text stringlengths 14 3.73k | encounter_id stringclasses 207
values | text_id int64 0 69 | intents listlengths 1 9 | sections listlengths 1 4 | doc_only stringlengths 6 3.62k | __index_level_0__ int64 0 5.29k |
|---|---|---|---|---|---|---|
doctor: alright for your second problem of your coronary artery disease i wan na go ahead and order an echocardiogram just to follow up on that heart murmur that you had and i wan na go ahead and continue you on the lipitor forty milligrams a day and the aspirin and the metoprolol and i wan na go ahead and order a lipi... | D2N047 | 20 | [
"Discussion",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | alright for your second problem of your coronary artery disease i wan na go ahead and order an echocardiogram just to follow up on that heart murmur that you had and i wan na go ahead and continue you on the lipitor forty milligrams a day and the aspirin and the metoprolol and i wan na go ahead and order a lipid panel ... | 1,300 |
doctor: okay and then for your third problem of your diabetes it sounds like you're doing really well let's go ahead and continue you on the metformin a thousand milligrams twice a day we will go ahead and order a hemoglobin a1c to see if we need to make any adjustments to that and i'm gon na see you again in about thr... | D2N047 | 21 | [
"Follow-up",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | okay and then for your third problem of your diabetes it sounds like you're doing really well let's go ahead and continue you on the metformin a thousand milligrams twice a day we will go ahead and order a hemoglobin a1c to see if we need to make any adjustments to that and i'm gon na see you again in about three to fo... | 1,301 |
doctor: i'm gon na reach out i'm gon na reach out to them now and see if they can get you in this week patient: sounds good | D2N047 | 22 | [
"Chitchat"
] | [
"Null"
] | i'm gon na reach out i'm gon na reach out to them now and see if they can get you in this week | 1,302 |
doctor: okay alright well great it was good to see you bye i could just hit it and i can just talk and then i'm just | D2N047 | 23 | [
"Chitchat"
] | [
"Null"
] | doctor: okay alright well great it was good to see you bye i could just hit it and i can just talk and then i'm just | 1,303 |
doctor: alright brittany so i see that you are experiencing some right foot pain could you tell me what happened patient: yeah well i was playing tennis and i was trying to you know volley the ball | D2N048 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | alright brittany so i see that you are experiencing some right foot pain could you tell me what happened | 1,304 |
doctor: mm-hmm patient: it was like a double game and i was trying to volley the ball and i got in front of another player and actually ended up falling on top of my foot | D2N048 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm | 1,305 |
doctor: alright patient: and then yeah it kinda hurt i quickly then twisted my myself around her because i was trying to catch myself but then i started to feel some pain in my foot | D2N048 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright | 1,306 |
doctor: mm-hmm okay have you ever injured that foot before patient: yeah no sorry i injured my other foot before not this foot | D2N048 | 3 | [
"Personal History"
] | [
"Subjective"
] | mm-hmm okay have you ever injured that foot before | 1,307 |
doctor: okay so right now you're experiencing right leg pain but you have injured your your left leg before is that what i'm hearing patient: yeah that's fine | D2N048 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay so right now you're experiencing right leg pain but you have injured your your left leg before is that what i'm hearing | 1,308 |
doctor: alright were you able to continue playing patient: no i had to stop i actually it was like i had to be held from the field because i could n't put weight on my foot | D2N048 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright were you able to continue playing | 1,309 |
doctor: i'm sorry okay so what have you been doing for the pain since then patient: i wrapped it after a the game they had some ace wraps in their clubhouse and so i wrapped it up and then i iced it last night and i just kept it up on a pillow and then i took some ibuprofen | D2N048 | 6 | [
"Therapeutic History"
] | [
"Subjective"
] | i'm sorry okay so what have you been doing for the pain since then | 1,310 |
doctor: okay could you one more time when did this injury happen patient: this happened about couple days ago | D2N048 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay could you one more time when did this injury happen | 1,311 |
doctor: okay so did you say whether does the ibuprofen help at all patient: yeah it helps a little bit but then you know it it you know after a while it wears out | D2N048 | 8 | [
"Therapeutic History"
] | [
"Subjective"
] | okay so did you say whether does the ibuprofen help at all | 1,312 |
