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doctor: okay great it's gon na record our conversation okay perfect so jerry tell me mister thompson tell me about your blood pressure readings recently i understand you're concerned about them they have been up they have been down what's going on and any other symptoms patient: normally my blood pressure has been very... | D2N196 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay great it's gon na record our conversation okay perfect so jerry tell me mister thompson tell me about your blood pressure readings recently i understand you're concerned about them they have been up they have been down what's going on and any other symptoms | 5,000 |
doctor: okay okay and okay and yeah that does sound unusual for you and so it's been high but you've also felt lightheaded at times have you checked your blood pressure when you were feeling lightheaded was it was it low at those times or have you done that patient: i've done it both when i felt fine and then when i ha... | D2N196 | 2 | [
"Personal History"
] | [
"Subjective"
] | okay okay and okay and yeah that does sound unusual for you and so it's been high but you've also felt lightheaded at times have you checked your blood pressure when you were feeling lightheaded was it was it low at those times or have you done that | 5,001 |
doctor: okay alright understood and you have n't passed out or anything have you patient: not recently | D2N196 | 3 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright understood and you have n't passed out or anything have you | 5,002 |
doctor: okay and have you had any chest pain or trouble breathing along with you know your elevated blood pressure patient: sometimes a little heaviness in my chest but no no nothing sustained and i do n't have any respiratory or breathing difficulty | D2N196 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay and have you had any chest pain or trouble breathing along with you know your elevated blood pressure | 5,003 |
doctor: okay excellent and how about any headaches or other neurologic symptoms like numbness or weakness or you know balance instability or anything like that patient: little unsteady when i get the dizziness and a slight headache when the blood pressure numbers have been a little higher | D2N196 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay excellent and how about any headaches or other neurologic symptoms like numbness or weakness or you know balance instability or anything like that | 5,004 |
doctor: okay and when you say dizzy are you feeling lightheaded like you might pass out or you feeling that the world spinning around you or what patient: just a little fuzzy where you just feel more lightheaded | D2N196 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | okay and when you say dizzy are you feeling lightheaded like you might pass out or you feeling that the world spinning around you or what | 5,005 |
doctor: okay alright understood and you've not had any any fever or nausea vomiting anything like that have you or diarrhea patient: no | D2N196 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay alright understood and you've not had any any fever or nausea vomiting anything like that have you or diarrhea | 5,006 |
doctor: okay and are you feeling any palpitations or your heart racing anything unusual there patient: not usually no | D2N196 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | okay and are you feeling any palpitations or your heart racing anything unusual there | 5,007 |
doctor: okay and are you still taking the lisinopril twenty milligrams once per day no actually i see we last visit we increased that to twice per day you're still taking that lisinopril twenty milligrams twice per day patient: yes i am | D2N196 | 9 | [
"Therapeutic History"
] | [
"Subjective"
] | okay and are you still taking the lisinopril twenty milligrams once per day no actually i see we last visit we increased that to twice per day you're still taking that lisinopril twenty milligrams twice per day | 5,008 |
doctor: okay you are not missing doses or anything are you by chance patient: very rarely | D2N196 | 10 | [
"Therapeutic History"
] | [
"Subjective"
] | okay you are not missing doses or anything are you by chance | 5,009 |
doctor: okay great great you're still using that pill box that we suggested i think you had a pretty good system going there maybe maybe you're using that app now to take to keep track of one when to take your medicine are you doing that patient: yes yeah i've i've used the pillbox and then tried the app it was a littl... | D2N196 | 11 | [
"Therapeutic History"
] | [
"Subjective"
] | okay great great you're still using that pill box that we suggested i think you had a pretty good system going there maybe maybe you're using that app now to take to keep track of one when to take your medicine are you doing that | 5,010 |
