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|---|---|---|---|---|---|---|
doctor: it's with ibuprofen okay what's your pain level without then patient: i would say probably a six | D2N042 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | it's with ibuprofen okay what's your pain level without then | 1,200 |
doctor: okay alright that that sounds good have you ever injured that foot and ankle before patient: you know i've had a lot of injuries to my ankle but i've never hurt this ankle before i just realized an error | D2N042 | 11 | [
"Personal History"
] | [
"Subjective"
] | okay alright that that sounds good have you ever injured that foot and ankle before | 1,201 |
doctor: okay you know and i see here that you have a history of playing sports looks like you played soccer in college and then played a little bit of a inner marrow soccer now patient: yeah | D2N042 | 12 | [
"Other Socials"
] | [
"Subjective"
] | okay you know and i see here that you have a history of playing sports looks like you played soccer in college and then played a little bit of a inner marrow soccer now | 1,202 |
doctor: i'm i'm guessing you probably have n't been able to do that since you hurt your ankle patient: no i have not been | D2N042 | 13 | [
"Other Socials"
] | [
"Subjective"
] | i'm i'm guessing you probably have n't been able to do that since you hurt your ankle | 1,203 |
doctor: so did you hear about the new major league soccer stadium and team that's coming to town they opened in the this year actually they built the stadium have you been down there yet patient: no i have to get there | D2N042 | 14 | [
"Chitchat"
] | [
"Null"
] | so did you hear about the new major league soccer stadium and team that's coming to town they opened in the this year actually they built the stadium have you been down there yet | 1,204 |
doctor: yeah we are all excited it's going to be a good time well have you experienced any numbness or tingling in that right foot patient: no | D2N042 | 15 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah we are all excited it's going to be a good time well have you experienced any numbness or tingling in that right foot | 1,205 |
doctor: okay so if it's okay with you i would like to do a quick physical exam your vitals look good and everything there looks okay now i'm gon na do a focused exam on your right ankle i do appreciate some ecchymosis or bruising over the lateral malleolus malleolus associated with some edema or swelling of that area y... | D2N042 | 16 | [
"Physical Examination",
"Other Treatments",
"Radiology Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay so if it's okay with you i would like to do a quick physical exam your vitals look good and everything there looks okay now i'm gon na do a focused exam on your right ankle i do appreciate some ecchymosis or bruising over the lateral malleolus malleolus associated with some edema or swelling of that area you are p... | 1,206 |
doctor: so your symptoms should significantly improve over a few weeks but i'd like to follow up with you and see how you're doing let's say i'll see you again in fourteen days now i do want you to go ahead and continue to take nsaids or ibuprofen as needed to help with any pain and that's also gon na help reduce that ... | D2N042 | 17 | [
"Follow-up",
"Medication"
] | [
"Plan"
] | so your symptoms should significantly improve over a few weeks but i'd like to follow up with you and see how you're doing let's say i'll see you again in fourteen days now i do want you to go ahead and continue to take nsaids or ibuprofen as needed to help with any pain and that's also gon na help reduce that inflamma... | 1,207 |
doctor: alright i will see you again in two weeks carolyn patient: great thank you | D2N042 | 18 | [
"Follow-up"
] | [
"Plan"
] | alright i will see you again in two weeks carolyn | 1,208 |
doctor: you're welcome | D2N042 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: you're welcome | 1,209 |
doctor: how are you doing patient: i'm doing i'm good i'm i'm doing really good i'm here i'm just ready to quit smoking and but i've been having quite a hard time with it | D2N043 | 0 | [
"Greetings"
] | [
"Subjective"
] | how are you doing | 1,210 |
doctor: well i'm glad that you're taking the first steps to quit smoking would you tell me a little bit more about your history of smoking patient: yeah so i've been smoking for some time now i started in high school and was just you know just experimenting and smoking here and there with friends or at parties and then... | D2N043 | 1 | [
"Drug History"
] | [
"Subjective"
] | well i'm glad that you're taking the first steps to quit smoking would you tell me a little bit more about your history of smoking | 1,211 |
doctor: okay do you use any other type of tobacco products patient: no smoking is enough | D2N043 | 2 | [
"Drug History"
] | [
"Subjective"
] | okay do you use any other type of tobacco products | 1,212 |