doctor: okay and then have you experienced any numb numbness or tingling patient: no no numbness | D2N048 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and then have you experienced any numb numbness or tingling | 1,313 |
doctor: okay alright any loss in sensation patient: no i mean i i can still feel like i can still feel my foot | D2N048 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright any loss in sensation | 1,314 |
doctor: okay alright that's good to hear so you were playing tennis is that what you normally do to work out patient: i do i'm trying to learn but i can not afford tennis less lessons so me and my friends just hit the balls back and forth i do sleep | D2N048 | 11 | [
"Other Socials"
] | [
"Subjective"
] | okay alright that's good to hear so you were playing tennis is that what you normally do to work out | 1,315 |
doctor: i love it absolutely yeah my dad one time took me to play racquet ball and i learned the very bruisy way that that was n't for me yeah patient: that scares me | D2N048 | 12 | [
"Chitchat"
] | [
"Null"
] | i love it absolutely yeah my dad one time took me to play racquet ball and i learned the very bruisy way that that was n't for me yeah | 1,316 |
doctor: it's it they they move pretty fast i'm not gon na lie alright so if you do n't mind i'm gon na go ahead and do my my physical exam i'm gon na be calling out some of my findings but if you have any questions go ahead stop me let me know but i will be explaining along the way okay patient: okay | D2N048 | 13 | [
"Physical Examination"
] | [
"Objective"
] | it's it they they move pretty fast i'm not gon na lie alright so if you do n't mind i'm gon na go ahead and do my my physical exam i'm gon na be calling out some of my findings but if you have any questions go ahead stop me let me know but i will be explaining along the way okay | 1,317 |
doctor: alright so i've looked at your vitals and honestly they look great you know your blood pressure i see is one twenty five over seventy that's almost textbook respiratory rate we are seeing you at a smooth eighteen excuse me your temperature you're running normal ninety seven . one you're you're satting at a hund... | D2N048 | 14 | [
"Physical Examination"
] | [
"Objective"
] | alright so i've looked at your vitals and honestly they look great you know your blood pressure i see is one twenty five over seventy that's almost textbook respiratory rate we are seeing you at a smooth eighteen excuse me your temperature you're running normal ninety seven . one you're you're satting at a hundred perc... | 1,318 |
doctor: okay alright tenderness to palpation of the midfoot and positive piano key test of the first and second metatarsals alright it's also warm to touch alright so on your neurovascular exam of your right foot your capillary refill is less than three seconds strong dorsalis pedis pulse and your sensation is intact t... | D2N048 | 15 | [
"Physical Examination",
"Discussion",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments"
] | [
"Objective",
"Assessment",
"Plan"
] | okay alright tenderness to palpation of the midfoot and positive piano key test of the first and second metatarsals alright it's also warm to touch alright so on your neurovascular exam of your right foot your capillary refill is less than three seconds strong dorsalis pedis pulse and your sensation is intact to light ... | 1,319 |
doctor: so i'm recommending it as there can be significant complications to your foot if you do n't it can lead to poor bone alignment or poor ligament healing which can lead to you losing the arch of your foot and becoming flat-footed you can also develop arthritis in that foot so yes i i i highly recommend it if you ... | D2N048 | 16 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | so i'm recommending it as there can be significant complications to your foot if you do n't it can lead to poor bone alignment or poor ligament healing which can lead to you losing the arch of your foot and becoming flat-footed you can also develop arthritis in that foot so yes i i i highly recommend it if you want to ... | 1,320 |
doctor: so it's actually patient: have to be in the hospital | D2N048 | 18 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | so it's actually | 1,321 |
doctor: no no no no no it's actually a day surgery and you'll be able to go home the same day and then you will follow up with me here in the clinic in about a week you'll be in a cast and you will use crutches as you will not be able to use that foot for six to eight weeks after that you'll start gradually walking on ... | D2N048 | 19 | [
"Discussion"
] | [
"Plan"
] | no no no no no it's actually a day surgery and you'll be able to go home the same day and then you will follow up with me here in the clinic in about a week you'll be in a cast and you will use crutches as you will not be able to use that foot for six to eight weeks after that you'll start gradually walking on your foo... | 1,322 |