doctor: that's great i think i think i remember you saying it was tricky to get that app set up but then your grandson helped you with it and those kids amazing what they can do these days right anything like that i always trust them my kids before me so hey by the way how did he do in his softball or in his in his lit... | D2N196 | 12 | [
"Other Socials"
] | [
"Subjective"
] | that's great i think i think i remember you saying it was tricky to get that app set up but then your grandson helped you with it and those kids amazing what they can do these days right anything like that i always trust them my kids before me so hey by the way how did he do in his softball or in his in his little leag... | 5,011 |
doctor: wow wow how fun that's fantastic well congrats good stuff alright well listen so so you're still taking your your lisinopril how about for your hyperlipidemia your your high cholesterol there are you still taking that atorvastatin patient: yes | D2N196 | 13 | [
"Therapeutic History"
] | [
"Subjective"
] | wow wow how fun that's fantastic well congrats good stuff alright well listen so so you're still taking your your lisinopril how about for your hyperlipidemia your your high cholesterol there are you still taking that atorvastatin | 5,012 |
doctor: okay excellent and your osteoarthritis i know you've been you know a golfer in the past and you know you wan na get out on the course and things is that still under control are you able to get out and and and walk the full course and things still patient: most of the time you know there are times when the weath... | D2N196 | 14 | [
"Personal History"
] | [
"Subjective"
] | okay excellent and your osteoarthritis i know you've been you know a golfer in the past and you know you wan na get out on the course and things is that still under control are you able to get out and and and walk the full course and things still | 5,013 |
doctor: yeah yeah but you're still okay well you're still able to get out and then you're kinda taking i think you're taking some tylenol for for you know mild mild pain and changing your activity as needed is that right patient: correct | D2N196 | 15 | [
"Therapeutic History"
] | [
"Subjective"
] | yeah yeah but you're still okay well you're still able to get out and then you're kinda taking i think you're taking some tylenol for for you know mild mild pain and changing your activity as needed is that right | 5,014 |
doctor: okay alright good good okay well listen let's go ahead and examine you here jerry so on your physical exam for the most part it's pretty normal and unremarkable on your heart exam you still have that grade three out of six systolic ejection murmur that's unchanged from your prior and just means yeah i'm hearing... | D2N196 | 16 | [
"Physical Examination",
"Discussion",
"Follow-up",
"Medication",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay alright good good okay well listen let's go ahead and examine you here jerry so on your physical exam for the most part it's pretty normal and unremarkable on your heart exam you still have that grade three out of six systolic ejection murmur that's unchanged from your prior and just means yeah i'm hearing some he... | 5,015 |
doctor: yeah you know be sure you're staying well hydrated you know six to eight glasses of water per day is a good good idea and you you know when when it warms up you're certainly gon na prespire more and lose lose more fluid so so i would i would recommend that you continue to have you know a a standard six to eight... | D2N196 | 17 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | yeah you know be sure you're staying well hydrated you know six to eight glasses of water per day is a good good idea and you you know when when it warms up you're certainly gon na prespire more and lose lose more fluid so so i would i would recommend that you continue to have you know a a standard six to eight glasses... | 5,016 |
doctor: probably not the best thing with you know with with with your high blood pressure fluctuating the way it is so not more than a couple drinks a week hate to tell you patient: okay | D2N196 | 18 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | probably not the best thing with you know with with with your high blood pressure fluctuating the way it is so not more than a couple drinks a week hate to tell you | 5,017 |
doctor: alright okay great seeing you we'll see you back see you in a couple of weeks you take care | D2N196 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: alright okay great seeing you we'll see you back see you in a couple of weeks you take care | 5,018 |
doctor: so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on patient: yeah lately i've just been having quite a bit of a headache and i mean every now and then i'll get it but lately it's just been getting worse and i've... | D2N197 | 0 | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on | 5,019 |