doctor: okay and i understand that so when you wake up in the morning how soon after waking up do you smoke your first cigarette patient: i would say probably within an hour of waking up i'll have my first cigarette | D2N043 | 3 | [
"Vegetative History"
] | [
"Subjective"
] | okay and i understand that so when you wake up in the morning how soon after waking up do you smoke your first cigarette | 1,213 |
doctor: okay so i'm really excited that you wan na quit and i know that you probably heard this multiple times before but this really is one of the best things that you can do to help your health especially since you have the history of gout and type two diabetes this is really gon na be a great step in you having bett... | D2N043 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay so i'm really excited that you wan na quit and i know that you probably heard this multiple times before but this really is one of the best things that you can do to help your health especially since you have the history of gout and type two diabetes this is really gon na be a great step in you having better long ... | 1,214 |
doctor: hey that's great and that's great to hear congratulations i'm so excited to hear about the new baby patient: yeah | D2N043 | 5 | [
"Chitchat"
] | [
"Null"
] | hey that's great and that's great to hear congratulations i'm so excited to hear about the new baby | 1,215 |
doctor: i i have a daughter myself have have you picked out any names patient: we're you know we're deciding between a few names but we're kinda just waiting to see her to see which name fits | D2N043 | 6 | [
"Chitchat"
] | [
"Null"
] | i i have a daughter myself have have you picked out any names | 1,216 |
doctor: okay alright that sounds good well congratulations again i'm very excited for you and your and and your wife that that's this is great patient: thank you | D2N043 | 7 | [
"Chitchat"
] | [
"Null"
] | okay alright that sounds good well congratulations again i'm very excited for you and your and and your wife that that's this is great | 1,217 |
doctor: so you mentioned you tried to quit before can you tell me a little bit about the methods that you used or or what you tried patient: yeah actually i just went cold turkey one day i woke up and i said you know i've had enough and i know that smoking is not good for me so i woke up and stopped and i actually did ... | D2N043 | 8 | [
"Drug History"
] | [
"Subjective"
] | so you mentioned you tried to quit before can you tell me a little bit about the methods that you used or or what you tried | 1,218 |
doctor: well you are absolutely correct you know stress can often be a trigger for things like smoking and drinking have you thought what you would do this time when you encountered the stressful situations patient: yeah i i did n't think about that a lot actually and one thing is i have started learning and trying to ... | D2N043 | 9 | [
"Drug History"
] | [
"Subjective"
] | well you are absolutely correct you know stress can often be a trigger for things like smoking and drinking have you thought what you would do this time when you encountered the stressful situations | 1,219 |
doctor: okay well that's great to hear that you're getting back in the gym that will be good for your long term health too you know helping to maintain that type two diabetes you know those are really great strategies talking about gym for stress relief and and you know we have other products as well that you can use f... | D2N043 | 10 | [
"Discussion",
"Medication",
"Drug History"
] | [
"Plan"
] | okay well that's great to hear that you're getting back in the gym that will be good for your long term health too you know helping to maintain that type two diabetes you know those are really great strategies talking about gym for stress relief and and you know we have other products as well that you can use for an ad... | 1,220 |
doctor: okay alright that that sounds good it's good that you've you've picked out one of those aids and have you thought of a quit date i mean we we really wan na talk about when you're gon na say this is the day patient: yeah you know next monday is actually my birthday so i think that's a good day | D2N043 | 11 | [
"Discussion"
] | [
"Plan"
] | okay alright that that sounds good it's good that you've you've picked out one of those aids and have you thought of a quit date i mean we we really wan na talk about when you're gon na say this is the day | 1,221 |
doctor: that's a fantastic day and happy birthday coming up on monday patient: thank you | D2N043 | 12 | [
"Chitchat"
] | [
"Null"
] | that's a fantastic day and happy birthday coming up on monday | 1,222 |
doctor: so let's talk a little bit about your exam here okay i'm gon na go ahead and do a quick physical exam and i reviewed your vitals and everything looks good including your oxygen saturation blood pressure for today was one twenty eight over eighty eight heart rate was sixty eight respirations were sixteen and you... | D2N043 | 13 | [