doctor: yeah so your your right foot is probably your dominant one and the also the one you're supposed to drive with so no you're gon na you're gon na need somebody to take you home but what patient: i mean | D2N048 | 20 | [
"Discussion"
] | [
"Plan"
] | yeah so your your right foot is probably your dominant one and the also the one you're supposed to drive with so no you're gon na you're gon na need somebody to take you home but what | 1,323 |
doctor: mm-hmm patient: i really wan na keep on playing my tennis with my friends but | D2N048 | 22 | [
"Discussion"
] | [
"Plan"
] | mm-hmm | 1,324 |
doctor: yeah so unfortunately yes it does mean that you're out for the rest of the season but hopefully we can get you a great get you to a set up well for next season and in the meantime i think i'm gon na recommend after surgery that we get you to physical therapy i think that that's gon na be a really great way to l... | D2N048 | 23 | [
"Discussion",
"Referral"
] | [
"Plan"
] | yeah so unfortunately yes it does mean that you're out for the rest of the season but hopefully we can get you a great get you to a set up well for next season and in the meantime i think i'm gon na recommend after surgery that we get you to physical therapy i think that that's gon na be a really great way to like kind... | 1,325 |
doctor: alright patient: thank you | D2N048 | 25 | [
"Chitchat"
] | [
"Null"
] | alright | 1,326 |
doctor: no problem so i do wan na let you know that there are some risks associated with any kind of surgical procedure i'm gon na bring you some paperwork and that my ma is gon na go over with you such as like risks of bleeding loss of sensation nerve damage all those things will be discussed with you and if you have ... | D2N048 | 26 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | no problem so i do wan na let you know that there are some risks associated with any kind of surgical procedure i'm gon na bring you some paperwork and that my ma is gon na go over with you such as like risks of bleeding loss of sensation nerve damage all those things will be discussed with you and if you have any ques... | 1,327 |
doctor: alright patient: good | D2N048 | 27 | [
"Chitchat"
] | [
"Null"
] | alright | 1,328 |
doctor: thank you patient: thank you | D2N048 | 28 | [
"Chitchat"
] | [
"Null"
] | thank you | 1,329 |
doctor: hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hypertension diabetes and we will check up on th... | D2N049 | 0 | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hypertension diabetes and we will check up on those as w... | 1,330 |
doctor: okay so is the pain that you're having is it constant or does it come and go patient: it's constant | D2N049 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so is the pain that you're having is it constant or does it come and go | 1,331 |
doctor: alright are you able to urinate patient: i am and this morning i actually started seeing some blood | D2N049 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright are you able to urinate | 1,332 |
doctor: okay yeah so and i know you said i see you've had some kidney stones in the past like how many times would you say you've had one of these episodes patient: i've had it for probably this might be my third time | D2N049 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay yeah so and i know you said i see you've had some kidney stones in the past like how many times would you say you've had one of these episodes | 1,333 |
doctor: third time alright patient: yeah i have n't had one in a while but yeah this is my third time | D2N049 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | third time alright | 1,334 |
doctor: okay so have you noticed any nausea chills fever patient: no fever some chills and i i just in so much pain i i ca n't eat and i do feel a little nauseous | D2N049 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so have you noticed any nausea chills fever | 1,335 |
doctor: okay that sound definitely understandable so you've been in a lot of pain so have you tried to take any medications to alleviate the pain patient: yeah i've been taking tylenol i have had to try some ibuprofen i know you said to be careful with my blood pressure but i have been trying to do that because i'm jus... | D2N049 | 9 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay that sound definitely understandable so you've been in a lot of pain so have you tried to take any medications to alleviate the pain | 1,336 |
doctor: okay and before what would you how long would you say it took you to pass the other stones or how was that that resolved patient: yeah usually usually about about three four days to pass it yeah | D2N049 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and before what would you how long would you say it took you to pass the other stones or how was that that resolved | 1,337 |
doctor: right so this is this is the looks like this is the third day patient: yeah | D2N049 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | right so this is this is the looks like this is the third day | 1,338 |
