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|---|---|---|---|---|---|---|
doctor: and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ? patient: okay . | D2N171 | 23 | [
"Diagnostic Testing",
"Medication"
] | [
"Plan"
] | and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ? | 4,300 |
doctor: hey dragon , order a cardiac stress test . do you have any questions ? patient: no , that's it . | D2N171 | 24 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | hey dragon , order a cardiac stress test . do you have any questions ? | 4,301 |
doctor: okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ? patient: okay . | D2N171 | 25 | [
"Chitchat"
] | [
"Null"
] | okay , all right . hey dragon , finalize the note . so , it was good to see you , the nurse will come in , she'll help you get your scheduled for all of those things , and i'll be in touch , okay ? | 4,302 |
doctor: take care . | D2N171 | 26 | [
"Chitchat"
] | [
"Null"
] | doctor: take care . | 4,303 |
doctor: morning roy , how are you doing ? patient: hey , good to see you . | D2N172 | 0 | [
"Greetings"
] | [
"Subjective"
] | morning roy , how are you doing ? | 4,304 |
doctor: so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today . patient: perfect . | D2N172 | 1 | [
"Chitchat"
] | [
"Null"
] | so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today . | 4,305 |
doctor: great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing? patient: sure . so it's been a , a pretty stressful winter and spring . and , uh , we've been onboarding a coup... | D2N172 | 2 | [
"Personal History"
] | [
"Subjective"
] | great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension . so , tell me how have you been doing? | 4,306 |
doctor: um , any changes in , um , weight gain or anything like that ? patient: probably for the last month or so , we've been hosting some friends over vacation , and on ... you know , at the beach in the summer , so the diet is off the charts . | D2N172 | 3 | [
"Personal History"
] | [
"Subjective"
] | um , any changes in , um , weight gain or anything like that ? | 4,307 |
doctor: okay . okay . gotcha , gotcha . patient: out the window . | D2N172 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay . okay . gotcha , gotcha . | 4,308 |
doctor: out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ? patient: uh , for the most part . again , it's been kind of a challenging year-and-a-half or so . | D2N172 | 5 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ? | 4,309 |
doctor: okay . uh , sleeping okay at night ? patient: mm- | D2N172 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay . uh , sleeping okay at night ? | 4,310 |
doctor: occasionally ? patient: i , i could use more sleep like everybody . | D2N172 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | occasionally ? | 4,311 |
doctor: uh , no feelings of , uh , you want to hurt yourself or anybody ? patient: no , no . | D2N172 | 11 | [
"Personal History"
] | [
"Subjective"
] | uh , no feelings of , uh , you want to hurt yourself or anybody ? | 4,312 |
doctor: okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ? patient: yes . that's why this is a little concerning to me , because of the , uh , recent , the recent readings . | D2N172 | 12 | [
"Personal History"
] | [
"Subjective"
] | okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ? | 4,313 |
doctor: okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ? patient: sure . | D2N172 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ? | 4,314 |
doctor: okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new- patient: mm-hmm . | D2N172 | 14 | [
"Physical Examination"
] | [
"Objective"
] | okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new- | 4,315 |
doctor: . there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight . patient: okay . | D2N172 | 15 | [
"Physical Examination"
] | [
"Objective"
] | . there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight . | 4,316 |
doctor: i want you to get back on that diet . patient: okay . | D2N172 | 16 | [
"Other Treatments"
] | [
"Plan"
] | i want you to get back on that diet . | 4,317 |
doctor: because that's the key . right ? patient: okay . | D2N172 | 17 | [
"Chitchat"
] | [
"Null"
] | because that's the key . right ? | 4,318 |
doctor: as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good . patient: okay . | D2N172 | 18 | [
"Reassessment",
"Medication"
] | [
"Assessment",
"Plan"
] | as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good . | 4,319 |
doctor: that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ?... | D2N172 | 19 | [
"Reassessment",
"Discussion",
"Medication"
] | [
"Assessment",
"Plan"
] | that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ? | 4,320 |
doctor: okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months patient: okay . | D2N172 | 20 | [
"Follow-up",
"Medication"
] | [
"Plan"
] | okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months | 4,321 |
