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|---|---|---|---|---|---|---|
doctor: not because of it . okay . patient: yeah . | D2N185 | 47 | [
"Family History"
] | [
"Subjective"
] | not because of it . okay . | 4,700 |
doctor: i see what you're saying . patient: yeah . | D2N185 | 48 | [
"Family History"
] | [
"Subjective"
] | i see what you're saying . | 4,701 |
doctor: got it . cool . i'm gon na stop- | D2N185 | 49 | [
"Chitchat"
] | [
"Null"
] | doctor: got it . cool . i'm gon na stop- | 4,702 |
doctor: hey sean nice to see you i heard you that you have some back pain patient: yeah it's nice to see you too it's been a while | D2N186 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | hey sean nice to see you i heard you that you have some back pain | 4,703 |
doctor: when was your back surgery patient: it was in november of two thousand twenty | D2N186 | 2 | [
"Personal History"
] | [
"Subjective"
] | when was your back surgery | 4,704 |
doctor: was that long ago patient: yes | D2N186 | 3 | [
"Chitchat"
] | [
"Null"
] | was that long ago | 4,705 |
doctor: wow what happened what did they do patient: microdiscectomy my disk broke off and just wrapped around and connected to my spinal thecal sac | D2N186 | 4 | [
"Personal History"
] | [
"Subjective"
] | wow what happened what did they do | 4,706 |
doctor: sounds horrible patient: it's not the poop sac though | D2N186 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | sounds horrible | 4,707 |
doctor: that's good to know what kind of symptoms did you have with that patient: horrible pain down my leg in my back just horrible awful things that you can think of | D2N186 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | that's good to know what kind of symptoms did you have with that | 4,708 |
doctor: horrible nerve pain it sounds like patient: i think so | D2N186 | 7 | [
"Therapeutic History"
] | [
"Subjective"
] | horrible nerve pain it sounds like | 4,709 |
doctor: okay did they give you any meds for that patient: they did i was highly highly dosed up on gabapentin | D2N186 | 8 | [
"Therapeutic History"
] | [
"Subjective"
] | okay did they give you any meds for that | 4,710 |
doctor: was that hard to withdraw from patient: yeah it was terrible sounds like yeah there is certainly take too much of that and then stop suddenly you can definitely have some some issues | D2N186 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | was that hard to withdraw from | 4,711 |
doctor: okay so you have left side low back pain patient: mm-hmm | D2N186 | 10 | [
"Therapeutic History"
] | [
"Subjective"
] | okay so you have left side low back pain | 4,712 |
doctor: does anything make it better or worse patient: so my beautiful significant other always tells me to stretch and it always works. | D2N186 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | does anything make it better or worse | 4,713 |
doctor: she sounds smart . so stretching helps okay what about any physical activities do they make it worse patient: a lot of bending over | D2N186 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | she sounds smart . so stretching helps okay what about any physical activities do they make it worse | 4,714 |
doctor: randomly okay so it hurt on the right side as well or just the left patient: depends on the day | D2N186 | 14 | [
"Personal History"
] | [
"Subjective"
] | randomly okay so it hurt on the right side as well or just the left | 4,715 |
doctor: is it right around where you had surgery patient: generally | D2N186 | 15 | [
"Therapeutic History"
] | [
"Subjective"
] | is it right around where you had surgery | 4,716 |
doctor: okay did you try icing patient: no | D2N186 | 16 | [
"Therapeutic History"
] | [
"Subjective"
] | okay did you try icing | 4,717 |
doctor: hmmm did you try any pain meds patient: yep | D2N186 | 17 | [
"Therapeutic History"
] | [
"Subjective"
] | hmmm did you try any pain meds | 4,718 |
doctor: what kind of pain meds did you patient: ibuprofen eight hundred milligrams a day | D2N186 | 18 | [
"Physical Examination"
] | [
"Objective"
] | what kind of pain meds did you | 4,719 |
doctor: it's quite a high dose okay let me do a quick physical exam on your back here if you bend forward does that hurt patient: not right now but normally it would | D2N186 | 19 | [
"Physical Examination"
] | [
"Objective"
] | it's quite a high dose okay let me do a quick physical exam on your back here if you bend forward does that hurt | 4,720 |
doctor: okay so no pain with flexion how about if you stand back up patient: no | D2N186 | 20 | [
"Physical Examination"
] | [
"Objective"
] | okay so no pain with flexion how about if you stand back up | 4,721 |
doctor: okay no pain with extension either does it hurt while you're just standing here patient: yes | D2N186 | 21 | [
"Physical Examination"
] | [
"Objective"
] | okay no pain with extension either does it hurt while you're just standing here | 4,722 |
doctor: okay so pain when you're weightbearing does it hurt when i push right here on the left side patient: yes | D2N186 | 22 | [
"Physical Examination"
] | [
"Objective"