doctor: do you remember the numbers that you're getting on your blood pressure readings patient: yeah so one of them was like one sixty over eighty seven and then the last one was like one seventy five over ninety two | D2N197 | 1 | [
"Personal History"
] | [
"Subjective"
] | do you remember the numbers that you're getting on your blood pressure readings | 5,020 |
doctor: okay so it's really high i was looking back and it looks like your blood pressure was pretty normal last time we saw you is one twenty four over eighty two have you been able to take your blood pressure medicine the lisinopril that you've been prescribed patient: i have but sometimes i forget i'm i'm embarrasse... | D2N197 | 2 | [
"Therapeutic History"
] | [
"Subjective"
] | okay so it's really high i was looking back and it looks like your blood pressure was pretty normal last time we saw you is one twenty four over eighty two have you been able to take your blood pressure medicine the lisinopril that you've been prescribed | 5,021 |
doctor: yeah well i'm also curious you know you have diabetes have you been checking your blood sugar patient: yeah i have because i thought maybe you know that's why i'm getting the headaches maybe my sugar was too low or maybe too high but my sugar has been okay it's been running like one twenty sometimes it does get... | D2N197 | 3 | [
"Personal History"
] | [
"Subjective"
] | yeah well i'm also curious you know you have diabetes have you been checking your blood sugar | 5,022 |
doctor: okay and have you noticed are you urinating more than usual or anything like that patient: not really so much it's it's been pretty much the same but pretty normal | D2N197 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | okay and have you noticed are you urinating more than usual or anything like that | 5,023 |
doctor: okay and when you get these headaches what are you taking for them patient: well i take my tylenol hoping it'll just you know go away and then it does some just for a little bit but then it it just goes throughout the day and i start to get them again | D2N197 | 5 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay and when you get these headaches what are you taking for them | 5,024 |
doctor: okay and when you first had the headaches what would you rate the headache at zero no pain ten the worst pain ever patient: i would say when i first get them it's about i would say a seven out of ten | D2N197 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and when you first had the headaches what would you rate the headache at zero no pain ten the worst pain ever | 5,025 |
doctor: and then after you take the tylenol what does it go down to patient: it goes down to probably about a four maybe five it i still feel it i still feel annoying but it's not as pounding as as it normally would be | D2N197 | 8 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | and then after you take the tylenol what does it go down to | 5,026 |
doctor: yeah and have you ever had headaches like this before patient: not like this you know you know as you know sometimes i get migraine but i know i never really take anything for it that's like once a year or once or every two years but not like not like this one headaches like this one | D2N197 | 10 | [
"Personal History"
] | [
"Subjective"
] | yeah and have you ever had headaches like this before | 5,027 |
doctor: okay and have you had any congestion anything like that cough runny nose patient: yeah i thought maybe because you know now it's springtime and i tend to get my allergies but it it's it's very different and i've not actually had any like runny nose or cough or congestion along with the headache | D2N197 | 11 | [
"Vegetative History"
] | [
"Subjective"
] | okay and have you had any congestion anything like that cough runny nose | 5,028 |
doctor: okay if you tap on your forehead do you have any tenderness patient: right here | D2N197 | 12 | [
"Physical Examination"
] | [
"Objective"
] | okay if you tap on your forehead do you have any tenderness | 5,029 |
doctor: okay if you tap down here on these bones your cheek bones any tenderness there patient: a little bit not as much as i guess if i tap up here | D2N197 | 14 | [
"Physical Examination"
] | [
"Objective"
] | okay if you tap down here on these bones your cheek bones any tenderness there | 5,030 |
doctor: okay and then if you kinda push on your neck around here any tenderness patient: it it's a little tender but it's not it is a little bit i'd say | D2N197 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay and then if you kinda push on your neck around here any tenderness | 5,031 |
doctor: okay okay so you do n't have any frontal sinus tenderness no maxillary sinus tenderness it sounds like you do n't have any lymphadenopathy that would just be if your lymph nodes were tender so yeah you know let's just talk about a few things that i wan na do and then i want you to actually come in and and be se... | D2N197 | 16 | [
