Gdm on d/c -IOL & varicose vein

Cemak Asma: Salam dr. I clerk this patient 44y/o, g6p5 with gdm on d/c. She was referred from pekan because of her 19 years voluntary subfertility.. Cumanya, pekan refer because she wants to give birth svd so they send her to htaa.. If at pekan, only can do caesar for her.. But how do i phrase the chief complaint?

Dr Shaiful Ehsan: Waalaikumsalam.She's currently in labor?
Usually patient need to be referred at labor...or come at labor....

Cemak Asma: Not yet.. She was already given date by pekan to come to htaa

Dr Shaiful Ehsan: How many weeks?

 Cemak Asma: Baru masuk 38 minggu

 Dr Shaiful Ehsan: Plan for IOL at 38 weeks?

 Cemak Asma: Yes.. She said yesterday if not in labour they will induce her today.. But just now i followed dr raja arif doing rounds and he said she's not ready for induction yet

Dr Shaiful Ehsan: So the chief complaint initially is IOL at 38 weeks..m

44, G6P5 with GDM on diet control with 19 years voluntary subfertility referred  to htaa for IOL at 38 weeks...
GDM on DC usually IOL at 40 weeks...

Those with longer duration of subfertility or precious pregnancy...some specialist give IOL earlier...some give 39 weeks...

I personally prefer 39 weeks...

Cemak Asma: Oh.. Okay.. Pastu doctor, i noticed varicose veins in her legs.. She said it is only painful when pressed very hard.. Otherwise no ulcers, bleeding, cramps.. Cuma sakit bila diri lama.. Are there any other important questions that i should ask the patient regarding this?

Dr Shaiful Ehsan: Started noticed since when? Any skin changes / swelling / fever?

Cemak Asma: Since her 2nd childbirth
[30/10 9:13 am] M Cemak Asma: If skin i didnt notice any.. But the veins were discoloured and bumpy bumpy.. No fever

Dr Shaiful Ehsan: History...means u ask pts...

Cemak Asma: Ohh.. Fever no.. But skin changes i didnt ask.. Also for her first three children she gave birth at home dengan bidan kampung.. Ada relation ke doctor?

 Dr Shaiful Ehsan: Nope...

Dr Shaiful Ehsan: Please read further in white tagging, green, yellow, red....

 Cemak Asma: Okay.. Thank you doctor