Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Transcript

Started: Mar 05, 2022 | Total Time: 306 min
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Hello. I am xxxx, I will interview you and later conduct a physical exam.\

Greet
03/05/22 5:41 AM EST

Samantha Monroe.
Hello.
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What is your relationship with the patient?

Question
03/05/22 5:42 AM EST

Samantha Monroe.
Oh, this is my mom.
Jackie Monroe.
Hey, I’m Jackie Monroe. This is my daughter, Samantha.
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Why are you here today?

Question
03/05/22 5:42 AM EST

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Samantha Monroe.
I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.
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Any medical issue?

Question
03/05/22 5:43 AM EST

Samantha Monroe.
Uh, nope. No health issues. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Any history of surgery?

Question
03/05/22 5:43 AM EST

Samantha Monroe.
I had my tonsils removed when I was like 9, but that’s it.
Jackie Monroe.
Yeah, that was Samantha’s only surgery.
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Any missing organ? (No matching questions found.)

Question
03/05/22 5:45 AM EST

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Does your daughter have any missing organ? (No matching questions found.)

Question
03/05/22 5:46 AM EST

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Have you had any of your organs removed?

Question
03/05/22 5:46 AM EST

Samantha Monroe.
Uh . . . no. All my organs are 100% present.
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Any allergies?

Question
03/05/22 5:49 AM EST

Samantha Monroe.
No, I’ve never had any allergies before.
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Are your vaccinations current? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Question
03/05/22 5:50 AM EST

Samantha Monroe.
Yeah, I’ve had all my vaccines.
Jackie Monroe.
I always made sure she was up to date on her vaccinations.
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Are you using any medications?

Question
03/05/22 5:50 AM EST

Samantha Monroe.
No, I don’t take anything.
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Are you using any vitamins or supplements?

Question
03/05/22 5:51 AM EST

Samantha Monroe.
I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.
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Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)
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Question
03/05/22 5:52 AM EST

Samantha Monroe.
No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)
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Any dizziness?

Question
03/05/22 5:53 AM EST

Samantha Monroe.
Oh, no. I feel totally fine right now.
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Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)

Question
03/05/22 5:53 AM EST

Samantha Monroe.
I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)
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Am sorry about that Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Educate
03/05/22 5:54 AM EST

Samantha Monroe.
Thanks for the heads-up.
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Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)

Question
03/05/22 5:56 AM EST

Samantha Monroe.
No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)
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Have you had heart problems during exercise?

Question
03/05/22 5:57 AM EST

Samantha Monroe.
Nope. No problems during exercise.
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Have you been diagnosed with a heart problem?

Question
03/05/22 5:58 AM EST

Samantha Monroe.
No, I’ve never been diagnosed with any heart problems that I know of.
Jackie Monroe.
No, no heart problems.
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How is your breathing during and after exercise?

Question
03/05/22 5:59 AM EST

Samantha Monroe.
My breathing is fine during and after exercise.
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Any history of seizures?

Question
03/05/22 6:00 AM EST

Samantha Monroe.
Pretty sure I’ve never ever had a seizure.
Jackie Monroe.
That is correct. No seizures or anything like that.
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Any injuries?

Question
03/05/22 6:01 AM EST

Samantha Monroe.
Um, well I did sprain my ankle when I was like 10. That’s really it, though. I’m always good to play.
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Any rashes?

Question
03/05/22 6:01 AM EST

Samantha Monroe.
No rashes. Ew.
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Any history of head injuries? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Question
03/05/22 6:02 AM EST

Samantha Monroe.
Nope. My head’s fine.
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Have you had a concussion?

Question
03/05/22 6:03 AM EST

Samantha Monroe.
I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.
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Any numbness or tingling?

Question
03/05/22 6:04 AM EST

Samantha Monroe.
No numbness or tingling. That sounds weird.
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Any weakness in your limbs?

