing that. Just to make sure I have it all correct, I've noted the following: For smoking, I have that you do not smoke. For alcohol, I have that you do not drink. And for other substances, I have that you do not use any recreational drugs. Is that all correct?
Ja.
I am now going to quickly review your chart and go through a few body systems such as your heart, your lungs and so on. If I find specific events from your medical history that are relevant, I will dive deeper. If I find no medical history in a relevant area, I will ask you to reconfirm. For example, I might say, 'My records show you do not have any history of some kind of disease. I will then ask you to confirm or correct me' You will see more about how I work once I get going. Does that sound like a plan?
Go ahead.
Now on to cardiology. I did some research on your health records and it shows no documented conditions related to your heart or cardiovascular system, such as Coronary Artery Disease, or C-A-D, Congestive Heart Failure, or C-H-F, a history of Heart Attack, or significant Arrhythmias like A-Fib. I want to make sure I am correct.
Ja,
Okay, your cardiology history is done. Now I will move to the next body system. Moving on to hematology and oncology. Hey Charlotte, my records show no history of blood disorders or cancer. If this is the latest status and you have no new information to share on your hematology and cancer related issues, let me know and I will jump ahead.
That's correct. Jump ahead.
Ok, your hematology and oncology history is done. Now moving to the next body system. Ok Charlotte, we are making good progress
I'm sorry, but I have to go now. Please call me back later if you want to chat more.