"Physical Examination",
"Medication",
"Reassessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay okay so you do n't have any frontal sinus tenderness no maxillary sinus tenderness it sounds like you do n't have any lymphadenopathy that would just be if your lymph nodes were tender so yeah you know let's just talk about a few things that i wan na do and then i want you to actually come in and and be seen by do... | 5,032 |
doctor: and then i want you to keep checking your blood pressure and i wan na order some blood tests i'd like to get some just normal blood work we'll get a hemoglobin a1c some laboratory tests things like that and and then for your diabetes i'm gon na have some diabetic education for you that i want you to be able to ... | D2N197 | 17 | [
"Discussion",
"Referral",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and then i want you to keep checking your blood pressure and i wan na order some blood tests i'd like to get some just normal blood work we'll get a hemoglobin a1c some laboratory tests things like that and and then for your diabetes i'm gon na have some diabetic education for you that i want you to be able to review i... | 5,033 |
doctor: yeah that's great i think exercise is wonderful for everything going on go ahead and walk still patient: okay great we'll do that thank you | D2N197 | 18 | [
"Discussion"
] | [
"Plan"
] | yeah that's great i think exercise is wonderful for everything going on go ahead and walk still | 5,034 |
doctor: you're welcome thanks so much donna | D2N197 | 19 | [
"Chitchat"
] | [
"Null"
] | doctor: you're welcome thanks so much donna | 5,035 |
doctor: okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here patient: hi doctor how are you | D2N198 | 0 | [
"Greetings"
] | [
"Subjective"
] | okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here | 5,036 |
doctor: hi i'm great thanks for asking patient: well so yeah i just happened to have gone in for my regular visit and i just explained to my pcp that you know what i've been having some back pain it's usually on the left and you know he asked some questions and he said i should come see you | D2N198 | 1 | [
"Greetings"
] | [
"Subjective"
] | hi i'm great thanks for asking | 5,037 |
doctor: alright yeah back pain especially like that like was it sharp could you tell me what kind of pain it was patient: well yeah some days it was sharp some days it was n't some days it moves some days it does n't but it's mostly on the left | D2N198 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright yeah back pain especially like that like was it sharp could you tell me what kind of pain it was | 5,038 |
doctor: alright patient: yeah | D2N198 | 4 | [
"Chitchat"
] | [
"Null"
] | alright | 5,039 |
doctor: unloving the spectrum that we have right here let's see if we can dig down and get some details well a couple of things i wan na ask have you been a bit more tired than lately patient: no not recall | D2N198 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | unloving the spectrum that we have right here let's see if we can dig down and get some details well a couple of things i wan na ask have you been a bit more tired than lately | 5,040 |
doctor: alright how about your appetite are you hungry or or not as hungry patient: i i would say about his that that's pretty much unchanged | D2N198 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | alright how about your appetite are you hungry or or not as hungry | 5,041 |
doctor: okay your appetite is unchanged alright what about your water consumption patient: that i'm sorry what did you say | D2N198 | 7 | [
"Vegetative History"
] | [
"Subjective"
] | okay your appetite is unchanged alright what about your water consumption | 5,042 |
doctor: no it's fine how about your water consumption patient: yes but i've been drinking a lot more water and i do realize that i i wake up sometimes during the night to you know use the restroom to pee more than i normally do | D2N198 | 8 | [
"Vegetative History"
] | [
"Subjective"
] | no it's fine how about your water consumption | 5,043 |
doctor: okay so we have noticed an increase in urine output okay how do you have like any normal activities are you playing any sports patient: yeah i ride i ride a bike every so often | D2N198 | 9 | [
"Other Socials"
] | [
"Subjective"
] | okay so we have noticed an increase in urine output okay how do you have like any normal activities are you playing any sports | 5,044 |
doctor: okay and are you like watching any other sports like did you watch march madness patient: no sorry | D2N198 | 11 | [
"Chitchat"
] | [
"Null"
] | okay and are you like watching any other sports like did you watch march madness | 5,045 |