] | okay so pain when you're weightbearing does it hurt when i push right here on the left side | 4,723 |
doctor: pain with palpation to the left side around the l5 how about on the right side patient: no | D2N186 | 23 | [
"Physical Examination"
] | [
"Objective"
] | pain with palpation to the left side around the l5 how about on the right side | 4,724 |
doctor: no pain with palpation to the right side okay i'm just gon na push down on your feet can you push back up on my hands patient: yes | D2N186 | 24 | [
"Acute Symptoms"
] | [
"Subjective"
] | no pain with palpation to the right side okay i'm just gon na push down on your feet can you push back up on my hands | 4,725 |
doctor: alright dorsiflexion is normal looks like that you have normal range of motion so that's good any pain down your legs patient: no | D2N186 | 25 | [
"Acute Assessment",
"Other Treatments",
"Radiology Examination"
] | [
"Objective",
"Assessment",
"Plan"
] | alright dorsiflexion is normal looks like that you have normal range of motion so that's good any pain down your legs | 4,726 |
doctor: great no nerve pain alright so we took an x-ray when you came in it looks like you do n't have any fractures or anything on the spinal bone that's good you can see where you had surgery it looks like everything has healed properly there so that's good news so what i think you did is you have a a muscle pull the... | D2N186 | 26 | [
"Discussion"
] | [
"Plan"
] | great no nerve pain alright so we took an x-ray when you came in it looks like you do n't have any fractures or anything on the spinal bone that's good you can see where you had surgery it looks like everything has healed properly there so that's good news so what i think you did is you have a a muscle pull there from ... | 4,727 |
doctor: how do you feel about it patient: i really go to the dentist | D2N186 | 27 | [
"Discussion",
"Medication"
] | [
"Plan"
] | how do you feel about it | 4,728 |
doctor: got it okay so i'm also gon na prescribe you some meloxicam instead of the ibuprofen that might help a little bit more with some of the pain management patient: is there any chance i can get some vicodin | D2N186 | 28 | [
"Discussion",
"Referral",
"Medication"
] | [
"Plan"
] | got it okay so i'm also gon na prescribe you some meloxicam instead of the ibuprofen that might help a little bit more with some of the pain management | 4,729 |
doctor: lem me check your record quick for for pain management it's kind of a strong drug for vicodin and we do n't really like to prescribe that unless it's totally necessary so why do n't we start with the meloxicam and i also write a referral to pain management and they can talk to you a little bit about some of you... | D2N186 | 29 | [
"Discussion",
"Medication"
] | [
"Plan"
] | lem me check your record quick for for pain management it's kind of a strong drug for vicodin and we do n't really like to prescribe that unless it's totally necessary so why do n't we start with the meloxicam and i also write a referral to pain management and they can talk to you a little bit about some of your pain a... | 4,730 |
doctor: hmmm sure i'll prescribe demerol patient: thank you | D2N186 | 30 | [
"Discussion"
] | [
"Plan"
] | hmmm sure i'll prescribe demerol | 4,731 |
doctor: yeah you're welcome any other problems going on today you want to talk about patient: no | D2N186 | 31 | [
"Chitchat"
] | [
"Null"
] | yeah you're welcome any other problems going on today you want to talk about | 4,732 |
doctor: alright well it was nice to see you today patient: it's always nice to see you as well | D2N186 | 32 | [
"Chitchat"
] | [
"Null"
] | alright well it was nice to see you today | 4,733 |
doctor: well good morning emily how are you patient: good morning | D2N187 | 0 | [
"Greetings"
] | [
"Subjective"
] | well good morning emily how are you | 4,734 |
doctor: how are you doing patient: doing okay i'm okay | D2N187 | 1 | [
"Chitchat"
] | [
"Null"
] | how are you doing | 4,735 |
doctor: i understand you're having some sudden visual distortions and some blurring of your vision is that right patient: it is yes | D2N187 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | i understand you're having some sudden visual distortions and some blurring of your vision is that right | 4,736 |
doctor: okay so what's going on patient: sorry to put you off i do n't think i have that script | D2N187 | 3 | [
"Chitchat"
] | [
"Null"
] | okay so what's going on | 4,737 |
doctor: macular degeneration yeah yeah i was because we do n't we do n't to do the intro anymore i was just going with that you you're coming in with sudden visual distortion and blurring of vision so i'll just you know i'll just say i'll just go ahead and go into this technician part so it looks like the technician no... | D2N187 | 5 | [
"Personal History"
] | [
"Subjective"
] | macular degeneration yeah yeah i was because we do n't we do n't to do the intro anymore i was just going with that you you're coming in with sudden visual distortion and blurring of vision so i'll just you know i'll just say i'll just go ahead and go into this technician part so it looks like the technician noticed th... | 4,738 |
