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doctor: okay and how bad would you say the pain is like it's a zero to ten on a scale today patient: yeah it it waxes and wanes in severity it it's in general probably around a four or a five but sometimes it gets up as high as a seven or eight | D2N192 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and how bad would you say the pain is like it's a zero to ten on a scale today | 4,900 |
doctor: okay is there anything that you notice that makes that pain worse or better like rest or movement or eating or anything else patient: it's usually a little worse after a meal | D2N192 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay is there anything that you notice that makes that pain worse or better like rest or movement or eating or anything else | 4,901 |
doctor: hmmm okay patient: in the morning before i've eaten it's it's not too bad but during the day after a meal it gets worse | D2N192 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | hmmm okay | 4,902 |
doctor: okay alright and do you notice that pain radiates anywhere or moves you know any or anywhere patient: it's pretty low it might radiate a little bit to the left but otherwise it's pretty localized to the right side | D2N192 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright and do you notice that pain radiates anywhere or moves you know any or anywhere | 4,903 |
doctor: okay and have you had any nausea or vomiting along with the pain patient: i've had some nausea and a little bit of heartburn but no vomiting | D2N192 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | okay and have you had any nausea or vomiting along with the pain | 4,904 |
doctor: okay and and this is this is this is worse with you said worse worse with meals and is there anything else anything else that that makes it worse patient: it is a little tender if i if i press on it and certain positions seem to make it a little worse when i'm most when it's the highest | D2N192 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and and this is this is this is worse with you said worse worse with meals and is there anything else anything else that that makes it worse | 4,905 |
doctor: okay sure any pain with urination or any blood in your urine patient: no no urinary symptoms | D2N192 | 9 | [
"Vegetative History"
] | [
"Subjective"
] | okay sure any pain with urination or any blood in your urine | 4,906 |
doctor: okay and how about any diarrhea and any of that or blood in your stool no patient: no change in bowels | D2N192 | 10 | [
"Vegetative History"
] | [
"Subjective"
] | okay and how about any diarrhea and any of that or blood in your stool no | 4,907 |
doctor: okay alright and so would you say that your appetite has been normal or decreased or any different patient: well since i'm a little nauseated i'm not quite as hungry and i feel just kind of a little overall a little more fatigued over the last week | D2N192 | 11 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright and so would you say that your appetite has been normal or decreased or any different | 4,908 |
doctor: okay okay you did n't overeat you know during the super bowl last weekend did you that was i know probably lots of junk food floating around if your house is anything like mine patient: well once the packers are out of the playoffs i do n't watch the super bowl so nothing i have n't eaten anything unusual | D2N192 | 12 | [
"Vegetative History"
] | [
"Subjective"
] | okay okay you did n't overeat you know during the super bowl last weekend did you that was i know probably lots of junk food floating around if your house is anything like mine | 4,909 |
doctor: okay well that's good that's good and and no no travel i know you're a big big travel travel fan you know i remember you telling me about your trip to europe last summer that sounded amazing have you been traveling outside of the country again recently patient: not recently just back to wisconsin but no unusual... | D2N192 | 13 | [
"Other Socials"
] | [
"Subjective"
] | okay well that's good that's good and and no no travel i know you're a big big travel travel fan you know i remember you telling me about your trip to europe last summer that sounded amazing have you been traveling outside of the country again recently | 4,910 |
doctor: okay alright great and okay so so tell me about your migraines how have they been are you still taking the sumatriptan you know as needed when when you developed migraine you have have you had a migraine recently patient: i have not usually they are responsive to just excedrin migraine i use the sumatriptan whe... | D2N192 | 14 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | okay alright great and okay so so tell me about your migraines how have they been are you still taking the sumatriptan you know as needed when when you developed migraine you have have you had a migraine recently | 4,911 |
