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|---|---|---|---|---|---|---|
doctor: i'm good . you're ready to get started ? patient: yes , i am . | D2N128 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm good . you're ready to get started ? | 3,200 |
doctor: so carolyn is a 49-year-old female here for follow-up of her chronic problems . so , how are you doing , carolyn ? patient: i'm doing okay . um , my osteoarthritis has been flaring up a little bit lately , um , so i wan na get- talk about that primarily . so , it's mostly in um , my elbows and it's really been ... | D2N128 | 2 | [
"Personal History"
] | [
"Subjective"
] | so carolyn is a 49-year-old female here for follow-up of her chronic problems . so , how are you doing , carolyn ? | 3,201 |
doctor: okay , sure . and , are you right or left-handed ? patient: i'm right-handed . | D2N128 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay , sure . and , are you right or left-handed ? | 3,202 |
doctor: okay , and does one elbow bother you more than the other ? patient: my right elbow does bother me more than the other , but primarily , i'm typing all day versus writing , so it- it flares up in both . | D2N128 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay , and does one elbow bother you more than the other ? | 3,203 |
doctor: okay . all right , and um , any other joint pain ? patient: no , just- just really focused on my elbows . | D2N128 | 5 | [
"Personal History"
] | [
"Subjective"
] | okay . all right , and um , any other joint pain ? | 3,204 |
doctor: okay , and any numbing or tingling in your hands ? patient: uh , sometimes . when i'm typing for long periods of time , i feel a little bit of numbing , um , i try to shake out my arms a little bit . um , just to kind of relieve that um , sensation . | D2N128 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | okay , and any numbing or tingling in your hands ? | 3,205 |
doctor: okay . all right , and i know that you've had this also , had this history of gout . and the last episode you had was about three months ago . you had some inflammation of your toe . have you had any other issues with that ? patient: no , i have n't . um , the medication you gave me really controlled it , and i... | D2N128 | 7 | [
"Personal History"
] | [
"Subjective"
] | okay . all right , and i know that you've had this also , had this history of gout . and the last episode you had was about three months ago . you had some inflammation of your toe . have you had any other issues with that ? | 3,206 |
doctor: okay . all right , and how are you doing with your psoriasis ? patient: that's been under control too . that has n't been a- a major problem for me either . | D2N128 | 8 | [
"Personal History"
] | [
"Subjective"
] | okay . all right , and how are you doing with your psoriasis ? | 3,207 |
doctor: okay . i- i know that we had given you some clobetasol for your scalp . is that- so that's doing okay ? patient: yeah , that's doing a lot better . | D2N128 | 9 | [
"Therapeutic History"
] | [
"Subjective"
] | okay . i- i know that we had given you some clobetasol for your scalp . is that- so that's doing okay ? | 3,208 |
doctor: okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you . patient: okay . | D2N128 | 10 | [
"Physical Examination"
] | [
"Objective"
] | okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you . | 3,209 |
doctor: let's first look at your vital signs . hey , dragon , show me the vital signs . great , so everything looks good from that perspective . um , so looking at you , i do n't appreciate any cervical lymphadenopathy . your heart is a nice regular rate and rhythm , and your lungs sound really clear . on your right el... | D2N128 | 11 | [
"Physical Examination"
] | [
"Objective"
] | let's first look at your vital signs . hey , dragon , show me the vital signs . great , so everything looks good from that perspective . um , so looking at you , i do n't appreciate any cervical lymphadenopathy . your heart is a nice regular rate and rhythm , and your lungs sound really clear . on your right elbow , yo... | 3,210 |
doctor: okay , and when i turn your arm , do you have pain ? patient: yeah , that hurts a bit too . | D2N128 | 12 | [
"Physical Examination"
] | [
"Objective"
] | okay , and when i turn your arm , do you have pain ? | 3,211 |