"Physical Examination",
"Discussion",
"Follow-up",
"Medication",
"Acute Assessment",
"Drug History"
] | [
"Objective",
"Assessment",
"Plan"
] | so let's talk a little bit about your exam here okay i'm gon na go ahead and do a quick physical exam and i reviewed your vitals and everything looks good including your oxygen saturation blood pressure for today was one twenty eight over eighty eight heart rate was sixty eight respirations were sixteen and your pulse ... | 1,223 |
doctor: okay so for your other conditions that we talked about briefly your second condition of type two diabetes we'll let's go ahead and continue to maintain that with diet and exercise and we'll just monitor your type two diabetes i am gon na go ahead and order a hemoglobin a1c for your next blood draw since i'll se... | D2N043 | 14 | [
"Follow-up",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | okay so for your other conditions that we talked about briefly your second condition of type two diabetes we'll let's go ahead and continue to maintain that with diet and exercise and we'll just monitor your type two diabetes i am gon na go ahead and order a hemoglobin a1c for your next blood draw since i'll see you in... | 1,224 |
doctor: alright sounds good i'll see you in two weeks congratulations on the baby and and we're excited about next monday that's your quit date patient: alrighty thank you | D2N043 | 15 | [
"Follow-up"
] | [
"Plan"
] | alright sounds good i'll see you in two weeks congratulations on the baby and and we're excited about next monday that's your quit date | 1,225 |
doctor: you're welcome i'll see you in two weeks thanks bye-bye patient: alright bye | D2N043 | 16 | [
"Chitchat"
] | [
"Null"
] | you're welcome i'll see you in two weeks thanks bye-bye | 1,226 |
doctor: good morning julie how are you doing this morning patient: i've been better my primary care doctor wanted me to see you because of this this knee pain that i've been having for about six months now | D2N044 | 0 | [
"Greetings"
] | [
"Subjective"
] | good morning julie how are you doing this morning | 1,227 |
doctor: okay and do you remember what caused the pain initially patient: honestly i do n't i ca n't think of anytime if i fell or like i i've really been trying to think and i ca n't really think of any specific event | D2N044 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and do you remember what caused the pain initially | 1,228 |
doctor: okay now it it says here that it's in both knees is that correct patient: yes both my knees | D2N044 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay now it it says here that it's in both knees is that correct | 1,229 |
doctor: okay it kinda try let's let's try describing the pain for me please patient: yeah it's kind of feels like it's like right behind my kneecaps | D2N044 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay it kinda try let's let's try describing the pain for me please | 1,230 |
doctor: a deep achy pain okay what kind of activities makes the pain feel worse patient: let's see so anytime so if i'm sitting at my desk and i get up i have a lot of pain so anytime from like standing up from sitting for a while or even going up and down the stairs | D2N044 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | a deep achy pain okay what kind of activities makes the pain feel worse | 1,231 |
doctor: okay so you work from home patient: i do | D2N044 | 6 | [
"Other Socials"
] | [
"Subjective"
] | okay so you work from home | 1,232 |
doctor: okay okay so there is a lot of desk setting at home is your office upstairs or is it i mean do you have to go up or downstairs to get to it patient: no well first thing in the morning but otherwise it's downstairs | D2N044 | 7 | [
"Other Socials"
] | [
"Subjective"
] | okay okay so there is a lot of desk setting at home is your office upstairs or is it i mean do you have to go up or downstairs to get to it | 1,233 |
doctor: okay okay how do you like working from home patient: you know it has it's plus and minuses | D2N044 | 8 | [
"Other Socials"
] | [
"Subjective"
] | okay okay how do you like working from home | 1,234 |
doctor: and the parking i'm sure the parking is patient: and the parking is great | D2N044 | 11 | [
"Chitchat"
] | [
"Null"
] | and the parking i'm sure the parking is | 1,235 |
doctor: yeah i you know if i could do telehealth visits all day long i would be totally happy with that yeah and just set it home and do those so you mentioned is there anything that makes that pain feel better patient: usually after like if i feel that pain and then i just it does get better | D2N044 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah i you know if i could do telehealth visits all day long i would be totally happy with that yeah and just set it home and do those so you mentioned is there anything that makes that pain feel better | 1,236 |