doctor: okay okay great yeah you've learned a lot about it and and the treatments including the the term analgesic and all of that that's pretty impressive you've been you've been through the ringer i think with with those so okay and so you're taking excedrin when you get a migraine and then sort of would you say mayb... | D2N192 | 17 | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | okay okay great yeah you've learned a lot about it and and the treatments including the the term analgesic and all of that that's pretty impressive you've been you've been through the ringer i think with with those so okay and so you're taking excedrin when you get a migraine and then sort of would you say maybe for br... | 4,912 |
doctor: okay got it and how about your blood pressure how has that been running at home are you checking your blood pressures daily still and how how your how how have your blood pressures been patient: i have not been checking them daily i i probably check it about two or three times a week | D2N192 | 18 | [
"Personal History"
] | [
"Subjective"
] | okay got it and how about your blood pressure how has that been running at home are you checking your blood pressures daily still and how how your how how have your blood pressures been | 4,913 |
doctor: okay okay not not too bad it does look like you're a little bit elevated today i i maybe i'm just making you nervous though so i hope not so are you but you're still on lisinopril twenty milligrams per day correct it looks like you might be running low do you need a refill of that patient: yeah actually i was g... | D2N192 | 20 | [
"Discussion",
"Medication",
"Therapeutic History"
] | [
"Subjective",
"Plan"
] | okay okay not not too bad it does look like you're a little bit elevated today i i maybe i'm just making you nervous though so i hope not so are you but you're still on lisinopril twenty milligrams per day correct it looks like you might be running low do you need a refill of that | 4,914 |
doctor: sure we can do that and so okay but you are still taking that twenty milligrams per day correct patient: correct | D2N192 | 21 | [
"Personal History"
] | [
"Subjective"
] | sure we can do that and so okay but you are still taking that twenty milligrams per day correct | 4,915 |
doctor: okay and alright fair enough so so let's go ahead and and examine you now karen so on your physical exam pretty normal and and unremarkable for the most part on your on your heart exam i do hear that grade three out of six systolic ejection murmur that you've still got that's unchanged from prior exam that just... | D2N192 | 22 | [
"Physical Examination"
] | [
"Objective"
] | okay and alright fair enough so so let's go ahead and and examine you now karen so on your physical exam pretty normal and and unremarkable for the most part on your on your heart exam i do hear that grade three out of six systolic ejection murmur that you've still got that's unchanged from prior exam that just means i... | 4,916 |
doctor: okay yeah you have i would call an equivocal murphy's sign in the right upper quadrant on your abdominal examination as well the rest of your abdomen is soft and no significant tenderness you have no tenderness in the right lower quadrant with deep palpation and you have no cva tenderness on your back exam as w... | D2N192 | 23 | [
"Physical Examination",
"Referral",
"Diagnostic Testing",
"Acute Assessment",
"Vegetative History"
] | [
"Subjective",
"Objective",
"Assessment",
"Plan"
] | okay yeah you have i would call an equivocal murphy's sign in the right upper quadrant on your abdominal examination as well the rest of your abdomen is soft and no significant tenderness you have no tenderness in the right lower quadrant with deep palpation and you have no cva tenderness on your back exam as well and ... | 4,917 |
doctor: okay alright alright good yeah i i see you do n't have a fever today so that's that's good and so alright now for your second problem the migraine headaches you you do have a history of chronic migraines and and you have occasional bouts of of migraines nothing recent so let's continue the excedrin as needed ov... | D2N192 | 24 | [
"Discussion",
"Medication",
"Other Treatments",
"Reassessment",
"Drug History"
] | [
"Subjective",
"Assessment",
"Plan"
] | okay alright alright good yeah i i see you do n't have a fever today so that's that's good and so alright now for your second problem the migraine headaches you you do have a history of chronic migraines and and you have occasional bouts of of migraines nothing recent so let's continue the excedrin as needed over the c... | 4,918 |
