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okay . all right . okay , well , let's go ahead and , uh , i know the nurse did a review of systems , you know , with you , and i know that you're endorsing some back pain and a little bit of dizziness , um , and some blood in your urine . any other symptoms ? you know , muscle aches , chest pain ... uh , body aches , anything like that ?
|
[
"Acute Symptoms",
"Personal History"
] |
[
"Subjective"
] | 1,000
|
hey , dragon , show me the blood pressure . yeah . and here , your blood pressure's still high , so we'll have to talk about that . um , hey , dragon , show me the ekg . so , here you- that's good , your , your ekg-
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,001
|
you're welcome . hey , dragon , order the medications and procedures mentioned . and why do n't you come with me , and we'll get you checked out ?
|
[
"Chitchat"
] |
[
"Null"
] | 1,002
|
are you in alabama fan
|
[
"Chitchat"
] |
[
"Null"
] | 1,003
|
doctor: hey , dragon , finalize the note .
|
[
"Chitchat"
] |
[
"Null"
] | 1,004
|
so , i get it . um , okay , so , and you're taking the norvasc ?
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,005
|
okay so karen how is how is how is soccer
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,006
|
yeah , i can imagine that would upset me too .
|
[
"Chitchat"
] |
[
"Null"
] | 1,007
|
hmmm okay and does anything make the pain feel better
|
[
"Acute Symptoms",
"Therapeutic History"
] |
[
"Subjective"
] | 1,008
|
okay and so here's where i think we are going to go do you take any nonsteroidals like advil or motrin or aleve
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,009
|
because now it's showing the cheapest of $ 70 , and when i looked before , it was around 30 to $ 40 .
|
[
"Discussion",
"Medication"
] |
[
"Plan"
] | 1,010
|
all right . and you're taking your immunosuppressive medications ?
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,011
|
i'm going to prescribe you some pain medicine . we'll do lortab 500- lortab 5 milligram . um , you can take one to two tablets every uh , six hours as needed for pain . i'll give you 20 of those .
|
[
"Discussion",
"Medication"
] |
[
"Plan"
] | 1,012
|
okay do you remember what it was
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,013
|
okay now are you able to take tylenol do you not feel any relief from tylenol when you take it
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,014
|
hmmm alright now tell me what what type of activities makes that pain worse
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,015
|
all right , so , so on physical examination of your left elbow , you do have some erythema and edema of your left elbow . does it hurt when i touch ?
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,016
|
so , i think that this will improve . i'll give you some robitussin for your cough and i would encourage you take some ibuprofen , tylenol for any fever , okay ?
|
[
"Medication"
] |
[
"Plan"
] | 1,017
|
all right . is she bigger than her or the same size ?
|
[
"Family History"
] |
[
"Subjective"
] | 1,018
|
alright and then you're going to also be given an aircast which is really gon na help stabilize the ankle and then you also be given some crutches for the next one to two days and then you may start walking on it as tolerated
|
[
"Other Treatments"
] |
[
"Plan"
] | 1,019
|
if your weight is n't going down , uh , or if it's going up i want you to call me . certainly , if you get more short of breath at rest i want you to go ahead and call me or call 911-
|
[
"Discussion",
"Follow-up"
] |
[
"Plan"
] | 1,020
|
hi , brian . how are you ?
|
[
"Greetings"
] |
[
"Subjective"
] | 1,021
|
okay . hey dragon , ms. hernandez is a 48-year-old female here for a right elbow . so , tell me what happened .
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,022
|
okay , great . and then , um the chronic back pain , we've been giving you the gabapentin neurontin for that . is that helping control the pain ?
|
[
"Personal History",
"Therapeutic History"
] |
[
"Subjective"
] | 1,023
|
okay so you're gon na go to the front and schedule it this is a very quick and common procedure it should only take about an hour we will need to do this note like if this if this is successful we would only maybe do this four times a year so whenever at the front desk go ahead and schedule i think that mine pretty available to be able to help you with this alright any other questions
|
[
"Discussion"
] |
[
"Plan"
] | 1,024
|
hopefully , within the next two weeks . you will receive a call from the radiology scheduling this afternoon to get it set up .
|
[
"Discussion"
] |
[
"Plan"
] | 1,025
|
okay and when i push on this inside where it's a little swollen does that hurt
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,026
|
okay . yeah , i think i know who you're talking about , though .
