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Tim asthma action plan 26-27

personas/two-country-family/files/documents/tim-asthma-action-plan.pdf
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                                                                                      22-10 Thistle Hill Road
                                                                                        Fair Lawn, NJ 07410

Thistle Hill Pediatrics
                                                                                               (201) 555-0118
                                                                                      thistlehillpeds.example



Asthma Action Plan - school year 2026-27
 STUDENT
 NAME                                    DATE OF BIRTH              SCHOOL, GRADE
 Timofey (Tim) Zaretsky                  04/09/2013                 Alder Brook Middle
                                                                    School, 8
 PARENT OR GUARDIAN                      SECOND CONTACT             ASTHMA
 Yulia Zaretskaya, (201)                 Pavel Zaretsky, (201)      Exercise-induced only
 555-0143                                555-0167
 TRIGGERS                                DRUG ALLERGIES             DAILY CONTROLLER MEDICINE
 Exercise, cold air                      None known                 None

 GREEN ZONE: BREATHING WELL
 BEFORE EXERCISE                         WHEN
 Albuterol HFA 90 mcg, 2                 15 minutes before PE,
 puffs with spacer                       practice or a meet

 YELLOW ZONE: COUGH, WHEEZE, TIGHT CHEST
 QUICK RELIEF                            REPEAT                     THEN
 Albuterol 2 puffs                       Once after 20 minutes if   Rest. Call a parent if
                                         needed                     no better after the
                                                                    second dose

 RED ZONE: EMERGENCY
 SIGNS                                   DO
 Cannot speak in                         Albuterol 4 puffs, call
 sentences, lips blue,                   911, call a parent
 ribs pulling in

 AUTHORIZATION
 MAY CARRY AND USE THE INHALER HIMSELF   INHALERS AT SCHOOL         VALID
 Yes                                     Nurse's office; swim bag   09/01/2026 to 08/31/2027
 PHYSICIAN                               DATE
 Marina Vaysman, MD                      08/18/2026

Physician:   M. Vaysman           Parent:   Y. Zaretskaya

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Tim asthma action plan 26-27 Document · saved Aug 19, 2026

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1render unknown

The record values this file is made from: the ones its text names with {{record.field}}, and the fields its template reads. A value here is in the file's source; whether it is readable depends on the look.

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tim.date_of_birth 2013-04-09

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Planted

someone_elses Four SSNs, eleven passports for five people, licenses for two. "My" is Yulia's only, and "my Russian passport" is not "my American passport". Tim's asthma plan says "drug allergies: none known", which is true of Tim and not of Vera. The only blood group in the account is mama's. The only W-2 is Yulia's; Pavel's wages can be worked out from the accountant's total.

mismatch The pediatrician's immunization record prints Tim's date of birth as 09/04/2013. Every other record, including the asthma plan from the same office, says 9 April 2013 (04/09/2013, 09.04.2013). April 9 is right; the printout has day and month swapped.

attachments.yaml 
record: doc-tim-asthma-plan
template: document
style: form
org:
  name: Thistle Hill Pediatrics
  lines:
  - 22-10 Thistle Hill Road
  - Fair Lawn, NJ 07410
  phone: '2015550118'
  web: thistlehillpeds.example
  color: '#2f6f4f'
title: Asthma Action Plan - school year 2026-27
body: '| Student | |

  |---|---|

  | Name | Timofey (Tim) Zaretsky |

  | Date of birth | {{tim.date_of_birth|mdy}} |

  | School, grade | Alder Brook Middle School, 8 |

  | Parent or guardian | Yulia Zaretskaya, (201) 555-0143 |

  | Second contact | Pavel Zaretsky, (201) 555-0167 |

  | Asthma | Exercise-induced only |

  | Triggers | Exercise, cold air |

  | Drug allergies | None known |

  | Daily controller medicine | None |


  | Green zone: breathing well | |

  |---|---|

  | Before exercise | Albuterol HFA 90 mcg, 2 puffs with spacer |

  | When | 15 minutes before PE, practice or a meet |


  | Yellow zone: cough, wheeze, tight chest | |

  |---|---|

  | Quick relief | Albuterol 2 puffs |

  | Repeat | Once after 20 minutes if needed |

  | Then | Rest. Call a parent if no better after the second dose |


  | Red zone: emergency | |

  |---|---|

  | Signs | Cannot speak in sentences, lips blue, ribs pulling in |

  | Do | Albuterol 4 puffs, call 911, call a parent |


  | Authorization | |

  |---|---|

  | May carry and use the inhaler himself | Yes |

  | Inhalers at school | Nurse''s office; swim bag |

  | Valid | 09/01/2026 to 08/31/2027 |

  | Physician | Marina Vaysman, MD |

  | Date | 08/18/2026 |


  Physician: <span class="sig">M. Vaysman</span> &nbsp;&nbsp;&nbsp; Parent: <span class="sig">Y. Zaretskaya</span>

  '