doctor: okay , so she has pain- to palpation of the olecranon bursa and pain with pronation and supination . and when you flex- and when you bend it and straighten it , does that hurt ? patient: yeah , it does and it's a bit stiff too . | D2N128 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay , so she has pain- to palpation of the olecranon bursa and pain with pronation and supination . and when you flex- and when you bend it and straighten it , does that hurt ? | 3,212 |
doctor: okay , so pain with flexion and extension of the right arm . uh , your abdomen is nice and soft , and there's no lower extremity edema . uh , let's go ahead and take a look at some of your labs . you know , you have a lot of arthritis for someone so young , so we had sent off that autoimmune panel . hey , drago... | D2N128 | 14 | [
"Physical Examination",
"Medication",
"Lab Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay , so pain with flexion and extension of the right arm . uh , your abdomen is nice and soft , and there's no lower extremity edema . uh , let's go ahead and take a look at some of your labs . you know , you have a lot of arthritis for someone so young , so we had sent off that autoimmune panel . hey , dragon . show... | 3,213 |
doctor: hey , dragon . order meloxicam 15 milligrams once a day . and then i'd like to um , just see those- how- the x-ray show- shows up and the results of that before we refer you for any type of physical therapy , okay ? patient: okay . | D2N128 | 15 | [
"Discussion",
"Medication",
"Referral",
"Diagnostic Testing"
] | [
"Plan"
] | hey , dragon . order meloxicam 15 milligrams once a day . and then i'd like to um , just see those- how- the x-ray show- shows up and the results of that before we refer you for any type of physical therapy , okay ? | 3,214 |
doctor: and then from a psoriasis standpoint , i think everything is stable . we'll continue you on the steroid cream for your scalp , okay ? patient: that sounds good . | D2N128 | 16 | [
"Discussion",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and then from a psoriasis standpoint , i think everything is stable . we'll continue you on the steroid cream for your scalp , okay ? | 3,215 |
doctor: all right , do you have any questions ? patient: no , that's it . | D2N128 | 17 | [
"Discussion"
] | [
"Plan"
] | all right , do you have any questions ? | 3,216 |
doctor: all right , take care . patient: thank you . | D2N128 | 18 | [
"Chitchat"
] | [
"Null"
] | all right , take care . | 3,217 |
doctor: hey , dragon . finalize the note . | D2N128 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon . finalize the note . | 3,218 |
doctor: good afternoon , beverly . good to see you . patient: nice to see you too . | D2N129 | 0 | [
"Greetings"
] | [
"Subjective"
] | good afternoon , beverly . good to see you . | 3,219 |
doctor: so , i know my nurse told you a little bit about dax . um , now , if you do n't mind , i'd like to tell dax a little bit about you . patient: go for it . | D2N129 | 1 | [
"Chitchat"
] | [
"Null"
] | so , i know my nurse told you a little bit about dax . um , now , if you do n't mind , i'd like to tell dax a little bit about you . | 3,220 |
doctor: great . um , beverly's a 24 year old female patient , and i know you have a history of type 2 diabetes and high blood pressure . correct ? patient: yep . | D2N129 | 2 | [
"Personal History"
] | [
"Subjective"
] | great . um , beverly's a 24 year old female patient , and i know you have a history of type 2 diabetes and high blood pressure . correct ? | 3,221 |
doctor: okay . so , you're here today for your yearly exam . have n't seen you in a year . how're you doing ? patient: i've been doing well . i began working in a bakery this summer which has been super fun. i have really been enjoying working there, but i find myself, since i am so close to so many delicious treats, s... | D2N129 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay . so , you're here today for your yearly exam . have n't seen you in a year . how're you doing ? | 3,222 |
doctor: okay , so , that brings me to your diabetes . so , how have your blood sugars been ? patient: uh , not so good . | D2N129 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay , so , that brings me to your diabetes . so , how have your blood sugars been ? | 3,223 |
doctor: pretty bad lately ? patient: yeah . | D2N129 | 6 | [
"Personal History"
] | [
"Subjective"
] | pretty bad lately ? | 3,224 |
doctor: okay . and , that's really the only thing that's different is your diet , pretty much ? patient: yeah . | D2N129 | 7 | [
"Personal History"
] | [
"Subjective"
] | okay . and , that's really the only thing that's different is your diet , pretty much ? | 3,225 |
