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|---|---|---|---|---|---|---|
doctor: a seven out of 10 pain . um , and no other injuries while you went down this double black diamond ? patient: no , interestingly enough , this is the only one . | D2N094 | 8 | [
"Personal History"
] | [
"Subjective"
] | a seven out of 10 pain . um , and no other injuries while you went down this double black diamond ? | 2,400 |
doctor: okay . well , i guess you escaped ... i mean ... patient: could have been much worse . | D2N094 | 9 | [
"Chitchat"
] | [
"Null"
] | okay . well , i guess you escaped ... i mean ... | 2,401 |
doctor: could have been much worse , yes . so , um , do you have any medical problems ? patient: um ... yeah , i'm ... i have chronic constipation . | D2N094 | 10 | [
"Personal History"
] | [
"Subjective"
] | could have been much worse , yes . so , um , do you have any medical problems ? | 2,402 |
doctor: do you take any medicine for it ? patient: miralax . | D2N094 | 11 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | do you take any medicine for it ? | 2,403 |
doctor: and does that help ? patient: seems to flow nicely . | D2N094 | 12 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | and does that help ? | 2,404 |
doctor: good for you . um ... have you ever had any surgeries before ? patient: yes , i had my appendix out when i was seven . | D2N094 | 13 | [
"Personal History"
] | [
"Subjective"
] | good for you . um ... have you ever had any surgeries before ? | 2,405 |
doctor: okay . um , let's look at your x-ray together . hey , dragon , show me the last x-ray . all right . so looking at your right hand here , and that index finger looks great . so all the joints , bones are in the right places , no fractures , so you've got a normal right hand x-ray . um , let's go ahead and check ... | D2N094 | 14 | [
"Physical Examination",
"Radiology Examination"
] | [
"Objective"
] | okay . um , let's look at your x-ray together . hey , dragon , show me the last x-ray . all right . so looking at your right hand here , and that index finger looks great . so all the joints , bones are in the right places , no fractures , so you've got a normal right hand x-ray . um , let's go ahead and check your fin... | 2,406 |
doctor: does it hurt when i pull your finger like this ? patient: yes . | D2N094 | 15 | [
"Physical Examination"
] | [
"Objective"
] | does it hurt when i pull your finger like this ? | 2,407 |
doctor: does it hurt when i squeeze over this joint here ? patient: yes . please do n't do that . | D2N094 | 16 | [
"Physical Examination"
] | [
"Objective"
] | does it hurt when i squeeze over this joint here ? | 2,408 |
doctor: does it hurt when i squeeze over this ? patient: yes . | D2N094 | 17 | [
"Physical Examination"
] | [
"Objective"
] | does it hurt when i squeeze over this ? | 2,409 |
doctor: okay . um ... so with your x-ray , and with your exam , looks like you have a sprain of your distar- distal interphalangeal joint . it's called your dip joint , of your right index finger , and so what we're gon na do for that is we're gon na put a splint on that right finger . i'm gon na give you a strong anti... | D2N094 | 18 | [
"Discussion",
"Follow-up",
"Medication",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | okay . um ... so with your x-ray , and with your exam , looks like you have a sprain of your distar- distal interphalangeal joint . it's called your dip joint , of your right index finger , and so what we're gon na do for that is we're gon na put a splint on that right finger . i'm gon na give you a strong antiinflamma... | 2,410 |
doctor: you're welcome . hey , dragon , order the medications and procedures mentioned . and why do n't you come with me , and we'll get you checked out ? patient: okay . | D2N094 | 19 | [
"Chitchat"
] | [
"Null"
] | you're welcome . hey , dragon , order the medications and procedures mentioned . and why do n't you come with me , and we'll get you checked out ? | 2,411 |
doctor: hey , dragon , finalize the report . | D2N094 | 20 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon , finalize the report . | 2,412 |
doctor: hi , cheryl . how are you ? patient: i'm doing well . how are you ? | D2N095 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi , cheryl . how are you ? | 2,413 |
doctor: i'm doing well . so i know the nurse told you a little bit about dax . i'd like to tell dax about you . patient: okay . | D2N095 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm doing well . so i know the nurse told you a little bit about dax . i'd like to tell dax about you . | 2,414 |