doctor: okay alright sure yeah no problem so for your migraines the migraine problem i'm also gon na write you that that refill prescription for sumatriptan and anything else you can think of patient: no the plan sounds good | D2N192 | 25 | [
"Discussion",
"Medication"
] | [
"Plan"
] | okay alright sure yeah no problem so for your migraines the migraine problem i'm also gon na write you that that refill prescription for sumatriptan and anything else you can think of | 4,919 |
doctor: alright sounds good we'll see you back in about four weeks or so and actually i am gon na follow up on your results today before i let you go but i'll check on those and and we'll we'll see how how you do and and hopefully be able to get you home today so we'll go from there i'll i'll see you shortly patient: t... | D2N192 | 26 | [
"Follow-up"
] | [
"Plan"
] | alright sounds good we'll see you back in about four weeks or so and actually i am gon na follow up on your results today before i let you go but i'll check on those and and we'll we'll see how how you do and and hopefully be able to get you home today so we'll go from there i'll i'll see you shortly | 4,920 |
doctor: good alright hello hannah how are you today patient: i'm doing well | D2N193 | 0 | [
"Greetings"
] | [
"Subjective"
] | good alright hello hannah how are you today | 4,921 |
doctor: you're doing well patient: i did have this this hacking cough for about three days now | D2N193 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | you're doing well | 4,922 |
doctor: okay tell me more about that cough patient: it started three days ago i was around my sister and she has been sick with the same kind of symptoms and so this cough has just started off with like a gradual cough and now i've just been coughing up some green phlegm here | D2N193 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay tell me more about that cough | 4,923 |
doctor: okay okay so you you started having some mucus with it patient: yes | D2N193 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay okay so you you started having some mucus with it | 4,924 |
doctor: okay and how about any other symptoms with your cough patient: i'm having a little bit of a sore throat here and then a little bit of a some nasal congestion as well | D2N193 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay and how about any other symptoms with your cough | 4,925 |
doctor: okay okay and how about any fevers patient: i have n't had a fever yet | D2N193 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay okay and how about any fevers | 4,926 |
doctor: no fever okay and then any shortness of breath patient: no shortness of breath | D2N193 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | no fever okay and then any shortness of breath | 4,927 |
doctor: no shortness of breath okay and what have you been doing for your cough patient: i've just been kinda drinking lots of water taking some cough medication over the counter and it seems like it's not really working | D2N193 | 7 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | no shortness of breath okay and what have you been doing for your cough | 4,928 |
doctor: it's not helping okay and tell me do you have any history of any seasonal allergies patient: right around spring time i get a little bit of sneezing and the runny runny nose | D2N193 | 8 | [
"Personal History"
] | [
"Subjective"
] | it's not helping okay and tell me do you have any history of any seasonal allergies | 4,929 |
doctor: okay okay and then any how about any body aches for you patient: no body aches | D2N193 | 9 | [
"Vegetative History"
] | [
"Subjective"
] | okay okay and then any how about any body aches for you | 4,930 |
doctor: nausea or vomiting patient: no | D2N193 | 10 | [
"Vegetative History"
] | [
"Subjective"
] | nausea or vomiting | 4,931 |
doctor: okay alright so we will definitely examine you and talk more about that and as far as your diabetes how has everything been going with that checking your sugars how has that been going patient: i've been pretty good at checking my blood sugars they've been running around one twenty range | D2N193 | 11 | [
"Personal History"
] | [
"Subjective"
] | okay alright so we will definitely examine you and talk more about that and as far as your diabetes how has everything been going with that checking your sugars how has that been going | 4,932 |
doctor: okay okay and i know the metformin is a we started you on a lower dose it's the five hundred milligrams it's a new medication for you you've been tolerating it okay patient: yes i have n't had any problems | D2N193 | 12 | [
"Therapeutic History"
] | [
"Subjective"
] | okay okay and i know the metformin is a we started you on a lower dose it's the five hundred milligrams it's a new medication for you you've been tolerating it okay | 4,933 |
doctor: okay good any diarrhea sometimes patients will say that patient: no diarrhea | D2N193 | 13 | [
