DATEXIS/med_intent_classification · Datasets at Hugging Face

text stringlengths 6 3.62k	intents listlengths 1 9	sections listlengths 1 4	__index_level_0__ int64 0 3.89k
nine out of 10 ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,400
we could yeah we could give you something to help calm down like the anxiety i would just write you a prescription for one and you would take that maybe three hours before you came in for your appointment and then you should feel calm enough to be able to do the injection	[ "Discussion", "Medication" ]	[ "Plan" ]	1,401
i mean i'm sorry the tylenol	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	1,402
understood . understood . all right . well , let's go ahead and take a look and see what's going on .	[ "Chitchat" ]	[ "Null" ]	1,403
um , so as we move into the summer it may be something that you are more interested in pursuing doing that , uh , but if you feel like the acne on your face ... do you feel like the acne on your face is improving ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,404
up your neck alright	[ "Vegetative History" ]	[ "Subjective" ]	1,405
alright i do want you to i know you are i know you actually jog often so i want you to just slow that down for a bit no jogging for a while until we get you know results of your mri till we figure out what we what we are gon na be doing okay	[ "Discussion" ]	[ "Plan" ]	1,406
okay . and how have they been running . i have n't received any you know notes from you in the portal .	[ "Acute Symptoms" ]	[ "Subjective" ]	1,407
okay ? i also wan na go ahead and just order an autoimmune panel , okay ? hey , dragon , order an autoimmune panel . and you know , i , i want , i want you to just take it easy for right now , and if your symptoms continue , we'll talk about further imaging and possibly referral to physical therapy , okay ?	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	1,408
just to help you with that diet	[ "Discussion", "Referral", "Other Treatments" ]	[ "Plan" ]	1,409
i'm doing well . it's good to see you . how have you been ?	[ "Personal History" ]	[ "Subjective" ]	1,410
okay alright so it's been running a little bit high i know we checked your hemoglobin a1c last time and it was about seven . seven . i think and we had talked about you know improving your diet and improving some exercise but is this blood sugar been high and low or high and normal when you're especially in the last three weeks or has it been going on for longer than that	[ "Personal History" ]	[ "Subjective" ]	1,411
howard nice to meet you	[ "Chitchat" ]	[ "Null" ]	1,412
okay and so did your doctor put you on any antibiotics when they they saw your foot	[ "Personal History", "Therapeutic History" ]	[ "Subjective" ]	1,413
and for your last problem your kidney stones , uh , i think everything seems to be fine right at this time . again , continue to watch your diet and stay hydrated . um , and i know that might be a little difficult with the diuretic , but do your best . uh , and give me a call if you have any question , okay ?	[ "Follow-up", "Reassessment" ]	[ "Assessment", "Plan" ]	1,414
five days ago . what were you doing ? were you , like , stopped at a stoplight ? a stop sign ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,415
so , we'll have to just kinda talk about that , okay ?	[ "Chitchat" ]	[ "Null" ]	1,416
good . so how can i help you today ? uh , the referral i have is for abdominal pain and diarrhea .	[ "Acute Symptoms" ]	[ "Subjective" ]	1,417
i understand i understand okay was there any like swelling or bruising on your neck	[ "Personal History" ]	[ "Subjective" ]	1,418
i understand , but it could get dry and i do n't wan na create other problems for you .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,419
okay and how long have you had this pain	[ "Acute Symptoms" ]	[ "Subjective" ]	1,420
hi evelyn , how are you ?	[ "Greetings" ]	[ "Subjective" ]	1,421
i really do n't see any endocrine cause for it , like i said . your growth hormone was fine , but we definitely want to and need to treat it . um , i do n't know if we talked about maybe a little weight loss study .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,422
okay and how long have you been having this	[ "Acute Symptoms" ]	[ "Subjective" ]	1,423
okay on both elbows about a year and a half ago	[ "Personal History" ]	[ "Subjective" ]	1,424