doctor: cheryl is a 34-year-old female with a past medical history significant for hypertension , who presents today with back pain . cheryl , what happened to your back ? patient: so i've been walking a lot lately . i've been walking to ... 30 minutes to an hour or so a day . and all of a sudden , um , when i was walk... | D2N095 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | cheryl is a 34-year-old female with a past medical history significant for hypertension , who presents today with back pain . cheryl , what happened to your back ? | 2,415 |
doctor: okay . so you felt like , maybe like a spasm or something like that ? patient: yeah . | D2N095 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . so you felt like , maybe like a spasm or something like that ? | 2,416 |
doctor: okay . and how many days ago was that ? patient: that was about six days ago now . | D2N095 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and how many days ago was that ? | 2,417 |
doctor: okay . and what have you taken for the pain ? patient: i've been taking ibuprofen . um , and then i've been putting some heat on it . but it's still pretty stiff . | D2N095 | 5 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay . and what have you taken for the pain ? | 2,418 |
doctor: okay . all right . um , and did you have any trauma before that happened ? were you doing anything strenuous like crossfit or lifting boxes or anything like that before you went for , for the walk ? patient: i have been lifting more , um , probably around three times a week . so i do n't know if it was because ... | D2N095 | 6 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . um , and did you have any trauma before that happened ? were you doing anything strenuous like crossfit or lifting boxes or anything like that before you went for , for the walk ? | 2,419 |
doctor: okay . all right . and was it any particular area in your back ? was it the lower back ? patient: yeah , it was . | D2N095 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . and was it any particular area in your back ? was it the lower back ? | 2,420 |
doctor: okay . on one side versus the other ? patient: um , kind of both equally . | D2N095 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . on one side versus the other ? | 2,421 |
doctor: okay . all right . and any numbing or tingling in your legs or your feet ? patient: no , i have n't felt anything like that . | D2N095 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . and any numbing or tingling in your legs or your feet ? | 2,422 |
doctor: okay . any weakness in your lower extremities ? patient: no . | D2N095 | 11 | [
"Vegetative History"
] | [
"Subjective"
] | okay . any weakness in your lower extremities ? | 2,423 |
doctor: okay . all right .and then in terms of your blood pressure , how are you doing ? patient: so i got that cuff that you suggested the ... our ... the last visit , and i've been doing readings at home . and that's been looking great , too . i've been watching my diet . again , my boyfriend's been great and dieting... | D2N095 | 12 | [
"Personal History"
] | [
"Subjective"
] | okay . all right .and then in terms of your blood pressure , how are you doing ? | 2,424 |
doctor: okay . excellent . and you're taking the lisinopril ? patient: yes . | D2N095 | 13 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | okay . excellent . and you're taking the lisinopril ? | 2,425 |
doctor: okay . wonderful . okay . so i know you did a review of systems sheet with the nurse , and i know you endorse , you know , this back pain . um , do you have any other symptoms ? fever , chills , congestion , cough , chest pain , shortness of breath ? patient: i have a little bit of nasal congestion , but that's... | D2N095 | 14 | [
"Vegetative History"
] | [
"Subjective"
] | okay . wonderful . okay . so i know you did a review of systems sheet with the nurse , and i know you endorse , you know , this back pain . um , do you have any other symptoms ? fever , chills , congestion , cough , chest pain , shortness of breath ? | 2,426 |
doctor: okay . all right . well , let's go ahead . i want to do a quick physical exam on you . patient: okay . | D2N095 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right . well , let's go ahead . i want to do a quick physical exam on you . | 2,427 |
doctor: okay ? hey , dragon , show me the vital signs . so good- you know , here in the office , your vital signs look great . your blood pressure's really well controlled , which is good . so that's a good job . so i'm going to take a listen to your heart and lungs . i'm going to examine your back , and i'm going to l... | D2N095 | 16 | [
"Physical Examination"
] | [
