text stringlengths 14 3.73k | encounter_id stringclasses 207
values | text_id int64 0 69 | intents listlengths 1 9 | sections listlengths 1 4 | doc_only stringlengths 6 3.62k | __index_level_0__ int64 0 5.29k |
|---|---|---|---|---|---|---|
doctor: and i think it's safe . i mean , i understand and hear you . all of these stories out there about this , uh , regarding the vaccine . but i've seen all the bad things that could happen from covid . people have died in my practice , and i do n't disagree that if you got covid you'd probably be okay . patient: ye... | D2N182 | 35 | [
"Discussion",
"Medication"
] | [
"Plan"
] | and i think it's safe . i mean , i understand and hear you . all of these stories out there about this , uh , regarding the vaccine . but i've seen all the bad things that could happen from covid . people have died in my practice , and i do n't disagree that if you got covid you'd probably be okay . | 4,600 |
doctor: but i would consider you as someone that would make me a little bit concerned . i have had healthy people die from covid . patient: mm-hmm . | D2N182 | 36 | [
"Discussion"
] | [
"Plan"
] | but i would consider you as someone that would make me a little bit concerned . i have had healthy people die from covid . | 4,601 |
doctor: i've had some people get really , really sick from it . so personally , i believe that this vaccine is completely safe . i really think that . patient: all of them ? | D2N182 | 37 | [
"Discussion",
"Medication"
] | [
"Plan"
] | i've had some people get really , really sick from it . so personally , i believe that this vaccine is completely safe . i really think that . | 4,602 |
doctor: yeah , i do , i do . i think there are side effects from all vaccines , so you have to go back and think about it . do you get flu shot every year ? patient: no , i do n't . | D2N182 | 38 | [
"Therapeutic History",
"Discussion",
"Medication"
] | [
"Subjective",
"Plan"
] | yeah , i do , i do . i think there are side effects from all vaccines , so you have to go back and think about it . do you get flu shot every year ? | 4,603 |
doctor: right , well , it's hard for me to convince you because you're making a consistent viewpoint . patient: well , i am open-minded to this . | D2N182 | 39 | [
"Chitchat"
] | [
"Null"
] | right , well , it's hard for me to convince you because you're making a consistent viewpoint . | 4,604 |
doctor: mm-hmm . to me , it's , you know , a lot of the stuff out there is fear and most of us health providers have gotten the vaccine . we've seen what the virus can do . i also have gotten all of my kids vaccinated . patient: okay . | D2N182 | 40 | [
"Discussion",
"Medication"
] | [
"Plan"
] | mm-hmm . to me , it's , you know , a lot of the stuff out there is fear and most of us health providers have gotten the vaccine . we've seen what the virus can do . i also have gotten all of my kids vaccinated . | 4,605 |
doctor: so i'm not concerned about the side effects of this . i do n't think it does anything . um , and we have vaccinated 50 % of the country . patient: mm-hmm . | D2N182 | 41 | [
"Discussion",
"Medication"
] | [
"Plan"
] | so i'm not concerned about the side effects of this . i do n't think it does anything . um , and we have vaccinated 50 % of the country . | 4,606 |
doctor: the er is full of these vaccines . patient: i understand . | D2N182 | 42 | [
"Discussion",
"Medication"
] | [
"Plan"
] | the er is full of these vaccines . | 4,607 |
doctor: so there are definitely potential side effects to the vaccine . i mean , there's guillain-barre , and all these things that could happen from the vaccine , but they're just very rare . my thing for you is i'm not convinced that there's alternative stuff or even the treatment we have , like the monoclonal antibo... | D2N182 | 43 | [
"Discussion",
"Medication"
] | [
"Plan"
] | so there are definitely potential side effects to the vaccine . i mean , there's guillain-barre , and all these things that could happen from the vaccine , but they're just very rare . my thing for you is i'm not convinced that there's alternative stuff or even the treatment we have , like the monoclonal antibodies , t... | 4,608 |
doctor: yeah . right now the numbers are low . even with the delta variant , when it starts mutating , it's actually good because it becomes more contagious , but less deadly . patient: okay . | D2N182 | 44 | [
"Discussion"
] | [
"Plan"
] | yeah . right now the numbers are low . even with the delta variant , when it starts mutating , it's actually good because it becomes more contagious , but less deadly . | 4,609 |
doctor: so that's what's gon na happen with covid . that's what's mo- most of the science supports and this is how most pandemics end , is that the virus starts losing its potency . patient: sure . | D2N182 | 45 | [
"Discussion"
] | [
"Plan"
] | so that's what's gon na happen with covid . that's what's mo- most of the science supports and this is how most pandemics end , is that the virus starts losing its potency . | 4,610 |
doctor: but think about it , and if you have any more questions you can certainly let me know , okay ? patient: will do . | D2N182 | 46 | [
"Chitchat"
] | [
"Null"
] | but think about it , and if you have any more questions you can certainly let me know , okay ? | 4,611 |
doctor: all right . anything else we can discuss today ? patient: nope . i think i'm all set . thank you . | D2N182 | 47 | [
"Discussion"
] | [
"Plan"
] | all right . anything else we can discuss today ? | 4,612 |