patient mrn : abc123 . date of birth : january 1st , 1960 . patient is a 60 year old , right-handed male , referred today for evaluation of numbness and tingling . hello , mr. cook . how are you doing this morning ?	[ "Acute Symptoms", "Personal History", "Greetings" ]	[ "Subjective" ]	1,425
hmmm okay and do you notice any any timing difference you know is it is it worse in the morning worse in the evening is there anything else that makes it better or worse	[ "Acute Symptoms" ]	[ "Subjective" ]	1,426
okay so have you noticed any nausea chills fever	[ "Acute Symptoms" ]	[ "Subjective" ]	1,427
so , gabapentin can help a little bit with the nerve pain , and what i would like to do is potentially set you up for an epidural . and what that is is it , it's a focused anti-inflammatory medicine , excuse me , that works behind the nerve roops that , nerve roots that we are thinking might be getting squished off . it can often help alleviate your symptoms , and i do need to get an mri of your neck . um , i know we have had one of your lower back , but i need one of your neck to see exactly where the roots are getting pinched off . so , what i can do is tentatively set you up for an epidural , but before you do that , we do need to get that mri so i can see right where i need to put the medicine for your epidural . uh , what do you think of that ?	[ "Medication", "Diagnostic Testing" ]	[ "Plan" ]	1,428
right .	[ "Acute Symptoms" ]	[ "Subjective" ]	1,429
okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you .	[ "Physical Examination" ]	[ "Objective" ]	1,430
hi , anna , how are you ?	[ "Greetings" ]	[ "Subjective" ]	1,431
alright so where exactly is it on the side on the back	[ "Acute Symptoms" ]	[ "Subjective" ]	1,432
okay so if it's if it's that bad let's wait for the mri result we're gon na give you off for work because you know you ca n't move and we'll see what the mri says about what whether or not we can get you like true local injections in the moment is that alright for now	[ "Medication" ]	[ "Plan" ]	1,433
gotcha what do you do outside of outside of work is biking kinda your thing	[ "Personal History" ]	[ "Subjective" ]	1,434
so right now you're on 100 , 1,000 milligrams a day , correct ?	[ "Therapeutic History" ]	[ "Subjective" ]	1,435
okay you're welcome anything else	[ "Discussion" ]	[ "Plan" ]	1,436
okay okay you mentioned earlier that you tried some things in the past like what were they	[ "Therapeutic History" ]	[ "Subjective" ]	1,437
yup , that will do it . is there anything else that you've noticed , mrs. ward ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,438
okay . okay . and you have a , a good support system at home ? i know you have a big-	[ "Other Socials" ]	[ "Subjective" ]	1,439
okay . and , that's really the only thing that's different is your diet , pretty much ?	[ "Personal History" ]	[ "Subjective" ]	1,440
okay . and anything else change recently ? like , have you changed lifestyle , like you're exercising more than you used to , having any allergies , anything like that ?	[ "Personal History", "Other Socials" ]	[ "Subjective" ]	1,441
alright did that work for you	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	1,442
okay well i'm sorry to hear that you know you know renovating the basement it can be quite a task and it can take a toll on you	[ "Other Socials" ]	[ "Subjective" ]	1,443
okay . all right . and do you take ... what medicines do you take for constipation ?	[ "Therapeutic History" ]	[ "Subjective" ]	1,444
okay . all right . and then , how are you doing with your , with your ulcer ? i know that you , you know , you had so much stress a year ago and , you know , you were having some issues there . we did the endoscopy-	[ "Personal History" ]	[ "Subjective" ]	1,445
okay alright how about like chest pain or shortness of breath are you experiencing any of that when you have these headaches in your blood pressure	[ "Vegetative History" ]	[ "Subjective" ]	1,446
definitely . uh , this is one of the fun parts of covid for me . it's like the mask comes down for my acne patients and it's like a big reveal . this lo- this looks a lot better , like a lot better . uh , i'm just going to take a look at your back and chest real quick . um , i would n't recommend making any changes to what you're doing . uh , i'm happy with how things are going . are you- are you happy with how things are going ?	[ "Physical Examination", "Discussion", "Reassessment" ]	[ "Objective", "Assessment", "Plan" ]	1,447
okay now with that do you have any numbness or tingling associated with your back pain	[ "Vegetative History" ]	[ "Subjective" ]	1,448