doctor: and , that's because of the new job and all that ? patient: yeah. it has been really challenging to resist the temptation. | D2N129 | 8 | [
"Other Socials"
] | [
"Subjective"
] | and , that's because of the new job and all that ? | 3,226 |
doctor: it's hard to ignore those desserts , are n't they ? patient: yeah . | D2N129 | 9 | [
"Chitchat"
] | [
"Null"
] | it's hard to ignore those desserts , are n't they ? | 3,227 |
doctor: no willpower like me ? patient: no , no willpower . | D2N129 | 10 | [
"Chitchat"
] | [
"Null"
] | no willpower like me ? | 3,228 |
doctor: okay . all right . and , and then , um , i know you've had high blood pressure , hypertension . how is , how have your blood sugars been ? have you been checking them ? patient: so , my blood pressure's been good . um , despite my , um , my diabetes levels being up and down . | D2N129 | 11 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . and , and then , um , i know you've had high blood pressure , hypertension . how is , how have your blood sugars been ? have you been checking them ? | 3,229 |
doctor: okay , so , your blood pressures have been normal . you've been sleeping well ? patient: yep , getting a full eight hours . | D2N129 | 13 | [
"Vegetative History"
] | [
"Subjective"
] | okay , so , your blood pressures have been normal . you've been sleeping well ? | 3,230 |
doctor: no concerns about hurting yourself or anything like that ? patient: no . | D2N129 | 14 | [
"Vegetative History"
] | [
"Subjective"
] | no concerns about hurting yourself or anything like that ? | 3,231 |
doctor: okay , good . okay , and i know my , um , nurse did a review of systems . other than what we've talked about so far , is there anything else that you needed to add ? patient: no . | D2N129 | 15 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , good . okay , and i know my , um , nurse did a review of systems . other than what we've talked about so far , is there anything else that you needed to add ? | 3,232 |
doctor: good . so , pretty much status quo except for those things that we've been working on , right ? patient: yep . | D2N129 | 16 | [
"Acute Symptoms"
] | [
"Subjective"
] | good . so , pretty much status quo except for those things that we've been working on , right ? | 3,233 |
doctor: okay , good . all right . well , let me do a quick physical exam , okay ? patient: okay . | D2N129 | 17 | [
"Physical Examination"
] | [
"Objective"
] | okay , good . all right . well , let me do a quick physical exam , okay ? | 3,234 |
doctor: okay , squeeze my finger here . good . can you feel me touch out here ? patient: yep . | D2N129 | 18 | [
"Physical Examination"
] | [
"Objective"
] | okay , squeeze my finger here . good . can you feel me touch out here ? | 3,235 |
doctor: okay . and , can you feel me touch you down here ? patient: yep . | D2N129 | 19 | [
"Physical Examination"
] | [
"Objective"
] | okay . and , can you feel me touch you down here ? | 3,236 |
doctor: okay . no swelling . push your leg out . good . pull it back . mm-hmm . go . good . okay . so , on my exam , um , essentially , your exam is normal . your , um , heart is regular . you do have that grade 2 , um , systolic ejection fraction back ejection murmur that you , um , that we've heard in the past . okay... | D2N129 | 20 | [
"Physical Examination"
] | [
"Objective"
] | okay . no swelling . push your leg out . good . pull it back . mm-hmm . go . good . okay . so , on my exam , um , essentially , your exam is normal . your , um , heart is regular . you do have that grade 2 , um , systolic ejection fraction back ejection murmur that you , um , that we've heard in the past . okay ? so , ... | 3,237 |
doctor: hey , dragon , show me the hemoglobin a1c . okay , so , blood sugars have been elevated . your hemoglobin a1c is elevated as well , so that tells me your blood sugars have been a little bit out of control . you're still taking the metformin , correct ? patient: yes , i am . | D2N129 | 21 | [
"Therapeutic History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | hey , dragon , show me the hemoglobin a1c . okay , so , blood sugars have been elevated . your hemoglobin a1c is elevated as well , so that tells me your blood sugars have been a little bit out of control . you're still taking the metformin , correct ? | 3,238 |
doctor: okay , and you take that twice a day ? patient: yep . | D2N129 | 22 | [
"Therapeutic History"
] | [
"Subjective"
] | okay , and you take that twice a day ? | 3,239 |