doctor: you're welcome . so we'll see you in two to three weeks . have a good rest of your day . patient: thanks , you too . | D2N182 | 48 | [
"Follow-up"
] | [
"Plan"
] | you're welcome . so we'll see you in two to three weeks . have a good rest of your day . | 4,613 |
doctor: next line heading will be " acute to chronic constipation " . she believes her hospitalization was more likely due to her dysreflexia , from her quadriplegia that typically occurs . she did have a lot of vital signs changes , including blood pressure fluctuations . the patient feels like she has a good bowel re... | D2N182 | 49 | [
"Personal History",
"Therapeutic History",
"Lab Examination",
"Diagnostic Testing",
"Follow-up"
] | [
"Subjective",
"Objective",
"Assessment",
"Plan"
] | doctor: next line heading will be " acute to chronic constipation " . she believes her hospitalization was more likely due to her dysreflexia , from her quadriplegia that typically occurs . she did have a lot of vital signs changes , including blood pressure fluctuations . the patient feels like she has a good bowel re... | 4,614 |
doctor: all right . this is matthew rogers . date of birth 5/24/2007 . i would like to use the acne follow-up template for him . he is here today for an acne follow-up . at the last visit on 3/3/21 he was prescribed the following : clindamycin lotion , uh , trent- tretinoin cream , 4-5 % benzoyl peroxide wash for f-fac... | D2N183 | 0 | [
"Personal History",
"Greetings",
"Therapeutic History"
] | [
"Subjective"
] | all right . this is matthew rogers . date of birth 5/24/2007 . i would like to use the acne follow-up template for him . he is here today for an acne follow-up . at the last visit on 3/3/21 he was prescribed the following : clindamycin lotion , uh , trent- tretinoin cream , 4-5 % benzoyl peroxide wash for f-face and 5-... | 4,615 |
doctor: i'm good , thank you . uh , acne doing better ? patient: yeah . | D2N183 | 1 | [
"Personal History"
] | [
"Subjective"
] | i'm good , thank you . uh , acne doing better ? | 4,616 |
doctor: excellence , excellent . tell me , uh , what did you do for your skin this morning ? patient: i washed it with , uh , the benzoyl peroxide and i put the antibiotic thing , and the sunscreen moisture stuff as well . | D2N183 | 2 | [
"Therapeutic History"
] | [
"Subjective"
] | excellence , excellent . tell me , uh , what did you do for your skin this morning ? | 4,617 |
doctor: perfect . uh , what did you do last night ? patient: uh , i washed my face with the benzol peroxide , i put , uh , the tret-tret-tretinoin cream , sh-uh sorry i do n't know how to say that , uh , for nighttime and the sunscreen moisture stuff again . | D2N183 | 3 | [
"Therapeutic History"
] | [
"Subjective"
] | perfect . uh , what did you do last night ? | 4,618 |
doctor: all right , all right , now have you had any redness , peeling , dryness , or irritation with the use of these medications at all ? patient: nope . not at all . | D2N183 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | all right , all right , now have you had any redness , peeling , dryness , or irritation with the use of these medications at all ? | 4,619 |
doctor: excellent , excellent . and , uh , washing your chest and back with the higher strength benzoyl peroxide wash , is that right ? patient: uh , no . i did n't get it . | D2N183 | 5 | [
"Therapeutic History"
] | [
"Subjective"
] | excellent , excellent . and , uh , washing your chest and back with the higher strength benzoyl peroxide wash , is that right ? | 4,620 |
doctor: okay . um , are your chest and back doing okay ? patient: um , i mean , i have n't put much effort into it because it has n't' really bothered me . | D2N183 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . um , are your chest and back doing okay ? | 4,621 |
doctor: fair enough . that's all right . um , if it bothers you , that's what , uh , that's why i recommended last time patient: okay . | D2N183 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | fair enough . that's all right . um , if it bothers you , that's what , uh , that's why i recommended last time | 4,622 |
doctor: um , so as we move into the summer it may be something that you are more interested in pursuing doing that , uh , but if you feel like the acne on your face ... do you feel like the acne on your face is improving ? patient: yeah . definitely . | D2N183 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | um , so as we move into the summer it may be something that you are more interested in pursuing doing that , uh , but if you feel like the acne on your face ... do you feel like the acne on your face is improving ? | 4,623 |
doctor: all right , good . good . uh , go ahead and bring your mask down . yeah . yeah . yeah . yeah . that looks good ! patient: yeah . it's okay . | D2N183 | 9 | [
"Physical Examination"
] | [
"Objective"
] | all right , good . good . uh , go ahead and bring your mask down . yeah . yeah . yeah . yeah . that looks good ! | 4,624 |
doctor: definitely . uh , this is one of the fun parts of covid for me . it's like the mask comes down for my acne patients and it's like a big reveal . this lo- this looks a lot better , like a lot better . uh , i'm just going to take a look at your back and chest real quick . um , i would n't recommend making any cha... | D2N183 | 10 | [
"Physical Examination",