doctor: so we are getting close there patient: okay | D2N049 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | so we are getting close there | 1,339 |
doctor: yeah so hopefully we can pass it but we'll i'll definitely we can take a look at it here in a second so while you are here i also wanted to check up on your your diabetes and and hypertension you have so i'm looking here at my notes and you're on two . five of norvasc for your high blood pressure when you came ... | D2N049 | 13 | [
"Therapeutic History",
"Reassessment",
"Acute Assessment"
] | [
"Subjective",
"Assessment"
] | yeah so hopefully we can pass it but we'll i'll definitely we can take a look at it here in a second so while you are here i also wanted to check up on your your diabetes and and hypertension you have so i'm looking here at my notes and you're on two . five of norvasc for your high blood pressure when you came in today... | 1,340 |
doctor: so the time that you did take it and i think that's something we got to work on is you've taken them i think at least three times a week i would like you to what have those been running patient: like the top numbers they're usually the one thirties sometimes i get i do go into one forties and once it went to li... | D2N049 | 14 | [
"Acute Symptoms"
] | [
"Subjective"
] | so the time that you did take it and i think that's something we got to work on is you've taken them i think at least three times a week i would like you to what have those been running | 1,341 |
doctor: okay that i mean that's not too bad i think when you were first diagnosed you were up there in the the one eighties which was really high patient: right | D2N049 | 16 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay that i mean that's not too bad i think when you were first diagnosed you were up there in the the one eighties which was really high | 1,342 |
doctor: so let me talk a little bit also about you trying to lower your salt intake to like like twenty three hundred milligrams a a day so have you been able to do that patient: trying my best but doc i really like my french fries | D2N049 | 17 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | so let me talk a little bit also about you trying to lower your salt intake to like like twenty three hundred milligrams a a day so have you been able to do that | 1,343 |
doctor: we we all like we all like the french fries you know but you know we we we we also do n't like strokes so we do n't want to have a scope and all the all the french fries so that's something definitely i would like you to work on and do you think you'd be able to to curb that french fry habit or that bad this ba... | D2N049 | 19 | [
"Discussion",
"Chitchat"
] | [
"Plan"
] | we we all like we all like the french fries you know but you know we we we we also do n't like strokes so we do n't want to have a scope and all the all the french fries so that's something definitely i would like you to work on and do you think you'd be able to to curb that french fry habit or that bad this bad food h... | 1,344 |
doctor: okay yeah we can definitely get you connected with someone just to help you with your diet kinda that's the biggest thing for a lot of my patient is trying to control that diet alright. so i also want to take a look here at your diabetes and last time you came in your a1c was a little bit higher at seven . thre... | D2N049 | 20 | [
"Reassessment",
"Referral",
"Medication"
] | [
"Assessment",
"Plan"
] | okay yeah we can definitely get you connected with someone just to help you with your diet kinda that's the biggest thing for a lot of my patient is trying to control that diet alright. so i also want to take a look here at your diabetes and last time you came in your a1c was a little bit higher at seven . three and yo... | 1,345 |
doctor: okay that that that's definitely good because when you came in i think we did a glucose test on you couple of months ago and you were around three hundred which is which is pretty up there so i'm glad that you know those levels are down and have you been taking that metformin everyday patient: i do | D2N049 | 21 | [
"Discussion"
] | [
"Plan"
] | okay that that that's definitely good because when you came in i think we did a glucose test on you couple of months ago and you were around three hundred which is which is pretty up there so i'm glad that you know those levels are down and have you been taking that metformin everyday | 1,346 |
doctor: that that that that's really good alright so let me do a quick physical exam on you just a couple of questions before i take a look at your your abdomen and and your back talked to take a look at that that kidney stones you're having so i just want to make sure are you having any any chest pain patient: no ches... | D2N049 | 23 | [
"Acute Symptoms",
"Physical Examination"
] | [
"Subjective",
"Objective"
] | that that that that's really good alright so let me do a quick physical exam on you just a couple of questions before i take a look at your your abdomen and and your back talked to take a look at that that kidney stones you're having so i just want to make sure are you having any any chest pain | 1,347 |