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,027
|
have you lost weight ?
|
[
"Acute Symptoms",
"Vegetative History"
] |
[
"Subjective"
] | 1,028
|
okay and is the pain constant or does it come and go
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,029
|
hi logan , how are you ?
|
[
"Greetings"
] |
[
"Subjective"
] | 1,030
|
okay . hey , dragon . order lisinopril , 20 milligrams daily . so , the nurse will be in , she'll help you , uh , make a follow-up appointment with me . i want to see you again in about four months .
|
[
"Follow-up",
"Medication"
] |
[
"Plan"
] | 1,031
|
let's take a look at some of your results . hey , dragon , show me the autoimmune panel . hey , dragon , show me the autoimmune labs . okay . so looking at your autoimmune panel here , you know , we sent that because , you know , you're young and you have , you know , arthritis and gout and that type of thing and everything seemed to be fine .
|
[
"Lab Examination"
] |
[
"Objective"
] | 1,032
|
okay . all right . and any other symptoms like muscle aches , joint pain , fatigue ?
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,033
|
well that is a goal of treatment and to get you back in running again now you will have to take an take it easy from running for now but we will continue to assess your progress with each visit okay
|
[
"Discussion"
] |
[
"Plan"
] | 1,034
|
typically , it does n't .
|
[
"Discussion"
] |
[
"Plan"
] | 1,035
|
and was it relatively a normal exam ? did you have any polyps ?
|
[
"Personal History"
] |
[
"Subjective"
] | 1,036
|
okay i'm sorry i've never talked to you about that in the past i that's my fault so yeah so you wan na make sure you stay away from things like bananas oranges you know potatoes have lots of potassium that type of thing and so you know because with your kidney function you know that can cause your potassium levels to go up because you do n't get rid of the potassium as you should you know
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,037
|
you're welcome . so what i think we're dealing with is right hip degenerative joint disease .
|
[
"Acute Assessment"
] |
[
"Assessment"
] | 1,038
|
does it hurt when i pull your finger like this ?
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,039
|
okay , great . let's see them .
|
[
"Lab Examination"
] |
[
"Objective"
] | 1,040
|
uh okay so do you have a favorite restaurant you like to go to
|
[
"Chitchat"
] |
[
"Null"
] | 1,041
|
well , that's good , that things have settled . i do wonder if some of what you are dealing with is hormonal , and that's why i was asking . 'cause you were on the progesterone , and i feel like you were having some irritability back then too .
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,042
|
all right , they look okay right now , certainly let your doctor know about this if it gets any worse or reoccurs .
|
[
"Physical Examination",
"Follow-up"
] |
[
"Objective",
"Plan"
] | 1,043
|
okay , so you're endorsing some nasal congestion ?
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,044
|
so for your knee pain , i think that this is an acute exacerbation of your arthritis , okay ? so i wan na go ahead and if ... and prescribe some ultram 50 milligrams every six hours as needed .
|
[
"Medication",
"Acute Assessment"
] |
[
"Assessment",
"Plan"
] | 1,045
|
i'm sorry to hear that what normally triggers your asthma type symptoms
|
[
"Personal History"
] |
[
"Subjective"
] | 1,046
|
and your tonsils are swollen too now has anyone else sick in your household
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,047
|
not necessarily if you have idiopathic intracranial hypertension there are number of medications that we can try to help decrease that pressure in your brain and this will also help you have less headaches when you exercise as exercise and weight loss are also an important part of the treatment
|
[
"Discussion",
"Other Treatments",
"Medication"
] |
[
"Plan"
] | 1,048
|
well , how can i help you today ?