"Objective"
] | okay ? hey , dragon , show me the vital signs . so good- you know , here in the office , your vital signs look great . your blood pressure's really well controlled , which is good . so that's a good job . so i'm going to take a listen to your heart and lungs . i'm going to examine your back , and i'm going to let you k... | 2,428 |
doctor: okay . all right . so on physical examination , you know , everything looks good . you know , on your heart exam , i do hear that slight two out of six systolic ejection murmur , but you've had that before . that seems stable to me . on your back exam , you do have some pain to palpation on the right lateral as... | D2N095 | 17 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right . so on physical examination , you know , everything looks good . you know , on your heart exam , i do hear that slight two out of six systolic ejection murmur , but you've had that before . that seems stable to me . on your back exam , you do have some pain to palpation on the right lateral aspect of ... | 2,429 |
doctor: we did an x-ray before you saw me , so let's look at that . hey , dragon , show me the back x-ray . so looking here at this x-ray of the lumbar spine , everything looks good . there's good boney alignment . there's no obvious fracture , you know , which is not surprising based on your history . okay ? patient: ... | D2N095 | 18 | [
"Radiology Examination"
] | [
"Objective"
] | we did an x-ray before you saw me , so let's look at that . hey , dragon , show me the back x-ray . so looking here at this x-ray of the lumbar spine , everything looks good . there's good boney alignment . there's no obvious fracture , you know , which is not surprising based on your history . okay ? | 2,430 |
doctor: hey , dragon , show me the labs . and your labs that we did before you came in all look great . there's no elevated white blood cell count . there's no signs of infection . again , those are all really good . okay ? so let me go over with you about my assessment and my plan for you . so for your first problem ,... | D2N095 | 19 | [
"Medication",
"Lab Examination",
"Referral",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | hey , dragon , show me the labs . and your labs that we did before you came in all look great . there's no elevated white blood cell count . there's no signs of infection . again , those are all really good . okay ? so let me go over with you about my assessment and my plan for you . so for your first problem , this ba... | 2,431 |
doctor: and for your last problem , your high blood pressure , again , everything looks great here . um , you know , i think you're doing a really good job with that as well . i want you to continue on the lisinopril , 10 milligrams a day . and then , uh , let me know if you notice any increases in your blood pressure ... | D2N095 | 20 | [
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and for your last problem , your high blood pressure , again , everything looks great here . um , you know , i think you're doing a really good job with that as well . i want you to continue on the lisinopril , 10 milligrams a day . and then , uh , let me know if you notice any increases in your blood pressure readings... | 2,432 |
doctor: do you need a refill of the lisinopril ? patient: yes , i do , actually . | D2N095 | 21 | [
"Discussion",
"Medication"
] | [
"Plan"
] | do you need a refill of the lisinopril ? | 2,433 |
doctor: okay . hey , dragon ? order lisinopril 10 milligrams po daily . okay . uh , so the nurse will be in soon , and she'll get you checked out . okay ? patient: okay . | D2N095 | 22 | [
"Chitchat"
] | [
"Null"
] | okay . hey , dragon ? order lisinopril 10 milligrams po daily . okay . uh , so the nurse will be in soon , and she'll get you checked out . okay ? | 2,434 |
doctor: all right . hey , dragon ? finalize the note . | D2N095 | 23 | [
"Chitchat"
] | [
"Null"
] | doctor: all right . hey , dragon ? finalize the note . | 2,435 |
doctor: um , hi mrs. anderson . right ? patient: yeah . yes , doctor . | D2N096 | 0 | [
"Greetings"
] | [
"Subjective"
] | um , hi mrs. anderson . right ? | 2,436 |
doctor: what brings you here today ? patient: hi , doctor . um , i'm having this left shoulder pain lately , uh , and it's paining a lot . | D2N096 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | what brings you here today ? | 2,437 |
doctor: okay . all right . hey , dragon . i am seeing mrs. anderson , a 44-years-old female , uh , complaining to check the left shoulder pain . um , so how long how has this lasted ? patient: it's been a week , doctor . yeah . | D2N096 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . hey , dragon . i am seeing mrs. anderson , a 44-years-old female , uh , complaining to check the left shoulder pain . um , so how long how has this lasted ? | 2,438 |
