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doctor: i mean i'm sorry the tylenol patient: no it's okay but the tylenol it helps like a little bit but you know like it's it's got like a time limit right so by the time and i'm not supposed to take it like more than like every like four hours or something like that but by hour or two like it it hurts again | D2N167 | 12 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | i mean i'm sorry the tylenol | 4,200 |
doctor: okay yeah that yeah you ca n't take too much of that tylenol because it'll it'll mess up your liver definitely patient: right | D2N167 | 13 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay yeah that yeah you ca n't take too much of that tylenol because it'll it'll mess up your liver definitely | 4,201 |
doctor: alright so go ahead and do a quick exam on your knee here so when i press here does that hurt patient: yeah like when you press on the inside that hurts a lot | D2N167 | 14 | [
"Physical Examination"
] | [
"Objective"
] | alright so go ahead and do a quick exam on your knee here so when i press here does that hurt | 4,202 |
doctor: okay alright i'm gon na do a couple of other other maneuvers here for your knee so on your left knee exam i do appreciate some edema you also have some effusion some fluid in the knee you have moderate range of motion so you're able to move it a little bit but not all the way i also see you have some pain on fl... | D2N167 | 15 | [
"Physical Examination",
"Radiology Examination"
] | [
"Objective"
] | okay alright i'm gon na do a couple of other other maneuvers here for your knee so on your left knee exam i do appreciate some edema you also have some effusion some fluid in the knee you have moderate range of motion so you're able to move it a little bit but not all the way i also see you have some pain on flexion an... | 4,203 |
doctor: alright so for your your left knee pain i believe you you have a mcl strain or a medial collateral ligament that's the inside of your knee i think when you were running with your knee she had somehow twisted it and so you strained that ligament there so for that what i want to do i'm going to give you some pain... | D2N167 | 16 | [
"Discussion",
"Medication",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | alright so for your your left knee pain i believe you you have a mcl strain or a medial collateral ligament that's the inside of your knee i think when you were running with your knee she had somehow twisted it and so you strained that ligament there so for that what i want to do i'm going to give you some pain medicat... | 4,204 |
doctor: hmmm i think you'll be back to normal in about a month the strain does n't seem too bad but we just need to get you off of the knee so we can allow it to heal i mean once we do that you know along with you know the icing the mobilization and you taking the medication i think you'll be good to go in a month if y... | D2N167 | 17 | [
"Discussion",
"Follow-up",
"Medication",
"Diagnostic Testing"
] | [
"Plan"
] | hmmm i think you'll be back to normal in about a month the strain does n't seem too bad but we just need to get you off of the knee so we can allow it to heal i mean once we do that you know along with you know the icing the mobilization and you taking the medication i think you'll be good to go in a month if you do fe... | 4,205 |
doctor: alright any other questions patient: no that's it | D2N167 | 18 | [
"Discussion"
] | [
"Plan"
] | alright any other questions | 4,206 |
doctor: alright great thanks | D2N167 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: alright great thanks | 4,207 |
doctor: hi diane , how are you ? patient: i'm doing okay , how are you ? | D2N168 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi diane , how are you ? | 4,208 |
doctor: i'm doin' okay . so i know the nurse told you about dax and i'd like to tell dax a little bit about you okay ? patient: okay . | D2N168 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm doin' okay . so i know the nurse told you about dax and i'd like to tell dax a little bit about you okay ? | 4,209 |
doctor: diane is a 28 year old female with a past medical history , significant for , depression and hypertension who presents for emergency room follow-up . so diane what's going on ? i heard that your- your blood pressure was really high in the emergency room . what happened ? patient: yeah , so i ended up going for ... | D2N168 | 2 | [
"Personal History"
] | [
"Subjective"
] | diane is a 28 year old female with a past medical history , significant for , depression and hypertension who presents for emergency room follow-up . so diane what's going on ? i heard that your- your blood pressure was really high in the emergency room . what happened ? | 4,210 |
doctor: yeah , okay . yeah , i saw that the blood pressure was pretty high , like in , like , the , almost 200 . patient: yeah . | D2N168 | 3 | [
"Personal History"
] | [
"Subjective"