doctor: okay now you mentioned earlier that you tried some things in the past what have what are they and did they work at all patient: yeah i've done some ibuprofen or aleve sometimes some tylenol and that does help | D2N044 | 13 | [
"Therapeutic History"
] | [
"Subjective"
] | okay now you mentioned earlier that you tried some things in the past what have what are they and did they work at all | 1,237 |
doctor: okay but you're never really pain free is that what i hear you saying patient: not really unless i'm like really just resting which i hate to do but otherwise any type of movement especially from sitting it causes pain | D2N044 | 15 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay but you're never really pain free is that what i hear you saying | 1,238 |
doctor: okay so are you active other than going up and down the steps to your office patient: very i'm a big runner i love to run i run about five to six miles a day but with this knee with with these knee pain that i've been having it's i barely can even do half a mile | D2N044 | 16 | [
"Personal History"
] | [
"Subjective"
] | okay so are you active other than going up and down the steps to your office | 1,239 |
doctor: yeah you know what that's that's i am a biker and i know that once you get that into your you know you have loved doing that activity it's so frustrating when you ca n't it's almost like a it's almost like a dry it almost becomes a drug when you get up patient: exactly | D2N044 | 17 | [
"Chitchat"
] | [
"Null"
] | yeah you know what that's that's i am a biker and i know that once you get that into your you know you have loved doing that activity it's so frustrating when you ca n't it's almost like a it's almost like a dry it almost becomes a drug when you get up | 1,240 |
doctor: okay so have you noticed any redness or swelling in your knees patient: no | D2N044 | 19 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so have you noticed any redness or swelling in your knees | 1,241 |
doctor: okay and have you ever injured your knees before patient: you know despite how active i am i you know i've never | D2N044 | 20 | [
"Personal History"
] | [
"Subjective"
] | okay and have you ever injured your knees before | 1,242 |
doctor: okay great so let's go ahead and do a i just wan na take a look here i reviewed your vitals and overall they look good your blood pressure is one twenty over seventy your your heart rate is sixty and your respiratory rate is fourteen those are all phenomenal numbers as i listened to your heart it is at a regula... | D2N044 | 22 | [
"Physical Examination",
"Discussion",
"Medication",
"Referral",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay great so let's go ahead and do a i just wan na take a look here i reviewed your vitals and overall they look good your blood pressure is one twenty over seventy your your heart rate is sixty and your respiratory rate is fourteen those are all phenomenal numbers as i listened to your heart it is at a regular and a ... | 1,243 |
doctor: absolutely my goal is to get you out there and maybe we can cross pads on the the bike trail some day you are gon na have to take it a little bit easy for now but we are gon na get you back and once we do that i think you will be really pleased is there anything else patient: no i think that's it | D2N044 | 23 | [
"Chitchat"
] | [
"Null"
] | absolutely my goal is to get you out there and maybe we can cross pads on the the bike trail some day you are gon na have to take it a little bit easy for now but we are gon na get you back and once we do that i think you will be really pleased is there anything else | 1,244 |
doctor: okay have a great day patient: okay you too | D2N044 | 24 | [
"Chitchat"
] | [
"Null"
] | okay have a great day | 1,245 |
doctor: thank you patient: bye | D2N044 | 25 | [
"Chitchat"
] | [
"Null"
] | thank you | 1,246 |
doctor: hi abigail how are you today patient: hello hi nice to meet you i'm i'm doing okay | D2N045 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi abigail how are you today | 1,247 |
doctor: good i'm doctor sanchez and i'm gon na go ahead and take a look i saw with your notes that you've been having some knee pain yes that's that's true you know it's been going on for a while i like to run i do jogs i sign up for the 5k tack you know sometimes the marathon and i have n't been doing longer distances... | D2N045 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | good i'm doctor sanchez and i'm gon na go ahead and take a look i saw with your notes that you've been having some knee pain yes that's that's true you know it's been going on for a while i like to run i do jogs i sign up for the 5k tack you know sometimes the marathon and i have n't been doing longer distances because | 1,248 |
doctor: okay okay what have you done for it so far what makes it better what makes it worse patient: well it used to be that when i run it ache and then i put ice on it and then it would be okay so i do ice and ibuprofen | D2N045 | 2 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay okay what have you done for it so far what makes it better what makes it worse | 1,249 |
