Shadow Health- Tina Jones- Musculoskeletal. 23 terms. Alix_Johnson55. Shadow Health: Neurology. 21 terms. kaylaraehasty PLUS. ShadowHealth Musculoskeletal Tina Jones. 22 terms. goatnurse. Sets found in the same folder. Neuro Exam: Motor System Tests. 13 terms. sguthrie24. Chapter 19: Subjective & Objective Data. 27 terms.May 12, 2022 · Shadow Health Musculoskeletal Tina Jones with complete solution chief complaint Ans- -reports low back pain -describes injury as a "tweak to back" onset of pain Ans- -original injury occurred 3 days ago -sudden onset -happed when lifting heavy box location of pain Ans- -located in low back and butt -does not radiate or migrate -denies neck pain -denies pain between shoulder blades -reports ... Case - Shadow health tina jones musculoskeletal objective data 67. Case - Esther parks abdominal pain objective data shadow health 68. Case - Esther parks abdominal pain care plan shadow health ...Musculoskeletal: deies muscle weakess, pain, join inestability or swelling.She stated has dificulties with range of motion.Denies numbness , radiation , tingling , denies previous musculoskeletal injuries or fractures. Neurologic: Denies; paralysis , numbness, loss of sensation , or tingling. HPI: Ms. Jones presents to the clinic compla 3 days ...Partial preview of the text. Download NURS 653 Tina Jones Musculoskeletal Transcript Updated and more Nursing Exams in PDF only on Docsity! Transcript AllLines (185)Interview Questions (84)Statements (8)Exam Actions (93) hello ms. jones, my name is and I am a family nurse practitioner student with Houston Baptist University and I will be ... 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. 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. Student: What are my objectives in this ... musculoskeletal shadow health tina jones. . character of pain: -pain at the onset was sharp -aching pain -denies burning pain -back is sore to touch -pain accompanied by stiffness 7. aggravating factors: -feels least comfortable when sitting -some pain with movement such as walking or bendi...For Shadow Health billing/invoicing questions, email our billing team or call 800-578-0528 press 2 for billing. Visit the Shadow Health Support Center for product support. Shadow Health provides state-of-the-art simulations for graduate students. We develop the skills of nurses by putting the patient at the forefront of learning.May 23, 2023 · musculoskeletal shadow health tina jones. . character of pain: -pain at the onset was sharp -aching pain -denies burning pain -back is sore to touch -pain accompanied by stiffness 7. aggravating factors: -feels least comfortable when sitting -some pain with movement such as walking or bendi... Mar 8, 2021 · Shadow health Tina Jones Musculoskeletal objective data 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached Previously searched by you Shadow wants to partner with game publishers so that they can create virtual booths to showcase game demos. Shadow is introducing some new use cases for its cloud computing service...Tina Jones’ musculoskeletal objective data was recorded in Shadow Health. The data includes range of motion, joint stability, and strength testing. Her range of motion was measured at the shoulder, elbow, wrist, hip, and knee. Her shoulder movement was measured at 120 degrees of abduction and 130 degrees of flexion.Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …Ron DeSantis' presidential announcement on Twitter Spaces attracted plenty of media attention, but it's absent on US Google Trends and EU newspapers. Jump to Elon Musk claimed that...Shadow Health Focused Exams Bundled exams for different patients Full solution bundle Danny Rivera,Nicole Diaz,Brian Foster,Tina Jones exams with complete solution $ 235.57 $ 40.49 23 items"The United States can have its Woodstocks and Britain can have its Isle of Wights—our answer to these pop festivals is the Black Star Square and its Soul to Soul." In March 1971, ...Jan 13, 2023 · Tina Jones’ musculoskeletal objective data was recorded in Shadow Health. The data includes range of motion, joint stability, and strength testing. Her range of motion was measured at the shoulder, elbow, wrist, hip, and knee. Her shoulder movement was measured at 120 degrees of abduction and 130 degrees of flexion. One possible reason why Tina Jones may have had some trouble with her musculoskeletal system is due to her work as a hairdresser. According to the Bureau of Labor Statistics, hairdressers are at a higher risk for developing musculoskeletal disorders than the average person. This is likely because they are constantly using their arms and … Shadow Health Musculoskeletal Education and Empathy- Tina Jones. shadow health assessment. Course. Advanced Health Assessments for Patients and Populations (D028) 68Documents. Students shared 68 documents in this course. University. Western Governors University. Academic year:2023/2024. Uploaded by: Anonymous Student. NURS 520 TINA JONES TRANSCRIPT Musculoskeletal _ Completed _ Shadow Health. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments//) Transcript Started: Mar 29, 2020 | Total Time: 72 min G ree 03/29/20 2:51 PM ED Question 03/29/20 2:52 …Exam (elaborations) $9.99. Add to cart Add to wishlist. 100% satisfaction guarantee. Immediately available after payment. Both online and in PDF. No strings attached. 105. 0.Research supported by NIH’s National Center for Complementary and Integrative Health (NCCIH) and National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is ex...ShadowHealth Musculoskeletal Tina Jones. 22 terms. ... Shadow Health- Tina Jones - Neurological. 21 terms. Tiffany_Alleyne. Preview. Integumentary system. 69 terms ...Documentation / Electronic Health Record Document: Provider Notes Document: Provider Notes. Student Documentation Model Documentation. Subjective. Pt presents to the clinic stating she was in a "fender bender" a week ago and is having headaches and also has a sore neck approx 3 days after.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. Your role …Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your Skip to document UniversityNUR 3068 Tina Jones _ Musculoskeletal_ 2020 – Keiser University Relevant Medical History Tina Jones _ Shadow Health _ Musculoskeletal NUR 3068 Tina Jones _ Musculoskeletal_ 2020 – Relevant Medical History The pain has not changed over the past three days and she has treated with 2 over the counter ibuprofen tablets every 5- hours. Her current pain is a 5/10, but she states that the ibuprofen can decrease her pain to 2-3/10. She denies numbness, tingling, muscle weakness, bowel or bladder incontinence. It's 8 a.m. on Tina Jones' second morning as a patient here at Shadow General Hospital. Ms. Jones has a physical therapy consultation later today. Your role in this simulation is that of healthcare provider who will perform a full musculoskeletal system exam on Ms. Jones so that her therapist can understand Ms. Jones' musculoskeletal health and ... Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …Pigmented eye shadows can help you break out of mundane hues. See five tips for choosing pigmented eye shadows. Advertisement The right pigmented hue can really enhance your peeper...shadow health tina jones musculoskeletal. Written for. Institution Shadow Health; Course Shadow Health; Seller Follow. WAYLEN Member since 6 months 76 documents sold Reviews received. 3. 1. 5. 0. 5. Send Message. Exam (elaborations) $10.49. Add to cart Add to wishlist. 100% satisfaction guarantee ...NURS 520 TINA JONES TRANSCRIPT Musculoskeletal _ Completed _ Shadow Health. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments//) Transcript Started: Mar 29, 2020 | Total Time: 72 min G ree 03/29/20 2:51 PM ED Question 03/29/20 2:52 PM ED Question 03/29/20 2:52 PM ... Learn and test your knowledge of musculoskeletal assessment with Tina Jones, a fictional patient with joint pain and swelling. This set of flashcards contains 23 terms and questions related to her history, symptoms, and physical examination. Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …Exam (elaborations) - Shadow health tina jones cardiovascular solutions guide by dr. a 9. Exam (elaborations) - Shadowhealth abdominal pain esther park solutions guide by dr. a ... Exam (elaborations) - Shadowhealth musculoskeletal tina jones complete guide by dr. a 15. Exam (elaborations) - Shadow health …CHELMSFORD, Mass., Nov. 14, 2022 /PRNewswire/ -- Azenta, Inc. (Nasdaq: AZTA) today announced that Tina S. Nova, Ph.D. and Dorothy E. Puhy have bee... CHELMSFORD, Mass., Nov. 14, 20...Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's …tina jones musculoskeletal completed shadow health 2020 2022. shadow health musculoskeletal physical assessment. Written for. Institution Chamberlain College Of Nursing. Course Shadow Health Musculoskeletal Physical Assessment (PHYSICALASSESSMENT) All documents for this subject (2) Seller. Follow.Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's Medical …93% (234) View full document. Musculoskeletal Results | Turned In Nursing Concepts Shadow Health Assessment 2018, Nur 112 Patient: Tina Jones Digital Clinical …Shadow health Tina Jones Musculoskeletal objective data 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached Previously searched by you Shadow Health- Tina Jones- Musculoskeletal. 23 terms. Alix_Johnson55. Preview. Healthcare Professionals Roles Overview. 5 terms. saranathan. Preview. practicum q1 ... View Tina Jones Musculoskeletal Documentation.docx from NURS 653 at Texas A&M University. Documentation / Electronic Health Record Document: Provider Notes Document: Provider Notes Student ... View Shadow Health MUSKULOSKELETAL.docx from NURSING 170.01 at Holyoke Community Colleg... NR 509 Musculoskeletal …TINA JONES TRANSCRIPT Musculoskeletal _ Completed _ Shadow Health. Course. Nursing. Institution. Ramapo College Of New Jersey. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments//) Transcript Started: Mar 29, 2020 | Total Time: 72 min Gree 03/29/20 2:51 PM ED ...Study with Quizlet and memorize flashcards containing terms like chief complaint, onset of pain, location of pain and more.Comprehensive Assessment. In this assignment, your patient, Tina Jones presents in your outpatient clinic for a complete health assessment for a preemployment physical. This visit takes place approximated 18 months after Ms. Jones first established primary care in your clinic. Plan your time:Researchers working with the National Institute of Arthritis and Musculoskeletal and Skin Diseases are exploring new ways of helping patients with scleroderma, including stem cell ...View Screenshot_2021-02-08 Musculoskeletal (40 min minimum) Completed Shadow Health.png... Musculoskeletal Results Tina Jones.docx City College of San FranciscoView Screenshot_2021-02-08 Musculoskeletal (40 min minimum) Completed Shadow Health.png... Musculoskeletal Results Tina Jones.docx City College of San FranciscoMay 8, 2023 · ShadowHealth Musculoskeletal Tina Jones 1. chief complaint: -reports low back pain -describes injury as a "tweak to back" 2. onset of pain: -original injury occurred 3 days ago -sudden onset -happed when lifting heavy box 3. location of pain: -located in low back and butt -does not radiate or migrate -denies neck pain -denies pai... Exam (elaborations) $9.99. Add to cart Add to wishlist. 100% satisfaction guarantee. Immediately available after payment. Both online and in PDF. No strings attached. 105. 0.Shadow Health Musculoskeletal Tina Jones Review Practice Exam Questions 2024. chief complaint - correct answer -reports low back pain -describes injury as a "tweak to back" onset of pain - correct answer -original injury occurred 3 days ago -sudden onset -happed when lifting heavy box lo...Feb 14, 2021 · NUR 3068 Tina Jones _ Musculoskeletal_ 2020 – Keiser University Relevant Medical History Tina Jones _ Shadow Health _ Musculoskeletal NUR 3068 Tina Jones _ Musculoskeletal_ 2020 – Relevant Medical History Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. The injury occurred about one week ...Musculoskeletal system Tina Jones - Subjective Learn with flashcards, games, and more — for free.SHADOW HEALTH Musculoskeletal Tina Jones 2022/2023 LATEST UPDATE. 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings ...The Insider Trading Activity of Donikowski Tina on Markets Insider. Indices Commodities Currencies StocksCST It's 8 a.m. on Tina Jones' second morning as a patient here at Shadow General Hospital. Ms. Jones has a physical therapy consultation later today. Your role in this simulation is that of healthcare provider who will perform a full musculoskeletal system exam on Ms. Jones so that her therapist can understand Ms. Jones' musculoskeletal health and customize therapy accordingly.Develop strong communication skills Interview the patient to elicit subjective health information about her health and health history Ask relevant follow-up questions to evaluate patient condition Demonstrate empathy for patient perspectives, feelings, and sociocultural background Identify opportunities to educate the patient Shadow Health Musculoskeletal Education and Empathy- Tina Jones. shadow health assessment. Course. Advanced Health Assessments for Patients and Populations (D028) 68Documents. Students shared 68 documents in this course. University. Western Governors University. Academic year:2023/2024. Uploaded by: Anonymous Student. The Insider Trading Activity of Ju Tina L. on Markets Insider. Indices Commodities Currencies StocksCourse. SHADOW HEALTH. Institution. SHADOW HEALTH. Shadow Health- Tina Jones- Musculoskeletal Latest Update (2022) Asked about joint problems Answer-Asked about