] | yeah , okay . yeah , i saw that the blood pressure was pretty high , like in , like , the , almost 200 . | 4,211 |
doctor: did you have a headache ? patient: yeah i did . | D2N168 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | did you have a headache ? | 4,212 |
doctor: okay , all right . have your blood pressures been running high in the past ? patient: yeah , they have been . it's- it's , like , once a week , a month , it , kind of , just skyrockets . | D2N168 | 5 | [
"Personal History"
] | [
"Subjective"
] | okay , all right . have your blood pressures been running high in the past ? | 4,213 |
doctor: you're not taking your blood pressures , i take it- patient: yeah . | D2N168 | 7 | [
"Personal History"
] | [
"Subjective"
] | you're not taking your blood pressures , i take it- | 4,214 |
doctor: . when you're traveling ? patient: yeah , no , i do n't bring my cuff with me . | D2N168 | 8 | [
"Personal History"
] | [
"Subjective"
] | . when you're traveling ? | 4,215 |
doctor: okay , but you did buy the cuff like we talked about in the past ? patient: yes i did . | D2N168 | 9 | [
"Personal History"
] | [
"Subjective"
] | okay , but you did buy the cuff like we talked about in the past ? | 4,216 |
doctor: okay , all right . and are you taking your medication , are you taking the lisinopril ? patient: yes i am . | D2N168 | 10 | [
"Therapeutic History"
] | [
"Subjective"
] | okay , all right . and are you taking your medication , are you taking the lisinopril ? | 4,217 |
doctor: okay , all right . um , so i think we had started you at a , kind of , a moderate dose , so we'll have to talk about that a little bit , okay ? patient: okay . | D2N168 | 11 | [
"Therapeutic History"
] | [
"Subjective"
] | okay , all right . um , so i think we had started you at a , kind of , a moderate dose , so we'll have to talk about that a little bit , okay ? | 4,218 |
doctor: then in terms of your depression , how are you doing ? i know that we did n't start you on medication , since you're on a bunch of other medications . what- what are your strategies for dealing with that and how are you doing ? patient: so last year i started therapy and i've been going once a week and that's r... | D2N168 | 12 | [
"Personal History"
] | [
"Subjective"
] | then in terms of your depression , how are you doing ? i know that we did n't start you on medication , since you're on a bunch of other medications . what- what are your strategies for dealing with that and how are you doing ? | 4,219 |
doctor: okay , all right , great . and how is your support system ? patient: really great . my boyfriend , my mom , and my brother are- are s- , amazing and they're all super close to me , so it's been , it's been good . | D2N168 | 13 | [
"Other Socials"
] | [
"Subjective"
] | okay , all right , great . and how is your support system ? | 4,220 |
doctor: okay , well great . so i know you did a review of system sheet when you checked in and i know that you had the headache and the lightheadedness yesterday . do you have any other symptoms at this time , chest pain , shortness of breath , anything like that ? patient: uh , i have a little bit of nasal congestion ... | D2N168 | 14 | [
"Vegetative History"
] | [
"Subjective"
] | okay , well great . so i know you did a review of system sheet when you checked in and i know that you had the headache and the lightheadedness yesterday . do you have any other symptoms at this time , chest pain , shortness of breath , anything like that ? | 4,221 |
doctor: okay , all right . well i want to go ahead and do a quick physical exam , okay ? patient: okay . | D2N168 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay , all right . well i want to go ahead and do a quick physical exam , okay ? | 4,222 |
doctor: hey , dragon , show me the blood pressure . so , yeah , looking at your blood pressure today here in the office , it does look a little elevated still , so we'll have to talk about that . so i'm just gon na listen to your heart and your lungs and we'll go from there okay ? patient: okay . | D2N168 | 16 | [
"Physical Examination"
] | [
"Objective"
] | hey , dragon , show me the blood pressure . so , yeah , looking at your blood pressure today here in the office , it does look a little elevated still , so we'll have to talk about that . so i'm just gon na listen to your heart and your lungs and we'll go from there okay ? | 4,223 |
doctor: so on physical examination , i- i do n't appreciate any carotid bruits in your neck . your heart on your heart exam , it does show that you have a slight two out of six systolic ejection murmur . your , there , your lung exam shows nice clear lungs bilaterally and you do have some trace pitting edema to your lo... | D2N168 | 17 | [
"Physical Examination",
"Reassessment"
] | [
"Objective",
"Assessment"
] | so on physical examination , i- i do n't appreciate any carotid bruits in your neck . your heart on your heart exam , it does show that you have a slight two out of six systolic ejection murmur . your , there , your lung exam shows nice clear lungs bilaterally and you do have some trace pitting edema to your lower extr... | 4,224 |