doctor: a1c , if everything's getting back on track . okay ? anything else i can do for you today ? patient: no . that should do it . | D2N172 | 21 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | a1c , if everything's getting back on track . okay ? anything else i can do for you today ? | 4,322 |
doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note . | D2N172 | 22 | [
"Chitchat"
] | [
"Null"
] | doctor: okay . come with me , we'll get you checked out . hey dragon , finalize the note . | 4,323 |
doctor: hi logan , how are you ? patient: hi . good to see you . | D2N173 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi logan , how are you ? | 4,324 |
doctor: it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ? patient: sure . | D2N173 | 1 | [
"Chitchat"
] | [
"Null"
] | it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ? | 4,325 |
doctor: so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ? patient: so , uh , about a week ago i started to get a cold . and , in the last two or three... | D2N173 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ? | 4,326 |
doctor: okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ? patient: um , i had some post nasal drip for , again , for the beginning of the week . and then , uh , it , it left my , uh , my head . it went right down to my upper , uh , chest . | D2N173 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ? | 4,327 |
doctor: okay . and have you gotten vaccinated against covid ? patient: i actually have . i've , uh , gotten both vaccines . | D2N173 | 4 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | okay . and have you gotten vaccinated against covid ? | 4,328 |
doctor: okay . all right . patient: on both , both stages . | D2N173 | 5 | [
"Chitchat"
] | [
"Null"
] | okay . all right . | 4,329 |
doctor: okay . and anyone else sick as far as you know ? patient: no , not in my house . no . | D2N173 | 6 | [
"Family History"
] | [
"Subjective"
] | okay . and anyone else sick as far as you know ? | 4,330 |
doctor: okay . and have you had any fevers ? patient: uh , i thought i had a slight fever , but no . | D2N173 | 7 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay . and have you had any fevers ? | 4,331 |
doctor: okay . and , um , any shortness of breath ? patient: no . | D2N173 | 8 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay . and , um , any shortness of breath ? | 4,332 |
doctor: okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ? patient: i've been pretty good for the most part . uh , we did a little bit of travel over the last week or so , so the diet was n't great . but , for the most part it's been good . | D2N173 | 9 | [
"Personal History"
] | [
"Subjective"
] | okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ? | 4,333 |
doctor: okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ? patient: no muscle aches . | D2N173 | 10 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ? | 4,334 |
doctor: okay . and i know you had the , uh , bypass grafting last year . you're doing okay ? patient: it's been great . | D2N173 | 11 | [
"Personal History"
] | [
"Subjective"
] | okay . and i know you had the , uh , bypass grafting last year . you're doing okay ? | 4,335 |
doctor: no chest pain ? patient: other than the congestion , no chest pain . | D2N173 | 12 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | no chest pain ? | 4,336 |
doctor: okay . all right . and you're able to exercise ? patient: yes . | D2N173 | 13 | [
"Other Socials"
] | [
"Subjective"
] | okay . all right . and you're able to exercise ? | 4,337 |
doctor: okay . before you got sick . patient: that's correct . that's correct . | D2N173 | 14 | [
"Other Socials"
] | [
"Subjective"
] | okay . before you got sick . | 4,338 |
doctor: okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? patient: you got it . | D2N173 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? | 4,339 |
doctor: hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ? patient: sure . | D2N173 | 16 | [
"Physical Examination"
] | [
"Objective"
] | hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ? | 4,340 |
doctor: okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congesti... | D2N173 | 17 | [
"Physical Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment"
] | okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in yo... | 4,341 |
doctor: hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- you... | D2N173 | 18 | [
"Reassessment",
"Acute Assessment",
"Lab Examination"
] | [
"Objective",
"Assessment"
] | hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid . so the results of your po- your covid ... | 4,342 |
doctor: so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to ... | D2N173 | 19 | [
"Therapeutic History",
"Acute Assessment",
"Other Treatments"
] | [
"Subjective",
"Assessment",
"Plan"
] | so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quaranti... | 4,343 |
doctor: and you're going to have to take off work . um , if your symptoms worsen , i want you to call me . patient: okay . | D2N173 | 20 | [
