Sarah Glowinski Clinical Timetoast Assignment

  • Birth of Patient

    Patient was born, birth was noncontributing to his present illness. Patient moved in with mother, grandmother and brother. Patient's father was involved but did not live in with family. Patient's family owned a cat and grandmother smoked in the home. Patient's family has a large history of asthma, including the mother, maternal uncle, maternal grandfather and maternal cousin.
  • Outpatient Treatment

    Around his first birthday, patient needed outpatient treatment due to excessive coughing and difficulty breathing. Patient was told by MD he had bronchitis and was treated and discharged.
  • Adenoidectomy

    Patient had adenoidectomy at age 4 (date stated is not correct as mother could not recall it). Patient had snoring problems and MD decided removal was necessary as they were larger than usual. Recovery was standard.
  • Symptoms Begin to Develop

    Patient went for a routine physical September of 2012. MD noticed mild asthmatic symptoms and prescribed an albuterol pump to be used as needed. Patient was to contact MD if symptoms worsened. For the time being they did not. Patient was also told to be aware of possible environmental allergens that could be triggering his symptoms.
  • First Hospitalization

    Patient was hospitalized on this date due to extreme wheezing, shortness of breath and dizziness. Patient stayed 4 days 3 nights and was prescribed zyrtec for his allergies and advair for his asthmatic symptoms to be used following hospitalization. Patient was stabilized and discharged.
  • Moved in with Father

    Patient moved in with father who lives in Indiana which removed him from the allergens present in his home (cat, smoke). During the 2 months he lived there, patient reported only having to use his inhaler twice.
  • Returned to live with Mother

    In early August, patient returned to Wisconsin to live with Mother, Grandma and Brother, plaing him in the presence of a cat and smoke. At this time he noticed more difficulty breathing.
  • Worsening Symptoms

    Patient began suffering from routine nighttime coughs that would awaken him from his sleep. Patient needed to use emergency advair medication at least twice a week due to worsening symptoms.
  • Present Hospitalization

    Patient was brought to Children's on this date due to extreme work of breathing and shortness of breath. Was placed on continuous albuterol therapy and brought to 11W after being discharged from the Emergency Department.