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med_intent_classification

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so , how are you doing with that ?
[ "Personal History" ]
[ "Subjective" ]
1,100
hi , albert . how are you ?
[ "Greetings" ]
[ "Subjective" ]
1,101
okay . that's sorry to hear . and are you feeling better now ?
[ "Acute Symptoms" ]
[ "Subjective" ]
1,102
hi , edward , how are you ?
[ "Greetings" ]
[ "Subjective" ]
1,103
so , maybe you're slamming your elbow down a little bit on the desk , so just get a little rest there-
[ "Discussion" ]
[ "Plan" ]
1,104
mm-hmm
[ "Acute Symptoms" ]
[ "Subjective" ]
1,105
okay alright and have you noticed any any prior pain with with the back
[ "Personal History" ]
[ "Subjective" ]
1,106
doctor: hey , dragon , finalize the note .
[ "Chitchat" ]
[ "Null" ]
1,107
is that your favorite at mcdonald's in the the mcnuggates
[ "Chitchat" ]
[ "Null" ]
1,108
okay , all right . um , okay . well , i know that the nurse did a review of system sheet when you came in . and we've just talked a lot about your , your s- your symptoms , you know , your dizziness , your fatigue and that type of thing . anything else that i might have missed , fever chills , any nasal congestion , sore throat , cough ?
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
1,109
okay when did you break your toe
[ "Personal History" ]
[ "Subjective" ]
1,110
um , your third problem is your depression . that's been stable . we're gon na keep you on your current medication , not gon na change anything at this point , okay ? and as far as your carpal tunnel goes , that's relatively stable , so , um , uh , no changes there as well . okay ? so anything else i can do for you ?
[ "Discussion", "Medication", "Reassessment" ]
[ "Assessment", "Plan" ]
1,111
okay . and have you been taking all of your meds for your heart failure ?
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
1,112
hey dragon , show me the right knee x-ray . okay , so here's a picture of your right knee . actually normal x-ray , everything looks good , okay ? on my exam , um , you do n't really have any swelling in- in your joints , um , uh , of your knee . you have a little pain with , um , uh , range of motion of the knee . you have real pain when we do what we call patella in- ... patellar inhibition , okay ? so that's what caused most of that pain . so , um , your heart is regular , your lungs are clear , i do n't feel any adenopathy , your thyroid's , um , normal , your grips are equal , the rest of your exam is essentially normal , okay ? so my assessment is , you have what we call chondromalacia of the patella , okay ? it's just from the overuse and all- all the swimming you've been doing , okay ? so , um , to treat that we'll just use some anti-inflammatories , um , go ahead and take some ibuprofen , 600 milligrams four times a day with food . i do want you to do some straight leg raising exercises , that'll strengthen your quadriceps and that'll help with that pain , okay ?
[ "Discussion", "Medication", "Radiology Examination", "Referral", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
1,113
okay alright so we had a car crash in february
[ "Personal History" ]
[ "Subjective" ]
1,114
i am fine thank you . so you've been having some problems with your right hip ?
[ "Acute Symptoms" ]
[ "Subjective" ]
1,115
okay . and you are smoking still ?
[ "Drug History" ]
[ "Subjective" ]
1,116
okay so i i want you to grip my hands here and just squeeze tight okay so you do have a a little bit of a less grip strength on the right and that's typical that we would see with this type of pain and and numbness that you have going on now i want you to turn your arm over for me and i'm gon na touch on or tap on the inside of your wrist or or forearm and when i do that i can see your face you're grimacing so that that that must cause that shooting pain yeah okay so you do have a positive tinel's sign so in alexis what i think is going on is that you have a a carpal tunnel syndrome and we see that frequent
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
1,117
well , i do n't think you need to come back soon . everything from a cardio perspective is fine . so , i think let's do a followup in about six to nine months .
[ "Follow-up" ]
[ "Plan" ]
1,118
okay does it get better when you're laying down sitting standing
[ "Acute Symptoms" ]
[ "Subjective" ]
1,119
no fever okay and then any shortness of breath
[ "Vegetative History" ]
[ "Subjective" ]
1,120
okay . um , i'm gon na be in touch with you after we get your test results , and we'll go from there , okay ?
[ "Chitchat" ]
[ "Null" ]
1,121
good . what's your skin care routine like now ?