okay . do you take any medicine for it ?	[ "Therapeutic History" ]	[ "Subjective" ]	1,449
okay , all right . and then in terms of the kidney stones , i know that you had those a couple years ago , as well . any recent flare ups ? have you had any , any back pain , flank pain , anything like that ?	[ "Personal History" ]	[ "Subjective" ]	1,450
wow that that can be a little bit scary so you mentioned that your primary care provider or the urgent care provider gave you medications what medications are you using for your asthma right now	[ "Therapeutic History" ]	[ "Subjective" ]	1,451
okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until after surgery . but we have the pre-surgery visual field test for comparison after surgery .	[ "Diagnostic Testing", "Other Treatments" ]	[ "Plan" ]	1,452
okay do you know what your last a1c is i'm pretty sure you doc talk to you about it	[ "Personal History" ]	[ "Subjective" ]	1,453
all right . good to see you .	[ "Chitchat" ]	[ "Null" ]	1,454
yeah i i think you know this will be you know this we're gon na spend some time together so i'm glad to have you as a patient but you know we got ta try to get this under control and i'm gon na i'll be talking to your pcp just to let them know that you know what my plans are and we'll stay real in sync on treating this as we move forward does that sound like a plan	[ "Discussion" ]	[ "Plan" ]	1,455
so , i know my nurse told you a little bit about dax . um , now , if you do n't mind , i'd like to tell dax a little bit about you .	[ "Chitchat" ]	[ "Null" ]	1,456
hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ?	[ "Greetings" ]	[ "Subjective" ]	1,457
and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart attack , stroke , and death . risk of surgery include infection , need for further surgery , wound issues such as spinal fluid leak or infection , uh , which may require long , prolonged hospitalization or additional procedure . uh , seizure , stroke , permanent numbness , weakness , difficulty speaking , or even death .	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	1,458
okay . so yeah . so we can talk about some therapy and that type of thing .	[ "Other Treatments" ]	[ "Plan" ]	1,459
comes and goes alright how often is that chest pain happening to you you said it's not constant	[ "Vegetative History" ]	[ "Subjective" ]	1,460
and then , let's look at your ... hey , dragon ? show me the hemoglobin a1c . okay , so your a1c , you're right , you know , over the past couple months is , you know , your blood sugar's probably been running a little high , so , you know , i know that you're gon na get back on your diet regimen , but , um , for right now , let's go ahead and we'll increase your metformin , okay ?	[ "Medication", "Lab Examination" ]	[ "Objective", "Plan" ]	1,461
okay very good good for you now tell me what what kind of foods do you like to eat	[ "Vegetative History" ]	[ "Subjective" ]	1,462
hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw .	[ "Discussion", "Diagnostic Testing", "Follow-up" ]	[ "Plan" ]	1,463
doctor: thank you	[ "Chitchat" ]	[ "Null" ]	1,464
couple of weeks tell me what's going on	[ "Acute Symptoms" ]	[ "Subjective" ]	1,465
okay alright how are you feeling right now	[ "Acute Symptoms" ]	[ "Subjective" ]	1,466
okay so every hour every fifteen minutes would you say	[ "Vegetative History" ]	[ "Subjective" ]	1,467
alright so i'm gon na listen to your lungs your lungs are clear bilaterally i do n't hear any crackles listen to your heart so on your heart exam i do hear that grade two out of six systolic ejection murmur and we already knew about that previously so it has n't gotten any worse so that's good so i'm gon na just press here in your abdomen because that you did have those kidney stones does that hurt	[ "Physical Examination" ]	[ "Objective" ]	1,468
okay and i understand that so when you wake up in the morning how soon after waking up do you smoke your first cigarette	[ "Vegetative History" ]	[ "Subjective" ]	1,469
okay . do you have any other types of cancer in the family , like breast or ovarian ?	[ "Family History" ]	[ "Subjective" ]	1,470
uh , but , you know , i think it's something that we can , we can fix , okay ?	[ "Personal History" ]	[ "Subjective" ]	1,471
okay yeah are you able to move your arm very well or not	[ "Acute Symptoms" ]	[ "Subjective" ]	1,472
okay how long does the pain last	[ "Acute Symptoms" ]	[ "Subjective" ]	1,473