doctor: no chest pain are you having any belly pain patient: the back pain is starting to kind of go down into my groin but i would n't say any back pain i mean abdominal pain | D2N049 | 24 | [
"Acute Symptoms"
] | [
"Subjective"
] | no chest pain are you having any belly pain | 1,348 |
doctor: no abdominal pain alright so let me check here i'm gon na listen to your heart real quick and so on your heart exam i do hear a grade two out of six systolic ejection murmur and that we knew about that already so not really worried about that currently listen to your lungs your lungs are clear bilaterally i do ... | D2N049 | 25 | [
"Acute Symptoms",
"Physical Examination"
] | [
"Subjective",
"Objective"
] | no abdominal pain alright so let me check here i'm gon na listen to your heart real quick and so on your heart exam i do hear a grade two out of six systolic ejection murmur and that we knew about that already so not really worried about that currently listen to your lungs your lungs are clear bilaterally i do n't hear... | 1,349 |
doctor: okay i'm gon na press here on your back is that painful patient: yes | D2N049 | 26 | [
"Physical Examination"
] | [
"Objective"
] | okay i'm gon na press here on your back is that painful | 1,350 |
doctor: alright so on your examination of your abdomen there is tenderness to palpation of the abdomen there is n't any rebound or guarding though and only there is also cva tinnitus on the right on your on your flank as well and so it seems to me you know that you do have that kidney stone looks like you do have some ... | D2N049 | 27 | [
"Reassessment",
"Discussion",
"Acute Assessment",
"Referral",
"Medication"
] | [
"Assessment",
"Plan"
] | alright so on your examination of your abdomen there is tenderness to palpation of the abdomen there is n't any rebound or guarding though and only there is also cva tinnitus on the right on your on your flank as well and so it seems to me you know that you do have that kidney stone looks like you do have some inflamma... | 1,351 |
doctor: okay no problem | D2N049 | 28 | [
"Chitchat"
] | [
"Null"
] | doctor: okay no problem | 1,352 |
doctor: hey mason good to see you today so let's see you here in my notes for evaluation of kidney stones your your pcp said you had some kidney stones so you got a referral over so can you tell me a little bit about that you know what happened when did you first notice them patient: yeah it was about you know about a ... | D2N050 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | hey mason good to see you today so let's see you here in my notes for evaluation of kidney stones your your pcp said you had some kidney stones so you got a referral over so can you tell me a little bit about that you know what happened when did you first notice them | 1,353 |
doctor: okay so you said you had the pain on the right hand side does it move anywhere or radiate patient: well when i had it it would it radiated almost down to my groin | D2N050 | 1 | [
"Personal History"
] | [
"Subjective"
] | okay so you said you had the pain on the right hand side does it move anywhere or radiate | 1,354 |
doctor: okay and is the pain constant or does it come and go patient: well when i you know after i found out i had a disk a kidney stone it came a couple times but it did n't last as long no i've been i've been straining my urine they told me to pee in this little cup | D2N050 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay and is the pain constant or does it come and go | 1,355 |
doctor: mm-hmm patient: and i've been straining my urine and you know i do n't see anything in there | D2N050 | 4 | [
"Personal History"
] | [
"Subjective"
] | mm-hmm | 1,356 |
doctor: okay have you noticed any blood in your urine i know you've been draining probably take a good look at it has it been darker than usual patient: no not really not really darker | D2N050 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay have you noticed any blood in your urine i know you've been draining probably take a good look at it has it been darker than usual | 1,357 |
doctor: okay so have you had kidney stones before and then you said your father had them but patient: i've never had a kidney stone my dad had them a lot but i've never had one | D2N050 | 6 | [
"Family History"
] | [
"Subjective"
] | okay so have you had kidney stones before and then you said your father had them but | 1,358 |
doctor: okay alright so let me do a quick exam of you your vital signs look good i do n't see any fever or your blood pressure and heart rate are fine so let me do a quick physical exam let me press here on your belly so on your examination of your abdomen there is no tenderness to to pain to palpation of the abdomen t... | D2N050 | 7 | [
"Physical Examination"
] | [
"Objective"
