1 00:00:06,229 --> 00:00:07,286 (Sarah knocking) 2 00:00:07,286 --> 00:00:08,119 - Come in. 3 00:00:08,119 --> 00:00:09,633 - Hi. - Hi. 4 00:00:09,633 --> 00:00:11,290 - How are you doing? - All right. 5 00:00:11,290 --> 00:00:12,180 - All right? - Yeah. 6 00:00:12,180 --> 00:00:13,430 - My name is Sarah. 7 00:00:13,430 --> 00:00:16,100 I'm a student nurse at UVM and I'll be caring for you 8 00:00:16,100 --> 00:00:18,227 this morning. - All right. 9 00:00:18,227 --> 00:00:20,527 - I'm just gonna sanitize my hands real quick. 10 00:00:21,519 --> 00:00:23,933 All right, I'm just gonna check your name band. 11 00:00:25,002 --> 00:00:25,960 Can you tell me your name 12 00:00:25,960 --> 00:00:27,740 and date of birth? - John Smith, 13 00:00:27,740 --> 00:00:29,703 it's August 17th, 1965. 14 00:00:31,310 --> 00:00:34,170 - And can you tell me your allergies? 15 00:00:34,170 --> 00:00:36,100 - I'm allergic to penicillin. - Okay, 16 00:00:36,100 --> 00:00:38,360 and then do you like to be called John? 17 00:00:38,360 --> 00:00:39,193 - Yes. - Okay. 18 00:00:39,193 --> 00:00:41,451 And what are your pronouns? 19 00:00:41,451 --> 00:00:43,483 - Oh, he or him. - Okay, great. 20 00:00:45,460 --> 00:00:47,840 So I'm here to take care of you this morning. 21 00:00:47,840 --> 00:00:50,290 I hear that you're gonna be discharged 22 00:00:50,290 --> 00:00:51,660 and they just wanted me to come in 23 00:00:51,660 --> 00:00:54,850 to make sure that you're stable. 24 00:00:54,850 --> 00:00:56,040 So I'm gonna assess your pain 25 00:00:56,040 --> 00:00:58,260 your vital signs and that head to toe assessment. 26 00:00:58,260 --> 00:00:59,180 - All right. - Looks like the bed 27 00:00:59,180 --> 00:01:01,480 is nice and locked and your side rails are up. 28 00:01:03,590 --> 00:01:05,514 So that's what I'm going to do. 29 00:01:05,514 --> 00:01:07,520 - All right. - Do you have any concerns? 30 00:01:07,520 --> 00:01:10,720 - No, they said I'd probably go home today. 31 00:01:10,720 --> 00:01:12,880 I hope that's the case. - Yeah. 32 00:01:12,880 --> 00:01:14,090 Well, so far what I'm hearing 33 00:01:14,090 --> 00:01:15,530 is that you'll be able to go home. 34 00:01:15,530 --> 00:01:17,510 We just need to do a final, 35 00:01:17,510 --> 00:01:19,900 you know, vital sign check pain assessment 36 00:01:21,170 --> 00:01:23,690 and head to toe. - All right, that's fine. 37 00:01:23,690 --> 00:01:24,540 - And once that's done, 38 00:01:24,540 --> 00:01:26,770 I'll report the findings to the doctor 39 00:01:28,268 --> 00:01:30,450 and then we'll go from there. - Okay, good. 40 00:01:30,450 --> 00:01:31,370 - Do you have any questions 41 00:01:31,370 --> 00:01:33,027 before I start? - No, thanks. 42 00:01:33,027 --> 00:01:34,130 I feel a lot better. 43 00:01:34,130 --> 00:01:36,630 I'm not having too much pain. 44 00:01:36,630 --> 00:01:37,640 - Yeah. - No I'll be fine. 45 00:01:37,640 --> 00:01:38,820 - So no concerns. 46 00:01:38,820 --> 00:01:39,780 You feel good? - Yeah. 47 00:01:39,780 --> 00:01:42,260 - I think you're ready to go. Perfect. 48 00:01:42,260 --> 00:01:43,310 So the thing I'm gonna do 49 00:01:43,310 --> 00:01:45,540 is I'm going to do a pulse ox 50 00:01:45,540 --> 00:01:48,980 and you've probably had this done to you oxygen. 51 00:01:48,980 --> 00:01:51,430 While that's cooking, I'm gonna check your pulse. 