nurs 6512n Week 4 Shadow Health Tina Jones Transcript download for an A, Exams of Nursing

Download nurs 6512n Week 4 Shadow Health Tina Jones Transcript download for an A and more Exams Nursing in PDF only on Docsity! 1 Week 4 Shadow Health Tina Jones Height: 170 cm Exam Action 03/17/20 8:44 AM MDT Weight: 90 kg Exam Action 03/17/20 8:44 AM MDT - BMI: 31 Exam Action 03/17/20 8:44 AM MDT - Random blood glucose: 238 Exam Action 03/17/20 8:44 AM MDT - Temperature: 101.1 F Exam Action 03/17/20 8:44 AM MDT - Blood pressure: 142/82 Exam Action 03/17/20 8:44 AM MDT - Respiratory rate: 19 Exam Action 03/17/20 8:44 AM MDT - O2 sat: 99% Exam Action 03/17/20 8:44 AM MDT - Heart rate: 86 Exam Action 03/17/20 8:44 AM MDT - Hello, my name is [ ] I'm a nurse practitioner student and I'm going to be taking care of you today. Greet 03/17/20 8:45 AM MDT Tina Jones Hey. - Can you verify your name and birthday for me? Question 03/17/20 8:45 AM MDT Tina Jones My name's Tina Jones, and my birthday's February 17th. - Ok great. What brings you in today? (Clarified to What brings you in today?.) Question 03/17/20 8:46 AM MDT Tina Jones I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me! (Clarified to why I came in.) 2 - Oh I'm sorry to hear that. Empathize 5 Tina Jones Yeah, it got a lot worse two days ago. It was noticeably more painful. - Does the pain radiate anywhere? Question 03/17/20 8:52 AM MDT Tina Jones The pain's worse in my foot, but I feel it moving up into my ankle, too. - So can't bear any weight on your foot? Question 03/17/20 8:52 AM MDT Tina Jones No, I can't. I can't put any weight on it without like, shooting pain. - That has to be frustrating. I'm sorry to hear that. Empathize 03/17/20 8:53 AM MDT Tina Jones Thanks. - So did you hurt anything else besides your foot? Question 03/17/20 8:53 AM MDT Tina Jones Well, at first I thought my ankle was sprained because it hurt a lot right after I fell. But, I mean, I guess I was over-estimating it, because the ankle felt pretty okay the next day and it wasn't a problem all week. - What kind of shoes did you have on when you fell? Question 03/17/20 8:54 AM MDT Tina Jones I wasn't wearing shoes. - Ok, we should always wear shoes when we're outside. There are numerous things you could hurt your feet on. Educate 03/17/20 8:55 AM MDT Tina Jones Alright, thanks for letting me know. - Were you drinking alcohol when you were injured? Question 03/17/20 8:55 AM MDT Tina Jones I haven't had any alcohol in at least three weeks. - How often do you drink alcohol? Question 03/17/20 8:55 AM MDT 6 Tina Jones No more than once or twice a week, sometimes less. - Do you use any recreational drugs? Question 03/17/20 8:56 AM MDT Tina Jones Well, I used to smoke pot. . . but I don't do that anymore. - When was the last time you smoked pot? Question 03/17/20 8:56 AM MDT Tina Jones I haven't smoked pot since I was twenty or twenty-one. - Ok great. So who took you to the ER after you hurt your foot? (No matching questions found.) Question 03/17/20 8:57 AM MDT - Who took you to the ER after you hurt your foot? (Clarified to Who took you to the ER?.) Question 03/17/20 8:57 AM MDT Tina Jones My mom brought me in after I tripped, just to make sure my ankle wasn't broken. (Clarified to who brought me to the ER.) - Did your foot bleed? Question 03/17/20 8:58 AM MDT Tina Jones Yeah, right when I hurt it. - You said there was drainage, what color is the drainage in your foot? Question 03/17/20 8:58 AM MDT Tina Jones It's... white or maybe off-white. - Does it have an odor? (Clarified to Does your scrape have an odor?.) Question 03/17/20 8:58 AM MDT Tina Jones Um, no, not that I know of... That sounds gross. (Clarified to if my scrape has an odor.) - I understand that sounds gross. Assessing odor gives us an idea of what is going on with your foot. Empathize 03/17/20 8:59 AM MDT 7 Tina Jones Thanks for understanding. - How have you been treating the wound at home? Question 03/17/20 8:59 AM MDT Tina Jones I made sure to clean it and just keep it bandaged. And I put Neosporin on it. - How often do you clean the