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,049
|
hey that's great and that's great to hear congratulations i'm so excited to hear about the new baby
|
[
"Chitchat"
] |
[
"Null"
] | 1,050
|
hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
|
[
"Acute Symptoms",
"Greetings"
] |
[
"Subjective"
] | 1,051
|
so working on that may help with your gerd . additionally , we can consider trying a different ppi since the only one you've tried up to this point is omeprazole . if you're okay with this , we can switch your omeprazole to nexium .
|
[
"Discussion",
"Medication"
] |
[
"Plan"
] | 1,052
|
. okay ? do you have any questions ?
|
[
"Chitchat"
] |
[
"Null"
] | 1,053
|
doctor: thank you very much
|
[
"Chitchat"
] |
[
"Null"
] | 1,054
|
i'm gon na just touch base with an infectious disease doctor to make sure that there's not anything else that we need to do , okay ? and i wan na see you again next week for a follow-up for this , okay ?
|
[
"Discussion",
"Follow-up",
"Referral"
] |
[
"Plan"
] | 1,055
|
have you used any ice ?
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,056
|
okay and were you able to get up afterwards or somebody helped you up
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,057
|
okay you have
|
[
"Chitchat"
] |
[
"Null"
] | 1,058
|
okay , well great . so i know you did a review of system sheet when you checked in and i know that you had the headache and the lightheadedness yesterday . do you have any other symptoms at this time , chest pain , shortness of breath , anything like that ?
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,059
|
uh , mrn49282721 . patient's name is jacqueline miller . use last visit exam where appropriate . hi , how are you doing , jacqueline ?
|
[
"Greetings"
] |
[
"Subjective"
] | 1,060
|
and i'm gon na go ahead and get a lipid panel and , uh , start you on crestor 20 mg , once a day , okay ?
|
[
"Diagnostic Testing",
"Medication"
] |
[
"Plan"
] | 1,061
|
okay okay okay how so do you have any other exercises that i might wan na know about outside of intense gym and ski events
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,062
|
yeah . and then the third thing is that spironolactone combined with hydrocholorozide- chlorothiazide can cause your sodium levels to go down . now , this does not mean- mean that you need to be eating more salt , okay ? but , it does mean that you will need to do blood tests in two weeks to make sure that it's okay .
|
[
"Medication",
"Diagnostic Testing"
] |
[
"Plan"
] | 1,063
|
okay . all right . so the nurse will come in to help you get checked out , okay ?
|
[
"Chitchat"
] |
[
"Null"
] | 1,064
|
okay . and how about family history ?
|
[
"Family History"
] |
[
"Subjective"
] | 1,065
|
okay do you notice these any activities or time of the day that makes them worse i know you said they they seem to get worse around your menstrual periods but is there any time of the day or that makes them worse
|
[
"Personal History"
] |
[
"Subjective"
] | 1,066
|
okay so when you what beach did you go to when you you hurt it
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,067
|
all right . this is matthew rogers . date of birth 5/24/2007 . i would like to use the acne follow-up template for him . he is here today for an acne follow-up . at the last visit on 3/3/21 he was prescribed the following : clindamycin lotion , uh , trent- tretinoin cream , 4-5 % benzoyl peroxide wash for f-face and 5-10 % for chest and back . so we're going to enter the room : hi there , how are y'all today ?
|
[
"Personal History",
"Greetings",
"Therapeutic History"
] |
[
"Subjective"
] | 1,068
|
okay , all right , great . and how is your support system ?
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,069
|
okay . and did you feel a pop or a strain immediately or ?