i think you're gon na get better yes i think we're gon na you know i really want you to watch your salt intake and i'm gon na go ahead and order that dietary dietitian referral so that you can get your diet under control but you really have to watch your salt intake i think that that's kind of what this heart failure exacerbation is about maybe a little dietary indiscretion	[ "Discussion", "Referral", "Other Treatments" ]	[ "Plan" ]	1,474
hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ?	[ "Radiology Examination" ]	[ "Objective" ]	1,475
hey , dragon , show me the right knee x-ray . so , looking here at your right knee x-ray , you know , there's no fracture or anything , but you know , it does show that you do have that residual arthritis there , um , that we're , you know , we're working on improving so that we do n't have to do some type of surgery or intervention , okay ?	[ "Radiology Examination" ]	[ "Objective" ]	1,476
doctor: hey , dragon ? finalize the note .	[ "Chitchat" ]	[ "Null" ]	1,477
okay , all right . do you ever get it just sitting there at rest ?	[ "Personal History", "Vegetative History" ]	[ "Subjective" ]	1,478
okay alright and okay do you think that you've been good about taking your medications do you usually take them everyday	[ "Therapeutic History" ]	[ "Subjective" ]	1,479
and you're pretty physically active and doing exercises ?	[ "Acute Symptoms", "Other Socials" ]	[ "Subjective" ]	1,480
no shortness of breath okay and how about any runny nose sore throat sinus pain or pressure	[ "Vegetative History" ]	[ "Subjective" ]	1,481
okay your right knee and so based on like your inside and outside which part hurts more	[ "Acute Symptoms" ]	[ "Subjective" ]	1,482
okay do you have any symptoms like this anywhere else on your face including the other side of your face	[ "Acute Symptoms" ]	[ "Subjective" ]	1,483
okay bye	[ "Chitchat" ]	[ "Null" ]	1,484
good . well let me take a look at your back here where they did the biopsy if you do n't mind .	[ "Physical Examination" ]	[ "Objective" ]	1,485
doctor: hey , dragon ? finalize the note .	[ "Chitchat" ]	[ "Null" ]	1,486
i think you just have to do it when you are ready , when you know that you feel like it's a good time , because it is a commitment , and you will have some activity restrictions for about six weeks after surgery , uh , no heavy lifting . and i do say no driving for two to three weeks . and the drains stay in , like i said , for about a week .	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	1,487
so it sounds like it's around strenuous activity .	[ "Other Socials" ]	[ "Subjective" ]	1,488
okay okay	[ "Other Socials" ]	[ "Subjective" ]	1,489
good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little about you .	[ "Chitchat" ]	[ "Null" ]	1,490
anything else	[ "Discussion" ]	[ "Plan" ]	1,491
alright so for your second diagnosis here the newly reduced left ventricular dysfunction and moderate mitral regurgitation i think your pumping function will improve in time you know they got you to the lab quickly so i think that heart muscle is just stunned and you're very compliant you're very good with your medications and following through with those so i think it will recover so that said i want you to go ahead and continue continue your lisinopril twenty milligrams a day i do n't think you need a diuretic at this time but i do want to add aldactone twelve . five milligrams daily and then you'll need to get labs next week okay and then we're gon na repeat another echocardiogram echocardiocardiogram in about two months	[ "Medication", "Diagnostic Testing", "Reassessment" ]	[ "Assessment", "Plan" ]	1,492
okay and and what's your relationship	[ "Other Socials" ]	[ "Subjective" ]	1,493
and how about cognition ?	[ "Personal History" ]	[ "Subjective" ]	1,494
good . good . so for her next appointment , she can either meet with her primary care physician or an adult nephrologist closer to you guys at home . you do n't have come all the way out here .	[ "Follow-up", "Referral" ]	[ "Plan" ]	1,495
do you have any questions ? , and i forgot . for your annual exam , you're due for a mammogram , so we have to schedule for that , as well , okay ?	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	1,496
hmm . okay .	[ "Personal History" ]	[ "Subjective" ]	1,497
that's fun very nice so you stay pretty active it sounds like	[ "Other Socials" ]	[ "Subjective" ]	1,498
that's gon na be exciting for him	[ "Chitchat" ]	[ "Null" ]	1,499