doctor: okay what kind of venture are we gon na go into do you do you have the the script or no it it just talks patient: but it's it's not presenting like like how you're reading it like how you're talking about it is it kinda what i'm saying because like after that i'm supposed to say yeah whenever i take my husband ... | D2N187 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay what kind of venture are we gon na go into do you do you have the the script or no it it just talks | 4,739 |
doctor: okay i mean i can just straight out follow the script just so we can kinda get it rolling so so i said so hi so it looks like the technician noticed that you've been having a decrease in vision when reading and straight lines in your door frames have been looking crooked to you patient: yeah and whenever i take... | D2N187 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay i mean i can just straight out follow the script just so we can kinda get it rolling so so i said so hi so it looks like the technician noticed that you've been having a decrease in vision when reading and straight lines in your door frames have been looking crooked to you | 4,740 |
doctor: uh okay so do you have a favorite restaurant you like to go to patient: i do mcdonalds is one of my favorite here in arlington | D2N187 | 8 | [
"Chitchat"
] | [
"Null"
] | uh okay so do you have a favorite restaurant you like to go to | 4,741 |
doctor: that sounds good what what do you what's your favorite there patient: they have a great egg plant parmajon one of my favorite so i just go ahead and go with that | D2N187 | 9 | [
"Chitchat"
] | [
"Null"
] | that sounds good what what do you what's your favorite there | 4,742 |
doctor: that sounds really nice very good patient: it's just | D2N187 | 10 | [
"Chitchat"
] | [
"Null"
] | that sounds really nice very good | 4,743 |
doctor: yeah okay well so it looks like you're still smoking a pack of cigarettes a day patient: yes i tried to stop smoking every now and then but it's still been hard to totally stop | D2N187 | 11 | [
"Drug History"
] | [
"Subjective"
] | yeah okay well so it looks like you're still smoking a pack of cigarettes a day | 4,744 |
doctor: okay and how is your blood pressure been doing are you keeping up with your medication patient: i take my blood pressure when i can remember to do so | D2N187 | 12 | [
"Personal History"
] | [
"Subjective"
] | okay and how is your blood pressure been doing are you keeping up with your medication | 4,745 |
doctor: okay yeah it's really important to keep up with your blood pressure check that regularly i'm totally going off script and you know might want to keep a log of that as well and check your blood pressures regularly so okay well let me do a just a quick exam of your eyes if you can take off your glasses and just r... | D2N187 | 13 | [
"Physical Examination",
"Discussion",
"Acute Assessment",
"Medication"
] | [
"Objective",
"Assessment",
"Plan"
] | okay yeah it's really important to keep up with your blood pressure check that regularly i'm totally going off script and you know might want to keep a log of that as well and check your blood pressures regularly so okay well let me do a just a quick exam of your eyes if you can take off your glasses and just rest your... | 4,746 |
doctor: hi jaqueline how are you i heard that you injured your ankle patient: yeah it's not going so great | D2N188 | 0 | [
"Greetings",
"Acute Symptoms"
] | [
"Subjective"
] | hi jaqueline how are you i heard that you injured your ankle | 4,747 |
doctor: what what happened to your ankle patient: well i was doing something i did n't really want to be doing and i fell and now my ankle hurts | D2N188 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | what what happened to your ankle | 4,748 |
doctor: okay well what were you doing were you hiking or biking or what were you doing patient: i was in a mountain biking messenger | D2N188 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay well what were you doing were you hiking or biking or what were you doing | 4,749 |
doctor: you were in a mountain biking lesson and you fell off your bike and twisted your ankle patient: yes | D2N188 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | you were in a mountain biking lesson and you fell off your bike and twisted your ankle | 4,750 |
doctor: and what ankle was bothering you patient: the right one | D2N188 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | and what ankle was bothering you | 4,751 |
doctor: your right ankle okay and did it twist like did your ankle twist outward or did your ankle twist inward do you know patient: my ankle twisted outward | D2N188 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | your right ankle okay and did it twist like did your ankle twist outward or did your ankle twist inward do you know | 4,752 |
doctor: your ankle twisted outward and where are you having the most pain is it is it kind of like right on your outer ankle or is it more in your foot patient: outer ankle | D2N188 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | your ankle twisted outward and where are you having the most pain is it is it kind of like right on your outer ankle or is it more in your foot | 4,753 |