doctor: be still my heart okay that's fine i'll forgive you so patient: thank you | D2N198 | 12 | [
"Chitchat"
] | [
"Null"
] | be still my heart okay that's fine i'll forgive you so | 5,046 |
doctor: okay but how is school like are you like are are things going well like are you enjoying like your your time there patient: yeah school is actually going well gotten good grades | D2N198 | 13 | [
"Other Socials"
] | [
"Subjective"
] | okay but how is school like are you like are are things going well like are you enjoying like your your time there | 5,047 |
doctor: they usually do anybody who chooses to engage in physics for the rest of their life i question their choices it's fine okay but are you when you're like while you are at school like has anybody been sick i know like with you know covid has been going around but like have you noticed anybody like that sick all t... | D2N198 | 15 | [
"Other Socials"
] | [
"Subjective"
] | they usually do anybody who chooses to engage in physics for the rest of their life i question their choices it's fine okay but are you when you're like while you are at school like has anybody been sick i know like with you know covid has been going around but like have you noticed anybody like that sick all the time ... | 5,048 |
doctor: alright patient: so | D2N198 | 16 | [
"Other Socials"
] | [
"Subjective"
] | alright | 5,049 |
doctor: but what about at home how about your siblings are any of them sick patient: most of them are healthy yeah most of them are healthy although you know i have a brother who smokes i have told him not to smoke he does n't listen | D2N198 | 17 | [
"Other Socials"
] | [
"Subjective"
] | but what about at home how about your siblings are any of them sick | 5,050 |
doctor: mm-hmm patient: house told not to smoke at the house but you know anyway | D2N198 | 18 | [
"Other Socials"
] | [
"Subjective"
] | mm-hmm | 5,051 |
doctor: okay so there is a smoker at home you know that does that does affect you so we might have to have a conversation with your brother and anybody else but it's good to know that people are n't sick i do see here though that you have kind of a a history of recurrent strep like you you seem to be having these sore ... | D2N198 | 19 | [
"Personal History"
] | [
"Subjective"
] | okay so there is a smoker at home you know that does that does affect you so we might have to have a conversation with your brother and anybody else but it's good to know that people are n't sick i do see here though that you have kind of a a history of recurrent strep like you you seem to be having these sore throats ... | 5,052 |
doctor: i okay i respect that and i'm glad that you you listen to him at the end of the day that's always a good thing alright so now that we've gotten like kind of a lot of the history out of the way i do want to do my physical exam is that okay patient: sure | D2N198 | 21 | [
"Physical Examination"
] | [
"Objective"
] | i okay i respect that and i'm glad that you you listen to him at the end of the day that's always a good thing alright so now that we've gotten like kind of a lot of the history out of the way i do want to do my physical exam is that okay | 5,053 |
doctor: alright so when i look in your throat like i'm not noticing any erythema no swelling your tonsils are midline so those look good when i'm feeling here on your neck i'm not appreciating any like lymphadenopathy no cervical adenopathy and like i wan na check those things because i just wan na make sure i'm not se... | D2N198 | 22 | [
"Physical Examination"
] | [
"Objective"
] | alright so when i look in your throat like i'm not noticing any erythema no swelling your tonsils are midline so those look good when i'm feeling here on your neck i'm not appreciating any like lymphadenopathy no cervical adenopathy and like i wan na check those things because i just wan na make sure i'm not seeing any... | 5,054 |
doctor: okay alright great no tenderness on palpation when i press on your abdomen are you feeling any pain patient: no | D2N198 | 23 | [
"Physical Examination"
] | [
"Objective"
] | okay alright great no tenderness on palpation when i press on your abdomen are you feeling any pain | 5,055 |
doctor: alright no rebound no guarding that's great okay so based on my physical exam we are gon na have a couple conversations one that ct that your your primary care doctor the the one that you you question his judgment it is showing a couple things that we are a little concerned about it could be that these recurren... | D2N198 | 24 | [
"Discussion",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | alright no rebound no guarding that's great okay so based on my physical exam we are gon na have a couple conversations one that ct that your your primary care doctor the the one that you you question his judgment it is showing a couple things that we are a little concerned about it could be that these recurrent strep ... | 5,056 |