doctor: okay okay and did you see anybody for this before coming into the office here patient: yeah i doctor wood is my primary care provider and i talked to him about it actually over the years and this last visit he said he referred me to you | D2N045 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay okay and did you see anybody for this before coming into the office here | 1,250 |
doctor: okay okay good so ice and rest makes it feel better running and and activity makes it hurt a little bit more is that correct patient: yeah that's right | D2N045 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay okay good so ice and rest makes it feel better running and and activity makes it hurt a little bit more is that correct | 1,251 |
doctor: okay do you have any family history of arthritis or any of those type of immune diseases patient: i'm trying to think no i do n't think so no | D2N045 | 5 | [
"Family History"
] | [
"Subjective"
] | okay do you have any family history of arthritis or any of those type of immune diseases | 1,252 |
doctor: okay and do you get is it is this primarily worse in the morning or does it is it just there all the time when it comes on patient: it actually is worse towards the end of the day | D2N045 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and do you get is it is this primarily worse in the morning or does it is it just there all the time when it comes on | 1,253 |
doctor: okay so let's go ahead and i want to do a quick examination here your blood pressure and was one twenty over sixty that's phenomenal your heart rate was fifty eight and you can tell that you're a runner with that that level of a heart rate and your respirations were fourteen so all of that looked very good ther... | D2N045 | 8 | [
"Physical Examination"
] | [
"Objective"
] | okay so let's go ahead and i want to do a quick examination here your blood pressure and was one twenty over sixty that's phenomenal your heart rate was fifty eight and you can tell that you're a runner with that that level of a heart rate and your respirations were fourteen so all of that looked very good there was no... | 1,254 |
doctor: okay okay so let me i just want you to back up here in the stretcher a little bit more and i'm just gon na do some movement of your knee any okay so i want you to push your leg out against my hand does that hurt patient: no | D2N045 | 9 | [
"Physical Examination"
] | [
"Objective"
] | okay okay so let me i just want you to back up here in the stretcher a little bit more and i'm just gon na do some movement of your knee any okay so i want you to push your leg out against my hand does that hurt | 1,255 |
doctor: okay and if you pull back does that hurt a little bit patient: no | D2N045 | 10 | [
"Physical Examination"
] | [
"Objective"
] | okay and if you pull back does that hurt a little bit | 1,256 |
doctor: okay and i'm gon na move it around so when i look at the knee there is no redness there's no swelling i can appreciate a a small amount of effusion and that means that there's a little bit of fluid under the knee or in that knee's joint space and there is there is several reasons that could be now when i push o... | D2N045 | 11 | [
"Physical Examination"
] | [
"Objective"
] | okay and i'm gon na move it around so when i look at the knee there is no redness there's no swelling i can appreciate a a small amount of effusion and that means that there's a little bit of fluid under the knee or in that knee's joint space and there is there is several reasons that could be now when i push on your k... | 1,257 |
doctor: okay okay and you've got a good pedal pulse so you know you can feel that and when i touch your feet you do n't have any numbness or tingling or anything like that patient: no uh uh | D2N045 | 12 | [
"Physical Examination"
] | [
"Objective"
] | okay okay and you've got a good pedal pulse so you know you can feel that and when i touch your feet you do n't have any numbness or tingling or anything like that | 1,258 |
doctor: okay well so what i want to tell you is that i think you have a knee sprain from overuse and we see that sometimes in runners now unfortunately you're gon na have to take some a little bit of time off of of active running but i do n't think it will be that long until we can get you up and running again now i re... | D2N045 | 13 | [
"Discussion",
"Follow-up",
"Medication",
"Radiology Examination",
"Referral",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay well so what i want to tell you is that i think you have a knee sprain from overuse and we see that sometimes in runners now unfortunately you're gon na have to take some a little bit of time off of of active running but i do n't think it will be that long until we can get you up and running again now i reviewed t... | 1,259 |