doctor: it's in your outer ankle okay alright and do you have any numbing or tingling in your toes at all patient: i have some tingling i have no tingling i have some numbing going on and some numbing going on in other places | D2N188 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | it's in your outer ankle okay alright and do you have any numbing or tingling in your toes at all | 4,754 |
doctor: really like where patient: my heart | D2N188 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | really like where | 4,755 |
doctor: alright well i'm an orthopedic person so i ca n't talk to you about your numbing hearts okay now are you able to move your ankle patient: a little bit | D2N188 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright well i'm an orthopedic person so i ca n't talk to you about your numbing hearts okay now are you able to move your ankle | 4,756 |
doctor: are you able to walk on your ankle patient: not really | D2N188 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | are you able to walk on your ankle | 4,757 |
doctor: are you limping patient: yeah | D2N188 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | are you limping | 4,758 |
doctor: you're limping okay have you taken anything for the pain patient: i've taken tylenol | D2N188 | 13 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | you're limping okay have you taken anything for the pain | 4,759 |
doctor: you took tylenol patient: mm-hmm | D2N188 | 14 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | you took tylenol | 4,760 |
doctor: okay did that help at all patient: no | D2N188 | 15 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay did that help at all | 4,761 |
doctor: no it did n't help alright did you hear anything pop or anything like that when patient: i heard like an like a crack crackle so | D2N188 | 16 | [
"Acute Symptoms"
] | [
"Subjective"
] | no it did n't help alright did you hear anything pop or anything like that when | 4,762 |
doctor: you heard a crack patient: yeah | D2N188 | 17 | [
"Acute Symptoms"
] | [
"Subjective"
] | you heard a crack | 4,763 |
doctor: okay alright how long have you been mountain biking patient: for like three years | D2N188 | 18 | [
"Other Socials"
] | [
"Subjective"
] | okay alright how long have you been mountain biking | 4,764 |
doctor: three years wow patient: or so | D2N188 | 19 | [
"Other Socials"
] | [
"Subjective"
] | three years wow | 4,765 |
doctor: what where is your favorite place to go mountain biking patient: i do n't remember | D2N188 | 20 | [
"Chitchat"
] | [
"Null"
] | what where is your favorite place to go mountain biking | 4,766 |
doctor: is it at north point patient: no | D2N188 | 21 | [
"Chitchat"
] | [
"Null"
] | is it at north point | 4,767 |
doctor: no it's not at north point patient: maybe i do n't know | D2N188 | 22 | [
"Chitchat"
] | [
"Null"
] | no it's not at north point | 4,768 |
doctor: do you or do you like going to colorado patient: hmmm kind of a time | D2N188 | 23 | [
"Chitchat"
] | [
"Null"
] | do you or do you like going to colorado | 4,769 |
doctor: okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs and have you had any fever chills or anything like that since this happened patient: i've had a fever it hits the pain hits | D2N188 | 24 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs and have you had any fever chills or anything like that since this happened | 4,770 |
doctor: you've had a fever how high was your fever patient: like two hundred | D2N188 | 25 | [
"Vegetative History"
] | [
"Subjective"
] | you've had a fever how high was your fever | 4,771 |
doctor: that's not a fever alright okay so lem me go ahead you looking at your vital signs you do n't have a fever now your temperature is ninety eight . six your blood pressure is fine at one eighteen over seventy seven and your heart rate looks good at seventy seven beats per minute on your right ankle exam there is ... | D2N188 | 26 | [
"Physical Examination"
] | [
"Objective"
] | that's not a fever alright okay so lem me go ahead you looking at your vital signs you do n't have a fever now your temperature is ninety eight . six your blood pressure is fine at one eighteen over seventy seven and your heart rate looks good at seventy seven beats per minute on your right ankle exam there is some ede... | 4,772 |
doctor: there is pain to palpation of the right lateral malleolus there is decreased flexion and extension of the right ankle as well as internal and external rotation there is no apparent injury to the knee or the foot okay so what does that mean jacqueline seem awfully giggling right now so what does that mean so i t... | D2N188 | 27 | [
"Physical Examination",
"Radiology Examination",
"Acute Assessment"
] | [
"Objective",
"Assessment"
] | there is pain to palpation of the right lateral malleolus there is decreased flexion and extension of the right ankle as well as internal and external rotation there is no apparent injury to the knee or the foot okay so what does that mean jacqueline seem awfully giggling right now so what does that mean so i took a i ... | 4,773 |