doctor: they are going to be free ninety nine because your mom is paying for them patient: okay that's that's good to know | D2N198 | 25 | [
"Discussion"
] | [
"Plan"
] | they are going to be free ninety nine because your mom is paying for them | 5,057 |
doctor: i would prefer you to get them done as soon as possible so when you walk out of this room there is a a blood lab right next door i need you to go ahead and do some of those draws some of them i will need you to not have eaten we are gon na do them it's called fasting and you can make sure that you have n't eate... | D2N198 | 27 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | i would prefer you to get them done as soon as possible so when you walk out of this room there is a a blood lab right next door i need you to go ahead and do some of those draws some of them i will need you to not have eaten we are gon na do them it's called fasting and you can make sure that you have n't eaten when y... | 5,058 |
doctor: mm-hmm patient: and right after that i have to go to work | D2N198 | 28 | [
"Discussion"
] | [
"Plan"
] | mm-hmm | 5,059 |
doctor: mm-hmm patient: you know if i told you i'm about changing jobs did i | D2N198 | 29 | [
"Discussion"
] | [
"Plan"
] | mm-hmm | 5,060 |
doctor: no you did n't mention that but one of the cool things about being a doctor is i can write you a note so you're gon na do it and then you can go to the class and we could figure it but like it's really cool that you're changing jobs i'm happy for you i hope you know that like it's always great to be able to mak... | D2N198 | 30 | [
"Discussion"
] | [
"Plan"
] | no you did n't mention that but one of the cool things about being a doctor is i can write you a note so you're gon na do it and then you can go to the class and we could figure it but like it's really cool that you're changing jobs i'm happy for you i hope you know that like it's always great to be able to make some i... | 5,061 |
doctor: we might have to have a conversation about the free food at the restaurant if we do n't get some of these infections under control because your salt intake is about to be very important okay patient: got it | D2N198 | 31 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | we might have to have a conversation about the free food at the restaurant if we do n't get some of these infections under control because your salt intake is about to be very important okay | 5,062 |
doctor: alright okay so do you have any more questions before i send my nurse in patient: do i need to get a shot today | D2N198 | 32 | [
"Discussion"
] | [
"Plan"
] | alright okay so do you have any more questions before i send my nurse in | 5,063 |
doctor: no shots today just stopped patient: okay and when do i have to come back for the results | D2N198 | 33 | [
"Discussion"
] | [
"Plan"
] | no shots today just stopped | 5,064 |
doctor: i need you to come back in a week patient: okay can we do that over the phone by the way | D2N198 | 34 | [
"Follow-up"
] | [
"Plan"
] | i need you to come back in a week | 5,065 |
doctor: we could if if your results are normal but if we need to have additional conversations i'm gon na need you to come back patient: excellent | D2N198 | 35 | [
"Discussion",
"Follow-up"
] | [
"Plan"
] | we could if if your results are normal but if we need to have additional conversations i'm gon na need you to come back | 5,066 |
doctor: no problem | D2N198 | 37 | [
"Chitchat"
] | [
"Null"
] | doctor: no problem | 5,067 |
doctor: hi billy how are you doing the medical assistant told me that you have a cough today patient: yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last two days though | D2N199 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hi billy how are you doing the medical assistant told me that you have a cough today | 5,068 |
doctor: okay alright so the cough started a week ago but you have have started feeling worse over the last two days correct patient: yep | D2N199 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright so the cough started a week ago but you have have started feeling worse over the last two days correct | 5,069 |
doctor: alright now have you had any fevers patient: not that i remember i i feel warm but never really took my temperature | D2N199 | 3 | [
"Vegetative History"
] | [
"Subjective"
] | alright now have you had any fevers | 5,070 |
doctor: you feel warm okay alright any chills patient: no no chills you know just a little achy at times | D2N199 | 4 | [
"Vegetative History"
] | [
"Subjective"
] | you feel warm okay alright any chills | 5,071 |
doctor: okay and how about any shortness of breath do you ever feel short short of breath at all patient: no no i have no shortness of breath | D2N199 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay and how about any shortness of breath do you ever feel short short of breath at all | 5,072 |