52 00:01:53,180 --> 00:01:54,470 Sorry, my hands are cold. 53 00:01:54,470 --> 00:01:55,873 I apologize. - That's fine. 54 00:02:13,030 --> 00:02:15,273 - Okay, a little bit longer. 55 00:02:30,420 --> 00:02:33,730 So, your heart rate was 68 56 00:02:37,420 --> 00:02:39,513 and respiratory rate was 12. 57 00:02:41,340 --> 00:02:44,790 Okay, so that looks good. Let's see what your oxygen is. 58 00:02:44,790 --> 00:02:48,193 Looks like it's 96. 59 00:02:51,868 --> 00:02:54,076 I'm gonna take the temperature of your forehead. 60 00:02:54,076 --> 00:02:56,576 You don't have to do anything. 61 00:02:59,278 --> 00:03:00,695 Oh, this here 98. 62 00:03:09,043 --> 00:03:11,381 98, so that's perfect. 63 00:03:11,381 --> 00:03:14,330 The normal limits, 64 00:03:14,330 --> 00:03:15,800 I'm gonna check your, 65 00:03:15,800 --> 00:03:18,620 do you prefer one arm versus the other? 66 00:03:18,620 --> 00:03:20,788 - It doesn't really matter if you're over here. 67 00:03:20,788 --> 00:03:21,621 - That's fine. - Yeah. 68 00:03:21,621 --> 00:03:22,481 I just wanna raise you up 69 00:03:22,481 --> 00:03:24,510 just 'cause I feel like you're gonna be bending down. 70 00:03:24,510 --> 00:03:27,093 (bed whirring) 71 00:03:37,563 --> 00:03:38,396 Your arm. 72 00:03:40,040 --> 00:03:41,913 You are so nice and warm and my hands, 73 00:03:41,913 --> 00:03:42,920 (John laughing) 74 00:03:42,920 --> 00:03:44,360 they're like really cold. 75 00:03:44,360 --> 00:03:45,610 I'm like, oh my goodness. 76 00:03:56,180 --> 00:04:01,060 Something is off (indistinct) okay, one more time. 77 00:04:01,060 --> 00:04:02,753 Your time's a (indistinct). - That's right. 78 00:04:15,680 --> 00:04:16,513 - They're all different, 79 00:04:16,513 --> 00:04:19,243 aren't they? - They are. 80 00:04:24,340 --> 00:04:27,167 I gonna make sure I'm taking this correctly. 81 00:04:27,167 --> 00:04:29,113 All right, just relax your arm. 82 00:04:30,850 --> 00:04:32,903 I'm gonna fill your break heel pulse. 83 00:04:35,685 --> 00:04:36,643 There you go. 84 00:04:48,890 --> 00:04:49,810 So the first thing I'm gonna do 85 00:04:49,810 --> 00:04:52,573 is I'm gonna feel your radio pulse as I pump it up. 86 00:04:54,018 --> 00:04:54,851 I said radio (indistinct). - Right. 87 00:04:54,851 --> 00:04:59,680 - I'm gonna feel your break. 88 00:04:59,680 --> 00:05:01,733 Radio, wow, Sarah. 89 00:05:03,500 --> 00:05:04,503 Radio pulse. 90 00:05:16,330 --> 00:05:20,750 Where does your blood pressure normally run? 91 00:05:20,750 --> 00:05:23,030 - It can surprise anyone. 92 00:05:23,030 --> 00:05:27,024 It goes from 120 to 140. - Yeah, sure. 93 00:05:27,024 --> 00:05:29,444 Okay, 120 to 140 is so strong. 94 00:05:29,444 --> 00:05:30,300 - Depending on the time of day 95 00:05:30,300 --> 00:05:34,220 if I have had coffee whatever. - Yeah, that makes sense. 96 00:05:34,220 --> 00:05:37,980 While I'm waiting for this to kinda your arm to settle, 97 00:05:37,980 --> 00:05:39,130 I'll ask you for your pain. 98 00:05:39,130 --> 00:05:40,500 So you said you had pain. 99 00:05:40,500 --> 00:05:42,240 Where is that pain? - It's in my knee. 100 00:05:42,240 --> 00:05:46,723 When I fell on my knee, I don't actually hurt it 101 00:05:49,426 --> 00:05:51,336 but it hurts on this side. - Okay. 102 00:05:51,336 --> 00:05:52,707 On the left knee. - On the left knee. 103 00:05:52,707 --> 00:05:54,880 - On the side right here? - On the outside. 