doctor: um , uh , let me just go ahead , i want to take a look at some of your results , okay ? patient: okay . | D2N168 | 18 | [
"Lab Examination"
] | [
"Objective"
] | um , uh , let me just go ahead , i want to take a look at some of your results , okay ? | 4,225 |
doctor: hey , dragon , show me the ecg . yeah , so in reviewing the results of your ekg , it looks the same as last year . um , you do have just blood , those changes from your chronic high blood pressure that we'll address , okay ? hey , dragon , show me the echocardiogram . and this is just the echocardiogram from ju... | D2N168 | 19 | [
"Radiology Examination"
] | [
"Objective"
] | hey , dragon , show me the ecg . yeah , so in reviewing the results of your ekg , it looks the same as last year . um , you do have just blood , those changes from your chronic high blood pressure that we'll address , okay ? hey , dragon , show me the echocardiogram . and this is just the echocardiogram from just a few... | 4,226 |
doctor: so let's just talk a little bit about , you know , my assessment and my plan for you . so , for your first problem , your high blood pressure , it's not controlled at this time , so i want to go ahead and increase the lisinopril to 40 milligrams once a day . i want you to continue to check your blood pressures ... | D2N168 | 20 | [
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | so let's just talk a little bit about , you know , my assessment and my plan for you . so , for your first problem , your high blood pressure , it's not controlled at this time , so i want to go ahead and increase the lisinopril to 40 milligrams once a day . i want you to continue to check your blood pressures and repo... | 4,227 |
doctor: and then for your second problem , uh , i want , you know , for your depression , i do n't think that we need to start you on any medication , it sounds like you're doing really well from that standpoint , but you know that you can contact me if you , if you need anything , okay ? patient: okay . | D2N168 | 21 | [
"Discussion",
"Follow-up",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and then for your second problem , uh , i want , you know , for your depression , i do n't think that we need to start you on any medication , it sounds like you're doing really well from that standpoint , but you know that you can contact me if you , if you need anything , okay ? | 4,228 |
doctor: do you have any questions ? patient: no , not at this time . | D2N168 | 22 | [
"Discussion"
] | [
"Plan"
] | do you have any questions ? | 4,229 |
doctor: okay , all right , well it's good to see you . patient: good seeing you too . | D2N168 | 23 | [
"Chitchat"
] | [
"Null"
] | okay , all right , well it's good to see you . | 4,230 |
doctor: hey , dragon , finalize the note . | D2N168 | 24 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon , finalize the note . | 4,231 |
doctor: hi alan , how are you ? patient: hi , good to see you . | D2N169 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi alan , how are you ? | 4,232 |
doctor: good to see you as well . are you ready to get started ? patient: yes i am . | D2N169 | 1 | [
"Chitchat"
] | [
"Null"
] | good to see you as well . are you ready to get started ? | 4,233 |
doctor: so , alan is a 61-year-old male , here with complaints of shortness of breath . so alan , what's going on ? patient: so over the weekend , uh , i took a very long bike ride , about three hours or so and i got back , i was very light headed , i was short of breath and it really surprised me because i pretty much... | D2N169 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | so , alan is a 61-year-old male , here with complaints of shortness of breath . so alan , what's going on ? | 4,234 |
doctor: okay , and have you had any other symptoms ? have you had any fever- patient: no- | D2N169 | 3 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay , and have you had any other symptoms ? have you had any fever- | 4,235 |
doctor: . chest pain ? patient: no , but i felt very light headed and , uh , i- it was hard to catch my breath afterwards , so maybe i did have a little chest pain but , uh , it , it eventually went away after about an hour . | D2N169 | 4 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | . chest pain ? | 4,236 |
doctor: okay , um , and anyone else sick in your , in your family ? patient: no . | D2N169 | 5 | [
"Family History"
] | [
"Subjective"
] | okay , um , and anyone else sick in your , in your family ? | 4,237 |
doctor: okay , and any cough ? patient: um , i had a little bit of a cough with my first cold in the last year and a half , but that went away after about a week or so . | D2N169 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay , and any cough ? | 4,238 |