wound? Question 03/17/20 9:00 AM MDT Tina Jones Twice a day -- every morning and every night. - Did you change the bandage that often too? (Clarified to How often do you change your bandage?.) Question 03/17/20 9:01 AM MDT Tina Jones Every morning and night. I was keeping an eye on it. (Clarified to how often I change my bandage.) - Is there any swelling around the wound? Question 03/17/20 9:01 AM MDT Tina Jones Yeah, it looks swollen around the scrape. - Does the wound feel warm? Question 03/17/20 9:02 AM MDT Tina Jones Yeah, it feels pretty warm. - I'm sorry to hear that Empathize 03/17/20 9:02 AM MDT Tina Jones Thanks for saying that. - Does this foot injury affect your work? (Clarified to How has the injury interfered with daily activities?.) Question 03/17/20 9:03 AM MDT Tina Jones I mean, the last two days I couldn't walk on my foot, so it's gotten in the way of everything -- I had to basically stay home and off my foot. I didn't think it could get to the point where it caused so many problems. (Clarified to how my injury has affected daily activities.) 10 - Ok. So I'm going to take a look at your foot right now. Educate 03/17/20 9:06 AM MDT Tina Jones That makes sense. - Measured wound: 2 cm x 1.5 cm, 2.5 mm deep Exam Action 03/17/20 9:07 AM MDT - Swabbed wound and sent to lab for C & S Exam Action 03/17/20 9:07 AM MDT - Cleansed and irrigated wound with normal saline and applied dry sterile dressing. Exam Action 03/17/20 9:07 AM MDT - I took a culture of the wound in the foot which will give us details about the drainage (No matching questions found.) Question 03/17/20 9:08 AM MDT - I took a culture of the wound in the foot which will give us details about the drainage Educate 03/17/20 9:08 AM MDT Tina Jones Thanks for telling me. - I went ahead and cleaned the wound and applied a sterile dressing also Educate 03/17/20 9:09 AM MDT Tina Jones Sure, I think I understand what you mean. - Do you have any medical questions Question 03/17/20 9:09 AM MDT Tina Jones I've been taking some pain medication. Other than that, I have my inhaler. - Do you have any medical conditions? Question 03/17/20 9:09 AM MDT Tina Jones Yeah. . . I have asthma and diabetes. - When were you diagnosed with diabetes? Question 11 03/17/20 9:09 AM MDT Tina Jones I was diagnosed when I was 24. - So do you know what type of diabetes you have? Question 03/17/20 9:10 AM MDT Tina Jones It's type 2. - Diabetes can be heavily impacted by diet and exercise Educate 03/17/20 9:10 AM MDT Tina Jones OK, I understand. - Do you follow a diabetic diet? Question 03/17/20 9:11 AM MDT Tina Jones I really try not to worry about what I eat, other than watching my sugar and trying to make healthy choices. - What kind of sugars do you consume? Question 03/17/20 9:11 AM MDT Tina Jones Most of the time I just drink Diet Cokes. - Do you drink regular soda or sugary drinks? Question 03/17/20 9:11 AM MDT Tina Jones I just stick to Diet Coke. - How long have you been drinking that? Question 03/17/20 9:12 AM MDT Tina Jones I guess I started drinking when I was in high school, so that was when I was maybe 15 or 16. - Were you 24 when you were diagnosed? (Clarified to How old were you when you were diagnosed with diabetes?.) Question 03/17/20 9:13 AM MDT Tina Jones I was diagnosed when I was 24. (Clarified to when I was diagnosed with diabetes.) - Do you currently take any medications for your diabetes? Question 12 03/17/20 9:13 AM MDT Tina Jones I don't take anything for my diabetes anymore. - When was the last time you took any medication for you diabetes? (Clarified to When was the last time you took medicine for your diabetes?.) Question 03/17/20 9:17 AM MDT Tina Jones I haven't taken it in about three years, honestly. (Clarified to when the last time I took my diabetes medication was.) - Why aren't you taking your diabetes medication? Question 03/17/20 9:18 AM MDT Tina Jones I just got sick of dealing with it! - what medication were you prescribed? Question 03/17/20 9:18 AM MDT Tina Jones It's called tramadol. - What diabetes medication were you taken? Question 03/17/20 