doctor: a week . patient: yeah . | D2N096 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | a week . | 2,439 |
doctor: um , did you take any medication yourself ? patient: no , i did not take any pain medications . actually , i did . i did take a tylenol for two or three days , but then that did n't help at all . so , uh , the reason why it started or when it started to happen is- | D2N096 | 4 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | um , did you take any medication yourself ? | 2,440 |
doctor: yeah , okay . patient: and , uh , i do n't know . maybe i must have toppled over into some weird position , so it started to pain since then , uh , because of a certain move . | D2N096 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah , okay . | 2,441 |
doctor: okay , uh- patient: i went overboard , i think . yeah . | D2N096 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , uh- | 2,442 |
doctor: all right , lem me , uh , take a quick look . uh , can you move up a little bit ? yeah . patient: uh , yeah . in fact , that's hurts . | D2N096 | 8 | [
"Physical Examination"
] | [
"Objective"
] | all right , lem me , uh , take a quick look . uh , can you move up a little bit ? yeah . | 2,443 |
doctor: does that- does it hurt ? patient: yeah , it does . | D2N096 | 9 | [
"Physical Examination"
] | [
"Objective"
] | does that- does it hurt ? | 2,444 |
doctor: what if you move back a little bit ? patient: uh , that also hurts , doctor . | D2N096 | 10 | [
"Physical Examination"
] | [
"Objective"
] | what if you move back a little bit ? | 2,445 |
doctor: yeah , okay . patient: any kind of movement on my left shoulder actually hurts . | D2N096 | 11 | [
"Physical Examination"
] | [
"Objective"
] | yeah , okay . | 2,446 |
doctor: okay . all right , um , so let's ... hey , dragon . show me the last x-ray . all right , from the x-ray , it does n't look like there is any , uh , broken bone or fracture . my guess is you probably , um , hurt your joint , uh- patient: uh- . | D2N096 | 12 | [
"Radiology Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment"
] | okay . all right , um , so let's ... hey , dragon . show me the last x-ray . all right , from the x-ray , it does n't look like there is any , uh , broken bone or fracture . my guess is you probably , um , hurt your joint , uh- | 2,447 |
doctor: . a little bit . patient: mm-hmm . | D2N096 | 13 | [
"Radiology Examination"
] | [
"Objective"
] | . a little bit . | 2,448 |
doctor: so i would , uh , suggest you continue using the pain reliever , maybe just like 600 milligram of ibuprofen three times a day and use it for a week . patient: and for how long ? yes . | D2N096 | 14 | [
"Medication"
] | [
"Plan"
] | so i would , uh , suggest you continue using the pain reliever , maybe just like 600 milligram of ibuprofen three times a day and use it for a week . | 2,449 |
doctor: for a week . patient: a week , okay . | D2N096 | 15 | [
"Discussion",
"Medication"
] | [
"Plan"
] | for a week . | 2,450 |
doctor: and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad- patient: okay . | D2N096 | 16 | [
"Discussion",
"Medication"
] | [
"Plan"
] | and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad- | 2,451 |
doctor: . 'cause that might help relieve your pain . patient: okay . | D2N096 | 17 | [
"Discussion",
"Medication"
] | [
"Plan"
] | . 'cause that might help relieve your pain . | 2,452 |
doctor: mm-hmm . patient: . so , um , i hope that should n't matter , right ? | D2N096 | 19 | [
"Discussion"
] | [
"Plan"
] | mm-hmm . | 2,453 |
doctor: um , that does n't seem related to your pain . patient: okay . | D2N096 | 20 | [
"Discussion"
] | [
"Plan"
] | um , that does n't seem related to your pain . | 2,454 |
doctor: so ... but i would try to rest my , your left arm- patient: okay . | D2N096 | 21 | [
"Discussion"
] | [
"Plan"
] | so ... but i would try to rest my , your left arm- | 2,455 |
doctor: . while it's healing . patient: okay . | D2N096 | 22 | [
"Discussion"
] | [
"Plan"
] | . while it's healing . | 2,456 |
doctor: so , um- patient: can i , uh , carry any heavy weights or- | D2N096 | 23 | [
"Discussion"
] | [
"Plan"
] | so , um- | 2,457 |
doctor: no , no . definitely not . patient: . anything like that ? | D2N096 | 24 | [
"Discussion"
] | [
"Plan"
] | no , no . definitely not . | 2,458 |
doctor: definitely not . patient: okay . okay . | D2N096 | 25 | [
"Discussion"
] | [
"Plan"
] | definitely not . | 2,459 |
doctor: yeah , use , um , right hand- patient: okay . | D2N096 | 26 | [