doctor: yeah absolutely and and those are good exercises but i'd like you to get that first physical therapy appointment in and they'll be able to talk with you on what the best exercises are for you to do patient: okay got it | D2N045 | 14 | [
"Discussion",
"Referral"
] | [
"Plan"
] | yeah absolutely and and those are good exercises but i'd like you to get that first physical therapy appointment in and they'll be able to talk with you on what the best exercises are for you to do | 1,260 |
doctor: any questions patient: hmmm no i do n't think so | D2N045 | 15 | [
"Discussion"
] | [
"Plan"
] | any questions | 1,261 |
doctor: okay thank you abigail and i'd like i said stop out at the desk and we'll make an appointment for two weeks patient: okay thanks doctor | D2N045 | 16 | [
"Follow-up"
] | [
"Plan"
] | okay thank you abigail and i'd like i said stop out at the desk and we'll make an appointment for two weeks | 1,262 |
doctor: thank you | D2N045 | 17 | [
"Chitchat"
] | [
"Null"
] | doctor: thank you | 1,263 |
doctor: okay so we are recording okay so okay so i understand you've so you've got a past medical history of type two diabetes and you're coming in and for evaluation of a newly diagnosed ovarian cancer so how are you doing today patient: i do n't hear the question but i'm assuming that you when you say batcher so when... | D2N046 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | okay so we are recording okay so okay so i understand you've so you've got a past medical history of type two diabetes and you're coming in and for evaluation of a newly diagnosed ovarian cancer so how are you doing today | 1,264 |
doctor: right i want you you can talk about those things yes patient: okay | D2N046 | 1 | [
"Chitchat"
] | [
"Null"
] | right i want you you can talk about those things yes | 1,265 |
doctor: okay so with your newly diagnosed ovarian cancer so how are you feeling today how are you doing patient: i'm doing pretty good depressed | D2N046 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | okay so with your newly diagnosed ovarian cancer so how are you feeling today how are you doing | 1,266 |
doctor: little depressed i can understand it's a lot to take on is n't it patient: yes | D2N046 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | little depressed i can understand it's a lot to take on is n't it | 1,267 |
doctor: okay okay so lem me ask you some questions so what kind of symptoms were you having that prompted you your doctor to do the tests patient: i was having severe pain and bleeding | D2N046 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay okay so lem me ask you some questions so what kind of symptoms were you having that prompted you your doctor to do the tests | 1,268 |
doctor: okay now do you have other symptoms such as weight loss constipation vomiting or issues with urination patient: no vomiting but constipation and weight loss | D2N046 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay now do you have other symptoms such as weight loss constipation vomiting or issues with urination | 1,269 |
doctor: okay yeah that's understandable so do you have any children or have you ever been pregnant patient: i'm sorry i did n't hear that part | D2N046 | 6 | [
"Other Socials"
] | [
"Subjective"
] | okay yeah that's understandable so do you have any children or have you ever been pregnant | 1,270 |
doctor: do you have any children or have you ever been pregnant patient: no to either one of those | D2N046 | 7 | [
"Other Socials"
] | [
"Subjective"
] | do you have any children or have you ever been pregnant | 1,271 |
doctor: okay so and do you know at what age you got your period and when you started menopause patient: thirteen for my period and twenty eighth for menopause | D2N046 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | okay so and do you know at what age you got your period and when you started menopause | 1,272 |
doctor: okay do you take any oral hormone replacement therapy patient: no | D2N046 | 9 | [
"Therapeutic History"
] | [
"Subjective"
] | okay do you take any oral hormone replacement therapy | 1,273 |
doctor: okay any history of endometriosis patient: any history of what | D2N046 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay any history of endometriosis | 1,274 |
doctor: endometriosis patient: no | D2N046 | 11 | [
"Personal History"
] | [
"Subjective"
] | endometriosis | 1,275 |
doctor: okay how about any family history of any gynecological cancers patient: i was adopted | D2N046 | 12 | [
"Family History"
] | [
"Subjective"
] | okay how about any family history of any gynecological cancers | 1,276 |
doctor: okay okay so i'm just gon na do a quick exam of your abdomen and then perform a vaginal exam okay patient: okay | D2N046 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay okay so i'm just gon na do a quick exam of your abdomen and then perform a vaginal exam okay | 1,277 |
doctor: alright okay so i do feel the mass on the where to go here okay patient: i did n't know you're gon na play a doctor today | D2N046 | 14 | [