doctor: okay . um , uh , hey , dragon ? show me the vital signs . okay , good news here is your blood pressure's good . everything , um , there is fine . so , um , so , my assessment is , is , um , your first problem is diabetes . it's a little out of control . we'd like that hemoglobin a1c to be under seven , um , at ... | D2N129 | 23 | [
"Physical Examination",
"Discussion",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay . um , uh , hey , dragon ? show me the vital signs . okay , good news here is your blood pressure's good . everything , um , there is fine . so , um , so , my assessment is , is , um , your first problem is diabetes . it's a little out of control . we'd like that hemoglobin a1c to be under seven , um , at least . ... | 3,240 |
doctor: so , um , uh , i'm not gon na change your medication . i think this is diet related , so i want you to try to cut down on the snacking and additional sweets , okay ? patient: yeah . | D2N129 | 24 | [
"Discussion",
"Medication",
"Other Treatments"
] | [
"Plan"
] | so , um , uh , i'm not gon na change your medication . i think this is diet related , so i want you to try to cut down on the snacking and additional sweets , okay ? | 3,241 |
doctor: and , i want you to check your blood sugars in the morning . i want you to call them in in about two weeks so we know what your first , um , fasting blood sugar was in the morning , and then , we'll come back and see you in about two months and see if everything has straightened out . if it has n't , then we'll... | D2N129 | 25 | [
"Discussion",
"Follow-up",
"Medication",
"Other Treatments"
] | [
"Plan"
] | and , i want you to check your blood sugars in the morning . i want you to call them in in about two weeks so we know what your first , um , fasting blood sugar was in the morning , and then , we'll come back and see you in about two months and see if everything has straightened out . if it has n't , then we'll talk ab... | 3,242 |
doctor: your second problem is your hypertension . that seems to be relatively stable . i want you to stay on your current medication . you're on li- lisinopril 10 mg once a day . just stay right on that medication . no changes at this point . seems to be doing well , okay ? patient: okay . | D2N129 | 26 | [
"Discussion",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | your second problem is your hypertension . that seems to be relatively stable . i want you to stay on your current medication . you're on li- lisinopril 10 mg once a day . just stay right on that medication . no changes at this point . seems to be doing well , okay ? | 3,243 |
doctor: good . anything else i can do for you today ? patient: no . that's it . | D2N129 | 27 | [
"Discussion"
] | [
"Plan"
] | good . anything else i can do for you today ? | 3,244 |
doctor: good . come with me , we'll get you checked out . patient: thank you . | D2N129 | 28 | [
"Chitchat"
] | [
"Null"
] | good . come with me , we'll get you checked out . | 3,245 |
doctor: hey , dragon ? finalize the note . | D2N129 | 29 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon ? finalize the note . | 3,246 |
doctor: hi , anna , how are you ? patient: i'm doing okay . how are you ? | D2N130 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi , anna , how are you ? | 3,247 |
doctor: i'm doing well . uh , so i know the nurse told you a little bit about dax . i'd like to tell dax a little bit about you . patient: okay . | D2N130 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm doing well . uh , so i know the nurse told you a little bit about dax . i'd like to tell dax a little bit about you . | 3,248 |
doctor: all right . so , uh , anna is a 26-year-old female with a past medical history , significant for epilepsy , depression , and , uh , peptic ulcer disease , who presents with , uh , some joint pain . so , anna , what's going on with your , uh , what's going on with your joints ? patient: so , um , it's my left el... | D2N130 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | all right . so , uh , anna is a 26-year-old female with a past medical history , significant for epilepsy , depression , and , uh , peptic ulcer disease , who presents with , uh , some joint pain . so , anna , what's going on with your , uh , what's going on with your joints ? | 3,249 |
doctor: okay . have you noticed any swelling there on the- patient: yeah , i have . | D2N130 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . have you noticed any swelling there on the- | 3,250 |
doctor: okay , and is it right here on the , on the tip ? patient: yep , it is . | D2N130 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , and is it right here on the , on the tip ? | 3,251 |
