WEBVTT 00:05.040 --> 00:05.940 Mhm . Yeah . 00:12.640 --> 00:15.970 So I think we've got that covered . 00:15.980 --> 00:18.330 Looking at the schedule next week I see 00:18.330 --> 00:20.880 Mr Stanley coming in a 20 minute slot 00:20.880 --> 00:23.460 on Tuesday . I'm gonna need at least a 00:23.460 --> 00:25.460 half hour 45 minutes with him to go 00:25.460 --> 00:27.516 over all of his lab work meds and do 00:27.516 --> 00:29.682 his diabetic exam . Got it . I'll work 00:29.682 --> 00:31.849 with specialist Lawler who's on office 00:31.849 --> 00:34.071 manager duties this week . He can check 00:34.071 --> 00:36.238 the schedule . Get ahold of Mr Stanley 00:36.238 --> 00:35.360 and see if we can move his appointment 00:35.360 --> 00:37.138 to the end of one of the clinic 00:37.138 --> 00:39.082 sessions . And if we have any open 00:39.082 --> 00:41.249 appointments will go ahead and combine 00:41.249 --> 00:40.780 one of those with Mr Stanley's 00:40.780 --> 00:43.002 appointment . Actually let me know when 00:43.002 --> 00:45.224 that new appointment is . And I'll call 00:45.224 --> 00:46.947 him Mr Stanley's on my disease 00:46.947 --> 00:49.169 management registry . He hasn't had his 00:49.169 --> 00:51.391 lab work drawn yet so I'll call him and 00:51.391 --> 00:51.350 remind him of that and inform him of 00:51.350 --> 00:53.461 the appointment . Then I'll block off 00:53.461 --> 00:55.683 my schedules that I'm available to meet 00:55.683 --> 00:57.906 with him after the clinic appointment . 00:57.906 --> 00:59.850 Great . He may also benefit from a 00:59.850 --> 01:01.850 visit with behavioral health . I'll 01:01.850 --> 01:01.780 discuss it with him during our next 01:01.780 --> 01:04.190 clinic visit . Sure if I know in his 01:04.190 --> 01:06.301 appointment is I can make sure I'm in 01:06.301 --> 01:08.523 my office . If you want to bring him by 01:08.523 --> 01:10.690 for an introduction . Commander Chavez 01:10.690 --> 01:12.746 maybe you and I can coordinate so we 01:12.746 --> 01:15.023 both have time to meet with Mr Stanley . 01:15.023 --> 01:17.190 Absolutely great . What else is on the 01:17.190 --> 01:19.412 schedule for next week ? We have a base 01:19.412 --> 01:21.412 exercise on thursday . Could affect 01:21.412 --> 01:23.579 staffing should have information today 01:23.579 --> 01:22.840 on which clinic members will be 01:22.840 --> 01:24.951 participating so we can plan to cover 01:24.951 --> 01:27.062 any gaps . Sounds good . What else do 01:27.062 --> 01:29.284 we need to discuss for next week ? I've 01:29.284 --> 01:31.396 got something . We have a message for 01:31.396 --> 01:33.173 Mr wheeler . We referred him to 01:33.173 --> 01:32.940 cardiology but he's saying he has some 01:32.950 --> 01:35.172 issues with his referral . What kind of 01:35.172 --> 01:37.590 issues he doesn't say can you afford 01:37.590 --> 01:40.010 that message to me ? I can contact him , 01:40.010 --> 01:42.177 see what's going on and how I can help 01:42.177 --> 01:44.343 him get what he needs . Thank you Miss 01:44.343 --> 01:46.343 tipton . That's a great idea . Okay 01:46.343 --> 01:48.121 anything else about next week ? 01:56.140 --> 01:59.810 Mm Good 01:59.810 --> 02:01.921 morning . Morning . Are we all here ? 