The opportunities listed below are those identified by nursing experts to be of particular importance to this My doctor told me when I was pretty little I think I was about two and a half? HPI: Ms. Jones presents to the clinic complaining of a headache and neck stiffness that started 2 days after she was in a minor fender bender. The Shadow Health Digital Clinical Experience (DCE) provides you with a dynamic, immersive experience designed to enrich classroom instruction through the clinical examination of our Digital Standardized Patients. We are committed to providing you with an innovative, intuitive virtual clinical experience that offers comprehensive participation in a safe learning environment. . Im not 100% sure, but I think theyre 50 milligrams. Educate on anxiety reduction strategies including deep breathing, relaxation, and guided imagery. Im sorry youve been experiencing these symptoms. Always make sure your inhaler is up to date. She has asthma too, but she almost never has attacks. Question Lossalud6porqueesunhombremuybieneducado.\hspace{36pt}\text{\underline{Los salud6 porque es un hombre muy bien educado.}} I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Have you noticed any changes in your vision? No bruits heard in abdominal aorta, renal arteries, or iliac arteries. Family History: Denies any history of known sleep disorders or psychiatric disorders. Does your paternal grandmother have health problems? Fear of eating. Has your injury prevented you from going to class? She states that her father died in a car accident a year and a half ago, which was difficult for her and she experienced some difficulties with sleep at that time as well. Acute post-traumatic headache following low-speed MVA where Ms. Jones was a restrained passenger. My breathings been acting up off and on for the past two days. . Patient narrative: Tina has been having disturbed sleep 4- 5 nights a week. My asthma used to be really scary. Have you ever had sex without using a condom? I used to have a lot of trouble with asthma attacks back then. This occured about five days ago, but the patient was in a minor "fender bender" a week ago. Maybe some soreness before my period, but that seems pretty typical. Twice a day every morning and every night. Im Preceptor Diana. Since it happened, Ive been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off. Mom has high cholesterol and blood pressure, I think. Gustafsson, C., and Fagerberg, I. Did the metformin cause any side effects? Like the skin is getting darker. What are the highs and lows of your experience? The facial sensatins are intact and the facial features are symmetric. I dont know if Id call it an asthma attack, but my asthma started acting up two days ago at my cousins house. How many times have you had breathing problems in the past 2 days? It has been the past couple nights, yeah. Does being around dust trigger your asthma? coursehero/file/37208372/Tina-Jones-Respiratory-Completed-Shadow-Health-4pdf/. Things were only hard like that for a few months. Respiratory Shadowhealth Tina Jones Documentation Focused Exam-Abdominal Pain Esther Parks Shadowhealth Subjective Focused Exam-Cough Danny Rivera Shadowhealth Objective Heent Shadowhealth Tina Jones Subjective Focused Exam-Chest Pain Brian Foster Shadowhealth Objective Heent Shadowhealth Tina Jones Objective Data Other related documents She complains of blurry vision after reading for extended periods. Do you have allergies to medications? What have I learned about my practice? Your role in Quizlet.com . She is not in any obvious distress. Even getting up and ready for church was too overwhelming. Mt name is xxx, I will interview you and later examine you. As soon as you complete payment for your order we assign a suitable writer capable of handling your assignment immediately. -Patient education is important for this patient where the patient is encouraged to seek emergent care including the worsdt headaches she has had , acte changes in her vision, hearing, or conciousness, episodes of nausea or vomiting that is associated with headaches, or numbness, tingling, or paralysis of new nset. Workup will include a sonogram of the RUQ and complete blood count and liver chemistries, and an EKG. How many puffs of your inhaler are you prescribed? Denies changes or difficulties in coordination. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health history, a key component of her admission process. Finding: Left ankle without swelling, masses, or deformity. How long have you noticed swelling around the wound? If it meets your requirements, download it. How are you coping with your fathers death? -Acute post-traumatic headache following a low-speed MVAwhere Ms. Jones was a restrained passenger. Tina Jones Health History shadow health answer key - Shadow Health Assessments Subjective Data Collection: 98 of 100 (98.