doctor: yeah so for your assessment and plan i do believe you have a an acute right ankle sprain i wan na go ahead and put you in an air cast we can give you some crutches i wan na go ahead and prescribe some meloxicam fifteen milligrams once a day you should ice the area for about twenty minutes five times a day and w... | D2N188 | 28 | [
"Discussion",
"Medication",
"Other Treatments",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | yeah so for your assessment and plan i do believe you have a an acute right ankle sprain i wan na go ahead and put you in an air cast we can give you some crutches i wan na go ahead and prescribe some meloxicam fifteen milligrams once a day you should ice the area for about twenty minutes five times a day and weight-be... | 4,774 |
doctor: hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing patient: i'm thankful to be alive but definitely struggling and definitely scary time for me | D2N189 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing | 4,775 |
doctor: yeah you know i'm i'm i'm glad that we went ahead and sent you to the emergency room now i know that you were in the hospital for about forty eight hours how are you feeling since you've been home you've been home a couple of weeks now how are you doing patient: yeah they told me to really take it easy so i've ... | D2N189 | 1 | [
"Personal History"
] | [
"Subjective"
] | yeah you know i'm i'm i'm glad that we went ahead and sent you to the emergency room now i know that you were in the hospital for about forty eight hours how are you feeling since you've been home you've been home a couple of weeks now how are you doing | 4,776 |
doctor: okay and have you had any more of that chest pain since they put that stent in or is that completely gone patient: i have not had any chest pain since no a little you know sore right after surgery but that doing much better now | D2N189 | 2 | [
"Personal History"
] | [
"Subjective"
] | okay and have you had any more of that chest pain since they put that stent in or is that completely gone | 4,777 |
doctor: okay and i know that they went through your wrist for the cardiac catheterization how is your wrist doing patient: it's good i you know it was red for a while but it seems to be healing and i think there is no infection | D2N189 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay and i know that they went through your wrist for the cardiac catheterization how is your wrist doing | 4,778 |
doctor: okay and you're right handed correct patient: correct yes right handed | D2N189 | 4 | [
"Other Socials"
] | [
"Subjective"
] | okay and you're right handed correct | 4,779 |
doctor: okay alright and any shortness of breath when you walk around or move anything like that patient: yeah i i would say you know i've been trying to keep my my i i'm not doing a lot of exercise but i will say that when i go up and downstairs you know i do feel like i have shortness of breath | D2N189 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright and any shortness of breath when you walk around or move anything like that | 4,780 |
doctor: okay now i know they put you on that medication the brilinta are you you're taking it correct patient: yes i take it twice a day every twelve hours | D2N189 | 6 | [
"Therapeutic History"
] | [
"Subjective"
] | okay now i know they put you on that medication the brilinta are you you're taking it correct | 4,781 |
doctor: okay great and you're still taking your aspirin correct patient: i take the baby aspirin at night is that okay | D2N189 | 7 | [
"Therapeutic History"
] | [
"Subjective"
] | okay great and you're still taking your aspirin correct | 4,782 |
doctor: yeah that's perfect as long as you take it once a day and you're able to afford the brilinta any issues with cost with that patient: no i so far so good | D2N189 | 8 | [
"Other Socials"
] | [
"Subjective"
] | yeah that's perfect as long as you take it once a day and you're able to afford the brilinta any issues with cost with that | 4,783 |
doctor: okay alright so it's really gon na be really important for you to go ahead and continue to take these medications to prevent that stent from clogging again okay or prevent that stent from closing because we do n't want you to have another heart attack okay patient: okay yeah | D2N189 | 9 | [
"Discussion",
"Medication"
] | [
"Plan"
] | okay alright so it's really gon na be really important for you to go ahead and continue to take these medications to prevent that stent from clogging again okay or prevent that stent from closing because we do n't want you to have another heart attack okay | 4,784 |
doctor: okay and how about watching your diet are you able to watch your salt intake i know that you really liked a good pizza every now and again are you patient: yeah i i have eaten pizza a few times what i'm trying to do is really be diligent and eat well throughout the week and then i have had pizza a few times on ... | D2N189 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay and how about watching your diet are you able to watch your salt intake i know that you really liked a good pizza every now and again are you | 4,785 |