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
1,122
okay alright yeah a lot of patients it's very successful with the physical therapy so i really hope that will do it and so we'll just start there okay
[ "Chitchat" ]
[ "Null" ]
1,123
okay . so for your medical history , it's high cholesterol and stage 0 er/pr positive invasive ductal carcinoma of the right breast . any surgeries other than the lumpectomy ?
[ "Personal History" ]
[ "Subjective" ]
1,124
okay so i no i'm absolutely i wan na make sure that we are gon na give you the medication that works like the best for you so i'm sorry if these questions seem like frustrating i would just wan na make sure that i understand what the problem is so
[ "Chitchat" ]
[ "Null" ]
1,125
and i think it's safe . i mean , i understand and hear you . all of these stories out there about this , uh , regarding the vaccine . but i've seen all the bad things that could happen from covid . people have died in my practice , and i do n't disagree that if you got covid you'd probably be okay .
[ "Discussion", "Medication" ]
[ "Plan" ]
1,126
okay , great . all right . well , let's go ahead . i'd like to do a quick physical exam . let's look at your blood pressure .
[ "Physical Examination" ]
[ "Objective" ]
1,127
doctor: hey , dragon , finalize the note .
[ "Chitchat" ]
[ "Null" ]
1,128
i'm pretty good . so it looks like you've completed the covid vaccine , that's great .
[ "Therapeutic History" ]
[ "Subjective" ]
1,129
mm-hmm .
[ "Acute Symptoms" ]
[ "Subjective" ]
1,130
i want you to get back on that diet .
[ "Other Treatments" ]
[ "Plan" ]
1,131
good to see you as well . so i know the nurse told you about dax . i'm gon na tell dax a little bit about you .
[ "Chitchat" ]
[ "Null" ]
1,132
okay now does it hurt
[ "Acute Symptoms" ]
[ "Subjective" ]
1,133
okay . great . all right . so i know that you did a review of systems sheet with the nurse when you checked in . you know , i know that you were talking about some nasal congestion . do you have any other symptoms , chest pain , shortness of breath , abdominal pain , nausea or vomiting , anything like that ?
[ "Vegetative History" ]
[ "Subjective" ]
1,134
but mostly when i do that type of motion ?
[ "Physical Examination" ]
[ "Objective" ]
1,135
okay and do you get is it is this primarily worse in the morning or does it is it just there all the time when it comes on
[ "Acute Symptoms" ]
[ "Subjective" ]
1,136
yeah yeah well
[ "Chitchat" ]
[ "Null" ]
1,137
okay so you think this is more of a long term injury
[ "Personal History" ]
[ "Subjective" ]
1,138
uh , dizziness possibly , as well as , uh , one in 100 guys might develop tenderness in their chest , swollen breasts , or enlarged breasts . this is a rare side effect , um , called gynecomastia , and if it happens , you just cut the medication and you let me know , but it is very uncommon .
[ "Discussion", "Medication" ]
[ "Plan" ]
1,139
okay alright and has this like pain started to like affect you like in your job or anything like that
[ "Other Socials" ]
[ "Subjective" ]
1,140
okay alright and then time wise are we looking at can it just come and go anytime or is it specifically around mealtimes how how does that pain kinda wax and wane for you
[ "Acute Symptoms" ]
[ "Subjective" ]
1,141
no , just the knee pain ?
[ "Vegetative History" ]
[ "Subjective" ]
1,142
fruit , okay .
[ "Chitchat" ]
[ "Null" ]
1,143
well let's see now your symptoms should significantly improve in the next two weeks and what i'll do is i'm gon na follow up with you then and then see how you're doing okay and then just please continue to take the nsaids as needed to help with any of that pain that you may have okay
[ "Follow-up", "Medication" ]
[ "Plan" ]
1,144
okay well let me let me go ahead and do a physical examination here i reviewed your vitals you know that the the assistants collected when you first came in including your weight and everything looks good there there is no fever there there is nothing that i'm concerned about there now on your heart exam you have a nice regular rate and rhythm and i do n't appreciate any murmurs that's kind of those extra sounds that i would hear and that that all sounds good on lungs lung exam your lungs are clear there's no wheezes rales or rhonchi now on your neck exam i do n't appreciate any lymph lymphadenopathy swollen lymph glands and then let me just go ahead and i wan na press on your belly a little bit is that tender anywhere that i press it does n't seem like you making any facial
[ "Physical Examination", "Vegetative History" ]
[ "Subjective", "Objective" ]
1,145
so , use my general physical exam template . let me take a listen to you and make sure everything sounds good .
