Doctor: Welcome to the clinic.
Patient: Thank you. 
Doctor: Are you from the area? 
Patient: No. I was born and raised in North Carolina. I am the sixth of nine siblings. 
Doctor: Tell me about you family medical history. 
Patient: My family has significant amount of diabetes, heart disease, high blood pressure, thyroid problems, autoimmune disease, possible multiple sclerosis, and depression issues. 
Doctor: That is a lot. What is your medical history involving your parents? 
Patient: My dad died due to complications of his diabetes.  He passed when he was sixty. My dad was a chef. My mom is doing well. She is ninety three. Both my parents never finished high school. My dad had a third grade education and my mom made it through fourth grade. She was a janitor. She was a smart woman she just never finished her schooling. My parents encouraged me to finish school and to go to college. I got my Bachelor of Science in Nursing at the State University in nineteen seventy nine. 
Doctor: Did you have any problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems?
Patient: No. I mostly got A's and B's.  My strongest subject was math, but my worst subject was spelling. My grades were still quite good in spelling, but I had to work hard at it.   
Doctor: Are you married? 
Patient: I was married for two years. We had two children together. They are forty three and thirty now. My son is the youngest, lives nearby and calls me or stops by every day. My daughter calls me often but she lives in New York. We are close. Their dad, my exhusband passed away in nineteen eighty. He was an alcoholic. His pancreas had enough and shut down. 
Doctor: I am so sorry. 
Patient: He did it to himself.
Doctor: Are you working in health care with your nursing degree? 
Patient:  I worked for Hospital Center for four years. Prior to that, I worked for an outpatient mental health center. I was there for about two and a years. I was fired or laid off I guess? I was not sure why they let me go. I was given no explanation. And before that, I worked for Walter P. Carter Center for twenty one years. I also worked as an O B nurse.  Other than the two instances, I had never been fired or let go from a job.  
Doctor: What do you do in your spare time now? 
Patient: I enjoy reading, doing puzzles, playing computer games. I joined a women's support group for women my age. I keep myself, busy.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Born and raised in North Carolina, sixth of nine siblings, father died at 60 due to complications of diabetes, mother is 93 years old and worked as a janitor, family medical history includes diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, possible multiple sclerosis, and depression, completed Bachelor of Science in Nursing in 1979, no history of cognitive problems, married for two years, ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse, has two children aged 43 and 30, son lives nearby and daughter lives in New York, obtained primarily A's and B's in school with strongest subject being math and weakest subject being spelling, worked for Hospital Center for four years, previously worked for an outpatient mental health center for 2-1/2 years and was either terminated or laid off, prior to that worked for Walter P. Carter Center for 21 years, worked as an OB nurse in the past, enjoys reading, doing puzzles, playing computer games, and participating in women's support groups in spare time.
Plan Of Action: N/A.