doctor: you can have a piece here and there you know the pumping function of your heart was pretty normal when i saw from the hospital your ejection fraction that's the pumping function of your heart was at about fifty percent which is you know low normal but not bad so that's good so okay just i would just watch your ... | D2N189 | 11 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | you can have a piece here and there you know the pumping function of your heart was pretty normal when i saw from the hospital your ejection fraction that's the pumping function of your heart was at about fifty percent which is you know low normal but not bad so that's good so okay just i would just watch your salt int... | 4,786 |
doctor: okay great and then you know i i'm i'm glad that you're taking it easy now remind me this might cause you some anxiety were the denver denver nuggets swept or did they end up winning are they still in the nba playoffs i forget i know that you are a denver nuggets fan patient: i am yeah they they are not sweep t... | D2N189 | 12 | [
"Chitchat"
] | [
"Null"
] | okay great and then you know i i'm i'm glad that you're taking it easy now remind me this might cause you some anxiety were the denver denver nuggets swept or did they end up winning are they still in the nba playoffs i forget i know that you are a denver nuggets fan | 4,787 |
doctor: okay yeah i'm a self expand and and we just swept the brooklyn net so i was really excited about that patient: congrats that that's that's always good to sweep the nuts no one no one likes them | D2N189 | 13 | [
"Chitchat"
] | [
"Null"
] | okay yeah i'm a self expand and and we just swept the brooklyn net so i was really excited about that | 4,788 |
doctor: no one likes them okay well let's i wan na just go ahead and do a quick physical exam i'm just gon na be calling out some of my exam findings and i'll let you know what that means when i'm done okay so looking at your blood pressure here in the office your blood pressure looks good it's about one twenty seven o... | D2N189 | 14 | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | no one likes them okay well let's i wan na just go ahead and do a quick physical exam i'm just gon na be calling out some of my exam findings and i'll let you know what that means when i'm done okay so looking at your blood pressure here in the office your blood pressure looks good it's about one twenty seven over sixt... | 4,789 |
doctor: yeah so at this point you're you know you're out like two weeks and your and your cath site is looks good so you can go ahead and and resume swimming now with that being said i would want you to just do a few laps here and there i do want to enroll you into cardiac rehab that's gon na give you a bit more confid... | D2N189 | 16 | [
"Discussion",
"Referral"
] | [
"Plan"
] | yeah so at this point you're you know you're out like two weeks and your and your cath site is looks good so you can go ahead and and resume swimming now with that being said i would want you to just do a few laps here and there i do want to enroll you into cardiac rehab that's gon na give you a bit more confidence to ... | 4,790 |
doctor: okay i agree alright i also want you to go ahead and continue with your toprol fifty milligrams once a day and i'm gon na go ahead and order a some liver function studies and a lipid panel to follow up with the next time we meet and i want to see you again in probably six weeks okay patient: okay | D2N189 | 17 | [
"Follow-up",
"Medication",
"Diagnostic Testing"
] | [
"Plan"
] | okay i agree alright i also want you to go ahead and continue with your toprol fifty milligrams once a day and i'm gon na go ahead and order a some liver function studies and a lipid panel to follow up with the next time we meet and i want to see you again in probably six weeks okay | 4,791 |
doctor: okay any questions patient: no i think that's it thank you very much | D2N189 | 18 | [
"Discussion"
] | [
"Plan"
] | okay any questions | 4,792 |
doctor: okay take care bye | D2N189 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: okay take care bye | 4,793 |
doctor: and good morning hi beverly patient: good morning | D2N190 | 0 | [
"Greetings"
] | [
"Subjective"
] | and good morning hi beverly | 4,794 |
doctor: how do you see your last name patient: howard | D2N190 | 1 | [
"Chitchat"
] | [
"Null"
] | how do you see your last name | 4,795 |
doctor: howard nice to meet you patient: you too | D2N190 | 2 | [
"Chitchat"
] | [
"Null"
] | howard nice to meet you | 4,796 |
doctor: what can i do for you today patient: well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since | D2N190 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | what can i do for you today | 4,797 |
doctor: and when did that happen patient: maybe like two weeks ago | D2N190 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | and when did that happen | 4,798 |
doctor: okay and which knee are we talking about patient: my right knee | D2N190 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and which knee are we talking about | 4,799 |
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