[ "Chitchat" ]
[ "Null" ]
1,146
your psa today is also , uh , is good also . it's , uh , .6 i think .
[ "Lab Examination" ]
[ "Objective" ]
1,147
okay and how long have you had the wound
[ "Acute Symptoms" ]
[ "Subjective" ]
1,148
okay good were you able to enjoy the spring weather
[ "Other Socials" ]
[ "Subjective" ]
1,149
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
[ "Therapeutic History" ]
[ "Subjective" ]
1,150
cheryl is a 34-year-old female with a past medical history significant for hypertension , who presents today with back pain . cheryl , what happened to your back ?
[ "Acute Symptoms", "Personal History" ]
[ "Subjective" ]
1,151
for the diabetes mellitus i wan na order a hemoglobin a1c to see if we need to make any adjustments to your metformin and i'm also gon na order a lipid panel okay do you have any questions
[ "Discussion", "Medication", "Diagnostic Testing", "Reassessment" ]
[ "Assessment", "Plan" ]
1,152
okay , so on ... on physical exam , you do have some , uh , cda tenderness on the right-hand side , meaning that you're tender when i ... when i pound on that .
[ "Physical Examination" ]
[ "Objective" ]
1,153
good to see you as well . uh , so i know the nurse told you a little bit about dax .
[ "Chitchat" ]
[ "Null" ]
1,154
left leg okay got it sorry and any weakness or numbness in your legs or just the pain mostly
[ "Acute Symptoms" ]
[ "Subjective" ]
1,155
since we stopped your birth control , we can try once called phexxi , which is kind of like a spermicide , basically .
[ "Discussion", "Medication" ]
[ "Plan" ]
1,156
okay ? um , and i wan na order another hemoglobin a1c in a couple months . hey , dragon . order a hemoglobin a1c . for your next problem , your depression , i think you're doing a great job with your current strategies with the meditation . we will hold off on medication or therapy at this time , and you know to call me if you need anything , right ?
[ "Discussion", "Follow-up", "Diagnostic Testing" ]
[ "Plan" ]
1,157
okay . and i would stay away from any kind of anti-aging thing , any kind of plant thing . um , really let's just be sure we talk about any new products , or reach out to me if you're gon na try something else . um , let's go get those samples .
[ "Discussion", "Medication" ]
[ "Plan" ]
1,158
mm-hmm .
[ "Acute Symptoms", "Personal History" ]
[ "Subjective" ]
1,159
. so then ... you're welcome . and so do you use any tobacco , drugs , or alcohol ? and then , um , you said that you were going to school . what are you going to school for ?
[ "Other Socials", "Drug History" ]
[ "Subjective" ]
1,160
does that sound okay ? i think we need to get it under better control .
[ "Discussion" ]
[ "Plan" ]
1,161
okay . great . uh , lem me get you checked out .
[ "Chitchat" ]
[ "Null" ]
1,162
squeeze my fingers for me . good . okay . is it painful if i move your patella like that ?
[ "Physical Examination" ]
[ "Objective" ]
1,163
and , so , lastly , for your high blood pressure , how are you doing with that ? have , are , did you buy the blood pressure cuff like i asked ?
[ "Personal History" ]
[ "Subjective" ]
1,164
um for your second problem , your anxiety . it sounds like you know you might have , you know , some issues leading into the winter . how do you feel about that ?
[ "Reassessment" ]
[ "Assessment", "Plan" ]
1,165
i want you to continue on the omeprazole , 40 milligrams , once a day and continue with those dietary modifications . um , for your second problem , your gout , um , you know , everything seems controlled right now . let's continue you on the allopurinol , 100 milligrams , once a day . um , do you need a refill of that ?
[ "Medication", "Reassessment" ]
[ "Assessment", "Plan" ]
1,166
okay . i know it sounds superstitious , but i feel like with all the immunocompromising , the pressure , the stress that people's bodies have been under , and the potential for getting covid or the vaccine ... i have actually seen some , um , an increase in abnormal paps in people who have been fine for a while . so that's why i figure let's just check .
[ "Discussion", "Diagnostic Testing" ]
[ "Plan" ]
1,167
patrick allen . date of birth : 7/7/1977 . new patient visit . past medical history includes gerd , anxiety , depression . here for chronic abdominal pain . he had an abdominal ct on 1/23/2020 . impression is a normal ct of the ab- abdomen . hello , are you mr. allen ?