doctor: okay , and are you right or left-handed ? patient: i am right-handed . | D2N130 | 5 | [
"Other Socials"
] | [
"Subjective"
] | okay , and are you right or left-handed ? | 3,252 |
doctor: okay , so it's your non-dominant hand ? patient: yeah , which is good . | D2N130 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , so it's your non-dominant hand ? | 3,253 |
doctor: okay , and any numbing or tingling in your hands at all ? patient: no , i have n't felt numbing or tingling . | D2N130 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | okay , and any numbing or tingling in your hands at all ? | 3,254 |
doctor: and any weakness in your arm ? patient: a little bit of weakness , uh , but nothing too significant . | D2N130 | 9 | [
"Vegetative History"
] | [
"Subjective"
] | and any weakness in your arm ? | 3,255 |
doctor: okay , and ... and how about .. and how about , um , any fever or chills ? patient: no fever or chills . | D2N130 | 10 | [
"Vegetative History"
] | [
"Subjective"
] | okay , and ... and how about .. and how about , um , any fever or chills ? | 3,256 |
doctor: okay . all right , well , let's talk a little bit about your epilepsy , okay ? patient: okay . | D2N130 | 11 | [
"Personal History"
] | [
"Subjective"
] | okay . all right , well , let's talk a little bit about your epilepsy , okay ? | 3,257 |
doctor: um , have you had any recent seizures ? patient: uh , no , i have n't . i think my last seizure was a year ago . | D2N130 | 12 | [
"Personal History"
] | [
"Subjective"
] | um , have you had any recent seizures ? | 3,258 |
doctor: okay , good . patient: yeah . | D2N130 | 13 | [
"Chitchat"
] | [
"Null"
] | okay , good . | 3,259 |
doctor: and you're still taking the keppra ? patient: yes , i am . | D2N130 | 14 | [
"Therapeutic History"
] | [
"Subjective"
] | and you're still taking the keppra ? | 3,260 |
doctor: okay , great . and then , tell me a little about your depression . how're you doing with that ? i know that you went into therapy last year , and you tried to avoid medication since you're already on the keppra . how's that doing ? patient: uh , therapy , therapy's been good . it , it has definitely helped . uh... | D2N130 | 15 | [
"Personal History"
] | [
"Subjective"
] | okay , great . and then , tell me a little about your depression . how're you doing with that ? i know that you went into therapy last year , and you tried to avoid medication since you're already on the keppra . how's that doing ? | 3,261 |
doctor: okay . all right , but no , no feelings of wanting to hurt yourself or somebody else ? patient: no , nothing like that . | D2N130 | 16 | [
"Vegetative History"
] | [
"Subjective"
] | okay . all right , but no , no feelings of wanting to hurt yourself or somebody else ? | 3,262 |
doctor: okay . all right . and then , how are you doing with your , with your ulcer ? i know that you , you know , you had so much stress a year ago and , you know , you were having some issues there . we did the endoscopy- patient: mm-hmm . | D2N130 | 17 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . and then , how are you doing with your , with your ulcer ? i know that you , you know , you had so much stress a year ago and , you know , you were having some issues there . we did the endoscopy- | 3,263 |
doctor: . and they showed that . so , how are you doing with that ? patient: i'm doing , i'm doing better . i have n't had any , um , issues with that , um , since we did the procedure , and everything's been good . | D2N130 | 18 | [
"Personal History"
] | [
"Subjective"
] | . and they showed that . so , how are you doing with that ? | 3,264 |
doctor: okay , well great . let's go ahead and ... i'm gon na go ahead with , um ... and , you know , i know that the nurse did a review of systems sheet on you when you came in , and i know that you were endorsing that left elbow pain . patient: mm-hmm . | D2N130 | 19 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , well great . let's go ahead and ... i'm gon na go ahead with , um ... and , you know , i know that the nurse did a review of systems sheet on you when you came in , and i know that you were endorsing that left elbow pain . | 3,265 |
doctor: any other symptoms , you know , chest pain , shortness of breath , abdominal pain , nausea or vomiting ? patient: no , nothing like that . i have a little bit of nasal , nasal congestion from allergies , uh , but that's it . | D2N130 | 20 | [
"Vegetative History"
] | [
"Subjective"
] | any other symptoms , you know , chest pain , shortness of breath , abdominal pain , nausea or vomiting ? | 3,266 |