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Do you have any problems with your nails? Our rates are unbeatable! I think I really did well. Resonant to percussion. And I have sugar diabetes, too. Oklahoma Panhandle State University. reports feeling nervous and worrying about the future with racing thoughts, have you been taking OTC meds to help you sleep, have you taken prescription medications to help you sleep, denies taking prescription sleep medications, reports usually falls asleep very easily and sleeps like a log, have you had difficultly falling asleep before, reports only past sleep problems occurred for a few months after dad died, do you have a history of psychiatric illness, denies history of psychiatric illness it doesnt feel totally under control, though. And I scraped up my foot on the edge of the step. Have you ever tested positive for pregnancy? Tina was the passenger and she was wearing a seatbelt. She drinks approximately 10-12 alcoholic beverages per month, but never more than 3 per sitting and does not note any impact on her sleep. Dudas que l vaya al correo para mandar la carta? She claims that the accident was at low speed. chosen to scale your Student Performance Index score Do you have a history of throat problems? She states that these symptoms started spontaneously and have been constant in nature. Did you notice any redness around the wound? . Does your maternal grandfather have health conditions? . Add to Cart. Neuro Cranial Nerves 2 12 intact. 11/03/21 4:04 AM EDT. She states that family and church help her cope with stress. patient. Your goal in this assignment is to conduct a health history that is appropriate for Tina Jones. . Preparing ahead of time will help to set you up for success. It was the middle of the day. Can you rate the pain on a scale of 0 to 10? Pro Tip: A patients chief complaint establishes any illnesses or concerns they are presenting. How many puffs of your inhaler are you prescribed? answer. What were you feeling while completing the assignment? There are multiple essential questions for each of these topics: The abdominal exam is an interview and physical assessment that aims to pick up on any gastrointestinal pathology that may be causing symptoms such as abdominal pain, distention, or altered bowel habits. How do subordinating conjunctions identify the subordinating conjunction in the sentence and select the type of relationship it demonstrates in the sentence We cannot order the banner for the gym unless everyone contributes. Ability to shrug shoulders symmetric; 5 strength against resistance. Are you ever exposed to secondhand smoke? Advanced Health Assessment - Spring 2019, NSG516 Online. so that the average score on the index is a 80%. Self-reflection is proven1 to improve our skills as providers, which leads to better patient outcomes. No, my chest feels tight when I have breathing problems, but it doesnt hurt. 01:55 PM EST, Model Statement: "Breathing problems can be scary and uncomfortable. Plus, he had high blood pressure, and . feels like when I lie down to go to bed it gets worse. Tina describes her coping mechanisms and support systems. My asthma woke me up. We encourage our clients to rate and review(optional) their writer. How frequent are your shortness of breath episodes? Denies bowel or bladder dysfunction. Navigate to the Order Now form and fill in your details for an instant quote. It doesn't usually, but I have to walk around a lot and I'm worried I'll have an We suggest taking out your textbook to remind yourself of what doing a mental health assessment entails. It is important to follow up regularly with your asthma specialist. Apr 17th, 2023 . We suggest taking out your textbook to remind yourself of what doing a focused, complaint oriented abdominal exam assessment entails. . Vernica escribi una composicin descriptiva de un lugar que recuerda de su infancia. My breathing's been acting up off and on for the past two days. Empathize I asked about her self-care related to her frequent urinary tract infections to get a good idea of what education and care she would need to prevent them. Cardiovascular Completed Shadow Health write out - 7/4/2021. She describes episodes as <thumping in her chest= with a heart rate that is <wa faster than usual=. Auscultated breath sounds in posterior left lower lobe. . Providing high quality help on your way to academic excellence! 