"Follow-up",
"Other Treatments"
] | [
"Plan"
] | and you're going to have to take off work . um , if your symptoms worsen , i want you to call me . | 4,344 |
doctor: it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting sta... | D2N173 | 21 | [
"Reassessment",
"Diagnostic Testing",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Assessment",
"Plan"
] | it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint ... | 4,345 |
doctor: okay ? any questions ? patient: no questions . | D2N173 | 22 | [
"Discussion"
] | [
"Plan"
] | okay ? any questions ? | 4,346 |
doctor: okay . it was good to see you . patient: same here . | D2N173 | 23 | [
"Chitchat"
] | [
"Null"
] | okay . it was good to see you . | 4,347 |
doctor: hey dragon , finalize the note . | D2N173 | 24 | [
"Chitchat"
] | [
"Null"
] | doctor: hey dragon , finalize the note . | 4,348 |
doctor: hi , james , how are you ? patient: hi , good to see you . | D2N174 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi , james , how are you ? | 4,349 |
doctor: it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you . patient: sure . | D2N174 | 1 | [
"Chitchat"
] | [
"Null"
] | it's good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little bit about you . | 4,350 |
doctor: james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ? patient: yeah . i've been putting a , a few more miles on the bike each day and , uh , my knees have been killing me , just more so... | D2N174 | 2 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ? | 4,351 |
doctor: okay . is it one knee versus the other , or both ? patient: both equally . | D2N174 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . is it one knee versus the other , or both ? | 4,352 |
doctor: okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ? patient: usually when i get up in the morning , they're pretty stiff and sore , and then by the end of the day , i start to feel that same sensation . kind of pretty muc... | D2N174 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and , um , does it hurt more in the morning when you wake up , or does it hurt more when you're walking around and that type of thing ? | 4,353 |
doctor: okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ? patient: no , it's just the knees . | D2N174 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ? | 4,354 |
doctor: just the knees . and have you noticed any swelling of your knees , or any redness of your knees ? patient: uh , they look a little inflamed in the morning , and then in the afternoon , same but not as bad , not as noticeable . | D2N174 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | just the knees . and have you noticed any swelling of your knees , or any redness of your knees ? | 4,355 |
doctor: okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ? patient: no , no . | D2N174 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay . and do you have any other symptoms with this ? do you have any other associated fatigue or fever or anything like that ? | 4,356 |
doctor: okay . and no injury ? patient: no , no . just , uh , repetitive motion , riding the bike the everyday , it , it's part of my workout , i just probably , uh , probably doubled the miles . | D2N174 | 8 | [
"Personal History"
] | [
"Subjective"
] | okay . and no injury ? | 4,357 |
doctor: okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year . patient: mm-hmm . | D2N174 | 9 | [
"Personal History"
] | [
"Subjective"
] | okay , all right . well , tell me a little bit about . uh , you know , it's been a while since i've seen you . you know , in terms of your heart disease , and i know you got the stent placed last year . | 4,358 |
doctor: um , i know they took you off the plavix , are you still taking your aspirin every day ? patient: i am . | D2N174 | 10 | [
"Therapeutic History"
] | [
"Subjective"
] | um , i know they took you off the plavix , are you still taking your aspirin every day ? | 4,359 |
doctor: okay . and how are you doing with your crestor ? any problems with that ? patient: no , none whatsoever . | D2N174 | 11 | [
"Therapeutic History"
] | [
"Subjective"
] | okay . and how are you doing with your crestor ? any problems with that ? | 4,360 |
doctor: okay . and any chest pain or shortness of breath ? patient: no . | D2N174 | 12 | [
"Vegetative History"
] | [
"Subjective"
] | okay . and any chest pain or shortness of breath ? | 4,361 |
doctor: no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ? patient: no , nothin... | D2N174 | 13 | [
"Personal History"
] | [
"Subjective"
] | no ? okay . okay . all right , and in terms of your lupus , we have , you know , this is something that was kinda back in the , in the background for you , and we have n't had to do a whole lot . you know , your kidney function's been really good . um , any , any issues as far as you know ? | 4,362 |