9:19 AM MDT Tina Jones It was Metformin. - I understand that the medication can be a lot to deal with Empathize 03/17/20 9:20 AM MDT Tina Jones Thanks for saying that. - Did you have any side effects from it? Question 03/17/20 9:20 AM MDT Tina Jones No, I was okay taking it. - Do you monitor your blood sugar? Question 03/17/20 9:20 AM MDT Tina Jones I have a monitor at home, but to be honest I don't really use it that often. It's such a hassle to check my blood sugar, and my diabetes is under control right now so I don't really need to. - When was the last time you checked your blood sugar? Question 15 - Pretzels and french fries are high in carbohydrates which is bad for your blood sugar. Although they taste good, we should avoid those foods. Educate 03/17/20 9:32 AM MDT Tina Jones Alright, thanks for letting me know. - How is your appetite lately? (Clarified to How is your appetite?.) Question 03/17/20 9:38 AM MDT Tina Jones My appetite's been huge lately. . . I feel like I'm hungry all the time. (Clarified to how my appetite is.) - How long has it been huge? Question 03/17/20 9:38 AM MDT Tina Jones Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days. - No, when did you notice your appetite was huge (Clarified to When did your appetite increase?.) Question 03/17/20 9:38 AM MDT Tina Jones I guess I started being starving all the time about a month ago. No matter how much I eat, I'm still hungry. (Clarified to when my appetite increased.) - So have you noticed any weight changes? Question 03/17/20 9:39 AM MDT Tina Jones Yeah, I've lost some weight recently. - Was the weight loss intentional? Question 03/17/20 9:39 AM MDT Tina Jones I've never tried to lose weight. I've always accepted my body as it was--I have a lot more important things to worry about than dieting or the way I look. - How much weight have you lost? Question 03/17/20 9:40 AM MDT Tina Jones It was about ten pounds in a little over a month, actually. - Do you exercise? Question 16 03/17/20 9:40 AM MDT Tina Jones I don't have the energy to go to a gym or anything after work...I'm pretty exhausted by the end of the day. But I'm on my feet all the time at work so I feel like that's a little bit of exercise most days at least. - Does your asthmas make exercising exhausting Question 03/17/20 9:43 AM MDT Tina Jones Yeah, if I have a little burst of activity like running up the stairs or hurrying to my class, I sometimes need my inhaler. - When was the last time you used your inhaler? Question 03/17/20 9:43 AM MDT Tina Jones I had to use my inhaler three days ago when I was at my cousin's house. - What do you symptoms feel like Question 03/17/20 9:45 AM MDT Tina Jones My chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't get enough air into my lungs. - Do you wheeze often Question 03/17/20 9:46 AM MDT Tina Jones I don't wheeze much--only when my asthma acts up. - What age were you diagnosed with asthma? Question 03/17/20 9:46 AM MDT Tina Jones My doctor told me when I was pretty little... I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then. - Has your asthma gotten better or worse Question 03/17/20 9:46 AM MDT Tina Jones It's a lot better than it was when I was younger. . . I still have breathing problems sometimes, but not nearly as bad or as often. - How often do you have trouble breathing Question 03/17/20 9:47 AM MDT 17 Tina Jones Not too often. Maybe two or three times a week. - Have you ever been hospitalized for your asthma Question 03/17/20 9:47 AM MDT Tina Jones I went a bunch of times when I was little, for asthma attacks. - When was your last hospitalization for asthma Question 03/17/20 9:48 AM MDT Tina Jones I haven't gone to the hospital for asthma since I was sixteen. - How do you manage your asthma now Question 03/17/20 9:48 AM MDT Tina Jones I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler. - What is the name of your inhaler Question 03/17/20 9:48 AM MDT Tina Jones It's just a regular Proventil inhaler. - What triggers your asthma to act up (Clarified to What triggers your asthma attacks?.) Question 03/17/20 9:49 AM MDT Tina Jones Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven't had a full asthma attack in years, though. (Clarified to what triggers my asthma attacks.) - Does dust trigger your asthma Question 03/17/20 9:51 AM MDT Tina Jones Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. - Do you have seasonal asthma triggers? Question 03/17/20 9:56 AM MDT Tina Jones No, not really. 