] | okay alright so let me do a quick exam of you your vital signs look good i do n't see any fever or your blood pressure and heart rate are fine so let me do a quick physical exam let me press here on your belly so on your examination of your abdomen there is no tenderness to to pain to palpation of the abdomen there is ... | 1,359 |
doctor: can you repeat that patient: i did i have a stroke | D2N050 | 8 | [
"Physical Examination"
] | [
"Objective"
] | can you repeat that | 1,360 |
doctor: no no no no no so that means like everything is normal right but i feel like you you you have some tenderness and inflammation over your kidney so that has to be expected because you do have a kidney stone so i did review the results of your ct and it does show a stone that's measuring point five centimeters lo... | D2N050 | 9 | [
"Follow-up",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | no no no no no so that means like everything is normal right but i feel like you you you have some tenderness and inflammation over your kidney so that has to be expected because you do have a kidney stone so i did review the results of your ct and it does show a stone that's measuring point five centimeters located in... | 1,361 |
doctor: alright patient: thank you document | D2N050 | 10 | [
"Chitchat"
] | [
"Null"
] | alright | 1,362 |
doctor: so i will see you in a week or so and hopefully you've passed that stone and i'll send my nurse in with that prescription patient: okay thank you | D2N050 | 11 | [
"Follow-up"
] | [
"Plan"
] | so i will see you in a week or so and hopefully you've passed that stone and i'll send my nurse in with that prescription | 1,363 |
doctor: thanks | D2N050 | 12 | [
"Chitchat"
] | [
"Null"
] | doctor: thanks | 1,364 |
doctor: hi jeremy how are you patient: i'm really good thank you how are you | D2N051 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi jeremy how are you | 1,365 |
doctor: i'm okay the the medical assistant told me that you had this ulcer on your foot that's been there for a couple of weeks patient: yes | D2N051 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | i'm okay the the medical assistant told me that you had this ulcer on your foot that's been there for a couple of weeks | 1,366 |
doctor: going away patient: yeah it's been there gosh it's like six or so weeks right now and it's and it's on my right foot and it's just yeah it's just not going away i'm not sure if it maybe even gotten a little worse from when i first noticed it | D2N051 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | going away | 1,367 |
doctor: okay and how long did you say it's going on for patient: probably about | D2N051 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and how long did you say it's going on for | 1,368 |
doctor: six eight weeks maybe patient: okay and do you have any pain in your foot no no no pain at all okay now i know that you're a diabetic and you are on some insulin have your sugars been running okay yeah they have been running | D2N051 | 4 | [
"Personal History"
] | [
"Subjective"
] | six eight weeks maybe | 1,369 |
doctor: your sugars are running higher than normal okay do you recall what your last hemoglobin a1c was was it above nine patient: yes it it it definitely was higher than nine | D2N051 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | your sugars are running higher than normal okay do you recall what your last hemoglobin a1c was was it above nine | 1,370 |
doctor: okay alright now what do you think caused this ulcer were you wearing some tight fitting shoes or did you have some trauma to your foot or patient: yeah i was you know i think initially i'm you know i was out in the backyard you know kind of you know doing some work and you know i know i you know i could've ste... | D2N051 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright now what do you think caused this ulcer were you wearing some tight fitting shoes or did you have some trauma to your foot or | 1,371 |
doctor: okay alright and have you had any fever or chills patient: no no no fever or chills you know i kinda you know get headaches pretty often i do n't know if that you know i do n't know if that's a stress or but you know always have like the tension headaches in the front | D2N051 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright and have you had any fever or chills | 1,372 |
doctor: okay and do you have do you have neuropathy where you get like numbing and tingling in your feet patient: occasionally yeah occasionally especially when it's like colder outside | D2N051 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and do you have do you have neuropathy where you get like numbing and tingling in your feet | 1,373 |
doctor: mm-hmm kinda feels like it takes a little longer to patient: warm up but yeah i kinda have some sensation in in all my extremities | D2N051 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm kinda feels like it takes a little longer to | 1,374 |
doctor: okay alright and then are you are you a smoker or did you smoke patient: i did back you know kind of years ago i did but yeah i have n't smoked anything in in good number of years | D2N051 | 11 | [