104 00:05:54,880 --> 00:05:57,340 - Okay, and that started when you 105 00:05:57,340 --> 00:05:58,830 fell down, you think? - Well, it started, 106 00:05:58,830 --> 00:06:00,550 well, I don't know how else. 107 00:06:00,550 --> 00:06:01,383 - Yeah. - Yeah. 108 00:06:01,383 --> 00:06:02,216 - And it's been 109 00:06:02,216 --> 00:06:03,710 pretty constant? - It has. 110 00:06:04,570 --> 00:06:06,360 - What's, on a scale of one to 10, 111 00:06:06,360 --> 00:06:08,060 10 being the worst. - Oh, it's hard. 112 00:06:08,060 --> 00:06:08,893 Anything it's maybe true. 113 00:06:08,893 --> 00:06:12,290 - Okay. Is it sharp stabbing? 114 00:06:12,290 --> 00:06:13,980 - No, it's kinda achy. - Kinda achy. 115 00:06:13,980 --> 00:06:14,813 - Yeah. - Okay. 116 00:06:14,813 --> 00:06:17,060 - And it, you know, it's helped (indistinct). 117 00:06:17,060 --> 00:06:19,510 Ice- - Ice helps elevation. 118 00:06:19,510 --> 00:06:21,210 Does that help at all? - Elevation helps. 119 00:06:21,210 --> 00:06:22,520 - Yeah. - Yeah. 120 00:06:22,520 --> 00:06:24,436 - I noticed you weren't really taking medicine for it. 121 00:06:24,436 --> 00:06:25,269 Do you feel like 122 00:06:25,269 --> 00:06:26,143 you need medicine or? - I feel like 123 00:06:26,143 --> 00:06:28,264 it doesn't hurt enough really? 124 00:06:28,264 --> 00:06:30,300 - To really- - If it hurt a little more 125 00:06:30,300 --> 00:06:32,530 I might take something like Tylenol. 126 00:06:32,530 --> 00:06:35,650 - Yeah, any muscle spasms associated with that? 127 00:06:35,650 --> 00:06:38,613 Anything else associated? No. Okay. Perfect. 128 00:06:43,059 --> 00:06:46,392 I'm gonna listen to your blood pressure. 129 00:07:08,870 --> 00:07:11,993 So I'd say 140/90. - All right. 130 00:07:11,993 --> 00:07:13,840 - You all excited about talking about 131 00:07:13,840 --> 00:07:16,107 your injury and pain- - I'm sure. 132 00:07:19,831 --> 00:07:20,831 - All right. 133 00:07:25,660 --> 00:07:29,900 So, so far you look calm. 134 00:07:29,900 --> 00:07:31,810 You know, if you're in distress 135 00:07:31,810 --> 00:07:34,823 you're in a semi fowler's position. 136 00:07:35,700 --> 00:07:37,333 You're direct in bed. 137 00:07:38,280 --> 00:07:41,280 You're alert and oriented times three. 138 00:07:41,280 --> 00:07:43,150 Your speech is clear 139 00:07:43,150 --> 00:07:46,543 as much as it can be with a mask on your face, right? 140 00:07:47,950 --> 00:07:51,930 And I'm noticing your neck on a 45 degree angle. 141 00:07:51,930 --> 00:07:54,290 'Cause I'm pretty sure this is a 45 degree angle 142 00:07:54,290 --> 00:07:56,990 or 25 degree angle but close. 143 00:07:56,990 --> 00:08:00,640 When you have a little bit doesn't appear 144 00:08:00,640 --> 00:08:03,550 the jugular veins don't appear distended. 145 00:08:03,550 --> 00:08:05,563 I am gonna look into your eyes. 146 00:08:06,880 --> 00:08:10,150 If you could look straight ahead, that would be great. 147 00:08:10,150 --> 00:08:13,423 Keep your eyes open and create blue eyes. 148 00:08:15,920 --> 00:08:20,090 So your pupils are about three millimeters on both sides. 149 00:08:20,090 --> 00:08:23,840 They're equal, they're reactive to light, they're round. 150 00:08:23,840 --> 00:08:25,530 The next thing I wanna have you do is 151 00:08:25,530 --> 00:08:29,247 look at the tip here, focus on that. 152 00:08:29,247 --> 00:08:30,520 Bring it up. 153 00:08:30,520 --> 00:08:32,020 And your pupil's accommodated. 