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caffeine

1-2 cups/ day

when did it start

3 months ago

When did you go through menopause

50

any chronic medical conditions

DM for 10 years HTN for 5 years Overweight most of my life

Are you on any Tx

Metformiin 500mg daily but i stopped taking it 6 months ago and never got a refill no insulin

do you work

No i worked at a restaurant but was laid off due to covid

where is the swelling

both feet and ankles mainly but also in my arms and around my eyes

swelling constant or intermittent

continuous but worse at the end of the day

Hx of surgery or hospitalization

gallbladder removed 5 years ago for gallstone

any associated symptoms

i pee less and my urine is foamy

how is your diet

i try to eat healthy and restrict sweets and salty foods

Parents health

mom died of a stroke at 80 - she had DM and HTN dad died in car accident at 40

Who do you live with

my husband my 2 grown kids live on their own

do you drink alcohol

no

has this happened before

no

barriers to health care

no insurance

do you have any pain or discomfort with it

no pain, but the swelling is so bad in my feet i can't put my shoes on

Do you have a PCP

non, i dont have medical insurance since i lost my job can no longer afford medical care thats why i stopped my meds

how would you rate the swelling

severe

Sibling health

sister has DM

Do you have vaginal discharge

sometimes

How can I help you today?

swelling in leg

Bubbles or foam in urine

yes

Dyspnea on exertion

yes

Swelling around eyes

yes

feel safe at home

yes

does anything make it worse

yes after standing for long periods of time or after eating salty foods

Fatigue

yes i fatigue easily

have you gained weight

yes i have gained 20 pounds despite no change in my diet

Sexaully active

yes only with husband

does anything make it better

yes, my neighbor gave me a diuretic pill that made it better

Do you have any numbness or tingling in your feet

yes, sometimes i have decreased feeling in my feet


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