"Drug History"
] | [
"Subjective"
] | okay alright and then are you are you a smoker or did you smoke | 1,375 |
doctor: okay alright when did you stop smoking patient: couple years ago maybe four or so years ago | D2N051 | 12 | [
"Drug History",
"Drug History"
] | [
"Subjective"
] | okay alright when did you stop smoking | 1,376 |
doctor: okay alright and how many packs a day would you smoke patient: gosh back then yeah was at least two | D2N051 | 13 | [
"Drug History"
] | [
"Subjective"
] | okay alright and how many packs a day would you smoke | 1,377 |
doctor: okay alright how many years did you smoke for like twenty patient: yeah at least twenty yeah twenty plus years | D2N051 | 14 | [
"Drug History"
] | [
"Subjective"
] | okay alright how many years did you smoke for like twenty | 1,378 |
doctor: okay alright now any other symptoms do you have any problems when you walk down the street do you get any pain in your calves at all when you walk patient: no no no no pain you know just kind of you know it's just i know that it's there | D2N051 | 15 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright now any other symptoms do you have any problems when you walk down the street do you get any pain in your calves at all when you walk | 1,379 |
doctor: okay and you said you're active you're out in the yard and things like that do you go on long walks at all or no patient: no no you know it's you know i just kinda feel like i've been just trying to take it easy lately | D2N051 | 16 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and you said you're active you're out in the yard and things like that do you go on long walks at all or no | 1,380 |
doctor: mm-hmm patient: but yeah most most of the stuff i've been doing is just kind of hanging around the house | D2N051 | 17 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm | 1,381 |
doctor: okay alright so we talked a little bit about your diabetes let's talk about your heart disease now your heart disease you had a heart attack in twenty eighteen we put a stent into your right coronary artery you're still taking your medications for that you're still on your aspirin patient: i am yes yeah i do th... | D2N051 | 18 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | okay alright so we talked a little bit about your diabetes let's talk about your heart disease now your heart disease you had a heart attack in twenty eighteen we put a stent into your right coronary artery you're still taking your medications for that you're still on your aspirin | 1,382 |
doctor: okay alright and any chest pain or shortness of breath or anything like that no no yeah no nothing more than yeah i would n't attribute anything patient: okay and do you have a podiatrist for your yearly foot exams | D2N051 | 19 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright and any chest pain or shortness of breath or anything like that no no yeah no nothing more than yeah i would n't attribute anything | 1,383 |
doctor: no i i i do n't okay alright alright well let's go ahead i wan na just do a quick physical exam i'm just gon na be calling out some of my exam findings so your vital signs here in the office you do n't have any fever so that's good your blood pressure is great it's like one twenty seven over eighty and your hea... | D2N051 | 20 | [
"Physical Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment"
] | no i i i do n't okay alright alright well let's go ahead i wan na just do a quick physical exam i'm just gon na be calling out some of my exam findings so your vital signs here in the office you do n't have any fever so that's good your blood pressure is great it's like one twenty seven over eighty and your heart rate ... | 1,384 |
doctor: there is no pain to palpation of the right foot there is associated granulation tissue and some slight purulent discharge from the wound okay so what does all that mean that just means that you have this ulcer that's you know fairly sizable with i think we need to do some good wound care on it let's talk a litt... | D2N051 | 21 | [
"Discussion",
"Acute Assessment",
"Referral",
"Medication",
"Other Treatments"
] | [
"Assessment",
"Plan"
] | there is no pain to palpation of the right foot there is associated granulation tissue and some slight purulent discharge from the wound okay so what does all that mean that just means that you have this ulcer that's you know fairly sizable with i think we need to do some good wound care on it let's talk a little bit a... | 1,385 |
doctor: yeah i mean is this do we have to do any more tests or anything what are you we're gon na do an arterial ultrasound i'm going to go ahead and order an arterial ultrasound of your lower extremities to see what the blood supply is like and then i'm gon na go ahead and order a podiatry consult because i want them ... | D2N051 | 22 | [
"Diagnostic Testing",
"Referral"
] | [
"Plan"