"Discussion"
] | [
"Plan"
] | yeah , use , um , right hand- | 2,460 |
doctor: . instead- patient: mm-hmm . | D2N096 | 27 | [
"Discussion"
] | [
"Plan"
] | . instead- | 2,461 |
doctor: . for the next , uh , at least just three to four weeks . patient: mm-hmm . | D2N096 | 28 | [
"Discussion"
] | [
"Plan"
] | . for the next , uh , at least just three to four weeks . | 2,462 |
doctor: uh , come back to see me if the pain , you know , still there after maybe three weeks- patient: sure . | D2N096 | 29 | [
"Follow-up"
] | [
"Plan"
] | uh , come back to see me if the pain , you know , still there after maybe three weeks- | 2,463 |
doctor: . so we can take a further look . patient: okay . sure . | D2N096 | 30 | [
"Follow-up"
] | [
"Plan"
] | . so we can take a further look . | 2,464 |
doctor: but you should be fine- patient: yeah . | D2N096 | 31 | [
"Chitchat"
] | [
"Null"
] | but you should be fine- | 2,465 |
doctor: . after just resting and regular pain reliever . patient: okay . all right . | D2N096 | 32 | [
"Chitchat"
] | [
"Null"
] | . after just resting and regular pain reliever . | 2,466 |
doctor: um , maybe . let's see how you're doing in the next three weeks . patient: uh . | D2N096 | 34 | [
"Discussion",
"Follow-up"
] | [
"Plan"
] | um , maybe . let's see how you're doing in the next three weeks . | 2,467 |
doctor: hey , dragon . um , order medications and procedures as discussed . all right . patient: okay . | D2N096 | 35 | [
"Chitchat"
] | [
"Null"
] | hey , dragon . um , order medications and procedures as discussed . all right . | 2,468 |
doctor: um , i think that's good for today . hope you feel better soon . patient: okay . thank you , doctor . | D2N096 | 36 | [
"Chitchat"
] | [
"Null"
] | um , i think that's good for today . hope you feel better soon . | 2,469 |
doctor: um , you can also try advil . patient: okay . | D2N096 | 39 | [
"Discussion",
"Medication"
] | [
"Plan"
] | um , you can also try advil . | 2,470 |
doctor: yeah , so , um ... patient: yeah . | D2N096 | 40 | [
"Chitchat"
] | [
"Null"
] | yeah , so , um ... | 2,471 |
doctor: ale- , aleve . i mean , aleve . patient: i see . okay , thank you , doctor . | D2N096 | 41 | [
"Discussion",
"Medication"
] | [
"Plan"
] | ale- , aleve . i mean , aleve . | 2,472 |
doctor: thank you . | D2N096 | 42 | [
"Chitchat"
] | [
"Null"
] | doctor: thank you . | 2,473 |
doctor: elizabeth , how are you ? patient: i'm doing okay . how are you ? | D2N097 | 0 | [
"Greetings"
] | [
"Subjective"
] | elizabeth , how are you ? | 2,474 |
doctor: doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ? patient: okay . | D2N097 | 1 | [
"Chitchat"
] | [
"Null"
] | doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ? | 2,475 |
doctor: all right . elizabeth is a 66-year-old female with a past medical history of significant for depression and hypertension who presents for her annual exam . so elizabeth , it's been a year since i've seen you . patient: mm-hmm . | D2N097 | 2 | [
"Personal History"
] | [
"Subjective"
] | all right . elizabeth is a 66-year-old female with a past medical history of significant for depression and hypertension who presents for her annual exam . so elizabeth , it's been a year since i've seen you . | 2,476 |
doctor: how are you doing ? patient: i'm doing well . there's been so many events now that we've been able to get vaccinated , i've been able to see my grandkids again , go to more birthday parties , it's been fantastic . | D2N097 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | how are you doing ? | 2,477 |
doctor: yeah , i know . i've ... i mean , we've had some communication over telehealth and that type of thing , but it's not the same as being in-person , so i'm happy to see you today . now tell me a little bit about , you know , we have n't really got a chance to talk about your depression . how are you ... how are y... | D2N097 | 4 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | yeah , i know . i've ... i mean , we've had some communication over telehealth and that type of thing , but it's not the same as being in-person , so i'm happy to see you today . now tell me a little bit about , you know , we have n't really got a chance to talk about your depression . how are you ... how are you doing... | 2,478 |
doctor: okay . and do y- do you have a good support system at home ? patient: yes , i do . i have my husband and , uh , my kids are right down the street from me , so i'm very lucky . | D2N097 | 5 | [
"Other Socials"
] | [
"Subjective"
] | okay . and do y- do you have a good support system at home ? | 2,479 |