"Vegetative History"
] | [
"Subjective"
] | okay good any diarrhea sometimes patients will say that | 4,934 |
doctor: no diarrhea okay and then how about as far as your blood pressure patient: blood pressure has been a little bit high i've noticed | D2N193 | 14 | [
"Personal History"
] | [
"Subjective"
] | no diarrhea okay and then how about as far as your blood pressure | 4,935 |
doctor: seventy okay so a bit high and the hydrochlorothiazide have you been able to take that everyday patient: yes i've been taking it everyday | D2N193 | 17 | [
"Therapeutic History"
] | [
"Subjective"
] | seventy okay so a bit high and the hydrochlorothiazide have you been able to take that everyday | 4,936 |
doctor: okay and how about your diet how's been thing as far as salty foods patient: i've been trying to stay away from the salty foods but sugar intake i'm having a little bit of trouble with that | D2N193 | 18 | [
"Personal History"
] | [
"Subjective"
] | okay and how about your diet how's been thing as far as salty foods | 4,937 |
doctor: okay okay but it seems like you've been making good progress and that could be difficult sometimes and you mentioned being around i think you said your sister a few days ago or a family member patient: yeah she was just kinda sick with similar symptoms and i noticed i started to developed a little bit of a coug... | D2N193 | 19 | [
"Family History"
] | [
"Subjective"
] | okay okay but it seems like you've been making good progress and that could be difficult sometimes and you mentioned being around i think you said your sister a few days ago or a family member | 4,938 |
doctor: after that okay and how is your family doing how is everyone doing other than that other than being sick for your sister how is everyone going patient: everyone's doing great | D2N193 | 20 | [
"Other Socials"
] | [
"Subjective"
] | after that okay and how is your family doing how is everyone doing other than that other than being sick for your sister how is everyone going | 4,939 |
doctor: okay and for you too were you on vacation last week and a lot of people had vacation last week patient: yes i was on vacation last week actually | D2N193 | 22 | [
"Other Socials"
] | [
"Subjective"
] | okay and for you too were you on vacation last week and a lot of people had vacation last week | 4,940 |
doctor: okay hopefully you were n't sick for too much of it patient: no i was feeling okay | D2N193 | 23 | [
"Other Socials"
] | [
"Subjective"
] | okay hopefully you were n't sick for too much of it | 4,941 |
doctor: okay okay patient: got back and started feeling poorly | D2N193 | 24 | [
"Other Socials"
] | [
"Subjective"
] | okay okay | 4,942 |
doctor: sorry about that alright so what i'm gon na do now is i'm gon na go ahead and start your physical exam i looking at your vitals vitals look overall pretty good i do see your blood pressure is elevated at here it's one forty four over seventy two otherwise everything else looks good so let's check you out so fir... | D2N193 | 25 | [
"Physical Examination"
] | [
"Objective"
] | sorry about that alright so what i'm gon na do now is i'm gon na go ahead and start your physical exam i looking at your vitals vitals look overall pretty good i do see your blood pressure is elevated at here it's one forty four over seventy two otherwise everything else looks good so let's check you out so first start... | 4,943 |
doctor: no okay so no frontal sinus tenderness how about when i press on the on your cheeks here patient: maybe a little bit just a little bit | D2N193 | 26 | [
"Physical Examination"
] | [
"Objective"
] | no okay so no frontal sinus tenderness how about when i press on the on your cheeks here | 4,944 |
doctor: on both sides patient: yes | D2N193 | 27 | [
"Physical Examination"
] | [
"Objective"
] | on both sides | 4,945 |
doctor: okay so bilateral maxillary sinus tenderness alright and i'm just gon na take a look at in your mouth if you can open up okay so i do see some do have some erythema of the pharynx and the tonsils are symmetrical i do n't appreciate any exudates now i'm just checking your neck and i do appreciate some anterior c... | D2N193 | 28 | [
"Physical Examination",
"Discussion",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay so bilateral maxillary sinus tenderness alright and i'm just gon na take a look at in your mouth if you can open up okay so i do see some do have some erythema of the pharynx and the tonsils are symmetrical i do n't appreciate any exudates now i'm just checking your neck and i do appreciate some anterior cervical ... | 4,946 |
doctor: okay so we will check you for that today and see how you're doing with that and then we will give you those results okay any questions about that patient: no questions | D2N193 | 29 | [