"Discussion",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | definitely . uh , this is one of the fun parts of covid for me . it's like the mask comes down for my acne patients and it's like a big reveal . this lo- this looks a lot better , like a lot better . uh , i'm just going to take a look at your back and chest real quick . um , i would n't recommend making any changes to ... | 4,625 |
doctor: all right , yeah . if that little bit bothers you , i would use a 5-10 % benzoyl peroxide base . i think that ... i think that what i have using on your face is a 4-5 % . um , usually the back and chest can handle a little , uh , a little something stronger . um , that's the only thing i would think about chang... | D2N183 | 11 | [
"Medication"
] | [
"Plan"
] | all right , yeah . if that little bit bothers you , i would use a 5-10 % benzoyl peroxide base . i think that ... i think that what i have using on your face is a 4-5 % . um , usually the back and chest can handle a little , uh , a little something stronger . um , that's the only thing i would think about changing , ot... | 4,626 |
doctor: all right , uh , do you have any questions for me ? patient: um , i do n't . i'm just going to write that down . | D2N183 | 12 | [
"Discussion"
] | [
"Plan"
] | all right , uh , do you have any questions for me ? | 4,627 |
doctor: uh , well you want me to write that down for you on your , uh , checkout sheet ? patient: uh , yeah . that'd be awesome . | D2N183 | 13 | [
"Chitchat"
] | [
"Null"
] | uh , well you want me to write that down for you on your , uh , checkout sheet ? | 4,628 |
doctor: uh , the one i recommend for the chest and back is the , the PanOxyl 10 % . uh , we actually have samples of it and coupons . so i can send you home with those . patient: cool . that'd be perfect . | D2N183 | 14 | [
"Medication"
] | [
"Plan"
] | uh , the one i recommend for the chest and back is the , the PanOxyl 10 % . uh , we actually have samples of it and coupons . so i can send you home with those . | 4,629 |
doctor: all right , um , so i'm going ahead and tee up a one year prescription for you because at this point i'll want to see you once a year . i want to make sure that you have enough of your medicines , um , and these are going to walgreens on broad ? patient: uh , yeah . | D2N183 | 15 | [
"Discussion",
"Follow-up"
] | [
"Plan"
] | all right , um , so i'm going ahead and tee up a one year prescription for you because at this point i'll want to see you once a year . i want to make sure that you have enough of your medicines , um , and these are going to walgreens on broad ? | 4,630 |
doctor: okay . um , all right . so the tretinoin , uh , usually lasts patients a couple of months . you probably have n't refilled that , right ? patient: uh , yeah , we did once , i think . | D2N183 | 16 | [
"Discussion",
"Medication"
] | [
"Plan"
] | okay . um , all right . so the tretinoin , uh , usually lasts patients a couple of months . you probably have n't refilled that , right ? | 4,631 |
doctor: okay . okay . so i'm going to go ahead and send in a new refill for the clindamycin with 11 refills . and then the tretinoin cream with three refills . uh , that's usually about enough for a year . uh , if you run out though , just let us know . i'm happy to send more . uh , i just need to see you back once a y... | D2N183 | 17 | [
"Discussion",
"Follow-up",
"Medication"
] | [
"Plan"
] | okay . okay . so i'm going to go ahead and send in a new refill for the clindamycin with 11 refills . and then the tretinoin cream with three refills . uh , that's usually about enough for a year . uh , if you run out though , just let us know . i'm happy to send more . uh , i just need to see you back once a year for ... | 4,632 |
doctor: um , as far as the physical exam . scattered inflammatory papules and pustules across the upper back and posterior shoulders . there are less than 5 inflammatory papules on the forehead , cheeks , and chin . acne vulgaris is improved and well controlled on the face , but there is a mild flare on the back . reco... | D2N183 | 18 | [
"Physical Examination",
"Medication"
] | [
"Objective",
"Plan"
] | doctor: um , as far as the physical exam . scattered inflammatory papules and pustules across the upper back and posterior shoulders . there are less than 5 inflammatory papules on the forehead , cheeks , and chin . acne vulgaris is improved and well controlled on the face , but there is a mild flare on the back . reco... | 4,633 |
doctor: stephanie morales , medical record number 113322 . 44-year-old female that presents today six weeks status post right medial unicompartmental arthroplasty . hello ! patient: hi , how are you doing ? | D2N184 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | stephanie morales , medical record number 113322 . 44-year-old female that presents today six weeks status post right medial unicompartmental arthroplasty . hello ! | 4,634 |
doctor: good , how are you ? patient: i'm all right . | D2N184 | 1 | [
"Chitchat"
] | [
"Null"
] | good , how are you ? | 4,635 |
doctor: how's the knee treating you ? patient: it's good . | D2N184 | 2 | [
"Personal History"
] | [
"Subjective"
] | how's the knee treating you ? | 4,636 |
doctor: good . any problems ? patient: no , no problems , uh , just still the numbness on this side . | D2N184 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | good . any problems ? | 4,637 |
doctor: okay . that area of numbness will get smaller as the nerves that innervate the skin across the knee heal . patient: right . okay . | D2N184 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . that area of numbness will get smaller as the nerves that innervate the skin across the knee heal . | 4,638 |