20 Tina Jones I got a tetanus booster about a year ago. - Great. Besides your inhaler, what medications do you take (Clarified to What medications do you take?.) Question 03/17/20 10:05 AM MDT Tina Jones I've been taking some pain medication. Other than that, I have my inhaler. (Clarified to what medications I am taking.) - How often do you take your pain medication Question 03/17/20 10:05 AM MDT Tina Jones I've been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON] - How many pills do you take at a time Question 03/17/20 10:05 AM MDT Tina Jones I take two at a time. - Do you know the milligram on the pain medication Question 03/17/20 10:06 AM MDT Tina Jones It's called tramadol. - What is the pain medication dose Question 03/17/20 10:06 AM MDT Tina Jones I'm not 100% sure, but I think they're 50 milligrams. - Does your pain medication help your pain (Clarified to Does the pain medication alleviate the pain?.) Question 03/17/20 10:07 AM MDT Tina Jones Yeah, the pain pills help, but only for a few hours. (Clarified to if the pain medication helps.) - Do you take any over the counter pain medicine Question 03/17/20 10:07 AM MDT Tina Jones I've only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean. 21 - Do you take tylenol Question 03/17/20 10:07 AM MDT Tina Jones I take it for headaches sometimes. - how often do you get headaches Question 03/17/20 10:08 AM MDT Tina Jones Just sometimes...maybe once a week? Whenever I read for a long time. - do you know the dose of tylenolQuestion 03/17/20 10:08 AM MDT Tina Jones I take the extra-strength acetaminophen, the gel kind, 500 mg. It's what we usually have around the house. [AUDIO COMING SOON] - how many tylenol do you take at a time Question 03/17/20 10:08 AM MDT Tina Jones I take the extra-strength acetaminophen, the gel kind, 500 mg. It's what we usually have around the house. [AUDIO COMING SOON] - do you take ibuprofen Question 03/17/20 10:08 AM MDT Tina Jones I've only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean. - Do you take any vitamins Question 03/17/20 10:09 AM MDT Tina Jones No, I don't take any vitamins. - Do you take any herbal supplements Question 03/17/20 10:09 AM MDT Tina Jones No, I don't take anything herbal. - Do you have any children Question 03/17/20 10:09 AM MDT Tina Jones I don't have any kids. 22 - When was your last menstrual period Question 03/17/20 10:09 AM MDT Tina Jones I don't keep track very well because it's kind of all over the map, but my last one was probably three weeks ago. - So your periods are normal Question 03/17/20 10:10 AM MDT Tina Jones It's not regular. Sometimes it's every month, but sometimes it's more like every two months. I don't write it down or anything. I probably get...six periods a year. - Do you take any oral birth control pills Question 03/17/20 10:10 AM MDT Tina Jones I used to take it when I was with my last boyfriend, but I don't use it anymore. - Are you sexually active now Question 03/17/20 10:10 AM MDT Tina Jones Um, not right now. - Do you practice safe sex when you are sexually active Question 03/17/20 10:10 AM MDT Tina Jones Yeah I was always pretty safe. I was on the pill. - Do you use condoms Question 03/17/20 10:11 AM MDT Tina Jones I used condoms... some of the time. I was on the pill. - Although the pill is great for preventing pregnancy, it will not protect you against STDs Educate 03/17/20 10:11 AM MDT Tina Jones Sure, I think I understand what you mean. - Have you ever been tested for STDs Question 03/17/20 10:11 AM MDT Tina Jones Yeah, I'm sure they did those tests when I went for a pap smear before. 