Question
03/05/22 6:09 AM EST

Samantha Monroe.
Nope, no weakness.
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Do you exercise in the heat?

Question
03/05/22 6:14 AM EST

Samantha Monroe.
Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.
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Any eye problems?

Question
03/05/22 6:16 AM EST

Samantha Monroe.
My eyes are fine.
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Have you started your periods?

Question
03/05/22 6:17 AM EST

Samantha Monroe.
No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.
Jackie Monroe.
She asked how old I was when I got my first period. I told her I was about 12.
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I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.

Educate
03/05/22 6:20 AM EST

Samantha Monroe.
Cool. Good to know.
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Tell me about your family medical history.

Question
03/05/22 6:21 AM EST

Samantha Monroe.
Wait, like the entire family medical history or do you mean something more specific?
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Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.)

Question
03/05/22 6:22 AM EST

Samantha Monroe.
I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)
Jackie Monroe.
No, no one in the family has any genetic heart conditions.
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Any heart problems in your family?

Question
03/05/22 6:22 AM EST

Samantha Monroe.
I don’t think anyone has heart problems, but I’m not totally sure.
Jackie Monroe.
You know, I can’t think of anybody in the family who’s had heart problems.
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Any history of unexpected deaths in your family? (No matching questions found.)

Question
03/05/22 6:23 AM EST

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Any family history of unexpected deaths before the age of 35? (No matching questions found.)

Question
03/05/22 6:24 AM EST

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Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.) Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Question
03/05/22 6:25 AM EST

Samantha Monroe.
I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)
Jackie Monroe.
To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.
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Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)

Question
03/05/22 6:27 AM EST

Samantha Monroe.
Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)
Jackie Monroe.
I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.
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I understand your concerns but you should not try to fit in or compare yourself to others.

Educate
03/05/22 6:29 AM EST

Samantha Monroe.
Gotcha.
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Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)

Question
03/05/22 6:29 AM EST

Samantha Monroe.
Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)
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You should not try to fit in. Everyone is unique.

Educate
03/05/22 6:30 AM EST

Samantha Monroe.
Um, that makes sense.
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Tell me about your diet.

Question
03/05/22 6:31 AM EST

Samantha Monroe.
I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.
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Do you skip any meals?

Question
03/05/22 6:32 AM EST

Samantha Monroe.
Yeah, I skip lunch once or twice each week.
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It is not advisable to skip any meal at your age because you are still growing

Educate
03/05/22 6:33 AM EST

Samantha Monroe.
For sure. OK.
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How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)

Question
03/05/22 6:34 AM EST

Samantha Monroe.
I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)
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 Inspected weight and height growth chart

Exam Action
03/05/22 6:35 AM EST

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 Inspected Skin

Exam Action
03/05/22 6:48 AM EST

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 Assessed appearance

Exam Action
03/05/22 6:49 AM EST

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 Assessed Cervical Spine Range of Motion

Exam Action
03/05/22 6:52 AM EST

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 Assessed Spine Range of Motion: Full range of motion performed without discomfort

Exam Action
03/05/22 6:53 AM EST

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 Assessed wrist range of motion

Exam Action
03/05/22 7:01 AM EST

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 Assessed Elbow Range of Motion

Exam Action
03/05/22 7:03 AM EST

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 Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

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 Assessed Trapezius Strength: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

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 Assessed deltoid strength and shoulder rotation

Exam Action
03/05/22 7:07 AM EST

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 Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance

Exam Action
03/05/22 7:08 AM EST

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 Assessed Symmetry of Extremities

Exam Action
03/05/22 7:09 AM EST

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 Assessed leg symmetry, knee and ankle effusion

Exam Action
03/05/22 7:09 AM EST

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 Assessed Calf Symmetry and Leg Strength Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Exam Action
03/05/22 7:10 AM EST

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 Tested Hip, Knee, and Ankle ROM