[ "Acute Symptoms", "Personal History", "Greetings" ]
[ "Subjective" ]
1,168
okay . and do y- do you have a good support system at home ?
[ "Other Socials" ]
[ "Subjective" ]
1,169
okay alright well i'm just gon na go ahead and do a quick physical exam i'm gon na be calling out my exam findings i'll let you know what that means so and last thing have you had any fever or chills since this happened at all
[ "Physical Examination", "Vegetative History" ]
[ "Subjective", "Objective" ]
1,170
okay have you taken any medications safe for example tylenol or ibuprofen for the pain
[ "Therapeutic History" ]
[ "Subjective" ]
1,171
but not in the last 10 years ?
[ "Personal History" ]
[ "Subjective" ]
1,172
yeah i bet that did make you nervous i i see that she referred you for a low immunoglobulin a level is that your understanding
[ "Personal History" ]
[ "Subjective" ]
1,173
some pain
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
1,174
okay , and do you think that's working okay ?
[ "Therapeutic History" ]
[ "Subjective" ]
1,175
so what what we will do is the good news is we have an outpatient mri facility downstairs and i'm going to send the order down and we'll get you your mri this afternoon
[ "Discussion", "Diagnostic Testing" ]
[ "Plan" ]
1,176
okay alright so you got anything fun plan for the weekend
[ "Other Socials" ]
[ "Subjective" ]
1,177
just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff
[ "Personal History" ]
[ "Subjective" ]
1,178
okay . and then , are you using any other kind of lotions or anything ?
[ "Therapeutic History" ]
[ "Subjective" ]
1,179
even with exertion
[ "Acute Symptoms" ]
[ "Subjective" ]
1,180
okay good any diarrhea sometimes patients will say that
[ "Vegetative History" ]
[ "Subjective" ]
1,181
okay alright so let's just go ahead and do a quick physical exam on you here i did review your vitals everything here looks good now lem me take a look at your shoulder alright now on your left shoulder exam you have limited active and passive range of motion and how does that feel here
[ "Physical Examination" ]
[ "Objective" ]
1,182
you do have a little swelling in your legs but that might just be from your your diet recently , okay .
[ "Acute Assessment" ]
[ "Assessment" ]
1,183
and have you had any problems with your bowel or bladder ?
[ "Vegetative History" ]
[ "Subjective" ]
1,184
yeah , that scar did widen a little bit . let me take a closer look , hang on . this one widened a little too , ? the incisions are well healed though with no signs of infection or any redness on either breast , so i'm not concerned .
[ "Physical Examination" ]
[ "Objective" ]
1,185
no burning when you urinate okay and and any other any other issues any problems with your bowels any constipation issues
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
1,186
the covid 15 . yeah . now last time i saw you , you were smoking two packs a day . how much are you smoking now ?
[ "Drug History" ]
[ "Subjective" ]
1,187
okay well that's good to hear so have you been watching your diet too and taking taking your pills since you've been home
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
1,188
okay . great . all right . well , let's go ahead and do a quick physical exam . so looking at you , you do n't appear in any distress . your heart is regular . your lungs sound nice and clear . you have some tenderness to the right lower quadrant to palpation of your abdomen . your lower extremities have no edema . um , all right . well , let's go ahead and look at your labs , okay ?
[ "Physical Examination" ]
[ "Objective" ]
1,189
and , you know , it seems like you're doing well . any symptoms at all ? any nasal congestion or chest pain , shortness of breath , anything ?
[ "Vegetative History" ]
[ "Subjective" ]
1,190
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
[ "Follow-up" ]
[ "Plan" ]
1,191
okay . and any family history of gi issues ?
[ "Family History" ]
[ "Subjective" ]
1,192
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
[ "Personal History" ]
[ "Subjective" ]
1,193
doctor: alright thank you
[ "Chitchat" ]
[ "Null" ]
1,194
no , okay . and then in terms of your diabetes , how are you doing , you know especially with the holidays managing your- your sugar intake and that type of thing ?
[ "Personal History" ]
[ "Subjective" ]
1,195
no fever , chills , no shortness of breath ?
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
1,196
okay . all right . no , uh , no difficulty urinating or burning when you urinate at all ?
[ "Acute Symptoms" ]
[ "Subjective" ]
1,197
do you test your blood sugar at home in the mornings
[ "Personal History" ]
[ "Subjective" ]
1,198
mm-hmm
[ "Discussion" ]
[ "Plan" ]
1,199