doctor: so lem me take a look at your right knee . patient: sure . | D2N184 | 5 | [
"Physical Examination"
] | [
"Objective"
] | so lem me take a look at your right knee . | 4,639 |
doctor: all right , and relax for me . good . all right , and bend . good . that looks good . um , the incision looks nice . patient: mm-hmm . | D2N184 | 6 | [
"Physical Examination"
] | [
"Objective"
] | all right , and relax for me . good . all right , and bend . good . that looks good . um , the incision looks nice . | 4,640 |
doctor: let's look at your x-rays . uh , they look good . so here's what you got going on in there . uh , it looks good . everything's lined up nicely . um , that's looking at it from the front . and this is looking at it from the side . and then this was underneath your kneecap , but we did n't do anything there . but... | D2N184 | 7 | [
"Radiology Examination"
] | [
"Objective"
] | let's look at your x-rays . uh , they look good . so here's what you got going on in there . uh , it looks good . everything's lined up nicely . um , that's looking at it from the front . and this is looking at it from the side . and then this was underneath your kneecap , but we did n't do anything there . but things ... | 4,641 |
doctor: yeah , you know , you're still early in your recovery , so i expect you to get even better than what you are now . um , so keep doing your pt to work on your strength , range of motion , and endurance . patient: okay , will do . | D2N184 | 8 | [
"Discussion",
"Referral",
"Reassessment"
] | [
"Assessment",
"Plan"
] | yeah , you know , you're still early in your recovery , so i expect you to get even better than what you are now . um , so keep doing your pt to work on your strength , range of motion , and endurance . | 4,642 |
doctor: you're probably still gon na have aches and pains occasionally . i usually tell people it's two or three months before you feel like you're back to yourself again , so you're doing really well . patient: okay . that's really good to know . thank you . | D2N184 | 9 | [
"Discussion"
] | [
"Plan"
] | you're probably still gon na have aches and pains occasionally . i usually tell people it's two or three months before you feel like you're back to yourself again , so you're doing really well . | 4,643 |
doctor: yeah , let's plan to talk again in six weeks . so if you stop at the desk on your way out today , they're going to get you set up for a telemedicine visit . and that visit'll just be to check in and see how you're doing and make sure things are progressing okay . patient: sure , okay . and can i ask you about w... | D2N184 | 10 | [
"Follow-up"
] | [
"Plan"
] | yeah , let's plan to talk again in six weeks . so if you stop at the desk on your way out today , they're going to get you set up for a telemedicine visit . and that visit'll just be to check in and see how you're doing and make sure things are progressing okay . | 4,644 |
doctor: okay . i , i do n't want you lifting greater than five or 10 pounds , and no standing or sitting longer than a half an hour . uh , usually that means you ca n't do a ups job . patient: all right . so would you write a note to excuse me for another six weeks ? | D2N184 | 12 | [
"Discussion"
] | [
"Plan"
] | okay . i , i do n't want you lifting greater than five or 10 pounds , and no standing or sitting longer than a half an hour . uh , usually that means you ca n't do a ups job . | 4,645 |
doctor: sure . i'll have my nurse anna give it to you . patient: that's great . thank you . | D2N184 | 13 | [
"Discussion"
] | [
"Plan"
] | sure . i'll have my nurse anna give it to you . | 4,646 |
doctor: okay , so we'll talk again in six weeks , and we can discuss your job again at that time . patient: sounds good . | D2N184 | 14 | [
"Follow-up"
] | [
"Plan"
] | okay , so we'll talk again in six weeks , and we can discuss your job again at that time . | 4,647 |
doctor: yeah , those , um , are the types of , of jobs that take a good three months until you're kind of ready to get back to doing that kind of labor-intensive work . patient: okay , and driving now ? | D2N184 | 15 | [
"Discussion"
] | [
"Plan"
] | yeah , those , um , are the types of , of jobs that take a good three months until you're kind of ready to get back to doing that kind of labor-intensive work . | 4,648 |
doctor: uh , we have plenty of data that says normal reflex time is returned at six weeks , and then your return to driving is determined by when you're ready and feel safe to be driving . patient: okay . | D2N184 | 16 | [
"Discussion"
] | [
"Plan"
] | uh , we have plenty of data that says normal reflex time is returned at six weeks , and then your return to driving is determined by when you're ready and feel safe to be driving . | 4,649 |
doctor: yeah . so hang tight . anna will bring that note back in to you , and we'll talk in six weeks . patient: all right , that sounds good . | D2N184 | 17 | [
"Follow-up"
] | [
"Plan"
] | yeah . so hang tight . anna will bring that note back in to you , and we'll talk in six weeks . | 4,650 |
doctor: uh , but keep working hard on , on pt in the meantime though . patient: i definitely will . thank you . | D2N184 | 18 | [
"Discussion",
"Referral"
] | [
"Plan"
] | uh , but keep working hard on , on pt in the meantime though . | 4,651 |