doctor: okay . all right . so that's good to hear . how about your blood pressure ? did you buy the blood pressure cuff that i- patient: yes . | D2N097 | 6 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . so that's good to hear . how about your blood pressure ? did you buy the blood pressure cuff that i- | 2,480 |
doctor: . told you to ? okay . i know that we've been in communication and your blood pressures have been running okay . the last time i spoke with you , how are they doing since we last spoke ? patient: they've been doing well . i've been using the cuff , um , once a day , and they seem pretty normal . | D2N097 | 7 | [
"Physical Examination",
"Personal History"
] | [
"Subjective",
"Objective"
] | . told you to ? okay . i know that we've been in communication and your blood pressures have been running okay . the last time i spoke with you , how are they doing since we last spoke ? | 2,481 |
doctor: okay . and are you taking the lisinopril that i prescribed ? patient: yes . | D2N097 | 8 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | okay . and are you taking the lisinopril that i prescribed ? | 2,482 |
doctor: okay . great . all right . so i know that you did a review of systems sheet with the nurse when you checked in . you know , i know that you were talking about some nasal congestion . do you have any other symptoms , chest pain , shortness of breath , abdominal pain , nausea or vomiting , anything like that ? pa... | D2N097 | 9 | [
"Vegetative History"
] | [
"Subjective"
] | okay . great . all right . so i know that you did a review of systems sheet with the nurse when you checked in . you know , i know that you were talking about some nasal congestion . do you have any other symptoms , chest pain , shortness of breath , abdominal pain , nausea or vomiting , anything like that ? | 2,483 |
doctor: no ? okay . all right . well , i wan na go ahead and do a quick physical exam , okay ? patient: okay . | D2N097 | 10 | [
"Physical Examination"
] | [
"Objective"
] | no ? okay . all right . well , i wan na go ahead and do a quick physical exam , okay ? | 2,484 |
doctor: hey , dragon , show me the vital signs . so here in the office , you know , your blood pressure looks really good , as does your heart rate . so you are doing a good job managing your blood pressure . so i'm gon na take a listen to your heart and lungs , okay ? patient: okay . | D2N097 | 11 | [
"Physical Examination"
] | [
"Objective"
] | hey , dragon , show me the vital signs . so here in the office , you know , your blood pressure looks really good , as does your heart rate . so you are doing a good job managing your blood pressure . so i'm gon na take a listen to your heart and lungs , okay ? | 2,485 |
doctor: okay . so on physical examination , i do n't appreciate any carotid bruits in your neck . on your heart exam i do notice a slight 2/6 systolic ejection murmur , which we've heard in the past , so i think that's stable . your lungs in- are nice and clear , and you have some trace lower extremity edema bilaterall... | D2N097 | 12 | [
"Physical Examination"
] | [
"Objective"
] | okay . so on physical examination , i do n't appreciate any carotid bruits in your neck . on your heart exam i do notice a slight 2/6 systolic ejection murmur , which we've heard in the past , so i think that's stable . your lungs in- are nice and clear , and you have some trace lower extremity edema bilaterally , so a... | 2,486 |
doctor: all right . hey , dragon , show me the ekg . and the nurses did an ekg before you came in , and that looks perfectly fine , okay ? so i wan na just go ahead and talk a little about your assessment and my plan for you . so for your first problem , your depression , i think you're doing a really good job with you... | D2N097 | 13 | [
"Discussion",
"Radiology Examination",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | all right . hey , dragon , show me the ekg . and the nurses did an ekg before you came in , and that looks perfectly fine , okay ? so i wan na just go ahead and talk a little about your assessment and my plan for you . so for your first problem , your depression , i think you're doing a really good job with your strate... | 2,487 |
doctor: for your second problem , your high blood pressure , i agree , everything looks fine here now . i wan na just continue on the lisinopril , 20 milligrams a day . and i want you to continue to watch your blood pressures as well , and if they start rising , i want you to contact me , okay ? patient: okay . | D2N097 | 14 | [
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | for your second problem , your high blood pressure , i agree , everything looks fine here now . i wan na just continue on the lisinopril , 20 milligrams a day . and i want you to continue to watch your blood pressures as well , and if they start rising , i want you to contact me , okay ? | 2,488 |
