Medical Consultationการปรึกษาทางการแพทย์

Good morning, Sarah. Please have a seat and tell me what brings you in today.

Morning, Dr. Chen. I've been dragging myself through the days lately, and it's really starting to worry me.

I see. When you say "dragging yourself," could you elaborate on the specific symptom that concerns you most?

Well, it's this relentless exhaustion that no amount of sleep seems to remedy, honestly.

That's quite telling. How long has this been going on, and have you noticed any other accompanying symptoms?

Roughly three weeks now. I've also had intermittent headaches and occasional bouts of dizziness when I stand up.

Have there been any significant changes in your routine—diet, stress levels, or sleep patterns?

Actually, yes. I took on extra shifts at the café, and I've barely been eating properly since then.

Let me check a few things. I'll take your blood pressure, temperature, and listen to your heart and lungs.

Sure, go ahead. Should I roll up my sleeve?

Yes, please. Your blood pressure is slightly on the low side, and your temperature is normal at thirty-seven degrees.

Is low blood pressure something I should be alarmed about?

Not necessarily, but combined with your other symptoms, it warrants further investigation through blood work.

Blood work—meaning you'd draw blood and test it for deficiencies or something along those lines?

Precisely. I suspect we may be looking at iron-deficiency anemia, which would align with your fatigue and dizziness.

That actually makes a lot of sense, given how poorly I've been nourishing myself lately.

Based on your presentation, my preliminary diagnosis would indeed point toward anemia, pending confirmation from the lab results.

In the meantime, I'll prescribe an iron supplement as a provisional medication to help restore your levels.

Got it. Are there any dietary adjustments I should be making alongside the medication?

Absolutely. Incorporate iron-rich foods like spinach, lentils, and red meat, and pair them with vitamin C for absorption.

I'll overhaul my eating habits starting today—no more skipping meals at the café.

Excellent. I'd like to schedule a follow-up appointment in two weeks to review your blood work and reassess.

Two weeks it is. Thank you so much, Dr. Chen—I feel considerably less anxious now that we have a plan.