doctor: okay , all right . um , and any other symptoms ? i know you went through the review of symptoms- patient: mm-hmm . | D2N169 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay , all right . um , and any other symptoms ? i know you went through the review of symptoms- | 4,239 |
doctor: . with the nurse but any nausea or vomiting or abdominal pain ? patient: n- no . | D2N169 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | . with the nurse but any nausea or vomiting or abdominal pain ? | 4,240 |
doctor: okay . all right . well , i know that i've treated you for migraines in the past . how are you doing with those ? patient: that's been under control . i've , uh , taken medication , i've , uh , avoided bright lights and it's so far so good . | D2N169 | 9 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . well , i know that i've treated you for migraines in the past . how are you doing with those ? | 4,241 |
doctor: okay . all right . and i think we had you on imitrex for that . have you- patient: yes , i'm still taking that . | D2N169 | 10 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | okay . all right . and i think we had you on imitrex for that . have you- | 4,242 |
doctor: all right . and then your reflux , how are you doing with that ? patient: managing that as well . | D2N169 | 11 | [
"Personal History"
] | [
"Subjective"
] | all right . and then your reflux , how are you doing with that ? | 4,243 |
doctor: okay and everything's working out well with the protonix ? patient: yes . | D2N169 | 12 | [
"Therapeutic History"
] | [
"Subjective"
] | okay and everything's working out well with the protonix ? | 4,244 |
doctor: okay . and then i know you had the cataract surgery about three months ago , your vision is okay ? patient: that was about four and a half months ago and it's been actually great ever since . | D2N169 | 13 | [
"Personal History"
] | [
"Subjective"
] | okay . and then i know you had the cataract surgery about three months ago , your vision is okay ? | 4,245 |
doctor: okay , great . all right , well , we're gon na go ahead and do a quick physical exam . i wan na see your vital signs first . patient: sure . | D2N169 | 14 | [
"Physical Examination"
] | [
"Objective"
] | okay , great . all right , well , we're gon na go ahead and do a quick physical exam . i wan na see your vital signs first . | 4,246 |
doctor: hey dragon , show me the vital signs . okay , so looking here , everything looks quite good . your oxygenation is perfect , which is wonderful . let me just take a listen . deep breath . another one . good . so , on your physical exam , your neck is nice and supple . i do n't appreciate any jugular venous diste... | D2N169 | 15 | [
"Physical Examination"
] | [
"Objective"
] | hey dragon , show me the vital signs . okay , so looking here , everything looks quite good . your oxygenation is perfect , which is wonderful . let me just take a listen . deep breath . another one . good . so , on your physical exam , your neck is nice and supple . i do n't appreciate any jugular venous distension . ... | 4,247 |
doctor: you know , you , uh , i'm not quite sure yet but we're gon na review some of your results . hey dragon , show me the chest x-ray . so looking here , this is a very normal chest x-ray . um , i do n't see any pulmonary edema , there's no pneumonia , so we're viewing your chest x-ray as , it's a norm- it's normal ... | D2N169 | 16 | [
"Radiology Examination"
] | [
"Objective"
] | you know , you , uh , i'm not quite sure yet but we're gon na review some of your results . hey dragon , show me the chest x-ray . so looking here , this is a very normal chest x-ray . um , i do n't see any pulmonary edema , there's no pneumonia , so we're viewing your chest x-ray as , it's a norm- it's normal . | 4,248 |
doctor: so , let's look at your pulmonary function test . hey dragon , show me your , the pfts . and looking here again , these look quite good , i'm , i'm quite encouraged by that . that's , that's normal pulmonary function tests . hey dragon , show me the labs . and all of your labs here look quite good here as well ... | D2N169 | 17 | [
"Acute Assessment",
"Lab Examination",
"Medication"
] | [
"Objective",
"Assessment",
"Plan"
] | so , let's look at your pulmonary function test . hey dragon , show me your , the pfts . and looking here again , these look quite good , i'm , i'm quite encouraged by that . that's , that's normal pulmonary function tests . hey dragon , show me the labs . and all of your labs here look quite good here as well so , i- ... | 4,249 |
doctor: two puffs every four hours as needed for wheezing or for shortness of breath . and , i'd like to go ahead and order a pulmonary referral for you , okay . do you have any questions about that ? patient: no questions , thanks . | D2N169 | 18 | [
"Discussion",
"Diagnostic Testing",
"Medication"
] | [
"Plan"
] | two puffs every four hours as needed for wheezing or for shortness of breath . and , i'd like to go ahead and order a pulmonary referral for you , okay . do you have any questions about that ? | 4,250 |