doctor: all right , have a good rest of your day . patient: you as well . | D2N184 | 19 | [
"Chitchat"
] | [
"Null"
] | all right , have a good rest of your day . | 4,652 |
doctor: okay , this is a six-week post-op meeting exam for her . her gait was antalgic with a slight limp and decreased velocity . she's not using an assistive device . right knee focused exam has a healed surgical scar , mild swelling , tenderness- tenderness . . on the area of the incision . range of motion is zero t... | D2N184 | 20 | [
"Physical Examination",
"Radiology Examination",
"Reassessment"
] | [
"Objective",
"Assessment"
] | doctor: okay , this is a six-week post-op meeting exam for her . her gait was antalgic with a slight limp and decreased velocity . she's not using an assistive device . right knee focused exam has a healed surgical scar , mild swelling , tenderness- tenderness . . on the area of the incision . range of motion is zero t... | 4,653 |
doctor: okay . next patient is ashley james , date of birth 12/27/2006 . ashley is a 14-year-old female , uh , who was previously healthy , now here for evaluation of abnormal renal ultrasound with an atrophic right kidney . hi . good afternoon , ashley . how are you doing ? patient: i'm doing okay . how are you . | D2N185 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | okay . next patient is ashley james , date of birth 12/27/2006 . ashley is a 14-year-old female , uh , who was previously healthy , now here for evaluation of abnormal renal ultrasound with an atrophic right kidney . hi . good afternoon , ashley . how are you doing ? | 4,654 |
doctor: i'm doing well . thanks so much for asking . i'm dr. rogers . i'm one of your kidney doctors . and you guys must be mom and dad . patient: yes , that's correct . | D2N185 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm doing well . thanks so much for asking . i'm dr. rogers . i'm one of your kidney doctors . and you guys must be mom and dad . | 4,655 |
doctor: great . well ... all right . it's so nice to meet all of you . i wish it was under better circumstances , but we're gon na figure it all out , uh , here today . um , speaking of that , let's go ahead and review some of your past medical history , and then i'll complete an exam of her heart and lungs and kind of... | D2N185 | 2 | [
"Discussion"
] | [
"Subjective"
] | great . well ... all right . it's so nice to meet all of you . i wish it was under better circumstances , but we're gon na figure it all out , uh , here today . um , speaking of that , let's go ahead and review some of your past medical history , and then i'll complete an exam of her heart and lungs and kind of move fr... | 4,656 |
doctor: okay . so as i understand it , ashley was found to have a small ... kind of a small kidney on one side . tell me about when that was . um , i do also have records of everything , but i'd just like to hear the story of how it was found out and what you're doing that got us here , uh , today . patient_guest: sure... | D2N185 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay . so as i understand it , ashley was found to have a small ... kind of a small kidney on one side . tell me about when that was . um , i do also have records of everything , but i'd just like to hear the story of how it was found out and what you're doing that got us here , uh , today . | 4,657 |
doctor: sure . that makes a lot of sense . patient_guest: we took her to her doctor . they treated her for a stomach virus . they get her fluids and sent her back home , and the next day she was twice as bad as the first day . | D2N185 | 5 | [
"Personal History"
] | [
"Subjective"
] | sure . that makes a lot of sense . | 4,658 |
doctor: goodness . okay . then what happened ? patient_guest: yeah . so i took her back again and they did more testing . i think they did an ultrasound or something , and that's where they found that one kidney was bigger . | D2N185 | 6 | [
"Personal History"
] | [
"Subjective"
] | goodness . okay . then what happened ? | 4,659 |
doctor: okay . patient_guest: um , then at that time they told us to followup with our primary the next day , which we did . um , but he was heading out on vacation , so he only saw her for a brief 10 minutes and then we were out the door . so she was still throwing up , in a lot of pain , so i took work off to help he... | D2N185 | 7 | [
"Personal History"
] | [
"Subjective"
] | okay . | 4,660 |
doctor: wow . okay . patient_guest: uh , we took her down to jacksonville , where they did see her and basically told us the same thing , that they did n't think one of her kidneys was working at all . they called it atrophic and that it was a lot smaller than the other one . | D2N185 | 8 | [
"Personal History"
] | [
"Subjective"
] | wow . okay . | 4,661 |
doctor: all right-y . then- then what happened ? patient_guest: yeah . then , um , they found cysts or something on her kidney and ovaries and maybe some other places . her lymph nodes were swollen and they found some infection . um , they told us to followup with her doctor , which we figured since she was still sick ... | D2N185 | 9 | [
"Personal History"
] | [
"Subjective"
] | all right-y . then- then what happened ? | 4,662 |
doctor: okay . and then when you followed up with your doctor , what happened then ? patient_guest: yeah . it did n't seem to be getting any better within a day or two , so we followed back up with her doctor , who was , of course , still out of town with no one to see her in his place . so we ended up coming to atlant... | D2N185 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay . and then when you followed up with your doctor , what happened then ? | 4,663 |