nine out of 10 ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,400

we could yeah we could give you something to help calm down like the anxiety i would just write you a prescription for one and you would take that maybe three hours before you came in for your appointment and then you should feel calm enough to be able to do the injection

[ "Discussion", "Medication" ]

[ "Plan" ]

1,401

i mean i'm sorry the tylenol

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

1,402

understood . understood . all right . well , let's go ahead and take a look and see what's going on .

[ "Chitchat" ]

[ "Null" ]

1,403

um , so as we move into the summer it may be something that you are more interested in pursuing doing that , uh , but if you feel like the acne on your face ... do you feel like the acne on your face is improving ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,404

up your neck alright

[ "Vegetative History" ]

[ "Subjective" ]

1,405

alright i do want you to i know you are i know you actually jog often so i want you to just slow that down for a bit no jogging for a while until we get you know results of your mri till we figure out what we what we are gon na be doing okay

[ "Discussion" ]

[ "Plan" ]

1,406

okay . and how have they been running . i have n't received any you know notes from you in the portal .

[ "Acute Symptoms" ]

[ "Subjective" ]

1,407

okay ? i also wan na go ahead and just order an autoimmune panel , okay ? hey , dragon , order an autoimmune panel . and you know , i , i want , i want you to just take it easy for right now , and if your symptoms continue , we'll talk about further imaging and possibly referral to physical therapy , okay ?

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

1,408

just to help you with that diet

[ "Discussion", "Referral", "Other Treatments" ]

[ "Plan" ]

1,409

i'm doing well . it's good to see you . how have you been ?

[ "Personal History" ]

[ "Subjective" ]

1,410

okay alright so it's been running a little bit high i know we checked your hemoglobin a1c last time and it was about seven . seven . i think and we had talked about you know improving your diet and improving some exercise but is this blood sugar been high and low or high and normal when you're especially in the last three weeks or has it been going on for longer than that

[ "Personal History" ]

[ "Subjective" ]

1,411

howard nice to meet you

[ "Chitchat" ]

[ "Null" ]

1,412

okay and so did your doctor put you on any antibiotics when they they saw your foot

[ "Personal History", "Therapeutic History" ]

[ "Subjective" ]

1,413

and for your last problem your kidney stones , uh , i think everything seems to be fine right at this time . again , continue to watch your diet and stay hydrated . um , and i know that might be a little difficult with the diuretic , but do your best . uh , and give me a call if you have any question , okay ?

[ "Follow-up", "Reassessment" ]

[ "Assessment", "Plan" ]

1,414

five days ago . what were you doing ? were you , like , stopped at a stoplight ? a stop sign ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,415

so , we'll have to just kinda talk about that , okay ?

[ "Chitchat" ]

[ "Null" ]

1,416

good . so how can i help you today ? uh , the referral i have is for abdominal pain and diarrhea .

[ "Acute Symptoms" ]

[ "Subjective" ]

1,417

i understand i understand okay was there any like swelling or bruising on your neck

[ "Personal History" ]

[ "Subjective" ]

1,418

i understand , but it could get dry and i do n't wan na create other problems for you .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,419

okay and how long have you had this pain

[ "Acute Symptoms" ]

[ "Subjective" ]

1,420

hi evelyn , how are you ?

[ "Greetings" ]

[ "Subjective" ]

1,421

i really do n't see any endocrine cause for it , like i said . your growth hormone was fine , but we definitely want to and need to treat it . um , i do n't know if we talked about maybe a little weight loss study .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,422

okay and how long have you been having this

[ "Acute Symptoms" ]

[ "Subjective" ]

1,423

okay on both elbows about a year and a half ago

[ "Personal History" ]

[ "Subjective" ]

1,424

patient mrn : abc123 . date of birth : january 1st , 1960 . patient is a 60 year old , right-handed male , referred today for evaluation of numbness and tingling . hello , mr. cook . how are you doing this morning ?