doctor: and for your third problem , for an annual exam maintenance , you know , you're due for a mammogram , so we'll go ahead and schedule that , okay ? patient: all right . | D2N097 | 15 | [
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and for your third problem , for an annual exam maintenance , you know , you're due for a mammogram , so we'll go ahead and schedule that , okay ? | 2,489 |
doctor: all right . do you have any questions ? patient: um , can i take all my medicine at the same time ? does it matter ? | D2N097 | 16 | [
"Discussion"
] | [
"Plan"
] | all right . do you have any questions ? | 2,490 |
doctor: yeah . you can set an alarm so that it reminds you to take your medication . but yeah , you can , you can take them altogether . patient: okay . | D2N097 | 17 | [
"Discussion",
"Medication"
] | [
"Plan"
] | yeah . you can set an alarm so that it reminds you to take your medication . but yeah , you can , you can take them altogether . | 2,491 |
doctor: all right . hey , dragon , finalize the note . | D2N097 | 18 | [
"Chitchat"
] | [
"Null"
] | doctor: all right . hey , dragon , finalize the note . | 2,492 |
doctor: all right . today i am seeing jose james . uh , date of birth 9/29/1957 . mr . james is a new patient who's having pain in his left shoulder and elbow . he fell five months ago going up a stairs , and the pain has been present since . hi mr . james , i'm doctor isabella . how are you doing ? patient: i'm okay .... | D2N098 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | all right . today i am seeing jose james . uh , date of birth 9/29/1957 . mr . james is a new patient who's having pain in his left shoulder and elbow . he fell five months ago going up a stairs , and the pain has been present since . hi mr . james , i'm doctor isabella . how are you doing ? | 2,493 |
doctor: that's good . that's good . tell me what's brings you in today . patient: sure . so i've been having constant pain in my left shoulder and left elbow for a while , about five months or so . hurts all the time . pretty bad at times . | D2N098 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | that's good . that's good . tell me what's brings you in today . | 2,494 |
doctor: mm . that does not sound like fun . it sounds like you injured it going up the stairs ? patient: yes , that's correct . it was icy , and i have to walk up a flight of stairs to my house . i stepped and my feet just went out . fell on my left side . seems like my shoulder and wrist took the brunt . it's been hur... | D2N098 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm . that does not sound like fun . it sounds like you injured it going up the stairs ? | 2,495 |
doctor: yeah , that does seem like a likely cause of your symptoms . anything seem to make the pain worse ? patient: well , i've always hit the gym and lifted weights . i've been trying to keep with my routine of two days a week , but it's been hard . the pain is worse when i lift , and i have n't been able to lift mor... | D2N098 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah , that does seem like a likely cause of your symptoms . anything seem to make the pain worse ? | 2,496 |
doctor: mm-hmm . i can imagine it is when you're so accustomed to your routine . patient: exactly . i really enjoy my exercise , but over the past one to two weeks , i've stopped hitting the gym because the pain just was n't worth it honestly . i do keep up with my walking , though . my wife and i walk about 30 minutes... | D2N098 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm . i can imagine it is when you're so accustomed to your routine . | 2,497 |
doctor: i do not blame you , mr . james . does anything seem to help the pain that you've tried ? patient: not too much . i have iced a bit , but i have not taken anything for the pain . stopping exercise and some ice has helped a bit , but it still hurts enough for me to come to see you . | D2N098 | 5 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | i do not blame you , mr . james . does anything seem to help the pain that you've tried ? | 2,498 |
doctor: yeah , okay . how about any numbness or tingling ? have you felt that at any point ? patient: no , doc . just pain . no tingling or numbless , numbness , thankfully . | D2N098 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah , okay . how about any numbness or tingling ? have you felt that at any point ? | 2,499 |
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