doctor: hey dragon , order a pulmonary referral . hey dragon , order albuterol inhaler , two puffs every four hours , as needed for shortness of breath . and then i think from your reflux standpoint , everything seems stable and your migraines , i think that we should just continue on with the imitrex , as needed . doe... | D2N169 | 19 | [
"Reassessment",
"Referral",
"Medication"
] | [
"Assessment",
"Plan"
] | hey dragon , order a pulmonary referral . hey dragon , order albuterol inhaler , two puffs every four hours , as needed for shortness of breath . and then i think from your reflux standpoint , everything seems stable and your migraines , i think that we should just continue on with the imitrex , as needed . does that s... | 4,251 |
doctor: i wan na see you in a couple weeks and if you have this shortness of breath again , i want you to call me right away , okay ? patient: you got it . | D2N169 | 20 | [
"Follow-up"
] | [
"Plan"
] | i wan na see you in a couple weeks and if you have this shortness of breath again , i want you to call me right away , okay ? | 4,252 |
doctor: all right . good to see you . patient: same here . | D2N169 | 21 | [
"Chitchat"
] | [
"Null"
] | all right . good to see you . | 4,253 |
doctor: hey dragon , finalize the note . | D2N169 | 22 | [
"Chitchat"
] | [
"Null"
] | doctor: hey dragon , finalize the note . | 4,254 |
doctor: hi joyce , how are you ? patient: i'm good . how are you ? | D2N170 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi joyce , how are you ? | 4,255 |
doctor: i'm doing well . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you when we get started , okay ? patient: okay . | D2N170 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm doing well . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you when we get started , okay ? | 4,256 |
doctor: all right . so , joyce is a 50 year old female with a past medical history significant for copd , congestive heart failure who presents for follow-up to an abnormal lab finding . so , joyce , i , i got the results of your lab , uh , your labs . your hemoglobin was low . uh , so , i asked them to schedule a foll... | D2N170 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | all right . so , joyce is a 50 year old female with a past medical history significant for copd , congestive heart failure who presents for follow-up to an abnormal lab finding . so , joyce , i , i got the results of your lab , uh , your labs . your hemoglobin was low . uh , so , i asked them to schedule a follow-up ap... | 4,257 |
doctor: okay . all right . um , now , have you had ... have you noticed any blood in your stools at all ? patient: uh , no , not really . not , not at this time . | D2N170 | 3 | [
"Vegetative History"
] | [
"Subjective"
] | okay . all right . um , now , have you had ... have you noticed any blood in your stools at all ? | 4,258 |
doctor: okay . and are your stools , like , dark or charry or black looking ? patient: no . not that i've noticed . | D2N170 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay . and are your stools , like , dark or charry or black looking ? | 4,259 |
doctor: okay . and are you spotting a lot with your periods ? patient: no , i'm not . | D2N170 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay . and are you spotting a lot with your periods ? | 4,260 |
doctor: okay . all right . um , and do you have any other ... i know that you are endorsing this fatigue and you feel kind of dizzy and that type of thing . do you have any other symptoms like chest pain , shortness of breath , fever , chills , body aches , anything ? patient: no , nothing like that . | D2N170 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | okay . all right . um , and do you have any other ... i know that you are endorsing this fatigue and you feel kind of dizzy and that type of thing . do you have any other symptoms like chest pain , shortness of breath , fever , chills , body aches , anything ? | 4,261 |
doctor: okay . any weight loss ? patient: um , i've noticed a little bit , but that's because i think i've been doing really well with my exercise . um , but nothing too significant . | D2N170 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay . any weight loss ? | 4,262 |
doctor: okay . all right . well , let me ask you a little bit about how's the , the copd doing . i , i know that , you know , you've stopped smoking several years ago , but , you know , you still have that em- those emphysema changes on your chest x-ray . so , how are you doing with that ? how's your breathing ? patien... | D2N170 | 8 | [
"Drug History"
] | [
"Subjective"
] | okay . all right . well , let me ask you a little bit about how's the , the copd doing . i , i know that , you know , you've stopped smoking several years ago , but , you know , you still have that em- those emphysema changes on your chest x-ray . so , how are you doing with that ? how's your breathing ? | 4,263 |