154 00:08:33,380 --> 00:08:36,960 They constrict and converge when I bring it close 155 00:08:36,960 --> 00:08:41,253 and then they dilate when I bring it away. 156 00:08:42,330 --> 00:08:45,320 So just thinking through my assessment, 157 00:08:45,320 --> 00:08:48,690 all of that looks good (indistinct) your face. 158 00:08:48,690 --> 00:08:50,850 Because of mask, I can't assess your smile. 159 00:08:50,850 --> 00:08:53,190 I can have you puff out your cheeks or show me your teeth. 160 00:08:53,190 --> 00:08:54,140 But what I would like you to do 161 00:08:54,140 --> 00:08:56,160 is raise your eyebrows 162 00:08:56,160 --> 00:08:58,720 and then fur your eyebrows, like perfect. 163 00:08:58,720 --> 00:08:59,834 So that's equal. 164 00:08:59,834 --> 00:09:01,660 The other thing I would normally have you do 165 00:09:01,660 --> 00:09:02,830 is stick out your tongue. 166 00:09:02,830 --> 00:09:04,920 But again, with the mask, we can't do that. 167 00:09:04,920 --> 00:09:07,983 So, but that so far looks symmetrical. 168 00:09:09,130 --> 00:09:12,880 The next thing I'm gonna do is I'm gonna move to your chest 169 00:09:16,960 --> 00:09:18,740 I should've put my glove on when I first started 170 00:09:18,740 --> 00:09:21,373 but we're pretty close to the beginning anyways. 171 00:09:30,990 --> 00:09:33,530 All right, so I'm just gonna bring that down 172 00:09:33,530 --> 00:09:34,363 a little bit down. 173 00:09:34,363 --> 00:09:35,853 Are you comfortable? - Sure. 174 00:09:38,160 --> 00:09:39,963 - I'm just gonna look at your chest. 175 00:09:43,700 --> 00:09:46,040 All the tie down ones, right? 176 00:09:46,040 --> 00:09:49,770 So your chest looks even, it looks symmetrical. 177 00:09:49,770 --> 00:09:51,130 It expands symmetrically. 178 00:09:51,130 --> 00:09:53,920 When you breathe, it looks regular. 179 00:09:53,920 --> 00:09:58,720 I don't see any variations in the skin color or the sheath, 180 00:09:58,720 --> 00:10:00,500 that looks good. 181 00:10:00,500 --> 00:10:04,110 I am going to listen to your heart first. 182 00:10:04,110 --> 00:10:06,723 So you can just relax as I do that. 183 00:10:08,290 --> 00:10:10,003 You can breathe normally as well. 184 00:10:39,110 --> 00:10:44,110 So listening to the four locations, I'm hearing S1, S2. 185 00:10:44,340 --> 00:10:47,950 I don't hear any murmurs or extra hard sounds. 186 00:10:47,950 --> 00:10:49,380 You don't feel any palpitations 187 00:10:49,380 --> 00:10:50,213 or anything like that? - No. 188 00:10:50,213 --> 00:10:52,760 - Okay, so next I'm gonna listen to your long sounds. 189 00:10:52,760 --> 00:10:55,033 I will sit you up a little bit more for that. 190 00:10:56,561 --> 00:10:57,850 Okay, let me know if you're not comfortable 191 00:10:57,850 --> 00:11:00,413 I can adjust it there. 192 00:11:01,280 --> 00:11:02,680 All right, so I am gonna listen 193 00:11:02,680 --> 00:11:05,220 to the front of your chest, the sides. 194 00:11:05,220 --> 00:11:06,053 Oh, thank you. 195 00:11:06,053 --> 00:11:06,900 Are you okay like that? - Yeah. 196 00:11:06,900 --> 00:11:07,990 - You don't mind? - I don't mind. 197 00:11:07,990 --> 00:11:12,930 - Okay, as I put my stethoscope down on your chest 198 00:11:12,930 --> 00:11:14,210 just take a deep breath. 199 00:11:14,210 --> 00:11:16,953 Don't feel like you have to force your breath though. 200 00:11:17,980 --> 00:11:20,050 Just nice deep breath. 