"Physical Examination"
] | [
"Objective"
] | alright okay so i do feel the mass on the where to go here okay | 1,278 |
doctor: i did okay okay so i do feel the mass on the left side but everything else looks good and on abdominal exam there is slight tenderness to palpation of the left lower quadrant no rebounding or guarding on vaginal exam there are no external lesions on the labia the vaginal vault is within normal limits the cervix... | D2N046 | 15 | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments"
] | [
"Objective",
"Assessment",
"Plan"
] | i did okay okay so i do feel the mass on the left side but everything else looks good and on abdominal exam there is slight tenderness to palpation of the left lower quadrant no rebounding or guarding on vaginal exam there are no external lesions on the labia the vaginal vault is within normal limits the cervix is pink... | 1,279 |
doctor: well that's a good question so based on what i see at this time i will we believe you have a favorable diagnosis prognosis and you're also still young and healthy which makes your prognosis even better and we do need to see a final pathology report to give you a definitive answer though okay patient: alright al... | D2N046 | 16 | [
"Discussion"
] | [
"Plan"
] | well that's a good question so based on what i see at this time i will we believe you have a favorable diagnosis prognosis and you're also still young and healthy which makes your prognosis even better and we do need to see a final pathology report to give you a definitive answer though okay | 1,280 |
doctor: hi billy how are you what's been going on the medical assistant told me that you're having some difficulty urinating patient: yeah yeah i i did n't really wan na come in to talk about it's kinda weird but i think probably over the last six months i'm just not peeing right it just does n't seem to be normal | D2N047 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hi billy how are you what's been going on the medical assistant told me that you're having some difficulty urinating | 1,281 |
doctor: okay so let's talk a little bit about that now is your is your stream is your urination stream weak patient: yeah i'd probably say so | D2N047 | 1 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay so let's talk a little bit about that now is your is your stream is your urination stream weak | 1,282 |
doctor: okay and do you feel like you're emptying your bladder fully or do you feel like you still have some urine left in there when you when you finish patient: most of the times i'm okay but sometimes if i stand there long enough i i can kinda go a little bit more so it's taking a while actually to just go to the ba... | D2N047 | 2 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay and do you feel like you're emptying your bladder fully or do you feel like you still have some urine left in there when you when you finish | 1,283 |
doctor: okay and are you waking up at night to go to the bathroom does it impact your sleep patient: yeah i try to empty my bladder now right before i go to bed and and not drink anything but i'm still probably getting up three or four times a night to go to the bed | D2N047 | 3 | [
"Vegetative History"
] | [
"Subjective"
] | okay and are you waking up at night to go to the bathroom does it impact your sleep | 1,284 |
doctor: okay so you're getting up about three or four times a night and and how long has this been going on you said for about six months patient: yeah six months to like this and it's probably been a little bit worse over the last six months and maybe it's been longer i just did n't want to bring it up | D2N047 | 4 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay so you're getting up about three or four times a night and and how long has this been going on you said for about six months | 1,285 |
doctor: okay so you think it's been going on longer okay alright now how about have you had any burning when you urinate at all patient: no it i do n't think it burns | D2N047 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay so you think it's been going on longer okay alright now how about have you had any burning when you urinate at all | 1,286 |
doctor: no burning when you urinate okay and and any other any other issues any problems with your bowels any constipation issues patient: hmmm no i i i had diarrhea last week but i think i ate something bad | D2N047 | 6 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | no burning when you urinate okay and and any other any other issues any problems with your bowels any constipation issues | 1,287 |
doctor: okay and ever have you ever had any issues where you had what we call urinary retention where you could n't pee and you needed to have like a catheter inserted patient: my gosh no | D2N047 | 7 | [
"Personal History"
] | [
"Subjective"