[ "Acute Symptoms", "Personal History", "Greetings" ]

[ "Subjective" ]

1,425

hmmm okay and do you notice any any timing difference you know is it is it worse in the morning worse in the evening is there anything else that makes it better or worse

[ "Acute Symptoms" ]

[ "Subjective" ]

1,426

okay so have you noticed any nausea chills fever

[ "Acute Symptoms" ]

[ "Subjective" ]

1,427

so , gabapentin can help a little bit with the nerve pain , and what i would like to do is potentially set you up for an epidural . and what that is is it , it's a focused anti-inflammatory medicine , excuse me , that works behind the nerve roops that , nerve roots that we are thinking might be getting squished off . it can often help alleviate your symptoms , and i do need to get an mri of your neck . um , i know we have had one of your lower back , but i need one of your neck to see exactly where the roots are getting pinched off . so , what i can do is tentatively set you up for an epidural , but before you do that , we do need to get that mri so i can see right where i need to put the medicine for your epidural . uh , what do you think of that ?

[ "Medication", "Diagnostic Testing" ]

[ "Plan" ]

1,428

right .

[ "Acute Symptoms" ]

[ "Subjective" ]

1,429

okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you .

[ "Physical Examination" ]

[ "Objective" ]

1,430

hi , anna , how are you ?

[ "Greetings" ]

[ "Subjective" ]

1,431

alright so where exactly is it on the side on the back

[ "Acute Symptoms" ]

[ "Subjective" ]

1,432

okay so if it's if it's that bad let's wait for the mri result we're gon na give you off for work because you know you ca n't move and we'll see what the mri says about what whether or not we can get you like true local injections in the moment is that alright for now

[ "Medication" ]

[ "Plan" ]

1,433

gotcha what do you do outside of outside of work is biking kinda your thing

[ "Personal History" ]

[ "Subjective" ]

1,434

so right now you're on 100 , 1,000 milligrams a day , correct ?

[ "Therapeutic History" ]

[ "Subjective" ]

1,435

okay you're welcome anything else

[ "Discussion" ]

[ "Plan" ]

1,436

okay okay you mentioned earlier that you tried some things in the past like what were they

[ "Therapeutic History" ]

[ "Subjective" ]

1,437

yup , that will do it . is there anything else that you've noticed , mrs. ward ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,438

okay . okay . and you have a , a good support system at home ? i know you have a big-

[ "Other Socials" ]

[ "Subjective" ]

1,439

okay . and , that's really the only thing that's different is your diet , pretty much ?

[ "Personal History" ]

[ "Subjective" ]

1,440

okay . and anything else change recently ? like , have you changed lifestyle , like you're exercising more than you used to , having any allergies , anything like that ?

[ "Personal History", "Other Socials" ]

[ "Subjective" ]

1,441

alright did that work for you

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

1,442

okay well i'm sorry to hear that you know you know renovating the basement it can be quite a task and it can take a toll on you

[ "Other Socials" ]

[ "Subjective" ]

1,443

okay . all right . and do you take ... what medicines do you take for constipation ?

[ "Therapeutic History" ]

[ "Subjective" ]

1,444

okay . all right . and then , how are you doing with your , with your ulcer ? i know that you , you know , you had so much stress a year ago and , you know , you were having some issues there . we did the endoscopy-

[ "Personal History" ]

[ "Subjective" ]

1,445

okay alright how about like chest pain or shortness of breath are you experiencing any of that when you have these headaches in your blood pressure

[ "Vegetative History" ]

[ "Subjective" ]

1,446

definitely . uh , this is one of the fun parts of covid for me . it's like the mask comes down for my acne patients and it's like a big reveal . this lo- this looks a lot better , like a lot better . uh , i'm just going to take a look at your back and chest real quick . um , i would n't recommend making any changes to what you're doing . uh , i'm happy with how things are going . are you- are you happy with how things are going ?

[ "Physical Examination", "Discussion", "Reassessment" ]

[ "Objective", "Assessment", "Plan" ]

1,447

okay now with that do you have any numbness or tingling associated with your back pain

[ "Vegetative History" ]

[ "Subjective" ]

1,448

okay . do you take any medicine for it ?

[ "Therapeutic History" ]

[ "Subjective" ]

1,449

okay , all right . and then in terms of the kidney stones , i know that you had those a couple years ago , as well . any recent flare ups ? have you had any , any back pain , flank pain , anything like that ?