doctor: okay . all right . and then from a congestive heart failure standpoint , are you watching your diet , you're watching your salt intake ? patient: yeah . i've been doing really well with that . i've been staying away from the french fries , and all the other salty foods that i love to eat , uh , and everything l... | D2N170 | 9 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . and then from a congestive heart failure standpoint , are you watching your diet , you're watching your salt intake ? | 4,264 |
doctor: um , so , french fries are one of my favorite foods , that and fried chicken , so- i give you a lot of credit for staying away from french fries . patient: thank you . | D2N170 | 10 | [
"Chitchat"
] | [
"Null"
] | um , so , french fries are one of my favorite foods , that and fried chicken , so- i give you a lot of credit for staying away from french fries . | 4,265 |
doctor: um , okay . so , you ... so , no swelling in your legs or any- anything like that . patient: no , not that i've noticed . | D2N170 | 11 | [
"Vegetative History"
] | [
"Subjective"
] | um , okay . so , you ... so , no swelling in your legs or any- anything like that . | 4,266 |
doctor: okay . and you feel like you have a good support system ? patient: yeah . my boyfriend is , is great and i have , um , my brother right down the road . | D2N170 | 12 | [
"Other Socials"
] | [
"Subjective"
] | okay . and you feel like you have a good support system ? | 4,267 |
doctor: okay . all right . good . i'm glad to hear that . uh , so , let's go ahead . i wan na just do a quick physical exam , okay ? patient: okay . | D2N170 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right . good . i'm glad to hear that . uh , so , let's go ahead . i wan na just do a quick physical exam , okay ? | 4,268 |
doctor: hey , dragon , show me the vital signs . all right . well , your vital signs here in the office look good , so , i'm , i'm really happy to see that with the abnormal hemoglobin that we saw . um , i'm gon na just listen to your heart and lungs and press on your belly a little bit and i'll let you know if i find ... | D2N170 | 14 | [
"Physical Examination"
] | [
"Objective"
] | hey , dragon , show me the vital signs . all right . well , your vital signs here in the office look good , so , i'm , i'm really happy to see that with the abnormal hemoglobin that we saw . um , i'm gon na just listen to your heart and lungs and press on your belly a little bit and i'll let you know if i find anything... | 4,269 |
doctor: all right . okay . all right . so , on physical exam , you know , i , i do n't appreciate anything cervical lymphadenopathy . your heart sounds really good , but i do hear a , a slight two out of six systolic heart , uh , murmur , um , systolic ejection murmur on your heart exam . your lungs sound clear . your ... | D2N170 | 15 | [
"Physical Examination"
] | [
"Objective"
] | all right . okay . all right . so , on physical exam , you know , i , i do n't appreciate anything cervical lymphadenopathy . your heart sounds really good , but i do hear a , a slight two out of six systolic heart , uh , murmur , um , systolic ejection murmur on your heart exam . your lungs sound clear . your abdomen ... | 4,270 |
doctor: let's look at some of your results , okay ? patient: mm-hmm . | D2N170 | 16 | [
"Lab Examination"
] | [
"Objective"
] | let's look at some of your results , okay ? | 4,271 |
doctor: hey , dragon , show me the hemoglobin . so , here , looking at this , you know , your hemoglobin level is 8.2. somebody like you should have a hemoglobin o- of about 13 , 14 , okay ? patient: okay . | D2N170 | 17 | [
"Lab Examination"
] | [
"Objective"
] | hey , dragon , show me the hemoglobin . so , here , looking at this , you know , your hemoglobin level is 8.2. somebody like you should have a hemoglobin o- of about 13 , 14 , okay ? | 4,272 |
doctor: so , we need to investigate why it's low . hey , dragon , show me the anemia labs . okay . so , looking here at your labs , uh , everything looks good from , from this standpoint . i think some of your anemia labs are still pending at this time that's part of the workup . patient: mm-hmm . | D2N170 | 18 | [
"Lab Examination"
] | [
"Objective"
] | so , we need to investigate why it's low . hey , dragon , show me the anemia labs . okay . so , looking here at your labs , uh , everything looks good from , from this standpoint . i think some of your anemia labs are still pending at this time that's part of the workup . | 4,273 |
doctor: so , let's go over a little bit about the assessment and plan for you . so , you know , your main problem , this abnormal lab , this low hemoglobin that we found , so , you're anemic and we nee- ... you know , i'm waiting for those anemia labs to come back to find out exactly , you know , what type of anemia yo... | D2N170 | 19 | [