doctor: okay . i think we , we might have to look into it a little bit further with this knee pain that you're having . patient: okay . | D2N174 | 14 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . i think we , we might have to look into it a little bit further with this knee pain that you're having . | 4,363 |
doctor: but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here . patient: mm-hmm . | D2N174 | 15 | [
"Vegetative History"
] | [
"Subjective"
] | but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here . | 4,364 |
doctor: any other symptoms , abdominal pain , nausea , vomiting ? patient: no , no . | D2N174 | 16 | [
"Vegetative History"
] | [
"Subjective"
] | any other symptoms , abdominal pain , nausea , vomiting ? | 4,365 |
doctor: no , just the knee pain ? patient: mm-hmm . | D2N174 | 17 | [
"Vegetative History"
] | [
"Subjective"
] | no , just the knee pain ? | 4,366 |
doctor: okay . all right . well , let's go ahead and do a quick physical exam . patient: okay . | D2N174 | 18 | [
"Physical Examination"
] | [
"Objective"
] | okay . all right . well , let's go ahead and do a quick physical exam . | 4,367 |
doctor: hey , dragon , show me the vital signs . so your vital signs here in the office look really good . patient: mm-hmm . | D2N174 | 19 | [
"Physical Examination"
] | [
"Objective"
] | hey , dragon , show me the vital signs . so your vital signs here in the office look really good . | 4,368 |
doctor: there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome . patient: mm-hmm . | D2N174 | 20 | [
"Physical Examination"
] | [
"Objective"
] | there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome . | 4,369 |
doctor: um , i'm just gon na check out your heart and your lungs . patient: sure . | D2N174 | 21 | [
"Physical Examination"
] | [
"Objective"
] | um , i'm just gon na check out your heart and your lungs . | 4,370 |
doctor: and your knees , and i'll let you know what i find , okay ? patient: okay . | D2N174 | 22 | [
"Physical Examination"
] | [
"Objective"
] | and your knees , and i'll let you know what i find , okay ? | 4,371 |
doctor: all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , t... | D2N174 | 23 | [
"Physical Examination"
] | [
"Objective"
] | all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is ... | 4,372 |
doctor: all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ? patient: mm-hmm . | D2N174 | 24 | [
"Physical Examination"
] | [
"Objective"
] | all right , so pain to palpation of the right knee . um , and decreased range of motion of the knees bilaterally . so i just wan na look at some of your results , okay ? | 4,373 |
doctor: hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ? patient: mm-hmm . | D2N174 | 25 | [
"Radiology Examination"
] | [
"Objective"
] | hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ? | 4,374 |
doctor: hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you . patient: mm-hmm . | D2N174 | 26 | [
"Radiology Examination"
] | [
"Objective"
] | hey , dragon . show me the ekg . and this is your most recent ekg which we did before you came in , and that all looks really good . so , um , so no concerns from a heart standpoint . so let's talk a little bit about , you know , my assessment and my plan for you . | 4,375 |
doctor: so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ? patient: sure . | D2N174 | 27 | [
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | so for your first problem , your , your knee pain , you know , i'm concerned that it might be from , you know , a flareup of your lupus , so i wan na go ahead and order and autoimmune panel to kinda see where we stand , okay ? | 4,376 |
doctor: hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good . patient: mm-hmm . | D2N174 | 28 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | hey , dragon . order an autoimmune panel . for your next problem , the coronary artery disease , i think you're doing really well , your ekg looks good , your vital signs look good . | 4,377 |
doctor: i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ? patient: okay . | D2N174 | 29 | [
"Diagnostic Testing"
] | [
"Plan"
] | i'm gon na go ahead and order a lipid panel and another echocardiogram , okay ? | 4,378 |
doctor: hey , dragon . order an echocardiogram . do you have any questions ? patient: no questions . | D2N174 | 30 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | hey , dragon . order an echocardiogram . do you have any questions ? | 4,379 |
doctor: all right , well , the nurse will be in soon and she'll get you checked out , okay ? patient: you got it . | D2N174 | 31 | [
"Chitchat"
] | [
"Null"
] | all right , well , the nurse will be in soon and she'll get you checked out , okay ? | 4,380 |
doctor: hey , dragon . finalize the note . | D2N174 | 32 | [
"Chitchat"
] | [
"Null"
] | doctor: hey , dragon . finalize the note . | 4,381 |
doctor: hi , natalie . how are you ? patient: good . how are you ? | D2N175 | 0 | [
"Greetings"
] | [
"Subjective"
] | hi , natalie . how are you ? | 4,382 |
doctor: it's good to see you . patient: good to see you , too . | D2N175 | 1 | [
"Greetings"
] | [
"Subjective"