"Discussion"
] | [
"Plan"
] | okay so we will check you for that today and see how you're doing with that and then we will give you those results okay any questions about that | 4,947 |
doctor: no okay so for problem number two the type two diabetes so we'll continue you on your metformin five hundred milligrams daily or twice a day you had blood work at your last visit so you'll be due at your next visit for your hemoglobin a1c and that's the check the sugars on your red blood cells so we do that abo... | D2N193 | 30 | [
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | no okay so for problem number two the type two diabetes so we'll continue you on your metformin five hundred milligrams daily or twice a day you had blood work at your last visit so you'll be due at your next visit for your hemoglobin a1c and that's the check the sugars on your red blood cells so we do that about every... | 4,948 |
doctor: alright any questions for me patient: no questions | D2N193 | 31 | [
"Discussion"
] | [
"Plan"
] | alright any questions for me | 4,949 |
doctor: thank you alright so at this point now i'm just gon na press the i'm gon na | D2N193 | 33 | [
"Chitchat"
] | [
"Null"
] | doctor: thank you alright so at this point now i'm just gon na press the i'm gon na | 4,950 |
doctor: hey betty how're you patient: i'm doing okay aside from this left shoulder pain that i've been having for a few weeks now | D2N194 | 0 | [
"Greetings"
] | [
"Subjective"
] | hey betty how're you | 4,951 |
doctor: wow well i'm sorry to hear that do you remember what you were doing when the pain started patient: i you know i ca n't think about anything specifically but i am very active and i also have been renovating my basement so i have been doing a lot with that | D2N194 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | wow well i'm sorry to hear that do you remember what you were doing when the pain started | 4,952 |
doctor: wow okay and do you know if there was any direct or associated trauma that you can think of over the past three weeks like did you fall or hit your shoulder or anything patient: no no trauma that i can think of at all | D2N194 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | wow okay and do you know if there was any direct or associated trauma that you can think of over the past three weeks like did you fall or hit your shoulder or anything | 4,953 |
doctor: okay now have you ever had pain in that shoulder before patient: you know i'm active and will have aches and pains here and there but nothing that some tylenol ca n't take care of | D2N194 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay now have you ever had pain in that shoulder before | 4,954 |
doctor: okay and and it's isolated to your left shoulder patient: it is | D2N194 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and and it's isolated to your left shoulder | 4,955 |
doctor: okay are you able to move that left arm for me patient: you know anytime i try reaching for something or lifting anything i have a lot of pain and i do n't even try to raise my arm over my head because that's it it really hurts | D2N194 | 6 | [
"Physical Examination"
] | [
"Objective"
] | okay are you able to move that left arm for me | 4,956 |
doctor: okay so now i wan na talk a little bit more about that pain are you having pain all of the time or does it wax and wane does it come and go patient: it's all the time and if there is any pressure like when i try to sleep at night i ca n't even lay i'm a side sleeper and it i really gives me a hard time because ... | D2N194 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so now i wan na talk a little bit more about that pain are you having pain all of the time or does it wax and wane does it come and go | 4,957 |
doctor: okay so you ca n't lay on your left side at all patient: i ca n't | D2N194 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so you ca n't lay on your left side at all | 4,958 |
doctor: alright now do you have that pain when you lay on your back as well or just on your left side patient: i mean it's always there but when i sleep directly on it the pain goes up | D2N194 | 9 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright now do you have that pain when you lay on your back as well or just on your left side | 4,959 |
doctor: okay now let's talk just briefly about your pain so if you have n't taken anything at all or have you been taking anything at all let's start with that have you been taking anything for the pain patient: yeah i've been taking tylenol and i'll take two extra strengths tylenol every six to eight hours | D2N194 | 10 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay now let's talk just briefly about your pain so if you have n't taken anything at all or have you been taking anything at all let's start with that have you been taking anything for the pain | 4,960 |