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | so , let's go over a little bit about the assessment and plan for you . so , you know , your main problem , this abnormal lab , this low hemoglobin that we found , so , you're anemic and we nee- ... you know , i'm waiting for those anemia labs to come back to find out exactly , you know , what type of anemia you have .... | 4,274 |
doctor: for your next problem , the copd , i think you're doing great . you know , i , i do n't think that you , uh , need any further referrals at this time for that . i would just continue staying away from smoking . it does n't sound to be like you need any inhalers at this time . uh , for your third problem , your ... | D2N170 | 20 | [
"Referral",
"Medication",
"Reassessment",
"Drug History"
] | [
"Assessment",
"Plan"
] | for your next problem , the copd , i think you're doing great . you know , i , i do n't think that you , uh , need any further referrals at this time for that . i would just continue staying away from smoking . it does n't sound to be like you need any inhalers at this time . uh , for your third problem , your congesti... | 4,275 |
doctor: hey , dragon , order the referral to gastroenterology . so , i'll be in touch . i'm gon na stay in close contact with you over the next week or so and , uh , we'll get this all sorted out , okay ? patient: okay . | D2N170 | 21 | [
"Discussion",
"Follow-up",
"Referral"
] | [
"Plan"
] | hey , dragon , order the referral to gastroenterology . so , i'll be in touch . i'm gon na stay in close contact with you over the next week or so and , uh , we'll get this all sorted out , okay ? | 4,276 |
doctor: all right . take care , joyce . patient: thank you . | D2N170 | 22 | [
"Chitchat"
] | [
"Null"
] | all right . take care , joyce . | 4,277 |
doctor: hey , dragon , finalize the note . | D2N170 | 23 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon , finalize the note . | 4,278 |
doctor: hi evelyn , how are you ? patient: i'm good , how are you ? | D2N171 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi evelyn , how are you ? | 4,279 |
doctor: i'm good . it's good to see you . patient: good to see you too . | D2N171 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm good . it's good to see you . | 4,280 |
doctor: so i know the nurse told you a little bit about dax . i'm gon na tell dax about you , okay ? patient: okay . | D2N171 | 2 | [
"Chitchat"
] | [
"Null"
] | so i know the nurse told you a little bit about dax . i'm gon na tell dax about you , okay ? | 4,281 |
doctor: so evelyn is a 56-year-old female with a past medical history significant for coronary artery disease , prior carpal tunnel release , and a herniated disc who presents for her annual exam . so evelyn it's been a little while since i've seen you , how have you been doing over the last year ? patient: i've been d... | D2N171 | 3 | [
"Personal History"
] | [
"Subjective"
] | so evelyn is a 56-year-old female with a past medical history significant for coronary artery disease , prior carpal tunnel release , and a herniated disc who presents for her annual exam . so evelyn it's been a little while since i've seen you , how have you been doing over the last year ? | 4,282 |
doctor: okay , yeah , i know that we have done a steroid injection for that , uh , a couple of month- , uh , several months ago , so that's- that's doing well ? patient: yeah , it is . | D2N171 | 4 | [
"Therapeutic History"
] | [
"Subjective"
] | okay , yeah , i know that we have done a steroid injection for that , uh , a couple of month- , uh , several months ago , so that's- that's doing well ? | 4,283 |
doctor: okay , i'm glad to hear that . and then , how about your carpal tunnel issues , you had that fixed a couple of years ago , so are you having any recurrent issues , or you good , you back to work ? patient: i am back to work . i have n't had any issues , and i've had full range of motion , and it's- it feels rea... | D2N171 | 5 | [
"Personal History"
] | [
"Subjective"
] | okay , i'm glad to hear that . and then , how about your carpal tunnel issues , you had that fixed a couple of years ago , so are you having any recurrent issues , or you good , you back to work ? | 4,284 |
doctor: all right , so no numbing and tingling in your hands ? patient: no . | D2N171 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | all right , so no numbing and tingling in your hands ? | 4,285 |
doctor: okay , that's good . and then , you know , i know that you've had , uh , prior stenting in the past for your- for your heart , and your heart vessels . patient: mm-hmm . | D2N171 | 7 | [
"Personal History"
] | [
"Subjective"
] | okay , that's good . and then , you know , i know that you've had , uh , prior stenting in the past for your- for your heart , and your heart vessels . | 4,286 |
doctor: how are you doing from that standpoint ? have you had any chest pain , shortness of breath , nausea or vomiting ? patient: over the last month i've been having a bit of chest pain , but i have n't had any of the other symptoms you mentioned . | D2N171 | 8 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | how are you doing from that standpoint ? have you had any chest pain , shortness of breath , nausea or vomiting ? | 4,287 |