] | it's good to see you . | 4,383 |
doctor: i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ? patient: go for it . | D2N175 | 2 | [
"Chitchat"
] | [
"Null"
] | i know my nurse has already told you about dax . is it okay if i tell dax a little bit about you ? | 4,384 |
doctor: all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on . patient: so , uh , i got some re- routine blood work done last week and , uh , they said that my blood sugars... | D2N175 | 3 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on . | 4,385 |
doctor: okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ? patient: no , no symptoms . uh , so i was a little shocked when i came back high and , and elevated , so hopefully we can figure o... | D2N175 | 4 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay . well , were you having any symptoms at all or just , we had some blood work done routinely ? uh , any chest pain , shortness of breath ? any nausea , vomiting , or diarrhea ? | 4,386 |
doctor: we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time- patient: yup . | D2N175 | 5 | [
"Therapeutic History"
] | [
"Subjective"
] | we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time- | 4,387 |
doctor: so right now you're on 100 , 1,000 milligrams a day , correct ? patient: correct . yup . | D2N175 | 6 | [
"Therapeutic History"
] | [
"Subjective"
] | so right now you're on 100 , 1,000 milligrams a day , correct ? | 4,388 |
doctor: okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ? patient: nope . | D2N175 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ? | 4,389 |
doctor: okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for yo... | D2N175 | 8 | [
"Acute Symptoms",
"Reassessment",
"Lab Examination"
] | [
"Subjective",
"Objective",
"Assessment"
] | okay . all right . um , hey , dragon , show me the hemoglobin a1c . so in reviewing your , that's the lab that we checked after when i saw before i walked in . it says 8.1 , which is elevated , so i think we need to do a maybe a better job with adjusting your medication . how are you doing with your diet for your diabe... | 4,390 |
doctor: okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ? patient: yes , i am . | D2N175 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and , uh , have you had any , uh , any other , are you checking your blood sugars in the morning or your fasting blood sugars ? | 4,391 |
doctor: okay . all right . how are you doing with your high blood pressure ? patient: that's been good and stable . um , i've been stable on the medication , been taking that every day . um , and i have a b- a cuff at home to , to measure it myself and that , everything's been normal . | D2N175 | 10 | [
"Acute Symptoms",
"Reassessment"
] | [
"Subjective",
"Assessment"
] | okay . all right . how are you doing with your high blood pressure ? | 4,392 |
doctor: okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ? patient: yeah . about five years ago , i had , um , an acl repair on my right knee and everything's been going well so far . i have n't had any , uh , issues with mobility . um... | D2N175 | 11 | [
"Personal History"
] | [
"Subjective",
"Assessment"
] | okay , great . and how's your knee doing that's the other issue we've been , kind of , following ? you had some surgery done for that ? | 4,393 |
doctor: and you're pretty physically active and doing exercises ? patient: yeah . i've been power walking about , at least 30 minutes every day . | D2N175 | 12 | [
"Acute Symptoms",
"Other Socials"
] | [
"Subjective"
] | and you're pretty physically active and doing exercises ? | 4,394 |
doctor: okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anyt... | D2N175 | 13 | [
"Acute Symptoms",
"Physical Examination"
] | [
"Subjective",
"Objective"
] | okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my assistant before coming in . uh , anything els... | 4,395 |
doctor: no headaches ? no belly pain ? patient: no . | D2N175 | 14 | [
"Acute Symptoms"
] | [
"Subjective"
] | no headaches ? no belly pain ? | 4,396 |
doctor: good . great . well , let me examine you , okay ? patient: okay . | D2N175 | 15 | [
"Chitchat"
] | [
"Null"
] | good . great . well , let me examine you , okay ? | 4,397 |
doctor: alright . just gon na listen to your heart here . no belly pain ? patient: nope . | D2N175 | 16 | [
"Physical Examination"
] | [
"Objective"
] | alright . just gon na listen to your heart here . no belly pain ? | 4,398 |
doctor: okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . al... | D2N175 | 17 | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Objective",
"Assessment",
"Plan"
] | okay . so on exam , uh , your hent or your neck exam is fine . your , uh , your eyes look fine . your lungs are clear . i do hear a systolic ejection murmur , about three over six . your belly's nice and soft . no swelling in your legs or extremities right now . so let's talk about some of the issues today . all right ... | 4,399 |
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