25 03/17/20 10:19 AM MDT Tina Jones Things are pretty good between all of us; we're all close. I think we're a pretty special family, the way we all get along. (Clarified to how my home life is.) - It's great to have a close family Empathize 03/17/20 10:19 AM MDT Tina Jones Thanks for understanding. - Do you drink alcohol Question 03/17/20 10:19 AM MDT Tina Jones I do sometimes, yeah, when I go out with my friends. - When was your last alcoholic drink Question 03/17/20 10:20 AM MDT Tina Jones I haven't had any alcohol in at least three weeks. - How many drinks do you have in one sitting Question 03/17/20 10:20 AM MDT Tina Jones Just a few. I'm not a big drinker. - How many nights a week do you drink Question 03/17/20 10:20 AM MDT Tina Jones Once or twice a week at most, on the weekend. - How many drinks in a month Question 03/17/20 10:20 AM MDT Tina Jones Oh, I don't know. Let's see... I might go out every few weeks, so twice a month... and I maybe have 2 or 3 drinks at a time, so maybe 6 drinks a month. Even if I go out more than usual, no more than ten. - Do you smoke cigarettes Question 03/17/20 10:21 AM MDT Tina Jones No. I think it's gross. - Do you experience second hand smoke Question 26 03/17/20 10:21 AM MDT Tina Jones Some of my friends smoke when we go out drinking. But I don't smoke, and nobody at home smokes. - Do you smoke marijuana Question 03/17/20 10:21 AM MDT Tina Jones Um, yeah, I've done that before. In high school, and after high school... I definitely don't anymore, though. - When was the last time you smoked marijuana Question 03/17/20 10:22 AM MDT Tina Jones I haven't smoked pot since I was twenty or twenty-one. - Why did you quit smoking Question 03/17/20 10:22 AM MDT Tina Jones It just wasn't that fun anymore, plus it started to bother my asthma. - Have you experimented with any other drugs (Clarified to Have you ever experimented with drugs?.) Question 03/17/20 10:22 AM MDT Tina Jones Well, I used to smoke pot. . . but I don't do that anymore. (Clarified to if I have ever experimented with drugs.) - Does your mother have any health conditions Question 03/17/20 10:23 AM MDT Tina Jones Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though. - Did your father have any health problems Question 03/17/20 10:23 AM MDT Tina Jones He had high blood pressure and cholesterol, and diabetes too. - How old was he when he died (Clarified to How old was your father when he died?.) Question 27 03/17/20 10:24 AM MDT 30 03/17/20 10:26 AM MDT Tina Jones She takes some blood pressure pills, and I think she has high cholesterol, but Granny's doing great for 82. - How did your grandparents die Question 03/17/20 10:26 AM MDT Tina Jones Well, only my Granny's still alive. Grandpa Jones died of colon cancer when I was really little, and Mom's parents died about five years ago. Nana had a stroke, and Poppa had a heart attack. - I am so sorry to hear that Empathize 03/17/20 10:27 AM MDT Tina Jones Thanks for saying that. - Are you the only diabetic in your family (Clarified to Does anyone else in your family have diabetes?.) Question 03/17/20 10:27 AM MDT Tina Jones Dad had sugar diabetes, and I think my Grandpa Jones did too. (Clarified to if anyone else in my family has diabetes.) - Does asthma run in your family Question 03/17/20 10:27 AM MDT Tina Jones My baby sister has asthma like me, but she's pretty healthy. She almost never has trouble with it. - Does obesity run in your family Question 03/17/20 10:28 AM MDT Tina Jones No, I don't think so. My brother and my dad are kind of big, but I wouldn't say they were obese or anything. - Has anyone in your family had cancer besides grandpa jones Question 03/17/20 10:28 AM MDT Tina Jones Um, Grandpa Jones died of colon cancer. 