doctor: okay that's good now without any tylenol what's your pain level patient: without any tylenol i would say my pain is like a three | D2N194 | 12 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay that's good now without any tylenol what's your pain level | 4,961 |
doctor: okay and then with tylenol with that patient: i'm sorry i keep doing that without any tylenol my pain is like a seven and with tylenol it goes down to a two or three | D2N194 | 13 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay and then with tylenol with that | 4,962 |
doctor: okay that's good so the tylenol really does help you that that's a good thing patient: yeah | D2N194 | 14 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay that's good so the tylenol really does help you that that's a good thing | 4,963 |
doctor: so you talked about renovating your basement did you guys just move in or is it just time for a little house facelift patient: yeah it just time we've been living in this house for some time now and you know with the pandemic we've been home and so decided to do some work | D2N194 | 15 | [
"Other Socials"
] | [
"Subjective"
] | so you talked about renovating your basement did you guys just move in or is it just time for a little house facelift | 4,964 |
doctor: nice have you been into the new home depot that they just opened down the street here patient: no | D2N194 | 16 | [
"Chitchat"
] | [
"Null"
] | nice have you been into the new home depot that they just opened down the street here | 4,965 |
doctor: yeah it's nice my wife and i were there this weekend and they just opened two weeks ago so everything's fully stocked and if you guys are doing some renovations you might run down there and you know save big money at home depot patient: i definitely will check that out | D2N194 | 17 | [
"Chitchat"
] | [
"Null"
] | yeah it's nice my wife and i were there this weekend and they just opened two weeks ago so everything's fully stocked and if you guys are doing some renovations you might run down there and you know save big money at home depot | 4,966 |
doctor: so are you experiencing any numbness or tingling in your arm or hand patient: no | D2N194 | 18 | [
"Vegetative History"
] | [
"Subjective"
] | so are you experiencing any numbness or tingling in your arm or hand | 4,967 |
doctor: okay so if you do n't mind i'd like to go ahead and do a quick physical exam i've reviewed your vitals everything looks good there and i'm gon na do a focused exam of your left shoulder now you have limited active and passive range of motion there is some tenderness of the greater tuberosity of the humerus and ... | D2N194 | 19 | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay so if you do n't mind i'd like to go ahead and do a quick physical exam i've reviewed your vitals everything looks good there and i'm gon na do a focused exam of your left shoulder now you have limited active and passive range of motion there is some tenderness of the greater tuberosity of the humerus and there is... | 4,968 |
doctor: i do i do believe that that pain is gon na go away many of my patients are successful with pt so we are gon na start with that take a conservative approach and see how you do patient: okay alright | D2N194 | 20 | [
"Discussion"
] | [
"Plan"
] | i do i do believe that that pain is gon na go away many of my patients are successful with pt so we are gon na start with that take a conservative approach and see how you do | 4,969 |
doctor: alright so i'm gon na have the nurse come in and get you some paperwork and i'll see you in about two about two weeks patient: alright thank you | D2N194 | 21 | [
"Follow-up"
] | [
"Plan"
] | alright so i'm gon na have the nurse come in and get you some paperwork and i'll see you in about two about two weeks | 4,970 |
doctor: thank you | D2N194 | 22 | [
"Chitchat"
] | [
"Null"
] | doctor: thank you | 4,971 |
doctor: hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee patient: yes so i was playing basketball yesterday and when i went up for a rebound a... | D2N195 | 0 | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee | 4,972 |
doctor: okay playing basketball how often do you play basketball patient: first time in two years | D2N195 | 1 | [
"Other Socials"
] | [
"Subjective"
] | okay playing basketball how often do you play basketball | 4,973 |
doctor: first time in two years did you watch the game last night patient: yeah unfortunately both teams did n't lose so i was unhappy | D2N195 | 2 | [
"Other Socials"
] | [
"Subjective"
] | first time in two years did you watch the game last night | 4,974 |
doctor: you're going home who you going for patient: neither | D2N195 | 3 | [
"Chitchat"
] | [
"Null"
] | you're going home who you going for | 4,975 |
