CARL: Hi, come and take a seat.
JULIE: Thank you.
CARL: My name's Carl Rogers and I'm one of the doctors here at the Total Health Clinic. So I understand this is your first visit to the clinic?
JULIE: Yes, it is.
CARL: OK, well I hope you'll be very happy with the service you receive here. So if it's alright with you I'll take a few details to help me give you the best possible service.
JULIE: Sure.
CARL: So can I check first of all that we have the correct personal details for you? So your full name is Julie Anne Garcia?
JULIE: That's correct.
CARL: Perfect. And can I have a contact phone number?
JULIE: It's 219 442 9785.
CARL: OK, and then can I just check that we have the correct date of birth?
JULIE: October tenth, 1992.
CARL: Oh, I actually have 1991, I'll just correct that now. Right, so that's all good. Now I just need just a few more personal details ... do you have an occupation, either full-time or part-time?
JULIE: Yes, I work full-time in Esterhazy’s — you know, the restaurant chain. I started off as a waitress there a few years ago and I'm a manager now.
CARL: Oh I know them, yeah, they're down on 114th Street, aren't they?
JULIE: That's right.
JULIE: Yeah, I've been there a few times. I just love their salads.
CARL: That's good to hear.
JULIE: Right, so one more thing I need to know before we talk about why you're here, Julie, and that's the name of your insurance company.
CARL: It's Cawley Life Insurance, that's C-A-W-L-E-Y.
JULIE: Excellent, thank you so much.
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CARL: Now Julie, let's look at how we can help you. So tell me a little about what brought you here today.
JULIE: Well, I've been getting a pain in my knee, the left one. Not very serious at first, but it's gotten worse, so I thought I ought to see someone about it.
CARL: That's certainly the right decision. So how long have you been aware of this pain? Is it just a few days, or is it longer than that?
JULIE: Longer. It's been worse for the last couple of days, but it's three weeks since I first noticed it. It came on quite gradually though, so I kind of ignored it at first.
CARL: And have you taken any medication yourself, or treated it in anyway?
JULIE: Yeah, I've been taking medication to deal with the pain, Tylenol, and that works OK for a few hours. But I don’t like to keep taking it.
CARL: OK. And what about heat treatment? Have you tried applying heat at all?
JULIE: No, but I have been using ice on it for the last few days.
CARL: And does that seem to help the pain at all?
JULIE: A little, yes.
CARL: Good. Now you look as if you're quite fit normally?
JULIE: I am, yes.
CARL: So do you do any sport on a regular basis?
JULIE: Yes, I play a lot of tennis. I belong to a club so I go there a lot. I'm quite competitive so I enjoy that side of it as well as the exercise. But I haven't gone since this started.
CARL: Sure. And do you do any other types of exercise?
JULIE: Yeah, I sometimes do a little swimming, but usually just when I'm on vacation. But normally I go running a few times a week, maybe three or four times.
CARL: Hmm. So your legs are getting quite a pounding. But you haven't had any problems up to now?
JULIE: No, not with my legs. I did have an accident last year when I slipped and hurt my shoulder, but that’s better now.
CARL: Excellent. And do you have any allergies?
JULIE: No, none that I'm aware of.
CARL: And do you take any medication on a regular basis?
JULIE: Well, I take vitamins but that's all. I'm generally very healthy.
CARL: OK, well let's have a closer look and see what might be causing this problem. If you can just get up ... |