doctor: okay , so you're endorsing some nasal congestion ? patient: yeah . | D2N130 | 21 | [
"Vegetative History"
] | [
"Subjective"
] | okay , so you're endorsing some nasal congestion ? | 3,267 |
doctor: okay . all right , well , let's go ahead to a physical exam , okay ? patient: okay . | D2N130 | 22 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right , well , let's go ahead to a physical exam , okay ? | 3,268 |
doctor: hey , dragon , show me the vital signs . good , here in the office , everything looks great with your vital signs . i think that's great , so i'm just gon na take a listen to your heart and your lungs , and take a look at your elbow and , and we'll go from there , okay ? patient: okay . | D2N130 | 23 | [
"Physical Examination"
] | [
"Objective"
] | hey , dragon , show me the vital signs . good , here in the office , everything looks great with your vital signs . i think that's great , so i'm just gon na take a listen to your heart and your lungs , and take a look at your elbow and , and we'll go from there , okay ? | 3,269 |
doctor: all right , so , so on physical examination of your left elbow , you do have some erythema and edema of your left elbow . does it hurt when i touch ? patient: yeah , it does . | D2N130 | 24 | [
"Physical Examination"
] | [
"Objective"
] | all right , so , so on physical examination of your left elbow , you do have some erythema and edema of your left elbow . does it hurt when i touch ? | 3,270 |
doctor: okay , he ... she has some pain to palpation of the olecranon . of the left olecra- olecranon , and it is warm to palpation . um , can you straighten your elbow for me ? patient: yeah , it , it hurts , and it's , uh , it's a bit stiff . | D2N130 | 25 | [
"Physical Examination"
] | [
"Objective"
] | okay , he ... she has some pain to palpation of the olecranon . of the left olecra- olecranon , and it is warm to palpation . um , can you straighten your elbow for me ? | 3,271 |
doctor: okay , so she has pain with flexion and extension of the left elbow . there's a palpable right ... or s- ... palpable left radial pulse . okay , um , so let's go over ... i just wan na take a look at some of your results , okay ? patient: okay . | D2N130 | 26 | [
"Physical Examination"
] | [
"Objective"
] | okay , so she has pain with flexion and extension of the left elbow . there's a palpable right ... or s- ... palpable left radial pulse . okay , um , so let's go over ... i just wan na take a look at some of your results , okay ? | 3,272 |
doctor: hey , dragon , show me the left elbow x-ray . hey , dragon , show me the elbow x-ray . hey , dragon , show me the left arm x-ray . okay , so , in reviewing the results of your left arm x-ray , there's no evidence of any elbow fracture , which is not surprising , okay ? hey , dragon , show me the endoscopy resul... | D2N130 | 27 | [
"Radiology Examination"
] | [
"Objective"
] | hey , dragon , show me the left elbow x-ray . hey , dragon , show me the elbow x-ray . hey , dragon , show me the left arm x-ray . okay , so , in reviewing the results of your left arm x-ray , there's no evidence of any elbow fracture , which is not surprising , okay ? hey , dragon , show me the endoscopy results . hey... | 3,273 |
doctor: so , let's talk a little bit about my assessment and my plan for you . so for your first problem , this left elbow pain , you know , i think you have olecranon bursitis , and we're just gon na , you know , have you , you know , get a little pillow for your elbow there . it's just caused by repetitive trauma . p... | D2N130 | 28 | [
"Discussion",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | so , let's talk a little bit about my assessment and my plan for you . so for your first problem , this left elbow pain , you know , i think you have olecranon bursitis , and we're just gon na , you know , have you , you know , get a little pillow for your elbow there . it's just caused by repetitive trauma . | 3,274 |
doctor: so , maybe you're slamming your elbow down a little bit on the desk , so just get a little rest there- patient: yeah . | D2N130 | 29 | [
"Discussion"
] | [
"Plan"
] | so , maybe you're slamming your elbow down a little bit on the desk , so just get a little rest there- | 3,275 |
doctor: . and we'll give you some melo- meloxicam , 15 mg , once a day . you can ice the area , okay ? um , for your next problem , the epilepsy , sounds like you're doing really well . i would go ahead and continue with the keppra , 500 mg , twice a day . do you need a refill of that ? patient: yes , i do . | D2N130 | 30 | [