[ "Personal History" ]

[ "Subjective" ]

1,450

wow that that can be a little bit scary so you mentioned that your primary care provider or the urgent care provider gave you medications what medications are you using for your asthma right now

[ "Therapeutic History" ]

[ "Subjective" ]

1,451

okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until after surgery . but we have the pre-surgery visual field test for comparison after surgery .

[ "Diagnostic Testing", "Other Treatments" ]

[ "Plan" ]

1,452

okay do you know what your last a1c is i'm pretty sure you doc talk to you about it

[ "Personal History" ]

[ "Subjective" ]

1,453

all right . good to see you .

[ "Chitchat" ]

[ "Null" ]

1,454

yeah i i think you know this will be you know this we're gon na spend some time together so i'm glad to have you as a patient but you know we got ta try to get this under control and i'm gon na i'll be talking to your pcp just to let them know that you know what my plans are and we'll stay real in sync on treating this as we move forward does that sound like a plan

[ "Discussion" ]

[ "Plan" ]

1,455

so , i know my nurse told you a little bit about dax . um , now , if you do n't mind , i'd like to tell dax a little bit about you .

[ "Chitchat" ]

[ "Null" ]

1,456

hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ?

[ "Greetings" ]

[ "Subjective" ]

1,457

and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart attack , stroke , and death . risk of surgery include infection , need for further surgery , wound issues such as spinal fluid leak or infection , uh , which may require long , prolonged hospitalization or additional procedure . uh , seizure , stroke , permanent numbness , weakness , difficulty speaking , or even death .

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

1,458

okay . so yeah . so we can talk about some therapy and that type of thing .

[ "Other Treatments" ]

[ "Plan" ]

1,459

comes and goes alright how often is that chest pain happening to you you said it's not constant

[ "Vegetative History" ]

[ "Subjective" ]

1,460

and then , let's look at your ... hey , dragon ? show me the hemoglobin a1c . okay , so your a1c , you're right , you know , over the past couple months is , you know , your blood sugar's probably been running a little high , so , you know , i know that you're gon na get back on your diet regimen , but , um , for right now , let's go ahead and we'll increase your metformin , okay ?

[ "Medication", "Lab Examination" ]

[ "Objective", "Plan" ]

1,461

okay very good good for you now tell me what what kind of foods do you like to eat

[ "Vegetative History" ]

[ "Subjective" ]

1,462

hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw .

[ "Discussion", "Diagnostic Testing", "Follow-up" ]

[ "Plan" ]

1,463

doctor: thank you

[ "Chitchat" ]

[ "Null" ]

1,464

couple of weeks tell me what's going on

[ "Acute Symptoms" ]

[ "Subjective" ]

1,465

okay alright how are you feeling right now

[ "Acute Symptoms" ]

[ "Subjective" ]

1,466

okay so every hour every fifteen minutes would you say

[ "Vegetative History" ]

[ "Subjective" ]

1,467

alright so i'm gon na listen to your lungs your lungs are clear bilaterally i do n't hear any crackles listen to your heart so on your heart exam i do hear that grade two out of six systolic ejection murmur and we already knew about that previously so it has n't gotten any worse so that's good so i'm gon na just press here in your abdomen because that you did have those kidney stones does that hurt

[ "Physical Examination" ]

[ "Objective" ]

1,468

okay and i understand that so when you wake up in the morning how soon after waking up do you smoke your first cigarette

[ "Vegetative History" ]

[ "Subjective" ]

1,469

okay . do you have any other types of cancer in the family , like breast or ovarian ?

[ "Family History" ]

[ "Subjective" ]

1,470

uh , but , you know , i think it's something that we can , we can fix , okay ?

[ "Personal History" ]

[ "Subjective" ]

1,471

okay yeah are you able to move your arm very well or not

[ "Acute Symptoms" ]

[ "Subjective" ]

1,472

okay how long does the pain last

[ "Acute Symptoms" ]

[ "Subjective" ]

1,473

i think you're gon na get better yes i think we're gon na you know i really want you to watch your salt intake and i'm gon na go ahead and order that dietary dietitian referral so that you can get your diet under control but you really have to watch your salt intake i think that that's kind of what this heart failure exacerbation is about maybe a little dietary indiscretion

[ "Discussion", "Referral", "Other Treatments" ]

[ "Plan" ]

1,474

hey , dragon . show me the right knee x-ray . so this is an x-ray of your right knee and in reviewing the results of that , everything looks fine , there's no boney abnormality , there's no fracture , which is not surprising , based on the history , okay ?