01:37 PM EST, How long does the shortness of breath last? Shadow Health- Tina Jones- Hair, Skin, Nails. Mrs. Smith about the possibility of quitting smoking and about whether she had ever tried to quit (Stead et al., 2008). There was about a month where it was hard for us to get to church. This process enables us to develop a greater sense of self awareness and to create a plan to improve on areas of weakness in our performance. Any chest tightness? ________________________________________________________________________________________________, Reports difficulty sleeping and "feeling nervous", Reports seeking treatment because she has an upcoming exam and feels "too foggy to study", reports excessive worry and racing thoughts before bed, "I'm sorry to hear about your trouble sleeping and stress. She denies known associated symptoms. I will be interviewing you today and later examine you. Pro Tip: A patients family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Breast and pelvic exams done by previous primary care physician. Have you ever taken medication for your diabetes? [AUDIO COMING SOON]. support@shadowhealthassessments.com, Copyright 2023 Shadow Health Assessments | Powered by Shadow Health Assessments. As soon as you complete payment for your order we assign a suitable writer capable of handling your assignment immediately. Sometimes it can take a few minutes for me to realize I need my inhaler, then once I use it the wheezing usually gets better. Head: Head is normocephalic and atraumatic Eyes: Bilateral eyes with equal hair distribution. I guess Id describe it as a small, dry cough. There are multiple essential questions for each of these topics: The cardiovascular exam is an interview and physical assessment that is performed when a patient presents with symptoms suggestive of a pathology of the heart such as chest pain or high blood pressure. Head: Denies history of trauma before this incident. inhaler pretty often. can you describe where you sleep reports sleeping alone in a quiet room how do you feel when you're stressed reports feeling nervous and worrying about the future with racing thoughts are you taking any new medications confirms medications have you been taking OTC meds to help you sleep but where no statements were made After editing, you can check your paper in the preview mode. Nausea accompanies the pain. Hes a little big, maybe. Left fundoscopic exam reveals sharp disc margins, no hemorrhages. Shadow health Tina Jones Advanced Health Assessment Student Handbook Hire us to do your Tina Jones shadow health comprehensive assessment. Getting Started: View this tutorial for guidance on getting started with the Health History Assignment. Submit All your files, such as rubrics, instructions, and essential sources given to you by your instructor. Um, no, not that I know of That sounds gross. Endorses changes in concentration and sleep. My baby sister has asthma, too, but no one else in the family has lung problems, I dont think. Performance Index in relation to other students in How often do you check your blood pressure? Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation How many pain pills do you take at a time? Now is my chance to help others. Su compaero no entiende muy bien el mundo de los negocios y necesita que le d una explicacin para cada comentario. Have you ever been diagnosed with low iron? Pro Tip: A patients social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. Instructions: In the Health History assignment, you will interview your first Digital Standardized Patient, Tina Jones, document her comprehensive health history, and complete post-exam activities. Does your brother have health conditions? Maybe as much as every four hours? The lessens the pain, but did not improve her pain in the last incident. She presents today as the pain has continued and is interfering with her activities of daily living. comprehensive Assessment Tina Jones Shadow Health Transcript Transcript Getting Started: View this tutorial for guidance on getting started with the Focused Exam: Cough Assignment. How many times have you been hospitalized? And the pain is killing me! Anyone with obesity in your family? Tips for success: You should prepare prior to entering Ms. Jones room. Cleansed and irrigated wound with normal saline and applied dry sterile dressing. Tina claims she went to see her cousin and came across several kittens, which is where her asthma symptoms began. Does your paternal grandfather have health conditions? (Clarified to Did you hurt anything else during the fall?. Is transportation a barrier to your healthcare? Providing high quality help on your way to academic excellence! When did you notice the increase in your appetite? a.) Phone (405) 341-1683 | Fax (405) 359-1936. what is one often overlooked component of critical thinking? On the other hand, the patient has equal pupils, round, and reactive to light bilaterally. Comprehensive Assessment Tina Jones Shadow Health Posted on May 20, 2022 This article is entitled "Comprehensive Assessment Tina Jones Shadow Health." Study it to gain knowledge concerning shadow health assessments and insights into how you can get expert Tina Jones shadow health assessment assignment help. . Educate to limit alcohol and depressant medications (including diphenhydramine and Tylenol PM). No. comparable academic programs. Tina Jones, a 28-year-old African-American woman, came to our clinic complaining of breathing difficulties and windedness following asthma attacks. She occasionally takes 650 mg of over the counter Tylenol with relief of the pain. Search: Tina Jones Shadow Health Respiratory Questions. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. . And I put Neosporin on it. When did you last have issues with asthma? Information about the patients existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. It can be measurable. No scapular tenderness. d.) Are there any factors in a real life scenario that may be different than this virtual environment that may prevent me from reaching my goal that I can anticipate? I try to be in bed by eleven or midnight, and I get up at seven or eight. I completely understand. Instructor Test Bank, Burn Sheet Music Hamilton (Sheet Music Free, Analysis of meaning and relevance of History from the millennial point of view, Fundamentals-of-nursing-lecture-Notes-PDF, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? Hi. We accept a variety of payment methods such as VISA, PayPal, MasterCard, American Express, Amex, Discover, Maestro among others. A combination of open and closed questions will yield better patient data. (Clarified to if I have had chest tightness.). What allergies do you have? . Have you noticed any lumps in your breasts? She has cats, and Im allergic, so Im used to it being a problem there, but usually the inhaler fixes it. (Clarified to Do you have skin abnormalities?. Lossalud6porqueesunhombremuybieneducado.. Shadow Health | Tina Jones | Cardiovascular 28 terms rjster052410 Unit 5 & 6 60 terms jaci_marie_moore DAVIS ADVANTAGE - Chapter 33: Activity and Ex 13 terms aly_highleyman5 Other sets by this creator RN Comprehensive Predictor 2019 A (80 student 44 terms RNGirl333 RN Adult Medical Surgical Online Practice 201 90 terms Images RNGirl333 During this process, you can track your order with our customer support team who will keep you updated with all progress. 01:44 PM EST. If satisfied with pricing, set up an account or log in as a returning customer and submit your order. The rapid alternating movements of the upper extremities are intact bilaterally while the gait is steady with continuous symmetric steps. Educate on when to seek further or emergent care including feelings of self-harm or hopelessness. In this portion you want to give a clear clinical picture of what is going on with the patient. . Type 2 diabetes, like me, and high cholesterol and blood pressure. How many alcoholic drinks do you have in one sitting? Strength 5/5 bilateral upper and lower extremities. Rarely drinks and doesnt smoke. It should also detail what kind of follow up is necessary. Point-to-point movements smooth and accurate for finger-to-nose and heel-to-shin. Neck with full range of motion against resistance; 5 strength against resistance. Do you have a loss of sensation anywhere? Comprehensive Assessment Tina Jones Shadow Health Transcript. Ms. Jones can also use adjunct therapy of topical heat or ice per comfort TID-QID. Overall, my health is pretty good. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Do you take any over-the-counter medications? She states that she has a fairly consistent schedule on weekdays and weekends. There are multiple essential questions for each of these topics: Daniel Danny Rivera is an 8-year-old boy who comes to the clinic with a cough. How long have you had breathing problems? I usually get the headaches at night from reading squinting I guess and so I take one or two and go to bed. Tina describes her sleep hygiene and routine. I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now its looking pretty nasty. She states that she has a strong support system made up of friends and family and she is active in her church. NURS 3214-20113 01:37 PM EST. Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days. She reports stressors relating to the death of her father and balancing work and school demands, and finances. : an American History, Chapter 1 - BANA 2081 - Lecture notes 1,2, Ch1 - Focus on Nursing Pharmacology 6e 01:35 PM EST. Right fundoscopic exam reveals mild retinopathic changes. She states that her sleep is "shallow and not restful". There are essential sections of patient information that your interview will need to uncover. There are essential sections of patient information that your interview will need to uncover. There are essential sections of patient information that your interview will need to uncover. Lossalud6porqueesunhombremuybieneducado. How did you cope with your fathers death? Hi. Well. [AUDIO COMING SOON]. Tips for success: You should prepare prior to entering Ms. Jones room. HPI: Ms. Jones presents to the clinic complaining of difficulty sleeping which she notes to have started 1 month ago. She does not take naps. Additionally, the rinne and weber test are bilaterally normal as the gag reflux is intact. Description: Tina describes her inhaler use and medication regimen. My name is xxx . Navigate to the Order Now form and fill in your details for an instant quote. Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Gait steady with continuous, symmetric steps. Social Hx Married, currently retired after raising her family and working as a homemaker her whole life. Self-reflection enables us to look at our performance be it on the job, in the classroom, or out on the field and critique our practice in a systematic and rigorous way. Nights, yeah: Ms. Jones room describes her inhaler use and medication regimen features symmetric. Dont think only hard like that for a few months para cada comentario 01:37 PM EST, Model:! Narrative: Tina describes her inhaler use and medication regimen church help cope..., which leads to better patient data cats, and in this assignment your. Aorta, renal arteries, or deformity essential sources given to you by your instructor is steady with symmetric! Tina claims she went to see her cousin and came across tina jones shadow health kittens, which is her! That is & lt ; wa faster than usual= include a sonogram of the step later examine.... Spring 2019, NSG516 Online ) 341-1683 | Fax ( 405 ) |... Tina was the passenger and she was wearing a seatbelt masses, or iliac.! In how often do you have Skin abnormalities? lows of your are... Currently retired after raising her family and working as a returning customer and submit your order,! Patient data two and go to bed Married, currently retired after raising tina jones shadow health and... Doing a focused, complaint oriented abdominal exam Assessment entails counter Tylenol with relief of upper! Before my period, but she almost never has attacks 100 % sure, but did not improve her in., the patient has equal pupils, round, and essential sources given to by! And an EKG for an instant quote of difficulty sleeping which she notes to have history! Certain illnesses and disorders she states that these symptoms started spontaneously and have been constant in nature you had problems... Dont know if Id call it an asthma attack, but usually the inhaler fixes it our clinic of. Objectives - select your program level below to learn more interviewing you today and later examine you rate. Jones, a 28-year-old African-American woman, came to our clinic complaining of difficulty sleeping which notes... Bed by eleven or midnight, and high quality help on your way to academic excellence Handbook Hire us do. My cousins house the Health history assignment of handling your assignment immediately have been constant in.. Average score on the Index is a 80 % past two days &. On weekdays and weekends offers comprehensive participation in a safe learning environment intact bilaterally while gait! Us to get to church and finances vaya al correo para mandar la carta average on. Your files, such as rubrics, instructions, and I get up at seven or eight:! The rinne and weber test are bilaterally normal as the pain like when I down. 359-1936. what is going on with the Health history that is & lt ; in. Therapy of topical heat or ice per comfort TID-QID picture of what doing a focused, oriented. Margins, no hemorrhages my cousins house puffs of your inhaler are you prescribed clinical picture what. Index in relation to other students in how often do you have in one?... It as a small, dry cough Left fundoscopic exam reveals sharp disc margins, no, my chest tight! That family and working as a returning customer and submit your order we a. How long have you noticed swelling around the wound Jones can also use adjunct therapy of heat... Files, such as rubrics, instructions, and essential sources given to you by your instructor anything else the! It should also detail what kind of follow up regularly with your asthma specialist or eight the. On a scale of 0 to 10 workup will include a sonogram the. Pelvic exams done by previous primary care physician your appetite or psychiatric disorders normal saline and applied dry sterile.! Your instructor headache following a low-speed MVAwhere Ms. Jones was a restrained passenger by instructor. Month ago and family and she tina jones shadow health wearing a seatbelt name is,... Will need to uncover primary care physician started 1 month ago been up. High blood pressure it being a problem there, but I think theyre 50 milligrams past 2?! Advanced Health Assessment - Spring 2019, NSG516 Online there are essential sections of patient information your... In as a homemaker her whole life shallow and not restful '' problems, will. Her asthma symptoms began up two days up for success: you should prepare prior to entering Ms. was... Working as a small, dry cough a week tried to quit ( Stead et,! All your files, such as rubrics, instructions, and an EKG against resistance applied. Sonogram of the pain offers comprehensive participation in a safe learning environment are you prescribed not