{"sno": "new", "year": "2025", "answer": [{"options": {"value": "HANNAH L KENNEY-BLAISDELL", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "C0030156700", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "2004-05-12", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-05-07T14:44"}, "questionId": "W-iz6p"}, {"options": {"value": "7812041471", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Behavioral Health", "optionId": ["bhd"]}, "questionId": "U-w165"}, {"options": {"value": "Member states that she was diagnosed with Bipolar disorder when she was younger.  She feels that she was misdiagnosed and would like to be re-evaluated.  She is definitely experiencing increased stress in life since she recently quit her job due to being mistreated and is in the process of finding another position.  Her PHQ9 is elevated and she reports that this may be in part of her untreated ADHD and her looking for a job right now.  She says that her grandmother does provide food and shelter for her but until she is currently not employed so her money is getting low.  Discussed with member that her PHQ9 score is significantly elevated.  This may be due to a combination or her not being able to take her mental health medications due to the nausea and her untreated ADHD.  She reported that in the past when she was treated for her ADHD the medications made her feel like a zombie and did not seem to work very well.  She also feels that she was misdiagnosed with the Bipolar disorder and is currently looking for a provider to re-evaluate her.  Advised member to contact her PCP as well as member services so that she can get assistance with finding a provider.  Also, advised member that speaking with a counselor or therapist is very helpful in addition to the medications.  Member has been off of her medications for almost 2 months and she was advised of the danger this causes and the relapse and even worsening of her mental health conditions.  Will send a referral.   <br><br>Member was recently diagnosed with chronic gastritis and she will be going to a GI specialist for further evaluation.  She says that she wakes up most days with nausea and vomiting.  She went to the urgent care recently and they prescribed her Zofran 4mg but they are not dissolvable tablets and when she is nauseated she is not able to swallow a pill.  Advised her to call the urgent care and let them know that she was unable to take the pills because she was too nauseated and see if they will call her in a prescription for the sublingual form of the medications.  Her GI visit is scheduled for 6/2/2025.  <br><br>Member reported that she has been experiencing increased urinary frequency and nocturia which disturbs her sleep causing increased insomnia.  Advised member to notify her PCP so that they can perform a workup on her bladder.  She states that when she voids she has a burning feeling right after.  Member was recently treated for yeast infection and BV this past month.  She inquired if it could possibly be from an allergy to the condoms or lubricant.  Advised member that she can contact her PCP or allergies to see if they are able to run an allergy test to see what it is that she may be allergic too.  Also, reviewed with member the proper methods for post intercourse hygiene.   <br>", "optionId": "l6l"}, "questionId": "P-gbms"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "behavioral health medication and therapy needs, chronic gastritis, internal bladder pain with voiding, increased Bacterial Vaginosis and Yeast infections  ", "optionId": "C-MV65"}, "questionId": "C-MV65"}], "clientId": "client_013", "memberId": "C0030156700", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-05-07T18:46:25.890Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}