[ "Radiology Examination" ]

[ "Objective" ]

1,475

hey , dragon , show me the right knee x-ray . so , looking here at your right knee x-ray , you know , there's no fracture or anything , but you know , it does show that you do have that residual arthritis there , um , that we're , you know , we're working on improving so that we do n't have to do some type of surgery or intervention , okay ?

[ "Radiology Examination" ]

[ "Objective" ]

1,476

doctor: hey , dragon ? finalize the note .

[ "Chitchat" ]

[ "Null" ]

1,477

okay , all right . do you ever get it just sitting there at rest ?

[ "Personal History", "Vegetative History" ]

[ "Subjective" ]

1,478

okay alright and okay do you think that you've been good about taking your medications do you usually take them everyday

[ "Therapeutic History" ]

[ "Subjective" ]

1,479

and you're pretty physically active and doing exercises ?

[ "Acute Symptoms", "Other Socials" ]

[ "Subjective" ]

1,480

no shortness of breath okay and how about any runny nose sore throat sinus pain or pressure

[ "Vegetative History" ]

[ "Subjective" ]

1,481

okay your right knee and so based on like your inside and outside which part hurts more

[ "Acute Symptoms" ]

[ "Subjective" ]

1,482

okay do you have any symptoms like this anywhere else on your face including the other side of your face

[ "Acute Symptoms" ]

[ "Subjective" ]

1,483

okay bye

[ "Chitchat" ]

[ "Null" ]

1,484

good . well let me take a look at your back here where they did the biopsy if you do n't mind .

[ "Physical Examination" ]

[ "Objective" ]

1,485

doctor: hey , dragon ? finalize the note .

[ "Chitchat" ]

[ "Null" ]

1,486

i think you just have to do it when you are ready , when you know that you feel like it's a good time , because it is a commitment , and you will have some activity restrictions for about six weeks after surgery , uh , no heavy lifting . and i do say no driving for two to three weeks . and the drains stay in , like i said , for about a week .

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

1,487

so it sounds like it's around strenuous activity .

[ "Other Socials" ]

[ "Subjective" ]

1,488

okay okay

[ "Other Socials" ]

[ "Subjective" ]

1,489

good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little about you .

[ "Chitchat" ]

[ "Null" ]

1,490

anything else

[ "Discussion" ]

[ "Plan" ]

1,491

alright so for your second diagnosis here the newly reduced left ventricular dysfunction and moderate mitral regurgitation i think your pumping function will improve in time you know they got you to the lab quickly so i think that heart muscle is just stunned and you're very compliant you're very good with your medications and following through with those so i think it will recover so that said i want you to go ahead and continue continue your lisinopril twenty milligrams a day i do n't think you need a diuretic at this time but i do want to add aldactone twelve . five milligrams daily and then you'll need to get labs next week okay and then we're gon na repeat another echocardiogram echocardiocardiogram in about two months

[ "Medication", "Diagnostic Testing", "Reassessment" ]

[ "Assessment", "Plan" ]

1,492

okay and and what's your relationship

[ "Other Socials" ]

[ "Subjective" ]

1,493

and how about cognition ?

[ "Personal History" ]

[ "Subjective" ]

1,494

good . good . so for her next appointment , she can either meet with her primary care physician or an adult nephrologist closer to you guys at home . you do n't have come all the way out here .

[ "Follow-up", "Referral" ]

[ "Plan" ]

1,495

do you have any questions ? , and i forgot . for your annual exam , you're due for a mammogram , so we have to schedule for that , as well , okay ?

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

1,496

hmm . okay .

[ "Personal History" ]

[ "Subjective" ]

1,497

that's fun very nice so you stay pretty active it sounds like

[ "Other Socials" ]

[ "Subjective" ]

1,498

that's gon na be exciting for him

[ "Chitchat" ]

[ "Null" ]

1,499