31 - Do you have a family history of thyroid problems Question 03/17/20 10:29 AM MDT 32 Tina Jones No, I don't think so. - Does anyone in your family have a history of substance abuse Question 03/17/20 10:29 AM MDT Tina Jones No, no drugs in my family. The only thing like that is that one of my uncles is an alcoholic. - Does your uncle violent when he drinks (Clarified to Which of your uncles is an alcoholic?.) Question 03/17/20 10:29 AM MDT Tina Jones He's my uncle on my dad's side. To be honest, I don't really know him that well. [AUDIO COMING SOON] (Clarified to which of my uncles is an alcoholic.) - Do headaches run in your familyQuestion 03/17/20 10:30 AM MDT Tina Jones No, not that I know of. - How is your sleeping Question 03/17/20 10:30 AM MDT Tina Jones Usually I get enough sleep, but I haven't been sleeping well the past couple nights because of my foot. - Do you have a history of depression or anxiety Question 03/17/20 10:31 AM MDT Tina Jones The closest I ever came to depression was after Dad died...I just felt sad all the time. I think it was just a part of the grieving process. - Do you have a history of suicidal thinking Question 03/17/20 10:32 AM MDT Tina Jones No, no. I don't have feelings like that. God never gives you more than you can bear, you know? - That's a very positive outlook Empathize 03/17/20 10:32 AM MDT Tina Jones I appreciate you saying that. 35 03/17/20 10:35 AM MDT Tina Jones No. I only really have that problem around cats. . . or sometimes dust. - Have you had problems with your sinuses Question 03/17/20 10:41 AM MDT Tina Jones Not really. Just a runny nose sometimes around cats. - Do you have nose bleeds Question 03/17/20 10:41 AM MDT Tina Jones No. - Have you noticed a change in your sense of smell Question 03/17/20 10:42 AM MDT Tina Jones No. - Have you had any dental problems recently Question 03/17/20 10:42 AM MDT Tina Jones Nope, no problems. - When did you last see a dentist Question 03/17/20 10:42 AM MDT Tina Jones Um, I think the last time was a few years ago. I went twice a year as a kid, though. - Have you had a sore throat lately Question 03/17/20 10:42 AM MDT Tina Jones No, I haven't had a sore throat in awhile. - Do you have a history of throat problems Question 03/17/20 10:43 AM MDT Tina Jones As a kid, I got strep sometimes, maybe like once a year. I haven't had a strep throat since...probably since I graduated high school. - Do you ever have any chest painQuestion 03/17/20 10:43 AM MDT 36 Tina Jones No, my chest feels tight when I have breathing problems, but it doesn't hurt. - Does your heartbeat every feel irregular Question 03/17/20 10:43 AM MDT Tina Jones I think my heart's fine. I don't really notice how it beats. - Do you bruise easily Question 03/17/20 10:43 AM MDT Tina Jones I don't think so, no... I don't hurt myself very often. - Do you get any swelling in your legs Question 03/17/20 10:44 AM MDT Tina Jones Only the bottom of my foot is swollen. - Do you have any circulation problems Question 03/17/20 10:44 AM MDT Tina Jones I don't think I have any circulation problems. - Do you have any gastrointestinal problems Question 03/17/20 10:44 AM MDT Tina Jones No. I've never really had stomach or bowel problems. - How often do you have bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um, probably every day or every other day. - Have you noticed a change in your bowel movements Question 03/17/20 10:45 AM MDT Tina Jones Um. . . everything's been normal. - Do you have constipation or diarrhea Question 03/17/20 10:45 AM MDT Tina Jones No, everything's been normal. 37 - Do you ever get heartburn Question 03/17/20 10:45 AM MDT Tina Jones No, not at all. - Any pain with urination Question 03/17/20 10:46 AM MDT Tina Jones It doesn't hurt or feel different when I pee. - Any blood in your pee Question 03/17/20 10:46 AM MDT Tina Jones I don't think so . . . My pee hasn't been red or anything. - Do you have trouble holding your pee Question 03/17/20 10:46 AM MDT Tina Jones Um, are you asking if I pee myself? Definitely not. - I understand some of these questions can be embarrassing or odd. I ask everyone these questions Empathize 03/17/20 10:47 AM MDT Tina Jones Thanks. - Have you ever had a urinary tract infection Question 03/17/20 10:50 AM MDT Tina Jones Nope. - Do you have any vaginal problems Question 03/17/20 10:50 AM MDT Tina Jones No, I haven't had any problems in that area. - Do you ever have muscle or joint pain Question 03/17/20 10:50 AM MDT Tina Jones No. - do your muscles ever feel weak Question