doctor: neither well i was going for unc i'm kinda i'm kinda upset right now but anyway so you say you're playing basketball you you heard felt some knee your knee pop what part of your knee would you say hurts patient: it feels like it's on the inside of the knee | D2N195 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | neither well i was going for unc i'm kinda i'm kinda upset right now but anyway so you say you're playing basketball you you heard felt some knee your knee pop what part of your knee would you say hurts | 4,976 |
doctor: inside of your knee alright and are you able to bear weight on that leg matthew patient: i can now but i i'm favoring it for sure | D2N195 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | inside of your knee alright and are you able to bear weight on that leg matthew | 4,977 |
doctor: okay so what type of pain would you describe as it is it stabbing is it patient: it's real achy | D2N195 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so what type of pain would you describe as it is it stabbing is it | 4,978 |
doctor: real achy patient: since i slept overnight the swelling has went down some | D2N195 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | real achy | 4,979 |
doctor: okay have you taken anything for the pain yet patient: i tried some tylenol yesterday | D2N195 | 8 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay have you taken anything for the pain yet | 4,980 |
doctor: alright did that work for you patient: a little | D2N195 | 9 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | alright did that work for you | 4,981 |
doctor: little do you have any patient: being off of it help more than anything | D2N195 | 10 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | little do you have any | 4,982 |
doctor: yeah i be i bet i bet i i hurt my knee before too and it's it's pretty painful on a scale of one to ten what would you say your your pain level is patient: it's about a four right now | D2N195 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah i be i bet i bet i i hurt my knee before too and it's it's pretty painful on a scale of one to ten what would you say your your pain level is | 4,983 |
doctor: about a four okay so it's it's not too bad alright so we'll take a look at that knee in a second so we're also here to check up on your hypertension and diabetes so i'm looking here for your hypertension you're taking five milligrams of norvasc so are you taking that daily patient: yes | D2N195 | 12 | [
"Therapeutic History"
] | [
"Subjective"
] | about a four okay so it's it's not too bad alright so we'll take a look at that knee in a second so we're also here to check up on your hypertension and diabetes so i'm looking here for your hypertension you're taking five milligrams of norvasc so are you taking that daily | 4,984 |
doctor: yes great i i i'm so happy when my patients are compliant most of the times they do n't take it as as often but i'm i'm really excited for that what have your blood pressures been running i think today patient: you're about one forty over eighty it's a little bit high but i know we we talked about you getting a... | D2N195 | 13 | [
"Personal History"
] | [
"Subjective"
] | yes great i i i'm so happy when my patients are compliant most of the times they do n't take it as as often but i'm i'm really excited for that what have your blood pressures been running i think today | 4,985 |
doctor: i mean it's it's not the best right it's it's we should be around one twenty over eighty right patient: okay | D2N195 | 15 | [
"Personal History"
] | [
"Subjective"
] | i mean it's it's not the best right it's it's we should be around one twenty over eighty right | 4,986 |
doctor: you're a little bit elevated and we could talk about changing your medications to try to get that that down how about your diet how's that going patient: i eat anything i want | D2N195 | 16 | [
"Personal History"
] | [
"Subjective"
] | you're a little bit elevated and we could talk about changing your medications to try to get that that down how about your diet how's that going | 4,987 |
doctor: alright well we we definitely got ta got ta get your your diet a little bit better i know after the pandemic a lot of people you know went crazy with the diet myself included but i know we got ta get you get back in because for your diabetes i'm looking at your a1c and we we checked it and it was a a seven poin... | D2N195 | 17 | [
"Therapeutic History"
] | [
"Subjective"
] | alright well we we definitely got ta got ta get your your diet a little bit better i know after the pandemic a lot of people you know went crazy with the diet myself included but i know we got ta get you get back in because for your diabetes i'm looking at your a1c and we we checked it and it was a a seven point two wh... | 4,988 |