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,070
|
so let's do let's do the reader's digestive version
|
[
"Personal History"
] |
[
"Subjective"
] | 1,071
|
okay alright and do you ever wake up really short of breath does it ever wake you up
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,072
|
going away
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,073
|
so , let me just talk a little bit about my assessment and my plan for you . okay ? so , from a depression standpoint , it's , you know , your first problem , i think that that sounds like you're doing really well managing it . you know , you have good strategies . it sounds like you have a good support system , um , and i agree . i do n't think you need to start on any medication at this time , but you said before , you know you can call me , okay ?
|
[
"Discussion",
"Acute Assessment"
] |
[
"Assessment",
"Plan"
] | 1,074
|
that's great . and she's how old now ?
|
[
"Personal History"
] |
[
"Subjective"
] | 1,075
|
what well i do n't think so what what's your support system like
|
[
"Other Socials"
] |
[
"Subjective"
] | 1,076
|
yes . okay . and any fatigue ? weight gain ? anything like that that you've noticed ?
|
[
"Vegetative History"
] |
[
"Subjective"
] | 1,077
|
okay . and have you been having any other joint pain like , elbows or shoulder , or anything like that ?
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,078
|
okay do you remember what you were doing when the pain first started
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,079
|
doctor: alright alright hope you feel better
|
[
"Chitchat"
] |
[
"Null"
] | 1,080
|
okay . and any other , any other joints bothering you , your elbows , wrists , shoulders , anything like that ?
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,081
|
karen nelson is a 3 -year-old female with no significant past medical history who comes in for evaluation of a new right eye twitch karen is accompanied by her father hi karen how are you
|
[
"Acute Symptoms",
"Greetings"
] |
[
"Subjective"
] | 1,082
|
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
|
[
"Discussion",
"Medication"
] |
[
"Plan"
] | 1,083
|
was that dr. sanchez ?
|
[
"Personal History"
] |
[
"Subjective"
] | 1,084
|
okay so are you active other than going up and down the steps to your office
|
[
"Personal History"
] |
[
"Subjective"
] | 1,085
|
okay . so your exam looks good , no masses , just some skin changes from that radiation . now , let's go over the plan for you .
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,086
|
okay does it hurt more when you walk for longer periods of time
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,087
|
can you repeat that
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,088
|
next patient is sophia jackson , mrnr472348 . she's a 57 year old female who is here for a surgical consult . her dermatologist referred her . she biopsied a 0.7 millimeter lesion which was located on right inferior back . pathology came back as melanoma . mrs. jackson , it's good to meet you .
|
[
"Personal History",
"Greetings"
] |
[
"Subjective"
] | 1,089
|
okay , does the chest pain happen when you walk ?
|
[
"Personal History",
"Vegetative History"
] |
[
"Subjective"
] | 1,090
|
pes bursa nontender epicondyle nontender back of her knee nice and soft any pain back here
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,091
|
um , i know they took you off the plavix , are you still taking your aspirin every day ?
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,092
|
. when you're traveling ?
|
[
"Personal History"
] |
[
"Subjective"
] | 1,093
|
so it's in both of your hands ?
|
[
"Acute Symptoms"
] |
[
"Subjective"
] | 1,094
|
all right . any questions right now ?
|
[
"Chitchat"
] |
[
"Null"
] | 1,095
|
okay so you're on
|
[
"Therapeutic History"
] |
[
"Subjective"
] | 1,096
|
yeah so we'll we'll just
|
[
"Chitchat"
] |
[
"Null"
] | 1,097
|
alright thanks for coming in today i see on my chart here that you had a bunch of lower respiratory infections so first tell me how are you what's going on
|
[
"Personal History",
"Greetings"
] |
[
"Subjective"
] | 1,098
|
okay okay so i'm gon na just hold your leg here and i want you to take your your foot and ankle and i want you to go ahead and just pull your your toes up towards you does that create some pain when you do that
|
[
"Physical Examination"
] |
[
"Objective"
] | 1,099
|
Subsets and Splits
Filtered ChitChat, Greetings, History
The query filters and retrieves specific records based on their index and intent labels, providing insight into a subset of chatty, greeting, and personal history interactions.