02:01.921 --> 02:03.977 Yes ma'am . You all know that Senior 02:03.977 --> 02:06.143 Airman Gruber is on leave today but we 02:06.143 --> 02:08.366 have sergeant Mullins here covering . I 02:08.366 --> 02:10.477 went over the record prep for today's 02:10.477 --> 02:12.588 patients with Senior MacGruber before 02:12.588 --> 02:14.699 she left and we're good to go . Thank 02:14.699 --> 02:14.550 you . We appreciate you being here . Do 02:14.550 --> 02:16.830 we have any other staffing issues ? No 02:16.830 --> 02:18.950 ma'am . Okay . I noticed our third 02:18.950 --> 02:21.117 patient today . Commander thomas has a 02:21.117 --> 02:23.228 primary complaint of chest pains . If 02:23.228 --> 02:25.394 it truly is chest pains he needs to go 02:25.394 --> 02:27.561 to the er I saw that on the schedule . 02:27.561 --> 02:29.672 I actually called in triage commander 02:29.672 --> 02:29.500 thomas . He doesn't have a cardiac 02:29.500 --> 02:31.722 history and he has no risk factors . He 02:31.722 --> 02:33.556 denies any shortness of breath , 02:33.556 --> 02:35.333 radiation of pain , numbness or 02:35.333 --> 02:37.556 tingling of the extremities . He thinks 02:37.556 --> 02:39.722 he has a muscle strain from doing some 02:39.722 --> 02:42.000 heavy lifting . Yesterday I have the E . 02:42.000 --> 02:41.830 K . G . Ready just in case and 02:41.830 --> 02:44.052 according to care point looks like he's 02:44.052 --> 02:46.163 coming due for his colonoscopy . I'll 02:46.163 --> 02:46.080 put in the screening referral that 02:46.080 --> 02:48.247 commander thomas . No when I check him 02:48.247 --> 02:50.136 in I'll also go over the referral 02:50.136 --> 02:50.090 process with him . Let you know if he 02:50.090 --> 02:52.146 has any questions or if he refused . 02:52.146 --> 02:54.368 Sounds good . Thank you . It looks like 02:54.368 --> 02:56.423 there's a pap scheduled for 900 this 02:56.423 --> 02:58.590 morning . If you need a chaperone just 02:58.590 --> 03:00.812 let me know I'll be available . And the 03:00.812 --> 03:00.190 room is already set up with all the 03:00.190 --> 03:02.412 supplies for the procedure equipments , 03:02.412 --> 03:04.412 all fully functioning operational . 03:04.412 --> 03:06.523 Thank you . Our next patient is petty 03:06.523 --> 03:08.746 officer cavil with a complaint of right 03:08.746 --> 03:10.968 knee pain , no known trauma . It's okay 03:10.968 --> 03:13.190 with you . Dr patterson . I can see her 03:13.190 --> 03:15.246 in pt before our appointment . Maybe 03:15.246 --> 03:16.912 even give her a call if I can 03:16.912 --> 03:16.850 adequately address the concern I can 03:16.850 --> 03:18.906 cancel her appointment with you . It 03:18.906 --> 03:21.072 sounds like a great idea . Thank you . 03:21.072 --> 03:20.950 Mr rafferty . 03:30.040 --> 03:32.040 Alright we're obviously having some 03:32.040 --> 03:34.151 unexpected things happened today . Dr 03:34.151 --> 03:36.373 Marcus had to go home sick . I'm trying 03:36.373 --> 03:36.350 to absorb as many of his morning 03:36.350 --> 03:38.572 appointments as possible but we'll need 03:38.572 --> 03:40.128 to reschedule his afternoon 03:40.128 --> 03:42.294 appointments . Looking at DR Marcus is 03:42.294 --> 03:44.406 scheduled . There are few patients we 03:44.406 --> 03:46.461 can treat using CSS PS two afternoon 03:46.461 --> 03:48.572 patients have cold symptoms , another 03:48.572 --> 03:50.572 with a sore throat and last patient 03:50.572 --> 03:52.683 today has this area . We may not need 03:52.683 --> 03:54.850 to reschedule them . I'll work with DR 03:54.850 --> 03:54.560 Marcus Nurse and clinical staff to take 03:54.560 --> 03:56.727 care of these patients using RCs SPS . 