doctor: no shortness of breath okay and how about any runny nose sore throat sinus pain or pressure patient: yeah i get a like congested you know kinda drainage down my throat and you know a little bit of pressure in my sinuses | D2N199 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | no shortness of breath okay and how about any runny nose sore throat sinus pain or pressure | 5,073 |
doctor: okay and anyone else sick in your household patient: no unfortunately just need | D2N199 | 7 | [
"Other Socials"
] | [
"Subjective"
] | okay and anyone else sick in your household | 5,074 |
doctor: just you okay and what do you do for work patient: i work as a teacher | D2N199 | 8 | [
"Other Socials"
] | [
"Subjective"
] | just you okay and what do you do for work | 5,075 |
doctor: you're a teacher okay well that that can you know explain a lot okay now how about your hypertension now i know that you have a history of hypertension we kinda battled with that over the over the past year or so how are you doing with that did you buy the blood pressure cuff that i asked you too patient: no | D2N199 | 9 | [
"Personal History"
] | [
"Subjective"
] | you're a teacher okay well that that can you know explain a lot okay now how about your hypertension now i know that you have a history of hypertension we kinda battled with that over the over the past year or so how are you doing with that did you buy the blood pressure cuff that i asked you too | 5,076 |
doctor: you do n't check it at all okay that's that's okay i i looked at it here we will talk about that in a minute and are you taking the lisinopril i think we have you on twenty milligrams a day patient: i think that's what i'm taking | D2N199 | 11 | [
"Therapeutic History"
] | [
"Subjective"
] | you do n't check it at all okay that's that's okay i i looked at it here we will talk about that in a minute and are you taking the lisinopril i think we have you on twenty milligrams a day | 5,077 |
doctor: okay but you do take it patient: yeah it's a white pill | D2N199 | 12 | [
"Therapeutic History"
] | [
"Subjective"
] | okay but you do take it | 5,078 |
doctor: okay alright yeah i'm not really sure what it looks like but okay as long as you're taking it so that's good and how about your diet are you watching your are you watching your salt intake patient: not really i just kinda i feel the blood pressure medicine would do what's supposed to do | D2N199 | 13 | [
"Personal History"
] | [
"Subjective"
] | okay alright yeah i'm not really sure what it looks like but okay as long as you're taking it so that's good and how about your diet are you watching your are you watching your salt intake | 5,079 |
doctor: okay alright alright well what else is going on are you a are you a sports fan i was really sad to see that the that cincinnati bangel has lost the super bowl do you follow baseball or anything like that patient: no i was n't too sad about that i'm a brown span | D2N199 | 14 | [
"Chitchat"
] | [
"Null"
] | okay alright alright well what else is going on are you a are you a sports fan i was really sad to see that the that cincinnati bangel has lost the super bowl do you follow baseball or anything like that | 5,080 |
doctor: you're a brown span okay yeah patient: now when you bring up sports though you know i also have actually when i was coughing a couple earlier this today i twisted my knee | D2N199 | 15 | [
"Chitchat"
] | [
"Null"
] | you're a brown span okay yeah | 5,081 |
doctor: you twisted your knee how did you how did you do that patient: i was coughing i fell down the stairs | D2N199 | 16 | [
"Acute Symptoms"
] | [
"Subjective"
] | you twisted your knee how did you how did you do that | 5,082 |
doctor: you were coughing and you fell down the stairs today okay alright well how many how many stairs did you fall down patient: man it's like probably maybe it was four or five | D2N199 | 17 | [
"Acute Symptoms"
] | [
"Subjective"
] | you were coughing and you fell down the stairs today okay alright well how many how many stairs did you fall down | 5,083 |
doctor: four or five stairs and what knee did you injure patient: my right knee | D2N199 | 18 | [
"Acute Symptoms"
] | [
"Subjective"
] | four or five stairs and what knee did you injure | 5,084 |
doctor: your right knee and have you been able to walk since that happened that happened this morning patient: yeah correct | D2N199 | 19 | [
"Acute Symptoms"
] | [
"Subjective"
] | your right knee and have you been able to walk since that happened that happened this morning | 5,085 |
doctor: mostly on the inside okay and can you can you can you bend your knee and straighten it patient: yep | D2N199 | 21 | [
"Acute Symptoms"
] | [
"Subjective"
] | mostly on the inside okay and can you can you can you bend your knee and straighten it | 5,086 |