] | okay and ever have you ever had any issues where you had what we call urinary retention where you could n't pee and you needed to have like a catheter inserted | 1,288 |
doctor: alright and have you ever seen a urologist i do n't think so you've been my patient for a while i do n't remember ever sending you but have you ever seen one patient: i do n't think so | D2N047 | 9 | [
"Personal History"
] | [
"Subjective"
] | alright and have you ever seen a urologist i do n't think so you've been my patient for a while i do n't remember ever sending you but have you ever seen one | 1,289 |
doctor: okay now tell me how are you doing with your with your heart when was the last time you saw doctor moore the cardiologist i know that you had the the stent placed in your right coronary artery about what was that twenty eighteen patient: yeah sounds about right i think i just saw him in november he said everyth... | D2N047 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay now tell me how are you doing with your with your heart when was the last time you saw doctor moore the cardiologist i know that you had the the stent placed in your right coronary artery about what was that twenty eighteen | 1,290 |
doctor: he said everything was okay alright and so you have n't had any chest pain or shortness of breath you're still walking around doing your activities of daily living are you exercising patient: kind of | D2N047 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | he said everything was okay alright and so you have n't had any chest pain or shortness of breath you're still walking around doing your activities of daily living are you exercising | 1,291 |
doctor: kind of okay now from what i remember i remember you being a big college football fan are you as excited as i am that georgia beat alabama in the national championships patient: yeah yeah i'm super excited | D2N047 | 12 | [
"Chitchat"
] | [
"Null"
] | kind of okay now from what i remember i remember you being a big college football fan are you as excited as i am that georgia beat alabama in the national championships | 1,292 |
doctor: you do n't really seem that excited patient: get the problem fixed because i have to be able to sit there and watch the whole game | D2N047 | 13 | [
"Chitchat"
] | [
"Null"
] | you do n't really seem that excited | 1,293 |
doctor: yeah i i really do n't like nick saving i'm so i'm super happy that that the dogs pulled it out patient: i do n't know if we can do friends anymore | D2N047 | 14 | [
"Chitchat"
] | [
"Null"
] | yeah i i really do n't like nick saving i'm so i'm super happy that that the dogs pulled it out | 1,294 |
doctor: are you in alabama fan patient: maybe i'm actually originally not from georgia so | D2N047 | 15 | [
"Chitchat"
] | [
"Null"
] | are you in alabama fan | 1,295 |
doctor: okay alright well i mean i i'm i'm a long horns fan but anyway well i digress let's talk a little bit about your diabetes how are how are you doing with your sugars are you watching your diet patient: i'm trying to yeah i think they are okay | D2N047 | 16 | [
"Personal History"
] | [
"Subjective"
] | okay alright well i mean i i'm i'm a long horns fan but anyway well i digress let's talk a little bit about your diabetes how are how are you doing with your sugars are you watching your diet | 1,296 |
doctor: okay and are you still taking the metformin patient: yep | D2N047 | 17 | [
"Therapeutic History"
] | [
"Subjective"
] | okay and are you still taking the metformin | 1,297 |
doctor: you are okay alright now i wan na go ahead and just move on to a quick physical exam okay i'm gon na be calling out some of my exam findings and i'm gon na let you know what that means when i'm done okay alright i do have to do a rectal exam i apologize i'm just gon na be calling it out what what i what i appre... | D2N047 | 18 | [
"Physical Examination",
"Discussion",
"Medication",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | you are okay alright now i wan na go ahead and just move on to a quick physical exam okay i'm gon na be calling out some of my exam findings and i'm gon na let you know what that means when i'm done okay alright i do have to do a rectal exam i apologize i'm just gon na be calling it out what what i what i appreciate ok... | 1,298 |
doctor: well i think the data it's it's i'm not really sure if it works or not i'm not that familiar with it let's just go ahead and stick with flomax and that's why we are gon na refer you to the urologist so that they can go ahead and talk to you about you know the most current treatment options for you okay patient:... | D2N047 | 19 | [
"Discussion",
"Medication"
] | [
"Plan"
] | well i think the data it's it's i'm not really sure if it works or not i'm not that familiar with it let's just go ahead and stick with flomax and that's why we are gon na refer you to the urologist so that they can go ahead and talk to you about you know the most current treatment options for you okay | 1,299 |
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