"Discussion",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | . and we'll give you some melo- meloxicam , 15 mg , once a day . you can ice the area , okay ? um , for your next problem , the epilepsy , sounds like you're doing really well . i would go ahead and continue with the keppra , 500 mg , twice a day . do you need a refill of that ? | 3,276 |
doctor: hey , dragon , order a refill of keppra , 500 mg , twice daily . for your third problem , the depression , it sounds like you're doing well with the therapy and , if you want , we can talk about medical treatment options . patient: yeah , i think that would be great . | D2N130 | 31 | [
"Discussion",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | hey , dragon , order a refill of keppra , 500 mg , twice daily . for your third problem , the depression , it sounds like you're doing well with the therapy and , if you want , we can talk about medical treatment options . | 3,277 |
doctor: okay , well , let's go ahead and we'll start you on some lexapro , 10 mg , once a day , and we'll see how you do on that , okay ? patient: okay . | D2N130 | 32 | [
"Medication"
] | [
"Plan"
] | okay , well , let's go ahead and we'll start you on some lexapro , 10 mg , once a day , and we'll see how you do on that , okay ? | 3,278 |
doctor: all right , and then , for your last problem , the peptic ulcer disease , um , i want you to continue on the protonix , 40 mg , once a day before meals , okay ? patient: okay . | D2N130 | 33 | [
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | all right , and then , for your last problem , the peptic ulcer disease , um , i want you to continue on the protonix , 40 mg , once a day before meals , okay ? | 3,279 |
doctor: do you have any questions ? patient: no , i do n't . | D2N130 | 34 | [
"Discussion"
] | [
"Plan"
] | do you have any questions ? | 3,280 |
doctor: okay . all right . well , the nurse will come in soon and see you , okay , and i'll , i'll see you in a couple of weeks . patient: okay . | D2N130 | 35 | [
"Follow-up"
] | [
"Plan"
] | okay . all right . well , the nurse will come in soon and see you , okay , and i'll , i'll see you in a couple of weeks . | 3,281 |
doctor: all right , take care . bye . patient: bye . | D2N130 | 36 | [
"Chitchat"
] | [
"Null"
] | all right , take care . bye . | 3,282 |
doctor: hey , dragon , finalize the note . | D2N130 | 37 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon , finalize the note . | 3,283 |
doctor: hi , susan , how are you ? patient: good . how are you ? | D2N131 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi , susan , how are you ? | 3,284 |
doctor: good . are you ready to get started ? patient: yes , i am . | D2N131 | 1 | [
"Greetings"
] | [
"Subjective"
] | good . are you ready to get started ? | 3,285 |
doctor: so , susan is a 26-year-old female here for a high blood pressure check . susan , what's going on with your blood pressure ? patient: so , i've always struggled with , um , high blood pressure , but it's seeming to get really out of control lately . so , i wanted to come in and see if there's any type of new me... | D2N131 | 2 | [
"Personal History"
] | [
"Subjective"
] | so , susan is a 26-year-old female here for a high blood pressure check . susan , what's going on with your blood pressure ? | 3,286 |
doctor: okay . so , i know that we've had you on the norvasc and we had to increase your dose , so you're on 10 milligrams a day now . and what are your blood pressures running at home ? you c- ... like , have they been like over 150 ? patient: yeah , they have been . | D2N131 | 3 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay . so , i know that we've had you on the norvasc and we had to increase your dose , so you're on 10 milligrams a day now . and what are your blood pressures running at home ? you c- ... like , have they been like over 150 ? | 3,287 |
doctor: okay . all right . and , have you had any headaches ? patient: i have had some headaches . i do n't know if that's just because of more stress at work or , um , because of the high blood pressure . | D2N131 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . and , have you had any headaches ? | 3,288 |
doctor: okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ? patient: no , nothing like that . | D2N131 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ? | 3,289 |
doctor: okay . um , and , you know , i know that you've had a kidney transplant a few years ago . patient: yes . | D2N131 | 6 | [
"Personal History"
] | [
"Subjective"