doctor: yeah okay and are you limping at all or you just walking pretty normally patient: just i have a little bit of a limp | D2N199 | 22 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah okay and are you limping at all or you just walking pretty normally | 5,087 |
doctor: okay does it feel like it's gon na give out patient: no | D2N199 | 23 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay does it feel like it's gon na give out | 5,088 |
doctor: okay have you taken anything for the pain patient: no i just been taking just stuff for over the counter stuff for my cough and cold stuff kinda like dayquil | D2N199 | 24 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay have you taken anything for the pain | 5,089 |
doctor: okay have they helped at all with the cough patient: little bit little bit with the cough | D2N199 | 26 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay have they helped at all with the cough | 5,090 |
doctor: okay alright lastly i just want to talk a little bit about your diabetes now in terms of your diabetes are you watching your sugar intake patient: no no i do n't i do n't even take my blood sugars either | D2N199 | 27 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay alright lastly i just want to talk a little bit about your diabetes now in terms of your diabetes are you watching your sugar intake | 5,091 |
doctor: okay are you taking what's that patient: i'm a bad patient i do n't take my blood sugars | D2N199 | 28 | [
"Personal History"
] | [
"Subjective"
] | okay are you taking what's that | 5,092 |
doctor: that's okay you're not a bad patient that's okay it happens i know things you know you're you're busy but you know we do want i do want you to stay healthy you know you're you are a patient of mine i want i want to continue to see you over a long period of time so it's important for you to to you know watch you... | D2N199 | 29 | [
"Therapeutic History"
] | [
"Subjective"
] | that's okay you're not a bad patient that's okay it happens i know things you know you're you're busy but you know we do want i do want you to stay healthy you know you're you are a patient of mine i want i want to continue to see you over a long period of time so it's important for you to to you know watch your diet y... | 5,093 |
doctor: okay i'm not really sure what it looks like but you're supposed to be taking a thousand milligrams twice a day are you taking it twice a day patient: yeah i'm taking my wife puts in the my box i take something twice a day i know that | D2N199 | 30 | [
"Therapeutic History"
] | [
"Subjective"
] | okay i'm not really sure what it looks like but you're supposed to be taking a thousand milligrams twice a day are you taking it twice a day | 5,094 |
doctor: okay how is your wife doing she is a very lovely person i i i remember seeing her at your last visit patient: she is doing fine | D2N199 | 31 | [
"Other Socials"
] | [
"Subjective"
] | okay how is your wife doing she is a very lovely person i i i remember seeing her at your last visit | 5,095 |
doctor: yeah i say the same thing to my husband okay well let's go ahead i wanted you to just do a quick physical exam so i'm gon na be calling out some of my exam findings and i'm gon na let you know what they mean when i'm done okay so looking here at your vital signs you know you do n't have a fever here in the offi... | D2N199 | 33 | [
"Physical Examination"
] | [
"Objective"
] | yeah i say the same thing to my husband okay well let's go ahead i wanted you to just do a quick physical exam so i'm gon na be calling out some of my exam findings and i'm gon na let you know what they mean when i'm done okay so looking here at your vital signs you know you do n't have a fever here in the office which... | 5,096 |
doctor: on one on what side patient: actually both | D2N199 | 34 | [
"Physical Examination"
] | [
"Objective"
] | on one on what side | 5,097 |
doctor: okay okay on on facial examination the patient has pain to palpation of the bilateral maxillary sinuses on nasal exam there are there is erythema and edema of the nasal turbinates bilaterally with associated yellow discharge on throat exam can you open up your mouth on your throat exam the the uvula is midline ... | D2N199 | 35 | [
"Physical Examination"
] | [
"Objective"
] | okay okay on on facial examination the patient has pain to palpation of the bilateral maxillary sinuses on nasal exam there are there is erythema and edema of the nasal turbinates bilaterally with associated yellow discharge on throat exam can you open up your mouth on your throat exam the the uvula is midline there is... | 5,098 |
doctor: okay there is pain to palpation on the right knee and i'm just gon na move it all around does that hurt patient: little bit yeah | D2N199 | 36 | [
"Physical Examination"
] | [
"Objective"
] | okay there is pain to palpation on the right knee and i'm just gon na move it all around does that hurt | 5,099 |
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