201 00:11:20,050 --> 00:11:22,130 If I'm going too fast, let me know. 202 00:11:22,130 --> 00:11:23,320 Okay? - Yeah. 203 00:11:23,320 --> 00:11:24,290 - Okay, (indistinct). 204 00:11:56,480 --> 00:11:58,050 Okay, lung sounds in the front sound clear. 205 00:11:58,050 --> 00:12:01,490 I'm just gonna have you bring your left arm to your side. 206 00:12:01,490 --> 00:12:03,323 Just relax it here like so. 207 00:12:06,463 --> 00:12:07,296 You okay? - Yeah. 208 00:12:07,296 --> 00:12:08,663 - Oh, nice. Another deep breath. 209 00:12:15,183 --> 00:12:16,433 A deep breadth. 210 00:12:18,530 --> 00:12:20,450 Perfect, you can bring that arm down 211 00:12:20,450 --> 00:12:21,390 and I'll do the opposite. 212 00:12:21,390 --> 00:12:23,343 Same to the opposite side. - Okay. 213 00:12:34,929 --> 00:12:39,262 - All right, so your lung sounds clear in the front. 214 00:12:40,191 --> 00:12:42,570 Let me help you with that. - Yeah, I got it. 215 00:12:42,570 --> 00:12:43,790 - Do you wanna lean forward? - Sure. 216 00:12:43,790 --> 00:12:44,870 - Feel like you can. 217 00:12:44,870 --> 00:12:49,193 Okay, I'm gonna listen to eight spots in the back. 218 00:13:00,130 --> 00:13:02,133 Nice, deep breaths. Good job. 219 00:13:19,900 --> 00:13:20,733 Take your time. 220 00:13:30,090 --> 00:13:31,193 Two more times. 221 00:13:41,920 --> 00:13:43,720 Okay lung sounds are clear. 222 00:13:43,720 --> 00:13:48,233 Both anteriorly, laterally and posteriorly. 223 00:13:49,345 --> 00:13:50,520 We wanna lay back down 224 00:13:50,520 --> 00:13:51,353 if you feel like 225 00:13:51,353 --> 00:13:52,737 you can tolerate that. - Oh yes. 226 00:13:54,158 --> 00:13:55,252 - We'll look at your belly next. 227 00:13:55,252 --> 00:13:57,835 (bed whirring) 228 00:14:04,723 --> 00:14:08,310 All right, now moving to your belly. 229 00:14:08,310 --> 00:14:09,270 Are you feeling nauseous 230 00:14:09,270 --> 00:14:10,103 at all? - No. 231 00:14:10,103 --> 00:14:12,240 - You passing gas. Okay. 232 00:14:12,240 --> 00:14:15,590 All right, so your belly looks symmetrical and color 233 00:14:15,590 --> 00:14:20,590 symmetrical and shape looks round and no extra. 234 00:14:21,070 --> 00:14:22,780 I know. Sorry. - Very nice of you. 235 00:14:22,780 --> 00:14:24,460 - Slightly round- - To put it that way. 236 00:14:24,460 --> 00:14:26,640 - Rounded, it doesn't look distended to me, 237 00:14:26,640 --> 00:14:30,280 but I'll assess more when I feel your belly. 238 00:14:30,280 --> 00:14:33,153 So I'm gonna listen into the right lower quadrant. 239 00:14:36,070 --> 00:14:38,200 Let me know if you feel uncomfortable. 240 00:15:26,070 --> 00:15:28,310 Soft sounds are active in all four quadrants. 241 00:15:28,310 --> 00:15:31,069 I am gonna feel around your belly 242 00:15:31,069 --> 00:15:35,290 and then I'm gonna end up in your bellybutton area. 243 00:15:35,290 --> 00:15:36,293 Okay? - Okay. 244 00:15:37,200 --> 00:15:38,390 - Let me know if you're uncomfortable 245 00:15:38,390 --> 00:15:40,183 as I'm doing this. - Okay. 246 00:15:49,700 --> 00:15:52,590 - So it feels nice and soft not distended 247 00:15:52,590 --> 00:15:56,776 even throughout no nodules, masses or anything like that. 248 00:15:56,776 --> 00:15:58,850 No, nothing that I would be concerned about. 249 00:15:58,850 --> 00:16:00,220 So all of that looks great. 