] | okay . um , and , you know , i know that you've had a kidney transplant a few years ago . | 3,290 |
doctor: everything is okay with that ? patient: everything's been good and solid there . | D2N131 | 7 | [
"Personal History"
] | [
"Subjective"
] | everything is okay with that ? | 3,291 |
doctor: and you're taking all of your auto , um , i- um , your immunosuppression medications ? patient: yes , i am . | D2N131 | 8 | [
"Therapeutic History"
] | [
"Subjective"
] | and you're taking all of your auto , um , i- um , your immunosuppression medications ? | 3,292 |
doctor: all right . so , let's go ahead and we'll do a quick physical exam . so , looking at you , you do n't appear any distress . your neck is nice and supple . your heart is irregular rate and rhythm . i do hear a slight , uh , two out of six systolic ejection murmur . your lungs are clear . i do see the scar on the... | D2N131 | 9 | [
"Physical Examination",
"Personal History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | all right . so , let's go ahead and we'll do a quick physical exam . so , looking at you , you do n't appear any distress . your neck is nice and supple . your heart is irregular rate and rhythm . i do hear a slight , uh , two out of six systolic ejection murmur . your lungs are clear . i do see the scar on the left , ... | 3,293 |
doctor: hey , dragon , show me the creatinine . so , your kidney function looks really good . so , that's really promising after your transplant . hey , dragon , show me the ekg . and your ekg looks great , uh , perfectly normal , so that's good . um , so , my impression of you at this time ... , let me see your blood ... | D2N131 | 10 | [
"Reassessment",
"Radiology Examination",
"Lab Examination"
] | [
"Objective",
"Assessment"
] | hey , dragon , show me the creatinine . so , your kidney function looks really good . so , that's really promising after your transplant . hey , dragon , show me the ekg . and your ekg looks great , uh , perfectly normal , so that's good . um , so , my impression of you at this time ... , let me see your blood pressure... | 3,294 |
doctor: hey , dragon , show me the blood pressure . yeah , and you're right , it- patient: hm . | D2N131 | 11 | [
"Lab Examination"
] | [
"Objective"
] | hey , dragon , show me the blood pressure . yeah , and you're right , it- | 3,295 |
doctor: . it is high . so , there is something that we can do for that . so , let's go ahead and we'll put you on ... so , my impression of you is that your , your blood pressure is high and the norvasc is n't controlling it . and , you know , we can definitely get it under better control . so , what i would like to do... | D2N131 | 12 | [
"Discussion",
"Acute Assessment",
"Medication"
] | [
"Subjective",
"Assessment",
"Plan"
] | . it is high . so , there is something that we can do for that . so , let's go ahead and we'll put you on ... so , my impression of you is that your , your blood pressure is high and the norvasc is n't controlling it . and , you know , we can definitely get it under better control . so , what i would like to do is pres... | 3,296 |
doctor: hey , dragon , order carvedilol 25 milligrams , twice a day . uh , i'd also like to go ahead and , uh , get a lipid panel and some routine labs on you just to make sure that everything is okay . patient: yeah . | D2N131 | 13 | [
"Diagnostic Testing",
"Medication"
] | [
"Plan"
] | hey , dragon , order carvedilol 25 milligrams , twice a day . uh , i'd also like to go ahead and , uh , get a lipid panel and some routine labs on you just to make sure that everything is okay . | 3,297 |
doctor: hey , dragon , order a lipid panel . hey , dragon , order a complete metabolic panel . all right . and then , um , from a transplant standpoint , everything looks fine . your kidney function looks great , so we're just gon na continue you on all of those medications .so , the nurse will come in soon and she'll ... | D2N131 | 14 | [
"Diagnostic Testing",
"Medication",
"Reassessment",
"Follow-up"
] | [
"Objective",
"Assessment",
"Plan"
] | hey , dragon , order a lipid panel . hey , dragon , order a complete metabolic panel . all right . and then , um , from a transplant standpoint , everything looks fine . your kidney function looks great , so we're just gon na continue you on all of those medications .so , the nurse will come in soon and she'll help you... | 3,298 |
doctor: all right . thanks , susan . patient: thank you . | D2N131 | 15 | [
"Chitchat"
] | [
"Null"
] | all right . thanks , susan . | 3,299 |
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