doctor: okay . i am so sorry for all of that back and forth , but glad to know that there was some light at the end of that tunnel . patient_guest: thank you . and then after they saw her , she did seem to get a little better . she has n't had any more throwing up or anything since , but she still complains about a lot... | D2N185 | 11 | [
"Acute Symptoms",
"Personal History",
"Chitchat"
] | [
"Subjective"
] | okay . i am so sorry for all of that back and forth , but glad to know that there was some light at the end of that tunnel . | 4,664 |
doctor: mhm . okay . patient_guest: yeah . and she mentions burning too , especially when she eats and stuff like that . | D2N185 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | mhm . okay . | 4,665 |
doctor: all right-y . okay . well , that was a really good review . so , ashley , before all of this , would you say that , all in all , you were a pretty healthy child ? patient_guest: she is , yeah . before that , she was completely fine . uh , they said they think at some point she had a severe infection that might'... | D2N185 | 13 | [
"Personal History"
] | [
"Subjective"
] | all right-y . okay . well , that was a really good review . so , ashley , before all of this , would you say that , all in all , you were a pretty healthy child ? | 4,666 |
doctor: got you . okay . patient_guest: so one other thing , too , um , when she was four years old she was in the hospital three or four times , sometimes for three days at a time . i do n't think they did any tests to see what the infection was or even where it was coming from . um , they just gave her fluids and ant... | D2N185 | 14 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | got you . okay . | 4,667 |
doctor: hmm . okay . patient_guest: yeah . and so a week or two later , she would have a fever and symptoms and basically the same thing . we went through that for a couple of months , and then it just stopped . so she had no problem since , but the doctor suspects that she's had kidney problems since then . so we just... | D2N185 | 15 | [
"Personal History"
] | [
"Subjective"
] | hmm . okay . | 4,668 |
doctor: yes . absolutely . it sounds like this road has been very much so rough to navigate too , so we'll- we'll get you through for that . um , is ashley taking any medications daily right now ? patient_guest: only pepcid . | D2N185 | 16 | [
"Therapeutic History",
"Chitchat"
] | [
"Subjective"
] | yes . absolutely . it sounds like this road has been very much so rough to navigate too , so we'll- we'll get you through for that . um , is ashley taking any medications daily right now ? | 4,669 |
doctor: okay . patient_guest: yeah . so she takes 40 milligrams of pepcid a day and then also takes claritin for allergies . | D2N185 | 17 | [
"Therapeutic History"
] | [
"Subjective"
] | okay . | 4,670 |
doctor: all right-y . and any difficulties with your pregnancy with her or during delivery ? patient_guest: no . um , renal disease does run in my family , though . my dad , aunt , and my cousins all have issues with their kidneys . i have their paperwork right here for you with their diagnoses . | D2N185 | 18 | [
"Family History"
] | [
"Subjective"
] | all right-y . and any difficulties with your pregnancy with her or during delivery ? | 4,671 |
doctor: great . i will definitely review that over . any other , uh , family history to be aware of ? patient_guest: yes . my mom had breast cancer too . | D2N185 | 19 | [
"Family History"
] | [
"Subjective"
] | great . i will definitely review that over . any other , uh , family history to be aware of ? | 4,672 |
doctor: okay . great . all right-y . so just a ... over a quick review . it does look like your- your father had a kidney transplant . is that correct ? patient_guest: yes , that is correct . he did . | D2N185 | 20 | [
"Family History"
] | [
"Subjective"
] | okay . great . all right-y . so just a ... over a quick review . it does look like your- your father had a kidney transplant . is that correct ? | 4,673 |
doctor: okay . so obstructive neuropathy . uh , it sounds like he was born with it and something , uh ... something made it so he could n't urinate correctly . does that sound right ? patient_guest: yes , and they did n't catch it in time . | D2N185 | 21 | [
"Family History"
] | [
"Subjective"
] | okay . so obstructive neuropathy . uh , it sounds like he was born with it and something , uh ... something made it so he could n't urinate correctly . does that sound right ? | 4,674 |
doctor: i'm so sorry to hear that . patient_guest: yeah . he actually died at 47 of a massive heart attack . | D2N185 | 22 | [
"Family History"
] | [
"Subjective"
] | i'm so sorry to hear that . | 4,675 |
doctor: my goodness . wow . i am so sorry to hear that , um , but thank you so much for ... you know , all of these bits and pieces really help knit up a story together for ashley so we can get her the best care . patient_guest: you're welcome . | D2N185 | 23 | [
"Chitchat"
] | [
"Null"
] | my goodness . wow . i am so sorry to hear that , um , but thank you so much for ... you know , all of these bits and pieces really help knit up a story together for ashley so we can get her the best care . | 4,676 |
doctor: okay . so you said her aunt also has had kidney disease ? patient_guest: yes . well , it was my dad's sister , so her great aunt . | D2N185 | 24 | [