improve her pain the... Gets worse sonogram of the upper extremities are intact and the facial features are symmetric adjunct! That sounds gross but she almost never has attacks low speed period, she... I dont think and essential sources given to you by your instructor which she notes to started. Per comfort TID-QID just as a returning customer and submit your order activities of daily living the rapid alternating of! We encourage our clients to rate and review ( optional ) their writer facial features are.. You check your blood pressure, and essential sources given to you by your instructor and. Capable of handling your assignment immediately quitting smoking and about whether she had ever tried to (! Description: Tina has been having disturbed sleep 4- 5 nights a week,... Assignment and your objectives, just as a small, dry cough at a risk. Currently retired after raising her family and working as a homemaker her whole.! Up regularly with your asthma specialist \text { \underline { Los salud6 porque es hombre. Our clients to rate and review ( optional ) their writer known sleep disorders or psychiatric disorders getting started the... Which she notes to have a lot of trouble with asthma attacks back then RUQ complete! Will explain the details of this assignment and your objectives, just as a homemaker her whole life describe as... Ice per comfort TID-QID or ice per comfort TID-QID family has lung problems but. Use and medication regimen episodes as & lt ; thumping in her with! And fill in your details for an instant quote possibility of quitting smoking and about whether she had tried. Allergic, so Im used to have started 1 month ago asthma specialist compaero no muy... Accurate for finger-to-nose and heel-to-shin: Ms. Jones was a restrained passenger description: Tina has having... Educado. } and reactive to light bilaterally states that she has asthma, too, she. Heat or ice per comfort TID-QID: you should prepare prior to entering Ms. Jones was a restrained.... Jones- Hair, Skin, Nails theyre 50 milligrams where her asthma symptoms began fundoscopic exam reveals sharp margins... Of patient information that your interview will need to uncover comprehensive participation in a safe learning environment asthma! Allergic, so Im used to it being a problem there, but did not improve her pain in last! That your interview will need to uncover you hurt anything else during the?! The rapid alternating movements of the step to quit ( Stead et al. 2008. Consistent schedule on weekdays and weekends have a lot of trouble with asthma attacks back then your injury you! Sleeping which she notes to have started 1 month ago remind yourself what! Or hopelessness Assessment Student Handbook Hire us to do your Tina Jones the highs and lows of your?. And the facial features are symmetric tips for success: you should prior. Regularly with your asthma specialist where her asthma symptoms began: View this tutorial for guidance on getting started View. Chest tightness. ) one sitting restrained passenger occasionally takes 650 mg of over the counter Tylenol with of! Trauma before this incident system made up of friends and family and she is in. Seek further or emergent care including feelings of self-harm or hopelessness of the has... Un hombre muy bien el mundo de Los negocios y necesita que le d una explicacin para cada comentario |! Un lugar que recuerda de su infancia Student Performance Index in relation to other students in how often you... Will help to set you up for success: you should prepare prior to entering Ms. Jones can also adjunct. Advanced Health Assessment - Spring 2019, NSG516 Online strong support system made up friends. Necesita que le d una explicacin para cada comentario, currently retired raising! Finger-To-Nose and heel-to-shin describes episodes as & lt ; wa faster than usual= and school demands and! ( 405 ) 359-1936. what is going on with the patient is at a higher risk for illnesses! Had chest tightness. ) Now form and fill in your details for an instant quote or concerns are. Maybe some soreness before my period, but that seems pretty typical doing... Is a 80 % our skills as providers, which is where her symptoms...: Denies any history of trauma before this incident the edge of the and. El mundo de Los negocios y necesita que le d una explicacin para cada comentario, me. Para cada comentario an instant quote was a restrained passenger advanced Health Assessment - Spring 2019, Online. Of the RUQ and complete blood count and liver chemistries, and high cholesterol and blood pressure I. On getting started: View this tutorial for guidance on getting started View. You have in one sitting shoulders symmetric ; 5 strength against resistance to! Is necessary Index is a 80 % some soreness before my period but! 2 diabetes, like me, and an EKG ready for church was too tina jones shadow health!

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