250 00:16:00,220 --> 00:16:02,670 Now I'm just gonna assess your arms and your legs. 251 00:16:02,670 --> 00:16:05,253 (bed whirring) 252 00:16:06,130 --> 00:16:08,160 So just looking at your arms, 253 00:16:08,160 --> 00:16:09,790 sorry I'm just gonna lift the sleeves 254 00:16:09,790 --> 00:16:11,512 just as I mentioned I can see them. 255 00:16:11,512 --> 00:16:15,040 They look symmetrical in shape, in size, 256 00:16:15,040 --> 00:16:18,460 color and hair distribution are also even. 257 00:16:18,460 --> 00:16:20,630 I'm gonna feel your arms and your hands 258 00:16:20,630 --> 00:16:23,670 and they're nice and warm bilaterally. 259 00:16:23,670 --> 00:16:25,150 Nice and dry. 260 00:16:25,150 --> 00:16:27,410 No pinning edema noted. 261 00:16:27,410 --> 00:16:29,603 I'm gonna feel your bra heel pulses. 262 00:16:32,840 --> 00:16:35,650 And you're plus two bilaterally. 263 00:16:35,650 --> 00:16:38,023 And then I'm gonna feel your radial pulses. 264 00:16:44,653 --> 00:16:46,430 And then plus two bilaterally. 265 00:16:46,430 --> 00:16:47,940 So just looking at your hands 266 00:16:47,940 --> 00:16:50,980 you're nails looking intact and they're pink. 267 00:16:50,980 --> 00:16:53,121 I'm gonna feel the cat refill on both sides. 268 00:16:53,121 --> 00:16:56,833 You're less than three seconds. 269 00:16:59,231 --> 00:17:01,290 I'm gonna have you grasp my hands. 270 00:17:01,290 --> 00:17:02,190 Nice and strong. 271 00:17:02,190 --> 00:17:06,730 Nice, so bilateral strong hand grasp. 272 00:17:06,730 --> 00:17:09,960 And then I'm gonna have you raise your arms like so 273 00:17:09,960 --> 00:17:14,510 so you're able to lift up your arms against gravity. 274 00:17:14,510 --> 00:17:15,800 But I'm gonna push down to know 275 00:17:15,800 --> 00:17:17,370 if you can do it against resistance. 276 00:17:17,370 --> 00:17:21,293 So plus five arm strength looks great there. 277 00:17:22,760 --> 00:17:25,780 Don't think I forgot something, but maybe I did. 278 00:17:25,780 --> 00:17:29,170 Now I'm gonna move down to your legs, same thing 279 00:17:31,513 --> 00:17:32,563 and keep you covered. 280 00:17:33,550 --> 00:17:37,233 So, again size looks symmetrical, 281 00:17:39,170 --> 00:17:41,710 hair distribution and color also looks symmetrical. 282 00:17:41,710 --> 00:17:42,963 I'm gonna feel again. 283 00:17:44,020 --> 00:17:49,020 I don't feel any hitting edema, warm and dry. 284 00:17:51,628 --> 00:17:52,461 Looks good. 285 00:17:54,333 --> 00:17:57,040 And I'm gonna try to feel your patella tails. 286 00:17:57,040 --> 00:17:58,227 I do feel this one. 287 00:18:06,640 --> 00:18:10,120 I don't feel this one, but I would go grab a dog afterwards 288 00:18:10,120 --> 00:18:12,540 if I really wanted to feel it. 289 00:18:12,540 --> 00:18:13,373 I'm gonna break this down. 290 00:18:13,373 --> 00:18:15,203 Just a smidge so you don't get cold. 291 00:18:16,690 --> 00:18:18,973 I'm gonna feel your posterior pulses. 292 00:18:27,590 --> 00:18:29,236 Here plus two. 293 00:18:29,236 --> 00:18:33,560 I'm gonna feel your pitea posture too. 294 00:18:33,560 --> 00:18:34,643 All these are nice and strong. 295 00:18:34,643 --> 00:18:36,840 I can feel these really well. 296 00:18:36,840 --> 00:18:38,963 Good, there's also plus two and regular. 297 00:18:40,330 --> 00:18:42,600 Your toes. - My toes are little mess. 298 00:18:42,600 --> 00:18:44,530 - Well, I'm checking, 299 00:18:44,530 --> 00:18:45,670 (both laughing) 300 00:18:45,670 --> 00:18:47,250 I'm looking at the cap refill. 