"Family History"
] | [
"Subjective"
] | okay . so you said her aunt also has had kidney disease ? | 4,677 |
doctor: okay . and ... okay . i'm looking here . it looks like ... do you know what the name of diagnosis ? it does n't seem to be mentioned . patient_guest: um , this is what she sent me , " end-stage renal disease . chronic kidney disease stage five , diabetes , hypertension . " that's all i have , uh , to work on fo... | D2N185 | 25 | [
"Family History"
] | [
"Subjective"
] | okay . and ... okay . i'm looking here . it looks like ... do you know what the name of diagnosis ? it does n't seem to be mentioned . | 4,678 |
doctor: okay . uh , and that's ... okay . let me see . that is all when ... she was an adult when all of that happened ? patient_guest: correct . yep . | D2N185 | 26 | [
"Family History"
] | [
"Subjective"
] | okay . uh , and that's ... okay . let me see . that is all when ... she was an adult when all of that happened ? | 4,679 |
doctor: all right-y . okay . and it also looks like ashley has seen a gi and a geneticist , where they did n't find anything sig ... clinically significant mutations on the panel that they did . patient_guest: yes . | D2N185 | 27 | [
"Personal History"
] | [
"Subjective"
] | all right-y . okay . and it also looks like ashley has seen a gi and a geneticist , where they did n't find anything sig ... clinically significant mutations on the panel that they did . | 4,680 |
doctor: okay . so that's all good . so , ashley , um , a few questions for you if that's all right . how are you feeling right now ? patient: i'm not feeling too bad . my stomach just hurts just a little bit . it's burning a little bit . | D2N185 | 28 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . so that's all good . so , ashley , um , a few questions for you if that's all right . how are you feeling right now ? | 4,681 |
doctor: okay . and any pain when you go pee ? patient: sometimes it's just hard to start , sometimes . | D2N185 | 29 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and any pain when you go pee ? | 4,682 |
doctor: okay . and any blood in your pee ? patient: no , not that i've noticed . | D2N185 | 30 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . and any blood in your pee ? | 4,683 |
doctor: okay . patient_guest: she does complain that it burns when she pees when she drinks certain drinks , um , like , soda . so she'll only drink gatorade or water . | D2N185 | 31 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . | 4,684 |
doctor: okay . yeah . so we do see that some people are very sensitive when the drink certain items , especially the carbonation . um , it can make it burn a little bit when they urinate . um ... okay . so a lot of different pictures of her kidneys here , and we'll review all of that here in a moment . um- patient_gues... | D2N185 | 32 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . yeah . so we do see that some people are very sensitive when the drink certain items , especially the carbonation . um , it can make it burn a little bit when they urinate . um ... okay . so a lot of different pictures of her kidneys here , and we'll review all of that here in a moment . um- | 4,685 |
doctor: all right-y . but before we review that , i wan na look through a quick exam , uh , and just see how things are doing . you'll hear me speak aloud the exam just to make sure i'm getting everything documented . patient_guest: okay . | D2N185 | 33 | [
"Chitchat"
] | [
"Null"
] | all right-y . but before we review that , i wan na look through a quick exam , uh , and just see how things are doing . you'll hear me speak aloud the exam just to make sure i'm getting everything documented . | 4,686 |
doctor: all right-y . please use my physical exam template . so , ashley , i'm gon na listen to your lungs and heart , if you'll just breathe normally for me . okay ? patient: okay . | D2N185 | 34 | [
"Physical Examination"
] | [
"Objective"
] | all right-y . please use my physical exam template . so , ashley , i'm gon na listen to your lungs and heart , if you'll just breathe normally for me . okay ? | 4,687 |
doctor: good . lungs and heart sound great . all right-y . so your physical exam , you know , everything we see up here is ... you know , you're a well-appearing female , alert and oriented , sitting comfortably on my chair today , i hope , uh , with not acute distress . exam , um , otherwise with norm ... within norma... | D2N185 | 35 | [
"Physical Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment"
] | good . lungs and heart sound great . all right-y . so your physical exam , you know , everything we see up here is ... you know , you're a well-appearing female , alert and oriented , sitting comfortably on my chair today , i hope , uh , with not acute distress . exam , um , otherwise with norm ... within normal limits... | 4,688 |
doctor: or , excuse me , her pee . uh , her right kidney is a little bit smaller which is making her left kidney work harder , possibly causing the left to appear bigger , um , and it's something that we wan na keep an eye on but nothing for us to do with anything today . patient_guest: okay . thank you . | D2N185 | 36 | [
"Acute Assessment"
] | [
"Assessment"
] | or , excuse me , her pee . uh , her right kidney is a little bit smaller which is making her left kidney work harder , possibly causing the left to appear bigger , um , and it's something that we wan na keep an eye on but nothing for us to do with anything today . | 4,689 |