03:56.727 --> 03:58.949 It also looks like there's a patient on 03:58.949 --> 04:00.838 the schedule for risk pain . I'll 04:00.838 --> 04:02.782 engage with pT and see if they can 04:02.782 --> 04:02.610 evaluate and treat the patient in the 04:02.610 --> 04:04.721 clinic . Thank you . Great teamwork . 04:04.721 --> 04:05.850 Let's get to it 04:18.040 --> 04:20.262 appointment line . How can I help you ? 04:20.262 --> 04:22.373 Yeah this is sergeant first class and 04:22.373 --> 04:24.207 if you use and I need to make an 04:24.207 --> 04:26.860 appointment with my PCM twisted my knee 04:26.860 --> 04:28.860 playing basketball this morning and 04:28.860 --> 04:31.140 it's really starting to swell . Okay ? 04:31.140 --> 04:33.630 Sergeant Hughes may have your diode ID 04:33.630 --> 04:34.550 number . 04:37.240 --> 04:40.980 Thank you . Please verify your name and 04:40.980 --> 04:44.040 date of birth . It's Sergeant Hughes 04:44.040 --> 04:47.720 Timothy Hughes 11 19 04:47.720 --> 04:51.400 1982 . Thank you , Sergeant Hughes for 04:51.400 --> 04:53.430 verifying your information . It 04:53.430 --> 04:55.597 actually sounds like you might qualify 04:55.597 --> 04:57.597 for direct access to see a physical 04:57.597 --> 04:59.652 therapist . I just need to ask you a 04:59.652 --> 05:01.763 series of questions to ensure you get 05:01.763 --> 05:03.986 the most effective and efficient care . 05:03.986 --> 05:06.152 Okay . I just want to confirm that you 05:06.152 --> 05:08.041 are active duty , correct ? Yes , 05:08.041 --> 05:11.100 that's correct . Okay . Are you 05:11.100 --> 05:13.322 experiencing pain anywhere else besides 05:13.322 --> 05:17.010 the knee ? I know mary . Mhm . Any 05:17.010 --> 05:20.040 cuts , scrapes , rash , or other skin 05:20.040 --> 05:22.610 condition around the injury . Uh Well , 05:22.620 --> 05:24.787 it's kind of bruised . I don't know if 05:24.787 --> 05:27.770 that counts . Okay . And you said the 05:27.770 --> 05:29.992 pain started just this morning when you 05:29.992 --> 05:32.159 twisted your knee playing basketball ? 05:32.159 --> 05:34.270 That's right . Is this the first time 05:34.270 --> 05:36.437 you've experienced this kind of pain ? 05:36.437 --> 05:38.714 Yes . Are you able to walk on your own ? 05:39.240 --> 05:41.296 It's more like limping , but I don't 05:41.296 --> 05:43.296 need a wheelchair . That's what you 05:43.296 --> 05:45.660 mean . Okay , sergeant Hughes based on 05:45.660 --> 05:47.716 our protocol . I'm going to book you 05:47.716 --> 05:49.882 directly with our physical therapist . 05:49.882 --> 05:52.049 There's an appointment available in an 05:52.049 --> 05:54.382 hour . Can you do that ? Yeah , you bet . 05:54.382 --> 05:56.438 All right . Please arrive 15 minutes 05:56.438 --> 05:58.493 early and we'll see you then . Thank 05:58.493 --> 06:00.104 you very much . No problem . 06:15.040 --> 06:19.010 Mm ma'am . I have a message . I'm 06:19.010 --> 06:21.177 going forward to the patient's name is 06:21.177 --> 06:23.680 Staff Sergeant Cristina Perez . She has 06:23.680 --> 06:25.847 a complaint of pain with urination for 06:25.847 --> 06:28.510 the past three days . Okay . I'll call 06:28.510 --> 06:31.150 it a bit . Thanks . Mhm . 06:41.540 --> 06:44.010 Hello ? Good afternoon . May speak with 06:44.010 --> 06:46.630 Staff Sergeant Perez . This is she 06:46.640 --> 06:48.640 Sergeant Perez . This is nurse pipe 06:48.640 --> 06:50.862 calling from Dr Jacobs Office . Can you 06:50.862 --> 06:52.973 please verify your full name and date 06:52.973 --> 06:55.196 of birth ? Cristina Perez , August 22 , 06:56.040 --> 06:58.110 Thank you . We received your secure 06:58.110 --> 06:59.943 message this morning that you're 06:59.943 --> 07:02.166 experiencing urinary symptoms . Is that 07:02.166 --> 07:04.388 correct ? Yes , it burns when I pee and 07:04.388 --> 07:06.610 I feel like I have to go all the time . 