Exam Action
03/05/22 7:11 AM EST

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 Tested Cardinal Fields of Vision

Exam Action
03/05/22 7:14 AM EST

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 Tested peripheral vision

Exam Action
03/05/22 7:15 AM EST

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 Tested visual acuity

Exam Action
03/05/22 7:15 AM EST

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 Tested balance: Expected

Exam Action
03/05/22 7:16 AM EST

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 Auscultated lungs

Exam Action
03/05/22 7:17 AM EST

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 Auscultated abdomen

Exam Action
03/05/22 7:18 AM EST

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 Auscultated heart

Exam Action
03/05/22 7:18 AM EST

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 Screened Adam’s Forward Bend

Exam Action
03/05/22 7:20 AM EST

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Mrs. Monroe please step out so I can have a private conversation with your daughter.

Educate
03/05/22 7:34 AM EST

Jackie Monroe.
Sure, no problem.
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I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.

Educate
03/05/22 7:36 AM EST

Samantha Monroe.
OK. That sounds alright.
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Tell me about your school life, friends and hobbies.

Question
03/05/22 7:38 AM EST

Samantha Monroe.
Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.
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Am sorry about that. Everything will be fine.

Empathize
03/05/22 7:39 AM EST

Samantha Monroe.
Thanks. I’m glad you understand.
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Tell me about your support system.

Question
03/05/22 7:41 AM EST

Samantha Monroe.
Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.
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Have you ever used tobacco?

Question
03/05/22 7:42 AM EST

Samantha Monroe.
Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.
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Have you used any drugs?

Question
03/05/22 7:43 AM EST

Samantha Monroe.
No. I wouldn’t ever do drugs.
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Have you used alcohol?

Question
03/05/22 7:44 AM EST

Samantha Monroe.
I don’t drink. No way.
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Are you interested in relationships and dating?

Question
03/05/22 7:45 AM EST

Samantha Monroe.
I’m not really interested in that yet.
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Are you sexually active?

Question
03/05/22 7:45 AM EST

Samantha Monroe.
No.
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I would like to know more about your feeling of nervousness or anxiety. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Question
03/05/22 7:54 AM EST

Samantha Monroe.
I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.
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Am sorry about that.

Empathize
03/05/22 7:55 AM EST

Samantha Monroe.
Thanks.
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I noticed that you are concerned about your body image, weight, and diet.

Question
03/05/22 7:57 AM EST

Samantha Monroe.
Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?
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Have you ever considered doing anything more extreme to manage your weight?

Question
03/05/22 7:58 AM EST

Samantha Monroe.
No, I wouldn’t do anything dangerous. I promise.
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Do you have any questions for me?

Question
03/05/22 7:59 AM EST

Samantha Monroe.
No, I don’t think so.
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 You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.

Exam Action
03/06/22 8:19 AM EST

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I am ready to begin the conversation with Samantha.

Question
03/06/22 8:20 AM EST

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 In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

Exam Action
03/06/22 8:20 AM EST

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Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.

Question
03/06/22 8:23 AM EST

Samantha Monroe.
Oh, um yeah. That makes sense. I don’t want any of that to happen.
Jackie Monroe.
Thank you. This is pretty concerning so we’ll take this very seriously.
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 In your own words, discuss limiting media intake with Samantha and Jackie.

Exam Action
03/06/22 8:24 AM EST

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You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.

Question
03/06/22 8:30 AM EST

Samantha Monroe.
Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.
Jackie Monroe.
We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.
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 In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Exam Action
03/06/22 8:33 AM EST

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You can try journalling, relaxation and stress management techniques, and affirmations

Question
03/06/22 8:58 AM EST

Samantha Monroe.
Yeah, that make sense. It’s not like I want to feel this way, you know?
Jackie Monroe.
I’m just glad we figured out that this was an issue. I had no idea.
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 You have provided Samantha and her mother education on all appropriate non-pharmacological interventions. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

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