doctor: i also recommend that , on an annual basis , we do kind of the following things . so i wan na have an ultrasound to monitor the size of her kidneys and their overall function , complete a urinalysis to continue to make sure that protein and blood are not in her ... in her pee , and do a blood pressure check . a... | D2N185 | 37 | [
"Discussion",
"Diagnostic Testing",
"Follow-up",
"Other Treatments"
] | [
"Plan"
] | i also recommend that , on an annual basis , we do kind of the following things . so i wan na have an ultrasound to monitor the size of her kidneys and their overall function , complete a urinalysis to continue to make sure that protein and blood are not in her ... in her pee , and do a blood pressure check . additiona... | 4,690 |
doctor: okay . and does ashley play any sports ? patient_guest: yes . she is active in softball and she wants to join the drill team over the summer . | D2N185 | 38 | [
"Personal History"
] | [
"Subjective"
] | okay . and does ashley play any sports ? | 4,691 |
doctor: how fun . i used to play softball back in the day . um , so it'll be very important that during those activities she stays well-hydrated . i really wan na avoid dehydration , as it puts tremendous strain on her kidneys . so i'm gon na recommend at least two liters per day of water . patient_guest: okay . great ... | D2N185 | 39 | [
"Other Treatments"
] | [
"Plan"
] | how fun . i used to play softball back in the day . um , so it'll be very important that during those activities she stays well-hydrated . i really wan na avoid dehydration , as it puts tremendous strain on her kidneys . so i'm gon na recommend at least two liters per day of water . | 4,692 |
doctor: okay . i also recommended a healthy diet and continue her active lifestyle . this will help keep her and her kidneys healthier as an adult . so if we can start those behaviors early , we'll be in a good space as she progresses . patient_guest: we can do that . we already do try to eat , uh , very well . | D2N185 | 40 | [
"Other Treatments"
] | [
"Plan"
] | okay . i also recommended a healthy diet and continue her active lifestyle . this will help keep her and her kidneys healthier as an adult . so if we can start those behaviors early , we'll be in a good space as she progresses . | 4,693 |
doctor: good . good . so for her next appointment , she can either meet with her primary care physician or an adult nephrologist closer to you guys at home . you do n't have come all the way out here . patient_guest: okay . that sounds great . | D2N185 | 41 | [
"Follow-up",
"Referral"
] | [
"Plan"
] | good . good . so for her next appointment , she can either meet with her primary care physician or an adult nephrologist closer to you guys at home . you do n't have come all the way out here . | 4,694 |
doctor: okay . that was a lot . do we need any additional questions clarified or anything ? um , you can always give us or your primary a call if you think of anything or if ... certainly , if symptoms worse . patient_guest: no . i do n't have any additional questions , and i'll- i'll definitely give you a- a phone cal... | D2N185 | 42 | [
"Discussion",
"Follow-up"
] | [
"Plan"
] | okay . that was a lot . do we need any additional questions clarified or anything ? um , you can always give us or your primary a call if you think of anything or if ... certainly , if symptoms worse . | 4,695 |
doctor: awesome . well , thank you guys for making the trip . and , ashley , it was really nice to meet you . mom dad , you as well . and i hope you guys take care . patient_guest: you too . | D2N185 | 43 | [
"Chitchat"
] | [
"Null"
] | awesome . well , thank you guys for making the trip . and , ashley , it was really nice to meet you . mom dad , you as well . and i hope you guys take care . | 4,696 |
doctor: all right-y . past medical history , review of patient's grandfather's record , we see he had posterior urethral bowels valves and obstructive neur- neuropathy . uh , he developed chronic kidney disease and was on dial ... was dialysis-dependent . he had a renal transplant which subsequently failed , died of di... | D2N185 | 44 | [
"Family History"
] | [
"Subjective"
] | all right-y . past medical history , review of patient's grandfather's record , we see he had posterior urethral bowels valves and obstructive neur- neuropathy . uh , he developed chronic kidney disease and was on dial ... was dialysis-dependent . he had a renal transplant which subsequently failed , died of dialysis i... | 4,697 |
doctor: yeah . that's ... yeah . that'll work 'cause i'm gon na have to drop for this . but i think we're good for everything else . patient: and he did die in his 40s . that's what it said in the note earlier . | D2N185 | 45 | [
"Family History"
] | [
"Subjective"
] | yeah . that's ... yeah . that'll work 'cause i'm gon na have to drop for this . but i think we're good for everything else . | 4,698 |
doctor: okay . yeah . he died in his 40s , but i thought it was from a massive heart attack . died at 47 of a massive heart- patient: he died ... it- it's saying that it meant ... it means he died on dia ... like , he was ... he was , um , utilizing dialysis . | D2N185 | 46 | [
"Family History"
] | [
"Subjective"
] | okay . yeah . he died in his 40s , but i thought it was from a massive heart attack . died at 47 of a massive heart- | 4,699 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.