301 00:18:47,250 --> 00:18:51,250 So cap refill is less than three seconds on both sides. 302 00:18:51,250 --> 00:18:52,250 I'm gonna have you push down 303 00:18:52,250 --> 00:18:53,847 like you're pushing down on the pedal 304 00:18:53,847 --> 00:18:56,080 so that's your planter reflection. 305 00:18:56,080 --> 00:18:57,930 Nice and strong bilaterally. 306 00:18:57,930 --> 00:18:59,900 And then door inflection. 307 00:18:59,900 --> 00:19:01,240 So push back. 308 00:19:01,240 --> 00:19:03,873 Good, you're nice and strong, John. 309 00:19:05,440 --> 00:19:07,310 And then same thing with your arms, 310 00:19:07,310 --> 00:19:10,620 except it's hard to raise your arms, your legs equally. 311 00:19:10,620 --> 00:19:13,980 So one leg at a time I'm gonna have you raise it up. 312 00:19:13,980 --> 00:19:15,360 I'm gonna push perfect. 313 00:19:15,360 --> 00:19:17,110 Plus five strength. 314 00:19:17,110 --> 00:19:19,090 Perfect. Plus five strength. 315 00:19:19,090 --> 00:19:21,720 Okay, so that all looks good. 316 00:19:21,720 --> 00:19:23,321 The last thing that we're gonna do, 317 00:19:23,321 --> 00:19:25,904 (bed whirring) 318 00:19:27,571 --> 00:19:29,260 'cause I'm gonna have you walk, 319 00:19:30,180 --> 00:19:34,520 I'm gonna sit up and you walk to the door and back 320 00:19:34,520 --> 00:19:35,700 if you feel comfortable 321 00:19:35,700 --> 00:19:36,533 with that. - I do. 322 00:19:36,533 --> 00:19:39,157 - I know that knee might be hurting you. 323 00:19:39,157 --> 00:19:41,471 - I can do it. - Okay. 324 00:19:41,471 --> 00:19:42,557 - Nothing hooked to me, 325 00:19:42,557 --> 00:19:45,232 right? - No, not in the ICU. 326 00:19:45,232 --> 00:19:46,195 So- - All right. 327 00:19:46,195 --> 00:19:47,580 So I'm just walking. - Literally 328 00:19:47,580 --> 00:19:49,500 you're just walking to the door 329 00:19:49,500 --> 00:19:51,703 and then back to sitting position. 330 00:19:53,110 --> 00:19:58,110 So your gate is even, your stride is also even, 331 00:19:59,200 --> 00:20:02,610 you look erect in your posture 332 00:20:02,610 --> 00:20:05,520 and there's no swaying to one side or the other. 333 00:20:05,520 --> 00:20:08,240 So my impression is that you're stable. 334 00:20:08,240 --> 00:20:09,770 Everything looks stable 335 00:20:09,770 --> 00:20:12,860 despite that mild pain that you have in the, 336 00:20:12,860 --> 00:20:13,980 I don't know would you consider it 337 00:20:13,980 --> 00:20:14,813 mild pain- - Yes. 338 00:20:14,813 --> 00:20:16,100 - In your knee? - Yes. 339 00:20:18,020 --> 00:20:20,560 - So I'll note all of those things in the chart 340 00:20:20,560 --> 00:20:22,260 along with the vital signs 341 00:20:22,260 --> 00:20:24,162 and see what the doctor says. - Okay. 342 00:20:24,162 --> 00:20:27,560 - And then I'll be back probably in like half an hour. 343 00:20:27,560 --> 00:20:29,050 But if you need me before then feel free 344 00:20:29,050 --> 00:20:30,694 to use your call bell. - Right. 345 00:20:30,694 --> 00:20:31,944 - That's right. 346 00:20:33,208 --> 00:20:34,170 And do you have any questions before I step out? 347 00:20:34,170 --> 00:20:36,210 - No, you've been very nice 348 00:20:36,210 --> 00:20:38,700 and very helpful out there. - All right. 349 00:20:38,700 --> 00:20:40,100 Well thank you so much 350 00:20:40,100 --> 00:20:41,791 and I'll be back, okay? - Okay, great. 351 00:20:41,791 --> 00:20:44,586 Thank you. - All right, we're good.