joint pain Asked about join swelling Asked about mobility Answer-History of walking problems Has wound hindered mobility Asked about pain when … View Tina Jones Musculoskeletal Transcript.docx from NURS 653 at Texas A&M University. Transcript Started: Nov 15, 2021 | Total Time: 240 min All Lines (185)Interview Questions (84)Statements (8)Exam Partial preview of the text. Download Shadow Health Tina Jones Musculoskeletal 2022/2023 and more Nursing Exams in PDF only on Docsity! Shadow Health Tina Jones Musculoskeletal Asked about joint problems - Asked about joint pain Asked about join swelling Asked about mobility - History of walking problems Has wound hindered …Reports no more than 1 or 2 nights a week drinking alcohol. Asked about history of neurological problems. Denies history of meninigitis. Denies history of strokes. Denies history of concussion. Denies history of seizures. Asked family history of migraines. Denies family history of migraines. Study with Quizlet and memorize flashcards containing ... Current muscle injury. Asked about joint injury. Past joint injury. Current joint injury. Asked about history of fracture. Asked about history of sprains. Study with Quizlet and memorize flashcards containing terms like Asked about joint problems, Asked about mobility, Asked about pain when walking and more. Shadow Health- Tina Jones- Musculoskeletal. 23 terms. Alix_Johnson55. Preview. Healthcare Professionals Roles Overview. 5 terms. saranathan. Preview. practicum q1 ...93% (234) View full document. Musculoskeletal Results | Turned In Nursing Concepts Shadow Health Assessment 2018, Nur 112 Patient: Tina Jones Digital Clinical …31 of 31. Quiz yourself with questions and answers for Shadow health comprehensive assessment Tina Jones, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.Popular books. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Lewis's Medical …Exam (elaborations) - Shadow health- tina jones musculoskeletal pass test 100% Show more . The benefits of buying summaries with Stuvia: Guaranteed quality through customer reviews. Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.Matador is a travel and lifestyle brand redefining travel media with cutting edge adventure stories, photojournalism, and social commentary. Naturally heated pool, Photo by Mikael ...Shadow Health Musculoskeletal Tina Jones with complete solution chief complaint Ans- -reports low back pain -describes injury as a "tweak to back" onset of pain Ans- -original injury occurred 3 days ago -sudden onset -happed when lifting heavy box location of pain Ans- -located in low back and butt -does not radiate or migrate -denies neck pain -denies pain between shoulder blades -reports ...8 0. 8 0. SOAP Note: Infected foot wound. Subjective: HPI: 28 y/o female presents to the clinic with complaints of foot pain. Patient states that they. scraped their foot on the edge of a cement block about a week ago and sustained a wound. They went to the ER on were prescribed T ramadol for pain and released. "A few days ago,"Plan of Care We are conducting a comprehensive health assessment in Miss Jones' case to understand her health needs better and enable our team to …Shadow Health Tina Jones - Musculoskeletal Transcript.pdf. Solutions Available. Keiser University. NUR 2065C. Tina Jones Neuro Documentation.pdf. Creighton University. NUR 694. Comprehensive Assessment _ Completed _ Shadow Health Plan of Exam.pdf. Chamberlain College of Nursing. NR 222. View More. View Homework Help - Musculoskeletal _ Completed _ Shadow Health.pdf from NURSING 3106 at Florida Southern College. Objective Data Collection: 27.67 of 28 (98.82%) Correct Incorrect Partially Tina Jones Musculoskeletal Completed Shadow Health 2020-Musculoskeletal Results | Turned In. Health Assessment Throughout the Lifespan - Fall 2020, NURS 381. Return to Assignment (/assignments/372987/) Notice: The detailed results of your assignment attempt are now available because the Due Date has passed. Your assignment score(s) has not changed.
View Tina Jones Musculoskeletal Transcript.docx from NURS 653 at Texas A&M University. Transcript Started: Nov 15, 2021 | Total Time: 240 min All Lines (185)Interview Questions (84)Statements (8)Exam . Applebee's grill and bar baton rouge menu