doctor: okay so yeah we definitely got ta get you to to take it we could try something else just if you're having interaction with that medication what about your blood sugars are they taking those daily patient: no every once in a while | D2N195 | 18 | [
"Personal History"
] | [
"Subjective"
] | okay so yeah we definitely got ta get you to to take it we could try something else just if you're having interaction with that medication what about your blood sugars are they taking those daily | 4,989 |
doctor: every once in a while what have they been doing every once in a while when when you do take them patient: probably about a hundred and fifty or so | D2N195 | 19 | [
"Personal History"
] | [
"Subjective"
] | every once in a while what have they been doing every once in a while when when you do take them | 4,990 |
doctor: okay so we got to get those down too so we will talk about getting you consult nutrition just try to get you a better diet i think you know we wan na get you off the medications totally but you know we got ta get you on the right track here alright so let me do a quick physical exam on you i'm gon na check your... | D2N195 | 20 | [
"Physical Examination"
] | [
"Objective"
] | okay so we got to get those down too so we will talk about getting you consult nutrition just try to get you a better diet i think you know we wan na get you off the medications totally but you know we got ta get you on the right track here alright so let me do a quick physical exam on you i'm gon na check your your yo... | 4,991 |
doctor: ow alright and let me have you bend it straighten it it's painful patient: a little yes | D2N195 | 21 | [
"Physical Examination"
] | [
"Objective"
] | ow alright and let me have you bend it straighten it it's painful | 4,992 |
doctor: a little bit alright i'm gon na do a couple of maneuvers here so your your right knee exam shows that you do have pain to palpation of the medial aspect of that right knee also have some edema some little bit of swelling some ecchymosis as well you do have a negative varus and valgus test of my maneuvers and yo... | D2N195 | 22 | [
"Physical Examination",
"Medication",
"Other Treatments",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | a little bit alright i'm gon na do a couple of maneuvers here so your your right knee exam shows that you do have pain to palpation of the medial aspect of that right knee also have some edema some little bit of swelling some ecchymosis as well you do have a negative varus and valgus test of my maneuvers and you know i... | 4,993 |
doctor: alright for your diabetes i'm going to need you we got to get you to start taking your your blood sugars daily we got to keep track of those alright so i want you to take those daily we'll get a log book so you can keep track of those and bring those back and we can determine how we adjust your medications for ... | D2N195 | 23 | [
"Discussion",
"Follow-up",
"Referral",
"Medication",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | alright for your diabetes i'm going to need you we got to get you to start taking your your blood sugars daily we got to keep track of those alright so i want you to take those daily we'll get a log book so you can keep track of those and bring those back and we can determine how we adjust your medications for now also... | 4,994 |
doctor: you know i i have n't i have n't heard that before you know patient: you know i know it's normally they say like the the pumice granite seeds or antioxidants and and such but the strawberries i i have n't heard you can try it if you want actually no i i do n't want you to eat too many strawberries because a lot... | D2N195 | 24 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | you know i i have n't i have n't heard that before you know | 4,995 |
doctor: your diabetes is n't going so low right now so stay away from the strawberries because that's a lot of sugar you'll need that patient: sure | D2N195 | 25 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | your diabetes is n't going so low right now so stay away from the strawberries because that's a lot of sugar you'll need that | 4,996 |
doctor: alright so any other questions patient: i i think i'm okay right now | D2N195 | 26 | [
"Discussion"
] | [
"Plan"
] | alright so any other questions | 4,997 |
doctor: alright so my nurse will be in with that appointment and we will see you in two weeks | D2N195 | 27 | [
"Chitchat"
] | [
"Null"
] | doctor: alright so my nurse will be in with that appointment and we will see you in two weeks | 4,998 |
doctor: mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure control... | D2N196 | 0 | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure control i would... | 4,999 |
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