07:06.610 --> 07:08.554 But then sometimes hardly anything 07:08.554 --> 07:10.610 comes out . I've had U . T . I . S . 07:10.610 --> 07:12.666 Before , but the last one was a year 07:12.666 --> 07:14.888 ago . It feels like that again . Mm . I 07:14.888 --> 07:17.110 reviewed your medical history . Are you 07:17.110 --> 07:19.166 running a fever ? I don't think so , 07:19.740 --> 07:22.180 experiencing any back pain , abdominal 07:22.180 --> 07:25.360 pain or pelvic pain . No . 07:25.940 --> 07:28.860 Any nausea or vomiting . No . 07:30.640 --> 07:32.862 Okay , Sergeant Perez . Because of your 07:32.862 --> 07:34.973 history with U . T . S . I'm going to 07:34.973 --> 07:34.740 go ahead and prescribe you an 07:34.740 --> 07:37.470 antibiotic for you . T are you allergic 07:37.470 --> 07:41.190 to any medications ? No . Mhm . Are you 07:41.190 --> 07:43.468 currently taking any other medications ? 07:43.640 --> 07:47.560 No . Okay . It looks like our 07:47.560 --> 07:49.449 clinic pharmacy as your preferred 07:49.449 --> 07:51.504 pharmacy . So I'll go ahead and send 07:51.504 --> 07:53.727 the script there and you can pick it up 07:53.727 --> 07:56.060 at your convenience . That'd be amazing . 07:56.060 --> 07:58.116 Thank you . Is there anything else I 07:58.116 --> 07:57.700 can help you with today ? Sergeant 07:57.700 --> 08:01.000 Perez . No , ma'am . All right . And if 08:01.000 --> 08:03.120 symptoms persist more than 24 hours 08:03.120 --> 08:05.400 after you start the antibiotics , give 08:05.400 --> 08:07.622 us a call , send us a secure message or 08:07.622 --> 08:09.956 come in during our walk in hours . Okay ? 08:09.956 --> 08:12.289 Thank you so much . You have a good day . 08:12.289 --> 08:14.567 Sergeant . Perez . Thank you . You too . 08:14.567 --> 08:15.640 Mhm . Yeah 08:25.640 --> 08:27.990 I have a colleague Major Olin who is 08:27.990 --> 08:30.157 part of our team that I would like for 08:30.157 --> 08:32.379 you to see . He's the behavioral health 08:32.379 --> 08:34.490 consultant for the clinic and I would 08:34.490 --> 08:36.212 just like to see if he has any 08:36.212 --> 08:36.200 suggestions for additional things we 08:36.200 --> 08:38.533 can do to help you manage your diabetes ? 08:38.533 --> 08:41.270 All right I hear you 08:41.270 --> 08:44.430 are Major Olin . Do you have a moment 08:44.440 --> 08:46.551 dr patterson ? Of course . What can I 08:46.551 --> 08:48.329 do for you ? This is one of our 08:48.329 --> 08:50.384 patients . Mr Stanley . Nice to meet 08:50.384 --> 08:52.384 you sir . Nice to meet you sir . Mr 08:52.384 --> 08:54.329 Stanley just found out that he has 08:54.329 --> 08:56.340 diabetes . Oh I'm so sorry we were 08:56.340 --> 08:58.507 hoping you could sit with you and talk 08:58.507 --> 09:00.451 about managing his new condition . 09:00.451 --> 09:02.451 Absolutely . Do you have time for a 09:02.451 --> 09:04.507 chat right now ? Mr Stanley . Sure . 09:04.507 --> 09:06.618 Come on in then . Thanks . Major role 09:06.618 --> 09:08.729 in Mr Stanley . We'll see you at your 09:08.729 --> 09:10.951 next appointment . Yeah . Yes , ma'am . 09:10.951 --> 09:10.870 I'll schedule it on my way out . All 09:10.870 --> 09:12.350 right , Have a great day , you , too .