Comprehensive Assessment. In this assignment, your patient, Tina Jones presents in your outpatient clinic for a complete health assessment for a preemployment physical. This visit takes place approximated 18 months after Ms. Jones first established primary care in your clinic. Plan your time:Musculoskeletal system Tina Jones - Subjective Learn with flashcards, games, and more — for free. ... Shadow Health- Tina Jones - Neurological. 21 terms. Tiffany_Alleyne. Preview. ShadowHealth Musculoskeletal Tina Jones. 22 terms. goatnurse. Preview. English set 10. 20 terms. xyter1213. Preview. Theories of Blood Coagulation-Lecture #2 ... Question: Shadow health Tina jones musculoskeletal assessment objective data. Shadow health Tina jones musculoskeletal assessment objective data. There are 2 steps to solve this one. Expert-verified. Shadow Health Musculoskeletal Tina Jones with complete solution chief complaint Ans- -reports low back pain -describes injury as a "tweak to back" onset of pain Ans- -original injury occurred 3 days ago -sudden onset -happed when lifting heavy box location of pain Ans- -located in low back and butt -does not radiate or migrate -denies …Shadow wants to partner with game publishers so that they can create virtual booths to showcase game demos. Shadow is introducing some new use cases for its cloud computing service...Related documents. Tina Jones Abdominal Subjective; Tina Jones Abdominal Objective Data; Tina Jones Musculoskeletal; Neurological Shadow Health Objective tina jones View Tina Jones Musculoskeletal Transcript.docx from NURS 653 at Texas A&M University. Transcript Started: Nov 15, 2021 | Total Time: 240 min All Lines (185)Interview Questions (84)Statements (8)Exam Tina Jones tweaked her back lifting a box Week 3 Shadow Health Assessment Musculoskeletal Subjective: is ar stu ed d vi y re aC s o ou urc rs e eH w er as o. co m HPI: Ms. Jones presents to the clinic complaining of back pain that began 3 days ago after she “tweaked it” while lifting a heavy box while helping a friend move.SOAP note Template for Shadow Health Identifying Information: Tina Jones, 28 year old, African American Female. Information given by patient. Reports private insurance through her employer. Here in the office by herself reporting recent and constant lower back pain that is worsened with sitting. Patient appears to be a reliable historian. Subjective (S) …Musculoskeletal system Tina Jones - Subjective Learn with flashcards, games, and more — for free.TINA JONES OBJECTIVE Musculoskeletal _ Completed _ Shadow Health. Course. NURS 550. Institution. Drexel University. TINA JONES OBJECTIVE Musculoskeletal _ Completed _ Shadow Health Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 R eturn to Assignment (/assignments//) Your Results Lab Pass ...Dec 16, 2023 · A summary of a musculoskeletal assessment of Tina Jones, a patient with joint and muscle problems. The assessment covers various aspects of Tina's mobility, pain, and injury history. The questions asked during the assessment are listed, along with the correct answers. The document can be useful for students studying musculoskeletal assessments ... TINA JONES TRANSCRIPT Musculoskeletal _ Completed _ Shadow Health. Course. Nursing. Institution. Ramapo College Of New Jersey. Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 Return to Assignment (/assignments//) Transcript Started: Mar 29, 2020 | Total Time: 72 min Gree 03/29/20 2:51 PM ED ...TINA JONES OBJECTIVE Musculoskeletal _ Completed _ Shadow Health. Course. NURS 550. Institution. Drexel University. TINA JONES OBJECTIVE Musculoskeletal _ Completed _ Shadow Health Musculoskeletal Results | Turned In Advanced Health Assessment - Clinical Replacement, NURS 520 R eturn to Assignment (/assignments//) Your Results Lab Pass ...View Lab - Tina Jones Musculoskeletal.pdf from NURS 381 at CUNY Hunter College. 11/12/2020 Musculoskeletal | Completed | Shadow Health Musculoskeletal Results | Turned In Health Assessment ThroughoutIn a few years, there could be more people playing video games on a cloud gaming service than on a gaming console. It’s time to accept that cloud gaming is the future of gaming. At...Tina Jones Shadow Health Musculoskeletal Assessment Subjective Data.docx. United States University. MSN 561. homework. ShadowHealth Tina Jones Respiratory.docx. Appalachian State University. NUR 5150. View More. Want to read all 4 pages? Previewing 4 of 4 pages Upload your study docs or become a member.Week 5 Shadow Health Musculoskeletal Assessment Documentation – Tina Jones Chief Complaint: Ms. Jones is a 28yo African American female, who presented to the hospital on this day with a complaint of right plantar foot pain after an accidental fall while changing a lightbulb at home. She states that the pain has gotten worse over the course of ....
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