EVALUATOR
CDT/1 Reese, Heidi, RN
AUTHORITY
Nurse
MEDICAL FILE
PATIENT’S NAME: CMDR Sejea, Kala Segga (( @Kala ))
APPOINTMENT STARDATE: 101400.5
PURPOSE AND CONTEXT OF EVALUATION
Medical Incident: Patient requested appointment to discuss snatiation (sneezing fits).
CONCLUSION
Snatiation is caused by nonallergic rhinitis. This in turn was caused pregnancy, which is a trait common to the Bajoran species when pregnant.
SUBJECTIVE FINDINGS
Patient’s initial reason for visit was because of the constant sneezing fits. Patient was aware of being pregnant. Patient complains of emotional duress given that the father of children (3 in utero) is currently MIA. Patient did say she was seeing a counselor.
OBJECTIVE FINDINGS
Nonallergic rhinitis is normal in Bajorans who are pregnant.
Patient currently has three (3) embryos in utero. Given the differences in species (father is Caitian and mother is Bajoran) nutritional requirements are a concern.
Along with pregnancy, patient exhibits signs of emotional distress and melancholy as a result of situational stress. Father of children (3 in utero) is currently MIA.
Review of Physiological Systems
Section |
Status |
Comment |
HEENT |
D/W |
Nonallergic Rhinitis resulting from pregnancy |
Respiration |
NAD |
Respiration normal. (when not in snatiation) |
Cardiovascular |
NAD |
Pulse and pressure within normal limits. |
Abdominal |
NAD |
NBS, all scans clear. Pregnancy detected |
Extremities |
NAD |
Responses normal. |
Neurological |
NAD |
Patient was coherent, coordinated and responsive WNL. |
PLAN OF CARE
Patient is currently seeing a counselor ( LTJG K’Sarra ) for depression. It is recommended that this continue through postpartum phase.
A recommendation for a pregnancy safe antihistamine has been sent to CMO of USS Ecstasea ( Nanite CHS/DDL injection recommended but doctor on call has left this to ship CMO’s discretion. )
A follow up exam with CMO of USS Ecstasea around SD 101440 has been recommended. Continued follow up care is encouraged.
Given nutritional needs of Caitian (inc hybrid) NBs a vegan-based dietary supplement (ProPlus Neonatal Meal Replacement NCNE-Pr2 ) has been recommended.
Patient is cleared for limited, non-strenuous duty. This LD period is for the length of the pregnancy plus 12 weeks postpartum pending review following.
Patient is not cleared for away missions while in LD status.
Patient is cleared to resume command status.
LENGTH OF APPOINTMENT: 1 hrs
END OF EVALUATION.