Tiredness 2

Name: Sammy Wong 

Date of birth: 5 April 1997

Location: Happy GP Surgery

Occupation: Accountant

‘I am so tired everyday….’

• Onset: Has been feeling tired for the past 6 months. Always thought it was due to my job nature of working from 9-5 everyday, but even on weekends, I have no energy to socialise. I have stopped hanging out with my friends. I just feel very tired everyday.

• Progression: I think my energy levels have been low for the past few months. I have also noticed a significant weight gain of 7kg over the past 6 months although my appetite has reduced. 

• Mental state: I have not been feeling great.

only mention when asked each question specifically: 

‘Have you been feeling depressed/hopeless for the past few months?’ - yes, at times 

‘Have you lost interest/pleasure in doing things you enjoy?’ - yes. I used to enjoy playing the piano but I have not had any energy to play for the past few months. 

‘Have you experienced any trouble concentrating at work?’ - no

‘It is my responsibility to also ask this question whenever my patients present with mood changes. Do you have any thoughts of life not worth living for the past few months?’ - no 

• Ideas: I have no idea why this is happening.

• Expectations: I really want to find out the cause. 

• Concerns: ‘Would this be cancer, doctor?’

  
  

• Temperature tolerance: I now need to wear a thick cardigan at work although my colleagues think it's warm in the office. 

• Bowel habit: Occasionally I suffer from constipation. I have tried to increase my fibre intake. 

• Menstruation: My cycles are normal. I do suffer from heavy menstrual bleeding ever since puberty. 

• Sleep quality: at least 7 hours of sleep everyday. My sleep quality is good. 

• Palpitations: no

• Biotin intake: I do not take any extra biotin supplements.

Medical conditions: none

Previous surgeries: none 

Regular medications: only multivitamins everyday

Over the counter medication: none 

Excessive biotin intake: no

Drug allergies: I am allergic to penicillin.

My mother has a thyroid gland issue. I am not sure about the details.

• Smoking: I have never smoked. 

• Alcohol: I don’t drink at all. 

• Recreational drugs: never

• Diet: I am trying to increase my fibre intake.

• Exercise: no

• Home: I live alone.

• Occupation: Accountant

• Impact of symptoms on activities at home/work: My tiredness and weight gain have both decreased my confidence at work. I am now shy to speak to my colleagues because of my appearance. The first thing they always say is ‘You have gained so much weight!’