] | yeah i mean is this do we have to do any more tests or anything what are you we're gon na do an arterial ultrasound i'm going to go ahead and order an arterial ultrasound of your lower extremities to see what the blood supply is like and then i'm gon na go ahead and order a podiatry consult because i want them to see t... | 1,386 |
doctor: sure understood alright and for your last issue your coronary artery disease continue with your statin and i will talk to your cardiologist in case you need a procedure to see if you're cleared from a medical standpoint okay patient: okay perfect | D2N051 | 23 | [
"Reassessment",
"Follow-up",
"Medication"
] | [
"Assessment",
"Plan"
] | sure understood alright and for your last issue your coronary artery disease continue with your statin and i will talk to your cardiologist in case you need a procedure to see if you're cleared from a medical standpoint okay | 1,387 |
doctor: alright patient: perfect thank you so much | D2N051 | 24 | [
"Chitchat"
] | [
"Null"
] | alright | 1,388 |
doctor: okay bye | D2N051 | 25 | [
"Chitchat"
] | [
"Null"
] | doctor: okay bye | 1,389 |
doctor: so anna good to see you today so reading here in your appointment notes you were you were diagnosed with kidney stones from your your pcp and you currently have one and so they they had you come in so can you tell me what happened how's all that going for you patient: sure i've been having some back pain on my ... | D2N052 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | so anna good to see you today so reading here in your appointment notes you were you were diagnosed with kidney stones from your your pcp and you currently have one and so they they had you come in so can you tell me what happened how's all that going for you | 1,390 |
doctor: okay so on the right side so does that pain does it move anywhere or is it just kinda stay in that that one area patient: yeah it's moved down a little bit on to my right lower side a little bit | D2N052 | 2 | [
"Personal History"
] | [
"Subjective"
] | okay so on the right side so does that pain does it move anywhere or is it just kinda stay in that that one area | 1,391 |
doctor: side okay so how would you describe the pain is it constant or is does it come and go patient: it's pretty constant | D2N052 | 3 | [
"Personal History"
] | [
"Subjective"
] | side okay so how would you describe the pain is it constant or is does it come and go | 1,392 |
doctor: okay did you notice any pain when you're urinating i know i know you say you you saw you see blood but any pain with that patient: no no real pain when i'm when i'm peeing at all | D2N052 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay did you notice any pain when you're urinating i know i know you say you you saw you see blood but any pain with that | 1,393 |
doctor: okay so have you taken anything i know have you tried like azo or any of that to patient: i took some ibuprofen that helped a little bit | D2N052 | 5 | [
"Therapeutic History"
] | [
"Subjective"
] | okay so have you taken anything i know have you tried like azo or any of that to | 1,394 |
doctor: alright have you noticed any nausea vomiting fever chills patient: i have n't thrown up but i felt a little bit nauseated | D2N052 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | alright have you noticed any nausea vomiting fever chills | 1,395 |
doctor: little nauseated yeah that's we expected so have you do you have a family history of kidney stones i know some people when they have them like their parents have them stuff but patient: yeah my my dad had kidney stones i think he has passed a couple of them i'm not quite sure | D2N052 | 8 | [
"Family History"
] | [
"Subjective"
] | little nauseated yeah that's we expected so have you do you have a family history of kidney stones i know some people when they have them like their parents have them stuff but | 1,396 |
doctor: alright and have you had any in the past or is this your first one patient: this is my first time i've never had this before | D2N052 | 9 | [
"Personal History"
] | [
"Subjective"
] | alright and have you had any in the past or is this your first one | 1,397 |
doctor: okay alright so we'll do we'll do an exam on you just to check you out so i guess you were in pain and stuff over the over the easter easter break there that patient: yeah yeah i had some pain over the weekend i saw my pediatrician this morning so they sent me over here they were concerned that i might have a k... | D2N052 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay alright so we'll do we'll do an exam on you just to check you out so i guess you were in pain and stuff over the over the easter easter break there that | 1,398 |
doctor: okay so i'm guessing you did n't get to go find the eggs on the easter egg hunt because of the you were in pain patient: not so much but i i got to participate a little bit i opened some eggs i just did n't go run around and find them | D2N052 | 11 | [
"Chitchat"
] | [
"Null"
] | okay so i'm guessing you did n't get to go find the eggs on the easter egg hunt because of the you were in pain | 1,399 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.