doctor: okay , does the chest pain happen when you walk ? patient: yeah , it does . | D2N171 | 9 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay , does the chest pain happen when you walk ? | 4,288 |
doctor: okay , and does it- does it go away if you- if you rest ? patient: yeah , it does actually . | D2N171 | 10 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay , and does it- does it go away if you- if you rest ? | 4,289 |
doctor: okay , all right . do you ever get it just sitting there at rest ? patient: no i do n't . | D2N171 | 11 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay , all right . do you ever get it just sitting there at rest ? | 4,290 |
doctor: okay , all right . okay , and- and can you describe it ? patient: it's like a burn . | D2N171 | 12 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay , all right . okay , and- and can you describe it ? | 4,291 |
doctor: okay , and where exactly is it located in your chest ? patient: just , um , right in the middle ... | D2N171 | 14 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay , and where exactly is it located in your chest ? | 4,292 |
doctor: okay . and how often are you getting it ? patient: um , probably about three- three times a week . | D2N171 | 16 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay . and how often are you getting it ? | 4,293 |
doctor: okay , all right . well i'm glad that you talked about that with me today , um , i know the nurse did a review of systems sheet with you , and , you know , you're obviously endorsing this- this chest pressure . um , have you had any other symptoms , i know the- the other ones that you have n't had , but any low... | D2N171 | 17 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay , all right . well i'm glad that you talked about that with me today , um , i know the nurse did a review of systems sheet with you , and , you know , you're obviously endorsing this- this chest pressure . um , have you had any other symptoms , i know the- the other ones that you have n't had , but any lower extre... | 4,294 |
doctor: okay , so you're endorsing some nasal congestion ? patient: yeah . | D2N171 | 18 | [
"Vegetative History"
] | [
"Subjective"
] | okay , so you're endorsing some nasal congestion ? | 4,295 |
doctor: all right , well let's go ahead and we'll do a physical exam , okay ? patient: okay . | D2N171 | 19 | [
"Physical Examination"
] | [
"Objective"
] | all right , well let's go ahead and we'll do a physical exam , okay ? | 4,296 |
doctor: hey dragon ? show me the vital signs . so here your vital signs look really good , i'm- i'm happy to see that your blood pressure is under- under good control , and your oxygenation is fine , so i'm just gon na take a listen to your heart and lungs , and i'll let you know if i find anything , okay ? patient: ok... | D2N171 | 20 | [
"Physical Examination"
] | [
"Objective"
] | hey dragon ? show me the vital signs . so here your vital signs look really good , i'm- i'm happy to see that your blood pressure is under- under good control , and your oxygenation is fine , so i'm just gon na take a listen to your heart and lungs , and i'll let you know if i find anything , okay ? | 4,297 |
doctor: okay , so in physical exam your heart has a slight three out of six systolic ejection murmur , which we've heard before . your lungs are nice and clear , uh , i do n't appreciate any carotid bruits , and- and you have no lower extremity edema , you have healed , uh , surgical scars on your- on your , uh , right... | D2N171 | 21 | [
"Physical Examination"
] | [
"Objective"
] | okay , so in physical exam your heart has a slight three out of six systolic ejection murmur , which we've heard before . your lungs are nice and clear , uh , i do n't appreciate any carotid bruits , and- and you have no lower extremity edema , you have healed , uh , surgical scars on your- on your , uh , right wrist .... | 4,298 |
doctor: hey dragon , show me the echocardiogram ? so this is the echocardiogram from last year , you know , you did have a slightly low pumping function of your heart at 45 % , but , uh , i- , you know , i suspected that will improve over time , and you did have some slight , what we call , mitral regurgitation , that'... | D2N171 | 22 | [
"Reassessment",
"Diagnostic Testing",
"Radiology Examination",
"Medication"
] | [
"Objective",
"Assessment",
"Plan"
] | hey dragon , show me the echocardiogram ? so this is the echocardiogram from last year , you know , you did have a slightly low pumping function of your heart at 45 % , but , uh , i- , you know , i suspected that will improve over time , and you did have some slight , what we call , mitral regurgitation , that's just a... | 4,299 |
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