Medical Notes: Families 13, 28 + 43

Juan
Juanita
Diego
Jorge

Juan

25 Years Old

Male

Hispanic

Uninsured

Medical Situation

Experiences chronic pain and possible high blood pressure; takes a combination of an alpha blocker and pain reliever, though access is limited due to lack of insurance.

Appointment

Medical Appointment: $0

Counseling Session: $100

Prescriptions

Advise Patient to do the following:

  • Apply for local medical coverage or charity care at Government Services.

  • Use stretching and light exercise to ease pain.

  • Avoid heavy lifting when possible.

  • Seek translation help or bilingual support at Family Health Center.

  • Reach out to community members for emotional support and connection.

Hospital Notes

Juan arrives at the hospital complaining of severe lower back and knee pain. He has not seen a doctor in years and is worried about cost and immigration documentation. After examination, no emergency condition is found. You recommend that he stay for 6 minutes for pain management and care coordination.

Post-Discharge

  • Take prescribed or over-the-counter pain relief as directed.

  • Apply heat to sore areas and avoid lifting heavy objects.

  • Follow up with Family Health Center for ongoing care.

  • Seek translation assistance for medical paperwork.

  • Return if pain worsens or new symptoms develop.

Write Prescriptions

Alpha Blocker, $15 Controlled

Pain Reliever, $15 Controlled

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Juanita

22 Years Old

Male

Hispanic

Uninsured

Medical Situation

Recently postpartum and breastfeeding; experiencing fatigue and stress due to returning to work with limited support.

Appointment

None

Prescriptions

None

Advise Patient to do the following:

  • Monitor for symptoms of postpartum depression or infection. Continue breastfeeding and seek lactation support at Family Health Center.

  • Eat nutrient-rich foods and stay hydrated.

  • Rest whenever possible and avoid overexertion.

  • Ask about workplace protections and health benefits.

  • Monitor for symptoms of postpartum depression or infection.

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Jorge

20 Years Old

Male

Hispanic

Uninsured

Medical Situation

No current medical conditions reported; receives student healthcare through the community college.

Appointment

None

Prescriptions

None

Advise Patient to do the following:

  • Maintain consistent sleep and meal schedules.

  • Attend counseling 

  • Take regular breaks from family and work for quiet study time.

  • Stay engaged with school advisors to support retention.

Counseling Appointment

Ask him what he has been doing to cope with life stress and listen empathically.

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Diego

2 Months Old

Male

Hispanic

Private Pay

Medical Situation

Represented by doll. No diagnosed conditions; requires regular pediatric care and nutrition support.

Appointment

Week 2, $0

Prescriptions

None

Advise Patient to do the following:

  • Schedule regular pediatric visits and vaccinations.

  • Ensure consistent nutrition and hydration.

  • Monitor weight and growth milestones.

  • Encourage interaction and play for development.

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